[ { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I woke up this morning feeling the whole room is spinning when i was sitting down. I went to the bathroom walking unsteadily, as i tried to focus i feel nauseous. I try to vomit but it wont come out.. After taking panadol and sleep for few hours, i still feel the same.. By the way, if i lay down or sit down, my head do not spin, only when i want to move around then i feel the whole world is spinning.. And it is normal stomach discomfort at the same time? Earlier after i relieved myself, the spinning lessen so i am not sure whether its connected or coincidences.. Thank you doc!", "output": "Hi, Thank you for posting your query. The most likely cause for your symptoms is benign paroxysmal positional vertigo (BPPV), a type of peripheral vertigo. In this condition, the most common symptom is dizziness or giddiness, which is made worse with movements. Accompanying nausea and vomiting are common. The condition is due to problem in the ear, and improves in a few days on own. Betahistine tablets would help relieve your symptoms. Doing vestibular rehabilitation or adaptation exercises would prevent the recurrence of these symptoms. An ENT evaluation would also help. I hope it helps. Best wishes, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My baby has been pooing 5-6 times a day for a week. In the last few days it has increased to 7 and they are very watery with green stringy bits in them. He does not seem unwell i.e no temperature and still eating. He now has a very bad nappy rash from the pooing ...help!", "output": "Hi... Thank you for consulting in Chat Doctor. It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, My husband is taking Oxycodone due to a broken leg/surgery. He has been taking this pain medication for one month. We are trying to conceive our second baby. Will this medication afect the fetus? Or the health of the baby? Or can it bring birth defects? Thank you.", "output": "Hello, and I hope I can help you today.First, there is no medication that can be taken by the father that has any way to get into your system or a baby if you conceive. Medications can only affect a fetus if you take it while pregnant. The only issue is that certain medications may decrease a men sperm count and affect fertility, however pain medications like Oxycodone do not have this effect. So there is no reason for you to worry about conceiving while taking this medication. The best way you can prepare for a healthy pregnancy is to follow a well-balanced diet, limit alcohol consumption and avoid cigarette smoke, and take a daily prenatal vitamin or folic acid, as folic acid supplements in early pregnancy helps to prevent certain types of birth defects. I hope this answers your question and best wishes for your upcoming pregnancy," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "lump under left nipple and stomach pain (male) Hi,I have recently noticed a few weeks ago a lump under my nipple, it hurts to touch and is about the size of a quarter. Also I have bern experiencing stomach pains that prevent me from eating. I immediatly feel full and have extreme pain. Please help", "output": "HI. You have two different problems. The lump under the nipple should be removed, biopsied. This will help you to get rid of the disease, and you get a diagnosis. Second problem looks a bit serious one: Pain that prevents you from eating-immediate fullness, and extreme pain. I would advise such a patient to undergo the upper GI endoscopy asap. This can be an ulcer with a problem at the pylorus. The exact diagnosis is the most important to start the right therapy. Do not waste time in starting the therapy." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a 5 month old baby who is very congested with a terrible cough. Its rattly/raspy and croupy sounding cough. She started choking on her coughs and the mucous that has come up. She also has a fever and runny nose. Should i take her to urgent care?", "output": "Thank you for using Chat Doctor. I would suggest that you see your doctor. Your baby maybe having bronchiolitis which is a lung infection common to your kids age. It is commonly caused by a virus. Albuterol via nebulization should be utilized in order to alleviate the wheezing and also help with the congestion. A decongestant can also be used for the colds. Also, it would also advise doing a chest X-ray in order to rule out other diseases (ex. pneumonia)sincerely, Mark RosarioGeneral pediatrics/Pediatric Pulmonology" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am F 38 in good shape work out (do triathlons) regular but have had back pain from different reasons throughout my life now I every so often wake up with severe lower back, hip pain for no reason. today the pain is almost taking my breathe away when i move. It is a dull pain when i am just lying down but the moment I make any sort of movement I have sharp and sometimes shooting pain down my legs.", "output": "Hi, From history it seems that you might be having degenerative changes in your lower back spines giving pinched nerve pressure. There might be having osteomalacia or osteoporosis as well. Go for x-ray lumbosacral region for osteoarthritis. Physiotherapy like back extension exercises will be much helpful. Take B1, B6, B!2 shots or medicine. Take calcium, vitamin A and D supplements. Ok and take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir, MY uncle has ILD-Interstitial Lung disease.from my research over google i found that the cause is important to be known. the cause wat i feel is due to breakage of acid bottle in bathroom which caused lot of smoke and that time he wasnot able to be normal for 15-20 minutes. then he was normal .may be that would have been the reason for this ILD. Please suggest wat we should do", "output": "Thanks for your question on Chat Doctor. I can understand your concern. OLD (interstitial lung disease) can not be caused by single exposure of any chemical. Chronic exposure (for years) of chemicals can cause OLD. It is not possible to find out cause for each and every OLD patient. Some patients can develop OLD just because of aging (old age). So your uncle is not having OLD due to breakage of acid bottle. He might be having age related OLD. Better to start Perfinodone and N acetyl cysteine (NAC) for OLD rather than searching for cause. Hope I have solved your query. I will be happy to help you further. Wishing good health to your uncle. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my husband was working on a project in the house and all of a sudden a bump about the size of a half dollar appeard on his left leg inside below the knee. He is 69 years old and had triple by pass surgery 7 years ago. It stung when it first happened. Doesn t hurt now. He is seated with his leg ellevated. Is this an emergency?", "output": "Hello. It could be a blood collection due to minor injury or a vein rupture which is also common at this age. It is not an emergency, but you should apply compression bandage and warm compresses if six hours have past. Furthermore, it should get relieved over the next few days but if it continues to increase or persist then you should see a Doctor who can examine the patient. Take care. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi my nine year old son had a cough and flu symptons three months ago and the chesty sounding cough and green phlegm still remains. it did seem to get better but never totally went and has now picked up again...he has only ever had antibiotics once in his live which suggests he his generally fitand well and active...never short of breath or weezy...so why would this be....", "output": "Hi, If the symptoms persist that long this suggests the presence of an allergic element. To treat that kind of allergy you can give him an over the counter antihistamines once daily before going to bed. A cough suppressant as dextromethorphan and an expectorant as Murine will help reduce the cough. Make sure he Chat Doctor. If the green phlegm persists he might require an antibiotic. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "gyno problemsfor the past few months, I have been having issues with my vagina. there always seems to be something wrong with me. its either an infection or a yeast infection from the medication used to treat the previous infection or a herpes outbreak as a result of a yeast infection. most recently, I had a uti. I was treated for that and everything seemed fine, until after I finished the medication. it still hurt when I had sex and still is uncomfortable to pee. I dont know whats going on and this has been going on for months.", "output": "Dear Friend. Welcome to Chat Doctor. I am Chat Doctor. I understand your concern. Recurring yeast / final infection occur due to:1. Improper treatment.2. Inadequate treatment3. Wrong diagnosis.4. Not treating the partner. I would advise you to get a Urine examination done for bacteria and fungus. When the reports are available, get treated. Also, treat your partner. This is my personal opinion for you based on available details. If you have any further query please ask me. Stay HealthyChatDoctor, MD" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have found that I have an allergy to leotensin. They have taken me off of everything....I found in the information that one side effect if the red skin lensions with a purple center. I was looking to see if there was anything I could do to help the spots go away. I am a dental hygienist and I will be working the next two days. Is there anything that would cover them, so the patients would not be aware???", "output": "Cellophane You for contacting Chat Doctor. Allergic reaction takes some time to settle. In the meanwhile you can cover it over the body by wearing appropriate long clothes which can cover most of the body to hide it. If itching occurs then you can take cetirizine once daily to prevent itching. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my name is Wendy I ve been having an issue for the last couple of months or so I been having severe pain in my lower back around the front into the groin area and its radiating down my thigh and so on I am currently a cancer patient nobody seems to be able to tell me what it could be the pain is so bad that it brings tears to my eyes would you possibly know what it could be or might be", "output": "HelloThanks for query. You have not mentioned in your query details regarding cancer you are suffering from. The pain in back radiating down to thigh can be mostly due to metastasis in the spines or in to lymph nodes, You need to consult your treating oncologist and get evaluated by doing C. T scan of abdomen and pelvis and Bone scan. Further treatment will depend upon result of these tests and final diagnosis. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hye, My aunt is having shortness of breath and she is on vent now. Her breast showed some kind of infection that apparently turned out to have black blisters. I could she those spreading. When we went for lungs x-ray doctor said she has accumulation of water in her lungs", "output": "Thanks for your question on Chat Doctor. I can understand your aunts situation and problem. By your history and description, possibility of bacterial infection especially staphylococcus is more in her case. She is having pleural effusion and infective skin lesions on breast. Staphylococcus can cause pleural effusion and blister formation on skin. So chances of staphylococcal infection is more in her case. Better to send pleural fluid culture and sensitivity for the diagnosis of staphylococcal infection. This will also tell about effective antibiotic therapy. With appropriate antibiotics and Care, this infection can be treated. Hope I have solved your query. Wishing good health to your aunt. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am 28 yrs old, i got married before 6 year, i was infected by pulmonary tuberculosis before 6 years, i took treatment for 6 months after that i statred gainig weigt, my periods was irredulat, i increased nearlt 20 kgs after that, now my weight is 75 kgs, i trying to conceive, i took tsh, other blood test too, but everything is normal, do i have the chances to conceive", "output": "Hi, thank you for asking Chat Doctor I understand your concerns No need to worry so much. The chances of conceiving still exist with irregular periods. I don't know if you have been trying to conceive but to no avail. If that is the case, then I think both of you have to be assessed. Infertility within a couple can be linked to a man, woman or both. If everything is fine with you except irregular periods, then I would advise that both of you should see a doctor for assessment and counseling. I hope that helps wish you well" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I sprained my foot on Friday. I stepped on what I thought was lawn. Instead I was a bit on the lawn, but the outside of my foot snapped down into a trough. My foot has been swollen since Friday. Today is Thursday. Kept ice on it for 24 hours. Bruising started after that, Now bruising is spreading. It is really dark on my toes. Pain is on outside of my foot, not on my ankle.", "output": "Hello, You have sustained twisting injury to foot which may lead to sprain or minor fracture in foot bones. Diagnosis needs to be confirmed by doing x-ray of the involved foot anteroposterior and oblique views to rule out bony abnormalities. If x-ray is normal RICE therapy is needed which means Rest Ice application Compression bandage and Limb Elevation. Tab Diclofenac sodium twice a day for pain relief and tab Choral forte twice a day for swelling reduction is required. If x-ray shows fracture Below knee slab may be given. If X-ray is abnormal please consult orthopedic surgeon nearby your area. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, i have been recently diagnosed with H pylori.. i have been give the triple treatment of calithramycin, amoxxicilin and omeprazole.. is dis something very serious and does this have some long term implications etc.can u plz give some detailed information about Hpylori. thnx", "output": "HiT hanks for choosing Chat Doctor for your query. I appreciate your concern towards H pylori infection which normally causes break in the lining of the stomach (peptic ulcer). H pylori is an exceptional bacterium which can survive in the acidic environment of the stomach producing tissue damage result in ulcer. Since this is a bacterial infection, hence antibiotics are used for 2 weeks to kill H pylori. Along with antibiotics Omeprazole is given for a period of 4-6 weeks to suppress the acid production and to increase the healing process of the ulcer. It is not a serious condition, usually triple treatment is sufficient to cure this condition. You must avoid taking Alcohol, hot and spicy foods, NSAID painkiller, smoking, caffeine, carbonated sweetened soft Chat Doctor. I hope all your doubts have been clarified in a simple language,Feedback in this regard is highly appreciated. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a alt reading about 2+ months ago of 43 then retested today and got a 60 alt reading my other readings came back normal should I be concerned?Im 40 years 5ft 3 and weigh 192albs have a history of chronic vertigo and insomnia, and chronic sinus problems. I take valium 5 mg 4 times a day, fluticansone 2 puffs each nose once a day, qvair two puffs twice a day to prevent weasing, claritin for allergies, and I do sinus rinses as needed. I am female.My doctor says none of the medicine has liver side effects, and I dont drink alcohol but a sip on the rare occasion. He thinks it could be do my weight and Im working on this with gradual exercise when Im able too. Should I be worried with this test result? I had one other result that was high my triglcyerides read 198 ? WWW.WWWW.WW", "output": "Hello and thank you for asking Chat Doctor. I have read your report, and I understand your concerns. First I would say to not worry. Normal Alt levels are 7 to 56 unit (depending on from the kits that laboratories use)In one of your tests, your Alt was 60. This level is almost normal and it doesn't always mean a serious condition of your liver. Here are some reasons why a healthy person might have changes in the levels of liver enzymes:-alcohol-exercise -some medications like aspirin, paracetamol,antibiotics, Cholesterol lowering Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i had surgery done 5 months ago for scar tissue and adhesion removal. my gynecologist just found a cyst on my right ovary. im still having problems, when my husband and i have sex i get severe cervical pain and afterward i get abdominal cramps severe enough i get light headed, also i get abdominal pain and rectal pain before and during a bowel movement, i also get abdominal pain during urination. im 26 years old. what could it be?", "output": "Hi. Thanks for your query and an elucidated history. Understood the history well. You have an obvious reason for pain - the adhesions and scar must have reformed. But the history of Dyspareunia, meaning painful sex indicated the is some active inflammatory process still going on in the pelvis called PID-Pelvic Inflammatory Disease. Cystitis and Procto-colitis are the additional problems causing the pain in abdomen and rectum before and during bowel movements as also during urination. Ovarian cyst can cause problem only if it enlarges fast or gets twisted. I would advise you the following::-Contrast enhanced CT scan of the abdomen.-Enteroclysis-Colonoscopy-exploratory Laparoscopy or Laparotomy which will be of diagnostic and therapeutic value. A proper course of an antibiotic, metronidazole, probiotic may help a bit or more." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I had a subarachnoid bleed and coiling of brain aneurysm last year. I am having some major bilateral temple pain along with numbness that comes and goes in my left arm/hand/fingers. I have had headaches since the aneurysm, but this is different. Also, my moods have been horrible for the past few weeks.", "output": "Aneurysm in brain causes headache due to compression of pain sensitive structure in brain. But pain is usually unilateral not bilateral. This pain will not radiate in both upper limb. Bilateral upper limb pain may be due to cervical spondylosis or other causes. You have anxiety of aneurysm, so due to anxiety your mood is horrible because aneurysm does not cause horrible mood change. So your headache may be chronic tension type headache. You may relieve by antianxiety Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Almost everytime I eat, it burns when I swallow. Not in my throat but in my chest. It burns all the way down. It helps a lil if I drink water after I swallow. I wake up a lot in the middle of the night with heartburn so I chew some tums and it helps for the most part. Why is it so painful when I eat?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you are mostly having HERD (gastroesophageal reflux disease). It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause burning in chest. So follow these steps for better symptomatic relief. 1. Avoid stress and tension. 2. Avoid hot and spicy food. Avoid junk food. Avoid large meals, instead take frequent small meals. 3. Take proton pump inhibitors and prokinetic Chat Doctor. 4. Keep 2 - 3 pillows under head in the bed to prevent reflux. 5. Quit smoking and alcohol if you have these habits. Lose weight if you are obese. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "for the pst 6 days i have been haing upper abdome distress ... i have had gall bladder surgery 2 yrs ago ..in the past 2 yrs when i get these bouts .. i go to emerg they run cardiograms xrays ,blood work ,all comes back normal ...im stressing out over this as im scared every time it happens im having a heart attack wht is it ?", "output": "Hi. Thanks for your query, read and understood your problems. You are getting bouts of pain in the upper abdomen within the last 2 years particularly after the gall bladder surgery. This is great news that cardiac problems are ruled out by the tests every time in the emergency Room. This means that we have to find a local cause in the abdomen itself. I would suggest the following:Get Ct scan and MRCP for the hepato-biliary- pancreatic system. Also go for upper GI Endoscopy to rule out Gastric ulcer. Cancer. Colonoscopy for the possible problem of the colon in this area. If required a diagnostic Laparoscopy may help to see or rule out the intestinal adhesion due to bands or kinking or so and can be tackled at the same time. This way a final diagnosis and treatment plan can be done to get you permanent results." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a hole its about the size of a dime at the beggining of my butt crack (gross I know) but Im just wondering how to get rid of it at home I put anti bacterial on it with a q - tip it sizzles but nothing comes out or changes . What do I do ? (At home )", "output": "**1. Opinion and examination with Surgeon is of utmost importance since hole around butt crack could be :1. Pilonidal dimple not transformed into sinus [beginning stage where pain/discharge is not there], so the best management which can be done at home is: keep the area clean and hygienic2. Do not use a cotton bud to scratch, clean or put into hole.3. It could be pressure sore due to prolonged sitting, or old infected boil which opened and left a big hole, thus Opinion/Examination is needed PS. Take care, not at home, but after surgical evaluation and exploration." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Doctor, We are trying to have a baby and gave it a big try this time but as we are planning to go for an Invitro (ICSI) for the next period, my doctor gave me Primolut Not from day 16 to day 25. I am wondering if this will have a negative impact on my pregnancy if I am pregnant because as explained we gave it a big try this time. Thank you in advance for your response. With my Best Regards; Mme Sue", "output": "Hellos you are going in for CSI next month, your doctor has given you Primal N for regulating the cycles. However, in case you have conceived this month, it is not advisable to take Primal N, as it causes virilization of female fetus and other abnormalities in the baby. There are other formulations of progesterone like Me Chat Doctor. These can be substituted for Primal - N. Please brief your IVF practitioner about the state of affairs and switch over to a safer " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I am in the middle of a serious anxiety/panic attack as I just became aware that I may have a tetanus infection. I am a senior at Clemson University and to be honest the apartment where I resided in the past four months was extremely unsanitary. One toilet was clogged for nearly two months which I now know could have bred bacterial spores that cause tetanus infections. I cut myself shaving around 1 1/2 months ago. I was out of razors and used a razor that had been sitting in the bathroom with the clogged up toilet I mentioned above. I did clean the razor with rubbing alcohol before use however I had an open wound on my face for a while.. About a week. For about a month now I have been feeling extremely irritable, experiencing lockjaw symptoms, been short of breath, had fevers on and off, heart palpitations, and I have noticed that when I smile my face contorts into what one would call a sardonic smile. Am I going to die? Please let me know your opinion", "output": "Hello, Welcome to Chat Doctor, I have gone through your query and understand your concern. Tetanus is a bacterial disease by clostridium retain. There is no cure for tetanus, but it can be prevented by adequate vaccination. Usual symptoms are all due to painful contraction of muscles as it affects our nervous system. Spasms and stiffness in your jaw muscles, stiffness of your neck muscles, difficulty swallowing, stiffness of your abdominal muscles, painful body spasms lasting for several minutes, typically frittered by minor occurrences, such as a Chat Doctor. If you are not get immunized for tetanus, you should start tetanus toxic vaccination now itself. First 2 doses at 4 weeks apart. Third dose after 6 months. After that your immunity may stand up to 10 years. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi hope you can helpive been getting chest pains, not severe but a constant pain, can happen when im just resting but has also happened when im exercising, it continues through to my back as well. I sometimes wake up with chest pains too. i have a strong history of heart disease. grandfather died at 26 from a heat attack and mother had one at 45, also grandmother on the other side had a heart attack. Could you please explain what is happening? Thanks", "output": "HelloThanks for posting at Chat Doctor. You have not provided your age on the details. I would have been able to help u better had you mentioned your age. You have complaints of chest pain radiating to back with strong family history. So in your case it is better that we evaluate you for presence of heart disease. I recommend an ECG and 2d echo initially. If both these tests are normal you can proceed for a treadmill test which requires you to walk on a treadmill while your ECG is continuously monitored. This will show if the heart blood supply suffers while you are exercising which indirectly predicts whether you have blockages in your heart. Please do the above tests and revert. Wishing you good healthRegards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im 28 year old and suffering from male baldness pattern. I started using RICHFEEL tricology centres saw palmetto treatment but it didnt help, then I tried Minoxidil 5% but discontinued it after 12 days after having some side effects (some tiny boils on my forehead). Kindly suggest me which medicine i should take.", "output": "Hi, You may stop it for a few days. Take oral treatment like tab finasteride 1 mg daily with tab biotin 10 mg thrice a day. Cleanse the scalp with ketoconazole shampoo daily. After a few days you may restart the minoxidil. Tiny boils may be folliculitis. Take a course of antibiotic like cap Doxycycline. Avoid stress and worries. Continue treatment for long time to get good result in an Chat Doctor. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I too fell and hurt my left side of my chest. I have a large lump and I am very black and blue. I need to fly out on Sunday this fall happen last Sunday. I have been taking aleve for pain and arnica gel. Should I be worried about the flight? I am 70 Thank you,", "output": "Welcome to ChatDoctorYou may be having rib fractures. You have to do x-ray chest as early as possible. Rib fractures can cause pneumothorax/air in chest or hemothorax/blood in the chest which will be seen on x-ray. Only rib fractures needs no treatment except painkillers. But if pseudo or hemothorax is present that needs ICD tube insertion in the chest. In that case air travel should be avoided. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had a few small hard painless bumps where my cheek goes to my gums. this may sound terrible but they have been there, the same size & number for about a year if I remember correctly (scratch that, I just talked with a friend of mine & remebered they have been there for four years) & I have yet to tell my dentist about them. any thoughts? I am a 16 yr. old male & have used snuff habitually before, for only a few years but none the less.", "output": "Taking snuff for a prolonged period is not known to cause cancer, but it may lead to a number of local infections. Also, such people have a number of vitamin deficiencies which may also lead to irregularities in the cheeks and gums. I would advise you to take an antibiotic and antifungal (Tab Ciprofloxacin 500\u00a0mg twice daily +Tab For can 150\u00a0mg twice daily) plus a multivitamin (Tab B-Complex twice daily), all for 15 days. If your bumps don't improve by then, you should consult a surgeon." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my mother is 80 yrs. detected with vulva cancer. vulva is swollen red ,around discolourisation, white growth now extending to rectum. biopsy shows keratinizing squamous carcinoma vulva(welldifferentiated,invasive).she is little asthmatic, has cervical spondeolytis .", "output": "Hi, dairy have gone through your question. I can understand your concern. She has well differentiated keratinizing squamous cell carcinoma. If her general health is good then treatment of choice is wide excision of carcinoma followed by chemotherapy or radiotherapy if needed. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Suddenly this morning I got really excruciating lower right back pain. I was standing in the kitchen and it came on suddenly. It s the lower right side. It does not go down in the my legs it s just isolated to my back. I have no nausea or no blood in my urine. Any idea on what it could be?", "output": "Hello! Welcome to Chat Doctor ! Lower back pain may cause by right lumber disc prolapse whicChatDoctorpresses the nerve. But exact other causes are diagnosed by physical examination or by MRI. Common causes of lower backache and leg pain is a lumbar ruptured disc or herniated disc. Symptoms of a herniated disc may include dull or sharp pain, muscle spasm or cramping, sciatica, and leg weakness or loss of leg function. Sneezing, coughing, or bending usually intensify the pain. Rarely bowel or bladder control is lost, and if this occurs, seek medical attention at once. Sciatica is a symptom frequently associated with a lumbar herniated disc. Pressure on one or several nerves that contribute to the sciatic nerve can cause pain, burning, tingling, and numbness that extends from the buttock into the leg and sometimes into the foot. Usually one side (left or right) is affected. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hey I am on my third antibiotic and still coughing and my ribs are killing me especially right side. Doc claims it is viral cough syndrome left over from bronchitis . I do not think so. No fever the whole time. Xray was clear on lungs. Taking mucinex, third antibiotic, inhaler and can not get better. Ulcers in mouth and my face in breaking out bad. Been sick since December 28,2012.", "output": "Hi welcome to Chat Doctor forum. The reasons for persistent cough, without findings in the lungs might, Uveitis a growth at the end of the throat, by touching the pharynx cause severe cough. For this type of cough you need to use cough suppressants like dexametarphane, codeine, etc which are present in some cough syrups. Best thing to get relief immediately is Darling with Luke warm salt water 2 or 3 times a day. Avoid taking fruits, juices, ice creams, ice water to Chat Doctor. I advise you to consult an E.N.T.surgeon who is the doctor concerned with the causes in the pharynx. Wishing for a quick and comfortable relief, and thanks for calling." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi My mrs has this heart murmur, which is causing the blackouts, and she has panic attacks. Yesterday the doctor was quite concerned at how her blood pressure was so high, and then a couple of weeks go when she had her smear, it was too low. She has now got this bruising appearing around her lower back too, and i don t know how its been caused. I m really worried about her. Is this seriouse?", "output": "Hello, I would explain that a heart murmur could be related a structural heart abnormality. For this reason, I would recommend performing a cardiac ultrasound and a resting ECG in order to examine her heart function and structure. Considering her blackout attacks, I would recommend performing some tests too:- complete blood count for anemia,- thyroid hormone levels for thyroid gland dysfunction- blood electrolytes for possible imbalance. An ambulatory 24-48 hours ECG monitoring would help examine her heart rhythm trends for a prolonged time and exclude possible cardiac arrhythmia. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am on metformin 1000mg bid for pcos & was prescribed Percocet 10/650 for a severely displaced fracture needing surgery. I drink a glass of red wine nightly for heart heglth Bhc cardiac disease runs in my family... Should I be concerned a our elastase liver function test? I am also on Zoloft 150 daily, adderall 30mg bid & clonazepam as needed who I take a few night a a week", "output": "Hi, dairy have gone through your question. I can understand your concern. You taken percent, clonazepam, Zoloft, Adderall so in my opinion you should avoid alcohol. It will damage the liver and will put you in trouble. You should check your liver enzymes levels once and also go for ultrasound abdomen once to rule out any alcoholic liver disease. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I stopped taking microgestin, mid-pack, on 12/5/13 after being on it for 2 1/2 months. I had withdrawal bleeding 12/9/13 - 12/13/13.I was supposed to get my period 1/5/14 but i am late. Before birth control my cycles were always regular and always 28-29 days. My boyfriend and i have been using the pullout method frequently before and after stopping the pill. Could i be pregnant?", "output": "Hallow Dear, Since you are no more on the birth control pills now, you are no more having any contraceptive protection. Pull out technique is not a safe and reliable technique for contraception. In this method, the penis is pulled out of vagina before the ejaculation takes place. However, before ejaculation, pre-seminal or pre-ejaculatory secretions (pre-cum) are deposited in the vagina unknowingly. Pre-cum does contain some sperms which are capable of impregnating a woman. Now that you have missed your period, please get your pregnancy test done on overnight morning first urine sample a week after the missed period; earlier, the test may report false negative. Alternatively, you may perform Beta Chat Doctor test on the blood. This will help you detect your pregnancy status. If you are not pregnant, you may take some progestational preparation like Devilry for 5 days (with advice of a Gynecologist). Then within 4-7 days, you should get with Chat Doctor. However, if you are pregnant, you may opt for medical termination of pregnancy. Since you are regularly engaged in sexual activity and do not want to continue with oral contraceptive pills, please adopt some other reliable contraceptive method like condom or intrauterine device. I hope this clarifies the issue. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am going through Jaundice due to Hepatitis E, my stomach has gone too much weak, at time a lot of acidity. I was in hospital for 5 days but now feeling much better then before and my Total bilirubin has come down to 5 and liver enzymes are around 1400. Body is too much fluctuating, at times i feel better and at times i feel pathetic. I am on complete rest, at times i walk around else not much of physical work. I am taking monolive but i can see Liv52 is more famous, should i change that?", "output": "HelloThanks for asking query on HC. I presume that you have been diagnosed with acute hepatitis E based on the relevant tests. You must know that acute hepatitis E is a self limiting disease, only needs supportive care. You are correctly started on Mongolia (UCA), please continue that, no need to change to Liv 52. Furthermore, you may also require acid suppressing and antiemetic tablets like - Antacid DSR along with some vitamin supplements. Have good quality food with necessary proteins and vitamins. You will become normal in another weak. Mind you bilirubin is the last thing to normalize. So don't worry about that. Alarm signs which one should keep in mind are - excessive sleepiness, bleeding manifestations and inability to eat anything. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My family has recently gotten the scabies mite... WE have cleaned our house top to bott om with hot soapy water, Rid, Used a cleaner on carpet/couch. we treated ourselfs with Permethern cream, Eurax, and i have used tea tree oils, poroxide, etc. Everyone but me and a older son has kicked it. I have went as far as sanding my skin....My question is what do I do to rid it once and for all SAFETLY! I was told Borax in a tub ....is that safe? HELP", "output": "Hi and thank you so much for this query. Can be very disturbing to get your entire household infested by scabies. Hygiene is the rule. Treating every sick person, washing and disinfection all linen as well as ironing would ensure that this bug is gotten rid of. So step up your personal hygiene after treating every affected individual and disinfecting all linen. I hope this ad Chat Doctor. Feel free t ask for more information if needed. Thanks for using this panel for your questions." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, didn t expect to get a real person, but since your are here, I will tell you about symptoms I have been having. I think they are panic or anxiety attacks, but who knows. I get a tight feeling in the back of my head that moves to my temples then down into my throat and eventually down the middle of my chest. I get very emotional when this happens and after all that, I can t catch my breath and my heart beats really fast. It usually goes away in 2 or 3 minutes, if I can sit down and concentrate on my breathing. I recently had an MRI and my heart was found to be OK......any ideas????", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. You are mistaken. We are human beings and are here to answer your queries. You can expect answer from a real person here. In anxiety attacks, obsession with a thought brings anxiety symptoms and then comes emotions. Before the symptoms comes, there is always apprehension. Anxiety attack or panic attack is always an after effect of anxiety. What is your reason for anxiety? Any fear, stress, molestation, health related worries? Find out and you shall get the answer. The answer shall help cure your condition. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I fell on uneven sidewalk on July 3rd and hurt my knee: I had no problem walking and I didn t have much pain just bruising on my knee with tenderness. Now as the bruising is entering the purple/green phase I am starting to get a lot of swelling in my calf and ankle- what should I do ??", "output": "Welcome to Chat Doctor I have gone through your query and understand your concern. You're swelling of foot and calf may be related to edema after injury. It is useful to keep limb elevated. Active toe movement will be useful to reduce swelling. Analgesic such as ibuprofen is useful to get relief from pain. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear doctor, i am 33 male recently i have undergone pre employment medical check up and it was found that i have sgpt- 194 except this all test are absolutely normal test includes 1) CBC2. ESR and liver test 3. Urine Routine 4. Blood Group & Rh Factor 5. X-ray (Chest)6. General Physical Examination7. Fasting Blood Sugar &Post Prandial Blood Sugar8. Total Cholesterol9. ECG10. Serum Creatininenow they have advised me to got my ultrasound done full abdomen. i have got it done today and every thing is normal and they found mild fatty liver. Another thing i want to share that i was suffering from loose motions and was on Ofloxacin-200mg with ornidazole500mg B.D dosage (oflox OZ )medication for 2days and continued ofloxacin-200 B.D dosage (oflox) for another 3days as was suffering cold and cough also.now i need to go to gastro doctor to get the ultrasound reports checked. Just want to know what could be the reason for this elevated SGPT and will i get the clearance for joining new company.what should i do to lower my SGPT levels?? and what diet i should follow i am not a heavy drinker just take drinks occasionally and i am not fond of junk food as well.", "output": "Hello, I can understand your concern for abnormal blood report.1) Your symptom of loose motion might be due to indigestion. There is no role of antibiotic in this. Instead, you should take intestinal digestive enzyme supplementation.2) Elevated SGPT level indicate either liver function is weak or liver has too much load to work. Fatty liver is condition in which excessive fat get deposited in liver tissue and affect liver function. This is the reason for elevated SGPT level in your case.3) Fatty liver is due to high level of fat in blood stream secondary to lipid (fat)-rich diet. This might lead to elevated cholesterol level. Thus, it is recommended for you to undergo lipid profile test.4) Mild fatty liver is reversible condition. You should do - regular exercise, intermittent fasting (weekly once), high protein diet, low fat-diet, use of omega-3 fatty acid containing oil in food preparation, avoidance of alcohol intake. Your SGPT level can come to normal range with these measure in 15-20 days. Hope I answered your query. If you have any further question, I would be happy to help you. Have a nice day!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, My name is Wanda I am a 40year old female with type one diabetes (have had it for 7 years ) I have had a tooth infection in my gums for honestly on and off for about 2 years it swells up then bursts with yellowish clear pus above a tooth which needs to be pulled. I have felt like Ive had a sinus cold for the past few weeks and then discovered a sore on the inside of my left nostil.. could they be connected", "output": "Hello Wanda and welcome. Thanks for sharing your concern. The roots of upper molars are in very proximity with the maxillary sinus above.Therefore, sometimes it becomes difficult to diagnose whether the patient presents pain due to tooth infection or sinusitis. But clinical evaluation with supporting x-rays makes it clear whether the origin of infection is teeth or sinus.Therefore, in my view please meet your dentist/ENT specialist for a sinus view x-ray. This will make things pretty clear.Meanwhile, do take good care of yourself.ET us know for further doubts. Thanks. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a partial root canal roughly 36 hours ago on my lower left rear molar (wisdom teeth extracted years ago). The doctor drilled out the pulp (noting that it was mostly dead) and put on a temporary filling until the root canal specialist could see me. Now, about 36 hours later, Im in quite a bit of pain again, both on the tooth that was operated on and in a molar on the top of my jaw and in the back jaw muscle. My neck is rather swollen too and is tender to the touch. I have plans to travel tomorrow by plane to see some family and go diving. Is my condition something that requires immediate attention? Should I not be flying or diving?", "output": "Welcome to Chat Doctor forum. Dead pulp inside a root canal is almost always infected with several bacteria. Now, while removing those dead pulp/ remaining tissue or washing the root canal, there is every possibility that some part of that infected material pushed through the root apex foramen(hole) to the surrounding area. Naturally that area become infected and in many instances the infection expressed as an acute infection of root apex area with pain and may be with swelling. It is called ENDODONTIC FLARE UP. It may happen in 50% patients after the cleaning of root canal. The dentist has no control over it. There is no need of postponing your travel schedule. You should start an antibiotic like Augmenting or same type (Amoxicillin 500 mg + Clavulanic acid 125\u00a0mg) 8 hourly for 5 days. Along with that you have to take Diclofenac 100 mg + Paracetamol 500\u00a0mg, 3 times a day in full stomach. If you have a history of excessive acidity, you have to take 10 ml of any liquid antacid before taking Diclofenac. Your pain will subside with in 2 to 3 days. But continue Antibiotic for 5 days. Best wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My doctor had issue with finding the baby during my transvaginal ultrasound is that because I had to pee she could see the yoke sac and I measured 9 weeks but what she thought was the baby was measuring 7 weeks. I am just worried and want to know if that interfered", "output": "Hello,First, do not panic. As you might be aware that yolk sac is a structure attached with an embryo-baby, for its nutrition in early pregnancy. The reason for not finding the baby and only finding the yolk sac can be small pregnancy duration may be due to delayed ovulation and delayed conception. I will suggest you get a repeat ultrasound done after two weeks. Please start on Folic acid and vitamin B 12 supplements. Option for a healthy diet and regular exercise regimen. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I hit a volleyball this after with the underside if my hand (made a fist) it bent my wrist backward causing pain. Now about 7 hrs later it is still very painful to my hand backwards and all to put pressure on my wrist. These are fairly sharp pains. It does not hurt to pick things up or grip most objects. There is only pain when I move my hand. Thank you.", "output": "Dear patient You must have injured wrist ligament due to extreme stretching while playing and this is leading to pain. Still possibility of fracture needs to be ruled out, and I would advise X-ray of involved wrist with hand anteroposterior and lateral views. Visit radiology center nearby you and get it done. If report is normal diagnosis is wrist sprain. Avoid game for 2 weeks and apply wrist binder for 3 weeks. Start tab diclofenac plus serratiopeptodase combination twice a day for 5 days for pain relief. If X-ray report is abnormal you need to consult expert orthopedic surgeon with report. All the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a pacemaker, due to atrial fibrillation, and have been put on coumadin. It does not seem to thin my blood, and am on 750 mg a day, and it makes me nauseous and extremely dizzy, to the point where I can t function. Are there any foods that help thin the blood? Also, do fish oils help or hinder the thinning process? I would really like to take less medication and get results that are favorable.", "output": "Hi, Green leafy vegetables like spinach, broccoli and food rich in vitamin K antagonize the effect of medicine. So these should be consumed in moderate amount, since we can't stop green vegetables altogether. And importantly, daily this intake should be kept constant otherwise effects may fluctuate. Fish doesn't have significant effect on Chat Doctor. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My younger brother liver & spleen got enlarged. Hepatitis B&C found in blood. Mild ascitis & SOL on both lube of liver found. His age is 15. Weight is 28 kg. He is having serious less appetite. I am attaching the all the reports. Please advice us how to proceed and the exact condition of the patient.Here two doctors said he will need a full liver transplantation...", "output": "Hi thanks for contacting Chat Doctor ... Your brother have both hepatitis b and c positive.... Your brother might have chronic liver affection with it can be cirrhosis liver associated... Morever you are mentioning space occupying lesion in liver... It should be investigated for malignancy as chance of development of hepatocellular carcinoma more if both B and C hepatitis present... For that contrast enhanced CT scan with AFP estimation can be done... If needed for confirmation USG guided biopsy might be needed.... Ultimate treatment for chronic liver problem is liver transplantation... Your report attached cant seen here in public forum questions... For more opinion you can consult gastroenterologist .... You can take follow up advise by using premium questions...Meanwhile, take low fat diet... Fruits taken more... Green leafy vegetables useful.... Take early in morning grinned spinach and carrot juice.... Hope you concern solved.... Take care.... Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Over the past 2 days I have had a sore jaw on the right side only. Doesn t feel sore on the outside of my face, but extremely tender on the tendon that attaches jaw together. Inside of cheek also appears swollen. Right side of tongue feels strange, and slightly sore to swallow also. I m 40 but my wisdom teeth never came in, could this be a cause?", "output": "Hello, I can understand your concern. Usually, wisdom teetChatDoctore in mouth at the age of 18 to 25 years. However, as you have never had them in mouth, it is possible that they might be impacted or locked in the jaw. As right side of jaw is causing you pain, let us focus on that only. Due to absence of physical space to come out in mouth or due to its improper position, it might be possible that the wisdom tooth of that side was locked in the jaw all this time and now might be impinging on the muscle of the mastication or nerve that supplies tongue causing you the pain and discomfort you are experiencing. It is also a possibility that a tooth might be decayed on the side of the jaw that is causing you problems, has developed an abscess that is causing these symptoms. In both cases, you need to visit a dentist to get an oral examination to find out if any tooth is decayed and taking x-ray of the wisdom tooth area to diagnose wisdom tooth related problem. By the time you ET an appointment of the dentist, Ibuprofen 400 mg thrice a day will help you in getting relief from pain. Please refrain from hot water gargles or heat compression as if the pain would be abscess related, it would worsen. I hope this information helps you. Thank you for choosing Chat Doctor. I wish you feel better soon. Best," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, Can anyone give me the solution for Aplastic Anemia ? my 4 years old daughter suffering from Aplastic anemia since April 2010. Regards, Vinod", "output": "Dear Vinod:Thanks for the query. There are different modalities. The treatments depend on severity of the problem. If it is less severe the immune-modulator medications-Antithymocyte globulin (ATG), cyclosporin (CSA), and cyclophosphamide are useful. She requires intermittent blood transfusions. If it is more severe, she needs Bone Marrow transplantation (BMT) from appropriate donor which is the definitive treatment. She needs conditioning before transplantation with ATG/cyclophosphamide so that the graft (BMT) will not be rejected. You can refer to the article in emedicine.medscape.com: This is the URL of article:http://emedicine.medscape.com/article/198759-overview. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I HAVE HAD SEVERAL TIAS BEFORE THE AGE OF 40 AND JUST RECENTLY I HAD DIFFICULTIES ORGANSIZING MY THOUGHTS AND THEN TRYINGTO SAYING WHAT WAS IN MY BRAIN HAPPENED APRIL 15 AND THEN THE NEXT DAY WHEN I ANSWERED THE PHONE WERE I VOLUNTEERED IT HAPPENED AGAIN; I COULD NOT SAY GOOD AFTERNOON SHIRLEY SPEAKING HOW MAY I HELP YOU. ANY SUGGESTIONS WHAT I WAS EXPERIENCING?", "output": "Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. Q1 : ANY SUGGESTIONS WHAT I WAS EXPERIENCING? A1 : This is probably Multi Infarct DementiaFurther Course of Treatment depends on Clinical Examination, Funds Examination, MUSE, Radiological Evaluation. Please Consult a neurosurgeon in person Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in Chat Doctor at http://bit.ly/ask" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son is 1 yr 8 months old...he is not walking on his own...so dr suggested MRI n MRI report shows .ventricular system appears mildly prominent,normal in shape position and signal morphology,cisternal and sulcal spaces are mildly prominent,small faint hyperintense areas noted in bilateral periventricular frontal and Pareto occipital regions.rests things are normal....pls tell me wat does it means", "output": "Hi...though I do not have the images of the MRI before me right now, by what you quote, I feel it should be - Periventricular Leukoplakia - a condition which occurs in prematurely or underweight born babies. Their mentation and IQ will be perfect, but they will have problems with their legs and walking. Usually there won't be any problem with the hands. This condition is called - Spastic Diplopia and is amenable for physiotherapy. Please do not worry as the kid will get better with physiotherapy. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. My 18month old has had red and swollen eyes for about 5 days. I took him to his doctor and they have no idea what is wrong. His eye itself is unaffected. It seems to be isolated to the outside of the eye (eye lid, and beneath. Just last night he broke out in a rash all over his body. I need ANSWERS badly. Can you help?", "output": "Hello. I'm a pediatrician. From your description I think he might be having present orbital cellulitis. In this condition soft tissue around eye is infected. Baby will be toxic and having high fever. Eyes may be swollen, it massive be difficult to open eye. Rash on rest body might be due to Chat Doctor. Consult ophthalmologist and pediatrician. If it is really orbital cellulitis then baby might be needing admission" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I fell down three stairs on my buttocks, when I got up I almost passed out I ran to my bed and waited till I felt better. I have been feeling nauseated since then and cant stand for a long period of time without feeling like im going to be sick. It is also painful to sit. Im on blood thinners what should I do?", "output": "Dear France pain is from muscular strain due to injury. You can take analgesic like ibuprofen or if severe pain take combination of diclofenac+paracetamol+chlorzoxazon/serratiopeptidase with omeprazole/pantoprazole + risperidone to relieve nausea for 2-3 days. This will clear all symptoms. If symptoms are severe consult your family doctor first. Hope this answer will be helpful to you. For more queries please don't hesitate to ask. Get well soon." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Do you take multiple chemical sensitivities seriously and understand how debilitating fragrance chemicals are? Do you think there is always an under-lying cause for scent sensitivity/allergy (yes, I have allergic reactions to dryer sheets like Bounce and Scent Boosters)ie rash hot prickly skin, swelling of tongue, extreme thirst... do you think (my) immune system was already compromised or do you think the neurotoxic petro chemicals in fragrance products alone can cut a person s life down to the knees overnight?", "output": "It's a very good question and thousands of people who read it, I fact, can reap the benefits out of suggestions given herein, based on the principles of Ayurveda - the nascent science of life.First there is a principle cited in Ayurveda about how to prevent/ cure a disease. Its NIDAANPARIVARJAN (in Sanskrit language) which literally means avoidance of the cause. Now, in many cases people are not able to change jobs or circumstances are such that they have to remain in such conditions. Here comes the principle of PRAANVAYU (richness of oxygen and fresh air) that is achieved by rhythms of deep breathing exercises called PRAANAYAM. Indias Yoga has spread to the World and people who are aware are enjoying the benefits. It enhances immunity, gives strength to fight allergens and extends life as also betters quality of life. Then there are herbs to naturally support the fight of body against allergens. Simple herbs like Turmeric, Need, Manisha, Gilroy, Quasi (Holy basil) etc. not only counter allergens but detoxifies the blood and also raise natural immunity. The hitch among beginners is its slow pace of action. Yes naturals are slow as compared to man made synthetic and toxic medicines but then what advantage has these fast Chat Doctor. No doubt modern synthetics have won in emergency situations and saved lives. But lifestyle disorders and the one you are suffering from needs naturals to support you. These do not have side effects, no interaction with " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "dear doctor, in hot and humid weather my 5 year old get some sort of pimples here and there on her body....i hv put her on homeopathy and also put spirit on it which prevents pimple from growing further....shown her to her paeditrician who saying she just has sensitive skin and hasnt given her medicine...homeopathy is specifically for staphlococci bacteria.....doctor feels i dnt need a blood test....will the problem go away in a few days with homeopathy and spirit application...i worry abt extreme situations like bacteia contaminating blood etc....am i just overdoing it as she absolutely fine and no fever or discomfort....she tuchwud fine and just sweats a lot due to humidity.....pl tell is this common in kids and any cause to worry...hope nothing infects blood as no major medication gvn by doctor", "output": "Hi, Is she having fever? How are the lesions-itchy / fluid filled / pus filled? It was helpful if you can send us a picture. In hot and humid climate, most likely this is Emilia- small pimples over the skin due to clogging and blockage of sweat glands. In absence of secondary infection (painful / edematous / pus filled), this does not require any specific treatment other than avoiding direct sunlight and keeping the skin cool with wet moping 3-4 times a day(apart from routine bath). If itchy, I used to give calamine lotion and antihistamine like levocetirizine for few days. In short, if she is not febrile and the lesions are not with surrounding edema / pain / tenderness / pus filled-this does not indicate bacterial infection-hence no need of antibiotics and no chance of blood contamination. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello its since 11 days that we had unprotected sex on 7 may though I ejaculated outside bt m feeling tensed about this. Her last period was on 22nd April. She had vomited in these days though it had stopped now. Am very tensed and shes also. What should we do.? Can we avail pregnancy urine test at home now. Its 18 may today n she normally mensturates at 26 days interval......help us.", "output": "Hello, thanks for writing in. I understand your anxiety. The pull-out method is not 100% foolproof. If your partner has a 26-day cycle, it means she would be due around the 18th. A delay does not always mean a pregnancy, it can also be due to the mental anxiety, illness etc. She can test for a pregnancy using a home pregnancy kit about 4-5 days after the date of the missed period (assuming she has regular cycles). Ask her to use a morning sample preferably. If there is a doubt, better do a pelvic ultrasound the week after. Do not worry, seek a gynecologist opinion in case it is positive. All the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son had fits in his sleep at early morning for the first time. He is 8 years 5 months old. Fits was around 3 minutes and he went to unconsious later for another 2 to 3 minutes. When he got conscious he does not remember any. He was having veeze problems from few days and was on medication. We checked in the family and cleared not a heridity issue. I am very concerned and seeking your help to understand the situation.", "output": "Hi...by what you quote this seems to be a type of seizure called complex partial seizure (CPS) or generalized tonic-clonic seizures. This is not related to wheeze or its related medications. As it has occurred for the first time, without anybody in the family having it, he definitely needs evaluation. He will need a basic blood work up and EEG and MRI brain. Nothing to worry, if he is stable now. The tests will throw light upon the probable cause and then the doctors will be in a better to counsel you on further proceedings and prognosis. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My dog bit my 12 years old son. He had his 0 and 3 days shots he just need to come back for the seventh day does he needs to finish all his shots? And my dog doesnt have a rabis shot yet on he day he bit my son because his only 2 months and 3 weeks but a week later we let him have his rabis shot what are the signs I need to look for my dog and how long do I need to observe the dog", "output": "Hi, Welcome to Chat Doctor Forum. I have gone through your Query & I really appreciate your concern about the problem you are facing. As a physician I would like to tell you that you need to observe your dog till15-20 days. Also, your son needs to take 3rd shot, i.e., of 7th day. Also, you did the right thing by vaccinating our dog. So you need not worry about anything. Thanks for Trusting & Posting your Query on this forum. Hope this will help you. Feel free to ask any further question. Have a nice Day. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, i ve been on the Noriday pill for 10 months now (i was on the Depo Injection prior to it), i started having heavy periods at the start of December and i m on my fourth period now. Is this normal for this pill? The reason i went on this particular one was because it was similiar to the Depo Injection. I didnt get any periods with the Depo.", "output": "Hi, Thanks for the query. Holiday pill is a mini pill containing progesterone. During the usage of contraceptive pills some amount of irregularity in menstrual flow is common. If you are having heavy bleeding, you can take symptomatic treatment for that and can continue the pills. If same problem repeats frequently better to think of changing the contraceptive method. You discuss this with your doctor and proceed according to her advice. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my father is diagnosed with kidney cancer in july last yr, he got his left kidneyremoved and was given target therapy starting from nexavar .after 6 months PAT scan showed slight increase in disease and was put onsecond med which further detiorated the condition .....causing utter weakness as a result med was discontinuedfor a week which further worsened the condition .....again fluid in lungs and now speech is also not clear ....brain CT was done n some cells were found.....as a result radiation therapy was given for 10 days ....it gave positive results along with med VOTRIENT....everything remained fine for a month but today he had a fit type condition and lost his speech for sometime so Doc pls guide what next PAT SCAN is due in june first week.", "output": "Dear Mr. seigneur, I am sorry to convey you that your father has entered a very advanced stage of the disease. He is resistant to all forms of therapy now and is also intolerant to other active treatment. Please give him only palliative management to comfort him. No active treatment is advocated. Please consult your primary physician who will guide you for this form of terminal care and comfort. Truly," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I fell over at work 3 weeks ago and hit the bottom of my back on a wooden floor and I have been in so much pain since, I was signed off work for 2 weeks by a doctor and just got back into work and it has made it worse, I can barely walk now and my back keeps seizing up. what should I do?", "output": "HiT hank you for asking ChatDoctorIf you having pain after 3 weeks of fall an injury like fracture should be ruled out. A x-ray should be taken according to the point of tenderness. If wide pain is there I recommend taking a pelvis and Lumbosacral spine x-ray. If no fracture is then it can be due to strain or sprain. In such case I advise muscle relaxants like thiocolchicoside NSAIDs like diclofenac and neurotrophic Chat Doctor. I also recommend doing warm compress on back. Hope this may help you. Let me know if you have any further query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have a bump on the top of my helix where usually a piercing would be, but i never had a piercing before, just informing you where this bump is. It looks like a blister, but it doesn t hurt. I don t know how long it s been there. If you could please tell me what it might be that would be great! Thank You.", "output": "Hi, Dear,Welcome with your query to Chat Doctor. Studied your query in full depth of its details. Reviewed it in context of your health concerns. Based On the facts, Dear, you need to consult Surgeon for checking other causes of such a lump. But I would alert you to rule out TB with Erythema Nodes which may be missed as a cause of such a lump on the helix. Fibro-chon Chat Doctor. This reply would help you to plan further treatment soon with your treating doctors. Best of Luck and early recovery. Welcome any further query in this regard, which would be replied in next session. Good Day!!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "At lest once or twice a week my arms chest feel hot and tingling ...times I get just swollen arms and tingling on one side of my face....what causes this ..thanks....I have been on depression medication and blood pressure meds..Never been sick ....used to workout but I am a product of the recession so stress is a big part of my lifethanks", "output": "Hello, welcome to Chat Doctor. Your symptoms are related to stress and depression. Depression can manifest not only with psychological symptoms but with a variety of physical symptoms also like: Tingling, numbness, hot and cold sensations, palpitation, tremors (shakiness) etc. In history, you mentioned that, you are already receiving treatment for depression. Your current symptom may be related to residual depression. It is better to get re-evaluated by your psychiatrist to investigate and treat these symptoms effectively. Same time do some relaxation exercise like daily brisk walk, yoga and breathing exercise, which will help you in fast recovery. Wish you good health and all the best. Chat Doctor. 99doctor.com" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi i am suffering from ring worm on wrist, ankle, groin infection from last 8 months now and had taken medices like TerbestGrisODKenz LevosisAF 150 and used external creams like Cansten SBrutnaskin BMSercos..every tablet has temporary effect one i stop it come back again ....pls help", "output": "Thanks for asking in Chat Doctor Forum In Short: Have patience, fungal infection takes long time to be curedExplanation: Some people will have a tendency to get fungal infection again and again. Basically risk of infection raises if the skin is always moist. So if you keep your wrist and groin clean and Chat Doctor. Otherwise, apply point clotrimazole for local application twice daily for at least ten days. If you stop using it once it gets reduced by two to three days, you will get it again. Good luck" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My baby is 3 month old. She cannot sleep at night.she feels sleepy, so when she is on our lap she is sleeping ,,but when we are trying to put her down in bed , she wakes up.,please let me know the solution of this. We have also checked whether her nose are blocked or not . But she is not having blocked nose.", "output": "DearWelcome to ChatDoctorWe understand your concerns went through your details. 3 year child only understands security and care. She clings to anything that provides security and care. Naturally, she is clinging to you. Let her do it. While putting her down, you also lie down with her. Nursing habit also can be imparted while laying down. Such a change of habit, will change her way of looking at security and care. These are related to training. You need to use alternate techniques of training. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doc.. my child is 4 1/2 yr old boy, past 15 days his poops are little abnormal, just after eating or drinking milk he is passing his stools, normally he goes only once or max twice a day, but now he goes around 4-5 times a day, he happened to eat uncooked chicken when he was on vaccation, day next there is this abnormal change and bad smell coming through his mouth. when consulted pediatric, he gave cepodom 100 mg for 5 days, but still the problem continues and today my child happened to vomit this evening. pl suggest as what to do.", "output": "Hi... Thank you for consulting in Chat Doctor. What your kid is having is not a diarrhea and is only a gastronomic reflux. It is quite common for kids to pass small amount of diarrhea or loose stools soon after feeds. This need not be treated as diarrhea and especially antibiotics are not indicated. When the kid takes feeds, the stomach expands - then when it is contracting it sets off a wave form which moves down the intestines and when that wave reaches the lower down rectum, a small quantity of the stool is evacuated out. This is the basis for gastronomic reflex. Do not worry. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I have a history of kidney stones and I recently just passed another stone back in December. I woke up today, though, in terrible pain. I feel like Im going to vomit, like something tight is gagging me around my neck. Im very hot. There is blood in my stool and I dont think Im going to leave the bathroom any time soon. Could this be another kidney stone? Or is the blood in my stool from something else? Your response is very important to me. Please and thank you!", "output": "Hi, Renal calculus when passes through ureteric wall it irritates it n have severe pain in flank which can radiate to groin thigh umbilicus scrotum /labia major associated with nausea vomiting and other urinary symptoms including hematuria. It never causes blood in stool which can be due to pathology in GIT. So visit a gastrosurgeon for bleeding PR and Urologist for your Renal calculus. Hope this ll help Thanks n regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I feel as though there is a liquid near the surface of my upper left chest muscle near the arm pit that burns when I lean foreword in a standing position. The burn is very intense like a white hot iron is slouching in that area. just started 4 hours ago and is increasing in area. feels liquid in nature, but i feel no bump and it may be inside rib at that location? do not feel it by putting finger pressure in general area.", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion you should first get done 1. Chest x-ray 2. Ultrasound examination of local part. Lung infection or skin infection (left upper chest area) can cause symptoms of burning and fluid sensation. If both these are normal then no need to worry about major diseases. Also get done vitamin B 12 level, hemoglobin estimation as b 12 deficiency and anemia can give rise to similar sensation. If any of these are deficient then you need supplements. Don't worry, you will be alright." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have noticed that I ve been getting these sore reddish spots with a white ring around them on my tounge.the spot on my tounge is reddish with a white ring around it and the other 3 are bigger patches on the back of my tounge but there not red,they do have a white ring around them nd they look as if I been eating to much sour stuff which I have not.the only one that is slightly painful is the reddish one on the tip of my tounge,what could this be and should I be worried? They come and go", "output": "Hello there, You may have a manifestation of a micronutrient deficiency. You should have a multivitamin once a day for the next 1 week preferably one with vitamin b-12(cyanocobalamine) and then assess whether your spots go down. If they don't the pleasing visit a doctor who would do tests to evaluate any underlying deficiency. Also adding probiotics to your diet like yogurt would help. Thank you for your query, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Sir, I have skin allergy to avoid itching i have to take cetrizine alternate day.because cetrize i feel sleepy and cozy , is there any treatment for this permanently. Please advice i am facing this problem for last 5 years i am 32 years old man.", "output": "Hi, thanks for using Chat Doctor The only cure for the allergy would be to avoid the source if it is known. There are allergy tests that can be done to determine the source of the response. These can be in the form of blood tests or skin tests. If the source is not known, or you cannot avoid it then the allergy would continue, and would need to continue the antihistamines. Though cetirizine is non Chat Doctor. You may want to try other non " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My cellulitis has existed for about 4 months. The warmth and redness have disappeared but the swelling is still here, though has diminished quite a bit. Tightness still in my ankle and sometimes some pain. I do put my leg up often and use a compression stocking. Antibiotics have not been effective. Used a topical homeopathic ointment which seemed to help. Doesn t seem to be caused by an infection;most probably an autoimmune condition as I had my thyroid removed 5 yrs. ago with resultant fatigue. I m 87, 5 5 . I read recently that I should stay in bed most of the time with my leg up. Is that really necessary? Will this condition go away eventually? How can I improve my autoimmune condition?", "output": "Hello Their have gone through your question, I had a same case with swelling in ankle area because of the cellulitis, I have found electro-therapy effective in the treating the swelling caused by cellulitis. We call this machine IT [inter-ferential therapy]. An experienced Physiotherapy will give you IT treatment at a frequency of 70-100 and if pain is there 20-30 frequency current would be used.in the meantime you can start calf stretching to activate \"pumping mechanism\" of your calf muscles as Calf muscle is called as HEART of lower body. So once these muscles get activated swelling would not e a problem anymore. Also try Isometric exercises of calf muscle. I am hoping a speedy recovery for you. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Sir, My mother is 68yeasr old, and from very recently from 1year she got into wheesing and continious coughing, feeling chest heaviness, my mother had check x-ray and PFT which is normal, and she is been adviced to take omnacartil medicine but with this medicie she getting very week. is there any other medicine to get rid of this wheezing and couphing problem... she is also taking Asthalin nebulisation but this was giving her a temporary healing and again the cough and wheezing is back... please suggest", "output": "Thanks for your question on Chat Doctor. In my opinion you should start oral bronchodilators. There are many good oral bronchodilators available. 1. Theophylline derivatives like acebrophyllin, doxophyllin etc2. BambuterolYou can also try antiallergic and antihistamine tablet once in night. Better to give her LAB (Long Acting Beta 2 Agonist) and ICS (Inhaled corticosteroids) as they are long acting and gives relief for almost 12 hours, while Stalin gives only relief for 3-4 hours." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Good MorningI am 33 years old IT professional working in Bangalore India. My wife has some health issue....1. She could not walk much...legs get swell2. hair falling 3. Digestion problem.4. She does not sleep properly.5. we both smoke. 2-3 perday sharing.6. weakness7. and very enger and rigid.Please help me out how to work out to increase her hemoglovin... and other ...?", "output": "HiI understand your concern.1st of all she requires body check up and routine tests like CBC, FT, LFT and thyroid profile. Medical cause need to be rule out 1st. Hemoglobin can increase with medicines which has iron content. There are lots of preparation of multivitamin available which will help in weakness and for general health. For a good sleep following will helpful certain routines and lifestyle modification will help you like fix sleep schedule and stick on it, no daytime sleep exercise that makes you fatigueRelaxation, yoga and meditations avoid alcohol and smoking, avoid heavy meal in dinner, avoid tea coffee soft Chat Doctor. But go for physical check up and get well soon. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi today like 5 hours ago i climbed a rusty net and i have 3 verry verry tiny scratches on my hand... if im infected by tentanus can i go tomorrow instead of today? because its 1:30am right now...or it can infect me permanently untill tomorrow? i am 15 years old", "output": "Hii appreciate your concerns would like to know about your previous immunization for tetanus if you are well immunized, taken last TT injection within last 5 years you need not worry, as such you had just tiny scratches so It's not so bothersome as well. You can take it tomorrow Hope I have answered your question. If you have any further questions I will be happy to help wish you good health Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 3 year old daughter complains headache and throat pain since yesterday. Shes also having a hard time sleeping right now. She doesnt have fever but shes asking for blanket, telling me shes cold but were in a tropical-hot country and its really humid-hot right now, so Im really concerned if shes alright.", "output": "Welcome to the ChatDoctorI completely understand your concerns but don't worry. The most likely reason for these symptoms are self limiting viral infections. They just need symptomatic treatment. I recommend the following for such cases:-Acetaminophen for fever spikes and throat pain.-Warm saline gargles with antihistamine such as Chlorpheniramine or Ben Chat Doctor. This will relieve the throat infection.- since the sinus congestion is most likely reason for associated headache, steam inhalation or use of humidifiers during sleep are useful remedies.- use antibiotics after throat swab culture for streptococcal infection if the symptoms are severe and fever spikes occur. Hopefully this will be helpful. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I recently developed a very itchy penis which when I itch, leads to red patchs which sometimes become red and glossy. It is very irritable and causes pain when i have intercourse. I also have developed itchy thighs.. It started just at the top and has now developed over most of my thighs. The itching comes and goes and shows in small patches , not lumps but itchy red spots. i am worried that it is an std as i have had a lot of unprotected sex recently (lesson learnt) but the symptoms don t relate to any std so i m puzzled!? i also have what i thought was joggers nipple? very itchy nipple and also my face sometimes has dry patches on the eyelids and near the hair receding line? It has been going on for the last 3 months and as i m still in China and not a native speaker, i can t really find any treatment or diagnosis. please help?", "output": "HIT hank for asking to ChatDoctorI can understand this, these are two different conditions and that might not be due to unsafe intercourse, but this could be some allergic rash might have developed at the same time in two different areas, just wait till few more days the chances of getting alright on its own is likely, if this does not go away, then you can use \"Tab Levocetrizine 10 mg three times in day\" hope this information helps you, have a nice day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I was just at the dentist and they discovered a black area on the left lower jaw area below my teeth and they called me back and said I should go get a CT scan. I am 23 years old and otherwise healthy, is cancer the only thing this could be? I had a root canal re done last year on that same side but this black area isnt underneath that tooth it is along the other ones next to it.", "output": "Hi and welcome to Chat Doctor. Thank you for your quarry. Cancer is the less common thing that could be. Tooth tumors are rare especially in your age, but it must be ruled out of course. It can be any benign mass, abscess, tooth tissue, neuroma, or calcification. CT would show exact size and signs of infiltration but i don't think it would be serious. Even if this is, it can be surgical managed. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good Morning,When i was cleaning toilet,I have mixed Harpic and Bleach almost 250 Ml,It created a fume and i exposed in it,almost 3 hrs i was sneezing and coughing and felt dizziness,Now its almost one moth over,But still i am sneezing ang coughing in the morning and night time with heavily clogged nose and extreme amouunt of puss/cougChatDoctores from nose as well.Is it a disease caused by the exposure.Kindly let me know.", "output": "Hello, Thanks for the query to Chat Doctor. Forum. I will try to explain to you that how this occurs. When there was fume (smoke) due to reaction of bleach +Harris, it entered in your lungs through inhalation, and you developed allergy. This fume was a predisposing factor, otherwise your lungs were already sensitive to allergy. Due to this allergy there develops, coughing, sneezing, tears from eyes, red eyes, nasal discharge, itching in eyes and over face. Due to these symptoms you got infection and this produces expectoration (phlegm or pus in your words). Please don't worry, be tension free, this sort of allergy is very common. Consult a physician and take treatment, once alright (cure), forget, again allergy take treatment. Antihistamine + bronchodilator helps in this type of condition. If infection than take antibiotics. Good luck. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am 19 year old and have been mastubrating since the age of 8. I am a bit light weight for my age and also, my back pains a lot. Is it due to mastubration? Cause i have a healthy diet and was born very healthy. And how should I overcome these effects.", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. Masturbation i not sin or is dangerous. Masturbation cannot make you sick or unhealthy. It is natural and even animals do it. In saying that you started masturbation at the age of 8 is a bit exaggerating. Puberty is attained after around 11. Masturbation before that cannot produce the desired result. Secondly, Masturbation cannot make you thin. But the anxiety associated with it can make you thin. If you are able to take proper nutritious and healthy food, then you should not be thin. Inspire, if you are thin, either you have some anxiety disorders or some wasting diseases like anemia. Consult a doctor to diagnose. For psychological or sexological counseling visit http://psychocure.webs.com. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I HAVE GONE THROUGH LAB TEST ,THE RESULT SERUM T.CHOLESTEROL IS 229mgs/dl AND SERUM TRIGLYCERIDES IS 304gms/dl what kind of treatment shall i follow to control the cholesterol in my body what are the steps to be followed, pl mail me sir. ThanksK.Ganeshmurthy", "output": "Hi Mr Ganeshmurthy After going through your reports, my opinion is as follows1. Your cholesterol is borderline high, and your triglycerides are high.2. High lipids can affect the blood pressure, so needs to be controlled.3. You can discuss with your consulting doctor regarding stations and other lipid lowering agents, their dosage to control lipids.4. Exercise on a regular basis to control weight as well as to stay fit.5. Cut down on oil rich foods, junk food. Have diet rich in fibers, proteins and lots of fruits and vegetables. 6. Make necessary lifestyle modifications like avoiding stress, practicing yoga/ meditation. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been on the birth control Kelnor 1/35 for a few years now and it has work great. Just this past month, my doctor without telling me put me on Zovia 1/35. I read that these two are similar but I am now noticing my thoughts upsetting me, over thinking, and thinking my feelings have changed for someone or something when just a week ago when I first took this new pill, I was fine. This does not feel like myself and I am becoming very overwhelmed and upset. Do you think it is because of the switch?", "output": "Hi. Thanks for asking in Chat Doctor. Both Tenor and Movie contain equal amounts of Ethinodiol acetate and Ethanol estradiol. The acceptability of oral contraceptive preparations in various individuals differ from each other. Therapeutically both preparations are found to be equally effective. According to surveys conducted, the order of side effects reported by people using Tenor 35 is nausea, bloating, anxiety, breast pain and depression whereas for Movie 35 the order is depression, anxiety, bloating, dizziness and breast pain. Since both are hormonal preparations, these side effects are expected. The symptoms of depression you have, is suggestive of movie. Although it takes some time for a person to get adjusted to any new preparation of medication when you switch over from one brand to the other, if these symptoms continue or become severe, then you should consult your treating " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, My brother goes angioplasty at the age of 33 years at May-2010. Now he is feeling pain now after 5 month. He consult with doctor, he is saying nothing to worry. Please advice how we can know how much he has block edge know...pls suggest, this is urgent.", "output": "Hello! Welcome and thank you for asking on Chat Doctor! I passed carefully through your question and would explain that considering his past medical history, it is important to investigate for possible coronary artery disease. For this reason, I recommend consulting with his cardiologist and performing some tests: - a cardiac stress echo-cardiac enzymes- a resting You should discuss with your doctor on the above issues. Kind regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Isn t it true that sharp pain in one s right shoulder could indicate parasites in the small and/or large intestines (i.e. amoebic dysentery) which could be seen by the host (amoebic cysts and trophozoites...all stages of development) in one s stool, cause bloating, gas, stomach distention, terrible abdominal pain, diarrhea, constipation and progressively get worse if not treated with the appropriate antibiotics and eventually cause the death of the host? Fact or Fiction: Amoebic dysentery has been eradicated in North America. Amoeba and trophozoites cannot be seen by the naked eye. Amoeba generally float on top of the toilet water, easily visible. Standard O&P lab tests cannot detect amoebas and trophozoites. The infected stool must be submitted to a lab that has the special equipment and appropriately trained personnel in order to detect amoebic dysentery disease. Two or more antibiotics will be necessary to eliminate such parasites; long term if the host has been infected over a long period of time. Thank you, Edward DeBusman", "output": "Hi, There is no direct relationship between intestinal infection and shoulder pain. Reasons for both are entirely different. The intestinal infection will lead to diarrhea, bloating and indigestion but not shoulder pain. Reason for shoulder pain may be muscular pain or joint abnormalities. A detailed clinical examination is needed to assess the cause of shoulder pain. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have had many signs and symptoms of pregnancy like a lte period getting sick the veins on my sides are very noticable and on my arms and chest and legs but i took a test it came back negative and then i was a week late but after that i got my period. is there any way i could still be pregnant? i also have leg cramps and pains in my arms too", "output": "Hallow Dear, The first cardinal symptom of pregnancy to appear is missing a period. All other symptoms like nausea & vomiting, frequent urination and the breast symptoms like engorgement with tenderness, dark discoloration of nipples & areola with widening of areola and secretions through nipples appear subsequently, usually 10 to 15 days after missed period. Though you had some vague symptoms, ultimately you have got your menses. Probably after having the menses, the symptoms also might have vanished. When in doubt, urine examination for pregnancy gives clue. That also is negative in your case. So Madam, no missed period and pregnancy test negatives confirms that you are not pregnant. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I normally get panic attacks, but decided to learn to control them without the use of medication . Besides that, I Always feel dizzy, like im floating.. the room will spin out of no where like I got up to fast.. it happens everywhere, Especially if im in crowded or loud places. I hardly drink water. im 5 7 130lbs male. Sometimes, I feel like im so full and its hard to breath , as if my lungs are full of bricks, and I have only a tiny space for air. I get tired really easy.. but I work from home.. on the computer. I don t drink or smoke . ... I am just tired of being dizzy all the time.. I don t feel myself at all and havent been for 8 moths. I do, however have alot of stress in my life as well. any help ?", "output": "HI. I AM Chat Doctor. I WOULD LIKE TO HELP. THE WAY TO EXCLUDE ANY MAJOR UNDERLYING MEDICAL PROBLEM IS TO VISIT YOUR FAMILY PHYSICIAN WHO CAN GIVE YOU A PROPER PHYSICAL EXAMINATION AND RUN A FEW BASIC TESTS TO EXCLUDE ANEMIA, DIABETES ETC. A AUDIOLOGICAL EVALUATION IS ALSO NECESSARY IN YOUR CASE. IF YOUR JOB IS A SEDENTARY TYPE YOU MUST ALSO RULE OUT CERVICAL SPONDYLITIS. A LITTLE MORE EXERCISE CAN ALSO HELP BOOST YOUR \"HAPPY HORMONES\" AND HELP YOU FEEL BETTER. A VISIT TO A QUALIFIED CLINICAL PSYCHOLOGIST CAN HELP YOU DEAL WITH YOUR PANIC ATTACKS AND STRESSORS. SINCE IT HAS BEEN 8 MONTHS IT IS NOT ADVISABLE TO IGNORE YOUR SYMPTOMS ANYMORE. TAKE CARE BYE" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "For the past 8 months or so when I start my menstrual period a lump appears in my lower left abdomen. And the lump is very painful at times. Sometimes it hurts so bad I cannot walk. I went to two different ers and they said it was hematomen. If its a bruise then why is it reoccurring? Can you please help me find out what is reallywrong and how I csn get it treated", "output": "Hi and thanks for the query, I am sorry to suggest again that this needs another clinical evaluation. It could really be a hematoma. However, it could be very interesting and informative doing an ultrasound. This would give an idea of the echo structure and borders of the mass. This is important because if there is an associated cyst, it would be important that it should be removed. A possible infection of this mass of hematoma must be considered. Aspirating the mass content and running some tests for infections and inflammation to me shall be very appropriate. I suggest you consult you primary care physician again for reevaluation. Thanks and best regards, Luchuo, MD." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband started taking Maetanx about 3 - 4 weeks ago, which was prescribed by his dr. He had not been taking any meds for neuropathy at the time because so far none of the meds he was prescribed helped. Now, the pain seems to be worse than when he was not taking anything for the pain. Should we call the dr. and stop taking Metanx or give it more time. When I talked to at nurse at the company where we had to get the prescription she said it could take 3 weeks to 4 months for it to take affect but should it get worse before it gets better?", "output": "Welcome to Chat Doctor. Metanx is a medical food made that contains L-methylfolate (vitamin B9), methylcobalamin (vitamin B12) and pyridoxine 5-phosphate (vitamin B6). It is a vitamin B supplement. Treatment is on right way for neuropathy, but you have to be watchful for your sugar level. You have to take oral as well as intramuscular NSAID to subside pain. Gabapentin will be useful. Ask your doctor about your pain and further management." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 35 year old male and own a landscape business for 2 years, for the last 6 weeks It has become difficult for me to get through half the day without becoming exhausted (low energy that comes on fairly sudden, slightly shakey, foggy mind kinda like im in a dream) I have cut my hours back and have had employees make up the difference, thinking maby I am working to hard, energy still cuts out half way thru the day. I have had some life changes (seperation, moving to new house, extra debt to support expanding business)but nothing I would consider unmanageable. Any advice? I have setup a health exam with my doctor in September? Could this be physical or phsychological? Any advice from past experiencees?Thanks!", "output": "Hello welcome to Ask A Doctor service. I have reviewed your query and here is my advice. You have to rule out anemia first by he estimation. I suggest you to investigate with serum calcium, serum sodium, potassium estimation, serum TSH estimation for primary work up. Got, Sept, urea, creatinine also investigated as toxic metabolite accumulation also sometime can lead fatigue. You are absolutely right in a way that fatigue can be from exhaustion, overwork, lack of sleep etc. Revert with above reports to guide you further. Hope I have solved your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have friend that was bitten in his calf about 2 weeks ago by a dog. at first it swelled up and he was barely able to walk on it. he has been home treating it with antibiotic ointment and peroxide, and bandages. the holes are still open and parts of it are yellowish. what would you suggest?", "output": "Hello, Welcome to Chat Doctor, As your friend was bitten by the dog and following which there is an infection of the wound leading to yellowish discharge following which your doctor has prescribed the antibiotic cream along with HY Chat Doctor. Rabies is 100 % fatal, but it is 100% preventable by proper and adequate treatment. I would suggest your friend to follow1. Take antirabies vaccine as per the regimen2. Oral Antibiotics like Tab Autoclave 625 mg, twice daily for five days.3. Wound " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have taken a solid hit to my lower back on my left side (I think my kidney) it has been painful for 2 weeks now and is sore mostly when I bend or apply tension to the muscles in that area. I have not urinated blood Improvement in past 2 weeks seems minimal Please advise", "output": "Hello, Thank you for writing to Chat Doctor about your query, Brief Answer -Treatment for lower back pain depends upon the patients history and the type and severity of pain, as you described I explained below meditation. Explained Answer -The vast majority of lower back pain cases get better within six weeks without surgery, and lower back pain exercises are almost always part of a treatment plan. If pain persists or worsens, more involved diagnostic and surgical procedures may be recommended. Medications : A wide variety of over-the-counter and prescription medications is available to help reduce symptoms of lower back pain. Many medications reduce inflammation, which is often a cause of pain, while others work to inhibit the transmission of pain signals from reaching the brain. Each medication has multiple unique risks, possible side effects and Chat Doctor. Also, I would suggest Rest for some time more because Ceasing activity for a few days allows injured tissue and even nerve roots to begin to heal, which in turn will help relieve lower back pain. However, more than a few days of rest can lead to a weakening of the muscles, and weak muscles have to struggle to adequately support the spine. Patients who do not regularly exercise to build strength and flexibility are more likely to experience recurrent or prolonged lower back pain. Hope You will find it out helpful. Thanks And " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "yes pleaseiv had broken / abcess teeth since fourteen early fifteen now im twenty three and tooth decay has spread progressively facial swelling and jaw pains have have also been an issue and I always dealt with it my self impoverished family nother story nother time as I say but all ways self medicated scalpels or suringes grew up on farm animal supplies and had a small knowledge of veterinarian procedures dealing with abcess and lesions and felt I could deal with it but in the last few years most molars or wisdom teeth have gone aswell even with more than average brushing the entire time have about three exposed pulp cores and the lumps below ear have always rehealed once opened and or squeezed out by hand some times with great strain on my hands \"poped like pimple\" but scar tissue gets ever harder and larger about the size of half dollar easily noticed just below ear right next to upper jaw bone could these things berelatedif so should an er dr be able to see this?", "output": "Hi, After going through the entire description, I am of the opinion that the cause for your pain is infection. A tooth abscess won't resolve without treatment. Even if the abscess disperses, bursts or Chat Doctor. Antibiotics kill the germs responsible for tooth abscesses, helping the body to repair the tooth and bone. If an abscess erupts by itself, warm salt-water rinses will soothe, help clean the mouth and encourage " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "im sick. ive been sick for weeks. two weeks ago, i went to the doctor and they said i had a sinus infection. they perscribed amoxcillin and i took it until my perscription was done. but now, ive been continually sick... right now, my left side of my neck hurts bad and my hearing is funny in my left ear. plus, ill get occassionall really bad pains in my head, like a severe headache", "output": "Hi welcome to Chat Doctor. Here you might have persistent sinus infection.... First para nasal sinus x-ray done for rule out sinusitis..... Nasal examination by rhinos copy done for rule out nasal polyp.... Here for congestive symptom antihistamines Chat Doctor. ... Steam inhalation taken with eucalyptus added in water... If cause not clear MRI or CT scan of sinus need for detail investigation... If you are immunocompromised then aspergilli or mucormycosis might rule out ....this investigation helpful for it... If needed endoscopic " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here I am 65 years old and for the past 12 months I have had a persistant cough that is quite forceful. It makes my ees water and I am quite short of breathe for a period of time after. The secretions I clear and thick with bubbles in it. I am also very tired. Please can you give me some insight?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. You are having chronic cough, expectoration which are difficult to cough out and breathlessness. All these symptoms are characteristic of bronchitis. So get done chest x-ray and PFT (Pulmonary Function Test). Chest x-ray is needed to rule out other lung diseases. PFT is must for the diagnosis of bronchitis. You will mostly improve with inhaled bronchodilators (formoterol or albuterol), N acetyl cysteine (NAC) and bucolic with expectorant syrup. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My grandmother who is 87 had an injury to her nose as result of falling out of her wheelchair. She did lose alot of blood due to blood thinner. This accident ocurred 2 weeks ago. She is doing better but her H&H levels are low 8.2 was 8.7 2 days ago and 25.2% They want to send her for blood transfusions but I have read risks and not confident this is the way to go. They are taking her blood daily and they took it this morning hence the lower levels and they started her back on coumedin therapy too. Can her H&H levels be lower in the am?", "output": "Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Both reduced hemoglobin and reduced hematocrit indicates anemia.2. However, 8.2g% is not significant, unless she has associated co-morbidities like cardiac failure.3. If she has cardiac problems or any breathing difficulty, she will require packed red cell transfusion to avoid further complications. Daily blood Chat Doctor. Continue all medications. She needs to be on blood thinner to avoid heart attack or stroke. Hope it helps. Any further queries, happy to help again." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi ! Am 29 had endo yrs Severe period pain every month I never much of a life whilest on my period cant work eat or do anything to help myself ,nothing worked , found out I had pulmonary Endometriosis had surgery on my lungs few months ago then 2 weeks ago I had a laparscopy treatment for my end and Fibroid cyst , been married for 5 yrs we really want to start a family now can I get pregnant?", "output": "HelloThanks for posting your query. When the doctor performed the laparoscopy, I would think that they would have done a test at the same time to see if the fallopian tubes were all right or not. If the doctor said that the tubes were patent(that is, not blocked), there is good chance of your getting pregnant. If your periods are regular, and you have monthly cycles, it would mean that you are ovulating, and that would mean a good chance of pregnancy as well. However, if you don't get pregnant in the next one year, do go back and see a gynecologist with interest in fertility. The doctor would order a few other tests and advice you if you would need help in getting pregnant like IVF. Best wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am going through a severe back pain. Actually really dont know where is the pain ? about 3 years back I was performing n i fell from d back stage from that day onwards I have this pain.i have consulted few doctors but no one could find what was the problem,all they gave was a vaccination for pain relief.some times the pain increases few days before i get my periods.the pain is so severe that I cant stand, walk or sit.", "output": "Welcome to Chat Doctor as you have mentioned that the pie started after a fall may be it is due to some injury sustained that time leading to some problem in lumbosacral and dorsolumbar joints please consult orthopedic surgery and get a check-up pain increasing few days before periods may due to problems related to pelvic organs' uterus/ovaries.gynecological check up will be helpful pain during periods may be relieved by colonel tablet 1 tab 3 times after meals.severe backache not related to periods may be helped by powerless tab hope you be all right soon" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my son who is 4 and about 38lbs. has been complaining of a stomach ache right around his navel and has thrown up several times( all liquid looking vomit). He has complained some about a headache and at one point it felt as though he had a slight fever though has been hard to tell his whole body has felt hot most of the day. When I gave him a bath to try and help him feel better he got out of the tub with teeth chattering and his whole body shaking like he was freezing but he felt warm to the touch! What is wrong with him. I have given him fever reducer.", "output": "Hi... Thank you for consulting in Chat Doctor. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My brother-in-law aged 61 years old diagnosed with 2 blocks in the heart and also a block in right way of passage to kidney and advised for bypass surgery. He has the history of Hypertention, Diabetics for a decade also suffers from gastric ulcers. Some of our well wishers contemplating on going for KEELEYs method of treatment to avoid surgery. Can you please give details about this method and how far it is successful as an alternative to bypass surgery. Thank you very much. P. Srinivasulu / INDIA.", "output": "Hello thank you for posting here. I have gone through your description. Since he has two blocks in the heart arteries, and he is advice bypass, the right choice is to go ahead with bypass surgery. I don't know any therapy named KELLEY, but I suppose you are talking about ch elation therapy. This therapy is of no benefit for the patient. The blocks in the heart artery are embedded inside the heart vessel and any amount of medication or therapy cannot decrease it to make it vanish. Medications can only help to stop progression of the block. Definitive way to treat critical heart blockages is an angioplasty or bypass surgery. Had you been my patient my advice would be to go ahead with bypass? Bypass surgery requires a stay of 7- 10 days approx in the hospital. Patient can start walking usually by day 5 after surgery. It requires a recovery period of 20 -25 days, but the long term results of bypass are very good with patients having a good quality of life. Gastric ulcers can be treated with long term antacids. Gastric ulcers are not a contraindication for surgery. Wishing you good health thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i m 18 and female and i had sex the 25th and 26th of December..i got kind of scared at first thinking i could have gotten pregnant but once my period came on the 3rd of January my worries disappeared. I thought it was a little strange that it was only about 3-4 days long..normally mine are around 5-6 with spotting afterwards and leakage with tampons no matter the strength..this time however there was no spotting or leaking whatsoever..but i didn t think much of it now about the 17th i noticed a dull cramp in my lower stomach that would come and go and it did this til the 20th, on the 20th the cramp has stayed and increased, i did noticed that i ve been eating alot even when i m not hungry for the past week and my stomach looks bloated and my breasts are tender and i ve been urinating ALOT and usually i only go about 2-3 a day now i don t even have to drink anything and ill go 7 times a day easily if not more..pregnant? or not? PLEASE HELP IMMEDIATELY.....", "output": "Hello, If you were due on the 3rd of Jan, and you got your period then you are not pregnant. If your got your period before you date then there is a possibility of implantation bleeding. The rest of your symptoms sound like you have a UTI. First take e test to rule out pregnancy. Then you will need antibiotics for a few days to clear up the infection. Chat Doctor. Avoid sex till you are clean. Hygiene is very important." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, i have just got bitten to my year old dog 10 min ago. this morning he was seeming like he was panting and panting and breathing very heavily. We gave him water but he still did it. Now the bite feels tingily and its like its beating.I already put poroxide on. Do you know if this is normal or what to do?", "output": "Hello, Welcome to Chat Doctor, Rabies is a disease which is transmitted by dog bite which is 100% fatal, but it is 100% preventable by proper and adequate treatment. As you were bitten by a dog which has led to bleeding from the site according to WHO categories it is categorized into Cat III, which requires following treatment1. Wash the wound thoroughly with soap and water.2. Active immunization with anti rabies vaccine on days 0,3,7,14 and 28.3. Passive immunization with rabies immunoglobulin around the wound.4. In TT, 0.5 ml, I'm. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "pcod irregular periods 37x31mm cyst in LT ovary on11july its my first day. 7x7mm inRTovary and 11x12mm inLT ovary on22 july 12day. 11x12mm inRTovary and 8x9mm inLT ovary on27july 17day. 1 what does this mean? 2 IS ovulation happen this time? 3 slow and late growth of follicle as in my case .ISany chance of getting preganant? 4 what to do now? 5 plssssssssssss answer soon", "output": "Hi welcome to Chat Doctor hi Joshi., the above report stating the measurement of the largest cyst is 37by31 in left ovary... .the other follicles are of different sizes respect to the duration. Even though many follicles develop, only one may ovulate or many at a time hence fertilization will be disturbed... you can have coitus with your husband.... and then after a week you need to follow up by USG. Hope I have answered your question. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a wisdom tooth extracted nearly 3 weeks ago. unfortunately some of the block went into my jaw muscle and I now have trismus. More alarming though is that my facial muscles feel very much weekened and smiling is an effort. Also I have had twitching above my lip and up cheek and under eye. I am very concerned as I am a music teacher. please help", "output": "Thanks for your query, I have gone through your query. The twitching over the facial muscles and Erasmus can be because of the nerve injury to facial nerve while injecting the local anesthesia. The Erasmus is because of the injury to the muscles of mastication while injecting the local anesthesia. Nothing to worry, the twitching will come down gradually over a week. You can take nerve regenerating Chat Doctor. For the Erasmus, you can take a muscle relaxant like chlorzoxazone. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Why does husband have saggy balls that hang low and can t seem to last long when having sex? Seems like he gets off within 5 minutes and he claims he can t or don t know how to last longer, even though I ve told him some techniques to try but still says he can t and/or don t know how. His balls aren t full and firm either like my ex s were. Also have been trying to conceive for a long time and have not had any success, what is going on??? How to know if he is even ejaculating sperm and not just semen/fluid, what is the difference. Healthy sperm should be white or more yellowish??? Really need some help please......", "output": "HelloThanks for query. The scrotal sac differs from person to person and has no relation to conception. The problem of premature ejaculation and less libido are most of the time mind related and due to what is called as performance anxiety. Following measure will help you to boost up his confidence and getting good erection. And delay ejaculation.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc3)Take anti oxidants like Almonds 5-6 every day.4) Avoid alcohol and smoking. He may take Sidewall (Viagra)as on demand to have sustainable erection to have enjoyable sex. As regards conception get his semen analysis done to rule out any abnormality. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My kid is 2 years 11 months old.. She frequently getting cold, cough and ear infection.... I vusited doctor 4 times.. In these 4 months.. Even after using antibiotics it is not completely cured.So i am looking for good medicine for my kid.She is going to day care.i never face this issue before this winter.", "output": "HelloRepeated cough and cold is more commonly occur due to viral infection or allergic disorder. But if it is due to bacterial infection(diagnosed after thorough clinical examination and investigation) immunodeficiency must be ruled out. If fever is not associated each time with other symptoms and there is positive family history of allergic disorder;it is more suggestive of allergic in origin. Most of the time upper respiratory symptoms are associated with ear problem, irrespective of its viral, bacterial or allergic. In allergic disorder montelukast/levocetrizine syrup along with nasal Chat Doctor. I would suggest you to consult your pediatrician for proper evaluation and to find out whether it is really bacterial infection(for which antibiotic is needed) or something else. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,I have a toothache pain in my one of my bottom teeth no dentist open for 2 days can you please recommend best pain killers to take i plan on visiting my pharmacist who may be able to give me emergency antibiotics tomorrow I have ponstan for my migraines available at home not sure this may be effective", "output": "Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have pain in your tooth it can be due to caries or due periodontal problem. Consult dentist and go for investigations IOWA X-ray done if it is carious then go for restoration or Root canal treatment and if periodontal problem then go for Scaling and root planning. You can take painkiller for temporary relief One tablet Diploma twice daily for 3 days One Capsule vitamin B complex once daily for three daysConsult dentist and go for treatment. Hope this will help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been suffering from a herniated disc for the past 3 years now. 3 months ago I suffered some excruciating pain from this condition. The pain went away after about 24hrs but ever since then I have been walking with a slight limp, I have very little strength in my right calf and my lower leg swells up every day after walking for about an hour.", "output": "Hello, If This disc bulge is not compressing nerve root, so conservative treatment may work. If symptoms persist then surgical decompression may help. Medication like methylcobalamine and pregabalin will reduce pain which can be started consulting your doctor. You can focus on spine extension exercises. Some exercises which can be done include-Spine extension exercises, Lying on your stomach flat lift leg 6 inches from ground, do it for other leg. Now lift both hand and leg simultaneously, 6 inches off the ground and supposition for around 10 breathes. Core stabilizing spine exercises will help. You may consult physiotherapist for guidance. He may start TENS, or ultrasound which is helpful in your case. If not relieved you can take epidural injection. Hope this helps. Wish you a speedy recovery. If you find this answer helpful do not hesitate to rate this answer at end of discussion. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "very last tooth on the left side bottom had broken also had a cavity it my dentis repair cavity and file tooth down next step will be a crown well i have been experiencing servere pain, June 21 toke two ADVILS right after my stomach became upset chin became numb and little tingling on lower bottom left lip, dentist took exray yesterday and told me my gum is infected put me on AMOX TR-K CLV 875-125MG TAB, I go back on june 25th If infection clear a little dentist is going to open tooth up and put pain medicine down in tooth is this a good idea.", "output": "Hi. Can understand your concern. As per your complaint pain in tooth after cavity filling and preparation of tooth for placing a crown clearly indicates that the nerves of the tooth have been opened up due to preparation of cavity to retain the filling causing inflammation and condition is known as Chronic Irreversible Pulpits . You should consult your dentist and get an X-Ray done, and it will definitely show exposed nerves and blood vessels present in central portion of tooth in a small chamber known as Pulp. The treatment is first to get the filling removed under local anesthetic followed by Root Canal Treatment and the advised antibiotic AMOS TR-K CLV 875-125MG TAB twice daily, along with it a painkiller is to be taken to relieve pain as antibiotics can reduce infection but to relieve pain painkiller is needed. You can take Ibuprofen for moderate pain but in case of severe pain Motorola or Tramadol can be taken. Hope this information helps. Thanks and regards... Chat Doctor. ." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi iI have been diagnoed with thymic cancer, I do not like to take the drugs for pain that are prescribed,as they have side effects that are harsh.So instead i have been taking ibuprophen .for abot 4 months ,as dosage recommended, I have beenexperiencing respitory issues lately and wonder if this is the cause.I have been doing radiation and chemo treaments ,it has shown improvement in all aspects except for my breathing .I read an article on cleveland clinic facebook this mourning that said this might be why,,,...Thoughts on this please? ths ccsc", "output": "Thy mic cancer causes respiratory distress. After a thy mic tumor is found and tests have been done to get a sense of its Factors important in choosing a treatment include the type and stage of the cancer, whether it is respectable (able to be completely removed with surgery), and whether you have any other serious medical problems. Because thy mic cancer is rare, it is often hard to accurately predict the effectiveness of treatment strategies, and in many cases the best way to treat this cancer is still not preselecting a treatment plan is an important decision, and you should take the time to think about all of your choices. The main treatments for thymus cancer are:Surgery, Radiation and chemotherapyRespiratory distress can be managed by Stalin nebulization, USG guided pleural fluid tapping and steam inhalation. Regards and take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband had a spinal cord injury in Sept. 2013 which left him paralyzed and unable to urinate on his own for one month. He is now walking with a cane and can urinate on his own but still not properly. He is on Flomax to help. He is also on water pills because his legs will swell up. An emg showed nerve damage. My question is his shins are very shiny and they occasionally blister or split open even when his legs do not look swollen. This is a great concern to me. Even though he does not work or walk around like he used to, he is certainly not sitting around all day like he was when he was first injured. Any ideas?", "output": "Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. The Blisters can be due to 1. Autonomic Neuropathy2. Vitamin Deficiency3. Involvement of Autonomic Pathways in Subclinical and Lab Evaluation is needed to Narrow down the diagnosis and start appropriate treatment. Please consult a Neurosurgeon at the earliest Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in Chat Doctor at http://bit.ly/ask" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 48 years married woman. My USG shows liver is enlarged with heterogenous parenchymal echopattern. Intra hepatic billary channels are not dialated. No focal solid or cystic SOL seen. Lever span at mid clavicular line is 15.3 cm. what does it mean?", "output": "HelloYour findings suggests mildly enlarged liver and heterogeneous parenchymal echo pattern may indicate liver parenchymal disease. It may be due to many causes like hepatitis, metabolic disorder etc. You may need routine hologram, viral markers, random blood sugar, liver and renal function test, lipid profile, urine RE/ME. Liver biopsy may be needed after evaluation. You may need few medicines after evaluation. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi! I just changed into my pajamas and noticed that I have many (somewhere around 15) small bruises on the insides and backs of my thighs. In the past few days, I have done nothing that might cause these. It s happened a few times in the past, but not often. A few days ago, I started having a sore throat and I was wondering if there could be any corrolation. I cannot remember if the last time this happened was during a time at which I had a sore throat. So far, no unexplained bruising has occured on my stomach, back, chest , etc and very rarely on my arms (though I assume that it s only unexplained because I don t remember hitting something). However, the bruises which have just appeared are not in any place I would bump into. I m a 21 year old otherwise healthy female. The only concering aspect of my medical history is that my mother, my half-sister, and my grandfather on my father s side have all died from cancer . Two cases of melanoma and one of colon cancer. Could the bruising be a result of my sore throat? Or should I be seeing a doctor?", "output": "Hi!welcome to Chat Doctor!SPONTANEOUS BRUISES point towards some bleeding disorder, coagulation defect or thrombocytopenia that is reduced platelet count. Certain viral infections that cause sore throat may also cause platelet to fall resulting in spontaneous bleeding. They are not related to cancer, but you must see a doctor get examined and tested for platelet count and coagulation profile. Hope this will help you!take care!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, wondering whether or not you think its possible my pregnancy is still viable? Ive neever had any real symptoms other than going to the toilet more. My LMP was 22 October, I did my first pregnancy test on 26th December, strong positive, did another one one new years eve with a clearblue test and it said 1-2 weeks pregnant and said to add 2 weeks on for how doctor would date it. Did yet another test due to no symptoms on 14th January which said 3+ weeks and again to add 2 weeks for doctors dates. I paid for a private scan on the 21st January and they believed by the size it was only 5 weeks 3 days, 10days on and still no crmaping,no bleeding and no symptoms?", "output": "Hello, and I hope I can help you today. There are two possibilities of what could be going on with your pregnancy. If you really did conceive back in October, your pregnancy should be about 12 weeks. This would have been found on the ultrasound examination that you had, but instead the fetus measured only five weeks three days. At five weeks it is not normal to see fetal heartbeat so that is not used in the consideration to make a diagnosis. However, it is possible that you conceived later in the cycle after your. In October. If you actually conceived in late November early December it is still possible that the fetus could be viable and that is just younger than it should be by your dates. So the way to tell the difference would be to get another ultrasound examination and approximately two weeks; by then you should see some evidence of the fetal heartbeat if the pregnancy is normal. Contrary to popular belief, the majority of women do not have pregnancy symptoms. The most reliable sign of pregnancy is a missed menstrual cycle. Furthermore, judging the number of weeks of pregnancy on a urine tests is extremely inaccurate. Pregnancy tests are designed to pick up the hormone Chat Doctor from that whicChatDoctores out in your urine. However, your urine can be diluted by different amounts of water depending upon what time in the day you tested and how much water you Chat Doctor. Most urine pregnancy tests ask that you use your first morning urine, which has the most concentrated sample, however, even within those restrictions there is a large margin of error. So I would advise, in your situation, that you repeat the ultrasound examination in another 2 to 3 weeks. In the meantime take good care of yourself for the pregnancy by: eating a well-balanced diet, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Bruised and torn muscles around ribs in auto accident. X-rays showed no fracture or break. Pain is pretty bad. Does pain radiate to breasts. When bending which I cannot avoid sometimes I get a shooting burning feeling in the breast on the side that the ribs are bruised", "output": "Thanks for your questioning my opinion you had tissue / muscle injury following that accident as a pulmonologist would like to recheck the X-ray of chest to see if any injury is thereof everything goes fine I would prescribe some analgesics, muscle relaxants and some enzymes so that healing is fast no need to worry that much, I know it's a matter of concern visit a pulmonologist, he can guide youthanksfeel free to ask more questions" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HELLO i AM 33 YRS OF AGE, IM 510 AND WEIGH 225 POUNDS. I HAVE AN INFECTED WISDOM TOOTH AND IM CURRENTLY IN THE ER AWAITING TO SEE THE DOC. I AM ALLERGIC TO PENICILLIN, WHAT OTHER MEDS ARE OUT THERE THAT WILL WORK JUST AS GOOD AS PENICILLIN FOR MY SITUATION.", "output": "Hello, Thanks for consulting ChatDoctorRead your query as you have infected wisdom tooth infection in tooth can be due to some reason like if tooth is carious or decayed tooth with Periapical pathology may be Periapical Abscess or due to Impacted or Partially erupted tooth with Periodontal abscess. If you have infected tooth I will suggest you to consult dentist and go for its treatment Root canal treatment or Extraction of tooth. In meantime you can do warm saline rinses, you can take Antibiotic like Ofloxacine by consulting with your doctor and Analgesic like Paracetamol or Diploma if you are not allergic with vitamin B supplement. Hope this will help you. Wishing you good health Regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I brought my son home from nursery this evening and noticed a red spot on his right leg inner thigh since then i have changed my son again and have noticed there are several more appearing some with yellow heads on theyve grown quiet big n look angry red", "output": "HI...by what you quote I feel that it might be an n allergy like a simple urticaria or a rapidly spreading pyoderma as you quote that there are lots of yellow heads appearing. But I want to stress on something very important - Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Started out with burning sensation after ejaculation and then progressed to burning sensation on and off with slight pains in the penis and groin area that come and go that seemed to be relieved by ibuprofen . also have more frequent urges to pee. The burning after ejaculation is gone but still have the feeling of having to pee constantly.", "output": "Hello appreciate your concernLooking at your description this could be signs of ITII would like further information to help you better libelous age, sex and relevant medical history like diabetes or other metabolic diseaseSince how long you have this problem? I would advise you to consult your doctor for battery of investigations like urine microscopy as well as urine culture and sensitivity testy may require a course of antibiotics depending upon the reportage plenty of fluids which will flush off the urogenital tractMaintain good hygieneThanks for your question wish you a speedy recovery Best wishes" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, My boyfriend has been having stomach pains the past few days, he thought he ate something bad, but now hes unsure. He hasn t really been eating the past few days because the food doesn t seem like it wants to stay down. He feels like he may want to throw up but doesn t, its like he may want to use the bathroom but doesn t really get the urge", "output": "Hi ! Good morning. I am Chat Doctor answering your query. If I were your physician, I would advise your boyfriend for a general clinical examination of the abdomen, routine stool test for ova and cyst, a liver function test, and an ultrasound abdomen if considered essential by depending on the clinical and investigative finding. Till that I would advise him some anti-emetic, a proton pump inhibitor, a probiotic, and an anti-spasmodic if need be. He should also go for a high fiber diet and enough liquids if tolerated by him and completely avoid food from outside. Further management would depend on the clinical findings and investigation reports. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im in a lot of pain in my stomach, abdominal pain, and chest pain! I woke up this morning with some swelling in my face, lips swollen! Since October 2008 Ive been having breathing problems, cause i was working around chemicals and fumes! I wa put off work in June 2009 and forgot one important thing my gallbladder was removed in August 2009 with gallstones in it and the doctors thought at that time that my liver and kidney was damaged as well due to the fact of how bad my gallbladder was! But Thank God my liver and kidney at that time was okay! Can someone try to explain to me or try to help me on whats going on with me! Ive been to a few doctors and I feel that no one shouldnt suffer like Im suffering!", "output": "HI. Noted the history of gall bladder removal and reports about your kidney and liver that they are normal. This is good news. Now : about your problem about pain in the abdomen and the chest, along with swollen face and lips. The probable diagnosis of your problem can be ::You have a pleural inflammation due to something that causes simultaneous pain in abdomen and the chest This can be best diagnosed by CT scan of the chest and upper abdomen. This can also be due to acid peptic disease. Upper GI endoscopy will help. Disc compression in the upper thoracic area can cause the pain of this nature. Please go for all the relevant tests: Get a diagnosis to get a proper treatment." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello recently I have developed a rather sharp pain above my naval. I have looked into a bacterial infection and have been cleaning it with alcohol and to no success. the pain has traveled and hurts in a 3 inch diameter above my groin and to the right a tad. I have also looked into an umbilical hernia but I am a bit skeptical, and I am not sure it is appendicitis.", "output": "Hello, Appendicitis is a high probability. The pain in appendicitis begins in the per umbilical region(that is around the naval) and then migrates to an area called as McBirney point that is at the junction of the medial 2/3rd and lateral 1/3rd of a line joining your naval with the anterior superior William spine. This area is roughly the same as you have mentioned. Further evaluation is needed. Blood counts, urine examination and ultrasound scan of the abdomen are required. In appendicitis the blood counts will be high, urine will be normal or show mild hematuria and USG abdomen will show an elongated or enlarged appendix. Treatment is mainly surgical, however in some rare mild cases, medical management with painkillers and antibiotics may be tried." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 9 year old daughter is complaining of chest pains. She says that it feels like something is stuck in her chest. She is pretty healthy although I just took her to the doctor because in the last year there has been rapid weight gain. She is 95 lbs whereas a year ago she was 68 lbs. As of yesterday she is 55 inches tall.", "output": "Hi thanks for contacting Chat Doctor... Here your child complaining chest pain... As no specific symptoms like cough, fever etc. present chest x-ray done for investigation .... As she is a small child there might be foreign body ingestion that can lead symptoms .... Auscultation also done . According to cause treatment done ... If foreign body there removed through bronchoscopy if needed ... If no cause identifiable then chance of pain by muscular strain ... As your child gaining weight rapidly investigate for hypothyroidism .... Consult pediatrician for this. . Take care ...." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my wife is in remission for lupus but is still on prednisilone.she now has adrenal fatigue,but due to taking prednisolone cant have her hormones tested.she has been told to up her prednisolone doseage full stop.she has osteoporosis and does not want to incresase her preds.", "output": "Good evening sir. It is very common problem that our body stops secreting natural steroids once we are taking it from outside on a long term basis. A Chat Doctor. If she is not experiencing any problems like pigmentation, low blood pressure, low blood sugar, I am not too sure how increasing the steroid dose would help. Especially if she has osteoporosis one needs to be careful. If you could provide us with some insight on a" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "What is he progression of mantle cell lymphoma? My 74 year old husband had only 2 treatments when the oncologist determined the treatment was not working...his platelets were 72 and his WBC was 358,000. They basically told him to go home and die. That was a month ago. He has become steadily weaker. He has an appetite, but cannot eat much at one sitting. He has edema in his feet. He is now complaining of a pain in his upper right quadrant; somewhere around his under arm and radiates to the back of his shoulder blades.We are totally clueless.", "output": "Thanks for your question on Chat Doctor. Mentle cell lymphoma is one of the most aggressive tumor known till day. It is resistant to chemotherapy and rapidly worsening in days only. In your husbands' case as he is having right sided back and chest pain, I think he is developing malignant effusion. So better to rule out this by chest x-ray. If effusion than pigtail catheter insertion will help him symptomatically. So get done chest x-ray and pigtail Chat Doctor. Also discuss end of life issues with him. This will give him more support." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my left bottom wisdom tooth is coming through and painful but also my lymph nodes are swallen and soar Im sure its perconitus but I also have like a large patch on my cheek which looks like what I can only describe as acny like on my left cheek. , is this normal and can it be treat without a dentist", "output": "Hiwelcome to ChatDoctorduring the eruption of wisdom tooth it sometime cause pain. If the tooth is infected then it may lead to enlarge lymph node. First get your OPG X-ray runabout patch, if its white then depends on weather its cheek bite, leukoplakia or candidiasis etc. Which can also be confirmed by seeing the patch. For both thing visit dentist. Meanwhile for wisdom tooth do warm saline gargles and can get painkiller. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been having moderate headaches for quite some time - pain mainly in the back of the head - high on the left side. Is it worth an MRI? Pain meds seem to help but the pain often radiates to other parts of the head. I do have a swelling on the left side of my neck which my physician said was not serious.", "output": "Hi, I have gone through your medical history carefully and can say as following: You are saying to have moderate headaches, manly in the back of the head and high on the left side. Meanwhile, swelling on the left side of your neck is present. If I was your caring doctor would advise running X-ray of neck first to evaluate the swelling. Most probably spondyloarthrosis is suspected especially if such pain is subsided after taking pain medications, however, need further diagnostic tests to run. For the moment, I advise continuing taking pain medications and do not apply anything locally until the real nature of the swelling in the neck is totally elucidated. Hope it was of help! Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "A friend went to the emergency room this past Monday morning with severe flu-like symptoms. On Thursday, she was diagnosed with meningitis. On Friday afternoon, it was determined to be viral, and she was rereleased with instructions to stay home and rest for 1 week. Yesterday she was beginning to feel better, but is not feeling as well today as yesterday. Is this fall back today a normal part of the recovery process, or Is it a sign of a possible relapse? Should she perhaps be gotten back to the hospitals? Thanks for your time.", "output": "Hellos you mentioned that your friend is having meningitis (virus, causative organism) . Doctor discharged your patient from hospital because this is self limiting due to antigen antibodies (maybe the type of such virus, that's why patient discharged). So this tiredness is an in recovery phase, if fever is not present then , need not worry. So be careful, take care good nourished diet as well complete rest but remain contact with doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, my wife has been dealing with left leg pain and weakness for the past 15 years. Recently my wife developed left arm, face and tongue weakness and numbness. She was diagnosed with a 5mm Chiari malformation and was given steroids to relieve migraines. After seeing a neurosurgeon she was told she was ineligible for surgery and has been told that she may be making up the symptoms in her head. We don t believe that, basically her left leg, arm and now face experiences pain and weakness and we have no idea why. She was tested for MS but with no lesions and multiple side symptoms that was rules out. Any advice you can provide would be appreciated.", "output": "Hello! Thank you for asking on Chat Doctor ! I read carefully your question and understand your concern. Coming to this point, I would recommend performing a cervico-thoracic spine MRI study to exclude possible syringomyelia, which could cause her symptoms. This is a common complication of Chary Malformation. Anyway, it would not explain the numbness in her face or tongue. Another option would be starting an antidepressant, especially considering the fact they she suffered from migraines. These Chat Doctor. Hope you will find this answer helpful! Best wishes, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "What does this mean, Delayed planar images demonstrate mild uptake within the left L4-L5 region.SPECT -CT of the lumbar spine was obtained. This demonstrates no evidence of disc uptake however, there is very mild facet uptake at L4-L5 on the left. Hypertrophic facet degenerative changes seen in the region on nondiagnostic CT.", "output": "Hi, Thanks for writing in. The uptake seen at L4 - L5 with hypertrophic facet changes are indicative of degeneration because of aging. Such changes occur with age and can cause mild lower back pain and spasm of muscles. A pinched nerve can also arise from this condition. You must consult a neurologist and probably also get a lumbar spine MRI scan done to know if there is a disc herniation or nerve impingement which is not seen clearly on SPENT CT should you experience severe pain in the region. It is important to know why you got a spent CT done and if it is related to any cancerous condition for which you are taking treatment. There is no serious concern for the above findings." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I recently found out that I was pregnant, I told my boyfriend about it. He always jokes about me getting pregnant so was not expecting his answer. He wants me to have an abortion. I went through the consultation for the abortion and just strongly disagree with it. I told him about this feeling and continually have nightmares about it. He does not want to hear this and is gong ho about this abortion. I feel even if it was an accident why are we killing this baby, it was not its fault it was conceived and now i feel its my job to protect it but I am scared about just up and leaving, he has threatened that if i leave he will find me and take my baby that he does not want and raise it with his ex. what should I do", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. The cause of your fear is due to conflict of opinion. That is normal. Also, you have a good human view point towards this issue. But you must also understand your husbands view. He could be compelling you to abort because of some compelling issues. Talk to him about this. Understand his feelings and points. Do not argue. Arguments always provides no result. Discuss. Discussions always produce results, decisions. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I fell approx. 9 years ago on my coccyx. I now have pain from coccyx area that radiates to both hips when I walk. It happens if I am up on my feet all day, but stops when I sit down. I have spoken to my doctor, but he thinks it may be weak stomach muscles. What is your opinion? Thank you. I am 62 years old.", "output": "Hello! Welcome on Chat Doctor ! Your symptoms could be related to a pinched nerve in this region (also called neuralgia), or a bulging disc in the vertebral column, probably due to the trauma. For this reason, I would recommend consulting with a neurologist and performing a CT scan of the lumbosacral spine, coupled with a nerve conduction study. You should discuss with your doctor on the above issues. Kind regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi..my baby is one month old...he cries a lot at night...sumtimes he s inconsolable...he s on breastfeed n top feed..we burp him regularly Aftr every Feed...still he cries a lot..we hav been suggested by our friends to give neopeptine as a mild dose n colicaid only if necessary ..wht do you suggest ...our doctor refused. Us fr any medicine.", "output": "Hi.... Your doctor is 100% right. I, too, do not suggest any medicine. I will give an explanation why so... This is called evening colic and is quite common in this age group. This happens when the baby sucks at the breast very fast and in eagerness to Chat Doctor. Unless the air comes out like burping or flatus this discomfort will be there. Next time check if she is sucking too fast and gulping in air too. You will be more convinced. Usually I don't advice any medicines for this as they give only temporary relief. The two best ways to relieve this distress is - 1. Do not put her in lying position after feeding till she burps out the swallowed air.2. If she is still crying - put her in prone position and keep patting her back gently so that she passes off the flatus and gets relieved. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, one of the bumps right at the back of my tongue (lingual tonsil area) is a yellowy colour, not pink like the rest.i was looking because i have a bug at the moment and a congested throat/nose...now i am manically googling tumors! Any idea what it could be?", "output": "Hi. Welcome to Chat Doctor. I read your query. In tongue there are naturally larger taste buds at the back of tongue as compared to front. Also, there is lingual papillae As you mentioned you have an infection, chances are it could be an enlarged taste bud or papillae due to infection, medication or some allergy. It can also be an ulcer. Normally This happens with fever and infection and regress on their own. I suggest you to check if it is discolored, enlarge or have uneven borders, then get it checked. Else you can wait for healing up of your infection. Take your prescribed medications. Take multivitamin tablet one per day. Maintain God oral hygiene. If warm water is tolerated, do warm saline rinses. Maintain good diet and HY Chat Doctor. If it burns while eating, you can apply oral anesthetic gel 5 min before eating. Hope the answer helps you. Thank you!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband suffered a stroke in Oct 2016. In the beginning his attitude was bad, he cussed at the nurses and physically fought with them, when he was in a acute hospital the Dr gave him Ridlin it helped, then he was transferred to a skilled nurses rehab place. The Dr there gave him SEROQUEL, he is better but looks and is tired and the therapist say he is sleepy and I don t think he gets a good session. The state of Ca will no let them use RIDLIN. Help! he is coming home and I would like a better mood med. Judie Denney", "output": "Hi and thanks for question. Many times we see that person with stroke will present with behavior disturbance.it is mainly due to lost control over emotion and due to disorientation. So during that time sedative will give for treatment. you are very much anxious regarding how u controlled when he will come home.I suggest u to continue Seroquel. If he has leg pain along with he has salivation more than prior than consult psychiatrist nearby u." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I feel fine in the morning and all day but for the last two days I have been getting very dizzy at the end of the day, around 4:30 to 5:00 and a little lightheaded. I havent changed any eating patterns or anyhing, what is the most common cause for random dizziness?", "output": "Hello, If this is only a symptom that has been happening for the past 2 days I would recommend you increase your fluid intake for the next several days using pure and fresh WATER. I would cut out caffeine and caffeinated beverages. Make sure you've been getting plenty of rest and I believe you should start feeling better. You say you haven't changed your eating patterns but do you eat your meals on time or do you skip depending on the need at school or at work? Otherwise, if your symptoms are not self-limited over the next day or 2 you may wish to schedule an appointment with your doctor for an examination and some laboratory analyses to check on things such as electrolyte disturbances, blood counts that may point to anemia or infection, etc. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had severe lower back pain around L-5 on my left side. I have been on meds 400 ml ibuprofin for approx. 1 year, now the pain has traveled down my left leg and I have had to increase the meds as needed. Aprox. 5 years ago i fell down a small flight of stairs with approx. 25 lbs in hand. I struck the last step on the right side of my buttox which caused an enormous contusion superficially. However, I have had lasting pain in the area but no one has been able to identify the source. I believe that the injury on the right side has eventually caused the continuous pain on the left", "output": "Hi, I had gone through your question and understand your concerns. Pain traveling down your leg and increasing in intensity means advancing of disease. In this case most probably there is herniated disc disease, so I suggest you to consult a Neurologist and to discuss the possibility of imaging study of your lumbar spine. Since there has been trauma you'll need plain radiographs and MRI imaging. Treatment modalities should become clear after this. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My Son persuing Engg course is 22 years now was suffering a few years back from low confidence, fear, self defeat, thinks all are talking about him had recovered, now is back in same mental frame, has confusion, indecision, weird feelings like his pennis is small, shrinking & may severe off, please help", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. Low self-confidence, low self-esteem, confusion, indecision, weird feelings etc. are by products of misunderstanding life. He needs to see a psychological counselor who shall be able to impart self-confidence to your son and make him aware of what he is and what he is capable of. Please consult a psychological counselor. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been very anxious the last couple days and my heart rate has been high. It has been over 130bpm at some points and then as low as 80 when I am relaxed. I have panic attacks but usually my heart rate does not get that high. Could his be dangerous?", "output": "! I have read your question carefully and from that I can say from my clinical experience that the heart rate increases due to stress. However, as you are very concerned, it will help you to get an ECG done, and blood pressure checked. Once these turn to be normal, I think you must meet a psychiatrist and get a detailed evaluation done. Only After listening yo your problem and your current status one can decide the line of management. I have seen that such ceases respond greatly to paroxetine in a dose of 12.5 to 37.5 mg daily. The doctor may ask you for therapy, which I think will give additional benefit and help you control some part of anxiety and stress. Hope the reply is helpful feel free to ask more questions Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi,,,,,i am 32 years old woman....trying to conceive from last 1 year.....got the follicular study done couple of times and was found ok....now my doc has referred me for iui....please let me know what could be the reason for not conceiving after every thing being normal.... my hsg test was also normal..", "output": "Hi, Welcome to Chat Doctor. I am Chat Doctor. I will be answering your concerns. Among couples trying for pregnancy, 80% of them conceive in the first year and 90% by the end of second year. So don't be worried. You will conceive. Since your doctor has already started treatment I presume that all baseline infertility investigations including semen analysis are normal. Then this is called as unexplained infertility. The cause cannot be found with available investigations. What your doctor has done is right step. Have GUI after induction of ovulation with Gonadotrophin. You can have 3-4 cycles of GUI. I hope and pray you conceive with the help of GUI. If you do not get pregnant with this treatment, the next option would be IVF (in vitro fertilization). I hope this is helpful. If you have further concerns, do contact me through Chat Doctor. To increase your chances of conception maintain normal BMI, quit smoking (if you're a smoker) and have intercourse at least three times in a week. I hope this is helpful. If you have any further concerns do contact me through Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have pain in my left arm,feels like muscle when I rotate my arm to the right and lift up its sharp. Shoveling snow today didn t help and now its a steady throb. not sure if a xray will help or if I m going to have to have a mri . it s been going on for at least a month or longer.", "output": "hello must attend an orthopedic clinic for proper examination and investigations.it could be supraspinatus tendinitis or biceps tendinitis (inflammation of tendons which attach muscle to bone) or even shoulder joint problem. Do hot fomentation and take Advil tabs after meals thrice a day and rest arm in a broad shoulder-arm sling till you attend orthopedics clinic. A weeks rest to 10 days would be good in sling along with medicines. The final treatment can be decided after examination and X-rays if necessary, MRI, if needed only thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My mother in law is in remission from limited stage small cell lung cancer and she wants a partial hip replacement. Her doctors gave her clearance for the surgery but I m afraid she won t heal well. will this surgery possibly cause her to relapse with cancer due to stress on her body?", "output": "Thanks for your question on Chat Doctor. In my opinion you should not worry about relapse. Partial hip replacement is done under spinal anesthesia and stress level and risk both are less than general anesthesia. And doctors have declared her fit for surgery means she is able to cope up with the surgical stress. So no need to worry about relapse. Get done surgery. And continue her chemotherapy cycles as per schedule." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m looking at the effects of low blood pressure starting the day 97/61 with a heart beat of 64. Movement to cerebral biofeed through oxygenated hike in the trails of autumn under rainy and 10 degrees conditions. What I find consistent is; only after a sweated workout do I sense the pathological pain pressures of the left parietal quadrant; that quadrant is completely separated and pain in persistent. The reason for the workout is for picking up the chi energy of the 4 oclock cycle.", "output": "Hello! Welcome on Chat Doctor! Regarding your concern, I would explain that low blood pressure can be associated to different symptoms: - pressure headache-blurring vision-shortness of breath-ear noise-fainting and loss of conscience. It is quite normal to experience low blood pressure after a lot of physical activity. It may be related to sweating and deny Chat Doctor. Hope you will find this answer helpful! Kind regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Dr Candan. I would like to ask you you how you read the following values for my semen? How is the potential for using these values of semen to make an egg pregnant : Volume 1.5 Sperm concentration (mill/mL) 38 Rapid linear progressive (A) 00,0 Slow/ Non-linear progressive (B) 09,0 Non-progressive 08,0 Non-motile 83,0", "output": "Hello and welcome to Chat Doctor The analysis for your semen is as follows:Volume is 1.5 ml/ ejaculate-This is low volume as the normal volume per ejaculate should be at least 2 sperm count is 38 million/ml- This is normal sperm counts. The cut-off for normal sperm count is at least 20 million/ sperm motility is less than the normal range. Non-motile sperms are 83 %. Normally at least 50 % sperms should have rapid progressive forward motion. There is no comment on morphology and presence/ absence of pus cells, RBC's and other nucleated cells. On the basis of this report your sample is deficient in adequate volume and adequate volume. It can lead to infertility i.e. inability to fertilize an egg under physiological conditions. However, I recommend you to get semen analysis repeated after three days of abstinence. If, again the sperm count remains low, there are other techniques for fertilization of the ovum. You can get details of which from a fertility expert. Thanks and take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Had blood tests and ultrasound done for abd pain - found nothing. Have now got it into my head that I have hodgins disease because i am also slightly itchy", "output": "Hello. Welcome to Chat Doctor, You are presuming a big ailment for no obvious reason at all. The common symptoms of Hodgkin's disease are generalized lymph node enlargement, may be weight loss and hepatosplenomegaly. It has to be proved by special tests like immunohistochemistry on biopsy samples. Itching is totally unrelated to this. If you had homeostasis causing itching, it would have been detected by ultrasound. It would be helpful to have a gastroenterologist work up with endoscopy if the pain is too much and tests like those for typhoid etc. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "dear sir/mam, i had my last period on 28th dec 2010, till now i didnt get periods, i undergone pregnancy test its negative, so my dr referred me take meprate 10 mg now i m takiing , last two days i m getting guiltiness and i felt may be am i pregnancy?", "output": "Hello dear, I understand your concern. In my opinion giddiness alone might not suggest pregnancy. The pregnancy symptoms like nausea, vomitings, increased urination, sore breasts, giddiness,tiredness might be there with positive urine pregnancy test. Meprate tablets are given for with Chat Doctor. Also, the pregnancy test is negative. The giddiness might be due to weakness.Don't worry. Take healthy nutritional diet. If irregular periods continue get evaluated for thyroid abnormalities, PCOD. Avoid stress. Stress, overweight, obesity might also cause irregular periods. So relax. Best regards...." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a severe allergic reaction to an ant bite about a week and a half ago. Blood pressure dropped to 70/63 and was rushed to the ER and was given loads of Benadryl, went through 2 bags of fluid and had to be put on oxygen. I m still very tired though, I have this running exhaustion feeling. My question is- how long is this supposed to last? Is it normal for me to be feeling so tired?", "output": "Hi, see allergic reaction can be immediate, late and/or delayed from which the later can be last for more than 2 days, so u might have delayed hypersensitivity/Allergic reaction due to ant bite. If this problem remains even after few weeks and u still feel exhaustion or tired then there will be some other cause.u need to see your physician for correct diagnosis but don't worry nothing serious, u will be alright." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 13 year old daughter has what appears to be her lower left side rib sticking out.Like a lump where last rib would normally be. She has had it for a few months and it seems to be getting worse. (Sticking out more).She says it is a little tender. She is about 25lbs passed her goal wieght.", "output": "Dear Friend. Hi, I am Chat Doctor, I have read your query in detail, I understand your concern. I feel that requires evaluation, that swelling can arise from bone, or it can be soft tissue swelling. You should get her a X-ray Chest, Ultrasound of that area, and if required a FNAC or Biopsy might be required. This is my personal opinion based on details available here. If you want to discuss your issues further, you may please ask stay Healthy. Chat Doctor, MD" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my daughter has super ventricular Tachycarida. She gets really short of breath when just taking the stairs at school so she used to use an elevator key, but the school took it away. Is there anything that she can do to help her breathing at school and at home?", "output": "Hello, Usually supraventricular tachycardia is usually episodic in nature and will not cause persistent shortness of breath. First thing is that, the type of supraventricular tachycardia should be determined. So get one ECG done and upload it or show it to local doctor. If she is having persistent type of supraventricular tachycardia like atrial fibrillation then only it can cause this type of symptoms. For this rate control Chat Doctor. Secondly we need to find for another cause, for that she'll need echo, hemoglobin testing. In general, she should have salt and fluid including water tea milk coffee etc. restriction to minimum. Very good medicine are available so you either upload her reports or visit local doctor. She'll medicine like metoprolol, horsehide etc." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "thankz doc vel i hav an allergy from last five years ma lyf z like hell could u plz sugest how ma swellin vil go bcoz sometime i hav severe headache breathin problem chest congesion ma complexion z gettin dark plz sugest ma nose vz very pointed nw d adenoisz r grown plz recommend somethin n ur num", "output": "Brief Answer:Needs a Proper stepwise approach. Detailed Answer:Hello Welcome to Chat Doctor. My name is Chat Doctor. I have gone through your query and would try to help you in the best possible way. Allergies in most of the cases stay with us through our whole lives, it is us who have to learn to control them and to live a good quality life with them. Allergy needs a step wise approach :(1) Meeting a Doctor.(2) Blood and other tests(3) Diagnosing type of Allergy(4) Figuring out what causes allergy (allergen)(4) How severe is it, or it can go(5) What med can control kit(6) What med controls it best(7) Sooner of later that med needs to be aided with some other med or have to be changed.(8) What are the risk factors.(9) Does the patient qualify to steroids or not? Suggestions: I have already told you how would I approach this issue, it needs proper check-ups and follow up to be controlled and treated well, for the time being if I were your doctor I would suggest you take an antihistamine for example loratadine 10\u00a0mg daily and an over the counter Painkiller+anti-inflammatory like Tylenol(acetaminophen) 325 mg thrice daily, But this is just to buy time till you can have a good contact with your doctor and all you reports are compiled and diagnosis is made...some people also need steroid to suppress allergy.CONCLUSION: Don't be alarmed there are doctors and clinics specialized in Allergy and it's a daily routine matter for them just follow this issue well and soon as you get settled on a med ...just one or two pills a day, and you will live a long healthy comfortable life ..... Hope I have answered your query. If you have any further questions I will be happy to help if not then don't forget to close the discussion and rate it. Wishing you good health !!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi how are you doing? I have a question about my health, I just went to a doctor this afternoon and he found out that I have a h pilori desease, just wondering it can be detect where I might get this? My employer has this kind of desease, is it possible that she gave this to me?", "output": "Hello, Welcome to ChatDoctorH. Pylori is a spiral-shaped bacterium present in the stomach of persons. It is commonly transmitted person-to-person by saliva. It can also be spread by fecal contamination of food or water. Crowded conditions and poor hygiene contributes to higher H. pylori prevalence. H. pylori enters the body through the mouth, moves through the digestive system, and infects the stomach or the first part of the small intestine. More than 80% of people will be asymptomatic. But infected individuals are prone to get peptic disease. Hope you are happy with the answer. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Several weeks ago, I treated myself with over the counter meds for what I thought was a nasty yeast infection. Then, the following week, my husband complained of itching and a red rash in and on his genitals, but he didnt do/take anything and it went away. Now, I have what I think is a yeast infection again. Could we be passing a yeast infection or something else back and forth? What can I do to make this go away? I have endometriosis. Am I more likely to just get lots of yeast infections?", "output": "Hello, Welcome to Chat Doctor, Fungal infection is most common in the area around genitals and the fungus are the normal comedians of the genitals which are kept under control by the helpful organisms, whenever there is an imbalance in the environment it will lead to multiplication and growth of the fungus in this area. The fungus can sustain for longer duration of time in the wet and moist areas, it is most common in females compared to males as the urethra is short. I would suggest you to follow1. Keep the area clean and Chat Doctor. Topical antifungal cream3. Oral antihistaminesThese medications will help to control the fungal infection. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor, I 36 year old male India, suffering from amobasis since last 17 years. I taken lot of antiboitec but it is not full cure. Now i am toomuch frustarated and i dont want to take any english medicine. If you have any herbal medicine i can take forever to avoid this bloody amobasis. Please help me doctor.", "output": "Hi Welcome to ChatDoctorI Have gone through your query regarding your17 years of amoebas It is after OC great concern. I want to know what all symptoms you face , and for how much time they carry on ? Individuals with weakened immune systems are at a higher risk of amoebas. Conditions such as cancer, malnutrition and old age can contribute to suppressed immunity. Normally seen symptoms are, Sudden weight loss Abdominal cramping & painNausea, Loss of appetite, Flatulence , Tiredness , Dehy Chat Doctor. Treatment also includes certain medications which help to destroy the parasites. These may lead to some side effects such as nausea and a metallic taste in the mouth. Medications to treat diarrhea may also be prescribed. It is important to " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was diagnosed with scoliosis when i was in middle school. I am now 23. I have days when my back hurts all day. I work as a nursing assistant. I have a back brace that i bought. Its not a medical brace just a ordinary brace. Do i need to follow up and have it rechecked since its been a while since a doctor last looked at my back.", "output": "Dear-thanks for using our service and will give you my medical advice. It is important to have a follow-up of your scoliosis with an orthopedic. This is a condition that can get worse and give you more symptoms as you get older. You n\u00e9e a medical brace, one that has been made for your specific measurements and support. This is something that will avoid getting worse and will relieve the pain. I hope that my advice has been helpful Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I FEEL SURE MY HUSBAND HAS HAD AND IS STILL HAVING MINI STROKES. WE HAVE HAD EVERY TEST DONE THAT THE DOCTOR ASK, THE LAST THING SUGGESTED WAS ANOTHER MRI OF HIS BRAIN BUT IT HAS NOT BEEN SCHEDULED YET. WHAT SHOULD I DO AND HOW SOON IS IT NECESSARY. HE CANNOT WALK HIS LEFT LEG IS NUMB AND HE IS HAVING TROUBLE KNOWING WHEN HE IS USING THE BATHROOM, BOTH URINATING AND BOWEL MOVEMENTS. HE STAYS CONFUSED ALL THE TIME .", "output": "Hello, Sorry for your distress. The confusion is a sign of a problem with the brain. The leg numbness and bathroom problems can be due to a problem in the brain or spine. A condition which may tie all these in is known as normal pressure HY Chat Doctor. An MRI of the brain should be able to identify this condition and I would advise you to get that done. The MRI of the brain is also a good way to check for stroke. All the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello, i am a female, 52 years of age. recently i have bump my arm against a door nob and a large bump appeared on my forearm. a few days later, i happen to hit my hand and yet a bigger bump appeared where i had banged myself. both of these on my same left hand/arm. i am not sure how to make it go away and its not brused, black & blue nor does it hurt... please give me some advise. thank you", "output": "Hi! Good evening. I am Chat Doctor answering your query. From the history it seems to be a hematoma (collection of blood) in subcutaneous tissues due to some minor bleeding by the trauma. If I were your doctor, I would apply a pressure Chat Doctor. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi! I injured my knee at a football game 2 days ago, mechanism of injury=I kept falling on my knees,high impact. No instant swelling that I noted (adrenalin) but did feel pain, I admit I kept playing so did weightbear after falls..first fall of significance in first half. Knee started to stiffen up and get more painful towards end of match, knee noticeably swelling and real discomfort on car home and painful to sleep, ache walking and stairs or kneeling painful...used price technique straight away..iced it straight away, tubrigrip compression and elevated..knee now feels better..widespread bruising tender on palpation of joint line/bruises, knee not as stiff but still an ache at end range flexion swelling has reduced. I think when the bruising goes the dull ache in my knee should go too, I feel I dont need physio or medical intervention as its only been 3 days since injury and to let healing process take its course? Am I foolish or should I check if ligaments/cartilage isnt Injured even though the symptoms/mechanism don t match? Thanks", "output": "Hello, I have studied your case. As per your history there is possibility of soft tissue injury in knee. Most commonly meniscus injury occurs may be associated collateral ligament injury. If pain persists then you may need to do MRI knee to see for any functional defect. As per your symptoms you need to do physiotherapy and knee exercises to improve range of motion. Rest and ice fomentation along with supportive brace will help to reduce swelling and pain. Small meniscus tear can be managed conservatively with physiotherapy with USG and TENS. Meniscus injury can be managed by arthroscopic repair. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im 20 male, 164cm, 53kg. i have sinus on one side, have motion sickness, have more hair fall thn normal but no bald sign. i have 2 prob: 1st is i have almost continuous cold like character from 15yrs where my throat is sore very easily if i get wind in night time; if i dont cloth myslf warmer i start hving heavy mucus, if i warm myself properly it ends about 5 days. its not normal because others near me are not hving cold even when i easily have it. 2nd is my inside-belly prob; i easily have stomach ache after 30min-2hours of major meals (like once every 2 week), where i pass out diarrhoe-like stool and the pains goes after shitting all, i need to give some energy to pass these out at first (it jst dont come easily in beging), i use to take 1 metronidazole and furazolidone tablet, which mom tell. My stomach is always in a very mild discomfort nowadays after i eat something but no diarhoe in this case.", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. You should not take self medicines for any health problems. Consult a physician for diagnosis and treatment. Your first continuous cold related condition should be related to allergens and the second one due to stomach and digestion related problems. Please consult a physician for clear outlook. You also might be interested to know that anxiety and obsession and preoccupation with non-present-symptoms can also manifest such symptoms. For such a case, you need to consult a psychologist. If you still need my help, please describe the whole problem in detail and post a direct question to me. I shall definitely help you with psychotherapy techniques to overcome your problems. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi im george. Ive been having pain inbetween my collarbones and shoulder blade where it meets my neck... I am nearly 25 years old male. It started about 6 months ago and only occurred when breathing in whilst walking up a very large hill near my house. Over the past few days its doing it when relaxed, driving doing anything. Today i have noticed my chest is heavy and just now i noticed my right ear feels a little like ive been on an aeroplane... Please help", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have pain in between collarbones and shoulder blade while breathing in. Well there can be many reasons for symptoms you mention in query like muscle spasm, cervical spondylosis, cervical radiculopathy or working in one pose for long time. I would suggest you to apply warm compresses on neck and on shoulder blades, do not sit in one pose for long time and take ibuprofen or acetaminophen for pain. If condition doesn't get well then consult orthopedic surgeon for proper examination. Doctor may order CT scan or MRI to confirm the diagnosis. Doctor may prescribe muscle relaxant along with anti-inflammatory and vitamin supplement for quick recovery. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a panic attack earlier today and had trouble catching me breath. I m ok as long as I sit still if I do any type of physical activity even as easy as carrying groceries I can feel a slight shortness of breath. My wife.Is currently suffering from bronchitis I m not sure if this a symptom that I may have the same thing", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Stress, anxiety and panic attacks itself cause breathlessness. So no need to worry about bronchitis. Consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Don't worry, you will be alright with all these. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my friend has been suffering from fever for 15 days...tests for typhoid n malaria negative...fever occurs at night with shivering...almost normal during daytime...blood tests show 19500 leukocyte count and neutrophil count at 88...what should be done...doctors at a loss", "output": "Dear friend you certainly seem to be having an infection or in rare cases chronic myeloid leukemia. If nothing else a leukemia reaction from an infection, but your white cell count does reach the lower limits of CML range. You also need to rule out a lung infection or an Please discuss these possibilities with your doctor and before a diagnosis is made please request for a peripheral smear to be examined by a haemato-pathologist to at least screen for CML" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m a type 2 diabetic. My doctor changed my meds to three pills 5 months ago, Metformin gave extreme gastro side effects. So I have been taking Januvia, Glimeperide and Glipezide. It kept my blood sugar much lower but not perfect. I had 3 episodes of symptoms of low blood sugar but I never got a reading lower than 80. Now my pharmacists has questioned the 3 medication so, as of 3 weeks ago I no longer take Glimeperide. Now I m having mild pressure in my abdomen and sternem, shallow breathing and muscle tension for no reason. Any thoughts?", "output": "Hi sir. Usually diabetic medicines with metformin may cause abdominal problems like gastritis, ulcer.make sure that your sugar level is under control especially HE a1c is under control. Pain in lower abdomen and sternum is exactly due to gastritis so it's better to take anti ulcer medicines to solve this problem avoid taking oily and spicy foods avoid taking tea coffee or milk avoid some vegetables like radish cabbage and cauliflower so that it may help to reduce gastritis. Consult a physician for medications, thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have a rash on the inside of my bicep and it just so happens it is over the area where i had my implanon implanted. i had it implanted 8 months ago and am just now getting the rash and it looks a lot like the pupps rash i had on my stomach when i was pregnant. i don t know if it is related but i figured i would add that in.", "output": "Hello.thanks for sharing your query Since it is already 8 months since the insertion was done, I won't think that the Implant should be a cause of the rashes you have. You may apply a mild topical steroid for 3-4 days to see if it improves. If you have itching, oral anti histamines may be taken. However, if your lesions persist, you must visit a dermatologist.PUPPY rash is a pregnancy related condition and resolves mostly within a week of delivery. A few women continue to experience symptoms into the postpartum period, but I think this not be related to the present symptoms. Hope this is helpful. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 18 years old. I got my period on October 15th and had unprotected sex on October 27th. On October 28th I took plan b. I am on birth control but took it at different times (within a few hours) the few days leading up to October 27th. (8 pm one day, 11:30 pm the next day, and 10 pm the next day) so I was very nervous and took the pill especially because it was around the time Im supposed to be ovulating. Then, I had unprotected sex on November 1st really late at night and the day before that I took my birth control 3 hours later than I normally do. Does plan b push back ovulation so I would be ovulating on the weekend of Nov 1st? Do you think that I have a chance of becoming pregnant??", "output": "Hi, Thanks for using Chat Doctor. Contraceptive pills need to be taken regularly at fixed time. As you have taken pill daily but at irregular time, still It's effective in controlling ovulation. Not to worry. If at all you miss your periods get pregnancy test done. Try to take pill at a regular time daily, If you find it difficult to take regularly better to go for other methods of contraception. Hope this helps regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had sex with my gf last night, I had no groin pain and my sperm looked normal, today we had intercourse again and my right side above my penis near my bladder hurts and my right testical, also my sperm was dark yellow. What could this be? Please help.", "output": "Thanks for asking in Chat Doctor forum Pain might have occurred due to muscle pull/stretch during the intercourse/ blunt injury unknowingly during the act. So, Muscle relaxant with a painkiller will help you a lot. Regarding your color of semen, it sometimes varies normally & during infection. So, please for semen analysis if you have any doubts or any symptoms like burning sensation/frequency/pain while urinating. All the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have been diagnosed with degenerative disc disease since about age 15, I am now 48 years old. My lumbar all the way down through sacral has been fused. I have constant pain in right foot/toes that I have been able to control for about 7 to 8 years, but now pain is getting worse in back above fusion and in the front below belly button. I am wondering if I may now have an issue at T-12 ? I am a male if that makes any difference.", "output": "Hi, Thanks for writing in. The spine is made up of an alignment of small bones. These bones have sponge like discs between them and the spinal cord passes along the back of these bones through the spinal canal. There might be pressure on the discs in the dorsal and lumbar spine and this is causing slight pressure on the spinal canal at a particular level and causing pinching of nerve roots leading to severe pain in the area supplied by the nerve. The disc problem which had involved the T 12 - L 1 disc might have affected the discs at other levels also. Besides, you also have fused vertebrae at lumbar levels. As your symptoms are on the right it is possible that the nerve roots on the right side are affected. You require to be examined a neurologist and an MRI of the dorsal and lumbar spine if indicated to know if the nerve are under pressure and the location. There are patients who get relief by doing physiotherapy and taking neurogenic pain relievers. Injections are also given for relief. However, this might not always happen. If your pain is severe and not responding to medical treatment then the disc protrusion needs to be removed by doing a small surgery at the cervical neck region. Presently, laser assisted surgical techniques are also available. If the pain is mild then it appears to be a minor problem that is treatable. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am on Subutex , Neurontin , Remeron and Zoloft , Plus Klonopin , Plus I am on Synthroid , and Also 2 Blood Pressure pills , I Still Suffer with Depression and Anxiety , My Blood Work says I am Healthy , But Mentally I am Tired but Still anxious , I know this is A lot of Meds to be on , I feel as Though I am Hooked on these Meds now , I went into a Detox 8 Months ago to get off Morphine Sulfate and Hydrocodone , Came out on all these Meds..", "output": "Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. You may try other antidepressants as well as bupropion or venlafaxine or venlafaxine.etc. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Had a gaulbladder operation on the 11th May 2011 came out on the 12th stiches on the 20th May 2011. The same night i was addmitted back to hospital i was there for 4 days i was told i have a built up of blood where the drain came out. Before i came out they took a scan they said it was all right but i was still in alot of pain and feel quite ill they told me to see my doctor so after a week i did so he put me on two courses of antibiotics one was 400 mg the other 375 mg for two weekes. After two i had a rest to see if it was any better but it is still the same, i went back to see the doctor today and he send through to get me a scan as soon aspossible can you give me any advice be very grateful thank you .", "output": "Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. This is common complications of gallbladder surgery and may happen if blood vessel is damaged, or it bleeds for the liver bed. You need to do ct scan and check our red blood count in most cases it can be treated without surgery but sometime sit is required do evacuate hematoma and cingulum if antibiotics won't work. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I FILL TIRED IN AFTER NOON .MY HEART BEAT IS IN THIS TIME ABOUT 65.MY PRESSURE IS NORMAL.MY AGE IS 60.ECG REPORT IS NORMAL.I ALSO FILL WEAKNESS IN THIS TIME. 15 DAYS AGO 1 EPISODE OF VETIGO FOR F1 MINUTE IS HAPPNE.MY SERUM LDL COLESTEROL IS 136mg/dl.I AM FIT IN MORNING.IN AFTERNOON WHEN I AM IN REST I FILL SMALL PALPILATIN IN MY CHEST.MY WEIGHT IS SLOWLY LOOSING.WHAT IS MY PROBLEM AND ITS TREATMENT.PLEASE HELP ME.HIGHT IS 172.WEIGHT 59 KG.", "output": "Hi, You need to undergo some examinations, such as ECG, serum glucose, carotid duplex ultrasound. Only after these examinations the right strategy may be found out. Your complaints may be caused by different conditions; heart disease, diabetes mellitus and for the episode of acute dizziness narrowing and blockage of carotid arteries should be excluded by carotid duplex ultrasound. Take fearsome back if you have any further questions" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have undergone IVF treatment mid way my doc stop because i have not responded well with antral follicle got only 2 the rest have not grown to the expected, she had given me regestrone 5mg for 10 days , need to know what would the effect of the tablet any chances of me getting pregnant inbetween , my hub sperm count is less than 2", "output": "Dear user, welcome to Chat Doctor. With a very low sperm count the only way to get pregnant is through intro cytoplasmic sperm injection (CSI). You should try another time with the maximum dose of HMG (450 IU) or try the short antagonist protocol. If you are obese try to optimize your body mass index (BMI). I can help you more if you mention your age, BMI, day 2 FSH and LH, prolactin, TSH and antimullerian hormone (AMH). I wish you good luck and getting pregnant soon." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello. I found a lump on the left side of my lower back about 2.5 months ago. It is the size of a dime and is not visible and can only be felt when pressure is applied to the skin. It hasnt grown or changed and is painless to the touch. However, I do have back and leg pain. I am a 22 yr old female. I dont smoke or drink and am relatively healthy. No history of cancer in my family.", "output": "Respected user, hi I evaluated your query thoroughly.* According to the narration, it is most likely to be Lipoma (accumulation of subcutaneous fat) which can give rise to local discomfort but not leg pain which seems to be separate entity than this. Hope this clears your query. Welcome for any further assistance. Thanks for using Chat Doctor .com & giving me an opportunity to assistWishing you happy healthy life ahead. Regards dear take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my boyfriends semen is normal looking but has chunky pieces in it jello-like in texture and they stay jello-like they dont melt or anything i know he used to do a lot of drugs before we started dating is it just side effects from smoking crack? (hes been clean for a year and half now) or is it infertility? does he have an STD? cause before we started dating i made him get checked out considering his past and he turned up clean on the tests. he says that his semen has had chunks in it for quite awhile but it kinda conserns me like i dont want to catch anything and i do want to have a child someday", "output": "Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. These symptoms and signs are suggestive of STD especially if there is associated pain, fever, urethral discharge and recent sexual intercourse. So this is the first thing to rule out by doing STD testing. Second, it may be signed of reinfection o urinary stones and some other genital infection, but this is less common. In every case, antibiotic therapy may be required, so test should be done as soon as possible so that appropriate treatment can be started. Till that try to Chat Doctor. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Can i nebulize my child 5 year old with clenil compositum and atem together?? I used to nebulize him with simple clenil compositum and normal saline every winter season .. but now his coughing is not going.. he recently started penecillin day before yesterday because his chest infection was not going", "output": "Hello, Short answer: Detailed answer: You can use clinic composite together with item. Scientific studies show that when clinic composite (containing albuterol) is given together with item (containing ipratropium bromide), the results are better compared to clinic composite alone. Therefore, you can give both preparations together, 2-4 times a day because they will not harm your baby but at the contrary, will help him. Also, you should find a solution for the chest infection, by changing the type of antibiotic for example, in close contact with your doctor, because it is a cause of your babies cough. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My mother is diabetic, has a mitral valve which needs replaced buy she is not healthy enough for the replacement. She has a pacemaker which she, per examine, is working 89% of the time. For the last three weeks she has been dizzy, very weak and has short term memory loss. Her primary care doctor says to let her be. Am I over reacting", "output": "Hello! Welcome on Chat Doctor! I passed carefully through your question and would explain that her symptoms could be related to low blood flow to the brain. A stroke or a metabolic disorder can not be excluded either. For this reason, I would recommend consulting with her attending doctor for a careful physical exam. Some tests are needed to investigate for the possible underlying causes: - a brain CT scan-complete blood count for anemia-fasting glucose and HbA1C levels-blood electrolytes- kidney and liver function tests. Meanwhile, I would recommend you to closely monitor her blood pressure values to exclude possible low blood pressure. Hope to have been helpful! Wishing good health, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been dealing with kidney stones since 1979. Recently I was in the emergency for pain from a kidney stone blockage. The ER doc ordered a CT scan to confirm the stone. When the results came back he informed me that I had stones in my liver and my spleen . My questions are: What causes spleen and liver stones; and is any treatment advised?", "output": "Hi Linda, Welcome to Chat Doctor. Since you have stones in the kidney, liver and spleen, you will need to do thyroid function tests to rule out hypercalcinosis, which is a condition in which there is above normal levels of calcium in the blood, which can lead to stone formation in various organs. If hypercalcinosis is detected, then it will need to be treated. Liver and spleen stones don't need to be treated. If there are stones in the Gall Bladder and if they are causing problem, then surgical removal of gall bladder is required. Wish you all the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir,i was effected abdomen TB last Two years , I complete course and last one years i feel ok not any problem and no medician. Now i feel that my abdomen are large size and tight after food but i have no any symtom like no fever, no pain, no lose wts. I dought for again abdomen TB.", "output": "Hi. Thanks for your query. Read your history and understood the problem. It is good that you had been diagnosed and well treated for Tuberculosis of abdomen. Since you were asymptomatic for last year the chances of an active TB of abdomen is remote. The probable causes for belatedness and tightness of your abdomen can be: Intestinal sub-acute intestinal obstruction due to stricture formation of intestine; this is quite common sequel. Can be a mild gastroenteritis. I would advise you the following. X-ray of the abdomen in standing position. This is the cheapest and simplest test to see for intestinal obstruction. Ultrasonography and CT scan of the abdomen to confirm. Routine tests of blood and urine. Enterocolitis if obstruction is suspected, Diagnostic Laparoscopy: this helps in diagnosis and well as therapeutically. One can cut the bands / release the adhesions. Take a course of an antibiotic and metronidazole for 5 days, is there is a response, nothing to worry. - Maintain healthy food habits, avoid too many fibrous foods as they can cause repeated sub-acute intestinal obstructions. If no relief further investigations and treatment will be required." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your qHi Doctor I am shri 25 years running. I am 3 years married. My problem is i am unable to get pregnant. Last Year i was pregnant but i had aborrtion in the month of 2.5 , after that i am unable to get pregnant. I have all tests like TORCH TEST (IGGM, IGM), Glucose test, Menstrual blood test taht all ate normal. I a test i have PCOD problem for this problem doc, advised me TABLET BIGOMET SR 500 for 3 months i am taking this tablet and this is my last month for taking this tablet, with this i am taking FOLIC ACID tablets also. please doctor advise me what should i do for get pregnant as soon as possible. Regards shri XXXXXXXXXXuery here...", "output": "Hi, I think you should take some medicines like camphene for the growth of your follicles and track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles. Be in contact with your husband every 2 to 3 days after your periods stop. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. Discuss with your doctor regarding this. The problem in PCs is with ovulation. So, you have to take medicines for ovulation. Bigoted alone will not help. Hope I have answered your question. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a friend that has MS and has to take shots. He took a shot and there was a lot of blood that followed after he took the needle out. I was thinking his blood was too thin. (I take warfarine and this is why I was concerned) He drinks a lot of Red Bulls drinks too.", "output": "Hi, dear. I have gone through your question. I can understand your concern. You are taking warfarin. It is oral anticoagulant Chat Doctor. It prevents clotting of blood. So it leads to bleeding. You should test your PT and INR. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. Don't forget to click, thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "On Friday I started getting the chills and noticed I had a fever of 102+. I took Theraflu thinking it was a flu coming on. However, I kept getting a fever every few hours. On Saturday, I started getting watery diarrhea. Later that night, my fever spiked to 103.3. I still have diarrhea and have to use the bathroom every 2-3 hours. I took a tylenol last night and the fever has not come back yet. However, I still have to keep using the bathroom and it does not seem to be getting better. Is there anything I can do to stop this?", "output": "I warmly Welcome you! Thanks for consulting me at virtual clinic. I have carefully worked through your case, and I can realize your health worries. Being your physician, I assure you not to worry as I will take care all of your medical concerns. I usually prescribe in such cases Rifaximin (Ibadan) 200 mg per oral 8 hourly for 5 days. Use Mediate for revitalization and fulfil the fluid and electrolyte losses. It seems to be due to gastroenteritis due to some unhygienic/raw food. Only Tylenol can not be effective. You may need to go to your Physician for prescription of antibiotics. Hope it helped you today. If you need further, detailed and quick assistance related to any health issues, feel free to ask me a question directly from my profile. You can also attach Lab reports and pictures directly from the question window, or by emailing it to attachments@ChatDoctor .com with the Subject as, Attention: " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My baby is of two weeks. First week breast feeding was good enough for him however from last couple of days it has reduced a lot. Hence we started feeding lactogen but he vomits it out very frequently. What we are supposed to do to ensure he is being feed properly?", "output": "Thanks for posting on Chat Doctor. Breast milk is the best possible food for a baby and there can be no alternatives for that. Lactose or any other formula, is cow milk based and difficult to digest for the baby. So, in such a condition, the baby often vomits it out. Try not to go for formula feeds and go for breastfeeding as far as you can. You may express your breast milk and store it in a refrigerator before you bring it to the normal temperature and give to the baby. In case of breastfeeding, insert the entire nipple along with the areola (not only the nipple) in the babies mouth. Feed one breast at a time and alternate breasts with each feed. Breast milk is produced as per the demands of the baby as express through the suckling. In case of formula feeding, the hunger of the baby is reduced, and the baby suckles less automatically reducing the amount of breast milk produced. So, reduce formula feeds as far as you can. The adequacy of the feeds would be expressed with the amount of urine passed. Passing urine at least 5-6 times in 24 hours is to be considered adequate. Hope that helps. Feel free to revert with further queries if any." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am a 34 year old women, I got sick in December just before Christmas. I went to the doctor 4 times. He told me that I had bronchitus and gave me meds. The cough got better and o did my chest, but I have had a heavy feeling in my chest for about a month now. When I lie down it feels like I have a lump in my Throat. I dont smoke, never have and am not overweight. Can I have Lung cancer? I am really worried", "output": "Hi.it is best if you consult with a doctor if you are experiencing symptoms. The possibilities based from just your description are varied. Most common causes of lung cancer are history of smoking, occupational exposure to chemicals or inhalation agents that could be deposited in lungs, hereditary. Diagnostic studies such as chest x-ray, ct-scan of neck and chest area could easily rule-out if you have lesions. Hope this helps. Good day!!~ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Dr. I have been having depression and intrusive thoughts for five years now. Tried Zoloft for two weeks and was very ill with it. Stomach cramps etc. I am afraid of side effects of meds like tolerance after a whole and other issues. I am now quite tired of dealing with this condition naturally. What help can you suggest.", "output": "Hi, I can understand your concern about side effects after using Zoloft (Sertraline). Loose motions, stomach cramps, headache, abdominal discomfort, sleep disturbance are common side effects in initial weeks of treatment with Sertraline. Other better alternatives are reducing the dose of Sertraline or switching to Tablet Mirtazapine or Tablet Venlafaxine with Clonazepam. Kindly discuss with your treating psychiatrist. Hope I have answered your query. Let me know if I can assist you further. Wish you rapid recovery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "from since a young age i always had irregular heart beats. eg i was playing football when all of a sudden my heart started beating alot faster than usual, with chest pains on the right and short of breath. i ocassional suffer these attacks even when i sit down. now i regularly get irregular beats, where my chest hurts and at times short of breath from lying down...", "output": "Hi thereafter going through your query I understand your concern. I would like to tell you, palpitations along with shortness of breath is more likely to happen due to cardiac Arrhythmias, and it requires further evaluation to avoid fetal cardiac events. Kindly get your ECG, treadmill test or stress echocardiography done and see a Cardiologist with reports for further management. Hope to have been helpful. Kind Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have IDC Left Breast stage 2 HER Positive, 1.5 cm Cancer was removed, 2 lympthnodes removed, they were negative. I have clear margins. Pathology report states I am in Low recurrence catagory returning and the cancer is confined to the left breast only. It was at 1:00. I am currently taking 33 Radiation. Im on # 17 with 16 more treatments to go. I went to F/up with my Oncologist today. He prescribed Anastrozole for me to start taking. Possibably for the next 5 to 10 years. I am 73 yrs old, in good health and very actice. With all the side effects stated for the medication prescribed, I don t want to take it. My PET showed I had no cancer elseware in my body. My qustion is, If I choose not to take this medication what are my chances of recurrence and would it be ok if I choose not to?", "output": "Hayes with Chat Doctor. Some breast cancers are made to grow faster by a natural hormone called estrogen. Anastrozole decreases the amount of estrogen the body makes and helps to slow or reverse the growth of these breast cancers. Hot flashes, headache, trouble sleeping, dizziness, stomach upset, nausea/vomiting, constipation, diarrhea, loss of appetite, weight gain, tiredness/weakness, increased coughing, or sore throat may occur. If any of these effects last or get worse, tell your doctor or pharmacist promptly. Before using this medication, tell your doctor or pharmacist your medical history, especially of: heart disease (such as history of heart attack), bone loss (osteoporosis), liver disease, high blood pressure, blood clots. I will advise you to take one anastrozole tablet per day for 5 years. Its side effects can be managed symptomatically, Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,I had Spinal Fusion surgery in 2001. From then on I maybe 2-3x a year I would get burning pain and inflammation in my feet and hands. Lately in about last 5 mos. the occurrences have become more often and in the past month my feet especially have been in pain... standing, seating or even laying in bed( if any part of my feet would be touching the mattress). They would feel best raised but I could still feel slight burning and stiffness. I dont know if I should go see my back Doctor because that was a on the job injury or my family Doc.Please help....thank you for your assistance.", "output": "Hi, Thank you for posting your query. Your symptoms are suggestive of neuropathic pain. It may benefit to consult your doctor and discuss, as these may be related to your earlier problems. In addition, you may need to do nerve conduction studies to look for peripheral neuropathy. You would benefit from pregabalin capsules. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Recently we moved from S. Fla. to NC and my husband and I have been waking up every day stiff, achy, and barely able to move. Even my hands and feet hurt. We live in a new log home, so it can t be lead paint or old house issues. Any ideas? Wierd that it affects both of us the same way.", "output": "Hello, Sometimes, neurotransmitters in body act differently with changes of places. This may be due to temperature or weather difference of places. Sometimes this can also occur due to excessive fatigue, deny Chat Doctor. If it is a recent issue then there is no need to worry. Take some times adjust yourself with new place, take adequate fluid and sun exposure. It will go away in 5-7 days. Meanwhile, you may do warm fomentation to relieve stiffness. If there is intolerable pain then you may have Tylenol for relief. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 16 year old son has a swollen lymph node behind his ear and recently noticed a lump in his pectoral muscle near the nipple. He also has said he has experienced fatigue during the last few weeks. He is active in baseball so it is difficult to assume if this is all related.", "output": "Hello, I understand your concern. I am Chat Doctor, infectious disease specialist, answering your concern. The most common cause of the swollen lymph node in India is the tuberculosis. I also suspect the same in your child. For the confirmation of the diagnosis it is necessary that you should do FNAC and ZN staining from the material received. If the test is positive you should also do the TB testing by Inexpert, It is also diagnosed the common resistance pattern and can help you in treatment part. TB treatment have many side effects, please do not discontinue the treatment as it can create resistance pattern in the bacilli. Complete treatment only cures you but also prevents future relapse. I will be happy to answer your further concern you can contact me here, or you can contact me on bit.ly/ Chat Doctor. Thank you, ChatDoctor" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 1 year old has been having 6 to 8 bowel movements a day for almost 2 weeks and has horrible diaper rash. She was treated successfully for thrush a few months ago, but I don t see any obvious white spots in her mouth. Plus, I don t recall her having frequent BMs the last time.", "output": "Hello, Your baby having loose stools for 14 days along with diaper rashes is suggestive of lactose intolerance. It is seen in babies that have some infection in their gut due to difficulty in digesting lactose and sugar in milk; this makes them pass stool with acidic pH which leads to diaper rashes. Apply Silver Mini cream or any zinc oxide cream on the affected area after cleaning the area, each time after passing stool. Get a stool examination for pH levels done; reduce and change milk to a low lactose formula. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have high blood pressure and I was told that my potassium level was low so I bought some potassium gluconate pills today they are 595 mg and I am scared to take them after reading about the side effects. What should I do I have an appt. to see a cardioligist next monday?", "output": "Hi, Thanks for asking. Based on your clinical history and query, my opinion is as follows:1. Low potassium can increase blood pressure, however, it is usually not the sole reason. You need to be on antihypertensives with consultation from your doctor.2. Taking potassium tablets is risky. Cardiovascular effects, particularly arrhythmia are dangerous. 3. You can concentrate on improving potassium by improving diet by including items like banana, green leafy vegetables, potatoes, fish, yogurt, mushrooms, etc. Improving potassium will reduce risk of high blood pressure, stroke and cardiovascular disease. Hope it helps. Any further queries, happy to help again." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello any OBGYNE doctors or other doctors knows this question pls answer me thanks.. what is the success rate of to prevent pregnancy when using Nordette as ECP ? when took 4pcs within 60 hrs of unprotected sex then 4pcs after 12 hrs of the 1st dosage. thanks", "output": "Hello, Thanks for sharing your health concern with us. I have gone through your query and would like to offer my opinion. The efficacy rate of an emergency contraceptive pill depends on the time delay after the intercourse before the pill is used. When the pill is used soon after, the protection offered is 98-99 % while it decreases as time goes by. At 60 hours, the protection offered is around 80-85 %. Corvette is shown to have the same efficacy as any conventional emergency contraceptive pill. Please contact your health care provider for further help. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had a cold or virus for 10 days now. I have had a bad cough and alot of sinus problems. I was coughing up yellowish flim and I called my Dr. and she perscribed antibotics for me I have been on the antibotics for 6 days. My sinuses seem better but still have a cough but not as bad. I do smoke maybe 5/day. How long will my cough last?", "output": "Hi thanks for contacting Chat Doctor... If your cough still not improving than digital chest x-ray and spirometry (pulmonary function test done for further work up)To detect causative organism throat swab or sputum collection done and send for culture report ... According to which Chat Doctor. .... You have smoking habit .... So it can lead more cough production ... It is better if you can get rid of smoking habit ....Meanwhile, if trouble some " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I m trying to conceive and I have been taking ovulation tests and last week I got a positive (smiley face) ovulation test, then negative the next day, then positive the day after that, and today (1 week later) I got a positive again! what does that mean? why could that be hapenning?", "output": "Hallow Dear, This dilemma seems to be either due to error in the kits or personal error. Delayed positive test could be due to exceptional additional delayed ovulation from the other ovary. In such confusion, I would advise you to take the help of ultrasonography. Ultrasonographic ovulation monitoring has an edge over the kit:1. It gives visual evidence of ovulation.2. It informs us about the size of the follicle when it ruptured to release egg. Follicles between 18 mm to 21 mm size give best results of pregnancy. 3. It informs about the endometrial thickness also. For successful implantation, at least 10 mm thick endometrium is lucrative. I hope this helps you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Family memeber, 85 and living alone, stopped her dialysis; did not have it on scheduled Saturday, talked to her son, Monday evening, then was found she had died in bed later that evening. Blood appeared in and around her mouth. Could you tell me why the blood? I understand she went peacefully.", "output": "Sorry to hear about the demise. In patients undergoing dialysis and having stopped there could be multiple reasons for bleeding. These patients have bleeding tendencies, so she might have bled from any ulcer in stomach or esophagus. Or if due to stopping of the dialysis, she might have developed pulmonary hypertension due to accumulation of excessive fluids in lungs and cause bleeding through lungs which might have surfaced during excessive bought of cough containing blood. These could be the main reasons that I think of from what you have told me in your question. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my dad (84) has been diagnosed with another bleed on the left side of his brain. He had an annuryism in the same spot 20 years ago and he had surgery to correct the bleed then. He was left paralyzed on the left side. Because of his age we have opted not to have any surgery as he has been through so much in the last 20 years. He has spent 15 yrs in a nursing home. The ER doctor who saw him told us of this second bleed and also that he will die and that all they can do is keep him comfortable. How long do you think my dad will lie like this? The bleed was found on Wednesday of last week. I just do not want him to suffer and he seems to be resting peacefully and even ackowledging us with a nod of his head occassionally. He is holding his own as far as his lungs and heart goes and is passing the fluids that they are giving him now. The only symptom he had to alert us something was wrong was is low oxygen levels and this is why we had him taken to the hospital. Any info you can give us will be greatly appreciated.", "output": "Hello, You have most of the information that you should know, and you also have absorbed it the way it should have been. Beyond the present supportive care, there is nothing much that may be required for him. A major part of brain his not functioning for him and at such an old age when organ systems start giving in one by one, one can only try to give him peaceful and comfortable existence as long as he pulls on. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 86 years old and having good health till 4 months back. I got psoriatic Arthratis but it was diagonised late. I lost 4 months and got treated by the doctor with Saaz. But I found it not suitable for me. I lost 2 month for treatment. Now I have been treated with folitrax 15 mg injection and I found it is ok for me. Pl advise how to get strength as I am bed ridden and could not walk properly without support. Also my back joints L4 L5 etc are giving lot of pain. Pl advise remedy.", "output": "Hello, Low back pain in psoriasis arthritis have different origin. This pain is mostly due to increase in inflammation. In your case two factors are playing role one is your disease & other is your inactivity with your age. In my opinion if you are facing severe problem with low back pain then you may ask from your doctor about intermittent course of low dose steroid. This is very helpful in such cases. Your doctor is the sole person to decide its pros and cons in your age. You should continue or start calcium & vitamin D therapy. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi my lft report range are as follow .Iam bit confused regarding the range serum bilirubin(diazo method)..... .93 mg/dldirect .50indirect .43sgot ifcc method 93.8 iu/lsgpt 148.5 iu/l", "output": "Hellhole me explain to you that, what is got Sept. In your case serum bilirubin level is normal so need not worry. The aminotransferase is sensitive indicators of LIVER CELL INJURY and are most helpful in recognizing acute hepatocellular disease such as HEPATITIS. They include the aspartame aminotransferase (GOT) and the alpine aminotransfearse (Sept). Sgot is found in liver, cardiac muscle, skeletal muscle, kidney, brain, pancreas, lungs, leukocytes, and erythrocytes in DECREASING disorder of concentration. Sgpt is mainly found in the liver. I want to explain to you that any mild disease or any injury to above-mentioned organs may be responsible for high level of GOT. While primarily Sept is in liver, so any cell injury to liver cells may be responsible for liver disease. But this level is not so high so at present need not worry, if you didn't have any other symptoms. Keep regular watch over liver function tests and symptoms. Besides avoid wine, Chat Doctor. Still if you have any doubt get in MRI and ultrasound of liver. Consult a physician and get his opinion as physical examination is also important. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doc. I am currently taking meloxicam, and was wondering, can I take tylenol for my muscle pain? I take a half of my meloxicam as needed and the last time I took one was this morning. I ve been having muscle pain on my left side about a week now and I am trying determine my pain level. Arlene", "output": "Hello, I have studied your case. Yes you can take Tylenol for muscle pain. Be aware of side effects of Tylenol. Side effects such as dizziness, Chat Doctor. You can take other opioid analgesic if pain persist for few days. Opioids may have other side effects. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Me and my gf were fooling around i had gotten cum on my to stop from cuming in her after i pulled out. After i washed my hands with soap and water. About an our later we fooled around again. Could she get pregnant even after i washed the cum my hands?", "output": "Hi their have understood your concern. If you had this unprotected sex act in the fertile period of her cycle then she should take emergency contraceptive pills within 72 hours of unprotected sex act. As you might be aware that pre ejaculation fluid contains sperms enough to cause pregnancy. And it gets deposited without you noticing it. So even if you pull out before ejaculation, it is not a safe sex. It is not due to washed hands but due to pull out method, she stands chance to get pregnant. I hope this answer helps you. Thansk." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a gastroscopy and was diagnosed with the beginning of stomach ulcers , I was put onto a 2 week course of antibiotics (Moxypen & Klarithran) which I m still taking as well as Topzole, for the last 3 days I have had severe swelling of my ankles and feet and even my eyelids are swollen and I feel flushed all the time, could there be a relation between the symptoms and the medication??", "output": "Hi, Thanks for posting your query. I am Chat Doctor. The swelling you have in the ankles, feet and around the eyelids is not related to the stomach ulcers or the medications you take. Swelling like these occurs due to either heart, liver or kidney diseases. Puffiness around the eyes usually occurs in kidney disease. You need to get tests done to see which of these organs is affected causing the swelling of the ankle, feet and around eyes. I hope that answers your question." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m on sprintec for few months. I never missed a pill and I always take it on time?But the other day I missed then I took two pills yesterday with one hour in between. Today I took my dose about 2 hours and 10 minutes late. I had sex tonight. Is there any chance to be pregnant? WWW.WWWW.WW", "output": "Hello, Thanks for your query.sprinter is used to prevent ovulation. As you missed one dose and compensated it next day by taking 2 pills. Though you have taken your dose little late but still you have same chances of pregnancy when you use pills promptly/regularly. So don't worry and read carefully instructions provided with your medicine. If you miss one active pill, take two pills on the day that you remember. Then take one pill per day for the rest of the pack. If you miss two active pills in a row in Week 1 or 2, take two pills per day for two days in a row. Then take one pill per day for the rest of the pack. Use back-up birth control for at least 7 days following the missed pills. Hope it helps. Take care!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am taking glycomate sr igram at night before meal. my fasting sugar was 150-160 range before medication and PP was 170-180. i have strict diet control. after taking medicine for one & 1/2 months now i am feeling sleepy which i do not had earlier. presently my Fastinf sugar is 129-141 anf PP is 140-150. si do Yoga for i/2 hrs, walking for 20 minutes and Gym foe 15 minutes daily. Should i stop medicine.D .mitra age 55 ,male,kolkata india", "output": "Hi Mr. Mira, As you have not mentioned the duration of your Diabetes specifically, let by your narration my interpretation is you have recently detected Diabetes diabetes approximately one and half month back. You have started on Glycogen Sr 1 gm before dinner, along with you are doing yoga, gym, walk regularly diet control. With all these efforts your blood sugar levels are fairly controlled. I would like to advise_1. Strictly follow Diabetic diet regularly. 2. Continue yoga, gym, walk regularly. 3. Continue Tab Glycogen Sr 1gm after dinner. In fact, you can increase the dose up to 1.5 gm and over another 15 days to 2 gm total per day in divided doses preferred to take after meals. (effective dose is approximately 1.75 gm per day) As this medicine rarely decreases blood sugar levels below normal level (rarely causes hypoglycemia) This medicine act on basic pathology of diabetes called insulin resistance. As Diabetes is lifelong disease, as duration of diabetes increases there may need of additional medicines. 4. You have not mentioned your height and weight so that you should target weight loss according to your height. 5. Certain blood test are important like lipid profile, serum creatinine, HbA1C which denote blood sugar level over period of approximately 120\u00a0days. Urinary protein creatinine ratio, Endoscopy to rule out diabetic retinopathy. 6. You should also start medicine for lowering lipids despite your lipid level, if it is in normal range start in basic dose and if in higher doses according to lipid level. 7. Also, regular BP checking" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My mother is having lightheadiness and heart palpitations and sometimes her hear races. This has been over the last few days. She just checked her blood pressure and it is normal and her pulse rate is 72. Could she still have a heart attack with normal blood pressure and pulse rate? Thanks, Kelli", "output": "Hi, Lightheadedness associated with palpitations can be caused by irregularities in heart rhythm. Heart rate and blood pressure can be normal in these cases, but it is important to know what her heart rhythm is, and what is usually done is an ECG which documents the electrical activity of the heart. It may not be a \"heart attack\" per se, but it is noteworthy that she may undergo tests as part of the work-up. And I would suggest a consult with a doctor to be able to check other causes of dizziness such as a musculoskeletal problem in the neck, as well as problems in the eyes and ears which may cause dizziness, apart from a problem in the heart. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 27 years old female. I am having right lower abdominal pain for past 2 years. The pain goes away after taking a course of antibiotics but reoccurs after some time. In the beginning the frequency of reoccurance was after 4 to 6 months, but now its occuring again and again within 15 to 20 days. I have the following symptoms. C1)fatigue, Feeling discomfort and tired always2)nausea always. Sensation is more after few minutes of food intake3)severe pain in lower right abdomen4)feeling burning pain in all over the abdomenal area5)Getting constipation for few days and then loose motion for few days Have done abdomincal scan and showed results as1)Left renal stone2)Minimal fluid in cul de sac Have done blood, urine and stool tests and reports showed these1)Haemoglobin is low2)ESR is high - 343)Showed pus cells in stool, occassional and stool is brown in color.4)showed 1-2 leucocytes and 2-3 epithelial cells in urineMenstrual periods regular(30-32", "output": "Hi ! Good morning. I am Chat Doctor answering your query. From your history, and ultrasound report of fluid in the cul-de-sac, I would suspect you to be having a PID (pelvic inflammatory disease) which might also be associated with a UTI (urinary tract infection), which had to be ruled out by a culture and sensitivity test. If I were your doctor, I after a general physical examination of yours would advise you to get yourself assessed by a gynecologist of your area to rule this out specially if you are sexually active. Till then, I would advise you for a course of broad spectrum antibiotics along with an anti inflammatory and a proton pump inhibitor for a symptomatic relief. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Respected Sir,My name is Nishanth singh gurung. I have undergone a root canal treatment 8 months back. One of my teeths in the bottom section is growing at 70% angle outwards. It is causing a problem in the gums. I always feel some sensitivity there and not able to study properly. Please tell me what i have to do. Its urgent", "output": "Thanks for your query, I have gone through your query. The sensitivity in the tooth can be because of the cervical abrasion(Wearing away of tooth structure) since it is in an abnormal position, more force will be applied when you brush. The other possible cause can be a dental caries in between the teeth. So consult an oral physician and get it evaluated and take a radiograph to confirm the diagnosis. If the tooth is a wisdom tooth, then get it removed. If it is some other tooth, you can get it restored a cement material. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I m 38 years old and due to a gun shot through the roof of my mouth.I have worn a partial for years. I m 5 1 amd 91 lbs always been very small child like. I had full dentures put in yesterday and they huge! I m gagging,cant close my mouth,color is very dark,and teeth are like hores teeth. I m horrified. I have called him and he said the will fit when I grow into them. I don t think I m going to be doing anymore of that. What to do? He pulled what 10 teeth I had left now nothing and owe him over 5,000$. Help PLEASE", "output": "Hi, Thank you for the query. First thing is you cannot wear a denture which is bigger than the size of our palate. Definitely you will have a gag reflex as the over extension of the denture is into the soft palate area leading to gag reflexes. Coming to the growth part, you are already 38yrs old, at this age there won't be any growth in your body parts. Only thing what can be done is asked your dentist to prepare another set of dentures which are of your size not huge and size of the teeth should be reduced, and your occlusion should be checked thoroughly and extensions of the dentures are important so that you won't end up in gag reflexes anymore. Best thing is to see a prosthodontist. Hope this information will help you. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had surgery to fuse L4,L5 and S1 9 moths ago and I am experiencing pain in my lower back right side radiating around and into my groin. I had 3 steroid injections in my hip because a recent mri showed a tear in my hip socket. My orthopedist said it was nothing more than burcitis and that the pain I was having was to do with my back. My neuro surgeon say the fusion is fine and healing well. What would you advise", "output": "Hello, I have studied your case. You may need to do MRI spine again to see for nerve compression Due to compression of this nerve root there is tingling numbness in your leg and pain associated with it. If there is instability then fusion with fixation may help. As per your previous surgery of spine now there is possibility of discuss, which can be confirmed by MRI with contrast or CT pyelogram. For these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and TENS therapy will help will advise checking your it B12 and it D3 level. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. If you find this answer helpful do not hesitate to rate this answer at end of discussion. Wishing you good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I m using shades like lipsticks , gloss, lips balm for more than 5 yrs,....but for past one year, m getting allergie to those products...I seriouly don t know the reason which is making my lips itch & irritate...now-a-days whenever m using lip shades, it will automatically cause my lips & lipline - dry , itch and irritates....so stop to use lipshades and switch on to use lip balm, since lips became very dry if m not applying any mositure on it ..[ Using products are Lakme & Lotus ]...Previously i don t have this kind of problem...Only recently it is causing....Can anyone assist me the cause of my problem... Thanks.", "output": "Hi, welcome to the Chat Doctor forum, the complaints which you mentioned is called as contact dermatitis or chemical irritant dermatitis, it has an allergic component, since you are getting this for the past 1 year it signifies that your immunity which prevents from getting this kind of allergies is getting down to lower levels, I suspect you are under some kind of tremendous stress either financial or mental which is causing this type of hypersensitivity in you, this is absolutely curable with special homeopatChatDoctoredicines.... get well soon ! You can contact me on Chat Doctor. Com" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi sir,my daughter is 4 yrs old and we have been to india last year for christmas and came back on january 13th 2011,right from then my child started spiking a fever. it happens about every three weeks to 1 month. she will be fine in the day, playing, going to school, the only thing is she says her belly is sore but doesn t complain too much. then when it comes to about 5pm she deteriorates very quickly. becomes very lethargic, sleeping, crying but not knowing whats wrong, shivering. her temperature goes up. this usually only lasts that one night and by the next day she s almost as normal...for another few weeks.", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query your daughter have symptoms of frequent fever and shivering which seems to be due to poor immunity of body which making your child susceptible to infections. Well this is something you should be concerned about as it could be due to underlying systemic pathology. Need not worry. I would suggest you to visit pediatrician once and get it examined. You should go for complete blood count and urinalysis done to detect level of infection and find out any systemic pathology. Start treatment after proper diagnosis. Till then take Ibuprofen/ Acetaminophen. Chat Doctor. You should do tepid sponging if fever is of high intensity. Take diet rich in multivitamins. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello I have bee severely depressed f or eight months, anxiety anger,guilt fear ,I have been taking Zoloft and gabapentin it seems to agitate me more,I used to take Ativan for many years and narcotics for severe pain relating to several bad fusions and a titanium plate,been t several doctors at emerg and walk in clinic who no longer will prescribe my old regular medications to cope,I moved from my home town and the confusion ,frustration,accusations began, five years ago,now iam sixty alone and afraid of what would happen should I be hospitalized, trazodoned, or something worse and disappear as a vegetable,I ve been to mental health who gave me ability to no avail.i have been on cilopran and others no changei have along history of fibromyalgia low thyroid headaches and never feel rested and secure,I live in canada and resources and options are limited, frightened I,ve been treated horrifacly a few times and afraid of what they will do ,or prescribe.d o you have any enlightening advice.my world is crashing in losing everything that was once dear and necessary,all because I moved and left my home where I was safe but can,t goback now. Any illuminating thoughts .?go", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. I am not so happy to read your thoughts. You are 60 and you have life experiences. Every incident in our life, whether negative or positive, teaches us a positive lesson. In that sense whatever happened us is supposedly taught us a lesson for our future. We live today. Not in yesterday. There is no surety that the same thing will happen again. So approach future with positive might, because THERE IS NO ALTERNATIVE. If you are apprehensive about your future, you also lose your TODAY. I am not overlooking your illnesses. You are supposed to have learned by now, what are your problems and started living according to the situations. Once you start adjusting with the problems, cure starts. Forget medicines, concentrate on life. Psychotherapy is the answer. Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have heel blisters, that I am trying to let reabsorb, there are white floating objects underneath, what are these? Also, prior to the blisters, I have been having numbness and pain at the back of the heels, it started with a mal fitting pair of sneakers, but that was months ago and I only wore them once.", "output": "Hi I did understand your concern. Your lesion may be a reaction to the new shoes and that can cause such problems. The blisters will slowly heal on their own. You can apply Luke warm fomentation on it with a clean cloth and if they burst apply an antibiotic Chat Doctor. In view of severe pain please consult doctor. Numbness and pain over heel can be due to diabetes, electrolyte imbalance or due to nutritional deficiency or Achilles tendinitis and planter fasciitis would recommend you to get evaluated for these lesions step by step as each have different treatment.I hope this yellowish you all the best thank you for using Chat Doctor. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just had an MRI on thursday, Ive had many MRIs in the last 10 years but this was my first experience in a 3.0 Tesla imaging unit. I have relapsing remitting multiple sclerosis and am on Tysabri as my disease modifying drug, I have tested positive for the JC virus {papovavirus} and so my MRIs are to watch out for possible signs of PML. My head has been pounding off and on since thursday and I was wondering if this is common in higher Tesla MRIs.", "output": "Hi, Thank you for posting your query. It is possible to get headaches after 3.0 Tesla MRI and several of my patients have also complained about that earlier to me. I am not sure of the exact reason, but may be related to noise or higher magnetic field. It settles down in a few days. Wishing you a favorable MRI report. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "this is the first day of root canal, after coming back from doctors clinic once the initial sensation started i have unbearable pain , i have taken Katrol DT and dic+paracetamol tab together but no releif kindly suggest its 2 AM night and i dont know what to do", "output": "Thanks for your query, I have gone through your query...the pain could be because of the tooth infection.the analgesics you are taking is enough for the pain to come down, but you have to take a course of antibiotic like penicillin and metronidazole...if the pain is unbearable then you can take intramuscular injection of an analgesic. I hope injection is not required.just take the analgesics what you are taking and consult your dentist in the morning... I hope my answer will help you.take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My father in law whois 84yrs of age was rushed into hospital with pains in his abdomen last week, he is being treated for gallstones. When we visited he had a drain attached. he was discharging fluid which was a dark brown? He now has the nor virus so we cannot visit. Is this serious? Thank you", "output": "Hello welcome to ChatDoctornoro virus infections are not so serious as you think. These infections occur mostly in crowded places like hospitals, nursing homes, schools. In most of the patients it gets cured unless it has complications like severe deny Chat Doctor. It is highly contagious infection. Close contact with patient can also spread the infection. Hope I have answered your question, if you have further questions I will be happy to help." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hifenac mr tablet was taken by my wife age 29 due to the pain in her lower waist , the reason is i suppose body cramp due to a massage by a proffesional.now she is suffering a severe pain in her waist and could not able to move and walk. should i go for a injection,pain killer or any spray pain relief ?", "output": "Hello, As you are already taking tablet Higher MR still she has severe pain and not able to walk, so I think you should consult with orthopedic for detailed examination. I will advise you today to do x-ray lower back and hip joint after orthopedic opinion. Now, along with Higher MR, you can use Voting spray or apply diclofenac gel. If still symptoms not relieved, I will advise MRI after Orthopedic consultation. I think you are suffering from severe muscle spasm or may possibility of nerve injury, but we have to confirm that. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "For months my back has been hurting and I thought it was just a muscle strain. When it continued past four months it became more intense and difficult now to turn over in my sleep. It is worse at night then during the day when I am in movement. Today though the pain has gone up my back and making it harder to take a breath without a minor amount of pain. I don t have insurance, it s too expensive for this hard-working independent, American woman. Help!", "output": "Hello, Thank you for using Chat Doctor. I read your question and understood your concern. This is back pain probably for fiscal hernia or discuss that may need examinations such as MRI etc. In your condition since you do not have any insurance and can not do these examinations, I would recommend starting some exercises at home to strengthen your core muscle, back and abdominal. You can do these exercises in home and do not even need to go in gym. It will need at least 3 months to see and effect but stick with it. I wish you quick recovery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have noticed a sizeable but painless lump on my right calf muscle, I have been suffering a lot with restless legs lately and put it down to my recent pregnancy but now I have noticed this lump and I feel generally tired and just not myself? Any ideas what this could be? I am 29, 5 7 and 12 and a half stone, I smoke and have used the contraceptive pill since I was 15.", "output": "Hi, dear You have lump on calf muscle. It can be ganglion cyst or some soft tissue tumor. You should go for ultrasound study to know exact location and origin of lump. If needed go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, im a 27 yr old female and over the past 2 yrs i have been getting left sided chest pain, and pain in my left rib that also radiates to the back. my 3rd rib is protruding as thats what my doctor said. i feel breathless n i get skipped hb everyime i get pain in that rib. I have had x rays done but everything seems normal.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Mild Breathlessness, skipped heart beat, left sided chest pain etc. can be seen in arrhythmia (rhythm disturbances in heart). So first get done ECG, 2d echo and Holder monitoring (24 hours continuous recording of ECG). If all these are normal then no need to worry about heart diseases. In my opinion, your pain is mostly due to musculoskeletal cause. So avoid heavyweight lifting and strenuous exercise. Avoid movements causing pain. Avoid bad postures in sleep. Apply warm water pad on affected areas. Take painkiller like ibuprofen. Sit with proper back and chest support. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 4 year old daughter has had a low grade fever which has spiked usually in the afternoons for 4 days, reaching only 100.5 so our doctor wouldn t see us. She has also had loose stools, some cramping in her stomach, congestion both in her chest and in her nose and a runny nose. Today I noticed a small blister in the corner of her mouth that looks like Herpes. A friend of hers has outbreaks on her mouth all the time that look like Herpes, but all over her mouth and I work very hard to monitor their play. This also seems to be symptoms of hand foot mouth disease except she doesn t have the rash on her feet and hands, only the blister on her mouth. Any thoughts as to what may be going on? There has been no change in appetite or energy level.", "output": "Hi... Thank you for consulting in Chat Doctor. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have sciatica pain from a hip reconstruction I had in 2002. Now Im experiencing weakness when lifting my arms. FAcial numbess, mostly on left side but feel a little on right. Legs are almost numb from knee down, it does travel up my left leg. Feet numb and tingling too. My head is almost kinda numb and I cant think straight. Dizzy on and off. I feel sick to my stomach. Please help.Thank you, Nancy", "output": "Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. The history is suggestive of Peripheral Neuropathy You need to visit a Neurologist and undergo Clinical Examination of ReflexesExamination of Sensory System Nerve Conduction Studies After that we can treat and try to cure you at the earliest Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in Chat Doctor at http://bit.ly/ask" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello docs n experts, Since yesterday I m ejaculating red semen. I noticed it yesterday while masturbating, even today I seen same thing when I was trying to confirm was it a normal one day case or a serious issue. Now I think it is a serious problem for me. Please help me.", "output": "HelloThanks for your query, based on the facts that you have posted it appears that you have got Haematospermia (Blood in semen) noticed after masturbation. This is mostly due to trivial injury to urethra due to rough vigorous shaking of your erected penis. Please get Ultrasound Scanning of the penis done to rule out any major injury. You need to take broad spectrum antibiotic like \u010ceferin along with anti-inflammatory Chat Doctor. Ensure to " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I take effexor XR 75 mg once a day. I have no appetite ever. Sometimes i go days without eating and don t even realize it. When i eat, i never want to be eating. Its like im just doing it because i have to. Food never sounds good. Also, i ve noticed i feel almost no emotion. Im always in a generally good mood... but when something tragic happens its like im completely immune to it. I feel no sadness. I feel no fear, no worry. When it comes to relationships.... i can take it or leave it. When me and my girlfriend of four years broke up.... She was devastated. Crying, saying how hard it was emotionally. I felt nothing. I haven t cried or even came close to crying in a very long time. Why is this happening? Is this normal?", "output": "Hi Cablejm2 ! You are taking Effector for your depression. Now this medicine give you depression. If you're taking this medicine for long time, do ask for change, cause like other psychotic Chat Doctor. This medicine made you emotionless, so you can deal with life situation. Now take the advantage leave this medicine, do exercise and make hobbies and live your life. And don't leave medicine at once give gap gradually. And get out of this medicine trap. See you again bye." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m 33 weeks pregnant, and have been feeling really unconfortable. Sometimes when I sit down it hurts or when I try to stand. It even hurts sometimes when I m laying down and go to roll over. It like sharp jabs of pain along my sides and under my belly. Is this normal?", "output": "Hello dear, I understand your concern. In my opinion the pain abdomen can be due to various reasons like preterm pains, muscle cramps etc. It needs physical examination to rule out the cause. In case of any preterm pains there can be cervical changes. You might need complete urine examination to rule out any infection. Nothing to worry. It will subside with spontaneous treatment. Avoid stress. Take adequate fluids up to 2-3 liters per day. Best regards..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 14 year old son fainted at school on Monday and afterwards he couldnt move his arms initially he had been watching a documentary on blood vessels in Science when this happened taken to dr who wasn t overly concerned should I be taking him to see someone else", "output": "Thanks for asking. I have gone through your question and I understand your concern. Your 14-year-old son fainted in school while watching a documentary on blood vessel. From information given by you, I am able to understand that he said he was not able to move his arms on but afterwards he is able to move. Chil Chat Doctor. There is nothing to worry or I don't think there is no need to take your child to some other doctor. It is normal adolescents hope I answered your question" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Why do I wake up with my arm or arms in the air? sometimes they fall and I hit my husband who gets mad. Is this a neurological issue as Ive had 7 operations on my neck and back? Is it due to med I take for pain or depression? Stress induced? Any ideas to stop this behavior? Thank you so very much for any input you may have.", "output": "Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. It could be a type of parasomnias, but they are not to be bothered. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a small tumor removed from my bladder yesterday at a hospital 60 miles away. This afternoon I started having blood in my urine. Late today i had another bladder full of blood and after urinating, followed by a warm flush sensation which took an hour to diminish. I estimate I have bleed about 3 or 4 ounces of blood. Waiting to see if it is less or more next time or should I be calling 911 now to take me to the local ER where there isnt a qualified Urologist available... e-mail YYYY@YYYY", "output": "NamasteWelcome to ChatDoctorGreetings of the dayroom the description given by you, you seem to have clot retention in bladder, bladder is not able to completely evacuate and bleeding from the tumor site may be going on. Would suggest you to call up your emergency number, you require a bladder wash which help solve your problem. A qualified physician is capable of attending to it. I hope it helped back to me if you have any other overtake disregards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my mom takes spironolactone med due to her current heart problem. This med was priscriber by MD in Ethiopia and she is hear in USA. The Dr. here is doing a lot of test but in the mean time she is running out of this med. So if she stop this med what is the risk?", "output": "Brief Answer:There are no risks from the interruption of Spironolactone, while her blood pressure values are normal. Detailed Answer:Hello, Thank you for using Chat Doctor. There are no risks from the interruption of Spironolactone, while her blood pressure is not higher than the normal. Spironolactone can be stooped immediately without any problem. Meantime your mother should monitor strictly her blood pressure values at least three times a day. If the values are higher than 140/90 mmHg, than she should refer this to the treating doctor, in way to prescribe any other antihypertensive Chat Doctor. Hope this is helpful. Let me know if you need more clarifications. Otherwise, please close and rate the answer. Kind " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Woke up with a discoloration on my left hand and some swelling around my middle finger . Now it looks like I have a huge bruise on my hand from knuckle on my middle finger to whole back of hand to the wrist . I do not remember hitting it on anything. I was lifting a canoe while I was camping a few days ago. I am on blood pressure medication and one half of a water pill plus baby aspirin .This is because I only have one functioning kidney due to chemo damage to my left kidney", "output": "Hi, Please get the renal function tests done and if it is normal you need not worry about having single kidney. Usually the remaining kidney compensate for the other non-functioning kidney. The bruise might be because of aspirin. However you have to consult your physician for definitive diagnosis. Take care not to take too many analgesics without prescription as they will have adverse effect on kidneys. Regularly monitor your kidney function. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": ":) hey i got a question .. so yeah i had a root canal on one tooth and being lazy i forgot to get the permanent filling and as time passed my tooth fell out .. so my question is .. Can i still get infection there even if i had a root canal and forgot to get the filling and my tooth fell out ??", "output": "Thanks for your query, I have gone through your query. The chances of root canal treated tooth getting infected is very less unless it is not properly treated. The fell out tooth structure could be only the crown portion. The Root canal treated tooth becomes weak after RCT, so it has to be crowned immediately. Now the roots might be remaining with in the bone. Consult an oral physician and get a radiograph to rule out the presence of root piece. If root is there then get it removed. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello docter.... my baby girl of 1 year 9 months has been getting hives for the last 2 months... usually after she gets up in the morning n after a afternoon nap.. allergy testing done showed she is allergic to milk. so we have stopped it and giving her isomil. but still ni improvement. she requires to be given allerid once a day otherwise the patches increase. what to do? worried abt giving allerid on a long term basis.", "output": "Hello, Thank you for asking at Chat Doctor. I went through your daughters history and would like to make suggestions for her as follows:1. I would like to know more about her milk allergy symptoms. How was milk allergy diagnosed? If she is really allergic to milk, taking any milk product (be it curd, buttermilk, butter, milk biscuits, milk chocolates, etc.) can cause her allergic reactions.2. If she is not taking any milk products and still she develops allergic reactions, I would suggest allergy testing for other foods such as soy, ground nut, wheat, rice, egg, seafoods, tree nuts, etc. This will help you to identify the allergy, if any.3. Hives can occur even without allergies. Possible causes are viral infections, bacterial infections, parasites, Chat Doctor. 4. As she is getting hives since 2 months, I usually suggest my such patients investigations like serum total IGE, allergy testing for common allergens, complete blood counts, ESR, stool examination, urine examination, etc. However, before suggesting investigations, I always take a detailed history about her each and every symptom, diet, environment, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was just diagnosed with multiple organ cancer...nodules in peritoneum cavity, liver, bowel,uterus,lung, pelvis. We do not know the primary cancer. Do you recommend going to MD Anderson, Sloan Kettering or the like. I am a 79 year old female who I thought was in good health.", "output": "Hello, Knowing the primary site is essential for treatment. Treatment varies from organ to organ. Site can be known by doing a biopsy from any of the nodules and doing immunohistochemistry (IOC) on that biopsy material. Both MD Anderson and Sloan Kettering are nice hospitals. Please consult a good oncologist in good hospital. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i ave tb i on medication but now i found a lump in the back of my neckjust at the top of my spine will they take fuilod from it because i dont want them to i had it done on my lung and it was very painful thank u my age is 54 5 foot 8 ins and iam a diabetic", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Yes, fluid aspiration from neck abscess is must for the diagnosis of type of infection. Since you are diabetic, this kind of purulent infection can be seen with mixed infection like aerobic, anaerobic bacteria with tuberculosis. So abscess fluid (pus) culture and sensitivity report is needed. Culture will isolate the causative organism and sensitivity report will guide about effective antibiotic treatment. For this we need abscess material, and it is available only after aspiration. It is not much painful procedure. Intensity of pain will be similar to simple needle prick. If you're really afraid of pain then ask your use local anesthetic agent (lidocaine) before the procedure. Don't worry, this won't cause pain. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, my friend recently just had food poisoning. He has vomited twice since. Now he is saying he feels cold inside, has a headache, whole body aches and its sore to touch, muscle and joints hurt, gets dizzy if standing to long, and has been falling asleep on and off all day", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Food poisoning causes gastritis, vomiting and diarrhea. Vomiting and diarrhea causes loss of fluid and electrolytes (sodium and potassium) from the body. Gastritis and vomiting cause less appetite and decreased oral intake. So overall patient is deny Chat Doctor. These can cause all the symptoms like headache, generalized body ache, muscle and join pain, giddiness, sleepiness etc. Best treatment for this is oral rely" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband is having a dull tightness in his right abdomen. He describes it as a feeling of being full after eating small meals and a feeling that his stomach is balled up in one area. He has been very gassy and sometimes a pain or an uncomfortable feeling is there and stays there for a while until he lays down. He states that when he lifts his arms up there is a feeling like it is being pulled because of how tight it is. He has had blood work, stool samples, x-rays, liver enzyme test, pretty much everything except for a CT or MRI and everything has came back normal but he is still having the same feeling. We do not have a clue as to what else could be causing this.", "output": "Hi. Thanks for your query. Just to recapitulate: dull tightness in right abdomen - full after eating small meals - balled up in one area-gassy- being pulled because of how tight it is.-everything except for a CT or MRI- I would advise starting with a simple investigation like: Plain X-ray of the whole abdomen in the standing position-this may show air-fluid shadow if intestinal obstruction. Yes, CT will definitely help the diagnosis. In the meantime he should stop all the foods and beverages that you both have observed to have increased the problem. The treatment will depend upon the diagnosis and can be medical or surgical. There is a possibility of an inflammatory process going on in abdomen with added intestinal obstruction." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello my name is Penny. I got home from work I took my shoes and sock off, changed clothes. I sat down and my toe was hurting, I tried to figure if I hit the toe on something or dropped something on top if the toe but it hadn t happened. I tried to ignore it but in a few minutes I took a good look at the toe, it felt warm, looked to see if I could find if it looked like I had some type of bite but didn t find anything, that s when I noticed a red ring around the big toe.I googled ring around the nail and the first thing I did was soak in warm epson salt and it said to do it 3 to 4 times a day. Will this heal the toe in a few days and it s all healed,", "output": "This should be looked at by a foot and ankle specialist. You didn't mention your age or vascular status. In the worst case scenario this can be a gangrenous situation setting it. Assuming you are young and healthy that should not be the case. If your nails are too long they can bang into the front of your shoe causing a separation of the nail from the nail bed or bleeding under the nail which causes pressure and pain. If there is blood under the nail the blood would need to be released to relieve the pain. Another cause of a ring on the toe is ringworm which is a fungal infection-though, that is usually not severely painful as you describe" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir my mother is 54 and is not feeling well these days, she had been a depression patient. is suffereing from ortho has undergone surgery for utrerous removal she is complaining for some pain and unconsiousness these days i got her to delhi for a complete health check up the most worry i have is that in my maternal history many of the family members are cancer patients i want to know what should i do", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. The condition of your mother is normal in the population of females whose uterus is removed. This depression could also be related to the depression of menopause. The negative thinking and loss of self-esteem and self-respect during this period results in mild to moderate depression. Motivation is what she needs and provide her with abundant amount of motivation. She shall be alright within around two months. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have started to have little blisters on my ankle after I had an external fracture of the malleolus. I have kept my leg raised above my heart for hours but the swelling does not appear to be going down and teeny blisters have started showing up. What is the significance of these blisters and what more can I do to get rid of them?", "output": "Howell come to ChatDoctorThank for asking I really appreciate your concern, soft tissue inflammation if happens due to fracture of bone then it may give rise to soft tissue as well as tissue inflammation which causes the blister formation, inflammation actually increases the local temperature of the skin superficial as well as internal which is high enough to form the blister, if the inflammation being controlled well then such blister formation can be prevented, underlying cause (Here the fracture bone needs to be surgically managed as early as possible to prevent further tissue damage) till keep the leg elevated hope this information helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I just received my blood results, because I am always a bit low on iron. Iron is 16 ( 10 - 250?), but also RDW is a bit high - 14.9 (max. 14.5). I take iron daily, is not helping all that much. Should I be pursuing this with my doctor? How? Many thanks.", "output": "Hi, dear. I have gone through your question. I can understand your concern. You have iron deficiency. You should take iron supplements. If oral iron is not helpful then you should go for injectable iron therapy. Because you may malabsorption. Your RDW is slightly high and It's due to iron deficiency. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been tested for heredity hematochromosis and it came back negative, I have high sugar level from my my diabeties, checked me for hepatisis and it came back negative. I am tire, joints trobs, muscles tingle and numb. blood preassure is fine. I have a fatty liver. high level of iron in liver. now it is to the point they want to do a liver bioposy.", "output": "Hello, Thanks for the query. Fatty liver is there, but from, how many days, you are having these problems. High blood sugar level, how many days. Joints pain, muscles pain, numbness all these symptoms may be due to diabetes, if you are a chronic diabetic or blood sugar level is not under control. Liver biopsy is very important as this will reveal exact nature of damage to liver. Hope I have answered your question. If further any question I will help. Good luck. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am a 25 year old healthy male, since monday 24 jan 2011 I cant swallow anything I find it really hard to drink aswell and each day it has got worse. Pain killers not helping at all and now Im findind it very hard to swallow my serliver. My throat is not swollen on the out side but I cant open my mouth fully wide. I have not eaten In 4 days", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have difficulty in swallowing which could be due to stiffness of jaw joints as you not able to open mouth, and it could be due to raised pressure in lower end of esophagus. Need not panic much. I would suggest you to visit gastroenterologist once and get it examined. You should go for endoscopy as well. You can go for surgery of lower end of esophageal sphincter if pressure is really high. Till then, you should maintain proper oral hygiene. Take antibiotic and do mouth stretching exercises. You should start treatment after proper prescription from doctor. Take diet rich in soft food and Chat Doctor. Do warm saline gargles. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "help me doctor, 2d, echo, carrotid and several more test were done to me but yielded negative results, my bp rises up, my doctor said io developed nerbyos means im nervuos, she gave me maintenance for the bp, but stlii goes up, help me doctor what is this in exact, and remedy copuld you giv ts been 3 months of suffering, thank u sir may you act on this immidiately, alan de roxas", "output": "Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. I will try to explain and give you my opinion. We talk about hypertension if we have mean values that exceeds 140/90 mmHg. Hypertension is divided in two groups: essential or idiopathic hypertension without an identifiable cause and secondary hypertension, usually in young ages, meaning that is a secondary cause of it. This cause might be a renal disease, an endocrine problem, a cardiovascular pathology. As you explain, you have done all the examinations, and they result normal. According to this, we are dealing with essential hypertension. It is a chronic disease. It has not a definite cure, but it should be treated life long. If you tell that you still have high blood pressure values despite your treatment, it means that you have to rise your medication to better control your blood pressure. So, if I was your treating doctor I will recommend a holder pressure monitoring for 24 h, to know your mean values. After that if they result high I will add another medicament or rise the dosage of your existing ones. Hope I was helpful. Wish you good health. Best regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello and thank you in advance. Woke up to a horrible itch on my arm - looked at it - it is swollen, red about three inches around, very warm to the touch, and now bumpy. Looks like a spider bite... two tiny red marks in the center. I cleaned it and sprayed bactine over area. Is there anything else I can do or be concerned about?", "output": "Hi, Welcome to Chat Doctor, It seems that you might have some poisonous insect bite giving allergic rash with severe itching. Due to bad itching nail scratches might produce some infection on the part. Go for short course of antibiotic to clear infection. Take anti-histamine like Cetirizine or Levo-cetrizine as and when required. Apply some local triple acting cream. Keep that part Chat Doctor. Ok and bye." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi there. Ive been having significant drops in my H&H. I dont have my print out with me, but I am reticing. My Iron saturation is 4. Im going to assume I have fibriods? Each month my CBC values have been declining. My question is : Will I need a transfusion if I postpone getting my fibriods removed?", "output": "Based on your query my opinion is1. Yes, fibroid can cause a fall in hemoglobin values and parameters related to RBC.2. This is explained by the effect of sub mucosal fibroid which can cause increased bleeding, so blood loss results in decrease RBC counts and Hemoglobin.3. You need to get it removed if it is a large fibroid and sub mucosal in location.4. Transfusion requirements depend on how much your Hemoglobin is. If it's less than 7, you will require transfusion, if not it can be corrected by parenteral iron therapy. Hope this helpsRegards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son is 3.4 years old and weight is 13 Kg. He is having cough from past 10 days along with fever and cold. Fever is down and he is having light cold. We had given ventryl 4.5 ml dose 3 times per days for 3 days. Still the cough is not reduced. Could you please prescribe best medicine for cough?", "output": "Hello, Thank you for asking at Chat Doctor. I went through your sons history and would like to make suggestions for you as follows:1. It is possible that after a viral infection, cough persists for a few weeks. If fever has subsided, please do not worry about cough.2. For symptom relief of cough, I would suggest him a cough syrup containing antihistamine like pheniramine.3. Warm saline gargles would also help him to recover early. Hope above suggestions will be helpful to your son. If you have any further query, please feel free to ask at Chat Doctor. Wish your son the best of the health ahead. Thank you & Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Lately my body feels swollen like I am retaining water, more than what I normally do and both my hands fall asleep at night to the point where I cant feel them when I wake up. What could be causing this? I take a pill for over active bladder could this be the cause or perhaps it is damaging my kidneys, Ive been on this medication for two years now.", "output": "Hi, Nephropathy that is kidney disease has to be ruled out first. For that investigate with serum urea, creatinine, EFR estimation. I also suggest you to investigate with serum protein estimation, serum TSH estimation, SGPT and GOT estimation. I suggest you to consult physician for examination. Kindly mention you are on which medication. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my baby boy is 7 months old, he has had a high fever for the last 36 hours, I took him to GP yesterday she gave me ibuprofen and pamol for him - so far it has been working well, tonight however he is burning up again but still has freezing cold hands and feet - what does this mean and what should i do??", "output": "Hi, Thanks and welcome to Chat Doctor. High fever must be controlled irrespective of diagnosis with paracetamol 15 mg/kg every 4-6 hourly along with tepid sponging to prevent febrile convulsions. For cure of the disease cause of fever has to be investigated. Viral fever subsides of it own within a couple of days.Otherwise, consult pediatrician. Hope this answer is OK for you Please feel free to ask further queries if any. Chat Doctor. V. Subrahmanyam." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had a bad cough for about 5 months. I have also chronic migraines, I have sleep apnea and I also have hypothyroidism . Lately every time I cough I pee heavenly in my pants :( I have night sweats and also my hands and feet have been sweating a lot. What do I do?", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. You are having too many health issues simultaneously. In my opinion you should consult pulmonologist and get done1. Chest x ray2. PUT (pulmonary function test). You are having chronic cough for 5 months. So we need to rule out lung infection and bronchitis first. So chest x-ray is needed to rule out lung infection.PFT is needed to rule out bronchitis. Uncontrolled sleep apnea can also cause chronic cough. So better to consult pulmonologist and first diagnose yourself and then start appropriate treatment. You are having stress incontinence (urine problem). So control of cough is needed to treat urine problem." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my fiances penis all of a sudden went numb today, he was playing a board game and felt very weird..like his penis started hurting and then slightly going numb. He wants to know if this is caused by excessive weed smoking or excessive smoking in general...", "output": "Thanks for your question on Chat Doctor. I can understand your concern. It is a known fact that cigarette smoking in general leads to impotency. Weed or marijuana smoking is highly associated with erectile dysfunction (lack of erection) and both of these in combination are too bad for sexual health in a male. Even otherwise, both these agents are highly addictive, and potentially dangerous as you must know. It is highly recommendable that he stops smoking both these agents as early as possible. He can seek medical attention for treatment of with Chat Doctor. It is not easy, and you, as fianc\u00e9, must persuade him and support him mentally to quit. Take care, Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, i experienced anticipatory anxiety this week due to knowing i might have to take an elevator after foot surgery (today). I m Claustrophobic in a big way. I took .5mg of Lorazepan before bed last night (Thurs) and slept fine. Since I had extreme anxiety Mon, Tues, Wed, and Thurs., couldn t eat or sleep well, my question is, can I take another .5mg Lor. tonight without becoming addicted? Also, since this is situational anxiety, brought on by the thought of the elevator, could my anxiety subside on its own now, since surgery is over? bty, they let me walk down the stairs! :)", "output": "Dear serve understand your concerns went through your details. One dose of Lorazepam 0.5 mg usually do not have any addictive properties. For addiction, you need to take it continuously. I see your case as actual anxiety disorder which happened after the traumatic event of your surgery. I suggest counseling and if needed therapy. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I recently had a 9mm Kidney Stone laser blasted in July. My CT showed smaller stones in both my kidneys. A week after the surgery I had the stent removed. Later that night I passed a 3mm stone. A recent x-ray showed a stone in my right kidney and minute stone in my left kidney. The stone that was blasted was analyzed. The results were 100% Carbonate Apatite.My doctor gave me a diet to follow to reduce the possibility of new stones and keep the stones currently in my kidneys from getting bigger. I researched Carbonate Apatite stones online and now Im confused. The information I found said most of these types of stones are caused by some kind of infection, most common UTI, but also kidney. Also, any stones should be removed from the kidneys. They called the stones, infection stones.Should I get a second opinion? Im concerned I am not receiving the appropriate treatment. I am female - 51 years oldI do not have a UTI, and my urine is clear. I have never had a kidney stone prior to last month. Thank you for your assistance.", "output": "Hello, Thanks for the query to Chat Doctor. Forum. Stone (calculus) in the urinary system causes sever discomfort but why stone formation take place exact etiology is not known. I usually prescribe my patients plenty of fluid in any form with lemon juice twice in day with water on empty stomach. 2 idly I prescribe disodium HY Chat Doctor. In India only tablet Calgary or near 2-2-2 till stone expel from urinary system. I tried a formula over many patients successfully without any side effects, you can try, Take black pepper chew them one by one 10 first day on empty stomach early in the morning. After chewing " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I recently got very sick. At first I felt like I had a bladder infection, because it was uncomfortable to urinate. An hour later, I noticed blood clots in my urine and the discomfort continue to worsen. Within 2 hours my urine went from being normal color to solid red and I was in excruciating pain during urination. The doctor put me on antibiotics and sent the sample for a culture/sensitivity test. It tested positive for ecoli. I am wondering if even though I am feeling much better, do I need to seek follow up care to ensure there isnt damage to my kidney, etc.", "output": "Hello, It is always good to follow up, and I don't think you will much to worry after the visit. It is just a reassuring visit as your infection has already been resolved, and well treated in time. Yes, E. coli is one of the main culprits of urinary tract infections. It causes bleeding in urine too, along with other symptoms of infection like pain and urgency to urinate. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor, I have got some skin infection since 6 months. I have some allergy sort of on my neck and chest. Itching is there only when sweating. I visited near by dermatologist. She told me that its a fungal infection called sobi and prescribed some medicine. what are the causes of sobi? Is sobi completely curable . if so how long it may take ? do i need to take any precautions?", "output": "Hi, Thanks for posting in Chat Doctor. Skin infection what you are having is Seborrhea dermatitis caused by yeast Malaysia. It is inflammatory skin disorder which is chronic, relapsing and usually mild dermatitis. It is not completely curable, but can be effectively controlled. Antifungal medications ketoconazole and ciclopirox are both effective for the condition. These medications should be applied tropically on affected areas of skin. You may have applied it whenever it appears again. In case the response is not satisfactory, topical corticosteroids or topical urea may also be used along with it. Hope the information provided would be useful. All the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My dad, 73, has been diagnosed with Esophagel cancer stage 4 he also has pneumonia and a feeding tube to the stomach, plus a fistula eso/traq. He had a heart attack 30 years ago. Dr has said that cant do anything for him. No chemo, radiation, anything. That chemo wd kill him in a week. Do you agree. What is the time frame?", "output": "Hi, dairy have gone through your question. I can understand your concern. Your dad has esophageal cancer stage 4. No surgery will help. Treatment options are chemotherapy and radiotherapy. Despite treatment prognosis remains poor. Life expectancy is not good. He has not good health, so chemotherapy side effects leads to worsening of life. There is no major difference between life expectancy with or without chemotherapy. Consult your doctor and plan accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I started off with a bad cold about a month ago. I seemed to get better about a week or so after I first initially started to feel ill. After a few days it came back and was worse than before. Now 4 weeks later, the only symptom I still have is the severe coughing spells that will sometimes lead to vomiting.", "output": "Hi there, Welcome to Chat Doctor. I understand your situation. Your symptom might also accompany a runny or stuffy nose, a feeling of liquid running down the back of your throat, frequent throat clearing and sore throat, hoarseness,wheezing and shortness of breath. You might be having allergic rhinitis or Gastroesophageal reflux disease. Try taking tablet containing montelukast + levocetirizine, cough suppressant syrup before bed at night and pantoprazole 40\u00a0mg empty stomach in the morning. If your cough doe snot subside by this you should see a doctor and get a chest X-ray done to get a confirmed diagnosis. In the meantime stop smoking, avoid allergens and reduce acid reflux. This includes eating smaller, more frequent meals; waiting three to four hours after a meal before lying down; and elevating the head of the bed at night. Hope this helps you. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, My youngest son was sick for two days with a fever. I took both boys to the doctor yesterday and my oldest son got a tb test. He is now running a high fever 102-103. Should I rush him to the hospital? Normally I wouldn t go to the hospital unless the fever reaches 104 but I m just concern because he had a TB done yesterday", "output": "Hi, Fever of a few days without any localizing signs could as well a viral illness. Usually, rather than fever, what is more, important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably a viral illness and it doesn't require antibiotics at all. Once the viral fever comes it will there for 4-7 days. So do not worry about the duration if the kid is active. Paracetamol can be given in the dose of 15\u00a0mg/kg/dose (maximum ceiling dose of 500\u00a0mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "good pm just want to asko if godex ds is good for fatty liver. because my husband took godex ds for 2 weeks but instead of lowering the sgpt result the fatty liver doubled... in ultrasound my husband liver seems to be normal... what like to be the problem", "output": "Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. Godex may not be effective if there is inappropriate dietary and lifestyle habits. So diet should be changed, alcohol avoided and then see will there be improvement. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Can you tell me if a swollen ankle and pain across top of foot when using stairs and pain in back of knee when rising from sitting can be connected to thyroid problems? I have not injured my leg, that I know of but back of knee is cagey when sitting at night. N", "output": "Hi, thank you for providing the brief history of you. A thorough clinical examination is advised followed by some routine blood test. As swelling in the feet and pain in the back of the knee can be due to any of the factors of which we cannot jump to a conclusion of the Thyroid dysfunction. As most times, due to the signs and symptoms, we need to find a differential diagnosis of the condition and compare the signs and symptoms along with the laboratory findings. Also, if it is thyroid dysfunction the blood test should reveal the possible changes and bases on which the Chat Doctor. Besides, undergoing physical therapy for the swelling and pain behind the knee works well as per my clinical experience. RegardsJay In" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i get difficulties in breathing when i inhale fumes and dust and when humidity is very high.what is the possible treatment and the cause.am 57 n i have no treatment", "output": "Hiwelcome to Chat Doctor forum Allergic asthma or bronchitis is caused due to allergy to some particular substance as u have mentioned as dust or fumes or anything else. The inhalation of these substances causes narrowing of respiratory passage which causes difficulty in breathing and gradually a persons respiratory system is damaged. So first thing is to prevent this inhalation whenever you're in such environment. By covering mouth and nose. Second most important thing is treatment which is best in Homeopathy. So please consult a physician .take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doc, I hv problem of blemishes on my face n my skin specialist hs suggested Melacare but I don t know for how long should I use it so it won t give me bad effects. I hv pigmentation on some parts of my face so can I use iy there to get flawless skin?", "output": "Hello, Welcome to Chat Doctor. From your history, the blemishes on your face could be due to plasma, freckles or even post inflammatory hyperpigmentation. Melacare contains a steroid as one of its components which over long term use can cause side effects like skin thinning, redness and whitish discoloration. It should be used only under the guidance of your dermatologist. You could also benefit from using a broad spectrum sunscreen with SPF 30and above every 4 hours even indoors and in cloudy weather. You could use a lightening cream containing 2 % comic acid, licorice, albumin and niacin amide which is safer and devoid of steroidal side effects. You could also get glycol peels done by a qualified dermatologist. Hope this helps you. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 45, had a vasectomy 6 years ago, 6 1 300 lbs, and had an extremely low T level in May 2013 (120), have periodic bouts of ED. My doctor has me on testosterone injections every 2 weeks 1ML. I take Lisinopril 20 mg 2X daily, Atenolol 100 mg 2X daily, and Amlodipine 5 mg 2 X Daily, for hypertension. Other than that, no other meds. I have noticed that from time to time my seminal discharge is yellow and clumpy (similar to gelatin). Is this normal, or is there something I need to be concerned about. This most often occurs during prostate stimulation not normal ejaculation.", "output": "HelloThanks for writing to ChatDoctorYellow color of semen may be due to infection. It may be due to prostatitis, UTI etc. You may need antibiotics if there is infection. Other investigation like routine femoral, RBS,Ultrasound of pelvis should be done. Trans rectal sonography of prostate can be done if needed. You should consult your doctor. Hope I have answered your query. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My father met with a road accident on 4th June , 11. He is still in the hospital. CT scan report on 7th June: large acute haemorrhagic contusion with perilesional oedema in the lft frontal para-saggital location. Acute bleed along the posterior aspect of inerhemispheric fissure. Undisplaced fracture of the left temporal bone. He can t talk much. talking very slowly. and has some sense", "output": "Ct scan post-traumatic brain injury may show - extra rural or sub rural or intro cerebral hematoma. Wat u have mentioned was intro cerebral indicating with injury with in the brain parenchymal. Associated to that there is surrounding isogenic edema in response to injury. Concerning the site regarding front parietal region centers for speech are located. Services which deals witChatDoctorprehension. And Broad which is motor component which deals with speech production. As there is isogenic edema & contusions located at centers of speech there is difficulty in speaking. As the contusions n edema decreases he will recover to a normal tone which might take was to months." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,am 23 years of age and the problem I have is that my gums are unhealthy causing my teeth to be forming gaps which I do not like, besides that my gums form pus and plaque after some time,now can braces work for me @ my age? Looking forward to hearing from.", "output": "Hello, Thanks for consulting Chat Doctor Read your query, as you have gap in between teeth, plaque and pus formation in gums that is periodontal abscess, gap in between teeth can be due to periodontal problem may be due to weak periodontal ligaments or there can be bone loss. I will suggest you to consult Orthodontist for examination of tooth periodontal condition if possible yes you can go for Fixed Or tho treatment at your age. Discuss with your dentist, and you can go for braces. Hope this will help you. Wishing you good health," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My friend had a pilodontal cyst that turned into a massive growth. He had it almost completely removed but it is deep to his tailbone and about 5in wide. His dr said today he had a rare form of squamous cancer but that is about all he was told. Can you help out. He was also told there was only about 48 cases since 2007 that have presented with this form of cancer", "output": "Hi, Thanks for writing in. A colonial cyst is a condition which occurs in the skin over the gluteal cleft due to low intensity chronic irritation. This is treated by wide excision and I understand that your friend has got it done. The treatment of excising it till the tailbone is as recommended and his doctor gave him the right treatment. Unfortunately it has turned out as a squamous cell cancer in the biopsy report and this might require aggressive treatment. Multi modality treatment approach might be required. Since surgery is done this might be followed up by chemotherapy and radiation therapy depending on the aggressiveness of the cancer. It is being found that radiation therapy works better for squamous cell cancer of the colonial cyst. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, so my mom s been experiencing an aching from her right leg and it kinda has bruises (it doesn t really have the same color of the typical bruise you know, but to the spot where it aches and we can clearly see that her right leg s way bigger than the other, so it has a huge dark spot on that area I don t really know what is it called) so anyway, she s been experiencing it for almost a year now. Before, my went to the doctor she was recommended to go to the dermatologist. When she went there, they just gave her creams and some anti-inflammatory lotions which doesn t work on her. Then after that, she went to another doctor (it was her co-worker, my mom worked in a hospital as a Nursing Attendant btw) so she asked her co-worker if she could do a biopsy on her leg. But the doctor said she couldn t, not unless she undergo MRI testing first to know which part should she do the procedure. So a week after that, my mom went to the other hospital (this hospital is private and a well known hospital in our town) so after a week, she got the result. They told her that it was only a thickening of the leg muscles and that her veins on her leg (right) are kinda loose so she needs to support it, so they advised her to buy their product to support her veins. It s like a stocking but it s thicker than a normal stocking and which is really tight on her. The doctor said that she should wear it on the day time coz and remove it during the night time to let her leg breathe. But, nothing happened. The more she wear that stocking, the more that bruise on her leg turns dark. And btw, that pain she s feeling started as a small lump then over the period of time turns what it is now. So please do help me, because I really love my mom and seeing her like that pains me. Thank you!", "output": "Hello, Dark bruise on the leg with chronic pain is commonly due to Thrombocytopenia (Idiopathic thrombocytopenia purpura / Heparin induced thrombocytopenia). She can take Acetaminophen (Tylenol), one SOS when required for relieve from pain. She can apply ointment Thrombophob or Thrombophob gel locally on the area affected to reduce the dark bruise. However, other medical conditions that may cause similar symptoms are Superficial thrombophlebitis (inflammation / swelling of a vein due to a blood clot), Hematoma, Deep vein thrombosis, varicose vein complications, etc. You are suggested to visit ER, get your mother clinically examined by a GP, get Blood & Imaging tests done at the earliest. She may be referred to a Hematologist or Immunologist. Her treatment will depend on the severity of the pathology detected. Let the disease detected & get her treated. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello i have been having a problem with a swollen lump on the side of my neck near my chin. sometimes it will be painful and there will be a sudden \"burst\" of the lump and and i can taste a bitter fluid coming up my throat. is that a swollen lymph gland?", "output": "HI. The history of burst of the lump and giving bitter fluid in mouth may be due to the swelling and infection of the submandibular salivary gland. The causes cane : stone in the duct of the gland or a stricture in the duct or infection and inflammation of the gland. I would advise having a clinical examination by the Surgeon or the ENT Surgeon by putting a gloved finger and palpate for the stone and the gland. If there is an impacted stone in the ducts, this can be easily removed and a few stitches to invert the opening so that the complication is reduced. If there is a gland infection with the swelling and stones, this may have to be removed." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Doctor my baby is 2 months old..From birth she is feeding Lactogen1 no breast milk. I tried a lot of medicines for breast milk but failed.The matter is that the stool of baby is having foul smell. And her motion is too difficult hardly one times in a day. Is there any problem.", "output": "Most formula milks are cow milk based and hence difficult to digest. When the child is unable to digest it, the undigested remains are degraded by intestinal bacteria to produce foul smelling gases. I would suggest getting a stool routine microscopy (including test for reducing substances) to be done. Treatment will depend on the results. In any case, I would suggest changing the formula to a soy based formula and see if there is a difference." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here...My husband had bowel cancer surgery in 2009 and has just had a CT Scan and has been told the cancer has returned to the pelvic area and lymph nodes and cannot have further surgery. Does this mean he is terminally ill?", "output": "Hi, Thanks for writing in. Bowel cancer is difficult to treat in some patients and your husband might have had a recurrence lymph node involvement. In this situation there is disease spread to the regional lymph nodes and this make it difficult to operate. However, treatment should be started after COSI Chat Doctor. Many patients can have good response to chemotherapy and radiation therapy and show significant reduction in size of lymph nodes. This can then be assessed again and a staging can be done and if possible then operated at a later date. Bowel cancer is also seen to spread to liver in nearly half the patients, and therefore it will help to check on the liver from time to time by ultrasound scan or CT scan. Lungs should also be screened regularly. Hope he recovers with treatment. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My almost 9 month old has a rash/hives around the edges of her diaper, armpits, belly and backs of her legs. We just started introducing solid foods. We introduced oatmeal yesterday. She had a virus a week ago. No fever, just vomiting for about 8 hours. She s had a bit of loose stool this week. is this a food allergy or a continuation of whatever she had last week?", "output": "HI ...this is not suggestive of food allergy. This is classically fitting into eczema as it is involving the flexural surfaces of the body. The trick of the management is keeping the skin moist and never allowing it to be Chat Doctor. For this oil massage and lotions like Hiatus will help. But usually kids grow out of it...that is as the age progresses, they become better starting from 6 months of age, and they gradually get better. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "For the past 3 to 6 months, i have been having daily minor giddiness and lightheaded - but not to the point of losing my balance. I am able to do 100% of my day to day basis, however, due to its daily presence (of minor giddiness and lightheaded), it makes me very worried. What could it be and what type of doctor should i see?", "output": "Welcome to Chat Doctor! After reading your question it comes out that you are having some giddiness and lightheaded less from past 3-6 months, but it is not affecting your life. Had I been at your place I think I would meet a general physician or medicine specialist? To me, it appears to be either some blood pressure problem or may be a case of cervical spondylosis. Getting your routine tests and BP checked will rule put some usual causes. You are right in finding for its cause as even though this is not disturbing you life, but this is a symptom, and it should not be there. Anyway, it looks to be only some minor problem, so donor worry a lot, see a doctor. Only after examining you one can pinpoint the reason. Hope the reply is usefulness free to ask more questions" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello , my 7 year old daughter has a large lump under her tongue . I have been to the doctors but referred to specialist . Im really worried as its stopping her eating as she complains it hurt after eating and her speech is now being effected . I have pictures if you require them .", "output": "Hi, welcome to Chat Doctor. A large lump under the tongue in a child should not be ignored and needs an attention of a specialist like a Pediatric Surgeon or ENT surgeon because not only affect the voice but also air entry and respiration and there may be a lot of saliva formation which may lead to aspiration pneumonia. There may be multiple causes like manual, any mucous retention cyst, rhabdomyosarcoma, etc. All of them have different pathology and so, the treatment is also different. Please show it to the doctor and the child may require an imaging modality like CT scans and a biopsy for the diagnosis and once the diagnosis is confirmed, excision may be required after pretreatment." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My symptoms started with major fatigue for a few days, then headache, burning eyes, now it is in my throat/chest....not much of a cough; slightly swollen glands. I also have a lingering ache in between my shoulder blades. I was diagnosed with mono a few years ago...could this have anything to do with these symptoms?", "output": "Hi, thanks for asking question in Chat Doctor. Here is some suggestion for you. You have diagnosed with mononucleosis. These symptoms are because of it. Take enough water. Take nutritional diet. Take more fruits. Take rest for few days. For mononucleosis symptomatic therapy is beneficial. For preventing bacterial infection we can use antibiotic. Take simple analgesic.Don't worry. With the time symptoms will relieve. Happy to help you if any query.thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son is screaming with tooth ache it seems to move from his top teeth to his bottom an d hurts when eats and drinks even if it is hot food and drink he has had this on and off for 2 weeks now but last night and today have been the worse and medicine and bonjela dont seem to ease his pain he is only 5 yrs old", "output": "Hello, Thanks for your query. Nonsteroidal anti-inflammatory Chat Doctor. The cold temperature will help ease the pain. Buy an over-the-counter tooth and gum numbing gel to help ease the throbbing for a few hours. These gels are applied directly to the affected area and usually work for several hours. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "The last two weeks i have been having chest pain to my back at about the same time everyday, usually evenings when Im working. The pain is very discomforting like a slow tightness. I have a trainee right now who is also stressing me out. Also Ive been really tired daily. Im in great shape and normally dont have issues like this. Any idea what the daily pain in my chest is???", "output": "Hi, Dear,Thanks for your query to Chat Doctor. Dear I read facts of your query and reviewed it in context to your health issues submitted in your query. I understood your health concerns and feel Concerned about them. Based on the facts of your query the reply of your query is-Your current health issues seem to be due to -Anxiety and probably high BP, by evening time, especially after days stress with trainee -lately. You need to check with your Physician and with ECG after BP checks. Though in normal health, work stress may cause chest pain from high BP with thence Other causes-as cited above-need to be ruled out, by verification with Physician/and or Surgeon. Dos-Consult with Physician who would investigate physically and by ECG and other tests with 1 weeks record of BP in morning and evening. Tb Alpha .25\u00a0mg x 2 times a day to start with.8 hrs sound sleep. Low salt / low calorie/ diet to control the weight problem if you have it. Physical Gaming would keep the body fit and would increase the stress tolerance in time to come. Add up Antihypertensives with diuretics if need be. This would fix the cause amongst the above or other possibilities. You need to treat it with Physician which should be done on priority and urgently to avoid further complications. This would resolve the complaints of yours. Constant followup with local family or specialist Physician for long term would give you long remissions in time to come, which would depend on meticulous followup treatment of your health concerns. Just don't worry and be patient and co-operate with your doctors, till you verify with your attending doctors. For early recovery-please follow above dos which would resolve your complex health issues. Hope this would help you to treat your health issues in the best way possible. Welcome for any further query in this regard to following link-http://doctor.Chat Doctor .com/Funnel?page=askDoctorDirectly&docId=70229Wishing Good Healthy Life!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son has Isthmic Spondylolisthesis. He also suffers from vertigo and dizzy spells. Hes had a lot ot testing to ensure there isnt any underlying condition causing the vertigo/dizziness. Weve never put it together until recently...when I read that spondylol can cause vertigo. Is this true?", "output": "Hi, thank you for posting. I have gone through your query and I understand your concerns. It is true that Islamic Spondylolisthesis can cause dizziness. This condition causes neck muscular spasm. In patients with Islamic Spondylolisthesis blood flow to the brain base is low due to muscular spasm, and this is the reason why patients have dizziness. The treatment of this condition contains painkillers and muscle relaxant medications. A neck X-ray, a complete blood count and a urine test are necessary in order to check the condition of the patient. If the condition is aggravated non-steroidal anti-inflammatory medications are necessary. Chiropractic procedures can also help. You should contact a neurologist to discuss the treatment. All the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor, I need one information. I sometimes get red colored ulcers on my tongue after eating few particular things like Indian gooseberry or something which is sour and tangy.It again goes off immediately after I drink water or something which is cold.Please can you suggest what can be the reason behind this.", "output": "Hello, Thanks for the query to Chat Doctor. Forum. Actually few persons have sensitive taste buds over tongue. These sensitive buds react with citric acid present in certain fruits or other eatables particularly tangy and irritant fruits, need not worry. The best way is to avoid such type of fruits. 2nd option is applied local triamcinolone oral gel over tongue immediately after use of such fruits. Good luck. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I WENT TO MY ENT DOCTOR AND HE CHECK MY THYROID AND IT WAS NORMAL AND THEN HE NOTICE A BLUG ON THE FRONT OF MY NECK AND TOLD ME IT WAS A MASS AND FOR ME NOT TO WORRY AND I AM TOLD IT NEEDED TO BE REMOVED. WHICH I AM SCHEDULE TO HAVE THE SURGERY THIS MAY. DO I HAVE ANYTHING TO WORRY ABOUT LIKE CANCER OR WHAT? I AM CONFUSED. AND IS IT DANGEROUS? DAWN", "output": "Thanks for your question on Chat Doctor. Mass in neck have many causes. And it can be due to either benign or malignant causes. Benign lesions are1. Lipoma2. Dermoid3. Infective enlargement of lymph node. 4. Benign thyroid cyst etc. Malignant lesions are1. Malignant lymph node involvement. 2. Thyroid malignancy etc. So surgical removal and histopathological examination is needed to rule out these causes. So don't worry, get done excision and biopsy of mass. Further treatment is based on etiology of the mass." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doctor, my mom did a MRI few days ago and it said tiny t2 abnd flair hyperintensity focus are seen in subcrotcial white matter of both frontal lobe . corresponding area shows iso signal intensity in t1 weighted images i want to is it very serious kind of dieases?? and also i would like to know the causes, treatment and any complications of this situation. i would also like to know what are the things to be taken into consideration for my mom. thank you !", "output": "Hi NEA, Thank you for posting your query. MRI brain findings of your mother are common findings, and can occur in a variety of conditions. These include migraine, ischemia of brain (less blood flow) and desalinating illness (where the covering of the nerves get damaged). The most common cause is migraine. There is no need to worry about this finding. Based on your moms symptoms, the neurologist would be able to come to a conclusion regarding the diagnosis. Medical treatment would help her get better. Best wishes, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello. I got all four wisdom teeth extracted 6 days ago. Ive taken all antibiotics and have been rinsing religously with warm salt water. My top extraction sites feel totally fine, but the bottoms hurt like none other. Its mainly the left side. When I look inside my mouth I can see white bone in the extraction sites.. Is this normal, or is it possible that I may have dry sockets/infection?", "output": "Hello and welcome to Chat Doctor forum, I will be glad to answer your query, I would like to inform you that sometimes following extraction a sharp bony spicule(piece) is left behind which hurts. You can see your dentist and if required he may file it down, it is quick and painless procedure, does not take long. If it is a Chat Doctor. I would advise you to see your dentist as a follow-up after extraction. I hope this answer was useful. I wish you good health, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am 51 female ,perimenopausal,for the last 18 months I have suffered with a yellow coated tongue in the morning and it is getting a lot worse.I feel awful in the mornings any way and look generaly unwell.I have a healthy diet.I am seeing a gynocologist for cyst on my ovaries and my uterus had a thicker lining than normal.I have a lot of wind and bloating and pains in my abdomen-I am a bit of a mess. Can you help", "output": "Hello:)Welcome to Chat Doctor. A yellow tongue indicates accumulation of bacteria. Your hormonal irregularity can add to this. These bacteria then release certain chemical to make the tongue yellow in color. Have adequate water 3 liters per day. Reduce consumption of caffeinated beverages. Maintain oral hygiene and floss daily. Use a mild mouth wash thrice a week. Cleanse your tongue regularly using a tongue blade. Quit any tobacco and alcoholic habits. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have just had breast cancer surgery 9 days ago. the margins are clear, but it was estrogen/progesterone positive. They want to do chemo and radiation, but I feel there has to be a better approach in treating this. I work for a naturopath, but his specialty is not chemo or radiation, but would like someone who will work with him in my care.", "output": "Hi, Thanks for writing in. Cancer is a difficult condition to treat and treatment differs in every patient depending on the location, size, staging and post surgery biopsy findings. Since you have had surgery only 9 days ago, it will help to discuss with your oncologist and depending on the biopsy report, go for a comprehensive treatment. Even is the margins are clear, there is estrogen/ progesterone positive nature and this requires you to have chemotherapy and radiation. The earliest this is started the best outcome it will have. I wish you reconsider the benefits of chemotherapy and radiation in your case and start treatment on time. Naturopathy can give you comfort and detoxify your system, and it is best to discuss your treating doctor on when to take simple naturopathy procedures and wait until you are done with initial chemotherapy. Even if the margins are clear, there can still be persisting microscopic invasion of cells and this can lead to flaring of cancer an few months. Radiation is precise and specific to the region of cancer. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have weight issues but over the last 12 months my asthma as changed its breathless all the time feeling of pressure on my chest breathing worse at night waking gasping also legs very swollen also arms and girth sometimes swollen Im exhausted all the time", "output": "Getting breathlessness while sleeping with swelling of feet is an indication that you may be having early symptoms of left ventricle failure or say heart failure. But with the history of asthma, you must mention at what age you started having asthmatic attacks, any precipitant factors of asthma, on what medications you are, and do you have a history of hypertension. You must proceed with your routine check up, blood pressure and blood sugar evaluation, ECG and chest x-ray. Sleeping in a propped up position may comfort you. These symptoms should not be taken lightly, and proper evaluation must be done." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have a doubt regarding sexuall intercourse ,i can go for only once and for the second time hardly after that its very hard i get eraction even if i wanted hav and i am not safisfying my wife . pls let me know how make it possible ! and am just 25 years old !", "output": "Hello, Causes of erectile dysfunction are:-1) Psychological2) Stress3) Fatigue4) Diabetes5) Other chronic illness.6) Spinal cord injury. You can table sildenafil, one hour before intercourse after consultation. Treatment mainly depends upon underlying conditions. Kindly follow with detailed history or consult with sex expert. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I get the depo medrol 80 mg injection for my allergies, and i got one recently a day before my cycle was due to start, which is always on time, and my cycle came a week late, and its been on every since for almost 3 weeks. Is this a side effect? Im 44 years old, no fibroids never had any complicatios with my cycle, no chances of pregnancy.", "output": "Hello, Thanks for using Chat Doctor. I read your query and understand your concerns about delayed periods. Although delay in periods is not a prominent side effect of steroid use, but it is one of the side effects commonly observed among middle-aged women. This happens because the menstrual cycle is regulated by hormones which are steroidal in nature. The use of demo me Chat Doctor. I hope this answers you. Thanks and regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my daughter age 7 is not breathing right .when she is eating food she needs to stop chewing and take deep breath from her mouth,and she gets uncomfortable,is her nose blocked or is she just not used to breathing from her nose I don t understand what to do", "output": "Hello. I just read through your question. The most common reason for what you describe is nasal congestion. Usually this is cleared by simply blowing the nose and perhaps administering saline nose Chat Doctor. However, this could sometimes be an issue with the lungs (i.e.: wheezing). If she is otherwise comfortable, I don't consider this an emergency. However, I do recommend consulting with your pediatrician." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had itchy scrotum and groin. After two to three days, I got pimple like bumps and there were some small white pimples which did not cause any pain. But that area smells bad and in some places it is sticky. and the places where the pimples were present is peeling off and that region also sticks .", "output": "Hello, From your description, it seems that you are having multiple sebaceous cysts on scrotum. Many males are having this. Because of that you are having itch. It won't require any treatment until it covers the most part of scrotum, or it gets infected badly. Surgery is the only treatment option available for it. Some males are undergoing surgery for cosmetic reason. To get rid of itch, you can maintain good hygiene at private parts, take bath regularly and make the area Chat Doctor. Hope this helps you. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a lump by my jaw sort of under my ear, it s like the size of a pea and it doesnt hurt really but it feels kind of like a bruise when i touch it. my friend said it s a swollen gland or something. I was wondering if I should worry about it and why it s there.", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have some enlarged lymph node due to reactive hyperplasia, tuberculosis or lymphoma. Or it can be some benign cyst. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had what started as a rash 3 months ago. I spent the previous night in a hospital, because I took a spill at home. Soon this rash turned into severe hives on face, thigh, arms (inside elbow) and mainly the right side of my back (which is the side I sleep on) and my breasts (which is where the nightgown in the hospital rested. That was the end of February and now its May and the itching especially on my breasts and under my left arm (and down the arm to inside of the elbow.The itching and little bumps (like hives) are so bad you wouldnt believe it. Doctor gave me Triamcinolone 0.1% cream, but it doesnt do that well. I tried Cortiscone from the drug store..not that great either. Im taking Bensdryl tablets, because they did control the hives pretty well, but this rash and all the little bumps are killing me.", "output": "Hello, With such presentations in my clinic, I would first rule out underlying causes responsible for your rash rather treating symptomatically for months. To confirm exact pathological causes I may advise you a blood differential count and total count of blood. Treatment depends upon exact causes. So, no need of all these medications at all. Please let me know if you have further questions before meeting your primary care doctor. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I recently have been getting a lot of cold sores for no reason. One would show up and then it would heal and then another would show up. But these past couple of days I have found like a small round lump near my jaw. When I touch it, it would move around and it hurts. I can t see it but I can feel it. Is it something I should be concerned about?", "output": "Hi, dear. I have gone through your question. I can understand your concern. You may have some leukoplakia or some malignant lesion. You should go for biopsy of that lump. Go for biopsy and histopathological examination. Then take treatment according to your diagnosis. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor ! my age is 43, height 177cm and weight is 83 kgs. All the CBC, sugar and LFT parameters are normal. HDL is 37 and LDL is 122.3... ultrsound report says that i have grade 1 fatty liver. Is this is cause of concern? how to get the liver normal. i walk for one hour almost 4 times a week. drink and smoke socially. Any medicine to cure fatty liver ??", "output": "Hi and Welcome to Chat Doctor. I appreciate your concern for the fatty liver. You need to have some lifestyle modifications in order to get rid of fatty liver:1. Since you are overweight (BMI is 26.49), your maximum healthy weight based on a BMI of 25 is 78.32 kg. So, continue regular physical activities in addition to walking2. Avoid fatty meals (both vegan and non-vegan), fast and junk foods, salted snacks, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. Last night and again today, I ve noticed a large and noticeable pulsation in my neck in the area of the carotid artery. It s especially pronounced when I m supine. This afternoon, while at work, I noticed the pulsations in my neck and then, shortly after, realized my right hand was shaking and the arm felt weak. It subsided after a few minutes. When I returned home this evening, I noticed the beating in my neck and, using a video camera on my phone, confirmed the pulsations are visible and most visible when I m lying down or back on pillows. I feel okay otherwise, although my arm and shoulder again feel a little strange. (Although, truthfully, I m wondering if I m just reading into things a little bit.) I do have a history of heart issues: I had a patent foramen ovale closed in my heart in 2010 due to several years worth of strange symptoms (visual, pins & needles, etc.) that were likely ongoing and sporadic TIAs, according to my cardiologists. I have had no repeat episodes since the surgery, although have had a few cases of pericarditis since then. Otherwise, I am in excellent health/fitness. Weight ~130. Height ~5 6 . Physically active, no drug use, occasional social alcohol use. No family history of cardio disease. The question: should I be concerned about these symptoms and go to the ER, or is it normal? Or, somewhere in between those two extremes?", "output": "HIF you see carotid pulsations or jugular vein pulsations and felt weakness of arm simultaneously and with history of heart operation, you may consult a cardiologist for it. You may also watch if you get rapid pulse or irregular radial pulse, some symptoms of dizziness or not.I may suggest an echocardiogram to record the chamber functions, valves and pressure gradients to rule out any abnormalities of atria and ventricle size" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am 36 weeks pregnant. All my reports have been fine considering baby weight, amniotic fluid & doppler flow. However, my last ultrasound a couple of days ago showed the baby in a head up position with a single loop of cord around neck. Can I still have a normal delivery? can the baby turn on its own in due course of time to engage in head down position, before my delivery date which is 14th Feb.?", "output": "Hello, and I hope I can help you today. If your baby is in the head up position at term, it is not recommended that you deliver vaginally, because there is risk to the baby of birth injury. So if you reach your due date with your baby in the head up position, your obstetrician will likely recommend cesarean section. However, there is a possibility that the baby could turn around on its own. Ways to help this to happen is to do what you can to let your belly hang to give the baby a chance to rollover. Going on your hands and knees and arching your back high into the air, like an angry cat, for 10 minutes every day, can sometimes help the baby to turn around naturally. However, the best way to help the baby to turn around is for your obstetrician or midwife to perform a procedure called a version. In the US, versions, which literally are done by the doctor pushing the baby into a somersault is performed under ultrasound guidance in a hospital setting. It works about 50% of the time and can give a woman a chance at a normal vaginal delivery. Regarding the cord around the babies neck, 15% of normally delivered infants have an umbilical cord around their neck. So the presence of the cord around the neck now does not mean that there will be any problems with labor and delivery if the baby is able to get into the right position. If you are considering having a version, I suggest that you speak to your delivering provider about it soon, as the success rates of version decrease significantly after 37 weeks. I hope that I was able to adequately answer your question today, and this information was helpful. Best wishes for the rest of the pregnancy and delivery," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I feel pain and lifeless sort of feeling in my both legs, below knee area. Mostly in calf muscles. I am having this pain for more than 3 years now and 24 hours a day. In the morning, its hard to get up and do something. I am really low in energy levels all the time. Standing for long, intensifies the pain. I have consulted many doctors, neurologists, they gave many stress relieving medicines along with vitamins but nothing helped even a bit. I want to do exercises but there is literally no energy in me due to these prolonged pain. I feel low and down through out the day at work and at home too. Please advise.", "output": "Dear patient you need detailed blood check up for complete blood count with ESR level. Low hemoglobin level may be the reason for lethargy and weakness. Pain in the Lower limbs may be due to spine pathology with nerve compression. First X-ray of the lumbosacral spine anteroposterior and lateral views and them MRI of the lumbosacral spine with screening of whole spine needs to be done. Please get it done from radiology center nearby you. Meanwhile, start tab regain x 75 mg one at bedtime with tab attract twice a day for pain relief. If report is abnormal you need to consult orthopedic surgeon nearby your area with report." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Am 30 yrs old female I have two kids one is 5 yrs and the other is of 3 yrs and I cancelled my pregnancies with pills thrice after them.am actually scared of infections caused during family planning or any other temporary measures of contraception.am now worried about my health pls suggest any contraceptive measures either temporary or permanent which does not affect my health and not does not cause any infection Regards", "output": "Hello dear. Understand your concerns. You want contraception long term:you can use Copper T, which is available in many varieties like effectiveness for 1 year,3\u00a0year,5\u00a0year,10 yearMirena implant, demo shooter options for short term are like diaphragms, hormonal injection, hormonal patch, or condom by your partner. So you can choose it by consulting with the gynecologist for better effect and to prevent the side effects. I hope this will help you. Thanks. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I was diagonised with hepatitise B for the last seven months back, my first doctor has put me on antivairal drugs lemuvudine but later i was advise by the second doctor to stop taking the medicine becouse the vairal load was low and it doesn t qualified me for treatment and later liver biospy was done but i don t have the varius in my liver but since then my liver enzyems keep on elevating especially the alt , alkaline, billrubin, total protein , ggt & at times the mentions ones also reduce though HIV B varial load was done later and it was below 25mm in DNA . What could be the problem am so scared of liver concer and chriosis. Secondly can someone grow up with hepatitise B from child hood up to the age of 60s? if so what is the life span of the person having a chronic HIV B?", "output": "If you have elevated liver enzymes and hepatitis B you should probably get treatment, but it also depends on the results of your liver biopsy (if there is active inflammation or not). Also getting treated will prevent your chances of getting liver cancer. If you are coinfected with HIV, then you should definitely control the hepatitis B with medications since the risk of liver cancer is higher if you have both HIV and hepatitis B. Keep in mind that some HIV medications also work against Hepatitis B (such as tenofovir, also known as Arvada) reasons why your doctor may have stopped lamivudine." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am 38 year male suffering from cold from last 3 days. Doctor has prescribed me Allegra 180 and Azee 500 for 3 days. Lately, a very severe pain has started in my right chest and seems to aggravate the moment i breathe or cough. Will the prescribed medicine help in this or do I need to see the doctor again?", "output": "Thanks for posting you query to Chat Doctor.Allegra is an antiallergic medicine and AEE is an antibiotic, so both medicine do not use full in chest pain .you need to find out the cause of such sever pain as it could be muscular pain or may be due some cardiac disease.cardiac pain are usually associates with sweating and breathlessness constant pain may aggravate on movement, so if you are having such symptom need to immediately consult to medicine physician .but if it is muscular pain it will receive by taking some NSAIDs with muscle relaxant. I suggest you to contact to your local physician he will do local examination and treat you accordingly. Hope you would be satisfied with my answer. Feel free to communicate if any query.regards, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello , i am mohammed 32 years old last 3 years before i married that time i am only 3 month sex with my wife after that i go foreign after 2 YEAR I came from foreign. my wife got 1st month result possitive (preganancy test) after 3 month my wife baby misscarriage and also doctor advice to clean the utrus bag that we done. after that doctor advice to take ar wonder tablet for me this is the right one can you please give me your good suggestion i hope for your rely", "output": "HelloThanks for query. Your wife had miscarriage after 3 months of conception is itself suggestive that you are not infertile.Hence, you do not need any medication being commonly used in treatment of infertility. The cause of miscarriage is due to failure in growth of Zygote (Product of conception) due to many hormonal factors and chromosomal abnormality and are never due to any direct in sperm.Hence, a male partner does not have to take any medication. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a hammer hit me in my right pelvis area where I imagine my ovarie to be ... I have been married 2 years and no luck getting pregnant how can I get this looked at. Can it make me not get pregnant? How much does it cost for in vitriol or to get my husbands sperm tested", "output": "HI, thanks for using Chat Doctor It is unlikely that this injury would have significantly affected your ability to conceive. There are different reasons for infertility. It can be due to male or female causes or due to a combination. In terms of your partner, you are right in assuming that he would need a semen analysis. The cost would vary according to one lab to the next. He can either consider speaking to his urologist, speaking to a lab directly to find out the cost. In terms of your investigations, your doctor would need to assess the different aspect of the reproductive system-the uterus, ovaries, tubes, cervixThis would involve both imaging and blood tests. You should consider visiting your gynecologist or a fertility specialist. Even if issues are found with either of you there are effective techniques available that may be able to help you conceive. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a crown put in three years ago. I had not noticed any pain or problem with it, yet the dentist says he needs to replace it because there is decay under it. Is this unusual? I thought crowns were permanent. Should I get a second opinion, and how do I go about doing that??", "output": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint it is possible that if the margins of the crown is not intact and there is a gap between crown and tooth, water and food debris along with bacteria can seep into the tooth and leads to secondary Infection. In this case if the decay has not reached the nerves present in the center of tooth then you may not have pain, but the tooth can continue to decay. If this is the case you will have to get the crown removal, get the tooth filled or Root Canal treatment has to be done followed by replacing the crown. You can take a second opinion if you wish as well as you can send me a scan of the x Ray of the crowned tooth so that I can guide you how you should proceed for treatments. In case if tooth is decayed then the treatment advised to you is appropriate. Hope this information helps. Thanks and regards. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have ESLD and have unremmiting itching. I am unable to sleep at night and am able to take short naps during the day. I have tried all the known OTC remedies but to no avail. If this is what I have to look forward forward for the rest of my life its not much. My bilirubin levels are very high. I am at my witts end. Do you have any ideas or suggestions? YYYY@YYYY Thank you, Marc", "output": "Hitching in the end stage liver disease can be quite problematic, there are quite a few things tried for it with limited success in some cases. Anti- histamine like cetirizine, defense Chat Doctor. Some local application lotions a like calamine and soothing agents are useful. Then there are medications like rifampicin and ursodeoxycholic acid. Please consult your doctor to see if any of these work for you. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "19 y/o female 110 lbsI, no significant medical bg. was hit in the chest with a blunt object right above my left breast about 1 week ago. Now when I breathe in too deeply, sneeze, cough, or move my left arm in a certain way, I feel discomfort/pain. The pain comes from sneezing. Also now there is quarter-size bump and the pain travels to my armpit/side area at certain times. When I press down on the bump I feel some pain. It is a hard bump but no bruising. When my chest got hit I felt winded. Thank you for any answers", "output": "Thanks for your question on Chat Doctor. I can understand your concern. You had blunt chest trauma and symptoms you are having at present are due to musculoskeletal injury after such trauma. So follow these steps for better symptomatic relief in musculoskeletal pain. 1. Avoid movements causing pain. 2. Avoid bad postures in sleep. 3. Avoid heavyweight lifting and strenuous exercise. 4. Take painkiller and anti-inflammatory Chat Doctor. 5. Apply warm water pad on affected areas. Don't worry, swelling and pain will subside with all these in 1-2 weeks. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my stomach swells up and I also have a tired sort of gritty feeling behind my eyes for some period of time over possibly the course of the week I start to feel as if my body inside is shaking and I have mild anxiety attacks.over this period of time I have swollen stomach slightly painful sometimes not always and after my anxiety attack I am really tired.throughout I have very low energy.I have had numerous blood tests are which of showed nothing and also I have had blood tests for a thyroids problem botChatDoctore back as ok.my diet is ok but not great and found last year when this happened I ate extremely healthy and it went away.i understand that I have to keep a good diet of fish veg and fruit ect but wonder what is happening to make me feel like this.i occasionally take omeprazole for acid indigestion could indigestion be the problem? Or just a symptom of a problem?", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. I can understand your emotions. In psychology, we broadly call it obsession. You had that disturbing sensation once. You expected it to happen again and focused. Then you started experiencing it as you were expecting it. Then your body brought the familiar symptom because you are expecting it. Then you started worrying that the symptom is coming again and again and expect it. Body brings it again as you are expecting it. You become worried and so on. That is obsession in simple terms. Ignore it and the problem vanishes. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi i am 20 years old and I have had stomach aches that feel like cramps in my lower abdomin for about 3 months now and recently its been gas and I have been peeing a lot. Im not sure whats wrong I took a pregnancy test and It said negative.. so whats wrong with me?", "output": "Hi, Thanks for your history - cramps in lower abdomen for 3 months, gases and frequency of urination. I would advise you:: Blood-complete blood picture, kidney functions tests, blood sugar fasting and post-lunch, Urine-routine, microscopy, culture and sensitivity (before start of antibiotic)Ultrasonography of abdomen. This will help to get a diagnosis whether this is intestinal infection of chronic sort like IBS, tuberculosis or Diverticulitis; and urinary tract infection or bladder stone or PID-pelvis inflammatory disease. Proper diagnosis will lead us to a proper treatment. IF required you may need a Contrast enhanced CT scan of the abdomen." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my lower back usually is sore. Im only 17 and already have back pains. But today, Ive been having lower pains by my spin, but of to the right a little, near my butt. Usually when I have back pains, I lay on a hard flat surface and it feels like my back shifts into place, but this time when I did it, it cracked about 7 times, then I felt a major pain so I rolled over to my stomach, cried for a few seconds, and stood up. I thought the pain was gone, til I started walking around again? I already been told my back was mis aligned. but I have no clue what this is.", "output": "Hi, Thanks for posting your query. From description, it seems you might be suffering Mechanical back pain. It is a common medical problem. Mechanical back pain implies the source of pain is in the spine and/or its supporting structure. The surrounding muscles and ligaments may develop reactive spasm and pain.1. Lie on hard bed2. Taking muscle relaxants in combination with mild painkillers will help you.3. Hot water fomentation to back 2-3 times a day and applying a local analgesic gel on the affected area will also help in providing a relief.4. Physiotherapy - Inferential therapy (IT) to your back will help you relieve the pain5. Avoid Chat Doctor. These activities can increase your back pain. You can start with swimming and mild aerobic exercises. These do help a lot in the back pain. Do adequate warming up before starting the exercises daily. Taking calcium and vitamin D 3 supplements will also help in early recovery. You can get these prescribed from your orthopedic. Hope this will help you. Feel free to ask me if you have any further queries. Wish you good health. Take care. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My dad was recently diagnosed with stage 4 pancreatic cancer that has also spread to the liver . The cancer in size are the size of a grain of rice. I have seen charts where cancer starts out like a grain of rice,pea,grape ect.. all the way up to a golf ball. So my question is : Does the size of the cancer mean that he has a greater chance of survival with treatment now because the cancer is still so small? Or in a stage 4 diapnoses the size of the cancer doesn t matter.....", "output": "Hi, In some sort of cancer even in stage 4 cancer there is chance of complete cure. But unfortunately pancreatic cancer is not of this category. Stage 4 disease has guarded prognosis. Now some more information will be helpful like his liver function test, no. of liver metastasis, routine blood test to have a more elaborate discussion. Anyway size of primary in pancreas matters little in the setting of metastatic disease. Consult your doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My neck broken pipe from from the rooftop six and 600 pounds Crush push my head into Manchester airport Halo intrigue me for two days then they proceeded to go into the back of my neck I got 4 rods tutus and bunches screws no mobility two months later I got osteomyelitis real bad case into my bones and blood I feel like I m get again and I m sick all the time why is this happening", "output": "Hi, thanks for the brief history of you. Since you mentioned the osteomyelitis you have been diagnosed at a later stage post surgery then you may have an infection persisting in blood cells as well. There are chances you get infection frequently. Why don't you meet up the surgeon and discuss if you can do some exercises. As EXERCISES will help you to boost your metabolism and help you avoid frequent infections. It is even important that you do exercises under guidance because of the neck injury you had in the past. The improvement in the metabolic and immune system will help you feel stronger and healthier. With the grace of God I wish you a speedy recovery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have anxiety. At my Dr appt. yesterday my bp was 138/96 and my pulse rate 98. Previous 2 appointments over last year or so was 138/96 and 138/94. Im concerned, but doctor just seems to think anxiety, yet due to anxiety I can feel my heart racing multiple times throughout the day. I feel sick.", "output": "Hi, I can understand the distress you might be having due to anxiety. Anxiety disorders can lead to multiple symptoms like worries, palpitations, sweating, tremors, Blood pressure fluctuations, etc. I suggest you seek a psychiatric consultation for the same. Baseline investigations like complete blood counts, thyroid profile and ECG would be required to rule out any underlying medical conditions. Treatment with medications like selective serotonin reuptake inhibitors will be helpful in your condition. In addition, you should start exercising daily. That will help in reduction of anxiety. Hope this information was helpful. Best wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi , my son is 3 years 3 months old he has allergy and uses levolin puff . His spasm is not acute but often suffers with it during change of season. recently he has been prescribed Budecort 200 two puffs twice daily for three months. I am a little uncomfortable with the use of steroid at this age he weighs 20 kgs and is almost 3 feet tall. Want your advice regarding the side effects", "output": "Hi, I admire your positive outlook regarding the query. For asthma management, physicians need to advice various medications which depends on its severity and control.>Leveling acts by dilating air passages and relieves acute breathlessness.>On the other hand, Decor which is an steroid act by reducing inflammation which prevents as well as controls frequent asthma symptoms. It has some side effects like fungal infections of mouth and throat (Candidiasis). Systemic steroid effects on higher doses like mood changes, hyperglycemia, smell & taste disturbances, osteoporosis etc. Your son has been prescribed Decor two puffs of 200 micrograms twice daily that means a total of 800 micrograms which equals to 0.8 mg only. Moreover, very little amount of steroid is absorbed as it is used via inhalation.Therefore, its side effect is almost negligible except candidiasis. That is why your child is advised to gurgle his mouth with plain water after taking puffs which will prevent candidiasis. I presume that a diagnosis of probable asthma has been made and given proper medicine accordingly. Hope this answers your query. Wishing your son good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m desperate to find a specialist in the Pittsburgh, PA or surroundings, who specializes in treating black mold illnesses. My daughter is very ill due to spending 1 year in an apartment where the landlord refused to do anything about it. Some of her illnesses include: severe muscle pain, loss of hair, impaired vision (getting worse), breathing problems especially at night, 14 or 15 yeast infection in one year, some bleeding from her rectum, blurred vision, extreme fatigue etc..... I need help and advice. Please help me to help her. Who can we contact. We have exhausted every possibility that we know.", "output": "You should meet certain specialist and take their opinion on the same issue. A few I can mention. Meet a dermatologist, a pulmonologist, a cardiologist, a general physician, a physical medicine rehab specialist. Lastly after these people have a proper communication within their own parameters your child will be helped better. Do talk about the fatigue issue. As a physical therapist might help with simple exercise to balance the fatigue issue." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "So, today me and partner had sex. This is not the first time we had sex and every time we have had sexual intercourse we have been careful and used a condom while I have also been on birth control. This is the first month I have been off of the pill. Today while we were having sex, the condom ripped at the top. We believe that the head of his penis was only exposed for about 1-3 minutes before he pulled out and we realized what happened. 3 minutes being the most. We are absolutely positive that he did not cum inside of me but there is a pretty good chance that there was pre-cum. My period is due in two weeks. What do you think the chances of me being pregnant are?", "output": "Hello Welcome to Chat Doctor. Thanks for posting your query. If you are so pretty sure that the semen did not enter, then congratulations you need not worry. We have seen so many such cases and I can say more than 90% of the times, you are safe. And as you say, we shall wait for your dates and once you have periods this time, just forget it. If not, you can contact me. Will guide you on further details. Don't worry. Contact back If you have some more queries." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 54 yr old african american male. with diabetes. I have been keeping in check lately. For the past month I have had this pain sensation in my r. thigh. The pain is if I have a 1000 + needles stabbing into the front of my thigh. I have a numbness on the outside of the same thigh. I also get this sensation of water or liquid running across the front of the same thigh. What is going on ?", "output": "Hello, These sensations are neurogenic pain. There may be imbalance of blood glucose level which may because for this. High blood glucose may lead to naturopathies. I shall advise you to check blood glucose level frequently. If it is normal then you should consult to a neurophysician for help.Meanwhile, you may have acetaminophen preparation for relief. In our routine outdoor practice for relief of such pain I used to prescribe pregabalin preparations. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have seasonal bronchitis whicChatDoctores yearly once or twice in the rainy or cold season. I use ampicillin based tablets ....can you suggest me the best medicine.Symptoms: Running nose sometimes or blocked nose sometimes, severe cough, sometimes body pains (may be due to severe continuous cough) but someitmes occasional cougChatDoctores. SLight fever so I use sinarest tablet.", "output": "Hi thanks for asking question. Mostly according to history you have allergic or seasonal rhinitis with respiratory involvement. Continue using antihistamine Chat Doctor. Meanwhile, take more fruits and more water. Green leafy vegetable are helpful. Avoid smoking strictly as it can aggravate condition. Take healthy nutritional diet. Steam inhalation will be helpful in relieving congestion. If condition still severe then leukotrien antagonist " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Sir, I have girl child 5 years old, last 5-6 days she was not feeling well. occasionally she had fever, cough & cold, . now all symptoms gone by using T-minac, Combiflam, & Ampi-Coxicillin. she looks OK other times now, but when given food for eating she coughs and omits the food. & now feeling weakness. please telll me, can I use Ondensetron & Azithromycin & apitizer ?", "output": "Hello. I have gone through your question. Yes you can use Ondansetron syrup 2\u00a0mg/5ml, 5ml three times a day on empty stomach. Donor give azithromycin as of now. If the condition does not resolve, or she develops some fever, then start with an antibiotic like norfloxacin 100\u00a0mg.5ml. 5ml three times a day. You can give an appetizer as well. I hope this helps. If you have any other queries/question please feel free to ask. Thanks and wish your daughter a healthy life." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello, im a 22 year old male, i have had sudden testicular pain in my right testicle, first felt like i was kicked in the balls, now the pain changed, feels like the pain is in the veins, i had a blood test and ultrasound and both tested negative..what can this pain be ? thank you for your help", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have some infection like epididymis orchids, or you may have torsion of testis. You should go for examination. If needed to take a course of antibiotics. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 19 After I donated blood i felt angry all of a sudden but i felt really light too not light headed like i could move faster and i noticed that i took notice of every thing around me like myy sense became a bit hightened from the experence should I be concerned?", "output": "Hello, Thank you for your contact to Chat Doctor. I understand your concern. If I am your doctor I suggest you that blood donation won't cause such a reaction. We had carried out many blood donation camps from many years but we haven't find even a single case of such whicChatDoctorplaints of short leopardess. Donating a blood is a very good and noble cause. Do as much you can give. Also inspire for your known for blood donation. I will be happy to answer your further concerned can contact me. Chat Doctor. Infectious disease specialist. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am from agartala, tripura. last one and half months, i am suffering from right back pain severely. whenever stand-up after sitting a long time in a chair or bed then i feel pain that my nerve is going to be hanged. after few minutes this is going to be normal. when i walking there is no pain in my right legs.i was suggested two-three doctors from orthopaedic specialist ground but no result found at all. please help me", "output": "Dear patient First of all what is your age? Have you met with accident or trauma? Any investigation done? Since back pain is for 2 months and not relieved with Chat Doctor. MRI gives details of disc, nerves and even bones. So visit a radiology center and request MRI asap. Till then start tab diclofenac plus thiocolchicoside combination twice a day for pain relief plus tab vita 12 plus pregabalin 75\u00a0mg at bedtime for 10 days. Both " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have two infected teeth at the moment, swollen glands are present as well. They re abscessed, I m sure. So, my question is this: I have full scripts of both 500mg Cefuroxime as well as 500mg Amoxicillin. I can t get to the dentist until this Friday and I need to start a round of something NOW, because, for obvious reasons, the dentist will not pull teeth as infected as mine presently are. I m sure that the Amoxicillin would be the best choice, even though the Cefuroxime is stronger. But, I ve taken and stopped Amoxicillin so many times in the past that I m sure I ve built up a resistance to it. So, which one do I start? I know I need to get to the dentist, but please, which would you recommend?", "output": "Hi, Thanks for posting the query, I would suggest you to take tab almost Cleveland BD and tab diclofenac BD for 3-5 days, instead of the given medications. Antibiotics and analgesics will give a temporary relief unless the tooth is treated with Root canal treatment you will face pain and infection, I would suggest you to consult a nearby Dentist get an x-ray done and start with the treatment. Hope you find this as helpful, Take care!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi. My 15 year old girl has been waking up sat, sun and today with swelling in her fingers, and ankles and complains of itching different parts of body, feet, hands, and tops of legs, back. I think she has been laying in bed too long, prolonged sitting, and drinking lots of chocolate/banana smoothies, not enough water. I have told her to move around, drink water, and back off on smoothies in diet, I also told he she could take benedryll liquid and apply cream. Any other suggestions?", "output": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint sudden swelling in fingers and ankles along with itching or Urticaria in different body parts seems to be most probably be due to allergic reaction to some unknown allergen. It can be due to a number of things certain insect/bug bites, poison ivy, skin cosmetics, detergents, foods, leather, latex, medicines etc. It can also be due to mite infestation causing Scabies. I would suggest you to consult an Allergist and get evaluated and a thorough clinical evaluation and blood tests can help in confirming the diagnosis and treatment can be planned accordingly. You can be advised to take anti allergic like Allegra or Clarity, apply steroid ointment, do cool compresses over the body and apply calamine lotion. In case of Scabies you can be advised to apply Preterit lotion and take Ivermectin. You can also be advised anti allergic along to relieve itching. Hope this information helps. Thanks and regards. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had cervical cancer Stage 2B in 2008. I m now considered in remission even though last years PAP my doctor said came back abnormal. He said that as long as my cell count was below 32 I would still be considered in remission. I m confused. Do I have a new type of cancer? Does this mean I m only considered out of remission when the cell count is high enough for them to treat?", "output": "Hi and thank you so much for this query. It is difficult to tell what your doctors are referring to as remission. What treatment options were to offered after the diagnosis of this cancer? Also, what were the immediate controls after the treatment. Are the counts still same or are they increasing? If they are still same and not increasing, then there is no reason to get worried. However, if the counts are increasing, even below the mentioned 32, it is enough reason to get concerned. I hope this helps. I wish you well. Thank you so much for using our services and do feel free to ask for more information and clarifications if need be." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my 2 year old is going for an op to remove a lump in his groin, dont know when as he seen the specolist last thursday but since then his hair has starting 2 fall out alot, went 2 the local doctors yesterday and said leave it for a month and if it gets worse bring him back! Me and my wife a so worrid as they dont know what the lump is or the reson why he is loesing alot of hair", "output": "Hi... Thank you for consulting in Chat Doctor. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir i am 45 yearss leady. i am a bp patient, i had my tmt two months back.my dr. told me that after two months again we will go for it. my doctor has told me that nothing is to worry. he has not prescribed any medicine also. now i am afraid ,sir does it mean that i am havin blockage in my heart.jarchana@", "output": "Hello, The general validity of a TMT is 12-18 months, so if you have done is just recently, and it was normal you may not repeat it, however your doctor would have planned a review if the last TMT was borderline, or your blood pressure may have shot up, or you were unable to walk to the desired level of activity. However, you need not worry about it as till now you haven't done a TMT, and the last was good according to the information provided . Even if your TMT comes positive there are still 30% change that the report is false positive. So don't take unnecessary stress of the future. Hoping I could help. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My father (age 75) has mouth disease symptoms like purpule blue colour appreance in one side of toung and gingivitis and pain in chest , he cant able to eat any soild food. pls give me your valuble guidlines and treatment required for this ?", "output": "Hi Elumalai, How are your fathers general health? BP/diabetes/cardiac/renal problems? Visit an Oral medicine specialist ASAP to ascertain what the cause of his problems are. Once oral infection is cleared, he will be able to eat better. Meanwhile, use TATUM mouthwash/McCoppin ointment 20\u00a0min before meals to prevent discomfort. Oral infection has been known to aggravate chest/heart problems so do not delay the Chat Doctor. Thanks & best wishes to your father" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "H I. i am 37 yo and i have had abdomanal pain in my right side for about three months now and the pain is really bad at night it wakes me up , it is like a bad stitch. i have my gallbladder removed about 10 mnths ago and i have a cycts on my left ovarie , my mother died from ovarian cancer and im a bit concerned", "output": "HI. When you are a diagnosed case of an ovarian cyst, this becomes the most probable reason in spite of the fact that you have pain on the right side of the abdomen and the ovarian cyst is on the left ovary. Other reasons of pain in right side like appendicitis, colitis, nephritis, lymph node mass, salpingitis and ovarian problem can be diagnosed on ultrasonography and be confirmed with CT scan. Once the probable diagnosis is made you can go for a diagnostic Laparoscopy and undergo definite surgery if need be, You can ask for the tumor marker tests since you have a history of cancer in the family." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "occasional blood spots in my urine, not on a daily basis. now I noted a back pain, it seems like to my left hip, I am feeling the pain when getting up from a sitting position and walking, I am not taking any pain meds, my only medication is Fosamax with Vit D once a week. Please help.", "output": "Fullback pain and occasional blood in urine may be due to renal calculus, urinary tract infection etc. You need clinical correlation and investigations like routine hologram, renal function test, Urine RE/ME, Urine culture and sensitivity and Ultrasound of abdomen. Ultrasound is important, and it can exclude many possibilities. CT scan can be done if needed. Proper treatment depend upon findings. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have arthiristis in my hands which started about a year ago. My hands have gone from bad to worse as there and knots and pain. also in the last 6 months my hands swell to the point it feels like they separate from my arms and the way they feel as well it is like having balloms as hands instead of hands. it was and has been so bad in the mornings when i get up it is also very hard to use them. Now it is happening more though out the day as well. i also have Dystonia which has effected a lot of things as well as my hands for a while now. That was going on before the swelling which also caused a great deal of difficulty with my hands along the way. My speach is also effected to the point so many whom don t know me or have they meet me before believe i have been drinking and i am drunk. I don t drink. Thanks for any answers you can help me with. XXXX", "output": "Hello, Slurred speech is indicative of nervous system disorder (neuropathy). Other conditions can be brain injury, brain tumor, weakness of facial muscles or nerve damage, stoke, Multiple Sclerosis, etc. Since you have arthritis, follow your doctors prescription & treatment. Avoid sedentary life, stay active. Do exercise & take vitamin E supplements so that your joints stay lubricated. For slurring of speech you are suggested not to neglect but get clinically examined by a Neurologist & get Nerve conduction tests, blood tests, imaging tests & nerve biopsy if needed. Take vitamin B6, B12 rich food or supplements. Get treated at the earliest. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, this is my question. I am a regular plasma donor at a facility here where I live. Every 4 months they take a blood sample to be sent off for a protein analysis, it usually takes 10 days to get the sample back. Normally I know when the sample will be taken so I take 10 days off from donating at all before and the sample always comes back fine (because I am older, 40, weight 153 and I guess donating lowers my protein levels). I have had 2 samples come back recently with a protein of 5.9 (needs to be 6.0 or higher) and I am wondering what it is I need to be doing/and or changing to ensure that my levels are in range. Also, how is this different from the screening test they do every time I go in to donate to test my microhemocrotit? I have been out of range a couple times recently on that and was told to eat iron-rich foods. I am now including an iron supplement with my daily vitamins. I would appreciate any help or advice you could give, I am frustrated. Thank you!", "output": "DEAR SIR/MADAME BLOOD PLASMA PROTEINS INCLUDE ALBUMIN AND GLOBULIN WHICH FUNCTIONS FOR MAINTAINING.1. MAINTAINING COLLOIDAL PRESSURE - BLOOD PRESSURE2. ANTIBODY PRODUCTION WHICH FIGHTS INFECTIONS - DETERMINE IMMUNITY3. ESSENTIAL FOR MAINTAINING RENAL PERFUSION WHICH HELPS IN CONCENTRATION OF URINE AND MAINTAINING URINE OUTPUT.THESE DEFICIENCIES ARE COMMON IN 1. ANEMIA WITH HYPOPROTIENEMIA2. INCREASED PROTEIN LOSS IN KIDNEYS DUE TO FUNCTIONAL KIDNEY DISEASESUPPLEMENTATION OF IRON WITH OTHER MICROBITCOINS MIGHT BE OF VERY LITTLE IMPORTANCE AS THE MAIN PROBLEM IS DEFICIENCY OF PROTIENYOUR VALUES ARE NOT TOO LOW AND ALSO WHEN YOU FREQUENTLY GIVE BLOOD DONATIONS THEN OBVIOUSLY IT VARIES.SO PROPER PROTEIN SUPPLEMENTATION WHICH IS OF ANIMAL ORIGIN LIKE EGG WHITE ARE RICH IN ALBUMIN WHICH RESTORES THE DEFICIENT LEVELS.EVEN VEGETABLE PROTEINS MIGHT BE OF SOME HELP. BUT I PREFER PROTEINS OF ANIMAL ORIGIN.THANKS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a skin rash that developed on my legs and now is on my arms and wrists, they can be very itchy, they look like red dots, my nuetrophilis is 9.9 my wbc is 12.4 hemoglobinn 115 and rdw is 15.1. could my blood work be a reason this is happening?", "output": "HIT hank for asking to ChatDoctorI appreciate your concern the rash that you are having is not because of the blood parameters, but this could be allergic rash that might have developed due to the hypersensitivity reaction, if I would be your doctor then I would treat this condition with the following medicine, 1) Tab Levocetrizine 10\u00a0mg three times in day if the symptoms persistence or appears again then this is to be seen by the dermatologist, hope this information helps you, have a nice day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doctor,I had a small growth like in my thigh near anal part. It was first observed in year 2010 and was slightly increasing its size very slowly. But it was soft in nature. Now it is about 1.8 cms in diameter. Today suddenly I felt that it became slightly harder as if it is pressure filled. I have Piles. But no treatment has been taken till now. Is it dangerous that tonight itself should I visit the hospital. Advise please. I have high blood pressure also normally.", "output": "Hi. This looks to be a prolapsed pile which has gone into thrombosis. No need to worry. Take some painkillers. Have site bath in warm water. It is a good idea to visit a hospital to see the blood pressure. If you have a history of high blood pressure you have to take a regular treatment under the care of a Physician so that if the surgery is required you can be for surgery. Also, you will be checked to see the lump and confirm a diagnosis." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "What is diffuse cerebral atrophy hair sir my child age 2 months and from last 1 week we consulted neurologist after ct scan told it was due to cerebral atrophy sequalae of perinatal ischemia can u explain what is cerebral atrophy can we cure it can my child normal again plz explain", "output": "Hi welcome to ChatDoctorcerebral atrophy means decrease of brain size(fewer cells, neurons etc.). Cerebral atrophy can not be reversed. Your baby needs developmental, rehabilitative, neurologic care, and early intervention services so that the best possible outcome can be achieved, how much can be achieved depends upon degree of damage to child. Normal development as on a normal child can not be achieved, the best possible development for your child should be tried. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I have developed a dark rash in the creases of my genital area and it itches really bad. I thought it was dry skin, but even when I put coconut oil or Vaseline on it, it doesn t help. The skin also has dry white patches. I have not been sexually active in over 2 years and I noticed it happening when I shaved my genital area completely bald. Please help!!!", "output": "Hi, It seems that probably you may be having candida intertwine. Consult the dermatologist for the perfect diagnosis and proper treatment. It may be precipitated by perspiration, wetness and soap. Poor hygiene and poor immunity promote the diseases. Apply antifungal cream like Clotrimazole cream. Take the Ketoconazole tablet. Cleanse the area with diluted Detail liquid. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband is 66, insulin dependent diabetic and controlled blood sugar who had a 90 minute massage this morning and following the massage, he felt dizzy, was pale, clammy and sweating and felt nauseated. His blood pressure was 148/74 and pulse was 78.", "output": "Hello, From the description, it appears like a fairly severe hypoglycemic episode. Was the blood glucose checked following the episode? Sometimes in patients on insulin and with a very strict blood glucose control, there can be such hypoglycemic episodes. It is better to give a closer look at his diet, blood glucose levels and Insulin dosage. So, as to prevent further such episodes. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my son has fallen in love with agirl whose brother suffers from choreia . Isn,t it dangerous for him to marry that lady? I mean the heridatery factor .IS IT POSSIBLE TO FIND OUT IT THROUH ANALYSES? DEAR doctor my son is 35 years old.he wants to mary agirl who has a slight problem in her right hand and also in speech. The thing is that the girl, brother suffers from vivid choreia on left side. What are we to expect if he really marries the girl?", "output": "DearWelcome to ChatDoctorWe understand your concerns went through your problem description. You have nothing to worry, I feel. Chorea is an abnormal involuntary movement disorder, and is a neurological disorder. It shows genetic affiliation only with Wilson's disease, a genetic disorder that leads to toxic levels of copper in the body. You can have the girl checked for that. But it is better to give them permission if they are already determined. You cannot foresee what is going to happen in the future and therefore, don't try to foresee their future. That can cause unnecessary anxiety. They know how to live their life. Please understand. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "The night before last night I laid down on the floor and felt as if I had drank too much water. I then continued to go to bed, and once I laid down in bed, I noticed that my upper stomach (about and inch and a half above my bellybutton) was hurting. I then thought it might be indigestion, so I took tums. That didn t seem to help, and I couldn t fall asleep, so I took some advil, and that kind of helped. I was able to fall asleep. It did not wake me up at all in the night. I awoke to the same pain. This has lasted for almost two days now. This pain has also tended to move over to the right side of my stomach, just below my rib cage. I am wondering if this is appendicitis?", "output": "Here you have symptoms of pain in stomach from two days daily in night. The cause of this could be related to indigestion, acidity, or it can also be due to kidney stone as well appendicitis. I suggest visiting a doctor if it does not improve with anti acid and change with food habits and timing by keeping it proper as well healthy. Here doctor will ask you for ultrasound of abdomen after proper examination and I suggest going ahead for it for proper diagnosis and plan treatment as per that. Also keep your food habit regular and healthy. Have fruits also in diet. Keep doing daily morning and evening walking for 15-20 minutes. Do not have heavy dinner and keep dinner before 8:00pm daily. I have given here general guideline since the examination is not dine by me, but I am sure this will be useful if you follow it. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir my son has got small pimple on right hand 5 days back now it has grown and become hard & red i checked with children specilist 2 days back he told it is a bite of some bee or ant but it has spread more i am worriying more YYYY@YYYY", "output": "Hello, Five days and it has gotten bigger, harder and red means the area has got some collection of blood with or without pus, and now it is getting infected. The swelling needs to be examined again which may require for the collection to be Chat Doctor. Ideally by now had it been a simple insect bite the size wouldn't be increasing or getting harder. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi sir, I m diagnosed with Pneumonitis right mid zone. I have cough and when I vomit a white liquid comes out. my chest also pains when I cough and trying to b breath in air. I have a past history of Bronchial Asthma. Is possible to be cure. I m under medication.", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion, you should first get done chest x-ray to rule out pneumonia. Because lung infection is very common in asthma patients. You are also having chest pain on coughing and breathing. This is known as pleurisy and pneumonia is the most common cause for pleurisy. So possibility of pneumonia is more. And pneumonia is infection, so it is definitely curable. You need broad spectrum antibiotics, antihistamines and anti-inflammatory Chat Doctor. Usual time for recovery is 1-2 weeks. So consult doctor and start appropriate treatment. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter sears haven been pierced for 10+years. Today when she took one pair of earrings out her right ear hole for her earrings started to bleed but the other did not. What would cause it. She put another pair of earrings in her ears today and then tonight took them out and bleed again. We cleaned with wound cleaner and rubbing alcohol and then it stops. Very weird. Please advise any advice you may have.", "output": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint bleeding from airhole can be due to infection in the area of ear-piercing while at times tightly packed earrings can lead to lack of air flow to the area of ear-piercing and can lead to inflammation and slight area of necrosis. I would suggest you to avoid wearing the earrings for a few days and clean the area with antiseptic solution and apply an antibiotic ointment over it. Cool compresses can also be relieving. You should wear earrings a bit loosely fastened so that air can flow easily. You should also wear gold or plastic earrings as they are inert materials and will not cause allergic reaction. Hope this information helps. Thanks and regards. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "All night last night I kept waking up to upper abdominal pain. I felt like I needed to burp or get sick. I vomited a few times but havent since. Nothing seems to make it better or worse. Ill be fine for a little bit then all of a sudden my stomach starts to hurt again. its causing my back to hurt right behind the abdominal pain. Any idea?", "output": "Hi ! Good morning. I am Chat Doctor answering your query. If I were your doctor, after a clinical assessment of your abdomen and back along with a general physical examination, I would advise you for some routine blood tests like a CBC, blood sugar, serum amylase and lipase, an LFT, blood urea, serum creatinine, an ECG and some radiological investigation like an ultrasound of whole abdomen, X-ray chest and abdomen in upright posture, followed by a CT scan if need be. In the meanwhile, I would relieve your pain with some anti-spasmodic and a proton pump inhibitor Chat Doctor. Further management would depend on the result of clinical assessment and the investigation reports. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 4 year daughter stated she hit her head on the floor. I didnt see it but she has been complaining of a headache. Last night I gave her motrin and she went to bed. This morning she was ok but now she is complaining again and now she is sleeping (nap) which she NEVER does. Should I be worried?", "output": "Hi, Welcome to Chat Doctor. I have read your question in detail and I know that you are very concerned about your child. In case of trauma to head of child if their loss of consciousness, seizures, mouth or nose bleed or persistent vomiting, then there are chances of internal bleed or fracture. If these things are not present, then chances of internal bleeding are minimal. Pain at site of trauma may persist for few days. An examination by neurosurgeon is a must. I hope this will help you. Wishing your child good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I woke up last night with my heart racing. I was breathing slowly to calm my heart, but it kepts pumping extremely quickly. My depth perception is off and earlier my vision was blurry. I was shaking through all of this. Dad says its an anxiety attack.", "output": "Hello, This can be anxiety attack but will not wake you up from the sleep, I am keeping it lower down. This can be arrhythmia like PSV or atrial fibrillation, where your heart rate suddenly goes up and BP falls. These are episodic tachycardia and your ECG may be normal if you are not having tachycardia during ECG. You will need evaluation like thyroid test and holder monitoring. You should also get one hemoglobin levels done. So visit nearby cardiologist for this investigation. Also, to abort such episodes you should try to cough hard. Is there any stress or anxiety associated. Till the time your evaluation is complete, you can ask your local doctor for tab collar LA 20 mg once a day. If none of the above is successful then last option is of electrophysiologist studies which is invasive test which can diagnose and treat the arrhythmia permanently in most of the cases. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Dr., my name is Amber I was wondering if i should go to the emergency room or not could you please help me? I was at work and I felt a little cold so I went to my car to grab a sweatshirt and i tripped while my car door was open and tried to catch my fall and hit the corner of my left eye between my brow bone and eye... it s swollen so i have just been keeping ice on it but should i be worried i can see fine no black outs just really swollen... please help me thank you, Amber", "output": "Hi welcome to ChatDoctorI have gone through you your query regarding swelling in the corner of left eye due to hitting. Dear Amber, as far as you're hitting your eye and swelling is concerned it is a matter of concern. Swelling is natural when you get hurt and goes after sometime. You can apply little hot pad on the affected part ad apply a Chat Doctor. You can see well so you need not worry. If you wish you can take advice from your doctor. Hope this helps solves your query. Take care, All the best. Wish Get well soon.Don't hesitate to get back TF have any further query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a smallish red spot on the right top edge of my penis head, as well as a blotchy red area on the dorsal side of the shaft, in the top area where I was circumcised. The spots/blotches are painless, do not itchy, and might be very slightly raised, but not very noticeably so. I currently am in a committed relationship and we do not use condoms, but neither of us have ever experienced any problems or concerns regarding STDs. I assume it is some kind of friction irritation, but am concerned it is something more serious.", "output": "HiT hank you for asking Chat Doctor. I have gone through your query. Pain less spots can be STD like syphilis also. In such case dark field microscopy of swab from lesion helps to identify. A visual examination by a dermatovenerologist also helps. If it is that then antibiotics like doxycycline for 7 days will be helpful. If that is clear then ointments witChatDoctorbination of antifungal like fluconazole, antibacterial like Aureomycin and corticosteroid like dexamethasone will be helpful. Hope this may help you. Let me know if anything is not clear. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear sir my sister is suffered from fistula in ano from last 6 month..Two operations completed..And last operation was completed through radio surgury.. but sir pus is still discharging..dear sir we r in very tension please suggest whatever is posible.thanks-PANKAJ DUBEY", "output": "Hello, very pleased to hear from you about the fistula of your sister. Fistula is very notorious in recurrence. If it recurred it is very difficult to operate again. It is recurred even after doing with radio surgery. I am afraid that it will recur again and again. If I am your treating Doctor I advised You to take proper and hygienic care of your sister. That is the only way you can prevent the recurrence. THX" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my grandson 23 was in a car accident and suffered a concussion . He was in the hospital for an hour and sent home to be watched for 3 days. Two days later he set fire to his room and tried to kill himself. He is now in the hospital lock up room and hears voices. No alcohol or drugs in his system at either time. He has been depressed before all this happened and won t tell his parents why. Are the voices and attempted suicide from the accident alone?", "output": "Hi and welcome to Chat Doctor. Thanks for your question... Since you say that he had been depressed even before the accident, it is more likely that his current psychiatric symptoms are related to the depression. When depression becomes severe, psychotic symptoms can appear (like hearing voices, false beliefs, etc.) Moreover, since he was well enough to be sent home after the accident, it is unlikely that he would have suffered from any significant brain damage. Depression can be caused due to neurochemical imbalances in the brain and need not be stress related always. So, it is not surprising that he did not reveal anything to his parents. With appropriate medication and close follow up he should be able to come out of his depression. Best wishes,- " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was diagnosed with hsv type 1 Sept 6th had my first outbreak and it cleared up. Today I have a rash all over outside of my vaginal lip only in the hair area but its all over and itchy like crazy. This is nothing like my outbreak a few weeks ago. I dont have insurance but is this worth an er visit?", "output": "Hello, Welcome to Chat Doctor, As you had an outbreak of HSV 1 infection previously which is known to affect the area around the mouth. As you are having itching around the genital region, there are many conditions which can lead to this problem and one of the cause may be HSV 2, but it should be confirmed by physical examination by your doctor. I would suggest you to undergo physical examinations before you take any medications. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have recently had a blood tests and have been given a score of 110 for my Gamma GT, I do not drink alcohol and am not on any medications. What else could have caused this? I am now being told that I will have to have a liver scan which is worrying for me.", "output": "Welcome at Chat Doctor... I have gone through your query and being your doctor I completely understand your health concerns... What is your age? Have you tested for gamma GT before? Are the level increasing? Raised level of this enzyme signifies that something wrong with the liver excretory function In my opinion you should Get your complete liver functions tests done. Also, you should be screened for viral liver infections along with metabolic liver diseases too. It would be better to get your liver ultrasound for the liver texture. So meet hepatologist for proper workup so that appropriate management can be started in time. Hope your query is adequately answered... Stay safe Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was diagnosed with bursitis, wore a temporary cast, advised to wear special boot. Took a painkiller for a few weeks. Pain has increased beyond toleration affecting my work and home life . I am pretty tolerant to pain but it has now become difficult to function as I endure 17 hour days. Please advise... I stretch before rising, administer ice packs, cortisone cocktails dull pain for only a few days. I lay in bed with pillow propped under foot, I tried Yoga meditation, I take aspirin daily against my beliefs to medicate myself . I experience soreness in my calf as well... Nancy M.", "output": "Hello, Welcome to Chat Doctor, Bursitis is inflammation of a bursa. It may be a Trochanteric bursitis frequently causes tenderness of the outer hip and Social bursitis which can cause dull pain in the upper buttock area. The noninfectious bursitis is treated by rest, ice, and medications for inflammation and pain. Infectious bursitis can be treated with antibiotics, aspiration, and surgery. Steroid injection of corticosteroid along with a local anesthetic may also be helpful in relieving symptoms of hip bursitis. It involves a single injection into the bursa. The injection may provide temporary (months) or permanent relief. If pain and inflammation return, another injection or two, given a few months apart, may be neededOnce the pain is down do stretch of hamstrings muscle and performs muscle. The stretches to be done 5 times for the hold of 10 counts 2 times a day. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello sir, i don t know english well so forgive my grammer mistakes. well, actually the problem that the docter prefer some tablets to my mom for some venter problems , after taking the medicine my mom feeling, like something burning in her trachea.please sir if you describe the problem we be very thankfull to you.", "output": "Thanks for your question on Chat Doctor. In my opinion your mother is having burning pain in middle of the chest due to HERD (Castro Esophageal Reflux Disease). Many antibiotics and painkiller Chat Doctor. So try to follow these steps for better symptomatic relief. 1. Avoid hot and spicy food. 2. Avoid large meals, instead take frequent small meals. 3. Avoid stress and anxiety. 4. Start proton pump inhibitor. 5. Go for walk after meals. 6. Keep 2 - 3 pillows under head in the bed." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was fine till about 3 o clock in the morning I woke up to a pain in the tip of my penis( it feels like i have to pee but very little comes out. i am a 53 year old virgin and have not had sex with a woman yet. the last time i masterbated was 2 weeks ago. what should i do?", "output": "Hi, You can have acute urinary tract infection like problem. For that urine routine microscopic examination is advisable. Underlying prostate enlargement like cause also has to be ruled out by pelvic ultrasonography. If urinary retention present then also it will be clear by sonography. I suggest you to consult Urologist for examination. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my names Will, im 14 years old and ive found a white sort of spot attached to my scrotum, this morning it was rubbing and began to bleed to i put a small plaster on to stop the discomfort. I havent a clue what it is and havent taken the plaster off since. What is it?", "output": "Hello, Force spots happen when sebaceous glands, which moisturize your skin and are usually covered by your outer layer of skin, become enlarged and appear as tiny white spots. These spots are harmless. They can appear almost anywhere on your body, including your scrotum and penis. Therefore, I suggest consulting a skin specialist for physical examination, diagnosis and treatment. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor,My Father who was alcoholic and is of 49yrs old is in hospital, He is undergoing liver treatment with below conditions: hepatomegaly with coarsened echotexture. Could you please advise if the liver can be restored for damage, if so what will be next coarse of action to stay healthy.And is this is very severe problem.what percent of chances he can be saved?Thank you", "output": "Hi, Thanks for your question. After going through your question in your fathers' case there is likely possibility of Alcoholic Liver Disease, though other short term illnesses can lead to similar finding. For better opinion I want to know-1) Duration of taking alcohol.2) Pattern and amount of taking alcohol.3) Presence of any other diseases and treatment for it.4) Current symptom for which admitted to hospital. I would like to advise following tests-1) Complete blood count.2) Liver function test.3) Kidney function test.4) Urine examination.5) Ultrasonography of abdomen.6) In case of fever Tests for malaria, dengue or any other infections if clinically indicated. Depending upon his detailed clinical examination and test reports it is possible to comment whether liver damage is permanent or reversible, and also appropriate diagnosis can be made and treatment can be planned. In general for recovery from liver disorder or to prevent further damage to liver -1) He has to stop taking alcohol in any form permanently.2) Avoid taking oily, fatty food till recovery.3) Taking food containing high carboy Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor,my uncle is suffering from stomach cancer .right now his check-up going on tata memorial hospital mumbai.there doctor told me first he give the kemo therapy and after that he operate my uncle. so my father is think before operate we consult 2 more doctor.so kindly suggest me 2 best doctor name & where i meet him/her.one favor me also suggest me best kemo therapy doctor in mumbai. thanks", "output": "Hi, Thanks for writing in. Every cancer patient is different and accurate staging is to be done before giving treatment. Tata memorial hospital Mumbai is a research center, and they might have accurately done staging for your uncle. I guess the doctors want to shrink the tumor with chemotherapy and then proceed with surgery. The benefit in this situation is that the surgery is easy and there are better chances of survival. In many cancer hospitals the same protocol is used, and you might take another opinion at any well known cancer center. There is Kiddie memorial institute of oncology in Bangalore and cancer research center in Chennai and driven Chat Doctor. Your uncle might take opinions at these centers before going for surgery. There is no single best doctor when we consider cancer treatment. It is an evolving field of medicine and I refer my patients to Tata memorial hospital because their set-up is organized and regularly new treatment options are reviewed for research purposes. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Daughter age 12 diagnosed with slight bronchitis and sinus infection. Doc gave her antibiotic and cough syrup. She is suppose to play in a basketball tournament tomorrow at 10:00. She will have had 3 rounds of antibiotics by then. Doc said no basketball, but I have been reading where it s ok as long as she takes regular breaks and drinks lots of liquids. No X-rays or anything and had a very slight fever, but none now. Is it ok for her to play?", "output": "Hello, It depends largely on how she is feeling. However, if her doctor, who saw her in person for an exam and listened to her lungs, recommended for her to not play basketball, then I would follow that, as he or she has first-hand knowledge of how her health is. If you feel she is much better now, you can call her doctor to clear it with him or her. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I get very bad headaches with certain smells. Mostly red onions. I work with a culture of people who don t want to take me seriously when I ask them to omit bringing onions to the office. I can eat them ok if they are cooked well but the smell causes headache and tightened throat and chest. How can I make them understand that this is hurtful when they do it.", "output": "HI, thanks for using Chat Doctor It may be difficult to change the diet of other persons. You may want to print out information on headache triggers to show that your issue is a real and documented one. If possible, you may need to evacuate the area when these foods are brought in. Your doctor would be able to give you medication to help relieve your discomfort, you can keep it with you. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 42 years old and my BP was 112/177 and I visited the doctor 30 days back. He examined my ECG and found no fault in it. Then, he suggested me to talk Nebicard SM tablet one per day in the night and revisit after 15 days. I did the same, in my second visit Doctor said your bp is 84/140 and continue the same tablet. Is it right? Can I continue to take the same tablets? ANy side effects?", "output": "Hello, Your doctor has prescribed the right medication for you. You can compare the result of your BP before 2 weeks and after 2 weeks. Generally, it may take 2 weeks to know the benefits of BP medications in blood pressure readings. Therefore, I suggest you wait for one more week and do modify your diet (avoid salty foods, high cholesterol foods, preserve foods, junk foods) and lifestyle (walk every day at least 30 mins). Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir, can you tell me why I feel this tightness, discomfort and bulging at the front side of my upper stomach just below ribs in the centre? It is related to alcohol, but the feeling is after the intoxication is gone, while Im not drunk. It feels very hot when I touch that area and my breath is hot too. Before at rare occasions when too over-drunk I noticed bit of blood in my stool and today I threw up all that I drank and noticed it is mixed with blood, dark red. Could you please advice me.", "output": "Hi. Thanks for your query. Read the history and understood the problems. You have a tightness, discomfort, bulging upper abdomen just below the ribs; increased feeling after the intoxication is gone, feels hot when touched and the breath too is hot. Have history of blood in the stool and vomit. The most probable causes are:Gastric ulcer or cancer. Associated colitis of the transverse colon. I would advise you to visit the ER at once; get the investigations:Upper GI endoscopyColonoscopy. CT scan of the lower chest and upper abdomen Start PPI, Antacids, Risperidone. Further treatment will depend upon the investigations" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have an 8 yr old Am. Pitbull Terrier w/severe allergies. We give him Benedryl & occasionally Sudafed. He s never had any side effects. Today he has two large lumps, one on each side of his windpipe. His breathing sounds a bit labored as well but he s not outta breath or gasping. Thoughts? Thnx, Denise", "output": "Thanks for your question on Chat Doctor. I can understand child s situation and problem. Your child is having bilateral enlarged cervical lymphadenopathy. And most common cause for this is upper respiratory tract infection (URI). He is also having severe allergies. This can also lead to URI. So he needs antibiotics, antihistamines and anti-inflammatory Chat Doctor. Ask him to do warm water gargles 5-6 times a day. Ask him to " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir, i get marry just 5 months ago. my wife took unwanted 72 for birth control . but she got lot of problems like weight loss , headache , body pain, tiredness, n feeling too weakness. and her periods are irregular for one n half months, i mean she did not get periods for 1and half month. last time when she got periods, there were blood cloud from her vagina during periods. m worry due to this. and her body skin is going down and becoming dark. so how her body and face get the previous freshness and glowing face? what should be the diets in her meal and daily routine. plz suggest sir.....", "output": "Hi, Thanks for the query. Usage of one emergency contraceptive pill may not lead to all these problems. She may be having some underlying hormonal problem. So once consult gynecologist, get examined. If she recommends go for ultrasound and hormonal profile once. By this the possible cause of her problem can be made out and treatment can be given. She can take nutritious diet including fruits, vegetables, cereals, eggs, milk, fish, meat etc. Taking small quantities of food at frequent intervals is beneficial. For more details you can ask me directly through the premium forum. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 44 years old female.I experienced this 2nd time in 2 weeks that when I do my grocery shopping and i lift some thing too heavy I started pain in my chest n I become short of breath.it gives me dizziness and bit like num feelings in head.I feel very weak.I have to lay down for at least 15/20 minutes.is it some thing serious?", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. You are having symptoms on strenuous work. And you're all symptoms like chest pain, breathlessness, giddiness, dizziness etc. on strenuous work are seen commonly in cardiac disease. So get done ECG and 2D Echo to rule out cardiac cause. If both are normal than get done chest x-ray and PFT (PULMONARY FUNCTION TEST) to rule out respiratory cause for your symptoms. If this is also normal than got done CBC (Complete Blood Count) to rule out anemia as anemia can also cause similar symptoms." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear doctor, i fell over the other day and landed on all 4s. I grazed my right knee quite badly and a bruise has now developed on my knee around the cut. Since the day after my fall, on standing i get a throbbing in my right knee and it is quite bad and has got worse over the last few days. Its also not too bad on walking, just when standing still. Just want to know if i should go to a doctor or wether it should resolve by itself", "output": "Hello welcome to ChatDoctorI am happy to help you outaccroding to your history and description of wound, I feel it's not very severe injury. If such patient comes to my clinic then I would examine knee joint for possible grave injury like ligament tear, fracture then according to finding would suggest further investigations like X-ray and prescribe some analgesic till investigation and educate him about wound Chat Doctor. Such pain may last for 7-15 days but if pain persist then I would suggest you to consult your nearby doctor for proper evaluation and treatment. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "For several weeks I have had left hip pain that increases with sitting. I have abdominal pain in the pelvic region as well. Sometimes I have to use a cane to walk. The pain is in my left leg to my foot sometimes and the entire side becomes stiff sometimes. I can often walk it out but I have to be careful bending, lifting, sitting, or squatting. I have had a total hysterectomy over a year ago.", "output": "Hello, Thanks for the query to Chat Doctor. Forum. I would come up with these possibilities for this severe pain in the left hip joint, This includes. 1 Pinched nerve (sciatica) , diagnosis can be confirmed by C T scan and X-ray of lumbar sacrum region. As you mentioned that there is severe pain radiating to leg, foot, as all these symptoms are an indication of sciatica nerve involvement (pinched)2 Degeneration of head of femur. Diagnosis can be confirmed by C T scan & X-ray of head of femur.3 Osteoporosis, diagnosis can be confirmed by blood examination and bone density test.4 Osteoarthritis, diagnosis can be confirmed by C B C and E SR. Hysterectomy have not any role in this pain. In my opinion consult an orthopedic surgeon and get his opinion. Good luck. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 46 years old and looking for a solution to a life long problem I have with purple mottled legs this condition gets worse when it is cold. I also have a problem with Reynauds disease. is there any herbal remadies I can take? is it an auto immune disorder? Is is connective tissue illness and if so what do i take. i suffered from recurrent miscarriages betweeen my two children.", "output": "Hello and welcome to Chat Doctor, A history of purple mottled legs and worsening of condition when exposed to cold is suggestive of Reynolds disease. Raynauds disease is an autoimmune disease and is treated with steroids. The disease runs a chronic course with waxing and waning course. Steroids have to be taken as the disease flares up or relapses. Episodes have to be controlled with Chat Doctor. The effect of herbal medications is questionable. You need to stay in contact with your rheumatologist. The recurrent miscarriages appear to be unrelated to the Reynolds disease. Thanks and take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been married since 7yrs n no baby yet..m suffering from PCOD n weight is 95kg.I have went to so many many doctors all r saying reduce ur weight first, bcoz of which I be depressed most of the time .. I tried so many medicines,diets,excercises but no result..Now my new doc has said tht IUI will work for me..I require guidance please help.", "output": "Hi, Thanks for the query. Weight reduction means, there is no need of Chat Doctor. Reduction of 1 to 2 kg scan also help in regularization of the cycles. Then you can gradually decrease the weight. To do GUI also, you have to ovulate. In GUI during the time of ovulation, your husbands' semen will be injected into your uterus. So for that also ovulation is needed. If your doctor suggests you can go for ovulation induction. Then plan for follicular study to track the ovulation. And you can plan GUI at that time with your doctors' advice. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi My Name is Stephanie. I was biten by a copperhead snake on 7-6-14 around 10pm. I was taken to the ER and givin 4 viles of antivenom. I stayed in the hospital until 7-10-14. So I ve been home 5 days and the swelling has not gone done, it itches and sore to the touch. Should i go have it looked at now or wait.", "output": "Hello, Thanks for your query. I am happy to help you here. Today is 22nd of July. If you have swelling till today, then it's better to have a follow-up. Usually snakes are non poisonous. But if snakes are poisonous usually its either cardio toxic or neurotoxic & sometimes both. Swelling doe snot confirms that the snake was toxic, but it needs attention further. Although it's rare that toxin will show its action after 15 days but until the swelling subsides u need to be kept on watch. 4 views of antivenom may not be sufficient if knowledgeable symptoms appear, & if no symptoms appear, you may not need anti venom at all, but for that you should be kept in watch for at least three days. Even if just swelling appears its considered safe to administer antivenom, some patient body react to antivenom and can't be continued further. I don't think you are in trouble of having activation of toxin but still you should keep watch on yourself for following things until the swelling subsides.1) If either or both eyelids starts Chat Doctor. 2) or if you develop numbness (decrease/loss of sensation on touch.) 3)Any kind of unnatural bleeding from nose or in stool etc. If any of above complaints develop then It's must revisit ER. At the time being I recommend you to take antibiotics and anti-inflammatory medication to prevent infection, decrease itching and to decrease the swelling. For now, I suggest you to either have a follow-up or you can take some medications as bellow. Chymoral forte once died before food for 1 wk (it will help to decrease swelling)Tab Exocet 5\u00a0mg 1 at night before sleep for 3 days (to decrease itching)Tab metronidazole 400\u00a0mg thrice daily for 5 days. Tab definite 200\u00a0mg twice daily for 3 days. I hope my talk would be helpful. Will be happy to help you father. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i had a Cbc blood test last week and my white blood cells value is 3.49 which is low, platelet count was 139 , neutrophils 37.6 low, monocytes 14.0 high, eosinophils 5.7 high, basophils 2.6 high and absolute neutrophils 1.31 low... Also creating and bun elevate..... Worried this is something serious... Referred to a hematologist.. What tests will they order?", "output": "Your white blood cell count is slightly low (4.00-is lower limit of normal range for an adult). Your platelet counts are almost normal - so nothing to worry about your platelets. 14% monocytes are on higher side though. I would suggest a repeat Complete blood count (CBC) WITH PERIPHERAL SMEAR EXAMINATION. This test would highlight any problems in your blood profile. You have not mentioned your BUN and creatinine values ? Do you have any previous kidney disease ?" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have a broken blood vessel in my arm i know this cause I looked up pictures to find out what was on my arm. It is about 1 inch by about 1/4 of an inch big and it is slightly raised and there is a kind of a cold/dull ache and almost numb sensation. should i be worried", "output": "Hello, I have studied your case and I do not think that you can have a broken blood vessel in your arm. You may be having hematoma due to collection of blood in skin or subcutaneous tissue. You need to apply hot water fomentation, compression bandage and take govern tablet twice daily. If there is no decrease in size of the swelling then you can get a physician opinion. But I can assure you that it is not a broken vessel." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a cheerleader so I am flexible and do many different stretches and flexibility training daily, so today during a tryout I went into my right splits and heard three very loud pops and then very bad pain! I continued with my tryout which had several different jumps and kicks and with each I felt even more pain and now I am feeling constant pain on minimal movements. What could be going on?", "output": "Hi... As per your narration you had injured your muscle...there could be snapping of muscle over the bone or could be a partial tear in the muscle. Nothing to worry. If I were you... I would wait for a while and.... Apply lot if ice in the injured area... frequently for every 2 hours once for 15mins... No stretching to the injured area for next 48 hours...Don't load for next couple of days. Support the injured area witChatDoctorpression bandage... Once movements becomes pain-free then do strengthening exercises for gluteus and then slowly and progressively load the injured area...like moving your leg from out to inside...etc Hope this is helpful for you... Kindly revert.in case you need any further help in this regard..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 6 year old daughters pediatrician is sending us to an endocrinologist for Clatorial Hypertrophy. When looking up research on this I am not finding to much to explain what it is or how serious it is. I would like to know what it means without all the medical terms getting in the way of understanding it.", "output": "Hi, Welcome to Chat Doctor, Clitoris is a part of female genitals which is a regressed meaning shrunken form of male penis ( male sexual organ). Its normally seen as a small bud like thing in the upper part of female vagina. In some abnormal situation, it enlarges(hypertrophy) and looks very prominent then it's called clitoral hypertrophy. Your doctor did right by asking for endocrine consult because there can be a lot of reasons for it, and she needs a detail evaluation. Hope that clarifies your doubt as of now. Happy to help further. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, my 4yr old was awake all night with a temp it has gone down since last night.but he seems very dosey + is complaning of a sore troat and stomach pains.2 nights ago he had a bit of a temp again went down with calpol but was complaning about his teeth what could be wrong with him in your opinion any help would be greatly appreciated.", "output": "Hi, Look all these are symptoms suggesting of infection. He might be having Pharyngitis/Tonsillitis? You can do the following things: 1. Just give lukewarm water, vegetable soups. Thus maintain HY Chat Doctor. 2. Need to start giving a course of Antibiotics, Paracetamol, B-Complex Spy., Antihistamines. 3. Proper Rest & healthy diet shall be helpful. 4. Monitor temperature 4 hourly will be helpful to assess prognosis. 5. If required basis investigations: CBC, BMP, RBS can be done. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have sinusitis I m taking steroids and anitbiotic. A week prior to me starting medication I have a rash purple not spotty but in and area not itchy on inside of my thigh by my knees and just noticed on my butt also it mirrors each other bith legs both sides of my butt . My blood pressure is also elevated 140/100 I am going to get checked tomorrow but I can t see a dermatologist until Monday . I tried anti fungal cream very slight difference . I would think the steroids would take it away .", "output": "According to your history might be you are suffering with frictional dermatitis. This type of dermatitis seen in atomic person or u have Tina infection. Confirm diagnosis can be done after seeing the lesion. Bilateral lesion on both legs n butt favor toward the dermatitis. But if u took steroid for long time Tina infection may be.You are not mentioning the duration of treatment. Soon start steroid self, first done skin scraping for KOH mount confirm the diagnosis the o ahead under supervision of dermatologist. Idont think it is related to your BLD pressure." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi dr. im from nkmkab and I want to know abut PARATYPHI BH 1:80 +++ what type of fever is this ? and what is treatment we need. bcos that report is my child. age 3year and 6month im very nurves abut this plz tell me what can I do of my child. my eng is not too good plz try 2 understand my feelings.", "output": "Hello, Thank you for your contact to Chat Doctor. I understand your health concern, if I am your doctor I suggest you that paratyphoid fever is caused by Salmonella paratyphoid B. It causes a fever same as that of typhoid fever but are readily treated as compared to typhoid fever. Your title is 1:80 which I think is not high title to diagnose your child as having paratyphoid fever. I will be happy to answer all your future concern. Thank you, ChatDoctorInfectious disease specialist. Wish you the best health at Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Last night my husband bit me on my arm . I quickly got up and told him to stop. I really got scared i told him what he had done and that if he had realised what he has done. his response was yes . he then got out of bed and went to the toilet. At this point he really sh?? me up.That evening he was watching a vampire movie with lots of blood and guts. He does not sleep well. His bedtime routine is sleeping between 1am and 3am. He gets up for half 8pm. He s got a lot of stress . He speaks jiberish whiles sleeping and makes sudden movements. Once he was having a nightmare until I woke I m up, asking him if he was ok. I think I saved him from his nightmare. Can you please help and give some sort of explanation. Thanks kera", "output": "Hello Seethalkaursingh, The problem you have tried to describe, doesn't appear to a nightmare. Its closer to being a night terror. Please understand that sucChatDoctorplains are very common and increase at the time of stress. People generally don't discuss them as they don't cause any problem for themselves. Epilepsy / seizure disorder is another concern, and he should be investigated by an EEG. There are many unanswered questions in your write-up. But one thing is for certain that your husband surely need some help from a psychiatrist. Please ask him to visit one who would like to explore many his areas. Hope this answers some of your questions." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I went into the hospital 3 weeks ago with gallstones and they had to put me on a potassium drip for 4 days to get my potassium levels back up. (6 bags total) My liver enzymes and heart enzymes were high but I tested negative for every test they gave me including all hepatitis. Now, it has dropped again, what could be causing it to drop?", "output": "Hi, welcome to Chat Doctor. Thank you for posting your query. Let me make it clear about uses of potassium in the body. It helps in functioning of muscle and nerve cells in the body. Certain symptoms like severe vomiting, loose motions, antibiotic use, diuretics, chronic kidney diseases cause hypokalemia. Hope I have answered your question. If you have any further questions I will be happy to help." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Four days ago, i was swimming at the beach and a wave pushed me and I twisted my knee. I have put ice packs, knee brace and tried to stay off my foot as much as possible. My knee never swelled. It is only painful when I sit too long or have to move to get up. Please advise.", "output": "Hello, As you were pushed by the wave and twisted the knee joint, with the history it sounds to be a ligament sprain. Due to which you are facing difficulty in getting pain while performing knee movement. Kindly do hot water fermentation and allow the limb to rest. Use knee brace for 3 weeks or so. Then do simple knee exercises like static Qua Chat Doctor. You should be fine. As you applied to ice there won't be swelling. So in any injury icing is advised to avoid swelling as it will lead to vasoconstriction of blood capillaries. So you don't have swelling. Usually, icing is advised if we are planning for some x-ray or MRI. Do the conservative therapy mentioned above, and you should be fine. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Okay. I am 68, Type 2 diabetes, overweight. Have been having a lot of phlegm in my throat in the mornings for a couple of years. Over the last couple of months, I have also developed a productive caugh with upper left chest pain that is noticeable, but not severe and usually is relieved whenever I cough up sufficient phlegm. What gives?", "output": "Hi welcome to the Chat Doctor Your main problem is excess cough... I need to know following details... 1. Do you have fever? 2.are you having chest pain and dyspnea complaint?? 3.smoking history?? It might be allergic cough, chronic infection induce cough, bronchitis, bronchiectasis etc... As far as approach is considered work up done as follows... -Above history asked first -Auscultation -Chest x-ray -CBC -if needed spirometry and sputum cytology examination According to cause I can give further comment on treatment Take care Hope your concern solved Consult pulmonologist for examination and discuss all these with him" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i am having sinusitis from last 2 months. i had antibiotics for a month... still not recovered . Now i have started taking septilin and nasollerin as per the doctors prescription. how long should i take to get actual results age:34 weigh 70kgs", "output": "Hello. Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for you as follows:1. As you have already taken antibiotic for a month, I would not recommend anymore at present.2. Were I treating you, I would suggest you regular montelukast and levocetirizine for at least 1 month.3. Regular steam inhalations (please be cautious to avoid burns) and nasal irrigation with saline sprays will hasten recovery.4. Please avoid exposure to smokes, dusts and air pollution.5. I would also suggest you plenty of ward liquids and a healthy diet.6. If you have still no improvement, especially if you have nose obstruction or loss of smell or headaches, I would suggest you to consult an ENT specialist who will examine your nose cavity from inside to identify a contributing structural cause, if any. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you a quick recovery and the best of the health. Thank you & Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "What is wrong with me... Im tired all the time, I have been putting on weight for the past month and nothing helps. I feel like crying all the time, Im cranky and moody and I feel like I move in slow motion. People just say to get over it but I cant.", "output": "His understand your concern. Sudden change in weight indicate metabolic changes. We have to rule out certain cause like diabetes, thyroid etc. Require certain basic investigation and proper chart of body mass index. Consult physician and do all reports. After reaching paper because we will be able to do treatment properly. Dietary control. Avoid fatty and junk foods. Follow proper diet plan from dieticians. Exercise and walking regularly. Thank you. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Thanks a lotFew weeks back i got a mild pain on my left lower abdomenton consulting the doctor, i was told that there may be a possibility of a small stonewhich could be treated with consumption of water to 3 lts per day (min)i did follow itand now i do not have a painbut out of curosity i did take an ultrasound on my abdomentthe doctor happened to find that on my lower abdomen, there are 2 small stonesand its not obstructing as suchdo i need to undergo treatement from a urologist?or consumption of water will help to resolve this problem?Please advise", "output": "HelloYour findings suggests two small non obstructing calculus in left kidney. Treatment of renal calculus depend upon many things like composition, position,size of calculus etc. Small calculus may pass spontaneously with adequate HY Chat Doctor. Initially you may need syrup like sodium and potassium citrate. You are rightly taking plenty of water. You may also need routine hologram, random blood sugar, urine RE/ME. Since size of calculus are small in your case, it is likely to be flushed out with HY" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi!!! my age is 23(Unmarried) i m facing irregular periods from the day of my maturity. i have consulted doctor they adviced me to take CYCLOREG.. from past one year if i would not consume tablet also my periods were regular. but, again now from past two months it is the same. so can u please suggest me weather this leads to infertility?? consuming tablet is good or bad?", "output": "Irregular periods mean you are suffering from poly cystic ovarian disease or pod. Cycloreg leads to medicinal stimulation of the ovaries and in turn regularizing your cycles. The effect of the medicine can continue for some time even after discontinuation. In the longer run people with pod have problems conceiving and should plan an early pregnancy. Cycloreg will have to be stopped when planning for pregnancy as it is an oral contraceptive pill, and you cannot conceive when on this. Sadly, this is the only treatment for pod. Diet control and weight loss can help relieve the symptoms of pod." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my sister has been battling cancer. First she had cervical cancer. She had radiation and surgery and was in the clear. months later the cancer had metastisized into 3 masses in her lower body near the site of the original tumor. chemotherapy has proven ineffective. the doctors have basically said there is nothing they can do. they have stopped chemo and now have her on a drug to stop blood flow to the tumors to help prolong her life. I have read that thioredoxin protects the cancer cells from chemotherapy and radiation. I have also read some publications about thioredoxin reductase as a cancer treatment. do you have any information on this subject and can you suggest any clinics specializing in thioredoxin reductase. I have also read there is a link to the gene p53 as a tumor suppressor.", "output": "Hi, Thanks for writing in. Research shows that redox-sensitive signaling factors such as thioredoxin reductase-1 (TR) and thioredoxin (TRX) may represent central pro-survival factors that would allow tumor cells to evade the damaging and potentially cytotoxic effects of endogenous and exogenous agents that induce oxidative stress. There have been clinical trials which have shown that thioredoxin reductase inhibitors like arsenic trioxide might have role in treatment of cancer. It is important to know your location so that we might suggest you a hospital where this treatment is provided. Please contact your national cancer network as they might have details. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi there, i have a lump on the back of my neck, i frequently get headaches, and often these headaches are accompanied by nose bleeds, the headaches can last whole days and im getting worried, im 20 years old, medium height, weigh 65 kg and im male, please help me cheers", "output": "Hi, dairy have gone through your question. I can understand your concern. It needs examination first. You may have some lymph node enlargement, cystic lesion or soft tissue tumor. After examination if necessary go for fine needle aspiration cytology and then take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hey my name is aya, i live in the states, i have more than a question, my mother had been having frequent heart pulpitations from time to time and she started to high blood sugar since my grandfather died, she had been under medication for 9 months now for her blood sugar but she stopped it because it became normal and 2 days ago she started to have high blood sugar like its level is 210 which is high for her, so what can she do ? and what does it mean to have frequent pulpitations?", "output": "Hello, I understand your concern and would explain that the palpitations could be related to possible cardiac arrhythmia. For this reason, I recommend performing an ambulatory 24-48 hours ECG monitoring for possible cardiac arrhythmia and some blood lab tests (complete blood count for anemia, thyroid hormone levels for thyroid gland dysfunction, blood electrolytes for possible imbalance). Regarding her glucose levels, she may have diabetes. For this reason, I would recommend performing HbA1C levels to check for diabetes. In case it is elevated, consulting with an endocrinologist is necessary. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Just 2 days ago I found a lump under my 1 about to be 2 year old and it got me really worried. I was wondering if i should be concern and get it lloked at?...she has a couple small lumps on her head also (the side of her head).", "output": "Hello, Thanks for the query, Probably you are suffering from lipoma. Your description matches with it. It is a benign collection of fat.Don't worry it is not a serious thing. The only possible treatment is surgical removal, Please meet a dermatologist for exact diagnosis. Let me know if you have any other doubt. You can ask a direct question to me on this forum, following the below link.http://www.ChatDoctor .com/doctors/ Chat Doctor. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi iam 21years age now, not yet married.daily in sleeping my sperm is coming out,it is happening every day.is there any problem if it comes out daily ?and is there any problem in future with my partner in having a child ? will my sperm reduse by that time ? please give clear solution every day iam worrying abot it.", "output": "HiT hank you for asking ChatDoctorI have gone through your query. It is normal to have ejaculation while sleeping if you don't masturbate. You don't need to worry about that. You can have regular exercise like swimming jogging etc. which may help you in decreasing those episodes. That doesn't cause any impact on your future fertility or libido. Hope this may help you. Let me know if you have any further query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello, i am a girl 14 years of age. 2 days ago i had my first panic attack. i went to my family doctor but she didnt help much. my mother often has panic attacks and she has recently been diognosed with bipoloar disorder. i went back to school today and it seemed like everything that got me upset or just generally got to me was gonna start another panic attack.. any help or advice???", "output": "Hello and welcome to Chat Doctor. Thanks for your query. I understand that you are going through a difficult time due to your recent problems. The symptom that you are experiencing now, that is, a fear or a feeling that you may get another panic attack is called anticipatory anxiety and this is common in persons who have had previous panic attacks. Since these symptoms seem to be distressing you, I would suggest that you seek professional help. Please talk to your parents or your school counselor, so that they can arrange for you to see a psychiatrist. Wish you all the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I keep having intermittent twinges in my chest the last few weeks. Under lots of stress. I have a referral to a cardiac specialist, but Im trying to decide whether to go urgent care today. the twinge was there when I woke up this afternoon (slept late) but is gone now.", "output": "Hi and thank you for asking! I read your query very carefully. You are having chest discomfort (twinges on your chest) for a few weeks now, which may be a sign for new onset chest angina. New onset angina may be a warning sign for future cardiovascular events including heart attack. This is why its essential that you contact a cardiologist for further examinations. You shouldn't wait for the cardiologist appointment and go to ER if your symptoms increase in intensity or become more frequent (signs that the things are getting worse).Otherwise, you should wait for cardiologist appointment. Meantime, wish you health!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ive been feeling really tired the past 8 months. I was under a lot of stress and just assumed it to be that. As times gone on Ive noticed some other symptoms. my ankles get a little swollen at work (Im not extremely over wieght or anything). My lower back started hurting. Ive also noticed over the past three months that I go to the bathroom a lot more and my urins been really clear. More recently Ive been feeling light-headed and unable to focus. I keep trying to tell myself its just stress and for the most part Ive ingnored it, Im just a little concerned because none of the symptoms have gone away.", "output": "Dear patient Considering your case possibility can be 1. Anxiety 2. Diabetes Mellitus. I would like to advise blood testing for fasting and postprandial blood sugar levels. Get it done from reputed laboratory. If reports are normal diagnosis is anxiety disorder. If reports are showing high sugar levels its diabetes Mellitus. For DM YOU NEED TO consult diabetiologist. If you are having excessive stress and anxiety in life try meditation and yoga which are very helpful. All the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m a 5 10 female, 25 years old, 122 pounds. I have been feeling a dull and often pinching pain on my right lower abdomen. It presents a small bulge, that I can t push in. Went to 4 surgeons and they don t think its a hernia, but from a bike fall that I had 6 months ago (I did 3 MRIs and 3 ultra sounds, and nothing showed). It really hurts when I am sitting for too long, and I feel discomfort like something is pressuring my abdominal wall. Please help.", "output": "Hi, thanks for posting your concern in the Chat Doctor. As you have already been examined clinically and a thorough imaging was performed, my understanding is you may not have any visceral problem. Your doctors have also ruled out body wall defect like hernia.in some cases, fibromyalgia may produce similar symptoms in the absence of an organic disease. Therefore, you should also consult a psychiatrist to evaluate for fibromyalgia. You should also be clinically examined by a second doctor (should be a general surgeon) to rule out any abnormality. For any further information, please write back to me directly or tag me in your question. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 6 year old son has been ill for over a week now with headaches, and lumps on the back of his head. Been to A&E and was told it was swollen glands and was given calpol. A few days later he was still very poorly and lumps had got bigger. Went to my GP who said it is a scalp infection and gave antibiotics and antihistamine. Finished course of medicine and lumps are still present and sore! What do i do next!!?", "output": "HI, Welcome to Chat Doctor. I studied your query. I understood Your health concerns. Based on the facts of your query, you seem to suffer from-Boil with lymphadenitis, with resolved nodes after antibiotics. Remaining lumps indicates Chronic Amenities with fibrotic changes in it. Reason of antibiotics not giving regression of these lumps is due to the accompanied Chronic fur uncle- lumps with its lymphadenitis.FNAC biopsy / or Excision Biopsy / or CT study -of the persistent lumps, would give the exact cause of these persistent/ non-regressive lumps. Other causes like infectious mono, or viral lymphadenitis/or TB lymphadenitis/ NHL/HL lymphoma-needs to be ruled out. As the facts are very scanty, I would also suggest you to take Second opinion from Surgeon, to rule out other causes which would cause such symptom/complaints, after physical/clinical examination. Will appreciate writing your feedback review comments, to help the needy patients like you at Chat Doctor. Good Day!! Chat Doctor. S. Genl-CVTS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 30 yr old female that has been experiencing an irregular heart beat brought on by possible stress of starting a new position at work. Ever since I atarted it my heart has had random episodes of quick beats to where it feels like two at a time .. Its noticeable and im wondering whats wrong. No change if anything other than my job.", "output": "Hi, two beats which you feel in succession may be because of extra beats, the change in job and early anxiety about fitting in new place may increase the stress hormones like a Chat Doctor. Both the situation is completely benign and just some relaxation techniques would help. If it's too troublesome a 24 hour holder would be the best test to evaluate the same or and EKG during the episode. Also, for your age rule out thyroid as the cause if associated symptoms are present. Regards " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Can hyperinflated lungs be normal? I got my x-ray result :Lungs are hyperinflated consistent with COPD, no other any medical problem concert. I have never had any illness. I had x-ray last year that result is normal. The doctor said I may can not work in a nursing home.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. If you are not having any symptoms (cough, breathlessness, chest pain) then no need to worry about hyperinflated lung field on chest x-ray. If chest x-ray is taken after deep inspiration then hyperinflated lung field can be seen on the chest x-ray. COPD diagnosis is not only on the basis of chest x-ray. PUT (Pulmonary Function Test) is needed for diagnosis of COPD. If you have any doubt then get done PFT.PFT is normal then no need to worry about COPD and you can also work in nursing home. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I have a 7 year old who has had a fever at about 102 and feels dizzy. She vomited about 8 times yesterday, but that has subsided, and she has this fever now. She s been taking liquids, and she s urinating regularly. The fever is persistent though. What hsould I do?", "output": "Hello, I just read your query. The symptoms you have mentioned here persistent fever, vomiting and frequent urination are suggestive of urinary tract infection which is very common in child Chat Doctor. * So perform urine routine examination first and do visit a nearby pediatrician. Because according to urine report he will prescribe you appropriate treatment and if she further requires any investigation your doctor will let you know.* Till then for high grade fever you can give her spy. Paracetamol and can do sponging and give her only liquid and semi-solid diet.* I hope you find my answer helpful. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello I believe I have recently developed a chest cold still early stages yet started having a hard time breathing just tonight. accompanying the pressure and congestion in my chest are chills, and a small fever 99.7 degrees. I was wondering if there were any home remedies to relieve the chest pain and congestion I do have vicks NyQuil and mucinex I am wondering if I should use either of those two over the counter meds or if there was a better remedy for chest pain/congestion/cold thanks in advance", "output": "Cellophane You for contacting Chat Doctor. I would suggest you following things:> Take acetaminophen thrice a day for 5 days.> Take hot water in a cup, add 1 tablespoon salt in it. Perform gargles (mouth wash) with it three times a day for at least 3 days. It will give soothing effect.> Take boiling water in a pot, put your head over the steam and cover whole with a sheet. Take deep breaths in it.(Avoid getting closer else it might cause burn). Do this twice a day.AVOID:> Chilled water> Chat Doctor. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear DoctorMy mum has congestive heart failure and has been taking as a diuretic Frusemide 40mg daily. Just recently the nurse at the heart failure clinic added in Spironolactone 12.5mg daily but the Frusemide dose is the same. Is it normal that 2 different diuretics are prescribed to be taken concurrently and also will this have any reaction with the Candesartan that she takes as well? How often must her urea & electrolyte levels be checked now?Thankyou for your help.", "output": "Hi, If your mother doesn't have kidney failure, it is a good idea to prescribe Spironolactone and Furosemide together. Spironolactone will not let to a big Chat Doctor. It is Ok to take them together with Candesartan. I would advise you to check electrolytes once monthly, after 3 months, if they are stable, then you can check it once in 3 months. Hope I could help nourishing you good health In case of further questions don't hesitate to ask" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Doctor,My cousin,37 years has undergone buccal operation on 20th june 2014 followed by 33no of radiation and 5 no of chemo therapy start from 25th july and completed on 16 th sept,2014. Now he find one small tumor with pain on operated area inside the lip and biopsy found positive.He is financially not sound. Please suggest some idea about what to do now.Thanking You,Regards,D.M.Nath", "output": "Hi, dear I have gone through your question. I can understand your concern. He has history of buccal cancer. He took radiotherapy and chemotherapy. But there is recurrence of tumor. If it limited to that area then he should go for surgery. Then chemotherapy and radiotherapy depending on need. If some part of tumor is left then there is chance of recurrence. So complete removal is very important. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doctor, i am a 21 years old female, i fell 1 month ago while i was walking,, my left leg near the ankle hearts me till now, it is not a continueous pain, just when i move it to the right.. i didnt go to a doctor because my legs color didnt change and i didnt experience any swellig.. but this pain while rotating my leg to the right i bothering me.. a week ago, the pain also reached my left knee.. i would really appreciate your help in telling me what might have happened to my leg.. and how to treat this pain. I dont know if it would be helpful to tell you that i am diagnosed with vitamin D deficiency. thanks for your time.", "output": "Hello, As you are able to do daily activities, so it is clear that you don't have a bony injury.-Hip joint-Knee joint-Ankle jointThese are the whole body weight-bearing joints, So minor injury or major injury to these joints shouldn't be neglected, and the patient needs absolute bed rest. In your case, it's not a fracture of bone but soft tissue injury (Mostly spring ligament or bursitis). So there should be absolute bed rest with cr\u00eape bandage application. Please see an Orthopaedician for how to apply the bandage. Take good analgesics like tablet Stretford twice daily for five days. Take tablet Circa Once daily for three weeks. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my daughter is 16...she is having what she describes as severe pain on her left side at her ribs, about 10 inches below her armpit....it hurts when she breathes and the pain is moving down her back, butt, leg. She says it hurts all over now and she has had a headache for a few hours. I have asked her if it is time for her cycle, she says no. she tends to panic at every ache or pain, so I have suggested she try stretching and taking deep breaths to see if helps if it is a muscular thing...this has not helped.", "output": "Hi, Thank you for asking question on Chat Doctor. Your history indicates it may be a rib fracture. She might have sustained some injury which she overlooked. Better consult or tho specialist as she may require strapping of ribs on the injured side. Hope this answer will serve your purposeless feel free to ask any more queries if requiredTake care Chat Doctor. V. Subrahmanyam MD;Disassociate professor of pediatrics" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i undergone pneumonia treatment in hospital for 3 days by taking antibiotics (IV). After discharge i am getting more back pain and chest tighten pain. If I use hifenac-mr it is giving immediate relief, can i continue it, if so please give dosage. i am 36 old and female", "output": "Dear patient It seems you have got back stiffness due to rest. Since you were under treatment for pneumonia in hospital you must be on rest which might lead to muscle stiffness and pain. You need physiotherapy with back extension and back strengthening exercises and do hot water fomentation for your back. If you are feeling better with higher Mr you can continue it. Dosage is twice a day for 5 days. All the best" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Can you help? I have a pain in my top front tooth , I went to a dentist two years ago and he said i need a small filling in this tooth and from then on I have had pain. I have been back five times to him also another two dentists and I am told there is nothing wrong. My mother passed away at the time I had the filling so one dentist said it was stress .", "output": "Hi, if the filling was done without a proper cavity preparation, which could be by two ways-one, if the carious structure was not cleaned up properly, it leads to caries spreading underneath. Secondly if there is pulp exposure while deep cavity preparation, it leads to persistent pain after the filling. Please take a ray and go for a root canal treatment to get rid of the pain. You may need a crown also if there is discoloration. Take care!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Chetna, I am Megha (age 28yrs). I had miscarriage thrice earlier within 1-1.5months of preg. This time, I have been lucky and I am 11weeks pregnant now. My Doc has asked me to use corion 5000 from past 1.5 months and for another 2 weeks(once in 4 days) Also Sugest 200mg, thrice a day, and Glycomet 500SR once a day. Now recently doc asked me to use Duvadilan Retard 40mg as well (twice a day) I had 2 Ultra Scans till now and it was normal. Now the next scan is on 1st feb, based on the results my Doc would provide the medication. My query is: Is it normal to use all the above mentioned medicines..are there any side effects on the baby....expecting your response, thanks a lot (0000)", "output": "Hello Ms. Mega, All these medications have been used during pregnancy with no reported untoward effects. In view of your past obstetric history, your doctor has prescribed chorionic gonadotropin injections to help sustain the pregnancy until the placenta takes over the function of hormone production. This is why progesterone supplementation also is being used. Metformin is prescribed when insulin resistance is seen as in POD to prevent abortions and gestational diabetes. Nevadian is a uterine muscle relaxant. Please do not worry, you are on the right track. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have recently noticed that when I am concentrating, I stick out my tongue about a half inch between my lips. This is very disturbing because my mom, now 84 yrs, has always done that, but in the last 10 years, its gotten worse and when she concentrates on anything, her tongue is often sticking out by its entire length and looks creepy. I dont want to get like that. I am a very healthy 58 year old runner and triathlete.", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. There is nothing wrong in that. Everyone has some mannerisms. When we overly indulge ourselves in some task, these mannerisms surface automatically. This happens just because we were never aware of it and never tried to overcome it. Here, you want to overcome it just because you do not want it to happen. Fine. The negative feeling about it itself is enough to stop it. Still as an enhancing step, Just put some chewing gum inside your mouth whenever you are doing something. Also, good for your mouth and teeth. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my wife has lupus and is in extreme pain. she stopped one med because it was causing eye damage and she cant take the other one the doctor recommended because it causes osteoperosis (she is borderline already). we are becoming desperate, so i remembered i had an old prescription of Naproxen. she took a 500 mg and it really helped her - for most of the day. is this something we should ask the doctor to prescribe? she has been to numerous doctors numerous time since being diagnosed one year ago, and none of them have mentioned Naproxen.", "output": "Sir the pain in lupus may be due to involvement of joint in the form of arthritis and muscle causing myalgic.Also, there may be associated fibromyalgia as well. For treatment of the same Naproxen may be given for few days to decrease inflammation and hence relief in pain, but it would never cure the root cause of the disease which depends on some immunological markers. Some general measures like use of hot moist towel, sauna bath, hot shower, regular yoga exercises with mediation would be of great help in long term improvement of pain" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Have been experiencing some lingering symptoms that i would want to attribute to Candida or acute parasitic infection(protozoa). The symptoms are as follows: Weird bodily sensations that can be itchy, motile, slight spasms, back ache( especially in d mornings), erectile dysfunction( i do have an erection as when due but dont think i retain as long as i should), mental fogginess, digestive discomfort etc Whats your prognosis doc?", "output": "Hi, For erectile dysfunction- get relaxed. Avoid stress and stop smoking and alcohol. Try keel exercise. Do NOT take any medicine without consulting the doctor. Get examined by doctor and do the tests as It's important to find out the cause. Take medicines only after having seen by the doctor. The problem can be related to stress, but can sometimes be because of diabetes, heart disease, hormonal problem etc. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "past few months I ve been having problems with my lips swelling my tongue swelling on different occasions different things I ve eaten also I ve had situations where like half of my upper lip or half of my lower lip or even half of my tongue not even the whole thing what s well I ve been to an allergist they found nothing I went to a dentist they found nothing I just don t know what else to do thank you very much.", "output": "Cellophane You for contacting Chat Doctor. Such symptoms appear because of allergy to some specific thing. You need to observe that what particular food causes swelling after you eat. Then you need to avoid that. Meanwhile, I would suggest you following things:> Take levocetirizine one at night for 5 days.> Take montelukast one daily for one month. Research has shown that it decreases the allergic symptoms considerably. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, i have been taking iron tablets and i have found that it has made it harder to poo, causing me to strain. When i finished on the toilet, i noticed that my vagina was swollen (lips etc). I am also pregnant. Do you know why this happened? Please help!", "output": "Hello dear, I understand your concern. In my opinion iron supplements are known to cause constipation or hard stools. Constipation is routinely seen complaint in pregnancy. To prevent the constipation:-1) Change the iron preparation- Certain iron preparations tend to cause gastritis, constipation etc. So changing the brand might be tried.2)Take adequate fluids up to 3 liters per day.3)Take high fiber diet daily.4)Take laxatives if needed. Nothing to worry. It will subside by following the above measures. Coming to vaginal lips swelling check for any infection like white discharge or itching or any high BP. The swelling can also be related to excessive straining at stools. If everything is normal the swelling might be considered physiological as some swelling of vaginal lips might be there in pregnancy and subsides after delivery. But iron preparations might not be associated with swelling of vaginal lips. Anyways nothing to worry as such. Prevention of constipation is important to avoid other problems. Hope this helps. Best regards...." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir my doughter suffering from abdominal tuberculosis. daiagation done in Asra Hospital, Hyderabad. Daily my doughter suffering from fever every day alleast three times. wamtings also done by her without pain. please sugust me to treet in best hospital in Hyderabad. My doughter age is 17 years.", "output": "Hi. Thanks for your query. Understood your concern for your daughter. The treatment of tuberculosis anywhere in the body is straight and simple. The standard protocol of 2 months of intensive phase and the next months of continuous phase have to be completed. Since this is abdominal tuberculosis called as extra-pulmonary, you have to give her 3 months of treatment. In addition to the standard treatment, you have to give her the best of proteins, correct anemia, give multivitamins. Whenever she has intestinal obstruction, she may need a surgical correction. Hyderabad - Consult any General Surgeon or Surgical Gastroenterologist." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, they put me on cephalexin for infection that I have above my lip, got put on it yesterday 3 times a day and its 500 mg. When will i see results? And its still swollen and red in one area.And is ok to swollow the pill I hope cause they did not say like one of the pages that you should not so I hope thats ok. They said they are not sure what happen and I think maybe I got bitten or something cause there was a mark there and know like I said still a mark but red around it and I was running a temp also of 100", "output": "Hi. Thanks for the query. As per your symptoms of having a red and swollen area above the upper lip and having raised body temperature can be either due to allergic reaction to any bee sting or can be due to infection like Hair follicle infection. As you are being treated with Cephalexin that is an antibiotic, and you have taken 3 doses without any side effects you can continue taking the antibiotic for the prescribed time period by your physician. You can also take Acetaminophen or Tylenol for reducing body temperature. Topical application of steroid ointment can help in reducing inflammation and discomfort. Hope this helps. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I taught dyslexic and hyperactive children for 30 years. Late in my career I suffered multiple head tramas, seiszures, and falls. After menopause began, my memory and attention to details went to severe level. What might be a solution. This is causing marriage problems, loss of friends, total isolation. I have tried psy. and counseling. I just keep getting worse. Help", "output": "Thank you for asking Chat Doctor. My name is Chat Doctor. I would like to repeat CT scan again.if it is unremarkable then continue with sodium valproate 500 mg thrice a day for 2 months and then twice a day for another 4 months.Also, calcium along with Vito and regular exercise will help a lot. I hope u will be fits free and your daily activities which are disturbed will be Hope this may help you. Let me know if anything is not clear. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Dr, I am 45 years female.Have kidney stones due to intake of calcium. Have a hairline fracture on my arm so begun taking calcium for a few days normally I avoid taking calcium tablets.Since yesterday blood in urine but the stone passed. Today again severe pain unbearable. Taking Cital. Took a pain killer for pain. Should I continue taking cital and pain killer", "output": "Hi and welcome to Chat Doctor. Thank you for your query. I understand your concerns and I will try to help you as much as I can. Most kidney stones pass spontaneously and this is usually a painful experience. You should continue with painkillers and Vital and Chat Doctor. If there is no urination in 24 hours, you should see urologist and do tests to rule out ureter obstruction. Also, you need to avoid high calcium food and high protein food for few days. If fever or pus in urine occur, you should see doctor as well since it may indicate kidneys infection. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Cough for a year. Been to three specialists. Nasal wash daily, no mucus discharge either from wash of blowing. Been through all the otc medicines under the advice of these specialist. Done breathing tests,x-rays, cat scans...nothing showed according to doctors. What can I do for cough?", "output": "Hi thanks for contacting Chat Doctor.... Noted you have persistent cough and many tests are normal... Organic cause seems less likely.... Cough here might buy chronic irritation... Avoid smoking if you have habit.... Rule out acid reflux disease as it can lead cough. Pentoprazole taken for it.... If chest discomfort feels bronchitis or asthma ruled out by pulmonary function test... You might have allergic cough.... Try to avoid allergen that lead cough. Levocetrizine useful. Ginger, onion, garlic are good for resp tract.Finally, if its troublesome cough take Conan or dextromethorphan... Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been using ring guard cream for 18 days. The infection got a little better but after 2 days red spots began to appear on the infection area. So i stopped using the ring guard. So what to do now? The skin infection is still there and severe. Its on the neck and above the thigh area.", "output": "Hi!! According to your history it seems to be a case of ringworm infection as initially you had improvement in your skin lesion after applying ring guard. I would recommend you to take oral terminating 250 mg once daily and apply terminating cream over the affected area twice daily. This has to be continued for 4 weeks so that the infection doesn't recur after stopping the medicine. Besides this don't share your soap and towel, stay in a cool and airy environment and wear loose cotton clothes. Hope for your speedy recovery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my father has been going down hill health wise for the last 6 mths maybe even the last year . we took him to the hospital this last time and with in 24 hours they said he had a streap in his bloodstream and it has caused heart valve damage . what I want to know is this an infection that he had for a while or is this something that can happen in 24 hours . I just think it would take time for this to happen to the heart and being that he has be declining for a time now could he have before we took him to the hospital?", "output": "Hello Welcome to Chat Doctor. Blood is usually sterile I.e. devoid of any bacteria or viruses. Bacteria or viruses can appear in blood after a throat infection, urine infection or lung infection. Once the bacteria enter the blood they can infect other organs including the heart. The bacteria settle on the valves of the heart and cause infection and destruction of the valves. This happens over time and cannot happen in 24 hrs. But he must have had symptoms like fever, breathlessness, shivering etc. You have not mentioned any of the symptoms. Here. The treatment of infective endocarditis is long term treatment with antibiotics and some residual damage to valve always remains. Wishing him good health Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Past 4 years my AST,ALT AS+bilirubin have been elevated. Lives scan showed mild diffuse fatty changes. Weight, cholesterol, etc otherwise normal. No treatment was suggested. But every time i do an LFT, the Dr ( go to different clinics/Dr each time), the Dr wants to investigate and its a waste of time because we end up not doing anything at the end of it.", "output": "Hello and welcome to Chat Doctor, Fatty liver is a reversible condition in which liver cells are replaced by adipose tissue. This fatty change is caused by various causes, some of them are as follows:1. Alcoholism2. Starvation3. Malnutrition4. Diabetes Mellitus These are just few causes. If you have any of these risk factor, you can avoid it/ or treat it (in case of Diabetes Mellitus). There is no treatment for fatty liver disease but only prevention of the risk factors. Thanks and take care. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am a smoker and have had chronic nect pain especially at the base of my neck for several month.s Lately, I have notice a tight feeling in my neck/throat area and my glands seem a little swollen. At times, when I just turn my head I get a sharp pain in my neck.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Neck pain and swollen glands in neck in chronic smoker can be due to either infection or cancer. So possibility of throat infection or cancer in neck (vocal cords, pharynx, larynx etc.) is more. So better to quit smoking as soon as possible. Consult ENT doctor and get done 1. Clinical examination of neck 2. CT scan of neck 3. Endoscopic examination of pharynx and larynx. You may need to biopsy if there is any mass lesion. You may need antibiotic, anti histamine and anti-inflammatory Chat Doctor. Don't worry, you will be alright but first quit smoking. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doc this is Deepak,I am 24 years old, I am having pain in my back and mostly in my neck part..it happens daily.I think this is survical pain. I exercise my neck and back part regularly but it doesnt leave me..In the past I had hernia and hydercele. they have been treated...but now my digestion power is loosed.please help me.", "output": "Welcome to Chat Doctor After going through your query I concluded that you are having chronic backache and neck pain. Cause of it is weakness and vitamin deficiencies. You are advised to do your vitamin D3 test. Treatment of it is exercises, Avionic, calcium and vitamin D3 if it is low. You can discuss with your Doctor about it. Hope your query get answered. If you have any clarification then please don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have a mass at the top of my left inner thigh which extends to my right hip bone. A biopsy said, no cancer. Doctors at U.C.L.A. don t seem to know why it s there . It s deep behind the groin and they re not sure what to do about it. The biopsy technician only took a half inch of fluid in a tube, The fluid was on the outside of the mass. Would that have shown that the mass itself was non-canceous, and I don t know why he didn t take any of the mass itself. Do you know the answer to that and also what it might be? Thanks. Barbara", "output": "Welcome to Chat Doctor I have gone through your query and understand your concern. It may be that mass is a cyst such as simple bone cyst and aneurysm bone cyst. Probably he was not able to get solid tissue. If tissue is proper then if biopsy shows no cancer, then it is OK. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, about 2 months ago a round red puffy and extremely itchy red circle showed up on my inner thigh. Around the time it showed up I was on antibiotics for a uti . I treated the spot with lotrimin jock itch cream which made the itch redness and puffiness go away but the place is still on my thigh although now it feels like dry skin an somewhat resembles a bruise . What could it be?", "output": "Hi there, I would have asked you some more questions about your antibiotics that you were taking at the time?and also all other prescribed medication that you are taking at the moment? ANY painkillers?and has it occurred for the first time in your life? But according to your question it seems like you are having Fixed Chat Doctor. The good news is that the rash can be left alone if not bothering but the IMPORTANT thing to remember is to report it to your doctor who ever is taking care of you at the moment because its like a " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor, I have been suffering from pain in right upper jaw from quite some time. Now I am having headache and pain behind ear. Last year went through series of surgeries as my lower wisdom tooth and bone next it had got infected both the sides. Later I was diagnosed with TMJ. Now I am not on any treatment. Can you please suggest.Thanks & Regards", "output": "Thanks for your query, I have gone through your query. The pain in the upper jaw and headache can be secondary to tooth infection or gum infection. The pain near the ear can be secondary to TMJ disorder. Nothing to be panic, consult an oral physician and get it evaluated. Meanwhile you can take a course of antibiotics like amoxicillin and metronidazole. For the TMJ disorder, you can take tablet proximal, You can give hot fomentation over the joint. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son aged 15 yrs was diag on May 23,2011 for Jaundice with S/Bil Total 2.2(Dir1.0 and Indct 1.2) SGOT41,SGPT 54, Hb;11.2gm.With 7-8 days rest levels came down to normal rgs with marginal raised OT/PT. However after two wks nd till two months now, the T/Bill is back at 1.6--2.2 with Hb howering arn 11.5 or so. Othervise the boy is active nd asymptematic. Urine o/p is N. HBS Ag nd HCV both are -ve May I seek ur opinion nd further adv pls. Regards", "output": "Thank you for posting query. Further evaluation needed. Need some test results, get done following blood tests: ESR, CRP, lipid profile, get ultrasound abdomen also. Then post results here or visit treating physician. Further advice:abstinence from \"Alcohol and Chat Doctor. - use lemon juice (lemonade) once in a day-walk 30 to 40 minutes every day.- or swimming is alternative to walking-NO sports and NO jogging-\"recheck liver enzymes after 6 to 8 weeks\".if any further questions, feel free to ask. Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .wish you good health. Regards," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor, i am 20 weeks pregnant and my scan report shows the followingA single, live, intra uterine fetus is seen exhibiting active movementsplacenta; posterior maturity grade. 1amniotic fluid: adequateheart;150 bpmBpd: 42mmAC: 130 mmFL :28 mmestimated gestational age: 18 w 6 daysestimated fetal weight: 0256 gmsis there any problems in this report and what about the growth ? it is 1 week lowe than the actual", "output": "Hi there,This is an absolutely normal findings of ultrasound scan at 20 weeks. The measurements give an estimate of weeks but, a variability from the actually calculated date can be present, as ultrasound only gives a rough estimate. So in effect the ultrasound findings can be plus or minus 1 week in first trimester; 2 weeks in second trimester; and more than two weeks in third. This variability is decreased with newer machines but can't be totally removed. So I would say that this report is absolutely reassuring, and you should not worry at all. A good fetal heart rate and a placenta which is only grade 1 maturity indicates that everything is as it should be at this stage. Do not worry. Hope this helps. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my blood test report confirm that i have SGOT 44u/l n SGPT 80u/l...and i have done two test earlier in the period of 6 months n the value keeps fluctuating...and i have a history of jaudice...how do i get it to be normal?what diet should i follow?what will be the complications?", "output": "HelloElevated SGPT and GOT may indicate liver injury. It may be due to many reasons like hepatitis, alcohol intake, altered lipid profile, medicines,autoimmune causes etc. You may need few more investigations like routine hologram, complete liver function test, random blood sugar, lipid profile, viral markers, urine RE/ME, ultrasound of abdomen. I suggest tablet ursodeoxycholic acid 300 mg tablet twice daily for three months. It helps in regeneration of liver cells. You may need to take few more medicines after complete investigations. Try to avoid saturated fat. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, My name is Courtney and im 20 years old. Recently i have had a tight chest and sometimes a burning sensation in my upper right quadrent. Every time i cough i get a metal taste in my mouth like im holding quarters on my tounge. I could use some help im lost. Thanks", "output": "Hello hope the answer helps you. As far I am getting you are having trouble with burning pain with unexplained metallic taste of mouth, how about your weight are you obese and addiction of alcohol and smoking as your symptoms are suggestive of GOOD. You must avoid smoking, excess alcohol and coffee after food donor lie down immediately. And in sleeping slight head elevation will prevent burning to metallic taste along with spicy food abstinence. Also start Spy Davison 10ml three times along with Santa or Gases for regular 15 days hope it will help if not then be needing Castro consult" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Every morning when i wake up i have a painful erection. It slowly goes away after i urinate but sometimes that ishard to get started. Its been going on about a month. I have psoreatic arthritis in my knees and have been taking Humira. Could the Humira be causing it?", "output": "Hello, There is no such side effect of Humor causing such a symptom. If you are taking certain antidepressants, it can cause ED or painful erection. Sometimes, when there is UTI, it can cause painful erections. You are suggested to visit a GP, get physically examined. You will have to get Urinalysis (R/E & C/S) done. Furthermore, you may have to get some blood tests done. If sexually active, get STD tests done. Get assessed & treated at the earliest. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I ve been experiencing bouts of severe abdominal pain over the past 7 months and admitted to the hospital four times. I ve been given different diagnoses of diverticulitis , irritable bowel , typhlitis and colities. The pain initially presented on my right side and also intermittently included back pain. The stomach pain on a scale of 1-10 is usually 7-8. I ve had an ultrasound, a abdominal CT scan with and without contrast, an EGD, a HIDA scan and most recently a colonoscopy and I m scheduled for a CT scan with and without contrast with a pancreatic window. My History: 49 year old African American female, 5 2 , 220lbs (lost 30 pounds in the last 6 months). I currently take cardizem cd 120mg, losartan 50mg, ferrous sulfate 325 twice a day, protonix 40mg, singulair at night and just finished 500mg of levoquin after my last hospital stay July 21-23. I had H Pylori back in 1989, had my gall bladder removed in 2006, had ovarian masses/tumors removed in 2008 along with a complete historectomy. I also have a mass and cysts on my right kidney (which I was informed was perfectly harmless--been there since 2008). My last 2 hospital stays were because of hypertension, heart palpitations, tightness in my chest, headaches, sweats, pains in the left arm, lightheaded/dizziness. Tests showed a normal EKG, but some tachycardia. The EGD showed a hiatal hernia and a growth that was sent out for a biopsy. Lab reports showed among other things, anemia. The ct scan showed typhlitis , whatever that is. The colonoscopy showed stenotic ileocecal valve. The doctors have come to a concensus...they don t know what it is. Here are the majority of the pieces of the puzzle, any light you can shed would be greatly appreciated.", "output": "Hi MEANS, Welcome to Chat Doctor ! Your problem is really very complex. So many possible causes are there. Two of your medicines need to be switched, Singular needs to be stopped you can take other inhalations anti-asthmatic which are equally effective, You are taking excessive doses of iron- I would suggest 100\u00a0mg thrice a day after meals, which is most tolerated dose. You might have post-surgical bands which result in intermittent obstruction and pain, that is more so a case if you are totally well in between the episodes. Another prominent possibilities is tuberculosis of abdomen. If your problem does not get resolved soon please review with your gastro-surgeon, and possibly you would need an exploratory laparotomy for a diagnosis and intraoperative intervention if possible. You need a physical examination by your physician and get baseline investigations like Chest X-Ray, Electrocardiogram, Complete Blood Counts, Renal Function Test, Liver Function Test, Fasting and Postprandial Blood Sugar, Thyroid Profile, Lipid Profile, Ultrasound Abdomen, Urine Compete Examination. This work up is expected to detect the underlying problem, so a definite treatment could be started. I hope this advice would be helpful for you. Still if you have any queries or doubts, please write me back, I would be happy to solve them. Wish you a great health!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am 16 and have been experiencing panic attacks daily for the past 2 years. However recently more physical symptoms have come on ect. chest tightness, swelled throat, fast heart rate and dizziness. Are these all still panic attacks or could there actually be something seriously wrong?", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. Hopefully you visited a physician to clarify your condition. If not, please do it now. Even though I am sure that all these symptoms are related to anxiety and panic attacks, you need to be sure for yourself. After you be sure about your physical condition (leave no stone unturned) you should make sure that you believe it. Then know what is anxiety and panic attack. Then start relaxation and psychotherapy to overcome the problem. I shall help you for sure. First visit a physician. You can post a direct question to me in this website. Include every detail as much as you can. I shall prescribe some psychotherapy techniques to control your condition. I am sure that the techniques should be a success. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a hole in the bottom of my mouth near the front very tiny hole but painful ... however my daughter and I were playing and her nail did hurt the inside of my mouth ... this has happened before but never for this long without going to the dentist what can I do?", "output": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint it seems that due to traumatic injury caused by nail there has been torn of mucosa leading to formation of a painful traumatic ulcer. Due to inflammation there is pain. I would suggest you to start applying a numbing gel containing Lidocaine or Choline Salicylate to relieve pain. You can apply steroid ointment containing Escort or Triamcinolone Acetone to reduce inflammation. You can take anti-inflammatory painkiller like Ibuprofen. You can also take vitamin B complex daily. Suck ice popsicles or do cool water rinses. Avoid hard and spicy food to prevent further irritation and injury. Hope this information helps. Thanks and regards. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am on my CD 58 and 26 days period overdue. I tested on 6th, 7th, 14th day of missed period on HPT. but all negative. Went to a gyn and took a test again in her clinic. Again negative. But she still asked me to test the next day with early morning urine to be sure. And only then start Primolut-N 5mg tabs for 3 days thrice a day. The next test was also negative taken on preganews. Now its been 3 days have stopped the tab and no sign of periods. We are TTC for past 4 months. So what could be the reason for delayed periods and also is it possible that the HPTs are negative but I am still pregnant. Thanks in advance.", "output": "Hi and thanks so much for this query am so sorry to hear about these repeated efforts to conceive without success. 5 months in conception is a very short time, and you would need to keep trying for up to 12 months before we can start suspecting that something isn't going on right with you. From the information you have provided, the chances of you being pregnant are almost zero right now. Not all missed periods are synonymous to pregnancy and this is clearly the case with you. It usually takes averagely 5\u00a0days after stopping primal for bleeding to occur. I will suggest you patiently wait for the with Chat Doctor. I hope this helps. Furthermore, I wish you well. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was given amoxicillin for an tooth infection , I took it for three days then stop taken it as the pain went away. Now I believe I have what appears to be a bladder infection(frequent and painful urination). will I be able to take the medicine again? I am a 68 year old male.", "output": "Hello! Thank you for your question. I understand your query, however next time you take antibiotic, I recommend you to complete the full course of antibiotics such amoxicillin if given for 7 days should be followed even though the condition has improved to avoid antibiotic resistance. For your frequent and painful urination I suggest you take an urinalysis exam as you may be having a Urinary Tract Infection. If Urinary tract infection is confirmed, you may be prescribed with another round of antibiotics such ciprofloxacin 500 mg 2x a day for 7 days. Meanwhile, please do take lots of water. Hope this helps, Feedback is greatly appreciated. Thank you and God Bless!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "About a year ago I came down with an upper respitory infection which caused fluid in my right ear. I was put on several rounds of anitbiotics which got ride to most of it but still had the feeling that something was in my eustation tube in my ear because it wants to stay closed all the time. About 2 weeks ago I again was sick and I got two mucus plugs out of my throat. First on the left side and then about 2 hours later with one on the right side. The one on the left side was white in color and about the size of a quarter. The one on the right side was bigger about the size of a 50 cent piece with blood in it. It still feels as if there is something in my throat. I have been to so many doctors with 2 CAT scans done and nothing shows up. Can you give some ideas on what is happening as I am so miserable. Thanks", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have upper respiratory tract infection which is causing pain in ear as well is due to Eustachian tube dysfunction. Sometimes when upper respiratory track infection when left untreated or when occur again and again spread to ear through Eustachian tube and causing pain. I would suggest you to consult ENT specialist for proper diagnosis Doctor may prescribe antibiotics like Amoxiclav at least for 10 days along with decongestant and anti-inflammatory. For relieve of infection take levocetrizine. Doctor may order throat swab test, viral culture test and allergy test to confirm the diagnosis. For now do warm saline gargles, take steam twice a day and apply warm Chat Doctor. You can apply warm compressors on cheek side near ear as well to relieve pressure. You should take steam and blow cheeks with nose closed. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir me any my mother have allergy problem,after allergy faces become red and red red pimples appeared.me and my mother too much suffering in this problem. i checked many specialist doctor but diseases is increasing.please suggest treatment for us. thanks and regards", "output": "Cellophane You for contacting Chat Doctor. Your description is telling that you have chronic allergy problem. You did not mention your age. If I were your treating doctor then I would suggest you following things:> First and most important thing is that you need to find the cause of allergy. On your part it can be achieved by looking closely at your daily routine. You need to observe what particular thing, food, etc. is causing the allergy to start. Once you find it, you n\u00e9e to prevent it.> In the meanwhile take Montelukast once daily for 1 month. Research has shown that it decreases sensitivity to allergy.> Cetirizine one at night for 1 week in case of allergic response.> try to avoid dust would also suggest you to undergo allergy testing at allergy clinic which will tell that you are allergic to what specific thing. The results will help an allergist to prescribe you immunotherapy to that specific allergen, and it will improve the problem. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, 3 weeks ago I fell in my wrist & was told I d probably fractured my scaphoid bone. It was put in a Velcro cast for 10 days & told to come back to fracture clinic for it re xraying & they would decide the course if treatment from there. When I attended clinic I was told I wouldn t need an X-ray as they were certain from my original X-ray that I hadn t broken anything, to take my cast off & get it moving again. I mentioned I had a numbness and pins & needles in my thumb but that was put down to the cast I d had on. One week later, I still have a numbness/pins & needles in my thumb & my wrist continues to ache/throb. Is this normal or do I need to go back & be seen again? I don t want to waste anyone s time.", "output": "Dear patient, a needles and pins sensation is generally due to a nerve compression/irritation. If it wasn't due to the cast (that's a possibility), probably your trauma provoked a hematoma pressing on a nerve (median nerve? Collateral nerve of the thumb? It depends on numbness distribution). I propose to wait a month from the trauma. If this sensation persist, get an electromyography/electroneurography to objective the nerve injury. If positive, do an RMN of wrist and hand to understand the cause (i.e. hematoma) and project its possible removal. Concerning instead your doubt about a scaphoid fracture, I don't know which X-ray projections you did (scaphoid fractures are hard to be seen in standard X-rays). However, if your wrist remained very painful for 10-15 days after the trauma, a scaphoid X-ray projection or, better, a wrist CT, would solve your doubts" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "What causes hyper aggregation, Doc? Is that hereditary factor? I am a male, 46 yeras old, office worker, so far having normal blood pressure, as well as all healthy tcholesterol functions. But my latest laboratory check showed that my ADP and Colagen are hyper aggregattion, while the Ephinephrine is normal. Any suggested diet other than medication can be suggested. Does sport exercise help to improve my blood condition from that hyper aggregation? I was advised by a friend to take thromboaspilet 100mg a day for life. I am worried with the side effect of that long term medication. Look forward to receiving your advice. Thanks, Minarto", "output": "Hi You do not mentioned any clinical condition, are you a normal person ? Do you have some hereditary related disability ? Look, ADP & collagen, are molecules in side the living being has got their complex role right from metabolism to body building work, now aggregation or hyper aggregation is consequences of certain kind of collagen disease or endocrine disorders, or hematological entity, it is not single area of concern, so the way you have asked is not valid at this stage this could be an academic question & need very lengthy discussion which may be beyond your understanding, have nice day" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Lets say the dog that bit me is positive with rabies. If I am not mistaken i need to get a shot immediately of anti rabies which is followed by 6 shots within 28 days. do i need to have anti tetanus?.. how many shots? is it okay to have shot the same time with anti rabies? thank you", "output": "Hello, Welcome to Chat Doctor, Rabies is a disease which is transmitted by dog bite which is 100% fatal, but it is 100% preventable by proper and adequate treatment. If you are bitten by a suspected rabid dog, according to WHO categories it is categorized into Cat III, which requires following treatment1. Wash the wound thoroughly with soap and water.2. Active immunization with anti rabies vaccine on days 0,3,7,14 and 28.3. Passive immunization with rabies immunoglobulin around the wound.4. In TT, 0.5 ml, I'm. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "iam 52 years old ,85 kg weight 176cm height.i suffer cervical spondylosis in c5-c6.every day 1 have shortness in breathing and severe pain in left chest near the heart with pulseand burn in chest bones near the neck and stifness in shoulderssome doctors dignosed my case(angina pictoris)although i have no problems in heart and lungs.please help and advice. subhi siddiq-iraq", "output": "Hi Dear !! Thanks for your query to Chat Doctor. Read and Reviewed your query in context to your health issues. In the given scenario and history facts, You seem to suffer frogger induced Esophagitis-causing chest pain. This is so because lungs and heart are without any evidence on investigations. Chest bone near neck pains with burning. This is from the high acid contents from upper stomach regurgitating in to neck/ throat, causing chest burning with ? Angina like pains, in your case.Also, other causes of recurrent chest burning behind chest bone needs to be ruled by consults with ENT/ Physician/ Surgeon. Plan Suggested for your treatment-GERD causes need to be ruled out-with Consults from ENT Surgeon / Physician / Surgeon by appropriated tests with these doctors. EKG landholders nuclear stress testing would fix and rule out heart ailment involved in your chest pain. Anti-Acidity Chat Doctor. Lieu. Gaviscon-Alginic Acid-gel- 1 gm x 4 times a day x 2 weeks would control this chest pain-from esophagitis. So treating these causes is needed with proper " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Theres a sort of ticking sensation in the bottom front of my mouth. Its the bottom front teeth and the gums below them. About a week ago i had a root canal done on the top right side of my mouth (On the right but close to the front of my mouth) Is this normal? And also is there any way to stop this? It is very uncomfortable.", "output": "Hello and welcome to Chat Doctor forum, I would like to inform you that tickling sensation after completion of root canal is sometimes normal and occurs due to the filling material, but if it is associated with pain or swelling that it might need your dentists' attention, I would have really appreciated if you had attached an X-ray of your tooth with your query, anyway start chewing soft food with your treated tooth to check if its normal, also you must be aware that getting your treated tooth crowned is really important to avoid any fractures. Start using antibacterial mouth wash for a week at least, to resolve symptoms, if tickling sensation still persists then kindly visit your dentist or forward me your X-rays so that I can guide you further, i wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my 3 yr kid is suffering from 103 fever. I gave him Meftal P 8.5 ml (his wt is 17 KG) but the fever returned after 4 hrs. Earlier Today, the fever returned after 9 hrs and then 5 hrs respectively. What should I do? Should I give him another dose of Meftal P in 1 hr time?", "output": "Hi... Thank you for consulting in Chat Doctor. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15\u00a0mg/kg/dose (maximum ceiling dose of 500\u00a0mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Meftal-P contains Metonymic acid which is a NSAID. It carries the risk of gastritis and renal problems in the long run. Please do not use Metal. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I found a lump under my left armpit it does not hurt at all the size of it a bit bigger then a pencil eraser. In the pasta few years back I had had a few ingrown hairs in my underarm but they hurt and were tender to touch . this one does not hurt at all. I do not drink sodas or caffine. I checked my right underarm and there is NO lump there I do have a problem I do not have health insurance or money. What reasons could a women have a lump like this that does not hurt", "output": "Welcome to Chat Doctor. 1. Lump in the armpit / axillary region without pain, tenderness suggestive of lymph nodal enlargement at first place and lipoma, vascular causes on the second place.2. If you are my patient I would have examined first and ask for an ultrasound axillary region - ultrasound will give me the nature of the disease, its source and extensions.3. Lymph nodal enlargement is seen because of the underlying medical conditions any infections / inflammation it can be localized or systemic or possible lymph nodal pathology itself (lymphadenopathy)4. So one has to find out the cause - if required FNAC - fine needle aspiration cytology will gel to evaluate the cause and cells involving.5. I can understand your financial status, but this is the standard procedure one has to follow. Try the way you can do so. Good luck. Hope I have answered your query.Anything to ask do not hesitate. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am feeling really bloated and cant lay on my stomach as i feek discomfort and pain. The pressure is below my belly button but above the pubic bone . I also feel this when I stretch out. Im not sick or anything so I dont think Im pregnant . What could this be", "output": "Hi ! Good afternoon. I am Chat Doctor answering your query. If I were your doctor, I would still go for a serum Chat Doctor estimation, a urine routine, microscopic and culture/sensitivity test to rule out pregnancy and a urinary tract infection. If both these including a physical examination come out to be negative, and your symptoms continue increasing or persisting, I would go for an ultrasound of abdomen, and also a gynecology check up. Till then, I would prescribe you an anti-spasmodic medicine in case of pain, and also a proton pump inhibitor with a probiotic for your bloating sensation. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have just started into full menopause a few months ago . I am on wellbution for the depression I have been experiencing but it seems that I am having so much trouble focusing that it its affecting my job . is vyvanse a drug that could help menopausal symptoms ?", "output": "Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. From what you have stated it is quite clear that you are having a depressive episode. Depression can occur with regular stress, and it can also occur biologically without any stress as well. You need proper treatment for the same. There are various effective therapies for depression like fluoxetine, venlafaxine, bupropion, mirtazapine or Escitalopram, and they are all very effective and mostly safe. Vyvanse is also a good option. You may also require some benzodiazepines like clonazepam or lorazepam for a short period like 2-3 weeks to reduce the anxiety and help with your sleep. If you are averse to the Chat Doctor. This therapy is taken by either a psychologist or a psychiatrist in which the therapist identifies impaired cognitions (Thoughts) and try to correct them. They are 15-20 min weekly session and there should be around 8-10 sessions to help you with your illness. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have lichen planus in my mouth , i had taken some medication for the past one year, last week only i came to know by another doctor it is lp. he gave me the oral past \" triamcinolone acetonide(kenacort 0.1). is it correct medicin.is this disease is curable?", "output": "Hi. Welcome to ChatDoctorI am Chat Doctor. I understand your concern and will give advice accordingly. Looking at your profile I agree that the treatment given is correct. As it is a chronic inflammatory disease and there is no specific treatment available as of now which cures this disease, no one can claim that this can cure completely. You need to do follow up with your doctor at regular interval even if your symptoms subsides as in can relapse, get infected & rarely lead to malignancy. I wish your rapid recovery and will help you further if needed." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I drank with friends one weekend and skipped my birth control for 2 days and the very next day i got my period. A week later my period stopped and i started getting sharp pains in my vagina and I started bleeding again. Did I have a miscarriage then a regular period or a elongated period with sharp pains?", "output": "HI, thanks for using Chat Doctor It is possible that it is an elongated period. Miscarriages are associated abdominal cramping, clots and the passage of fleshy products. If you continue to have periods with prolonged bleeding then you need to consider visiting your doctor for an assessment. This would include physical examination, hormonal level blood tests and imaging of the reproductive organs by ultrasound.I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have 2 lumps on the outside of my right knee. It doesnt hurt to the touch and it gets bigger every now and again. I have had to have knee surgery before, I hyper extended my knee backwards when I was younger. I have had these lumps for awhile now. Im 42 yr old male.", "output": "Hi. Thanks for your query and an elucidated history. These lumps look to be of synovial (membrane which covers the joint and gives the joint the fluid to keep it friction-less) origin. This is confirmed by your history of the swellings getting bigger and smaller on its own. This can be confirmed by MRI / FNAC- fine needle aspiration cytology. If the swellings are not having any symptoms, you can watch team. Surgery to remove for getting rid of the disease and to get a histopathological diagnosis can be done." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I develope a Salivary Glad Problem over night it is very painful had it 2 other time in the past 5 years but was able to get to a doctor immediately which gave me prescribed pills? my face is swollen boy did I start the new year offwith tears please advise me! YYYY@YYYY", "output": "Hi! Welcome to Chat Doctor. I read your query. You have not mentioned the location of swollen glands like lower jaw, behind the ear, etc. Swollen salivary glands can be due to various causes like Bacterial or viral infection, stones, cysts, autoimmune, etc. I suggest you visit a dentist for check up. You need to provide history like recent infection, medication history, any radiation exposure, etc. Get blood test done for infection. X-ray of salivary gland or Sialograpgy can be done if needed. Meanwhile, you can start with the antibiotic course on prescription. Tylenol or Ibuprofen will ease pain. Maintain good HY Chat Doctor. Warm compresses of swollen area will help. Chew sugarless gums for stimulating saliva. Sialadenitis, i.e. infection of salivary glands starts regressing after 48 hrs with antibiotics. But stones or cyst or other complications need further treatment. Hope the answer helps you. Thank you!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "For the past couple of weeks, I have developed intense itching in both groin areas. I have itched it so badly that I have developed fissures. It is very dry and flaky skin is coming off. It is really uncomfortable and just getting worse. What should I do?", "output": "Hello, Thank you for posting on Chat Doctor. It seems you have got intertwine. Intertrigo is an infection which occurs over any opposing skin surfaces, mostly seen over groin folds. Its caused due to bacterial or sometimes fungal infection. Overweight can increase the friction and thus predispose to intertwine. I would suggest you oral antibiotics and antifungal tablets for few days along with application of antibiotic cream like juridic acid and antifungal cream like clotrimazole twice a day for few weeks. Use dusting powder containing clotrimazole on daily basis to keep area Chat Doctor. Try to reduce weight and maintain hygiene. Avoid tight undergarments and use cotton garments as far as possible. Hope this will help YouTube care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My father is suffering from heart and kidney problem. Haemoglobin has gone down to 6.5 and createnine at 4.2 along with high Uric acid and urea. All doctors were of the opinion that my father needs to go for dialysis but nephrologist adviced to give epofit 3000 and no dialysis. Do you think that a good decision? Please advice", "output": "HiT hanks for choosing Chat Doctor. In.profit is nothing but erythropoietin which is released by kidney and in kidney patients as it is released in low quantity and that's the reason why hemoglobin will be low in such patients. So giving that injection will improve he and the symptoms caused by anemia but if you have no uremic symptoms then you can hold hemodialysis and have symptomatic treatment. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my son had a fever lasting roughly 5 days followed by a rash lasting another 4-5 days the drs were concerned he had measles and took routine blood work this was the first time he had a cbc. His palette levels were moderately low (131) after his measles test came back negativeI was asked to bring him back a week from orioriginal date for another cbc this time his levels were quite elevated (644) is there a concern I should have to these results? Is it normal to fluctuate that high out of normal range in a matter of weeks or is this something I should bring to a blood specialists? There is a strong family history of leukemia should I be concerned about that as well ?", "output": "Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Increased platelets level is good and goes against the diagnosis of leukemia.2. So much variation is not possible. Get a second test at other lab or get a platelet count on peripheral smear.3. Along with it, also get a differential leukocyte count to look for immature cells. I would not expect to find anything with normal platelet levels. Hope it helps. Any further queries, happy to help again." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi my son was diagnosed with hep c genotype1a about five years ago he has not seen a doctor for this and he had developed food poisoning not too long ago and was admitted in the hospital. For the past two days he has been vomiting is that a sign of the hep c", "output": "Hello, I understand your concern. I am Chat Doctor, infectious diseases specialist, answering your query. Yes hepatitis C in advance cases can cause vomiting. Food poisoning can cause vomiting only for some period not more than the period. As your child is having vomiting from long time, it is likely to be hepatitis. It must be advance hepatic stage of hepatitis C which causes vomiting. I advise you should visit nearby doctor to diagnose yourself exactly and treat it accordingly. I will be happy to answer your further concern, you can ask me on bit.ly/ Chat Doctor. Thank you. ChatDoctorInfectious diseases specialist." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I had the copper coil fitted last may....my body has been fine...ive had heavy periods which was expected but....the last few months I have been suffrreing with the following...extreme tiredness....break out of spots on my face....low sex drive....weight gain..iritated...moody...severe cramps...and pain when having sex...", "output": ". It looks to be generalized weakness due to multi vitamin, iron deficiency after heavy period. Go for routine investigations to confirm the diagnosis. Weight gain should be ruled out by thyroid profile. Start B12,folic acid, calcium,minerals, l-carnitine and other supplements. Intramuscular injections of B12,folic acid is advisable. Breakout on face is usually due to hormonal response. Take proper care for face. Consult your family physician for further guidance and medical management." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am experiencing some numbness on one side of my face. It started about 6 hers ago and soon after the numbness appeared I got a bad headache. The headache disappeared but after I would loose track of what I was saying and I would be thinking one thing and I would say something different not realizing it. Is this normal?", "output": "Hello! I read your question and understand your concern. I think that these symptoms may be caused by a small stroke. Furthermore, I would like to know if you have measured your blood pressure. Do you suffer from arterial hypertension or diabetes ? The headache is not a common symptom in stroke, but it may be related to migraine, high blood pressure etc. I would recommend consulting the neurologist, have a good neurological examination, a full blood work, a blood lipids analysis and a brain CT scan. Further, tests like cardiac check up and Doppler ultrasound of the carotid vessels may be needed to establish the cause. Hope to have been of help. Best wishes!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i was attached with TB in 1984 & again it relapsed in 2011, I have taken 6months treatment . My throat coughing & occational fever still remains. After taking penicillin I have develioped imbalance in my legs . What treatment & where can i take my treatment", "output": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Imbalance in the leg after a TB can be serious it requires a CT and MRI of the spine to rule out any lesion in the area. TB won't be treated with the penicillin. TB requires a combination of various Chat Doctor. So if your doctor has given you a penicillin than it will not be TB, and it can be different infection. But till you undergo the investigation I would suggest you to take the vitamin B complex " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am suffering from intermittent but severe dizziness after receiving a cervical spine steroid injection over a month ago. It scaring me with all the trouble with the lab that sent out the tainted steroids. My doctor claims that she did not use that lot , but I am suspect - what should I do?", "output": "Hello, The blood vessels that supply the inner ears and the parts of the brain that are connected with the balance of the body pass through the cervical vertebrae. Cervical spondylosis which is the usual cause of the pain in that region for which you received the steroid injection also affects these blood vessels and causes alteration in the blood flow which results in dizziness. Physiotherapy along with the use of certain medicines will reduce this dizziness. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 70 yr old husband had diarrhea with 104.7 temp, lack of appetite, very dehydrated but no abd pain. CT showed collapsed gallbladder . He was on cipro for (chronic) ear infection 1 day when this began. Stool culture showed no c diff or salmonella but a blood culture was positive for gram + rods after 3 days. He is now on flagyll, lomotil, and sulpha antibiotic for ear infection. A gallbladder test is scheduled in 2 days. He continues to have fatigue and low grade fever on day 7. Blood culture repeated yesterday. Is this related to the gallbladder? Are we moving too slowly?", "output": "Hi welcome to Chat Doctor forum. Dear miss, Positive blood culture is a serious finding. And first thing to do is broad spectra antibiotic treatment, intravenous if possible. Second thing to do is to find the source of infection, it can be intra-abdominal but also urinary or lung infections too. So you should focus on these 3. When the source is found and the right cause identified then more accurate antibiotic can be used. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am suffering from un rythmic heart for almost an year and take metoprolol 50 mg o.d. 2 days ago i had terrific pulse rate variation and I felt very dizzy my bp became 110/70 and pulse rate 60/min was hospitalised now i am out of hospital but feel very weak and still have irregular heart...in the hospital they adminstered normal saline with Cordarone.. what should be my next course?", "output": "Hello Sir / Madam, Thanks for writing in to Chat Doctor. Un rhythmic heart (Atrial Fibrillation) is usually treated with Amiodarone (Cordon). Hence, you have been given the right treatment. The dose shall change in due course as a when the heart beats stabilize. However, the reason of atrial fibrillation need to be investigated hence you need to consult a cardiologist regarding further cardiac evaluation. Sometimes infections do cause atrial fibrillation whicChatDoctores down as the infection subsides. What needs to be taken care of is incidences of stroke increase in un rhythmic heart beat so kindly take rest and follow your doctors instructions. Donot do stressful work. Continue with the treatment. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I went to the beach a few weeks ago out in florida. I came home with really itchy skin. Ill scratch all hours of the day. But sometimes it s unbearable. I have like little red bumps Wherever I scratch. Yesterday while bathing I realize I have 1 on my crotch near my vagina lip. The more I think about the more paranoid I get. The last time I got tested was about a month and a half ago and I haven t slept with anybody since then. I read a article saying they could be bug bites from the beach, but it wouldn t last this long would it!? I really want to know what s going on I m scared only 20 years old.", "output": "Hi thanks for your question have developed itching following visit to a beach, few weeks ago. The itching is still persistent and leads to bump formation, on itching think it is due to bug bite may be right, it could be due to bug bite. Bump formation after itching is normal, as this due to histamine release. Have you taken any treatment for itching, I presume no. Take antihistamine and short course of antibiotic (since we presume this is bug bite of few weeks' duration).Hopefully you symptoms will subside in a week time. Consultation with a physician is encouraged. There are negligible chances that it could be an STD(sexually transmitted disease). Hope this answers your question." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I had tripped and hurt a part of my lower right leg (shin bone area) by hitting it against a pice of concrete two days ago. I was wearing jeans, so there was no direct contact between the skin and concrete, but my skin still ruptured and the skin in the area around the open wound got stuck to my jeans (was sort of scraped off because of the jeans). I had washed the wound and applied antiseptic as soon as I had gotten home, but today the skin area which had scraped off seems to be a yellowish-brownish scab surrounded by reddened skin and the pain in my shin bone surrounding the wound (upto 2 inches above and below the wound) seems to continuously increase. Could there be a serious problem with the wound?", "output": "Welcome to Chat Doctor I have gone through your query and understand your concern. There is nothing serious about it if there is no fever. So you can keep area open with antiseptic ointment applied over it. If you have fever then it is cause of concern. It denotes infection and needs urgent care by antibiotics and if needed incision and Chat Doctor. Antibiotics such as ibuprofen are given to relieve pain. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am struggling from shortness of breath after walking 3-4 meters. Once seated and trying to take deep breaths i start losing the shallow breathing, slowly after1 minute. This happens regardless of what i am doing. This has been getting worse since the weekend.", "output": "Thanks for your question on Chat Doctor. By your history, in my opinion you are having dyspnea on minimal exertion. Common causes for this are1. Cardiac causes like heart failure, ischemic heart disease etc.2. Pulmonary causes like COPD (Chronic Obstructive Pulmonary Disease) , fibrosis, etc. So get done ECG and 2D Echo to rule out cardiac cause. Get done chest x-ray and PFT (PULMONARY FUNCTION TEST) to rule out pulmonary causes. So consult doctor and discuss all these." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I m 22 year old I had a implanon for 4 years nd had put a new one in April 2013 nd had it removed on June 5th 2014 what I wanna know is can I fell pregnant straight away nd is their a chance I may have a miscarriage nd I have been also having weird symptoms like my belly seems to feel a bit tight at times seem to be weeing abit nd had a day of just spotting I had unprocected sex with my boyfriend on the weekend before my implanon was removed and all so afterwards", "output": "Hello and I hope I can help you today.First, I want to reassure you that it is not possible that you could have conceived if you had unprotected sex before your Implant was removed. Implanon is nearly 100 percent effective in preventing pregnancy while it is in place, and it takes time for you to ovulate again (at least 7-10 days) after it is removed. So if you only had unprotected sex immediately before and after your implant was removed, it is unlikely you could have conceived so quickly. Pregnancy symptoms vary widely between women, and many of the same symptoms we commonly associate with pregnancy such as nausea, bloating, breast tenderness, headaches and irregular bleeding can also happen from an irregular menstrual cycle as well as pregnancy. Many women have irregular periods after discontinuing a hormonal birth control method. So, I suggest you wait for your period, which should occur around 4 weeks after your Implant removal, and if you miss your period, a urine pregnancy test will be accurate at this time. I hope I was able to adequately answer your question today and that this information was helpful. Best wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi ,my left arm seems to be getting weaker and sore even in my sleep-most pain in my forearm.I have had a bit of it in my right arm but is not so bad now. I am a machine operator and have not had much exercise this year. I would like to but the pain is too much and I dont know if Ill cause more damage. Any thoughts?", "output": "Hello, I have studied your case. Pain in the forearm can be due to weakness or can be due to overuse. You have not told me in detail about your other illness. I would suggest you get a compression bandage for forearm and avoid putting pressure on one side. You can also take Broken tablet for pain relief. Hot water fomentation and Volition gel are also helpful. I hope this answer will be useful for you. Let me know if there is any other follow-up questions. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi I m wondering if radiation for stage 4 pancreatic and liver cancer would be beneficial. the patient is already taking strong chemo and a lot of herbal supplements. Feels good except after treatments. What pills and treatment would you suggest Thank u", "output": "Hi, dairy have gone through your question. I can understand your concern. Treatment of pancreatic cancer depends on type and stage as well as spread of cancer. In early stage surgery is useful. In late stage chemotherapy and radiotherapy remain mainstay in the treatment. Radiotherapy is useful in some types of pancreatic cancer. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been trying to figure out why my legs are hurting so much, about an 8-10. Also my knees are hurting and are swollen all the time lately and are week, they give out a lot. I m recoding from thoriac back surgery, my surgeon cut a couple of chunks out and straightened my spine then fused from T8 to L1 were he tied into the 14 screws he placed while fussing L1-my sacrum in 2009, I now have 26 total screws. I m wondering if I injured my femoral nerve because my groin and inside of my legs hurt all the down to my ankles, along with my knee and leg pain?", "output": "Hi, Regarding your concern, I would explain that it is important performing some investigations to differentiate between two main possible causes that may lead to your symptoms: - a joint inflammation- a articular pain radiating from your back (nerve compression). That, is why I would recommend performing some tests:- a nerve conduction study to examine your nerves-complete blood count, PCR, sedimentation rate for inflammation. You should discuss with your doctor on the above issues. Hope to have been helpful. Let me know if I can assist you further. Kind regards," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello my baby is 15montjs old and she is around 7kg she is very week and now its been 2days she got vomiting and also it been 2days she start having lose motion plz advice me what to gave her also is holicks harmfull for her or i cam gave her ..thanks", "output": "Hi, I had gone through your question and understand your concerns. Weight of your baby is very less for age, you have not mentioned her birth weight. Your baby seems to suffering from gastroenteritis give her ORS, zinc. You also need to show her to your pediatrician early as she is weak and prone to severe infection without warning signs like fever. You need to give her a balanced diet with variety, and supplements after consulting your doctor, Cowlicks alone is not going to help , I usually do not recommend it. There is also a need to find cause of her poor weight, was she born with low birth weight, what diet is she taking, is her appetite poor or weight not increasing despite good appetite ? All questioned needs to answered and her diet to be planned accordingly in consultation with your doctor. Hope this answers your question. If you have additional questions then please do not hesitate in writing to us. Wishing your child good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I got my wisdom teeth removed a month ago. I ended up getting dry socket and an infection so the doctor gave me more medication. I started to heal and even flushed out the sockets. Not I have a lump along my jawline that is tender to the touch. Is it possible that food got stuck in the socket?", "output": "Thanks for your query, I have gone through your query. The lump over the jaw line can be because of the infection of the bone that is garret osteomyelitis. Nothing to be panic, complete the course of antibiotics particularly amoxicillin and metronidazole combination. Keep the socket area clean by rinsing with saline. If it is not reducing in a week, consult an oral physician and take an causal radiograph to confirm the diagnosis. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a golfball sized lump inside the right side of my neck. I have developed some spots that have crusty heads at the back of my hairline also they havent went away for about a month. Im also tired and either feeling really hot ot really cold. Please help. Lynn", "output": "Thank you for asking Chat Doctor. My name is Chat Doctor. You have mentioned lump at right side of the neck and have some spots that have crusty heads at hair line back, along with that feeling of being tired/hot /cold. You need consultation of your physician for detailed evaluation as such lumps need clinical examination for establishing diagnosis and further management, and you may have to go through some Labs. You can get rid of this by visiting a physician and treatment. Hope this may help you. Let me know if anything is not clear. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello my father has oral cancer and its of 4 stage he has recieved 3 chemotherapy sittings 2 operations and 1 month radiation treatment .he has also recieved target treatment and now he is undergoing ozone therapy but still has 5 tumors on his face age43 help him", "output": "Your father has received almost all possible treatment modalities available. At the moment only palliative treatment looks possible. If the tumors on his face are respectable then surgery should be done. Otherwise, palliative chemotherapy should be given. For details regarding the chemotherapy options previous chemotherapy given, current performance status of patient, age of patient and baseline lab investigations would be required. Please discuss it with the treating oncologist and if you have any further query I would be more than happy to answer." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi My three year old son has had Diarrhea and vomiting with extreamly high temp (104+), this was 6 days ago but his stools are still very lose (Liquid) and his urine is cloudy, we are Hydrating him as best as possible but he will not drink enough himself and is getting pains in his abdomen??? most of the time he is his normal self but then goes down hill as the day goes by....Longer, more frequent naps and becomes very soukey.. Can you help as we have spoken to a Dr who told us that this will need to run its course and to keep him hydrated this is now becoming a worry for both of us and he has droped quite a lot of weight?", "output": "Hi according to your information your child is having some gastrointestinal problems mostly due to viral causes and settle by it own, but distinguishing features from bacterial illness is mucus containing stool or blood if it, so it might need antibiotics check your child s stool full report and channel a doctor you also mentioned that his urine also cloudy so better check his urinalysis as well thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Took Keflex for an infection on my eye lid, now I have a horrible red rash on my chest and it is slowly going away. But this morning I woke up with a red rash under both breasts. When will it clear up? It has been 5 weeks now. I stopped the Keflex two and half weeks ago. I have Triamcinolone Acetonide Cream 0.1%, will this clear it up?", "output": "Hi, It seems that you are having candida infection. Do not apply triamcinolone, it is steroid and will exacerbate the infection. You apply clotrimazole or fluconazole cream at night and clotrimazole powder during daytime. And orally, take itraconazole cap. Daily for two weeks. Do not apply soap at bath. You can use detail liquid for bath, pour few Chat Doctor. Wear cotton clothes. And have blood test to rule out DM. I think, you will be alright . I hope you got my answer. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,2 days before i went to Sehat Clinic (Chennai, India) for hair loss problem. The doctor witnessed me and prescribed two tablets named \"Nano Hair Revitalizer & VB7 Forte\". I have not yet started taking those tablets, i have a question whether is there any side effects taking those tablets?Please answer my question..Thanks,Suresh S", "output": "DearWelcome to Chat Doctor ! Your details have been evaluated, and I find that certain vital details are missing. If I were your dermatologist, I would have asked you detailed history, examined you and the affected hairs, got some investigations done to substantiate your diagnosis. Most common causes of hair loss are halogen effluvium in which there is diffuse hair loss from all over scalp and the other one is An Chat Doctor. These two are common causes, but other diseases have to be ruled out by history and examination. In my opinion, it is recommended that first a diagnosis is made, and then proper treatment is instituted. I request you to provide the other required details so that your hair can be as healthy as those of normal person of your age. In the meantime, please avoid massaging too vigorously, have a healthy diet, adequate rest, and use a mild shampoo once or twice a week. This will surely aid in early recovery. Best wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have cushing disease, lyme disease, fibromyalgia, occipital neuralgia and have been treated with antibiotics for over a year now and wbc and neutrophils are still elevated and dont understand why if being on antibiotics for over a year could this mean something", "output": "Cushing's disease itself can cause elevated WBC, so this may not necessarily be related to an infection. Certainly a year of antibiotics should have taken care of most infections, depending on what antibiotic was used. Unusual infections or internal infections (e.g., abscess in a muscle or organ) might cause a persistent elevated WBC, as might a chronic inflammatory condition. You would probably be having other symptoms, such as persistent fevers, pain, or weight loss, if that were the case. You don't say how high the WBC count is, so it is hard to assess its severity. Be sure the Cushing disease is well treated first. If you are still having elevated WBC, you might need further evaluation or need to see a hematologist to get a specific diagnosis. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My boyfriend put nair on his penis and left it on to long, he has burns on his p enis. On one particular part the skin is peeling, he says now that everytime he touches it it burns. Does it sound like a std? We are having unprotected sex and I dont hve any symptoms", "output": "HelloThanks for query. Your boyfriend has developed peeling of skin over shaft of the penis after applying hair removal cream. This is mostly due to allergic reaction to hair removing cream. He needs to take broad spectrum antibiotic like Definite and anti-inflammatory Chat Doctor. Along with topical steroid cream like Renovate for local application twice daily. Ensure he washes his genitals with warm water twice daily. Ensure to avoid sexual encounters till it heals up completely. Since both of you are known to each other and have in sexual relationship since a long time and absence of any symptoms suggesting STD there is no possibility of STD." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My mother aged 61, has Tripple Vessel CAD with two blockage 100%. Doctors advised Medical management over bypass and Angioplasty as She is Diabetic, Hypertension as well as her arteries are vary narrow. What should we do, as even on hugh medicine, she contineously has breathless ness entire day.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. She is a ideal candidate for bypass surgery. Triple vessels' disease with hypertension, diabetes, high cholesterol are an absolute indication for Coronary artery bypass grafting (CABG). She is symptomatic (breathlessness) despite medicines. This also favors surgical management more. So better not wait and get done CABG. Consult cardiothoracic surgeon and discuss all these. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a grand mal seizure about 3 weeks ago, I am 72 years old and had never had a seizure before. I was under severe stress, no sleep for many days and was caring for my husband who died a week later. Anyway I was kept in the hospital for three days because I had developed before the seizure the ability to carry on a conversation and my words were staggered. Tonight I think I took my afternoon Dilantin and I took my night time one because my pill box for the afternoon dose was empty. What do you think is the right way if this happens again?", "output": "Hi, Thank you for posting your query. First seizure needs evaluation to find out the underlying cause of seizures. I presume you underwent MRI of brain, EEG and other blood tests. Regarding Dilation, you need to take 5 mg per kg body weight. So, if your weight is about 60 kg, then, a daily dose of 300 mg is needed. A capsule of Dilation is 100 mg, so, you would need three capsules daily. Since the duration of action is 24 hours, for convenience\u2019s sake, you can take the entire three capsules together at night. Other options include taking one in morning, after noon and night each OR one in morning and two at night. Best wishes, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi i am from chennai. i have few black spots in my face which makes me look dark. This is my only problem pls help me with a good solution", "output": "Hi prithiWelcome to Chat Doctor Black spots on face or hyperpigmented spots which have developed later on in life could suggest hormonal imbalance or due to excessive sun exposure best results it is advisable to consult a dermatologist cum cosmetologist who can study your skin type and provide appropriate remedial then try to have a balanced diet, plenty of water and exercise for at least half an hour. Use only mild glycerine soap and sunscreen daily.avoid the afternoon sun 10am to 4pm if possible. You can try fresh lemon juice or natural lover application to decrease the black spotsThanks W" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "A couple of months ago l discoverd a very large blood blister on my large toe, l went to our local center for them to look at it they decided to cut away the skin and release the blood. Then they cut more skin away and dressed it. l was told that it must be dressed every day that has happend with my wife cleaning the wound and making sure that it stays clean. Now after two months the hole where they cut away the skin has not improved at all, being a diabetic on insulin l am beging to worry about gangerine. please advise me as to my next move as l live in spain and do not have access to a doctor as yet, we are going through the proccess now, sincerly Paul Wintershausen.", "output": "Hello Mr. Paul Wintershausen Since you are a diabetic and taking INSULIN and wound is not healing in spite of the treatment. This is a\" diabetic foot\" :Presentation of diabetic foot is of three type :1 Neuropathic foot in which neuropathy dominates .2 The neuroischemic foot, in which occlusive vascular disease is the main factor .3 Non-neuroishemic but purely infected foot. Since you are a diabetic patient, so any of above possibility may be the reason of NON-HEALING DIABETIC FOOT. In my opinion you must consult a PLANETOLOGIST and get his opinion. If color of infected toe is reddish bluish and foul smell is there then you may have developed GANGRENE. So at earliest consult a PLANETOLOGIST and get his opinion. Hope this will help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello. I dont know if i do have an allergy? because at every beginning of winter season I get cold and i start to caugh and this would ended until the coming of spring. I suffer a lot from caughing and my eyes? my throat and nose would never stop itching all the time. please doctor help me at least with a piece of advice", "output": "Hello. Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for you as follows:1. Although more details would help, from your current symptoms, I would first think of allergy.2. Were I treating you, I would suggest you montelukast and levocetirizine regularly during your \"bad\" season. You can also start montelukast 1 week before onset of \"bad\" season which may reduce your symptoms.3. If still you have cough, I would suggest you to get your chest examined by a doctor who will listen to it with a stethoscope and may identify the cause of cough.4. I would suggest you allergy testing which will help you identify the substances you may be allergic to and also to know the measures to avoid them.5. In general, I would suggest you to avoid exposure to dusts, smokes and air pollution as much as possible. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you the best of the health. Thank you & Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have stage 3 ovarian cancer I have had surgery chemo for a year the growth has slow down I was told I would not be cured. Therefore I stopped chemo. What well happen or what symptoms will I see next or how soon I am feeling more tried. Eating least, feeling full easily.", "output": "Hi, dairy have gone through your question. I can understand your concern. As you stop chemotherapy, your tumor will grow at faster rate. You may develop abdominal pain, vomiting, anorexia, weight loss, ascites in short time. You should not stop the chemotherapy. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi mam, im 23 years old got married 3 months. I wanna to get pregnant faster im getting my periods regularly now but minimum flow and getting spotting 15 days back is this an ovulation time? I got pcod 1 year back i took crimson tablets is there any problem to conceive? Pls reply me thank u.", "output": "Hello dear, i understand your concern. In my opinion there might not be any problem in conceiving if your cycles are regular. The cause for minimal flow like thyroid abnormalities should be ruled out.Also, as you have a history of POD previously an ultrasound might be needed to check for the POD status. First and most important is avoided stress and anxiety related to pregnancy because they cause hormonal imbalance and delay the conception further. If ultrasound and thyroid profile are normal then nothing to worry. Practice regular intercourse to increase the conception chances. Best regards... Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had spinal fusion and disc replacement in my c56&7 in oct 2011 now have a lump on the leftside at the base of my skull close to the spine,I ve had an mri and was it was real bad with osteoporosis and he couldn t even read the mri (which he does on all of his cases) I have very severe headaches and dizziness blurred vision and confusion please help. DeeDee", "output": "Hello, I have studied your case. As per your history it looks swelling of soft tissue which can be lipoma or benign tumor. I will advise consulting surgeon for clinical examination. Bone scan may help for diagnosis. Benign swelling giving rise to pain can be excised. Osteoporosis needs to be treated adequately. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 24 years of age. I had a tumor surgically taken out. After its biopsy it was found to be pure dysgerminoma. The tumor was confined to one overy. It was a conservative surgey. Do i need a chemotherapy? What is the survival rate with and without chemo. 5 year survival rate means the person only has 5 years to live?", "output": "Hi, Thanks for writing in. It is important to take chemotherapy for dysgerminoma after surgery. Stage 1 requires only surgery because it is immature teratoma. However, higher stage is best treated with chemotherapy. Dysgerminomas are usually very sensitive to chemo, and can sometimes be treated with the less toxic combination of carbonation and topside. Giving chemotherapy will control the disease and prevent recurrence. Recurrence takes place in few patients even after surgery. That is why probably your doctors have recommended chemotherapy. With chemotherapy survival rates are high in the early stages. Almost every patient will respond to treatment. In cancer survival 5 year is considered a benchmark for treatment. If a patient survives for 5 years then their cancer is considered treated. Patients can live for a lifetime. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a small white pain painful lump on the bottom of my foot. It is surrounded by red infected type colour. I first thought I had something stuck in my foot but I cant find anything. Its getting more painful every day and getting quiet hard to put any pressure on my foot.", "output": "Hi, Dear,These painful foot lumps need to be reviewed and consulted by your ER Surgeon. The lump in the throat seems to be abscessed of the plantar tissue of the foot. Take antibiotics / anti-inflammatory Chat Doctor. So consultation with ER Surgeon would fix solution to your intriguing lump problem at the site. This would resolve your query. Write excellent review if you feel that this reply has helped you a lot. Welcome for any further query in this regard to Chat Doctor and to ME. Have a good Day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I have extremely sore and itchy nipples. I have been using anti fungal cream for a month and its not helping and I also had an ultra sound on my breasts 2 weeks ago and it came back clear. My ex used to cheat on me alot so could it be a symptom of an STI ? Any ideas what it could be? Thanks", "output": "Hello, Welcome to Chat Doctor, Sore and itchy nipples are not the signs and symptoms of Sexually Transmitted Infection. I would be due to some other infections preferably of fungal origin. The fungal infection will be more common in this area because the fungus can survive and grow in the wet and moist area. As you are having the symptoms of itching and soreness it sounds like a fungal infection. I would suggest you to follow1. Keep that area Chat Doctor. Topical Antifungal cream3. Oral Antihistamines4. Oral Antifungal " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a red spot on my left knee that at first looked like a mosquito bite but came to a head yesterday and then started oozing yellow pus. Now I have another sore starting on my right calf. Both are itchy. I ve been fighting a bad cold for 10 days and am concerned that these may not be bites. Thoughts?", "output": "HI, thanks for using Chat Doctor It is possible that they are bites that have become infected. Bites can become infected when bacteria are introduced from under the nails during itching. It is not likely that they are linked to the cold that you are currently fighting. The use of topical antibiotics may help but if they do not resolve with topical treatment then oral antibiotics would be needed. You should also consider repellent to prevent further bites. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "In the past couple months I have been having an extreme sharp pain in my left abdomen. The pain causes me to be unable to breath and I fall to the floor unable to move because of how severe the pain is. I went to the doctor for it and gave them all my symptoms, period for 6 weeks, fatigued, headaches, heartburn. All of my tests came back normal, but I have still having this pain and when it hits it is very scary.Do you have any idea of what it could be or what my next step should be?", "output": "Hi ! Good morning. I am Chat Doctor answering your query. If I were your doctor, I would go for an ultrasound abdomen to rule out any pelvic adnexal disease or a urinary stone disease on the left side. Apart from it, any kind of pelvic infection or an UTI could also give rise to such pain. To rule this out, you have to get yourself examined clinically by a gynecologist, followed by a urine routine/microscopic/culture and sensitivity test and also an ultrasound of the abdomen. Therefore, I would advise you to take appointment with a gynecologist if not done already. Till then, you could go for an antispasmodic Chat Doctor. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a tooth filled sept 24 it abcessed I developed a cough shortly after was put on antibiotics had to have tooth pulled last wk but still had chronic cough ..Im very asthmatic nothing is working for cough a d now metallic taste aftertaste when I cough", "output": "Thanks for your question on Chat Doctor. I can understand your concern. You were having infected tooth and this can cause aspiration of pus in the lungs and development of lung Infection. So we should get done chest x-ray to rule out lung infection as a cause for your coughing. Your metallic taste is due to antibiotics you are taking. If chest x-ray is normal than no need to worry much for cough. Take antihistamine and anti-inflammatory Chat Doctor. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My mom has underwent surgery in her intestine. Now she is having urinary infection. Report says that few pus cells were seen. Moderate Gram Positive Cocci were seen in pairs and chains. Enterococcus faecalis 10000 cfg/ml. Is this a serious condition?", "output": "HI, thanks for using Chat Doctor Enterococcus females is a type of bacteria that can cause a variety of infections though urinary tract infections are most common. It is treated with antibiotic therapy. The infection can sometimes be difficult to treat because the bacteria can be resistant to antibiotics. This does not occur in all cases, and it is quite possible that your mother would respond to her treatment. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my question is ive been experiencing for a few years now a variety of strange symptoms and they are as follows muscles aches mostly on the left side of the body as well numbness and tingling on my left arm and muscles twitching all over my body. Also a tension that runs down my left leg as well as pain at the top of my left foot left knee and left upper shoulder. And lastly at times full body numbness and dizziness. So my question is what do all these symptoms mean? ive been to my primary care doctor and he performed blood work for fibromyalgia as well as rheumatoid arthritis but everything comes out clear.", "output": "Hello, I passed carefully through your question and would explain that it is important performing a comprehensive differential diagnosis between different possible causes that may lead to this clinical situation: a bulging disc in the cervical column, vitamin D deficiency, fibromyalgia, etc. For this reason, I would recommend consulting with your attending physician for a physical exam and some tests: - a cervical spine X-ray study-complete blood count, PCR, ESR for inflammation- blood electrolytes for possible imbalance-vitamin D plasma levels. A cervical spine MRI study may be needed, coupled with nerve conduction studies. You should discuss with your doctor on the above tests. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I think I may have broke my foot near the navicular 4 weeks ago. Regular X-rays said no but it s has a protruding of bone where I hit it and now I m having burning, numbness and tingling in foot. Not to mention it seems like my great to is crossing over the one next to it. Should I go for a second opinion or is this normal.", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have burning sensation, numbness and tightness in the feet. Well there can be many reasons for symptoms you mention in query like chronic alcohol use , athletes foot, diabetic neuropathy, hypothyroidism, nerve injury or vitamin deficiency anemia. I would suggest you to consult general practitioner for proper examination. Doctor may order certain tests like blood test, nerve conduction test and take history. Doctor may prescribe iron supplement or refer you to endocrinologist for thyroid problem or orthopedic surgeon for nerve injury. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been diagnosed with a cyst on either my esophages or my Bronchi (they aren t sure yet). I have had an MRI and a CT scan both with contrast. I am now being told that I need another gated MRI. I am being treated now for stomach ulcers. I cough all the time. What are the chances that they will be able to fix this without major surgery?", "output": "Hello dear, thanks for your question on Chat Doctor. Esophageal and or bronchial cyst if symptomatic than should be removed surgically. Surgery is the treatment of choice for such cyst. And it is better to remove this cyst as chances of following complications are high if these cysts are left untreated.1. Infection2. Rupture3. Fistula formation.4. Pressure symptoms on surrounding structures. So better to remove this cyst surgically." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just had my teeth pulled and am wearing temporary dentures. My teeth were pulled on 10/25. I was given chlorhexidine gluconate oral rinse. I have been out of that medication for a week. My tongue turned a chocolate milk color during using the rinse. Now that I havent used it for a week, my tongue is still turning that color. Infection or side effect?", "output": "Hello, Yes. It is one of the side of chlorhexidine gluconate mouth wash. It is not due to infection. Some other usual side effects.1. Tooth/tongue staining 2. Increased tartar3. Mouth/throat irritation4. Change in taste of food/ Chat Doctor. 1. To decrease staining of teeth and mouth surfaces, brush with toothpaste 3 times daily, brushing more on the stained areas2. Use of a \"tartar control\" toothpaste and electric toothbrush may be more effective.3. To decrease the effect on how food tastes, eat first, followed by tooth brushing and then chlorhexidine rinse.4. See your dentist at least every 6 months for tooth cleaning/tartar removal.5. Staining from this medication that may occur on dental work (such as crowns or veneers) usually can only be removed by a dentist/hygienist. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Dr Prasad. I had frequent break outs on my skin. A lot of pimples suddenly.As an aside, I also had severe throat swelling and ear pain, unlike the symptoms of tonsilitis.My GP told me it was because of a lymph node infection.Can pimples break out because of this? And what is the treatment?", "output": "ALWAYS MENTION YOUR AGE & GENDER.LYMPH NODES OCCURS DUE TO INFECTION. NOT DUE TO PIMPLES. FOR PIMPLES .KEEP THE FACE CLEAN WITH FACE WASH TWICE A DAY.AVOID OIL FOR HAIR & FACE.USE OIL FREE MOISTURIZERS .WASH YOUR HAIR. WITH SHAMPOO TWICE A WEEK.AVOID HOT & HUMID.FOR THROAT SWELLING USE HOT SALINE GARGLES TWICE A DAY.YOU CAN TAKE PARACETAMOL/IBUPROFEN FOR PAIN.USE BOYLE BENZOATE CREAM FOR PIMPLES.DO NOT PINCH OR SQUEEZE PIMPLES, IT LEAVES SCAR." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hii,I recently had sonography & report says liver enlarged with mild coarse un echotexture , it measures 16.4 cms in spam.Subsequent liver function showsrange of Bilirubin as 0.61 & Albumin as 3.60I would like tomention that I am 41 year old Male with regular intake of alchol.Is my condition bad enough & please suggest medication & course of treatment.", "output": "Hi welcome to the Chat Doctor Your bilirubin level and albumin levels are within limit... Hence, chance of jaundice and chronic liver disease is less here... Your further evaluation for enlarged liver should be done with following... -CBC and peripheral smear examination, If target cells seen hemoglobinopathy ruled out by HPLC -Serum viral markers if suspected from history like bag -Serum SGPT, GOT According to cause found further management planed... Alcohol intake should be kept limited. Heavy Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doctors, my name is anita and im inquiring regarding chronic pain ( as of yesterday evening ) in my tail bone, i did not fall just almost tripped from behind but caught myself, since then from my knees down i feel numbness or tickling sensation and the pain is not aliviating, can i get your input and do i have to seek immediate help or home excercise is okay ?", "output": "Hello, I have studied your case and most probably you are having disc herniation with nerve compression in the spine. I would recommend you to get some rest. Take hot water fomentation in the back and also keep your leg elevated over pillow. You should also take tablet Pregabalin M one daily. This will decrease nerve edema and also take care of the pain. I hope this answer will be useful for you. Let me know if there is any other followup questions. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a lump on the right side of my vagina it started out on the outside now it has gotten swoll and sits on the inside of my vaginal area it looks like a hair bump but it only hurts a little when i wipe or when i lay down it itches a little. I thought it was a cysts.", "output": "Hello and welcome to Chat Doctor, A lump in the vaginal wall could be due to cystic lesion. A Catholics gland cyst, a Garden cyst, soft tissue swelling, etc. Inflammation of Catholics gland is quite painful. However, the Catholics cyst lies at the junction of anterior two thirds and posterior one third of the labia minor. You need to consult a gynecologist for clinical assessment. Depending on the type of lesion, further management will be planned. Surgical removal of the cyst will be curative in most of the cases. Thanks and take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello sir!! Im 23 years old and im having problem in my stomach and intenstines since last 3 years.. After every 6-7 months. Im on proper medication but still there is pain in ma extreme right of stomach. I only take 2 meals a day. I sleep in early morning like 4/5 nd get up around 2. It is actually bothering me too much now as my work is suffering and twice I had to leave my job . So what can I do to make things better!??", "output": "Hello, By history it seems like you're suffering from acid peptic disease. Your food habits and your stressed life and work pattern has a role to play.you're on regular medication but you're not ad Chat Doctor. If uncontrolled you may develop gastric acid reflux, gastric ulcer and duodenal ulcer. Avoid spicy food, tea and coffee.Don't skip any meal. Have frequent small meal. Keep yourself stress-free. Sleep should be adequate. Take Proton pump inhibitors" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have neurological symptoms pinching burning numbness weakness high pitched sounds in head titching kicking muscle jumping tingling and other sensations and ect my symptom s come and go. my first emg was positive for Peripheral neuropathy lower legs and feet symptoms spread threw body had a second emg was normal even though i still have symptoms in feet lower legs and now threw out my body I also have a lesion on my cervical spine does a emg diagnose multiple sclerosis", "output": "His read your problem, actually peripheral neuropathy is a disorder that occurs when nerves malfunction because they are damaged or destroyed. Causes of peripheral neuropathy-Generalized diseases nerve damage caused by diabetes is one of the most common forms of neuropathy. The risk of neuropathy increases for people whore over weight have high blood pressure are over the age of 40 have diabetes other chronic causes airline disorderHypothyroidismDeficiencies of vitamins E, B1,B6, and B12, which are essential to nerve health NAD functioning. InjuryPhysical trauma is the most common cause of injury to the nerves. Alcholhol and toxins infections and autoimmune disorders. MedicationsTreatment options for peripheral neuropathy again medicationsAcetaminophen and non-steroidal anti-inflammatory Chat Doctor. Medical treatment-TENSErgonomic casts or splints. And you have multiple sclerosis and there is no cure for multiple sclerosis. For the further treatment or investigation consult the orthopedic or euro." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am on 300mg of Effexor for ocd, and I am always exhausted and very vacant. My memory is hopeless, I can give a shop assistant my card and then stress straight away wondering what I have done with it. I know I have to be on medication because I really struggle otherwise but was wondering if I can decrease my dosage or try another medication. Thank you. Wendy", "output": "Degree understand your concerns went through your description. I suggest you not to worry too much. If you are a typical OCD client, then you should have been advised about OCD fully. It is mandatory. The stress goes with OCD, and it is easily overcome. As long as your memory is concerned, it is not failing. It actually is overwhelmed. You are preoccupied with obsessional thoughts which fails your memory. OCD clients should learn how to tackle this, how to think away from obsessive thoughts. You might need OCD therapy and other behavioral therapies. I am more than happy to provide telephone psychological help through Chat Doctor. Contact me through customer care, www.ChatDoctor .com. Hope this clears your some doubts. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Thanks... a bit confused about treatment options and correct sequencing of frozen shoulder Orthopedic Surgeon 1st - Radiographs (?) - Steroid injection into the joint area - Physical therapy sessions (?) for How long ? or exercise/flexibility/yoga/pranayama at home. OR O.D. 1st - Trigger point injections into 1/2muscle with lidocaine, no epi - multiple appts.(unknown amounts of time and money), some manual adjustments , some exercises to open up hips (connection of pain in shoulder to posture etc), some arm exercises but unable to do because of pain My questions are 1. What is the most effective procedure? 2. What is the best sequencing of treatment? 3. Are alternative treatment modalities necessary always after steroid injections and exercise if relief is present? 4. To prevent this issue from reoccurring are there certain exercises/life management and/or dietary adjustments that have proven to be helpful? Thanks", "output": "Hi, thank-you for providing the brief history of you. A thorough clinical assistant is advised. As per your query you need to first meet an or tho for the clinical assessment. Post than may be an MRI will be guided to see the soft tissue Injury. Later, with physical therapy the use of ultrasound therapy and TENS therapy will help reduce pain and inflammation. Later stages, exercises and mobilization will be performed to get the strength and ROM of the shoulder girdle. In my clinical practice, it takes about 3-4 weeks of time for recovery to attain. 99% of patients recover faster if the blood glucose level are under control. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Doctor, my young brother has cycle-cell, he is 30 years old, height 5,7 and weight 59. He has been experiencing abdominal pain, after diagnosis it was found that his liver is swelling. and his stomach is swelling of water. Doctor help us we are poor we cannot aford expensive treatments.", "output": "Hello, Thank you for your contact to Chat Doctor. I understand your health concern, if I am your doctor I suggest you that there is no treatment of sickle cell disease. Only thing you have to do is prevention. Prevention is by preventing low oxygen tension to your brother. If he is on low oxygen tension than he feels attack but if he is on good oxygenation nothing will happen to him. I will be happy to answer all your future concern. Thank you, ChatDoctorInfectious disease specialist. Wish you the best health at Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a degenrated disc at my L4/L5 level. It is at about 25% degeneration. My L5/S1 also has some slight degenration. I found out after pulling a muscle in my back 4 years ago. My right leg is about a centimeter shorter than my left, which is the main cause of the degeneration. I have shoe inserts which leveled my hips and legs. I recently pulled a muscle in my lower back. I have been experiencing lower back pain and stiffness, along with sciatic pain. I have also been experiencing intermittent pain in my left testicle. It comes and goes and sometimes moves to the right testicle. I have also noticed a frequent urge to urinate. I have noticed that not as much urine comes out and I still feel like I have to go shortly thereafter. If I massage the area near the rectum and behind the scrotum, it provides relief. Movement also provides some relief. The pain moves around between the testicles and base of the penis. Sometimes it disappears completely. I have not been tested for an STI, mainly because I have been married for over 5 years and have no other sexual partners. There have also been no physical signs, i.e. discharge, burning/pain while urinating, cloudy or smelly urine, blood in urine/ejaculate, etc. I have had issues with urination for at least 10 years. They include constant urge, inability to urinate when I feel the urge. I am currently uninsured, so I am trying to find some possible answers before I make it into a doctors office.", "output": "Hi, In my opinion the radiating pain in your testicles isn't coming from the herniation or the medications you take it actually came from you renal system which is mentioned of having history of issues for the past ten years, so I think you have some sort of renal stone or a gravel in your ureters that prevents you from urinating freely to the end. You will need some investigation like SUA, RH factor, ASCOT Title, urinalysis and U/S of your abdomen and pelvis to know exactly where is the pathology exactly for specific treatments. I would recommend higher fluid intake, low proteins and carboy Chat Doctor. Please click THANK YOU and consider a 5-star rating with some positive feedback if the information was helpful. Hope the above information helps you. Any further clarifications feel free to ask." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am 34 yr old male i exercise regularily i m 6ft tall and weigh 95 kgs i am a regular tennis player for last one year or so i am having frequent chest discomfort no pain . i got my tmt and echo done 3 times in last one year both are absolutely fine with my tmt results going better than 100% whay is this frequent chest discomfort", "output": "Thanks for your question on Chat Doctor. I can understand your concern. No need to worry about heart diseases as your 2d echo and TMT (trade mill test) are normal. In my opinion, you are mostly having musculoskeletal cause for your chest discomfort. Your chest discomfort is associated with exertion (playing tennis), so musculoskeletal cause is more likely. So follow these steps for better symptomatic relief in musculoskeletal discomfort. 1. Avoid awkward movements. 2. Sit with proper back and chest support. 3. Apply warm water pad on affected areas of chest. 4. Avoid heavyweight lifting and strenuous exercise. 5. Avoid bad postures in sleep. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been on a diet using ChatDoctor drops. I have been experiencing a bit of unexplained bruising and other areas that are the same pain as a bruise, but no bruise or injury is present. Could this be a side effect of the ChatDoctor? Is this a safe thing to take?", "output": "Hello, I will suggest you to discontinue the hormonal method of weight loss. ChatDoctor Chat Doctor. Lack of vitamin C in diet and other important micro nutrients can lead to browsability. Chat Doctor has also many side effects, one of which a rare one is browsability. It's best to get into a weight loss program using natural methods and not skipping these essential nutrients, under the guidance of a professional nutritionist. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband has had stomach issues for 2 years now. When it first happened he complained of severe stomach pain in his upper middle to left abdomen. He also had a fever. We took him to the E.R. and he was diagnosed with Diverticulitis after a CT scan with contrast. Due to not having insurance at the time, we never followed up until this past month. He had a colonoscopy done and they found nothing to even suggest he has diverticulitis. They also eliminated Crohn s and Celiac disease. The only thing we have noticed that aggravates the pain is steak so he avoids it but still has the pain. He describes it as a bruised feeling. It s a dull pain unless he eats something that aggravates it or if the area is touched then it is a sharp pain, and he says it s not a cramping pain at all, just a very bad bruised feeling. It also causes him weird bowel movements that range from diarrhea one day to close to constipation the next. His doctor is treating him for Irritable Bowel but the medicine hasn t helped at all.", "output": "Hi. Thanks for your query. Read the history and understood the problems of your husband. The diarrhea, constipation sometimes, pain in abdomen, CT scan which showed diverticula in the past, but the recent colonoscopy is absolutely normal. Yes, he is suffering from the Irritable Bowel Syn Chat Doctor. If the medicines are not helping, the probable causes and the treatment area as follows:-Notice more than the steaks, which food stuffs and beverages cause / increase his problems. -Increase the dose of the medicines o give more effect or may be change over to another medicines. -Stress and anxiety are the biggest contributory factors, and he has to keep them under control at any cost, with yoga, meditation and / or medicines." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Rught after hurting my lower back yesterday, both my legs became extremely weak and shakey feeling as though they couldn t support me anymore. My lower back feels very very weak now too. What s wrong with me? Do i have to pay to continue to consult I m sorry, i just read that I have to pay. I have no money at this time. Thank you anyway for taking the time to read my question.", "output": "Dear patient You have got para paresis due to back injury. This is serious issue, and you need to consult spine surgeon as soon as possible. Spinal cord and nerves travels through spinal canal and back trauma may lead to vertebral fracture or disc prolapse with spinal cord compression. Spinal cord compression leads to weakness in both legs and loss of bowel and bladder control. This if not treated in time may not recover. So the need of urgent consultation. I would advise MRI of lumbosacral spine with screening of whole spine to confirm diagnosis. Visit expert spine surgeon with report. All the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 10 month old has had a bad cold and hacking cough for the last 5 weeks. Almost continual streaming nose and lots of phlegm. This morning he projectile vomited up all his milk. I then tried him on solids, but half an hour later he projectile vomited all his solids up. Any advice on next steps? He doesn t have a temperature and seems happy otherwise.", "output": "Hi! I'm sorry to hear that about your child. His cough and colds can trigger the vomiting. You said he has lots of phlegm, the body will try to eliminate it. You can try small frequent feeding, in that way the stomach is not full when he coughs. Also, when you feed him, keep him upright. We want to prevent the risk of aspiration. Monitor him for any signs of difficulty in breathing and or deny Chat Doctor. If any of these appears, bring him to his doctor for proper assessment. I hope I was able to help you. Have a good day! Sincerely, Handle Dulay-See, M.D. Pediatrics" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My dad has lung cancer and just in the last two days he has become very confused and cannot put sentences together, cannot feed himself, walk, or go to the restroom on his own...does this appear to perhaps reached his brain or could this be from the strong pain patches that he has been on for just a few days now? Thanks", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. There are few causes for altered mental status and confusion in lung cancer patients. 1. Spread of tumor in brain.2. Electrolyte imbalance especially hyponatremia (low sodium).3. Acute psychosis from the fact of having incurable disease. So get done MRI brain to rule out brain metastases. Get done S. Na+ to rule put hyponatremia. If both are normal than consult psychiatrist to rule out acute psychosis." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 8 month old has HFM, and is in a lot of pain. Blisters everywhere, barely able to sleep and is inconsolable when awake. Other than giving him Tylenol and offering cold things to chew on I m not sure what to do to keep him comfortable enough to sleep?", "output": "Hand, foot and mouth disease is a viral infection that is frequently seen now-a-days. Viral infections do not respond to antibiotics and resolve spontaneously in 5-10 days. Management is supportive. Giving Tylenol should reduce the pain and help. Use lidocaine oral gel over the oral lesions, and it will help in relieving the pain. You may give pedicloryl syrup and help the child sleep. I am sorry that you would need to be a bit patient." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my father is having bad stomach pain. he had this pain before and was told it was alcoholic gastritous. he hasnt drank any alcohol and woke up in pain this morning that has gotten worse. he too a ranitidine at 9am. will an ibprofen help with the pain or be safe to take?", "output": "Hellos your father stated that this pain is due to gastritis (caused by alcohol intake) , sanitizing is not working. When such case visit with excruciating pain, patient need to take antacid (if it contains tetracaine, better)4 T S F (until and unless contraindicated) according to necessity. Also give your father diclofenac 100 mg+ Chat Doctor. Ibuprofen will further produce (aggravate) gastritis. Your father will get relief immediately with this treatment. But this is a prescription treatment so take a prescription from a doctor. Still, no relief within 4-5 hours then consult a physician and get his opinion. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have general gum recession on my bottom teeth and slight recession on my upper canines. Im thinking about getting gum grafts to cover the exposed root surfaces. But as Im currently wearing braces, Im not sure what I should do. Should I wait until the orthodontic treatment is over and then get gum grafts? Or is during the orthodontic treatment fine?", "output": "Dear friend. Thanks for sharing your concern. As you are wearing orthodontic braces for teeth alignment, your teeth will take new position due to it root movements.Therefore, it is best to go for gum grafts only after that. Also remember mild recession can itself get corrected after orthodontic braces removal. It is only in severe recession cases you need to get your gums covered with tissues through grafts. That will reduce your teeth sensitivity as well as enhance esthetically. Meanwhile, it is advised to get your teeth cleaned once, upon consulting your orthodontist, because deposition of calculus and stains also leads to gum recession. Maintain very good oral hygiene, and you can use antiseptic mouth rinses too. Hope it helps. Thanks. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a daughter who s hair is starting to fall out since she was a baby. I thought it s normal until 2 months ago, her hair falls double. I went to different dermatologists but they can t give me an answer to what is causing for this hair fall. I thought it s due to malnutrition for she s thin and never had a regular milk to drink for she s allergic to milk. But I have been giving her powder milk and she seems to be gaining weight but the hair fall doesn t stop. Please help me find out what is causing my daughter s hair fall before her hair starts receeding in front. Thank you so much.", "output": "Hi, Hair fall can be due to zinc and protein deficiency. Give her zinc supplements like Sure and high protein diet like meat, eggs. You didn't mention the age, so It's difficult to counsel regarding diet but make him eat good diet according to age and get a check-up from dermatologist for some fungal infection causing hair loss. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi there, I have been having problems with my stomach for the past few weeks! I feel bloated and vomit after food but I dont throw anything up. I have also felt some lumps on my upper stomach right under my chest bones mainly my right side. The lumps are getting more and when I touch they hurt! Can you please give me some advice.", "output": "Hi and welcome to Chat Doctor. Bloating and vomiting are nonspecific symptoms, but these lumps you're feeling are definitely something that must be evaluated! You should do at least ultrasound to rule some serious diagnosis out. Usually such symptoms are caused by gastritis, gErd or hiatus hernia, so gastrostomy should be performed too. There is no specific cure. If you have only gastritis this is treated by changing dietary habits. You should avoid alcohol, coffee,smoking, fats and fast food, carbonated Chat Doctor. 1 hour after meal you should not sit or lay. Also lay with elevated upper body. If you are overweight you should do often exercise. But as I said, I really suggest to DI some imaging tests do investigate these lumps. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I noticed bruising on both left and right legs after driving 12 hours straight (took four 1 hr breaks in between to get gas and food). Is this unexplained bruising related to sitting down too long in the car or it is something serious that I need to see my doctor.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you should consult your doctor and get done blood investigation to rule out any disease. Skin bruises on bilateral lower limb after prolonged Chat Doctor. So get done PT (prothrombin time), APT (activated prothrombin time) and bilateral lower limb venous Doppler. If all are normal then no need to worry. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 2yr old grandaughter has always had trouble wth constipation and has been under her famly doctor, she has been taking medicine for quiet a while. My daughter in law is worried about her taking the medicine and asked for a Consultant to look at her. The first visit he said try a dairy free diet, this did not make any difference. Now she has a very swollen tummy and has lost weight. She has also been off her food the last couple of weeks eating very little. She has also cut another couple of teeth so we thought it might be that. The hospital have taken xray of her stomach, and she will be having some blood tests in the next couple of weeks. As you can imagine we are very worried, have you any idea what it may be?", "output": "Hi... Thank you for consulting in Chat Doctor. I think your kid is having habitual constipation. I have certain questions and suggestions for you. Questions:1. Did your kid pass motion or meconium on day one of life?2. Since how long is the kid constipated?3. Does the kid have any bleeding along with hard stools?4. How much milk does the kid consume per day?5. Does the kid eat fruits and vegetables (fiber diet) appropriately? You can get back with answers at the following link - www.ChatDoctor .com/doctors/ Chat Doctor. Natural methods are the best to relieve constipation.2. Constipation is a risk factor for UTI3. Maximum milk consumption per day should not exceed 300-400ml4. Minimum 3-4 cups of fruits and vegetables to be consumed per day5. Toilet training - that is - sitting in Indian type of lavatory daily at the same time will help a lot. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my name is sahira, 29 age, my husband is 31 yrs old. We are trying for a baby now I am taking Menogon 3 inj on alternate days and 1 pregnyl inj, how many chances of conceiving are with this inj? My hormones and my husband tests are clear. O have 2 fibroids in my uterus, does conceiving effect it?", "output": "Hi, Welcome to Chat Doctor forum. As you describe both of you are perfect in the tests of gynecologist, you need not have this treatment. But if 3 years passed after the marriage, most of the doctors use this treatment. Mention is a purified combination of follicle stimulating hormone and luteinizing hormone. To induce ovulation and enable pregnancy in women. In women, Chat Doctor is used together with other hormones called follicle stimulating hormone (FSH) and luteinizing hormone (LH) in the treatment of infertility. So there is every possibility of getting pregnant. It needs per vaginal ultrasound scanning at the time of expected ovulation, to see there is maturation of the follicles, and ovulation. If you don't get pregnant in the first time, you may become pregnant you will become pregnant in the second cycle. So never get confused, or get anxiety, as they may spoil the process. Wishing for a quick and complete recovery. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My grandson has a bad case of acne and seen Christa Heard CRNP today. She recommended antibiotics and a cream to be applied morning and night, to make a long story short the medicine was 600. dollars and I am a single woman raising my grandchild needless to say he was very upset when we left the drugstore what or where do we go from here? Sandra", "output": "Hello and welcome to Chat Doctor. Thanks for your query. I understand that 600 dollars is a huge amount and it's even puzzling to me why a course of antibiotics and a cream would cost that much. I presume that you don't have insurance, so the only option would be to be prescribed more cost-effective medication. Furthermore, I would suggest that you can let the CRNP know that you cannot afford the medication and request her to prescribe something else more cost-effective and affordable. Since acne is not a serious condition, I don't think your grandson needs a very strong antibiotic or other expensive medication. Wish you all the best. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am getting frustrated w/ my doctor. I have Hep C so he blames all problems on that. I have had a hysterectomy and now have terrible hot flashes but because I am a smoke he will not give me anything for that. I have a dozen nodules in/on my thyroid but my blood levels are in the high side of normal so I do not take a thyroid medicine. I have fybromalgia that I take gabapentin and tramadol for. For well over a year now I have been having these episodes where I become very hot, shaky, nauseous, and feel like I am going to pass out. They are getting worse. I am having severe headaches. They say I am not diabetic. Twice in the last 3 weeks it has felt like someone flipped me sideways and I have about fallen. It only happens for a few seconds. I am becoming very frightened by all of this. I have a doctor appt. tomorrow. But I don t know if he will listen to me", "output": "Thanks for your query at ChatDoctorAccording to your history you have undergone hysterectomy that could be a possible cause of your hot flushes, etc. You seem to be having some hormonal problem. You must visit a gynecologist and get investigated for hormonal tests. Furthermore, you might need hormone replacement therapy. I would like to add Chat Doctor. But you get you viral title done at 6 monthly basis and regular follow up. Can you guide me on your prior treatment? Take care!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have just been diagnosed with gallstones and awaiting an op. When I sneeze I get a very sharp stabbing pain in my lower Left hand side of the abdomen that travels 2 inches towards my belly button and then goes off . Is this likely to be part of my gallbladder problem or something else", "output": "Hi thanks for contacting Chat Doctor ... You have abdominal pain while sneezing ... Yes it could be by gall stone ... Here second possibility could be muscular strain also.... Avoid strenuous activity for it... Heavy weight lifting avoided. Take proper sleep posture while sleeping...If you need for pain simple analgesic can be taken... If your gall stone small and single then Ad\u00edlio tablet that is made up of ursodeoxycholic acid can be taken that help in dissolving cholesterol in bile...Meanwhile, take low fat diet...fruits more... Take care... Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i m 25 years old male and i m having problem with my hair as my hair suffer a substantial loss in the frontal and anterior over the last year when i consulted with a doctor she prescribe me with morr F solution and curlzvit tablet plz let me know the effectiveness of these medicine and their side effects. thanks", "output": "Hello, It may be used for hairless. It will work by increasing the blood supply to the scalp or affected area. Possible side effects are: 1. Dermatitis.2. Excessive hair growth on face.3. Headache.4. Itching. Culprit is a multivitamin tablet may be useful to avoid the hair fall. So I think I answered your questions still have queries please feel free to ask. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My resting heart rate at the doctors office today was 132. I have narcolepsy and am on Adderall XR 30mg bid and Adderall IR 10mg tablets 2-4 times daily for afternoon sleepiness. My blood pressure was normal 120/77. Should I be concerned about my heart rate? The last time I was in the office it was 110 just sitting in his office.", "output": "Hello! Welcome on Chat Doctor! Regarding your concern, I would explain that your resting heart rate values are a little high, but they can be related to Adderall IR adverse effects (it is known to increase the heart rate by stimulating the sympathetic nervous system). As your blood pressure values are normal, the situation does not seem to be really concerning. But, I would recommend performing some other tests to be sure that everything is OK: - an ambulatory 24-48 hours ECG monitoring to examine your heart rate values for a prolonged time-complete blood count for anemia-thyroid hormone levels for thyroid dysfunction- blood electrolytes for electrolyte imbalance. If all these tests result normal, there is nothing to worry about. If your heart rate is persistently high, I would recommend discussing with your doctor on the possibility of reducing the dose of Adderall. Hope to have been helpful! Wishing good health, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My blood pressure has been low for the last month. 88/58. Now I just noticed 2 marble size lumps on the side of my neck. I had a fever earlier in the week and problems with allergies. Lost 55 pounds recently and lowered salt intake. Nor sure if all is related.", "output": "CLUMPS IN THE NECK CAN BE A INDICATOR OF INFECTION OR IT CAN BE ANYTHING SERIOUS LIKE CARCINOMA(cancer)sides of the neck has many nodes called as lymph node, its function is to trap any infectious agent in the body, swelling in lymph node indicates that there are infectious agents in body, as your lymph nodes are trapping those infectious agents, the size is increasing however in some case swollen nodes are an indicator of carcinoma its very possible that these enlarged nodes are pressing the vagus nerve which passes in the vicinity, vagus plays an imp role in maintaining blood pressure, increased pressure on vagus can lower the BP due to overstimulationbut a fever is indicative of ongoing infection would suggest you total leukocyte countdiffrential leukocyte count complete blood count test to rule out any ongoing infection if its normal then a Fine needle aspiration cytology of enlarged nodes should be done to rule out carcinoma" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m very terrified. I just noticed a very dark purple almost black lump in the back of my mouth about half an inch or so after my moler. Causes no pain unless messed with. WHAT IS IT?! Is it deadly?! Can I cure it at home?! Please say yes! WHY IS IT THERE PLEASE HELP!!!", "output": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint a dark purple lump next to molar tooth can be due to a dilated vein also known as Varicose vein or a Varix. The lump might be due to formation of a small blood clot that got lodged in that area forming a Thrombus. It is not AA serious condition and will not cause any serious problem. It can gradually reduce in size on its own. If it is not ruled out as the cause other causes can be like mucous cyst or Muscle, Hematoma or a Hematoma. Confirmation can be done by getting a clinical evaluation done by an Oral Physician or an Oral Surgeon. Hope this information helps. Thanks and regards. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been experiencing hip pain/upper thigh pain that was intermittent and now is consistent. It is more of a burning type pain. The pain disrupts sleep and is painful while sitting still. I am a 53yr old female, 175lbs. Last year blood work shows my white blood cell count to be slightly elevated but I have seen a oncologist who didnt find anything. I also have been very tired and have been getting frequent headaches. I was recently diagnosed with a autoimmune disease Vitilago. I have seen a dermatalgist and endocrinologist. No one has any answer. Where do I go now?", "output": "Hi, thanks for writing to Chat Doctor. Hip and upper thigh pain which is of burning nature and is occurring more in sitting position especially in obese individuals (as in your case) is suggestive of NEURALGIA PARENTHETICAL. This condition results due to the compression of Lateral femoral cutaneous nerve (pinched nerve) at the level of groin fold. A few conservative measures which are effective in treating this condition includes - wearing loose clothing (avoiding tightness at the level of the waist and groin fold), Losing weight, taking OTC pain relievers such as acetaminophen (Tylenol) ibuprofen (Advil) or aspirin, Physical therapy to strengthen the muscles of the legs and buttocks etc. Other causes arising from the Hip joint are also to be excluded by having X-rays and MRI scans, which may also present with similar picture. So, I suggest you to consult an orthopedic surgeon for a detailed clinical examination and further management. Hope this information is helpful. Good day" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my bf is experiencing syomach & adominal pains, lower back pains, pennis & balls hurt, anus hurts, trouble getting hard. He doesnt wanna move cause its that painful & this all occured after we had sex. What could be the cause & how can we make it stop for now until can see a doctor", "output": "Hello appreciate your concern for your boyfriend. Looking at your description this might be related to inflammation due to infection or injury during sexing my opinion you should ask him to have plenty of fluids with glucose water and fruits juices if he is not diabetic. You can also give him ibuprofen with pantoprazole for symptomatic reliefs him to take rest until he recovers fully Hope this answers your question please feel free to ask for further clarification I will.be happy to help you Best wishes" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello im a 36 year old female and two months ago, ive been starting to have a lot of dizziness everyday and i feel tired all the time. even when im in bed, i feel nauseaus and dizzy. i m pretty sure im not pregnant, i excrsize regularly and i am eating right. what could be wrong?", "output": "Hi, First, you should measure your blood pressure and if it were high, you should receive a medical treatment, take Aspirin 160 mg, decrease fat and salt intake, do Lipid profile and do an ECG and an ECHO on your heart. Second, if you take oral contraceptive pills or a hormonal replacement therapy you should ask a gynecologist for help. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a skiing accident that caused a hematoma on about 50% of my hip a little over 10 years ago. My hip started to bother me when I laid on it about 6 months ago. Now the pain is to the point I cannot sit for more than 15 minutes with out my hip, knee, leg, and feet aching and sometimes get a warm sensation where the hematoma was. There is still a bump on my hip where the bruise was. I also never had any procedure for the hematoma. Should I see a doctor asap or am I ok waiting for my appointment with my general doctoc?", "output": "HelloWelcome to Chat Doctor, Due to blunt injury there can be hematoma collection. The bleeding that occurs result in hematoma collection. Over a period of time, as hematoma resolves it cause local skin symptoms around the hematoma. I would suggest you to apply ice and thrombhophobe ointment will help and take adequate rest. If required you may need to do blood investigation for prognosis and recovery. Take precaution to avoid infection around hematoma. If it continues to trouble I would suggest you to consult orthopaedician for further evaluation and treatment. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have chipping L5 L6 in my neck i was wondering if this could cause swelling around my neck even in the front. i am supposed to go for surgery but haven t heard from the surgeon yet. i am in a lot of pain in my arms and tingling down my arms to my finger tips.", "output": "Hithank-you for providing the brief history of you let me make a correction that C5-C6 comes in neck region and not L5-L6?.as you mentioned your history what I can understand is that you have pain & tingling in the arm up to the fingers.these symptoms arise due to Cervical spine disc pathology. For which I can recommend you to take physical therapy. This will help you reduce the pain and tingling sensation. Also on a later stages exercises will be introduced.in my clinical practice, I have seen many cases with similar issues and all response well to physical therapy.regards Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband has a large, hard mass in the sternum. It has been there for about a year however in the past few months he has developed severe stomach pains, nausea immediately after eating and severe heart burn. His stomach constantly feels full and he spends a lot of time in the restroom. Is should also mention that about 8 years ago he was diagnosed with pre cancer of the stomach. This weekend the stomach pains were so severe that he could not get out of the bed. Could this be something serious? He is 44, 5 10 and weighs 210.", "output": "HI. This is definitely a serious matter as he was diagnosed to have a pre-cancerous lesion in the stomach. He needs upper GI Endoscopy. The mass on the sternum is not related. I would advise for this HERD like symptoms the following: Santa 12 hourly. Pepcid every 3 to 4 hours when on empty stomach. Add Risperidone or such motility regulators. Soft bland diet. No aerated colas / soda/ Chat Doctor. Early dinner. No late nights. Treatment for anxiety (as prescribed / needs a prescription by your Doctor)Lying in a reclining positional around after dinner. Think of the factors which increased the present problem, HERD, anxiety and try to avoid. If no relief, get Upper GI endoscopy done and get prescription for added Medicines. EKG for the heart n a safer side to rule out cardiac problems. This helps all my patients and should help you, hopefully." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was just diagnosed with crohns desise a few months ago. Im also taking medicine for indigestion and heartburn. a few weeks ago I started this pain in my upper left abdomen, my gastro didnt seem concerned and my family doctor said it was a pulled muscle from coughing. pain has subsided for now. Last night I was woken up to severe stomach pain/ burning sensation in the middle of my stomach and severe nausea and started sweating. I could feel my heart racing. I did throw up a little and it calmed down a little bit but am still nauseated this morning.", "output": "Hi. Thanks for your query. You are suffering from Crowns, this is a recurrent problem and most probable be the reason or the pain in abdomen you have. It is better to get re-investigated for the fresh attack of pain, nausea, vomiting, sweating you had as there may be another problem associated. I would advise you the following:Get the blood, urine and stool test done. Standing X-ray of the abdomen and Ultrasonography. Get a course of additional medicines if advised so. Get PPI, Domperoidone, antacid. Alter the diet to suit the intestines. If required you can always take a second opinion of another Doctor or Gastroenterologist." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have suffered from what seemed to be RA for five years now. I was treated with methotrexate yet continued to suffer joint pain at times when having allergic reactions. I was tested by an allergy doctor and told I did not test positive to any known allergens on tests. Yet continue to have knee joint pain and itchy tattoos that turn bumpy throughout the year. On and off. I discontinued Methotrexate treatment and I went on a hunch and was treated for Lyme disease. I am around rescue dogs as a hobby not all the time. I got better and was able to walk again. However now I find whenever I have allergic reactions itchy tattoos sinus issues my knees become painful again. Any ideas? Tatto related?", "output": "Hello, I can understand your concern for side effects of tattoos. After analyzing your query it appears that you are quite stressed regarding the tattoos and its side effects. Though in general if the tattoos are made in sterile procedure then there is no any harm of the same but in case if the tattoos are carved by unsterile needle or is made with infected needle then can transmit multiple infections. Temporarily it can cause secondary infection and later on the tattoos can cause permanent darkening of the skin which is actually difficult to be managed. You can take further guidance from a family physician. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my 79yo mother noticed a lump in her neck on the left side, mid jaw line, extending from just below the jaw to the middle of her neck. It is soft, no pain. She has been running a low grade fever and has been very tired. The doctor ordered a ultrasound which was inconclusive and sent her to a surgeon. She is getting a CT tomorrow as the ultrasound showed a nodule on the right and a mass on the left. The surgeon said whatever it is it needs to come out. What are they suspecting?She does not smoke or drink, has a history of atrial fib and was on amiodarone until her doctor discontinued it 2 months ago due to high liver studies. she is now on only beta blockers. Her thyroid studies at her last physical 6 months ago were normal.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, your mother is mostly suffering from thyroid cancer. Her CT report clearly mentioned left sided mass and right sided nodule. So possibility of papillary thyroid cancer is more. Old age is an independent risk factor. It is usually painless and present only as enlarged mass in the neck. So better to get done fine needle aspiration cytology (FNAC) for the confirmation of papillary thyroid cancer. Consult oncologist and plan future treatment. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "since i made a fall last year i hVE RECOVERED HOWEVER/ FOR THEPAST MONTH IT STARTED WITH MY TOES GOING NUMB and now it feels like IT IS TRAVELING UP TO MY ANKLES. AM ON VARIOUS MEDS MEDS FROM MY G P BUT THIS NEW ONE IS DRIVING ME CRAZy i can NO LONGER WALK WO A WALKER nEED HELP IN ORDER TO WASH AND DRESS LET ALONE KEEPING HOUSE AND DRIVING MY CAR ID THEREANYTHING I CAN DI TOI HELP ME OR WILL THIS GET WORSE UNTIL IT KILLS ME THANKS. AUDREY", "output": "Hi, Thanks for your query. Numbness in the toes indicate that there is some sort of neurological disturbance (impaired conduction of nerve impulse) in the involved nerves. This may result due to compression of the nerve at some level during its course or may also result due to some systemic diseases. A detailed clinical examination and few investigations like EMG & Nerve conduction studies are needed to establish a correct diagnosis of your problem. I suggest you to consult a Neurophysician and follow the advice. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi sir!I am sekhar and 33 years of age.I have a pimple in my head of penis and a hard lump in my groin area since last 10 months.Recently i have examined those by 2 doctors(surgeon) and they told me that the lump is a cyst and it is now too tiny to remove.Sometimes i feel slite pain(rather irritation) from the lump but the pimple is painless.what should i do?", "output": "Hello, It would be of great help if you could share the picture of your cyst so that I can comment over its treatment. Cysts are usually fat deposits below the skin or a clogged hair follicle. If its causing pain go and see your doctor again to see if It's infected or not and get your treatment accordingly. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a complete hysterectomy 8 yrs ago. I WAS PUT ON A NUMBER of ssrs and finally found Prozac to work. I was put on Xanax for anziety. having more issues with panick attacks due to high stress last year. dr is talking mood stabilizer oxcarbazepine. will that help", "output": "! If your diagnosis is just anxiety disorder and not bipolar disorder, then oxecarbazepien will be best avoided. There is many milder and better molecules which can help you and will not require many dosage level monitoring (like oxecarbazepien). You may go for venlafaxine or paroxetine, or combination with Aquitaine. These all are good at handling anxiety and panic attacks. Your doctor will know about them. Hope this helps you please feel free to ask more questions for clarification" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am experiencing server pain from my crotch to my feet. I ve had a triple by pass in the past. In the last 6months I ve had swelling and extreme pain throughout both legs. The pain often brings me to tears. What caI do to comfort my legs until I see the doctor on Monday. I need relief.", "output": "Hi, It's likely a sciatica. You're It D level, x lumbar spine AP/ Lat view and further may need MRI if x-rays are not informative. The treatment for this is physiotherapy to release the nerve compression so may visit the nearby physiotherapist. Till the time you can have tabbed Neuronion forte once a day which is a nerve vitamin and Diclofenac/Ibuprofen. Also, you should get nerve stabilizer prescribed like Tab Pregabalin will stabilize the nerve and reduce pain. Etc. You need to visit orthopedic for all these investigations. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I got a flu shot a couple days ago. For a few days my arm was very sore (that s usual, I know) but then three days ago I realized my pain moved up to the base of my neck where I know feel a lump under my skin. Is that normal or should I seek Medical Attention for it? If it is normal, how many days do you usually keep it?", "output": "Hello, I read carefully your query and understand your concern. Your symptoms seem to be related to a side effect of the shot. I suggest using anti-inflammatory medications such as Acetaminophen to relieve the pain. I also suggest using cold compresses for local application. The symptoms may last for a few days. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards! Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my baby is 6 months and has a red rash behind his ears and redish eyelids, he is more tired than usual. Noticed the rash 24hrs ago and now it has spread over his back of his head and little on his cheeks and under his chin. It is red slightly raised, does go when you add pressure thrrough the glass test - He is very alert and responsive and no change in himself, Nappies are normal and no vomitting. temp 36.4. Any ideas or help you can give Dr is helpful.", "output": "Hi... Thank you for consulting in Chat Doctor. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "6 year old male diagnosed with high lead levels. has been treated with chelation intramuscularly and then with the medication given by mouth. level receded to high normal level for one month. current blood test shows a significant elevation and the chelation medication is to be started again this evening. are there any other suggestions that you can make as far as treatment to permanently diminish this problem to a safe level. surroundings, toys, etc. have all been tested and show no lead content that is harmful.", "output": "Thanks for your query on ChatDoctorFrom history its seems this child is having chronic lead exposure and lead toxicity. Its treatment include 1. Identification of source of exposure. It may be due to eating soil, paint, some herbal remedies etc.2. Behavioral modification to reduce non-nutritive eating habits.3. Dietary counselings to insure sufficient intake of essential elements calcium and iron.4. Chelation therapy to decrease lead level Hope this information will help. For more queries you may contact me at this site. Regards- Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Does an ECG show up any potential heart problems. I had one last week for ectopic beats Ive been getting as a part of anxiety and it came back normal. I have had 3 in the last 8 years all normal. I had a weird sensation in my chest almost like my heart bubbled or flip flopped whilst I was vivid dreaming. Wondering whether I should be comforted by the recent ecg and its scaring me and making my anxiety worse.", "output": "ECG is the representation of your heart activity for that 30 seconds. Like all test it helps us detect many problems of your heart, however like other test It's not always true. If at all you want to investigate for ectopic beats consider below. I'd the symptoms do occur every day, get a 24 hour holder. If they are very rare once in a month or so and troublesome, an event recorder is a better investigation . Before you embark of such a tedious job let me assure that 85% population has at some point of time in life ectopic s, however most 99% of there are benign and not relevant clinically, so you should be worried it there are no associated symptoms Regards " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been using Tobi in my Nebulizer for months. One week on and one week off. The side effect I have noticed is that texture of my hair has changed and it is falling out a little each day. My hairdresser noticed how different my hair is. Is there anything I can do?", "output": "Hi,welcome to ChatDoctorTobramycin is an aminoglycoside antibiotics which is used to combat infection....though textural change is not a well known side effect of the Chat Doctor. . Take a protein rich diet and eat fruits and veges rich in all the vitamin and minerals... Exercise daily... Do frequent hair massage with tips of your fingers with lukewarm olive and coconut oil in equal proportion,this will increase the circulation of scalp and improve the texture of hairs too... Conditioning of hair is a must think after wash... You can opt for hair spas or use fenugreek hair mask to combat hairless... Hope this will help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, My mom had grade II breast cancer and every thing is completed including chemo and radiotherapy. Now she is having vitamin D deficiency. Doctor is recommending vit D injections. Is it okay to take those injections because i heard injections are painful and have side effects apart from its cost.Thank you", "output": "Hi, dairy have gone through your question. I can understand your concern. She had breast cancer. She completed the treatment. But if she has vitamin D deficiency then she should take vitamin D supplements. Because low level can lead to weakened bone. So go for vitamin D level once and then take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have an ALT (SGPT) of 61, but my other Lever function tests are within normal ranges. Should I be concerned, or is my old physician right that it is no big deal? He is significantly older and seeming dismissive in general since I don t look sick.", "output": "Thanks for posting your concern on Chat Doctor! I appreciate your concern towards the high ALT (SGPT) level. Age, gender, problem for which ALT is advised, and its duration, alcohol intake if any are not mentioned. Normal Adult Range for ALT : 0 - 48 U/Therefore, ALT in your case is slightly elevated. So, as your old physician suggested you need not have to worry about it. You need to have some lifestyle modifications to reduce the level of ALT. Daily physical exercise, eat healthy balanced diet preferably fresh fruits and vegetables which contain several anti-oxidants that help in reducing the ALT, AVOID ALCOHOL if any, avoid fatty vegan and non-vegan meals, fast junk foods, take plenty of oral fluids. INSA Allah, in due course of time your ALT will be normal. Wishing you best of your health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have sharp, excruciating pain in my lower left side of my mouth from a bad tooth. Its the 2nd one from the back. It has a cavity in it. I had tried various home remedies to be rid of it, and nothing works. My funds are all but nothing, so I am worried a dentist may not help me....What can I do?", "output": "Thanks for your query. I have gone through your query. The pain could be because of the infection in the root tip of the tooth. The home remedies will not help. We have to treat the cause by treating the tooth with root canal treatment or extraction. Consult your oral physician and get radiograph done and start with the treatment. You can take a course of antibiotics and analgesics like penicillin and diclofenac(if you are not allergic). I hope my answer will help you. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI I have depression from last 5 year. I am not able to find a job for me. Whenever I feel that I should get a job and apply for it I feel stressed out and I never apply for it. I feel traped,low sad and in fear whenever I think of applying for a job and feel that its not possible for me to attend an interview. Also I have sleep problems. I hardly get any sleep at night. Its sleepless nights and in the early morning I get a sleep of 5-6 hours. For this I have consulted a doctor and he has given me depran forte at night and I am using it since last 3 years. I get sleep almost at 3a.m. at night and wake up at 12 a.m. In morning. I take medicine at night around 9 p.m. although I have taken this medicine for 3 years I have not been able to apply for job until now as I still feel fear and I feel I cannot do it. Why is that the case still when I am taking medicine from last 3 years. Help me on this please.", "output": "I guess the dose of medicine is not enough for you. I wonder why your doctor did not increase the dose. Also I prefer using Escitalopram and clonazepam as separate medicine not as combination like you are taking. Escitalopram is the main medicine which will help you to get rid of all depressive symptoms including decreased sleep, fatigue,low mood etc. clonazepam should be used for only initial phase of treatment when restoration of sleep and decreasing anxiety are preferred goals. Onces Escitalopram starts showing its effect. Clonazepam should be tapered and stopped. As long term use of clonazepam may decrease your thought process. Hope this would help you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a male friend who is 30 and has borderline personality disorder and borderline intellectual functioning who swallows spoons and pens when he is depressed, I m afriad that when he notices that I m concerned that I am reinforcing his self-multilating behavior can this be true?", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. borderline personality disorder guys do not trust others. In this case, please stop watching him directly. He needs medical treatment immediately. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "A friends family dog bit my daughters top lip today. It bled for less than a minute. I immeadiatly applied pressure with an ice pack and applied antibiotic ointment. It doesnt look deep at all. Lip is swollen. Dog is up to date on all vaccinations and rabies. Should I do something else?", "output": "Hello, Welcome to Chat Doctor, Rabies is 100% fatal, but it is 100% preventable by proper and adequate treatment and this is transmitted by dog bite. As your daughter was bitten by a vaccinated dog over the lip which has led to bleeding from the site, according to WHO it is categorized into Cat III. Even it is a vaccinated dog you need to doubly check whether it is properly and completely vaccinated, because the bite is on the lip which is closer to the brain and the virus can ascend easily and reach the brain and can affect it. So I would suggest you to take 1. Active immunization with antirabies vaccine on days 0,3,7,14 and 28.2. Passive immunization with Rigs around the wound.3. Oral antibiotic like Tab Augmenting, twice daily4. Topical Tract ointment.Don't take any risk with this disease, I would suggest your daughter to take aforementioned treatment. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir , i have a problum, i am 23 age young ,, i strated on masturbate up to 16 th age, now my masturbite timing maxmum 2 minuts ,so what i do sir , i want to increas timing sir bcoz i am getting married after few month ,i am worried about the sex may be wife cant satisfide my sex, so pleas advise me ..", "output": "Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. Premature ejaculation is uncontrolled ejaculation either before or shortly after sexual penetration. It happens with minimal sexual stimulation and before the person wishes. Most cases of premature ejaculation do not have a clear cause. With sexual experience and age, men often learn to delay orgasm. Premature ejaculation may occur with a new partner. It may happen only in certain sexual situations or if it has been a long time since the last ejaculation. Psychological factors such as anxiety, guilt, or depression can also cause it. In some cases, it may be related to a medical cause such as hormonal problems, injury, or a side effect of certain medicines. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I saw a white flake in my pubic area and there are a bunch of bumps around the base of my penis and all round my ball sack. My my ball sack is reddish pink skin. Every now and then i would need to itch and itch the area near my buttcrack. They were really white flakes, and I saw them near the tip of a few of my pubic hairs.Im just wondering could it be crabs, or lice, or scabies.", "output": "Hi, thank you for asking Chat Doctor. With this presentation, I think it is scabies. You may try Permethrin cream, lineage cream or benzyl benzoate solution. In addition to this treatment, you also need to some antihistamine for itches and sterilize your Chat Doctor. I hope that answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. We will be delighted to answer more questions from you. I wish you good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Blood tests showing neutropenia and lymphopenia? Positive for Esptein-Barr virus at Igg but negative at Igm. Symptons started 6 months ago but just got blood tests back today, Symptons have included sore throat, reoccuring infections, body aches and pains, sharp pains in glands that come and go, headaches, dizzines, hot flushes, frequent urination, fatigue, uneasiness, anxiety. I have been on around 10 courses of anti biotics in last 6 months for different things. Sore inflamed throat and aches and pains constant with fever sensation over the last few months! Advice please? Vitamins not helping much! P.s Ct scan, Cardiac assement and cystoscopy all normal in last few months.", "output": "Hello dear thanks a lot for your question there is no specific medicine to treat Epstein-Barr Virus Infection. Some physicians use corticosteroids to treat significant swelling in the throat or an enlarged spleen, but steroids are not needed in most people. Antiviral medications are available to help oral hairy leukoplakia, including acyclovir Oral: 400 mg orally every 8 hours for 7 to 14 days(Viral), penciclovir (Cytosine), and scarlet (Oscar). Please you can meet your local Doctor for more on to use the Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi iam 18 year please tell me solution anyone cant tell me solutions i have pimples on my face that disturbed my life please tell me solution dont coment tell exat solution tablets,exercise, yoga ,pranayam,food also if possible tell solutions for ED and glow on face", "output": "Hello Shubham;welcome to ChatDoctorAcne are common for your age, and they increase with dirt;pollution, so first you need to clean your face with soap and water you can use Detail soap. Secondly you need to differentiate the pimples whether they are simple or big;pink and hard which are called acne rosette. If it is acne rosette then you can use ointment called Kremlin it is an ointment with antibiotic and will help treat it, but there is no complete cure as it will keep on coming till a certain age. As for food avoid excess oily and spicy food, and you should be fine. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Yes. Recently, Ive had 3 blood tests showing low WBCs and some other abnormal counts. I sometimes take pamabrom when I feel bloated. Could this cause leukopenia and neutropenia? Im also definitely iron-deficient/anemic and that is being treated. The low WBCs is still a mystery, though.", "output": "Hi, dear. I have gone through your question. I can understand your concern. There are many causes of low WBC count. Even simple viral infection, typhoid, malaria can lead to low WBC count. If you have any symptoms then consult your doctor and take treatment accordingly. If you don't have any symptoms then no need to worry at all. Your Chat Doctor. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "from usg report the liver appears enlarged measuring 154mm in mid clavicular line. evidence of a well defined hyperechoic SOL measuring 16.6mm in diameter in right lobe. intrahepatic billiary radicles are not dilated... the patient details... 71 years, female , height: 5ft. 6inches..... i just want to know details about the disease...whether it is malignant or it is curable....... tne way of treatment... please help me out to treat my mother......", "output": "Hello Enlarged liver(hepatomegaly) may be due to many reasons like hepatitis, fatty liver, tumour etc. Hepatomegaly is most likely related to mass(SOL) in your mothers case. SOL may be due to many reasons. It is due to both benign or malignant reasons. She may need few more investigations like routine hologram, random blood sugar, liver function test, renal function test, viral markers, contrast CT scan of abdomen. Contrast CT scan is most important, and it is very helpful in diagnosis and extent of lesion.FNAC/Biopsy can be done if needed. Treatment depend upon findings. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doctor I have lost a stone in weight over the last month, last time I had any form of sex was around 8 months ago. Pregnancy test revealed i wasnt pregnant sfter doing snout 10 of them When I eat little my stomach feels full and is extremely bloated , constant aching stomach until I lay down. What could this possibly be", "output": "It sounds like stomach issue. All this is caused by high acid secretion which is found in gastritis, HERD or hiatus hernia. These disorders can cause such difficulties, and you should do gastrostomy to evaluate this. Symptoms that are experienced in such conditions are pain and tightness in upper stomach, bloating, breathing difficulties, heartburn, feeling of lump and sore in throat, gurgling sound in throat, fatigue and loss of appetite. Symptoms are aggravated after meal, long sitting, leaning forward, stress and anxiety. In the beginning this is treated by changing dietary habits. You should avoid alcohol, coffee,smoking, fats and fast food, carbonated Chat Doctor. 1 hour after meal you should not sit or lay. Also lay with elevated upper body. If you are overweight you should do often exercise if overweight. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My mom recently fell hard, hit her head and received 2 staples. The CT head/brain without contrast reads...Moderate white matter hypodensities are seen in the deep, periventricular and subcortical white matter with volume loss and old lacunar type infarcts in the basal ganglia. There is mild global volume loss. Chronic microangiopathic changes in the old lacunar type infarcts and mild global volume loss.", "output": "Hello, In relation to the fall that she took the CT scan doesn't show any damage due to the hit, none of those findings are related to the trauma, they were already present before she fell and hit her head. The findings are due to chronic changes in the brain matter and its blood vessels. Chronic microangiopathic changes are changes to the small blood vessels. To a point, they are genetically determined and are found in many people as they age. They are accelerated by factors affecting blood vessels such as high blood pressure, diabetes, smoking, high cholesterol etcetera. So the only thing that can be done to slow down this process is checking for the presence of those factors and ad Chat Doctor. As for the mild volume loss that means the mild shrinking of the brain. Again that is part of aging, all of us start to lose brain cells after our thirties, so as we age volume loss accumulates. So that finding depends a little on her age which you do not mention, the older she is, the more such volume loss is expected. The report speaks of mild volume loss so no reason for major concern on that regard, the blood vessel changes which I add" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, i have knee pain since november. it pains while sitting and standing but no pain during walking. ccp antibody test was positive(6u/ml).i ws prescribed winflam. is this medicine beneficial? i had pain in my fingers also but not on regular basis. the knee pain is continuous.", "output": "Hi, i appreciate your concern.it seems you are having arthritis affecting more of your patella femoral joint, where space is seems to be reduced, this is causing you pain while sitting and standing. Since u have not mentioned your age, still there seems to be possibility of ?OA, or crystal arthropathy.i arise my such patients to change in lifestyle for daily routine activities, do not sit on knee flexed fully, rather 90/90 position even in toilet also.nowadays good medicines are available for such problems without painkillers.be in touch your or tho expert.I will be happy to answer anymore ants." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been in extreme pain from a brachial plexus nerve avulsion C 7,8 ,T1,2 and spi.since 2003. The meds Ive been taking 3600 mg.Gab, 100 mg. Methadone, 40 mg. Baclofen and 30 mg. Cymbalta cover about 50% of the pain. My Pain Specialist has been pressuring me for years for a scs implant for years and I finally agreed, however I then find out I have to wait 1 year to see the Neurosurgeon. This is suppose to be the best pain clinic in Ontario St. Josephs Hospital London Ontario. Problem is all or most of the info from people on online forms who have spinal cord stimulator implants are not as positive as the Doctors. Do any Doctors available have any direct knowledge on this subject ?", "output": "Hi, Thank you for posting your query. It is unfortunate that you have been suffering from neuropathic pain for more than 10 years, and various pain medications have only partially helped you. I did not see pregabalin (lyrics) in your list of medications used. If that is the case, you can give pregabalin a try, as many people improve with that. Regarding spinal cord stimulator, it is an excellent option for pain control, however, just like other pain relief measures, it succeeds only in a proportion of patients. In the best pain centers, ACS implant may succeed in only about 60-70% of people. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, Chat Doctor. Ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband had a ct of his chest and found there is calcified plaque within the thoracicaorta, proximal great vessels and coronary arteries, with ectasia of the ascending aorta to a diameter of 3.9 cm. Borderline enlarged mediastinal lymph nodes measure up to 11 mm short axis in the precarinal region. 10 mm short axis inferior the left mainstem bronchus and 11 mm posterior the right atrium. There is a lobulated masslike consolidation in the anterior right lung apex measuring up to 5.0X2.9X1.8 cm in maximal dimention. There is a 7mm subpleural lateral right middle lobe nodule and additional tiny subpleural nodule is present. Can you tell me what they are saying in laymen s terms?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. I have gone through the CT report you have mentioned. This report suggests that your husband is having lung infection. He is having right upper zone consolidation (pneumonia). So give him antibiotics and get done repeat chest x-ray to rule see if this consolidation is improving or not. If it is improving then no need to worry. But if it is static or worsening then possibility of mass (cancerous) is more likely. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "have a hard pea size lump at the very top of my left leg on the very outside of my body, any ideas? Possibly cold have bumped it in the past, its close to tensor fascise latae. I can only feel it when i am lay on my rightt hand side. An issue seeing a doctor is, im travelling around laos, vietnnam and southeast asia til october when i return to england, but i do have a good travel insurance, they may charge me as i could have had it previous to march when i first started travelling. A big thankyou for taking the time tto read my email.", "output": "HI, Dear,Thanks for your query to Chat Doctor virtual Clinic. I studied your query in all the details put forth by you. I understood your health concerns about the cause of hard pea sized lump on upper left side of leg. Cause of the hard lump on left top of leg-The facts of your query indicates that you had ?hit in the past to left knee, and it is felt only when on right side-these two facts indicate it to be left outer meniscal tear, which becomes prominent on right sideways position. As many other causes need to be ruled out by Second opinion from ER Ortho-Surgeon and hence your doctors second opinion is suggested. Hope this reply would satisfy your query and would resolve the worry with it. If you feel satisfied with this reply, dont forget to hit thanks and write excellent review comments, which would improve my rating for new needy visitors to Chat Doctor. Welcome for any further query in this regard to Chat Doctor. Have a good day. With Chat Doctor. N.M.S. Genl-CVTS, Senior Surgical Specialist" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir my father got stroke a month back.His right side is paralysed,cant able to speak,having difficulty in understanding.From his behaviour we think there is loss in memory.Dr prescribed , Telday20,Avas 20,Diapride2mg,Clopitab75,meconerv plus.He is diabetic type2 . How can we improve his memory and speaking skill?", "output": "Hello! Welcome on Chat Doctor ! I understand your father clinical situation and agree with the medication prescribed by his doctor. Unfortunately there are not any specific Chat Doctor. But, I would recommend taking paracetamol or Catiline. Consulting with a logopedist for his speech disorder and performing a lot of physiotherapy for his limbs, is the main treatment in the next months, which will help improve his situation. Hope you will find this answer helpful! Best wishes, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My father just started having dialysis after his creatinine level reached 15.4. Since then he also found blood in his urine. The doctors did cystoscopy today and found a tumor present. They said that they had removed the tumor and sent for some examination. They also said that if everything goes well, he will not have to undergo dialysis. Is this possible??? Till today, he has got 5 dialysis done.", "output": "Hello and welcome to Chat Doctor, The need for dialysis depends on the clinical status of the patient and blood creatinine levels. Dialysis also depends on the underlying cause of raised creatinine levels. If the creatinine was high due to obstruction caused by bladder tumor, removal of tumor will reduce the creatinine levels. However, if the high creatinine level was due to primary kidney disease, the status of the kidneys has to be assessed to know the requirement of dialysis. Thanks and take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a female of 49 years. Suddenly my front portion of throat have swollen with a lump (approx 15cm radius) and on one side of the neck. Doctor advised me certain blood and other tests to test forThyroid diseases. But reports came normal. This symtom has developed for the last three days. What could be the disease? I am on medicine for Arthritis for 10 years and have no major problems. Please help.", "output": "Hi! Good morning. I am Chat Doctor answering your query. Even though your thyroid blood reports are within normal limits, still the swelling could be related to thyroid apart from other swellings of the neck. However, it might not be possible to diagnose the lump without a clinical examination, and a confirmatory test like an FNAC/core biopsy along with an ultrasound of the lump. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my brother has dengue and his platelets count went on 93K when he was admitted. Next day count raised to 1.6K but now it has come to 43K on third day. Do I have to worry as he is hospitalised and seems doctors are not taking it serious. Please advice.", "output": "Hi, Sorry to hear about your brother and also appreciate your concern. The number of platelet count in dengue is of prognostic value;it means that it tells us how the disease is progressing and if platelet count has come down to 43K from 1.6K in one day, it should be followed up keenly although in my opinion a retest is a must. If it goes down further, he may need platelet infusion. Please talk to the doctor and keep an eye over the platelet count and the overall condition of your brother. I hope this answers your question. Please feel free to ask another question if there is another query. Thanks, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi there, I had an abscess drained about four weeks ago and my wound was packed. Have seen the nurse every few days and have been advised wound is fine and has healed. However since Saturday I have a hard lump attached to my scrotum and it is the same as previously had before drained. Can you advise what I should do? Is this normal for abscesses to come back so soon?", "output": "Thank you for your query. You are probably suffering from Sebaceous cyst of scrotum, which are getting secondarily infected, resulting in abscess formation. The infected ones are operated, as because they are multiple, and the symptomatic ones are left alone. Hot fomentation, local antibiotic ointment application and oral penicillin are the main stay of treatment. Please do also check your blood sugar levels, and ensure that you maintain personal hygiene. Take care and get well soon." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "im 41 had two ablations for afib been normal rate for almost two years.have had several test on gastro side normal with gerd they say but lately have pains in left arm and chest that comes and goes with head aches bad sometimes pains last mins to hours my heart rate at rest is 65 blood pressure 137/81", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Your blood pressure and heart rate are normal, but since you are having history of atrial fibrillation and ablation, better to first rule out coronary artery disease as a cause for your left arm and Chest pain. So first get done 2d echo, stress test (trade mill test) and coronary angiography (if required). If all these are normal then no need to worry about heart diseases. Musculoskeletal pain can also cause similar symptoms. So avoid heavyweight lifting and strenuous exercise. Take painkiller and muscle relaxant Chat Doctor. Apply warm water pad on affected areas. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 58 year old, suffering from persistant cough for last three months, x ray shows a triangular opaque shadow in mid lung right side which is persistant for three months. Treatment taken,culture is negative, bronchoscopy normal tb tests normal advise further way", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Persistent shadow on chest x-ray despite taking treatment suggest possibility of lung cancer. Bronchoscopy and culture are negative for infection like TB. So better to get done CENT thorax (CT scan with contrast). If this shows mass lesion then CT guided biopsy from the mass is needed forecourt diagnosis. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter is 5 years old, she has never had this issue before but for the last 4 days when she wakes up in the morning as she is eating breakfast she throws up. After she throws up she will continue eating and will be fine for the rest of the day until the next morning. I dont know why this is happening, she is not running a fever nor is she complaining of stomach pains.", "output": "Our stomach secretes acid which helps in digestion. It is secreted throughout the day. Throughout the night, the acid gets collected. This acid irritates the inner lining of the stomach. So, in the morning when your child takes in the food, the already irritated gastric wall revolts, and she vomits out the contents of her breakfast. But in the process of digesting the breakfast, the gastric acid becomes utilized and such a situation does not arise till next morning. Hence, she remains fine throughout the day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been drinking several red bulls. Was recently told I had a heart murmor. Somtimes my eyes burn.also I have had very frequent uti since drinking them. Basicly I have realized I need to stop. Also having high blooid pressure. Will every thing return to normal if I do and the murmor I never had go away? I am 47", "output": "Hi There After going through your query I Understand stand your concern. I would like to tell you that Red Bull contains Caffeine and excessive use of caffeine leads to high blood pressure and high Blood pressure can cause LV dilation or LV failure which results as a murmur.It's advisable to limit use of Caffeine n Caffeine containing products and personally consult a Cardiologist to evaluate the reason or Murmur. Get one ECG and an echocardiography done and see a cardiologist with reports for proper treatment of High BP and murmur. Hopefully this will answer your query. Kind Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "went to the ER with severe abdominal pain just below the sternum. Fells like theres something stuck there. They ran x-ray and ultrasound and found nothing. No gall baldder or ruptures. Im still in lot of pain as before and constantly feel like i need to use the bathroom for #2 but nothing. please help.", "output": "HI. Read the history carefully. There is a possibility of colitis and/ or enteritis. X-ray and ultrasound may not detect such problems at all. I would advise you to undergo upper GI endoscopy and colonoscopy if medical treatment does not help you. You may need an antibiotic and metronidazole and Sanitizing and supportive treatment to get a relief and cure. Use antispasmodic tablets to get a relief of pain" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a lump on my leg and the doctor just told me its was a gland with fluid in it and right above it was another gland and the gland that was bigger seems like its got smaller and the one above it seems like it has gotten bigger. Could the fluid just be draining up to the other glad or should I go back to the doctors?p.s. it sort of hurts", "output": "Hi, Dear,Welcome with your query to Chat Doctor. Studied your query in full depth of its details. Reviewed it in context of your health concerns. Based On the facts, You mostly seem to suffer from-Varicose Veins with perforator Vein Lumps, which hurt a bit.or/ this could be Sebaceous Cysts caused due to the blocked sebaceous glands in the hair follicles. Other causes need to be ruled by Second opinion from a Surgeon or Dermatologists. Hope that, This reply would help you to plan further treatment soon with your treating doctors. Best of Luck and early recovery. Welcome any further query in this regard, which would be replied in next session. Good Day!! Chat Doctor. N. Senior Surgical Specialist" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "For the last year I have been having WBC with diff done every 3 months due to a high WBC of 19,000. This count has fluctuated throughout the year, but never been normal, also no illness to account for. I do have symptoms of fatigue, petechiae (hands, arms, and chest-occasionally), HTN, and some diarrhea. EKG from 5 years ago normal, LFT normal, CMP normal, Rheumatoid normal, kidneys normal. Been to an allergist and told I do have even more allergies, but would not account for the high WBC. Sed rate slightly elevated. Please advise. Jen", "output": "Hi and thanks for the question, Chronic elevation of the ABCs deserves a more critical evaluation. In your case especially, the association with increased ESR, fatigue and petechial suggest exclusion of a bone marrow malignancy, especially a leukemia. A bone marrow biopsy might be compelling. Secondly, I would to suggest carrying out Anti-nuclear antibodies, HLA27 and autism antibodies for your symptoms are also very compatible with systemic lupus erythematous, which is an autoimmune disease. The symptoms as I said are very suggestive of a leukemia. An appropriate diagnosis is critical, for the setting up of an appropriate treatment plan. Delayed diagnoses my make the prognosis more faint. I suggest you book an appointment with the hematologist, to rule out a leukemia or any possible blood malignancy, and possibly systemic lupus erythematous. Thanks for your question and hope this helps, Luchuo, MD." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was born White(Wheatish brown).Now I have become brown in Complexion.This Happened for Lots of Reasons.How can i Get back Fairer as I was??.Suggest Home Remedies..Thank you!!", "output": "Welcome to Chat Doctor You need t apply sunscreen lotion of SPF 25 at least for protection from UV rays from sun. Try to avoid sun exposure. Use colored umbrellas for protection from sun. Eat fresh fruits and vegetables every day as they have antioxidants and vitamins that prevent damage to skin. Chat Doctor. Exercise every day for 40 minutes by brisk walking which is enough to improve blood circulation to skin and make it glow. If you have any pigmentation on your face that can be removed by many methods like bleaching creams, laser etc. Consult your Dermatologist to get further information." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i just found a lump in my groin area its very close to the inner leg joint so im not sure if it is a normal part of the body as i have another lump on the other side on the exact same spot but it is a little smaller. you have to push deep to find it and moves around freely esp when walking thankyou", "output": "Hi, Welcome. Based on the facts of your query-You seem to have normal lymph glands in the groin. And they become specially felt while walking. Hope this would help you to plan further treatment with your doctor. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. Welcome with any other further query in this regard. Good Day!! Chat Doctor. S. Genl-CVTS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My name is Tamara. I am a 32 year old white female with class V membraneous lupus nephritis. I also have multiple comorbidities including compartment syndrome in my lower extremeties with gross edema. Recently, I have had boughts of severe swelling that results in massive water retention, to the extent of 40 pounds gained in less than a month. While kidney function is fine during this increase and I can eventually pull off the fluid with crazy diuretic therapy, after the output, it seems that all of my muscles from mid calf to ankle are now hardened and very tender to touch. I have waited several weeks in the hopes that the tissue would return to normal, but no avail. What could have caused this, what condition is this called, and is there any way to reverse this as it is very painful (I doubt there is in my experience *I am an RN whos specialty is Renal Transplant/Nephrology* ). Any information regarding this would be very much appreciated so that I can continue on this side. That you! Tamara.", "output": "Hi, Thank you for choosing Chat Doctor, Look mam you have pretty tough condition in the sense of medical ground, in my opinion such case needs team work, this could be chronic nephritis, I personally ask lots of investigations to come online of treatment and to know the prognosis, without this, it is not possible to come on any decision, you batter have words with your treating Doctor, meanwhile cut down the salt,take care of your self, Have nice day" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dr. Mild pain started below neck on C6/C7 a week ago. While I applied some ointment or Motrin it is subsided, yet reappeared after a day or day. I feel pain when I touch on the upper exterior of C6/ C7. However, I have no shooting pains on my hands or elsewhere. My routine is not affected that includes my daily exercises and walking. I can turn my head/neck at all directions without any pain. Nevertheless, while I stretch my right hand in particular to pick things in front of me, I feel dull pain at the side of C6/C7area especially to its right . I am not diabetic, my BP is between 70/110 - 120/80 all through. My weight is 147 Pounds and height is 171 CMS. What is your advise doctor. Well, I may consult a orthopedic in this regard", "output": "Hi, Thanks for your query. The herniated discs compress spinal nerves or spinal cord. Symptoms are experienced along the area of distribution/path of that particular nerve. This has happened at level of C6-C7 in your case. Treatment includes 1. Use of cervical collar helps in immobilization and brings relief. 2. Medical Chat Doctor. 3. Methylcobalamin supplements are also recommended for nerve compression symptoms.4. Cervical isometric exercises are beneficial to maintain the strength of the neck muscles. Neck and upper back stretching exercises, as well as light aerobic activities, also are recommended under the guidance of a physical therapist. 5. Hot fomentation helps in relieving acute symptoms. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Sir,I am 23. I am feeling pain in my stomach (left side) since last couple of days. Pain is not more but light. I would like to share hat days back around 2008 i had a pain in my stomach and i checked it and found Appendicitis. it was small in size around.2mm so doctor recommend me to take injection. I took that and felt relax. Now i am feeling same problem. so please recommend me that what to do now?i am quite afraid that whether i got that problem again?what is the probability of severity on this??I ll be grateful if you will give me some solution on that.Best RegardsDharmendra Tripathy", "output": "Hi Carmen Chat Doctor. It looks that you have got colitis. A proper history, clinical examination, investigations as per these findings alone can lead to a proper diagnosis. This is most important to lead to a proper management/ treatment. So visit a Doctor, preferably general surgeon. All you need is a 5-day course of antibiotic, metronidazole and supportive medicines, and you will be fine. Do not panic and do not think this as a serious problem." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Thanks. I have had knee pain for about 2 months now. No blood clots found and no broken bones. After about a month of the knee pain I noticed a lump on the top left of my knee (left knee). The lump is soft and does not hurt to touch. Please help. What is goin on with me?", "output": "Hi! Thanks for sharing your health problem with Chat Doctor! After going through your problem of knee pain with lump on the top, I would like to consider following possibilities AS PER MY ROUTINE CLINICAL EXPERIENCE:1. Benign cystic conditions like bursa, ganglion cyst etc. possibility 60% 2. Inflammatory like synovitis, synovial herniation, patellar dislocation, synovial effusion etc., possibility 20%3. Benign solid tumor or tumor-like conditions like giant cell tumor, lipoma, neurofibroma, dermatofibroma, cysts possibility 20%Therefore, it could be a cause for worries in the future!. And you must confirm the diagnosis by ultrasonography and needle biopsy as advised by your doctor and thereafter discuss with him the possible treatment options." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi my name is juliaI have 2.5 yrs old boy he had temperature at 7pm 101.4f. I gave him 4cc chilren tylenolthen I gave him another dose at 9.15pm 4cc his temperature droped to96.7f and last one at12 midnight and his temp now is 96.4 ist ok he had a case of ceasure at age 1", "output": "You can safely use Tylenol in the prescribed dose 4-5 times a day for a child who is running fever. However, it seems that you are using it even when there is no fever. Stop using it by the clock, and use it only if there is fever above 99.5 degrees F. Why did the fever occur? Most likely a virus, but it is safer to go to his pediatrician in routine hours within a day if possible. Use sponging as a tool to reduce fever - as your child had a fit in the past, don't allow the fever to rise beyond 100 F. I hope that helps. Best wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, my grandma is 71 turning 72 in July. She is basically in the end stages of liver failure. She had a tube that was drain excess fluid but she pulled it out because she was frustrated. Now she has a chest tube that is draining all the fluid because her lung collapsed. Her voice was going away for the past couple days but now it is completely gone. Is this associated with the liver failure or is there another explaination?", "output": "Welcome at Chat Doctor !! I have gone through your case and being your physician I completely understand. Your health concerns... Based upon the history you have provided it is rather difficult to pinpoint the diagnosis since your grandma has the variety of issues. End stage liver disease do presents with loss of speech that is called HEPATIC ENCEPHALOPATHY grade 4...... It is the most common cause of loss of speech in chronic liver disease. Second probability is hypoxia leading to carbon dioxide retention leading to acid base imbalance that too provokes hepatic encephalopathy and also one of cause of loss of speech. You better take her to hospital so that appropriate workup has been done, and proper management should be provided to her. May she get well soon, if u still have any query feel free to ask anytime regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir, fifteen dayes back i felt pain above right testicle. on ultrasound found.my prostate is 24grms and post void urine is 140cc.feeling burning sensation in urinary passage. my age is 64years.whether i have to go for long treatment or for a short period.height-5ft-6inch,weight-79kg,diabetic-but controled by diet.", "output": "Hi thanks for contacting Chat Doctor. Here you are having high post Vidal residual urine... Here according to report it could be prostate enlargement with infection.... You have to consult surgeon for per rectal prostate palpation and subsequent investigation. Urine also should be examined which will mostly will show presence of pus cells ... For infection antibiotic given with more fruit juice and more water..... After controlling infection if prostatic enlargement there biopsy or PSA done to reveal nature of prostatmegaly... Then accordingly treated like with that of tamsulosin or prancing... Consult surgeon for proper examination and treatment. Take care ...." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have sharp stabbing pain in my upper left abdomen. It started Sunday night, I was uncomfortable no matter how I laid in bed Sunday night but the best was to lay on left side on a heating pad. Yesterday during day the pain was not nearly as bad while I was working but started up again after I ate dinner and has not ceased since.", "output": "Hello dear , welcome to Chat Doctor.come have evaluated your query thoroughly.* There are different possibilities for this pain in left upper abdomen as @ Abdominal wall related as muscular. @ Intro abdominal left Hyperion Chat Doctor. @ Diaphragm related. @ Left lung lower lobe pathology as pneumonia, effusion or other. @ Referred from kidney as calculus or other. Hope this will help you for sure. Wishing you fine recovery. Regards dear take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi my name is ravi, i am 26 suffering from high SGPT since last four years, having treatment also, its ayurvedic treatment, but after having all sort of precautions also the results are unfavourable, as in am monitoring it for couple of weeks, the 1st week the result was 102, 2nd week it was 72 bbut the third week again it was 92.... i am very much worried as my job also depends on it, i am in merchant navy", "output": "Hi welcome to the Chat Doctor I need to know cause for elevated Sept level Don't try any self-medication for your condition Your following report should be done.... _USG abdomen _serum bilirubin estimation _Bag ELISA _CV ELISA _Serum cholesterol If you are having fatty liver or non-alcoholic steatohepatitis then Ad\u00edlio can be prescribed, and low fat diet consumed So depending on because I can give further comment Hope your concern solved Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi! I have extremely dry skin where my two butt cheeks meet, like in the crack of my butt. It itches terribly, and often leaves a burn of flakey dry skin in my underwear. I know that I have psoriasis on my scalp. I was just wondering if it can affect my butt cheeks and also my genital area? I ve had vaginal itch since I was young. Yeast infection medicines dont work, rarely will an anti-itch cream work. It was localized on one side of my vagina for 10 years and had since spread to both sides. My family doctor just says to use anti-itch, but I think there s a bigger issue or a better answer. The left (original) side had turned a darker color and is thicker. What exactly could be the issue?", "output": "Hello and welcome to Chat Doctor Psoriasis is a likely possibility as it can very well involve the body folds. Psoriasis classically involves the extensors like scalp, elbows, knee, shins and lower back, but sites like maxilla, groin folds can also be involved either together with the extensors or solely, where it is classically known as inverse psoriasis would advise that you see a dermatologist for a confirmatory diagnosis. Psoriasis in the body folds responds very well to topical steroids as well as topical immunomodulators like tacrolimus/pimecrolimus ointment. An OTC antihistamine once daily e.g. cetirizine would help you symptomatically with the itch. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a slightly elevated liver enzymes, very low vitamin d. My thyroid checks out fine. im fatigued, hair loss, dry skin. I also had a vaginal biopsy and they found hyperplasia . Is the liver enzymes and low vitamin d related. the doctor said not to worry about the liver enzymes. she put me on 50,000 units of vitamin d.", "output": "Hi, Thanks for writing in. Liver enzymes might be elevated due to disease and this can lead to reduced synthesis of vitamin D. It will help to know by how much your liver enzymes are raised and then treat any condition that is causing it. Since the doctor has told not to worry therefore I think the liver enzymes are not very high to cause a concern. However, you might have vitamin D deficiency and this requires you to take supplement. The pap smear showing hyperplasia requires discussion with the pathologist. Hyperplasia itself does not indicate cancer but might be a precancerous stage. You might vitamin D for now. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a sore lump (quarter size) on my lower, inside arm and I noticed it 4 days ago. It s getting no bigger but still sore. Should I wait a week after applying ice and taking anti-inflammatory to see if it goes away. It s mid way, between elbow and wrist on inside of arm. I may of hurt it but don t remember doing it.", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have some benign cyst like Desmond cyst. Or you may have some soft tissue tumor like lipoma or neurofibroma. You should dot wait because it doesn't look like inflammatory lesion. You should go for fine needle aspiration cytology of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am 30 yrs old and my husband is 33. We are planning for a baby since 2.5 yrs . In Oct 2010 we got to know that i am having a cyst which was constantly present for 8-9 mionths and our gyn said that it might be a chocolate cyst and endo. So we had laproscopy done in Sep 2011 and after that tried for iui for 5 months but unsuccessful. Then our gyn said to go for IVF wherein we still are thinking as it is very expensive. We went to another doctor in March 2012 and she prescribed Lupron depot inj for 3 mths and I got my mensus in Aug 2012..I want to know what are the chances to conceive with endo and should i wait for sometime and try iui or what else can be done..please help..Regards Neha", "output": "Hi, As you have already tried 5 cycles of GUI after laparoscopy, it's better to try for treatment which gives better pregnancy rate which is IVF. As you have already received In Lu pron Depot for 3 months, it would have been better to go for IVF immediately after 3rd dose of Lu pron as it increases chances of pregnancy in IVF. But still It's not too late. You can go for IVF straightforwards or can again take Lu pron depot for 1-2 months & then go for IVF. IVF is definitely the best treatment for you. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had a very bad cough of an on since Sept. It just recently got bad about a month ago. My Dr has been treating me for pnemonia and I have been on 5 rounds of antibiotics a shot of one and Im on my 3 rd round of steriods. I also got a shot of one in the office yesterday. My symptoms are getting worse and I started to have a sore throat n swelling of my face within the last 3 hours. Im wheezing really bad and my bp is 138/86 and pulse is 98 should I go to the er? I am very scared n shaking. I have had xray of chest and than yesterday a Cyst scan with contrast of my chest. I am very concerned and am just getting worse", "output": "Hi, Dear,Thanks for your query to Chat Doctor. Dear I read your query and reviewed it with context to your query facts. I understood your health concerns and feel Concerned about them. Based on the facts of your query, you seem to suffer from-Steroid Induced Facial Swelling with Asthma. Remedy-Recheck with your Doctor and review the steroid doses. More info on antibiotics for Pneumonia is needed to suggest on your current health issue of sore throat/ swelling and wheezing. More info on Cyst Scan is required to know why steroids are used in Pneumonia with 5 rounds.And to your query on ER visit? Yes, you should visit ER and check up for various possible causes for such a complaint, witChatDoctorplicated illness over last 1 month. Hope this would help you to solve your health issues in the best way possible. Welcome for any further query in this regard. Good Day!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my mom s blood pressure over the last hour has been very low, mostly the bottom number. the last reading was 145 over 64 but was as low as 51 on the bottom number. her question is should she take her blood pressure medicine as normal. She s kinda worried it may make it drop in the night too low.", "output": "Hi Welcome to Chat Doctor. I understand your query and concern. Yes she certainly needs to continue her blood pressure medications. Low number of the denominator need not be worry at the moment. All she need is good HY Chat Doctor. Reduction of daily salt intake to less than 6 gm/day will help. Monitor the blood pressure daily over 2 weeks to adjust adequate dosage. I advise you to have a baseline 2D echo and ECG on semi-annual basis for better cardiac assessment. Consult an expert cardiologist for further help. Post your further queries if any. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been experiencing cold rushes down my left leg from time to time. I do have five hyrneated discs in my lowerback for over forty years. When that happens my leg sometimes goes numb briefly, nothing has to be going on at the time that happens. I had hip surgery on my right hip three years ago with a replacement hip. The problem with my leg is with my left leg and started after the surgery. It causes no discomfort at this time but, Im just wandering if this is a precusor to what may be to come.I am a sixty- six year old woman, retired and in fairly good health. I am a make up of many cultures.and tat", "output": "Hi, thanks for writing to Chat Doctor. Your problem in the left leg is no way related to your Hip replacement surgery of the right hip. As per the description, all your symptoms suggest a degenerative disc disease of the lumbar spine witChatDoctorpression of the neural elements. The conservative management of degenerative disc disease is as follows -* avoid lifting heavy weights as it imparts more strain on your back* avoid forward bending activities as it will worsen the disc protrusion* Use a lumbosacral back support to augment your spinal muscles* Intermittent pelvic traction to cause a regression of disc* Maintain optimum body weight, if you are obese* Physiotherapy to strengthen your back muscles. Physiotherapy has to be done only after the acute pain has subsided.* Judicious use of analgesics and muscle relaxants. If all these measures fail to provide you relief, then surgical decompression may be an option. Hope this information is helpful. Good day" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi. i m 26. for past few days my mouth is notopening fully. i had pain in my gums n look like dey r swollen. may b wisdom tooth is formating. i dont consume tobacco or smoke . n it all started after i start dieting . i eat less than before. i also take herbal pills of active fibre. i just want to know what is wrong with me", "output": "Hello Welcome to Chat Doctor I went through your history & it suggests that you are suffering from Peritonitis i.e. inflammation of periodontal tissue before eruption of third molar. It occurs due to food lodgment & bacterial accumulation in that area. Its Symptoms are:- -pain -swelling -difficulty in mouth opening -fever -malaise -regional lymphadenopathy Get an IOP AR done & consult your dentist. If flap is interrupting in its path then go for flap removal i.e. operculumectomy. Otherwise, if sufficient space is not available then go for extraction since it is vestigial & has no role in mastication. For temporarily relief do warm saline rinses 3-4 times a day. Start with Tab Amclaid-625 twice a day along with Tab Aerosol -SP thrice a day for 5 days. In Case of gastric problem take rabeprazole-40\u00a0mg once daily. Your herbal pills won't be of much use. Do Betadine gargles twice a day. Take Care Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been a ocd sufferer for over a decade now i did not know of it for many years but later on underwent therpy for close to 2 yrs i was prescribed F-tin along with certain occupational therapies And it helped to certain extent but came a time when i realised that no pill is cut out for my specific forms of symptoms & i stopped Now the prolem is that though i am aware of my problems but can not help much Actually its hampering my studies by making my productivity low I have been trying a lot but pl tell what should i do as per your insight", "output": "Hi, I can understand your distress and concern, specifically since you are able to attain much benefit with treatment. OCD can be occasionally difficult to treat, but with right approach, can be dealt with effectively. Had I been your treating psychiatrist, I would have considered treatment with medications from selective serotonin reuptake inhibitors (SSRIs) like fluoxetine or sertraline together with behavior therapy in form of exposure and response prevention. Depending on the initial response to the 1st medicine tried, further course like adding clomipramine or an atypical antipsychotic like risperidone, etc. can be tried. You can discuss regarding these option with your psychiatrist. I am sure that with adequate treatment, you will respond well and get better. I do hope that I was able to answer your query. Best wishes for a speedy recovery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello... iv rashes on my face n neck almost 5 days now, and its really itchy. My eyes are swollen. I ve done blood for lft n blood for r/examination,all are normal.my doctor prescribe ursokem-plus n litina- a Bt still no improvement..so please help me what really is it", "output": "Hi, Are you applying any over the counter face cream? Steroid containing over the counter creams may cause redness and rashes on face. Allergic reaction to hair also may present with swollen eyes. Superficial bacterial infection of skin such as erysipelas can also cause similar rash. So, I request you consult your Dermatologist for arriving at a final diagnosis and for initiating the treatment. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "So my boyfriend and I were messing around. We had a condom on, and I was on top (Sorry for information ). However, he had already ejaculated... he still had that condom on while I was on top on of him. There was No penetration throughout everything . I was just like rubing the outside of my vagina on his penis ... now my period is late. Almost a week.... Could I be pregnant? Please help...", "output": "Hello dairy understand your concerned have non-penetrative sex and used condoms rubbing of the penis with condom on it does not cause pregnancy. To become pregnancy penetrative unprotected sexual intercourse in the fertile phase of the period is required. So there is no chance of the pregnancy. Your period can be delayed due to hormonal imbalance, ovarian dysfunction, excessive stress, change in lifestyle and dietary habitat for the period for next 4-6 days. If period will not come then consult the gynecologist and period can be induced by the progesterone pillMeanwhile avoid stress, take healthy diet, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "42 yr old, female, Wt= 57 kg, Ht= 5.18 ft no positive past medical history used to wear shirts tight in axilla for a while just a couple of years ago, I have got hyperpigmentation on anterior border of my axillae, I use alcohol free roll on or spray. How can I treat my Axillary hyperpigmentation?", "output": "Hi............. axillary hyperpigmentation can occur due to friction with tight clothing(as mentioned by you)Even the use of deodorants and antiperspirants can cause it waxing.shaving, or hair removal creams can cause IIT can be post inflammatory after a bacterial or a fungal infection To treat this peeling- TCA peels or glycol or mixed peels can be done apply segmenting creams like comic acid or glycolic acid or HY Chat Doctor. Deodourants and sprays should be avoided." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband is 36 years old.he smokes 4, 5 times a day.his sperm count is 100 percent but his sperm motility rate is 50 percent only.is this motility rate okay?we have not been able to conceive for the last one year.my all reports are fine.Mona Sharma age-32 years", "output": "Hi, Normal sperm motility is considered to be greater than 50 percent. When the motility falls between 25-50 percent on a single ejaculate, this may not reflect a real problem. When the motility consistently falls below 25 percent, the chances of a problem are much higher. When the motility consistently falls below five to 10 percent, the chances that fertility is normal is highly unlikely. However, you should not worry as your husband has sperm motility of 50 percent which can be taken as normal." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My father had right sided Brain hemorrhage and was operated for SDH and ICH because of fatal road accident. He is taking Leviteracetam since that accident and at present he is recovered well except some problems with memory. He is having some hallucinations and psychiatric behaviour, does leviteracetam causes such side effects?? In our last meeting with the neurologist, he had started Oxcarbamazepine. Current Medications : Leviteracetam 500 mg BID Oxacarbamazepine", "output": "Hello, I have gone through your query and understand your concern. It is very difficult to predict these symptoms like memory loss, hallucination and psychiatric behavior whether due to Hemorrhage or Levitaracetam.A few people who take Leviteracetam for any condition (may experience depression, suicidal thoughts/attempts, or other mental/mood problems. Brain hemorrhage also cause the similar symptoms even after recovery. In brain hemorrhage, the complete recovery is very rare, and the patient may have symptoms occasionally or regularly.Thus, to find the cause thorough neurological examination is vital. If the neurological examination is normal, then switch over to other Chat Doctor. Hope this helps. Please write back for further queries. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a painful lump on the right side on my buttocks just inside the crack. I ve had it once before and used iodine on it to help it go away. Surgery is not an option for me as I do not have insurance. What exactly can I do to get rid of it. I cannot function like this?", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have some perianal abscess or fistula. You should go for examination. If abscess is there then go for incision and Chat Doctor. If fistula or piles are there then it needs surgery. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor My child having 3years suffering from frequent fever from 15 days due to swollen glands on the neck .our doctor prescribed us delcon plus , new deletusP syrups and nutocef50 tablets ...is this a proper prescription even though he is getting fever for every six hours severely..please prescribe proper medicine. Thank-you Swaroopa.", "output": "Hi... Recurrent fever with swollen glands in the neck for the past 15 days could be ABV infection or otherwise called infectious mononucleosis. It is a self limiting prolonged viral illness. Rarely it can cause complications. I will suggest you how a viral illness behaves so that you will be more confident. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 34 years old I have a acidity problem for last 6 years I have used lot of medicine but stil in a same position I lost my weight also I did my ultrasound test report showing that my liver is little bit big and lot of gas in my stomach and lower part of the abdomen . When I use medicine I am feel better and when I stop to eat medicine it starts, kindly advise me medicine .", "output": "Dear .... Many thanks for the mail. A slightly big liver usually does not mean anything serious unless the liver function tests show some abnormal readings. So an LFT needs to be done. Like wise ultrasound evidence of gas in the stomach also does not mean anything. You will require an endoscopy test if not already done and I need to know the report. If you feel better while you take medicine denotes that you have some acidity problem. I suggest you continue the same medicine till you send me the reports I asked for. Taking these medicines for a long period of time will not cause any harm. Rgards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "How is it that a medical expert could use the 1990 ACOR criteria for Fibromyalgia in July of 2009, when was the preliminary available? I don t have any money, I am now disabled and not working, I need help and some answers. Is this questionnaire set up to help or to make money? Sorry about the attitude but I am tired of trying to find the truth about my case and because I am unable to make the living that I once made because of the Fibro, I am left in the dark.", "output": "Hi, thank-you for providing the brief history of you. A thorough clinical Musculoskeletal assessment is advised.a little knowledge about the fibromyalgia is needed. Fibromyalgia is a condition where the pain is in the fibers of the muscle. Each muscle is composed of multiple muscle fibers and inflammation happening there will lead to the dysfunction in the circuiting of the muscle fibers to produce the contraction and relaxation. Also to understand here that the medication is a symptomatic relief and not a long term solution as the body is a medicine of its own and medication used acts as a supportive therapy to allow body to heal on its own. Also, in my clinical practice most Fibromyalgia cases we recommend physical therapy, meditation and breathing exercises. As physical therapy will help improve the muscle refunctioning and also improve the metabolism and immune system to reduce the inflammation. Also, Therapeutic ultrasound therapy and TENS therapy have been useful to reduce the pain, but importantly exercises are the choice. Meditation helps improve the control over the anxiety and leads to cooling of aggression. Breathing exercises helps to improve the oxygen carrying blood cells which acts as a fuel in the metabolism and reduce the metabolic waste as well. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My grandson has to have a liver transplant,he is having to have all his injections within the next 8 weeks because when he has the op he will not be able to have them, he is 9 months old and within the next 8 weeks he will be on the transplant list, my grandson and my son and partner were at kings college last week for three days digusing all that was going to happen, my son has put his self forward as well to be a donor for his son which is my grandson which is a scary for me to think about as i do worry about them both, is this operation safe for them both i know if ralph dosent have it he will not be here but just need to know as my son only tell me what he thinks i should knowCan you please answer these questions for me thankyou", "output": "-Hi and welcome to Chat Doctor. Thank you for your quarry. This is complex surgical procedure, very complex. But it is very safe for donor and less safe for baby. If your son is in good shape and health then he will recover very soon after transplantation. Transplantation is obviously the only possible treatment for your grandson, so I am sure that you can ignore all possible risks of surgical treatment and give your best. Hope I have answered your query. If you have any further questions I will be happy to help" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have notice very slight traces of blood on the toilet paper after my 4 yr old son has a BM. It is not every time and it is slight. It has been inconsistent over the last month. Stool does appear pretty hard. No trace of blood in or on the stool. I plan to speak to our pediatrician next week when we are there for a flu shot. Should I be worried?", "output": "Thanks so much for consulting in Chat Doctor. Your son has usual problem because his stool is very solid, don't worry, but pay attention to his anus, it seems he has fissure there, it looks like as scratch in red color, you can give him call suppositories 1 CBPP before night per rectum 5 days for healing, also you can do oil enema- 10-15 ml usual sunflower or olive oil after bowel movement, but he should lay in the bed 15 min for resorption. Please start to give him boiled blended beet roots with a little salt, garlic or onion and sunflower or olive oil for laxative effect. In addition, you can give him carrot and beet roots, orange fresh juice, apples, more fiber food and raw vegetables-tomato, cucumber, he should Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,Im a 30 year old woman, Ive always been healthy but I have this problem since my 20s. Whenever Im nervous, anxious, emotional, really unhappy about something or really happy about something, I start sweating, my chest and neck become very hot and red blotches appear mainly in my chest very rapidly. Is is very disturbing in social situations. What can I do to solve this problem? Thanks", "output": "Blushing is a common reaction. It may be a part of social anxiety disorder or social phobia. If blushing, sweating, along with possibly tremors or stuttering occur when you are in a social situation; you may seek the help of a psychiatrist. The other features of social phobia which you may be having are:1) Fear that people will evaluate you/ judge you negatively when you are in a social situation. Such fears are more likely in public speaking, talking to a crowd, or meeting many people at a party or social gathering.2) Many people have symptoms described in 1) above. But they should be severe enough to cause limitations in your functioning. Or you find the anxiety so severe that you avoid situations completely. This then leads to further social problems.3) You think this fear is excessive, but seem to have no control over it. There are medications as well as Cognitive Behavioral Therapies (CBT) for dealing with social anxiety. The disorder is sometimes almost a part of your personality, that it stays throughout life. However, medications or psychotherapy will help you deal effectively with the symptoms. Do seek a psychiatrists' opinion on it." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hey there I ve been having these slight heart burns for two weeks after taking mdma mixed with weed & a little bit of alcohol & I was wondering If I am gonna recover from this? Parts of the day I feel normal & then the heart burn creeps up on the random. I feel lost, no sense in reality, low energy, & I start to get quiet. Most of the say I feel like im dieing slowly.", "output": "Hello! Thank you for asking on Chat Doctor! Coming to this point (facing your actual complains and overall clinical scenario), I strongly recommend you to consult immediately the nearest ER service in your living area, as those cocktails (MDMA, weed, alcohol, etc.) are very dangerous for your health, especially for your heart. They may exacerbate form mild blood pressure fluctuations, to serious arrhythmias, sudden heart attack, and even cardiac arrest and death. So, do not lose any more time, but ask medical help, to undergo a careful physical exam, resting ECG, several lab tests (like complete blood count, CK-MB, troponin, AST & ALT, renal function tests, blood electrolytes, etc.), and rule out serious health conditions, as well as start an appropriate therapy for your health status. I strongly recommend you to avoid having such dangerous substances in the future, to protect your health and life. Hope to have been helpful! Greetings! " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am experiencing a right side dull pain in my temple and at times sharp. My right side cheeks and face feels kinda tender when touched. I know I have been experiencing headaches and neck pains as well. Im just concerned due to a previous aneurysm on right side in back of my head lower to neck.", "output": "Hello, I can understand your concern. It is logical that you can assume it to be aneurysm again as you have had it before. However, if it was aneurysm, you should be feeling symptoms like pulsations, numbness over the area etc. What you are experiencing is a sharp and dull pain episodes in the cheek area which seems like pain from infection of the oral cavity or due to sinusitis. It could also be pain related to Trigeminal or Facial nerve. I would advise you to visit a dentist for examination of the oral cavity to look for presence of infection in the area. If dentist clears you for any loci of infection, an ENT specialist or physician can examine you for sinus or nerve related problems. By the time you see a doctor, you can take Ibuprofen 400 mg or Motorola 10 mg up to thrice day to have relief from pain. I hope this information helps. Thank you for choosing Chat Doctor. I wish you feel better soon. Best," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, and thanks for checking up on me. I have not yet figured out why I cannot move in the daytime, but in the dark and at night I can. I considered hemochromatosis, but the symptoms don t really fit. I have started an herbal tea medicine to work on the bone marrow, and it seems to be very slowly improving. But I still can t explain why it happens in the first place. Thank you for your help. It is very appreciated. - elaine silverman", "output": "Hi Elaine, Thanks for asking. Based on your query, my opinion is as follows.1. No, hemochromatosis does not cause difficulty to walk. 2. I am not sure if it is anything related to hemochromatosis as you can walk at nights and not in day. Are you able to move your limbs during daytime? If you are able to move any of the limbs, then you will require psychological support and counseling.3. Routine hologram along with serum iron investigations will give a guide on hemochromatosis. Liver biopsy can confirm it. If more details are available regarding investigations and clinical history, I can be more helpful. Hope it helps. Any further queries, happy to help again." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi my name is Ashish and I am a student.I having some problem in my head. my mind is always go out of world thinking useless.I cant stop even if i want due to over thinking my head from back start paining.This always happen when I am not doing anything or when I am studying.If this is a kind of any disoder or dieases then let me know.I forgot to tell u that sometimes thingking in nights do not give me good sleep", "output": "Hi there! Mind is not vacuum, it cannot remain empty. Being young, you have a lot of energy, please channelize it in proper manner, please do at least 30 mins of any aerobic exercise, not only for physical fitness but also for mental peace, it releases happy hormones. Please form list of goals, short term and long term too. Keep the track of every hour may be at least 6-8 productive hours a day in Excel sheet, to know what you did in that hour. Have half glass of hot milk an hour prior to sleep, this will ensure good sleep and will boost generalized wellbeing in you. From the information what you have given i don't feel It's something serious to worry., but please consult a Psychiatrist/Counselor if you don't improve with above measures." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hihiFrom last one and half year am trying to get conceive... but still got not any positive result ..Done every test likr HSG,Hysteroscopy,thyroid profile, also done husband test...that all tests are normal.... Last month once again done Prolactine level,thyroid profile and AMH Levels test done, In that prolactine levels and thyroid stimulating hormone are high so how to move further on this... Please advise me on this", "output": "Hi, The cause of your infertility is hormonal as is evidenced by the high levels of Prolactin. You should see an endocrinologist and get further management to attain normal hormonal status. Meanwhile, please maintain a healthy weight, healthy diet and regular exercise. Do not go for ovulation induction prior to achieving normal hormonal status as this may not be successful. You would need Chat Doctor. Hope you find this information helpful. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Every now and then...every other week or so....i have a knot that shows up right next to my spine and it itches....in my lower back....by the end of the day it is gone....what could it be?", "output": "HI, Dear,Thanks for the query to Chat Doctor. I understood your concerns about the shin lump. In my opinion its -Urticaria-CIU (Chronic Idiopathic Urticaria)Treatment-a-Take opinion from your ER physicianb-He would do Blood test for eosinophilic / Stool for the worms and amoeba. Hope this would resolve your worry. Hope this would help you to plan the treatment with Your family doctor. Wishing you early recovery. You are always Welcome for further query to Chat Doctor in this regard. Have a Good Day...!!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 6 1/2 months pregnant. Woke up this morning having chest pain. I didnt pay mind to it and continued with my day. Afternoon I took two Tylenol thinking the pain would go away and it hasnt. The pain is my dead center chest, in between my breast. Feeling like I cant breath. Like my chest is Caving in and someone punched me there a few times. What is it?????", "output": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of musculoskeletal pain is more likely. But better to rule out cardiac chest pain first. So get done blood pressure monitoring and ECG. If both these are normal then no need to worry about heart diseases. Apply warm water pad on affected areas. Avoid movements causing pain. Take painkiller and muscle relaxant Chat Doctor. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had severe right side pains that have been going off and on since yesterday, but tonight they have been pretty unbareable. I have taken Ibuprofen at 9:30 and again just now. I have no swelling and no fever, just pain...I am guessing in and around the 11th and 12th rib. Pain seems to be mainly in the back. I feel better when I stand up, however around 12:00 this morning I took a warm bath and followed up with a warm shower and pain was gone completely! I was able to sleep till now where pain is back, same place and is a dull stabbing pain. Looking at symptoms could this pain be kidney stones?", "output": "Hello, I read carefully your query and understand your concern. The symptoms can be related to kidney stone. I suggest doing an abdominal ultrasound for further evaluation. Meanwhile, I suggest using a plasmolytic such as Tuscan to relieve the pain. Warm compresses can also be helpful. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards! Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been told I have bilateral renal cysts. nothing has ever been done about them, but for the last moth or I have had pain all throw out body includeing to the tips of my fingers. this happens prior to voiding of which I have no control. could this be do to the cysts ? I also have very sharp pains off and on in the lower left back gem18@", "output": "HelloMostly simple renal cysts are asymptomatic, and it is an incidental finding. It may cause symptoms if there is increase in size or infection inside the cyst. Pain may be due to many other reasons like urinary tract infection, musculoskeletal reasons etc. Your condition need proper clinical examination and further investigations. X-ray of L/S spine and urine RE/ME, C/S should be done. Treatment depend upon findings. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had mirena inserted a littles over 3 weeks ago. I ve had some minor on and off cramping which I know is normal. However, since Monday I have been experiencing severe sharp pains in my lower right abdomen . Usually in the morning shortly after getting up. I have an apoinment with my obgyn Monday to have the mirena checked. Is it okay to wait that long of should I seek immediate attention?", "output": "Hallow, I fully empathize your sufferings. Mirena is an intrauterine device. When with IRENA in you start getting severe pain in abdomen, the cause could be:1. The uterus cannot get adjusted with it and is trying to throw it out. This is more commonly observed in women without any previous pregnancy.2. There is infection in the uterus and the device.3. The device is trying to perforate through the uterus. You will have to report to the Gynecologist at the earliest. Ultrasonography/X-ray can reveal about the perforation aspect. Rest two will have to be evaluated by the Gynecologist by clinical examination. You may have to get the device out if it is not tolerated by you. If there is infection, you may require a course of antibiotics. I hope I have guided you with sufficient information." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, what is the name of the muscle/tendon/ligament/structure that is very thin on either side behind the knee. You can feel it. I have pain there and felt it pull a few weeks ago. Now I also have pain in front of the knee but this was the start of it so I m wondering what it is.", "output": "Welcome to Chat Doctor I have gone through your query and understand your concern. These structures are called hamstrings. These are semitendinosus and semimembranosus. For pain, you can take analgesic such as ibuprofen. Vitamin B and C help in recovery. For details about injury you can get MRI of knee joints. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I ve had a white coating on my tongue that tastes chalky when I scrape it off for 2 months at least. I ve been through all the tests and have been told that the culture result shows definitively no sign of yeast or strep bacteria, both respiratory and oral smear. I went it after noticing my breath was not good. I have a PDA so I have very strict oral health. I was on antibiotics for many years, 100mg Doxycycline 2x daily for acne. The initial thought was thrush. It is not the case. My boyfriend now has it, he developed it about 2 days after the bad breath. The white does scrape off and looks a bit like shaggy white carpet.", "output": "Thanks for your query, I have gone through your query. The white chalky coating on the tongue can be because of the food debris, or it can be because of hyperplasia of the papillae. Nothing to be panic consult an oral physician and get it evaluated to rule out hairy leukoplakia. The bad breath can be because of the gum infection secondary to deposits, or it can be because of the food lodgment secondary to decay, or it can also occur in respiratory or gastrointestinal tract diseases. Consult an oral physician and get all this thing ruled out, get your teeth cleaned and use mouth wash like chlorhexidine. Once the cause is found out consult respective physician and get it treated. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Okay so the past two months I have missed my first birth control pill, I finally got back on track this month and I am 10 days into the packet. I had intercourse last tuesday and have been feeling more than off. Nausea, fatigue, headaches, slightly sore breasts, cramping, a bittle bit of being emotional, dehydrated. Just all out deeling horrible. Ive taken pregnancy tests but I feel it could be too soon. And would I be feeling these pregnancy symptoms so soon after? Also, could it just be that I am finally back on my bc regimen?", "output": "Hello, Thanks for writing to us. Irregular intake of birth control pill & unprotected sex close to your fertile period or ovulation day (occurs 14 days prior to due date) are quite risky for being pregnant. In this case, I suggest you to undergo one home pregnancy test if you miss your next period. Above clinical features are quite relevant with possible pregnancy. Common symptoms of pregnancy:a) Missed period, nausea, vomiting, tender and swollen breast.b) Increased frequency of urination, fatigue, food craving.c) Slight vaginal spotting, cramping, mood swing, constipation etc. Hope, I have answered your query. Good luck and take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor..... my children , son age 7 yrs and daughter age 3.5 yrs....both cough all night, have mucus...during the day they are fine....but when ever they have some fizzy drink , candy, ice cream...etc...we have a terrible night..........they take seretide evohaler and aeroline inhaler with a spacer once in the morning and once at night.........i ve given them myteka many times for a few weeks but i feel it doesnt make any difference.....am i doing the right thing ?...are they actually asthmatic ?.....or is there an easier treatment?...please help i am very worried now", "output": "Hi... Thank you for consulting in Chat Doctor. Greetings from Chennai. By what you quote I feel what your kid could be having viral associated wheeze or multi triggered wheeze. I have a few questions for you -Questions:1. How many days per month does she cough or feel breathless?2. How many nights per month does her sleep get disturbed due to above symptoms?3. Does she feel breathless when she runs around or plays with other kids?4. Are the symptoms when there are seasonal changes?5. Is there any family history of asthma or any other sort of allergies like skin allergy etc.?6. Is the cough always associated with fever? If your answer is yes for any of the above questions, your kid might be having viral associated wheezing or multi triggered wheezing, and I suggest you meet a pediatric pulmonologist who is near your place. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 8 year old son suffers from allergies. He gets severe reddness under both eyes and across the bridge of his nose. His skin looks blistery in the red areas. The skin is bright red like the color of a sun burn. He says in only itches now and then. The rest of his face in normal colored. Please advise.", "output": "Hi... Thank you for consulting in Chat Doctor. By what you quote it should be an urticaria or a simple skin allergy. You can use HY Chat Doctor. Most important thing to be remembered is that it has a propensity to recur (called as second crop) within 10-14 days. If this happens, you can start using the same medicine, but I suggest you get the kid evaluated with your pediatrician. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have high BP and recently prescribed a water pill, low dose hydrochlorizaide, I have been suffering from dizziness and think it may be low potassium, I feel better after I have eaten a banana and some electrolye drink, such as Gatorade or Vit Water. The dizziness only lasts till afternoon, so I think it must be dietry related?", "output": "Hi, first I want to know whether you are a diabetic or not. If you are a diabetic and on insulin or oral medicine then it may be due to hypoglycemia. The dizziness may be due to thiamine induced hypotension (excessive fall of BP). Low potassium and sodium can happen with thiamine intake, but less likely with lower doses. Next time please check your BP when you feel dizzy, and also get serum sodium and potassium level done. If the dizziness is due to excessive fall of BP then better take the medicine at bedtime. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Is ventorlin good for child cold and cough ?hi,my 11yearS 4months old daughter was prescribed ventorlin syrup.ventorlin 5 ml 6 HOURLY ONCE times 7days ,she was first having cold with runny and blocked nose.i just wanted to know that dr.prescribed her a correct medication or not because ventorlin is a bronchodilator?it will have any side effect or not?she had no wheezing.it is dry coughing i think.", "output": "Ventolin (Albuterol) is a bronchodilator and your doctor has prescribed it because often in case of such cough, bronchospasm occurs. He has not prescribed the wrong medicine. But if you feel that she does not have wheezing, you may skip giving it and reserve if for times of respiratory distress, if it occurs. The side effect of Ventolin is increased heart rate but let me assure you that this is a very widely used medicine and well tolerated and so you need not worry about the side effects. Give your child steam inhalation twice or thrice a day and I think that she would get some relief. Also add some antiallergic syrup like Relent which will also help in diluting the cough. The cold has been caused by a viral infection and generally takes 5-7 days to recover. Please be patient till then." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am 33 yr old unmarried girl, weight 45 kg, height 5.3, my skin seems to be very dull and blackheads on face appears, what to do", "output": "Hi, Welcome to Chat Doctor. You seem to be underweight due to which your skin is dull. You need to have lots of fresh fruits and vegetables along with healthy nutritious food which help you to improve your skin texture as well as your hair. Consume a lot of water which will HY Chat Doctor. You can also use based mixed with HALDE or lemon with honey on your face. A facial scrub will help you remove blackheads. Have a good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I went get a chest x Ray. All I have is hyper aerated lungs. The doctor prescribe me antibiotics for my cough. The few months before I have had chest pains that come ang go like a heart attack, I think it may be pleresy but would of a chest x ray found it ?", "output": "Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. Hypermarket lungs can be seen in following conditions. 1. Normal individuals. 2. If chest x-ray is taken in full end inspiratory phase. 3. In smokers4. In emphysema. So if you are smoker or having emphysema then you need to get done PFT (Pulmonary Function Test) to diagnose the obstructive airway pathology as a cause for your Hypermarket lungs. Smoking cessation and inhaled bronchodilators are the treatment for this." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my mother is suffering from continuous swelling of lower portion of legs. Her Amlodipin medicine has been changed but swelling persists. Uric Acid normal. ESR and CRP is high. Doppler normal - no stenosis, dilation or constriction of arteries in leg - in short doppler normal - no thrombosis. BP high controlled by medicine. No infection - have gone thru anti-biotic treatment. other blood profile normal - shown many doctors - swelling still persists and reduces slightly during night rest (when feet are up) but throughout the day the swelling increases. Totally foxed - pls suggest line of action.", "output": "Hello, Next thing is she should undergo renal and liver function test, serum albumin levels, echocardiography of heart to look for the cause. She should consume low salt diet and water restrictions. She should also be started on medicine like Tab Dy tor 5 mg once a day in the morning. Get potassium levels five days after starting this medicine. Hope this helps you and get back if you have any doubts." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "respected doctor, i am a mother of a son name XXXXX he is in a age of 8 year he is suffering from some brain problem my doctor had asked me that there bug in his brain and it comes from some food they have prescribe him valparin in medicine. i want to ask you that is it possible can any bug can go through stomak to brain from foods.", "output": "Hi, Thank you for posting your query. Your son is most likely suffering from neurocysticercosis [NCC], which is caused by tape worm infection. This infection comes from the infected food, and enters the brain in some cases. In most cases, the worm passes out of stool. There is no need to worry, as it is fully treatable with medications. Please follow the advice of your neurologist. Best wishes, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son has been getting a rash periodically when we take him to the doctor with it they think it is viral. But he keeps getting them. I just cant see a virus lasting for years off and on. It doesnt flake, puss, or create any pimples. It is only on his face and it will spread all over his face. What could this be", "output": "Hi and welcome to ChatDoctorGiven that the rash is periodic, it is more in favor of an allergy. It could be atomic dermatitis, basically allergic causing rashes over the face, in the creases and also other body folds. Did he have similar complaints from a very young age? It could be an allergy which increases with weather changes, dust, exposure to sun, certain plants, animals etc. Also, certain foods like nuts, seafood, processed foods, etc. You will need to keep a track of when exactly the rashes come up and if there is a common cause each time. Allergies generally reduce as the child grows, but repeated exposure to the cause can make it recur often. Use a mild sunscreen when outside. When rashes appear, apply a demonize cream on the face for 5- 7 days till rash subsides, no longer. Use an antihistamine like HY Chat Doctor. To confirm you can consult a dermatologist and run tests to check allergy levels in blood, also skin tests for possible causes. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i fell 3 weeks ago and landed on the front of my hand and rolled it inward it swelled up and has scince gone down i had an x ray and showed no fractures although even after three weeks it still hurts to touch if i move it wrong i get shooting pain below my little finger nuckle to my wrist and it aches all the time.", "output": "Hello, What I can infer from your complaints is that you have had a soft tissue injury to your hand. If the x-rays do not show any bony injury then most likely it will be a soft tissue injury of the hand. I would suggest you wait for one more week and if the pain increases then to recons ult your physician till that time you can take it easy. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have unregularly period because I have PCOS I had took birth control for 12 months but when I had stopped taking them my period was regular for just three months my 4th one is late now.. I was wondering if I should take something else now ? and if the total fertility supplement PCOS will help in my case ? I will appreciate your kind answer Im really tired because of this ...thank you", "output": "Hi. Treatment for PCs begins with weight loss and metformin, if either or both are indicated, and then is individualized depending on the patients reproductive needs: oral contraception supplemented with Kantian Chat Doctor. To reinforce weight reduction+/- metformin is the recommended therapy. Role of fertility supplements is questionable. Consult your obstetrician for further management. Hope this helps. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have gurgling, wheezing noises when I lie down to sleep, cannot clear it with coughing. Do have pnemonia, was given antibiotics, albuterol inhaler and told other meds to take. Have been sleeping last 2 nights sitting up due to the noise. Any suggestions to get rid of the noise?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Breathing difficulty, wheezing during lying down (sleeping) are seen with bronchitis and heart failure. So better to consult doctor and get done blood pressure monitoring, ECG, 2d echo, chest x-ray and PFT (Pulmonary Function Test). ECG and 2d echo are needed for heart failure. Chest x-ray and PFT are must for the diagnosis of bronchitis. Treatment is based on diagnosis. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear sir,Recently my Father-in-law(FIL) saw the Heart doc for ByPass related surgery. Doctor suggested to go for \"Ultra Sound Abdomen\" and \"Dopler study of renal arteries\" first as my FIL has very high BP(200/100). \"Ultra Sound Abdomen\" report says \"Inter Polar cyst measuring 12 MM noted in the right kidney\" and \"Prostatomegaly\". I am worried, what does it mean? Your guidance is highly appreciated.Thanks In Advance", "output": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Cyst in the kidney and high blood pressure is suggestive of the damage caused by the high blood pressure. High blood pressure in the kidney can cause damage on the renal calyxes and can cause cyst. It requires surgical correction. Further management of the blood pressure can also prevent further damage to the kidney. Prostatomegaly means enlarged prostate. Enlarged prostate usually occurs with being prostatic hypertrophy. This needs to be confirmed with the PSA level in the blood. It will be higher on the carcinoma of the prostate. If its carcinoma it needs to be managed as per the malignancy. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,Ive been having a tootache for (approximatley) a week following a filling I hid. At first the pain was in my tooth and spread to around 3 other teeth to the left. However, the pain soon reached the gums like a throbbing pain or heart beat when Im lying down and is getting really painful and unbearable at times. I can now feel a small bump on my upper lip near the teeth. What could it be? (Im seeing my dentist today after I though I could deal with the pain)Thanks,", "output": "Thanks for your query, I have gone through your query. The possible cause of plan is because of the tooth infection. The type of pain what you are getting is characteristic feature of pulpits. The lump could be because of the abscess formation. The normal filling will not solve the issue. The tooth has to be treated with RCT or extraction. Take a radiograph to rule out the infection. You can take a course of antibiotics like penicillin and metronidazole combination after consulting the physician. I hope my answer will help you. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "last night while eating an orange I started to choke. Iwas coughing quite hard and then I could not get an air. My chest was suddenly very painful and the pain radiated down both my arms. I blacked out and when I came to the orange piece was on the rug beside my mouth and the pain was gone. What happened to me.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. You had choking and aspiration of food particles in trachea. Your symptoms are associated with eating. So by mistake when we aspirate food particles in trachea (wind pipe), it gets blocked. Due to this, we can not get air and hence we feel breathlessness. During this episode our body is deprived of oxygen and so black out is seen. To overcome this, violent coughing (reflex) is done by the body to cough put food particle. Once food particles are out, wind pipe is open, and you can breathe normally. So better to chew properly while swallowing. Do not speak much while eating. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have just had a piece of tissue removed from upper gum due to bad fitting dentures a large mass of excess tissue has grown, dentist wants to biopsy it before going ahead and removing it all. He put in some stiches and said they would dissolve. I am worried because of language barrier, I am in Taiwan. I am healthy 50yrs old woman. any help would be great. Thanks", "output": "Thanks for using Chat Doctor. Read your query. Excess tissue growth with ill-fitting denture as you have described is usually harmless referred as Ellis fissuratum. This is usually cause by chronic tissue irritation by an ill-fitting dentures and its response to the soft tissue. Biopsy is usually done to rule out any other lesions including neoplasm. I would suggest you to go ahead with surgical removal of the tissue. After the healing get a new denture done with proper fitting and proper maintenance of the denture. Hope this was useful. Thanks and regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Dr. I have lower back pain on the left side. I do not get constant pain. It is only when I sit on the floor or do some exercise. I just took tylenol last night and am experiencing relatively less pain, but do have some stiffness. Please help me. Also, I am a little drowsy since morning and am not sure if that is because of the medicine.", "output": "Hello and thank you for the question. The reason you have back pain while sitting in the floor or exercising is because in those conditions the back muscles maximally come into play. To answer your other question yes one of the known side effects of Tylenol is Chat Doctor. Here are my suggestions:1) switch from Tylenol to flexion MR 500\u00a0mg twice a day2) Avoid rigorous exercise for 3 weeks3) Ice pack to your lower left back after exercise hope it helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My dad caught a virus in his bloodstream staph aureus which is being treated with antibiotics, however he is a dialysis patient for 9 consecutive years with 2 kidney transplants in 20 years. His heart condition is weak functioning at 10 percent, what are his chances of survival and if not much how long does he have.", "output": "Hi, thanks for using Chat Doctor Star aureus bacterial infection can have varied severity from mild to severe. The presence of reduced kidney and heart function would significantly affect his ability to respond appropriately to treatment, but it is possible that he may recover. Unfortunately no doctor can absolutely accurately predict how long any patient would live but his doctors with daily knowledge of his blood tests and examination findings would be in a better position to determine his prognosis. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My butt is really sore bumpy and itchy around anus and cheeks even surrounding vagina, is it bcoz I shaved it when I felt it was itchy??? I m scared! I just suffered from hair dye allergy and my armpits are sore and red too! Also couple times my bowel movement had fresh blood in it!!!!! Help!!!!!!", "output": "Hello, Welcome to Chat Doctor, You should test your stool sample for the parasitic infection, some parasitic infection can present the symptoms of blood in the stool and the itching around the anus and vagina. As you are having allergy to hair dye better to avoid that product otherwise it will worsen your condition. I would suggest my patients 1. Oral Albendazole 400 mg, single dose2. Oral Antihistamines3. Topical Anti-infective creams. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had oral thrush now for 5 weeks, I have already swished 3 bottles of nystatin and it does nt stay gone. the aluminin taste is horrible and cannot eat anything spicy. I had been on an antibiiotic and had 2 cortisone injections in shoulders and within 3 days the thrush showed up. The only meds I take ar elavil and ativan .", "output": "Hello and welcome to Chat Doctor, there are several treatment regimens for thrush.1. Nystatin as you are already using it2. Fluconazole once a day for 1-2 weeks is the last resort in medication environmentalist from this some self measure are very helpful1. Maintain proper oral hygiene2. Stop mouthwashes as they destroy microbial balance3. Quit smoking if you do. Visit the dental surgeon(oral medicine specialty) asap. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 30 yr old female with severe anxiety and depression,am taking zoloft, and nuerontin. I have not had a ciggarette since yesterday.i dosed off and it felt like my heart stopped or my breathing one. It was not the same flutter feeling of a palpitation . Any ideas?", "output": "Degree understand your concerns went through your description. I suggest you not to worry too much. You are already suffering from depression and anxiety. The symptom you mentioned here seems to be panic disorder. Panic disorders are usually associated with underlying anxiety disorder. Anxiety is fear of a future event which may or may not happen. Stress and depression may also cause panic disorder. Proper assessment is required to have proper diagnosis and treatment. Please consult a psychologist for psychometric assessment and advise on further treatment methodology. Don't worry about the present symptoms and work with your psychologist for a long term goal and cure. If you need more of my help in this regard, please post a direct query on this portal. I am happy to help you. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HiI have a problem I am addicted to mastrubation since I am 18 year now I am 32 years old I stop doing this.the problem is my penis turn left side around 10oclock clock wise and I am married a year ago.my testicles are up and down the left one is down . I am getting problem during intercourse it wont be last for 3 minutes it ejaculate after that it drop down any I feel very tired cant able to get back erection.One more question it is good to go with herbal medicine or English medicine I am not sure thats why asking thanks in advance for helping me out from this situation Any information for the issue will be appreciate I live in Chicago city if there is any better doctors please send me the details", "output": "Hithanks for choosing Chat Doctor Doing masturbation is not harmful, but if u t feeling it is effecting your act with your partner and feeling to hold the ejaculation, then u need some Chat Doctor. U can start with tab XXXX 12.5\u00a0mg once in day and gradually increase the dose up to 37.5\u00a0mg. It would cause delay ejaculation, that would increase duration of sex. When u will enjoy sex with your partner, your masturbation habit will decrease. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Age-28,Height-5.5,weight-73,i miscarage of 2 months in Jan 10 due to not aware of such.Planning for last 6 months but not yet conceive.Periods are regular cycle of 30 days consulted doctor this month itself she has prescribed the Folic acid and productive F to me and productive M to my husband.Plz help would this will result in positive and i conceived this months or what treatment i should go for.", "output": "Hi, I think you should take some medicines like camphene for the growth of your follicles and track your follicles' growth by repeated ultrasound. Only productive M and F and folic acid will not work. When follicles reach a size more than 17 mm, take injection for rupturing the follicles. Be in contact with your husband for next 2 to 3 days. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. You can try like that for 3 to 6 months. You can do a thyroid profile and prolactin levels just to rule out any other problem. Hope I have answered your question. If you have any other query I will be happy to help. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my father is suffering with fever for past2 weeks.crp,liver enzymes are high and rest of the blood test are normal.there is mild pleural effusion.fever will start in the evening and early morning and relive with antipyretics.so doctors cannot able to make a clear diagnosis.please help me doctor", "output": "Hi, Viral infection can lead elevated liver enzymes. But here fever and pleural effusion present. Hence, pneumonia consolidation and tuberculosis has to be ruled out. For that investigation needed wit:- Chest x-ray digital - Sputum examination- Auscultation - CBC-ADA estimation needed If specific cause found than treated accordingly. For bacterial infection antibiotic needs to be prescribed If on examination yellow sclera found than serum bilirubin estimation done and management for jaundice needed. With keeping my answer in mind consult physician for examination. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Curious...I just learned that Im in perimenopause and am deciding if takign a low dosage birth control is my answer to deal with symptoms such as occasional hot flashes, irregular cycles and weight gain? Not sure how I feel about taking prescription anything but what about natural herbs from an acupuncturist?", "output": "Hello. The symptoms of menopause are secondary to declining estrogen levels. The most effective way to treat menopause symptoms is hormone replacement therapy with estrogens. However, hormone replacement therapy has to be prescribed with precaution because it can increase the risk of some cancers. Tibolone used for a few months, is a Chat Doctor. Go to your gynecologist for asses and for prescription. I wish you good health.(If the answer has helped you, please indicate this)" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi .. im a fit 35 year old ... i am 62 and weigh approx 84 kgs .. i workout regularly .. lately at night ( last 2/3) i feel uneasy .. its more mental than physical and i feel kinda awkward .. ive been diagnosed with high bp 140 / 110 ... what could be the reason ?", "output": "Hi. Good to hear that you are fit and leading a healthy life. High BP can be due to Multiple Factors. These include :-Eating junk foods-High Cholesterol levels-Lack of Physical activity-Diabetes- Sedentary lifestyle In case of patients who are young and have a healthy lifestyle, there may be following possibilities:-Increased Cholesterol levels that run in families-Some problem in Renal Artery suggest you to see your Medical Specialist and undergo a battery of tests to check your Cholesterol levels and get your Renal Artery Doppler Ultrasound. Wish you good health..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I ve been having trouble with my breathing for the past year, my doctor thinks it might be asthma, but, I m not too sure about that because I keep having dizzy spells and sharp pain in my chest, ribs and stomach. I don t know, I guess I just wanted to know a second opinion.", "output": "HI, thanks for using Chat Doctor Asthma is normally associated with Chat Doctor. Some persons may only have the cough. It is not likely, based on the symptoms that you mentioned, that asthma is the cause. Chest pain can be due to any structure in the chest from the skin inwards. This includes the skin, muscles, bones, lungs, heart, esophagus. The dizziness may be related to different causes including-heart, anemia, ears, brain. This may also need reassessment. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have my periods mostly the third week of the month ever since I got an abortion . They gave me birth control and its supposed to make me have my periods the fourth week. The first month I took it I got it the third week and now its month two and no period. I had unprotected sex and I missed my period. I sleep a lot some days and less somedays. At first I had a nightmare of a ghost haunting me woke up crying then the next night of my family killing me. Me and my boyfriend have been fighting. I think im getting mood swings I dont know. My boobs arent sore. I get very bad headaches . And I feel extremely dizzy most of my day. I took two pregnancy tests and they came out negative and I also cant see a doctor. What is your perspective on this?", "output": "Hello, Oral contraceptive pill has some side effects like irregular period or bleeding, headache/ migraine, nausea/ vomiting, breast tenderness, fatigue, irritability, decreased libido, weight gain & mood changes. These will overcome gradually until your body is adjusted with hormone. However, I suggest undergoing one blood test for beta-ChatDoctor (most reliable) to exclude or confirm pregnancy. Take healthy diet, Chat Doctor. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i had tonsillitis with some bronchitis almost 4 to 5 weeks ago and i still get a cough every now an them from laughing or running but i dont smoke but in the past i been around smokers also i took antibiotics and i am pretty sure i dont have asthma considering this never happened to me before.", "output": "Hello, thank you for posting your query in Chat Doctor. Passive smoking has harmful effects same as the smoking that cause health hazards. Tobacco smoke contains 200 to 4000 toxic chemicals including nicotine, carbon monoxide, formaldehyde which cause heart diseases, lung diseases like bronchitis, asthma, middle ear infections, tonsillitis and symptoms like cough, sore throat, nose irritation. If I were your treating doctor I would like to get these tests done.1. Blood tests to rule out infections2. Chest x ray3. ECG to rule out cardiac causes. I would come up with following possibilities like asthma, bronchitis, I would suggest you to consult a pulmonologist for further evaluation. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My mother was told, after having brain scan, that she has some calcification on her frontal lobe. She has to go in for another scan soon. We are wondering what kinds of things (diseases/conditions etc) could be diagnosed? The doctored seemed to change the subject, clearly wanting to wait (understandably) for another test.", "output": "Hi, I had gone through your question and understand your concerns. There are different brain lesions that may have as their part calcifications. These include low grade glial tumors, benign Meningiomas, cavernous (vascular malformation), or may be simple calcifications of brain parenchymal related to age. Cerebral MRI with gadolinium is needed to evaluate the true nature of the lesion. Hope this helps. If you have further questions feel free to ask." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I believe I am 5 weeks pregnant and have been taking tetrasyl for several months. We had IVF to conceive our first child so did not believe it was possible to fall pregnant naturally otherwise I would not have carried on taking tetrasyl. How dangerous is this to our unborn child? Very concerned and would appreciate some advice.", "output": "Hi there,Tetras is an antibiotic which is not recommended to be taken in pregnancy, but it is not known to cause any major defect in the baby if taken during the first trimester. Studies have shown that it effects the baby if taken after 4 months of pregnancy, causing the babies teeth to be discolored and can cause hardening and cause excess calcification of teeth and bones which is irreversible. But, since you are exposed to tetracycline at such an early gestation it is very unlikely to have affected your baby. Only minor abnormalities are known to occur in few women. Do not be overly concern and get a NT scan at 11 weeks and an anomaly scan done at 20 weeks to check for anomaly. Hope this helps. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband of 17 years has changed his personality over night, he has shacked up with a known whore and his values, morals and responsabilities have gone out of the door. He has parrots he has had for 30 years that mean nothing to him, he acts like him and I never existed.. He use to come home from work, eat, watch tv and sleep for 17 years and now he goes away every weekend, goes out to dinner every night, the whore has six kids and grandkids (he hates kids) and she has nine dogs that he is allergic to. He has shuned his foster family, his parents, his friends and my parents. For t his one white trailer trash person. Nothing makes sense. I am concerned he maybe doing something illegal - over night he changed. Is this possible. nancy", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. From the description it could be seen that the person could be suffering from borderline personality disorder. Early diagnosis and treatment could clear the problem. Please consult psychologist or psychiatrist. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am 36 years old and a mother of two daughters, I am trying to conceive since last four months but I am unable to, my ganache has suggested me to take Fertyl 50 mg from the 5th day for 5 days, EV Tab for 10 days and also use susten 100 mg twice a day. Along with Folnew tab will all this help me in conceiving ?", "output": "HelloAssumed that everything is all right, because you got two pregnancy before this. Now your gynecologist advise you to take clonidine or ferry 50 mg for s days from 5th day of menstruation, as this Chat Doctor. While Austen (progesterone) will help in pregnancy maintenance (avoid miscarriage) . While E V and fol new will act as supplement for pregnancy. So, if everything will be in right direction, you will get pregnancy. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello po doc... i am weng from the Philippimnes. i hav a 6 mos old baby girl n starting to feed her with cerelac and i noticed rashes on her face n body...is it because of the weather or from cerelac baby food?hope to hear from u soon. thank u so much", "output": "Thanks for consulting in Healthcare, your daughter has allergic reaction, you should give to her antihistamine medicine. Pay attention when rash appear after Carla or other ? Then exclude it. Wash her face with boiled cooling water. If she has Chat Doctor. You also check analysis-blood test, see especially eosinophils, stool analysis, stool for disbacteriosis for bacteria and sensitivity, stool for ova and cyst Best regardsGrow quicker" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a 39 year old son, who 6 weeks ago had a lower wisdom tooth removed. He now has bad painin his lower front 2 or 3 teeth and sometime only one and under his tongue. sometimes tip of tongue burning.he has been back to dentist twice, and to 2 oral surgeons, one numbed his front teeth, and alvorie and lingualnerve to try to find out where pain was coming from, he hit the lingual nerve with needle, said it was up higherthan normal, said the alvore nerve looked ok from x ray, Cant find any one to diaganose problem with mri or anything, no one knows what to do, other than give pain killers, ambient to sleep, steroids, he still cant sleep for the pain.Help!", "output": "Hi, it appears that the pain is only due to the infection. The removal of the wisdom tooth is a lumbar some process, with the breaking of the alveolar margin of the jaw bones, which may damage the nerves and vessels of the jaw. It also may be due to pressure on the trigeminal nerve, so it may cause trigeminal neuralgia. So I advise you to consult a neurologist for diagnosis. I to my patient with such symptoms prescribe ofloxacin, ornidazole, serratiopeptidase, and anti-inflammatories. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I ve been experiencing sensations as if my brain is shaking inside. When this happens, I ve noticed that my vision is clearly moving in a rapid up and down motion. I had an MRI and CT and EEG, an there were no adnormalities. I have also been diagnosed with Vertigo resulting from the inner ear.", "output": "Hello, You may have a condition known as OSCILLOPSIA which refers to fields of vision that are in motion with head movements. The underlying pathological mechanism involves a loss of image stabilization by loss of reflex control of eye muscle control when a person has their gaze fixated. Things such as toxicity, infection (most importantly meningitis) or side effects from antibiotics can cause the condition. Desalinating disease such as MS can also cause this condition, as well as abnormal movements of the eyes referred to as nystagmus. I recommend you seek an opinion from a NEURO-OPHTHALMOLOGIST. Vertigo from inner ear problems will not produce this phenomenon. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi i got kicked by a horse 3 days ago my elbow. Its still swollen and it hurts to touch. I can move it in all directions but does hurt when doing so and is stiff. My lower arm ( just under the elbow) aches aswell if i dont keep busy and takes me a while to get to sleep be ause of the achey pain. Could i maybe have a hairline fracture.", "output": "Hi! Good evening. I am Chat Doctor answering your query. The lump on your elbow could be due to collection of blood caused by the kick by the horse. This would normally get absorbed in a few days if there is no more active oozing. If I were your doctor, I would advise you for an anti-inflammatory Chat Doctor. Also, a cold compress and rest to the elbow with a supporting sling would add to hastening of the improvement. If it persists or the pain increases, I would then advise you to consult an orthopedic surgeon in your area for a possible radiological investigation and further management. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have something hanging off the inside part of my upper lip in front of my front two teeth . It is hanging superficially and I noticed it a couple days ago, but it has become more prominent. It is nonpainful, easily move-able, and is flat, smooth and kind of circular. When I left my lip it I can see it pretty clear, I thought it seemed cystic but I am not sure anymore. Please let me know what it could be. I brush regularly but havent dont anything else to it.", "output": "Hi, Welcome to Chat Doctor ! On your description - not painful, hanging (which I assume you mean not firmly attached but mobile) and the recent onset - I can tell that there is no likelihood of serious infection or dental cyst/tumor. It could be a granuloma or a papilloma. All conditions are self regressing and you don't have to worry. Try not to disturb it though, and if you develop signs of infection (reddening, fluid discharge, multiple sores in mouth etc.) get it attended immediately. If papilloma or granuloma increases in size and interferes with normal oral functions, it can be surgically removed under local anesthesia. Hope this helps! Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi my name is raja and i am 27 years old from mumbai...i got these frustrating problems of pimples and acars with pores for 12 years...i have never been to any doctor ...so now i am trying to permanently solve this problem...i need suggestions on which is the best dermatologist in mumbai for treatment", "output": "Hi!, Welcome To Chat Doctor forum, Raja its important that you first take treatment for your acne and then try for the scars. I am not in Mumbai, but have friends in Mumbai who are doing good in dermatology. They even have lasers in their practice. One of the dermatologist whom you can contact is Chat Doctor. .his contact number is 9820980639... You can give my reference if you want. He is quite a busy doctor as he has his branches in Mumbai, bangalore, UDP and Mangalore. You can contact hi\u2019m and discuss in detail. Regards," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im 17 and I am not that much sexually active. My young mind I believe is just scarring the living crap out of me! About 2 months ago my penis was just fine. But now I see changes. The head is missing minor layers of skin(really small) and Im starting to get brown looking skin patches on my penis please inform me so I can calm down. My partner has went to the clinic and got tested and we had unprotected sex but the results came back negative.", "output": "HiT hank you for asking ChatDoctorI have gone through your query. Your problem is most likely due to fungal infection. If you send a picture of it then it will be more helpful to analyze the condition. For such cases in my patients i advice ointments witChatDoctorbination of antifungal like fluconazole and corticosteroid like quinolone for local application. Hope this may help you. Let me know if anything is not clear. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 17 years old and I haven t had a period in over a year and I still had a pregnancy scare recently and took 4 pregnancy tests all said positive except for the last one and it was negative. Now, about a month has passed and there is this lump towards the left center side of my stomach, it was sore for a while but isnt all the time, but it usually hurts when i get a cramp. what could it be?", "output": "Hi, Dear thanks for the query to Chat Doctor virtual Clinic. I studied your query in all the details put forth by you. I understood your health concerns. Cause of the health problems you queried-The lump which is sore and hurts when you get the cramps, could be due to IBS with spastic colon, as its very common. This lump is towards the left center side of your stomach/abdomen. As I don't have any direct photo of the lump / or not many details from you, I would advise you to consult ER surgeon who would rule out other causes as Femoral hernia, Inguinal hernia/Spiegelman hernia. Hope this would resolve your query with full satisfaction. Welcome for any further query in this regard to ME by direct question at Chat Doctor. Write excellent review and hit thanks, to narrate your experience, which would improve my rating for many other visitors to Chat Doctor. Wishing you fast recovery. Have a good day. Chat Doctor. N. Senior Surgical Consultant. M.S. Genl-CVTS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear doctor, I am chandra shekar from bangalore. Sir my 1yrs old child is not eating properly at all he will take atleast 1 or 2 hours time to eat & in some times he wont eat anything pls tell any solution which makes every children eat s time to time properly. Thank you", "output": "Dear user about your question I would like to tell you that loss of appetite in infants has some causes, and we should find your possible cause of them....we have two common possibilities of that....first is psychological factor .if the infant has psychological or emotional troubles that will lead to loss of appetite examples of psychological troubles is being punished for eating...if you tried to force him to eat his desire for eating will decrease as there is someone always try to feed him even if he wants and so his sense of appetite decreased because of that......2nd cause is your infant may have iron deficiency anemia and this anemia always causes loss of appetite ...this anemia is common at that age as iron administration not enough in milk, so we always give prophylactic iron therapy to infant at age of 10 month as the anemia will begin.........wish your baby healthy life" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have heaviness on the left front side of my head. I get continuous infection on ear nose and mouth(inside cheek getting thickened).This is there for the last 5 years . I tried allopathic ,Ayurveda and homeopathy. The first two are giving relief but not getting a cure. your advice please,", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have constant infection in ear, nose and mouth . Mouth infection can occur due to condition like canker sore. Canker sore is mucosal reaction to various things like hot and spicy food, acidic food, seafood, dental appliances and nuts. There can be other reasons also like deficiency of vitamin B12, folic acid and some underlying disease like crowns. Sometimes infection can spread from ear to upper respiratory track and vice versa and spread to oral cavity also or post nasal Chat Doctor. I would suggest you to :-- Find out what exactly causes these ulcer like food allergens.- Maintain proper oral hygiene and do mouthwash rinses (Listerine) twice a day.- Rinse your mouth with HY" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I took a fall on the ice but did not hit my head, I just stretched my back and neck which I felt the next day. But the following day I had dizzieness and loss of ballance. Then it went away for a day and came back worse the next day. I am still experiencing it four days later. what is the problem?", "output": "Hello! I understand your concern. In my opinion the dizziness and imbalance you have may be related to a cervical spine problem. It may be just degenerative changes of the bones or the disc, pressing on your vertebral artery which supplies the brain. I would recommend you a X-ray of cervical column. Heat procedures and a cervical collar would improve your situation. I would also recommend betahistine twice daily or finalizing for the dizziness. Hope to have been helpful! Thank you for using Chat Doctor! Best wishes " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I m 22 and have moderate to severe plaque psoriasis on my face, scalp and torso. I ve exhausted most topical creams and ointments, taken courses of steroids with no real results. Would phototherapy be my next course of action. Is thinking about biologics too radical?", "output": "Hello. Thank you for writing to topical treatment with ointments and lotions is usually combined with systemic treatment/ oral treatment for psoriasis involving > 20% body surface area. Phototherapy, though is a good choice for extensive body involvement with plaque psoriasis, however, certain body sites like scalp are resistant even to phototherapy. Apart from phototherapy Oral methotrexate is a well known treatment for plaque psoriasis and can be considered in a healthy young adult. Biologics like golimumab, ustekinumab are not first line options in a young patient with limited involvement with plaque psoriasis. Scalp involvement responds well to topical steroids lotions with or without salicylic acid. Vitamin D analogues e.g. calcitriol/ calcitriol lotions are also effective in scalp psoriasis. I suggest that you visit a dermatologist in your region. Your dermatologist will assess the severity of involvement and advice accordingly. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "dear sir, i have some question regarding my lil sister which is suffering from chronic ulcerative colitis, loose motion, indigestion,abdominal pain, stomach pain, anxiety. we have done with all the necessary test which are LFT/KFT typhoid test, thyroid test, endoscopy, colonoscopy, and everything and all the test shown negative. Doctors of our place are unable to find diagnosis and she had several medicine relating stomach, colon, antibiotics, anxiety but no use at all. so plz tell me your comment and recommendation if you have any clue regarding this unknown disease.", "output": "Hello, Actually, it is very difficult to find the cause for Ulcerative Colitis. We have looked hard to find either an infection or something in the diet that might be causing the disease, but have Chat Doctor. For a while it seemed that Ulcerative colitis might be one of those diseases where the body seemed to be attacking itself. We now think that very unlikely, but there is no doubt that something must be causing damage to the lining of the large intestine. As the cause is still not identified, there is no cure for this disease. All treatments available at present are directed towards reducing the amount of inflammation in the bowel. Fortunately, for most patients with Ulcerative colitis, medicines prove effective, although it is possible that your treatment may need to be varied to find the " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 12 month old son suffered a skull fracture when he was just a 11 days old. He went to a neuorologist had all his follow up visits. I was told he was fine and I should have nothing to further worry about. Yesterday, I noticed an long indentation on the side where the fracture was. I do not recall feeling this before. He doesn t act like he s in pain or anything but now Im worried something is wrong. Can you help?", "output": "Hi, since your child has fracture skull at 11 days of life, and you have neurological visits at that time this doesn't seems alarming. It may be an old impression of the fracture. If the child has achieved all the milestones normally and there is no history of recent trauma, it will not be a matter of concern. However, an MRI should be done to see if there is an intracranial abnormality and a visit to neurologist should be done so that we don't miss any findings. I hope this will help you. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My wife has: severe back pain in kidney area (test showed no stones); elevated white blood cell count (test showed no tumors in abdomen); foot and toe cramping; pain has went from 2 to 9 on a scale level in 4 weeks. (no injury has taken place); Blood in urine (diagnosed).", "output": "Hi, Looking to the history it seems that there might be having acute urinary tract infection giving rise high W B Count backache and generalized body ache. Having blood in urine possibility of having stone in kidney is likely. Go for Ultra sound kidneys if you required. Go for one antibiotic medicine course for 5 days.Meanwhile, take ibuprofen type medicine for pain and backache. Take plenty of water. Ok and take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My father has multiple stones in his gall bladdr with severe pain.after ultrasound we came to know.there is also swelling on the wall of it.i want to know is it dangerous? Can the gal bladdr burst? Doctor said we will do surgery after 4 to 5 weeks when swelling will end", "output": "HelloYour father is rightly advised for surgery after 4-5 weeks. Findings suggests acute calculus cholecystitis means acute infection of gall bladder due to calculus. Definitive treatment in this condition is surgical removal of gall bladder, but it is wise to operate after control of infection. There can be more complications if it is operated at this stage. Surgery can be done microscopically. Recovery is fast by this procedure. Present condition can be managed by antibiotics and analgesics.Don't worry about this. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My boyfriend tripped and hit a edge of a wall, inner bruising on arm and leg, both swelling, Knee feels like it popping, constant burning sensation above inner calf muscle unable to straighten or bend knee. What should I do to help ease the pain? Does he need to go to the hospital?", "output": "Hi, Thanks for your query. From description, it seems to be soft tissue injury. Swelling might be due to hematoma formation(collection of blood). You need an x-ray to rule out any bony injury. I suggest you to consult an orthopaedician nearby for a detailed examination. You may get the X-ray of the area affected under his/her guidance. Beside icing and elevating it, you can take anti-inflammatory Chat Doctor. Hope this helps. Let me know if you have any more concern. Warm Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I also have been experiencing a lower left abdominal vibration, no pain. Started on July 18th. I had been painting and scraping the garage, on a ladder. thought maybe this triggered something. It went on, off and on for 2 weeks. We went to visit our son and NYC. Put on 45 miles walking. no problem. Came home. Off and on vibration started again, then stopped completely for ;7 days. Now back again. I am 64, weight about 148, take advair for asthma. The vibration is annoying and scary because I don t know what is causing it and hoped after it had stopped for 7 days that it would go away on its own.", "output": "Hi. Regards. Thanks for an elucidated history, which say you have walked 45 miles too. This indicates that there is no intra-abdominal problem. The vibration in the left lower abdomen looks to be due to the tics of the musculature of that part of the abdominal wall possibly due to a pinched nerve, or an automatic discharge of the nerve or may be a disc in the thoracic region. Get examined by an Orthopedic Surgeon / General Surgeon to get a physical examination done, an ultrasonography of the abdomen and an MRI of the thoracolumbar spine. Relax, this is not a serious problem, although it is definitely an irritating one." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have started having mild memory problems, constant headaches, ranging from mild to severe, and have started stuttering when i ve never stuttered before in my life. I m worried because Alzheimers runs in my family, although i am a nineteen year old woman with bipolar disorder and ptsd. what s going on? should i be worried?", "output": "Hello You are a 19 years old female with family history of Alzheimer's disease. You have complaints of memory problems and this is causing severe stress in you. You are a known case of bipolar disorder and PTSD. Most likely the memory problems are not related to Alzheimer's disease. You already have BPD, so such symptoms may occur due to depression and anxiety. Such symptoms are also called pseudo dementia. I would advise you to consult a psychiatrist for expert opinion. Hope this helps you, thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "good evening Dr.My self Sujaya Deb,29yrs old.I m in under Drs treatment(Infertility)from last 1yrs.I dnt hv any children till nw.Dr has given me Decdan(1st day of period) for 10days,ovofar(3days of period)for 5days and gestin(19days of period)for 7days.I want to know can i get pregnant?", "output": "Hi, I think you should go for evaluation first. Do a thyroid profile and prolactin levels and an ultrasound for your uterus and ovaries. Also, a semen analysis of your husband should be done. If everything is fine, you can take these medicines. Track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles. Be in contact with your husband for 2 to 3 days. Take progesterone for 2 weeks after the rupture. Do a urine pregnancy test at home after that. You can try like that for 3 to 6 months. Hope I have answered your question. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my name is cj. I have been struggling with anxiety and depression for a couple months now I self medicated myself a couple times and it worked but I ge get so paranoid getting them without a prescription I really need advice on how to cope without this or maybe I legal supply of meds I feel like my anxiety is ruining my relationships because I always think something is wrong even know nothing has been done in public I feel everyone is starring at me can someone please help", "output": "Hello thanks for asking from Chat Doctor for your health related queries can understand your concern. Persistent anxiety and depressive symptoms that impair day to day functioning should never be ignored. Self-medication, relaxation exercises can help but if the anxiety is causing problems in functioning and relationship then there is need to see a psychiatrist. For anxiety medicines like SSRIs as Fluoxetine, Paroxetine, Escitalopram etc. are used commonly. These medicines will help to decrease persistent anxiety and will improve the depressed mood. Apart from this for relief of symptoms of anxiety benzodiazepines or other Chat Doctor. These medicines can help to reduce symptoms in acute anxiety situations. Continue to do relaxation exercises and mediation and this will supplement the actions of medicines. Please visit a psychiatrist for evaluation and help. Thanks, Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "dear doc, me & my(28years) wife had sex on December 24, 25, 26(protected).she had her period on January 16-22, a heavy one like regular(no sex in between as we work in different countries) . now in February, she is 13 days late. should we worry about her being pregnant or other health issues? we re not trying for a baby so early in our career.thanks in advance.", "output": "Hello, Thanks for letting us know your health concern. If you did not have any further intercourse after your wife had her natural period, there is no need to worry about pregnancy. This delay in menstrual cycle could be due to a transient hormone imbalance often caused by sudden weight changes, stress, infections etc. Please ask her to see her health care provider to detect the cause and plan further management. If the sonogram of the pelvis shows normal study, hormones can be given to induce the period. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "yes my son n law was puching my daughter in stomach to abort baby my daughter had been haing severe pain for 2 weeks through her body took her to 2 hospitals they refused to treat her due to her being pregnant so he calls said she need to go to doctor i got her to a hospital they took her in was not for sure what was going on and after she passed they said endocarditis which after she was buried when we find he been punching her.the baby did not have fluid around it,my daughter had infection over her entire body was coughing up blood chest pains rapid heart rate of 228do u think him punching her could cause the endocarditis?", "output": "Hi and pleased to answer you. Throughout pregnancy, the fetus bathes in a translucent pouch that gradually fills with amniotic fluid until the 35th week of amenorrhea where the amount of fluid is at its maximum with about 980 ml. Then the amniotic fluid decreases to the end to reach a volume between 600 and 800 ml approximately. The flow of the amniotic fluid signals the rupture of the membrane, and the risk of premature delivery if the term of the pregnancy is not reached. When the amount of amniotic fluid is abnormally low compared to the term of pregnancy, it is called oligoamnios. During oligoamnios, infection rate is higher. The premature rupture of the membranes (rupture before the beginning of the work) concerns 5 to 10% of the pregnancies. Its risk factors are the same as those of spontaneous preterm birth with intact membranes. This patient received a punch on her abdomen, which caused a premature rupture of the membranes and then a loss of the entirety amniotic fluid then an oligoamnios was created, and during the 2 weeks before the hospitalization, there was infection of the genital and baby components and infection dissemination by haematogenous route Causing endocarditis. Sorry for your daughter and may god has his soul in peace." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my mother has been in the hospital for 16 days, they first said she has breast cancer, then they said Lymphoma, then they said Non Hodgkins Lymphoma, now saying she has Leukemia - they keep saying they are 95% sure but then come back and say they were wrong, do you have any suggestions for me as to what to do from here? We are in Richmond, Virginialisa", "output": "Dear, First we need to have full history and examination of the body report. Then a blood picture with peripheral smear examination to arrive at some provisional diagnosis. If she has a lump or swelling on any part of the body a fine needle aspiration biopsy report. This will definitely give a diagnosis. I think your primary physician will definitely do what is necessary to arrive at final conclusion. The different diagnosis conveyed to you must be provisional on the basis of simple general physical examination. Lymphoma, Hodgkin's or non Hodgkin or leukemia is confirmed only by biopsy. Truly," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a very large distended stomach with pain n upper left quadrant n lower abdominal pain . I hat a CT scan out of town said my uterus has falling out of place layoffs on my small bowel n the fluid in my abdomen where the pain is in the upper left quadrant where my colon descends seems to be kinked I was also told my cervix was already down on my vagina. I cannot use the bathroom only having 3 bowel movements in almost a month which were so painful I broke out n a sweat I ve taken stool softeners fleets n several other things just causes mote pain bloating n cramps I take take gas pills n no relief either and do not pass a lot of gas or feel the need to. I can t eat much very small amours n mostly liquid or soft foods. I often lose control of my bladder n sometimes feel I need to go so badly bit just trickles out or none at all. I was told I had a hiatal hernia a few weeks ago and last night I got the hiccups so very bad n couldn t stop the pain increased my husband said o kinda slumped over on the couch n was unresponsive for about 30 to 60 seconds. Do I need to go yo the emergency room or can I wait to schedule an appointment and with which h Dr do o need t", "output": "Dear madam, you need to go to ER if you feel constant pain, fever, breathless, vomit blood or feel fatigue but your symptoms definitely means something and detailed work up should be done. You obviously have some kind of intestinal passage disorder caused by either mechanical or non-mechanical causes. YOUR GYNECOLOGICAL PATHOLOGY U VE DESCRIBED COULD affect your intestinal motility and if there is a certain cause then pills won't be helpful. The best way to rule this out is to the colonoscopy, barium swallow or diagnostic laparoscopy and everything should be clear. Wish you good health, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi . Im concerned about whats going on . I think Im pregnant , but Im nervous to find out because I dont want to be devastated that Im not . My last normal period was Jan 21 . I always have normal periods . ALWAYS. I have a calendar that I go by . It said that my next expected period was Feb 18 . On Feb 17th I started spotting . I only seen it when I wipe . I never had this happen to me before . When my period comes on it flows and its never light . This went on for the remainder of the day then the next day it got darker , but it filled up half of pantie liner . After that I used tampons to see if he will be regular and it wasnt . It was just little spots of blood . Im nervous to take a test . Could I be pregnant ?", "output": "Hello, In the current scenario, please do get the pregnancy test done as you definitely need it and hope for the best. If you cannot read the urine test properly, you should go for the serum beta-ChatDoctor titles along with a trans-vaginal sonogram to clarify the issue. The spotting could possibly be due to an implantation bleed, but, it needs to be clarified. If pregnancy is excluded, you could be having slight hormonal imbalance which is common now and then whenever there is some stress, infection, weight disturbance etc. Such a disturbance usually gets corrected spontaneously. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i am janti lal amersi from karachi pakistan, just come to knw by a mt test that my wife got a tuber clauses what are the precautions we should take like she stoped feeding milk to our daughter what else can you suggest to better ment of her health except medication from doctor", "output": "Hi, I understand your concern. - First, 6you have to get her fully investigated from a chest physician & know about the extent of her infection. If its active tuberculosis passing the infection to others via coughing, sneezing)& she needs isolation or her disease is non infecting & under control. She can be treated at home & she can feed her baby at this stage. Speak to her doctor & decide - Medicines, regular consumption & regular follow up is a must. Tuberculosis can be fully controlled & patient can lead a normal life if she follows treatment plan exactly. - Apart from this personal care in form of- - cleanliness, - high protein, vitamin, iron, mineral diet. She needs high proteins in form of milk 2 glasses in a day, boiled egg/ protein powder available in pharmacy mixed with milk./ fresh vegetables & salads at least 10 glasses of clean water . Apart from her routine meals. - light exercises (yoga/ walking/ respiratory exercises) . To help good appetite & digestion -Iron & vitamins in form of tonics as per doctors advise. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HELLO I AM OM AGARWAL FROM SURAT (GUJ) INDIA. I HAVE A BABY OF ONE YEAR OLD. HER WEIGHT IS APPROX. 8KG AVERAGE DIET OF MY BABY IS 3-4 200(ML) EACH BOTTLE OF MILK AND EATING FOOD EVERYTHING WHICH WE TAKE,LIKE RICE OR DAL, WHEAT CHAPATI ETC.BUT FROM LAST ONE MONTH SHE IS NOT TAKING MILK OR FOOD BUT SHE IS FEEDING MILK FROM HER MOTHER. SHE IS CRYING VERY MUCH. SO PLEASE TELL ME WHAT TO DO", "output": "Hi... Thank you for consulting in Chat Doctor. I take this opportunity to tell you certain scientific facts and relieve your distress - 1. An active is a well kid even if she/ he is not eating well. 2. Development of a kid is as important as, or I would say even more important than growth alone.3. As the kids grow their interest in food decreases and interest in play activities increases so that they eat small quantity and run away to play. As parents, we need to be more patient and feed than less quantity but more liquors per day.4. This age rather than the quantity of the food I suggest you concentrate more on the number of times you feed her and also make whatever you feed her calorie dense by adding good amount of ghee to it.5. I suggest you not to use appetite stimulants on long run as they may cause Chat Doctor. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 36 yrs and pregnant with 12weeks I have a daughter 11 yrs I have a history of pcod and endometriosis I had a miscarriage in my first pregnancy and it was triplets. both my pregnancy was with treatment but this time with the grace of God I conceived naturally I am being given fertygen injection twice a week progestrone capsule and now asa tablets but yesterday I was bleeding with big clots after scan the baby was fine internal os closed placenta posterior mid segment dont know the reason for bleeding can you please tell me why is this happening and why is asa tablets prescribed in pregnancy I would be very grateful thank you", "output": "Hello and welcome to Chat Doctor. Early pregnancy may naturally have periods of episodic vaginal bleeding with clots. This is caused as the baby with the sac in early pregnancy is too small to fill up whole of the uterus. The exposed inner lining of uterus may degenerate and bleed just like a normal menstrual cycle. I am assuming that your ultrasonography after the gush of bleeding showed a live baby with evidence of fetal heart beat. In that case chance of abortion is minimal. ASA or aspirin tablets are given in pregnancy to help in free flow of blood between mother and fetus. Please write back if you have any more queries." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "im 18 and I have 2 questions. my first question is i suffer from endometriosis and for the past week my left and right ovary area has been having burning/stinging pains and my lower pelvic region is sore to the touch. what could this problem be? my second question is i had my hormone levels checked and i was wondering if they are normal? FSH- 1.2 LH-3.1 TSH-1.570 Estradiol-182 Testosterone-32 Glucose-74 Prolactin-19.8 thanks, sabrina", "output": "Greetings HOPE you are aware of endometriosis. It means the inside layer of uterus called as endometrium is present outside the uterus, and it responds to the cyclical changes as inside uterus causing bleeding. As you have menses, there will be bleeding from this endometrium which can be present anywhere in the abdomen.the commonest site is ovary and all around outer side of uterus. So premenstrual there will be pain which depends up on the organ involved and the extent. So you can consult a gynecologist and get an ultrasound scan to rule out any cysts in ovary which is causing problems for you. Coming to your reports everything looks normal if done on day 2 or 3 of your cycle. Hope my answer helps you regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband was on hemodialysis for about a year. Last December we began with peritoneal dialysis at home and have been doing this for almost a year. He had his catheter moved last June as it was much too low. Since then he has been retaining fluid in his abdomen. He recently had a CAT scan and a ecocardiogram which showed a heart problem which his doctor said could be controlled with medication. While in the hospital, his blood pressure dropped so low he was given a bag of saline solution which raised it but he was taken off this medication for his heart. Now he is at home and has a physical therapist come to our home twice a week and he is doing light exercises but his biggest problem, which has been with him for about three months, is shortness of breath. It is from all of the fluid in his abdomen pressing on his diaphram, etc. He has increased his trouser size by two inches. I called this to the attention of his nephrologist as his stomach is like a big bowl of jelly. Nothing is being done to take care of this fluid except the doctor has put him back on hemodialysis with no reduction of fluid. Is there a possibility that there is a leak inside from his catheter or could it be a buildup of fluids from the peritoneal dialysis which I understand does not always completely flush all the fluids out of his body? Sorry about this being such a long messge but we are at a wits end as to finding out what is causing this problem. Could you possibly help us by offering your guideance about the fluid. Thank you in advance.", "output": "HIT hanks for your query. If there is no active peritoneal dialysis going on, then the abdominal fluid collection is unlikely to be related to the Peritoneal dialysis catheter. Ascites or fluid in the peritoneal cavity can be due to a weak heart or liver problems. I would recommend a 2D Echocardiogram, Ultrasound of the abdomen and a diagnostic ascetic fluid tap. Based on the results we could make further recommendations. Hope this helps Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi i am 33years old and have been diagonised with jaundice last 3 monts. My current sirum Bilirubin report is 1.20. I had indigestion and related problems in stomach of right side.Question is how long does it take? how can i know that am completely free from jaundice?", "output": "Hello, welcome to Chat Doctor. It may be due to liver infection, alcohol or Chat Doctor. Please consult your doctor for examination and ultrasonography of whole abdomen including liver. Jaundice can cause indigestion, vomiting, nausea, fever, fatigue etc. Normal range is 0.5-1.5 mg/DL. More than normal range causes yellow discoloration of sclera, palms, urine etc. First find out the cause of disease and treat the cause, will remove jaundice. When your bilirubin within normal range; urine, sclera become normal; no or minimal digestion problem than jaundice over. Please avoid fatty diet and fast food. Take fresh fruits, juices and green veg diet more. Hope these all will help you a lot. Thanks for contacting us. Take care...." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have married in 2 year.my age 25 husbannd age 27 i have trying to a conceive .i have take pfofrt f tablet for 3 month.but not conceive.i have already checked my harmones,thairoid also.but no problem.all very good & normal.but why naot conceive.please help me", "output": "Hi I think you can go for ovulation induction with timed intercourse for conceiving. Track your follicles' growth by repeated ultrasound and when follicle is more than 18 mm, take injection for rupture of follicles. Be in contact with your husband for next 2 days. Take progesterone for next 2 weeks after rupture is confirmed on ultrasound. Do a urine pregnancy test after that. You can try like that for 3 to 6 cycles. Hope it helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here...Hello. My father has been suffering from high blood pressure and two weeks ago his pulse was at 125 for a number of days. This landed him in the hospital for about 10 days. He was diagnosed with atrial fibralation as well as anxiety and chronic fatigue. Both he and the rest of my family have been taking care of my mother who is has a terminally ill with cancer. He is on a number of medications now and is taking Lisinipril and cumodin and other meds. His cumodin level was high this week. He walked to the store the other day and had to ask for a ride back as he wasnt feeling well. The hospice nurse took his blood pressure and pulse today: 153/100, pulse 50. She said that he should get checked out again soon as something does not appear right with his meds. Any advice you might be able to give would be appreciated. My father is 79 years old. Thank you. Melinda", "output": "Hello, There are two issues in him, first his blood pressure is not under control so his BP medicine needs to be hiked up. Dose of lisinopril can be increased in multiple of 5 up to 40 mg. Blood pressure is not emergency you can get it optimized from your doctor. Secondly, his pulse rate is low and pulse rate controlling med needs to be decreased. Like he must take some beta blockers like metoprolol or nebivolol, or other medicines like Verapamil or Diltiazem, dose of either med needs to be decreased. Also, he should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. Regular exercises like brisk walking, jogging according your capacity at least 30 minutes a day and 5 days a week. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity. Get your lipid profile and sugars tested once. Monitor INR regularly. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I have a persisting infection in my pubic groin area. For the past year it comes and goes regularily and almost always is infected. I believed it to be an ingrown hair but most recently I went to the hospital because a hole appeared there and I was told it is a cyst . This keeps happening in the exact same spot and I apply warm compresses to it and blood like pus usually oozes out of it. It pains a bit as i were my pants exactly same place. Kindly suggest me what to do", "output": "HI, I understand your concern. The prolonged & repeated infection indicates healing. -low resistance - inadequate treatment/wrong choice of antibiotic - unhygienic condition. - Uncontrolled diabetes You need investigations like-CBC, fasting & post meal blood sugar, culture & sensitivity test of the exudate from infection. Along with complete physical check up. This would pinpoint the diagnosis & treatment plan.(best advised by a skin specialist) Apart from regular medication for prescribed period, you will have to take - tonics/nutritive diet for raising resistance.(proteins, iron, vitamins specially it. B&c)would help. - good control of blood sugar in case you have diabetes - adequate local management in form of removal of hairs, keeping the area clean, Chat Doctor. Thanks. -" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello: I am a 36 year old man. After having a terrible attack of stomach flu in february of this year I beganto suffer from pain in my upper left side. the bloodwork showed slightly elevated lypase -but all other tests ngative-what can this be -stomach feels bloated all the time", "output": "Hello there, I am Chat Doctor. Hope I have given appropriate guidance to you. I think you have loss of some of your intestinal flora, that is beneficial bacterial organism found in our intestine, and you have some damage to intestine in form of small many ulcers. So til this ulcer got heal you may have some pain in your abdomen. And for bacterial flora you take some probiotic food it will replace your flora to normal one. For some periods take care you DNT eat spicy food. If you have any query you can consult me anytime. Give me star rating, helpful vote & thank you according to your satisfaction level. Thanking you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, i have a question, i had pain for almost a week on the left lower side of abdomen, approximately where the ovary is, then i went to ultrasound to see what is going on, i did not get results yet, and i am scared, because i really wanted to get pregnant, i overheard ultrasound technician and other technician, they were saying something like follicle burst and small amount of free fluid, what does it mean, that i did not get pregnant and probably instead maybe it is ovarian cyst now..i just dont know what to think... i asked them but they are not allowed to tell diagnosis i guess, they just said you dont have to worry everything is fine", "output": "Hellos you mentioned that there is pain in the abdomen in the left lower region. Ultrasound done but report is still pending. Pain may be due to these reasons.1 Cyst around or in ovarian stoma. Need not say that the report of the ultrasound will find out the reason .2 Such pain may be due to left renal colic. Diagnosis can be confirmed by Ultrasound (. Already done).3 Amoebic colitis is the next most probable reason of such pain. Stool examination will find out amoeba history, if present. Since ultrasound report is pending and pain is not so severe, wait for the report and deal according to ultrasound report. Possibilities I have mentioned. Good luck" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had numerous UTI S and I requested a copy of my last lab report, 1) for vaginal culture, and 1) lfro urine culture, final report on the urine culture was Morganella MorganII, b colony count 30,000, but no antibiotic was prescribed. Can I get over this on my own?", "output": "Hello, THX to contact us. I understand your concern. If I am your treating doctor I advise you that urine culture with colony count of less than one lac is not UTI. It won't requires a treatment. Organelle organic many a time isolate as a saprophytic organism or Laboratory contaminant. So if the colony count is less, it is not UTI and treatment is not required. I will be happy to answer more of your concerns, kindly know me, Wish you a very good health at Chat Doctor. Chat Doctor. Infectious Disease." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I recently had a scan that showed a 8.4mm cyst on my left kidney. However as I was being scanned for gallstones, the cyst was never mentioned (the scan was done overseas and so they type up a report of their findings). I am now worried that it has been disregarded. What could it be?", "output": "Hello Thanks for writing to simple cortical cyst in kidney is a benign lesion of unknown etiology arising from renal parenchymal, and it rarely causes complications. It may be the reason for omission of small renal cyst in previous reports. Renal cortical cyst is a very common type of kidney cyst, and it is a fluid-filled sac. Small cysts generally doesn't causes symptoms, and it is found in a routine examination for other issues. When cyst grows larger, patient may feel pain or pressure in back or sides, which often radiates downward. Renal cortical cysts usually doesn't require any treatment. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "at night when I get ready for bed I begin to cough uncontrolledly and my neck and chin get really itchy. this only happens at night and I don t know what to do about it or what it means. I read that it could be signs of asthma but I ve never been diagnosed with it. But I do spend a total of 9 hours or more 5 days a week moving and running around.", "output": "Hello dear, thanks for your question on Chat Doctor. In my opinion you are having allergic bronchitis. Coughing and itching are characteristics for allergic disease (process). Since you are having symptoms mostly at night, you may be allergic to your night clothes or bedsheet or pillow covers etc. And these act as allergen and cause symptoms. So better to consult pulmonologist and get done PFT (Pulmonary Function Test) to diagnose bronchitis. Change your bedsheet, pillow cover and night clothes. Start using new cotton ones. Also take antihistamine Chat Doctor. You will mostly be alright by these changes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im asking because I was tested for diabetes & the doctor asked if it ran in my family? It does on both my mother & fathers side & I have always had a sweet tooth but I am not overweight (Im average) & try not to eat fatty foods that much. I do however tend to splurge on the sugar. Can too much sugar cause diabetes? Thanks everyone.", "output": "Hi.no too much sugar doesn't lead to diabetes. There r 2 types of diabetes. Type 1 which is due to deficiency of insulin secretion from beta cells of pancreas and in type 2 diabetes there is problem in the insulin receptors. Diabetes may result from genetic alterations, obesity, sedentary lifestyle. Ones u have diabetes, increase intake of sugar may increase the blood sugar level but sugar itself doesn't lead to diabetes. Wish u good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I take microgynon 30 3 weeks at a time and then break for a week and always get a period during this break. I took the pill for around 5 weeks without a break and now that Ive taken a break from it Ive not experienced a withdrawal bleed and Im getting very worried. Could you offer me an explanation? Ive taken one test and it was negative. Just want to know whats going on with my body, Ive been taking the pill almost 3 years with no problems like this.", "output": "HI, thanks for using Chat Doctor Microgynon is a commonly used oral contraceptive. There is a form of oral contraception where essentially it is taken for 3 months so that these women have only 4 periods a year. It is likely that the prolonged use of the medication resulted in the delay you are experiencing. Though it is understandably alarming to you, it is a result of a slight hormonal imbalance and your period will return. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Since October 2013 I have had spasmodically pain in the right side of my head in the ear area - approx radiating into an area of my hand if held over my ear. The pain will go after anything from a few hours to over 36 hours. Today it is particularly painful hence the search online", "output": "You probably mean throbbing headache affecting one side of the head, right in your case. You have not mentioned whether you are a male or female. Based on that, I would consider three possible causes, a) migraine b) cluster headache and c) temporal arthritis. Irrespective of whatever be the cause, you should be relieved by taking naproxen 500 mg one or two tablets together as per your requirement. Take it in full stomach. Also get yourself examined by a doctor and subsequently intervene as per the cause diagnosed." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im 62 years of a age, and on a routine lab exam PSA level was 6.5, Digital rectal exam was normal, echography shows enlarged prostate with calcifications and all the rest was normal.. FREE PSA/TOTAL PSA was about 22.5 and according to the lab this result is normal, urine analysis shows RBC levels of 20 - 22 and WBC 2, can we know from these results if it s a gland hypertrophy or it s prostate cancer? thank you", "output": "Thanks for your question on Chat Doctor. In my opinion you should not worry much about cancer. As calcification is 100% benign. It is not at all seen in malignancy. So you should not worry much about cancer. Your other lab reports are also normal for cancer. You are having BPH (benign prostatic enlargement) which is causing red blood cells in urine. So better to consult neurosurgeon and get done removal of prostate. This will cure RBC in urine. And no need to worry about cancer." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello,my 2 and a half year old has been having tiny amount of blood at the end of the stool...my pediatrician ordered an ex ray and said she was constipated evan though she poops quite regularly.He said most likely the blood comes from a scratch at the end of the bowel that continually gets irrataded and then today the stool turned gray! half of it came out brown then gray and two hours later more grey poop what could this mean?", "output": "Dear Parent, The gray color stool of your child can be due to different causes. Commonest one if your child is on a milk only diet. Other serious cause is blocked liver ducts (however in this condition your child will give yellow of eyes, skin). I suggest that you see a pediatrician if the gray stools occur 2 or more times, lasts more than 24 hrs and lasts more than 48 hours after changing from a milk only diet, and you notice yellow discoloration of eyes, skin." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a hard non-movable lump on the right side of my neck about the size of a pinto bean. It feels like it may be attached to the larynx? I have been suffering from joint pain (knees, shoulders and right large toe) and swelling mainly in my knees. I seem to have lost strength in my knees due to swelling and muscle tenderness around joints, I am loosing more hair than normal, awful cramps in right callf at night, I get hot flashes but then I get cold and can t get warm, I have no energy, my skin is very dry to the point of tingling.", "output": "Hi, Thanks for the query.1-Its very interesting story. In my opinion small lump on right of your larynx needs to be investigated with thyro-profile tests.2-Your general health have derailed over a period and suggests that you have-hypo-thyroid with associate rheumatic complaints in knee JT and muscles surrounding it.3-I would advise you to have your thyroid test done with other blood tests.4-I would advise medical treatment with the physician nearby.5-Thereafter-If the lump doesn't regress after the specific thyroid treatment, the lump-may need excision-in the later period....but don't worry about it-as it's a remote possibility.6-So concentrate with treating the thyroid disease-which is the most probable solution for your problem to resolve. Hope I have solved your query. Any more queries in this matter are welcome.!! Thnks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello In my report it shows like this Rt.Kidney (8.9*3.5cm) cortex:13mm Lt.kidney (9.5*4.1 cm) cortex 14mm Normal insize size with diffuse increased Echotexture(grate -2) No calculi/Hydronephrosis.Is there any problem in my kidnies.Please help regarding in this matter.", "output": "Hi, Thanks for writing in. There is a mention that the kidneys are showing increased cortical echo texture. This means that the kidneys are lighter than expected and might be due to a problem in the filtration capacity of the kidneys. Please do blood test for kidney function like serum creatinine and serum proteins. Urine test for kidney function like urine proteins and 24 hours protein and creatinine are also important. Please consult a nephrologist for proper treatment guidelines. Your kidneys are normal. The kidneys are normal if they measure 80 to 120 mm in length. Therefore, the kidney problems if any are still reversible. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my name is angela im 20 years old and on June 9, 2015 I went to an oral surgeon to have all four of my wisdom teeth taken out. Ever sense the day after surgery I haven t been able to open my mouth I have gone back and they put me on some arthritis Tylenol, naproxen medication, and also voltarin gel. I ve also been doing jaw excersises religiously. Nothing has helped and I am no worse I can t fit my toothbrush in mouth and it s almost to the point I can t fit my pills in either. I m terrified and just want this to end.", "output": "Hi. I have gone through your query and can understand your concern. As per your complaint at times after wisdom teeth extraction the muscles of mastication becomes tensed, swollen and sore leading to restricted mouth opening and pain. You should do warm compresses over the check and continue till the sides of neck. You should massage the muscles with your fingers starting from the front of ear progressing down the jaw reaching the chin. Try to open the mouth with fingers by pushing front teeth apart. You should also keep doing the jaw exercises advised by your dentist. You need to take Muscle relaxant like Flexion MR for relieving the spasms of muscles. Take soft diet and more. Of liquids but do not stay hungry. If still it doesn't improve consult an Oral Surgeon and get evaluated. Hope this information helps. Thanks and regards. Chat Doctor. ." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "bacterial bronchitisIm a 30 yr old female. I was recently seen at the ER and had two bags of fluids ,morphi.e and xrays for what I was told was bacterial bronchitis and was given a Zpack to take. Im on my 4th pill and I feel im getting worse. The cough is bad, im coughing up dark green and yellow mucus. I have a major headache that wont go away. Im also running a fever off amd on... Could this be something else or have turned into something worse?", "output": "Thanks for asking your question completely understand your problem in my opinion you are suffering from lower resp tract infection. Green sputum is mostly seen in cases of pseudosocial infections so specific Chat Doctor. Antipseudomonal antibiotics like floroquinolones should be given.to fix the diagnosis of pseudosocial infection u need to consult a pulmonologist who will request for a sputum myogenic culture and sensitivity, which will tell in detail about the causative organism. And accordingly " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am boy age of 30,but my sprem is thini want thick spermi face problem when I watch any sexy movie I get wet because my spram come automatically come out of my pienskindy tel me any fruit or food which help me.l am poor I have no money to snd you", "output": "Degree understand your concerns went through your details. Please stop worrying about these sexual matters because all these are normal. Sperm thickness or color is not the determining factor of your fertility or your ability to produce child Chat Doctor. On an average, semen is almost 95% water. Therefore, don't be anxious about it. When anyone watches porn movies, their penis discharge a liquid called pre-cum which is used for lubrication during sexual intercourse. This is also normal. I suggest psychological counseling to you. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi sir my wife is in 7th month pregnant and she has been facing gestational diabetic in early stages(3rd month) and doctor suggested insulin and slowly increasing the lots now. she is taking novomix 30 penfill. Morning 18 lots and evening 10 lots. Every week we are taking test by using glucometer. bayer product. But some time test results are showing 84-98 and 112-158. she was getting fear kindly give your suggessions", "output": "Hello and I hope I can help you today. Insulin is used to treat diabetes during pregnancy at all stages and is safe and effective. The disease of diabetes and high blood sugar is the part that is dangerous for the baby, and good glucose control is the best way to ensure a healthy child. Good blood glucose levels should be less that 95 for fasting levels and less than 120 after meals (2 hours). If this is the way your wife checks her sugar, and you test at least 4 times daily, she is under very good control and should not need further adjustment of her insulin if her levels stay at the current level. She should be checking her sugar fasting and then 2 hours after every meal. So in summary, insulin is safe and absolutely necessary for the health of the baby if your wife has diabetes. Please discuss the dosing regimen with your treating physician on a regular basis and make sure your wife checks her readings at least when she wakes up in the morning and then 2 hours after every meal. She should also write down what she eats, so her doctor can also know if any changes need to be made in the diet. I hope this information was helpful and answered your question adequately. Best wishes to you and your wife for the rest of the pregnancy. Sincerely, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doc...i have a lump between my scrotum and anus its hard size of a pea, it sometimes disappear and reappear, also another painless sort of a pimple on my pubic area, yellowish, disappear when emptied and to re-occur in near and itching urethra....what is these", "output": "Hi! Welcome to Chat Doctor, and thanks for giving us an opportunity to discuss on perineal infections! So, your perineal lump is recurrent, small, nodular and accompanied by another yellowish nodule in the pubic area! I must consider, if you had visited my clinic, that these two are same in pathological terms; they are sebaceous inclusion cysts getting infected and resolving due to bodies immunity power! These needs a simple needle biopsy for confirmation and surgical excision / antibiotics for cure...Therefore, please see a surgeon for a clinical examination and necessary management.don't worry, ..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI I M 17 YEARS TEEN GIRL.,I HAVE BIG DARK SPOT SIMILAR TO A MOLE ON MY FACE ...HELP ME....WIT GOOD SOLUTIONS", "output": "Hi welcome to Chat Doctor forum the dark spots might be due to high melanin synthesis and has many causative factors. That could be plasma, dermatitis so on. The first thing to do when seeking treatment for dark spots on face is to talk to a dermatologist. He can give you a diagnosis for your particular condition. Then you can choose for any treatment. All treatment including homeopathy needs a proper case study then treatment. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I work for a company in the backroom and I stand for anywhere from four to seven hours at a time along with lifting really heavy boxes and was wondering if there was anything I can do to help me with my lower back issues they are very minor but I want to avoid them getting any worse.", "output": "Hi welcome Chat Doctor. Age2.sex3.duration, type and severity of pain4.mid or para spinal region of pain5.height and weight.However, steps can be initiated in the meantime preventive aspect is provided. Low back pain is common among people who stand or sits for long time. Proper ergonomics, exercises diet plays' role in prevention the same.1.ice massage and hot water fermentation alternatively 3 times a day, for minor pain u mentioned2.maintaining proper posture While standing While lifting weights(never bend your waist, instead bend the knees)3.stretching exercises which helps to reduce pain and also prevent further strains.(can be done in between work or during prolong posture)4.maintain BMI (proper diet and exercise)5.proper use of shoes6.once you are feeling better regular aerobic exercises like swimming, walking, bicycling Can keep your back in good condition. 7.prevention of episodes of back pain can be done by strengthening back hip pelvic abdominal muscles, however heavy abdominal crunches must be avoided. If pain aggregates or any numbness of hip or leg you can consult your doctor for further assessment." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "What is treatment for piaderma? I am 61 yoa, 5\"6, 155, had ulcerative colitis for approx 20 yrs. Recently had surgery for colon removal and developed piaderma. Have been referred to a dermatologist but until then, is there any remedy I can do? Is getting progressively worse, ulcers increasing and bleeding.", "output": "Hello, Welcome to Chat Doctor, Pyoderma means pus in the skin and can be caused by infections, inflammation and neoplastic etiologies. Any condition that results in the accumulation of neutrophil exudate can be termed a pyoderma. But in general practice most commonly pyoderma refers to bacterial infections of the skin. Normal resident bacteria of skin such as staphylococci, streptococci, Micrococcus and Acinetobacter can lead to this condition. The treatment of superficial pyoderma is with appropriate antibiotics for not less than 20 days. Fluoroquinolone group of Chat Doctor. Topical antibiotics may be helpful in superficial pyoderma. Bacitracin and polymeric B are more effective against gram negative bacteria, if it is the cause of infection. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a background of hay fever which gets quite severe with an almost contantly runny nose and mild asthma. I find it quite hard to tell the difference between allergies and a cold. for a week now i have had varying symptoms which started with sneezing, a runny nose (extremely so!), there was a slight sore throat with it, and i now have a slight cough and a little breathlessness. There has been no fever but i do work in child care, germ central. unless i have a fever im never sure if i have a cold or allergy and im not sure if the breathlessness is asthma symptoms or not. thankyou", "output": "HI, thanks for using Chat Doctor Allergies and common cold can be associated with similar symptoms. The main differences would be fever, change in appetite or energy level that may occur with the common cold. The time frame would also vary, if the symptoms are acute then it is more likely a cold, if they are long term-allergies. The treatment of both would be the use of decongestants (topical or oral), oral antihistamines and cough suppressants if needed. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a circular rash on the palm of my hand which is now on the sole of my foot. They come and go but are very itchy. I have now found a raised rash in the pubic line which is not itchy. The rash seems to be like an insect bite and is more yellowish in the middle. Im male 28 and have not had any problems of this klind in the past and have not yet tried to treat this problem.Please help thank you.", "output": "Hi, As per your descriptions, it could be due to eczema, tinea, psoriasis, insect bite etc. You will require topical corticosteroid like beclomethasome or clobetasol or mometasome with antifungal cream like itraconazole or fluconazole with oral prednisolone and fluconazole with antihistamines. This type of skin itchy rashes are required to be seen by naked eye of a doctor for confirmed diagnosis. So, better you consult dermatologist and start the treatment. You will be alright after that. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had wisdom teeth extraction four days ago. Was running a temp today, which has now come down, and feeling unwell. Aches, headache and very tired . These symptoms appeared about two days after my surgery . I has Iv sedation . Im worried about septicemia or endocarditis? AmI over reacting . I saw my dentistToday to address my symptoms and he didnt seem worried . Stated my extraction sites were not infected . ShouldI see a MD?", "output": "Hi, Thanks for writing, All you need to do is relax. These symptoms are sometimes seen after a normal minor surgery. As you told, you were given general anesthesia, please give some time for yourself to recover. Fever can also normally occur after a stressful procedure, and just as it came down, you will recover with other problems also with time. Just continue with the antibiotics or analgesics whatever are prescribed by your dentist. Septicemia or endocarditis are risk factors if you have undergone any previous surgeries or have any congenital heart problems or valve replacements. In that case the doctor prescribes you with antibiotics before the procedure itself. Take sufficient rest and relax to have a fast recovery. You only need to see a physicist if symptoms persist even after taking adequate rest. Stay healthy, Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi just wondering my husbandmay have an infected tooth. Our ine yr old sun had a tiny cut on his finger and my husband put it in his mouth it is now infected could this have caused it? Can other infections such as throat infection also be passed on through kissing someone with a tokth infection or abcess?", "output": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint in case if someone has an infected tooth, infection is commonly not transmitted to another person by coming in contact in saliva, although throat infection can be contagious and when there is active infection it can be transmitted to other people via close contact like kissing, sharing utensils and napkins and especially viral throat infection is very quickly transmitted. In case if your husband had an abscess in his tooth and if it would be Chat Doctor. . So you need not be extremely worried. I would suggest that your husband should consult a Dentist and get evaluated and an IOP AR [x-ray] can help in diagnosis. In case if tooth can be saved root canal treatment can be done while if there is gross decay extraction followed by antibiotics and painkillers will be advisable. Hope this information helps. Thanks and regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, i have mild sharp abdominal pain. I have had it for more than 24 hours. My bow movements have been a little irregular as of late. I have had some prunes today to try and improve that. I have also been passing a lot of gas. Please lend me any advice you have?", "output": "HI. Thanks for your query.The most probable cause of severe pain in abdomen with irregular bowel movements and gases can be a form of gastroenteritis. I would advise you the following:Take a course of an antibiotic and metronidazole and supportive and symptomatic treatment This may resolve your problems sooner. If no relief you have to undergo the following tests:Blood-routine and WidalUrine and stool tests in details. Ultrasonography of the abdomenEndoscopies if required." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Shortness of breath and harsh cough. Ex ray showed inflammation around my lungs. Dr. said a virus. Light smoker, but Dr. said lungs look beautiful. 80mg prednisone for five days brought no change. On my 3rd day of another 5 day prednisone script plus and inhaler, and still no change. Any ideas?", "output": "Hello appreciate your concern Shortness of breath and harsh could be related to Inflammation of the airway or lung due to allergic reaction or infection. Another possibility is obstruction in airway or collection of fluids in lungs or pleural cavity. If I were your treating doctor I would have advised you for a battery of tests after clinical examination in order to ascertain diagnosis like blood for hemoglobin, CAN, ESR, AEC (absolute eosinophil count), an X-ray chest or an CENT scan in case of chronic and refractory cough Meanwhile you should take steam inhalation and do deep breathing exercises. Continue with inhaler and anti-allergic Chat Doctor. Prednisone is a steroid and its doses to be tapered gradually like 40 mg than 20mgand slowly 10, 5 than twice a week followed by once a week and then stop. Hope this answers your questionPlease do let me know if anything is not clear. I will happily answer you Wish you good health and speedy recovery" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a lump on the back of my neck and I have had this for almost two years. Ive told doctors but they say its nothing to worry about. But when I got blood clots In my left arm ive just been getting sicker. My legs and feet swell up and ever since thats happened my lump on my neck has swelled up and gottn larger.. Could this mean I have can cancer or leukemia?", "output": "Hello, Lump in the back of the neck can arise from the skin, subcutaneous plane (deep to the skin) either from fat or fibrous tissue or bone. Because of the consistency and mobility we can differentiate each. It is there for 2 years now increases in size. Clinical examination and CT will differentiate the cause of swelling. The blood clots and pedal edema needs investigation of your vascular system. The swelling increases in size recently and your vascular system involvement need investigation immediately. As per your statement both are not cancer or lukemiaTreatment is as per the results. Best wishes" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "dr. i have been using rmd gutkha for the past 2 and half years. I used to take one or 2 small pouch daily.. nowadays i could not take any spicy or hot food. I could see few sores in the edges of my tongue. will it lead to cancer. I have applied few ulcer gel/madicines but still it is not cured. please help to recover from the above", "output": "Hi, dairy have gone through your question. I can understand your concern. You have history of tobacco and non-healing ulcer. So there is HGH chance of having squamous cell carcinoma. You should go for punch biopsy of that lesion and go for histopathological examination. It will give you exact diagnosis. Whether it is cancer or not. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello my name is myrna lafreniere...my son is 15 yrs old and hes had this problem before..he has a very hard time to have a bowl movement..this time its been over a week now that he hasnt had a bowlmovement..is there anything at home that I can give for fast reliefe..and hes not in any pain...but I dont understand why he goes like that..", "output": "Hello and, Thanks for writing to us. Begin each day with a cup of boiling water poured over half a lemon. Consume about 25 to 30 grams of dietary fiber a day, to promote regular bowel movements. For an effective treatment of constipation, add 2 tablespoons of Apple Cider Vinegar into an 8 oz glass of water, and Chat Doctor. The Apple Cider Vinegar can also be mixed with apple juice or grape juice to make it more palatable. Take 1 teaspoon of psyllium mixed into a glass of juice three times a day until your constipation is relieved. Hope this helps you. Wishing you good health... Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI, I have been on implanon for over a year, no period for 7 months. I have had negative urine pregnancy tests, cravings, nausea, mild pelvic cramps, jaw pain and gained about 4kgs. Today I felt fluttering in my stomach, and I m confused because I know you can have pregnancy symptoms as part of the side effects.", "output": "Hi there, I have understood your concern. I will suggest you the best possible treatment options. 1) First do not panic. 2) As you have missed your periods and your home pregnancy tests are negative, then please get blood beta Chat Doctor test to confirm or rule out the pregnancy. 3) If you have negative pregnancy test results, you need not worry about the pregnancy. Implant can cause all these symptoms per se too. It is not a reliable sign of pregnancy.4)If you are still worried, get a pelvic ultrasound done too. I hope this answer helps you. Thanks. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello, my husband was bitten by our dog on july 1, 2011. does he need to have a anti rabies vaccine now? I cannot remember the exact year when our dog had antirabies vaccine may be about 4 years ago. Our dog is ok right now. What should we do? my husband is 52 years old. not hypertensive, 5\"8 in hieght.", "output": "Hello and thanks for your query. If your husband was bitten by the dog in 2011, there is no point in taking the injection now(it should be ideally taken with 24 hours or in the shortest possible time after a bite). But since you still have the dog, you should definitely do the following:1. Take regular vaccinations for the dog as recommended by your vet2. Both you and your husband take the preventive vaccine against rabies so that you will be protected if ever the dog bites again. Ask your doctor for the pre-exposure prophylaxis vaccine against rabies. If you follow the above steps you would be fine. Hope I have answered your question. Good day and take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My father is 78. He is taking clopidagril as he had a stent put in last year. He also inhales albuterol sulfate and ipratropium bromide. He has COPD. His trouble is thick mucus and expectorating. Can he take a 400-800 mg. Mucinex DM OR guaifenesin only several times per day? I haven t seen any drug interactions on line at Dr. websites. He is in above average health considering the COPD and has no other conditions which require medication.", "output": "Thanks for your question on Chat Doctor. COPD (Chronic Obstructive Pulmonary Disease) needs simultaneous implement of following treatment methods for better symptomatic control. 1. Quit smoking if he is smoker. 2. Continue his inhaler according to the advice given by his doctor.3. Enroll in pulmonary rehabilitation center where Chest physiotherapy and deep breathing exercise Are done. 4. Take adult respiratory vaccines like pneumococcal and influenza vaccines for prevention of future lung infection. And yes you can definitely give him Mackinac or gunaphesin as both are expectorant and bucolic. But better to start pulmonary rehabilitation. This will help him more." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had numbness in my right hand for about a month or so. It comes and goes and usually comes when I am using that hand or the opposite when I am sleeping it goes so numb that it keeps me awake and is actually quite painful. I have seen my doctor and he thinks it is related to arthritis that I have but no other place that is irate by my arthritis is affected.", "output": "Hithanks for writing to Chat Doctor .you seem to suffer from carpal tunnel syn Chat Doctor. it's a condition in which a major nerve supplying the thumb, index middle and part of ring finger gets compressed at the wrist level. Please do the following1. Use wrist splints, especially while sleeping2. Avoid bending your wrists too much3.avoid keeping your wrists under your head while sleeping4. Give rest to your wrists, avoid typing too much on your computer or mobile phone.5. Apply ice packs4-5 times a day6.use a mild analgesic like acetaminophen it will take 3-4 weeks for complete recovery. Hope I have answered your query thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my name is April,Just recently I had an MRI done on my breast and the test results came back that my breasts were ok, but I have a cysts on my spleen. This morning I got a Ultrasound done on my spleen. Can you please tell me what I have to look forward to? Is it cancer? Right now I have no symtoms of soreness in that area, but I tend to get very bloated at the end of the day. I m very scared right now and I will not hear from my doctor until some time next week.", "output": "Hello Your report suggests splenic cyst. It is not necessarily a cancer. It is the most common focal lesion of the spleen. Splenic cyst may be benign, malignant, or it may be abscessed also. It may be developed due to trauma, parasite infection etc. Usually splenic cysts are asymptomatic and incidentally discovered during imaging. You may need CT scan of abdomen. Small and asymptomatic cysts do not require treatment.Whereas symptomatic cysts are managed surgically. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI, had hip replacement surgery 9/23 and 58 yrs old. through a process of elimination the crazy pain I have is a pinched nerve in my lower right back. Dr. says next step is to MRI the spot. I have to work what can i do for myself to help remedy this?Thank you,Donna", "output": "Hello! Welcome and thank you for asking on Chat Doctor! I agree with your doctor that an MRI would help examine better the nerve compression. A nerve conduction study may also be helpful. Meanwhile, I would recommend starting therapy with Gabapentin or pregabalin for the pain. These two antiepileptic Chat Doctor. They are usually well tolerated in every age. Physiotherapy may also be helpful. You should discuss with your doctor on the above issues. Best wishes, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor, my brother wilson met with an accident on 10 Oct 2012 and he suffered from diffuse axonal injury , 7 days he was in unconsciousness , after 10 days they shifted to general ward on that time his left side parts was not woking proprely like(strock) after doing oil massage and physio treatment now he can able stand and walk. now his condition is his suffering from short term memory loss . his unable to recognize what is going on surrounding him and nowdays his behaviour also changing rudely talking & beating every one. is there any treatment is there to recover completely how earlier he was, please help me on this sir am having one and only one brother in my life.", "output": "Hello, welcome to Chat Doctor. I am sad to hear about your brother health. Neuronal injuries are often permanent, so complete recovery is rare in such cases. Over a period of time some improvement in memory and behavior is possible. After brain injuries some personality changes are possible which can lead to aggressive behavior. In such cases low dose anti-psychotic medicines are helpful. For that you can consult some nearby psychiatrist. Wish you all the best. Chat Doctor. 99doctor.com" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi so I m pretty sure its my first molar on the bottom right side that i got extracted on Monday Feb. 11th. For the first 2 days I slept and took the painkillers and Ibuprofen that they had prescribed but since then my gum on the outside feels sore and kind of raw. As if my cheek is rubbing against it and the second premolar feels like its shifting downwards a little bit. Sometimes it still feels like i have a massive tooth pain there and also my teeth on the other side of my mouth are starting to hurt a little as well(Also the tooth they extracted was abscessed). Is this all normal? I m 21 and haven t had a tooth removed since I was 5 and it s kind of freaking me out that my mouth hurts this bad still since its been 5 days. Also I was curious on why I m 21(22 in may) and haven t gotten my wisdom teeth in yet.", "output": "Hi and welcome to Chat Doctor, As you have mentioned the first molar you got extracted was involved with abscess. So after extraction the socket needs to be curetted to remove the pus pocket and all the debris and irritants, disinfection of the socket is done, and then the wound is packed with cotton gauze .any remnants of abscessed tissue in the socket may lead to infection and pain. Secondly you may have developed a condition of Chat Doctor. You need to get it clinically examined by a dentist to confirm and make a diagnosis. Pain the other teeth may be due to gingival infection which can be cured by scaling and root planing. About wisdom teeth, they normally erupt at the age of 18 to 27 years, so you can still wait as you will get the eruption signs once they appear. I would suggest you to get an OPG radiograph done which will show the wisdom tooth appearing as well as infection in other teeth if any, will help in deciding treatment. I hope I answered all your doubts, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "For the past 2 or 3 months, I have had very strong, pulsing heart beats and trembly feeling inside my chest that will not go away. Also, I have severe hypertensive periods, vertigo, and tinnitus. I have a history of Hashimoto s but TSH is normal, now. I have had brain MRI, Ct scans, EKGs, carotid dopppler, blood chemistries and all appear to be within normal range, with the exception of Vit D, I have added 5,000IU/day. However, about 2 weeks ago, I had an episode of hypocalcemia, confirmed by Trousseau s sign, periorbital parysthesia, etc.. (but total serum calcium was normal). I have since added calcium supplements. I am currently on 60 mg Cardizem 3x/day but BP is still 150/90. (I had an allergic reaction to carvedilol - hives, swelling.) Have been to ER 3x recently with hypertensive episodes 200/115 and palpitations. Have been to a cardiologist, endocrinologist, and PCP. Should I go to a neurologist? What other things can cause these conditions?", "output": "Hello, I passed carefully through your question and would explain that these symptoms do not seem to be related to any neurological conditions, especially considering the high blood pressure values. Coming to this point, I would recommend checking cortisol plasma levels, aldosterone plasma levels and urinary metanephrines in order to exclude a possible a Chat Doctor. A panic disorder cannot be excluded either. For this reason, I would recommend trying low dose Alprazolam during these episodes and see if your situation improves. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I am a 41 year old female. I fell down the stairs this morning and have tremendous pain in the top of my arm/shoulder. I am unable to raise my arm or lift anything, The pain is going round into my shoulder blade but is generally within the section at the very top of my arm, I live alone and do not drive and really cannot get to a hospital this evening. Will I be ok to wait until the morning and do you feel I may have a fracture? Many thanks for your time. Charlotte", "output": "Dear Charlotte, there are three things that may have happened to you:1. Contusion of the shoulder, treatment only ice and painkillers2. Luxation of the shoulder, treatment go to the hospital directly need reduction3. Fracture of the bones of the shoulder, the treatment varies depending on from the damage you have sustained, conservative to surgical. So the conclusion is that you should go directly to the hospital. This is the best for you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I went to emergecy room because of bad sinus infection and they took me right away. THEY ASKED ME what was my problem . I could not remember anything , they took my BP, IT was 230/120. They took me 2 a room and gave me chest exray. Doctor told me I had nodule on left lung and i need 2 get it checked out. BP drop down some and he released me. i asked for a refferal, he told me to find one because i had sinus problems. what should i do", "output": "Hi Dear !! Thanks for your query to Chat Doctor. Read and reviewed your query and health concerns. You seem to suffer from -Chronic Sinusitis with left lung nodule, with high BP. Seems mostly to be a case of -Aspergilli with APA with sinusitis with high BP. Bronhcoscopic Lavage with aspiration and biopsy-would fix it from other causes-like-TB /Cancer etc. Remedy-Check up with ENT and second opinion from Chest and allergy specialist would rule out cause of accompanied high BP with it. CT Chest with CT -PNS(paranasal sinuses)would resolve the complex health issues in your case. Depending on causal confirmation of the lung nodule, attending Physician/chest specialist and ENT Specialist team would plan further treatment accordingly. General antibiotics/with enough HY Chat Doctor. Commonest cause in your case would be Bronchopneumonia with aspirations from Sinusitis. Other common cause -TB bronchopneumonia- needs to be ruled out and treated with anti-tb medicines accordingly. Steroid with Itraconazole(Strong)-would resolve the nodule -is from aspergilli. Simultaneous treatment to control high BP with antihypertensive medicines would be needed in your case. Hope this would help you to plan further care of this complex illness of yours. If need be, update any health issue 24 x 7 by a direct question to ME, at following Chat Doctor link-Dear, if satisfied, Dont forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at Chat Doctor services. If you want to update more details and ask more update queries, You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have a little bit of blood in my urine, what could it be? i wiped some on toilet paper and it was a faint orange color, so it was not much, i 1st noticed it this morning when it hurt to pee, the pain was a decent amount, i got back from school and went to the bathroom again and it hurt again but a lot less than this morning. there is no one with diabetes in my family, so it might be UTI (even though i have never had sex).", "output": "First get your urine examination done to confirm whether it is urine in blood or something else. Most common cause for blood in urine is calculus. Common cause varies from male to female. UTI can cause blood in urine, but not the commonest cause. So to know the cause complete urine & sonography is required. Treatment depends on the cause. Start taking plenty of liquids it will definitely help you. Disclaimer" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my mother had cerebral at last thursday 11/09/2014, her right side left, high bloode sugar detect 180 fasting & 300 pp tested. running medicine are decdan injection, amlokind 10 for pressure, vogomate v .3 for sugar , now last two days we noticed that she had bedsore back position what can we do?", "output": "Hi, Thanks for writing in. Bedsores are the first sign of infection in a person who is immobile. Please inform her doctors and make arrangement for her to sleep on water bed to avoid more bed sores from happening. Since she is diabetic, there is possibility of the bedsore developing an aggressive infection. First medications are to be applied in the region of bedsore. A nursing attendant must be put in charge of turning her posture regularly and keeping the surface between the skin and bed Chat Doctor. This will prevent sweat from accumulating and preventing new sore formation. Attempts are also to be made to lower her blood glucose. Diabetes causes infections to spread quickly to other areas and this must be prevented. Please check the bedsore wound every 6 hours and change surgical " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "yes hi there i have a back tooth that has been sheared off to the gum line and has an exposed nerve a friend of mine gave me a couple of CLINDAMYCIN HCL 150mg. capsules i was wondering if you think these will help my tooth till i can get to a dentist on Monday since the ER said there really isnt anything they can do and i should see a dentist thank you for your time and help in this matter Rich.", "output": "Hello there, Thanks for writing your query, Your clinical history suggests you are suffering from a severe periodontitis. It is a condition where gum line with respect to the tooth shows severe recession and exposure of the root surfaces of the teeth. It is caused due poor oral hygiene, improper brushing and flossing that leads to accumulation of bacterial plaque and calculus deep in the gum pockets and root surfaces of the teeth. Yes CLINDAMYCIN is an antibiotic which can be used to prevent infection and suppress further damage, but antibiotic will work better when you get the gum treated by dental procedures. It needs to be treated by thorough professional deep scaling of gums and root planing of the teeth to remove all the irritants, this will help in resolving the symptoms followed by a course of antibiotic and analgesics. I hope this helps, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been diagnosed with Syncope and want to know exactly what it is. I also suffer from kidney disease and was on dialysis for 2 1/4 years. Now my creatine level is at 1.9. What is a normal level? I lost both legs and the majority of fingers on my dominate left hand due to Thrombotic Thrombocytopinia Purpura. (T.T.P. in 2003", "output": "Hello! Thank you for the question! I understand your clinical situation. A syncope is a sudden loss of body tone, with loss of conscience which lasts for some seconds. As a result the person falls sown immediately without understanding what happened. This is caused by a disorder called autonomic dysfunction which causes episodes of low blood perfusion to the brain. Have you had Chat Doctor? Renal failure is a common complication of these disorders. Syncope too. Renal failure can also cause syncope. So you have two RISC factors for syncope. The normal levels for creatinine are 0.5-1.5\u00a0mg/dl for men and 0.6-1.2\u00a0mg/ml for women. Your level is not too high. Hope to have helpful. Thank you for using Chat Doctor! Best wishes " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "49 yr old F. Yellow patchy skin on lower breasts and fold of thigh groin joint. Have not been sexually active lately", "output": "Welcome to Chat Doctor You could be having intertwine which is destruction of skin along with sweat accumulation and possible fungal infection. It is seen usually in obese patients. It is best to eat healthy and exercise daily to reduce weight in such a situation. Get your blood sugar and blood lipids tested. Consult a Dermatologist for possible antifungal medication like Clotrimazole which will work best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I noticed a large dark purple bruise on my boyfriend s lower right abdomen. He has not been hit or otherwise injured, and there is only slight pain to the touch. His gallbladder was removed two months ago, if that is any help. I am worried because the bruise came out of nowhere and seems to be getting bigger.", "output": "Hi. Thanks for your query. Read the history about your boyfriend and understood it. There is a history of gall bladder removal 2 months back. And now a bruise on the same - right side of the abdominal wall for no apparent reason. The possible cause can be reactivation of an infection in the abdominal wall post-surgery. Get an ultrasonography of the abdominal wall, X-ray to see if there is any Gas shadow. This indicates infection. Consult a General Surgeon and start on the treatment of antibiotics. If this does not settle with medicines, may need a Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 76 year old mother fell out of bed for the thirds time this moneth. Her recent fall was this morning and she has a huge lump on her upper arm, there is no bruising as of yet and she can raise her arm without much pain she is just tender and achy. The lump is about the size of a tomato. Should we be concerned. She is also on warfarin.", "output": "HI, Dear Carson-Very Good Morning from India. Thanks for your query. I understand your concerns. I studied your query in depth.-I would advise your mother not to worry. In my opinion its -post-traumatic HEMATOMA.-Treatment-l you need to consult ER Surgeon to avoid any infection in it and pus formation, which needs to be avoided.-He would treat it- by-a-Cold compresses-b-Tb Antibiotic, c-Tb NSAIDs, and would adjust the dose-of warfarin accordingly d-Watch for any increase in Size of the arm lump. This would regress in next 2-3 was time.-Hope this reliefs your worry-some query. Welcome for any more queries in time to come. Have a Good Day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i recently started playing girls water polo at school and yesterday whale i was showering and cleaning my body i found a bump on my butt and when i touched it, it hurt. and today at school when i would sit it would hurt i have no idea what this is or what it can be i have never had anything like this before", "output": "Hello! Thank you for the query. If this lump is in the butt cheek area, infected colonial cyst is the most probable reason. If the lump is somewhere else on the butt, skin infection and small abscess it is. In both cases you need to have it incised and Chat Doctor. Otherwise, it will get more painful. In case of colonial cyst you need to have it removed when the acute inflammation will be gone. Please consult general surgeon with this issue. Hope this will help. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have enlarged foliate papilla on the right side of my tongue. I have them for quite some time now. My dentist did a \"brush over\" cancer test and it came back negative. However, they do not seem to be going away. They are also associated with a burning feeling in that area. Any comments or suggestions?", "output": "Hello, Welcome to Chat Doctor . I understand you concern there is nothing to be worried, this is enlarged papillae is seen this can be due to deficiency of vitamin supplements, iron deficiency, or due to acidity also. For this you can take some medication by consulting you doctor one tablet multivitamin once daily for 15 days. One tablet metronidazole once daily for one week One tablet Antioxidants once daily for one week. If you don't get relief then consult physician for complete mammogram. Hope this will help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was prescribed the following drug clindamycin 150mg capsules due to an oral medical issue. I have oral implants with a bridge. The screws broke off in my jaw. The attached bridge has come totally undone, leaving the open gum. The prescription has been prescribed as a preventive measure. I have no pain and no sign of invection as yet . After reading the warnings that came attached with the prescription filled at Walgreens I am extremely hesitant to take the drug due to the severe side effects. Possible death due toStevens Johnson syndrome ... I live alone so I not going to take the drug and take my chances with invection. Is that a wise choice?", "output": "Hi. Thanks for the query. I have gone through your query and can understand your concern. Well taking Clindamycin does not always cause side effects and that too are not always life-threatening, so better first relax. If you go through the side effects of any antibiotics you will always find a long list but all the side effects are not always seen in each individual who take the Chat Doctor. . So my suggestion is to continue taking Clindamycin. If you still doubt you can go for Allergic testing and once confirmed you can take safer antibiotics without fear of fatal side effects. Hope this helps. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have an issue with my right knee I have a slight raised place on the lower outside part of the knew and have had for about 2 weeks it doesn t hurt down deep like a joint or tendon but rather the skin hurts to the touch or when i have pants on I certainly have never had anything like it before Any Thoughts??", "output": "Hello, As I understand with the query is all about the burning sensation. Now, this is not related to the knee. As you never mentioned the injury, so I suspect that you haven't had any. This burning sensation is related to the nerve root. Due to weakness in the spinal region, the nerve root gets impingement. As the nerve has the function of carrying the sensory and motor, any impingement of the nerve will cause the dysfunction in the normal functions of the nerve. I think if you do core strengthening exercises then your symptoms will subside Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi there , im 6 weeks pregnant and since yesterday morning i started having pinkish discharge on wiping with no pain i did na ChatDoctor level it was 1280 . today it was repeated and became 1450. they couldnt find a sac on transvaginal u/s intra or extrauterine . the bleeding has become less today . i had cramps in the morning through the afternoon but they r resolving . after taking IVFC injection", "output": "Hi, Welcome to Chat Doctor forum. In such a case it is difficult to determine the cause, It may be an inevitable abortion in the very early days of pregnancy, and presented at this date, H.C.G. may be positive for some more days, and the cramps could be due to the small mass of the sac, to be expelled, or may be due to infection. Ultrasound will be the final finding to rely upon. Still your doctor will be the better judge. Wishing for a better health. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Last Sunday i passed out. when my friend checked on me, i was unresponsive. when at the hospital my blood pressure was 76/48. after regaining conciousness, i couldnt speak correctly or move my right leg and arm. within a day, i was back to normal and prescribed nothing and given no answers. what happened to me?", "output": "Hello, There could be a few reasons to your symptoms. Since your blood pressure was so low, the first thought is that you were simply not getting enough blood to your brain. From you symptoms it sounds like your left hemisphere of the brain was affected given that you couldn't move your right leg and arm. Language also resides most commonly in the left hemisphere, so speaking would also be difficult. You didn't mention your age, but when symptoms are isolated to a side of the brain, what needs to be done is an MR-Angiogram (blood vessel imaging with MRI) or CT-angiogram (blood vessel imaging with a CT) of the arteries in the neck and brain to make sure that there is no narrowing of the blood vessel that could result in the symptoms just affecting one side of the brain. If neither of those tests are possible, then as a bare minimum a carotid ultrasound should be done. Alternatively, but much less likely is that you could have a migraine that caused paralysis and focal neurological symptoms. They are very rare, but still a possibility. The symptoms usually resolve in a few hours to a day. Lastly, a seizure could have also occurred which caused you to lose consciousness. There is a condition where after the seizure, it takes the brain time to recover and there can be difficulty with movement and language. Again, I feel that that is less likely. None-the-less you need more testing done to make sure the blood vessel are open. Also, they need to investigate the cause of your low blood pressure. It can be due to a Chat Doctor. You should definitely speak with your primary care physician to have all of that investigated. I hope this helps. Sincerely, Kristoffer Mission" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been having issues with my stomach, I feel bloated or my stomach is swollen, I also am having problems with my digestion my food sits in my upper stomach for days with this is very painful. With this comes constipation . I have tried fiber and yogurt and digestion enz, lots of water cutting down on my food . I might feel better through the day but it comes right back. Any suggestions.", "output": "Hello and thanks for posting. First, sorry to hear about your trouble. Second, there are many potential issues that need to be ruled out, and you should see a gastroenterologist to assist in this before anyone just states it is just irritable bowel syn Chat Doctor. I do not know your age, but there is a website called breakingtheviciouscycle.info that you can look into to make some changes in the diet and eliminate potential contributing factors. Best of luck" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "after echo test docter asked when i get my heart attack before then i approched hospital where echo and tmt test are done and found positive i am taking medicen ;mrtoprolol,ecosprin-100mg,crestor-10mg,isosorbide-20mg,please advice how to cure my heart is by yoga it can be cure.after taking these medicen my stomak is up set.", "output": "Hello! Welcome and thank you for asking on Chat Doctor! I passed carefully through your question and would recommend performing a coronary Anglo CT scan or coronary angiogram in order to examine better the coronary arteries. Stent's implantation or bypass surgery may be necessary based on the coronary angiogram. Meanwhile, I would recommend continue on these Chat Doctor. ). Regarding your stomach, I would recommend using omeprazole twice daily. You should take esprit only after meals. Hope you will find this answer helpful! Wishing good health, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "iam 41 yrs old recently the dark pig mentation around eyes and mouth are very prominent. i consulted kaya skin clinic they suggested skin lightening alternated with mesoglow treatment once amonth for 4months. but they gave partial success in the whole process.iw ould like to go for second opinion. is there any other alternative procedure for my problem.", "output": "Hi, Visible pigmentation in human results from the synthesis and distribution of melanin in the skin, hair bulbs and eyes.Hyperpigmentation can result from excessive sun exposure, use sunscreen with SPF 30. Some natural remedies are-mixture of lemon juice and cream; apply on face. Put lemon juice onto basil leaves. This is great for getting rid of pigmentation marks and dark circles that may have been a long-time problem. Apply lime (NIMBY) to the affected area, and after 15 minutes wash it off. This needs to be done on a daily basis. Other remedy is Comic acid cream which lightens up the dark spots but takes some time. However, mellow is a facial treatment using Vitamins and Mineral injections to add that healthy glow to skin which radiates energy and vitality. Subdermal vitamin injections rejuvenate the cells, making them more active and thereby stimulating the production of collagen and elastin. Overall it reduces dark spots; effects seen faster than comic acid. You can continue same treatment for dark spots along with natural remedies and sunscreen creams. Take care. Best regards," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 26 year old son is for past 3 weeks is complaining about tighness tingling and numbness under his left rib cage. No pain. He says it comes and goes and he doesn t feel it at all when he is lying down. He is very atletic and plays major basketball and baseball. Is this a common problem", "output": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, we should first rule out heart diseases for his symptoms because left sided chest discomfort is common in heart diseases. So get done ECG and 2d echo. If both these are normal then no need to worry about heart diseases. Sometimes in young age, stress and anxiety can cause similar symptoms. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in his life and start working on its solution. He may need anxiolytic Chat Doctor. Don't worry, he will be alright. But first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wishing good health to your son. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have had insomnia for about 18 years now, no I am not depressed, yes I have tried melatonin and I think all other supplements to try and find a good solution. If you could help me with a good solution for this you would then become my new best friend.", "output": "Degree understand your concerns went through your details. Insomnia definitely will be having an underlying basic factor which needed to be identified. You did not provide many details about the factors and other investigations carried out by previous doctors. You should provide this information. Secondly, provide previous treatment options. Provide emphasis on psychological aspect too. Psychologic origin insomnia is totally curable. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been bleeding a little when I go to the bathroom out my anus. And the crack area has been burning I went to look today anmean have a red ring around the anus and down the whole crack is red n purple any idea what it might be or if its seriouse?", "output": "Howell come to ChatDoctorI really appreciate your concern. Discussion:- Looking to the history given here chances of fissure is very likely, constipation need to be relieved for further damage, and in case of profuse bleeding fissure should be treated surgically but in minimal or less bleeding no specific treatment required. Medication:- Local application of hemostatic agent can be tired, with \"Provide Iodine\" cream. Advise:- Have more fiber diet, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i ate chips then licked my fingers then pulled back my foreskin and wiped the area with the spit covered fingers. After a month or so i noticed white clustered bumps along the area i wiped the spit on. Please help me I dont know what to do is it a stdNo itching No redness just a little burning very rare", "output": "Hi, Thanks for posting in Chat Doctor. What you are complaining of appears that you have a mild bacterial infection of the foreskin. Nothing much to be worried about it. This can be managed in the following way: 1. Wash the area with warm water and mild antiseptic like Salon solution twice daily. 2. Apply Aureomycin Skin cream following washing after it Chat Doctor. 3. Wear loose fitting underwear till the lesions heal completely. Keep the area clean and in good hygiene. Hope the information provided would be helpful. All the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a 22 month old that keeps getting large red bumps off and on around the out side of her private area. It almost looks like an infected pimple. When I wipe her after taking her diaper off she shakes in pain and says it hurts. What do you think it could be?", "output": "A picture of that rash will help me in diagnosing the disease. It could be Nappy rash, Candida (Fungal) infection or bacterial infection. If the rash involves inguinal Fleur, most likely it could be candida infection. Is your children rash associated with fever? How frequently do you change the diapers? If you keep it for longer periods, child might develop those nappy rashes. And you ought to keep the surface Chat Doctor. A local application of Fluconazole will help you out with candida infections. And Emollients with nappy rashes. You can even try Happy Nap cream. Thank you!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi dear my son is 1year and 9 mth old and till today he caughted by fever so many times.now he is also fighting with fever from last night.and i given him first mafenamic acid suspention 60 ml with the antiboitic secef and he got fever in the morning and i given him calpol with secef at 10 a.m. but still he have fever 101. pls help me what to do am very worried.", "output": "Welcome to the ChatDoctorI have gone through your question and understand your concern but don't worry. Most common cause of such fevers in toddlers is self limiting viral infections. They usually improve with in a few days. So, I would recommend you to give symptomatic treatment to your child. You may give Cal pol or metonymic acid for fever spikes. You may repeat the dose after 6-8 hours if the fever doesn't improve. There is no need for any antibiotic at present. So avoid giving see. Also, offer regular feeds and fluids to avoid weakness and deny Chat Doctor. Hopefully this will be helpful to you. I would be glad to help you for any further questions. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "what would cause a crunchy pop noise and feeling in my spine when I move a certain way or sit down in a car followed by a severe pain that shoots up my neck and down my back to the point where it makes it hard to breathe?, it has been going on for a couple years", "output": "Thanks for asking. From your history it seems that You are probably having permitted sign which is most commonly seen in advanced cervical spondylosis. 1. Get a Straight X-ray of cervical spine (AP & LAT view)2. If it's suggestive of spondylosis, start using soft cervical collar of proper size.3. See a physiotherapist for neck excercise4. Avoid activities which require forward head bending or excessive neck movement.5. For pain relief you can use Tab. Gabapin-NT (400/10) once daily at night. Hope it is useful. Review if needed." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 22 weeks pregnant and in hospital with suspected appendicitis I am receiving antibiotic treatment and not surgery right now as am pregnant, am getting IV aztreonam and metronidazole will these work to treat appendicitis or am I going to need surgery whilst am pregnant? I had extreme pain 2 nights ago in right side, am still in pain but doesnt seem as bad, my temperature an white blood count are normal too, am so worried about the thought of surgery and does this sound like definitely appendicitis?", "output": "Hi. Do not worry. Relax. This one of the needs for the better outcome in any disease. 22 weeks is second trimester. You are on a correct antibiotics and appendicitis may very well subside with these medicines. Just follow whatever your Doctor advises you. Since your counts and temperature are normal, you may not surgery now. Please post the symptoms and findings chronologically for us to tell you about appendicitis (you have not put in symptoms here). Review ultrasonography / MRI to confirm the diagnosis and see the progress is a good way to follow the disease as well as improvement in your symptoms as abatement of symptoms, a good and sound sleep, good motion in the morning and feeling hungry are the best symptoms to judge the progress." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I just recently lost my son while I was 23 weeks pregnant. I hadn t felt him move so I went to the doctor and found out there was no heartbeat. When he was born he looked absolutely perfect. What s even more upsetting is that I was in to see a specialist 3 weeks earlier and they said according to the u/s that he was a very healthy little boy. How and why is my son gone 3 weeks later?", "output": "Hello, I am so sorry. Please accept my sympathy for your loss. There can be infections, birth defects, complications of pregnancy such as high blood pressure. Mom can be a smoker, alcohol, overweight, African-American, have diabetes. Many times the cause of a stillbirth infant is unknown. Most women become pregnant again, have a healthy pregnancy and a healthy baby. You may wish to contact a group of other women who have also lost a baby. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 7 yr old son is adopted from Guatemala. We have recently noticed a faint white line in the middle of his chest from just below his nipples almost all the way to his belly button. Is this normal? Anything to worry about? Any indicator of any kind of health problem?", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. This white line can be normal finding, but better to get done following tests. 1. CBC (complete blood count). 2. Vitamin b 12 level 3. Calcium and vitamin d3 level. 4. Thyroid function test. Anemia, vitamin b12 deficiency, low calcium and vitamin d3 and hypothyroidism can cause similar skin changes. So get done above-mentioned tests. If all are normal then no need to worry much. This line will gradually go away with time. And if any of the test is low then your child needs supplements." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Dr. Mintz. Last week I experienced shortness of breath and a chest x-ray was ordered. The findings were that 1) bilateral hilar prominance was noted due to vasculature as opposed to enlarged lymph nodes. 2) septal thickening of both lungs Do you know what causes this? I no longer am experiencing shortness of breath, but I still have weasing in my bronchial tree. I am not a smoker. I am 51 and have been battling osteomyelitis in my great toe which was recently removed. I now am on six weeks of IV antibiotics administered through my PICC line. Thank you, Bri", "output": "Hello dear, thanks for your question on Chat Doctor. In my opinion you should consult pulmonologist and get done PFT (pulmonary function test) to rule out bronchitis. Age more than 50 is an individual risk factor for bronchitis. You are also having wheezing with shortness of breath, these also favors possibility of bronchitis more. Bilateral septal thickening is also seen in bronchitis due to inflammation. So consult pulmonologist and get done PFT. PFT will not only diagnose bronchitis, but also tell you about severity of the disease. And for treatment severity is important. You may require inhaled bronchodilators. No need to worry much for septal thickening in both lungs." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am 22 years old and I have lost 50 pounds on the ChatDoctor diet in the last 70 days, 5 days ago I was having some chest pain for about 3 hours, than today I had the same thing could it be from eating broccoli? It sure feels like a gas problem because I feel like I just want to belch all the time. Also when I bend over sometimes I get a small pain on the right side of my chest on my rib cage? Any answers?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of acute gastritis and gaseous bloating is more likely. So follow these steps for better symptomatic relief. 1. Avoid hot and spicy food. Avoid junk food. 2. Avoid large meals, instead take frequent small meals.3. Take pantoprazole and levosulperide combination on empty stomach twice daily.4. Go for walking after meals.5. Keep 2-3 pillows under head in bed to prevent gas reflux.6. Quit smoking and alcohol if you have these habits.Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hii..i had my last periods on 16 jan.. we had sex on 23 jan and condom leaked inside. i took unwanted 72 on 25 jan..still not got periods... normally cycle is 28 days.. i neither have symptoms of pregnancy like nausea, tenderness in breast or other common symptoms...only sometimes having feeling same as pre-menstruation cycle...m i pregnant??", "output": "Hello, Thanks for writing to us. You did safe sex on 23rd Jan as per last period date and took Unwanted 72 pill on 25th Jan, which will give extra protection. In this case, your chance of pregnancy is NIL due to safe period. Your late period is MOSTLY due to hormonal imbalance (effect of the pill) and mental stress. Period may be delayed for 1-2 weeks. On negative test, you have to wait for coming period naturally. If your period doesn't start within 2 weeks, you must undergo one pelvic ultrasound scan and hormone test to pinpoint the diagnosis. You may require progesterone pill to induce period. Kindly, consult with your gynecologist and take complete prescription. You should control body wt, avoid stress, take healthy low carboy Chat Doctor. Good luck and take care. Be well." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I m 25 years I had a miscarriage in February 2012 and I got again in July during period I had sex and got pregnant and in march 2013 I had the at 8 months by c section the baby had abnormal heart kidney and liver problems baby stayed in nicu for a month died on April 12 2013 and 9 months later I m having trouble getting pregnant help please", "output": "Don't be in a hurry to conceive so down after cesarean. ...you need ample of time for your body as well as uterus to be capable to handle a new pregnancy. ....the scar of cesarean takes 1 year minimum to be able to carry a next pregnancy safely...since you had a baby with birth defects....get your tests for congenital anomalies done and start taking folic acid 5\u00a0mg along with multivitamin to cover up for any internal deficiencies for at least 3 months" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Yes, I just returned from the Emergency Room! The ER People did a great job! My main Complaint was Severe Chest pains on my left side, Radiating from my Sternum up and around my upper portion of my left chest, close to my collar bone, then down the left side of my body! Stopping at the bottom portion of the left side of my chest! The People at The ER drew Blood samples, did an EKG, ran X-Rays And said I was not having a Heart attack! Which I Trust and Believe is True! Even after all the Pain Medication they gave me at the ER, I had no relief from the Severe pain! I am not worried about the pain, as much, as to what this Ailment might be? I also have Numbness from my Elbow down to my finger tips! I have not had any recent Injuries! No Severe Coughing fits? I have quit smoking about a month ago? I have no Dizziness, nor am I lightheaded! Just the Severe Pain on the left side of my chest, with numbness from my left elbow down to my finger tips! Any Suggestions, of what it could be?", "output": "Howell come to ChatDoctorOf course this is typical symptoms which may be suggestive of cardiac disease could be because of ischemia, if the EKG is unremarkable then this does not rule out the possibility of ischemia but this need to differentiated with the help of trade mill test, ECHO, and if possible coronary angiography need to be done, if these test are unremarkable then it can be said that this is not the cardiac disease, till then condition can be treated with Tab Omeprazole 40 mg and Tab Risperidone 30 mg once in day, hope this information helps, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 24 yr old, healthy and active woman. In July, I was cleaning and took quite a hard fall and hit my back on the side of the bathtub. Ever since, my thoracics and lumbar has been a problem. I have been to the chiropractor repeatedly since and the problem always seems to come back within a week. I went to my doctor and he diagnosed a muscle sprain and put me on somas, but they do not help. Also, a few weeks ago I was putting on a pair of boots and heard a snap in my very lower back...followed by alot of pain. What should I do?", "output": "Hi, It is quite common to have these types of pain persisting for quiet a lot of time in absence of proper treatment. All you need to do is to give rest to your back, avoid over exertion and lifting heavy weights. Along with warm saline fomentation twice a day, consult a physio also for ultrasonic therapy. If all these doesn't proves to be effective then get an X-ray of the affected part done. Take care. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am having pain between shoulder blades to the point its spiking bp. i am on blood pressure meds and the local drs are stumped as to what could be causing it. i am non smoker, run frequently, exercise daily (until recently). my systolic blood pressure has stayed high", "output": "Hi, Thanks for writing to Chat Doctor, I am Chat Doctor. Pain between shoulders blade can be due simple muscular or can be due to aortic dissection with sharp pain ... if u were my patent I would like to ask detail history with examination n run test ESP X-Ray to look for mediastinum widening to rule out dangerous condition n if it is culprit then TX by surgeons ...in case muscular pain need simple analgesic n muscular relaxant ... I hope this answered your question, if you have more feel free to ask. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have barrel chest and went for a checkup to see if i have asthma but the doc said no. I am having severe shortness of breath and even though i sleep more than average i still seem to be extremely tired. What should i do?", "output": "Hello and welcome to Chat Doctor.barrel chest has been associated with lung and heart pathology, but not necessarily. If you have shortness of breath and tiredness, please consult a medical specialist to use out valvular lesion associated. Ideally get your lung function tests (spirometry) and an ECHOCARDIOGRAPHY . Get an x-ray chest done also. Hope your question is answered. Take care and wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have a brother that is diebitic and has a cute on his foot. it is swollen. He went to the doctor and the nurse said for him to go the the hospital to have it check out and make sure is not gangurring. cant spell it. He has been cleansing it and putting Iodine on it and soaking it. He says the bubble that in side cute busted and its draining out. He says he cant hardly was on it. I trying to get him to check in to the hospital, but no luck.in the mean time he tring to keep it clean. Is there any good medicine I can get to keep it clean, untill I can get him to go to the hospital and check it out.", "output": "Thank you for you question. Diabetes is a chronic condition and its complications predisposes people to have chronic wounds on the lower limbs which can lead to gangrene and cause lead to an amputation of the said limb. This situation is worsened when the Diabetes is poorly followed up. I would ask you to first of all check his blood glucose level with a One-stop machine and make sure it is within normal values for diabetic patients i.e. 1 - 2 g/l, secondly verify if he is taking his diabetes medications, do twice daily wound Chat Doctor. Consult a planetologist when you can. Good luck" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, I am a 25 year old woman and I am concerned that my hair is falling out too much. I always had thick hair. I recently noticed that my hair drops a lot in the shower and when I am casually running my hands through my hair. I also noticed my scalp has been itchy. could this be alapesha?", "output": "Hello, thanks for posting in Chat Doctor. In general there is loss of 100 hairs per day which is considered as normal. Excess of that leads to halogen effluvium which in which significant amount of hair is lost. Many internal conditions have to be ruled out to control it. Following investigations are advice for hair fall:1.CBP2.SERUM FERRITIN3.SERUM IT B12 AND IT D34.THYROID PROFILEItching of scalp occurs in Dan Chat Doctor. Use an antigen" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "how to get of dark spots on legs which have been caused due to injury....is there any cream or home remedies for the dark spot to disappear in few days or weeks....", "output": "Dear Latham, Thanks for contacting Chat Doctor. As per your query it would be very much required to know how long back was the injury and how long it took to heal. Are u using short Chat Doctor. You might need a combination of treatment cr\u00e8mes to get rid of your problem completely or partially depending upon the above factors. I would suggest you post some pictures to your plastic surgeon or a dermatologist with special interest in cosmetology for getting the right treatment" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Sir,I am 33 years old of weight 79 kg and height 1.74 m. I have been following my doctors prescription of taking 1 no of Udliv 600 mg each before lunch and dinner , 1no of Atocor 10 mg after dinner and 1 no of Rablet 20 mg before breakfast since last 4 months. Before 4 months my SGPT was 107 and SGOT was 67. Recently I have found my SGPT and SGOT to be 62.2 and 54.4 . However, my triglyceride level is 204.2 mg/dl. Is my treatment going in proper direction? Moreover, I have been using Neurological medicine Desval-ER-500 since last 5 years due to epileptic disease. Does this medicine has any adverse effect in lever function? Please help....regards,AAAA", "output": "Hi, Welcome to Chat Doctor. Most anti-epileptic medications including Deal (Valerie acid) affect liver function, however, based on the information you have given your liver function is certainly improving (decrease in SGPT and GOT) indicating that your treatment is going in the right direction. However, your triglyceride level is still high. I recommend increasing the dose of Amoco and repeating your lipid profile after a couple of months. In this regard I will advise you to consult your primary physician and monitor your lipid profile as well as liver function. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor, shall I use flutivate cream for my 1 year baby? She is having rashes in her legs and when we consulted the doctor he told that because of milk only this kind of allergy will come. And also he prescribed flutivate cream.. When I check the internet it shows some side effect and also mentioned not used for children (Fluticasone Propionate). So, I m in confusion. Please clear it.", "output": "Thanks for posting on Chat Doctor. Cultivate contains a steroid called fluticasone which is intended to reduce an inflammatory allergic manifestation as exhibited by the rashes. Apply it as per your doctors' advice. It is hard to comment without looking at the rashes but might be needed. It can be used in child Chat Doctor. Such allergies may occur not only in response to milk but also practically anything that we are exposed to, things like dust, pollen etc. If your doctor advises milk free diet, you can include formula like Zero lac. But after semisolid have been introduced in the diet, milk can be avoided anyway. Hope that helps. Feel free to revert in case of further queries if any." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my brother is 44 years old two days ago he passed out no breath pale and he remained like this for 2 minutes or may be more or less . his echo graph is normal and doctor found a cyst on his kidney .his blood pressure was 160/ 10..can you please let me know why he passed out like this .", "output": "Hi, I understand your concern and I'll try to help you. The sudden loss of frame of consciousness that you reported is compatible with syncope. There are several causes of syncope is the most common type is the vasovagal syncope, but there are also syncopation of origin for cardiac arrhythmias and neurological diseases. The picture of your brother has several characteristics of vasovagal syncope, but the information you reported is insufficient to confirm the diagnosis. This type of syncope is often triggered by stress such as fear of needles, fear of heights, long periods of standing and in the same position, hot and stuffy places. Usually there is complete loss of consciousness, which can last a few seconds and the patient wakes up slowly, often with nausea and dizziness, and skin pallor and general ma-being. After a few minutes the person is totally normal. This all occurs by stimulation of the autonomic nervous system that causes bradycardia (reduction in frequency of heartbeat and Chat Doctor. To confirm this diagnosis and away from others is necessary look for a good Cardiologist to make a detailed medical history and discard cardiac and neurological causes. So I use some additional tests beyond echocardiography, holder as 24 hours, exercise testing, in some cases the tilt test and if there are signs of neurological causes, request a cranial tomography and evaluation neurologist. Hope I have answered your question. If you have any further questions I will be happy to help you. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir, I am feeling burning/pinching and twisting in my nervous and muscles in left side and in chest area. I have shown to doctors, they did ECG and told that it is not heart problem...and asked me to apply pain gel to reduce it..but the problem persists...please advise..", "output": "Hello! Thank you for asking on Chat Doctor! Your symptoms seem to be related to a musculoskeletal pain. Inflammation or an electrolyte imbalance can not be excluded either. For this reason, I would recommend performing further tests: - PCR, sedimentation rate for inflammation- blood electrolytes including calcium to exclude possible imbalance. Meanwhile, I recommend taking ibuprofen. I would also advise you to closely monitor the skin in this region for possible eruptions. Shingles can cause similar symptoms before eruptions. Hope to have been helpful! Kind regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i have a 4 month old son who has a welt like bump on his spine, on closer inspection i noticed that it is hairy, i have concerns due to the fact that while i was pregnant with him during an ultrasound the noticed that i had an increased risk of nueral tube defect - in particular spinal bifida was wondering if i should be concerned about this lump it is about 4cm long and 2cm wide not raised too much??", "output": "HI. Thanks for your query. Yes, the hairy lump on the spine is a telltale sign of a neural tune defect. In your case suggestive of an underlying spina bifida. Please confirm this by X-rays. Also get confirmed his movements of the lower limb. Consult a Pediatric Surgeon or a Neurosurgeon. And if the nerve supply to the lower limbs is unaffected, you have to observe for any further development as your child grows to adulthood. In later age he may need surgical interventions if there is development of neurological deficit." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am argho 32 male. Recently i came to know that i am azoospermic. My Semen volume is 4.6 ml. Cloudy white color, LSH 16.4, FSH 8.5. Sex is Normal. I have very bad checken pox at the age of 16. No other serious illness. Can u answer me?. Can i be a father?", "output": "Dear sir, there are two types of azoospermiathe first is obstructive azoospermia in which production of sperms are normal, but there is an obstruction to the pathway. This can be cured by removing the obstruction the second is non-obstructive azoospermia in which sperm production is impaired. In this case the only way for parenthood is to take a testicular biopsy and extract sperms from it and undergo an assisted reproduction cycle by CSI" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Gallbladder taken out April 2011, appendix 15 years ago. Had vasectomy October 2011. I have been having issues with stomach discomfort, feels warm, stool is mushy. Taking align probitic. Some days I have to run to bathroom to move bowels because instant pain.", "output": "Hello and thanks you for your query. I am Chat Doctor and I will try to help you as much as I can with my answer. There are no significant side effects of vasectomy and especially not such that you describe, and you should find another causes of abdominal discomfort, and you should do colonoscopy and abdominal Ct scan. I hope I have answered you query. If you have any further questions you can contact us. Kindly regards. Wish you a good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello. I keep getting a strong metallic taste in my mouth, especially behind one tooth, and the tip of my tongue tingles as it would if I had burned it on coffee, but I havent had anything hot. I have not had a change in diet and I am not taking any new medicines. I quit smoking two weeks ago. Any ides on what this might be?", "output": "Helllo thanks for consulting at Chat Doctor.usually metallic taste and tingling sensation results from various vitamin deficiencies.like iron, it B12 ETC, so please consult a general physician for a complete blood check up and treatment,,,If YOU are middle-aged, with stress factor-- it might also be because of burning mouth syn Chat Doctor. .so maybe you are having relapse episode???either ways please consult an oral physician and general physician for a check-up and treatment,hope it helps,take care," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi! i would like to know what is the main problem of my husbands semen analysis and what would be the solution. we are trying to conceive for the past 2 years.. here are the results:Volume - 3mlReaction - alkalineViscosity - hyperviscousTotal Count/ejaculation - 55,200,000Liquefaction - >180minSperm Vitality - 35%Motility: after 30mins (PR+NP) - 30% after 1 hour - 25% after 2 hours - 20% after 3 hours - 15%Sperm Type of Motility:1. Immotile - 0% 2. Total Motility (PR+NP) - 5% Progressive motility - 25% Non progressive motility - 70%Total Abnormal Forms (Krugers Clasification) - 30% a. Abnormal Head forms - 15% b. Mid-portion abnormalities - 10% c. Tail Abnormalities - 5%Spermatogenic cells - 1-2/mlPus cells - 1-2/mlRBC - 3-4/hpf", "output": "Hi greetings. Mainly 3 important parameters. 1. sperm density is normal .we need only 16million /ml2. Motility. Rapid progressive motility is below normal, but moderate is ok3.morphology of sperms seems to be normal. Another findings are prolonged liquefaction. I suggest your husband to consult an Chat Doctor. If so treatment can be taken SND motility and liquefaction might improve. Need not worry about single report. There will be variations always. A repeat analysis after 2 months can be done. Hope my answer helps you. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am married and it s been two years we are trying to conceive.. I have taken letrozole for 6 mths and for other two months I hav been induced to ovulate by hormone injections, and I have taken rubella vaccination also. Wat further treatment shud I pursue to conceive fast", "output": "Hi, Thanks for writing to Chat Doctor. You will conceive soon. Be stress-free. Along with ovulation induction I suggest you to get your tubal patency done and if that is normal go for GUI. It is intrauterine ingestion of sperms. Here sperms are washed and processed and placed in uterus. This will increase the chances of conception as problem in ascend of sperm is solved. You can try for 3 to 4 cycles of GUI before proceeding further. Hope I have been helpful. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i had my wisdom teeth pulled out five years ago. i recently went for a dental check up and the dentist said i have an abnormality on my bottom right side where my wisdom tooth was removed,like a bump he said.so he referred me to a specialist..i have no pain and the bump is not visible when i see inside my mouth..what could this be?", "output": "Thanks for your query, I have gone through your query. The bump over the wisdom tooth region could be a flabby soft tissue or irrational fibrous secondary to irritation from the opposing tooth. Nothing to worry, if it becomes symptomatic then get it surgically removed. It can also occur secondary to any root pieces left while removing the wisdom tooth. Get a radiograph done to rule out this condition. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 6 week old fell off the couch. After a few seconds of crying he started falling back asleep. I started feeling parts of him to see if he d react like he was injured but he didn t. He just went back to sleep. What else can I do to make sure he s ok? Is it ok for him to be sleeping now?", "output": "Hi, in cases of head trauma there is high chances of brain injury. There are some symptoms which are found When brain injury occurs like persistent crying, seizures, persistent vomiting, bleeding from mouth or nose. If above symptoms are not present, then most of the time child does not have brain injury. However, it is better to get the child examined by a Euro surgeon, and if required a CT scan of head should be done. I hope this will help you. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 41 yr old female, weight 230, 5 5 tall. I have been having a tightness in my chest which gives me a slight cough. I go an hr or so coughing slightly and with the tightness and it goes away and then comes back hrs or days later. My over all health is good. I don t smoke and never have. I don t drink or do drugs and never have. Can it be anxiety or from being over weight?", "output": "Hello Chest tightness need proper evaluation. It is important to rule out cardiopulmonary reasons. It may be due to psychological reasons also, but other factors should be screened first. You need proper clinical examination and routine investigations. Investigations include routine hologram, random blood sugar, lipid profile, liver function test, renal function test, chest X-ray (PA view)ECG in all leads, TMT,ECHO. Further investigations can be done if needed. It is also important to exclude musculoskeletal causes of pain. Proper treatment depend upon findings. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Dr. P.Koregol, I am Dick Lim age 67. Thank you for looking into my query. These result dated Apr 14; bracket was Jun 2013. My Cholesterol- LDL 64 (144). High HDL 156 (68) mg/dl n yet Total Cholesterol 240 (227) mg/dl. T 99 (75) mg/dl, Total Chol/HDL-Chol 1.5 (3.3); Ph 8.0 (7.5). Blood Monocytes 7% (6&); Lymphocytes 880 (882)/cmm. BP- 140/85 (below). Blood sugar fasting- 100 (86) Free T 0.96 (0.99) ng/dl. Bilirubin 1.7 (2.1) v mg/dl Exercise 2 to 4 times a week about an hr. each time. Kindly give whatever advises you can offer will be much appreciated.", "output": "Hello, All your blood investigation are in normal range except the lipids. Now for you, we will want total cholesterol under 200 and LDL cholesterol under 130 at least and preferably under 100. The good cholesterol HDL is normal and we shouldn't worry about the same. Low how would we do it? Atleast 45 mins of aerobic exercise Daily Cut on oils, red meat, egg yellow, fried and preserved food. May shift to healthy oils like olive, 2 serving of fish /per week. Supplement like omega 3 fatty acid 1-2 GMS a day, flax seed may work No medication required for any of your reports including lipids. After all lifestyle changes repeat a lipid profile after 3 months. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I ans doctor am 24 years, i dont have any problem healthwise but i just want to know about the disease called staphyloccocus and the ways it can be contacted, Thank you.", "output": "HI Thanks for posting your query. Staphylococcus is not a disease it is the name of bacteria that causes infections(disease). These bacterium are normally present in the skin and in the nose. So any breach in the skin or any inflammation in the nose these bacteria gains entry inside the body and causes Infection. The other possibility of contracting staphylococcus infection is by eating rotten food which would have been contaminated with these bacteria. Hope this information was useful to you. Any clarifications feel free to ask." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m 56, female, a tad overweight (otherwise known as fat . lol), and my Dr. has diagnosed a lump between my stomach and the base of my rib cage, right hand side, as being a protuberant muscle. It hurts like crazy! And the pain shifts from side to side, even though the lump stays on the right hand side. Doesn t matter if I lie down and nothing much seems to help in terms of pain killers or even horse liniment. Have you any ideas as to what I can do to relieve the pain, please? Thankyou, Dr. Agarwal. Sorry, didn t realise it costs. Thankyou for your time and trouble. God bless.", "output": "Hi, Dear,Thanks for the query to Chat Doctor. I studied your problem in depth and I understood your concerns. Cause and plan of Treatment-In my opinion on the given data, you seem to have Epigastric Ventral Hernia with entrapment obstruction which is causing shifting pain from the adhesions of the chronic lump there. I would advise consulting ER Surgeon, who would treat it by Surgical Repair after study by USG scan.Don't guess more. I would advise ER Surgeon Consultation to avoid further complications with it. Hope this would resolve your issues. Act fast. So keep cool and Consult your ER Surgeon, if need be, who would treat it accordingly. So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you, but just ask a query to Chat Doctor and be comfortable to resolve your health issues. Welcome for any more query in this regard to Chat Doctor. Write good reviews and Click thanks if you feel satisfied with my advice. Have a Good Day. Chat Doctor. N." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I m a 14 year old black girl . I used to have acne for 2 years but it has gone now but I have been left with hyperpigmentation on my cheeks, upper arms and upper back. I am currently using Lush products (only cleanser, toner and moisturiser) which have been working well. However, I would like a very effective solution that would hopefully solve my hyperpigmentation please. Thank you.", "output": "Hello thanks for using Chat Doctor . I would be pleased to answer your question For the hyperpigmentation, the best option is to get your skin exfoliated by a better method like a glycolic acid peel done every 15 days. A better option for you would be to visit a Dermatologist to avail of these peels. Alternative peel treatments like trichloroacetic acid are also very useful. I would suggest you get your skin examined by the dermatologist. For a home based treatment, Application of vitamin C based serum can be safe over long run. Thanks and take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I used nair for my bikini area and got some on my genitals as well.I have a stinging and burning sensation especially when i urinate.Uncomfortable feeling all around,sitting,walking.How and when will I have any relief? What can I do to help myself heal and what should i steer clear of (obviously razors and depilatories) till i heal?Thank you.", "output": "HI, thanks for using Chat Doctor It can take 2 to 3 days for the symptoms to decrease. You can use site baths to see if it helps. This would involve sitting in a site bath with warm (not hot) water for 10 to 15 minutes, 2 to 3 times daily. Normally table salt or Epsom salt is added to the water. The use of anti-inflammatory painkillers would also help e.g. naproxen, ibuprofen or Catalan hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Embarrasing to ask...my rectum burns and itches really bad. For a year now it gets really sore after a movement. I wipe really hard, so I may have caused damage.?? I can wipe until clean and an hour later I burn and itch and wipe again and it s like I never wiped the first time....", "output": "Hi, From history it seems that there might be having some local skin infection like dermatitis or yeast infection. Due to lack of personal local hygiene this problem might be there. Clean the part gently without giving more pressure and apply triple action cream. Take Cetirizine or Levi cetirizine for itching. In absence of itching there will be speedy healing. Take plenty of water. Avoid constipation. Clean local part with running tap water thoroughly. Ok and take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi..i m Itishree sarangi 28 years old.i have done my follicular study.but i think..i have some problem.my test started on 02/09/14 with 14th day.the size of follicle in right ovary and left ovary both are small size. Even no development for next test.but the endometrial thickness is increase slowly..22th day it is 9.1mm.plz suggest me...what can i do?", "output": "Hi, I think you should take some medicines like camphene for the growth of your follicles if they are not growing naturally. Track your follicles' growth by repeated ultrasound and when your follicles is more than 17 mm, take injection for rupturing the follicles. Be in contact with your husband for next 2 to 3 days. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. You can try like that for 3 to 6 months. Hope I have answered your question. If you have any other query I will be happy to help. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, my son is 5 yrs and 6 month old. Every 2-3 days he develops balgam and coughs badly until he vomits and takes it out. Once he spits it out, he does not cough for next 2-3 days. We have observed this pattern for few months now and wanted to seek your expert advice.", "output": "Hi, thank you for choosing Chat Doctor. Kindly get your child examined when he has the cough to rule out any wheezing and also to check his sinuses to rule out any sinusitis as these lead to episodic cough. If he is fine in between cough episodes and his general checkup is normal no need to worry. Hope this has been helpful to you, kindly feel free to contact again for any queries. Kindly rate the answer if so. Take care. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have a good friend with multiple myeloma. he suddenly has developed a raspy voice. He has multiple hairline fractures in his spine and ribs and has become quite stooped and seems to have difficulty breathing. Is the raspy voice related to the condition of his spine", "output": "Hi, Thanks fir writing in. A raspy voice is due to stimulation of the recurrent laryngeal nerve which supplies the vocal cords. It is possible that your friend has a lowered immune status after taking treatment for multiple myeloma. This might cause him to have infection in the throat which is causing irritation to the recurrent laryngeal nerve. Any infection or condition in the throat might cause the raspy voice. It is suggested that he consults the ENT specialist immediately and has a clinical examination of his throat done. This will show any inflammatory changes in the region and whether it requires treatment. Please tell him to do throat gargle with warm water twice daily to soothe the throat. The raspy voice is not related to his spine but might have an indirect association to his treatment which he is getting right now. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI, my mother is 56 years old and has been having darkly pigmented patches on both the cheeks for almost 5 years now. is it safe to use candid B cream on the face or any other medication for it? have tried alot of ointments but none have been effective.", "output": "Hello, i would strongly recommend you not use Candid B cream for the dark pigmentation on your mothers cheek. Candid B cream is an antifungal cream with steroid. This cream is used only in specific dermatological conditions as prescribed a qualified physician. There are a variety of skin disorders causing dark pigmentation. The commonest cause of dark pigmentation on cheeks in an elderly lady is a condition called Plasma. The cause of plasma is complex. There is a genetic predisposition to plasma, with at least one-third of patients reporting other family members to be affected. In most people plasma is a chronic disorder. Sun exposure, pregnancy, hormonal changes, photo-toxic reaction to Scented or deodorant soaps, toiletries and cosmetics or medications are the commonest triggering factors of Plasma. There are different modalities of treatment for Plasma and I would recommend you to consult a qualified Dermatologist for an expert opinion regarding your mothers skin condition and treatment." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi iam 34years. We are trying for a baby for the past 1 year... my periods were regular and my doctor said my ovulation is normal. I had been taking folic acid supplements only. I did foliicular study for about 5 months ina row and everything was normal. Recently my last cycle ended up being an anovulatory cycle. I got my regular periods without any delay. My bleeding was also normal. My husbands reports are normal too. All mu harmonal blood tests were normal, the same month i had anovulation. Is thus possible. What is happening to me?", "output": "Hi I think you can take some medicines like camphene for inducing ovulation. Track your follicles' growth by repeated ultrasound and when follicle is more than 17 to 18 mm, take injection for rupture of follicles. Be in contact with your husband every 2 to 3 days after your periods stop. Take progesterone for next 2 weeks after rupture is confirmed on ultrasound. Do a urine pregnancy test after that. You can try like that for 3 to 6 cycles." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had been experiencing lower back pain for over a week. Initially, I though it to be a muscle strain/pull. I have alternated ice/heat/stretching (after icing the first two days). The pain has now progress to my rip hip and pelvic area and even to higher portions of my back. I am also feeling nausea, lightheaded ness, and numbing/tickling sensations in my lower legs. Please advise.", "output": "Well...the lower back pain...it can be arisen from different structures at the back from skin to the bones depends on age and other factors. The being pain can be settled by taking painkillers and physiotherapy. In elderly patients this pain could range from osteoarthritis to metasis. But pain in young patient not improving with medications...then it is alarming... But you have alarming symptoms.your pain is radiating to the pelvic area .the lesion looks like to be in the L5,S1 disc... You better do a CT scan of lumbosacral area and consult a neurosurgeon." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Dr. Good afternoon,I am a survivor of Squmousa cell carcinoma of the tongue two years back. Recently there are two neck lumps visible and MRI scans confirms the enlargements. Is it a sign of metastates??? What should I do further to confirm it?", "output": "Welcome to Chat Doctor .1. Possibilities of metastases can not be ruled out (in your case) without an FNAC - fine needle aspiration cytology of an enlarged lymph nodes.2. Generally lymph nodal enlargement is seen after local or systemic, infection or inflammatory cause. And ease off after treatment.3. You have done MRI - it would have given you the status of the old treated tongue malignancy. A computer tomography with contrast will help to see the status of previous malignancy.4. Get an ultrasound abdomen done - to see the status of liver and abdominal lymph nodal enlargement.5. Get an FNAC of lymph node for confirmation and treatment to commence. Good luck. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 64 years of age but still interested mating wife.But if a gap of one week persists for mating, I occasionally feel early ejaculation. If I can control this moment, I continue for a good long period. Because of this unsure intercourse, I feel of the fear that I may not satisfy my partner .Can you mention the treatment for this type of early ejaculation .I am free from any ailments.Frequently I ride Stationary cycling. Thank you very much,,,", "output": "Dear sir, thank you for writing in. Welcome to the forum. You can try the squeeze technique, start stop technique or use an anesthetic condom. A number of medications such as Dallas, flu nil or next are also useful. Please remember that while using the squeeze or start stop technique, the key thing is to initiate action when a mild sense of ejaculating occurs but well before you sense a loss of control. It is better to err towards the former. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My umbilical hernia feels like it is getting worse. I cant see a surgeon until tuesday .my lower back muscles Are very strained and seems to be related. I dont have any classic symptoms like it is strangulating but my abdomen is extremely bloated and the actual buldge of the hernia seems larger than yesterday.", "output": "Hello, For now, you can do icing for your hernia and hot water fermentation for the lower back to relieve the symptoms. Post this take good bed rest and repeat the procedure for 3-4 times a day. Only if you are diabetic then icing is contraindicated. Post meeting the surgeon please do let me know what are the next calls considered by the surgeon. In my clinical practice of over 12 years, most umbilical hernia issue is resolved by exercise. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor, I have some problem relating to my behavior/ personality or I don t know exactly what you call it. I cant be able to concentrate on my work as lot of destruction keeps on hitting my mind away from the work. I discussed about it with my friend earlier through online chat, she asked to consult a female psychiatrist as my problem is related to females. So please advice me a doctor to look after my problem and it shouldn t be expensive as I don t possess lot of money.", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. You have not mentioned your age. Concentration problems do arise to people at every stage, but it is more present with young adults. You are supposed to refer to concentration and attention as two. Attention span for any adult is maximum 30 minutes. Sometimes, a person can be attentive to an interesting thing for more than 30 minutes, such as movies or games. Concentration is attention plus understanding. For this too, span of below 30 minutes. If you are able to make your studies interesting and based on variable principle, your concentration level can be increased. Concentration comes only when you are interested in what you do. So please be passionate towards what you are doing or do only those things which you are interested in. It is also possible to improve your concentration level with the help of yoga, meditation and breathing exercises. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor,I am 7 weeks pregnant although when did an u/s scan it came out as 5-6 weeks of pregnancy.(My periods are normal 27-28 days cycle). There was no fetal pole and heartbeat but a gestational , yolk sac is seen. Doctor has advised scan after 10 days and said this will be the max waiting time for a fetal heartbeat. I am advised to take hormonal tablets (Conest). I am very much worried and really hoping the best for my baby. Can you please tell me how much possibility is there for a fetal heartbeat and fetaql pole after 10 days. Thanks in advance.", "output": "Hallow Dear, Usually by 6 weeks or so the fetal pole and fetal cardiac activity is detectable by ultrasound. If by 7 weeks, it is undetectable, there are following possibilities:1. The ovulation and conception might have occurred late in the menstrual cycle, which otherwise happens 14 days before the next menstrual period.2. There could be mistake in calculating the duration of pregnancy.3. The pregnancy could be without embryo (baby). This is known as blighted ovum. In such case, the ultrasonography image shows corrugated margins of the sac. If the margins of the sac are well-rounded, in order to exclude the first two causes, it is a good option to repeat the scan after a week to 10 days. If still the sac is empty, then the diagnosis of blighted ovum is confirmed. However, if the edges are corrugated, it is blighted ovum. Pregnancies with blighted ovum do not grow. If such pregnancy does not abort spontaneously, termination is the requirement. I hope this helps you. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my son is 10,51 inches, and 79 pounds and had a fever Sunday morning of 103.3 with fever reducer it went down to normal temp. It then came back around 6 in the pm. and took a second treatment of fever reducer and it went down easily.About 10pm i took his temp and it went down to 96.3 I have been keeping an eye on him and he has been sleeping, sweaty and his body cold.I currently took his temp and it is down to 93.8. His temp has never been low before. I have 2 blakets on him to try and get him warm. He has been on antibiotics since friday for double ear infection and has been complaining about his trout hurting, stomach hurting,a bad cough, he has mouth sores and cant eat. What do I do? what could it be? whe do i worry about hte low temp?", "output": "Thanks to ChatDoctorI can understand your concern don't worry, fever in most of viral infections have sudden rise and fall below normal once we have taken medicine if there are no chills and rigors don't worry, it won't cause any trouble anyway ear infection will be controlled by antibiotics to prevent secondary infection just undergo some investigations like CBP. TIDAL, FEVER PROFILE CHEST X RAY FEVER NOT SUBSIDE Let him continue antibiotic till reports comes and antipyretic like paracetamol along with above Chat Doctor. Gentle doing mouthwash will help to relieve soreness of mouth . Ok plenty of liquids orally is better than solids low temperature generally up to certain extent nothing will harm the body. Clean the ear with chosen buds if there is discharge , keep it clean he will be normal shortly .ok" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi there after being bullied at work some 5 months agao by two of my colleagues I was told last week that I would I would be being moved out 2 days later I felt dizzy and have been told by my gp that I have vertico could this be work related Regards Alan", "output": "! After read your use question carefully I can understand that you have been facing a lot of issues at work lately. As you have mentioned that you developed vertigo after all these problems s at work, it is possible that stress is behind all of them. We see such cases daily, when a person is under lot of stress, which he feels that he is trying to handle, but unconsciously, the mind is troubled and person develops variety of symptoms. I think you should listen to your doctor, as your vitals and basic test if done, are within normal limits. I have seen such patients responding greatly to combination of cinnarazine and dimethyl Chat Doctor. Day) for some days for vertigo. Plus, try to get a good walk daily, and eat healthy. If vertigo still persist, you may get an X-Ray neck to rule out cervical. If along with vertigo, you have sadness or anxiety, please meet a psychiatrist for complete treatment. Hope the reply helps you in getting well soon take care, and feel free to ask more questions" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was first diagnosed with 1 nodule on half of my thyroid (I had left side removed /tumor in thyroid had to remove to do biopsy in 1989) then it became 2 and now 4. Three are solid and 1 with fluid. Had biopsy done early in April of this year and they were benign. My question and concern is can they eventually become cancer if they are not taken care of?", "output": "Benign nodules of the thyroid if left untreated can become malignant over a long period of time. Roughly 10% nodules become malignant over 20 years. The features of they're turning malignant are sudden increase in size, pain, appearance of other nodules outside the thyroid, change in voice, difficulty in breathing or swallowing. Any of these changes should prompt you to consider removal of the remaining thyroid." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi. my name is laila, and my husband and i made love about 2 1/2 weeks ago. its been almost 4 weeks since my last period. i have poly cystic ovarian syndrome, but i have taken hormones in the past that has allowed me to have a normal cycle every 3-4 weeks. i am getting a few cramps here and there, but i dont have any symptoms of a pregnancy. i dont know if my cramps are from an upcoming cycle, or if its the beginning of a pregnancy, a little help please ?", "output": "Dear Leila, You are indeed having a peculiar situation. Usually, PCs (Polycystic ovarian syn Chat Doctor. However, since you were on the treatment, it is likely that you might have ovulated and have become pregnant. Missing a period, which is the first cardinal symptom of pregnancy also may misguide in your case. In PCs also, there is delay in menses, many a time for few months also. I would recommend you to get the confirmation of your status of pregnancy by Chat Doctor test. At this stage, Beta Chat Doctor test will be quite useful to you. This is a very specific and sensitive test and gives reliable results within 2-3 days of missed period, or even before that. I hope this will solve your dilemma." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have an itchy sore on my back that scabs over very quickly (4-6 hours) and the scab is very thick and feels like wood splinters. I m always tearing it off when I scratch the itch. There is a hard lump way under the skin. I ve had this for over six months now. what might it be?", "output": "Hi.it is best if you consult with a doctor, preferably a general surgeon, for medical and physical examination. Based from your description, it could be a cyst (a sebaceous or a gelatinous type). These lesions can occur anywhere in the body and have the tendency to recur. Medical (proper antibiotic regimen) and surgical (excision of the lesion) management will be directed accordingly. Hope this helps. Good day!!~ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had what I thought was an ingrown hair in my armpit pop up. After a few days it grew the size of a golf ball and continued to get bigger. It was so painful I couldn t move at all but put my arm in bent position curled against me. After going to the doctor she said it was a MRSA infection and opened it up and drained it. (I received the lab results back stating it was MRSA) Now, two weeks later, the bump under my arm is gone but I have something string like enabling me from fulling extending my arm above my head. You can feel the strings from my armpit past my elbow. I went back to the doctor and saw one of my doctors associates and he said I have something called Sporotrichosis and will need to be on an antibiotic for a couple of months. Does this sound right? I ve looked up Sporotrichosis and my arm doesn t look like that but I found AWS (Axillary Web Syndrome) and my arm does kind of look like that but I did NOT just have any breast cancer surgery.", "output": "Hi.Thanks for your query. Noted the history of enlargement of axillary lymph nodes with strings radiating from elbow to the maxilla like a web, axillary web syn Chat Doctor. With the history you have provided, this looks to be lymphangitis causing the strings under the skin from the elbow to the maxilla which has now enlarged lymph nodes. I would advise you the following in such a case as definite cause may not always be found and hence also called as Idiopathic. Blood smears to be prepared at midnight and examined for elephantiasis that is filariasis. Blood to be tested for CBC and other routine reports like sugar, kidney and liver functions. A course of an antibiotic and Albendazole to be started asap. A 3-week course of Genocide forte that is diethylcarbamazine helps. Give rest to the affected arm. Plenty of oral fluids orally to combat deny" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "How to treat hepatitis B surface ab and what the best way to prevent that? Does hepatitis surface past infection or become worst? How to healing or treat hepatitis surface B core ab? What kind med need to take? Need to see a doctor with treatment or can self treatment? Please explain to me all the reasons and all the information about the hepatitis B surface ab and hepatitis surface B core ab.", "output": "Hi far. It is obvious that you need information. You cannot treat antibodies. Antibodies are products of our immune system which helps us to fight against viruses and sectarian. You need to treat hepatitis. These antibodies just can tell us is there any reaction on infection in our organism. Soyou have obviously been infected in your life because you have these antibodies. Question is your infection active and symptomatic. To know this you must find antigens levels(Ag) and viral RNA polymerase test. If you have HBS Ag and HBC Ag positive then you have infection which persist and can cause liver damage and should be treated. If not it means that you passed through infection and there is no risk for liver damage. Hope i ve been helpful." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello,I just went to the dentist for a crown and not sure what happen, but when the doctor was putting the anesthesia I felt a sharp pain in my eye, the same side he was working. When he was done I felt my cheek was different, and yes, I have a big lump. Should I be worried it could be an infection? Is there something I can do to relief the swollen?Thanks for you help!", "output": "Hello and welcome. Thanks for sharing your concern. The lump that you are experiencing now, could be due to locally deposition of local anesthesia. It should diffuse within a few hours or so. Then the lump should go away. It is not an infection. Regarding sharp pain in the eye, it appears unrelated. But if you find persisting symptoms in relation to eye then please revisit your dentist.Also, please mention in which jaw the crown was placed upper or lower?so that I can suggest better in this regard. Hope it helps. Thanks. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir,i want to know about hbsag levels i tested first time on 22nd december 2009 and the result was hbsag ............reactive (250)test performed by ecliathen on 29th march 2010 and the result was hbsag...............reactive (5471)then on 26th april 2010 and the result was hbsag........... reactive(569.2)then on 12th may 2010 and the result washbsag .......... reactive (125)then on 30th may 2010hbsag ......... reactive (26.27)then on 10th june 2010hbsag ......... reactive (8.16)and then recently 23th june 2010 and the result was hbsag ........... reactive (4.29) sir, i want to know that am i going to resolve the infection or am i now a chronic hbv patient, and is this normal the slow decline in hbsag levels in the end. with regards MUHAMMAD IBRAHIM KHAN", "output": "Hi.thanks for posting query. HepB can not be eradicated completely in patients infected with it. However, complications can be prevented with proper care and treatment. Treatment is advised if AST and ALT are > URN and HBV DNA count on PCR is very high. Liver enzymes and Bag status and HBV DNA PCR maybe done regularly every 6 to 12 months, Visit hepatologist for proper interpretation of results. Hope to answer concern regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "When I work out it starts to feel like im getting needles pushed into the back of my brain. its sharpe and quick continuous pain. My chest ( not as often as my head) starts to feel like someones sitting on it. I can still breathe okay through all of this. the more often I work out the long the needles in my brain lasts and the worse it gets. I have just recently started working out 4-5 times a week.", "output": "Hi, I am Chat Doctor. I have read your question and understand your concerns. Let me try to help you have described signs of Ischemia When you exercise, too much blood is shunted out to the muscles so that the other parts gets less blood supply and hence you get the symptoms you have mentioned The solution would be to reduce the Weights / Counts of your exercise for few days and then gradually increase them This is easily manageable :) Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. Let me know if I can assist you further. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a raised region on left side just below ribs. I went to the doctor he felt my abdominal region said there was nothing to worry about. However I still have this lump or swollen area. It s not painful but sometimes uncomfortable I have to lift my left shoulder up. I m thinking it could be my posture but this wouldn t cause swelling. It s slightly noticeable what could it be??", "output": "Hi, as mentioned by you, about the swollen or lump area, and also examined by doctor where he said It's nothing to worry.of course I agree to you that how come something comes up like this and is painful. And also how come the swelling is persisting. What I would suggest is to undergo an x-ray and check as it may reveal something with it. Maybe a fluid accumulation. Also, later on an MRI will guide to see what soft tissues are involved in that area leading to swelling. Until we get a picture of the soft tissue abnormality it will be really tough for anyone to examine and comment. As diagnostic holds the strong ground for assistance. I wish you get an MRI done, so we can come to know what sort of soft tissue is involved a muscular or a lung tissue. With the grace of God I wish you a speedy recoveryregardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Last year I was operated for cholecystectomy the year after I again had that severe abdomen pain and was hospitalised for 15 days in ICU , diagnoised with CBD sludge thereafter on udiliv. After 3 month I again had blood test and amylase was quoted 407.3 after 3 days again the same test was taken and amylase reading was 242.9 and lipase 37 . Doctor has advised for ERCP. My question is if the sludge is still there does not udiliv help in flushing it out, if not for what purpose has it been recommended to me. Whether ERCP is the only cure?", "output": "Hi ! Good afternoon. I am Chat Doctor answering your query. Udiliv is a Chat Doctor. However, this is not a 100% cure for it. Even though the pancreatic enzymes have come out to be within the normal range or of decreasing level, there possibly is a suspicion of pancreatitis by your treating physician, and also to know the complete anatomy of biliary tree along with the pancreatic duct, an ERCP is advised. This would be a near confirmatory investigation to rule out the biliary tree and the pancreatic system as the cause of your abdominal pain. ERCP could also be of therapeutic nature if the sludge/calculi in any of the biliary tree is endoscopic-ally removed. Till then, you could go for some anti-spasmodic and a proton pump inhibitor " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello sir,i m 27 years old single male.i used to masturbate very frequently n the frequency was nearly 4 to 5 days in a week.now i feel the erection is not that much hard as it was before n even suffering PME. i even afraid regarding less sperm count n cum (sperm) is also not thick.please suggest me as what step should i take.Plz help.Regards...", "output": "Dear, We understand your concerns went through your details. Let me assure you, masturbation is not unhealthy. Masturbation is normal and natural. Frequency of 4 or 5 times a week masturbation is pretty normal and not in excess. Therefore, masturbation is not the reason for your present problem. I think you are obsessing with your sexual ability and sexual organ. Unless you are actually in sexual intercourse, you cannot judge your hardness. Secondly, when you try to test your hardness, the hardness comes down, because at that moment, you are diverting from sexual thoughts. The reason for your present problem is simply psycho-logic and never organic. I suggest you to consult a psychologist for sexual counseling. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query. Further clarifications are welcome. Good luck. Happy New Year. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Doctor, Last few days (4/5 days) I feel head dizzy, I could not think anything properly, Basically I feel, my back side of head has been zam. My blood pressure is normal. Age 34 yrs, Male and I was passing a serious brain stress in 20 days due to illness and death of my mother. Please suggest me, what can i do.", "output": "Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. These could be a manifestation of depression. You will need some benzodiazepine and SSRI medications like Escitalopram or mirtazapine to help with your problems. Some psychotherapy will also help. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My wife age 38 is HBV positive with acute measure and Dr. has told that she is not in carrier stage and does not need any treatment. The quantitive test result somewhere 625. Can this HBV get removed completel, does this quantity increases in future, what could be the effect on liver functioning in future. Please explain.", "output": "Thank you for posting query. Carrier state means that your wife is infected with Herb (Bag positive) but the replicating antigen of virus maybe negative and the viral load may NOT be high enough requiring treatment. Virus is in \"dormant\" phase. It is possible that the virus remains in dormant phase throughout and causes no harm to liver. Only one fourth of patients infected with Herb virus develop liver cirrhosis. Therefore, one cannot be sure about her status. The viral load should be monitored, and she needs to repeat test every 6 month or at least once a year. You should also inform your treating doctor if you want to plan a baby. There is NO permanent treatment for Herb virus. However, all relatives of your wife including you need to be vaccinated against Herb (if not done yet).wish her good health. Further queries are welcomed. Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .wish you good health. Regards, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a woman in my 30s that just got off of birth control about a month ago. I have taken 2 pregnancy tests and they botChatDoctore back negative. For the last week I have been afflicted with constant urination, pelvic/lower abdominal pain, bloating/swelling, and nausea. What could be causing this is I am not pregnant?", "output": "Hi ! Good afternoon. I am Chat Doctor answering your query. From history, it seems like you have got a UTI (urinary tract infection), if pregnancy could be excluded with certainty by the way of serum Chat Doctor estimation and an ultrasound abdomen if need be. I would advise you to go for a routine/microscopic and a culture sensitivity of the urine, and show it to your family physician for further management with appropriate antibiotics after a physical examination of your abdomen. Till then, you could go for an anti-emetic, and a proton pump inhibitor Chat Doctor. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dr. Agarwal, is wrong, I have an MRI that says that I have a S1-S2 intervertebral disc space. My Question is how much does this affect my lower back pain? I have very bad pain (level 8+) almost continually, and difficulty with other functions. I Know that I, have some pretty serious disc damage from L-5 through T-12. But here lately it s gotten much worse.", "output": "Disc degeneration may lead to back pain however there are too many pain generators in spine, so we need to know more about your complaints and the MRI images to tell you exactly what is the possible reason for back pain. Although you have disc space at S1-S2 but it's not necessary that it is the pain generator. Usually there is no motion at this level, so it may not cause any back pain. Few other reasons could be last mobile lumbar level disc prolapse or sacroiliac joint inflammation. I would suggest getting back WTH more detailed history and your MRI images. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi my daughter is 5 year old.She is vommiting in the morning after breakfast.After that she will be ok. she will have her breakfast very little amount and not interested to eat in the morning.she is 13.500kg wt only.we consulted a doctor and he gave Emeset and junior Lanzol.sir pls advice", "output": "Hi, Thank you for asking question on Chat Doctor. Your doctor gave the right prescription. But your children weight is less, as 5-year-old child is expected to weigh 18\u00a0kg. Better consult pediatrician and thoroughly investigate for the cause. It may be malnutrition, urinary tract infection or even primary tuberculosis. Hope this answer will serve your purposeless feel free to ask any more queries if requiredTake care Chat Doctor. V. Subrahmanyam MD;Disassociate professor of pediatrics" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m 76 years old and about 5 days ago I started feeling a really sharp pain on the right upper part of my knee. I ve been limping because walking is extremely painful and if I sit for too long I have to stand and wait a while before I can walk....what might this pain be or mean and what should I do?", "output": "Hello, As you are 76 and having pain in the upper part of the knee, have you ever taken an x-ray. Because there should be some degenerative changes of the knee joint and the ligament injuries. Having an MRI or X-ray will be of God choice to understand the pathology. As this pain makes you slow down and locks you up while taking instant movement I will advise you to use the knee brace and do hot water fermentation. Because the muscle spasms need to be corrected, and also the weaker muscles needs support, so the inflammation over the knee joint internal structures do not go high. Also doing some simple exercises like - static Qua Chat Doctor. Additional exercises like straight leg raise on supine lying and side lying will be of benefits. In my clinical practice of over 12 years, most geriatric cases reported with similar pain are advised for exercise in low intensity. They respond well. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I lost my significant other 3 years ago and can t seem to get through grieving. We were having quiet time together and then he went to sleep on the sofa and I went to bed. The next morning I found him dead. I keep reliving this over and over again. I feel I might have missed something or he tried to get to me but was unable to. I cant get this picture out of my head and I can t see me loving someone else. I dont know how to move on. I feel my life has been turned upside down since then. I have family I am around yet I feel so alone. I feel like I don t belong anywhere. I am not suicidal; I cannot do that to my 3 children and grandchildren. Yet life is hard for me. I am also unemployed and having a hard time finding a job. I am experiencing things I have never dealt with and am having a hard time. What can I do? I am already taking antidepressants, which are not working. I have talked to my physician and she is trying to get it changed. But due to this new Obamacare, my old medication is not on the list and the new one is not working.", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. I sincerely suggest that you are doing great. You went through a traumatic and depressive ordeal. For sure. No amount of consolation can equal your fate. But you also should understand that such things happen with almost everyone. Everyone loves their better half or spouse. When such things happen, even when they were at young age, it is normal for them to go through some depression. But they shall understand that they have to move on. They have duty to do. Secondly, you were doing the same for the last three years. That is great. If you have any mental disorders, you cannot do so. You must add to your self-confidence. What you can do now is, understand what life is. Even you are a guest here. Your spouse went because his time had come. When your time comes, you shall also join him. That is life. Depression is normal, but we should overcome our emotions. Everybody, every human being does. Then why not you? If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,I am 24 years old.i had my last period on the 2nd of july and it lasted about 4 days. I had unprotected intercourse on the 12th of july and I used postinor 2 1 hour after.i dont keep track of my menstrual cycle but I am scared of getting pregnant. I dont have any symptomsjust being having cramps.pls help me.", "output": "Hello, please do keep record of your menstrual cycle to predict the day of ovulation and decide the safe and unsafe period for yourself. If you had regular cycles then ovulation takes place 14\u00a0days prior to the start if next menstruation. 4 days before and 4\u00a0days after ovulation is the unsafe period in which couples should avoid having intercourse. If you have a regular cycle of 30\u00a0days then you had sex in safe period plus you took posting 2 within 24 hours which means very less chance of getting pregnant. Posting has its side effects as well, so these cramps might be due to the medicine." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have just returned from Venice and have multiple bites. they started on the last day, but now im home, i am continuining to be bitten. The lumps are small pin prick bites and when scratched, the area around it goes white and hard. please help. have i brought something home with me?", "output": "Hi, dear. I have gone through your question. I can understand your concern. You need examination. What kind of bite marks are there. It may be some skin disorder or may be some self-inflicted mark in psychiatric disorder. So consult your doctor and go for examination. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "What causes shingles (other than the compromised immune system)...poor nutrition, stress, lack of sleep? My 76 year old man friend just broke out and he will see a doctor tomorrow, but I would like to know the why and how we treat it. Am I liable to become infected if we are intimate? What is the incubation period? What is the standard treatment, please? Is the condition likely to return again? Thank you. Gina email: YYYY@YYYY", "output": "Hello, Thank you for asking at Chat Doctor. Shingles generally happens due to a virus that sleeps in the neurological system on a person that has had chicken pox before. This is very common especially in cases you mention, but elderly age is a reason also. It is generally self limiting but very uncomfortable meanwhile. There is oral acyclovir he might use to speed up healing, it should be started as soon as possible and there are Chat Doctor. Local cold compresses can help with pain also. As for you, you are not in risk if you are not in contact with the fluids that come from the vesicles. Very little chance it will spread to you by contact, it generally comes from the inside of the patient (the sleeping virus) but to be safe please try to avoid contact with the area that has the vesicles. I hope this is helpful and answers to your question, but please feel free to write us in case more clarification is needed on this. Kind regards, Antoneta Total, MD" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was doing some sweeping of my house yesterday. Ever since the I have been extremely dizzy. I have had at least 9 concussions and have neck issues. I also have 2 buldging discs and have had a compression fracture of my spine. I have done some research and think it could be Cervical Vertigo.", "output": "Hi, From history it seems that this problem might be due to pinched nerve pressure due to problem in your cervical spines. While giving uneven pressure on neck like sweeping or nodding movement at neck might give pressure causing nerve irritation producing pain or vertigo. Go for neck exercises, cervical traction, short way diathermy etc. Avoid putting pillow under the neck while sleeping. Ok and take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a bad smell coming from my nostrils it the smell you get usually when your sick and you have a congested nose or something, but I have the smell all the time and wont go away no matter what the doctors at my clinic tell me to do. My nose gets really stuffy at night only in one side. But I also have bad breath I can brush my teeth and an hour later it wont smell fresh anymore. And sometimes I have postnatal drip.", "output": "Hello and welcome. Please let me know when did you last visit your ENT specialist?There could be a sinus infection. Why do not you meet ENT specialist and get an x-ray done for sinus. Once you get the reports, start with decongestants. It does not appear to be dental infection as per the history posted here.Meanwhile, you can do warm saline rinses and do steam inhalation for immediate relief. Hope it helps. Thanks. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I do masturbation in prone way by lying down against pillow of floor. I never had any problem with this method. However, I have read that doing masturbation in this method puts pressure on penis and people who do that will not have good pleasure during normal sex. Is it true?", "output": "Degree understand your concerns went through your details. I suggest you not to worry. The position you are taking is safe and normal. People invent numerous methods and most common are hand masturbation and your style. This method is adopted by millions across the globe and none of them had this problem. You can enjoy sexual life for sure. There is one advantage with hand masturbation. After some time, the penis slightly bends towards right or left. This bend penis shaft gives more pleasure during sexual intercourse than straight penis. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son is 21 and healthy. He came to me last night feeling dizzy and nearly passed out. When he felt a bit better, I took his BP. It was 116/53. THat seems low.Could that have triggered the dizziness? He seemed to be fine after he ate CHerrios with bananas and sugar.", "output": "Howell come to ChatDoctorI really appreciate your concern, the dizziness may not be significant because no associated history is there even the blood pressure may not be the cause, the most common cause at this age is hypoglycemia, if this is being happened first time still condition needs to be kept under observation for further episode because it could be let onset of epileptic seizure. Advise:- Ct brain is must, with routine blood work, EKG. Hope this information helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am a 54 year young lady and in 2002 I was diagnosed with invasive squamous cell carcinoma in my righr sinus cavity. After my face was layed open and tumor removed then went through 29 radiation treatments, and all has been great until a few weeks ago I have started having simular symptons and I waterpick sinus cavity now at least 3-4 times a week. Any suggestions? Thanks,Robbin", "output": "Hi, Thanks for writing in. Squamous cell cancer of the sinus cavity might become recurrent in some people. It is important that you follow up with your doctor and then get evaluated for possible recurrence. Medical literature says that squamous cell cancers have definite metastatic potential, and patients should be followed regularly after initial treatment. Overall, local recurrence rates after treatment of primary cancer ranged from about 3% to 23%, depending upon anatomic site. About 58% of local recurrences manifest within 1 year, 83% within 3 years, and 95% within 5 years. Please consult your doctor at the earliest and take treatment should there be any recurrence. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i quit smoking a little over a month ago. for a month now i have had the strong, uncontrollable cough with phlegm and i am always out of breath which makes me lightheaded. i also have had some fevers here and there. also my nose is stopped up a lot. every time i blow my nost the back of my head and neck hurts so bad.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Since you were a smoker, we should rule out lung infection and bronchitis in your case. Both these diseases are common in smokers and cause similar symptoms like cough, expectoration, fever and breathlessness. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system. 2. Chest x-ray 3. PUT (pulmonary function test). Chest x-ray is needed to rule out lung infection. PFT is must for the diagnosis of bronchitis. You will mostly improve with antibiotics, inhaled bronchodilator, inhaled corticosteroids and other supportive Chat Doctor. Don't worry, you will be alright with all these. First diagnose and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I have been having problems with my feet and ankles retaining water, for at least two months now. Went to the doctors, he gave me water pills but they aren t helping. My mother has a thighroid problem and I was told it could be passed on from mother to daughter and so on. I have been putting on weight all of a sudden, and usually I can control the weight but now I cant. Could all of this be caused by a thighroid problem?", "output": "Hi, thank-you for providing the brief history of you. As you have thyroid problem I think it should be hyperthyroidism, since due to This there are chances of adding on weight and also the legs feeling fluid retention. The first foremost thing required is to check the thyroid levels in your body. Undergoing a TSH test should help understand the levels. Post which the medication has to be used to control the levels of thyroid in blood. Also, along with medication you need to perform regular physical exercises as the combination of Chat Doctor. There will be a slowness in the physical activity of your muscles due to thyroid issue leading to early fatigue and reduced metabolism. Having a combination of " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been to the doctor several times for recurring pain in my chest. Its right in the middle sternum and it feels tender to the touch and comes and goes for months now. It hurts when I move like standing up from sitting down. What else do I say to get some kind of response ?", "output": "Hello, Regarding your concern, I would explain that your symptoms are not typical of any cardiac disorders. A musculoskeletal pain (including Costco Chat Doctor. Coming to this point, I would recommend taking ibuprofen for the pain. If the chest pain persists, I would recommend performing some tests: - a resting ECG and a cardiac ultrasound- a chest X-ray study-complete blood count, PCR, ESR for inflammation. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "what should i do about severe body /arm and leg tremors. Im scared to take any medications that i was prescribed for sleep/depression/anxiety because of this severe tremoring . I have been basically totally inactive for weeks and lost about 4 kilos and i think this may have caused the tremors because my heart feels extremely weak. I dont want to cause a further problem by taking a medication for 2 weeks. Should i get my heart and cardiovascular system checked before taking and medications. It feels like i am almost going to have a heart attack when i lay down and my whole chest tremors.I even fear i may have already had a small heart attack or something. im 37 and my appearance looks normal/a bit thin. What specific tests should i get done?", "output": "The tremors in arms/legs and chest tremors (palpitations) are likely to be due to anxiety. You should give a trial to the medicine prescribed by your doctor. At this stage, in my opinion, the symptoms are likely to be due to an anxiety disorder. When you follow up with your doctor, you may ask questions you may have about specific medicines. You may consult a psychiatrist if your doctor is a general practitioner. A psychiatrist is a medical doctor specializing in psychological and behavioral disorders (including neurological disorders with psychological symptoms). A psychiatrist is in the best position to judge what tests to order in the beginning and whether to seek additional consultation of a cardiologist or any other specialist. I hope this answers your question." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HAVE BEEN EXPIERENCING WHAT THEY CALL BRAIN ZAPS FOR ABOUT A WEEK NOW. ON 40MG OF SELEXA AND 150MG WELBUTRIN BUT STARTED WITH THE ZAPS SO WENT DOWN TO 20MG SELEXA AND KEPT SAME DOSAGE OF WELBUTRIN. GOT A COLD AND HAVENT TAKEN EITHER FOR TWO DAYS NOW AND AM GETTING ANXIETY BUT ZAPS HAVE MINIMIZED. SHOUL I PROCEED THIS WAY AND BREATHE THROUGH ANXIETY?", "output": "Hi, Welcome to Chat Doctor forum. It is confirmed the brain zaps are due to the Selena, you have stopped it now. Welbutrin alone may be sufficient, if your doctor feels it is not sufficient, he can prescribe some other medicine from the thousands of other Chat Doctor. Take more of green leafy vegetables, pulses, sprouts, and protein rich foods to have good health resistance against the infections. Practice yoga, meditation, reading books, and hearing music as diversion procedures. Wishing for a quick and complete recovery. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was suffering from impetigo due to a bacterial infection on my face and it spread to many areas of my face which caused the skin to peel off and become raw. After taking oral antibiotics and applying triamcinolone acetonide 0.025% ointment on my face, the skin healed. However, they healed brown. Why did it heal brown and how can I make them fade away quickly?", "output": "HelloWelcome to Chat Doctor, Impetigo is a skin infection caused by the bacteria Staphylococcus aureus or Streptococcus Diogenes, and it causes fluid-filled spots or blisters. Usually it will be a small fluid-filled spots that are about 1 to 2\u00a0cm in diameter and rarely be able to see these because they will quickly burst and then crust over and turn yellow and honey colored. The spots will eventually Chat Doctor. You will normally need antibiotics either as a cream or orally to treat the infection and to prevent you infecting others. Antibiotic cream called juridic acid are effective in clearing up most impetigo infections within seven days, and you will need to use it two to three times a day. If the infection doesn't clear and widespread you may require oral antibiotics like flucloxacillin and azithromycin. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 4 and half year son got the USG report of whole abdomen, it is mentioned that Liver is slightly enlarged in size homogenous parenchymal echotexture. No sizable focal lesion seen. Infra hepatic biliary radicles are not dilated. Portal hapatis measures 7 mm. kindly suggest for this. Kindly not that he doesn t want to have any meal at any time. We have to forcefully feed him and it takes more than one hour to feed him every time. Moreover sometimes he vomit too. kindly suggest.", "output": "Hi and welcome to Chat Doctor. You should do liver enzymes findings. The most common liver disorders which is found by ultrasound is fatty liver which can be found in healthy people, but usually is resulting from elevated blood lipids, overweight and elevated blood sugar. If ultrasounds didn't find anything and viral markers are negative then you have no reason to be concerned. You should treat it by changing dietary and lifestyle habits. Do exercise, avoid alcohol, smoking, fats, fast food and carbonated Chat Doctor. Eat more fruit and vegetables, boiled meat and follow some of hepatoprotective diets. Findings usually improves on such measures. If not, then some medicines can be prescribed, but I suggest going step by step. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Every time I cough I feel excruciating pain in the middle of my chest. It feels like something is going to explode in my chest. I also have the chills then the sweats. I do have asthma but it does not bother me. I am taking 2 I hailers ( Advair and salbutamol ) iv also been taking clonazepam to help me sleep. I have no appetite and am feeling very weak. When I cough I cry from the pain. Nothing comes up when I cough. It s just a dry cough. Please help me", "output": "Hi Kellstarr, Thanks for writing your query. Afterreadingyour post, it seems that the pain you are experiencing can be due to muscular in origin due to excessive coughing. The inhalers you have mentioned will help in bronchodilatation and help you in asthma. For Chat Doctor. I would suggest that you should have following investigations done :-1. Complete Blood Count(CBC).2. Absolute Eosinophil Count.3. Chest X-Ray (PA view).4. ECG. Steam inhalation can also help in relieving your symptoms. You should eat fresh fruits and vegetables for increasing the immunity and regaining health. If the problem persists, get yourself examined clinically. I hope this is helpful to you. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,I am 31 years old and trying to get pregnant since 3 months now. Have done all the tests for myself and husband and everything seesm to be normal except Prolactin level shown as 26mg which doctor said is slightly high. I have taken 2 tablest of caberlin .5mg as prescribed by the doctor. Do you see any issue for me to concieve. I have perfectly regular periods of 30 day cycle.", "output": "Hi, Please repeat your prolactin levels after 3 months, although I do not see a marked rise in it now. This may interfere in your conception. If you are keen on knowing the cause of high prolactin levels, you could probably get an MRI of the brain. But, I am not sure how beneficial it would be for you. My gut feeling says, your levels would be normal after 3 months and that you should conceive soon as well. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Department of PulmonaryDear Sir/Madam,I am writing you from Dhaka, Bangladesh. I want to make online help with a senior Pulmonolgist.Patient is my wife. She is 37 and her name is AAAA Her symptoms are as follows01. Allergetic Rhinitis02. Allergent to dust 03. Sneezing & Running Nose frequently for 10 years.04. Bleeding from nose while taking nasal spray \"AVAMYS nasal spray\"Summary of her Diagnosis areTest Result* Cir Eosinophil Count 165 /cu mm * Serum IgE 83.60 IU/ml* Skin Allergy(Hypersensitivity) Test Name of Allergen=Coconut-4, Beef-4She is Taking the following medicines01. Avamys Nasal Spray 0+0+102. Tab Provair 10 mg 0+0+103. Tab Unicortin 400 mg 0+0+1/204. Seretide Evohaler 1+0+1In this circumstances i would like to help you better consultation and diagnosis.Waiting for your reply eagerly.With", "output": "THESE ARE ALLERGIES ALLERGIES ARE CONTROLLING FOR DISEASE BUT NOT CURING YOU ALL SYMPTOMS ARE OF ALLERGIC RHINITIS SINUSITISWHEN DISEASE GROWS THESE MEDICINES CANNOT CONTROL DISEASE SOMETIME AND GO INTO NEXT SYSTEM SUGGEST YOU TO GET SKIN PRICK ALLERGY TEST IN WHICH YOU CAN FIND OUT TO WHICH THINGS TO ARE ALLERGIC FOODS CLOTHES POLLEN AND DUSTSELIMINATE FOOD AND FOR DUST AND POLLEN GO FOR IMMUNOTHERAPY WILL HAVE PROMISING RESULTS BECAUSE YOUR AGE IS GOOD FOR RECOVERY" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, i m 21 yr old male . I have bump in my left groin area . There is no pain as of now . I think it is inguinal hernia ( as far i have get from other online sources i dont know whether i m right ) . Can you tell me more about it and suggest the treatment", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have inguinal hernia or some other mass. You should go for examination. If attire of coughing or straining your lump increase in size then it is hernia. If needed go for ultrasound study. It will give you exact diagnosis. Then you should take treatment accordingly. Hernia repair by meshplasty is the treatment of choice. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi how are you well my mothers 85 years old she had sever stoffmach pain so my sister who lives with rushed her to the hospitals emergency room they ran many tests and found a small spot on her spleen that might be cancer a and in the pass she complained that most foods for the exception of foods that sugary and sweet have hardly any tast so she prefers mostly sweets now recently she tells me that all food tast sweet could this be a side affect of cancer and if so what are her chances of serviving this could the right diet revers this give us your best advice we really would appreciate..", "output": "Hi.First there cannot be a cancerous spot on the spleen. IN a patient who is 85 years this can be due to an infarct or hematoma. And cause severe pain. Since you have given history related to food habits and taste, it is possible she has other forms of gastrointestinal disease, which needs a thorough investigation. I would advise CT scan of the abdomen, upper GI Endoscopy and tests of blood, urine and stool. I can understand the feeling you have about your Mother. If there is no cancer, she can live much longer." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor I am 33 yr old woman with one failed ivf result A,M.H is 1.1 right now going for another IVF cycle again this year. what all medicines and how long to prepare my body with best supplements to have ? does COQ10, l Arginine and dhea works wonders in low amh values ?", "output": "Hi, Thanks for the query. I understand your concern. Before planning for IVF, plan for minimum 3 months before., - Get your & your partners' health check-ups done & get treatment for any health problem you have. . - have healthy lifestyle along with nutritive diet, exercises, sound sleep. - Take vitamins .specially B6 & vitamin E. - Prevent contacting any illness to either of you. - Get Rubella vaccination 5-6 months before planning for a baby. - Join IVF support group - Know about IVF in detail & be prepared psychologically, Understand how complicated the procedure is & how failure can be there, but always there is a positive result. - A positive attitude helps. - Follow doctors advise strictly after the procedure. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i took a abdominal scan in which i got a liver measuring 13.0 cms with impression of mild hepatomegaly with fatty changes and divarication of recti with small umbilical hernia defect size 8 mm, anteverted and bulky uterus. what is my problem exactly? I have abdominal pain for past 10 days in my upper right stomach and around the navel.", "output": "HI, thanks for using Chat Doctor The ultrasound found mild enlargement of the liver (hepatomegaly) with deposition of fat in the liver. Fatty liver is one of the more common causes of liver disease presently, it may reverse if lifestyle changes are made or progress to inflammation of the liver. The lifestyle changes would be increased activity and dietary changes such as reduced carboy Chat Doctor. Variation of the recto refers to separation of some muscles in the abdomen (the rectus abdominis). An umbilical hernia is a protrusion through a defect in the umbilicus. The anteverted uterus is not concerning and would not cause any issues. A uterus can be bulky for different reasons such as fibroid, pregnancy, endometriosis, adenomyosis, molar pregnancy, cancer. It is possible that the hernia is the cause of your pain particularly since the pain is around the navel. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi,sorry to bother you.ok, sle, spinal cyst , low pain tolerance, lots of drugs.... 4 red areas on skin, like a critter crawling up leg: chilicerra just under 1cm apart, from what i can tell, 4 spider bites from yesterday .. live a mile as crow flies from lake superior, brown recluse just moving in. slight ulceration starting at entry points of first bite i am sort of into nature, did not see the spider but pretty sure these are spider bites. had flood last year and had an adult in basement that came with the flood. they dont hurt...... so/? mycitracin, benadryl, asparin, baileys ? just watch? it is rather fascinating thank you gwen", "output": "Hi and thanks for the query, A spider bite generally produces an acute inflammatory reaction or allergy. This shall require use of anti-allergic Chat Doctor. Anti histamines are generally effective in stopping itches and swelling. Steroids, either or local or injectables could also be useful in the management process. A key aspect in the management is surveillance. This important for failure to respond or aggravation of symptoms might require other " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been having a slight pain on the right side of my lower abdomen approximately 6 inches right of navel and have been constipated for 3 days. The pass 4 months Ive been drinking alot more do to a break up but have stopped and now im scared i may have appendicitis or something cause from drinking. I have been on web md all day. please help!!!!!!!", "output": "Hi. Thanks for your query and an elucidated history. Web MD will confuse you more as there is no interaction with the Doctors. The cause of mild pain on consuming so much alcohol on the lower side of abdomen can be due to Colitis or syphilitic or appendicitis. I would advise you the following:Tests of blood, urine and stool. Physical examination by a Surgical Gastroenterologist. CT scan and colonoscopy will help in the proper diagnosis and for planning the management ..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I WAS GOT DEPORTATION FORM 2 YEARS AGO WHEN I WAS ON CANADA AND I DIDENT GOT ENY QUIRE NOW I FEEL LIKE I LOSE MY MIND AND I WAS BE SO ABSENT I LOSE MY WIFE AND MY WORK EVRY THINK AND EVERY DAY I WEAKD UPLIKE NEW MAN WHAT SHOULD I DO I WAS GO 2 Psychiatrist FORGET UR WIFE AND UR LIFE AND FORGET CANADA I LOVE CANADA SO MUCH IT WAS THE FIRST TIME ON MY LVE I FEEL AIM HUMAN HERE IN CAIRO EGYPT AIM NOTHING SO I TACE SOME MIDETION AND AFTER THAT I FEEL EVRE DAY IAM NEW MAN LIKE NEW LIVE I HATE MY FAMILE MY DR EVREY THINK HERE EVEN TALK ARABIC I HAT THAT WHAT SHULD I DO AND MY FAMILY THEY ARE RESESS THEY DOESNT LKE AMRCAN OR CANDIAN PEAOPLE AND I HATE THAT I FEEL LIKE AIM BABY HERE I 31 YEARS OLD", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. From the given description it is very difficult to diagnose your problem. It does not seem like amnesia or memory related disorder. This could more be like some sort of anxiety disorder or depression. You need to work with your psychiatrist to have a proper diagnosis and treatment. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor, I am physiotherapist. my query is about consanguineous marriages, My parents are arranging marriage to my cousine only, i have a doubt about children health.Please guide whether their will be any physicall or mentall disabilities in the children.", "output": "Hi...scientifically seeing consanguineous marriages are not advisable as the kids may be prone for some inherited disorders which might be running sub-clinically in the family line. Another issue is that it can lead to pregnancy complications and birth weight issues. But at the same time it doesn't mean that all consanguineous marriages will lead to defective babies. It is not so. The best way for you will be that - Consult a genetics specialist (both of you) and get evaluated and then take a decision of the marriage. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I am 32 years male and suffering from itching since few months. I also have fatty liver (mild) with high cholestrol.After checking blood reports and symptoms doctors said this is due to some food i have to find. But Still i was unable to find the root cause.", "output": "Hello, Welcome to Chat Doctor, As you are itching following intake of some food, it should be identified. Mild fatty change in the liver is May due to alcohol, diabetes, hypertension, obesity, and dyslipidemia. As you are having high cholesterol it may be leading to fatty liver. Itching and rashes for few months may be due to allergy to food, dusts,chemicals and mite. Reason for the itching should be identified by undergoing Skin prick test for different allergen to which you are being exposed. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi I am a 14 year old girl who has been sucking her fingers since she was in her mums tummy.. i cant seem to stop and i have tried everything.. no creams can make me stop because i just seem to suck the stuff off. and hugging pillows or blankets doesnt give me the satisfaction of my fingers.. im really worried for my teeth .A dentist has told me before that the way i suck my teeth isnt harming the way they are.. but i still want to stop and i just dont know how. My fingers sooth me and keep me calm so i can sleep in a way nothing else can. i only do it at night and when im really tired.. please help", "output": "Hi and welcome, Finger sucking and thumb sucking habit is very injurious as dental health is concerned. Although thumb sucking is a normal habit it causes serious teeth problems if it continues long after the eruption of permanent teeth. Prolonged finger sucking can create crowded, crooked teeth and bite problems. You may also develop speech problems or problems with swallowing properly. Protrusion and displacement of front teeth are usual results of thumb sucking. This can affect your facial appearance and cause further emotional problems. You can follow few steps to avoid the habit :Ask your family member to carefully remove your fingers from mouth during sleep Don't be in anxiety or fear. If you have any emotional problems, or under stress, and you need comforting, you may need to resolve those issues first before successfully stopping the habit. Use a finger sucking guard. - your dentist might suggest the use of special devices to stop thumb sucking, called finger guards. A finger or thumb guard is a device with a plastic cover of the thumb that is attached to wrist. . Treatment with thumb guards usually lasts four weeks and helps to stop thumb sucking successfully. I hope this helps, take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been diagnosed with biceps tendinopathy and supraspinatus tenosynovitis of the right shoulder following a vehicle accident over 7 months ago and despite a steroid injection and months of physical therapy, I can barely move my right shoulder, is there any real help for this?", "output": "Hello, As you met an accident where you were diagnosed with biceps retinopathy and supraspinatus tenosynovitis I wonder why the shoulder functions have not resumed even after 6 months. Have you taken an MRI of the shoulder? If so what was the reports? If not then please do take it. I suspect this to be a rotator cuff injury. Because any injury happening to the shoulder with two muscle injury falls in the group. The rotator cuff muscles are weak. You need to work out behind it. Shoulder function can resume only when we have good range of motion in passive for all the movements and also if we overcome the pain. In fact, I should share one of the rotator cuff injury cases of mine. It was a case of 65 years old female with the above-mentioned injury. No passive or active shoulder movements. But to overcome the problems, I use to make the muscle tire by active ROM exercises and no weights. Just gravity assisted and gravity resisted ones. In fact all the shoulder movements like - flexion, extension, rotation, abduction, adduction and circumduction. At the end of the 12th week, she had the best movements without any kind of pain and shoulder was much stronger than before. I will advise you to look for a competitive physiotherapist who can help you get the best outcome score. If left untreated it will lead to other pathologies which are not accepted. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,I have had severe pain in my back near my lungs when i breathe deeply for the past two days and ive been coughing up green mucus.I went to the emergency room today and had tons of blood work and chest xrays and everything came back normal aparantely.They said i have bronchitis and they cannot explain to me what is causing my pain in my lungs when i breathe.they put me on antibiotics for 5 days and said if im not better then to come back.I just wanted to see if there could be any other explanation on what is causing my lung pain.Im a very healthy and active 21 year old female who doesnt smoke.Thanks if you have any helpfull advice.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Bronchitis causes pleurisy (inflammation of pleura). And this pleurisy is the cause for chest pain during breathing. You should apply warm water pad on affected areas of chest. Take simple painkiller and anti-inflammatory Chat Doctor. Don't worry, pleurisy with gradually subside once bronchitis is cured. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hell doc I am a male I had some book test done for std and I had not had intercourse in 2 years I got a call about my test results the nurse said I was clear of std deases but I had a form of herpes now how does that happen when I have not had intercourse in about 2 years?", "output": "Dear user feel your quarry and I would like to tell you that genital her peal cavity then touching your genitalia cause you to get infected you have may be because of another factor rather than sexual contactalthaugh sexual contact is the main method of transmission of genital herpes, but genital herpes may be caused by indirect contact methods you may have hsv1 infection and then touching mucus membrane or oral cavity then touching your genitalia causing genital herpes also you may touch another person who carry the virus through hands or kissing then touches your genitalia that causes genital herpes so sexual contact is not the only method of transmission, but you should refer your doctor to confirm diagnosis clinically you need not get worry wish you healthy life" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here... I weigh 100 lbs and I am diabetic ---- last month I was diagnosed with MRSA ----- I had a sore on my back that got infected and grew to over half the size of an orange ----- since then I have lost 4 lbs and have had a severe pinch under my right rib and some swelling ----- I do not have a gallbladder anymore it was removed in 1996 please advise what I should do and dont tell me to go to the hospital I will not step foot in one again that is where I got MRSA from in the first place thank you Chrystal", "output": "Thanks for posting your query to Chat Doctor. MRSA is a bacterial infection found resistant to many of the antibiotics mainly to beta lac tum group of antibiotics. If not treated properly may lead to serious systemic infection. Vancomycin is the Chat Doctor. You should contact to your physician and advice him to give to full course antibiotic treatment as per your culture and sensitivity report .take care ." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "MY 29 yr old son went to the emergency room 1month ago with a quarter size lump in his neck below the ear. they tried to drain it because they originally thought it was a cyst or an infected hair follicle. With in 4 days the lump was the size of a hockey puck and extremely painful. They did surgery to remove it, but didn t take it out 2x s. Once before a mri and petscan, and once after, but both times they just sewed him back up and said if they removed it, they would be doing more damage than the tumor. He says he has a non-cell malignancy. He told me today it is stage 4 melanoma. He is in his 4th week of daily radiation, but he said that he has been told he is inoperable, uncurable, but manageable. He originally told me that the tumor was solo, and not attached to anything when he had an ultrasound, but 4 days later when they did the 2nd surgery it has wrapped itself around things in his neck. What kind of cancer does this? Is he terminal?He lives in another state and I think he is keeping information from me to spare my feelings?", "output": "Hi, Thanks for writing in. It appears that your son has a melanoma that might have spread to neck lymph nodes. This is a possibility and has to be confirmed by doing a biopsy. What happens is that lymph nodes are found in many regions of the body and are small unless they are stimulated by disease process. When there is a disease in a person then the lymph nodes of a particular region get enlarged and this is a reaction by the immune mechanism. Since your son has been told that he has a melanoma, it has probably involved the neck lymph nodes. The lymph nodes in the neck are close to the carotid artery and internal jugular vein, and it is possible that the lymph nodes have wrapped around these. Doing a surgery in this condition is not possible and radiation usually works. It is suggested that you spend some time with your son by going over to his place and know more about the treatment he should be taking for his condition. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have just been prescribed Pexep CR 12.5 mg (1 tablet per night). Off late I have felt very burnt out due to work stress, have had lot of mood swings (there are days when I feel depressed, feel like crying), cant get any work done. I also suffer from poor quality sleep (for the past 1 year) & the doctor gave me some sleeping pills (Lonacen 0.5 mg). He has told me that both medications will be stopped at the end of 2 weeks.He has also put me on a multivatimin tab & Omega-3 supplement. Do these medications sound correct for my problem? What are the side effects & withdrawal symtomns? Vikram", "output": "HiT hanks for using Chat Doctor I think, you have adjustment disorder or depression. In that case, you need antidepressant with low dose benzodiazepine. Paper contains paroxetine and it is an antidepressant. Better to take these Chat Doctor. That would help you more. It has some minor side effects like delayed ejaculation, gastritis, anxiety symptoms etc., but that resolve in few days. In case, you need further help, you can ask. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i am a 33 yr old fem. and have a kidney infection caused by proteus and I am on my 5th day of anitibiotics (Cipro). The pain is almost gone as well as the high fever, but i have been extremely dizzy. I was expecting that to subside with the other symptoms, is this normal? i just dont quite feel right.", "output": "Dizziness is not likely to be due to the infection unless OT is so severe that it had reduced your BP, but that is now unlikely considering that you feel the fever had come down. Ciprofloxacin is an excellent Chat Doctor. You can take a multivitamin preparation for whatever it is worth as well. I suggest you take plenty of fluids and eat well for the next couple of days till you complete your antibiotics course but if you are not comfortable, please stop the antibiotic and get yourself examined by a doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ive given my son his first 5ml dose of Zithromax for an ear infection before bed. His ear has been sore & Ive been regularly giving him some calpol too (well within recommended dosage). Now Im reading the small print & noticing I should have consulted the doctor if my child is taking or has taken any other medication recently along with the Zithromax. Im just checking that the calpol & Zithromax combination are ok?", "output": "Hello! I have been through your question. Related your concern you shouldn't worry because that it is known that azithromycin and paracetamol don't exist any data to have interaction between them. So, what I suggest is only to give your child Cal pol not less than 4-6 hour between, if need it and continue to give the dose of Zithromax based on your son weight. I hope my answer help you. I wish your son a quick recovery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, can I answer your health question ? please type your question here....Gestational Age :BPD : 8.7 cms .... 35weeks 1dHC : 31.1cms .... 34weeks 5dAC : 30.9 cms .... 34weeks 6dFL : 7.2 cms .... 37weeks 2dweight : 2693gms + /- 224gmsLiquor : Adequate{AFI:: 11.2cms}", "output": "Hello, Thanks for sharing your health concern with us. I have gone through the query and would like to offer my opinion. The sonogram findings indicate a gestational age of 34-35 weeks. The disparity in the femur length is perhaps due to the fetus being lengthier than usual. You may repeat the sonogram after a week for a proper appraisal of the situation and plan further management. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI my 18 month old daughter has red eyes for 4 days, they are not overly red so I don think it is pink eye, however she is rubbing them as if they itch, it started with one eye and now appears to be both, thus far she has had no other symptoms and is eating, drinking and playing as normal", "output": "HI...by what you quote I feel that she might be having a viral conjunctivitis. Usually it will start in one eye and the spread to another. Sometimes it can get secondarily infected with bacterial infection and hence might need antibiotic eye Chat Doctor. I suggest you consult your ophthalmologist because - EYE conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Started as an yeast infection,cleared up. never had one before.Have flaking skin on but.peels,iches,oozes,look like it almost heal up.starts the cycle over and over again.now on one of my finger.can t get rid of it.have it for several months.please help.", "output": "Hi, It may be a contact allergic dermatitis most probably. Consult the dermatologist for the perfect diagnosis and proper treatment. Apply mild steroid cream on the lesions. Take antihistamines like Levocetirizine. Take oral steroids like Methyl Prednisolone in a tapering dose. Avoid contact with soap, detergents, dust, grass or other suspected allergens. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My boyfriend was recently diagnosed with Wolff-Parkinson-White Syndrome. I did some research, and discovered that he has nearly all of the symptoms of heart block and many of the symptoms of heart failure. Whenever he has an episode with his heart, he gets very dizzy, nauseous, has chest pain and cold sweats, and eventually has a blackout. Is there anything that I can do to alleviate his symptoms when they occur?", "output": "Hello, thanks for reaching out to us. I understand your worry towards your boyfriends' health. For treatment of patients with Wolff-Parkinson-White, it depends on lots of factors like presence of other diseases that might be present, the degree of severity etc. The best advice I have for you is to encourage him to see his cardiologist to know the best treatment possible in his case. I hope he gets better soon. Warm regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dr., This is Himadri Dhar, my son Adriz is 3 years old and today around 4-5 hours ago we have taken cheese popcorn from outside stall and right now he is crying like anything for stomach pain. We are also suffering from gas formation. He does not have any other problem and not taking any other medicines at present. Can you please advise medicine for him?", "output": "Hi, welcome to Chat Doctor. I see similar cases in my clinic every day. Your child probably has food poisoning. If I was your treating doctor, I would have given syrup Cyclops 5 ml PO three times a day for 2 days and syrup zoxakind-O 3.5 ml PO three times a day for 3 days. However since this is a prescription medicine, i advice you to meet the local doctor to confirm the diagnosis. Also, avoid food from that stall to prevent similar problem in the future. I hope this has helped you. Take care. Regards - Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have very frequent uti and my Husband and I are trying to conceive so we are having intercourse more frequently. I know this could be the cause of the uti but lately sex is pain full and there is a lot of discomfort with Oder just in the urin. And when I pee I feel like Im never done what is wrong", "output": "Hello dearWelcome to Chat Doctor.come have gone through your concern in depth.@ Pain may be associated with or without urinary infection as inadequate relaxation of vagina, anxiety induced spasms @ Causes of frequent UTI during intercourse are - transmission of bacteria as E.cold and others - use of certain irritating feminine products as powders or sprays - retaining urine long time after intercourse - organisms of herpes, gonorrhea, chlamydia, cytoplasm etc. - improper hygiene of private parts - inadequate water intake in much hurry of conceiving - others Hope this will help you definitely. Feel free to ask any further queries in future anytime. Thanks for so much peaceful evaluation of my answer. Regards dear take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my daughter age 19 just returned from Uganda. She is experiencing pain at her back rib on lft side. A phys therapist that was on the trip thought she may have popped a rib. She has no insurance. We can go to an urgent care facility but they dont have xray. Would that be required for treatment? Thanks.", "output": "GREETINGS! ANSWER : Fracture or dislocation of the rib can be only confirmed through X-ray. If it's a fracture or dislocation then, There is no specific treatment for rib fractures, but various supportive measures can be taken. In simple rib fractures, pain can lead to reduced movement and cough suppression; this can contribute to formation of secondary chest infection. Adequate analgesia can avoid this! Flail chest is a potentially life-threatening injury and will often require a period of assisted ventilation. Flail chest and first rib fractures are high-energy injuries and should prompt investigation of damage to underlying viscera (e.g., lung contusion) or remotely (e.g., cervical spine injury). Other treatment includes internal fixation of rib!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 2 year old has had a rash / hives in her diaper area front and back chronically, but has been worsening over the last 6 weeks. She does have a dairy and egg white allergy, but it has been eliminated from her diet all together although she has had 2 very minor exposures. Now the rash is visible red raised welt-like hives that flare and we treat with Triamcinolone that was prescribed by her pediatrician. Should we be looking for another cause of the hives? Her diapers or pull ups? She has no other symptoms except she get s a small patch below her mouth and on her cheek at the same time.", "output": "Hi... Thank you for consulting in Chat Doctor. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have had pneumonia for a number of weeks now & am on my 3rd round of antibiotics. Although I am feeling a lot better I still get very tired & am experiencing a lot of discomfort in my chest around my right arm pit. The x-ray showed the left lung was most infected. Is this something I should be concerned about or just continue to ride it out? Thanks you", "output": "Thanks for your question on Chat Doctor. In my opinion you should get done repeat chest x-ray to see whether1. The lesion is improving2. The lesion is static3. The lesion is worsening. In pneumonia identification of causative organism is very important, so that we can give proper antibiotics. So if your lesion is improving than no need to worry. But if it is static or worsening than get done CT Thorax and Bronchoscopy with BAD (Bronchoalveolar Lavage) analysis for culture and sensitivity. By doing these we can start the specific therapy and titrate antibiotics too." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I had an ubaliacil hernia operated on, on the 15th September. It started oozing puss a week later through the wound. The wound stopped oozing out of my wound and then the same day it started coming out of my bellybutton. I put up with it for 7 weeks then my specialist did an exploration and left a 2cm cut just inside my bellybutton and said that there was just a pocket of the puss and that it would dry up it s been over a week now and it hasn t stopped and is getting more green every day what should I do ?", "output": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. This green pus is suggestive of severe infection. I advise you to do Grams staining, culture and sensitivity from the pus. It must be antibiotic resistant bacteria that is causing healing more difficult. I advise you to take the Chat Doctor. This will make the treatment more effective, cheap and rapid. Please maintain good hygiene of the wound by frequent cleaning and " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doc, I have pcos and i am 30, my doc recommended me taking mephrate its been more than 10 days but still i havnt ha my periods also i have lot of stress related to personal and office life...please can you suggest i always have negative thoughts because of this. What can i do to releive myself from stress and other tension.", "output": "Hi, You can expect a with Chat Doctor. For the specific treatment of POD, there is a protocol of investigations to be done and treatment is planned according to the specific problem detected. These include a complete hormonal assay, glucose tolerance test, RHEAS levels, tubal patency if trying to conceive, trans-vaginal sonogram to view the uterus and ovaries. Maintenance of a healthy body weight, regular exercise and a healthy diet go a long way in the treatment. Meditation can help ease out the stress; please take the support of a psychologist if needed. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a very swollen cheek along the jaw. I visited the dentist on Tuesday morning and was told I have an abscessed tooth where the infection has gone into the cheek. I have been on the prescribed medication since Tuesday lunchtime and today the swelling is far more prominent and I am having difficulty opening my mouth.", "output": "Hello, Your infection is not under control and symptoms are increasing. Call your dentist to report that your condition has not improved and is worse. Your dentist will need to increase the dosage or change your antibiotic. Make sure you are following directions on taking all medication. I usually recommend Amoxicillin 500 mg or 875 mg depending on how often you take the antibiotic. Your dentist will recommend the next step for treatment of the abscess. You may need other oral conditions evaluated as well. Take anti-inflammatory medications in addition to the antibiotic. Tylenol and Motrin are effective choices. The choice of the antihistamine Ben Chat Doctor. Keep well HY" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I underwent stone operation( laser technique) in the month of october, the stone blobked the right ureter and one stone was in the right kidney, the kidney stone was not removed..one month later the DJ stent was removed. But since that day till date I am feeling pain in the operated area. After ultrasound a month ago the right kidney stone was not there and the reports were normal.", "output": "His your kidney stone is not seen in the recent Ultrasound abdomen, pain due to stone can be ruled out. Most probable cause is Injury to the Urinary tract during the procedure. If the pain is not relieved by Anti-inflammatory Chat Doctor. Most common cause is Chronic Appendicitis. Unless it is grossly enlarged, it cannot be seen in ultrasound. You have to go for CT scan abdomen with Contrast to rule out other causes of pain abdomen. I will be ready to answer your query once you come back with CT scan abdomen. Wish you good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son is 21 years old and is basically healthy. Over the last couple of days, he has developed what looks like canker sores on the sides of his tongue and he says it hurts and difficult to talk and eat and it feels a bit swollen to him. He thought it might be allergies, but Benadryl did nothing to help. His medications are Cymbalta, and naproxen and Imitrex as needed for migraines. Suggestions please?", "output": "Hi, As per your complaint it seems that ulcers on sides of tongue can to be due to Pathos Dermatitis leading to inflammation inside mouth and along with it there seem to be pathos ulcers or canker sores. It can be a side effect of the medication, other causes can be deficiency of iron and vitamin B12, stress, physical trauma to the tongue, allergies, acid reflux etc. I would suggest you to consult an Oral Physician and get evaluated and a thorough clinical evaluation and investigations like blood tests can help in diagnosis. Treatment of underlying cause will relieve the symptoms. As of now, you can start gargling with a numbing mouthwash containing Lidocaine to relieve the symptoms. You can also take a multivitamin tablet. You can take anti-inflammatory painkiller like Ibuprofen. Suck ice and do cool water rinses. Avoid spicy food. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my daughter has been diagnosed with pollen allergies since she was 3...she is 6 now....we ve been on different medications, but the longest she took something was l-montus kids, for a yr.....she gets congested, irritable nose and redness around eyes from the pollen...rt now its winter in georgia, USA....pollen levels are minimal...but I still have to give her the medicine or her eyes get red and swollen....any suggestions?...want to minimise medicine usage", "output": "Your daughter seems to have quite a severe form of pollen allergy, normally called hay fever ---it appears that there is quite a lot of discomfort --inspire of montelukast medication in addition to symptomatic decongestants ---at this point the main idea is to take her away from the allergen --pollen --sometimes when this irritating agent can be given in small doses may desensitize. The plan of management includes --keeping away from pollen, decongestants, creams, she may need steroids short courses to help her during acute discomfort or pain. The good news is her airways seem to be free and no cough" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Do u charge a fee? Leg pain fem top right side of tail bone down,,,,, for past few years. seems to be a problem, Every time my shoulders go off. one is higher than the other as if out of alignment. Also I can.com.com feel some lumps on muscles of leg. What is this?", "output": "Hello, As per your history, it may be due to thrombophlebitis. For further assessment you may require ultrasound Doppler of both legs, complete hologram after consultation. Along with that keep yourself HY Chat Doctor. Take balanced diet. Till then for pain you can take tablet acetaminophen. Apply diclofenac gel or ointment Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am a lactating mother and am experiencing slight tightening in my middle of the chest for a week now. no pain or great discomfort but a feeling of tightening throughout the day? i am 34yrs old, 5ft 4\" height 72 kgs weight, have no major healtChatDoctorplaints, sugar BP all normal.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. No need to worry about major heart and lung related diseases because you are young and having normal blood pressure and sugar. Sometimes, stress and anxiety can cause chest tightness. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Don't worry, you will be alright. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been having lower back pain with shooting pain in both legs. Also have been having bouts with diarrhea several times weekly with pain in the lower part of belly right above the pelvic bone. I am wondering if these two things might be related.", "output": "Hi I am Chat Doctor. . In my opinion you have a kind of sciatica due to nerve compression, actually these two symptoms are not related, but bowel movements may exaggerate the pain sensation. For my patients I may recommend physiotherapy, hot massages, spinal straightening exercises will be helpful, painkillers like Advil tabs when needed, gentle massaging with anti-inflammatory gels, B12 vitamin supplements, muscle relaxants will be effective for most of the cases, in more severe and chronic cases steroid tabs or injections are prescribed. If pain persists I recommend MRI scan on your spine to exclude any spinal disc herniation and follow them up with your neurologist for proper evaluation and management. Please click and consider a 5-star rating with some positive feedback if the information was helpful. Wish you good health, Any further clarifications feel free to ask." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my father experience numbness in his right hand after CABG 8 month ago. Doctor said it is normal side effect of post CABG. But my fther not happy with the numbness. so last week he start smoking ( he is a heavy smoker before but quit smoking after the CABG. he quit smoking for 8 month until recently ). He said the numbness gone after he start smoking. My question is, is nicotine or any substance in the cigarate have some effect on the the nerve or what so ever that can reduce or heal the numbness.TQ", "output": "Hello No it doesn't have any favorable effect on nerves, it's just his psychology and the urge to smoke in his subconscious that is making him feel in a better way. Smoking even after a CABG is highly inappropriate as smoking promotes atherosclerosis and can lead to a very early graft failure that could ultimately lead to a heart attack. So you have to make sure that he should stop smoking completely. Wish him good health Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,I am Aditya 22 years old working professional and I am suffering from hair loss kindly suggest me some steps or any medicine to stop it and to regain the same. I have heard about biotin capsules if its good for hairs so please let me know in bangalore where its available.", "output": "Thank you for the question. Hair loss is associated to many factors. But hair loss due to heredity is usually seemingly get yourself first checked for routine blood investigations such as hemoglobin etc. If all the tests are normal, then you could start applying Minoxidil solution 2% or 5%. This should be supplemented with multivitamins. Biotin is usually found in multivitamins. Regular exercise/yoga, street free lifestyle and balanced diet will all be helpful in reducing hair loss. You will begin to notice hair growth after a period of 6-8 weeks after following all the steps which is advised Best Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been told that I have a chest full of lympnoids some people say you dont get lympnoids in your lungs but my c- scan says otherwise i am scheduled for a biopsy sometime in the next couple weeks and I am very nervous and scared of what is happening..", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Chest cavity has mediastinal group of lymph nodes. And common causes for mediastinal Lymphadenopathy are 1. Lung infection 2. Sarcoidosis3. Tuberculosis4. Histoplasmosis (fungal infection)5. Lymphoma s (malignancy). So biopsy is needed to confirm the diagnosis. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "basically i have been repeating myself alot lately i used to do it in the past but its been more common. its not like a stutter or stammer its only with one word out of a sentence. i will be speaking normally and then it hits me and i find my self repeating the word or sentance over and over sometimes even up to 20times. the wierdest thing is i can break away from saying it but to carry on telling the story i have to repeat it again. i was wondering if you have any answers as to what could be happening.", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. From the description it is not easy to diagnose you properly. But I see a case of obsession here without any underlying physical / physiological cause. You had that disturbing sensation once. You expected it to happen again and tried. Then you started experiencing it as you were expecting it. Then your body brought the familiar symptom because you are expecting it. Then you started worrying that the symptom is coming again and again and expect it. Body brings it again as you are expecting it. You become worried and so on. That is obsession in simple terms. Ignore it and the problem vanishes. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "32yo female,smoker, taking 90mgs of generic adderall for the past 6months, got EKG came back normal-no other health problems. having heart palpitations since starting meds, feels like its skipping or stopping then goes back to normal, ck my BP numerous times a day- its always between 80s -90s.. now my left neck vein feels like it is throbbinig or something- and sometimes i can feel it in my left arm veins too. worried my heart is going to give out or something!!", "output": "Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. I will try to explain you something and give you my opinion. You must know that Adderall is a stimulant of central nervous system. It affects chemicals in the brain that contributes to hyper reactivity. Through stimulation of nervous system in a secondary way it stimulates the electrical system of the heart. This stimulation might cause fast heart beats over 100 or generate other electrical impulses in parts of the heart different from normal sinus Rhythm. This causes premature heart contraction that we call extra systolic beats. In this situation you feel your heart like running, making pauses or skipping beats. You might feel anxiety, difficulties in breathing deeply, palpitations or pulsations to your veins all over. Every kind of stimulation of nervous system might cause this rhythm issue to simple emotional stress, coffee consumption or pathologies like anemia, hyperthyroidism, this kind of medicine that act directly to the system. So, nothing serious is happening to your heart. it's a reaction to this stimulation. My opinions is to discuss this effects with your doctor and decide together what to do with and fit is possible or allowed to stop it. Hope I was helpful. Best regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Doctor I had problem regarding my foreskin . Generally my skin is over my penis & when I am not in stage of erection i was able to move it back but last month i got infection and cracks on it which later i treated with some soap and cream . right now i am unable to move my skin back and unable it to clean with water which i generally do while bathing. I am feeling little itchy inside it. I am practicing it to move back it is not so and feeling uncomfortable while sitting and relaxing", "output": "This is a condition of inflammation of foreskin, as per your explanation. Possible causes can be contact with any allergens, fungal or bacterial infection etc. It is very important to diagnose the problem exactly. Sometimes if you have this issue, using of soap and other creams can aggravate the issue. It is advisable you contact a dermatologist and get treated as soon as possible, and if it is due to any allergy (some people will even have latex allergy), avoid the contact with such allergens, and if this particular problem started after a sexual intercourse with a particular person, inform that person also to get treated. TC" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi sir, My mother is 70 year old femal suffering fever for a week . he has seen both lung markin with old fibrocalcifiedlesion in both upper zone. no active tuberculosis, consolidation or effusionis seen on eighter side heart size normal no pulmonary congestion is seen no lymphadenopathu is seen bony thoracic cage is normal tell me about her. is it serious ?", "output": "Hello and Welcome to Ask A Doctor service. I have reviewed your query and here is my advice. I have gone through the CT report you have mentioned. Fibrocalcified lesions are suggestive of old healed lesions. These are mostly due to previous lung infection or tuberculosis. No need to worry about these lesions as they are scarred inactive lesions. Rest of the report is absolutely normal. So no need to worry about lung related cause for her fever. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my husband recently got examined for company meedical test (age 37/ height 170/ wt 60) . his cholestrol level is 238 & LDL cholestrol was 152.6. also when tested for cardiac ischemia it was positive(the stress depression > 2 but it was recovered later). i jst want to knw is this a severe problem & can it be brought to normal?", "output": "Dear Mrs, If he has a positive stress test for ischemia, it means that one of the vessels with supply blood to heart is narrowed. It is not very common in his age, but possible. The risk of this disease is that such patients can develop a heart attack. The next step should be coronary angiography, it is an examination, when heart arteries are imaged, it will show the exact vessel and the percentage of narrowing. And if there is a need doctors may intervene and open the vessel with stent. His doctor will prescribe him medications to prevent further blockages, and he should follow healthy lifestyle: avoid food containing animal food, not to smoke and Chat Doctor. Hope this was helpful for nourishing a good health to your husbandmen back if you have any further questions" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir, Is there any possibility of the wisdom tooth having cavity causes tinittus and hearing loss ?I am 48 years old,165 cm ht. 68kg wt. For the last 1 year I feel some symptoms like that of tinittus in my left ear and 60% of hearing loss. One of my wisdom teeth (left lower jaw) is having cavity and pain.", "output": "Hello, Thanks for consulting Chat Doctor, Read your query, as you have tinnitus, hearing loss this is not related to cavity in wisdom tooth. Due to cavity there can be referred pain in ear, but this tinnitus and hearing loss can be due to ear problem for this you should consult ENT surgeon and go for its treatment. For cavity in wisdom tooth you should consult dentist and go for IOWA X-ray of tooth if possible go for restoration of tooth or extraction of wisdom tooth. In meantime do like warm saline rinses, you can take analgesic for pain like Painted or Paracetamol by consulting with your local doctor. Hope this will help you. Wishing you good health. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HEY I ALWAYS WATCHING BLUE FILM AND I ALWAYS FEELING HIGH AND SUDDENLY I WASTE MY SPERM AND I WEEK I DO THE SAME AND NOW I CAN THAT I HAVE LITTLE WHITE SCARS IS ALRIGHT FOR ME OR I NEED TREATMENT?? SIR PLEASE REPLY ME SOON I WAS SO DESPERATE WITH THIS THING :(", "output": "Degree understand your concerns went through your details. Please understand, there is nothing called wastage of semen or sperm. Sperm is produced whenever you are sexually aroused. Such produced semen is stored within your body and is a waste product. Body should throw the stored semen out. Body does it through urine, nocturnal ejaculation or through masturbation or sexual intercourse. You do not need any treatment except correct knowledge and awareness. I suggest psychological counseling. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor,I am 24 yrs old and my Husband is 30. I am trying to conceive from last 3 -4 months. I had a abortion in May2012.reason came out is Tourch was -ve. I have completed the Tourchnil tablet course for 3 months as well.Currently taking the Furtisure from 3 weeks. Are there any side effects for those tablets?. What other tablets/ supplements would help me to conceiving soon?.", "output": "You should not worry much at this moment, as you are trying to get conceive only for 3-4 months .we do not categorize it as secondary infertility. As you have mentioned that you are taking furniture I think it is a herbal vitamin supplement, you can take another tablet which helps in fertilization that is-tab Along(pyridoxine+folic acid tab) and increase your frequency of coitus in mid-phase of menstrual cycle. If even after 2-3 month you are unable to conceive than consult your doctor for complete evaluation. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was told I have allergies to things out side & I was taking allergy medicine.it helped till about 3 months ago.now my nose drips every day nothing is working! I have nose sprays ,i have done salt water & medicine . I dont know what to do now .I also have breathing problems now too.I cant work because I am to sick. I have no life because of this .", "output": "I give you temporary solution of medicines you can take off and on for as many number of days and as many times without any side effect but eventually you have to consult allergeologist to get allergy tests to find the cause and desensitization therapy for permanent cure tab montage FX(combination of montelukast 10 mg and fexofenadine 120 mg)apply newsprint h eye ointment in nose but seawater Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "yes please I found a lump about the size of an egg and it seems to sit right above the rectum but I feel it in my abdomen it is hard and it is painful to bend at waist. I had three abdominal surgeries three years ago and I have three fistulas. I have also been running a fever between. 100. and 103.", "output": "Hello lump of the size of an egg is a matter of concern particularly in perianal await could be any of following perianal or ischiorectal abscess Large hemorrhoids Rectal polyp Cancer growth in rectum or anal canal I would advise you to consult a gastroenterologist or proctologist for colonoscopy/ photocopy for confirmation of diagnosis have plenty of fluids lots of fruits and dietary fiber avoid constipation by taking liquid paraffin at night smoking and alcohol to be given up hope this helps you regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 9 year old boy complains of headaches in the eyebrows. He gets it after watching a movie where it is dark than light and when going to bed, going from light to dark.Sometimes he has stomach upset and dizziness as well. We use homeopathic remedies for dizziness and headache. Is there anything else we can do?", "output": "Thank you for following up. We should do differentiation diagnostic of your child headache: Acute single episode:- with meningismi, accompanied by neck stiffness-head injury-sinusitis(dull ache over frontal or maxillary sinuses)- tropical illness:malaria-low blood pressure Recurrent acute attacks of headache:-migraine-cluster headache-trigeminal neuralgia Chronic headache:- Tension headache:stress relief, massage may be helpful-Raised intracranial pressure:typically worse on waking, lying,bending forward.- Medication overuse I suggest -1. Consult your pediatrician and pediatric neurologist2. He might require an ECG For prophylaxis of stomach upset I recommend probiotic- Darla 1 capsule 1 time 1 month Best regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "really quite bad gallstone pain, wonder if stone in bile duct, waiting 17 days for ultrasound to confirm docs diagnosis, dont know what to do if pain gets worse tonight, have some pain meds but if I sweat with pain plan to get husband to take me to ER, hope it doesnt happen, any help?", "output": "Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. In acute phase, you need to take plasmolytic, avoid fatty food and rest. In case of progressive pain, go to ER. Your symptoms may be suggestive of gallbladder stones, so you should do at least ultrasound or CT scan to evaluate it more accurately. This is caused by stone in bile duct and is very common condition. You need to change your dietary habits first. Need to avoid fried food, carbonated Chat Doctor. You should eat more milk products, vegetables and boiled food. If there is no improvement on lifestyle or dietary changes, then surgery is recommended. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was poking my teeth when suddenly a piece of my front tooth yanked-out. At least, I think it was a piece of my tooth. I can feel a whole in the back of my teeth, but you cant see a whole in the front. The piece I pulled out had somewhat of a chalk-like feel to it.", "output": "Hello, Thanks for consulting ChatDoctorRead your query as you have broken front tooth from palatal aspect don't be worried so much chalky tooth can be due to condition like fluorous or due to nutritional deficiency. I will suggest you to consult oral surgeon for examination of teeth and go for oral prophylaxis. If this can be restored so for tooth colored composite restoration. Inmeantime maintain proper oral hygiene. Do warm saline rinses 2 -3 times a day. Hope this will help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 86 year old father just got out of the hospital after being diagnosed with anemia . His hemoglobin was 7.6 hematocrit was 23. He had a small bleed , I think they called it an AVM. They cauterized it, gave him one unit of blood and also gave him I ve iron. On Wednesday his hemoglobin was 8.8 and his hematocrit was 28.8. He had another 2 units of blood. He has experienced some foot pain lately, but this morning he got up to go to the bathroom and almost fell. He said the pain in his right foot was bad. I was reading up on and came across information that it could be from a B 12 deficiency. If this is so, Would they have seen this B 12 deficiency on his latest CBC or BMP?. He has has B 12 shots in the past, though I couldn t say when the last one was", "output": "Thank you. There are many causes of anemia. Among them the most common are iron deficiency, chronic blood loss, vit b12 & folic acid deficiency etc.in case of vitb12 deficiency peripheral neuropathy may occur which may causes pain in the hand & feet & other features.it is easy to diagnose. Examination of peripheral blood film show megaloblastosis. As there is history of it b12 deficiency, so it is better to exclude megaloblastic anemia. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi! My husband has a problem. He used a Veet Hair removal cream for all his body on saturday.(including the balls under penis) And next day he saw a blood in his urine. He told me is soo much:( When he wake up on Monday morning he saw a blood in his boxers. Is it possible to be reaction from Veet cream?Thank you", "output": "Hello, I can understand your concern for the blood in boxers of your husband after applying the meet cream. It appears that your husband has developed irritant dermatitis after applying the meet cream over the genital area. These creams are quite prone to cause the burn on the skin and therefore can cause damage leading to oozing of blood from the affected site. I suggest you to ask him to do cold compression over the affected area. Till the time you meet a family physician you can ask him to apply an antibiotic cream such as funding cream or mupirocin cream over the affected area. Ask him to wear lose cotton clothes so that it should not irritate the scrotal skin. All the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had very heavy and painful periods for many years.....I am trying to conceive right now (miscarried in November, ectopic in March which resulted in losing my right tube.....is there any chance for me and could the cause be rooted in my heavy, lumpy and painful periods?", "output": "Hallow Madam, Since you have conceived twice in your life, there are very good chances that you will conceive again. However, the history of ectopic pregnancy cannot be ignored, and you will have to be on the guard for it. The best option is to monitor the ovulation by ultrasonography and time your sexual intercourse on the day of egg release. You will have to submit for the ultrasonography day 9 onwards for about 5-6 days. This should give you better results. If you choose to have pregnancy when the egg from the side on which tube is intact is selected, the chances of pregnancy will still be higher. I hope this helps you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my husband had a half gallon of brownish fluid removed yesterday from his peritoneum cavity, it distended almost to the same size within two hours. could he have internal bleeding? they, the doctors sent a sample to the lab how long should it take until we know the results?", "output": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. You will receive the report with in a day. The fluid collected from the peritoneum is the ascites fluid. It is an interstitial fluid of the body. But it is not the bleeding. But it won't be filled with in a day. You should be investigated for such a fast filling.USG abdomen is very helped full in such a diagnosis. There are many causes of the collection of the fluid most common one is the liver failure, some malignancy etc. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have noticed for about the last 6 or so months when I sit down in a hard-back chair there is an area in the middle to lower section (about where my belly button would be) of my spine that begins to hurt. I have a bruise at the location of the pain -- probably because I am a student and my back is constantly being pressed against hard desk chairs. When I run my fingers along my spine, I do notice a slight protrusion at the source of the pain -- I m not sure if it can be seen, but I can feel it. I don t have any serious history of either back or muscle issues. I do feel quite restless when sitting down -- I am constantly shifting. I also get the urge to crack my back at least two to three times per day. Any ideas about the pain in the one spot of my spine? Why is it sticking out? Thanks!", "output": "Hello ! I understand your concern. In my opinion a disc bulge in that level of your column may be the cause of these symptoms. The protrusion may be an inflammatory lesion, or just the bone related with your spinal nerves at the point of the column where they get out from the spine. Other possible diagnosis, more rare may be lesions of the spine like tumors, cysts, etc. I would recommend you see a doctor and have a lumbar column x-ray and a blood routine test to rule out this diagnosis. Hope to have been helpful! Thank you for using Chat Doctor! Best wishes, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been taking the contraceptive pill for over 2 years and have never missed a gap week. i am on my gap week now and still no bleeding? i was sick and had antibiotics and pain killers for my back during my last 21 days but used condoms as extra protection. should i go to my gp?", "output": "Hello, The company which you are saying suggesting me to rule out pregnancy first so for that reason opt for urine pregnancy test but at the same time chances of it to come positive is very less but still would like to rule it out first, then if its negative it means because of your recent illness your periods have got delayed so start taking multivitamin and iron tablet because many times because of nutritional deficiency also periods dates may get altered. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi , myself celina age 26, my relation never worked out with anyone and now I am in a situation that I scare to bring a new person in my life I am not able to trust any body and always think that people are doing conspiracy for me , what should I do ? Now recently I deeply and seriously feel in love with a boy but I never got the attention and concern that I should deserve from him and it made me more insecure though our relation was for two years I never had physical relation with him because my past relation was not good , and I always felt that boys just come for sex and they are never serious with any one .When I was 11 years my mom and dad got separated and I always blamed myself for this I do not know why , and I used to hate the opposite sex , because even in my family my uncle tried to have sex with me , this is the main reason I used to hate boys , now I am in deeply love with this guy but he neither understand my situation neither co operates with me always tries to dominate me I want to come out of this but i feel very insecure due to my experience I cant take it any more , recently after this break up I feel that I am not good enough to handle relationship and also scared to go for any new relation totally lost don`t know what should I do , there is something wrong and I want to correct it please help", "output": "Hello Bad childhood experience, troubled relationships between parents are causing the disturbances in your behavior and relationships. Your close uncle tried to approach you and this resulted in fear of males. But presently you had relationship with a boy, so you have to move on. Childhood trauma results in conflict in mind, and it causes severe distress, and it can cause serious effects on personal and social life. I would advise you to please consult a good Psychiatrist for expert opinion and get your Psychotherapy done. Psychotherapy will resolve the unresolved conflict and will improve your condition. Life skill training is also needed. Try to do relaxation exercises and this will increase your confidence. Hope it solves your query. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Dr Grief, My name is Sarah. I have been in the hospital the last three days and have been give Heparin injections. My last injection was this morning and I am continuing to bleed from the site. How can I stop this? I have applied multiple band aids and it soaks through and onto my clothes. Thanks, Sarah", "output": "Hello, Thank you for your contact to Chat Doctor. I understand your health concern, if I am your doctor I suggest you that heparin is anticoagulant and should not be taken if the bleeding is continuous, I advise you to take consultation with your doctor and stop the heparin. Heparin has action of thinning the blood. I will be happy to answer all your future concern. Thank you, ChatDoctorInfectious disease specialist. Wish you the best health at Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband is 52. He has had diabetes since the age of 12. In April, 2010 he had a stroke leaving him with right side paraparesis. He started dialysis in May, 2010. He has a lot of pain in his lower back and woke up last night with chest hurting and the night before with stomach and lower back hurting. What do we need to look for?", "output": "Welcome to Chat Doctor .1. There are few reasons for back pain in this case, due to the underlying paraphrases if the patient is less mobile.2. Underling Diabetes - If it is uncontrolled.3. Age related degenerative changes do may cause the back pain.4. I would recommend an MRI spine to find out the status of the disc and cord involvement, at the same time a plain radiogram (X-ray) spine for bony changes. Hope it helps you. Anything to ask ? Do not hesitate. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i get cold that is in the form of allergy (that is running nose and sneezing) almost after masturbation or even if i get night fall. I am 100 % sure about it , if i dont do masturbation for say 7 - 10 days then i dont get cold (allergy that is running nose and sneezing) for that period of time . Sneezing continouly for 20-25 times is too much to handle for me", "output": "Hello, thanks for your query, I think u have honeymoon rhinitis, any way, sequence of sneezes, running nose, itching in ears, itching in roof of mouth, blackness under eyes are the symptoms of allergic rhinitis. It is best prevented by not to expose to cold, dust, not to consume ice creams, fridge water, curd. Best street meet is Adams(fluticasone) nasal spray twice daily, tab. Monte- LC (montelukast+cetirizine once daily at bedtime. All the best. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,The inside right cheek of my mouth does not feel smooth as the left cheek, something like a very fine sandpaper feeling. I looked with a flashlight and it looks different than the left side. Gray cast rather than pink like the left side. It is hard to see close because of the limitations of my glasses and the mirror. Do you have any ideas? What kind of doctor would I make an appointment with. Would it be a dentist, GP, or something else?", "output": "Hello. Thank you for consulting Chat Doctor. You need to consult dentist for diagnosis of this lesion. According to symptoms you mentioned you can have leukoplakia/keratitis / lichen planes/ oral keratinizing candidiasis. I need to know your tobacco habits. I also need to know your gender and mental status either you are under any stress ? I also need to know are you taking any medicine regularly specially steroids ?perfectly the lesion can be diagnosed with microscopic examination of the infected tissues." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "A few days ago, I pulled my lower back quite badly. Since then it seems to be healing with rest, ice and gentle exercise. However, a simultaneous problem has occurred that is causing a great deal of pain. I noticed that my bottom was also very painful, and when I looked there was a red and painful lump at the entrance to my anus. I took this to be a haemorrhoid. However, it is a very swollen and red perineum that is actually causing the pain. Is this related? Are they related to my back? And how can I treat it? At the moment, the combination of injuries means I can barely sit or sleep.", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. I don't think your back pain and swelling at anal region are associated. By your history and description, your anal region swelling is mostly due to boil (skin infection). It is common in diabetic patients. So first rule out diabetes. Also consult surgeon and get done clinical examination. You need incision and Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I heard gargling hydrogen peroxide makes teeth white. I tried it, but shortly afterwards my nose started bleeding and also a little through my mouth. Is this a side affect of gargling hydrogen peroxide or may this be caused be something else?", "output": "Hello, Thanks for writing to shy Chat Doctor. Less complex molecules that reflect less light lead to a reduction or elimination of the discoloration of both the enamel and the dentin. The length of treatment depends on the level of discoloration and on the whitening product used. It ranges from short interventions in the dental office to applications at home lasting minutes/hours per day and repeated over a number of days. Single dark teeth can also be bleached successfully. Heavy tobacco stains may need as much as three months of treatment. Whitened teeth generally do not darken after treatment or darken only slightly, and when they do, retreating the teeth can easily be done. Hope this helps you. Wishing you good health... Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 24 year old son was diagnosed with strep throat saturday and started antibiotics. By Tuesday his stomach hurt so bad he went to ER....They said after an ultra sound that his gallbladder was swolen. On the IV with antibiotics he felt bettter, now 12 hours later his stomach is bad again, he thinks its the antibiotics. Im wondering if it is just anything he puts down his stomach affects his gallbladder????? Help I dont want another trip to er", "output": "Hello! Thank you for the query. Antibiotics quite often cause some gastrointestinal issues. Like every medicine they can irritate stomach causing stomach ache. Usually it is nothing serious, however if it starts recurring, some diagnostics is necessary. Swollen gallbladder should rather get better after antibiotics. So it is hardly possible that antibiotic itself has caused such issue. More possible is that your son has peptic ulcer which get irritated by antibiotic. In case of peptic ulcer, ultrasound is usually useless. I suggest your son to visit a doctor once again. CRP, and blood work should be done along with an ultrasound. If nothing will be found, gastrostomy should be next. Hope this will help. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My boyfriend and i went to the building store about 1.5hrs ago and he started feeling really hot, he started sweating really badly and felt really light headed, hungry and thirsty. He is 19 years old what is wrong? he still does not feel like himselfhe gets hot and then cold and shakes and sweats", "output": "**1. Going by the time period and symptoms it could be acute stress reaction, viral or bacterial infection, heat or cold exposure.2. Visit your nearest physician to check with his blood glucose level [low blood sugar level causing hunger, thirsty, light headdress, sweating] and for EKG [electrocardiograph] to exclude any heart abnormality.3. After necessary examination he may ask for:. Blood culture for malaria. Sputum culture. Urine culture. X-ray of the chests. Since chills are natural response of body to variety of conditions thus prior to opting for any medication kindly visit your health care doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was bitten two days ago by a fire ant, three times on my middle toe on my left foot. It became inflamed and red very quickly. I used benadryl, it stopped the itching. Yesterday morning the swelling had spread to all 4 small toes and into my foot. My doctor prescribed prednisone and topical steroid cream. Also told me to take zyrtec or clariton over the counter. I took the steroid and it seemed to reduce the swelling but by the evening two of the insect bites were black and the surrounding area was also black and swollen. I soaked my foot in epsome salts that helped the pain and reduced the redness and swelling some. Today the bites are still very black and swollen but not exceptionally painful. Should I be concerned? Should I lance them and soak again?", "output": "Hi, thanks for using Chat Doctor It would be best not to puncture them because they can introduce infection if the technique is not sterile. You may want to add anti-inflammatory painkillers to your current regimen. They would help with pain relief and also reduce the inflammation due to the bites. Examples are ibuprofen, naproxen should continue your other medication and can also the foot baths. It is possible that the bites may become infected so if there is no improvement you may need a course of antibiotics. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 25 year old female, weight 130. Generally I am pretty active(going to the gym at 5-7 per week). However, in the last month or so I have been exhausted and sore which made it difficult to work out. I blamed in on worsening allergies(I live in the northeast) and everyone seemed to have worse allergies this year. However, my \"allergies\" were not relieved by over the counter medications and perscription nasal spray. My symptoms have been getting worse and have been present for at least a month and are flu like. I have had an intermittent fever for at least a week and have chest pain and a cough. I was seen by the doctor yesterday and she ran a lyme disease test and a CBC, I had a fever but my ears, throat and nose looked good and my lungs were clear. I have no relief for my cough, but advil does relieve some of my chest pain.", "output": "Hi, Welcome to Chat Doctor, Fever with runny nose and soreness could be due to rhinitis (allergic or infective), sinusitis,common cold or may be URI. Runny nose is mostly due to viral infection because of our low immunity. You may need to do complete hologram, ESR,electrolytes and X-ray of face to check for sinusitis. You must go to ENT specialist to get properly diagnosed first as there is fever and cough. So, better to consult doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I am 35 yrs old female, I m having hard time to get going, I feel tingles in my face, my both hands, arms and my back. Also having squeeze in chest area, mainly where heterial hernia. also feels dry mouth requires drinking lot fluids. Any advice would be greatly appreciated. Thank you", "output": "Hello! Thank you for asking on Chat Doctor! Your symptoms could be related to an electrolyte imbalance, diabetes or any other metabolic disorder. That is why I would recommend consulting with your GP for a physical exam and some tests (complete blood count, PCR, ESR, iron levels, fasting glucose, kidney and liver function tests, blood electrolytes, vitamin D levels). You should discuss with your doctor on these tests. Meanwhile, I recommend taking plenty of fluids. Kind regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i have taken 4 ipills from 2nd june onwards till 2nd july and inbetween i got my periods but again i got them on 6th july which was only spotting till the 8th july and then the normal flow started and till now i have spotting ...my gynac gave me etosys mf and celin for 5 days 3 times a day to stop but its increasing my flow and then gives a relief for some time so what is this ?? and she asked to get a beta ChatDoctor test done for what reason ? im scared i hope its not aids or cancer ...", "output": "Hi and welcome to Chat Doctor, thank you for your query.Aids and cancers are the last thing to think of. There are many causes of such difficulties and most of them are benign and treatable. You should check your hormonal levels and do ultrasound of uterus and pelvis to see is there cyst or endometrial pathology. Also, you should check your coagulation factors. Usually such bleeding scan be regulated dwith hormonal therapy, so I am sure it will be possible in your case too. Wish you good health. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have a small bump on my stomach, kind of looks like what a mosquito bite would look like, but it does not itch. I had it for one day a week ago, and than it disappeared and reappeared today. When I touch it I felt the urge to use the bathroom, what could it be?", "output": "Hi, Dear,Good evening. Thanks for your query to my virtual Chat Doctor Clinic. I studied your query in-depth. In My opinion-diagnosis is-Bed-bug bite / or-spider bite/or insect bite.-Urge to bathroom, may be just coincidental to its touching and I don't feel any relation is there. Still I would advise taking ER Surgeons opinion, who would treat it appropriately. Hope this would resolve your worrying query. Wellcome for more query from you. Good day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "how long does an i-pill take action, say i had sex with my wife on thursday the 23th of may, will the pill still be effective if we had unprotected sex after four days from the date of consumption of the first pill, if not then for how many days does the pill takes its action?", "output": "Hi, I have gone through your question. I pill, or the emergency contraceptive pill has its action in preventing only that pregnancy which can occur by the last intercourse episode. It does not have contraceptive effect for the next unprotected intercourse. You need to take a repeat course of I pill for this act. I would suggest you to use regular contraception, as repeated I pill intake have side effects and have increased failure rate. Hope you found the answer helpful. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here... My 3 year old boy has just currently started not sleeping and is worried that im going to leave him, he is not going off to slepp well and it takes ages to settle him. Also he is up a lot in the night, help?", "output": "Hi, A common cause of sleeplessness in a healthy 3-year-old is mostly due to frequent nap in the noon or in the evening. They also have the fear that they will be left alone at night, in that scenario either of the parents should be with the child, till they go into deep sleep. I would suggest you make the child play well in the evening and lessen the duration of sleep in the noon and avoid caffeinated Chat Doctor. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have developed numbness and tingling in my finger tips. Have lower back problems as I broke my back as a teenager and have arthritis. I am on thyroid meds for Graves Disease which was treated with radioactive iodine in 2011. I also have a low immune system (low igg antibody) and have frequent infections. Should I be concerned with my new tingling sensation in my fingers and feet.", "output": "Hello. I have been through your question and understand your concern. Tingling in the extremities are a common feature and usually temporary and benign. Still, since you have a rich medical history I recommend you to schedule a Neurological consult and an electromyography plus a nerve conduction study to better evaluate if the tingling is a serious feature. Basically you should not worry because it is very common but still you should consider a neurological consult. Hope this helps Wish you the best health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hey doc,i am a 20 years old girl.i just dont know what happened to me during the last two year, my blood turned actually thick and purplish red as if it is some old blood. and now i have so many acne scars on my face and a dead skin. really worried please help", "output": "Hello and welcome to Chat Doctor, Thickening of blood and development of acne are most probably unrelated to eacChatDoctorplete blood counts and red cell parameters are required to look for polycythemia. Polycythemia is characterized by raised red blood cells and high hemoglobin. Acne need to be managed conservatively with antibiotics and sufficient time should be given to allow the acne to heal. Thanks and take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,Iam kellie im 25 year old my health question is im shortness of breath, i cant really breath that well its been like this for 2 weeks now, i do have an heart murmur which ive had since i was about 12 years old, and i have had 2 depo conception injections but ive stopped them now i didnt go back for my 3rd shot which was suppose to have been 2 months ago, could u please give me some information to why im feeling like this, because i do feel very unwell. thank you for your time.", "output": "DEAR USER, THANKS FOR CONSULTING WITH ChatDoctorI UNDERSTAND YOUR CONCERN.HEART MURMUR USUALLY INDICATES A UNDERLYING VALVULAR HEART DISEASED EPO INJECTIONS CAN INCREASE CERTAIN HEART PROBLEMS BUT AS YOU HAVE NOT PROVIDED INFORMATION OF THE EXACT DISEASE YOU ARE SUFFERING IF YOU COULD MESSAGE ME THE DETAILS OF THE DISEASE OR CONSULT A CARDIOLOGIST FOR THE SAME HOPE I ANSWERED YOUR QUERY. YOU CAN MESSAGE ME FOR ANY FURTHER CONCERNS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have been experiencing back problems for several months. It started after i got back from Drum corps which is marching band across the country fro 2 months. We have to hold our bodies differently then normal, I heard that it is common for back problems. Today it was the worst its ever been. I couldn t stand up for an hour.", "output": "Yes it is common .and is because of constant stretch of lower back muscles. That we call as lumbar muscle strain. It will slowly resolve .you need to avoid further injury to back muscle by not doing any activity that aggregates your pain. Consult a physiotherapist for low back exercises. You can use lumbar belt that will help in pain control and will prevent further spasm and injury. If pain is severe, causing problems with your day-to-day activities then you can take some painkillers with muscle relaxant in supervision with an orthopedic surgeon." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am getting loose motions with abdominal pain, please help me", "output": "Hello Gurkha;welcome to Chat Doctor Loose motions with pain in abdomen can be due to infection of the intestines. If you are not pregnant and if you are not allergic to any of the medicines then you can take tablet-Oflox-TZ 1 tablet 2 times a day for 3 days which is a combination of Ofloxacin and Tinidazole both antibacterial and antiprotozoal. Also since it can cause acidity and nausea you have to take antacid tablet like Zinetac-300 mg along with the other tablet. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "The vein over my left temple is pulsating. No pain, but slight pressure on the edge of my left ocular cavity. I have a history of panic attacks, and this occurs during them, but at the moment, I am not having an attack. Could this be something other than stress?", "output": "Hi, Thank you for your query. I can understand your concerns. It is not a vein but an artery, more specifically, the superficial temporal artery which pulsates. It is a branch of the external carotid artery. Furthermore, it occurs in anxiety disorders. Pulses can be abnormally strong when the patient has an elevated pulse pressure. This would result in a strong, bounding pulse that could also be asymmetric due to anatomic variation. Bounding pulse -commonly seen in hyperkinetic circulatory states where there is vasodilation and increased stroke output. The pulse volume is high (due to high pulse pressure) with increased blood flow. Hyperkinetic circulatory states may due to excitement/anxiety. Other causes of hyperkinetic circulatory states giving rise to bounding pulse are Hyperthyroidism, Severe anemia, Beri Berg (thiamine deficiency), Arterio-venous fistula (e.g. Pages disease or hepatic failure). The most rapidly rising bounding pulse is found in AR(aortic regurgitation), PDA(patent ducts arterioles), coaptation of aorta. Regards " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My MRI report says mild disc bulge noted in C3/C4 level causing compression on thecal sac. Diffuse disc bulge with small posterior disc osteophyte complex is noted at C4/C5 causing compression on thecal sac with narrowing of right neural foramen resulting in compression on exiting nerve roots on right side at this level. Same witj C5/C6 with slight narrowing of right neural foramen closely abuting exiting nerve roots", "output": "Hello, These MRI findings of your cervical spine are consistent with degenerative changes (spondylosis) with subsequent spinal cord and nerve roots impingement. In cases like this, a correlation between MRI findings and neurological examination is necessary to assess the correct treatment ways. I suggest you discuss with a Neurologist for these issues. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Despite being exhausted last night, I could feel my body pulsating rapidly and heavily while lying in bed and waiting to fall asleep. I dont have a medical history of any complications. By 2.30am, when I was at my wits end, I finally resorted to taking an anxiolytic before I finally dozed off at 3am. Please let me know if my symptoms point twards any particular condition(s). Thank you for your time and kind attention.", "output": "Hello, thank you for putting your trust in our site, my name is Chat Doctor. What you did experience last night is called palpitations which is a rapid hard heartbeat, and the most common cause for heart palpitations is anxiety. Other causes include; hyperthyroidism and arrhythmia, and since you don't have any other symptoms suggested for hyperthyroidism or a cardiac issue then mostly what you had is just anxiety cause you probably stressed out or overthinking about a particular issue, and you will need any treatment just avoid " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "High I woke up last night with tigness in my left side of my chest i thought I was taking a heart attack I also have a pain in my left leg I m just wondering would that have anything to do with I m 41yrs of age and I stoped smoking 7 months ago I am on the electric cig", "output": "Hello, Your symptoms could be related to gastritis or gastroesophageal reflux. Anyway, I would recommend consulting with your attending physician for a physical exam and a routine check-up: - a resting ECG-complete blood count-blood electrolytes. An exercise cardiac stress test would help to definitely exclude any possible cardiac issues. In the meantime, I recommend trying an antacid or PPI (omeprazole), before sleep. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "What are the first steps to getting help with my mum who has dementia and I am not coping and her GP was completely unhelpful and offering no help at all. I am 60 and have a business to run and I cant sleep. First port of call for practical help please.", "output": "Hi, I can understand what you might be going through. You haven't mentioned whether your mother is on any treatment as of now and what are the exact symptoms she is suffering from as of now. I would advise you to consult a neurologist first. Thorough evaluation with blood investigations, cardiac evaluation and brain scanning would be needed to determine any primary cause of dementia. She would need treatment with medicines like donepezil which will slow down her progressive cognitive decline. In addition, if she is having any behavioral symptoms, medications might be required for that too. She could also be helped by certain behavioral measures for her memory symptoms. You can discuss this with the neurologist. Hope this information was useful. Best wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a paranoia that i may be pregnant, I have a small lump on the lower left side of my abdomen, weight gain and im tired. I am also a college student who only gets about 7 hours of aleep a night. could I be pregnant or could it be something else?", "output": "Hi, Dear,thanks for the query to Chat Doctor. I studied your query in full details. I understood the concerns you have. By no means the lump in the lower left side of your abdomen and weight gain suggests pregnancy. I would advise you to consult ER Surgeon for opinion on left lower abdomen lump and ER Gone/Oust Doctor and ER Psychiatrist if your doctors advise you so.Don't worry and things will be right after this check up. Your doctors would rule out pregnancy and would take all due care to investigate and treat it accordingly. Hope this would help your query to satisfaction. Write excellent review and hit thanks if this reply helps you out. Welcome for any further query to Chat Doctor and to me in this regard. Have a Good Day. Chat Doctor. N." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am patint of Hole in heart approxmately 32mm and my age is 32 year .I have made an echo in G.B.Panth and found 32 mm hole in my heart .I want to know if I would not treat this heart .Can he effected in future .I did not feel any problems of heart from childhood.What should now I should make the surger or not .", "output": "Hello, Certainly it needs treatment. It can damage heart and lungs permanently and there wouldn't be any treatment for that. So you should get it treated. Treatment depends upon the location and other characters of the hole, whether surgery is needed or device closure can be done. So you discuss with cardiologist regarding the option of device closure which is minor procedure. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My Son is 15 years and he is suffering from liddle s syndrome since his birth. Now he is taking medicines regularly and he is ok. I wolud like to stop his medicine and give him a more comfortable life. Can you suggest me some good treatment in any part of the world. If you can give the contact number of doctors who are specialized in liddle s syndrome. Is there any special doctor for the syndrome (like pediatrcian for children.....). Thanks", "output": "Hi, Middle syn Chat Doctor. It is happening due to the maturation of the gene, a condition called autosomal dominant disease. The main goal of treatment is to control the high blood pressure and manage the hypokalemia. A kidney transplant may sometimes give a permanent result, such case could be managed anywhere in metro city or world. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, i recently had a deep dental cleaning and cannot open my mouth more than an inch. painful and it s like it s locked and i cannot eat food either. only liquids. doctor had to give me high doses of shots b/c novacain doesn t take effect. Dentist perscribed me an anti biotic and predisone and said I got acid in my muscle tissues in my mouth which apparently isn t uncommon. he said it could takes weeks before i can open my mouth. i ve never heard of anything like this before. any suggestions? YYYY@YYYY Thank you!", "output": "Thanks for your query. I have gone through your query. The limited or difficulty in mouth opening can be because of the trauma to the muscles while injecting local anesthesia or repeated injections, or it can be a disc displacement in the jaw joint that occurs if you had kept your mouth opened for long time during cleaning. Nothing to be panic, you can take analgesics like ibuprofen and muscle relaxants like chlorzoxazone. Give hot fomentation over the joint and muscles. I hope my answer will help you. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 31 year old female. I am over all very healthy. For the past week, I have had a very bad cough, but no other symptom. No runny nose, sore throat...nothing. The cough is a very deep and dry cough. I have also been feeling heaviness in my chest. Yesterday, I noticed that my body began aching. Today, my body has been aching all day. I went to urgent care, they didnt do an xray, and diognosed me with bronchitis. They gave me an anitibiotic, but im concerned because, I just dont feel like myself, and I think its something more. I should also mention that I am a smoker, and I smoke about 4-6 cigarettes a day!", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Since you are a active smoker, possibility of bronchitis is more for your symptoms. And you are not improving because you are not taking appropriate treatment for bronchitis. Bronchitis needs inhaled treatment. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (pulmonary function test). PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment is based on severity only. You will improve with inhaled bronchodilator (formoterol or albuterol) and inhaled corticosteroids (ICS) (budesonide or fluticasone). Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I m a 30 year old female and on January 9 th I had emergency surgery for perforated diverticulitis of the cecum . They removed my cecum, ileocecal valve , and appendix, luckily I do not have a colostomy they were able to reconnect everything without any problems. I did have a general surgeon who actually specializes in vascular surgery do the procedure because he was on call. I have been experiencing some difficulty sleeping since surgery. I will doze off and wake up feeling nauseated and lightheaded with a weird vibratory sensation throughout my chest. Also when I stand up my vision goes dark for a few seconds. I am eating 4-5 small meals a day and drinking one Gatorade and about 2 bottled water a day. My urine is light yellow and I am going about 5-6 times a day. BM s daily to every other day, no diarrhea. I haven t been taking any pain meds since I left the hospital on the 12 th. I take Zantac and Prevacid once daily. It may just be anxiety from the whole experience but I m just a little concerned. Thanks for any advice.", "output": "Hi. I don't think it is related to surgery complication. It is procedure which can be well done by every general surgeon. It is always expected to feel some nonspecific gastrointestinal problems such as diarrhea or stomach cramps but symptoms you're saying don't seem to be serious. If you have fever associated with abdominal pain OE extensive vomiting then you should go to hospital. For other, I suggest just to wait few more weeks. It is not so much time from surgical procedure so just be wait a bit more to see are these symptoms gonna persist. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im in the hospital. 2nd case of ischemic colitis in 7 months. Ive had 2 previous heart attacks and a moderate aortic leak. I understand the ischemic colitis is caused by lack of blood flow to the colon. What causes the lack of blood flow? No doctor can answer that yet.", "output": "Hello Welcome to Chat Doctor Ischemic colitis is caused due to obstruction to blood flow of the colon. Cholesterol deposition in the arteries of the body lead to narrowing of the arteries. This is called atherosclerosis. Some subjects have increased tendency to atherosclerosis which depends on genetics and environmental factors. This causes narrowing of the arteries leading to stagnation of blood at these sites and subsequent formation of clots. This causes you the attacks of ischemic colitis. In you case since you have suffered from two heart attacks, I suppose you have got high propensity to atherosclerosis, may be due to genetic factors and strong family history. Treatment is blood thinners like aspirin which I suppose you are already on. Usually two blood thinners are used on recurrent attacks of ischemic colitis and even in case of previous heart attacks. So ideally you must be on two blood thinners. If despite this you have episodes of ischemic colitis you must be on higher blood thinners like warfarin. However, higher blood thinners have a potential of causing bleeding elsewhere in the body. I hope I have answered your query satisfactorily. Wishing you good healthRegards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I went to the dentist a few months ago to get a retainer (the clear plastic one) and it creates big ulcers so bad that i cant put it back in. So after a few month i went back and hes letting me try again, but the ulcer has come back in the exact same spot. Is this because of the retainer?", "output": "Hello, Welcome Thanks for consulting Chat Doctor I have gone through your query, as you are wearing retainer and ulcer develops on same point again, yes ulcer can be due to retainer may be due to sharp edges or any sharp point on retainer causing ulcer. Don't worry you go to dentist and get trimming of that sharp point or edge are there. You can apply ointment McCoppin or Pans oral on ulcer twice daily for healing. Take one capsule vitamin B complex once daily for 7 days. Hope this will help you. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "For the past 3 weeks Ive been suffering with ongoing severe derealization and I cant shake it. I wanted to know if their are any medicines that can help with this and how long does it take for them to work? I had a severe attack like this 2 1/2 years ago and was put on wellbutrin for it and the derealization went away after about 5 to 6 weeks. I went to the doctor this past tuesday and she put me on citalopram and metoporol and she said it should work much faster than wellbutrin but it hasnt worked so far and its been 4 days.", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. Derealization disorder is not a stand-alone disorder but dissociative symptoms of many conditions, in psychiatry and neurotic spectrum. It is also called Depersonalization-derealization disorder. Psychological counseling helps you understand why depersonalization and derealization occur, and helps you gain control over the symptoms so that they go away. Two such techniques include cognitive behavioral therapy and psychodynamic therapy. Depersonalization-derealization disorder may also improve when counseling helps with other mental health conditions, such as depression. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I was contacted by a condo building I am staying at for vacation. They told me there had been two cases of legionnares disease in the last thirteen months I am taking my six year old grandson is there a risk? They said the werent sure if the disease was from the condos. Thank you, Tammy", "output": "There is a small risk, otherwise they wouldn't have mentioned it at all. Since its only been 2 cases over 13 months, and they're not even sure it's the condos, the risk is probably very, very small but not zero. You will need to decide if even a tiny risk is too great for your comfort. You and your grandson will probably be okay, but since a source has not been identified and eliminated, it might still be possible to contract the disease. Hope this answers your question." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dr. i have been married 4 months before and having sex regularly. we both of us same blood group is A+ does the same blood group affect the pregnancy. or whats a good time of sex for pregnancy. Please suggest Dr. We are not doing sex in a monthly period time of MINE for 4 days. please guide us.", "output": "Hi, Thanks for using Chat Doctor. Fertile period in a cycle of 28 day duration is from 10th day to 18th day. Usually ovulation happens 14 days prior to your next cycle. So difficult to predict exact day of ovulation. If you have regular cycle plan to have intercourse around day of ovulation. Your cervical mucous changes during your fertile period becoming more slippery, wet and clear - its often described as having the look and feel of uncooked egg whites - indicating ovulation. Few tips to increase conception rates:Avoiding additional lubricants during sex. Choosing a sexual position that encourages deep penetration. Leaving the penis in the vagina until it goes soft after ejaculation. After sex, you can increase your chances of conception by lying flat for half an hour after sex. Being in the healthy weight range optimize conception, your partner should ideally avoid ejaculation for 2 -3 days before your fertile period to increase his sperm count. Hope this helps you. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am Diabitic. Last 2 weeks, I am suffering from Yeast infection on penis. There is white thin layer below foreskin and skin has become redish. I am getting burning sensation while having sex and while passing urine. I spoke to my doctor yesterday. He has recommended Fungiderm or Cansten ointment and Syscan 150 mg tablets (2 per day for first 5 days and 1 for next 5 days). I would like to get second opinion.", "output": "Hi. Yeast infections can be expected and are common in individuals who have been diagnosed with diabetes, and especially in those who have uncontrolled blood sugar levels. The medications prescribed should do the job, so make sure you take them religiously and also try and keep the region Chat Doctor. Make sure you avoid sexual contact and masturbation for at least the next 3-4 weeks. Best wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor,I have 5 month old boy baby from last 3 days he is suffering with little wet cough and running nose.for this he is on cefixime 8mg/kg/day oral suspension and now from last 2 days he pass the watery stool and today he is passing loose watery stool with green color", "output": "HIIT seems your child has VIRAL diarrhea following a respiratory illness. It's common at this age. Green poops are due to reduced transit time of gut in diarrhea. I would recommend an ORS properly constituted, probiotic (Eco norm or sporadic) and a zinc supplement for treatment. There is no need for antibiotics.they may sometimes aggravate the problem. Antibiotics needed only if blood or mucous on stool examination present." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i was wondering what does this result mean? the heart is in hyperdynamic state the left ventricle has moderate concentric hypertrophy. The LVEF is around 80%. The inferior wall looks hypokinetic. There is evidence of early reversal of E/A ratio. The cusps of the aortic valves are slightly bulky. The AV V max is 1.70 m/sec. There is trivial turbulence in the aortic valves. There is trivial pulmonic and trivial tricuspid insufficiency. The TRP is not raised. Both IAS and IVS look intact. There is no thrombus or vegetation. There is o.75cm pericardial effusion behind RV and at the apex of the heart.", "output": "Hi, This is an echo report & not an ECG report. This report broadly means that you might be having hypertension which is causing pressure on heart & causing thickening of a chamber of heart (LVH). It is also telling that one side of heart is working less than other parts(hypokinetic inferior wall), which may be because of blockage of one of the arteries of heart. Rest everything is fine. Heart pumping capacity is good(LVEF-80%). So you need further evaluation for that inferior wall hypokinesis. Thanks Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 3.5 year old son had his first bite of shrimp. Some swelling and pimple like blotches have appeared on the corner of his cheek/mouth. Can this wait to see a doctor in the morning. He is not complaining or saying it bothers him at all. What should I watch for?", "output": "I would be concerned of an allergic reaction to shrimp, given the swelling around the mouth and blotchy skin. I would not wait to see a doctor in the morning, because allergic reactions can proceed quickly and become life-threatening. You should watch for if he should begin to have any signs of difficulty breathing, swelling of the tongue or lips, and spreading of the rash. If any of these occur, seek emergent medical attention right away." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dr Sahib. I am 60 yrs & on 27th Dec 2010, i Had a heart attack & same day DES was put in one major artery, for 3 months I was feeling very fit,But now i feek weak in walking also & from last 1 month i am feeling sore throat & thick cough .though I am taking antibiotics but no improvement.", "output": "Hello are 60 years old with DES after heart attack. Now you are also having cough, with thick mucus for one month, these symptoms may be due to these possibilities, these include:1 Bronchiectasis, diagnosis can be confirmed by sputum for culture and X-ray chest .2 Lung abscess .3 Tuberculosis .4 Asthmatic allergic bronchitis. Patient usually feels whistling sound with wheezing. Thick mucus may be due to post nasal discharge. In my opinion consult a primary care physician and get his opinion. Usually I advise my patient to take montelukast= albuterol, one tablet one in a day (in few cases twice in a day). Codeine +chlorampheniramine male ate cough syrup. Since these are prescription Chat Doctor. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My period has been acting very abnormal lately.A week prior to bleeding I was getting severe lower abdominal cramps and I never cramp unless it is on my first day of my period but they are very bearable. My vagina was also just aching. I didn t start when I was supposed to and now my period is light but the blood coming out is clotty and jelly like and dark black. My tampon wont even absorb it. I was scared I was pregnant when I was late, but now I m not sure if I should be worried about that or not. What is going on?", "output": "Hi, In the current scenario, you would need a pelvic examination and a trans-vaginal sonogram to know the exact cause. Pelvic causes like pelvic inflammation and endometriosis should be considered. An urinalysis also should be performed to exclude any associated infection. Endometriosis can also give such a picture of sticky bleeding. Pregnancy is not likely with such symptoms. A pelvic antibiotic and hormonal treatment should alleviate the symptoms. Metonymic acid and dicyclomine can be taken to relieve the pain. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi I m in my early 50 s female and I m having outbreaks of swelling and itching on my body. I went to an allergist who told me these things just happen for no apparent reason and put me on prednisone 10mg 4 days and I m still having outbreaks of swelling and itching to my face, back of neck, arms, and stomach..... Help", "output": "After going through your query I suggest you to please refer to good physician. Becuse prednisolone itself cause puffiness in face and body. It also harmful to body if unnecessary taking it. As you are in your 50 you should also check your thyroid level which causes of sweeping in whole body. But this chance is less. In sever allergic condition steroid may be useful witChatDoctorbination of antiallergic. You should take an antiallergic for your problem and stop prednisolone. For other help you can refer to good physician. Hope this help you let me know. Hope for best health of yours..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am 24 year old male working for a software company in Bangalore. I am working for the past one year. I had a severe back pain and also severe pain in the neck which made me to see an orthopedician. I was given some painkillers and some exercise tips to continue. I followed it for some time and could not find much improvement after stopping the painkillers. I went back to the doctor again for a better advice. He suspected something peculiar now and referred me to a pain and rehabilitation clinic. I got the diagnosis there. Do you know what it is a Computer related Injury (CRI)? This is the exact diagnosis made. After I came out of his office and walked through the road thinking what peculiar diseases are coined depending on the occupation we say and googled it next day, I was astonished to hundreds of pages opened up with this condition called Computer related Injuries.The CRI research was on for the more than 25years though the IT revolution has come up in late nineties in India.", "output": "HI friends, Yes. CSI is also known as Repetitive strain injuries. It is caused by recitative stress in your joints. Specially to your fine tips, wrist, elbow,shoulder, neck, eyes, and at last to your back. It occurs to those who sits constantly on computers for long hours. I am a specialized Ergonomic specialist from California. Here the companies hire us in order to safe guard their employees from RSI s and avoidance of long absence. We go to each employee and evaluate their work area, posture and give them advices and suggestions with job analysis and of course provide them exercises and notes. The employees doesn't need to run or search for a Physician or or tho. We are physiotherapist who are specialized in these areas." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ihave been having these symptoms for almost a year. I get tightness in my upper chest and sometimes my neck. Every two or threes months I will have a near syncopal epsiode. Sometimes associated with a short quick walk or slow stride up a filght of stairs. I get very dizzy, sometimes tunnel vision. I usually have to set down or put my head between my legs. This is accompianied by a feeling of SOB. Although I feel like I am exchanging air at the time. The new symptom is the feeling of my heart skipping a beat. This has happen the last couple of days. I have a high family history of heart and stroke disease. I have been taking Vitoran for almost three years for high colestoral, It is now under 175 with a ratio of 3 to 5. When the symptoms started I had an EKG, stress test and stress echo. These have all been normal. I even had a heart cath, which showed a 30% narrowing of my anterior desending coronary artery and a couple of lesser narrowings in two other vessels. I take paxil (20mg) a day for depression. I have taken this for over 10 years. My job is often stressfull, but I am an even keeled non flustered individual. Everytime I go to the doctor things check out normal. I am beginning to fill like I m going crazy and am becomming increasings concerned.", "output": "I understand your symptoms have been troubling you now and then, but we need to know the age, what brings the relief and what your habits are. Usually your pattern symptoms arise due to heart or/and lungs being diseased, but you have reports of normalcy in EKG and Stress tests with good perfusion of heart at the beginning. If you have been taking the cholesterol lowering agents only recently and a smoker and alcoholic and not had any blood pressure monitoring in the past and BMI is around 28, it will be good to reassess heart function along with ruling cholesterol rise noted due to metabolic reasons as well. This time hence see an experienced Endocrinology as well. Hope you will have complete answer for your problem" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I will occassionally get a lump and dark spot on the right side of my tongue . Always in the same spot it seems to last for a day or two and then go away. I can catch it by running my tongue through my teeth but it is embedded in my tongue and gives like a purple cast to that area. normally it is more of an annoyance than anything but this time it kind of hurts. I am wondering if it is a cyst or a blood clot? Do i make an appointment to go to my doctor, dentist , or just wait for it to go away?", "output": "Hello, Thanks for posting your query, various causes are:ailment oral piercing exposure to chemicals first step you should take when trying to get rid of unsightly black spots on the tongue is to alter your oral hygiene routine. Brush your teeth at least twice a day to help remove particles throughout the mouth that might be contributing to the dark pigmentation throughout your mouth. Be sure to gently brush the tongue or use a tongue cleaner to help remove the buildup that is turning your tongue black. Black spots on the tongue that are accompanied by other symptoms such as growths in the mouth, pain or difficulty swallowing should be checked by your doctor as soon as possible. I hope this information has been both informative and helpful Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a lump in armpit since last ten years and i am not sure what it is not sure which doctor to go to? From internet i got to know that it can be cancerous or due to infection or extension of breast tissue. Not sure what is it but want to get rid of it safely", "output": "Hi, dairy have gone through your question. I can understand your concern. You have lump in maxilla. It can be lipoma, benign cyst or some enlarged lymph node due to reactive hyperplasia, tuberculosis or lymphoma. You should consult general surgeon for that. If needed go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doc..I m a 20 year old male and I ve been circumcised this morning. I just wanna ask is it safe to sleep on your stomach or should I just sleep on my back?.. After reading and understanding the procedure to do after circumcision, is it okay to treat and clean your penis at home or should I just go everytime for check-ups at my nearest clinic or doctor?", "output": "Degree understand your concerns went through your details. Circumcision is a minor surgery. Still you need to adhere to the hygienic healthy procedure associated after surgery. For at least week you should take precaution so that there should not be any infection. For cleaning and Chat Doctor. If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was wondering, I have just noticed a lump on my temple starting. It s a not big maybe the size of a finger tip. It hurts to touch but doesn t give me a headache. When I bite down it hurts aswell. I do a lot of strenuous work but I m not sure if that would have anything to do with it or if I should see a doctor?", "output": "Hello! Thank you for the query. This lump is most likely a local skin infection. It may be caused by hair follicle inflammation, sebaceous cyst or any other skin problem. It has nothing to do with your work. As it is painful, pus is most likely inside. That is why I suggest you to consult general surgeon with this issue. The lump should be incised, Chat Doctor. Please do not ignore the infection in this area as from temple to the brain is very close, and such infection can spread to the brain. Hope this will help. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my 1yr old daugher has been having fever and cough for sometime now, her wgt is 12kgs and the blood test came up with 19000 WBC. THe doctor has prescribed Cepodem 5ml once a day. BUt has been vomiting after that and her coughing has increased. Is it safe to give her that.", "output": "Hi...by what you quote I feel that she is having a viral illness, and it is common for cough to get aggravated while recovering form viral illness. I do not think Code - an antibiotic-is indicated for a count of 19000. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 32year lady sir and from 3-4years I am suffring from alergy only in summer from april to nov. sir my tlc rate is also hight . my nose is blocked every time and blowing badly , eyes also red and itching in eyes,nose,throgth and eyers. sir now I am also pregnent and last month is going on.", "output": "During your pregnancy you should take safe medicines. Since you might have used many allopatChatDoctoredicines as per doctors advice, now I would suggest to such of my patients to take safe Ayurveda medicines, pure herbals and non-toxic to get some relief in this recurring and chronic condition. Any Ayurveda doctor can guide you in this simple management by Ayurveda. Generally I would give to my patients Shading Oil to be instilled in both nostrils each morning. It's pungent. Initial 2 Chat Doctor. Atari Avalon (if this syrup or thin consistency Avalon available, it is better. If not then normal azalea with thick consistency is available everywhere) to be licked. Gargles with saline and little turmeric in warm water frequently. Hard" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have noticed this lump right at the entrance of my anus for over 4months now. I crossed examined today again and i found a slight open wound an inch inside my anus. It hurts me everytime and at time i feel light touch movement around this pain zone. Help...its killing me", "output": "Hi, Dear,thanks for the query to Chat Doctor. I studied your query in full details. I understood the concerns you have. Remedy for lump at anus with wound-High roughage/fiber Bland diet for 2 was, Seitz baths for 15 minutes daily 2 times. Anti-inflammatory Chat Doctor. Invite point x 10 days time. You should check with Surgeon and rule out-Fissure in ANO with Sentinel pile, from which you mostly suffer for last 4 months timeThings will resolve in 10-15 days time. If not, ER Surgeon would do needful.Don't worry and things will be right after this check up. Plz don't self-medicate and increase risks and costs of your illness. Just ask query to Chat Doctor and to me. Hope this would help your query to satisfaction. Write excellent review and hit thanks if this reply helps you out. Welcome for any further query to Chat Doctor and to me in this regard. Have a Good Day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi I had baby 4 months ago I was very tired I went to the doctor to cheam myy vitamin d and iron level she then took blood test she said low vitamin d and low iron I am also bf she also said my liver blood count is hgh I am woried is it some thing serious I am 28 yrs old", "output": "Hi, dear. I have gone through your question. I can understand your concern. If you have low iron and it D3 then you should take their supplements. No need to worry. It is very common. And you should go for complete liver function test. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am 19 years old i have a habit of masturbation which is about 3 times in two weeks but when there is a gap of more than 3 weeks when i dont do masturbation there is this craving whicChatDoctores resulting in masturbation about 5 times daily and i just dont have any control on it i fail to concentrate on studies and watch continous pornography could u please suggest me some medications so that i can get rid of this problem permanently", "output": "Hello, welcome to Chat Doctor. Masturbation is not harmful for health and more than 80% man and woman masturbate in some point of the time. In present situation if you are not masturbating more than 4-5 times per week than there is no problem. If you are masturbating more even than it is not harmful, but it is better to decrease the frequency of it. There is no need for medical treatment for it in your case. Wish you all the best. Chat Doctor. 99doctor.com" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have a stabbing pain the comes and goes between my shoulder blades and moves to the front of my chest causing shortness of breath and extreme tightening. It s so painful it makes me cry out in pain and I have a very high pain tolerance. It does not come at any specific time and can last from 1 or 2 minutes to 30 minutes of more. What could be the cause of this. It happens nearly on a daily basis.", "output": "Hi Welcome to Chat Doctor After going through your query I concluded that you are having pain in interscapular region which radiates towards anterior chest. It can be muscular pain, but heart related pain should be excluded by doing heart function test. Treatment of it considering it as muscular pain is analgesic such as ibuprofen for pain relief. Vitamin B and C is help in recovery. Sometimes I apply local injection triamcinolone with good results. You can discuss with your Doctor about it. Hope your query get answered. If you have any clarification then please don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "r/s sir ji my friend s father who got multiple miloma, which dignosed by a senior doc of sms jaipur then after he was given a kimotheraphy but after 24 hr of kimo he got a serious effect on his kidney . according doc s it will take normaly 2 or 3 week to get recover but there is no more improvement in his condition after completion of one week. so pl pl pl suggest me the better way regards", "output": "Hi there, Multiple myeloma patients are at risk of Kidney failure from multiple causes. After chemotherapy, you can have tumor lysis syn Chat Doctor. The doctor treating is the best judge based on the clinical profile and a lot of other lab tests. As your doctor has told you wait for 2 to 3 weeks. In cases where kidney does not recover over this time kidney biopsy can be done to find out what has gone wrong." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "im 31 about 4 years ago i had a asthma attack and then on came these irregular beats had stress test and all they said they cnt find no reason but latly they seem to get worse with short breaths, light headed, chest pain..just over all feelin yukie. they still tell me its no problem they can find but why is it gettin worse then?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, we should definitely rule out lung diseases like bronchitis or asthma. So better to consult pulmonologist and get done clinical examination of respiratory system, chest x-ray and PFT (Pulmonary Function Test).PFT will not only diagnose bronchitis or asthma, but it will also tell you about severity of the disease and treatment is based on severity only. You may need inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Went to Dr on Friday with pain in lower back flank area and throwing up anything I ate. They did a urine and it did show infection. Was told if got worse to go to ER. Saturday the flank pain became very severe. Went to ER where they hydrated me, gave me couple rounds of antibiotics and pain meds. Sent home that night with script for antibiotics, 2 pain meds and nausea. So now, since Sunday, flank pain hasnt been as bad as before but still hurts. But now my arms hurt and my legs hurt so bad I cant stand in one place for over a minute.", "output": "Hi I had gone through your query and understand your concerns. I would come up with two possibilities to fit your condition.these include1.the first one include, RENAL STONES;ultrasound scanning for PUB may confirm the diagnosis2.second possibility is, FLATULENT DYSPEPSIA;possible causes include;-eating spicy, junk food-emotional upset-unable to handle stress are some possible causes hope this is helpful for you, thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have had constant neck pain and stiffness in my neck muscle tremors all over my body back pain headaches and now bad dizziness for 18 months + now I ve seen so many doctors they have not listened till recently they x-rayed my neck and said I have a loss of lordosis in my cervical spine I see a physio she acts like she doesn t know what it is I have been now referred to a neroligest at the end of October my dizziness is getting really bad I went to doctors yesterday about my dizziness they wouldn t give me anything have I been left to long to sort it out", "output": "Hello! I understand your concern. In my opinion your troubles are probably due to a cervical disc problem. It may be dislocated, or it may be just degenerative changes to your cervical vertebral column. These changes explain the back pain, headaches, dizziness. Also, the changes in your cervical x-ray can be explained by this diagnosis. I would recommend you have a cervical CT scan to visualize the discs and find out where the problem is. In the meantime you can use acetaminophen, ibuprofen or fetoprotein for the pain and avoid abrupt cervical movements. A cervical collar can help. Hope to have been helpful. Thank you for using Chat Doctor. Best wishes. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Dr. Stephen, i just took my daughter to see the dentist and she wasn t sure if my daughter has gum infection or fungus. Then we took her to her doctor. She said my daughter has gum infection an prescribed her antibiotic . Now she doesnt have fever , but it seems like the infection is spreading out and getting worse. Im thinking taking her to the emergency room. So can you give me an advise? tks a lot.", "output": "Hello there, poor oral hygiene and deficiency of vitamin C can cause gum inflammation at young age. It shows symptoms like redness, swelling and bleeding of gums. Viral and bacterial infection worsen the condition. At home, you can ask your daughter to rinse her mouth regularly with warm saline water, antiseptics like Betadine, chlorexidine etc. that gives soothing effect. See your dentist soon. Thorough professional ultrasonic cleaning of gums and root planing followed by a course of medicines will solve her problem. I hope that helps you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My father had a stroke 4 months back. He is hypertensive is on medication now which includes antihypertensive drugs, atorvastatin, glycerol and asprin. He has recently developed lumps below the nipples in chest. They are painless ,Is it a side effect of any medicne or the result of walk and excersise he is doing during the rehabilitation.", "output": "Hi, Dear,Thanks for the query to Chat Doctor. I studied your problem in depth and I understood your concerns. Causes for lump below nipples in chest-Cause is related with Atorvastatin with which breast glandular tissue develops in males and is known side effect. This lump is not related with exercises done for rehabilitation. So please consult ER Physician. This advice is based on the facts from the history you give and needs further clinical check. So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you, but just ask a query to Chat Doctor and be comfortable to resolve your health issues. Welcome for any more query in this regard to Chat Doctor. Write good resume and Click thanks if you feel satisfied with my advice. Have a Good Day. Chat Doctor. N." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had my period on 24th June 2011. Only I could sense my ovulation by 12th July(I had some white stuffs coming out of vagina). Is it correct that my ovulation is on 12th July? I am desperately want to be pregnant by this time. We are having sex daily for last 3 months. I took letrozole from 4thday to 8th day . till yesterday I had sex with my husband. Will I get pregnant for sure? Pls advise.", "output": "Hellos you mentioned that you are trying for conception, and you are trying everyday sex for getting pregnant. Now you have ovulation on 11th or 12th July. And you want to conceive this month. As per Ayurveda infertility ... daily sex causes for low sperm count, In classical method described in Ayurveda that have to follow braChatDoctorharya for three months when you want to conceive. So, that it is advisable that have to sex at before days and that day of ovulation. But have to avoid daily sex for trying of conception." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have heart palipitations and an increased heart rate at night once I lay down to go to sleep. They happen throughout the night and even wake me from sleep. Do you any idea what could be causing this? Heart desease does not run in my family and Ive never really had heart issues.", "output": "Hello! Welcome and thank you for asking on Chat Doctor! I understand your concern and would explain that your symptoms may be related to anxiety or autonomic dysfunction related to nightmares. Coming to this point, I would recommend performing a careful physical examination and some tests:-resting ECG and cardiac ultrasound-chest X-ray study-blood lab tests (complete blood count, thyroid hormone levels, blood electrolytes, kidney and liver function tests, etc.) to exclude other causes of increased heart rate. An ambulatory 24-48 hours ECG monitoring would be necessary to examine your heart rhythm trends during day and night and exclude possible cardiac arrhythmia. You should discuss on the above issues with your attending physician. Hope you will find this answer helpful! Best regards!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, about a year ago, I bit a small part of my upper lip. It usually shouldnt be a problem because it heals and closes, but in my case its not doing that. Every 3-4 days, a new layer of skin forms, and starts pealing, and eventually peels off completely. After another 3-4 days a new skin layer forms again, then start peeling, and goes away completely also. This has been going on for 1 year, there is no bleeding associated with it, but this wound just won`t heal and close, and a new skin layer forms and peals every 3-4 days. I tried using every medical lip stick I know off and all sort of things but they are not working. What is the solution?", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. Lip bite is very common kind of thing and there is no need to be panic about it. The area will take around week to heal but as you having recurrence It's due to frequent licking of your lips which leads to formation of cracks in skin and eventually fungal infection there. It could be due to riboflavin deficiency as well. I would suggest you to :-- Maintain proper oral hygiene.- Do HY Chat Doctor. Mix HY" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good day! I am 53 years old female.I dont drink wine and I am very much careful with my diet. My SGPT is 60, normal is 36 and my SGOT is 51.1. normal is 34.What should I do to normalized this problem? I accept that i am lack of exercises and sometimes stressfu. Please help me.", "output": "Hi, I had gone through your question and understand your concerns. These are only slightly elevated got and Sept, so you should not worry. It may stabilize on its own or some minor lifestyle changes should be done from your side. You should avoid alcohol and regulate blood sugar and body weight. Also, Sylvain supplement should be taken. If there instill elevation of liver markers then the next step is to look for certain liver damage such as viral hepatitis, cirrhosis, medications, alcohol intake or autoimmune diseases. To verify exact cause, US, bilirubin levels and tumor markers should be additional done then-Then appropriate treatment can be started. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my husband has widespread bone cancer and is in pain, he is allergic to all the pain meds he has ever tried such as dilaudid, oxycodone,percocet, ibuprofen. all of cause a bad headache and n/v. is the same ingredient in all these meds so that we will know what it is he cannot take. we still have not found any pain meds he can take to get any relief", "output": "There are a few options available for ameliorating your husbands pain. Firstly, you can try opioids like morphine tablets. These can be taken from a dose of 5\u00a0mg thrice daily to 30\u00a0mg thrice daily. There is a fentanyl patch available that you can stick on any non-hairy area of the body, and it will relieve pain for 3 days when it needs to be changed. Start with a 25\u00a0mg dose and if required move to a 50\u00a0mg dose. Also, bone cancer pain can be decreased with In Role Chat Doctor. Lastly, giving short course radiotherapy to the painful area will decrease the pain and chance of fracture." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Umm hey. I have lower back pains like near my butt crack sorry for the language and I have like a bump. It s hard shaped like an oval. Not a spider bite or insect bite. But it hurts to walk to stand sitting down is almost impossible I can t put any pressure on it. Even when I lay on my stomach it hurts. And I have no idea what this bump could be. I didn t fall of anything so I have no clue.. Please help", "output": "Hard swelling over lower back or sacral area with severe pain that get aggravated by even slight touch and movement is suggestive of some infection. Most commonly its infection of hair follicles. That we call folliculitis. This can be managed by topical application of some antibiotics ointment and if severe you may need to take oral antibiotics. If it is not subsiding you should consult a dermatologist." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi im a 36 year old male. I have suffered from mouth ulcers my whole life. I have always been able to keep them under controll until recently. The past two years i have had ulcers all the time. Sometimes ten to fifteen at a time. I have had them even in my throat. I have not had a break from them in so long i mentally cant take it anymore..Any suggestions?", "output": "Hello, Thanks for consulting Chat Doctor, Read your query, as you have mouth ulcers frequently this is known as Recurrent Authors dermatitis or Recurrent Authors ulcers don't worry see what happened is this ulceration is due to some reasons it can be due to Stress and anxiety related, Nutritional deficiency, vitamin B deficiency, Chat Doctor. Hope this will help you. Wishing you good health. Regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Dr Age: 36 Gender: Male Constant feeling of urination after abusive, lengthy masturbation and persistent mild burning in male urethea. Any nerve/tissue damage? I am having a sensation of constant/always urination; with a weired kind of burning senation in peline urethera and penile head. This situtation occurs after i did abusive/lengthy masturbation 10 MONTHS ago. After masterbation or having intercource with my wife it used to come for only 2 - 3 hours and after sleep in the morning used to feel alright. But due to a lenghty/abusing masterbation session 10 MONTHS ago feeling of urination have become constant and not going away The following test are done so far. 1. Urine Culture - All Normal. 2. Renal Ultrasound - All Normal (prostate size is normal about 24) 3. CBC - All Nomral. (Dr Says very slight Iron Deficiency Anemia; dr put me on iron tablets for a month) 4. LFT - All Normal. 5. Diabetic - Normal 5. Vitamin D - I am deficient (Dr put me on tablets for a month) 6. Vitamin B - Before the onset of these symptoms i was deficient in vtamin B and had few injections of cynacoblamin were given. All the doctors are clue less as of now; these symptoms are really really killing me everyday. I have seen a few urologists with the following diagnosis and treatment but with no relief. 1. A urologist diagnosed it as non-specific non-inflammatory prostatitis and put me on Cipro for 4 weeks but to no avail after that he put me on levofloxacin for a week with no relief at all. 2. Another urologist marked it as NSU and put me on numbing jell and a tablet which turns your urine dark yellow for 5 days with no avail. I also took a TCA Tofranil (Imipramine) for about 2 weeks for no avail at all. After being exhaused from thease treatments i have also tried alternative treatments as follows. 1. Homeopathic for 2 months with no avail. 2. TCM (Traditional chinese medicines for few months with no avail) As I am running out of ideas may be the following can be considered. 1. parasitic infection. 2. Pudendal nerve entrpement or perinal nerve pinching etc. Dorsal nerve etc. Or any other nerve disorder. 3. IC 4. MS Please help me to get rid of these annoying symptoms.", "output": "HelloThanks for query. Based on the facts that you have narrated you have a long-standing history of pain in urethra and constant sensation to pass urine which followed after prolonged abusive masturbation which has not responded to treatment with multiple antibiotics and none of the various relevant test are conclusive as regards the diagnosis and cause of your symptoms. In view of all these symptoms started after prolonged abusive masturbation I think the prolonged masturbation has caused trivial damage to urethra resulting to form a scarring and flimsy stricture of urethra. I would suggest you to consult your urologist again and explore need for doing endoscopic examination of urethral passage (Ureteroscopy). This procedure of visualization of urethral passage directly perhaps may help to diagnose the precise cause for your symptoms. Further treatment will be decided by him on final diagnosis. There is no possibility of pinching of any nerve as it never happens in reality. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been diagnosed yet again with another UTI with Klebsiella being the bug that is always found in my urine. The dr says it is not caught from my partner but every time I have sex with him I am back to the Drs again complaining of the same symptoms. Sometimes the urine samples show nothing but most of the time it does. Why is it that I no sooner get rid of the infection then have sex and the infection starts all over again. I m beginning to wonder if my partner is the cause of all of this. Never ever had this issue before with any other partner. I m in my 40 s and have been with my partner for 2 years and am completely monogamous (never have numerous partners). I m so over this please help me", "output": "Hello, Klebsiella is mostly and primarily found in not immunocompetent individuals, usually in hospital settings and cause the so-called hospital-acquired infections (HAI). They could cause opportunistic urinary tract infections, pneumonia and other respiratory infections, bacteremia, infection of surgical wounds, etcetera. In diabetics, people with chronic obstructive pulmonary disease, etcetera. Due to their particular structure, Klebsiella species are naturally resistant to penicillin-type antibiotics, some Aminoglycosides (Gentamicin, Kanamycin, Streptomycin, etcetera.). Often their treatment is possible only through the use of Carbapenems and Fluoroquinolones (Ciprofloxacin, Levofloxacin, etcetera.). Klebsiella is considered part of the normal flora in various parts of intestine and colon. Recent studies have reported that recurrent Klebsiella urinary tract infections are caused by persistent Klebsiella found in the urinary tract even after appropriate antibiotic treatment and all persons with recurrent infections were elderly and diabetics. Recurrent strains of Klebsiella also had increased adhesion and invasiveness compared to colonization strains (those causing infection for the first time) and this might explain their tendency to cause repeated infections. Now, it is known that frequent sexual intercourse is the strongest risk factor for recurrent urinary tract infections in healthy women, and it is why your disease comes back each time you have sex with your partner. The fact that the disease comes back after you have sex with your partner puts in high risk of future urinary tract infections. In your case the following measures could be of benefit: 1. Continuous antibiotic prophylaxis for six months, by using low doses of the antibiotic that is more effective in your case. You have to consult with your doctor about which antibiotic you will use and for how long.2. Post-coital therapy, by applying a single dose of the most effective antibiotic each time after having sex. You again have to consult with your doctor about the dose and type of antibiotic. 3. Apply the so-called post-coital voiding that is: urinating immediately after sex.4. You should maintain high genital hygiene as it could help as well. It is also important that you have a thorough evaluation by radiological examinations in order to rule out abnormalities of the urinary tract (anatomical or functional) that could boost infection recurrence. Lastly, Klebsiella is not transmitted sexually, thus clearly your partner has nothing to do with your recurrent infections. But, during each intercourse, it is easier for the bacteria to get contact with your urinary tract (remember that Klebsiella is a normal part of intestinal tract and colon). Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor. I have been havin a toothache since few days. I ws told few months back that the tooth needed a root canal. A temporary coverin ws done but within days it came off and exposed tooth since then. I ws advised meftal - forte tablets to take for pain by a chemist. Please advice ASAP if i should take to subside the pain for now. Within 2 or 3 days i would be visiting a good dentist. Thank you!", "output": "Hello, I am glad to assist you. The temporary filling placed would be expected to wear away if only placed to cover the tooth while expecting you to return for a root canal therapy. The filling needs to be removed to enter the center of the tooth and clean out the canals to complete the root canal. You will have a temporary filling until the canals are sealed, and you can plan restorative treatment with your dentist. An antibiotic such as Amoxicillin may be necessary if pain and swelling is present. This will help control the spread of inflammation from the infected tooth. I usually recommend taking a combination of two Advil and two extra strength Tylenol to control a more severe pain until you are able to visit the dentist again. Thank you for your inquiry. I hope you will feel relief soon." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I ve got pain from my shoulder to my foot all down the right side Back aches Tearing feeling at top of buttock Outside of leg always feels tight Foot aches along the last two toes under sole Knee sometime aches Outside muscle on knee is growing People have noticed me limping Has been ongoing for a while but getting worse any help would be good thanks Donald", "output": "U have a query that is bizarre in its nature although thank you for your question. U have pain in multiple sites of your body on the right side as u mentioned. But even if these painful sites have occurred at the same time, it is not necessary that these are related. I would advise u a Chat Doctor. For example pain in your sole and last two toes can be related to faulty/badly crafted footwear and so on. Take care. Some amount of rest, physio and pain relievers may help." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "After eating ham and cabbage 2 nights ago, i got this really bad pain in my chest, right side. It wont go away. It hurts more as I move my head different ways. It hurts really bad when I sneese or cough, now swallowing. Is it gas, and how can I relieve it.", "output": "Hi. I can understand your concern. If the chest pain is disturbing your routine activity then get a chest x-ray done to rule out any lung infection, or it could be just a muscle pull. Do not lift heavy weightsPossibility of musculoskeletal pain is more. Ibuprofen is anti-inflammatory. You will definitely improve witChatDoctorbination of painkiller and muscle relaxant Chat Doctor. Also apply warm water pad on affected areas. Avoid movements causing pain. Don't worry, you will be alright in 1-2 weeks. But better to first rule out lung infection.Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "What is causing me to keep bumps with puss all over the back of my head? Different shampoos seem to make it more irritating than others. I have tried all kinds of things and have been to two skin doctors and nothing works, but the nail fungus pill medicine?", "output": "Hi, From history it seems that there might be having scalp infection giving this problem. This can be folliculitis, yeast infection, sebohrric dermatitis, Dan Chat Doctor. Consult dermatologist and discuss this. After finding the cause go for treatment accordingly. If there is fungal infection in nail, this can be yeast infection in the scalp. Go for one oral course of antifungal medicine like Fluconazole 150 mg once in a week for 4 weeks. Take head bath daily with plane warm water. Avoid using shampoos, conditioners. Ok and take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have recently noticed a bump looks like half of an egg size mainly on my left side but it is also on my right. It is located in the space of where the collarbone and neck meet. It is more defined if I shrug my shoulders up like when brushing teeth . It is not painful, rather soft, but getting larger. I recently was told I have a tumur on my thyroid right size golf ball size which is getting removed in a week or so. I just really concerned about these new bumps now, last year I had a nerve shealth tumor removed of spine that I was told was non cancerous. The FNA I had on the thyroid tumor also suggested non cancerous. I have an ultrasound scheduled for new bumps but I m getting sick to my stomach stressing about it. Can you give me any insight as to what you may believe it is? Thank you, 42 yr old Marine", "output": "Hi, welcome to Chat Doctor I am Chat Doctor So, you have cervical and probably left supraclavicular lymphadenopathy. Now, to be frank, on left side both cancerous and non-cancerous cause. Which include infectious conditions along with some carcinomas. You did not mention what type of thyroid lesion you have. Now, first you have to do FNAC from those lymph nodes. It must. If it becomes noncontributory then surgical biopsy needed." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here.... Yes i woke up this morning with a terrible lump feeling in my throat, it comes up woth this very indescent taste and it feels as if i jeed to vomit but i simply cant, i tried to induce it but no dice. What do you think?", "output": "Hi, Dear thanks for the query to Chat Doctor virtual clinic. I studied your query in full details updated from you. I understood your health concernsBased on your query data, In my opinion, Dear You seem to suffer from HERD with Globes pharynges (of the Constrictor pharynges muscle) feeling due to the Acid reflux causing esophagitis or pharyngitis. Remedy is by Proton -Risperidone combo Chat Doctor. Cause of acid reflux needs to be investigated and treated in such cases. Team of GP and Ent-Surgeondoctor would be needed to treat your health issue. Hope this reply would help you to evaluate your case and treat it with your doctors in time to come. Hope this would resolve your query and worry and Anxiety accompanied by it. Welcome for any further query in this regard to ME. I would love to help you out.Awaiting any further query. Wish you fast recovery from this intriguing health problem. Have a Good Day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hey I was jumping on a trampoline and I was jumping and tried to do a backflip and landed on my knees. And my lower/middle back (lumbar I think its called?) like crunched. It was like my lower back went forward and my upper snapped back and it still hurts in my middle back. I dont know if its serious its just sort of soreness. What do you suggest I do?", "output": "Hello dear, Thank you for sharing your concerns in this website. I understand you are worried, but I would suggest you to calm down and follow these step sim explaining below:It's obvious you have done a muscular straining and probably spinal ligaments straining since you have done an acrobatic movement that has passed your limits. So first I would suggest you to use:- Fetoprotein gel to your affected area of your back to kill the pain and inflammation- Oral painkillers such as ibuprofen of diclofenac if you have severe pain.- Cold compresses first and Warm compresses if more than one day have passed from the injury. Try to reduce the movements of your back and lumbar area for a while of time. If you perform these steps and still you have not any improvement then consult an orthopedist to do further examinations. I hope you will get relief soon. Take care and I wish all the best! Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have a little dot quarter way up my spine from the bottom that has developed a lump and bruising around it I have been to the doctors two weeks ago and he said it might be something torn and give me cream but not the pain is spreading up my spine and when I bend or touch it it winds me thnks", "output": "Hello! Welcome on Chat Doctor ! Regarding your concern, you should know that your symptoms could be related to an infection. For this reason, I recommend consulting again with your doctor for a physical exam. An X-ray study in this region is also necessary. A spine MRI in this region would help examine better the soft tissues and the spine in this region and exclude any deeper disorder, which can not be seen during physical exam. Hope you will find this answer helpful! Best wishes, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have heavy pain in My upper left quadrant right beneath my ribs. When I stand up or walk it feels like I amCarrying a cannonball on my left side. It also is painful to the touch. I have had a colonoscopy, a ct scan, a gastrin testand a test for parasites. My doctor cannot find any cause for my pain. I have to take Imodium or I have diarrhea 24 /7.Do you have any clue as to what is wrong? They are suggesting I see a surgeon for exploratory surgery.", "output": "HIT hank for asking to ChatDoctorIn such cases when nothing's come out in investigation as long as the abdomen cavity is concern the next strategy would be exploration of abdomen in this the surgeon can see the pathology or try to find it out in different areas of viscera, but most of the time abnormality does not decked if it would have there then it might have been decked in Ct scan, If I would be your doctor then I would definitely suggest you for MRI scan this would give the same result as you will get after the exploration, it may not be anything danger just keep your steps level low and try Omeprazole with domperidom for six weeks will get good relief, have nice day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi i am 39 weeks pregnant and last night i had chills and shaking i wore lots of clothes but i felt cold when i get up for bathroom now i am worried because i fell my baby move less than usual from this morning could you please tell me why that happen ?", "output": "Hi there,At 39 weeks you are almost full term. You need to get checked by an obstetrician immediately for these child and the decreased fetal movement. Any fever or infection at this stage cannot be taken lightly and needs to be evaluated. You need to measure your temperature 4 hourly. Also do you have any complains loss of fluid, or breaking of membranes? It is a possibility that you have ruptured your membranes and are going into labor. But if you have chills and decreased fetal movement, any womb infection called chorioamnionitis needs to be ruled out.Also, you need to get an ultrasound and fetal heart tracing done to check for fetal well-being. Hope this helps. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter is 15 months old. She fell about an hour ago on her fisher price house and hit right at her cheek bone and ear. She cried for about a minute, we put ice on it and watched her. There is just a little swelling where she hit. Her balance seems to be fine and she is acting normal. She didn t drink all of her milk before bed, but not sure if this is related. Is her fall cause for concern?", "output": "Holloway to look for in a head injury:Call the doctor if your child is an infant; has lost consciousness, even momentarily; or if a child of any age has any of these symptoms:~won't stop crying~complains of head and neck pain~vomits repeatedly~difficult to awaken~becomes difficult to console~isn't walking normally in your case its seems to be an external head in jury not internal. So i don't think there is a reason to panic. Just watch your child for any symptoms. Hope this answer helps. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i took a single dose of azithromycin on thursday 12/13/12 and had nausea afterwards but then was pretty much symptom free. on Saturday the 15th i began to spotting, but not regular spotting. its a darker thicker blood. i can t find anywhere that says this is a common symptom. should i be worried or is this normal?", "output": "Hello, Azithromycin is an antibiotic and like all the medication has side effects. One of them is vaginal discharge. If this symptom has occurred for the first time and doesn't repeat any more there is nothing to worry about. If spot is going to happen again you have to make an appointment with your gynecologist. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My boyfriends blood sugar on a good day is normally between 70-80. Sometimes after eating a large meal or one high in carbs it will spike up to 100 or more. He becomes very disoriented ,lightheaded, slurs his words and is very shakey. Sometimes it takes a few hours to get back to his NORMAL in the 70s. His doctors say that he isnt diabetic. They never see the spike and wont listen to him. What do you think the problem could be and what should we do to make them listen. He is a former combat medic and EMT. His doctors are at the VA clinic and they instantly discount him because it is always so low when he goes in for a check up.", "output": "Hi, As you have mentioned Blood sugar levels of your boyfriend, all Blood sugar level reading are normal, there is no evidence of diabetes. For diagnosis of diabetes one of the following criteria need to be fulfilled 1) Oral glucose tolerance test Fasting Blood sugar level more than 125 and/or 2\u00a0hours post glucose blood sugar level more than 200. 2) HbA1c level more than 6.5. 3) Symptomatic for diabetes i.e. increased frequency of urination, unusual thirst, unusual hunger, weight loss, along with this random blood sugar levels more than 200. Whatever symptoms mentioned by you like disorientation, slurred speech, abnormal shakiness, light headiness do not denote Diabetes. Taking in to consideration of profession of your boyfriend it looks like a possibility of anxiety. Better to consult another doctor during period of symptoms, or you can make video during symptomatic period." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my doctor recently said , unsure if its an actual diagnosis, I am hypoglycimic. I am puzzled because I ve been measuring my blood sugar levels and they seem to be in the normal range. 95-98 in the am, 105- 110 within a half hr. to an hr. after eating. I feel pretty awful after I eat, as if my sugar is off. UNsure of when I should measure and what I am looking for", "output": "Hello, The blood glucose levels mentioned (both fasting and after food) look absolutely normal. I am giving below the range of blood glucose levels for your information:1) Normal : Fasting : 70 to 110 mg / 100 ml, PP 2) Pre-diabetic : Fasting 108 to 125 mg, PP 141 to 199 mg / 100 ml, HbA1c%5.9 to 6.4 3) Diabetes : Fasting :126 mg and above, PP 200 mg and above & HbA1c%6.5 and above. Considering above criteria levels mentioned by you are within the normal range. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I m a female aged 29. About 6 weeks ago I got a really intense pain that comes in waves at the top of my stomach. The pain is so bad and on the same pain scale as contractions, only higher up between my ribs. Within the 6 weeks I ve had this pain on 3 seperate occasions and each time it s been followed by dirrahrea. It usually lasts about 2 days. 4 weeks ago I took a really sharp pain in behind my rib on my right side that went up into my right shoulder. The pain came on me very quickly and I couldn t lie down or take deep breaths as the pain was so bad, I was so worried I went to a&e, on arrival I had a high temp, pulse over 100 and low blood pressure. Doctor did an X-ray whicChatDoctore back clear, and done a ct scan as they suspected PE, this also came back clear. They told me my bloods came back that I had infection somewhere but they just didn t know where and sent me home with antibiotics. 4 days later I went back as I didn t feel 1 bit better, done another X-ray which was clear, more bloods and tested my liver this time as they were thinkin maybe gallbladder, al bloods came back clear, my liver slightly elevated but nothing to worry about , I think it came back 41 and doc said its usually 36, only bloods still showed infection, but doctor was baffled as to where the infection was. I got sent home with stronger anti biotics, I started to feel a bit better within 2 days but I still kept the pain for about 2 weeks after. Since all this I have been to my own GP, she redone my bloods , all came back clear accept my liver ggt which was slightly raised but not raised enough to do anything about. I ve got an US appointment in a couple of weeks, I m really hoping I can get to the bottom of all this, have you any ideas ? Do you think both these symptoms could b related? Any feedback would be gratly appreciated, many thanks!", "output": "You had episodes of severe pain at lower two ribs at right side probably rt Hyperion Chat Doctor. Your CT thorax was normal, and blood investigation showed infection i.e. raised total count, X-ray was normal. I wonder y abdominal CT wasn't done. This kind of pain can be due to respiratory, CVS, GIT, ( cholecystitis, cholelithiasis, pancreatitis, colitis, diverticulitis, PUD)etc.... pathology. As CT thorax was normal respiratory pathology can be rule out. Blood investigation dint showed any pathology. As you are going for ultrasound whole abdomen it will show other pathologies. If it shows normal study then you can go for CT Aldo.n last ECG Only after your physicians advise. Thanks n regards " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I was working out yesterday (on the rowing machine) and yesterday afternoon, all night and today I am feeling a flutter in my chest. It feels like my heart is palpitating but my husband says maybe I just pulled a chest muscle. I used the rowing machine the past 2 days in 20 minute increments. could this have caused a pulled muscle?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, we should first rule out arrhythmia (rhythm disturbances in heart) because arrhythmia commonly causes palpitations and Fluttering sensations in chest. So consult doctor and get done 1. ECG 2. 2d echo 3. Holder monitoring (24 hours continuous recording of ECG). If all these are normal then no need to worry about arrhythmia or other heart diseases. Pulled muscle can also be the cause. So apply warm water pad on affected areas. Avoid movements causing pain. Avoid bad postures in sleep. Take painkiller and muscle relaxant Chat Doctor. Don't worry, you will be alright with all these but first rule out arrhythmia. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I believe I will need a dentist to answer my question. Is there one available? My son lost two of his bottom teeth over month ago. Yesterday he came to show me his mouth. One of the spaces has bubbled and become dark blue however he is in no pain or discomfort. There is no sign on his perminent tooth . What could this be and how concerned should I be?", "output": "Hi and welcome to Chat Doctor, After reading your history I suspect the lost teeth were primary or milk teeth, you did not mention your sons age so that we can predict the eruption of permanent teeth. I would suggest you to consult a dentist and get an x-ray done for the affected area. x-ray will show if there is a remnant of tooth left in the jaw that has lead to swelling and bluish discoloration or there is some infection or bubbling of the area is due to permanent tooth erupting. Accordingly treatment can be carried out. I hope this helps you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had sepsis in October 2013. I now have bruising on the soft pallet and petechiae on gums and tongue. Still havent been feeling great, losing weight, chills, fatigue and upset stomachs daily. Should I be worried? Should I see my doctor? They said it would take time to feel better. Finished Ive antibiotic beginning of Dec.", "output": "Hi, I understand your concern. Sepsis & also the antibiotics taken to control it disturb the normal intestinal flora which keeps our gastrointestinal tract healthy. To manage, -Keep oral cavity clean by warm water gargles. - Use a mild paste with finger/slim soft brush. -apply boroglycerine to affected area. -Take warm/cold milk, non-irritant/bland food, grated juices, salads - B complex (specifically folic acid)& vitamin C supplements are essential. - Take Lactobacillus preparation before food. - Avoid constipation. Exclude amoebas. * To consult doctor for assessment of health & prescription of medicines n proper combination. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "dear sir i am a medical persons my mothers have a upper abdominal pain bodyache and low back pain .on ultrasound report have simple liver cyst and rt cortical renal cyst .what cn i do sir please give me an appropriate way for treatment .", "output": "Hi, These conditions might really not be related and need a keen review. Liver cysts are treated depending on the cause. They could need Chat Doctor. Upper abdominal pain could be due to gastritis or pancreatitis or some medical or surgical. In case these symptoms have been going on for a long time, the opinion of a gastroenterologist, coupled with an abdominal ultrasound and Ct scan would be helpful to guide diagnosis and treatment. Kind regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, this is Ravi from Gandhidham, Gujarat, recently my moms hernia surgery done dtd 10/06/2011, after four days some liquid leakage is started, now mom is under treatment. Doctor has suggested nothing to worry as this is fat liquid which overflows sometimes. This is will continue four to five days. We are so worry about present circumstances, can you pls. advice on this matter...Best Regards Ravi", "output": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Leakage of fluids can be possible after a week or so. Leakage after this time is abnormal. It requires a treatment. I suggest you to do culture and sensitivity from the fluid coming out. If it is infected than appropriate antibiotics as per the report will cure you. If the fluid is non infected than it requires a correction surgery. Once these measures are taken the fluid will decrease coming out. Please maintain good hygiene locally, you can do it by frequent cleaning and Chat Doctor. This will equally important as taking " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor.. My mom has tuberculosis.. treatment is started 2 weeks ago... i.e from 9 may 2014. medicines taken are rifampin and isoniazid(R-Cinex) along with thynorm 25mg before breakfast, pyridoxine hydrochloride (benadon 40 mg half tablet) & prednisolone dispersible tablets (i.e wysolone) after breakfast but this wysolone tablet for 1st week 3 times 2nd week 2 times i.e after breakfast and dinner & 3rd week only after breakfast.. Then pyrazinamide (i.e pyzina 750mg) 2 tablets after lunch and at night after dinner ethambutol hydrochloride tablet i.e themibutol 800 mg.. before starting with this treatment i.e on 8 th may 2014 Tapping was done.. and now from 20 may 2014 pseudomonas aeruginosa was found so on 20 & 21 may doripenem 500 mg diluted in 10ml steriled water was given after that from 22 may ertapenem 1gm IH was given for 5 days till 26 may. Now doc told to stop this injection but didn t told us to do any test. And she still has fever around 102 to 103.. Doctor told to take crocin if it crosses 102 and maphtol if it crosses 103.. Her diet is also not proper. She don t feel like eating as she use to eat before.. She has loss her weight too.. She is still coughing & cough is normal white or water colour.. Sometimes she has breathing problem too.. Even stomach upset sometimes.. when there is fever at night she become wet due to sweat. Please doctor advice me.. Is this treatment going on is proper ?? And how many days will this fever & cough remain..?? When she will gain weight?? why is this stomach upset now.. is it because of medicine side effect or other disease like jaundice or something because some jaundice we dont come to know..?? what vegetable fruit should be eaten & which should not be eaten as she has cough too?? is it ok to have non veg ?? please specify name of fruits and vegetable to give & not to give.. please doctor reply soon.. i am worried a lot.. please please please", "output": "Dear Friend. Welcome to Chat Doctor. I am Chat Doctor. I have read your query in detail. Furthermore, I understand your concern. A patient with Tuberculosis on treatment doesn't have any special dietary restrictions. However, patient should avoid Spicy food, alcohol. Should be given lots of green leafy vegetables. Should be given lots of fruits. If on treatment develops any pain abdomen, jaundice, visual disturbances, it should be reported to your doctor. This is my best advise for you based on available details. If you have any further query please ask me. Stay Healthy. ChatDoctor, MD" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My baby is 1yr. old (12months). For last 2 days she is having loose motions. I don t know whether to call it as loose motion but she is having toilet 3-4 times a day. Toilet smells badly. Also colour of toilet is Blackish Green, Yellow and also it is sticky. Please let me know what kind of food shall i give to her. I normally used to feed her milk, Dal/Rice, Fruit(banana/Apple), Khir etc.", "output": "Hi, Does she have fever or vomiting? Does the stool contain blood or mucus? Is there any abdominal pain or discomfort while pooping? If no above said symptoms, this need not be taken as significant. Some change in stool frequency, colour or consistency is common once in a while, and need not be worried about. You can continue the same feeds as before. If stool is too loose, reducing amount or withholding fruits for few days might help. Take care. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello. I kicked something and now my foot is slightly swollen, slightly bruised, but definitely sore. I cannot bend my big toe (which is the area where the pain originates, in the foot part just below my big toe) not because of the pain, but I physically cannot make it bend. It hurts to walk on the affected area but I can walk. I just cannot put weight on the big toe. It is painful with a mixture between dull and achy and suddenly sharp or throbbing. Though, I took a Vicodin and the pain is a lot better. The pain is more localized and the areas around it hurt less allowing me to put weight on those areas. Does this sound more like it could be a sprain since the pain medication helped with almost all of the pain aside from the milder pain I feel in the location of the bruise and swelling?", "output": "Dear patient You have injured your foot more so your great toe and possibility of fracture cannot be ruled out since pain is not relieved. I would advise X-ray of involved foot anteroposterior and oblique views to confirm diagnosis. If it shows fracture you need to consult expert orthopedic surgeon with report. If its normal diagnosis is sprain and recommended treatment is rest for 2 weeks and tab diclofenac 50\u00a0mg twice a day for 5 days. All the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "intense pain in the head, vomiting blood and even low sighted..treated with brain cancer..age 17 female can anybody help plz..her weight is also low its 33kgs..height is 5.7..the pain is getting regular and when in pain no other option other than taking a sleeping tablet as an insomnic..plz doctor help..", "output": "Hi, dairy have gone through your question. I can understand your concern. She should go for MRI once. It will give exact diagnosis. If it brains cancer then surgery and radiotherapy is the treatment. If it is some other pathology then take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "18 month old more tired and cranky than usual. Other than the end of a cold, she s healthy. She normally sleeps 11 hours at night, with a 2 hour nap. For the past 2 days, she has slept 12-13 hours at night with an almost 3 hour nap. She s normally quite pleasant, but has recently been cranky and even laying around some when awake. She s asking for milk more...seems hungry. Growth spurt? Other ideas would be appreciated!", "output": "Hi, thank you for choosing Chat Doctor.Sometimes kids are more hungry and cranky without an apparent reason. But just look for any ear ache or pain while passing urine which can make kids irritable and are usually missed. If she is not having these, then she is in the recovery phase from her cold which has increased her appetite. Just give her an extra meal for another week or so before going to sleep. Hope this has helped you. Your vote of thanks is appreciated, Good luck, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Husband had an endoscopy during the procedure found white spots. Took a biopsy and thought it was fungus. Found out today not the case. White blood count low told might be an infection. Not for sure needs another scope in a few months. Taking meds for acid reflux. What could it be?", "output": "Hello thank You for contacting ChatDoctorWell first I must say there's too little details provided to work on however let me try__ 1. Your husbands having acid reflux and on meds - since when? 2. Did he undergo endoscopy for that or there was some other problem(what was the problem that he's facing lately)?? 3. Is he having any other problems lately (fever, flu like symptoms, loose motion, pain abdomen etc.)?? 4. Apart from the meds for acid reflux, is he also taking any other medications for any other problems(Diabetes, Hypertension, Asthma etc.)?? 5. You've mentioned White blood count low - it's better if you kindly attach the report of white blood count and also the differential count along with next time it would be better 6. Does he smoke?? Either way do check in with your gastroenterologist and also get back to me with some more details next time for actually telling what it could BEP.s Haunt you got the report of the Endoscopy?? If yes then please attach along with in your follow-upHope to see you soon, thanks a lot for posting your query in Chat Doctor" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, after marriage i concieve but my baby is not growing.and doctr did dnc after that 1 year i didnt concieve and my husbnd reports of siemen analysis was worst.now his reports is fine and doctr advised me to take proflien.my mensus are regular .and iam 24 yr old", "output": "Hello...thanks for trusting the Chat Doctor doctors for your health related queries. I guess your concern is about.chances of getting pregnant when results are normal.right.well.there is HIGH CHANCES of getting when all reports are normal. For getting pregnant following things are required-in women-regular menses reproductive age group(15-45years)normal reproductive organs(uterus, tubes,ovaries etc.). In man-normal semen analysis(normal sperm count, motility etc.) as u told that u both have all reports normal then DON'T WORRY.RELAX.there is high chances of getting pregnancy in your case.u also told that u had abortion, but DON'T WORRY, it happens with most of the women. It doesn't mean that u can't be pregnant in the future. it's normal.nothing is wrong in this. With the above discussion u can try out my suggestions-1. Try to do coitus during fertile period(it is from 10th to 16th day of menses during this period chances of getting pregnancy is high).2. KEEP PATIENCE...there is high chances in your case. Just RELAX.3. If u r in hurry then visit nearby infertility specialist. He/she can help u. I hope the above information is useful, informative and helpful for u.regards- Chat Doctor. . I can understand your tense-full situation, DON'T WORRY, I pray the God that u will be blessed with a cute n healthy baby.hopefully TWINS)" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here...i hav mild pain in right side of my stomach and mild back pain.doctor suggest me to take scan,urien test,blood test and xray,but i all was normal,finaly doctor suggest me to take zintac,nimusulid and cifran 500,there is no redusing of my pain.still i hav pain,what to do", "output": "Hi welcome to ChatDoctorI understand your query and concern. Your symptoms are suggestive of Castro esophageal reflux disease. I advise you to get an Upper GI Endoscopy and Crease test, complete blood picture, stool culture, per digital rectal examination to confirm the diagnosis. Chat Doctor. Pantop once daily before breakfast, Syp. Gelusil and Di gene chewable tablets. Avoid strain and coughing as it may lead to Diaphragmatic hernia. I also advise you to get investigated for H.pylori. You may also need to take Qua" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Seasonal. Allergies and sinus congestion Hey.Im 31 years old..My allergies seem to be out of control u this year..I stay congested all year around and nothing seem to help ..Im on nose spray, asthma medicines and still have trouble..Any ideas that will help me stay uncongested?", "output": "Hi, first go for a head and neck X-ray in Caldwell Luc view and waters view to rule out other pathology of paranasal sinuses like polyp, muscle or chronic sinusitis, then meet an ENT specialist to have a thorough examination including rhinos copy to assess your condition .let them diagnose the type of rhinitis you have, go for complete panel allergen test to get the list of all substances which are allergic to you, also go for pulmonary function test.proper see of levocetrizine, montelukast, oral or topical steroids and antibiotics can manage your symptoms perfectly for which you should follow your ENT specialist. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was recently diagnosed with a pituitary tumor, after going to a neurologist his assistant informed me that it is not a pituitary tumor but it next to it by my brain...The reason I even found out about this is through an MRI I had because of vision issues that I am having (double vision) the thing is this is the third incident it seems to come and go with the first time being in 2009, the second in 2011, both with pregnancies, and now this time while I was on an appetite suppressant. What do you think", "output": "Hi, I had gone through your question and understand your concerns. If you had double vision, the tumor infiltrated cavernous sinus, and treatment depends on the kind of tumor. In that area three are the most probable lesions: Pituitary tumor, Meningioma and Chraniopharyngioma. If the size of tumor is small (below 3 cm) it could be treated by Radiosurgery, if it is greater than 3 cm it needs surgery.Don't delay treatment because there is a serious risk of blindness. Consult a Neurosurgeon. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, i have 23 years old , i practice fitness ,, i feel an instability on my knees while walking , i feel a weakness too on my legs , i have a flat feet , when i woke up i feel that my left knee is blooked , but when i m walking and movinig it in a while i lost that feeling , and it s comes over when i set to mush or after sleeping , and when change the shoes for exmple my knees come to pain on the miniscal tears i think , i m suffring can you help doctors ?", "output": "Hello, I have studied your case. As per your age and history there is possibility of soft tissue injury in knee. Most commonly meniscus injury occurs. As per your symptoms you need to do physiotherapy and knee exercises to improve range of motion. If pain persist then you may need to do MRI again to see for any functional defect. Small meniscus tear can be managed conservatively with physiotherapy with USG and TENS. Meniscus injury can be managed by arthroscopic repair, and same day you can go home. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, i have pain accross the middle of my back just under my lungs, it isnt there all the time, when i sit on my knees and stretch forward then try and straighten myself, it seems to hurt then, i have been told by the doctor that my lungs are clear. What could this be?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Possibility of musculoskeletal pain is more likely because your pain is associated with specific position and movement. So avoid movements causing pain. Avoid sudden jerky movements of chest. Avoid heavyweight lifting and strenuous exercise. Apply warm water pad on affected areas of chest. Take simple painkiller like paracetamol or ibuprofen.Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 62 years old Male. I underwent a brain MRI examination the outcome was: Few tiny hyperintense foci are seen in both frontoparietal and left anterior peri insular white matter, which appear to be ischaemic/nonspecific, with none showing restricted diffusion. Question : What does that mean?", "output": "Hi, Thank you for posting your query. I have noted your MRI brain findings. I would like to reassure you that these findings are not significant and do not represent any serious brain disease. I would like to know your clinical details (history and examination findings) in order to completely interpret your MRI findings. Hyperintense loci on MRI are most often due to migraine and ischemia (lack of blood flow to brain). Ischemia of brain occurs in people with high BP and sugars. At this stage, you need to keep your blood pressure and sugar under good control. In addition, aspirin tablets may be taken to prevent further ischemia. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, Chat Doctor. Ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I truly believe my brother has a paranoid behavioral disorder. How can I get him the help he needs? He is currently taking meds for anxiety and Atavan. He has begun the process of counseling however he continues to suffer major meltdowns daily, not able to be alone, maintain a job and daily living skills are difficult for him.", "output": "He may have a psychotic illness. However, reaching to a diagnosis and treatment plan need more information about his behavior and illness and interviewing him. Get back to me with more information like duration and nature of illness, does he talk to himself, more details about his suspicious behavior, how does he spend his day at home, any addiction? Etc. You also consult a psychiatrist in Lois vicinity as interviewing the patient is key to make a decision. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been experiencing a pretty severe constant pain in my upper abdomin for the last 4 hours. When Im standing it becomes a sharper pain that causes me to walk a bit hunched over. I had tried to go to the bathroom but that doesnt feel like or seem to be the problem nor do I have any nausea sensation. I did just start taking Celexa 3 days ago and melotonin at night for sleeping 2 days ago.Thank you", "output": "HIT hank for asking to ChatDoctorSudden abdominal pain is indicative of many possibilities and sometimes nothing's comes out, colicky abdominal pain can be considered, just take a rest, no need to take anything by mouth (Food) wait for half an hour if subsided then it's okay if it does not then try antispasmodic (Dicyclomine) it will come around for sure, further query will be answered ask without hesitations have Nice day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I HAVE A VEIN ON THE LEFT SIDE OF MY CHEST THAT IS VISIBLE AND IS SORE. I JUST HAD A STRESS TEST DONE AND EVERYTHING IS NORMAL WITH MY HEASRT. THE AREA IS VERY SORE TO THE TOUCH. I ALSO HAVE BEEN HAVING FLUTTERING SPASMS JUST UNDER THE LEFT BREAST AREA. I AM A 53 YEAR OLD MALE.", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. No need to worry about heart diseases because your stress test is normal. Possibility of skin infection like herpes zoster is more in your case. It is viral infection of skin caused by skin contact. It is commonly seen in chest area. Herpes causes pain, redness, itching and venous engorgement (dilatation of veins) in localized chest area. So better to consult dermatologist and get done clinical examination of your local part. You may need antiviral, painkiller and anti-inflammatory Chat Doctor. Hope I have solved your query. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my husband just had an angiogram. They did not put stint because there was more blockage than expected. Is it normal for him to change sleeping habits. He is falling asleep in a second. This has never happened to him. We have been married for 26 years.", "output": "Hi Their understand your concern for your husband I would like to tell you that angiogram is only a diagnostic procedure that has no effect on sleeping pattern. You must check his blood pressure if it is staying low or go through his medicines if he was prescribed any sedatives' medicine if yes then consult with his treating doctor and ask if he can stop using that medicine. Hopefully this will help Kind Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I need to consult psychiatrist for my brother My brother is 34 yrs old. He gets angry and becomes irritated on small small issues. He is working in a call centre. He had polio but after the polio has been treated he is become more short tempered kind of a person. he abuses when he is driving when someone overtakes him. we need some suggestion for his sudden mood change prob. He is very noble hearted person but when he gets angry he himself dont know how is is behaving with his elders but when he calms down he aplogise for his behaviour. He do not drink or smoke . Please advise?", "output": "Hello ~ It seems like your brother has an anger management problem and impulsively becomes angry at little things. However, it also seems like these anger episodes are predictable, which makes it amenable to treatment. I suggest that your brother take anger management classes or complete a do-it-yourself book for anger management. It is helpful to consult a psychiatrist if you or your brother feels like this is not helping and medications may hold a key to the question of anger. I hope this helps. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my sister 47 had gallbladder stage 2 cancer, had surgery done and after 1 year she got liver metasis, she is now at the hospital, cause had an infection of the bile, a stunt was placed to drain infection, she had received 2 types of chemo for 3 months, but did not workNow taking Tarceva and should start pallitive chemo once she is better stage. My concern is that she is retaining fluid her belly is swollen, her ankles pratically all over. Is there anything that can be done, what does this mean for her life.She is not taking any other medications. She is strong and she is positive on all this. Would she be a candidate for liver transplant.TksVicky", "output": "1) palliative chemotherapy is for stage-4 cancers where there is no any other treatment option is available to cure cancer. Purpose of it is to relieve symptoms of patients and to improve quality of life. Palliative chemotherapy is not better stage.2) gall bladder cancer with liver metastasis is aggressive disease. It might affect liver function (formation of new proteins) depending upon spread of liver metastasis. Symptoms of fluid in belly, ankle swelling suggest less protein in body.3) she is candidate for palliative chemotherapy (but consider location and spread of metastasis in liver)" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have pains under my right side rib cage it comes and goes , im sitting on couch and have strong pains under rib cage same spot everytime.my family physician says its nothing to worry about.but its something to worry about if it happens everyday for about 6-8 months now.please help.", "output": "Hi, thank you for providing the brief history of you. A thorough cardiothoracic assessment is advised. As the pain is persistent from past few months I will advise to take up a thorough cardio thoracic assessment if it is in the middle of the chest or above the abdominal region. You may be recommended x-ray or any other test based on the assessment the pain is below the xphisternum then I will advise to take a thorough abdominal assessment and a Diagnostic ultrasonography will be advised to see the soft tissue status. Also, if the pain is near to the rib joining the sternum then it could be Costco Chat Doctor. I will still advice to undergo at least a chest x-ray to check the soft tissue and bony status. No pain persists for longer months until there is something to understand about the physiology. Also, with breathing exercises if the pain subsides then you many not have to worry, as certain times due to weakness of the intercostal muscles there leads to pain. As no chest congestion, cough cold, abdominal pain is mentioned by you, I suspect it to be a Costco" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my nine year old son has been complaining of a headache all day at school. He said that it started yesterday on the way home from a road trip. His eyes are blood shot and he looks miserable. no pain to light or sound however, when i tell him to touch his chin to his chest he says there is pain. It also hurts his neck at the base when i touch it. He also says that he just feelis icky. He is congested and has a cough that only seems to come on at night. This may be an over worried father but my 18 yo daughter went thru a bout of meningitis that was caught early by me and I just wann be sure. this could just be a common cold right? the pain when bending the neck is what worries me but it isnt terrible pain he says its like a pinch then it goes away. thoughts?", "output": "Hello dear! I can understand your concern. The pain which you are describing can't be meningitis as in this infection the child is quite sick and is unable to flex his neck. Its probably sinusitis or could be viral flu both of which can have headache. I would advise giving him some good anti histamines like levocetrizine 5 ml at night or fexofenidine 6\u00a0mg /loratadine 10 mg once in the morning before going to school. You can also try some home remedies like 1 tablespoon of honey in a glass of Luke warm water once daily. Normal saline(2 ml) nebulization and especially steam inhalation also helps. Dnt worry he will be fine in 2-3 days with all this. Get him an X-ray PNS done, and his eyesight checked because sometimes it could be due to refractive error. Hope it will help. Wishing your child a good health :-)" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I took a Dollar store pregnancy test and it came out negative, but Im not sure if its accurate. Ive looked up common early signs of pregnancy, and I seem to have most of them. Is it possible that the test is wrong? Or that Ive taken it too early?", "output": "Hallow Dear, The routine urine test for pregnancy detection gives reliable results 8-10 days after missed period. If this test is done earlier, the chances of false negative tests are high. Beta Chat Doctor test is very specific and sensitive test. It gives reliable results within 2-3 days, or even before the missed period. Another test is ultrasonography. It gives direct visual evidence of the pregnancy status. However, it also is reliable about a week to ten days after missed period. Hope this helps you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Sir,I am 40 year old, since last six month my leg got amputed whenevre I travel. Even if I walk for a KM, my leg starts amputing and also I feel breathlessness and also Khansi get started. Since I have a strong Khansi, but nothing is coming out of it.Would you please help me.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Leg pain, breathlessness, coughing etc. are suggestive of DVT (deep venous thrombosis) and Pulmonary embolism (PE). So better to consult pulmonologist and get done venous Doppler of legs for DVT and CT pulmonary angiography for pulmonary embolism. Don't wait at home because this is serious disease. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been having lower back pains for the past year or so coupled with a lot of gas in my stomach. I have seen my doctor for a kidney infection and was treated. But the symptoms remain. I have no history of lumbar injury. I am 57 yrs old an in generally good health. I was prescribed Zerodol 100mg and Cipro 500mg for the infection and they seem to work but the lower back pain lingers. I have noticed that the pain is especially discomforting between midnight and 7am. thanks for your advice.", "output": "Hello dear, The symptoms are attributed to increased gas formation secondary to excess acid secretion in stomach. Presenting with such symptoms, I usually treat my patients with:1. Tablet Pantoprazole 20 mg twice daily (to be taken half an hour before food)2. Anti spasmodic like Dicyclomine preparation twice daily (to be taken after food)3. Application of analgesic+muscle relaxant gel.4. Take soft, plain, non-spicy foods.5. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, My name is owais..i had piloniidal sinus about 1 and half years initially i used to ignore in sense of infection but after some days it become worse and pain hitting so much at that instance someone suggest me to use a `Lehning L86` 20 drops in water 3times a day it works a lot but not cure sinus it only stops watery kind of thing which emits from sinus ..i just want to know that is there any possible option to get rid of it without surgery?....Thank you!", "output": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. No, for colonial sinus surgery is the only final cure. Taking a medication can only help you heal for some times. Against the surgery which can cure you completely. If you receive any serious stress on back colonial sinus will recur. You can take the detail solution in the water diluted. Which can help clear infection only. Remember it will not clear up the sinus. You can use the pillow before you seat. As it can help you to get severe sinus infection. Also wear the cotton undergarments. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Please hit thank you for me if you are helped. Thank you, ChatDoctorInfectious diseases specialist." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 4yr. old a week ago got very pale a fever and started vomiting, then he felt better and was fine, but yesterday he got a fever again he didnt throw up and we put cold towels on him and he cooled down, last night he woke up screaming and he had another fever, what could be wrong with him?", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query your son is having symptoms of fever which is due to impaired and reduced immunity of your body. Need not worry about it. Take antipyretic Chat Doctor. Visit pediatrician once and get it examined to find out the cause of fever after thorough investigation. If required request your physician for any lab tests which may be required and start treatment as per that. You can take Cronin as well every 4-6 holy. You should take Metal P tablet as well. If symptoms still persists go for blood tests and then start treatment as per that. Avoid cold carbonated beverages. Hope your concern has been resolved. Get Well Soon. Best wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have swollen Lymph nodes, I have had this for the second time. First time they took one out and found it was normal, but not normal. ??? My symptoms are, Hot spells especially at night, not assoiated with hot flashes, extream fatigue, pain in lower abdomine that travels any time any where, worse at night. Nausious all the time especially after eating, over weight and can t loose weight even though I eat almost nothing. I do eat healthy, veggies and fruit don t seam to trigger it any different than any other food. I have seen a few Drs and am to see a colon specialist on the 4th. My nodes started swelling last night making it unbearable to sleep. worse ones are in abdomine. Last time I went to the hospital they did basiclly nothing, the meds they gave me made me sick. There has to be a reason for this. No one seams to be able to or want to help. Any ideas?", "output": "Thanks for your query at Chat Doctor! I am Infectious Disease Specialist! I went through your query! There are various causes of lymphadenopathy (Viral, bacterial, tubercular infection), lymphoma, leukemia, etc. You need thorough examination and set of investigations(ZN stain from FNAC and cytology) to come to diagnosis whether viral, bacterial or tubercular in nature. In your case as you have evening rise it is likely \"Tubercular\" in nature pulmonary or extra-pulmonary. But I recommend take a course of antibiotic for 2 weeks to see if it resolves before you get investigated for other causes. You will need antibiotic prescription. Happy to take more queries! You can also write a review for me. If you would like some more information, I will be happy to provide. Take care!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hey, so 4 days ago I was cleaning the bathroom at my work and I felt a really sharp pain in my neck and went all down my spinal cord. I could barely walk that day but as it progressed it got better. jump to the next day and ever since, I ve had majopr pain in my neck to the point where I can t move it to my right, and I have pain in my shoulders and a tingling in my left hand. I looked it up myself and the symptoms seem to be that of a slipped disc, but could there be something else, and what should my next step be?", "output": "Hi you have guessed it right these symptoms are probably of a disc prolapse in the cervical region and if the pain extends to the hand then lower discs may be involved.be on rest take analgesics get a MRI of the cervical spine done do not lift any weight on neck, do not excessively move the neck use cervical pillow. Traction may be helpful, and some doctors prefer a short course of steroids to reduce edema and pain." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My wife is concern with the seman dicharging after we have intercourse, my wife think something in wrong. One other question, i had a Vasotemy Reversal and it was sucessful but my sperm count is low, i am taking medicine for 3 month with very little change in the sperm count, can you give me some advice.", "output": "HelloThanks for your query, based on the facts that you have posted it appears that you have undergone Vasectomy in the past and Vasectomy reversal very recently. Your semen analysis done very recently after reversal surgery is low. Normally there are very fewer chances of normal sperm count to be achieved, and it entirely depends upon the time gap between two surgeries as the anti sperm antibodies are formed after vasectomy which kill the sperms. Chat Doctor. ." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My fiance is a 27 y/o male. He has knots that will come up sporatically on his fingers. He has also lost patches of his hair that has been diagnosed and alopecia. He has what looks to be a swollen lymph node behind his ear. He has been to many doctors who have ran blood work and he has also visited a dermatologist. He is very concerned that he has some underlying disease that the doctors are missing. I have to re-assure him daily that he will be ok. Please help me", "output": "Hello, Alopecia with lymphadenopathy may be possible with fungal infection of scalp may present like hair loss with lymphadenopathy. Also check for autoimmune disorders may present like this. Photosensitivity or autoimmune thyroiditis or diabetes millet us etc. Until examination is done it is difficult to say what it is. please consult your dermatologist check for skin biopsy and oral cavity, sinuses for examination for infection. If symptoms not improved please consult your dermatologist he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am Khushboo . 22week scan done . My Bebey seen left renal pelvis measured 4.6mm . What does Mild pelviectasis of the left kidney mean? What does Mild pelviectasis of the left kidney and kidneys are echogenic mean? How concerned should I be?", "output": "Welcome to Chat Doctor .yes the left kidney is not fully developed, and it is something serious your baby needs surgery, so please get your delivery at a well-equipped hospital and please be prepared mentally for your child surgery after hos birth I suggest that you should take help of nephrologist to discuss various options available for your baby know it is very painful, but one kidney is normal it is a good thing with regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My father is suffering from vasculitis for three months treatment is going on from Sahara lucknow but the condition is getting worst now he is unable to do any movement and suffering from severe muscular pain what treatment should be done to relax him from this pain", "output": "Hi, thank you for providing the brief history of your father. As mentioned by you about the symptoms, since it is vasculitis we need to have patience for the bodies mechanism to function. As treatment of choice is always directed towards the symptoms. Also, as the fatigue and pain is the factor, taking physical therapy will be advised as per me depending upon the vascular assessment. By passive movements of the limbs it will help to maintain the normal muscle property and metabolism of the cells. Also breathing exercises will help improve the oxygen in blood cells, which will delay the fatigue and pain. Usually, physiotherapy is a non-invasive and no side effects' therapy. Avoid performing massage to increase the symptoms. Also icing can help. You can discuss the same with your vascular surgeon. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello there...i have been having some issues that bother me. I have a pain in my stomach area (my left side)...just where the stomach and pancreas would be. While standing up, I feel a bulge and it hurts to push on it...it seems to bother me more when I am at work..but I sit most of the day. I also have heartburn about every day...I have been taking some prilosec almost everydat to stop that..but when I stop taking that the heartburn comes back. Also, when I lie down I do not feel the hard bulge.Please help", "output": "Hi welcome to Chat Doctor forum. Thanks for calling Chat Doctor. Forum. You have pain in the stomach, on upper left side. When you stand and at work it is bulging and tender. You got heart burn also, When you lye down the bulge this appears. The heart burn may be due to irritation of the stomach due to peptic ulcer of irritant food habits. Underlying cause could be hernia, gallbladder stones, or H pylori infection. I advise you to consult a gastroenterologist for diagnosis and treatment. You may need to have M.R.I. gastrostomy, besides other routine tests for confirmation. Wishing for a quick and complete recovery. Best regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Left sided lower rib cage anterior pain. No known injury other than possibly brought on by raking the yard. Pain is sudden and sharp with a stabbing sensation. Pain is intermittent. Pain scale = 4/10 to 5/10. Increased pain with coughing or sneezing. No history of cardiac and no other related cardiac symptoms. Wife a nurse at JHH and thinks possible costochondritis or possibly related to my Rheumatoid arthritis. No fever. No nausea or vomiting. No diarrhea. Feels better after taking Motrin. What do you think this may be?", "output": "Hello Thanks for writing to us, I have studied your case with diligence. As per your history there is possibility of rib contusion or Costco Chat Doctor. Rib contusion is visible on X-ray. I will advise consulting to orthopedic surgeon. Medication like muscle relaxant and analgesic will reduce pain along with it use rib support belt. You may consult physiotherapist for pain management. He may start TENS, or ultrasound which is helpful in your case. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. If you find this answer helpful do not forget to give rating at end of discussion. Wishing you good health. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi My 5 yr old son has what looks like either broken blood vessels or a rash on his upper lip. (looks like a juice stained mustache) I tried to wipe it off but it is not a juice stain. The mark has remained on his lip over a day. Do you know what this might be from and will it go away? Thank you!", "output": "Hi.... Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi my daughter is 6 years old its been a week since she has fever and cough took her 4 times by the doctor last night the doc say she has a chest infection he gave her ventolin,predcort ds and zithromax ....for the pass week i took her to 2 other docs an it was useless.cant u give me some addivice how to deal with this since all week she been under so many medication 3 different cough syrup", "output": "Thank you for choosing Chat Doctor.I'm sorry to hear that about your child. How many doses of Zithromax have you given your child already. Usually, it takes 48 hours before you can see the effect of the antibiotics (like the fever goes down or may completely go away, child is regaining appetite) provided you give the proper dose as prescribed. Remember that the cough is the last to go away. If after 48 hrs your child worsens, it is best to bring to the hospital. Does your child have any history of asthma or allergic rhinitis. If yes, usually the course of a respiratory infection is prolonged. I hope your child feels better soon. Sincerely, Handle Dulay-See, M.D. Pediatrician" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I cannot help being constantly tired. It doesnt matter how much I sleep, I will always be tired. If I go straight home after work, I always find myself falling asleep without knowing it. Also am always cold (especially my feet) and frequently have headaches. I am slightly overweight, but eating very healthily and still find weight going on rather than off. Dont know if this could be related, but every few weeks, I go for a few days with very bad back ache between my shoulder blades. Would be great to get some advice, I am covering for 2 people at work just now so dont have time for a doctors appointment. Thanks", "output": "Dear patient You are showing all signs of hypothyroidism. But it could be due to deficiency of vitamin D and calcium. So you need to be investigated with 1. Serum level of TSH, T3, T4 levels 2. Serum level of vitamin D3 3. Serum level of calcium, phosphorus and alkaline phosphatase. Visit reputed lab nearby you and get this done. Take visit to endocrinologist with report. Do not neglect your health and do this asap." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "When I go to bed at night there is a nagging pain that goes though the middle of my thigh, I been tested to see I have any blood clots and I do not I had a any. I also had a bone dinstanted test done and the result show that I have artisitha in the lower part of my back. Sometimes I can not lay on my right side because it cause me pain. That is the same side where the nagging pain is in my thigh. It mostly only happen when I go to bed", "output": "Hi, A back pain along with radiating to thighs can be attributed to sciatica in which a nerve gets impinged along its route, and it causes pain. So to treat it conservatively sleep on hard bed that too straight with a small cushion under your knees will relieve the tension on nerve and will relieve you paint times while you are travelling use of lumber corset will help in preventing any further trauma, have your blood calcium, it d and it b-12 levels check as there below normal levels will worsen the condition. Travel light if your work require you to travel. In diet have lots of green vegetables, fluids and have b12 supplements as (it B 12 is a euro tonic) do lightweight exercises and low impact aerobics like cycling and swimming) and maintain correct posture and ergonomics like sitting straight. Correct ways to use computers and mobiles as maintaining wrong postures worsens the condition. If pain is affecting mostly while going to bed consider sleeping on hard bed or consider changing your mattress to half inch memory form mattress. Hope you find the answer useful. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My question is -- sometimes I can feel my heartbeat hurt a little beat. With each beat, it is a very faint, but noticeable pain. What could this be? Its not always, just once in a while. I can feel it in the center of me (where my heart is) and in my back some, too.", "output": "Yellowest pain may be due to many causes like cardio-pulmonary causes, refulx etc. It important to know your age. It is safe to exclude cardiac causes first. You may need proper clinical examination and few investigations. Investigations include routine hologram, random blood sugar, liver and renal function test, lipid profile, urine RE/ME, chest X-ray (PA view), ultrasound of abdomen, ECG,TMT, ECHO. You may need further test like angiography after these initial tests. Proper treatment depend upon findings. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "What does this mean, Acromion type II. There is a thin line of contrast signal within the undersurface of the supraspinatus tendon over the lateral humeral head on coronal 11 & 12 of 21 most indicative of undersurface fraying of the tendon measuring 9 mm transversely, 1mm in thickness & 6mm AP. there is intermediate signal surrounding this area on T2 weighted imaging coronal 11, 12, 13. A tiny 3 mm area of undersurface of the infraspinatus sagittal 22 coronal 14. A small glenohumeral joint effusion.", "output": "Dear Sir/Madam have gone through your query and read your symptoms. In my opinion, these are grading of acromion, types and this means that yours is a bit hooked on the under surface and has more propensity to cause tear in your rotator cuff tendons, and if surgery to repair your cuff is undertaken, you will need acromioplasty as well hope that answers your query. If your want any more clarification, contact me back. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i am 45 years old and after i eat anything my face goes bright red and my neck and then takes hours to go away it is making me feel very self concious and also if i drink alcohol this happens i am so fed up with this and cant find out what is causing this thakyou for any help", "output": "Hello. Thanks for writing to Chat Doctor. I read and understand your question very well. I try my level best to explain you. As per your symptom you have hypersensitivity reaction or allergic condition. It may also due to over consciousness or anxiety. I suggest you some points like never think much more about it, divert your thought in some things, think about your enjoying movement, do not much more concentrate or get tense about this. If symptom persist than I suggest you to consult a good allergic specialist. I hope my answer will help you a lot. Thanks and Regards. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a living donor kidney transplant in June 2012. The donor has genital herpes. Can this be transmitted through the transplanted kidney. I have noticed a small painful sore on my penis and have outbreaks of small, oozing rash that too are painful and then scab over and heal on various areas of my midsection. If this is possible I will mention it t o my nephrologist in my quarterly visit this coming week. Thanks", "output": "Hi, Thanks for writing in to us. Despite great advances in organ transplantation in the last four decades, herpesvirus infections remain a major cause of morbidity and mortality for a majority of transplant recipients. Central to all herpesvirus infections is the viruses ability to establish latent, nonproductive infections which can be reactivated at later times in the hosts' life, resulting in recurrent infections and associated diseases. While improvements in immunosuppressive Chat Doctor. Hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son got married last December, and lives with his wife and mother in law. Hes very unhappy living there but financially cant afford to move out. Ever since he got married hes been losing lot of weight and has bad moods. He says the wife and mother in law are not good cooks and he doesnt eat healthy food. I am very worried about my son. He was never this skinny and looking very sickly. He used to use Marijuana when teenager but not anymore? I sometimes wonder whether hes using other stuff to ease his pain or frustration or if hes suffering depression? Please help me because I dont know how to approach this matter? Thank you", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. I do not think food is the only reason behind his behavior. Secondly calling this behavior as depression may not be right because this could be just dissatisfaction. I suggest you talk to your son with all your love and compassion. Or else, take him to a psychological counselor and counselor should help you. The reasons behind the behavior should be analyzed and accurate treatment method to be suggested. Understanding family and its intricacies is the trick. Your son should change, but it might take some time, and he might need your assistance as well as his wife. For more psychotherapy techniques, You can post a direct question to me in this website. Include every detail as much as you can. I shall prescribe some psychotherapy techniques to control your condition. I am sure that the techniques should be a success. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello.I am 44 years old, and I am a seaman. Very often I was exposed to stressful situation, until about a year ago I had panic attack. I was feeling very scared when I was alone, thinking that I am going to die, I could not sleep in my bed because of some fear. If i have slept 2 hours I was awaking in panic and fear. Could not stay alone, could not concentrate on my job, constantly having bad thoughts passing through my mind. I have visited doctor who gave me Deanxit tablets, and after first one i felt amazingly better, only i had trouble sleeping. I was taking two tablets per day for about a month, than I signed off from the ship and stop with Deanxit. During vacation I have visited psychiatrist, explained what happened to me, and he told me that I have suffered panic attack. My psychiatrist has prescribed me SEROXAT - Paroxetin tablets, 20 mg, if happens againAfter two months at home, where everything was ok, only trouble sleeping from time to time, I have signed on another ship, and situation has started but not that strong as before.I have started taking Seroxat and everything was ok, only trouble sleeping again, and I have been taking Seroxat for full 4 months while I was on board the ship.Another two months at home without tablets, but again trouble sleeping, and here I am on my present vessel, just signed on today.After talking with my family I am sensing and experiencing some kind of fear, now when I am alone in my room.Fear comes and goes, but I am still kind of afraid to go to sleep, even I am very tired.Thinking about taking Seroxat again or maybe Deanxit.Could you please tell me what to do and how and if is possible to treat this fear permanently.Thank you very much.", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. Let me make things clear for you. Panic attack comes to people who were previously anxious. Anxiety is stress is just common happenings for them. It that is your case, you experienced a panic attack. Otherwise, it was just stress related momentary fear. You have to be a bit more realistic. What is there to fear? If you fear being alone, be with others. If you fear your job and want to be with your family, be with them and find a new job near home. If you fear your health, consult a doctor and confirm that you are alright. We have solutions for every fear. Instead of fearing what-it-might-be, try to find a logical solution and accept it. Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been feeling unwell for 5 weeks now, it started with me losing my voice, coughing badly, so much so that it hurts my chest and I am gagging when Im coughing could this be from cleaning products being inhaled because I clean outside my house about 13 hours per week. I have been to my doctor twice he gave my two lots of antibiotics but neither has helped me. Please Reply Vicki", "output": "Thanks to Chat Doctor I can understand you issue I came to know that you are working on house cleaning here cough is coming not only from infection , it may be due to irritating allergens in dust .please try to avoid that type of work for few weeks ,or otherwise wear mask and do moreover a lot of antibiotic will spoil your health , have a chest x-ray once ,CBP and ESR.tests you can use antihistamines like levocetrizine 5\u00a0mg if not montage LC for 5 days with low dose antibiotics moreover be away from cold and cold items ok don't worry it will subside" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my dad has stage four lung cancer which has spread to his brain. He was diagnosed 7 months ago and was only given weeks to live but has so far kept fighting. Weve now been told that the cancer has to his lympth nodes. What does this mean? how long would you say he has left?", "output": "Respected user, thanks for using Chat Doctor.come have evaluated your query thoroughly, sorry to hear about the same.* As there is spread to multiple organs, now it is not curable as you know very well by this time, treatment is only & only supportive to take care of symptoms and general supportive care.* Life expectancy can not be uttered by any consultant with the highest efficiency as there are innumerable factors governing it, most important one is destiny written by almighty God which is beyond all the researchers of the world ! Hard to believe, but it is the fact of universe. Wishing him less and less suffering till his last breath. Welcome for further assistance. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor..... I have black patches over the walls of cheeks inside mouth for nearly 1 year. I cannot eat any spicy or sweet stuff. I burns like hell. What is the reason. I tried so many medications and nothing worked. Due to this problem, my gums bleeds when I brush and mouth burns when there is paste in my mouth. Thereofre, I am unable to brush my mouth properly and I get bad odour.", "output": "Hello, Thanks for consulting ChatDoctorRead your query as you have black patches on cheeks with burning sensation don't worry this patch can be due to lichen plans, licensed reaction for this I will suggest you to consult oral surgeon for examination of patches on buccal mucosa and oral prophylaxis for bad breath and bleeding gums. In meantime you can do warm saline rinses, and take medicine Antioxidant like Lycopene, and vitamin A, you can apply ointment like Tess buccalmpaste or Heal plus on cheek for burning sensation. Hope this will help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my liver function test report suggests my SGOT 51.0 IU/L & SGPT IS 64.0 IU/L. PLEASE SUGGEST an Advice, Atul", "output": "Welcome at Chat Doctor I have gone through your query and being your doctor I completely understand your health concerns.... Raised Sept and got levels occurs in variety of liver conditions. .what is your age? Any family history of jaundice or liver abnormality? In my opinion you should consult hepatologist do that proper workup can be done and diagnosis can be established. You need to get your liver function test done along with screening for HBV and HCV...you should also Be tested with metabolic liver disease profile also for autoimmune hepatitis.ultrasound should also be done to look for fatty liver too... Don't worry and meet your hepatologist... Regards Said Sultan" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here...Hi My father is struggling with severe low back pain that is at the end where spinal gets over for the above past 5 days and he had Taken the tablet of HIFENAC-MR but still no improvement , still same prob continues", "output": "HiI may suggest an x-ray of lower spine and consultation with orthopedic doctor He may take Tramadol or Vicodin tab for pain. Also make him sit in tub filed with hot water (site bath) for 10 minutes twice a day. Tail end of spine called coccyx may be inflamed called coccidynia-its a painful condition. Short course of prednisone will also help., otherwise local infiltration with injection depose Chat Doctor. But for above, an examination by an orthopedic doctor for confirmation of diagnosis is a must. The above stated suggestions are only a guideline which may be kept in minds history for prostate, bowel habits, urinary functions have to be simultaneously assessed for" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Why does my body feel wierd one day Im dizzy headache the next day Im tired and feel discomfort in my upper chest area and other days feels like my body wants to give up. I just feel wierd and dont know what to think. I get worried alot and stress out so I really dont know if that maybe the cause. I always think I feel like its my heart but I was checked before and its not that. I know when I did some cardio workout for a lil while couple days of the week my body felt so much better. So what could it be??", "output": "Thanks for your question on Chat Doctor. By your history and description, possibility of stress and anxiety related symptoms is more. Your symptoms are improving with Cardio workout. Heart and lung diseases actually precipitate after Cardio workout. So possibility of major heart and lung diseases is very less. Stress and anxiety can cause similar symptoms. So better to consult psychiatrist and get done counseling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Don't worry, you will be alright. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I went to urgent care today, haven t been feelin well. Extreme nausia, loose stools and headaches . A few months ago I had What I believed to be gallstones, the pain was severe but after an hour or two pain subsided so I never sought treatment, now I get dull pains upper right abdominal under rib, but not as painful as I had experienced before, I also had some blood in my stool for 2 days which has currently stopped. But I had a UA done about a month ago that came back with abnormal WBC when culture and sensitivity was done it came back negative. At urgent care today my Bloodwork came back fine but my UA showed 500 count leukocytes. I m going to have ct done of gallbladder . I am a 20 year old female , any idea what could be wrong", "output": "Hi young lady, you do have both gastrointestinal and urinary problems from the information provided. The CT scan will give us some information about how your kidneys and gallbladder look. Are you having any white discharge per vagina which is contaminating the urine? Infection of the urinary tract is the most common cause of pus cells in the urine. Repeat the culture. If repeated cultures are negative and there is no kidney stone on CT scan, you will need tests to look for causes of Sterile Syria. Blood in stools is not due to gallstones nor urine infection - it needs further assessment. Most commonly it is due to hemorrhoids (piles), but a doctor (surgeon/ GP) should examine you to confirm or negate this." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, Doctor! If I may ask, is there any danger of overdosing on a birth control pill? I took 4 today to catch up. I have PCOS and my doctor advised me to take Diane35.", "output": "Hi, Overdosing up to two pills is done to make up for a missed pill, but taking four pills at a time is not going to help make up the missed doses and the cycle is no longer protected. You may also see a breakthrough bleeding due to excessive hormone levels. Other side effects like rashes, nausea, breast tenderness or abdominal pain, apart from vascular disturbances, may also be seen with high doses. I do not think you should be using some other form of pill once you are on Diane 35. You are amply protected if you are regular with your medication. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter and son in law have been trying for 2 years to have a baby. In that time they have suffered 2 miscarriages. They have 1 unsuccessful attempt at artificial insemination and 1 unsuccessful IVF treatment. The doctors say it is unexplained infertility. They are both healthy in every way. So I discovered the Natura Cure product and want to know if it is safe and worth giving it a try before I recommend it to them?", "output": "Hi, I have gone through your query. NaturaCure is a herbal product, and it claims to treat infertility, but Success has not been documented. It is better to avoid all these products. As you have mentioned that they have gone for IVF also, then there may be some abnormality in semen analysis or uterine problem in your daughter. You can upload their reports on my page so that I can have look at it. Better than Naturalize, give him Oligocene and her Ova care. Hope I have answered you. You can contact me on my page http://bit.ly/ Chat Doctor. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son 5 years old is suffering from high fever around 103 def F and complaining throat infection . It seems to be a viral fever. We had ice cream and food outside yesterday. . Pls advise, we can use the Crixan Syrup with Ibugesic plus. or Advise accordingly. regards rakesh", "output": "Hello Rakesh. I'm sorry to hear that about your son. Did the fever only start today? How is he after you give the fever medicine? Is he active and eating well? Fever can be due to a viral or bacterial infection. Aside from the throat pain, does he have colds or cough? For most viral infections, the patients appear well after given antipyretic (fever medicine like Eugenic or Paracetamol) in between fever episodes. The throat infection caused by viruses is usually accompanied by colds. Viral infections are not given antibiotics like Azithromycin or Brian. It is mainly supportive like giving fever medicine, lots of fluids, antibacterial gargle. Fever caused by viral infections can last from 3 days to a week. After 3 days, you will notice the fever to go down and the patient will show improvement already. You may try to check his throat to see if the tonsils are red and swollen sometimes with streaks of pus. If you see this, chances are the throat infection is caused by a bacteria like streptococcus or what we call as the strep throat. Patients who have strep throat can also have severe headache, difficulty swallowing, sometimes with rashes. Bacterial throat infection will be more sick looking compared to that caused by viruses. For this you will need antibiotics that is properly computed based on your children weight. I hope I was able to help you. Sincerely, Handle Dulay-See, M.D. Pediatrics" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my age is 25 and my husband is 28. we planned for a kid. consulted a gynecologist. sperm count for my hubby is 27 million but his motility percent is 0. Our gynecologist referred as an urologist and adviced to take qu energy tablet. i want to know the seriousness of our problem", "output": "Hello, I can understand your concern. Kindly share the total semen analysis report. The sperm count is low in your husband. There is no information about the number of live sperms. Mobility is zero which indicates that sperms would not be able to move to reach the ova. Due to all these features you are facing infertility. Kindly consult an Chat Doctor. Certain causes of male fertility are total treatable. Donor get disheartened. This requires thorough examination for proper evaluation. Hope you are satisfied with the response. Thanks for choosing Chat Doctor" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi...i have been masturbating regularly since puberty...5-6 times a day...i have less grown beard and my penis upon erection curves to the left... i also have itching problem in my penis and scrotum. My crotch remains dry and has developed scars. can u help me?", "output": "His understand your concern. Masturbation is normal and physiological function of the body. It will not affect your health. It won't harm so do not worry. Itching in pubic area may be due to local infection. Wwash with warm water regularly. Medicines like antibiotic and antifungal can help. Do not scratch it. If it is Chat Doctor. Do not wear tight and uncomfortable underwear. Still if you have a problem then consult dermatologist. Happy to help you further. Thank you. Get well soon." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi ive been suffering lower abdominal pain now for 7 months ive been to the gp numerous times and have been referred for an ultrasound scan, recently after sexual intercourse i started bleeding bright red fresh blood, after the intercourse myself and my partner could feel like a lump on the front wall of my cervix and abdominal pain increased", "output": "Hi, thank you for your query, Vaginal bleeding, and a cervical mass may indicate the presence of malignancy. Also, moderate pain during sexual intercourse and vaginal discharge are symptoms of cervical cancer. Cervical cancer is a malignant neoplasm arising from cells originating in the cervix uteri. The pain in your lower abdomen is mostly because of the lump on the cervix. The most common cause for cervical cancer is Human Papilloma Virus (HPV)At this point i would suggest you to undergo a basic Pap Screening and a further Biopsy of the lump to confirm the diagnosis. Depending on that your OB/GUN will start the prescribed treatment.thanking you, wishing you good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My grandmother recently passed away from gallbladder cancer and i have a lot of questions about her death. I feel like they made her pass away faster then she was suppose to. I can be wrong but i would like to investigate my grandmother death because something doesnt seem right. She was 75 year old and the doctor just found out she had gallbladder cancer and they had surgery on her and tried to cut it and he said it spreaded. I thought thats very high risk with her being that old. Ever scince then my poor grandmother. Could not eat,talk,smile she couldnt even open her eyes.they put her in hospice she didnt even stay in their for a week she passed within 2days. I want to get to the bottom of this because it doesnt sound right. She couldnt even say anything to any of her kids and grandkids before she passed away. Someone please help me!", "output": "Gall bladder cancers are silent killers. By the time the cancer is detected the tumor will have usually spread to the liver making treatment futile and survival poor. Surgery attempts at removing as much of the tumor mass as possible in order to reduce the tumor load to prolong life and make the residual tumor more susceptible to anti-cancer Chat Doctor. Overall prognosis in gall bladder tumors is very poor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, i just wanted to get some information on herpes type 1. Ive been dating this girl with it and she rarely gets cold sores to me i beleive its minor but i never get more information about it from her and i researched alot about it lately but everything is still the same. She told me she would tell me if she had a breakout but im scared and i really care about her. I sometimes afraid to kiss her even when her face is clear (which it usually always is). Can you please help me with some information on being able to coup with it and if i would be able to show any affection to her at all?", "output": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint Herpes type 1 infection causes cold sores over the lips and face and commonly involves the lips. In case if a person has a history of cold sores he/she tend to transmit infection to other individuals by close contact like kissing and using things like glass, towels etc. But in case if there is no cold sore present then the viral count seems to be very low over the skin of infected individual, although it does not become zero. But in this condition the individual is considered clean and chances for other person to get infected are less.Moreover, you can go for her blood investigation to rule out for viral count so that the exact status can be clear. But in case if her skin is completely clear then you are at a lesser risk of getting infected. She should also take a long course of antiviral medications to prevent recurring episodes of outbreak of infection. Hope this information helps. Thanks and regards. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor I am 35 weeks pregnant and am experiencing regular trembles or shakes in my tummy, like the baby is having a small seizure or like when an adult has that weird involuntary tremble down the back of the neck. What is this? and is it normal? Thanks Lishai", "output": "Hallow Lisa, The baby inside the uterus is continually moving. It is calm when the baby is sleeping. This movement is felt by the mother from about 20 weeks of the gestation or earlier. As the pregnancy advances, the water around the baby goes on diminishing and hence the movements of the baby are more perceived. You may please count the score of the movements. During 12 hours time if it is moving about 10 times, you do not have to worry. This is normal and is indicating a healthy active fetus. Any variation in the fetal movement count needs to be reported to the Obstetrician. I hope this helps you. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 38 Yr Old man. I am having a female child of 5 years old. I am suffering from varicocele problem fully on left side and mild on right side. on having none sperm count i undergo homeopathic treatment for 6 months and my sperm count increases to 25 millions / cumm. and motility 23 % active., volume 3.0 ml ph - 8.2 70% of morphology is normal. whether fertyl 25 helps me to improve my counts . i need your suggestion to get second child. my wife is normal.", "output": "Hihaving varicocele is the most common cause of male infertility, I would like to know the complete semen analysis report for better advise. If you are having varicocele then you should be more worried about the decreased motility of sperms rather than the sperm count as varicocele leads to qualitative defect rather than quantitative defect, moreover you have sperm count of 25 million which is good enough for fertilization.I would recommend you to start cap.Evian and tab. Lycopene which are natural antioxidants, and they will improve the health of sperms, secondly I would advise you to get operated for your varicocele as varicocele cause States of blood in testis, and it increases the temperature within the testes which causes the sperms to die or deform ultimately causing reduced sperms' motility." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi,i am 28 yrs old single girl, i have problem with irregular menstruation and i am worried about is there will be any problem to conceive?also,i am having breast tenderness and pain before my periods. and i am always embarrassed about my small breast as i am 28yrs.so please provide me good suggestion accordingly.", "output": "Hi, Thanks for writing to Chat Doctor. Yes irregular cycles cause infertility. So I suggest you following investigations to know the cause of irregular cycles and take treatment accordingly.-- thyroid profile, serum prolactin, ultrasound abdomen to rule out polycystic ovary disease (PCs). The pain in breast during cycles is seen in some people. Don't worry about that. You can take primrose tablet after consulting your doctor and painkiller. Normally breast develop in proportionate to body. If you still feel your breasts are small compared to your body then for external appearance you can wear thick padded bra. For your sexual life, then you can go for breast enlargement surgery by a plastic surgeon. Hope I have been helpful. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, Im 29 years old, regular paps and regular periods. Ive been off birth control for 2 years and have not conceived. Is it normal after intercourse for his siemen to come out? Does any of it stay in? I keep thinking there is something wrong with me.", "output": "Hi there, I have understood your concern. I will suggest you the best possible treatment options. 1. First do not panic 2. As you have regular cycles, please get ovulation study on USG from day 10 of the cycle to know about the day of ovulation. 3. Post menstrual HSG - hysterosalpingography, within first ten days of the cycle will be helpful to know about the patency of fallopian tubes. 4. Please get husbands semen analysis done with abstinence of 3 to 5 days. This helps to know about quality and quantity of sperms. 5. You can simply opt for unprotected sex act on and around the day of ovulation. 6, Lastly, about your concern of seminal fluid coming out of vagina. Normally, the motile sperms start travelling inside the womb and the seminal fluid remains in the vagina. This fluid leaks out of vagina after some time. So you need not worry about it. I hope this answer helps you May God bless you with a bundle of joy. Thanks. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a vet tech at a small animal hospital. I was scratched during a dog nail trim a week ago. It has almost fully healed but now I m getting sever pain in my arm from the elbow to my hand, on the bottom side (sensitive ski. Area) is there any concern from the scratch or is this something totally different? No swelling and no rash.", "output": "Hi, Thank you for contacting us. I will to ad Chat Doctor. The single most important thing to rule out here is an infection. Antibiotics are prescribed for bite wounds to prevent infection in certain situations. For example, if:1. You have been bitten by a cat. All cat bites are usually treated with antibiotics, as they are much more likely to get infected than dog bites.2. The bite wound is on an arm or leg - especially a hand. These sites are particularly prone to nasty infections that can cause severe damage after a dog or cat bite.3. The wound is large, deep or punctured. A puncture wound may not look large but may go deep into the tissues.4. Your injury needed an operation to clean it out, or repair the damage.5. Your resistance to infection is low. For example, if you are on chemotherapy; have no working spleen; have diabetes; have an immune system problem such as AIDS.6. You have an artificial heart valve (and sometimes, if you have an artificial joint). Antibiotics will also be prescribed if your wound has already become infected. It might be infected if:It is getting more painful rather than improving as time goes by. It has become red or swollen. It is oozing. Sometimes the doctors exam will discover some red lines in the skin of the arm - this is known as lymphangitis - this also needs antibiotics. Best to get this checked by your doctor as soon as possible. I hope this helps. Please message me back if you have any further questions. Best wishes and I hope you get better soon.A" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi sir, my name is vinod dubey, age 48 years, 5.5 ft, 82 kg and had first typhoid and then chikunkuniya and now finally suffering from joint problem at knee and unable to stand up on it, once i stand up i am unable to sit, infact i am unable to transfer my bodyweight onto my knees. please suggest me ...........", "output": "Hello, In case of post chikungunya in a good number of cases there are chances of having joint pain. This is due to an immune reaction with joints. As you have already consulted your physician and there is a confirmation diagnosis then I will suggest you following for relief:1. Take a mild analgesic like diclofenac 100\u00a0mg on your doctor advice2. I used to treat severe pain in such cases witChatDoctorbination of pregabalin. You may discuss this with your doctor3. Do mild warm fomentation over knee4. Take some medicines which can help in resolving joint inflammation like combination of hyaluronic acid available in market. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi. My name is Cathie, i m a 56 y.o. woman, caucasion, obese, and I suffer from Type 2 diabetes x 20 yrs., chronic depression and chronic pain. Lately I can t sleep.[1-2hrs/24 hrs,] my major symptom is a twitchy, spasm all over my body. do you think you could tell me what is happening?", "output": "Hello ! I read your question and understand your concern. In my opinion the twitchy spasm all over your body may be a disorder called myoclonus or myoclonic jerk. It may be caused by different problems like : seizures, diabetic amyotrophic or polineuropathy. It is very common during sleep, in patients with diabetes. I would recommend monitoring your blood glucose better, and have an Electroneurography and an EEG to exclude the above-mentioned disorders. If I were your doctor I would recommend treatment with clonazepam. It is a very effective Chat Doctor. Other therapy I would recommend would be Pyrimidine, L'Or\u00e9al etc. Hope to have been of help! Thank you for using Chat Doctor! Best wishes, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "For the past several months, my 42 year old husband has been experiencing headaches, dizziness, light headed, weakness, fatigue, unstable blood pressure going really high or really low with no in between, night sweats, and says he s freezing a lot in the evening hours. No fever. He s had exams/blood work for diabetes, etc. along with MRI and stress test, which all report back normal. He has passed out with these symptoms. It appears to get worse each week. There s definitely something going on with him but we re not getting results from family physician or ER physicians. I truly feel he may have a blockage decreasing blood flood to the brain. Yes, he has smoked since he was 15-16 years old. Please advise.", "output": "Hello! Welcome on Chat Doctor ! I understand your concern and would explain that his symptoms could be related to blood pressure fluctuations. It is important to investigate for the possible causes of these blood pressure fluctuations. For this reason, I would recommend performing some tests (if you have not performed them yet): - blood electrolytes- PCR, sedimentation rate for inflammation- thyroid hormone levels for possible thyroid dysfunction- a Head Up Tilt test for possible orthostatic hypotension. Considering the fact that he has been smoking for such a long time, I would also recommend performing a Doppler ultrasound of the carotid arteries. Hope you will find this answer helpful! Best wishes, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi.. my dad, 93y/o very physically active b4 he had cough/sob that seeked him admission 2 d hosp. on 9/14/14. right now, he s been treated 4pneumonia..he was in ICU 4close monitoring, 2r/o pneumothorax vs. atelectasis.. had chest tube inserted 2drain out excess air..chest tube still in since his admission. his Dr. advised him to have surgery to repair d collapsed lungs.m my questions are..1. how long can a chest tube stay in to drain d air out? 2. is it advisable to have surgery to repair his lungs at his age? 3. his pneumonia hasn t been r/o jst yet.. he s given Zithromax 500mg iv q24hrs..what is best to do, considering not much antibiotics to choose from in the PHILIPPINES on top of high costs.. ThNKS A LOT FOR D RESPONSE...", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. Surgery is not at all advised at this age (93). Because lung surgery is considered as major surgery and heart lung bypass is needed during surgery. And chances of post-operative complications are very high at this age. So I will not advise surgery for him because of his age. Better to keep ICD and wait for resolution of pneumothorax. Better to get done sputum culture to identify organism. And also get done sensitivity report to guide the antibiotic therapy. Once infection is resolved, pneumothorax will definitely subside. So discuss all these with your doctor and plan accordingly." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "For three days I have a constat sharp pain on the left side of my abdomen which becomes more intense when i cough or burp or inhale. This started when I was sedentary, I was not involved in strenous activity. I have felt this pain in the past, but Id always explain it away due to excersize or intense walking. What could be causing this? Also my period is very late and Im certain this is not due to pregnancy. I am 42 years old.", "output": "Hi and thank you so much for this query. I am so sorry to hear about this pain. It would be difficult to tell what the exact cause of this pain is. I will suggest that you get consulted and evaluated for the possible cause of this pain and treated accordingly. A primary care doctor would be a good person to start with. I hope this ad Chat Doctor. Feel free to ask for clarifications and more information if need be. I wish you well. Thanks for utilizing our services, we very much appreciate it." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "AGE 36, LAST year in july i have already operation lamber spine L5-S1 disc prolesped,after few month i m attacked spondylosis same disc prolapsed..doctor suggest the operation but i can t after physio thereaphy i m well but some time i have some problem, please u suggest me", "output": "Hello, I will suggest you to continue the spine strengthening exercises as advised by a professional physiotherapist. Avoid over straining your spine. Do not lift heavy weights. Do not lean down to lift a weight placed on floor. Sit in a lordosis posture (your tummy protruding in front) on chair. If you need to lift a weight from floor you need to sit on floor first and stand up with a strong support. If physiotherapy keeps your spine healthy you can wait on being operated. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am 22 yrs of age who has hep b. can it help taking mx3my family history has hep and i think i got it from my mom. i have hep b and the doctor said it is acute. what should i do? do i need to continue taking mx3? and what good things or nutrients that you can get form taking mx3?", "output": "Hi thanks for asking question. No specific need here for using mx3. I need to know duration of hepatitis b.... Mostly if you acquire from mother you are having chronic hepatitis and now in active stage. In chronic hepatitis active stage determine by liver enzymes' estimation, HBO DNA and Head estimation.... If you are in chronic active stage antiviral specific medication started.Meanwhile, take low fat diet. Fruits taken more. Green leafy veg useful... Avoid alcohol. If jaundice occur immediately consult doc. Close clinical follow-up necessary. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband has G6PD. He just found out about three months ago when having a treatment for cancer when he had multiple organ failure , and a stroke . He is home now but he is itching on his buttocks and on the sides of his genital area. What creams or medication can I try with him. I have tried the cortizone and lotrimin but it is not working.", "output": "You\u2019re husband can try Tab Atari 25 mg thrice daily after food for 5 days. It contains antihistamine which will reduce the allergic itching. U can apply Ubisoft gel 1% locally which contains HY Chat Doctor. Along with the above two your husband can take T. Forcan 150 mg once daily after food for 7 days. Forcan contains antifungal agent fluconazole. These 3 medications should reduce the itching in your husbands buttocks and genital areas." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have a 5 year son who for about a week now is having these random coughing spurts and sometime will make him vomit. he does not have any fever but very fatigue. it sometimes happens atleast 4 to 5 times a day. he cannot even talk during these spouts of coughing.", "output": "Hi...by what you quote I feel that he might be having a pertussis cough and the infection would have been caused by an atypical organism. If the child is coughing in bouts and the eyes are becoming red and face is becoming red during the cough bout and if after cough he is having a whooping inspiratory noise then it could be whooping cough or pertussis cough. I suggest you consult your pediatrician and get an antibiotic prescription and a cough suppressant. Once started this type of cough can last for 4-6 weeks. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "A friend of mine in Thailand has a son with what I strongly suspect is Icthyosis. My friend says he heard of an herbal remedy produced by a company in Connecticut. I have not been able to find anything on this remedy on the net. Do you know of anything that can help. The boy is about 20 and is beginning to have social problems due to the disease.", "output": "I don't aware about the medicine that u mentioned.ichthyosis diagnosed as genetic origin little time to take treat. Depending upon the severity and type of ichthyosis, affected individuals may need treatment from about 6 to12 months, in order to significantly improve from this condition. Ayurvedic treatment for this condition includes oral and external medication along with some diet restriction. If needed (yoga also)If u give a clear detail of this patient I can guide u more." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i was in a severe car accident 4 months ago with head trauma. ive really had no problems other than dizzy spells so the doctor then did an mri and it came back fine. but then today i was standing in a line talking to my aunt and i was talking and all of a sudden all that would come out was mumbles. like i was totaly drunk. my whole body went very limp and i had to sit. it scared me so bad all i couls do was cry cause i knew what i needed to say but couldnt say iyt. this lasted for about 10 minutes then for about 30 minutes after i was stuttering a little and shaking. now i feel ok just like my balance is off a little what could this have possibly been?", "output": "Hi! I read carefully your query. I think that you have vertiginous disease which may be:- Central from cerebral disease and to exclude it you should do brain MRI-Peripheral from middle ear disease (Manner disease) which excluded witChatDoctormertonal proves and Audio gram. Every diagnosis may treatment but the first by neurologist and the second by otorhinolaringologyst. I think so that your problem is not related with the accident. Wish you fast recovery. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi..would you please give the ways of conceiving. my semen analysis says: liquifaction 25, volume 3 ml, low viscosity,pH 7.5, sperm conc.110million/ml, motile sperm conc.90m/ml, total motility 81%, progressive motility 75, non-progressive motility 25, vitality 81% live, morphology 50%, autoagglutination positive, leucocytes 8-10 and fructose positive.", "output": "HelloThanks for your query, based on the facts and report of your semen analysis that you have posted it appears that your semen parameters are well within normal range of WHO standards except presence of pus cells (Leukocytes) and auto agglutination which suggest presence of infection either in Seminal Vesicle or Prostate. Please get your semen culture done to find out the organisms causing this infection and antibiotics to which they are sensitive to. You need to take appropriate antibiotic for 6-8 weeks to combat infection completely. Repeat semen analysis after completion of course of antibiotics. With this you should not have any problem to impregnate your wife. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Have taken azithromycin for bronchial asthmatic infection. Taking 250 mg for last 4 days. Have one pill left. My condition is completely better but the med. is causing me to have a bad stomach and a dizzy feeling. Would it do any harm if I didn t take that last pill?", "output": "Hello,First bronchial asthma is not an infection. It is a condition in which there is spasm of bronchial muscles and air pipe which causes breathing difficulty. Whenever we start any antibiotic, the course should be completed even if you are feeling better before the course gets completed. The reason behind it is if you do not complete the course, the bacteria or infective agent develops resistant to the antibiotic which you didn't complete the course. And next time if you again get the infection by the same infective agent, the antibiotic won't work the next time, and you will need higher antibiotic. So whenever you are put on any antibiotic make sure you complete the course as per prescribed by your doctor. I hope I have given you satisfactory answer. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Respected doctor, My sister in law is 62 years and general medical specialist referred her to cardiologist for stress thalliumtest/debulleaine plus minusCA-RP. She is diabetic for the last 22 years. We consulted the cardiologist who after seeing the history and on going treatment first conducted TMT and then advised and carried out angiography, Angiography report is as underHTN, DMII, CA-DOE, TMT moderately positive(21/03/11) and CAG-Triple VesselDisease(22,03.11)Past History k/c/o DMII 22 yrs on reglar Medicine ,HTN since 20 yrs on regular medicineNo H.o RHD/BA.TB/ other chronicillnessangio graphy report as followsLmca normalLAD MID AND DISTA lad-SEVERE CALCIFICATION,LONG TUBULAR 70 PERCENT Stenosis Ds normalLCX Co Dominent VesselOMs-OMI-Diffused DiseasedRCA Dominent Vessel- Mid RCA 75 percent stenosis PLV/PDA-NormalLV ANGIO NOT DONEFINAL DIAGNOSES CAD, Triple Vessel Disease DMII,TMT POSITIVE (MODERATELY)RECOMMENDATION Stress Thallium for Inducible Ischemia.Now we are advised to go in for Thallium Test. Kindly advise whether Thallium test only as recommended by medical specialist should have been carried out before Angiography or the cardiologist has used his discretion as we are laymen and did not know about thallium test . If thallium test was not available in cardiologists clinic/hospital why he did not refer us to another hospital where Nuclear Science test facility for Thallium test was available. ALso we shall be grateful for the correct advice at this stage to safeguard the interest of the patient ,.REGARDS", "output": "After having gone through the reports and the finding of triple vessel disease on coronary angiography, i don't think stress thallium would achieve anything much as far as diagnosis is concerned. It has probably been advised because TMT has come put to be moderately positive instead of being strongly positive which would be expected with the angiography findings. She mostly needs a coronary area by pass surgery (CABG)." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Why is it that if I believed doctors I would have already been dead three times? Now I have prostate cancer two doctors told me only surgery, and other suggested radiation . I refused all of these, and took two herbs that stopped the symptoms in three weeks that I had for more than a year. Yes, I could die in a couple more years as they expected, but I would rather die than have surgery.", "output": "Hi, I am extremely sorry to know the condition. I want to assure you that prostate cancer is slowly progressive disease. The treatment depends on the stage. You have not mentioned any detail of investigation. Specially serum PSA, Gleason score, and invasion size and lymph node status to be mentioned. In early stage if life expectancy is more (like more than 10 years or 5 years depending on additional criteria) radical treatment is offered. As they have offered surgery or RT probably your disease is at early stage. Anyway if you do not want surgery then go for radiotherapy. Radiotherapy can be given Dy image guided technique and is non-invasive. Minimal toxicity is there. Adjuvant hormone therapy will be prescribed also. There is a good chance of total tumor control. Consult your radiation oncologist." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ive been in hospital twice during the last 3 weeks... first they thought it was galstones or blood clot through my lung. It started with pain in my lower back... felt like the start of labour... then it moved to the front over my liver and I had some stabbing pain too.... the to just below my sternum (very sore when I breath in ).... then I also had pain in my right shoulder and up the right ride of my neck. They could not find blood clots or galstones.... my bloods seemed normal except for CRP 92 and D-dimer 663 and after the third test they told me my liver function was slightly off...Bili 12, ALP102,GGT43,ALT61, CRP 11. By week two the pain was much less and they send me home with antibiotics. Now another week on.... I feel like something get stuck under my ribs - feels like when a baby pushes with his feet against it (not sore, but pressure).... I also get a feeling of movement in my stomach from time to time... again like when you are pregnant... I am not!!! Had my period a week ago.... and I am 46. They also found a haemangioma in my liver during the scan, but said it was small and could not have caused the pain (1-2cm). I am worried about this... something is not right.", "output": "Hello, Welcome at Chat Doctor. I have read details of your question. As per your details, it looks to be a pain due to gall bladder problem. There can be inflammation of gall bladder which is not detected by other investigations. At present, you should have HIDE scan. This is a test which is able to detect the dysfunction of gall bladder, which may be the reason for your pain. Hope this will help you. With best wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My screening of whole spine report is screening sagittal T2 weighted image through cervical spine reveal mild changes of spondylosis . C5-6 disc show posterior protrusion. C4-5 & C6-7 discs reveal mild diffuse posterior bulge. Screening sagittal T2 weighted images through lumbar spine reveal mild changes of spondylosis . There is small posterior protrusion of L3-4 disc.L4-5 disc show right paracentral bulge. My lower back & legs have pain.Can you tell what to do to stop pain", "output": "Hi, Thank you for posting your query. I have noted your complaints and MRI spine findings. I would like to reassure you that these abnormalities are minor and do not represent any serious neurological disease. For pain relief, you can take pregabalin or gabapentin capsules. In addition, physiotherapy with IT/ultrasound and neck extension exercises would also help. In some cases, epidural injections are required for pain relief. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, Chat Doctor. Ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello sir , we have unprotected sex on 15th apr night , 16th morning and night, my last period date was on 5th apr, kindly advice can i go for ipill as i have taken the same before 2 months ago and felt lower abdominal pain for a long tym or should i wait for my nex period", "output": "Hello misunderstand your concerns think you have to take the pill to prevent the unwanted pregnancy as you did sex around the time of ovulation as sperm live in the female genital tract for the 4-5 days. So I advise you take I pill, You can also take postinor-2 or unwanted 72. You should to take as early as possible after sex or with in 72 hours after the sex. If you have pain then take analgesic like metal spas. Chat Doctor. Period may be delayed or earlier after taking pill. Hope this may help noncontact further Chat Doctor for any health issue. Best regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am just trying to report something that happened to me upon taking flexiril. 2 days after beginning to take it, I pulled a muscle in my right lower back while doing virtually nothing. 4 days later, I was feeling better then I pulled the muscle in my lower left back. again, for doing almost nothing. It has now been over 2 weeks and I am still recovering. I am worried that this might be my new normal state. If so, I am screwed. I quit taking the drug and my recovery has been extremely slow. I don t know if anyone else has had similar problems.", "output": "Hello, As a tablet, Flexeril is also a muscle relaxant, but your symptoms not relieved. You can take tablet Myosins D instead of that. Along with that, you continue with physiotherapy as advised. Take rest for some days. You can do an x-ray back or MRI back after consultation. You can apply Diclofenac gel or Voting spray. I will suggest you review here with detailed history or consult with the orthopedic with reports. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband is 60 yrs ols and has been suffering from fatigue and being very cold all the time. He looks like he lost weight also. He coaches ice hockey(28) yrs. And can t tolerate the cold. I am wondering how concerned we should be. He is only on cholesterol medication.", "output": "Hello,,, at 60 yrs fatigue with loss of weight, is a point of concern. You need to have him tested for diabetes and thyroid straight away. Then a general health check for not so common problems. Also, let him stop the cholesterol tablets for a month and see how he feels. This tablet can cause muscle pains which may be interpreted as weakness. Also, consider adding It D, Vitamin B1B6B12 along with Zinc as tablets. A general health check up with an X-ray chest would be essential." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, on the left side of my mouth my gums are swollen inbetween two teeth and the whole left side of my gums are red and tender. The lining of my gums hurt and there is white lines. Also underneath my jaw (i think it is my glands) hurt to touch. What could this be and should I see and doctor or a dentist? Thank you for your help. I am really worried this is the beginning stages of mouth cancer . I am scared because I did smoke on and off for 7 years. I am 23 now.", "output": "Hellion the basis of your dental history these white lines could be white precancerous lesion like leukoplakia. But proper clinical diagnosis and biopsy will confirm edit.I would advise advice you to show this to an oral pathologist and get a biopsy done .please maintain your oral hygiene. Use mouthwash twice daily and get cleaning of your teeth done since you are a smoker. Plz give up smoking because this will worsen the condition. Have high nutrition diet." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doctor, good evening. My mother (92yrs) has this artritis-like 2 lumps (5mm high each) on first joint of her right middle finger, pain on touch. What are the precautions, what to take, or rub, to relief the pain, and therapy? Is voltaren gel advisable or can you please suggest anything else I can do or give her? Do voltaren gel and oral type can cause the same side effects and adverse reactions? Thank you Christina", "output": "Hi, Thank you for providing the brief history of you mom. A thorough musculoskeletal assessment is advised. As she is 92, I will advise to undergo physical therapy, as by the use of therapeutic ultrasound therapy the inflammation will be reduced. Since due to arthritis the joints get swollen, also with little of strengthening exercises like pressing the ball should help her. In my clinical practice I see geriatrics and 99% of times, physical therapy helps them to be functionally active and avoid much of the pain and aches due to systemic illness. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I thought I sprained my ankle badly week and a half ago and did the RICE therapy. On Monday I saw an orthopedist who said I had actually fractured my fibula and put me in an air cast. She said I could walk without crutches on the cast and that my swelling would go down. My foot is still swollen, but the troubling thing is that in the past 2 days I have gotten extremely light headed and felt like I was going to faint (this has never happened before). This has happened after long periods of walking/moving around. Could this be related to my ankle?", "output": "Hello, What I would say is this nowhere related to the fracture of the fibula. Next thing I would like to know are you on any medications? If so please check this could be related to that. Also, what is your age? Are you on any High blood pressure medication? Are you diabetic? If the above one doesn't fit your category than this should be just having weakness of the body and nothing else. For swelling, I would advise you to keep the leg elevated over a pillow at most times because you have a cast applied and also there is very less mobility, so there will be an obvious chance of reduced venous return. Keeping the leg elevated helps more. Try having Lemon juice with added auger and pinch of salt for dizziness. Rest assured, you should do well. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Last night I noticed a small red patch on the shaft of my penis and a small bump barely 2x2 mm. Its been 5 days since I last had sex which was protected. The red mark is slightly irritating though I think it might just be due to my own periodic self examinations. The surface around the bump is sometimes shiny as if moist. The seems no bigger then a nodule for a hair but I can see any hair coming from it and Im not sure if its an ingrown or not.", "output": "HelloThanks for query. Red patch with small bumps on glans penis after having protected sex is mostly due allergic reaction to chemicals in condom used as lubricant. You need to take broad spectrum antibiotic like Definite along with anti-inflammatory Chat Doctor. Along with topical steroid cream of combination of antibiotic and steroid like Newsprint H for local application twice daily. Ensure to wash your genitals with warm water twice daily. Ensure to avoid sexual encounters till it heals up completely." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi,i have recently discovered that i have klebsiella spp, after having a complete digestive stool analysis done. i have suffered badly with diaharreh for 2 years and 6 doctors later i have been given cefaclor monohydrate 375mg twice a day to treat it. after taking it for 10days i was again sick so went back and saw another doctor (as mine was away on hollies) this doctor then told me that i would need to take it a lot longer than 10 days. Im confused and not sure how long i should be on it. Im scared if i dont have them long enough i wont kill this bacteria bug off. Help! Kim", "output": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Usually Klebsiella bacteria are pathogenic in the respiratory tract and urinary tract but not on the GIT or diarrhea. We can count these bacteria as a communal flora of the intestine and can ignore its presence in the stool. So in my opinion you should not take the Chat Doctor. Pathology for diarrhea may be something different and so can be diagnosed and treated accordingly.Maybe you have taken the long-lasting antibiotics that has washed of your communal flora. I advise you to take the probiotics like Lactobacillus spore. This help replaces the flora and can help in prevention of diarrhea. I will be happy to answer your further concern on bit.ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, im michelle and im 20, ive had a stroke 3 years ago and now im wearing a walk aid on my right leg. however, the right side is affected and i cant feel anything. although, recently, my right heel hurts. i did some research and the two that popped out the most is the heel busitis and heel spur. usually its fine in the morning but then it right leg and heel hurts like crazy. should isee a doctor or possibly take some treatments. what do you think?", "output": "Hi, as mentioned by you the brief history of you I will recommend to first take an x-ray and confirm that it's a spur. Also, post that your physician may help with treatment which will help ease the symptoms. Next to understand is that this spur once confirmed needs an attention by doing some exercises for feet and also getting a shoe insole. Which will help further to avoid the pain and reduce the inflammation.regards. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am concerned about my sons swollen axillary lymph node. It is 1cm in size, movable, soft but has been there for 2 1/2 months. The doctor has said there is no need for biopsy, as it is small ,not getting bigger and there are no other prominent nodes. His CBC shows a normal WBC profile but his RBC is microcytic, hypo chromic. His eosinophils are about 10 times normal . He has been given worm medicine and has been on a course of iron therapy for 2 months but the follow up blood work still shows no change. Should the lymph node be biopsied?", "output": "Hello, Welcome to Chat Doctor, The axillary lymph nodes filter the lymph from the arm, chest wall and breast. It is often difficult to feel normal axillary lymph nodes. Not all enlarged axillary lymph nodes feel the same. Axillary lymph nodes may swell from an injury or infection to the arm or hand. A rare cause of axillary swelling may be breast cancer or lymphoma. I would suggest you to take your son to pediatrician for physical examination and to find out the reason for the palpable axillary lymph node. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "33 male. frequent bubbling sensation under my testicle or scrotum area? No Pain.? have been having issues of erectile dysfunction all of a sudden for last few months which has been a source of stress of lately. Prior to this never had any issues with erection ever. in fact i have had sex continuously for an 1/2 to hour on average. but all of a sudden ? i am a bit scared and embarrassed. not diabetic", "output": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Such a feeling is common in hernia. I suspect that you are having a hernia and content of which is the intestine. That is why bumbling sound is hearing. If the hernia is obstructing the content coming in between like spermatic cord its vessel than it may cause the erection problem. In my advice you should examine yourself with the nearby surgeon, and you can also diagnose your self with the USG examination. This will reveal the correct pathology and can be cured thereafter. Till that time you can avoid heavy exercise, the work which causes pressure on abdomen can also be avoided. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My baby boy is 11 months old. For the last 3 weeks, he has been developing a rash (like mosquito bite as it starts with tiny dot and while going it leaves a black pigment mark, which usually feds away in one day). The rash occurs every 2 or 3 days. What can be the cause?", "output": "Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Possibly chemical induced rash from clothes. Look for any relation with specific food, environment or clothes.2. Location of rash is important to correlate. Food could be generalized, whereas others will be localized.3. Apply calamine lotion locally and if excessive redness then antihistamine syrup can be given. Hope it helps. Any further queries, happy to help again." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sakshi bajoria Female 33 years, Suffering from acute stomach ache for last 4 days, despite on regulalar medication like Ornidazol oflaxacin, pantaprazole, ulgel A. developed symptom of burning sensation and acute pain in upper portion of stomach after taking alangesic Flexilor - Lornoxicam for pain relif spondolytis. Please advice suitable treatment", "output": "Greetings, After going through your history I can understand the concern you have regarding the disease condition of yours.my advice is to withhold T.lornoxicam for time being and make sure that you are taking pantoprazole tablet twice daily before food. These symptoms of stomach pain(sudden onset), burning sensation is suggestive of analgesic induced gastritis.my advice is to Chat Doctor. Gelusil (antacid) 2teaspoon Thrice daily.consult general surgeon and get appointment for endoscopy if symptoms persists. I would be glad to provide answers to any further queries. Thanks for using Chat Doctor Have a good day! Regards," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Can I Yeast infection cause pink discharge on the toilet paper after wiping. There is no blood in the urine. I am taking Rocephin 2 g IV and have the last two weeks with six more days to go. I had a mild uti when I was in the hospital but was being treated for bacteremia.", "output": "Hello, THX to contact us. If I am your treating doctor I would like to advice you that that yeast infection won't cause pink discharge. In fact any fungal infection won't cause pink discharge it may be something else. It may be bleeding that gives you pinkish tinge. Such things may happen in severe Urinary tract infection. If you suspect fungal infection I advise you should go for Grams staining, culture and sensitivity from the discharge. If you have anything else to ask please contact me. Than. Chat Doctor" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I am 23 years old, and very rarely drink alcohol (every 2-3 months) the last couple of times I have consumed alcohol, within 15 minutes I have suffered severe upper right chest pains. This happened last night after half a glass of wine - and the chest pains lasted through the night. Along with this I was unable to sleep as suffered a serious chill. Should I be worried?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. You are mostly having alcohol induced HERD (gastroesophageal reflux disease). Alcohol causes laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms of chest pain. So better to avoid alcohol. Start proton pump inhibitors and prokinetic Chat Doctor. Avoid stress and tension. Avoid hot and spicy food. Avoid junk food. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, My age is 44 years and I have been undergoing infertility treatment for past 6 months. I have done IUI in Oct but no results. Next cycle was put on medicines and after 44 days my legs started to swell. Had met the doctor and she advised for tests and all tests normal. My endometrium is 13mm thick and one folicule is available now in right ovary. pls advise why my legs are swollen and any effect of thick endometrium?", "output": "Hi, Welcome to Chat Doctor forum. The causes of the swelling of the feet are hypovitaminosisB, anemia, heart failure, etc. I advise you to consult a physician for diagnosis and treatment. In such a health condition, with one mature follicle, the chances of conception are very less, still you can try. Take more of green leafy vegetables, pulses, sprouts, and protein rich foods, to provide relief of some conditions. Wishing for a quick and complete recovery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello my Liver test ALT was 112. I drink a few beers on weekends. I m 49.. I don t drink on week nights. Now back way when in my youngest days I was a party-er. But now I m just a weekend beer and grill person. I am over weight 5 7 about 232.. I m walking 2 miles a day cut back on what I eat..My concern is could this be from drinking or weight. Is it something to panic about?", "output": "Hello, The life liver enzymes could be due to both alcohol and weight. I would suggest you get blood tests for hepatitis B and C as both these can cause raised enzymes in case they are negative I would suggest completely stopping alcohol and repeat liver enzymes after 6 to 8 weeks. The levels are not alarmingly high but if not controlled can lead to permanent liver damage in the future. Hope this helped get back in case you have further queries Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "This may seem pretty silly, well it is very silly but I m a bit paranoid.. I fingered my girlfriend today, but then I had to adjust myself, I didn t touch my penis, I adjusted it over my pants, I was wearing two layers (briefs and shorts) I didn t feel any precum on my pants but in the moment I may not have, and then used my fingers to well go at it again... I doubt there was any precum on my fingers as I don t think it could get through two layers of cloth but in case it did what are the chances of her getting pregnant..? I don t generally have a lot of precum, the usual drop or two Please help, I m just a little freaked out", "output": "Hi, There is no chance of pregnancy in your case as you described your act. You are on both brief and pant. You did finger your girlfriend without touching to penis. If you have touched penis then also extremely fewer sperm can attach\u00e9 to finger. By fingering, sperm can not enter in to vagina. Sperm require seminal fluid as a liquid medium for movement inside uterus. To become pregnant, penetrative sexual intercourse with or without ejaculation during fertile period of cycle is required. Use condom in future to prevent unwanted pregnancy. Avoid stress, take healthy diet, Chat Doctor. Hope this may help you. Contact further if follow up needed. Best regards," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, I am 18 years old, 140 lbs. On monday I had the roots of my dental implants done, and it pains me to wear the retainer. everyday I try to put the retainer in hoping that it won t hurt and i ll be able to leave it on. But the pain hasn t faded and I m worried my teeth will shift. What should I do?", "output": "Hello, It's not a good sign to have pain after getting an implant in our jaw. The pain can occur for a day or two but if it is prolonged it could be a sign of infection. However in your case, you mentioned you wear retainers- that is one of the possible cause of pain. You are not supposed to wear retainers for at least two weeks till the gums over the implant heal well. Or if it is too important then your retainers must be lined by a \"soft tissue liners\" which will prevent any trauma to the underlying gums when you wear the retainer. it's not a good idea to wear retainer in post surgical phase. Avoid for two weeks and consult your dentist. Let him do a clinical examination and take an x-ray of the area. Be cautious if you see \"pus\" coming out. that's a sign of infection. Must go back to your dentist and talk. Good luck. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had I pill on 28th December then I got my periods on 7jan then again I had ipill on 15jan n on 21st got my periods n on 4th feb had intercourse didnt take I pill now today is 19feb still my periods have not started n again I took ipill now when my periods r expected", "output": "Hello, Firstly, let me tell you that you have misused the emergency pill and put it into too much use. An emergency pill is meant to be used only a couple of times a year; else, it can lead to catastrophic patterns of menstruation. Since you have attained menstruation which was indeed a with Chat Doctor. Emergency contraception can be of use only when used soon after an intercourse and not at any part of the cycle. In the current scenario, I would suggest seeing a specialist if you do not see a period in the next two weeks; get a pregnancy test and plan further management. In the future, please go for some form of regular contraception and do not use emergency pills so frequently. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a blister on my nipple. I am 19 weeks pregnant. Before pregnancy I had black discharge coming out of this nipple as well. The doctor did an ultrasound on my breast (before I was pregnant) and said he had no concerns at the time. Now that I m pregnant I am still getting black discharge and I now have what seems like a blister right beside my nipple. What should I do?", "output": "Hi. Blisters on the nipples or around them (in the areolar region), most commonly occur due to 2 reasons, either due to friction (from clothing, sexual activity, etc.; or what we call a milk blister which occurs while breastfeeding. As for the black nipple discharge, this could be associated with a hematoma in the breast, an abscess, etc.; and will require more concrete investigations into finding the cause as you will soon have to breastfeed. Best wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir, i am 25yrs old girl. Last year I suffered from viral fever for one week in which i lost my weight for about 6 kgs. Later hair fall and acne has been started. My TSChatDoctore 5.50 whereas T3 and T4 are normal. should i go for thyroid treatment or not? Should I prefer homeopathy for it or allopathy? Whether I will have to take the medicine for my lifetime? Kindly reply", "output": "Hi and thank you so much for this query. I am so sorry to hearing about this high TSH levels and the hair loss. However, I will suggest that you get this value controlled again since it has been over a year. If it should remain higher than normal, I will suggest that you strongly consider getting treated for hypothyroidism. Chat Doctor. Homeopathy measures can accompany the treatment and not constitute the main stem. I hope you find this helpful. I wish you the best of health. Thank you so much for using our services and dew feel free to request for more information if need be." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I fake my emotions all of them other then anger Nothing makes me happy or sad or worried honestly I fake my feelings to see what would the person Im talking to with feel or say Im always lieing I can never tell the full true last week my friend was annoyed that guy hit on her so I faked that I was mad and talked to the guy infornt of her just to make her like me more which she did not after she got mad at me I cant even remember last time I laughed from heart or enjoyed something I just do stuff for no reason", "output": "Personality disorders stem from biological vulnerability to feeling emotions more intensely than others, combined with a stressful environment. Please remember to rate and close this answer thread when you are finished and satisfied. In the future, for continuity of care, I encourage you to contact me directly at my private web ad Chat Doctor. After you ask a direct question, it would be my pleasure to be your dedicated personal physician on this website. My name is " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir my i have recently got my sperms, only 15 percent are alive, 40 percent are sluggish and rest were found dead . 110 million sperm count in 2 ml, colour yellow,i was married two years back........i got married at the age of 29 , till this age i had a strong desire of sex but i could,t have the right one for that,so i used wrong ways and lost my strength , my pennis is now so sluggish and sometimes does not show erection while i am with my spouse................i have no baby after two years which is a big problem.....please help me and suggest me some medicine...plz my wife, s wieght is more than 90 kg...she has often feels irrugularity in periods and a white secretion mostly comes out from her urine place.........she had the same past like me.........plz suggest some medicine for us both so that we may be parents...i feel mental and body weakness severly,same is the case with my wife too...plz suggest", "output": "Hello, It is sad that both of you are showing infertility factors. First thing is got over this depression and try to find a good doctor for your wife and yourself. She may visit a gynecologist to regularize her periods and then start ovulation causing medicines. AS per you, see a urologist who can prescribe something for your faltering sperm counts. If things don't turn up well after a year or so, you may opt for IVF. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 76 yr old woman with PD.....some cognetive problems....slight depression..periodicaly... I find my self singing-humming 85percent of the time. Nearlly uncontrolable......Is this a mental health thing.....I live alone, have never been a singer......", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. In your case, self humming of songs are not at all a mental health thing. Instead, it is clearly healthy. We often ask people with mental problems to sing or hum songs which they like. Such an exercise keeps their mind away from unnecessary thinking and thereby other related mental troubles. Means, you are healthy otherwise and do not relate the humming with mental illness. Actually it is entertaining. Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doctor, am dilip kumar.,, my sister in la affected for Recurrent demylienation ... she getting pain day by day increasing, while taking steroid she better few month after again getting pain .. this happening from 2 years.. so please help me what we do cure this disease ...", "output": "HIT hanks for posting your query to Chat Doctor. Declination can occur due to some treatable causes and sometimes due to untreatable causes. First the diagnosis has to be made. What is the cause of declination has to be evaluated. Has it been done ? If so kindly let me know the diagnosis. If your doctors are not still clear of cause of declination then kindly upload the tests done till now so that I can go through them and let you know what else needs to be done for the diagnosis. Treatment can be advised only once we come to diagnosis. Hope you find this information useful. Any clarifications or Queries feel free to ask." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am treated for minimal PTB f 3 years ago, nom im apllying for a working visa ni saudi Arabia, before undergoing for the medical exam of an agency, i went to the see a pulmonologist and have xrayed, the result is just a scar on my lungs..would i pass the medical exam? how will i get rid of the scar?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. To have lung scars after treatment of tuberculosis is normal healing phenomenon. These scars are inactive, harmless, noninfectious lesions. So no treatment is required for this and no treatment is available today remove them. But for visa clearance, we need to prove that these lesions are not active and infectious. For this, you need to get done CT thorax and bronchoscopy with BAD (bronchoalveolar lavage) analysis. CT is more superior in diagnosis of scar lesion as compare to chest x-ray. If both these are negative for active infection, you can argue with visa authority that these lesions are old, healed, scarred lesions and not active, infectious lesions. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have brief sharp stabbing pain and random twinges of pain on the right side lower part of my abdomen and I would like to know what the most likely causes are. They said there are no ovarian cysts on the right side what else could it be? The symptoms don t really fall under the stereotypical appendicitis category. Help?", "output": "Hi. Read and understood that you have pain in the right lower abdomen. They have ruled out ovarian cysts and you don't feel it to be classical appendicitis. The causes can be :Colitis meaning inflation of the large bowel. Nephritis of cecum Lymph node mass Irritable bowel syn Chat Doctor. It looks that you have undergone Ultrasonography, it does not show many of the problems I mentioned, hence yes need of contrast enhanced CT scan of the whole abdomen. And also needed are proper investigations of blood, urine and stool as guided by a general surgeon after clinical evaluation. This way a proper diagnosis will be made and a curative treatment done." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am trying to conceive. And have been for about a year. I have 25 day cycle, which regular, and having intercourse during my fertile week. However, nothing has happened as of yet. I have had chlamydia (which went undiagnosed for at least 1 1/2 - 2 years) as well as BV. I am wondering if I may have PID now and if so, what are the symptoms? And what are the treatments for it as I would love to become a mommy before my 30s (I am currently 27). Thanks.", "output": "HAI, In PID you will likely to have lower abdominal pain, especially on either side of your bladder, even tender, and sometimes you may have dysphonia, pain during intercourse and pain during vaginal examination when your doctor moving your cervix. If you don't have all these symptoms you may unlikely to have PID. CHLAMYDIA can be treated by DOXYCYCLINE capsules for a period of two weeks. Your sexual partners also should be treated simultaneously. Otherwise, it is useless. PID may lead to bilateral block of your Fallopian tubes and may lead to infertility. So check yourself for pat-ency of your tubes either by laparoscopy or though Hysto-salphingogram. If it is cleared you'll become a mother. Good luck. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son scratched his eye this evening, took him to the doctor and they said he was fine. Got about home and he started terribly crying that his head hurt. When he got home, he threw up twice and now is fine. What should I do, what is going on with him?", "output": "HI...it could be a viral illness responsible for all this. I suggest you give him Paracetamol for headache. Paracetamol can be given in the dose of 15\u00a0mg/kg/dose (maximum ceiling dose of 500\u00a0mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. But if the vomiting persists or if he is behaving weirdly or is excessively sleepy, then I suggest you get back to the doctor or nearest emergency room. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, I have always had pain around my right side carotid artery, under my jaw, radiate to my ear, and my shoulders. Sometime i feel it is on the side of my throat. It is wearing me out, my memory is geting weaker and weaker, sometime i feel as if everything blocked as it affect my proper breathing and i dont feel i am relaxed...i am 49 by the way and i had this for few years now ... but it is geting worse and causing me to be rigid and stiff... can u tell me plz what i should do and what could be the diagnosis and what kind of doctors i should visit... thx.. MK", "output": "Hello MK! I passed carefully through your question and would explain that your symptoms could be related to a temporomandibular joint dysfunction or a bulging disc in the cervical vertebral column, causing articular nerve pain in this region. For this reason, I would recommend performing a cervical spine MRI study. If this test results normal, I would recommend consulting with the ENT specialist for a physical exam of the temporomandibular junction. Anxiety could also play an important role on all this clinical scenario, too. Hope you will find this answer helpful! Kind regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I recently had a scheduled angioplasy and two stents implanted. I had a followup visit this week with the cardiologist. He informed me that he implanted an expired stent. This is a Taxis drug illuding stent. Is this against FDA regulations to implant an expired stent in a patient? I believe there must be strict FDA regulations in doing so? Tom J", "output": "Hi, Using expired stent is against the law and illegal. There is a shelf life for every product in medicine beyond which its use is not recommended. You should have got the cover boxes of the stents, and you can see it yourself whether they were expired at the time of placement. If they were expired, you can file a legal lawsuit on the doctor and hospital. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor I have been sufferring from Psoriasis on my palm, fingers and feet from last 10 yrs. I have tried several medicines but nothing helps me other than Topisal 6%. I have recently had a flare up which is bad. My figers are all scaly and itchy. I have been applying topisal 3% but its not working. Could you pls suggest what can do to get relief from the scales and itch. Thanks", "output": "Hello. Thanks for writing to us at Chat Doctor Psoriasis affecting palms and soles is debilitating, hindering routine activities; it is responsible for significant social stigma as well. The psoriasis patches on palms, soles are Chat Doctor. It is well tolerated and is given in weekly doses. Methotrexate can be combined with topical treatment to hasten the resolution. However, methotrexate requires monitoring for side effects by blood tests (hologram, Liver Function tests)I would suggest that you speak to your dermatologist for the needfulRegards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi Ive had rheumatoid nodules on my elbow for several years know , after each operation to remove them they regrow , the doctor says that I do not have the artheritis though.for the past 12 months I have been having allergy attacks and itching on my hands between the fingers and eyes this usually goes within 24hrs of starting.I have tried antihistimenes but these dont work I also get very tired during the day could this all be related and what should I do Iam 44 not overweight walk every morning with the dog the problem with the elbow started about 8 years ago and to date it has been operated on 4 times and Iam waiting to see a surgeon again", "output": "All that I can convey to you on the basis of my three decades old clinical experience is that you must get support of Ayurveda treatment. While surgery can remove nodules, it cannot prevent regrowing. Here Ayurveda can help you in a safe n side effect less way.Similarly, anti Pittman regime in Ayurveda can effectively manage allergic conditions and common herbs can be used to ad Chat Doctor. No interaction of any Ayurveda med. With any other " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Had 2 stones in Left kidney 5 x 7 x 8. Used lots of water and lemons and potassium citrate etc. for 1.3 months and they dont show up on 2nd ultrasound any longer. Still have what doc thinks is severe ureter spasming and he ordered a CT today to see if any pieces are left in ureter. He said that even if nothing is found the irritation can continue for weeks before both ureters calm down. It hurts to evacuate in morning. He said that the irritated ureter can irritate the bowel but Im not understanding that? How does that happen? Have never has any bowel issues at all. No diahhrea currently at all or IBS symptoms. Cant eat alot because when full and food moving downward the 2 lines going down become tight and sore. Can it take this long for the ureters to calm down? Having CT scan later today. Thanks.", "output": "Hi.you had renal stones, probably it has come out with HY Chat Doctor. . Since it has not shown up in the earlier CT scan.you have sore throat, it is a completely different issue. You have acute pharyngitis, probably due to water infection.see you ENT surgeon for this, for examination.and you need to start with antibiotics, analgesics, salt water gargling would help.your ureteric colic will be diagnosed with the scheduled ct scan today.see your urologist with the report for the further management.bye." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my name is Gary I was diagnoses and had colon cancer stage 4 and spread to liver. I had treatment 5 weeks for radiation, and total 6 times chemo. It seem like first 3 times chemo therapy is not working so my doctor change to different chemo medicine, is seem like cancer wont spread and shrunk. by that time i met some one and he recommend me to change my diet, drink more water, no sugar, so when i went to draw blood my CEA went up from 24 to 30 and after i change my diet and last 3 chemo my CEA back down to 13 and my doctor told me i have to do one more chemo. And i decided not to do because a lot of people told me radiation and chemo kill people more than cancer kill people. So i went back to draw blood and check with my doctor my CEA go back up to 26. I would like to know am i do the right thing? just only change my diet and not listen what my doctor tell me what to do??? right now i feel just like normal person, i can go to exercise, running, walking, but i lot some weight because i eat only fish, vegetable, and fruit.would you please, answer me what am i suppose to do?? Thank you so muchGary", "output": "Hi, I went through your query. I am afraid changing your diet at this stage will not cure your cancer. Colon cancer mainly occurs due to a high fat diet. Dietary fiber as in fruits and vegetables has a protective role. However once you have the cancer it does not help much. It is true that chemotherapy and radiation have very serious side effects and can themselves cause cancer. But at stage 4 that is the best possible treatment available. I would advise you to continue with your treatment. But you can talk to your doctor if you do not wish it and ask him/her for some other palliative treatment. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my son has really foul smelling stools. What could be the issue besides possibly lactose intolerance & celiac disease? He is 7 years old. He had a upper GI endoscopy done a few years ago and at that time he was diagnosed with eosinophilic esophagitis and they also mentioned that he had lower than average lactase levels. His dairy intake is not excessive. He has a glass of milk in the morning or afternoon and occasionally pizza. I m concerned because although he has no other symptoms such as stomach discomfort or gas or bloating, his stools are really malodorous to the point where we have to have him change his underwear and shorts often for no other apparent reason. Please advise. Thank you!", "output": "The foul smelling stools could be due to overgrowth of certain bacteria in his intestines. A course of metronidazole thrice daily for 5 days should be helpful. Also give him plenty of curd. You may skip the glass of milk in the morning and give other nutritive food items instead. The primary manifestation of lactose intolerance would be bloating and abdominal distention which your child does not have. In case of celiac disease, failure to grow properly and frequency of stool are generally present." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi sir, i got pain in lower back. i feel it is in middle of hip and lower back. actually i am feeling the pain 3 days back onwards. And it started paining when i woke up in the morning 3 days back. i have used one of the spray but no relief. Used some myospaz and aceclo but no relief. Not able to understand what could be the reason and how to avaoid this.", "output": "Welcome to Chat Doctor After going through your query I think You are suffering from acute backache. Treatment of it is rest and analgesics. Diclofenac three times a day after meals is effective. Sometimes strong analgesic(such as attract three times a day after meals) is required. OMEPRAZOLE before meals prevent acidity caused by analgesics. You can discuss with your treating Doctor. To father investigate MRI of the region is advised. Hope your query get answered. If you have any further questions then don't hesitate to writing to us. I will be happy to help you. You can also write to me directly on below link:https://www.bit.ly/ask Chat Doctor. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi , My Wife is detected with cervical Lymph node TB. She has been put on R-Cinex 600 1 tab daily, Pyzina 750 mg 2 tabs daily, mycobutol 1000 1.5 tabs daily and benadon 40 1 tab daily..she is having violent shivering with fever (~ 103 degree centrigrade), joint pains etc after 1 hour of taking Pyzina 750 mg 2 tabs daily, mycobutol 1000 1.5 tabs daily and benadon 40 1 tab daily..any suggestions ?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Patina is having pyrazinamide. Mycobutol is having ethambutol. Both of them can cause rise in uric acid level (hyperglycemia). This high uric acid can accumulate in joints and cause joint pain. It can also cause fever with chills. So in my opinion, she should get done uric acid level and if it is raised then she needs to take Eurostat tablet. Eurostat is having property of reduced uric acid production. So consult her doctor and discuss all these. Hope I have solved your query. I will be happy to help you further. Wishing good health to your wife. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi,i have been sick with cough w excess,mucus,a rash developed on chest ,and back,i also haveon elbow s. I also have red swollen fingernail beds.On my pointer and index finger i got rash and just above top crease there is a small dot that I can pick w a tweezer,have gone for 3 cat scans going back to doc on Tuesday,says its not lupus.connective tissue disease.its really getting old,starting to get fatigue .lost bout 10 pnds.Doc is ok,but its like a month between visits any ideas I can ask him bout.i have taken 2 rounds of antibiocs, been on inhaler,just got off predisone,cough is back up but it productive,but im slow moving.been going on 5 months,since December.any insight would be great 53yr old female lori", "output": "Thanks for your question on Chat Doctor. I can understand your concern. If connective disease is ruled out and since your CT chest are normal as told by you, no need to worry about lung infection. Possibility of bronchitis is more in your case. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test) with lung volumes and DCO. PFT is needed for the diagnosis of bronchitis. It will also tell you about severity of the disease and treatment of bronchitis is based on severity only. Now since rashes are not your problem and cough I'd only issue now it should felt with. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a sore bump on my gums that makes it difficult for me to put in my implant dentures. What is an over-the-counter drug I can use to reduce this bump and relieve the pain? I have been duding salt rinses, using listering and the rinse my dentist gave me without results. Please help!!", "output": "Thanks for your query, I have gone through your query. The bump on the gums could be because of gum infection secondary to chronic irritation by the denture. Consult an oral physician to rule out whether it is a gum infection or an over growth of the tissue. If it is infection you can take a course of antibiotics and analgesics. If it is a growth then it has to be surgically removed. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had xrays of my lower back recently and the following was part of the report. I don t really understand any of this. Can you please help me understand. There is a curvilinear opacity overlaying the left upper quadrant seen only in the AP projection. While pathological calcification within the abdomen cannnot be excluded, this appearance is new from the prior study, decreasing the likelihood that this is a significant finding. This could reflect overlying artifact or bowel contents. A punctate opacity overlying the superior pole of the right kidney on the current view was noted to be projected more superiorly on the prior study and is likely a hepatic granuloma. Impression: Curvilinear opacity over the left upper quadrant of the abdomen is likely artifactual. A repeat abdominal radiograph is recommended and CT would be indicated if this opacity persists.", "output": "Dear sir /madam I would like to know why was the radiograph taken, As for the reporting seems like there is an incidental finding, I would like to know more about the clinical history and also like to know other finding in the radiograph Some incidental findings could be artifacts. So before jumping into conclusions I would suggest talking to your primary clinician about your primary illness and then decide about this incidental finding" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "im constantly horny and when i dont get laid coz my girlfriend doesnt want to do it or doesnt want to do it quick i feel like end of the world, I know this is not normal :( and is there way to get rid of that feeling somehow...p.s. i masturbate everyday 2-3 times even when i get laid...", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. You have not given your age here. Please understand that sex is not essential for human being. That is just another emotion where body and mind gets pleasure feeling rather than pain. Your frustration is understandable. You are denied of sexual pleasure, and then you are irritated. What happens if you desire sexual pleasure from someone you don't know? What happens if you don't get it from them? You are expecting your girlfriend to behave according to your wish and when she disagrees you are disappointed. What is wrong in that? How can you call yourself horny on that aspect? Masturbation once per day for teenagers and thrice or four times a week for adults are OK. Once you get married, your masturbation stops. When you get a job your masturbation reduces. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "one week ago I felt my chest constricted, but thought that it was due to adding some free weights to my regimen. Today, Im feeling some slight constrictions, my pulse is 94, and Ive felt some light constrictions in my neck, just behind my ear...what do you think?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, we should first rule out heart related diseases in your case because chest constriction, neck pain and high pulse rate (94). All these favor heart diseases more. So consult doctor and get done 1. Blood pressure monitoring 2. ECG 3. 2d echo. If all these are normal then no need to worry about heart diseases. Sometimes muscular spasm cannot also cause constriction feeling. So take painkiller and muscle relaxant Chat Doctor. Don't worry, you will be alright. But better to first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor, i am 21 year old female. i noticed undigested rice in my stool today and undigested food for past 10 days. i am taking clarithromycin from 3 days because i am told to as i have folliculitis. what could possibly cause this condition and is there any treatment?", "output": "Thanks for posting you query to Chat Doctor.there is no relation of folliculitis with indigestion as folliculitis is infection of hair follicle and not associated with indigestion, so I am not understanding the purpose of taking Azithromycin. If you are having any painful lesion of hair follicle then let me know so that I can suggest you correct remedy as Staphylococcus is the most common organism to causing it. Indigestion could be due to some other cause alteration in your daily food intake or timing of meal may cause such problem .for your digestive problem you should presently start to take plenty of water per day and increase green veg in your date. Take Sachet or capsule of gut flora :DAR OLAC\" once in day to maintain normal gut environment.presently no need for antibiotic. Hope you are satisfied with my answer. Feel free to communicate if any query.regards, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 68 years old and have Agent Orange related type 2 diabetes (since 2000). In 2005 I had a related stroke (Rt. medulla CVA). I take insulin injections. Recently I developed a rash with itching on my right lower leg. I am trying to figure out if this is food related and what I can use to stop the itching (cortisone does not work). Thank you, Dennis Maddox", "output": "Cellophane you for writing to us on Chat Doctor. Based on your history the response to your question is as follows.1. For itching, antihistamine like loratadine or cetirizine will be helpful.2. Also apply calamine lotion over it.3. Right lower leg, only, look at local cause. Possibly socks or footwear or environmental. Not food related. Hope this is helpful to you. Do write back to me for further questions. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband is presenting with pneumonia and a terrible cough, producing yellow phlegm and or clear liquid water like substance. He has finished 10 days of antibiotics, currently 6 days post antibiotics. He still has cough, phlegm, and now has blurred vision in both eyes. He is otherwise a healthy 53 year old.", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. Ideal treatment of pneumonia is to first isolate the organism a dthan start antibiotic according to the sensitivity pattern. So in your husbands' case I advise you to consult pulmonologist and get done1. Repeat chest x ray2. Sputum culture and sensitivity3. Bronchoscopy and BAD (Bronchoalveolar lavage) analysis. Since after 6 days of antibiotics, he is not improving, so we need chest x-ray to determine whether pneumonia is worsened or not. Sputum culture is necessary to isolate the causative organism and sensitivity is needed to guide antibiotic therapy. So consult pulmonologist and discuss all these. Avoid haphazard use of antibiotics in pneumonia as it will cause Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good morning Doctor or Doctors. here the question..i am having this tight feeling in the middle of my Brest to my throat. am on meds. the only time i have been in the hospital was last oct. for a bleeding ulcer. and they also found i have pfo. not to worry about it..thank you connie", "output": "Hi Dear !! Thanks for your query to Chat Doctor. Read and reviewed your query and health concerns. IN the given situation of Yours, You seem to suffer from-Acid reflux with HERD. Yours being Known Ulcer case, these complaints of tight feeling in chest and throat-indicates that that acid control treatment needs to be reviewed and changed under expert doctors advise. I would suggest you to have Second opinion from Third party Surgeon/ Physician and review acid controlling treatment which you are taking. Other causes for these complaints-like IBS and IBD/ anal ailments like fissure in ANO/ H. Pylori re-infection / inadequate PPI dosage / Improper diet style/ habits, need to be ruled out before planning any treatment in your case. Hope this would help you to plan further of this complex illness of yours. If need be, update any health issue 24 x 7 by a direct question Tod ME, at following Chat Doctor link-Dear, if satisfied, Dont forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at Chat Doctor services. If you want to update more details and ask more update queries, You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Dr My Father had a bye pass surgery on 19th November 2010. Dr had advised to have Glycomet GP 2 for future. But due to having a very low sugar our doctor changed the medicine to Glycomet GP 1. The sugar level became normal for few days which was around 125-145. but since few days his sugar is again keeping low - Jan 17, 2012 at 9 pm sugar level- 74 Jan 18, 2012 at 9.30 am after tea sugar level- 164 Jan 18,2012 at 9.45 pm sugar level-84 doctor please advise in this matter and do let us know any good diebetician in dehradun whom we can consult. Waiting for your response. Regards,Upasana", "output": "Hello! Thank you for asking on Chat Doctor! Regarding your concern, I would explain that 74 is not a very low level of sugar. Anyway, if he feels symptoms like dizziness, fatigue and sweating, this could be a sign that his body does not tolerate these low levels of glucose. I would recommend reducing the dose of Glycogen GP in order to have higher levels of glucose. You should know that all oral antidiabetics can lead to hypoglycemia as a common adverse effect. That is why the dose should be adjusted based on the fasting glucose levels during the day. You should discuss with his endocrinologist about the above issues. Hope to have been helpful! Kind regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have the mirena a coil fitted for the past five years due to be replaced in June been at the hospital Monday got told it Was a womb infection Put on two lots of antibiotics Went back to gp who said was not caused through the coil as had water infection previous was advised to leave coil in and wait and see if infection clears before removal pain has eased how long will it be before i am completely better", "output": "Hi, Thank you for choosing Chat Doctor. Once the course of antibiotics is over you can get this IRENA removed. And kindly make sure the whole infection is cleared before the new IRENA is inserted. I hope this information has been both informative and helpful for you. In case of any doubt, I will be available for follow-ups. If you like my answers kindly rate it, and write a review as well. Please do not forget to accept it. Thank you, Wish you good health. Chat Doctor. Chat Doctor .com/doctors/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am experiencing right abdominal pain and pain in my right groin area. I have had liver panel, blood tests all came back okay. Had abdominal CT Scan and no problems with internal organs detected. Will schedule colonoscopy within days. But the doc doesnt have a clue whats causing the pain", "output": "Hi. Thanks for your query. Read the history and understood your problem. Pain in the right abdomen and the right groin can be due to:-Ureteric stones and UTI.-Appendicitis.-Any problem with the thoracolumbar spine can have referred pain like this. Since your CT scan and liver tests are normal, many of the problems that can be detected by the CT scan are ruled out. -let us wait for the colonoscopy reports. In the meantime ask your Doctor to give you a course of an antibiotic, metronidazole and probiotics along with antispasmodic medicines. This is in thought of colitis as this may not be picked up by the CT scan." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 20 years of age and for the past month and a half I have felt very tired, not a lot of energy, low sex drive, and at times light headed and nautious. Could these be signs of low testosterone?? I am 6 foot 2 inches tall and weigh 160 lbs. thank you", "output": "Degree understand your concerns went through your details. You are just 20, and should not think about low testosterone level. The given conditions could be due to many other problems including stress and obsession. In your case, I am suspecting your stress and obsession. Think about it. Were you stressed? In the near past? Do you think and obsess too much about sex and related problems? You may consult a sexologist and get your testosterone checked. But don't worry about it. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query. Further clarifications are welcome. Good luck. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my sister has been having right sided pain for 1 week, went to ED and they did cat scan with negative results,they checked ovaries by manual and I believe blood work and urine sample. Lortab she has been taking & morphine given in hospital not touching pain,we are stumped.", "output": "Hi! Good evening. I am Chat Doctor answering your query. I would insist on an ultrasound of abdomen to rule out a renal calculus, which a CT might not be able to pick up, causing this kind of pain. If inconclusive, and the pain increases or is not relieved, I would refer you to a general surgeon for a clinical assessment and related investigation like a diagnostic laparoscopy for further management of the problem. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am a female of 31 yrs,I had typhoid for which my treatment is going on.Then from blood examination I discovered that my WBC count is 1500 and in 2 days it increases by 200 and from further examination i now came to know that i have pelvic ascites.Please advice treatment for it", "output": "HelloPelvic ASCIIs(free fluid in pelvis) may be due to peritonitis in a case of typhoid fever. Typhoid fever causes intestine infection and fluid in pelvis may be considered as complication. Patient may need surgical intervention after evaluation. Mild free fluid in pelvis in females may also be due to many other reasons like during ovulation(it is naturally seen), pelvic inflammatory disease(PID)etc. Your condition need clinical correlation. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "When I go to the doctor, I have a blood pressure reading of 150/90 with a pulse of 60.When I take my pressure here at home, I mostly stabilize between 130-140 and 80-85.The day before yesterday, I had a reading of 134/77 with a pulse of 58.I am taking Diovan 320mg and am 76 years old and in very good physical health.Should I be concerned about these BP differences between home and doctors office?", "output": "Hello, Welcome to ChatDoctorNothing to worry about the BP differences between home and doctor's office. This is an entity called White coat hypertension. Blood pressure readings will be 10-20 MMH more when you visit the doctors' clinic, because of increased anxiety levels when meeting a doctor. I would advise you to continue your medications and be relaxed. Hope I have cleared your doubts. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had gall bladder surgery two weeks ago. I was fine for five days and then I had an attach like I was having a heart attach, went to the hospital and given nitro and it put my heart rate over 140 and my blood pressure went high. They gave me a bunch of drugs to get rid of the symptoms, but the next morning I felt like my nerves where jumping out of my body. I have not been able to stop shaking since. I shake really bad and I m very nauseated. Any ideas on what is causing this. My doctors can t seem to help me.", "output": "Hello, This can be a cardiac arrhythmia like PSV or atrial fibrillation, in which heart rate suddenly goes up and also suddenly decreases. Blood pressure falls during these episodes and one has dizziness, fainting, blackouts, sometimes syncope. Usually ECG is normal as it is usually done in between the episodes. ECG done during episodes will show abnormality. You will need 24 hour HOLDER monitoring. So visit nearby cardiologist for this investigation. Also, hemoglobin and thyroid test should be done. Ln order to abort such episodes you should try to cough hard. Is there any stress or anxiety associated, as it can also be a panic attack. Till the time your evaluation is complete, you can ask your local doctor for tab collar LA 20 mg once a day. If none of the above is successful then last option is of electrophysiologist studies which is invasive test which can diagnose and treat the arrhythmia permanently in most of the cases." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Yes, hello My 2 years old son, last night went to the hospital after a fall and he got stiches on his chin, and two on the inside of his bottom lip. Today on the inside of the lips I see some kind of yellow substance, and the lip is swollen. Can it be infected?", "output": "Hello, Welcome to Chat Doctor, Yes, it can be infected. Swelling is often a sign of infection, especially when it is accompanied by too much reddening of the skin. Marked tenderness and a burning sensation, pus and fever are also signs of infection. So if these signs and symptoms are present then you should consult a doctor. You can give ARN ICA 30, one dose daily for 3\u00a0days,it is a homoeopatChatDoctoredicine which is very good after trauma and helps in prevention of infection and early healing. You should consult a doctor and get the wound rechecked. Hope this will help. Take disregards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I tripped on a pillow in the floor in a bedroom and hit my left arm (on the outside of the arm just below the elbow) on the dresser as I fell. I had immediate bruising. It was a huge bruise. I applied ice and the bruising went away within a week or so. However, it has been about a month ago and I still have a 2 in x 2 in swollen area that is firm in that area. Is this something I need to see my doctor with or will it heal?", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have bruise on left arm after having an injury. Well there can be many reasons for symptoms you mention in query like hematoma, soft tissue injury or infection. I would suggest you to apply ice pack thrice a day, take ibuprofen or acetaminophen and keep your arm elevated while lying down. If condition doesn't get well then consult general practitioner for proper examination. Doctor will examine physically and prescribe anticoagulant like heparin or main Chat Doctor. Doctor may also prescribe antibiotics along with anti-inflammatory. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have gluten intolerance, along with milk intolerance, irritable bowel and chronic lymphocytic leukemia. I am considering going on a paleo diet with very low fructose. Is this realistic? I m concerned with wt. loss. I cannot afford to lose any more.", "output": "Hi, Welcome to Chat Doctor forum. You are gluten and lactose intolerance, and using paleo diet, with very low fructose. If you use very low calories, there will be weight loss. Without the gluten and lactose you can use anything. The avoiding the vegetables etc. also can cause I.B.S. Take more of green leafy vegetables, pulses, sprouts,and protein rich foods. Chronic lymphocytes leukemia is a different thing and to be treated separately. Wishing for a quick and complete recovery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have, what I call, attacks sporadically. I have it usually at night and months can go by and I start thinking its not going to happen again. It feels like theres, like prisoners being executed, a wet sponge in my head and someone connected electricity. And it doesnt stop for hours and hours. Nothing stops it unless I take a bunch of sleeping pills.", "output": "Cellblocks like a kind of abnormal electric discharge in brain-kind of seizure disorder. It gets better with sleeping pills also points in same direction. Get an EEG and MRI Brain and starting an anti-epileptic Chat Doctor. Something like- option 300\u00a0mg at night or oxcarbazepine 300\u00a0mg twice a day will help you a lot. It will be best to get the reports checked by a neurologist. Hope this helps you and makes you good." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have noticed a loss of skin pigment on my genitals. One dime-nickel sized spot on the shaft, perfectly round and another spot at the base of the shaft leading onto my left testicle. I am 29 years old. I would like to know what is causing this and if it is in any way harmful to my health.", "output": "Thanks for asking in Chat Doctor forum In short: Genital area is usually hyperpigmented, but you may also find less pigmented area over there. Explanation: If your hypopigmented patch is new or less sensitive to touch, you need to show it to your doctor and go for investigations to find out the cause for it. Most probably it is a fungal infection patch if it's itchy. Any ways meet your doctor. Good luck" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My brother a knee looks like it is protruding. Almost as if the bottom half of his leg is shifted backwards making the knee stick out a lot! His leg is also very hyper extended, but only that one leg! The other is completely fine and nice and straight. This condition was not always this way, he one day just noticed that one of his knees was hyper extended a bit. It is our belief that it has gotten worse over time! Please, any ideas what is wrong?", "output": "Hi, thank-you for providing the brief history. A thorough clinical examination is advised along with an x-ray or an MRI. As the knee is in his it needs a thorough clinical examination and an MRI to understand the ligament injuries.Also, there will be shortening of the qua Chat Doctor. You may need a thorough assessment and a physical therapy to help make this anatomical corrections. Regards Jay In" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my urine dip test shows blood ++ and there are white flakes floating..My pregnancy test is +. I have crumbs in lower abdomen. If I am pregnant I have conceived 10 days ago. Is blood in urine and white flaks normal in the first 2 weeks of pregnancy?", "output": "Hi, No, blood in urine and white flakes, could indicate infection of the genital tract. Please ensure that the sample given was not contaminated, and a laboratory based urine routine and microscopy is advisable for you. Urinary tract infection is common in early pregnancy and needs to be treated to prevent miscarriage and other complications.Also, as you have cramps you need to get an ultrasound done and get evaluated by a gynecologist immediately. Hope this helps. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Thanks. 2010 I was told by my son s pediatrician that the muscles in his legs were breaking down ...enzymes? He couldn t shake a flu like occurrence that started Feb of that year and he was complaining of weakness through March. I can t recall the diagnosis. Any direction is appreciated. I can call the doc s office in the am and obtain the data if I have not provided enough data. Thanks again", "output": "What I can collect from your post is that your child is suffered from weakness and recently having prolonged fever. He might be suffering from Myositis or other congenital disease associated with weakness. I can't help you without the investigation workup that already you have done. Kindly post it to me. In many of the cases there are definite treatments which should be started as early as possible to get the best results. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, my son has taken a spot on his side, its just the one spot, but it went quite septic and we out cream on it, there was abit of puss coming out, but now it looks like there is a hole in the middle of the spot and im just concerned as its the only one. What could this be and why has he taken it? A worried mum, thanks", "output": "Welcome to ChatDoctori appreciate your concern about your sons health symptom you are telling points that are your son is having a boil which has eroded and pus has come out.Don't worry pus oozing out is a good sign. Just take care of cleanliness so that it does not turn into an access. Keep cleaning it with methyl spirit. Let it Chat Doctor. don't apply creams. If it persists for two or three days give him a 5 days course of antibiotic like amoxicillin and see a physician." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i m 30 yr old boy from lidhiana( punjab) i had a prob on my face before 15 days ago i had chiken pox .now mostly chicken pox is finished bt i have so much black dark doats my face or my body.now i m using sun cross aqua gel ( ranbaxy Company) with 1 tab of limcee daily ..pls give me suggesion wt mdi i can use to remove all dark doats ........pls i will very thank ful to u plsss", "output": "Hello and Welcome to Chat Doctor, Thanks for writing to us. Vitamin E, known for its healing qualities, helps nourish skin and fade scars. Open a vitamin E capsule and apply gel directly to the scars twice a day until you see them start to fade, then apply once a day thereafter. Eat foods rich in vitamin K. These are good for your skin because vitamin K helps heal and protect skin from wounds and scars. Slice a fresh lemon and brush across your chicken-pox scars. Coat chicken-pox scars liberally in honey once a day. Rub raw garlic on your chicken-pox scars at night. If your scars are new, rub sandalwood oil on them. Do this for a few months, and you just might prevent your scar from setting in the first place. If your scars are very old, rub coconut oil on them every morning. Hope this helps you. Wishing you good health... Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I started having tremors in my right thumb and finger several years ago. Then 3 years ago I started having severe nerve pain. My legs don t want to move freely. I have been checked for m.s. and was told it is all in my head. Tremor is now spreading and my legs still dont work with ease. I am now having tremors or constant movement on the right side of my body. Drs make me feel like im crazy. One other thing is that I can identify with all symptoms. I get a numb feeling in my mouth right side feels like I have been given novacaine. Please help", "output": "Your doctors might be reasonable on the basis of allopathic science. In Ayurveda, it is called vitiation of Data humor esp a kind of Data is Van V\u0101yu which manifests itself in the whole body nerves. It, most probably, is camp Data and can be corrected if select medicine on the basis of more info is given for some time. Medicines are harmless and natural. If you agree, meet any Ayurveda doctor near you or write me direct question giving some more history. Hope it's helpful." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am anorexic and I am taking Aciphex 20 mg. 2xday; Topomax 75mg.2x day, Pritiq 100mg. 1xday, Lyrica 125mg. 2x day, and Abilify 10mg. 1x day. I have been experiencing muscle spasm, where I can not control my legs, and fall and stumble, I do not know where I am at times, I am confused, I can not say what I want, my mouth will not say what my brain wants. Are they interacting with each other an causing me harm?", "output": "Your symptoms of disorientation, weakness in legs may be due to hypoglycemia, a condition where blood sugar gets lowered due to inadequate food due to anorexia. You may consult a neurologist if you have doubts. Blood sugar testing should be done. Cause for anorexia should be diagnosed and treated. Report to your treating doctor too to know whether any of medicines you are on is causing side effects" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "FOR PAST 1YR IAM SUFFERING FROM SKIN ALLERGY RASHES FREQUENTLY(THRICE LAST YR)(TWICE THIS YEAR)...I DONT KNOW THE REASON BEHIND IT.....BUT TWICEI GOT THIS ALLERGY WHEN I GOT FOOD FROM OUTSIDE....I AM 30YRS NOW....FOR PAST 28 YRS I HAVE BEEN EATING OUTSIDE....FREQUENTLY....BUT I HAVE NOT SUFFERED ANY KIND OF ALLERGIES,BUT FOR PAST 1ST YR ONLY I AM SUFFERING FROM THIS KIND OF FREQUENT SKIN RASHES....IS THERE ANY POSSIBLITY TO FIND THE REASON FOR THIS....OR IS THERE ANY REMEDY...WILL MAIDA OR CORN FLOUR CAUSE ANY ALLERGY....WILL A PERSON GET THESE KIND OF ALLERGIES SUDDENLY(I.E..,MID OF THEIR LIFE SPAN)", "output": "Hello, Welcome to Chat Doctor, The history and symptoms suggests me that you are having some food allergy, these allergens will stimulate the mast cell to release histamine which is producing all these symptoms. I would suggest you to undergo skin prick test (SPT) for different most prevalent food allergens to identify the food causing these symptoms. By doing to this it is possible to identify the allergen, by doing this you can avoid the food causing these symptoms, if it is not possible to avoid the food you can go for immunotherapy either with sublingual immunotherapy (SLIT) or subcutaneous immunotherapy (SUIT). Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi my name is fizzah.. i am facing severe depression and a feeling of loneliness and hopelessness... i am a married women and i have a son of 6 months... even after i had a love marriage my life still seems to be empty.. the fear of my past relation still haunts me and the fear of losing a loved one is taking over my mental peace. i feel depressed and guilty every time someone mistreats me or makes me responsible for something i didnt do. please tell me how can i get over this depression...", "output": "Hello fizz ah, I can understand the stress which you are facing. This problem of depression is awful. But excellent treatments are available. You need to start with antidepressant Chat Doctor. Few other important things are:You should prioritize the goals and persons in your life and act accordingly. Hiding the things from your dear ones will make your guilt feeling worse. It would be difficult but try and gather the courage to discuss your emotions with your loved ones. Hope you find these suggestions useful. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "im 25 yrs old i did unprotected sex with ny boy friend on 4th of april i took birth control pill on 5th of april and also did pregancy test it was negative than i did another test on 11th april it was also negative than again we did sex on 18th april and again i took birth control pill i have some early symptoms of early pregnancy but i dont knw its a sign that im pregnant or these are the side effects of the birth cobtrol pill.if im am pregnant i dont want this baby plz help me and suggest me a abortion pill", "output": "Hi dear user, thanks for your query. You have not mentioned anything about your menstrual cycles. Pregnancy test cannot be positive just after having intercourse. Also, morning pills are protective in 75% cases. So, I cannot rule out pregnancy in your case. In my opinion, first, you get a serum beta Chat Doctor test done to diagnose pregnancy only if you have missed your period and, if it comes out to be positive then, one ultrasound to see gestation and location of pregnancy. Only after that, you should think of abortion. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have 10 months old child when he was for day old he had fits and then after four months again he suffered from fits. but not he taking treatment with a neuroligist but still today he didnt have one. But he is moving his hand and legs very well but still not started to crawl. When we make him stnd he keeps on jumping and climbing up. Is there any problem", "output": "No not at all. Crawling usually started on 3 -6 months of age. At 6 month babies are usually sitting on the floor without any support and around 10 months of age they try to stand and walk with some support. According to your history the baby shows appropriate developmental stage. So do not worry. Fits may be due to febrile convulsions which may not need any treatment and usually resolve after 5 year of age.(But history is not sufficient to tell whether it is febrile convulsions)" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 32 year old woman having bulky uterus and endometrial thickness. I have been suffering in irregular and heavy menstruation for more than 15 years. I want to get relief from this.I have a 2.4 years old son, if I wish to conceive now, is there any problem?pls advice me .", "output": "Hi, Thanks for the query. Better to go for dilatation and curettage once with your doctors' advice. This helps for diagnostic purpose, to obtain the tissue for histopathological examination. And for therapeutic purpose. By doing D&C heavy bleeding can be decreased in next cycles. If the histopathological examination shows normal tissue, no need to worry. Once check for hormonal profile and thyroid profile. If you are having regular ovulation, there may not be any problem in getting pregnancy. Track the ovulation and plan intercourse around that period. This will increase the possibility of pregnancy. If hormonal profile is somewhat abnormal, you may need support of hormones in the early pregnancy. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am getting my follicular ultrasound done today...i am 23 and trying to concieve for the past 4 months..i have regular periods..and i am on my 13th day of the cycle today..we had sex yesterday..will a follicular study today reveal if i have concieved today ?", "output": "Hi, A follicular study shows the development of the egg in the follicle, and can indicate the size of the follicle and can identify when the follicle ruptures. It cannot say if fertilization has occurred or not. Have you taken ovulation induction as well? If you have been trying for 4 months only, I would advise you to wait for 1 year, as most couples(85%) conceive in a years time on their own. The remaining need to be evaluated for the cause and then treated. The most likely period to conceive is 36 hours after the follicle ruptures. Hope this helps. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Blood sugar has been high for several days now. Today it keeps going up again. It is now at 356. I have also been peeing ALOT and very thirsty last couple of days. Should I adress this or wait to see if it levels out. Also I am on Metfromin 500mg twice a day.", "output": "Hello dear user! I have gone through your query and understood your concerns! Thank you for sharing them on Chat Doctor. Such levels of blood sugar, excessive urination and thirst you are experiencing lately indicate an uncontrolled diabetes. Unfortunately metformin you are taking seems to be unable to control blood sugar by itself. You will need a combination of Chat Doctor. I would recommend you to contact your endocrinologist as soon as possible to help you get the proper cure and lower the sugar level. Don't stay at home waiting if it levels out. It won't. I hope this answer was helpful to you! Please kindly rate it as helpful and write a short review about your experience with me! I would appreciate that a lot. Thank you and best regards!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Is it a dangerous condition to have a bulging disc at L4-L5 and a herniated disc at L5-s1 both of which are compressing the thecal sac. Patients symptoms are intermittent back pain and intermitten pain on left side of buttock and mild pain in left foot", "output": "Hello, As this is not a major condition and can be taken care of. Bulging disc and a herniated disc is due to degenerative changes in the intervertebral disc and this is one of the common problems which most people have. Some may have symptoms like - radiating pain where some may have nothing. Depends upon who has what symptoms they will be advice to undergo physiotherapy session for strengthening the core muscles, spinal muscles, hip muscles, and lower limb as a whole. Most patients have a positive outcome post physiotherapy treatment. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here...hi Im 18 and I have a question about pregnancy. my LMP was july 21st and I havent gotten my period since then. I have a lot of cramps like if my periods about to come but it doesnt. and sometimes my breasts hurt but for 5 seconds and then it goes away. also I feel like Im leaking from down there and I think its my period but its nothing. Ive also taken hpts several times but they all come back negative. also I get like a tingling sensation around my belly button. could I be pregnant?", "output": "Hello dear, I understand your concern. The first sign of pregnancy is missed period. And to confirm a urine pregnancy test need to be done a week after missed period for accurate results. The symptoms of pregnancy like nausea, vomitings, increased urination, sore breasts start 2 weeks after missed period. The fetal movements start around 5 months of pregnancy. The chance of pregnancy appears less with your symptoms but confirmation need to be done by urine pregnancy test. If the test is negative there is no chance of pregnancy. So relax. Avoid stress because stress also causes hormonal imbalance and delays the period. Best regards..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello my daughter fell in the shower the other day and hit her head she seemed fine just a little sore now she has a fever stomach and crusty swollen eyes when she wakes up that are blood shot she also went swimming in lake Erie about a week ago Im not sure why she is sick like this.", "output": "Hello, The blood shot eyes with crusting is because of the conjunctivitis I presume which she contracted in the swimming pool. Swimming pools infections need a thorough investigation by a competent ophthalmologist. I suggest you please consult one soon. Avoid self medications. The fever might not be related to the conjunctivitis. Though it is not rare to have both together but considering the situation I suggest you to get the eyes examined first." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son is 10 years old and he is having 2nd molar coming out. He is experiencing terrible pain since past one month. In between he had some cold , fever. He took medicines and now complaining about wrist and joint pain in both hands. Can you please tell us why is it so ? Can it be because of new molar coming out ? His blood test report for Rheumatic Arthritis and Rheumatic fever is negative....... please help", "output": "Good evening, the wrist and joint pains is unlikely because of arthritis or coming of molar. Some fevers also cause joint pains. However, if the fever has subsided and still the child is having pain it could also be because of calcium or vitamin D deficiency. A blood test for Serum Calcium/ Ionic calcium and vitamin D levels should be ideally done and started on appropriate supplements. X-ray of the involved joints can be done to support the diagnosis." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a tetanus shot about 3 days ago and now I have a very sore small lump in my neck near my collar bone, is this normal? The only reason Im concerned is I just had a c-section and Im worried about blood clots. I did not notice this lump before the shot, so I dont think it is a clot but I thought I would check.", "output": "Hi, Reviewed your query.Don't worry, as by no means the sore lump near collar bone would occur due to clot after the tetanus shot in the arm. This lump seems mostly due to the general immune reaction with flare up of the lymph node near the collar bone. Still I would advise you to have a check-up from your doctor to get the worry ruled out. Hope this would relive your query satisfactorily. Write excellent review and hit thanks if this has helped to resolve your issue. Welcome again further for any query in this regard. Have a good day. Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 22 year old male and I work aboard cruise ships. In order to be approved for work, I must undergo a full medical exam. 18-19 months ago when I took my exam, they came back with high levels of SGOT and SGPT and absolute monocytes. After taking the test over again, all numbers where back to normal. The doctor while unsure what caused it, suggested perhaps the intense work out I had done the night before the initial tests caused the numbers to go up. Two weeks ago I had to undergo the same full medical exam to go back to my new ship, and this time the SGOT and SGPT came back high again. SGOT at 191 and SGPT at 97. I did have drinks the night before the tests but I still would like to know if I should be concerned.", "output": "Hi thanks for contacting Chat Doctor... Previously when liver enzymes high yes it can be by myositis or muscular problem by too much work load.... But again this time enzymes level high, and you have history of alcohol.... So investigate your case with USG first to rule out fatty liver.... It will also reveal gall stone like condition if present....HIDE scan also seems to be helpful.... Alcohol also is the causative factor... So try to avoid over Chat Doctor. .... If still needed viral marker study done to rule out chronic carrier case....Meanwhile, take low fat diet.... Fruits more.... If still cause not clear detail history taken with subsequent investigation for detail work up... And if doctor needed even biopsy might be done for advance investigation ... Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "First off I do have hpv.... I had sex with someone new and a few days later noticed my lymph nodes in my groin were sore. No discharge nothing else just swollen nodes for a week now. Today I noticed the fluid filled blisters under the head. Is this my hpv acting up?", "output": "Hello, I understand your concern. I am Chat Doctor, infectious diseases specialist, answering your query. In my opinion it is not an HPV.HPV never causes fluid filled blister and lymph nodes. It is other STD. Definitive diagnosis can be possible only after Grams staining from blister fluid followed by microscopic examination. You can wear condom during sex. This will prevent further transmission of infection. You can take the simultaneous treatment of HPV and other STD. Treatment for both the partner is necessary to prevent cross infection. I will be happy to answer your further concern, you can ask me on bit.ly/ Chat Doctor. Thank you. ChatDoctorInfectious diseases specialist." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, If you are an orthodontist, please help. I have been wearing retainers for almost a year. Nonstop aside from when I eat. My last visit, I was advised to wear them only at night. I noticed significant change 2 weeks later after doing so. My teeth kept shifting. So I switched to wearing them all the time again. The shifting doesnt stop. Did I mess up?", "output": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint Orthodontic Retainers are advised to maintain the changed teeth position after achieving proper alignment of teeth post completion of orthodontic treatment. But in case if the teeth movement has started occurring and not being controlled even after increasing the time duration of wearing retainers, there is a possibility that the retainer wires have become loose and not providing sufficient pressure over the teeth leading to relapse of the maligned teeth. I would therefore suggest you to consult your Orthodontist and get evaluated and a thorough clinical evaluation and x-rays can help in diagnosis and treatment can be done accordingly. You might need a fixed orthodontic treatment followed by repeated wearing of the retainers. The orthodontist might also advise you removable orthodontic appliances for re-achievement of alignment. You should also not delay the treatment or else there can be complete relapse of misalignment and then treatment can take a long time. Hope this information helps. Thanks and regards. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "ok iam 40 years old i have the diagnoses off carcinoid sydrome also had carcinoid benign removed years ago now my heartvalves are damadged uncontrooled bloodpressure fluctiating from 80 over 38 and than jumps to 158 over 126 my spect scan was normal but does a spect scan show subcentimeter lesions ? because thats what i have multiple lesions liver kidney and endlarged lymphnotes pulmenery arch also acteleases off both lower lobes off the lungs , ostreotide scan came back normal uptake 24 hrs only but c t scan showed it dont know what else to do?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Atelectasis is partial collapse of part of lung. Most common cause for this is mucus collection in lungs. So treatment of atelectasis is 1. Broad spectrum antibiotic like levofloxacin or azithromycin once a day.2. Bucolic and expectorant Chat Doctor. 3. N acetyl cysteine (NAC)4. Chest physiotherapy and deep breathing exercises. So consult pulmonologist and discuss all these. Don't worry, your atelectasis will be improved with above treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, My dermatologist had prescribed me Finax tab and a particular hair oil for cure of hair loss. However after taking tabs for 1 month I noticed increased acidity and also lesser errection. I am afraid that it might lead to impotency so I have stopped taking this tablet now. Please suggest.", "output": "Hi, Yes, these are some common side effects of final. The common side effects of final include headache, weight gain, abdominal pain, and swelling of the fact and lips. Since it acts by preventing the formation of active male sex hormone, it can cause decreased interest in sexual intercourse, inability to have or keep an erection loss in sexual ability, desire, or performance. Ask your doctor for an alternate effective, but a safer medicine for hair loss like minoxidil lotion. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my mother age 51 was diagnosed with pnuemonia in the right lung.she was hospalised for 5 days on antibiotics.she came home.pain at the back was gone.only thing she struggling with is coughing,fatigue,decreased appetite,short of breath.what can be wrong with her? Sputum was send away came back negative.no blood when she coughs.", "output": "Hi, I am sorry for the situation your mother is in. I am also happy to know that her pneumonia has gone, and no blood was when coughing. Cough is a remaining symptom after pneumonia or other respiratory tract infections. She might not need to take antibiotics anymore but symptomatic medications :- Multics to dissolve and clear off the sputum (e.g. carbocystein or acetylcystein, etc.)- anti-hystaminic Chat Doctor. g. Ben" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir, I had taken aten-25 last October-10 for 15 days only, early in the morning. after that I feel my pulse comes down 48 from 84. I asked my doctor, he advised me to stop this medecine. now my pulse 55 when I wake up, after taking meals and going to office it gradually increase to 60 and 70 maximum. also I note that pulse is not regular, after 20 - 25 pulse the gap between 2 pulse increase upto 4-5 pulse than come down at starting level again. should I go to a doctor for this?", "output": "Hellothanks for posting here. As per your statement, a pulse rate of 50-70 are quite within the normal range. You seem to have missed beats every 20 -25 beats which may be normal in some people. But if it is causing you symptoms like dizziness, or loss of consciousness then they are a matter of concern. Also, we must know what type of missed beats they are. So if it is troubling you too much, a holder monitoring which is a 24 hr heart EKG monitoring should be done. Also a stress test should be done which will show if these missed beats increase with exercise. Atenolol and its group of Chat Doctor. You can be started on half dose of 25 mph atenolol only if you are having symptoms or if any of the above tests come positive. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "dear sir there is swelling in my mouth left side n i have consulted with three dentist and all told me the reason is wisdom tooth n today a doctor suggested me for ogr x ray n after seeing that xray doctor told me that i have rasoli under my left side teeth no 6,7,8 n suggested me for surgery n told me that may b my left side teeths get damaged . so pls guide me sir", "output": "The jaw swelling is a symptom of wisdom teeth growing in, and it can also happen due to infection of gums which is basically due to either less space for eruption of wisdom tooth or due to wrong angle of growth of wisdom tooth. This swelling of jaw is very painful and patient is unable to open the mouth. It is not always that wisdom teeth causes problems but if they are impacted they can be really Chat Doctor. So getting the treatment for wisdom teeth is very important, and the treatment is extraction of wisdom teeth. In addition to this, you must be open with your dentist regarding any reservations that you may have about the procedure. You have to discuss the dangers as well as the advantages of doing the procedure. Furthermore, you also have to decide whether you feel that the procedure would be good for you. After the discussion, if you are still not satisfied with all the information that the doctor gave you, it is best to have a second opinion about the matter." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been on Dian 35 on and off for about 15 years. I have has two bouts of major depression and I am on lyrica and lexapro for the past five years. I am 45 years old. I am now experiencing Utis. Could they be caused by dian 35 and could my anxiety and depression caused it too? Would you recommend that I come off Dian 35?", "output": "Hi there ~ Diane 35 is a contraceptive medication and will not cause Otis. Anxiety and Depression are treated with Learn and Lyrics, however you need to understand that you should also consider if you are experiencing any changes in your symptoms of anxiety and depression that is making your lifestyle worse i.e. you are not Chat Doctor. If that is the case then you might have had Otis indirectly due to that reason. However, not good sexual or genital hygiene and deny" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had been taking 50 mgs of Zoloft and my doctor raised my dosage to 100 mgs, she did this to take me off xanax, which I had been on for 12-15 years, I was taking 2mg at bedtime to calm me down so I can sleep. I am now having tremors and involuntary muscle movements, always occuring through the night, and cant sleep now until the wee ours of the morning,", "output": "Hi there, thanks for asking. Tremors, involuntary muscle movements and sleep problems are the common side effects of serotonergic reuptake inhibitors which Zoloft, paroxetine, fluoxetine, etc. are belonged to it. Most of the time, the side effects you mentioned are transient and decrease after several weeks. If sleep problem persists, the doctor can change this medication to a medication from the class of tetra cyclic antidepressants if your situation allows. I wish you a good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, i had a tooth taken out about a month ago ,the cause started with receeding gums,which caused infection,and became to loose to save, i also have a recceding gum on a front tooth, i had never had problems with it before, but now my lower front gums are stinging,i brush mt teeth twice daily,and use a mouth wash 3 times a day,", "output": "Thanks for using Chat Doctor. Read your query. The loose teeth, recession , inflammation all shows signs of chronic periodontitis. Using the mouth wash thrice will not help as it may cause over usage and in turn stain the teeth. I would advise you to visit a periodontist in your area and get your teeth cleaned professionally and then use the mouth wash for a few days. Use the proper technique of brushing. Use a desensitizing paste for a while. Once the teeth are cleaned and maintained well, the recession and mobility may reduce. If still persistent recession, the periodontist will plan the next treatment for recession. Hope this was useful. Thanks and regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my son just fell off his new bed and hit the metal bar on the side causing an instant goose-egg below his eye on his upper cheek bone. It is swollen and bruised, but my concern is that the lump is extremely movable and feels like a bag of gel. What are your thoughts?", "output": "Hi. Welcome to Chat Doctor. I have gone through your query and can understand your concerns. As per your complaint it seems that due to hitting with a metal bar there has been soft tissue injury and due to injury there has been inflammation and swelling due to accumulation of inflammatory exudate and cells at the injury site. There also seems to be ruptured blood vessels leading to bruising and formation of a Hematoma. The movable gel like lump seems to be a Hematoma and is due to accumulation of blood from ruptured blood vessels. I would suggest you that you need not worry about it as it will resolve gradually. You can do alternate warm and cool compresses over the lump. You can also give him anti-inflammatory painkillers like Ibuprofen. In case if there is pain numbing gel containing Lidocaine can also be advised. You can also apply Heparin gel over the area as it will help in faster disruption of the hematoma as well as bruising. Hope this information helps. Thanks and regards. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been sick for few months now. I had hives on my face first and then my lymph nodes got swollen and it hurted. I started having breathing problems and I still have breathing problems scince then. My tonsils are swollen too. I had periods 2 times in january of this year. And i have geogrophical tongue. its still there. I dont know what could it be? when I go to doctor they tell me its an allergy.", "output": "Hi! Geographical tongue is usually related to glossies, however, there are some instances that yeast overgrowth in the stomach can cause tonsils, pain in the submandibular lymph nodes/ pain and lymph adenopathy and later on will result to glossies. As we know that yeast can grow in an acidic environment and sugar-laden environment. However, there are several causes that the tongue may swell and that could be caused by allergens, nutritional deficiencies and/ or infections. If the swelling of your tongue/ glossies/ geographic tongue is caused by allergens then probably that is also the cause of your hives on the face. We need to treat the cause of your geographic tongue, if you think it is from yeast overgrowth in the stomach, then, a diet modification will do. Like avoiding acidic foods and beverages, avoiding cheese, nuts or those foods that is high in sugar and at the same time a probiotic Chat Doctor. If you think it is caused by allergy then avoiding all the foods and allergens is the mainstay of prevention, and at the same time taking an antihistamine " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Doctor, I am taking Telekast-L tablet daily at night. I asked my father to get that tablet from a medical shop. He bought Telekast-10 instead of Telekast-L. Is there any difference between those two tablets...? Shall i have that tablet Telekast-10 instead of L? Plz reply me..", "output": "Hi, Telekast-L may be taken in the dose of one tablet once a day. Telecast is a combination of an antihistamine (levocetrizine) and leukotriene receptor blocker (montelukast) commonly prescribed for the treatment of allergic symptoms such as runny nose, stuffy nose, sneezing, itching, swelling, watery eyes and congestion or stuffiness. It also reduces inflammation in the airways and make breathing easier. Telekast-10 consists of montelukast only and prescribed to prevent and treat allergic conditions like asthma, seasonal allergies, and exercise-induced asthma. You may take telecast-10 if you do not have allergic symptoms associated with cold as listed above. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI, im a 22 yr old who hasent been sexually active for the past 11 months. my period has stopped completely. Im not on birth control nor is there any possible way im pregnant. Any thoughts of while my cycle has stopped. Also, for the past few months i have been having serve cramps. any thoughts?", "output": "Hi, Welcome to Chat Doctor . The cause are many like hypothyroidism, sex hormone imbalance, block in the cervix, Polycystic ovarian disease etc. There are no chance of pregnancy. I suggest you to get your thyroid and sex hormone profile done after consulting gynecologist. And also ultrasound of abdomen. These will tell the cause, and it may be treated accordingly. Hope I have answered your query. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I need help. Im having a lot of issued right now, I dont know whats going on. I have asthma, and I use my Advair inhaler everyday. But, a few nights ago I was perfectly fine one second, and then next second I couldnt breathe. I had to gasp for air, I thought I was having an anxiety attack, but nothing bad was happening; and thats never happened before. It lasted about five minutes, and then went away. But even now I have to take a lot more deeper breaths than usual. Also, earlier today I was using the bathroom, and sometimes when I get huge migraines, I feel like Im in a complete dimension. I had no headache when I went into the bathroom, I was completely fine, but as I was in use, for about five seconds I felt out of place. My whole body went cold, I was shaking, and my vision blurred and I saw two of everything. After about five seconds, I returned back to normal and nothing happened. Its really stressing me out, what is going on?", "output": "Hello, Thanks for the query to Chat Doctor. Forum. Since, how many days, you are taking AFFAIR inhaler as the ingredients are beta agonist+corticosteroids. Now your main complaint is same breathlessness and cessation of breath. In my opinion consult a physician and get in complete examination of heart and blood for anemia and calcium (if corticosteroids uses for long time may cause calcium depletion and this causes such type of symptoms). Good luck. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been experiencing some chest pain. I was going to get it checked out yesterday when all off a sudden at work my boss told me I looked flushed and told mento sit down. She then asked me how I was feeling. I said okay and all of a sudden my chest started burning really bad and then the burning went from head to toe. I thought I was going to die. My body was also tingling and the pain was a 10/10. Blood test normal.. EKG normal.. Enzyme test 0.01. Do you have any clue what is going on?", "output": "Hi thanks for asking question in Chat Doctor... Here sudden chest pain with flushing and sweating can be due to here two reasons....-ischemic heart disease or -panic attack...Sometimes it could be by pulmonary embolism .... Here ECG or echo done to rule out cardiac cause... D dimer for pulmonary embolism... If no significant cause present then by taking severe stress you can have such panic attack... Counselling done by psychiatrist for it.... Hope keeping this in mind you can solve your concern by contacting doctor. Take care. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a small area of sore gums inside my mouth . It s on the bottom left side, on the inside side of the jawbone where my wisdom tooth would be if I had not had it removed years ago. It hurts to push on it, feels slightly bumpy underneath the skin, and may be slightly swollen. I haven t had any injuries or anything. What could it be?", "output": "Hello, the swollen sore gums behind your second molar after removal of wisdom tooth, is indicative of distal periodontal pocket(gum infection) in relation to second molar. It is very common after extraction of wisdom tooth. Treatment of it involves-small periodontal surgery (cleaning of region). And irrigation of area regularly. Cleaning of the swollen gum region via interdental aids. And finger gum massage." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have an abnormal rib cage. Instead of having more of a flat, broad torso, It s more narrow and sticks out. My shoulders slouch forward, and my collar bones are not straight across. Who would I need to consult with, and is there anything that can be done?", "output": "Hello, Firstly you need to meet up and orthopedist who will assess you and guide for x-ray or MRI which so ever is needed post assessing you clinically. Post that you will be asked to undergo certain exercises under the guidance of the Physiotherapist who will help correct the biomechanics of the bones, joints, and muscles. Which will help you correct the current symptoms to a greater extent? Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have middle back tenderness, and pain on gentle pressing of the spine specifically on one vertabrae. Also it feels that this vertabrae is very slightly enlarged, although not visibly. I am obviously concerned about this, but more so as lately my memory seems a bit impaired, and I am concerned it is related. What are the possibilities please?", "output": "Hello! Welcome and thank you for asking on Chat Doctor! Regarding your concern, you should know that the back pain and the tenderness while touching could be related to chronic degeneration of the spinal column. As the pain does not radiate and is localized only in the back and at one point, it seems to be just inflammation and not a herniated disc. Coming to this point, I would recommend a thoracolumbar column X-ray study and inflammation tests (PCR, sedimentation rate, complete blood count). Regarding the memory problems they are not related to the back pain. Working too much or lack of a balanced diet could be the causes. I would recommend regulating your daily regimen (alternate work with relax pauses, try to have a good sleeping hygiene) and take a balanced diet (full of vitamins, proteins, lipids and carboy Chat Doctor. Anxiety could also trigger all this situation. Hope you will find this answer helpful! Best wishes, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my dad is 82 years of age he is good in shape but little over weight as per his height ,he told me that he is having pain in the left side of his stomach ,little above waist but it is bareable.he is having urine problem for which he takes medicine.doctor has given him medicine so he takes regularly not to go more than two times at night.what type of pain you think and precautionaly which medicine we should give him", "output": "Hi welcome to Chat Doctor forum. Your father is having pain on the left side of the stomach, just above the waist. It could be due to Benign prostatic hypertrophy, urinary tract infection, or pro Lithuania or could be something else. I advise you to consult a surgeon for diagnosis and treatment. You may need to have M.R.I. besides other routine tests for confirmation of the condition. UN less all the tests are done, and the patient is examined personally no one can suggest any medicines. Wishing for a quick recovery, and thanks for choosing Chat Doctor. F. Best regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I woke up early this morning with sharp chest pain ,it was so bad it hurt and I used inhaler to help. I also took a Motrin and layed back down. All day it s been a dull achy feeling in my chest . Also bloating in my abdomen and a little sore when I get up. I had my appendix out few weeks ago ,but this is different feeling ,I m also waiting to be seen for a positive rnp test ,I dint know if this pain has something to do with my mixed connective tissue disease.", "output": "Thanks for your question on Chat Doctor. I can understand your problem and situation. In my opinion you are having mostly HERD (gastroesophageal reflux disease), but better to rule out cardiac cause first for your symptoms. So get done ECG and 2d echo to rule out cardiac cause. If both are normal then no need to worry much for cardiac cause. It seems HERD more. Gaseous distension is also seen on HERD, and this is giving you bloating feeling of abdomen. GERD is because of laxity of gastroesophageal sphincter. Due to this the acid of the stomach, tends to come up in the esophagus and cause the symptoms of dull aching, burning central chest pain. So try to follow these steps for better symptomatic relief.1. Avoid hot and spicy food. Avoid stress and anxiety.2. Avoid large meals, instead take frequent small meals.3. Start proton pump inhibitor.4. Go for walk after meals.5. Keep 2-3 pillows under your head in bed." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I had a full abdominal hysterectomy 3 weeks ago. I m an insulin dependant type 1 diabetic and also have Behcets. I have bad pains in the tops of my legs and lower back and have noticed blood when passing urine. Is this normal after a hysterectomy? Many Thanks Catherine", "output": "DEAR FRIEND I UNDERSTOOD YOUR CONCERN, abdominal hysterectomy OR ANY OTHER ABDOMINAL SURGERY WHERE THERE are INCISIONS ON ABDOMINAL WALL SO DUE TO THAT YOUR ABDOMINAL MUSCLE MAY BE WEAKENED... PAIN IN LOWER BACK MAY BE DUE TO THE IMBALANCE BETWEEN TWO OPPOSITE SIDE MUSCLES GROUP.... SO HERE THERE SHOULD BE COORDINATION AND BALANCE IN STRENGTH IN EQUAL AMOUNT IN BOTH GROUP OF MUSCLES..... BUT AS YOU SAID DUE TO SURGERY PAIN AND WEAKNESS OF MUSCLES ARE OBVIOUS.... SO YOU MAY HAVE PERSISTENCE OF PAIN. NOW WE CAN GRADUALLY IMPROVE THE STRENGTH AND ENDURANCE OF BACK MUSCLES BY GRADED PHYSIOTHERAPY EXERCISES... I HOPE YOU SATISFIED WITH THIS ANSWER.... STILL IF ANY QUERY, FEEL FREE TO ASK ANY TIME...." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "MY BLOOD PRESSURE IS ALMOST PERFECT WHEN I TAKE WHAT I KNOW WORKS FOR MY BODY AND I AM ABLE TO KEEP THE PAIN UNDER CONTROL AS WELL AS MOVE ABOUT AS I NEED AND WANT TO.TODAY AT IT WAS 142/106 P 93 THEN 135/105 P95. THE LOWEST IT WAS SINCE 5-22-13 WAS 123/84 P94 THAT WAS AT 7:03PM ON 5.30.13 AFTER TAKING WHAT I HAD OF THE MEDS. MY PHYSICIAN IS BEGINNING TO GET OLDER AND IS NOT CORRECT WITH THE AMOUNT OF TRAMADOL. I HAVE SIGNS OF FIBROMYALGIA AND NEUROPATHY, BUT, THIS IS ALL DUE TO INJURIES THROUGH THE YEARS. I DO NOT AND WILL NOT TAKE ANY ANT-DEPRESSANTS. I AM INJURED AND GET ANGRY THAT I WOULD BE INJURED IN ANY WAY AND NEED TO THINK CLEAR.", "output": "Degree understand your problems are clearly anxious. That is ll. Pulse rate of above 90 explains that. BP above 140/90 is said to essential hypertension. Systolic varies with age and other circumstantial factors and diastolic measures health of heart. If lower reading goes beyond 95 you have reason for worrying. Do trust your physician, otherwise you cannot be cured or managed. LAK of trust in your physician caused your anxiety problem. You feel that he is not right. You are actually not right because you are not a doctor. Or better you find a physician who is most suitable to you and leave the rest to him. Your anxiety will vanish. You also need help of psychologist /psychotherapist. Please come to me through \"ask specialist opinion\" in this website. Wish you speedy recovery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Dr.Rangadhar Greetings My mother has a genetic disease, which has risen polycystic kidney toxins in the body do you have a cure for this disease, please tell us because the toxins in the body increases and lost a lot of kidney function Creatine 7. R Urea 120 Thank you saleh", "output": "Dear sir/madam, she is in renal failure. There is no cure for polycystic kidney disease. Only options for the renal failure will be dialysis and kidney transplant(depending on her health profile). Her creatinine is high. Needs further work up also, to see are there any precipitating factors which are worsening renal function and if any correctable ones are there then her renal function might improve. Better consult nephrologists at the earliest. Hope u find this informative." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI , Recently i have been having pain in my left chest area also my shoulder blades and neck , just recently after this pain i started to notice little clicks or gurgling in my heart just after the beat or maybe even before it vary s each time , there is no pain just a weird sensation like my heart has liquid in it and it gurgles, thank you", "output": "Hi, Whats your age, any risk factors for cardiac disease like smoking, family history, obesity, high cholesterol, or high BP? There are two possibilities one is cervical pain, which is usually associated with trauma to neck, numbness, tingling sensation and increases on neck movement. Other possibility is cardiac disease. Its usually exertional pain and subsides on rest. So one ECG, sugars and lipid profile is indicated. Also, cervical spine x-ray app/ lat view. Review with some information and reports. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am having pain in right costo-phrenic angle since last 3 days. I had a small injury while playing cricket 3 days back. the pain is getting worse. i have had hot fomentation, local analgesics and anti-inflamatory drugs but no effect as if yet. please suggest me what could be the possibility and what can be done to relieve the pain. Thank you.", "output": "Thanks for asking a question. With right cost-phrenic injury there could be several other causes of your pain. Most common would be soft tissue injury to the muscles. Treatment would be similar to what you have already been trying. In addition to the muscle injury could be increasing muscle spasms which would gradually increase with time. Treatment again would be local heat or ice and muscle relaxants along with local massage therapy and physical therapy. Deeper injuries could be fractured lower rib or kidney contusion. Further testing would need to be done including x-rays urinalysis. I would recommend seeing your primary care doctor to do further testing and treatment" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been getting frequent yeast infections after my chemo ended after a full hysterectomy due to ovarian cancer. It is the weekend, so I will have to reach my doctor on Monday. What can a person do for frequent yeast infections that are treated and then come back?", "output": "Hello, Welcome to Chat Doctor, As you are having a symptoms suggestive of fungal infection, and it is more common in the genitals, as they are the normal comedians of this area which will be kept under control by helpful organisms. Whenever there is an imbalance in the environment it will produce its symptoms. I would suggest you to follow below-mentioned measures.1. Keep they are clean and Chat Doctor. Topical application of antifungal cream like Ketoconazole cream3. Oral single dose of Tab Rifleman, 150 mg.4. Oral anti histamines. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had gall bladder removed two years ago and I continue to have pain on right side under rib Last night it hurt even to bend to pick up things. I m not sure if food isn t digesting properly causing inflammation? I took aleve and it helped a little. Worried", "output": "Hi, thank you for posting your query in Chat Doctor. I understand your problem. Usually pain under ribs occur due to indigestion of food, especially fatty foods, due to straining of the muscles. After gall bladder removal, there is likely chance of developing infection in the liver, this can also cause pain under ribs. Hope I have answered your question. If you have any further questions I will be happy to help." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hellooo,doctor m sufferring 4m pimples since i was a student of class 8.But after consulting wth doctor when i was in class 12 i was perfectly cured.but unfortunatly again during m last years of graduation i got them again,which left very bad spots,wat should i do nw,,i hv 2 oily skin,,,,now m 22 yrs old,pursuing m masters. plz reply...thnz", "output": "HAI, Welcome to Chat Doctor. Pimple at this age is due to excessive activity of your oil glands of your skin due to bubbling hormonal action. Up to the age of 25, it is an ongoing process. After the hormonal tides start reduced your problem will vanisChatDoctorpletely. So the treatment cannot totally eradicate the appearance of pimples whereas it will help to reduce the intense to the maximum extent. Frequent face wash, consuming adequate water, vegetables, fruits, greens and avoiding foods containing butter cheese, ghee, and antipathy etc. will help you to keep this menace well under control along with specific medical treatment for pimples. Medical treatment has a lot of choice according to the severity, your skin and type of lesions from topical preparations, oral antibiotics, soaps etc. Your dermatologist will guide you in this regard for a better treatment of choice to suit your present condition. Following all these measures together you can keep your problem well under your control. Wish you a speedy recovery. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi good day.. Im Gian, from Philippines.. I just have my laboratory exam yesterday and my sgpt result was bit high,97 in figure, my question is, what are the reasons of increasing sgpt? and do i need to take medications, what diet to take and lastly if ever i take medications, will it affect my other oragans? thank you very much..", "output": "Hi, gain. Noted history of elevated liver enzymes. Are you experiencing any symptoms like abdominal pain, jaundice (yellowing of your sclera and skin), fever, nausea or vomiting? Most common causes are fatty liver, chronic alcoholism, infective and obstructive (gallstones or tumor lesions) pathologies. It is best if you consult with a doctor, preferably a gastroenterologist or a general surgeon, for physical examination and clinical evaluation. Diagnostics (such as ultrasound, bilirubin, blood count, etc.) and management (medical and/or surgical if indications are found) will be directed accordingly. Am also from the Philippines and my clinic is open for consultation anytime. Hope this helps. Good day!!~ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had 2 episodes of pain developing pre-orgasm in my head (back of head at the base) and neck. It starts a couple of minutes pre-orgasm and peaks at orgasm. This starts as a dull ache and builds towards orgasm. I take 2 paracetamol and it settles within 15-30 minutes. It has happened on a couple of isolated occasions in the past. One of the recent 2 occasions was when masturbating so no great exertion was involved. My bloods indicate I am menopausal and I am only having periods about every 4 months currently. I am 53. I am on bisoprolol fro high blood pressure. I am also on Mirtazipine 45mg", "output": "Hi, Of course, pre-medicating with the same medicine that reliably works on pain 15 to 30 min after taking it is generally MORE effective than treating the pain after it has begun. I cannot say in your particular case and the pain follows a particular pattern which implies where the pain is from. Going from the neck to the back of the head is a very typical pattern for a nerve being pinched and/or a muscle spasm. Either of these can be treated with several NON-ADDICTING mild prescriptions. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I ve been coughing for nearly two months now, i don t feel sick at all. I ve just been coughing. No mucus or anything out of the ordinary. Breathing is also difficult when my coughing spells are bad. As time goes on, I m cough much less frequently, but I still have a pretty heavy smoker-like cough. Is what I have serious? Why am I still coughing? And what would be the best thing to do next? Thanks, Mateusz Majka", "output": "Thanks for your question on Chat Doctor. I can understand your concern. You are having chronic cough (cough since 2 months). We should definitely search for the cause of this chronic cough and treat accordingly. Common causes for chronic cough are 1. Bronchitis 2. Asthma 3. Chronic lung infection like tuberculosis or fungal infection. 4. Lung cancer. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Chest x-ray 3. PUT (pulmonary function test) 4. CT thorax if required. So your next step should be to consult pulmonologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Gud morning Doc.. i have severe pain around my lower waistline particularly at lower back going to the right side .. i cant hardly move or twist my body to both sides, hence, causes pain. I am diagnose with generative osteoathritis at lumbar area before but i dont felt so much pain unlike this one. My urination is normal. The pain started 3 days ago after cleaning n carpentry works. I am planning to take pain reliever for d meantime. If d pain will not aftet a week i will be forced to see a doctor.. tenk u doc for ur advise now.. god bles u n ur family.. Mr Rolly", "output": "Hi, Thanks for your query. The symptoms that you are having are likely to be due to a nerve root compression. You need to get an MRI scan of the area done and consult a neurophysician for proper diagnosis and treatment.Meanwhile, you can follow these measures:- If the pain is severe, you need bed rest till the pain resolves. - Get some analgesics prescribed and apply analgesic spray or ointments.- While resting, keep a pillow under your knees if it doesn't bother you.- Avoid lifting heavy objects.- Back strengthening exercises and stretching exercises daily as advised by a Physiotherapist.- Avoid exercises in times of pain. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a smal lump near my bellybutton at the right side wich feels hard and round. something it will become bigger and little bit painfull but after pooping it will return to smaller lump and pain will dissapear. Then only sometimes it will tikkle and burn but that s all. Can you tell me what s the matter with me?", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have umbilical or para umbilical hernia. You should go for physical examination and ultrasound study. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my sons age is 1year radiology report shows there is a difference in the size of the left kidney . the size of the left kidney is measured 7.7cms while the right one is 7.1cms. and the report shows duplex moiety of left kidney with renal pelvic prominence of lower moiety. what does it mean.", "output": "Good Day, and thank you for being with Chat Doctor !Your son has a congenital abnormality in his left kidney. It is called a duplicated collecting system meaning other than one tube Chat Doctor. It will depend on if he has a complete duplication meaning he has two ureters(tube that connects the kidney to the urinary bladder) all the way from the kidney to the bladder or incomplete duplication where the two tubes will fuse somewhere in the middle and would have one insertion to the bladder. When we have a duplicated kidney we call the collecting system in the upper pole of the kidney upper moiety while the lower pole is the lower moiety. Prominence of the lower moiety means that it is more dilated than the upper pole. This means there might be some form of obstruction happening and should be investigated by CTS Can or MRI. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: http://www.ChatDoctor .com/doctors/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "In 1985 I had a astrocytoma brain tumor which was removed. Following the crainiotomy I had 30 radiation treatments. About 10 years ago, I began having petit mal seizures, which my doctor said are caused by the scar tissue from my operation and radiation therapy . After trying every anti epileptic medication I am currently on Felbatol and Onfi. In October I experienced a different type of seizure becoming basically numb on 1 side of my body. I went to the hospital: One of the doctors said I may have had a stroke and another said I suffered from Todds paralysis . I went for an MRI and my friend who is a doctor said the results sounded like a stroke they saw a new white spot on my scan. My corrodoted arterty test came back ok and the EKG they did in the hospital was normal. I just went for both tests again.", "output": "Hi, Thank you for posting your query. It is good to note that you have no recurrence of astrocyte, after surgery and radiation therapy, nearly three decades after the initial diagnosis and treatment. Your current symptoms are due to a small stroke, as per the new MRI. Treatment is mainly with blood thinners such as aspirin. In addition, any risk factors such as diabetes, high BP, cholesterol etc., should be looked for and treated, if present. Wishing you good health, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi,I am 24 yrs old, i have got pimples on my face from past 14 years and is left behind holes on my face,and when i travel far i get small pimples all over my chin ..so can u pls help me out", "output": "Hi.dear Pramspramod., Thanks for choosing Chat Doctor., Pimples on face is common in young and adult persons., it is called ACNE VULGARISM....it is inflammatory process of., sebaceous unit of the skin....due to hyperactivity of Hormones.,1) Frequent washes with FAST bar...contains Triclosan...,2) Tab Isotretinoin 20 mg daily for 30 days.,3) Avoid fat and spicy food., take plenty of vegetables and fresh fruits.,4) Apply 1% clindamycin and nicotine acid cream.,2 times daily.,5) Tab... Azithromycin 250 mg daily for 5 days...nighttimes...ok...good luck.," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i keep having tightening in my upper chest bottom throat say , it also makes me cough to almost clear it it only last seconds , sitting down can bring it on or exercise but very rare , but mostly its tight clothing i also get a rattling feeling in my tummy when i breath deeply , this has happen all week about 20 times a day and even though this has happen for years its only been now and again , have been feeling really breathless , lately 33 year old female no med non smoker", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Chest tightness, cough, breathing difficulty etc. in young females (33 years) is mostly due to asthma. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).PFT will not only diagnose asthma, but it will also tell you about severity of the disease and treatment is based on severity only. You may need inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a cavity on the right side in the back of my mouth so I have been chewing all food on the left side of my mouth. I am noticing large white raw patches on the left side of my mouth, feels like its on the whole inside of my left cheek. Any ideas, how long it will take to get rid of or things I can do to get rid of this? Things to avoid eating! Thanks a lot", "output": "Dear friend. Thanks for sharing your concern. The white patches could be due to many reasons like oral sub mucous fibrosis or leukoplakia.it is generally seen in habitual tobacco users and smokers. Please mention your habits if you have any?Also, please visit your dentist soon and get the tooth restored where there is cavity. Simultaneously get the current lesion examined.Meanwhile, use antiseptic mouth rinses. Hope it helps. Thanks. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have 2 white spots in my mouth 1 is size of a small pin head(very small) other one is a thin small line at the bottom of my gum line.no pain.Im 48yrs old 5ft 3 and about 160lbs..Healthy except i get nigrines.I have been told by the dentist ive had gingivitis and i have receding gums..I deal with alot of stress daily", "output": "Hi I had gone through your problem. Already you had been told that you have gum problems i.e., gingivitis and receding gums. These problems will not cause white spots on the gums, which are painless. Second thing and important thing in your query is you deal with a lot of stress daily. Because of that stress some kind of white spots which are pain less, may form not only on the gums but also on the entire mucosa of the oral cavity. I strongly suspect that white spots may be because of that stress. Anyhow you kindly visit the dentist one more time. If those spots are same what I suspected, then the treatment is required apart from stress relieving methods. I think my answer would satisfy your query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi my name is maria,for the past 2 weeks everytime i touch my armpit and down my arm,i feel tightness n it also feels hard..it hurts alot ..i could see like a vein or nerve swollen,that is noticeable and puffy thru my skin,,it starts from my armpit to my forearm,,Is hard to explain,please give me a few ideas,what could it be", "output": "Hello, I have studied your case and I think that this can be an enlarged lymph node. It can be due to infection. I would also suggest you to show it to a breast expert, and he may advise you to get needle test or an ultrasound of the breast. It will give us final conclusion if you need any further treatment. I hope this answer will be useful for you. Let me know if there is any other followup questions. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a DVT factor 8, had this condition for 11 years. I have had pressure in my chest. I have a greenfeather filter. Today I went to the emergency room. They did test and stated after testing INR result was 0.97 low. No clots. They upped my coumadin after being on only 2.5 to 5.0. That was Wednesday. MY INR has not raised, I am worried about why it has not raised. I was sent home told to contact my doctor on Monday. Nothing was given to me to raise it. They did cat scan and testing and found nothing including a blood clot. I have been on 2.5 Mg. for a year. I have not had my INR checked until two weeks ago because the doctor I use to have said it was ok for six months to not have it checked. My new primary said that was not correct. Two week s ago I had a blood clot that the filter did catch. Was taken to Freeman Hospital where they did test, and even a echo of my heart, while doing a stress test. They said it was heart burn!!!! My primary said that was ridiculous that it sounded like I had passed a clot that the filter did catch. Never had this close of a call. Today the right side of my tongue swelled for no reason. The emergency doctor said it (the tongue swelling) was probably something due to an allergic reaction. I am not allergic to anything!!! They found nothing sent me home saying to talk to my primary. I am 42 years of age female never smoked, been in great health. Now these items are coming up. I am scared these doctors are not finding what is wrong even with my condition. Why would my right side of my tongue swell during this?", "output": "Hello, I can understand your concern. It seems that the swelling of tongue that you have developed has nothing to do with the DVT and pressure in chest you are having. I agree with your doctor that it seems to be an allergic reaction. I would advise you to take Antihistamine such as Levocetrizine 5 mg (Exocet) or Loratadine 10 mg (Forfeits) once a day for at least 5 days. If it was an allergic reaction, you should find immediate improvement in the swelling in 1-2 days. Otherwise, the cause is not allergic. The allergy could be due to anything that you have been exposed to through air, water or food. If the episodes are frequent, you should go for a blood test for allergy to find out what substance you are allergic to, and you can avoid exposure to that in the future. However, if the swelling does not decrease with the antihistamines or if it increases, then you should consult a dentist to examine the oral cavity and investigate further regarding the cause. I hope this information helps you. Thank you for choosing Chat Doctor. I wish you feel better soon. Best," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Had a tibea plateau surgery about five years ago. A few days ago I got a severe pain at the middle of the shin that permeates down to the ankle making it hard to walk. It has been coming and going gor about a week now and the pain is so bad I cant sleep.", "output": "Hi, The pain can be due to infection, muscle weakness, or surgery gone wrong. You can take hot packs to soothe pain and don't force your body to bear weight on the limb as this will deteriorate the condition further It would be good if you consult an orthopedic for a thorough examination. For the time being you can take over the counter medicines like Ibuprofen. Hope this helps you. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good Evening Dr,I have my sister who have done abortion last year as baby was sufferrring from \"Spina Bifada\" and doctor has insisted for abortion, she was in her 6th month of pregnancy. Now after a year my sister and broher in law are trying for baby but are hardly getting any success. So far we have approached 2 doctors who have recommended for folical treatment, they have already had there 5-6 trails on the same. Since there is no success both of them are getting depression since this treatment is more mechnical and has no result. Kindly suggest your advise Sir.Regards,sarika", "output": "Hi, Your sister and her husband should have proper counselling and guidance before trying to conceive again. Also, I presume the doctors have investigated for any tubal blocks and TORCH titles. Treatment for infertility is most often time and patience consuming. I suggest that they see an experienced infertility specialist to have further management. Unnecessary medication and investigation make the process complicated and unfruitful. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor I am 29 year old, going through the fertility treatment. All Hormone test, thyroid test, PCOS test, all seems to be normal. Semen analysis of my husband also shows all normal. Doctor prescribed me 100mg clomid from day 2 to 6 day. but the follicle size is not at all growing, till day 18. after 18th day the follicle size starts growing all of sudden 3-4 mm a day. And on day 21st follicle size became 24mm, My doctor then injected me with injection (I dont remember the name) , but that was for ovulation to occur then on 23rd day I ovulated(As per sonography reports, one follicle from my right ovary got ruptured). for continuous 3 days i had relation, but still I got my period on day 32 of my mensuration cycle. My doctor is now prescribing me to go for IUI. My concern are: 1. Why the follicle size is not growing when all my reports are normal? 2. why even after taking clomid the size follicle is not growing normally(1- 1.5mm a day) ? 3. Is my treatment is going on right direction? 4. Should I go for IUI? will it be helpful Please suggest Thanks", "output": "Hi, Thanks for your query. I read your query and I understand your concerns. Following is my reply:1) You might be having polycystic ovaries who generally ovulate late. This needs to be confirmed by scan from your doctor.2) Next time ask your doctor about using gonadotrophin injections which help in growing follicles.3) Your treatment seems to need upgrading. Please visit an infertility specialist.4) GUI has better success rate than trying naturally. Hence, you can consider it if there is difficulty to conceive naturally. I hope I answered your query. I will be available for any follow-up query you have." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, so I have severe pain in my gums and they are a bright red. They bleed a little bit when brushed. No matter how many times I brush my teeth or how many breath mints I take my breath still isnt the best smelling and its not normal for me. Also I had a little lump under my chin which in 2 days turned into 3 and its very painfull. The inside of my mouth is a mix between a yellow-ish and a red and the inside of my throat hurts badly. Its been this way for about 5 days I thought it would go away on its own. Im scared now whats going on?", "output": "Hello thanks for quarry, bleeding gums caused by gingivitis-inflammation of gums, mouth ulcers could be due to traumatic or authors ulcers,also you may have tonsils inflamed, may be a case of tonsillitis, then whole throat region will be appearing red, kindly do salt water gargle thrice daily, get an oral prophylaxis done-scaling and polishing and do gum massage with the pulp of your fingers,apply topical anesthetics for reducing the pain of mouth ulcers, hy Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Dr. I realised that i have certain psychiatric problem in 2005 and started with Feliz S 10, Mirtaz 7.5 and Clonotril 0.5. Was asked to take for 2 years and I was fine after that. But the symptoms came back in a worse manner just 6 months later. Again, I was put on Nexito 10mg and clonotril 0.5. Later, the medicine was changed to Fludac 20mg and then to Nexito 10 mg back again from last 1 month. I feel better for some time during medication , but if medication is off, then i return to same panic, depressed and anxiety disorders. What could be a long term solution? I am 31 and married. Thanks for your answers!", "output": "Hello Welcome to Chat Doctor The medicines Felix S 10 or Escitalopram, mirtazapine 7.5 and control 0.5 are given in Depressive episode mixed with anxiety. You were given these medicines for about 2 years, so I assume that you had episode of depression. When symptoms reoccurred you were given Next or Escitalopram 10 and then fluoxetine 20. Both are of same group SSRI. Long term solution of your problem? Depression is an episodic illness, it tends to occur in intervals or in episodes. So if you responded to medicines and then relapse of disease occurred there is no surprise. You have to continue the medicines for long at least 2 years and also go for Cognitive Therapy for early response. Once you achieve pre morbid level then maintain the condition by Cognitive Therapy. Don't afraid of medicines as they are very safe Chat Doctor. So visit a psychiatrist for opinion and continue medicines again. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here...Happy new year sirs. I have a problem with actute sneezeing. I have been suffering from this illment for almost 3 years. And eachtime i sneeze i see pint of blood when i spit. I hope you can have a solution to my problem.", "output": "Cellophane you for contacting Chat Doctor. Sneezing mostly occurs because of allergic response. As you have chronic allergy problem, so there must be some allergic element which triggers sneezing. If I were your treating doctor then I would have advised levocetirizine for it. Also, I would have suggested montelukast once daily for one month. Blood spit occurs because of severe sneezing response. It damages the mucosal lining which in return results in blood spitting. I would also suggest you to visit an allergist for detailed examination of what is the causative allergen, and then he will prescribe immunotherapy which will resolve it, hopefully. Thank You" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "how can I find a doctor that knows about severe traumatic brain injury? I got hit 4 years ago - died on scene - went to a great trama hospital - Tampa General - but even they don t know what to do about living with TBI - seems now I ve learned more than a doctor has about it. I was on life support and in a coma for a couple of months - died 3 more times there too.... know I got sent back for a reason - maybe to help folks understand about this..... just need help finding a doctor that can help me", "output": "Hi, I am Chat Doctor. I have read your question with care and understand your concerns. Let me try to help you Question: Which doctor to consult for severe traumatic brain injury? Answer : You need to consult a Neurosurgeon Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. Let me know if I can assist you further. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had elevated triglycerides at a recent doctor visit. Doctor ordered an ultrasound and was told I had an inverted kidney during the test. What does this mean and what might cause elevated triglycerides?54 - W male - 200lbs - diabetic - triple bypass surgery", "output": "Hello and welcome to Chat Doctor. As a Urologist, i can understand your concern. An incidental finding of this malformation, is not of any worry. If the kidney is not atrophic(shrunken), it should be working well. If there are any other changes noted, you should've a CENT(contrast CT scan). Thatll show the function of the kidneys very clearly.You'll need to take statins for your high TGL.(triglycerides). If you've any doubts, you may send reports as a direct question, in my name. Chat Doctor. Manga." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "dear sir. my self mahesh i am 25y old male. i was suffer from vericocele since 7 year. i was done vericocele surgery before 4 year. but now i have slight pain on the scrotum, testis, & the surface of penis. also my penis size is 4 inch please tell me answer", "output": "Hi greetings. Usually varicocele will not cause pain in scrotum. Rarely long-standing can cause some pain which will disappear after lying down. So if you are having pain we should rule out some infection in epididymis and testis situated in scrotum. Coming to the size of the Penis it is very much normal and more than enough to satisfy a woman. So to confirm consult a urologist. Hope my answer helps you. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my son is 2 years old now. when he was 3months old he developed reactive aiway disease and he was prescribed with budecort and asthalin inhaler. now since november he is having cough and cold with mild fever.once he was prescribed with antibiotics but with in 10 days again he had the same problem when he is on ast& bude inhalation doses.", "output": "HI, thanks for using Chat Doctor At his age, age 2, he is expected to experience up to 10 colds a year because his immune system is now developing. Most of these are viral and would not respond to antibiotics. When he gets a cold, there is an increased chance that he may wheeze, his doctor may suggest altering his medication at this point to prevent this. To help with his immunity, you can consider (1)making sure he uses a wide range of fruits and vegetables(2)the probiotics in yogurt may be helpful if he likes these(3) a multivitamins child Chat Doctor. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been on 60mg of methadone a day and also 10 mg. of oxycodone for breakthrough pain for about 10 years for severe back pain and it has really helped my quality of life. I am a Vietnam veteran and also have severe neuropothy. The VA has been a tremendous help in my life! Just wanted to let folks know that these drugs can help if used correctly and not abused!! Thanks for your time. Michael!", "output": "Hi, SIR THANKS FOR SERVING OUR COUNTRY !, A salute from civilian. Lets, start with understand what do we mean by \"POLYNEUROPATHY\", NERVES are like electric wire conducting the information from one point/ part to the brain and back, now nerve like electric wires have an insulation, but due to various reason the insulation layer gets withered and so the nerves will have issue concealing the information with the secure track (like short circuit as in case of electric circuit), and the information will be misrepresented as pain instead of mild touch or in matter of fact even heat can be represented by damage nerve to brain as PAIN. This is major issue in polyneuropathy, It's not yet possible to entirely replace the lost insulation of the nerve. Now cause for polyneuropathy are various as well as the treatment varies with different cause, Following are the causes and available treatment,1) Diabetic polyneuropathy - treat diabetes and keep sugar in control and give pain medication for symptoms of pain.2) Alcoholic polyneuropathy- Stop alcohol consumption, pain medication for pain if needed.3) Familial amyloid polyneuropathy - Tatamis (only approved by European Union not by FDA yet)4) polyneuropathies due vitamin deficiency - vitamin replacement. + pain medication for pain if needed5) Autoimmune polyneuropathies - Immunosuppression therapy, + pain medication for pain if needed. *********************************************************************************YES so the METHADONE AND OXYCODONE will help if taken correctly, and thanks for the COMMENT." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have edema in my legs from a liver condition. I take diuretic (Lasix) and Aldactone to releve the swelling and rid of water retention. I am taking a 20 hour flight in a few days. Should I wear a sock during flight? I also have varicose veins. Should I take Venoruton? Thanks.", "output": "HI, How are you? My name is Chat Doctor. I am a Liver transplant surgeon and I hope to answer your question today. I am sorry to hear about your problem. Leg edema is a frequent complication of liver failure. It is due to low protein levels and combined with varicose veins, can be very troublesome. Since you are already on diuretic therapy, I would advise you to wear \"compression stockings\" which are usually available in any " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Respected Sir, My father suffering from weist pain, leg pain. Doctor decited spinal cord operation must. Now operation completed but pain dont out. He is shouting for pain. doctor prescribed akt-4 tablet will be take quantiniue one year. now what we do?", "output": "Dear Patient, Since your father has been started on AKT4, it means that he is suffering from tuberculosis of the spine, the surgical treatment of decompression has already been done, as your history suggest, but the medical treatment to cure the disease takes 12 to 14 months to complete, if routine pain medication are not giving relief, I would recommend you to see a pain medicine specialist, and under his guidance control pain, let the ATT continue, but please see that the dosing given is weight controlled, as inadequate dose, and multiresistant bacteria is the main cause of treatment failure in TB. I hope this helps you, feel free to contact for any other informationThanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My mom slipped and did the splits on my back porch Friday.she said she heard something pop under her butt cheek. She has been to the Dr , they did a xray now she waiting for those results. Her Dr said it was more then likely just tissue damage bur she s an medical assistant and she thinks its more then what the Dr said", "output": "Hi, thank you for providing the brief history of your mother. As mentioned she has taken an x-ray for which she is uncomfortable I will recommend undergoing a CT scan of the skull. As certain times injuries to facial bones are not seen in x-ray and also soft tissue injuries don't make much sound. If any bony abnormalities are present due to injury a CT can detect and plan the next rehabilitation processRegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. My husband has been under a lot of stress lately. Due to my health issues. I have recently in the last month been having seizures, these are new onset seizures. I have never had one before. He has never had blood pressure problems until now, and has never had a major anxiety disorder until now. Recent;y, his blood pressure hasnt been below 152/98 and the highest its been is 178/118. He has been started on a BP medication Atenelol, but has been experiencing numbness in his right hand on his ring finger and pinky finger. It is constant, and its starting to get to where its worrying me! Should we ask his Dr to change his med?", "output": "Degree understand your concerns went through your details. I can understand. High blood pressure could be due to the anxiety disorder associated with your health issues, as well as white collar syn Chat Doctor. Thinking about having his blood pressure checked might trigger high blood pressure. His anxiety also needed to be managed. You should talk to your doctor regarding this. After thorough check up, on finding nothing is wrong organically, you should request your husband to consult a psychologist for anxiety related behavior and cognitive therapy. He should be alright within months. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, Im 49 yrs. old and had a series of issues, this past year regarding my upper respitory, including pneumonia twice. Just recently, I feel im getting these symptoms all over again, however, I have heaviness in my legs along with this, which I never had before.Could this be something entirely different?", "output": "Respected user, Warm welcome to Chat Doctor.come have evaluated your query thoroughly.* Respiratory issues are in relation with lung infection either relapsing pneumonia or else.* Legs issue may be in association with lungs or not as - weakness induced cramps - other pathology as low hemoglobin, vitamins, minerals, anti oxidants - mobility related issues - perfusion related compromise - other systemic disorders.* Needs detailed case evaluation with series of necessary lab tests, x-ray of the chest with or without Doppler examination of the lower limb according to the clinician concern. Feel free to ask any further questions. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My left foot/toes are freezing it feels like there is no circulation and they have pins and needles ive been to my gp and have had an mri that came back clear we have no idea what it is i had a blood test today and am going to see a neurologist, i just want this solved i havent been able to walk or run properly for a week", "output": "Dear patient what is your age and what is the duration of your symptoms. This should be always mentioned. Tingling and numbness In left foot may be due to local pathology in foot or due to pathology in lower spine. Are u having back pain ? If yes possibility of disc prolapse is there. Common perineal nerve involvement at lateral aspect of knee may also lead to foot Chat Doctor. You said MRI is done but did not mention for which area it is done? I mean foot or spine? Your visit with neurologist is highly recommended. Meanwhile start tab regain x 75 at bedtime for relief.thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 4 year old has been complaining of a stomach ache for about 4 days now, she will be fine one minute and then will complain it hurts again. yesterday she puked and had runny bright green stool... now today she is crying her stomach hurts again and she just vomited, whats should i do?", "output": "Hi, Abdominal pain, loose stools and vomiting indicates acute gastroenteritis. If she don't have fever and stool does not contain mucus or blood, we need not worry. Give zinc syrup (20\u00a0mg / 5ml) 5ml once daily for 2 weeks and ondansetron syrup (2\u00a0mg / 5ml) 5ml 2-3 times a day for 2 days. Abdominal pain can respond paracetamol. Also give frequent sips of fluids like ORS solution after each stools to prevent deny Chat Doctor. She will be fine in 3-5 days. If she develops fever, stool becomes blood stained or becomes lethargic with poor feeding, kindly take her to doctor. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im 17 year old male, 6 foot, and 175 pounds. Im afraid the tube that semen moves through from my left testicle is clogged. I masterbated earlier while not purposfully pushing on my the top of my ballsack with my left hand. Now, it is very the tube is very swollen, thick, and lumpy. mY right testicle did not have this problem, it is normal. Is there anyways to unclog it without going to a doctors office? Thanks", "output": "Hi, thank you for quarry. As you mention that your left testicle tubes look like swollen and blocked there is a condition called varicocele in which laciniform venous plexus become prominent causing worm like swelling in 90% on left side due to its anatomy. Its cause male infertility with reduction in sperm count along with production and structural abnormalities of sperms. Sperm count along with Ultrasonogram required to confirm the diagnosis. If its confirmed no medical treatment only surgically its corrected. After surgery prognosis is good and improve semen bulk and fertility in males. Hope the answer will help you. Wish you a good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi so I ve had a spinal fusion for scoliosis four years ago and I was fine until September when my back started to hurt when I had a cold and hasn t stopped. I feel something moving at the top of my spine and it s really freaking me out, not to mention there s a bump on my spine that s hard and tender and my shoulder blades are really painful and itchy. Now all of a sudden on the top of both my shoulders by my collarbones are these big hard bumps. What on earth could be wrong?", "output": "Hello, I have studied your case. I will advise you to do MRI spine and CT scan spine. There may be aggravation of deformity, If there is any neurological involvement then you may need surgical correction. For symptoms analgesic and neurotrophic medication can be started. You can consult neurologist and spine and physiotherapist for Hemphill time, avoid lifting weights, Sit with support to back. Continue your exercises. You can consult physiotherapist for help. For symptoms analgesic and neurotrophic medication can be started. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have extreme apathy, a lack of mental energy, a lack of focus, a lack of drive and motivation, inhibited executive function, (I cant make long term plans and stick to them), poor short term memory, procrastination and indecisiveness, inability to concentrate sufficiently to read a book, very poor verbal fluency. no suicidal thoughts. I don t think i have depression i think it s something else. what do you think?", "output": "Hello thanks for asking can understand your concern. You have symptoms like extreme apathy, reduced energy, poor focus, reduced motivation and Chat Doctor. The mood is more or less not affected as you haven't mentioned this. If we consider the information you provided then two main possibilities can be there. One is depression, which you don't think you have. But even if you have normal mood and no disturbance in functioning even then reduced energy, lack of motivation, poor focus, apathy, indecisiveness etc. could be occurring due too mild to moderate depression. This should be evaluated by a psychiatrist. Other possibility is adult ADD. In adult ADD poor focus, procrastination, indecisiveness etc. are seen commonly and this could lead to other symptoms which you've mentioned. So please visit a psychiatrist for evaluation and diagnosis. Thanks and Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ive been trying for a baby for a year with my partner i have normal periods .. ive noticed my husbands semen is clear like water i went to the doctors he said i dont fall into the criteria for fertility tests im twenty and my husbands thirty please help me", "output": "Degree understand your concerns went through your details. Watery semen doe snot mean low in fertility. The water content in semen depends on so many aspects and the thickness varies. You need to conduct fertility tests to determine the fertility of the semen. You told you are trying to conceive. There are time periods where you should try to conceive. 10 days after your period and 10 days prior to the next period is ideal time period. You get almost 10 days. Try to conceive in these days. If this is not a success, you may approach an infertility specialist for fertility test. If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I got my second ear lobe piercings done about 4 months ago. Its been taking a while for them to heal. Today I was changing and my ear got caught on my clothing and I pulled pretty hard. Now, its pussing clear liquid and is kind of throbbing and feels swollen and hot. Is it infected? I try to clean them regularly.", "output": "Hello, Infection of the ear-piercing can be due to wearing ear rings made of metals that are not inert in nature. Such metals decompose when exposed to air, water and can release decomposition products that can cause allergic reaction and infection. Some individuals with sensitive skin tend to get the reaction faster and can cause irritation, pain and fussing. So, first she should not wear earrings till the infection gets healed. Clean the ear-piercing site with Betadine solution and apply antiseptic ointment over it. Do cool compresses. Once it heals, she should wear earrings made of inert material like gold or plastic. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Beginning yesterday my tongue and throat/esophagus started feeling swollen. It has continued today. No breathing problems yet, but Im worried this is going to get worse while I sleep. It feels like a lump in my lower throat. My tongue isnt super swollen but seems bigger that I notice it in my mouth, pressing against the front roof of my mouth. I also have been burping more than normal but do not have any burning sensation. Ive read several things but not sure what to make if it. I have a doctor appointment next week, but wondered if I need to see someone sooner. What are your thoughts", "output": "Hi, Welcome to Chat Doctor .com. I had gone through your question I can understand your concern about your tongue. As per your history, signs and symptoms it seems to me that you are suffering with allergic reaction to your tongue and throat, or it can even be the infection to the tongue too. You don't need to worry, in case there is any difficulties in breathing you need to visit the emergency room as soon as possible. Otherwise, there is no need, sometimes because of acid regurgitation there seems to be numbness in the tongue, and you feel it is swollen, but practically it is not like that. You can have pantoprazole in morning empty stomach once daily to reduce the burping and regulations. Also take antiallergic like. Levocitrizine to reduce any sort of allergy. If you feel any breathing difficulties please visit the emergency room. Hope my answer will help you and visit us back if you have any further questions. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "During intercourse I have had fluid in my lungs 3 times and today I quit before it got bad. I e-mailed my doctor but no answer yet. I don t have this problem anyother time. I found out it sounds like pumonary edema. I know it is to be checked and I have a stres test on Friday. Advice?", "output": "Thanks for your question on Chat Doctor. In my opinion you should avoid heavy exertion and take rest at home. Get done TMT (Trade Mill Test) first to rule out cardiac cause. There are many causes for fluid in lungs but when it is due to cardiac cause, we call it as pulmonary edema. So we need to rule out cardiac causes first. I advise you to get done 2D Echo also for evaluation of heart function. As decreased heart function lead to pulmonary edema." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i went to exercise class for heart people and i had good bp reading 112/70 however my pulse rate was at first before exercise 112 after 121. i find also i have lost weight and got back my smell and taste. this has been transitory gone gor months then back.however i believe the senses may be tied to stress or sinus. this electric anxiety i have in dealing with problems may trigger senses. is there a connection. now i can taste and smell lately. i do however have anxiety tonight. thanks from cape breton", "output": "His had gone through your query. I understand your concerns. Anxiety is unconcerned fear with physical symptoms like heart beating sweating etc. It can be controlled by nature way improper sleep and diet.Stress-free activity pleasurable activity, music and hobbies. I have treat so many patients with mild dose of benzodiazepine and mild dose of SSRI, in SSRI mild dose of Escitalopram and paroxetine like Chat Doctor. Still have a query then feel free to ask. Thank you. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I m expected to have my period in 2 days but I have been feeling some cramping pains like you would your period but it hasn t arrived yet...I don t usually get this pain without having a period a few hours later. I ve had this pain for 2 days now and it comes and goes, I also have some tiredness and heartburn . What should I do regarding these symptoms?", "output": "Dear Leana, abdominal cramps are, unfortunately, a usual symptom during and before the periods. Cramps are caused by prostaglandins which cause uterus contraction. The contracting muscles help push the blood out through a girls' vagina during her period. So these contractions can be mild or very unpleasant and can vary from month to month. Also, other hormonal disbalances due to menstruation cause nausea, vomiting, headache, fatigue and abdominal swelling. Girls who are younger when their periods start, who have longer periods or heavier blood flow and smoking are a risk factors for cramps. Heartburn can be related to this story, but also it can mean TAH you have some kind of gastric problems such as HERD, Ulcer/gastritis, so you should do gastrostomy to find the exactly what's going on. Use analgesics(nonsteroid) for pain relief because they decrease prostaglandin production in blood. To be sure that you're healthy do gynecology examination and pelvic ultrasound to check your uterus and ovaries and steroid hormone levels. Wish you good health, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I consider myself to be a healthy male,19, always active, but eveytime i drink a protein shake (jay robb protein, half a bannana, berries, almond milk) my chest hurts left lower pectorial and left upper ab. This has been going on for quite sometime now, over a year, no doctor that i have visited has given me a clear answer they just say \"it may be this or it may be that\" any help at all would be appreciated.", "output": "Hi Dear !! Thanks for your query to Chat Doctor. Read and reviewed your query and health concerns. IN the given situation, You seem to have suffered from-Banana -fructose/ or Milk shake-with lactose intolerance / or Whey protein in -Protein powder allergy, would be possible cause of Chest pain after Chat Doctor. Chest pain with left pectoralis muscle pain-is due to allergic gastritis and esophagitis is due to protein, milk and banana allergy. Food intolerance testing with biopsy of the small intestinal mucosa, would resolve the issues in diagnosis and would resolve treating it accordingly. Hope this would help you to plan further of this complex illness of yours. If need be, update any health issue 24 x 7 by a direct question to ME, at following Chat Doctor link-http://doctor.Chat Doctor .com/Funnel?page=askDoctorDirectly&docId=70229Dear, if satisfied, Dont forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at Chat Doctor services. If you want to update more details and ask more update queries, You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Sir I,m problem with Premature Ejaculation within 5-10 Sec I finished my activities because I,m failed So whats I will do I have Diabetics & I will take metformin 850 two times a daily.So please tell to me whats kinds of Indian medicine I will take or whats treatment I already taken before therapy in before also.", "output": "Degree understand your concerns went through your details. Most of the premature ejaculation problems are due to anxiety and apprehension, and they are purely psychological. Diabetic induces some tiredness into the system and more anxiety. Most of the people affected with diabetics do complain premature ejaculation in the early stage, and it becomes alright itself later. I suggest you to consult a psychologist for counseling. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have stuffy nose and congestion from past many days now and it does not seem to be common cold/flu as I was suspecting it. It seems like alergy to me which is common in Bangalore during this time. Last year my doctor prescribed Tab Montek LC (1 at Bed time for 3 days) and Tab Montek 10mg (1 at bedtime for 7 days). Along with this she also recommended Capsule Mucolite SR (three times a day for 3 days). And after three days, she asked me to continue the Montek LC for another 5 days. Unfortunately she is out of town now. Can I take the same medicine and dosage?", "output": "Hi there!I agree with you over the fact that allergy is common to Bangalore, however all attacks of cold/flu cannot be attributed to allergy. Morever indiscriminate use of anti allergic is not advisable. What I have seen in general is intensive steam inhalation using capsules of Karol plus along with tab ivory will bring you good relief. To confirm an allergic etiology to your cold you should check your serum IG e levels. If elevated they need to be monitored and specific antigen needs to be isolated for long term precautions and benefits.I would also recommend you getting yourself evaluated for chronic sinusitis as this also contributes to chronic cough and cold in many cases. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a cracked tooth, and yesterday, my dentist prescribed some vicodin. I have been taking 600 mb of Ibuprofen every 7 hours or so. Can I continue to take the Ibuprofen while taking the Vicodin? Also, if I don t take any Vicodin, how often can I take the Ibuprofen, and how many mg can I take each time?", "output": "You have to take either one of them they both are analgesics there is no use of taking two analgesics you can better take Vicodin and stop ibuprofen and also get your tooth checked properly and get an x-ray of the victim tooth if root of your tooth had not fractured than it can be saved by simply doing root canal treatment and giving you a ceramic crown which duplicates your teeth and maintain aesthetics." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am having symptoms of a sore tongue and gums, like the skin in my mouth is tight. It is a dull ache most severe on the sides of my tongue and lower parts of the inside of my gums. My teeth are not sore and I really am healthy with no other symptoms. It is painful to eat, hence the concern. Anything you may be able to deduce from this? Thanks for your help! Gabe", "output": "Hi. Thanks for the query. It looks like you have inflammation inside mouth. Due to inflammation you are experiencing pain and soreness. Inflammation and soreness can be due to numerous causes, but common ones are allergy to certain foods or chemicals, deficiency of or vitamin B 12 or both, burning the inside of mouth while eating something very hot or irritation with any chemical substances or mouthwash etc. Fungal infection can be another cause. So first consult an Oral Physician and get the cause ruled out. Treatment of the same will help in relieving the oral symptoms too. For now symptoms can be managed with gargling with numbing mouthwash containing Lidocaine like Magic Mouthwash. Start taking vitamin B complex supplements daily. You can also do cool water rinses and suck ice as both of these can absorb heat and reduce inflammation. Avoid hot, acidic and spicy foods. Hope this helps. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,10000/CMM then it is a bacterial infection and would need antibiotic like septum.Otherwise, viral cold infection resolves on its own. Adv-1. Steam inhalation2. Adequate rest.3. Plenty of oral fluids4. Salt water gargles.5. Medications like minaret and Monte LC can help. In case of worsening of symptoms refer to a general physician immediately, as swine flu has to be ruled out. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a 21 month old who is constantly teething and congested. Ped says hes normal. Tonight I heard a slight wheeze when he woke up. Hes been waking overnight at least 4-5 times crying. I have a humidifier in his room on now. Does this seem to be allergy symptoms or pneumonia/bronchiolitis?", "output": "Hi, If you got him checked by the PED recently, and if he did not mention pneumonia/bronchiolitis, then, this is excluded. However, I highly suggest getting him physically examined by the PED for further evaluation. Usually, when having common cold/viral infection, the upper airways are congested and become narrowing. This is associated with difficulty in breathing. I advise to: - do aerosol-therapy with saline-keep his nose/airways cleared/opened-give him plenty of water/fluids to avoid deny Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband has a very bad cough,last year had pneumonia.He is81 years old.went to an urgent care clinic,they prescribed the following AZITHROMYCIN TABLETS OF 250mg to be taken for 7days They gave him 2 daYs in a row an injection of ROCEPHIN They want him to go back to the clinic tomorrow for another injection of ROCEPHIN Could you please tell me if this is correct,and if he shoul continue takin more injection", "output": "Hello dear thanks for your question on Chat Doctor. No, this is not the correct way to treat. Old age patient, with bad cough with history of previous pneumonia should be investigated to rule out pneumonia. As pneumonia in old age patient, if not treated early can lead to poor outcome. So I advise you to consult pulmonologist and get done1. Chest x-ray.2. Sputum culture and sensitivity to guide antibiotics.3. Bronchoscopy and BAD (Bronchoalveolar lavage) analysis if sputum is not available It is better to start antibiotics according to sensitivity report to achieve the greatest effect and fasten recovery. So avoid Rocephin injection further and consult pulmonologist and start treatment according to guidelines." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am being treated for lichen scelorsis at the moment. I was told to take a bath everyday. Since starting this my psoriasis has flaired up worse than ever. Its terrible. Im using dobovate cream on it at the moment. do you think the baths might be the cause problem. Is there anything else you would recommend?", "output": "Hi, As you said you suffer from psoriasis and that is worsened after treatment of lichen sclerosis. You also have doubt that daily bathing is responsible. I would like to say about few lines for psoriasis.... Psoriasis is a chronic relapsing and autoimmune disease. There may be scaly plaques on various parts of the body, scaly lesions on the scalp and sometimes joint pain may be there due to politic arthritis. Exact cause is not known. Genetic tendency, autoimmunitity, stress, Chat Doctor. .etc. may be responsible for precipitation and exacerbation of the disease. You did not say what treatment you took for lichen sclerosis. If your doctor has given oral steroids or steroid injections for lichen sclerosis.that would have worsened the psoriasis. I do not believe that daily bath is responsible. I usually recommend cap accretion 10 mg twice a day along with methotrexate 15 mg weekly in three decided doses 12 hourly. This may be taken for long time till good response. Blood tests may be done to monitor the treatment. Apply mild steroid cream or calcitriol point on the lesions. For scalp psoriasis, tar shampoo may be done. You may apply moisturizer to improve the skin texture. Avoid soap bath for few weeks. Avoid stress and worries as that might worsen psoriasis. I hope you got my answer. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a sharp pain in the middle of the spine. I had a c section 2 years ago and have gained 25 kgs during my pregnancy at it was high risk and I was n bed rest. Though I have lost 20 kgs after that but the back pain lower and recently in the middle of the spine is unbearable. I also haVe neck ans shoulder pain for quite sometime now. I am a working women and most of my work involve working on the computer.i have the pain the middle of the spine at around the spot where I was give an injection for my c section. Pls advise", "output": "Hi, I believe that a good physical workup should be performed to discover the most likely cause of the localized back pain. It seems that you've lost nearly all the weight you gained during the pregnancy, so mechanical causes of back pain are probably less likely. Still a good examination to distinguish different types of back pain including the possibility of chronic pain following the c-section is worthwhile and can help identify even other causes of chronic low back. Psychological stressors causing back, shoulder, and neck pain are very common and even physical stressors such as working on computers without proper back/neck support or not taking frequent enough breaks, or being tensed in the shoulders and arms while typing constantly can play into the picture. In short, a number of potential causes can be in play. A good physical examination by a good physician with proper imaging studies and other workup will do a lot of elucidate the root of your problem. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have lower back pain on my right side. It is very hard to stand in one place for more than a few minutes and bend and pick things up. Last week I had an episode where I couldnt move it at all without screaming in pain. That was an extreme but this has happened now about three times in the last two years. The pain standing and bending happens all of the time. I have RA and I am not interested in steroids or pain meds I just want this to stop. I am only 42 and I can no longer excersize like I used to. I have Florida Blue do I need a referral to see a back doctor?", "output": "Hello, Thanks for your query. It seems you are suffering from degenerative disc disease & it occurs due to repetitive overload or stress to the disc & it increases the risk of disc herniation & spinal canal stenosis. The main treatment of such pain is bed rest along with painkillers and muscle relaxants. Muscle relaxants can help with your symptoms if used in appropriate dosage in combination with a potent analgesic. You can get the appropriate Chat Doctor. Meanwhile, you can follow these measures:- If the pain is severe, you need bed rest till the pain resolves. - Get some analgesics prescribed and apply analgesic spray or ointments.- While resting, keep a pillow under your knees if it doesn't bother you.- Avoid lifting heavy objects.- Back strengthening exercises and stretching exercises daily as advised by a Physiotherapist.- Avoid exercises in times of pain. - Improvise your posture while sitting.- Using an LS contour belt of appropriate size might be helpful in providing support to back muscles. Also, maintain a proper posture while working, sitting and standing. Keep your back straight. Physiotherapy plays a major role in treating such conditions. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello! my daughter is 3+ yrs old. she is good on all activities but she is thin. she can not eat all at one go, she eats on regular interval. She is thin and her wweight is also less, currently her weight is 11kgs.. So I like to know how can I increase her weight and immune system well.Thank you,Bhavesh Vora", "output": "Hi Read your questioner daughter is under weight According to u your daughter eat at regular interval For weight gain u have to give her all types of food And also pulses and cereals U have to give her chelcerol sachet (one sachet on every week for 10 weeks)Also give her protein powder if not taking pulses in food Give food regular intervals but healthy food not biscuits or refers and other junk food Give daily morning Paley(spinach) soup which contains iron Also give her weather fruits and vegetable. If not gaining at properly then consult pediatrician and ask him/her for diary chart for your daughter" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am in pain with h&h and its so painful. i am on that on medication that starts with an A. i have always been depressed but its gotten to the point where i dont care about the depression and i just want this gone!!!! it its the wrost pain ever. if we are being honest i will tell you i truely want to die. its sad but true life isnt worth living when you are in pain every day. people can say they accomplish everything when you are disablied but truely its not true. i hate this sh and i am sick of being in pain. my doctor has no clue what to do", "output": "Degree understand your concerns went through your details. Clinical depression is usually treated with a combination of psychiatric medicines, psychotherapy, lifestyle changes, meditation and exercise. I hope you are undergoing psychiatric treatment, otherwise, please approach a psychiatrist. The pain you are mentioning here is due to your obsession with the pain. You should engage yourself in creative activities and agile games. Rest will be taken care by the medicines. Don't be obsessive and panic. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor, Nice you have given us a chance to clarify doubts via online! Ah im Ahamed from Sri Lanka, so hope you know what our skin colour is. Actually I wanted to become fairer because I wanted to attract my girlfriend as well as to have a change in life... So the only person can help me is YOU!!! My skin type: oilyAge: 16Ah so please let me know a good fairness cream which will turn me fair within a month, please DoctorThank you...", "output": "Hello and welcome to Chat Doctor. Skin color I genetically determined. Asian skin is type IV skin which contains fair amount of melanin and is prone to tan quickly as compared to Caucasians/ people in the west who have very less melanin. Skin type cannot be changed but regular use of a broad spectrum sunscreen gel, which offers protection against both UVB and UVA, can be used to prevent sun induced tanning. A cream containing one or more of the following ingredients e.g. comic acid, glycolic acid, abuts, magnesium absorbed phosphate etc. can be use once daily at night to lighten up the tan and impart even tone to the complexion. Hope this helps you regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have pain on the right side of my back upper right hand quadrant like dull and stuff but certain movements make it more sore. After having cream put on it this evening there seems to be likely swelling just below the shoulder blade to the right hand side just below and back from the armpit", "output": "Hi, as you mentioned your symptoms it looks more of the pain towards the shoulder blade, and it is due to inflammation. You can under therapeutic ultrasound therapy and TENS therapy for reducing the inflammation and pain. Also performing Myofascial release will help the muscle fibers relaxed. Seems like, it is trapezius muscle spasm pain which can be latter helped by performing Strengthening exercises. A physical therapist will help you further is needed any deep understanding. Usually patients recover within a week of time under the physical therapist guidance. With the grace of God I wish you a speedy recovery. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am 30 and have no erection provlems but about 10 years ago i tried to masturbate over a pillow and while making to and fro motion over pillow i felt that i hurt someting in my penis but feeling was not so strong.since then i have provlems of less stiffened penis though no erection provlems.during musterbation i am not able toget full pleasure.please advice me what i should do sir", "output": "Dear user, Thanks for writing to Chat Doctor. I have gone through your question and understand your concerns. According to your description, there is almost nil possibility to have traumatic injury causing erectile dysfunction in your case. Let me know whether you achieve and maintain an erection in sleep, in the early morning or during masturbation then there is no need to be worried about. It is likely due to performance anxiety. For continuous erection, there must be constant erotic/romantic thoughts, feelings, and sensations in your mind. If your mind is diverted to concern about erection, you will lose erection or have delayed or no erection. This failure causes you worried more during next time and again makes you focusing on your erection rather than enjoying erotic feelings. You may read Senate focus on internet. I suggest psychological counseling with psychiatrist. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello... I have been feeling very depressed for ages, I forgot how long, all I know is that my depression is always somewhere, sometimes, I feel no emotion, empty, hopeless, angry, lonely, depressed, sad, isolated, grief, and very guilty for no reasons. Almost every single symtom for depression and major/severe despression fits me, except maybe one or two. I think this was caused from 8 months or more of loneliness and isolation at school, having no friends. I also have social phobia, an eating disorder, sleeping disorder, crossed-eyes, and more weird and strange diseases. D:", "output": "Hi, Thanks for using Chat Doctor. I have gone through your available history. It is very common to have depression as a comorbid condition with phobia and eating disorder. You must consult psychiatrist for detailed evaluation and management. There are very good Chat Doctor. Doctor may prescribe antidepressants like paroxetine or fluoxetine. Meanwhile, you can also do stress management and relaxation therapy like breathing exercise and yoga. I hope you will be fine soon. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I fell at work, hit my face and fell on my left side and left knee, which bruised my nose which has now healed and my knee was black and blue, but it s starting to really hurt when I walk, I strapped it up and it seemed to help, however today I got home and my leg has doubled in size my leg aches, and my ankles have disappeared! Very swollen! Do I go to the doctors? Keep putting ice on it? In need of advice-leanne", "output": "Hi, Thanks for your query. From description, it seems to be soft tissue injury. You need an x-ray to rule out any bony injury. I suggest you to consult an orthopaedician nearby for a detailed examination. You may get the X-ray of the area affected under his/her guidance. Beside icing and elevating it, you can take anti-inflammatory Chat Doctor. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, the left side of my lower abdomen just above my pubic area feels bruised when I press it. I am not pregnant, and I just started feeling this yesterday evening. My period is 14 days away and I do not remember bumping into something but it might be a possibility that I did. I have no trouble using the toilet, and no pain unless I press against my lower abdomen. I hope you can help! Thanks", "output": "Hi, Thanks for the query. Pain in the abdomen can be due to various reasons. During the menstrual cycle, ovulation (release of eggs from ovary) takes place around 14 days prior to the start of menstrual periods. Occasionally some people feel pain in the abdomen during that time. Other than that, if you have any other symptoms relating to your bowel movements or urination, those also could be a cause. You can wait for 2-3 days to see if the pain is subsiding by itself. If it does not subside, then it is better to get examined by your family physician. You can also get an ultrasonography of the abdomen done to see if any abnormalities is happening there. Hope I have cleared your concern. Please let me know if I can be of any further assistance to you. Thank you. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor,Im 22 year old and I have been having minor depression for the past 6 months.About 4 months ago I passed out at work due to the pain in period, my doctor suggested me taking birth control pills. Im getting worse with my depression and Im worrying the birth control pills not helping with my depression although they helped my period problem. Im feeling hopeless, please help!Hopeless", "output": "Degree understand your concerns went through your details. I can understand. Birth control pills do have these problems. Have you got diagnosed your mild depression from a psychiatrist / psychologist? You cannot diagnose depression yourself. There are certain criteria and need to diagnosed deferentially. You could just be disappointed and irritated. In such a condition also symptoms that resemble depression manifest, but are short-lived. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have two dry patches on the palm of both hands and have had it for over a year now. It itches from time to time but not always. I continually keep moisterizers on it. I am a nurse and wash my hands alot but have not changed soaps or skin moiturizer since it started. I have never had any allergies to anything and am 61yo. what could it be?", "output": "Hi, Welcome to Chat Doctor, You could be having a type of eczema which is known as pompholyx where one gets multiple tiny Chat Doctor. These are usually seasonal and occurs over palm and also on soles and side of fingers. You can apply a steroidal cream like mometasone and a good moisturizing cream. However, the correct diagnosis can only be made after careful inspection of your skin of palm by skin specialist. Hope this answer will help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Can this be throat cancer?i have been suffering with pain in and around my ear fire about two mos now I saw an ent who said no ear infection I even saw a neurologist who said no nerve damage, sometimes I feel tiredness in my face as well my dentist said I should be checked for tmj I m twenty four and a smoker please help", "output": "Hi, Why do you smoke when you are so worried about getting a cancer? You have visited an ENT specialist, a Neurologist and a Dentist; none of them have detected any cancer; hence cancer should be highly unlikely. Moreover, your Dentist seems to be suggesting that your ear pain could be due to TMJ arthritis; which could be true. In that case eat soft foods and do not chew on that side for couple of weeks. Nevertheless, you need to quit smoking; otherwise the cancer can catch up soon in any smoker, and you may not be an exception. Sreenivasan" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my dad is 74, his kidneys are functioning at 6%. He has enlarged prostrate glands but the doctors are not concerned of this at the moment. He is not on dialysis and is doing quite well for a person whos kidney function is at 6%. Can prostrate glands affect the kidney function and bring it down to this level of function?", "output": "Hello, Thanks for the query to Chat Doctor. Forum. Benign prostates' enlargement is most common among male around 60 years. This prostate will not make any impact over kidney, so need not worry. When retention of urine, if occurs than get treatment of prostate enlargement. Usually it is 18-20 gm, is mote than 30 gm get a treatment from a surgeon. Conservative treatment is sufficient, surgery not necessary. Good luck. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had started masturbation at the age of 20 and now i am 24..i used to masturbate daily..i have been facing problems of soft penis, premature ejaculation, soft erection, reduced interest in sex also no erection in the morning. I have stopped masturbTing from 10 to 15 days but with no improvements..I am very worried and dont know what to do Please help", "output": "Degree understand your concerns went through your details. The problems you are mentioning here like soft penis, premature ejaculation, soft erection, reduced interest in sex also no erection in the morning etc. are due to psychological problems rather than physiological problems. You should consult a psychologist or sexologist for counseling. If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a pricking and pushing, spasmodic pain in my lower abdomen since 2-3 weeks. An ultrasound of the abdomen and pelvis shows a normal study . I have acidity and gastric problem specially early in the morning and subsides after having breakfast. My pain worsens the moment I get stressed.", "output": "Hi and welcome to Chat Doctor, This can be treated with anti-spasmodic and gastric medicines along with antibiotics. Hope your doctor prescribed the same. Continue the same medicines as prescribed by your doctor. Chat Doctor. Do you have pain in left lower abdomen? In my opinion you can do barium meal 24 hour picture to rule out diverticulitis. Do you have fever, constipation or diarrhea? May be scope study will give clear picture. Also stool ova and cyst lab study will be useful to rule out meiosis. Wish you speedy recoveryThanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 12 year old daughter suffered from tachycardia a couple of months ago. She is perfectly healthy, active. By the time she was brought into the ER by ambulance from school her heart rate was 205 bpm. She had an ultrasound and heart monitor all results were normal.We found a large amount of mold in her room behind her dresser and under it, could this episode be due to mold exposure?", "output": "Hello, I understand your concern. I am Chat Doctor, infectious disease specialist, answering your concern. Mould never causes tachycardia. Mould can cause respiratory infection, superficial or subcutaneous infection. Mould has nothing to do with the heart, so it never causes tachycardia. But having large mold at home is serious issue and can cause other health issues. I suggest you to do some engineering method to remove those molds, or you can spray some fungicidal chemicals that can cause destruction of the mold. In long period it can cause allergic reaction to you and your child Chat Doctor. I will be happy to answer your further concern you can contact me here, or you can contact me on bit.ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am on Depo I got my shot a week late. Me and my Fiance had sex a week ago.That next morning I was spotting pink only when wiped.While I was at work 2 days after it was a little pink in my underwear once again I wiped and it was a small amount on the toilet paper. We have a 5 month old son and I am breastfeeding", "output": "Hi Hope this message finds u in good health. I have gone through your msg and understand your concern.it may be due to some sort of hormonal imbalances or variations in the body, though there may be other reasons as reclothing to worry about, You should eventually get back to normal. Take multi vitamin and calcium supplements Do consult a gynecologist if symptoms worsened back to me for any FOLLOW-UP QUERIES anytime. Chat Doctor. .(MBBS, MS,MCH)" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my boyfriend is experiencing some tummy problems with it rumbling and feeling generally uncomfortable. He also has quite a high fever and his skin is pretty sensitive. He had breakfast and lunch but is feeling too weak to eat anything now. He tried to vomit, but to no avail. Is this just because his system is run down due to stress and exhaustion or is it something more serious? He rrecently started taking vitamin b supplements, but im not sure whether or not he is still taking them. Any suggestions?", "output": "Hello, You are talking about a weakness, upset stomach, discomfort, high fever and sensitive skin. Vitamin B supplements may not have anything to do with his present conditions. Because he has high fever, it should not be taken lightly. Therefore, my advice would be to consult a doctor earlier. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. V. Anand, Psychologist" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am RAJE,Female,24 yrs..I had a polycystic ovaries and I have done follicular study for 2 times as well as HSG also and for my husband age -30-he has count -110 & motility as 25-28...so Doctor referred him for Scrotalscan with Doppler-In that report Left side Varcicole is mentioned......What to do for next step Thanking You Warm RegardsRAJE", "output": "Hello First about Varicocele:Operation for VARICOCELE is not indicated unless there is :(1)pain;(2)serious depression of spermatogenesis (oligospermia) . In your husband there is abnormality in count as well motility, so I advise you please get in surgery for varicocele for your husband. This will not only improve quality of sperm as well counts. Now about PCs (Poly Cystic Ovarian Syn Chat Doctor. Using birth control pills can sometimes help regulate hormone levels so that cysts can be taken care of. Your gone will likely want you to come back (after the use of oral pills) after you have been on the oral control pills (some doctor also advise cyproterone acetate for this purpose)to see if the cyst is gone. At that time doctor may suggest you stop using the medication or if indicated, you Amy need to continue it for a bit longer. So for you consult an INFERTILITY specialist and get his opinion and surgery for your husband. Hope this will help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "A couple weeks ago, my cousin was injured in a car accident. Trauma to the head and other injuries. My aunt emailed this morning and said: The Emergency room doctor told us that his heart was beating but his brain was dead and all doctors in the room decided to stop to help him. I have two questions which I m seeking an opinion on: 1. If a brain is dead, can the heart continue to function for a long period of time? In this case, I think it had to be 20 minutes from the time of the accident to the time the ambulance arrived at the ER. 2. Wasn t termination of further medical assistance really up to the next-of-kin? I m just looking for a simple explanation or non-binding opinion. Any assistance on this matter that you could extend to me would be appreciated. I have to go visit my aunt on Tuesday and I d like to have these answers so that I go with some peace of mind before I see her and make her more upset than she already is. Thank you for your time and help.", "output": "Hi, I had gone through your question and understand your concerns. If your cousin is diagnosed with brain death (there are examinations that determine it, EEG, cerebral and brain stem reflexes absent, etc.) then his heart can beat for an indefinite time if there is medical support, if no heart will stop soon. The time that human brain resists without oxygen is 3 to 5 minutes, beyond this time (without blood and oxygen) happens brain death and if the diagnosis is correct there is nothing to do to help him. Sorry I have to say this. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,All I do for the past 6 months is go to work, come home, drink scotch while watching tv. Over the weekends, I am on the couch drinking and watching tv. I dont answer calls and I dot call. I love the quiet and being alone. What is wrong with me? I used to be active in church, had many friends and used to go to the gym and to dance. I have since added 60 pounds.", "output": "Hi, The short history that you had given suggests\" decreased social interaction\".probable Cause of decreased social interaction- Dysthymia, Depression, stress(physical/psychological/financial .....) or it might be personality problem. I suggest you go for psychological evaluation to a psychologist/psychiatrist. You will definitely get help. Hope this helps and clarifies your concern. Wishing you good health. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am coughing a lot feel very weak when I eat, food doesn t go down easy. I do have asthma but this doesn t seem to be in my lungs, more in my chest, also out of breath alot. Can t seem to walk more than 5 feet with out losing all air. I m almost 67 and am 5ft.4in.tall and weigh 115 lbs.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you are mostly having acute exacerbation (worsening) of asthma. This is the cause for your constant cough, weakness and breathlessness. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. PUT (Pulmonary Function Test). PFT will tell you about severity of the disease and treatment of asthma is based on severity only. You will need inhaled bronchodilators (formoterol, albuterol) and inhaled corticosteroid (budesonide or fluticasone). Combination of antihistamine and anti-allergic Chat Doctor. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I recently started having a rash. Red, slight burn, not really a lot of itching. It comes and goes. On my chest, arms, legs, top of feet. Not eating or doing anything new. However, I have been suffering with sinus issues. Rash appeared before I took any medication.", "output": "Hi, I feel that you suffer from allergic urticaria. Consult the dermatologist for the perfect diagnosis and proper treatment. There may be some allergens responsible for the disease. Sinusitis is also due to allergy. Trial and error method may be done to find out allergen. Those may be some dietary factors like dairy products, seafood eggs, cows milk, soy protein, banana, fermented food or some contact ants like perfume, grass, pollen, wool, dust, soap, insects, etc. Tab. Fexofenadine thrice a day will alleviate your ailments. Apply soothing lotion like calamine lotion. If needed, the oral steroid in a tapering dose may be taken after visiting your doctor. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "This is general question. what is laparoscopy? Why it is done? Any risks?", "output": "Laparoscopy is a surgery that uses a thin, lighted tube put through a cut in the belly to look at the abdominal organs or the female pelvic organ. Laparoscopy is used to find problems such as cysts, adhesions, fibroid and infection. Tissue samples can be taken for biopsy through the tube. In many cases laparoscopy can be done instead of laparotomy surgery that uses a larger incision in the belly. Laparoscopy can be less stressful and may have fewer problems and lower costs than laparotomy for minor surgeries. It can often be done without needing to stay overnight in the hospital. Laparoscopy is done to check for and possibly take out abnormal growths such as tumors in the belly or pelvis, check for and treat conditions such as endometriosis, ectopic pregnancy or pelvic inflammatory disease, find conditions that can make it hard for a woman to become pregnant, do a biopsy, to look whether cancer in another area of the body has spread to the belly, check for damage to internal organs, such as the spleen, after an injury or accident, do a tubal ligation, fix a hiatus hernia or an inguinal hernia, removal of organs, such as the uterus, spleen, gallbladder, ovaries and appendix. Partial removal of the colon can also can be done and also to find the cause of sudden or ongoing pelvic pain. Risks include bleeding from the incisions, infection and damage to an organ or blood vessel. This may cause more bleeding that needs another surgery to repair." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello . I have a family member that recently had a pelvic exenteration which removed the cancer but recently came back. It is now in the place where her bladder would have been. She has lost a tremendous amount of weight & is too weak for chemo. What other options does she have ?", "output": "Hi, Thanks for writing in. Cancer is a challenging condition but must be treated till the end. If your family member had a cancer near bladder mouth then she must have had locally infiltrate disease requiring exoneration. This is a surgical procedure by which most of the tumor and its adjacent structures are removed. Even after surgery, seeding of cancer cells might take place and has happened in her case. If there is recurrent growth of cancer then she must take combination treatment with chemotherapy and radiation. As you have mentioned that she is too weak for chemotherapy therefore focused radiation remains the most tolerable treatment at the moment, but this depends on the general condition and local recurrence of the disease. Please have a discussion with the cancer surgeon and radiation oncologist and proceed with treatment as per the outcome of discussion. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have occasional feelings like an electric shock that run from my fingertips and up my arm towards my heart. It always happens at night while I am sleeping and I wake screaming and shaking, hitting my arm to make it stop, afraid that I am about to die (if it gets to my heart). This has been happening for about four years (every few months).Could this be related to B-12 deficiency? I am a Raw foodist and I have low B-12 and low iron and vitamin D. I did read something recently that said B-12 deficiency can cause nervous system problems (which this would appear to be), so I ate meat for the first time in many years, but I have stopped as i am not comfortable eating meat, and it seems b12 supplements have more b12 than meat anyway, but now this has happened again and very badly, so I am again uncertain...", "output": "Hello, Sharp shooting pain which travel fast and on and off, comes and goes are usually related to multivitamin deficiency. You should go for proper treatment- it D supplement: 60K/ week *4 weeks ; then calcium with it. D tablets daily for 4-6 months. For B12- injectable given I'm alternate days - six to eight injections suffice. You should also start proper iron folic acid with zinc tablets daily - for iron deficiency management Hope the reply is useful" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "About a year ago, I had a root canal on a tooth. Yesterday I went to my dentist because I thought the filling had fallen out. Turns out that the tooth was cracked and split in two. The dentist pulled the loose half out. He suggested a crown but said I had to wait until the area heals. Today, the material from the root canal fell out. I called my dental office and was told that as long as it doesn t hurt, I m okay. I don t know what to do.", "output": "Hello, thank you for consulting with Chat Doctor. Actually when a tooth is split in 2 halves then the treatment depends on two things, if the split is extended till the gums then you have to go for extraction of tooth, as there can be further infection. And if the doctor is asking you to wait this means that the split is superficial, but still if material has come out then you should go for re-restoration. Hope it will help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "is mazetol and tegretol same for a boy of 11yrs and taking medicine for 8 yrs.earlier it was 200 mg twice daily and now tegretol 200mg morning and 300 mg in the evening.He is anemic now and affecting his studies.Whom should we show and what should we do?Please help.", "output": "Hi, Thanks for asking. Based on your clinical history and query, my opinion is as follows:1. Due to his growth, the dosage is increased in evening. However, both are same Chat Doctor. 2. Anemia is important and needs to be treated. Meet a pediatrician and get a complete hologram done to identify morphological type of anemia and treatment can be started based on it. Specific tests may be necessary, if reticulocyte count does not increase after 15 days of treatment.3. Diet can also be improved with eggs, fish, green leafy vegetables, red meat etc. It will help in improving anemia. Hope it helps. Any further queries, happy to help again." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear sir; I am a 45 y/o female RN with above average intelligence. In the last 6 months i was recently prescribed 30 mg adderall bid and effexor 325mg QD for depression, motivation and attention. While I don t have a real substantial hx of any physical nor mental dx s, my gene pool has several. ADHD , Tourette s, Asperger s, ODD, OCD, Depression, Bi-polar, Anxiety, Anger, IVDA, Polysub, ETOH. There is no schizophrenia , no suicide nor homocidal behavior. I am seeking answers to my behaviors that don t seem to be quite in-step with the general population, because I have always (mostly) brought out the worst in people, make them angry, resentful, assaultive (both physically and mentally), without meaning to at all. I am straight-forward, and am surprised when it s not appreciated and am perceived as mean.", "output": "Hello...... Thanks for your query. You have a family history of multiple psychiatric disorders while the medication prescribed appear to be for ADHD (attention deficit hyperactivity disorder)/depressive disorder. However, the symptoms you report fit into cluster \"B\" personality disorder. The facts do not fit in together. I suggest you undergo evaluation of your personality profile and get back to us with the complete symptom profile and treatment records for a better understanding. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "according to my Radiographic Findings, there is small ovoid calcific density noted in the peripheral portion of the right midlung. Heart is normal in size. Both hemidiaphragms, costopheric sulci and visualized bones are intact. Doc can u explain to me the meaning of that in a very well explanation for my better understanding about that. thank you very much doc.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. You are having calcified opacity in peripheral portion of right middle lobe. Calcification in lung tissue almost always suggest benign lesion. This might be due to previous lung infection like tuberculosis or pneumonia or lung injury. Lung diseases heal by fibrosis or calcification. And this calcification remains as it is throughout the life. No treatment is required because this is benign, scarred lesions. Don't worry about this calcified opacity. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, for about 4 days to a week I have had a tight chest and a cold feeling in the back of my throat. The chest tightness moves around or even goes away sometimes but for the most part it in the base of my lungs or sometimes a bit lower than my rib cage. Right now its directly in the centre of my chest, It also feels like something needs to be cleared from deep in the back of my throat every so often when I breathe in. I do or did smoke. Ive made a conscious effort to stop but its only been a couple of days. Im worried its something very serious. I have suffered from anxiety for over a decade but Im well attuned to that to identify that it isnt the issue here. At least I dont think it is. This has kind of sprung out of nowhere as I was fine a week ago. Im not under any stress. I thought it might be reflux but I dont know. I do suffer from that also but have never experienced anything remotely close to this. Any help would be greatly appreciated.", "output": "Respected user, HiT hanks for using Chat Doctor.come have evaluated your query thoroughly.* This is in relation with underlying bronchitis.* Suggestions for better recovery - X-ray chest with primary laboratory work up of complete blood counts with ESR.- Proper antibiotics with decongestants to clear the respiratory tract from mucus plugs - Strict dietary regimen - Avoidance to excess cold - Inhalation of vapors of boiled water with added tincture Benson with blanket over the head - Use of corticosteroids, bronchodilators in selected cases - Lifestyle modifications as Walking in fresh air, avoidance of smoking, alcohol Deep breathing exercises, YOGA Hope to clarify your query Welcome for further assistance Thanks for using Chat Doctor .com & giving opportunity to assistWishing fine recovery Regards dear take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "A few months ago I was skateboarding and fell off and grazed my knee. This has left me with a darker discoloration where the scab was, which seemed normal so I didnt worry about it, but about 2 weeks ago two little lumps appeared on it and were quite itchy. Now there are 6+. Do you have any idea what these are? They look slightly like mosquitto bites but theyre not going away and multiplying.. Thankyou", "output": "Hi, thanks for the query to my Chat Doctor virtual-CLINIC.-In my opinion-You are suffering -mostly from-knee abrasion with scab in the beginning,- which developed later on in 2-6 lumps-with underneath wound infection, presenting with itching.-Multiplication of these itchy lumps may be due to associated Ringworm which developed underneath the scab-this could also be thought of as one of the possibility while treating it.-Consult your family doctor / and skin doctor and investigate to fix the cause of it.-Remedy-Would be with --Tb-NSAID-for 5 days time-Antibiotic with advise from your family doctor for 5 days time.-ketoconazole point locally with good wound care would resolve your knee lump.-If no reduction then review the diagnosis with Surgeons consultation who-would do debridement of the wound and change the antibiotic and would take the care of the knee wound with scab properly.-Hope this would help to resolve your knee-itchy- lump by discussing with your doctor. Wishing you fast-recovery. Wellcome to my Chat Doctor Clinic again. Good night." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I have pain and pressure in the lower part on the back of my head and when I put pressure on it when I lay down on it I get dizzy. And now I noticed even if I m standing up and I look up I get dizzy can you give me an idea of what that is? Thank you", "output": "Hello dear friend, I can understand that you are anxious about this, but the way you described your complaints, is just not enough to tell you a pinpoint diagnosis. In fact, the feeling of pressure on the back of the head, associated with dizziness(both on standing and lying down)just not fit into the mechanism of the clinical conditions which may cause these symptoms. Possibly, its just anxiety or aromatization. Still, I would like you to get your blood pressure checked in both standing and lying position for a postural Chat Doctor. One step further, i suggest you to visit a neurologist and if he says all is well, then a psychiatrist will help you out. I hope it helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "The last few days I have random quick but intense chest pain under my right breast. I am a 50 year old male in good shape. It lasts for just a few seconds and then goes away. More frequent when exercising but does not seem to hurt any more or less when breathing heavily. Any clues?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Possibility of musculoskeletal pain is more likely. So avoid heavyweight lifting and strenuous exercise. Avoid movements causing pain. Apply warm water pad on affected areas. Take simple painkiller like paracetamol or ibuprofen. You will mostly improve with all these in 2-3 days. If not improving then consult doctor. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i had my left kidney removed from my pelvis due 2 loss of function only 8 weeks ago iv been told there is no follow ups appo no scans no test i thought they would keep an eye on my right kidney for a while i just got told if i have any problems go see my gp can u let me know if this sounds right thank you diane robinson", "output": "HelloThanks for query. You have undergone surgery for removal of one kidney. Normally there is no need to monitor the other kidney unless patient has urinary problems.However, one has to follow regime in order to prevent the other kidney from getting diseased 1) Chat Doctor. 2) Avoid getting UTI 3) Frequent routine urine test to be done to rule out UTI 4) Blood test to assess renal function to be done every year .5) Consult Nephrologist or Urologist for check up every year." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Can you get thrombocytopenia from a Shingles vaccine? My husband had a normal platelet level in November and then recently had a severely low platelet level. Medications have all been the same. Only difference is the Shingles vaccine. YYYY@YYYY", "output": "Hello, Thank you for your question here at Chat Doctor. I understand your concern and I want to inform you that the Shingles' vaccine can lead to some adverse effects and thrombocytopenia is not listed among one of them. There are some reports of Poltava vaccine leading to thrombocytopenia, but currently we need more proof and clinical studies to affirm that for sure. In other words your husbands' thrombocytopenia may be linked to the Shingles' vaccine, but we do not know for sure at the moment.Meanwhile, please do not worry as this is a transitory effect and the platelet count will rise to its normal value in around 2-4 weeks if we were talking about minor thrombocytopenia from the start. I recommend another platelet count after 1 month just for your psychological comfort. I hope my answer helped you. Do not hesitate to reply if you have further questions, Best " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "im looking a orthopedic dortor for my mom . shes 83 yrs old and have a problem for her hips . she have a surgery in the hips long time ago may be 20 year now she s hurting too much . the problem is she have medical or medicare only. how i can fine a doctor for her.", "output": "Hi sir I think your mom is elderly lady & she had been undergone surgery for some fracture in hip very long back, so my advice is to get done fresh x-ray to know the present status of fracture & implant, to know any arthritic changes, osteoporosis condition. She needs people physiotherapy under supervision with supplementation with calcium, protein to increase bone strength. Give mild painkiller like Attract. Kindly let me know how she feels after doing this. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have known my whole life that something was different about me. I am almost 20 years old and two years ago i went to a doctor to try and get some answers. i found that i was noticeably more hyper than any of my friends, i couldn t stop talking, i would get in these weird moods where all i would do is think about random things, i would tap my foot or leg, feel rushed when there wasn t a need to be rushed, and i would always snap on my parents, sometimes for no reason. i went through perscriptions of concerta , adderall , and vyvanse , just recently upping my dosage of vyvanse to 60 mg. my question is, is it common to feel extremely irritable and angry towards people i care about when i accidentally forget to take my vyvanse? this has always been a question i have. i always feel much more calm and relax and not easily angered or upset when i take my vyvanse consistently.", "output": "Hi There, thanks for asking. That is true, you should take Vyvanse regularly in order to avoid being jittery or irritable. Attention deficit hyperactivity disorder has another component which is \"impulsivity\". Many boys who have attention deficit hyperactivity also have impulsive behavior. For example, they may become aggressive toward their friend, and they feel remorse soon after it. Vyvanse is not only useful for your hyperactivity, but also helps you to manage your behavior. On the other hand, Chat Doctor. I wish you the best performance at school and in life." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter had a nervous breakdown recently,. she was under a lot of stress, has had depression in the past, and added to this was a lot of anxiety. she is on several potent drugs. I feel she is over medicated. she has gained 50 lbs, since being on the drugs. Is it necessary for her to be on prozac, seroquel, ativan, neurontin (which she is weaning herself from) and a couple of others? why would she need to be on so many of these mind altering meds? this episode took place in Aug. with 2 additional episodes after August. she s also in group tx. and one on one tx.", "output": "Hi, Welcome to Chat Doctor forum. She needs to have council ling, and she should have love and affection, as others get. She should be included in your family issues as far as possible. Furthermore, she must have an occupation, like cooking, and household works with some guidance. With these guidelines, she can vein off the Chat Doctor. No psychological patient can improve health without the surrounding peoples help. Let her practice yoga, meditation, reading books, and hearing music, to have weight reduction and diversion from her imaginary surroundings. Give her more of green leafy vegetables, pulses, sprouts, and protein rich foods to improve her general health. Wishing for a quick and complete recovery. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a ct scan of abdomen pelvis w/contrast as pain in stomach. Report says I have fatty infiltration of the liver, Pneumobilia is identified in the left lobe. Extrahepatic bile ducts are dilated, likely reflecting the prior cholecystectomy. What does this all mean? Could this cause a lot of bloating?", "output": "Hello, welcome to ChatDoctorpneumobilia means air in the billiard tree.it occurs when there is entry of air from enteric system to billiard system. Causes are-recent instrumentation (ERCP), gall stone, billiary enteric anastomosis, pancreatitis,BE fistula, etc.extrahepatic billiard duct dilated means the hepatic duct and CBD are dilated. Cause is distal obstruction. Many of this causes are associated with bloating discomfort.I shall advise you to consult a GI surgeon with your reports. Hope this will help you.regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi im mrs.holley,i have been experincing, fatigue ,lightheadness,nausua, dizziness ,doctor has been treating me for h.pyloria,been thru with meds,still sick,nausa,dizziness,faint,headaches and as along as i am sitting down or lying down ,i dont feel bad,yesterday after been up house cleaning,i felt real faint and fell on ground,cold sweats and my body felt like there was a magnet holding to floor,especially head and neck ,took alittle bit but manage to get up,episode passed,today legs still feel wobbley and feel just kinda weird( MALAISE FEELING)tingling also in body when i went down on floor,doctors already check,liver, pancreas ,gallbadder,all ok,but now i have these new symtoms,husband wanted to take to er,but tiold him i go back to doctor,if this continues", "output": "Hi Mrs Holley am Chat Doctor. You are on treatment for H Pylori. This is a bacterium that causes severe gastritis. The gastritis may sometimes burn the wall if the stomach enough to cause loss of blood, sometimes slowly. This loss of blood may cause you to have the symptoms you fettle test can help us diagnose the problem. The other possibility is a dissociative disorder, but I won't consider that till other possibilities are ruled outdo let us know the report soon we can help you further. Best of luck" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ive been getting knee pain for a while in the same leg that i had a tibial nail in some 7 years ago. My quad on that leg has never really come fully back to the size of the other leg. I have an office job, so I m relatively inactive during the day usually, but have had the last 2 weeks off as holiday and have been more active moving some furniture, fixing things around the house, some home improvement and a bit of gardening. This morning I woke IP with a round, painless bruise on my kneecap, near the top inner edge. My knee does grind a little at full extension, but that happens quite a lot anyway. Over the past week, the quad muscle on the affected side has grown and become more responsible, but is still smaller than the other side. The knee is reasonably painful during stress and occasionally hits a big bit of pain when extending under load.", "output": "Hello, You had mentioned the previous history of trauma at knee and nailing had been done before 7 yeras, so might be that may cause compression and irritation to joint tissue. To rule out we must go for X-ray. Another cause may be due to continuously repeated heavy work, your qua Chat Doctor. You should walk regularly do cycling swimming running jogging, if the pain is subsiding it means your thigh muscles were weak, or else you need to take an x-ray for the knee joint. Hope I have answered your query. Let me know if I can assist you further. Take care Hem ang S Jane, Physical Therapist or Physiotherapist" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir, i m 22 years of age and having neuro symtopes as 1. feeling of dizzyness and fear , anxiety . 2. sometimes vomitting and nausea 3.hands getting week i had done eeg and it says normal have done mri which says venous angiomia in the left frintal area of brain im little worried if its serious bcoz im a student. plz refer me some medicine.. if ayurvedic den it will b good", "output": "Dear Normal, welcome to Chat Doctor. Good that you sought timely help. Hand weakness, omitting are cerebral signs and are important if MRI shows a venous Angola. Medicines are not of use.pl. consult a neurosurgeon urgently to see if any surgery is needed soon. If not you could take symptomatic treatment. It all depends on many factors of the Angola. It could bleed and get serious. So take neurosurgical opinion and act on it. Pl. keep me posted on progress. Good luck" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi,sir i feel sever pain in my occipital region,n also heaviness in this region while studying.whats d problem ?", "output": "The headache and heaviness aggravated by studying can be due many reasons. Assuming that you are a student, it is unlikely that you have a refractory error (near vision problems are usually seen in middle age). Association with studies almost rules out other causes like sinusitis and migraine. When mind is forced to do what it does not like, it will react in such a way that you have difficulty doing it. Headache, decreased concentration and forgetfulness are some problems commonly seen in students. High expectation from self and others only add to the burden. Following points may help you overcome this problem:1. Take frequent breaks in between study sessions2. Make the Studying process interesting (like group discussion, audiovisual aids etc.)3. Take help for difficult subjects(coaching/tuition)4. Plan well to manage time. Remember, \"Failing to plan is planning to fail\"" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a question about infertility . the report says that their is a small spillage of contrast seen on the right side. Left tube is blocked at the fimbrial end and shows Hydrosalpinx . the patient report also SPECIMEN SOURCE: MENSTRUAL BLOOD MYCROBACTERIAL DNA PCR: DETECTED GENUS: MICOBACTERIUM SPECIES: MICOBACTERIUM TUBERCULOSIS COMPLEX CAN THE PATIENT GET PREGNENT?", "output": "Hi, Thanks for your query. I read your query and I understand your concerns. Following is my reply:1) You have to take anti tuberculosis medicines for 4 to 6 months and then test again to see if you are cured of TB.2) You may have to go for IVF later than your tube seems to be badly damaged due to TB. 3) Please start anti TB treatment soon I hope I answered your query. I will be available for any follow-up query you have." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I. Have a small hole below my front bottom tooth. It doesnt hurt at all..dentist wants to cut a piece of gum and sow it. Over the tiny hole.he said my teeth are very healthy and hes not sure why this happened! Should I get this procedure done or what to see if it closes by itself ? He took X-ray and tooth is heathy", "output": "Hello, As you are mentioning that dentist has taken an x-ray, and it is normal this means that the tooth and bone is healthy. This problem can be gums problem. Actually sometimes it happens that when there are two lower labial French (attachment of gums with lower mucosa). They are closely placed and space between them look like hole, it is not painful. In this case do not take tension, just wait for some time and observe if there is no pus discharge then it is normal, and there is no need to go for any treatment. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I developed a cough in December followed a few days later by cold symptoms. Chest pain and coughing up mucus so went to the doctor who said i had pharyngitis. 2 weeks after and still coughing i developed really sore ribs especially when laughing, coughing, sneezing deep breathing and lying down in bed. Went to the doctor who said it was the intercostal muscles and gave me pain relief and an inhaler due to shortness of breath. 2 weeks later due to not breathing properly i developed a chest infection given anti biotics. After a month of pain relief and still not much relief she wondered whether the pain relief (diclofenac) was causing reflux making the cough worse so prescribed some tablets to go along with it. The night time cough did disappear. Rib pain is still present when deep breathing especially when exercising. A week ago i really overdone it strenously walking and then 3 days ago developed a cough, that is progressivley getting worse. Last night it caused throat pain whilst coughing and a feeling of a lump in my throat and struggling to breathe took my inhaler and it actually relieved it all. Rib pain is now alot worse again and this is 14 weeks since the illness started. I dont understand why the rib pain hasnt gone and why this cough keeps reoccurring.", "output": "Hello After reading your query, these symptoms may be due to these possibilities, these include:1 Pleural effusion, diagnosis can be confirmed by X-ray chest and blood examination for CBC, ES R .2 Thickened pleura, diagnosis can be confirmed by X RAY chest .3 Asthmatic allergic bronchitis with tuberculosis. Since you are having these symptoms for December and continue for 14 weeks. In my opinion consult a pulmonologist and get his opinion (2nd one). Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 16 year old daughter started getting her menstrual cycle when she was 12. However they are still very infrequent, about 3 menstrual cycles a year. She has not had one since early February. I have had blood work done and it has come back normal. We don t want to start her on birth control because she is a carrier of Factor V Leiden. Should I take her to a specialist? If so, what type of specialist?", "output": "Hi, dearI have gone through your question. I can understand your concern. Irregular menstruation is common in early menstrual age. Factors V Leiden mutation is not responsible for it. But still you should consult your gynecologist once and plan accordingly. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my husband had a tooth pulled monday its now friday morning and he is still in pain swollen vomiting and has a fever. i took him back to the dentist yesterday and they perscribed penacillin and vicadin for pain but said not to take it cause he had thrown up more than 15 times in 24 hrs. btw he also has hiv. its 1 in the morning and still vomiting and hurting...what should i do for him", "output": "Hello first please do not panic... stop giving him any medicines he is having all this problem due some allergy towards the medicines prescribed to him... take him to a general practitioner as soon as possible. He needs a check-up. To stop vomiting. Give him half a cup of cold milk without sugar. Also give him some cookie that does not contain fat. Ask him to do warm saline gargles... also give him lime water...follow up is invited" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "good day sir,my father s age is 79 has got esr level of 120.there are no other symptoms of any otrher kind only slight fever of about 98-100 for the last 10-15 days,slight swelling on the face.all other tests for kidney, liver are ok and no symptoms of RA.he has prostrate cancer for which he is undergoing regular treatment.pls advise the incresaed level of ESR is due to what? capt.alok r. gupta", "output": "Hi, dear He has high ESR. It may be due to many of the cause. Tuberculosis, inflammation, anemia, autoimmune disorder, paraproteinemia or malignancy can cause high ESR. He may have high ESR due to his prostate cancer. Or he may have some other reasons. So consult your local doctor and search for the cause. Then you should take treatment accordingly. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi sir. I am in terrble .one mnth before i found a small lymph node in under my right neckAnd i consult the ent surgeon he told me my face have lot of pimplesSo pimple infection cause to this..sir can u adavce me pimble any chance to cause lymph node and how long time to Gone .plz give me answer", "output": "Thanks for your query at Chat Doctor! Lymphadenopathy is sometimes found among people with Acne. I would like to know if you have some dental problem? Had you suffered from viral infection in recent past? Are you having fever, night sweats, loss of appetite? If you have any of above visit a doctor to get investigated. Get checked by a ENT for your throat, your tonsil, and your ear. Wash faces with a HY Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my aunt had cardiac arrest last wednesday and based on an mri it shows she has some brain damage. doctors have told the family there is nothing else they can do..there is some leg, arm and mouth movement. are there any procedures that i can suggest to doctors. my aunt is breathing on her own w/47% oxygen.", "output": "Hello Thank you for trusting Chat Doctor Majority of cardiac arrest survivors have some degree of brain injury with impaired consciousness, some may present with persistent vegetative state, but there is no many studies. Only 3-5%of people may regain previous physical activity among 18%of survivors of cardiac arrest patients. Remaining may present lifelong support with increased morbidity and mortality. Please consult your doctor he will examine and treat you accordingly." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir, i have a 5 year baby boy, in his motion routine examination find occult blood and urine analysis find urobilinogen1:20 dilution postive. His problem is seeing mucus in his sttol and undigestive particles.Doctor is this any symptom of disease?", "output": "Thank you for consulting in Chat Doctor. Mucus and digestive particles in stool can indicate disorder of flora in intestine- disbacteriosis. You should do analysis for stool culture and sensitivity to antibiotics. Without analysis for disbacteriosis I can advise eco norm (saccharomyces)1 Sasha 2 times 5 days, then similar 1 cap 1 time 1 month. In addition, take enzyme syrup 14 days with meal for better absorption, because he has digestive particles. Improve feeding of child, he should eat 4 times every 4 hours and between-fruits. If he has lots of mucus you should add him nights 1 tab 3 times with antibacterial target during 5-7 days. Grow quicker Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi.. i am 30 years old lady. trying for baby for three years. i have pcod and diabetic. i had lap done. I did follicular study.. on day 23 my follicles got ruptured with ChatDoctor shot. we had contact on those fertile days. on July 6 egg ruptured and on july 20 th i got spots - brown discharge and continued slightly for four days. after that i dint get any period. today august 6 th till now i did two hpt and beta ChatDoctor came negative. still can i become pregnant?", "output": "Hi, Thanks for your query. I have read your query & I understand your concerns. Unfortunately you have not got pregnant. If you were pregnant you would have seen in beta Chat Doctor test by now. More over the July 20th episode of spotting appears to be your periods. Now you must be in the middle of your next period. Please get a follicular growth scan to confirm the ovulation this cycle. All the best. I hope I answered your query. I will be available for any followup queries you have. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a male 79 years old, have brief chills the may sweat have had for about 2 months also white blood cell count to high had bone marrow test and ok so far dr has no idea what is wrong when I chill have no fever as I check that and blood pressure. thanks", "output": "Hi, From history it seems that you require evaluation of your case. As you get chills often and WBC is high it indicates there might be having some infection in your body giving this problem. Consult your doctor and go for,1, X-ray chest,2, ultrasound abdomen,3, complete urine check up.4, Blood checking for RFT, LFT and other tests. After all reports, one can have clue about your problem, and then they will go for treatment accordingly. Ok and take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello sir well iam a 16 year old girl and ihave been having sex but its only been two days so idoubt iam pregnant yet ihave very strong abdominal pains when iuse the bathroom and ihave been going to the bathroom really frequently yet urinating very little", "output": "Hello, your symptoms suggest a lower urinary tract infection (cystitis). Sometimes this infection follows sexual intercourse. If you'd like to confirm or exclude this diagnosis then an urinalysis may show increased number of white blood cells and bacteria in the urine and a urine culture may reveal the offending organism. I could not suggest any treatment because I don't know if you have a history of allergic reactions to certain antibiotics or you history in general and also whether you've taken any antibiotic during the last 3-4 months or not. This information is very important for treatment decisions. I hope I've helped! If you'd like more information, please ask and I'll be glad to answer. Kind Regards!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi madam , I am taking thyronorm 25 mcg from yesterday , because my Tsh is 5.47. Also taking blood pressure medicine tazlog 40 H. In the morning & in the evening met xl. 50. Mg but my pressure is fluctuating , I feel burning sensation In the body and also back of my head during day some time pls. Advise what is wrong going on .", "output": "Hi, Thanks for using Chat Doctor, You are having High blood pressure and treated for it with antihypertensive medicines if your blood pressure reading are fluctuating take medicines at regular interval and regularly. If your dose is recently increased it may take some time to have smooth control of blood pressure. Recently you also started Thyroxine supplementation please continue to take it regularly. Your burning sensation possibility of some allergy to any of the agent or some kind of neuropathy. It would be great if you see treating physician as he will be able to examine and tell exactly what is happening. If allergy is there it can be treated with anti allergy Chat Doctor. If you have neuropathy we need to know the cause like Nutritional, alcohol. Hope this information helps you. Take care Good Luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my boyfriend woke up last night and he couldnt breathe and was freezing cold. He tried to take a breath and felt like he wasnt getting any air. He also tried to use his inhaler because he does have asthma and he couldnt even hold it in for 2 seconds. Why would he not be able to breathe and be freezing cold?", "output": "Hi, It's simple to understand that how asthmatic patients can't or becomes difficult to breath. Our tracheobronchial tree consists of smooth muscle fibers, and any muscle get contracts or spasm with effect on cold and just opposite to warm or hot, it relaxes, if anyone who is already have their tracheobronchial muscles allergic to spasm(like in asthma)and in addition when they get cold air, this smooth muscles begin to contract leading to constriction of tracheobronchial tree turned into unable to get air exchange and difficulty in breathing. Inhalers makes this muscles relaxed or dilatation in medical terms within seconds. That's the beauty of allopathic Chat Doctor. Hope u understand.Goodbye" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "what disease can be the cause of low back pain that comes with noisy rumbling stomach, constipation alternating with diarrhea, rash under tip of penis, itchy anus, internal heat, stubborn rashes on the shoulder and on the buttocks . My age is 32 years, weight 77 kg.", "output": "It is a clear case of pitta vitiation which manifests all these symptoms of irritation - internal or external. If I had been your physician, I had asked you to straightway take Ayurveda's Avipattikar Khorana mixed with Kam\u0101ncha NASA in indicated ratio and take. Externally by bathing with fullers earth and apply Marichyadi oil (it stains fabrics) once may take you out of trouble very safely and without bad effects. Need capsules from Himalaya co. will have enhanced action. Any Ayurveda doctor will guide you for this. If you are not satisfied in four weeks, you have the option to resort to toxic multiple Chat Doctor. Hope it enlightens you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 52yr old female i havean under active thyroid , fatty live , overactive bladder, cervical arthritis with a trapped nerve , b12 deficiency, restless leg syndrome and some years ago i had an aneurysm in the right side of my head .recently i have been in great pain with the bone in my left arm blood test last week revealed the my esr was very high could this have to do with any of the above .THANK YOU", "output": "Hi.understood your concern. First, thyroid hormone is a very important hormone involved in various functions in the body. Decreased levels of thyroid hormone may lead to obesity which may intern result in the development of many diseases such as fatty liver disease and arthritis. Secondly, B12 deficient may lead to neuropathy. High ESR indicates that you're suffering from a chronic disease. you're advised to visit treating physician at earliest and take advise. Thyroid hormone and B12 supplements maybe ingested immediately, though dosage should be advised by the treating physician hope to answer your concern. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a root canal on my tooth (between molar and canine) 2-3 years ago. It was never suggested to me to get a crown after the root canal. Last Saturday, my tooth cracked in half. The front half doesnt move, but the back half moves easily. There wasn t much pain initially. I went to the dentist Thur for a cleaning/exam. There weren t any appointments available until Sept 26 - which is when I was going to have an extraction and prepare for bridge. Last night and today there has been a lot of pain...mainly on the gumline on the side that is very loose. Is there anything I can do now, being that it is the weekend and no dentist is open until Mon? Can I pull the loose half?", "output": "Hello, Thanks for query, After root canal one should go for crown to safe the tooth and for its long life. But it is not your fault as dentist had not suggested you for the same. The decision of your tooth depends on the X-ray that we could save it or u need to go for extraction. I suggest you to please do not try to remove any part of the tooth and take appointment as soon as possible. In case of pain take analgesic medicine. Vishal JainVitaldent" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doc I just found out that I have Hep C and I don t have an idea how did I get this....my parents don t have this (RIP).....I m 51yrs. old...I m trying to get a life insurance and they turn me down because of my blood result....every year I do physical such as including urine and blood test .....:(.....I don t do drugs,no tattoo.....I went to my doctor and she suggested to do another blood test including this Hep and ultra sound...I m praying that this is a mistake....I never get sick never been hospitalized...I went to the hospital to deliver my kids 1992 and 1996....", "output": "Dear Friend. Welcome to Chat Doctor. I am Chat Doctor. I have read your query in detail. Furthermore, I understand your concern. Hepatitis C can be spread through:1. Sexual Contact2. Blood transfusions and infected needle re-use.3. In childhood by scratching each other during play. Irrespective of the source, Hepatitis C requires treatment. Get following:1. HCV Antibody.2. CV RNA This is my best opinion for you based on available details. If you any have further queried, please ask me. Stay HealthyChatDoctor, MD" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, for the past several days now I have had constant lower back pain that comes around just by my ribs. Ive also been having pretty frequent bms that are very loose and a light green/brown color. Im worried because the back pain is getting worse. Any ideas on what it may be?", "output": "Hi Thanks for posting your query to Chat Doctor There are many causes for your problem. If you were my patient I would suspect Acute muscular spasm as cause of your backache. I would have started a painkiller and muscle relaxant combination like Zerodol-MR. Ask your doctor for prescription. Your frequent bowel motions are either due to indigestion or bowel infection. First we will start medication for indigestion. Ask your doctor to start medication for indigestion. I would recommend syrup Aristotle. If frequent bowel movements persists get stool routine test and revert with reports." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my father in law has had his thyroid removed, has diabetes, has a stint in his heart a bad back and weighs about 300lbs. He had to be taken to the er with shortness of breath, hallucinations, he has had a lot of confusion for awhile but it was much worse. he already took 40 a day lasix. Hehad fluid around lungs and heart low o2 levels. They upped his lasix to 80 put o2 on him. They had to keep the o2 at 15 otherwise his levels wouldnt stay up. Lung infection also discoved. Heart only working at 40% then co2 up to 90and unresponsive. Now on a ventilator co2 down to normal. what is likelyhood of brain damage? Any other input apprectiated. Family is trying to make some hard decisions.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Honestly speaking, chances of survival are very less. Rising carbon dioxide level is suggestive of respiratory failure. Accumulation of fluid in the body is suggestive of heart failure. Confusion, unconsciousness, hallucinations etc. will cause brain damage. And this kind of brain damage is permanent. So his all major organs are failing. This is not good sign. If you remove ventilator, I don't think he will survive. So family has to take decision about taking off ventilator. Hope I have solved your query. I will be happy to help you further. Wishing good health to your father-in-law. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good day Doctor,I am married since 7 years and facing problems in pregnancy. I was diagnosed with PCOD few years back. Now periods happen on time with medication. My endometrium is in proliferative phase. after AMH test result is 1.92 i.e. low fertility. My right fallopian tube is well outlined upto its fimbrial end and shows good peritoneal spillage. the left fallopian tube is not visualised beyond cornua. no obvious spill is noted on left side. i take the following medicines - Clomipure (50) - for ovulation, M2 tone 2tablets twice a day, Myotol F 1 tablet daily and ovigin D 1 tablet twice a day.", "output": "Hello. Thanks for writing to us. Since the AMH values are low, the chances of a spontaneous ovulation are low. In addition to the current treatment you need to go for ovulation studies to confirm if there is a successful ovulation after taking these medicines. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http://bit.ly/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "26 year old male with no STDs or any other health issues. Masturbated and tightly gripped the base of my penis while doing so. I gripped really hard. Before ejaculation I let go and ejaculated like normal, but felt an odd somewhat dull pressure/pain on the dorsal surface of my penile shaft about 1 inch above the base (traveling in the direction of my penis, i.e. not horizontal/diagonal). At the area of the pain was now a hardened cord with a bit of a bump at the middle of the cord. It is not visible but can be palpated. It seemed like my penis took longer to become flaccid after that. I stopped any masturbation and let it rest for a week. It seemed nearly better but masturbating very gently caused it to return somewhat. I have gone a bit more than a week without masturbation now but want to check that something like this will go away and not be any long term damage. I still feel a dull pain at the area at times when the penis is flaccid. No issues with erections or ejaculation. Is this a lymph or vein issue? Will NSAIDS help or is there anything to help with lymphatic drainage/healing? Have I done long term damage?", "output": "Hello I share your concern, I will try to help you out in the best possible way. Looking at your description this could be STI or infected ulcer may be due to trauma during masturbation or an allergic reaction. I would like further information help you better relevant medical history like metabolic disease or hormonal disorderly recent exposure to unprotected sex? You should ask your doctor for few investigations to confirm the diagnosis like Urine culture and sensitivity test Blood for CBC and liver function test or urine test are advisable if it is a chronic issueNSAIDS like ibuprofen or acetaminophen will definitely help you Maintain good hygiene Wash and clean it with antiseptic solution or soapbox can apply antiseptic ointment externally. Use condom during sex if you are sexually active Hope this answers your question please feel free to ask for more clarificationThanks and regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello- I have been suffering from heavy bleeding, severe cramping, irregular periods, and galactorhea(spell?) I had an ultrasound which reveals a heterogeneous foci in the midline uterus consistent with fibroids 2.2 X 1.7 X 1.9 cm, a Nabothian cyst in the cervical canal measuring 1.5 X 1.6 X 1.1 cm, and a left ovarian cyst with septations and echogenic nonvascular material 3.4 X 1.7 X 1.7cm. My husband and I want to conceive as we have established our careers and are ready for our first child. I am 40 years old. What is your recommended treatment for this?", "output": "Hi, Thanks for your query. I read your query and I understand your concerns. The chances of you conceiving naturally with all these problems are very less. You must list an infertility specialist to get evaluated for galactorrhea and get treated. Though fibroid is small, ovarian cyst needs to be evaluated further and diagnosed as to type of cyst & necessity for removal. You may try with donor egg option. Either ways you need to consult an infertility specialist. I hope I answered your query. I will be available for any followup queries you have. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My LFT reports: Bilirubin-1.61 mg/dl, Direct bilirubin-0.37mg/dl, Indirect bilirubin-1.24mg/dl, SGPT-32U/L, SOGT-28U/L, Alkaline phosphatase-121U/LTotal protein -8.4g/dl, Albumin-4.4 g/dl, Globulin-4gm/dl , A:G ratio-1.1Plz let me know what problem, I am having", "output": "HelloWelcome to Chat Doctor. Thanks for posting your query in Chat Doctor. I have gone through your LFT report. All your values are under normal range. Normal Bilirubin levels are less than 2 mg/DL. Yours is 1.6,which is within normal range. Alkaline phosphatase enzyme is present in various tissues like liver and bone The normal range is 44 to 147 IU/L (international units per liter). Yours is within normal range. Normal values may vary slightly from laboratory to laboratoryHigher-than-normal ALP levels are seen in Biliary obstruction, Bone conditions, Osteoblastic bone tumors, osteomalacia. So, no need to worry. Your report is normal. Hope you are happy with the answer. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 27 year lod and married before three years. 2 Months before i had an tourch test and the result of it IGG +ve and IGM -ve. I Have taken vaccine injection for this infection and i have concieved in same month in which i have taken vaccine. So Is there any risk in my pragnancy. i am 2 months pregnant at this time", "output": "HiT hanks for posting on ChatDoctorThe vaccine may not harm the baby. That is a good preventive move to protecting your baby. Positive Egg however does not show an active infection. IgM does and when positive, depending on which of the elements of TORCH is positive, serious decisions are to be taken concerning the pregnancy. Your baby will find. Just get closer to your ORGAN. Hope my answer will help you Best wish to you and your unborn baby." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I hurt in my lower left pelvic area for four years before finally being diagnosed with a 2 cm kidney stone. (had exploratory surgery as well as partial and final hysterectomy , colonoscopy , etc before finally the kidney stone was found. ) Dr. Initially thought pain was not matching up with kidney stones because i hurt in my lower left pelvic area and not in the upper area where kidney stone was at. Dr blasted then removed via basket. Left a ureter stint with string for a week which was removed today. Now I am having extreme pain in that same lower pelvic area. could this be renal colic or my ureter or???????", "output": "HelloThanks for your query, based on the facts that you have posted it appears that you had Kidney stone and has undergone Extra Corporeal Shock wave Lithography.(ESL) followed by removal of stone fragments and D. J stent was putting renal unit. You have pain in abdomen at the same site. This is either due to urethritis that develops after ESL and stenting the ureter. Please take broad spectrum antibiotics like Cefuroxime along with urinary antiseptic like Nitrofurantoin twice daily and urine alkalizer thrice daily. And later on switch on to appropriate antibiotics as per culture report. Ensure to Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,4 years back incidently doctors found one pulmonary nodule on my right lung on chest X-rays. They asked for CT and the result shown 1.5 cm size. I undergo Bronchoscopy also, but didnt show any problem then. But after these long years I am having on and off fever. Agin asked for Contrast CT. and the result shows that the nodule grew to size of 2.6 cm. and am asked for bronchoscopy again. The first result of bronchoscopy showed on reading like 18HU. is there any possibilty of malignancy. Or is there any risk with that nodule.", "output": "This is likely a growth of some sort, whether it is benign or malignant (cancer) can only be definitively determined on a biopsy. The fact that it has not grown much over 4 years makes it more likely to be benign, and would only require follow-up imaging. When there is enough concern for malignant tumors (for example if there is fast growth, or you have an extensive smoking history), the nodule would need to be surgically resected. If you are having other symptoms such as fevers and chills, then your doctor can evaluate you for an infectious granuloma being the cause of this nodule. TB (tuberculosis) or fungal infections of the lungs can do this. I hope this gives you some of the answers you were looking for." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My creatine level in February 2013 was o.53 with eEGFR Rate of 99. All other baseline tests were normal except for microscopic hematuria. I am 68 now with pseudomonas bacterial UTI that hasn t gone away even with ciprofloxasin. June 2014 creatine level was 0.9. Using same formula as used in 2013, the eEGFR rate is now 66!!! Same lab says Less than 60 indicates chronic renal disease. I know of NO risk factors (drugs, lifestyle, toxins, hospital care) that would make this happen. I look and feel very good.But the UTI isn t going away. Just saw my doctor, cystoscopy scheduled. He was not concerned.Any reason eEFGR could go down so fast??? (I am doing heavy contructioin work in my house.)", "output": "Hi, dairy have gone through your question. I can understand your concern. You should not worry about that. You may have urinary tract infection. Repeated urinary tract infection may be due to diabetes. You should check your blood sugar level. Heavy exercise can also cause this. So don't worry about that. Repeat your creatinine level and EFR level after a month. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I wanted to know if I have infection. I had a foot injury about two weeks ago and I have swelling. Since yesterday I started having an itch and I wanted to know if this is infection. I have blisters on the top of my foot and I still have a lot of swelling and bruises.", "output": "Hello, An x-ray is advised for the safer side to understand the pathology of the bone if it may have got any damage. Because if there is no cut or wounds then the chances of infection are maximum less. This must be a bony hurt which may have damaged the soft tissues around it. Also, the mechanism of the injury may have helped us to understand the injury better. I will advise to hot water fermentation, do feet, toe and finger strengthening exercises which can be performed under the water and lastly to keep the limb elevated so the swelling reduces, and the venous return is improved which will help the healing process to occur faster. But please make a note to take an x-ray of the foot in the AP and lateral views. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i have had a blood test because i have red eyes and a bloated stomach,and my test came back with my c reactive protein at 6.5.I suffer from pain in my abdomen and have had scans wich show i have kidney cysts in my right kidney,which they will not touch as im only 31.i am fed up of this after two years and have been told they are all seperate please help", "output": "Hi, dairy have gone through your question. I can understand your concern. Your other symptoms have no relation with your kidney cyst. Treatment of cyst depends on size and location of cyst. Small cyst can be treated by conservative way. Large cyst need to be treated. Many options are available. Aspiration, decorticating or surgical removal are the treatment available. Consult your doctor and take treatment accordingly. Decrease the salt intake in your food. It will reduce the blood pressure and reduce the burden on kidney. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am currently taking celexa 40mg daily for over 5 months...I have noticed I am losing time usually its only a few minutes here and there but today was different..... It was a signification amount of time from 12:27 until 3:15...A coworker was leaving work and it triggered me to ask him what time it was. He said 3:00 or so I only thought and felt like around 30 minutes of time had passed and I don t recall what I was doing during all this time.....", "output": "Hello and welcome to Chat Doctor. Thanks for your query. I'm not sure for what psychological problem you have been prescribed Elena. As regards to your memory lapses, they could be indicative of a neurological problem or a psychiatric problem (called dissociative disorder) You need a detailed evaluation in order to establish the cause. So, I would advise you to consult a psychiatrist for further evaluation and management. Wish you all the best. - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have a kid who is 13 months old. He does not eat well it is hard for me to make him eat. So i informed that to my Pediatrician and he gave me fortiron syrup. I just wanted know whether it is good to give my son the syrup. Whether it will cause any side effect. Do my son really suffer from Iron defecency so he is not eating ???", "output": "Hi, the syrup name that you have mentioned contains iron and is an iron syrup which is given in child Chat Doctor. Iron syrup should not be given without proper evidence of iron deficiency anemia. You should do blood test like complete blood count with peripheral smear, iron studies and hemoglobin electrophoresis if your child is anemic. Based on the reports, proper treatment needs to be started. I hope this will help you. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I received a birth control shot about a month ago because I am sexually active and dont want to become pregnant. The doctor had told me that there would hardly be any blood with periods and the cramps would almost be nonexistent. All of yesterday I had horrible cramps, the blood was a bit darker than usual, and there was what looked like a piece of skin with the blood. This has never happened to me before, and I was wondering what it could be.", "output": "Hi. Thanks for asking in Chat Doctor. The main mechanism by which a hormonal injection acts is through suppression of ovulation. An ovulatory cycle are painless and that's why your Chat Doctor. Generally it takes some time for the hormones to act as they are administered externally, and the body takes some time to get adjusted to this hormonal imbalance. So, they may not be effective in preventing the ovulation in the very first month. If the ovulation has occurred already, then hormone injection will not prevent the fertilization but will certainly prevent the implantation. The tissue you saw could have been the expelled fertilized ovum. Also, heavy bleeding and delayed periods are common in the initial few months. If your period had been a little delayed following the hormone shot, then the tissue could be endometrium which is thickened when there is delayed period. If the bleeding persists and if you pass a lot of clots, then you should seek your treating " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I believe I have pericarditis due to cat scan and primary said so but cardiologist did noyt say for sure what it was but did no firther tests to determine. Fam doc put me on steroyds,,, twive and came back each time. Cardiologist wanted me to take motrin or alege but I have colitis and it disrupts my system. Do you have any further insite you could share with me. Maybe I should get another oinion? I felt horrible last night and the room was spinning while my heart has twitching and hurting....did not know what to do, esp when I broke out into a bad sweat? I am tired of this.", "output": "Pericarditis is inflammation of the pericardium with occasional pericardial effusion. About 90% of the causes are unknown. Most people will have viral type symptoms such as fever, myalgic, and malaise. Pericarditis can also cause cute, sharp, stabbing chest pain that can last hours to days. Some people will also get shortness of breath and pain with breathing. I am assuming you had a pretty extensive work up before being diagnosed with pericarditis. The work up should've included blood work with inflammatory markers and cardiac markers, as well as EKG changes. The first line treatment is usually ibuprofen several times daily for about two weeks. There are other anti-inflammatories that work just as good if you cannot tolerate ibuprofen. Steroids are actually a second line treatment but work just as good as ibuprofen. Generally, about 7 to 10 days of ibuprofen can significantly decrease your symptoms and pericarditis. You should also get plenty of rest. Some people have will have recurrent pericarditis. You should also have an ultrasound of your heart to make sure there is no fluid around the heart. If you do not get better with ibuprofen in 10 days, I would recommend having a further work up to make sure you do not have my own pericarditis which involves the heart muscle." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "a skin rash that began as a line of blackheads or eruptions with black spores under the breast developed into red inflammed patches over trunk of body that came and went very itchy after months became hives that did not resond to regular antihistamines what was the original condition", "output": "Hi, Welcome to Chat Doctor, Most common cause of itchy eruption or patch under the breast is Tina corporal. It starts as pa pule and soon turns into a patchy lesion with scales and pa pule + vesicles at the periphery. Tab terminating 250 mg daily at night for 15 days will help. Sertaconazole cream to be applied twice daily. Tab Cetirizine 10 mg daily at night. Keep the area clean and Chat Doctor. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my friends husband mood will all of a sudden change. Then he gets really mean and says things to my friend anything to hurt her feelings. It doesnt matter what it is whether she didnt cook dinner right or put her down about her son, anything to hurt her and get her going. When he is in a good mood they get a long great and have a lot more good times than bad. But when its bad its really bad. He has not hit her but he is so mad she does keep her distance. It almost sounds like a stress of something with set him off. He seems to have this mood change once every two months or so. She is very confused and loves him but cant be abused like this.", "output": "HI, Thanks for using Chat Doctor. I have gone through your available history. It seems that he is suffering from Depression with poor impulse control, but other illnesses like bipolar mood disorder or substance use should be ruled out. It is advisable to consult psychiatrist for detailed evaluation and management. Doctor after confirming the diagnosis, Doctor may advise treatment options like Chat Doctor. I hope He will be fine soon. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Doctor,I have been suffering from OLIGOSPERMIA for a long time now and no medicines could cure me. This has led to taking penegra or other related pills before lovemaking as my confidence has grown low and often i find my erection, not that hard and/or the duration is not long enough. I do masturbate often as this is the only way to keep my sex drive happy.Please suggest a cure", "output": "HelloThanks for your query, based on the facts that you have posted it appears that you have problem of Erectile Dysfunction. In absence of any major health issue the cause of erectile dysfunction is mind related and due to what is called as performance anxiety. Following measure will help you to boost up your confidence and getting good erection. And delay ejaculation.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc3)Take anti oxidants like Almonds 5-6 every day.4) Avoid alcohol and smoking. If problem persists even after trial for 3-4 months consult qualified Urologist for evaluation and further investigations to find out the cause of Erectile Dysfunction. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "infertility problem : my husband having right side vericoceola ,erectile disfunction and low sperm count is 1 millions there any treament or solution for this.", "output": "A scrotal support with snug underwear may provide some relief of the pain or discomfort. If pain continues or other symptoms occur, further treatment may be needed. Surgery is the answer to correct a varicocele (varicocelectomy). The surgery is usually done on an outpatient basis. Sometimes sperm count improves after surgery in few patients. For erectile dysfunction regular perineal exercise helps a lot in good number of patients Disclaimer" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have this lump inside my neck on the lower right side and its been there for about a year. A few years ago I had something similer but on the other side and it went away. It causes me no pain but it feels like its getting bigger. I had it looked at during my last physical and was told it was just a cyst. I also have a bump on the back of my head close to my hairline at the bottom. Its about the size of a penny and very hard. Ever since I discovered it a few weeks ago it has only gotten bigger and now it is very sensitive.I am a very healthy and fit teenage girl who is 5 7. Please any information would be helpful!", "output": "Hi, Good afternoon from India. T-Thanks for your query to My-ChatDoctor Clinic.-I studied your query in depth. I understood your concerns.-My opinion -You have 2 lumps-a-neck lump-which is mostly-Sebaceous Cyst.b-hard penny sized, which increased in last few weeks and now bigger and sensitive-mostly-this lump is -a boil with cellulitis-in hairline on the back of head. Treatment-Consult a Surgeon who would treat it with-a-Neck lump-being sebaceous cyst-is Excision and Biopsy. Cure -is by-Surgical Excision Biopsy by ER Surgeon.b-Lump on back of Head-being -an Early unripe boil-which would regress after Antibiotics and Tb NSAIDs.-Hope this would help you to recover from worry-some query. Wish you a Fast Recover. Wellcome to Chat Doctor again." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I tried for a child last 1 year bur could not succeed. All the reports are normal. My doctor advised me to take an injection Fertigyn 10000 mg. on my ovulation date for conceiving child. Is that injection helping me for conceiving? I heard that by taking this injection, chance of conceiving twins or more is increased .Is that true? Pls help me or advice should I take this injection or not.", "output": "Hi, How are you doing ? Just by taking In. Foreign you cannot get twins or get pregnant. Foreign is hormone LH, which is released from brain. This hormone will only confirm ovulation, only if the follicle of right size is available. Twins can occur if stimulated by Tablets like Camphene (Closed or CCQ or Sphere) & follow-up stimulation with HMG hormone injectionsThese hormones have no abnormal side effects, so it is safe to take it. Just go through the checklist of investigations, if you have missed any do get it househusband- Semen analysis at least 2- done 4 weeks apart preferably in an infertility center (examination done by an Chat Doctor. So check with HSG(X-ray with dye), or SSG (Scan with dye) or Laparoscopy all this done & found normal, nothing can stop a pregnancy with Gods will Hope I have cleared your query, do write back if anymore queries the best" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I noticed a lump bigger in my right breast than in my left, but I do not know what kind of lump is bad. I am 18 and I know it is very rare for it to mean anything but I have been feeling very sick lately. Sick to my stomach and my neck, back, and all of my joints have been hurting very very bad for the past few days. I have been getting headaches through out the day, and I do not know what is causing this. There is no way I could be pregnant.", "output": "Hi.it is best if you consult with a physician, preferably a general or a breast surgeon, for clinical evaluation. Benign breast lesions (such as cysts and fibrotic changes) usually occur when there are hormonal changes (i.e. before during menses, pregnancy, etc.). Breast ultrasound may be initially recommended. If lesions are found, diagnostics and management (medical and/or surgical) will be directed accordingly. Hope this helps. Good day!!~ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Erythroplakia, I am trying to decide after two years of trying steroid treatment if I need to have the lesion removed. The surgeon made it sound like it was pretty common. I am confused as to if it is really necessary to have it removed or just to live with it.", "output": "Thanks for using Chat Doctor. Read your query. Erythroplakia lesions are of more concern since they are considered precancerous. In your case the surgeon is probably doing the best way for you, as removal of the lesion will be the first step in it. Taking the whole growth is more advantageous, because if it turns out to be malignant, the doctor has already taken the first step in treatment by removing it. A pathological study of the specimen with determine whether it is precancerous or cancerous, such that it can be monitored better. Relax and go ahead with the procedure, though you can always take a second opinion from good surgeons. Hope this was helpful. Thanks and regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter has a low-grade fever of 99.0. Is she contagious with a fever this low? She is supposed to have a playdate tomorrow with friends. She feels great, and the low-grade fever is her only symptom. She had a fever of 102 two days ago. Yesterday and today her fever has been 99.", "output": "Thanks for contacting Chat Doctor with you medical concerns. You are concerned about your daughter having low grade fever of 99.0 She has no other symptoms then I would be reassured that she is not ill and does not have an infection. I think she can participate in play time without any concerns. If she does develop a fever higher than perhaps it would be good to keep her home for an additional day. Hope I answered your question. Please contact us again with your medical concerns" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, i am samar, i am 22, married since two years..i have sharp abdominal cramp (like painful pinches last for only five seconds) in lower right abdomen, uterus area and intestinal area, severe cramping a week before periods, infertility since two years,", "output": "Hi! Good morning. I am Chat Doctor answering your query. If I were your doctor, would examine you clinically to exclude any tenderness (pain on pressure) on the right side of your abdomen, and look for any other signs to rule out appendicitis. If I could rule it out, I would like you to be examined by a gynecologist colleague. At the same time, I would get your routine blood check up done like a CBC, Blood sugar, urine routine and microscopic test, and an ultrasound of the abdomen if need be. Further management would depend on the results of both clinical examination and investigation reports. Till that you might go for an anti-spasmodic Chat Doctor. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 5 years old son had temperature of 39.2c last night gave him liquid paracetamol and hour half later his temp had gone down to 36.5c so he went to bed but this morning he is complaining of bad pain in back of neck in the middle he is unable to move it to side without crying in pain, i have checked his temp its 37.8c", "output": "Hi, If he don't have any other symptoms like severe headache/vomiting/cough/throat pain/neck swelling, we can take this as a viral fever with lymph node enlargement in neck (although it is uncommon in the middle back of neck) causing local inflammation and pain. Try giving him ibuprofen syrup(100\u00a0mg/5ml) 7ml three times a day after food. If he is not getting better by then, kindly take him to doctor for further evaluation. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my grandmother recently had gall stones removed. She had the surgery a week ago tomorrow and is still experiencing extreme amounts of pain. Additionally, she seems to be having symptoms similar to a urinary tract infection - burning and constant feeling to urinate. Is that a symptom involved with gall stones or the removal thereof? And to add more to all of it, she has been having diaherra for over 2 months. Her doctor precribed her medications for this which help when she remembers to take them, but it seems to be an ongoing issue for her - even more so after the surgery. I m worried that my grandmother may have some other issues going on that the doctors haven t found yet. Can you help shed some light on any of this? Thank you!", "output": "Hi and welcome to Chat Doctor. This is rarely caused by gallbladder surgery unless there was bladder or ureter injury. But it would be reported. It is more possible reinfection which is common in people that underwent any surgical procedure since their immune system is weakened few weeks after surgery. She should treat it by taking the lot of fluids and antibiotic if necessary. Diarrheas may be experienced after gallbladder surgery but it shouldn't last for more than 2-3 months. If there is no improvement she may need gastroenterologist work up to rule out some bowel disorders. Thanks for the query. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am aged 54 yrs. I am diagonised as prostatomegaly with size 4.6x4.2x3.5cm; volume 36cc. I used to urinate normally without any pain & as often as I feel. I am having weight of 70 kg, 165 cm height, BMI 26, BP 100/70. I am also having fatty liver grade I with a simple Cyst measuring 1.0 cm in the right lobe whereas I never used to have drinks but used to smoke 2-3 nos a day. Sir whether this can be cured with medicines else need surgery. If it can be cured by medicines, pls advise the medicines that I need to take. Thanks for the help.", "output": "Hello Your findings suggests mild fat deposition in liver(fatty liver) with enlarged prostate. Fatty liver is a reversible condition. Fatty liver can be managed by diet control and exercise in the majority of the cases. Fatty liver may be due to many reasons like hepatitis, alcohol intake, obesity,altered lipid profile, medicines etc. You may need few blood tests like random blood sugar, routine hologram, lipid profile. You should avoid saturated fat and take plenty of fibers in diet. You should increase your physical activity and go for exercise regularly. Simple cyst in liver is age related developmental finding. It only need to follow up if it is asymptomatic. Mildly enlarged prostate need clinical correlation and further investigations.PSA(prostate specific antigen)should also be assessed in enlarged prostate. After clinical evaluation, you may need medicines to take like alpha-blockers and 5-alpha-reductase inhibitors. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son is 15. He has had fever for 6 days. The fever has ranged from none to 104.5, with most days around 102. My doctor says its a virus and to wait it out. He is extremely weak. No symptoms other than weakness and loss of appetite. The doctor has done a flu test, strep test, and blood test which revealed a high blood cell count, but thats all. Advice?", "output": "Hi... Thank you for consulting in Chat Doctor. Appetite loss and weakness or malaise is very common in the recovery or convalescence period of viral illness. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active when there is no fever, it is probably viral illness only. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 25 years old and my husband and I have been trying to conceive for 7 mths now. We have had his sperm checked, I have had a HSG done, and everything was clear for the both of us. My Prolactin level was at a 36 and my doctor wants to get it down to a 15. He prescribed me Cabergoline which I have been taking for 2 weeks now and I will go back in another 2 weeks to have my levels checked again. I have always had a regular cycle with mild cramps, nothing out of the ordinary and have never missed a cycle since I first started at age 11. How worried should I be about conceiving and how long does it take for this medication to work? Any advice?????", "output": "Sorry about your difficulty getting pregnant. The high prolactin for me is not an issue, since you have a regular menstrual cycle. Yours might just be a case of unexplained infertility and so your attending physician is trying to optimize your hormones to increase your chance of conception. You might need to take the Chat Doctor. * I am blowing baby dust to you... Hope this satisfies you, if not I am willing to give more help. Cheers." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello. I was on Beyaz for a around 3 weeks and had un protected sex. I was also on azithromycin for 5 days. I did get my period on the time I was supposed too. I started my new pack of pills on time and everything was fine. Well on the 3rd week I messed up and skipped two pills. I had to restart a pack and now have been spotting for over a week. Help!", "output": "Hello, and I hope I can help you today.First, I want to tell you that the antibiotics you took in the first pack should not interfere with the birth control you took, and the fact that you got a normal period on time means you do not have to worry about pregnancy. Missing two or more pills in a row usually causes some breakthrough bleeding a few days after the missed pills, even if you make them up. This is the bleeding you are experiencing now. It most likely will stop eventually, but may continue until you finish this pack. You maximize the possibility of stopping the spotting by trying to take your pills at the same time every day. A way you can help remember your daily pill is to take it at the same time as some routine activity you do every day, for example brushing your teeth, or having a morning coffee. Carrying your pills in your purse all the time can also help if you do not consistently stay in the same place every night. I hope I was able to answer your question today and that this information was helpful. Best wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doctor, I am 10weeks pregnant my doctor did the scanning and said that baby is good but there is some blood clots for that they gave ChatDoctor inj and said that next week also will give . I had an history of miscarriage in the last pregnancy hence they gave ecosprin, duphaston medicines so far. Now they told me to stop ecosprin and they gave duphaston twice a day and folic acid tab with first dose of ChatDoctor inj. Doctor m waorried a lot about clot will it be clear by taking of ChatDoctor injection plz clarify me .", "output": "In Chat Doctor will not clear the clot but in Chat Doctor will prevent uterus from contracting and prevent abortion. Ecosprin helps in preventing spontaneous clot formation in blood vessel. Ecosprin is stopped now because as younalready have developed clot that means that you had some minor bleeding so by stopping esprit further bleeding is prevented. Duphaston will also keep the uterus in relaxed state and prevent abortion. Folic acid prevents brain abnormalities in baby (neural tube defects).hence folic acid is given" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Dr, I have a 5yr old daughter and soon i will be giving birth to my second baby (boy) i never in my life taken prevention tablets or injection and i am scared to start now. my hubby and I have decide that this is our last baby and i want to insert a loop. Is it possible that they can insert it immediately after giving birth? Is it safer? should i wait a month or two after giving birth? Please advise. My e-mail add is:- YYYY@YYYY", "output": "Hi, inserting an intrauterine device after childbirth is usually done around 6-8 weeks after birth. Because the uterus is back down to it's normal size then. The doctors won't insert it directly after birth - as the uterus still has to shrink back down to the normal size and any intrauterine device wouldn't be\" held\" by the uterus. Most women won't have sex during those 6-8 weeks - as you are still postpartum - having postpartum discharge which is first red and slowly turns a different color until it stops after about 6-8 weeks. You can usually talk to the doctor at your postnatal check-up - or just after the birth so that the insertion can be organized for you ahead of time. Hope this has helped. Kind regards, JR" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My grandsone was dionosed with cancer when he was 16, he went to Johnson city childrens hospital..we need his records so he can be checked again he will be 21 in May,,,no one seems to know where they are, He also went to Pittsburg, Pa childrens hospital...How can I get his records so he can see if he is still in remission?", "output": "Dear bumblebee, You can see your primary physician who referred you to Johnson Hospital. If you don't find the record with him, you could give the tentative date of your visit to Johnson hospital Medical records section who could find your grandsons record. If this does not help you the health authority who maintain the National cancer register, visit them and telling them the tentative date of of completion of your grandsons' treatment they might be able to give you the records. As regards whether your grandson is in remission you can visit your primary physician and apprise him the history of your grandson, he will perform necessary investigations on your grandson and let you know his present status. Hope the steps advised might help you in achieving your mission. Truly," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ive had an upper respiratory infection and I was taking antibiotics and steroid, Finished steroids yesterday and today I feel like im tingling all over my body. Almost like nervous in a way. Could this be from the medicine or should I go back to the doctor for revaluation. Im still having respiratory issues, from allergies.", "output": "Hello rearward welcome to Chat Doctor.come have evaluated your query in details .* Steroid is an immune suppressor and reduces inflammation.* Once you stop the consumption of steroid, body takes certain time period to produce adequate levels of natural cortisol, due to which there is tingling sensation in the body.* So there is no need to consult doctor for tingling issue, but for respiratory issues have to consult doctor if annoying. Hope this will help you for sure . Wishing you fine recovery. Welcome for any further guidance. Regards ." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have been coughing for a month now with phlegm and im worried now cos sometimes my phlegm is green and yellow with a bit of blood i have observe this for 2 days now.I have rheumatic heart disease and taking up my pills.i have been telling to my doctor that im coughing and she never give me medicines to take to stop my cough.im taking up some cough medicines now like solmux and flumucil.can you advice me on what i need to do. THANK YOU!!!!", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Rheumatic heart disease can cause pulmonary edema, pulmonary hypertension, pneumonia and pulmonary embolism. All these conditions can cause cough with expectoration and hemoptysis (blood in sputum). So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Chest x-ray 3. 2d echo 4. CT pulmonary angiography if needed. You may require antibiotic, diuretics or other supportive Chat Doctor. Don't worry, you will be alright. First diagnose yourself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am having jaundice since 25 days. my bilrubin level was 6.5 then 12.5 thereafter decresed to 5.3 then 2.1 and now SGPT and Alkaline Phospate is normal. HBSag test was negative. How long I hav to avoid oily foods. plz suggest me a diet an plz tell am i affected by any virus that caused jaundice? how long i would be suffering from jaundice?", "output": "Hello, According to history, you have jaundice, but you have not mentioned which is a causative factor for it. Rule out hepatitis A, hepatitis B, hepatitis C and hepatitis E by the biological marker. If it is hepatitis A or hepatitis E, then no need for further testing, and it will recover in two to three months. If hepatitis B or C then repeat the test again after three months and six months to check for carrier stage. Until two to three months, avoid high fatty foods, trans fat foods, and pizza etcetera. Fruit juice, sugar cane juice, Apple juice, Indian gooseberry, grapes, coconut water etcetera beneficial. Ad\u00edlio should prescribe. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husbands Semen analysis report is like Volume=2.5mlReaction: AlkalineViscosity: ViscousTotal Sperm Count: 45millions/mlMotility: Rapid: 10% Progressive:20%Morphology: 40% NormalWe are trying to conceive from last 6 months and no success till date.Im having early bilateral PCOD and under medication of metformin 1000mg/day. After having medication my period cycle is pretty normal now. Is there any serious problem to conceive?Thanks", "output": "Hi, Welcome to Chat Doctor. You wrote about the values of the seminal analysis of your husband. Whether your husband abstain from sex at least 3 days prior to seminal collection. It should not be more than 7 days. Then only the results will be more reliable. As per the present result, the motility of the sperms are not adequate to make you pregnant, and regarding the morphology, more than 70-80% normal sperms constitutes a good quality of semen. It may be due either infection in the reproductive tract or may be due to varicocele etc. Physical examination and presence of pus cells will confirm the cause. You have to ascertain whether your ovulation is regular following the treatment for POD. If all problem attended with due care then there will not be any problem for you becoming conceived. Wish you a happy family way ahead. Chat Doctor. Morgan" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im an 18 year old girl and I have constant lower abdomen pain. First it started mostly on the left side,now all of the lower abdomen hurts. It hurts even more when Im walking or when Im in bed laying on the side or sitting with my knees up and pressed together. It hurts the least when Im laying in a straight position. This pain has been going on for about 8 days now. Now I did have unprotected sex 2 weeks ago but it was the day after my period ended and I took the morning after pill straight after so it is not pregnancy. Thank You for your help", "output": "Hi, Having a constant lower abdominal pain might be related to: - urinary tract infection/or other problem - genital infection-bowel problems advise running further tests in order to determine the right diagnose: - urine analysis-vaginal swab testing-abdominal ultrasound- examination of stool for ova/parasitesDepending on the tests results, specific treatment will be prescribed. Meanwhile, I advise to: - Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi there I m 27 and in great health otherwise, but for the last few days I ve been having a pain in the right side of my head (feels deep..like in my brain or something). It happens when I laugh, cough , bend over etc. I m wondering if this is a cause for concern or what it could possible be from. Thanks! YYYY@YYYY", "output": "Hi, thanks for writing to Chat Doctor. Based on the description, I suspect that you could be having COUGH HEADACHE which usually results from increases intracranial pressure during coughing causing headache. The other possibility is a SINUS INFECTION, for which a X-ray of the PNS or a CT scan will establish the diagnosis. Based on the severity of involvement a course of an Antibiotic along with anti-inflammatory agent or a surgical Chat Doctor. So, a detailed clinical examination and appropriate investigations are needed for further management. Hope this information is helpful. Good day" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I think my boyfriend ins passive aggressive. He came after me the first day of school. after our first date he never called back, then he stopped comig to school, then he d show up. sometimes he d say hi, other times he wouldn t look me in the eyer when he spoke. Then I invited him back to my apartment. He didn t make love to me he didn t kiss me, I saw his face, he made as effort not to get into it. I m really attractive so I knew something wasn t right. He admitted to me that he wanted to tear me to pieces when he first saw me because he wanted me so badly. It s been up and down. He wants me but he plays these strange sulky games. I m confused. Also he has had 2 dui s and a felony for breaking in to beat up his sister s boryfriend. He is highly intelligent, a student as the Uof I. But unable to connect emotionaly. He has grandious ideas about becoming a politician and says that is why our relationship must be a secret. I m 14 years older than him. I know something is wrong with him but I ve never come across this type of behavior.", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. To know more about him is the only way to find what is troubling him. I rather say that as he is intelligent (in your opinion) he is playing safe. You have the capacity to understand him. As he is an aspiring politician, as he says, he wants to keep himself away from affairs, which might trouble his future. That is a good opinion. At least he is focused towards his future. Things like flirting and having sex is not his concerns. He is much more matured than that. Understand him and adore him. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ive been getting serious chest congestion that last up to 7 days too two weeks every now and then. About a year ago I got bad chest congestion that lasted up to two weeks. It got better and I went on with my daily tasks, about 4 months later I got terrible chest congestion again, I got better within two weeks again. So a year later I got chest congestion again, it lasted one week. About a month later (A few days ago) I got bad chest congestion again, it gets to the point where I cant walk Im so out of breath and Im worried that it might be more then just chest congestion, I do have severe allergies. And it gets bad sometimes when the mold is high. Im wondering do you think I might have COPD or any other serious condition?. Im young and I dont smoke. My family doesnt have a history of diseases so Im at a loss.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Since you are having severe allergies, possibility of asthma or allergic bronchitis is more likely for your symptoms. So consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).PFT will not only diagnose asthma, but it will also tell you about severity of the disease and treatment is based on severity only. You may need inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone). N acetyl cysteine (NAC) is also beneficial to relieve congestion. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor, Im Rani 30 yrs female living in kuwait. Past 4 days i have sever bodayache and fever . Went to clinic, they gave Brufen,Amoxcyllin and Actified tablets. they also gave me a injection to redu ce the temperature. it was fine for a night and next morning the same problem started again. So today i have fever, headache, body pain and sore throat as well. Please advice any medication and food intakes during fever.", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have fever with headache and body ache along with sore throat this seems to be viral fever or flu. Need not worry. I would suggest you to 1) Take anti-inflammatory medications such as Ibuprofen to prevent fever and body-ache.2) Chat Doctor. 3) Do warm saline gargles.4) Take analgesic such as Flexion and take light diet. Your symptoms will resolve in 3-4 days. If symptoms keeps on persisting visit general physician once and get it examined and start treatment after proper examination and prescription. Go for blood tests an s well. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am pregnant, 33 weeks now, i fell towards my back, and since then am facing severe pain while i sit and try to get up.I am really scared what happened, I consulted my gynecologist doctor who inturn asked my to consult Ortho.Ortho has given only analgesic-Dolo 650 and an ointment. its been 3 days now, but nothing is helpin out, I am really scared why I am not able sit and get up , its paining heavily when i try to get up.Pls suggest me something.Thanks", "output": "Hello, Welcome at Chat Doctor. I have read your query completely. I can understand your problem. Different phases of pregnancy test your inner strength. During pregnancy there is already ligament laxity to accommodate the newborn in womb. Your fall may most probably lead to stretching of ligaments. Chances of bone injury looks to be very less. I will advise you to do rest. This will help you in your recovery. Wish you a happy & healthy life." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 58 year old Black Woman and Im having a hard time breathing, I ve never had asthma or any other pulmonary disorder. I am currently off my diabetic medication because I don t like the side effects, however, I have not experienced any trouble breathing until recently. I can stand to lose 75 pounds or so and I am 5 7 inches tall. Can you give me a clue?", "output": "Thanks for your question on Chat Doctor. Since you are diabetic and not taking treatment, your diabetes must be out of control and very high. And uncontrolled diabetes is a risk factor for heart disease like hypertension, angina, heart failure, coronary artery disease etc. Other risk factors along with diabetes are1. Old age (age more than 55)2. Post menopausal status. So get done ECG and 2D Echo to rule out cardiac cause. Uncontrolled diabetes can also affect lungs. So get done chest x-ray and PFT (PULMONARY FUNCTION TEST) to rule out pulmonary causes. So consult doctor and discuss all these and get control over diabetes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i had server craps in my stomach early this morning was sweating as i was going to pass out i layed down on bathroomfloor my bowls opened n i had loose creamy stools for ten mins. for last few days ive been very hot and sweaty i thought mybe my hormonies are changeing my kids called ambulance they took me to hospital did blood test and said everything was fine they sent me home with bioscope tablets which helped cramp.around 11 this morn i had a slice of toast and my bowl opened in my trousers i had bloody stools with a few lumps in it everytime i go to the toilets its loose and as i wipe myself i have fresh red blood on tissue. im still have pains in stomach . i have been fasting for a week this all started this morning at 3 when iwas making breakfast for family usually im fit. but for last few weeks ive been having pains in ankle area and calfs.", "output": "Hi. Thanks for your query and an elucidated history...your symptoms of sweating, severe weakness followed by uncontrollable loose stools indicate that you are suffering severe form of gastroenteritis. Although you have visited the ER, I think you need to be given intravenous fluids, intravenous antibiotics and supportive therapy. I would advise you to take a course of antibiotics, metronidazole, probiotics and supportive therapy. You also need the following investigations :CBC, urine and stool tests, ultrasonography. Serum electrolytes. The pain in the calf and ankle may not be related to the present problem and needs special examination by an Orthopedic Surgeon." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here...i have a girl that is 18 years old. she must go an change her blod many times. she lives inn thailand. they cant find her type. the body rejects it. i am not sure wich type her blod is. But maby the give her wrong. they say that it dont look good. what is it inn her body thats wrong. they wont give me anwer i understand. Please help. I am crying my tears. the condision is called talasimia", "output": "Hi, dairy have gone through your question. I can understand your concern. She has thalassemia and already taken multiple blood transfusion. She may have some unknown antibodies in her blood that react with donors blood. Furthermore, she should be given compatible blood. Furthermore, she should go for antibodies panel test once to search the exact type. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi - i have been for a HSG xray today. only my left tube filled and spilled ? i am a little confused as to what this means in terms of getting pregnant ? i am 39 years old, and have been trying to concieve for 18 months unsucessfully. i have 1 child, with the same partner. thank you in advance. emma YYYY@YYYY", "output": "Hi, your HSG reports suggesting that your left tube is patent and probably right tube is blocked, as ovum releases from one of the ovary each time patency of the tubes are necessary, anyhow as one of your tube is patent still there is possibility for pregnancy, you better to verify for once for the possibility of any hormonal disorders which may also be contributing for secondary infertility and take treatment accordingly. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here...I am 50 y old man from syria , have elephentiases in my left leg since 1 year ( cause infection not parasit) most of the doctors have no experiance with the treatment , is there any cecters in USA can deal with the syndrome , i can come any time thank youAyman", "output": "HiT hanks for posting you query on ChatDoctorElephantiasis is a disease caused by a microfibril Wuchereria Bancroft. But not all swollen legs mean elephantiasis. A possible leg tumor should be eliminated as well. The diagnosis of elephantiasis is usually confirmed by identifying the microfilariae is a blood sample collected at night or through an immunodiagnostic test. Treatment nowadays is with median. In the US, microfibril is not an endemic problem like in most African countries. But when the test comes positive, the Chat Doctor. Hope my answer will help you Best regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter is 16 with back pain, hip pain and some numbness in feet and hands. MRI shows excess spinal fluid on her spinal cord. She also has a vertebra that that did not separate. We are being referred children s hospital. Just want to know what could be wrong and what to ask dr. Only lower back MRI was done and X-ray", "output": "Hi, welcome to our site. I am Chat Doctor, MD. Read your query. That is a very significant question and I appreciate your problem. I will try my best to answer your query will suggest an MRI Brain with spine screening as well. Here is why-The fluid is produced in the brain. Ideally it is meant for the cushioning effect. In certain conditions called HY Chat Doctor. The fluid produced is too much2. The fluid is not sufficiently absorbed backstair is a possibility that the same high levels of fluids may be present in the brain. Now you have said she has upper limb issues as Wells there may be a problem in her cervical bones too. So an MRI brain with screening of spine would be my choice of investigation hope this helps you. Inform the reports mentioned above/if any other, so I can be of help further. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you. Please do understand that some details could be extracted from a detailed history and examination. Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further. (If the answer has helped you, please indicate this)Best of luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi My mother who is 80 does sit lot,when sitting her legs turn red from the feet up and are swell up also..With the redness she has pain..What I would like to know if this is caused by the heart..She does have heart problems..Just about to forget she also has heat with the redness and shinny legs. Sorry to take up your time I thought this was free..Can t afford 15.00..Thanks anyway", "output": "Hi your mothers condition is caused most probably by weak heart pumping action which leads to accumulation of fluid in the legs and feet. This part is below the heart and gravity contributes to this also. In addition, she may be having a partial block of the veins which take the blood away from the legs. She sits a lot which is not good and should walk around and use elastic stockings which help this to some extent. Another important thing is a check-up by your doctor to see if the veins affected are the deep ones or those near the skin. Medication will be needed for this. Keep the legs elevated while sitting, and she may do ankle foot exercises to aid in pumping of the blood. You are most welcome and hope this is useful for your mother. Please take this advice free" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "40 yr old male had heart cath 2 weeks ago. heart cath ruptured 2 times within 24 hrs post cath.am still having pain in groin and left side of penis. have not had an erection since having the heart cath done. is there any correlation between the two.", "output": "Hi pain in the groin is very common after catheterization, you can ask your cardiologist to prescribe you with non-steroidal anti-inflammatory medicines like diclofenac and seratiopeptidase for a few days. If erection does not happen after 5 days of treatment also then pudenda nerve injury can be suspected, in that case test have to be done for investigating damage to pudenda nerve supplying the penis. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "10 year old daughter. Bad seasonal allergies (pollen). Our doctor suspicious of asthma. Has been using an inhaler for a little over a week. Also taking prescription Singulair and otc Claritin. Flonase, as well. Breathing and allergy symptoms have improved, but tonight has developed small to large patches of hives all over her body. Warm to touch and very itchy. To my knowledge, no exposure to poison ivy", "output": "Hello dear, Hives is like fire you should disguise quickly. I suggest:1. Dexamethasone 0.3-0.6 mg/kg intramuscular for 2-3 days2. Chloropiramine 0.1 ml/year intramuscular for 5 days3. Charcoal 1 tablet/10\u00a0kg for absorption of allergens.4. Allegra 30 mg once daily for 5 days5. Hypoallergenic diet Hope I answered your query. Don't hesitate to ask us if you have more questions. I will be happy to help you To wish your baby speedy recovery" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im 40, 52, 129. It start with chill body ache on Fri, then Sat fever 102, cough with yellow greenish phlem, headache, body ache and chill, broke into a sweat, thought it was over, but then chill and sweat by Sun. Monday, today, in the morning still have chill and sweat, but by now midnight mucus is less. Do I still need to see a doctor for antibotic?", "output": "Hellowelcome to ChatDoctori really appreciate your concern I understood your query, this is lower respiratory tract infection along with might be malaria infection so u go to your physician for test of malaria parasite and course of antibiotic for lower respiratory tract infection and if u have sore throat then start saline gargling and take proper rest for 3 days. Please kindly rate it and write a short review about your experience with me! Thank you and best regards!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Gud evening Doctors, I am already married for 15 yrs. but sad to say til now I cant bare a child due to my hormonal imbalance. My ob gave me duphaston for my menstruation to be maintained monthly since I have an irregular mestruation and polycystic ovaries. I really wanted to become pregnant please help me. What should I do?", "output": "Hi, Thanks for writing to Chat Doctor. Get your thyroid profile, FSH and LH and prolactin levels checked. Correct them accordingly. Since It's so long for your marriage. I suggest you to discuss with your doctor regarding use of ovulation inducing Chat Doctor. This will help multiple follicles to mature and rupture. You need to monitor your follicle growth. Get your tubal patency done and go for GUI. Here healthy sperms are selected and placed in uterus. This increases chances of pregnancy. You can try 4 to 5 cycles of GUI before proceeding further. You should get your husband semen analysis before starting your procedure. Hope I have been helpful. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had 4 screws, 2 pins, and a new vertabre put in my lower back 6 years ago in July. I did some yoga classes, and the last one was on Tuesday, and my back started to hurt on Sturday. I started a new job and it intails some lifting. after 4 days of this, while lying on my back, on the floor, I put my hands under my lower back and hurd and felt grinding. Can I have loosend or broken the screw? I m a 67 year old female in very good health.", "output": "Hi welcome to ChatDoctorYes due to yoga by the twisting any or uneven pressure effect could be the cause of displacement of disc. Yes there might be loosened and when it gives pressure to spinal nerve you feel pain. As the unset is sudden and just after a few days of yoga postural movement, so those chances are maximum. But if it had been a long day gradual origin then we should think for others factors like osteoporosis or any spinal growth etc. The exact cause can be found out by CT Scan of whole spine. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am feeling this pressure on my left side, and its there almost all the time. I did have a CT done a year ago and the doctor said then my liver was enlarge. Now Im feeling something there aall the time. Thanks Jonathan", "output": "Hi welcome to the Chat Doctor Liver was enlarged before one year in CT scan. Hence, evaluation needed this time again, and you can simply get investigated with USG abdomen According to cause further specific treatment given If liver still enlarged then investigation needed with bag detection, anti HCV detection like further investigation Alcohol history also should be ruled out If USG normal and Liver not enlarged then constipation or any functional dyspepsia can lead pressure in left side Hope your concern solved Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my boyfriend has been c/o pain in his neck for about a week and then while working out he had a slight pain in his chest with a pulse of 134 and a blood pressure of 143/92 then after two days he has now woke up with slight kidney pain and voiding yellow urine with stringy blood in it what in the world could this be and what should be done?", "output": "HelloThanks for query. Your boyfriend seems to have pain in chest, loin and blood in urine (Hematuria). This is most likely to be due to presence of stone either in kidney or Ureter. He needs to consult qualified Urologist for evaluation and get following basic tests done to confirm the diagnosis .1) Routine urine test and urine culture 2) Ultrasound Scanning of the abdomen and pelvis. Ask him to take antibiotics and painkillers. Further treatment will be decided by concerned Urologist and will depend upon the results of these test and final diagnosis, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello sir , m a 24 yr old girl and m suffering from hair loss since last 2 years, i went to doc and he suggested me minoxidil topical solution usp 5% along with kevon stay on lotion . i use th solution twice daily 1ml every time , since one week i have been using but no results found , even m lossing more hairs ..... and i have irregular menstruation problem too. so plz help me out frm tis problem.", "output": "Hello dear, Since you are giving history of hair fall with irregular menses, you will need a hormonal workup to rule out any hormonal imbalance. If it is found then you will need treatment for the same. Minoxidil increases hair fall initially as it causes the non growing hair to fall out and new hair to grow from the same hair root. You will have to continue with it and should see new hair growth in 3-4 months time." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I injected my self with Clexane a return from holiday 12 days ago. I had a P.E 6 years ago.I am having to have oral surgery shortly, would the effects,(blood thinning) have worn off by now? So would it be OK to go ahead with the surgery at this time? An early response would be greatly appreciated.", "output": "Welcome to Chat Doctor. I am Chat Doctor. Dear friend, Clean has half-life of approximately 4.4 hours for a dose of 40 mg. Clean activity may persist in the plasma for 24 hours. After 12 days its level in blood is negligible. You have to do one blood test PT INR. This blood test will be very helpful for further management and plan for oral surgery. I suggest you to take Clean in proper doctor guidance with regular PT INR test. Thanx for query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 57 year old White Male who has been in excellent health for most of my life, in spite of being a pipe-smoker for a lot of years. Ht is 58 and wiegh 190 lbs. Married x 32 years. Statins for cholesterol seems to have taken a great deal of the fun out of exercise for me. Also, my fasting blood sugar seemed to climb along with pronounced leg and hip pain upon walking. Why are there no public broadcasts about statin effects with all of the complaints? Paul Richard Strange, Sr. YYYY@YYYY Waxahachie Texas", "output": "Haismoking, diabetic for all these, statins are very important for your lifestyle to decrease the cholesterol levels with statins for longer time more concern is with the derangement of the liver function tests, other with generalized muscle weakness & myalgic.sugar levels are high due to your stress & pain, but then statins are more protective on the heart & the blood vessels. All the best take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Dr,i have to take fertab 50 for the first time soon,before doing an insemination,i already have one kid ,6 years old.Is there possibilities of twins with fertab 50 from the first treatment?i am 33 years old,168cms and 59 kgs,first pregnancy was so easy but this time it is not.all medical exams were good,but no pregnancy yet so my doc suggested fertab 50 coz maybe the ovulation is weak and simple insemination coz the spermes may are not living too much in the matural way,thank you for your kind answer.", "output": "Hi, I think you can have twins, but it is rare. Track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles. Will be done the next day. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. You can try like that for 3 to 6 months. Hope I have answered your question. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was diagnosed with prostate cancer in 2006 (Gleason s 10/10). I had a radical prostatectomy and have subsequently been treated at MD Anderson with intermittant lupron and casodex. My present condition is extremely good and has been so since surgery. On my most recent restaging and evaluation (Sept 2012) the term malignant neoplasm of prostate was included as an alert notice. I did not read this note until just recently. I am wondering if this indicates a change in my diagnosis, or has this terminology been relevant from day one?", "output": "Hi, Your prostate cancer risk stratification should be mentioned. You should mention your baseline PSA value before treatment and staging based on pathology report. As your Gleason score was 10 most probably your disease was high risk prostate cancer. In this case adjuvant radiation may have some role (pelvic radiation). Anyway it is not clear whether radiotherapy was given or not. Now you have to check your PSA value at regular interval. As radical prostatectomy has been done then PSA value more than 0.2 NG/ml may indicate biochemical failure. Then your treatment can be changed. Another issue you have to know whether at any time your PSA value came below 0.03 NG/ml or not. This has got prognostic implication. Prostate cancer and malignant neoplasm of prostate are synonymous. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Can pain in the lower right abdomen towards the back be my appendix even though I have no other symptoms? This pain in on the 3rd day. It was getting better until I picked up something heavy and it was like my insides ripped apart. What in the world?", "output": "Hi, I have read your complaints - pain in the right lower abdomen and back. The most common causes are - Appendicitis, Ureteric stone, ovarian cyst rupture in ladies. I suggest you get an Ultrasonography of the abdomen, Blood counts and Urine examination. A thorough clinical examination by a Physician is of utmost importance. Hence, I suggest you go to a Physician and later get ultrasonography(Advisable to not void/urinate for 2 hours prior to the scan as a full bladder helps the radiologist in doing the scan). Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here...My baby just had her first round of vaccinations about 48 hrs ago. She was sleepy yesterday but ate very well. Today she was fine in the am but hasnt really eaten in 6-7 hours and has excessive gas. She is crying more too. ???", "output": "Hello, This is called evening colic and is quite common in this age group. This happens when the baby sucks at the breast very fast and in eagerness to Chat Doctor. Unless the air comes out like burping or flatus this discomfort will be there and next time check if the baby is sucking too fast and gulping in air too. You will be more convinced. Usually I don't advice any medicines for this as they give only temporary relief. The two best ways to relieve this distress is:1. Do not put the baby in lying position after feeding till the baby burps out the swallowed air.2. If still crying - put the baby in prone position and keep patting the back gently so that the baby passes off the flatus and gets relieved. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor.. i am 29yrs old. i have had my AKT finished in july 12 ... ( july11-july12).are there any post treatment side effects which can be faced? i m facing some knee ache and putting on some weight too. worried about this problem. can u pls help me out?", "output": "Hello AKT treatment is not expected to cause knee pain. Some medicines in antitubercular therapy may cause liver damage. So, it is important to monitor liver enzymes during AKT therapy. Knee pain may be due to some reasons. You need proper clinical examination and X-ray of knee in AP/Lateral view can be taken. Further investigations can be done if needed. Proper treatment depend upon findings. Empirically you may take short course of analgesics. You may recover. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Here are my symptoms over the past four days. Sore throat when swallowing, nasal congestion and sinus pain, eye muscle aches, headache, bad breathe with phlem in back of throat, bumps on back of tongue, stiff neck, all over body aches with concentrated backache and stiffness. Is this a sinus infection or something else. There has been no fever at all. Thank you", "output": "Hi, Thank you for your query. I can understand your concerns. It seems that you have upper respiratory tract infection(URI) due to virus. Over 200 different viruses have been isolated in patients with URIs. The most common virus is called the rhinovirus. Other viruses include the coronavirus, para influenza virus, adenovirus, retrovirus, and respiratory synovial virus. Sinusitis occurs as complications. One can have low grade fever which often gets unnoticed. Sinusitis alone will not cause backache and stiffness and other symptoms as mentioned by you. Regards " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi since Friday I have had terrible cramps in the very lower part of my abdomin to the point it actually hurt to sit. My bowl movement is normal and Im weeing normally it feels like cramps but I have been in the menopause for nearly three years it has made me feel feverish but there has been no real temperature and I have taken nurofen every 4 hours which does take the pain away. Today I feel in myself a bit better but the pain us still coming and going. Anything you can recommend??", "output": "Hi thanks for your query and proper history. The commonest causes for pain in lower abdomen in a post menopausal woman are :Intestinal infections. Lower Ureteric Colic UTI with severe cystitis. Prolapsed uterus with reconcile and systole I would advise you to have consultation with a general surgeon for clinical evaluation, examination and investigations to come to the diagnosis and give you a plan for further treatment." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I sprained my ankle a couple of weeks ago and my original doctor told me to stay off of it and I tried but I m just a independent person and decoded to start doing things on my own by day 3 now its 4 weeks later and my ankle is still swollen...what do I do ?", "output": "Hi Welcome to ChatDoctorI have gone through your query regarding your sprained swollen ankle, and I can understand your concern. In case of any injury, if swelling and pain persists An X-ray is advised to ascertain the position if there is need of plastering so that further damage should not happen. You should go to a specialist for proper treatment Asap Turmeric powder a spoon in a cup of hot milk in BF and at bedtime helps alleviate pain and swelling faster . Rest and intake of proper nourishing diet is also helpful in early recovery. Hope this helps solves your query. Take care, All the best. Wish Get well soon.Don't hesitate to get back TF have any further query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i went crowd surfing last night and i was droped about 6 or 7 feet about the ground and landed on my back with my legs flying over my head. I hit so hard it knocked me out of breathe and made me throw up. Now today my back hurts so bad..everytime i move i have sharp pains going up my back and at certain points when im walking i just want to collapse. Should i go see a doctor?", "output": "Hello, I have studied your case with diligence. As per your symptom and history there is possibility of acute muscle spasm in lower back due to injury these symptoms muscle relaxant with analgesic and neurotrophic medication can be started consulting your treating doctor. Till time take rest and continue analgesic available over the counter take rest, and hot fomentation. Physiotherapy like ultrasound and inferential therapy will give quick relief. You may need to do MRI spine if symptoms persist. I will advise checking your it B12 and it D3 level. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am just recovering from a 3 week viral infection that caused throat pain, voice hoarseness, sinus congestion, and chest congestion with cough. Just when I think I am finally feeling better, I have developed sharp pain in my right parietal lobe region that only lasts a few seconds but is severe with a lingering soreness. The pain increases with movement. I don t palpate any tenderness over the region other than a small raised bump. I do have a cold blister in my right nares. I am concerned that the cold sore in my nares is related to the parietal lobe pain. Should I have this evaluated?", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. Possibility of connection between nose problem and parietal lobe pain is very less. But in rare cases, uncontrolled, severe sinusitis can cause meningeal infection and brain damage. But since you are improving in sinusitis, possibility of this is also very low. So no need to worry much. Avoid stress and tension. Take simple painkiller like ibuprofen. Your parietal lobe pain will mostly improve. But if you are still having pain than better to get done CT thorax and CT PNS (paranasal sinuses) to rule out internal brain pathology. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my son aged 1 yr 1 mth had high fever last thursday and was admitted to the hospital on the friday, reaching almost 40 temperature. His fever fully recovered on sunday, in which he was then allowed to be discharged from the hospital. today - monday, at home, his body begins to rash with tiny red spot on his cheeks and chest, and some at his stomach. it does not itch because my son does not scratch the red spots at all. and he has no fever. any idea what this might be? or this is normal for toddlers after high fever?", "output": "Hi... Thank you for consulting in Chat Doctor. It could be any viral erythematous illness. But as you quote them as red spots after fever - the possibility is any other trivial viral exanthem. I suggest you use calamine lotion as its giving results along with oral antiallergic like HY Chat Doctor. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,my husband had bad breath since childhood.after marriage,even i got it along with a slight change in voice.my dental hygiene was good.but started getting white spots on my tonsils which was diagnosed as tonsillar keratosis by an ENT specialist.Doctor suggested me surgery in worst case.But i dont want to go for a surgery n i remove those white keratosis with a sterile tweezer whenever it apppear. so no bad breath problem now. but my husbands breath smells very bad now a days. when i tried to see his tonsils,i couldnt see any keratosis or anything. Does he have any other problem? He never smoked or drinked alcohol.Which speciality should i take him for professional help? please suggest me. He is a bit reluctant to visit doc regarding this. Is there a chance that he had the same problem all these time what i am having after marriage?", "output": "reclothe reason for chronic bad breath could be either oral related or systemic (gastric problems) (kidney related) (liver problems)For oral related home carry doing these 4 things regularly twice daily morning and at night 1 proper brushing2 use interdental aids (proxy brush & dental floss) to clean in between teeth areas 3. Tongue cleaning is very important (use tongue cleaner)4. Start using mouth wash (for 3 weeks use chlorohexidine, and then you can use the milder one like list rein regularly)follow this strict regime of oral hygiene along with this u need professional cleaning every 6 months do visit dentist regularly and if it still persists than u might be having systemic problems. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doctor my wife had recent laparoscopic surgery,i tested my sperm countvolume 2ml,viscocite:Bone 7.1,Number:superieure 20.10*6/ml mobilite:70% in movement straight, 20% stationary, 10%immobilemorphologie:10% of macrocephalus,70% head regular,20% of macrocephalus culture:10% some elongated, 90% regular divers: GB3-5/ch,cel.epith.5-7/cmin this sperm count what is abnormal i m very tense and i lost my concentration please help me should we try for child or i need some medication,i am staying out of india there is no specialist docrors please advise some medicine.........", "output": "Hello, Thanks for the query to Chat Doctor. Forum. I analyze your report as, Volume 2ml (normal 2-5 ml) at borderline level normal. Viscocity normal pH 7.1 (normal 6-8)SPERM COUNT (query) normally it is 60-120 millions total. In your semen it is 20 million / ml and your semen is 2 ml, so in aggregate it is 40 millions means below normal. Normally if semen is taken after 3-4 days abstinence than its volume increases, so in that case it may be 3 ml than count will be normal. Motility is usually 90-100 % but in your semen it is 70% so they (sperms) are less motile than normal. Immobile 10 % and this is also normal (normal 10% immobile)20% are straight, and they are dead. Rest of analysis is non-specific so no discussion. In my opinion consult a physician and get his opinion and treatment. Nowadays good and effective medicines are available in market, so you will GE alright in short time. If further any question I will help. Good luck. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My father aged 79 who is visiting my sister in the US has had a heart attack and needs a valve replacement and triple by pass done. He has been in ICU from 2nd Nov till 19th Nov =, then was shifted to Rehab dept. till date. By the end of next week he will be fit to travel. Is it possible to do the surgery in your hosp.", "output": "Hello, He may be suffering from triple vessel disease along with that he may be having age-related aortic valve sclerosis. So maybe undergone valve replacement along with that bypass surgery. So he may be travelled by doctors advice only. Please consult your doctor he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi around 6 weeks ago I went and had a mammogram for a lump around an inch long the results came back that it was glandular tissue, but I ve noticed the past few days that it has either moved across my breast or has grown and I ve also found a small lump under my nipple and what looks like red veins on the surface of my breast where the glandular has either grown or moved what should I do.", "output": "Hi.based from your description, it could possibly be an inflammatory reaction or any of those breast lesions. It could be a cyst, a fibrous (fibrous tissue formation) or fibrotic changes of the breast, which are all benign breast lesions. Malignancy must also be ruled-out. It is best if you consult with a doctor, preferably a general surgeon, for clinical evaluation. Diagnostics such as breast ultrasound and mammography may be recommended. Management (medical and/or surgical) will be directed accordingly. Hope this helps. Good day!!~ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my name is kenny guzman an ive bin battling with deppression for over 5years now im 28 years old with one child an I just feel like I have a lack of enerygy a lack of intrist an its to the pount ere its affecting my life an house hold as well as me working last time I went for a check up was about 4years ago on a deppression scale I was a 6 its 2014 an I feel like I have alot of pressur on me an I just wanto to know if u could try to apply for disability benefits...", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. Depression will not go away if you sit idle and always think about it and always scold your fate. You have to decide, get up and GO. Work i the only thing which can take you out of this juncture. For which you have to be a bit persuasive. Self persuasive. Make sure you work, whatever may your physical condition. What ever may your mental condition. Ignore tiredness, laziness. Let me tell you, that is the only way out. Do you want to be out of your current situation? Then follow me strictly. Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "female aged 16 getting stabbing pain in chest that lasts only 10 secs and cant breathe when pain is present. this then disappears and alls well . started these episodes about 3 months ago but they are increasing. At hospital emergency -did ECG said that it was nothing. She still gets these attacks- please could you advise on what it could be?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Since her ECG is normal, and she is young, no need to worry about heart diseases. In my opinion, she is having panic disorder. This is very common in teenage. So consult psychiatrist and get done counselling sessions. Try to identify stressor in her life. She may need anxiolytic Chat Doctor. Don't worry, she will be alright with counseling and " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I received routine blood work back showing an AST of 53 and an ALT of 74. I am hypothyroid, taking 1.0 of Synthroid per day. My TSChatDoctore back 6.3. What would cause the elevated AST and ALT? How likely is it that I have hepatitis or cancer? Can the elevated TSH affect the AST and ALT? I am a non-drinker and take no medications except Synthroid (not even Tylenol). I do take calcium cabonate and vitamin D (several hours after the Synthroid dose. I also use Metameucil wafers twice a day (again several hours away from medication). I am a 57 year old, white female. Other tests came back normal. I had a colonoscopy about 4 years ago, and was diagnosed with IBS.", "output": "AST and ALT are nonspecific tests, which means they could be elevated for many reasons. That includes both hepatitis or cancer. I don't believe the elevations are related to the high TSH. You are in an age group where chronic hepatitis C is commonly diagnosed. Hepatitis C can cause such elevations without a lot of symptoms. If you were my patient, that is one of the first things I would check. At the same time, you could also be checked for other types of hepatitis. Other problems with your liver or problems with your gallbladder might also cause the elevations. Hope this answers your query. If you have more questions, I would be happy to answer them." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been on Microgestin 1/20 Fe BC for around a year now. This is the second month in a row I haven t had a period. I have this problem in the past and my doctor said its pretty normal but has changed my BC anyways. Both this month and last I ve had very, very slight spotting for less than a day and then nothing. Is it normal for my BC to pretty much rid me of my period like this?", "output": "The longer that you're on birth control pills the more likely it is that you will cease to have a period. It does not mean that the birth control pill is not effective. On the contrary it is working very well. The lining of the womb has become so thin that there is nothing to shed. In other words the progestin has won out over the estrogen. Many women actually like this as a side effect of taking oral contraceptives. You will have to take a stronger estrogen containing pill to avoid the side effect but I don't think there's any medical reason that you need to." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am 35 yrs old and 43kg, i have pigmentation and acne problem doctor suggest me kojivit and flucort i used this for long time more than 6 months now i stoped my skin become thin and veins are very prominant and more pigmaentation and acne problem also same. please suggest something", "output": "Hello dear, Welcome to Chat Doctor. I have read your query and understood your concern. For pigmentation, Bolivia you may use but floor is a steroidal cream which is not advisable for acne, that too on face and for such a prolonged time. In such cases, i usually advice my patients to apply aider 20% cream over the lesions in nighttime and clindamycin gel in the morning. In moderate to sever acne, oral antibiotics like doxycycline, minocycline are advice. I hope it helps. If you have further queried, you may ask me." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 66 year old male. I work full time a a lawyer. I am able to walk on flat ground without difficulty although I have a lot of pain in my left foot. I become breathless when climbing stairs or walking uphill specially if I am carrying something. This has been the case for a year or so but worse lately.. I recently ha d a chest infection.", "output": "Hi welcome to ChatDoctorI understand your query and concern. Your symptoms are suggestive of mild to moderate pneumonia. I advise you to get a clinical examination and ECG,2D Echo of your heart, chest x-ray, ABG analysis immediately to confirm the diagnosis. Monitor your blood pressure, heart rate immediately. Chat Doctor. Pantop once daily for 14\u00a0days and tab. Deriphylline thrice daily, syp. Grillinctus. Avoid stress and anxiety. Avoid smoking and alcohol. Consult your pulmonologist for expert management and follow up. Hope I have answered your query at the moment. Post your further queries if any, Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 28 yrs old my semen counting is 64% I want a child so what can I do??", "output": "Hello Bacchus;welcome to Chat Doctor If the motility of your semen is 64% then you are fine and if the normal form of sperms are more than 60% then you will become a father. So only semen count is not important you should write the detailed report to understand it better and guide you. I guess all the other reports of you as well as your wife are normal. The main criteria for having a baby are:--regular periods -proper ovulation-patent fallopian tubes -normal semen analysis If these things are normal you will have a baby To increase the chances you should have sex alternate day from 10th day of start of menses till 21 day as it is more fertile period. All the best. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi dear doctors, my 1 year old girl is sufferign from constipation. and now i m using cremaffin plus 7.5ml once in a day. and she is doing fine now. my question is there any side effect if i will cremaffin plus for one year daily? my email id is \" YYYY@YYYY \"", "output": "You can give to child remain during 2weeks-1 month, but she can not Chat Doctor. This is just symptomatic therapy. If you were give for a long time a fat -soluble vitamins, like as A, D, E, K would not absorb properly. It also gives anal irritation. You should give to her laxative food like as Dali, boiled rubber beetroots with 1 teaspoon of olive or sunflower oil. You can also give tomato soup with beetroots. Give to your baby -girl fresh juice 100ml from carrots, beetroots, orange, apple or rubber apple. Pumpkin soup or sheer from pumpkin is very helpful. ADU, salad from cucumber and tomato and onions with sunflower or olive oil. Corn oatmeal. You can give green tea with ginger and turmeric powder1/2 teaspoon for 2 glasses. She should eat more liquid. Thanks, best regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi my name is Sue while in the store shopping today a man beside me fell over and had a seizure, ive had some training but not alot with this........just wondering if i did the right thing in helping him i had help come and we tried to keep him calm and relaxed but he started turning blue.....is this normal we kept cold cloths on him and kept talking to him and he finally came around, i was wondering if this was a granmal seizure", "output": "Hi, Thanks for using the Chat Doctor.First I like to congratulate you for giving first aid and taking him away from risks. Grand mal involves whole body. Associated with aura before seizure and then little depression after seizure. Keeping him calm, relaxed, Loosening his tight Chat Doctor. Cold water won't help him much. Turning bluish is due to vascular phenomenon due to reduced blood supply to body (periphery) during seizure. Usually he'll recover from it. Hope I have answered your query. If you have any further questions I will be happy to help. Thanks get well soon...." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, recently i had a blood vomit . in consultation with a doctor i under went a abdominal ultra sonoraphy. the following are the results. -fatty liver -enlarged spleen : 125 mm i have been prescribed the following medicines. silimarin 140mg pantodec dsr beplex forte digecaine syrup after following the prescription for a day, i now have mild fever and stomach ache with irregular bowel movement . can you please suggest a way out.", "output": "Hi, Vomiting blood is not normal. It could be due to ulcer disease or due to varices secondary to liver disease. Since the ultrasound scan shows enlarged spleen, bleeding due to varices is more likely. An upper GI endoscopy should be done to confirm the source of bleeding. If it is varietal bleeding, it can be controlled endoscopically. You may have to be on long term medications. If it is due to ulcer disease, then you have to be tested for H.pylori infection and treat it if found to be positive. I hope that answers your question. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here.my daughter regularly uses asthalin respules bcoz of cold and cough and 2 years before heart surgery was done so i wanna know that there is any side effect of regularly using respules", "output": "Hello. Thank you for asking at Chat Doctor. Common side effects of Stalin (Albuterol) are increased heart rate, sometimes irregular heart rate, feeling of heart beats (palpitation), tremors especially in hands, \"shaky feeling\" in the body, reduced blood potassium levels (leading to fatigue and muscle cramps), irritation or Chat Doctor. As she has had a heart surgery, personally I would prefer levosalbutamol over albuterol for her. Levosalbutamol has almost similar actions as albuterol (Stalin) but less heart-related side effects such as rapid/irregular heart beats. Please discuss this matter with her treating doctor. Hope above answer will be helpful to your daughter. Wish her the best of the health. Thank you & Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi my 17yr old son has a lump that is very hot on his left side and is pale and feeling weak with constant pain and has also had trouble breathing and has had to use his ventolin inhaler a few times in the past 2 days (hes an asthmatic) and approx 6 wks ago he was taken to emergency by ambulance and diagnosed with appendicitis but discharged himself when the pain reduced do u think it is the same condtion/?", "output": "Hi. Thank you for your query. Read and understood you sons problems. Appendicitis is usually on the right side of the abdomen not on the left. The hot thing on the left side can be a subcutaneous abscess developed secondary to the appendicular lump or abscess. Pale can be due to septicemia. As he is known asthmatic, you have to take more care and may be give him additional medicines and inhalers to get a proper control over the asthma. The appendicular lump is usually treated conservatively for 6 weeks so that it has to be operated when this becomes resolved. Remember that getting operated on the given date is very important." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been taking Gleevec 400 mg daily for control of GIST . My last ct scan showed no evidence of disease. In the last few weeks my fluid load has become more problematic. I have puffy edema everywhere I had a 10 pound weight gain in 3 days and was directed by my primary doctor to double my 40 mg Lasix to 80 mg whenever this occurs. My tissues are like sponges that depress and stay that way. I am concerned about the effects this much fluid may have on my heart.", "output": "Welcome to Chat Doctor! I appreciate your concern for the generalized puffy edema. Accumulation of fluid due to salt and water retention is an important adverse effect of Sleeve chemotherapeutic Chat Doctor. This side effect is commonly seen during the long treatment with Sleeve, it may be associated with high BP and sometimes the fluid gets collected in the lungs causing difficulty in breathing, etc. Now since the scan is not showing the evidence of the GIST you may please consult your doctor whether to continue with Sleeve for how many weeks or months. Lasix definitely helps in clearing the edema fluid, but it also has some side effects on its long run. Take care of your health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My wife is suffering from lower abdomen with back pain last 4 months. She has been seizure 18 months ago. I have consulted his Gynecological doctor. He advise for USG and some Blood test. The result of USG and blood test is ok. After seeing the report he advise Gynazole 200 (at night 1 cap), i-flag( daily 1 cap), Normaton. But there is no improvement and again consult him after 2 months and he advise Gynazole 200(at night) and Tryptomer 25(at noon and at night) and normatone(2 tea spoon at noon and at night). Is these medicine right for my wife? what is the cause of pain ?", "output": "HI. Thanks for your query. Read the history and understood your wives problem. The reason of lower abdominal pain with back pain for 4 months can be the following :Pelvic inflammatory disease - Endometriosis. Diseases of the ovaries and / tubesEnteritisColitisMyometritis. As the Caesarion section was 18 months ago, this may not be related to the present problems. The medicines given by Her Gynecologists are based on the reports, which you say OK. Gynecologist must have done an internal examination and thought of PID or Endometriosis as a major cause hence gave the medicines. Also, must have thought about anxiety or stress hence added few more medicines like trypromer and so. I think these are good medicines but if they are not helping, we have to think about other causes. In such a case I would advise the following:CT scan of the abdomenDiagnostic Laparoscopy has a major role to play and this is a common practice now. It allows the direct visualization of the whole abdomen, its contests, particularly, uterus, tubes and ovaries in this case. Hence, the diagnosis m biopsy and treatment can be undertaken in many patient. Please discuss this with your Gynecologist or take a second opinion of a General Surgeon practicing Laparoscopic surgeries, Or a Castro Surgeon." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have severe pain in my lower back, right side, and right buttock that radiates down my leg all the way to my foot. I am often unable to walk without limping. Also both hips hurt and are tender to the touch on the outside of my buttock (bursitis?). I have severe all over pain and stiffness every morning and after sitting for any length of time (ex. eating lunch) and struggle with painful knees, ankles, wrists, hands and feet. All of my blood work, every test you can imagine, has been normal. I have normal e-rays of hips and a normal MRI of my lumbar spine. I take Lyrica and Cymbalta, but still experience extreme pain. NSAIDS do not help. Suggestions?", "output": "Welcome to Chat Doctor I have gone through your query and understand your concern. You are suffering from chronic backache. This may be related to muscles and bone weakness. There may be deficiency of vitamins and trace elements. You can take supplements of vitamins and trace elements. Back exercises are helpful in muscle strengthening. Analgesic such as ibuprofen is helpful in pain relief. If not relieved by it, you can take strong analgesic such as tramadol. You can get vitamin D and vitaminB12 levels and if found low you can take its supplements (vitaminD3 and mecobalamin). You can continue with Lyrics and Cymbal ta, You can discuss with your treating Doctor about it. Hope I have answered your query. If you have any further questions then don't hesitate to writing to us. I will be happy to help you. Wishing you good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hai iam 40yrs old lady having thyroid and bp and for the past 20 days my bp was shooting and i had med yesterday only and today though it has reduced i have more palpatation and my pulse rate is very high as 110 and i also have lungs problem for which i take medicines in need help me out for how to continue medication and what is the normal pulse rate", "output": "Hello, You need to see a doctor to take medications. , Monitor sometimes a day your blood pressure and heart rate, some blood test and thyroid hormones (TSH, Ft4) and let the doctor see them. Since you have pulmonary problems too and thyroid problems, for which I don't know what medications are you taking for, a doctor should recommend the right treatment. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good evening. My dad is 67 years old and had a full knee replacement 7 weeks ago. Hw saw the surgeon after 6 weeks and was told he was doing better than most after 6 weeks, however he forgot to ask about the major night sweats he is having. Is this normal?", "output": "Hello, As your father is doing well after the TKR I will advise for the knee replacement rehabilitation program for best outcome score. Regarding the sweating in the nights, this will be due to other factors like the healing process, past medical history of diabetes or Hypertension. Please see that the sugar levels are fair, and blood pressure is not too rise or Chat Doctor. This is some of the possibilities which happen in aging. It can be controlled by medication post examination. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "What are symptoms for kidney stones/colic? My husband is having pain + severe cramps and in his urine is blood. It lasts now for 4 hours. I thought it is urinary infection but I dont know what symptoms for kidney problems are? We are camping and I dont know if I should take him to the hospital?my e-mail address: YYYY@YYYY", "output": "Hi, thanks for using Chat Doctor Stones can occur in any aspect of the urinary tract-the urethra, bladder, ureter and kidney. In general, they are associated with severe pain, which is usually cramping or intermittent in nature, in some cases the pain may radiate from the loin (the lower back) to the groin. Urinary infections would be associated with burning on urination, frequency, possible change in the color and odor of the urine, abdominal pain. If the pain is severe, it would be best to take him to be assessed. An ultrasound may be suggested. If it is a stone, the treatment may depend on the size and the presence of any complications. Small stones may pass on their own. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am writing concerning my 6 year old daughter. She has battled an infection around the vaginal area and what looks like ulcers. She has been checked for every type of STD and bacterial infection and has seen 3 Doctors and 1 Dermatologist. Their diagnosis was Erysipelas and the treatment was a strong antibiotic. Today, she was seen by a 4th Pediatrician and he tested her for bacteria that may be the cause of a fissure. He also said she has a yeast infection around the vaginal and anal area. He prescribed Diflucan 100 MG (2 tablets). She will see him again next week when the test results come back. Is this common for a 6 year old and should I start her on a stool softener in the mean time?", "output": "Hi, It seems that she might be having yeast infection with super added bacterial infection producing all these symptoms. Continue with all these medicines till full course. Important is to keep her local hygiene clean, Chat Doctor. After proper cleaning apply antibiotic or triple action cream. Wear cotton short and avoid more perspiration on local part. Give her proper instruction and training about keeping personal hygiene clean and healthy. Rule out worm infestation which again cause infection and irritation. Ok and take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have recently had a pain in my left side, about the same height as my belly button. i ve had it about 2 weeks ago, and something like it a year ago which was extremely painful. I am 16, the pain is not extremely bad but is a moderate pain. I have rested and had a poo but the pain hasn t completely gone, i am worried about what it is.", "output": "Hi welcome to Chat Doctor forum. Thanks for calling Chat Doctor. F. You have got pain on the left side of the stomach at the level of belly button. It is not very bad but continuous. You had same pained 2 weeks ago and one year ago. It appears to be due to renal colic possibly due to urinary tract infection or kidney stones, which repeats periodically. I advise you to consult a urologist for diagnosis and treatment. You may have to take U.S. scaling besides other routine tests for confirmation. Wishing for a quick recovery. Best regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I AM 74 YEARS OLD. I TESTED POSITIVE ON MMY TINE TEST WHEN I WAS 12 YEARSOL, PRE-BASKETBALL, AND AGE 22 YEARS OLD AT MILITARY PRE-ENLISTMENT PHYSICAL. I REACTED POORLY TO INH THERAPY (MY LIVER PANEL WENT FROM 23 TO 211. I AM NOW ON RIFAMPIN. WHAT SHOULD BE MY TO FIVE CONCERNS?", "output": "For treatment of tuberculosis start anti-tuberculous medicines which are sensitive as early as possible after expert advice. You have to take some multivitamins like metilda-forte or meganeuron-plus once daily preferably in afternoon along with some protein supplement like protein powder with milk to improve your immune power. Don't worry much just take your medicines regularly and properly as suggested by your doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i,m a pcod patient. for last 20 years im having medicines such as ---duoluton(L) & gluformin 500mg daily at night after dinner. now a benigntumour has grown as big as 57mmx57mm in liver section v & it is half on the liver and half hanging outside the liver towards the gallbladder. what should i eat and what am i to do? should it be operated or regular usg to be done, in the hope that tumour may regress in time?", "output": "Hi, How are you? I am so sorry to hear about your diagnosis. Benign tumors of the liver are uncommon in general population but are fairly common in patients who take any form of pills with a high estrogen content (oral contraceptive pills, hormonal therapy, anabolic steroids, etc.). Hepatic Adenoid is one such tumor which occurs very often in these set of patients. Going by your history, I would strongly suspect that you have developed an Adenoid in your liver. Although these things remain asymptomatic for a long time, they can cause pain due to increase in size. A more Chat Doctor. In addition to this, there is also a risk of the tumor becoming cancerous. Follicular nodular hyperplasia of the liver is another possibility, but the current imaging techniques should be able to differentiate the two. The first thing to do after a Hepatic adenoid is diagnosed, is to stop all forms of hormonal therapy. This usually causes a " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi,i am suffering for last four months from urticaria{i have allergic rashes all over my body especially over my face and head}first there is icthing then the part swells like a mosquito bite,i have done my allergic skin test which revealed that i am allergic to lot of things including food as wellas dust, i have taken 1 month course of allegra and levorid,and after that 2mnths of only levorid,can u please help me with further plan of action cos i still have symptoms if i eat those prohibited things like chicken,coriender", "output": "Hello. Thank you for asking at Chat Doctor. I went through your history. I would like to know your age, sex, any other diseases you have, any other medications you are taking, any other allergic disorders you have, etc. Furthermore, I would also like to know detailed description of your urticaria symptoms. However, from your history, I would like to suggest you as follows:1. Most important thing - allergy testing is not 100% to identify the cause, especially in cases of long-term urticaria like yours. So although you have been tested positive for a few food substances, personally I would suggest you to observe your food and correlate with urticaria. If urticaria does not appear within 2-3 hours of taking a food item, even if it is tested positive, you may start eating it gradually. You may not be really allergic to that particular food item.2. I would like to know whether you take any other medicines regularly. Particularly analgesics like ibuprofen, diclofenac, etc. can cause urticaria. In that case, please contact your physician who will suggest you alternative Chat Doctor. 3. Were I treating you, I would suggest you a short course of antiparasitic treatment with nitazoxanide or albendazole. Many times, intestinal parasites also can cause chronic urticaria.4. Personally I would suggest you investigations like complete blood count, ESR, CRP, Thyroid function tests, Urine and stool routine & microscopic examination. These may give clue to cause of your urticaria symptoms.5. For treatment, till the cause is found, I would suggest you to continue taking an antihistamine like HY" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I was wondering I am on Accutane and I wanted to Know if I would be able to take Oxylite Pro? Does this affect your liver?", "output": "Dear jessicawelcome to Chat Doctor Please Consult with your health care provider before using this product, and especially if you are taking any prescription, over the counter medication, dietary supplement product or if you have any pre-existing medical condition including but not limited to: like high or low blood pressure, cardiac arrhythmia, stroke, heart, liver, kidney or thyroid disease...\" Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a cortisone injection in my shoulder on Thursday, I am experiencing severe pains on my lower back , from back of neck & lower, I break out of sweat every now and then. Have seen my GP on Sunday, GP has given antibiotics as I have got the flu too. I also have massive head aches.", "output": "Hello, Thanks for your query. The problem you are experiencing is called Cortisone flare, which is a brief increase of pain for 1 to 3 days. It occurs when the cortisone crystallizes after injection. Rest, ice, and over-the-counter pain medicines, such as ibuprofen and acetaminophen, can provide relief. Look for signs of infection Luke redness at injection site, fever, chills etc. if you have any consult your disc otherwise the pain will soon alleviate. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "About 2 weeks ago, I got hit by a softball in the ankle. I noticed a swelling on the inside of my ankle a couple of days ago and my medical trainer said he was going to break it up by rubbing upwards on my leg. I was doing this tonight and I felt some of it sort of poo and a weird watery sound. Suggestions?", "output": "Welcome to Chat Doctor I have gone through your query and understand your concern. You are likely having sprain ankle. You are likely to get benefitted by rest and analgesic such as ibuprofen for pain relief. Vitamin B and C is helpful in recovery. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I fell down the steps about a month ago. I noticed pain off and on but never got it checked. Here lately, the pain is back but more frequent. Today there is now a burning sensation and pain running from what feels like my neck to wrist. I also feel pain when trying to lay on my side. What could possibly be wrong?", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have burning sensation and pain in the neck and wrist. Well there can be many reasons for symptoms you mention in query like radiculopathy, cervical spondylosis, herniated disk, mononeuropathy, peripheral neuropathy , neuralgia, multiple sclerosis or hyperparathyroidism. I would suggest you to apply warm compresses to neck and wrist, take ibuprofen or acetaminophen for pain and take proper rest. If condition doesn't get better than consult orthopedic surgeon for proper examination. Doctor may order CT scan, MRI along with nerve conduction. Doctor may order anti-inflammatory along with muscle relaxant and nerve supplement. Doctor may recommend surgery in severe damage. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doctor,My FNAC report of Left superaclavicular lymph node done, findings areSmears are moderately cellular & show multiple well formed epithelioid cell granulomes,multinucleate giant cells & scattered histiocytes against a reactive background. No evidence of casesous necrosis seen. ZN stain for AFB is negative.Impression: Granulomatous lymphadenitis1.Is this a cancer or TB2. Is this a normal diease ,can be cured with normal medicines.3. anything to worry about.", "output": "Dear Sir/ Ma'am, Sorry to hear about your problem. From your report it looks like you are suffering from tuberculosis. Sometimes gaseous necrosis can be missing (characteristic of TB) and ZN staining can also be negative. You can get a PCR done for TB and this would give us more information. The report is certainly not suggestive of cancer. It is turns out to be TB, it can be treated with medicines and would not require surgery. Hoping for the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had maxofacial surgery 24 years ago that left me with a numb chin and lower lip. the surgeon said this happens and there is nothing they can do back then. Now in the past year I am having chin twitches and it is very annoying and embarrassing. what can I do and could something else be wrong?", "output": "Hello! Welcome on Chat Doctor! Your symptoms seem to be related to a pinched nerve (nerve compression), probably from the adherence during surgery in this region. I recommend consulting with a neurologist for a careful physical exam. A nerve conduction study is necessary to confirm the diagnosis. Surgery may be needed. In the meantime, I recommend taking clonazepam for symptomatic relief. Hope you will find this answer helpful! Kind regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have type 2 diabetes, scoliosis, stage four liver damage and a leg that I broke in october of 2016 that has still not healed. I take a variety of pills. Oh and I also have degenerative disc disease and arthritis. I get dizzy sometimes and fall. Or I will fall asleep standing up with my walker and fall. HELP!!!", "output": "Hello, All the condition needs careful medical attention particularly for diabetic, and it has to be controlled with tight rule basis, if it is not being controlled well, then hyperglycemia may intense the symptoms of other pathologies that you have particularly, liver damaged, and degenerative disc disease. Now for other condition like liver damaged, it has to be cured according to means the underlying cause of damage is a matter of concern, even it is the same for disc degenerative disease, once this two disease if taken proper care other symptoms that you are having will come around soon. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I currently have itchy palms, gums basically itch all over to include my lungs. I do not have any types of hives. I also have been feeling run down and body aches for the last several weeks. I had blood work done and they said my encinophils were elevated at 500.", "output": "Hi, The possible causes of eosinophilic could be due to allergy, parasitic infection or autoimmune, it can be rarely due to malignancy, but your case is look like parasitic infection. You first go for routine blood, urine and stool examination, then consult physician or dermatologist for further co relation with clinical symptoms. See, the main thing is to diagnose first rather than taking symptomatic treatment.Maybe you will require antihelminthic Chat Doctor. Thanks and don't worry you will be alright." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my gf and i were fooling around and i ejeculated, there was some sperm on my hand, around 5 minutes after that we started fooling around again and without thinking i i introduced my hand in her vagina, I think she was in a really fertile moment since it happened 13 days after her menstruation, how possible is it that she may be pregnant?", "output": "HelloThanks for writing to us with your health concern. Generally, fingering cannot result in a pregnancy. Also, pre ejaculatory fluid can lead to pregnancy at times, however you have not mentioned if any penetrative vaginal sex occurred. Sperm cannot survive outside in the hostile environment for 5 minutes, according to me, the chances of a pregnancy resulting from the encounter described are next to nil. If there was no vaginal penetration, then pregnancy cannot occur. However, if you are very concerned, you can still ask her to take ECP (emergency contraceptive pill) as a precautionary measure. When taken within 120 hours of unprotected sex, it is more than 80 % effective in guarding against a pregnancy. The expected period can be advanced or postponed for almost a week, after taking the Echo there is no way to predict the next date of her period. To be on the safer side, if you think there was some chance of a pregnancy please take a pregnancy test 4 weeks after the episode occurred. All the betake care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My father is 74. He has been having episodes where he doesnt know what day it is or if he has eaten or showered that day. He was recently diagnosed with Parkinson s disease with a chance of dementia. They did an MRI on Monday. It says Minimal Involutional Changes Appear Chronic. He is also very moody and saying hateful and hurtful things. He has always been difficult to deal with but he is getting really bad. My first thought was Alzheimer s. Any suggestions?", "output": "Hi, Regarding your concern, I would explain that his symptoms seem to be related to depression. From the other hand cognitive changes are common complications during Parkinson disease. They are related to the degradation of the brain cells, related to the disease itself. Besides, mood changes can also be related to Parkinson therapy. Anyway, I would recommend consulting with his neurologist and performing some cognitive tests in order to determine properly his cognitive problems. A psychiatric evaluation is also necessary to exclude possible depression, which can interfere with his memory and attention. There are different treatment options which can help improve his mood changes and his memory. Hope to have been helpful. Let me know if I can assist you further. Kind regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hey my daughter is seven and has been running a fever for2 days. I have been rotating tylenol and motrin every 4 to 6 hours but her temps are really high.105.8 was her last temp taking on her forehead and 107.0 under her arm. I use a digital temporal thermometer would that be accurate and should I take her to the ER?", "output": "Hi... Thank you for consulting in Chat Doctor. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15\u00a0mg/kg/dose (maximum ceiling dose of 500\u00a0mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Why does my lower abdomen and anus hurt when I sit, walk, cough, or sneeze? I m not constipated I eat a very good diet. I m not overweight and I don t have any medical issues besides asthma. even though I do go to the bathroom on the regular it hurts to push at all, its not like I have to push but you know just the regular going to take a bowl movement hurts. Also, I don t have hemroids.", "output": "Here you might have problems with kidney(kidney stone) or hemorrhoid since you yourself are comfortable for passing urine and little problem while passing stools I suggest do not diagnosed on your own and take specialist opinion. If there is no problem as per doctor then you can use hot pack at your painful area to have relaxing effect on soft tissues. Here some more details are missing from your end1. Since when you have this problem?2. How many times a day you need to go for bowel and bladder movement.? That is for urinate or for passing stool.3. Do you have any burning sensation while passing urine?4. Does your pain go down after passing urine or passing stool? Based on this as well with physical examination only a doctor can evaluate your problem So I suggest get it evaluated properly and go for treatment as per that. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am 35 year old woman and recently gone through menstural blood pcr test and mycobacterial have been detected. My doctor said, I will not get pregnant because of this situation and suggested some medication for 3 months. and also said if I wont conceive in these 3 months, she needs to do some tube test. I am really scared that I will never get pregnant. I desperately want a baby. Can you share your thoughts on the above? Thanks", "output": "Hello premenstrual blood PCR positive for mycobacterium suggests endometrial tuberculosis. In the woman, it causes tuberculous enteritis (infection of the uterus) and salpingitis (infection of the tubes). This infection can often be silent, and may not cause any symptoms or signs. Once the histologic diagnosis of TB endometriosis has been made(like in your case), then treatment with antitubercular medicine must be started to prevent further progression of the disease. However, usually with TB endometriosis, infection of the fallopian tubes also occurs, and the damage caused to the tubes (TB salpingitis) is irreversible. Infection of tubes might result in irreversible tubal infertility, and the only treatment option available then to conceive would be IVF. In the past some doctors would try to do surgery to repair the tubes, but this is futile surgery, because the tubes never work properly once they have been infected. Tubes which have been severely damaged may form a HY Chat Doctor. Although antitubercular chemotherapy is the mainstay of treatment, surgery may be indicated where medical therapy has failed to resolve symptoms and in presence of a persistent pelvic mass. So I suggest for now you continue with your antitubercular " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor, I have had several minor accidents over the last few years and usually have hit my head or hurt my neck/back during them. I have terrible headaches almost daily, I am having a lot of difficulty completing sentences and remembering what I was going to say and it seems to be getting worse. My Doctor put me on an anti-depressant and that helped a little but not for long. Is there a test that I should be looking at doing?", "output": "Hello, Your symptoms could be related to repeated head trauma. Coming to this point, I would recommend performing some cognitive tests and a brain MRI. Other tests to consider would be: complete blood count, thyroid hormone levels, blood electrolytes, vitamin D and vitamin E plasma levels, and vitamin B12 plasma levels. You should discuss with your doctor on these tests. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My mom is 59 and had a hysterectomy after determining that she had cancerous cells. She had begun a liquid diet and partly solid diet and was doing well (all while in patient). She started solid food in the morning and appeared to tolerate it well. that afternoon she was given potassium supplements and since then she s vomited, unable to tolerate any food, has limited intestinal sounds and we ve been told that her intestine is not awake. What can our next step be to help her recuperate?", "output": "Hi, It is not clear from your question what sort of cancer she is suffering from. Hysterectomy may be done for both uterine cancer and cervix cancer (total hysterectomy with bilateral ovary and tube removal). The problem you have mentioned probably is a post-operative complication. During operation gut handling may be the cause. As you have not mentioned on what post-operative day the problem started detail explanation is a bit difficult but regular electrolyte monitoring preferably at 24 hr interval and conservative management is the best option. It will be definitely corrected. After the surgical management is over you may need adjuvant treatment depending on disease pathology so keep in touch with your gynecologist and oncologist. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "The right side of my face is swollen, Went to the doctor office yesterday and he said something about salivary glands The antibiotics are not working, and the pain is unbearable. What can I do, and where do I go to see about this problem? What can I take for this pain.", "output": "Hello thanks for consulting at Chat Doctor.it could be sialadenitis, if salivary gland is involved,it could be also be due to infected teeth, kindly check for those with a dentist,u have to get a sensitivity test, if not go higher antibiotics and analgesics with the prescription of your treating physician.get an Iowa radiograph done for the involved area with a dentist, do salt water gargle thrice daily,hope it helps,TC" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my husband is having heavy brick like feeling in his chest. we have been to er a lot and they say he is not having a heart attack. he has had two open heart surgery in the past and he has a paste maker and defr also. he can not walk very far with have this problem. I was told there is nothing they can do for him. he is only 6 years old.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. No need to worry about major heart related diseases because her ER visit was normal. Sometimes, stress and anxiety related HERD (gastroesophageal reflux disease) can cause heaviness in chest. So better to take him to psychiatrist and get done counselling sessions. Try to identify stressor in his life and start working on its solution. He may need anxiolytic Chat Doctor. Also give him pantoprazole tablet on empty stomach. Ask him to avoid stress and tension. Also avoid hot and spicy food. Don't worry, he will be alright. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I already have AS and 4 degenerated disk in my back. I had a cluster of bumps show up on my arm about a month ago and the doctor said it was a Fungal infection. Here lately the last 3 weeks or so I have been very tired like falling a sleep during the day and feeling give out. My throat was hurting a couple of days now my neck is hurting so bad I can t move it. Are any of these symptoms worth going to my doctor? Had a low grade fever a couple of days.", "output": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Yes you should visit to the nearby doctors. Fungal infections and feeling dizziness can be a symptom of the nervous system involvement of fungal infections. Fungal infections should be treated with the fluconazole. Completed treatment is necessary. Fungal infections are common in diabetics and in HIV positive persons. So in my advice you should also test this to condition in nearby laboratory. Please maintain good local hygiene where fungal infection occurred. This will help cure the infections at earliest. As you are feeling dizzy avoid the work which requires concentration. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I recently was prescribed some medications for high BP. After a while, a few weeks, my cardiologist changed my meds due to continued high BP. After starting these drugs, I developed a rash indicative of a possible allergic reaction. I also experienced a rapid weight gain of almost 20 lbs, and swelling in my knees ,thighs and scotum. I reported this to my Doc and we set up an office visit. He took me off the drugs with the exception of Lasix and low dose aspirin. I ve since lost 10 lbs and the rash is improving but I still feel some swelling. I felt much better prior to starting the meds. I plan to see my Internist as soon as I can get in. I m 64 work out daily.", "output": "Hello, There are some medicine which may cause edema and weight gain. This will resolve in some days with lasix. Also, have fluid restriction like water, and water containing foods for some days. Avoid this medicine next time. Also, You should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. Regular exercises like brisk walking, jogging according your capacity at least 30 min a day and 5 days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity. Get your lipid profile and sugars tested once." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "2 weeks now I ve in pain with my tight shoulder, my dr did X-ray and gave shot of cortizone he mentioned a small tear, I went the following day and the joint specialist gave me my 2 shot, he said I had bone spurs but needed to get pain and swelling down from bursistis, 4 days later I can move my arm very little but more than the last two weeks, my question is how long does bursistis last? He mentioned in the back of his mind he hopes it s not (very long name) of something bring a very painful nerve disease, thanks for you help", "output": "Welcome to Chat Doctor I have gone through your query and understand your concern. Bursitis heals in nearly 3 weeks. But as you were having very fewer movements, so you are likely to be having frozen shoulder. In this mobilization exercises of shoulder and analgesic helps. Cortisone shots are also helpful. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a abnormal pap about a month ago ,I have pain in lower back and lower stomach and I also have HA MRS and Barnet esophagus my chest and upper back feels like some one standing on it all the time. Saw a OB GYN he just told me it s I was going though the change of life . Have a partial hysterectomy about 20 years ago in 2011 had to have ovaries removed due to them being infected . I am 51 and having a lot of pain in my vaginal area and lower stomach and back. Upper chest and left breast and my throat feels as if it s on fire all the time, can t talk very well do to the esophagus trouble. Thank you for answering my questions if you can", "output": "Hi. Thanks for your query. I have read and understood your concerns:You have a Barrels esophagus, abnormal Pap smear, pain in lower back and stomach; HA MRS and feels that someone is standing on your chest and back, consulted a Gynecologist, and He said that you are going through your stage of change of life at the age of 51. You have already undergone partial hysterectomy along with removal of both the ovaries in 2011 that is 4 years back and the changes night have occurred immediately after the surgery as the ovaries have already been removed. Hence, can not be correlated to the hormonal changes. I would advise you the following:- Get clinical evaluation and physical examination done by a General Surgeon and get investigated accordingly. - CT scan of the abdomen can tell if there is a chance of cancer of the cervix as you had undergone partial hysterectomy.- Pain in the vaginal area can be due to low estrogen you have.- Pain in the chest and breast on fire feeling can be due to Barrett's esophagus, needs regular follow-up with upper GI Endoscopy to see that it is not progressed to become a cancer or so. If required you may have to go for CT scan of the chest too. I hope this answer helps you to get a proper diagnosis as you have multiple problems and that they may not be related." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I m 15 years old and in the past couple of years I ve noticed that my legs get red blotches when i stand for more than 5 minutes. It s a lot faster in heat, but it even happens in the cold. I also feel a lot of uncomfortable pressure in my legs, and have fainted multiple times. After researching, I ve just discovered POTS, and I show most of the symptoms. I was wondering if i should be concerned or if it s no big deal.", "output": "Hi, there is nothing much to worry with this. Sometimes what you read on internet is all about the symptoms, but the clinical correlation is always a very different. Why don't you try doing some regular aerobic exercises and then see. You can even look for specific lower limb strengthening as well. Workout for your core stability as well. All together this should take away your most of the symptoms, and you will find it ease soon wish you an early recovery. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor, Age 29. I was worried about get mad. These thoughts made me panic and couldn t concentrate on any where even tv program. I have consulted doctor he given me medicine called sertraline tablet. I was taking it past two years. I am not taking the medicine from past 4 months. Now the feeling started again slowly. Can you help me", "output": "As per details given by you, these uncontrollable and irrational thoughts which seem to bother you could be manifestation of Obsessive compulsive disorder. It is recommended to restart sertraline for an early control of these symptoms. It is also recommended that you should stop these medications gradually after consulting your psychiatrist. If you have any additional queries please feel free to raise them." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? hy im a boy and my problem is that i really like girls stuff but im afraid to wear a thong mybe in school or whatever even i want to or read cosmo in the breaks i dont know what to do i feel a bit confused", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. You have not given your age here. Also, you should have mentioned your siblings and family set up. Around the age of 10 to 12 boy child Chat Doctor. Especially if they have girl siblings. There is nothing to worry. When you develop, such thoughts subside. Regarding cosmos, I think you are yet to know what are all those. Takes some time to understand, you know. Concentrate on your studies. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I was recently diagnosed with a old compound fracture of my L1 vi a x ray I am wondering what the usual procedures are to resolve this problem .. i had a bone density done this past Sept. and no on mentioned it before.. just looking for some proactive answers ...dr.appt. set for this mo...my am 5.6 nd weigh 135 so, I am not overweight name is Cathy, I am a Truck driver I", "output": "Hello, It may be due to fracture. For further assessment you may require complete hologram, x-ray or MRI after orthopedic surgeon consultation. You may require surgical intervention after surgeon consultation. Till then for pain you can take tablet acetaminophen. Restrict your movements. Use support while walking. Hope I have answered your query... Let me know if I can assist you further. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 10 year old daughter wasnt feeling well today, headache. Wanted to take a bath and she used some of my bath scrub from bath and body works. She is now compalining of shortness of breath and chest pain. She is not pale, her pulse is 88. She is speaking fine and not laboring for breath. Could this be an allergic reaction to the smelly body scub?", "output": "Hello, Welcome to Chat Doctor, The symptoms of your daughter are suggestive of some allergic reactions. As the symptoms developed after the bath following exposure to different scrubs. You need to test her blood sample foe absolute eosinophil count, it will help to know the presence of allergic reactions in the body. To avoid the symptoms of asthma, your daughter should be exposed to the triggering factors which may be a chemical, dust, pollen or food. The allergen causing these symptoms should be avoided as for as possible. IF it is not possible to avoid the allergen you can give her an immunotherapy by consulting your doctor. For the present symptoms she can be given tab least for 5 days. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a very sore behind. Blood on toilet paper after bowel movements a foul and sticky discharge and a rash around anus and up crease. The rash lookes like inflamed pimples that itch im not sure if the discharge come from them. I have tried talc, nappy rash cream etc with only itching having relief Any assistace is apprieciated", "output": "Hi, From history it seems that there might be having some local skin infection like dermatitis or ingrown hair infection. Clean the area with antiseptic lotion and apply antibiotic cream. Go for one antibiotic medicine course for 5 days. There might be having chance of fistula in ANO. So if problem persisted, consult surgeon and get examined. Keep local hygiene clean, Chat Doctor. Ok and take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my father had angioplasty around 1 year back. he had some problems yesterday upon echo test it was found that the strength of the heart which increased from 25% at the time of angioplasty to 40% over a period of time is reduced to 32% as per the echo test today. What my be the possible reason ??", "output": "Hello, I passed carefully through your question and would explain that these fluctuations in EF could be related to interobserver variability (by the method of measuring used by the technician). So, in my opinion, if you do not have any worsening of your situation, shortness of breath, etc. There is nothing to worry about. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have had chest pain on my left side and top part if my back 2 and also shortness of breath sometimes when i breath i get a sharp pain in the middle left of my chest this has happen quite a few time but today when it happen i had blood in my spit and it come from my either", "output": "Hi welcome to the Chat Doctor Here as chest pain, dyspnea and blood tinged sputum present as per your history it is better to rule out cardiac causes first (because no respiratory complaint like cough, fever present)... -Auscultation -EKG -echocardiography if needed -x-ray chest According to cause specific treatment given If no cardiac and respiratory cause found than it might be predicted as muscular pain... Take care Consult physician or pulmonologist for examination and further work up accordingly" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir, Gud Morning. My mother has been suffering from Diabetics since 20 years or more. Her complications include:while walking she feels giddiness to the extent that she feels as if she is floating in the air, she feels without energy and vitality. Her sugar level remains at 140.However, since two days, her sugar level has escalated to 250 and found Haemoglobin 6 and her limbs getting swolen.Now what to do, please suggest me.", "output": "Hi, Thanks for your question. After going through your question, there is a need for evaluation in your mothers case. There may be following cases for her symptoms-1) Hyperglycemia:High blood sugar level may lead to hyperosmolar state that may interfere with normal brain function.2) Hypoglycemia:Transient Low blood sugar level may cause these types of symptoms.3) Neuropathy:Autonomic and peripheral neuropathy due to diabetes or any other cause may lead to these types of symptoms.4) Postural Hypotension:Sudden Chat Doctor. 5) Cerebrovascular disease:Decreased blood supply to brain due to- Atherosclerotic blockage in blood vessels of brain. - Slow blood flow to brain in response to poor heart function or sudden " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doctor!I am having 2 days for my period but i am suffering from. Severe stomach pain,low back pain, breast pain,my breasts tastes sour,leg pain, i an very thirsty, and i feel tiered why these are caused due to pregnancy or period. I want to get pregnant.i am Trying for past. 8 months i had ccontact on. All my ovolution days, i am having regular periods 30 to 32 days what is the solution please help me!", "output": "Hi, In the current scenario, you can wait for your cycle as it is almost due and then go for a urine pregnancy test 3-7 days later if you miss it. If you wish for an earlier and better confirmation, you can go for the serum beta-ChatDoctor title. Please see your health care provider for a physical exam and get a trans-vaginal sonogram if you miss a period. Your symptoms are not specific to early pregnancy; they can be pre-menstrual as well. Hope your query is clarified. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I just noticed that the bottom of my tongue has these big dark purple veins under it. I have had a couple of gum abscesses. 1 the tooth broke off and the abscess only comes once in a while. The second the abcess has been draining continually past couple of yrs and the tooth recently started to break. ( cant afford dental care)Yesterday a piece chipped off and is causing trauma under my tongue. Could that have something to do with the abscesses or trauma pls help", "output": "Hi, The dark purple veins running under the tongue are normal as they are present in everybody, and maybe you have just noticed them. If they are not swollen or painful then there is absolutely nothing to worry about. Gum access is a completely different thing which needs to be treated by a dentist along with your other oral problems such as fractured teeth. The broken tooth maybe sharp and may cause ulcer, but there is no correlation with the veins running under your tongue. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I got bit by a horsefly yesterday. The area immediately swelled and turned red. After a few hours it looked like it was getting better but last night it got swollen and was swollen down to the middle of my calf. Today no swelling on the calf but still about a baseball sized redmond got area around the bite.", "output": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Horsefly bite is going to be healed soon as indicated by decrease in its size. I advise you to take care for wound in means of hygiene, please do Chat Doctor. You can take Betadine and prednisolone under your doctors' guidance. It will help your wound to get clear earlier. Because it contains some antigenic material which will be cleaned by antihistamines " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "As my wife is scary abt ivf after repeated failure , is there any ways medically withou taking harmone , or taking scan , we can do with medically . My motility is also constraint of 20 % , count is reduced form 35 to 15 millions . Can u pl guide me . ALso i want to freeze my blood relatative sample for min 05 IUI .", "output": "HI, Thanks for asking. I have read & understood your concern. a) Provided your wife is ovulating regular monthly period/ her tubes are patent (which must have been tested before posting her for IVF.) and your sperm count shows normal liquefaction time & normal intercourse with good erection & ejaculation, (because 15- 35 millions sperms with 20% grade 4 motility is able to impregnate) you can try to have a natural pregnancy for 3 months. Both of you start taking folic acid pills & cap. Vitamin E till conceived. Know her ovulation time by LH surge test done at home. Have unprotected sex for 5 days from the +ve test. Confirm pregnancy by Home pregnancy test of urine after 8 days delay in periods. B() if no success with natural way. Both of you can go for GUI (intrauterine insemination . At the ovulation time (by LH surge test/ by USG scan) . Using selective healthy sperms of yourself or donor. c) IVF is a tedious process. But can give + ve results with donor sperms. In case of problem with your wives ovum/ uterus. Surrogacy is the answer using couples own & donors gametes (sperm / ovum). Wishing you luck. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Mr. Jackson, age 65, comes to the doctor s office complaining of a sharp pain in the right side of his chest. He says his chest hurts when he breathes deeply or coughs. This is a problem, he says, because he has been coughing a lot, has difficulty drawing breath, and feels a tightness in the center of his chest. What condition or conditions might the doctor suspect? What methods of diagnosis would the doctor use, and what specific signs would the doctor look for to pinpoint the cause?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. According to his symptoms, possibility of bronchitis or lung infection is more likely. He is having pleuritic pain (pain on deep breathing). Pleuritic pain is characteristically seen in pneumonia and bronchitis. So doctor will auscultate his lungs. If it sounds like wheezing then bronchitis is more likely and hence PFT (Pulmonary Function Test) is needed. If it sounds like crests then pneumonia is more likely and hence chest x-ray is needed. Hope I have solved your query. I will be happy to help you further. Wishing good health to your patient. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Its been 5 days that I have experiencing diarrhea, fever, stomach cramps, abdominal terderness and there are days that its difficult to move bowel. Is this amoebiasis? What will be its treatment and proper medication?Hope to find light on this matter. Thank you so much!", "output": "Many things can be causing your symptoms, including meiosis and other parasitic infections. You could also be having a viral or bacterial gastroenteritis. Your symptoms are consistent with a variety of gastrointestinal infections. The only way to find out exactly what the cause is, is to see a doctor and have the diarrhea tested for amoebas and other types of infections. The treatments for these different conditions vary, so it is important to find the correct diagnosis before you treat it. There are specific antibiotics for bacterial infection, and different medications for the different parasites that may be present. Viral infections are managed symptomatically. So if this is persisting, get it checked and find out what the best treatment is for your condition. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have muscle aches, bone pain, fatigue and I sleep a lot. I cancel appointments, family and friends functions. I can no longer do house hold chores. This started years ago only a couple times in 2 months, now it has progressed to almost on a daily basis. What specialist should I consult with to help determine what is my problem. I am a 75 year old female. I really need help. Thank you.", "output": "Hi, as you mentioned your age as 75, it seems to me more of an aging factor. Why don't you try out some exercises which will help you built up some strength. Make a note here that the exercise will help to improve the metabolism and the immune system as well. You should even focus on your proper and healthy diet as well. Chat Doctor. Your problem will be solved for 100% sure. I have dealt with many aged people and all does well with exercise and good diet." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, my name is Davie. I have severe back and neck problems, have for close to a decade. My entire spine and neck is very sore, nerve problems and no doubt my spine would be out in lots of places. A few weeks ago i started getting pains in my throat, like pain coming from the top of my chest just below my collar bones and traveling up my two neck two arteries. It isnt constant, but is there daily and comes and goes. Its in direct line with where the worst part of my back is, just below my collarbone line. That level is where my back is just beyond sore, words cant describe how bad it gets and i know my spine is out of place badly there. Now at the front at the exact same level is where im getting the pains from that are shooting into my throat. I know that pains like that can be heart related, but i feel fine apart from my back pain, my heart feels okay. Im just wondering can severe back pain and having a spine out of place cause such problems like this at the front. It just feels very tight and i get shooting pains going into my throat, but theres no real trouble breathing, just the usual tightness i feel with my spine being out and being very painful. If i honestly thought it was my heart and i had no trouble at all with back or neck pain, id be at the hospital right now. I just honestly dont feel its my heart and i know how ridiculous my back feels right now with the pain im in. Im only 35, so i dont think its a heart attack or stroke or anything and i have no tingling or numbness or anything in my arms/hands. Just want to know if severe back pain and spine out of place can transfer pain to your front and affect other things to give you the neck pain and chest tightness ive just described. Thank you for you help.", "output": "Welcome to Chat Doctor. Thank you for asking the query. In my opinion this is not heart attack or stroke. The pain at the back and in the spine does not come to the front just below the collar bone. The pain you are having in front and at the back are two separate pains. If I was your treating physician I will do the following:1. Take detailed assessment of your mood and anxiety. Sometimes such pains are associated with depression and anxiety disorder. Treating depression/anxiety improves the outcome of pain as well. 2. Get your x-ray spine done. 3. Examine the throat and chest for any abnormality.4. Get an ECG done.5. Consider starting antianxiety and pain modulating medicines. I hope this helps you.2." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have a small burning spot on my back lung or rib at present i have brochortis and allergies taken medicine for both when i breahe very that is when the burning spot starts doent seem larger than a dime to quaeter size it just started this evening did not know if it heart related or my condition to the brochortis abd allergies", "output": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of bronchitis and allergy related symptom is more rather than heart related. Bronchitis and allergies when uncontrolled can cause worsening inflammation in lungs. And this can cause burning type of sensation. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT will tell you about severity of inflammation. On the basis of PFT values, treatment is advised. Inhaled bronchodilators and inhaled corticosteroid (ICS) are treatment of choice. So consult pulmonologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, i am pregnant for the second time. Unfortunately i miscarried around 20 weeks in June. I should be about 8 weeks pregnant on November 10 but i have had light bleeding. The first occurance was two days ago it was just a light flow that ended basically as soon as it started. I rested until today when i had a lot of walking i needed to do and then i bleed again. My worry is compounded by the fact that i have had a lot of acid problems and constipation so i am not sure if my stomache pain has other more sinister causes. I am only due to see my OB in a week. Thank you in advance for your answer.", "output": "Hello dear, I understand your concern. In my opinion there are various causes for bleeding or spotting in pregnancy like hormonal abnormalities like thyroid abnormalities, progesterone insufficiency, abnormal pregnancy,low-lying placenta, bleeding from cervix etc. I suggest you to rule out the above causes by getting done physical examination, thyroid profile to rule out thyroid abnormalities, ultrasound to know the pregnancy status. Nothing to worry. Once the cause is treated it will subside. Avoid physical strain and intercourse. Take strict bed rest. But if the bleeding has not stopped consult doctor. Hope this helps. Best regards..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My mum(89) has just had a CT scan and MRI scan on her liver.An physical examination found her liver was enlarged --she has sometimes got an enlarged abdomen that is occasionally hard to touch I presume they are checking for liver cancer --any other possibilities Thanks Ian", "output": "Hi thanks for asking question. Enlarge liver could be by infection, cancer or hemolytic anemia... Your doctor has done your physical examination. So he might have suspected cancer and let's see report of CT scan... Another possibility if cancer not present could be hepatitis ...If you need viral marker may be needed. It could be by chronic hemolysis also ex.thalassemia, autoimmune hemolysis, Chat Doctor. For hemolysis primary work up us with peripheral smear examination and relic count... If still exact cause not clear USG guided biopsy done for final approach... Hope your concern solved.... Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am 22 years old and I have been suffering with abdominal pain for months now, I have been back and forth to the Doctors but don t seem to be getting any answers, the pain was in the upper middle abdomen but now it seems to be under my left rib and in my back, I feel sick almost every day and sometimes the pain is so bad I struggle to find a position to relieve it. I have an 18 month old Daughter and this pain is making life hard work. I had a natural vaginal birth however I had to be put under anesthetic to have my placenta removed. I am very good with pain but this is so aggravating..I have had an abdominal ultra sound and it came back normal so please please help me or give me some idea what this could be. Amy.", "output": "Hi Amy, Thanks for writing your query. After reading your post, it seems that your pain in abdomen is due to increased acidity in the stomach. You should follow some precautions like :-1. Avoid spicy and oily foods.2. Donor miss a meal.3. Avoid emotional/mental stress.4. Avoid doing self-medication especially with painkillers and steroids.5. Chat Doctor. You can take antacid like Omeprazole 20 mg daily along with Risperidone 10 mg for relief from your symptoms. Antacid in gel or liquid form is also beneficial as it forms a protective layer over the damaged mucosa of the stomach. You can get yourself investigated for :-1. H. pylori infection.2. Endoscopy. If the problem persists, get your examined and investigated by Gastroenterologist. I hope this is useful to you. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi I was given advantan in turkey after being bitten by a mosquito i had swelling around the ankle and redness in same area.Was this ok to use i used it for just over a week the swelling stayed and is still is swollen 10 days after but the redness has gone", "output": "Hello, Welcome to Chat Doctor, thank you for posting your query. I understand your query. Advantage has active ingredient of Methylprednisolone acetate commonly used to treat redness, swelling, crusting. It can be safely used over affected area for up to 12 weeks in adults unless they develop side effects like thinning of skin, purple patches or dilated veins over affected area. Swelling will gradually subside. Hope this information was helpful. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have lower left back pain that is below waistline and when I walk is very painful and radiates up the left of my spine. Been to chiropractor 4 times and says its my lower lumbar but treatments haven t helped. not sure what more I can do. Tylenol, ibuprofen/ naproxen is not helping. thinking it may be more seiours. I know what sciatica pain is and its not that. I don t have credit card with me, didn t know I had to pay", "output": "Thank you for sharing your complaint, dear friend your low back pain seems muscular pain. You should consult orthopedic/neurophysician nearer to you when you are in your city. Presently if you have severe pain then take muscle relaxant medicine like combination of diclofenac+paracetamol+chlorzoxazon. Exercise and physiotherapy will help you a lot. If possible consult physiotherapist nearer to you.-exercise for low back pain-raise your one lower extremity straight from hip joint without bending from knee after sleeping on back and then put down slowly. Same exercise for another lower extremity. And then for both leg simultaneously. Sleep on abdomen and raise your head and chest backward. Increase this exercise every day. Hope this answer will be helpful to you. For more queries please don't hesitate to ask. Get well soon dear friend" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, a month ago i had started coughing everytime i puff a cigarette so i decided to quit.A week after i quit the dr. said i had fluid by my lungs and gave me antibotics. I dont have anymore mucus its just feel like i have a lump in my throat which causes me to have short of breath. Is this normal?", "output": "HI, Dear,Welcome to Chat Doctor. Based on the facts and data of your query, you seem to have Pleurisy with HERD. Breathlessness is due to reduced lung volume from the lung fluid causing atelectasis lung.Thus, this is not Normal. If it is disturbing you would need ER treatment urgently. If not get pulmonologist to Chat Doctor. Hope this reply would help you to resolve your sever anxiety. Welcome for any further query in this regard Will appreciate writing your feedback review comments, to help the needy patients like you at Chat Doctor. Good Day!!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband was diagnosed with AML (Acute Myeloid Lukemea) that has mutaion or moleclar change in a gene called Flt 3. He is under going treatment and completed the fourth Chemo cycle. Also he is on a study drug calledI Midosaturin . I recently read that Imitinef Mercilet is a cure for Blood Cancer and it is available at Adayar Cancer Institute, Chennai, India. Is it correct? The name of the medicine is :Imitinef Mercilet", "output": "Hi, Thanks for writing in. Since your husband is diagnosed with AML which is a type of blood cancer, chemotherapy is one of the best solutions for him. Midostaurin is a promising medicine and is under multiple research and treatment trials. If your husband is getting this medicine then let him continue taking it under the recommendation of his doctor. It is considered effective for a type of cancer called systemic mastocytosis. The promotion of limiting merciless in some sections of media is misrepresented. Just like midostaurin, limiting merciless is the name of another medicine which was in trials some time back. This medicine was not totally curative for all blood cancers but under research for certain blood cancer types. Unfortunately due to public ignorance, this was made in to a news report and mail and circulated among unintended sections of society. It is important not to get misled by such details. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m a male @ 80 years and I have neuropathy in my feet. My right foot is especially painful in that the ball burns and there is an occasional sharp pain radiating from the right side of my ball into the little toe. Throughout the day. I m on Lyrica.", "output": "Hello, Thanks for writing to us, I have read your query and I would advise the following Change your diet and remove inflammatory foods such as citrus fruits, dairy products and wheat that may aggravate the condition. Simultaneously increase your intake of potassium and calcium-rich foods such as bananas and avocados and green leafy vegetables Vitamin B12 is important in the maintenance of health and normal functioning of the nerve tissue and deficiency of it can lead to numbness. You can increase B12 level by taking meat and fish, or you can take In methylcobalamine 1500 mcg alternate day. [6 doses]You need to consult your treating doctor to check your parameters like BP, ECG changes and detailed heart auscultation. Some useful suggestionApply a warm or cold compress to reduce burning or tinglingRemedies such as breathing exercises and meditation may also help reduce stress-related symptoms such as numbness and tingling. I hope that I have answered your query. Let me know if I can help you further. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "liver is normal in size and shows hyperechoic echotexture . No focal SOL or IHBD dilatation, but gall bladder is distended with few calculi seen within the lumen. No pericholecytic fluid collection. IMPRESSION: USG study reveals fatty liver changes. CHOLELITHIASIS", "output": "Hi welcome to the Chat Doctor You are having fatty liver with gall stone For these conditions ursodeoxycholic acid 300 mg dose tablet can be prescribed (it will help in cholesterol dissolution in bile and reduce cholesterol absorption) Take low fat diet. Use less oil in cooking Regular exercise done like jogging, swimming etc. Lose weight if obese. Green leafy vegetables, fruits consumed more Refined food avoided Alcohol intake limited Some doctor also prescribes vitamin E for fatty liver as having antioxidants property Hope your concern solved Take care Regularly check liver profile... If having further query feel free to ask" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, My name is Rahul, am from Hyderabad, INDIA. My sister (29 years) is suffering from kidney problem. Her serem creatinine level is 9.9mg/dl for now and doctors here say that kidney transplant operation has to be done as soon as possible. But getting the source for kidney is never easy. My entire family is worried about this. I request you to suggest some thing that can help us to save her. I hope you will definitely come up with some positive way to get out of this problem. Please Help! Regards, Rahul", "output": "Hi, as i don't know what kidney problem is your sister suffering from it is difficult to say whether a kidney transplant is going to solve her problem. Kidney or renal transplant has its own problems and it's not easy to say that is the best of solutions as it itself involves a large amount of expense plus its own known side effects which are very common like a person has to stay on immunosuppressive Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor good morning I had periods last 6 th august.due to oveebleeding and stomach tablets I taken some stomach pain tablets and doctor gave me birth pill.I taken only for 5 days and stopped.2 days I got my period and stopped.again 19 20 I got brown vainal discharge.25 26 27 we had intercourse the upcoming days I felt dizziness,headache,loss of appetite,frequent urination and vommiting sensation and I first got milky vaginal dicharge next day egg watery elastic discharge and yesterday watery discharge.today is my period date and I having no stomach pain.my vagina is dry.did am having delay in periods", "output": "Hi, Thanks for writing in. This irregular intake of birth control pills has probably disturbed your cycle. This may be a delay in your periods or a new period date will set now. Nothing can be said for sure. Better to wait & see. Meanwhile, you may try home pregnancy tests after every few days until you start your period. Avoid irregular intake of hormonal pills in future to avoid period irregularities. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello! Doctor, I ve been undergoing Psychiatric treatment since 2007 for the diagnosed Acute Depreciation & Anxiety. I m being treated with Ventab DXT 25, Macorate CR200, Wacalert 50 & Zapiz 1.00 whenever I feel more anxiety or seem not able to control my thoughts. Actually, this started in 1998 from Exam Phobia & was treated for same. Since then I ve been in & out on medication from time to time till 2007 from where there s consistency in medication & follow ups. Sutre, the treatment has helped me to stabilize over the period. I ve got married, have a small daughter, completed post graduation, MBA & also did certification in SAP FI. The doctor has been of great help to me. He was of opinion that I ve lesser coping capacity. And, that s not entirely wrong. His major concern has been my changing the job & settling in it. He s slowly started reducing power of drugs with powers mentioned above. But, it seems I ve developed dependency on these medicines. And, I want to stand on my own with my thought controlling me rather than medicines. In this blog, I read in answer to one patient, reference to Meditation, Self Motivation. Meditation or Yoga is okay for me since I ve learned it scientifically. I want to know about self motivation. Is there any specific resource available? How can I access it? Will I ever be able to overcome these feelings? or they ve become a part of my personality? I wish to live a life free of medication & complete self reliance. Able to communicate with myself, Be social, & grow in my career as well as financially. Cause, then only I ll not just be able to prove to myself but others as well. Humbly request you to reply as early as possible.", "output": "Degree understand your concerns went through your details. Self motivation can be achieved through self hypnosis or Cognitive Behavior Therapy. You are doing well with your progress in life and treatment of your mental disorder. If you are trained in meditation and yoga, you are well off. You can do meditation to have positive metabolism effect and also teach your subconscious mind to control and divert your thoughts in accordance with what you want. Please understand you are doing well and that is the first step of self motivation. I will help you in the requested matters. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just received my latest lipid panel results: Total Chol. 233, Triglyc. 75, HDL 51, LDL 167. My doctor is concerned about the LDL result but I read many articles about ratios between the numbers that are more important since they tend to differentiate \"good LDL\" vs. \"bad LDL\". Any comments to clarify? Thanks!", "output": "Hi, I have gone through your question. I can understand your concern regarding cholesterol levels. You have high LDL. LDL is bad cholesterol. It increases the risk of coronary heart disease. Same way HDL is good cholesterol its level 51 is optimal. But overall high LDL also increase the ratio of LDL to HDL. So it increases the risk. You should concern about your LDL cholesterol level. And you should start treatment accordingly. You can take Chat Doctor. Hope I have answered your question. If you have any further questions then you can ask me. I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have had a bladder infection was given cipro 250 mg for 7 days i was on the last pill and proceeded to experience severe pain and camping I was taken to hospital by friends and was give toreador and abuscapan as well as something for vomiting and saline solution. Finally went home after if could finally pee sent toreador and buscapan home with me that was on Sunday have been since until this morning woke up with sever back pain and leg pain i thought is was my vertebrae problem to i took a diclofenac and did go back to sleep now i have sever pain again although not in the same place as Sunday and chills and a headache The one doctor gave me 3 more days of cipro when ii went in to get the IV out another doctor gave me 5 days of macro bid it is not doing anything for me", "output": "Hi.noted history of gallbladder pathology. If it is secondary to gallstones and your symptoms are occurring frequently and increasing in severity, it is best if you consult with a doctor, preferably a general surgeon, for physical examination and clinical evaluation. What you have is chronic cholecystitis, probably secondary to cholelithiasis (gallstones). The most important thing to take note here is that an elective or scheduled cholecystectomy has better post-operative outcomes and less risk of developing complications as compared to the one done emergently. Diagnostics (such as ultrasound, liver function tests, blood count, etc.) and management (medical and surgical) will be directed accordingly. Definitive treatment for gallstones is cholecystectomy or surgical removal of the gallbladder along with the stones. It can be done laparoscopically (gold standard) or through open technique. Low fat diet is also recommended. Hope this helps. Good day!!~ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter is 33 years old has 1 child and a bruise keeps coming back on the curve of her back in the same spot. Very painful. It appears about every two weeks and then she gets a kidney infection. This has been going on for about 8 years. She has seen just about every specialist...No one knows.", "output": "Dear User, Im not surprised of these symptoms. In fact, bacteremia is often preceded by lumbar pain. Then, fever comes. On the other hand, maybe there is some kind of primary or secondary vesicalureteral reflux, that can be studied by either contrast voiding cystourethrogram (CUG) or radionuclide histogram (RNC). Then, depending on the abnormality (if any) demonstrated by CUG, there are several solutions, both medical or surgical. Let me know," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi there, i have a very sore pimple on my nipple, it looks like a pimple only because it has become a small hole. the area where the pimple is has become sore, red and a little warm when i touch it. the side of my armpit hurts and also sharp pains through to my arm. is this an infection? also i have breast implants under muscle.", "output": "Hello. Thank you for sharing your concern with us. It does sound like it might be an infection-the armpit hurting suggests that you might have some inflamed lymph nodes. The pimple that you are noticing now might have been there for a while and the small hole that you are talking about might be what is left of the pimple, which might have Chat Doctor. I would suggest that you visit a doctor for a check-up and to have this problem looked into, especially since you have a breast implant. You might need some antibiotics to clear the infection, although the decision for antibiotics will be left at the discretion of your primary care physician. All in all, I think that it is better for you not to ignore the situation and to seek medical help with your primary care doctor. In most likelihood, it is just an infection and hopefully your symptoms will resolve with the appropriate treatment. I hope that my advice was helpful. Best regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m 39 and have been taking diovan for high blood pressure for 4 years. This past year I have gained about 30 pounds and I have had 2 or 3 episodes of high blood pressure. One example, I started having a headache after lunch and by 5pm I was at ER with 200/101. Doctors did several EKG s, blood work, stayed over night for stress test next morning, echocardio gram, xrays...etc. I followed up with cardiologist who suggested diet changes and recording BP. So now for about 3 months all has been good, but the last 2 days I am experiencing another episode . Headaches with 135/99 and 141/96. Could this be related to my menstrual cycle? I just ended this month s cycle. Just looking for answers that maybe could be related to something else.", "output": "Hello! Welcome and thank you for asking on Chat Doctor! I understand your concern and would explain that the headaches do not seem to be related to high blood pressure, as your actual blood pressure values are within the normal ranges or slightly elevated. In my opinion the headaches could be related to the menstrual cycle or tension type headache. For this reason, I would recommend trying acetaminophen or ibuprofen for the headaches. Regarding high blood pressure values, I would recommend trying to lose some pounds and perform a lot of physical activity in order to have lower blood pressure values naturally. Reducing salt and caffeine intake would also help. Hope you will find this answer helpful! Best wishes, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "two years ago i was diagnosed with deranged liver caused by drnkingi had a bloodtest last week after not drinking beer for two weeks which gave the following results.SGOT/AST H 47...........SGPT/ALT.H 78do these figures suggest significant liver damage?", "output": "Thank you for posting query at Chat Doctor. Further evaluation needed.what's your age? Height? Weight?are you take any sort of medication?viral serology>?ultrasound abdomen. Anyhow, increase in the level of liver enzymes reflect an INJURY to the Liver. Medically, the condition is known as \"Hepatitis\". Its maybe due to viral infection, excess fat, gall stones, excess alcohol, excess iron, and so on. Virus and alcohol are most common. Slightly elevated should NOT be concerning but a level more than 2 times the upper limit should be evaluated. Did you get Herb and C viral serology?and get a \"Lipid Profile\" test. Liver enzymes take one to two months to return to normal.- abstinence from \"Alcohol and Chat Doctor. - use lemon juice (lemonade) once in a day-recheck liver enzymes after 4 weeks.- reduce weight if overweight wish you good health. Further queries are welcomed. Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .wish you good health. Regards," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a broken tooth they had to do a root canal on. Now the oral surgeon said the tooth on either side is dying. They did a root canal on one and will probably do the other on Monday. My concern is now a fourth tooth is feeling pain, the next one in line. I wonder if I need to see an MD about nerve damage or bone issues.", "output": "Hello, I completely understand your concern about the toothache. Dental pain surely annoys you. Reading your question, I guess you have a high carries index which is why the dentist has suggested you for a root canal treatment. There would be a deep cavity in your tooth which is why you feel the pain. I do not suspect any bone or neurological damage. Get your dental x-ray done and depending upon the depth of the cavity, the doctor would suggest you to go in for a simple filling or a root canal treatment. The earlier you visit a dentist, the better it is ! Hope this helps. Take good care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I believe that I have a sinus infection. I have a few pills from January last year when I had similar symptoms. They are amox-clav 875-125. I have five of these. Is it ok to take them? I originally was given 14 of these. I did take nine of them at that time.", "output": "Hello, Sinus infection is usually treated with a course of antibiotics and decongestant medications. Along with it, you need to take some supportive measures as well to get a quicker relief from the symptoms. Kindly take antibiotic course of Amox-Clav twice a day for 5 days. Along with it, you need to take decongestant medication containing Chlorpheniramine Male ate with Phenylephrine. You also need to take supportive measures like steam inhalation twice daily and doing salt water gargling with warm water twice daily. Kindly do not consume any cold items like cool Chat Doctor. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I always feel light headed like Im going to pass out feel like there is pressure in ears and the doctor says there is no ear infection or fluid the vein right behind my ear lubes feel as if it is swelled... One doctor says it could be tmj another says vertigo.... It just started 3 months ago ... I dont feel the room as a spinning affect but more like Im just light headed and going to pass out", "output": "Hi!welcome to Chat Doctor! Lightheadedness however is a common complaint in people having low blood pressure. When the blood pressure is too low, not enough oxygen-rich blood is being delivered to the brain, and its function can be affected. Low blood pressure may be the result of an underlying illness or disease, or it may be a normal physiologic condition. Some common reasons for low blood pressure include Anemia and deny Chat Doctor. Laryngitis can also cause fullness in ears and lightheadedness, but your doctor has already examined you and said there is no ear infection. Get your blood pressure and hemoglobin checked. Hope this helps you! Take care!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "more than 6 months ago i attempted to donate plasma. when the blood was being put back, i was in such pain. the lady told me some pain may occur but after screaming in pain another woman came over and took the needle out. my vein had been ruptured and all the blood had just been distributed into my arm. the blood bank told me i would be fine and to not lift anything heavy. for months my arm was every shade possible. they kept on saying it was typical and that i was fine but now im having difficulty moving my arm after a long day of movement. i dont know what to do", "output": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Such incidents never happens in blood or plasma transfusion. It is unusual incident that has happened to you. There is no treatment available for the blood being on the hand. It will be Chat Doctor. But please do not stress the hand by weight lifting and other such condition. Please maintain good hygiene as it can prevent the infection. I will be happy to answer your further concern on bit.ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi! Im 27. We are married last 2011. We tried to get me pregnant about 2 months but no success till my husband left to work abroad. He came back and we tried but still no success. Iam a 33 days cycle and i mestruate every month. We consulted an obgyne she putted me on ovamit for 5days. Hubbys sperm count is normal. Do i have the abilty to conceive? And if theres a possibility to menstruate but no ovulation at all? Help! Thanks", "output": "Hi, Welcome to Chat Doctor. Not getting pregnant within two months of regular contact is not a big thing to be worried. If you are not able to conceive even after 6 months of regular contact then you need to go for investigations. It is possible to have occasional ovulatory cycles in spite of you having regular periods. The frequency of sex during these two months also matters. Ultrasound examination for follicular study during the expected ovulatory period will reveal the presence of ovulation. Other factors like tubal block, cervical factors, Congenital anomalies, hormonal factors and immunological factors are to be investigated to find out the causes for infertility if you have not conceived even after 6 months. Wish you best of luck. Chat Doctor. Morgan" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Today early morning my wife take more sleeping tablet. its for my moms tab. The tablet name is risperidone tab 2mg & imiz -2 . she take each 8 tab. i m given some salted water. then she take vomit. but she getting sleepy and very tired. what i do next treatment.", "output": "Hello, She needs to be sent to the hospital for at least two reasons. One is that she will need good monitoring to rule out poisoning and serious problems related to this. She may have ingested even a higher number of tablets. The second reason is related to possible suicidal ideas, plans and actions. She may be having severe depression which may be causing her suicidal attempts. This is an emergent situation and needs prompt and fast intervention. I hope this answers your query. I remain at your disposal in case further medical assistance is needed." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "3 days ago I had a severe allergic reaction. I was eating grapes, apples etc from a Starbucks protein pack. All foods that I eat regularly. Following the allergic reaction I have felt fluish, with a headache, heartburn fatigue and nausea caused by strong sense of smell. Urine is also darker than usual Am not pregnant. 45 yr old female.", "output": "HI, thanks for using Chat Doctor Allergic reactions can manifest in different ways, most commonly as skin rashes though abdominal symptoms can occur in some persons. Heartburn does not normally occur with allergies but in reflux which can also be associated with nausea. To determine if you are allergic to the fruits that you were using, you should consider an allergy test. This can be in the form of blood tests or skin prick testing. If the tests show that you are allergic to one or more of these then you would need to eliminate them from your diet. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 23 years old and i had transvaginal ultrasound for follicle maturation(dated 8 march 2011). my report is :para 0+0, The uterus is anteverted & normal size, measuring 6.2x2.4x3.6cm, The endometral thickness is approx 1.1cm, Right Ovary measuring: 3.3x2.4cm(Showing multiple follicles). Largest follicle measuring 1.2x1.0cm. Left Ovary: Left ovary measuring: 3.0x2.0cm(Showing multiple follicles). Largest follicle measuring 1.7x1.7cm. No adnexal mass & no free fluid seen in cul-de-sac. IMPRESSION: Mature follicles seen in left ovary. please tell me my report is ok or not.one year ago i married but no babby why i have any problem in my report please advice me if my report is ok tell me any advice for my husbant. if any english mistake in above mention detail please correct.i am waiting for your kind and soon reply.", "output": "So far the report seems to be normal as far as the development and maturation of the follicles is concerned. Now you have to keep a watch on when the follicle ruptures and the ovum is released. On that day, plan your intercourse to increase the chances of fertilization. If the follicle does not rupture, then probably your Gynecologist will give you an injection for the ovulation. Have intercourse the very next or same day of the injection. What about the rest of investigations like patency of the tubes, thickness of uterine lining, husbands sperm count, etc. Please keep me informed so that I can guide you further. You can contact me directly also, or through elite question." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor,My daughter is 1 year 3 months old.She is having cold and cough.She is prescribed with mucolite,allegra and azithral.Azithral has been prescribed for 3 days-5ml once in a day,allegra and mucolite 2ml both thrice a day for 5 days.Please advice", "output": "Hi... Thank you for consulting in Chat Doctor. Cough and cold are viral 95% of the times in child Chat Doctor. For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15\u00a0mg/kg/dose (max ceiling dose 500\u00a0mg) every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. For cold, you can use Cetirizine at 0.25\u00a0mg/kg/dose every 12 hourly for 3 days. For nasal block, plain saline nasal " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I feel like I have air bubbles in my chest... I find relief when I switch positions, but it comes back. Ive also felt discomfort in my left arm and Im feeling very sluggish... Im 36 years and im a little worried it could be my heart. could it? ive checked my pulse and its been normal...", "output": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, we should first rule out cardiac diseases for your symptoms. So get done ECG, 2d echo and stress test (trade mill test). If all these are normal then no need to worry about heart diseases. Sometimes gaseous distention can also give air bubbles sensations in chest. So take pantoprazole and levosulperide combination twice daily on empty stomach.Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am very worried as I had my first icsi 14 days ago, 3 day embryo. Was good quality the embryologist said. I just realised that I have dark brown green ish discharge , I had white discharge since embryo transfer all day every day till now?? I don t know is that a bad sign? My test is on Friday, I had mild cramps since the transfer and for last 3 days head aches. I don t have any period ache, normally I am in agony every month. Is there a chance that still everything could be ok? I am 31, had 11 eggs , one week injections , Regards Maggie", "output": "Hello, Thanks for the query. Your symptoms of spotting per vagina with pain abdomen is something to be concerned about. Get an Ultrasound abdomen done to rule out early chances of miscarriage/ sub chorionic hemorrhage. Don't worry you still have chances of continuation of pregnancy. Studies have shown that 50% women with first trimester spotting continue their pregnancy and deliver a healthy child. Take care, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just came from the Oral Surgeon and he examined me for a small (no pain) smooth white spot in the vascular ducts on the underside of my tongue. He advised me to just continue to watch it and return in 3 months for reevaluation. I am trying to recall the name that he used to identify this spot. (something like Phibolist) He said it was a calcium deposit similar to a kidney stone. Do you possibly know the name of this stone?", "output": "Sialoliths may be the name mentioned to you. Have you been told that your salivary gland duct is blocked? Calcium deposits under the tongue are not uncommon. Your salivary flow is important to the health of your mouth. Salivary flow reduction can cause Chat Doctor. Wharton's Duct is located under the tongue. You can try to stimulate the flow of saliva by sucking on something sour such as a lemon. Increased flow can push out calcium deposits and prevent the need for surgical removal. A Phlebolith, by definition, is a calcification in a vein or blood vessel. Vascular malformations may present with these. Sometimes, although present at birth, these may become prominent or increase later in life. Swelling may become evident. The phlebitis may be seen on an x-ray. Additional studies including ultrasound and MRI may be required to determine vessel involvement. Hematomas are common with swelling, but less common with a phlebolith association in the mouth." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter is 6 years old and she has been wetting herself in school everyday. I ve talked to her, restrict her beverage intake to nothing after 8 pm, and sometimes she is dry in the morning and sometimes she is wet. What else should I do to keep this from happening?", "output": "HI your child may be having a problem referred as Incontinence because she had daytime wetting also according to your history. Having intermittent bed-wetting can be there in 2-5% of the child Chat Doctor. But, please consult a pediatric nephrologist /urologist as it needs more history and examination to pinpoint the cause. Happy to help you further if you can elucidate the complaint further as I will be treating these complaints in my clinic. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was told I have kidney stones. this was a shock to me due to the fact I have no symptoms. I went to get an ultra sound because under my ribs was hurting bad and I had a lot of weight loss. They are having me strain my urine and all I see are little black things that look like splinters. what is going on", "output": "Hi and welcome to Chat Doctor. As a Urologist, I can understand your anxiety. An ultrasound scan can detect stones in the kidney. A CT scan can accurately detect the stones on a plain film. An urine routine may give an indication of possibility of a stone. You need to get following blood tests done, in view of weight loss :1. Blood routine, RBS,LFT, creatinine and platelets.2. Fasting blood lipid profile, free T4 and TSH. You may send the reports here for an expert opinion." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor, What does hb level 5 indicates in blood . I ve been taking Ferro-f-tab (which contains elemental iron 100 mg & folic acid 350 mg) twice a day for the last two months. Does not seem to be helping me much. are there any MD doctors in Australia who can help? Could increase in dose of these tabs help or some injections or tonic. Thanks.", "output": "Hello and welcome to Chat Doctor, Thank you for your query. A Hemoglobin level of 5, indicates anemia. The Ferro-f-tab has been prescribed to correct this. But in clinical practice a hemoglobin level of 5 would require blood transfusion for proper correction. Iron tablets do help, but usually take a long period of time and are mostly prescribed when there is border-line anemia. I suggest you discuss the possibility of a blood transfusion with your medical care provider. I hope I have succeeded in answering your questions, you could write back to us anytime for further clarifications. Best wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, Im 31 years old, i did 3 times SGPT test, the first time it was 88 , second 99 and 3rd time 126.In my test only the SGPT is high and all the other result are very gd, i drink slchool once or twice per month, but always before 15 days i dont drink alchool, i drink a lot of water, but i was so stresses at work for a while. I dont take any type of medicines, i dont smoke . most of my food are healthy, Can u plz advise what to do to reduce the SGPT level to the normal? And what i need to eat, what type of vegetables is advisable to eat and now im doing sports exercises each day, i have hg 1.71 mtr , wt 77, thank you", "output": "Hello, Thanks for the query to Chat Doctor. Forum. SGPT or alpine aminotranferase (A L T) is primarily found in liver. The normal value of A L T is 5-50 I U. In your case as this level is progressively increasing. Your food is healthy, and you are doing regular exercise that's a good thing. In my opinion get in ultrasound of liver with M R I so that exact reason of elevation of A L T (SGPT) can be found out. Consult a gastroenterologist and get his opinion as diet alone will not be able to cure this level. Good luck. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello sir, My granpa is sufferring from Cancer, there is a lump in his throat & he has a lot of difficulty in eating food. in fact now adays he is just taking semi solid khichdi and milk. doctors in govt hospital told us that his cancer is at advance stage and now well have to take him to SUFDURJUNG HOSPITAL in delhi. but i saw that there is no facility for cancer treatment in that hospital however there is one in the AIIMS just opposite to that.. please advise what shuld I do?", "output": "Hi, dairy have gone through your question. I can understand your concern. He may have esophagus cancer. If it is advanced stage then surgery is not possible. Treatment of choice remains chemotherapy and radiotherapy. For that you should go to fully equipped hospital with all facilities. You can go to AIMS hospital or other and start treatment as early as possible. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi im 16 and my girlfriend is 14 and we had sex for the first time about a month ago few days after her period ended and we had sex 2 more times after that and we used condoms in all of the time and yesterday she told me that she didnt got her period yet and that she is late 5 or 6 days can you give a answer for that please we are freaking out!", "output": "Hello, First, having sex within 5 days after ending period is very much safe but using condom has near about 14% failure rate. Though, it depends on fertile period or ovulation time. On the other hand, 1-7 days period date alteration is normal thing and mostly occurs due to hormonal imbalance and stress/ mental upset. Therefore, I suggest her to wait at least 7 days to get normal period and if she does not get it, then she must undergo one home pregnancy test initially and later one blood test for beta-ChatDoctor to confirm or exclude pregnancy. Following test reports, consult with your doctor for next line of management. In the meantime, she must take balanced diet, avoid stress, Chat Doctor. Be well & always practice safe sex." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had MGUS for two years, with mildly high calcium levels, also two painless lumps for two years in lymtph nodes in my groin, I have had a lytic lesion on my humerus in my left arm and recently, three weeks ago developed a golf sized lump on my forearm bone which is mildly painful. My doctor put the arm lump off as a bone spur but she did not have my medical records yet and didnt know I have had MGUS for years, Do you think this is anything I should have biopsied?", "output": "Hi, dear. I have gone through your question. I can understand your concern. If you have mugs from many years and recently develop lytic lesion and some lump then you have very high chance of developing multiple myeloma. You should go for protein electrophoresis and biopsy of lump. If needed also go for bone marrow examination. Then take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have went to the doctor because Im trying to conceive and Ive got sad news that my eggs are not releasing. I would like to know if I should give up the hope of becoming a mom or is there hope that there is something that I can do that will guarantee me that I will get pregnant. And also is my condition a very bad one?", "output": "Hi, Thanks for the query. I have read & understood your query. POD is a menstrual problem where ovulation is disturbed & so the menstrual cycle remains nonambulatory & irregular, thus posing a problem in conception. This problem is seen more frequently these days being mainly a problem due to lifestyle changes. * Still you need not worry, its methodical management can reduce its bad effects like infertility/ diabetes etc. To start with detailed physical examination / investigations (CBC, Thyroid function tests, USG with ovulation study, hormonal estimation, insulin resistance test)The treatment plan is then decided - - Weight reduction (regular exercises/ low calorie diet, are advised. A small amount of weight loss can correct the hormonal imbalance. Leaving smoking helps. - Hormonal imbalance can be controlled with Cyclical oral contraceptives. - Medicines like Metformin, Camphene are tried to stimulate ovulation - If nothing helps, surgical Chat Doctor. * For this you should approach a gynecologist & after pathological tests. Follow her instructions. You will get positive results. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a mitral valve repair in July of 2009. Last Wednesday at my annual physical my PCP said I had an abnormal EKG ( he said it showed a possible problem with the right side of my heart ). I have felt pressure in my chest especially when I exercise & just a little bit when at rest for about the last 6 weeks which I ignored until my EKG result. I have an appointment with my cardiologist in 9 days. What do you think are the possibilities? Thank you in advance for your thoughts. Howard Watt", "output": "Hello, More and exact information about the status of mitral repair and the right heart will be available as we get a 2 D echocardiography done. The cause of the same depends on the reason why mitral valve repair was done. Generally the possibilities are 1) Higher lung pressure causing right valve leak, dilatation or decreased pumping 2) The repair has lived its time as its 7 years, and the disease might have progressed 3) Any new mitral disease 4) In previous era, tricuspid valve was not repaired even if it had moderate to severe disease considering its self healed after mitral repair. So the same may have progressed 5) Fall in function of left beret post mitral repair. There can be Hun Chat Doctor. The treatment for the same is based on etiology. Regards " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI I have a 9month old son he s had a bad cough for 2weeks plus I took him to the doctors 2 weeks ago they said his chest was clear however I went back on friday due to him starting to throw back food and they issued him with amoxycillin due to having a noisy chest on one side. I have fed him toast today but isn t interested really in eating but its hard trying to get fluids into him so tried him with soup tonight, he ate it then immediately afterwards threw up he has done this the past 3 nights. Is there anything I can give him which will help him get over this??? Or what foods are good for him to try keep his strength up?? He also has a small hard lump on his chest bone which looks like a bruise could this be due to his coughing or could it be he s been trying to crawl continously??", "output": "Dear parent, It seems your child is suffering from respiratory infection. He is unable to eat because of mucus he is ingesting. He cannot spit. This mucus is sticky so it doesn't pass ahead in intestine, because of small human. And then child vomits out. Try feeding him after he is relieved. Give him soup, milk, fruit, rice or whit ever he is interested in eating right now. Keep nebulizing him with plain water. He may pass frequent sticky motions as well. Keep in touch with the prescribing doctor for infection part." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Im 15 weeks pregnant and iv been having green poop I did have some cranberry juice and I eat still oatmeal with black berries and cranberries in it can this make my poop green I also have had my gall bladder removed and only take a folic acid pill", "output": "Hello dear, welcome to Ask a doctor service. I reviewed your query and here is advised. No cranberry juice nor oatmeal or black berries cause green stools. Green stools are caused when your food passes rapidly through your system with some undigested fibers. Also, a diet rich of fibers as yours may cause green stools. Nothing to worry about. Hope I have answered the question. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello my name is Tom, and at 5:38am on July 30th (today) I woke up with pains in my lower chest/ upper, and middle belly area, and I started to freak out. I looked up symptons of apendicitis and some of them are loss of apetite, nausea, belly pain... I have these three. I was just wondering if there was any worry, my mom said that its just a stomach ache and that it will pass, but ive never had a stomach like this before. The time right now is 6:27am.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you are mostly having acute gastritis because appendicitis is much more severe. So take pantoprazole tablet on empty stomach twice daily. Avoid hot and spicy food. Avoid junk food. Chat Doctor. Your symptoms will definitely improve. If not improving in 2-3 days then get done ultrasound abdomen to rule out appendicitis. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, Doctor, I am a healthy male of 50 yrs of age leading an active life as well as active sex life. About 5 yrs ago i remained without sex for about 20 days as i was abroad and on return one night after intercourse my wife discovered blood particles in my semen. Next day i visited my doctor and he had got all the clinical as well as pathological examination done, i also visited a urologist and after discussing my reports jointly they came to the conslusion that there in notinh serious and i was adviced to increase my sexual activities for some days and have to observe regularly about the presence of blood. Surprisingly the quantity of blood got reduced with each intercourse and after about one week it was clear. I was advised to remain sexually active or you can say not to put a big gap i.e. 10-15 days, if it happens i have been advised masturbation. After 5 years it happened again under the same circumstances. Is it a signal of a serious problem or is it a normal thing. Pl advise.RA", "output": "HelloThanks for query. You had blood in semen (Hematospermia) during sexual intercourse following abstinence for 3 weeks and was investigated thoroughly to detect the cause for same which turned out to be inconclusive, Normally during long period of abstinence there is stagnation of semen and sperms in reproductive organs (Epididymis, seminal vesicle, ejaculatory ducts etc.) resulting into congestion of these organs. Sudden release of pressure and congestion of these organs during first intercourse after incontinence causes what is called as rebound bleeding giving rise to Hematospermia.There's nothing to be worried about it. It is a normal phenomenon. Practice regular sex at least thrice a week to avoid such situation to recur again. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I got my wisdom tooth extracted about 2 weeks ago the extraction has healed but I can feel tiny hard lump with my toungue on the side of the extraction on the inner side of my mouth. its white and when I touch it with my finger it feels hard like a tooth or bone. Is this normal and if it is a piss of tooth will it come out on its own or will I need to get it surgical removed?", "output": "Hi. Welcome to Chat Doctor. I read your query. Since you had an extraction of tooth, that tiny lump can be some bones edge or protrusion. In order to rule out remaining tooth fragment, I suggest you visit your dentist once and get a radiograph done. If it's a bony protrusion, it can be smoothened with a bone file. A tooth fragment (chances of which are minimum) can be judged according to position, if it requires intervention or will resort. Hope the answer helps. Thank you!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had a serious history of ankle sprains and have undergone two ankle ligament reattachment surgeries and have still been experiencing weakness and pain and last night had a pretty severe sprain again. It swelled pretty large, especially around the back and front of the ankle and now has gone down a little in swelling although still somewhat swollen and is fairly constant pain. I ve been icing today but do I need to see a doctor for x-rays, exam etc. ?", "output": "Hello, I read carefully your query and understand your concern. The symptoms seem to be related to a X-ray of the ankle to exclude a fracture. Meanwhile, I suggest using anti-inflammatory medications such as Ibuprofen to relieve the pain. I also suggest using cold compresses for local application. If the pain continues, I suggest seeing an orthopedist for further evaluation. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards! Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am having major pain in shoulders, neck and the back of my head. To the point where any movement almost brings me to tears. I am working and coping. But when I just bend down to pick something up or look in a direction where my neck doesn t want to turn it is very painful and I just can not continue doing the task. I have been going to PT getting massage, strength trainig and such. But I really feel it s coming from the back of my cranial traveling down my neck to my shoulders and downward. Any thoughts? Should I get a MRI?", "output": "Hi, thank you for providing the brief history of you. As after your history, I will advise to undergo an MRI of the cervical spine as the status of the soft tissue is must. Massage is strongly not recommended as you are doing all mixed up stuffs. Doing strengthening also and massage also will only make the muscle weaker. Also, just by mere working behind the blindfold treatment, I will advise to first take the MRI, and based on that, the combination of medication and physical therapy will work better. The physical therapist you choose, should know there is a difference between the patient to patient and symptoms to symptoms. A specialized plan for you should make a difference. Applying a conventional way of therapy will surely not function to the optimum. As, in my clinical practice I have seen cases with 100% recovery, but prior to that, the MRI, and the or tho prescription is understood for the pharmacokinetics of the Chat Doctor. As this allows me to design a better physical therapy prescription and get 100% recovery. Slow and steady wins the race - this is our clinic principle. I wish to see you soon, with pain free lifeRegardsJay In" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am 30 years old, had my gall bladder removed 2 years ago prior to that lost 26kg eating right and exercising. (My weight was 100kg)Since removal I cant lose a thing, have gained 4kg in 3 months still eating right and exercising. I was prescribed duromine by my doctor twice which took off 2-3 kgs but it always came right back on. I am wondering if my liver could be the cause of my problem, I gain weight around the stomach. I am really depressed over the gain and nothing I do works", "output": "Hi, Welcome to Chat Doctor forum. It appears that there is change in the lipid metabolism, after the surgery. Now you may have to give some more activity in burning the fats. Minimize the sleeping time, and avoid sleeping day time. Avoid taking fats, calories,and oily foods. Take more of green leafy vegetables, pulses, sprouts, and protein rich foods. Wishing for a quick and complete recovery. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "can a kidney stone in my right kidney be irritated by my golf swing and cause me to experience gross hematuria? Every time I play, hit balls at the range or just take a few swings for the monitor I pass blood in 24 hours. Then it goes away in a day or so. The stone is only 2mm. My urologist and internist don t seem to be concerned. Just let the stone pass. It s been 2 months and I m not aware of it passing. I have no pain. Just a sore lower back due to what I believe are my 3 herniated discs. Yet, sometimes my side/back aches during this bleeding.", "output": "Hello2 mm calculus is unlikely to cause hematuria(blood in urine). It is important to investigate other reasons like urinary tract infection(UTI), tumour etc. It is important to know your age. You need proper clinical examination and further investigations. Investigations include routine hologram, random blood sugar, urine RE/ME, renal function test. CT scan and endoscopic examination can be done if needed. Proper treatment depend upon findings.2 mm calculus is expected to pass spontaneously. Most probably, low backache is related to herniated disc. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I was diagnosed with jaundice last week. The blood test revealed my bilirubin level to be 4.6. The doctor advised me a 3-week bed rest. Apart from yellowish urine, light coloured stool and a slight yellowish coloration of the eye, I have experience no symptoms. So, will a 3-week bed rest be enough?", "output": "Hi thanks for asking question in Chat Doctor. Yes approx.3 to 4 week rest is quit enough. During your rest take care not to eat fatty food. Use minimum oil in cooking. Eat more fruits like apple, orange etc. Green leafy vegetables eaten more. Strictly avoid smoking and alcohol. One teaspoon of carrot and cumin crushed seed taken with milk daily. Papaiya with lemon juice also good herbal remedy. If needed Ad\u00edlio tablet can be taken. I hope my suggestion will help you most. Take care. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor, My daughter is 10 and I had her in the ER this past thursday with abdominal pain, the ER doctor did an exam and was concerned that the pain was her appendix, however the cat scan was negative, my daughter has been running a low grade fever since then, the doctor admitted her over night for observation saying she did have a swollen gland on the right side of her abdomen and that since she was running a fever and the pain combined, they were concerned that this could turn infectious which in turn affect her appendix. When her normal pediatrician did rounds the following morning she felt that the stomach pain was due to her lactose intollerace and to modify her diet, however I am concerned because she still has the fever and some abdominal pain and her diet has drastically declined over the last few days, I am not sure how to procede from here to handle this, or am I just being overcausious.", "output": "Hi. You are not overcautious, you are right. Thanks for elucidate history and is definitely suggestive that the pain in a 10-year-old child unless proved otherwise in this case is due to the Inflamed lymph nodes on the right side of abdomen. I would advise going for blood tests - CBC for infection (WBC), Typhoid, a course of an antibiotic and anti-inflammatory medicines for 7 days, Review with ultrasonography for size of the lymph nodes. IF same size-for for lymph node biopsy. IF responding to the treatment, continue medicines for three weeks. Also see for ENT - to see if whether has ENT infection, which on swallowing goes to the terminal intestines and affect the payer\u2019s patches, which in turn enlarge the nodes - also called as Tummy Tonsils. No lactose intolerance can give lymph nodes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I fell on a set of marble stairs three weeks ago and hit my left knee directly on the corner of the step. I immediately saw stars and became very light headed. I also felt nauseous. I went home and iced/elevated my knee. I was unable to bend it nor walk up/down stairs for one week. It was very swollen, bruised, and had a large cut. After a week I gained mobility back in the knee but it still hurts. This past week I noticed that a large lump formed and is very predominate when I bend my knee. What is this? Should I see a professional?", "output": "Hi, dear. I have gone through your question. I can understand your concern. You have history of trauma. You may have some injury to your ligaments or meniscus. So that hematoma formation occurs and it causes lump. You should take symptomatic anti-inflammatory plus analgesic Chat Doctor. You should go for MRI knee to know exactly where you have injury. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i AM 80 AND WHEN I TAKE A BRISK WALK.. I GET SHORT OF BREATH AND EXPERIENCE TIGHTNESS IN MY CHEST.... I HAVE HAD A LIFETIME HISTORY OF ASTHMA.. BUT I DONT HAVE ATTACKS NOW LIKE I USED TO WHEN I WAS YOUNGER.. AND I DONT TAKE ANY MEDS FOR ASTHMA... SHOULD I STOP WALKING... WALK SLOWER.. BUILD UP MY BEING IN SHAPE.....", "output": "Hello Chest tightness in your age need proper clinical evaluation, and it is important to exclude cardio-pulmonary causes. You need clinical correlation and investigations like routine hologram, random blood sugar, liver function test, renal function test, lipid profile, urine RE/ME, Chest X-ray (PA view), ultrasound of abdomen, ECG in all leads, TMT,ECHO. It may also be due to chronic asthma. You may need PFT(pulmonary function test). Proper treatment depend upon findings. You can continue slow walking and don't undergo more exertions till proper evaluation. Get well soon. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am having pain around my waist in the back area only. Not front. I am a diabetic and have had a kidney infection before that I did not know about and it spread to my L5-S1 and I had to take 6 weeks of IV antibiotics. That was 7 months ago though. I just started with this pain. Never had it before. Pain 7 on a scale of 1 to 10. Sed rate is 52. CRP 1.4. Could this be related to my previous kidney infection? Have never had this pain before.", "output": "Hello, I have studied your case. Yes this can be due to kidney infection. Usually nerve compression can't be seen on x-ray you may need MRI for this. I will advise you to do MRI instill time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was wondering how I can get prescribed Valium by my doctor. I am a 19 year old Male and was prescribed 30mg Adderall XR in May of 2012 for my, just then diagnosed, ADD. I have always dealt with high anxiety, but recently it has gotten to a point that is distracting in my life. I am afraid to ask him and have him think I am some druggie, when I m not and I m afraid he d say something like the adderall is supposed to help with that. Please help! I am extremely stressed about this situation. Also, I think I may have generalized anxiety disorder but have never been diagnosed. Anything you can say about that would be GREATLY appreciated! Thank you!", "output": "Dear Dollie, Hi! Your concerns about your health are very natural. You have got all rights to discuss your health with your doctor including the need to take Valium. Actually for anxiety symptoms, though diazepam (Valium) will help you symptomatically, there are better options than taking Valium. Discuss with your psychiatrist about taking some SSRIs along with your routine Chat Doctor. Also benefits of CBT and psychotherapy cannot be overemphasized for you. Trying seeing your psychiatrist soon and do discuss your concerns in detail with him/her. Hope I could solve your concerns." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a laparoscopic scar from like 10 years ago, that has suddenly started bleeding a week ago. It scabbed over, & the scab fell off, but appears to have been just dried up liquid? And, its more red than the other sites, and hard around all the edges...The opening is perfectly round in the center, like a bullseye. Is this ok?", "output": "Cellophane You for contacting Chat Doctor. It could be injury to superficial vessel. I would suggest you not to worry and do following things:> Keep scar clean.> Don't touch it with dirty hands> Clean scar with spirit swab thrice a day for 3 days.> Put poly fax plus ointment over it. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I got my sperm count tested twice, i got two different reports, one shows sperm count 1.5 million and other 15 million, can there be such diff in two reports, the time gap in tests was 25 days. My detailed report of sperm analysis, plz tell me can i be a father, and if it is treatable? I M worried plz suggest me asap.Physical examinationvolume 3.7ml, color grayish white, qualification within 30 minutes, viscosity normalchemical examinationReaction alkaline, fructose normal.Sperm count & vitalitySperm count 1.50, per ejacuate- 5.55ml, Vitality 80%Motility:Grade A=0, Grade B= 55%, Grade C= 15% Grade D= 30%Sperm morphologyNormal =80%, abnormal head=10%, Abnormal Tail=5% abnormal neck 5%other findingsImmature germ cell present, pus cell 2-4/hpfdebris= absent, aggutination absent, red blood cells occational.2 nd reportsperm count 15 milliongrade a 25%grade b 60%c 15%volum 2.0ml", "output": "Yes, some men have evacuation in the count and quality of the sperm in different samples. The problem in this case is that you never know the state of you semen sample at the time of ovulation of your wife. It could be either the good one that is sufficient for normal conceiving or the bad one which is not. You should consider freezing a good semen sample and using it to inseminate your wife during her ovulation time. Or the following step will be an IVF cycle. But don't go for these procedures unless it's been one year of unprotected regular intercourse." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am very concerned. I just was in the ED and had a CT scan and it read that I have a new cystic area on the right pelvic sidewall measuring 8.5cm in AP by 6.3cm in transverse dimension. This measures 4.7cm in craniocaudad dimension. Single septation.I have had a TSH and left oopherectomy and only the right ovary remains. I am 45 years old and everything I am reading online is scaring me about the size of this cyst.I just had a laparoscopy in April to remove adhesions and this wasnt there. How could a cyst grow that quickly?Is it a high percentage that large (>7cm) cysts are cancerous? How can it be diagnosed as beneign or not? is that only through laparoscopy?Thank you for any thoughts. I am very nervous!", "output": "Hi thanks for using Chat Doctor. Be relaxed. Only with the ct report we can't tell whether it is benign or malignant. We want more information. Best way to diagnose is to observe under microscopy about the cells characteristics. To diagnose whether it is benign or cancerous you can opt1. FNAC. Under USG guidance. One of the good way to diagnose solid tumors.2. Laparoscopy. Can be both diagnostic and therapeutic. The best way.3. Doppler scanning to see the blood supply. Non-invasive and can tell whether benign or cancerous. But not reliable. Hope this answered your question. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had the flu two weeks ago. I just caught what feels like a mini version. No fever, but I cough and have nasal drip and Im pretty weak feeling. Im on the third day of it. I am 34 years old, male. No health issues. I do feel my heart flutter once and while and just feel tired.. Is this a normal reaction to being sick?", "output": "Hello! Thank you for asking on Chat Doctor! Regarding your concern, I would explain that this feeling looks like a paroxysmal cardiac arrhythmia (an episode of atrial fibrillation or flutter, frequent ectopic beats or even ventricular arrhythmia, etc.). There is only one way to confirm any possible arrhythmic events, by means of ECG registering during such unpleasant feelings. The most appropriate option would be to undergo an ambulatory 24 to 48 hours ECG monitoring (Holder test). In addition, I would recommend you to perform a medical check up by your internist or cardiologist, for a comprehensive physical exam, a resting ECG, chest X-ray study, some additional lab tests like complete blood count, PCR, Thyroid, liver, renal function tests, blood electrolytes, etc., to rule in/out any possible flu complications, like thyroiditis, pericarditis, myocarditis, etc. that may lead to generation of cardiac arrhythmias and altered overall health status. A cardiac ultrasound would be necessary, if suspicions of myo-pericarditis, etc. are raised. Hope to have been helpful! Greetings! " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a low grade fever 100-101, which I have had since Friday, along with congestion and sore throat(I have had my tonsils removed). Now my lymph nodes bilaterally are so swollen and painful it hurts to turn my head. My son had similar symptoms a week ago and tested negative for flu and strep. Should I continue to just ride this out as supposed virus?", "output": "Hello, the commonest cause for the symptoms you describe is viral infections. Lymph node enlargement cane seen in both viral and bacterial infections. Low grade fever with more nasal congestion and other symptoms are suggestive of a viral infection. something like infectious mononucleosis. You have a contact history also.(your son) Strep infection would have high fever with other symptoms but less nasal congestion. Also, your throat will have white plaques or pustules. You can have adequate bed rest, loratadine or fexofenadine, paracetamol, warm beverages, After 4 days if symptoms are not subsiding, get your blood tested. Because if it turned out to be bacterial, strep needs antibiotics. Hope this helps. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, My kid is 3.5 year old. she is having cold, running nose since 3 days. Day 1 - night she had high temperature, i gave Crocin syrup twice (night and morning). day 2- there were no temparature but running nose was there. I gave T-Minic syrup in evening. In night again, she had little temparature. Day 3 - morning i gave T-minic syrup. Shall I give both (T-Minic and Crycin) syrup to get out of running nose and temperature. What should be dosage and course for the same ??", "output": "I am glad that you put up your query at Chat Doctor. I am sorry that your child is suffering from a respiratory tract infection which is a more technical way of saying common cold. The infection is indicated by the presence of fever which needs to be controlled by methods like cold sponging or medicines like paracetamol which are sold in brand names like Cronin, Cal pol, Pyrites etc. which is given at 15 mg/kg/dose. Such an infection generally has an allergic component associated along with, for which anti-allergics and cough syrups are given. Dominic contains Phenylephrine which is given at 0.2 mg/kg/dose 3 or 4 times a day. The amount in ml would depend upon the formulation of the syrup (medicine content in mg/ml). For giving medicines to a child, appropriate dosage is important as is the understanding of the actual condition. I strongly insist that you consult your pediatrician before using it. Your doctor would also be able to decide which medicines are to be given and whether antibiotics are to be prescribed along with." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir, My son who is 6 years of age is having problem of having allergic dry cough frequently. Very recently he suffered from pneumonia. Dr has advised to give montek LC Kid tablet for atleast 20 days. Is the drug safe and what is the purpose of the same. Please guide what should I give my son to boost his immune system naturally other than allopathic drugs.", "output": "Hello, Monte is a safer Chat Doctor. It is given once daily dose in the evening or night. It will reduce the inflammation of air passages thereby it will reduce cough. You can give to 40- 60 days. No problem. Naturally, you can improve immunity by giving vaccination at an appropriate time. Give citrus fruits, eggs, and green leafy vegetables. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a painful lump above my collarbone near my neck, it hurts when i touch it or move my neck and inside there is a little hard knot. The swelling has been reducing day by day, but I am concerned about what this is? There are no signs of redness or bruising I did get a flu shot and the TDAP shot", "output": "Hi, The lump you are talking appears to be enlarged lymph nodes. They are usually when there is infection in the surrounding area. It will be painful and slowly as the infection subsides with or without treatment, it would disappear. If you want you can get a test called as fine needle aspiration cytology done. It will confirm or rule out anything else if you are worried about. If you have any further queries, happy to help you again." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am an asthmatic. i am taking foracot 200 inhaler daily 2 times as suggested by doctors. can i slowly reduce the intake of this. as i dont want to take steriods, for it side effects. i am doiing ayurvedic medication alonside and doing pranayam aswell. can i slowly stop this foracot inhaler as my condtion improves?", "output": "Hiin my opinion you can taper the doses very slowly wit following lifestyle modification you can go for breathing exercises and herbal preparation you can do allergy testing and allergy can be avoided with aggressive environmental control measures like1. Removal of carpet in to be Chat Doctor. 2. If you are sensitive to pet allergens, permanent removal of the pet is recommended. 3. Keeping the household humidity level at less than 50 percent to control dust mite and fungus growth.4. Using insecticides will help control cockroach populations. 5. Patients who are sensitive to mold, and outdoor air pollution should consider limiting outdoor activities when these levels are high. 6. Patients with asthma should avoid exposure to tobacco smoke.7.probiotic-supplemented yogurt resulted in reduced inflammation and reduced allergic symptoms8. Antioxidants vitamins C and E, selenium, and zinc. Omega-3 fatty acids from fish, and other supplements such as the herb Parasites hybrids are also used to decrease inflammation. Hope I have answered your querythankstake care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been experiencing a clavicular fullness, neck fullness and jaw pain for the past few years ..been tested for everything (nothing lfe threatening).. all they found was an abnormality in my submandibular gland (cystic) and a ranula. In past few months under my tongue is swollen and VERY painful (pain radiates to jaw) the swelling (mouth floor and clavicular)and pain come and go and I cannot tolerate the pain and numbness /Tingling anymore, nasty taste after swelling goes down... after reading a lot ... how do the drs distinguish if it is a ranula or a plunging ranula? Should I be worried?", "output": "Thanks for your query, I have gone through your query. The swelling below the tongue can be a cystic lesion arising from the sub lingual salivary gland which is called manual. If this manual permeates through the mylohyoid muscle and spreads down to neck region and produces swelling in the neck region below the mandible, it is called a plunging manual. Consult an oral physician and get it ruled out, because infection arising from the teeth can also result in pain and swelling of similar kind. Get an ultrasound done to rule out the pathology. If it is diagnosed as manual or plunging manual, then it has to treated surgical to prevent complications like difficulty in swallowing, respiratory problems. The nasty taste can be because of the contents of the cyst which gets burst following any trauma to the cyst. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "why after 5 years of marriage never having pregnant... never event once,also never abort... theres any something that i should know about my self... me & my husband has been told by doctors that we are normal couple after been checked by them 2 years ago, already done IUI twice but nothing happens... what should i know regarding this problem?", "output": "Hi, Thanks for writing to Chat Doctor. You and your husband are diagnosed as normal couples. There are still many problems which can cause infertility. Like problem in fertilization of egg or problem in implantation. Since you are trying from 5 years I would suggest you to go for IVF I.e. in vitro fertilisation. Here the problem of fertilization is solved as in this procedure they fertilize egg outside, and then they place them into uterus. They place 3 to 4 fertilized egg into uterus. So chances of conceiving increase. This will help you. You can discuss with your doctor. Hope I have been helpful. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doc my age is 20 i am 70 kgs and my ht is 56 ....few months ago may be 2 0r 3 months.. i was on antibiotics (cephalosporins-cefuroxime) nd i think dats the reason i got yeast infection on my genital area.. m very not comfortable to talk abt dis to my parents and doc.. i searched online and got to know abt home remedies.. I came to know about sugarless yogurt.. would it really help me?Antifungals have so many side effects.. so why not any natural remedy?Thanks for your advice", "output": "Hi, Thanks for writing in. First you need to control the fungal infection by using antifungal medication or creams. If it is itching severely, please take antihistamine tablets. Keep your genital area Chat Doctor. Do not wear moist clothes. Try not to itch your genital region as this may spread the infection further. Sugarless yogurt will help treat yeast infections, but it may become messy for you. The antifungal cream is best option. Hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, i am on the Contreceptive pill but forgot to take one, carried on as normal and then had an upset stomach a week later, and carried on taking my pill for another 3 days until my pill free week. i didnt have another pack to carry on with and didnt expect having sex any time soon. i ended up having sex but used a condom which later had spilt. after 28 hours i went for the morning after pill. now i am due on my period and i am 2 days late. im reallly worried that i am pregnant.", "output": "Hello, and I hope I can help you today. The morning after pill is 90 percent effective if taken within 72 hours of unprotected intercourse. So, regardless of what happened with your pill taking before your pill-free week, the morning-after pill should still be effective. Many women have a delayed period after taking the morning-after pill as a side effect, but the possibility of pregnancy still exists if you are late, so you should perform a urine pregnancy test just in case. If it has not been 2 weeks yet since your unprotected encounter, it may be too early to have a positive pregnancy test, so I would repeat it in a week if that is the case. In addition, many women have an irregular period or skip entirely after they stop the pill. If you are not pregnant, you can start a new pack of pills as soon as you get them, but just use a condom as a backup for the first two weeks. You should get a period in the pill-free week as you did previously. I hope I was able to answer your question today and that my advice was helpful. Best wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have severe pain in my right arm from my neck to my pinky. my pinky twitches from time to time and my whole hand starts to swell. the pain is mainly in my elbow and down the backside of my forearm but it hurts all over. im going to a dr Tuesday but I was wondering if you could prepare me for what they might say", "output": "Hello, I have studied your case. Due to compression of cervical nerve root there can be pain in your fingers.Also, there can be large disc bulge which can be compressing over spinal cord. For these symptoms analgesic and neurotrophic medication like pregabalin can be started consulting your doctor. Till time, avoid lifting weights. You can consult physiotherapist for help. Physiotherapy like Tens and inferential therapy may give you relief for few days. In case of nerve compression leading to finger weakness you need to decompress nerve surgically. If nerve compression becomes symptomatically severe then surgical decompression will give permanent relief. I will advise you MRI cervical spine and EMG-NCV [nerve conduction study]. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "dr i continuously lose my memory and cant understand my routine college lectures and i cant memorize and remember them that was not the case eith me in the past but now it is i used to learn things within a brief period of time and sustained them now im used hp plz answer me wt should i do i want most suitable answer", "output": "Hi, I am Chat Doctor. I have read your question with care and understand your concerns. Let me try to help you Question : Suggest treatment for loss of memoryAnswer : Memory Loss can be due to various reasons. And we have to treat the cause of short term memory loss. To find the cause, you need a thorough evaluation Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. Let me know if I can assist you further. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 25 year old woman, I started having a pain on the right side of my chest (under my breast) and ride side of my back by my shoulder blade, At times it feels as though i am not taking a deep enough breath or getting enough oxygen. Im just curious as to what it could be.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of musculoskeletal pain is more likely. So follow these steps for better symptomatic relief in musculoskeletal pain. 1. Avoid movements causing pain.2. Avoid heavyweight lifting and strenuous exercise.3. Apply warm water pad on affected areas.4. Take simple painkiller like paracetamol or ibuprofen.Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son fell at an amusement park today about 4 hours ago and hit his head on the concrete curb. He was examined by paramedics and I have been watching him very closely. He seems to be acting normally. However, he has a bump on the back of the head. Is it normal for the bump to hurt? How long will it hurt? Can he take a nap?", "output": "From the scenario what you have said I think it must be a hematoma... Hematoma means collection of blood.if your son didn't have any loss of consciousness or vomiting there nothing much to worry .just give hot water compression for two days. Haematoma usually gets absorbed in 3 to 4 days. He can paracetamol for pain.he can sleep in one side so that u can avoid compression of hematoma which might cause pain for initial two days. I hope I have answered you queries... Get well soon... Have u good day..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI Doctor, my child was having viral fever from past 6 days and he had severe cough too.His fever has come down, for cough we are giving ascoril expectorant and doctor has also given mahacort dz to be given twice a day, his cough is continuous..can i give him zifi 100 ready mix for his continuous cough? we have given this medicine last year end or in jan 2014", "output": "Hello, Your child had fever and cough. The fever has come down, but the cough is persisting. Now WiFi is an antibiotic used for bacterial infections. If your kid had a bacterial infection his fever would not have decreased without using an antibiotic. His cough could be due to other reasons - wheezing, postnatal Chat Doctor. Please have him evaluated by a pediatrician who will examine his throat and chest and then give appropriate medicines. Even in the future I will advise that you should not use antibiotics without a doctors prescription. Hope that helps. Preeti" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have bad cough for about 2months now . About 4 weeks ago my doctor gave me whooping cough shot and medicine , but my cough has still not gone away and i am throwing up with cough more frequently. I cannt eat solid food because i throw up after i eat.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, in your case, possibility of lung Infection or bronchitis is more. You are having chronic cough (cough since 2 months and not improving with standard medicines), and in both these conditions it is seen. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Chest x-ray 3. PUT (Pulmonary Function Test). Chest x-ray is needed to rule out lung infection. PFT is needed to rule out bronchitis. You may need antibiotics, antihistamines inhaled bronchodilators and inhaled corticosteroid. Don't worry, you will be alright. But first diagnose yourself and then start appropriate treatment. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "88 year old woman with severe dementia was taking donepezil and doctor in rehab center prescribed Seroquel and Lexapro in lieu of donepezil and she also takes Xanax as needed for anxiety. Which med do you think is best or are both ok. She also takes 4 blood pressure meds and pravastatin. I do not want to over medicate until her doctors apt at end of month. in articles I have read the bi-polar scitzo meds like this one should not be given to dementia. Any clarification is appreciated,", "output": "Hello thanks for asking from ChatDoctorI can understand your concern. A lot of individuals with dementia develop psychotic symptoms and depression. These are seen as comorbidities in dementia. Seroquel has been given to her probably to calm her and to improve her mood. Learn has been prescribed to her for depressed mood and to prevent mood swings. Donepezil is given for dementia for improvement in cognitive functions. In my opinion if she has severe dementia then she should be given Donepezil and also Seroquel and Learn. She is also taking Xanax which is a benzodiazepine Chat Doctor. The " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Have a gradual pain in center of abdomin for fours weeks. Pain in back and now three days ago testicular pain. Stool sample normal but told that all blood work points to gallstones. Pain in abdomin is a level 8 this evening. I am 38 years old 220 lbs and 5 11. What could this be and what can I ask of my PCP to get some answers and relief?", "output": "Hi. Thanks for your query and an elucidated history. The reason of the pain in the center of the abdomen and the back can be related to the Gastric Ulcer / Cancer or pancreatitis. Pain in the testicle may be unrelated to the pain in abdomen and may be due to orchids or so. No blood tests are suggestive of gall stones. Ask PCP the following:Get an ultrasonography. Upper GI Endoscopy and Colonoscopy, Blood: Liver function tests, amylase, lipase, CT scan to confirm the diagnosis. The treatment will depend upon the diagnosis, hence getting a right diagnosis is of utmost importance." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Well This might sound sort of dumb.. but My electrical cord kept coming out and two of the times I put it back in notice a a flash and dint know if caused a shock or not... didn t feel anything thing though.. didn t know if this is something to worry about. Also, I m 11 weeks pregnant.", "output": "Hi, If you get an electric shock, you will definitely notice at least a tingling sensation and spread of the impulse along the path. The fact that you did not feel any impulse suggests that perhaps you did not receive any electric shock. There is no harm done in the current scenario to your pregnancy and so, please do not worry. It is also true at the same time that higher amounts of shock can lead to numbness, loss of function, loss of consciousness and threaten the pregnancy. Take adequate rest, healthy diet and regular follow up. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my seven year old daughter has been complaining off and on of a stomache ache for the last few weeks. It improves with food. She also has some mild cold like symtoms, runny nose congestion, seems tired. last night, she has developed a cheek stain and it has persisted today. no fever. what is the best way to fix this?", "output": "Well, let us not try to \"fix\" anything! She is a human, not a leaky facet. Having said that, it appears that she has a virus that has affected her chest/respiratory system as well as her skin, and the gut. You should keep treating her symptomatically. Give her paracetamol for fever, Ben Chat Doctor. Allow her to decide her activity level. Neither force her to move nor to sleep. Encourage her to play and do interesting things to avoid getting her from being bored and tired. I hope this helps. Best wishes and praying for her speedy recovery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "In the past, I would rarely experience this strange sensation where the orgasm lingers in my brain (this lingering orgasm feels uncomfortable). This has happened for about a year and a half now. However, it has become increasingly more common as of late. Other info: -It only happens at night -I m barely awake when it happens -When I m close to ejaculating, I start to think of extremely random things (ex: I ll think of firetrucks) involuntarily. Should I be concerned?", "output": "Degree understand your concerns went through your details. There are no research findings or other experiences to suggest or justify orgasm lingering in my brain. In that case, such a symptom could be due to obsession. Please learn to ignore the sign and it disappears. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, My blood reports show these results as abnoramal range.1.cholestrol total -2052. LDL: direct 1363. tc/hdl ratio:5.64. LDL/HDL RATIO :3.75.ALANINE TRANSAMINASE (SGPT) : 65.26. vitamin-b 12: 1797.25- oh vitamin- D total:4.35What is my health problem and what preventive action i should take", "output": "Hi, dear. I have gone through your question. I can understand your concern. Your lipid profile shows slightly high LDL cholesterol and low HDL cholesterol. You just need to take low fat diet with high polyunsaturated fatty acids. You can take statin group of Chat Doctor. Also, you need vitamin D supplements. So just consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor ..My name kamal I m 21 years / male .......l sufrred from a depression I m afraid when I m go to bed and couldn t sleep then everyday I thinking how I can sleep today then this illness is effect on my education then my health then cause no thing make me happy still nw I forget this feeling . When I have any work nextday I couldn t sleep and I m thinking what happen nextday then if I couldn t sleep How I do anything nextday then I m feeling disturbance I m very afrid to travel with my ?friend becuse this feeling .actully I m very tired I m feling I m extoic guy what can I do", "output": "Hello and welcome to Chat Doctor. Thanks for your query. From the description of your problems, it appears that you may be having both anxiety and depressive symptoms. Since, these problems seem to be causing you a lot of distress and dysfunction, you need to seek professional help to come out of this phase. There are effective treatment options for this, in the form of medication or counselling / psychotherapy which will help you overcome your problems. So, I would advise you consult a psychiatrist for a detailed psychological assessment and further treatment. Wish you all the best. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, I have been getting really weird feelings in the back of my head, it doesnt hurt really, just a strange feeling. all of a sudden this huge wave of dizzyness comes over me and i blank out. im concious just blanked out. i feel like im falling and i panic. whats wrong?", "output": "Hi, Welcome to Chat Doctor. Thank you for posting your query. I understand your concern. By your history and symptoms I think that, your dizziness and black-outs could be due to Low blood pressure or low blood sugars. It would have been helpful if you had mentioned your past history of diabetes / hypertension / any head injuries. Consider getting an ECG, Echo, routine blood tests to rule out other possibilities. It would also be good if you can get an MRI of your Brain done. Consult a physician with the reports who will be able to comment on them and advice you appropriately. Keep checking your blood pressure at least twice a week at different time periods. Hope this answers your query and do write back to us if you require further assistance. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "52 year old male. Have a lump in my liver. Biopsy came back \"suspicious for cancer\". What in the world does that mean? Had a PET scan today waiting a week to see the doctor. How likely is this to be cancer? I have not had a liver function test in about 3 months and thosse were mostly normal.", "output": "Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. There are more chances to be cancer than not, but it should be confirmed with repeated biopsy and then therapy may be planned. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 16 my chest feels compressed and i have constant cold feeling in the centre of my chest, it feels quite deep. It feels like my lungs have shrunk also. I am healthy and play a lot of sport and recently when i breathe in when playing it also feels really cold.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Since you are young (16 years), playing sports and living active life, no need to worry about major lung or heart related diseases for your symptoms. Sometimes in teenage, stress and anxiety are common. And these can cause similar kind of symptoms. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Don't worry, you will be alright. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello so i am freaking out right now about some itching from my vagina all the way to my anus and above. On top of that I have small read bumps between my anus and vagina but closer to my anus. they are small but there are quite a few of them. And I have been constipated and had some bloating of the stomach with a little pain that accompanies it.", "output": "HI.... Thank you for asking Query. I read you problem, as I understood from what you said that you have bumps near to anus , having itching due to this, the bumps in this area can be due to simple bacterial infection, but some viral infection of this area can cause it, if they are filled with pus/fluid then bacterial infection can be the cause for it, some antibiotic ointment -Fucidin-can helpful apply time over it for 5-7 days, +some oral antibiotic like Tampico capsules can be taken for 5-7days if you donor have allergy to penicillin, not pregnant now-if married, as you did not tell your age, so the dose of medication need to be adjusted by local Chat Doctor. But if you have nearby GP, better to be examined by him/her. Hope you got the answer , you can freely ask any other query next. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 28 years old woman. I have been married for 2 years.I have 1 baby who is 7 months old. My husband does not enjoy sex using condoms .He has been asking me to get copper-t inserted.I want to know the procedure of insertion, it s side effects and how painful it can be during insertion and after insertion.when is the best time to insert it?", "output": "Hi, Cooper =T is an intrauterine device inserted by OG inside your uterus. Usually, there is no pain during insertion. After insertion, some women have reported pain or cramps together with heavy periods. If you notice unusual symptoms can consult OG or physician immediately. Be careful when having sex not to remove the Cooper-t to avoid laceration of uterus. It can be inserted any time, but usually after the periods are over. All the best! Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I just found out my ALT is 146 and my AST is 85. Last month it was only AST 66 and the ALT was the same. They have tested me for Hepatitis and that is negative. I only have 2 drinks a night and am currently on amoxicillin for a tooth infection. what can make my levels so high? I am currently 20 pds over weight, can this be the reason?", "output": "Hi and welcome to Chat Doctor. You probably have condition called fatty liver. This is caused by metallic syn Chat Doctor. These are not very elevated findings, and it should be treated only by changing dietary and lifestyle habits. I suggest you to do ultrasound to see is thee any liver damage. Lose some weight, avoid alcohols, soffee, smoking, fats and follow some of hepatic diets. Repeat lab tests 2-3 months after that, and I am sure there will be improvement. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "What is the least amount of time you can take amoxicillin for a tooth infection and still be sure the infection is gone? After two days of taking the medication he will have a root canal, would three more days after the root canal be adequate? My husband has just gotten over a very severe case of C Diff. after taking clindamycin for a tooth infection six and a half months ago. It has been only three and a half months since recovery and now must go on amoxicillin 500mg Q12hours,( he also has 4th stage kidney disease thus this specific dosage), for a new tooth infection. We want to take every precaution that safely addresses clearing up the infection and also all we can do to prevent another C Diff. occurrence!! Thank You!", "output": "Hello, Its better to administer amoxicillin initially, prior to root canal treatment. This will help to relieve the underlying infection. I would suggest you to take complete course of antibiotics during the initial stages of tooth infection. Depending on the severity of infection, dose as well as duration of action of antibiotics may vary. Please do visit a dentist and get an opinion regarding this. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, i want to know about DTP vaccine. my baby is of 1.5 month. please suggest i should go for painless or painfull DTP vaccine. I also want to know what all problem baby suffers from if i go for painfull vaccine? please suggest what will Painless vaccine cast me?", "output": "Hello, The painless DPT vaccine contains cellular pertussis and has fewer side effects in terms of fever, swelling, pain etc. This vaccine came into use a few years back, but now recent data suggests that this vaccine is not very effective against pertussis (whooping cough). There have been several outbreaks of whooping cough in America and now this vaccine is no longer routinely recommended. You should get your child vaccinated with the whole cell pertussis vaccine or the so-called painful vaccine. The commonest side effects of this vaccine are fever, pain at injection site, swelling at injection site and irritability. There are other extremely rare side effects like fits, shock. The painless vaccine is now recommended only for those child Chat Doctor. The cost of painless DPT vaccine is around INR 1500 - 2000. Hope that helps. Preeti" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a low/ no sperm count when tested. My wife and I have successfully done IVF with the result of a amazing daughter. If we wanted to try again going naturally is there any vitamins or anything I can start taking now to possibly improve my count?", "output": "HelloThanks for your query, based on the facts that you have posted it appears that you have low sperm count (Oligospermia). Following measure will help you to increase sperm count to some extent. This will also help to improve sperm motility and morphology of the sperms.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc3)Take anti oxidants like Almonds 5-6 every day.4) Avoid alcohol and smoking. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a red spot just above my left ankle about 4 inches in diameter which has been there ever since I had a large cancerous tumor removed from my left groin about three years ago. I have used various medicated creams on it but it does not go away. I have light shooting pains in it occasionally. I recently sprained my ankle and it got worse. I am 92 years old and diabetic. Is there some medication or medicated cream that might help?", "output": "After hearing your history I would advise you to use voting gel in the affected area. Volini Gel contains Diclofenac Diethylammonium Topical, Menthol Topical, Methyl Salicylate Topical and Ileum Line Topical as active ingredients. Volini Gel works by reducing pain and delayed onset muscle soreness, providing relief of musculoskeletal aches and pains, reducing the pain providing relief from pain. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i m 33yrs old male. and been diagnosed with pernecious anemia doc had advised for v12 injection on monthly basis. I have off lately been irregular in taking the medication on monthly basis and now recently when i got by HB count done it shows as 12.8.. pls tel me if it is ok to do moderate gym workout in this condition.. i dont feel that tired.", "output": "Hi, Welcome to Chat Doctor, You are already taking treatment for Anemia and your Hemoglobin is also reasonable 12.8 GMT and can continue to take B12 injection on monthly basis, and you can start work out gradually. My advice would be to start cardio work out initially later on weight training may be done. There should not be any problem in Gym. If there is any intake of alcohol it must be stopped completely. Take care Good luck to you," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Dr. s I got my semen analysis a few days ago, rest all is normal excelt on thing i.e. my sperm has a -3 grade which is fast but undirected movement. Does this need any treatment? If so what sort of treatment should I get? Is this a cause for not getting my wife pregnant? I am married since last 4 years and my wife had 3 miscarriages and the last one was 1 and half year ago.", "output": "HelloThanks for your query. Your semen analysis revealed motility of the sperms to be grade 3. Normally it is grade one sperm which move in a straight direction are capable of fertilizing female eggs to result into pregnancy. The minimum percentage of grade one sperm accepted by WHO standards are 12-15% to result into conception. Truly speaking there are no medications that can increase the percentage of grade one sperm.However, Following measure will help to improve the motility of sperms to some extent.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc3)Take anti oxidants like Almonds 5-6 every day. Chat Doctor. 4) Avoid alcohol and smoking." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 3rd old has had a little big of blood after wiping, we were told to change his diet. More fibre etc, today him after he had a BM there was bright red blood & quite a bit... Really worried any advice?? We are making an appointment with his DR tomorrow..", "output": "Hi, Welcome to Chat Doctor, The problem that your child is facing is not commonly seen in this age group. Bright red blood and increased quantity is not suggestive of infection alone, and I am thinking of a surgical cause a possibility. Most probably due to some injury at the exit point of the stools. You Need to consult doctor at the earliest, and you might need to meet a pediatric surgeon too. Wish your child a good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my sis has high creatinin level of 111, her left kidney has parenchymal disease and she had a right kidney stone removed from years back though current result proves that her kidney is clear. she wants to know what are the dos and donts and what are the risks for having this high level of creatinin and parenchymal disease, what important things do we need to ask from her doctor if we have her checked up. thanks alot. god bless.", "output": "Firstly I would like to correct that it is 11.1 mg /DL of see. Creatinine and not 111. If the see. Creatinine levels or this elevated for a long time and is asymptomatic I suggest having an AV FISTULA created at the earliest. She may land up any time in uremic seizures, her bones will be brittle n prone to fractures, she would be having loss of appetite and muscle catabolism due to chronic acidosis. Regarding diet absolute vegetarian diets low in potassium. Avoid fruit juices and fruits especially banana, watermelon ... Can have small bites of apple, guava and papaya. BUT GET FISTULA DONE EMERGENTLY COM IT TAKES 6 WEEKS FOR IT TO MATURE AND ANY EMERGENCY DURING THIS PERIOD SHE WILL HAVE TO TAKE EMERGENCY DIALYSIS WITH ITV ACCESS WHICH IS PRONE TO COMPLICATIONS OF INFECTIONS." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have just banged my leg on the corner of my coffee table. Below the right knee to the right hand side, It actually brought tears to my eyes. It came up in a bruise straight away an now there is a hard round lump underneath the bruise. is the lump anything bad do you think?", "output": "Hi, The lump is a normal occurrence after this type of injury. There will be swelling and bruising which will have caused blood to collect in the area causing the lump to appear. It may last a few days before receding. In the meantime, take paracetamol and ibuprofen for the pain. Keep your knee moving with your normal daily activities otherwise it may become stiff. A compression knee support may help. Also try a cool compress to the area. Hope this helps you. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My father has malignant melanoma and has recently undergone the gamma knife for his brain mets. Today he woke up with multiple blueish black lesions on the skin under the arm that he originally had surgery on for the infected lymph nodes 18 months ago. He has no pain there, but they were not there yesterday. Is this more mets?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Yes, possibility of metastasis is more. Malignant melanoma is known to cause skin metastasis and maxilla is common site for metastasis. So bluish black skin lesions can be due to skin metastasis. So get done clinical examination and if needed biopsy of the lesion to rule out metastasis. Hope I have solved your query. I will be happy to help you further. Wishing good health to your father. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been diagnosed with GAD since recovering from prostate cancer & possible duodenal cancer that was determined to be non malignant both within the past 2 years. I have tried 5 different SSRI s and 3 different SSNI s, none of which provided any relief. Side effects for most made my anxiety worse. I have also seen 4 psychiatrists with some minor success. CBT offering some help, the others, EMDR & Talk Therapy very little. The only relief I get is with 1MG Lorazepam as needed with no side effects. Why all the negativity re this medication.", "output": "Hi. I understand your situation. Keeping myself in your shoes and with previous experiences with these therapies in cases of anxiety and depression with aggravation SSRI, I would suggest either NLP or sunk six I acupuncture. NLP practitioner are available all over the globe. If you do not have access to any practitioner than you can read the best books I came across this topic - unlimited power and awaken the giant within. Both by Anthony Robbins. These are life-changing books and I highly recommend them from personal as well as patient experience. Six I acupuncture is different from Chinese acupuncture. It utilises very small needles with very small insertion depth only on palms. For emotional issues six I acupuncture is one of the best techniques to change the whole Constitution of the person. If am not sure which country you belong, but there are sunk association from Moscow who can probably guide you don't practitioner in your area. Hope this helps. Good luck" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My right side hurts, but not really low. Kinda in the middle. But it only hurts when I sit down, stand up, cough, any sudden movement like that. It feels like something s being jiggled out of place and the pain is a sharp twinge. It started as a normal stomachache then moved to my right side.", "output": "Hello, As the location of the pain isn't mentioned it is difficult to put a comment which is directed towards the pathology. As you mentioned the stomachache and pain moved, I suspect it to be the higher side of the lower back where you are getting pain. This can be due to organs compression over the muscular system. A diagnostic ultrasound scan will help to figure out the actual organ pathology and medicine will be prescribed based on that. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, My friend, age 28 was diagnosed with seizure disorder in 2002, CT brain shows L frontal granuloma with surrounding edema , Had eptoin for 3 yrs thereafter. Gradually tapered as the per advice of neurologist . Recently he is experiencing some vague Headaches, with some giddiness occas. Having doubt whether he needs to get suggested by neurologist. He underwent blood work, dx with Impaired fasting glucose under control by diet & exercise.", "output": "Hello, It's important to ascertain the giddiness you describe is actually not minor episodes of seizures. The headaches may be associated with it. Please get the opinion of the Neurologist who will be able to rule out Seizures and decide whether you need to start on medications again. A repeat Brain Imaging might be necessary to determine about Granuloma or other causes which can lead to seizures. Also keep a close watch on the Blood sugar levels as increased blood sugar levels alone can precipitate Seizures. Hope this helps!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I ve been going to the gym (cardio and weights) I have a slight pain on the right side with a lump type feel. It is located right below my ribcage. when I was on the elliptical yesterday my heart rate went up to 155 during the tough workout. should I be concerned.", "output": "Hi, thank-you for providing the brief history of you. As to let you know one of the primary act is thorough musculoskeletal assessment is advised and also the cardiac clearance before undergoing gym. It is on a safer side to get clearance and then proceed. As mentioned by you that you have a pain under the rib cage or below it, it could be most of the time a muscular pain. Due to overtraining there will be a sudden muscle spasm due to stretch contract mechanism on the elliptical. Taking a rest with hot water fermentation should reduce the pain and after 3 days you can go back to gym. Also, if the pain doesn't come down, than taking up a thorough musculoskeletal and cardiac assessment is advised on a safer side. Since you have discomfort on the right side, the worry is less, may be just a muscle spam on the right Hyperion Chat Doctor. It should subside in short time. This is on of the common injury in gym, as the body is not prepared to undergo the stress & strain on the muscles. Undergoing slow and steady training under guidance will help avoid such injuries in the future. RegardsJay In" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 34, male, healthy.. I have been ADHD my whole life... I was taking 25mg Adderall....time release capsule.. good on stomache pains, but not lasting long... now im on 20mg twice a day.. IR... stomach sucks... what can i do... is there a big difference between Generic ... and Adderall", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. Ad Chat Doctor. You should know that these problems are not mental diseases, but are mental disorders. Many researches and researchers confirm that medicines alone cannot cure mental disorders. Exercise, Lifestyle changes, change in thinking pattern, relaxation etc. are as essential as medicines. Psychotherapy can help you to change your lifestyle and thinking patterns. Yoga and meditation help you to streamline your metabolism and neurological balance. Please consult a psychologist for further information. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have a reddish brown circular rash that originally started between my breasts and now it is spreading down my back the best way to describe the rash is some parts look like pure circles and other circles have merged to make several blobbs from top of my back across shoulder blades and is itchy when Im warm", "output": "Hello, Thanks for the query, You might have developed fungal infection. The area under and around breast is very moist and is prone to develop these infections. Treatment can be with oral antifungals as well as with topical antifungals. Various antifungal powders like candid are available. These can help reduce the moisture as well as control the infection. Please don't use any steroid, it can worsen your conditionPlease meet a dermatologist for exact diagnosis. Let me know if you have any other doubt. You can ask a direct question to me on this forum, following the below link.https://urldefense.com/v3/__http://www.ChatDoctor .com/doctors/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello my 5 month old grandson is being sent to a specialist for high levels of calcium and something about his thyroid. He was big when he was born and he s big now he weights 21 pounds and he cries a lot not as much as he used to. They thought he might have acid reflux but ... anyway what could it be? Nothing serious serious I hope", "output": "High calcium levels, or hyperkalemia as it is called, may be caused due to excess of certain hormones secreted by the parathyroid glands which are small dot like structures on the wall of the thyroid gland. Treatment depends on the magnitude of the problems caused. Appropriate HY Chat Doctor. A vitamin D derivative called calcitonin can be given. Dialysis or destruction of the parathyroid glands may be required in more extreme cases. Please remain in the follow-up of your doctor, and he will be better able to explain the gravity of the scenario and its management." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Me and my boyfrnd were having sometime togthr sexually. he did not enter me fully. but we just tried putting the penis tip into my vagina. he came after taking it out. (we are sure about that. ). there was some cum above my pubic region but not anywer near to my vagina. and also it was a dry process. i was not having any lubrication at all. is der ny chance of getting pregnant? we also came to knw abt the precum and its chances to make pregnant. we r little worried. kindly give an answer as soon as possible.", "output": "Hello dear, I understand your concern. In my opinion there are rare chances of pregnancy. Usualy there is scope for pregnancy when semen is ejaculated inside the vagina during the fertile period. There is very rare chance when then semen outside the vagina resulting in pregnancy. Byt anyway confirmation is done by a urine pregnancy test. The test needs to be done a week after missed period if at all the period is missed. The first sign of pregnancy is missed period. Other signs of pregnancy like nausea, vomitings, increased urination, sore breasts start 2 weeks after missed period In case of pregnancyAnyway overall the chance of pregnancy is very rare. So avoid stress and wait and check for the period. Hope this helps. Best regards..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am always tired, exhausted. I can t walk up stairs without getting out of breath and feeling like I m about to pass out. (I ve been diagnosed with orthostatic hypotension??.) I feel like everything drains out of me when I walk, even slowly, upstairs. Even if it s only a few steps. I m breathing hard, hr goes way up and I feel like my blood pressure plummets.usually can t stand up straight until it goes away and feel like my legs are going to give out on me. Also if I squat down everything starts to go black when I stand back up. All my labs are normal and cardiac said my heart is fine altho it did show some tachy some brady and pvc s. My EKG showed a short PR. What is wrong with me??", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion you should consult cardiologist and get done1. 2d echo2. Stress test3. Holder monitoring (24 hour recording of ECG)4. Coronary angiography SOS (if required). You are having irregular heartbeat with orthostatic hypotension, this suggests possibility of arrhythmia or coronary artery disease (CAD). So better to get done above investigations first and diagnose yourself and start appropriate treatment. So consult cardiologist and discuss all these." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I need an advice regarding the possibility of being pregnant. I m a virgin. Me and my boyfriend were messing around yesterday somewhat and things got a bit *hot*. We didn t have penetrative sex, but he fingered me and I gave him a handjob. He touched his penis- while pulling it out of his pants- but then I immediately started giving him a handjob so the contact was brief and I don t think there was any precum as his penis was not even fully erected yet. After a few moments he began unzipping my jeans, etc (so he definitely has brushed his fingers against my clothes) and then fingered me (but not very deep). Also it was day 21 of my cycle (usually my cycle varies from 27 to 31 days, so I guess my ovulation should has happened already). I understand that chances of me getting pregnant are very low but still... should I be worried?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. No need to worry about pregnancy. For pregnancy, Intercourse in vagina and ejaculation of semen in the vagina is must. This should be happened during Fertile period (ovulatory) period of your cycle. Since you don't have Intercourse in vagina and you're were not in your Fertile period, no need to worry about pregnancy. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "can i use nicip tablet for hot boil,, i have got a hot boil on my eye,, which has become so big and is paining a lot my email address is YYYY@YYYY Ive been using this tablet since two days,, but there is no use.. Please help me out.. thank u so much", "output": "Hello, Let me tell you that NICAP is an anti-inflammatory analgesic agent, and it can relieve pain and inflammation, but it can not cure the boil. I suggest start taking Definite tablet twice daily for three days, and you are also advised to do hot fomentation on the boil 2-3 times daily. It will help relieve the symptoms and cure the boil. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 25y/o female and i have a knot/lump on the back of my neck below my hairline. I have had it for a few days now, it came out of nowhere. The size is smaller than a pea and sometimes I feel a slight burning sensation coming from it. What could it be?", "output": "Hi, dairy have gone through your question. I can understand your concern. You mostly have posterior cervical lymph node enlargement. ITIS due to some infection in head and neck area. You should complete a course of antibiotics. If it doesn't respond to treatment then biopsy diagnosis is advisable. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "good morning sir, sir my father was suffering for kidney parenchymal disease so he was problem with pains of both legs,chest pain ,blood test result are urea-69 mg%,creatinine-2.8mg%,uric acid-8.4& rbs-78mg%,Hb%-9.4 urine routine test is normal o he was suffers big problem he was medcines taken ultracet,folic acid tab,nodon tab,etc.... sir but he was taken medcine but not cure what is problem plz details me sir,", "output": "Hi, Your serum urea, creatinine is at higher side. So it is suggestive of deterioration of kidney function. Underlying because specific treatment should be priority. Diabetes and hypertension are common cause for that. Your physician should check your blood pressure and medication given for that if needed. I suggest you consult Urologist for examination. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband had bronchitis 2 months and has asthma. He was a firefighter for 10 yrs several years ago. Since his recent sickness, he hasn t felt right and now says it feels like he is breathing through cobwebs or cotton candy, fiberglass type of feeling in the upper part of his chest. Some days are worse than others. What could this be?", "output": "Thanks for your question on Chat Doctor. I can understand your husbands situation and problem. By your history and description, in my opinion he might be having worsening of underlying asthma and bronchitis. Lung infection is the most common cause for worsening. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Chest x-ray 3. PUT (Pulmonary Function Test). Chest x-ray is needed to rule out lung infection. PFT is needed to rule out worsening of bronchitis. He may need antibiotics, antihistamines and additional inhaled bronchodilators for better symptomatic relief. Hope I have solved your query. Wishing good health to your husband. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hiya i have a 1 yr old girl who has a bit of a cold she has a runny nose very snoty when sneezing there is a little bit of blood there i took her doctors yesturday for this and asked for something for her and they told me there is nothing they can give her what is ur opinion", "output": "Hi, As per your query, your child has symptoms of runny nose and sneezing which is due to upper respiratory infection. Need not worry. I would suggest you visit Pediatrician once and get it examined. You should get routine blood tests done to check the level of infection and start treatment accordingly. You should avoid the use of spicy, sharp oily and fried food substances. Furthermore, you should take a combination of antibiotic Levofloxacin along with anti-inflammatory medication. Furthermore, you should avoid cold carbonated beverages. Apply mist humidifiers in the room. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband has 895 Gamma Gt. He is 55 years old. Has been dinking for 30 year and has stopped since 3 months because he suffer from Cluster headaches. Sgot:: 73, Sgpt: 146. More than this, the last test he had shows a risk with an arter of heart. Thanks for your help! He is also smoker!", "output": "Hi thanks for contacting Chat Doctor. Your husband has s definitely at high risk. Noted 30 year of alcohol Chat Doctor. So he could have fatty liver or cirrhosis like condition.USG witChatDoctorplete liver profile done. Second because of smoking and alcohol is at the high risk for ischemia heart disease. I will advise you to do your husbands serum lipid profile also and measures blood pressure. If both are high then treated accordingly like with that of statin and amlodipine like antihypertensive " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here...I believe I have acid reflux which is affecting my gums and teeth. I am scheduled to have eight teeth and toris removed this wednesday. Do you see a problem having the oral surgery done?", "output": "Thanks for your query, I have gone through your query. In acid reflux the teeth will get damaged secondary to the acid attack on the teeth resulting in erosion of the teeth. If sufficient tooth structure is there, then we can save the teeth by doing RCT. If the tooth structure is not there then it has to be removed. The teeth can be removed and Tori can also be removed but the antibiotics and analgesics should be of lower dose since this will cause gastric irritation and may cause vomiting and heart burn or gastric pain. Even the painkillers prescribed after the surgical procedure can worsen the acid reflux. So be careful and take precautions like antacids at regular intervals before the medications prescribed after surgery. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have had a breast lump remove under general anaestic 5 days ago . I feel the same as I did when I came out of surgery Physically Fatigued! Im a very active 54 year old have a text booked blood pressure, I cant do daily shores or go back to work. I have difficulty getting out of bed and even having a shower!! Which Im fanatic about!! Please help!!", "output": "Hello! Thank you for the query. Please note that any surgery is an immense effort for whole organism. We can compare it to taking part in car accident for example. So this is a typical reaction for surgery. Your body needs to rest to get back to normal. It takes time and It's hard to accelerate it. So if you do not feel any part of your body weaker (like one leg or arm is weaker), no headache, no dizziness and pale skin, your heart rate is lower than 100, rest is all you need. If any of mentioned symptoms is present, you should consult your doctor right away as stroke or anemia are possible. Hope this will help. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "worried about blood pressure for the last week as high as 160/104. Was normal one month ago at docters office. I am 50 years old, normal weight and healthy on vegetarian diet and exerise every day.Do have family history of high blood pressure, mother had problems starting about 40 year old Should I have this checked out or give it some time?", "output": "Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. I will try to explain and give you my opinion. We talk about hypertension if we have mean values that exceeds 140/90 mmHg. Hypertension is divided in two groups: essential or idiopathic hypertension without an identifiable cause and secondary hypertension, usually in young ages, meaning that is a secondary cause of it. This cause might be a renal disease, an endocrine problem, a cardiovascular pathology. As you explain, you are 50 years old, and you do have heredity for hypertension. According to this, I think we are dealing with essential hypertension. It is a chronic disease. It has not a definite cure, but it should be treated life long. In most cases' people with hypertension does not have any symptom but leaving this values untreated slowly modifies your heart muscle. So, if I was your treating doctor I will recommend a holder pressure monitoring for 24 h, to know your mean values day and night. A cardiac echo to evaluate heart chambers and a fool blood analyze. After having a fool view of the situation we can decide how to treat your hypertension. But my opinion is that you should do this thinks now and not leave them for the future because it is much better if we act and treat hypertension faster in time. Hope I was helpful. Wish you good health. Best regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir my child suffering in gall bladder stone since 2 years ,it found in 15 days back after diegonised the size of the stone is 7mmx6mm and 6mmto4mm in gall bladder,so many dr adivace to take a remedies not foe surgery plz advice me he is 8 old son.", "output": "Hi, Thank you for asking question on Chat Doctor. Oral Ursodeoxycholicacid for period of 2 years may dissolve the gall stones. But the may recur after stopping the treatment. Obstruction of bile ducts by gall stones may be relieved by ERS following ERCP (endoscopic procedure) or Lithography to break stones into small particles so that they will be excreted in feces. Hope this answer will serve your purposeless feel free to ask any more queries if requiredTake care Chat Doctor. V. Subrahmanyam MD;Disassociate professor of pediatrics" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a lump on the left side of my shoulder a little near my neck inside the collarbone. When it first happened 3 days ago my collarbone and my neck hurt...I wonder where it comes from and there is not any more real pain but I take ibuprofen....What should I do??? It seems like it will go away but I don t know.", "output": "Hi ! Good afternoon. I am Chat Doctor answering your query. From your history, I feel that possibly you have got a lymph node inflamed in your neck region, which could be due to any infection in the Chat Doctor. If I were your doctor, I would do a general physical examination of yours with special attention to your head and neck region along with the oral cavity, and would consider advising you for a short course of broad spectrum antibiotic along with an anti-inflammatory " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have gallstones. Should I get my gallbladder taken out? II have gallstones. Should I get my gallbladder taken out? I have only had the one attack (which landed me in the ER). I have heard so many \"horror stories\" about the surgery that I am afraid to have it done. Can they do the laparoscopic surgery on me if I am overweight? I watched the procedure being done on youtube and I noticed that they place three clamps on the duct before cutting it loose. Do these stay in the body or are they removed? How risky is the surgery and what are the possible complications? How long is the recovery time because I have a two year old son to care for?", "output": "Hi, Your symptoms may be suggestive of gallbladder stones, so you should do at least ultrasound or CT scan to evaluate it more accurately. This is caused by stone in bile duct and is very common condition. You need to change your dietary habits first. You need to avoid fried food, carbonated Chat Doctor. Furthermore, you should eat more milk products, vegetables and boiled food. If there is no improvement on lifestyle or dietary changes, then surgery is recommended. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have a pain the is becoming increasingly worse in the last day, it feel like a pulled muscle ( i m very active) however it is tender to the touch also if I cough it hurt. Its located under my lower rib cage and continues just below.. if I squeeze my side I can fill the tissue is tighter has a know,, maybe I have a knot in my oblique? but why is it getting worse", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. By your history and description, in my opinion you are mostly having musculoskeletal pain. But we need to rule out pneumonia as it can cause pleurisy (inflammation of pleura) and chest pain on coughing. So get done chest x-ray first. If chest x-ray is normal then no need to worry about pneumonia. You are having chest pain due to excessive coughing. So start antihistamines for suppression of cough. Start painkiller and muscle relaxant. Apply warm water pad on affected site. Avoid heavyweight lifting and strenuous exercise. Don't worry, you will be alright." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Had dental procedure six days ago. I am resistant to the local anesthetics and required quite a bit more ( 7 injections) to eliminate pain, was a little foggy when I left there. ( this resistance is normal for me). I had a perio cleaning, a molar extraction, and a bone graft implanted. The dentist closed with stitches. Because I had a perio deep cleaning on the other side of my mouth and have an aortic valve surgery scheduled in a month, I have been on amoxicillin for 2 weeks and just finished that today. Note that I do not get headaches. Ever. After the extraction, I have not had pain or problems with the wound itself , nor fever or sickness, however, I have had a mostly-pressure headache constantly for the entire week, and it does not seem to be lessening. It is not sharp like a migraine must be, but I also seem to have a light-sensitivity going on as well as the tension-type headache.", "output": "Hello, Your surgery is still considered recent, and you are in an initial healing stage. It is not uncommon for you to experience some discomfort. Take anti-inflammatory medication and finish all medication as prescribed. Report your condition to your treating dentist. This is the best recommendation for evaluation post surgery. Upper extractions and surgery raise some concern if there is a sinus complication during the healing process. Do you experience any congestion in your sinus area? This can explain a pressure headache. It is not unusual to experience a pressure sensation with a large amount of inflammation after multiple dental procedures. Again, anti-inflammatory medication may help you deal with this discomfort and your discomfort should continue to decrease with time. There is greater concern if you feel this condition is worsening. Thank you for your inquiry. Please schedule a follow-up visit with your dentist." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a firefighter, and i know it puts a lot of strain on joints. However over the last month or so I have noticed my the inner most side of my elbow (if extended) appears slightly swollen, kinda \"squishy\", and is tender to touch as if it was a bruise. However it has not changed.I have also noticed a \"knot\" on the top of my shoulder that is tender to touch and that my should cracks a lot more, and \"pop\" in a lot more places then before.", "output": "Hi I am Chat Doctor. . I hope you feel better soon, I think you may have arthritis or tendinitis as they may show your symptoms. You may use painkillers (NSAIDs) like Tylenol 400\u00a0mg tabs when needed as they will help in reducing your pain and inflammation, hot gentle massages with topical anti-inflammatory gels, muscle relaxants, B12 vitamin supplements will be effective for most of the cases. In more chronic and severe cases steroid tabs or injections may be prescribed if required. If these knots persists or increase in mass I recommend some lab investigations and X-ray and follow them up with your orthopedic for proper evaluation and management. Please click and consider a 5-star rating with some positive feedback if the information was helpful. Wish you good health, Any further clarifications feel free to ask." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello,I am looking for a solution to my severe jaw and temple pain. I recently got a crown put in on my right lower molar, it has been nearly two weeks and Im still experiencing severe jaw pain. Im having trouble opening my mouth to eat and Im taking 800 mg ibuprofen for the pain but as soon as it wears off, the pain is unbearable. Ay suggestions?", "output": "Hello there, Thanks for writing your query, Pain in the jaw and temple area post crown placement on the tooth indicates problem with the crown coverage. If the prosthetic crown is not in CAUSAL HARMONY with the jaw it leads to pain and discomfort during chewing and clenching. The crown needs to be evaluated for any high points and sharp margins that interfere with the normal occlusion. Consult a dentist and get the crown examined, SELECTIVE GRINDING of the crown will help in resolving the problem. I hope this helps, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my left and right foot keep twitching. It doesnt actually move, it just feels like the muscle is randomly contracting and relaxing. Ive not experienced any other symptoms. This twitching started at night about a week ago and now occur randomly throughout the day.", "output": "Dear patient muscle twitching is common sign of deficiency of serum calcium i.e. hypocalcemia. It is also common in patients with anxiety and stress. Are u anxious or in stress? Does this twitching occur only when you are free and thinking over? If yes its sign of anxiety. I would like to advise serum calcium levels to rule out hypocalcemia. Meanwhile start tab shell 500 mg twice a day with tab Clairol 60000 units once a week for 4 weeks. Visit to your nearby physician will be helpful." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ok need help I had a yeast infection used 1 diflucan which I told my MD that I needed the 2 dose pack but only prescribed the 1 then it wasnt getting any better then I scratched and I got a tear and its near the area where urine comes out and burns like crazy! tried vaseline, neosporin, and even putting a bandaid over the slit on my inner labia magor, now my question is what can I use to help with the sting from urine?????? Can I use liquid bandage?", "output": "Hello, Welcome to Chat Doctor, The history and symptoms are suggestive of severe fungal infection, you require physical examination to know the extent and spread of fungal infection. This area is prone for fungal infection as it is a normal communal free genital which are kept under control by helpful organism. Whenever there is a change in environment it will activate and produces the symptoms. For your symptoms I would suggest you to undergo KOH mount to know the hype, and we can plan for the treatment. You can keep the area clean and Chat Doctor. Apply antifungal cream over the lesions along with antihistamines to reduce the symptom of itching. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am in Stage IV of Cirrhosis of the Liver/Autoimmune Hepatitis. My blood work came back positive a couple of weeks ago. My Dr is in Raleigh, NC and I just moved to Atlanta, GA a couple of weeks ago. My Dr in Raleigh said it was imperative that I seek a Dr here in Atlanta or neaby. Can you recommend a Dr to me. I am also on Medicaid. Thank you.", "output": "Hi and thanks for the query, It is important to know what came back positive in the blood work up. Was it an infection or was it the presence of absence of viral ;particles? It is important to know what was positive exactly in order to institute an appropriate treatment. Antibiotics are needed in case of infection and antiviral agents, and at times liver transplants in some cases could be offered. More information is required and seek the opinion of your gastroenterologist. Kind regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Have right foot pain for approximately two weeks, on 2/28 my foot pain woke me in the middle of the night. My foot was very swollen and tender to the touch. Went to the ER, doctor diagnosed me as having Gout, took my blood and wrote me a prescription for indomethacin. At my follow up visit with my regular doctor, she said no way gout , blood is below the range and u don t fall in usual gout criteria. Took X-rays of the foot, no broken bones. Now is sending me to podiatrist, what is wrong with it?", "output": "Hello, Did you have a history of trauma, fall, or long walking or running lately? From the information you gave, the first diagnosis that comes in my mind is arthritis of the foot bones, could be mid-foot, forefoot or hind foot. Normally, in the x-ray that you did arthritis should have been visible. The second option is stress fracture of foot bones, but only if you had prolonged walking or running recently. This cannot be seen on x-ray, but only on bone CT scan or scenography. There is even more rare disease such as infection or tumors that need to be distinguished. Maybe the podiatrist will order these examinations and blood work for you to diagnose and treat your condition. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am aged 42, Male, Diabetic for the past 8 years (Gycomet GP1 tablets 1-0-1 half an hour before food ). When i checked my Hb1Ac last (end Feb13) it showed a reading of 7.3. My BMI is 20.5 Last month end i did a TMT test as part of my companys periodic health checkup and the result was Negative. The doctor said that i had done well! I worked out for more than 10.5 minutes and in the last stage of the TMT test my BP was 90/160. It is normal ? where during normal times my BP reading was 80/130. In the abdomen ultrasound it showed a subcortical cyst in the lower pole of the right kidney measuring 1.7cm x 1.8cm with a calcific speck seen on the wall of the cyst. Is this something to worry about? Do i need to consult anyone for this ? All my blood work result was normal. Also, all the other organs as per whole abdomen US scan was normal. P.S., Chennai, India", "output": "Hi friend, Welcome to Chat Doctor Heart rate and Blood pressure MUST rise during TMT - if not, it is heart disease! Your test is normal / you have reversed the values - it must be 130/80 - NOT 80/130 - the higher figure is systolic and comes first. The cyst is not big / on the cortex and calcified mean simple / nothing to do except repeat after one year...if symptomatic, see Urologist... Watch your lipids... Take tarnishing speedy recovery God bless Good luck" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hellomy wife was told that her ultrasound showed an unremarkable cyst or growth and her doctor said that it was small. She has been experiencing back pain at the end of her period, other than that she has no other symptoms. She had 2 CA125 tests that showed her protein to be high. Can this be due to cancer or are there other reasons for these results?", "output": "Hi, Ovarian cyst is a common phenomenon. Ultrasound can reliably differentiate between a benign ovarian cyst with some other suspicious ovarian tumors. CA-125 very often increased in many non-malignant causes. Mastectomy may be an option in treatment of ovarian cyst, but that can be decided by your gynecologist. If any suspicious lesion is found on imaging more radical surgery should be done and pathology report should be obtained. Consult your gynecologist." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ive been to a urologist and we covered everything. Prostate exam, xrays, and ultra sound... diagnosis unsure, so doc gave me a month of antibiotics 3 months. I finished the meds but here I am again with the same pain in testicles and abdomen. Ouch! Pain maybe 7, testicles feel heavy... please help.", "output": "Hi. Thanks for your query. Noted your history and understood the concerns. You have already seen the urologist and undergone all the necessary tests, prostate, X-rays, ultrasound yet the diagnosis was unsure. So the Urologist gave you a long courses of antibiotics, but the pain is here again 7 on a scale of 10. The pain in the testicles and abdomen with feeling of heaviness indicate that there may be either a local problem which can be diagnosed by MRI of the scrotum. If there is a doubt, there is always a chance to take a second opinion of another Urologist or a senior General Surgeon. Scrotal support to elevate off the weight is also needed." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor!I am suffering from Kidney from last 10 years and I am on regular CAPD.I have rashes on my back and areas around spine. Tried scabies treatment of Elimite (my nephro consultation) but did not work. I have had many a times Pseudomonas Aeroguinosa infection of the bladder many times. I think it is folliculitis problem because all the symptoms are same as mentioned on various websites.First there is a small tiny and very itchy bump and after few days it develops pain grows bigger and after that it dries.There are many tiny itchy bumps developing on my back and thighs thus causing a lot of itchyness. Please help me.", "output": "HIT hank for choosing ChatDoctorChronic renal problem later or sooner causes some kind of skin manifestation, in certain cases, you need to see the renal function test, if turned abnormal then correct it, you can have words with your nephrologist, for the scabies\" Gama benzine lotion would be very nice to apply this all over the body at night for three days, wash your linen in hot water, treat all the garment with chlorohexadine solution, you will get the nice result, have good day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "can severe pain and mild swelling with warmth central located in the most tender spot, be torn rotator cuff. and exhibit serious pain 8 months after a serious fall which resulted in a broken shoulder on opposite side. I have unexplained pain 10+ scale. Regular xray yesterday showed no fractures, no arthritis. Can you get a rotator cuff tear and have no symptoms and then with out additional injury or unusually use begin exhibiting pain as severe as the broken extremity from last Halloween", "output": "healthier is difference in rotator cuff tear and supraspinatus tendinitis, whereas in former the movement of shoulder is impaired especially abduction and rotation while lifting arm sideways, in tendinitis there is pain and movements may be painful and not restricted as such, an MRI may distinguish the two. So consult a shoulder surgeon or orthopedic surgeon. In your case, it may be tendinitis. Take Advil thrice a day after meals for 7 days and do hot fomentation, rest arm in a broad arm sling for 10 days., it may help but if not go to orthopedic doctor for investigation. Also apply anti-inflammatory gel like voltarenthanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I had a housemate who had this grotty blistery thing all over his feet, which I seem to have caught. I had hoped that when he moved out it would have cleared up, which is not the case. Between the toes, and on the side of my foot Ive had several outbreaks, and when the blisters burst it seems to spread. The blisters and sites in general are very itchy. In the last week I had a large one of these blisters develop on the bottom of my foot, and when it burst it has become quite painful and red and seems to be infected. The skin around this area is also very itchy and is painful to walk on. In the last two weeks I have been working in a very dirty workshop, which would include exposure to dust, dirt and chemicals, and since my work boots are old and full of holes it is more than possible that some of this stuff has gotten into my shoes and to the infected site.Now, Im planning on going to the free university doctor on Monday, because as a student I cant afford to go to one of the emergency weekend docs, so I would like to know if there is anything I can do to reduce swelling or fight infection in the meantime.Thanks muchly :)", "output": "Hi there, As you have rightly concluded, we need to deal with the wound infection first, and deal with the blisters later when your university doctor can have a look at it. What I would recommend right now is some anti-inflammatory tablets like diclofenac or even ibuprofen to help deal with the swelling and pain on walking. For the infection itself, if you could get your hands on some antibiotic cream like mupirocin or acidic acid it would be useful to apply it twice a day to help control the infection. If you are not able to get the antibiotic cream, find yourself some antiseptic cream with chlorhexidine or iodine to just help kill off whatever surface bacteria is there. Try to clean the wound twice a day with some antiseptic solution to just get rid of any discharge and bacteria that is collecting on the surface. Keep it as Chat Doctor. Your university doctor would reassess it on Monday and be able to prescribe you oral antibiotics if needed, and further treatment for the blisters itself. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello . My mum has cirrhosis of the liver and has been in and out of hospital for months . She was so so ill couldn.t eat drink walk messing etc . Doctor had diagnosed mum as having a few weeks this was over two weeks ago .She is on morphine patches .but all of a sudden the last few days shes walking eating well drinking chatting laughing like shes getting better. I just don.t understand what is going on? The district nurse mentioned getting the hospice nurses in now but she seems like shes getting better . Please could you let me know if this is normal Thank you", "output": "Hi thanks for asking question. Noted your mother having liver cirrhosis. Usually if diet control and lifestyle measures are taken then survival can be longer. It is good to see that your mother is improving. But cirrhosis is not cured ... If she developed any complication like varietal bleeding or ascites then consult your doctor for its management.Meanwhile, take low fat diet. Green leafy veg and fruits useful. Transfat avoided like cheese, burger, chips, meat etc... In diet minimal oil taken, and only good oil used like peanut or sunflower oil. She can do mild exercise. Wishing her good health. Take care.... Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "good night i have been haing yeast infections on and off for yeas i did a paps mare and the result says abnormal bacteria . i have done test for std,hiv and aids they all came out negitave.my partner penis is often chafed and i also feel chafed inside and somtimes itching.i dont know what to do anymore i have tryed it all please help me", "output": "Hello appreciate your concernRecurrent yeast infection can be related to diabetes or low immunityThis could be due to PID, fungal infection like candida or bacterial vaginosis would like further information to guide you Bettencourt age and complete medical history would advise you for few investigations like blood for hemoglobin CBC Liver function test, blood sugar, urine culture and sensitivity test and vaginal swab for culture and KOH fixation testy may require a course of antibiotics or antifungal either in the form of oral Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello. For the last 2 months I ve had major problems with my left knee. Can t lift leg up from a seating position. It feels like its going to hyperextend when I walk. Can t walk normal anymore. Not sure if I tore or separated a mcl or something. The main problem is that it s not getting any better.", "output": "Hello, What I understand that the knee is too weak now to take the weight of the rest of the bones below the knee. Are you having any kind of pain? What is your age and are you having any signs of high blood pressure or diabetes? Kindly get it Physically examined by an orthopedist and do an MRI scan of the knee. The history sounds more of the full ligament tearing. Taking immediate action will be good as if avoided later the knee internal structures which are of course soft tissue will get damaged and land into the early signs of Osteoarthritis of knee and will demand knee replacement. The earlier, the better. Take an MRI and meet up and orthopedist at the earliest for the better outcome of the treatment. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Both my son and I woke up feeling fine on Monday give it an hour after being up we both now have fevers. Our heads were hurting really bad and our bodies are life less. We are more motivated today but his one eye is blood shot and my face , teeth still hurt. Is this something we should go get looked at or will this pass soon?", "output": "Hello, You both can have viral fever in which there is marked muscle weakness and so you need to take rest. I suggest you both to take Paracetamol 500 mg SOS for relief from fever. Take decongestant tablet of cold associated. Chat Doctor. If no improvement in three days than investigate with CBC, got, Sept, IG M Elisa dengue for primary work up. Hope I have answered your question. Let me know if I can assist you further " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my son has been having pain in his right side and more into the middle of his abdomen. He constantly feels like he is going to get sick. He has missed 9 days of schoo counting today. he has had a CT scan and an Ultrasound. BotChatDoctore back fine. They found enlarged limp nodes in that area. I have heard many people say that they had the same thing and the results came back with these test that they didnt need their gallbladder out. then they had a HIDA scan and it showed differently. Once the gallbladder was removed, they felt much better. Help me please. more importanly, how can i help my son?", "output": "Hi. Thanks for your query and concern for your son. Young boy missing the school due to pain in abdomen on the right more in the middle of abdomen. Constant feeling of sickness. The CT scan and ultrasonography are not normal as there are few enlarged lymph nodes in the abdomen at the same site. The gall bladder must be normal and removing the gall bladder without any evidence of inflammation or stone is no reason to remove it for a school going child. The reason for the pain in abdomen is obvious. Get the relevant tests of blood, urine and stool, Tidal for Typhoid, Quantifier gold test for Tuberculosis, Ultrasonography guided FNAC ID the nodes are just bellowed the anterior abdominal wall. Give him a 7-day course of antibiotic, metronidazole, probiotic and anti-inflammatory medicines, review the size of the lymph nodes by ultrasonography. Give additional course of 2 more weeks and see the results. He will be fine by then. If there is no regression even after 3 weeks course, he needs Laparoscopic visualization of the abdomen, biopsy of the lymph nodes and then a definitive treatment as per the reports." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My GP has said for some time that I have an auto immune disorder . She doesn t seem to have a solution or name other than fibromyalgia. I have been diagnosed with many inflammatory diseases and am in nearly constant pain from one source or other. (Asthma, Fibrosis in Lungs, Arthritis (including spine and all joints), Fibromyalgia, Celiac Disease, Costochondritis). Any medications that have been able to provide relief my now be taking a toll on my liver and causing symptoms of failure according to my Dr. I am unsure what type of specialist I should be looking for to try to find a solution and some relief.", "output": "Thank you for your question! I understand your concern. Symptoms of fibromyalgia (FM) are diffuse pain all over the body with some tender points, joint pains, weakness, sleep disturbances and mood disturbances. They frequently interfere with our daily activities. First thing you have to know is FM is benign condition, but take long time to cure. Aerobic exercises, though give you pain and fatigue for short time, it will help you a lot to improve your condition. So, keep doing aerobic exercises. Maintaining regular time for sleeping also helps your condition. You can try amitriptyline tablets. Consult your physician to know the dosage according to your weight and symptoms severity. It is okay to follow up with your GP and there is no need of consulting a specialist. Wishing you fast recovery!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a pain in my upper back with shortness of breath, also i have a dry cough . When i do any physical activity i feel dizzy and sweat really fast . Im not over weight and i have just quit smoking about 1 week now . Should i go to my hospital now?", "output": "Hello, I have studied your case. You need to investigate for reason of shortness of breath and sweating, I will advise checking your BP, routine blood investigation and Eggs I will advise visiting doctor near you for checking your vitals. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi - i am 41, i had my child at the age of 24, and no children thereafter. we are planning for a child desparately now, but my gyna says my egg quality is poor, one miscarriage happened, one IUI failed, one IVF failed. doctors are saying i should go for donor egg, i am not in favor of this. my DH is health, he is 42, his sperm is perfectly fine. what should we do? SS", "output": "Hello SST hanks for writing to us with your health query. You should have testing of ovarian reserve. This is tested by measurement of a hormone called AMH (anti Mullein Hormone). It is also measured by AFC (astral follicular count) - counting number of astral follicles on ultrasound on day 2 of your cycle. Also, your capacity to produce good quality eggs can be judged easily by your response to the stimulation injections given for GUI and IVF. If your doctors have opined that your ovarian reserve is poor, you have to accept that. Supplements like DHEA might slightly improve this, but it is not proven conclusively. Yes, the answer for you is egg donation / adoption. Of course, the alternative is following your heart and going for more costly attempts at IVF knowing fully well that the odds are in favor of failure, not success. Hard as it is to arrive to terms with this, the earlier you do, the better. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have an allergic reaction when ever i go outside in the day light the lights in my house are not bright and i have been toldi have solar graphia how can i get this to go away because i want to be a normal kid again im Only 15 and i cant go to school because of this and i cant honestly do anything its ruineing my life to be honest", "output": "Hi, Welcome to Chat Doctor, and thanks for posting your query to the forum. Your solar graphic is actually a problem of photo-dermatitis for which you are getting allergic reaction in sunlight exposure. Our human skin is a multi-layered structure, and it has tendency to wear and tear repeatedly on exposure to environmental factors. In certain situation when the exposure of the environmental factor is too high then the skin has the tendency to get red and itchy. These red areas appear as mild to moderate eruptions on exposed areas of body which are known as POLE. Simply saying sun burns. I would like to suggest you some more of remedies:1) SUN PROTECTION: by sun protection in form of proper covering and clothing. You must wear full sleeves clothes and gloves along with a hat every time you move out in sun. 2) Sunscreens: These do help but not as completely as covering body by clothes. Even then whenever the sunscreen is used-it should be used half an hour before going out as it requires 30 minutes to get activated.3) A LOT OF VITAMIN A and LYCOPENE IN DIET: Vitamin A plays a very important n role in sun protection. It along with certain antioxidants in our diet of fruits helps us best in reducing the damage to sunlight. SO I suggest you to have lot vitamin A and lycopene in diet. You should eat all fruits as well papaya, tomatoes and beat root containing these things in plenty.4) You can also have the antioxidant capsule but follow a good diet as the main part. Your tendency of sun burn will decrease slowly and might take multiple of months to get better form internally, so have patience as well best of measure as suggested above. I hope these information will help you. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Five days ago I felt pain under my neck area and noticed several small lumps (next to each other) on my left side of my neck/throat. They re lower down my neck than where my lymph nodes are normally swollen, although I know I ve got lots of them all over. They haven t gone away yet. I noticed that when I swallow I feel something in my throat, I ve been tired recently and that I m always cold. Anything to worry about or just my body fighting off something so my lymph nodes irritated?", "output": "Welcome to Chat Doctor .1. The history suggest multiple enlarged lymph nodes in the neck region and as you said its chronic cause.2. Lymph nodal enlargement is seen in presence of local infection / inflammation, systemic cause and finally lymph nodal pathology itself.3. For better evaluation - after examination an ultrasound neck would help.4. Ultrasound will help to find out the nature of lumps its source and extensions.5. An FNAC - fine needle aspiration cytology to evaluate the cause / cells present.6. After that appropriate treatment can be taken. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear doctor, since last 4 weaks aim having pain in the back righ side , ten inches above waist and not in the spine area, may be near kidney area. I got scanned my kidneys and are OK. scan says my liver is fatty. and I got belly 4 inches over my chest. my abdomen is not in perfect condition these days. constipation problem is experienced. pl guide me", "output": "Hi, Its difficult to figure out the cause of constipation. Constipation definition varies from person-to-person. Stools may be too hard or too small, difficult to pass, or infrequent (less than three times per week). Some people with constipation may feel a sense that the bowels are not empty advice:- stop any medication being used for constipation for a week - thrice daily, take two teaspoon (or one big spoon) spatula husk with 200 to 300 mL water-increase warm water(at least 8 glass/day) intake-do not Chat Doctor. ) altogether-mix few " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my son has been having asthma flare ups over the past several months at least once a month. Every time his asthma flares up his doctor puts him on prednisone. Over the past couple months I have noticed his voice becoming hoarse in addition to having a cough. The coughing wakes him at night when he has the exacerbations . Is there anything else we can be doing to better manage his asthma? He is currently using symbicort", "output": "Hollowed this very carefully and you will get the desired answer for your son. ASTHMA :Airways hyperresponsiveness that is secondary to inflammatory airways' disease that results in recurrent or chronic episodes of WHEEZE, SHORTNESS of BREATH(SOB0, CHEST TIGHTNESS &/or COUGH particularly at night or in the early morning (your son is having all these symptoms including hoarseness of voice, may be due to laryngeal edema (side effect of prednisolone or inflammation of larynx). Pollen, dust (fine dusting powder) mist, molds, pests (cockroaches) , fumes, smoking (active and passive) , sudden chance of temperature (increase or decrease) , as all these are predisposing factors which triggers asthmatic attack. If possible avoid these. When such patient visit my clinic I prescribe Montelukast+albuterol tablet once or twice in day. Dosage are 0.2 mg of / kg body weight of each tablet. Hot coffee and steam inhalation provide instant relief as these acts as bronchodilators. I never prescribe PREDNISOLONE my patient. This is only meant for serious cases." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello.For the past 4-5 days, the right side of my stomach has hurt. Its not excruciating pain but it hurts. Made worse when I press on it. I have also had an on and off low grade fever (around 99.5 degrees) and nausea. Also, the right side of my stomach feels harder than the left side.", "output": "Based on your description, you seem to be suffering from gastritis. If that is the case, you would need to take omeprazole capsule once daily before breakfast for one and a half months. You also need to take small but frequent meals. However, the final diagnosis can be made only after proper examination and I strongly insist that you visit a doctor and get yourself examined. The low grade on and off fever needs to be investigated and is probably unrelated to your abdominal pain. You would need to get it investigated to rule out conditions like tuberculosis which could be a possible cause." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I went to a dermatologist for this outbreak on my arms and back, they injected steroid into these places I had a small one on my cheek, I was sent home with antibiotic pills, I know see that it is a staphe infection and my cheek is swelling rapidly and it hurts, I put an ice pack on it, but I know heat brings it out right? what should I do, hospital?", "output": "Hello, THX to contact us. I understand your concern. If I am your doctor I advise you that if you have such a swelling in the cheek it is advised to do culture and sensitivity from the wound. It is not advised to take steroid for such a lesion. Take treatment according to the sensitivity report. You can use topical newsprint powder along with antibiotics from sensitivity report to treat infection. I will be happy to answer more of your concerns, kindly know me, Wish you a very good health at Chat Doctor. Chat Doctor. Infectious Disease." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i keep getting restless with a figitiy feeling inside, usually starts early eve and then stps but wakes me up in the early hours, it feels as though something is crawling around inside. i am 44 years old very active so i unsure if it is restless leg sydrome as i get it all over.", "output": "Hi, I think you should clear the doubt about the restless leg syn Chat Doctor. Any small touch of the intervertebral disc to the cervical spine may lead to abnormal nerve symptoms. It is a possibility that when a small touch to the spinal cord can lead to such symptoms. Post-MRI we can help you assist better. As your age is 44 we can expect some wear and tear of the spinal bones, disc and ligaments which can possibly cause some symptoms. For now, I will advise doing core stability exercises, spinal muscle strengthening exercises, hip strengthening exercises, static qua" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor, I am of 29yrs old and a mother of a 3 yr old. My husband is abroad and I am going to stay with him by Jan. We are not planning to have a second one until my kid is atleast 5. So I am looking for an opinion for having an IUD as we are not happy with condoms and scared of the side effects of pills. I consulted a doctor in my place and she says it is difficult for her to insert as the cervix is a bit above than usual and it would be very painful. I have read that this can also be done by giving local anaesthesia. I would like to have a second opinion on this.", "output": "Hi, With good positioning, there usually is no difficulty in IUD insertion. If I were your doctor, To facilitate the procedure I would ask you to come for IUD insertion just after census. I would advise you to take a tablet of Broken 2 hours before IUD insertion. This would take care of possible discomfort. I would ask you to pass urine just before the procedure and place you in lithotomy position and insert IUD. There is no need for any local cervical anesthesia. The prick of the local anesthesia would cause same discomfort as inserting IUD. Broken is enough to take care of the discomfort. I hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My friend has cancer that has spread to his liver and periteium, he has been on chemo and avastin for 6 mos. they are taking him off chemo, he said because its damaging his liver and kidneys. Also both his hands and feet are raw and peeling from the chemo.....what are we looking at for time? He won t give anyone straight answers..", "output": "Hi and welcome to Chat Doctor. Thank you for your query. I am sorry about your friend. This is terminal malignant disease and prognosis is really poor especially if chemo can't be performed. Now, you can only do palliative treatment:relief his pain and prevent infections and weight losing. Everything else isn't in your hands and you just need to support him for these few months of his likewise you good health. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Doctor, I had a swollen reddish Big Toe at front and later developed a puss. Accordingly Doctor removed the Puss. But the wound is not healing even after 2 weeks and it hurts when Toe strikes even gently and it again started to become reddish and swelling. But no pain when touched. Please suggest some home remedies if possible.", "output": "Hi, From history it seems that you might be having nail bed infection giving rise this problem. Due to injury there might be having soft tissue infection, swelling under the nail, it takes more time to heal. What is required is gone for regular Chat Doctor. Go for one antibiotic medicine course for 5 days. This will bring proper healing. Old nail might come out and new nail will come. Ok and take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "dear sir i have problem in my neck, i have a lision in c5 and c6. i took ATT for 8 month, then it was healed as Tuberculosis, now my small finger is not functioning and my induction finger and middle finger is also getting burning and numness, i have deep pining pain in my LETF SHOULDER AND BLADE, also paining , please advice me", "output": "Hi, Cannot say in your particular case, but generally, the location and movement of a pain gives clues as to what is going on. This pain goes in a pathway up to the neck where the problem is. Without an exam, I can only give general information, and spinal TB is really hard to get rid of and as it spreads it hits areas and that can include nerves, but it can continue on to give spinal meningitis or total paralysis. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a 3.1cm x 2.2cm x 1.3cm endometrial polyp. Endometrial stripe is measuring 2.2 cm. The polyp has a feeding vessel. I am 46 years old and am not premenopausal according to my blood tests, but I have been suffering from severe anemia for years and iron supplements do not help. I have had every test possible to see if I am bleeding somewhere in my body and this is the only sign of internal bleeding. I have very heavy periods and have excessive brown spotting between periods. Do you think the polyp can be causing my anemia, and if so, would it be necessary to have the polyp removed.", "output": "Hello and welcome to Chat Doctor, According to your history, the endometrial polyp is responsible for heavy bleeding and thus anemia. Endometrial polyps which are small are usually asymptomatic and do not require treatment. However, in your case the endometrial polyp is large and is causing heavy bleeding and anemia. In such a situation it is advisable to get the polyp removed since it removes the cause of bleeding and thus resolves anemia also. Consult your gynecologist for further work up. Thanks and take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had a cough for almost two weeks now. I noticed the chest congestion goes away after lying down and when I wake up it s gone until I have been up for 30 minutes. The congestion starts to come back and about mid day I have been getting sinus pressure and headaches. I have started to notice a tightness in my right jaw as well. Could this be a serious concern? Should I see a dr or is it just bronchitis that will go away soon? I have noticed a slight improvement in the chest congestion but the jaw pain has me worried", "output": "Hi. I understand your concerns. Cough of 2 weeks is commonly seen in bronchitis and lung infection. Get a chest x-ray done, a normal rules out lung infection. Possibility of bronchitis is more in your case. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT is needed for the diagnosis of bronchitis. It will also tell you about severity of the disease and treatment of bronchitis is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS). Treating sinusitis is also very important as that may be also the cause for cough. You will need a detailed evaluation for the same." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, i am experiencing stiffening of my fingers, at first i ignored it but i noticed it happens more often now. Most of it at night. And the lid of my right eye is often pulsating, it has been more than a week now. What could be the cause of my concerns?", "output": "Hi, Thank you for posting your query.First, I would like to reassure you that there is no need to worry about your current symptoms. They are most likely due to over-strain of muscles and fatigue. It would improve with rest. However, if you do not get better in a few more days, then, a brain scan should be done to exclude any ischemia (lack of blood flow to the brain). Also, thyroid profile and vitamin B12 level should be checked. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, Chat Doctor. Ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i dont know what exactly the problem is but some times i feel great pain towards my left abdomen and i notice that my left scrotal sack has got enlarged. but this enlargement is not for the long period i.e in days, but when it happens it becomes hard and also gives problem to my area beside my stomach. my age is 28", "output": "HelloThanks for query. Swelling of the left scrotum associated with pain in abdomen on left side is mostly due to infection of the epididymis or Testis (Epididymis Orchids)and needs to be confirmed, Please consult qualified Urologist for clinical examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture.2) Ultrasound scanning of abdomen and pelvis3) Ultrasound Scanning of Scrotum 4) Color Doppler study of scrotum. You need to take broad spectrum antibiotic like Definite along with anti-inflammatory Chat Doctor. Further treatment will depend upon result of these tests and final diagnosis." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI ,DOCTOR INFACT I WAS RAPED SEXTUALLY ABUSE WHEN I WAS 10YEARS OLD UNFORTUNATLY THAT TIME I HIDE THAT FROM PARENTS BUT LAST FEW YEARS I WANT TTRARTMENT MY PARENTS WANT ME GET MARRIED CAN I MARRY OR IS THERE TRATMENT AVAILBLE FOR THAT KID OFF PATIENT IAM 28 YERS OLD MAN", "output": "Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. Paroxetine, clonidine, and clonazepam are the Chat Doctor. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Im 36 yr, female and Ive been having shortness of breath for about two weeks i went to the ER they did EKG, Cat scan and Qvac test and x-ray and they only came up with I have asthma I never had any breathing problem before and the inhaler isnt helping I very worried and I do have High blood pressure and im over weight 58 and 300+", "output": "Hi thanks for contacting Chat Doctor... Obesity can lead to apnea and dyspnea.... So lose your weight by regular exercise... Low fat diet taken .... Second here you are mentioning you have diagnosed with asthma.... For its confirmation spirometry with pulmonary function test useful.... If it is not controlled by inhaler during attack then nebulization might have given with steroid for reducing inflammatory bronchi constriction... If asthma diagnosed and repeated attack then maintenance inhaler taken with former and low dose steroid.... One tsp garlic juice with honey good herbal remedy.... Take care.... Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I recently had my gallbladder removed about 5 weeks ago. I am 24, 100.2 lbs, I have started noticing blood in my stool. First they were loose bloody stool then normal dark bowel movement with blood in the toilet and toilet paper. Could this be due to the surgery? Should I wait it out or call my doctor immediately?", "output": "Hi, Thanks for posting your query. I am Chat Doctor. K and I am pleased to assist you. There are many causes of blood in stools like hemorrhoids fissures, colitis including IBD and malignancy. Since it occurred after surgery in your case, the first possibility is C diff related colitis probably due to antibiotics in the post-operative period. A stool test and a colonoscopy may be done for evaluation. Get medical attention at the earliest. I hope that answers your question." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have an enlarged spleen with multiple masses. All tests have ruled out cancers. I have a low platlet count and a 6 when low is 30 for vitamin D. I am always sick and tired. Is my spleen not working? when should I have it removed? Is it riskier to keep it.", "output": "Hello! Thanks for putting your query in Chat Doctor. I am a Gastroenterologist (DM). You have enlarged skin with low platelet count suggest that you are having hypersplenism with splenomegaly. Your total leukocyte count would also be low. There are many causes of enlarged spleen like infection, myeloproliferative disorder, hyperplastic etc. I will suggest you to take opinion of Hematologist who may suggest for bone marrow procedure and manage accordingly. Your spleen is working that's why your platelet has decreasedOnly when there are complications like spontaneous bleed from any site, recurrent infections etc., then only splenectomy is advised No there is no risk until it causes complications hope I have answered your query and this will help you. If you have any further query I will be happy to answer that too. Remain in touch and get-well soon." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "1Hi Doctor - I feel heaviness and feeling of swelling in my head. Heaviness is from last 2-3 months and i prevails for 1 week and then goes. Post that it comes again and last again for 1 week. I consulted one doctor and he gave me treatment of 15 days antibiotic and anti allergic for sinus . It helped me and complete month of January i was ok. But this feeling has again returned. I have observed mild heaviness/swelling in palms and feet too. I am having sound sleep and dont have nausea . I would like to get this evaluated but bit afraid from any side of neuro disorder.", "output": "Hello vishalvi2008Thanks for asking question, welcome to ChatDoctorThe swelling or heaviness in head which responded to the antibiotic therapy and again recurred, so there is very high chances of CHRONIC sinusitis of frontal sinus, as it is usually present with light headache and heaviness. Second option we can think is any neurological lesion but usually swelling on hands along with feeling of swelling on head are not features. If you are in doubt and stressed best is to get MR scan done, secondly visit a good doctor for proper treatment of chronic sinusitis as you have to take antibiotics, antihistamines for long. MR scan will also show the sinusitis.Thanks, Hope, I cleared your doubt." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have very lumpy breasts a doctor checked said it was just muscle but I still worry it is cancer had a mammogram two yrs ago all clear but one breast seems to ache a lot and is bigger it is making me ill can t go back to doctor he will call me a hypochondriac", "output": "Hi dear thanks for the query on ChatDoctorusually one breast will be slightly larger than other. If the disparity is noticeable and if painful it needs to be ad Chat Doctor. If your age is between 20 and 40 years you need to get ultrasound breast to check for fibroadenomas. If fibroadenomas you have to take vitamin E tablets daily one and prim rose oil tablets once daily for one month these may help with the pain thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi sir,in past time my father had TB , he was treated & found ok. now it again tb infaction have become , in a city scan & X ray fungal infaction was obsorbed , by chance he was admitted in hospital due to enlargement of lung(left side) a tube was incerted in lung to remove air from lungs , bp is normal ,sugar conrolled ,cheast drain is ok ,he is on artificial oxegen , not able to remove oxegen .he have become very week not able to seat. please help &Advice", "output": "Thanks for your question on Chat Doctor. I can understand your concern. So, your father is having relapse of tb with fungal infection and complicated by pneumothorax (air in lungs). Honestly speaking, this is not a good sign for prognosis. Pneumothorax in Tb and fungal pneumonia is having poor prognosis. Healing takes very long time in case of active lung infection. So first give him anti-tubercular and antifungal Chat Doctor. He shouldn't keep the tube for at least 1-2 months. If still not improving after 1-2 months, get done thoracoscopic intervention for pneumothorax. So consult pulmonologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wishing good health to your father. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello My name is nikia barber I am 27 I have 6yr old daughter ever since I was a younger child I been through a lot stress til this day I been having these shakes ith everything I do and it embarrassing and I have told my doc and I as ignored I want to knw my reason pluse I cant sleep at nite I find myself waking up at least 5 time in the middle of the night what can I do im shaking kn like a old lady", "output": "Hi, Thanks for using Chat Doctor. I have gone through your available history. You might have Performance anxiety with social phobia or depression, but physical causes like thyroid dysfunction, neurological deficit must be ruled out. You should consult your doctor preferably psychiatrist. Doctor may advise you some investigations including CAT scan to rule out physical causes. Doctor may advise you to take antianxiety or antidepressant Chat Doctor. You should also do stress management and relaxation exercise like yoga, meditation etc. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my son is 5 months old and weighs 8.1 kg.for last 6 days he was down with col,cough n fever..yesterday he was doing good but thn again today his temprature has gone up to 100.4 and now he is on medication..18th is the date for the final dose of rotavirus and pnuemooccal..is it possible?", "output": "Welcome to the ChatDoctorI completely understand your concerns but don't worry. Every rise in temperature of your children body doesn't need a course of antibiotics. Occasional fever episodes such as 100.4 degrees Fahrenheit may be due to developing immunity in his body against mild viral infections which are quite common in this age. You need to get worried about this if:1. It's associated with decreased acceptance of feeds, lethargy, excessive sleepiness or irritability.2. If other associated symptoms such as loose stools, vomiting, breathing problems, crying on micturition etc. are present. If he is feeding well, active, alert and playful, then don't worry. You may definitely go for rotavirus and pneumococcal vaccines as per schedule. Fever is not at all a contraindication for routine immunizations. Hopefully this will help you. For further questions, you may contact retake care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My dentist told me a few months ago that there seems to be a possible abscess with my lower molar. I don t have insurance so we were going to watch it since there wasn t any associated pain. A couple of days ago I had some pain in my lower jaw so I m going into the dentist to do a follow up xray next week. The pain is gone but tonight I noticed bruising on my neck towards the front below the area on my jaw where the pain was. The bruise is about 3 inches long about 1/2 inche wide, not solid more like a bite mark, it looks like a hicky. Is it something that can wait until morning for my dentist to check?? Thank you, Joy", "output": "Hi whereas per your symptoms it seems to my belief you are mingling two different problems, must be a chance you have abscess right down under your question tooth which will require a ROOT CANAL TREATMENT.your other problem which is a mark kind could be some insect bite or allergy, but for exact diagnosis could only be made with physical examination to rule out the possibility causing the discoloration of the skin. See a dentist soon, delay your appointment until you can bear the pain. Start with warm saline (half cup Luke warm water+ half tbs salt)rinses at night, it helps in Chat Doctor. Thanxregards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a broken tooth second to last molar(wisdom teeth have not came in they are sideways and need to be extracted). I went to a dentist and they used tools that I assumed were sanitized but after they cleaned the area above my broken off tooth I developed a very hard abcess, this was 2 weeks ago and now it formed a head so I popped it to relieve it until I see them the 28th and jellied blood and pus came out, it feels better now but the swelling has made my cheek look puffy and noticeably swollen. Should I take this to the emergency room or wait to see my dentist again?", "output": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your query abscess over a broken tooth is due to deep infection in the tooth that is leading to pus formation below the root tips of the tooth. At times infection perforates the bone and the pus gets accumulated in soft tissues leading to lump formation over the gums and swelling of cheek. I would suggest you to consult an Oral Physician and not emergency room and get evaluated and a thorough clinical evaluation and investigations like x-ray has to be done. You can be advised Root Canal treatment of tooth followed by a course of antibiotics and painkillers if tooth is in condition to be saved. In case of gross damage to tooth extraction is advised. As of now do warm saline gargles bit do not delay the treatment to prevent spread of infection and further complications. Hope this information helps. Thanks and regards. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I pinched my lift little finger at work between a cement corner of a building and a steel garbage containier. it is not broke. but the complete tip to the first knuckle is blue and swelled up .cant touch anything including ice can not put it in ice water or their is unbearable pain. I don t knom what to do.", "output": "Hi, Consult an orthopedic and get an X-ray to rule out the fracture. Apply ice packs, and you can take analgesics/anti-inflammatory combination like Diclofenac/Serratiopeptidase combination also. Most probably it will settle by three to four days. You might require a finger immobilizer also. Your orthopedic can help you further. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "CAN A MOTHERS POOR EATING HABIT DURING PREGNANCY RESULT IN A BABY WITH MACGRONATHIA? I HAD MY DAUGHTER AT THE AGE OF 24. AT BIRTH HER UPPER GUM WAS NOT DEVELOPED PROPERLY. IT TOOK HER A YEAR BEFORE HER FIRST TOOTChatDoctorE IN, MY DAUGHTER IS NOW 13 AND IS EXHIBITING SIGNS OF MACGRONATHIA. HER LOWER JAW IS SIGNIFICANTLY LARGER THAN HER UPPER. I AM WONDERING IF THE FACT THAT I WAS EXTREMELY STRESSED OUT DURING PREGNANCY AND ATE POORLY IS THE CAUSEE OF MY DAUGHTERS PRESENT AILMENTS?", "output": "Hellooo....read through your query....based on your symptoms I must say that growth of the jaw depends on many factors. It may or may not be influenced by Food habits but more importantly is the hormones of the child.so don't worry.what has happened.she 13yrs now if her 2nd molar is not erupted I can say that u hurry her to a periodontist and get correction of the growth of her jaws(using orthopedic and dysfunctional appliance).if her 2nd molars are erupted take her to orthodontist he will see the situation of her growth based on cephalogram X-ray and do treatment accordingly...so don't think about what u did in past and do correction of the child for her future.!!!it's the right time.!!hope u r benefitted by my reply.have a healthy day!!!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hey ..well I am 2 months pregnant and when I urinate I see blood and I get worried I have other children 4 to be exact and my youngest is about to be 7 I didn t experience no problems like this with my others I m just concerned and confused could you help me out?", "output": "Hi, Thanks for posting your query. Firstly, I would like to suggest that you confirm where from this blood is coming, from the urethra or from the vagina. If it is from the urethra and if this is a fresh bleeding, it is likely to be from the urethral lining, mostly due to some infection. This needs to be treated as it can lead to a miscarriage if left untreated. If the blood is coming out of the vagina, you should inform your health care provider immediately, take absolute bed rest and avoid all strenuous activity. A sonogram should be taken to note the state of the pregnancy. Further management is accordingly planned. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "tailbone painI woke up this morning with moderate pain on my tail bone. it hurts to sit unless I sit leaning to the left. it hurts to walk. I am an insulin dependent type 1 diabetic. blood sugar controlled by insulin pump, carb counting and exercise. a1c 6.8. I did nothing to cause this problem. what should I do?", "output": "Hi, I am Chat Doctor. Pain at tail bone - Coccydynia, is a very common problem related to posture, due to pressure of sitting on tailbone. Aim of treatment is to relieve pain and build up the muscles in hip region, to allow weight to be transferred to other bones. I suggest painkillers, muscle relaxants, site bath(sit in a tub of hot water) twice daily, + Exercises for spine and hip muscles. Avoid constipation and sit on a cushioned surface for the time being. Hope for all the best" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, I was bitten by an unknown insect almost two weeks ago and the inflammation of the bite is still there along with tissue bruising, leaving my skin around the bite discoloured. I have noticed over the past few days after the bite hole if you wish, has raised into a almost puss like spot, however around the skin is still discoloured, inflamed and sore burst and left my skin slightly torn. I have this continuous tingling sensation which gradually increases in pain, almost like a really bad case of pins and needles. the pain starts from the bite down to the sole of my feet. I have no idea what to do about it, and how to treat it. all I have dine thus far is take ibuprofen for the pain and apply an ice pack and on occasion Vaseline around the bite. however nothing seems to be working.", "output": "Welcome to Chat Doctor. I went through the history you have provided here. It seems from the history that you are having irritation of skin following an insect bite. These symptoms indicate secondary infection in the skin. I usually treat these conditions by the use of antibiotics and anti-inflammatory Chat Doctor. Application of local antiseptic ointments and hot compression provides rapid relief. Do consult your doctor for examination to confirm the diagnosis and prescription of " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had a continuous dull aching pain in my lower back, right side, below the last rib bone. Not in the center of my back, but more toward the side. It concerns me because it may get better for a few hours and then start up again. Could it have anything to do with my kidneys, pancreas, or liver?", "output": "Hi Welcome to Chat Doctor After going through your query I concluded that you are having backache towards right side of your back which is dull aching whicChatDoctores and goes. It may be muscular pain or pain of kidney origin. You can exclude kidney pain by ultrasound of kidney area. For muscular pain analgesic such as ibuprofen are of help. You can discuss with your Doctor about it. Hope your query get answered. If you have any further questions then don't hesitate to writing to us. I will be happy to help you. You can also write to me directly on below link:https://www.bit.ly/ask Chat Doctor. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "over the last two weeks on three separate occasions i have felt as though my heart is being gently squeezed, a bit like a contraction, i can only describe the intensity as like a wave, starting very gently reaching a peak and then tapering off. i am not in any pain but it is a very odd feeling", "output": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you are mostly having simple muscular spasm but better to rule out any heart diseases first. So get done ECG, 2d echo and stress test (trade mill test). If all these are normal then no need to worry about heart diseases. Simple muscle spasm is more likely in your case. So avoid bad postures in sleep. You can apply warm water pad on affected areas to avoid such contractions. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? How bad is my blood pressure at 150/98? I am a 22 year police officer and weight lifter. A former SWAT team member but I don t run anymore. I lift weights 3 times a week and feel good. I am a non smoker and non drinker. But I do have 3 to 4 diet cokes a day. No coffee. On my annual physicals, my ekg has always been great. An athlete s heart. My bottom number has always been in the upper 80 s however.", "output": "Hello, I passed carefully through your question and would explain that these blood pressure values are high, but a single high blood pressure value is not an indicator or chronic arterial hypertension. It could be related to psychological stress or physical activity. For this reason, I would recommend you to closely monitor your blood pressure values frequently during the day, in the next days, in sitting position, after 10 minutes of total relax. If your blood pressure values are above the normal ranges (125/85 mmHg), I would recommend consulting with your attending physician and performing some tests to investigate the possible underlying causes: - a chest X-ray study-complete blood count, PCR, ESR - thyroid hormone levels for thyroid gland dysfunction- blood electrolytes- fasting glucose-kidney and liver function tests-cortisol and aldosterone plasma levels for possible a Chat Doctor. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI Im 23 years old, a year ago I was living in south america and got a bad case of what i thought was tonsillitis. After a two week period of antibiotics was able to come back to the states and saw my dr who after doing some lab work diagnose me with Mono. Recently my lab work showed very elevated liver enzymes so i had to see a specialist who found salmonella in my system. Could the original diagnose of mono had been incorrect and all along i had salmonella?", "output": "Hi and welcome to Chat Doctor, thank you for your query. Yes, it is possible, but mono is more likely since there was throat infection associated with elevated LFT. Salmonella rarely cause LFT elevation unless there was blood poisoning. So I suggest doing blood tests to verify is it mono. This is routine test today. After you establish right diagnosis, the treatment can be started. Wish you good health. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir,im prakash from hubli,and i want treatment or medicines or near any hospitals for this as im now 18yrs and i was masturbating from 15yrs and now physically and mentally very weak i cant concentrate on studies and also my height is getting short .weightlossing,muscle pains and so on,so please give me some suggetions", "output": "HelloThanks for query. Based o the facts that to have posted it seems that you have been indulged in masturbation since 3 years and now facing health problems like general weakness, muscle pain and loss of ability to concentrate etc. which you think these problems to be due to habitual masturbation. First there is myth in a mind of common man that excessive masturbation is the reason of all sexual and general health problems But I would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ or system in the body. All the problems that you are facing now are mind related and due to anxiety. Following measure will help you to boost up your confidence and improve your heath. 1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning. 2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc 3)Take anti oxidants like Almonds 5-6 everyday4) Avoid alcohol and smoking. Avoid frequent masturbation and restrict it to twice a week Chat Doctor. ." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I want children.. I have none, I ve suffered a stillborn and one miscarriage. Ever since my still born, my menstrual cramps are severe to the point I m crying in pain then exhausted falling asleep also, the pain is only on my right side. My gyno for my miscarriage did not take into consideration my questions and worries. They said my ultra sound looked healthy. I m trying to get pregnant still new at it but have no idea if there is something wrong I just need advice, even what to ask my gyno next time.", "output": "Hello, I can understand your concern. First let me ask you some questions are you consciously married? How was your ultrasound of your stillborn (how many months baby) did it show any abnormalities?. It's better for you to go for genetic counselling. That might help you to detect any chromosomal abnormalities. It can be done by a blood test of you and your husband. If its normal then no need to worry otherwise try to avoid travel. Eat healthy stay healthy and also do a blood test to rule out viral infection." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i had unprotected sex twice yesterday with my boyfriend about 30-45 minutes after each other, but he finish in me and im on birth control but lately i havent really had a chance to take it around the same time at night & I ve missed a night taking it, im wondering if i should take plan b", "output": "Hello misunderstand your concernAccording to your history you missed one pill. But if It is just 24 hours after missing pill then take two tablets simultaneously means missed tablet and that day tablet together. So take birth pills together that prevent the pregnancy but take the remaining tablet regularly. So in this case no need of Play B pill. But if 24 hours has been crossed, and you did not take missed pill then you have to take plan B as early as possible or with in 72 hours after sex to prevent the pregnancy. Hope this will help you Best regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 10 yr old daughter has started experiencing light headedness, dizziness, and shaking when playing or practicing sports. While playing soccer she breaths very heavy then hits a wall about 15 min into the game. Recently she has taken up ppitching for softball and during her lessons she sees spots, bright lights, feels like she will pass out, and becomes nausious. Our Dr thought it might be exercise induced asthma but even with the inhaler she still has these issues. Could there be something else I should have her tested for?", "output": "DearWelcome to ChatDoctorWe understand your concerns went through your details. Your doctor, before coming to his conclusion, that the problem could be exercise induced asthma, must have gone through ritualistic physical and pathological investigations. In that case, if the investigations are done, the problem could be anxiety and obsession. Anxiety could also cause such symptoms, but there will not be any organic reasons. Your 10-year young girl is learning life and at this age, they learn diseases too. At such an age, obsessing with health problems are also common. She could need health related psychological counseling. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query. Further clarifications are welcome. Good luck. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my boyfriend has been complaining of pain in his abdomen along with this pain is tenderness, this is located on his left side. he also has been experiencing some heart burn in the morning along with coughing. he states the pain is always there it just is not a severe at times", "output": "Hi ! Good morning. I am Chat Doctor answering your query. If Is were his doctor, after a personal physical examination of his abdomen, I would have advised for an ultrasound of the abdomen to rule out any intro abdominal organ pathology. I would also advise him not to eat from outside if he does as intestinal infections might creep in through outside food. Some routine tests like stool for ova and cyst, urine routine/microscopic and blood test (CBC) might also aid in making the diagnosis. Till then, he might go for some anti-spasmodic Chat Doctor. Further management would depend on reports of the investigations. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son who has mental health problem virtually behaves normally outwardly.Sometimes ago he used to urinate into a bottle and throw it outside.Now he believes that his bed and mattress are not good though we bought a new solid bed and mattress only about a year old.He eats strangely mostly vegetables and plenty of chicken breast with no fat perhaps up to 15 a day.Recently started eating so much banana -up to 2 to 3 bunches up to 15-20 a day. He dances almost all night and sleeps thereafter till past midday. Refuses to sleep on his bed despite buying new mattress for himself few days ago.He is 25.In the past had insisted there was a problem with his jaw when there was nothing wrong,spent so much money seeing all sorts of practitioners.His bizarre behaviour is baffling and puts us under severe stress especially as he has refused to take full dose of medication prescribed and only cuts it and takes about a tenth", "output": "Hello, Welcome to Chat Doctor He is showing abnormal behavior like refusing to sleep on mattress, urinating in bottom then throwing out, eating strangely, refusing to accept the problem and not visiting a doctor. All these problems can occur normally also, but they are causing significant distress so need further evaluation by a Psychiatrist. He might be having abnormal beliefs or delusional ideas that something is wrong. Due to some psychological change he might be showing such abnormal and bizarre symptoms. Other possibility is some mood disorder or more specifically bipolar. He is showing symptoms like dancing all night, refusing to advise of parents etc. These symptoms could raise possibility of some mood disorder. I would advise you to take him to a Psychiatrist for evaluation of symptoms and to make proper diagnosis. Medicines like antipsychotic Chat Doctor. Thanks hope this helps you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "A parent just shared that her almost-adult son has displayed voluntary encopresis. There are sometimes remains left in the bathtub. This young man has also begun stealing from people and he describes that it is like an addiction, where he wakes up thinking about stealing. His parents are divorced, he lives with Dad and Step-mother who constantly criticizes him. He was an outstanding baseball player, but began stealing from teammates. He is defiant at home, his grades are falling, hes lost interest in the things he used to do, such as baseball. The adults dont forgive him and theyve stripped him of a phone, a bedroom door, etc. and have given him no way to earn things back. This young man says hes not suicidal; hes using pot. This is such a mental disorder and I dont want to do more harm to him as a school counselor. What type of therapy do you suggest? How do I get the parents to understand this behavior is very much about them?", "output": "HiT hanks for using Chat Doctor I think, he has conduct disorder or cannabis induced psychosis and in that case, he needs proper mental evaluation by psychiatrist. If he has conduct disorder, then he needs behavioral therapy. Being a counselor, you can try positive and negative reinforcement in his case. That would help to modify his behavior. In case of psychosis, he would improve with antipsychotic Chat Doctor. Better to tell them to consult a psychiatrist. In case, you need further help, you can ask. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HiI have a small lump on my inner upper arm about 1 inch from my inner elbow. The lump is slightly sensitive to touch and I only noticed it a few days ago. There is no bruising in the area to suggest a knock. The lump does move as I can move it with my fingers. Hopefully nothing and just after a bit of advice on whether or not I should see a doctor.Many thanks in advance for your helpSteven", "output": "Hi.it is best if you consult with a doctor, preferably a general surgeon, for medical and physical examination. Based from your description, it could be a cyst (a sebaceous or a gelatinous type), a fibrous or a lipoma. These lesions can occur anywhere in the body and have the tendency to recur. Management (medical and surgical if indications are found and the lesion is bothersome for you already) will be directed accordingly. Hope this helps. Good day!!~ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI Sir my age is 27 height 5.2ft approx weight 85-90kg approx am attacked by jaundice in 2012 April i took 2 doses of herbal medicine from local expert and i also took Himalaya 52 tablets for 1 month. later i took my regular diet but my urine still in yellow color if i drink water fully urine will normal for that time, recently again in 2012 November again i found symptoms of jaundice i went to consult doctor he told my jaundice does not healed and went for blood check up and i found s.Rubin at 2.4 and sgpt 75 as on 7/12/12 and doctor suggested ursokem 300mg for 15 days twice daily after taking that medicine as on 26/12/12 my s.Rubin at 1.6 and sgpt 41 again i took same medicine for 10 days and stopped it and again tam normal oil food and non-veg items again i went to same blood test as on 26/1/13 my s. bilirubin at 1.2 and my sgpt level at 105 my urine still in light yellow color if take plenty of then urine will be in normal.", "output": "Hi, jaundice can be due to an obstructive or hemolytic. Specific biological/blood exams and morphology exams (ultrasound) with the aid of a good clinical Acute onset jaundice and chronic, repeated episode and a one time episode are evaluated differently. Associated symptoms like fever, weight loss, past history of alcohol abuse and some Chat Doctor. It is always important to carry out blood tests for Viral hepatitis viruses B and C which are important causes of jaundice. Liver enzymes are however important for monitoring and giving an orientation to cause. You shall also need an ultrasound and other blood tests. The ideal situation would be for you to consult a gastroenterologist to help in making a definitive diagnoses, to orient specific treatments. Avoiding of toxins to the liver while waiting like not taking " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have had pain at the base of my skull on the right side when I exert or strain myself . This has been going on for about 4 weeks. I had a ct scan with imaging and it was negative. I have an appointment with a neuro surgeon in a few weeks but this has really taken a lot out of Me because I don t know what it is Currently taking lorazepam which helps somewhat", "output": "Hi, Thank you for posting your query. First, I would like to reassure you that your symptoms do not suggest anything serious, as your CT scan of the brain is normal. Only very small tumors may get missed on CT scan, which can be picked up on MRI brain. Lorazepam is a Chat Doctor. There is no need to worry at present. Neurosurgery consultation and MRI brain would sort out the issue. Please get back if you require any additional information. Best wishes, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir how can I stop my problem of night fall ... m too much stressed. .. I masturbated since 8 years ... now I don t bt pursuing with the problem of night fall... and my penis is small... plz. Help me doctor .. tell me any natural or ayurvedic medicine ... my age just 18 years old :(", "output": "Greetings. Inability to control emotions allow a male to get too excited during sleep which causes nightfall & making the organ small which is a normal phenomenon until & otherwise its within the normal physiological limit of an individual. Most of the people have many wrong ideas about nightfall - that it causes ill effects on health like nervous weakness, reduced energy, etc. or sexual problems like impotence in the future all of which is NOT true and these are just myths and misconceptions provided they are within certain limit. For too much stress, i advice you to do activities(Play outdoor games you like / Read books/ get along with friends / meet your relatives/ etc., ) that relaxes mind keeping you fresh." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was in an auto accident three weeks ago and had a 10 inch black and purple bruise on my right breast and collar bone are with hard lumps underneath. The bruising is gone and the hard lumps are slowly going away. However, I am now having pain and burning in my collar bone. It seems to be getting worse. Im wondering if it is a bruise. Thank you.", "output": "Hi. Thanks for your query and an elucidated history. It is good that the bruising is gone. The pain and the burning in the collar bone area may be due to either there is a hairline fracture for which you have to get X-ray of the area with a pointer kept on the spot of pain. Another possibility is the sensory nerves are getting entrapped into the scar tissue and giving you a typical burning sensation. This would go away on its own. IF severe, request your Doctor to give medicines for the same." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here... I Have Taken my wife to the hosptail 4 times in the last week starting last friday because she is pregnet with are 3rd child and started to bleed they did test and told us to come back monday the 30 and took blood her hormon levels went up from what thay were on friday and told us to come back on the 1st to see if her levels went up and they did and they did a utrasound and saw something but shes only 5 to 6 weeks along still t early they say and they told us to come back friday the 3rd and the levels went up again and told us to come back tuesday the 7 my wife is complaining of being dizzy tonight but does not want to go wait in the hosptial because we have no incince and shes worried about the bill after being the 4 times already what do i do and watch for?", "output": "Hi there,Bleeding or spotting in early pregnancy, may mean a threatened abortion or an ectopic pregnancy. Both these conditions require continuous monitoring and treatment, which is why they are asking you to go back to the hospital for further evaluation. Repeated blood tests and ultrasound are required to know the location and normalcy of the pregnancy. If it is a threatened abortion, there is a high chance of the pregnancy continuing normally, but the first 12 weeks will be difficult. In case of ectopic pregnancy either medical or surgical treatment is definitely required. If your wife is having dizziness then it should not be ignored, and you need to see the doctor as advised. Hope this helps. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had pulmonary hypertension for at least ten years. I have elected not to have a right heart cath. My symptoms are minimal and I have so many other health issues that I am not certain what is caused by the pulmonary hypertension. When I am conditioned I can walk up two flights of stairs and am not short of breath. I am just wondering what life as to hold for me", "output": "Hi thanks for asking question. You have to take care regarding taking regular Chat Doctor. Take enough rest. Regularly do moderate exercise. Avoid smoking strictly. Take care not travelling to very high altitude. Take low salt diet. Depending on stage you might need oxygen therapy. With lifestyle change and regular medication intake will improve your life. If you does not take care then chances of right side heart failure is there. So follow above measures along with your physician prescription. I hope my suggestion will helpful to you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi sir well my name is alex and i am 24 yrs old and i am doing masterbuating when i was in tention and now i feel that my pennis is not errecting properly and there is no stamina in that and pennis is also bend it and now i need a help what to do i dont understand and i have show this problem for ayurvedic doctors and they have given the booty and etc and after that medicine is taken that time my pennis is working and i have left that tab for eating 2 months and now the problem has come once again what to do tell me.", "output": "Sellotaped on the fats that you have posted it seems that you have been indulged in frequent and habitual masturbation since many years and now facing problems related to sexual activities. First there is myth in a mind of common man that excessive masturbation is the reason of all sexual problems But I would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ or system in the body. All the problems that you are facing now are mind related and due to anxiety. Following measure will help you to boost up your confidence and getting good erection. 1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning. 2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc 3)Take anti oxidants like Almonds 5-6 everyday4) Avoid alcohol and smoking. Chat Doctor. ." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had the implanon for nearly 12months, past 2 months I have had a period every week, only for a few days, it is dark brown, clotty, and causes terrible cramps, I have also noticed my stomach has been bloated (never normally bloated and not changed diet in any way) I am a healthy size 8 so cant put it down to lifestyle. I have been off food, with a constant sick feeling, but terribly thirsty.", "output": "Hello, Implanon is quite effective against unwanted pregnancy and its failure rate near about 0.1%. Here, you need to undergo one TVS scan to exclude possible miscarriage. Other reasons are side effect of implant, hormonal imbalance, unnoticed uterine polyp/ fibroid, adenomyosis, DUB, pelvic infection etc. Following initial test, you need to consult with gynecologist for next investigation and suggestive medication. You may need to use other contraceptive method if implant causes that. Maintain genital hygiene. Take healthy diet with iron supplements. Be well." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello! I have been bleeding for going on over a month. I started bleeding two weeks after period had ended. its getting worse. what can cause this? i am on 20mg celexa a day as well as 2mg clonazepam 2 times a day. I have had gallstones since may. could that be related? my grandma whos an RN said to go get checked out bc I dont ever have much appetite and I dont eat any meat so shes worried Im anemic or need a hysterectomy :( please help!! samy coy", "output": "Hi, Thanks for using Chat Doctor. Usually Escitalopram and clonazepam does not have effect of menses or blood coagulation factors. So you should consult your gynecologist for detailed evaluation and examination. Doctor may advise you to go for blood tests including hologram, bleeding time, clotting time and ultrasound. Treatment would be directed as per cause. You may need iron supplement if your hemoglobin level is low. I hope It will help. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Can a baby girl get ring worm in her vagina area? 9 mo old baby, cousin that lives with her was just diagnosed w ring worm, she also today started a yellow greenish discharge from her vagina and has a red ring area around her vagina, no clear ring, just redness in a circle right now", "output": "Hi, Thankyou for query. Brief answer.get a swab test done first. Detailed answer... Since ring worm can occur using infected towels or sharing clothes with infected person. But as your baby is also discharging, so get a swab test done to differentiate between chlamydia or fungal infection and treat accordingly. For ring worm you may apply statin powder and cortisone cream 2 times a day daily for few days and follow accordingly. Hopefully my answer is helpful. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my 5 motnhs ols son has always had green paste like stools . He is formula fed, we had been using Enfamil till now , but few days back we changed to NAN since the former is unavailable in market at this time . He is now passing stools twice a day but watery and smelly please suggest.", "output": "Hi....what you quote is normal. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. Do not use antibiotics. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. Hope my answer was helpful for you. Happy to help anytime. Further clarifications and consultations on Chat Doctor are welcome." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I fell yesterday landing on the left outer area of my left shin. I have arthritis in that knee but more towards the inside of the knee. My skin felt like it had road rash, but the skin didnt break is just rough (I had on jeans, so thats probably why). Now it is numb. Should I be concerned and get this checked out, or is this normal?", "output": "Hi I am Chat Doctor. . In my opinion, i don't won't you to be worried and for many patients I suggest icing it for the first 48 hours, NSAIDs painkiller like Advil when needed, massaging it with topical gels, elevation your left leg on a pillow and avoid bending will be effective for such cases. For the numbness actually its quiet rare but happens when trauma or the swelling affect the nerve supplying this area which will subside when swelling decreases. Otherwise, I recommend X-rays to exclude minor fissures or fracture on your shin-bone. Please click THANK YOU and consider a 5-star rating with some positive feedback if the information was helpful. Hope the above information helps you, Any further clarifications feel free to ask." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i am 68 years old male my urine test report colour straw, specific gravity-1.014, deposit-absent,appearence-clear, ph-acidic,protein-present,sugar-trace, ketone bodies-nil, bile salts- negetive, bile pigments-negetive, urobilinogen-normal, pus cells 3-4/HPF, rbc-nil, epithelial cells 2-3/hpf, cast nil, crystals nil, others nil. so am i suffering kidney diseases?", "output": "Good day! I have reviewed your urinalysis result and I saw the ff abnormalities:1. Sugar - trace - you might be needed to be tested/screened for diabetes mellitus since no sugar should be seen in the urine. The screening test for DM is a fasting blood sugar.2. Pus cells - 3-4/HP This means that there are inflammatory cells in your urine. If you are feeling urinary frequency, urinary urgency, and pain on urination you might UTI and you might need to take antibiotics (e.g. clotrimazole, ciprofloxacin) after consultation with your physician or urologist" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I think i am having gallbladder attacks. After i eat i get a sharp pain in my middle back and front of the rib cage. Sometimes it is so severe i cannot handle the pain. I had an attack this past wednesday which was severe and everyday since then i have felt pain in the same places. I eat clean, 54 yrs female Both parents had gallstones when they were alive.", "output": "Hello Your symptoms may be due to gall bladder calculus. At present, empirically you can take strong opioid analgesics like tramadol for pain relief. You need clinical correlation and investigations. Investigations include routine hologram, renal function test, liver function test and Ultrasound of abdomen. Ultrasound of abdomen can exclude many possibilities. Proper treatment depend upon findings. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, Im Sean Marsh and I have been exorcising constantly since the beginning of this month and have started getting these short delays in my heart with a sudden thud. Is there any cure for this problem? I hear that it is caused from stress. I went for a seven mile walk the other day and it started happening.", "output": "Hello! Thank you for asking on Chat Doctor! I read carefully your question and understand your concern. It is normal to have some ectopic beats and tachycardia during physical activity and anxiety. But a cardiac arrhythmia can not be ruled out, based only on your symptomatology. I recommend consulting with the GP for a physical examination, a resting ECG and some tests like: a routine blood test, thyroid hormone levels, kidney and liver function tests, blood sugar and blood electrolytes, to exclude other causes of cardiac arrhythmia. An ambulatory 24-hour ECG monitoring may be necessary to exclude possible cardiac arrhythmia. Hope to have been of help! Best wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor ,My wife is suffering for the Joint pain for long time , all the test we did like anti ccp , uric acid, CRP,TLC,DLC, ESR ,blood sugar are within the normal limits. However her pain increases with the swelling in the left leg whenever she walls even for short distance few steps only. Please advice", "output": "Hi, Thanks for your query. Repeated joint pains can be due to multiple causes at this age the commonest being poly arthralgia. Other causes can be rheumatoid arthritis, gout, inflammatory diseases like SHE, bursitis, fibromyalgia, etc. For proper diagnosis, some blood tests are advisable like- 1. Serum calcium levels.2. Serum Uric acid levels.3. RA factor4. ESR and CRP5. Serum Creatinine6. X-ray of affected joints. You need a thorough clinical examination followed by investigations under the guidance of an orthopedic. Till then for symptomatic relief, you can take over the counter analgesics, do hot fomentation and apply local analgesic gel on the affected areas. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im 21 years old and am worried about my fertility. I am engaged and have been trying to concieve with my partener for 2 years with no luck my periods have never been regular but have gone from 31-45 days to 4-6 months the last time my period was *regular* i had a intro and external scan in hospital (30mins after i began) and the nurse said my lining was 1.6mm and that i shouldnt be experiencing a period. Im getting very concerned and although i know im still young its having a great impact on my life (crying/depression) please help as all my doctors say is dont worry and im sure itll be fine. Many thanks", "output": "Hi, Welcome to Chat Doctor. This could be due to ovulatory cycles. Due to irregular cycles there will be no ovulation which is cause of infertility. I suggest you to get follicular study to know the time of ovulation and plan accordingly. Or you may go for ovulation inducing Chat Doctor. This will help multiple follicles to mature and rupture. Thus increasing chances of pregnancy. Hope I have answered your query. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, My name is Billy and iam on desibility and i Make `175 month and my wife dont work she needs to be on desibility she has sugar. Her teeth needs fixed and i have false teeth. My top plate i droped and i lost 1 tooth diwn the bathroom sink and the other tooth i found. The bottom plate i havnt wore since they were made. The dentist didnt gidnt grind the 2 bones that are in your bottom gums and when i wear them my gum bleed.", "output": "Hi billy... I would suggest you to visit dentist. If he has made your denture(plate) and you are having problem with that then you should contact him. One of the reason of gum bleed on wearing denture is some sharp edges which is irritating your gum. There are some oral gels, you should do mental massage over gums with that. If in case of loose plate some adhesives are available for its retention. So contact your dentist for correct treatment." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "what would cause pain in both legs from lower back down to feet? I have rls really bad at night and when I am on my feet for a while I feel like I can hardly hold myself up, I feel like my legs are giving out. I also am not able to sleep over 4 or 5 hours a night. My hips, knees and ankles ache.", "output": "Hi, thank you for providing the brief history of you.a thorough clinical examination is advised As pain in bilateral legs is due to the pathology of the spine. As the spine releases called as the spinal nerve roots which when trapped leads to such symptoms. Also, the nerve as dual functions of sensory and motor too. Any mild compression on the nerve will lead to any of the symptoms like motor weakness or some sensory issues like pain which can be continuous in nature. Usually with physical therapy and proper vitamins supplement the symptoms can be reduced. As in my clinical practice we recommend a combination of Chat Doctor. As there will be weakness of the muscles of the spine and core team strengthening of it is advised to stabilize the spine and release the compression from the nerve roots. Regards Jay In" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my son has had bloodwork and was called back to do more with the possibility of having hepatitis c is it common for the test to be wrong, if not what do we do he is a 29 yr old male who has been an addict and he has agreed to long term care and now this what do we do", "output": "Dear Friend. Hi, I am Chat Doctor, I have read your query in detail, I understand your concern. If he is found to be Anti HCV Antibody positive, it is possible that the report is correct as you are saying that he is an addict. I.V. Chat Doctor. If you still doubt, you can get following investigations:1. Anti HCV Antibody2. Liver Function test3. HBsAg4. HIV5. CV RNA Viral Load - Quantitative & Qualitative. Get the investigations and share with us. This is my personal opinion based on details available here. If you want to discuss your issues further, you may please ask stay Healthy. Chat Doctor, MD" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor, I Donot masturbate like that much on the daily basis. But I have been masturbating from long time ago I can barely remember. I am 30 years old am not married yet and I feel my penis is so week myWalsall seminal is not like that a lot as it was before..", "output": "Hello dear,First, remove all myth and misconception from your mind regarding masturbation. There is no any harmful effects of masturbation as such. However, if it is done regularly then it will result in thinning of semen with low sperm count. Since you are feeling that you are addicted to masturbation, and it is interfering with your normal functioning, you can try out the following measures:1. Improve your social life by spending more time with friends and relatives.2. Keep your mind active and busy at all times either through curricular or extracurricular activities.3. Have a diet rich in fruits, vegetables, fish, nuts & honey.4. Avoid fast foods & lipid containing diet.5. Avoid smoking & alcohol.6. Stay away from pornograpChatDoctoraterials.7. Keep away stress, think positive.8. Exercise regularly & practice meditation. Wishing you a healthy lifetime care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Doc does a male yeast infection cause annoying tingling and small flesh colored bumps on the penis?Reason I ask is because i had unprotected sex with a mutual friend and have had tingling and irritation a few days after. Its been about 12 days for the tingling but I have yet to see only small bumps that may or may not be herpes.So im curious to as if I have a yeast infection or herpes.I went to 2 different doctors and they said they could not see any herpes. The second doctor gave me a yeast infection cream to apply and the tingling has gone down tremendously but even after 3 days of applying there still is a hint of tingling and redness.", "output": "Hello, Welcome to Chat Doctor, The history and symptoms are suggesting that you are having fungal infection rather than a viral infection like herpes, because in herpes infection there will be painful blisters, and it will subside by itself. As you are having intense itching it may be a fungal infection, but it should be confirmed by physical examination. As you are applying antifungal cream over the lesions and symptoms have come down. I would suggest you to continue this treatment for another one week, by this time it will come down. If it is not coming down you can try systemic antifungal agents. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had blood in my urine for 5 days and then suddenly stopped. I have no pain or fever and the blood was bright red and came at the end of my stream. Now that it has stopped should I still go see a doctor, or was it probably a kidney stone? I am a 38 year old female and had cervical cancer 9 years ago that resulted in a total hysterectomy, other than that I have no other health issues.", "output": "Hi and thanks for the query, blood in the urine in the absence of lower urinary tract symptoms like pain on urination, frequent urination or difficulties in holding urine often lead first to the suspicion of a bladder tumor. A urine cytology and urological examination and advice is usually needed in this situation. However, possibilities of urinary tract infections must always be ruled out by carrying out routine urine cultures and anti-biotic sensitivity test. Exposures to paints in the past is an important risk factor to be considered. A past history of having spent time in water logged zone, which could be endemic to Schistosomiasis (S. Histologic) could a possibility to bear in mind too. Consulting with a urologist could be very necessary. Thanks and best regards, Luchuo, MD." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. Im am 16 years of age and yesterday I Noticed a Somewhat medium sized( about the size or a quarter or Slightly bigger) bump on my head Close to my ear. It Is Hard and the area around it is Painful.Im Not Not sure What it is. Can someone help? Could it be A tumor?", "output": "Hi, Thanks for writing in. A bump on your head for a while, that is hard and firm might be a cyst arising from your scalp. It may or may not be arising from the skull. If it has been present for a long time and is slowly growing, then it must be a benign lesion. In benign firm lesion, they can be Osceola, epidermis cyst or Desmond cyst. I would suggest you to consult a neurosurgeon and get a CT scan done if necessary. Most likely it is not a brain tumor and CT scan will tell if it needs to be removed. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i m male 53 yrs age. having pain in right side of pelvic area & also lower back on right side since last 15 days. i took prescribed by doc cyclopam 10 tabs, then dolonex & flagyl. pl.guide me further . the pain is still der. i just did x ray of lumbosacral spine A P Platarol. thanks.", "output": "Hi, thank your for posting! I have gone through your query and I understand you concerns. According to your symptoms, I think that you suffer from lumbosacral arthritis. The diagnosis is determined by taking a lumbosacral CT-scanner, abdominal ultrasound, complete blood count, fibrinogen test and urine test. The treatment is made with non-steroidal anti-inflammatory medications and painkillers. You should also contact your neurologist. Take care," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am using iud, have abdominal mild pain as well as a lower back pain. I sometimes fee discomfort as if the iud is expanding. I have headaches in the morning, and I am always tired. My appetite has changed I no longer enjoy the food I used to like. I am also taking ferous sulphate. I had a pap smear and candida was detected and treated. What could I suffering from", "output": "Hello mam! Intra uterine devices are notorious for the kind of symptoms you mentioned. Loss of appetite can be multidimensional. Your abdominal and lower back pain points towards pelvic inflammatory disease. Add folic acids with A to zinc vitamins with ferrous sulfate. This will help your appetite. Other reason for appetite loss can be the routine or stress. You need to have regular 8 hours sleep use some sleeping aids for short duration if necessary.tireless and fatigue and headaches are also because of loss of appetite and PID.try some antispasmodics for the pain and simple acetaminophen for the headaches. And if the symptoms persist you can always remove your IUD and use some alternate contraception. Remember IUD is a foreign agent to the body and any foreigner is never welcomed. It adds to the adhesions, reduces the fertility rates. Increases the chances of ectopic pregnancies, Ashermans syn Chat Doctor. So you need to try coping up or give up and start an alternative way to contractive. Cheers" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am 12 years old. im not a very happy girl and i havnt eaten in a few days because im simply not hungry.i also wake up in the middle of the night and cant go back to sleep. i recently lost my best friend in an accedint. why is all of this happening? is it related?", "output": "Hi, I do understand your distress regarding your symptoms. Losing your best friend can be a very traumatic experience. The symptoms that you have mentioned is suggestive of stress leading to depression. I would advise that you talk to your parents regarding your problems and seek a psychiatric consultation. Medications like Escitalopram can be safely used in your age group and is an effective treatment option for depression. Hope this information was helpful. Best wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "A 29 year old male presents with extreme burning and cramping pain upon exertion in the lower limbs. The patient is a competitive marathon runnerand recently ran the New York marathon despite the pain. The patient reports that the pain coincides with the start of physical activity. When the pain was first noticed, it subsided almsot immediately after the completion of physical activity. Over time, the pain has become more acute annd now it takes some time after the cessation of activity for the pain to subside. The patient also reports that recently numbness and and extreme weakness of the calf will result after sustained physical activity.", "output": "Hello, His symptoms could be related to a pinched nerve. Another possible cause to consider would be a muscle disorder or chronic venous insufficiency in the lower limbs, or a connective tissue disorder. For this reason, I would recommend consulting with a neurologist for a physical exam and some tests: - nerve conduction studies- a Doppler ultrasound of the leg vessels- CPK plasma levels-complete blood count, PCR, ESR for inflammation-A SOT tier. You should discuss with your doctor on the above tests. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 1 yr old girl has very dark circles around her eyes and red pimples around her eyes,mouth and on her cheeks. The pimples don t have a head and seem to disappear after a day and reappear somewhere else. She sleeps for approx 12/13 hrs a night and has 2 x2hr naps in the day. Should I take her to see a doctor?", "output": "Hi... Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "2 weeks ago I had loop diathermy treatment after detecting advanced stage 3 pre cancerous cells on my cervix from smears and biopsys. the treatment appeared to be successful but 10hours later I was rushed to hospital with a haemorrhage and had to be taken in for emergency treatment to stop the bleeding.Originally I had been advised not to have sex for 6 weeks, and to take precautions for up to 3 months after that due to the negative impact sperm has on the repairal of the cervix.I have 3 questions:1. Is it safe for me and my partner to perform foreplay externally?2. When can i begin exercise again?3.When will it be safe to have sex now that I have had a cervical haemorrgage?Hope someone can help x thanks", "output": "Hi and thank you so much for this query. I am so sorry to hear about what happened to you.1. Yes, it is very, very safe for you to have foreplay with your partner. Nothing contradicts this.2. You can start to exercise as soon as possible. There is no reason to fear. The greatest fear is with any possible act that can traumatize the cervix and nothing else. If it doesn't involve the vagina, you are safe.3. I will like you to follow up with your doctor. After examining your cervix, he would be able to tell whether the healing has reached levels that can allow you to have sex. Talk the ORGAN who carried out the procedure for follow-up review and recommendations after exams. I hope you find this helpful and it ad Chat Doctor. Thank you so much for using our services and feel free to ask for more information and clarifications if need be. I wish you the best of health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter 13 started complaining of an itchy patch below her lower lip 2 days ago. The next morning her lip was swollen and there was a pimple with a white head in the same place. She applied heat and popped the pimple to releive the pain as it felt very tight and painful. She took ibuprofen to ease pain and swelling. This morning her lip was really swollen again and pimple is yellow, applied warm cloth to it again and now it seems to be weeping, and red. What is this?", "output": "Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have itchy patch and swollen lip don't worry it can be due to infection in tooth there can be formation of periapical pathology sinus opening. Consult dentist and go for investigations IOPAXray if there is periapical infection then go for Root canal, restoration of tooth. Do warm saline gargle two - three times a day. Hope this will help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doctor,I am age 30 years I have been taking Ipill for 1 year like 2 times a week to avoid pregnancy.I missed in july and got pregnant I did not want a baby so used unwanted kit. I and my husband are trying since 3 months to get pregnant but its not happening.Please suggest do I need to visit a gynacaelogist for help?Is it due to usage of Ipill for 1 year I will never get Pregant?Please help", "output": "Hi, Welcome to Chat Doctor. I am Chat Doctor. I appreciate your concerns. Please be reassured that Pill does not affect your fertility. It may only cause temporary irregularity in menstrual cycles. It would have been nice if you had provided me some more information like age, BMI, regularity of cycles etc. Since you were pregnant once, you do not seem to have any apparent fertility problems. Relax. You will conceive again. Among couples trying for baby, 80% conceive in the first year and 90% by the end of second year. So don't be stressed. Consult Gynecologist if you do not conceive in a years time. To increase your chances of conception maintain normal BMI, quit smoking (if you're a smoker) and have intercourse at least three times in a week. I hope this is helpful. If you have any further concerns do contact me through Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been taking nexito 20 mg for the past 6 months. Now im feeling symptoms of tremors in my fingers. Im 22 years old male. Is this a side-effect of taking nexito? . Im afraid if it will causes impotency. Im also takin Diclorate er-250 mg for a month", "output": "Hi, Regarding your concern, I would explain that your symptoms do not seem to be related to next. Decorate can be the cause of this tremor. This is a common complication of this Chat Doctor. But, the dose of Decorate that you are taking is really low. That is why, I would recommend performing some other lab tests (complete blood count for anemia, blood electrolytes and thyroid hormone levels for possible imbalance). If these tests result normal, you should discuss with your doctor on the possibility of stopping Decorate ER. Hope to have been helpful. Let me know if I can assist you further. Best wishes, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "chest paini went to the hospital because i had severe chest pain and ive just had a chest infection and they given me a stronger pain killer to relive the pain because i cud not sleep and ive had one yesterday morning but it keeps coming back and i showed them a spot on my knee and he checked it and he said it was a bite but it has become more red and now its going black in the middle the size is the size of ur pupil in the eye", "output": "Hello there, I am Chat Doctor. If you have chest infection than you need to go for certain investigation. One of prime importance is Culture report of your throat secretion, blood culture, Complete blood count. After that treatment protocol of your chest infection is decided, and complete resolution of your chest infection is needed. I need to know are you feeling well completely now? If yes, and you have a spot on your knee that might because of some " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 68 year old male in relatively good shape, non-smoker and non-drinker......have been informed that I have a small growth in my prostate. Test 2001 was 1.81......recent test is 4.66. Should I have a biopsy? The MD is saying yes......I have other older males who say no....I would appreciate your thoughts. Sincerely, Greg Wiechert", "output": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. No, you should go for biopsy. Rising PSA level in male is having two possibilities 1. BPH that is being prostatic hypertrophy.&2. Prostatic malignancy. There is one more test PSA velocity is used to measure the exact diagnosis if you don't want to do biopsy than you can do this test. High velocity of PSA is suggestive of malignancy. Biopsy will tell you exact nature of malignancy and its possible management. So in my advice you should go for biopsy and then further management. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir, my grandma is suffering from acute kidney problem. the doctors here advised her to go for dialysis treatment thrice a week. Could you please let me know the cost involved in this and also let me know if kidney transplantation can be succesful?? Her age is 65years", "output": "Hello, Dialysis cost around 4000 to 10000 rupees based on institutions. She can go for kidney transplantation as a last resort but chances for complications including rejection is there, and it is more common in old age. You can find a donor and consider for transplantation. You can consult your nephrologist, and he will direct you accordingly. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "what is the meaning of feeling of impending doom?I am getting an uneasiness in my chest and pain in my left arm also a tingling feeling in the palm of my hand and fingers. I visited my dr and he said that i have a congested cartilage, but it is an uneasy feeling. I did an ekg 1 yr ago, because i was having panic attacks and was told that I am depressed. All was good with the ekg. He gave me tablets to take for it (cataflam) but I dont feel any different.I am a 2 wks away from turning 38, I am 142lbs, my height is 59 inches.", "output": "Respected user, Welcome to Chat Doctor.come have evaluated your query thoroughly.* This seems in relation with psychosomatic manifestation of underlying stress and anxiety disorder.* Recommendations for better recovery-Regular basis concentration techniques, deep breathing exercises, YOGA-Balanced nutritious diet.- Avoid smoking, alcohol if using.- Analgesic on as and when needed basis.- Engage yourself more in your likelihood activities. Wishing you fine health ahead. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good day. My husband has had an inguinal hernia for about a year now and it is getting more and more painful and the bulge is bigger than it has ever been. He manages it very well but when it comes to sex, he produces no sperm at all. We want to have a baby soon but when he ejaculates, there s very little watery substance that comes out. He still has a strong erection and he reaches orgasm but nothing comes out. Please help", "output": "HelloThanks for query. Your husband has Inguinal Hernia since one year and now facing problem of not ejaculating (An ejaculation).First the problem of an ejaculation can not be due to Inguinal Hernia. This could be either due to one of the following two reasons 1) Retrograde Ejaculation 2) Blockage of the Ejaculatory duct. He needs to consult qualified Urologist for clinical examination and get following basic test done to establish cause of An ejaculation .1) Ultrasound Scanning of abdomen and Pelvis 2) Trans Rectal Ultrasound Scanning (THUS) 3) Urine examination immediately after sexual intercourse .this will rule out retrograde ejaculation.4) MRI of pelvis this will confirm dilatation of seminal vesicle and confirm blockage of ejaculatory duct. Further treatment will depend upon result of these tests and final diagnosis. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Type 2 diabetic got stung by wasp about 2.5 days ago, initial reaction was local pain. Cooled with ice water, took naproxen and used hydrocortisone cream. No proble until 1.5 days later, finger began to swell and itch...more cream and benadryl. Finger continues to be erythemous and swollen. Blood sugars running about 50 points higher than norm.", "output": "Hello, Welcome to Chat Doctor, As you were stung by a wasp which can be uncomfortable, but most people recover quickly and without complications. Mild and moderate reactions to wasp stings can be treated at home. You need to wash the sting area with water and soap to remove as much of the venom as possible. Cold pack may be applied over the stung area to reduce swelling and pain. If there is itching you can apply calamine lotion to control the discomfort. Itching and pain can be reduced by Antihistamines like Chlorpheniramine Male ate and Ibuprofen respectively. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I had Tinea really bad, I used all the creams, but over a week a painful lump appeared om top of my foot in between my little toe and the one next to it, it was very painful and red, couple of days ago I burst it, and a brown liquid came out...what would it be...??", "output": "Hi, It seems that there might be having secondary bacterial infection on the part giving this problem. Clean the part and apply triple action cream. Go for one antibiotic medicine course for 3 days to cure bacterial infection. Apart from local application of antifungal cream, go for one oral antifungal medicine course as well. Keep inter digital part clean, Chat Doctor. Take care of cleaning inter digital spaces after taking shower. Ok and take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi My daughter is 8 months old and had fever, cold, cough for 3-4 days. Urine test was done and found out in the result that pus cells count is 8-10 hpf. Please suggest remedies for this. We have given another sample for culture test and is due in a couple of days time. But in general, are there any natural remedies and is there anything to worry about?", "output": "Pus cells 10-12/HP in urine indicate urinary tract infection which is the possible source of the fever the child is suffering from. It might also be related to a viral infection which generally causes the cough and cold. You need to visit a doctor and get it treated with a full course of antibiotics. The doctor will be able to subsequently tally using the culture and sensitivity reports if the antibiotics are supposed to be effective in the particular case of your daughter. The main natural remedy to reduce such infection would be to Chat Doctor. It has to backed up with proper antibiotics, and you need not worry if the course is completed. Maintaining proper hygiene is essential." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 71 yr old female who is quite physically active; taking cardio classes about 4 days a week, including weight lifting intervals. I do not ever use higher than 3#s. I m thinking I may have pulled a muscle in my underarm area on left side. under arm quite sore to touch especially as I press into arm pit No lumps are present in arm pit or down toward and in left breast. Been treating with Ibprophen. Been going on for about a week. Seemed better but noticed today not so great. Should I see PCP at this point.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Possibility of musculoskeletal pain is more in your case but better to rule out heart related chest pain first because you are old aged (71 years) and not improving in pain even after taking ibuprofen. So consult doctor and get done ECG and 2d echo. If both these are normal then no need to worry about heart diseases. Along with painkiller Chat Doctor. 1. Avoid movements causing pain. 2. Avoid bad postures in sleep. 3. Avoid heavyweight lifting and strenuous exercise. 4. Sit with proper back and chest support. 5. Apply warm water pad on affected areas. Don't worry, you will be alright with all these in 1-2 weeks. Stop exercise and weight lifting for 1-2 weeks. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. i have been suffering from recurring stomach pains and bloating. Doctor attributed cause to acidity. Doctor prescribed omeprazole and ganaton which provided relief. He advised to follow the same medication if it recurs. Its been months since i last felt pain and now theyre back. The problem is i lost the prescription and forgot the dosage.Would you advise taking the same medicines? What is the proper dosage? He gave 20 mg omeprazole and 50mg ganaton.", "output": "Hello, thanks for the query to Chat Doctor. Forum. Since earlier you were the patient of hyper acidity and gastritis. You cured by using antacid treatment. Now symptoms reappear. What is the cause of reappearance? If due to fried food or like that other things which you had taken, previously when these symptoms appeared (first time). If causes are same than nothing to worry. If due to without any cause than it is a matter of concern. If without any cause than get in gastrostomy for any ulcer in stomach or duodenum. Blend diet is best for you. Regards " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "when i scratch my skin a rash appears that is really itchy. Mostly on my upper back, lower neck and upper chest. it is in these areas that it feels like a sunburn but it is not sunburn. It seems that scratching or touching skin irritates it and rash appears.", "output": "Hello. Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for you as follows:1. I would like to know some details about you like - What is your age? Do you have sweat a lot? Does rash worsen in sunlight? Etc.2. From your given history, I would suggest you to take a multivitamin especially containing vitamin B complex (including Niacin) for 2-3 months.3. I would suggest you to apply a moisturizer/lotion like calamine over the itchy area regularly and take an antihistamine like cetirizine or levocetirizine for symptoms. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you the best of the health. Thank you & Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Dr I have a friend who is about 26 years old and is affected by polio in the right leg.his entire right leg is thinner and I believe a little shorter than the left one ..While walking he has to force the right leg forward to walk ..kindly suggest its treatment.?", "output": "Hello, Welcome, and thanks for sharing your concern I went through your query, and I feel, you should know that this type of patient requires a thorough examination of the limb to see what is not and what is left, to give any type of treatment plan, so getting a thorough assessment will definitively help, in this regard and that will help us formulate a plan to make life easier for your friend. I hope my advice would have been useful, in decision-making regarding your treatment, still if you have any clarifications or doubts feel free to contact back. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m on Loestrin 24 FE for about 7 months now & I m on the second week of white pills and this morning noticed some brown discharge as well as some blood . Not suppose to get my period for another 2 weeks when i start brown pills. Nervous that this is not normal. is this normal? also first time every been on birth control . using to subside period pain.", "output": "HelloThanks for your query. You seem to be having breakthrough bleedingPLease do not worry, as this is quite NORMAL with pills, particularly in initial months. Continue taking the pills as recommended, do not skip any of them. If the spotting continues, and does not stop within a couple of days, consult your healthcare provider, as you might require another brand with different (slightly higher) doses of estrogen. Remember to take the pills correctly at the same time every day. All the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "For past 10 years when I push my lower right side of stomach I get pain only when I press with fingers.I am 53 years male, had mri, ct scan , test for kidney stone , hernia , appenidix and all of them were ruled out . Yet sometimes I get same side lower back pain, and kiddney pain at least that s how it seems. Had also virtual colonoscopy using a siemens sensation 4 multi-slice CT scanner, spiral CT images were obtained of the abdomen her eare findingds The colon is well distended. Evaluation of the colon is limited die to mild diffuse residual colonic fluid and stool. The well distended and evacuated portions of the colon are without stricture, obstruction, constricting lesion, definitive evidence of significant gross focal mass freater than 1 cm, or evidence of diverticulitis. The appendix is normal ther eis ill-defined focul soft tissue present in the cecum adjacent tot he ileocecal volave which liekly represents reidual adherent stool, though a small polyp cannot be entirely excluded. Minimul sigmoid colonic diverticulosis is present Is there a natural way of diet to get rid of these possibilities?", "output": "Hello Thanks for the query.Your Report is suggestive of mild sigmoid diverticulosisDiverticulosis of the colon affects nearly one-half of individuals older than age 60 years. Fortunately, only 20% of patients with diverticulosis develop symptomatic disease. Asymptomatic diverticular disease discovered on imaging studies or at the time of colonoscopy is best managed by diet alterations. Patients should be instructed to eat a fiber-enriched diet that includes 30 g of fiber each day. Fiber softens the stool and helps prevent constipation. It also can help decrease pressure in the colon and help prevent flare-ups of diverticulitis. High-fiber foods include:Beans and legumes, Bran, whole wheat bread and whole grain cereals such as oatmeal Brown and wild rice, Fruits such as apples, bananas and pearsVegetables such as broccoli, carrots, corn and squash. Chat Doctor. Fluid will help soften your stool. Exercise also promotes bowel movement and helps prevent constipation. The incidence of complicated diverticular disease appears to be increased in people who smoke. Therefore, avoid smoking. Symptomatic uncomplicated diverticular disease with confirmation of inflammation and infection within the colon should be treated initially with antibiotics and bowel rest. Patients should remain on a limited diet until their pain resolves. For long-term medical management of uncomplicated diverticular disease, rifaximin (a poorly absorbed broad-spectrum antibiotic), is associated with 30% less frequent recurrent symptoms from uncomplicated diverticular disease. Furthermore, the use of probiotics has been shown to decrease the incidence of recurrent attacks. Hope I have answers all your queries." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "the liver is mildly echogenic with no hepatic mases are identified the right kidney measures 11.9 x 5.9 x 5.9 the left measures 11.7 x5.3 x5.8 cm there is no hydronephrosis 6 mm possible nonobstructiing stone identified in the left mid kidney what does this mean", "output": "Hello USG findings indicate fatty changes in liver. Hepatomegaly may be due to deposition of fat in the liver cells. Increased echo texture suggests fatty liver. Most commonly it is due to obesity and sedentary life. It is also related to alcohol intake etc. I suggest investigations like routine hologram, Random blood sugar(RBS), Liver function test(LFT), Lipid profile, Renal function test(RFT) to my patients. Fatty liver is a reversible condition, and it can be reversed by diet and lifestyle changes. You may need some medicines after full investigations. Your findings also suggests 6 mm calculus in mid-pole of left kidney. Since it is non obstructing, you may only need to follow up. You should Chat Doctor. Take Care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello, Im 19 years old and have a 4 inches penis when erect.. can I still please a girl with that size? Im planning to commit a suicide coz its really embarrasing that I have a very small penis size... what if my girlfriend laugh at me and leave me bcoz of my size... Id rather die than to feel the pain of breaking up with the girl I love.. Sorry my is english is not really good...", "output": "Hello dear, The size of penis is genetically determined, and it does not increase after a certain limit. But one thing should be known that the size of penis does not determine the potency of an individual. So, stop worrying about this. Also do not get influenced by any over the counter medication which claim to increase the size of penis or improve performance...it may be harmful. Having a diet rich in fruits, vegetables, fish, nuts & honey increase blood flow to penis & maintains erection. Avoid stress...practice meditation.this helps in improving concentration & builds up the confidence level. Avoid smoking & alcohol. You can also do oil massage of the penis...it increases blood flow & maintains the erection. Wishing you a Healthy Life. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor, My son is 5 yrs old and his weight is around 15kg. He is very lazy in taking proper meal and do not like to take anything but we try and he take meal after a long activity. Kindly advice me how to treat my son and what should i give him which may increase his weight?? my email address is YYYY@YYYY Regards// Malik Shoaim", "output": "Hi...there is no medicine to increase appetite. Your son is slightly underweight I agree but, at the same time rather than weight, what is more important is his activity and development. If these are normal, you need not worry. PLEASE DO NOT GIVE ANY SO-CALLED APPETITE STIMULANTS AS THEY ARE NOT VERY SCIENTIFICALLY PROVEN AND THEY HAVE THE SIDE EFFECT OF EXCESSIVE Chat Doctor. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a prolapsed bladder apparently affecting both bladder and bowel it is causing me a hard time to empty my bladder. My stomache swells and I get back pain. I know it is not an emergency but but what should I do to help with the soreness how long should I wait to be able to see a specialist", "output": "Dear friend, I am sorry to know that you are facing problem with urination and bowel movement because of prolapse of bladder. With the help of my clinical knowledge I am telling you as your normal lifestyle is getting hampered because of this, it is time to go for your surgeon for consultation. Because to solve the prolapsed bladder problem you should undergo some clinical and radiological investigation. I sincerely hope under the guidance of your surgeon you will be screened thoroughly for the prolapsed bowel condition .my best wishes for your health in coming days. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was suffering from allergic rhinits a month ago for which i took relent OD(dr reddy) containing levocet.. + ambroxol and one steroidal nasal spray both for 21 days - both one per day. i got completely cured. now after one month i have again started sneezing. mild earache also.", "output": "Hi,first consult an ENT specialist and get your oropharynx examined for inflammation of your pharyngeal tonsils which is a common cause of recurrent middle ear congestion and ear ache, it can also cause rhinitis and breathing problems. You should also go for X-ray of paranasal sinuses for detection of chronic sinusitis, polypoid or any other pathology. If you are sensitive to cold and environmental pollution then avoid exposure as much as possible, you can go for complete panel allergen test and subsequent desensitization if possible, you should also go for total and differential count of WBC for eosinophilic and its subsequent management. Your developing allergy can be managed completely if not ignored otherwise.thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I ve been on Tri-Sprintec for 3 full weeks today. I started taking the pill on the first day of my period. At day 14 I had unprotected sex and the following day I took a different brand of birth control pill as an emergency contraceptive. Am I at a great first for being pregnant since I m new to the pills? I ve read elsewhere online that it takes at least a month to be completely safe. Thanks", "output": "Hello, I have gone through your query and understood the concern. It is true that the initial couple of cycles after hormone contraception need additional protection as they are not completely protected. Yet, as you have taken the emergency pill soon after the unprotected intercourse, you are safe. The high hormone content in the emergency pill creates hormone imbalances. Thus, you can see some with Chat Doctor. In the future, please do not go for any additional hormone contraception as with regular hormone intake, your cycle is well protected. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I fell down a few steps and i am in a lot of pain on my right side..bruise on my hip but i have a lot of pain and its tender around my kidney...it hurts to cough and breathe a little. Hospital visit they gave painkillers with no x ray said bruised..im worried about my kidney", "output": "Hi thanks for writing fall you had might have caused some injury on the flank side which may cause pain. It is not necessarily from the kidneys. If you don't have any blood in the urine or any other problem in passing urine it may not be a kidney problem. Although my concern is whether you had a rib fracture because of the fall as the pain is increasing when you cough or breathe. X-ray might be of help. Even if it is a rib problem all it needs is a rest and immobilization. You may write back with your queries. Tx" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HelloI have a questionI took a physical for the job I going forThe ekg was bad sinus trycarcaI was drinking 4 cups of coofee about 2 days before the examThe doctor there took my heart rate pulse again it ddidint go downShe stated to go to my doctor qith a note stating that I have a high heart rate. So far I havent had any coffee since then", "output": "Your heart rate is usually a sign of something else. It goes up if you are worried, excited or scared. It may also change when you are sick. Rarely, the normal leader of the heart has lost control and the rate signals that. Coffee changes heart rate very little and for a very short time. If the doctor observed something abnormal, it's best to have your doctor follow up to see if looking further is worthwhile." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am on the Marvelon contraceptive pill and have been for 8 months with no problems. I just had my pill free break and withdrawl bleed. I should have taken the first pill of the new pack last night (Monday night) but forgot and took it first thing this morning (Tuesday). I had sex with my husband last night. Should I take an emergency contraceptive?", "output": "Hallow Dear, You have started the next pack of contraceptive pills in time. 12 hours delay once in a while during the cycle is permissible. Moreover, this delay was just at the start of the menstrual cycle. At this time, for practical purposes, no egg is released by the ovaries for fertilization. The egg is released 14 days prior to the next cycle when you are not on any contraceptive pill. While on contraceptive pill, there is no egg release. The released egg has life of 24 hours and the sperms are active for 72 hours. Hence, period of about a week around ovulation is considered as fertile period. However, since you are on contraceptive pills, even that possibility does not exist. Dear Madam, you are well protected against the pregnancy. You need not take emergency contraceptive pills after this incidence of unprotected sex; because basically it is not an unprotected sex - you are well protected. I hope this releases your stress. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am concerned about my son-in-law. He is 40, has mild CP, and is a highly stressed college professor. He has for the last couple years been losing significant amounts of weight, without trying. And for several months he has been saying he has never been so tired and exhausted in his life. This does not seem right to me. We love him and want to keep him around and well!", "output": "Hello! I am glad to attend you on Chat Doctor ! His clinical situation seems to be complex and could be related to different possible causes: a metabolic disorder, malnutrition, depression, a malignancy, etc. For this reason, I recommend consulting with his GP for some tests: - a chest X-ray study- a resting ECG- a complete blood count- an abdominal ultrasound-kidney and liver function tests-fasting glucose-blood electrolytes- vitamin D and vitamin B12 levels- PSA and CEA levels. You should discuss with his doctor on the above issues. Kind regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my friend had an accident in Jan 2012. at that time she took the bed rest. but recently she is suffering from a chronic lower back pain . after MRI dr concluded that there is GAP increased in SPINE and operation is must. Is it necessary for her to go with operation to get rid off pain.or by exercise, yoga and some Ayurvedic treatment she can be fit.", "output": "Accident in Jan 2012. Now she is suffering from chronic low backache. This may be due to various causes like disc prolapse, fractures,subluxation/dislocations of the spine etc. U just mentioned there is an increased gap in MRI. It would be better if u could at least message the MRI conclusion report.Without any reason no doctor suggests surgery. If u have any doubt regarding this, nothing wrong in getting a second opinion from another neurosurgeon. Pls first get another doctor opinion n then think of yoga/exercise as these still aggravate the problem if there is severe disc prolapse/fracture." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "when I awaken after four hours of sleep, I have trouble walking as my legs feel like they are almost broken. After I am up for a bit all is well again. I do have a bad knee. It bothers me as well but I an function well during the day. I can work outdoors, mow the grass and all goes well. What is my problem?", "output": "Thanks for asking me this question. You don't mention your age. Above 50 year because of wear and tear of bone can occur joint problem. If any history of trauma is present than first do your x Ray. Check your blood calcium level also. If knee joint site is warm and erythematous it ruled out osteoarthritis. Any catching or locking sound is present at knee joint area it rules out osteocyte Chat Doctor. Bilateral knee joint involvement indicate rheumatoid arthritis. Above 50 year generalize knee pain indicate patellofemoral syn" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 20 year old female - 5 7 , 120lbs. For several years now, whenever I stand up from a sitting or, especially, a reclined position, my vision goes dark, I feel light headed, and my arms and legs feel very heavy. It used to be that I could always just go about my business and after a few seconds I d feel totally better. I went to the doctor about this because, for a month or so about 2 years ago, I was randomly passing out during these spells. They did an ultrasound on my heart and gave me medication to raise my blood pressure. The fainting then stopped and the condition went back to my normal level. But over the last 3 weeks or so, when I go from lying down to standing up, my vision goes almost totally black and I feel like I can barely move my arms or legs because they re so heavy. I feel so faint these days, that I d say about 60% of the time (lying down - standing) I wind up falling to my knees and putting my head on the ground so that I don t pass out. After a few (15-45) seconds, I m able to stand up and carry on. What could be causing this?", "output": "Thank you for asking Chat Doctor. My name is Chat Doctor. Well this might be due to postural hypotension...I would like to know that either you are on dieting or not. Make a habit of taking proper diet timely so that your blood pressure and blood glucose level could be of optimal level. Then wait for at least 2 weeks if this problem remains continued then visit medical consultant to find out the cause of this postural hypotensionHope this may help you. Let me know if anything is not clear. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have constant pain in my head and have been diagnosed with POSTHERPETIC Neuralgia. I am taking Lyrica which doesn t help at all. I rub Capsasin into my hair and it just burns. Is there anything else I can do to stop the pain. It is unbearable. Thank you.", "output": "Hi Dear, Understanding your concern. Postherpetic neuralgia is a complication of shingles, which is caused by the chickenpox virus. If you experience persistent pain due to postherpetic Neuralgia you should consult neurologist for proper examination. Post-herpetic neuralgia is easy to diagnose based on your symptoms and medical history. Doctor may prescribe lidocaine patches, anticonvulsant gabapentin like Neurontin other than lyrics and in case of severe pain doctor may also prescribe stronger painkiller like tramadol. For now, you can apply anesthetic cream for relief from pain and itchiness. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my mum was diagnosed squamos eosphagus cancer january.. they siad stage 3..nx mx.. had stent fitted. then said could only offer two weeks pallative care radiotherapy.. this took place in march... mum had bad reception with the medial team.. and has refused to see anyone since.. I am her main carer. she is now in terrible pain .. in bed... mostly .. she is now about 4 half stone.. she cannot take any medication for pain relief has reactions... she is now choking a lot.. stomach very swollen yellow bile coming up several times a day and when she poos yellow jelly.. she refuses to see a doctor has she is scared... can you suggest what time we might be looking at... drinking fluids but not eating much at all mainly rice pudding", "output": "Hi, dairy have gone through your question. I can understand your concern. Initially she has stage 3 cancer. Nodal status and metastasis was not provided. Now she has difficulties in swallowing. She should go for CT scan to know exact location, spread and lymph node. She mostly has stage 4 cancer now. Surgery will not work if it is stage 4. Chemotherapy and radiotherapy remains the treatment options. Despite treatment prognosis remains poor. Life expectancy is not good. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doc, I am having this problem of shortness of breath for last 3 years now. The problem is usually elevated when whether is more humid and its raining. I have been smoking for 8 years until last 5 months. I drink 2-3 times socially in a week as well. I consulted a specialist last year, and was told it is an allergy and would be trated over the period of time. For the last few days, the shortness of breath is severe and can not sleep also because of this. I am also having pain in right lower chest when deep breathing. I stay in a very humid place in the world (singapore) and one thing i have noticed that on a very humid day, this problem turns back with nausea as well. I consulted a doc few days back (General Physician) and he gave me some tablets (allergy and to clear the air ways). It worked for 2 days. The problem turned back again after a day. (Its raining again !!) what are the possible causes of this problem? Is there anything to be worried.what tests do you suggest me? Appreciate your help ! Thanks Doc, JayD", "output": "Hello Mr Jay. Thank you for asking at Chat Doctor. I guess you have quit smoking for last 5 months, and if I am correct, congratulations on that. It is a very important step for your respiratory complaints. From your history, I would conclude that you are having recurrent breathlessness, worsening on humid days. You may be having allergy to house dust mite or molds, which increase in concentration during humid days or pollen which are released during rainy season. I would suggest you to consult an Allergist-Immunologist who will take your detailed history and suggest allergy testing. He may suggest you allergen immunotherapy after allergy testing. If you have frequent shortness of breath, you may need daily controller medications (inhaled corticosteroids, montelukast, etc.)I would also suggest spirometry with reversibility testing. This test is helpful to differentiate between asthma and COPD (chronic obstructive pulmonary disease). Apart from these, ensuring proper sunlight & ventilation in your rooms, avoidance of smoke-dust-air pollutants and regular breathing exercises will help you on a long run. Hope this will be helpful to you. Wish you the best of the health. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i suffer from abdominal pain,heaviness and tiredness in the body.when I sleep less my lower abdomen swells and face swells too.I also urinate excessively appox 18 times in a day when i slepp less .and on an average 12 times.i got my thyriod checked .it shows normal. I have polycystic ovary and hence irregular periods.My face looks tired all the time.I am under great mental stress too due to personal reasons.please help", "output": "Hi.First we have to find the reasons for polyuria (excessive urination). The probable causes can be : A simple test of specific gravity can tell. If less than normal this is called diabetes insipid us. The causes can be due to pituitary problem, diabetes, kidney infection. I would advise you to go for the following tests. Blood : CBC, sugar, urea, creatinine, electrolytes Urine - routine, microscopy, culture and sensitivity. Ultrasonography of the abdomen and particularly the genitourinary system. CT scan to confirm the diagnosis .MRI of the brain and particularly for a pituitary s can The pain in the body, heaviness and the tiredness in the body can be due to excessive removal of salts from the urine or an associated infection. Facial and lower abdominal swelling can be due to anemia, hypoprteinemia or a more sinister cause of renal problems. You need to undergo a thorough clinical / physical check up for vitals like blood pressure, pulse, all the investigations and proper medical management." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My mother has a history of depressed hemoglobin/hematocrit levels following severe UTI. The first time occurred when she was hospitalized about seven years ago. It was treated with Procrit, which was very effective. I shared this information with her current doctor, who is skeptical. I tried to find supporting evidence online (I have seen it before, but that was some time ago). She was hospitalized a week ago with UTI, and although levels improved to >9, >27 during the week,her current levels are hemoglobin<8, hematocrit <25. Do you have any information?", "output": "HiT hanks for posting your query. There is no relationship between UTI and low Hemoglobin. I think her hemoglobin was being checked when she used to get admitted to hospital. So we need to find out what is causing her low hemoglobin. I usually suspect either iron deficiency or chronic blood loss. Chronic blood usually happens in the form of blood loss in motions. I advise you get these tests done and revert :Peripheral smear for blood picture, stool for occult blood, Iron profile, TSH. Any clarification feel free to ask." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have patient that presented severe backpain that was of sudden onset.making her unable to walk or even stand or sit down. she has previous history of the same problem and an xray was taken and showed ,there was dislocation of the disk and she was put on traction.what could be causing the pain? and what kind of management is best for her?", "output": "Hi, Most likely cause for acute onset backache is muscular spasm and not slipped disc. Second fact is disc herniation cannot be seen on X-ray, but we can assume it if there is reduction in disc height. MRI is the needed investigation to confirm disc herniation. If there is repeat episode of acute onset backache likely cause may be:1. Acute lumbar sprain2. Disc herniation with nerve compression. MRI of lumbosacral spine with screening of whole spine needs to be done. Please get it done from radiology center nearby you. Meanwhile, start tablet Attract P twice a day with tablet Regain one at bedtime. Strict bed rest on hard bed is required. Visit to orthopedic surgeon for detailed clinical Examination is recommended. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, i am 25 and I have always had a 28-30 day cycle. I got my periods on 28th April and had unprotected sex with my husband on 10th and 11th of May, assuming that my ovulation date should have been 6th May and ended maximum by 9th May. However, this month I have not been getting my usual menstrual cramps or weakness in body that I otherwise get from a week to 10 days before my period is due. Also I have been facing high acidity from last 3 days, it was there for the whole day on Friday. Saturday and Sunday it was there only in the morning, and then I feel totally fine later on. Could it be that I am pregnant, when can I take a pregnancy test. But mostly I want to know, how could I have been fertile on 10th May. Or is it something else and not cause of pregnancy ?", "output": "Hello welcome to Chat Doctor Thanks for your query. Generally ovulation occurs from the day of 13 to 19 menstrual cycles. That means you may ovulate on 11th onwards. Sperms can live for 5 days in the uterus. So you have chances of getting pregnant from your husband. Acidity is unrelated to this condition. After successful fertilization it takes 12 days for the urine pregnancy test to be positive. Consult gynecologist for further suggestionsThank you Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am taking Zosert 100 mg twice daily. This has been prescribed by an Physicatrist due to my nerves pain in back side and neck. I am not comfortable taking medicine since there is no depression. I would like to drop the medicine Maxgalin 75 mg,Etilam is taken along with zoset. Please advise to stop taking these medicines need your advise on thisThanks", "output": "hello are on the highest dose of Robert right now. Whatever be the reason if taking it, but it should be tapered slowly over time and then stopped. Sudden stoppage may cause you huge problematic issues. Try with reducing 25\u00a0mg at a time, wait for 2-3 weeks and if you are ok then further reduce it by 25\u00a0mg. Continue to do so after a gap of few weeks till you are ok. But if there is any problem in between then you will have to discuss it. You can discuss this gradual with Chat Doctor. Wish you good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Can you have your period And be pregnantIve been trying to get pregnant this last 2 Months This last past month I have started to spot about the last 2 days of August And then from there I have a regular period With very bad cramps so my question is can you still be pregnant and have a regular period", "output": "Hi, Absence of menstruation or missing a period is the first cardinal symptom of pregnancy. However, few women do get some amount of bleeding during early pregnancy at or around the expected date of menstruation. This used to be known as placental sign in good old days. Your history of the spotting followed by menstrual bleeding does not seem to suggest the possibility of pregnancy. However, you may confirm the diagnosis by:1. Pregnancy test on overnight morning first urine sample about a week after the first day of your so-called menstruation; earlier these tests may report false negative results. 2. Alternatively you may opt for Beta Chat Doctor test on the blood 10 days after last unprotected intercourse. Values above 25 mid/ml are diagnostic of pregnancy while in non-pregnant state, the values remain under 5 mid/ml. I am sure, this should resolve your dilemma. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have three tumors one behind my stomach and one beside my bowel and one in my grion my heath care team say it s better to watch things they are not benign and not malignant why do they not want to remove them why would theyleave them to see what happens over time", "output": "Hi, Thanks for writing in. It is possible that the benign tumors you have mentioned are probably lipomas or neurofibromas. Both these tumors are soft tissue origin and not likely to become malignant if left untreated. A lipoma is a benign fat containing tumor which slips over the skin. A neurofibroma has nerve tissues and also does not change over time. Such tumors are to be removed only if there is pain or sudden enlargement in size. Should you have apprehension then you might get FNAC or biopsy to be done from one of the swelling to confirm the pathological diagnosis of the swelling? Please closely watch for similar tumors and discuss with your doctor if there is sudden pain or increase in size. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband experiences aprox. 10 minute episodes of not knowing what he should do next, where he works and who he works for. As I remind him, the memory slowly returns. He began this about 4 years ago infrequently but now he has had 2 in 2 weeks. He has been tested for dementia with the finding of mild cognitive disorder, which they say is due to his age of 61. I do not agree that this is normal. Any ideas?", "output": "Hi, Thank you for posting your query. I have noted your husbands symptoms. Based on the description, his forgetfulness and memory impairment are episodic, and they become normal after 10 minutes or so. In a case of dementia, the memory impairment is present all the time and not in episodic fashion. In your husbands case, we need to exclude seizures and transient ischemic attacks. In both these conditions, the persons' memory may return to normal after a few minutes or so. Please discuss with his neurologist regarding these two possibilities. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, Chat Doctor. Ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i have been feeling really weak recently and even collapsed a couple of times (without fainting/just fallig). Recently after I got a really bad cold/cough. I rarely ever get sick, this is the first time i can actually say i have a bad cold. What worries me most is that my chest (over my heart) feels really hot.", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. By your history and description, possibility of lower respiratory tract infection (LETI - pneumonia) is more. LETI is common after uncontrolled common cold. And your worsening cough, weakness, Giddiness, burning and hot feeling over chest etc. are seen in pneumonia. So better to get done chest x-ray first. If this is suggestive of pneumonia than you need antibiotics and other supportive Chat Doctor. So consult doctor and first rule out pneumonia. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have shingles , I had medicine and taking catnip tea now both has not stopping the itching -i am now burning and itching around my rib cage on my left and right side more to the left. In the past three weeks I sometimes had fever and sweat when I do house work just in that area of my body that only happed once - I also have have had three kidneys should have two one was under developed and I am wondering about it its at the top of my stomach and bothers me all night with a dull sensation and a little pain", "output": "HELLO & WELCOME TO Chat Doctor FORUM YOU ARE SUFFERING FROM SHINGLES WHICH IS ALSO CALLED AS HERPES ZOSTER LESIONS ARE SOMETIMES VERY PAINFUL WITH ITCHING VIRUS OF THIS DISEASE IS GENERALLY PRESENT IN OUR BODY IN DORMANT STATE AND MAY GET ACTIVE DUE TO STRESS, DURING SENSE, SUN EXPOSURE AND ANY DISEASES LOWERING YOUR IMMUNITY. YOU SHOULD TAKE ACYCLOVIR 200 MG 5 TIMES OR ACYCLOVIR 500MMG BD FOR 7 DAYS APPLY ACYCLOVIR OINTMENT AND CALAMINE LOTION ON THESE LESION IT IS GENERALLY ON SKIN AND MAY SOMETIME INVOLVE YOUR FOOD PIPE (ESOPHAGUS) AND INVOLVEMENT OF STOMACH IS VERY RARE. IT DOESN'T AFFECT YOUR KIDNEY TAKE CARE AND GET WELL SOON Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have IBS and occasional bleeding from the rectum. Colonoscopy NAD. Today, I have had 4 large bleeds before 2pm. Just had another one, and the blood is leaking out as well as lots in the toilet. Could this be related to me ingesting crystal meth orally over the last 24 hrs? I dont want to present to ED under the influence, but Im worried about the amount of blood loss.", "output": "Hello and welcome to Chat Doctor, The course of inflammatory bowel disease (IBD) is characterized by relapses and remissions. You can experience regular GI bleeds in the course of disease. The current episode can be due to ingestion of crystal meth. There are chances of development of fissures, ulcers, fistulas and ulcers in IBD. All these conditions can exacerbate the situation. The greatest risk factor in IBD is development of cancer of the bowel. You need to undergo a colonoscopy for development of these complications and their prompt management. Thanks and take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son is now 9. He has had a bald spot on the side of his head for several years now. It hasn t grown bigger, but his hair hasn t ever grown back either. He hasn t had a traumatic life, but did have a tonsil adenoid ectomy at the age of two. What could be the cause?", "output": "Hi...by what you quote I feel that it is a long-standing fungal infection or a condition called alopecia errata. I suggest you see your dermatologist for this. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi sir my baby is taking dairy buffalo milk since when she was2 month of age know she is 5 month i just going to you website i saw that buffalo milk is not recomment for the 5 monts old baby she is take 1 liter of milk with another 1 liter of water mixed total 2 liter she will consume daily along with a banana and one spone of freax powder is this the right way of dite pls advice me or recommend some of ur site where can we get the informations", "output": "Hello, It is not recommended to use buffalo milk before the age of one year. It is better to use formula milk or breastfeeding. If breastfeeding and formula milk are not available, then continue using buffalo milk after adding one liter of water to every liter of milk. Monitor your, child, if the child develops diarrhea or rash discontinue the buffalo milk. A five-month-old can eat egg yolk, minced chicken, and purified vegetables. Offer only one new type of food every week in small quantities, then increase gradually. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have experience warm foot and now legs occassionally. Needle prick like sensation, parasthesia on my rt.leg and foot foot and toes.. Taking these two tabs have diminish the these sensation but I took only one tablet . I still have the sensation. I wonder. Should I take two tabs each? of each One tab of neurobion and one pregabalin ? I went to see my Dr. today but she was absent. I also have some spur on my lumbar vertebra per my X-ray. My Dri. has not seen my x-ray yet This is MIMI.", "output": "Hello, Such warm sensations and paresthesia in you right leg and foot are signifying that you may be having a nerve related problem. There are some reasons behind your symptoms like:- High blood pressure-Diabetes- Prolapse disc at spine-Bony spur at your lumber vertebra-Peripheral neuropathy due to various other reasoning my OLD with such symptoms I used to advice:1. X-ray of lumbosacral spine followed by2. MRI of spine3. Routine blood tests with blood sugar You have reported in your details that you are having bony spur at your vertebra. This is one of the common reason for your symptoms. Depending on your MRI report this can be treated by physiotherapy (Back strengthening exercises and modalities like TENS, IT, etc.) or by spine surgery. You may consult to your physician for further help. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my 3 and a 1/2 year old brother had his ruptured appendix removed by surgery five days ago. He came back from the hospital today. After the surgery, his stomach was seriously swollen, which the doctor said was due to gas. He often felt nauseated, and even vomited, once a day after the surgery, every evening. He also complained of pain in hi stomach/ abdomen area but since he is young and very weak after the operation, he didn t exactly point where it was paining. I m really worried because the vomiting is usually a symptom of appendicitis so it should stop after the appendix is removed. Also, the doctor had said his swollen stomach would gradually reduce but it hasn t. What is wrong with him?", "output": "Hello! It is common that after opening abdominal cavity an intestine need some time to start work property. It is described as paralytic illus, and it is normal after any abdominal surgery. However, it shouldn't last for more than few days after a surgery. Otherwise, there advisable to suspect that something went wrong. Sometimes after an appendectomy (and any other surgery) intestines may be twisted what results with intestinal obstruction. This is urgent situation and another surgery may be required. That is why if these symptoms are not going away, surgeon visit is advisable. It is necessary to perform abdomen X-ray which will rule it out. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i ve had a sore on my right gluteal fold for several months that almost heals, then does not. another one happened above it but it went away. another similar spot happened on my arm, and has almost gone away. and same with my ears.", "output": "Hello, As I was going through the history is there a soreness at one point or multiple? Because if its at multiple regions it could be called as knots. But than, this will.be only on probable basis and not an accurate diagnosis. I will recommend that you need to show this to a proper skin specialist so that you can get an accurate diagnosis which can help to plan the further treatment. Because certain abnormalities always need some physical examination. I am not mentioning anything in particular which can make you panic. So the best thing to do is to visit a good skin specialist. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have significant dental pain. The dentist X-rayed the area and could not find any abscess or cavities and he thinks it is due to grinding my teeth at night. He made a night guard for me and said it might take several days to help relieve the pain. Im wondering if there is inflammation involved (around the nerve) and if Relafen would be of some help.", "output": "Thanks for your query, I have gone through your query. The pain in the teeth or jaw can be because of either tooth infection or TMJ disorder nothing to be panic, consult a good oral physician and get it evaluated. If it is a tooth infection, you need to take a course of antibiotics like amoxicillin and get the tooth treated. If it is a jaw joint disorder then you can take proximal with a muscle relaxant like chlorzoxazone after consulting the physician(if you are not sensitive and allergic)I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi,i just started using petogen 3months contraceptive last year november,ever since then i have been bleeding a brown like blood,it stops for awhile between 2-3 days and stars again,i have stopped it since,because i dont know the health implication of this...pls do advice,i dont know what is going on with my system.", "output": "HIT hank for asking to ChatDoctorI really appreciate your concern looking to the history given here if you are taking hormone tab or have taken this, then this hormone preparation disturb the hormone cycle, and that causes the irregular menses, I believe that taking hormone preparation for contraception is not good idea, apart from this such preparation could cause other side effects, take care and have a nice day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "When I do sit ups I have noticed a raised lump on my stomach when I am pulling myself up. When I lay back down and relax my stomach it doesnt seem to show. I have been to my own doctor and was told that this was common in a lot of men. Could it be a hernia?", "output": "Hello, Thanks for posting in Chat Doctor. Yes sir your suspect is right, any lump coming up during touting of rectus abdominal muscles like when doing sit-ups shows that there is some weakness in anterior abdominal wall. But however if the size is very small then it is not a matter of concern. But if you feel it is large enough or increasing in size gradually then you might need consultation of general surgeon to do a detailed clinical examination and recommend treatment after examination. Also, a USG scan of abdomen can show the exact size of defect helping to plan out further line of management. So, yes it could be hernia (umbilical or para umbilical) and it needs to be examined clinically. I hope I have answered your query well. If you have any more questions kindly directly write back to me, will be happy to help you. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sometime hopefully this month i ll be getting a biopsy done to see if the black dots in my mouth are cancerous or not.. i read from people that these are super painful, but sadly the insurance company will only pay for the use of anesthetics (?) once a year.. is there a strong pain medicine i can take in place? if so, can they be crushed up or come in liquid form? i cannot swallow pills. i am an 18 years old female. sorry for being a burden but i am just scared..", "output": "Hello, Welcome to Chat Doctor, I have gone through your query and understand your concern. The ulcers could be recurrent authors ulcers or herpetic ulcers. Consult an oral physician and get it ruled out. If it is recurrent authors ulcer then the escort works, if it doe snot work then you can take amlexanox paste. If it is because of herpes viral infection the escort will not work, you have to just take symptomatic treatment like using topical anesthetic and analgesics like Anabel gel. Do not take tension because tension aggravates both herpes and authors ulcers. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor, My Name is Sakhawat,My wg -65kg,Age-32,My SGPT Level is 210 & SGOT Level is 156,Bilirubin is 2.38,But HBs Ag, Anti HCV, Anti HAV-1gM, Anti HEV-1gM, all are negative found.And ESR (Auto Analyzer Method) 13 mm in 1st hr.and S. Cholesterol level is 239 mg/dl, LDL. Cholesterol level is 173 mg/dl please advise me how to reduce my all level quickly. Sakhawat YYYY@YYYY", "output": "If you take alcohol, please stop taking it. Alcoholic hepatitis can present with such enzymes. If you don't take alcohol, NASH or non-alcoholic steatohepatitis related to bad lipid profile and metabolic syn Chat Doctor. The diagnosis is made by biopsy. I suggest you stop your sugar intake altogether and repeat liver enzymes after 2 months. If no sign of improvement, we must look into rarer causes of chronic hepatitis like Wilson s disease and hemochromatosis." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "How dangerous is adenoiditis in a child 2 years of age. My granddaughter has been sleeping almost all day and night for about 4 days now. At the day care she just sleeps with noise all around her. She is on an antibiotic right now but I m concerned about her constant sleepiness.", "output": "HI...by what you quote I feel that she might behaving a sleep disordered breathing or upper airway resistance syn Chat Doctor. Se might get benefited with intranasal steroids for 6-8 weeks. This is a sort of allergy. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am married and 28 yrs old.. suffering from hydradentis supprativa.. was taking azithromycin when trying to conceive and got an allergic reaction but my dematologist said its safe.. i had my last period on 24/9/13 and then had unprotected sex during my unsafe and fertile period.. i missed my period 2 weeks but unfortunately got my periods yestarday ie on 7/11/13.. please help me as to how can i conceive a baby as soon as possible..", "output": "Hi, thanks for using Chat Doctor Though a woman is more likely to conceive during a specific point of her menstrual cycle, pregnancy is possible at any part of the menstrual cycle. This means that it would be important to be intimate with your husband as often as possible. A healthy lifestyle for both of you would also be important. This means exercise and healthy eating habits. If, after a year, there is still a problem with conceiving then you can seek the assistance of a fertility doctor. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir i am facing a problem of heart beating high rate while walking and also working land grass cutting .land scraping abt last 2 months .while high rate of pulse so that time i have faced the problem headache on that time suddenly fall down.it is irregular but alternate motion.pls sir help me. Give me sugestion wt i do now", "output": "Hello, This will need evaluation, as we need to rule out cardiac arrhythmia like PSV or atrial fibrillation, in which heart rate suddenly goes up and also suddenly decreases. Blood pressure falls during these episodes and one has dizziness, fainting, blackouts, sometimes syncope. Usually ECG is normal as it is usually done in between the episodes. ECG done during episodes will show abnormality. You will need 24 hour holder monitoring. So visit nearby cardiologist for this investigation. Also, hemoglobin and thyroid test should be done. Ln order to abort such episodes you should try to cough hard. Is there any stress or anxiety associated. Till the time your evaluation is complete, you can ask your local doctor for tab collar LA 20 mg once a day. If none of the above is successful then last option is of electrophysiologist studies which is invasive test which can diagnose and treat the arrhythmia permanently in most of the cases. Hope this helps you and get back if you have any doubts." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had breast pain so when I was scanned I was told l have fibroadenoma. The doctors said I will be operated but on reaching the theatre they discovered that the lump was big and suspects cancer. So I was not operated. The doctor recommended some drugs for me to use which are Evening Primrose Oil Softgels, baume Leopard and clofenac. To be taken for 2 weeks. This is exactly one week and am feeling a tremor in my legs and hands.", "output": "HelloWelcome to Chat Doctor. For evaluation of any breast lump ;the standard recommendation is to undergo triple evaluation. It includes clinical examination, imaging(mammogram/ultrasonogram) and needle biopsy. If you have breast lump, and it is suspicious according to your doctor, it is better to get fine needle aspiration biopsy which gives you definite diagnosis whether it is cancer or not. Tremor in legal and arms does not seem related to your breast lump. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "For the past 3 days I have had a fullness and pain in my lower abdomen. I have no appetite before mid-afternoon. Simply seem to disappear by 7-8PM. My guess was a bladder infection, but no pain with urination. I am a 34 year old female and am positive I am not pregnant.", "output": "HI. The causes of Fullness and Pain in Lower Abdomen with loss of appetite can be due to Enteritis, Typhoid, and such problems of the intestine. This is a natural process when there is intestinal infection or affection of whatever reason, the first thing the body responds by loss of appetite, This is a natural protective mechanism. I would advise the blood tests _ CBC, tidal for typhoid, culture and sensitivity of the blood for typhoid, liver functions as hepatitis is one of the important reasons for loss of appetite. Ultrasonography if required by the Doctor who would examine you and prescribe you the proper treatment. This can not really occur due to Urinary Bladder infections" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been married for 3 years. Im suffering from erectile dysfunction. I dont drink or smoke, and i know its stress related. This dysfunction was not there when i got married, i mean the initial one year and now i have this problem for past few months. Please help me to overcome it.", "output": "Hello, It may be due to anxiety. Still for further assessment you may require complete hologram, lipid profile and electrocardiogram after physician consultation. Till then, you can take tablet sildenafil one hour before sexual act. Along with that Avoid stress and strenuous activity. Take balanced diet and proper rest. Avoid smoking and alcohol. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my daughter, 15 months old (9.1 kg), is suffering from high temp. fever ranging from 102 deg F to 106 deg F since last 5 days. Her doctor prescribed Syp. Meftal-P & Syp. Maxtra-P each 5 ml/3 times a day. After 3 days with these two medicines, fever exists same. Usually, the fever comes 7 hours after medicine. Now, yesterday, I went to another child specialist and as per him, its typhoid. This doc suggested for some blood & urine tests and along with that also prescribed Syp. Ziprax-100 (3 ml, twice a day for 10 days), Ibugesic Plus (4.5ml, 4 times a day, SOS/fever). When they tried to take blood sample from by baby in the lab, they failed as my daughter is very naughty and also crying too much. what so ever, after this crying/trying event, doc also suggested to try with Ziprax-100 as per prescription and revisit to doc after 3 days. So far, the Ziprax-100 is given to my baby 3 times i.e. yesterday at 11am, 10pm and today 10am. Please note that my baby had a fever around 100 deg F at 8pm (yesterday) and 7am (today). After medicine (Ibugesic Plus) the goes down. But, now (@11:30am) my baby is feeling very uncomfortable & crying suddenly. What to do ? Please suggest ...... (Should the blod test need to be done immediately ?)", "output": "Hi Welcome to the ChatDoctorIts very important to confirm typhoid with blood test such as Tidal and blood culture and sensitivity. Tidal test usually comes positive after 5-7 days of fever. Once confirmed, typhoid fever requires prompt treatment with antibiotics. If diagnosed in its early stages, the condition is likely to be mild and can usually be treated at home with a 7 to 14-day course of antibiotic tablets. If fever doesn't respond to the given Chat Doctor. More serious cases of typhoid fever usually require admission to hospital, so antibiotic injections can be given. With prompt antibiotic treatment, she will start to feel better within a few days. For further questions, do contact us." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello sir,My Dad has got brain st rock due to blood clotting in brain last at January now he is tired of taking lots of medicines. I have seen article online for anticoagulants blood thinner drugs which help to stop clotting of blood again.I am from mumbai india which medicine I should buy and from where please advice me.", "output": "Hi, Thank you for posting your query. I have noted your dads symptoms and diagnosis. Brain stroke can lead to paralysis of arms and legs and loss of speech. It is important to take medications to prevent recurrence of stroke. The most important medications are anti-platelets such as clopidogrel or aspirin, and statins. These are required life-long. In addition, he needs to control any risk factor for stroke such as sugar, blood pressure and cholesterol. The medications are available in all pharmacies in Mumbai and you can purchase on doctors prescription. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, Chat Doctor. Ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 1 year old son is suffering from severe chest congestion. He has been prescribed Asthalin syrup 5 ml 3 times daily Advent antibiotics 5 ml 2 times daily It s been 3 days of medication n there is no improvement. He coughs throughout night he is not able to eat nor drink milk. He passes watery motion after consumption of these medicines. Plz help.", "output": "I do not know where you are but if you have an option of giving the Stalin as a breathing treatment rather than syrup that would be better. Advent is known to cause diarrhea. It is a good antibiotic however, and you can lessen the diarrhea by giving probiotics (Lactobacillus). For now do not worry about milk but try to get your child to Chat Doctor. You need to keep up with his increased need for fluids from the illness as well as with the extra fluid losses from the diarrhea. He would benefit from a small amount of mashed banana (not baby food, but real banana mashed up) to help slow the diarrhea and replace potassium lost in the diarrhea. You can help with the cough by giving him warm water with honey to sip and by cool humidified air if possible. If you have cough " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I just had my 11 month old daughter get a CBC to check if there is even a slight possibility that she has leukemia. I am very concerned about leukemia happening again in our family because my baby sister died of it more than 20 years. We sent to the hospital because I saw 3 small \"bruises\" on her leg a week ago. They were pale brown, not the red-bluish bruise you get from a you get hit hard by something. My daughter started to walk a month ago and does not seem to mind falling and hurting herself just to reach what she wants grab. The bruises could have just been from her walking or crawling. She has no fever. Her appetite is good; no weight loss; no signs of weakness. But we were still worried.From her CBC: RBC was normal (4.86 x 10^12/L), platelet was \"adequate\", but WBC elevated (14 x 10^9/L). I believe that should be about 14,000/ cubic mm. Blood morphology said \"Smear shows slightly hypochromic, microcytic red blood cells. Platelets are adequate\".Should I be worried? I do not want to subject my daughter to a battery of tests for a witch hunt for leukemia. Thanks.", "output": "Hi and welcome to Chat Doctor. It is good to be cautious about children health but Hyperion Chat Doctor. Blood work is normal, slightly raised WBC means nothing or some healed respiratory infection. These bruises would be related to thrombocytes and looting factors and these are normal so she probably just got hit and you didn't notice. Leukemia is rare, you should visit doctor if you find something suspicious but spare your child of unnecessary blood testing every time you notice fever, bruise or cough. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir from last night a lady is suffering from brainfever,she has completely lossed her memory.so wht we can do now.we r in bhopal hospital n admitted in ccu.", "output": "Hello Mr. Rajkumar;welcome to Chat Doctor Brain fever can be due to viral infection;bacterial infection, so the treatment will depend on the type of infection. Viral infection is most of the time self limiting and inspire of treatment it takes time to recover. In case of bacterial infection if the bacteria is sensitive to the antibiotic selected she should improve in few days. Since she is in CCU then I guess the doctors are treating her appropriately and keeping watch on her progress, so please wait and see;she should improve. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, my child is 4 year old and her weight is 14kg. she is suffering from high fever past 2days. doctor asked me to give her paracetaml suppository 250mg 4th hourly and also to give her brufen syrup alternatively, is it ok to give her these medicines? waiting for you replay", "output": "Hi...you can use both...but make sure that the paracetamol is spaced out at least 4th hourly once, and it is oral medication and not a suppository. Broken can be given at the interval of 8 hours once not less than that. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a swollen lymph noid in the left side of my neck I also I m fighting a sinus infection I m on antibiotics I m gets bigger when my sinuses bother me it s been like this for 5 years I had an ultrasound and they said it s a muscle can I put a heating pad on it to help it too drain", "output": "Hi sir...it was good behavior to do ultrasound as investigation for this swollen lymph node....as the ultrasound indicate that it is muscle so you need not to do anything for it...just accept that and live with it...there is no problem of that except psychological......when you have sinusitis or any infection it will increase in size as lymph node have important role in immunity, and it defends against infection....you need not put heating pad for it...no indication for that ...the only thing to do is to accommodate with that ......hope that I helped you...wish you healthy life...thanks for contacting us" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i was bitten by my new pet hedgehog a day ago. do i need anti rabies or anti tetanu? i had an anti tetanu and tetanus toxoid last month when i was punctured by a nail. but i havent received any anti rabies yet. so basicaly do i need any medications?", "output": "Hello, Welcome to Chat Doctor, As you are bitten by your pet hedgehog, which is known to transmit rabies if it carries the rabies virus in it. The disease rabies is 100% fatal, but it is 100% preventable by proper treatment. For your bite and the symptoms I would suggest you to follow1. Wash the wound thoroughly with soap and water for at least 15 mins2. Antirabies vaccine on days 0,3,7,14 and 28, which should be administered intramuscular to the deltoid muscle3. Antirabies serum, should be administered in and around the biting wound.4. In Tetanus, should be given intramuscular. These medications will help you to protect you against the disease rabies. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Is there any medicine for nefrotics syndrome in ayurveda to cure it comletely? can it reoccur again? My child 2.5 years now was suffering from this syndrome last year. was cured that time. But there are chances for relapse & no medicine in allopathy which can rule out the same in allopathy. So I wanted to know that is there anything in ayurvedy or homeopathy to rule out the same completely My mail id is YYYY@YYYY", "output": "Hello Bh\u016bmi, welcome to Chat Doctor, Yes, of course, It is permanently curable disease with homeopathy. There are so many cases of nephrotic syn Chat Doctor. There is no specific medicine for that, but to select proper medicine to cure it requires detail history and according to that homeopathic treatment is given. So don't worry and consult to good classical homeopath and take proper treatment for any further help contact me on subhashponkiya@gmail.comHave a good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband has had chemotherapy for DLBCL and has now been in remission for 1.5 months. Is it normal that he is having a lot of muscle pain in shoulders and upper arms? It is waking him up at night. Pain level is between 4 and 6 out of 10. He is also seeing a physiotherapist to regain his muscle strength.", "output": "Here if the muscle pain is due to his present medical history or treatment then It's difficult to cure completely. When I have patient like this I keep them. On frequent use of hot and cold pack. And will check with their doctor (oncologist) safely is there any medication can be given. Apart from this he is already under physio, so I am sure based on his current situation Physiotherapist will also be making him do some sort of muscle tanning, stretching and strengthening exercises. So continue with that. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have full thyroductemy done for papilary carcinoma a year ago and there is a regular checkup every six months and every thing is normal, I take a dose of 200mg eltroxin every morning Pan 40 once a day and gemcal twice a day regularly. If I dont take Pan 40 once I get hyper acidity problem, Now for the few months I am facing problem of Piles, hyper acidity and rough tounge. please advice me what is the problem and how to correct it", "output": "Hi, Long term acidity problems or gastritis can occur due Helicobacter pylori infection. It is a bacterium which can grow in the acidic environment of gastric area and cause inflammation, ulcers. This bacterial infection can be controlled by multi- Chat Doctor. Urea breath test and antibodies in blood can help in diagnosing the condition. Gastric endoscopy may also be required. Take care. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I received a low dose steroid injection yesterday for seasonal allergies. This morning I am feeling a lot if anxiety, which I have a history of. Could this be from the steroid injection? I take zoloft for it and have not really had any anxiety for a long time. If it is a side effect, the shot is supposed to last for four weeks! Will I feel this way the whole time?", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. Steroid injection may not be the reason for your anxiety. Anxiety is always triggered when something anxious happen. For you, you are already having anxiety disorder. The anxiety you are feeling now is just because of the obsessive thinking related to the injection. Such a condition shall be vanishing within a day or two. Please do not worry. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have large lumps on both calves of my legs. They are soft (marshmallow like) when pushed. They are a located in the center of the calf, a little to the outside of center. They are about 2.5 inches in diameter, protrude out about 3/8 to 1/2 inch causing the lump. They are not painful and I only noticed them when I was rubbing my leg, thought I was gaining muscle mass but when I pushed on them, it was clear it was not muscle. Any ideas what it is?", "output": "Hi ! Good evening. I am Chat Doctor answering your query. After a clinical examination to rule out varicose veins, I would advise you for a FNAC (Fine needle aspiration cytology) of the lesion to know the origin and character of the lump. Further management would depend on the investigation reports. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have been on cerazette for about 8/9 month now and haven t had a problem with it, i was on penicyllin antibiotics, i took my last set of antibiotics on wed 5th january and had intercourse early wednesday morning, I was worried i could be pregnant, so today I took a pregnancy test and it was negative, is there need to take another one at a later date or do you think i am worrying far too much.. Thank you :)", "output": "Dear Madam, Your narration could not clarify when did you have your menses, whether you missed it and on which day the cycle you had sexual intercourse. Also, cannot figure out whether you are still on Cigarette, which is a birth control pill. In that case the chances of pregnancy are very remote. To guide you further on the urine pregnancy test: Usual urine pregnancy tests are more reliable 8-10 days after missing the period, before which they may give false negative results. However, beta Chat Doctor tests are more specific and sensitive and can give reliable results even within 2-3 days of missed period. You may try this test to clear the dilemma in your mind if you have missed your period. If you have not missed the period, please do not panic. Wait for your periods. If you miss the period, then only follow the guidelines about the pregnancy tests given above. I hope this helps you. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am 24 years old guy i having daily sperm leak prob ...daily in bed i have get mood with doing of sex imaginations and seeing hot films...i cant stop this..this is wrong or right?..can i get child or not??with my wife aftr marriage..i feeled very much pls help me....", "output": "Degree understand your concerns went through your details. You are 24 and at this age you should be having some other priorities like physical fitness and career. Not sex or porn. If you concentrate more on education, career and exercises, you will have less time and energy for sex and porn and masturbation and that is the correct alternative and treatment. Please do not be anxious about the habit you are having. Masturbation, sexual fantasies, porn film watching etc. cannot harm your health or future martial life if these are kept within moderation. Please consult a psychologist for counseling. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My right arm shakes alot that I cant write anymore head sometimes shakes and lower have been through a lot of tests and no one can tell me what is wrong with me they say I am disabled now it has been going on for about 3 years now had scans, mri, blood tests seen neurologists maybe you might have some ideas I am 54 years old on insulin overweight high blood pressure they say it is not a stroke because nothing shows on MRI and I loose my balance so if I go for a long walk I have to use a walker short walks I use a cane. hope you can give me some ideas thank youShirley Miller", "output": "Hi, Thank you for posting your query. It is unfortunate that you are suffering on account of your neurological symptoms, and moreover, no diagnosis has been made. Normal MRI rules out stroke, as it would be clearly seen on the MRI. The possibilities include essential tremors, parkinsonism and cerebellar ataxia. If you can upload a copy of your MRI report, it would be useful. Also, if you can mention the abnormalities found by the neurologist on examination, it would be useful. For relief from tremors, you can use propranolol, a beta blocker. I hope it helps. Please get back if you require any additional information. Wishing you good health, Chat Doctor. Ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had scoliosis surgery when I was 14 years old I am now 31 had 3 children and worked at jobs that require heavy lifting long standing for 8 to 10 hours now I have been having constant lower back pain when I bend down my lower spine sticks out and the side of my lower back sits higher than the other. Could this be a flat back syndrome?", "output": "IIN my opinion back pain is due to heavy weight lifting due to abnormal pressure in a curvature of low back region. Seeing that you had scoliosis surgery, your doctor may have asked you to change the nature of work and prevent your back from excessive strains, like weighty objects lifting or lifting while bending. Change to lighter work is a solution. Take physical therapist help for graded and limited back muscle strengthening exercises only and refrain from back loading works" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear doctor If a person is sad almost a year, If that persons appetite increases, And the person always feels that he is of no use, always angry on small things and always been guilty, then is the person having any illness or what is he going through. Thank you.", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. The given information may not be enough to diagnose your problem. But I can definitely tell you that you are just another victim of disappointment. Whenever we experience series of setbacks in our life, we get disappointed. This disappointment is stepping stone towards success. These disappointments make you real man, wise one. Take lessons from the experience. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I take 5mg Ramapril a day for high b pressure, yesterday despite that my b pressure was 172 over - 80 -or ninty not sure which!! so have to have ecg etc next week, my question is ---- I am so anxious since she told me I could not sleep last night (Isuffer from anxiety anyway) so, can I take KALMS ?as I can feel my pressure is not good! I also take amitrypline for pain and pencillian as no spleen . thankyou.", "output": "You appear to be worried about changes in your BP measurement. Do not be preoccupied with it. Could you please specify content of PALMS which you feel could relieve you of anxiety? It appears like some sleeping pill. It is recommended for you to relax till you get ECG done, carry out light activity. Anyway you are taking amitryptillline which could help you to relieve anxiety symptoms. If the symptoms persists for long then please get a review from your treating team" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m an obese male. Would stretch marks on my chest hurt? Medically I m okay aside from the need to lose weight, but I will get chest pains, but I can pin point them to where the stretch marks on my chest are. So do stretch marks hurt? And how can I stop it?", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. Yes, stretch marks can cause superficial pain at the site of Mark. But better to first rule out cardiac cause for your chest pain as you are obese. Obese patients tend to have higher cholesterol level. And possibility of Coronary artery obstruction due to cholesterol deposition in coronary arteries is high. And this can cause chest pain. So better to get done ECG and 2d echo first. If both are normal than no need to worry much for heart diseases. Weight loss should be done as soon as possible. And excess fat tissue can cause inflammatory reaction at the site of stretch marks. So first rule out cardiac cause and start weight reduction. Once you lose weight, inflammation will decrease and pain will also decrease. At present, you can take simple painkiller and anti-inflammatory Chat Doctor. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Today while working, I had what felt like an electrical shock in my head, followed by an extreme wave of dizziness. I suffer from low blood sugar, migraines, and anxiety attacks, but this was the first time I have felt that. Please, any ideas or advice?", "output": "Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras, and I am here to help you. I have read your question with care and understand your concerns. You have the following Complaints1. While working, felt like an electrical shock in head,2. Extreme wave of dizzinessThis is possible if there is a compression or occlusion to your vertebral arteries in neck I would suggest you to kindly consult a Neurosurgeon who will examine you and order relevant investigations Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. Best Wishes for Speedy Recovery Let me know if I can assist you further. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Since Thursday a.m., my husband has been experiencing intense itching on his legs (lower at first now all and sometimes arms), intermittent pain in front of his left knee right under his kneecap. He is getting over a cold with headache, coughing, fever. He has been taking cough syrup.", "output": "Hello, I understand your concern. I am Chat Doctor, infectious diseases specialist, answering your query. In my opinion it is an allergy. As you are describing itching all over the body etc. It is the characteristics of the allergy. You can take cetirizine, and prednisolone under doctors guidance. Try to find out the possible allergen responsible for your reaction. Once you find it out all will be cured. You can also prevent future incidence also. I will be happy to answer your further concern, you can ask me on bit.ly/ Chat Doctor. Thank you. ChatDoctorInfectious diseases specialist." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter is presently eight years old and she was under foracort 100 inhalation since her fourth year. Presently, for the past six months, she is administered Budesonide (Budecort) 200 twice daily to control the wheezing . What are all the likely impact of these medicines on her general health and growth because of the continuous inhalation for the past 4-5 years. When these medication can be stopped.", "output": "Welcome to Chat Doctor. Steroid medications given by inhalers are usually safe, as there are less systemic side effects (side effects on other body systems). Both Forecourt and Decor are steroid medications. I would like to know:How has her control of Asthma/wheezing episodes? Has she been admitted in hospital? Is she getting any other asthma medications along with steroid inhalers? It is also important to continue monitoring her growth - weight and height whilst she is receiving steroids. Has there been any change in her growth profile over past 4-5 years? Steroids given in higher dosage or pretty long period of time (as in your case) can have impact. However, it is important to weigh the balance of these side effects vs controlling her asthmaInhaler medications can be stopped gradually provided her symptoms are well-controlled and regularly followed-up. I hope I've been able to answer your queries. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am experiencing intermittent facial (next to my nose), bilateral cheekbone and temple, front of neck and the bones around the eyes pain.It seems it might be related to ill fitting dentures that require lots of adhesive to keep them in. Could my dentures be causing all this almost unbearable pain that remains even after removing dentures?.", "output": "Thanks for your query, I have gone through your query. The pain in the cheekbone and temple, front of neck and the bones around the eyes could be because of the ill-fitting denture, or it can be because of the high points in the denture or any sharp borders in the denture. These causes result in abnormal forces over the facial musculature and results in pain. Consult a prosthodontist and get the denture corrected or repeat the denture. For the pain you can take analgesic with muscle relaxant(tablet flexion MR). I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my girlfriend took Postinor 1, 2 days ago and she is feeling sick, has tender breasts, gained 2 kgs, lost her appetite. Is this all normal??? How long can the side effects last for? Also, why was she given Postinor-1 instead of Postinor-2 at te pharmacy??? What s te difference between the two??", "output": "Riposting 1 is a one-time contraceptive tablet used at the time of emergency. The tablet is effective in stopping pregnancy if ingested within 72 hrs of unprotected intercourse. The side effects of the Chat Doctor. Posting 2 possesses the same active ingredient as Posting 1 i.e. levonorgestrel progestin. Even the mechanism of action is the same. Posting 2 comes with two tablets One table can be taken immediately after unprotected intercourse and the second tablet should be taken 12 hours later. Hope I have answered your query. Let me know if I can assist you further. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter is 8 months old. She only weighs 15lbs and recently we had her blood drawn to find out if there may be a problem. All of her liver enzymes are elevated, her WBCs are double the normal amount and she is dehydrated..We have to get an unltrasound on the liver and several other blood tests..", "output": "Hello welcome to Ask A Doctor service. I have reviewed your query and here is my advice. Your reports suggestive of acute infective etiology most probably along with hepatic involvement. Your further test required in form of blood culture, USG abdomen scan and peripheral smear examination. According to reports further management plan decided. Kindly attach your reports to check it. I suggest you to consult pediatrician for examination. Hope I have solved your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a pain in left lung for a couple of months , also a persistent cough and only recently coughing up a brownish substance which has me concerned. I dont feel unwell but get tired quite easily. I I am a 47 yr old female. My GP said he couldnt hear anything going on , and it might be muscular ?Kind regardsL. Mc", "output": "Hello, You have brown sputum expectoration in form of cough since many months. So, it should not be neglected. Your work up is needed in form of chest x-ray. If chest x-ray normal, then no need to worry and bronchitis can be the possibility for which antibiotic course prescribed and symptomatic management done. Provide your reports for giving more comment. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I fell yesterday, stiking my lumbar area. shortly after, I developed tingling in my feet, which has since has moved up to my thighs six years ago, I fell out of bed, noted tingling in my hands. i was diagnosed with a C5 incomplete fracture which required 2 surgeries and left me paralysed . I recovered after 6 months in rehab. Should I go to the E.R?", "output": "Hi, I think you should go to ER and take up and x-ray or an MRI. If your pain is disabling surely you should go to ER. but if it is not much then why don't you try doing some hot water fermentation for lower back muscles which will be spasm and then slowly look for some exercise which helps strengthen your core muscles. I am sure you will be helped and the pain and tingling sensation will come down. I wish you a speedy recovery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello last week I used misoprostol for medical abortion. one day after discontinue my drug , I had a bad head ache that aggrevate during midnight. it doesnt response to brufen or acetaminophen. it is about 5 days that i experience this headache. please tell me is it related to drug or I should do something else.", "output": "Hi, You need to keep a track of your blood pressure. If acetaminophen or Ibuprofen are not effective more potent analgesic like Tramadol and Naproxen should be used alone or in combination. If pain persists a neurologist review to look for signs of increased intracranial pressure etc. may be done post Bisoprolol etc. Hope I have answered your question. Let me know if I can assist you further. Wishing you a speedy recovery. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have a soft lump at the base of my neck by my collar bone. it doesnt hurt at all and feels like a gel pack. i have it on both sides but its larger on the left side. what could it be? my blodd test and chest x ray is very clear. .. pls advice what other test to be done.", "output": "Hi.it is best if you consult with a doctor, preferably a general surgeon, for medical and physical examination. Two things to consider primarily based from your description: 1. A possible cervical lymphadenopathy (inflamed lymph node) probably secondary to a recent upper respiratory tract infection 2. A possible lesion in your salivary gland. Other considerations may be fibrous, lipoma or cyst. Clinical examination from your doctor will be of great help. Further diagnostic examination such as neck ultrasound, ct-scan or x-ray and subsequent management (medical and/or surgical if indications are found) will be directed accordingly. Hope this helps. Good day!!~ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "while playing basketball i got a strong knock on my weist, after 2 weeks , after the agonizing pain , a small lump appeared with no color , nothing, i feel no pain right now . I just feel a small lump on my upper weist of my body, i have to feel it to notice is.", "output": "Hi, DEar, thanks for your query to Chat Doctor. I studied your query in depth.1-In My opinion the small lump on your WAIST, after 2 was, and after agonizing pain, without any pain right now, is mostly due to -resolved hematoma in the torn oblique abdominal muscles, as you need to feel it to notice it.2-Treatment would-be-a-Nsaid-tbs b-thrombophobe point, c-tb-serropetidase for 10 days time.3-Hope this would solve your query.4-Wellcome for any more questions on new or this subject also... Have A Good Day.!!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been having pain in the back of my head by my neck and goes all down to the middle of my back. Also my neck is stiff, my head is heavy. I have experienced dizziness, memory loss and pains and numbness in my arms. I have trouble sleeping and have muscle weekness. I also about a month ago had only what I can discribe as a prism effect in my left eye. It only lasted an hour or so but was slightly disturbing. Please tell me what to do.", "output": "Hello, As what I feel with your symptoms is you need to Meetup a neurologist and maybe an MRI will be recommended. As due to certain lesions in the brains over a period of time when aging takes places and the white matter & gray matter in the Brain may have got affected. An MRI should be a good solution. Also, the tingling and numbness in the arms can be due to some nerve entrapment within the cervical spine. You need to get it checked by a professional before we confirm it. With a good diagnosis along with medication and exercise, you should do well. You may even have to make some lifestyle changes if needed. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Doc,More than 6 months ago I got treated for scabies. all the rashes and marks on my body were gone except for those on my scrotum.a month after treatment, itching and the bumps on the sac reappearred. now from couple of days ago I have identified another bump with black dot in the centre. when touched or pressed I can feel the pain and it is on the penis.Kindly help me understand why I am facing this kind of problems near my sex organ when I never indulged in sexual activities till date.Also suggest me my immediate course of action.Thanks a lot.", "output": "Hi, Scabies is notorious disease and sometimes remains for long time. Apply anti scabies lotion after forceful cleaning the part so that eruptions on penis get opened and lotion may enter the site properly. Scabies germs remain under eruption, so opening of eruptions is a must. Keep local hygiene clean and proper. Go for the treatment of other family members as well to prevent recurrence. Ok and take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi im a 34 year old male. I am 5 8 at 312 lbs. I dont have an active job and dont exercise. I recently got a mens exam and got some alarming news. My cholesterol is 160. Low hdl and high ldl . My eating habits are horrible to say the least. Everything came back fine on my blood work except the cholesterol and my liver enzimes. My ast was 44 and my alt is 95. I was a super heavy smoker for about 2 years but quit about 3 weeks before my check up. I was told it could be fatty liver but I read it could be cancer. I lose sleep every night and worry myself sick. Im scared its liver cancer. Im scheduled for a liver ultrasound tomorrow. My question is do you think it will be liver cancer and are ultrasounds accurate or could they miss something. Thank you for your time and expertise.", "output": "Hi, high cholesterol is not a risk factor for liver cancer. Many liver lesions or body changes could cause an increase in the levels of AST and ALT. A cause is usually sought to know exactly what causes this increase. Its worthwhile doing tests to for viral hepatitis, especially Hepatitis B and C which normally should be excluded in such cases. The increase in the liver enzyme levels in your case is not that alarming, and confronting these results with other results are required for any appropriate interpretation and adequate concluding clinical judgements could be made. A liver ultrasound shall give an idea about the structure of the liver and any possible nodules, cysts or collections. It orients the clinical to make a suspicion. Definitive diagnosis of liver cancer is usually based only on histologic/biopsy studies. However, specific blood markers could also help. I believe you should be patient for the results of the liver ultrasound. However, main risk factors for liver cancer are excessive intake of alcohol, liver hepatitis viruses (B and C), Chat Doctor. Excessive smoking is instead a major risk factor in lung, esophageal and to a smaller extent, gastric cancer. Meeting a gastroenterologist AFER your ultrasound in case you are still very worried is a reasonable option." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have recently moved back to Hawaii after 10 years of being back on the east coast and am glad to be here again. I will try to make it short. I have been treated for anxiety, panic disorders for the past 10 yrs on the east coast and the zanex that was subscribed helped me to get a good nights sleep and occasionally deal with day anxiety attacks. Doctors here are so reluctant to prescribe anythingthat I thought I would talk to you. I am in the midst of cancer, hip replacement , 2nd one and moving all in one . Much more but it s too much.... Let me know if yo can help... Thanks Mae plus I am 65 this year. Mahalo", "output": "Hi Good Morningstar anxiety symptoms may be part of your physical symptoms, may be due to thought about your physical illness. It also is due to part of your panic disorder for which you have taken treatment. It may be due to limited social interaction, as a part of learned behavior in panic disorder or any anxiety disorder. My opinion is better you consult any nearby psychiatrist and after detail history & mental status examination he will guide you medicine and psychotherapy or relaxation techniques which found useful for you. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi ! I am going for invito & egg donor treatment at Dr Rama s Fertility clinic in Hyderabad .India.I have passed menopause & was told to start taking Progynova & Primlolut tablets to induce menstruation before I start ivf treatment.I am from Johannesburg. I am 50 years of age .", "output": "Hi, Thanks for writing to Chat Doctor. Menopause occurs when your body estrogen falls becomes will almost. So by providing external estrogen and progesterone again periods can be induced. Which are given to you. But good and healthy eggs can't be produced. So its good you are going for donor egg. The chances to conceive are less because after menopause uterus become small and lining become thin, which is not good for implantation. If with progynova and primal your endometrium thickness increase up to 11\u00a0mm or more than it's good. Your infertility treatment may help you to become pregnant. Hope I have been helpful. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I think I have Polyneuropathy. ON Insulin pump and am insulin dependent... I take Gabapentin once a day at 6:00 pm. For a month or so I ve had a trigger ring finger that works its way out in 10 minutes in the morning. Now the ring finger and the pinky are both numb and hasn t gone away.", "output": "Hi, Trigger finger and numbness in the ring and little fingers are both different issues. Trigger finger is common in diabetic patients and ring finger is most commonly involved. Numbness in both ring and little fingers is due to ulnar nerve pathology. It may be peripheral neuropathy affecting ulnar nerve and is also common in long-term diabetes. Trigger finger is a clinical diagnosis and treatment is physiotherapy and local injection of Depose Chat Doctor. Nerve conduction velocity studies should be done to diagnose peripheral neuropathy. Visit a physician and a detailed clinical examination is recommended for diagnosis and treatment. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been having back pain for the past couple of days. It hurts most when I try to stand up from a seated position. Once I stand, the pain gradually goes away as I start waling. I only feel the pain again when I step (walk). If I stand without moving the pain goes away. I don t feel that much when pain I remain seated also.", "output": "Hi, In my opinion that sort of neuropathic pain is common with sciatica whicChatDoctormonly happens due to neurovascular bundle compression. From your history I don't think you should be worried yet but early diagnosis and treatment is very suggestive in such cases. I recommend some topical gels, physiotherapy and muscle relaxants and even massages are very effective and try to avoid sitting on hard objects for a long time and avoid compression on your muscle to prevent that kind of compression. Please consider some positive feedback if the information was helpful. Hope the above information helps you. Any further clarifications feel free to ask." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had severe pain in my back spine and lower waste.the orto doc.gave several medicine including cartigen 1500 and injection for nerves strengthening .But my physician advises not to take cartgen as bones will be effected n deshaped in the long run . Please advise ? As finally after my pet scan and MRI TEST every thing found o.k. In my report except the B 12 level / vitamin is above 2000 count is found which caused me pain in my whole leg I.e. From thigh to feet as whole .Please suggest whether I should stop cartgen .", "output": "Hi welcome to ChatDoctorI gone through your query regarding your lower back pain & its department . It is matter of concern. Regarding cart gen, Would like to suggest you, not to stop or start any medication without you doctors advice The majority of back problems stem from muscles that have been exhausted or strained. You need not worry, Almost every one suffers from back pain at some point in his or her life. For your info Every day, we are bombarded with toxins in our environment and in our food which is why detoxification is such a critical process in your body & weakened immunity. If the detox process is hindered, toxins will build up in your body eventually causing acidity and toxemia. These are the root causes of nearly all diseases, requiring modification of lifestyle and food habits. Gulping on only medicines will not help if you don't modify your lifestyle and food habits. By following some simple steps, you can be back in the swing of things in just a few days. Slow motion action is permitted till the problem persists. There is no better option than physical exercise. Walking is the best exercise to begin with also gives you well shaped body. Take balanced diet containing all essential nutrients and supplements like fiber, protein, vitamins, minerals in natural form and antioxidant coconut water, lemon juice, ginger, garlic aloe vera juice, Turmeric powder with a cup of hot milk at bedtime, All help gain strong immune system & give resistance from diseases and relieve you from all pains. Increase your activity level. Do yoga. Stretch your back to keep it loose and avoid injury. Slow motion action is permitted till the problem persists. There is no better option than physical exercise. Walking is the best exercise to begin with also gives you well shaped body. Avoid front bending stretches and exercises from left to right stretching, while standing & lying on your back, on the ground or on hard bed, or any posture which gives you relief. Front bending not allowed. Take Homeopathic Arica 30 dose in then morning & evening and Chamomile 30 / 1 dose at bedtime. Only back bending action will help alley pains.massage with heated olive oil or an analgesic ointment Sandeep good posture. I would like to suggest you to Avoid processed foods carbs, sugar, fried, fast foods, Tea, coffee, alcohol and smoking, stress and Constipation .will produce biochemical and metabolic conditions in your body that will decrease your immunity, so avoiding is definitely the first step in the right direction to detoxing the body, boosting the immune system. All are the pillars of our strong immune system responsible for healthy disease free life. Always remember, if pain is severe or incapacitating, please see your doctor / professional Hope this helps solves your query. Take care. All the best. Get well London hesitate to come back in case of any further query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi my son 6 1/2 years old having sever wheezing now ...iam giving him budicort and levolin combination...today morning 10am once 4 pm once but still controlled anything....infact he is suffering a lot..one of our child specialist asked us to give levolin back to back ( 2 levolin at 9pm to controle severity) given but still he is in the same condtion again 11pm budicort and levolin combination given....now also he still not free with his breath that whistling sound able to outsiders..what to do? let me know how much time gap should be there for budicort levolin combination...will it safe for him nubulizing with these medicine...please help me I will be waiting for the answer thanku.", "output": "Hi welcome to ChatDoctori am concerned about you child as your son is having wheeze which is not reduced inspire of giving leveling and decor nebulization, I would like to suggest use of oral steroids at the dose of 1\u00a0mg/kg body weight and if he is having any fever use of antibiotics such as azithromycin can give along with this leveling zebu;station thrice daily. If not subsided you can give Dublin nebulization(leveling+ipratropium)hope my answer is useful" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi , i am monika i want to know when to start ovacareforte a+B after periods to conceive as early as possible", "output": "Hi, I understand your concern. Ova care forte is balanced comprehensive formulation of micronutrients and vitamins. It is quite helpful to regularize period, increase quality of egg, maintain cellular oxidant-antioxidant balance. It should be started from first day of menstruation and continue to take at the end of period. Taken twice daily, one in morning and one in evening after meal. Take it for 3-6 months. Avoid stress, take healthy diet, Chat Doctor. Hope this may help you. Contact further if follow up needed. Best regards," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am a 20 year male, virgin , i dont smoke or drink , i have noticed from a week , unusual very small bumps inside my foreskin ,on right side,just behind the glans , in my penis, its painless , its skin colored, im uncircumcised and currently i am under medication for lung infection . plz help", "output": "Hi dear, Welcome to Chat Doctor. I understand your problem. You have folliculitis.my opinion is that, 1.don't squeeze or scratch the lesion. 2.maintain good hygiene. 3.apply fusiform ointment twice daily over the area for 7 days.4.take analgesics like diclofenac tablets twice daily for 7 days. 5.take lecvocetrizine tablets twice daily for 7 days if you have itching. Thank you. Hope my answer will help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Last 2006 i had chest x-ray & as far as i remember,finding says i have suspicious infiltrates at theright upper lobe.ive just disregard it cause i just had chest x-ray before & findings were normal.i have delivered twins last 2009 but i never undergo chest x-ray again.i got work last year but i was excempted from taking chest x-ray since i got pregnant w/ my 3rd child.i recently had chest x-ray exam last july 14 & findings show i have ill-defined densities on the right upper lobe. Heart is normal in size. Diaphragm is intact. Bony thorax is unremarkable & IMPRESSION: minimal right upper lobe PTB. i was alarmed since i got 3 kids & im breastfeeding my 2month-old-baby.is my condition worse or am i possible for contagious disease?please help.", "output": "Hello It to too early to conclude tuberculosis. You may need lordosis view of chest X-ray. This special view for apical regions helps in better assessment because apical area is covered by ribs, clavicle etc. Infiltrates may be due to pneumonitis, tuberculosis etc. Empirically this condition need broad spectrum antibiotics. If findings persists then you may need further work-up for tuberculosis. You need immediate evaluation as it may be contagious. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi there my 30 months old boy was born before time and was diagnosed with tonsillitis at 9 months and i started noticing lumps in his neck when he was about 14 months then after taking antibiotic they became small now he got flu i noticed they are bigger then normal", "output": "Hi...seems like your child has got recurrent tonsillitis. It might even be a viral sore throat or a streptococcal infection. I suggest you see your pediatrician and get a rapid streptococcal antigen test done. If it is positive then the kid will require antibiotics. If it is negative then it might be viral illness and doesn't require antibiotics at all. Cough and cold are viral 95% of the times in child Chat Doctor. For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15\u00a0mg/kg/dose (max ceiling dose 500\u00a0mg) every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Warm saline gargles will be soothing and will give a lot of relief if the kid can do that. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have slight loss of the normal cervical lordosis, c3/c4 diffused disc bulge and central protruson,c4/c5 diffused disc bulge,c5/c6diffused disc bulge with effacement of the central subarachnoid space,slight narrowing of the neural foramina bilaterally, c6/c7 central disc protrusion, diffuse disc bulge L4/L5 in lumbar vertebral,broad-based disc protrusion at L5/S1 WITH PRESSURE ON THE THECAL SAC. i AM IN SO MUCH PAIN IN MY NECK NUMBNESS IN SHOULDER AND HANDS advice", "output": "You have cervical spondylosis radiculopathy the step of treatment non operative treatment1. Medication mostly NSAIDs, gabapentin Chat Doctor. Cervical collar 3. Neck muscle excercise4.cervical epidural steroid injectionMostly mores tan 60-70 percent of pt. improve with conservation treatment in 3 months but if you have progressive weakness and pain after 3 months you may be a good candidate for surgery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doc. Help. I have beeen having these burning /heavy strange pains across my chest, which seems to go down on the inside of my arms as far as my elbows, happens when i walk fast,/rush , do pressure jobs etc, i have been taking urbanol now for the last week, but still persists , I have bee to a Dr & says its anxiety/stress, but this is worrying to me, possibly i should get a second opinions?", "output": "Hello! Welcome and thank you for asking on Chat Doctor! I passed carefully through your question and understand your concern. It is important making a careful differential diagnosis of your symptoms: - a backbone disorder, leading to irradiating pain in the arms, related to a slipped disc could mimic this symptomatology. -an ischemic heart disease, could explain the pain while exercising, but not the irradiating pain in both arms. -gastroesophageal reflux, could be related to heartburn during physical activity. I recommend consulting with your attending physician for a careful physical examination and some tests: -resting ECG -chest X-ray study-cervico-thoracic column X-ray study-lab blood tests (complete blood count, PCR, sedimentation rate, amylase plasma levels, kidney and liver function tests). A cardiac stress test may be needed to exclude a cardiac ischemic disease if suspicions are raised. A fibrogastroscopy may be needed if all the above tests result normal, to exclude possible reflux. Hope to have been helpful! Greetings!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Yes i have had 2 light TIA s in the past and been going through a lot i was in the store one day 2 weeks ago and copped a headache vision went blurry and some numbness went to the ER bllood pressure was real high but tests showed ne signs of heart attack or stroke what could that have been?", "output": "Hello! Welcome on Chat Doctor ! Your symptoms could be related to a new TIA. For this reason, I would recommend performing further tests to investigate for the possible causes, underlying the repeated TIA: - a Doppler ultrasound of the carotid arteries- a brain MRI - a cardiac ultrasound-blood lipid profile for dyslipidemia- fasting glucose and HbA1C levels for diabetes- a cardiac rhythm Holder monitoring to investigate for cardiac arrhythmia. A blood thinner may be needed for the prevention of stroke, considering your repeated TIA. You should discuss with your doctor on the above tests. Best wishes, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was diagnosed with H pylori and have the precpac, but wbc are elevated and the ER Dr., called me back after a visit in the ER and said I showed sign of Lymphocytosis need to follow up with my PCP. I did but he is not doing anything because he insists that the elevation is related to my pylori and my GI Dr says it s not. I am very concerned my wbc is at 14.3 and rising. Should I seek another opinion or just see a blood dr. My cbc s (4) all came back abnormal. My mom just went yesterday to a specialist because she has a high WBC also. Please help getting worse and no one seems to know why.", "output": "Hello and welcome to Chat Doctor, White blood cell counts (WBC counts) are raised in infections and leukemia. Leukemias are characterized by very high WBC levels (over 50,000/ cubic mm). However, the WBC count can be lower in case of leukemia. They are called sub-leukemic leukemia. In infections, the WBC count is also increased. An increase in lymphocytes (as in your case) can raise the WBC count. Lymphocytes are increased in chronic infections. H. pylori infection can lead to lymphocytes since it is a chronic infection. Treatment of H. pylori infection will clear away the lymphocytes and raised WBC count. Get the differential white blood cell count (DLC) in your mothers case. The DLC helps to determine the cause of infection. Thanks and take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am 28 yr old male who is getting married for the first time in a couple of weeks, and im starting to get really really nervous, For the last couple of days i cant eat anything without out feeling sick, is there any medications out there to calm my nerves?", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. Proper understanding about life, love life, love, affection and sex life can only clear you of the nervousness you are facing now. People get nervous mainly due to lack of proper sex knowledge and unnecessary misconceptions. Talk to your friends who are married and just assimilate. Do not get confused and ask questions about everything. If you cannot do it right for now, you will be able to do it next time. Worrying can make you more anxious. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am an 18 year old male. I have a list of symptoms which are bothering me. Since September, I have beendiagnosed with early stages of Appendicitis, mild Hepatomegaly, Gastritis, andGranular Pharyngitis. Also I have noticed a few other symptoms like: Withe pastethat is located on top of my tongue, which could be thrush, my stool is claycolored, and I currently am having a case of tonsillitis - with no fever. I amafraid this could be an HIV infection, for I was involved in risky behavior afew months ago, and also Im afraid this could be Hep C. What else could thismean?", "output": "Hi. Thanks for your query and detailed history. The fear of something serious as you have mentioned the symptoms and the probable fear of having HIV and Hepatitis, the best way is ; Get the blood, urine and IV and Hepatitis status done by relevant blood tests. Throat swab for gram staining, culture and sensitivity. Take a course of proper antibiotics and supportive medicines. See the results. I hope this will give us the best way for a proper diagnosis, investigations and treatment. If the results of the tests are negative you do not have to worry about." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have a bump on the front left side of my gums, about half way up. It is a small bump and it has a smaller white head at the top of it. It is a little painful when I eat, and it feels like something is pushing against my gums when food, touches it. And it is sore to the touch. What is this?", "output": "Hi. Welcome to Chat Doctor. I read your query. The bump you mentioned on the gums correlate with abscess in your gum and the white point is the point of pus discharge that has formed. Check if corresponding tooth have cavity, which can be even on inner surface of teeth or in between two teeth. Or this could be due to trauma like hitting corresponding teeth or biting something hard from those teeth suddenly. You need to visit a dentist and get an x-ray done for definite diagnosis. It may require RCT of tooth. Do warm saline rinses. Take antibiotics and painkiller prescribed by dentist after check up. Permanent treatment is to get Chat Doctor. Hope the answer helps you. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am having hermorids 3rd stage ( After stool I have to push inside) for which I am taking deflon 500 2 tab per day. since last 4 days, Today it started bleeding while passing stool. Now Dr have told me to take tranostat for 3 days. Is this treatment right.", "output": "Hi, thanks for posting your concern in the Chat Doctor. You were prescribed tranexamic acid (Transit) correctly for your acute bleeding. Also, you have been prescribed Teflon which is a Genotropin medicine, used for chronic venous insufficiency. I also think you should talk to your doctor regarding the possibility of any surgical intervention. Furthermore, I think you should have high fiber diet and Spatula husk (2 SF in cup of water after dinner) to avoid constipation. Hope you are satisfied with my answer. If you have any further query related to this, please write back. In case you have any new query in the future, you can directly ask me questions @ http://www.ChatDoctor .com/doctors/ Chat Doctor. I will try my level best to help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,I am currently having episodes of seeing things that arent there, sometimes outlines of figures and objects.I also see things move a lot.I do wear glasses, I am short sighted in my left eye.I am becoming increasingly paranoid, lose concentration (I am studying my a levels), and feel like people are watching me and know what I am thinking.I am prepared to go to the doctors or speak to a specialist, I just need advice.", "output": "Hi. I had gone through your query. You had given just bird view of your complaint. Paranoia has different types and require evaluation. People are watching me is one of the kind of persecutor delusion but need to evaluate in detail about its content. Mental status examination which include speech/Psycho motor activity/Mood/Affect?thought etc. are necessary to reach proper diagnosis. I appreciate your outlook about consultation. So please consult psychiatrist and get further assistance about your mental health problems. I hope I have answered your query. Feel free to ask. Thank you. Regards. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am just curious.. I was watching tv when I randomly decided to look at my tongue haha.. I looked at the underside and I have 2 very visible vein streaks on both sides of my tongue.. They are dark purple. I heard that a healthy tongue is when you can barely see the veins underneath or not at all but mine are very apparent. Every other part of my tongue is healthy though I believe.. Can you tell me why my tongues veins are so visible?", "output": "Thanks for your query, I have gone through your query. The visible veins under your tongue is nothing but a varicose veins. These are the dilated veins and are not harmful. Nothing to be panic, if there is any increase in size and if there is any bleeding, then consult an oral physician and get it evaluated. Otherthan that no treatment is required as such. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "MY PROBLEM IS THAT ACNE,OILY SCLAP AND FACE,ABDOMINAL PAIN NEAR DATE OF MY MONTHLY CYCLE.BUT NOT CONCEIVE AFTER 1YR MARRIAGE.I HAD VDRL,THYROID,LHS,FHS,LH TVS ETC. ALL TYPE OF TEST BEFORE CONCEIVING.BUT ALL ARE NORMAL AND PCOS IS MILD, TVS TEST SOME LIQUID IS UNDER OVARY THATS IT NOTHING ELSE.I CANT UNDERSTAND WHAT IS THE REASON BEHIND INFERTILITY .", "output": "Hello, your Acne, abdominal pain near your menstruation could be symptoms of PCs. Fluids under ovary depends on the time of TVS done. If you had done the scan around your ovulation time, the fluid represents rupture of your follicle(egg), so there is nothing to worry. In case if the fluid persists throughout your cycle then I would suggest a complete check-up of your blood and hormones. But since you have been married for a year and with mild PCs, keep your monthly calendar on check, marking your ovulation (since PCs patient even mild, tend to ovulate at different times) and your post-ovulation till your menstruation time should be around 15-18 days. If its short or longer that could hamper your chances of pregnancy. All together start with a complete hormone check and your partners' sperm morphology, motility and count check." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have allergic asthma. Once I was prescribed to take montair fx along witChatDoctorbihale and asthalin for 30 days. I was suggested to use asthalin liberally. After the course, my wheezing was down till a month or so. But gradually over the time the condition is that, i have it everyday. One day I took montair fx and it reduced for two days. I have been taking it since then. Now, wheezing doesn t reduce with the intake of inhalers. It reduces only with montair fx. What are the side effects of prolonged use of montair fx ? Any other remedy to cure/reduce my asthma attacks ?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Asthma is allergic disease. It needs regular treatment in the form of anti-allergic Chat Doctor. Best way to control allergy is identification of allergen and if possible complete avoidance of it. So avoid dust, pollen, mites, animal fur, smoke etc. Wear face mask every time you go outside home. Montage FX is having montelukast and fexofenadine. Montelukast is anti-allergic " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My grandfather is taking dutas t for BPH. He was taking CCB for BP.but he has vertigo for last 3 days.BP was checked and it was 100/60.BP medicine was discounted.he has been prescribed vertizac tablet for 1 month twice daily before food.but myself as a medico told him to take it for 15 days.give suggestions.", "output": "Hello, Vertical is for symptomatic relief of vertigo, so as soon as the symptoms resolve your father can surely atop the Chat Doctor. Two weeks shower more than enough, rather if it is persistent post 2 weeks, again a review visit to the diagnosis should be done to make sure we are not missing anything. Also, the cause of giddiness might be the blood pressure and so stopping (though I would prefer gradual down titration) of the meds, should be enough. Lastly do keep a follow-up of his blood pressure reading. Hoping I could help For further assistance you may contact me on Chat Doctor. @ Http://doctor. ChatDoctor .com/doctors/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have 2 Tarlov cysts on spine and 2 herniated disc done Mir therapy reg injections I have never experience pain like this in my life 4 children no deme role age 54 please suggest should do go for epidural or surgery. Doctors aren t familiar with this.", "output": "Hi, Taylor cysts should not worry you since they are not treated and not the cause of your pain. Herniated disks, however, are the source of your pain. If you have not been tried on conservative measures such as physical or aqua therapy as well as standard medications for the pain then, I highly advise you do this before considering surgery. Have you tried traction, hot/cold therapy, acupuncture, or other forms of complementary medicine? If, however, there is a loss of power or loss of mass in the muscles of the leg affected then, surgery may very well have to be done, but I would say not until more serious complications have occurred. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m 18 and I have a slightly pinkish lump (about 1/2 cm big) slightly to the right and in between my anus and vagina. It s not squishy, and is firm. I first noticed it about a week ago as it was smaller and un painful. However, today when I was wiping it began to hurt and has continued to feel tender and a little but painful and it has gotten bigger than when I first noticed it. Nothing comes out or anything it s just under my skin creating a slight lump. Just wondering what this could be?", "output": "Hi, Dear Thanks for the query to Chat Doctor virtual Clinic. I studied your query with available details given in your query. I understood your health concerns. Cause for the lump around anus and vagina-From the limited facts and story of your query, you seem to have infective lump, and mostly it is Boil / hair follicle in that are. Treatment-Would depend on the cause. As I don't have any first hand clinical information, I would suggest consulting ER Surgeon to rule out other causes and who would treat it accordingly by either medicines or by surgical excision if need be.Don't Self-treat or medicate in your case as the case may go in to further complications. Hope this reply would resolve your query and would help you to plan treatment with your doctor. Hope this would relieve of your health concerns. Welcome for any further query in this regard before final suggestions are given in your query. Wishing you fast recovery. Have a good day. Chat Doctor. N. Senior Surgical Specialist" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi. i had four of my wisdom teeth extracted a week ago and my throat and left bottom side still hurts. he said that was the hardest one to do and my throat pain didnt start until after the extraction. it hurts to swallow and i still cant open my mouth very far because of the pain on the left side", "output": "Hello, Welcome Thanks for consulting Chat Doctor I have gone through your query, as you have mentioned that you have wisdom tooth extraction now swelling is there and painful throat, after extraction of wisdom tooth swelling occurs for week also, don't worry consult your dentist for check up again and Examination of socket Do warm saline gargle two - three times a day it will help you in healing of socket and painful throat also Hope this will help you. Wishing you good health Regards " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "When I pee it purns, when I push on my penis like just below my tip it itches in the inside all the way down inside my bladder where my penis continues... Like I can grind my fingers together and it feel good to grind it together to itch its been doing this for about 2 weeks", "output": "HiT hank you for asking ChatDoctorI have gone through your query. Your problem is most likely a urinary tract infection with urethritis. You can rule out the infection by doing a routine urinalysis. For urinary infection I treat my patients with antibiotics and urine alkalinizing agents like sodium citrate. You can take cranberry juice or barley water to alkalinize urine also. Hope this may help you. Let me know if you have any further query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Dr. Rynne, Good day. I am female, 23 years of age.Last 2009 I found out I have breast cyst but I did not consult a doctor (no enough money). I just treat it with a herbal plant which is mayana leaf because there was someone told me so. Does that plant can heal my cyst? Or should I take MX3 because I saw on tv it can cure cyst. Hope you can response on my concern. Because until this time I still have a cyst. Thank you & God Bless, Windy", "output": "Hi.noted history of breast cysts. It is best if you consult with a doctor, preferably a general surgeon, for physical examination and clinical evaluation. Breast cysts should be monitored regularly. Some of these lesions, grow, spontaneously resolved, and some are just there. Do you have a history of breast cancer or concerns in your family? Breast ultrasound will be requested as an additional tool for evaluation. Depending on the findings, if a tissue diagnosis will be recommended or just a regular follow-up/monitoring will do. Occasional breast pain/tenderness/discomfort, resolving spontaneously, is usually associated with these breast cysts especially during hormonal changes (such as before and during menstruation). Hope this helps. Good day!!~ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "We found calcium buildup in my aorta and branches. No symptoms. Female in early 70s Blood pressure controlled (120/70) exercise 5 days/week. LDL 99, HDL 69, Triglyceride 88. Can t take statiin. Terrible cramps. Not diabetic, non-smoker. Stress level totally lowered (retired). Don t want to take medication. Advice, pls.", "output": "Hi, there is no specific treatment to control calcifications in the aorta. What you can do is the strict control of blood pressure, serum levels of LDL cholesterol (below 70), paganism cessation, strict glycemic control and maintain a healthy lifestyle. The USO of medicines like statins could help with the cholesterol control. Your LDL cholesterol level is close to the therapeutic target of 70 and as you already do all non-pharmacological measures for the control of cholesterol, I believe that to achieve reach this goal you need the help of statins. I suggest you look for a cardiologist for further research. Hope I have answered your question. If you have any further questions I will be happy to help you. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doctor i am haemophilia patient age 20 currently i ve been having this wierd sense of my heart beat like i can feel my veins beating to that heart beat my heart beat is normal but its more like its loud or beating heavily recently ive been having this worries about my visa medical exam i wonder if this is anxiety but I have one question is it common for a haemophilia to get Heart attacks specially my age", "output": "Hello! Welcome and thank you for asking on Chat Doctor! I read your question carefully and understand your concern. Regarding your concern, I would explain that hemophilia is not relate to heart attacks (which are thrombotic events) but to repeated episodes of hemorrhage. This disorder affects coagulation factors, resulting in an imbalance of coagulation, leading to spontaneous hemorrhages in all the parts for the body. Some studies have suggested that hemophilia is a protecting factor against coronary artery disease, but many studies have concluded that hemophilia patients have the same cardio vascular risk as other healthy persons. So there is nothing to worry about a heart attack at your age. Your symptoms may be related to anxiety. But I recommend consulting with the GP for a careful physical examination, to exclude other possible complications of hemophilia (internal hemorrhage or brain hemorrhage). Further tests may need to be performed if suspicions are raised. Hope to have been of help! Best wishes, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 40 years old. My friends complains that i am biting my teeth during sleep. I dont know what i am doing? But next day tooth pain is there. By 2 teeth are badly damaged and i have to go for root canalsurgery.Please advise how to over come this problem.", "output": "Hello, Biting or grinding of teeth during nighttime is called Bruise. A night guard, or night guard, is an appliance much like a retainer that people put in their mouths to protect their teeth while they are sleeping. This device is commonly used by people who suffer from bruise, or excessive nighttime tooth grinding or clenching. This grinding and clenching puts pressure on the jaw, which can cause temporomandibular joint (TMJ) problems, severe headaches, ear pain, and neck pain as well as causing excessive wear to the teeth. Visit an oral surgeon or prosthodontist for this. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "One of my crowns came out, I went today to see my dentist and after seeing and x-ray he told me that he cant save my teeth, I need an extraction and bone grafting.1.-could you please tell me why is it possible ??2.- what is the risk of waiting to have the procedure be done ??Thank you", "output": "Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have mentioned that your dentist have advised extraction and bone grafting, Extraction is advice when tooth is not in condition to save it when there is Bone Loss Vertical and Horizontal bone loss Grafting should be done, so don't worry go for treatment Hope this will help you. Wishing you good health. Regards " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i get white spots on my gumline. lately ive getting them twice in to months and before now i think it lastest about two weeks i dont know what it is or how to treat it. each time they come up my hold mouth hurts bad.what is going on i am afraid. to ask but i need to fix this bad.", "output": "Hello! Thank you for posting in Chat Doctor. You did not mention if you smoke or have any other habits. This can be a candida infection as you say it comes and goes. You did not mention your age, general health status and if you suffer diabetes. Check if you are low on immunity. This can also be an oral lesion. However, you need a clinical examination with your dentist for definitive diagnosis. Maintain a good oral hygiene routine. Gargle warm saline thrice daily. Have a stress-free lifestyle. Please see an oral pathologist immediately for they can help you with a biopsy. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a hair removal wax treatment for the first time yesterday and have had an allergic reaction. The reaction has only occured in areas where a post treatment oil was applied. Affected areas are itchy and some small red lumps have appeared. I am using calomine lotion as a topical treatment. Will pseodoephedrine help? It is the only antihistamine I have at hand.", "output": "Hi, Thanks for writing your query. You should wash the affected area thoroughly. Pseudocode Chat Doctor. You should take antihistamines medicine like Fenofexadine or Cetirizine for relief. Application of Calamine lotion will help in decreasing the itching sensation, but local application of steroid cream will be more beneficial. You should get yourself examined clinically at the Emergency Department and take the appropriate medicine. Donor apply the post-wax treatment oil in the future, as your skin is sensitive to it. I hope this is helpful to you. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. We just got our yearly family blood results back yesterday and my 16 year old sons sGPT level is 52 and his sGOT level is 77. He is not overweight, works out every day doesnt smoke or drink either. My sGOT is normal but my sGPT is 43. My husbands sGPT is 58 and sGOT is 39. All our urine analysis are clear. The laboratory director who spoke to my husband thinks that maybe it is something we have all eaten and it has affected my son more. He wants to repeat the blood test in 3 months. I would be grateful for your thoughts on this.", "output": "Hi and welcome to Chat Doctor. Thank you for the query. This is slight elevation in LFT and it shouldn't work you. It can be found in acute liver damage but many other causes too. Also, it could be temporary gallbladder stone which passed and caused bile duct obstruction. He should repeat blood tests in several weeks and if this persists he ends to do liver ultrasound ad check viral markers. Wish you good health. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor Samuel I had pain under my left rib cage on Monday lunchtime. Went to hospital and had blood, urine and ECG checked and was clear. Doctor then gave me laxative for constipation and after 2 dosage I had severe runs for a few hours. Runs had stopped but now when I drink or eat it hurts and feels like the food is stuck inside mid abdomen. Also when I walk my left side hurts. Please let me know what s wrong. Jan", "output": "HIT hank for asking to ChatDoctorIt is nothing to worry at all, hyper peristalsis wave causing such symptoms, while we eat a kind of wave appears in GI system that helps the food to propagate ahead when this wave becomes more active than it gives such kind of pain as you are feeling, you have to eat slow, eat little less in quantity, the purgative or laxative will aggravate the condition, :Dicyclomine\" is Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I think I have orthostatic hypotension but I am not sure. When I stand up I get the normal dizziness but my vision also fades to black for a few seconds. Sometimes I get tunnel vision. I am a runner so I thought it could be having a runner s pulse, but no one on my team experiences vision loss or as much dizziness. I am not dehidrated either. Is there anything I can do to stop this? Or do I need to see a doctor?", "output": "Hello, I passed carefully through your question and would explain that your symptoms could be related to orthostatic hypotension. For this reason, I would recommend consulting with your attending physician for a physical exam and performing a Head-Up Tilt test in order to investigate for this possible disorder. Some blood lab tests are necessary too: complete blood count for anemia, thyroid hormone levels for thyroid gland dysfunction, blood electrolytes for possible imbalance. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Pain in lower left side of abdomen. Also in upper left abdomen radiating to side and back. Bloating/pain/diarrhea after eating. Recently have had several bouts of left shoulder pain which radiates along what feels like a bone that goes from shoulder over to chest just underneath neck.", "output": "Hi. Thanks for your query. Your history of radiation of the pain to the should and the neck has first to be checked by an urgent ECG and cardiac work-up. The history of pain on the left side of the abdomen with loose motions, bloating and pain radiating to the sides and back is suggestive of severe colitis of the left colon. I would advise you the following:Take a course of an antibiotic, metronidazole and probiotic with activated charcoal and symptomatic treatment. If required undergo the test of blood, stool and urine, a colonoscopy and biopsy and CT scan of the abdomen. And get the further treatment as p[er the reports." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "ive had miscarriage with out knowing it. I stop menstruating for 3 months I thought its just because of stress and exercise, I usually jog and bike at morning. two months later I started having rashes in the shoulders, and breast. Is it because of missed miscarriage? Thus the dead fetus in my womb infect my immune system that started having rashes?", "output": "Hi, Miscarriage is usually not associated with rash. But any bleeding abnormality can cause rash. As you have not mentioned the characteristics of the rash, it would be difficult for me to arrive at a provisional diagnosis. So, I request you to consult your Dermatologist for arriving at a proper diagnosis and for initiating the treatment. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, Recently I ve been having lower left abdominal pain. My pain ranges from sharp, dull, and cramping sort of pain. The other day I d noticed some type of white substance in my stool before flushing. Visit the emergency room yesterday, to only tell me, I might had an STD. Okay how can they be so sure, when I was told to come back in four days for my results. Can you give me some other reasons what may be going on with me? Unless they are right. I hope not, because that means my partner of 8 years is sleeping around unprotected. Thank you, A concerned one", "output": "Hi! Good morning. I am Chat Doctor answering your query. The symptoms of abdominal pain and passage of white substance in your stool points more to an intestinal infection than an STD. I would advise you to go for a stool test for ova and cyst and get it treated if positive which would relieve you of your symptoms. Chances of having an STD with this kind of symptom would be remote, and if in doubt get yourself investigated as advised by your treating doctor. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I need a real time solution for PCOS. I am a 28 yr old female, obese and have tried all modes of weight loss .", "output": "Hi Ms Andean a day we are hearing many women who are had PCs and who visit the traditional medical treatments available BUT they have limited success with it. Sometimes, traditional medicines and treatments are not enough. In some cases, such treatments are too invasive, some are too expensive, or the medications are too difficult on a women system. Homeopathy offers a great deal of help in curing the cases of PCs. When prescribed exactly according to the patients symptoms Homeopathic remedies work in most of the cases and totally without any side effects or complications of any kind. Hope you will get well scorecards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello. i have a problem of hard to breath because of air in my stomach. I have to wonder is t cause by gastric? because lately i keep farting and quite every day releasing a gas in my body. Now, it s hard for me to breath because every time in going to take deep inhalation via my mouth its keep pressing my upper stomach and cause me a lot to yawning.", "output": "Thanks for your question on Chat Doctor. In my opinion you are having HERD (Castro Esophageal Reflux Disease). It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms. Gaseous feeling and bloating are characteristics of HERD. Try to follow these steps for better symptomatic relief. 1. Avoid hot and spicy food. 2. Avoid large meals, instead take frequent small meals. 3. Avoid stress and anxiety. 4. Start proton pump inhibitor. 5. Go for walk after meals. 6. Keep 2 - 3 pillows under head in the bed. 7. Avoid habits like smoking and alcohol if you have. 8. Lose weight if you are obese." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "skin rash on bottom went to doctor and was tol they thought it was either contact dermatitis or infected hair folicles. was given antibiotics both skin save and internal. is not affecting it. started out the size of a quarter and now covers his bottom only where underwear is. 6 yr old boy", "output": "Hello, Thanks for the query. He might have developed fur uncles. These are deep bacterial infections. Treatment is with antibiotics, but the choice of antibiotics should be based on culture and sensitivity tests. A single best antibiotic should be chosen on the basis of tests. Please meet a dermatologist for exact diagnosis. Let me know if you have any other doubt. You can ask a direct question to me on this forum, following the below link.https://urldefense.com/v3/__http://www.ChatDoctor .com/doctors/ Chat Doctor. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I jus have a question I ve been off depo since August an I ve been having this brown discharge for about two months me an my partner had sex on nov.5 while I still had the brown discharge but then I started bleeding on the 19th so I thought it was my period but then it started to get light an it only lasted for 2 days an when I m on my period it last for 7 days so then I started looking up implantation bleeding on pregnancy an it said that it only last for 2 days an its a pinkish color when you wipe so when I wipe I get a pinkish color or nothing but I took 3 pregnancy test an they were negative so I was wondering if u can help", "output": "HI. The symptoms you are presenting with could also appear due to a hormonal imbalance that can occur after getting off the demo shot. This can occur in women until 6 months after getting off the shot, and can present with symptoms like inter-menstrual bleeding, spotting, weight gain, menstrual irregularities, etc. Although pregnancy should be adequately ruled out, especially if you are experiencing a delay in your period, visit a doctor for an ultrasound by the 6th week from your LMP, and confirm/rule out pregnancy. Best wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Helloo sir..:-) sir i have a week liver prblm..when i take strongs diet like milk etc nd other heavy diets..my liver cant consme diets. ..i have a loose motion after these diets...nd some time vomting..my internaly body is very week..nd i have a problem un sex..means weekness ...so plz give me some good tips to cover my liver prblm nd sex weekness..tell me some good diets to cover sex weekness..", "output": "Dear Friend. Hi, I am Chat Doctor, I have read your query in detail, I understand your concern. I feel you have diagnosed yourself about weak liver. If you really feel so, get a Liver Function Test done. The symptoms you are describing can be because of the following problems :1. Acid Peptic Disease2. Castro Esophageal Reflux Disease3. Lactose Intolerance4. Celiac Disease. You should get yourself evaluated. Weakness feeling regarding sex is just Psychogenic. Stop worrying about that. This is my personal opinion based on details available here. If you want to discuss your issues further, you may please ask stay Healthy. Chat Doctor, MD" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doctor. we are planning for pregnancy last month april 2011 we tried but this month i got my period but it was late, even i had pregnancy symptoms..and i had some urine infection. last month we travelled about 600kms was it affected for my pregnancy pls answer me", "output": "Hi, Thanks for query. I understand your concern. Stress of travel purine infection or psychological stress out of anxiety to get pregnant, can cause delayed period. Pregnancy like symptoms can suggest possibility of loss of pregnancy. Before planning for pregnancy- -The urinary infection must be completely treated. -Assessment of normality of sperm count & ovulation would be ideal. - Ovulation day can be known by LH surge test & unprotected sex from the day of +ve surge test for 5 consecutive days offers maximum conception rate. -Home pregnancy test after 8 days delay in periods OR blood bets Chat Doctor testing of blood around expected date of period . Can confirm pregnancy. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello,I am a 41 yr old male and I have a large lump between rectum and groin. It appeared 2 days ago and is now extremely tender and the lump is moving down to my scrotum. I am trying prep h but it is steadily getting worse. I have trouble sitting, bending, etc", "output": "Hi. It would most likely be a abscess or collection of pus - infected. I suggest you see a Surgeon soon to get it evacuated and start a course of antibiotics along with anti-inflammatory medicines. The medicines should be continued for at least a week to avoid a recurrence of the infection. So please see a Doctor preferably a Surgeon at the earliest. Take care and feel free to ask any questions you might have. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, i am a 25 year old female, for the last couple of years I have noticed a lump on the outside of my anus. sometimes it enlarges & goes hard, and I find it uncomfortable to poo, other times it is barely noticeable but still evident outside my anus. At present it is probably the size of a 1p-5p coin and is hard to the touch. The more I go to the loo & wipe it the worse it becomes. I sometimes have to use sudocream. I also experience anal bleeding sometimes too when I have a poo (it doesnt necessarily have to be a strained one). i did go to the doctors over a year ago & got told that it had probably been there all my life & that i just hadnt noticed although I am sure this is not the case. What could it be?", "output": "Hi. Thanks for your elucidate history and findings. This is a classical finding of the interno-external piles (hemorrhoids). This degree of piles needs an active treatment. I would advise you to visit a Surgeon who deals with this (proctologist if you have) or Castro surgeon. You can get a proper examination to know the degree of piles and get further investigated and treated. Most probably you need a surgery if you want a permanent cure." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My mother who is 83 had had creatinine in the 0.6 to 0.7 range and urea in the 20s for more than two decades until 6 months back. The latest blood test indicates creatinine at 1.3, urea at nearly 70 and WBC at 18,000. She had a stomach pain for a few days and it has just gone away. She has chronic BP (controlled by meds), she takes a low doses of simvastatin and glipizide for blood sugar (A1C around 7) What could be the reasons in terms of probability?", "output": "Hello and welcome to Chat Doctor, The normal level of creatinine ID 0.6 to 1.6 mg/DL and normal range of ures is between 20-40 mg/DL. Thus, creatinine level has increased from 0.7 to 1.3, however, it is within normal range. The level of urea has increased and thus complete renal function tests have to be done to know the status of the kidney functions. The white blood cell (WBC) count is high. High WBC count occurs in case of acute infections especially bacterial infections. Thus, I suggest you to consult your primary healthcare provider for renal functions and to find the focus of infection. Thanks and take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had CA Ovary last year. It was treated with surgery and 6 cycles of chemotherapy . In my recent pelvis and abdomen scan it was found that i have mild hepatomegaly . report also said that i have fatty liver with focal fat sparring area adjacent to gall bladder fossa. what does this mean and what is the next step. I have been a diabetic since my chemotherapy .", "output": "Hello, Welcome to Chat Doctor, I am Chat Doctor Fatty liver is the most common incidental finding during ultrasound scan of abdomen. It is a very benign condition. It is unrelated with your previous history of carcinoma ovary. For this, you have to do a liver function test. If all are within normal limit, then you need nothing. But, in case of abnormality in the liver function test, you should consult with a gastroenterologist. You should avoid alcohol and fatty foods." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi fo a few.months now iv had a dry flakey itchy spot.on the arch of my.foot it started about the size if a 2p and now covers half the arch and is.mooving up the sides of just one foot at first there was tiny blister like spots that pop and cause it to itch then it dryes up and goes sore the skin goes hard and flakey and layers i used a dpray for athletes foot but this has not.worked", "output": "Hello, Thanks for the query, Itchy flaky spots on feet which is spreading probably indicates fungal infection. You can use topical antifungal agents to treat this condition. In addition, take some anti histamine tablet me know if you have any other doubts. Please meet a dermatologist you can ask a direct question to me on this forum, following the below link.http://www.ChatDoctor .com/doctors/ Chat Doctor. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I had sex about 13 days ago. He went in me for about 30 seconds without a condom, but the rest of the time he had a condom on. And he made sure he pulled out way before he came. My period is always usually 23 days apart. now i am 2 days late on my period. and the day i was supposed to get my period i had this light headache. how likely is it that i am pregnant? is it too soon to take a pregnancy test?", "output": "Hello dear, I understand your concern. In my opinion the chance of pregnancy according to your explanation is rare. Nothing to worry. Consider doing a urine pregnancy test a week after missed period for accurate results. The symptoms of pregnancy like nausea, vomitings, increased urination start usually 2 weeks after missed period i.e. around 6 weeks. The headache might not suggest pregnancy. So relax. Stress regarding the thought of pregnancy also delays the period. So wait and check for the period. Best regards..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 17 year old son was complaining last night of pain in his lower left abdomen. No fever. he woke up with the pain gone, but with a bad headache. Now he complains of dizziness. I gave him biogesic ( paracetamol) this morning. do I bring him to the ER?", "output": "Hi. Thanks for your query. With the history of pain in lower left abdomen which has gone in the morning on waking up and now has bad headache and dizziness, I would advise you to take your son of 17 to ER for Physical examination and investigations if needed and prescription based treatment. When the facility is available it should be availed as only a Doctor can see the proper diagnosis and probable future course of the problem your son is facing. If the as nothing serious the Doctor will certainly reassure you and the son and this makes life easy..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I think I may be experiencing bells palsy. I had pneumonia a few weeks ago, since then have been treated, however, I ve experienced a death in my immediate family, thinking I was under much stress, I started feeling an abscess grow in my mouth, I went to the dentist and he could not find anything. My right side of my face swelled and as of today I m still feeling like I m growing an abscess. What do you think I should do at this point?", "output": "Hello, As you got it checked by the dentist I also don't think its abscess formation. Because if it was such things and symptoms would have been different. Also, bells palsy doesn't seem to produce selling but pain and weakness more. I will advise you to have a check with the ENT once to rule out your abscess doubt. Also, doing simple gargling exercise of the muscles of the mastication and monitoring your diet should help reduce the symptoms. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had a fbc blood test which highlighted Erythrocyte sedimentation rate 15mm/h when the normal rangeis 1.00 - 7.00 mm/h; serum ALT level of 59 iu/L normal level Please let me know if something is seriously wrong with me and what, if anything, I can change to improve these results. Also I have had a stiff neck for over 3 weeks but tests for infection came back negative.", "output": "Hi, dairy have gone through your question. I can understand your concern. Your ESR is slightly higher than normal. Your alt is almost normal. No need to worry. Just avoid alcohol and high fat diet. Repeat the blood test after 15 days. Mostly it becomes normal. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. Don't forget to click, thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello. lately,almost a week now i guess, i keep having slight fever/feel uncomfortable every evening onwards. By uncomfortable i mean my body feels kinda warm especially around the neck area. My head feels slightly heavy as well. No coughing, no flu or whatever.im having my final exams anyway. can this be related to exam stress or something else? quite worry.thanks.", "output": "Hi, Thanks for writing your query. After reading your post, it seems that you are having your symptoms seems to be due to excessive straining of neck muscles while studying. This can be due to wrong posture while studying. Following precautions will be helpful :-1. You should not bend your neck too much while reading.2. Have adequate light in your room while reading.3. Give rest in between to your body when sitting for long durations.4. Doing yoga and meditation in fresh air in the morning will help to get relief from examination stress.5. Take care of diet and water intake. I hope this is helpful to you. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a diabetic and have been for years but for the past couple of months I have had trouble breathing and my legs are like concrete. They are swollen so are my feet and I have no ankle bones anymore that you can see. My feet are swollen also and it is hard to walk after a few hours. I do work on my feet for 8 hours a day.", "output": "Hello, If this is the swelling of the lower limb, then it could be due to a long-standing position that causes the return of blood difficulty it is the most common reason seen if the swelling subsides on its own in the morning. And if this is not the reason, then it could be the renal disease, cardiopulmonary disease, with diabetes such symptom of lower limb swelling need to be taken seriously, I would suggest getting done the test for renal disease and for cardiopulmonary disease. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I just left from having a pre op phy, Dr. said ekg showed possible enlarged heart and my bp (wo/meds) was 140/100, I will have to see a cardio dr before surgery. what should BP be before surgery ? Can a enlarged heart be made normal thru diet and exersice ? if yes, how long could it take? Thanks", "output": "Hello. Thanks for posting at Chat Doctor. Enlarged hart on ECG may be due to left ventricular hypertrophy due to high blood pressure. But there are other causes and types of enlarged heart which should be ascertained. I recommend you a 2 D echo of the heart to see what chambers of the heart are enlarged and if there is any leak between the valves. Treatment depends on the findings of 2 D echo. If it can be reversed by diet and exercise, again depends on the 2 D echo findings. Meanwhile since your pressures are found to be high, monitor them regularly for three weeks and if the readings are persistently high, then you should be started on BP medications. Wishing you good health. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "yes, my duaghter, 16 years of age. bloodwork was done at my request becuase i saw symptons of anemia , which i myself have suffered since the age of 12. she is of african american race her dads side,he once told me he had sickle cell traits but it never affected him.myself not knowing my whole side becuase my mother did not put my dad on the birth certificate leaves a half side- kinda unknowen.reason why im stateing this is the doctors office said they couldnt give me a proper diagnosis becuase my duaghter blood level was so extremly low her red blood cells ..ect.. very low.they gave her a month worth of strong iron pills @ laxatives to help her with the iron pills. they said they will have to retest becuase they couldnt determind proper lab results has to why or what it maybe?.the doctor asked if maybe it was thalassemia her dad may have had? but i know he said sickle cell traits.(we are no longer together & cant find him at this time.)when i looked up thalassemia very scary. but im white catch.. 22 my mother refuses to tell anyone whom my birth father is, well in concultion i cant be mediterrranean or asian haritage.. maybe itailain?or greek? problem is to norrow this down,.....maybe?.. cant sickle cell traits disguise as maybe as thalassemia?", "output": "Your description of your daughters' problem shows that she has anemia which you think might be sickle cell trait or Thalassemia. First test which can be performed is a reticulocyte count. If this is high it is a hemolytic anemia. A peripheral smear should be done which will make the picture clearer. A bone marrow biopsy can be done to rule out plastic anemia or other bone marrow abnormalities. All these tests will help you to narrow down the diagnosis" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi My 9 year old daughter is tired all the time, she is very pale at the moment. She has been sleeping for about 13 hours a night for the last 2 weeks and normally slept about 11 hours. She eats a really good diet and gets lots of exercise/fresh air in normal child ways (ie playing with friends, bike riding) but no excessive sporting regime. She has a slight sore throat but no white spots on it. Any ideas?", "output": "She may be anemic and this may have to be ascertained by blood He test. Inspire of good qty of food she needs to get green leafy vegetables, salads and juices and milk in order to maintain balance. The reason could well be MAL Digestion too not allowing nutrients absorb and assimilate. Sore throat, if not treated, could become marked infective upper respiratory tract. Mild affect of weakness can be felt due to this too temporarily. Best way is to motivate her to do saline gargles with warm water and mix a pinch of turmeric to this water. Do thrice a day for a week or so. If you can get holy basil leaves, boil these with little pieces of ginger and tell her to Chat Doctor. Avoid " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had a yellow tongue since march. My regular doctor sent me to a specialist. He ran some test they came back positive. I do have herd and my doctor is treating me for that. Some days my tongue looks better and some days it looks horrible. Now Im wondering if everything I eat and drink is staining it. Im tired of dealing with it especially when its noticeable. Do you have any suggestions?", "output": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint the yellow coating over the tongue seems to be Yeast infection known as Thrush, and it can be treated with antifungal medicines like Statin mouthwash gargles, clotrimazole lozenges and taking more of Probiotics like Yogurt in diet. In case if it is not Thrush the other cause for it can be simply poor Oral hygiene and deposit of dead cells, food debris and bacterial over growth over the tongue papillae. It can be cleaned by regular cleaning of tongue with a tongue scraper or a soft toothbrush. Gargle with 1:1 solution of water and HY Chat Doctor. . The chances of Yeast infection are more probable, and you should ask the diagnosis to your treating physician and can contact us at Chat Doctor for further guidance. Hope this information helps. Thanks and regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "last month my son had severe stomach ache from few months doctor sugested diof syrup and milk of magnesia for 15 days.he was fine for a few days but again this month he started complaining again.he also feels dizzyness and headache at school and in bus.plz suggest", "output": "Hi, I am sorry for the situation your son is facing. As long as doctors prescribed Dion syrup and milk of magnesia, this makes me think that your son was having diarrhea problems. If I was your caring doctor would go deeper and run further tests to determine the right cause: examination of stool for ova/parasites and culture of stool for pathological bacteria/candida and abdominal ultrasound. Meanwhile, I advise to:- consume more fluids (water mixed with ORS) to avoid deny Chat Doctor. g. Lactobacillus) to stabilize intestinal flourish fast recovery!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was told by my ENT doctor yesterday that, when reviewing a CT scan of my sinuses, he discovered a calcification at brain stem and skull, which he said was more than likely caused by severe trauma, which I have had. He called my PCP and told them to order another CT scan and MRI. He told me it was extremely distressing and needed to be addressed asap. What does all this mean and what is done to resolve the issue.", "output": "Hi, Thank you for posting your query. I would require detailed report of your MRI/CT scan to give a detailed opinion. However, at this point, I would like to point out that calcification in the brain usually denotes an old or inactive problem. This could be due to old injury or infection. In some cases, calcification could be due to metabolic or hormonal disturbances including calcium, parathormone, thyroid, etc. Please get back with the detailed MRI report for more information. Best wishes, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good Day! I was recently diagnosed at 21yrs (4months after losing my virginity) with CIN2 after abnormal pap smear and subsequent colposcopy. I have only had sex with 1 person. I engage in vaginal and oral sex. I want to know what are the chances of having cell changes in the neck region as well? And what is the risk of gettting head and neck cancers from hpv? Also is it safe to still engage in oral sex with my boyfriend at this point (protection or no protection)? Thank you in advance.", "output": "Hi, You said that you have been diagnosed with CIN2. It is an abnormality of cells in cervix that can lead to cervical cancer if left untreated. CIN2 means between 1/3rd and 2/3rd cells in cervix are transformed onto abnormal cells. It is caused by Human papillomavirus (HPV). HPV doesn't lead to any changes in your neck. Certain types of HPV causes cervical cancer and certain types of HPV causes genital warts. HPV does cause pharyngeal cancer. But it generally occurs in males above 40 years of age. So, It's quite uncommon in a young woman like you. No need to worry about it. As you already have developed HPV infection, you need not be worried about getting new HPV infection from your boyfriend. But always make sure to use protection like condoms. They protect you from all kind of sexually transmitted infections like chlamydia, HIV, syphilis, etc. And coming to the treatment part, your gynecologist will perform some procedure like laser therapy, freezing therapy (cryotherapy) to remove the abnormal cells. She might also use LL ETZ (a procedure using a loop of wire) to remove or scrape out the abnormal cells. Also make sure to undergo repeat testing of pap smear and colonoscopy after 6 months of having treatment for your CIN2." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "17 yo Healthy male; 4 days Abd pain and Nausea. 2 days Fever. Brought to UC. CT shows Hepatomegaly and Sludge in GB. No stones. Elevated White count ( do not have #) Mono spot is Neg. Neg for Appy as well. Any Ideas?? MDs have not done Lymes yet.", "output": "HelloHepatomegaly may be due to many reasons like hepatitis, alcohol intake, metabolic disorder, obesity,medicines,autoimmune causes etc. Sludge in gall bladder may be due to many cause like prolong fasting, strict dieting etc. Sludge in gall bladder may cause calculus formation. Enlarged liver is generally a reversible condition.It is often reverses with treatment of underlying cause. Elevated WBC count may indicate infection. You may need clinical correlation and antibiotics. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi i am a 33 yr old female, 5ft 10 in height and weigh 12 stone. I am generally of good health up until approx 3 years ago when i had an abnormal smear cin 3 but had it removed and since then have been fine. I have suffered for a long length of time with pain in my lower abdomen which Drs have put down to ovulation pains. I have recently had bloods taken for inflammation, blood count, liver function and these all came back normal except blood count which receiptionist stated came back as if i was suffering from mild viral infection and i have to go back in a months time for a check. I have been for an ultra sound today and my ovaries appeared fine however when scanning mu kidneys the lady took some time on the right side and i observed her measuring what looked like a white shadow and saw a few dark spots. She did not tell me anything re kidneys and stated that they would be in touch within a week. I am really worried now and thinking allsorts especially kidney cancer??? I do not spoke and never have, I have never had high blood pressure i am very active and have a good veggie diet with lots of proteins by only down side is i do drink a bit of wine.", "output": "Hi ! Good afternoon. I am Chat Doctor answering your query. Even though it is good to be concerned about ones own health, one should not become frightened or obsessive on cancer for a shadow seen on ultrasound. I would advise you to wait till the report arrives along with the result of a clinical assessment by your treating doctor. For the present just continue with your healthy dietary habits and active lifestyle. I hope this information would help you in not worrying about a problem not yet confirmed. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I accidentally bit the inner part of my mouth. It bled internally, turned black then really red (filled with blood). Problem is it is now hardened, causing me to have a lump of hard-rock blood clot on my mouth. The colour is pink, same as the colour of the inner part of my mouth. Should I see a doctor?", "output": "Hello, Continue to keep the area clean by rinsing with warm salt water. Tissue can go through various stages of healing. Depending on the amount of inflammation, I hope the size will continue to decrease with an additional healing period. I do not think there is an urgent need to see your dentist from your description. Taking Anti-inflammatory medication such as Advil or Tylenol may help you to continue to heal. Consider scheduling a dental visit if the location and size are a functional problem, or you continue to reinsure the area. A clinical exam would determine if a surgical procedure is an option or necessary. There could be excess tissue that could be removed. Thank you for your inquiry. Do not worry and make sure to provide all details to your dentist at a future routine exam to check on the healing." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was very sick yesterday and have no idea whats wrong with me. I had a high fever, chills, dizziness (almost to the point where I passed out), extreme fatigue, slight stomach nausea (no vomiting though). Any idea what I had? I feel a lot better but am continuing to rest because I still have a little fever and am a little dizzy.", "output": "Hello, Welcome to Chat Doctor. High fever, dizziness,fatigue, nausea with chills could be indicative of some generalized viral infection or might be bacterial infection. But it must be further evaluated by clinical examination and some relevant tests. You should go for some routine blood works, ESR,urine examination for routine and blood electrolytes (sodium, potassium) even though you are feeling a lot better now. You may take over the counter painkillers and antipyretic like Tylenol or ibuprofen along with antihistamines like cetirizine 10 mg for symptomatic relief from your these symptoms. Also, take plenty of water with fruit juices for faster recovery and for symptomatic relief. But the important thing is to rule out infective component by clinical examination and above-mentioned investigations since you still feel mild dizziness and fever. For that, you may need to see some local physician or visit ER who will know about it and may order prescription. If there is some infection detected, then he/she will prescribe you appropriate antibiotic course like 3 or 5 days as per severity of symptoms. Hope this will help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here..iam73yrs male myesr is 90 &creatnine is 20 my all oyher blood result is normal ihave no ther prblem but both legs soul is always burnining cannot walk on rough surface can esr is high due what reason pl help me.", "output": "Hi, dear. I have gone through your question. I can understand your concern. Your ESR is very high. There are many causes of high ESR. Tuberculosis, anemia, autoimmune disease, paraprotienemia, malignancies all can lead to high ESR. You should go for investigation to search the cause. You should go for x-ray chest, ultrasound abdomen, complete kidney function test, liver function test to search the cause. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. ," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just recently started taking lo loestrin fe birth control with 24 blue pills, 2 white and 2 brown. I have taken 9 blue pills allready. Today I had unprotected sex twice. He pulled out both times but I know I can still get pregnant. I havent been taking my birth control long enough for it to be effective yet. So I did some research and saw many questions of people asking if lo loestrin fe can also be used as a emergency contraceptive pill ( otherwise known as the plan B pill) they said to take four all at once or 2 together and 2 12 hours later. Instead I took 4 now, and Im going to take 4 in 12 hours. Does this work the same as plan b? Am I safe from not getting pregnant? Please reply soon Im very anxious.", "output": "Hi, It is true that you may not be well protected if this is your first cycle of use. You should have used additional protection. The pills have not been suggested as emergency contraception as there are no studies anywhere about their efficacy in this regard. I cannot assure that the pills can be effective as emergency contraception though to some extent they could be useful. If you are worried about conception, you may go for proper emergency contraception. You may have menstrual disturbances during this cycle due to the excessive pill usage. Hope your query has been clarified. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i first started to have apain on the right side of upper abdomen now the pain is on and off but what worries me most is constant pressure i feel under right rib cage radiating to the back more especially when im sitted,im 1.5meters tall,55kg was treated for tb in 2004,have gastritis problem.", "output": "The following conditions often cause upper right abdominal pain right abdominal pain:AppendicitisCholangitis (bile duct inflammation)DiverticulitisFecal impaction (hardened stool that can't be eliminated)Gallbladder cancerGallstonesGastritis (inflammation of the stomach lining)Hepatitis (liver inflammation) liver abscess, pleurisy, kidney stone (right) etc... There are many causes to rule out. I would suggest a CT abdomen to rule out causes and little blood investigation. Consult your physicians." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my father is suffering an excruciating pain in his feet & hand for almost 1 week & he can bear the pain anymore, he was hospitalized. He also have fever on & off for more than 3 days. He was tested for Blood Chem but everything was normal. We worry much about the situation of our father... pls give us answer doctor what was the problem,.tnx very much", "output": "Hello, I read carefully your query and understand your concern. The symptoms seem to be related to a viral infection. I recommend to use anti-inflammatory medications such as Acetaminophen to relieve the pain. I also suggest using magnesium supplement for muscle relaxation. Furthermore, I recommend to rest and Chat Doctor. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards! " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have sevier head ache in back side...tell me the solution sir...", "output": "Hi,headache and migraine are so complicated, it could be caused by nervous system disorders, injury your back, neck and head, food, any fragrances, sleep disorder, living environment, etc. I had migraine headache for 30 years, 7 years ago I met a person, and she told me about negative ion clothes, open mind and tried so far no pain anymore, I highly recommend trying it, it will surprise you. Check here http://healthtalk88.blogspot.com" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i have a question i know its bad but i smoke weed a lot it calms me down...and i am now recently diagnosed again with a thyroid disease its overactive..ive had it since i was 8..they said it was gone 6yrs later then i started smoking pot and it helped alot for me..now i cant see my dr till a few weeks from now for my meds for it..i went to the er and they gave me inderal 60mg for my heart rate cuz its too fast...i am in need of help please weed is the only thing that works for my anxiety and depression.. sincerely phil", "output": "Hello and welcome to Chat Doctor. Thanks for your query. Federal (Propranolol) is a medication which is prescribed for an increased heart rate as well as to reduce the physical symptoms of anxiety like palpitations, tremors, etc. Both thyroid disorders and smoking weed (cannabis) are known to trigger or worsen anxiety problems. You should not depend on smoking weed for tacking your anxiety and depression, as it can have long-term harmful health consequences. There are effective treatment options available - in the form of medication or counselling / psychotherapy which will help him overcome your problems. I would advise you to see a psychiatrist for a detailed psychological assessment and further treatment. Wish you all the best. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor, how do i wean off metoprolol, i am taking 50 mg /day,i have been taking this drug for about 7 years and i have had hair loss, gained weight slowly, swollen ankles, and sweat profusly and i am tired of all of these side effects, so i would like to come off of this drug. tks", "output": "Hello and welcome to Ask a Doctor service. I have reviewed your query and here is my advice. Please tell me the reason why it was started, if it was started for heart attack reason then you need to continue and may be dosed can be decreased gradually by 12.5 mg. If it was started for high BP then it can be stopped gradually and replaced with some other Chat Doctor. Get back with more information. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "MY AST IS 56 AND MY ALT IS 91. BACK IN 2012 MY ALT WAS 55. I DO NOT RINK ALCOHOL BUT HAVE GAINED 25 POUNDS AM 222. AND I HAVE PSORIAIS. I DID TAKE METHOTREXATE FOR A YEAR BUT NOW THEY WERE GOING TO CHANGE TO HUMIRA BUT WON T BECAUSE OF MY LAB VALUES... SHOULD I BE WORRIED?", "output": "Hello have elevated transaminase (AST, ALT) which needs evaluation. Common causes include NAFLD - non-alcoholic fatty liver disease, Chronic viral hepatitis (B or C), autoimmune hepatitis or Chat Doctor. With recent history of weight gain and history of psoriasis, you need evaluation like USG, autoimmune profile, tests for hepatitis virus workup among others. You should be cautious and consult your doctor regarding the same." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hellow how are you dr my daughter story begin in april ,before six month , i took her to ER after noticing bruises in her body so CBC done for showed low plt it was10 with high lymphocyte and low neutrophilis so peripheral smear and bone marrow aspiriation done for her showed normal result then ivig given for her and her platlate increase gradully to 280 after weeks dropped again so dr suggest to start predinsolone ,now platlate ok after 5months treatment but with tapering the predinsolobe the lympoocyte become high again ????", "output": "Hello, Thanks for the query to Chat Doctor. Forum. Low platelets count is known as thrombocytopenia as in your daughter case and sometimes we don't find any cause of this disorder, and we call it as idiopathic thrombocytopenic purpura, need not worry. Is such situation occurs plenty of fluid orally helps, if there are no any other sign or symptoms. If platelets count decreases less than 50000 /c mm then we have to interfere otherwise no need particularly in so young child. If fever occurs then think about serological test for any virus. The Chat Doctor. But " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "5 weeks and 1 day out from partial hip replacement, wound/incision on side of thigh isnt healing, oozing yellow pus. now doctor is cutting off all antibiotics to see if they can finally get a positive bacteria sample (previous two cleanouts / tests showed no infections. what to do? othro wants to wait 10-14 days and go back in again. is this superficial or deep tissue infection? allergic reaction to partial hip replacement hardware, slow healing due to compromised immune system? she also has feltys syndrome.", "output": "Hello. Thanks for writing to us. After a partial hip replacement, the discharge like you are having can be due to an active bacterial infection in the area or a reactive fluid from the joint due to inflammation. You need to get the fluid cultured for proper diagnosis. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http://bit.ly/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have been having stomach problems for years. after looking online, i noticed i have all the symptoms of gallbladder problems. it hurts everytime i eat anything with fat in it, and i have lost about 30 pounds in a few months. i have no health insurance and i am starting to get worried. should i go to the ER?", "output": "Hi.thank you for posting query at Chat Doctor. Further evaluation advised. Ultrasonography is recommended to rule out gall stones. Gallstones are small stones that form inside the gallbladder. Gallstones pain (Biliary colic) usually is experienced when the gallbladder contracts in response to a fatty meal. This compresses the stones, blocking the opening. As the gallbladder relaxes several hours after the meal, the pain subsides. Medical therapy is an option for gallstones, though a vast number of surgeons around the globe prefer removal of gall bladder-surgical intervention. Medical therapy includes intake of ursodeoxyholic acid (UCA) for a period of 12 to 24 months. UCA has been shown to inhibit biliary secretion of cholesterol, reduce intestinal absorption of cholesterol, increase hepatic bile secretion, and improve gallbladder emptying. Medical therapy is useful if mild symptoms, stones are smaller (weight reduction and low-fat diet is also a part of medical therapy. Hope to answer your concern. Wish you good and sound health. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Dr., I am 35 years old, 28 weeks pregnant, and my Dr s P.A. told me I have a proliferation of taste buds. My tongue turned white about a week ago and I was scared it was thrush (I had been on an antibiotic). It also feels thick and rough on the surface. The P.A. said it was not thrush as it does not scrape off, is not cottage cheesy. She said maybe I should clean it better, but I brush it twice a day routinely with an electric tooth brush. I have tried to find information online about this condition but don t come up with much, if any relevant material. Is there anything you can tell me?", "output": "Hellooo....first congrats for becoming a mom.regarding the tongue.it can be a fungal infection....but nothing to worry....u can apply statin gel twice daily.and scrape your tongue twice daily...after brushing.use chlorhexidine mouth wash....meet the dentist he can give u tips based on the clinical situation...as a lot depends on clinical condition...more over be happy and no stress....hope u r benefitted something with my answer...have a healthy day!!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ortho MD. Needed Female, 48, successful ACL reconstructing 11/16/11. 2 months ago I started doing high intensity on ellyptical to build leg muscles, forward and backward movements. Played kickball with 10 year old and power walk. I noticed that entry wound started to swell and became painful, Ice would help so I only focused on power walk and icing after. 6 weeks ago I fell gently on knee now I can t bend it without pain and swelling above knee cap, pain left side of knee and back of knee when I attempt to bend knee, and swelling will not go Down neat entry where screw is. I lost job so no insurance since I have to pay cash I need best advise how to peruse treatment.", "output": "Dear patient You have got injury to knee which already has reconstruction of ACL 4 years back. Pain with swelling and difficulty in bending the knee might be due to tear of reconstructed anterior cruciate ligament or recent meniscus injury. This must not be neglected. I would like to advise MRI of involved knee to confirm diagnosis. Visit radiology center nearby you and get it done. Meanwhile, wear long knee extension brace and avoid bending and taking weight on involved limb. Apply ice packs to reduce swelling. You need to consult expert arthroscopic surgeon with MRI report. All the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have neuropathy in both of my feet and the now I feel it in one of my hands. I need to start on medication to help ease the pain. I am also thinking about requesting a Handicapp Placard for those days when my feet hurt so much that walking through a store is very painful. I have cut many trips short and and avoided some due to the pain. There are days when I do not have a problem, but the days when I have pain it makes me want to stay home. Should I even try to obtain a placard?", "output": "Hello, I read carefully your query and understand your concern. The symptoms seem to be related to peripheral neuropathy. It is disease affecting the peripheral nerves. There are many medical conditions related to this diagnosis such as diabetes. So, I suggest doing some examinations such as glycemic level and a nerve function tests. Meanwhile, I suggest using Ibuprofen 400 mg three times a day to relieve the symptoms. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards! Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello! this is sharmin. ive been suffering from severe hair loss since the last 2 years... and i am a patient of hypothyroidism. i am extremely tensed about my hair loss... its getting thinner day by day... what can i do to regrow hair? and to stop hair fall? and what vitamins do i need to take to regrow hair?", "output": "Hello and welcome to Chat Doctor, You seem to be suffering from excessive hair fall commonly seen with hypothyroidism. Though your levels maybe normal, the overall hair growth and rate of growth may be affected more in your case, even on treatment. I hope your thyroid levels are in check. In your case, the hair fall, maybe prolonged due to other factors as well, such as poor nutrition, stress, lack of rest, low iron and hemoglobin levels, hormonal changes etc. Dan Chat Doctor. For your hair to grow well, it needs sufficient nutrition. Fever, typhoid, recent illness, water change, work stress, pollution etc. is a factor. Low hemoglobin/iron levels need to be checked as well. These causes need to be considered and treated as they affect hair growth. You can consult a dermatologist regarding any tests that may be required to diagnose the causes. They can assess your hair in person and advise accordingly. They may advise hemoglobin, iron, hormone levels if needed. For now, you may start a Recite solution or Tress go serum to scalp at night, along with hair supplements daily like Seraglio or Bootee capsule. This needs to be continued at least for 2-3 months to see results. Use mild shampoo and conditioner like Anaphase or Renoir for hair growth start with the treatment as advised and see a doctor. And remember to check your thyroid levels regularly as advised and follow treatment. Due to the thyroid condition, hair growth will be a little slower than normal. If your hair is very thin and scanty on the scalp, and medical methods do not work well for you, after a few months of observation, certain new surgical procedures can be considered such as PRP, as will be advised by your consulting doctor after observation, if they feel that it will be a good option for you. This is a later option. Also get a good nutritious diet, avoid stress, pollution, get good rest. Hope this guides you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been having pain on the right side of my stomach every time I push to, well poop. Then at random moments I get a sharp pain in my abdomen area on the left and middle. They past year I had an ovarian cyst but I had a ultrasound in october and they said that I had a very small cyst, but it would just go away. Could it possible that the cyst is growing?", "output": "Hi welcome to Chat Doctor forum. You had pain in the stomach on right side when you go for stools. You also have pain on left and middle of stomach. Previous year in October you had ovarian cyst, doctors said that it is small, and it will go away. It is pieing when you go to stools, so more possibilities are there for intestinal infection, I advise you to consult a physician for diagnosis and treatment, with this treatment, if you get complete relief, it is well and good otherwise you have to get tested for urinary tract infection, or enlarged ovarian cyst. Wishing for a complete relief, and thanks for calling Chat Doctor. F. Best regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my grandmother is 92 years old. She is on blood pressure medicine. She went into the ER for abdominl pain and was told she had gall bladder stones she was diagnosed with cholecystitis, and was told to see a suregeon that she would need her gall bladder removed. she was given pain meds and sent on her way. My question is, is a gall bladder removal the only option?would it be risky?", "output": "Hi, Well, there are some nonsurgical methods, but these are mostly unsuccessful. You need to change your dietary habits first. Need to avoid fried food, carbonated Chat Doctor. You should eat more milk products, vegetables and boiled food. Ursodeoxicolic acid may be used for smaller stones and may dissolve them and ultrasound waves may do it as well, but success is very limited. If there is no improvement on lifestyle or dietary changes, then surgery is recommended. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doctor my son 5 yrs and 3 months old complained that he cannot read faraway letters so we went for an opthalmologist and he confirmed myopia. his prescription is -1.5 in left eye and -4.5 and cylindrical power -2 in right eye. he prescribed glasses and patch for symptom of lazy eye. i wanted to know how worst is this and how to follow up", "output": "Hello, You are on the ball. Your child complained, and you took him to the eye doctor immediately! Many young child Chat Doctor. In fact, it is the most common vision defect in this age group. Normally both eyes line up together. In a lazy eye, one of the eyes deviates, so the eyes do not line up together. The patch makes a correction so that with time both eyes will line up normally. If you had not taken your child to the ophthalmologist and his lazy eye wasn't correct, your son would have vision loss. I should think the eye specialist would want to see your son back in 2 months for his first eye check since he got his glasses. You may wish to invest in a pair of eyeglasses whose frames bend and not break and whose lenses are scratch resistant. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi my baby boy 8 month old has a lomp in his left armpit , its painless ..not tender, about1.5 cm in size , its attached to the deeper tissue and the skin above it is mobile, there is no discoloration of skin above it, the babys health is generally well and i noticet this lump only yesterday", "output": "HI, Welcome with your query to Chat Doctor. Based on the facts of your query, your 8 myths old baby has a painless lump mostly from Reactive amenities to the Vaccine shots, which he might have had lately, or it could be post-viral infection of the throat/chest. I would suggest Second Opinion after X-ray Chest/blood tests, from Surgeon, who would after proper diagnosis could treat according to its cause. Hope you got the answer for your query. Hope this would help you. Welcome for any further query in this regard Will appreciate writing your feedback review comments, to help the needy patients like you at Chat Doctor. Good Day!! Chat Doctor. S. Genl-CVTS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a regular pan masala (read Rajnigandha but not Gutkha) chewer . My teeth(s) have got red patches from back though not in front and have formed a sort of layer at the back side. There is as such no problem like pain etc but i am getting worried now on how to clear the back of teeth and getting rid of those red patches. Brushes normally cant clear out those areas. Can you suggest me some techniques or any equipment which can help me clean out those patches? or visit to a doctor needed?", "output": "Hello! I have gone through your query. Please QUIT any tobacco usage hereafter. These red patches are teeth discoloration due to pan masala. They cannot be removed at home by yourself. Based on the severity of stains you have, you must get 1 or 2 sittings of professional scaling(cleaning) done. You must also check if your oral mucosa is normal or shows any signs like burning, roughness. Also make sure your mouth opening is normal(3-4 finger wide).regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, Im having a bit of trouble breathing and it feels like someone is standing on my chest. Thing is, Im only seventeen, I dont have asthma, and I dont smoke. Im not having any trouble with a cough or fever, nothing, just a tight VERY uncomfortable feeling in my chest and maybe a little in my throat. It eases every so often, but keeps coming back. Been going on for about an hour now. I sometimes have trouble with reflux (got if from my dad), could that effect it? Ive been eating pizza... Oh, and Im female, in case that changes anything.", "output": "Thanks for your question on Chat Doctor. I can understand your. Yes, HERD (gastroesophageal reflux disease) cat cause chest pressure, heaviness and breathing difficulty. HERD is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause symptoms of chest tightness, pressure, heaviness, breathing difficulty etc. So follow these steps for better symptomatic relief. 1. Avoid hot and spicy food. Avoid junk food. Avoid fast food like pizza, sandwich, burgers etc. 2. Avoid stress and tension. 3. Avoid large meals, instead take frequent small meals. 4. Take antacid like pantoprazole on empty stomach. 5. Go for walking after meals. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I HAVE BEEN HAVING SEVERE PAIN IN THE AREA OF LEFT KIDNEY. I HAD A CT SCAN AND THEY SAID LEFT KIDNEY WAS ENLARGED. HOWEVER A MRI AND RENAL SCAN HAVE TURNED UP NOTHING BUT I STILL HAVE THE PAIN AND NAUSEA. I HAD KIDNEY STONES AT ONE TIME BUT NONE CAN BE SEEN NOW. ANY IDEAS", "output": "Hello and welcome to Chat Doctor. As a Urologist, let me assure you, that left kidney pain can be easily diagnosed, after doing the tests as mentioned by you. If you can send a copy of the CT and MRI scans, I can give an expert opinion about cause of the pain. Hope your urine and creatinine tests are done. Kindly mention your age and gendered the reports as a direct question, in my name, and I shall give you expert advice. Chat Doctor. Manga." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hey, I man having sharp head pains just in one area on the left back off my head. Now i have been having adjustments to the back and neck the passed two weeks. But this pain didnt start until yesterday and it comes and goes and i get numbness to my face. Do you think to could be nerve issues from my adjustments or could it be something more and should i go to the hospital?", "output": "Hello! I read carefully your question. Regarding your concern I think it may be an occipital neuralgia. The numbness of your face may be caused by a hypersensitiveness of the trigeminal nerve in the brain. Cervical column arthritis can also cause this type of neuralgia by compressing the occipital nerve. I would recommend consulting with your GP, have a good neurological examination and a cervical column x-ray. A brain CT scan may be necessary to rule other causes like a brain tumor, which may cause similar symptoms. Hope to have been helpful! Best wishes!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,My teeth are all straight except that I have a overbite,and a gap in my front two teeth(I used to suck my thumb when I was little)I went to a dentist and he told me I would get a retainer to pull the front teeth together and move them inwards to get rid of the overbite and spacing,But the issue I have is that the underbite causes my face to look shorter,when I move my lower jaw outwards to get closer to my upper teeth my face looks much better,Does an overbite mean that my jaw are not align correctly?I d like to know if braces can actually move my lower jaw outward rather than moving my upper teeth inward or is there any other option that can do that, Im a 20 year old female am I too old to have my jaw align since I dont think its growing anymore?", "output": "Positioning you jaws by bringing them in front would not give you the correct idea of how your face would look after the correction of your overbite. Correction of overbite would not make your face looks shorter at all it would rather improve your profile. There are ways when the jaws are corrected and positioned differently to align them more aesthetically called distraction oogenesis, but that would be done only if the jaw alignment is improper. In your case a retainer and alignment of teeth would suffice so you needn't think about the jaw surgery unnecessarily. Also, overbite can have LNG term effects in the gums leading to more problems so I would suggest you to start the treatment without any further delay." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i suffer from Deviated Nasal Septum and therefore have nasal blockage every night and this has started from last 3 yrs especially after my dads demise which made me sad and worrysome and in trauma. My question is if dns causes nasal blockage why did it not occur before 3 yrs and i will not go for surgery so please advice allopath or homeopath medicine to cure it. thanks for your time sir.", "output": "Hello and thanks for using this forum. I am very sorry for your loss. A deviated Nasal septum (DNS) is either post-traumatic like after an accident or congenital that since birth. In either the patient gives a history of obstructed breathing through the nose since birth or since the trauma. The other most likely cause for the nose block that you are experiencing is allergic rhinitis. The allergies in the human body can be due to altered immunity in response to allergens in the environment or mental stress. In your case I feel that the demise of your father could be trigger for the hypersensitivity causing the allergic rhinitis. In such a case surgery will not really be of great help. I shall be able to suggest the best HOM med for you if you can answer the following questions What is your body type -lean / overweight /flabby /Muscular ? What are your favorite foods ? How much salt and sour do you like ? Do you also get discharge from nose, sneezing at any time of the day ? Any relation to weather ? Thanks and take care. Chat Doctor. Chat Doctor .com/doctors/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have got sebeceous many cysts all over scrotum(small as hardly 1mm in size but large in numbers abt100-200). i have already undergone surgery for the same. yet new cysts are coming. which cream can i apply on scrotum dat will break cysts but wont harm skin & my sex ability as well?", "output": "Hi, Multiple sebaceous cysts over the scrotum is a rare condition but should be promptly treated if infected to avoid complications that can be harmful to your in the future. Best is to consult a surgeon who can examine you and confirm the diagnosis. Once confirmed, a carefully planned surgery must be done to remove the cysts and then probably reconstruct the scrotum using skin flap surgery. Applying cream may not always help and if ignored then you might end with a potentially life-threatening condition which can lead to infections and gangrene of the scrotum. With the latest surgical techniques complete treatment is possible." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I recently got an abcess in my mouth on my lower gum. The dentist prescribed me amoxicillin 500mg and I took the entire prescription 2 days later it came back and my neck throat and mouth became very sore. Now Im on ciprofloxacin 500mg for about 4 days now swelling and pain have gone down drastically but now my throat feels very tight and it is a very uncomfortable feeling any idea what this throat closing feeling could be ?", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. The tightness of throat as you mention in query is due to one of the side effects of ciprofloxacin. I would suggest you to immediately consult your doctor for its dose alteration or for some substitution like azithromycin. Till then give warm compresses to throat. Do warm saline gargles and take Ben Chat Doctor. Maintain proper oral hygiene by brushing and flossing. Do rinses with Betadine as well. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I went to the dentist and he noticed a nodule behind my right ear. He insisted that I get tested for TB. I did not think anything of it until I spent New years in the hospital with asthma like symptoms. I have asthma but its never been bad. What I have now are these bouts of coughing and when they occure my chest fills with mucus. This bout went on for a while and then I go back to normal. Before that it was at the end of the summer. Each time its a little worse and a little harder to breath. Let me know if you need more info.", "output": "Hello rearward welcome to Chat Doctor.come have evaluated your query thoroughly.* This seems more in relation with allergic bronchitis, rather than TB.* Suggestions for better recovery-Maintain HY Chat Doctor. - Gargles with salted lukewarm water added peppermint oil 3 times a day - Deep breathing exercises, YOGA, walking in fresh air help great.- Avoid exposure to excess cold, dusty environment with pollen.- Avoid smoking.- Regular inhalation of vapors of boiled water added tincture Benson helps Hope this will help you for sure. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "right shoulder problemHello Doctor. I injured my shoulder two days ago while wrestling with my cousin. I was in a head lock underneath him when he decided to trip me and bring me to the ground. When we fell, all of his body weight landed on my right shoulder and I instantly felt a swelling sensation. I was still able to movw my arm afterwards but as the shouldwr cooled down it made it impossible for me to move it without assistance. Aboit a year ago I was playing football and threw a ball against the wind. When I did that I felt a small pop in the middle/center parr of my shoulder. I did see a therapist for it and had it fixed. This pain is similar but more intense. My shoulder is not poped out but my rotation is very limited. I have to assist my right arm even when I am laying down. Whether its putting my arm on my stomach or above me it still needs assistance. Whenever I feel I want to move my arm anywhere, I feel I have to battle a tweak inside my shoulder. Would this be a rotater cuff injury or just some swelling that isnt allowing my arm to move yet? I fell like something needs to pop back into place but only slightly. Im told that that feeling is because of the swelling. It also hurts to get up and lay down. I did not ice right away but I did apply salon pas and also tiger balm. Do you have any advice for me? Thank you for your time and help.", "output": "Dear patient There is much possibility of rotator cuff tear or ban kart lesion, both soft tissue injury may occur during sports like wrestling. To confirm diagnosis First X-ray of involved shoulder with clavicle anteroposterior view should be done. Secondly MRI of the involved shoulder also needs to be done to confirm rotator cuff injury. Please get it done from radiology center nearby you. Immobilize your arm in shoulder immobilizer brace for 3 weeks. Avoid overhead lifting of shoulder. If MRI report is abnormal please consult expert orthopedic surgeon nearby you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 16 years old and Im afraid I might be pregnant. The last time Ive had intercourse was two weeks ago and I cant wait until my next period because I only get my period every three months. I am not able to go to a free clinic. How long does it take for me to notice if I am pregnant or not?", "output": "Hi welcome to the Chat Doctor You had history of unprotected sexual intercourse.... So pregnancy should be ruled out here... After three weeks of last LMP you can detect pregnancy by blood Chat Doctor estimation... It is somewhat costly If you can wait then after five weeks of last LMP pregnancy can be detected by urine Chat Doctor card test which is not costly Choose any one of the above method. If urgent detection needed then serum Chat Doctor estimation done If Chat Doctor positive then for further confirmation USG can be done Take care Hope your concern solved Consult gynecologist for examination for your irregular delayed period" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doctor , I got my periods last month 12th of May. But this month i have a very bad brown discharge from past 3 days, and my feelings are like mood upset, leg pain and tired. I am suffering from Thyroid and polycystic ovaries and I am under medication from past 2 years. Doctor has prescribed me Thyronorm 25mcg, Ovacare and Hyponid which I am taking from past 2 years. Because of irregular periods I am not able to conceive. Should I go ahead for fertility. Please help me out. RH", "output": "Welcome to Chat Doctor Good Dayton are probably having a vaginal infection called Bacterial vaginosis. It is foul fishy smelling discharge. You need to take medication and also avoid intercourse with your partner till you are cured. You need to keep the perineal area clean. Chat Doctor. Get a urine test and also a vaginal swab test done at the Gynaecologists' office as soon as possible and receive treatment." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My lever is fatty from last 6 month.in ultrasound report it showes mild fatty.sgpt and sgot in lft report is showing the diiference of 10 point.i am occasionally taken lesuride tablet.still my lever not working properly .which medision i can take kindly suggest me Thanks", "output": "Hello! Thanks for putting your query in Chat Doctor. I am a Gastroenterologist (DM). There are many causes of fatty liver disease like hepatitis B/ C, metabolic disorders, autoimmune disorder, alcohol or Chat Doctor. So for this you require evaluation and then appropriate management. So I will suggest you to visit a gastroenterologist for evaluation. Meanwhile:1. Do reduce your weight by diet and exercise2. At least 30 minutes aerobic exercise per day3. Low fat diet4. Tablet Ursodeoxycholic acid and Vitamin EI hope I have answered your query and this will help you. If you have any further query I will be happy to answer that too. Remain in touch and get-well soon." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor... i want to know for my mom.. she has 55 yrs. She have seviour pain in her leg, shoulders and wrist.. she can t able to stand for few mints.. her total body has too tired and weak.. can t able to up her hand above the shoulders... plz tel Me what her problem...", "output": "Welcome to Chat Doctor I have gone through your query and understand your concern. She may be having frozen shoulder, vitamin and mineral deficiencies specially vitamin D3 deficiency. She needs investigation by Blood sugar fasting, T3,T4 and TSH and vitamin D3 deficiency. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 25 and recently after intercourse with my long term girl friend, my forskin becomes sore and irritated for up to 1-3 days, especially when my forskin is pulled back. It returns to normal after a few days but happens again after intercourse. Any idea what s happening?", "output": "Hello Thanks for writing to you may be suffering from a surgical condition called as fibrosis. You need proper clinical examination by a surgeon. You may need surgical removal of skin over glans penis (called as circumcision). Circumcision is necessary because forceful retraction of skin may lead to a condition called as paraphimosis. Paraphimosis is an emergency because it compromises blood supply of glans penis. You should consult your surgeon. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my son is 7yrs old .since one week he is having headache especially in afternoon hours while attending school.he feels pain in his jaw line and nasal area when pressed lightly.at school his headaches are more intense,he is unable to write anything.i have not yet given him any antibiotic dose.but,is it necessary?", "output": "Hi...by what you feel that he might be having a Migraine. It will not be requiring antibiotics as I don't think it is sinusitis as you have not mentioned nasal discharge or mucus discharge and cough as the presenting complaints. I suggest for pain - you give - Paracetamol can be given in the dose of 15\u00a0mg/kg/dose (maximum ceiling dose of 500\u00a0mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. If the episodes are becoming more frequent than he needs evaluation. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am asking this question for my brother. He is 16 years old and in 11th class. He was made to take medical side as he was not confident enough in maths. He changed from hindi medium lower profile school to much higher level school. His performance degraded day by day and in the finals he failed. Watching him clearly shows that he is low in confidence. He cant answer general questions properly and also he is unable to concentrate on anything. He remains irritated for the day and have some childish hobbies like playing video games and with small rubber balls etc. Do we need to take him to a doctor.", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. Please understand that confidence and esteem are cannot create from nowhere. To get those you need constant practice. Experience only can provide you confidence. A swimmer learns to swim for almost three months before he gets confidence in swimming. Every field is such. Your brother lacks motivation and interest. Motivation and interest brings out urge trying and want to succeed. Consult a psychologist for counseling.Also, important is that these happenings provide you with valuable life lessons which should be useful for your future. Be confident and positive that you learned another lesson. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "herpes lesion is the disease my father is suffering from. right side of stomach watery blisters have formed and have gone away now. And its now 1.5 after blisters are gone there is pain in the stomach for the past 1.5 months and cant sleep properly and have diabetes from past 6 yrs...Plz suggest something???", "output": "Hello I have gone through your question and understand your concern. Abdominal pain post herpes zoster infection can be due to gastrointestinal involvement of infection. A very rare an unusual complication of herpes zoster seen mostly in individuals recovering from infection in old age and is very rare in child Chat Doctor. Herpes virus mainly affect nerves, sometimes infection causes paralysis of abdominal muscle wall and may cause obstruction. This intestinal pseudo-obstruction leads to pain in abdomen, discomfort, abdominal distention and can be diagnosed by abdominal radiography and may require surgical intervention. Undergo ultrasound abdomen and pelvis along with abdominal X-ray for better prognosis and consult a doctor to get abdomen physically examined. Good luck. Hope your concern is answered. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just had cath yesterday and was found 50% blockage at LAD bifurcation and a 70 blockage in circumflex artery. Had no clinical symptoms but failed cardiolite stress test at 4 minutes with multiple PVCs. Have familial history of sudden cardiac death at 52 and 66 years old. The cardiologist at cath lab did not stent but rather suggested double bypass surgery. Am scheduled for surgery in 10 days. My cholesterol with 10 mg Crestor use has dropped from 260 to 182. And they have doubled ton 20 mg. And triglycerides dropped from 299 to 87. I am considering a second opinion based on internet searches. What is your opinion?", "output": "Hello and welcome to Ask A Doctor Service. I reviewed your query and here is my answer. The labs results shows that you have normal and good cholesterol level. Keeping these levels in cardiac patient or in people like you is mandatory in order to decrease both the mortality and morbidity in patient. Also, such person like you are at risk for atherosclerosis, so low cholesterol levels will not form atherosclerosis which in turn will not cause stenosis of blood vessels, which will keep you safe from cardiac events. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 62yr. old female diagnosed with stage IV colon cancer in 2006. Metastases was to the liver, omentum, lining of the pelvic floor, and 3 out of 15 lymph nodes, along with the colon. I have had a colon resection and aggressive chemo then remained on maintenance chemo until 2009 when I had a recurrence in the right ovary. I had a hysterectomy and another 6month regimen of chemo. Since that time I have been on maintenance chemo. Had a surgery to remove extensive scar tissue and part of the small bowel due to freq. bowel obstructions. My only symptoms of gluten intolerance could also be due to the chemo so I m wondering if I have some intolerance. I do get some discomfort after eating, had freq. constipation until I began taking probiotics and sometimes Metamucil. I now have a ventral hernia and don t have as much constipation. Now I have lower left quadrant pain off and on. The Pet Scan showed something in the colon but the colonoscopy showed nothing. My CT Scan showed small lesions on my liver and kidney which are too small to determine what they are. I already had some cysts on my liver and kidneys but these are new. My CEA goes up and down from 3.4 to 4.3. My CEA when diagnosed with stage IV was only 7.6 so my doctor has increased my chemo and may go to other drugs but I am anxious about that because no one can determine if I have cancer or not. Do you have any thoughts about it?", "output": "Thanks for the query. Unfortunately this very serious disease and terminal stage of malignant disease. Chemotherapy is the only justified treatment method at this point since surgery would not be helpful in such extended disease. These lesions in liver and kidney can indicate metastases but as I said there is no purpose of surgical removal of it. You can ask is HI PEC available in your place, and it may be beneficial for your condition. Wish you good health. Feel free to ask. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "good afternoon sir my name is ABDULLAH AHMAD and i am a male student of age 21 ,sir my question is that my face colour is darker than my body colour due to which i feel shame so sir please suggest me any indian cream for to make the colour balance. good afternoon sir my name is ABDULLAH AHMAD and i am a male student of age 21 ,sir my question is that my face colour is darker than my body colour due to which i feel shame so sir please suggest me any indian cream for to make the colour balance.", "output": "HI!abdullahroxy, Welcome To Chat Doctor forum, If the complexion is darker genetically then nothing mush can be done, but if you have developed tanning, then there are some possibilities. You should first start using a good SPF sunscreen daily. Along with this you can use creams like comic acid, glycolic acid, hy Chat Doctor. Procedures like chemical peels and micro dermabrassion are also good for improving the complexion. So consult a dermatologist for the best possible treatment. Regards," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "started over a week ago maybe pulled something lower back. buttox area went to doc and therapy not responding to therapy can t stand up straight and walk. pain is in groin and top of thighs or radiating to. workmans comp so they won t do further testing still walking around furniture. med aren t working either YYYY@YYYY @ WWW.WWWW.WW", "output": "HIF its only sprain you can start gentle low back exercises and mild low back stretches along with hot water fermentation. Once you are out of acute pain, strengthening of your abdominal muscles and core is required.don't lift anything heavy now and avoid awkward twisting movements. Otherwise keep all the activities on. If pain doesn't subside at all, at least go for some investigation like x-ray. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have aortic stenosis. My next appt. with a cardiologist is in June. If I m noticing more tightness in the chest than when I saw him in Feb., should I go back to see him before June? Also, If I m going to need valve replacement, who is the best surgeon in the San Francisco to Sonora or Sacramento, CA area?", "output": "Hello, I have gone through your history. I need to know severity of stenosis to guide you properly. But there are mainly 3 symptoms which should make us to go for early surgery 1.giddiness or syncope 2.exertional shortness of breath3.chest paining your case it seems that your chest pain is progressively increasing, so I suggest you to consult your cardiologist before June. As I am from India I can't guide you about surgeon or hospital.I'm sorry for that. My best wishes Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Last year my mother had issue of csf rhinorrhea. So ENT doctor suggested for endoscopic surgery after which everything was fine for 6 months. After 6 months she had intermittent complain of CSF coming via nose. We checked with ENT team but as per there endoscopic report they didn t find any open hole. Last week she had problem of high fever and was unconscious. Later she was diagnose with meningitis which was cured after week of vaccination. Further doctor suggested for MRI scan (there was leak) in which we can see open hole. After which we consulted neuro surgeon they confirmed hole is still there and we need to open brain to fix it. So looking this to be big and complex surgery I consulted ENT team and they again did endoscopic (as I mentioned this CSF leak is intermittent, so during endoscopic check up there was no leak) and mentioned there is no leak. As per them this intermittent leak can be due to high CSF pressure and suggested for diamox 500 mg. So just wanted to check: 1) only having diamox can this heal. 2) is this possible that due to CSF pressure she is seeing intermittent leak. 3) should we go for suggestion provided by neuro team. Thanks.", "output": "Hi, I have read your case details. Before giving my opinion, I would like to know that Ct cisternogram has been done or not. If it is not done I would advise you to do it. I. tab diam ox can reduce CSF gonorrhea but can not heal it.2. No, she is having CSF gonorrhea due do bony defect at the base of skull not due to CSF pressure.3. You should go with advise of neurosurgeon. Plan should be ACF repair to stop it as she is having recurrent gonorrhea after failed endoscopic repair. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i am 23 and from past few days i have a chest pain like someone is poked a needle in my chest. and after few minutes the pain is gone and makes me feel normal but again after sudden time the pain comes again. i thought it is normal pain and gonna be alright in few days but its not getting better so i am worried. what should i do now please give me some suggestion but i dont have money to visit doctor and i dont have any health insurance", "output": "Hi welcome to Chat Doctor . You are having chronic chest pain.... Your work up should be done as follows.... 1. Chat Doctor. History of referred pain at shoulder and sweating 3.smoking history 4. Auscultation 5. Chest x-ray if needed 6.EKG only if needed According to cause further treatment can be given... Meanwhile, avoid smoking.... If bronchitis or lung inflammation present suitable antibiotic given.... If no significant cause found than it can be just muscular pain... Advise : Consult pulmonologist or nearby doctor for examination....and further work up" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor,this is kiddy from Ooty,Tamil Nadu,India. I have a problem which i would like to express it to you.iIam suffering from asthma and headaches daily,also even if i sleep ten hours a day if feel very tired but not fresh.For asthma i take inhalers and for headaches i take medicine but there is no relief for me.So suggest me some tips to keep in control of asthma,headaches and tiredness or to permanently have a cure out of these problems", "output": "Hello, Asthma results in poor ventilation resulting in decreased oxygenation to the whole body and this is perhaps the cause of your headaches. Anyway, you should also exclude other reasons for your headaches like sinus problems, refractive errors etc. It is because of the asthma that you feel tired even after rest. Since you stay in a cool place at high altitude where the atmospheric oxygen concentration is lower, you can use a nebulizer for better relief. Also, steroid inhalers are needed to prevent attacks as they reduce the need for bronchodilators which usually have unpleasant side effects. Permanent cure for asthma is not possible, but you can keep the symptoms at bay by avoiding triggering factors and taking anti-histamines whenever needed. You can try yoga and Panama when there are no attacks. Please consult a pulmonologist for further advice. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi my name is bassel. i have a history of high liver enzyme rates. but i had some recent tests and they where good. but larley i have been feeling pain in my lower left sude of my stomach and my lower back and some dizziness when i get up suddenly. Are these bad indicators?", "output": "Hi As you have elevated liver enzymes' history. Firstly I would suggest you to consult a gastroenterologist for a complete physical examination. Tenderness of qua Chat Doctor. Investigations like ultrasound abdomen is to be done along with ct abdomen to rule out possibility of inflammation in liver. Loer back pain and dizziness can be because of liver problems also. As per your question yes sir it is definitely a bad sign" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im experiencing pain in my lower abdomen once in a while fo Female, age 67, I am taking cholestrol and thyroid prescription. I have been experiencing pain in the lower abdomen, mostly on the left side. I have been having this for several weeks, starting when I get up in the morning and moving around a little, making my bed seems to be when it starts and just walking around. When I walk up the stairs (18), I experience the pain and am completely out of breath . Also whenI carry groceries two or three at a time up the stairs.", "output": "Hi JoyceWelcome to Chat Doctor. The symptoms you mention don't specify to a single diagnosis, but I will try to give you an idea about the possibilities. Considering your age, you could be having a pain due to hernia or an Ovarian disease.It's unlikely that this could be due to your medication or cardiac problem. I advise you to visit your Surgeon or Gynecologist and get examined. Examination can bring these symptoms to a definite diagnosis. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son is 2 years old.we were at the doctor last week and he had mild pneumonia. He has finished his antibiotics.He has been tested and his iron has been low, the last few months .Today I noticed his feet are slightly yellow and have a very strange smell to them.", "output": "Hello, Due to pneumonia, antibiotics, the iron level may decrease, and so you need to take iron tablets for your child. Also, I will suggest a healthy diet with soups, vegetables, fruits, and liquids to help him recover. About your other problem I can say that the slight yellow may be due to iron decrease and anemia but for the strange smell, I will suggest taking in consideration a fungal infection. Of course is just an opportunity that you can take into consideration in this case. So, first do not let his feet wet, Chat Doctor. You can also try powder with antifungal which helps in this case with the problem and with the smell. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I recently sprained my knee playing basketball....it sweep up the following morning then I went to the doctor for it. No pain when it happened just the following day, it was stiff and hard to Move. I had mobility at the hospital, could move and bend it find with really minor pain, almost none. I have full mobility now, just water on the knee type swelling still and popping/cracking sounds when I bend it back and forth and on the left side of the knee on my left leg, when I bend it all the way back, there s a little bulge but not painful at all. Should I be concerned?", "output": "Hi, thank you for providing the brief history of you. As mentioned by you that you were not able to bend the knee and was painful, have your physician advised you an MRI of the knee. Or have you met an orthopedic surgeon? As post the recovery due to the weakness of the qua Chat Doctor. Also, an input from the orthopedic surgeon using a clinical examination and also the MRI will help to plan the further rehabilitation. As you are basket ball player your lower limbs have to be really stronger to get the torque in the muscles to jump for your goal. A sports physical therapist will be able to help you achieve the optimum strength. Also, in my clinical practice I have dealt with such sports injuries, but the rehabilitation plan will be totally different from applied on the normal individuals to get the optimum torque for the better sports. RegardsJay In" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor, recently I had a car accident. An SUV hit the back of our car. A few minutes after the collision, I felt pain at my neck on the right side, which later on continued up to my right ear and right shoulder. Had an MRI and revealed small central disc annular fissure formation at C5-6 level. Although it also revealed straightened cervical spine and unremarkable cervical including the upper thoracic cord, I am still worried about the annular fissure at C5-6 level. I will be seeing my doctor tomorrow. I just got the MRI results today and he is yet to know the impression. Would you please explain the prognosis or sequelae of my cervical condition? I still feel pain at this time. It has been 5 days since the accident happened. Thank you very much!", "output": "If annular fissure is cause of your ain and medicines like gabapentin, tramadol, NSAIDs are not relieving your pain there are some interventional means to cure you. Epidural steroid injections can give you relief until nature heals the annulus, or you can directly go for angioplasty. Both these procedures are day care procedure where under C-arm guidance under local anesthesia with help of some needles we are able to treat you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi.. My name is Harold and I m 61.. I came to my studio about an hour ago and had to come up short flight of stairs while carrying equipment.. I was not winded and my heart rate was in the 80 s.. About 20 mins later I went downstairs to the bathroom.. When I finished I came back upstairs only this time I felt my heart beating faster.. I took my heart rate and it was 146.. Well, being that I suffer from anxiety I became concern.. I figured it was the restrroom along with the food I may have eaten prior to arriving.. Well, I ve been sitting for approx 15 mins and my heart rate is still in the low 100 s and it s making me anxious.. Could this be the anxiety? I have no other associated pain except a little strain in the upper right side of my back and that s from carrying all that equipment.. I hope..", "output": "Hello Mr. Harold. It can be due to anxiety, but other causes have to be ruled out by doing necessary tests. I would like to know details like history of diabetes, hypertension, smoking, alcohol, Chat Doctor. It is good if you can approach a GP for thorough clinical evaluation and tests as mentioned above. Do not worry it can be due to a simple cause. Good day. If you have any more doubts I would be happy to help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 24 years old nephew was diagnosed with tumor in stomach in July. He was treated with chemotherapy for five session at Royal Marsden hospital in London. Unfortunately this treatment could not stop the growth of the tumor. Doctors in Mumbai performed a succesful surgery and managed to pull out soccor ball size tumors intact. I need to find the details of this tumor, doctors claim it could be desmoplastic . We need to find ways to avoid re occurance of the same, where he should go for the post surgery care. Reports have been sent to Tata cancer hospital for understanding the details of the tumor. Need guidence on the next step to be taken", "output": "Hi... Vinod., Thanks for choosing Chat Doctor., DESMOPLASTIC TUMOR... It is round cell tumor..... commonly seen in Abdomen, rarely seen in STOMACH..., It is aggressive type of CANCER., That affects the surrounding., Lymph nodes easily..., Metastasis also common..., Common symptom is OBSTRUCTION....TREATMENT is Unfavorable... So take care and consult Good ONCOLOGIST., For further information...about the tumor...contact., DSRCT Research Center, Stehlin Foundation in HOUSTON...., USAFounder was PATRICK CANTON... Better to contact. Chat Doctor. .ok.best of luck.," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have some sort of pea sized lump on my armpit. Im not sure if it is due to an ingrown hair or if it is something I should be more concerned about. I have also been experiencing a sore neck (in back) only when I turn my head to the left or right. I have not been sleeping on a bed for several months--instead sleeping on a sofa. So, should I be worried?", "output": "Welcome to Chat Doctor .1. According to your description seems like, it is of concerned.2. It could be carbuncle / fur uncle (hair follicle) generally appears with redness and tenderness with pus discharge.3. An abscess also can expect similar picture - comes with fever.4.Finally, lymph nodal enlargement (due to any underlying systemic or local inflammation / infection) 5. Your symptoms are severe - take appointment as soon as possible and let doctor examine.6. Hope it will help and I have answered your questions. Anything to ask ? Do not hesitate. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, For the past 2 days my son is having stomach pain, and his bowel movement is kind of foam..i gave Albandazole suspension(given bya paediatrician)....but still his bowel movement look like a foam..can u suggest me any medication to regular the bowel movement?", "output": "Hi... Thank you for consulting in Chat Doctor. It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My child has fever for the 5th day today . He is onTaxim 0 100 mg morning n night ,he started with vomiting and lose stools which stopped on day 3 and on day 4 he started sneezing and throat congestion but as of today the fever is coming every 8hours and is about 100 so do I need to worry and investigate further or should j leave it and its only a virAl fever which will subside after the 5th day .my xSon is 5 years old", "output": "Such symptoms are usually caused due to certain viral infections. It is usually a self limiting condition and not a cause of concern. Irrespective of the use of antibiotics, it should still take 5-7 days to recover. Giving steam inhalation and some antiallergic like cetirizine should provide relief. Gurgling with lukewarm water should help in relieving the throat congestion. Giving paracetamol will help to bring down the temperature. Give ORS or oral rely Chat Doctor. If the child is active and playful, you need not worry. However, if the child starts wheezing or becomes lethargic, if the temperature is beyond control, or if the condition lasts more than 7-10 days - you would need to visit a doctor without delay." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Is it okay to take nordette again? I just took nordette as ecp last march 28. A day after I had unprotected sex. 4 pills in the first dose and another 4 after 12 hrs. I had withdrawal bleeding after 8 days, April 5. We had unprotected sex again yesterday, April 13, he used withdrawal method 4 times but I still want to be sure. Can I take Nordette as ECP again? Please help. Thank you", "output": "Hi, Thanks for the query. There should be at-least two months gap between the usage of emergency pills. Repeated usage can lead to menstrual irregularity and other related problems. For more details:http://srsree.blogspot.in/2012/08/emergency-contraceptive-pill-short-term.htmlIf you are having no other option, you can use them. But after that try to use some regular contraceptive method to avoid these problems. For more details you can ask me through: http://www.ChatDoctor .com/doctors/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am having a problem and not sure if I should go to the doctor. I have been having abdomen pain usually on my left hand side it is always sudden. The pain goes away after I go to the bathroom and poop. But I usually only go once every week or two. Also most of the time when I do go I have diahrea.", "output": "Welcome to Chat Doctor .1. It looks like for me as there is something related to bowel pathology.2. It could be colitis / ischemic bowel pathology, Irritable bowel syn Chat Doctor. 3. Get an ultrasound abdomen pelvis to rule out the positive findings and come to conclusion.4. For bowel pathology one may need CT with contrast for better evaluation.5. Get an appointment with your doctor and get needful investigations got done. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello , I would just like to know. How a 5 month old stools should look like she is formula feed , and I am also weaning her with baby rice 2 times aday , I have tried soya milk as I was told her stools should be firm at her age but I think they are to firm now so am back to normal forumla but are peanut butter like stools normal as it comes out the top of her nappy sometimes so I am unsure if they are to loose ?? I am very confused !", "output": "Hello! Thank you for writing us here. It's not good if you're feeding the baby with formulas and other child supplements. No matter what just breast milk should be given for at least 6 months. It would help the baby to develop immunity. Also, there's whining foods which should be given along with milk. Banana is very good and also improve the gut health. I would suggest stopping the formula food and change the diet of baby to just breast milk for next couple of months. Best regards, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor, my sister is suffering from kidney shrinkage, and her keratinine level is nearly to 7 on average. she is undergoing dialyses twice a week from last 3 months. But her stomach swelling is not decreasing. Her age is 25. plz guide me that shall we continue with the same. If yes for how much time. we r very upset.Arun Sharma India", "output": "Hi, I had gone through your question and understand your concerns. First thing you need to know is dialysis is the best treatment at this stage as her creatinine levels are 7. Coming to her stomach swelling the ultrafiltration which she is taking during dialysis need to be more in my opinion to take excess fluid out. If I am her treating doctor I will definitely increase the ultrafiltration if her BP is normal and if she is not tolerating she needs to be kept on weekly thrice dialysis. Please talk to your treating doctor about this and of course the final treatment other than dialysis will be the transplantation. Please get back if you have any queries. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had a relatively large white painful bump on the gum line of my lower center tooth on my bottom gum. It has been there for 7 weeks and I have tried everything on it to make it better. I have been to the dentist three times and I have been to a Rheumatologist and I have been to an ear nose and throat doctor all of which say it should eventually go away but Im tired of dealing with the pain. it is hard and the hardness goes all the way down the length of the two. Can you possibly tell me what this might be?", "output": "Hello, Thanks for consulting Chat Doctor, Read your query, as you have painful bump on lower gum this can be due to carious tooth or due to gingival problem swelling in gingival can be due to deposition of food debris, plaque, calculus resulting in formation of abscess. For this you should consult dentist and go for examination of oral cavity and investigations IOWA x-ray of tooth, if there is Periodontal abscess then go for Oral prophylaxis. In meantime, you can do warm saline gargle two - three times a day, you can apply ointment Gum paint on gum for temporary relief. Hope it will help you. Wishing you good health. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI At my last appointment with my heart specialist the doctor increased my dose of Carvidilol (Coureg) to 12.5mg twice per day in the hope that this would decrease the chances of an AFIB event, in fact he said I can eat anything now. Unfortunately over Christmas I had two or three AFIB events each of which subsided after a few hours and where my pulse fortunately never reached over 124 ppm ( at least when I checked it ). The reason for the events was probably due to over indulgence in foods that may have had higher levels of sodium chloride at the same time as drinking a lot of wine and on one occasion brandy. On a normal day my pulse is 49 to 52 in the morning and seldom gets above 65 even after some fairly heavy physical activity. It does go up to mid to high 60 s if I have two or three glasses of wine. Normally of course I am on a very low salt diet as my wife and I make almost everything from scratch ourselves without adding sodium chloride. The reason I am writing is that early March we are traveling to Australia for a month followed by a month cruising back to the US. I don t know whether I will be able to get low or no salt food on board the ship. I m wondering whether an even higher dose of coureg might be advisable during the trip to counter the unknown levels of salt I will encounter on the voyage. Thanx Keith Jones", "output": "Hello, Your dosage or Carvedilol is optimum and increasing it at present is not justified as you already have low borderline pulse (50) at rest and increasing the dose may bring it more low which would cause fatigue and weakness on routine activity. Mostly you would be able to tolerate normal salt in cooking. Just avoid breads, bakery products and preserved food as they have higher salt content. Avoid Bing Chat Doctor. If you have an Atrial fibrillation episode, taking a higher dose e.g. 25 mg max of carvedilol single dose, would be ok. But taking on routine basis is not a good idea. Also discuss the need for anticoagulation with your doctor on next visit. Regards " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Aloha from Hawaii:I just heard back from my doctor who ordered an MRI the other night. His diagnosis is L5, S1 disc protrusion. I am wondering if there is a medicine of choice for this pain until I can get more physical therapy, etc. I tried vicodin, tramadol and now he put me on Lyrica. Someone also spoke of Cymbalta (sp?)", "output": "Hi, You are diagnosed to have L5 S1 disc prolapse, and you have severe neuralgic pain because of it. Lyrica dose to be increased for relief from neuralgia. Cymbalta contains duloxetine which is a selective serotonin and norepinephrine reuptake inhibitor which when used reduces neuralgic pain, dose range from 20 mg to maximum 60 mg daily. If symptoms still persists you should consult neurosurgeon, for epidural steroids. Hope this will help regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been having pain in my upper ribs on the right side which often moves to the back under my shoulder. I ve had a chest x-ray and mammography. Both showed nothing. Also had bloodwork done. I work out everyday. Could this possibly be muscle strain?", "output": "Hello, I have studied your case. I would like to give few differential diagnoses for your symptoms. There can be thoracic nerve compression in spinal canal leading to right sided pain from rib and shoulder. Due to compression of this nerve root there is pain in your rib. I will advise you to do MRI spine for this. Another possibility of abdominal mass leading to pain on right side. CT scan abdomen with pelvis will help to get further details. Till time for these symptoms analgesic and neurotrophic medication can be started. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Which diabetic drugs should not be prescribed for a person already on these prescription drugs and/or supplements: Tikosyn, Lasix, Metoprolol Tartrate, Amlodipine, Lisinopril, Lipitor, Coumadin, Omeprazole, Enteric coated ASA, Liquid fish oils, Magnesium Citrate, B12 Folate, multivitamins, Vitamin D3, Calcium, and stool softener.Thank you for your response.", "output": "Hi, Thanks for your question. Noted your concern.Currently, you are on multiple Chat Doctor. While deciding antidiabetic medicines for such person who is on this kind of medicines following additional factors need to be considered-- Age and gender of patient.- Height, Weight, BMI.- Kidney function status.- Liver Function status.- Heart function - Left Ventricular Ejection fraction.- Need to assess Risk of hypoglycemia vs hyperglycemia. Considering these fats probably insulin with frequent monitoring of blood sugar levels may be preferred along with short-acting oral medicines relatives safe for heart and kidney and having lesser interaction with Coumadin. Hope this helps you. If so do vote as helpful." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Nine years ago I had cervical spine surgery with instrumentation. The last three weeks I am experiencing low-grade pain in my neck--radiating up the back of my head; and, I have noticed odd tastes (metalic) and smells (burned grain like) Could all this be connected? If so, what should I do? Cant afford fees.", "output": "Ok. there's a nerve from the top of the neck that runs up the back of the head (C-1 nerve). Problems in it cause pain in that location, often triggered by neck/head movement. Taste/smells are from the totally opposite side of the head (nose and the first cranial nerve that runs under the brain near the nose). A stretch to connect it to neck problems.X-rays of the neck to establish the surgery didn't fall apart then physical therapy and/or traction and/or injections, pain management would be standard treatments. Nasal inflammation/infection/sinus blockage can cause changes in smell and taste, I cannot say in your particular case without an exam." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi My name is Jane I have TCP Purpura, Multi Giant Cell Hemangiomas in all the verts in spine and neck, Liver (4 all 16 cm) in my legs and R & L Axillias, Pancreas, Around my Gall Bladder, Stomach, reproductive organs and now in my right lung, and head. Many are Symptomatic and I am on Fentynyl and other drugs to try and combat nerve pain and other symptoms......", "output": "Hi and welcome to Chat Doctor. Thank you for your query. I am sorry about your disease, but you should be encouraged to create it by all possible methods. Haemangiomas which are symptomatic, larger than 10 cm and which are risky to bleed should be surgical removed especially those in liver and lungs. Also, splenectomy should be performed if possible for improvement of thrombocytes levels. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have been eating rajnigandha paan masala for last 14/15 years.......in between stopped for some time.......now i am facing snoring , dryness of mouth specially in the night ...getting up in the night after 2-3 hours of sleep for urination........overall not very sound sleep....also getting breathless in short climbing ladders which was not before.....palpitation near larynx (voice box) on small ladder climbing..my age 42 years ,male,height 180 cmm weight 104 kg and an indian.please help", "output": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of sleep apnea is more. Sleep apnea is due to obstruction of the air passage during sleep. It can be obstructive pathology or due to excessive fat in the neck. Since you are eating rajanigandha, possibility of Upper Airway obstructive lesion is more. You are also obese (weight 104 kg), so fat related obstruction is absolute a chance. So better to consult ENT and get done clinical examination of throat and lynx and sleep study. Sleep study is must for confirmation of sleep apnea. You have to lose weight and stop rajanigandha. You may need CPAP machine at night. Consult ENT doctor and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Dr. Gourdas, I did Bilirubin test recently, i got total bilrubin count is 1.4And also i did LPT test also inthat we got Faty Liver,. Can you please suggest me on Jaundies and faty liver. For faty liver i am using GOLBI-300 tables. Waiting for your response. Regards,Mahesh", "output": "Hi dear thanks for posting question in Chat Doctor. Noted you have fatty liver. Continue with the tablet. I will give you here some lifestyle measures for fatty liver. Take fruits more. Green leafy vegetables taken more. Use oil as much less than possible. For cooking very less oil and try to use good oils like sunflower or peanut like oilsAvoid trans fat like cheese, butter, meat etc. Avoid junk food. Do regular 30 to 40 exercise like running, swimming, jogging etc. Papaiya seed with lemon juice good herbal remedy for liver. Avoid refined food and fat. With above measures gradually fatty liver will resolve within approx.10 month. Just do viral markers to rule out hepatitis. Strictly avoid smoking and alcohol. Take care. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just had an endometrial ablation yesterday. I am 47 and have been married for 3 years. We do not use any form of birth control, so after the first 2 years I assumed that I could not get pregnant. Am I at a higher risk of becoming pregnant now that I have had the ablation don?", "output": "Hi, Thank you for choosing Chat Doctor. Considering your age and ablation its unlikely you will become pregnant again, but you wait for your periods to resume, sometimes after this ablation you might go for permanent amenorrhea. If not you can get a copper T inserted. Please ask if you have more questions. If you are satisfied, please make sure that your ACCEPT my answer so that I receive credit. Good luck!!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Dr.My wife recently suffered from a bout of viral fever with a little chest congestion and cold and cough. Though she has recovered, a light wheezing sound continues. She is in the last month of ATT ( 9th month) of which only RCinex is continuing ( Rifampicin and Isoniazid). A digital Xray was done yesterday and the results came out as all clear. Right now along with R Cinex she is taking Montek LC and BroZedex syrup", "output": "HIT hanks for posting your query. It seems like she is having mild allergic bronchitis because of recent viral infection. NO need to worry about this. Make sure she avoids dust, smoke and cold air. Chat Doctor. Take steam inhalation or Eucalyptus oil inhalation. If the wheezing is still bothering get a prescription for ABPhylline and use it for few days, she will feel better. Hope this information was useful to you. Any clarification feel free to ask." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Is it normal for my 10 yr old 2 have her chicken pox break open & blood come out & is it normal for them 2 look like they r dry but when u touch them they are wet & is it okay for them 2 look like the are an open sore with little blisters around it?", "output": "Thanks for posting you query to Chat Doctor.chicken pox vesicle are healed with crust formation and then these crust shed off and leave a scar, this is the normal course of disease .if you scratch the vesicle or crust it will bleed, so don't scratch the lesion as bleeding increases chances of secondary bacterial infection .if you develop open lesion after scratching need to take care of that by doing Chat Doctor. Systemic antibiotic like Ampicillin 500\u00a0mg three times a day orally can be taken prophylactically. Hope you would be satisfied with my answer. Feel free to communicate if any query.regards," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My brother who was a first responder on 9/11 has been vomitting for 3 weeks, fever, chills as well as abdominal pain. He finally went to the ER last night where they discovered swollen lymph nodes and an enlarged spleen. They released him and told him to follow up asap with family doctor. He is a terrible patient and hates to see any doctor. I am worried about the many cancers associated with 9/11. any suggestions would be greatly appreciated.Thank in advance,Kerry", "output": "Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. In your case it looks like infectious cause. Generally enlarged spleen is called splenomegaly and there are various causes possibly leading to this. In first case these are infections such as mononucleosis Parasitic infections, such as toxoplasmosis or Bacterial infections. It means that any infection in your body may lead to spleen enlargement. Second most common causes include autoimmune diseases such as thrombocytopenia. If this is ruled out by specific tests then some other causes may be considered and some are more or less serious such as Leukemia Lymphoma, or noninflammatory diseases such as acidosis, lupus, and rheumatoid arthritis. In every case, infectious causes are treated with antibiotics and other causes may require surgical removal of spleen. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Recently had a stress test done. Had to stop after 6 minutes short of breath blood pressure 220 over 110, heart rate 87, ekg ok what does this mean? Tak bata blockers and atacand since january, no other medication. No real symptoms other than tighness in chest, short of breath. Age 47 female", "output": "Hi, Based on the findings given in the history you seem to be suffering from heart failure secondary to uncontrolled blood pressure. I advise you to consult a physician/cardiologist for further evaluation which may involve certain tests such as ECG, Echocardiography and routine lab tests. You may also need Chat Doctor. You must restrict your dietary salt intake, avoid smoking, alcohol, and stress. Hope these answer your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am TTC. Last I had periods on 1st March,2014. Doctor suggests to take GoodOva Tablet and also CB-Lin, Emrite-500, Thyronil Tablets. I taken Goodova tablet from 6th day of my periods(06th March, 2014). Doctor suggests to have a intercourse between 10th March,14 day to 20th March,14 as I might have ovulation only on those days. But I had my periods till 14th March,2014. After that, We had a regular intercourse till 20th March. I did home pregnancy test on 30th March. But Negative result. I have a few queries: 1. Is it possible that I didn t get ovulation even thought I taken GoodOva Tablet. 2. Is it possible to have ovulation during periods. If so, Is there any chances that I might missed my ovulation during periods. 3. As my doctor suggests,is it OK to have intercourse only between 10th to 20th days from my periods. 4. If I get ovulation between 10th to 20th March and not pregnant means, I should get my periods now ( I heard that after ovulation it takes 12 days to get periods). But it is not happening. Is there is any chance I might get ovulation on coming days. Please help me on above queries. Regards, Karthika PS: I don t have either Thyroid or sugar. I have PCOD other than that all my tests are normal. I have irregular periods problem to.", "output": "Hi there, Welcome to Chat Doctor, If your period lasted from 1 to 14 March you have had a prolonged bleeding and might not have ovulated in this cycle. Yes, it is possible that some women do not respond to Good ova (Camphene), these could be due to Camphene resistance or improper use. If you have been diagnosed with PCs delayed periods and an ovulation are common, and it could be due to the same that you have not yet got your period. You need to get proper medication for PCs, Metformin 500 mg twice a day is advisable and can be continued even when you get pregnant. It is not advisable to take thyroid tablets unless you have a documented thyroid deficiency, it will not help you to take it randomly. Diet, exercise and Metformin will help you with the PCs. For ovulation induction with Camphene you need to take Camphene from day 2 to day 7 of the cycle and undergo follicular monitoring from day 9 of the cycle to track the ovulation.Also, Folic acid should be taken by any women trying to conceive. You could take Phaeton to get your period and start Camphene from day 2, after confirming with another pregnant test that you are definitely not pregnant. Hope this helps. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have woken up the past few morning with a mucus film all over my mouth. I have large red bumps on my tounge, and am experience pain on the edges on my tounge. Last night I looked in the mirror and there was a white covering on my tounge, which I could scrap off, however white bumps remained. My soft palet is swollan and inflamed.", "output": "Hello and welcome, The details provided gives an assumption of the lesion being pre-cancerous in nature. Such lesions are usually caused due to-Poor oral hygiene. Nutritional disorders. Antibiotic reactions. Fungal infections. Oral habits like tobacco/pan chewing. Chances of the lesion being acute pseudo-membraneous candidiasis or oral thrush is high. I would advise you to-Maintain oral hygiene well. Discontinue use of antibiotics causing allergy. Take vitamin supplements. Stop chewing tobacco/pan. Antifungal Chat Doctor. Hope this hemisphere is more chance" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My right index finger was hit with a hockey stick during the game four weeks ago. My finger has a raised lump on the bone and I was wondering if I should be concerned. If pressure is applied to this raised area it does hurt like the area is still bruised.", "output": "Hi, Dear,Thanks for the query to Chat Doctor. I studied your problem in depth and I understood your concerns. Treatment for the painful lump on the finger-In my opinion you should not be concerned much as it would resolve on its own with the time, but should investigate it with your ER Ortho-Surgeon, who would treat it according to its cause. From your facts of the query-In my opinion-this lump seems to be due to the post-traumatic tissue damage to the money joints of the right index finger. So take treatment from your ER Ortho-Surgeon, who would treat it after due investigations and treat it accordingly. This advice is based on the facts from the history you give and needs further clinical check.Hence, I would advise you to check with ER Or tho- Surgeon. So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you. Hope this would relieve your problem. Welcome for any more query in this regard to Chat Doctor. Write good resume and Click thanks if you feel satisfied with my advice. Have a Good Day. Chat Doctor. N." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I have been dealing with various mouth pain for several months accompanied by extreme thirst. The veins under my tongue periodically swell and hurt. Ive had sores on my tongue and gums. I dont feel well. One sore on my tongue has been there since October. Help will be appreciated", "output": "Hello, As per your query you have symptoms of soreness in the tongue and gums along with excessive thirst which is mainly due to recurrent dermatitis. I would suggest you do warm saline rinses several times a day. You should maintain complete oral hygiene. Massage with a numbing gel that is lidocaine gel. Avoid having any sharp and spicy food. You should consult a dentist and get evaluated and get an x-ray of that particular region done to rule out the exact cause of the infection and pain and get treated accordingly. The doctor may perform oral prophylaxis or may prescribe antibiotics along with anti-inflammatory. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello!Ive been recently diagnosed with Fibromyalgia by a rheumatoid arthritis specialist. I recently retired and have been involved in physical fitness all my life. I am having a hard time accepting this diagnosis but have taken it upon myself to talk to a cognitive therapist, been to a chiropractor many times and have become an active yoga enthusiast. I dont enjoy the thought of trying various pain medications for fear of their side effects. I understand there is a blood test called FM/a which identifies markers produced by immune system blood cells with in people with fibro. Is this worth pursuing? My symptoms include pain in both upper thighs (t-bands), chronic stiffness in the neck and shoulder areas. Could this be related to some other underlying condition that hasnt been checked? I am having difficulty with this diagnosis since I have been quite active all my life (60 now).With Thanks", "output": "**1. Since diagnosis is made by a specialist, event then consider second opinion for available options and conservative management.PS. immune marker will help establish prognosis and available options of the disease, thus is worth pursuing.2. Because there is no identifiable because thus treatment is symptomatic, as a result both pharmacological and non-pharmacological measures are used as adjuvant to get a good control of pain and extended symptom free period, such as:. Relaxation and stress management [stress is trigger response to fibromyalgia symptoms], thus yoga & Panama are helpful. Physiotherapy: wax massage, ultrasound/infra-red technique to minimize pain. Diet rich in omega 3 is considered helpful in alleviating fibromyalgia symptoms. In Ayurveda, we consider/manage the disease under Ransomed At Vast, thus prescription medicines available are: Chan Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i stubbed my toe on a piece of furniture, it was bent pointing outward, i have extreme pain in baby toe, right side of foot up into my calf. I tried to put the baby toe back in place, it hurt like hell, i taped it to the other toe but i am still having alot of pain", "output": "Hi, You have a fracture in your toe. It needs to be stabilized with a plaster, which will be applied on whole your ankle. Till then, you are not supposed to take weight on the toe or ankle. You need to take rest, apply ice, use a compression bandage and elevate the limb to reduce pain and swelling. If you had been my patient I would have suggested Ibuprofen twice daily for 3 days and then once till pain subsides. Hope this helps you. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 5 year old daughter was bouncing on her bed and fell and hit her forehead on the corner of the radiator 2 weeks ago. a large lump came up straight away and bruising. the lump went down a lot 2 days later. she was not sick or showed any signed of drowsiness. in fact she was fine. the lump is still there and very hard now 2 weeks later. should i be concerned?", "output": "Hi, dairy have gone through your question. I can understand your concern. She has history of trauma. So she may have some hematoma formation due to extravasation of blood. It will heal gradually. Nothing to worry about that. If she has pain then analgesic plus anti-inflammatory Chat Doctor. Otherwise, no treatment is required. Apply ice massage on it. Nothing to worry about that. Just be relaxed. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had lap band and recently had a brief blockage. When I threw up it was violate. Afterward my eyes were hurting and very bloodshot, my ears were ringing and for a couple of days my ears hurt and made noises as if I had an ear infection. What are the dangers in this kind of vomiting?", "output": "Hello! Thank you for asking on Chat Doctor! I understand your concern and would explain that violent vomiting could lead to raises in blood pressure. Your symptoms could be related to these changes in blood pressure and heart rate. I would recommend you to monitor your blood pressure during these episodes. The ringing in the ears could be explained by changes in blood pressure or changes in the sinus pressure, during this type of physical exertion. You should consult with your attending physician in order to help you regulate the function of Lap Band. Hope you will find this answer helpful! Best wishes, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter, 15, has anxiety. She s on Prozac, 80 mg and 76 concerta. She has Xanax for attacks. She s very anxious tonight, I see a panic attack coming tomorrow. Will taking Prozac or Xanax help prevent it tomorrow? Will she be too tired in school?", "output": "! After reading your question I can say from my clinical experience that your daughter is on Prozac (fluoxetine) and concrete (methylphenidate) for her problems, and you have asked if she can be given Xanax to prevent the possibility of a panic attack ... I have seen I my clinical practice that SOS (when needed) use of clonazepam/ alprazolam is effective in controlling agitation. The only thing I ask my patients to keep in mind is sedation (not tiredness) which may develop after taking Xanax.in most of the cases of aggression, or panic attack, the only thing which happens with medicine is that the abortion of attack. Rarely, any patient develops sleep or sedation. But it is always a possibility that she may have lethargy, so, keep a check. If you feel such, ask her to take leave from school for a day. Hoep the reply was helpful feel free to ask more questions" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am manic-depressive, schizophrenic and psychotic and have been on medication to treat for many years. I am also being treated for a toenail fungus that I ve been going to doctors for a good ten years, and on Medicaid. I found out my new doctor who prescribed my terbinafine for three months and my OLANZapine no longer accepts Medicaid the last month of my prescription so I called to get a new PCP, got one assigned and called them a few weeks ago. I can t get an appt. as a new patient until Sept. 17 and will run out of both medicines before then. The last time I was off the medicine I had heart pain diagnosed as a racing heart by the ER and was given a heart attack cocktail they called it. I am very concerned about running out of my medicine but don t know what to do about it.", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. You should know that these problems are not mental diseases, but are mental disorders. Many researches and researchers confirm that medicines alone cannot cure mental disorders. Lifestyle changes, change in thinking pattern, relaxation etc. are as essential as medicines. Psychotherapy can help you to change your lifestyle and thinking patterns. Yoga and meditation help you to streamline your metabolism and neurological balance. Please consult a psychologist for further information. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ive been in the hospital several times this week in the emergency room for Kidney problems then the ER Dr. prescribed some antibiotics for my kidney, I took this medication and it made my body hurt so much, a lot of pain, I went to another Dr. and that Dr. told me that he thinks the pain may be a cause of my Gall bladder. my enzymes were very high from my liver. My body is very itchy and under my skin it hurts everywhere and if i itch it makes it worse and I begin to break out in blochy red sores.", "output": "Hi, dairy have gone through your question. I can understand your concern. You have gall bladder problem, high liver enzymes and itching. Your symptoms suggest gall stone with or without cholecystitis. You should go for ultrasound abdomen and complete liver function test. It will give you exact diagnosis. Then you should take treatment accordingly. Chronic circular cholecystitis can be treated by surgery or conservatively. Consult your doctor and take treatment accordingly. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just pulled something out of my daughter s butt. She is 2 1/2 years old and has been complaining of her butt hurting for a month. They put her on Miralax, but she still complains. What i pulled out of her butt looked like a long piece of pulled beef. It was stringy but lumped together. I ve seen this several times now, but this was the longest piece. Any idea on what it could be?", "output": "Hi, the long stringy thing that you removed could be a tapeworm or any other parasite. This is also the cause of constipation which required MiraLax and is also the cause of pain in the abdomen. Give your child Tablet Albendazole 400 mg single tablet. Repeat the dose after 1 week. She should be alright in a few days. Give her some supplements in form of Complex as infestation leads to malabsorption. Spy A to Z 5 ml twice a day will be helpful. Thanks and regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here... my tongue has been feeling heavy for a few hours i ate bar be que chicken then a piece of watermelon and ten minutes later, the back of my tongue was feeling heavy can you say why?", "output": "Helloo...read through your query.accordingly I must say that heaviness of tongue can.be due to burning away of the taste buds at back of your tongue causing a feeling of heaviness.but nothing to be worried.it will be relieved in few days time... Chat Doctor. .avoid too hot food for few days, follow this for a week within which it will n\u00e9 healed...be cool and calm...tension can end up in more problems.after a week still persists meet a dentist and get it treated based on clinical presentation...hope your benefitted something from this reply.have a healthy day!!!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I HAVE PROBLEM GERD , constipation , ACID MY ENDOSCOPY REPORT -EROSIVE GASTRIS LFT NORMAL MY MEDICINE-PANTODAC DSR ADIZA10MG LIBOTRYP LAST 3 MONT I TAKE A MEDICINE NOW IAVE A PROBLEN BACK PAIN WERIST", "output": "Hello, I had gone through the case and found that back pain might be due to constipation if it is. Other causes are-Vitamin D deficiency, Lumbar spondylosis. So go for Blood test of vitamin D 3 level and x-ray of Lumbar vertebrae. So get the diagnosis and then consult to me for further treatment. It may be medicine required or only need of physiotherapy. Hope my answer will be effective for you. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I noticed a week or so ago a circular slightly red spot on the upper inner part of my arm. It does not burn or itch and it is not raised. When I first saw it I thought maybe it could be ringworm. I dont know what I had that thought, but did. Then a few days ago I noticed what looks like small red callouses on top of the same two fingers on both hands. They are not dry, dont burn or itch. This morning, I discovered that I had sllightly round reddish/violet spots (the size of a lemon) in the groin area on both thighs. Again, no burning itching or pain of any sort. I just read something about flesh eating diseases and am worried I may have something like that. I do not take any meds; only vitamins D and B12 (which may be low at this time). Thank you for any information on this. I am getting an appointment with a dermatologist this week, but in the meantime, I am concerned because I have never had or seen anything like this. Its not grotesque or anything, but not narmal.", "output": "Hi, happy to help you on your health concern on part of Chat Doctor! In the present case of Tina corporal and courts or ring worm infection I would suggest a combination of clotrimazole or fluconazole/gentamicin and clobetasol like low dose steroid for 1 month. Please contact your local doctor for a prescription! Hope you got your answer. Please feel free to write to us if any more queries. Wishing you the best health!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi.since i got removed my upper tooth gum is healing good but now i notice that gum where is hole feels big and like flabby.i was thinking maybe i irritated it because i keep touching that area with my tongue.so feels like piece of extra gum is hanging.is that normal ?", "output": "Thanks for sharing your concern with Heath Care Magic.! Please note that, post extraction your dentist would have informed you not to disturb that area as this will impede the healing process. However, you have been disturbing this frequently the healing of the socket would have been delayed. The flabby tissue usually gets remodeled within 2-3 weeks post extraction, if still persist you can revisit your dentist for excision of the flabby tissue." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Heyim 15 year old goani have noticed this cluster of small bolis on my foreskin after retractionive never had intercourse but i masturbate once in 2dayif you need pictures i can provideI dont want 2 tell my parentsit doesnt itch or burn but its jst noticeable how do i cure myself", "output": "**1. Since there is no history of intercourse/sexual contact, likelihood of STDs [sexually transmitted disease] is/are ruled out, thus likely possibilities in your case could be. Normal skin formation caused by the excessive oil gland production of sebum. Candida Balanoposthitis (CBP) and Nodular Scabies.2. If you are uncertain, you better see a doctor to have this figured out and start with prescription Chat Doctor. PS. It is always wise to get confirmed by a professional3. It is necessary to practice general hygiene measures also:. Proper hygiene of genitals. Change of underwear, twice a day [prefer cotton undergarments]. Keep the area clean and " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had this yeast infection for almost a year. We have tried many prescribed and over the counter aids. My doctor prescribed Nya Myc Nystatin Topical. Do you think this will clear it up. It is under throll of my stomach, and sometimes on left side of my intersticols.", "output": "HI, thanks for using Chat Doctor It is an antifungal and can be used to treat topical fungal infections but if your infection is widespread, it may be better to combine it with a 2 to 3-week course of an oral antifungal. In addition, your doctor may want to consider a swab of the area to find the exact fungus involved. The lab would also determine which medications would work best and give this information to your doctor. That way you can be treated definitively hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was coughing for the past month and have asthma like attack when I wake up coughing at night. A Dr told me that I might have walking pneumonia and gave me some antibiotics. Towards the end of my cough the left side of my rib started to hurt (about two weeks ago). I had that side of my rib injured before (hairline fracture). Which I think may be a reinjury of some sort due to excessive coughing, however, in the past week this pain had traveled from my left side and extend to my right side also. However, the right side pain is more towards the sternum. I don t feel extensive pain going about my day, just have a hard time getting up in the morning when it hurts the most, and when I have any residual cough. Not sure what is wrong with me, and are there thing I can do to get better?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of bronchitis is more. Bronchitis is inflammation of airways. It can cause excessive coughing, asthma like attacks, chest pain on coughing etc. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment is based on severity only. You will mostly improve with inhaled bronchodilators and inhaled corticosteroid (ICS). Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my mothers age 58, jaundice problemcreatinine 4.88, sodium-125, potasium-4.6; chloride-85;bilirubin total-17.16;bilirubin direct-2.38;sgot-155;sgpt-160;alkaline phos-260;protein-7.54;albumin-3.4;urea-138 and BP 30nowplease help. what is status and in which stage she is?", "output": "Hi thanks for contacting Chat Doctor.... Your liver enzymes are high....with increased bilirubin. Your albumin level low ....so you are having chronic liver problem.... You might have cirrhosis or chronic hepatitis.... For grading liver biopsy needed... Your physical examination must be done for splenomegaly and ascites..... If portal hypertension present beta blocker needed... For jaundice fruits taken more.... Excess fatty diet avoided.... Sugar cane juice, apple juice taken more.... Avoid strenuous work.... Consult gastroenterologist for detail examination and further opinion... Take care.... Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Whether heart disease can be cured by Homeopathic treatment. Heart if functioning upto 25 % and when medicine for heart beat improvement is taken then it affects Blood pressures and it gets low and when medicine for improving Blood pressure is teken then heart beat gets low. Twice patient was admitted to Kokilaben Ambani Hospital and he is under treatment of Dr. Jamshed Dalal in last one year. Please suggest whether this heart problem can be cured by taking Homeopathic treqtment. Also please suggest name address of any Doctor at Mumbai who can provide Homeopathic treatment for curing the above disease.", "output": "Hello Concerned Person, A chronic heart condition responds well to Homeopathy if the patients' vitality is good. Since you have not mentioned the age of the patient or the actual diagnosis your cardiologist has given, it would be wrong to give a definite idea about the scope of Homeopathy in this case. However, there are some wonderful remedies in Homeopathy for heart failure and arrhythmias. I would recommend you to submit a complete case record with reports and then a call can be taken about treatment. You can mail the reports at Chat Doctor. Com if you would like further guidance. All the best!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "In March 2010 i had a cervical biopsy because my pap smear came back abnormal. Lately (about 2 months) I feel bloated and tired more than usual. My bloating looks like im 2-3 months pregnant. No changes in my eating habits. Could the bloating be related to ovarian cancer? or a cyst? No adominal or back pain. or abnormal bleeding. I am 29. I am now weighing in at 112 (104 previously) 5 feet 2. Thanks!", "output": "Hi, Thanks for writing in. Bloating is a non-specific symptom and might be seen in many conditions. Cysts in the ovary might cause bloating sensation and this requires clinical abdominal examination and ultrasound scan or CT scan. Any cyst in the ovary will be noted. It is also possible that there might be a condition in the uterus and this might be confirmed by clinical investigations. A pap smear is not connected to cyst in ovary. It tells about the cells in cervix. Please discuss your pap smear report with the doctor. If there is any cyst in the ovary then you might have to do additional test like CA 125 to know if there is any risk of cancer associated with the cyst. You might also get your thyroid function test done. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was prescribed Cefrin for an upper respiratory infection. How long after starting medicine should I see an improvement? It has been almost 4 days and I am getting worse. I have had a fever of at least 101.5 or higher without breaking, even while taking tylenol. Should I go back to my doctor?", "output": "Hi welcome to the Chat Doctor You have been prescribed antibiotic for your upper respiratory tract infection If no improvement than further work up needed like chest x-ray to look for any consolidation if present Is needed spirometry also done to assess severity like in bronchitis and guiding further treatment Sputum examination done along with culture if needed to choose proper medication Take care Consult pulmonologist for examination again and accordingly if needed above discussed investigation can be done Hope your concern solved" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I also have had a severe dull pain in my neck and shoulder area. it has spread down my arms and i feel a throbbing in my elbow joints. My lungs feel raw and my breath is a bit labored. this has come and gone several times in the last couple of says and it is the worst yet as of right now. i just took some pain medication.", "output": "Hi thanks for queryThrobbing pain in body anywhere doctors tends to consider any infection and specifically access formation might have developed acute septic arthritis of elbow and other features like labored breathing etc. might be due to systemic side effect of this septic joint just considering a possibility please visit an orthopedic surgeon so that he can clinically and radiologically evaluate and give you appropriate treatment.Don't take it lightly and wish you luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my father is 80 ears old and complaining of stomach ache. He has been slightly constipated so last friday took him to doctor, and was told to use miralax. He was not eating how he normally eats, and even after doctor visit he feels better, but has not regained his full appetite. This morning he says his stomach hurts, and his urine looks like it has blood. He is 5ft11in, 220lb., and has had stroke, and heart attack. Also has pacemaker.", "output": "Hi. Thanks for your query. The history of Stroke, Heart attack and Pacemaker indicates that your Father must be taking some medicines for thinning blood. This may be the reason for blood in the urine. Immediately get the coagulation profile done and consult a Doctor to get the other investigations and treatment to be done. The stomach pains can be due to constipation itself. MiraLax should have helped. You can try enema, and if still has pains as he is already not taking anything orally, it is better to get an opinion of a Doctor to see and examine the abdomen. Get the following investigations:X-ray of the abdomen in standing position. Ultrasonography. Urine : routine, microscopy, culture and sensitivity - get whether there is a bleeding." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi im wondering What can I clean my mouth out with everytime I finish a smoke I seem to b using my mouth wash to frequently I couldn t possibly live wife out no teeth I m only 21 (I have a gum infection my gums seem like thay are getting eating away it s constantly hertin any ideas that will make my mouth feel a lot better .. thankyou", "output": "Dear Amy Trotter, Smoking is bad or rather very, very bad for your gums in addition to your general health. It's advisable to stop at the earliest. Numerous dentists nowadays offer Smoking Cessation Tips if you are interested in kicking off the habit. For the gum infection please visit a dentist (preferably a Periodontist) to get your teeth cleaned (Scaling & Root Planing) once every 3 months depending upon how much you smoke. It's also important to clean your tongue with a tongue cleaner, or you can use the same brush & paste though gently. Which Toothpaste & Mouth wash do you use?" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doc, we were planning to have a baby and my husband had a typhoid,antibiotics were given for 3 days fever subsided after 3 days & we had another blood test done, d report indicated he is still infected but he has no signs of fever how long should we wait to conceivethanks,Archana", "output": "Hello, Welcome to ChatDoctorI understand your concern. There is no such contraindication for getting pregnant when your husband is suffering from typhoid. But when your partner is suffering from infection, there will be fewer chances of you becoming pregnant because of medications and stress he is undergoing. So, i would advise you to wait till he gets completely cured and then only try for it. Hope you are happy with the answer. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My friend is in the Hospital and says Blood tests state she now has an Internal Bleed. She was diagnosed with CHF the other day and she is obese and has sores on her back calves. They ve put her on antibiotics etc, but she is on different medications for various reasons. Gravol, anti-depressants, Tylenol and seizure meds etc. Wondering if these meds have anything to do with her Internal Bleed. She seems very ill, will she pull through this, can they do anything for an Internal Bleed?", "output": "Hello and welcome to Chat Doctor, Congestive heart failure and medications prescribed to you are probably not the cause of internal bleed. Internal bleed can occur due to internal injury. Spontaneous internal bleeding can occur due to reduced platelet count or deficiency of coagulation factors. Thus, you need to consult your primary healthcare provider for clinical assessment and prescribe these investigations- complete hologram, platelet counts, bleeding time, clotting time and other coagulation tests- prothrombin time (PT) and activated partial thromboplastin time (apt). In case any of these investigations are abnormal, you need to consult your hematologist for further management. Thanks and take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My mother did knee replacement and prostetis removal because of infection. After 3 month of treatment, she still has Proteus mirabilisin her knee. Please, help us. What we should do. Doctor put her on antibiotic again (levofloxacin) may be there is another remedy", "output": "Hello, Proteus may develop resistance to Chat Doctor. But sensitivity and culture test is useful to confirm the cause. The most appropriate treatment for P. Mirabilis may be aminoglycosides, carbapenems (except Eminem), and 3rd generation cephalosporins. Recent P. Mirabilis isolates were also mostly susceptible to augmenting, ampicillin-sulbactam, and piperacillin/tazobactam. So please get it done culture and sensitivity according to that get treated. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "wen i had my daughter i had a severely slow painful back labour as it was all in my back that was 4 yrs ago i still have alot of back trouble i am now pregnant again with my second child and my back is gettin worse day by day im worried if i give birth naturaly with this 1 i could seriously do some harm im only 26 and dont want to suffer as i get older pls help.", "output": "Welcome to Chat Doctor .1. Your history suggest a chronic back pain.2. But now you are saying that you are pregnant - so at this time we can't investigate much regarding your back pain. (neither x-ray, nor MRI-not harmful but why stress in pregnancy)3. So I would suggest taking some symptomatic painkillers suggested by your OBI specialist. 4. Try to have good bed rest and ask for few exercises during pregnancy - they might give relaxation.5. After pregnancy an active investigation and treatment can be done. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have a question about my asthma medicine. i was taking advair for a few years. it was working great till my insurance change and couldnt use advair anymore and switched me to dulera, which is not controlling my asthma. when i was using advair never had to use my rescue inhaler now that im on dulera i have to use my rescue inhaler more often. what should i do?", "output": "Hi, I appreciate your concern. Actually Ruler contains formoterol & mometasone and Adverse contains fluticasone & albuterol. Though both contain anti-asthma Chat Doctor. In case your symptoms were well controlled with Ruler, it is better you continue taking it. In case your insurance company does not provide you Ruler, then you can try increasing the frequency of usage of Adverse, which might help. You can also try taking " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello sir,good after noon.i am a student of 19 years old.i am suffering from hair loss frm 2 years and it is almost leading to baldnes of my head.i am cryng daily by others comments on me.even i attempted suicide.i do handpractice once in a week.wil it cause hairloss? I would see a god in you if u could help me .plz plz help sir.", "output": "Howell come to ChatDoctorI really appreciate your concern, you have not mentioned your gender because it is highly matter of concern as long as your complaint is concern, if you are a male person then it could be male patron baldness, and it can be managed with \"Minoxidil 5 % lotion\" apply this on your scalp, and it needs to be continued for long time, hope this information helps, take care and have a nice day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I got a soft and moveable knot on my forehead last wek it started on right side then went and made my eye swell doctor put me on infection meds took it all and last nite a knot came up on left side took allergy meds but I am concerned about it because I dont know what it is and how to get better I am scared too I just want answer on what it is. I havent fell or hurt my self and it is not a zit Please help me", "output": "It looks like pimple which is pus filled and is increasing due to heat and hotcake cap doxycycline 100 mg BD for 10 days this is the fastest pus clearer of skin take basting 10 mg night liquid antacid and warm water apply clindamycin gel sand calamine lotion on skin when you go outtake 3 wk avoid non-oily non greedy non-fatty and non-spicy food avoid toxic soaps shampoo oils and stop body application material applying on body" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "good afternoon doctor m rohan 22 years old i have allergy of smoke it causes cold and further asthma some breathing problem what precautionshould i take? i used inheler frequently is it effecy my immunitive power & how can i improve my immunive power by daily diet?", "output": "Hello Rohan, Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for you as follows:1. I would suggest you allergy testing for common air-borne allergens such as house dust mites, molds, pollen, insect proteins, pet dander, etc. This will help you identify the substances causing allergies to you as well as to know the measures to avoid them.2. Based on allergy testing, an Allergist-Immunologist may prescribe you allergen specific immunotherapy which will work on immune system to gradually improve allergy symptoms over a long period.3. In general, I would suggest you to avoid exposure to dusts, smokes and air pollution as much as possible.4. I would suggest you to use inhaler as suggested by your doctor. (There are two types of inhalers, some are to be taken regularly and some are to be taken for symptom relief on as-and-when-needed basis). Inhalers do not affect immunity unless a very large dose is used for long duration (a few years), so please do not worry about it. Of course, it is important to know that inhalers are very good to control the symptoms, but they are not helping immunity too. So other measures to improve immunity should be taken simultaneously.5. For improving immunity through diet, vitamins, minerals and antioxidants are very important. Usually we get them from fresh green vegetables, fresh fruits and some other sources. Packed foods that contain preservatives/colors/flavors etc. are not considered good, so as excess of fried foods, that do not have much of nutrition value.6. Some patients experience worsening of cold/asthma symptoms after taking cold foods like cold water, cold Chat Doctor. If it is true for you, I would suggest you to avoid them.7. Apart from diet, regular physical exercise, Yoga, breathing exercises including Panama and stress reduction including relaxation & meditation practices are very important to improve immunity. Yoga & Panama also help to improve lung capacity which helps asthma patients and may reduce requirements of inhalers with long term practice. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you the best of the health ahead. Thank you & Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I had a fall about two months ago and my knee has what looks like 3/4th of a golf ball bump on it. I have been putting ice on it. It doesn t hurt unless I put pressure on it. It is mostly squishy but has hard parts. I can walk normal. Is it some kind of cyst that formed from the fall?", "output": "Hi, dairy have gone through your question. I can understand your concern. You have history of trauma. You have high chance of having hematoma formation due to extravasation of blood. Furthermore, you should go for MRI knee once to rule out any meniscus or ligament injury or other soft tissue injury. Then you should take treatment accordingly. Rest, anti-inflammatory plus analgesic Chat Doctor. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Will valium become more effective over time? I know it is supposed to work instantly, yet I have been going up and down on doses for a few weeks now as I dont want to be on them. I do ok taking 5mg at night for a week, and then try to stop, or lower the dose, and end up a few days later needing 20mg just to stop a night time anxiety attack. Then I drop back to the 5mg for awhile do ok for a week, and again try to lower or stop...and the cycle continues. Is it better to just keep taking it at 5mg daily no matter what and leave it alone for awhile...husband and some web sites say that valium will become more effective if I take it daily to build up the same level in my body.", "output": "HI, thanks for using Chat Doctor. You have not mentioned why you are taking Valium. Valium is diazepam, benzodiazepine in nature. It is used for sleep mainly associated with primary Chat Doctor. For a short term it may be used for anxiety. Valium is having addictive properties. As you go on increasing, you require higher dose of it. Rather than doing self-medication, You should consult psychiatrist for detailed evaluation and treatment. Valium use should be restricted only as and when required basis only. Meanwhile you can try stress management and relaxation techniques like yoga and meditation for better sleep and relaxation. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 8 yr old son is suffring from astma. When he gets attach we give him levoline and seroflow pump as per dr suggestion. Now dr suggests us to give him half telekast l tablet every day. I am affraid about the side effects. Generally he gets cold and cough in 2,3 months. He has suffred with astma attach for 3 -5 times in last 2 years. Pl suggest", "output": "Hellos you have mentioned your son is suffering from Intermittent asthma. Management of this condition is inhalation bronchodilator (leveling or Aeroflot) as and when required. Montelukast is actually used in treatment of persistent asthma (attack more than one time a wk), sometimes physicians prescribe it in intermittent attack also because it reduces bronchial reactivity. Side effects of montelukast are very few like restlessness, irritability etc. I hope this answers your query effectively. In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out. Please accept my answer in case you do not have further queries. Wishing you good health. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my problem is involuntary movements due to stomach upset. lots of gas coming out of my mouth. i mean burps", "output": "The conditions are called aerophobia. This is because of swallowing of air during food. This happens because of talking while eating or hastily eating the food. There is a chance of air to be swallowed. Hence, it is advised to eat slowly with good chewing of food. You may swallow air during gulping of water. Consider cutting on carbonated Chat Doctor. Sometimes milk and milk products cause burps because of lactose intolerance, cut their consumption. If you have any other symptoms like burning pain in the stomach or food or acid regurgitation into the mouth, that could be reflux esophagitis which needs lifestyle modification and certain medications." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi...28 year old male...was bending over wheeling in my hose outside and all of a sudden had a sharp pain in my lower back on the left side. It hurt quite a bit, but the pain initially subsided. It s been 2-3 days and it still hurts a bit, and when I bend over it hurts a lot. The pain has also spread to my left testicle.", "output": "Hello, Thanks for your query. After going through your query I came to know that you are probably suffering from muscular pain back. Treatment of it is rest and analgesics (ibuprofen) for nearly 5 days. Second possibility is mild disc prolapse. It can be confirmed by MRI scan. Rest in position of relief (generally lateral position with both hip and knee bend), neurotopics such as mecobalamin and analgesics are of use. There are two treatment options. You can discuss with your treating Doctor about it. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi! I ve had my bottom wisdom teeth pulled a little less than a year ago. I have a lump right behind my left back tooth that seems like it could be popped but cannot. It s giving me a small sore throat and causing pain on the left side of my mouth. What can I do to get rid of this and make sure it doesn t happen again? The lump can be moved a bit.", "output": "Hello and welcome to Chat Doctor forum, i am glad you wrote in, first, I need to know that which side of wisdom tooth did you got extracted, was it left or right. The lump which is present may be due to infection and inflammation of the gingival flap. If the pain is present on the same side from where the wisdom tooth was removed, then may be a tooth remnant is present following extraction, but if not, then it is due to peritonitis, i.e. inflammation of the gingival flap that covers your erupting tooth(wisdom tooth).I would advise you to perform warm saline rinses(3-4 times/day), use an antibacterial mouth rinse(Betadine) twice/day, and kindly visit you dentist who will prescribe you medications after a thorough clinical check-up.I hope I answered your query, i wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hey my boyfriend woke up this morning very cold even though his body felt very hot, with body aches. he has a cough and has vomited. he says he feels like he is going to die and he can not concentrate because his whole head is blocked up? how do i help him?", "output": "Hi, Welcome to Chat Doctor! He is possible suffering from a viral infection. There is nothing to be worried about. If I were you doctor, I'd advice -1. An antipyretic (Paracetamol) to get relief from fever and body pains.2. An anti-histaminic (cetirizine) to get relief from cold.3. Steam inhalation4. Tepid body sponging - wet a cloth with cold water and wipe his entire body with it whenever he develops fever. Being a viral infection, it will take 5-7 days to cure. HOwever, these medications I've mentioned above will decrease his symptoms.Also, please note that in case he gets chills with fever, I'd advice you to get a Malaria test done if you reside in an endemic area." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir..., i am 24 years old..my panis is not standing property i start masterbeating from very young age... Many time a day... Now i m facing problum my panis is not standing and spam count is also very less...and i took some creation for gym also... What should i eat to increase my spam please help me sir.....", "output": "Degree understand your concerns went through your details. I suggest you gain more knowledge about the given problems. Please read many articles about the sex and sex organs and masturbation. Your lack of knowledge is creating anxiety within you, and therefore you are unable to get proper erection. Masturbation is not unhealthy and is natural if done within moderation. 90% of world male population masturbate at their young ages. Semen volume is not associated with sperm count. Volume of semen is dependent on many factors like stress, anxiety, water intake, frequency of sex etc. I suggest you to consult a psychologist for counseling. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m suffering from jaundice from 5 months, i took ayurvedic treatment but no use.I check up blood test (bilibruim total and direst ), i have 2.5 .. can u suugest me good solution please.", "output": "Hello. Welcome to Chat Doctor. You need to tell us the complete test reports-bilirubin - both direct and indirect, along with liver enzymes, hepatic viral markers, history of medicine/ Chat Doctor. With all these findings, probably a USG abdomen would also be needed. Depending on age, there can be many causes for jaundice and the final diagnosis requires minimum basic of the above-mentioned investigations. An accurate diagnosis is the only thing by which a treatment can be suggested. So get these tests and visit a physician, who will also examine you for enlargement of liver and other signs of liver malfunction. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My mother has bone cancer. Which has spread to her lung & liver. Chemo was stopped after 1 treatment & radiation after 5rounds. Is shaking & loss of ability to feed self normal? Bone cancer seems to be fast moving & extremely painful,is this normal as well? Any advice?", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. It is not normal at all. It is common side effect after chemotherapy and radiotherapy especially in end stage cancer in old age patients. Furthermore, it is due to weakness from1. Disease itself2. Chemotherapy and radiotherapy3. Decrease oral Intake. So better to start nutritional support in the form of protein supplements, multivitamin containing zinc, folic acid and vitamin B 12. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My ct scan report says is a slightly thickened wall to the fundus of the stomach. This could simply be related to incomplete distention however an underlying inflammatory or neoplastic process could not be completely excluded. What does this actually mean? The ct was ordered for a consistent pain in my upper abdomen right of center at the rib.", "output": "HI. Read and understood your symptoms and findings. It is for sure that the slight thickening of the wall of the funds of the stomach can not cause pain in the upper abdomen right of the center at the rib. I would advise you to consult a General Surgeon for an actual Physical examination to exclude or diagnose the cause of pain like costo-chon Chat Doctor. Muscle spasm, epigastric small hernia as all these things are not diagnosed on CT scan at all. The thickening of the funds of uterus may not be a cancer-the cause being by this time the pains come at other spots the secondaries can be seen on any CT scan oft the abdomen." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, My Aunty is suffering from Dengue for past 6 days. She is is being admitted to a hospital and was recovering well until yesterday. She is on saline water only for past two days and had not given any food or liquid. Her platelet count is now increasing and it is 100K as per yesterday night s test report. She has now developed swelling all along her body including on face. Her stomach is bloating for past 4 days. The attending doctor says, dengue fever effect is now reducing but she cannot comment on swelling and suggested for an ultra-sound for her stomach. Please suggest what could be the reason? shall we consult any other doctor or continue in same hospital?", "output": "HI, thanks for using Chat Doctor Yes, if you are not comfortable with the assessment and treatment then you can see another doctor for alternative management. The bloating is possibly due to her reduced oral intake/not eating as much. The use of medication like Pepcid or Santa along with increase food intake would probably help this. The swelling may be due to an allergic reaction to some agent or fluid retention. Fluid retention can occur in infections or if certain organs are not working as they should e.g. the liver, kidney or heart. Decreased protein levels in the body can also cause swelling. Bloods for liver function, kidney function and protein levels may help determine if any of these are present. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "SIR, MY SELF ASHISH FROM INDIA . NOW A DAYS I M SUFFERING FROM WRITER CRAMP AS DOCTOR TOLD ME. I CANT WRITE SINL COMPLETE LINE IN A MANNER. IN PRESSURE OF WRITING I CAN WRITE A SINGLE WORD.. AT THE WRITING TIME I CAN HOLD THE PEN IN ONE POSITION. IT START FROM 3 MONTHS, BEFORE THAT THERE WAS SWELLING IN MY FINGER DUE PRESSURE AT THAT AREA AT WRITING TIME. MY AGE IS 28. MY WEIGHT IS 87 KG. HEIGHT IS 5.7 . I M MBA. NOW I M RUNNING MY OWN BUSINESS .", "output": "Hi, Writers cramp affects the fingers, hand or forearm. It is characterized by pain and discomfort while performing fine motor activity such as writing, sewing or playing musical instrument. Physical and occupational therapy including holding the pen differently, using a different position with paper and pen and using specially made splint can all cause reduce the discomfort. Relaxation techniques and certain anti-cholinergic Chat Doctor. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI there I have been experiencing a strange feeling in my head like dizziness and feels like something is moving in my head. I have pain in my temples especially the right one and my face feels sore as well - this has been for 2 months now-I do not experience this when I am asleep, but when I wake up it starts and continues until I go to sleep. I went for a ct scan, it is not my sinus. I also feel pressure on my ears.", "output": "Hello! Thank you for your question on Chat Doctor! Regarding your concern I think your troubles are very suggesting for tension type headache. It is a common headache caused by contraction of the scalp muscles. Your normal CT scan is another argument in favor of this diagnosis. If I were your doctor I would recommend treatment with an antidepressant like amitriptyline. You must take it under medical prescription and a cardiologist consult as it can cause heart problems. Other Chat Doctor. I recommend you to take one of these " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Please could you help with a possible explanation for a bruise on the side of a three week old baby s face. He was 5 weeks premature and had a traumatic delivery with forceps and was in special care for 2.4 weeks. Upon being discharged from SCBU, he was at home for 5 days when a bruise appeared. Could it be because he is prem? Could it be birth trauma? There is no question of parental neglect but we need to find an explanation. We would be grateful for any help you can give. Thank you.", "output": "Hi... Thank you for consulting in Chat Doctor. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband has had an illeostomy and is due to see an oncologist on Nov3 for review as to Chemo as he has a positive in 3 of 9 Nodes. We have been doing the MMS protocol hoping to avoid Chemo or at least to lessen the treatment. Can he take the tea? He is a very healthy 72 but is not and never has been on anything other than Fish oil, Multivitamins and CoQ10 but has Cholestreol of 6.2 for wich he will possibly take medication after all this drama is over? Thankyou", "output": "Hi, It is good to know that your husband enjoyed 72 years if his life without any ailment. However now this diseases is here, which appear to be a bit advanced as nodes are involved. As MMS protocol is not a conventional medicine, so it will not be possible on our part to comment on its safety and interaction. These days many genetic test are available to be done on the tissue to know the aggressiveness of disease. Moreover, today's chemo are usually well tolerable, and the dose can be modified based on the tolerance. It will be my personal as well as scientific request to go ahead with chemo. The choice of chemo depend lot on his general condition." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am 26 year old got married 2 years back and trying hard to get pregnant i am diagnosed with bilateral polycystic ovaries an year ago.. initially after my marrage my gynocologist treated me with birth control pills for 6 months because i had irregular period problem and due to personal reasons i could not visit her again then after one year i went to other fertility specialist and she advised to do IUI and we did 2 IUI S which was failed then doctor suggested me to go for laparoscopy but i did not do that. Then 4 months back i meet my family doctor the one who gave me birth control pills and she suggested me to take glycomet 500 tablet and its been since 4 months but still no result and i am gaining weight and i have irregular periods but last month at menstrual time i did not get the enough bleeding and it was same this month also , please help me how i can improve my firtility and get pregnancy soon and how i can get free from this bilateral polycystic ovaries", "output": "Hello thanks for your query.POD (polycystic ovarian disease) is one of the most common conditions affecting women in reproductive age group. It is characterized by multiple small follicles in the ovaries, of which none ovulate, and hence, pregnancy is a problemALongwith you may have other conditions like diabetes, insulin resistance, increased an Chat Doctor. Please follow an Infertility Specialist, and have your complete workup for POD done which includes FSH, LH, a" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a gallbladder attack 9 weeks ago, I was treated with antibiotics an IV fluids for 4 days. The ultrasound shows 8mm stone and 2 more of 4mm. I am vegan and had not other attack since then. the only issue I have is slight pain under my rib cage. I wonder if that slight pain is going to go away. Doctor said that could be an internal bruise from the attack", "output": "Hi.noted history of gallstones associated with pain. Even if you're vegan now, the pain wouldn't go away if the underlying pathology (gallstones) is still there. Antibiotics will only decrease the inflammation of your gallbladder but will not dissolve the stones. It is best if you consult with a doctor with urgency, preferably a general surgeon and especially now that the symptom is persistent and bothersome, for physical examination and clinical evaluation. Diagnostics and management (medical and surgical) will be directed accordingly. Definitive treatment is cholecystectomy (surgical removal of the gallbladder), which could be done laparoscopically (gold standard) or through open technique. Hope this helps. Good day!!~ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "For the past two week. I have been feeling very tired and drained. Dont have much of an appetite as well as my head feeling foggy. I tend to be slurring words a little. Sometimes i feel like i cant collect my thoughts. They come and go all the time. Its getting aggravating and also starting to worry me. Im usually very energetic and clear headed", "output": "Hello You have been feeling tired and Chat Doctor. You have also lost your appetite and also having headache. You are not able to concentrate on thoughts, and you are remaining worried due to these symptoms. There may be different causes of these symptoms, but frequently they may occur due to some nutritional deficiencies like Vitamin B12 deficiency. Low vitamin levels may be a reason behind tiredness and weakness. I would advise you to get your It B12 level checked. Other possibility that may occur is hypothyroid states. Low thyroid level may be a reason behind such symptoms. Thyroid function tests are advised in such cases. Other possibility that may be aggravated by low It B12 and thyroid levels is Depression. In milder forms of depression such symptoms may be seen. I would advise you to please visit a Psychiatrist for detailed evaluation of symptoms. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had some really severe stomach attachs for years. The pain starts at my belly button and goes to my stomach. I have no gallbladder and I have about 5 sec until Im hurting and bloated like Im 9 months pregnant. Alls I can do is walk and cry, sometimes I throw up and other times I get severe diarrhea. I feel like I m going to blow up and pop. It can last from 15 min to a hour or longer. I can not lay down I m in such pain, alls I can do is walk with my arms up and cry, I walk fast back and forth and move side to side. I have alot of problems with my bowels I have to take meds (Linzees 290) to use the bathroom and it is either watery or rabbit pellets. without the medicine I can go up to weeks with no bowel movement. I have had an upper and lower GI and all was good. They even did a biopsy of my stomach and colon and all was good. But I m still having the problem. It may hit once a week or more or only once a month. Any suggestion on what this can be please! I also have alot of gas no matter what I take. Read more at Buzzle: http://www.buzzle.com/articles/twisted-bowel-symptoms-and-causes-of-twisted-bowel-syndrome.html#comments Read more at Buzzle: http://www.buzzle.com/articles/twisted-bowel-symptoms-and-causes-of-twisted-bowel-syndrome.html#comments", "output": "Hi ! Good afternoon. I am Chat Doctor answering your query. If I were your doctor, I would advise you for some modification in your diet like more of roughage, enough liquids, avoidance of oily, fried, and fast food and also to avoid any alcoholic beverages and smoking if you do. Also, a regular routine exercises like morning walk depending on your medical fitness would also be helpful. In addition, I would also go for a CBC, serum amylase and lipase, and an LFT to rule out the chances of this being a chronic pancreatitis. An abdominal ultrasound would rule out the pathology in the liver, and a recurrent stone in the common bile duct (CBD). Till the reports of all these investigations along with the result of a clinical assessment are available, I would advise you for an anti-spasmodic and a proton pump inhibitor Chat Doctor. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have MS. I cannot use any of the three computers at home as the nerves in my body start to burn and buzz.Strange as it may seem, I can use my computer in work.Needless to say this doesnt make much sense. And it didnt to my consultant. Very embarrassing.Can you help?", "output": "That is very strange and interesting. I would start with the ergonomics of eacChatDoctorputer as ms symptoms are related to temperature and position. As I'm sure you've noticed cooler temperatures will help your symptoms. The other aspects to check would be the back support and height of the arm rests, monitor, and keyboard. Most ms symptoms come from the cervical spine which controls limb position so changes in body positions might affect you. Hope that helped" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had my gallbladder out several years ago. Have been back in the hospital several times having stones removed. Been 5 years since last eposide and had an attack yesterday. The medicine I take is Ursodiol 300mg. The doctors said there are people that have recurring stones for rest of their life. Question: Is there anything better than what I am taking also are there certain foods I should avoid.", "output": "You should probably have a repeat ultrasound with liver function test. If the operation was done more than 5 years ago and if it was done laparoscopic, there is a chance that a stone might form around the clip used for securing the cystic duct. The LFT will help narrow down the diagnosis too. Yeah, some patients do complain of symptoms similar to their pre-operative symptoms known as post cholecystectomy syn Chat Doctor. What you are taking now should help. Avoid oily food. Hope you get better." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here... Hi, i have a question, I was just release from the hospital with a blood clot. It was located on my right leg in the upper thigh part. I had to take a long trip and while on my trip my right upper butt has knot and is warm to touch and hurts very badly. I was wondering if it could be a blood clot. It hurts to walk sleep and bascially anything I do.", "output": "Hi, Dear Good Evening, and thanks for the query to Chat Doctor. Cause of the painful lump in the buttocks-I studied your query and understood your health concerns. In my opinion the buttocks painful lump is due to the boil -infected hair follicle, post long trip stress to the right upper butt area.It's definitely not a blood clot-as its sore and painful to touch. To avoid any further septic complications from it -I would advise you to consult an ER Surgeon ASAP. Hope this would help in planning treatment with you Doctor. Welcome for any further query in this regard. Plz write a Good Review-without fail, as it would help other patients coming to Chat Doctor. With Regards. Chat Doctor. N." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, My daughter is 5 years old. She has been suffering from haemophilus influenza vaginitis as well as strep in her vagina. She has been on 10 different antibiotics, including Keflex. She has been examined under anaesthetic. Nothing was found. Doctors dont now why she is not responding to the treatment. They want to keep her on Keflex and Bactroben. However, nothing is working. What shell I do?", "output": "Hi, dairy have gone through your question. I can understand your concern. She has vaginitis with HI influenza and strep. She has already used 10 different antibiotics and not responding to treatment. So the best thing is to go for sensitivity test. It will give you exact antibiotics effective against her infection. Then she should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My wife feels to urinate contineously from today evening. Is there anything wrong to undergo an urgent medical attention? Please advise me", "output": "Hello, Increased frequency of urination AMD dysuria are symptoms of UTI.However, the treatment modality depends on if this episode is first of its kind or a repeated episode. Recurrent UTI about 4-5 times yearly needs higher medical evaluation preferably by a urologist.However, if this is a first episode a visit to your family physician with a urinary examination and treatment accordingly should solve the problem. All the best... Tc" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am 50 years old, 6 foot tall and weigh 94kg. I am on heart medication as I had a heart attack 6 years ago. I am also on thyroxine for an underactive thyroid. My recent semen analysis shows a motile sperm count of 1.9 million. This is based on: semen volume 2ml, ph 7.9, forward progressive sperm 40%, percentage abnormal sperm 89%, sperm count 21 million per ml and incomplete liquefaction after one hour. All my hormone levels were tested and were in the normal range. (FSH, LH, Prolactin & testosterone) A urologist examined my scrotum and prostate via a physical examination and both appeared normal. Can you offer any advice? I do not wish to proceed down the IVF route and Im particularly concerned about my percentage abnormal sperm and the incomplete liquefaction.", "output": "Hi, Welcome to Chat Doctor . According to your report your sperm motility is also less along with liquefaction delay and abnormal sperms are more. I suggest you to go for GUI. It is intrauterine ingestion of sperms. Here sperms are washed and processed, and healthy sperms are placed in uterus. So only good sperms are used. This increases chances of conception. You may go for 4 to 5 cycles of GUI before proceeding to IVF. Hope I have been helpful. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my husband is on his way back from Asia, having spent the last week in Kuala Lumpur. Since Friday, he has been experiencing chest pain on his right side. He cannot take deep breaths, yawn, cough or laugh. He says that the pain comes back right side deep under his rib cage and the top left back. He had a massage on back to side (not sure what he means by that) and says that helped. He had the massage within the last 24 hours. He will be arriving home in about 2 1/2 hours and I am wondering whether to take him straight to the hospital considering he has had this pain for the last 48 hours. He has been taking Voltaren every six hours.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Since his pain is improving with massage, possibility of musculoskeletal pain is more. So don't take him directly to the hospital. First follow these steps for better symptomatic relief in musculoskeletal pain. 1. Ask him to avoid movements causing pain. 2. Ask him to avoid heavyweight lifting and strenuous exercise. 3. Ask him to avoid bad postures in sleep. 4. Ask him to sit with proper back and chest support. 5. Apply warm water pad on affected areas. Don't worry, he will mostly recover with all these in 2-3 days. If not improving then consult doctor and get done x-ray of spine. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I randomly get a flutter in the middle of my chest. It almost feels like a fish flipped flopped inside me. The flutter is not accompanied by any pain, but I do feel it takes by breath away. I have had numerous EGKs done and they have are been normal. The flutter, could that be a muscle that is just spasaming?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. No need to worry about cardiac diseases because your multiple ECG s are normal. Possibility of involuntary muscular contractions is more in your case. Common causes for this are low calcium and magnesium level. So get done serum calcium and magnesium level. If deficiency than you need supplements. If both are normal than sometimes stress and anxiety can also cause fluttering sensation in chest. So avoid stress and tension. Be relax and calm. Don't worry, you will be alright. First rule out calcium and magnesium deficiency. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doctor,i had anal sex with a woman but not more than one minute and after 2 days had protected sex with her after tht from last few days i am feeling itching in my penis and having severe headache for couple of days and feeling tired,what should i do", "output": "Hi, Dear,Thanks for your query to Chat Doctor. Dear I read your query and reviewed it with context to your query facts. I understood your health concerns and feel Concerned about them. Based on the facts of your query, you seem to suffer from-? Balanoposthitis with Penile abrasions --causing - itching with Systemic Infection-postanal sex. The infecting bacteria have entered your blood to cause toxic systemic effects like headache and tiredness. Remedy-To do list for you is as follows--Check up with the Dermatologist for any STD possibilities-Apply Acyclovir Cream locally-Take Cap Roxy 100 MGM x 2 times a day x 10 days time to control any infection causing systemic complaints of tiredness/ severe headache.-Test for STD blood test with your dermatologist and treat it accordingly.-Tab Advil 400 mg 1 x 2 times a day x 5-7 days-Tab Metro 400 mg 1 x 2 times day x 5-7 days for anaerobic infection.-Betadine point locally -Detail sponging of the congenital area of both the partners as far as possible, if you are to risk further sex with that partner. Hope this would help you to reduce worry with your problem. Take care and wish you to recover fast and Live healthy. Hope this reply would help you to plan further treatment with your family and specialist doctors there. Welcome for any further query in this regard. Good Day!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have been using hair 4 u solution for 1 month and i cant see any change in my hairloss...in fact it is the same as it used to be.........before that doctor has prescribed me mintop , tugain . i can see my scalp clearly after applyng lotion. a bunch of hair gets accumulated in my hands when i wash them . and the density is decreasing day by day. what should i do???", "output": "Hi, I can understand your concern for severe hair loss. I think it may be an Chat Doctor. You may be having hair fall from frontal and occipital scalp. Hair shaft might become thin. And hair density might be reduced. I would like to advise you to consult dermatologist and have perfect treatment. I would suggest as follows.- tab finasteride 5 mg once a day for few months to few years-minoxidil 10% solution application twice a day-biotin 10 mg tab once a day-shampoo with ketoconazole lotionHave patience for the good result. Avoid worries and tension. I hope you got my answer. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my mother is 70 she is suffering haemoglobin loose problem, she is also asthmatic patient and presently her haemoglobin is 8.9 which is now constant maximum low haemoglobin will be 8.5, doctor suggest to take injection renerve plus every alternet days and required 5 doses. How it is benefited?", "output": "Hi, dairy have gone through your question. I can understand your concern. Renerve plus injection contain vitamin B12. Your mother may have vitamin B12 deficiency anemia. So she should take injectable vitamin B12. It will help to increase hemoglobin. Consult your doctor and complete the course of vitamin B12 injection accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi there, How long do you have to be taking Noriday contraceptive pill to be protected if you dont start taking it the first day of your period initially. I started taking it at another time in the month but took it for 7 days straight before I had unprotected sex, am I covered? Regards, Laura", "output": "Hello, and I hope I can help you today. Typically, women are advised to start birth control pills within seven days of their last menstrual period because it is unlikely that she would've already ovulated at that time. If you start the pill later in your cycle, the process initiates ovulation may have already begun and your body may produce an egg that is capable of being fertilized that cycle. However, even if you ovulated right when you started to take the pill, it is unlikely that the egg would still be viable to be fertilized after seven days. Therefore, waiting seven days before having unprotected intercourse most likely was enough time to ensure that you would not become pregnant. Modern pregnancy tests will become positive within 10 days to two weeks after conception, so if you do not have a menstrual period at the end of your pill pack, you should perform a urine pregnancy test to be safe. However, if you start your pill later than one week after the start of your period, you may not actually bleed the first month during the pill free week. I hope that I was able to adequately answer your question today, and that this information was reassuring. Best wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello sir....two days ago, i got a light nail scratch by a dog in my left hand, n little blood came out. I washed that place with water. n Dr. gave me Tetanus injection as well as RABIPUR injection. please suggest me sir....what shall be my other precautions...!!thanks..!!!!", "output": "Hello, Welcome to Chat Doctor, Rabies is a disease transmitted by dog bite which is 100% fatal, but it is 100% preventable by proper and adequate treatment. As you were nail scratched by a dog on your left hand which has led to bleeding from that site, and you have properly washed the wound with water and taken a shot of In TT, according to WHO it is categorized into Cat III which requires following treatment.1. Active immunization with antirabies vaccine on days 0,3,7,14 and 28.2. Passive immunization with Rigs around the wound.3. Oral antibiotic like Tab Augmenting, twice daily4. Topical Tract ointment. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Not sure what to do, Im a 19 year old female who always been healthy till now, Im tired all the time even after 8 hours of sleep, I try working out to boost energy levels but I find myself too tired to do anything now, I also get headaches and feel lightheaded, I have fainted a few times when I get really light headed and hot and dizzy. Ive gotten blood tests done and the only thing that came up was a low white blood cell count. Please help for any solutions.", "output": "Hi, dairy have gone through your question. I can understand your concern. Low blood count is common in viral infection. Headache and dizziness can also be seen in viral infection. You should take treatment of that. Take plenty of fluid orally. Repeat complete blood count after a week. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My brother, who is 61 yr old, recently became feeling very faigued at the end of the day and had developed a cough. He went to dr and had chest x-ray. It was noted that he had some enlargement of his heart on one side and he was referred for ECHO, cath, etc. It was found his main artery in his heart had 100% blockage and his heart was only operating at 15%..he had evidently had a massive heart attack some time and didn t even know it. His cardiologist did not feel he was a candidate for surgery, as the risk would be too great. He only offered a defibrillator and pacemaker and Plavix. Would you feel a second opinion at a thoracic surgeon would be in order? Would a no-pump by pass be possible?", "output": "Hello and thanks for writing. I can understand your concern and would try to help you in the best possible way. Your cardiologist is right that any procedure would be more damaging to your brother as his heart is functioning at a very low level. As far as surgery is concerned his low EF already makes him a very high risk candidate for surgery. He has correctly advised you for an ICD as the major threat to his life is an arrhythmia that tends to occur more with weak hearts. This would be taken care of by ICD. He has also put him on anti platelets that would prevent any further heart attacks. You have to understand that your brother now requires utmost care and various lifestyle modifications including:1. Total fluid intake should not exceed 1.2 L per day.2. His urine output should be aerial to his fluid intake to prevent any fluid from collecting in the body.3. He should restrict his salt intake to less than 2300 mg per day.4. He should have a low fat low salt diet. Consult a dietician for a detailed diet plan.5. He should restrict his activity and avoid strenuous work. But that does not mean that he should be confined to bed. He can take regular walks and other light exercises. You may consult a CTVS surgeon and consult regarding the possibility of a surgery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi,a few months back i was under treatment for typhoid fever and on the 6th day i had a bloody stool...doctors adviced me to go for a colonoscopy and the byopsy reprt said that its non specific colitis...i am 25 years old. Now i am fine, my stool is perfectly normal. Was it due to the typhoid fever that i developed bloody dyssentry for 1 and a half days.", "output": "Hi thanks for asking question. You have bloody stool in the past. It may be due to amoebic or shell dysentery. You have diagnosed non-specific colitis, and now you have no problem. So nothing to worry about it. This bloody stool may be because of typhoid ulcer bleed or dysentery. So just now you just do your stool examination for further confirmation. Avoid excess spicy food for few days. Chat Doctor. So just now no worry. If symptoms appear again then we will decide about to whether start treatment or not. Thanks. I hope I have solved your query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i went to statcare yesterday with what i was thinking was a uti. they did a test and found nothing in my urine. i am haveing lots of pressure making me feel like i have to pee and i also have some lower back pain and abdominal pain too. can u help me? i started a antibiotic yesterday for uti , even thought the test were neg.", "output": "Hi. Thanks for your query. You have not mentioned the tests which have been done. Since you have got a symptom of urge to urinate along with pain in the lower back and abdomen, this has to be taken as a case of UTI. I would advise you the following:Tests of the -Blood for CBC Urine to be sent for routine again and also for culture and sensitivity. Ultrasonography for evaluation of the urinary tract and also to see if there are stones and to rule out other problems in pelvis which can cause symptoms like UTI. Continue antibiotics for 3 weeks if UTI is found. Chat Doctor. Treatment of any associated problems. Urologists opinion and examination will enlighten on the more of a diagnosis. I hope you are not suffering from stress and anxiety as there can be urge, but there is no actual UTI." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Recently I have been tachycardic (120s-130s), shortness of breath, green stool today (with no ingestion of anything green in days. I had an echocardiogram yesterday and am having a stress test on Monday. I will speak to my cardiologist Monday afternoon for results of both tests. Any ideas?", "output": "Hello! Welcome on Chat Doctor! I carefully passed through your question and would explain that it is important performing a comprehensive differential diagnosis between different causes that may lead to this symptomatology: - a gastrointestinal hemorrhage, causing acute anemia. I would recommend performing a stool analysis for the presence of blood and a bacterial culture of your stool to test for possible infection- a lung X-ray study and respiratory function tests to exclude possible lung disorder. - some blood lab tests (complete blood count, PCR, sedimentation rate, kidney and liver function tests, blood electrolytes). - an abdominal ultrasound An ambulatory 24-48 hours ECG monitoring would help examine your heart rhythm trends for a prolonged time. I would be happy to review all your cardiac performed tests for another professional opinion. Hope to have been helpful! Kind regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a friend who is having a lot of health problems. She experiences stomach cramps, abdomen pain, and shivers. Right now, shes sitting in a bed, unable to move. She has been to doctors before about it but they all said it was stress. I think its something more. What do you think?", "output": "Hi, Thanks for writing to Chat Doctor. It can be either due to stress induced gastritis or pancreatitis or urinary tract infection or if all test results are normal then can be even due to irritable bowel syn Chat Doctor. Get an ultrasound abdomen, if not taken already, as it will help rule out many conditions, also get a complete blood count and a urine routine test to look for any infection. If they show something, then consult a physician. If normal, start on a high fiber diet with lots of fruits." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "good morning doctor my father is a type 1 diabetic.....he was being diagnosed with liver abscess in 2003 which was later aspirated...now the probmle is ,hwe was complaining about abdominal pain...on USG it revealed that he is having fatty liver with prostatomegaly.....kindly advise", "output": "Hi thanks for asking question. With advancing age benign prostatic hyperplasia is common condition. It is due to effect of testosterone on prostate that lead to epithelial and Smith muscle proliferation. So clinical follow up needed in BPH with tamsulosin or other suitable Chat Doctor. Secondly fatty liver can be by many causes like .... Excess alcohol. Hypoxia... Protein energy malnutritionHyper cholesterolChemical injury etc.... For fatty liver take care regarding taking low fat diet. Green leafy veg more. Exercise regularly.... Both this condition treatable and clinical regular follow up needed. I hope my answer will helpful to you... Take care...." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am 33 yrs old I have sore breasts every month which I know is nomal along with some lumps but now my right breast is very sore and a tickling sensation as if there is liquid flowing through it and I got a brownish sticky discharge some out what is it should I worry, I do come from family of breast cancer, my both aunts. Thanks CJ", "output": "Hi, dairy have gone through your question. I can understand your concern. Symptoms of breast cancer are breast lump, pain, discharge from nipple etc. You should go for mammography and if needed then go for biopsy. You may have fibrotic disease or cancer. Consult your doctor and take treatment according to cause. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello,I am a 21 yr old male. I have a semi soft lump about an inch or so in size. It is located on my lower back right above the point of my hip. My father has had a lipoma remvoed that was on his waist line. My lower back has also been subject to trauma from being a college wrestler. Any idea about what it is?", "output": "Hi, Thanks for asking. Based on your clinical history and query, my opinion is as follows:1. A semi soft lump, which moves easily is possibly a lipoma.2. Get a Fine needle aspiration cytology of the lump done for confirmation.3. If It's lipoma, it's a slow growing lesion, and you can get it operated anytime. It will rule out other causes and give you peace of mind. Hope it helps. Any further queries, happy to help again." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter tested with high liver enzymes 4months ago and then tested for causes such as hep. A B AND C. Wilsons ect. . . All negative. We retested her blood for liver enzymes and they have doubled in 4 months time.we have an appointment again with a specialist who gave her an ultrasound 4 months ago wich. Was showing her liver looking fine. What should i be doing or what could this be?", "output": "Well you didn't mention how old your daughter is. Elevated enzymes can be sign of any liver damage or bile duct disorder. If she doesn't have any symptoms then you shouldn't be worried. Usually when no cause is found then autoimmune hepatitis needs to be considered. Just often do examination and check enzymes levels, if any symptoms occur then further tests such as liver biopsy and CT must be done. Wish you good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My mother past away February 10th. Its been the hardest thing I ve had to go threw! My father has been married to my mother Jeannine Russow for 34 years. She shot herself in the temple It went in the right side an came outa the middle of the front part of her head. I got the call at 4:30 am its killing me inside I don t no how to deal myself an my dads loosing his mind!!! I m the youngest of three girls. Even being the youngest I m the rock to the family everyone comes to me! Its a tough position an not sure how to keep that roll at this time!!! Please help me help my father? He won t go get help in any way no pills or anything! He watched her do it an he cought her in his arms she used a 44 an he replays it in his head over an over!!!", "output": "Hello I am sorry about your mother. She shot herself in last month and your father has witnessed it. It was a married life of 34 years. So It's natural to have such of grief reaction. Grief reaction like low mood, crying spells, not accepting incident, de realization etc. is considered as normal to some extent. But you have mentioned that he replays the incident in his head, he is losing his mind. This is not normal. Try to talk with him and explore if there is any suicidal intention. Closely watch him and give warm supportive care. It has been about 40 days of your mothers' death, so such levels of grief are not acceptable. He may develop Post Traumatic Stress Disorder. I advise you to take him to a Psychiatrist ASAP for immediate control of his symptoms. You have mentioned that you are also feeling low to some extent. But if this is not affecting your occupational and social life then its acceptable. Try to help your father, he needs help from you. Thanks " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was eating an apple recently and felt pain when I bit into the apple. I thought I had cut my gums on the bottom front. Now my gums in between my bottom front teeth are sort of loose looking, almost like they are not attached to the teeth and my teeth and gums are sore.", "output": "Hello, You may have some periodontal disease. Rinse with warm salt water. Make sure nothing is stuck under your gum. Practice good oral hygiene with brushing, rinsing and flossing. Gently massage gum area. You can cause strain to the periodontal ligament that holds the root onto the bone socket when you incise. Please avoid chewing and stress to this area. Take some anti-inflammatory medication for pain relief and to reduce any accompanying inflammation. Medications include Tylenol and Advil. Keep well HY Chat Doctor. Prescription rinses with chlorhexdine gluconate may be helpful to healing. Schedule a dental exam and cleaning. Can you see tartar buildup on your teeth? There may be sublingual tartar buildup. Your dentist will probe your gums and evaluate for periodontal disease. Gingivitis can have swollen gums with increased probings. Periodontal disease will include bone loss and additional treatment recommendations. Maintain routine dental visit at least two times a year. Thank you for your inquiry. I hope my suggestions are helpful and offer you some relief." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Sir, I am a circumcised male in my 20s, I have refrained from sexual activity for more than 2 months and have experienced slight enlargement in the penis and the testis due to vaso-congestion. This has lead to the skin of my penis to become overstretched and during masturbation the frenulum was not torn but the part under the glans became red in general with white color in the middle and no bleeding occurred at any stage. Will the inflamed frenulum ever fully heal turning into non scar tissue and to go back to the original state? or will the scar tissue always remain? Would any of this reduce the penis size? What are signs of infection?", "output": "Thanks for asking in Chat Doctor forum In short: Temperature around it may cause increase and decrease in size of scrotum and penis. Explanation: Usually in winter as the muscles of scrotum contracts to put your scrotum attached to the body you may feel its size has decreased and opposite happens in summer. So, don't think about this. But, for your frenulum tear/injury don't masturbate that roughly to cause tear. Give rest to it and it will heal automatically. You can apply point tobramycin locally for time being. Visit a doctor to examine and diagnose your problem properly. Good luck" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Can a wrist bone spur be treated with daily 500 mg calcium intake and 10 min daily sun exposure along with ice application on the spur and intake of turmeric and ginger over a period of say 6-10 months ?If not , if there any other natural removal solution other than the surgical procedures ?", "output": "Thanks for contacting ChatDoctorYour question resolves around a bone spur in your wrist and whether taking natural supplements can make the spur resolve. Bone spurs are natural growths of calcium along bone prominence areas. I see these spurs and I counsel my patient to try anti-inflammatories to reduce the pain. There are no medications or natural remedies that help dissolve the spur. Sometimes if the spur reduces the range of motion or cause significant pain then surgery to remove the spur is suggested. Hope this answers your question. Please contact us again with your questions." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a strong history of breast and uterine cancer on my paternal side and would like to get genetic testing done but my PCM says Im not at higher risk since its on my fathers side (my father died from colon cancer). I recently had an ultrasound done that showed a cyst on my left ovary but have been told thats normal. I am 53 years old, no menopause yet, never given birth. Should I be tested for BRCA 1 and 2? The paternal side: grandmother ovarian cancer and two aunts breast cancer all deceased.", "output": "Hello madam , Thanks for full details u mentioned to evaluate the problem u had. As your paternal side grandmother and aunt suffered with breast cancer and ovarian cancer indicates they are your second/third degree relatives. For BRA 1 & BRA 2 either maternal or paternal side your are under high risk for inheriting the gene. Thus go for BRA 1 & BRA 2 testing. As u not attended menopause and u had no children thus which increases your general risk of developing cancer apart from gene defect. Thus, i advice to go for yearly screening apart from BRA gene screening." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here...Hello sir,My doctor has said that I have caries in my very last bottom teeth & also the teeth is little slant i.e the teeth is not straight like others & that teeth is laying down on adjacent teeth from top. Hence extraction is the only solution to this disease. Although i am not having severe pain : i feel cold only; no pain nothing is there. My doctor says it is beginning only & the infection has not reached to its bottom.I dont want to go for teeth extraction? What do you suggest????", "output": "Thanks for your query, I have gone through your query. The decayed tooth might be a wisdom tooth, that is non-functional, If it is in a normal position then we can restore it and save it. If it is not in a normal position and if it is troubling the adjacent tooth, there is no meaning in keeping that tooth. It might get infected, or it can damage the adjacent tooth also. So it's better to get the tooth removed under local anesthesia. Consult an oral and maxillofacial surgeon and get it removed. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Dr Samuel - for the last number of years I ve had a number of short (once or twice a year) intense shooting pain in my left arm and left side of my head which lasts about a second. Over the last few months this has increased to a nearly daily occurrence. any ideas?", "output": "Hi, thank-you for providing the brief history of you. A thorough clinical examination is advised. As the shooting and shock appearance of the pain is more of a neuropathic and needs an attention. Since the history suggest about the one side limb pain and also the head pain, I will advise you to get a thorough neurological examination done and also an MRI later of either the brain or the cervical region. As post thorough neuromuscular examination and by understanding the MRI reports we can come to a conclusion. Also, we need to know if there is any motor functions compromise or not. As this will be a major area of concern. Regards Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor, Can i use Monocef 50mg oonly for kid tablet for my daughter. she is 20 months old with 27pound. she is having bad dermatitis everywhere on her body except face. Her pediatric prescribed hydrocortisone butrate since last 4 months we are using same cream but of no use. Monocef is prescribed by family doctor from our country.we live outside.could you please respond to my question. Will be very much helpful.", "output": "HelloDermatitis can be allergic or infective in origin. HY Chat Doctor. Antibiotic is needed in infective dermatitis. Long term dermatitis is usually due to allergic or other causes not due to infection. For me, it does not appear to be infective dermatitis, so there is no need of antibiotic. Monomer contains ceftriaxone and it is an injectable antibiotic. It is not available in oral form. Monocef-o contains cefuroxime protein, and it is available in tab form. Even if antibiotic is needed Monocef-o is not a very good choice. Most of the skin infections occur due to infection of staphylococcus. Amoxicillin or amoxicillin with clavulanate is a better choice. Dose of monocef-o is 10-15 mg/kg/day in two divided dosage. I would suggest you to consult a skin specialist for reevaluation of the condition and management accordingly." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello approximately 6 years ago i had my first bout of Cellulitus (sp?) and ended up being hospitalized for 2 months . since that time I have had a numbr of additional bouts and sometimes end up in the hospital for shortr amounts of time or am fortunate to catch it at in time to be prescribed antibiotics and am able to stay at home while recouperating. A friend of mine who has also recently revealed that she has experienced Cellulius as well and has been treated with Ichthammoll ointment and hot and cold revulsion compression therapy to be healed. Can you tell me more about this later option...the Ichthammol ointment with the revulsion compression?", "output": "Hi, Cold compression therapy is usually used to reduce pain, inflammation or after surgery. It works on the principal of rest & ice, compression & elevation to reduce pain. It reduces the temperature of the tissues thus reducing the metabolic rate. Cold therapy is a combination of cryotherapy & static compression. Tissue at lower temperature reduces pain, inflammation & protects tissues from damage. Adjustable elastic wraps & other wraps are available in protective layers so that ice is not directly applied. Application of hot & cold compression results in increased blood circulation & hence good health. Too much cold compression can lead to frostbite, so get connected with the PCP or physiotherapist. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 3yr old had her preschool physical today and the doctor found bilirubin and traces of blood in her urine what does that mean? She also needed a hemoglobin test for school but when I got the discharge papers it also had lab requests for red and white blood count and I think plasma test? Is this something I should be worried about", "output": "Some Red blood cells are always found in urine. Less than 5 cells is normal. If persisting more than 5 RBC are found in urine child has to be evaluated for hematuria. Repeat urine routine after 10 days if the RBC in urine is more than 5 do a blood urea, creatinine and ultrasonography PUB. Also, urine 24 calcium excretion is required to be measured... If there is persisting hematuria in urine report its concerning." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Had a total hip replacement in 2008, right hip is fine. Had other hip done in 2010. I have noticed a dark like bruise on my mid thigh in the last month or so and it burns quiet a bit. should I call and make apt to see ortho surgeon. It can get very sore if on my feet to long", "output": "Hi, As per the history I do not think this should be anything major. But it is always advised to get it physically checked by an orthopedist so if any doubts are there taking to major issue can get removed. Usually bruises might occur post surgery but in the initial stages and not the latter stages. Also, the pain coming depends on how better the post hip replacement rehabilitation was performed. Sometimes due to muscle weakness some people develop some pain due to wasting of muscles and over strain of it. But again with a physical examination by the orthopedist and exercise things go well. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have a fever, cant stop sweating but am cold all the time. I lay in bed and my lower back is killing me not allowing me to get more than 30 mins of sleep at a time. I have a painful cough, which is getting better and my poo is black. Do I have any reason to be concerned?", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have fever along with sweating and cold and myalgic which is mainly due to viral infection. You seem to have fever of high grade. Need not worry, it will take 5-7 days for fever to go away. Till then do tepid sponging on head and extremities. Avoid intake of any oily and fried food and cold carbonated liquids. Take combination of antibiotic such as Levofloxacin along with Ibuprofen/ Acetaminophen. You should take Levocetrizine as well. As you are having along with back pain, you should take cough expectorants along with warm saline gargles as well. Apply mist humidifiers in room. Take muscle relaxants as well. Visit general physician once and get it examined and go for blood and sputum tests and start treatment. Hope your concern has been resolved. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "anything that can be eaten to avoid acne fast.?", "output": "Hi .dear user..., Thanks for using Chat Doctor., There is no relation between diet and acne.but suggestion is avoided spicy, jenky and oil foods., Regular taking of fresh fruits, fresh vegetables will give good result., Plenty of oral fluids will eliminate the toxins in the liver.good for Acne., ACNE is due to hyperactivity of hormones that increases fatty synthesis .so avoid of acne is difficult ...good maintaining at the acne site (hygiene)with frequent. Washes with Triclosan soap.applying of clindamycin cream... 2 times daily ok. Good luck..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i would like to ask what are my chances that i could be pregnant i had clomid 25mg for 3 days last april 16 but didnt work and my fertility doc ask me to take another cycle started 6 may til 10 may..then i had blood test 13 may tested i ovulated over the weekend.we had sex 8 of may and 10,11 of may. what are my chances?thanks", "output": "Hi, Thanks for the query. As you had ovulation and had unprotected intercourse around that time ovulation, the possibility of pregnancy is there. If you had intercourse within 24 hours or before 24 hours of ovulation, the chance of pregnancy is more. Start taking folic acid prophylaxis from now onwards. And if you miss the expected date of periods, go for pregnancy test once. For more details you can ask me through: http://www.ChatDoctor .com/doctors/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "in sep 2012 i had undergone a root canal in my lower molar tooth..everything went well.. bt in march 2013 i noticed an abscess lump on the side of the root canal treated , (gum ) the pain was agonizing and then i conslted a dentist, he prescribed sme anti biotics, n pain killers ,, i had them for almost a week n now d pain is gone . the lump is also gone.. bt now i have a hard swelling right there on rct treated tooth,, the swelling feels in d bone n its is nt painful bt is tender,,, is it dangerous ...?? wt shud i do ?? am i d first one to experience this problm??", "output": "Hi, Thanks for asking the query, Tooth pain along with swelling indicates infection of the tooth that had spread to the periapical tissues leading to formation of abscess. After successful root canal treatment the tooth is completely devitalized, so there are no chances of pain and infection. I would suggest you to visit to the concerned Dentist take an x-ray of the tooth, depending upon which the treatment will be extraction or reject. Start with tab Amoxiclav and tab Aerosol twice for three days. Take lukewarm saline gargles 3-4 times and antiseptic mouthwash gargles twice daily. Hope this helps out. Regards...." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir,i have a female patient 45 yrs old, who presentd with altered mental status and generalized tonic clonic fits . her CT SCAN showed a hypodense area in rt parietal lobe . post contrast findings were similar to plain scan. Radiologist labelled that hypodense area as CSF GLIOSIS . plz explain what is this disase and what is its treatment.", "output": "Hi, First generalized tonic-clonic seizures and altered mental state is a medical emergency. She should be in intensive care unit for stabilization. Gloss is a proliferation of astrocytes (type of non-neural brain cells) in damaged areas of the central nervous system (CNS). It does not indicate cause of problem. For treatment, she should be stabilized, treated for seizures, monitored for sensorial, investigated for cause of lesion and treated according to cause. I hope this information has been both informative and helpful for you. Wish you Good Health. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was wondering if you can help me I have been having a dizzy problem for 3 years and its not going away and I have had the dizziness since the victoria long weekend of last year and now I cant get rid of it like I feel it when I bend down for a long time and some stores can flare it up and I have had an MRI that came up clear and I have had an ENG and the guy who did it thought he might have something but my father thought our family doctor wouldnt want me to do the one test and the guy said I would need treatment and I was wondering do any of the doctors who are seeing this know what this problem is and what the treatment is for it. From Laura McIntyre", "output": "Hello Thanks for writing to ChatDoctorConstant dizziness may be due to many reasons like hypertension, cervical spondylosis, internal ear problem etc. You need clinical correlation and few investigations. You need investigations like routine hologram, random blood sugar, lipid profile, cervical spine X-ray AP/Lateral. Further investigations MRI (internal ear)can be done if needed. Proper treatment depend upon clinical findings and investigation reports. Hope I have answered your query. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been feeling weird, for a little bit now. Every time I try and go to sleep I lay down, then feel all of a sudden like I m getting liteheaded and like I m going to die. It doesn t feel like my usual panic attacks, and it happens very offten. I even start to get tunnel vision, and feel a sharp pain in my stomach. I want to be sure if I should got to the hospital for this and what it might be.", "output": "Hello Nicoletta, There is no doubt in my mind that you need to go to a hospital ASAP and get yourself assessed. Yes, it could be a panic attack; some of your symptoms are certainly suggestive of a panic attack. However, a panic disorder is diagnosed only after ruling out other medical causes of the symptoms. In your case, there could be an endocrine (hormonal) or cardiac cause of your symptoms, or it could be something else. It will require assessment by a medical specialist and some investigations before an organic cause can either be diagnosed or ruled out. Saiph" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My friend sent me a list of the following symptoms that she has: fever shaking cause im cold hurts to move cause im frozen puking headache stuffed up nose throat hurts ribs hurt belly hurts i have electric shocks trough my body eyes hurt hurts everywhere. even my feetshe said she also has yellow saliva.Any idea what this is?", "output": "Hi thanks for asking question. Here mostly your friend suffering from acute infection. Mostly acute sore throat. Yellow saliva can be due to exhaled cough that might give yellow color. Here better to do investigation for CBC and X RAY CHEST first for preliminary work up. If in CBC total count high with necrophilia acute bacterial infection most likely, for that antibiotic has to be taken. It is better to start antibiotic prophylactically even though it comes viral infection by elevated lymphocytes in CBC. Possibilities of pneumonia less, but x-ray will rule out it whether any consolidation or pleural effusion present or not.Meanwhile, maintain your immunity with more water, fruits and healthy diet. I hope my suggestion will help you. If still problem then further investigation is done." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a heart transplant patient (8 yrs). I thought I had a heart attack about a month ago, called the paramedics, went to ER, spent overnight in hospital. I had 5 before transplant and this seemed very much like the previous ones except the paramedics gave me 4 aspirins in transit. However, since there was no significant change in cardiac enzymes, thjy said no. I am still very weak, feel fatigued, and it changed my vision to the point of needing new glasses. What should I do?", "output": "Hello, Thanks for writing to Chat Doctor, I am Chat Doctor. Your symptoms DO NOT sound like that of anything related to heart problem, plus you underwent a complete checkup and no heart issues were detected so in my opinion you should not worry about heart anymore. Now coming to your active issues that is fatigue and change of vision. Yes heart issues can cause fatigue, but it CAN NOT cause change in vision, as we have already ruled out heart issues so this fatigue and change of vision is because of something else. After a transplant the patient does take high potency immune suppressant medication which keeps you protected from heart damage, these immune suppressants have multiple side effects fatigue and damage to eyes is very common among them, you are probably suffering from those side effects. I would advise you not to panic about the heart issues but visit your doctor to discuss possible causes of fatigue and eye site problems other than the heart. I hope this answered your question, If you have more queries I am happy to answer you. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i want to know the use of oligocare and fertyl M as i am prescribed by two urologist, one prescribed oligocare and another Dr. Prescribed Fertyl M along oligocare for the Low sperm count (40 million/ml, low motility (60%), low rapid progressive (10%)) Thanks for your suggestion.", "output": "Hello, The medicines you have mentioned are prescribed mainly for patients with low sperm count who are trying to conceive and are unable to because of low sperm count. I would suggest you to follow your doctors' advice on intake of the medicines as per the prescription for better results. As these medicines are prescribed after careful evaluation of the patient. If you have doubts then you can have a conversation with your doctor on your next appointment. Hope this helps. Feel free to contact for any further queries in the future." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my two year old daughter is coming down from a bad cold and just recently she started complaining about her mouth hurting so i looked and saw some white bumps on the inside of her lip and her gums look red and swolen. could this just be a side affect from the cold or somthing more serious? thank you.", "output": "Hi... Welcome to Chat Doctor ... I have gone through your query and can understand your concerns. As per your complaint you daughter seems to be suffering from Viral Infection causing the above described symptoms and the condition is known as HEPATIC GINGIVOSTOMATITIS in which there can be symptoms of cold and blisters in mouth and gums with swollen gums and there can also be fever. You should consult a physician and get him evaluated. In case if the Viral Infection is diagnosed you should give him Tylenol or Motrin for pain relief. Do cool compresses over gums for relief from Inflammation and reduction in swelling. In case of pain in the sores on tongue a numbing gel like Ora gel can be applied. In severe cases antiviral Oral and topical Medication like Acyclovir therapy is given to the patient to reduce the duration of illness... Give him cool and bland diet. Give him sufficient rest. Maintain a good Oral hygiene and brush his teeth twice a day using an ultra soft toothbrush. Hope this information helps. Thanks and regards. Chat Doctor. ." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "there is a knot right below my shoulderblades on the right side of my spine it feels like a hard ball a little smaller than a marble. I ve had back pain after i jarred my back about a year ago and its caused. pain near the said area. ever since. the jarring. what could it be", "output": "Hi, thank you for providing the brief history of you. A thorough clinical examination is advised. As you have pain under the shoulder blade, it looks more of a muscle spasm and posture correction. Due to abnormal posture there will be a possibility of inter scapular muscle spasm leading to knots. Treatment:Physical therapy in my clinical practice has been helpful to many of patients. Physical therapy includes - therapeutic ultrasound therapy, TENS therapy and exercises. Regards Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "ALT showed higher than normal in two previous analysis; the first was in June 2010 and it was 62. The second was around 10 days ago and it was 97. I went to another lab yesterday and had Bilirubin total (0.72), AST (25), ALT (49), Albumin (4.20), and LDH (199) which are all in normal ranges. Except GGT which was 128 and marked as high. After the second analysys of the ALT (10 days ago) the doctor prescribed a medicine called \"Essential Forte\" which contains phospholipids from soy beans (he said it was a fatty liver after seeing ALT scoring 97). Currently I am suffering from a bad cold, sore throught, had swallow and thick saliva in my mough as well as phlegm. I fee fatigue and always want to sleep. Could this be ChatDoctorV related or is it liver related?", "output": "Hi thanks for contacting Chat Doctor... You had elevated liver enzymes in the past. So it could be liver related problem. Like fatty liver or gall stone etc.... Or it could be by cytomegalovirus like infection.... Just now treat your flu like infection symptomatically.... More water. Steam inhalation useful... Take decongestant like oxymetazoline and cetirizine.... Humidifier can be used for cold climate. Take amoxyclav antibiotic... If after few days liver enzymes elevated then USG abdomen and viral marker study and LFT profile done for diagnosis liver pathology.... Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 11 week old is very hard to wind (burp) whilst feeding. She is formula fed and I have noticed this problem only over last week or so. She is not really in any pain or crying but just refusing her bottle after taking small amounts. I have tried wind drops, but not much help. Around her mouth area is blue so I know it is a wind problem.", "output": "Dear parent, at times it's difficult for child to take out burp. You need to be patient. At times, it may take 20-30 minutes as well. After one burp if the child refuses to feed then put him in on stomach. That way it is easier for him to take out extra wind easily. Make sure that his bed is not too fluffy, it should be firm. Child will turn his head for breathing in the most comfortable position. If this does not help, please check with a pediatrician and change the formula." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am a 27 yr old African american woman who was diagnosed with lichen planus about 4 years ago. it has been treated and i have not had a flare up (thank God)... but i am left with hyperpigmentaton that cover my entire body excluding my face. i have tired every bleaching product available, over the counter and prescribed. i have been tanning and nothing seems to really work. i do have fair skin so the marks are very noticeable. if there is something you can suggest to help or get rid of the hyperpigmentation please advise. Thank you!", "output": "Hi Clark, Thanks for writing in. You seem to have postinflammatory hyperpigmentation. For pigmentation as a general rule-Avoid sun exposure Use a good sunscreen of SPF 30 and repeat application every 3 to 4 hours Take antioxidant and vitamin C supplements. As the area of pigmentation is large some internal medication should be taken and external treatment would be of little use. Glutathione supplements are available as capsule and injections they can be very useful. You need to consult a dermatologist as dermatology being a visual field, the treatment required can only be suggested after proper skin examination. Some procedure can be helpful like dermabrasion. Take care. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 11 year old woke up with hives on his torso and spread though out his body and today I took him to see his Dr and he has strept throat now his on medication Could his strep had cause his hives? Is just scary the way the hive just spread all over his body.", "output": "A strep throat is a bacterial infection of the throat (pharynx), tonsils or both caused by the bacteria group a streptococcus. Unfortunately common usage has deteriorated to mean sore throat in general. This is inaccurate. Many more viruses cause sore throats than streptococcal bacteria. Fever & sore throat for more than 2 days without cold symptoms suggests possible strep. A culture is the best diagnostic test. Hives (also called urticaria) are a common skin reaction in child Chat Doctor. The shape of these bumps can vary, and their size can range from about one-half inch to several inches in diameter. The larger wheals often have pale centers. In most cases, hives are caused by allergies. Foods like shellfish, milk, peanuts, or chocolate can trigger them. So can insect bites or " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. Ive been on a low dose bc pill for a few months now after switching from the IUD. All periods have been normal until this month. No period. Its several days late now, I start my active pills again today. Ive had lots of cramping for the last two weeks and nausea off and on for the last 2-3 days. Home pregnancy test was negative...? I know there were a few days I took my pill later than usual by a few hours. Not sure what to think.", "output": "Hi, Thanks for sharing your health concern with us. Since you have switched over to oral contraception, you have to use additional protection during the initial couple of months to avoid failure due to breakthrough ovulation. Since you are a few months into the pill, your hormone milieu should have settled by now. A few hours delay in the pill intake should not affect much. This delayed period is hence, of significance. Your symptoms are also suggestive of a possible pregnancy. Home pregnancy tests read well when performed 3-7 days after the missed period with a fresh early morning sample of urine. Since you have to start the active pills now, it is better to exclude/confirm pregnancy through the blood test and plan further management. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have woken up today with quite severe knee pain. I was flying yesturday on a 7 hour flight and today am in quite a lot of pain in my right knee. I am struggling to walk or climb stairs and feel like my leg will collapse under me at any point. Can you help. I suffered with growing pains in my knees when i was a teenager. I exercise although not too much as if i run too much without at least a days break between then my knees also hurt. I sometimes hear a cracking noise from my knees when i stand after sitting down although this is not painful", "output": "Hi, Knee pain could be due to any ligament, tendon, meniscus injury or autoimmune / inflammatory condition like arthritis etc. But the one with cracking or popping sounds in or around the knee joints could be a sign of emerging osteoarthritis. With this feature, age, gender, weight should also be considered as it might increase the risk of arthritis. I advise you to:- Do X-ray both knees-Analgesics like Tab. Ibuprofen or Diclofenac + Ice pack + Regular exercises- Intra-articular glucocorticoids if pain and swelling persists even after using analgesics- Charon Chat Doctor. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "heartburn Hi im 40 female.Im a smoker no other health problems.I get heartburn and i have mild pain underneath my right ribcage to the middle.I weeze when i sleep and sometimes I cough.I had a terrible burning pain my chest twice while i was drinking brandy and coke.Now i rather dont have any alcohol.What can this be", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Your symptoms are characteristic of HERD (gastroesophageal reflux disease). Since you are smoker, HERD is likely and this is even worse by alcohol intake. Actually both (smoking and alcohol) cause laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause chest pain. So better to avoid smoking and alcohol as soon as possible. Take proton pump inhibitors and prokinetic Chat Doctor. Avoid hot and spicy food. Avoid large meals, instead take frequent small meals. Avoid hot and spicy food. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I recently had a pap smear done and it came back with ASCUS. Since then, I now have a painful pea sized lump that moves with the skin on my right labia. I have alot of clear, sometimes bloody discharge and foul odor. I was also diagnosed with bacterial vaginosis which I took medication for and still have the symptoms. Could you tell me if the ASCUS and the bacterial infection have anything to so with the lump?", "output": "Hello and welcome to Chat Doctor, A lump on right labia could be due to lymph node enlargement or inflamed Catholics gland. A history of bacterial vaginosis can be the cause of lymph node enlargement. The presence of ASC US on Pap smear suggests presence of atypical squamous cells of undetermined significance. A repeat Pap smear or cervical biopsy may be required to rule out invasive malignancy. However, before repeating the pap test treatment for bacterial vaginosis needs to be done because atypical changes in squamous cells may be seen in case of infection. The presence of lump on labia is not related to ASC US. Thanks and take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a degenerative neck condition, but recently, my head has an intense pressure-feeling, and I want to know if this is directly related or something else. I also have a swollen area behind my left ear, right at the bottom of my hairline, and that lymph node feels a little swollen as well. The head pressure makes me feel disconnected and disoriented, and makes my head hurt. Thank you.", "output": "Hi, I value your concern regarding the symptoms. I have gone through your symptoms, and in my opinion your symptoms are not probably due to your degenerated discs, but the swelling behind ear is definitively a thing to be concerned about, please visit an ENT surgeon in your area to see what that swelling is all about. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. Special note-Any medication prescribed needs to be taken after consultation with your personal doctor only." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my name is Renee I live in Stockton and have Thoracic injury from car accident in 2000. I m considering having an intrathecal pump inserted. I ve been seeing a pain management Dr. since 2003 . Want to find an expert to do the procedure and on this subject. Sincerely, Renee Rendon", "output": "Hello, You should look on the internet for physicians in your area who manage and insert these intrathecal pumps. It is almost certain that any ACADEMIC TEACHING HOSPITAL will have qualified surgeons for this type of procedure. It is considered a common and \"garden variety\" type of procedure. Another option might be to call a local hospital in your area and to ask the operator or NURSE ON CALL or NURSE HOTLINE service to give you a list of surgeons or neurosurgeons since these would be the people to insert such devices. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my name is Sheila. I m 18 years old, 5 tall and weighing 52 kg. I have an asthma since I was highschool and just lately my cardiologist said I have an MVP. I had a sleeping disorder before and my doctor gave me a sleeping pill (i ll take it just as needed) and isoptin. I stopped taking the sleeping pill because I can already sleep at night. But just these few nights (roughly 3 consecutive nights), I had trouble sleeping and even right now I can t get myself to sleep. Is this because of the MVP or caused by another problem? Do I have to see another doctor for a second opinion on my case? Thank you so much.", "output": "Hello, No MVP is not a cause of insomnia, these two are unrelated problems. You need to see the psychiatrist for sleep problems. In general, avoid stimulant like tea, coffee, cola Chat Doctor. Avoid too heavy meals or exercises prior to sleep, light exercises like walking is encouraged. Also avoid TV or novels prior to sleep. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "In filitrate left upper lobe, this is the one of the point from my chest xray, i m going to dubai next month ... i didnt consult a doctor tillnow, help me is this the serious issue with my health and can i go to dubai , can i clear my medical exam for going to dubai or not", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Infiltration on chest x-ray is suggestive of active infection like pneumonia or tuberculosis. Upper lobe infiltration is common with tuberculosis. So at this moment, you will not clear medical for Dubai. You need to consult pulmonologist and get done sputum examination for AFB (acid fast bacilli-bacteria causing tuberculosis) and culture and sensitivity. Sputum for AFB is needed for the diagnosis of tuberculosis. If this is positiver than you need at least 6-8 months of anti-tubercular treatment. Sputum culture and sensitivity report will be helpful in identifying causative bacteria for pneumonia. So you should consult pulmonologist and discuss all these. First treat this and then apply for medical again. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "What would or could cause a 54 yr old man with multiple mialoma,renal failure and heart valve damage to have sudden intense internal body heat? Like a female hot flash,soaking his clothes,feeling like he can t breathe but his oxygen level is fine and his heart rate is steady.He s got a cardiologist,nephrologist and an onocologist.", "output": "Hi, dairy have gone through your question. I can understand your concern. You have multiple myeloma. It is known to cause renal failure and your symptoms may be due to multiple myeloma itself or due to complications. Treatment depends on stage of disease. Realized and dexamethasone is the treatment of choice for newly detected cases. Bortezomib can be given along with dexamethasone in some cases. Consult your oncologist and take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have ongoing chronic back pain, my MRI 2 years ago showed deg inl3/4 and L4/5 with a central to right paracentral disc protrusion at L4/5 which distorts the thecal sac and impinges the right L5 nerve root ni the lateral recess but no nerve compression.I have tried everything, osteopathy, physio and have been seeing a chiropractor for the last 6 months and cannot get anymore than a couple of days without pain. Should I be considering surgery, I am at my wits end! Thanks", "output": "Hi, If the pain has been getting worse, and you are not able to manage it in spite of all the therapies you have gone through, I think it would be worthwhile to consider surgery. You need to discuss with the physician and also get a thorough neurological examination done to accurately decide which nerve impingement is causing most problems and at what level a microdiscectomy would most help. If it is at multi levels, you will probably require fusion surgery. Your spinal surgeon is best equipped with making the decision based on his clinical findings and what the imaging shows. Microdiscectomy is the most oft done procedure and has a perfect rate of success of about 95%. Hope this helps you make a decision." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello my husband is having prickly pains in on his upper right chest. It is not all the time. It s not when he is breathing. Just every now and then. He has had the pain for a couple of hours but for a few months he has had a dull ache under the right of his rib cage. Any ideas what this could be?", "output": "Thanks for your question on Chat Doctor. In my opinion it seems pain due to trapped nerve and muscular pull. So better to follow these steps for symptomatic improvement. 1. Avoid heavy weight lifting and strenuous exercise. 2. Avoid bad postures in sleep. 3. Avoid movement s causing pain. 4. Start good painkiller and muscle relaxant. 5. Apply warm water pad on affected site. 6. Get done vitamin B 12 level and if deficient than start replacement. As vitamin B 12 is necessary for nerve repair and function." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my husband is very disturbed emotionally.and behaviourly due to some bad experiences in past life of childhood getting upset getting agreesive shoting on little things. negative thinking arec some symptoms.i m very much disturbed so please suggest me good psychiatrist in mumbai preffered location will be andheri", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. If the symptoms you gave here are correct, then I do suggest that your husband do not need a psychiatrist help, but needs the help of a psychologist. Anger and aggression and negative thinking due to past happenings and disappointment from those incidents are normal and happens with every one. Understanding life and its significance is the key. Logo therapy and simple behavioral therapy should do good for your husband. Please consult a psychologist soon. If you need more of my services, please post a direct question to me in this website. I am happy to serve your purpose. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor I have a question please . My SGPT (ALT) 56* and SGOT (AST) is 42*. could you please tell me what does it mean ? Thanks HBsAg 1649.00 HBsAb HBe-Ag 257.00 HBe Ab 1.82 HBcAb(Total) 0.01 HBc Ab IGM 0.06 SGPT(ALT) 56* SGOT(AST) 42*", "output": "Hi and thank you so much for this query. I am so sorry to hear about this abnormal results. These results are suggestive of hepatitis B infection with increased liver enzymes. I will recommend you follow up with a gastroenterologist and get the follow-up care you would require following this diagnosis of hepatitis B. I hope this helps. Furthermore, I wish you well. Thank you so much for using our services and do feel free to ask for more information and clarifications if need be." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m battling enormous amounts of stress for the past two years. My husband of 37 years ask for a divorce (had no clue that was coming) and 12 months later I found myself 58 years old, alone and will be divorced one year this August. I have been getting very concerned I was just not getting over this divorce and the sadness and crying seem to be getting worse not better. My doctor put me on Bupropion XL on March 13 and maybe it s helping or maybe it s mind over matter and I m telling myself I m better when I m actually not. I ve always been a very upbeat, happy, people say I m funny type of person, so all this sadness is concerning for me and I don t like it. I could never understood why anyone would commit suicide and nobody noticing how sad that person must have been, but to be honest, I can now. I would never do anything to myself, but I can sure understand some reason why. So, other than medicine, is there something else I can do to help myself? Sorry my explanation is so long. Thank you for your concern and help.", "output": "Degree understand your concerns went through your details. To be frank, I am very sorry for the unexpected events. But I will not sympathize with you because sympathy makes you more weak. You should be able to distinguish between disappointment and depression. Disappointment also brings on symptoms identical to depression, but they are short-lived. You are disappointed due to the sudden turn of events. Rather unexpected. That is common. Everybody is so. Now, as the dust settles, you should look into your future. You may not alter what happened, but can choose what should happen next. Analyze your options, take help from your friends and other well-wishers etc. You are 58, and now you need to beat your physique as well as your laziness. I suggest hobbies to keep you entertained at the same time provide you with some monetary gain. Hobbies like painting, mural works, sculpture etc. should work. Learn any of them and move forward. You will succeed, I am sure, because you have vast worldly experience behind you. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son was standing and talking to someone outside. When he went to walk away his vision went black, he had trouble controlling his extremities and felt nauseated. When he got back inside he sat down and said he was sweating. After a few minutes he said he still feels sick and has a headache but his vision is better. What could have caused this and is there anything we can do besides wait? Thank you, Mike Howard", "output": "Hello! Thank you for your question on Chat Doctor! I understand your concern, and would like to explain that his symptoms may be related to different disorders like : 1- Low blood pressure. As his symptoms occurred while standing up, a low blood pressure or an orthostatic hypotension, may be the cause of his symptomatology. I recommend to closely monitor his blood pressure during sitting and standing up position. A head up tilt test may be necessary to exclude an orthostatic hypotension. 2. Low blood sugar: hypoglycemia could cause a similar clinical scenario. I recommend performing a routine blood test (to exclude chronic anemia) and blood glucose levels. 3. A seizure. A partial seizure may mimic these symptoms. If the above tests result normal, an EEG and a brain CT scan may be necessary to exclude a possible seizure and possible intracranial causes. Meanwhile, I recommend taking plenty of water and have some rest. Hope to have been of help! Best regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son is only ten weeks old and has been to the er three times. On Zantac for acid reflux very irritable still gagging. I also just noticed he has a blister on his foot and now has rash on his face with pimples. He has clear discharge from his eyes constantly. And also has been making a hiccup sound and twitching in his sleep. Please help me and my son Matthew", "output": "Thanks for posting your query at Chat Doctor. Clear discharge from his eyes is not a cause of concern. The opening of his nasolacrimal duct might have not yet developed and a certain type of simple massage at the angle of eye and nose over a period of time will give him relief. For his acid reflux continue Santa. But chances are that he is not being burped properly after feeds. Make sure that the child is placed in erect posture, possibly on lap, for about 20 minutes after each feed. In any case, keep his head end raised after feeds. Probably with such interventions his reflux would subside. The blister over his foot is probably unrelated. Apply emollients or moisturizers over they are. Hiccups and twitches during sleep are normal, and you need not worry about it. I hope that helps. Feel free to revert in case of further queries." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I suffer from extremely irritable hands and feet at night, so much so that I find it difficult to sleep, despite feeling exhausted, some times I wake because of it. My GP has told me to try drinking some tonic water but I m thinking that I could need iron", "output": "Hi, Extremely irritable hands and feet at night awakening you can be due to the following reasons:Diabetes should be ruled out. Anxiety and stress can also cause such symptoms. Peripheral blood circulation problems.Hence, I would advise you the following:Consult your PCP and discuss these points and have preliminary investigations and get a reference to a Specialist as per the primary findings so that an appropriate further investigation can be done so that a specific treatment can be given. Avoid stress and anxiety. No tobacco in any form. Avoid cold atmosphere. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good afternoon,I have a swollen knot right where my leg meets up with pelvis near my scrotum. It has been a little bump for over 2 years but now it is a nice size and it hurts. What could that be? Not sure if it is a cyst or lymph node but I am concerned.", "output": "Hello! Thank you for the query. In this location such lump can be caused by inguinal hernia, enlarged lymph node or some kind of benign skin lesion (like lipoma or sebaceous cyst). As enlarged lymph node may need some diagnostics and inguinal hernia needs to be fixed with surgery, I suggest you to consult a surgeon with this issue. In case of doubts, ultrasound should be done. If its enlarged lymph node, biopsy might be necessary to verify it. Hope this will help. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my husband who is 39 yrs old had swelling in his tesicles and pain in the back and scrotum now tat the swelling is come down and tere is no pain in it he hasdeveloped a painless lump in his testicle which has caused me worry please can u explain why this has happned and what are the side effects of removing testicles?", "output": "Hi, Dear Thanks for the query to Chat Doctor virtual Clinic. I studied your query with available details given in your query. I understood your health concerns. Cause of the painless testicle lump with back pain-Your query has swelling in testicle with pain in back and scrotum. This swelling has come down with a painless lump in the testicle. This story is a bit confusing in your query and hence needs a Second opinion from ER Surgeon, as its very necessary to confirm the possibilities which arise from the query facts-as -this lump could be due to -a testicle swelling which has pain in back-indicating spread of the swelling to the lymph nodes in the abdomen. This lump lately has grown down -indicating a secondary HY Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im having face pain on my right side. It causes my jaw, the bone under eye and temple, sometimes my eye to have a lot of pain. I have had a ct scan that showed the bone moving toward my nose. I never talked to the doc so thought it was no big deal. But it is becoming one. any advise?", "output": "Thanks for your query, I have gone through your query. The pain on the right side of the face can be because of the infection of the bone secondary to spread of infection from the tooth. Consult an oral physician and get a radiograph like OPG to rule out the infection in the teeth. Go along with the CT and take opinion from the oral physician and confirm the diagnosis. Do not delay, once the diagnosis is confirmed, it can be treated accordingly. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am problems focusing on one thing, I am at all times thinking of atleast 10 different things. If i read a paragraph i can comprehend the whole thing ,but also be thinking about something else in vivid detail, then when I finish I could not even begin to tell you want I just read.", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. From the given description, I just can conclude you that you have concentration problem. You should have mentioned your age and other medical conditions. I assume that you are a teenager or a young adult. Concentration cannot be lost on single subjects. If you are able to see a blockbuster movie continuously, then you have good concentration level. If you are able to play a video game, then you have good concentration. Then what could be reason for your low concentration in reading your education related books. Lack of interest, of course. The books are boring. You do not have the passion with your subject. You are not alone. Millions of youth around the world are on the same path. Once you are able to cultivate interest, in the study subjects, the wandering stops. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have some question that I really want to know, hopefully you can give me the answers, thanks! 1. what color liquid leaks from the nose and is a sign of a concussion? 2.what knid of abnormal eye pupil exam is shown? 3.identify two tests that are done to diagnose a concussion?", "output": "1. In a concussion, there shouldn't be any visible changes to the head. If there is fluid leaking out of the nose and its clear, it could be cerebrospinal fluid (CSF) meaning there needs to be a leak repaired or there could be a meningitis. This can happen from a cribriform plate fracture often seen in frontal head injuries.2. There also should not be an abnormal pupil exam. If there is one, you need to go to the ER immediately.3. To diagnose concussion, it is basically any head injury that causes an alteration in mental status. There can be tests done, but they are usually done to rule out something else like a contusion (blood in the brain) or neck fracture for example." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Thanks a lot for your help Doctor. Can I pls ask what are the adverse effects of Demetia? Could it have been brought on by a severe shock to the patient., e.g. hearing that only daughter is divorcing her husband of 32 yrs even though there were not obvious signs of marital problems.", "output": "Hithanks for using Chat Doctor Dementia is not merely a problem of memory. It reduces the ability to learn, reason, retain or recall experience and there is also loss of patterns of thoughts, feelings and activities. Additional mental and behavioral problems often affect people who have dementia, and may influence quality of life, caregivers, and the need for institutionalization. As dementia worsens individuals may neglect themselves and may become disinhibited and may become incontinent. Behavior may be disorganized, restless or inappropriate. There are a lot of causes of dementia like old age, vascular cause, neurological etc., but it does not occur due to psychological cause. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my wife is diabetic, she also have ashma. prior to her knee replacement she suffer wound ulcer in her leg and took several months to heal before the surgery was performed. everything is okay now and her blood sugar is under control except for some occasional spike though she is taking insulin twice daily. The issue now is having burning foot pain, itchy and swelling find it hard to walk with out the aid of rollator. questions. how she can improve her blood circulation, prevent poor blood circulation, pain and neuropathy.another than these, her knee replacement is a success. she is 78 year old now, is her age a factor.", "output": "Hello, In a person with long-standing diabetes, peripheral neuropathy does set in, particularly if glycemic control is poor. But even with good control also neuropathy does develop giving rise to burning pain in feet, tingling and even numbness. Itchy feeling is due to improper blood circulation and affection of venous return. Strict blood glucose control is a necessity. Chat Doctor. Strict dietary control, some amount of regular exercise along with glycemic control will help. Age is definitely a factor. Fasting blood glucose should be closer to 100 mg, PP 160 to 180 mg & HbA1c%<7. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My wife aged 36 had giddiness yesterday. We just started our shopping and she was standing in a shop. suddenly she felt uneasiness. We made het sit on a chair. After a few seconds she became unconsious. We sprinkled water on her face and after a few seconds she opened her eyes. Then she took rest for 10-15 minutes in the shop and then we moved out. That time she felt like gas coming out of mouth from stomach . She was feeling uneasiness and giddiness feeling for another 1 hour or so. There after she was normal. Some months back also she had similar uneasiness but she did not become unconcious. Please give some suggestions/remedies", "output": "Hi, Thank you for posting your query. Your wife needs to be evaluated to find out the reason for her unconsciousness. The causes could range from simple exhaustion to lack of blood flow to brain and heart problems. Initially, please consult a physician, and get her hemoglobin, blood sugar and cholesterol checked up. Later on, she may need neurology and cardiology evaluation, if no causes are found. In addition, she has to ensure adequate sleep, regular meal timings, and avoid stress. I hope it helps. Please get back if you require any additional information. Wishing you good health, Chat Doctor. Ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am a girl and when ever i touch my neck/chest it gets red. it does not hurt and goes away within 1-2 minutes. the same things happens to my ears but they burn as well. i am allergic to some kind of metal and i am pretty sure it is not nickel. why is this happening?!?!?!", "output": "Hi, This is not an abnormal condition rather it might be physical urticaria occurred as a result of physical touch, pressure, heat, cold,anxiety, exertion etc. Secondly, it can be true dermatographism occurs as a result of pressure by fingertip, pen,key etc., and it generally disappears after few minutes without any treatment. So, if you are suffering from this then first thing you don't have to worry. It subsides by itself, or you may take antihistamines like Ben Chat Doctor. You can consult dermatologist for further advise." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My dad is diabetic, has hbp, fatty liver. He literally screams in pain off and on throughout the day, every day...for 2 years now. The doctor says there is nothing he can do except give him pain medication. He takes clonodine and his doctor gave him oxycodine, which he doesnt want to take because it is so addictive. What the heck can we do?", "output": "Hello, Thanks for the query. Since patient has long-standing diabetes and hypertension plus pain (as described), he needs to be treated with a semisynthetic narcotic Chat Doctor. Because routine non-steroidal analgesics if used for long duration can lead to kidney damage. In diabetes as well as in hypertension kidney function is already affected. So in such situation Oxycodone is definitely a better choice. It does lead to physical dependence if used for a long time. However, if pain control has to be provided then that is the best alternative. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my daughter is 3 and I noticed today that the toenail on each of her big toes is not connected at base of her toe anymore. No blood or anything, but it is very obviously not connected at the cuticle/base of her toe. What causes this? What do I need to do for her? Will it reattach?", "output": "Hi, Thankyou for your query.First I would like to know that if she is having other problems also like joint pain, tiredness and weakness, recurrent fever or particular rashes and itching. As all of above-mentioned symptoms if associated with fall of toenails, it could be caused by an autoimmune disease.Otherwise it could be fungal infection or because of wearing tight shoes. Ofter falling of toenails, they will not reattach but develop newly slowly. Hopefully my answer is helpful. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "When Im constipated I finally have a hard bowel movement and I get a burning feeling in tip of penis. When Im done I look into the bowl and see white flakes in the water and sometimes inside my urethra. This is horribly uncomfortable. I also have problems maintaining an erection. Ive been to an urologist and he didnt do a darn thing to help me", "output": "Hello share your concern. White flakes in urine with burning sensation in tip of penis is suggestive of UTI (urinary tract infection)I would advise you for a battery of tests like urine culture and sensitivity and an ultrasound if need be to find out underlying causative microorganisms, you may require a course of antibiotics according to reports. Constipation can be treated with dietary modification like incorporation of lots of fresh fruits and vegetables or dietary fiber in your diet, avoidance of spicy and junk food. Laxative like lactulose or stool softeners like liquid paraffin can be tried in long-standing constipation. Hope I could answer your question. Best wishes" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello I have been taking Celebrex for some time for arthritis pain. I have been fortunate to have avoided pain in my arms and shoulders until just recently. the pain will actually awaken me from a dead sleep. in my arms shoulders, wrist. I am sitting in my recliner awaiting my narcotic pain killer to start working so I can finish my nights sleep. and suggestions come to mind?", "output": "Hi, thank you for providing the brief history of you. As mentioned by you, about the sharp pain in the arms, shoulders and wrists, I will advise to undergo a complete neuromuscular assessment. Also, this sharp shooting pain can be due to the pathology of the nerve. And for which your or tho may advise you for an MRI, which will help understand the physiology of the soft tissues in the cervical spine. Post which with a combination of medicine and physical therapy, the symptoms will come into control, also, on a later stage, exercises will be taught to strengthen the muscles and avoid nerve impingement, which is common for this kind of sharp pain. Usually, patients recover with good health in 2-3 weeks, and later stages, exercises are followed at home. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had part of my colon removed due to cancer just about a year ago and the doctors said they removed all the cancer and it had not gone out the intestine but the Mayo clinic where I had the surgery said to have this cea test every 3 months. Last test was 2.8 slowly been going up and I am worried. What are the next steps to take?", "output": "Hi, Thanks for writing in. Colon cancer is treated completely by surgery if detected in early stage. However, CEA is to be done regularly to know the progressive increase and possibility of a recurrence of the tumor. Colon cancer might cause liver spread and this also has to be looked for by doing an ultrasound scan and CT scan if required. It is important to discuss the rise on CEA with your doctor and then proceed with doing an ultrasound scan or CT scan and if there is a strong suspicion then a PET CT scan might be necessary. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have ebv (Epstein barr virus), low platelets, low vitamin d, very Nevada s joint pain, also including fatty liver disease, high bad cholesterol, slightly high glucose, my doctor is awful and said I m fine but I know I m not my sister has lupus my grandma has diabetes and we have severe tumors in our family including celiac disease please tell me what kind of doctor I should go see", "output": "Hi I did review your concern.ABV infection generally has no antibiotic or antiviral treatment. Rare cases have been treated with Riboviria but mostly nothing is required, and it will heal on its own. I would recommend you to consult an endocrinologist and start on diet and lifestyle modification as well as if needed to start on statin medications like atorvastatin for high bad cholesterol(mostly LDL). Fatty liver can be due to alcohol or due to high sugar and obesity and stopping alcohol as well as decreasing sugar and weight will help in reversing this condition. I hope this helps. Wish you all the best. Thank you for using Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 20 yr. old son had a mri done with contrast. When I viewed a side view I noticed a black round spot on the back of his head above the brain stem. Can you give me any indication as to what this may show? It looks like there should be a noticeable lump protruding from the back of his head, although this is not the case. Any info would be appreciated.", "output": "Hello, The reporting of MRI involves viewing images acquired in various planes (vertical, horizontal etc.), with various settings (T1, T2 etc.). The appearance of same structure may vary greatly in different sequences (like white vs black). So it may be difficult to comment on the MRI from the description you have given. Consult your radiologist who has seen all the images. Also, the reason for which MRI was done will put things in perspective. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had my implanon removed over two weeks ago and have been actively trying to conceieve. I had it in for the full 3 years, with no periods, only spotting here and there. I now have a very light pink almost a discharge , but its not thick, very thin/lght. I took a pregnancy test 3-4 days ago and it said neg, which I wasn t really expecting anything yet. The discharge is not heavy enough for a tampon . a light panty liner does the trick. what could it be? I am 22y/o causcasion weigh 140 and 5 8 . Thanks, Erica", "output": "Hi thanks for the query. This discharge may be mid-cycle discharge or due to some infection. If you have itching, irritation or foul smelling discharge then chances of infection are more. In that situation, you should take antibiotic pessaries after proper prescription. I don't see any advantage of pregnancy test so early. Hope this information is helpful and informative to you. If you have further queries you can directly reach out to me on the following URL:http://doctor.ChatDoctor .com/doctors/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor, This question is in relation to my mothers health. My mother is sixty three, she has been having hot flushes from the age of forty eight. At present they are unbearable , approx nine years ago she was dignosed with skin cancer on her nose, which was treated and cured. As a percaution the doctors did more tests and discovered she had breast cancer . She was very lucky it was got in the early stage, so the doctors operated, removed the lump and then recieved six weeks of radium treatment. Thankfully she has been clear since. At present the hot flushes are very frustrating for her", "output": "Hi!welcome to Chat Doctor! The severity and duration of hot flashes varies among women going through menopause. Some women have hot flashes for a very short time during menopause. Other women may have hot flashes at least to some degree for life. To prevent hot flashes, your mother should avoid these triggers: Stress, Caffeine, Alcohol, Spicy foods, Tight clothing, Heat and Cigarette smoother things she can do to keep hot flashes at bay include: Stay cool. Try deep, slow abdominal breathing, exercise dailyYour mother can go in for hormone replacement therapy (HRT) under the expert guidance of a gynecologist or an endocrinologist. You both and your doctor may decide that hormones are or are not needed for a short time to help with symptoms of hot flushes. Hot flushes are linked to lower estrogen levels. I hope this will help you!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "When I lay down at night my feet twitch. Just one twitch about every 30 seconds or so. Both feet. I can feel something originating in my groin area then sorta shooting down to my foot and causing a twitch. It keeps me from falling asleep quickly and is not painful, just sooo annoying. It is starting to happen during the day now.", "output": "Hi, Thanks for your query. It seems that you have muscle twitches or articulations. These are small, local, involuntary muscle contraction and relaxation visible under the skin arising from the spontaneous discharge of a bundle of skeletal muscle fibers. You might consult your doctor who can order 1. A few blood tests including thyroid function tests, 2. Serum electrolytes including Serum calcium and potassium levels. 3. Serum B12 levels In case the above tests are normal further testing can be done including - nerve conduction studies, Electromyography, etc. These tests might help to diagnose any underlying neurological issues. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, My mom is 70 yrs old and Asthamatic and uses Budecort inhaler thrice daily for the past 6 months. She was prescribed Deriphyllin but gets discomfort and palpitations with it. After inhalation she feels better but complains of epigastric distention and would like to know what to do . She is breathless on walking only, not sitting or lying. Please help", "output": "Hi, Thanks for posting your query. Budecort contains budesonide, a steroid. Taking steroid 3 times in day for long time is not a recommended guideline. This is better option in acute exacerbation. She should take beta 2 agonists and anticholinergics by inhalation method. Deriphylline has side effects of palpitation and it's not a better option to take deriphylline. Any medicine taken orally is exposed to whole body while medicine taken by inhalation method is exposed to lungs only where the primary disease is existing. So you should go for inhalation therapy. Thanks," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have been diagnosed with osteitis pubis. i have had this condition for the last ten years and I dont find relief in anti inflammatory drugs neither do i like taking them. my worst pain comes on after i walk carry heavy stuff or push anything. i am looking for some pilates or yoga postures to correct my problem", "output": "**1. Since the case is diagnosed, and you are under supervision and management, thus prior to any holistic approach, consult an Orthopedic surgeon for relevant examination and investigation [since condition is 10 years old] to exclude osteomyelitis of pubis bone or related structures. [nerve injury/compression]2. Exercises for estates pubis rehabilitation concentrate on stretching and strengthening all affected areas, including the groin, lower back, hips and thighs. 3. Rehabilitation under the guidance of an experienced Physiotherapist is highly recommended. The return to normal activities/condition should be totally guided by their experience to avoid a future re-aggravation.PS. It may take the rehabilitation process in excess of 3 months.4. Some exercise recommended for estates pubis is/are: clambers, core strengtheners, wall bends, gentle side stretches.PS. Because your condition may differ from others, consult with your doctor or experienced yoga trainer before starting new exercises or yoga postures" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have sinus infections on and off, now I am having a post nasal drip, and very bad breath, the roof of my mouth is yellow and my throat has pink sores on it,my tongue is always white despite good oral hygiene, am using Listerine mouth wash but it does not help especially with the rotten meat breath, how do I stop it?I also have tonsil tones once in a while", "output": "Hello and Welcome to Chat Doctor, Thanks for writing to us. It can be caused by variety of things including diet, medication, poor oral hygiene, and diseases or conditions such as diabetes, HERD, lactose intolerance, gum disease, and more. Maintaining proper oral health can help reduce or eliminate bad breath. Brush at least twice a day with fluoride toothpaste, brush the teeth after meals, brush the tongue, replace your toothbrush every two to three months, use dental floss regularly, see your dentist at least twice a year. Hope this helps you. Wishing you good health... Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was recently diagnosed with Type II Diabetes and idiopathic sclerosing mesenteritis. I am experiencing bouts of dull to severe left sided abd pain that is now being felt in my left mid-back. I have had a CT scan (2 wks ago) that says that the hazy area on my left side has worsened since the last CT scan (June 2014). I can tell that the physicians in my area are not familiar at all with the mesenteritis and really don t know how to treat me. My last HGBA1C was 6.1 and I am not on any insulin at this time as my blood sugars are always between 80-120, yet I feel a little funny after at least 1-2 small meals daily. I am becoming depressed, have lost over 50 lbs in 4 mths, and having a hard time understanding where to turn next. Is there an institute in the US that deals specifically with this type of diagnosis?", "output": "Hi. I have read and understood your query-very specific and neat. I would advise you to consult a Gastroenterologist, and he may take a help of a Cardio-thoracic Surgeon. This is going to be a multidisciplinary problem, where super-specialists of many fields will be involved. Although your diabetes is under control and HbA1c is normal, such type of mesenteric arterial stenosis is caused as a long term bad-effect of diabetes. Fortunately with the advent of stents and a role of interventional Radiologists you can certainly get a relief after putting in a stent in the artery with an occlusion. It is similar to stent in the heart arteries. Go for further investigations and management, Keep the diabetes under control with proper diet, exercises and medicines to avoid further complications. Wishing you a proper diagnosis and treatment." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor,I am looking for neurologist to treat my mother who is suffering from sever back pain and also neck pain. Her head/neck is shacking because of some reason. Can you please suggest me what would be the reason, and the treatment for my mother?", "output": "Hi, thank you for posting. I have gone through your query and I understand your concerns. Her symptoms are caused by neck arthritis. The compressed nerves by arthritis are causing the shake of the head. To treat arthritis your mother should take non-steroidal anti-inflammatory medications such as Meloxicam. Massage and chiropractic procedures can also help. Before starting the treatment your mother should confirm the diagnosis by getting the following tests done:1. Neck X-ray.2. Fibrinogen test.3. Complete blood count.4. Urine test. Ask me for anything unclear. All the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have post polio. I recently completed ( 4 weeks ago) 192 hours of chemotherapy and 25 rounds of radiation. I am having a very difficult time bouncing back. Oncologist tells me the chemo is still working (my hair is still falling out but I am not getting my energy back. Could the post polio have something to do with this since i have a very high sensitivity to all drugs.", "output": "Hi, Thanks for writing in. Polio is a sequela of post infection paralysis to muscles of a limb. This is not related to chemotherapy or its outcome. The recovery after chemotherapy remains unaffected irrespective of whether a patient had polio. The polio is an irreversible paralysis due to an infection which you probably had during childhood. The manifestations of polio will no longer matter in the present scenario. Since you have weakness of muscles from before due to polio therefore it might take a little longer to get yourself in to normal physical work. This is not due to the effect of polio but a generalized reduced ability to adapt yourself for normal regular daily activities. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "stomach pain, back pain. i got my first depo provera birthcontrol shot in june22,2011 a week after receiving the shot. i started to have stomach pains and back pains. its now october 21,2011 and its gotten worse my obgyn gave me antibiotics. and not happened. i dont know what too do its getting worse everyday. i can barley get to sleep.", "output": "I have gone through your question and appreciate Your concern. First don't neglect your health. Consult orthopedic spine specialist And Get examined if required MRI of spine Should be done to rule out any pathology. For pain in abdomen do USG of abdomen. General measures which will help u avoid bending forward and lifting heavy Weights. Hot fomentation thrice a day. Local Analgesic gel for local application Muscle relaxants and analgesics will help you. After relief of pain muscle Strengthening exercises Will help u strengthen your back muscles. Bed rest and lie on hard bed. Thanks U can write me back for any query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sure i woke up with my back sore then i got a sinus pain on my right side of face my arms started to hurt bad then my spine hurt then i started body aches , drank water then sat down felt like pressure around back and front abdomen felt like my muscles were like milky", "output": "Hi, As there might be not any generalized symptoms of weakness unless there is a viral infection. You can try taking the paracetamol, for now, to see if any ease is happening. Because most times with just paracetamol there will be ease to the symptoms. In case there are no changes in the symptoms then we need to assess you on a clinical basis and some blood tests to be done to check out any particular pathology. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sis my husband is suffering from fever since 4 months all the tests have been done but all results are negative doctor says .. it must be fungal infection ..n started medice called vericornazole n he took it for 45 days but no results.. still he is suffering from fever.. what should i do.. ples. advice", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query your husband have persistent fever since last 4 months which could be due to viral/ bacterial infection of body. I would suggest you nothing to worry about it. You should take NSAID medication along with antibiotic such as Levofloxacin. You should take plenty of fluids. Furthermore, you should take soft and bland food. Furthermore, you should take fresh juices in diet. Visit general physician once and get it examined. Go for blood tests as well. Start treatment after prescription. You should take proper rest. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I have felt my pulse in my head, primarily on the left side for three weeks. Not only can I feel it, I can hear it. It is so loud that it s hard to concentrate on other things. It doesn t hurt like a headache. I have also had a drastic change in my vision in the past two months. I am able to sleep at night, but as soon as I wake up, the first thing I am cognizant of is the pulsating in my head. It is getting worse instead of better. I have a history of having had a meningioma on the left cerebella lobe peripheral, 2004. I fear this could be a sign of another brain tumor. Are there other things that could cause these symptoms?", "output": "Hi, I had gone through your question and understand your concerns. Your symptom leads more towards vascular malformation of the brain (probably rural arteriovenous fistula) so I suggest you to consult a Neurologist and discus possibility of imaging study of cerebral vascular structure with MRA or DSA. Treatment depends on these imaging studies findings. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband has constant pain in his hands as well as finger joint pain. We are trying to figure out what could be causing it. It happens multiple times per week. Tests have shown no arthritis upon blood work. No change after stopping pravastatin for two weeks.", "output": "Hello, Is the pain he feels radiating, tingling, numbing? Is your husband diabetic or have any signs of high blood pressure? What is his job profile? Is he having job-related to more usage of wrist and finger? If the RA factor has turned negative in the reports that it is a big relief that one of the differential diagnosis has turned out negative. What is my provisional impression to the history is there can be two possible factors which need a thorough examination. One either this could be a repetitive stress injury or two it could be nerve entrapment. But as I said this is just my provisional impression and without having a thorough examination of the job profile and more details about the history I cannot conclude it which can make you panic. What I would suggest it please check these two things online or consult a doctor and see if either of one fits into the category if not then we have to re-examine the history and restart the process of diagnosis. On time being with related to treatment part, I would say try dipping hand in hot water and do wrist and finger movements. You can even use a sponge ball inside the hot water and perform squeezing activity. This should help to a good extent to control the pain symptoms until we come to a precise diagnosis. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, the other day I noticed that I have a lump on my anus. It is about the size of a pea and the same color as the rest of my anus. It doesn t really cause me any pain when sitting or pooping but it is rather alarming. It s not really hard but it isn t really soft either.", "output": "Hi, Dear,Good Early Morning, and Thanks for the query to Chat Doctor. I studied your query in details and understood your concerns.@My impression of your lump in the knee-is as follows--Could be-External Piles without pains and soft lump.Don't worry, it could be treated by -a-Anal Dilation conservatively, b-Or By Excision and Ligation of the External Piles with High ligation if the Internal Piles associates with it. It could be treated at the best hands from ER Surgeon. This would help you to plan treatment with your doctor.@Hope this would resolve your worrisome query. Welcome for any further query in this regard, and would love to help you to resolve this problem till it is solved to your satisfaction.@ One Small Request to you to Write strong recommendations promoting my services for the benefit of my new and old patients at Chat Doctor clinic. Wishing you fast recovery.!! Have a Good Day. With Regards, Chat Doctor. N. Super-specialist in NCCD-Non-Curable Chronic Disorders and Rejuvenation therapies in tissue and organ failures." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am having some chest pain which i never experienced before. I am now at the highest weight i have ever been in my life. Almost 200. I also am very inactive. I have asthma. I started drinking seltzer last night. I dont know what this could be, the pain i mean... because I have asthma for all my life... but am super inactive now and at my highest weight. THis has never happened. IDK what it could be if i should consider it something serious. But I want to check and not be stupid and end up in bad condition without paying attention to symptoms if this could potentially be bad. thank you for your help. i would appreciate some insight.", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. In obese patient, for chest pain, we need to first rule out cardiac cause (coronary artery blockage). So get done ECG and 2D Echo to rule out cardiac cause. If both are normal than no need to worry much for cardiac cause. Your symptoms can be due to worsening of underlying asthma. So get done PFT (pulmonary function test) to rule out this and start treatment accordingly. I also advice you to get done lipid profile and if you have high cholesterol and triglycerides than start lipid lowering Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir, I was in AC for a week and got affected by sore throat and short ness of breath , went test for asthama and COPD along with allergy test with ECG . But my test report are positive Dr. Dr Advice me to take Romilast fx n now its almost 3 weeks over ..though reduced however some time shortness of breath make me sick .Pl advice", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Viral respiratory tract infections are very common in Air conditioned spaces. Such viral infection can cause bronchitis. Best treatment for bronchitis is inhaled bronchodilators (formoterol or albuterol). Since you are not taking these inhaled Chat Doctor. So start inhaled bronchodilators and inhaled corticosteroid (ICS) (budesonide or fluticasone) after consulting your doctor.Don't worry, you will be alright after starting these " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 16 yr old daughter, otherwise healthy, experienced a sharp pain when she dove into the pool last night for swim practice. she says lower lung area. today it hurts when she drinks/swallows and pain is still there. she has a cough, but could be unrelated", "output": "Thanks for your question on Chat Doctor. In my opinion she should get done chest x-ray to rule out lung infection. Because swimming can cause aspiration of some water in lungs and this can lead to infection. Her symptoms like pain on coughing and swallowing can be due to infection. So we should first rule out lung infection. So get done chest x-ray. If chest x-ray is normal than no need to worry much. This can be due to muscle pull because of swimming. So ask her to avoid heavyweight lifting, strenuous exercise. Take Pain killer and muscle relaxant. Apply warm water pad on affected site. No need to worry, she will be alright." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a bulging disc and have had it for eight months, it is on the L4 L5 and also have a slipped spine on the L4, the doc will be doing surgery to get the L4 nerve out of the way since it is being compressed between bone and the disc. This is on my left side and have noticed since this happen that on the same side below my shin there appears to be a dent that goes across the bone. it is quite significant and I did not mention this to him.....should I be concerned?", "output": "Hi, Thanks for your query. You are having degenerative disease with L4 disc prolapse. If you are having tingling and numbness or weakness of legs, then you may need to get the offending prolapsed discs should be operated. This prolapsed disc causing pressure over your nerves. Along with that conservative measures are a must:Avoid forward bending, lifting weights. You can take painkiller and muscle relaxant combination prescribed by your doctor for pain relief like Tablet Diclofenac and Thicolchicoside twice a day. You can put hot water bottle to the painful areas for relief from muscle spasm. If the medication isn't working then you can get Epidural steroid injection in the back, to treat multiple disc prolapse. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "For the last week I ve had quick sharp pains in my left calf then moved to my left hip then to my left breast and now to my left top row of teeth... With a headache. Its so weird to me that its all on my left side. I am female 47 years of age and I was diagnosed with fibromyalgia 2 years ago. Could tha be the cause of all these weird pains within a week?", "output": "Hi, thank-you for providing the brief history of you. As you been diagnosed with fibromyalgia, this condition called fibromyalgia is an inflammation of the fibers of the muscles. The muscle is composed of numerous muscle fibers and inflammation there leads to pain. Due to inflammation of the muscle fibers there is slowing of the metabolism and also excess production of lactic acid.Also, the sharp pain in hip and calf can be related to the pinched nerve in the lumbar spine as the para spinal muscles must have got weaker. Also, taking physical therapy - Therapeutic ultrasound therapy and TENS therapy should help reduce pain. But the important role will be played by the exercise as to strengthen the muscle and improve the output of the muscles. In my clinical practice such cases respond well to physical therapy. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here...my 4 year old has a rash up her one arm and a small patch on her back (bottom of neck) it is red a little bumpy with a tiny black looking center. in the morning it was not there at all and by bedtime i seen it. she does not have a fever and the rash is not itchy.", "output": "Hi... Thank you for consulting in Chat Doctor. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor,I am 30 years old.My serum triglycerides is 527mg/dl.serum cholesterol is 182mg/dl,ldlis 100 and hdl is 28.as i know my serum triglycerides is very high.how much harmful it is for my health?Plz suggest me what i have to do to make it normal.", "output": "Hello and thanks you for your query. I am Chat Doctor and I will try to help you as much as I can with my answer. It is harmful but not acutely, since it will increase risk of cardiovascular diseases. It should be treated with dietary changes and medications for lipid lowering. I hope I have answered you query. If you have any further questions you can contact us. Kindly regards. Wish you a good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I m on birth control and I had unprotected sex two days ago. I have missed one (two at the most) days, but remembered immediately and took it. The pill I am on allows you to do this and take your next pill as you normally would without having to use backup birth control. I am now having a brown discharge and would like to know what you think this means and if I should take the morning after pill. Thanks.", "output": "Hello, and I hope I can help you today. You were completely correct in following the proper instructions for what to do when you forget to take your pill. If you miss one pill but take it within 24 hours of when you forgot it, the effectiveness of the pill is not reduced, and you still rely on it as primary contraception. However, one of the side effects of taking the pill at irregular intervals is having spotting when you are not supposed to have your period. The brown discharge you see is actually very light bleeding and will usually stop within a few days after you take your pill at the same time every day. There are apps you can download (if you have a smartphone) or email programs on the internet that will send you a reminder to take your pill every day. Or a good low-tech method to help you remember is to coordinate taking your pill with something you do around the same time every day (like brushing your teeth) so you get into a daily habit. I hope I adequately answered your question and that this information was reassuring. Best wishes, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a mild pcod I am planning for a baby for last one yr but I consult my gyno 2 months back then I come to know abt this .I am taking chrominac a ..should I able to conceive or not .my age is 32 I have a 5 yr old daughter that time I concevie naturally..", "output": "Hello dairy understand your concerned have mild PCs and pregnancy is possible after taking proper treatment. I would suggest taking treatment under the advice of the gynecologist. You can continue chroming as it decrease the insulin resistance. Along with that you can also ask the doctor:Progesterone pill in second half of the period : to regularize the period and for hormonal imbalanceClomiphene citrate can be used to induce abortion and maintain fertility. Avoids stress, take healthy diet, take small frequent meal and avoid excessive sweet in the died regular exercise and loose 10-12 % body weight if you are obese Hope this may help noncontact further if follow up needed Best regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "CT Scan shows a 12 mm cyst in the lower pole of the left Kidney also a 1.6 cm hypodense mass in the left adrenal gland as well a prominent extrarenal right renal pelvis is present. I have sarcoidosis in my lymph glands and my lungs . Are these cysts a concern or should I put it down to my sarcoidosis and just forget I have them?", "output": "Hi, Thanks for writing in. A 12 mm cyst in lower pole of left kidney is not a concern. However, you might get it followed up after 6 months by ultrasound scans to know any change in size and appearance. Cysts less than 30 mm are not of much importance. If you are above 60 years of age then an occasional cyst is an expected finding in the kidneys. The 16 mm hypodense area in the left a Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My wife was hospitalized for 3 days for dengue (Rash all over and joint aches but no fever) She tested positive in IGM and negative in IGG & Antigen. She was discharged 1 week back. Day by day her joint aches have returned and she particularly finds the ache in the bone leading from neck to mid chest (ribs?) unbearable. The doctor has prescribed Ultracet for aches today (twice a day) but she has no relief. Can you suggest an alternative?", "output": "Hi, Welcome to Chat Doctor. If she tested positive for IGM, it is acute infection of Dengue. Dengue is a viral infection caused by mosquito bite and is characterized by headache, fever, rash and joint pains. The joint pains will take some time to reduce at least 3-4 weeks. Attract is good enough for the pain. She can take the medications three times daily instead of twice a day. Adequate rest and local application of analgesic gel would help to some extent. Wishing her a speedy recovery. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi for a few weeks now I have been feeling heart palpitations they are so strong at times it feels.like my heart is going to stop ...I was admitted to a phsych hospital because my anxiety and depression was bad after being in ers so often they diagnosed it with anxiety related because my EKG came back normal also xrays I dont know what to do backside my anxiety medications arent working I have to my psychiatrist that.klonopin,has worked in the past but she isnt allowed to prescribe narcotics there and I also dont wanna keep pushing and look like a drug seeker please help", "output": "Dear NilsaYou seem to know a lot but not about your body and its functions know what is palpitation and don't know why it is coming. Palpitation, sweating, trembling, goose bumps etc. are symptoms related to fear. They come when a Chat Doctor. Normal procedure when human beings fear. Understand the body mechanism logically, and you can win over anxiety. Again health conscious people have this kind of problem. Immediately consult a qualified counselor (not psychiatrist)Wish you good future." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My Dr has suggested that I have narcolepsy and is suggesting medication. I am 68 years old and had a heart attack when I was 57. My blood pressure and colestrol are being controlled by medication. Is it safe for my heart to take medication for narcolepsy?", "output": "If you truly have narcolepsy then, a sleep study which includes what is called a MSLT will give you the answer and would be a much better thing to do in order to verify the diagnosis rather than blindly taking medication that can affect the heart and also has other side effects that I'm sure you'd rather NOT have. If you would like a more comprehensive consultation please write me at: www.bit.ly/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "which is good for me. i want preg as soon as possible 29yrs,pcod,irregular periods, taken three month course for pcod after that two months past doctor take USG but not found any major follicle in this. now she recommened another three month course with duloute -L and ebexid. what would you suggest? another doctor recommend ovulation induction drug i.e some clomipine type.?IS this safe for me i am confused .which doctor i had to follow? i want preg soon. if i choose induction drug method Is it solve my problem .otherwise one more month would be wasted.and then i have to follow three month course.", "output": "Hello Kyoto;welcome to Chat Doctor Duolute-L is a hormonal pill and is given to you to make your periods regular and treat POD.POD is one of the cause of infertility because most of the time the ovulation is absent or does not take place and in such cases the doctor advises camphene to induce ovulation. So if your POD is treated and your periods have become regular then you can take camphene for induction of ovulation. So finish your course of Duo lute and discuss with your doctor regarding the use of camphene and take it under the guidance of your doctor. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I have been having kind of a tingling feeling in my left arm and leg through to my toes lately. And today my jaw started to feel kind of funny. I have relapse remitting MS and have been told its normal with the tingling. But my 42 yr old boyfriend had a heart attach this past Sunday", "output": "Hi, This left arm pain and tingling may be a part of multiple sclerosis or cervical spondylosis with radiculopathy or myocardial infarction etc. Until examination is done it is difficult to say what it is. use tablet Pregabalin once daily for five days. Use tablet Methylcobalamine once a day for five days. If symptoms not improved please consult your Cardiologist/ neurophysician they will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I stubbed my smallest toe 9 days ago, iced it pretty quickly and the initial swelling and bruising subsided but cannot wear any shoes,or put any significant weight on the foot.it swells after a days activities(I have to be up and about)and still hurts. I m not totally convinced the toe is broken but good grief, I m ready for this be over. Am I just being impatient and how long does it take to resolve. I m wearing sandals in cold weather! Sorry this seems so benign but it s really incapacitating. By the way, my knee (on the same leg)is now killing me.Im hoping there s no connection. Thanks so much.", "output": "Hi, As per the complaint, knee pain can occur due to causes like overexertion, aging while can also be due to certain disorders like anterior cruciate ligament injury, torn meniscus, knee bursitis, tendinitis, arthritis, gout, infections, etc. I would suggest you consult an orthopedic and get evaluated and a thorough clinical evaluation and investigations like X-ray, MRI scan, blood test etc., can be done to rule out the exact cause of the pain and treatment can be done accordingly. As of now, you can take an anti-inflammatory painkiller like Ibuprofen, muscle relaxant like Chlorzoxazone, apply an analgesic gel over the knees and put knee braces. Limit exertion as it can add up to pain. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor, since 6 yrs i am taking different types of medicines for pcod,now i have been prescribed for rejumet as i am now overweight even i am trying to get conceive for the past 4yrs but i am failure.is there any way to overcome with all this problem?", "output": "Hi, PCOD is very complex disease and sometime difficult to manage. Treatment response is variable. Treatment should be taken under experienced gynecologist after USG scan, ovarian follicle study and reproductive hormone analysis. If your period will not regular then Chat Doctor. One your period will become regular then you use following treatment to attain pregnancy: - Continue Resumed: It will induce ovulation, and reduce insulin resistance. - Camphene citrate: increase maturation of ovarian follicle and ovulation. If ovarian follicle will not rupture under ovarian follicle study then Chat Doctor injection can be use along with Camphene for 4-6 cycle. - Progesterone pill: in luteal phase to support implantation and pregnancy. Tablet Ova care also increase chance of pregnancy. If medicine will not respond then go for ovarian " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Dr. Mintz! I just want to ask what is the connection of Hepatitis B to Fatty Liver? My cousin has a fatty liver and was surprised when her Sgpt and Sgot count did not lower after a month of medication. She is now starting another month of medication with stronger doses of medicine as advised by her physician. Can you please help us find out the cause and possible solution for her problem..?", "output": "Hello! Thanks for putting your query in Chat Doctor. I am a Gastroenterologist (DM). Hepatitis B do not cause fatty liver at any stage. The relation is if both are present the progression of liver disease is more. For fatty liver:1. If obese or overweight weight reduction is advised by low fat and low caloric diet and regular aerobic exercise for at least 30 minutes per day2. Among the medications' tablet ursodeoxycholic acid and vitamin E are helpful3. Avoid alcohol if you do take. I hope I have answered your query and this will help you. If you have any further query I will be happy to answer that too. Remain in touch and get-well soon." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am 35, 5 9 and about 180 pounds. Just recently had a scope done on my knee to repair a torn meniscus and the dr found a dimple on my cartilge. Nothing was done at the time as the main concern was the meniscal tear but just wondering what i can do to not require any more surgery.", "output": "Hello, I have studied your case. As per your symptoms you need to do physiotherapy and knee exercises to improve range of motion. Due to old injury to knee there is early degeneration of knee joint.Lifestyle changes will help in reducing pain which include, VISCOSUPPLEMENTATION: Hyaluronic acid injections given into the joint (especially large joints like knee joint) in prescribed dosages will give good short term pain relief in arthritic joints ranging from 1-2 years. You need to consult orthopedic surgeon for taking it. Autologous Chen Chat Doctor. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear sir, I am Ajmal 35 years old male.I have a stone problem.I had small stones and one 14mm stones in left kidney .on 19/02/2013 I undertake an ESWL treatment.After that treatment am taking the following pills. 1)spasmo-proxyvon-1-0-1 2)flavocip-1-1-1 3)urimax-0-0-1 now I have a continuous pain in right side.after taking pills am still having pain.am taking foods are very light only.drinking lots of water too.What to do sir?", "output": "Hi, Thanks for writing in. Going by your query, you have few small stones and one big 14 mm stone in your left kidney for which you had ESL. Medicines given areSpasmoproxyvon an anti-spasmodic and pain reliever. Flavocip a urinary antispasmodic. Urimax (tamsulosin) for prostate problems. You might be knowing that ESL breaks larger stones into small portions and then these come out in urine. If your right side is paining now, I suggest you get an ultrasound scan and tell the radiologist that you have right side pain. In case of kidney stones symptoms can recur on the opposite side after a few months due to new stone formation. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My right heel is numb on the back right corner....it seems to have happened the last 2 days...I did do some workouts at a gym at our office this week...wondering if anything I did could have caused it? I do sit most of the day at my desk....I try to get a walk in during the day, but don t always manage to.", "output": "Hello, There is a nerve that supplies feeling to the back inner corner of the heel called the medial calcaneal nerve. This nerve is sensory only and does not power any muscles. It's possible that if the workouts you were doing were new, and your shoes didn't fit quite right, that you could have irritated this nerve. This nerve isn't commonly irritated, or at least it doesn't bother people enough to come to the doctor. Perhaps you want to make sure you have good fitting exercise shoes, but I wouldn't worry either way because it will probably go away on its own. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi ...i have facet joint desease but over last few monts ive been gettin a numbness in both legs on and off over last few months...they feel numb at the top of my legs but are so painfull feels like my bones have been crushedthe lower half...do u think i should be concerned or is the part of my problems with my facet joint problem", "output": "Hello, As I see the above-mentioned history I feel it is related to lumbar spine intervertebral disc injury and so does the symptoms of numbness, tingling and radiating pain has come. I will advise for an MRI scan of the lumbar spine, so we can understand the soft tissue pathology better. With core stability, spinal muscle strengthening exercises and lower limb strengthening exercises you pain should come down. Use hot water fermentation which will help reduce the spasm of the lumbar spine muscles. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello about 2 weeks ago i noticed just above my cheek bone was sore like it was a bruise but it wasnt. When i touch it is pain beyond pain. I get shooting pains to my eye and a severe headache righ after. Its horriblebut i have tmj also could that be an issue", "output": "Hello, As due to inflammation at the TMJ there will be trouble to the facial nerve and this could be the reason for the cause do the symptoms. I will advise getting it examined. Also, there is one more factor which works here is the trigeminal neuralgia which is little different from the facial nerve symptoms, but that also is excruciating pain. Getting it examined by a neurologist will be of advice and sooner medication will be advised. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My wife just had a colonoscopy today along with endoscopy. The did a biopsy of her esophagus. Now she is running a low grade fever of 99 to 99.4. Is this normal? The discharge instructions say call your medical doctor if you have a fever but our MD does not have an on call. She s very scared she may have an infection. She has cancer and also just got over a respiratory infection.", "output": "Hello, Thank you for your contact to Chat Doctor. I understand your concern. If I am your doctor I suggest you there is possibility of infection in your GIT. You should contact the concerned hospital for your fever to get further management. You can take paracetamol tablet to allay from fever till you attend the hospital will be happy to answer your further concerned can contact me. Chat Doctor. Infectious disease specialist. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi there, i have felt nauseated and unwell x 4 days. Pain on right side of back and now, just above illiac crest, now spreading towards front. pain increasing in intensity and comes and goes, Radiates toward groin , in waves. Nausea and dizziness increase with these waves 38 yr old female. there is no reason I know of for the nausea no fever , no significant changes in GU, of GI, only very slightly elevated BP", "output": "Hello. Thanks for writing to us. The pain that you have described seems to be due to a prolapsed disc causing a nerve root compression at the level of spinal cord. You need to get an MRI of the lower back done to detect the cause of the pain you are having. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http://bit.ly/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am shantanoo and 48 year old male. For about a year i feel a pain on the left side of the chest. It is around 3 inches below the collar bone. I can feel the pain when I press on the area. Looks the pain is superficial. The pain can be felt when I press down on the collar bone also, at a place near the middle of the chest. What should I do? I have a feeling that it aggravates when I do lot of typing on the computer", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Possibility of musculoskeletal pain is more likely because your pain is associated with specific body position (typing and computer work) and pressing. So follow these steps for better symptomatic relief in musculoskeletal pain. 1. Avoid movements causing pain.2. Apply warm water pad on affected areas of chest.3. Take simple painkiller and anti-inflammatory Chat Doctor. 4. Avoid heavyweight lifting and strenuous exercise.5. Sit with proper back support.Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Painful skin rash on the arm. Could it be a spider bite?I have what I think is a spider bite on my thigh. It s a red ring, about 1.5 inches in diameter. It s raised and hard in the center with what looks like a white speck right in the middle. It s been there a couple of days and is painful to the touch and just a little sore. What do you think it may be?", "output": "Hello. Thanks for writing to us at Chat Doctor Seems like it is bacterial infection of the skin, since it is sore and probably has a central pus point. Spider bites are different, burning is a prominent feature in spider bite, and they usually do have some itching, as well. If you were one of my patients I would have treated you empirically with an oral antibiotic; one from penicillin group of Chat Doctor. That would be good enough. It is a prescription " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello,im 22 years old, weight 57 kg, height 165. my period is 4 days late and there is a porbability for pregnancy but im not sure! ive been feeling light cramping and specially in my left leg since the due date of the period but nothing comes out except few white discharge. during the intercourse there was no ejaculation of semen near the vaginal area. so could this still be a posibility of pregnancy? and when exactly should i start worrying? if my period is how many days late. thank you", "output": "Hello dairy understand your concerned there is ejaculation around vaginal opening then there may be chance of pregnancy because motile sperm can enter into vagina. But if you did sex during fertile phase of cycle then high chance of pregnancy. If you did sex during safe period of cycle then nothing to worry. If your period will delay by more than 7 days from normal expected period date then you think about pregnancy. If period will delay by more than 7 days then go for urine pregnancy tests and or blood Chat Doctor test to confirm pregnancy. Abdominal cramp and vaginal discharge could be due to hormonal imbalance, premenstrual cramp, pregnancy. So meanwhile avoid stress, take healthy diet, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband is 70, had a stroke from a blood clot on the right side of his brain and hospitalized for 6 weeks, He is now home using 100 mg enteric coated aspirn daily. He is incontinent and wears diapers, but is progressing daily, with assisted walking, speeks and understands and can hold a conversation well, eats unassisted, Today he has been passing bright red blood with his urine. He has no temperature or pain or discomfort.. He has never had a problem with this before. Is it the aspirin therapy? Should I stop the aspirin therapy? What should I do about this?", "output": "Hi Heath aspirin medicine acts on platelets and blocks theme platelets are an essential component of clotting mechanisms by that count, yes bleeding can be due to aspiring I doubt it, it's not that frequent.I am not sure about the neurological status yes I would suggest holding aspirin too in one of my patients I would suggest an urgent hospitalization for management of frank hematuria will suggest the same to meet a urologist as soon as possible to know if there is need for an intervention Best of luck Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ive been having discomfort to the back of both knees (in the bend of the knee) for quite a while. My doctor examined me for a Bakers cyst, which was ruled out. It often feels like I need to stretch my knees, especially if I am sitting at my desk working at the computer. Oftentimes, I extend my legs to alleviate the discomfort. It really isnt painful....just very uncomfortable and annoying. Tylenol seems to alleviate the discomfort to some degree, but I really dont want to be dependent on NSAIDS for the long term. Is there a homeopathic remedy that I could consider as an option? My PCP has not been able to offer me a solution.", "output": "Hi sir/madam, Thanks for your question on Chat Doctor. Knee pain can be treated wonderfully well with HomeopatChatDoctoredicines, which are natural and therefore, safe for use. HomeopatChatDoctoredicines are helpful in both acute and chronic knee pain. They are safe for use among all age groups, without any risk of toxicity. HomeopatChatDoctoredicines are very effective in managing knee pain of degenerative, traumatic as well as inflammatory origin. They help in relieving the pain in the knee and the accompanying symptoms such as swelling, tenderness and stiffness. Foods to be Avoided:-1. Curds2. Fishes 3. Spinach4. Black gram5. Skipping night sheepfolds to be taken:-1. Garlic.2. Buttermilk.3. Bitter gourd.4. Hot water Chat Doctor. 5. Ginger. Medicines to be taken:-1. Thus To:- If the medicine is in pills form 4 pills. Don't touch pills with hand. Use cap of bottle to take pills. If the medicine is in liquid dilution form, 3-4 " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i had fissures problem some 8 months back at that time i take hot water bath and proctosedyl ointment at that time i got relief but from that time now and then i have a pain and burning sensation. this pain and burning sensation arises in 15 days interval . I want to ask how to get rid of this problem permanently?", "output": "Hi, Thanks for posting in Chat Doctor. I understand your concern. The medications and measures what you are using for the problems with fissures would give you only temporary relief. Along with it, it is also essential to avoid constipation by taking fiber rich diet and consuming stool softness along with it as it would aggravate the condition. In initial stages, the medications and conservative measures would be helpful. In case your problem persists, you need to consult Surgeon, get examined clinically and undergo fissurotomy, which would get rid of the problem permanently. Hope the information provided would be helpful. All the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here... Hello, sir. I want to ask you about my mother. blood is coming out of her mouth with sliva. Earlier, it was coming after few months, then few weeks, right now it come after one week. It was pure blood. Can you tell me what is reason behind it? Reply Please.", "output": "Hello, Thanks for consulting Chat Doctor, Read your query, as your mother has bleeding from mouth this blood in saliva can be due to some reasons like poor oral hygiene, due to deposition of food debris in sublingual areas of gums, may be due to periodontal problem, age related periodontitis. Don't be worried so much I will suggest you to consult oral surgeon and go for oral examination if there is any gingival or periodontal problem then you should for its treatment. Hope this will help you. Wishing your mother good health. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im 21years 8months of old. recently because of excessive pain i got u/s for scortum and im diagnosed with bilateral Grade 1 varicocele and epididmyal cyst on the right testis.im having pain or discomfort from past one year. please teme the best solution possible, because Im afraid of ma on coming marriage life", "output": "HelloThanks for query. Based on your statement you have Bilateral Grade 1 Varicocele with Epididymis Cyst on Rt side. Grade one Varicocele do not require any active intervention and can be dealt with measures like wearing scrotal support, avoiding Chat Doctor. And taking mild painkillers when required. As regards Epididymis Cyst it is benign painless cyst and does not require any treatment. Monitor the grade of Varicocele by doing Ultra Sound Scanning of Scrotum every six months and get your semen analysis done to know the total sperm count to rule out Oligospermia which is deciding factor as regards surgical intervention to treat Varicocele." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have an angiolypoma on my right kidney. It is connected to the kidney by a artery or a vein. My question is how many veins or arteries would be feeding the growth?I am 64 years old. I had an embolization done in order to shrink the tumor, but it did not do its job.", "output": "Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. If there is no improvement after enolization then surgery should be done. Veins and arteries can be resected and replaced with vascular grafts or venous grafts, so you should consult this with your urologist. It should not be delays because tumor may grow in this case. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "What is a good alternative to metformin if you are experiencing diarrhea and are starting to have allergic reactions such as rash, hives swelling of lips. Could not relate allergy to any one food or drink and reactions are not always the same. Sometimes may be hives on legs and buttock, other times may be lip swelling or swelling on head and back of neck. Use zantac and loratidine some times with good relief, other times with minimal relief and will add benadryl.", "output": "HI, thanks for using Chat Doctor You should consider formal allergy blood tests to make sure there is no other source of your allergic reaction. Allergy tests can be done for food, Chat Doctor. If it is related to the metformin you should discontinue it. Diarrhea is a common complication of metformin, but the others are not common, this is why other causes should be ruled out. There are other oral or injectable medications that can be used but none of them would be in the family of metformin. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I WENT TO THE DR ON TUEDSAY OF THIS WEEK. I HAVE TWO FOLICALS ON MY RIGHT OVARY THAT MEASUERED 22CM AND 24 CM THROUGH ULTRASOUND. I HAVE BEEN ON CLOMID FOR 2 CYCLES AND WAS GIVEN THE ChatDoctor TRIGGER SHOT. MY QUESTION IS, WHEN SHOULD I HAVE HAC INTERCOURSE TO CONCEIVE?", "output": "Hello, and I hope I can help you today. From the time you receive an Chat Doctor trigger shot, your body has been trigger to ovulate. Therefore, you should start immediately after Chat Doctor injection having intercourse daily for three days and spacing out to every other day for seven days. If your period is late, you should perform pregnancy test or see your doctor for a pregnancy test. If you produced two follicles this month, and you do not conceive, your doctor should keep you at the current dose next month, as developing follicles over 2 cm in size should result in ovulation. It is always best when going through fertility treatment to have regular intercourse just in case spontaneous ovulation occurs without the Chat Doctor trigger shot. I hope I was able to adequately answer your question today, and I hope that you're tempted pregnancy are successful. Best wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i cut my finger pretty deep yesterday with shears while cutting hair and i have been keeping it covered with a band aid but it is a \"flappy\" cut so every time i have to change the band aid it starts bleeding profusely again. i was told by my educator to use super glue but i dont have any i only have wood glue... what would you suggest i do?", "output": "Hello dear, I read carefully your problem. I think, superglue, or every kind of glue should not be putted to your wounded finger, or it may get infected and complicate the wound more. Depending on how long your wound is, you may need one of the above treatments:1) If its more than 1 cm long cut, it will need to put 1-2 stitches in it. You have to go to the doctor for this, as it needs sterile (very clean)conditions.2) If its bleeding because its deep, but no longer then 1\u00a0cm, then you can find steri-strips in the pharmacy, and they will stabilize the would so it won't be flappy anymore, so the bleeding will stop. Some other things that you should do, is to use a non-adherent gauze to Chat Doctor. Hope this helps, Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m a 16 year old male, I have arm pit hair, pubic hair, and a little bit of facial hair. My penis and testicles are small, almost like a baby, I m, 5ft 10inches, weighing 250lbs., recents doctors say I m big boned and a healthy weight for me is 200lbs. When will my penis grow", "output": "The length of your penis is not mentioned in the question, however it is not very important that you have a very long reproductive organ. You need not have that complex that you have a very small penis. The average erect penile length is about 12.8 to 15 CMS when completely erect. Also, as you are 250 lbs, you find your penis to be small when is flaccid position. You can try to reduce your body weight, if you smoke or Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my name is Tami! I had my gall bladder removed Aug. of last year and the reason cause I was having cramps underneath my ribs and back and my lining of my gall bladder was very hard and my liver enmzes were high! Well this morning at 1am I woke up to the same cramping under my rib cage and cramps in my back and same problem as before my removal if my gall bladder! My question is how is this suppose if my gall bladder is gone? Can I still develop gall stones?", "output": "Hi.what you're probably experiencing is post-operative pain or discomfort. This usually occurs on the first few days after your surgery and will eventually subside. The pain/discomfort after gallbladder surgery occurs not only the post-operative site area, but also over your flanks and sometimes back region. Complete your antibiotics as prescribed and take your pain medications as needed. A follow-up with your surgeon is also best for clinical evaluation. Hope this helps. Good day!!~ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a lower lumbar fusin about 5 years ago, DR. told me then my neck was worse than my back, but my neck did not hurt then. I have been having numbness in my left leg, feelings of tingleing in same leg at times, my left hand , the tendons in it are sticking up, and the twofingers cramp up and very painful at times, all this on left side only. My neck on left side makes large popping noises. Should I see the orthopedic DR or just my internest, pain in left shoulder and back very bad", "output": "I read your question and I understand your concern. Spinal changes in lumbar and cervical region often go hand in hand so since it was in no good condition 5 years ago its no big surprise your neck is causing trouble now. The symptoms are related to nerve root or spinal cord compression by these structural changes. As for who to see first, initial medical therapy is fairly standard with painkillers and physical therapy, but since you might have tried these before and are known to have advanced changes already, an MRI evaluation and orthopedic/neurosurgical consult is recommended. I hope to have been of help." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My dog bite a woman when she was 12 weeks pregnant. Broke the skin on her face. She was taken to the ER and treated. Her baby girl was just born 2 weeks ago and she has two holes in her heart and a weak heart valve. Doctors say there is nothing they can do. Could this be an effect of the dog bite?", "output": "Welcome to the ChatDoctorIts very unlikely to be the effect of dog bite. Dog bites are usually managed by anti rabies vaccines and immunoglobulins. Also, in cases of wounds, stitches may be required under antibiotic cover. There are medicines which are safe in pregnancy and are used by doctors if they know that the patient is pregnant. Congenital heart diseases are the most common congenital anomalies in newborns. It's really sad to hear about the baby. But some things cannot be changed. So, don't worry and stop blaming yourself. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello im 16 years old boy and i think i have a depression i dont have many friends and basicly i dont have social lifa i feel sad I love to play basketball but recently i have think about quiting . My appetite have increase and since im alone a lot I eat I have gained a 20kg ponds this summer and now im 110kg so i was 90 or even 85 i was in good shape now im fat lonley guy i feel worthless and even if my situation get a bit better when school starts I am afraid that same thing will happen to me next summer what should i do i feel hopeless and my self-confidence i at level 0", "output": "Hi young man! There is nothing majorly wrong with you. You are basically overeating to overcome depression. Try to go out and mingle with people and make new friends. Indulge yourself in outdoor sports so that you end up making new friends. Try to exercise, meditate,read self-help and other books. I am sure you will overcome your problem if you follow this advice. But even after this you don't find any change in your problem than speak with your family and get a professional help by consulting a psychologist or a counselor. I am sure you will be positive and overcome this transient problem. I hope this information is useful to you. I wish you all the best and a great future ahead. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I had a ultrasound done and pending the results. The dr. seems to think it s gallbladder stones due to the pains and swollen abdomen. The person performing the ultrasound saw my liver fatty . What do you think this could be? I ve not been able to work for about 5 days... I am always VERY tired.. I sleep and sleep and wake up and want to sleep more. Thanks.", "output": "Hello, Welcome to Chat Doctor. It is now very easy and will helpful in prevention and treatment of fatty liver. Do regular exercise and yoga with meditation. Make exercise schedule fix. Minimum 1 hour brisk walking is necessary. Take fresh fruits and green veg more. Chat Doctor. Also take protein rich diet, beans etc. Strictly avoid spicy and oily diet. Avoid fast foods including bread, jam, pow etc. Also take help from nutritional specialist. Hope these all will be helpful to you. Thanks for contacting us. Take care..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "It s been 5 days i m getting a pain in my lower abdomen.I ve also had 2 weeks medicine for kidney stones.The pain is severe when i try to poop and pee.The pain comes in very sharp and twisted and then goes away.It pains when i walk,move,laugh and cough and i can t evrn pass out gas.My tummy has grown bigger.The doctor said i ve got bladder infection and i m having antiobiotics.It s been 3 days now but still the pain hasn t gone.Please help me....", "output": "HelloThanks for query. Intermittent severe pain in abdomen is mostly due to presence of impacted stone either in kidney or ureter and needs to be investigated. Please consult qualified Urologist for clinical and digital rectal examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture.2) Ultrasound scanning of abdomen and pelvis In the meanwhile take broad spectrum antibiotics like Definite along with urinary antiseptic like Nitrofurantoin twice daily and urine alkalizer thrice daily. Later on switch on to appropriate antibiotics as per culture report. Get the prescription of medicines from your family Physician. Ensure to Chat Doctor. To keep your urine dilute This will help to control dysuria. Further treatment will depend upon result of these tests and final diagnosis as regard size of the stone, site of the stone and degree of obstruction it has caused." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello I was told I had planter fascia over 18 mnths ago then assumed that a heal spur was causing the pain. Sometimes the pain in my heal is excruciating when I stand from rest or as my shift progresses ( I work in disabilities) most severe pain is in my right foot I also for over twelve months have pain in the left of my neck that has waves of severity xrays show nothing on the neck", "output": "Hello, Thank you for contacting me at \"Ask a Doctor\". I will try to answer your question to the best of my ability. The treatment for plantar fasciitis involves stretching the calf area, applying ice, taking several medications such as ibuprofen. Seeing a physical therapist can also help. Bone spurs are very common and in themselves do not usually cause pain. Most of the pain from plantar fasciitis comes from the soft tissues. Sometimes for severe plantar fasciitis I will prescribe a night splint. Surgery is almost never indicated for this condition. As regards the neck issue, it sounds as though this might be soft tissue in origin, particularly if your x-rays are negative. You could be experiencing mild muscle spasm or a simple strain of the soft tissues in the cervical region. It might be a good idea to pay a visit to a physical therapist who can teach you some stretches and some exercises to do at home. If your neck feels stiffer than simple applications of heat will help. I hope this information is useful for you. Please do not hesitate to message us back if you have any further questions. Best wishes, A Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a kidney infection in September last year and it went away after taking the 14 days worth of antibiotics. It came back after a few days then. I went back to the doctor in October to find I had another UTI (again with a high fever of 102 or 103 and burning when urinating). After that round of antibiotics it didn t fully go away. I still had a slight burning when urinating and after the urine and culture tests, I no longer had a UTI. I then had few STD tests done and were all negative. Now in January I still have painful urination and just started to get painful bumps around my vagina and clitorus. I have been with the same man (husband) for 10 years and have had 2 children (August of 2010 and June of 2012). I recently got my period he first time in Decemner after having my second child and noticed it now hurts to use a tampon . Please help me. I don t know what else to do.", "output": "Hi young lady, welcome to Chat Doctor. You seem to be getting recurrent urinary infection after your second pregnancy. There could be a few reasons for this. You will need to consult your GP/ Family physician and get a few tests arranged first - Urine routine and culture (mid-stream urine please) and Ultrasound of Kidneys and bladder (pre- and post-emptying the bladder) at the very least. Some people tend to develop bladder diverticula or tend to retain some urine in bladder even after they think they have emptied it. Any stagnant urine is a good culture medium for bugs! I am not sure what these lumps you mention are - best to check out with a gynecologist. I don't want to just make some assumptions without examining someone and cause you to worry. It could be infection, warts, or something called endometriosis, or something else. Only after examination (and tests like a smear or biopsy) can we identify the problem. You have been with only one partner for past 10\u00a0years, but you are never sure of the other person are you! I am not suggesting anything, but want you to get examined by an appropriate specialist asap and not neglect this." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, My dad recently dx with ESRD, started dialysis a week ago. He has comorbidties, CHF, DM, MI(3 weeks ago). Need angio, unable to have this done because he of fluid retention. He has had 18L of fluid pulled off over the past 2.5 weeks. He is having such extreme abdominal cramping x 5 days. Abd. Exray -, labs stable. He has had a productive cough x 1 week. No cx done. I m in Vegas, my parents are in MI. I just left 1.5 weeks ago. He s worsening, I m a nurse, I think he s dying am I over reacting? Do I need to go back? What are possible reason for abdominal spasm? I ve seen patients respond this way as the body adjust to major fluid shift. I m so uncertain. I just need a clue, please advise. Thanks", "output": "**1. People with ESD and having diabetes and undergone dialysis can have possible complication of hyperosmolar state and/or infection [peritonitis] which can be possible causes of abdominal spasm.2. Since MI [myocardial infarction] CHF [congestive heart failure] are example of hyper catabolic conditions thus could be associated factor for abdominal spasm3. Attending Doctor(s) are in better position to evaluate the cause and condition. [since ABD. X-ray and Lab investigations came normal]" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 63 and I have gallstones, I have started noticing upper arm pain and upper leg pain mostly at night, plus I have a hard time bending over. I work a part time job that requires some lifting at times and the next day i have pain. I have lost over 50 pounds on a very low or almost fat free diet to help my gallbladder problem. Any ideas?", "output": "Hi and welcome to Chat Doctor. Thanks for the query. There is diet for people with gallbladder and liver problems, but the best solution would be surgery since this is permanent treatment. Everything else is not so efficient, so you may have problem with it in the future. In every case you need to eat fewer fats, avoid coffee and alcohol, avoid overeating and Chat Doctor. Wish you good health. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good afternoon, I have a question , I fell in my coxcis and then flat in my back. I have sacroiilitis and now for the past three month I have a pain and stiffnes in the back of my neck and heavyness in back of the head and pain in the middle of my spine when I bend over. What should I do since I dont have medical insurance. Thanks for responding I dont know what to do please help:((", "output": "Hallo dear friend i he studied your case use ring cushion for sitting, it will release pressure on coccyx with some medication [like enterotoxin 60 mg]local injection therapy will also work calcium supplement with it D take rest, , hot or cold fomentation avoid lifting weights sit with taking support to your back take silt bath [sitting inleukwarm water]physiotherapy - USG for further query contact on Chat Doctor. Com" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello my name is amrita . i m 29 years old woman i have a 1 year child since 1 month im getting very veryyyyyyyyyyyyyyy oily skin after ing a child my skin became normal but since last month i m very upset b cs my skin has become very oliy. what is cause and what ia parment solution", "output": "Hello, Welcome to Chat Doctor. Skin types vary from person to person and in some individuals, it tends to be very oily. This occurs due to excessive oil secretion by the oil glands on the face. One of the causes for this is excessive washing of the face. When you wash your face too many times, it strips the natural oil from the face and paradoxically increases the activity of the oil glands to compensate for the loss of natural oils. Wash your face with a cleanser containing 2% salicylic acid twice a day. Do not use thick creams. Avoid oiling your hair. Avoid fried foods and foods with high glycemic index. Hope this helps you. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My mother has few lumps in the throat area, which the doctor diagnose typhoid cancer. My mother is about 75 years old. Doctor advise to operate as the cancer cell has not spread. How do I know whether the cancer has not spread and because of her age even though she is healthy, after the operation how do we know whether it will not affect her quality of life which she enjoy now", "output": "Hi, dairy have gone through your question. I can understand your concern. Thyroid cancer can be diagnosed by fine needle aspiration cytology and ultrasound thyroid. Ultrasound of thyroid gives exact site and location of cancer, and it gives idea whether cancer has spread or not. Treatment and prognosis depends on type and stage of cancer. However, you should go for surgery. It is required in all types. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello. My mom has been in extreme pain for 5 days now with what she says is kidney stones. She did pass one last year after about 5 hours, and she says the pain is the same, so she \"knows\" that it is stones again. However, she now has a very sore throat and says she is just getting a cold. Do I need to be worried?", "output": "Hi, I am sorry to know about your mothers condition. She is probably having a stone in the ureter (the tube connecting kidney with bladder). Since it is a very painful condition and can affect kidney function and/or general condition, it is very important that she gets medical attention as soon as possible. There are excellent medicines which can control the pain within minutes. However, I cannot prescribe them online. Once you get a confirmation of diagnosis using ultrasonogram and urine microscopy testing, your treating physician will be able to sole the problem very quickly. A single dose of over the counter pain medication can be given for emergency (if she does not have pre-existing liver or kidney disease). Make her Chat Doctor. I am available for further guidance at any point of her treatment. Wish your mother a speedy recovery, Best regards," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir iam 23 years old boy.iam suffering from jaundice since march 2012.I take lot of madicens of different consultants.My billruibn level is sometimes 1.5 and after few days 2 and vice versa.But my sgpt and sgot is always normal.Doctors told me this is different jaundice and this is not going to harm u in life.But sometimes i fell pinches in lower abdomen .Other wise all things are normal.i want to vanish jaundice.Is it really this jaundice is not going to harm me in life.Ans plz", "output": "Hi and welcome to Chat Doctor. It sounds like some congenital liver animal disorder and usually this is not harmful at all and it won't cause serious consequences. But you should rule out some other more serious liver conditions such as hepatitis or autoimmune disorders. Also gallbladder stones can cause periodic jaundice as well. Hepatic diet and certain medicines may be helpful, but the right causes hold be established by extensive work up before any treatments you good health. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My father has been diagnosed with cholesterol deposit in gall bladder and cyst in the liver. He frequently suffers from pain in the stomach, legs and used to be heavy smoker so has smokers cough as well. Is the high LDL and cycst in liver (which was present in an ultrasonography done two years ago as well) a cause for concern?", "output": "Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. In most cases these spots are benign growths such as cysts or hematomas. Hematoma is very small and this can't cause such symptoms unless larger than 10\u00a0cm. He should do MRI SCN or liver biopsy to find what type of lesion it is. Less common this may be malignant issues such as hepatocellular carcinoma. His abdominal pain may not be related to liver spots at all. It may always be sign of some other issues such as IBD or gastritis. If these are just simple liver cysts then I don't think this is causing his symptoms. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello ,Dec. Of 2013 a 75 / 85 lb heater fell from the ceiling a 12 inch screw struck across my shoulder and the heater fell into my arm, I have a tear in my rotor cuff and nerves damaged in my arm and hand I ve been receiving therapy how long does nerves take to repair", "output": "Hi, thank-you for providing the brief history of you. It is sad to hear that a big object fell on your shoulder directly. I hope there are no burns to a greater extent. God bless us all. Coming to your query. You have damaged the rotator cuff muscles and the nerve as well. Now first thing we need a thorough deep neuromuscular assessment of the injured area. What is the status of the motor movements and also the sensation in the area and beneath it. To understand this better a Neuromuscular assessment will help to figure out the possibility of the regaining of the motor and sensory functions. Understanding that the healing of the nerve depends on the grade of the nerve injury. Also, by understanding the NCV test we can still estimate the possible causes and benefits to achieve by exercises. How is the rotator cuff status? Are you having a good mobility now, or it is stiff shoulder now? Without having a thorough assessment it will be a blind comment which is possible. Undergoing physical therapy will help improve the nerve by electrical stimulation and exercise. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I understand a lot of people deal with this dizziness if they get up to fast but I think mines worst. Like when I get up, I have a blurry vision and sometimes even total blackout, my body feels week. The back of my head feels warm and tingly, it was weird but I could still stand up and even walk. It clears out in a few seconds and I couldnt actually recall what I did during that temporary blackout. I googled it and the signs are very much alike to this disorder, called presyncope? Am I correct? Is it dangerous? Is it a brain trauma? Does it have anything to do with anxiety disorder?", "output": "Hi, Thank you for posting your query. Your symptoms are indeed suggestive of presyncope. As such, it is not dangerous, however, we need to find out the underlying cause. This could be related to low BP or fall in BP when standing (postural hypotension). Please also check your blood hemoglobin level, as low hemoglobin can cause similar symptoms. Anxiety can contribute to the symptoms. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good evening sir, thie Ganesan from T.N, in 2010 i was diagnosed with fatty liver along with first degree esophogaus varices, then i stopped drinking alchohol, after 3 years in 2013 i lost wife, sicnce then i have been drinking, last few days i have abdominal pain just below right rib, what it may be?", "output": "Welcome at Chat Doctor I have gone through your and being your physician I completely understand your health concerns. For how long you're suffering from it? Any other associated problem? Like diabetes or hypertension? Are u having fever? Any other lymph node swelling in your body? As far as pain in the abdomen is concerned there area lot of differentials like epic ulcer disease, gall bladder problem, duodenal problem, Costco Chat Doctor. You need to be examined by the doctor so that exact cause can be sort out. If I am your attending doctor I would get your abdominal ultrasound along with LFTS and BBC. And ECG. IS there any association of food intake with the pain? Does it come on full stomach or empty stomach? You need to assessed fully before a reasoned conclusion can be " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had pain in my lower right abdomen for about 5 weeks now. 5 weeks ago I went to the emergency room because they thought it may be my appendix but it was just lose fluid, but they didn t know what kind of fluid. The next night we went back and they checked my blood and said nothing was wrong but they didn t take another xray or anything. I do have anxiety and I have had stomach aches from that before but this is different before it was an ache in the center of my stomach like butterflies but now this time it is in the lower right of my stomach and it is now starting to be slightly on my left so I was just wondering if you could think of any main things it could. thanks", "output": "Hi. Thanks for your query. Your history is rally classical as if from the text-books. The pain had been in the center of the abdomen and shifted to the right lower abdomens is very classical of appendicitis. Appendicitis, even though a common surgical problem can present in many forms and is really very difficult in many cases. Usually a high resolution ultrasonography helps in a diagnosis and CT scan is confirmatory in almost all the cases. I would advise seeing a Gastroenterologist and request for a CT scan of the abdomen to get a proper diagnosis. If this is appendicitis, you have to undergo appendectomy operation as it is already late. Left sided mild pain can be due to spread of infection to this part of the abdomen." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i had the flu/fever for 4 days, got better, then developed a sinus infection 2 days later. I went to my doctor and she prescribed me the 10 day antibiotic amoxicillin for my sinus infection. I have been taking it for 3 days now but the first day I was on it I got that wispy feeling in my throat that you get just before you get a cough. The next day I started lightly coughing. The next day I started a deeper cough and I could feel it may have traveled to my lungs. Today is slightly better but I still have congestion and a cough. Also throughout my entire 2 weeks so far of being sick, there has been a sore-like pain throughout my left arm, particularily my triceps brachi long head, flexor carpi ulnaris, and also the top of my rectus abdominis right under my diaphragm. What is wrong with me?", "output": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint the wispy feeling in throat and coughing is due to irritation in throat that initiates bouts of vigorous coughing and due to coughing there can be pain in chest due to muscle stretching while coughing. It seems like you have an upper respiratory tract infection and all the symptoms are due to it, and you need not worry as body aches or muscle pain and cough and congestion are due to it. You should take a course of antibiotics like Augmenting or azithromycin or levofloxacin, take Tylenol for raised body temperature and body pain, take decongestants like Phenylephrine and do warm saline gargles, steam inhalations, saline nasal irrigation and suck throat lozenges. Chat Doctor. . Take ample of rest. Hope this information helps. Thanks and regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter is nine and she has quite a fatty mons pubis which she says is quite painful in particular the mornings. It has always been quite large for her age but has steadily gotten bigger. What do you think may be causing the appearance and the pain?", "output": "Fatty Mons pubis is usually due to fat deposition over bone which doesn't respond to exercise. It's a genetic make of the body which should not be an actual cause of pain in your daughter.It's important to rule out other reasons such as urinary tract infection or menstruation related pains (if a case of early puberty). Also check for any local site infection. Procedures like liposuction and surgery not recommended for this condition usually." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a problem with TMJ and have not been able to eat for about 4 weeks. I put everything in the blender. Chicken, Veggie, Rice, ect. I believe that I have a balance diet , but all my food is liquified. Not have soar gums. Is it because I am not eating normally? In other words, not chewing my food and just gulping it down because it is blended.", "output": "Hi, you are suffering from TMJ joint pain due to which you are unable to chew food properly. There are many exercises which can be taught by a physiotherapist to relax the muscles, you can also apply hot packs over the joint area, can also take some good muscle relaxants. Visit a good physiotherapist to learn exercises and get routine checkup done regularly by dentist. Avoid opening your mouth too wide. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 39 weeks pregnant. I have been using Mederma Stretch Mark Therapy. But I just noticed that it has hyaluronic acid in it. What effects can this ingredient have on the baby?", "output": "Hi there,Do not worry, using hyaluronic acid on the skin will not affect your baby in any way, and it need not concern you. The medications are applied to decrease the number and thickness of stretch marks, the stretch marks are very common in pregnancy especially during the first pregnancy. The number and thickness of stretch vary for different women and whether they become light with treatment cannot be predicted. Hope this helps. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir,my mom facing a problem saying that whenever she looked at any one irrespective of gender she only can see genital organ of that person and transfers bad energy into next persons eye and that also behaves in same manner.she said she is not able to feel any emotion.she sleepless and there is weight loss too.she is 45 yrs had muocardial infarctions and asthma.she is suffering fro various mental problem since many years", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. The description you gave is not enough for a proper diagnosis of the case. She could be obsessive towards sexual thoughts. But you also say that she is troubled by so many mental problems. Best option is to consult a psychiatrist for proper diagnosis and treatment. Do not delay, for delay can cause serious implications. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "About a month and a half ago, I came down with a dry cough for a couple days which turned into a productive cough. The phlegm produced was light yellow to light green at times, and often worse in the morning and early evening. I began taking Mucinex and ibuprofen to help with sleeping and congestion. The Mucinex made the cough more productive and I was able to expel some of the congestion;however, I often felt a tightness in my throat and upper chest after coughing fits. I have no history of asthma or other lung conditions. I have never had bronchitis . The main thing concerning me is the while the productive aspect of the cough has discontinued, I still have this nagging dry cough at night that keeps me from getting to sleep and staying asleep. I have no nasal congestion or sore throat , but do occasionally have headaches during the day above both eyes that come and go when heading outside. I occasionally hear a bubbling or gurggle in the back of my throat on expiration. I have not seen a doctor because a summer cold has been circulating, and I really don t feel bad otherwise. Any thoughts...?", "output": "You had an attack of respiratory tract infection which may even have gone down to your lungs. Though the infection is cured, you have developed `Hyper Reactive Airway Disease` which is a known occurrence. You should take frequent nebulization with also and decor and take airport inhalers 2 puffs 2 to 3 times a day. You may also take a tablet of doxyphyllin400 twice a day for some time. The symptoms should disappear in due course of time. If symptoms persist despite these measures, you may have to undergo some tests for which you should consult a pulmonologist." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 21 year old son has shingles. The rash is from his back all the way around to his stomach. Huge blisters and a lot of pain. Is there any home remedy that can help with the excruciating pain? He has tylenol with codeine, but it doesn t help at all, and he can t sleep.", "output": "I've had shingles, so I know how awful it can be. He should also be on an oral antiviral medication such as acyclovir or Acyclovir at least at the beginning of the outbreak. If he cants sleep even with the Tylenol with codeine, consider talking with his doctor for nerve pain management such as with gabapentin or amitriptyline. The latter is also quite sedating. Usually gabapentin or amitriptyline is used after the rash has gone if there is residual pain." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have had a really bad cough for four weeks now. It started with long coughing fits in the day and these have reduced but have been added to by coughing fits at night which feel like they go on for ever. Also during these I cannot breathe in which initially caused me to panic but I found I could breathe in if I calmed down but this took some time. Chemist gave me a Ventolin inhaler to open airways during attack which helped a bit. Also I have an almost constant tickling sensation in the back of my throat and at night for the last week my chest has felt tight - ventolin inhaler has helped relieve this. Finally I feel like something is stuck in the right hand side of my throat but cant normally cough it up as cough is generally unproductive, except first thing in the morning when I am able to cough up some clear phlegm but also tend to vomit as well. Occasional dry mouth at night doesnt help. Really getting fed up with this now - went to doctors two weeks ago who thought I had the after effects of a viral chest infection and thought it would all clear up within a week - now two weeks on there is no sign of this. Can you advise? Thanks", "output": "Hi and thank you for choosing Chat Doctor to post your health concern. I read carefully your question and my opinion is as follows:From what you describe it seems to me that all these paroxysms of intense coughing lasting up to several minutes, the tendency to vomit after cough(possessive vomiting) and the duration of cough(4\u00a0weeks) match with the clinical presentation of pertussis infection. I don't know about your vaccination status (incomplete or absent pertussis vaccination)Pertussis is a respiratory infection that lasts about six weeks, starting with a catarrh phase followed by a paroxysmal phase and convalescent phase. Vaccinated adults usually develop only prolonged bronchitis. Treatment usually involves an antibiotic, but it only helps if administered in the first or second week of symptoms. In your situation Ventolin inhaler that your doctor prescribed helps to reduce the paroxysms and would help also if you start antitussives such as dextrometorphan, codeine.another less possibility of your health problems is even the beginning of an asthma since very frequently it can be precipitated from a viral infection. It would help me to support this if I would have a well given medical history(allergies, familiar history of asthma)and physical examination Spirometry is useful for diagnosis and the treatment need to be guided by its value. I hope my opinion is help to you. Wish you good health. Kind regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor,I am suffering from sever cough allergy, I have taken medication from last two months with no outcome. the moment i stopped taking medicine it starts again. also the medicine i am taking containis steroid for which i cant even plan for pregnancy. pls help me", "output": "Hi thanks for contacting Chat Doctor ... You are having severe allergic cough...since long duration .... So needs for identifying causative allergen.... You can consult pulmonologist for physical examination and auscultation... You can do allergy test for identifying allergen like dust, certain foods, mold ,pollen etc.... Patch test is example for it.... And then causative allergen exposure avoided.... Chat Doctor. ... Smoking not done if having habit ... Environmental pollution exposure limited... Fruits taken more.... When allergic congestion antihistamines " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Got an email with a suggestion that egg whites help heal burns. The egg white for burns has been posted and reposted, yet more than one site says its a hoax. Snopes advocates it, but Im aware thats just two people with a website and not a professional opinion.", "output": "Earle understand your concerns went through your details. I suggest you not to worry much. Definitely it is not a professional opinion. There are a lot of scientific and sterile way to treat burns. Instead of falling prey to these quacks or unscientific information, it is always better to consult a doctor in health issues. You shall be peaceful. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "yes have been to many doctor but they cant find anything over a period on 7 yrs im have weekness of muscle and muscle pain im 42 years of age at its get worse now when im not working I mostly sleep because of feeling so week I have to make myself get up just to go to worku please tell me want kind of doctor I need to see or do you have any answer to what could be happening to me thank you,", "output": "HIIT could be chronic fatigue syn Chat Doctor. See a fibromyalgia specialist in fibromyalgia clinic and a general physician for requisite blood tests like CPM, serum LDH, lactic acid level in muscles. An Electromyography by a neurophysiologist for muscle assessment shall be useful neurologist can also do this. If history of glandular fever or infectious mononucleosis is there, done by Paul tunnel test, then chance for chronic fatigue syn" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My name is Mina. I m 24 yrs old and I weight 111lbs. I went into the vitamin shop yesterday to find products to help burn fat and built. I specifically told the sale rep that I did not want anything that made me feel cracked out or gives shakes and hitters and he handed me OxyElite. I took one pill as directed and within an hour my heart pounding out of my chest for almost 6 hours straight. I developed a sharp pain on my left side of my chest right about my breast and today it feels like my upper chest area is so sore. I would like to know what caused my entire pectoral muscle to be so sore now? And what can I do to relieve or heal the soreness? And should I have seemed medical attention due to what I was felt for the duration of time? Should I still seek medical attention today?", "output": "Hello, It is not advised to take any sort of medicine for weight loss without consulting a doctor. These products in market have various adverse effects which can be severe at times with long term issues. I advise you to stop taking it and seek medical help for the same. There are different ways to lose weight which include exercising and getting a diet plan from dietitian. It will take time but it's a healthy way to lose weight. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Two weeks ago I was stung by a young yellow jacket on my left inner forearm 2 inches above my wrist. After 10 days of pain and itching, rash and swelling, it finally went away. Two days ago it began aching in the same spot, and it hurts even more when I touch it from the outside but it s not on the skin surface. Tonight it s slightly raised from under-the-skin swelling and the raised surface is about the size of a small egg.", "output": "Hello dearWelcome to Chat Doctor family. I have evaluated your query in depth.@ This seems to be post-traumatic hematoma formation.@ Recommendations for better recovery $ Ice pack applications 3 times a day. $ Keep the part clean with antiseptic liquids. $ Ben Chat Doctor. $ Consultation further with a high resolution photograph of it would be of great help to comment for the need of antibiotic or further check up with doctor. Hope this will help you. Welcome anytime for any type of doubts. Regards dear take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My boyfriend is in mexico, he suffers from stomach pain, bloatting etc constatntly, the dictors havent say that he has parasites, but a friend in mexico told him to take quinfamida just in case. Is it safe? I prefer to wait until he comes back to see the doctor, but he is very uncomfortable and needs to work", "output": "Hi thanks for posting your query on Chat Doctor. Quinafamide is an effective Chat Doctor. This is effective if he has documented parasitic infestations. But it is safe to use quinafamide as a presumptive management. I recommend your boyfriend to undergo upper gastrointestinal endoscopy to evaluate further. Meawhile tab Panto 40\u00a0mg can be helpful. Consult an expert Gastroenterologist for further assistance.thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am feeling pain in the right side it seems to be that it in my lever my ultrsound blood test are ok i have triglycride 341 and lipase serum value is 90 and some time this pain seems to lower side of stomach pain is too high that i should take pain killer", "output": "Thank you for posting query at Chat Doctor. Presentation of abnormal lipid profile (increased TAG), most likely you have Fatty Liver Disease secondary to alcohol abuse and/or Overweight).better to also rule out viral causes, so further blood tests needed:1. Bag (if NOT vaccinated against HBV) 2. Anti HCV 3. Anti Havoc should strictly AVOID alcohol until liver enzymes return to normal and intake should be minimum thereafter. Better to avoid altogether.meanwhile:- REDUCE weight if obese/ overweight-abstinence from \"Alcohol and Chat Doctor. - use lemon juice (lemonade) once in a day- Liv52 maybe taken (consult hepatologist/ treating physician)Repeat Liver function test and lipid profile after 6 to 8 weeks. Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .wish you good health. Regards," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Yesterday while at work I noticed out of the blue a small swollen knot the size of a marble on my left arm, in the middle between my wrist and elbow...on the same side as the back of my hand....it did not hurt..but I could roll it around and it was very scary to both myself and my coworkers...they suggested that I go to the emergency room, as one employee believed it was a blood clot in my vein...about 20 minutes later...it went down completely...today the skin there looks like a super super light bruise....should I seek a doctor for examination....not sure if I should be concerned....I am 39 years old and female", "output": "Hi! Welcome to Chat Doctor! The knot, being a colored one, must be related to blood most probably blood clot within a vein as some of your co-workers mentioned! You might have some unnoticed injury, pressure, hit or deficiency of some blood component! Please see your physician for some blood works and direct relevant physical examination and further advises! Please revert to us if any more queries are there; wishing you good health!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband is a PD patient. Been on it for ten months. Had a cortisone shot in his knee last week. Has had complications with high blood sugar, diarrhea, dizzy and weakness. His dialysis is not working as well, lower UF. Have called his nurse, told to increase strength of dialysis fluids, helped at first but now back to low numbers with continued afore mentioned problems.", "output": "Hi and thanks for the query, I am afraid a patient with problems with dialysis malfunction needs to be treated with utmost care. Considering he is a PD patient, with a high blood sugar, certainly not well controlled blood glucose, this again increases the risk of aggravating the kidney disease and other metabolic conditions. A combination of these two pathologies non their own could be very detrimental. Cortisone, a steroid especially when given in a diabetic and patient with chronic kidney disease, the patient has to be carefully monitored. I strongly suggest you consult a nephrologist or book an appointment with a nephrologist and take your husband to the emergency room for reevaluation and initial management. Thanks and best regards, Bain LE, MD." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was diagnosed with blood clots in my lungs two months ago and went on Warfarin. This was a result of surgery from a neck fusion in July. Below is what is going on with me. I am experiencing intense pain in my legs, calves, feet, and toes; pain, numbness, and tingling in hands and fingers; blood in my stools- tonight it seems to be more of a jelly-like consistency with light red blood; muscle pain; severe headaches; fatigue. My pain gets progressively more intense at nighttime. My main concern is that, even though I am on 4 mg warfarin, that I am still forming clots. I am not pleased or confident with my doctors care. Any thoughts? Thank you. Julie", "output": "The most common reason for developing blood clots in vasculature of lungs is any embolic, formed in the leg veins due to stasis cause by immobility for a prolonged period, dislodging and reaching the lungs via the right heart. The legs symptoms may be due to problem in the leg vessels. And the blood in stools can be due to enhanced bleeding tendency due to Warfarin. The monitoring of dose of warfarin is recommended by doing frequent INRS. And the legs' vasculature needs a thorough check-up by a color Doppler test of the lower limbs" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband was elbowed in the chest while playing basketball. About an hour later that area started to hurt and looked swollen and slightly bruised. He had trouble breathing because of the pain. It has been 12 days since that happened, and it is somewhat improved, but not gone. He has a physically demanding job, which is probably not helping it heal. He would like to know if it is necessary to go to the doctor.", "output": "Thanks for your question on Chat Doctor. I can understand your husbands situation and problem. Your husband is having blunt chest trauma due to elbow hit. In my opinion he should get done chest x-ray first to rule out rib fracture, pneumothorax and Pulmonary contusions. All these are complications of blunt chest trauma and cause chest pain with breathing difficulty. If chest x-ray is normal then no need to worry about these. He is mostly having musculoskeletal pain. Ask him to follow these steps for better symptomatic relief. 1. Avoid heavyweight lifting and strenuous exercise. 2. Avoid bad postures in sleep and painful movements. 3. Start painkiller and muscle relaxant. 4. Apply warm water pad on affected site. Don't worry, he will be alright in 1-2 weeks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ive recently have been having really bad stomach pains. The pain is right below where my ribs connect. It hurts most when i eat. And it hurts constantly when little amount of pressure is added. It seems swollen & when it hurts its hard to breathe or stand up straight. Ive also fealt naceous alot, random times of the day.", "output": "Hello, Thanks for the query to Chat Doctor. Forum. If I were your treating doctor for this severe pain in the stomach, I would come up with these possibilities, This includes.1 The first possibility is of acute gastritis (because as you mention that this is a recent pain) . Diagnosis can be confirmed by upper G I endoscopy, visualize erosion of gastric surface of stomach. Try raising the head of bed 4 inches above with blocks. It might also help to avoid eating or Chat Doctor. To help control stomach acid one should not " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am having a slight discomfort on the left side of my stomach just below the breast area. When I press on a certain area, it feels like there is a small bruise within the ribs. This is also accompanied by numbness that is only on the left side of my stomach area. Any suggestions?", "output": "Hello, I have studied your case and I think that this can be due to vitamin B 12 deficiencies. I would recommend you to get your serum B12 estimation and also ECG and cardiac checkup. If there is abnormal ECG then you need to take opinion of the cardiologist. If there is vitamin B 12 deficiencies then you need to take Methylcobal one daily. That will improve your tingling and numbness. I hope this answer will be useful for you. Let me know if there is any other followup questions. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter will be 7 months old on the 10th, shes had a runny nose and a small cough for about a month. She gets cold swears a lot but is never running a fever. Her doctor gave her medicine for a runny nose and congestion but no antibiotics. Is there something I can give her to get rid if it all.", "output": "Hi... Cough and cold are viral 95% of the times in child Chat Doctor. NO NEED FOR ANTIBIOTICS. For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15\u00a0mg/kg/dose every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. For cold, you can use Cetirizine at 0.25\u00a0mg/kg/dose every 12 hourly for 3 days. For nasal block, plain saline nasal " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi dont know if you can help, im really fed up because i dont know whats going on, ive been feeling quite hot and feverish quite often when just been walking around a while or in a hot room/having hot shower/ and strange burning/cold feelings on top of head for weeks now, then feeling miserable and cold for ages afterwards. I have colitis(on azathioprine/colazide) but seen specialist over that they say it isnt flared up and under control and probably not related, although vhaving scan in 6 wks as have been having lower pains from time to time. Im going to a gp again tommorow, and have already been, they keep saying im very anxious, that it isnt an infection, but last few days seems worse. bit dizzy eye went bit bloodshot in corner, went to a doctors last night, he said id got inflamed eye/conjunctivitus, that i dont need a cat scan,blood pressure was normal, im scared its something to do with a stroke/tumour/lymph thyroid/adrenal proble, its making me feel anxious all the time.", "output": "Hello, Thanks for choosing Chat Doctor for posting your query. From the description that you have given it appears that you are surely having anxiety symptoms. You might have noted yourself that your symptoms keep changing and are of transient in nature. It doesn't fall into any specific disease. You should visit your psychiatrist who can discuss carious treatment options with you:1) Cognitive behavioral therapy2) Medications like Escitalopram, mirtazapine, venlafaxine, venlafaxine.3) Propranolol and clonazepam will also help .4) Regular exercise and proper diet will also help in long run. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. If not, you can close the discussion and rate the answer accordingly. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My sister has hepatitis c and her liver enzymes are very high 3000. Her stomach is very hard due to an inguinal hernia that isnt repaired. She had a high fever last night. Shes had ultrasound and MRI, what other imaging studies and tests should she have?", "output": "Welcome to Chat Doctor. I am Chat Doctor. I have read your query in detail. Furthermore, I understand your concern. With such high counts of liver enzyme, your sister requires admission and management as she is at risk of developing hypoglycemia and also encephalopathy. I would advise you to get her investigations urgently like:1. Liver Function test- complete2. PT/INR3. CV RNA4. Upper GI endoscopy.5. Hologram This is my best advice for you with the available details, if you have any further query, please ask me. Stay HealthyChatDoctor, MD" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My dad had a stint put in in October. Hes felt chest compressions and tightness in his chest the last few days. Last night he said it felt like his heart was leaking.... Does this make sense? He wont go to the dr. because he went Monday and the dr set up a stress test, but it isnt until March.", "output": "Hello, Brief answer: This is a false sensation, but anginal pain should be checked. Explanation: My opinion is that shortly after percutaneous coronary intervention many people experience some chest discomfort or a sensation of leaking heart, but these all are false senses. If your dad is experiencing some chest pain like the ones he experienced before that would be an issue. I suggest my patients the following: to be adherent to the anti-ischemic medications like Aspirin, Plavix, etc., and avoid any stress or over exertion. Conclusion: I suggest you not to be alarmed by such simple complaint. Stick to medications. Only chest pain, sweating, and nausea are the red alarm complaint that you should go the ER. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Burping to relieve mild pressure in heart area, like there is something there. Breathing fine. On high blood pressure mess, vasotec and triameterene. I have ASD, having echo Doppler tomorrow. Is this angina? Im female 50, generally good health n fit.", "output": "Hello! Welcome and thank you for asking on Chat Doctor! I understand your concern and would like to explain that your symptoms are not related to any cardiac disorder (including angina). The symptoms you refer, may be related to a gastric disorder, like gastritis or dyspepsia. Anxiety could also mimic a similar symptomatology (due to phenomena of air swallowing related to anxiety). I recommend performing a fibrogastroscopy if the problem persists or is associated to heart burn.Meanwhile, I would recommend not to worry about it and having a healthy diet, avoid spicy food and take plenty of water. Hope to have been helpful! Best regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i am 25 year old female from india i have hole in my heart from childhood now i am consulting with a doctor and he suggest me penigra 25 mg pills once in a day i want to know its work with this problem becouse i heard that this tablet can be use for sex only", "output": "Hi, Yes, these tablets are usually sold for sex, but it has another function, which is now used widely in medicine. It can lower the pressure in pulmonary artery. It is the vessel taking blood from the heart to the lungs. High pressures in that vessel may develop in patients with heart defects, such as yours, so we prescribe this medication, to decrease the pressure there. However, if the pressure went up in your pulmonary artery, I would recommend you to talk to your doctor about the possibility of the surgery. Wishing you a good health. In case of any further questions don't hesitate to contact me." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter is 4 years old and she was riding her bike inside the house she hit the wall and when she went forward the bar Handelof the bike then hit her upper right chest and now it seems to be bruising and has a bump which is now getting bigger. What should I do?", "output": "Hi.based from your description, the lump could be secondary to the trauma she recently had. It could only be an inflammatory reaction, wherein swelling ensues and will subside eventually in a few days time. Fibrous tissue formation may also be occurring especially on the area that was injured, hence the appearance of the bump. A consult with her doctor is best for clinical evaluation. Observation and analgesics may be given for now. If the signs and symptoms persist for more than a week, diagnostics (such as X-ray) and management (medical and/or surgical) will be directed accordingly. Hope this helps. Good day!!~ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My aunt (aged 51) has been diagnosed with Esophageal cancer in Stage 4. Doctors are advising radiation therapy combined with chemotherapy. They also doubt whether she can withstand radiation therapy since she is too weak and weighing only 35 kgs. Is there any other treatment available? How long is the life expectancy?", "output": "Hi, Thanks for writing in. Cancer is a difficult condition to treat and if your aunt has stage 4 cancer then survival even with the best care can vary from 6 months to two years. It is important to know the exact area of cancer involvement. Cancer in esophagus happens due to the growth extending in to the lumen and then proliferating to cause obstruction to ingested foods. Surgery cannot be done at this stage and therefore radiation therapy has been recommended by her doctors. To increase passage of flow through the cancer area, you can discuss with your doctors if she can be given monitored doses of radiation followed by inserting a metallic stent to cause improvement in swallowing. Radiation is best and chemotherapy may be even more difficult for her in this case. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi ! i have wheatisChatDoctorplexion .i used cosmelite and it helped me to become fairer.i am using regular sunscreen.but my skin becomes darker when i stop to use cosmelite and also in winters. i want to ask should i need to use cosmelite for lifetime.", "output": "Hello Kristi, welcome to Chat Doctor.I will be glad to be of assistance. Cosmelite cannot be used lifelong. In fact, it should be used for a maximum of 3-4 months not more than that. I will recommend that you use glycolic acid 6% cream on full face every night. That will also cause evening out of your skin tone and a bright complexion. The sunscreen has to be reapplied once every 4 hours. That will ensure good efficacy of the sunscreen. Hope my recommendations are useful to you. Please let me know if you have any queries." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have bipolar disorder, a few anxiety disorders, panic attacks and chronic fatigue syndrome. The panic attacks come between the mania and depressed cycles. They last 4 to 6 weeks. Each day I have one, they last from 3 to 4 hours or the whole day. Sometimes i wake up in the middle of the night and find myself attached to the ceiling because the attack was there immediatly when I wake up. These 4 to 6 weeks happen 4 times a year. Recently I have noticed that Adderall makes them go away. Ive only tried it the last couple of days so the trial is not very well documented. I will expierment again today because although it is only 6:30 am I am getting a panic attack. In your work do you use Adderall for pnic attacks?", "output": "His had gone through your query. Aderall has limited use in depression or bipolar disorder. It won't reduce anxiety or panic attack. If you have bipolar depression with panic attack then medicines like SSRI will Be choice. In SSRI paroxetine/sertraline/Escitalopram will be useful ion panic attack and depression. Anxiolytic like Mizoram and clonazepam will help to reduce acute attack, and it will be taken as and when required. Consult psychiatrist and discuss all this options. Take medicine after proper consultation with a doctor. Get well soon. Still if you have query then feel free to ask me directly on http://doctor.ChatDoctor .com/doctors/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi DoctorMy mother has undergone surgery for breast cancer 15 days ago. Drs have removed the entire breast and had sent it for testing. Today we got to know it was 3rd stage cancer..What will happen now? Is that curable? Request you to kindly guide me..", "output": "Stage 3 breast cancer is curable. Treatment will be guided by the patients age and the tumors' estrogen receptor, progesterone receptor and Her2 new receptor status. Stage 3 requires chemotherapy followed by radiation therapy. If the Her2 new receptor status is positive then she will be given Herceptin (trastuzumab) as well which is a biological therapy. And if her estrogen or progesterone receptor status is positive then she will be given hormone therapy for a minimum duration of 5 years as well. This is just a sketch of the treatment. You can discuss it with your treating oncologist." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "new to seizures. had first one at 41 and still trying to figure out what kind I am having. I have a blank stare and kind of check out for a few minutes and then for about 10-20 minutes later I come back to I don t know. MRI shows brain is good so far. Currently on Topamax and Dilantin. Losing memory . I can follow directions during a :checkout: time but am not self so I am told. but have no recollection of it. HELP PLEASE :(", "output": "Hi, Welcome to Chat Doctor forum. It appears that you are getting seizures due to the hypertension, and there also may be atherosclerosis. It should be confirmed that the hypertension is always under control, and never touching the higher reading. I advise you to consult a neurologist for diagnosis and treatment. You may need to have a C.T.scan, and E.E.G. for diagnosis. Avoid taking the Chat Doctor. Wishing for a quick and complete recovery. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter has had low abdominal pain with indigestion, we have been to the er a few times and they have done cat scans and ultrasounds. They said she has free fluid in the low peritoneal cavity and thought she had PID. None of her cultures came back positive and she has been on antibiotics for several days with no improvement", "output": "Dear Ma'am, Sorry to hear about your daughters' problem. You should also get a urine culture done as PID is often associated with urinary infection and that is often neglected.Also, PID and UTI require a prolonged course of antibiotics (for at least 5-7 days). If her pain is still persisting, she should also undergo an abdominal ultrasound, which will give information about the rest of the abdomen as well. Hoping for the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi how are you? I am in a lot of pain. I have been having abdominal pain for about 2 weeks now. t is severe pain. Started out in my lower abdomen and then increased to the left side. Now it is all over (abdomen) and sometimes in my shoulder. It hurts to walk. I cant sleep properly because it hurts to lay down. When i walk fast or take a deep breath my insides hurt. It almost feels as though my insides are crushed. My stomach feels like its swollen. The pain is very very bad. Do you know what this can be? I have went to the doctor. The gave me an ultrasound and i am suppose to go Friday to profound on it.", "output": "Hi. Thanks for your query and an elucidated history. I wonder how is it possible that with such a classical history suggestive of peritonitis you are not yet admitted and investigated faster. This is a classical history of peritonitis, wherein one gets pain even on walking and on lying down as your history says so. Shoulder pain and all history is suggestive of a serious condition inside the abdomen unless until proved. I would advise such a patient to get admitted and kept on intravenous fluids and antibiotics. Patient should not take anything orally. Investigations include- ultrasonography / CT scan of abdomen if there is a doubt or to confirm the findings of Ultrasonography. Hologram to see for hemoglobin and whit cell count. Urine - stool tests Standing X-ray of the abdomen to see for gas under diaphragm, Surgery if required anytime" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Have recently had flu and suddenly feel very unhappy, worthless, scared and cant cope with simple daily tasks. Irritable, frightened of being alone, might be better if not around for everyone else. Been offered sertraline by doctor but concerned about potential side effects. What can I do?", "output": "Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. From what you have stated it is quite clear that you are having a depressive episode. Depression can occur with regular stress, and it can also occur biologically without any stress as well. You need proper treatment for the same. There are various effective therapies for depression like fluoxetine, venlafaxine, bupropion, mirtazapine or Escitalopram, and they are all very effective and mostly safe. You may also require some benzodiazepines like clonazepam or lorazepam for a short period like 2-3 weeks to reduce the anxiety and help with your sleep. If you are averse to the Chat Doctor. This therapy is taken by either a psychologist or a psychiatrist in which the therapist identifies impaired cognitions (Thoughts) and try to correct them. They are 15-20 min weekly session and there should be around 8-10 sessions to help you with your illness. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i am 21 years old girl a medical a third year mbbs studenthave got severe pain in abdomen around umblicus i have been prescribed metrogyl compound but no change", "output": "Hi Sana, Welcome to Chat Doctor. Pain around umbilicus which shifts to right Iliad Fossa, is typical of Appendicitis. You have not mentioned whether your Stool examination was done prior to starting Metro, because it is the Chat Doctor. If you do not have Amoebas, metro alone is of little value. Better get an Ultrasound Study done as well as routine blood test to rule out infection (Appendicitis), since Total count of WBC of more than 11000 with necrophilia is indicative of infection. Of course a surgeon can also provisionally diagnose appendicitis by eliciting rebound tenderness at McBirney Point. It is prudent to avoid blind treatment. As far as possible a firm diagnosis supported by investigations is ideal, before starting any treatment, exception being relieving the patients' agony by immediate management of that agony. Wish you speedy recovery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Is there any way to get rid of a sperm granuloma/ epidmylitis at home? Vasectomy 2 years ago and now swelling and a grape sized lump in one testicle . Family md prescribed antibiotic, not seeming to work. Very painful. Ultrasound showed an enlarged vein . Referred us to urologist who performed vasectomy. No openings for a few more days. Anything that we could do in the meantime?", "output": "HIT hank for asking to ChatDoctorI really appreciate your concern at the most you can keep your scrotum on little elevated position at the resting position (Sleeping) for that you have to just low down your undergarment below the scrotum level then put the whole scrotum on belt of undergarment, along with this you can have \"Tab Ibuprofen 400 mg three times in day, hope this information helps you have a good day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, im a 21 year old college student and i was diagnosed with Chrons when I was bout 11. I was recently hospitalized for about a week due to severe left side pain, nausea, and vomiting. My GI doctor perscribed me prednisone but i havent seen any change. I can barely keep any foods down and my stomach is very swollen to where i cant button my pants. Its hard to be in college and to constantly throw up all day. For some reason, the only thing that tends to stay down is crackers, but i cant see myself surviving off crackers for the rest of my life. Any advice? Please help", "output": "HI, thanks for using Chat Doctor The prednisone was to try to reduce the inflammation in the bowel by suppressing the immune response but if it is not helping there are other immune suppressant medications that can be used. You should go to your doctor for a review so he or she can change to medication to another that may be able to help you. There are over the counter agents that may help with the swelling (if linked to bloating) and the vomiting e.g. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had a problem with my eyelids and the area above them swelling for the past few years. I assume thisight be an allergy symptom. It doesn t happen all the time. Recently I ve connected it to staying in hotels with the air conditioner running. Is it perhaps a reaction to mold in the AC unit? Might it also be the bedding or chemicals used to clean the bedding? It only occurs when I lie down in the bed. If I am up late, the swelling does not happen.", "output": "Hello, Mould allergy aggravated by AC units is a good possibility but hotel rooms are notorious to harbor dust mites and dust allergy would be likely. Skin tests to molds, dusts, cockroach need to be done to exclude these allergies. If you are using any eye mascara or facial cleaning products, you need to get a patch test in order to exclude a delayed chemical hypersensitivity. Skin prick tests and patch tests are different, so you need to see an Allergist or a Dermatologist to sort this out." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my question is Do I have a biopsy of the liver to find out what unknown bumps or growths are. No one has seen these before they are not the normal looking cancer or non cancer bumps. I also do not have a Portal vein attached to the liver and they dont know it has been functioning for 16 years without it.", "output": "Hi thanks for asking question. Noted you have growth in liver since long duration. If you are smoking and having history of OC pills then liver hematoma like growth may present. So if in USG it is vascular then care taken while doing biopsy. Here it can be simple adenoid. It could be chronic inflammatory or infective condition. So after examination and according to suspicion USG guided biopsy can be taken to differentiate whether it is about infection, inflammatory or tumor condition. If you have bleeding and coagulation disorder then biopsy can be done very carefully. Wish you good health. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband is an organic farmer that lifts HEAVY 100# coolers to the truck for market and as of this morning he had pain below is sternum and did not eat or feel well all day. Thought it was a muscle strain or tear. By 6PM the pain was in the lower right side with some nausea and he is weak I do not think he has a fever. I pushed down on the right lower abdomen and then release fast and he said it was tender pushing down but not on the release. We live 35 miles from a hospital and hate to take him in if not necessary. Thank you", "output": "HI. Thanks for your query and an elucidated history. You have posted the history as if you have read from the book : viz: The pain which starts in the upper abdomen and then shifts to the right lower side of the abdomen with or without fever or associated symptoms and now with rebound tenderness is to be taken as an attack of appendicitis unless proved otherwise. I would advise you to take him to the ER / Hospital Undertake blood, urine and ultrasonography. If proved to be appendicitis, go for surgery ASAP." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi... Last friday i had too much barbeque and i started drinking smirnoff ice and i think i got drunk. When i woke up the next morning my stomach hurted really bad. It hurts at the upper stomach and it feels weird. Now its wedneaday and it is still hurting. What is wrong with me?", "output": "Hi. Thank you for your question. Let me assure you are fine and need not panic. Pain in the abdomen after intake of alcohol can be due to many causes particularly Acute episode of pancreatitis, Peptic ulcer, etc. I will advise you to your surgeon at the earliest and get investigations to rule out pancreatitis or peptic ulcer disease. To my patients i advice following 1)Investigations:Complete Blood Counter Amylase and Lipase2) Avoid Alcohol and Smoking3)Avoid intake of Fatty diet4)Avoid taking Aspirin for Pain.5) Intake plenty of water.6) To relieve pain you can take Antacids and Analgesics. Hope I answered your questions. Wish you a healthy life. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi i have feeling heaviness in my left arm and left side of the chest i have performed all the test.ECG,ECHI,ETT,LFT,UREA CREATNINE,CBC All are ok.but now a days i am feeling pain on my liver side and suddenly this pain transfer from liver to the right upper side of my arm. i have feeling shortness of breath as well since 1 month.Please advice", "output": "Thanks for your question on Chat Doctor. I can understand your concern. No need to worry about heart diseases for your symptoms because your ECG and 2d echo are normal. By your history and description, possibility of bronchitis is more. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (pulmonary function test). PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease. And treatment is based on severity only. You may need inhaled bronchodilator and inhaled corticosteroids (ICS) on the basis of PFT values. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good Morning,Dear Doctors,I have two problems: No.1.. My memory is very weak and I forget usually. and No.2.. Despite my various struggle I can not concentrate in studying and work, whereas I want to take interest but I can not. Please reply and solve my both problems through medicines or you better understand.Thanks Nadeem", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. You are just exaggerating. Just answer these questions.1. Are you able to concentrate on movies? Interesting movies?2. Are you able to remember the stories, actors, actresses of these movies?3. Songs?4. Are you able to remember the food you ate last night? Definitely yes. I know the answers always shall be YES. That means both your doubts are cleared. You have good concentration power, and you do not have any memory problem. Then why are you not able to concentrate on studies? Cant remember what you studied? Because they are not interesting. Once you make them interesting, they shall be unforgettable. There are so many techniques to study effectively. See this website : http://psychocure.webs.com/howtosyudyeffetively.htmIf you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have I have an 18 year old son that suffered a traumatic Brian injury when he was 23 months old. He suffers from ADHD symptoms as well as being unable to control his impulsivity and emotions he also has problems with his executive function and has a cognitive disorder. All this means he is hyper active and can t contol his impulses or his emotions. Traditional medications do not help much. Would medical marijuana use help him ?", "output": "Dear, We understand your concerns went through your details. It is proven that in medicinal doses marijuana can be used to help cognitive disorder. Your psychiatrist or neurologist will be able to give you the perfect guideline. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query. Further clarifications are welcome. Good luck. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Last night i felt a bump on the roof of my mouth at the back. The bump is a bit sore when food or my tongue touch it. i looked in the mirror this morning and the bump is pea sized and there are two large dark areas on the roof around the bump. They almost look like bruises. I am 20 years old, never smoked before and rarely drink alcohol. Whay could this possibly be?", "output": "Hello there.... What do u mean by bump? Swelling? There are few age related swellings /lesions in the palate that arise with indefinite etiology... One need not have a history of smoking or alcohol consumption to have them. They might be associated with minor salivary glands of the palate also. Impacted upper third molars erupting palatially would also give such a clinical picture. Since yours is the right age for the eruption of wisdom teeth, that might also be the cause. Get yourself evaluated from an Oral and Maxillofacial Surgeon only." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "A stomach ache wakes me every morning. The Drs PA gave me a pill to dissolve under my tongue. He thought it was a spasm. Had a bad night last night after having FRIED SHRIMP for dinner. Up most of night w/a bad stomach ache. I also have reflux issuesDo You think it is gall bladder?", "output": "HIT hank for asking to ChatDoctorI really appreciate your concern your acid reflux problem may not be due to the gall bladder, but nowadays, the \"Gastroesophageal reflux disease (HERD) is common and the changing lifestyle could be the reason behind this stressful condition, like anxiety and depression, but this can be best controlled with the medicine called PPI (Proton pump inhibitor) hope this information helps you, have nice day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im a 30 yr old woman, I do not have a history of medical problems, the last few weeks when I lay on my stomach I have been feeling a strong pulsation, much stronger than in my chest. When I lay on my back I feel an area with a very strong pulse on my abdomen, near my umbilicus. I know the major artery, the aorta runs in the abdomen... So is a strong pulse a concern. Or just normal aortic flow?", "output": "Hi. Thanks for your query and an elucidated history. Very good question... If you are feeling this for the first time , the surgical problems concerned with this feeling like a cyst or a mass lying on the aorta have to ruled out by an urgent ultrasonography and color Doppler examination, ; the findings are positive to confirm this by a contrast enhanced CT scan of the abdomen and of necessary of the chest too... If the investigations and clinical examination by your Doctor are normal, enjoy life- it is possible that you have lost a lot of weight and lost abdominal fat... (this is on a lighter vain)" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "thank you- Ihave been diagnosed with Barrett s esophagus . I have read a lot about Radio frequency ablation And I would like to get this done . I do not have dysplasia according to the pathology report at this time based on A pathology report. I am very nervous about waiting another two years before I can get another endoscopic Procedure done. I could advance to cancer by then. I have read where a lot of people with no dyspasia have been treated and with good results in eliminating Barrett s. my insurance won t pay for RFA unless you have dysplasia. What if I Pay for it myself ? is there any way I can get this RFA Procedure done? Where can I get this procedure?", "output": "Dear Friend ... Welcome to Healthcare for your queries ... I read your query and would like to help you to get RFA procedure done. You can have good result if done in earliest without dysplasia. I would suggest you to Consult your treating physician and can be done in nearby Hospital without insurance. Do not be nervous as it is curable one. You are not likely to develop dysplasia changes faster therefore do not be worried. You can also visit MGH (Digestive Health Care)55 Fruit Street Boston, MA 02114\u00a0Hours: 8:00 am to 5:00 pm165 Cambridge Street Boston, MA 02114\u00a0Hours: 8:00 am to 5:00 mask me if you have father juries, I will help you for your queries. Regards Chat Doctor. Kingston John David" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my back feels uncomfortable its not quite pain but its just making me feel like squirmingkind of irritable its worth when im sat down im also getting some pain in my ass in wear my lungs would be it feels like a bruise sort of sensation any ideas as to why this is happening also i have a feeling of my heart missing a beat and sometimes racingive also had increased appetite but weight lossand ive been suffering with diarrhoea and stomach painand also dizzinessi do know i have low blood pressurei have juvenile rheumatoid arthritis and have also been diagnosed with autoimmune encephalitisjust not sure whats causing me symptoms . thank you for your time", "output": "Welcome to Chat Doctor I have gone through your query and understand your concern. Your musculoskeletal pain can be due to vitamin D deficiency, so you can test your vitamin D level and if found low you can supplement it with vitamin D3. You can take analgesic such as ibuprofen for pain relief. Multivitamin supplements will be helpful. You can see general physician for your problem of missed beats, dizziness and diarrhea etc. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi.Every night I have clear bubbly yuk that I have to spit out. If I don t spit it out I have to cough and then it comes up. I am up all night doing this. I just lay down and take a towel to bed with me and spit it our alnight. What can I do. I take singular and take prilosec. Doesn t help.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, we should definitely rule out congestive heart failure (CHF) first. Your symptoms (frothy sputum, cough, chest up position) especially at night are characteristic feature of CHF.CHF causes pulmonary edema and this causes all the symptoms. So better to consult cardiologist and get done ECG, 2d echo and stress test (trade mill test). You may need diuretics and other cardiac supportive Chat Doctor. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My yesterday s blood test result showed 160 Sgot , 87 SGPT , D. bilirubin - 0.3, T.bilirubin 1.3 and uric acid 8.4. Before a week result was 126 Sgot , 89 SGPT , D. bilirubin - 0.8, T.bilirubin 1.9 and uric acid 9.5. Except for SGOT and SGPT my other results have improved. How can i make improvement for those two result. I am taking my food very carefully. and i haven t taken alchol since 2 month. Is it due to uric acid and liver problem ? or other factor can make those two result high? What other test i have do do ?", "output": "Hi ts Your SGPT and GOT levels are showing signs of a mild liver inflammation. This is often seen with following conditions 1. Long term alcohol intake2. Some viruses involving the liver like hepatitis B and C3. Obesity or metabolic syn Chat Doctor. HbsAg2. Anti HCV antibody. 3. ultrasound of abdomen SGPT and GOT takes time for improvement. You need to continue to be abstinent from alcohol. On an average it would take 2-3 months to resolve with continued abstinence and medications. So continue on the path of a good lifestyle, and you would surely see good results. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, my fiance 38yr had major MI , his main artery was 100% blocked, the operation was done within 1 Hr after MI, he underwent Angioplasty and stenting, after one month he went back to normal, doc said everything is ok, he s taking the medicine and living an ordinary life, he stopped smoking and rests more, my question is: How does stenting affect life spam? Is he in danger, and doesnt it mean he will live less?", "output": "Hi, The stent doesn't affecting the lifespan, the disease does. They put the stent, opened the blocked artery, which gave a chance to his heart to function normally. If he continues follow his doctors' advice, take the medications and follow healthy lifestyle, he has good chances, that his disease will not progress quickly, and he may have long life. Wishing a good health to your father. In case of any further questions don't hesitate to contact me." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I had a hard bump about the size of a pea on my scrotum that was visibly dark underneath the skin. I squeezed it like a pimple and, after putting on a lot of pressure, it popped and shot a large amount of blood all over the place but nothing more. After cleaning and looking the lump is much smaller but only continued to bleed a little bit. There was no pain when touched and I have put neosporin on the now popped lump. What is this?", "output": "Hello, It seems to be a superficial bacterial skin infection of the scrotum. You can apply topical Newsprint cream over that bump. Make that area clean and avoid tight-fitting cloth. Wear loose underwear. If no improvement with Newsprint like antibiotic cream than consult surgeon for detailed evaluation. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 11 year old son has woken up violently vomiting 4 of the past 5 nights. He does not have a fever nor is he sick acting or feeling. He wakes up and comes down stairs in a panic and vomits. I have read online it could be some form of epilepsy. Any suggestions!", "output": "Welcome to the ChatDoctorI have gone through your question and understand your concern. The symptoms can occur due to gastritis associated with overnight fasting, or it may be a form of juvenile myoclonic epilepsy. The hallmark characteristics of juvenile myoclonic epilepsy are the presence of myoclonic jerks that occur on awakening from sleep either in the morning or from a nap. They are typically described as shock-like, irregular and arrhythmic movements of both arms. Sometimes these movements are restricted only to the fingers making the patient or individual look clumsy or prone to Chat Doctor. They are precipitated by alcohol intake, stress and sleep deprivation. If you feel that the episodes are associated with above-mentioned symptoms, then an electroencephalogram (EEG) will be useful to detect any occult epilepsy. Else, you may start antacids for him to relieve gastric acidity which might be the cause of these episodes of vomiting. Hopefully this will help you. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was very afraid to brain because i was missing the brain memory day by day i do know these problem start minimum one month. How to solve?", "output": "HelloWelcome to Chat Doctor first you must mention your age, as in old age we expect memory loss due to senile changes. Consult neurologist to find the cause & get it treated. There can be many reasons for decreased memory, over stress, lack of proper sleep, over expectation, poor non-nutritious diet. So first have sound sleep, discuss things with your friend, topic discussed is more remembered than just read. Also look for hemoglobin. Start iron & vitamin supplements. Wish you speedy recoveryDisclaimer" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor - I DIDNT KNOW YOU NEEDED A CREDIT CARD TO GET AN ANSWER - - CAN I GET AN ANSWER WITHOUT PAYING ? Yes, thank you for answering my question: I have pins and needles sensation constantly on top of the head from the back of the head base of neck - facial pressure pains - so bad that at night - from a scale of 1 to 10 - I m at 15 ! the pins and needles sometimes stay right on top of the head the hissing gets louder and around the eyes there is a goggle pressure feeling - feels like tiny hammers pricking stabbing sensation - I think it starts from the back of the neck top part where the neck bone meets the head bone - sometimes I hear a breaking (like dry wood or the sound that the shifting of the left /right of a car - what do you think it is Doctor?", "output": "Hi, I have gone through your question and understand your concerns. In my opinion, most probable cause of your symptoms may be occipital neuralgia, a condition where occipital or upper and back neck nerves are pinched or compressed along their way. Another possibility of your symptoms may be high blood pressure. You need to discuss with your primary care Doctor above-mentioned possibilities and tests needed in order to have a correct diagnosis. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been having pain and diagnosed with cervical radiculopathy. I am having pain constantly on my right side neck, head, and shoulder area and sometimes radiating down my arm and legs. I have not been able to work. I am going to see a Neurologist. I am wondering how long will I be out of work.", "output": "Hi, There's really no telling without an examination how long you will be sidelined from anything because its entirely dependent the cause of the problem and what can be done to fix it such as therapy, surgery, medication, etc. After the visit with your neurologist, you will be able to ask that same question and get a much more refined answer since they will know how this all came to be and what the recommendations will be to get you better....this might include a reduction in your work duties as opposed to having to be absent. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir, my knee injured since 1 month , i show to doctor , doctor suggest to me you need aspiration.after aspiration swelling is reduce and pain also but not completed .i was taken two medicine Emanzen-D, rantac after aspiration.now at time he is suggest gfmplze NICE, RANTAC. these are write medicine for me..plz doctor help me these knee problem denger for me..plz also suggest what am i do.kindly request to u..", "output": "Dear Sir/Madam have gone through your query and read your symptoms. In my opinion, it's clear from what you say that your knee had a blood collection following injury, but this blood collection is a sign of internal damage, and what you need now is to get yourself an MRI of the knee joint and see it internally and find out the cause of hematoma. I hope that answers your query. If you want any more clarification, contact me back." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "About 8 hours Ago I ran full force into a cupboard door and hit the top of my forehead hard. I have a small bump and bruise but that is not what s bothering me. I did not blackout but have been a little dazed and out of it. I am having a severe headache all over my head towards the back and my neck. Im dizzy nauseous, have a full head and ear feeling and pressure feeling in my head. Should I go into be evaluated or are these symtoms expected after hitting your head? As a side note I have a history of pseudotumor cerebri that was sudden onset last year said to be caused by possible birth control pIlls I was always at spinal tap pressure of 25 borderline high and severe headaches. I have been doing well and off all meds for last 5 months and have been headache free for last 5 months. Could this history have caused more complications when hitting my head? I m just not getting any better with max doses of over the counter pain relievers, ice and rest. Could I really have hit my head hard enough to cause a problem? What do I do?", "output": "Hello, Thank you for using our website,First, you need to be put under a medical supervision for 24 hours. If there is no deterioration in the level of conscious, you should take a painkiller and a bed rest for 3 days. But, if there is a deterioration in your level of conscious, you should do an CT Brain to exclude intracranial hemorrhage. The history of pseudo tumor cerebra could make the treatment of intracranial hemorrhage more difficult. Let me know if you need more information. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband and myself started ttc from Feb 12 and conceived in April 12. Unfortunately it was an ectopic pregnancy and done a laproscopy on June 12. After that my gynac suggested me a rest for 3 months and prescribed me folic acid . But I m yet to conceive. On Jan 12th I got my periods and my gynac suggested me to take Oosure for 30 days, Cervifert for 10 days(started yesterday), and Rizorich for 30 days. Can i expect conception dis month......", "output": "Hello, These are all supportive medicines for healthy pregnancy. Basically pregnancy depends on proper timing of ovulation & unprotected sex. Ovulation occurs approx 14 days before due date. It is better to use ovulation prediction kit (OPK) to predict ovulation time and prepare for that day for unprotected sex for high chance of pregnancy. Avoid stress, take healthy diet with Vitae & Folic acid supplements, control body wt and proper sleep. Be well." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i wake up in the morning feeling dizzy, its like i am going to have a fever and keep on farting, and had a pain on my upper stomach its like there is a heavy feeling inside of it. I checked my blood pressure and it is 90/60. i need your advice on what should i do. thank you.", "output": "Hello, Since your blood pressure is low 90/60 this could be the cause for you feeling dizzy in the morning. Getting a cardiac assessment done should be of choice. Because 90/60 is considered as low blood Pressure, and it needs cardiologist attention. Now for gastric, you need to improve your eating habits and also metabolism so gastric issues don't prevail longer. You should consider meeting up a cardiologist and not ignore the low blood pressure. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, this only happens when I workout after having not worked out for a while, however it is such a pattern break, and alarming, that I worry. After exerting at the gym, it s like a switch is turned, and I feel the onset, and it always fully manifests once I feel the onset. Shortness of breath, light headed (always anticipate passing out, but it never happens) fingers tips start tingling like crazy - all of them. Skin turns very very pale, I look visibly ill. Lasts around 15 minutes. There s no stopping it. I try slow controlled breaths, drinking water, laying down. All I can do is wait for it to pass. I don t think it s a panic attack, because it only happens after lifting weights, and it also usually doesn t happen if I ve been working out consistently, only when I start after not having been to the gym in a while. Keep in mind, I m not over exerting, not lifting anything crazy, pretty standard stuff. Let me k ow what you think.", "output": "Hello, To me the symptoms appear like the onset of a syncope. A syncope is usually caused by reduced blood supply to the brain. The first thing that I would like to get done for you is the cardiac evaluation. The heart problems are very well known to manifest after exertion. When one works out on a regular basis then body gets accustomed to that level of exertion and this adaptation goes off with stopping the activity. Probably that is causing the problem for you when you start it after a gap. I would definitely want a heart check up. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My wife is suffering serious depression and is now on medication. She has been feeling empty headed in her mind and did not know what to do. She has been wanting to get cured in a hospital. May I ask under what condition is she required to remain in hospital.? Would it be a mental hospital?", "output": "Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. From what you have stated it appears that your wife is having a depressive episode. Depression can occur with regular stress, and it can also occur biologically without any stress as well. She needs proper treatment for the same. There are various effective therapies for depression like fluoxetine, venlafaxine, bupropion, mirtazapine or Escitalopram, and they are all very effective and mostly safe. You may also require some benzodiazepines like clonazepam or lorazepam for a short period like 2-3 weeks to reduce the anxiety and help with your sleep. If you are averse to the Chat Doctor. This therapy is taken by either a psychologist or a psychiatrist in which the therapist identifies impaired cognitions (Thoughts) and try to correct them. They are 15-20 min weekly session and there should be around 8-10 sessions to help you with your illness. If it is severe then she needs to be hospitalized. She can be admitted in any general hospital or a nursing home having a psychiatrist attached to it. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my father was diagnosised with renal problem and his creatitine level and urea level was increasing day by day from 4.5 to 6.1 within three days and he become restless on the fourth day. Doctors did not dialysis him on the three days. On the fourth day they dialysis him and he expired. What will be the cause sir?. We have lost a valuable father for us?", "output": "Hello and welcome to Chat Doctor. As a Urologist, i can understand your anxiety and share your loss. To begin with, certainly your father was not in good health. You haven't written his age, nor his other medical problems with duration. There must be some reason for his kidney failure, needing dialysis. The other medical reasons could contribute to rapid deterioration, once dialysis was stopped. Dialysis may not be indicated to be done daily. The exact cause, as to why dialysis wasn't done for three days, can be asked to the treating doctor. Chat Doctor. Manga." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my son is 3 yr 10 months, having high fever (beteen 102 to 103) for last 12 hrs, I have given Crosin syrup thrice but fever comes down a little bit only that too for sometime only, I am giving sponge as well to reduce fever, what else I can do to reduce fever, pls advice. Thx a lot Saleem Mumbai", "output": "For high grade fever ...please give proper dosage of paracetamol ...dosage is 15 mg per kg and for your child dose will be approx 7 ml of syrup Robin containing paracetamol 125 mg per 5 ml and dosage to be repeated exactly 8 ...if this does not work give it 6 hourly .and if still no effect den in place of syrup Cronin...u have to give syrup ketogenic plus (magnetic acid 50 mg and paracetamol 125 mg per 5 ml) but DAT have to be given 12 hourly ...besides this give plenty of liquid to child ...and get her CBC done to rule to bacterial infection and malaria also to be ruled out ...usually high grade fever is viral and does not need antibiotics..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I took Doxycycline 100mg twice a day for a week and a half for acne . I developed severe fatigue , pain in joints, pain in throat, swelling of my tongue and sores around body including vagina. I stopped taking the medication on 11/16/12, but i still am feeling fatigue and the sores are still there, but they are healing. I went to the urgent care, they sent me to the er, er said there is nothing to be done, contact pcp, but my pcp does not have an opening for 3 and a half months. Did I have an allergic reaction to the doxycycline? I still feel very tired, what should I do?", "output": "Hello and welcome to Chat Doctor. From the nature and sudden onset of your symptoms after taking Doxycycline, it is possible that they could be indicative of an allergic reaction. Since you have stopped the medication and your symptoms are subsiding, you don't have to worry much. It may sometimes take a few days for your symptoms like tiredness and fatigue to completely settle down. I would advise you to take plenty of fluids and eat a healthy, nutritious diet. If your symptoms remain persistent or worsen, then I would advise you to see a doctor for further evaluation, since certain conditions like anemia or vitamin deficiencies can cause persistent fatigue. Best wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i want some moisturizer and cream name so that my skin can glow and become more fair. my skin is normal..not dry and not oil.but glow is not their.dont know which suncream i will use, or which cream... mean dont what product i will perfer cream ,suncream ,moisturizer for face....confused.", "output": "Hi, Your skin is normal skin, and you just want to improve its look. You want glowing skin...right? I would like to give you following tips...- have positive thinking-avoid anxiety and worries-have enough sleep-have healthy nutritious diet-avoid excessive sun exposure, use sunscreen gel like sun mask aqua gel-cleanse the face with mild face wash - you may apply vitamin E and aloe vera containing cream like silver or Pad cream hope this would be helpful to you. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Do Limbic Encephalitis sufferes ever recover their memory and emotions to the degree of a managable home life. My partners simptoms were constant crying, panick attacks, almost primal behaviour, short term memory loss, long and random memory loss, constantly eating and major confabulating. Unfortunatly I left my partner as I felt I was having a breakdown myself, being unable to detach from his behaviour, even though I love him dearly.", "output": "Hi, Thank you for posting your query. I am sorry to hear about your partners' illness, and the separation that followed. Limbic encephalitis patients do recover. However, the recovery is slow and gradual, and often partial. The extent of recovery depends on the severity of encephalitis and the ensuing brain damage, the treatment offered, and the rehabilitation process, which includes good family support too. I hope it helps. I would be pleased to answer any follow-up queries. Best wishes, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ive been having the symptoms of severe abdominal pain for the past week my doctor did blood work an ultrasound and a ct scan and we ruled out appendicitis, ovarian cysts, and pregnancy. I was put on a antibiotic and a prescription for pain, its been two days and now i have the symptoms of bloating, headaches, slight constipation that is black in color, frequent need to urinate, loss of appetite, fatigue, and nausea along with the abdominal pain. I was wondering if you could tell me what these could possibly be symptoms of", "output": "Hi. Thanks for your query and an elucidated history. If the appendicitis has been ruled out and CT / USG already done, I would think of a general disease like Typhoid or gastroenteritis of some sort. Please go for blood tests for typhoid / blood culture and sensitivity, urine tests and other relevant blood tests must already must have been done. Continue antibiotics. Your Doctor will change according to the reports and your response to the treatment." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "A year ago I had left lung cancer and surgeon removed half my left lung I have had pneumonia twice before cancer I m 59 lhe last month caughinh really sever titeness only on left side chest I also have several stents have had heart attach 3 times on SSDI lost ins only have part b at this time", "output": "Hi, Yes, tiredness is common in cancer survivor patients. However, it is not wise to label any tiredness due to cancer. Cancer survivors are able to lead an almost normal healthy life. So if there is any tiredness, that needs to be evaluated for common causes. I would like to know details, such as is this tiredness new or been there for more than 6 months? Has it worsened recently or intensity has remained the same? Are you able to do your daily activities with ease or there is discomfort? Have you noticed blood in stools? Any other associated symptoms? These clues will help me determine the probable cause. In your case, it is very important to rule out whether the symptoms are cancer-related/ pneumonia-related/heart-related. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, i have a problem with my lower left side back pain. I actually masturbate for few years already. From age 16. Im now 18. The pain just have been for few month and its worsen because i didnt care about it and continued to masturbate about once a day or more. How to reduce the pain? Do i need some exercise or i have to meet with doctor? I also take some supplement. Glucosamine sulphate and chondroitin sulphate. thank you", "output": "I do not think that the back pain has any relation to your masturbation. At this age, the back pain is rather likely to be caused due to improper posture during sitting or lying down. Certain back exercises would give you relief. Please visit a physical therapist for the same. You may try taking some muscle relaxant tablet twice daily for a couple of days and see if you get relief as it is usually caused due to muscle spasm in lower back. Hot compress will also give you relief. No supplements required. Glucosamine or Chen Chat Doctor. Please do not self-medicate and visit a doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ive had cold sweats for the last three nights, my body temp is low (Im freezing!), and my back has been aching, lots of joint and musle aches.I am 29, 118lbs healthy ( no allergies)with two systs on my left ovaries (if thats relevant). I went to Nicaragua in March 2011 and didnt take any shots before going. I live in Canada.", "output": "Hi. It is unlikely that you have some illness 4 years after visiting Nicaragua. But, nevertheless, symptoms you described are not pleasant, and you should check at your doctor. Did you measured your body temperature, or you just felt like cold? Sometimes chills are sign of fever and sweats are sign of body regulation. Anyway, you should use lots of teas and water and I would visit my doctor for these problems. All the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi..i hav a dark complexion..my frnds suggested to use betnovate c for fairness or either melacare cream..r these cream beneficial..will dey gimme fair complexion..if not..den plz suggest me d best cream so dat i can get fair complexion with glowing skin", "output": "Hello, Thank you for posting on Chat Doctor. Betnovate-c and Delaware are not good options for fairness as they contain steroids and other contents which can badly damage your skin. For better complexion, use mild cream containing comic acid, soy isoflavones, albumin etc. on regular basis (Mel aglow). Use good quality water-based sunscreen regularly to avoid tanning and pigmentation due to sunlight. Use good moisturizer like Eocene to keep your skin well HY Chat Doctor. You can opt for simple office based procedures like chemical peeling, microdermabrasion, monotherapy etc. Use glycolic acid based face wash for gentle exfoliation of dead skin. Hope this will help a long way in solving your problem. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have done a tonsileectomy after suffering from tonsilitis for 25 yrs . Then I am facing problems of acute pharyngitis. I am taking medicines like azobact and amoxicylin quite often say in a gap of 2 months . but no heal . please help. I am sinus problems as well.", "output": "Hello, As you have episodes of pharyngitis at frequent intervals, I'll suggest please get a throat swab culture and sensitivity done. There must be a gap of 4-5 days between last antibiotic and the culture sensitivity test. Just give a call to a path lab, and they will explain to you the procedure. If your test is positive then you will get the name of the most effective antibiotic and that will have to be taken as per the advice of your doctor. In the meantime please try to do warm saline gargle as many times a day as possible. Avoid spicy food and cold water. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello my daughter is six and started to have a fever yesterday around 3:00pm we are spending this week at the beach. She still has a fever today. It goes from 99.9 to 101.9 but not higher than that. I gave her Tylenol but her temperature goes down to 99.0. Is this fever caused by the sun exposure?", "output": "Hi, thank you for posting! I read your query very carefully, and I understand your concerns. Her symptoms are caused by the complication of a viral infection. In these cases taking a lot of fluids, eating a lot of vegetables and fruits and bed rest are recommended. To find the diagnosis a physical examination by a pediatrician, a strep test and complete blood count are necessary. A urine test is necessary too. Take Care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son is 12 yrs old. On 29/07/14 at around 14 hrs, we have suddenly noticed that his neck turns right and his left hand turns towards left and become stretched for few seconds (max 5-6 sec) in standing condition and becomes normal after that. The same thing has happened twice on 31/07/14 and once on 01/08/14 (last). We came to know from him that this type of disorder happened also 6 months back but we were not reported. We went to Doctor (neurologist) and as advised MRI brain and EEG was done. There was nothing in MRI of brain but EEG shows some disorder. Accordingly Dr has prescribed a medicine named DESVAL ER 500 once daily for 6 months. Thereafter we went to another doctor (neurologist) , after going thru thorough check he has prescribed ESLIZEN 400 once daily for a month and reporting after one month. We have started ESLIZEN 400 yesterday only and please advice .", "output": "Hi, Thankyou for your query. Since your child is having problem of epilepsy, and it has to be treated according to doctors advice. As for how long he is getting seizure, it is not noticed, and now you should continue the medicine as prescribed by your doctor, to be seizure free and accident free, as seizure can happen anywhere, anytime where sometime no care can be possible and child can be accident-prone like biting of tongue, head injury after falling and incontinence etc continue the medicines as prescribed by neurologist and follow accordingly. Regards. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I live in Canada so my numbers might be different from the US standards. My last CBC blood test came back that my white blood cell count was 12.7 (doctor said likes to see it below 11). She says this indicates cancer (did I mention her bedside manner sucks?). I have been having problems with a couple of teeth for the last 4 months and have had several procedures done on them and I am going back again this week. Seems coincidental that my WBC was high the last two times and fits in to the time period of the tooth problems. I should mention that I smoke which probably doesnt help. This is the first time I have had a high WBC without a valid reason for it (i.e. sinus infection, diarrhea etc.). Should I be freaking out?", "output": "Hi! Welcome to Chat Doctor! The normal total leukocyte (white blood cells) count ranges from 4000 to 11,000 per microliter in an adult. White blood cells help protect the body against diseases and fight infections. There are numerous causes for increases in neutrophils, lymphocytes etc. but the most common cause of Leukocytosis is secondary to infection (localized or generalized)or tissue necrosis due to any cause, in your case it can be due to infection in your teeth. The degree of leukocytosis depends upon several factors like its cause, severity of the infection, resistance of the body, localization of the inflammatory process (greater neutrophil leukocytosis is produced by a localized disease process rather than a generalized one) and modification by treatment. Your WBC count is only slightly raised so don't worry. A course of antibiotics will bring it down. Take care!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,I am 28 years old. In my childhood i had a breathing problem.From past 10 years i didnt face that problem.But now It seems like restarted. I am getting cold more and more drowsy nose,Dry cough.I do smoke. This is the cause for this ?Please tell me what to do now ?", "output": "Hi thanks for contacting Chat Doctor.... I have gone through your query.... First rule out allergic condition like asthma by pulmonary function test by spirometry .... Second as you have smoking habit, so bronchitis has to be ruled out.... Chest x-ray useful for it..... Symptomatic management done ad presentation is not severe.... As a doctor I will suggest you to stop smoking as it is respiratory irritants.... Try to avoid exposure to dust, pollen, smoking, pollutants ..... Antihistaminic Chat Doctor. ... More water... Fried food and spicy less .... If blocked nose then oxymetazoline spray given... Put cut ginger piece in boiling water ...allow for 5 minute....then cool and " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have been having chest pain, almost a tight feeling since february but doctors couldnt find anything and said if it happens come back. well past few days i will have those chest pains and they last just few minutes then go away and then come back and so on. what could it be?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Irregular chest pain is commonly seen due to stress and anxiety. But better to first rule out heart related diseases for your chest pain. So get done ECG and 2d echo. If both are normal then no need to worry about heart diseases. Stress and anxiety related chest pain is more likely in your case. So better to consult psychiatrist and get done counseling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Don't worry, you will be alright. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I went to the ER last night with chest pain that was worse when I lay down. They did two EKGs which showed abnormalitiy in T wave referred me for stress test with echo whicChatDoctore back normal. I am 27 and have been having chest pain on and off for a month... What could it be?I am 4 11 and weigh 113... nothing significant in medical history... when I was at ER my potassium level was 3.4 so they gave me a supplement. Everytime I go the doctor they tell me I have indigestion yet meds are not relieving it", "output": "Hello, mostly it's an acidity and reflux disease. Do you upper abdominal pain, nausea, bloating, burping, increase in pain on food, sour water feeling in throat or chest burning, if yes it further supports the diagnosis? Avoid fatty, oily and high calorie diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Lots of green leafy vegetables, fruits. Avoid smoking and alcohol if any. You can get prescribed tab Pan DSR 40 mg before breakfast once a day for 2 weeks. Does this pain increase on deep breathing, if you could be a plan from lining of lungs or heart which will need evaluation and OTC medicine like ibuprofen or diclofenac till evaluation is complete." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "73 yr old diabetic and has prostate cancer who is a black male which all os inder control but mow has a growth pn scrotum he has had o e blood transfusion and 5 iron iv transfusion he is also taking fiber vut he co tinues to bleed from recrim had colonososcopy and mo problem there as well. He has high blood pressure also", "output": "Hi, Sorry to hear the condition. If more details were available it will be easier to answer your queries. The colonoscopy report is not clear to me. Is there any separate pathology or prostate cancer invades the colon should be mentioned. If the disease is advanced there is a scope of palliative radiotherapy to control the bleeding, but that can be decided on the basis of colonoscopy report. Please consult your oncologist. Other medical problems like diabetes hypertension to be treated by respective super specialists." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have pain in my left shoulder due to cervical disc degeneration. There is a bone spur compression on a nerve that causes shoulder muscle to continuously be contracted on a Charlie horse. Continuous pain. Nerve ablation was unsuccessful due to the bone spur being in the way. Any suggestions? Nerve blocks, cervical epidurals have not worked. Physical therapy did not work. I take flexeril and ibuprofen for pain. Any suggestions?", "output": "Hi there. You could be suffering from cervical spondylosis which is causing pinched nerve and the symptoms you are experiencing. You may need surgical decompression of the nerve to remove the bone spurs. Avoid bending the neck forwards and avoid lifting heavy weight on the back. Apply hot water bottle for pain relief. In your cause I believe you need surgical treatment to give you better relief on the whole. Consult your Orthopedic surgeon for the same. Wishing you a speedy recovery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Doctor, I was admitted in hospital for Dengue and during a routine check-up in Nov. 12, my liver was found with multiple minute sized SOLs covering both the lobes. I conducted LFT, CT-scan and MRI and I was informed that it is benign. The liver function test is also normal. The CEA test is 6.5 and Cancer Marker test is also far below range. I conducted blood test for Echynococcus Serology and it was also negative. The MRI Radiologist told that it may be a hemangioma but the structure is different from the normal hemangioma. Kindly guide what can be the finding - multiple minute sized SOLs and what is the next step to be taken. Yours Sincerely, Radha, Ghaziabad", "output": "Hi there, as you have done all the tests to rule out any other cause of the sols and hematoma is more likely. It is a benign liver condition and one of the predisposing factors are intake of oral contraceptive pills. If you were on the pills earlier or now that would explain the hematomas. You will have to stop the pills and adopt other method of contraception., If you are otherwise asymptomatic then you need not do anything at this juncture but follow up routinely with LFTS and ultrasound studies. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been dealing with pain in my low back, pelvic region and upper legs for a couple of years now. My MRI showed an annular tear at L5 S1 with a broad base protrusion. There is no obvious impingement of the canal. My pain is worse after sitting for more than fifteen or twenty minutes and my legs are heavy and uncomfortable for the first few steps after sitting. My low back also pops and snaps a lot with movement. I had previously gone to a pain clinic and they tried injections with little, then no relief. I ve seen another pain doctor who tells me that there is no reason that he can see for my pain, other than inflammation in my SI. He injected those and I seemed to get some relief at first, but it didn t last through one lawn mowing.", "output": "The spine is made up of an alignment of small bones. These bones have sponge like discs between them and the spinal cord passes along the back of these bones through the spinal canal. Between the bones we also have nerve roots originating in the spinal cord and passing through foramen between bones. You seem to be having discs at a particular level that is protruding between the bones and this protrusion is backwards and causing symptoms. The discs protruding at level L 5 - S 1 with a tear at the periphery of the disc. It might also cause obliteration of lateral recess and neural foraminal compromise. This is leading to pinching of nerves causing severe pain. There are patients who get relief by doing physiotherapy and taking neurogenic pain relievers for up to a year. Injections are also given for relief. However, this might not always happen. If your pain is severe and not responding to medical treatment then the disc protrusion needs to be removed by doing a small surgery at the lower back region by a neurosurgeon. Presently, laser assisted surgical techniques and radio frequency ablation is also available. The inflammation at SI joint requires regular injections. You can try to feel more comfortable at work by taking small breaks every 30 minutes and not straining your spine especially the painful areas." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a bloodpressure reading of 130/110.at present i have been adviced tab telmade a h with solman omega3.Can u suggest is this a good combination or do i have to find another combinations and also i want to know when is the best time to consume omega3", "output": "Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. You should not worry about. I will try to explain you something and give you my opinion. You should know that when we treat hypertension our goal is to keep mean blood pressure values below 140 / 90 mmHg. A person might have high value during emotional and physicals trees so It's mandatory to judge on mean values. Celesta is a very good blood pressure antihypertensive. Omega-3 it's not a treatment for blood pressure, it helps to lower your cholesterol and triglyceride levels. If you have mean values below 140 / 90 mmHg than you are ok.the schema is ok. If you catch any high value than I would recommend a check up with a cardiac echo, a full blood analyze to check your renal function and a holder pressure monitoring to evaluate your values during day and night. After this we can decide if it is necessary to change anything Hope I was helpful. Best regards, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "afer 40yrs marrige i think he is narcissisist he gets crazy spells no matter vhere yells at me like crazy man. after 40 yrs marriage i think my husband is narcissist loves hem selt take pictures from he s self gets crazy spells jell like mad man anywhere controls my life i shouldn t have opinion not one person is smarter then hem manipuloi he think he s ono who know everything. I red 6 books i don t have daud about he isn t should i divers hem , He hit me ones & that ones was to many. maria", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. Before concluding that your husband is narcissistic, please talk to him. Talk to him with the help of your well-wisher, or please contact a psychological counselor. Know the reason for his behavior and the cure is easier. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had recurring rashes, lasting for a week or so. They are red, not raised and have small scabs. They are particularly annoying on my scalp, but have appeared on my arms, my hands, my wrists and my chest. Creams prescribed by the doctor have done little to alleviate the symptoms. They first arrived soon after my return form Myanmar. I remember feeling physically low at the time but did not have a high fever. During investigations, the GP found a Keratoacanthoma, this was removed. Should I be concerned about scrub typhus? Could the Keratoacanthoma have been the eschar? The initial rash was nine months ago, but the most recent was last week. Thank you", "output": "Hi, It may be due to some allergy... may be called purity simplex. The rash may be pruritic, papulovesicular and crusted. It is not scrub typhus. And it is also not related to keratoacanthoma. Dust, grass, soap, pollutants. etc. may cause such rash. Consult the dermatologist for the perfect diagnosis and proper treatment. Apply mild steroid cream and take tab cetirizine 10 mg daily till the improvement. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sirs, I have fever & head Pain for Past one week, on Checking with our Doctor & blood test, Report says my Liver SGPT is 271 now ( 3 months before i had Piles & on that time on check up my Sgpt is only 43 , I took Siddha treatment & get Cured ) ...I M really drunker for past 10 years but for past 1 year i left it & Consumed very rare , once in month ). my Age is 41 Weight 68 Height 5.4 ... my Doctor advice me to avoid liquor & Non veg , oily foods. & also informed i have Typhoid in intial stage. Kindly advice me in this regard. Mukunth Kumar", "output": "Hello Month Kumar, Welcome to Chat Doctor, and thanks for your query. I understand your concern and problem. You have hepatitis; an inflammation of the liver. There are several possible reasons for hepatitis. One and the most likely is alcohol. Viral infections, certain medicines are other common causes. Does the SIDA medicine that you took for hemorrhoids contain any heavy metal powders or extracts? You should avoid alcohol now and also fat containing food if you have difficulty in tolerating them. Was the diagnosis of Typhoid based on blood culture? The method to diagnose typhoid in the first week of illness, is identifying the organism in a blood culture. Wish you a quick recovery! If you have further queries, I am available on the web Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im Danielle. I have a rash that started our on my neck 2 days ago. Yesterday it spread to my chest and today it looks like it maybe on my arms. I havent had anything new so I dont know what it could be. It maybe a heat rash but Im a dark skin African American girl so I dont know what heat rash should look like on me. Please help. Its really itchy too", "output": "welcome to Chat Doctor Forum You seem to have developed sun burns due to excessive sun exposure... You need to apply a topical steroid containing mometasone cream over the affected area at least twice a day over the affected area in order to decrease the inflammation. And take some oral antihistamines like levocetrizine once a day. You should use a sunscreen (SPF>26) every time before you go out in the sun in the future,. Regarding a sunscreen, it is important that you should apply adequate amount of sunscreen over all the exposed areas before going out in the sun,It should at least be applied 30 minutes before any kind of sun exposure, and it should be reapplied every 3-4 hours in you stay out in the sun... Hope it helps Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am Male and my blood group is O+ve. I intend to get married to a lady having blood group O-ve. Can there be some blood group incompatibility issues during child birth or after the 1st child? Can the new born(s) suffer from any kind of disease, including Thalassemia. Is there something like 1st child will be fine and the subsequent ones will have problems? What is RH/RF (not sure) factor? I heard some kind of injections are given to mother to resolve such blood group incompatibility issues with the fetus during pregnancy, what are the side effects on mother due to such injections? Is blood group/type checking of would be bride and groom necessary for any reason apart from possibility of having HIV virus?", "output": "Hello welcome to Chat Doctor sir, Incompatibility in the newborn fetus may cause HDNB(hemolytic disease of newborn)depending upon the severity of red cell breakdown.this is because of Rh antibodies developed in the mother(if mother is Rh -ve) because of either previous blood transfusion or birth to a baby who is Rh\u2019ve.1. If the above said antibodies develop before the 1st childbirth(that means if blood transfusion done).,then 1st baby will affect.2. If the above said antibodies develop after the birth of 1st childbirth your 1st baby will be normal.and for second pregnancy these antibodies travel across placenta and make red cell to break in the baby. Rh means rhesus factor... Rh +ve means presence of Rh antigen in the blood.n\u00e9 negative means absent. Regarding your query.you are O+ve and your would be is O-ve. If she had prior blood transfusion that too receives +ve blood.then you need to take anti D injection.nowadays that +ve blood is not giving to -ve one in the fear of future problems. After the 1st pregnancy your wife had to receive anti D immunoglobulin to suppress her immune status because of babies blood.after taking of this anti D then further pregnancies would be normal.no problem will arise. Incompatibility doesn't cause thalassemia,it is an inborn genetic error in the red blood cells. There is no side effects to that injection. Before marriage checking for HIV status is mandatory,..other else not necessary and not required.hope you understand my answer and suggestion. Thank you Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had what looks like blood in my urine, went the doctor but have not gotten the results yet. However it seems like the only thing in diet that changes when this happens is my drinking \"Red Bull\" can this cause bloody or red urine. I have no pain or other symptoms.", "output": "Hi, To find out if you have blood in the urine, we have to look at the urine report. Blood in the urine may be gross hematuria which means many red cells in the urine. Gross hematuria can be seen with our eyes as red urine. There is another type called microscopic hematuria where red cells are seen under the microscope. If red cells or red cells casts are present in the urine along with protein in the urine it means there is a kidney problem especially in a structure called glomerulus. Red cells or Frank blood in the urine may occur more commonly due to stones. It may also be seen with certain infections. Above the age of 40, we also try to rule out the possibility of kidney or bladder cancer. Certain medicines and certain food items may color the urine red but in this case the urine report is negative for blood or red cells. A condition called hemoglobinuria where the muscles are affected may cause red urine. The first step therefore is to read the urine report. Blood in the urine is usually investigated with an ultrasound initially follower by other tests according to the most likely cause. Should you require further assistance, please post your urine, blood and other reports here so that I may provide you more information regarding your query. Best regards, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have cough since 2 weeks, I took avil tablet for 3 days ,half tablet at a time and stopped. The cough has reduced after that but 2 days again the cough has started and then I took half tablet avil and it got controlled a bit. I dont have any mucous or yellow color sputum. 4 weeks back I had yellow sputum so I took Novomax antibiotic and it has reduced but the cough is still persisting. mY age is 27, height is 5feet 4inch,weight is 65. I take iron tablets some times as I am anaemic a bit. I am unable to know what kind of a cough it is and why it is still persisting..please give me some advice and anything to worry. .", "output": "Thanks for your question on Chat Doctor. I can understand your concern. You are having Chat Doctor. This is commonly seen with 1. Lung infection like tuberculosis of pneumonia 2. Bronchitis 3. Allergic cough. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Chest x-ray to rule out lung infection. 3. PUT (pulmonary function test) for the diagnosis of bronchitis. 4. Eosinophil count and total serum IGE level to rule out allergic cough. On the basis of above reports, you man need antibiotic or anti-tubercular " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi..in my follicular study today(17th day) the right ovary is 10*7 mm and left ovary is 13*11 mm with minimal free fluid, it was the same on the 15th day with no free fluid.I had taken Siphene(10 mg) from the 3rd day of my periods....we are travelling tomorrow and not sure if we can do the study for the 19th day......my query is to understand if a ChatDoctor injection is must to ensure I conceive...", "output": "Hi welcome to Chat Doctor. I have gone through your question. As on 17th day there is minimal free fluid suggest that ovulation might have taken place. As sphere is prescribed to stimulate ovaries. ChatDoctor in given to develop uterine wall, so growing fetus can implant and develop. So Chat Doctor in should be taken according to my advice. Hope I answered your question, would be happy to help you further. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I read that gastritis may be masking a case of ovarian cancer. It was a recent article but I dont remember where. My wifes mother died from ovarian cancer. She has one sister (out of 3) who has had breast cancer twice. Christina, my wife has had gastritis for months now. Her doctor performed endoscopy and found everything appears normal. Christinas gynecologist performed an exam including ultrasound over 2 years ago and found nothing unusual. What are the chances of Christina having ovarian cancer? Shouldnt she have a complete exam at least once a year? Medicare wont pay for more than once every 2 years. Is there a good blood marker for ovarian cancer besides CA125? Thanks!! ...Ron", "output": "Hi, Thanks for writing in. Gastritis is inflammation of the mucosa of stomach in reaction to increased amount of acid formation. It is unlikely for gastritis to be responsible for ovarian cancer. However, if there is cancer ovary in her family then your wife might do an ovarian cancer tumor marker test. There is a blood test called CA 125 which is a cancer marker test for ovarian cancer. This is a simple test and tells a possibility of cancer in the ovary. This is not related to gastritis. Doing this test once a year will benefit her. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "age is 26 and height is 5 6\"and weight is 42 kg. i have a 15 months baby .before i was 48 kg but in a month i loose my weight around 5 kg .i eat lot a fruit and meal(lunch and dinner).but i feel like stress everytime.so pls give some tips 4 gain weight", "output": "Hi, Your weight loss seems to be related to the underlying stress that you mentioned. Once that is treated, your weight will recover spontaneously. You should consult a psychiatrist for complete evaluation and initiating treatment. Anti-depressants like sertraline will help to overcome your stress. Alternatively mirtazapine can be used as anti-depressant which has one of the effects of weight gain. You should also start exercising daily. It will help you relax and feel better and also help in improving your physical health. I do hope that I was able to answer your query. Best wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had a head cold and productive cough for about 3 weeks. I have not felt bad (with the exception of being stopped up) or ran fever the whole time. Now my back hurts on the left side and it feels like I may have pulled something. Could this have any correlation?", "output": "Hi, thanks for posting your concern in the Chat Doctor. My recommendation is to visit your local doctor to rule out pneumonia, any infection or inflammation involving the spine etc. In case of a bad pneumonia you may have back pain, so occurs in spinal pathology. In cough and fever for more than 2 weeks, tuberculosis must also be ruled out. Any other lung pathology should also be ruled out. A complete blood count, CRP, sputum for microscopic examination and culture, chest X-ray pa view may be done. Your doctor will decide whether any further investigation will be needed depending upon the clinical findings. For any further questions please write back to us. Regards. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I fell on my left foot 3 weeks ago playing basketball. I went to the doctors and they took and xray and it came out to be fractured. A piece of bone chipped off the ankle on the left side. I was given a splint to stabilize the ankle and given crutches. A week ago I was finally able to walk on my foot, but now I realize that when I move my toes or my foot I get a a burn feeling. If my foot sits there on idle it gives me this tingling feeling? Did I damage the sensory nerve in my foot cause of the fall? Is there some cream I can put on there? The burning feeling is preventing me from being able to therapy my foot because of the pain. If I touch my foot it does feel numb at parts. I have been icing and elevating my foot everyday for 3 three weeks and have even used Epsom salt to have the swelling go down.", "output": "Hello, I have studied your case. Numbness can be due to nerve dysfunction. You can take vitamin B12 for reducing symptoms. Vitamin B12 is important in the maintenance of health and normal functioning of the nerve tissue and deficiency of it can lead to numbness. You can increase B12 level by taking meat and fish, or you can take In methylcobalamine 1500 mcg If not relieved then I will advise you to MRI ankle and EMG/CV [nerve conduction study for better diagnosis. For these symptoms neurotrophic [Pregabalin] medication can be started consulting your doctor. I will advise checking your it B12 and it D3 level. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I am a dentist and I believe one of my patients has developed a tic Doulouex. It is a mild case but it began right after having a root canal done on his lower second molar by a vey good specialist on the ipselatereral side. The trigger point is about where the trigeminal nerve exists the mandible on the surface of the skin. This is extremely rare to me so I dont know how to treat it or who to refer it to. Can you give me a suggestion?", "output": "Greetings from Chat Doctor members, Dear Doctor, I have understood your query. It is very important to first confirm the diagnosis of trigeminal neuralgia as many other medical and dental conditions have similar presentation of pain. Improper diagnosis may lead to patient dis-satisfaction and with Chat Doctor. Once you come to definite diagnosis, then comes the treatment choices. There are a number of medications that control the pain of trigeminal neuralgia. The most commonly prescribed first line " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a history of a hernia which was diagnosed 2 years ago. Today is the first day that I noticed I did not have my normal bulge which has been there for 10 years. I was admitted to the hospital yesterday after passing out following a bowel, I was discharged today from the hospital because they thought I had a cardiac issue, I have never had this type of issue before. The day before I wore a tight girdle which provided much relief from a large hernia that I was diagnosed with 2 years ago. I kept asking if by wearing the girdle I could have caused an issue with the bowel, I was told no. While I was in the hospital, I have had no appetite and I shared concerns that when I tried to eat anything today it caused discomfort in my abdomen. I also developed a headache on the left side. Since I have been home I have vomited just a little, have not urinated or had a bowl movement, I have a sharp pain on my right side and pain in my back which is also on the right side, and woke up with night sweats. Is this something to be concerned about now or can I wait till morning.", "output": "Hello! Thank you for the query. The main problem with hernia is that it may stick and cause bowels obstruction. And you never know when and if its happens. Typical symptoms of bowels obstruction are nausea, vomiting, lack of stool and gasses, bloating and sometimes cramps. The other thing is that you have also urinating problems and back pain. This makes kidney infection very possible. Actually with bowels obstruction kidney infection can appear as you do not absorb water and do not urinate enough. Both conditions can be life-threatening. That is why you should not wait with them. Please go to ER. Urinalysis, abdominal x-ray and ultrasound are necessary. Surgery might be the only treatment. Hope this will help. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "goodmornig doctor sir, i m 19 yrs old and i m preparing for medical exams bt i lost many logics and solution very early even after 2 days i hd learnt , i m confused is it the ause of excess masturbation which i practice every day since i ws 15 . i feel very tired and some time i hd too much back pain . and i try to stop masturabation bt i cold not pls help doctors how can i keep my self away frm it and create my 100 %focus on studies . pls i try my best to leave my masturbation pls solve my problem doctor", "output": "Hello, I understand your concern regarding your studies and health, for your kind information masturbation does not cause any weakness to the body, but it can be worrisome if done in excess like every day, the worst thing about it that it wastes your valuable time and distracts your focus and concentration towards studies..... you need to be determined about not thinking of masturbation ...like start with small goal that you will not masturbate for 2 days and then make it once a week.... it will give you happiness that you are saving a lot of time.... another very good way to increase your will strength is yoga ... do meditation and yoga early morning to improve your mental strength.... remember it's all in mind... I hope I have answered your query... let me know if you need more help.!take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i have epigastric pain about three weeks and i t stopped for two days but now i am feeling in whole body. sometimes have breathing problems and passing through urine feeling burning and coulor changes sometime please tell what it could be thank you", "output": "Welcome to Chat Doctor You are probably having urinary tract infection which explains the burning micturition. Is there any blood in urine. The pain you experience is due to probable gastritis which can also cause breathlessness, nut to be safe better to get an ECG done to rule out heart problems which can also cause similar picture. Eat bland diet, less fat, more semisolid and cool. Chat Doctor. Eat fresh fruits and green leafy vegetables. Better to get your urine tested at Urologist Clinic and if necessary get your stomach examined by endoscopy to look for ulcers." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my. Husband went to dentist yeaterday morning for a tooth abcsess. She injected him twice for the pain amd sent him home with prescription for antibiotics. Last might his mouth started swelling. Now the swelling is more than it was at 11:00pm. Is it normal?", "output": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint swelling in mouth seems to be most probably due to Dental Abscess as the pus formation below the root tips of tooth can perforate the bone and get accumulated in the soft tissues leading to swelling inside the mouth as well as on the cheek. He should continue taking the antibiotics and if there is pain anti-inflammatory painkiller like Advil can be taken. Do cool compresses over the cheek. But one thing I would like to tell you that antibiotics can reduce the swelling and infection to some extent, but it will not provide permanent relief. In order to get permanent relief you should consult your dentist and get an x-ray of tooth done. If the tooth is in condition that it can be saved Root Canal Treatment followed by antibiotics and painkillers will provide permanent relief. In case if tooth is grossly decayed and cannot be saved extraction is advisable. Hope this information helps. Thanks and regards. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good Morning: I had a tick that was attached to my side. My husband removed it. It is now red and itchy. This has been a week. I have an extremely swollen gland in my groin area and am extremely tired. I am a type 2 diabetic but my last a1c was 5.6. I am not overweight. Any ideas? Thanks.", "output": "Hello there, I understand your concern about the swelling and pain. That gland is probably because of the tick bite. You need to be examined to make sure that there is no other reason or problem in the groin leading to the lymph node swelling. Your A1c is in good control. If I were to treat you I would give you a course of Doxycycline antibiotics to cure the infection and swelling in the gland. But you need a proper examination before the medicine can be prescribed. So please visit your physician who can do the same. Till then try to take paracetamol for the pain and do some cold compresses to the swollen area if there is no pus formation so that can relieve the pain. If there is pus then there is need for Chat Doctor. Hope this helps. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 41 year old male. Symptoms started as body aches, flush feeling, just feeling like no energy. A day ago i noticed what looked like the start of a pimple on my forehead. Today several red spots on forehead, upper chest, some on back, crease of arms, neck area. They dont really itch to bad. I also feel constipated at times, some belly aches and small amount of diarreha. My wife is convinced its chicken pox. I also started an anxiety med two nights ago to help me sleep. Didnt notice rash till after i started the med but the other symptoms were present the day before i started med. Started med due to lack of sleep i was getting from wearing a cpap mask at night.", "output": "Hi, It will be better if you can upload the photos of the lesion. This will help in making diagnosis. If chicken pox you need to take acyclovir with other symptomatic treatment. Chicken pox presents similar to flu with vesicular rashes. It cannot be pimples as all the lesions cannot appear in a day. Since you started anxiety medicines this can be due to its reaction also. Without examination and knowing about medicine we can't confirm the diagnosis. So better to upload a photo of the problem or else get examined by your doctor once. I hope this information helps you. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "yes my name is sherry hill and i have mastoiditis. I have a hole in my eardrum in my left ear i vant hear anything out of it and i recently was admitted into the hospital i got out january 21. I supposed to have followed up with an ear nose and throat doctor but i havent because i have no medicaid and no money i have taken all my antibiotics and now im having headaches like everyday i take tylenol it works for a little then it starts hurting again what should i do is this something serious?", "output": "Hi Sherry, I understand your difficult situation but as we all know healthy is better than wealthy. There are five stages of the disease, and it is better to stop it asap to have fewer complications like your hearing loss, intracranial extension of the infection etched you finish the treatment with antibiotics as your doctor prescription? Did you have ear discharge or temperature? If the answer is positiver than consulting ENT doctor is a MUST. The disease has severe complications, and it is better to follow up than cure the side effects of the disease. Hope that helped" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "The start of my last menstural period was Oct 25 2010. Lasted about 7 days. According to that, I m supposed to be 12 weeks today (Jan 15 2011). However, I went for my dating ultrasound yesterday and was told I was only 10 weeks and 6 days. Therefore they couldn t do the Nuchal Translucency scan. My question is, what exactly is gestational age? Does this calculate when the baby was concieved? And if so, the baby would have been concieved the last day of my period (Unlikely, I thought?) I m confused as to which age I should be using. If my gestational age was different, shouldn t everybody else s be? I hear people say I was only off by 2 or 3 days , but wouldn t that mean they also concieved during their period? Please help.", "output": "Hallow Dear, The gestational age of the baby is in fact the actual age of the baby. Naturally it is from the day of conception. However, it is not possible in day to day life to locate the day of conception. Hence, it is customary to calculate the day of expected due date of delivery or even the duration of pregnancy from the date of last menstrual period. This is the clinical way of assessing the duration of pregnancy. Total duration of pregnancy which is said 280 days is counted from the date of last menstrual period. Ultrasound calculates the duration of pregnancy according to the measurements of the baby. It has some error factor ranging from 2 weeks to few days depending upon the stage and duration of pregnancy. I hope this gives you clear knowledge about the age of the baby. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am prone to allergies (dust, pollen etc). I woke up this morning with a pretty bad case of sneezing. By this afternoon, whenever i sneeze, my breasts hurt; like tiny pinpricks or stinging all over them. The pain lasts for about 3-5 minutes after the sneeze. is this normal in allergic rhinitis?", "output": "You appear to suffer from Allergic Rhinitis.It's common to have cold and sneezing in the early morning. As cold air is a powerful trigger of allergy, but is not medically desirable to continue suffering like this. You need to first take a PNS X-ray & role out sinus involvement also. Then you would be suffering with Rhine sing bronchial allergy. Which require more care.1) you need to start an antihistamine like tab. Montec-Lc one tab per day for 15 days initially(only at night after dinner)2) you need to take nasal inhaler namely Donate spray per nostril per day.3) do not get exposed immediately from to be Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi im vincent im 14 and i started to notice a pain in my back about 3 monthes ago in the dimple of my back and it will hurt when i move my back quickly and move my leg. when it got as bad as it does i cant move at all and the next morning i would feel nothing than about a month later it will hurt again", "output": "Hi, welcome to our site. I am Chat Doctor, MD. Read your query. That is a very significant question and I appreciate your problem. I will try my best to answer your query think that there is some pathology developing in the back. This may be mild at the moment and may be gradually building up. So I would seriously suggest that you move for an imaging modality like MRI/X-ray (the former being the preferred modality). The physiotherapy is usually a good option for people who have backache. So look for a qualified physiotherapist around you who may help you with the pain and also the fomentation techniques.Painkillers may be taken once in a while, but I would suggest you avoid them as far as possible due to the possibilities of long term problems like gastritis and kidney damage hope this helps you. Inform the reports mentioned above/if any other, so I can be of help further. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you. Please do understand that some details could be extracted from a detailed history and examination. Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further. (If the answer has helped you, please indicate this)Best of luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "A large dog bit my foot yesterday. The bite caused very minimal superficial damage to my skin, but when I touch a spot on the arch of my foot it causes a shock of pain and I have discomfort when I go up onto the ball of my foot while walking. Any ideas as to what might be wrong?", "output": "Hi thanks for asking question. You have superficial dog bite at foot. Your skin somewhat get damaged and superficial nerves injury, so you definitely feel pain. I advise you to clean bite area with soap and eater. Then apply sterile bandage over it. Apply topical antibiotic cream over affected area to prevent infection. If source of dog or its status not known then better to take antirabies vaccine. I hope I have solved your query. Take healthy diet and more fruits.Don't worry ." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi..am a resident of gurgaon aged 35years. I am looking for surgery for kidney stone removal...the stone size is around 18mm and is stuck in the duct leading to extreme pain. Please note am a diabetic with fluctuating sugar levels...since my medical policy does not cover the ailment as of now, am looking for an economical solution...would appreciate if i could get an approx price quote too", "output": "Hey. Welcome to Chat Doctor. Let me first inform you that, if the stone size is less than 10 mm, then definitely there is a chance to flush it out from our body by specific medicines. In your case, the stone size is 18 mm, and also it is stuck in the ureter as informed by you, which is giving you severe pain. In my opinion, you can go ahead for surgery. Do not worry it will be not an open surgery. Lithotripsy is done in such cases, which is minimal invasive surgery. Hope I have answered your question. If you have any other questions, then I will be happy to answer it. Wish you good health. Take good care of yourself. Warm Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello ive been on implanon for 3 years and 3 months. While on implanon my periods stopped completely and now that my implanon is expired i still havent had a period.. my question to you is, should i be worried about not having a period yet and is it possible for me to concieve with an expired implanon still in my arm?", "output": "Hello, you don't need to worry about your periods. It will come back within 4-6 months after the body has adjusted its hormone levels. Implant is a hormone based contraceptive which is effective only for 3\u00a0years. You can get pregnant with expired implant as the hormone it was releasing is finished, and your status is you are using no contraceptive at present, so there are chances of conceiving without periods similar to conceiving in lactational amenorrhea. Therefore, if you do not desire to get pregnant then remove the expired one and get a new implant inserted or use OCP or injections as per your choice." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "what side of the chest do your put your hand on to feel the heart beat? Is it the front? whats the techincal word for it? is your heart as big as your fist? why is this so? how many times does a human heart beat in a day? how many times does it beat in a year? how many times in a 22 year olds life? how hard does the heart squeeze blood into the chambers? is your pulse stronger as a child? what in diamtere is the largest artery in the body and the aorta?", "output": "Hello, Thanks for writing to Chat Doctor, I am Chat Doctor. 1) what side of the chest do your put your hand on to feel the heart beat? Left side in fifth intercostal space, and simply speaking It's just below the nipple.2)Is it the front? Yes it is felt in front.3) what's the technical word for it? It is called as apical beat/ apex beat.4) is your heart as big as your fist? Why is this so?It's just a rough estimation, yes It's almost as big as your fist, and it is because size of every organ is according to body size if you are big your fist and heart will both be big a dwarf will have fist and heart both small.5)how many times does a human heart beat in a day? It beats 72 times in a minute, beats 103680 times in a day .6)how many times does it beat in a year?37843200 times a year.7)how many times in a 22-year-olds life?832550400 times till 22 years 0 days 0 seconds of age.8)how hard does the heart squeeze blood into the chambers? Hard enough to push it till the farthest organs of body.9) is your pulse stronger as a child? Yes beats more times compared to adult heart.10)what in diameter is the largest artery in the body and the aorta? Aorta is the largest artery it has a diameter of 2.1 cm square. I hope this answered your question, If you have more queries I am happy to answer you. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a female, 57 years old, 130 lbs, 5 4 . Over the last 5 years I have been diagnosed with a posterior fossa meningioma, a slpeen hemingioma, and have developed about 30 Cherry Angiomas across my stomach and legs. About 2 years ago I had a Novasure ablation for uterine fibroids. I have very variable blood pressure (highest:190/120, lowest: 50/17). I have a very slow pulse, 30-50 average. I regularly have bigeminy PVC s. Is it possible that these are related? What kind of doctor should I see? (Neurologist said meningioma was benign, don t worry. GP said hemingioma and angiomas were benign, don t worry. Cardiologist raises/lowers blood pressure meds through cycles (2-3 times a year) and says don t worry.)", "output": "Hi, So meningioma hematoma are usually benign. However, posterior fossa tumor with high BP and slow pulse rate may be caused by raised ICT. And if it is so it requires removal. However so many fluctuations of BP raise questions about authentic measurement as BP in same arm every time or it's a difference in two limb measurement. And if It's not then you may have endocrine tumor specially chromaffinomas, associated pheochromocytoma. You need evaluation for the same. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 4 weeks pregnant dr. said i miscarriaged but my ChatDoctor have doubled i still fill pregnant my ChatDoctor started 430 when i miscarriaged went back to dr. they went to 850. but im still bleeding could i still be pregnant they did ultra sound and didnt see a sac", "output": "Hello, Thanks for posting in Chat Doctor. Chat Doctor is a hormone secreted from the placenta and uterine wall junction. You said you are still bleeding, that means you did not have yet finished total abortion. It is still incomplete abortion. It occurs when some part of product of concepts is still attached to the wall mimicking that pregnancy is still there and continue to secrete hormones thinking pregnancy is continued. Either you observe for few more days until the bleeding stops on itself or if it does not stop, kindly consult a gynecologist as you may need small procedure called as dilatation and curettage where they will completely clean the uterus of any remaining bits n pieces. Then the Chat Doctor values will decrease. Hope it helps you. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello My name is Luiza ,i,m 23 years old and profesional fotomodel I born in Europe ,now living in Canada .I have problem my skin ,i think is anetoderma .Please let my know if is any cures ,or surgical treatment to stop this disease . When i was 12 years old start from small spot on my chest ,but now is biger and biger . Please answer me ,im very ,very scary. Please Thank You Luiza from Calgary", "output": "Hi Luiza, Thanks for writing to us. Anetoderma is an plasmolytic disorder where elastin of dermal skin tissue is destroyed leading to laxity and out pouching of skin. Though medical treatment is available none is supposed be very effective. For smaller lesions surgical excision can be tried. I would advise you to consult a dermatologist so that the diagnosis can be confirmed first as your self diagnosis might be wrong! Hope that helps. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, i have been having some health issues for over a year now. weight loss, bloating, gas, pelvic pain, lower back pain, diarrhea on and off, recently had abenign polyp removed from the neck of my womb and 3 colon polyps removed, still waiting on the results for colon polyps, i have a follow up in march 2 get results so they must be benign. well i have had a hard painless lump on my left ribcage between the 9th and 10th rib for over 4 years i think, it doesnt move but im sure its grown some. what do u think it could be? im 37 female", "output": "Thanks for posting your query to Chat Doctor. As I understand you are having problem in different system of body. I tried to save your query .painless lump on rib cage could be a benign mass for which you need to undergo ultrasound and biopsy examination under guidance of Surgeon. Pelvic pain and lower back pain could be due to muscle spasm which require opinion of an orthopedic surgeon. Gastric trouble could be due to your food habits, so you need to manage your dietary habit.thanks ." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hey.. im a 20 year old boy .. for the past 3 months i have been suffering from cough whicChatDoctore as fit either at night or wen i wake up in the morning . Mostly at nite . So i consulted a docctor and he gave me montek lc which i ate for a month. BUt it dint help much. SO he changed it 2 montek 10.. which i ate for another month and it dint help either. they wud supress my cough but then the sypmtoms would reappear. i went 4 a blood test and chest x ray they are fine just my eusophill is 10 % higher than normal. then i changed my doctor and he has given me ketasma saying i m8 have allergic bronchitis. my symptoms are coughing fits charactersd by ithchyness in my chest and slimy -sting like mucus . !!", "output": "Hi thanks for asking question. Here your eosinophils are high. So it could most probably allergic lung condition like allergic bronchitis or asthma. Take Chat Doctor. Avoid allergen like dust, pollen, cold times or any foods to which you are allergic. For diagnosis of cough variant asthma pulmonary function test done for it. Second although chances are less high eosinophil could be by parasitic infection like by malaria or round worms. So PS for malaria at night and stool examination done for rule out it. Take care. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I hope that the marina I do for a year and I got to put in a bleed for four months straight After nauseous and lightheaded dizziness back pains lower pelvis pains ovary pains Around six months after it was put it in I called my OB and they said that it was nothing don t work And I could never feel my string And they said not to Worry about It was just how my uterus was set Well it s only getting worse I feel nauseous every day and lightheaded and feel pain once. I can t shake the feeling that in pregnant have not takin a test what should I do.", "output": "Hello madam, from the history you have given, well IRENA contains levonorgestrel, which is a progesterone hormone which can cause side effects like nausea, breast tenderness, sometimes abdominal discomfort, break through bleeding. But as the symptoms get worsen, I would suggest you to consult your gynecologist for a check-up to be sure that IRENA is in its proper position. The chances of pregnancy with IRENA in situ in its normal position is very less. Hope I was helpful to you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been getting blisters on my upper left jaw teeth gums. I cant even chew on that side of my mouth! My dentist took x-rays and said they did not show anything and that I did not have any decay in those upper jaw teeth. He gave me a prescription for antibiotics and told me if they help then I might need a root canal. Well, they helped but I am still puzzled by this situation. My dentist said he would have to refer me to an oral surgeon in another town as he didnt perform that type of surgery.", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have symptoms of blisters on upper gums which seems to be due to blood dysplasias, gingivitis/ periodontitis and due to poor oral hygiene. Need not worry about it. I would suggest you to visit oral physician once and get it examined. Go for complete examination and start treatment after that. Go for blood tests as well. You should take care of oral hygiene maintenance. Go for scaling and root planning it is due to deposition of deposits. Use antiseptic mouthwash. Brush and floss twice a day. Avoid intake of sharp and spicy food. Do warm saline gargles several times a day. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my lips are dark in color when i was young like in school they were normal not much pink but not too dark even now i am 23 years old and from last few years i m feeling that my lips are darker now and any lipstick i apply doesnt suite me because of this reason. i went to a skin specialist and she asked me whether i bite my lips from my teeth or not i said may be i didnt give attention on this. but may be when they are dry i lick them. so she gave me depiwhite advanced depigmentation cream, i just wanted to know that it will effect or not? secondly after leaving it will my lips can get more darker or any other side effects? becuase i dont want them to be more darker.", "output": "Hi.thanks for your query. You need to know about the causes of dark lips to be taking precautions better. A lot of people have it genetically predetermined, although parents may/may not have it. A frequent cause of non-genetic lip darkening is the use of lipsticks /colored balms/gloss, as these tend to darken the lips over a period of time. So try and not use it too often. If you have to use it, then let it be alleged free and replace them every 2 months. I would advise you to start using medicated lip balms with SPF and to reapply it several times in a day.that helps in reducing further darkening. Definite cream or any others having Comic acid can be used twice a day for lightening of lip color. It usually does not have side effects. However u can check for tolerance of the product by applying it for a short time on the first application. If you have a genetic tendency to dark lips, the pigmentation has chances of coming back after the cream is stopped. U can also opt for mild chemical peels once in 15-30 days to exfoliate better and lighten faster. Take care!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 12 year old daughter has mild autism and epilepsy. She has been complaining of abdominal discomfort and headaches. This evening I noticed she has bruising along her spine starting at the base and goes about six inches up is this something I should be concerned about?", "output": "Thank you for following up. Bruising is usually result of hit due her epilepsy attack or other causes. She has lots of bruising that's why I suggest her blood vessels are weak and easy injured. In addition, we can check blood test and plat elates with clotting for excluding of some hematological diseases. For speedy disappearing of bruising you can apply small amounts heparin ointment, for example- tomophobe, if she complains a pain then apply diclofenac gel for relief the best Be healthy! Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ive been having abdomen pain for about three weeks or so. last week i went through e.r. due to pain located on my right side around the middle part of my ribs i guess. mt lower back hurts from time to time. the pains are sharp and i couldnt walk and everytime i breathe it hurts. my breast get tender and it feels like o wanna throw up. i got my tubes tied 13 years ago and a partial hystetecomy 2 years ago. i find myself going to the bathroom alot. i feel something moving around the right side. whsts going on? Also on sept. 17 i went through e.r. cause o was constipayed. now im fone. can you help me?", "output": "Hello there! Pain is the gift of procedures, bowel chemistry changes, adhesions occur after manipulation, tubal ligation and hysterectomy, so nearby adhesions might be the reason for your pain, Going often to washroom explains frequency issues. Is it urine or stools, if urine get a urine routine exam and if stools modify the diet with more fiber in it. It hurts on breathing with kinda want to throw up these symptoms occur when gall bladder is in trouble. Tpo be on the safer road do a simple ultrasound abdomen and pelvis with serum amylase urinary amylase to lipase ratio and plain digital abdominal X-ray AP view. Constipation gives a suspicion of ovarian pain, chocolate cysts are associated with alternate diarrhea and constipation. An ultrasound will help. , meanwhile try some antispasmodics like season, and NSAIDs, I hope this would help, I am here if you need me regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have no room for my wisdom teeth so doctor suggested for the extraction of the wisdom teeth. Is extraction that necessary? Does it have any side effects like loss of sight etc.. ? Will I face any problems or pain infuture after extraction of teeth?", "output": "Hello and thank you for your questions. The risks of losing your sight from an extraction of third molars is close to impossible. Most common side effects of third molar extractions are temporary:-Swelling-Bleeding-Pain-Bruising-Stiffness in Jaw Less likely side effects-breaking of parts of jaw requiring the bone to be smoothed with a file....pieces of bone this big: { }-numbness or loss of feeling in the lower lip (1% chance with 0.1% being permanent)-infection-alterations in the sense of smell or taste (highly unlikely)-breaking of the roots requiring more invasive surgery (if this occurs you wouldn't even know when they were doing it)-TMD-Death (most often associated with inhaling the extracted tooth into the lungs-we use precautions to prevent this) or allergic or physiological reactions to heavy sedatives used in sedation cases. I have extracted Hun Chat Doctor. I've had three infections, but that was due to patients poking at the extraction sites with dirty fingers. The rest healed and recovered without incident. Best wishes and good health " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello good day, Im having problem with my epididymitis infection I had my checkup last 3weeks before and was given by an antibiotic Ciprobay 21 tablets 3 times a day then it worked well but just now its been a week it came back again, what should I do?", "output": "Hi and thank you so much for this query. I am so sorry to hear about this epididymitis that you have reported. I will suggest that you get re-evaluated and do a urine and semen culture to find out what the causative germ is and what antibiotic is best to treat this infection. Maybe the germ was not exactly sensitive to ciprofloxacin and did not result in a complete sterilization of the infection site. Also, how is your sexual life? If you have multiple sexual partners and do not use protection all the times, you need to start doing so. I hope this helps. I wish you well. Feel free to ask for more information and clarification if need be, and I will gladly respond to." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was diagnosed 8 weeks ago with a large thoracic t8/9 herniation I have improved slightly and am waiting to see a nurosurgeon, my arms hurt , although the pain is much better I am so tired from the stinging burning in my back and feel I now have a trapped nerve, I am due to go on holiday in April should I be we ll enough to fly and are there any risks to me flying? So to ask further questions, but I do not know what I am allowed to do and what I am not, can drive, can I go swimming can I exercise? Please can you advise, I feel so alone , thankyou", "output": "Hello, Thoracic disc herniation because of the relatively difficult surgery, are treated initially conservatively with pain medication, rest, etc. In cases of spinal cord impingement and subsequent symptoms in the lower limbs (pain, weakness, numbness, urinary problems, etc.), surgery to decompress the spinal cord is necessary. Since you feel better, you can continue with conservative treatment. You can fly, but, avoid physical efforts, weights, etc. Moderate exercise may help. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI,I have recently had a malignant melenoma removed, sentinal biopsy is all clear, negative and wider incision negative, but about 6 weeks after I have had a kind of weird chest infection which wont seem to go away with very bad caugh although it has eased since, but I am also getting pain in my arm pits on and off especially when I stress out , could this be because of some lymphoma under the arms from the removal. Ken", "output": "Sorry to hear about your recent health worries. It sounds like you have some kind of respiratory infection, and this can cause enlargement of the lymph nodes near the arm pit (the axillary region). This is probably more likely than a new cancer or lymphoma causing enlargement of these lymph nodes. I do suggest seeing your doctor about this infection though since it may be involving your lymph nodes. All the best and I hope you feel better." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi , may I answer your health queries right now ? Please type your query here... I am having low sperm count ,almost nill. I took sidda medicines for 5 months but no improvement. Then I went to homeopathy again they given tests for scanning of scrotum , but it is not that much problem regarding the size. But lateral sides are small. Every month conducted semen analysis but no improvement in sperm count. Hormones tests also they have done, results shows that low testestrones and high FSH. They given medicines but no improvement for me. I took for 6 months and I left . No child after 2 years of marriage due to this infertility. Kindly give ur advise sir", "output": "Hey thanks for your faith in the Chat Doctor.I have gone through your question and understood your problem. What is your sperm count what percent of your sperms are motile? Please let me know the entire report. About the erection problem, you can try Tab Tadalafil at a low dose of 5 to 10\u00a0mg a little while before you need to perform. Also, time your performance according to her fertile period which starts on the 10th day after she gets her period. Meanwhile, get your Semen culture done to rule out any infection which can be a treatable cause of the problem. For the low count, you can try Ayurvedic medicines which have proven to increase the counts. Take care. Feel free to contact again" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am 28 weeks & 5 days as per LMP. Age of gestation is 30 weeks 1 day. Fetal measurements: BDP = 7.69cm (corresponding 30 weeks 6 days) HC = 28.10cm (corresponding 30 weeks 6 days) AC = 26.68cm (corresponding 30 weeks 6 days) FL = 5.42cm (corresponding 28 weeks 5 days) Fetal weight is 1532+- 224grams AFI measures 17.8cm I am really worried because the doctor said the liquor is excessive", "output": "Hi, I guess your concern is about accuracy of gestational age according to your imp and by ultrasound. Firstly, my straight forward answer is that gestational age according to your LMP is more accurate than your ultrasound gestational age. Because gestational age accuracy is changing according to each trimester of pregnancy. And it is more accurate if it is done in first trimester (it is from 1-12 weeks) and its accuracy will decrease in second trimester (13-28 weeks) and it is lowest in third trimester(29-40 weeks). So gestational age according to your LMP is most accurate. Secondly you have query about your excess liquor. Because the normal liquor ranging from 5-18\u00a0cm, and during this gestational age liquor is usually excessive, it decreases with time. With the above informative you can try out my suggestions-1. Don't worry, everything is alright.2. According to your ultrasound findings your baby is growing normally.3. If you are still worried then feel free to discuss with your treating doctor/gynecologist. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello I am going back to my Dr. Tuesday that I would like to find something to help my pain I just had a total knee replacement on the fourth when I was at the hospital I was allergic to everything they give me Names of all the drugs tramadl-Percocet-Alvaniy not sure if I m spelling that right , and also Dynamic, Advaned and also very allergic to a injection Dilaudid Thanks", "output": "Hi, thank-you for providing the brief history of you. A thorough musculoskeletal assessment is advised As post TKR you are having pain this is common, and it takes some time for the muscle to regain the flexibility. Once the flexibility is attained the knee regains the mobility and the pain subsidesAlso, the Strengthening of the muscles around the knee is needed to avoid any muscle pressure pain. In my clinical practice we do find patients post TKR complains of pain. We look forward for a complete clinical assessment and recommend physical therapy. They respond well. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have told that my white blood cell count is 0.8 and that i need iron tablets for a low blood count, however i have been taking iron tablets since last July and although it has improved it appears i am still low, what could be wrong?I feel fine within myself", "output": "Hello, Good to contact us. If I am your treating doctor I would like to tell you that if you are low of iron you should give us the ferritin level or hemoglobin level, so we can evaluate your low hemoglobin content and advice you further. I would like to know from you a hemoglobin level of yours? I also want to add to you that iron treatment should be taken for long duration. It will take a month to increase your 0.1 gram of hemoglobin. So in my advice you should continue your treatment and monthly or two monthly test your hemoglobin level. If you have anything else to ask kindly contact me. THX Chat Doctor" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "-hello doc gud morning i am having twins borned at 2nd nov 12; due to sm complecation their mother was at hosptal so could nt feed them well, yeterday when i went to pedi. He suggested me nestle nan pro 1; when i started fedding kids they started to hav disentry what should i do in that case?", "output": "Hi, Thank you for asking question on Chat Doctor. Feeding with non pro-1 will not cause loose motions/dysentery. Dysentery is caused by bacterial infection. When a new food is offered, usually some alteration of bowel habit will occur. Get the stool examined and give treatment as per doctors suggestion. Sporolac sachets with OZ syrup may help. Hope this answer will serve your purposeless feel free to ask any more queries if requiredTake care Chat Doctor. V. Subrahmanyam MD;Disassociate professor of pediatrics" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ive had this for a while.A few weeks ago I had bumps on my scalp, then one day it got a bit itchy, so i scratched it and a it came off! The bump came off and some liquid started cominging out. And the liquid smells really bad. Once it dries I get alot of dandruff.I just dont want to go to the doctor before I know what I have.", "output": "Welcome to Chat Doctor .1.It's an infective / inflammatory cause - it can be infective cyst, (carbuncle / fur uncle) hair follicle inflammation.2. Since its already broken - clean the area with antiseptic liquids, and keep it Chat Doctor. 3. Get an anti-inflammatory local appliance cream - it will help in healing process.4. Keep the local area clean and hygienic. To avoid infections.5. Do not scratch the area - it will disturb healing and cause re infection. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i consumed tablet minimum 30 in my life time. but now i m nt having tablets since from i1 year.........i am un married now. and working...i will get marriage in some months...my question is that is is that unwanted-72 causes on my childbearing? quick reply", "output": "Hi, Welcome to Chat Doctor, thanks for posting your query. I understand your concern. Unwanted 72 is an emergency contraceptive pill, and it should not be taken as a regular contraceptive pill. It is meant for emergency situations when you have unplanned unprotected sex. I strongly suggest you to stop taking the pill as regular as you are taking it now, because it sure does have side effects and I could cause permanent changes to your menstrual cycle too. It does have an effect on your chances of getting pregnant in the future. I advise you to meet a gynecologist at the earliest who will prescribe you a regular contraceptive pill which you can take daily to prevent pregnancy, also you could ask your partner to use condoms to avoid taking pills. Hope this helps, and answers your query satisfactorily. Do write back to me if you need further assistance, Wish you good health, Take care. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am having horrible pain that is mostly on the right side under my rib cage.My stomach cant get any bigger or harder.Pressure like someone is pushing my ribs up,and pain from time to time radiates all around my rib cage.....Lately noticed I am a full blown narcoleptic....Please help.......Milena B.", "output": "Hi Milena ! Good evening. I am Chat Doctor answering your query. Even though it needs clinical assessment for a diagnosis, from your history, it seems that you have inflammation/calculi in your gall bladder/biliary system giving rise to such intermittent severe pain. If I were your doctor, I would advise you to avoid fatty/oily food which would precipitate the pain more due to contraction of the gall bladder to empty bile into the intestines. I would advise you a bland diet, some routine investigations like a CBC, a blood sugar, liver function test, a serum amylase and lipase to rule out associated pancreatitis, and an ultrasound abdomen to see the status of the biliary tree including the gall bladder to exclude a stone causing cholecystitis and also to know the status of the pancreas. Further management would depend on the result of clinical examination and reports of the related investigations. Till then, you could go for an anti-spasmodic along with a proton pump inhibitor for a symptomatic relief. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a red skin rash in the folds/rolls of my fat belly, on and behind my ears and under my breasts. Fiery red and dry and itchy and sometimes raw and hurts. Was told it was a yeast infection like atletes foot and have been using Clotrimazole USP 1% cream and Nystatin powder alternately to no avail, had it a long time - HELP!", "output": "Hello, Thanks for the query. Itching and rash in all the folds cannot be due to fungal infection. Probably you are suffering from airborne contact dermatitis. You might require treatment with oral and systemic steroids depending on the severity of condition. Let me know if you have any other doubt. You can ask a direct question to me on this forum, following the below link.https://urldefense.com/v3/__http://www.ChatDoctor .com/doctors/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My elderly mother complains that her chest and arms hurts when she urinates. The pain shoots down to her hands and stops when she is through urninating. Could this be a symptom of something else? She says she has a kidney infection but I wonder if she means bladder infection. Although, she says it does not hurt when she pees.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Neither kidney infection nor bladder infection can cause chest pain and arm pain while urination. These infections will cause burning and painful micturition, but she is not excreting having all these symptoms, so no need to worry about infection. Urination is considered as moderate heavy exertion. So basically she is having chest and arm in on moderate heavy exertion. So we should first rule out heart diseases for this. So get done ECG and 2d echo. If both are normal then no need to worry about this chest and arm pain. Sometimes, simple musculoskeletal pain due to awkward position while urination can also cause similar pain. So don't worry, she will be alright. Better to first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had an abscessed tooth and am now experiencing nausea, stiffness and pain in my upper abdomen and a burning sensation down my neck and in my chest. I am currently on an antibiotic, but not sure if I should go back to the doctor again to address the most current symptoms", "output": "Hi thanks for asking question. Noted you having tooth abscess and taking antibiotic for it. Now this symptom could be because of gastritis induce by antibiotic. Are you taking which antibiotic ?? It is better to take omeprazole plus risperidone combination Chat Doctor. Get your CBC count done. If high count with necrophilia even after use of antibiotic, then chest x-ray done to just rule out spread of infection to lung parenchymal. If fever increasing and chances of infection spread into blood lead to bacteremia then intravenous antibiotic may be needed. I hope my suggestion will be useful to you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I started my period on June 4th and ended on the 8th and I had sex with one guy that night. On the 11th of June I had sex with another guy but he put on a condom 5 minutes after we started to keep from nutting inside of me. I had sex with the first guy again on June 15th. I later had sex with the same guy that whole next week. I missed my period for July & when I took a pregnancy test on July 6th I was pregnant. I went to the doctor and they said I was approximately 8 weeks pregnant. My due date was March 7th 2015 but when I went to get an ultrasound on August 11th my doctor told me my due date was now March 11th 2015 and I conceived between June 13-15th. So who is the father? I believe I got pregnant on July 18th because of my first due date on March 11th. I just think my baby is growing fast so therefore the CRL measurements of my baby made the doctor change my due date to March 7th.", "output": "Hello, and I hope I can help you today. Unfortunately, ultrasound findings of the dating the pregnancy can be off for up to five days. So the changing of your due date by four days does not really change the possibility of your first partner having been the father of your baby. Furthermore, sperm can remain alive in your genital tract for up to five days, and once you ovulate, the egg remains alive inside you for up to 72 hours. This is the reason that no test can accurately assess the date of conception based on the exact dates that you had intercourse. Women typically ovulate two weeks before their period arrives. If you have a 28-day cycle, and your last period started on June 4, you likely ovulated around June 18. So either of the men you had sex with between the 15th and approximately the 20th could be the father of your baby. I hope that this information was helpful to you and that I was able to adequately answer your question even though it is not possible with medical science to determine the paternity of your pregnancy. I wish you the best of luck with your pregnancy and good health. Best wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have hypersensitive glans i m 19 years old ... icant even touch my glans ... so what can i do?", "output": "Degree understand your concerns went through your details. The problems are not with the glans. The glans is supposed to be sensitive because it has nerve endings which will be stimulated during sexual intercourse. It has to be stimulated when inside vagina and makes up and down movement. That is the reason why the glans has been provided with covering in the form of foreskin. Everyone has the glans sensitive and yours is no exemption. Don't worry about that. Hyper sensitive is not the word to describe it. Hope this answers your query. Available for further sexological clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my son has a lump in his neck, thyroid tests clear. He had a biopsy yesterday and we now wait for results. The lump sometimes reduces in size - today we thought it had disappeared but now it is back. It only hurts because it is pressing on his throat. We are worried it is thyroid cancer. His voice is ok (though he shouts as his dog on his farm and this causes hoarseness!!!). He has had a very large amount of stress recently and has lost weight - could the lump be linked to stress?", "output": "Welcome to Chat Doctor .1. The different things can arise are hypoglossal cyst, brachealcleft cyst, lymphocele, and a lipoma.2.If this case I would get an ultrasound neck done and see the content and extension of the lesion and come to a conclusion.3. As you have already got a sample taken - wait for the result.4. And after that needful action can be taken. Anything to ask ? Do not hesitate. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My sister is dealing with trigeminal neuralgia. So much pain even when she swallows. Can not eat or even brush her teeth without pain. Neurontin cause her blood pressure to go up. She has been dealing with this for several months. She has been to her dentist, had chiropractic adjustments (which did help some). Also been to a neurologist one day, he will be out of the offfice for 3 weeks. Her next appt in 2 months. She does has an appt with another neurologist next week. But she is having a lot of pain today and for the last several days. Has lost 7 lbs (she cannot afford to lose). Any suggestions?", "output": "Hi, Thank you for posting your query. I can understand the extent of discomfort in your sister, on account of facial pain due to trigeminal neuralgia. Neurontin has been tried but is causing side effects. The best medication to be used in trigeminal neuralgia is regret (carbamazepine). I use it in initial doses of 200 mg twice daily, and depending on the response, the dose can be gradually increased to 600 mg twice daily. It is a generally safe medication, however, it may cause Chat Doctor. Some patients may not respond to regret. They should undergo MRI and MR angiogram to find out the underlying reason for trigeminal neuralgia. Such refractory cases may require a surgery called as microvascular decompression (MVD). I hope it helps. Please get back if you require any additional information. Best wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been experiencing pulsating sharp pains inside the right side of my neck, for the past couple of weeks. Sometimes I only have this a couple of times a day, sometimes 3 or 4. It feels like I m being zapped in my neck with quick electric shocks, and it is painful. These episodes last about 3 to 5 mins. It happens only in one spot in my neck, and I m getting worried about it. I get a very slight ache in the temple area after an episode. Can you help me identify what might be causing this, and what should I do about it", "output": "Hello, Your symptoms could be related to occipital neuralgia. Coming to this point, I would recommend performing a cervical spine X-ray study and some blood lab tests (complete blood count, PCR, ESR for inflammation). In the meantime, I recommend taking Indomethacin 150\u00a0mg twice daily for a week (if there are no contraindications). Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have large painful abscess obove my right molar, cheek is swollen gum swollen I am allergic to most antibiotics but have heard they do not reach inside abscess anyway, my creatine is 85, my blood pressure 100/60 - I am distraught dont know what to do next Dr gave me antibiotics I wish I could take them but I cant as I react badly every time. Anne", "output": "Hi. Thanks for the query. If you have a tooth abscess that is due to infection in the tooth which has progressed below the root tips causing infection and pus formation. Antibiotics are a must to be taken in this case as it will fight infection and reduce the pus and swelling. So if you are allergic to a number of antibiotics, then first you should go for a blood test to rule out the safe antibiotics for you and then your Dentist can prescribe the same to you as taking antibiotics is a must for reducing infection. Once the infection becomes less than the tooth can be treated with root canal treatment or extraction can be done depending upon the condition of the tooth. You also need to take anti-inflammatory painkillers like Advil or Alive and serratiopeptidases. Do cool compresses over the swelling and do warm saline gargles. Hope this helps. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am 34 years old.fair complexion .i have sevral age spots brown in colour on my face.i applied melacre for the first time and the spots had disappeared.now they have appeared again on my face.i have been applying melacare and depiwhite alternatively on the for the past 6 months but there has been no improvement.kindly suggest me a cream or an ointment which can help ins fading these brown spots.", "output": "Hi, Thanks for writing in. You seem to have postinflammatory hyperpigmentation or plasma. Melacare contains steroid called mometasone. It is a potent steroid and long term use can damage your skin permanently. For pigmentation as a general rule-Avoid sun exposure Use a good sunscreen of SPF 30 and repeat application every 3 to 4 hours Take antioxidant and vitamin C supplements. You can apply Closely cream at nighttime over the affected area. You need to consult a dermatologist as dermatology being a visual field, the cause for your pigmentation and the treatment required can only be suggested after proper skin examination. Chemical peeling can give good and long-lasting results. Take care. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have recently visited my doctors for extreme abdominal pain especially on my right side and central stomach . He sent me for blood and stool samples (suspecting gallstones) but i am waiting for the results. I ve just been sleeping and woke up with excruciating stomach pain. Went to the bathroom, passed stools but they where like stones, all clumped together and very very hard but covered in blood. And i mean covered. I have had blood in my stools for a while now and the pain is getting worse. I have pics if that helps? Thanks.", "output": "Hi there, what you have described suggests that you are suffering from constipation and have developed anal fissures due to the hard stools. Your stomach ache could be related to that. You need to use stool softeners and a local anesthetic jelly for complete evacuation of your bowels. Due to the pain you are not able to do so and that in turn is causing constipation and hard stools. You need to take something to soften your stools and evacuate it regularly for a week to 10 days and also lidocaine jelly for local application at the anal fissure to let it heal. After that you need to have food with high fiber like green leafy veg. And fruits regularly. You also need to shift from refined food products to wholesome grains. Get regular exercise as they also help in regularizing your bowel movements. Chat Doctor. These simple measures should help or else your doctor might recommend some surgical procedure. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, my 2 yr old daugter has purple hard lumps all over the bottom of both feet , she tries and scratches her feet and complains she has bindis. i have checked her hands and other parts but only on her feet , i noticed them 2 days ago , but more now ?? what could it be ?", "output": "Hi... I feel by what you quote he should be having a - Hand Foot Mouth disease. This is one viral illness among all other anthems which can cause fever followed by rash over palms and soles. It is a self-limiting disorder and itching can be really worrisome. I suggest you use any over the counter antihistamine if you have one with you now. You can use HY Chat Doctor. This can even cause some peeling of skin in the next 4-6 weeks and do not worry about it. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi im jean from phils. I want yo work abroad in hongkong as dh. Ive gone for medical exams but sadly i wad unfit to work due to my chest x-ray that there are hazy infiltrates seen in left upper lung .. I had a ptb before last nov. 1999. Ive done my treatment for 6 months.im taking 6 diff. Kinds of anti-tb meds.. After i got my xray result ive done also my 3 sputum test..and the result was negative.. I just want to ask if theres a herbal medicines or any medicines that can cure the hazy infiltrates or should i say ptb scars seen in my left upper lung? Or maybe a film coated tablet so that next time ill get medical exams it would be clear?? i just want to thank you in advance.. Hoping you can help me.. The agency manager told me that the hongkong employers are strict.. They do not accept pulmonary certification even if it scars..", "output": "Hi, In active Pulmonary TB, infiltrates or consolidations and cavities are often seen in the upper lungs with or without mediastinal or Hilary lymphadenopathy. However, lesions may appear anywhere in the lungs. In HIV and other immunosuppressed persons, any abnormality may indicate TB or the chest x-ray may even appear entirely normal. Old healed tuberculosis usually presents as pulmonary nodules in the Hilary area or upper lobes, with or without fibrotic scars and value loss Bronchiectasis and pleural scaling may be present. Herbal Remedies. 1, GARLIC may boost the immune system and also has antibacterial properties. 2. Milk is the rich source of calcium and is much needed to cure TB fast. 3. Vitamin D to the successful prevention and treatment of TB. Take a high quality COD LIVER OIL capsules. 4. Take THALEESHADI CHURN with OSHAWA KATHAK SINGER added with honey, twice daily. 5. Take CARAVAN IRISH AMELIA two times daily with milk. 6. Take VASARISHTAM 30 ml twice daily." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello sir,My brother is of age 23 and studied till 10th standard. he is helping to father in your grossary shop ,but suddenly he is doing myschef things like tearing the bags breaking soaps if we avoid him he do the more he got more anger and his eyes got red and ... he do", "output": "Hi, I can understand your concern regarding the behavior of your brother. His behavior is definitely of concern, and he will need complete evaluation for proper diagnosis and management. More details in form of duration, pervasiveness of behavior, sleep and appetite, etc. is required. Some of the conditions that might be suspected includes depressive episode. In addition, I will also want to rule out any intake of Chat Doctor. I would suggest you get a psychiatric evaluation for your brother at the earliest. He might also need certain investigations like a brain scan. Management will be done only according to the underlying condition. Hope this information was helpful. Best wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor Im a 26 year old , healthy female and have been going through stressful changes recently. Lately, every time Im about to dose of to sleep my heart beat raises, and my breathing gets heavier. It goes back to normal as soon as I fully wake up. Sometimes I try not to pay attention and fall asleep.", "output": "Hi, This is Chat Doctor. Increased heart rate & palpitations can have a lot of causes. It can be normal sinus tachycardia due to anxiety or stress, or it could be abnormal supra ventricular tachycardia. For the diagnosis, you need to do ECG at the time of palpitation & tachycardia. If the duration of palpitations are short enough to reach a nearby hospital, we put a 24hr ECG monitoring (Holder Monitor). You also need to do a 2D Echo & thyroid function test to see for any associated abnormality if any. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi My 22 yrs old nephew met with a car accident on 18th Apr 2014. GCS 3. He is in coma since then. He has acquired ICU infections, Klebsiella fever 104 , but better now , put on collistine, he has had slight infection in blood and urine as well; Motor movement: left hand , yawn, spomtaneous eye movement; it is E3VtM4 since May 2nd week; last 1 week hand raising and grabbing the tubes once in a while. Right frontal lobe, facial fractures; Do u think he is getting better? Is it advisable to move him to another hospital, he need venti support now and then; CT scans are better doc says; No surgery was required.", "output": "Hi, Thank-you for providing the brief history of you. As it was an ETA and serious injuries leading to low GCS score, he needs a thorough attention. CT is always good for helping Doctor for planning further medical management. As his hand movement are recovering there will be a positive sign as well. Grabbing the tube is due to the irritation happening to the trachea and the brain is trying to perform some activity for hand to move and grab the tubes out. This is a positive reaction but by grabbing the tube and pulling it out may lead to serious issues. Now since we have to only wait and see how his brain is recovering from the TBI as its all-time framed reactions. Also, if the ventilator is advised than there is a serious brain stem issue for which an MRI or CT has to be performed. Surgery for anything may not be of a good choice since the patient is in comatose state. Also, having the urine and lung infection he may need a good oxygen supply for allowing the body to heal. As oxygen is a major source of energy supply for the normal human physiological functions to keep in mind that many of the infections are due to hospital acquired, and he needs to be kept completely hygienic for each and everything. Frontal lobe injury will take its own time to injury and since the brain will be still in a shock state this comatose state will come down as the inflammation in the brain comes down. Important to mention that shifting the patient in this situation for more than 20 kilometers will not be good Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my brother is addict to panparag n now aday he is laughing talking himself and hyper thoughts went to psychtiatrist he is depression please suggest any good rehabilation center to recover from i", "output": "Dear Madam/Sir The amount of information provided is usually seen in mental illness called psychosis, and probably it is not due depression. Use of tobacco is very common in such condition. It is not clear for how long he is suffering, whether any treatment was tried and which place you belong to so that we can suggest any treatment center. With provided information it may be recommended that -1-Patient require medication(? Antipsychotics) immediately for safety of self and others thus consult a qualified psychiatrist.2-Try rehabilitation if patient does not improve completely.3- Depending on the patient status continuous supervision for daily routine and other activity is required. Hope he will get well soon." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am very greatfull for your attention and services Is it safe for my 6 months babay boy to use bromhexine syrup? ? He don t cough so much and i and my GP are sure that he hasn t sore through and he is not affected by bacteria. By the way his GP advice is to use Bromhexine 3 times a day, but i prefer not, what is your idea?", "output": "Hello, Babies below one year of age are very tiny and sensitive, so it is always better to use as less medicine as possible. And the problem you have described is very common in babies. I suggest you to give steam inhalation to the baby, and hopefully he will be improved. If still problem persists after 2/3 days, then you can use chlorpheniramine male ate Chat Doctor. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Help I am a 27 year old female who is fairly active. While I have always had problems with my knees especially my right knee recently. I ve never really gone to the doctor and had an actual diagnosis that anything is wrong yet though. But I was laying on my stomach on a lawn chair outside and when I stood up to walk inside my knee started hurting. Not like the usual pain it was very foreign and very weird. I looked down at my knee and it looked fine until I went to bend it. When I bend it something protrudes from my knee cap and it looks whitish. The pain isn t as bad now I can walk on it but it is really bothering me to what it could be.", "output": "Hi, Thank you for providing the brief history of you. A thorough musculoskeletal assessment is advised with MRI of knee. As the pain in the knee is persisting a thorough assessment is needed. Due to ligament injuries within the knee joint, such types of pain can be expected. On a longer run, this ligament injuries if left untreated leads to early OA knee, that is the degenerative changes in the knee joint. Also, undergoing an MRI of the knee should help understand the soft tissues better and then you have to undergo physical therapy for 2-3 weeks post which you can follow the exercises at home itself. Any prevention in the early stages provides good results. In my clinical experience, early detection helps in early time and late detection cases responds slowly. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Have experienced neck pain on left side for approx. 2 months which has progressed to shoulder and chest pain, shortness of breath and pain when taking deep breath. Heavily fatigued and low energy along with down feeling. No injury to neck. I take heavy meds and have pain pump implant for lumbar pain and fusion for injury 4 years earlier. Could left side pain be heart related, and what type of MD should I seek.", "output": "It appears to be cervical spondylosis. Itcan be progressive effect other part Jasper effect of nerve route. Use neck color and hard bed avoid pillow at bedtime can take tab Coquitlam twice daily and apply warm fomentation can be pied lumber spine but not likely to effect neck it is not related to heart problem. Can take ECG and consult cardio gist MRI neck can be taken and consult neurologist for examination and advise on treatment" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi I am a 27 yo male. I am highly sexually active . In 2009 I was diagnosed with UTI after having multiple sex partners the same time. I had some white pus come out of penis & had burning on urinating . My left prostate got slightly enlarged. I was given a dose of antobiotics which I took regularly & the symptoms subsided. Some things stayed the same such as 1. feeling of testes being a little tight 2. slower urination 3. Semen is yellowish or pale in color. ( I do intake onions regularly but even when I dont & then ejaculate the color is yellow or pale) 4. Pain slight heavy feeling in testes while sitting its been few yrs now and the above 3 still exist. I have met many urologists .. all acknowledge but say it is fine . 3 days back I ejaculated in bed ( wet dream) but I found it was somewat painful. Yesterday I had oral sex and again I found ejaculation a bit painful. Please advise if there is anything serious ? Also pls advise if there is a test I could do to check testosterone level.", "output": "Hello Thanks for query. The symptoms that you have strongly suggest being due to Chronic Prostatitis. Please consult qualified Urologist for clinical and digital rectal examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture.2) Ultrasound scanning of abdomen and pelvis3) Semen examination and semen culture.In the meanwhile start taking antibiotics like Doxycycline along with anti-inflammatory medicine Diclofenac twice daily. Further treatment will depend upon result of these tests and final diagnosis. Please note that Prostatitis takes long time to get cured hence one has to take appropriate antibiotics for a period of 6-8 weeks. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir , Good morning!!!!!!!how r u? I am harisa, from Wayanad ,Kerala.Presently working in Dubai,Sir My Question is.i am 30 years old Female.But i dont have Any Feelings LIke a Women..my thoughts,all feelings as a men ..what i will do now..my marriage is almost fixed.but i feel very bad to my all cercumstances...really i am confused.please help me", "output": "Welcome to Chat Doctor ! I have gone through your question carefully and from my clinical experience I can advise that you must see a psychiatrist. I can understand that it is a stressful situation but please donor take any wrong step/ decision which might harm you or your family. There are several cases like yours, with proper counselling, and may be along with medicines, one is able to decide for his/ her self in a confident way. The treatment will not force you to change your outlook to life but will help you in looking at the problem areas, and then make an intelligent decision for yourself. Take care, Hope the reply is helpful for you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Have swollen eyes, red almost burnt like patches on side of face, itching and burning/itching under my ear lopes what is this. Say allegry doctor a week ago. allergic to grass, birch. ragweed. dont think this is causing anything at this time of year..From Minnesota", "output": "Hi and welcome to ChatDoctorFrom your description it does seem like an allergic reaction. The causes maybe various-food items, dust, pollen, outdoor plants, any recent outdoor activity, new cosmetics or jewelry(earrings), also could be due to sun exposure which may have aggravated an allergy. Did you take any new medication? In any case keep a note of whether it is increasing and if there are any factors which cause it to increase. Does anyone around have similar complaints? Take a course of antihistamines like fexofenadine daily for a week. If the rash is severe apply a light layer of fluticasone cream at night for a week and stop. During the day you can use a soothing lotion with calamine/aloe vera for the face. Use a gentle cleanser. If it persists inspire of treatment consult your dermatologist. Also, you can do tests for allergy sensitivity if required. Do remember, if you are allergic to something, you must be careful to avoid it, as any re exposure will cause a reaction again. So keep a track of such events. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, sir i am having infection on my face since 6months. that is my infection is in brown color and in round shape.i have used and i am still using photoban-30 cream.by using this will my infection be removed completely without any mark on my face? will my mark completely removed form my face? at first i had itching on that spot by using this photoban my iching has gone but still i have mark on my face will that mark dissapear by using this cream.please suggest.", "output": "Hi John, Thanks for writing in. You seem to have postinflammatory hyperpigmentation. For pigmentation as a general rule-Avoid sun exposure Use a good sunscreen of SPF 30 and repeat application every 3 to 4 hours Take antioxidant and vitamin C supplements. Photoban 30 is a sunscreen and use it continuously. You need to consult a dermatologist as dermatology being a visual field, the cause for your pigmentation and the treatment required can only be suggested after proper skin examination. Treatments like chemical peeling will be very helpful. Discuss these option with your dermatologist. Take care. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a dull pain in my upper left region of my back close to my neck and when i tilt my head back it makes my left arm go numb. what can be causing this? i am 29 64 300lbs and no history of heart diease, diabetes, high blood pressure i play football an work out regularly.", "output": "Hi welcome to Chat Doctor. After going through your query my opinion is that you are suffering from cervical neuropathy. It may be due to spondylitis and cervical disc prolapse, mostly. Avoid pillow, take analgesics and vitamin B12. Consult orthopaedician and have an x-ray and MRI done. Consult physiotherapist, learn physiotherapy, for static neck muscle exercises. Hope hour query get solved. Welcome for further queries." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Last night I was at a party with no available restroom. I had been drinking, so I had to go really bad, but I held it until I got home. I ran straight to bathroom, sat down and started to go, I went a lot at first, then suddenly without warning it completely stopped midstream. I still had the urge to urinate, and my bladder still felt very full, and I was experiencing some burning. I tried pushing but could not get a single drop out. When I wiped with the tissue I felt something hard, I was mortified to feel a kidney stone lodged in my urethra! Part of it was sticking out, I could grab it with my fingernails, but I couldn t pull it out. I spent nearly 2 hours wiggling it, pulling it, pushing it, trying to turn it but it was stuck. Finally it came out, and I was able to void my bladder, and I m feeling fine. I had no warning, I m familiar with kidney stones, I ve passed many before, the biggest bring 8mm. Those always caused me excruciating pain, but this one did not. All day I was wearing a tight corset as part of my Halloween costume, maybe I was compressed so tight I didn t feel it? I don t know. I measured my stone and it it 18mm. I always was told a stone that large would be unable to pass, so I m wondering if stones that large are common, and if people pass them without medical intervention, or am I unique??", "output": "HelloThanks for query. You are known to pass urinary stones through urethra frequently But you had retention of urine due to impacted stone of a size of 18 mm in urethra which finally passed out giving you excruciating pain. The reasons for not feeling the pain due to such a large stone are 1)With history of passing stones repeatedly your ureters are dilated and capacious enough to accommodate this stone without pain .2) The shape of the stone may be oval like a peanut without spikes helping it to pass down through dilated ureter without any obstruction and pain . We do get patients with passing large sized stone without pain. This is very common in patients who have history of repeated and recurrence of stone disease. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello DR. I iam 24 years old.i want to know i am pregnant or not . My last month my date was coming on 3rd OCT 2013 and i done the test of prega news on 8 th OCT 2013 and result was 2 pink lines appear but one is dark pink and another is light pink in appearance. What is result m i pregnent or not. I done this test at night 11.3o pm My periods generally delay by a week. plzzz suggest me", "output": "Hi, If you notice two pink lines with the test, the result is positive and this means you are pregnant. You may repeat the test with a fresh early morning sample of urine. If you usually have your periods around a week late, you should perform the test after this week of waiting is over which I think you have already done. Please see a specialist for clinical confirmation. You can also get a trans-vaginal sonogram to assess the status. Hope your query is clarified. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 29years old.I musterbate 2-3times in a week.but since 3-4 month my penis does not response properly when I am mentally exited.and my penis would not strong at that time and spurm come out without being strong my penis.is it symptom of reducing sex power?what my problem?I am very tensed about it.pleas give me solution.", "output": "Degree understand your concerns went through your details. Please understand masturbation cannot result in sexual problems of health problems. But if done more than specified, it can provide you with unnecessary anxiety. Please introspect. I think you are anxious about your sexual performance. Most of the erectile dysfunction are due to the fact that the person is anxious about sexual performance. Please consult a psychologist for counseling. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im 31 weighing 70kg. Ive never had a dental problem but my palate has become very sensitive. At first I thought it was the toothpaste I was using but I have long since discontinued using it. What causes a sensitive palate? Im concerned. Its been 3 months now.", "output": "Thanks for using Chat Doctor. Read your query. Palate sensitivity as you are having can be due to various reasons few being having scalding cup of coffee or some really hot and spicy food, which may burn the palate. Palate can also usually hurt when you have a bacterial or viral infection like throat, sinus infection, thrush or even the common cold. If you are under stress the formation of canker sores can also be a reason. I would advise to reduce the spicy food if you take any, and reduce the stress levels which can be increasing the problem. You can apply Mucosal/Denote for relief two to three times a day. Do warm saline gargling. Consult a GP and start with multivitamin. If still not better consult your dentist, and he will have a look at it and suggest the best possible treatment. Hope this was helpful. Thanks and regards. Any further queries are welcome." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am currently 18 weeks pregnant. I undergone ultrasound scan and the results said that my foetal had small choroid plexus cyst with in the right lateral ventricle measures 5 x 5 mm. I consulted with my doctor and she asked me to take triple marker test. I am restless regarding this. I can t to control my emotions. Please help me to get rid of this. Guide me regarding this issue. What I do next? I am waiting for your reply.", "output": "Hi Welcome to Chat Doctor ! Ma'am sorry to hear that your baby has choroid plexus cysts. You should consult a neurologist or neurosurgeon for this cyst, but before that please undergo triple marker test as it is done to detect congenital abnormalities. If you have any further query then you can come back to Chat Doctor. I will definitely help you and guide you appropriately. With Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi.. I had a pair of high heel boots on last Sunday. I walked on a slippery floor and fell flat on my butt very hard! The way I fell was simular to a James Brown spit with one leg foward and the other bent. I was able to get up on my with very little pain at the time. I figured the pain would present the next day in my leg or tail bone but to my surprise the pain was very mild in my leg and there was no pain in bottom at all. I noticed two days later my side was hurting with a mild to moderate pain. The pain is located exactly in a certain spot up under my rib cage on my right side. If I put any kind of pressure or even slightly push it the pain goes from a 3 to a 10! It hurts so bad that even scream out loud after I push it. It does not hurt when I breathe nor when I walk. I can feel it but not to the point where I can t do anything. I cant sleep on my right side without feeling the pain because of the pressure to my side. I can t even lean up against my counter top while in the kitchen. I m 5 1 tall,145lbs and a healthy 35 yr old woman otherwise and I can not understand how can a slip and fall to my bum can cause this nagging pain in my side for a whole week. I was thing that maybe it was a sore musle at first but now I m not sure. I think I may have really damaged something!!!", "output": "Hello, Based on your description of your complaints, you may be suffering from a broken rib or a bruised chest cage. As you have already said that the pain is there only when you touch it or when you lie on your side it may just be a bruise. Even if it was a fractured rib the treatment is just observation for 4 weeks. In about 4 to 6 weeks the pain decreases, and it will heal. The discomfort will be there when you cough or sleep on that side. One important thing if you experience sudden increase in pain or difficulty in breathing then consult your doctor immediately. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "6 mm left UV junction calculus causing proximal mild hydripureteronephrosis.... The above was my USG report for abdomen 5 days back after which i have taken a lot of fluids..... can i please be advised if this stone will pass through by fluids or if i need some other medication ?", "output": "HI. The diagnosis is so obvious that there is a stone which had obstructed the urinary flow at the junction of the ureter with the Urinary bladder. The size of the stone is 6 mm. IT is a bit difficult to pass into the bladder is the stone is not smooth in surface or the sphincter is fibrosis. Fluid therapy is Thebes of course. I would advise you to repeat the ultrasonography to see whether the stone has passed into the bladder or not. If it is passed into the bladder, nothing to worry as this will easily pass from the bladder out of the body. IF it is still impacted, I would recommend you to consult a Urologist as you may need an assisted removal through a cystoscope examination and treatment. If there is sign of urinary infection or the urine examination shows infection additional antibiotic is necessary." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 28 years old and hight is 5/3 i m suffering from skin problem from 6-7 years , I have pimples on my face which i get in summer days in winter i get clear my skin but due to so many pimples i got marks n pores on my face skin luks v ugly , Now again have pimples as summer started now want to go for surgery or any therapy which can change my skin as same or plain as der is no spots or pores . I am from Ludhiana want to know its cost also. and let be know better treatment", "output": "Honestly modern medicine has no permanent cure for your problem. There are so any causes of your problem. Stress is one of the major factors. You can try our ancient method of Panama with very promising result. Anglo Film and Papal Bhaji CN be practiced for 15 -20 mins first thing in the morning. You have to have patience. It may take 2-3 months for the signs of result. You have to reduce oils and fats. Vegetarian diet is better. Your diet and thoughts should be pure. (AGAR AUR BIHAR BUDDHA HONDA CHALICE)" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi there, I have been using yaz about a year now... Since then I have been getting sore throat... When I consulted with my Dr he said was Acute Tonsilitist... and it occur every month arround my period... For the past three months I noticed that the gums around my wisdom tooth are swollen and very painful plus there is a lump under my jaw...", "output": "Hi. Can understand your concern. As per your complaint sore throat around periods is a part of PREMENSTRUAL SYN Chat Doctor. . It is not seen in all women but can be seen with some around the time of periods. In this condition avoiding spicy food and taking an antacid before meals during and around periods can help. Warm saline gargles can be relieving. Swelling of gums around the wisdom tooth occurs as a result of inflammation and is known as PERITONITIS, and it can occur as a result of infection by food deposition between the gum flap and the wisdom tooth or if the flap is bitten by the opposite jaw tooth. It can lead to pain radiating to jaw, throat, ear,eye and head. In this condition consultation with a dentist and getting an x-ray done is needed. In case tooth is not impacted and will erupt normally removal of the gum flap by a minor surgical procedure can help. In case of impacted tooth extraction can provide permanent relief. Hope this information helps. If you find the answer helpful kindly write a positive review and click on found this answer helpful as a token of appreciation. Thanks and regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m experiencing very regular lightheadness. Dizzy. Like I m going to faint but I don t. Generally I m really fit and active but my body feels heavy lately and my muscles tight. I keep getting pains in my right hip thigh and knee ( I rub on magnesium and this seems to help). I feel I m urinating quite a lot, maybe twice an hour, but I do try to drink a lot of water. I m also experiencing pains similar to period pains but there not during my cycle. Been quite a heavy drinker for many years but upon feeling this way I have given up and not had a drink for 2 months. This seems to have made the lightheadness more frequent. Also feeling regular fatigue when I m normally full of energy. Craving more sugar foods when I generally eat a very very healthy diet with a super low salt and sugar intake. I m a smoker aged 40. Female", "output": "Hello, What I can advise after going through your complaints is to get your blood pressure and sugar level checked. There are a lot of causes for dizziness and generalized weakness and fatigue. Sometimes it can also be due to alcohol with Chat Doctor. I would suggest you visit your general practitioner and get your blood pressure and sugar level checked. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "DEAR SIR,I recently come to know that i am having kidney stone at left side .At beginning stage i used to get pain at left side which is minor. no blood in urine(urine test), i confirmed using scanning and found of size 5mm. Doctor suggested to take Crystone tablet for 1 month along with lots of water . I followed the instruction for 1 month but i m still feeling its presence at left side and and feel it movement. So how to overcome this problem.", "output": "Hi, many thanks for the query! You should do follow up USG PUB, FT, look if stone is stuck in ureter causing obstruction to urine outflow. Take antispasmodics, diuretics, painkillers with your doctors' opinion. If Sr. Uric acid is raised, take uric acid synthesis inhibitors like allopurinol, urine alkalizing agents with your doctors' opinion. Chat Doctor. Wish you a good health. Take care. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my arm was fractured abt 3 years ago .. today in the gym, i lifted more than usual weight and i started to feel the pain in the same arm .. the pain is less but similar to the pain when i fractured my arm ... will i be able to workout ever again .. i am scared ...", "output": "Hello, If you are having old fracture at arm and feeling pain then you should be cautious. If lifting of weight is causing pain then I will advise you to have an X-ray of affected part to know the reason behind pain. This can be due to incomplete union or stress fracture. Till then, you should avoid bearing weight on affected arm. Take care. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello my frient suffring from HbSE. He tested hi blood in aug 2010 and that time hi HbSE was + but ratio was O. But now he again tested his blood in April and his ratio is incerse its .32 but guide me what is the treatment can we stop it on less than 1 stage. please tell me the solution its very urgent for him . he is taking baba ramdev medician for this is this helpful for him. have you ever seen that anyone inprove with baba ramdev medician", "output": "Your friend have sickle cell - hemoglobin E.it is a genetic disorder and NO improvement occur with baba raided medicine. We can only reduce the severity of disease or prevent complication. So, 1. Avoid pickling crisis.by maintaining oxygen saturation level in body 2. Avoid hypoxic conditions 3. Take HY Chat Doctor. Test blood every 6 months for HBS and He level 5. For better treatment take opinion from HEMATOLOGIST." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My medical aid has rejected a claim for a incisional hernia, stating that the 3 previous operations were the problem and that these procedures were not covered by medical aid. The first procedure was 25 years ago it was a gastric bypass at age 15, I had no problems until 5 years ago and a doctor convinced me that if I dont change the JIB procedure to a RNY that my life expectancy will be shortened by 20 years but I was very healthy and BMI of 20, he lied to the medical company and they paid for a gastrectomy, I started gaining weight and went to go see another doctor for advise and he just wanted to operate, he said that the previous doctor made a mess, I trusted this doctor and had to pay out of my own pocket because of my low BMI but didnt want to gain all the weight back and he reassured me that I would look fantastic. But this was not the case, this operation only made me gain more weight and I had constant pain. When I went back several times to show him the stomach is pertruding when i lift my neck his reply was that his does the same. What am I to do? I also have Sarcoidosis and Lupus anti-coagulant anti-bodies. I am in a lot of pain and eating less and less due to the embarresment of my stomach swelling out all the time. Please help!", "output": "Hi. Thanks for your query. The causes of swelling of the abdomen can be :-Intestinal infection-Intestinal obstruction-Ascitis.-Tumors / Gastrointestinal Cancers -Ovarian or other cysts. Your history of multiple surgeries for weight reduction have their own complications of intestinal obstructions. Get Enterosclysis - Barium studies to know the exact problems and to get the proper solutions. Change of the diet and addition of the supplements as per the advice of the Dietitian would help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, over the last few years I have had a lump on my upper back near spine. It hurts on and off but recently has been causing a lot of pain. Not so much that I cannot lay on it but it hurts to touch. I am going to the doctors tomorrow but would like some idea of what to expect. Laura, 14.", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have lipoma, neurofibroma or dermatofibroma. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello!, Perhaps with my question I will need a dentist or can you answer my questions regardless? I recently used a mouth rinse (Optic White for whitening) and I came across a feeling as if burning from eating a lot of salt and when I rinsed out with water and looked on my inner bottom I came across blotches of white... I m kind of worried I just burned the inside of my mouth...", "output": "Dear friend. Thanks for sharing your concern. Your symptoms suggest that you have developed an allergic reaction upon exposure to your present mouth rinse. It is advised to discontinue its usage temporarily, so that the symptoms get relieved. Nothing to worry about it, just wait for a week and see if there is any improvement. If not in that` case you need to visit your dentist for oral examination. Hope it helps. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my family doctor pushed my lower left rib in when i was 11. Im am currently 19 years of age and now I have a sharp pain right below it to the point that it hurts to breath and I cant take full breaths. It also feels like my heart beats fast sometimes. Please help!", "output": "Hi thanks for asking question. If you have history of trauma then muscular strain or tear can lead to chest pain at lower part. If you had done heavy weight lifting or any unusual activity then pain can also occur by strain of muscle. The blunt trauma can lead spleen injury and pain can be there.USG done for it... If ribs tender to touch and painful Costco Chat Doctor. Rest needed and analgesic can give. If still no cause clear x-ray done for rib fracture identification. If fever present then chest x-ray done for rule out respiratory pathology. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi sir who best hospital for kidney transplant in chandigarh,jalandhar,banglore and delhi.sir who paper i will ready for kidney transplane.sir i am very sad because my mother in suffer from kidney disies.sir if my mother will be not well then i am also died please sir help me please i am very sad.", "output": "Thanks for choosing Chat Doctor. Your parents are lucky to have son like you. Any way you should consult a transplant surgeon and his team which normally consists of a social worker and counselor who will help you to prepare papers for this. They are used do it and also know the law requirements, so they are the best person for you to get help. All the cities that you have mentioned are bigger cities, so you can go either of them. If you have financial issues then go a government institute or else you can go private hospitals." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 28 years old ,its my second time i want to conceive,i have regular periods,had two medical abortions,my doc prescribed me letroz,i want to know are my chances high for getting pregnant ?as i have regular periods,or two abortions can be a PROBLEM.", "output": "HelloChatDoctor user I understood your concern and My opinion is that ya there is a very good possibility of pregnancy even after two abortions, but you should be more conscious like taking regular folic acid and progesterone tablets You should do S TSH, BSL, Hemoglobin, anticardiolipin antibody test before conception and early pregnancy test If all this test comes normal than nothing to worry I hope my answers help you Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi gud am,,i have 10 month old son and he is coughing for 4 days , and his coughen worsen at night to the point that he is vomiting. but fter he vomits, he sleeps soundly. i am giving him ambroxol, is cotrimoxazole good for babies cough? and is it compatible with ambroxol? thank you in advance", "output": "As you have discussed in your history your son is most probably suffering from upper respiratory tract infection. For this you can give him syrup co-amoxiclav 2.5 ml three times daily or syrup cefixime-cv 2.5 ml twice daily or syrup co-trimoxazole 2.5 ml four time daily along with syrup febrex-plus or syrup aerosol 2.5 ml three times daily for persistent cough with syrup vomiting or syrup ondansetron 2.5 ml twice daily for vomiting. As you have asked about co-trimoxazole I will say it is really very effective in this case. You can also nebulize your son with albuterol nebulizer at your family doctors clinic as it gives too mucChatDoctorfort to your child." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband has nerve damage among other problems,no lower reflex,if he sits for awhile then trys to stand,he shakes all over for seconds to 2-3 minutes. we have been to nerve dr.,nuerologist, and no diagnosis. He also repeats himself alot,gets confused,frustrated easily,looses things,etc. when I tell drs. this, they just look at me. I just want a diagnosis and a good dr.", "output": "Hi, Where is the nerve compression you think? Nerve compression in the spinal cord may lead to weakness in the lower limbs may lead to tremor. Also, check for other possibilities for tremors and weakness like parkinsonism or essential tremor or Chat Doctor. Until examination is done it is difficult to say what it is. Please get it done MRI brain and spinal cord, get examined for blood investigations for hemoglobin or folic acid,b12 level. Use tablet B-Plex Forte once a day for five days. Please consult your euro physician he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, My wifes mother and her aunt (Mothers sister) died of cancer (Lung cancer for mother and uterus cancer for aunt) in last one one year. My wife is 32 years old and underweight (~ 43 Kg) and Im worried whether my wife would have genetic to get cancer. What test she should take to confirm that she has cancer or not?Thanks for annswering", "output": "Hi!welcome to Chat Doctor! I would like to tell you that cancer is such a common disease that it is no surprise that many families have at least a few members who have had cancer. Sometimes, certain types of cancer seem to run in some families, but only a small portion of all cancers are inherited. If you are feeling that your wife is underweight ask her to increase her nutrition and HY Chat Doctor. Feel relaxed. Hope this will help you!take care!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Is it possible ny 21 year old could of developed idiopathic scoliosis from having a lumbar puncture performed when she was 18 myths old.she had meningococcal septocemia. Doctor is waiting for xray results to confirm scoliosis . Suffering g from back and chest pains for last year. Thank you", "output": "Hello! Welcome and thank you for asking on Chat Doctor! Regarding your concern, I would explain that the scoliosis spinal column deformation can not be caused by a lumbar puncture even in a very young age. But chronic deficiency of vitamin D or calcium or even a wrong posture can lead to these symptoms. I recommend performing vitamin D and calcium plasma levels to exclude this possibility. A spinal column CT scan would help give more information on the anatomy of your spinal column and possible treatment options. Meanwhile, I recommend correcting your posture and perform a lot of physical activity which is important for the reinforcement of the back muscles. Hope you will find this answer helpful! Best wishes, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My name is Leslie, about a week ago, my tooth broke off, The whole top of it, and the root is still stuck in my jaw and its causing excruciating pain, and I cannot eat anything with out it hurting. I couldnt get an appt to see my dentist until May 12th, and oragel isnt working anymore. How is the Dentist going to remove the root?", "output": "Helloo Leslie...read through your query.....first I have to say don't be tensed on how dentist will remove it...he is trained to remove it well without hurting u...so don't be tensed about that....till the appointment it's better if u take amoxicillin and diclofenac for 5 days and do salt water gargle.......but actually I have to ask u when is the appointment????please reply with proper appointment date...thank u have nice day!!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "50yoa caucasion male, non smoker, non drinker. 72 tall and weight is 245. only health problem is blood pressure, I just started taking 20mg of Lisinopil. as part of my yearly exam I got a liver functions test..my AST is 32 and my alt is 61. (test indicates 9-46 U/L is normal). I have recently taken to consuming apx 500-700mg of ibuprofen for a tooth ache. can you tell what is going on with my liver? is this something I should worry about. My doc has me set up for hepatitis series next week to check that.", "output": "HelloIncreased ALT may indicate liver injury. It may be due to many reasons like hepatitis, alcohol intake, altered lipid profile,autoimmune causes etc. You may need few more investigations like routine hologram, random blood sugar, lipid profile, ANA estimation, viral markers, urine RE/ME, ultrasound of abdomen. I suggest tablet ursodeoxycholic acid 300 mg twice daily for three months to my patients. It helps in regeneration of liver cells. Further requirement of medicines depends upon findings. Findings are not related to recent intake of ibuprofen. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor, I had fever, cough and body pain from last friday till Sunday, Upon medication fever has gone and body pain reduced. However cough has not reduced. I sweat a lot especially at night. I feel very tired and drowsy for the past 2 days. Is this normal for viral fever or could this be a symptom of any other viral fever like Dengue, H1N1 or TB?", "output": "HiT hank you for asking ChatDoctori have gone through your query. Cough is not a usual symptom for dengue. But body pain and tiredness are characteristic findings. Doing a blood routine and platelet count will be helpful. Platelet count will be usually low in case of dengue. If it is low then you can go for dengue and lento immunoglobulin test to rule out Dengue or leptospirosis. H1N1 will have predominant respiratory symptoms. If you have such symptoms then you can go for throat swab to rule out H1N1. Only if cough lasting more than 2 weeks TB test will be required. Take plenty of fluids. Take chewable vitamin C also. A consultation with physician is also well appreciated. Hope this may help you. Let me know if anything is not clear. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HELLO MY SON IS 7 MONTHS OLD AND SUFFERING FROM COUGH AND COLD FROM LAST 10 DAYS AND DOCTOR SUGGESTED NEBULAZATION THERAPY TO MELT A COUGH. NOW COUGH IS CONGESTED IN THE CHEST AN SUGGESTED MEDICINE SINAREST-AF,CEPODEM 100. MY EMAIL ID IS sachin_eternity@ WWW.WWWW.WW", "output": "HIF I were your family doctor I would not recommend Minaret and Code type of medicine at first instance to such a small child when other measures such as steaming, either plain or of herbal decoction are very safe and easy to give and natural ones. These have better and SAFE effects and no side effects. You may like to see any good Ayurveda physician in your locality for this. You can always opt for such medicine if natural ways do not cure your child. One thing is sure that steaming will not enhance the cough and cold. Hope this guides you well." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Sir . I am Rohit ,i am about 18 year my height is 5 foot 5 inch and weight is 44kg . i have lot of problem . (1).my sperm is leaking 4 to 5 times in a weak i have this problem from 1 year . (2). having habit of hand-pump to get enjoy the sex feeling but after sperm leakage i feel very bad and aggressive on yourself .(3)my sperm leake in night. (4)sometime my stool is oily. kindly help me how i solve this problem..have a nice day sir", "output": "Hello, Usually vasectomy won't cause semen leakage. After vasectomy only pre-cum or prostatic secretions may be ejaculated. Yet, semen leakage may be seen in pathological conditions like 1. Nocturnal emissions2. Medication side effects3. Prostate problems4. Nerve injury Please consult your doctor, he will examine and check for it then treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. Take care. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "ear Doc - My father is 66-68 years old , diabetic . He has more pain lumbar stenosis problem . Since a month he gets extreme pain while walking - more so from the fact that she leads a sedentary lifestyle . he undergoes physiotheraphy at home on a daily basis . Sugar is well under control . he takes ULTRACET for her body / joint pain . My query was is there a better way to manage her pain ? Her consulting ortho was recommending a supplement jab on her knees , which I am not in favor of (considering her complications) I read about these medicines and was wondering if it is safe for here considering he is also lumbar stenosis problem patient . he is already sugar and BP patient. Sir please.... any your require medicine please i am pure family sir", "output": "Hellenes injection suggestion by an orthopedic surgeon means your father has additional knee arthritis because of which he has more pain on walking.Therefore, It's advisable to follow the doctor as it will give relief for pain and permit easier walk and improve quality of life, since he is diabetic, it is all the more necessary that he walks to burn calories and thus less of medication doses for diabetes may be needed. For lumbar stenoses, ask your doctor how much narrowing is there and how much pain in back is limiting the movements, in extreme cases, a decompression surgery maybe a good solution, but since you have not mentioned any such opinion from doctor, presume he doesn't think surgery is the requirement for now, just knee cortisone injection would be very helpful best wishes" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a previous history of kidney stones. My lower left back hurts, as in my kidney hurts. Sometimes the I can also feel the other kidney. It isn t really pain like kidney stones, I can just feel my kidneys. Only time I have experienced this is after kidney stones. This is not going away, and the I visited my regular doctor, and they told me I had blood in my urine.", "output": "Hello, I got your chief complaint, and it is due to kidney stones most likely you have pain and bleeding in urine. However, to initiate a treatment needs us to know size of stones, location and health of kidneys which would be decided by necessary investigations like ultrasound, urinalysis. I suggest you visit to emergency room as soon as possible. Remember blood in urine always needs to be taken care immediately. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "well i have off late pain in the back right side just above butt and front side down to thigh. Sometimes it reaches toe.the pain is pulsative like a pulse beat; the pain starts stops and again starts. sometimes it extends to right testicleis it kidney stone? the pain may also go to sholder to neck also but not always.", "output": "Hello am Chat Doctor. I have read your message. I think, on the basis of the symptoms, there are 2 possible causes-1. Kidney stones2. Lumbar and cervical radiculopathy. I suggest the following tests-a. MRI lumbar and cervical spine. Ultrasound abdomen. Do let us know the reports. Based on the reports, further suggestions and treatment options can be discussed.Meanwhile, simple painkillers like ibuprofen with antacids like rant ac may be used. Best of luck, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello. I am 30, and I had a mammogram and ultra sound today as a follow up-to a biopsy 6 months ago. Everything is fine, but my question is whether I should wait until next moth to try to get pregnant. Would the radiation affect the baby if I do get pregnant?", "output": "Hi, I understand your concern. Radiation affects fetus differently at differently. It depends on the time & extent of exposure to radiation. Actually radiation reaches fetus in comparatively less dose, as it goes through mothers body to reach it. - Radiation exposure in first 2 weeks of conception may cause fetal death. - exposure to large dose radiation( Like dose received from 500 chest X-rays) in early weeks of conception (2 to 18 weeks of pregnancy) is hazardous to fetus- it causes developmental defects in fetus-specially brain developments.- leading to low IQ s & mental retardation or stunted growth./ likelihood to develop cancer in later life. _ Same type of consequences are observed in fetuses between 18 and 26 weeks when exposed to double the dose of radiation. -After 26 weeks baby is fully grown & there is no possibility of developmental defects after radiation exposure except for slightly more chances of having cancer in later life. * Though no bad effects of radiation exposure of mother before conception are reflected on fetuses, the conception should be postponed, specially when it is a planned conception. It can be easily postponed till next month. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was recently working out with a trainer for the first time. During the workout I felt fine. It was after the stretching that I felt my heart rate up and my arms tired and tingling. When walking to the car I felt a bit nauseous. I am still sore from the workout a couple days later, but are fine otherwise. Is this just from a lack of activity? I am 47, weigh 178 and have no health issues nor have had any. Last physical 2 years ago showed everything fine", "output": "Hello, After going through your medical query I understand your concern and I would like to tell you that heart rate is ever-changing phenomenon depending on your physical activity, stress and physiological changes. After workout, you might have low blood sugar levels, and you felt a rapid heart rate, so it is recommended for you to have 2 digestive biscuits or a cup of juice before workouts. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 3 yr old was hit in the face, mainly bridge of nose, by a baseball bat, on accident by older brother. There is some swelling now, bruising, he s congested, but he has a 100.4 temp. Should he be seen by a dr? No bleeding. What would they do if it was broken?", "output": "Hi, Welcome to Chat Doctor, If I were your pediatrician, I would suggest you consult an orthopediacian or an ENT surgeon, only to be very sure there is no problem to be sorted out. If at all there is a fracture, the management will vary depending on the type and extent of fracture. Mild one needs a small plaster bandage, but a major one might need surgery. However, it doesn't sound like a major fracture or something. He might have had some soft tissue injury which is causing swelling and nose congestion. Hot compresses, nasal decongestant Chat Doctor. Hope child gets well soon. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have bad breath. It seems like it is coming from my throat , uvula or tonsils or surrounding area. My mouth hygiene is more than excellent, no bad decay, no tarter, I visit the dentist every 6 month, I do mouth washes, coconut oil pulling regularly, all kind of expensive mouth wash, hydrogen peroxide...etc. but the problem is not in my mouth its in my throat, I also dont have frequent infections or tonsil stones. Is there surgical treatment for this condition", "output": "Hi. Thanks for the query. Well, bad smell concentrated in throat can be due to causes like acid reflux, post nasal Chat Doctor. . Treatment medical or surgical will depend on the cause. As the problem is in throat, so my suggestion is to consult an Otorhinolaryngologist and get evaluated. He can do a Laryngoscopy and if needed upper G. I Endoscopy and even advise sinus x-ray to rule out the exact cause. Treatment can only be decided then. As of now chew sugar-free chewing gum that are mint or menthol flavored to mask bad smell. You can also do steam inhalation with adding Eucalyptus oil in boiling water. You can chew cardamom to mask bad smell." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a manila colored stool about two weeks ago. After that I had knife-like shooting pain in the base of my stomach for several days and now diareha for two weeks. (About three years ago this same thing happened and they did a scan. Couldn t figure out what it was. Said my intestines just seemed a bit full and sent me home. About 6 months later I ended up with Chronic appendicitis and had my appendix and part of my small and large intestine removed. Was in the hospital for a week, got a secondary infection that almost killed me and was never able to run again - former half marathon runner.) I am a 49 year old female.", "output": "Hi thanks for posting your query on Chat Doctor .the sequence of symptoms which you underwent suggest localized myogenic infection most notably \"acute appendicitis\" which went on to produce chronic appendicitis on delaying the surgical attention for some reasons for 6 months as in your case.appendicitis is known to occur following sudden occlusion of its lumen. As it's a vestigial organ, its always removed by surgery. Its produces symptoms like vomiting, pain initially on the left side of the lower abdomen and later pain migration to right side of stomach. Chronic appendicitis is more dangerous in terms of complication as its more prone to produce spreading infection at the time of surgery...it can also be prone to rupture further complicating surgery, affecting nearby bowel loops causing \"gangrenous appendicitis\" as in your case. You underwent your surgery at this stage of the disease.a more comprehensive approach is needed at the earliest, would have saved some of those bowel loops and prevented serious peritoneal infection in your case, anyhow now you are operated and the infective focus removed, you are out of danger, and you will soon be normal, of course you need to curtail your athletic activity to a large extent post surgery. Follow a healthy dietary regimen post surgery to improve your general health. Thank you. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I went to donate plasma today and they told me that my haemoglobin level was 116 and they were concerned it was too low to donate but as it was only plasma they took the donation. What recommendations do you have to raise it to a healthier level. As I don t have any other symptoms such as lethargy do you have any suggestions as to how it has dropped to this level. Thanks", "output": "Hello. I guess your He (hemoglobin) is 11.6 and not 116. If it is so it is borderline for an Indian girl and definitely low for an Indian male. For menstruating female it is common to have low He and most of the time they are asymptomatic. There is no reason to worry about such He. If you want to maintain a good hemoglobin level i advice you to have a balanced diet containing mainly green leafy vegetables, fruits like apple, dates etc. (if you prefer nonveg food-liver, fish etc.)these will help you increase iron content of your body stores and prevent iron deficiency anemia which is common.nonveg food and milk also helps to restore your it B12 levels and prevent or B12 deficiency anemia (megaloblastic anemia).hope I have helped you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi , dr , i am 24 year old , i feel Rt testicular pain , i sought medical advice . i was asked to do semenal analysis and scrotal doplex. doppler was normal semenal analysis:-ph : alkalin concentration94mllion per ml liquifaction time more than2 h rapid active motility30% slugish progresiv35% volum:3.5ml WBC1-2per HPF Can i father achild? many thanks,", "output": "HI, thanks for using Chat Doctor Semen analysis provides a general idea of fertility. Your concentration or count of 94 mill/ml is normal, it is considered good if it is above 20 mill/ml. The motility is normal if more than 50% are moving. In your result a total of 65% were moving though only 30% were rapid. The volume of semen is also normal. The low white cell count shows that no infection is present. Semen analysis also generally looks at the morphology (shape of sperm, does it appear to look normal). This is not mentioned. Based on the results given, there should not be any major fertility issues. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Back and waist pain,hotness of the body,stomach pain, quick ejaculation.I have gone to lab, and the result is No bacterical growth after 48hours,cyst of histolytica seen and malaria is that enough for me to be experiencing those things.I need help urgerntly please.", "output": "HiT hanks for posting your query. I appreciate your concern for the present symptoms. The cysts are the infective forms of the protozoal parasite Enatamoeba histologic which are found in the asymptomatic carriers (persons harboring the infective form of the parasites but not suffering from the disease). These cysts are mainly localized to the lumen of intestinal tract, they are no invasive and hence do not cause any disease. Whereas the trophozoites are the invasive forms of the parasite responsible for the disease (meiosis). The body heat (fever), stomach and waist pain could be due to malaria. Hope this answers your question." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "4 years ago I stopped smoking with chantix . After the first year of not smoking, anytime I stressed out my face broke out into a rash . I was on other medication at the time that I quit taking and it went away. I did have it checked and all they could come up with was i had dandruff of the face. My wife and I have sex a lot. She left town to take care of her mother for about 2 months. I know for sure she never did me wrong and neither did I. Well after she got back and from having sex I have red spots on my penis and ever had a spot rub raw to where it has to scab up to heal. It minght sound strange but I was wondering if it could be from the Chantix. Yes I will go In soon and be checked but its a little embarresing. (sorry can t spell)", "output": "Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. No it may not be related to chant ix. It appears to be an STD infection. Its advisable that you go get checked for the STDs. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. You just need to contact me on this below-mentioned link:bit.ly/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have kleb.pneumonia in urine, took ciprofloxacine 5 days, did not work, yesterday took monuril 3g, symptoms seem worse, i am to have a urine test monday but this is when i will be on holiday abroad, i am worried monuril hasnt worked , how long is safe to be untreated, the lab report suggested imipeneme , but doctor is trying other abx. what is your advise?", "output": "Hi, Welcome to Chat Doctor. I understand your concern regarding UTI caused by Klebsiella pneumonia. Klebsiella is a coliform which is normally found in the urinary tract and only significant count on culture is considered relevant. Your doctor is right in trying control as it is one of the effective antibiotics against Klebsiella. I suggest you complete the course of antibiotics prescribed. Clearance of infection can be confirmed only by testing. I suggest you get a urine test done wherever you are going, and the results are available in 24-48 hours. Imipenem is a broad spectrum antibiotic used only when organism is resistant to commonly used antibiotics, so your doctor is right is not using it until very necessary. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have just been released from the hospital with pneumonia and I have been home 3 days with chronic coughing. On antibiodics, prednisone and cough syrup and I have swelling in the pelvic region and black/blue/purple and red bruising. Can that be from coughing so hard? I did not have it when I left hospital 3 days ago. I am 50 year old, in good shape, woman", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Pneumonia is infective condition. And in acute infection, steroids are generally not given because steroids can worsen underlying infection as it causes immunosuppression. So ideally, prednisone should not be given in acute infection like pneumonia. Prednisone can cause skin rashes as a side effect. So possibility of prednisone induced skin rash is more in your case. Certain antibiotics can also cause skin rashes. Better to consult dermatologist and discuss all these and if possible stop prednisone. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "dear doc, i am suffering from this phlegm formation in my body since last 4 to 5 years.. it just forms in my body and it now troubles me very much. i feel as if it blocks my veins to brain/head and i cannot raise my head and i feel my head very heavy. i am on antibiotic almost 15 days in a month.. but i am not getting a permanent solution.. i also took homeo medicine for some time but once i stopped it has again started. will i have to take homeo medicine all my life ??? can u tell me how long i should take this medicine? also if u can help me with ayurvedic medicine. kindly assist. regards", "output": "Dearths condition relates to oaf visit in Ayurveda. The symptoms you are mentioning indicate towards sinusitis. Well apart from medicines that restrict phlegm formation you also need immune boosters to check recurrence. Have turmeric in hot milk. Use honey in any form. Avoid cold atmosphere and cold things. Amongst medicines, you can use swamla as immune booster and mahalakshami villas RAS sworn yuk at. Oaf KET RAS or tribunal birth RAS can be considered as per the symptoms." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i want to get pregnant after an abortion in jan this year.even after having unproctected sex for past 3 months i could not concieve.i get my periods regularly and last month i had bled dark brown bloodclots juz for a day .i had consultated a gyanee she said to wait for 3 months ,", "output": "Hi, I have gone through your question and understand your concerns. Infertility is said to occur when one fails to conceive after one year of successful unprotected intercourse. Moreover, since you have conceived once, so it is appropriate for you to wait for at least three months before undergoing any infertility investigations and management. Chances to conceive in each menstrual cycle is only 20-25 %, therefore do not take stress and try for natural conception for at least next3-4 months. Hope you found the answer helpful. Wishing you good health. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was recently diagnosed with glandular fever, I am normally a healthy and extremely sporty active person. I have noticed lumps and bruising on my shins which I havnt bashed? I also have itchy skin and what looks like exczma on my elbows? Are these as a result of the glandular fever?", "output": "Hello, Welcome to Chat Doctor, Glandular fever, as you say has been diagnosed by tests is a viral disease with self limiting nature. Its symptoms usually resemble to flu like state. Along with fever, nausea, headache there is sore throat and lymphadenopathy. Inflammation of tonsils can occur which can can lead to pain behind your ear as well as your jaw. It usually subsides as the inflammation decreases with medication. Wait for some time and have regular medication as you are taking for glandular fever, if any. If still persist, I suggest you to consult a physician for proper examination and management. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir,i am a patient of bph of size 44 ml,there are two small stones in lower calyces of left kidney.largest stone is .89cm. Today i have done my urine RE,found a few R.B.C. please advice me what to do & why urine contains occult blood.SPSA-1.6,UROFLOMETRY- 562/17/9", "output": "Good Day, and thank you for being with Chat Doctor ! Basically blood in the urine can be brought about by kidney stones, prostate enlargement or both. I would suggest getting treated for kidney stones either by medical dissolution (potassium citrate) or shockwave therapy (ESL) to get rid of your stones. For your prostate if you have urinary frequency then I would suggest seeing a urologist to get medicine to decrease the size of the prostate (finasteride). I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: http://www.ChatDoctor .com/doctors/ Chat Doctor. Best wishes" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. doctor my husband , had deranged liver function test last day. He is non alcoholic and non smoker. His wt is 85 and he gained this from 67 - 85 within 1 yr. His viral markers are all negative His BP is 130/80, he is not hypertensive or DM. SGOT/PT- 66/200 ,T.Bil- 1.2", "output": "Hi and welcome to Chat Doctor. Thanks for the query. These are slightly elevated got and it doesn't need to indicate anything or just mild fatty liver which is seen if gaining weight to fast. He should just change his dietary habits for start and see wills got fall. It probably will. Some other more serious liver disease would manifest differently. He should do ultrasound of liver and gallbladder also. Wish you good health. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doctor, Im suffering from herniated disc and sciatica, Ive followed the treatment so it relieves me. but when I stop this treatment, the pain come back. so Id like to ask if is there any solution without drugs, example walking or swimming ...I dont know.thanks.", "output": "Hi, As diagnosed with PIED with radiculopathy it should be managed conservatively with regular physiotherapy (spinal extension exercises), avoiding serious work/exercise bending forward, warm compression with vitamins, analgesic, muscle relaxant (if pain) n PPI under guidance of orthopaedition. If symptoms aggravates, bladder bowel involve, neurological involvement ...... then may require decompression. So in my opinion be in regular follow up and treatment accordingly including physiotherapy .hope it'll help Thanks n regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "A young man age 25 was just diagnosed with stage 4 melanoma. The tumor was ver large and bloody and on trunk. Hes had this thing for like 4 yeats but just started getting worse. Then last month he lost nearly 20 lbs in one month. Whats a fair prognosis? How long would he have to live?", "output": "Hi, Welcome to Chat Doctor forum. The survival rate of 5 years is considered to be 15 to 20 %, means 20 patients among 100 patients survive 5 years. Out look is better if the lesion is in the distant part, and in the lymph nodes than in organs. And if lactose deny Chat Doctor. Besides giving treatment give him fresh juices of palatable vegetables, to have an UN explained little recovery. Wishing him good health. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have pain on the lower right hand side of my stomach. It hurts when I breath and when I sit and when I get up. The pain on the scale of 1-10 is about an 7 or an 8. I am sitting in chair now and it hurts. My stomach is also bloated. I have had this pain for about 2 to 3 days now. The pain is more intense today then it was the past 3 days. I have been taking the supplement CLA for weight loss. I have taken one capsule a day but I have not been taking it regularly for the past two months. I take it with 1400 mg of Fish Oil. What is wrong with me. Could I have pancreatic stones or gall stones. I do not have a fever and I am not vomiting.", "output": "HI. Gone through the history you have provided. Odd to know there is no fever, no vomiting in spite of pain in right lower abdomen.7 to 8 ON scale is severe enough. It hurts when you breath-there are few things like appendicular lump, kidney problems and inflamed gall bladder that can cause pain like this on the right side of abdomen. The best way to get the clinical examination by a Surgeon and ultrasonography to find the cause. Pancreatic stones do not present like this." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I recently had surgery to remove a plate that had come loose from my upper jaw, right above my canine tooth . I also told the surgeon that I had noticed a hole that had been there since my initial double jaw surgery. The surgeon said he didn t notice any hole. Now, one week after surgery, the stitches that are right over the spot the hole was have popped loose and now there is a huge painful hole in my upper gum and lip, right above my canine tooth. My canine tooth has started hurting and my nose keeps running on the side of the hole. What could this possibly be?", "output": "Hello and welcome to Chat Doctor forum, according to the dental history provided by you, it seems, that you have had a congenital jaw problem, for which you have undergone a surgery. I am not able to make out through your dental history that what kind of hole it is. until I check clinically, but as you said post surgery you have been suffering from running nose and pain, it clearly signifies sinusitis(maxillary sinus). It is a condition, wherein, the maxillary sinus associated with upper teeth(canine to first molar) gets infected following surgeries, extractions and trauma. Therefore I advise you to visit your concerned dentist, he/she will prescribe you antibiotics and anti-inflammatory medication to resolve infection.I advise you to start warm saline rinses(3-4 times/day). And see your dentist soon.I wish you good health, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hey, um so I just want to get some facts on my chest pain, had if for about 2 months now on and off, only happens when I wake up from drinking alot of alcohol the night before , it s a sharp tight pain, I also feel like I can t breath or that I m going to die. I am a daily smoker , drug abuser and alcohol use. I m just curious to know why it s happening and why has it only been coming on the last 2 months. I m a 17 year old male so it s kinda scaring me I got bad chest pains at such a young age . Also with the chest pains I feel dizzy, my arms and legs go numb and tingly like pins and needles, im short of air and its just a really unpleasant feeling. I should also tell you that I was hospitalized from it about 2 months ago , they ran scans and only told me thy i had severe lung scaring from smoking. Thanks fo taking your time to read this as please get back to me ASAP . Josh", "output": "Thanks for your question on Chat Doctor. N my opinion we should first rule out cardiac and pulmonary causes. Since you are smoker chances of cardiac and pulmonary diseases are more. So first get done ECG to rule out cardiac cause. Get done PFT (Pulmonary Function Test) to rule out bronchitis. If all of the above are normal than your chest pain is due to HERD(Castro Esophageal Reflux Disease). It is due to laxity of gastroesophageal sphincter. And due to this acid of the stomach tends to come up in the esophagus and cause the symptoms. Smoking and alcohol both make this sphincter loose and cause reflux. So better to quit alcohol and smoking as soon as possible. Eat healthy and stay fit." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctror, My aunt is suffering from renal carcinoma and one of her kidney has been removed 4 years back. Before 8 months, again another attack has been detected in the sternum and ribs. We consulted a doctor and he adviced for chemo treatment for 1 month in alternate days. After he told for paliative care and prescribe a tablet called evertor in daily basis. Sir I want to know whether she will come back to her normal life? What is your opinion about this case?", "output": "Hi Neethugopinath, Your aunt has already undergone neurectomy and has metastasis to sternum and ribs. It is not possible to have routine life as a normal person will have. Again it needs other parameters to predict prognosis of patient with metastatic renal carcinoma like LDH enzyme levels, He levels, Ca levels. SO I will elaborate few criteria which will help to get clear picture regarding your aunty. Patients in the favorable-risk group (zero risk factors) had a median survival of 20 months. Patients with intermediate risk (1 or 2 risk factors) had a median survival of 10 months. Patients in the poor-risk group (3 or more risk factors) had a median survival of only 4 months. The prognostic factors are as follows: Low Aronofsky performance status (High serum lactate deny Chat Doctor. 5 times upper limit of normal URN]) Low hemoglobin (below lower limit of normal [LLN]) High \"corrected\" serum calcium (>10 mg/DL) No previous neurectomy. The following are factors associated with increased survival in patients with metastatic disease: A long disease-free interval between initial neurectomy and the appearance of metastases The presence of only pulmonary metastases Good performance status Removal of the primary tumor I hope this information is being useful to you. So continue giving palliative care and let her have comfortable life as far as possible. Take care. Best regards," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "A few weeks ago... Every once in a while, I would just be at work standing at my cash register ringing up groceries & all of a sudden I would gasp for air. Just once... It s only happened @ (3) times... Maybe once there & twice at home.. I don t understand? Why would I do that?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Sudden onset involuntary gasp without any respiratory symptoms (cough, breathlessness, chest pain) is commonly due to stress and anxiety. But if you are smoker or having above-mentioned symptoms then better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test) to rule out lung related causes. If you are asymptomatic and nonsmoker then no need to worry. Stress and tension can cause sudden involuntary gasps. So consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was give prednisone 20g (3/single daily) for 5 days because of scaitica. It is the end of day 4 and my back hurts, my hamstring/calf are strained and palpitate frequently. I make myself get up to have mobility but mostly lying on the floor. I used the bathroom this morning and my right glute tightened causing me to fall. The flute has been palpitating all day. What can I do?", "output": "Hi, Thank you for your question to Chat Doctor. The symptoms you have described are related to the muscle spasms. Muscle relaxant like chlorzoxazone or cyclobenzaprine are helpful. Cyclobenzaprine is available in 5 and 10 MG and is supposed to be taken 3 times a day. Physician supervision is necessary to monitor for side effects. If oral steroids (prednisone) are not helpful epidural injection of a mixture of a steroid and local anesthetic can be tried. These are done by spine surgeons or pain specialists. Hope this is helpful. Wish you the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 32 year old son has had high blood pressure since he was 18 when we found it. Yesterday 9/30/14 he called me and said he was dizzey .when I got there he was on the floor and I could not wake him up. After about 20 minutes while we were trying to get him to the car to go to the doctor he came to. he refused to go to the doctor because he was afraid he would be put in the hospital and he cant afford insurance. his blood pressure was 214/184. after about thirty minutes he said he was fine. He is stressed because his job has cut his hours to 20 a week. should we try to force him to go to the DR?", "output": "Hello there, Thank you for relying on Chat Doctor. The condition you described is an emergency which definitely needs medical care, or it might be fatal later. If he was diagnosed at an age 18,was he on antihypertensives?. If not then he should be immediately be on one. Left uncontrolled, he may wind up with a disability, a poor quality of life or even a fatal heart attack. High blood pressure might cause damage to his heart(Coronary artery disease, Enlarged left heart, heart failure), brain(Transient ischemic attack, mild cognitive impairment, stroke), kidney(failure) and a lot more if not treated. So I would suggest you to force him to see a doctor. Nothing is worth a life. In the meantime, he should follow strict diet plan like;1)Low salt and low fat diet2)eat fruits and vegetables which are rich in potassium and magnesium3)Exercise at least 30-40minutes a day to lose those extra body fat. Hope it helped. Feel free to ask any more queries." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here... My wife is suffering from depression. And she loses her memory. She can be very angry and get upset for nothing. she can hit somebody and after some time she behaves as if nothing has happened. what do you think she is having problem./", "output": "Hi there, Thanks for writing to us, The information provided by you is not sufficient to make a confident diagnosis. From the available information, there is a possibility that your wife is having dissociative spells where she loses memory to those particular events. Memory loss as such is a symptom that is commonly encountered in either depressive illness or in some organic causes of illnesses. It requires a detailed psychiatric evaluation and if felt necessary, a neurological consultation. Hope this helps, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, My daughter is two years now. Should I get the vaccination done against typhiod? Also, I looked at the vaccination list and found out that Hepatitis A vaccination is only suggested, is it imporatnt to get it done? Also, if I get get typhiod vacine done now how long should i wait to get Hep A vaccine done? I also wanted to know the app prices of typhiod and Hep vaccines", "output": "Hi.... I suggest that you get both hepatitis A and typhoid vaccination on the same day. Hepatitis A vaccination has to be repeated with a booster dose after 6 months. Cost is around 1000 rupees. There are two types of typhoid vaccines. One is a v i polysaccharide vaccine which is cheaper one and costs you around 200 to 250 rupees, but the immunity is only about 50 to 60%. The second type is typhoid conjugate vaccine which is costly vaccine around 1800 rupees, but the effectiveness is 99%. I suggest just you go ahead with hepatitis A vaccine and typhoid conjugate vaccine on the same day. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a healthy 58 yrs old woman. I race walk competively. I have been going faster lately. Sometimes my heart rate goes to 230 for 10-20 seconds. When I end my race walking trainings (4 miles average), my heart rate drops down quickly, no problem. Should I worry about the 230?", "output": "Hello thanks for posting here. A heart rate of 230 on exertion definitely requires evaluation. However first we need to evaluate whether you really reach that 230 reading. While running the heart rate detector may mistake your body vibrations and movements for heart beats and count them accordingly. Hence the heart rate may erroneously show a high reading. So you have to check whether it happens to you only or with everyone. Another thing that can be done is a treadmill test. It requires you to run on a treadmill, the speed of which increases gradually to a point till your heart rate reaches a target rate. This TMT test will continuously record your EKG while you are running so all aberrations and errors can be rules out. It will definitely show whether you really have a fast heart rate on exercising. If it documents very fast heart rate further work up can be done. Wishing you good health. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "dear dr. my 17yrs daughter is suffering from severe allergy since 3yrs. i have tried many drs. but all ae gone in vain. she is taking alaspan 10g. and it makes her drowsy. plz tell me what i should do. i am very much worried with her health, bcoz she is becoming waek day by day. she has obesity also. susmita chatterjee west bengal", "output": "Hello Sushmita Since you are from India, so you will understand better. First I want to tell you that your 17 years old daughter is having allergic rhinitis and this is a precursor of asthmatic allergic bronchitis and later on turn into ASTHMA, if proper care in not taken. Causative or triggering factors for this allergy are, dust, mite, hay, fodder, fine dusting powder, sudden fall and rise of temperature, pollen, mold, smokes, pests (cockroaches) , pets in house. If possible take care about avoidance. These measures also help:-Wash all bed covers in hot cycles (60 degree C).-Treat carpets with tannin acid. Keep dust accumulating objects in dust cupboard.-Replace curtains with washable curtains(rich source of fine dust of house).-Use vacuum cleaner.-Keep pets out of house & be Chat Doctor. -Install air conditioner or dehumidifier. Since your daughter is taking Alaskan (this is loratadine and causes " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im 23 AND im on sprintec on my first pack but I had 3 pills left b4 finishing the pack when I had unprotected sex.. am I ok.. how long till I should have waited", "output": "Dear cookie if you are taking regular pills without missing a single day then nothing to worry at all it sometimes happens that 3-4 pills remains inside the packet it's all depends upon the cycle duration sometimes it comes early then some pills left to take from new cycle you have to start new pills' packet only then also till next period occurs wait for the same, if your periods will get delay by 7 days then got checked about the pregnancy by prey card all the best bye" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ive been having these sharp pains in my chest for about a week. They come and go and started in just a spot on my chest but have streched over the spand of my chest in a little over a week. I have been sick for about 3 weeks and have been coughing a lot, but i dont know if that has anything to do with it.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. You are having chronic cough (cough for more than 2 weeks) and fever and now developed chest pain. So we should definitely rule out pneumonia in your case. So better to consult pulmonologist and get done clinical examination of respiratory system and chest x-ray. Chest x-ray is must for the diagnosis of pneumonia. You will need antibiotics, antihistamine, anti-inflammatory and other supportive Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello! My 6-month old fell off my bed (about 3ft high) and he was already tired before falling, so after the fall he cried for about 10 minutes and I gave him a bottle of milk (which he drank the whole 8oz) and he fell asleep. Should I let him sleep? Oh, and he also had a little blood coming out of his nose. Thanks for any advice.", "output": "Welcome to the ChatDoctorI understand your concerns but don't worry. You may monitor his pulse rate, respiration and tone at home. If there is persistent increased pulse rate, continuous bleed, poor tone, seizure, poor activity even after expected sleeping time then do visit a pediatrician for proper clinical examination and definitive management. If everything seems to be fine then there is no need for any other treatment. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a bad fall down a flight of stairs Wednesday night I have a really bad bruise on the lower backside of my back and I hit my head on the door busting my eye and causing it to bleed but the past couple days I ve been feeling sick to my stomach bad headaches and occasional spotting when I urinate. I m not sure if I need to go to the hospital or not", "output": "Hi, Thanks for your query. From the description that you have provided, it seems that you have suffered a soft tissue injury. You need to provide rest to the back. Avoid massaging the area. Doing a hot fomentation will be helpful. Avoid forward bending. I would suggest getting this evaluated by an orthopedic for an accurate diagnosis and appropriate management. You may get the X-ray/MRI of the area affected under his/her guidance do hope that you have found something helpful, and I will be glad to answer any further query. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Last period was December 6-11, been spotting some. The early part of this month and yesterday. All HPT s are negative except 1 from two days ago was a very faint positive, and blood test from yesterday is negative. Still no period. Could I still be preganent? or are there a million reasons for this?", "output": "Hallow Dear, You have to be rather cautious with the symptoms you are describing. If your pregnancy test is faint positive, and you are spotting, the first diagnosis to be looked for is pregnancy outside the uterine cavity (ectopic pregnancy). Do you have pain in the abdomen also? This is a very serious condition which lands into life-threatening bleeding emergencies requiring blood transfusion and surgical intervention to save the life. Please report to your Gynecologist for due assessment of the condition. You may have to undergo Laparoscopy for diagnosis or certain clinical tests can diagnose this condition. Please do not waste time. Rush to The Gynecologist ASAP. Take care please. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Have I suffered a concussion? A week ago, I passed out and hit the back of my head on the ground while I was abroad. I thought I had recovered after a few hours, but the plane ride home left me feeling very weak and nauseous. These past few days, I have experienced a lot of dizziness and nausea. These feelings intensify after I eat. I feel unbalanced when I walk, and woke up this morning with ringing in my left ear that disappeared after 10 minutes. Should I be concerned? I am also scheduled to undergo liposuction/fat transfer in a week. Am I still OK to undergo the procedure?", "output": "Hello! Welcome on Chat Doctor ! Your symptoms are quite normal after a head trauma. They do not indicate any serious medical complication. Anyway, I would recommend having some rest for some days and avoid abrupt head movements. If the dizziness persists, it would be necessary consulting with an ENT specialist to exclude any possible inner ear disorder (benign paroxysmal positional vertigo). Hope you will find this answer helpful! Kind regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here...My 6 month old has a cold with a cough and lots of mucous. I just noticed a large dark red spot on the side tip of his toungue. Worried About what it could be. He had a cold every month for the past 3 months", "output": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concern. As per your complaint red spot at the side tip of tongue can be due to causes like inflamed tongue papillae, arteriovenous malformation like hematoma, broken blood vessel, hematoma etc. I would suggest you to consult a Periodontist and get him evaluated, and he can do a clinical evaluation and treat accordingly. As of now feed him with soft foods, do alternate warm and cool compresses over the lump and also maintain a good oral hygiene. Hope this helps. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi!! I have asthma since my childhood,, am from Tanzania east Africa and now am 30yrs old, the whole of this week I have been sick I do receive asthma attack frequently. is this problem cured? or what best medicine I can use cause is giving me hard time", "output": "Hello, Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for you as follows:1. As you have asthma since very long time, I would suggest you spirometry with post-bronchodilatory reversibility testing which will help to know your lung capacity, type of airway problem, etc. It will also help your doctor to choose appropriate inhaler for you.2. I would also suggest you allergy testing for common air-borne allergens such as house dust mites, pollen, molds, insect proteins, animal dander, etc. This will help you identify the substances causing allergies to you as well as to know the measures to avoid them.3. I usually prescribe my such patients appropriate use of regular inhalers (\"preventer\" inhalers) such as inhaled corticosteroids and inhalers for as-and-when-needed basis (\"rescue\" inhalers) such as inhaled albuterol/levosalbutamol etc. However, to suggest appropriate inhaler for you, details of frequency and severity of your symptoms as well as spirometry would be required.4. In general, please avoid exposure to dusts, smokes and air pollution as much as possible.5. Regular physical exercise including breathing exercises and nutritious diet rich in vitamins & minerals will also help you to improve your lung capacity and immunity respectively. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you the best of the health ahead. Thank you & Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 42 years old Man. My SGPT/ALT IS 76 U/L [REF:<37] and SGOT/AST IS 41 U/L [REF:<41]. TRIGLYCERIDES IS 160 [REF:<200] and Im taking Cholesterol Medication, ie, Simvastatin 10mg, 1 tab every night. Is this Liver Profile results acceptable and what are the possible precautionary measures that I should be observing? Many thanks and Best Regards,", "output": "Hi I can understand your concern.Don't worry. Noted you have elevated cholesterol with slight increase Sept. Get your USG abdomen to detect secondary fatty liver or gall stone like condition. If both this negative then you might have Chat Doctor. ... Your aim is to reduce weight with decrease cholesterol... Take low fat diet. Do regular one hour swimming or running. Cheese, pizza, non veg taken very less.... Fruits more. With the time Sept will be normal. No need for much worry.... Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am training for the London marathon unfortunately I tripped over while running and fell on my chest. The pain has been awful. When I lie down I struggle to sit up, and coughing is really painful. I m not sure if I ve cracked a rib or am bruised. I have been take painkiller but they don t seem to be doing anything. I am ment to be running the marathon in 2 weeks so have tried to run or go on the cross trainer the last 4 days but it s painful. What do you recommend I do. I really want to run the marathon I have hundreds of people that have sponsored me so don t want to let my charity down. I fell on Tuesday but don t seemed to feel any better.", "output": "Thanks for your question I completely understand your question it seems as you got a rib fracture you need to visit a pulmonologist and get an urgent chest X-ray done the pulmonologist can see the chest X-ray and will rule out any fracture he may prescribe you with some analgesics like paracetamol to control the Piedmont panic it can be a simple muscle injury which ll heal in some time, but you need to visit a pulmonologist thanks feel free to ask more questions may god bless you with good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Salutation, My mother aged (52), diagnosed nasophayranx carcinoma since 2009, (Undifferentiated type) but treatment mode is homeopathy, for the last 3 years she has no such big complication, for the last 2 months a small tumor has been developed below the nose plate and having headache. What should we do? kindly suggest.", "output": "Dear friend. Thanks for sharing your concern. As far as nasopharyngeal carcinoma is concerned, it should be well diagnosed and treated by oncologist as it involves eminent facial structures. I would suggest going and see the oncologist first and get it examined, simultaneously also discuss the headache arising due to that. As it might be putting pressure on the nerves during progression. Hope it helps. Thanks. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 54 yo female, and in good health. No history of any health problems at all and Im not on any daily medication. However, i have a family history of heart problems. For the past two days I have been having a mild, dull pain in my left chest area. I cant really say it is pain, but more discomfort. I am also having episodes of dizziness, especially when the discomfort is more severe. This has happened three or four times in the past 24 hours. Could this be my heart?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Yes, these symptoms can be due to cardiac (heart related) diseases. You are above 50 and have strong family history of heart diseases, so we should first rule out heart diseases in your case. So consult cardiologist and get done blood pressure monitoring, ECG, 2d echo and stress test. If all these are normal then no need to worry about heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a large flap like bump on the inside of my cheek near my back molars like the size of a tictac. It looks the same color as the inside of my cheek only the center is filled white like a pimple. It is not as painful as a canker sore, but there is some pain now and again. Its been there a few days and has grown since i first noticed it. My girlfriend as well has developped one so thinking its something caused by a contagious factor or just big coincidence. What could this be and is this something that needs treated or will drain and go away on its own?", "output": "The ulcer near you molar can be a bite lesion (your upper and lower opposite molars hurting your cheek tissue while coming together while biting) most probably, but it is not contagious. Infact most of the common oral ulcer conditions are not contagious except herpes. I advice you to visit an oral physician to rule out the rest. At my clinic i advice my patients to start with oral vitamin A supplements for a fortnight and apply denote over the affected area for a couple of days along with Betadine rinses .it will take a few days to subside, but a visit to a dentist will ensure a proper diagnosis to it, and it can be avoided in the future. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a tiney red pimple like dot inside my cheek.. I thought is was from a place where I bit my lip during implant surgery. at first it was a long sore like that But now I have the red pimple has it not healing. My Dentist is going to remove it in 3 weeks but Im getting nervous about cancer", "output": "Helloo....read through your query....everything that is red is not cancer!!so first don't get tensed...since it was due to bite and later became red it can be an inflamed minor salivary gland and best treatment for it is removal of gland ...don't get tensed by hearing removal of gland.u have 1000s of minor salivary gland so removing this cant make any difference...so better to get it done....so don't worry be cool....wait for 3 months if it heals then no removal otherwise remove it.hope my reply will help u keep smiling...have a healthy day!!!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Approx 2 months I started suffering from dizziness, noticed my pulse was irregular. I have had 2 ecgs the first said abnormal qrst contour consistent with old inferior mi and non specific st depression. the second showed pvcs and prolonged qt. I have just had a 24hr holter which showed over 3000 pvcs, sinus tachcardia with some bigeminy and trigeminy. My gp told me this is nothing to worry about and is referring me to cardiology as routine. I have also been having left arm pain and pain radiating into my left neck and shoulder. the last couple of days I am experiencing a severe stabbing pain upper left chest below collar bone and the arm pain is worse. The pain is intermittent but lasting atleast 30 mins, sometimes hours. Should I be concerned? or should I wait for my appointment which will be around 2 months?many thanks Jackie", "output": "Hips more than 300o in an ECG are to be taken seriously, 3 or more PCs taken together in succession are called nonsustained ventricular tachycardia, if duration is less than 30 sec, if duration is more than 30 seconds it's called ventricular tachycardia. Most common cause of PCs in ECG are ischemic myocardium, that is when blood supply to heart is less or compromised, inferior wall me also signifies it. Yes you should be very concerned about it few baseline investigations like 2d echo tread mill test should be done as early as possible to identify ischemia to heart. Medicines like beta blockers and nitrates could be started initially by GP before you reach a cardiologist" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "im w/ my boyfriend here- he wont let me take him (and wont take himself)to a clinic or e-room at hosp. to find out whats wrong- he for last week or so complains and also silently suffers from pain in his chest mostly but not only when he eats, especially chunky foods like peices of meat... he says its difficult to describe so maybe if he were asked the best suited questions....please help", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Chest pain after eating chunky food is mostly due to gastritis. So tell him to follow these steps for better symptomatic relief.1. Avoid hot and spicy food. Avoid junk food.2. Avoid large meals, instead take frequent small meals.3. Take pantoprazole tablet on empty stomach twice daily.4. Avoid stress and tension, be relaxed and calm.5. Go for walking after meals.6. Quit smoking and alcohol if he has these habits. Hope I have solved your query. I will be happy to help you further. Wishing good health to your boyfriend. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "16 year old son, 6 ft 1, 178 lbs has had pain by left nipple, and under left shoulder blade in back for two + years, was diagnosed with costochondritis 2 years ago which has never improved, has pain daily, now feels pulsating heart in left chestnot on any meds, no previous surgeries, no other medical history", "output": "Hi thanks for contacting Chat Doctor... Here according to your complaints cardiac causes has to be ruled out. For that ECG and ECHO useful... If cardiac cause present treated accordingly... Second you had history of Costco Chat Doctor. So pain might be ongoing from that. Muscular strain can be there which lead pain... If severe pain MRI useful for sassing severity. If needed physiotherapy might help. Transcutaneous electrical nerve stimulation one of the modality for Costco" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 26 yr old female, i have been experiencing some chest pain for 24 hrs, coming and going last night and since about 11am today comming frequent left and right and in center, right before my chest pain last night I discovered throat swollen, white puss bumps, throat hurts nothing crazy! i didnt sleep last night cause of it, I am in pain now and scared to fall asleep. I took 2 antacids, my husband thought it might be acid reflux. it has seemed to help a little. Should I be worried?", "output": "Hello, If I were you, I would go to the doctor and do a complete blood count, chest radiography and an ECG. If it is lung infection with a throat infection, you might need to take an antibiotic. The ECG is to see how is the heart and to rule out any possible cardiac problem that would cause the chest pain. You should take the antacids as long as they release you. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have HBV can you help me ? is there medicine for this scare ?i badly need your help on this.in case you want to get in touch with me please my email: YYYY@YYYY ; please help me am in terrible pain in all most all joints of my body Kind RgdsAndrew Nsigaye.", "output": "HIT hanks for posting your query. By HBV I hope you mean Hepatitis B Virus. First don't get scared. If you are infected with HBV then we need to check whether the HBV virus is multiplying inside your or it is just sitting in your body without multiplying. To know this you need to get a test called HBV DNA PCR (quantitative). Kindly get this test done as the necessity to treatment depends on the result. Hope this information was useful to you. Any clarifications feel free to ask." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a bump on the back of my leg. on my thigh. and im not sure if its ring worm or a bug bite? My boyfriend right now has ring worm and its not covered up and i think i go it from him but im not sure. could you help me too try to see what it is. thank you.", "output": "Hi, Dear,Welcome with your query to Chat Doctor. Studied your query in full depth of its details. Reviewed it in context of your health concerns. Based On the facts, Dear, you need to consult Surgeon and dermatologist-if need be. It could be Varicose vein lump or could be ringworm transferred from your boyfriend.USG would rule out the MB Cyst of the knee. Dual Image Doppler study and physical examination from Surgeon would fix the cause of the lump on the back of the leg. This reply would help you to plan further treatment soon with your treating doctors. Best of Luck and early recovery. Welcome any further query in this regard, which would be replied in next session. Good Day!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My name is Ken Karson, I am an inner city hospital which is often the sight of emergency treatment for IV users. I have a history of using whatever needles I can get o injections and often am not careful about the cleanliness of his skin at injection sights. Some of the symptoms I have experienced are Rapid irregular heart beat marked shortness of breath petechial lesions of the skin conjunctiva and the oral mucosa weight loss back pain night sweats urine abnormalities.", "output": "Hello thanks for posting here. Given your history and symptoms, you have high probability of infective endocarditis. It is a disease of the heart valves. IV users are most likely to get right sided infective endocarditis of heart valves because of unsterile methods by which bacteria gain direct access to the heart endocardium. And also, please get your HIV Bag and HCV checked which are transmitted by blood, given your history of iv use. To evaluate infectious endocarditis, you must do a blood culture which is a blood test and a 2 D echo which will demonstrate bacterial growth on the valves of the heart. Take care. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my husband is 43 yrs old, and was born with one fully functioning kidney and a non functioning kidney. He had a stint put in 13 years ago, due to the ureter closing off. The stint was removed a few weeks later. He has had no problems since. Now, he is having a lot of pain in the right flank area. It is painful to the touch. He keeps insisting it isn t his kidney because the pain is not the same. He is a stubborn man...any advice?", "output": "HelloThanks for query. You have not specified about which kidney is functioning and which side stent was placed in 13 years ago. The pain in flank is mostly due to HY Chat Doctor. 1) Urine routine and culture.2) Ultrasound scanning of abdomen and pelvis3) DTPA scan of the kidneys .4) Intravenous Paleography to assess the kidney function on both sides. Further treatment will depend upon result of these tests and final diagnosis" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was playing tennis and severely pulled my hamstring. 2 days later my whole thy was purple. My concern is the bruising has moved down to my calf then it was sore and now to my ankle and Achilles and now they are sore. Is it normal for the blood to travel down like that?", "output": "Hello there, Strenious activities like tennis, involves activities of sudden acceleration and deceleration, making an individual more prone to have soft tissue injuries of thighs, knee and ankle. In your case it appears that you might have hamstring sprain along with injury to Achilles tendon and other tedious structure. I suggest you, kindly consult an orthopaedician for examination and investigative evaluation. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "We have a soon to be one year old who cries when she makes a bowel movement...it is obvious that she is in a lot of pain....after the bm, she is fine....it is usually solid with a little blood....we have asked the pediatrician and he said just give her more water, and veggies...that we do, but now trying to find a specialist for gastro..", "output": "Thank yo for the query. By the description it seems your child is suffering from anal fissure which usually results from hard motion. Passing hard motion is very common i child Chat Doctor. This indeed is a very painful condition. You can apply Vaseline at the anal canal and push a bit inside. This will act as lubricant and smooth passage of stools. Apply this for three to four times a day even if not passing motion for a few days. You can also administer pediatric glycerin pessary half an hour before his usual time of passing motion. Apply An ovate ointment at anal passage - once after passage of motion (after cleaning the child) and once at night. Continue to try adding fluids, vegetables and fruits to the diet and increase its amount regularly, as advised by your current doctor. This is the only remedy in long term. If he has started walking, let him walk and run continuously, this will add up to the exercise and improve bowel movements." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My boyfriend has been having some serious problem recently! He was in a car accident on June 27th. He was sitting at a red light and watched as the car behind him quickly approached! He braced himself on the steering wheel and watched the car slam into him without breaking! He went to ER for lower back and shoulder pain! Late that same night he literally fell to floor in pain from him lower abdomen! After a few weeks his lower left back started hurting really bad! It would come in spasms but now he has frequent urination but when he goes he pees a few drop! A fee times after sex his back flared up and even though he wants sex or to continue his penis wont stay erected! Plz help us figure out whats possibly going on!", "output": "elloThanks for query, Your boyfriend is facing problem of erectile Dysfunction since he met with a spine injury due to car accident In view of the pain in lower back and associated ED the neurological cause (Possible Nerve injury)for his ED has to be ruled out. Consult qualified Neurologist for detail neurological examination to rule out any nerve injury.In the meanwhile taking Erosion or Methyl Cyanocobalamine along with Diclofenac twice daily can be tried. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Doctor,I ve been taking tuberculosis medicine for over 8 months now and my medication was extended as a precaution although my tuberculosis is now clear and as of recently my acne has increased a lot. Whenever I skip my medicine,it reduces tremendously. So should I just wait till I finish my medication or take treatment for the acne?", "output": "Hi, In all probability your acne is Chat Doctor. So once the antitubercular therapy is stopped either it will clear on its own or you might require few anti acne medicines to have a clean face. Tuberculosis being more serious condition than acne, it is imperative that you take your anti-tubercular medicines regularly even at the cost of having temporary skin flaws. There is no harm in starting an anti acne medication along with antitubercular " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I woke u[p in the middle of the night and found my neck hurts as does my left side. I thought I might have pulled a \"wing\" muscle but as the day went on I found it increasingly painful to inhale and my side (from lower to middle back) hurt as well. Help!", "output": "Hi thanks for asking question. First you could have simple musculoskeletal pain as you are suspecting. It might be by heavy exercise or weight lifting. Rest and analgesic with hot compression useful for it. Second rule out respiratory problem if suspicious symptoms present like cold or sore throat with fever.X-ray and pulmonary function test seems to be useful for it...PFT useful for diagnosing and differentiating restrictive and obstructive pulmonary disease. If still no benefit then we will do further work up according to more history and physical examination. Take care......" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I recently in december had my appendix removed since than im still having stomach pain with some back pain as well as yellow burning stool. I had an ultra sound of my gallbladder and they said there were no stones. I also expirience alot of head aches...i cant eat anything without having this problem...some say its my gall bladder or pancreas...help please...", "output": "H thanks for asking question. Noted you have USG report normal. So chances of chronic pancreatitis or chronic cholecystitis is seeming to be very less. Measure your blood pressure. It might be related to headache. Get your stool examination to rule out chronic parasitic infection. CBC also be useful. Rule out chronic gastritis or ulcer by H.pylori. Urea breath test like investigation could be useful. If confirmatory diagnosis can't reach do endoscopy and biopsy to rule out other stomach pathology. Meanwhile....-Avoid smoke-more water-avoid alcohol-stay away from loud noises-maintain HY Chat Doctor. -avoid excess spicy food. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i sometimes get random dizzy or passing out sensation throughout my body sort of a shaky feeling afterwards i get a bowel movement sensation , I went to the hospital after a drug overdose that gave me a very bad panic ever sense I haven t felt the same I don t smoke drink or anything has been about 2 months , am I suffering anxiety", "output": "DearWelcome to ChatDoctorWe understand your concerns went through your details. The symptom you gave here are also corresponding to anxiety disorder and panic disorder symptoms. Dizziness, passing out sensation and shaky feelings could be triggered by too much negative thinking about your health (obsession) and being anxious about a particular symptom. In your case, the particular symptom turns out to be dizziness, shaky feeling and passing out sensation. When you be obsessive and be anxious about a particular symptom, that symptom worsens. Your stomach problems also point towards anxiety disorder. Your previous history of panic attack must have triggered the obsession and anxiety disorder. Don't worry. These symptoms should be cleared in a span of two or three years. You should not be obsessive or be anxious about these symptoms. You may do a good body check up and just forget about these symptoms. Furthermore, you should consult a psychologist for counseling and psychotherapy treatment. If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail. Hope this answers your query. Please feel free to post follow-up queries. Available for further clarifications. Good luck. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am just getting over pneumonia and coughing a lot. Last night I felt something pop in my back left, upper rib. Very sharp pain. I can breathe okay and taking ibuprofen every 4 hours. I m afraid to cough again because it hurts. I m also doing hot and cold packs. How long will this take to feel okay?", "output": "Thanks for your question on Chat Doctor. In my opinion you are having muscular pain only due to excessive coughing. Since you had pneumonia, better to rule out recurrence of pneumonia as this can also cause similar pain. So get done chest x-ray and compare this with previous one. If improving than no need to worry much, this is muscular only. Due to excessive coughing ribs and intercostal muscles are contracting very forcefully. When coughing is repeated, it becomes painful. So try to follow these steps for better symptomatic relief.1. Avoid heavy weight lifting and strenuous exercise. 2. Avoid bad postures in sleep. 3. Along with ibuprofen take muscle relaxant also.4. Continue warm water pad application. 5. Wear chest belt to avoid mobilization of affected area." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor....i am a female 44y ..my question is this....I have been on Ixempra chemotherapy. Now I was fine he first cycle, then the oncologist made the chemo a bit more stronger. This was like the 4th treatment. I have also been given blood 2 transfusions because this chemo lowers the blood hemoglobin. Now after this treatment loke a week ago I was having blood in the stool but it was with mucous and what it looked like a lining. I had no abdominal pain, no fever or chills. 3 days ago it came back the blood in the stool but today I felt gassy and I went to the bathroom and I had pooped but this time it was bloody..when I cleaned myself the paper was with blood like when you wipe during a menstrual period. This has never happened before I have been on different chemos for 7 years and this is the first time I have seen this happen. Is it irritating the lining of the intestine. I started a low fiber diet. I am worried about this. What should I do?", "output": "Hi, Thanks for writing in. Chemotherapy is treatment with strong medicine and this has potential side effects. Many times a medicine will cause intense side effects when given alone, and it is likely that your bleeding from bowel is from this cause. You are having low hemoglobin and more decrease might become serious. Therefore, please take precautions in diet and medicines to raise your hemoglobin slowly. Please inform your doctor and this might help to decide if your chemotherapy requires change. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hey im 14 and i have this sharp pain in my chest everytime i breath to a certain point. i think that its precordial catch syndrome although i dont think its meant to last 2 days. Is there any possible way that i could get rid of this without any pain? and yes i have been to the doctor and she said im perfectly healthy so i dont know what the hell is wrong with me.. pleasee helppp !!", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Since your doctor is denying any serious illness for your chest pain, no need to worry about major heart or lung related diseases. Possibility of musculoskeletal pain is more. So better to follow these steps for symptomatic relief. 1. Avoid heavyweight lifting and strenuous exercise. 2. Avoid movements causing pain. 3. Avoid bad postures in sleep. 4. Take painkiller like ibuprofen. 5. Apply warm water pad on affected areas. Don't worry, you will be alright with all these in 5 - 7 days. If not improving in 1 week then get done chest x-ray to rule out internal lung pathology. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, i had blood test results back last week and its came about i have a low platelet count, i have had two tests now and low on both. i am tired and very dizzy almost all of the time, could you tell me a little more please... my doctor has asked me to go back for more tests in two months time, im worried and dont really understand why i have to wai so long. i am a 22 yr old female. i have suffered with panic attack for years too amd feel they are just getting worse, please help. thanking you.", "output": "Hi, dairy have gone through your question. I can understand your concern. You have low platelet count. There are many causes of low platelet count. Simple viral fever, malaria, dengue, immune thrombocytopenic purpura, most of the leukemia all can lead to low platelet count. You should go for complete blood count, peripheral smear examination. If needed go for bone marrow examination. First find the cause of your low platelet count and then take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I never had my molars removed. About a week ago my lower right started hurting a little and has slowly gotten progressively worse. Today the gummed seemed pretty enflamed and sore. Then after my shower I noticed the whole cheek area below the jaw and gum were really hurting. I looked with a flash light and saw some puss and bleeding. Im not sure what is making it infected and what to do next.", "output": "Thanks for your query, I have gone through your query. The pain in the cheek and jaw could be because of the gum or tooth infection. The pus discharge could be secondary to abscess formation. Consult an oral physician and get a radiograph done like RVG and OPG to rule out infections. You can take a course of antibiotics like amoxicillin 500\u00a0mg and metronidazole 400\u00a0mg TID for 5 days (if you are not allergic). After completing the course of antibiotics treat the cause of infection, that is treated the infected tooth with root canal treatment or by extracting the tooth. If it is gum infection then get your teeth cleaned once and maintain the oral hygiene. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "DEAR SIR 1. SOME INVESTIGATIONS IN MY RESPECT ARE MENTIONED BELOW :- (i) VDRL-NON REACTIVE.(ii)Anti HCV - Negative.(iii)USG Abdomen- Normal scan of abdomen.(iv)Serum HBs Ag Positive.(v)Bilirubion0.7 mg(vi)SGOT 18(vii)SGPT24(viii)ALK Phospha51(ix)HIV- Non reactor(x)HBV DNA634 IU/ml 2. no medicines recommended by my Dr. What is your opinion? Kindly advise soonest. thanks yours ravindra singh0000", "output": "Brief Answer:No treatment needed for the moment. You should do further examinations to make an adequate followup plan guided by a GI doctor. Detailed Answer:Hello, Thank you for using Chat Doctor. All the examinations results mentioned below are normal, except Bag and HAVANA. As your liver enzymes are normal, and your Havana is below 2000ui/ml, you seem to be just host, carrier of hepatitis B virus and the infection seems not to be active, actually. So I agree with your doctor, no treatment is needed for the moment, but to make a follow-up plan, must be done some more laboratory exams such as quantitative Bag and Head. Head determines which strain of hepatitis B virus do you have. If the Head is negative, you should evaluate ALT levels and Bag quantitative every 3 months during the first year. If the Head is positiver than you should monitor ALT and Head every 6 - 12 months. Even though, I suggest this follow-up process to be guided by your GI doctor. Is important for your partner to be tested for hepatitis B, and if he is negative, he must be vaccinated. Hope this is helpful. Let me know if you need more clarifications. Otherwise, please close and rate the answer. Kind " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "We have a 39 year old son who has some physical handicaps which seem to be moving to mental illness. He does not think he needs help. He cannot connect the dots anymore. We are older and cannot help anymore. He is getting evicted and will be homeless. He is in total denial on this and it is making us ill. He cannot be homeless with his health issues. We have been to countless agencies for help and not making progress. He has a housing voucher which he may lose and is on SSI. Any suggestions?", "output": "Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. Physical handicap will not lead to a major psychiatric illness except developing a depressive episode. And depressive episode can impair the judgement. Instead of visiting various agencies, I would advise you to take him to a psychiatrist. Even though he feels he is not ill to let him discuss all issues with a psychiatrist who can evaluate him in detail and assess regarding the diagnosis. Further his psychiatric disability may also get added up to his physical handicap which can give him an added benefit. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "lump on armpit that is really after days of getting loads of pus out its really painful my girlfriend tried getting out what we perceived 2 be a ingrown hair due 2 the fact of black dots tried with a tweezers but its still sore she reckons there is something under the skin it really smells when the pus is squeezed out any ideas", "output": "Hi, Dear,thanks for your query to Chat Doctor. I studied your query in depth. In my opinion the recurring lump after loads of pus for many days, is a Chronic Fur uncle- i.e.abscess in hair-follicle in armpit, with surrounding cellulitis due to-chronic infection. Something underneath-is the feel due to the indicated hair-follicle and the thick abscess wall of the chronic fur uncle in the armpits. Hope this answers your query and solves your causative-query for the armpit lump. Hope this would clarify the worry you had. Would love to Welcome your queries to Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "14 month old baby and i slipped down the stairs, i kept her along the wall and landed on the stairs, but she hit her head. cried alot but seemed fine. 3 days later (in the am) she has a very slight nose bleed (dried blood around base of nose). should we be concerned?", "output": "Hi...there is no need to panic if she's acting normally. But as there has been a spontaneous nasal bleed after a head injury, this carries significance. I suggest you consult your kids pediatrician and get her evaluated. The usual danger signs include, seizures, loss of consciousness, irritable behavior or altered behavior, ear and nose bleeds or watery discharge. That's why I am suggesting that you seek medical attention. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had ear pain and a sore throat for 2 weeks. My ears and clear and my throat is only mildly red. Yesterday I had a really bad headache along the base of my skull that moved into my neck and was the worst pain I have every had. Could all of these be related? I have seen my Dr. 4 times in the past 2 weeks.", "output": "HI, thanks for using Chat Doctor It is likely that your symptoms are all related. Infections involving the respiratory tract can result in headache. It can occur with viral or bacterial infections. If the pain in the ears and throat have been persisting for 2 weeks then antibiotics may be needed. Viral sore throats do not normally continue for that length of time.Anti-inflammatory pain medications such as aspirin, naproxen or ibuprofen would help with pain relief. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "heloo,doctor day before yesterday i have done a hair colour allergic test behind my ears.yesterday rashes appeared on that area and nearby areas and has itching too.i am really scared.will it spread?i have appiled coconut oil.it helps me from itching.but still that redness and hives are there.pls help me", "output": "Hello After dye you develop rash, redness and itching. This is clear indication that dye is sensitive for you. Coconut oil provided some relief, this is good. When such case visit I advise them to take fexofenadine 180 mg one tablet + tablet deflazacort 12 mg together, and you will get relief. It may happen that you may need 2nd dose. Also apply clotrimazole lotion locally, and you will get relief at once. But be alert next when using dye. Since this is a prescription Chat Doctor. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "dark red spot on foreskin hi. I had in protected sex last night and this morning I noticed a dark red spot when I pull back my foreskin. I was wondering if this could be anything serious... any information would be grateful. I am going to book and appointment at the gu clinic but I am really worried about this.thanks for your help", "output": "HelloThanks for query. You have developed red spot on foreskin after having protected sex. This could be mostly due to allergic reaction to chemicals used as a lubricant in condom .However, even using condom is not considered to be 100 % safe and protected as there are chances of getting it broken which can be noticed during intercourse. Please get your basic screening tests for STD done to be rest assured about acquiring STD. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have PUJ obstruction in my right kidney, I am 32yrs old, I have had 2 operion on was six years back and another 3 years back, my right kidney function 37% when i had x-ray, can you please tell me how long can my right kidney will last with this PUJ obstruction. my left kidney is normal", "output": "helloThanks for query. Based on the facts that you have posted You had congenital PUB obstruction on Rt side with was operated 6 years back for Pyeloplasty was done and second time 2 years back for revision of failed pyeloplasty. Now the kidney function estimated by DTPA scan is 37 %. Normally we preserve the kidney if it shows function above 20 %. It As regards your query about the expectancy of this kidney to survive in terms of years, I would state that it is very difficult to predict the time frame in years regarding the survival of this kidney . It can survive whole life if you take proper care of not getting UTI and monitoring function of the kidney by doing DMS scan at frequent intervals once in a year. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doc I had unprotected sex during my fertile period, the guy didnt have sex for 4 days prior to our session. He was only inside me for a short amount of time and didnt cum or orgasm at all inside of me. Is it possilbe that his pre cum could have sperm in it", "output": "Thanks for contacting ChatDoctorYou are concerned that you may become pregnant from a man though he did not ejaculate inside you. The semen prior to ejaculation can contain sperm though not in huge numbers. But the chance is there, and I would recommend that you do Plan B to help reduce your chances of getting pregnant. Hope this answers your medical question. Please contact us again with your health care concerns and questions" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hii docs.i never had sex but i am very much curious to know that what are the effect on penis after first sex..like bleeding from penis...or during sex the foreskin which covers our penis which is attach from the middle of our penis or upper cap of our penis breaks during sex...i hope u understand my question..??", "output": "Degree understand your concerns went through your details. During first sex, for boys, there should not be any complications like you are mentioning here. Vagina is supposed to be lubricated before insertion of the penis. That lubricant causes smooth up and down movement of penis without any rashes. Secondly, if the foreskin is easily retractable, it will not cause any pain or bleeding. Practice retracting the foreskin. Do not worry much about these aspects because such worries could boomerang into anxiety disorders. If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am looking for information about myasthenia gravis and pneumonia. My mother had a tymectomy with thymoma, she was find for 3 weeks and then she started having respiratory problems, pleural effusion, and is on a ventilator today. I was looking for information", "output": "Hi, Welcome to Chat Doctor, Coming back to your query, regarding her present condition things you have mention is not sufficient to come any conclusion and guide in the following case. Now with information if we try to look you have mention regarding Myasthenia Graves(MG), Thomas, Pneumonia and Pleural effusion and patient on ventilator now. So it seems she had developed MG due to Thomas which is treated, and now she developed Pneumonia and Pleural effusion, and now she is on ventilator so its basically Health care associated Pneumonia for which it would be worthwhile to collect secretion from oral tube and send it for Culture to look for cause of pneumonia and treat the same and also continue symptomatic treatment if required for maintaining Blood pressure and Heart rate and Urine output for now." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello. I am a 50 years old woman. My blood pressure usually gets high from anxiety and menopause realted symptoms. But this week it is low... 100/60.......105/ 65..... one morning it was even 88/58 all on my right arm. Left is always a bit higher. The weather is gloomy. I am taking 25mg pills against high blood pressure. Is this normal?", "output": "Hi. Welcome to Chat Doctor. I have read your question and understand your concerns. Usually blood pressure less than 90/6)MMH is considered as significant hypotension /low blood pressure. So, yes you have problem of hypertension sometimes. So my advice to you is - ask your doctor about 24 hrs ambulatory blood pressure monitoring. This test will measure your blood pressure automatically at home. The results of this will guide your doctor about readjustment of your BP medication. Meanwhile, if you have any further episode of low blood pressure, you can reduce the dosage to half at that point of time. So, my advice to you is gone for ambulatory blood pressure monitoring recording and readjust your blood pressure medications dosage and frequency. Thank you. Have a nice day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I fell on going up stone steps and landed on my right knee. It bruised it pretty badly and then as the bruising went away I noticed a knot or bump on my knee. It is painful if I press on it, otherwise it is just uncomfortable when I walk. What could this lump be? I fell about 2 1/2 weeks ago.", "output": "Hi, Dear,Thanks for your query to Chat Doctor virtual Clinic. I studied your query in all the details put forth by you. I understood your health concerns. Cause of the health problems you queried-There are many causes of the lumps on your right knee after the recent fall. To rule out other causes, I would advise you to consult ER surgeon, who would examine it and treat it accordingly. Still with my expertise and experience, I would suggest you to rule out following causes with your ER OrthoSurgeon. Cause in your case-As the lump is of 2 1/2 weeks duration after review of your query data, it seems to be due to either of the following reasons--Post-traumatic Hematoma with traumatic swelling-which is in process of recovery and may take another 2-3 weeks.-If it doesn't settle after 4-6 weeks, Pre-Patellar Bursitis(Housemaids Knee)-post-traumatic needs to be ruled out. Both above possibilities needs to be ruled as only discomfort is felt by you while walking. In the absence of more information, I would advise Second opinion in your case, who would examine it and investigate it to treat it as per the cause of the lump. So I would advise you to consult ER OrthoSurgeon, who would rule out other causes of such a lump and would help you out with the fist hand information. Do take his Second Opinion, on the above suggestion, as he would advise you with fist hand clinical information. Hope this would resolve your query with full satisfaction. Welcome for any further query in this regard to ME by direct question at Chat Doctor. Write excellent review and hit thanks, to narrate your experience, which would improve my rating for many other visitors to Chat Doctor. Wishing you fast recovery. Have a good day. Chat Doctor. N. Senior Surgical Consultant. M.S. Genl-CVTS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hI, I have no question for you. Just an attitude as to how pain management is being, or should I say not being done. Because of a handful of people who CHOOSE TO Abuse drugs, who really gets punished? Spinal Stenosis and 2 back surgeries, the last the titanium rods, plates, and screws were inserted from L2 thru L5. Stopped the pain for about 2 years, or at least at a tolerable level. Then Lortabs helped. Sent to pain clinic for epidurals. Epidurals on me were extremely painful. Scale of 1-10 they were a 20. (Not Kidding) Quality of life was going fast. couldn t do or go because the pain had grown to the point that I couldn t eat or sleep. Pain was 24 hours a day. Told by the pain Dr. to stay on the Lortab and come to the pain clinic every 4 or 5 weeks for epidurals. Epidurals were not only painful but I got very little relief if any from them. Finally PCP started me on oxycontin and Fentynal patch. I was much better for awile. I was taught that in so called pain management you would gradually increase dose until you knew the patient was experiencing some quality of life. I reached rock bottom after telling PCP my quality of life was slipping away. Finally I asked for an increase in pain med as pain was now 24 hours a day. I could not function. I was told no, and referred to pain clinic for more epidurals and Narcotics. The day I went in to office for routine followup and new perscriptions I was ask for a urine specimen. After all I d been thru over the last 8 to 10 years, all the operations and all the pain. The loss of any quality of life. I am in my 70 s and lost all those Golden years, 10 of them. Asking for a urine specimen. I felt made ME the criminal. I decided right then I asked to be titrated off the narcotic meds. I will die with all the pain before I will let anyone treat me like a criminal. So you go on breaking your solom oath by hurting patients . Doctors swore to do no harm. A large % of those being hurt and are suffuring are the geriatric population. I feel Obama has been behind a lot of this but you know I believe a lot of the fault falls on every Doctor, Nurse, and everyone working in health care. STAND UP FOR YOUR PATIENTS. yOU ALL ARE JUST LIKE THE POLITICIANS. tO SAVE THEIR OWN HIDES THEY JUST CLOSE THEIR EYES TO WHAT IS HAPPINING TO MEDICINE IN THIS COUNTRY AND SAY NOTHING. tHE PUBLIC CAN T EVEN GET TOGETHER AND STAND UP FOR WHAT IS RIGHT. The old time Doctor s predicted It would be like this. They said if the HMO went through it would be the death of our wonderful medical care in this country. Many have passed but they were right on. They realized that there would not be anymore decent medical care. The patient is really obsolete. No more real check ups. no more time to explain your problem. No more real examinations Oh, there is on paper or in the computer so health care workers, even Doctors just make sure they cover their butts, to the point of out right lying!!! Make it look like things were done just to collect the fees. The lawyers are partially to blame also with their ambulance chasing and advertising for frivolous malpractice suits. Rep. and Dems. just sit on their hands. Political correctness has run amuck. I thoroughly loved working in the medical world at one time. Now I want nothing to do with it Extreme pain is killing me literally but I will die with it. Think back of all the pain meds that really did relieve pain. Where are they now. Listed as a narcotic, now even lortab now and it is only hurting those who really need it. The really sick. But their pain med prescription has to be picked up at dr s. office no matter if they can hardly get out of bed. No husband or designated relative or person can pick it up. Can t even be called into the pharmacy anymore. What do they think they are doing. I am done with a medical world that has turned into nothing but a money making machine. Worst of all the money flows to the very few at the top while staffs are cut to the bone. Doctors are told what they can and can t do, how many patients they have to see in a day. no wonder there is no examining going on, No time to get to know their patients. On top of that not enougChatDoctorpensation for what they are trying to do. Trying to do the impossible. The patient is only needed for a name and insurance number. The old days were Heaven when working in the medical field if your heart was in it. Today s medical world is Hell in my eyes after all my personal experiences. A lot of us feel like we are on our own and no matter what doctor you go to we are not being treated, just pushed thru the system as fast as possible. Many, many mistakes are being made. No one, including doctors and nurses seem to know what they are doing. It is not their fault. They are not being properly taught and trained, just shoved thru school and paying exorbitant rates to do it. Something I use to love so very much has become something very ugly and I hate it. I have been on both ends. Suffering terribly and hanging out here on my own but so grateful to God for giving me the privilege of working in the world of medicine during the years before it fell.", "output": "Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. Question : What causes spinal stenosis? Answer : It is mostly congenital or Genetic. Sometimes Facet Joint Hypertrophy may reduce the space for neural elements Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in Chat Doctor at http://bit.ly/ask" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi im experiencing serious stomach pains and my breasts are leakng a large amount of milk and my twin boys are now four years old and quite sure im not pregnant as i have had a period recently and have just done a negative pregnancy test. im really starting to worry. i have a cyst on my ovaries which i was diagnosed with in september last year, please help.", "output": "HIT hanks for posting your query to Chat Doctor. Two issues :1. Stomach Pain : It could be due to many causes like Gastritis, Stones in gallbladder or kidney, Inflammation of Pancreas, Infection of the gut, Appendicitis, Urine or kidney infection. I need to know the exact site of pain and the nature of pain, that is, whether the pain is burning or pricking or squeezing. Also let me know if there are any problems passing motions or urine. 2. Secretion of breast Milk : is due to hormonal problems. I advise you to get Serum Prolactin and Serum TSH test done and revert with reports. Hope this information was useful to you. Any clarifications feel free to ask." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello, Dr. I am 26 year old, i have a kidney infection for the past 1year i did scanning and x-ray thy said its pyelonephritis, but last week i did CT SCAN d result is both kidneys are normal in size and shape but a mild prominent extrarenal pelvis seen on the right. Pls Dr. What does it mean? It s curable with antibiotics does it affect d kidney?. I have abdominal, fever pain pls wht is d solution and also wht r d antibiotics? May god bless u.", "output": "Hi, Thanks for writing in. You might be having chronic pyelonephritis. Since this has been happening for the last one year therefore there is scarring in the kidneys' collection. This scarring can cause a prominent collecting system which can be the reason for appearance on CT. Usually this can happen even after the infection is treated. Since you have an abdominal pain and fever, therefore it is essential to get urine culture is important. Sometimes, with fever a blood culture can also be helpful in the diagnosis of an infection causing organism in blood. Doing antibiotic sensitivity at the same time will give an indication on which antibiotics are to be taken for treatment." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor i have had a low risk relation that is masturbation but maybe during masturbation kind of genital secretion of my partner contacted my penis. after 6 days i felt malaise and backache. and after 10 days i had a persistent mouth ulcer that made me to use antibiotics. i lost my appetite for 2 days and itchy skin for 1 day and then i felt better after 4 days but still anxious. so after 4 weeks the symptoms came back and i felt neck stiffness and cough dry and something like fatigue but i could participate in my daily routines. i refer to a std specialist and he told me my risk is very low and near zero and this symptoms would be because of anxiety but now after 5 weeks i dont feel most of them. i want to know what do you think?", "output": "Hi, It is very simple - you do a panel of sexually transmitted disease test and you yourself see the report, if your problem is anxiety after seeing the normal report you will be fine. The brain always expects some scientific evidence to accept it. Even if there is any issue with the report, since you made an early diagnosis, treatment will be easy. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my daughter has been coughing for a week now, her sleep is disturbed because she coughs 3 -5 times at night while sleeping.. her cough sounds tight and with phlegm.. is it ok to nebulize her with duavent even she doesnt have asthma? and is it normal that her body temperature is at 37.3", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Constant coughing is commonly seen in bronchitis and pneumonia. So better first rule out pneumonia. So get done chest x-ray. If chest x-ray is normal then no need to worry about pneumonia. Possibility of bronchitis is more in her case. And bronchitis needs Inhaled bronchodilators and inhaled corticosteroid (ICS). Duvet is having perfect combination of inhaled bronchodilators and ICS. So no harm in giving Duvet. And yes, temperature of 37.3 is normal. No need to worry about this. Hope I have solved your query. I will be happy to help you further. Wishing good health to your daughter. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, i just went to go do something. I was standing for a little while and i started to get very hot all of a sudden. Slowly i my vison started going black and it was moving? why does this happen? i had to go sit down because i felt as though i was going to fall or faint", "output": "Hi, There are several possibilities, but the more likely one based on the symptom of a feeling of heat and sensation of faintness (with vision dimming) which all occurred after standing for a moment highly suggests that your blood pressure had Chat Doctor. Sitting down was the right thing to do to abort what we refer to as a vasovagal reaction. Causes include new medication (especially for blood pressure) recently added which is either too strong or interacting with other " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I m a 29 year old women in general good health I m a mother of 3 , but lately I ve been feeling a burning sensation on my left side mainly on my chest , when I sleep it wakes me up pain comes and goes and runs into my arm have been feeling tired more than usual & can t bare to Hold my young one in my arms to raise my arms to brush my hair it hurts have been feeling this for now 2 days my dad suffered from congestive heart failure he past away from this 3yrs ago and my mom suffers from mass (some kind of fattening that forms under the breast tissue and if not taken care of can form to ditching serious). Please help what can be wrong :(.", "output": "Thanks for your question on Chat Doctor. I can understand your problem. In my opinion, you are having HERD (gastroesophageal reflux disease) mostly. But better to rule out cardiac cause for your chest pain. So get done ECG first. If ECG is normal then no need to worry much for cardiac cause. GERD appears more in your case. It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms of burning chest pain. Try to follow these steps for better symptomatic relief.1. Avoid hot and spicy food.2. Avoid stress and anxiety.3. Start proton pump inhibitor.4. Avoid large meals, instead take frequent small meals." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My father has beginning stages of Parkinsons and when he took the meds he began having suicidal thoughts and thoughts of harming others so he stopped. Can you please suggest some natural herbal supplements that would help in in any way possible. He also has diabetes and neuropthy.", "output": "Hi, First, your father can eat one tablespoonful of flax seed oil with his meal, or he could eat grilled fish three time per week. He could also take iron supplement tablet twice per week after meals, for example after lunch on Monday and Friday. Moreover, vitamin B complex once per day after meals, Folic acid 500 micrograms once per day before meal, Coenzyme Q 10 three hours after meals once per day and Benfotiamine 40 twice per day after meals every day can help him. But, these natural methods cannot replace the medical treatment. Your father should take antidepressant, but you should ask your doctor about the suitable Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Had sinus infection weeks ago and severe allergies as well that is being controlled with prescription nasal spray and allegra. Yesterday started feeling numbness and tingling in upper lip and base of nose, feeling of fullness in the right eye, occasional blurriness, with some jaw numbness. Took decongestant thinking it might relieve pressure but has not worked. Any ideas?", "output": "Welcome to Chat Doctor I have gone through your query and understand your concern. It may be due to nasolacrymal duct blockade and congestion. You should continue to take decongestant. Analgesic such as ibuprofen can be taken for pain relief. Vitamin B and C is helpful in recovery. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am 29 yrs & married since 15 months my husband is 32 years, my husband had gone through semen analaysis & 90% non-mobility was found so we consulted a gynacolegist she recommened Lyco -Q- 100 & Kinfol for my husband & Myotol -F 100 & CCq for me for 1month. So , my query is my husband works in UAE & he would be leaving in another 1month. So, what should we do now & how much it will take me to conceive.", "output": "HelloThanks for your query. As per your statement your husband has what is termed as Asthenospermia. Normal;y active motility of the sperm to result a pregnancy should be more than 50 %. And unfortunately whatever medicines are prescribed by the specialist or Doctors in different faculties of medicines have not been proved to improve the motility of sperms.Instead, it will be better if you consult some Infertility specialist who can help you and guide you about IVF or CSI .to conceive" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have an oval shape lump in upper thighs.. When I run them it feels brused but no colour.. I have had this over 2 months, they have got smaller but still there.. This started when I started my new job which is sitting all day 12 to 14 hrs shift.. I am quite active but since I started this job have no time to excersize like I used to. I am a bit worried about theses lumps.", "output": "Hi, Dear,Welcome with your query to Chat Doctor. Studied your query in full depth of its details. Reviewed it in context of your health concerns. Based On the facts, You mostly seem to suffer from-Ring worm bumps is the possibility. Without Much information from your query I would suggest taking Second opinion from Surgeon, who would examine n decide on its cause and would treat it accordingly as per the cause of it. Hope that, This reply would help you to plan further treatment soon with your treating doctors. Best of Luck and early recovery. Welcome any further query in this regard, which would be replied in next session. Good Day!! Chat Doctor. N. Senior Surgical Specialist" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi im a 16 year old boy. Sometimes i experience sharp pricking pain in my chest. Nothing too serious just a slight discomfort. I am a mild asthmatic and use an inhaler sparingly. The pain is occurs suddenly and usually at night before bed. It is not a regular thing though", "output": "Hi thanks for asking question. Noted you have asthma ... So periodic chest pain might be from bronchospasm induce by allergen... So at that time of chest pain auscultation done for rhonchi..... If pain severe enough nebulization by levosalbutamol and budesonide res pule may need...SOS when needed albuterol inhaler pump taken. Avoid contact with allergens.... Wear mask if you Chat Doctor. If still repeated chest pain occurs after consulting doc and LFT done, regular long acting forecourt like MDI inhaler may be started..... Take care. Hope your concern solved...." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "What does it mean when your very congested wheezing and is having a hard time breathing. And while hes breathing it s intense like he s having a hard time breathing. And he s also very hot on the outside but he s cold. He says his stomach hurts while trying to breathe.", "output": "Hello dear, Wheezing and difficulty in breathing is caused due to bronchoconstriction (obstruction of smaller airway passages) which is indicative of Hyper-responsiveness of air passages. Management consists of:1. Stalin+ Aeroflot inhaler-provide symptomatic relief by causing bronchodilator (dilating the smaller airway passages, relieving the obstruction & increasing airflow to lungs).2. Montelukast preparations- used as a maintenance therapy to relieve symptoms of asthma.3. Antihistamines like Cetirizine and Xylometazoline nasal spray can also be used to provide symptomatic relief from congested nose.4. Also make sure that he is well protected from exposure to cold, dust or other allergens. If symptoms still persist, kindly consult a Pulmonologist for proper clinical evaluation. Wishing him a good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am a female age 42 height 5ft I weigh 142 lbs my blood pressure reading here at home is 190 over 120 I have been getting very bad headache and 2 mornings in a row I woke up with a very bad headache and very sick to my stomach could the blood pressure have anything to do with it?", "output": "Hello, Blood pressure can certainly cause the headache. So it should be controlled. You should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. Regular exercises like brisk walking, jogging according your capacity at least 30 min a day and 5 days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity. Get your lipid profile and sugars tested once. Visit the doctor and get BP medicine prescribed like telmisartan and HY Chat Doctor. Stomach problem mostly a gastritis and acidity problem. Do you upper abdominal pain, nausea, bloating, burping, increase in pain on food, sour water feeling in throat or chest burning, if yes it further supports the diagnosis? You should avoid fatty, oily and high calorie diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Lots of green leafy vegetables, fruits. Avoid smoking and alcohol if any. You can get prescribed tab Pantoprazole 40 mg before breakfast once a day for 2 weeks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am 40 yrs old female wt=65 kg ht= 5ft 2in. i have two daughters. my husband is also a teacher. i teach in high school. my problem is knee pain and some times pain in middle fingers quite often and pain in my leg below the knees. i feel that i am lossing my memory power or forgetfulness.", "output": "Hello, As most teachers are having similar complains about the back pain, knee pain, legs pain and radiating pain in the upper limb. These symptoms are related to the job profile. As teachers have to stand longer, teachers have no proper physical health care, always tensions and troubles etc. The reason for the pain in knees are due to early OA changes in the knee joint, and the leg pain is added to the standing for the long run. Pain in the middle finger is the reason due to cervical spine disc nerve root entrapment due to postural changes. I will advise for doing regular exercise which includes the strengthening of the neck muscles, upper limb muscles, inter-scapular muscle, knee muscles, leg muscles, hip muscles, core muscles etc. As these muscles are used in a wrong posture and repetitive stress injury is occurred to the tissues, joints and ligaments. Taking utmost care is important from now as most people ignore these symptoms and when the symptoms boom up it may lead to pain and aches to the maximum. None of the students is having a sense of respecting the teachers. But it's sad that most of our teachers s are suffering from the same issues and there is not much help from any student. I will request you to take care of your health and get selfish for it because we need teachers like you who have shaped the world of today. I salute you for being a great mentor to the community through its unheard and ignored by others. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I woke up this morning with a big lump in my right breast. The lump is as big as a golf ball. It is painful. I had this happened before about a year ago, the lump was in my left breast then and it was way bigger. I figured it was exposure to mold. You see, we rented a home in Missouri and they did not have a good air circulation. As a matter of fact no windows in the bathroom and the exhaust fan was not working. After each shower, the carpet will feel damp. Few days later, a smell of mold (spores) became very strong. That s when the lump appeared. After we vacated the house, few days later the lump subsided and never returned. Will this be the same phenomenon? I am 49 years old, all my mammograms have been normal.mary Or should I see the doctor now?", "output": "Hello hope the answer helps you. As far as my understanding madam all your screening mammograms are normal but recurrently having painful breast lump I don't know whether associated with nipple discharge or any wearing ulcer there, and you found that after leaving that non-ventilated house it settled, but usually such infections are more common in diabetics and immunocompromised people if you are smoking it can cause inflammation of breast ducts and stasis of secretions as PERIRECTAL MASTITIS.you TRY A COURSE OF ANTIBIOTIC AS amaryllis plus clavulanic acid 1gm BD for 7 days with some analgesic and hot fomentation and soft bra wear take it out at night. If not settled madam than consult breast surgeon kindly" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I slipped on some wet cement tiles today and landed on my left butt cheek, not my tailbone, and now I am in a lot of pain. I know you can t break your butt cheek, but what would cause so much pain. It is not bruised, it just hurts a lot. It is hard for me to walk and I can t sit on that side of my butt. My question is what could be causing so much pain?", "output": "Hi, Thank you for providing the brief history of you. As you mentioned the mechanism of injury we should understand that when ever there is a fall, there might be two things, either muscular injury or either a bony injury. Undergoing an MRI of the Lumbar spine will help provide some input. Sometimes due to fall there are chances that you may damage the soft tissue of the lumbar spine and also the bony alignments are disturbed. The reason for this is the whole load is borne by the lumbar spine as there is a tremendous thrust on the hip region due to fall. Most cases landing on the hip region during the fall, land into the injury of the lumbar spine and get misdiagnosed due to improper assessment plan. I will recommend undergoing an MRI of the lumbar spine to get assess further into the depth of the issue. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, Im 25 years old and have had cancer twice. I want to use propecia to help prevent more hair loss but the sight of seeing prostate cancer and breat cancer as two of the side effects that scare me. What, in your mind, is a ballpark percentage of me being diagnosed with prostate cance and/or breast cancer if I start taking procecia?", "output": "Hi, Thanks for writing in. Propecia is a 5-alpha reductase inhibitors group of medicine and contains finasteride which helps in hair growth. Treatment with finasteride reduces the risk of being diagnosed with low-grade prostate cancer. But there is an increased risk of a later diagnosis of high-grade prostate cancer. Please discuss with your doctor on the probabilities of alopecia intake causing a higher incidence of high grade prostate cancer in later life. At 25 years age you might not have any side effect but with continued intake the risk rises. Instead of taking alopecia you can apply lotion containing a combination of minoxidil and finasteride which works for hair growth. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am starting to get worried about my mom, she is 82 and have been noticing certain things with her, her memory has been terrible for awhile now, she is shaky, forgets where she puts things, she just had a server bladder infection this week, and was very confused which I found out it is very common in the elderly, she use to be organized and is not the best anymore with it, her older brother had alzimers and has passed away, I am going down to see her tomorrow and have a doctors appointment on wednesday to talk wiath her doctor,", "output": "Hello, welcome to Chat Doctor. She appears to have dementia considering old age, memory loss, disorganized behavior and history of Alzheimer in brother. Early cases of Dementia respond well to treatment by neurologist. If symptoms are recent in onset and associated with bladder infection, then there is need to rule out delirium due to poor medical condition in her case. Wish you good health and all the best. Chat Doctor. 99doctor.com" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Thank you so much. I had blood work done and they say my white cell count is high/normal AND I have had blood in the urine....an ongoing thing for a few years. (Had a series of urology tests, 3 years ago and all they said is traces of sar tissue ....But, the white blood cell count being high, is new. I see a urologist and a hematologist next Tuesday, June 24. Thank you for your reply. Glenda", "output": "Hi, dairy have gone through your question. I can understand your concern. There are many causes of high white blood cell count. Most common cause is infection. You have blood in urine, so you may have infection in your kidney or bladder or urinary tract. Please send me report of your complete blood count and urine examination so that I can help you further. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im wondering why my lips keep cracking in the two corners over and over. I get them to heal and then they crack again. I recently (8weeks ago) had my fifth surgery due to cancer... a Latissimus Dorsi Muscle reconstruction surgery. My doctor (LOVE him) used Exparel this time although Im NOT sure that has anything to do with it?... I need to get some relief that is permanent!", "output": "Hello, The most common causes for cracking of lips at mouth corners are collection of fluid and resulting fungal infection. This can also happen if a person has braces or has ill-fitting dentures. Nutritional deficiencies like iron, zinc and B complex vitamins can also cause this, but this is found in some occasions only. Treatment involves... Keeping your corners of mouth Chat Doctor. Applying an antifungal cream followed two hours later with 1%hy" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My father is 81 years and haven diagnosed for seizures.. He has. Been taking levipill 500 since feb 2011 . Morning 2 tab and night 2 tabs..will he have any side effects. He has reduced tab as morning two tab and evening one and half since three months.again he had seizures.is is because of reduction in medicine.now he is on IV with levipill. How will he stabilise?", "output": "Hi, Thank you for posting your query. Level (levetiracetam) is a safe medicine for treating epilepsy. His current dose of 500 mg two tablets- 1000 mg twice daily is safe. There is no need to reduce the dose, as dose reduction may cause seizures to recur. Epilepsy is a chronic disease, and needs long-term medications. There is no need to worry about his current condition, as he would recover soon. Best wishes, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i took an answer pregnancy test and 1 bold purple line showed up on the right side. Can I be pregnant?And also my atomic feels tight. Im dizzy all the time.I feel tired I get head aches all the time. Ive been using the bathroom alot. What dose this mean", "output": "Hi, You should read the test as positive if you get two positive lines. Please repeat the test after a couple of days with a fresh early morning sample if you are 3-7 days post your missed period. Else, you can go for the serum beta-ChatDoctor title estimation if you wish for an earlier and better confirmation as it is more specific as well as sensitive. Your symptoms are suggestive of a very early pregnancy, but need to be documented by an evidence. Hope your query has been answered. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My Ct scan showed that I have some component of fatty infiltration of the liver. Mild hepatomegaly. My liver measures 22 cm. No space-occupying mass in the liver or the spleen. No abnormality in the pancreatic bed. The gallbladder appears normal. Adrenal glands appear normal. There is no renal mass. No hydronephrosis of the kidneys. There is no aneurysm of the abdoninal aorta. No enlarged adenopathy. No free fluid within the abdomen. There is no indujration in the nesentery. Mild Hepatomegaly. Dinfiltration of the liver. Otherwise, negative comuterized tomography of the abdomen. I used to drink whiskey when I got upset or depressed about something, but quit just recently, and I dont want to drink any kind of alcohol ever again. What does this medical report that is written about my Ct scan mean? Also my blood work came back that I have good liver function, kidneys, and etc. Does this mean I have some kind of liver damage in areas of my liver? Since I dont drink anymore will my liver get better? What can I do or take to help my liver and entire body get back in shape and back to being healthier again? Thank-you for your medical advise, please write me back soon. YYYY@YYYY", "output": "Hi, many thanks for the query! Well, your report is not that bad to be worried so much, but the decision not to Chat Doctor. You should start some medicines for reducing fatty infiltration of your Liver with your doctors' opinion. Rest all findings in your report are normal, also it's good that your Liver function tests are normal. Do regular exercise, also yoga & meditation if possible. Wish you a good health. Take care. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doc! good day! i have a little problem but iam shy to go to doctor. i have a warts , a big one in my butt. color red. i notice i just had this when i gave birth. i dont know what causes it but im wondering if theres any home remedy that i can do to remove this/ i want to cut it but im scared cause it might worsen it. what can i do? thank you.", "output": "HELLO & FORUM AS MENTIONED BY YOU, THERE MAY BE SOME DIAGNOSTIC DILEMMA BETWEEN WARTS AND PILES. MASS FELT IN BETWEEN BUTTS ARE NOT VISIBLE TO CANDIDATE AND MAY BE PILES AND REMOVAL AT HOME WITHOUT EXPERT CONSULTATION MAY BE DANGEROUS. YOU SHOULD CONSULT TO DERMATOLOGIST/ SURGEON WARTS ARE CAUSED BY PAPILLOMA VIRUS AND ARE TREATED BY ACID BURNING BY DERMATOLOGIST/ SURGEON. TAKE CARE AND GET WELL SOON. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello dr, i would like to know whts the reason behind the flickering of lips as it happens to my husband and it continues for few seconds so plz would like to know what are the remedies n reason behind that thank u if u help me out to solve the query n would also like to know is it related with some heart problem or something serious.", "output": "Welcome to Chat Doctor! On reading your question I feel that you should meet a doctor in person and get your husband examined. Had I been treating him I would check his blood pressure, may need an ECG, routine blood tests. You have not mentioned if your husband is aware of these symptoms himself while having it or not? But still I think it will be wise to get a CAT scan head done to check if everything is right in brain. The symptom you have described can be in case of high blood pressure or may be due to some kind of minor seizure like activity in brain.... One can be sure of anything only after examining him and getting some investigations. I will suggest you that you should not ignore it. It doesn't appear to be dangerous at present, so please do. It panics but certainly warrants investigation. Hope you find the reply helpful feel free to ask more queries" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son (3 and half years) had febrile seizure due to high fever on 27.11.2014 was in hospital for 2 days. Since 30.11.2014, temperature above 100 F has not occured. But now he is vomiting whatever he eats. Has little bit cough also. We took him again to doctor and he said its due to gastric problem because of antibiotics (cefdinir) and asked to stop it. He prescribed Emeset (thrice daily) and Nexpro junior sachet (twice daily) for two days. But even at the end of two days vomiting is still happening. He had rice yesterday night and did not vomit. But today he had oats and vomited. Otherwise he looks okay. Better active than before. Earlier he used to turn away face from food. Now he eats but vomits after some time. The vomit is mainly watery and occasionally undigested food goes. He has loose motion at the time of giving antibiotics but has now decreased and seems to be okay. Should I continue Emeset and Nexpro till he vomits no more ?", "output": "Hi...looks like your son is on the recovery path from a viral illness. It is very common for kids to vomit during recovery period and in convalescence. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my names aj im a 19 year old male. For about a year now ive been feeling really weak and different like the begining of the year it wasent so bad it was just me feeling a little weak not really tired but over the months it has progressed my body feels like im 50 or something like an old man i feel worse when i drink water i get pain under my heart very bad stomach pains my neck cramps up i get weird feelings in my head i have like little dots when i look at the sky or in a dark room and when i look up at the sky it looks like there swimming around and looks of like a bacteria under the microscope on my eyes both of them theyve been there for 4 months my body does though freak out when i drink water my stomach keeps growling like its hungry and im not but then when i eat lots of food i feel better ive been to multipul hospitals doctors had blood tests done everything come back normal i have light colored stool everynow and then", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. I sincerely suggest that you are victim of your own negative thinking. You cannot term your current state of mind as clinical depression. Rather, this is just disappointment. Over and above, you are imagining things which are common to all people. The \"bacteria\" in your vision area is a common sight for everyone. Regarding your stomach gurgling - We broadly call it obsession. You had that disturbing sensation once. You expected it to happen again and tried. Then you started experiencing it as you were expecting it. Then your body brought the familiar symptom because you are expecting it. Then you started worrying that the symptom is coming again and again and expect it. Body brings it again as you are expecting it. You become worried and so on. That is obsession in simple terms. Ignore it and the problem vanishes. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I get stomach pains in the bottom of my Stomach, it isnt period pains because it doesnt feel like them, I get them every so often, mabye once or twice a month, they are really painful and they last for about an hour sometimes. Is there anything I can do to stop them ?", "output": "Dear friend you have recurrent this type of pain, so I suggest for sonography of abdomen to know the underlying cause if any. For the pain you can take simple analgesic like paracetamol+dicyclomine or for severe pain take diclofenac + Chat Doctor. If severe once got examined by your family doctor. Hope this answer will be helpful to you. For more queries please don't hesitate to ask. Get well soon." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Doctor , Good morning to u! My wife aged 49 yrs was having teeth problem due to gum disorders and had to remove 4-5 teeths. She was also transplanted with artificial teeth before 2 yrs. Since then she has been suffering from mouth ulcer . Now, her doctor advised her to use Candid v6 in her mouth for 6 days and to take centum tablets once a day for 30 days. If the ulcer persists after a week, the Doctor advises her to apply caziq oitment in her mouth. Can u suggest any other treatment for this ? Or is it advisable to use candid v6 in the mouth? Kindly give me ur expert advise in the matter.", "output": "Hi TMK KuttyWelcome to Chat Doctor. If she has an ulcer persisting for so long time, she should consider getting evaluated for the same. The treatment being given is appropriate. She can use Candid oral preparation for mouth fungal infection. I advise her to take vitamin B supplements to relieve from the symptoms. She should also use a mouthwash which is non-alcoholic like Hora. Hope I answered your question. If you need more information feel free to mail me. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My sons symptoms are (he is 30 Yrs old)... constant tingling, peeling, burning, swollen lips, he said, it feels like his lips are raw and have been cut constantly. Other symptoms right eye becomes blurry, feels pressure behing eye. throat is always swollen, and red... headaches often, not all the time.. upset stomach occasionally.. he is constantly tired.... never feels rested , just wants to sleep all the time.... (not like him normally).. he has much anxiety, dread, worry , fear, anxious, tightness in chest... Any thoughts? His insurance kicks in in a few weeks... he has been suffering since May of 2013...", "output": "Hello! Welcome and thank you for asking on Chat Doctor ! Your son symptoms could be related to an allergic reaction. A chronic infection or a metabolic disorder can not be excluded either. For this reason, I would recommend consulting with his doctor for a careful physical check up and some tests: - a sinus X-ray study-complete blood count- PCR, ESR for inflammation- thyroid hormone levels-vitamin B12 and vitamin D levels for possible deficiency-blood electrolytes. Further tests may be needed (allergy tests, etc.). Hope to have been helpful! Best wishes, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im female; almost 18 years of age, about 115 lbs, and about 510.\"b\"My symptoms began with a very sore throat and my gums felt strange. Eventually, I developed a minor earache, my gums became extremely swollen, red, and seem to be receding quickly away from my teeth, (because of the pain that goes along with the gum swelling, I havent been able to eat much- and only yogurt and jello when I do) and lastly, Ive had severe dizziness when I stand up, and soon after I began growing sick to my stomach and was unable to stand up for any period of time. After all the symptoms had hit their worst, I had a fever of 101 which weve been able to get back down to 99 twice. The person we consulted with said this was viral and I could only rinse with salt water and drink lots to wash it out. Is there ANYTHING else I can do to make the gums stop receding??? That is the worst part...", "output": "IIN regard to your query, as your doctor said it is viral infection, and please follow the instructions what ever he said. You can use mouth wash or warm saline gargling for temporary relief and inflammation also will come down.2. Coming to your receding gums it is very much clear that they are extremely inflamed once the infection the has come down only then exact status of your gums will be seen.3. Treatment for the receding gums you can visit your periodontist for the best diagnosis and the treatment as well. So finally nothing much to worry please visit your specialist dentist as mentioned. Hope I have answered your query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am having diffuse infiltration of fatty liver found during the ultra sound for prostate. Urologist said it to be normal. I do take a drug natrilix for B P and Remylin for vit B. I do have problem of bloating of stomach. Does Liv 52 cure the problem.", "output": "Hi, dairy have gone through your question. I can understand your concern. Mild fatty changes is common in liver. You should check your liver enzymes level. It indicates the severity of damage. Then you should take treatment accordingly. You should continue your other treatment. Avoid alcohol and high fat diet. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "The pads of my finger tips are tender. They feel like they were slghtly burned. I thought it was from typing as it was just the two index fingers that I se to tpye that were sensitive. Now two more are somewhat sensitive. Not sure if this is a symptom for soething else and whether I need to go see my Dr.", "output": "Hello, What I understand from history is, this should be related to the job profile. If you are kind of person who uses the computer more than you need to get assessed with an orthopedic for any nerve compression in the carpal tunnel. Due to carpal tunnel compression which happens mostly due to long hours and years of typing, and it needs attention. Once you confirm what the cause is then a physiotherapist will be of great help to you for the same. Also in carpal tunnel compression, these symptoms are common and need medical attention. Please feel free to contact me if you have any other queries. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Daughter who is 29, has 2 lumps in her left breast...a large one on the center top of her breast and a small hard one to the left of the areola. She got an ultrasound....the doctor told her it could just be hard breast tissue or could be a cystic fibroid. They told her to make another appointment in 6 months for follow up or come in sooner if there is any changes or pain. They did not suggest a biopsy. Is this sound advise? Or should she demand a biopsy?", "output": "Hi, Dear,Thanks for the query to Chat Doctor. I studied your problem in depth and I understood your concerns. Treatment for the lumps in your breast-left-In my opinion both these 2 lumps are part of the-Fibroadenosis and does not appear to be Fibroadenomas even, for which your doctor rightly advised you to re-examine after 6 myths time. I would advise you to have a Second Surgeon opinion, as you are worried much. You are quite young to have cancerous tumor and so you should be watchful for any increase in size of the lump-which are not malignant / or benign type, as they are caused due to hormonal imbalance and breast tissue responses to the imbalance of the cyclical hormonal changes. And Hence for further treatment I would advise you to Consult second ER Surgeon, who would treat it accordingly. This advice is based on the facts from the history you give and needs further clinical check.Hence, I would advise you to check with ER Surgeon. So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you. Hope this would relieve your problem. Welcome for any more query in this regard to Chat Doctor. Write good resume and Click thanks if you feel satisfied with my advice. Have a Good Day. Chat Doctor. N." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I fell on stairs a little over a week ago with my lower back on the right side hitting the edge of the step. I had severe pain which is lessening but I sometimes get a sharp pain when sitting down or standing up. It was diagnosed as a contusion but there is no bruise mark. X-rays did not show any breaks. I try to walk around a little bit and take 600 mg ibuprofen every 4 hours. Why no bruise mark if it is a contusion, how much longer until pain goes completely away and should I use any other type of treatment? I use an ice pack every few hours. Thanks.", "output": "Hi there, Thanks for writing in. Initial 24-48 hours after any injury, it is best to use an ice pack intermittently. However, now the injury is almost a week old, in which case hot fomentation would be ideal. Apply a small quantity of pain relief gel like voting(diclofenac gel) to the affected region of the back. Do not massage or rub the gel too much. Just apply it lightly. After half an hour or so apply a hot water bag/ hot fomentation to the affected area. Do the above at least 3 times a day. Reduce the oral intake of ibuprofen gradually. Too much of this pain relief medication can cause gastritis. Hopefully you should be completely okay in another week or so. If the pain persists or increases in intensity, please visit your physician at the earliest... Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I had an ultrasound and the report stares that presentation is cephalic and lie logitudinal, efw 2579.0g, ega 34 weeks 4 days, fhr 141bpm, placenta location is anterior, body (grade III), internal os of the cervix closed, no foetal anomaly seen. Pls, what are the negatives and positives here and issue I need to look forward to", "output": "Hello, In this case, your baby position in womb, weight, heart rate is absolutely normal. Internal OS of cervix is also closed and no anomaly seen, it is good. One thing I want to notice you that generally placenta location is posterior, which help for easy pregnancy. I will suggest you to consult with Gynecologist with report and take her opinion. As a physician, I think you should require regular follow up with Gynecologist. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 10yr son had slight fever, vomiting and diarrhea. was admitted for two days. relief from fever and vomiting. doctors say not to worry. now at home. no relief from loose motions even after 3 days. stools -watery. child exhausted. upper abdominal pain. can i give him lopamide. what dosage. any other advice please. thanks.", "output": "Hi.... Please do not use Operative. It is contraindicated in kids. It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi ! my son was diagnose with Lyme Disease after going to many MD and Hospitals just sending him to psychiatrist and psychologist Finally a MD from the Amen clinic send for some test to be done and the final answer LYME DISEASE He was on antibiotic for some time.Now I think he is having some Herx reaction. Any advice? Also why most MD even infectious disease do not understand this disease when so many people are suffering,and there so few LLMD in the USA and people have to travel to other countries to be treated.See when there is no answer we play psychology right?", "output": "HI, I understand your concern. Her reaction is bodies response to death of bacteria due to antibiotics9 Because of endorphins released by bacterial death. ) the signs & symptoms vary from chills/ fever/ hypotension to more sever symptoms like shock. So management has to be done with close observation of patient (in hospital if needful) ranging from simple anti-inflammatory Chat Doctor. IV infusions. Psychology plays 50% role in all symptoms." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am on birth control and took one more active pill than I was suppose to last month, hoping to delay my period by a day. But my period never came. My next period is expected next week. I ve been really nauseated, exhausted, cramping, spotted yesterday a little, been running a fever, and can only eat things that I am craving. Is this due to messing up my schedule or could I be pregnant?", "output": "Hi, Chat Doctor. I Think I have understood your concern. If you had regularly consumed the birth control pills and added only one more pill, you were totally protected in that. Cycle. If you have not started your periods within ten days of stopping the pills and your most of the symptoms ate that of early pregnancy. I will suggest you to get mornings first sample of urine tested for pregnancy. If it is negative then you can wait for menses to come. But Please observe another contraceptive method like Condom. Even if it is positive, you can opt for termination of pregnancy with medicine safely till 9 weeks of pregnancy. I hope this answer helps you. Thanks " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HiI recently had root canal treatment for an abscessed upper front tooth. Have one more treatment to go.Since trouble with my tooth I am experiencing ear ache/pressure in both ears, facial and general discomfort in my gums. I am experiencing nausea intermittently, also an unpleasant bile type taste in my mouth. I also have a blocked left nostril which I think is sinus related Have you any idea what may be occurring.? Cheers Jennie", "output": "Thanks for your query, I have gone through your question, the discomfort in the face and gums could be because of the infection in the tooth. This will be reduced once you complete the course of antibiotics and treatment.....the nausea could be because of the antibiotics and analgesics due to gastric irritation, you can take antacid with antiemetic.....the pain in the ear could not be related to the front tooth infection...consult ENT specialist for that... I hope my answer will help you...take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i have a friend who is on dyalasis and in need of a kidney transplant ... a good friend of hers offered and was matched perfectly except for one issue her freind has a low creatine level and they said that she may need both her kidneys to cop with it ...my question is this its two fold.. one .. are they merely beign over cautious in the donor matching process and two is there somehting that can be done medicinally to help her keep a constant level if she does donate the kidney ?", "output": "Hello and welcome to Chat Doctor. As a Urologist and transplant surgeon, i can understand your anxiety. Your questions are mainly in the interest of donor and recipient.First, understand that a donor is not a patient. At no cost, will a doctor harm a healthy person, volunteering to donate organ.1. Maximum caution will be taken, to keep a donor healthy, after surgery.2. If creatinine level is low in a potential donor, that person will never be considered for organ donation, as his/ her health will be compromised. Hope your doubts are cleared. You can send me a direct question, to me. Chat Doctor. Manga." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my boyfriend has been having a skin problem for the last month. The only life change he has had is a job change in the last month. He works at Pep Boys now. He keeps getting huge really itchy lumps under his skin. They have appeared on his back, face, feet and arms. He can sooth them with a warm towel. They seem to itch more at night then during the day. He is awakened from the itchiness every night. Clothes seems to irritate them. They last for about three days and then go away leaving a red mark behind. More appear later around the same area the last one appeared in. He does not have any health insurance or the funds to go to the doctor right now. Can someone please give their professional opinion and help him.", "output": "HelloThanks for posting your query.It's very difficult to give an opinion just based on a description. It's important to see the lumps and then advise. However, from the history that you provided it could be urticaria or hives. The treatment would be taking an anti histamine like tablet Allegra once a day and tablet clarity once a day. He can apply cortisone cream mixed with newsprint cream on the lumps twice a day. He can try out the treatment for a week but if it doesn't help then he needs to consult a doctor who can examine him. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 80 yr old father just had a minor procedure done to evacuate the blood due to a sub dual hematoma . He does not have a history of history of seizures. He has been prescribed eptoin , do not know the dosage, for a period of one year. Is this common? He also takes medicines for BP and adult onset diabetes . What is your advice?", "output": "Hi Rama S V, The Option has been prescribed in an attempt to prevent occurrence of seizures. It is not uncommon for this medication to be prescribed after neurosurgical operations. However, there is usually not an increased incidence of seizures following evacuation of chronic subdural hematoma. As far as your question regarding the duration of taking this medicine goes, there is no hard and fast rule and practices vary from giving it for a week or two to much longer periods. This is according to the preference of the treating physician and practices vary. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m 34yrs old 207lbs & 5ft 7in I m swelling in my ankles/feet/& legs again however feeling numbness/tingling/pins & needles in my left leg more then my right. Firstly is that bad - ie the pin & needle feeling in such a case or not - already plan to go to the ER was just looking up info til my ride gets here", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have swelling and numbness along with sharp pain in my knees. Well there can be many reasons for symptoms you mention in query like osteoarthritis, rheumatoid arthritis, gout, ankylosing spondylitis or bakers cyst. I would suggest you to lose your weight by doing light exercises like yoga and altering your eating habits, apply warm compresses to knee and take ibuprofen or acetaminophen for pain. Consult orthopedic surgeon for proper examination. Doctor may order CT scan along with MRI to confirm the diagnosis. Doctor may recommend surgical removal of cyst, prescribe antibiotics, anti-inflammatory or muscle relaxant. Doctor may also recommend physical therapy. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my daughter is 2.5 yrs old and has eczema since a year. Gradually she lost appetite and now has also lost weight and very fuzzy in eating. Her itchy skin has become better after a routine skincare regime and utmost care in and out. Using cetaphil cream, sometimes also olive oil, on her skin and Vit D drops everyday. Its been a year since she slept full night (I think because of both her itchy skin and hunger). Would you please help a distressed child and an overly exhausted mother of two, by prescribing a good medicine?", "output": "Hi.I understood your problem. The concerning points in your child Chat Doctor. Probable diagnosis are1. Severe eczema2. Langerhans cell Pinocytosis (LCH) - diagnosis is considered when eczema does not respond to usual eczema therapy. Try following therapy1. At alga shampoo2 Disown cream twice a day for 1 month3. Cetaphil cream4. Ted bar soap follow above treatment regularly for 6 weeks. If not responded for above treatment, get skin biopsy. Regards-" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, ive a very weird problem, i started masturbating at the age of 10-11. i started with my right hand, in starting it was all good then i started to get this numbness when i reach orgasm then i day i got a serious seizure my hand stuck n started twisting then i fainted..it happened twice in 2002...then i started masturbating with my left hand it was good but then the same thing happened & i got 2 seizures in 2010 dec & 2011 jan upon reaching orgasm. Now i use pillow coz i cnt masturbate with my hands anymore & due to that my both hands started shaking i cant hold anything for a long time & i get this weird numbness, the same numbness i get before seizure now ive hold something in my hand like towel or handkerchief to stop that numbness. I went to the doctor he asked me to get an EEG & ct scan but they found out noting so they came to conclusion that i have anxiety & now m taking medicine for that. I m also asthmatic & i do take inhalers sometimes.", "output": "Yah look like anxiety but cannot rule out any other possibility with this you are having asthma and allergies have many such patients who behave like this if food is causing problem like wheat or milk in your case fit for gluten or wheat as this starts like this as you rote and ultimately end u in asthma get blood test for specific antibodies for milk wheat potato and other common food you take eliminate, and you can be better in 3 months" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, im 19 years .... i cannot retract my foreskin when penis is fully erect but i can do it in flaccid state. However,if id retract it every day for cleaning, that would cause fissures - the foreskin is sticking to the glans, so when it is retracted small pieces of the glans are tearing ... and it even got blood one time. Please tell me, should i do something different when i retract it ? Is it normal for foreskin to be sticked to the glans ? i am really afraid to retract it, i do it only 1 time per week maximum", "output": "Hi and. I think you are suffering from fibrosis, Mitosis is the inability to retract the foreskin behind the glans in males. Physiologic fibrosis is the normal condition in which child Chat Doctor. The inability of the foreskin to retract can lead to difficulty cleaning of the area which can cause Atlantis, there can be difficulty or painful urination, painful erection, or paraphimosis. Your doctor can diagnose fibrosis based on a thorough history and physical examination. Additional tests are usually not necessary. The first choice of treatment is usually a steroid ointment that is locally applied. This treatment has shown a success rate of over 70%. The ointment softens the foreskin and is applied for 4 to 6 weeks. Once full retraction is possible the ointment is discontinued. If the steroid treatment is not successful, a circumcision might be beneficial. When penis is fully erect the fore skin should retract without any problem, but in your case you have mentioned that you cannot retract it completely which is not normal. Please consult a surgeon, and he will examine you and may suggest a small surgical correction called Circumcision. After the surgery you will be discharged on the same day. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had stomach surgery for an ulcer in December 2011 I had hernia surgery in June of 2012. they had to cut out 6 to 8 of my Colene. My left calf swells up after being on my feet for a couple of hours. I had a leg ulcer on that same leg that has healed up. I also have severe itching on different parts of my body. if I take claritin allergy pills when it occurs the itching goes away.", "output": "LOT OF ANTIBIOTICS AND VITAMINS MAY HAVE CAUSE OF ALLERGY IN YOUR CASEY HAVE TO BUILD UP IMMUNE LEVEL TAKE SETTLING 1 TAB BD FOR 3 MONTHS3-4 GLASSES OF WARM WATER IN MORNING WHEN YOU WAKE AND REPEAT AT NIGHT WHEN YOU SLEEPS TOP ALL OILS MUSTARD, ALMONDS,COCONUT, GROUNDNUT AND SOYABEANSAPPLY OLIVE/AMLA MILFORD FOOD COOKING TAKE OLIVE OR SUNFLOWERAPPLY HISTOCALAMINE OVER BODY KE ALLEGRA 120 MGM WHEN REQUIREDTAKE FOOD WHICH BUILDS YOUR IMMUNITY YOU CAN CHECK IN YOU TAKE TAB QUINIDINE 150 MGM MORNING AS YOU HAD ULCER THIS WILL ALSO COVER THE ALLERGY PORTION" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My index finger is beyond itchy & swollen. Burns when it touches water or scratch it. Hurts to bend or the knucle. I dont know why its doing this. Started last night. Im freaking out. Been having horrible allergies & bites all over past 2 weeks too. I sprayed my bed for bed bugs but this finger thing never happened. First time!", "output": "Hello, It is likely that you are suffering from a generalized acute urticaria and angioedema episode. If there is no fever, abdominal pain or breathing trouble then the situation is not that serious, but apart from long acting antihistamines like Allegra, you will need corticosteroids to overcome this acute episode. Please see your doctor regarding this prescription. There are certain Chat Doctor. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 39 year old mother of two aged 5 and 15 years. I have a receding chin which was a major cause of concern for me affecting my confidence level. However, now Im planning to go for a genioplasty augmentation in two months time. What I would like to know is that at my age will the healing be much slower ?? Will I ever get back my lost sensation ? Please help since my family is against me going for it now. Please also let me know what are the other risks involved in sliding genioplasty at my age. Thankyou.", "output": "Hi, If you are otherwise healthy, then there should not be any issues with bone healing even at 39. The sliding angioplasty will be fixed with plates and screws to help keep it in place till the healing occurs. Another simpler option if you are only looking at cosmetic augmentation is to go with a Chin augmentation using implants. This would be a simpler option in the sense that there is no bone cutting involved. You can meet your local plastic surgeon to learn more about it. All the best for your procedure. Chat Doctor. Cosmesisindia.com" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi im 18yrs old and a boy, i have a question why would i have difficulty in maitaining a erective during intercoarse but not during oral. I have had my blood tested and i was told my level are in normal range what does that even mean?What kind of dr would i see?", "output": "Hello share your concern When you are getting adequate erection during oral sex than there should not be any organic lesions you need not to worry should make your act more conducive to vaginal sex rather than oral. Assume and maintain good and comfortable position during sex. If it doesn't improve than you should see a psychologist for further evaluation and course of action. Hope this answers your question Best wishes" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had a cough and mucus/flem issue from my nose and lungs for two months now. It has really started to hurt, it gets worse at night and once I start coughing it is hard to stop. I don t smoke and I m not around smoke. I sound like a smoker and would blame it on that or second hand if I was exposed to it, however, I m not. It is slowly worsening but my tissue use has slowed down. Do I have cancer :(", "output": "Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion you should consult pulmonologist and get done 1. Clinical examination of respiratory system. 2. Chest x-ray 3. PUT (Pulmonary Function Test). By your symptoms and history, possibility of asthma or bronchitis is high. Chest x-ray is needed to rule out lung infection and lung cancer. PFT is needed for the diagnosis of asthma or bronchitis. It will also tell you about severity of the disease. And treatment is based on severity only. So get done PFT. You may need inhaled bronchodilators and antihistamines Chat Doctor. Don't worry, you will be alright. Consult pulmonologist and first diagnose yourself and then start appropriate treatment." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im a 42 year old Male, I recently was diagnoised with a UTI, after a 2 weeks of antibiotics, i still have a buring sensation in my penis and it continues to throb all day. I went back to the Doctor and they said it could possibly be a prostate infection, and gave me 4 extra days of antibiotics, i seemed to be getting better but now after two weeks the burning is back", "output": "Hi, It seems that you might be having some chronic infection in your urinary tract or prostate. As antibiotic has poor action there might be having bacteria resistant to this medicine. Go for urine check up and culture sensitivity test. This will give specific bacteria causing this infection and specific antibiotic medicine working against these bacteria. After report go for antibiotic medicine course for long time to get permanent cure. Take plenty of water to flush out infection. Ok and take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Yes and thank you.My sister has had a tummy tuck,several years now,and an emergency surgrey in N.M.,for removal of an overy,after they got in they couldnt find one overy,explored a bit,had to go thru several layers of adhesions.The 40 min.surgrey turned into 4 hrs.Wow,did we freak!ok,now after this she has constant smelly drainage from her belly button and pain in her lower intestines,pain when having bowel movements,pain in her belly button,around and below it.She has been to consult,after consult and a couple more surgires to pinpoint the problem,to no avail ,I am worrried,she is my only sister and very dear to me,im scrared for her.", "output": "Hi. Thanks for your query and an elucidated history. Smelly discharge from the belly button and pain is suggestive of the following things :-Umbilical granuloma-Patent vitello-intestinal duct-Patent Uranus. In case of your sister with the history of multiple surgeries, it is possibly due to an infection. The bowel might have been stuck from bellow the incision line and causes pain ... A small fistula can lead to a recent discharge. Treatment is re-exploration and excision of the tract along with the umbilicus to get a cure" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "The last three months I was doing IUI treatment which I did 2 cycles but both were negative. In 2015 I did IUI and first try came back positive. So my question is does my age and overweight have to do anything with not be able to get pregnant this time or do I need to take medication to balance out my hormonals? Right now my wieght is 235 age 30 about to turn 31. In 2015 I weight 215 and was 29.", "output": "Hi there, I have understood your concern and I will suggest you the best possible treatment options.First do not panic. You are right in judging that increased weight can be on of the factors that can affect reproductive hormone system. Please opt for a healthy diet and regular exercise regimen. Include more portions of fruits and vegetables and salads in daily diet. Avoid refined sugars and deep-fried foods and bakery products in the diet. Please check height for weight, body mass index should be around 23. To know about the ovarian status, FSH LH AMH and prolactin levels should be done on day 2 of the cycle. Post menstrual HSGHysterosalpingography, will be of help to know about the patency of the Fallopian tubes. I hope this answer helps you. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a red hard lump under the skin on my calf about half way down. it has been here for a couple of weeks. it started small as a red mark. I thought it was a bug bite when it happened. now it has grown is red, sore and warm to the touch ad much larger. it is larger than the size of a silver dollar. any ideas?? should i see a doctpr?", "output": "Hi. Thanks for your query. This is certainly suggestive of a spreading infection or reaction. You should consult a Doctor to make sure a diagnosis by clinical examination. You may need prescription based antibiotics, anti-inflammatory medicines and steroid if your Doctor feels so.They are of the calf is nasty in healing pattern and behavior, so better to be more careful. Let us not take this as a simple boil or insect bite." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im having really bad chest pains to the left side right under my breast, and also having shortness of breath. It hurts for me to breath in, kinda feels like someone is squeezing my heart. Any idea what could be wrong or how i can get rid of the feeling?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. You're all symptoms are suggestive of heart disease (angina, Coronary artery disease - CAD, congestive heart failure - CHF). So consult cardiologist and get done blood pressure monitoring, ECG, 2d echo and stress test. If all these are normal then no need to worry about heart diseases. Sometimes anxiety and panic disorder can also cause similar symptoms. So avoid stress and tension, be relaxed and calm. Don't worry, you will be alright with all these but first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My period was a week late in February and then two weeks later I was having brown blood spotting, and sometimes is was a pinkish red. This lasted for about a week. Im starting to have headaches, be really tired all of the time, and my lower back hurts. Ive been feeling really nauseous the last couple of days and have a heightend sense of smell. I dont know if these may be pregnancy signs or not tho. Do you think you could help clarify for me?", "output": "Hello, I have gone through your query and understood the concern. If you have always been regular with your cycles and are sexually active, you need to exclude/confirm pregnancy in the current scenario. An estimation of the serum beta-ChatDoctor titles along with a trans-vaginal sonogram is the best way out to clarify the situation. Your symptoms can happen with a very early pregnancy, but a proper confirmation is necessary. If positive, this spotting should be monitored, the viability of the pregnancy assessed and further management given. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have this weird whooshing feeling in my left temple. Like, a little bit of pressure all the time, but every once in a while it speeds up to a whoosh like bugs or something are crawling outwards from the temple. It doesn t hurt, it just feels really weird. If it s just stress or anxiety then so be it. Just concerned it might be something more.", "output": "Hello The symptoms you have described like whooshing feeling in left temporal region and pressure are not typical symptoms of anxiety. They may occur due to other illness, it may be Migraine like headache, due to some somatic symptoms of depression, High Blood pressure, anemia etc. I would advise you to please mention your symptoms in detail or visit a good Psychiatrist for proper evaluation of symptoms. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi igot bit by something around my ankle 3 days ago within a half hour the next day it started to get this dark red mark I went to my DR Friday he put me on antiobodics today it seems worst my dr said to watch for sepsises what is it and when should I go back to dr or er", "output": "Hello, welcome to Chat Doctor, Sepsis is a condition in which your body, in order to fight an infection, starts an inflammatory response throughout your body. This body response can harm your other organs like kidneys etc. In order to say if you have got sepsis, you must have 2 or 3 of the following symptoms-Fever 101 F or more-Heart rate greater than 90 a min-Respiratory rate greater than 20 a min-Probable infection Please take your antibiotics, Always do a culture and sensitivity test before starting antibiotics. Hope I have answered your question. WISH YOU BEST OF HEALTH!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have a severe sneezing problem and i use to have continuous 20-30 time ........i have checked with doctors earlier n they said allergic problem......bt i didnt get any proper medicine. at the same time i got severe pain in my head n not able to concentrate....... my back also pains at the same time...... earlier i had pneumonia attack twice ....... n nowadays even eating fruits cause me sneezing...........plz advice me whts to do", "output": "Hi, Thanks for posting your query. With the available described symptoms, there appears to possibility of allergic Rhinitis. Persistent sneezing with associated headache suggests the diagnosis. You should consult with internal medicine specialist/ ENT surgeon and should go for thorough check up. You should go for chest x-ray, erythrocyte sedimentation rate and complete blood count. As such there appears to the least correlation between present symptoms and past history of pneumonia. You should take montelukast with levocetrizine, Milton for relief of your symptoms. Sneezing relief also cures headache. You should also use Elastane nasal spray. Take steam inhalation for better relief. Take care," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 7 year old son has had a constant virus since the middle of January. It consists of severe headache, fever (100-102), sore throat, vomiting and fatigue. He has seen his pediatrician multiple times and has been tested for strep each time. The strep test has been negative each time. He recently had blood tests conducted and all of the results came back normal. The symptoms seem to get better after 4-5 days and then 2 weeks later he has them all over again. I am extremely concerned and not sure what more to do.", "output": "HI...by what you quote I feel that your son might be having a recurrent viral illness. To relieve your distress I will tell you how a viral illness behaves. So that you will be in a better position to understand. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "1. I have notice a pea size lump that has traveled in both legs notice mostly in my groin and thigh at different times. IS this a clout???? I am also a heart patient with a stent in my main artery. Cardiac cath last performed last year stenos is constantly showing 40 percent. 2. How relevant is this or how dangerous.???? 3. I have also been having random chest spasms when sleep sitting driving eating not necessary when active is there any correlation and how do I treat the spasms?????? I never got an answer from you all on a previous query", "output": "Hi, Dear,Thanks for the query to My Chat Doctor Clinic. I studied your query in depth. I feel concerned about the worry you expressed. In my opinion-1-the lump in your groin and thigh in both lower limbs-doesnt appear to b a clot. To opine on it more info is needed about it.2-As such this fear is irrelevant and it's not a moving clot-as thought by you.3-The spasms you get need to be consulted from your cardiologists who put the stent. In my opinion if appears more of neurosis or anxiety related-as they are all over and untimely. Treatment-would be-a-Consult your cardiologist at earliest.b-Tb-Ranx -500\u00a0mg if the spasms or the discomfort recurs and for the time being Only.Don't use after consulting your Cardiologist-as its temporary advise. Hope this would help your query. Wellcome for more queries to Chat Doctor. Have a good day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "2-3mm right disc herniation at L3-L4 level related to proximal desending right sided nerve root what is done for this. also multilevel lumbar spondylitic changes lateral disc herniation. Lateral herniation at L2 L3 YYYY@YYYY mullti level spondylitic changes an disc bulging at other levels Female 54 years old", "output": "Thank you for contacting Chat Doctor. The report describes multi-level disc prolapse with nerve root compression and spondylitic changes. Treatment depends on symptoms and examination findings. In the initial phase, physiotherapy is very useful. This includes back extension exercises, traction and use of treatments like IT, ultrasound to relieve pain. You can get more details after contacting your physiotherapist. If the patient has pain, neuropathic pain medications are useful. This includes pregabalin, gabapentin, amitriptyline, etc. These are prescription medications and your GP/neurologist can prescribe them. In about 10% of cases, surgery may be required. Surgery is required in patients where medical treatment has failed or if there is severe leg pain, or as decided on the basis of clinical examination. Best wishes, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Sir, I have been suffering from TB. I have gone through Pre Employment Medical Test Ffor middle east. The medical center had given me UNFIT report due to Spot on Lungs (Fibrotic Shadow) I s there any medicine to vanish this spot by treatment. Best Regards", "output": "Thanks for your question on Chat Doctor. Sorry to say, but there are no medicines available to remove these scars. Scar tissue is dead tissue and so harmless that's why medicines are not available as it is not a disease. It is due to heal process. In lung tissue any insult like infection, trauma can produce healing by either fibrosis or calcification. And these gives' appearance of scar tissue on chest x-ray. And this will remain as it is throughout the life. One thing you can do. Get done CT THORAX and bronchoscopy with BAD (BronchoAlveolar Lavage) analysis for TB. If both these are negative than you can assure medical center that you are not having active TB, the scar tissue is old lesion only." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have recently noticed what appears to be a discharge from my penis, its black and looks like it consists of filament like material. I had a urethoplasty 9 years ago with no problems since. I do have a bladder diverticulum that Ive had for about 15 years (this apparantly caused the stricture or vice versa). Anyway, back to the discharge, it is painless, no pain upon urination, no erection problems. The amount of discharge is minute and occurs about once every three days. It is relegated to the head of the penis, usually around the opening. Due to my urological history, I am followed pretty closely. An MRI done about three weeks ago showed no abnormalities. Any ideas? I am not currently sexually active since I broke up with my girlfriend about a year ago; we were both monogamous and we were together for about 10 years.", "output": "Hi, Welcome to Chat Doctor forum. You had arthroplasty 9 years ago. You also had diverticula of bladder, and stricture urethra 15 years back. Now you have got pain less, color less discharge, which is sticky. It may not have any relation with the previous incidents. As you describe it appears to be the physiological, discharge of the prostate gland which usually comes before the semen comes, as you are lack of sex it might be appearing like this. Wishing for a quick and complete recovery. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a roomate that must have everything in order in the dining room and kitchen, if there are papers or anything on the dining table she must remove it, she has to have nothing out of place out of the ordinary, things cannot be left on the kitchen counter, sink etc. is this a form of OCD?", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. Obsessive compulsive disorder is being compulsive towards something obsessive. Obsessive thinking leads to compulsive behavior. You shall get every symptom's if you look up in google. But Don't get carried away. Differential diagnosis is very much important in psychology. Only an experienced psychologist / psychiatrist can diagnose correctly and therefore, I request you to consult a psychologist / psychiatrist. If you still need my help, please describe the whole problem in detail and post a direct question to me. I shall definitely help you with psychotherapy techniques to overcome your problems. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a chronic infection of Staph Aureus in my lower spine for which I have been treated since 2010. In the past three months I have developed pain in both jaws as well as teeth. It started as an occasional occurance, and is now nearly constant. It is a sharp piercing pain. Could it be related to my infection? I hate to bother my infectious disease doc as he is so busy, but it feels too widespread for my dentist. Suggestions? Advice? Thank you.", "output": "It could be related to spread of the Staph aureus, in which case I am sure your infectious disease doctor would want to know about it. But I recommend you do check first with your dentist, as it could be something else. You could have temporomandibular joint syn Chat Doctor. This can cause pain in teeth and jaws. The dentist can get a panning x-ray view of your jaws and all your teeth and see if this is a possibility. Treatment would be quite different, as this is not an infection. A dentist could also check for other conditions that could be causing the pain. I suggest you start there before assuming this is spread of the staph. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I feel like Im pregnant. I had sex 1 weeks ago but I have some symptoms. I cant tell my mom & I need some home remedies to abort the child. Im on birth control but I was taking it 3 hours apart everyday & you arent supposed to do that. No condom was used", "output": "Headfirst of all Purchase a Urine Pregnancy Test kit and confirm the pregnancy, or lac of thereafter. For all you know, you might not be pregnant at all. That is after you have missed your period. Best time to test for pregnancy is 3 weeks after an unprotected sex for best and accurate results. Secondly, abortion is no joke to be done at home using home remedies. There are certain protocols to be followed. If you find the result positive then approach a Gynecologist for help. There are pills available, but this can not be purchased/ consumed without a doctors' guidance. Follow what he/she advises you to. Thirdly, Try to relax. Stress delays period. Try to ensure discipline in your contraceptive practice to avoid such stress. Hope this was helpful. Warm Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI I have a small, hard lump slightly of centre at the end of my sterum, If i look down while breathing out and pulling my tummy in its quite obvious, its noticeable. Its not attached to skin by seems to be on the process thing where last ribs meet.", "output": "Thanks for your question on Chat Doctor. By your description and history, I think you are talking about typhoid process. It is terminal part of sternum and in some individual, it is separate bone and can give feeling of hard lump on touch. So mostly it is typhoid process of sternum. So no need to worry much for this as it is a normal thing. But better to rule out other things by ultrasound examination of local part. If ultrasound is normal then no need to worry about this thing. It is normal typhoid process." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, Yesterday I was thrown off my horse into a hard wall and fell underneath the horse. He stood on me multiple times (have pretty hoof print bruises). I didn t know until about 4hrs later when I took my boots off that he had also stood on the side of my ankle. The swelling and bruising is relatively bad. I can t see any bone of my ankle due to swelling. There is still heat almost 24hrs later and I can still kind of move my ankle but cannot touch it and even my pants hurt if they brush. I can walk still so can t imagine its more than a surface injury but is there anything I can do to aid in a speedy recovery?", "output": "Hi there. Thanks for your question at Chat Doctor. Rest, Analgesics, Ice and bandage application usually help relieve the pain and swelling associated with ankle injuries.However, if the pain still persists 48 hours after injury, which gets aggravated on standing or walking, it needs further evaluation. I would suggest you to be seen by a physician in person since your pain still persists. Based on the examination an X-ray may be required to rule out fractures. It is also top to be noted that a severe soft tissue injury (ligaments and muscles) can cause pain as severe as pain associated with a fracture. Hope this helps. All the best. Regards. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "ive been to the doctors today to tell them that i dont really think that the antidepressant mirtazapine is helping me....it does keep me calm but ive been getting restless legs and a little agitated..but i found out to today that i need other medication i take increased which has made me a little worried and now im wondering whether coming off of it is the best course of action after all..should i wait a little while longer????", "output": "Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. If mirtazapine is not helping you then the other options are Escitalopram or venlafaxine etc. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi im parul suffering endometrosis. i have no child.i tryed two time IUI but it failed. so sugest me how much possible to pregnency", "output": "Endometriosis is commonly seen during the reproductive years, endometriosis occurs in roughly 5-10% of women. Symptoms may depend on the site of active endometriosis. It's main but not universal symptom is pelvic pain in various manifestations. Endometriosis is a common finding in women with infertility. Consult infertility specialist, if possible go for IVF, depending on your age & pocket. Disclaimer" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "SINCE LAST 5 MONTHS, I HAVE BEEN DETECTED FOR PUSS CELLS IN URINE.I HAVE BEEN TREATED WITH TOP MOST ANTIBIOTICS( IV) AT YASHODA SUPER SPECIALITY HOSPITAL HYDERABAD FOR ABOUT 14 DAYS. PUSS CELLS NUMBERS HAS COME DOWN FROM 60 TO 12. AND AGAIN THE PUSS CELLS INCREASED TREMONDESLY. LATER ON TRIED FOR HOMEOPATHY MEDICINES FOR A MONTH. AGAIN MY PUSS CELLS HAS COME DOWN TO 8.BUT I WAS CONTINOUSLY GETTING FEVER, BACK PAIN & VOMMITING.AND BODY WEIGHT IS COMMING DOWN. I LOST ALMOST 20 KGS BODY WEIGHT.RECENTLY I APPROACHED PRAMILA HOSPITAL HYDERABAD FOR MY AILMENT. AFTER PATHOLOGICAL TEST / SCANNING ETC I WAS TOLD THAT I NEED TO UNDER GO PROSTATE SURGERY AS URINE IS GETTING RETAINED IN THE PROSTATE. FINALLY I GOT MY PROSTATE OPERATED ON 04.10.2010. AND THE ORAL TREATMENT IS CONTINED SINCE THEN.BUT STILL NOW MY PUSS CELL COUNT IS AROUND 60.AND SERUM CREATININE IS 3.1.WHEN I ASK MY DOCTOR ABOUT PUSS CELL COUNT, HE SAYS IT MAY BE THERE FOR ANY PERIOD IN FUTURE AND NOT TO WORRY.ABOUT SERUM CREATININE, HE SAYS ONCE THE PUSS CELL COMES DOWN THE CREATININE SHALL COME DOWN AND NOT TO WORRY.MY WORRY IS THAT I AM GETTING FREQUENT FEVERS & CHILLS AND UNABLE TO CONSUME FOOD.PLS ADVICE THE BEST IN THIS REGARDREGARDSB G SRIDHAR0000 YYYY@YYYY", "output": "Hello, thanks for using Chat Doctor.I had gone through all the data posted. First thing is what was your urine culture report. Because antibiotics have to be tailored against the organism. We generally start on broad spectrum and change to specific antibiotics once we get culture report. Second is if pus cells are present is it genital Tuberculosis. Sterile Syria where urine culture may be sterile but pus cells Wii be present continouslyfor this we need to do AFB stain in urine in morning concentrated sample Kindly update me all your reports so that I can give more opinion on your problem. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello im 14 years old and ever since i was in grade 3 i have been getting sharp chest pains near my heart.it hurts so much that when i get them i have 2 freeze and try 2 breathe. they last up to 5 minutes long and i usually get them 2-3 times a week. Today iv had 4 very painful ones and im getting scared! i need help!", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Teenagers are more prone for anxiety and panic disorder. Your symptoms are more suggestive of panic disorder and anxiety. But better to get done ECG and 2d echo first to rule out cardiac cause for symptoms. If both are normal then no need to worry about heart diseases. Consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Don't worry, you will be alright. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son went camping last weekend, waking with chafed swollen lips, and itchy roof of mouth. I gave him Benadryl, and hydrocortisone for his lips. This helped, but did not take it completely away. Same symptoms persisting this morning. What should I do?", "output": "Hello. Thank you for asking at Chat Doctor. It seems your son has got angioedema involving lips. This is a swelling involving deeper tissues than skin, and usually it takes a few days to disappear. I would suggest you to give your son an oral antihistamine & montelukast daily for 3-7 days depending upon response. Hope this will help you. Wish your son a fast recovery and best of the health. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i just got word of my 85 yr old mother falling and xrays show a broken hip.. i am a ways away, have sisters and brother following her to hospital.. being transferred for surgery.. she is type 2 diabetic. on blood pressure meds.. had a stroke with little effects about 15 yrs ago.. concerned about anesthesia... she stays quite active.. just concerned...", "output": "Hello dear, I can understand your concern regarding your mother. I will say you have patience, it usually takes much more time to heal in elderly patients. Since your mother is known case of diabetes type 2, it will furthermore slow the healing process. As per Anesthesia is concerned, I think her anesthetist must know about her history, they will manage it well.please rate my answer if you found it helpful. Best wishes for your mother s health. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, Two weeks back i was detected ITP and doctor started wylosone 45mg. My question is I feel always tired and fatigue since before starting medicine and still now. Why? I not able to walk more distance my breathing started fasting. I not feel still any better health after starting steroid. Why? Is tiredness is the part of ITP?", "output": "Hello dear thanks for your query at ChatDoctortiredness is not part of ITP. It could be due to steroids. Steroids can cause tiredness and restless less. But your saying tiredness is before starting steroid, other causes should be ruled out.important because I would consider here is anemia, it can cause fatigue, restlessness, and breathing problems. Get one complete blood picture to rule out any anemia. If symptoms are increasing, difficulty in breathing please consult doctor for further investigation and management. Do not stop steroid abruptly for any reason regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi my 11 year old is suffering from asthema and a constant allergic cough which has been diagnosed as sysptom of respiratory obstruction. he was on a regime of Levolin and budecort. but now the doctor has put him on Foracort. it dosent seem to be helping much. should I switch back", "output": "Hi I have read your question and understand your concerns. Thank you for posting in Chat Doctor. Levolin contains albuterol that is short-acting bronchodilator but has rapid mechanism of action, while Decor contains budesonide that is a steroid. Your doctor has put him on Forecourt that contains Budesonide and Forometrol (that is a long acting bronchodilator). So instead of using two inhalers, a patient can use single one that comes in combination. If Forecourt doesn't help much you can use Leveling and Decor. I suggest my patients Tablet Montelukast (chewable) 5\u00a0mg at nighttime as well. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,I am sufferring from low sperm count and we had 6 IUI and 1 IVF using my sperm which got unsuccessful. Now we are trying from donor sperm and my wife had gone 3 IUI but all are ended with negative results. As per doctors, she is perfectly fine and all test results are normal imcluding HSG. What may be the problem and what could be helpful in this case?", "output": "Hello, You have a history of low sperm count. Some food affect sperm quality like high fat dairy products (whole milk, cream, Cheese), Soy products, pesticides & BPA (present in soft Chat Doctor. Avoid them as they cause low sperm motility, decreased sperm count or abnormal sperm shape. Avoid alcohol, smoking, caffeine or any other addiction. Snack on walnuts, eat fish, fruits & veggies. Take fenugreek supplements, vitamin C, D, zinc, ashwagandha is effective. Your treating doctor may give you multivitamin supplements & camphene citrate for better sperm count. Ge examined by a GP & get physically examined. If any pathology is detected, get it treated. Exercise regularly, stay away from stress, stress decreases sperm count, avoid negative people, take adequate sleep. Stay away from anxiety. After doing all this religiously you should get Sperm test done, your count should improve. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been experiencing some moderate to severe pain that radiates from my right side of my upper back (shoulder blade) upper arm, under my arm and to my chest area. The pain is a stinging, pain that has not stopped since it started about 4 days ago. It feels like pins and needles at times, but it hurts to the touch almost like sciatica but in my upper right arm, chest and back.", "output": "Hi I am Chat Doctor. . In my opinion it may be a kind of muscular spasm due to heavy lifting, vigorous movements or even wrong sleeping postures. You may begin with avoiding such movements, overstretching and extending your elbow sometimes an arm sling is helpful. Usually it resolves simultaneously within the first week but may extend to 2 weeks according to the trauma or injury severity. For my patients I recommend NSAIDs painkillers like Advil tab when needed, hot massages with topical gels will be ok if not you may need MRI to exclude any kind of nervous injury in your spine or shoulder for proper evaluation and treatment. Please consider a 5-star rating with some positive feedback if the information was helpful. Wish you good health, Any further clarifications feel free to ask." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi dr. im 30 years old and my husband and i have been ttc for 1 year.we did all the tests required & everything is so fine , sperm count,quality & quantity, ovulation prolactine ,lh ....etc ,everything was fine.my doctor prescribed me clomid 50mg & progynova 2mg,so i was wondering if this might increase my chance of conceiving and if so how long does it take?", "output": "Hello, Welcome to Chat Doctor, I am Chat Doctor Look, your problem is that you have failed to conceive. But all the reports are within normal limit. So, what will you do now? 1. first, do not worry at all. Do some aerobics to keep your mind fresh. 2. Try for pregnancy within 10 to 18th days of a menstrual cycle. The first day of the last menstrual period should be taken as day zero. 3. Take the medicines prescribed. They will definitely help. It may take some time like 3 to 4 months. 4. Use ovulation kit to detect the day of ovulation. Then try to have sex on and after that day most importantly. 5. After conceiving, you have to take progesterone group of Chat Doctor. So, consult with your gynecologist about the points I have mentioned. Hope this becomes helpful. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was diagnosed with shingles. I only had 3 sores. It was a very mild case. I dont know if they will come back. Can I do anything to stop them from coming back like vitamins? I have had itching and small sores on my leg. I dont know if it is shingles.", "output": "Hi, Welcome to Chat Doctor. There is a vaccine available to prevent recurrence of shingles. Recurrence of shingles is common when there is fall in immunity levels like in illness, stressful conditions. So I suggest you replenish your immune system with a balanced diet and regular exercise. Your present sores have to be examined by your treating doctor to confirm shingles. You can discuss the option of vaccine also with him. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Lately I have been experiencing feverish conditions. The inside of my body feels like a high fever but my skin feels just warmer than normal. I took my temp and it was 101.9. I have several other symptoms including extreme lethargy ( have trouble stating awake all day), confusion, forgetfulness and the one that bothers me the most is the dizziness. When my eyes move, I feel like there are tails following slowly behind. I had a hysterectomy in 1996. Thought that I was B12 Deficient, but did labs and it came back 904. My RBC Folate Result was elevated to 1022. Have any ideas?", "output": "Hi I did review your condition. High red blood cell folate is seen in few conditions like obesity, vitamin B12 deficiency, blind loop syn Chat Doctor. I would advise you to consult a doctor and get yourself analyzed for the fever and confusion that you have been having. The best initial tests would be complete blood count, liver function tests, kidney function test, and thyroid function tests as well as serum electrolytes. Then we will probably know the cause of your fever or at least know in which direction to move forward. I hope this helps Wish you a very healthy life ahead." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I hit my top of head 2 weeks ago. I had concussion symptoms of headache, being nauseous and dizzy and loss of concentration. I have been getting better but last night my arms started hurting. They feel heavy and sometimes a burning sensation. Other times a sharp pain. What could it be?", "output": "Your age please? The symptoms you have described, could be due to raised intracranial tension. I think you should consult a neurologist/euro surgeon. This treatment is being suggested on bases of the information provided. I would like to examine & investigate you in detail. Rule out Hypertension, Diabetes or any other metabolic disorder. Any way you may try---. Looking Plus (Mankind) [Diclofenac 100\u00a0mg +Paracetamol 350\u00a0mg] 1 tab. OD & SOS. X 5days.--. Calcified plus (Mankind) 1 tab OD x 10days.(You may need help of your local doctor to get these medicines.)--. Fomentation with warm water.--. Sleep on a hard bed with soft bedding.--. Use no pillow under the head.--. Avoid painful acts & activities.--. Do mild exercises --.(Take help of a physiotherapist or visit WWW. Chat Doctor. Com). Do not ignore, let it not become beginning of a major problem. Do ask for a detailed treatment plan. If no relief in 2-3 days, contact me again. (Through this platform.) Kindly make sure, there is no allergy to any of these medicines. (Contact family doctor, if needed). For emergency treatment visit the nearest hospital.-Hope I have answered your question, If you have any further question, I will be happy to help.-Kindly rate the answer.-Wish you a quick recovery & good Health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Whenever I bleed, like a cut on the leg, anything that touches the place thats bleeding, like long pants, blankets, etc, the blood will sort of \"grow onto\" whatevers touching it, when i seperate them it feels like pulling of a scab and can be painful, Im just wondering if this is normal", "output": "Hi, Thank you for your query. I can understand your concerns. It seems that you are suffering from mild variants of Bleeding disorders. You need to undergo FBC (Full blood count), peripheral blood smear examination, platelet count, Bleeding time, Whole blood clotting time and a coagulation screen Activated partial thromboplastin time (APT)Prothrombin time (PT)These initial tests can be done in any good primary laboratory. If coagulation screen is abnormal pointing towards coagulation disorder you may have to undergo in special hematology laboratory-Specific factor assays - factors VIII or IX ; factor VIII and WWF in FWD.if these tests are all normal, then -tests for deficiencies of clotting factors other than VIII, FIX, and FBI, which are rare Bleeding Disorders but can cause relatively minor problems as you have mentioned, though often remains asymptomatic. Regards " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My friend (aged 43),(mother died of breast cancer aged 57), has been diagnosed with rectal cancer, (located15cm within her rectum), that has been within her body for 12/18 months, key hole surgery has been ruled out and she is waiting for a CT scan to find out if this has spread. It is seen to be an infected area as opposed to a tumerous mass, but it is a rather large area thats involved. Can you tell me if this in your opinion, can be surgically removed without leaving her with a stoma or if it can be cured with radiotherapy and chemotharapy? RegardsAnita", "output": "A rectal tumor which is located 15\u00a0cm from anal verge in the rectum can be removed surgically with an anterior resection without the need of a permanent stoma. Other factors have to be considered prior to this surgery including:1. Is the tumor localized or has distant Mets. A CAT scan of abdomen and pelvis and a chest radiograph would give the stage of the disease and confirm or rule out metastasis.2. Negative circumferential resection margins (CRM) can be obtained or not. An MRI of rectum will settle this issue. If patient has no distant metastasis and no perirectal extension (extension through rectal muscle into surrounding tissue) or perirectal lymph adenopathy (enlarged lymph nodes around rectum) then upfront surgery with anterior resection can be done. If there is perirectal extension (T3 tumor) or perirectal lymph nodes then neoadjuvant (pre-surgery) chemoradiation therapy needs to be given prior to anterior resection. If there are distant metastases then it's a palliative case requiring palliative surgery, chemotherapy or radiotherapy. I hope I have answered your query. You can discuss it with the treating oncologist. If you have any further questions I will be more than happy to answer." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good day Doctors,My mother, aged 54 years, was recently diagnosed with Atrial Septal Defect(ASD) - 12mm hole. She hasnt been facing any severe symptoms even now except that she feels shortness of breath while climbing the stairs. A local doctor has put her on Ecosprin 150 mg at the rate of 1 tablet in the night. Kindly suggest me whether I need to go for further treatment at the moment.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Your mother is having shortness of breath on exertion (climbing stairs). And in ASD patient, this can be the early sign of heart failure. Esprit is antiplatelet. It is for prevention of blood clots. It has no role in heart failure. So you should definitely consult her to cardiologist and get clinical examination, blood pressure monitoring and 2d echo to rule out heart failure. She might be improved with diuretics and other cardiac supportive Chat Doctor. No harm in continuing Esprit but it won't relieve her symptom of breathlessness on exertion. Diuretics and other cardiac supportive " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m 33 years old and I m an African American, and I have tingles in my left side of my head and also the left side of my face. It sometimes feels like an electric shock, due to this I can no longer put my face in water. And the most time it most bothers me is when I chew my food and today I yawned and my left side of my face tingled really bad. But it hurts when it happens sometimes I cry, because it hurts so bad. Can you please tell me what this is ?", "output": "Hi, Thank you for using Chat Doctor. I can understand your concern for this pain. Are you able to demarcate the pain site sharply ? If yes then most probable cause of your pain in trigeminal neuralgia. The nature of pain is mostly electric shock or needle prick, and the triggering event is same as you describe in most of the patient. The pain is in the course of the trigeminal nerve which is a fifth nerve in brain. The episode of pain is preventable. Carbamazepine is the first line treatment for this kind of condition. Hope you find this helpful. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have this dull nagging pain in my chest and then it goes to my left sholder and left arm, i have had 2 stress test in the past and have had nemrous EKGs and all are normal but i am really worried about this, its been about a month and it happens every day, what could this be? i do have anxitey, could this be stress and should i be concerned?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. No need to worry about heart related pain because you are having negative stress tests and ECG s. Yes excessive, uncontrolled anxiety, stress etc. can cause similar kind of chest and shoulder pain. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Don't worry, you will be alright. Counselling is very important along with " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,Doctor,There is a problem in my wife abdomen, as in 2009 jan got baby by operation(2nd baby 2nd operation), and after 3 month at left upper abdomen there is reddish circle araised with some bulge with pain, doctor told this may be hernia or infection and they done the operation in september 2009, but the thing is not corrected till now , Yet the problem is that white trans parent color liquid is coming from the point of operation there is a hole of 2 cm is not closed and there is a some hardness is the inside the sotmach back to the operation place", "output": "HI. Thanks for your query and an elucidated history. This is a book-picture of a few conditions:-This can be a stitch abscess. A proper exploration under general anesthesia, removing the debris, the stitch will cure this problem. -If there is associated hernia, it can be closed in layers BUT without a mesh as this looks to be an infected wound. -A proper course of an antibiotic, correction of anemia, hypoproteinemia will help proper healing and avoidance of infection." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been sick to my stomach and my head feels full like I want to throw up for a couple of weeks now. It started when i started having pain between my shoulder blades. I do have high blood pressure but it is controlled by medication. And this past weekend, i went to sneeze and i had a jarring pain through my shoulder blades and into my neck. I went to the doctor and he said i pulled a muscle. But I am still nauseated and my head feels heavier than it should.", "output": "Hello! I understand your concern. In my opinion this may be something more serious than a muscular contraction. The pain you are having, and the gradual increase mean that something is happening in this region. It may be a cervical or thoracic disc bulge, a spinal tumor or an infection located in your column or UN the surrounding tissues. The headache and nausea may be signs of an infection. Have had fever during these days? I would recommend you to go to the doctor, have a physical examination, a routine blood test for infection, a service- thoracic x-ray, followed by a service- thoracic CT scan.Finally, if this diagnosis ate ruled out further exams may be needed for gastrointestinal or heart problems. Hope to have been helpful! Thank you for using Chat Doctor! Best wishes Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "literally a week ago i woke up and the right side of my inguinal area i noticed two lumps the same size. i looked it up and it seems to be swollen lymph nodes maybe. then monday i started to have spotting. i don t have a normal diet. i am a very small skinny girl and i stress a lot and have bad anxiety. i freaked out about swelling quite a bit. could the swelling be causing me to spot or is it my stress and diet ? i am sexually active and i am on birth control. we use triple the protection. i got 2/3 of my cervical cancer shots. i just need advice i am freaking out. does something serious grow over night like that ?", "output": "Welcome to Chat Doctor. Thank you for posting your question. Do not panic so much. I can understand that you are very anxious about your health. A lump in the inguinal region can simply be due to inflammation of the lymph nodes over there due to some infection. Spotting is not due to these lumps. Do not neglect your diet. Have regular diets. You see anxiety is an ailment which can be overcome very easily. Try relaxation techniques like consciously breathing in and out twice a day for 5 minutes. It will help you to relax. Every night before going to sleep write out 3 things that went well that day, it can be anything like you read a good story book, or you helped someone in the street, cooked a delicious dish just anything. For the lump, I would suggest you to visit a doctor and get it examined. It may be nothing serious, just a routine checkup. Have a nice day. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi .... i am a 23 yr old woman....i am suffering from moderate acne from the last 5 years. I have tried a lot of treatments. Recently, I visited a dermatologist and she prescribed Skin O2 capsules. Does this have any side effect if I continue this capsule for a long time?", "output": "Hi, Skin-O2 capsule is a nutritional supplement containing multivitamins and essential trace elements required for normal growth of skin and hairs. Generally it is well tolerated however it may cause stomach upset, nausea, metallic taste which usually subside over period of time. Other side effects that may occur on prolonged use include dyspepsia, belching, and constipation. Continue to take as prescribed. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, recently I went to a trampoline park and as I jumped I feel a great pain all round my chest and upper torso including my back, since then in certain positions I have had pain in my upper back and chest - please not that I have a pigeon chest. Thanks", "output": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of musculoskeletal pain is more because your pain is associated with movements. But better to rule out heart and lung related causes first because you are having pigeon chest. So get done ECG to rule out cardiac diseases. Get done chest x-ray to rule out Pulmonary causes. If both these are normal then no need to worry about major diseases. Musculoskeletal pain is more likely in your case. So avoid heavyweight lifting and strenuous exercise. Avoid movements causing pain. Avoid bad postures in sleep. Apply warm water pad on affected areas. Take painkiller and muscle relaxant Chat Doctor. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I think I might have OCD, but I am not sure. I was reading about it because I was worried about a friend, but then I read that tapping or counting numbers was a sign of it. For a while now, I have been repeating words in my mind, and each syllable gets a finger. Then I tap on my fingers what I just heard. I can t skip over fingers, and it has to end on a pinky or thumb. Am I OCD?", "output": "Hi, Thanks for using Chat Doctor .OCD comprise obsessions and compulsions. Obsessions: Repetitive, Intrusive,illogical, unwanted thoughts, ideas or images comes in to mind though person doesn't want them, and they create some discomfort. Compulsion: Obsessions make the person to do something repeatedly related to component of the obsession and if person doesn't do the same, he/she feels so much anxiety, discomfort and distress. If these obsessions and compulsions are so frequent that they cause problem in persons daily routine, work and wasting of time, we can say person has obsessive compulsive disorder. If your repeating word and tapping fingers are obsession and compulsion as I describe above, and they create difficulty in your work, you should consult a psychiatrist for detail evaluation. If your habit is for a while and not repeated, and you are not feeling not discomfort, just relax and forget about your concern of having OCD, then you are normal. Hope I have answered your query," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ive severe toothache in one of my molars the pain increases as I lie down to sleep. Ive been taking 625 mg amoxicillin clavulanic acid tablet twice daily for 4 days but the infection doesnt seem to go. Ive tried taking paracetamol+ibuprofen/Ketorolac/zerodol but nothing helps. the only relief is keeping ice cold water in my mouth. Please help!", "output": "Hello:)Welcome to Chat Doctor. Pain while lying down suggests you have an irreversible pulpits. I suggest you to get the x-rays done and root canal therapy. Medication will subside the infection, but the source of infection(your tooth) needs to be cleaned, to clear the infection completely. This cleaning is done in a root canal treatment. A root canal will completely eliminate pain. You can complete the course of antibiotics for a total of 7\u00a0days(you already completed 4 days). Take retool 10\u00a0mg DT, you have to dispense the sachet into half glass water and have it thrice daily for 3 days. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband has cirrhosis,diabetes & hepatic encephalopathy. He is in the hospital for high blood sugars (now under control) But he also has high ammonia levels, he was 95 at admission, then 47, 29, 60, 40 he was like his old self at 29 but the next day the levels went up & he was mean, confused & threatening. Can he be stable or will he continue to have his levels go up & down? How can I his wife & caregiver take care of him with his mental staus changing from nice to violent? Does this mean his liver is worse & not processing the lactulose?", "output": "Hi, Your problem is of real concern, as cirrhosis is a chronic disease and the condition that you are mentioning is called hepatic encephalopathy and denotes advanced liver failure. Episodes of hepatic encephalopathy are common in cirrhotic patients and can be prevented by measures like avoiding constipation, monitoring the electrolytes level and avoiding low potassium levels, daily recommended protein intake control, prompt identification and treatment of any infection and most importantly by preventing gastrointestinal bleeding by applying band ligation to the dilated veins in the esophagus (Varices)" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I m 19 yrs female and I have had veneers on two if my teeth for about a year now. Two months ago the veneer where my tooth was shaven down started hurting. I would get up at night in pain. I thought my gums probably were receding due to excessive over brushing so I started using garlic to kill any bacteria and to seal the gum line. Now my gums look like they re peeling. They look blistered. I think it s due to the garlic and constantly placing it on the gum above the tooth. There is no pain throbbing on and off but my gums look terrible.", "output": "Hello and welcome to Chat Doctor forum, i would like to inform you that when veneers are placed, oral hygiene maintenance is very important, in your case it seems, gums are inflamed and are receding. I recommend use of antibacterial mouth wash(2 times/day), kindly see your dentist soon to avoid infection from spreading to the adjacent tissues, avoid applying garlic or any other topical agent until prescribed by a doctor.I hope I answered your query.I wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi m a 35 yr old female . my recent blood test showd that sgpt is 111 n cholestrol is 233 . my bad cholestrol is also high. i underwent ultrasound n it showed a fatty liver . dr has put me on tablets to bring down cholestrol n sgpt. i would very much like to know what eating habit wil help me to bring down my sgpt to normal, because all d time im feeling nausea . kindly advice me on wat to eat n wat not to eat.", "output": "Welcome to Chat Doctor If other causes for Hepatitis (liver inflammation) have been ruled out and the only evident cause for it seems to be the extra deposition of fat in the liver, then diet high in saturated fats should be avoided. Such a diet would include butter, Ghee and milk with cream etc. You should go for diet rich in unsaturated fats specially one that contains omega 3. Besides this exercise and weight loss would be a crucial thing to go for. Hope This was helpful Please ask for further queries if you have any. Otherwise, please remember to leave a positive rating. Best Wishes Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello, i am a 27 year old female, healthy, with a history of no major medical problems. twice in the past couple months, a large lump has appeared on my forearm (once on the outside of the right arm, and then on the inside of my left arm) which is then surrounded by a huge bruise within several hours. both times, this occured without any trauma to the affected area. any ideas why this is happening? thanks!", "output": "Hello hope the answer helps you. As you mention that without prior trauma noticed bruised lumps in arm twice. I think a detailed history as for any bleeding diaeresis as baleen, hematochazia needs to be sought, but otherwise you are healthy fit person and any bleeding disease in family and not on any anticoagulants then better you sit and wait to see it resolved out as not associated with fever to clue anywhere. If still happens again in future then needs consultation" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my ecg is normal and i am healthy (162cm/61kg) and i walk a lot. in a master health check up, i was shocked to know that my chol level is 322/HDL-40/LDL-196/TG-406 but my ECG was normal. Please let me know if it is very harmful and do i have to take static tablet?", "output": "Hello, I understand your worries. But hopefully, the situation is reversible. Your Total cholesterol and the remaining variables are abnormal which puts you at a risk of developing cardiovascular diseases. Having a normal weight does not mean you are not your lipids and cholesterol are going to be normal. I advise you to eat more of vegetables, nuts, whole grains. Avoid junk fatty foods and smoking. You have to see your G. P probably you will undergo more test and will decide if you need statins. Best regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am a 16 y/o male and I recently found a tiny bump just inside my scrotum on the surface of my left testicle. It feels similar to a scab. It does not really hurt or bother me as of now but if I mess with it I feel like I was hit in the groin. I m worried about what this is and am looking for information and advice. Thank you.", "output": "Howell come to ChatDoctorThis could be warts, just keep this under observation for any changes if ever happens, and if you found anything like this then this need to be examined clinically because skin lesion always demand the observation and this is the only way to diagnose the lesion, now for the lesion that you have just no need to worry about this, chances of vanish this bump could be enough, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I fell down the stairs this morning. I landed on my shin bone. Its has been hurting since. I even had a difficult time drivin to work this morning and can not put much weight on it. However it is only red and not wry bruised or swollen. The skin is actually numb to the touch. Is this something I should be concerned about or just ice and take Advil?", "output": "This is a common problem after a trauma to the shin-bone. Though you may not see bruising there is probably bruising deep under the skin. This is a self limiting problem and will gradually go away. It may take a few weeks and don't be surprised if you do see bruising later along the foot. You can continue to treat it with Advil. Ice may also help reduce some pain. Hope I have answered your query. If you have any further questions I will be happy to help" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir iam from kuwait for the past 12 years iam here but iam from kerala my marriage did on 2009 december my wife recently came in kuwait for 3 month visit visa when i was trying to sex with her my penis is not errecting we are very worry my age is 35 wife age is 25 sir we need one baby please advice me", "output": "HelloThanks for writing to ChatDoctorTrue erectile dysfunction is unlikely in your age. Your problem may be due to stress or overexcited stage. You should try to be calm and before penetration spend sufficient time in foreplay. This is very important in intercourse. You should avoid stressful situation.Don't take alcohol or cigarettes if you take these things. If symptoms persists then you need proper evaluation. Hope I have answered your query. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi..work up 2 mornings ago with a painful lump more so than a pimple inside my instead behind the skin that seperatrs the nostrils so its hard to see what it looks like. Anyway this pain is ridiculous. My nose is very red and swollen. Whenever i bend forward they blood rushes to my nose causing a thumping beating pain. What is this from and when will it go away???", "output": "Hi, Dear,Thanks for the query to Chat Doctor. I studied your problem in depth and I understood your concerns. Cause and plan of Treatment-In my opinion on the given data, you seem to have boil in the nostril at the tip of the nose internally. It would go if you take proper treatment with Er Surgeon or Ent-SurgeonConsult Er Ent-Surgeon who would treat accordingly. So don't build up wrong concepts and self-medicate your self which would increase risks and costs to you.Instead, just ask a query to Chat Doctor and be comfortable to resolve your health issues. Welcome for any more query in this regard to Chat Doctor. Write good reviews and Click thanks if you feel satisfied with my advice. Have a Good Day. Chat Doctor. N." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi... im married for 4 yrs, trying to conceive, doc advised ccq50 along with progynova 2mg and duphaston10mg. But i hv found that progynova drugs have side effec ts like breast cancer, it also suggests not to take them during pregnancy .... im confused, plz help.", "output": "Hello, Progynova replaces the hormone estradiol that the body no longer makes and prevents or relieves symptoms such as hot flushes, sweats, sleep disturbances, depressive moods, irritability, dizziness, headaches as well as vaginal Chat Doctor. If considered necessary, Progynova 2 mg should be used. Once treatment is established the lowest effective dose necessary for relief of symptoms should be used. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have smoked cigarettes for years and now when I smoke I get headaches, throat pain, swelling in the throat, acid reflux, makes me very tired. I stopped smoking for a few days and felt better. I have been smoking again and the problems are back. I know I need to see a Dr. My question is do I already have cancer if I have symptoms like this from smoking?", "output": "Hello & Welcome to Chat Doctor, I had gone through your case and I found it might be due to over smoking which create gastritis due to which all symptoms you have mentioned is occur. For conformation of cancer you need to go for further investigation like biopsy of throat scrap and Ct Of Abdomen. But I am sure this will be only gastritis. Better for you to quit the smoking. Take antacid, multivitamin and proper regular diet to improve your fitness. Hope my answer will be effective for you. Thanks & regards: Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a lump on the lower left side of my head. It hurts a little and the tenderness is now moving up behind my ear. It is also a little numb where it is tender. I was sick for about a week and a half and my cold is now almost gone. Should I be worried?", "output": "Hello! Thank you for the query. If this lump has appeared during the sickness, most probably it is a lymph node. Please note that lymph nodes get enlarged due to infection as a part of autoimmune response. Such node is usually movable and rounded. It should not be a reason to concern. Such lump can be also an abscess caused by sebaceous cyst infection. This condition appears in the area where there was a lump before. Redness, pain and swelling of this area should be present. In case of abscess you need to consult a surgeon and have it incised. If it's a lymph node you may wait and see how it will be acting. Hope this will help. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, I have a blisters- small but nothing like I ever had before on my gums, just 1 blister above one of the large front teeth- so on the gumline above the tooth- not idea what it is and its been there for a few weeks- has not gotten any bigger. no idea what it might be...?", "output": "Thanks for your query, I have gone through your query, the blister above the gum line could be a pus discharging sinus tract or periapical abscess which is pointing out as pus discharging sinus tract. Consult your oral physician and get a radiograph done in relation to the front teeth and rule out tooth infection. If there is tooth infection treat it. You might need a course of antibiotics. I hope my answer will help you. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor, my son is four and half year old. he seems to have developed a kind of allergy (sneezing, itchy eyes) after a viral fever infection. now if i give him fluzet syrup just 5ml. a day, he will be fine for 2 days. should i take him to pedeatrition or an ent specialist?", "output": "Hi... Thank you for consulting in Chat Doctor. Cough and cold are viral 95% of the times in child Chat Doctor. For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15\u00a0mg/kg/dose (max ceiling dose 500\u00a0mg) every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. For cold, you can use Cetirizine at 0.25\u00a0mg/kg/dose every 12 hourly for 3 days. For nasal block, plain saline nasal " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my son (2 months old) have heart murmur as follows mild AR,mild LVE(gud bv function) and mild TR (rusp24+rap) Aortic auns 8.5 mm DOB :26-Dec-09 Wt on Dob :3.18 (first test) SPO2 :100% HR :135/mt As on 20-Feb-10 Wt : 4.73 SPO2 : 98%(all based on 2d echo) HR :148/mt kindly confirm ist normal/cureable/it will recover it own/required surgery/up to god", "output": "Hello There After going through your medical query I understand your concern and I would like to tell you that some murmurs in child are Normal and gets fine on its own, but you need to follow up with pediatric cardiologist from time to time evaluation. If he is facing any discomfort like breathing difficulties then consult a pediatric cardiologist immediately. Hopefully this information will guide you properly. Kind Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, my niece is 30 years old and just had a seizure yesterday. Prior to the seizure she had symptoms that consist of becoming very hot and having a memory or flashback. When the episode was over she was white as a ghost and couldn t recall the flashback. This happened 5 times before the seizure. Then it happened again while in the hospital AFTER her seizure. An MRI was taken and we won t hear results until Friday, but I m so disturbed by this and wondered if you had any thoughts...Thank you!", "output": "Thanks for asking at Chat Doctor. I read your question and I understand your concern. Seizure with aura and postictal state is mostly idiopathic in nature. MRI is done to ruled out serious problems like brain tumor and others like Basal ganglia calcification in case of parathyroid problems. Other tests are also done like serum calcium, renal function tests, serum magnesium and random blood sugar. Once all the investigations turned out to be normal then she doesn't need treatment for seizures until she suffered second attack of seizure. Hope it helps best. Don't forget to rate this answer and close the discussion at Chat Doctor. Take your best care. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Could you please tell me the prognosis of Liver Cancer. ? My friend has just been diagnosed with it and the tumours are on the blood vessels. She attended for Radioactive injections yesterday and will and will be told the results today.She has been told that they are malignant but they don t know where the Prmary is as the only tumours to show up on the MRI scan were on the Liver. Appreciate any information. Thank you.", "output": "Thanks for your question on Chat Doctor. Liver is the most common site for metastases. The reason for this is reach blood supply of liver and suitable environment for tumor growth. And to find liver metastases is an accidental thing. After this we need to search for primary. For this PET scan is best. So the radioactive injections you are talking about must be PET SCAN only. This will tell you the primary site of tumor. Possible primary sites are1. Lungs2. Kidneys3. Intestines etc." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My boyfriend & I have a horrible cold. Hes had it for 9 days I had it for 4. It started out with a bad headache which hasent gone away for my boyfriend yet. I had pins & needles in my arms & legs with weakness the 1st day. High fever, horrible sore throat which hasent gone away for eith of us. Swollen, painful lymph nodes, chills. Nasy....just fell horrible. It wont go away with any medicine we take. I dont have a clue if its flu, menegitis, mono???", "output": "Hi. Welcome to Chat Doctor. I have gone through your query and can understand your concerns. As per your complaint the symptoms of high fever, headache, cold and swollen lymph nodes seems to be due to Influenza commonly known as Flu and is a viral infection. As your boyfriend had the infection, you have communicated the same from him. As the viral infection runs its course, and it will get resolved gradually on its own, so as of now you can start taking supportive treatment like antibiotics like Augmenting or Azithromycin to prevent bacterial infection secondarily. Take anti-inflammatory painkillers like Ibuprofen. Take Tylenol for reducing fever. Take decongestants like Pseudopod Chat Doctor. . Do saline nasal irrigation. Avoid chilled foods. Do steam inhalations, warm saline gargles and use a humidifier in your room. Sip on plenty of warm water. In case of no improvement in 5 days consult an Otolaryngologies and get evaluated. Hope this information helps. Thanks and regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi,i m 39 years with primary infertility with 13 years of married life..now i m diagnosed with left fallopian tube blockage by fibroid agglutination after HSG and diagnostic laproscopy ,,,cannulation donebut unsuccessful..no TB and carcinoma...right tube is normal..polypoid endometrium at anterior and posterior wall of uterus mainly on posterior wall....blood reports r normal n my husband reports r also normal......should i go for ivf??????i want ur good advice plzzzzzzzzzzzz", "output": "Hi welcome to Chat Doctor forum. Thanks for asking a question to Chat Doctor. F. You are 39 years old, case of infertility, married for 13 years. You had left fallopian tube blockage by fibroid agglutination. Confirmed by H.S.G., and diagnostic laparoscopy. Polypoid endometrium at ant, and posterior wall of uterus. Blood tests and your husbands reports are normal. Right Fallopian tube is normal. As it is I.V.F. may not suit you due to endometrium. As the right tube is patient, after treatment of endometrium and your doctor says normal you can try normal way. I advise you to avoid sex in first 10 days, compulsorily have sex in 11th to 20th days of the cycle. Have sex in female down position and stay lying for some time after sex. Wishing for a good luck. Best regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a lump about ten inches below my right arm pit,my grandson was in my arms jumping he kicked me thier the next day I noticed it to be sore and it was bruised.that was about two weeks ago.but tonight I noticed thier was a lump,I don t know If It was thier before or after he kicked me,the lump Is not sore or does not move. thanks", "output": "Hi ! Good evening. I am Chat Doctor answering your query. As per the history of trauma, it could be a hematoma (collection of blood) in the maxilla at the site of trauma. This should get absorbed of its own in due course. If it does not, or if it increases, I would get you assessed by a general surgeon, who might go for a mammography of bilateral breasts followed by a FNAC (fine needle aspiration cytology) and possibly a biopsy of the lesion. Further management would depend on the clinical examination and investigation reports. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter is 6 months pregnant with her 3rd child, the youngest being born April 4th 2016. She is type o- blood type. Yesterday when she stood up she had a sharp pain in lower part of her stomach, so intense that she had to sit back down immediately and wait for the pain to stop (about 5 minutes). Just now when she went to the bathroom she had blood when she urinated. More than a spotting. Now she had blood during her last pregnancy but not this heavy. Should we head to the hospital now? Or what do you recommend?", "output": "Hi, I guess your concern is spotting, and you should go to hospital now. Visit a nearby hospital/ nursing home where obstetricians and gynecologist specialist are available. If you have sufficient time go directly to your treating doctor. Firstly let us focus on your pain in lower part of stomach plus spotting followed by bleeding. These are the warning signs that there might be some problem in placenta (placenta connect the baby to the womb of the mother). Some problem of the placenta has caused this warning scenario in your daughter. For this you need to see the above said specialist as fast as possible. Secondly I would like to focus on childbirth spacing, that is if minimum gap between two babies is not adequate then this kind of scenario may happen-PRETERM Labor (not a good time to discuss in detail about it). In short, I can say that womb of the mother will not be fully ready/ has full strength to grow a new baby if proper spacing between babies or pregnancy is not there. I would like to suggest that you rush to visit a nearby hospital/ nursing home where obstetricians and gynecologist specialist are available. If you have sufficient time go directly to your treating doctor. I hope the information is useful, informative and helpful to solve your daughters problems. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i m regularly having chest pain on left side dizziness, light headed, shoulder pain some time back pain many a time feels like having heart attack, regularly since three months daily, igot normal ecg, 2d-echo. Echo stress test and nomal lipid profile. Please help me know how to get out of these pain", "output": "Hello, I have gone through your query. Thanks for using Chat Doctor. Your chest pain appears to be Non-cardiac in origin since your echo and stress tests are normal. It may be Acid reflux. It may be atypical dyspepsia due to gall stones. I suggest you to try omeprazole 20 Mg with Risperidone medicine. If you feel better with this take it for 4 to 6 weeks.Otherwise, you need to consult a astrophysical for further work up. My best wishes Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello. I m a 20 years old girl. One day more than a week ago I believe I sat too long on a bicycle with a very hard seat and after I started feeling a bit pain on the tailbone area. But I didn t pay much attention to it and I continued using the bike maybe twice more. But 2 days ago I was in a lot of pain and when I checked it out in the mirror I saw that I had a bump on the right cheek of the butt (above the anus, near the tailbone area). Its not much red or irritated but it seems swollen and like the size of an almond and it does not look like it has created pus. Yesterday I started using Advil for the pain and it was effective, then the pharmacist gave me Eudorlin which I tried but it had no effect whatsoever for the pain. So today after a night with no sleep I went back to Advil. I m really nervous cause I can barely walk, I can t sit, and I m not at all comfortable laying down, (so I m not getting much sleep ). Right now I am not in the position to go to the doctor so I really hope you can help Sorry for the long post.", "output": "Hi, i appreciate your concern.it seems you have coccyxdynia, due to injury on hard seat while cycling. There seems to be injury to last fragment of tailbone, causing irritation and swelling.i usually advice my patients to take site bat hie sitting in lukewarm water in a wide stencil, for 5-7 days, take some safe painkiller, use sponge cushion for sitting, apply locally painkiller creams, use anesthetic cream/gel in anus to help to pass feces. Get an x-ray done for pelvic area after consulting or tho expert. Thanks I will be happy to answer further any query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have smoked in the past but quit last year when I found out I was pregnant. Ive had a few a day for a couple of weeks the past 2 weeks as I recently lost my dad but stopped again 4 days ago. Im still coughing and wheezing though especially night times and at times feel a bit short of breath.", "output": "Thanks for your question on Chat Doctor. In my opinion you should consult pulmonologist and get done1. Chest x ray2. PUT (pulmonary function test). Since you have started smoking again, this might trigger either bronchitis or infection in the lungs and caused you symptoms. So chest x-ray is needed to rule out lung infection.PFT is needed to rule out bronchitis. It will also tell you about severity of the disease. And treatment of bronchitis is based on severity only. So consult pulmonologist and discuss all these. Better not to start smoking once you have left." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been going through some tough times and haven t been eating right, I also haven t been sleeping right and now i smell blood and have a light pain in my forhead near my nose. I ve been feeling weak as well, I ve been feeling like this for a week now. Do you know what it may be?", "output": "Hi, I am sorry you are feeling like this. There are a few possibilities to explain your symptoms1. Sinusitis: This can cause pain in the forehead near the nose and bleeding from the nose which could be the reason you smell blood. 2. Depression/Anxiety: This could explain the multiple different symptoms that you are experiencing. It could be due to your current stressful events. My recommendations would be1. Consider Acetaminophen (Tylenol) 325-650 mg every 4-6 hours as needed for the forehead pain. Do not take more than 3,000 mg of Acetaminophen over a 24-hour period. 2. If you have symptoms of congestion, you can try an over the counter decongestant like Cetirizine 5\u00a0mg at bedtime or Loratadine 10 mg at bedtime until symptoms resolve3. Consider seeing a psychologist (behavioral therapist) to discuss how to cope with current stress. If they feel that you have anxiety/depression they can refer you to a psychiatrist. 4. Consider methods to decrease stress such as deep breathing exercises, medication and yoga. Please let me know if that was helpful. Thanks!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 3 month year old son had his blood work done because he was losing weight and having trouble pooping. He was pooping every 2 to 3 days; once a day. Well, he was loosing weight because he had reflux. He had an X ray and he does not have pyloric disease. The doctor put him on Zantec and he is not throwing up. But, he had high liver enzymes when his blood was taken along with a high platelet count. Well, he got his blood work repeated and it went down and he s gaining weight now. But his platelet is still high. But, the doctor said since it s by it self not to worry, buy I am worried. What could be wrong with my 3 month old son? He passed his newborn screening and has no medical issues except reflux.", "output": "Hi, dairy have gone through your question. I can understand your concern. He may have reactive thrombocytes. It is very common after infection. If all other things are normal then high platelet count is not a problem. No need to worry about that. Just be relaxed. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "What causes the sensation of water droplets splashing on the back of my leg as I am walking? As if I walked in a puddle and water flicked up and touched the lower calf? My leg is absolutely not wet; just a peculiar focal sensation. It lasts a couple of minutes and then stops. Duration: 2 weeks.", "output": "Hello, Your symptoms could be related to a pinched nerve (probably caused by a bulging disk in the lumbar vertebral column). For this reason, I would recommend consulting with a neurologist for a physical exam, a lumbar spine CT scan or MRI study. Nerve conduction studies may be needed too. You should discuss with your doctor on the above tests. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. My son who is one year old, weight is 11 kg, is suffering from DNS, his right side of nose is completely blocked and water comes from his mouth, eyes and nose. While sleeping he experiences difficulty in breathing and voice comes from his chest. what is the treatment, can we get DNS operation for him, as he is just one year old? Are there any other method to open the nose say fitting a pipe in the nose etc? should I consult ENT specialist or paediatric specialist?", "output": "Hi, thank you for choosing Chat Doctor. It is very uncommon to have severe DNS at this age, it tends to improve as they grow old. But as he is having difficulty breathing contact an ENT specialist as they will evaluate the degree of obstruction and advise simple airways to open his nose till they grow old. Hope this has been helpful to you, kindly feel free to contact again for any queries. Kindly rate the answer if so. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I woke up this morning with pain and stiffness in my neck, up sort of high near my ear lobe. It doesn t hurt in a normal posture, or if I tilt my head to the left, foward, or back. When I try to tilt my head to the right, it becomes very painful, and aside from pain it is very difficult to tilt it far, like something is stopping it.", "output": "Hello, It sounds more of a spasmodic Neck. This situation arises when there is an abnormal position acquired during the sleep and the bone of the cervical spine gets locked. You do not have to consume any medication but use the hot water fermentation to release the stiffness in the neck muscles which will allow the facet joints to get unlocked. Rest assured, you will be fine in 2-3 days of time along with hot water fermentation and simple neck rotation. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor , may i ask what does it means .....when after doing a blood test ( live blood analysis ) dark field method , my blood cells are clumping in nature.............im worried that that may mean that serious ailments are in-coming ? Thank You Doctor !!!", "output": "Hello, Thank you for your contact to Chat Doctor. I understand your health concern, if I am your doctor I suggest you that it is the protective mechanism of the body. It is nothing to worry about as it is present in all the individuals, even in me. Whenever blood comes out of the body it gets clotted because of injury associated factor. Only anticoagulant will help prevent blood clotting. I will be happy to answer all your future concern. Thank you, ChatDoctorInfectious disease specialist. Wish you the best health at Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have saracodism (lung) now I have lumps starting at the elbow going up the arm. My arm aches at night so bad I wake up rubbing it lightly. Both hands hurt and when I get up I can barely open and bend them. Is it all related to sarcoidosis or something else. Im scared.", "output": "Welcome to Chat Doctor. 1. In the symptoms and history suggest possible cause for the above symptoms are enlarged lymph nodes.2. In this case you need to get a thorough study about the lung infection and its extensions. As lymph nodes enlargement is due to presence of any infection / inflammation or malignancies.3. The other possible cause could be dilated and tortious veins and suspicious of thrombosis - which need an upper limb vascular Doppler study. 4. In this case you need to workup with the issues with ultrasound, CT chest to evaluate the cause.5. Suggest you to see your treating doctor / GP and request for further investigations and treatment. Good luck. Hope I have answered your query,anything to ask ? Do not hesitate to ask.http://doctor.ChatDoctor .com/doctors/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctors, I have been suffering for about six months now with moderate to sever pain in my abdominal cavity, Serveral specialist are working on diagnosis, however, it can be hard to make sure all the doctors see all the notes. In addition to pain I am swollen enough that people think im about six months pregnant. some of the diagnosis include pain primarily on the left side of my abdominal and in the left side in the back. I have three cyst on left ovary and one cyst on the right ovary. I also have a cyst on the left kidney. I often have difficulty urinating in that is necasarry to strain to void. Recently a umbilcal hernia was repaired successfully. All cyst appear not maliginant.. I do have ibs and diverticulitis and am positive for h pilori. I have pain when eating that is basically like pressure and achey. Most of my pain is on the left abdomen about natural waist down to the pelvic area in that pelvic area is the greatest pain", "output": "HI. Thanks for an elucidated history. You have IBS and diverticulitis. And this may be the reason for pain and bloating you have. On a safer side go for CT scan of the abdomen and colonoscopy and biopsy to prove or rule out any other pathology. CT will help to know the status of the ovary and the cancer potential and if required a diagnostic laparoscopy can be undertaken to have a proper diagnosis and may be for the treatment as per the findings." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "How can I tell the difference between toe nail fungus and a bruised toe nail?I went to get a pedicure and I asked the lady if I had toe nail fungus and she said it was just bruised but it s been there awhile and it looks a lot like fungus. It s yellowish at the end of my nail and it s all under it. I can dig some if it out but it hurts really bad. So what do you think it is??", "output": "HI, thanks for using Chat Doctor If the changes have been present for a long time then it is more likely that it is a fungal infection of the nail. Bruising should not take weeks or months to resolve. Fungal toenail infection require treatment with oral antifungals. Examples are itraconazole, terminating and fluconazole. These require a prescription and normally have to be used for up to 3 months. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am a 19 year old female. I found a fairly large lump in my right breast that has been there for over a year. It has grown alot, im not exactly sure how much, since I last saw my endocrine doctor. I also have hypothyroidism and have been on synthroind 75 and sometimes up to 100 mcg. The lump in my right breast is very hard and it is tender to touch. I have very small breasts so it is hard to tell if it is completly mobile or if it is the surrounding tissue moving around too. The right breast has dark blue veins surrounding my areola, while my other breast has none. And the nipple is a little larger too. Sorry to get really personal. Thank you for your answer and your time.", "output": "Hi, Dear,Welcome to Chat Doctor. Based on the facts of your query, You seem to suffer from-Fibroadenosis with ? Adenoid. Investigate it with Mammogram and USG to fix the diagnosis. Get USG guided FNAC Biopsy. Treatment-Continue treatment for Hypothyroid. Take treatment for Fibroadenosis-with Painkillers/Oral-Pills to correct Hormone imbalance at this age /IF Homeopath is done -Surgical Excision of this Benign Breast Tumor is advisable in your case for the large size. Else fibroadenomas is benign and not hurting. Engorged Veins -would go off on its own. Hope this reply would help you to plan further treatment with your doctors. Contact with a Followup Premium question to ME. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. Good Day!! Chat Doctor. S. Genl-CVTS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 19 year old female with Ehlers-Danlos Syndrome. At work I am standing up for several hours and I get bad foot pain. Today, when taking off my shoes, I noticed a dark, fresh bruise and a lot of swelling in a ring around the bone on the inside of my ankle. I didn t notice any acute injuries like a sprain or dislocation. Any ideas on what the bloody discoloration is from and how to treat it?", "output": "Hello, I have studied your case and I think that it is most probably ecchymosis. This is discoloration due to accumulation of blood around ankle joint. This can occur due to prolong standing and tight shoes. As you are saying that you did not notice any injury so most probably it was a trivial incident. I would suggest you to follow these steps.1. Hot water fomentation.2. Antibiotics to prevent infection.3. Compression bandage I hope these steps will be helpful for you. Let me know if there is any other followup questions. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Sir, My father is 77 yrs. And a widower. He has been suffering from excessive/compulsive sexual desires, resulting in him asking our maids for sex or he is also showing pornograpChatDoctoraterial to kids even. No amount of persuasion has worked. We have been suggested by a relative to take him to a mental/psychiatric hospital for proper treatment. Please advise. Regards PB", "output": "Hi Pankaj, Welcome to Chat Doctor, and thanks for your question... Firstly, the symptoms which your father is having definitely requires immediate attention. The reason is not only could he get himself into trouble, but he also poses a serious threat to others around him. Secondly, such recent changes in behavior or personality can often be a consequence of a brain pathology, and thus needs prompt evaluation. Disorders involving the frontal lobe of the brain, like frontal lobe dementia, vascular problems, etc. are typically known to cause such kind of disinhibited behavior. So, I would strongly advise you to take him to a psychiatrist, who would be able to assess him further and initiate appropriate management. There are medication which can suppress such disinhibited and abnormal behavior, but he needs a thorough and proper evaluation before that. Therefore, please do not delay further and take him to a psychiatrist ASAP. All the best. - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "what does tingling in left arm from elbow to hand, especially in small finger and ring finger, accompanied by same occasional feeling in left heal and tingling under left nipple extending around to back mean? have had this with some dizziness for almost 24 hours?", "output": "Hi, I had gone through your question and understand your concerns I were your treating doctor, I think that you suffer from peripheral neuritis especially the ulnar nerve as it supplies the ulnar aspect of the forearm to the little finger and this could be confirmed by doing EMG. Heel problem has no relation to the hand problem as it may be caused by planter fasciitis. I advise you to receive neurotics and anti-inflammatory and to treat the cause of neuritis" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I fell and hit my upper right side ribs & breast very hard on the corner of a box base of bed, a couple of hours ago. Very large bruise on outer side of breast & pain in ribs under right side of breast when I move or take a deep breath. Should I go for an xray?", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have pain in breast and ribs after injury. Well there can be many treatment options for broken rib. Pain associated with a broken rib usually occurs or worsens when you:-- Sleep on side of broken rib-Press on the injured area-Bend or twist your body would suggest you to consult orthopedic surgeon for proper examination. Doctor may order x-ray, CT scan or bone scan. Doctor may wrap elastic bandage around your chest along with splint and prescribe muscle relaxant along with anti-inflammatory. Doctor may also recommend deep breathing exercises for broken rib, which are very effective along with physical therapy. For now take proper rest, apply warm compresses on broken several times a day and take ibuprofen or acetaminophen for pain. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have an abscess on my gum. It had a white head in it. Looks to have busted. But nothing is really coming out just has white stuff in the middle of it. Ive rinsed with warm salt water, peroxyl, and mouthwash. Is there anything else I can do? Im not sure what medications I can take because I am 12 weeks pregnant.", "output": "Hello and welcome to Chat Doctor forum. I would like to inform you that a gum access needs to be Chat Doctor. In your case only your concerned gynecologist can prescribe you with the antibiotics, or your Dennis will have to speak to your gynecologist before prescribing any medication. For now I will advise you to see your dentist first. Continue with warm saline rinses, avoid hot compresses on the swelling if present. In fact, you can apply cold compresses on the swelling. I hope I answered your query. I wish you good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Are there any natural foods that I can eat that may help me fight off an infection? I have a brownish discharge from my penis. It drips a bit in my pants but when i feel it I try to help it come out my pushing. If I leave it it because hard or pasty . I have minor pain when I urinate.", "output": "Welcome, Discharge of brown color from penis can be due to herpes infection or any other venereal diseases. In rare cases it can be due to Atlantis or epididymitis. More over painful micturition strongly indicate infection. Since how many days this problem arise?? U should have a check for microbiological examination of that discharge. Result of that test can identify the organism which can be treated by proper antibiotic Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here...Hi, I fractured my ankle 14 months ago and now I have a fairly big hard lump on the fracture site. It seems to getting bigger all the time. Is that calcuim deposits and will it cause problems?", "output": "Hi, Dear,Good Afternoon, and Thanks for the query to Chat Doctor. I studied your query in details and understood your concerns.@My impression of your lump on ankle-is as follows-It could be-? Peritonitis with Abscess-with Acute on Chronic ? Osteomyelitis OR could be Chronic Abscess of the subcutaneous Tissue, of the ankle. -Treatment-I would suggest -is as follows-a-Consult ER Orthopedic and ER Surgeon who would check clinically and would do Dry of the part and fix its diagnosis.b-Antibiotics -appropriately under doctors guidancec-Tab-Voltarend-If no relief -Surgical Chat Doctor. This would help you to plan treatment with your doctor.@Hope this would resolve your worrisome query. Welcome for any further query in this regard, and would love to help you to resolve this problem till it is solved to your satisfaction.@ One Small Request to you to Write strong recommendations promoting my services for the benefit of my new and old patients at Chat Doctor clinic. Wishing you fast recovery.!! Have a Good Day. With Regards," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, My mother who is aged 56 years fell down at home 10 days back and was unable to get get up. Then we took her to doctor and doctor took x-ray & informed there is a small disc jerk and told her to take 3 days bed rest. as informed my mother was in bed rest for 3 days and she was in normal condition but 3 days back again she is suffering from severe back pain, the doctor whom we consulted earlier is not in station now. Please let me know is this a bad sign of having back pain again and Doctor details whom we should consult.", "output": "Hello, I have studied your case. Due to compression of nerve root there can be pain in your back. I will advise you to do MRI spinor these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i m 23 yrs old girl suffering from androgenic alopecia and i have pollycystic ovaries.i am lossing my hairs in front and nothing is of help plyssssssssssss sugeest me wat to doalso do sugest me medicines and shampoo oil to help to regrow my hair..", "output": "Hello, I have gone through your query and would recommend you to apply minoxidil 2 per cent lotion on the affected areas of the scalp twice daily and take hair supplement containing tablets once daily. This needs to be continued for 4-5 months to see significant results. Also, consult an endocrinologist and take treatment for POD. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Gud day, my ob prescribed me daphne contra. Pill because iam still breastfeeding, I am new in using a pill I started the 1st tab 8 days ago,my ob told me that I will not have a period for the whole 28 days of taking the pill,and yet I have a bleeding this early in the morning, is it ok? Is it just a side effect, Im quite worried because she told me I wont hav my period. Pls answer me it makes me paranoid, my 2nd baby is just 4 months old. I dont want to be preg. Again.", "output": "Hi, Thank you for choosing Chat Doctor. Daphne is progesterone only pill, which is safe during breastfeeding. About your irregular bleeding, it's better to confirm if you are pregnant or not. Kindly consult your obey specialist. In case of any doubt, I will be available for follow-ups. If you like my answer kindly rate my answer and write a review as well. Thank you, Wish you good health. Chat Doctor. Chat Doctor .com/doctors/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have IBS for last 5 years, could you please suggest me what can I do. I am not taking medicenes now. I thinking of curing it by myself. I am taking nutrilite fiber product just to have my needed fiber content in my body. Pls suggest me some ways.", "output": "HAI, I appreciate your concern. Follow the below-mentioned advise. Allowed food:a light diet is advised. A light fast can be helpful taking only vegetable soups and a little basmati rice with green gram. Ginger, fenugreek, and cumin that stimulate enzyme secretions will improve digestion, absorption, and excretion. Take food items old rice, Jamar, gourd, coriander leaves, lentil, green grams soup, black pepper, Chat Doctor. Avoid foods items such as maize, barley, pigeon pea, pea, cow pea, black gram, gram, Soda bean, saga, kidney bean, potato, sweet potato, onion, coconut, groundnut, chili, oily food, chicken, red meat, crabs, prawns, fish, leafy vegetable like sorrel, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m so paranoid of having cancer, I m to embarrased to see me doctor to check my testicles, iv always got stomach pains, but I has a blood test not long ago and they found I had iron defficiency anaemia, would the blood test show up if I did have cancer?", "output": "Thanks for your question on Chat Doctor. There are certain tumor markers which is present in excess can suggest possibility of malignancy. Tumor markers are substances secreted by tumor cells. So can give us clue about malignancy. They can not replace biopsy and histopathological examination. Routinely tested tumor markers are1. CA 1252. Beta ChatDoctor3. Alpha photo protein (AFP)4. PSA (Prostate Specific Antigen) etc. So if you are having testicular cancer than these markers will rise in blood." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im 29 almost 30years old 5 9 im 160 lbs.barely i was 210lbs. 11 to 13 weeks ago.My diet was consisting of the worst things u wouldnt eat to lose weight and i been having horrible headaches everyday almost.I have situs inversus and dextrocardia and its full mirror image.I been feeling drained or fatiged and short of breath and my blood pressure is hyperstage 2.I am diagnosed chronic anxiety i take 3 .5mg klonopin a day I also take enderall 2 40mg a day for bloodpressure and my rapid heart beat without my meds my pulse relaxed is an average of 114 sometimes more.Im 29 and my back kills me in the same spot almost same time of the day but only on work days doest hurt on my day off.Both my legs hurt me from my knee about to a foot up my thigh and its a concentrated pain that feels like the bottom sections of my thigh bones hurt at night in bed cant get to sleep with constant hurting in my legs.Also I have bad issues with coughing up mucous i cant remember the last time i had a dry cough but the dr said its bronchitus.Also been feeling confused and forgetful.I feel anxious and jittery most of the time and my hands and feet stay swetty and cold from my chronic anxiety unless i take my meds then im ok with the anxiety part.Why am i falling apart so young i feel 50 I get up and mope like a elderly man till i get a few steps going then im ok.I stay with colds and staff and its just been really bad lately i dont really leave out the house anymore I just wanna feel normal whats wrong with me PLEASE tell me!!", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. Anxiety a Depression are known to create physical fatigue and mental fatigue. Your anxiety could be based on your health conditions, and you must have been briefed by your doctors. Please talk to them, Once the physical symptoms are taken care of by doctors, you should not worry much about them. Engage yourself in activities which are creative and encourage you to think positive. Exercises are also a known way to ease anxiety. Researches have shown that medicines alone cannot cure mental disorders. Psychotherapy to have lifestyle changes, Yoga and meditation to streamline thought process and metabolism can be practiced for easy and permanent cure. Contact a psychologist for further information. If you still need my help, please describe the whole problem in detail and post a direct question to me. I shall definitely help you with psychotherapy techniques to overcome your problems. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 19 i weigh 168 ,i have a lump on my left thigh , i have had a xray a ultra sound and a mri yesterday the result for the mri have not came back but the doctors said ithat it was a mass in my muscel. it does not hurt. im very worried . could you please tell me what it could be", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have some soft tissue tumor like lipoma, neurofibroma or some malignant tumor like liposarcoma. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then IOUs should take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I noticed numerous welts on the legs of my 12 month son. It appears as though he got pinched by toys. They are slightly raised appearing to be white/ skin color. They will appear then quickly disappear. I thought maybe he was having an allergic reaction to something he had eaten, but these episodes are happening at anytime in the day. Any ideas on what it could be?", "output": "HI...this doesn't look like food allergy. This looks like urticaria. By what you quote it should be an urticaria or a simple skin allergy. You can use HY Chat Doctor. Most important thing to be remembered is that it has a propensity to recur (called as second crop) within 10-14 days. If this happens, you can start using the same medicine, but I suggest you get the kid evaluated with your pediatrician. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Have tendonitis in right ankle and wearing airboot for the past 4 weeks after PRP Injection. Have severe pain in left foot below the last finger for past 3 months. Doc says I have stress frature and suggested elevating the foot and icing. Didn t talk about any followup or treatment. what should i do?", "output": "Hi you had tendinitis in your (R) ankle and have stress fracture in (L) foot. Stress Fracture occurs when uneven and unnatural pressure is applied on the foot for a prolonged period of time. It also indicates weakness in the bones. In my opinion it is unlikely to be related to Tendinitis in other ankle. I would suggest immobilization for 3 weeks and if required take calcium and it D3 supplementation." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, i have had two implanons in the past 5 years, one after the other in which time i have not had a period at all. yesterday i started bleeding quite heavily, recently i have been a bit stressed and my eating and sleeping patterns have not been regular. is this a normal side effect? does the bleeding mean the implanon has stopped working? x", "output": "Hello, I have gone through your query and understood the concern. Irregularities of the menstrual pattern are usually seen during the first 6-12 months of use of the implant. As you are used to the implant, the most likely cause for this heavy bleeding could be a hormone disruption often caused by stress and weight changes. Please see an expert for proper evaluation. You may need styptics to control the bleeding. Also, coagulation profiles have to be done to see if there is any coagulation defect that has developed as a side effect of the hormone. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Dr. , I have a lump (feels hard) on my inner arm the same side where I had cancer lump under armpit couple years ago. Should I be worried? THey only removed one sentinel lymph node and was negative. I wonder if there should be more lymph node removed and tested. Tanya", "output": "Hi Tanya ! Good morning. I am Chat Doctor answering your query. If I were your doctor, after a complete physical examination I would advise you for a FNAC (fine needle aspiration cytology) of the hard lump you mentioned on your inner arm. If it was inconclusive, then an excision biopsy with a reasonable margin of healthy skin would come into picture. Further management would depend on the report of the histopathology, and physical examination of the adjoining areas including the area of the original malignancy. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "A while back ago i suffered from heart failure... i was wondering because then as well as now my right leg gives out on me it feels weak and the moment i put pressure on it... it gives out... can you tell me whats going on? Or atleast help me in figureing it out?", "output": "Hello! Welcome and thank you for asking on Chat Doctor! I passed carefully through your question and would explain that your right leg symptoms do not seem to be related to heart failure, unless your feet are swollen. Only in case of swollen feet, the discomfort could be related to heart failure (considering the fact that it leads to increase fluid retention). If the problem persists, I recommend consulting with your attending physician and performing some tests: - a Doppler ultrasound of the leg vessels to exclude possible peripheral arthropathy or chronic venous insufficiency- complete blood count, PCR, ESR for inflammation. Hope you will find this answer helpful! Kind regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had sudden chest pain this morning. It has fluctuated in intensity and I have no other symptom. Im eating just fine and can do everything I normally do except a complete gym workout. It seems to hurt more when i bend down. Should i go to the emergency room or wait to make a doctor appointment?", "output": "HelloSudden chest pain may be due to many causes like acidity, cardio-pulmonary causes, muculoskeletal causes etc. It is always safe to exclude cardio-pulmonary causes in chest pain. You may need proper clinical examination and few investigations. Investigations include routine hologram, random blood sugar, liver function test, lipid profile, urine RE/ME, chest X-ray (PA view), ultrasound of abdomen, ECG,TMT, ECHO. Empirically you can take pantoprazole 40 mg half hour before breakfast in the morning for four weeks. Proper treatment depend upon findings. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, today I was working a peice of machinery when I was pulling on a torque bar when it slipped and pushed he back of my hand into a metal corner on the machine. It instantly turned purple at the slight gash and is swollen and numb around the area. what should I do", "output": "Hi, Thanks for asking. Based on your query, my opinion is as follows.1. If you are able to move the hand, possibly there is no fracture.2. Some amount of swelling and pain is going to be there due to tissue injury. It will reduce within 1-2 days. You can keep ice pack. Will help you with pain and swelling.3. Take NSAID painkillers for pain. If you are unable to move the hand and even if slight movement causes severe pain, you need to get an x-ray done to rule out any fracture. At present, avoid any movement and give the hand, rest. Hope it helps. Any further queries, happy to help again." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i have a small lump in my throat that has been there for 5weeks now i have had antibotics to see if it could be my glands but the lump is still there. its not painfull or afects me when eating but i just need to no could it be cancer or could i be over reacting", "output": "Hi, dear. I have gone through your question. I can understand your concern. If it is inside your throat then it may be granular pharyngitis or something like that. If it is in neck region then you should go for fine needle aspiration cytology to check whether it is being lesioned or malignant. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 7 weeks pregnant . Doc has prescribed dubagest 100 and duphaston for a month. This is my second pregnancy and i hav no problems like bleeding etc. Is it necessary to take these tablets for such a long period? my first ultrasound was also normal.", "output": "Hello dear, I understand your concern. In my opinion the phaeton tablet and digest are nothing but progesterone hormone preparations. Progesterone hormone is very important hormone in the maintained of pregnancy. Even if there is no bleeding if there is suspicion of any progesterone insufficiency the hormones might be supplemented. So discuss regarding that with your doctor. Nothing to worry as the medications are not associated with any harmful effects to the fetus. Avoid physical stress and take healthy nutritional diet and take good rest. Avoid intercourse during the first trimester up to 12 weeks of pregnancy. Nothing to worry as such. Hope this helps. Best regards...." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Two weeks ago I had horrible diarrhea and stomach cramps. Then a week ago I noticed a white discharge from my penis and maybe some blood in my urine and an odor. I went to the ER they gave me antibiotics but the cultures all came back negative. What could this be?", "output": "Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. These symptoms and signs are suggestive of STD especially if there is associated pain, fever, urethral discharge and recent sexual intercourse. So this is the first thing to rule out by doing STD testing. Second, it may be signed of reinfection or urinary stones and some other genital infection, but this is less common. In every case, antibiotic therapy may be required, so test should be done as soon as possible so that appropriate treatment can be started. Till that try to Chat Doctor. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have recently read that shortness of breath and chest pain can be a symptom of a thoracic bulging disk, but also have seen other medics say this does not cause shortness of breath so which is it? I ve already had 2 emergency spinal surgeries in l2 & l4 area and have a disc that feels like it s popping between my shoulder blades regularly and I m recently becoming more and more short of breath even while lying down. I have a diagnosis of fibromyalgia and I am very fatigued all the time. Chest X-ray and ECG normal today as are blood work.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. No, bulging of Thoracic intervertebral disc can not cause breathlessness. Since your chest x-ray and ECG are normal, no need to worry about lung infection or heart diseases. Bronchitis can cause similar symptoms. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. PUT (Pulmonary Function Test). If PFT is suggestive of bronchitis then you need inhaled bronchodilators and inhaled corticosteroid (ICS) for breathlessness. If PFT is normal then no need to worry about bronchitis. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my 3 years old daughter has cough for the last one month, which gets severs in the night. We have allergy history in the family. One year back we gave her myteka for 2 months on the advice of peaditrician. She got well. Can we again give her the same medicine. Whether this medicine has any side effects.", "output": "Hi, Myteka is a leukotriene receptor antagonist commonly prescribed to treat seasonal allergy and also to prevent bronchial asthma. Its common side effects include stomach upset, headache, dizziness, liver dysfunction, upper respiratory infection and running nose. If your daughter is having breathing problem with cough this medication may be given however other causes of cough such as infection should be ruled out. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a small fracture in the dominate toe of my left foot that has not completely healed yet which would not be so much of a problem as far as pain but I am currently in the throes for the third day now with an arthritic gout attack done that I am currently treating with colchicine to lower the uric acid in my blood stream. At times I am able to keep the pain under control through the use of Ibuprofen, Naproxen and colchicine and at times an addition of a mild narcotic. I am unable to see my primary care provider until Monday 5/4/2014. Until I can see my primary care provider I am in need of a mild narcotic preferabley one not containing either Tylenol, Ibuprofen or Naproxen as I have those on hand now. I would require a minimum amount of approximate qty. 8 tabs of 5mg Oxycodone or 4 tablets of the 10mg would suffice until I can get into see my regular Dr. On 5/4/2014", "output": "Hi Hope this message finds you in good health. I have gone through your query in detail and understand your concern. YOU CAN SPLINT THE TOE TILL THEN, KEEP THE LIMB ELEVATED, ICE PACKING WILL HELP.ADD CALCIUM TABLETS AND HEMOLYTIC ENZYMES Hope your query has been answeredNothing to worry about, You should eventually get back to normal. Get back to me for any FOLLOW-UP QUERIES anytime. Kind Chat Doctor. .(MBBS, MS,MCH)" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 50 years old I have Motor neuron disease, osteoarthritis,asthma,eczema, hayfever, and have had problems with my gallbladder and stones in the laast few months, I am due to have the gall bladder removed soon,,,but my problem at the moment is that I have swollen ankles that are very uncomfortable, I am on water retention tablets but they dont seem to be helping remove the swelling,,help please", "output": "Howell come to ChatDoctorI really appreciate your concern, with the chronic illness hypovitaminosis and anemia likely to develops and these could be the reason of ankle swelling if the diuretic fails to work then this may not be renal pathology related swelling, circulatory disturbances could be the another cause, try to keep the leg in elevated position, hope this information helps, take care and have a nice day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was told that I had black spots on my cervix resembling a mole. After the exam the dr set up a skin check- is there a connection between skin cancer and cervical cancer. Should I stop worrying about it? Does it really take longer than a week to get Pap smear results?", "output": "Thanks for your question on Chat Doctor. There is no direct connection between skin cancer and cervical cancer. But if moles are present on skin and cervical mucosa then if in future malignant melanoma can affect both. But possibility of this is very, very rare. So no need to worry much for this. And PAP smear is routine OLD (Out patient department) procedure. It will take maximum 1-2 days for report to come. More than a week time is too much for pap smear report." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello my boyfriend has congestive heart failure and he is peeing very little he also has stomach aches and has a history of drinking alcohol sometimes his sex drive is not there we barely have sex cause of his breathing and he has a history of asthma do you know what can be going on", "output": "Hi, A history of congestive heart failure with a recent onset of a decrease in urine volume needs to be evaluated as this can be what we call \"Cardio renal syn Chat Doctor. His stomach aches can be related to many factors which may include the liver (as in congestive nephropathy in heart failure) or a problem in the kidneys causing too many levels of toxins not being excreted in the urine (uremia). I would suggest a consult at the Emergency Room to check for his present status, appropriate diagnosis of the present condition, and to check for any co-existing problems, like infections which can further aggravate heart failure, if not treated promptly. This may require hospitalization for observation and definitive treatment. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been having pain in lower abdominal region, not left or right, but a band across, for 4 days. Bowel movements are regular but have noticed pink urine. Also very bloated. Some intermittent nausea. I thought it might be a diverticula flareup since I have that problem but the pink urine is disturbing. What could be causing this pain?", "output": "Hi. Thanks for your query. It is possible that the diverticulitis have flared up, the part is in contact with the urinary bladder in the pelvis giving rise to pink urine - this may basically be cystitis giving hematuria. In such a situation where you know you had diverticulitis, the best way is to go for CT scan first to see if there is flare-up or not. Also go for the routine lab-work. Urine for routine, microscopy, culture and sensitivity. Cystourethroscopy will help to substantiate the diagnosis. Get started with the medical management in the form of antibiotics and supportive medicines. Rest of the treatment will depend upon the findings and proper diagnosis." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I would like ta know why my left kidney scar is bleeding after over 10 years? My name is jacob bullock 24yr old male, I hd an operation in 2000 on my (left) kidney as result of a stab wound to (my) left kidney. I had to have reconstruction surgery on my kidney. Well, I went thrw physicl therapy nd pain management, the whole thing like i was supposed to. Well, the problem is i can t figure out why after about 2 years of healing , my scar started ta bleed,in 2002, i didnt really thnk too much about it but then bout three years ago (2008) it startd hurin an it jus kept gettin worst but tha MRI didnt show nothin an i cudnt do anything cuz i didnt have any type of insurance, i still dont ...so my question ta you is:Why is my scar(s) bleeding and it alredy heald 4 tht amounta tyme(10yr.period)??? Thnk u4 ur tyme n cnsderation. Sincerely,Jacob Bullock(J.B)", "output": "Bleeding scar. How does the scar look-is it read or almost white.? Did it get bruised or hurt any time.? Has there been any discharge from it off and on.? Are you extremely hairy? These are pertinent queries related to your scar. It would be best to see your operating surgeon and let him assess the scar or show to a Plastic Surgeon who understand scars well. Keep me informed of your progress. pchhajlani@hotmail.com Website:http://www.cosmetic-plastic-surgeon.com, Chat Doctor. M.S., M. Ch. Cosmetic & Plastic Surgeon. Gang Fauna Apartment, South Tukoganj. Near Path Manner. Indore.452001. India Tel.O & R. 91-731-2511411/12. R.2366588. Appointments:0731 2511411- 10.30-7 pm." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, on the bottom set of my braces, the wire has slipped out of one sides bracket causing the other side of the bottom to hurt. I discovered the wire has slipped one side causing the other side to dig into my gum. The wire is now in my gum causing me aches and an inflamed gum. Help?", "output": "Thanks for your query, I have gone through your query. The pain in the gums is because of the trauma caused by the wire poking into the gums. Immediately consult your orthodontist or a dental surgeon and get it corrected by placing back the wire to its position. If I am your treating doctor I would have corrected the wire first and put you on topical anesthetics like 2% lidocaine gel, apply 4-5times daily till the lesion or wound heals. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Doctor, Alcohol, Atrial Fibrillation & Life after... I get blotted, noxious after drinking only one glass of white wine. Although I do not drink much, I ve had a couple episodes of atrial fibrillation in the past 2 to 3 years. These episodes were serious enough for me to be kept in the ICU of the hospitals I went to. Both lasted for 48 hours+ followed by a couple of days of watch time. Ever since the second episodes, I was prescribed to take Rytmonorm 150 coupled with Coraspin 300 to avoid any blood clots. After 2 years on the treatment, I ve hoped that my heart would be clear of the problem and tried to get off of the medicine. Within 24 hours, my heart started to beat erratically, enough so that I immediately reached for the pills... Along with my heart beating awkwardly, I ve noticed an almost instant pain in my head coupled with a slight but persistent confusion... I have repeatedly told about the combination of effects to a few doctors only to be dismissed at once as there doesn t seem to be any correlation with the heart/brain (as per the doc s opinions)... I have gotten a check-up with my cardiologist a couple of weeks ago and he recommends that I stay on the medication (one of my valve (top?) is 4cm wide whereas it should be at maximum 3.8cm (from memory, and I can t remember what was what exactly). Also, there was another measure from the ECG of 450ms or such between beat... Where it should stay under 450 or 430... Again, I do not recall the exact lingo... My question is simple. Are there any known adverse effect to taking a medication such as Rytmonorm, does it affect the initial problem (atrial fibrillation)? Is there any way to remedy the problem without resorting to ablation (which has a low success rate) or cut through the electrical system (old style)... I really would like to get off the medication. Thank you for your time and feedback on this case. Best Regards, Frederic", "output": "Hello, Ritmonorm is for rhythm control that means if you have had episodes of atrial fibrillation that have been resolve in sinus rhythm you must take these medicines, to stay in sinus rhythm and to prevent episodes of atrial fibrillation. If you were my patient, I would consider an anticoagulation treatment (Carlo), because of your atrium diameter. One side effect of Ritmonorm is an elongation of qt SEG on ECG. So if I were you, I would continue using Ritmonorm. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My mother is currently on dobutamine and levophed for congestive heart failure. We want to be able to at least get her off of the levophed. The doctors are trying midodrine which has allowed us to lower the dosage of the levophed some, but not entirely. What other options are there?", "output": "Hello, Thanks for writing to Chat Doctor, I am Chat Doctor. Devoted is actually one of the last resorts a doctor has in case of heart failure, when heart gets too weak to pump enough one needs it, there are not many options which can be as efficient as devoted, but you can discuss with your doctors about digoxin, but usually patients on devoted are hard to switch to digoxin as digoxin is less potent and has more side effects. The only way your mother can get of devoted is only if she gets out of failure chronically by use of diuretics beta blockers ACE inhibitors etc., if here ejection fraction is too low, and she is in ongoing failure than isotopes are only choice. I hope this answered your question, If you have more queries I am happy to answer you. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I fractured my my right wrist (undisplaced distal radius) on the 28th September 2011 and was put in plaster, they removed the cast on the 28th October after four and a half weeks. I am still in pain and feel that my fracture has not completley healed, I did express I was in pain the day it was taken off I am very concerned.I have pain accros the index finger area and the bone of my thumb is tender Please can you advise me. Thank you", "output": "Hello, After removal of plaster, every fracture needs physiotherapy for some days for smooth functioning of muscles and ligaments. If you are still having pain at your wrist after 6 months of fracture then you should check first for complete union of fracture. This can be checked by having an X-ray of affected part. At present, I shall advise you for physiotherapy and taking calcium supplement for relief. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Sir,we are trying from last 2 years , we went through all tests for pregnancy. came to know through HSG one tube was blocked and other is working fine. Dr. suggested for Hysterolaparoscopy and its cost around 30k in noida.Can anyone help me with my queries..1. Has anyone done this and got pregnant later?2. If my block is removed in laparoscopy (Hopefully i can get pregnant naturally) 3.what are the precaution we have to take?4. is one tube is not sufficient for get natural pregnant?5.what about the success rate of this surgery and side effects?Please help me... Im in a lot of confusion. Should I go for this???", "output": "Hi, I guess your concern is about getting pregnant with one fallopian tube or if not then what its treatment. Let us discuss your queries on by one:1. Has anyone done this and got pregnant later-YES. It is effect.2. If your block is removed in laparoscopy, you can get pregnant naturally. No doubt in this. You can go through it without confusion in your mind.3. What are the precaution we have to take-try to do coitus in the fertile period (it starts from 10th to 16th day of menses) during which ovulation occurs, sperm fertilizes the ovum and women becomes pregnant. Chances of women getting pregnant is high during this period. So try to do more episodes of coitus during this period coitus.4. Is one tube is not sufficient for get natural pregnancy - YES, ITS SUFFICIENT for get natural pregnancy, but chances is may not be as equivalent if both tubes are patent. But chances are enough to get pregnancy naturally.5. What about the success rate of this surgery and side effects-success rate is quite good. But it depends on surgeon experience and infrastructure where the doctor is working. After blockage removal, try to do coitus in the fertile period as explained above. Try to discuss freely n openly with your treating doctor without any hesitation. They have done specialization in infertility for the purpose of the people who have this kind of problem, they would be happy to solve your doubts. I hope this is informative enough, useful and helpful for all your queries. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a professional gardener in my mid fifties and I suffer with hayfever. This year I have had swollen glands in my neck, the first one was on my left side and came up at the beginning of April, however this seems to be spreading to the one above. I also have swollen glands where my neck meets my shoulder. In the past week a gland has become enlarged on the righthand side of my neck. All are tender when touched. I have been to my GP and have had a series of blood tests whicChatDoctore back as normal. He also sent me for a chest xray and this also came back as okay. He seems to think it is something to do with my hayfever and the fact that I work outside 5-6hrs a day. I would just like confirmation that this could be the case or should I insist on further tests. I seem to have a mild sore throat and a cough but these symptons are definitely worse some days than others and I think are most certainly related to the gardening. I do not have any other symptons such as night sweats, tiredness, loss of weight etc", "output": "Hi thanks for contacting Chat Doctor... Here you have hay fever that is allergic rhinitis like condition to allergen... Try to avoid exposure to pollen, dust and pollutants... Take antihistamines Chat Doctor. ... Decongestent oxymetazoline spray can be taken. Here as you have swollen glands to relieve inflammation short term steroid can be used like methyl prednisolone. Do FNAC from swollen gland .... Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi there, yesterday my leg fell in between a tail lift & mini bus & within minutes a bruise appeared on inner lower leg & swelling around the bruise. I then got pain on my inner upper leg with no visible signs of an injury. I am in quite a lot of pain. What is your advice?", "output": "Hi, It appears like you had internal bleeding and now a clot/hematoma has been formed at the injury site. There is no need to worry as it will heal by itself (resolve). You need to take painkillers such as Diclofenac sodium to get relief from pain. Also, if any abrasions/bruise is seen on your leg, get a TT injection (tetanus), if you haven't had one in the past 5 years. The wound should heal in around 5-7 days, failing which you may visit your treating doctor. Hope this information helps. Feel free to ask if you have any doubts. With warm regards," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a 10 yr old boy, normally very very healthy. He and a friend went fishing in the creek and now he is sick. sore throat, headache, stuffy nose, stomach ache, stiff neck fever 101-103. Went to urgent care said dont know what is wrong. did a strep test came back normal, checked for mono came back normal. he has been sick like this since monday and not getting any better. Have given him tylenol for headache and fever.", "output": "Hellothank you for contacting ChatDoctoryour son might be infected with acute pharyngitis, tonsillitis or adenoids. Means infection in throat or tonsils with bacteria or virus. Give him plenty of fluids. Light diet with sprouted pulses. Give him vegetable and fruit juice. Do gargles with a warm water 3-4 times a day. Give paracetamol for fever and headache in half strength. Please consult your clinician for antibiotics thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doctor, recently i came to know that i have pco and my gynecologist prescribed my husband to have a semen analysis. we took the semen sample in a plastic pot bought from a pharmacy. we went to a reputed hospital in my city which is only 5 min distance from our house. but the doctors there said that the semen should be ejaculated there in the hospital and they rejected to take our sample. i want to know that is there any legal problem to take the sample bought from home and why they rejected?", "output": "Good day, and thank you for being with Chat Doctor !!! Semen samples should be collected in the hospital premises not due to legal concerns but because of quality and accuracy concerns. We take note of the time when the semen liquefies and how long they stay alive with effective propulsion. This is needed to properly evaluate the sample and for your urologist to be able to have the most accurate data to be interpreted. I am sorry to hear that the hospital that you went to wasn't able to properly explain why an outside sample cannot be allowed." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "A friend of mine is treated with topirol 50mg and tryptomer 25mg for the past 9 months. she feels drowsy, uneasy. doctor has given this for her headache and earache also doctor told her it is for treating the excess blood flow to the brain.....can u explain", "output": "Hello! Welcome on Chat Doctor ! Based on your friend history of headache and this therapy, I would explain that your friend may suffer from migraines. This therapy is specific for the prevention and chronic management of migraine attacks. The increased Chat Doctor. For this reason, I would recommend discussing with his doctor on the possibility of stopping gradually Cryptomeria and switching to Prozac or Sertraline. Besides, I would recommend increasing the dose of Topical up to 100\u00a0mg daily if tolerated. Hope you will find this answer helpful! Best wishes, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 2 years old has an ear infection we start the augmentin es since one week he is feeling better but I didn t refrigerate the augmentin its a week now my son have a skin rash all over his body and the medecine is yellow he got flu again with fever and he vomit once this morning what to do", "output": "Hi, Thank you for asking question on Chat Doctor. Middle ear infection will not clear easily. Avoid head bath, bathing in swimming pools, rivers and ponds. Avoid colds because cold will exaggerate middle ear infection. Augmentin may sometimes give rise to rash. Cetzine syrup once daily will reduce rash. Take treatment immediately Hope this answer will serve your purposeless feel free to ask any more queries if requiredTake care Chat Doctor. V. Subrahmanyam MD;Disassociate professor of pediatrics" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I completed a pack of minigynon on saturday. Havent started a new one decided to let my period run its course. I just had unprotected sex with my boyfriend and he came in me. Can i start a new pack of pill starting off with two and i wont get pregnant", "output": "Hello misunderstand your concerned you have finished the whole pack of minion (regularly without missing the tablet) then you are completely protected. No need to start new pack till the period will come. You have to start new pack from the first day of next cycle. But if you missed one or two pills, and you are irregular in taking the pill then you have to take emergency contraceptive pill to prevent the pregnancy. So no need to start pill before the period come as you have taken microgynon regularly. But if period will delay by 10-12 days from normal expected period then you have to go for pregnancy test to confirm pregnancy. If you will pregnant then still you can terminate the pregnancy by using abortion pill under the advice of gynecologist up to 9 weeks of pregnancy. Hope this may help you Best regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 71 years old and my blood pressure has been droping to 115/7 or 20/75. What is to low or to high for me at my age? I feel great. and I am not sick. I take 10/40 blood pressure med and 25Mg of Levothyroxine has been taking it for one year now.Let me know what is to high and low for me concerning blood pressure.mamahrodgers2@gmail", "output": "Hello What you had mentioned asymptomatic. So the readings which you have mentioned are likely a false reading and machine error. Because it's possible for any person to have such low BP without any symptoms. One would have dizziness syncope etc. So I think no need to worry about it especially of you are not having any symptoms. And recheck the BP with arm lying relaxed and straight. There should not be a bend at elbow which may falsely lower the BP. Hope this helps you and get back if you have any doubts. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi am having stomach pain under my breast that is upper abdominal area. When I dont eat am started with pain and after having food it disappear. I started taking pantacid and am not ok.is it necessary to take endoscopy. I did not visited gastroligest simply to a mbbs .pls suggest me and is any thing is wrong", "output": "Hello dear, The symptoms as mentioned in your post is attributed to Acid Peptic Disease. It is caused due to erosion of gastric/ duodenal mucosa secondary to increased acid production in the stomach. Presence of pain during empty stomach, which relieves on medication is characteristic of a Duodenal ulcer. Investigation like Upper GI endoscopy will be helpful in determining the location & severity of the ulcers. Kindly get it done. Symptomatic relief can be obtained with intake of Pantoprazole preparation (to be taken twice a day before meals) & antacid gel (to be taken after meals). They prevent formation of excess acid in the stomach & provide symptomatic relief. And it is also needed that you take certain precautions regarding your diet & lifestyle, such as:1. Take soft, plain, non-spicy foods2. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a single inflamed bump on the shaft of my penis. I popped it thinking it might just be a pimple and some solid stuff came out and then it bled alot for something so small. What could this be, i have never popped a pimple with such solid stuff in it before?", "output": "HelloThanks for query. Based on the facts that you have posted I would say that you have infected Sebaceous Cyst on the shaft of the penis. The penile skin is rich in sebaceous glands and hence prone to get more sebaceous cyst due to accumulation of sebum beneath the skin. Normally they fade away without treatment however they need to be treated if increase in size or get infected. Take broad spectrum antibiotic like Augmenting along with anti-inflammatory Chat Doctor. Along with topical antibiotic ointment like Newsprint twice daily. If it persists even after taking medications for a week you will need to consult qualified General Surgeon for clinical evaluation and further treatment. You may need to get it excised in Toto (Completely along with the sac)." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "In the last two weeks I ve had a CT scan, Brain MRI, 3 treatments of Solu Medrol. On Wed of this week I had a spinal tap, so of course I m sore and tired and today (Friday) I went in for Spinal MRI. They tried it twice and each time it started I got very cold and clamy. I felt like I was going to vomit. They discontinued the MRI since my body couldn t take anymore. I wasn t stressed about the MRI today, so I don t think it was due to anxiety. I had MRI last week of my brain and I was completely fine. After today s attempt at getting the spine MRI, I went to my car to leave and I ended up vomiting. I ve felt nauseated all day and now I m burning up with fever. Should I be worried? If I m still feverish tomorrow, should I see a Dr.? Thank you for your advice", "output": "I read your question carefully, and I understand your concern. It is puzzling though, I have never encountered any report of such effects of MRI and furthermore there is no reason for the MRI to cause any of those symptoms, it's a harmless exam, doesn't carry any sort of radiation. So I think it must be a coincidence you must have some infection causing the fever, nausea and vomiting which is manifesting its symptoms. I hope to have been of help." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have pain in my right side of lower chest which subsidesfor some time after urination. I am 45 years old male with a weight of 72 Kgs my hight is 5 feet 4 inches . I underwent a hernia surgery 4 years back it was on the right abdomen. Now I feel for hernia on my left abdoman also.", "output": "Hi welcome to Chat Doctor ... You can have abdominal because that can lead referred chest pain on right side like kidney problem, gall stone, colitis, recurrence of hernia etc.... For that I will suggest investigating with USG abdomen with full bladder.... Second it might be bronchitis like condition of lung... For which chest x-ray taken for further work up.... According to report and examination, cause confirmed and then treated accordingly.... For left side hernia you are suspecting examination done .... You have to cough and look for bulge in that left side for rule out hernia... If no above causes found than there might be muscular pain... For which broken needed To Take care Advise : physician consultation for further examination..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello DoctorThis is regarding my father aged 72 yrs. He was diagonised with Hep C three years ago when he was hospitalised for bleedign esophageal varices. Since then he is stable and his liver function is more or less satisfactory. He is a diabetic and hypertensive with BP in the range of 130 / 70 and sugars around 85 fasting and 190 PP. His creatinine and BUN were all normal till the test done around 15 days back. His latest values are creatinine at 1.54 (Normal 04-1.4) and BUN at 12 (normal 7-20). His urine does not show any proteins, or any blood cells etc. He has no problems whatsoever in urination. Does this indicate any kind or kidney dysfunctinon sir. Is it a cause for worry", "output": "Hello Welcome to Chat Doctor, thanks for posting your query. I read your question completely, and I am of the opinion that, you need not worry. Reports of Great 1.5 is slightly on a higher side, but that should not worry you. His age is 70 plus, so there is a good chance that he may be having prostate related BPH. It's basically a hyperplasia of prostate and due to which his great may be little on a higher side. If possible get an Abdominal scan done to see renal status. Also, to look for prostate size and architecture. And, I am very happy with his sugar controls. Age 72 and FBS 85 is excellent. I congratulate you on that. So to summarize, do not worry. He's healthy and hopefully happy. His all tests are normal. If possible get a scan done as I've mentioned. Or else, we can still wait. Apart from this, any other queries you can always get back to me. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI MY PAED IS BUSY IN A DELIVERY, PLEASE CAN YOU HELP ME WITH AN ANSWER, MY 2 YEAR OLD DAUGHTER HAS A URINARY INFECTION, THEY HAVE TESTED A SAMPLE OF HER URINE, AND THE RESULTS SHOW BACTERIA IS GROWING, WHAT DOES IS THIS MEAN, AND HOW SERIOUS IS IT? THANKS", "output": "Hello, The presence of bacteria in urine in a baby girl might mean two things: 1. Bacteria from stool got into babies urethra (in baby girls this often occurs because the anus and urethra are too close, unlike in baby boys), and 2. An infection of urine coming from higher levels of urinary tract. The second option is less likely since it implies that a systemic infection has also affects kidneys or the urinal bladder. Therefore, with the information you provide, I would be more in favor of the first option. Howeve, even in this case I suggest considering the use of an antibiotic based on the type of bacteria detected, the number of bacteria per field and other signs and symptoms of the baby such as fever, discomfort, etc. Also, the hygiene of the baby in that region is important: frequent baths, use of local nutritive and protective creams, and fast change of pampers after stool comes out. Take care!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hey, I fell and got a mensicus tear in my left knee. Since then im on crutches because of a ligament aswell.since that day I lost feeling in my left hands small finger and half of my ring finger and that part of the palm aswell. The feeling has changed to pins and needles to the point of pain, the doctor took a xray of my neck and said one of the vertabraes have a little swelling around it but it should go away quick and cant be that bad. It has been a while now and I am 17 so cant just go to another doctor and our medical aid is depleted. I have to drink zytomyl which is a antidepressent of 20 mg daily ,4 * 30mg ritalin(generic methylphentidate), purbac,topiramate which is like epilum used to control intense migrain I hardly have ever since. Any advice please just as prove maybe even for my mom, it went from funny to realy cant handle. Thank you", "output": "Hello, I have studied your case. Due to compression of cervical nerve root there is pain in neck and upper back. I will advise you to MRI cervical spine for better diagnosis. For these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. MRI knee will help in knee meniscus injury severity.arthroscopy repair will help you. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, Im 27 yrs old, M, .. Morning when i get up my calves near the leg gets caught very badly. i don t know how to explain .. whether its a cramp or something, but the pain is like a killing pain,.. I feel m gonna die in few mins.. I also sweat while that happens.. After few streches it ll be back to normal.. Please help me out..", "output": "Hi, Thanks for your query. After going through your suffering, it seems you have developed muscle spasm (cramp). The cramps are caused by hyper excitability of the nerves that stimulate the muscles. Chat Doctor. A simple way to prevent cramp is-1. Warm up and stretch your calf muscles before running stretch your calf muscle before going to field 3-4 times and each time holding for 10-15 seconds. 2. Talk to qualified trainer for proper running form and footwear.3. You may run in a heel-toe pattern and avoid letting the balls of your feet hit the ground first.4. Stay properly HY" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been feeling as my entire chest is being squeezed in and having pains in my left chest also have been feeling light headed. this has been happening for the past 6 months. I have been under moderate to heavy stress is this a heart issue or something else?", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. Yes, your symptoms can be due to heart related diseases. Coronary artery disease, heart failure etc. cause chest tightness, pressure and squeezing type of chest pain. So better to get done ECG and 2d echo. If both are normal than no need to worry about cardiac diseases. You are also having stressful life. So possibility of stress and anxiety can also there. So avoid stress and tension. Be relax and calm. Consult psychiatrist and get done counseling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Don't worry, you will be alright, but first rule out cardiac diseases. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I went to the Hostpial about six months ago and they found a lump on the left side of my tail bone and it only hurts every once in awhile they said they think it s a fatty tumor but not sure and wouldn t give me an mri.today it s hurting again and I live in a very small town now.inwas just wondering if it could be s.a.?and should I be worried about the placement?", "output": "I welcome you to Chat Doctor for your health concerns am Chat Doctor and I will look into your problem I have gone through your question and understood your concerns. There is lump near your tail bone, and it is painless most of the time. It appears to be colonial cyst with differential diagnosis of lipoma as well, at present nothing is required except observation. There are chances of it to get infected, then it will result in colonial abscess. Timely Chat Doctor. At the moment observe this lump and keep the area " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My two index fingers (especially left) have bumps and are turning. They also burn occasionally (middle finger on left hand also). I know It would be called arthritis, however I believe there must be something restricting circulation in some other part of my body Shoulder? hip? causing problem in fingers Anything I can do? Thank you? YYYY@YYYY", "output": "Dear patient You have got arthritis of hand joints and this has no relation to circulation. This happens due to inflammatory reaction to synovial of joints especially small joints which leads to joint destruction and deformities. This needs to be investigated with X-ray of both hands anteroposterior and lateral views. Visit radiology center nearby you and get it done. You need to consult expert rheumatologist with X-ray report. All the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am having pain in my heel when I walk and slight swelling in my left leg. I have been taking ibuprophen and taking foot soaks with epsom salts and warm water. I have psoriasis. The symptoms started approximately two weeks ago. Any clue as to what it might be?", "output": "Hi, Thanks for your query. From your symptoms, it seems that you are suffering from plantar fasciitis. It happens due to inflammation of the plantar fascia. It hurts the most with the first few steps in the morning because the plantar fascia is tight and has not stretched out yet, and throughout the day it loosens up. The best thing you can do is when you wake up in the morning, before getting out of bed and taking a step, give yourself a little foot rub. There are many things you can try to help your foot get better:Give your feet a rest. Cut back on activities that make your feet hurt. Try not to walk or run on hard surfaces. Use shoes with good arch support and a cushioned sole. Do toe stretches, calf stretches and towel stretches several times a day, especially when you first get up in the morning. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I got infuenza virus almost 8 weeks ago. 7 days after getting the virus I started having asthma attacks daily and still do. At the beginning I needed 50 mg predinisone to regulate my breathing. Also on 3 different inhalers. I am a non-smoker with no other illnesses and never experienced asthma or any difficulty breathing before. I had 2 x-rays and 1 ct scan that was good. Therefore my doctor said I have allergies ? I have never been testing for allergies and personally think this influenza caused this . Your thoughts or recommendations would be appreciated", "output": "Hi, Welcome to Chat Doctor forum. As you describe, you had chest infection. If its viral infection, or an allergy it will have a bacterial infection and lead to pneumonia, if not treated promptly may lead to recurrent breathlessness. The infection of the tuberculosis also should be excluded. I advise you to consult a physician for diagnosis and treatment. I usually prescribe to my patient with such symptoms lifetime, D.E.C, theophylline,cetirizine etc. Wishing for a quick and complete recovery. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "The problem is that when I go to bed and lie down I start to have a tightness in my chest and become breathless if I get back up and sit up it improves last night it was several hours before I could return to bed. My health history is I have had three heart attacks and have a triple a", "output": "I would request you to visit your cardiologist. The symptoms you describe is called orthopnea, which is seen when heart pumping is weak, and It's unable to pump handle the extra blood coming in supine position from the legs due to elimination of gravity. If you also have swelling generally in the evening or so. You need to be put on a diuretic for handling the extra fluid. Your cardiologist your be able to guide you with the relevant investigation and optimization of treatment. Till than I would request you to sleep with 45 bed elevation at head end, and restrict fluids to less than 1 liter a day. Regards Chat Doctor. For further assistance you may contact me on Chat Doctor through Http://doctor. ChatDoctor .com/doctors/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, Im 19 years old and i am suffering feeling of guilty because two months ago there was a friend and he was died by hanging himself but my problem was two days before i said that there is nothing in life and time is going so fast thats why i am feeling so stress. what can i do to come out form stress?", "output": "Hi, I am sorry about your friend and can understand your emotions. You seem to have developed negative thinking as a result of the stress which is resulting in your feeling guilt and worthlessness of life. All these are suggestive of underlying depression. I feel your condition demands immediate attention, and you should seek a psychiatric consultation without any further delay. Treatment with anti-depressant medications like Escitalopram or sertraline will be helpful in controlling your symptoms and will help you see the brighter side of life. In addition, you should consider exercising daily. It will help you relax and feel better. I do hope that I was able to answer your query. Best wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am 31 and have a 13 ur old. I have a small peasize lump deep inside my vagina right back to back with my back passage between the walls sort of, it is not pain full,though it was not there before. It seems to be just behind the flesh between the wall of my vagina and anus wall. Thanks", "output": "Hi ! Good evening. I am Chat Doctor answering your query. As it might not be possible to opine on the lump without a clinical examination of the lump, I would advise you to take appointment with a gynecologist in your area for a clinical assessment of the lesion and proper management. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my fiance is 46, he has had a hard bump on his arm pit that hurts for like 3 days now, its getting bigger, he just woke up and his armpit was sticky with kinda like a brownish pus. it has white little bumps that look like a pimple when its ready to be popped. do you know what it might be?", "output": "Hi. Thanks for your query. Noted the history about your fianc\u00e9 and understood the concerns. The hard lump of three days in armpit with brown pus is suggestive of an infected sebaceous cyst or a boil. I would advise him the following in such a situation. Consult a Doctor to get a clinical examination and a valid prescription of an antibiotic, anti-inflammatory medicine with a painkiller property. Get a reference for a General Surgeon to see if incision and Chat Doctor. Apply liquid provide iodine locally." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I recently had a root canal done. During the procedure, my dentist would repeatedly remove the drill from my mouth and place the drill bit into a blue box that contained several holes. He would read off a measurement to his assistant and then return the drill/drill bit into my tooth and drill more. The blue box looked old/worn. I now have several sores in my mouth and am paranoid that it is the result of his putting the drill bit ito the box where all other root canal measurements are made and then back into my mouth. I am scared about the procedure not being sterile and getting disease from this. Is this something that should be reported? Should I switch dentists?", "output": "Hello and welcome. Thanks for sharing your concern. Please note that if you are paranoid or curious to know if the instruments being used are sterilized or not then please feel free to ask. It is your right to know if the treatment offered is aseptic or not. Therefore rather than changing the dentist please talk about your problem and ask them to use a new set of kit for you. Hope it helps. Thanks. Take caretaker care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my mom is 64 years old and she is suffering from repeated coma which lasts for few days ,all the lab tests shows normal results except for slight elevation in liver enzymes and the serum ammonia is 160 we ruled out neurological issues what could be the reason ? Thank you", "output": "Hi, dairy have gone through your question. I can understand your concern. Coma with high ammonia level suggest hepatic encephalopathy. You should go for complete liver function test and ultrasound abdomen to search the cause. Then you should take treatment according to cause. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, i twisted my ankle about 5 yrs ago, i never got it checked out, i started a job where im on my feet walking all day, my ankle is now hurting very badly, feels like its breaking, And when i take a break and sit for a few minutes and try walking again i cant bare down on my foot because it feels like its broke, i have to walk a minute before i get any relief. its my left ankle, i cant turn my foot towards the left with out feeling alot of pain. What could possibly be wrong with it. and what can i do to relieve it?", "output": "Hi, Thanks for contacting Chat Doctor. In cases like yours with an ankle sprain and then continued pain, it is most likely that there was some soft tissue damage on the structures that support the ankle joint itself. There is a ligament and two tendons on the outside of the ankle that are the main stabilizers, and these structures can get stretched, partially torn, or completely torn with a sprain. Most times, these will scar back down and continue to support the ankle. Other times, they will not be able to do the job as they did before and will have to work \"overtime\" to do the same job. This area then gets inflamed and painful, especially after a full day of trying to stabilize the joint (being on the feet all day). It is wise to start out with an ankle brace and see if that helps the area, as the brace can do the job of these soft tissue structures and give them a break to help decrease inflammation/pain. I hope this answer helped, if you have any further questions, I am here to help. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi my friend discovered high SGOT & SGPT level during his LFT first time after that he got cautious and quit alcohol and smoking but still during his second test he found his SGOT/PT levels,which dramatically rose upto 54 and 154 in 5 days despite following a very healthy diet.", "output": "HelloYour friends finding suggests raised SGPT and GOT level. Increased SGPT may indicate liver injury. It may be due to many reasons like hepatitis, alcohol intake, fatty liver,autoimmune causes etc. Increased GOT and SGPT may be related to alcohol intake in your friends case.GOT is non-specific, and it increases in many conditions. Your friend may need few more investigations like routine hologram, random blood sugar, lipid profile, viral markers, ultrasound of abdomen. Ia suggest tablet ursodeoxycholic acid 300 mg twice daily for three months. It helps in regeneration of liver cells. He should go for brisk walk and do exercise. It is good that he don't Chat Doctor. He may need few more medicines after full investigation. Get well soon. Take Care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good evening dr. i am suffering frompanic attacks since 2 yrs. however i am on medication like nexito 20mg and zapiz sos. i feel i would get panic attack any time. however it does not happen. just a thought of it coming and then goes off slowly. however todaymorning i got the panic attack when i woke up at 6am i immd took 2 tab of zapiz 0.25 and then since i found no relief i took another 2 tab and then found relief. i did feel dizzy after taking the same. kindly help me to come out of this. i am working in an hospital industry. ThankYou xyz", "output": "Dear Rachel, hello. The medication given for anxiety and depression have side effects, so this medication should not be taken in extra dose unless advice by a doctor. You are feeling dizzy because of taking rapid repeatedly. You should Chat Doctor. This will help you to some extent. For decreasing the frequency of panic attacks, you should try meditation and yoga. This will help your body in many other ways also. Thanks and take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have bee going through this for about six months now. and I keep getting different answers. In May I flew home on a short flight I Had two Symmetrical rashes in the same spot on had 2 symmetrical rashes inthe same spot on both legs. The swollen with edema, I went to my primary doctor a dermatologist and and allergist.I have had ultasounds biopsies and all kinds of blood work. My legs hurt right down through the bone and it feels like ther are 10thousand pin pricks coming out. at one point there was purpura and bleeding and severe bruising. No one can figure this out. The Dermatologist just wants to sell me elixers and free and clear shampoo. First the said vascullitis then a reaction to bug bits then today eczema. I am not buying it.. I also have little bumps that grow into what almost looks like a chicken pock mark. This is on my arms. I have been running fevers and having chills. I feel like no one car es or wants to give me the correct diagnosis. I was taking Diclofinac joint pain. The bruising and rash at first looked like HSP but everyone I have seen says I am not a little child. No I am a52 year female. Every joint hurts. It is hard to stand and move.I need to get the proper diagnosis.", "output": "As allergy can develop at any time with anything at any age even a major food we are taking suddenly start reacting to body proteins, allergies can be developed from any one of these things like oils shampoo soaps creams ointments body application materials medicines like PCM ibuprofen aspirin disdain calcium multivitamins and diet supplimentsfoods pollensget consultation with allergy specialist who can get you diagnosed by getting allergy tests and find the cause and treat according to result till you can use antiallergic tabs and antiallergic creams for local application and avoid paracetamol ibuprofen aspirin disdain calcium vitamins and diet supplements to control the pain use other group of salts" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My father who is diabetic hypertensive and IHD with stent placement done in MAy 2012. now doctor while taking ultrasound is suspecting Gall bladder cancer , so MRI was taken. Doctor told its stage IV with liver and periportal lymph nodes ivolvement . Doctor suggested palliative open colecystectomy? Father is right now very fine doing his normal duties, no symptoms. I went to take second opinion from another doctor. He ask for CT scan saying MRI is little doubtfu. it might be chronic inflammmation too. Now is a CT scan actually required? Other people are telling not to subject him to surgery as it will only torture him. Please advice????", "output": "Hi, Contrast enhanced CT scan can confidently comment regarding liver metastasis and enlarged peripheral lymph nodes. If on CT scan these findings are found out then probably stage IV disease can be diagnosed. Then a FNAC can confirm the tissue diagnosis. If the disease has already spread to that extent it will be better to put the patient on chemotherapy, surgery will not be very helpful. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, im heil 21y/o..should I be worried and have new vaccine? I was bitten by our 2 months old puppy who hasnt been vaccinated w anti rabies last august 17 had my anti rabies shot the next day august 18 2nd shot august 22 but today august 24 I was playing with my pup and he accidentally bit my hand it has a slight scratch and still hurts I washed it with soap and alcohol. im so worried. please healp", "output": "Hello there, I am Chat Doctor. Hope I have given appropriate guidance to you. See there are reports sometimes suggests normal dog have virus in his saliva. So should not take chance about that. I think you should visit yr physician for the wound cause by dog biting. If it is just scratcher than mostly you need not take injection. But local examination is needed for confirmation. So please do suggested things as early as possible. If you have any query you can consult me anytime. Give me star rating, helpful vote & thank you according to your satisfaction level. Thanking you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 5 month old son started getting a rash on his neck about 2 weeks ago, only a few spots evident but over the last 2 weeks, its spread all over the neck and under his arms. Its ike spots that look quite sore , they re raised but dont appear to offer hm discomfort.", "output": "Hi, Most likely it will be militia- a rash developing commonly in summer from blockage of sweat glands. It appears as minute pa pules over an erythematous base. Nothing other than frequent wetting with cold water (not ice-cold) is needed. For some patients with itching, calamine lotion and occasionally antihistamines Chat Doctor. It is better to avoid talcum powder as it can exacerbate the situation. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a 16 year old who is small for her age and is ADHD and OCD. she talks fast and loud. Is there a medicine that she could take that would reduce these symptoms? She has previously taken Strattera, Concerta, Adderall XR, and adderal 10 mgs twice per day. Any thoughts or suggestions would be appreciated", "output": "Hi. I had gone through your query. OCD and ADHD both require extensive treatment with biological medicines. Medicines that have you mentioned in query are appropriate to disorder. Proper dose and regular assessment are advisable to observe improvement. Medicines will take time to act and treatment will be a long. Fluoxamine and methylphenidate are alternative options for treatment. But it can be taken after proper detail assessment and evaluation. Medicines compliance is must. Behaviour modification and parenting or parental counselling can help. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hai, this is preeti gupta, sir , im faith up with my allergy , im tired with it before 2 yrs, and it iritates it , it lokks like a pit, which falls on my body very fast. could u pls advice for it, i used lots of medicines as per advice of doctors, but i didnt get any good responce it still remains same.", "output": "Cellophane You for contacting Chat Doctor. As you have chronic allergy problem so I would recommend you following things:> First & most important is to find the cause of allergy. It could be from dust, pollen, specific food or insect bite. When you are able to observe the cause then you need to avoid it to the best of your effort.> Take montelukast one daily for one month. Research has shown that it decreases the allergic symptoms considerably. I would also suggest you to undergo allergy testing at allergy clinic as you have chronic allergy problem. It will tell that you are allergic to what specific thing. The results will help an allergist to prescribe you immunotherapy to that specific allergen, and it will improve the problem for long. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have noticed a small red pea sized lump on my foreskin that is painless. I have read about this just being friction from masturbation but I would like to hear an opinion, I have never had sex or engaged in any sexual activity other than masturbation.", "output": "HelloThanks for query. Pea sized lump on foreskin is likely to be either a boil or a sebaceous cyst and can be confirmed only by clinical examination by a qualified General Surgeon or Urologist. You need to take broad spectrum antibiotic like Lifetime along with anti-inflammatory Chat Doctor. Ensure to wash your genitals with warm water twice daily. If problem persists even after taking antibiotics you will need to get it excised /" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi......iam priyanka 24 years .......from my young age i was not doing any kind of physical work i was just hooked to reading........and now from past 1 year am slowly working a bit....am doing tread mill walking ....i do it just for 30 mins......for 1 month i did only upto 5.8 speed.....after 1 month i walked at 6 speed for just 10 mins and then slowed down.......now my problem is am getting abdominal pain .....like when i walk my abdomen is aching like its gripping effect and when am sleeping and jus twist my abdomen its like my abdomen muscle is aching and also my thighs are aching........also my hips and back are aching......even when i jus cough my stomach ie abdomen aches.. i have done all test stomach scanning ,x ray,blood tests and all...my ESR range is 75 and every other tests are normal...........please tell me whether shud i continue walking r stop it........thank you all...", "output": "Hello, Priyanka Dayanandan, I am reallybglad that you have gotten into work-outs! In the long run, this will be very beneficial to you and makes you healthy and strong and leads to long life. The symptoms that you are experiencing are very typical for someone who has been inactive for a long time. What I suggest is that you do your workouts three times week resting in between.The some nice warm tub baths if you can after your workout. Elevation of ESR is from activity. I would not worry about that. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have some sort of mass they believe is fluid in my sphlenoid sinus cavity. It was discovered on a CAT scan . The doctor I have seen also thinks I may have a polyp . He was able to shrink it with medlyprednisone and zithromax. He feels that it is imperative that I have surgery to remove it. I am wondering if there is any other option as having surgery in this cavity so close to the brain and carotid artery scares me terribly.", "output": "Hi, Thank you for posting your query.First, sphenoid sinus surgery is safe, and there is no risk of injury to brain, even though it is close to brain and pituitary gland. This is provided the surgery is performed by an experienced surgeon. If there is fluid in sphenoid sinus cavity, then medical treatment alone would suffice and surgery would not be needed. However, in case of polyp, surgery may be needed. The decision can be taken on the basis of symptoms, as surgery is optional and not mandatory in this condition. I hope it helps. Please get back if you require any additional information. Wishing you good health, Chat Doctor. Ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a family member that has cancer the person cant eat solid food but only eats icecream and ice chips it has been that way for a while the doctors say she is too weak for chemo what should I expect or do she is always throwing up and I tell her it is because of all the liquid", "output": "Hi, dear I have gone through your question. I can understand your concern. If person can not take solid diet then he should take fruit juice, milk, ice cream and other semisolid and liquid diet. Rules tube feeding is useful in terminal stage cancer patients. And chemotherapy should not be given if she is very weak. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Dr .my 9months old baby Boy has moderate left sided hydronephrosis .(1.3cm) we did dtpa scan at the age of 3 month .recently he had two episodes of severe loose stool , one was antamoeba histolitica infection and had treated with antibiotic .now the urine cultures shown that plenty of ecoli . dr my doubts is that for hydronephosis,what all are the follow up tests we need to do ..how can we avoid utis", "output": "HelloThanks for query. The HY Chat Doctor. 2) Congenital PUB .(Pelvic Ureteric Junction).obstruction. Normally it gets resolved within 2-3 years as the child grows. The only confirmation test is to do Intro Venous Paleography and Maturating Cyst Arthrogram. You need to give him small doses of prophylactic antibiotics like Nitrofurantoin as per advise of Pediatrician for a period of 3 years . Get his urine test (Routine)done at frequent intervals of every three months." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was diagnosed with high blood pressure last Oct. when I was extremely dizzy to the point of not being able to stand up, vomiting and nausea. Since then and once on medicine, I had side effect of dizziness that lasted 5 weeks. Two weeks I was okay after the 5 weeks of side effect and since November 2014, I am dizzy 24 hours a day with a different type of dizziness (more severe than the side effect dizziness) that I was unable to walk straight, etc. for 4 months...now it is milder but dizzy all the time for the exception of sitting. I have been tested and it is not vertigo or any vestibular disorder. YYYY@YYYY", "output": "As you were diagnosed as hypertensive and all your vestibular battery tests are normal as said by Yugo for a MRI brain this dizziness can be because of some migratory thrombus which may have occluded any minor vessel in brain...though a feeling of associated nausea and vomiting are again pointing more toward any peripheral disorder (like labyrinthine or possible deniers disease right now I would suggest you to go form brain carotid artery Doppler(look for occlusion of main artery to brain)pure tone audiometryserum vitamin B12 Levels" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a painful lump on my lower left jaw bone. Had an x-ray done and it showed bone loss and a tumor. I have an implant at the same site. The implant seems fine. It is not loose or sore. There is no drainage or foul taste in my mouth. I just have this painful lump that never goes away. Is this something to worry about. Plus I have been very tired. M.H.", "output": "Hi. Thanks for your query and an elucidated history. Bone loss on the x-ray and painful lump at a spot you say go in favor of either a chronic osteomyelitis OT a cancer of the underlying tissue. Urgent evaluation by clinical examination. CT scan and most important FNAC- fine needle aspiration cytology will help to come to the final conclusion and treatment will depend upon the reports. Need of surgery is certain and do not make this late further. The role of the implant can be decided by CT scan only." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I been having middle bk pain where it feels hard to stand and sit in a good posture. Also have tailbone pain where it hurts to sit a certain way or bend. Been going on a week and the pain is still there. Been resting after it happend. The tailbone pain is still there but tolerable. But the pain in my middle of my bk hurts. Cant stand for to long. Or even sit up right. What is going on?", "output": "I understand your problem, I would have guided you properly if you had mentioned your age and profession you are in (have you been in sitting profession for long, some desktop job???), with kind of details you have mentioned you are suffering from condition called coccydynia , and you also need to get an x-ray done for your lumbar spine. For your tail bone pain, you need to keep a lot of patience, it takes time to subside.In the meanwhile these are the following you should do to relieve pain.1. Take rest if it's paining badly, it works wonders2. Sit in hot water bath tub for about 15 minutes.3. Tyre like seats are available in medical stores in the name of cocydynia seats, these are there to release pressure from tail bone.4. Specific exercise known as keels exercises have to be done, consult your physiotherapist for the same. These are for strengthening your pelvic floor muscles, many of my patients have reported improvement by doing this exercises.ultrasonic therapy (on pulsed mode) and short wave treatment for 10 days would help you to relieve pain" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had quick heart beats about 130 and when I checked my blood pressure it was 160/110. After one week now it is 140/90 and normal heart beat but I am taking blood pressure pills 2.5 which my doctors says I have to continue using and consider myself a blood pressure patient. He also told me there is a great chance that I get cured if I lose my extra weight which is 130 Kg. At work I face lots of stresses and at home also. What are my chances of being completely cured from blood pressure?", "output": "Hi There I completely understand your concern for your health and I would like to tell you that STRESS and OVER WEIGHT are two important factors that causes high blood pressure. So if you want to get rid of high Blood pressure and medicines completely then you need to follow these things regularly for 3 months:1. Daily walks for a minimum of 45 mins for 5 days a week2. Low dietary salt intake, avoid caffeine containing Chat Doctor. Stop smoking (if you do)4. Avoid junk food and include more vegetables and fruits in your daily diet. Follow this strictly for 3 months and you probably won't need any medicine. Wish you Good Health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 53 yr. old woman. The skin on my chest and sides of my neck is red but there is no itching. When I press on it a white spot appears and then the red returns. I have no other symptoms and its not a sunburn. I typically have no skin problems but about a month and a half ago ago I took an antibiotic that caused an itchy rash and some eczema. It took a few weeks for that rash to disappear. However, that was a month ago.", "output": "Hello, I read carefully your query and understand your concern. The symptoms seem to be related to hives which is caused by an allergic reaction. I suggest to use antihistamine as such as Cetirizine 10 mg daily also suggest using a steroid cream for local application such as Dexamethasone cream. I recommend avoiding antibiotics that you used which might have cause the reaction. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards! Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "5 days ago I got hit with a softball. It is on my inner right leg up above my ankle. It welted right away but I didn t put ice on it. It hurts to walk and driving with it, the bone itself hurts. The color of it is yellow with purple. It is a little warm to the touch but if something brushes against it hurts so bad. And Im not quite sure if I should go get an ex-ray for it.", "output": "Hi hope this msg finds u in good health. I have gone through your complaints and understand your concern. U seem to have strained some sort of soft tissues in that region that might be causing pain and inflammation. If its warm and painful start analgesic and anti-inflammatory tablets. Ice packs. Restget a X-ray done to rule out any other cause. Nothing to worry about. Hope your question has been answered. If u have any follow-up queries, feel free to consult me anytime. Thanks Take care god bless" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "they told me Im allergic to something, but nobody knows what...I had these weird hives looking rash for like 3 months and it started to go away I think because my new job (fast food) makes my hair and skin smell really bad when i come home so Ive been taking 2 showers a day. But I just layed down on my couch too go to sleep and felt like something kept biting me, so I went into the bathroom to change clothes and theres hives starting to form again on my face hand arm legs and stomach...I know Im allergic to cats horses trees grass and antibiotics, but the only one of those im exposed to is my cat, I think it might be something else, am I right?", "output": "Hello, Welcome and thanks for posting your query to Chat Doctor. After reading your query it appears the possibility of \"Urticaria\". Urticaria is a common condition caused by bursting of allergy producing cells known as \"mast cells\". As the chemical inside them is released it produces a rash which you have mentioned. There can be multiple factors producing this condition which are included in day to day life and sometimes it is really difficult to find one exact cause. In your case you are correlating it with contact with cats. So it is better to stay away from the offending factors. For the betterment kindly follow the suggestions below:-Apply over the counter calamine lotion 3-4 times a day.-You can do cold water compresses to reduce the intensity of itching.-Do not scratch or rub the skin as it can lead to further aggravation.-You can take oral anti histamine like loratadine or levocetrizine under medial advise. Despite above measures if the problem is not getting better than it is better to consult a dermatologist for best guidance. Hope these information will help.\" With good health wishes\" Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Are there any hereditary factors that lead to fainting? I have a slow pulse at times dropping into the upper 40 s/minutes-My brother recently had surgery for a subdural hematoma due to a fall, my sister has seizure like petit mal & severe falls, also my father fainted several times. I am 77 years old & in good health. I have been referred to a cardiologist & wear an internal heart monitor. Do you think there might be a hereditary neurological conditions?", "output": "Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. There are quite a few hereditary Neurological conditions as well as quite a few hereditary cardiac conditions which can lead to paintings confirm or rule out, you need to undergo clinical examination, measurement of BP at Supine, Sitting and Standing, detailed cardiac evaluation. I would request you to consult your Cardiologist First and Neurologist after that Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in Chat Doctor at http://bit.ly/ask" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 25 yr. old female and for the last 8 years my hands and feet are pretty swollen, and red. About 4 years ago i began feeling extremely tired and very weak it even feels difficult to get around or do anything physical.Could this be some sort of arthritis? oh and also my toes go numb randomly.", "output": "Welcome to Chat Doctor I have gone through your query and understand your concern. Your problem can be arthritis. You should exclude rheumatoid arthritis by getting rheumatoid factor test done. You should also get your vitamin D test as tiredness can be due to this. If found low you should get supplements of vitamin D3. For pain relief you can take analgesic such as ibuprofen for pain relief. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i missed my periods since 2 months , i have PCOD, i tested negative for pregnancy , so doc suggested me to take trito n 5 mg tablet twice a day for 3 days , but i din get my periods , instaed i have been tested positive for pregnancy . nw i m 5 weeks 4days pregnant . i was 2weeks pregnant when i took the tablet , now i m worried whether that tablet will have effect on may baby . should i continue this pregnancy or terminate it .", "output": "Hello, I have gone through your query and understood the concern. Studies have shown that use of hormones during early stages of pregnancy can harm the fetus if it happens during the stage of organ differentiation, which happens at about 45 days of gestation, or 6 weeks gestation. Any hormone intake prior to this stage, as most often happens unknowingly, has not shown to be harmful. Thus, you are mostly safe since you took the medication very early in your pregnancy and that too, for a smaller period only. Yet, you should test for any possible fetal anomalies and the earliest way available is fetal DNA sampling. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my father is of age 78 and is having a blood urea level 270 and creatinine stands at 3.4 for the last 4 months; and is having unbearable pain in his bones/joints. The doctor is suggesting hemodialysis twice a week and for the rest of his life. We are a worried lot and want some advice regarding this. can the urea and the creatinine level be reduced by medicine or controlled diet?", "output": "Hi, thank you for asking Chat Doctor. I have gone through your query and understood your concerns. Urea and creatinine are waste products that are eliminated from the body by the kidneys through urine. If the kidneys are still functional, some Chat Doctor. In the case where the kidneys are no more functional (when a greater percentage of the functional units of the kidneys are destroyed), only hemodialysis can eliminate them. I would suggest you do as the doctor has said. The more you delay, the more the condition would worsen. I hope I have answered your query wish him well" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi ive been having discomfort sometime during and also after sex on my penis. My symptoms are swelling little redness and a little pain just underneath the head of my penis. My question is what causes it and how can I stop it from happening. Thanks in advance.", "output": "Hello, Welcome to Chat Doctor .com, swelling with redness and pain underneath head of penis just after sex is suggestive of having an infection around penis. Most probable infection type seems to be genital herpes from your descriptions of complaints that you have provided. Genital herpes is contracted by urogenital route by means of unprotected sexual intercourse. Its manifestations include red colored painful lesions around genital mucus membranes, vesicles, erosion, burning sensations, dysuria, painful coitus. Treatment includes antiviral medications such as acyclovir for 5-7 days, however chances of recurrence is very high. Precaution includes maintaining genital hygiene, avoiding sexual intercourse for about 2 weeks tills lesions heals, avoiding unprotected sexual intercourse. Also try to seek an opinion from meteorologist before starting treatment. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear doctor,greetings..my cousin is 23 yrs old height 5 ft 5 inch,weight 45kg,is suffering from multiple lipoma since last 12yrs,the lumps have started growing since last 2 years.Please suggest some treatments to stop the growth of new lumps and reduce the size of the existing ones....please help", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. Thanks for your query. Usually lipomas are harmless until they do not interfere with normal routine of a person. But when they start inferring in normal routine of person, start growing or start paining they become cause of concern. I would suggest you to take apple cedar vinegar twice a day, apply turmeric powder paste on lumps, do regular exercise and eat plenty of fresh fruits and vegetables. If condition doesn't get better in month then consult doctor or surgeon for proper examination and rule out other cause like malignant growth. Doctor will physically examine the lumps and may order biopsy. Doctor may recommend their surgical removal, liposuction technique or may give steroid injection. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I m under a lot of stress at work while there the last few days I m expericing mild pain in the middle of my chest . I am prescribed Ativan and when I take one the pain subsides but when it wears off the pain is back can it just be stress related", "output": "Hello! Welcome on Chat Doctor! Your symptoms seem to be related to anxiety. Coming to this point, I would recommend consulting with a specialist of the field (psychotherapist or psychiatrist) to help you manage anxiety. An antidepressant would be better than Asian as long term therapy for the management of anxiety. I would also recommend trying Omeprazole. If it helps, it would be indicative of gastroesophageal reflux or gastritis underlying your symptoms. In such case a fibrogastroscopy would be necessary. Hope to have been helpful! Kind regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello Doctor, I am a 22 year old man with no previous medical issues in regards to my testicles. however at the moment I am a little worries about the tails of both my right and left epididymis. after ejaculation they both become hard and a little swollen. My ejaculations have always been consistent and full with no pain. In addition I have no pain urinating or in general in regards to my testicles and penis. any idea what the issue could be? sometimes when I feel my testicles everything feels fine, the tails of my epididymis both feel fine- soft squishy and relatively small. however, during or post ejaculation they feel hard and swollen. In addition they feel swollen sometimes just out of the blue Thanks for your reply I m just very curious as to what can be going on down there", "output": "HelloThanks for query. During sex and ejaculation there is increased blood flow to all genital organs including testicles and epididymis. This increased blood flow results in congestion of genitals organs. The hardness of epididymis that you have observed is due to congestion of epididymis and testicles which gradually gets resolved over a period of few hours. It should be considered as normal physiological process. There is nothing to be worried about it. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I ve been in a plyhydramnios condition. I gave birth at 39 weeks to a baby boy and now currently experiencing hard to swallow condition and having hard time to breathe, without the aid of oxygen machine he can t breathe, the neonatalogist said my baby has pneumonia. Please do help on what medical advice you can give me.", "output": "Child if presents with Respiratory distress soon after birth, can be due to either Congenital pneumonia, TNB, HMD in preterm, or Meconium aspiration. In your case, pneumonia in neonates is a serious condition. It requires usually 7 to 10 days of I.V. antibiotics with oxygen supplementation. If the child has been put on a ventilator machine, that suggests a very poor prognosis for the child. The child will require a good nursery care with heavy antibiotics(according to culture sensitivity if positive) in form of Injection Reopened, Vancomycin or any third generation Cephalosporin. X-ray might give us a clue on how bad the chest is." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Severe headache and neck pain left side followed with nausea. Pain went away but the nausea stayed then again symptoms returned but less severe the nausea is staying and I didn t know if it s serious or what to take I ve taken Tylenol. Pain goes away the tension and nausea stays. I m 24 female and only done this during pregnancy and I just had my cycle may 16th so even if I was I would not be far enough. Is it serious.", "output": "Hi, Thank you for providing the brief history of you. A thorough neuromuscular assessment is advised. As there is pain in the neck and severe headache also, a neurological assessment is advised since the CTZ center is getting stimulated and the nausea felling is persisting. Try performing slow static neck exercises, as sometimes due to spasm of the neck muscles the pain in the neck, headache and nausea is felt. IF with the hot water fermentation, slow static neck exercises and breathing exercises the problem gets solved, it will be complete muscular and may not need to be worried as well. If the pain persists even after that, then a neurological assessment will be advised. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi,i had chronic cough over past 2 months and had a ct scan..ct says,small volume lymphnodes seen in prevascualr region,lungs are clear.My pulmonologist says nothing to worry and the lymphnodes are because of infection.I am worried about cancer.Please suggest", "output": "Hi, Thanks for writing in. Lymphnodes in the vernacular region that is in front of the heart are seen in many conditions. It can be present in cancer, tuberculosis, autoimmune conditions or mild infections. Cancer lymph nodes are usually larger than 10 mm in size and can cause pressure effects. Cancer also causes unexplained weight loss and chronic cough and so does TB. However, if your doctor has done a detailed clinical examination then there is no need to worry. If it is due to an infection then it will resolve with treatment. Please take medicines as given and then after consulting your doctor on a follow-up you can get repeat CT scan chest done and that will show the lymph nodes getting smaller or disappear. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter who is 38 has spent the last 6 years with chronic pain in the buttocks area. She has had a hysterectomy, 2 back spinal fusions and finally a surgery where they actually cut the periformis muscle. She is now addicted to pain medicines(morphine) and has no quality of life. I know there is some special Dr. who can help her, we just haven t found he/she yet. I want my daughter to have her life back and so does she . Can you help, please?", "output": "Hi, thank-you for providing the brief history of your daughter. As he had past surgeries of spine, hysterectomy and performs muscle the pain in the hip is due to the nerve dysfunction in the lumbar spine. As she is 38 and suffering from hip pain I will advise to undergo physical therapy. In my clinical practice most cases with spine injuries, post spine surgeries, have always responded well to physical therapy. In fact I should say, they are functionally active and even age has not restricted them to achieve the best quality of life. Try out physical therapy. The process may be longer, but the recovery is for sure. If you have any particular query on how and what I can surely help you. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My grandson travels all over the world. I have called CDC in Atlanta to inquire what precautions may be taken against the Ebola virus. I was told that a detergent or bleach base disinfectants, however, they were unable to tell me of specific products. Referred me to MA Dept. of Health which was not helpful at all.", "output": "Hello, THX to contact us. If I am your treating doctor I would like to advice you that take care that body fluids, blood and sexual intercourse may spread Ebola to you. Kindly stay away from such an activity. You can use a bleach solution which is available in your local market. There is no point of using specific products. If you have anything else to ask please contact me. Than. Chat Doctor; Infectious Disease Specialist" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Last year, I went through much testing with a GI doctor. Finally, in June of 2013 I was rushed to the hospital with fluid around my heart and lungs. I was hospitalized for 7 days. During this period of time, I had my gallbladder removed as well since it showed it had gone bad. I have been well for 7 months. This past Sunday, my stomach started having contractions, spasms, whatever you want to call it. I was in horrible pain. But I went to sleep and woke up fine. On this past Monday, woke up fine, and about 3:00 pm it hit again. I was in so much pain, I started vomiting. I barely made it through the evening. I woke up Tuesday morning and was fine again. I made it thru Tuesday to today. I was fine all day until around 4:00 pm, The spasms started and I had to run to the bathroom for a bowel movement. I feel some relief but I am still having minor contractions and waves of pain. My GI doctor gave me an RX of Levsin/SL 125 MG, last year, but I have never taken the medication. I am wondering if I can take it now. I took Prilosec this morning and Zantac this afternoon around 4:00 pm. It is now 6:08 pm. I also take the drug Spironolactone and Kflex (an antiobiotic). I will call my GI doctor in the morning, but I am trying to get thru the evening without this intense pain that comes and goes. I am not pregnant either. Should I take the Levsin? Thank you, Anji", "output": "Hi. Surely you can take Lesson as you are in a pain. From your history I can decipher that you may probably be suffering from an intestinal infection or some sort of sub-acute obstruction. This gives the spasms. A good test is a take an X-ray of the abdomen in a standing position. This is a good investigation that can diagnose the obstruction part. Also go for stool test to rule out infection. It is a good idea to rule out any medical condition like diabetes / thyroid problem, as they too can give such symptoms. Would like to know about the tests and the progress." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. So I have this tingling sensation right next/under my glans clit. It s not that itchy...and when I tried to pulled the tip back a little to see what was going I noticed a little tiny bump n it hurts to the touch a little or make the tingling sensation worse. I had chlamydia a few weeks ago n got treated with antibiotics so i don t know if it s a yeast infection or what?", "output": "Ello, Welcome to Chat Doctor, The history and symptoms suggests me that you are having a fungal infection, but it should be confirmed by physical examination. Don't be embarrassed to show and confirm the diagnosis. The fungus is the normal commensalism of this area which will be kept under control by the helpful organisms, whenever there is a change in environment because of multiple reason this fungus will multiply and produces the symptoms. I would suggest you to follow1. Keep the area Chat Doctor. 2. Topical antifungal cream should be applied.3. Tab Rifleman, 150 mg single dose will help to control the symptoms.4. For itching, you can take anti histamines. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor, so 2 days ago, I got a circumcision (im 21 years old), and now everything seems fine, ive removed my dressing, but the only problem is that my glans are super sensitive and thus i cannot even wear boxers as it is sensitive when it hits it, and it is really uncorfmatable when walking. Do you recommend anything for this problem? Thank you so much! and I will forever be grateful", "output": "HelloThanks for your query, based on the facts that you have posted it appears that you have undergone circumcision 2 days ago and have noticed that glans of your penis is highly sensitive. Your glans was covered with foreskin till the time you got circumcised. This foreskin prevents glans from sensation of touch with cloths or atmosphere. This protection is lost after removing the foreskin making it sensitive. Do not worry this is common for few days (2-3 weeks)with everybody who gets circumcised. The glans of penis will get accustomed gradually so that you will not have this high sensitive glans afterwards. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my head is hurting so bad i vomit and there is a dot in my eyes or even sometimes there different shapes it hurts so bad i cant open my eyes to the point were i feel like i have bleeding on the brain i have been to the doctors but they just say its migranes but it feels like something else help me", "output": "Hello! Welcome on Chat Doctor ! Your symptoms are typical of migraines with visual area. So, I agree with your doctor on the diagnosis. I would just recommend performing a brain MRI study to exclude other possible causes of migraine headaches. As your headaches are really severe, I would recommend starting preventive therapy, in order to reduce the severity and frequency of migraine attacks. I would suggest trying topiramate or verapamil for this reason. Other treatment options would be antidepressants, Valerie acid, etc. Hope you will find this answer helpful! Best wishes, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I went to the dentist yesterday and they told me I had an infection in my tooth, i was prescribed amnioxcillin and tylenol 3 its been one day, the pain hasnt gone away yet. My dentist said its the infection thats causing the pain. and i should feel results within 48 hours. Is this correct?", "output": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint if you have infection in the tooth with pain there is a possibility that there is dental abscess formation and although medications can help in resolution of infection and relieve pain, but it is not permanent solution. Yes, you may see improvement in 48 hours, but a Rue time slot cannot be given and everything will depend on the exact condition of the tooth and treatment of the tooth will finally resolve the problem. I would suggest you to consult your dentist back or an Endodontist and get evaluated and an x-ray of the tooth will be advised to you. In case of deeper decay root canal treatment of tooth can help. In case if tooth is not in a condition to be saved extraction is advisable. You can also ask me a direct question by going to my profile and clicking on ask me a question and there you can upload the scans of the x-rays so that I can guide you appropriately after evaluation of the x-ray and asking further details. Hope this information helps. Thanks and regards. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had been coughing several times a day for two weeks. Ten days ago I vomitted every two hours for 10 hours and had diarrhea. I felt very weak for three days and then I flew to Hawaii. While there, I was coughing the same amount. My voice is very hoarse but I don t have any pain in my throat. It is just raw from coughing so much. Three days ago, I had intense and uncontrollable chills for three hours, which then turned I to a fever. I took Ibuprofen and it helped. Yesterday when I was flying back from Hawaii, I felt nauseous for the whole flight and then vomitted after we landed. Today I have eaten a little. Ore than I have been. I don t have chills and I don t feel nauseous. I am continuously coughing still.", "output": "Thanks for your query at Chat Doctor! I am Infectious Disease Specialist! I went through your query! You need to take few tests to establish the cause of fever. It could be acute bacterial infection or tubercular in nature. Get your throat assessed first by ENT specialist it could just be allergy. Coughing is causing vomiting. Diarrhea could be due to infection. Take a course of antibiotic to see if symptoms resolve.If it does not improve get X-ray and sputum culture/sensitivity for bacterial/tubercular infection. You might require CENT scan test to see for lymph nodes. Happy to take more queries! You can also write a review for me. If you would like some more information, I will be happy to provide. You can take a follow-up query. Take care!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter hit front of her leg really hard 2 weeks on the table doing a cartwheel inside. It left a bad bruise and a knot. The bruise is almost gone but the knot is still there and seems to be the same size as it was when she hit it. What s caused the knot not to go away? Do I need to take her to the dr?", "output": "Hi, Thank you for asking question on Chat Doctor. Bruise occurs due bleeding under the skin, and it gradually disappears. The n knot will take some more time or may remain very long time though reduced in size. Hope this answer will serve your purpose. Nothing to worry about it. Please feel free to ask any more queries if requiredTake care Chat Doctor. V. Subrahmanyam MD;Disassociate professor of pediatrics" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had some discomfort the last few days with pain in the middle of my chest feels as though something is stuck and makes me keep burping I sometimes bring clear flem up when it get that bad it makes me feel sick and gag it seems to be getting worse and constant", "output": "Hello, The possibility of HERD (gastroesophageal reflux disease) is more likely. HERD is due to laxity of gastroesophageal sphincter. Because of it, the acid of the stomach tends to come up in the esophagus and cause chest discomfort, burping, aging, something stuck in the center of the chest etcetera. So follow these steps for better symptomatic relief in HERD. 1. Avoid hot and spicy food. Avoid junk food.2. Avoid large meals, instead, take frequent small meals.3. Take pantoprazole and levosulpiride combination on empty stomach twice daily. 4. Go for walking after meals.5. Keep 2-3 pillows under the head in bed.6. Lose weight if you are obese. Avoid stress and tension, be relaxed and calm. Quit smoking and alcohol if you have these habits. Don't worry, you will be alright with all these. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, My name is Phyllis, and I am currently trying to decide on weather or not to have gastric surgery because I m over weight. I m very nervous because I have High Blood pressure and just became a diabetic. Are there any oral medications I can take instead of going through with the surgery that will help me lose the weight that are not harmful to my liver and addictive?", "output": "Hi, I understand your concern and would agree with you on the fact that this procedure can lead to a lot of adverse effects, considering your past medical history. For this reason, I would recommend taking Garcia Cambodia for a period of three months, and make some modifications to your lifestyle (consulting with a dietitian and performing a lot of physical activity). Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doctor, hope you can help me with this. Yesterday morning (about 28 hours ago), I woke up with a morning erection, then decided to masturbate, even though my bladder must have been quite full, or at least half full. I usually masturbate after I have been to the toilet. The masturbation was quite short lasting, lying on my back, quite gentle masturbation, not rough, but at the ejaculation point, it didn t feel very good, a little painful during, which I haven t experienced before. I think it must have been related to the bladder not being emptied first. A few minutes later, I possibly made a second mistake, by urinating. It did seem like the urethrea was not ready for urine yet, took a while to succeed. Is it advised to wait a while before one urinates? Then during the day and night I have felt rather uncomfortable, mostly during the night, some pain/discomfort, which feels like it is located at the point where I usually feel if I need to urinate or not. Is this bladder pain? It helps a bit to urinate though. Could I have had some urine in the urethrea accidentally mixed together with the sperm during ejaculation? And is this harmful? I also wanna mention that the night before this I ate two oranges and quite much chocolate, which could make the urine more acid and harmful? I have not had sex for a long time, and never unprotected, so STD is out of the question. Now I am taking some ibuprofen and also some cranberry capsules. Not sure if I should see a doctor yet, since this is so fresh. I have a tendency to see doctor too often and worry about health matters. Could you please shed light to what might have happened? Does it sound like a temporary problem? Or will I next time also feel discomfort during ejaculation? I haven t tried masturbating again, since I think I should rest the system for some days.", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. Because worrying can increase the problem dimension. As far as I can see, you do not have to go to any doctor because you donor have any problem at all. Masturbation with even full bladder is not harm full, but there will be discomfort. Semen mixed with urine is normal and happens almost every time. Nothing wrong. Had oranges a chocolate. Nice. You should do that. But it has no effect on your semen or urine. I can see your problem. You are overly worried about your health, as you mentioned here. You should be careful about your health. Not worrying or anxious. You should do with a cognitive Behavioral therapy and sex therapy which I can provide you only if you come to me with a premium question. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Sir, Mr. Rishav Srivastava 17 Years old boy is suffering from Alveolar Soft Part Sarcoma Cancer in left hand wrist. As it is 1.5 years old so metastatically sprayeded in Lungs. As per mention Chemotherapy details Doxorubicin drug is given in three cycles but after evaluation by CT scan of Thorax, it has found it does not removed Nodules and Tinny nodules from Thorax (Left/Right Lungs) nor effect on primary place. So, Lungs/Thorax Doctor has denied for lungs surgery due to none effect of Chemotherapy. Present Treatment: 1. Now Chemotherapy Doctor has recommended for Interferon Alpha 2b 5mu for alternate day up to Two months and 2. At primary place (Wrist of right hand) radiation is going on. Requirement: Any treatment beyond this which will affect to remove Alveolar Soft Part Sarcoma Cancer from Lungs. Hope for your kind evaluation and suggestions please. Regards Rajeev Kumar Srivastava 0000", "output": "Hi. Alveolar soft part sarcoma is a very rare cancer and there is limited experience because of very few patients worldwide. Since the disease of Mr. Mishap Srivastava is metastatic, cure is probably not possible. If I am treating him, I will advise uniting tablet. Radiotherapy to primary is indicated if there is pain or bleeding at primary sit not controlled by conservative measures. I do not know of any evidence of benefit of Interferon Alpha in this disease. Hope I have answered your query. If you have any further questions I will be happy to help" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Yes, I was diagnosed with having a kidney stone, after 3 days I stopped checking to see if I passed it or not, I don t really think so, but the pain went away, now I feel like the urge to push, like a different sensation in the genital area, I kinda think bladder. Could I still have the kidney stone after 2 weeks? I did go to my dr. a week after I had this and there was not infection, could I possible have a bladder infection now? It kind of feels that way. thank you", "output": "Hello Thanks for query. You had been detected to have stone in the kidney causing pain in loin. Now you have pain and discomfort in lower abdomen in bladder area. This could be due to 1) The stone which was earlier detected to be in kidney has passed down through ureter in to bladder resulting into pain inn loin to go away and cause discomfort in bladder. Get your routine urine test and culture done to rule out infection. Taking appropriate antibiotic with Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My left testicular hurts normally after i have been siting down for long periods of time, and sometimes my right one hurts as well. I have a lump just above my penis on the right side and it hurts nearly all the time. My doctors gave me Antibiotics too see if there is an infection there but could you diagnose my condition please? Daniel", "output": "Hello, It's not possible for me to comment on your lump if It's infectious or not without looking at it. However, your doctor did the right thing to give a trial of antibiotics beforehand. Testicular pain might be due to excess pressure over testis while sitting. It can be relieved by wearing loose fitted clothes and underwear. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "When doing light work outside get very light headed (dizzy) and slight shortness of breath. Stop and sit down for several minutes problem seams to go away. Blood pressure checks out good but pulse goes up to about 119 which usually checks around 82 any other time. What can possibly be causing this issue? I am a male , 68 years old.", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. Shortness of breath on minimal exertion, dizziness, rapid heart rate in old age (age more than 60 years) are suggestive of cardiac disease more. Possibility of congestive cardiac failure or coronary artery disease is more. So better to get done ECG and 2d echo. If something is wrong in these tests than you may need coronary Angiography to rule out coronary artery disease. So don't wait at home, first diagnose yourself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just woke up now, It s 7pm. It was a bit of an offsleep, but when i woke up i felt really weak, shaky, almost lighter. I m still shaking now. I tried just waking up a bit, Drinking some water and milk, Went to the bathroom. But i still fell weak shaky and light,", "output": "Hello ! I read your question and understand your concern. In my opinion the symptoms you have had may be related to a Chat Doctor. You should measure your blood pressure in sitting position and then in standing up position. A decrease more than 20 mm Hg in your blood pressure would be indicative of orthostatic hypotension. Low blood pressure can cause similar symptoms. I would also recommend a full blood work for anemia, a thyroid function test to rule out hypothyroidism or hyperthyroidism. Hope to have been helpful! Greetings!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doctor! what is the best medicine( tablet ) for ITCHING SKIN?because after i took and applied other(Cream) medicine then it will be Vanished and eventually it will come back again after a month!", "output": "Hello. Thanks for writing to us. Itchy skin can happen due to many causes like eczema, allergic dermatitis, scabies, etc. An examination from your dermatologist will confirm the diagnosis and will prescribe the Chat Doctor. Many a time it has got a seasonal association also. Meanwhile, you can apply calamine lotion and a steroid(cortisone) based antiseptic cream on the area for symptomatic relief. You can also take Ben" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m 8 months pregnant (my 2nd child), and noticed some dark spots on the inside of my labia majora. I felt it at first while washing. I squeezed/rolled it between my fingers because I get painless bumps at times down there that are just pores blocked with oil and skin cells. It didn t pop , bled, and is sore. I had my husband look, and there are 3 on my right and one on the left side--just the one I tried to pop is sore and raised. They look like blood blisters.", "output": "Hello, and I hope I can help you today. There are many kinds of moles and spots that can appear during pregnancy on all areas of the body. The vagina and vulva are frequent sites of these lesions because of hormonal changes. If the small spots that you see on the inside of your labia are bluish or red, these are called hematomas. They are small growths of the blood vessels under your skin; if they are growth of capillaries, they will be bright red (called cherry spots) and if they are venous the spots will appear blue dark purple or black. They're filled with a small amount of blood to if you pop them they will bleed. The one you already popped may be a little infected, so try to leave it alone and keep the area clean, so it may heal. So in the meantime, try not to touch or traumatize them, and as the baby gets larger more may appear. They are simply cosmetic and will cause you no harm or harm to the baby. These types of lesions go away completely once the baby is born and your hormone levels return to normal. I hope that I was able to adequately answer your question today, and that my advice was helpful. Best wishes for the rest of the pregnancy," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im a 19 year old female. Yesterday a hot red bump the size of a nickel formed on my knee that only hurt if you touched it but I could feel its presence all day. This morning I woke up and it hurt to walk down the stairs or bend my knee at all. It doesnt itch like a staph infection would. I just hope it isnt too serious.", "output": "Hi, Dear,Thanks for the query to My Chat Doctor Clinic. I studied your query in details and understood your health concerns.-Treatment and Cause of your lump on knee-a-Mostly it is-a Hive ? Or a Boil on the knee.b-Show it to family doctorate would treat it with -Tb NSAID and Antibiotics -if it doesn't remove after Tb-NSAIDs in 24 -48 hrs. This advice would help you to plan treatment with your doctor. Hope this resolves your query. Wellcome for further query in this regard. Have a Good Day...!! With Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been advised to have an aortic valve replacement. My symptoms I can not walk for more than 2 hours and I suffer from erectile dysfunction other than that I feel fine. Do you think these symptoms will improve after the operation.I live in Thailand is there any American hospitals that offer medical tour services that can do this operation?", "output": "Hi, Erection problems can have many causes. These include Physical problems, such as injury to nerves or loss oxblood supply to the penis. Other health problems, such as diabetes, high blood pressure, anxiety, and depression. Side effects of certain medicines. Stress. Chat Doctor. The exam, lab tests, and sometimes mental health tests can help find out the cause of the problem. Treatment is based on cause and includes avoiding tobacco and " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HiMy husband 30 and I 27 miscarried in November. I am wondering if it is possible to use his sperm and my eggs fertilized and then place back into me? If so are there any specific things required for this to be done or is the available for anyone?Thanks", "output": "Dear Ms, yes it is possible .you will receive an ovulation induction that will stimulate your ovaries to produce multiple ova. Then on the day of IVF these oocytes will be aspirated from you. Then your husband will produce a semen sample by masturbation. Then sperms will be taken from your husbands sample providing that he has motile sperms in his semen. These sperms will be used to fertilize the oocytes. Fertilized embryos will be transferred to your uterus after 3 or 5 days from the oocytes aspiration" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i had a unprotected intercourse with my wife, after 24 hrs she took i -pill and a week after we had another un protected sex but i have not ejaculated in her, she was expeting her periodes 20 day back but she is still weating for her periods we have done Three home preganancy test but all are negative is it side effect of I pill or she is pregnant???? please help", "output": "HI, The pill acts by delaying ovulation & thus avoiding the pregnancy. The pill you have taken after your first sex must have avoided the conception that time. You say you had it again after i weeks gap You took precaution, did not ejaculate inside-Still, she has her period delayed by more than 20 days, The pregnancy test is -ve. In such case USG pelvis would be a deciding factor. Thank you. By more than 20 days," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Have been running low grade temp (@99.5) for past 6 months. Temp is normal thru day (97-98) & every afternoon/evening I feel it coming on. Have history of hi bp, hyperglycemia (take 80units Lantus) & have been doctoring for a boil/fistula for past 2 months. Have bloodwork almost every week-1 time wbc will be elevated & theyll put me on antibiotics & next time its normal. Most recently my bp has been higher than normal. Family dr. said to double bp pill. This is driving me crazy & is really starting to work on my nerves. Nobody seems to be able to tell me what exactly is going on.", "output": "Hi, dear. I have gone through your question. I can understand your concern. You have evening rise fever which is low grade. You should go for investigation for tuberculosis once. Many times it happens in tuberculosis that you have no other symptoms except evening rise fever. Consult your doctor and investigate for it and then take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had cervical spine surgery 1 year ago C4 C5 disk replacement and C4 C5 C6 fusion from an injury 11 years ago, I also have rsd/crps II in the right upper extremity. S/P surgery in have had problems with my voice, it is slowly getting better. I have burning in my neck, the back pain is the same and now I have intermittant blurred vision and I have noticed some hearing problems increasing over the past year, I cannot hear someone speak to me when there is a lot of back ground noise", "output": "Hello, I would explain that the hearing loss is not related to the surgery but probably related to an inner ear disorder or the head trauma. For this reason, I recommend consulting with an ENT specialist and performing a physical exam and an audio gram. Regarding the burning in your neck, I would recommend taking pregabalin or Gabapentin. You should discuss with your doctor on the above tests and treatment options. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Quite often and randomly will get a burning sensation in my rectum and around the tip of my penis. I was told I suffered from prostaitis and it was never enlarged. The Doc tried sveral meds from different families but I typically have neglected taking any due to the foggy feeling they give me in my head for several hours each morning usually into the afternoon. If there natural remedies I could try to limit this to a degree? I already take saw palmetto which really helped my bathroom issues. Also Ive been noticing my erections are weaker these days is this due to my prostate?", "output": "Hi, Burning at the tip of the penis may be due to a viral infection called herpes progenitors. Consult the dermatologist for the perfect diagnosis and proper treatment. I would recommend you to get investigated thoroughly for herpes infection. After complete examination and investigations, your doctor may give antiviral medicine like acyclovir. Do not have unprotected sex. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, Im having sharp pain in my chest right by my top rib right side. Should I worry ? I just had a blood test a few months ago and everything was perfectly fine and all 4 blood tests in 4 years have been perfectly fine. heart desease runs in the family and I smoke.", "output": "Hi and thank you for choosing Chat Doctor to post your question. In my opinion sharp chest pain can be a cause of concern since it can be the presentation of a serious heart or lung disease. Your family history of heart disease should not be neglected and neither smoking history. If I was your treating doctor I would suggest doing these examinations: 1.ECG, graded exercise stress testing to exclude coronary artery disease or other cardiac cause.2. Chest X-ray to exclude a lung problem such as pneumothorax or other lung causes. Normal results of blood test can not exclude serious causes of chest pain. I hope my opinion can be helpful. Wish you good health. Kind regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just got out of the hospital for mental illness two days ago for hearing voices and extreme sadness. Now they ve come back. I m not suicidal but am scared. I do live with my parents so I m not alone right now. The voices talk to me loudly and seem to get worse at night. I also feel like I could cry at any time. I feel pissed right now. How the hell am I going to sleep tonight with the freaking loud voices in my head. I m scared. How do I tell my supportive parents the truth after just two days of being back home? Please help. I just need to chat with someone right now who can help.", "output": "Hello, It is distressing to have such voices called auditory hallucinations. You must continue with your medications as prescribed from the hospital. It takes some time for the psychiatric medications to have their full effect. Till that time you have to hold yourself and face these things. You should tell your parents, and it will be a lot better if they know about it. They are the one who will understand you, and you will find chatting with them easy. Do not hesitate to get back to your doctor if you feel that you are not able to handle it. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had very low blood pressure all my life. Im 47 and recently have high pressure when it is checked. I have headaches frequently and understand this could be related. But I also notice that no matter how much sleep I get I still feel exhausted. Is this possible another symptom of high blood pressure? In all honesty I have been very sedentary this winter. As an avid hiker (4-6 miles per day)so this is unusual for me and no doubt why the pressure is up. So perhaps this is also why I feel so tired?", "output": "Hi, dairy have gone through your question. I can understand your concern. High blood pressure can lead to headache and fatigue both. You should check your blood pressure. If needed start antihypertensive medicine. Life style modifications like regular exercise and yoga and diet restrictions are also needed. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had flu about 4 weeks ago .and I got over it ok and nouw I have rely bad chest pain.it feels like I have broke my chest bone.and when I try and move or lift somthing it hurts.also when I cough it hrt and not much mucus cmes of. Can you tell whats up with me its herd to breath as well.", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. By your history and description, possibility of pleuritic chest pain is more. And it is seen commonly with lung infection and bronchitis. You are also having cough and difficulty on breathing so possibility of bronchitis and lung infection is high. You also had flu infection. And this can also cause bronchitis and lung infection. So better to consult pulmonologist and get done clinical examination of respiratory system, chest x-ray and PFT (Pulmonary Function Test). Chest x-ray is needed to rule out lung infection. PFT is needed for the diagnosis of bronchitis. You may need inhaled bronchodilators, inhaled corticosteroid (ICS) and antibiotics. So better to first diagnose yourself and then start appropriate treatment. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have URQ abdominal discomfort. Preliminary results of Abdominal U/S are negative for stones. I have Hashimotos Hypothyroidism.......previously (4 years) ago via Endoscopy diagnosed with Gastritis and Acid Reflux. Do not take scripted meds for this as I have not been able to tolerate. Could it be my gallbladder, perhaps inflammed ?!?!", "output": "Hello! Thanks for putting your query in Chat Doctor. I am a Gastroenterologist.RUN pain can be due to Inflamed GB, Gastritis, Colonic disease, from liver. With the information available I will suggest you to avoid tea, coffee, oily and spicy food. Also avoid citrus fruits. Among medications take a proton pump inhibitor like omeprazole and a prokinetic agent like risperidone. I hope I have answered your query and this will help you. Wish you a good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have Hep c and last yr when tested they said my viral load was dorment? can you tell me when should i see someone about getting treated and what are the signs, i also take a numerous amount of pysc meds and currently on suboxone but i dont want to take the suboxone all my life ...lately i am having alot of pain in abdomen area", "output": "Hi, Since you apparently had very low Hepatitis C virus RNA levels, your doctor told you that the virus is dormant. This means that you do not need to start treatment now. You need to be screened at least one to two times a year to assess if the virus has started replicating and the status of your liver function. If your doctor finds these test reports worsening, he will suggest that you start treatment. Till then, you need to take care of your health by avoiding alcohol and other substances including opioid analgesics like Suboxone which can harm your liver. Please take steps to prevent the spread of the virus. Also, immediately inform your doctor if you experience yellowish discoloration of eyes, skin and nails along with nausea and loss of appetite. Hope you find this helpful. Best wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my 15 year daughter has been suffering with lower bak pain and tummy ache since August . She has had blood in her urine and urine tests showed protein in it. The doctor sent her for a scan which showed up a cyst but has a shadow in the middle. One off her blood test showed 77 think kidney one they retested again recently which now is 68. A pediatrician now wants to rescan her as he is concerned about the unusual shaped 2cm cyst with a shadow in the middle. What can you tell me about this. Thank you", "output": "Hi. I am afraid you need to be a bit more clear about the name of the blood test result and the value. If it is creatinine and the value is millimole, it seems normal. However, there is some physical abnormality in the kidney which needs further investigation. I suspect your daughter will need a CT scan of the kidneys to clarify the nature of the cyst. Many a time it turns out to be benign (i.e. nothing to worry about) but worth getting the advised investigation ASAP. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son injured his back the other day by bending funny while playing in a bounce house. He says it does not hurt most of the time, but when he bends a certain way or puts any pressure on the area that he hurt, the pain comes back. There is no visible bruise and the musicles are relaxed and the spine itself appears normal.", "output": "Welcome to Chat Doctor .1. You can try simple back pain exercises which might help.2. Howevere kids are active in their movements.3. It might be a simple complaint the kid giving, but depends on if it has been there for a while and same complaint, then you have to think of it.4. If it is long-standing. For a kid X-ray is of less use as they are normal most of the time, get an MRI done only if there are significant problem.5. Then you can act accordingly. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have lower than normal RBC, Hemoglobulin, HCT Hemoglobulin is 11.6 it was 13.5 last time climbing from 10 some time ago after heart surgery possible kidney problems I also take .75mcg levothyroxine/day make vasculitis from surgery almost 2 years ago--------------puzzled", "output": "Hi, Anemia can be secondary to kidney problem, as an essential hormone for RBC production, which is called as erythropoietin, is produced in kidneys. Please consult a nephrologist. If kidney function is really reduced, for treatment of anemia you would need erythropoietin injections along with hepatitis. Hope I have answered your question. If you have any further questions I will be happy to help. With regards," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have had this weird hot warm tigling sensation from head to toe and i feel like if i pee it is really hot and my heart rate goes FAST went to urgent care once and said it might be the vaso vagel vein and i went to the er a few days ago and they did an EKG CAME BACK fine they gave me ativan but no help", "output": "Hello! Welcome and thank you for asking on Chat Doctor! I passed carefully through your question and would explain that your symptoms could be related to a metabolic disorder (low blood pressure, thyroid gland dysfunction, etc.). Coming to this point, I would recommend consulting with your GP for a careful physical exam and some tests: - a cardiac ultrasound- a chest X-ray study-thyroid hormone levels-blood electrolytes- a Head Up Tilt test for orthostatic intolerance. Hope to have been helpful to you! Wishing all the best, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my dad is having advance prostaat cancer, he cannot work or even stand up . he sleeps a lot and was yesterdag night very sick that everybody was panicking. he did not respone to nothing and could not even talk to anybody till the next day. it is so had for me cause this is right now happening in gambia and living here in the nederlands. please help me out what does this mean", "output": "You have not mentioned whether he is receiving any treatment for his cancer. If he is not then it is quite likely that his disease is progressing. Advanced prostate cancer, or for that matter any cancer can spread to any other part of the body. In your dads case, it appears that the disease has spread to the brain, resulting in all these symptoms. If you want him to get better, then he will need immediate hospitalization with injections of antibiotics, steroids, and anti-seizure Chat Doctor. Also, he will need to undergo an MRI of the brain to confirm the diagnosis. If it is indeed cancer then he will need short course radiotherapy to the brain. All this will not cure him, but make him better." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i m 24 years old and suffering from severe hair loss. my doctor prescribed me to take VB 7 forte capsules and also suggest foligain serum to apply in the roots.i want to ask that will this capsules have any sideeffect such as facial hairgrowth or any oyher???please do suggest...i m very much tensed.. thanku", "output": "Hi,Vb-7 forte (biotin) is a B-complex vitamin commonly used as a nutritional supplement to treat dietary deficiency or imbalance which may cause hair loss. Generally, it is well tolerated by most of our patients however it may cause allergic reaction, stomach discomfort and pain. Its use is not associated with abnormal facial hair growth hence it may be taken as prescribed. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "About 2 weeks ago, my boyfriend and I were making out (both fully clothed). I saw a dry, white line on my jeans a little while later. I touched it, trying to wipe it off. I do not remember how long after that I touched myself, but it was not immediate. Since last Saturday I have had nausea and chills in varying levels. A few days ago, I discovered small, white bumps on the inside of my vagina at the top and one larger red bump with a white top on the side. Just today, I began experiencing sharp pain in my ovaries. So, in summation, can I be pregnant?", "output": "Hello, thanks for trusting Chat Doctor doctor for your health related queries.I guess your concern is-sudden appearance of white n red bumps on vagina, r u pregnant????well let's discuss with the info u have shared with us. Sudden appearance of white and red bumps near vagina is an abnormal thing. But u becoming pregnant from this mean...little speculative issue???n things u haven't shared with us-wen was your last menses?did u have your menses this time?we did u last sex with your bf??was sex without condoms???without info for these difficult to pinpoint 100% whether you are pregnant or not???well dear try out my suggestions:1.get urinary pregnancy test done.this urinary pregnancy test kits r available at your nearby medical store at affordable prices. Buy it, u can do it ourself.this test gives relief to your tension full mind whether you are pregnant or not. If the test is negative you are safe, if positive visit nearby gynecologist for further help.2.I strongly recommend for your red n white bumps issue to visit a nearby gynecologist as fast as possible.It's difficult to sort out this issue online.y I suggest gynecologist is they have a sound knowledge of female anatomy, so give expertise opinion of red white issue. I hope this discussion was useful, helpful n informative enough for your query u pregnant BCZ of white n red bumps. Regards, Chat Doctor. Get well soon dear." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had an unprotected sex with my boyfriend last wk friday though he didn t cum inside me,suddenly i am scared of maybe conceiving and don t know what drugs to take to be sure I don t get pregnant,please advice me on what to do bearing in mind that I ve an issue of high prolactin for some time now that ve seized to stop even with the medications I took in the past also I have a case of renal problem.Please come to my aid,waiting patiently to hear from you", "output": "Hi there,If you are having a high prolactin levels it is unlikely you are ovulating normally, making you get irregular periods. You need to take medications for the same, after meeting an endocrinologist; also for the renal problems you need to get in touch with a nephrologist immediately; as kidneys are very vital organs, and you need to make sure they function well. For contraception that will not be affected or will affect the above diseases you should consider Copper-T, an intrauterine device, it is safe, long term and does not have any hormones in it. It is very, very effective as well and can be fitted easily on OLD basis. Get it inserted after your next period, 8 or 9th day after the start of the period to be sure that you are not pregnant. Hope this helps. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband been having tingling in his right finger for about two or three weeks now. He has a wrap on his shoulder .I ve seen it on his elbow not he has it on his arm.he keep using icy hot and ice. But just told me.his fingers is very number. What you think he is going through.", "output": "Hello there! Whatever I could comprehend from your query is your husband is having tingling sensation in his right finger (which one though!) and the measures taken were ineffective. Tingling is always due to nerve disorder and could be due to some metabolic disease or physical compression in the respective path if the nerve. I would suggest you to go for investigations to find out the cause for same. Hope that helps :)." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "After drinking a lot, I feel tightness in my chest that is presistent for a day or two. My heart is in excellent condition, limited blockage only. This just started, Im 66 year of age. Had Recent surgery to cure A Fib, the mini maze procedure, doing fine with that.", "output": "Detailed Answer:Hi Dear !! Thanks for your query to Chat Doctor. Read and reviewed your query and health concerns. My opinion-In the given situation-You seem to suffer from-Alcohol induced Gastritis with Acid Reflux with CAD, which needs to be ruled out at this age of 66 yrs. Tightness in the chest could be from-Gastritis/ and or from accompanied Acid Reflux with esophagitis/ and or could be from accompanied CAD, which could precipitate Heart attack, if not investigated and treated in time. Change in lifestyle and diet with Stress test and needful medicines and exercises under guidance from Cardiologist would resolve these issues. Other causes need to be ruled out after Consults with Specialist Physician/Cardiologist doctor -as need to be. Further suggestions in this regard would need ore information /investigations after getting more details from You. Dos Suggested-Bland diet with less of AlcoholPPI-like Omeprazole with domeperidone- if need be. Avoid fatty/spicy/fried diet. Timely care with proper diet and investigations with needful medicines would fix these health issues. Rule out other causes, before starting any treatment as suggested herewith. This brief reply is given on facts submitted, which needs to be verified from your attending doctors, with whom you can check before starting further changes in the treatment. Hope this would help you to plan further of this complex illness of yours. If need be, update any health issue 24 x 7 by a direct question to ME, at following Chat Doctor link-http://doctor.Chat Doctor .com/Funnel?page=askDoctorDirectly&docId=70229 Dear, if satisfied, Dont forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at Chat Doctor services. If you want to update more details and ask more update queries, You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!! Chat Doctor. N. Senior Surgical Specialist M.S. Genl-CVTS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am almost 84 years old and have been diagnosed with Carpel Tunnel syndrome. I am advised, that at this age going under general anesthesia is not advisable. The finger next to my index finger is the involved finger. It is a situation of numb and needle pain. I have had unbearable and painful injections to the hand, ( My Right) .Do you have any other suggestions?", "output": "Hi, You don't mention any other health problems, but general anesthesia is possible at your age depending on any other conditions you have. Alternatively, many operations for treating carpal tunnel syn Chat Doctor. I would suggest you find a surgeon who is willing to do this under local anesthesia and discuss the risks involved. It is a relatively minor operation that could significantly improve your pain. I hope this advice has been of help to you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "When I stand up from laying down for a few minutes I get dizzy and my vision goes black from anywhere from 20 seconds to a minute. Its been going on for over 6 months now and Im starting to get worried. email~ YYYY@YYYY Please answer ASAP", "output": "Hi, Your symptoms seem to be related to orthostatic hypotension. I recommend consulting with your family doctor for a careful physical exam and some tests. - a Head Up Tilt test to investigate for orthostatic intolerance- complete blood count for anemia- a resting ECG-blood electrolytes for possible imbalance should discuss with your doctor on the above issues. Meanwhile, I recommend avoiding abrupt standing up from sitting position and take plenty of water to stay well HY Chat Doctor. Hope to have been helpful. Let me know if I can assist you further. Wishing all the best," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "A few days ago, I noticed my ears became incredibly itchy, red and with small bumps. The skin behind the ears was also itchy and little red bumps developed. My arms and legs have also developed little bumps, either red or skin colored. They are itchy but only on my ears, arms and legs.", "output": "Hi. Thanks for your query. The history is suggestive of a condition called erysipelas, wherein you get the skin changes as you have described. Precaution you have to take::Do not scratch, as the secretions are highly contagious. You will get affected in the new areas wherever you will touch them. You have to take a course of suitable antibiotic under the supervision of the Doctor. Furthermore, you can apply liquid Provide iodine to the areas affected." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ive had what I think is a yeast infection off and on for years now. Ive been tested for everything and it all comes back negative. Now besides the vaginal itching and discharge, I have a pinkish discharge and my abdomen feels full and achy/burning. What could this be?", "output": "Hello appreciate your concernRecurrent yeast infection can be related to diabetes or low immunityThis could be due to PID, fungal infection like candida or bacterial vaginosis would like further information to guide you Bettencourt age and complete medical history would advise you for few investigations like blood for hemoglobin CBC Liver function test, blood sugar, urine culture and sensitivity test and vaginal swab for culture and KOH fixation testy may require a course of antibiotics or antifungal either in the form of oral Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Over six months ago a substantial part (about 1/4) of my back bottom left tooth broke off due to a cavity. Due to financial reasons and other dental proceedures need I have not had it removed yet. This morning (May 28, 2014) I brushed my teeth and since then my tooth is aching badly. Very sharp pain, specifically when I such my cheek in (habit to keep hot or cold off the tooth) what could be causing this? Is it possible that I dislodged something that was covering a nerve ending? I know I need to get in to see my dentist immediately, but is there anything I can do while I wait to get in?", "output": "Hello, Thank you for consulting with Chat Doctor. As you are mentioning that your tooth was broken six months ago, it means the tooth was infected at that time only. Now the pain in the tooth denotes that the infection has spread to the apex of the tooth and formed an abscess. You have to visit your dentist now as this problem can not be solved only by medication or something else, as a root canal should be done in the tooth to reduce the infection. Till then, you can start with some painkillers to relieve pain for some time. Hope it will help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 11days post op of a laminectomy-- lumbar 3-4 4-5 both left and right. I have a bloated stomach..could you please advise as to wether this is normal, or am I just getting fat. I have never carried any weight in my tummy and it would be normal to state that my hips usually protrude while my tummy has always sort caved inward. Please advise?", "output": "Welcome to Chat Doctor After multiple laminectomy procedures there occurs a kyphotic deformity of the spine where the spine is pushed forwards making the abdomen protrude out as well. The kyphotic deformity needs to be reduced by certain exercises and braces which will be explained to you by your Orthopaedician. Avoid constipation which can be common after this kyphotic deformity, by eating plenty of fresh fruits and green leafy vegetables, Chat Doctor. Do walking exercise every day for 40 minutes in keeping with your Doctors advise." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi lets start by letting you know two weeks after taking a birth control shoti started to get left chest pain in a few days later it went down my left arm and sometimes radiated to my left leg..at this time i also started bringing up green phlegm.hospital checked fur clots by blood test, leg ultrasound,ekg, chest x ray with no dye and all was normal but fur the weeks it is constant only thing totake pain away is Oxycodone. Now the spectum was bright red (blood) when i woke up and this morning i could taste blood in my throat.what is going on..pain in chest and left arm is constant", "output": "Hi, If no blood clot found out, then, I suggest consulting with a GI specialist to rule out gastric problems (ulcer). I also suggest doing: - upper endoscopy-chest X-ray- abdominal ultrasound-EKG- cardiac echo to evaluate your health condition. I advise not to take the birth control shot for a while until the symptoms will get reversed. For the moment, I advise to: - Chat Doctor. Hope it was of help!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "When I got to work this morning I felt fine. Then 5 minutes later my body felt like a heater. I was so hot, I was shaking, I felt like I was going to vomit everywhere and that I could use the bath room a million times. But I didn t feel the need to urinate. I left work came home and slept for about 6 hours woke up and felt fine. Now I m starting to feel like that again. Why is that?", "output": "Hi, Fever with shakes (chills) is mainly due to infection. In most cases the infection could be Malaria or Typhoid and in some cases it could be due to urinal tract infection. In rare cases it could be viral infection and other causes. Action to be taken:1. If you have a thermometer at home check your body temperature. (Either under the tongue or underarm temperature)2. If you have temp more than 100 seek medical help.3. Investigations (Blood: CBC, MP, Dengue, Tidal test, Urine routine) may be helpful in diagnosis. Take Marrakesh" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my husbund have not seminal vas defference.but there are lots of sperm in his testis.so doctor called us for testtube baby.i have pcod.over 6th tretment was failed . in my second treatment i got 177 beta ChatDoctor level.but after two days my pregnancy missed.and my 5th cycle my beta ChatDoctor level was 22.but after 2 days report was negative .i want to know that am capable for concieve a pregnancy?how many percent?my period is regular", "output": "Hi REMA, Welcome to Chat Doctor Forum. Since you said that your Periods are Regular, you will have very good chances, more than 50 % chances of Pregnancy even if you have PCs, since you will be ovulating regularly. The Problem arises if your Periods are Irregular. You said your Husband has no Vas deferens which may be its congenital absence. This condition is responsible for 1 percent to 2 percent of all infertility in men. In such cases, you may want to speak to your Doctor, your family and Opt for IVF. Good Luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello sir, please excuse my poor english. I am 22 year old simple virgin boy . I have irrational fear of hiv about 5 years. I used to wash my hand and used antiseptics for my even small cuts. i know every thing about hiv from internet but despite i have intense fear and it is ruining my life. 5 years ago i dont have a knowledge of hiv and so that before this period I was very happy and content and didnt do this type of things. but today i watch blood stains or cuts or something else that causes anxiety. Also i live in that place (UP, India) where this is not much in prevelence. sir please help , your little advice can give me a new life. thanks", "output": "Hi, I read your query in detail and can understand your concern regarding your symptoms. From what you have mentioned, you seem to be suffering from anxiety disorder. It seems that you are having repetitive thoughts regarding the same, and you understand such thoughts are irrational. Such thoughts can be termed as obsessions and the repeated cleaning or washing in response to the thoughts can be termed compulsions. Obsessive compulsive disorder is a type of anxiety disorder which is not uncommon. I would have liked to know about any other thoughts that might be coming repeatedly to you like any doubts (and repeated checking in response to that), repeated sexual or religious thoughts. I would suggest you seek a psychiatric consultation for detailed evaluation of your symptoms and starting proper treatment. Your condition can be treated effectively with medications like fluoxetine or sertraline (one of the selective serotonin reuptake inhibitors). You will have to be patient about the response as the medicines will take at least 10-15 days to show its effect. The treatment will be long term, and you will need regular follow-ups. Hope this information was helpful. Best wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi My mothers s.creatinine is 3.7 & her blood urea is 158. kindly advice if such a kind of kidney patient can be treated . and also kindly advice that how much time will it take to get the parameters normalize. and also what all she should avoid to save her kidneys; aneet", "output": "Hello Anent and welcome to Chat Doctor. As a Urologist, i can understand your anxiety. You should've written her age. She has got kidney failure. Next step is to find out the cause for failure. Usually, the nephrologist will do a kidney biopsy. According to report, specific treatment, will be advised by the nephrologist. Your mother should have a 5g salt,40g protein, diet. Her B.P.must be normal. She must do blood routine, creatinine,RBS, LFT,electrolytes and uric acid. Then an ultrasound scandium, is also needed to check her progress. If you've any doubts, you can send the reports to me, as a direct question. Chat Doctor. Manga." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doc i had a miscarriage before 2 months i did d&c on 2 may then after 2 months of normal periods this time i was going for follicle study on 11th it was 8mm and lt 13 and rt msf then on 13th day i was sure that it must have ruptured as allways happens but but doc said there is no growth but free fluid is seen so is there chances of pregnancy .. does it ruptured one day before what it means", "output": "Hi, normally with 8\u00a0mm size chance of rupture of the follicle is less, so if that ruptured in 12th day, may be that is the reason for free fluid, but as your doctor told that there is no growth of follicle, better to undergo scan on 15th day also, if needed you can for Chat Doctor injection for ovulation if your doctor suggests, anyhow you plan intercourse in these days and also start taking folic acid supplements which will help in case of fertilization. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi. i am realy worried as i have had a lump on the back of my head (near the top) for a couple of weeks growing all the time and allways painfull, the swelling of this lump has stretched down to the bottom of head at the back of the neck. tonight i found 3 smaller lumps near this large one and they are only tender to touch where as the large one is painfull all the time. i take codine pain killers for hip athritus and back pain but the codine is no good for the head problem. i was reciently diagnosed with mild narcolepsy due to constant tiredness and short term memory problems . i am worried as there is history of cancer in my family", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have Desmond cyst, lymph node or some skin adnexal tumor. You should go for either fine needle aspiration cytology or excision biopsy and take treatment according to diagnosis. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am taking this pill called Marvelon. I forgot to take my pill on Saturday from what I thought, it is now Sunday, I just took the Saturday pill and now the Sunday pill both at the same time because I just remembered. It has been more than 12 hours though. However, after taking them both I realised that I took the Saturday pill but from a different row by accident. I dont know what to do, Im kind of worried", "output": "Helots ok that you took both pills at the same time, as soon as you remembered. But don't miss any more pills in this cycle or you won't be protected. About taking the wrong pill from the different row, as long as it's the same color, its fine. If you remember to take the Saturday pill from the row you missed before, you can continue, If you are confused, abandon this pack. Start a new pack from your next cycle. Use extra protection for the remainder of this cycle." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I recently had a miscarriage and I have noticed in the morning my skin has a yellow look as do the corner of the whites of my eyes, my appetite is greatly increased and I feel tierd. Do you think I should go for a blood test from my GP as my partner and I want to start trying for another baby? Clare", "output": "Hi, Yellowish discoloring of skin, sclera and urine indicate jaundice. You should get fully evaluated by checking for bilirubin in your blood also check for viral hepatitis and take treatment accordingly. Your GP can guide you with the blood test, but you may also need an opinion from a hepatologist depending on findings of the blood results. Get these done, done before embarking on the pregnancy. Hope this helps. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Dr., I am a caregiver to an 87 year old and a hospice patient with congestive heart failure, has an oxygen 24/7, has liquid morphine .5ml every/hr. She is in nebulizer and bedridden and alert. She has an episode of shortness of breath attack once in a while and it happened at 3 or 5 am when she wake up. The hospice nurse told me just give her 1 push of morphine every 10 minutes. What is the other relief for her. Sometimes she s yelling, she needs help, she wants to have treatment in the hospital, but she is hospice. Thank you. Jean", "output": "Dear MadamThanks for your query. The exact treatment for this episodic breathlessness depends upon the cause of breathlessness. If you could find any disturbance of rhythm at that particular time? If her diuretics dose need to be adjusted, especially the time? If she coughs a lot followed by sputum production at that time indicating need of clearing her airways frequently. A little dose of home oxygen helps sometime. Hope this helps to some extent. SincerelySukhvinder" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im 15 years old and around 54 and I weigh around 100 pounds, Im an occasional smoker and recently ive had a heavy sensation when i breathe. Im afraid of lung cancer but i keep reading it takes years of smoking to develope and Ive only been smoking a couple months. I dont have any pains, just a wierd forceful breathing sensation.", "output": "Hi welcome to Chat Doctor... You are having smoking habit and now having forceful breathing .... So some organic cause might be there. . It could be ....1. Chronic bronchitis 2. Emphysematous changes 3. Pulmonary fibrosis 4. Cancer 5. Infection condition... According to cause treatment needed like that by antibiotic, bronchodilator etc... Investigate with ....1. Chest x-ray PA view 2. Spirometry 3.CRP etc... Your auscultation and physical examination will decide which investigation done. . Take care Advise : consult pulmonologist for examination...." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I am 40, male, non-smoker, 6ft tall and weighing 194lbs. I ve been losing weight for the past 5 months. In March I went to my cardiologist to have my heart checked. Since then I am on Lisinopril 20mg to control my bloodpressure. All the tests were fine. At the time of my doctors visit I was weighing 230lbs. So I dropped around 36 pounds in 5 months. Is that normal? Also, it doesn t stop. I keep losing weight. I changed my diet a little bit, but nothing radical though. Less soft drinks and deep fried food, other than that I have decent lunch and dinner. I don t have any pain or loss of appetite. My bowel movement is normal and stool color is light-brown to brown. Could Lisinopril be the cause of my weight loss? Also, I have anxiety and get very nervous with the slidest pain. Could anxiety also be a cause? Your thoughts and comments are more than welcome. Many thanks Michael", "output": "H, I passed carefully through your question and would explain that your symptoms do not seem to be related to lisinopril, as this is not a common adverse effect related to this Chat Doctor. Coming to this point, I would recommend consulting with your attending physician and performing some tests to investigate for the possible underlying causes: - complete blood count for anemia- PSA, Ca19.9 and CEA plasma levels- an abdominal ultrasound - a chest X-ray study-vitamin B12 plasma levels for possible deficiency. You should discuss with your doctor on the above tests. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my sister was diagnosed with stage two endometrial cancer. Had a full hysterectomy and unfortunately they found cancer cells on her ovary from the pathology report. She is now in her final cycle of chemo and will start radiarTigon in a few weeks. Her team of drs told her this is for prevention purposes. Last week she found out she has a blood clot and is being treated for it. She is really down and her emotional state is fragile. Can you confirm that a blood clot is in fact a side effect. Every time she gets a new side effect she thinks the cancer is spread thanks for your input.", "output": "Hi, Thanks for writing in. Your sister has had a total hysterectomy with removal of ovaries. On pathological analysis there are cancer cells found in the ovary specimen. She is on her last cycle of chemotherapy and due for radiotherapy. Form what you have written, I understand there is a clot in the leg deep views. This condition is known as deep vein thrombosis and confirmed by venous Doppler for lower limbs. This requires slow treatment with anticoagulants which are blood thinning agents. I reassure you that it is a side effect of cancer treatment and not a sign of cancer spread. God Bless your sister for a quick and complete recovery. Hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter is having excruciating pain on the left lower side of the back (she has had back surgery several months ago) and it is causing her leg to buckle when the pain hits. She is also having diareha (dont know if its connected to that or not)", "output": "Hi, I have read your query. Since your daughter had back surgery previously. You should get x-ray of affected area of back in AP and Lateral view done, send us report or discuss it with your doctor. Only then further management can be advised. - Avoid heavy weight lifting pushing and pulling heavy objects, because it will further increase back pain. - You can take medicine like painkillers + muscle relaxants by discussing it with your doctor. You may need stronger painkillers which are available on prescription only. You can try ibuprofen or naproxen till you see your doctor. - Apply hot packs for 30 min in morning and evening. I hope it helps. You are welcome to ask further health related queries. Thanks. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had laproscopic gallbladder removal surgery yesterday. I ve noticed, today, that both of my upper arms are warm and red. I haven t been rubbing them but the temperature difference is pretty significant. They are not tender to touch, no pain at all, but they are warmer than the rest of my body and quite red. Should I be concerned?", "output": "Dear madam, usually after laparoscopic surgeries TH increased level of air in abdomen can cause shoulder pain, especially the left one because of irritated Phoenix nerve. But skin redness and warmness aren't usually sign of it. It can be caused by skin infection or allergy or by joint inflammation. So you should do inflammatory markers and shoulder RTG if you are worried about it. Wish you good health, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Over a week ago I was attacked. I was dizzy at the hospital and could not sit up. Hospital staff did not take care of the issue because it was not hurting. We were more focused on the gash on my arm that needed stitches. I am still dizzy. The back of my head is tender and soft I lay down turn head to side, my eyes roll back in my head and I feel like a seizure is going to start. But I have never had one.", "output": "Hello, Thanks for the query to Chat Doctor. Forum. Since still, you are in trauma of attack and getting tension, so the cause of your dizziness may be due to Tension. 2nd reason may be due to blunt hit (due to attack) in the back of head (in occipital region) and in this portion vital respiratory center present. Here cerebellum also present, so in my opinion according to nature of injury and severity get in M R I and also c t scan and depth of injury can be confirmed by orthopedic and neurosurgeon. Good luck, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have multiple symptoms that are disturbing to me. Hair loss, difficult swallowing, (okay breathing), dentures fit poorly now, gums in pain, hands & feet red with hive like whelps,and pin &needles tingling to the extreme, this travels in different places of my body & can last from 5 minutes to days, swelling especially fingers & feet, hve a red dotted discoloration (like a sunburn) on my feet and ankles up my calves. Intense pain all the time, chest pain ( had cardio checked) pacemaker is fine,no heart attack & sob, will have sudden onset migraines & stutter on some words at random.. problems remembering things that just happened or within a reasonable time frame... random burst of tears", "output": "Hi, thank you for providing the brief history of you. You mentioned a lot of things here. let's focus on the discoloration of the skin. For which we can rule this out by taking a dermatologist opinion. Once he says nothing wrong with skin then we will look forward with the pulmonologist as breathing has to be efficient. Get a pulmonary function test done which will help you for this or a spo2 test to check the oxygen saturation levels in your blood. Usually due to malfunctioning of the respiratory system certain symptoms arise including the pain and aches. You need to meet up a physical therapist later on to get helped. Doing guided regular exercises will help your metabolism boosted and the cardio respiratory endurance at levels too. I hope you will get the best help at the nearest specialist. With the grace of God I wish you a speedy recovery" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i am 27 year old female weight 47kg and height 5 ft ,i have a chest pain from 5 years but not proper diagnose ,my pain is always middle of my chest mostly when i walk for grocery and house work ,it not go any where ,it stay middle of my chest it crush like and after pain i feel weakness", "output": "Hi thanks for asking question in Chat Doctor... Here your pain is in middle chest.... If it is burning characteristic then gastritis or acid reflux like condition could because ... For that omeprazole Chat Doctor. ... Excess spicy foods avoided..... Heavy meal restricted. Avoid smoking. Fruits more .... Head elevation while sleeping... Second if no such gastric problem then pain could be musculoskeletal pain ... For which hot pad can be applied... Proper sleep posture taken... Avoid strenuous activities.... Avoid stress... As stress can lead chest pain... If fever, cough, dyspnea occurs chest x-ray needed for rule out resp cause... You can consult physician with keeping my answer in mind. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my baby is 81/2 month old, because of nurses ignorence and less knowledge baby ddnt accept mother feed, i tried alot bt not succssesful now i really want to start giving him mother milk bt how and is this possible at this age . and when i pump it just shows drops on the nipples...pls suggest..", "output": "Breast milk is the best food for a baby up to 6 months of age. After that semisolid need to be introduced as breast milk can no longer meet the demands, although breast milk can be continued till 1 year of age or more. But please note that breast milk is produced as per the requirement of the baby. If the baby is hungry, the baby sucks more and therefore more breast milk is produced. Once you introduce external feeds, the baby is no longer hungry and hence breast milk production falls. Breast milk production has already been depressed so long, and it is hard to start afresh at this point of time. Still, you may try giving Laconic granules 1 sachet in a glass of milk twice daily to the mother and see if it makes a difference in breast milk production. It should help at least to some extent." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Almost 2 years ago I got all 4 wisdom teeth removed. Since I got them removed, my bottom teeth that were removed I have a bump on both gums where the teeth use to be. I just thought it would go away and kind of forgot about it. Now starting about a month ago it has been bothering me, both sides have a small bump that I can see. It hurts a lot when I eat as well. What could it be? One of them has 2 small dots on it that could possibly maybe be a scab? That one hurts the most.", "output": "Hi, Thanks for asking the query, I would like to tell you that wisdom tooth is the last tooth to erupt in the oral cavity and is difficult to clean and causes inflammation of the surrounding tissue leading to formation of bump. I would suggest you to consult to a Dentist get a checkup done, plan for the removal of the tooth. Take a course of antibiotics and analgesics. At home take lukewarm saline rinses and antiseptic mouthwash gargles. Take care!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "please have being trying to get pregnant, i have done pelvic scan which the result was The uterus is anteverted and a normal size,The uterine echopattern is homogeneous The endometrical plate is normal in thickness No focal uterine lesion is seen The pouch of Douglas, right and the left adnexae are normal The urinary is normal pls wat is cure for me not conceiving.", "output": "Cellophane you for your query. Your pelvic scan is essentially normal. However, there are various other factors for conception. Firstly, please consult an Infertility specialist. Get your husbands' semen analysis done. Check your basic hormonal profile, and go through a follicular monitoring cycle to check whether ovulation is on track. Also, take regular folic acid supplements and maintain a healthy BMI. If all other factors are normal, consider having an HSG or laparoscopy done to assess tubal function. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hii doctor,,, my son is 2month old, he is suffering from cold since 20days...Now problem is slight cure.. But in morning time he is suffering from breathlessness and slight cough... Dr.has been given deriphyllin syrup for 15days twice a day 1 ml..but condition as it is... No improvement.... Plzz give me your guidance", "output": "Hi, First, follow up the child with consultant again. Till then try to keep your child away from all possible dust materials. Try to keep the child in propped up position with you (approx 45 degrees angle incline) in bed in the morning. Avoid exposure of body parts of the child. He may find cold. Get him immunized according to the immunization schedule. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir i am 38 year old &Recently gone through sevear back pain.at baroda heart intitute baroda advice me your one carti is shown 99% blockage as per engography report.so i go per engoplasty on02-08-2010.now i have take medicine daily .i want to know what type of precaution required.please advise me regarding diet, walking &other precautions.", "output": "Hello, You should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. If BP is persistently more than 140/90 MMH, then you should be on medicines for it. Regular exercises like brisk walking or just walking according your capacity at least 30 min a day and 5 days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity. Most importantly medicine needs to be taken regularly as advised. Hope this helps you and get back if you have any doubts." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had my first panic attack 3 months ago and had 4-5 more since (mild to moderate). I was fine until about a week ago when I started experiencing extreme anxiety coupled with fear of having a terminal illness. This in turn has the frequency of my panic attacks.I had to EKGs made, botChatDoctore back normal. I experience symptoms of anxiety on and off, such as rapid heartrate, dizziness, shaking, feeling cold and mild headache and chest pain.What should I do?", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. I sincerely opine that the problem you are facing now is of your own creation. You are already aware that you have anxiety problem. Anxiety causes panic attacks. Anxiety is fear of a future event which the patient thinks that could happen. Fear always produce a Chat Doctor. You need to adjust with the anxiety creating situations and learn to manage them. Escaping can cause aggravation of apprehension. Deep breathing, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my mom is 84 and tripped and fell on her tile floor. I am concerned because their is some brusing and swelling although the swellling has gone down since last night but their is one area on her calf tha felt hard at first but is much softer now and is about 3 inches long. She has shooting pain at night. worried about possible blood clot.", "output": "Hi, Dear,Good evening. Thanks for your query to my virtual Chat Doctor Clinic. I studied your query in-depth. In My opinion-diagnosis is-Resolving -liquified hematoma-which might be getting-infected. Diabetes needs to be ruled out-as the hematoma-has become painful since last night and is now 3 inches long, soft-YOur worry about the blood clot witChatDoctorplication of ? Infection is right, and you need to get ER Surgeons opinion and needful treatment of it. Treatment-would be-a-Rest and Elevation of leg, b-Tb-NSAIDs,c-Antibiotics would relieve the lump in a day or 2.d-If no relief in pain of the lump, Incision Chat Doctor. Hope this would resolve your worrying query. Wellcome for more query from you. Good day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "114 67 blood pressure with a pulse of 87 - My pulse has been in the 80-90 and my blood pressure spread has over 40 for the past 12 hours. I just recently had a reading where the lower was 57. I am a 43 old female. No known heart problems. Is my blood pressure normal?", "output": "Hi, dairy have gone through your question. I can understand your concern. Normal blood pressure is 120/80 MMH. Your blood pressure is 114/67. So your diastolic pressure is slightly low. But no need to worry. If you don't have any symptoms then no treatment is required. Take plenty fluid with salt. If you have dizziness or blurring of vision then consult your doctor and take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor, my name is Vipul. I have been suffering from Eosinophilia Allergy since long and this problem differs from place to place and I usually witness it during cold seasons. I am having active lifestyle and never forget to go for some exercises or Yoga but still sometimes the problem emerges out. Could you please tell me the natural and home remedy to keep this allergy at bay?", "output": "Hi, you have not mentioned your symptoms, but for all the allergy the first step is to find out the cause of allergy, e.g. dust allergy or food allergy. If you have food allergy the best thing is to avoid the food item. When allergen is airborne e.g.: dust or pollen, then you need to follow step wise treatment if you symptoms are mild and appears only in winter you can take anti histamines and control it. If you have for long duration in winter then you need to take steroid nasal spray, and you will achieve very good control. Last line of treatment immunotherapy, and it is most effective. You seem to have allergy to pollen which is more during winter, I think you should go to immunologist or good physician, and he will guide you further. Keep your self physically fit. Home remedy usually do not work, but you can try Janet, which may help you but no established study done on this thank you Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am a 41 yrs old male, i have never been into relationship with any woman so far until recently. my problem is when i talk to her over the phone or meet her i get little excited and couple of drops of sperm(clear thick liquid ) discharge in my penis and it happens around 3-4 times a day and night as well. I dont know if it is normal or not sometimes its embarrassing too. Please help is to do with anything with the diet as well.", "output": "HelloThanks for query. You are passing few Chat Doctor. This is a thick mucus secreted by mucus secreting glands located in Bulgar part of urethra which get stimulated on sexual arousal like talking to woman or audio, visual stimuli to secrete mucus that is leaked out through urethra. This is a natural and normal process and does not signify any pathology. It gets resolved spontaneously over a period of time and does not require any treatment." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 12 weeks pregnant. Over the past week I have grown extremely tired. I take my vitamins and eat well. I hear my pulse in my ear when I stand, and then it eventually goes away when I sit down. I am out of breathe just walking up the stairs to use the bathroom.", "output": "His have gone through your complaints. Some weakness will be there because of morning sickness. Breath out just walking upstairs and hearing one pulse in ear needs consideration and indicate possibility of anxiety and anemia.it's quite common to have anxiety in first pregnancy. With time everything will go off. If you are not anxious nature It's important to check your hemoglobin level. Take nutritious diet and adequate rest. Any way you have started your vitamins. Start iron and calcium also as there is more requirement during pregnancy. Take care. Thank regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor,i had gum smile, i wanted to design my smile so i had gingivectomy after that I got veneers i had gingivectomy surgery one month ago and veneers one week ago, now I have yellow spot on my gum, it is big over area of my right lateral incisor and canine , it is not painful or sensitive,just yellow color, what does thing can be? I feel so worry", "output": "Hi. Welcome to Chat Doctor. I read your query. As you mentioned having a yellow spot on gums after having gingivectomy and veneers, have you noticed any discharge ever? If so, you need to consult your dentist for infection. It can also be the part of normal healing process, so wait and watch for 1-2 weeks. Maintain oral hygiene. If the spot persists, then it is the discoloration of gum due to chemicals used during veneering. It can be removed easily by laser diode in single sitting. Consult your oral surgeon for this. Hope the answer helps you. Thank you!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband is on medication for Hep C we were just told his hemoglobin is 8.6 and he needed to stop the medication over the weekend and go in for more blood work on Monday. What I would like to know what does it mean to be so low and if there is anything we can do to help increase it", "output": "Hi, Anemia is decrease in hemoglobin levels below normal. In males, it is 13-15.5g%. From your history, your husband has 8.5g%. It is moderate grade. Severe is less than 6g%. Workup is necessary to identify the cause of anemia. As he is suffering from hepatitis, anemia of chronic disease could be present. Low hemoglobin can lead to reduced immunity and cause needs to be identified. After a workup, a cause may be identified and based on it, treatment started. You need to improve his nutrition, particularly on diet rich in vitamin B12, folic acid and iron. Any further queries, happy to help again." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a rash on my right front leg that was originally diagnosed as contact dermatitis . I have been to 4 different physicians and no one knows what it is. A C&S came out negative except regular Skin flora. I also have been to Loma Linda Univ hospital.The most definite answer I got was from a Dermatologist who said it was complex and gave me Clobinex that turned into chemical burn. The other was Fluocinonide which I can t use ,because it is exteremly painful.In the meantime my whole leg is hurting .Please,forgive mistakes.I m upset and this IS ruining all aspects of peaceful living .Ask me any questions.ThankI m sorry,but I do not have a credit card availoable until later tonight.I just discovered it", "output": "Hi Dear, Understanding your concern. As per your query you have symptoms of rashes on the leg which is very common due to hair follicle infection, sun poisoning and as dirt and moisture get trapped by your clothing and the friction that comes from sitting. Need not worry. I would suggest you to keep this area clean and Chat Doctor. You should apply warm compresses with soaked towel and apply vitamin C serum at night. If condition doesn't get better than consult dermatologist for proper examination. Doctor will examine physically along with blood test and sample for lab test. Doctor may prescribe immunosuppressants and may prescribe benzoyl peroxide ointment. Hope your concern has been resolved. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a painful, moveable lump in both of my elbows that I have no idea what are. I have had one lump in my right elbow for quite some time, but it has just now started to hurt. The lump in my left elbow just recently happened after I fell on my left elbow playing basketball.", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have some benign cyst like sebaceous cyst or ganglion cyst. Or you may have some soft tissue tumor like lipoma or neurofibroma or something else. You should go for fine needle aspiration cytology. It will give you exact diagnosis. Then you should take treatment accordingly. Excision is the treatment of choice. Consult your doctor and plan accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello My child has been had a fever 2 days. And when it raise to 103 I took him to the emergency, they said give him Tylenol and bifu every 3 house but the fever come and goes And today all cline close Is it save to give him every three house medica????", "output": "Hello and thank you for using Chat Doctor for your questions! Short answer: No, it is not dangerous if you alternate different types of anti-fever Chat Doctor. Detailed answer: You can give your baby two types of medicament for fever: paracetamol and/or ibuprofen. Paracetamol is usually given every 6 hours (maximum 4 times a day) and ibuprofen is usually given every 8 hours (maximum 3 times a day). These two " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a schizophrenia patient and am on Recita 10 Sulpitac 50 and Lopez 10 but not satisfied. want better consultation. please help", "output": "Hi You are on appropriate medication, are able to post in an on-line health care forum and have recovered enough insight to acknowledge that you are a schizophrenic patient. These three things tell me that you are doing better and if you are concerned about any residual(remaining) problems, you should contact your own psychiatrist who it seems is doing a reasonable enough job. Also, please make it clear to yourself first what is it that you are not satisfied about and if you have given your current psychiatrist a chance to help with this as he is best placed to do so. Please do not change doctors unless there is a valid reason for doing so. Good luck" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi DoctorThis is Amla, i have regular periods of 28 days. i am planning for pregnancy. i got a injection on my 7th day from my last period and on 13th day- i had a ovidac 5000 by the doctor.So does this injection delays the regular period of 28 days. today i am on 30th day, cold this be a symptom for pregnancy.", "output": "Since your doctor has already started the treatment I presume your basic subfertility workup is normal (hormone tests and fallopian tube patency test for you and semen analysis for your husband). Injection Vidal contains the hormone human chorionic gonadotrophin. It is given to cause release of ova (egg) from mature ovum. It does not cause delay in the period. The delay could be due to pregnancy. Get a pregnancy test done. Are you taking progesterone like phaeton? Progesterone can cause some delay in periods. Good luck. I hope I have answered to your satisfaction." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My sister is being treated for anxiety, PTSD and is not improving Sheis taking 4 different meds and the dosages keep getting raised .I am concerned because she is either excessively drowsy, dry mouth constipation, and still not feeling calm. Although her psychaitrist now says these meds are not what she would prescribe, she keeps increasing the dosages! What can I do to help her? There are very few psychaitrists that either accept Medicare or even cash paying patients in the Capital District of Albany , NY??????????", "output": "Degree understand your concerns went through your details. Post Traumatic Stress Disorder has its own anxiety reasons. PTSD is usually treated with a combination of exercise, psychotherapy, meditation and lifestyle changes. With this combination and with the suitable medicines, PTSD should be managed efficiently. In this case, the villain could be diagnosis. Do you understand what is PTSD and normal anxiety disorder? Were your sister continuously stressed for a period of more than three months prior to starting of present anxiety disorders? I have many questions which needs answer. You could consult another psychiatrist or psychologist for proper diagnosis and treatment. If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a lump(size of golf ball) its between both color bones in the lower part of my neck, been growing since 06 when i first discovered it. I took xrays as a tech everyday for 7 years and not much protected was used! If ive had this lump for over 6 years it couldnt be cancer/lymphoma?", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have enlarged lymph node due to tuberculosis or lymphoma. Or you may have metastatic carcinoma. You should go for fine needle aspiration cytology or biopsy. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My Son has been suffering from Cough and Cold for a period of 10 days. The Doctor diagnoed him twice in between and suggested medicines. According to the Doctor Allergy is the reason for everything. But he is not getting any relief from the Cough in particular. Please help me out.", "output": "Hi... Thank you for consulting in Chat Doctor. Cough and cold are viral 95% of the times in child Chat Doctor. For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15\u00a0mg/kg/dose (max ceiling dose 500\u00a0mg) every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. For cold, you can use Cetirizine at 0.25\u00a0mg/kg/dose every 12 hourly for 3 days. For nasal block, plain saline nasal " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have a fairly large lump in the inside of my lower arm near my elbow. It is not painful and I didn t notice it until I saw that my arm looked a little bigger on that side. If I extend my arms out in front of me, hands up on the inner upper arm near my elbow.", "output": "Hi ! Good morning. I am Chat Doctor answering your query. Though not mentioned by you, I feel that possibly the swelling is a slow growing which has been noticed by you only when the size increased. If I were your doctor, after a physical examination of the swelling, I would have advised you for a FNAC (fine needle aspiration cytology), and would then refer you to a general surgeon with the report for further management. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Age 40, Wt. 140. Have some sort of lump inside of mouth close to throat on right side...hurts when swallow...was told it was like a skin tab...but if doesnt go away should get checked out. Have only seen/felt it the last two days. Just trying to figure out what may have caused, etc.", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. Thanks for your query. The bump inside mouth as you mention in query are inflamed subepithelial lymphoid tissues. They are present on both sides at the start of throat. They got inflamed whenever there presence of infection in oral cavity. If there are inflamed sub epithelial tissue present along with tonsil enlargement it indicates bacterial infection. The infection of oral cavity like gum infection, tongue infection or tooth infection make these tissues inflamed. So I would suggest you to consult dentist/ oral pathologist for proper examination and to rule out upper respiratory infection. Doctor may examine oral cavity physically, order X-ray or order blood test. He/she may perform scaling and curettage, root canal or prescribe antibiotics for infection. For now do Betadine rinses and gargles. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am really worried about burgulars or bad people entering my home at night and am extremely worried about how I would manage to get my daughter out if this was to happen. I check wardrobes, cupboard, in closest a, under beds and repeat overly check windows. I cant lie comfortable and sleep I sit up listening out for things until I fall asleep and if I wake up I do the same again. What can I do?", "output": "Hello thanks for asking from ChatDoctorYou have worries that bad people or burglars are entering your hours and repeated thinking that how would you manage to get your daughter out of this. You have habit of repeated checking cupboards, closet or under beds. These symptoms are causing related worries and making you uncomfortable to such degree that you are not able to sleep. Such symptoms are due to severe anxiety and OCD only. Consult a psychiatrist for proper treatment of such symptoms. Medicines like SSRIs as Fluoxetine, Paroxetine etc. are used in high doses in OCD. Other Chat Doctor. Consult a psychiatrist for prescription of these " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my daughter has been in hospital for two weeks with abdominal pain which goes through to her back and is painful when her tummy is pressed and her back. She had her appendix removed 7 weeks ago in Turkey as they had ruptured and the poison affected her blood. She is having trouble urinating she can go but it takes her a long time, has been feeling nauseous and today started vomiting . The doctors yesterday started treating for pid with oral antibiotics but they are not sure that is the cause. She has had an ultrasound abdominal and a ct of her tummy and all looks fine. The pain is getting more severe and she has gone from feeling sick to vomiting and the pain is no better even though she is taking paracetamol , codeine , ibuprofen and oramoph and also anti sickness tablets. Her bloods are showing up clear, although one was slightly, but only slightly they say, for infection which they think could be left over from the appendix op. A small amount of fluid was seen on the ultrasound that shouldn t be there but ultrasound was carried out last Monday and CT last Wednesday. She has had an internal examination and that was extremely painful.", "output": "Dear Tina, I don't know the most important thing; how old is you daughter? Symptoms you're describing can be related to appendectomy complication especially if it was perforated and pelvic type of appendicitis. It seems like ureter was irritated which is a common complication and urinary infection should be ruled out definitely. Abscesses collection after appendectomy which US is describing could cause such symptoms, and it must be treated by antibiotics. Percutaneous puncture of collection can be also done if necessary but I suggest just to wait for the effect of antibiotics. If fertility and pain persist then u should repeat CT scan. Also, I think that you shouldn't give analgesics to child because it can hide symptoms, be care about it...you must know the intensity of pain no matter how it hurts because it guides doctor to the right diagnosis. Wish you good health, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi can I ask u plzz about my babys ultrasound im. In 22 weeks and 3d shows that. Renal pelvics of the left kidney of my baby is 4 mm which is normal but the right one is 11 mm which is abnormal..... plzz can u kindly explain what its mean and what can I do now and if there is any risk factor of dawn syndrome. As I read that kidney disorder may be factor of dawn syndrom plzz im very scared", "output": "Hi, The affected kidney is likely to be obstructed which is not uncommon, and certainly does not mean the child has Downs syn Chat Doctor. Another possibility is that the kidney is recycling the urine from the bladder, and we call it reflux. Either way, as long as the opposite kidney is doing well, you need not worry about this. Instead, you should be following up carefully, and soon after the delivery of your child, say after the first 72 hours or so, you can get an ultrasound and see what is the nature of illness which has affected this kidney. Either way, this looks eminently correctable, and I would not worry about it at all, if I were you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doc I was wondering can guys get a boob job. The reason I m doing this is I ve had gyno for five years and both my parents can t afford to fix it. But Recently I ve apcepted my gyno and want actually wanted recentlly breast. I I ve saved up for the past year to get dd boobs. And I was going to ask u should I do this or stop", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. There is nothing wrong in getting a boob job done. But you must remember that such a job is unnatural. Therefore, there could be guilt and anxiety related to unnatural happenings. You should take note of this and be sportive. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Actually My wife 2 months 7days pregnant. She is feeling like vomitting after taking food and not taken food. Also suffer fever in day & night within 1-2 hours. Also no taken medicne any bcoz medicene sideeffects to baby... Please Guide Us. Thanks in advance!", "output": "Hallow Dear, Nausea and vomiting of pregnancy or morning sickness is a notorious part of the pregnancy. Please try to observe following:1. Let her not cook the food. In fact, she should keep away when the food is being cooked. 2. Let her eat Chat Doctor. Liquid food regurgitates easily. Have short but frequent feeds. 3. Eat only what she likes and feels like eating.4. Avoid oily and spicy food. 5. Avoid tea/coffee. Buttermilk is a good " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My mum recently went through a operation of her intestine, she had tumor and was detected to be malignant. As of now the gastroentrelogoist who treated does not recommend any further treatment for her cancer, do we need a second opinion from a oncologist.", "output": "Hi, Thanks for writing in. Without complete details of malignancy it is difficult to discuss accurately because of the wide nature of tumors and their types. It is suggested that you make an appointment with the surgical or medical oncologist and discuss her condition in detail. The pathological report must be discussed regarding the malignancy and possible staging of the disease. It is not clear if your mother had large bowel cancer. Should her reports show colon cancer then she should regularly get CEA level in blood done to know if her cancer is still there. She might also have to do ultrasound scan abdomen and chest X-ray regularly. Many patients with colon cancer have disease spread to liver and other organs if not treated aggressively. Please discuss this with her doctor in detail. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hey , so my belly button gives off alot of discharge .. i dont know why . i know its spose to smell i think .. im only 16 & i am kind of worried .. i dont know if this maybe if if i am pregnant , i havent checked .. the last time i had inter cource was 2 weeks ago .. please help me . I just need to know if this belly button discharge is not normal . it comes alot . like ever hr and sometime its crusty ..", "output": "Hi, From history it seems that there might be having acute bacterial infection in belly button giving rise pain and pus discharge. Due to collection of dust and mixed with perspiration in belly button and due to its structure not cleaning properly gives rise to infection. There is another possibility of having Granuloma. Go for one course of antibiotic for 3-5 days. Clean the part properly and apply antibiotic cream locally. Do not worry about pregnancy., as it has no relation with pregnancy. Ok and take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi iam married age 24, i got pregnant before 5 years but that time we were too young to have a child so i got some pills from the pharmacy and got periods. actually have not done d & c. now we are planning for a baby for the past one year but we are not successeful. even my dh count was 16million per ml and 32 million in ejaculation oher tests are normal. my menstural cycle is irregular i have immature follicles. so i want to become pregnant soon. pls reply with a solution.", "output": "Hi, Since you did not get the abortion under medical surveillance, chances of tubal infections and subsequent tubal blocks have to be ruled out. Also, as you have irregular periods, hormonal disorders need to be excluded. You should consult an infertility specialist and get properly investigated. Meanwhile, please maintain a healthy weight, healthy diet and get some regular exercise. You would need a complete hormonal profile, tubal patency tests, trans-vaginal sonogram and follicular studies." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "What is left lower lobe subsegmental atelectasis versus fibrosis? Is this a cause of tuberculosis, how can this be cure, please let me know because I am going to have medical and chest xray is included in order to pass the medical health for Residence Visa in Australia, thank you .", "output": "Thanks for your question on Chat Doctor. Atelectasis and fibrosis are two different things. Atelectesis is partial collapse. While fibrosis is dead tissue, seen after healing. And both can be seen after TB infection. When atelectasis involves terminal bronchioles, it is known as subsegment atelectasis. And the most common cause for this is retained secretions. So for visa purpose, I advise you to consult pulmonologist and get done CT THORAX and Bronchoscopy and BAD (Bronchi Alveolar Lavage) analysis for TB. As both will be needed to rule out active TB infection." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am experiencing chronic pain in my knees and elbows. I have never had this before. It is almost debilitating when I bend down and try to right myself. My knees hurt so bad and I have a hard time standing up. The pain seems to be constant even though it doesn t keep me from walking around during the day when I m at work. It s near crippling when I have been asleep and need to use the bathroom. My legs almost don t work.", "output": "Hello! I read your question and understand your concern. In my opinion your symptoms may be caused by a hematological problem. I would like to know your age. The morning freezing is a common feature in many hematological disorders like rheumatoid arthritis. I would recommend you to consult with a hematologist, have a good physical examination, a full blood work, blood tests for inflammation like fibrinogen, PCR, sedimentation and rheumatoid factor. Further tests may be necessary to establish the cause of your symptoms and the appropriate treatment. Hope to have been of help! Greetings!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i have a yeast infection and was wondering the best way to get rid of it at home. i had it a few months ago and got rid of it with a 7-day medicine from the store. but i dont have any money now and i read putting garlic in the vagina will cure it quickly, i put a clove in tied with floss last night and it s not irritating or anything. so would it be okay to do it again? what should i do?", "output": "Hello, THX to contact us. If I am your treating doctor I would like to advice you that they do not go with the home remedy you have suggested these things is not accepted in allopatChatDoctoredicine. If you have consulted some Ayurveda doctor than you will go with it. But I suggested you to take antifungal agent. You can think for clotrimazole vaginal pessary. If you have anything else to ask please contact me. Than. Chat Doctor" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m 34yrs male. I m suffering from backpain sacrolaic pain and tailbone pain and sciatic nerve pressure for the past 13yrs doctor said that l m suffering from ankylosing spondalitis as my hla b27 test was positive, they prescribed me etoshine 120 but i still been suffering stiffness and pain in the affected area please advise me what to do.", "output": "Dear patient your ankylosing spondylitis condition can be making your nerve roots to get compressed in your backbone and to which you are experiencing pain in your back and sacroiliac region. You should see a pain physician who can give you X-ray or sonography guided selective nerve root block and can also advise you some physiotherapy exercises which will definitely help you with your condition. For any further query you can ask me again anytime." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my husband will be 36 in July, at the bottom of his asphagus has alot of pressure after eating . This happens a couple times a wk. and he will cause him self to vomit to rid the pressure, and sometimes in the morn he will have a little blood in his spit,and yes he is a smoker, but could these be symptoms of Gastroesphageal Reflux.He won t go to the doctors cuz we do not have Ins. right now.", "output": "Hi I will try my best to answer your query. He might be suffering from HERD, causes include smoking, alcohol, obesity and spicy food. You can make many lifestyle changes to help treat your symptoms. Avoid foods that cause problems for you. Over-the-counter and prescription Chat Doctor. They work more slowly than antacids but give you longer relief. PPI and H\u2082 blockers will be helpful. Blood in the spit may be due to smoking which causes irritation in the throat which may be responsible. Avoid smoking. It is always to get yourself examined so i advice you to consult physician. Hope my answer will be helpful for you. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, my father in law is suffering from cretining problem in kidney, he is not able to digest any type of liquid also since last 4-5 days. he went to see one doctor today he told that need to put him on dailasys. can you suggest any good doctor in patna bihar, india ?", "output": "HelloThanks for query. Your father-in-law has been detected to have Chronic Renal Parenchymal Disease and has persistent vomiting since 4-5 days. He needs to get hospitalized Please consult qualified Nephrologist for clinical assessment and get following basic tests done to confirm the diagnosis .1) Urine routine and culture.2) Ultrasound scanning of abdomen and pelvis3) Renal function tests .4) Serum Electrolytes Further treatment will depend upon result of these tests and final diagnosis. As regards the stage of his kidney disease. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was the passenger in a car wreck yesterday an I wasn t hurting when it first happened but later on last night my back an shoulder started hurting an right under my arm like above my ribs hurt pretty bad when I move my arm or even touch above my ribs. An I don t no if I should go to the hospital or not", "output": "Hello, I have studied your case and I think that you might be having pain in shoulder and neck due to muscle spasm. In this condition there is no need to rush to doctor. I would suggest you following.1. Hot water fomentation2. Volini gel local application3.take muscle relaxant like moral or MySpace. I hope these steps will be helpful for you. Let me know if there is any other followup question. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a whits spot nudre my tongue it was hurting then stoped after a few daysnd went away then it was on my gums lower lip it hurt to eat after 3 days it no longer hurts however my lip andd gums are separating I no longer have my lower lip connection with each day it gets deeper and deeper??? What do I do", "output": "Hello, Thanks for your query. White spots under the tongue may be caused by Lichen plans. It is an inflammatory condition that can affect various parts of the body, both internally and externally. Internally the condition attacks the mucous membranes of the body. As such it may affect the nose, mouth, and vaginal area. This condition will be accompanied by blisters (white spots), pain, itching, or other symptoms. Some symptoms are isolated to specific body parts. Treatment options will vary but may include the use of anti-inflammatory Chat Doctor. Antihistamines and ointments may be used. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my son is 8 years old.he had loose stools last week and was better.had fever and head ache for 2 days he was fine for a week then again he had head ache and loose stools .done a blood widal test and typhoid shows S typhi O 1:160 and H 1:80 positive how should i treat him ,doctor had put him in tab omnix -100 mcg.what is the diet should be followed", "output": "Hi, Thank you for your query, Omnix contains definite and is an effective oral medication for Typhoid fever. Continue the medication as prescribed by your Pediatrician in appropriate dosage and appropriate duration as Typhoid fever requires pronged duration like 10 days to 2 weeks depending on the disappearance of fever. You should give a soft diet, homemade. Avoid fried, spicy, oily and junk food. Maintain HY Chat Doctor. Give proper rest. Hope I have answered your query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have a painful pins a needles sensation down the length of my penis. Im 26 years old and have two disc injuries in my spine after a car accident four years ago, which has also caused nerve damage to my bladder. I also have high blood pressure. What could this sensation be?", "output": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. No nerve damage to bladder won't cause pain after a so much time. If you receive a pain immediately after injury than we can count it because of injury. This type of sensations are common in nerve regeneration, so if your damage nerve are getting repaired than you can have such a feeling. In my advice you should take tab pregabalin, tab vitamin B complex. This will help in recovery from such a problem. Please do perineal muscle exercise in other word stop and release urinary sphincters as much time in the day as possible. This will help recover fast from the problem you are having. Some physiotherapy and electrotherapy can also cure such a problem. You can visit nearby physiotherapist they can guide you regarding exercise. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, My mother is 94 and is regularly having Nexito 10mg and Admenta 10mg as prescribed by doctors, along with other medicines for general health. She still complains of memory loss, although that is not really the case as we see, given her age. Should we consider enhancing or reducing the dosage or introducing any alternative or additional medicines please.Her doctor in a GP and we do not want her to go to a psychiatrist, as she is otherwise alright. Many thanks.", "output": "Thanks for query on Chat Doctor. Memory loss in your case is due to aging problem (brain atrophy). It is called Alzheimer's disease. Go for blood homo cysteine,b12,folic acid and other routine body profile investigations to rule out the deficiency level and other underlying condition. Start therapeutic dose of b12,b6,folic acid and other supplements. Intramuscular injections of b6,b12,folic acid is advisable at regular interval. Continue other supplements and her regular medicines. Give her positive support. Talk with her regularly of surrounding happenings, news and other family talk. Keep in touch with your family physician." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a cebacious cyst on my chest it was about the size of a pea, but has become infected and is now the size of a grape, i am on antibiotics and am having it removed in 4 weeks, the cyst is in the centre of my chest slightly to the left, i am a female and am worried about the size of the scar, and will i be able to go back to work afterwards, i work in an operating theatre", "output": "Hi, Good Evening. Thanks for the query to Chat Doctor. I studied it in depth and I understood your health concerns.-Treatment -for sebaceous cyst in center of Chest-1- I would advise you to let the infection subside and cool down first.2-So I would treat it with proper antibiotics with Metronidazole and NSAIDs tbs.3-I would Excise the sebaceous Cyst -in a planned way-so as to avoid more scarring. I would be able to put \"Subcuticular Cosmetic Stitches\" as to avoid any disfiguring Scar-in the central chest area between the breasts.3-Dont get scared and uneasy, but be cautious and act fast. Hope this would help you a lot to relieve you. Wish you fast recovery-and healthy life. Wellcome to Chat Doctor with more queries till you are satisfied. Have a Good Day...!! Chat Doctor. N.M.S.GENL-CVTS, Super specialist and Senior Consultant-and Expert in Non-Curable-Disease therapy for Cancer, Asthma,etc., Rejuvenation therapy and Tissue failure -reversal therapies." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi there, I wanted to know if I could get some information about my back issue . I am a 49 year old woman in fairly good health. I am 5 9 tall and weigh 195 lbs. In the past year I have changed my lifestyle and have lost over 50 lbs. In the fall of 1994 my L4-5 disc bulged/hernitated and it also affected my right side sciatic nerve. After a hospital stay and 6 months of physio my back was not getting any better. I eventually had to have surgery. I had a discetomy and the L4-4 level and a limited laminectomy posteriorly at this operative site as well. My back seemed better for a few years then started to act up again. In 2002 I had an MRI done and the diagnosis stated theat there was a generalized bulging of the reamaining intervertebral disc at the L4-5 level without evidence of focality. Also, it stated that at the L4-5 level the posterior facet joints demonstrate very early mild symmetric degenerative change. Again, I took things easy, had physio and things seemed to be ok. Fast forward to 2011 and again I am in pain and limited mobility. My days are the worse in the mornings and in the evenings. I purchased a great bed 6 months ago because of my back problems. I have low back pressure and pain, as well as pain in my right buttock with pain radiating down my right leg. It is hard to perform any tasks below my waist ie tying up my shoe laces, picking up dropped items, washing in feet etc. Could yoy tell me a what my prognosis may be and what I may be looking forward to. Thank you.", "output": "Hello, There can be pain due to nerve root compression. I will advise you fresh MRI. If symptoms persist then surgical decompression may help. Medication like methylcobalamine and pregabalin will reduce pain which can be started consulting your doctor. You can focus on spine extension exercises. Some exercises which can be done include-Spine extension exercises, Lying on your stomach flat lift leg 6 inches from ground, do it for other leg. Now lift both hand and leg simultaneously, 6 inches off the ground and supposition for around 10 breathes. Core stabilizing spine exercises will help. You may consult physiotherapist for guidance. He may start TENS, or ultrasound which is helpful in your case. If not relieved you can take epidural injection. Hope this helps. Wish you a speedy recovery. If you find this answer helpful do not hesitate to rate this answer at end of discussion. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "so i ill be sitting an breathing like normal then all of a sudde ill get this rapid heartbeat that i can geel thru my chest. Been happening like twice a day for two weeks now. And as soon as it happens i take a deep breath an its gone. Any idea what it is?", "output": "DearWelcome to ChatDoctorWe understand your concerns went through your details. From the given information, it is almost sure the problem is due to your own anxiety and obsession. If you think and obsess about rapid heart beat, you are bound to have it. That is the way your mind works and crates unnecessary mental problems. Ignore it. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I JUST HAD MY GALLBLADDER REMOVED YESTERDAY. I HAD GALLBLADDER STONES AND IT WAS VERY INFECTED. I AM DIABETIC, SO I DONT WANT TO DO ANYTHING THAT WOULD CAUSE PANCEATITIS OR ANY PROBLEM TO OTHER ORGANS, SUCH AS MY KIDNEYS OR LIVER. WHAT CAN I DO TO PREVENT THAT? AND WHY WOULD IT CAUSE OTHER ORGANS TO BECOME DAMAGED?", "output": "Hello, Welcome to ChatDoctorThanks for posting your query in Chat Doctor. I understand your concerns. Stones in the gall bladder is formed due to various reasons like stasis of bile in the gall bladder for long lime or any hemolytic disorders. As you have already got your gall bladder removed, there is no need of worrying about damage to other organs. It won't have any effect on kidneys or liver or pancreas. But as you are diabetic, you need to control your blood sugar levels within normal limits. Diabetes itself can cause damage to various organs including kidneys. So, I would advise you to strictly stick on to the diabetic diet and follow. Hope you are happy with the answer. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "well...i sucked on my thumb last night were i once had a wart but it went away on its own and i went to sleep the next morning (today) there was a bump in my mouth on the inside of my cheek ? and kinda hurts and feels weird i was wondering what i should do and what it is ? can you help me ?", "output": "Thanks for your query, I have gone through your query. The bump inside the cheek can be an irrational fibrous or traumatic fibrous. Consult an oral physician and GE yourself examined to rule out the above said condition. The pain can be secondary to ulcer over the fibrous because of the trauma by the teeth. You can take topical anesthetic and analgesics like Anabel gel. Apply 3-4 times daily before food. If it is a fibrous you can get it surgically removed. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir, my sister Rupali mitra 41years old. She is feeling some few days abdominal pain. But doctor is advice whole abdomen usg. Usg report....Impession.... 1. Enlarged liver with heterogeneous parenchyma. 2. Heterogeneous parcreas.3. Mildly bulky with heterogeneous us myometrim and ? adenomyosis .4 small cysts in right ovary.Advised........ CECT Abdomen. What can i do present situation .", "output": "Respected user, thanks for using Chat Doctor.come have evaluated your query thoroughly * This report indicate presence of systemic issue which most probably is hormone related balancing vital structures as liver, pancreas and reproductive organs * Many conditions tend to give rise to this as pancreatitis, fatty liver, POD, metastatic conditions from primary tumor somewhere in body, endometriosis with secondary involvement of pancreas, liver, others* Needs clinical co relation, supportive blood tests with CT abdomen to arrive at the particular diagnosis and further management plan Hope this clears your queryWelcome for any further assistanceRegards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi.I am a 29 year old female and 3 years ago I had a Partial Laparoscopic Nephrectomy . The biggest incission (about 3cm) was made on my abdomen , about 4 inches above my navel. Since the surgery the area where the incission is sometimes gets swollen but nothing serious. A few days ago I started doing abdominal exercises and since then I have had a pain in my upper abdomial area that pain killers have not been able to eliminate. Sometimes I also feel the pain rising up to my chest to the point even by breasts hurt. Just coming back from the supermarket I noticed that if I carry anything heavy the pain intensifies. What could this possibly be and should I seek medical attention which is something I am avoiding because I don t have insurance. Thank You.", "output": "Hi, The incision site you have mentioned was probably made for the retrieval of the partial neurectomy specimen. According to your history most likely diagnosis is incisional hernia. I guess u must be noticing increasing in size of swelling on raising your head in lying down position or on exertion. If the diagnosis is incisional hernia, it will need surgical correction. Please consult your doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "A little over a year ago i had my gallbladder taken out it was sudden and very painful but since then i have had pain in my right lower quadrant pain, I am an alcoholic and I quit drinking for four months to see if that took care of the pain but it didnt the pain is sensitive to the touch and a dull ache and when i bend a certain way it feels like it is pinching or tearing something. I use Ibuprofen for the pain and tylenol but nothing seems to help. Can you tell me anything about what might be going on?", "output": "Hi.noted history of cholecystectomy and occurrence of right lower qua Chat Doctor. It may be a radiating post-operative pain, but other causes such as muscular strain, infection (diverticulitis), obstruction (possibly new lesions), appendicitis, ileitis must also be ruled-out. It is best if you consult with a doctor, preferably a gastroenterologist or a general surgeon, for physical examination and clinical evaluation. Diagnostics (such as ultrasound, ct-scan, blood counts, etc.) and management (medical and/or surgical if indications are found) will be directed accordingly. Hope this helps. Good day!!~" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear doctor, I am 33 years old married man I have two baby girls but unfortunately due to numerous puss cells in my semen my sperm count reduced to 35 million/cmm and motility reduced to 20%.thats why i am unable to fertile my wife and also facing problem in erection of penis. I have already completed a full course of antibiotic but still not shown any improvement. Plz guide me for further treatment as i am residing in xxxxx", "output": "Hi, Welcome to Chat Doctor, I am Chat Doctor First, you are not primarily infertile, because you have two baby girls. So, there is secondary infertility. Secondly, you did not give the full report. It is important. 35 million / CCMM is not reduced sperm count(normal >20 million/CCMM as per WHO.) After completing the antibiotic, did you repeat the test? If not, then do it. If then also pus cell persist then antibiotic should be changed." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Every once in a while I will get uncontrollably shaky and my heart rate is already naturally over 100 but it beats faster at certain moments. Sometimes there will be moments where it hurts to breath and there is a stabbing pain on the side where my heart is. I have gone to a doctor but they say it is just a panic attack. My problem with them summing it up to being that is that these symptoms will only occur randomly. I could be feeling great with no worries, I could be completely stressed out. It never has a connection. I am currently at work and I can t seem to calm down, I keep shaking and my heart is beating a little bit faster. What is wrong? Doctors keep summing it up to anxiety or panic attacks. Is that true?", "output": "Hi Anxiety is likely but not the only cause. There could be several reasons - it sometimes happens normally also! Anxiety may not be the case with you - random and no relation, as you say. It may be Mitral Valve Prolapse, anomalous pathways and so on. Proper treatment needs proper diagnosis. First thing to do will be to see a cardiologist and get examined - especially during one such episode. In this situation, we start with routine ECG, ECHOcardiogram, blood tests (cell count, sugar, thyroid). If there is no clue, we go further - 24 to 48 hour ambulatory ECG monitoring (Holder). Your doctor will decide on the need for medications - beta blockers for example can help in both anxiety and palpitationWishing you a speedy recovery Good luck" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My gallbladder is only functioning at 21per cent I have burning in between shoulder blades, burning in stomach daily, pain in left side sometimes right side, burning in chest, and I have losted 25 to 30 pounds. I m in pain almost everyday should the gallbladder go?", "output": "Whenever the gallbladder functioning decreases there is high chances of forming gallbladder sludge and gall stones. With Gall bladder sludge and stones there are higher chances of infections in biliary tree leading cholecystitis, cholangitis, pancreatitis so it's better to remove gall bladder when its functioning decreased. In our practice we use to access gall bladder status in follow up in such patients and whenever there are gall stones or sludge in ultrasound or patients have discomfort with symptoms of gastroesophageal reflux(HERD) we convince the patient to go for cholecystectomy. In your case symptoms of HERD are present, so you can follow up your doctor with proton pump inhibitors for symptomatic relief with regular sonography for gall bladder sludge, if your symptoms improve with medication and with no evidence of GB sludge or stone you can do better with medication alone otherwise if symptoms not relieved with or without gall bladder sludge/stone you can move forward for cholecystectomy. I hope I have given a satisfactory answer for your question. If you're satisfied you can give it a liking and For any further queries you can ask your questions and I will be pleased to answer any of your queries." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Gynacologist has identified my disease as Uterus cancer before the Surgery and the Oncologist has confirmed as Ovarian cancer on the 2nd of October 2009. It was stage IV and grade III. I underwent Laparotomy surgery (both uterus & ovarian removed) and then followed by chemotheraphy. I have completed all 6 chemos on the 10 of Feb 2010.My CA 125 report before the Surgery is 2750 U/ml, 3 weeks after the surgery is 385 U/ml(ie,before chemo), before the fourth chemo is 32.9 U/ml and after the 5th chemo is 15.4 u/ml.(it should be less than 21 according to the Lab.After that my CA 125, ultra sound scan and blood reports were normal up to Jan 11. CA 125 reading is 76.90 as on 02/04/11. went for CT scan (chest, abdomen and pelvis) on 18/04/11 and the impression is as follows:Enlarged fatty liverLarge incisional hernia of bowelno features of a recurrent or residual tumour.CA 125 is 112 as on 04/05/11. do I need to go for chemo or PET scan? it is not available in Sri Lanka. how can I do it at Adaiyar cancer hospital. pl guide.", "output": "Hi, Thanks for writing in. You have a large incision hernia of the bowel probably through the laparotomy area. This is important to be repaired surgically and if required with the insertion of a wire mesh to contain the bowel and prevent hernia. Your CA 125 is constantly increasing as seen in the last two reports. Doing a PET scan is important to know if there is any hidden suspicious cancer activity that is not visible on the CT scan. PET scan shows areas with high glucose metabolism and this usually refers to areas where there is increase cell multiplication like a cancer. Chemotherapy can be started after PET scan confirms any cancer activity. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was on Loestrin 24 Fe for 5 months but my doctor switched me to Lo Loestrin 24 Fe because she thought I needed a lower dose, as I kept getting recurring yeast infections. The first month that I was on Lo Loestrin I got my period, very short and very light for about 2-3 days. This month I delayed my period by a week because I was going on vacation. So when it got to the placebo pill I just took a week of active pills from another pack. However, I just finished my placebo pills (inactive pills) for the month and I have not gotten my period. I only missed one pill, but took it the next day as soon as I remembered and I did not have sex that day or the next. Also, my boyfriend and I do not use condoms but he always pulls out. I took a pregnancy test and it is negative. Is there a chance that I could be pregnant??? Could this just be the result of me delaying my period for a week??", "output": "Hello, Pregnancy is possible if unprotected intercourse is done around ovulation time in regular cycle. If you took Lo Holstein 24 Fe on regular basis on scheduled time, then it gives up to 99% protection. But in irregular cycle, ovulation time varies, and you also took active pills during vacation instead of placebo pill. So pregnancy chance is minimal or almost nil. Do a fresh USG pelvis to confirm or exclude pregnancy, and it also rules out underlying pathology for delayed period. Take new packet of pill if not pregnant and continue on schedule basis. Consult with your doctor always. Be well." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have just had an ultra scan that has revealed a swollen liver - 4 days ago I had very acute gallbladder attack however no stones showed up - doctor witnessed the attack - is there any correlation with these two events - my diet is very bland due to previous history with bowel problems and I would only have a maybe 2/3 alcoholic drinks per week if that - I have never been a drinkerI would appreciate your comments with thanks Sandra", "output": "Hi San Chat Doctor. This is called calculus cholecystitis, meaning there is an inflamed gall bladder without the stones in the gal bladder, Another option is the stones were so small that they caused the inflammation and passed out into the bile ducts causing an obstruction and hence the swelling of the liver also. I would advise going for the relevant blood tests to know the status of liven biochemically and a repeat ultrasonography to know the status of the common bile duct / pancreas." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi,I have been diagnosed with Chronic lymphocytic lukemia and the have been refered to a hemotologist .. my local gp doesnt know a lot about the disorder and has said not to worry as it is not a cancer..the net tells me other wise.. i am 46.. and have a 67 percent reading in my blood.. should i be concerned in regards to it being a cancer..", "output": "Hi, dear. I have gone through your question. I can understand your concern. Chronic lymphocytes leukemia is a cancer. You should concern about that. However, prognosis is somewhat later than other leukemia. You should consult hematologist and take chemotherapy according to his advice. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I not sure if I am pregant or not the following is what I am feelingHeadachsHad stomack cramping but not anymoreI am always sleepyI dont really have appetiteconstipationnausea just started today but its been off and onmy period was late but only by a couple of daysbefore my period was late I had hives", "output": "HI, I understand your question. Pregnancy signs are due to raised pregnancy hormone in blood. some of the signs you have narrated can be seen in some patients as sign of early pregnancy . But earliest sign is delayed period, nausea, vomiting, giddiness, lack of appetite, psychological stress/ breast signs and more. . And confirmation of pregnancy is either pregnancy test / USG at 5 weeks of pregnancy. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 15 year old step son runes cross county. He started to have pains around his ribs chest toke him to the doctor they done a EKG on him last week . We get phone call today tell us he has an enlarged heart . How come now it shows up its his 3year in cross county and what can we do", "output": "Hi, dairy have gone through your question. I can understand your concern. Your son has enlarged heart. First he should go for echocardiography/ cardiac electrophysiology to check the function of heart and then I needed he should take treatment accordingly. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HELLO: A few weeks ago I awoke with a pain in my groin. Thought it was a sports injury and eventually visited my GP. She ordered an Xray, physio and Tylenol. The physio therapist said it was an injury to the pectineous muscle and the Xray indicates osteoarthritis. I have been very active for many years and enjoy swimming and weight lifting. Do you think this is a combination of both or could it simply be the pectineous muscle and is there any hope of the pain going away? Thank you for any comments you might have. Barbara", "output": "Hi there, sorry to hear about the pain. Osteoarthritis is a disease that progresses with age, so the pain and stiffness would likely get worse with time. However, if you think pain control and physiotherapy are the right way to go. At some point, I would recommend seeing an orthopedic surgeon to discuss possible surgical options particularly hip replacement. Another option is injection into the hip - this is a specialized procedure usually done by orthopedic surgeons or special radiologists and provides temporary pain relief." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi my son is 3yrs 4mths old , he suddenly got a fever yesterday at around 7;30 pm n it didnt subside even after giving him calpol syrup . only after giving him imol syrup in the mornin today his temp. dropped to normal, but he has been grindin is teeth , can i deworm him today . plz advise", "output": "Bruise or grinding of teeth is unrelated to worm infestation and could occur due to a number of harmless causes. However, it might be reasonable to deform a child of this age on yearly basis with two doses of albendazole repeated at a fortnight interval. Most of the fevers in child Chat Doctor. Iron contains ibuprofen and paracetamol combination and is more effective than paracetamol (cal pol) and if that too is not effective, you may try metonymic acid (Metal P) which is better in relieving temperature." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi there,I have a larger lump on my forearm - just noticed it - feels like I hit my arm really hard, which I didnt, and it shows no bruising - but it is an area of what feels like swollen tissue. It is like a golfball is sticking out of my arm, not sore to touch and slightly pink in colour, minor itchiness? It is not a solid mass either.", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have some ganglion cyst or other benign cyst like sebaceous cyst. You should go for examination. If needed go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Surgical excision is the treatment of choice. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "YES! I HAVE A FRIEND WHOSE DAUGHTER IS DIAGNOSED AS AUTISTIC AND IS HAVING SEIZURES.HER MEDICATION FOR SEIZURES WAS RECENTLY CHANGED AND NOW THEY ARE COMING MORE FREQUENTLY. MY FRIEND IS SEARCHING FOR AN ANSWER CAN YOU HELP HER? Im GIVING YOU HER EMAIL ADDRESS.Oh! I didnt realize this was a pay per answer thing. sorry to bother you.", "output": "Hi. If you would like, you can ask your friend to publish her question to our public forums. Those are free, but unfortunately there is no guarantee that the question will be answered right away. From what you've said here. Let me try and give you some basic information. That you can transmit to your friend. The management of seizures through medication can be quite tricky. Medical science still doesn't know a single one shot cure-all for the problem since there are SO MANY causes. When it comes to putting someone on a medication regime for epilepsy (seizure disorder), different medications will have different effects, and it takes time (and quite a lot of patience on the patient and families part) to get the right system down. The other thing is that when you change the medications, the older Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i m intendinng to do an IVF , I was supposedd to start tomorrow. my husbend suffered from and infection in his tooth toot canal he started the treatment with the dentist today, the dentist sugested that we shouldn t start the IVF now because the white blood cells will be high now and this has very bad affect on the sperm count. Is this true or should I start anyway??? plz answer me quickly", "output": "Hello, Any infection can lead to a rise in the white blood cell count and this could affect the sperm count, but the concept is yet to be confirmed as this is still undergoing studies. Any rise in the body temperature can also decrease sperm count as the local temperature of the scrotum goes up. So, in view of this, I suggest that you discuss the matter with your doctor before you go for IVF in this cycle. You may be able to proceed if the sperm count and activity is normal. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a fifty year old overweight male whose feet slipped out from under him on the ice. I fell flat on my back and hit my head on the ground. It has been two hours and my middle back is killing me. I feel like I have been in a car wreck. What could have happened?", "output": "Welcome to Chat Doctor I have gone through your query and understand your concern. There are both possibility of soft tissue injury and bony injury(fractures). These can be distinguished by x-ray of lumbar spine. Primary treatment of it is rest and analgesic such as ibuprofen for pain relief. Calcium and multivitamins help in healing. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 3 yr old son has a small red flat dot above his lip. It has no drainage or swelling, and has remained the same size (like a pinprick). It doesn t go away. I have tried OTC cortisone and neosporin. If I put vasoline, it looks better but doesn t completely go away. It is a perfect circle and flat. He recently went through a round of antibiotics for an infection and the dot remained. It doesn t hurt him but my pedi and I don t know what it is. He has no significant medical history. I am looking for a pedi-dermatologist in my area. My pedi doesn t believe it s anything to be concerned about. My son does have sensitive skin and a hx of eczema - last bout was 2 yrs ago. He tends to wipe his and rub his mouth a lot.", "output": "Hi... Thank you for consulting in Chat Doctor. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello! Tonight I noticed a small non painful lump in my armpit. It is about the size of a pea and does not hurt at all. I also started my menstruationn tonight and I have read that these can sometimes go hand in hand. I can gently pull at the skin in my armpit at the lump comes with the skin and I can then feel it all around. It is pea sized all round and feels like a hard sponge", "output": "Welcome to Chat Doctor .1. Generally there are carbuncle / furuncles seen in that area. 2.Do to infected hair follicle.3. Avoid blade shaving for some time and usage of after shaves. Trim the hair if necessary.4. If it read and very pain flu get a course of antibiotics, and usually it will resolve.5. Nothing to worry it's just a localized infection / inflammation. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Dr.I have burning pain in my left thigh and hip area, accompanied by a slightly swollen lymph node. The pain is beneath the skin, the surface is cool to the touch. I have been diagnosed with shingles type symptoms in the past, however I have not had the lesion on my lower tail bone area this time.( Have been very run down with little sleep, and high stress lately) Is this possibly a symptom of one of the herpes viruses?", "output": "Hi, dear I have gone through your question. I can understand your concern. You have enlarged inguinal lymph node. It can be due to some infection. Chances of herpesvirus are low. You should take antibiotics treatment. If it doesn't respond to treatment then biopsy diagnosis is advisable. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I went to the dentist earlier in the week. I had a tooth that was hurting and swollen gums . The xray revealed nothing and he thought it was my bite. He filed down the tooth and sent me on my way. I am in allot of pain now. I take aleve but have trouble couping. I will have to miss work tomorrow and see my dentist again. My gums on the upper left side are very swollen, painful and may be infected. My jaw is throbbing and I still think the tooth may be infected. What do you think? Thanks", "output": "Hello, Thanks for posting your query. Since your gums are swollen, there is chance of periapical infection. Usually x-ray will reveal such infections. If periapical abscess occurs, teeth has to be root-canal treated, the abscess has to be Chat Doctor. Deep scaling and root planning has to be done to prevent gingivitis. Maintain good oral hygiene. Brush your teeth twice daily using toothbrush. Rinse your mouth after every meal. Chlorhexidine mouth rinses can prevent plaque accumulation. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. Behind my last tooth, my wisdom tooth, on my right side of my mouth i have some kind of a sore. It is red and has a white thing on top. It is very painful. It hurts when i eat or just touch it. I have had it for 2 days now. I am in another country and cannot seek medical treatment at this time. Could this be a gum ulcer? And what can i do to treat it and make the pain go away? Thank you!", "output": "Thanks for using Chat Doctor. Read your query. The symptoms you have mentions suggests peritonitis (inflammation of the flap around the wisdom tooth). I would advise you to take a painkiller like ibuprofen (if you are not allergic to any medicine) for the pain. Keep the area clean as any food debris left behind will aggravate the condition. Do warm saline gargling and NOT apply anything hot from outside to relieve pain. Visit your as soon as possible and get it checked. Hope this was beneficial. Thanks and regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor , i used to mastebate and i am doing it since the age of 14 , about 3 to 4 times a day , and i am 18 now doctor and suddenly today when i was masterbating the sperm didnt come out and it is still not comming out i am very worried doctor i dunno waht to do", "output": "Hi, I had gone through your question and understand your concerns. If this happened just once then there is no reason to be worried but if this happens again then it may be signed of certain disorders, in first case retrograde ejaculation. Other causes include prostate issues or STDs. At this point you should just wait and see if this will happen again and if yes, you should do prostate ultrasound and spectrogram to see what is going on. Also, if there is burning pain during urination then this may be indicating urinary stone which is the possible cause of missed ejaculation and in that case you'll need urologic consultation. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi , I am a diabetic patient type 1 from 6yrs ( age 29) its usually in a higher level m trying to control it and I am able to control a little bit. I will be married in a month or so I am facing ED problem I guess . But I had safe sex earlier days and was having diabetes at that time also but was able to penetrate. But now I am not getting excited easily it takes time . M getting erection for a while.. I want to knw is tht an ED issue or its just on mental level. Some friends have suggested for Musli xtra power is good to take it or not ...I want to satisfy my wife n be faithful to her . Plz suggest some remedies..", "output": "Hi, I am sorry for your current health situation. Secondly, please accept my best wishes for the new life you are going to start together with your wife. Now, you are 29 years old, with hormones flushing in your blood although being a diabetic. As you are saying, you have been controlling well although the high oscillations in blood sugar levels (BSL). In my opinion, you can have a perfect sexual life with your future wife and be faithful to her. There are many of my diabetic patients that have the same problems as you and are enjoying their marriage life with wife and child Chat Doctor. In regard to ED problems, there are various factors influencing it including:- non-well controlled diabetes (you are saying to get it under control)- neurological problems-issues with blood vessels and blood flown being able to get excited easily is not a cause to concern. You can enjoy kissing and other touching affections with your wife until you reach your orgasm. You can discuss with your wife so both of you will enjoy your sexual life with her. All the best!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Last year my B12 was low and following a 2nd set of blood tests I was told that this had raised to within the normal range and to start taking multivitamins with B12. I have recently had another blood test done, as I always seem to be tired and suffering from migraines. I have been taken off HRT (I started quite young at 36) and migraines have improved, however I am still extremely tired. My blood test showed that I was within the low range of normal and a 2nd test 4 weeks following coming off HRT remains the same (180). If my count has been on the low side of normal (I understand the range is 170 to 900), do you think I would be entitled to ask for a therapeutic trial of B12 injections? This is affecting my ability to work (I couldn t save a couple of files on Tuesday) and had to take yesterday off work as I was totally exhausted.", "output": "Hi, dairy have gone through your question. I can understand your concern. If you have low vitamin B12 level then you should go for injectable vitamin B12 therapy. It will improve your B12 level and your overall general health. There is no harm in taking b12 injection. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my daughter is 4 yrs old..she got hurt on her mouth `15 days back and her front teeth also bleeded..my pediatrician gave antibiotic adcef,ibujesic plus ..used it for 5 days...it got healed..now am findin tht her teeth is gettin darker..wht may b the problem", "output": "Hello thanks for sharing your query, as soon as trauma strike teeth the blood vessels and nerves gets within tooth gets injured resulting in pain and bleeding from the tooth...slowly blood supply to the tooth stops resulting in dead pulp/necroses pulp , now this necrotic pulp causes dark discoloration of the tooth.if the tooth is intact its advised not to extract it but only removal of the necrotic pulp and go for a prosthetic crown over it...take care ..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor,Im 32 yrs. and have two childern ages 10 & 12. I was diagnos with a mild case of Von Williebrands disease and I have always have had Irregular periods. When I was younger in my teen years I hardly ever had my periods and now it wont stop. I have been on my cycle for 2 months at times light and at times very heavy. I have also been trying to have another child for the last 9 yrs. and no luck. I do realize my weight needs to drop at least 50lbs but this has been a problem since before I gained weight. I really want another child. What test would you recommend me doing no one seems to know anything please help...thank you!!", "output": "On Willie brands disease does not stop you from getting pregnant. Yes bleeding can be more during delivery or during menses because of less capability of blood to clot. But as the age increases the quality of eggs (Ovum) starts decreasing and less chance of getting pregnant. There is also hormonal lag along with body weight and other things leads to menstrual cycle and as you have irregular menses there is chance that they are disturbed. You have to lose weight. And get a consultation done with infertologist. He will guide you properly after examination and history. On a baseline you should do mammogram, Prolactin, Blood sugar level, Insulin level, Thyroid level. And one Pelvic sonography. Some tests may require afterward. Do one semen analysis report of your husband also. It is also to be normal for getting pregnant." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear DoctorMy results came back from a chest Xray and the impression was borderline cardiomegaly with no acute abnormality. I am female, 69, have a history of asthma, have been a runner/walker for 25+ years, and have had a pacemaker for 1 & 1/2 years. Should I be concerned about this?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Borderline cardiomegaly on chest x-ray should be evaluated for heart failure. Yoi are also having pacemaker since 1 year. So better to get done 2d echo and stress test (trade mill test). If heart function is normal on these tests then no need to worry. But if heart function is reduced then you will need diuretic, digoxin and other cardiac supportive Chat Doctor. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "What would you call these symptoms? I fall a lot and have weakness and shake when I try to get up from sitting down. I have type 2 diabetes with high blood pressure and neuropathy in my legs and hands. I also have sleep apnea and a horse shoe shaped kidney the right side is smaller so the doctor put a stint in that side the needs replacing every 3 months.", "output": "Hello and Welcome to Ask a Doctor have reviewed your query regarding your symptoms and the question of what do they indicate. The symptoms you describe are typical of the ravages uncontrolled high blood sugar and blood pressure have on your body, nerves, autonomic nervous system and other organs. The kidneys are not receiving adequate blood flow, the neuropathy will affect balance, coordination and tremors and any excess weight typically associated with type 2 diabetes will worsen sleep apnea. My advice to you is to get your blood sugar under control through a carboy Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Dr. I am 30 years old and have been trying to get pregnant for 5.5 months with no successs. My doctor recently checked my hormone levels and said she is concerned that I am at the borderline levels that suggest that suggest that I may no be ovulating. I also had an ultrasound done which revealed I had one cyst on either ovary which radiologist and doctor thinks are cyst that should clear with my next period. I am worried about being infertile.", "output": "Dear patient! Checking your ovaries during a single cycle are not conclusive. Your doctor is right. You have to monitor your follicles for at least 3-4 cycles to check if you are ovulating. Similarly, the hormonal levels also depend on the time of your cycle at which they are performed. Anyhow, for a more conclusive answer, kindly send in your hormone levels. Yet, don't be discouraged at all. Wait for repeat Ultrasounds and hormone levels. You are fertile until and unless proven otherwise. Hope my answer satisfies you. Awaiting your precious feedback." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I saw a dentist yesterday and the doctor said that i have dental plaques and it has to be reomoved other wise i will get severe infection of the gums and teeth, Is it true. What are theses Dental plaques. How are they removed.", "output": "Hello there, Dental plaque is the soft deposits formed by bacterial colonization in the oral cavity due to poor oral hygiene habits like improper brushing and flossing habits. Accumulation of bacterial plaque deep in the gum pockets and root surfaces of teeth leads to gingival inflammation know as gingivitis. Gingivitis presents with symptoms of redness, bleeding gums, swelling, pain, recession and sensitivity and even mobility of teeth and exfoliation if not treated in time. It needs to be treated by thorough professional deep scaling of gums and root planing of the teeth to remove all the irritants, this will help in resolving the symptoms followed by a course of antibiotic and analgesics. I hope this helps, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, so 36 hours ago, we realized my son (age 5, weight 43 lbs) had a fever of 102 (after playing fine all day) and had a swollen gum around one tooth. The fever is still off and on, but now both his top and bottom gums are completely swollen. He threw up once ~24 hours ago, but other than that does not complain of his stomach hurting. Any idea what this is or should I take him in to see the doctor or dentist, or both?", "output": "Hello, Thanks for consulting Chat Doctor, Read your query, as your son has fever this swollen gums it can be secondary to viral fever it can be Viral dermatitis or swelling can be related to carious tooth, decayed tooth, root stump present, gingival enlargement due to gingival inflammation, periodontal problem may periodontitis also. I will suggest you to consult dentist for examination of swollen gum and rule out the cause of swelling, in meanwhile you can advise her to do warm saline gargle, you can apply ointment like gum paint on gums to reduce inflammation. Hope this will help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have what look like mosquito bites, red bumps that itch like crazy and have spread from leg to leg to torso to neck. Maybe have twenty total with a few new ones popping out daily. Woke up and found two new ones on my neck. They have a little ooze from them after about a day.", "output": "Hi, It seems that you may be having lichen ultimatum.also called popular urticaria. It is a hypersensitive creation to insect bites. The insects may be bed bug, flea, mosquito or some other. You consult dermatologist for firm diagnosis and treatment. I advise in my patients having such disease..... oral steroids in tampering dose and antihistamines like levocetirizine. And to apply mild steroid cream on the lesions. Take all precaution to prevent insect bite. Avoid soap bath. You may use detail in water for bath. I hope you got my answer. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had 2 stent put in my main heart artery in January. I am scared to death it may not last. I can find nothing on the internet to give me any hope. 1 artery is fully clogged and the other 2 are badly clogged.I am 73 years old and wonder if a complete by pass is and able to be in my future?", "output": "Hello and thank you for using Chat Doctor. I carefully read your question and I totally understand your concern. It is very difficult to give an opinion just by this short story. But I will try to explain you something. It is quite known in cardiology that stent stenosis might happen. This risk is higher during the first 6 months and then decreases. But there are other possibilities after a stent re-stenosis like angioplasty with balloon, stent-intra stent implantation that mean that you might implant a stent into the obstructed stent, always depending on the type of your first stent and the characteristic of the stenosis. And the last option when the other are not possible is by-pass surgery that you all ready know. So, yes...if your three arteries have problems and your stents get stenosis you might end to bypass surgery. If this is technically possible or not depends on the characteristics of your coronary arteries and the positions of stenosis. The risk of bypass surgery depends on your age, your heart function and other organs functions. But you should not worry. You do have possibilities to go quite well. There are a lot of possibilities today with a good chronic medical treatment, angioplasty and by pas' surgery. Wish I was helpful. Best regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "MRI REPORT:-diffuse areas of restricted diffusion in the bilateral basal ganglia fronto temporal cortical reson, mid brain and upper pons posterioli which shows subtle patchy enhancement. these most likely represent underlying changes of accute encephalomyelitis/encephalitis. hello my sister is suffering from tuberculous viral meningitis from past 7 weeks her age is 17 years...after she had been discharged from hospital her behavious is not normal and her diet also increased by 3 times..she is very violent and always do the opposite of what we tell her to do...please help me in this case as we have also consulted a psychiatrist from past 5 days but there is no such improvement in her case...will she be recovered from her mental disorder?", "output": "This is a case of organic mental illness. Your sis have abnormalities in her brain n the frontotemporal lobe of the brain governs the behavior of the person and the temporal lobe in particular is for reception of auditory perception means she is not able to process whatever you are saying to her. These all abnormal findings in brain due to tubercular meningitis will recover gradually with medications but if it leaves behind some residual abnormality then there will be some abnormality in her behavior permanently. She must be on treatment for tuberculosis, she shut complete the course of the treatment which must be of longer duration mostly of 6 to 9 months n during these period her behavior can be managed with antipsychotic medications. It will be wise to start any antipsychotics after careful observation of the symptoms on the part of the treating psychiatrist." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have a kidney cyst measuring 2.5 cm. i have burning type pain on urination, frequency of urination and lower abdominal and left sided back pain. my urine mcs gave a result of RBC - 71 and WBC - 467. does this mean just a simple UTI or could the presence of RBC be of another concern?", "output": "Hello . The amount of white blood cells and red blood cells that you are passing in your urine are significant and is not merely related to only urinary tract infection, we can not neglect your kidney cyst, having said that the description and size of your kidney cyst are incomplete, you should see whether the cyst is simple or have septations within, making it complex in nature. If your earlier ultrasound doesn't gave this information than is suggested you to go for another scan and ask the monologist same information. Your further management depends on that." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I knocked my shin at work a week ago. When I got home, there was a fist sized bump at the point of impact. I was able to go nack to work for the rest of the week. Today the swelling hasn t really gone down, its just spread out. Painful to the touch. And is like hard putty (i can leave an indentation with my finger). Its more painful to walk on it today than 5 days ago. It has minimal bruising, but the bruising is down 8 inches around my ankle.", "output": "Hi ! Good evening. I am Chat Doctor answering your query. From your history, it seems to be a hematoma initially due to the trauma, which now got inflamed, and if not treated might turn into an abscess. If I were your doctor, I would advise you for an anti-inflammatory along with a proton pump inhibitor along with a broad spectrum antibiotic, which might relieve the inflammation and some kind of pressure bandage might be needed to get it absorbed gradually. If not, you might have to get it assessed by a general surgeon in your area. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My father is diabetic,he has been complaining of fever and chest pain,he has been admitted to the hospital and it seems that he has pneumonia his liver enzymes also seem to be elevated I just want to know how serious his situation is. Thank you in advance", "output": "Hi welcome to the Chat Doctor In diabetes chances of infection are more... Opportunistic fungal infection chances also present So detail clinical history taken work up done in following ways.... -Chest x-ray -Auscultation -CBC -Sputum examination esp gram and AFB stain If x-ray shows consolidation than pneumonia can be there and antibiotic given... You might be kept under observation in hospital for three to five days and if needed intravenous medication can be given For pain paracetamol will be given and if pleurisy leads severe unbearable pain than tramadol so scan be prescribed Take care Pulmonologist consultation advisable for examination" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am an asthma sufferer but it was very miled and hardly i have to take medicine once or twice in a year. but recently a disease named as GERD has develop in me and since then the condition of asthma worsen and i have to take ashthalin inhaler regularly. I s any advive for me?", "output": "Hello. Thank you for asking at Chat Doctor. I would like to know your age. At present, I assume that you are a young adult or a middle-aged adult. GERD is Gastroesophageal reflux disease, in simple language, contents from your stomach enter esophagus in an abnormal way that causes any of the symptoms like regurgitation, nausea, vomiting, burning in chest or epigastric, etc. Normally a valve (sphincter) is present at lower end of esophagus which prevents this. Due to various factors, this preventing mechanism is disturbed and causes HERD. As you are having asthma, it is important for you to know that: 1. HERD can worsen asthma. 2. Some asthma medications like Stalin, theophylline may contribute to worsening of HERD. So at this stage, I would not suggest taking frequent Stalin inhaler by yourself. Of course, you will have to take when there is an acute exacerbation. From my view, managing HERD is your first priority and it's quite simple. I would suggest you daily proton pump inhibitors (omeprazole or pantoprazole or omeprazole or like) before meals for 6-8 weeks. Also, I would suggest you to avoid spicy & hot foods, all caffeinated Chat Doctor. Please do not eat till full stomach. Also, I would suggest you to have light meals in evening, it will be best for you if you could manage a short relaxing evening-walk after evening meals. Please stop smoking if you smoke. Also, weight reduction will help you if you are obese. Regarding asthma, as your asthma has worsened, I would suggest starting a regular preventer medication (such as inhaled corticosteroids or montelukast) which will decrease your need for Stalin inhalers. Hopefully, if you can control HERD, you will see an improvement in asthma control also. I would suggest you to consult a physician/pulmonologist for managing asthma who will suggest appropriate preventer medicine after detailed history & examination and explain how to use it. Both HERD and asthma take some time to improve, so please take your medications regularly. Wish you a fast recovery and best of the health. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i have a quick question doctor went i weak up today i notice a small little hump or lump in my inner tight by my right testicul but its is on my leg and went i touch it heard and it feel like a small ball i press it and i only get blood out of it and its getting me worrie.", "output": "Hi, If I were your treating Doctor for this case of a bloody thigh lump, I would come up with only one and one possibility that is a sebaceous cyst! Nothing to worry about this and try not to get infected there! I suggest you to go for an FNAC test of the lump for confirmation and to relieve your concerns! Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have a sed rate that is slightly high. In June I had wrist pain on a camping trip and was tested for Lupus, Gout, ANA, and lymes. All came back normal. My WBC, Platelets and sed rate were high. in the past month the WBC came back normal, the platelets are almost back to normal and the sed rate came down by 2 points but I am still at 25. My Doc doesnt seem concerned. Should I be?", "output": "Hi, dairy have gone through your question. I can understand your concern. There are many causes of high ESR. Tuberculosis, infection, anemia, autoimmune disease are the common causes. If you don't have any symptoms and your tests are negative then no need to worry. Many persons have slightly high ESR without any known disease or abnormality. So no need to worry. Just be relaxed. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doc.... ummmm, I wiped out 4 days ago on the ice, flipped right back and smacked the back of my head... felt like I crushed it..... also ....right after.... it felt like there was a massive rush of blood streaming down my skull into my neck...weird.... it was internal.... i didnt break the skin.... I had all the symptoms of a mild concussion.... only lasted a hour, and i havent had to take any sort of pain relief... thus far .... but my head feels strange... ( p.s. only a walnut size bump at the very top... it is finally gone...) ---- I feel a little dizzy now and then - doesnt last long .... and my head feels weird ....do i need to worry? -- thank you for your time / response - Laurie", "output": "Hi, Welcome to Chat Doctor forum. As you describe it appears that you had a hard injury to the head. Resulted in a bump, and it resolved. There is no vomiting, and unconscious less, so it may not be a concussion. Anyhow I advise you to consult a neurologist for diagnosis or excluding the concussion. You may need to have a C.T.scan for diagnosis. Wishing for a quick and complete recovery. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had both knees replaced, right hip replaced, left foot reconstructed, left reverse shoulder replaced, back surgery where a cage was put in, among other surgeries. I had a MRI done last week and found my back has four disk blown and my neck has two disks blown. The surgeon said they could fuse my back but there is only a 10% chance it will help. The disk in my neck is causing headaches. They are going to do injections in it soon. My right foot is deformed and have been told I need reconstruction surgery on it also. I know the feet can affect the back and the back affects the legs. At this point I am not sure which way to turn. Although I have a high pain tolerance I know I am facing some serious pain. I do not want to live the rest of my life in a drug induced stupor from pain meds. In fact I will NOT exsist like that. Please give me some input.", "output": "Hello, Sorry to hear about the list of injuries you faced. Coming to the point, you mentioned that MRI is suggestive of Lumbar and cervical disc degenerative changes. Let's discuss this first and then the rest. What my experience taught me over a period of 12 years with cases related to injuries like you and others I will give my suggestion. First foremost, buy a soft neck collar and start using it. This will stabilize the bones of the cervical region and also will act as s support to the muscular system to allow less compression over the nerve. The disc injuries are most times self-healing, once the inflammation subsides you should not feel much pain. When using neck collar I will advise you to use on/off hot water fermentation so that the muscled which have undergone spasm will relax, and the pain will come down slowly. Along with this. You have lumbar disc degenerative changes, so why don't you first take hot water fermentation so that the muscles of the lumbar region gets relaxed and make you at least stable. Post this use 3-4 pillows and try McKenzie maneuver in passive way. The details of McKenzie you can find over the net. This will help centralize the pain and once the pain is centralized you can use hot water bag to again soothe the nerve roots. Once nerve root is relaxed the pain travelling in its course will reduce automatically. Post which after 5-7 days of doing this you can focus on exercises, but please continue the above advice as well. Exercise should focus on core stability, lower limb strengthening, upper limb strengthening and neck muscle strengthening. Slowly you will develop strength also and the inflammation on the nerve root will be reduced leading to the end result of improved lifestyle. If your pain symptoms are too high then a nerve block may be administered to the nerve root which may block the pain sensation for a couple of months. But if the muscles remain week still, it will again come back so doing the above-mentioned exercise will be of help to avoid recurrence of pain symptoms. Coming to the surgical management, there is possibility of removal of the torn disc element and also fusing the spine, but this may not make you get rid of the pain over all for long. The pain will be present throughout the life and need exercise for the same. This option I do not recommend unless and until the motor functions are compromised. Also, very important is the diet, what you eat is to be focused. Having food which can digest faster without leading to any gastritis should be kept in mind. As with gastritis there may be leading to two symptoms, one compression over the nerve in the lower spine and headache. Having a good diet plan will be good. Please do not ignore the hip and knee muscles as you have the replacement done in the past and the muscles are weak this may aggravate the spine curvature to deviate and lead to other symptoms. Coming to your ankle, I cannot comment much as the history is too brief to guide over anything. I am sorry for it. Please contact a local physical therapist who can show interest in you and give the maximum output. I have tried my best to put forth the best possible treatment plan which should help you. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, This is for my son who is 11 days old. i had a c section and and my baby had the normal bowel movements for the first 3 days (meconium). my baby is breast feeded and now he is not having bowel movement at all. he wets his diaper only 3 times a day. what i shud do ...", "output": "Hi, Welcome to Chat Doctor. I have read your question in detail and I know that you are very concerned about your child. A baby should pass urine at least 6 times a day and if the baby is not passing urine 6 times a day then the baby might be getting inadequate feed. You should feed the baby more regularly. A baby may pass stool 4 to 5 times a day or may pass stool only once in 5 to 6 days. Both these things are normal. I hope this will help you. Wishing your child good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my son, almost three, has been passing stools with what looks like hair in it. i have long blond hair that i keep up and i notice that when he finds any hairs on the floor or couch, he likes to play with them and wrap them around his fingers and such. he doesn t seem to have any trouble passing stools...has at least 1 BM a day. and it s not an obscene amount of hair...maybe a few strands here and there. is this cause for concern?", "output": "Hi, I had gone through your question and understand your concerns. You should be worried but not too much. Your cholesterol is not that high to be very worried. You may easily look after him and don't allow him to suck your hair, because it can cause phytobezoar : a concretion formed in the stomach or intestine and composed chiefly of undigested compacted vegetable and lead to surgery. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you and your baby a good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello i want to ask you about connection between infection in a tooth and tonsillitis chronica. My dentist told me, that i have infection in my tooth, because she failed something and now i have tonsillitis chronica and nothing seems to help (i had duracef,bioparox and now klacid sr) Thank you for your help. Iam going to see my dentist in 2 weeks.", "output": "Hi, Thank you for the query. Tonsililitis chronic is an infection and oval shaped swelling of the lymph gland tissue located on both sides on the back of the throat caused because of the bacterial or viral infection. Presence of infection in the teeth and the tonsils are usually because of the same bacterial flora but the possibility of transfer from the teeth to the tonsils is very much less. Soo it indicates infection of the teeth itself. See your dentist and get the teeth treated." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I am lady aged 39. For the past two to three weeks I have been experiencing bloating on the right side and some pressure under my right rib cage. Normally it happens at nite when I am sleeping and I cant sleep on my left side because Id feel much pressure when sleeping on the left side, so I would sleep on my right side to put pressure on the discomfort. Id wake up and take a glass of warm water and the pain/pressure gets better and maybe pass a lot of gas. It happens ,ore often after eating dairy products, some vegetables and fizzy drinks especially coke. Was taking anxiety medicine last year for eight months. Have had birning sensation on my lower abdomen but has disappeared. Help", "output": "Hello dear, The symptoms as mentioned in your post can be attributed to accumulation of gas secondary to increased acid production in the stomach. Investigations like Sonogram or Upper GI endoscopy will be helpful to rule out any pathological cause for the symptoms. Symptomatic relief can be obtained with intake of Pantoprazole preparation (to be taken twice a day before meals) & antacid gel (to be taken after meals). They prevent formation of excess acid in the stomach & provide symptomatic relief. And it is also needed that you take certain precautions regarding your diet & lifestyle, such as:1. Take soft, plain, non-spicy foods.2. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my son is two years old and from past 3 months he is suffering from cold and cough. we had given him medicines prescribed by Dr. and even nebulization. He gets relief for couple of days and again the problem persists. he weighs 10 kgs. we started feeding him with pedia sure from one months and the results are good.", "output": "Hi... Thank you for consulting in Chat Doctor. Greetings from Chennai. By what you quote I feel what your kid could be having viral associated wheeze or multi triggered wheeze. I have a few questions for you -Questions:1. How many days per month does she cough or feel breathless?2. How many nights per month does her sleep get disturbed due to above symptoms?3. Does she feel breathless when she runs around or plays with other kids?4. Are the symptoms when there are seasonal changes?5. Is there any family history of asthma or any other sort of allergies like skin allergy etc.?6. Is the cough always associated with fever? If your answer is yes for any of the above questions, your kid might be having viral associated wheezing or multi triggered wheezing, and I suggest you meet a pediatric pulmonologist who is near your place. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Sir i am a man 30 years old having small stone in my right kidney my Doctor proscribed me syrop. Portrate MB, i could not find it in the drug store would you please guide me the exact name of the medicine as well as the dosage? YYYY@YYYY", "output": "Hello and welcome to Chat Doctor. As a Urologist, I can suggest you take potassium magnesium citrate, which is available as tablets, syrup or sachets. Different companies market the same product in various names, like Stone-1 MB6,Alston MB6, etc., which are same as Pot rate MB6. You should be able to get in most medical stores. Taking an alpha blocker like Alfuzosin with that, helps expel stone faster. If you send details to me as a direct question, i can give expert opinion. Chat Doctor. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi My Daughter is 1 year and 3 months older.She is having constant pain in Teeth. I try to apply Zytel Gel on her teeths but still no go. Can u refer me any medicine that is good for her teeting pains.DOc has reffered Caldikind Zinconia Syrup for 1 year. Also T minic.Can you guide us how we can help her from Chroinic Pains, Vomit and Slight Fever in this agePuneet Anand", "output": "Hiwelcome to ChatDoctorpain in teeth at this age could be because of teething or some calcium deficiency or underlying infection. For calcium deficiency you can give her CARFAX (Range) and for pain you can give her ibuprofen syrup, but it should be avoiding to give painkiller at this age for long. So I will advise to visit your pediatrician (dentist) and get an OPG ray done to reveal underlying problem and get treated for same. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had a cough for about a year and here recently I see that I cough up blood in the mucuse...it s not a lot but enough to make me wonder. I worked at crystal sugar and was subject to breathing lime dust among othere dusts. Could this possibly be linked?", "output": "Thanks for your question on Chat Doctor. I can understand your problem and situation. In my opinion you should consult pulmonologist and get done1. Chest x ray2. PUT (pulmonary function test) to rule out chronic lung infection and chronic bronchitis. Yes, you are right about crystal sugar and lime dust. Chronic exposure of both of these can cause pulmonary diseases. And blood in sputum (hemoptysis) is something, you should worry. It suggests worsening of underlying lung disease. So better to first diagnose yourself and then start appropriate treatment." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HiI am suffering some left upper chest discomfortableThe problem is more serious after 3 or 4 hours from taking foodSo some thing that always try to come in up in left chest in form of sounding\"burbur\"so pls suggest some thingThe problem is about 2 and 1/2 yearsand still it is very much problematicI have shown one cardiologist.He suggested me to go to an gasteroentrologist.I have also shown him.But nothing got.I have done \"Endoscopy and colonoscopy\"nothing foundThen upper ultrasonography.Get some relief after taking food.That is Ihave been doing last years.I think below the left chest some vacuum place always form.And from there one form gas try to come upper through the left side of the chest.please suggest something.", "output": "Hello, Most probably a Gastroesophageal reflux disease. Do you also have upper abdominal pain, nausea, bloating, burping, sour water feeling in throat or chest burning, these are the other symptoms and may be associated? You should avoid fatty, oily and spicy diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Lots of green leafy vegetables, fruits. Avoid smoking and alcohol if any. Elevate head end of the bed or use pillows during sleep or rest. You should get prescribed tab Pan DSR 40 mg or omeprazole risperidone combination before breakfast once a day for 2 weeks. If not adequately relieved, then you should add SYR sacral O or genus two teaspoon three times a day for a week. Hope this helps you and get back if you have any doubts." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am having difficulty walking up and down stairs, my legs are shaky and when I get to the top or bottom of the stairs I have to stop due to dizziness. This has been happening for a few days now and I have no energy, I currently have a head cold but not sure if that is related to the shaky legs.", "output": "Dear Patient with your type of symptoms I would first like to know your cardiac status, for that ECG and treadmill tests are essential and ECG during treadmill is more informative, second thing I would order blood investigations to see your Hemoglobin status and any infective or inflammatory condition, so getting CBC, ESR and CRP will suffice. So first and foremost see your doctor, discuss this discussion and get examined and investigated. Hope you heal soon." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello my mother has stage 4 ovarian cancer. She is 76 and has historic poor kidneys, a heart murmur and osteoporosis. This all came out of the blue as 4 weeks ago we were in complete ignorance. She had an operation last week but found that it was inoperable as there was so much adhesion and could only remove for biopsy along with 2.5.litres of asethetic fluid. She has now been sent home and the oncologist will start therapy as soon as the wound has healed and he receives the lab test results although he has indicated this will only be palliative. Shes in a lot of pain and discomfort and wonder how long she can survive? She is now incontinent and can only manage a few steps. My sister lives abroad although is visiting every other week and as Im male she is reluctant for me to help with her personal hygiene issues. She is very independent and it is heartbreaking to see her deteriorate. She has a good live in home help and nurses are extremely helpful and visit daily. We live in Cyprus.", "output": "Hi, dairy have gone through your question. I can understand your concern. She has stage 4 ovarian cancer with poor kidney and heart. Surgery is not possible with adhesive cancer. Chemotherapy and radiotherapy is the only treatment. Despite treatment prognosis remains poor. Life expectancy is not good. Sorry to say but it is fact. Treatment is just palliative and give her symptomatic relief. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Doctor, my 5-1/2 year old daughter complains of abdominal pain every night. We gave her Nizonide-O, O2 & Cyclopam suspension. Her pain subsides for an hr or two but then again starts. We did her USG but nothing came out of it. Also, her stool examination report indicates Pus cells in the range of 12-20/hpf. Pls let me know what that means and what can be the cure of this pain ? Thank you. Ashwin", "output": "HI. The reports are suggestive of colitis and needs a careful treatment of 1 to 3 weeks duration. If required you may please consult a Pediatric Surgeon who is a better one that the routine Pediatrician. He can perform colonoscopy if he has pediatric colonoscope which gives a perfect diagnosis. Please give a full course of treatment as well as treatment of worms, even though it may not be seen ob stool examination(empirical basis). Stool culture and sensitivity test helps in some cases to have a direction of the proper antibiotics and complete recovery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,When I sit on chair or lie down, I feel numbness in my hands and legs. And I always feel something strange in my body, like jijijiji. Which part of my body is touched with something, it start numbness on that place in a minute. I visited lots of doctors in different countries but they are unable to find the cause. If you please help me ?Thanks,AKM", "output": "Hello understand your concern. What you describe is called a paresthesia, an odd sensation when a particular area of your body is touched. There are multiple causes of paresthesia, including neurological, vitamin deficiencies and even psychological. If you have seen many physicians already, I assume you had blood tests to check thyroid, B12 level, calcium level, magnesium level, iron level, as well as kidney and liver functions. Some liver and kidney conditions could cause paresthesia. Also, some autoimmune diseases cause similar symptoms such as lupus or polymyalgia rheumatic. Next is to get electromyelograms with nerve conducting velocities of your arms or legs. This will help identify any problem with your nerves or muscles. Some types of naturopathies cause parasomnias. Do you have any medical conditions or are you on any medications that could cause these symptoms? The causes as you can see are varied. You can also see a pain management specialist who can help with the paresthesia. I hope you feel better" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I accidentally hit my gum flap over my wisdom tooth with a sucker and then it cut it somehow it got infected and it hurts and everything hurts so bad I cant and swallow I cant do nothing till now it has spread into three or four different spots on my gums what are real red and white spots and its just so bad I dont know what to do Im already taking antibiotics for my stitches in my hand but yet this wont go away", "output": "Hi. Thanks for the query. It looks like the gum flap is inflamed due to injury caused by the sucker leading to pain. Swallowing difficulty is due to inflammation of the throat that is common in infection and inflammation of the gum flap over the wisdom tooth as this area is close to the throat. So my suggestion is to consult an Oral Physician and get evaluated. You can be advised antibiotics like Amoxicillin and metronidazole.Anti-inflammatory painkillers like Ibuprofen can be advised. Do warm saline gargles and antiseptic mouthwash gargles. Hope this helps. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 17 year old daughter has has a few episodes of sycope lately and blackness of vision . She is otherwise healthy and an athlete. We were advised to see a neurologist whohad her undergo an Bloodwork-clean, MRI- clean, EEG-some spikes while sleeping. He says she could be prone to seizures but not really What does that mean?", "output": "Dear parent, Thanks for your Quertle problem that your daughter has is common complaint and answer lies in history and not in investigations. Thus, first let us see what your daughter has. We may not conclude it as syncope and let us consider as a paroxysmal event what all happens before during and after event is of prime importance. What are the preceding complaints and what is her motor status during the event. How long or short duration are the events and at what level of consciousness is she at time of event is very important Now coming to investigations - EEG showing spikes is not epilepsy. The spikes in EEG could be a hereditary trait. There are a lot of normal variants which could cause spikes I think you may also require a TILT TABLE TEST which is positive can clinch diagnosis" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "iv drug use associated with intense side effects I have a friend who.has been using Meth via syringe for aprox 8 yr and just recently he has had some body aches after getting high. the last couple times he complained of real bad ear pain on the left side where the bottom of his ear connects to his head along with aches and pains in most of his joints with sharp pains that shoot randomly in different parts of his body.", "output": "Hi, Thank you for your question. According to your question, I would say he should immediately see a physician. Since he is an iv Chat Doctor. He should get a thorough physical examination with a blood work up done which includes HIV serology testing, Complete blood count, joint aspirate looking for any infections etc.Also, methamphetamine has serious adverse effects includes high blood pressure, chest pain, decrease in appetite leading to anorexia and low immunity. So lot of things can be interrelated and tangled. Please take him to a physician as soon as possible. Hope I could give you an overall picture. If you have any more questions, I would be happy to answer. Thank you, Moumita Chakraborty" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I was having boils on my feet continously doctor detected that i am having skin infection, so he ask me to have CBC test, followings are my test reports:WBC-8.33, RBC-5.72+,HGB-16.8,HCT45.9,MCV-80.2,MCH-29.4,MCHC-36.8,PLT-312,RDW-SD-38,RDW-CV-13.2,PDW-12.3,MPV-10.3,P-LCR-26.8,PCT-0.32,NEUT-36.2,LYMPH-56.4+,MONO-4.9,EO-2,BASO-0.5.In the reports it says that i am having lymphocytosis want to ask Is it some thing serious????", "output": "Hi, dairy have gone through your question. I can understand your concern. You have lymphocytes. However, your total WBC count and platelet count is normal. Lymphocytes can be due to some viral infection or non-specific cause. You should repeat your blood count after 1 month. It will mostly come down to normal. If it remains persistently high or if your total count is also increased then you need further investigation. Right now no need to worry. No treatment is required for that. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 9 weeks pregnant, 35 years old. Tonight I found a rather large lump on my right side next to my breast (but not on my breast at all). Its visible just by looking at me and comparing to my left side. Its not painful and I dont feel anything substantive or hard. Its about three -four inches and goes from my side around to my back. I have a check up with my ob on Friday but am curious to know what might be going on. First time being pregnant. Have had some pain when I lay on my side and rest my arm in that area but I assumed it was due to the painful breast issues that comes with pregnancy. Any ideas?", "output": "Hi. Certainly this is a rare finding. Usually no one gets such lumps in an early pregnancy, and you feel it to be NOT from the breast. IT is best to undergo a clinical examination ASAP, ultrasonography (MAMMOGRAPHY SHOULD NOT BE DONE DURING PREGNANCY) and FNAC if there is a lump. There are rare conditions which worry me develop during this period only as you are getting pregnant for the first time. So it is urgent to confirm that this is not a serious condition like cancer or so." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I masturbate frequently - once or twice a day. A few months ago my hand started getting weak/numbness. Most of the time its hard to masturbate because of this pain. Its not painful. Its more like an annoying feeling. I feel the need to crack my arm but I cant. Its coming to the point where the feeling is there and doesnt go away.", "output": "HiT hank you for asking ChatDoctorI have gone through your query. If you involve in excessive masturbation then it should be controlled. You can involve yourself in some hobbies. When you become idle you will get the feeling for masturbation more. Make friends and socialize. Play games like volley ball or badminton. Doing exercises also is helpful to get mind control as it utilizes your excess energy. These all will help you to get rid of excess masturbation habit. Hope this may help you. Let me know if anything is not clear. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i 21yrs old female.....i have a problem of mouth odor when ever i am inside a AC room....please help....my tonsils are larger than normal size from childhood itself....is this problem related to my tonsils....please help", "output": "Hi, Balfour or Halitosis is due to various reasons like poor oral hygiene, dental caries, diabetes, Tonsillitis, liver disorder, gastric disorders, consumption of alcohol, foods like garlic and onion tobacco chewing etc. You have tonsillitis which could be the reason for your problem. Consult an ENT specialist for the problem. Get your self examined by a dentist to determine if you have any problems in your oral cavity." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "which is the BEST alternative medicine therapy for chronic migraine relief with failed allopathic treatment, with female patient of age 47 with hyper acidity n hormone fluctuations due to menopause. I am having a lot of confusion regarding this. kindly guide me appropriately", "output": ". 1.avoid foods that contain a high content of thiamine (chocolate, cheese,alcohol, tomato.)2.avoid factors which precipitate the attack(sleeping late, stress,anxiety, tension,starvation, OC pills)3.limit caffeine intake:may create dependency and rebound headache if skipped.4.vrihtavatachintamani NASA 125mgMahalakshmi Villa NASA 125mgGodanti plasma 500mgWith sadhu 2 times5.dashmoolarishta 25ml after meals." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi! my mother recently underwent urine and blood test because her legs is swelled after the test the doctor confirmed that her kidney is infected and this is at early stage and the doctor gave her some medicines to recover. i just wanted to know that its not kidney failure right and do we need to consult a nephrologist now ?", "output": "Hello, If the doctor you are consulting have diagnosed her to have kidney infection and already given probably antibiotics for the same it will take around 5 to 7 days to get it right. Her leg might be swelled because the functioning of kidney must be hampered due to some reason like infection. I would advise you to complete the course of medication prescribed to you and see whether the swelling improves. If it doesn't even after completing the course, you can repeat the urine routine examination and serum creatinine and urea and either get back with me or you can consult a nephrologist. I would be glad to help you out. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i have ocd ,can i talk about it with u?i had a lways had odd.i know they r ridiculous thoughts but i can t control it.more logical i try to encounter them worse the result is.right now i have obsession with pronunciation of words mostly brands and name of super stars.something that seems so stupid to me but i can t help it.for example its in my mind for a week how the brand reebok is pronounced,is it reebahk or just reeb o k.i check it in net millions of times but i don t get certain by any of them.i listen to each pronunciation 10 times but i doubt if i heard it right or not.please tell me what should i do", "output": "Hi, I read your problem in detail and can understand the distress you might be having with your symptoms. You haven't mentioned if you are taking any form of treatment. Obsessive compulsive disorder (OCD) is amenable to treatment. You should consult a psychiatrist for the same. Treatment with selective serotonin reuptake inhibitors like fluoxetine, sertraline is safe and effective. In addition to medications, you can also opt for cognitive behavior therapy if someone trained in it is available in your area. It will consist of frequent sessions with your therapist and behavioral measures for obsessions and compulsions will be taught. Hope this information was helpful. Best wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "26 yr old femail 5 6 145lbs .... i just recently had bronchitis twice w/in two months (don t feel as if it ever fully went away during that time) during this time i was also painting rooms in a new house. one night when i went to sit on the couch i got a stapping pain in my chest (a little on my right side along my sternum)....i waited about three days and went back to the dr. he said it was costochondritis and told me to take aleeve or ibprofrin. i did that for 2 weeks w/ no change, and called the dr. back who then prescribed me a steroid pack. i have one day left on the pack, and still NO CHANGE. i ve also discovered 2-3 swollen lymph nodes (i m assuming) on my right side near my armpit. Could I have some other type of infection? or could costo cause swollen lymph nodes? Also, this pain is pretty much a constant, however sometimes it s better/worse. if i stretch, pull, reach, turn wrong it goes right back to hurting again. i have a 1 yr old so it s hard to do NOTHING and rest it. I do tend to push on the lymph nodes often (anxiety about them and checking to see if they re gone/changed ect) which probably doesn t help them either. nodes are soft quishy movable and very little discomfert. main pain problem is the middle/right side of my chest along the sternum and towards my right shoulder a bit below my collar bone/above my breast. pains been going on for 5 weeks, swollen spots about 2.", "output": "Hello thanks for posting at Chat Doctor. Your pain and swelling of lymph nodes definitely need to get evaluated. Lymph node swellings are not found in Costco Chat Doctor. You also have symptoms since at least two months. L ymph node swelling happens in infective diseases, in diseases of blood and cancer. Since you are 26, its unlikely that you have cancer. Most of your symptoms go towards infection, more specifically tuberculosis. I recommend you to undergo a HRCT scan of chest. More important is to get the lymph node at your armpits biopsied. Biopsy will see the cells and organisms at the lymph node and help you establish a diagnosis. Treatment can be planned according to the diagnosis. Wishing you good healthRegards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, i was recently in costa rica and drank bottled water. but during depature i drank water from fountain and once arriving in us, my whole body has been itching and tickling all over randomly First day i had stomach pain on left side, i felt constipated or bloated. I must also mention that on tip of my penis has some pain but i used protection when i had sex but did receive oral sex for less than a minute without condom.. could this be all by one thing or i am just overthinking? Thanks", "output": "See, itching and stomach pain and pain on tip of penis are totally unrelated symptoms. You may have itching because of some allergy as you visited a foreign place. And as far as stomach ache is concerned, you guessed it right, because of the fountain water. For stomach ache, you can take gastric antibiotics (like norfloxacin) and antispasmodics (like Cyclops). And if itching is intense, you can take antihistamines (like cetirizine). And for pain in tip of penis, you should not take anything right now. If the problem persists, then you can consult your physician." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I am having problems in my chest area and I can feel the pain in my upper back area as well but there feels like air is in my esophagus. When I try to burp it hurts really bad trying to come up and the burp never makes it. When breathing I feel this in my chest area hurting really bad", "output": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of HERD (gastroesophageal reflux disease) related symptoms is more. HERD is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause symptoms of burning, gaseous feeling, chest and back pain, breathing difficulty etc. So follow these steps for better symptomatic relief in HERD. 1. Avoid hot and spicy food. 2. Avoid stress and tension, be relaxed and calm. 3. Avoid large meals, instead take frequent small meals. Avoid junk food. 4. Take pantoprazole tablet on empty stomach. 5. Quit smoking and Alcohol if you have these habits. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir, im 22 years of age.The problem which im facing is that,my body is getting weak due to flow of semen with my urine.this problem is since 2-3 months.what precaution or medicine should i take?will it be safe or not? im very tensed ,leading a stressful life.", "output": "HelloThanks for query. You have a feeling that you are passing semen in urine. At the outset I would like to state that one never passes Semen in urine. What you suspect to be semen is not semen, but it is thick mucus secreted by Cowper's glands located in Bulgar Urethra which get stimulated on sexual arousal or audio, visual thoughts and secret more mucus which is passed along with urine. This can be confirmed by routine microscopic examination of urine which will reveal absence of sperms in urine. There is nothing to be worried about it. It will get resolved spontaneously over a period of time. Ensure to Chat Doctor. This will help to dilute the urine." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m 14 and have been having visual disturbances and hot flashes along with some tingling in arms/legs. I also have swollen have 2 or 3 small pea-sized bumps under my skin on my neck. I also fart a lot I don t believe that s relative but thought I d mention it just in case. I m extremely worried I have something wrong with me. I have been to my doctor twice and I have been to the ER twice I had a CT scan on head and neck came up negative I don t know what to think plz help... I hope its just anxiety", "output": "Hello! Welcome and thank you for asking on Chat Doctor! Regarding your concern, I would explain that your symptoms could be related to an inflammatory disorder, including a viral infection. The bumps in your neck could be inflammatory lymph nodes. Anyway, as your brain CT scan has resulted normal, there is nothing to worry about your visual disturbances. I would just recommend performing complete blood count and inflammation tests to exclude inflammation. Thyroid hormone levels should also be done to exclude possible thyroid dysfunction that may trigger these symptoms. Hope you will find this answer helpful! Kind regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Im a 17yr old and I have recently just started to have cold like symptoms and its the 3rd day I. And my cough has got progressively worse and I have put Vicks on my chest taken penicillin 500mg 2 in the morning and two at night, Im also vomiting and cant eat without bringing back up and I havent been able to sleep for 3 day since it has started and I dont know if its contagous I am a smoker I havent had a cigerette in 4 days as I have had this cold symptoms coming on I also have asthma and I am feeling like Im haveing an asthma attack ever 5 mins I also take an inhaler called symbicort and ventillin to help me breathe I have taken 12 puffs every 15 minuets and still no releif I also have trouble sleeping I sleep proped up with pillows under my arms and Im teriably exaused im also feeling very week and have crackling noises when I breathe in and out and my nose is running like a tap and Im always gasping for air I have also recently had quince and still do a little bit as my toncillis have become swallen again and its making it difficult, I also have been on antibiotics for 3 months for my quince and its still sore witch I dont think is helping with my cold like symptomsThanks", "output": "HI, thanks for using Chat Doctor Penicillin is normally taken 500\u00a0mg every 6 to 8 hours, though the dose may vary slightly. This means that it is not likely that it has been used in the right way. The cold is contagious, it is spread by coughing, sneezing-any contact with cough or nasal secretions can result in spread. The Ventolin is your reliever medication and the one you should use if you are having an attack, the Symbicort would not help in an acute attack. Symbicort is a preventer, it used to prevent asthma attacks. If the attack is not resolving, you should be seen by your doctor as soon as possibleUsing a decongestant would help with the nasal symptoms hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I m a bodybuilder & just increased my workouts. Also, I had some swelling of the left leg due to extended time on feet at work in tight shoes. Now, I have slight swelling behind the left knee. If I bend deeply or straighten too much, I have pain. Any suggestions on what might be going on?", "output": "Hello, Pain in the leg and behind the knee which is aggravated by pressing it sounds like a ligament sprain. Use the knee cap, hot water fermentation and give rest to the joint for a week by allowing it to bear less weight. Post that starts exercise and for stability and strengthening the knee joint. An MRI is advised since you are a bodybuilder. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi i have had this pain for a long time now. well ever since ive had my son and its in the lower part of my back. I know i suffer from a weak back since having him, but everytime i want to poo i suffer from pain in my lower back and its a wierd sensation. Could you tell me of any solutions. thanks", "output": "Low back pain is a very common ailment in females and the cause usually is calcium and vitamin deficiency. Are you taking these supplements? If not start on calcium along with it D3 and also multivitamin supplements. Also add an antioxidant to it. Besides get your general pathology work up done to rule out anemia and diabetes. If the pain persists even one month after this, then get your back examined by an orthopaedician after doing a X-ray." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am very congested (loose) and would like advise as to what cough medicine I should get. I am leaving for a trip on Tuesday by plane and am anxious about the flight I have no fe ver, no pain sore throat etc. just a lot of head congestion. please advise", "output": "You can take cough syrups containing Dextromethorphan and Phenylephrine for control of cough and congestion if it is Chat Doctor. However, if you are suffering from severe hypertension, you should not take this syrup. If you have hypertension, you can take medicine containing only Dextromethorphan such as Alex cough lozenges. If you are suffering from cough with a lot of sputum, Then you can take cough syrups containing Ammonium chloride Cetirizine and Phenylephrine which help to bring out the sputum." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, i am karim ... i am taking citanew 10mg since 2 yeras that my dr recomended me , he discribed me as angora phobia patient ,,, i have loose my confidence level almost zeero , i cannot talk to other person when i visited his office or place ...then my body parts specially neck and head and arms starts sleepy or feel going to be paralyze ,,, and my breathing speed increase at that time ,,,, plz plz plz plz help me .plz", "output": "Hello and welcome to Chat Doctor. Thanks for your query. I understand that you are going through difficult time due to your problems. I presume that you have been diagnosed to have \"agoraphobia\". This is a phobic-anxiety disorder where the person has excessive fear of being in public or crowded places. Often these persons can have accompanying panic attacks. Effective treatment is available for this problem in the form of medication or counselling. You are already on SSRI medication. So, in addition to that I would advise you to try psychological therapy like CBT. Wish you all the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Sir, I am Vejay and my age is 26. I am sexulally sensitive towards girls and get errection most of the time talking or seeing them, its out of my control. A few days ago I started passing urine with a sensational desire to pass more with a little burn in penis and a little pain / disorder in lower abdomen. My Dr. dignosed it some infection (UTI pehaps) due to too much errection for longer duration. Gave me Citro-soda and tablet containig (flavoxate hydrocloride B.P 200mg). 1 - Is this cure Ok ? 2 - Does to much errection cause urine disorder and iritation ? 3 - I am feeling quite well now after only two dosage but feel irritation while having errection, will it be ok ? 4 - In normal days, I somtimes feel pain in testicals and lower abdomen after longer errection, is it natural ? I rarely mastrubate though and get orgasm while sleeping ocassionally. Thank you,", "output": "Hello, As you are suffering from urinary tract infections, and for that nitro soda and tablet Favorite is advised, so continue that medications. You can do urinalysis and urine culture sensitivity test. Along with that you can take tablet Of lox OZ and syrup Vital after urologist consultation. Regarding erection problems, I will suggest you to review here with detailed history or consult with the sexologist for detailed examination. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have Follicular Lymphoma ( initially large cell follicular ) treated with R CHOP and put in remission for 3 years. Relapsed one year ago with follicular only and treated with Rituxan. Had a 3 month remission and than relapsed. Being treated again with Rituxan. Cancer returned to left side of neck and clavicle both relapses. However--I am now experiencing sciatic pain ( with no cause) could this be the lymphoma?38 years old female", "output": "Hi, Follicular lymphoma is an indolent disease, so the patient leaves with a disease for a long duration. Although the involvement of bone is rare, it can involve any part of the body. You need to undergo MRI of the spine to see for the cause of sciatic pain. It may also give a clue if there is relapse of lymphoma to spine and bone scan also may show the uptake. The involvement of spine can be conformed only with biopsy of the lesion. With the presence of disease elsewhere in the body, biopsy of spine may not be required and requires treatment for lymphoma. Hope I have answered your question." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello my 13 month old baby girl has a skin tag as I can describe hanging from her gum where her molar is growing. I see it swollen and shes had fever but shes also had her shots and a cold I dont know if the fever was do to that. Should I be concerned?", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query your baby have symptoms of extra growth of skin on the gums which could be due to Johns nodules which are type of gingival cysts oral fibrous, tissue hyperplasia, inflamed mucosa fold Pica Imbricate. Need not worry about it. I would suggest you to apply cold compresses on gum area and apply lidocaine over it as it will relieve pain as it will act like numbing gel. Maintain oral hygiene by gently rubbing a wet cloth on gums and take anti-inflammatory painkiller like Ibuprofen. Consult your pediatrician if the growths impede feeding or seem to cause pain in your child. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was recently scheduled for some surgery and when i went in for procedure my b/p was 195/126. I have never had high blood pressure before. I went to see my cardiologist who put me on b/p meds. It seemed no one could tell me why my b/p had jumped so much. I complained about feeling tired, confused, etc....Finally i asked general dr. to do thyroid test (which in February 2011 was fine). Today she called to tell me my TSH was 94 - is that even possible and could that be what cause my b/p to soar?", "output": "Your TSH levels may need to be redone again along with T3 and T4 levels. Apart from that, your high blood pressure could from many causes from as simple a reason as anxiety before surgery. So before knowing the cause of high BP, we should know details like your age, any other health issues like the cause for your surgery etc. As your cardiologist has already put you on antihypertensives, we better wait for 2-3 weeks to see their effect on your BP. You should get your BP measured weekly in the meantime. You may later discuss with your doctor regarding the causes of your Hypertension which in most adult cases is idiopathic(unknown cause or primary), dietary, physical activity and Chat Doctor. Hope I clarified your concern regarding your high blood pressure. Do not hesitate to ask any further questions regarding your condition." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I ve had a pea-sized lump just under the skin on my upper arm for about a year now. It wasn t discolored or painful at all. The other day, I noticed that it was a bit larger and the skin around it had some redness to it. It doesn t hurt, but it feels sore to the touch. What could it be?", "output": "Hello and welcome to Chat Doctor. I am Chat Doctor. I have read your question and can understand your concerns. If I were your treating physician I would have examined that lump and looked for its mobility under the skin. LIPOMA is usually mobile under TGE skin and one can pinch the skin above this swelling. In your case inflamed lipoma would have been top on my list. Lipoma is benign condition and can be treated conservatively. If it is causing problems then surgical excision is done.I would have prescribed non-steroidal anti-inflammatory " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had a flu bug since last week. My chest now feels tight, my heart feels like it is beating harder and my vision is blurrier than usual. I have taken erithromycin for a suspected chest infection but it hadn t worked. I am worried as I am so exhausted I haven t left bed in days", "output": "Thanks for your question on Chat Doctor. In my opinion you should immediately consult doctor and get done chest x-ray and blood pressure measurement. As flu does not last this long. You might be having chest infection and due to this hypotension has developed. Signs favoring hypotension in your case are1. Rapid heart rate2. Bed ridden3. Blurring of vision. So better to rule out chest infection first. Start intravenous fluids fast to restore your fluid volume. You may need intravenous antibiotics too." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, I am salma. last 3 days ago I was going to my dr. before that I had CT scan and the report is coming the report says I had brain cyst in the back side. but I have no pain at all, only when I laugh very loudly then I feel pain in the back and dr. said may be that is not harmful for me. .but when I heard that I have a cyst I am to much upset. now what can I do for myself? what is good diet for me? in future what happen to me?", "output": "Hi, Thanks for writing in. From the description and response of your doctor, I guess you have an arachnoid cyst in the occipital region. If it was a large one, your doctor would alarm you and advise you accordingly. As you have not mentioned the size of the cyst, it must be a small one. These cysts can be followed up if there are neurological signs and symptoms at a later date. Laughing associated with pain is unlikely due to such cysts. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my son who is 9 years old has been complaining about stomach aches. This started three weeks ago after he got braces. We gave him tylenol for a couple days after the braces were put on as he was in significant pain. We stopped the tylenol after two days. About three days later he ended up constipated and had significant stomach pain. we had him checked out by a doctor and he was constipated. Over about a week his constipation seemed to be the cause of cramping and stomach pain. It took about four or five days for the constipation to subside and he had pains persistently over those days. He slept fine at night but he complained of pain mysteriously when it was time for school. He ended up missing a week of school. Last week he made it to school but a couple evenings he complained a couple times about stomach pain but he made it to school and seemed to function ok. He had a coupe episodes in the past three days complaining about stomach pain but wehad him lay down a few minutes and he would seem to be fine. Now tonight he complained significantly about stomach pain again crying. This was over about a three hour period and then it subsided tonight right before bedtime. He continues to sleep through the night without episodes. Any thoughts", "output": "Hi, welcome to Chat Doctor .com. - in my opinion, repeated pain abdomen could be due to stomach infection, urine infection, renal stones or tuberculosis. - I would like to do urine routine microscopy and culture, ultrasound abdomen and X-ray PUB for stones. - you should do these investigations to diagnose the cause of pain abdomen. I hope this has helped you. Wishing your child good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good afternoon,I have had an olive size lump/bump on my left collarbone, I want to say for over 5 years now. Well a couple years ago I asked my gynecologist about it and he said it was nothing to concern myself with. Now just a week ago my sister had informed me that I should have my doctor look at it cause it could be a lymph node. I just left the doctors office and he said it was a fatty tissue build up. This is caused by my bone protecting itself from an injury. He then proceeded to inform me that this would not be covered by my insurance since it is cosmic procedure. Im a little skeptical of his diagnosis, what type of doctor would you recommend for me to see regarding this matter?", "output": "Welcome to Chat Doctor .1. Generally most common cause are lymph node enlargement.2. Other causes are Lipomas (fat), Brachial cleft cyst lately identified.3. To confirm the consistency get an ultrasound soft tissue lesion done. It will give exact content and where it is arising from.4. You need to see surgeon appointment. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sometimes I stop hearing everything around me...i can t understand them and can t hear myself talking or make sense of it..when that happens i hear voices..scary voices...it makes me so scares i panic, cover my ears, crawl into a small space and scream...is something wrong with me?", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. If the symptoms you gave here are true to the best of your knowledge, you may need psychiatric intervention for paranoid schizophrenia. You are possibly having illusions. Please understand, timely diagnosis and treatment can cure your problem. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My normal temp is 98.6, but it s been all day dropping little by little it is at 97.4. I have been feeling sick for more than a weak, nausea, stomach ache,and headache. I have been very weak and sleepy, I know that I have several gallstones in my bladder for some time, could that b the reason for this ?", "output": "Hi.noted history of gallbladder stones. It is best if you do a follow-up consult with your doctor, preferably a general surgeon, for physical examination and clinical evaluation. The usual clinical symptoms of a gallstone disease are abdominal pain (usually epigastric to right upper qua Chat Doctor. If there is obstruction, patient may also experience yellowing of the skin and mucosa and elevated bilirubin levels. Abdominal ultrasound and liver function tests may also be requested for further evaluation. Other diagnostics and management (medical and/or surgical, cholecystectomy, if indications are found) will be directed accordingly. Hope this helps. Good day!!~" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have pain on my left side, right beneath my breast, in my lower rib area. It only hurts when I exhale deeply, especially if I hold my breath. It didnt start to hurt until after I vomited 2 days ago. What is wrong with me? YYYY@YYYY", "output": "Hi, Dear,Thanks for your query to Chat Doctor. Dear I read your query and reviewed it with context to your query facts. I understood your health concerns and feel Concerned about them. Based on the facts of your query, you seem to suffer from-Acute Gastritis? Acute EnteroColitis.? Acute on Chronic Hepatitis. Your submitted history is self-explanatory, that You had this under left rib pain under your left breast only after your Vomiting attack 2 days back. I would suggest You, to Consult Physician, who would physically check you and would rule out the various causes as discussed above. After investigation, he would treat You accordingly to relieve you of your under rib cage pain on left breast. Hope this would help you to solve your health issues in the best way possible. Welcome for any further query in this regard. Good Day!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "The bottom of my stomach was hurting than it worked to the right side of my body. so when i lay down it hurt and so many prositions unless i lay on my back. Than it would go up to my shoulder making a sharp pain down to my chest . than it would move over to my chest. I thought i might been pregnant at first . but now i have bleedin from my vagainal area for like a month.", "output": "Dear Miss, there are many conditions that can cause the symptoms that you described, but It seems to me like abdominal or gynecological \"story\". First, it would be helpful to know your age and your medical history. Pregnancy must be always excluded, but it can also be some kind of missed or early abortion that causes vaginal bleeding. Pain that you are describing seems like position-dependent pain, and it can be signed of serious abdominal infection (including pelvic infection) such as intra-abdominal or tuboovarian abscesses. The most common vaginal bleeding is benign, and it is called dysfunctional uterine bleeding, but without more information I cannot give you the right answer. I should know does it bleed after intercourse, during menstruation or all the time? Shoulder pain is usually referred pain from other place like abdominal cavity (for example abdominal infection as I've mentioned before) and also you can feel it associated with abdominal discomfort(especially when you're feeling bloated because bloated stomach makes pressure on Phoenix nerve). My opinion is that there is high possibility that you suffer from endometriosis... So I advise you to do this: 1. Laboratory findings (red blood count to look for anemia, inflammatory markers to look for infection, urinalysis- reinfection, vaginal microbiology tests-STDs, estrogen, progesteron and steroid hormone levels) 2. Ultrasound-abdominal and Gynecological !- to search for intra-abdominal abscesses, tumors, cysts, endometiosis etc. 3. CT scan if needed Also you should obstinate till your symptoms disappear. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi , My wife has wheezing from her childhood ( from age 8). She doesnt take continious medicine. she takes theozilin if she suffers.Now i want to take her to a doctor for diagnositics and treatment. Which specialist doctor should i visit. ENT or lung specialist. I am based at coimbatore.Thanks a lot", "output": "Thanks for your question on Chat Doctor. I can understand your concern. You should consult pulmonologist (lung specialist) for your wife. She is mostly having asthma. So consult pulmonologist and get done 1. Clinical examination of respiratory system 2. PUT (Pulmonary Function Test). 3. Chest x-ray. Chest x-ray is needed to rule other lung pathology.PFT is must for the diagnosis of asthma. It will also tell you about severity of the disease and treatment of asthma is based on severity only. She needs regular inhaled bronchodilators and inhaled corticosteroid (ICS). Oral combination of antihistamine and anti-allergic Chat Doctor. So consult pulmonologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wishing good health to your wife. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "mam, i m 22 yr old married,29 weeks pregnant,edd is 25 august 2010.since my perids were irregilar ,i came to know only at my 26th week,till now i hav not taken my iron tablets or tt injection,yesterday usg was taken it s found dat single fetus wid cephalic presentation,150/min-FHR.active fetal movements seen ,fetal kidney liver bladder spine normal,no congenital anomalies detectable and cervical length is 2.8cm.and the expected fetal wt is 1229gms.BPD-71mm,HC-260mm,AC-232mm,FL-56mm, mam,i need to know whether any problem 4 my child and for for not taking early medicatons,i m very much anxios since my delivery date is near.and v r having daily intercourse with no dificultes rather it gives me gud slep.is it permittable?it will be so kind of u 2 reply me via phone.pls sought out my doubts to relieve my tension . urs sincerely mrs.simiwaseem.", "output": "Hello dear, I understand your concern. In my opinion the absence of intake of medicines might not hamper your pregnancy in your case. Because till now the growth of the fetus is adequate for the gestational age. I suggest you to get your blood work up done to know the HE status. From now on its enough if you take iron rich diet like green leafy veggies, dates,figs, zaggery, liver etc. and iron supplements. The dosage of iron tablet will be based on your HE status. Coming to TT injections you can complete the TT injection 2 doses during the course of pregnancy before delivery.2 doses are given each one month apart. Also take calcium rich diet and calcium supplements. Take healthy nutritional diet. Adequate fluids up to 3 liters per day to prevent urinary tract infection (UTI) is needed. Just I want to tell you regarding the cervical length of 2.8 cm whicChatDoctores to be near to term short cervix. So take strict bed rest. Avoid physical strain to prevent complications.Also, the intercourse might be better avoided keeping in view the short cervix. Usually stick is applied for short cervix but as you are 28 weeks the application of stick might not be that useful. Anyway discuss regarding that with your doctor.Otherwise, nothing to worry. Hope this helps. Best regards..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 8 year old daughter has a thistle stuck in her finger, and it has become reddened and looks dark. There is no swelling, but you can see a darker spot in the middle of the wound. I cannot see anything to be able to remove it now. Will it go away on its own?", "output": "Hi dear, If there is anything stuck inside, we need to remove it to avoid foreign body reaction or secondary infection. Just have a look with a magnifying lens, if available, to look for anything stuck there. If not seen, try giving analgesics like paracetamol or ibuprofen 3 times a day for 2 days to reduce pain. A darker spot can be caused by the prick itself. If pain recurs or the area becomes progressively red and swollen, kindly take her to doctor, as this indicates thistle stuck there or secondary infection. Hope I have answered your Quertle me know if I can assist you further Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi,on my face black patches are coming can ypu pls tell me why these are coming and help me with remedy.", "output": "Hi!used, Welcome To Chat Doctor forum, I suppose by black patches you mean PLASMA, which is nothing but dark pigmentation over cheeks. This is usually due to hormonal changes or may be familial, and gets aggravated by sunlight. In females, we commonly see it after delivery or after taking oral contraceptive pills. These patches are very resistant to treatment and once cleared with medicines there is always a possibility of its recurrence. There are various remedies, best is to use a broad spectrum sunscreen daily three times. At night one can use de-pigmenting creams only on the spot. These creams either contain HY Chat Doctor. One can even go for chemical peels from a dermatologist at regular intervals. The latest is the use of lasers, but the results are not very promising as compared to the cost involved. I would advise you to consult a skin specialist and not get carried away by the promises given by a beauty therapist. Regards," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have the mirena and had it for about 7 months and my my cycle has stayed on the same schedule and my cramping has gotten worse and I have already had my cycle this month and I am cramping all the time and tonight it is hurting even worse on right side and sorda hurtin and in my back close my spine .... and I m wondering why or what it could be", "output": "Hi Hope this message finds u in good health. I have gone through your msg and understand your concern.it may be due to some sort of hormonal imbalances or variations in the body, though there may be other reasons as reclothing to worry about, You should eventually get back to normal. Take multi vitamin and calcium supplements Do consult a gynecologist if symptoms worsened back to me for any FOLLOW-UP QUERIES anytime. Chat Doctor. .(MBBS, MS,MCH)" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello. Ive been on the implant for over 3 years and had it renewed in October however for the last 3 weeks ive been bleeding not to much to use anything but when I wipe there is either blood or a browny colour discharge . Ive alwmso had a head ache for a week feeking dizzy and sick. I feel tired too. Wjats wrong with me? :(", "output": "Hello, Implant is sub dermal hormonal contraceptive method, used for 3 yrs and effective more than 99%. It has some side effects & it varies from woman to woman like irregular period, headache, Weight change, DVT, abdominal discomfort, nausea, fatigue, mood swing etc. Do a USG lower abdomen & some hormone test to rule out underlying pathology if any. Take some analgesic for headache and multivitamin supplements with your diet. Avoid stress, control body wt by regular light exercise, Chat Doctor. If you need further consultation with me, then you can visit http://www.ChatDoctor .com/doctors/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello i had unprotected sex on 8/5/10 and my period was due on 9/5/10 and i came on it as usual. however it was a bit lighter than usual and i was worried if i had become pregnant, although many say that if your period came as normal you are not pregnant, and it wasnt within the few days which im fertile. i am still at this stage really worried and stressed about it, my next period after that which began 10/6/10 and finished on 15/6/10 was to a bit light, but i wondered if that was because i have been stressing my self about it. i went to the clinic on 27/5/10 and my test came back negative, and the doctor said there was very little chance that i was pregnant and to wait to see if my next period came in which it did (luckily). i have been getting a few symptoms of pregnancy e.g. tiredness, stomach pain, constipation! although these symptoms can relate to stress and anxiety symptoms also! please please please help me, im worrying myself all too much till i know for certain :(", "output": "Hi, Thanks for your query. I understand your concern. - Sex one day before expected day of menses can not cause pregnancy provided the menstrual cycle is regular. Again in spite of all the pregnancy like symptoms, your pregnancy test was -ve... which is confirmatory. - Following two cycles were also in time. But somewhat lesser bleeding. The associated symptoms of fatigue/ constipation/stomach pain are signs of psychological stress & actually your menstrual stress can cause hormonal disturbance & scanty period -Hormonal imbalance due to thyroid problems/ ovarian problems POD fibroid uterus . Also cause problem like you. * Consultation of a gynecologist/ USG abdomen/ thyroid tests would find cause as well as satisfy you about absence of pregnancy. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My doctor take menstrual blood and my report shows mycobacterial dna pcr detected and tuberculosis complex is found. Can I get pregnant after 5-9 months course. She told us that after this she may take some more test of tubes if any problem will raise. I am worried about my pregnancy that can I conceive the baby if everything will fine after this, plz guide me.", "output": "Hello, Welcome to Chat Doctor, Menstrual blood Tb PCR is an outdated test, I suggest u go in for endometrial biopsy n the sample to b sent for Tb PCR RNA(NOT DNA), PCR RNA detects only live bacilli whereas PCR DNA also detects dead bacilli. If PCR RNA is positive u need to take treatment for at least 6 months, Following which u may require diagnostic hysterolaproscopy. Today due to advancing technology it is possible to obtain pregnancy in almost any case, al the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "STAGE 3 CKD ,HOW LONG WILL A PERSON NORMALLY LIVE ? AND HOW LONG CAN YOU LIVE AT STAGE 5 WITHOUT DIALISES OR TRANSPLANT ? IS STAGE 3 REVERSEABLE WITH MEDS OR HERBS OR ? is there any studies out there,i can get into for help or to help others .I live in Minnesota", "output": "HelloThanks for query. Chronic Kidney Disease is a progressive disease that damage the Renal Tubules and there by gradually affect the kidney function of eliminating waste products of protein metabolism like urea and creatinine in urine, These waste products start accumulating in blood and if left untreated result into renal failure and finally death of patient. Since it is an irreversible disease it can not be cured by medicine. A person with stage 5 CKD can survive only for few months without dialysis or renal transplant. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi im 26 years old male and currently about an hour ago i was trying to sleep and i couldnt cause i was horny and my penis was really straight usually i come a little on its own. But this time i came like when i have sex. But this time mu sperm was really thick and the smell of my sperm is really strong and not just that my penis is irritated.! Me and my partner havent been with nobody else but ourselves", "output": "Degree understand your concerns went through your details. I think your problem is nocturnal emission, but it is a premature ejaculation. Premature ejaculation usually happens because of anxiety. Performance anxiety rather. The liquid comes out before sexual intercourse is pre-cum and is a lubricant and helps in lubricated intercourse. Thickness of semen is not at all a concern. I think all these unnecessary sexual worries and lack of knowledge leads you to be anxious. I suggest you sexological counseling. Please consult a sexologist. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear docs,Id been coughing constantly for nearly a year due to one busy month where I didnt get enough rest. After a chest x-ray, the doctor diagnosed me with Bronchitis. Second opinion said that too. However a third opinion whom is a specialist said that its just mild asthma and right now Im under 50/500 steroid accuhaler. Unfortunately, after a few months of stopping coughing, Ive got a cold and flu. Then, the cough started again. Right now, when I cough, my lungs feel uncomfortable and while breathing, I feel some kind of vibration. This worries me alot because Ive never experienced such before. So am I getting worse now? Are my lungs flooded? What am I having actually? Bronchitis or mild asthma? Should I be concerned?Confused.", "output": "Hello madam/sir, welcome to medical care magic.Don't worry. In bronchitis, it gets irritated and starts secreting more mucus. The tube narrows. So to bring out secretion, there will be cough and narrowing of this bronchus which causes difficulty in breathing. Severity of these narrowing almost like spasms is asthma. I hope now you understand what is happening. Severe coughing causes vibration like feeling. You said you had flu which again sensitizes the bronchus. So continue steroid inhaler till you are relieved of breathing difficulty. Definitely avoid dust exposure, steam inhalation -3 to 4 times per day. When you are comfortable start doing breathing exercises which strengthens the walls. With this I hope I cleared your doubts. Any further doubts you are always welcome. Take care. Good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor my name is ernest,I noticed some stuff like rashes(with blisters inside) or pimples coming out of My chest and the upper part of my hands and at my lower abdomen some stuffs like boils comes out in numbers of one or two which always turns white after some days with pulse inside. I started using ampiclox then the rashes and boil stopped but after I stopped using the ampiclox the rashes and boil will start coming out of my body again. Pls doctor I need your help", "output": "Hi, After reading your query it appears that you are suffering form urticaria or allergic rash. Urticaria is a common condition where due to release of histamine from the white blood cells; especially mast cells causes all breaking out with red rashes all over body. It remains transiently for few hours and then disappears its own. You please check out for any recent change in your daily routine where some allergen producing the same is coming in contact. It can be in the food, environmental or sometimes in your clothes to such as some dyes and fibers. You can take tablet loratadine or levocetrizine or any good antihistamine tablet by mouth for one to two times per day. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, Ive recently started suffering from lower back pain, the pain itself gets worse and shoots down the left leg. Ive discovered a small lump to the left of the lower back, its inside and seems to go up and down, any advice or news is appreciated?", "output": "Hi, Dear,Good Evening from INDIA. Thanks for the query to Chat Doctor. I went through all the details of your query. On the details given by your query, In my opinion you suffer mostly from-fibrositis ? Neurolipoma? I would advise CT spine with CT Guided FNAC- to rule out bony /intraluminal lesionConsult an Orthopedic Surgeon. Consult ER doctor for the script of Chat Doctor. Hope this would resolve your query. Welcome for any more query to Chat Doctor and ME, in this regard. Wishing you fast recovery. Write review ASAP with strong recommendations for Chat Doctor and for ME, for the benefit of other new and old patients. Have A Good Day. With " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HiMy Father is having Heart problem and the cardialogist has advised from Angiogram. Based on the results he said that my father may have to undergo angioplasty or open heart surgery. My father is daibetic and is 70 yrs old. My question is when do they suggest Angioplasty and when to they suggest Open heart surgery? Wil the age matter ? How much would it cost of Angioplasty / Open Heart surgery ?", "output": "Hi Their understand your concern for your fathers health and I would like to tell you that yes age matters a lot as well the complexity of the disease matters. Like if after angiogram is your father got to have a double vessel disease or Triple vessel disease then most likely By pass surgery will be advised and will be beneficial also. Cost varies according to the severity of the disease. Roughly I will range from 2lac to 5 lack depending upon which procedure will be opted. I wish him good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor,Fir the past week I have been waking uobwith burning and red cheeks.. It feels like my face is on fire and usually lessens as the day goes on but then comes back. I have had a history of this in the past vut it hasnt cime back since 4. Years ago. it doea not itch, its just red and feels hot. It usually occurs during this time so I am thinking it is some sort of allergy. It occurs during the spring and gies away by the time summer starts. In the past i have been prescribed elidel, protopic and mometasine furoate. The mometasone does not seem to helo and makes my face more red and even hotter. What can I do? Especially now that I am not insured?", "output": "THE MEDICINES YOU ARE APPLYING ARE TEMPORARY YOU CAN USE THEM OFF AND ON IT IS SOME ALLERGY AND GETS AGGRAVATED IN SEASONS HAVE TO FIND OUT ALLERGIES BY CONSULTING ALLERGEOLOGISTTILL THEN USE ALLEGRA 120 MG OD FOR THE SEASON YOU GET ALLERGIESAPPLY HISTOCALAMINE LOTION BAND MOMETASONE AT NIGHTS TOP OILY THINGSWARM WATER 2 GLASSES IN MORNING NO MUSTARD COCONUT WALNUT GROUNDNUT ALMONDS OIL USE OLIVE FOR COOKING AND APPLICATION CONTINUE TILL YOUR APPOINTMENT WITH ALLERGY SPECIALIST USE NON-TOXIC SOAP CREAMS AND SHAMPOO" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was given conversyl and bisopropol for my high blood pressure. I should also mention I have suffered with panic attacks for 40 yr now. and take xanax for that. My panic attacks have increased dramtically since being on the HB meds and I had to go off. I am still nervous and edgy. How do I wean myself off this stuff.?", "output": "U have high blood pressure and associated anxiety disorder in terms of panic attacks.converse and bisoprolol are Chat Doctor. U have said that you are taking only Xanax for your panic attacks. Actually Xanax is benzodiazepine alprazolam, and it does not benefit your illness, it will only calm you. For better treatment response u shut take antidepressant medication sertraline. Start with 50 mg once a day at night and increase the dosage after 15 days to 100 mg at night.stop alprazolam [Xanax], instead u shut start Klonopin [0.5 mg] twice a day. If after starting Klonopin u feel more sedation during the daytime u can reduce the daytime dosage to 0.25 and increase the nighttime dosage... the effect of the sertraline will be achieved after 20 to 30 days. U shut wait at least 30 days for treatment response before changing the medication but u shut keep in mind that the dosage of sertraline can be increased up to 200\u00a0mg once a day in case there is no treatment response.u shut take these medications regularly for 6 to 8 months and after decrease the dosage as per experts advice..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor. I am a 20 yr girl from Andaman,presently living in Kolkata,India. I have been through so many bad situations since childhood. Faced so much,n watched n got so much pain n bad things. And like since 4yrs,when I was in class 11th,I became very deemed. I lost all my qualities like- I became poor in studies,I cant sing like I used to,I cant do anything perfectly as I used to do. And I feel suicidal all the time.I feel like nobody likes me.I Want to cry but I am not able to. I wanna get rid of everything which I feel. Please help.", "output": "Hi, I went through your query and can understand the distress you might be facing. Difficult life situations tend to make our life very stressful and makes it tough for us to cope. The symptoms that you have mentioned are suggestive of depressive disorder. You should also talk to your parents regarding your condition. You should seek treatment immediately, more so since you are having suicidal thoughts too. The medications for depression are prescription medicines, and you should consult a local psychiatrist for treatment. Had I been your treating psychiatrist, I would have started you on one of the selective serotonin reuptake inhibitors like Escitalopram. The medicines usually take time to show its effect, so you will have to be patient about the response. In addition to medications, you can also consider treatment with psychotherapy like cognitive behavior therapy where frequent (once to twice-weekly) sessions are needed and focus is on changing the thinking patter, teaching relaxation. Hope this information was helpful. Wishing you a speedy recovery. Treatment with" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Recent gb ultrasound report states that my liver demonstrates a diffuse increase in echo texture (prior result was moderate increase in echo geniality). The extra hepatic common duct measures 3 mm in diameter (prior was 5 mm). The right kidney measures 10.1 cm (prior: 10.1 cm). Impression was hepatic steatosis.", "output": "Hi there, I often get referrals for ultrasound findings seen in relation to liver and gallbladder issues. The diffuse increase in echo texture means that you have a bit of a fatty liver, which in itself can be normal due to aging. This can lead to NASH (nonalcoholic steatohepatoses), which is a fancy way of saying you have fat that is damaging your liver. This isn't necessarily reversible, but you can limit the amount of damage that is done to your liver by limiting your alcohol intake, and staying away from fatty foods. Your hepatic ducts are within normal size, and the range can be anywhere from 2\u00a0mm to 7\u00a0mm, depending on your age and liver function. I wouldn't worry about this. Your right kidney seems fine and again, no cause for concern. Overall, you have hepatic stenosis which means fatty liver. Stay away from fatty foods, alcohol, and limit your Tylenol intake to no more than 2 grams per day (and only if you absolutely need it). I'd also recommend you get a repeat liver ultrasound in 6 months to a year, as well as have your liver enzymes checked. I hope I have answered your questions. Please feel free to contact me if you have any further questions or if you feel I haven't ad Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had all four of my wisdom teeth removed just over two weeks ago. A few days ago, I noticed what I would describe as a white skin tag connected to the side of where one of my teeth were removed. Today I noticed a similar tag on the opposite side of my mouth. It has been a bit painful. What could this be and is it normal?", "output": "Hi and welcome, As you have mentioned you have got your wisdom teeth extracted two weeks ago so I can expect normal healing and closed socket at the extraction site. White skin tags with pain are may be due ulceration at the extraction site or super infection of the healing tissue due to food lodgment or other debris. I suggest you to maintain good oral hygiene by regular tooth brushing and gentle flossing of the area. Use antiseptic mouth wash like Betadine or chlorhexidine for 2 to 3 times in a day which will promote faster healing and will prevent infection. These white tags will subside in coming 5 to 7 days. You can apply oral antiseptic anesthetic ointment like McCoppin topically over the affected area to relieve the pain.I hope this helps you, take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am 43 year man and i suffering from chest pain from last 2 years. I have done cardiography before 6 months but there was no problem reported but i still have chest pain and some time i feel fine. So pls suggest me what can i do Thanking you", "output": "Thanks for your question on Chat Doctor. I can understand your concern. No need to worry about heart diseases because your angiography is normal. You are having chronic non-cardiac chest pain. Most common cause for this is Costco Chat Doctor. Another common cause is stress and anxiety related chest pain. So better to follow these steps for symptomatic relief. 1. Avoid stress and tension, be relaxed and calm. 2. Avoid movements causing pain. 3. Avoid bad postures in sleep. 4. Avoid heavyweight lifting and strenuous exercise. 5. Apply warm water pad on affected areas. 6. Take painkiller like ibuprofen and anti-inflammatory " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I live in Fresno ca and have been in the hospital for two and half weeks for colorectal cancer. I signed up for anthem blue cross and the hospital sent me home. They say I need treatment but no dr excepts anthem blue cross. What do I do? I am too young to die. I am 49 years old", "output": "Treatment of colorectal cancer depends on the stage of cancer. I will advise u to do colonoscopy test along with CT scan of whole abdomen and chest. U also need to blood for CEA test. K RAS mutation test is also suggested found in early stages then surgery followed by adjuvant chemotherapy is an option but if found in stage 4 then palliative chemotherapy along with targeted therapy is advised. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "dear sir lab report shows that there is elevation in my SGOT and SGPT value of blood is high. taking LIVOGEN. I am worried about my liver . I completely quit consumption of alcohol . Please advise whether I can travel and join my new job in gulf ! Thanking you", "output": "Hello. Welcome to Chat Doctor. Alcohol can damage liver, and complete repair may take months to years. This form of liver damage is represented by elevated SGPT and GOT levels. Though per se these elevations are not a reason for you to not join, it will be best to test yourself for entire liver profile including viral markers and thus decide accordingly. Many times these tests will also be done for new employees both in India and abroad. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi i am aged 16, my height is about five foot five and i have two lumps on the left side of my neck, the smallest lump is located just below the middle of my neck and the larger one is a bit further down. They are hard lumps but are moveable and do not hurt when they are touched, i have had these for about one year and they haven t really grown in size. I have also found blood in my tissue once i have blown my nose in the morning. Could this be linked with the lumps? And what do you think they are?", "output": "Hi, Dear,Good Morning, and Thanks for your query to my virtual Clinic At Chat Doctor. I studied your query in depth and understood your concerns. Causes for lump in the neck as follows-Mostly they are - could be Chronic Lymphadenitis with Rhinitis ? The blood in your tissue paper once -thus Chronic Sub-acute Rhinitis-may be a cause of these lumps, as tissue blood suggests sub-acute Rhinitis persisting for many months with you.Don't worry of them, as they could be relieved with proper treatment. Hope above reply would help you to relieve of the issue you have. Welcome for any further query to ME and Chat Doctor. Wishing you a Fast Recovery. Write Good review for the benefit of my new patients. Hit thanks after this. Have A Good Day. With Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im having a hard time coping with the fact that Im going through court to have my biological father arrested for having sex with me from age fourteen to six months ago. I am only turning eighteen in five months. I feel like I am doing something wrong by having him arrested. I cant even talk to my boyfriend about it. Whats wrong with me...", "output": "Hi, This question involve lots of moral, ethical and legal complication. Following steps will help you:-Discuss matter with your mother or close family members regarding your role in case.-Do not be judgmental and tell only truth and you're feeling in court of law.-Maintain your routine, study, interaction with friends and sleep like your previous self.-Also remember: time is the biggest healer and things will solve soon. I hope this information has been both informative and helpful for you. Wish you Good Health. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello,doctor, iam from INDIA. my brother is getting a severe pain on his both the feet.he is alcoholic .. nerve study sesory neropathy disease. he can neither walk nor put his feet down.our family doctor suggested to give him Eldervit 1.2 im,injection once in a week for 4weeks.can you please let us know about his condition.THANKS A Lot doctor. YYYY@YYYY", "output": "Hi, thank you for providing the brief history of your brother thorough neuromuscular assessment is advised. Based on your history it appears that due to high consumption of alcohol the nerve has got affected and entered the neuropathy.furthermore, along with Medicine try doing physical therapy along with the same. Usually a combination of medicine and physical therapy helps to improve the functional ability. Also, medicine prescribed are symptomatic and one need to focus on long term rehab. Along with physical therapy there will be an improved metabolism, muscle strength, immune system, etc. In my clinical practice I advise my patients to undergo a combination of both as it clicks better. Also, check the blood sugar level at regular intervals using the laboratory as electronic device may misguide you due to errors. Check the kidney function test and creatinine levels too. Performing a diagnostic ultrasound will help to see the functions of the liver as well. Working out with proper ladder for the symptoms will help plan a better rehabilitation program. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, i m taking dicaris tablet on monday and thusrday but this week i forgat to take and i took on wednesday should i this medicine on thursday because i have to take betnosol on saturday and sunday. so is it fine ti take today. please in form me is it necessary to take two days gap.", "output": "Hello, Diaries 150 mg tabs is commonly a single dose treatment. It is very effective but should not be taken in cases of hepatic or kidney impairment. Alcohol should not be taken while taking any medication. You have not mentioned here why you are taking Benson. Dicaris is used to treat parasitic worm infections, but it is also used in combination with chemotherapy in the treatment of Colon, neck cancer or melanoma. The dosage depends upon the pathology being treated. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had a lump in on the right groin area and I am a female. Ive had this for about 5 years and at first it wasnt sensitive, but recently when i begin my menstrual cycle it surfaces and is about the size of a softball and is painful till I pass the cycle. What could it possibly be?", "output": "Hi, Dear,Good Morning, and Thanks for your query to my virtual Clinic At Chat Doctor. I studied your query in depth and understood your concerns. Causes for lump in groin as follows-Mostly they are -boil ? Acne increasing with menstrual period and is painful due to hidden infection in it. Treatement-Tab NSAIDs-like Voltaren Amoxicillin x 5 paycheck with ER Surgeon and check your FBS and PPS, to resolve the worry.Don't worry of them, as they could be relieved with proper treatment. Hope above reply would help you to relieve of the issue you have. Welcome for any further query to ME and Chat Doctor. Wishing you a Fast Recovery. Write Good review for the benefit of my new patients. Click thanks ASAP after this. Have A Good Day. With Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello. I am a 41 yo male. 62. 227 lbs. I just had blood work. Everything back normal except sgot was 79. I have just started exercising harder and eating less. I am worried. Should I be concerned? Lipids, etch. All other liver measurements were normal. Cardiac work up was just normal.", "output": "Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Not to worry. GOT is only mildly raised.2. Alone it does not have any significance. As all your other values are normal, not to worry. It might be increased due to exercise. It's not specific to liver and also found in skeletal muscle and heart.3. As cardiac workup is also normal, it is secondary to exercises. More skeletal muscle, GOT can be more. Not to worry. Continue nutritious diet and exercise moderately. Hope it helps. Any further queries, happy to help again." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 62year old woman from India.I have been taking Angizar H (50mg) for the past 8 years. I suffer from joint pains and take microcid one tablet everyday.Presently am on a holiday in the UK where isnt available.I tried Ibufren (800).I find I have gained weight about 3 kegs.Can you tell me what is the reason for this?", "output": "Hello, I have studied your case. Ibuprofen or any other painkiller causes sodium retention and increase water content of the body leading to weight gain. So I would recommend you following.1. Rather than Ibuprofen you should take either Attract or paracetamol or Etoricoxib daily.2. Hot water fomentation and volition ointment is helpful.3. Avoid squatting, sitting cross leg and staircase climbing. I OPEX these steps will be helpful for you. Let me know if there is any other followup questions. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Doctor! I have had pain on my left abdominal side for a while now. The pain starts from my left abdominal side, moves on to my left chest and then back to where my shoulder blades are. The pain can be sharp, burning or very constant. I have had many EKGs done, blood tests and all possible tests you can imagine but it all came out clear. I am going crazy, the pain comes and goes, usually stays for a 1-2 weeks and then disappears for a while and comes back again. Please help me! Sincerely, A frustrated patient", "output": "Hi. Thanks for your query and an elucidated history. It is good that doing EKG and other test the heart problem has been ruled out. Yet, it is better to get a cardiac consultation from a Cardiologist to undergo further investigations like Eco-cardio and so on. Another reason can be recurrent colitis or HERD. I would advise you the following:-Upper GI Endoscopy as you have burning pain, it is recurrent.-CT scan of the chest and abdomen as sometimes there are hidden problems which can be detected only on CT.-MRI of the spine- as the disc prolapse can cause you such weird problems. Once the diagnosis is made, treatment is easy." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am 21 years old and have been with my boyfriend for three years and this whole time I been trying to get pregnant we have inter course everyday with no protection and I dont get my period every month what is a way to get pregnant ? Please help thank u", "output": "Hi, There could be several reasons. You may not be ovulating regularly, local factors like a introverted uterus, anti-sperm antibodies or tubal factors may be working against or there could be a male factor. All these need proper investigation and treatment if any needed. You may need a complete hormonal profile, tubal patency tests, trans-vaginal sonogram, blood counts and urinalysis apart from a complete physical examination. Your partner also needs to get assessed. Hope your query is clarified. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "For the past year I have been having a bunch of odd symptoms. I feel unsteady at times, I get a tremor in my left hand sometimes, I have an irregular heartbeat, I get ringing in the ears, my back is sore, my eyesight is blurrier sometimes moreso than others, I was diagnosed with acid reflux, I don t sleep well and was diagnosed with sleep apnea, I have ringing in my ears that comes and goes. I previously had a cardiac ablation and have had several ekgs that all came back normal. I was diagnosed with Lyme s Disease 20 years ago and treated, but I work outside near woods and wonder if I either got it again or if it never was totally cured. I am young and pretty healthy, and I need some ideas as to what this could be. I also have been to see a neurologist and had a brain mri that came back clean. Could it be Lyme s even though my last blood test came back negative? I know the blood test is not all that accurate. Should I ask for a Western Blot test to be taken?", "output": "Hello! Welcome on Chat Doctor! I passed carefully through your question and would explain that Lyme disease can mimic all this clinical scenario. A thyroid dysfunction can not be excluded either. Coming to this point, I would recommend repeat the blood lab tests for Lyme disease and perform a Western Blot test too. From the other hand, it is necessary also performing further tests to investigate for other possible causes: - a chest X-ray study-complete blood count, PCR, ESR for inflammation- a cardiac ultrasound- an ambulatory 24-48 hours ECG monitoring in order to examine your heart rhythm trends for a prolonged time and exclude possible cardiac arrhythmia- thyroid hormone levels for possible dysfunction. You should discuss with your doctor on the above issues. Kind regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir if i m doing masturbating two times in a week nd m doing it since 6 year nd i m of 23 then m i able to become father m not married yet bt i will be married after 4 year nd i will keep on doing masturbating (hand practise with penis) sir please tell me", "output": "HelloThanks for query. Based on your statement it seems that you are indulged in masturbation twice a week and worried about your fertility in the future. Masturbation is one of the safest way of getting pleasure of sexual satisfaction without having intercourse with female partner, and it is natural and normal for a man to practice it at the young age.First there is myth in a mind of common man that excessive masturbation is the reason of all sexual problems But I would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ or system in the body. Do not worry if you make it a point not to get in to habitual and frequent masturbation there is no reason why you should not father a child after marriage. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My granddaughter is 4 yr old & is on medication fo primary complex ( rifampicin, isonizid & pza) for less than a wk now. Are ther effects that we must be worry about? I know t liver damage is one effect, can this giv other problems like recurrent fever? Just this morning we notice a slight blood ( very small amount dry blood on one of her teeth-upper). Must we be alarmed? Thank you. God bless.", "output": "Welcome at Chat Doctor I have gone through your query and being your physician I completely understand your health concerns These medicines have got the variety of side effects like liver damage, derangement in renal functions, increased uric acid levels. There is need to get the frequent liver function tests analysis so that dose of the Chat Doctor. In addition to it, it also causes pink discoloration of body secretions like in tears, urine and saliva. They do not cause recurrent fever. Maintain proper follow up with your physician. Meanwhile, stay calm Get well soon Hope your query is adequately ad" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 73 woman diagnosed with high bp; doctor prescribed lisinophil (water) 12.5 and 50 mg er metopholol. Have taken for about 2 months; about 3 weeks ago started having palpitaions during the night with irregular heart beats; some nites kept me awake; the palpitations happening sometimes during daytimes. Last few nights the palpitations and irregular heartbeats have come not as bad but I want to get off this metropolol for tiredness and low bp readings 90/60 110/70 106/66, etc. Have to take this pill for two more nights before I can see the doctor and am feeling very scared for the palpitations and irregular beats at night about 20-30 min after I take the pill... help.", "output": "Hello, This can be a cardiac arrhythmia like atrial fibrillation, in which heart rate suddenly goes up and also suddenly decreases. Blood pressure falls during these episodes and one can have dizziness, fainting, blackouts, sometimes syncope. Usually ECG is normal as it is usually done in between the episodes. ECG done during episodes will show abnormality. You will need 24 hour holder monitoring. So visit nearby cardiologist for this investigation. Also, hemoglobin and thyroid test should be done. Is there any stress or anxiety associated, as it can lead to palpitations. Also, Rather than stopping, metoprolol dose can be decreased to 25 mg or better option, you can ask to decrease the dose of lisinopril. Stopping metoprolol can cause increase in palpitations. The decision will be taken after seeing the ECG, as what the cause of palpitations and all. If BP goes down, you can have salt and sugar water whenever needed basis." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter is 31 mos and has always been the gassy child persay. At times we are very concerned about the bloating and bulge. She would rather drink than eat. Her stomach gets very large and firm to the touch. She is the child that gets sick very easily and goes rounds with bronchialitis. We have discussed this with her pediatrician a few times and did xrays but nothing further. Should we push for a specialist. She is just a little peanut and I don t want to miss something if there is an issue. Thank You Rebecca Z.", "output": "All the symptoms you describe are not an unusual combination for the child. While the glassiness and bloating may all be due to what is commonly called \"lactose intolerance\", repeated attacks of bronchiolitis are not related to the abdominal problems in any way. Please get a stool tested for lactose intolerance. If this is discovered, she will need lactose-free formula and lactose-free dairy products. This will help her reduce the stomach bloating and glassiness and enable her to put on weight. This, in turn, may improve her immunity sufficiently to protect herself against repeated attacks of respiratory illnesses. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. Ive been having problems with my mouth.It started with a root canal.the next day the side of my tongue was swollen and I felt sick.Years later its seem to be worse.its seems to go from one side to the other.when its swells I also feel pressure on the eye on that side dizziness and stopped up ear.all of my blood work comes back normal,ER three times last yr. they think its in my head .its not.i think its something viral.please tell what I can tell my doctor to test for and what kind of doctor should I see. Thank You!!!!!!", "output": "Hello, Thank you for consulting with Chat Doctor. According to your symptoms it looks that the root canal which was done in your tooth has not been done properly, the swelling and pressure on eye which you are mentioning can be the infection only which is progressing. Better that once you should visit an Oral Surgeon get a full mouth X-ray done, which will show the complete area of infection. After that he will start the treatment accordingly. Hope it will help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have my chest xray and stated there that i have a suspicious densities on both upper lobes..and suggest to have another xray.. But when i came back to the doctor and read the findings. He told me that everything is okay and don t need to have another xray.. May questions is that okay that i never have aanother xray?? I suffered coughing for almost 3weeks.. Only coughing.. No fever.. Thank you", "output": "Sir many a time the radiologist may over report a normal film so if your physician feels its normal you may wait. Without seeing the film my commenting whether It's normal or not is not valid. However, if you have cough for more than 3 weeks, and it is persistent, tuberculosis is one reason if only you stay in an endemic area. Also, if you are smoker and your age is more than 50 years, and if symptoms persist, I would suggest HRCT chest to one and for all rule out any pathology. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 18 year old boy n hav kidney stone. 2 to 3 days back I m hav burning sensation while urination and today even blood came out with the urine a little. I often have stomach parins due to the stones. what could be d problem ?", "output": "Hello, burning sensation usually refers to having an infection. However the passage of blood can be due to the passage of stone. Pain can be due to the movement of the stone in the ureters which will cause pain. Pain in the stomach can be due to the painkillers you might be taking for stones.I would advise you to get yourself a thorough medical examination including blood calcium levels, urine microscopy, culture and also a gastrostomy to rule out gastritis. If the symptoms worsen contact your emergency number.I hope I have answered your query. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Over 5 years ago had been referred to hospital for biopsy on cervical lymph nodes as several swollen but was refused biopsy by hospital. Over 2 years ago I found a small rock hard lump under each of my ears, at the angle of my jaw, they did not hurt and do not move and doctors dismissed them. Afew months after that my lower jaw became numb, lumps getting bigger. Told by doctor numbness caused by virus and lumps are boney protrusions. 6 months after that diagnosed with pernicious Anemia by which point most of face numb. Still tired blood levels normal, lumps gradually getting bigger and feeling of fullness in jaw and behind ears. Doctors are still refusing to do anything, based on nothing, no biopsies no imaging. I m 28 year old female and very concerned.", "output": "Hi, dairy have gone through your question. I can understand your concern. You have hard lump under each of your ears. You should go for X-ray or ultrasound study to search whether it is bone protrusion or some other mass. Then if needed go for biopsy of that lump. It can be lymphoma or some other mass. Your pernicious anemia has no relation with mass. You should go for vitamin B12 level & intrinsic factor testing to confirm the diagnosis. Then you should take treatment accordingly. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 24 month old grandson recently had an ear infection Friday he went for his follow-up and the Dr. said infection gone but he have water in his ear how do I remove the water. If the water remains in his ear will it eventually cause another infection?", "output": "Hello. I just read through your question. This is not uncommon. Sometimes fluid can remain in the ear after the infection is gone, and sometimes this can lead to another infection. In most cases, though, fluid in the ears resolves on its own. You should follow up with your doctor in about one month to confirm this. If the fluid is still there, your doctor may want your grandson to be seen by an ENT. Until then, however, there is nothing to do." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i was with my mum the other day and she was totally fine and later that evening she had what was like a fit but without the shaking she was ok one minute and gone blue and had passed out the next and came round after about 2 minutes her heart rate was high when ambulance came what as caused this", "output": "Hello Thanks for posting here. Going by your description it looks like she has got arrhythmia. Arrhythmias are disturbances in the heart rhythm which can cause such symptoms. When heart beats become fast and irregular or there is a short pause between beats, the brain does not receive blood supply for that moment. That's why she gets the episodes like fainting or fit like episodes. The fast heart rate which she got later may be due to compensatory action of the heart after an arrhythmia event. She has to get an ECG done which may show an arrhythmia event. If not detected on ECG, then a 24 hour holder monitoring which records the ECG throughout for 24 hours when the patient is home should be done.Meanwhile, a 2 D echo should be done to see whether there is any new onset cardiac event which is responsible for the same. The above symptoms can also occur due to narrowing of the heart valves which can be demonstrated by 2 D echo. Wishing her good health. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i ve had pain in the right side of the abdomen for over a year. i was diagnosed with H. pylori andafter treatment all was better except for this pain. it comes and goes , some days just mild and others really bad. Especially when i m under stress or fatigue . Drinking lots of water helps a bit but the pain is still there. i don t have constipation or diarrhea. i did all the tests possible( ultrasound, CT scan , all kinds of blood tests) and came back good.", "output": "Hi, Thanks for posting your query. Hi, Thanks for posting your query. With the available described symptoms, there could be possibility of peptic ulcer disease, acute pancreatitis or cholecystitis. Peptic ulcer disease is caused by Helicobacter pylori bacteria and which may be in form of follicular gastritis, nodular gastritis, gastric and duodenal ulcer, and adenocarcinoma of stomach. You should consult with internal medicine specialist/ gastroenterologist and should go for thorough check up. You should also go for ultrasound imaging, endoscopy and serum amylase and lipase. Furthermore, you should also go for urea breathe test for H. Pylori. Eradication of H. pylori is required for complete treatment of peptic ulcer disease. Treatment of H. pylori contains two antibiotics and proton pump inhibitors, and you should take under guidance of local doctor. Take care, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "The last couple of days I have had lower back pain and abdominal pain at the same time. It sems to be pushing against my bladder and making me use the bathroom more frequently. I have not done anything out of the ordinary, and i feel a like i can stretch the pain out of my back, but it is very sore by the top of my buttocks. Doesthis sound serious?", "output": "Hi Thanks for using Chat Doctor Forum, There is no need to worry. Anxiety and Stress can lead to many problems. I advise you to do an X-Ray PUB to rule out mild stone formation in the Kidney as per your symptoms. Kidney stone if found for less than 5\u00a0mm it will pass away in urine in few weeks by Chat Doctor. Urgency to pass urine and low back pain is also a symptom leading to Kidney stone. I advise you to do the examination to start treatment at the earliest. I Hope I Provided Useful Information. Do ask Further Questions to help You get well soon. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ok so I have been to the doctors on and off for pretty much my hole life and have never had any real answers but I get really sleepy at times my body starts aching I have a high white blood cell count and I have recently been bruising all over I have lost weight recently but was trying to but im not exercising much any more I don t eat much mostly snack but now I have white clumps coming out when I pee and I have diarrhea offen and muscle pain and aches", "output": "Hi, dear. I have gone through your question. I can understand your concern. You may have some infection. You should go for urine routine and microscopic examination. If needed go for culture and sensitivity test.then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, Im just wondering if I could really benefit from braces or if you think that they would be good for me. Well about twelve months ago at my family dentist appointment I was told that they recommend getting braces to fix a couple of things, but at my recent appointment they didnt say anything about it. Im most likely scheduling an appointment at a local orthodontics soon but I want to get an opinion before going in. The reason I want to get braces is because I just hate how my teeth look. I have a slight overbite and some crooked and spaced out teeth. I think braces could fix it, what do you think? Thanks", "output": "Thanks for using Chat Doctor. Read your query. Yes an orthodontist will be in a better position to help you evaluate whether you need an orthodontic treatment or not. Correction of overbite along with spacing of teeth will usually require an orthodontic correction but planned properly. Once the treatment is started, completion and maintaining it well is very important. Hope this was useful. Thanks and regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 2weeks baby has lumps on his neck which doctor have said its very rare for new born babies to have lumps on his neck.had scan waiting for results heard doctors saying they might send him to great ormond street.which im very worried if its something serious.", "output": "Hi, dairy have gone through your question. I can understand your concern. He may have some inflammatory lesion like enlarged lymph node or abscess formation or congenital problem like hematoma, bronchial cyst, ectopic tissue or sternocleidomastoid muscle abnormality. He should go for examination and proper history evaluation. It will give you primary idea about cause. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Pain on right side underneath the rib cage. All tests at the ER (X-rays, bloodwork, urine sample,etc..) came back perfect. Feel a popping when i lay on that side. Pain is better over several days but it is still hard to twist my torso or breath in deep.", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. Since your routine tests are normal, no need to worry about major disease. Your right sided pain is mostly due to muscular pain. So better to follow these steps for symptomatic relief. 1. Avoid heavyweight lifting. 2. Avoid strenuous exercise. 3. Avoid bad postures in sleep. 4. Avoid painful movements. 5. Start painkiller and muscle relaxant. 6. Apply warm water pad on affected site. Don't worry, you will improve by all these." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I get a dizzy sensation when I lie down from a sitting position and the reverse, lying down to sitting up. also get dizzy when I tilt my head backwards- as when I put eyedrops in my right eye. What would cause this dizziness. I was in Hawaii in May 2013 (extremely hot - no air contitioning) and the dizziness started then. Can you explain what would cause this problem?", "output": "Hi, Thanks for using Chat Doctor. There may be multiple reasons for this like electrolyte imbalance, vascular problem in adjusting, cochlear problem or due to CNS. Get checked for BP, ECG once and get done serum electrolytes and ophthalmic examination (Retinoscopy) to diagnose the problem. For now have adequate regular sleep, plenty of fluids, nutritious diet with required calorie and regular outdoor exercises. This will help you and Hope I answered your question. Consult your doctor for further management. Feel free to ask me if you have any further queries. Wish you good health. Take care. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "A family friend of mine has been diagnosed with malignant ascites with no definite location of cancer. She s being bounced around from DR to DR. They suspect stomach cancer but her PET scan showed no hot spots. I am trying to help her through this process. We are just confused as to the cause of it. She has an extreme ulcer that she has been dealing with for a year. Original biopsy of ulcer came back negative. They are doing another endoscopy this week with ultrasound and deeper biopsy. She has lost over 60lbs this year and severe muscle mass. Nobody will give her an answer or outlook. Everything I m reading online states that malignant ascites has a bad prognosis. But why doesn t anything show up on a PET scan?", "output": "Hi. Thanks for your query and history. Read and understood your concern for your friend with malignant ascites. I hope the fluid from abdomen shows cancer cells as a confirmed diagnosis. PET scam has its own limitations, it may not show up everything. Malignant ascites means stage 4 disease and refs palliative treatment. Some anticancer injections are available to be instilled in the abdominal cavity to help the patient. Take her to the cancer hospital for further advise and care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am enquiring about my 10 year old who woke crying last night with abdominal pain and pain in the lower right side, she was already admitted to hospital in May with something very similar but they found nothing even though she had been passing out and all, I am quite worried about her but they have ruled out celiac and appendix, what else should I be looking for do you think", "output": "Dear madam, celiac disease isn't actually the first thing to think about. Did she have some other symptoms such as diarrhea or vomiting? There are many causes of abdominal pain at this age, but the most common are abdominal cramps, gastroenteritis, appendicitis, gastritis, intussusception, food allergies, pyelonephritis, Gynecological, Referred pain. If it already happened as you said than she should do detail work up including some imaging tests such as US or CT scan. You should check that there is no some particularly food that trigger this pain. Wish you good health, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "COLOUR- greyish white, volume-2.0 ml, PH- 7.8, REACTION- ALKALINE, VISCOSITY-NORMAL, TOTAL SPERM COUNT - 76.0 MOTILITYACTIVE MOTILE - 0.5%SLUGGISH MOTILE - 30%NON MOTILE - 65%PUS CELLS -3-4 WE HAVE NO CHILD PLEASE SAY HOW TO INCREASE ACTIVE MOTILE AND HOW TO REDUCE PUS CELLS AND PLEASE HELP ME", "output": "Hello Your semen analysis findings may indicate semen infection with low sperm motility. Infection is indicated by presence of few pus cells in semen. You may need investigations like routine hologram, random blood sugar, semen culture and sensitivity. You may need to take antibiotics based on culture and sensitivity report. Motility should be at least 55 %. Your findings suggest over all 30.5% overall motility, so it is low. Sperm count is normal. It should be at least 20 millions/ml. Your findings suggest 76 millions/ml, so it is normal. Fertility is expected to increase with control of infection. If findings persists then you may need additional fertilization techniques like GUI. You should take nutritious diet and do exercise. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I work out on a daily basis but yesterday i was during sit-ups on my exercise ball. As soon as i went to lift up there was this stabbing pain in my chest. I can also feel it in my back adjacent to where the chest pain is. It hurts when i am trying to turn my neck as well.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of musculoskeletal pain is more. Your pain is mostly due to muscular spasm due to intense exercise. It is aggravated by movements and change of posture. So all these favor musculoskeletal pain more. So follow these steps for better symptomatic relief. 1. Avoid heavyweight lifting and strenuous exercise. 2. Avoid bad postures in sleep. 3. Avoid movements causing pain. 4. Take painkiller like ibuprofen. 5. Apply warm water pad on affected areas. Don't worry, you will be alright with all these in 2-3 days. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "helo, sir/madam im29 years old having thyriod problems from last 8monthy thyroid is 5.07 and have polycystic ovary i am trying to get pregnant doctor give me medicine(thyronorm 25mcg) for my thyroid and ovary problem and for regular periods.....first thyroid report was 5.07, second report was 4.07, 3rd was2.74 and last was 1.10. its decreasing.but having some weight problem.im feeling helpless to loss weight,i want to get prego what should i do.my diet is normal i dont take butter, ghee, sweets.can i take oberids for weight loss? thank you", "output": "Helloiam sorry for the delay in you getting conceived for you hypothyroid status TSH is in the normal range, so hypothyroidism will not be a problem for you to get conceived.ptosis one of the difficult situation-firstly you have to lose weight appropriately next you menstruation has to be normalized(if not so)maybe finally you need ovulation induction for further clarification kindly reply thanks Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my name is Lorraine I have been diagnosed with several TIA Parkinson s costochondritis last year I lost 150 pounds in 6 mos this year I have gained 85 back in 6 mos.3 years I have not been able to sit and eat at the dining table or on the sofa watching television transportation to doctors is very painful in my rib cage. The spasms on a scale of 1 _10 has Been off the charts.I had 3 years of testing at d are a imaging in Poughkeepsie New York nothing was found. This evening I seem to be falling into a very bad depression I m getting tired on fighting and surviving my quality of life has gone downhill so fast help looking for an answer. Thank You Lorraine", "output": "My dear friend I feel very sorry over your health problems. But you have been also very strong as you have struggled quite well with all your problems. But now from your description it appears you are having depression which is quite common in Parkinson. Kindly visit a psychiatrist or your neurologist to help you with antidepressants. Above all you need to have good support of friends and relatives. Think it's a bad phase and will get over soon. All the best" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "last month i was suffering from urinary track infection. pus cells in urine very very high due to which irritation occured how ever I had undergone medication with injections. Now everything is normal but my sperm quality is very thin like water. How can I improve this like before.", "output": "HelloThanks for query. You had severe UTI very recently which was treated successful with antibiotics, Now you have noticed your semen to be watery. This is mostly due to infection of seminal vesicle and prostate and testicles which exist simultaneously with UTI. The main three components of semen are 1) Sperms produced by testicles 2) Fructose by seminal vesicle 3) Prostatic fluid containing PAs secreted by prostate It takes 4-6 weeks for seminal vesicle and prostate to regain their normal function to have semen of normal viscosity after the infection is being eradicated completely. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am recovering from gall bladder surgery. I took my 1 pill of Fetzima tonight. 80 mg. a little bit later I took 2 pills of oxycodone (325 mg each tab). I am feeling really nauseous right now. I woke up because I also feel like its a little harder to breathe and I just feel not good. Am I ok to take these together", "output": "Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor and I will try to help you as much as I can. You should ask your doctor about medication changes. But generally it can be taken together, however it may cause increased sleepiness, so you should not Chat Doctor. However, For nausea it would be better to take metoclopramide, not antidepressant. I hope I have answered you query. If you have any further questions you can contact us. Kindly regards. Wish you a good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a pure non vegeterian taking chicken 1-2 days/week (mostly chicken fry), fish 2-3 days/week(mostly fish fry), beef/mutton 1day/week. Also I takes 3-4 cans of beer/week. I have allergy , so taking citrezene 2-3 times/week. Since I have to drive to office early morning, and reach home by night (1.5 * 2 hrs driving every day- to and fro) i don t get enough time to do any excercise. I am 28years old and a bit concerned if my habits make me ill in short time..?", "output": "Hello Fairbanks for your query. I would like to know what health problems are you facing at the moment apart from allergic reactions. If you are having allergy and taking cetirizine for it, it's ok but it's better to use levo-cetirizine- Montelukast combination OD before sleeping. Your words suggest you have high protein diet and have less dietary fibers. Having high fiber diet in form of vegetables has its own benefits. High protein diet has often been related to increased chance of colon carcinoma. So try to add more vegetables to your diet. You didn't mention your weight or body mass index, It would be better to advice after knowing it. Sedentary lifestyle is related to cardiovascular diseases, so doing regular exercises is always good for your health. You can start with light free hand exercises, it won't take much time. Hope this helps. Update here how you stay. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "dears,,,, i was having an ectopic preg. last year , i made laproscopy without removal of the tube. since last august i was trying to conceive but every month the period was not coming on its time and at last i discovered that i am having pcos ..my doc. had prescribed me glucophage .. and merional this is the third month to use merional .. iam waiting my period today as every month since using merional it comes on 20 th .... i cant wait to have pregnancy .. and if not what could be my next step .. and i am afraid of having ectopic again", "output": "Cellophane you for your query. Firstly, you should consult an Infertility Specialist.PCs leads to irregular periods and irregular ovulation. Hence, you might need treatment in order to ovulate and conceive in the form of ovulation inducing Chat Doctor. Moreover, you need to have your fallopian tube patency assessed, as that might lead to infertility, specially since a previous ectopic can damage or block the tube even if it was not removed. Your partners' semen analysis needs to be done. All said and done, consult a Specialist for detailed work up and treatmentTake care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a tooth ache a few times for which I suspected I was grinding my teeth. While the area does not hurt, not sensitive to touch or hot/cold, I now have the sensation in my lower right cheek adjacent to that tooth that appears may be slightly swollen, but the sensation is that of wearing off Novocaine.", "output": "Thanks for posting your query to Chat Doctor. I have gone through your history. You should visit a dentist for complete oral and radiological examination of the concerned tooth as due to tooth pain history you might need a root canal treatment. Till then, you can do warm saline rinses 3-4 times a day and take a painkiller like Coquitlam for mild pain or Retool DT for severe pain 2 times a day. Hope my answer will help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Just wondering your thoughts on prescribing adderall for a child with Down s syndrome. No hyperactivity present but she is severely impulsive with safety concerns such as bolting. She is almost 7 years old. Developmental pediatrician recommends trial of adderall.", "output": "DearWelcome to ChatDoctorWe understand your concerns went through your details. Down syn Chat Doctor. Adderall is usually prescribed for ADHD related attention deficit problems. Your doctor could be suspecting the attention deficit part in your child. There is nothing wrong in doing so. But needs to be cautious. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query. Further clarifications are welcome. Good luck. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My ultrasound result is single intrauterine pregnancy,in cephalic presentation,23 wks by composite aging (BPD,HC,AC,FL),with good somatic and cardiac activities.placenta anterior grade 2.adequate amniotic fluid volume.long and closed cervix with t-shaped configuration.what does it mean?", "output": "Hi, Your USG report is absolutely fine. You need not worry about babies growth. Babies physical growth is normal. Placenta, which supplies nutrients to the baby, is working fine. Fluid around the baby is adequate. The opening of the womb is closed at present as expected. Please have a regular follow up with your treating doctor. Opt for a healthy diet and regular exercise regime. Supplements of iron, calcium, omega-3, multivitamin, multimineral and protein are advisable. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doc.i am from Pakistan .my mother at age of 63 got these medicines from doc.she is feeling well and not much problem.can u inform me about these .i am worried about it to use.thankx.(cardnit 6.4mg)(Bamifix 600 mg)(lowplat 75mg)(etizem 30mg)(Myteka 10mg) thank u.", "output": "Hello, What do you want to know about? Those medications are used for ischemic heart disease with breathing difficulty. What discomfort she is feeling? Possible causes are like she may develop gastritis, or she may be developed increased breathlessness (dyspnea). Use tablet pantoprazole before breakfast for one week along with above medication. If there is no improvement, please consult with your physician he will examine and treat you accordingly. Take care. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your querydue to nocturnal panic attac , i have consulted the doctor and he priscribed for epitril 0.5 and feliz s 5 , if i stops using this it will sart again , now he gave the feliz s 10 m . i am using this from last 3 months , is there any side effects for that . hight 5.7 , weight 81 here...", "output": "U have been prescribed Felix 10 mg and April 0.5 mg for your nocturnal panic attacks. Feliz is a brand of Escitalopram which is a very safe antidepressant SSRI medication. As a rule every medication has its side effects and so with far.common side effects upon starting it may be some gastrointestinal disturbances like feeling of nausea, epigastric burning, acidity, dizziness, sleep disturbances, yawning, Chat Doctor. . But these side effects disappeared with regular use of the " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My partner and i had sex on the 8th day of her cycle(26 day), the condom split and she took the morning after pill the next day, yesterday the day before her period was due she had an amount of light coloured bleeding but today there is no sign of her period. Does this mean she is likely to be pregnant, we are both teenagers and definately not trying to conceive, should we worry?Thankyou", "output": "Hello dear, I understand your concern. In my opinion there was no need of morning after pill as the 8th day of cycle comes under safe period. Safe period is that part of the menstrual cycle where there is no chance of pregnancy even with unprotected sex. But anyway as you have taken pill the chance of pregnancy is rare. And the pill causes hormonal imbalance leading to effect on timing and bleeding of the period. It might also cause irregular bleeding. So the bleeding might be due to pill effect. So relax. If the period doesntoccur even after 10-15 of expected period then do a urine pregnancy test and consult gynecologist. Over all the chances of pregnancy are very rare. Best regards..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been having stabbing pains in my upper right abdomen. I had the procedure where the camera is put down your throat. The doctor found at least 10 polyps which she does not believe is cancer. She is doing a biopsy. She found my stomach is going into my esophagus which could mean cancer now or in the future. I did have breast cancer in 2012 & had a double mastectomy. She said the two would not be linked. I feel hungry all the time but after I eat I feel sick & bloated. I have a lot of dieareah as well. Ulcers have been ruled out. Could this be cancer?", "output": "Hello. We can't be sure until we get the biopsy report(biopsy of polyp). Stomach going into esophagus means it is a pre malignant condition.(barrels esophagus)You have to take a lot of measures to stop this condition. Did you get an ultrasound of abdomen and H.pylori text? Take PPI(as advised by your doctor)Avoid alcohol carbonated beverages smoking coffee etc. and other addictionsSleep after three hours after taking fondest curd or take probiotics Avoid spicy foods Take diet rich in fiber avoid refined foods/charred or salted foods for regular follow up with your doctor... If you have any more queries I would be happy to help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had an endoscopy 10 days ago with biopsies. Diagnosed with GERD, hiatal hernia, and Barrett s esophagus. I have been taking nexium 40mg daily and made dietary changes. My reflux seems well controlled, but I have a constant burning in my chest which was not there before the procedure. Any clue what this could be? Could this be from the biopsies?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Yes, biopsies can cause similar kind of burning sensations. Biopsy sites will cause burning when they come in contact with stomach acid. So burning is expected up to 2 weeks after Biopsy. Along with medium and dietary changes, you should follow these steps also for better symptomatic relief. 1. Go for walking after meals. 2. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello i have a friend who hurt her back last night working in a nursing she took avild for the pain she ate find but she fainting but she was not breathing until i put a cold wet rag on her and started to talk to her and put a fan on her too is that the avild did that to her", "output": "Hello, Your friend suffered from vasovagal attack due to injury or had an allergic reaction to the medicine that she took. In either case, make the patient lie down. Lose the necktie & belt around the waist. Turn the face on one side so that breathing is possible. Lift the legs. Be ready for artificial respiration. Get the ambulance service informed. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I m 22 years old. I have a urethral stricture. During the day I notice that many a times a cloudy reddish browny liquid is continuously being discharge from my penis. I was just wondering if this is because of the urethral stricture which I have or this is something else. Thank you", "output": "HelloThanks for query. You are known to have urethral stricture and getting reddish brown discharge from penis. There is always an inflammation of urethra proximal to stricture. This inflamed urethra secretes serous fluid which is passed out through urethral opening. You need to consult qualified Urologist and get appropriate treatment for urethral stricture.(Either Optical Internal Ureterotomy VIA or open surgeryUrothroplasty) Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been remodeling my bathroom (home build in the 50s) and found mold underneath the ceramic tile. I did spray the moldy underlayment with mold killer until we can replace it, but recently found out I now have impetigo and cellulitis. I did have a couple cuts from removing the tile. Is it possible this mold is still airborne and caused the infection?", "output": "Hi, Welcome to Chat Doctor. There are chances of fungi causing subcutaneous infection, where the fungi are introduced into the skin through thorn prick or minor injury. But impetigo and cellulitis is most commonly caused by bacteria. I suggest you get a pus sample from the wound and test for bacterial as well as fungal culture. Subcutaneous infections of the skin are most commonly caused by colored fungi called dematacious fungi which are molds. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a TB test done on June 5, 2012 and had the results read on June 7, 2012 which was 0mm. Today is the 13th and I am noticing a raised area where the test was given. Should I be concerned now that it has been 6 days since the reading has been done? Could I have TB?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. No need to worry about tuberculosis in your case. You are showing delayed reaction, and it is suggestive of either vaccination or immunity against tuberculosis. You had contour test (MT). In which tubercular antigens are injected in the skin. If reaction develops within 48-72 hours than possibility of TB infection is more. After 48-72 hours, if reaction occur than this suggests previous vaccination with BCG or immunity against tuberculosis. So in your case, you developed skin reaction after 6 days, so you are not having infection. So no need to worry about tuberculosis in your case. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Iam 38 yrs/Fe 61 kg Family H/o Asthma suffering from chronic cough initially mild fever with yellwish sputum local Dr gave Augumentiin 625 mg bd and cough syp.cough persist with white sputum again started on Inj. amikacin250mg bd, Nacfil gold bd 3days. Seen pulmonologist took xray chest and sinus normal study.PFT 340 gave Pan D bd, Romilast B 10mg 1/2 bd , allegra 120 Hs. Am I suffering from asthma this is my first episode cough occur once at night and end of congh some drag sound comes.doinh normal work.In Walking Able to cover only half distance compare to previous. Is this meds ok. My health will b ok", "output": "Hello, Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for you as follows:1. First, I would like to know more about you like - a. Since when do you have repeated cough? b. Have you had wheezing or breathing difficulty? If yes, how frequently? c. Do you have nose symptoms of allergy - nose obstruction, sneezing, running nose, etc.? d. Do you have headaches, facial heaviness, tickling in throat, etc.? e. Do your symptoms worsen in any particular season? g. Do you have symptoms like burning chest, nausea, feeling fluids in mouth, especially after a heavy/spicy meal? Above details would help me to know your complaints better. 2. Regarding diagnosis, I would like to mention here that PFT 340 only cannot diagnose or rule our asthma. PFT with post-bronchodilator response would be more helpful to know whether you have asthma. Chest X-ray is always normal in asthma.3. I would also think possibility of sinusitis. X-ray sinus is not the best investigation to diagnose sinusitis. CT scan of sinuses is considered a better investigation or sinusitis.4. I would also suggest you allergy testing for common air-borne allergens like house dust mites, indoor molds, regional pollen, insect proteins and pet dancers (if you have pet). This will help to know whether you have allergies, also to identify the substances causing symptoms to you as well as to know the measures to avoid them.5. At present, I would agree with your current treatment. Should you have wheezing of breathing difficulty, I would suggest you to use albuterol inhaler on an as-and-when-needed basis.6. In general, I would suggest you to have plenty of warm fluids during day to maintain HY Chat Doctor. 7. Regular physical exercise, breathing exercises and a healthy diet rich in vitamins & minerals will also help you in a long run by improving your lung capacity and immunity respectively. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you the best of the health ahead. Thank you & Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a heart condition called Wolff-Parkingson-White and I occasionally get palpitations. Currently, Ive had one for about twenty minutes (the palpitation has decreased but its still there) and I was extremely faint and feel as if I am about to pass out. What should I do? Should I wait it out? I cannot get in touch with my doctor and dont know if I should go to the hospital. Im not sure what to do.", "output": "Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. I will try to explain you something and give you my opinion. As you already know, wolf Parkinson White is a rhythm disorder. It means you have an theory pathway that cases the electrical impulses through the heart. So, if you are experiencing palpitation my opinion is that you should seek medical attention. You can present directly to the emergency room when it is possible to do a simple electrocardiogram and watch what is happening with you rhythm. It is recommended to do so because it might be a kind of arrhythmia than might be controlled with any medication and so you might be free of this palpitation.Then the long term strategy of this rhythm disorder should be consulted with your cardiologist based on other examination like echocardiography, holder rhythm monitoring, you complain ect. Hope I was helpful. Best regards, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had three wisdom teeth extracted alittle over a week ago. And it hurts to open my mouth and on my lower left side of my mouth i have stabbing aching pain in my jaw that goes up into my ear and also is causing me to have tension in my neck. Pain meds are not helping they just make me sleepy but the pain stays. I went back to the dentist to have them look at it and they took an xray of my lower left side where they extracted the tooth and they said that it doesn t look like i have a infection or dry socket. So what could be causing such horrible pain in my jaw?", "output": "Hello, It is normal to experience severe pain even after a couple of days of surgery. Sometimes, one has to take off a bit of bone during extraction of the tooth because the tooth can be impacted and deep-seated within the jaw. In these cases, there can be severe pain especially with chewing. Go on taking the analgesics on a regular basis, the pain would take some time in coming down in intensity. If there is no other problem like infection then there is no need for worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hiiiiii doc,This is sonali mishra. I am newly married but very afraid of getting pregnant. in may,2010 I and my husband were using condoms but still I got preg. and used pills for mtp. We meet in a month or two . I had been with him for last few days of 15th day of my cycle now I m worried as I may be pregnant . I was taking oral pills during these days. as I am a student yet please advise me what to do??????", "output": "Hello, See oral contraceptive pill provide 99% effectiveness provided you take the pill regularly. Either take it regularly from 5th day of the period or if you start from the middle of the cycle then the first 7 days you have to use a condom. If your cycles are regular of 28 days then between 11th to 18th days if he has sex then there is an increased chance of pregnancy. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have recently started taking flomax for a bladder problem I have; i also take prevacid for stomach acid. both have been taken regularly for 3-4 months now. my recent liver function AST, ALT and bilirubin have take a jump from 6 months ago. Is it due to these additions of drugs. will the levels return if I stop these 2 drugs", "output": "Hi!welcome to Chat Doctor! Hepatic side effects are very rare for Flo max, only isolated instances of elevated liver function tests have been associated with the use of Flo max. Prevacid especially when taken alone and not in combination therapy is hematologic and may cause rise in liver function, your AST, ALT and bilirubin may have taken a jump due to this medicine. The level will return to normal once you stop this. Hope this will help!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My baby boy is 8 weeks old & I am breastfeeding him & supplementing him w/Enfamil. He has been wanting to nurse for over an hour & still doesn t seem satified, so I started to just pump & give it through a bottle for the last 4 days. But I am unable to give him only breastmilk so he is getting about 2-3 4 oz bottles of enfamil a day. The last few nites he has been very fussy in the evening. He just doesn t appear to be comfortable or satified. This morning I noticed a small raised rash on his face. Could he have a milk allergy? And do you think I should switch to a soy based formula?", "output": "Baby is nursing for longer than usual. If it is going on since birth, look for latching. If baby is not latched well he will not be able to Chat Doctor. So correct your positioning and latching. If it is just since few days it may be due to growth spurt period when his requirements suddenly exceed supply. In that case continue breastfeeding, have patience. Your breastmilk supply will adjust to baby needs. Best wishes" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi , I m DEEPAK .. I notice there is blood clotting on my bum few months ago.. I consulled to a doc. After takin the prescribed medicines it became small. Aftre few month problem rises again and after 2-3 days it break automatically. Now again same problem rise. It is painful. Is it a sign of some kind of cancer.reply AS SOON AS POSSIBLE.", "output": "Thanks for asking in Chat Doctor forum In short: As pr your description it seems like a boilExplanation: A boil can get reduced after medication. And clot need not require medication. So, be cool frequent boils can appear in that place. Please avoid alcohol/smoking if you are into it. Then change your position while seated frequently to avoid this. I don't think it is cancer. Please visit a doctor if you have doubts." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 68 year old male for past three months I have a stinging painlike sensation when pushing or squeezing area adjacent to left nipple. My doctor, an internist, told me not to worry about it, but I am still concerned about it. When I take a warm bath and put warm to hot water over it with a wash cloth the problem subsides. The left breast feels firmer than the right breast but it is same size. What could this be?", "output": "Hi, Thanks for choosing Chat Doctor. According to your complaints it looks like an infection around the needle. It may be just an infected sebaceous cyst also. Consult a physician and take a course of painkillers and antibiotics. Usually it should subside. If not, then you will have to undergo further investigations for a proper diagnosis. So my advice is don't delay and get a correct treatment at the earliest as your age fits in high risk category patients. Pl. feel free to ask if you have any other doubts. Thanks and take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my mum went into hospital last week with fluid in her lung,since then she has deteriorated significantly. She cant walk,is incontinent,cant feed herself, is given drinks from a beaker, and is very confused repeating \"change 5 into 3\".Yet she was fine until going into hospital doing all the normal things. A brain scan yesterday was clear.A biopsy from a mole on her neck is still awaiting result. A body scan has found a cyst on her kydney.Other tests,urine and blood have turned up nothing.What else can cause this. Anne", "output": "Respected Anne , Welcome to Chat Doctor.come have evaluated your query thoroughly.* This is most probably in relation with pneumonia associated with systemic manifestations more overly going to multi organ dysfunction state.* One comment is certain that this patient can not be managed at home, she must be in hospital for intensive care. Hope this will help you for sure. Welcome for any further guidance. Regards dear." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "GOOD EVENING, I NEED A PULMONOLOGIST I WILL BE STARTING ON A DAILY DOST OF BREO ELLIPTA IN ADDITION TO MY DAILY DOSE (1X DAILY) OF SPIREVA. I AM SOMEWHAT AFRAID OF THE BREO - BECAUSE IT IS NEW, AND I KNOW NOTHING ABOUT THE CLINICAL TRIALS. BUT, I AM LESS COMFORTABLE WITH MY MILD COPD THAN I HAVE BEEN FOR A LONG TIME AND MY BREATHING RESULTS HAVE NOT BEEN AS GOOD AS THEY WERE FOR THE PAST SEVERAL YEARS. THA NK YOU JUDY BELFOR", "output": "Thanks for your question on Chat Doctor. Breo Elliott is having bilateral and fluticasone curate. Bilateral is newer long acting beta 2 agonists. And fluticasone is long acting inhaled corticosteroid. And it is very well studied Chat Doctor. It is long acting so given twice daily. And you can definitely take this with spirea. Also enroll yourself in pulmonary rehabilitation center where chest physiotherapy is available. Besides vaccinate yourself with pneumococcal and h.influenza to prevent future infection." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have psuedoarthrosis of both tibia and ankles. I am in great pain and have been for years,i have only know of the psudeoarthrosis for a few weeks. Can you advise on pain relief and is there any food i should introduce or avoid to help the situation? Thank you", "output": "Hello, I read carefully your query and understand your concern. I suggest using painkillers such as Ibuprofen to relieve the pain. You can use this medication three times a day. I also recommend using anti-inflammatory cream for local application such as Voltaren cream. I recommend avoiding chicken, nuts, beans and legumes. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards! Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was diagnosed a few years ago with borderline personality disorder, anxiety and depression, I have taken antidepressants forever since I was in my 20s I am now 39. I have had a lot of traumatic things happen in my life, My dad committed suicide today would have been his birthday. I have been abused in every way and I am trying to get my life back. For many years Ive had no libido, no joy in my life. Ive missed bdays anniversaries weddings etc. All because I felt depressed and didnt want to leave my house. Ive missed so may things, I have this. I have just been weaned of celexa 4omg which I took for years with the Seroquel. My meds now are wellbutron xl 150mg, I started this pill less than two weeks ago, I have increased the dose to 150mg twice a day, I also take Seroquel at night. I have read so many testimonies on these meds and I am concerned. I have been getting severe stomach aches as well as feeling a slightly spaced out. Im wondering if I should stop taking wellbutron and Seroquel and asking my dr to put me back on celexa. Do I have to take meds for life??? How does a dr really know if you have mental illness couldnt it just be due to life experiences and the need to get past them? I feel like I am stupid or labeled and its embarrassing, I just want my life back. I have no joy at all.", "output": "Hi, Firstly borderline personality disorder (BPD), makes a person vulnerable for mental illnesses. The thought processes that a person with BPD has is quite different from that of a person without the disorder, and it makes it difficult for the person to cope with day to day stresses that every human being faces in their life. Patients with BPD tend to suffer from complications involving mental health with the slightest of stress. And as you mention, what you have gone through is much more than usual. Coming to your query, why can't this be a normal reaction? Now, if a person without BPD or with no vulnerability happens to go through these experiences then the outcome would depend on his coping skills. Excellent coping skills \u2192 Brief period to recover and no illness. Poor coping skills \u2192 mental illness. The symptoms of loss of interest inability to feel joy and low mood for many years is a sign of a mental illness. But it is great that you want to come out of it. There are many ways. Medications being one of them. Adequate medications usually help control these symptoms. There are additional treatments that can benefit you which is psychotherapy that involves, building a positive outlook and personality transformation etc. This helps in building coping skills as well. Trained psychologists administer them. They are known to be useful in cases of BPD apart from medication. It takes a minimum of 2 weeks to determine whether a Chat Doctor. I do not know the reason for switching your antidepressant but if the recent " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am treating or esr since last six months. yesterday also i checked still it is 65. I am emale 47 years old. could you please let me know what is the reason. I have complete body pain, anckle pain, allergie, gastric problem. is this the symptom of some other desiese. what are the immediate checkup i have to do. doctor please help me.", "output": "Hello, Raised ESR or erythrocyte sedimentation rate is a test done to exclude underlying inflammation in the body. It also goes up in infections, and when the hemoglobin is low (i.e., anemia). Raised ESR (persistent) result suggests you need to exclude the above conditions mentioned. Follow-up blood tests:Complete hologram (He, TC DC)River function texture, creatinineSerum protein electrophoresisChest X Antinuclear antibody Now all of the above tests would exclude common serious pathologies, so please get them done after discussing with your doctor as soon as possible. Best Wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have been having a throbbing, swelling, and sharp pain on my left back to mid back part of my head. The head will not stop pulsating and hurting. It has been there for almost 1 and 1/2 months and it annoys me to pieces It feels like a bump on the left and bump in the nape of neck. I take fluvoxamine , respiridone, provigil,and anti anxiety medication. I have also found that my brain has been a bit fuzzy lately and I often have a pain in my chest. When I wake up I feel nauseous and I remember throwing up for almost 2 weeks in a row I wake up almost every morning now feeling nauseus. I have been diagnosed with anxiety, depression , aspergers, ADD, and OCD . So please tell me what I have thank you!", "output": "Hi, With these complex problems sometime diagnosis become difficult. In that case physician used to make differential diagnosis to manage case. These complaints can occur in anxiety and depression. OCD is also a type of anxiety disorder. But if we see your treatment it appears to right and cover all your differential diagnosis. So, continue your treatment as some time treatment may take 2-3 months to show response. I hope this information has been both informative and helpful for you. Wish you Good Health. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 71 female who was diagnosed w/ lung cancer Nov. 2009. Chemo , radiation , surgery followed and still going strong. Today, I was told that I have a 2.1 centimeter mass in my left kidney that will entail seeing an urologist . Had pain (tinges of pain) off and on for about 2 months. Had ultrasound last Thursday and my CT from my Oncologist had shown a small cyst in my left kidney, but had not grown. Waiting for appt w/urologist. Any suggestion, ideas, ways to build immune system. Already taking, reservatrol, selinium (sp) curcumin, coq10, b complex, calcium citrate (should I eliminate that one)? and magnesium. Any information would be appreciated as well as questions to ask, as I see urologist tomorrow.", "output": "Hi, Where is your pain, what is the nature of the pain? How it gets relieved or aggravated? are there any signs of radiation of pain to different sites. Anyway solitary renal cyst may be a common finding in many patients, it does not need treatment always. Now there are several studies going on immunity boost up materials with conflicting results. Curcumin is recently on discussion. You may take it. Consult your oncologist for further details." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "IM Angulakshmi aged 28,female residing at trichy.I was suffering from VSD,PDA,PAH from birth.Upto my 15yrs of age i got treatment at CMC ,VELLORE,after that in MADRAS MEDICAL MISSION.At 2005 i had my last review at APOLLO, CHENNAI and following medices as the prescribed till today.SILDENAFIL CITRATE 50 MG 1-0-1, LASIX 1/2-0-0,DERIPHYLINE 1-0-1.But these treatments gave me a result that im not operatable & not to get married. IS im cureable?may I get marriage?if i got marriage is any problem for me?if not means why? PLz kindly answer my questions doctor?", "output": "Hello, The history you give, and the treatment described suggests that The pulmonary pressures are very high and so any form of operation will do more harm than any benefit. So the best treatment here is to Continue medicine. There is no problem in getting marriage however you should avoid pregnancy by all means as pregnancy can put your life in danger. However, an objective guidance is only possible after seeing the data of the pulmonary pressure (the last Echocardiography) and previously the angiography (Path) study. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "30 year old male , fit and healthy , have been passing blood the pass 7 days while doing a poo , been to seen my doctor and got blood samples took which they have all came back fine . my doc said he is 99.9 % certain its nothing to worry about . has had trouble with piles in the pass , my doc felt my tummy and put his finger in my anal but every thing was normal ,,. he said its more than likely piles deeper in my rear passage. he is sending me for the camera up my back passage , but untill then i have to sit and wait , and stil passing blood ... and suggestions ???but i stil cant stop worrying about this . and has went of my food , cant sleep, snapping at my family . :(:(", "output": "HelloThanks for query. Blood in urine (Hematuria) is something concerned with urinary system and need to be investigated in detail to find out the source of bleeding. Consult qualified Urologist for clinical and digital rectal examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture. 2) Ultrasound scanning of abdomen and pelvis3) Serum PSA.4) Endoscopic examination of bladder (Cystoscopy) 5) C. T Scan of Urinary system (If required). Further treatment will depend upon result of these tests and final diagnosis. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "About a month ago I had an underground bump at the very end of my spine. I could move it around and it would hurt any certain angles and to sit. It was never crowning. It went away and now has returned but smaller and less painful. What is it? Eden", "output": "Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. This can be sebaceous cyst or Desmond or even pseudomeningoceleHope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in Chat Doctor at http://bit.ly/ask" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "gynecomastia surgery in mumbai? how easy procedure it is now and how long will the recovery take ... when would the marks fade completely? I think i would have 2nd grade gynecomastia but am not really fat other wise. I am 26 and have this condition since childhood i suppose", "output": "HelloThanks for query. You are 26 years old and have been detected to have Gynecomastia since childhood. In most of the cases Gynecomastia gets resolved spontaneously by he ages of puberty. But since it is persistent you need to get it operated. This is simple surgery done as a day care procedure under general anesthesia. It takes 5 days for complete recovery and marks of surgery will not be visible as it is done through a sub areolar incision. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi wayne here from ireland, i got a rash on my hip red with little blisters. my friend got it too in the back of his leg.the same thing, we go to this house for band practice. the had a lot of animals in the house, i think when i sat on the couch i got it.", "output": "Hello, Welcome to Chat Doctor .from your history and description, I would like to consider the possibilities of an insect bite reaction/ bed bug bites, Scabies and a fungal infection (Tina corporal). Insect bite reaction can be treated by applying a mild steroid containing mometasone fortunate / HY Chat Doctor. You could also take an antihistamine like chlorpheniramine male ate at bedtime for the itching. Scabies is caused by a small mite and is contagious. It causes rashes in the finger webs, wrists, around the umbilicus and in the groin areas typically. It can spread from one person to another. Furthermore, it should be treated with 5 % Permethrin cream applied overnight and washed off in the morning. A single application would be sufficient. The bed clothes need to be washed and changed as the mite can harbor there. Funagal infection like Tina could occur from fungal filaments present on the animals. It needs to be treated with an antifungal cream like 2% ketoconazole or 1% Terminating applied twice a day for 3 weeks. The exact treatment depends on the diagnosis. You could google the above diagnosis and try to narrow down the option. Hope this helps you. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "13 month old with up to 101.3 temp that comes more at nite. I have been using tylenol and or ibuprophine for five days to help him sleep and just feel better and he is playful during the day but gets a sore throat, cough, and restless more so at nite or at nap time during the day.", "output": "Hi, fever, cough and cold in a 13-month-old child suggest upper respiratory tract infection. Since you are already giving antipyretic medicine for 5 days, the child should be given antibiotic depending on the chest examination. Kindly get the child examined by doctor so that antibiotic can be started. Blood test like complete blood count, CRP level should be done to know the causes of fever. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a problem with my head. There is this bump on the side of my head which is sorta like a bone, I am not sure what it is. My mom told me it is a bone that sticks out, it really disturbs me just to see the sides of my head are uneven... Is there any help where to fix bones or even the head out?", "output": "Hi, Dear,Thanks for your query to Chat Doctor virtual Clinic. I studied your query in all the details put forth by you. I understood your health concerns about the head lump. The asymmetry caused by this lump is disturbing you quite a lot, it seems. Cause of the health problems you queried-As your mom said it to be normal bone, I would advise a second opinion from your family doctor. If in case it's really a hard lump on sides of your head, get it checked on the following possibilities from your doctor or From ER Surgeon. This lump could be with following possibilities-Epidermoid tumor/dermatofibroma(Benign)/neoplastic tumor(locally malignant)/Sebaceous Cyst at the side of your head. Possibility of this lump being cancerous could be ruled out only after Biopsy with HPR study. As I don't have any direct photo of the lump / or not many details from you, I would advise you to consult ER Surgeon.Hence, I would advise you to consult ER Surgeon, who would differentiate from other possible causes for the lump in that area. Hope this would resolve your query with full satisfaction. Welcome for any further query in this regard to ME by direct question at Chat Doctor. Write excellent review and hit thanks, to narrate your experience, which would improve my rating for many other visitors to Chat Doctor. Wishing you fast recovery. Have a good day. Chat Doctor. N. Senior Surgical Consultant. M.S. Genl-CVTS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am looking for Charparral (dried) to help with toenail fungus. Have found a Toenail fungus protocol on the internet. Use six tbsp dried chaparral to one quart of boilling whiskey.. Reduce and simmer for 20 minutes. Remove and steep for 8 hours. Soak your feet in this solution for 20 minutes a day, Repeat the procedure for two weeks.Have had laser treatment on both feet and did not help. Costly $400 for one treatment. Have used a natural mixed with Mother of Vinegar, but does not help.According to the info I have seen on the internet chapparral is dangerous to take internal, but want tosoak my feet in this. Would this be safe?", "output": "Hello, Fungal infection can only be treated with antifungal agent beside this it cannot be given try with anything else, such experiment you have mentioned here may prove dangerous or some time flair up disease. If this is the fungal infection of the nail then it best can be managed with Fluconazole ointment and oral antifungal medication like Terminating Chat Doctor. But it is all depends upon the clinical condition, why not to consult the dermatologist for best line of treatment and proper diagnosis. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband is having pain in the abdominal area.The pains are irregular and inconsistent happening at different places.This started over 2 weeks ago and told he had a gastrointestinal virus.He also had sinus congestion and nagging headaches. The most bothersome symptom is a complete lack of energy, he is fatigued all day every day and can lay down and sleep at any moment.His congestion has all but gone away but the fatigue is constant and the abdominal pain still occurring.", "output": "Hi. Thanks for your query. Noted the history about your husband and understood your concerns.2 weeks is a long time to suffer from viral infection that caused stomach flu. It is possible that there may be a bacterial infection too. This can be detected by the following ways:Get a blood tests done for CBC, typhoid, liver and thyroid functions and also culture and sensitivity. Get the stool tests also done. X-ray and ultrasonography of the whole abdomen helps further. Since there is tremendous fatigue, serum electrolytes also should be done. If a Bacterial infection is found during the course of investigations, a course of an antibiotic, metronidazole and probiotics should help him the best. Electrolyte solution, plenty of oral fluids including fruit juices and multivitamins may help to get a faster recovery from the infection and fatigue." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a red lump on my labia, its like in the middle of my lip. it is very smooth and soft but hard on the outer part. The skin around it is a bit itchy and painful when walking. im not sexually active. so it can t be an std but I do have a low immune system and get cold sores but I haven t had one for a good year or so now thanks", "output": "Hi, If I were your treating Doctor for this case of an itchy labial lump, I would come up with only one and one possibility that is a sebaceous cyst with super added fungal infection! Nothing to worry about this and try not to get infected there repeatedly! I suggest you to go for an FNAC test of the lump for confirmation if necessary otherwise take cold compress, local antibiotic/antifungal creams and also oral antibiotics and revert to us to relieve your concerns! Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, recently ive noticed that i cant sit for a while on foldeable chairs, i get this lower abdominal pain. Then when having sexit becomes painful at times, but usually its like a bloating feeling with pain. I havent even had an orgasm with my husband for the past like 4 months. I can achieve it when i masturbate, but because of this feeling i dont really get in the mood for sex with my husband. I also noticed that i urinate more than before, or while lying down on my belly and get up i have to pee right away. Im 27 years old and weight 235 lbs. I also have a history of PCOS, and PE 2 yrs ago while being pregnant. Im not taking any meds, well only Metformin 500mg 1po daily for my PCOS .", "output": "Hi, Welcome to Chat Doctor. You seem to be having urinary tract infection to cause you pain in lower abdomen and increased frequency of urination. And also you are having gastritis to cause the bloating. So I would suggest that you take an antacid like pantoprazole or omeprazole and a course antibiotics like ofloxacin for the UTI. But for the prescription you will need to see your local doctor.Also, Chat Doctor. And the loss of lido can be due to the pain following the infection." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I recently had xrays of my lower back and have been told I have arthiritis. Besides a back op there is not much else that can be done except pain meds. I do not know what type it is but causes pain in lower back and at times pins and needles in my legs and at times I cannot feel my legs. Do you have suggestions.", "output": "Dear Sir, I have understood your concern, see as you mentioned, your has told arthritis by seeing x-ray suggest degenerative changes happening to your spine. Now pain in lower back is due to lack of movement in spinal segments and pain in leg and foot is due to irritation of nerve in back at root level. So now decompression need to do by no pharmacological and non-surgical way by physical therapy in the form of lumbar traction which relive pressure in between disc segments then take ultrasound and IT modalities for instant pain relief. For 15\u00a0days continue twice a day. Followed by back strengthening exercises and mobilization of segments by skilled physical therapist. You can apply warm and cold water pouring at home and Apply analgesic cream at sleeping time. I hope you have satisfied with the answer." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am 24 year old and have lower back pain in low temp., had meet with doctor and he suggested to take X-Ray i did the same and doctor also advised me to have a medicine called \" Cyclobenzaprine \" but still same problem and X-Ray Result was \" everything was normal but only one thing was not good and that was \"straightening of spine is seen with loss of normal curvature suggestive of muscle spasm\" what that mean i dont know. please help me to resolve this problem.thank you", "output": "Hi, Showing loss of curvature and straightening of spine in elderly might be due to degenerative and osteoarthritis in spines. But as you are young this might be due to faulty posture of sitting. This can be due to long time sitting in front of computer or table work. Correct your posture. Sit straight and avoid bending from back while doing work. Go for back extension exercises daily. Ok and take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I just came across your website My aunt found out that she has a 4.6cm ovarian cyst in her left ovary since January 19th, it was a lot big before but she s been taking medicines now so it has shrunk to 4cm. She has been taking a drink made of molasses and apple cidar vinegar, heard that it s effective. But she s seeing no changes so far, her abdomen has swelled up and she s been bleeding for 2 months now. How much time does it require for an ovarian cyst to dissolve completely? Also, could you tell me the treatments for it? Any effective home rememdies you know? Thanks a lot, she s really worried right now. I hope you write back soon, thank you.", "output": "Hello, welcome to Chat Doctor, as per the details u have given, there is no relationship with the ovarian cyst and the type of food that you will eat/ Chat Doctor. .more over, it is strongly advised to get through a ULTRASONOGRAM to confirm the type of ovarian cyst, if it is a simple follicular or hemorrhagic cyst, they are benign and gradually disappear ....but problem comes with the malignant ovarian cysts...so I advise you to don't wait for cyst to disappear by giving some " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My kid was very active and healthy till she started going to school in June 2011 ( Nursery and her age was 2 1/2) After she started going to school she don t eat well she gets fever vomiting and became very adamant and she starts crying for everything. Dr initially gave her tminic, c - tax 0 and for fever crocin DS she takes medicines without any problem but she lost weight We took to apollo Dr suggested a big list of tests where as a child specialist whom we go told not to take those tests and give ascoril for a week and c-tax 0 for a week. What could be the problem", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have symptoms of fever and vomiting with changes in behavior which is due to compromised immunity of body and increased susceptibility of getting infected. It is due to viral infection of body. Fever is happening just because of that. Need not worry. I would suggest you to visit pediatrician once and get it examined. You should take proper course of antibiotics to fight against infection. Chat Doctor. If not taking any antibiotic start Norfloxacin for 5 to 7 days. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have gout and have severe pain on the large toe of my right foot. My provider has placed me on 200 mg of allopurinol which I have taken but the pain is so bad I cannot get to sleep. I have tried rubs, soaking etc but nothing seems to help. What do you suggest?", "output": "Hello, As you have gout, and you are taking Allopurinol tablets, continue these medications as advised. Now in your case, it is an acute attack of gout, so most of the times pain is severe during acute attacks. For severe pain, you can take tablet Thine. I will suggest you to take tablet Debut after rheumatologist consultation to get early relief and longtime absence of acute attack. Along with that, give rest to foot, use soft shoes. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi How are you tonight, I have a real bad shoulder pain. Not muscles by deeper. I had surgery for a labral tear in my r shoulder, and the pain Im feeling is so much the same. Could it be the same? Hurts under ear on l side. When I put my arm out straight i can only go shoulder hieght, then feels burning and pinching feeling. Heat helps the pain settle. Dont want pain pills to fix it, R shoulder surgery got me hooked on that stuff. Clean 13.5 months. You have any ideas, or should I just hit my dr? Thanks you Brett", "output": "Hi, thank-you for providing the brief history. As you had a Surgery of the label tear in the past and now having pain in the shoulder I feel it is the same issue. There will be inflammation of the tissues and reduction in the joint space leading again the pain. Taking an x-ray or an MRI should help understand the possible cause better. As you are getting relief from the pain by using heat therapy I will advise to get a thorough clinical examination and also and MRI. Treatment of choice will be physical therapy like therapeutic ultrasound therapy and TENS therapy. Some strengthening exercises will be needed to regain the strength in the muscles and also for improving the joint space. In my clinical practice most patients respond well to post surgical recurrent pain. Regards Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my sister was diagnosed with stage 2 malignant melanoma this time last year. a mole was removed from her scalp and the doctors thought they had removed all of the cancer. however, she has been complaining recently about severe headaches. yesterday, she started bleeding badly from her lips and her heart was raising. she went to the ER where she was admitted to the hospital for more tests. all tests so far just showed irregular heart rate but no clogging or true heart issues. is there any connection with her cancer history and this sudden bleeding and heart raising. she is a 48 year old white female of average weight.", "output": "Hi, Thanks for writing in. Melanoma is a cancer of the skin and usually appears as a mole. It is grouped as an aggressive cancer and should be closely observed for appearances elsewhere in the body even after surgical treatment. If your mother is having severe headaches then she must get an urgent CT scan or MRI scan brain done at the earliest. There have been patients with spread of cancer to the brain and in many cases it is malignant melanoma that has spread to cause headaches. The bleeding from lips might be due to a different cause and her general blood counts need to be checked. It is suggested that she gets a brain scan done and should there be any finding then it must be discussed in detail with the oncologist and treatment started as early possible. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have recurring UTIs and recently was bed-ridden with extreme dizziness and vomiting for a day and a half. It wore off and I assumed it was a flu virus but now I have realized this could be symptoms of a UTI. I still feel tired and bit feverish although no real pain urinating, possibly slight odour but it has happened so often Im not sure now. I was on a low dose antibiotic for 3 months which I finished a few weeks ago. Should I see a doctor or be worried about an upper UTI and kidney damage?", "output": "Hello and welcome to Chat Doctor. Well your concern is understandable. As a Urologist, let me assure you not to worry. But, you must see your doctor for an examination. Your urine routine and culture test, blood sugar, blood routine and kidney function test, and an ultrasound scan of abdomen must be done. According to the reports, the doctor will be able to advise the proper treatment. Wish you a speedy recovery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Foreskin tightening, pain in penis. Can I undergo sunnath operation?Hi, im 29 years old. Recently I got married whenever I m having sex im getting pain as my foreskin on the pennis is tightening. The foreskin is going back till the inner RED Area ut after that it is very tight. So now im considering Sunnath operation. May I know the avg price in & how many days it takes to completly cure. Because im doing software job and we don t have much holidays. Pls tell me the best hospital for sunnath operation in Chennai. Thank u", "output": "HiT hank you for asking ChatDoctorI have gone through your query. The operation is called circumcision. As you have difficulty in retracting skin it is the definite treatment. Most general surgeons will do that. If in government hospital you can get it done free. Most general surgeons do that. In private hospitals they take different rates. I think it won't be more than 10000 in any hospital. All hospitals which got general surgeons do circumcision. You will need maximum 1 week to 10 days rest. But if you wear a doth then you can go to work even before that. Hope this may help you. Let me know if you have any further query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my heart has been been pounding with varying intensity and frequency for several weeks. there is a cough that refuses to go after medication. what could be wrong? my initial ecg was ok and thyroid function test is normal. im not a bp patient nor anemic. thanks", "output": "Hello, The possibility of cardiac arrhythmia can't be ruled out, like PSVT or atrial fibrillation, in which heart rate suddenly goes up and also suddenly decreases. Usually ECG is normal as it is usually done in between the episodes. ECG done during episodes will show abnormality. You will need 24 hour holder monitoring. Is there any stress or anxiety associated. Till the time your evaluation is complete, you can ask your local doctor for tab Collar LA 20 mg once a day. If none of the above is successful then last option is of electrophysiologist studies which is invasive test which can diagnose and treat the arrhythmia permanently in most of the cases. Hope this helps you Get back if you have any doubts. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have developed a severe skin and soft tissue infection of the scalp with some hair loss (not sure if it is permanent), but my dr had me on antibiotic regimen before it started to treat something else. My scalp culture grew e.coli and he said the antibiotic he has me on covers e.coli and I should be fine. I am Looking for a second opinion as my neck is now stiff and has sores as is my upper back... feeling like I have the flu, but no fever. Also have CVID, anemia and neutropenia and chronic osteomyelitis of maxilla from Actinomyces", "output": "Hello, Since you have a common variable immune deficiency (AVID), you are increasingly susceptible to various infections. And, once an infection sets in, will blow up in proportion to someone who doesn't have AVID. I strongly advise you to undergo cultures of the new sores. Get on a strong antibiotic regimen. And if you feel an infection coming at any point do visit your clinician as soon as possible. There are few vaccines you can ask your clinician to give you like Pneumonic, His, influenza vaccines. They would decrease your risk of getting infected with the same. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I recently about 2 weeks ago had bronchitis treated with augmentan (sic) this cleared up... About 3 days ago I developed a severe sore throat with some ear discomfort ... No white bumps in throat... This evening started coughing up a white to very light yellow foamy phlegm ... Should I be concerned or see my doctor?", "output": "Hello. Thanks for writing to Chat Doctor. I read and understand your question very well. I try my best to help you in this regard. As you have cough with yellow phlegm with sore throat with ear discomfort, and in past you have taken treatment for bronchitis, You should concern about this. It may be because of recurrent infection or development of URI (upper respiratory track infection) etc. I suggest you take X-ray chest PA view for this and consult a good physician for this. I hope my advice will help you a lot. Thanks and Regards. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my periods are usually 3 weeks apart and last up to 7-8 days. my husband and i have been trying to conceive for almost 9 months now and nothing has happened. recently, march 15th to be exact, i started my period and it lasted about 8 days. it wasnt until april 21st that i got my period again. its lighter than usual, i have extreme gas pains and im slightly nauseated in the morning. should i be worried?", "output": "Hi, I think you should go for a pregnancy test first. If negative, wait for your periods. You should also get evaluated for irregular periods. Do a thyroid profile and prolactin levels and an ultrasound for your uterus and ovaries. Also, a semen analysis of your husband should be done. If everything is fine you can take some medicines like camphene for the growth of your follicles and track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles. Be in contact with your husband every 2 to 3 days after your periods stop. Take progesterone for next 2 weeks after the injection. Do a urine pregnancy test at home after that. You can try like that for 3 to 6 months. Hope I have answered your question. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "The right kidney is slightly hyperechoic with decreased corticomedullary differentiation. It is normal in position and size, measuring 11.3 cm in long axis. No evidence of hydronephrosis, renal mass, or perinephric fluid collections. The left kidney is slightly hyperechoic with decreased corticomedullary differentiation. It is normal in position and size, measuring 11.9 cm in long axis. No evidence of hydronephrosis, renal mass, or perinephric fluid collections. There are two anechoic cystic lesions within the lower pole of the left kidney with increased through transmission and imperceptible walls without internal septations, calcification, or internal color Doppler blood flow compatible with benign simple renal cysts. The more superior lesion measures 9 x 7 x 7 mm and the more inferior lesion measures 1.3 x 0.8 x 0.8 cm. The urinary bladder appears normal.Findings of hyperechogenicity and decreased corticomedullary differentiation are suggestive of medical renal disease. Clinical correlation is advised.Can someone please tell me what the findings mean? Am I going into Kidney Failure. I have no toher medical conditions. I had a routine UA done over a week ago and protein was noted in myurine so my doctor sent me for an ultrasound. My creatine was normal and all other test. I am 44 and Im an AA Female. thank you.", "output": "HelloGenerally hyperechoic(bright) echo texture of kidney suggest renal parenchymal disease. It may be due to many reasons like chronic hypertension, chronic diabetes mellitus, glomerulonephritis etc. Besides clinical evaluation, you may need further investigations. Investigations include routine hologram, random blood sugar, urine RE/ME, complete renal function test(include serum urea, creatinine,creatinine clearance), GFR,serum sodium, potassium,chloride, bicarbonate,phosphate,24 hour protein clearance. Further investigations can be done if needed. Simple cysts in kidneys are generally benign findings and only need follow up. It rarely needs treatment. These are age related developmental findings. You should go for proper checkup. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I have upper abdominal pain that radiates to my back, eventually I start having severe gagging & vomit. After the retching/gagging subsides, the pain subsides. I have had my gall bladder removed several years ago. Had an upper endoscopy in Feb. 2013, had double hernia repair with mesh 3/20/13. thought that was causing this pain but i started having it again about 2 weeks ago. I have had this for over 2 years & there is a pattern that it comes and goes. Any Ideas?", "output": "Hi welcome to Chat Doctor forum. Thanks for calling Chat Doctor. Forum. You have upper abdominal pain, radiates to back, have gagging and vomit then pain subsided. Endoscopy done double hernia found and repaired with mesh, pain recurred 2 weeks back the pain comes and goes. Gall bladder removed several years ago. It appears that the pain is due to gastric irritation due to irritant foods, like spicy foods, junk foods, and oily foods, and some foods which your stomach is allergic like milk and milk products. Wishing for a quick and complete recovery. Best regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello sir, almost 2 years has passed but my wife did not pregnant, I am normal and she has a little bit problem about periods, she was treated by the doctor and now her periods are in routine, but still she is not pregnant what should we do regarding this,the last date of her starting period is 18 January.and one more question which I want to ask how many time i should have to do intercourse? thanks", "output": "Hi, Thanks for writing to Chat Doctor. I understand your concern. I would suggest your wife to get her follicular study done. By this you will come to know she is producing eggs or not and also the timing. In 30 days cycle average time of egg formation will be on 13 to 15th day. If she is normally ovulating then you can try between 12 to 16th day which is called fertile period. Daily once intercourse will be fine. As egg will be alive for 1 day and sperm for 3 to 4 days. If she is not ovulating then ovulation inducing Chat Doctor. You may discuss this with your doctor. Hope I have been helpful. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My three year old son has white crusty scabs on his scalp. I have noticed the dry patches before, but they were usually not attached. I have now found quite a few patches that are attached. They feel like lumps on his head but peel off. Can you tell me what they are?", "output": "Hi read your question Your child has crusty scab no the scalp Which was attache with scalp Its mostly seborrhea dermatitis For this u have to use antifungal shampoo twice-weekly To soften thick patch first, rub mineral oil onto the area and brush gently to help peel scales off. Use warm water and massage the affected area Avoid scratching of head. If not improve then show your pediatrician or skin specialist" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I got my two lower wisdom teeth removed a week and a day ago today. The dentist said that he had to do no cutting and both teeth were easy to remove. Two days after surgery I notice on the lower right side an opening of gum tissue going up my cheek connected to the hole. Im scared I accidentally ripped my gum upwards. Theres no significant pain but a little red around the right socket. Also, ive been really nauseous and theres a tingling in my throat that has been present for the last 4 days. Should I be worried?", "output": "Hi, Thanks for your query. Ideally an extraction site take around 10-15 days to heal depending on patients body resistance. The opening of gum tissue attached to the extraction site is hanging there because it was attached to the tooth but now is just there as the tooth has been removed. I don't think you should worry about it. Give it some time to heal. The tingling in throat after a week may not be related to the extraction. Still, I would suggest that you visit your dentist for a thorough check-up. Hope this helps. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, My wife suffered from sciatica(based on symptoms such as pain from hip to toe etc) for past 7 years. The symptom occurred only after her delivery.Is is curable? what test need to be taken to prove it is sciatica and what medication we need to take", "output": "hither should be physical examination of spine first and if need be x-ray /MRI should be done to locate the cause of referred pain in legs. It is manageable with back exercises, massage and medicines and fomentation, avoiding lifting heavy objects. Backache is common after delivery since there is overstretching of back and pelvic muscles during delivery, but settles with exercises, rest assured. Some pain medicines may be taken" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello,I was recently turned away from a colonoscopy because my blood pressure was too high (170/110). I understand there is a proper way to take blood pressure readings and improper ways to take them.I am taking my blood pressure daily and logging it for my next doctors visit. What is the proper procedure for taking my blood pressure?Thank you,", "output": "Hi welcome to Chat Doctor Dear, You may need to take your BP at home if you have hypertension (high BP) or hypotension (low BP). High BP increases your risk for stroke, heart attack, or kidney disease. Low BP may cause you to feel dizzy or like you are going to pass out. This usually happens when you stand up quickly. You may need to take medicine to keep your BP at a normal level. Start the procedure with few dos and don'ts for accurate reading Do not check your blood pressure within 30 minutes of smoking, Chat Doctor. These may affect your BP reading. Do not take a BP reading in an arm that is injured or has an IV or a shunt. Sit and rest for 5 minutes before you take your BP. Extend your arm and support it on a flat surface. Your arm should be at the same level as your heart. Both of your feet should be flat on the floor. The device has a built-in pump that inflates the cuff. Put the cuff about 1 inch (2.5 cm) above your elbow. Wrap the cuff snugly around your arm. The BP reading may not be correct if the cuff is too loose. Turn on the BP monitor and follow the directions. Write down your BP, the date, the time, and which arm you used to take the BP. If possible, take your blood pressure twice and write down both readings. These BP readings can be 1 minute apart. Let the air out of the cuff. Turn off the monitor and take off the BP cuff. Take your BP at least twice a day. Take your BP at the same times each day, such as the morning and evening for accurate reading. Hope this helps solve your query. All the best.Don't hesitate to get back if you have any further query" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a tongue biopsy last week - 19Dec - under general anaesthetic due to a recurring ulcer that I have been bothered with for more than a year. This was on the right side of my tongue very near to the front/tip. The surgeon took a slice of my tongue and cauterised the wound without suturing. It has been very sore and uncomfortable to talk, eat or drink, and is very swollen around the wound. The last 24 hours I have noticed that the lymph node under my jaw on the right side (where the section was taken) just in front of my ear is very tender and hurts to touch. Getting a bit concerned as Xmas is in 36 hours and I really thought it would have well settled by now (4 days). Any advice would be greatly appreciated. I am 60 years old and a smoker (I know, I know!!)", "output": "Hello, Actually tongue is a muscular organ with high vascular supply (blood supply) so the wounds heal on its own and early that is why the doctor must not have given any stitch. But some packs and medications like antibiotics and painkillers are given for support, I think you should visit the dentist again for the medications. As well, you should quit smoking at least for 1 week as it will also delay healing. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "a pin pricking feeling on my right side..just above the thigh where i was given a painkiller injection two weeks back. i was hospitalised for kidney stone and was on antibiotics till last sunday. This pricking started on tuesday. i was afraid it may be an abscess so started antibiotics on friday again. today is the third day of that but pricking feeling not gone. what could it be?", "output": "Intramuscular injection may sometimes lead to nerve damage. Generally there will be loss of sensation/ numbness in the area supplied by particular nerve. This pin pricking sensation could be sign of neuronal regeneration. Abscess will have symptoms like fever, pain, swelling and redness in that area. If you have these symptoms you should consult surgeon as may need Chat Doctor. Hopefully it should subside within a week if its secondary to mild nerve damage." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello all. I am from Bangalore. Actually I got a wound(Red colour) in my pennies ball from 2 weeks back. I am really suffering because of this. I am not able to sleep , I am not able to walk properly. 3 weeks back I had sex with one of my friend. After 1 week it happened to me. I dont know what to do. Please suggest me about this.", "output": "HelloThanks for your query, based on the facts that you have posted it appears that you have a wound around glans penis after having sex with your girlfriend. This could be a wound due to Chat Doctor. You need to get basic tests like screening test for STD and Swab test of fluid from the wound done to rule out STD. You need to take broad spectrum antibiotic like \u010ceferin along with anti-inflammatory " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 8 year old daughter came home from school yesterday with a fever of 102 f. She is c/o headache i left temple, and has been throwing up. Appears hydrated, and we are pushing fluids. Early this am she had to throw up but because her belly was empty she had green bile. Her left eye is red perioribital to her nose. I thought she was rubbing her eye too hard, but there is a little swelling below the eyebrow. wondering if she needs to be seen or handle it at home.. fevers have been 99.5 to 101", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query your child have symptoms of severe vomiting, headache and fever. Well there can be many reasons for symptoms you mention in query like food poisoning, improper digestion, poor metabolism, electrolyte imbalance and due to acute gastritis. Need not worry. I would suggest you to do warm saline gargles several times a day. You should keep your head elevated while sleeping. Avoid eating spicy and heavy food, reduce intake of dairy products. You should take plenty of fluids. Consult pediatrician for proper examination. Doctor may order test like swab test, blood test and will do physical examination. Doctor may prescribe antibacterial or antiviral depending upon the diagnosis along with antiemetic medications. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I recently ordered a night guard for grinding my teeth from my dentist. I used it for one night, and I put it in tonight and it feels really loose, and feels like its falling out of my mouth... I was wondering if this is normal and if theres any way I can fix it? thanks.", "output": "Hi. Thanks for the query. Night guards are used to prevent the teeth from wearing away due to grinding. If it is loose then it can have further damaging effects on the teeth and gums. It is not normal for the night guard to get loose in a day only, and you should consult a Dentist and get evaluated. It will be better to get a custom-made night guard prepared as per the fit of the oral tissues, and then it will ft appropriately. For now avoid wearing the loose night guard. Hope this helps. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband had the Whipple procedure for pancreatic cancer and still has diarrhea issues 8 months later. He lost 60 lbs and is gaining it back slowly. On TPN food bags for the last 2 months and still on them and I would like to start using a juicer for him but dont know what fruits or veggies to use for this type of cancer. Presently his CA19-9 tumor markers are at 160 after surgery they were at 24. This concerns me. Any ideas to get those tumor markers down? He has already gone through the radiation and chemo treatments. Thank you. Dawn Skiba", "output": "Hi and thank you so much for this query am so sorry to hear about this persistent diarrhea and the rising tumor markers. The rising tumor markers mean that the tumor was not completely removed and nothing else can be done to ad Chat Doctor. It is rather unfortunate but a majority of persons with incompletely excised pancreatic cancer would most likely not be alive after 6\u00a0months. There is nothing that can be done about this diarrhea as it is due to digestive secretions that flow through especially bile. About starting a juicer, talk to his treating doctor to give his accord. I hope this ad" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my 6 month old started throwing her head back and forth for no reason. She does it when she is happy and she does it when she is upset but she always looks up then slams her head back down forward is this something i should be concerned about? She also rubs her nose a lot pretty much constantly.", "output": "Hi Read your question As u said your baby had fall aback and forth with no reason Mostly 6-month-old baby may fall hard back and forth in excitement and upset. But if she not holds head stand straight after that then u have to worry and Show your pediatrician and ask for it First u have not given birth history of your baby and other thing when your baby hold neck straight. If neck holding was delay then it was normal But u show your pediatrician asap for that if u have confused" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello sir Due to accident my left hand arm injured and doctor put a Stich before 10 days and they suggested to take taking tablet Pantocid one tab every morning & Emanzen D, Augpen 625 Bid (Twice in a day) for 5 day after dosage completed i stoped. now still i am getting pain in woond place and it also may be swelling so what should do now again that tab continue or what should do suggest me sir", "output": "Hi, thank you for providing the brief history of you. As you had a stitch 10 days before and the wound still hurts, this is a normal phenomenon of healing, and it will heal soon, for which you shouldn't get worry more. Continuing the medication by the advice of the same physician should be helpful, but I will recommend you to do quick icing around the wound area and keep it under sunlight for healing. As most wounds heal within 10-15 days of time post stitching you should keep patience to allow it to heal. With gods grace everything will be alright. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "While they are doing laparoscopic gallbladder surgery, can they tell if there are stones in the ducts immediately or do they usually find out ahead of time? Does a sonagram show stones in the ducts? If so can they remove them right then while in surgery, instead of waiting to see if they create problems later?", "output": "Hello, Acute cholecystitis due to gallstones may need surgical excision after controlling the Infection. If stone obstructing the bile duct may need ERCP removal. If stone in the gallbladder asymptomatic may not need surgery. Yes, they may find out by ultrasound abdomen or CT abdomen. Only after scan they will plan for procedure unless it is emergency. Hope I have answered your query. Let me know if I can assist you further. Regard" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello my name is Sandra hall I have been having blood test I have a infiction that the doctor can not fine. my red cells have does not have a lot oxygen. I itches all over my body. white cell are going up platlets are going down .can you tell me what I should do?", "output": "Hello and welcome to Chat Doctor, Infection especially bacterial infection can lead to increased white blood cell count. Among the white blood cells, neutrophils are elevated. Red cells not having enough oxygen suggests low hemoglobin or anemia. Itchiness can occur due to many causes namely,1. Polycythemia2. High bile salts in body3. Skin ailments etc. A clinical assessment is required to look for focus of infection and site on body whether itchiness is more. In case of low hemoglobin, relevant investigations are required to know the type of anemia. Thanks and take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i forgot to take my bp med yesterday but remembered just before i went to bed so i took it, then again when i woke up this morning, this evening i was very dizzy, very tired and by pulse rate was lower than usual bp was good though, is this because i took med dose to close together? or should i be worried its something more?", "output": "Hellothanks for posting here. Looks like you are on beta blocker medications for blood pressure control. Beta blockers have an additional effect of lowering the heart rate asking with lowering blood pressure. So since you took two doses in short intervals that's why you had slow heart rate and symptoms. You may skip your routine evening dose and start again from the next morning. Beta blockers are very beneficial for blood pressure and also have a protecting effect from a cardiac event. So please continue taking them. In case you have similar symptoms you can skip one dose and then continue there forth. If these symptoms persist then you must see your doctor. As of now there is nothing to worry. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My Girlfriend is Pregnant, and we went to planned parent to get the confermation, she said we were about 5 weeks, then last night she was not feeling well so I took her to the ER and her BETA level was 36 and they wanted to re-check her so we decided tonight to go and it went up to 64.11 They said she was only a few days pregnant? How is this possiable", "output": "Hallow Dear, You can locate the duration of pregnancy by following ways:1. The egg release takes place 14 days before the next menses. It can roughly tell you the probable date of fertilization.2. Usually the period of pregnancy is counted from the first day of last menstrual period.3. Ultrasonography and Chat Doctor levels tell you the gestational period from the day of conception. Hence, there is a difference of about 2 weeks in the clinical gestational period and gestational period estimation by these investigations. When you are informed 5 weeks pregnancy, it refers to 5 weeks from last menstrual period; which actually is about 3 weeks from day of conception. This should clarify your dilemma. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have been getting dizzy when standing suddenly. This happens when standing up suddenly from a laying or prolonged sitting position. I am familiar with orthostatic hypostension. Hopefully that s spelled correctly. The intensity of the dizziness has started to increase, as well as the frequency. Earlier today I was laying down using my laptop, and got up. The dizziness was very intense, the initial onset I experienced a 6 second period where my vision was black and white only. I did what I normally do when I experience these symptoms: take very large breaths, squeeze intensely my major muscle groups, abdomen, quads, buttocks, and the symptoms normally subside quickly. I am 6 6 230 pounds. 34 years old. Avid runner, excellent physical health. I take multi-vitamin plus zinc & magnesium supplement daily. My blood pressure is normally between the low end of what is considered normal - top end of what is considered low blood pressure. Is there anything else I can do to help reduce these symptoms?", "output": "Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Good to know you are familiar with orthostatic or postural hypotension.2. Making slow movements during changing of position is the most important aspect.3. Venous stockings to the lower limbs can avoid pooling of blood in lower limbs and sudden variations in blood pressure.4. Also take plenty of water. Corticosteroids may be necessary, when orthostatic hypotension is severe. Hope it helps. Any further queries, happy to help again." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have red blotches that itch and have appeared on my left cheek and back of left hand, also on the back of my right hand and another on my right fore arm. In addition to these spots that are red, round and itch, my lips were also swollen when I got up this morning. There are no blisters or previous injury. Benadryl cream helps with itching. No fever but do have headache. I have had this happen a few times the past year and each time the spots come back on the same areas. It lasts about a week. It s really bothers me when my lips and face swell up.", "output": "Hi, You seem to suffer from urticaria. Consult the dermatologist for the perfect diagnosis and proper treatment. There may be some triggering factor. Try to find out. It may be some dietary factors like seafood eggs, cows milk, soy protein, banana, fermented food or some contact ants like pollen, wool, dust, soap, insects, etc. Tab. Fexofenadine thrice a day will alleviate your ailments. If needed, oral steroid in tapering dose may be taken after visiting your doctor. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear doctor, my name is Temitayo Steven from Nigeria. For the past 8 days, I have been experiencing fever that would start around the afternoon period and disappear in the morning, slight headache and chest pain. Some days before this I had rashes around my anus. I went for a test 5 days ago and below is the result; S.typhi(O 1:320, H 1:160). My doctor recommended Ciproflaxin and I have completed the dosage without any improvement in my health. I decided to visit another doctor. He carried out a blood test and claimed I do not have any trace of S.typhi. I don t know what is wrong with me. Kindly help.", "output": "Hi, Temitayo Steven, did the doctors check anything besides for S. type? Your symptoms are nonspecific and could be almost any kind of infection. A lot more tests might be needed. The first test you did for S. type only indicates you have been infected at some time; it may not be an acute infection. Some things I would consider are strep, pneumonia, malaria, other parasitic infections, HIV, herpes, certain other STDs, tuberculosis, atypical mycobacterial infections, other bacterial infections. Many bacterial infections require a different antibiotic than Ciprofloxacin. You need to have a good examination, to describe the rash, and get more testing done to see what this could be. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi there, I have a red rash all over my body - when I itch it leaves red marks, and it has not responded to anti histamine . I thought it might bean allergy to washing powered, but even parts of my body not in contact with fabric are itching. It started as a bumpy, blisters rash between my fingers and ow my whole body. I am worried I might have shingles again? Thank you for ay advice you can offer.", "output": "Hi, Thanks for writing in. The rashes can be contact dermatitis, insect bite reaction, dermatitis herpetiformis, chickenpox etc. Apply cooling and soothing lotion like aloe vera over the area. Shingle occurs in particular dermatome, and it would not spread to all over the body. Take tablet fexofenadine 180 mg twice daily.Also, oral steroids can help a lot in stopping the spread of the lesions. Hope this helps. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor ,I m 30 years old and doctor predicted that i have follicular ovarian cyst .Presently i am taking Metformin 500mg tablet(twice a day).Really i got stressed nowadays.I got married before 4 yrs.And after 1.5 yrs got one miscarriage also.Is that cyst is recoverable problem or not?Can i go for IVF?Can you pls suggest good gynaecologist in chennai.Thanks for your reply in advance", "output": "Hello could have been given metformin for PCs, high blood sugar. The cyst can be of 2 types. Either it's a single large cyst or polycystic ovaries. You need to thoroughly evaluated as to what the problem might be apart from the cyst.Accordingly, treatment is variable.IVF is the last resort. Before that there are other factors to consider.It's a lengthy process. You should consult a good ORGAN /fertility specialist. Try Apollo Hosp in Chennai." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had the same boyfriend for about 8 months now and have been consistently sexually active with him. Sometimes my vaginal area is a little sore the next day, but this time it is itchy, red and irritated and I recently felt little bumps or ridges inside my vagina. My discharge smells and looks completely normal except for when I ve tried to put itch cream on it and it gets a little thicker and whiter. My boyfriend is completely fine with no irritation at all to his genitals. We tried having sex again a day after I noticed it hurting and there was a very sharp pain when he tried to enter that nearly left me crying in pain. There is some burning during urination but I feel like that happens only if I ve recently been scratching the area. I have been having these symptoms for about 4 days now with no change and it may just be getting worse since I can t help scratching and messing with it.", "output": "Hi, thanks for sharing your health concerns with Chat Doctor! If I were your treating Doctor for this case of this red itchy vaginal lump, I would come up with three possibilities, these include: 1. Recent fungal infection possibly carried out from skin on genital area2. Catholics cyst like benign vaginal growth/polyp getting infected!3. Vaginal infection, trauma, congestion, minor vessel injury/hematoma, polyps etc.: needs antibioticTherefore, your condition needs gynecological examination, culture, urine and PAP tests therefore kindly go for these tests and revert to swishing you best health!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor. I m 27 n last yr i had miscarriage after that i had infection and hormonal imbalance. Now we r planning pregnancy n in this month my dr. Prescribed me Meprate to support pregnancy, but every time i feel abs pain after using meprate. So my question is will i have safe pregnancy?", "output": "Hello.thanks for trusting the Chat Doctor doctors for your health related queries. I guess your concern is about...can u have safe pregnancy after an infection and hormonal imbalance post miscarriage.right.my answer is.YES.there are chances of safer pregnancy in the future. Usually after miscarriage it is routine that doctor will advise for ultrasound to conform that whether is miscarriage is COMPLETE (that means all products of conception are expelled out from the womb) or INCOMPLETE (there is retained product of conception inside the womb). In both the cases usually antibiotics are prescribed to prevent infection and incomplete miscarriage usually required minor surgery for removal of retained products so that chances of infection further decreases. As u told that u had miscarriage in last year, but u didn't give whether it was complete or incomplete. U had taken antibiotics or not. So it is difficult for me to comment on this. After miscarriage there is hormonal imbalance usually happens, but in most of the cases it will correct spontaneously. Some women required medication for correlation of it. This hormonal imbalance usually effects the menses, due to that menses will be irregular.u told that u have hormonal imbalance but didn't give info regarding your menses whether it is regular or irregular. So it is difficult for me to comment on this.u also told that u have taking separate which cause pain in your abs, for that u can take alternative medicine after discussing with your treating doctor. With the above information u can try out my suggestions-1. RELAX...DON'T WORRY. there are chances of safer pregnancy in your case. So KEEP PATIENCE.2. If your infection had resolved n u have regular menses then there is DOUBLE CHANCE of getting pregnant in your case.3. If u r in hurry then visit nearby infertility specialist. He/she can help u. I hope the above information is useful, informative and helpful for u.regards- Chat Doctor. .DON'T WORRY.everything will be alright. I pray the God that u will be blessed with a cute n healthy baby.hopefully TWINS)" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im looking for a non narcotic pain medicine. I have been diagnose with fibromyalgia, I have low back pain as well. My Dr. wants to put me on Lyrica, but I don t want to go on it because of the side effects. I am taking 800 mg. of Gabapitin, I have an appointment on Wed and was wanting to know what I could ask her for. I have pain all over, it is making it hard to walk and work. I am not over weight and I am trying to eliminate the foods that cause inflammation.", "output": "HiT his is an agonizing disease, but now good remedial measures are possible.if you are attending Fibromyalgia clinics, then trust your doctor for the prescriptions, if you tolerate gabapentin, there's no need to fear side effects of Lyrical unless you had taken previously and suffered its side effects...some patients report even side effects to gabapentin too, so it's not necessary you would too.likewise for lyrical...some rheumatologists prescribe methycobalamin and amytryptalline too along with gabapentin or lyrical.meanwhile do take physical therapy if not taking, it would relieve symptomatically, see a physical therapist too. Best wishes" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter has many health problems including repaired ToF, repaired imperforate anus, urinary reflux, agenesis of corpus callosum, and repaired bilateral cleft lip and palate and multiple vertabrae fusions they are worried about problems developing in the future. She loses weight a lot she is almost 3 and 20lbs, she has what seems to be enlarged inguinal lymph nodes, and she gets dark bruises along her spine for no reason. I just want to know what are possible causes for the lymph nodes and bruising... should i be worried or am i just being paranoid from past history??", "output": "Hi, dear. I have gone through your question. I can understand your concern. She may have reactive lymph node enlargement or may have tuberculosis or malignancy. You should go for fine needle aspiration cytology to search the exact cause. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My Name is rahul ,I suffered my releasing my sperm during sleep,twice a month from past 2 years,i dont know to do mastrubate,,,is there any problem after marriage or before.once i tried for mastrubate but penis get swelling for a day but didnt ejaculate anything.but my sperm will realeasing during sleep, what is the reason .pls sujjest me for good health.........", "output": "HelloThanks for your query, based on the facts that you have posted it appears that you have problem of night emission. This is a normal phenomenon to get night emission at the age of adolescence and nothing to be worried about it. It well get resolved itself without any treatment over a period of time. Try to practice moderate exercise every day for 45 minutes and take high protein diet with fruits and vegetables and vitamins. This will help to built up your general health. And to get good sound sleep. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "for the past few weeks weve been noticing unexplained bruises on the lower part of her right leg. when they seem to be going away they get darker . she now has more bruising and more are appearing on her left leg. shell be 2 in june and I suffered from severe anemia during my pregnancy with her as well as dvt . can any of this be related?", "output": "Hello, Thanks for posting your query. Bruises over leg can be due to blood disorders, infection,coagulopathy, vasculitis or autoimmune disease. As you have history of anemia and DVT, then Disseminated Intravascular Coagulation should also be ruled out. You should visit your doctor and get tests like CBC, ESR,PT, APTT, D-dimer,serum fibrinogen, C-reactive protein. Then it will be easier to reach a proper diagnosis. Hope it helps. Take Care!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter age 6 chked on a sweet 2 days ago, a woman helped to dislodge it by hitting my daughter on the back. She appears ok however I am noticing that she seems to be burping lots now and also says it feels like something is stuck in her throat when eating.", "output": "Hi, when something like you said sweet had stuck in the throat and was dislodged by thrust on back, can produce inflammation at point of stuck. And till this inflammation persists your child will feel that something has stuck there or lump like feeling. There is no need to worry, these symptoms will subside on its own in 1 week. I hope this has helped you. Wishing your child good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am having pain in my left upper gums for last many days. Probably, some particle seems to be entrapped between a tooth and gum. Is there any home remedy to dislodge the same? I am rinsing with salt water. Otherwise what is the clinical remedy and cost?", "output": "Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have mentioned that you have some food particle int raped, don't worry you if it is interdental areas you Do Floss interdental, may this will you help you For this if possible you should consult dentist and if there is Periodontal pocket formation then go for Oral Prophylaxis, and it is not costly procedure it will not cost much, go for Scaling and Root planning, Do warm saline gargle 3 - 4 times a day Hope it will help you. Wishing you good health, Regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello , I appear to be in good health , a little weight gain but stays pretty steady. Had a check last year all came good. Recently this Saturday as laid down to rest for the evening, I experienced a very different issue. I rested on left side with left arm folded up by my ear and under a pillow. Some time after that I gently strength our my arm and immediately experienced a very painful pain run up my left arm, then a good hit to my chest after immediately i began to sweat cold with chills and felt light headed and dizzy and a bit nauseous. Not sure were this came from, but was worried if a mild heart attack I may have experienced. Could this be possible . From that on I am still feeling a little light headed, and nauseous with my left are just week. Was this some type of a heart attack ?? Thank you Marie Nanez", "output": "Hello Marie, the kind of pain you described more likely due a transient neural (nerve) compression because of the position of your arm, cardiac pain is more dull aching like heaviness in the chest, which will be persistent. So be assured, however because a week has gone by, and you are still anxious, it would be ok if you can get a EKG done, which will give us some idea about the heart. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My question is i have old x-ray the result finding FIBROTIC AND REticular opacities are seen at the right upper lobes,the trachea is at midline,the hemidiaphragms and costophrenic sulci intact visualized soft tissue and osseous structure unremarkable....i want to know if i applying a job and take medical x-ray it mean fit to work or unfit.....impression PTB FIBROSIS CAN YOU HELP ME CAN EXPLAIN IF I HAVE A CHANCE TO WORK...THANKS I WAIT YOUR ANSWER?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. I have gone through the x-ray report you have mentioned. It is old healed Scar lesion from previous TB infection. These lesions are inactive and seen life long. So for work visa, we need to prove that these lesions are not active, infectious. So get done CT thorax and bronchoscopy. If they are negative for active infection then you can definitely apply for work visa. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi it is now my 5th day since i had my wisdom tooth extracted (growing in wisdom tooth) lately ive been feeling this itchy hurt. And it was still bleeding this morning . Im not sur if its still bleeding right now coz i just finish eating but then i looked at in the mirror and theres this kinda whitish thing then theres a black thing on top of it not sure but it doesnt hurt really bad but it hurts a little kinda feeling the nerve then to my ear is that normal .. I dont want to go to the sentist again coz its expensive i dont have an insuranceAlso can i now brush my teeth with toothpaste (colgate optic white).?", "output": "Hi, Thanks for asking the query, Pain and swelling are most common after wisdom tooth extraction, and they subside after sometimes, according to your clinical symptoms I suppose that you might have some trauma to the nerve at the time of extraction. I would suggest you to take multivitamin supplements for 15 days. Take lukewarm saline rinses. Take antiseptic mouthwash gargles. Avoid smoking and consumption of hot and spicy food stuffs. If the symptoms persists or worsen then you have to visit to the concerned Dentist and get the checkup done. Hope you find this as helpful, Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I started the pill yaz flex in october/november 2013 and got some breakthrough bleeding during the first or second month using it so i just took the 4 day break and everything was fine. 3 weeks ago I went overseas and the plane trips in total equaled about 25 hours. I had sex a few times but my boyfriend pulled out before he did anything and most of the time we used condoms. Then i got my period and it has lasted about 2 weeks and during this time we had sex but again he pulled out. The bleeding has ranged from heavy and red to light and brown.. Now that I am back home I have started the 4 day break and it has been 2 days and i still only have brown discharge. Is it quite unlikely that I could be pregnant due to the fact i took the pill correctly (usually on time but if not only about an hour late) and that he never came inside me? Ive read that the 2 weeks of bleeding can be due to hormones changing from change of lifestyle and things (like being overseas) and also that the body is getting used to the pill, is this correct? I have a habit of overthinking things and stressing myself out so it would be helpful to have a second opinion thank you.", "output": "I think you are right that you are stressing yourself out needlessly. The fact that you were taking the pills properly is quite reliable in preventing pregnancy. The fact that he pulled out might help a little too, but that doesn't work very well to prevent pregnancy. Some people may have a bit of discharge during the pill free time, but as long as it is not too bothersome, you don't need to worry about it. It is also true that travel and life changes can affect your cycles." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had a back pain for 1 week and I m dizzy and I felt nausea and they thought I had a urinary tract infection, so they gave me an antibiotic and I took it for one week and it did not work. So I got a higher dosage and different brand and I finished it and I still have the pain and it comes and goes, and my groin. hurts and my lower back hurts and I still feel nausea and headaches.", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have sharp pain below the shoulder blade. Well there can be many reasons for symptoms you mention in query like acute back injury, whiplash, sciatica, osteoarthritis or fibromyalgia. I would suggest you consult orthopedic surgeon for proper examination. Doctor may CT scan or MRI along with physical examination. Doctor may prescribe anti-inflammatory, muscle relaxant nerve supplement, anti-emetic Chat Doctor. For now apply warm compresses to back and neck and take ibuprofen or acetaminophen for pain. Doctor may also recommend surgery in case of disc problem. Also avoid bending forward. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I started a cold and dry cough two days ago. This afternoon I noticed some burning inside my mouth when eating warm soup and I have some red areas and irritation in the back of my throat, roof of my mouth and sides. There are no white patches as of yet. What should I do to prevent this from getting worse, do you think this could be strep throat ?", "output": "Hi. Thanks for the query. Symptoms of cold and cough with red areas on the palate, inner cheeks and throat area is all due to infection only. As the mucosal surfaces are irritated and inflamed due to infection, therefore there is burning sensation while eating or Chat Doctor. . So my suggestion is to consult an Emergency room and get a throat swab culture done. It will help in ruling out whether it is bacterial or viral throat infection. At times there is viral infection with secondary bacterial infection. In that case you will be advised antibiotics like Azithromycin, anti-inflammatory painkillers like Advil, Alive etc., do warm saline gargles, antiseptic mouthwash gargles and suck throat lozenges. You can also suck lozenges with numbing agents to reduce pain and burning. Hope this helps. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi - i have sciatica with pain going down my right leg when it occurs! i did a mantoux test that says i have Mycobacterium TB of the spine. Have been taking pyrazinamide-rifampicin-isoniazid-ethambutol for about 6months now!! Please, any suggestions to ease the leg cramps and sciatica?? Thanks, Aminu, nigeria.", "output": "Hi Amino, thanks for asking from Chat Doctor. I can understand your concern. You are suffering from Potts spine (TB of spine). You are already taking 4 first line anti-tubercular therapy, which is ideal treatment of Potts spine. The therapy is long, around 9 to 15 months. There is no standard treatment guidelines. The duration can be decided based on your physician decision and your symptoms. Now coming to your symptoms, leg cramps and sciatica. These symptoms are most probably due to compression and collapse of vertebrae, collection of pus in spinal canal and compression of nerves. To get relief, you should-Avoid any kind of weight-bearing- Avoid flexion and extension at spine-Wear back supporting belt like thoracolumbar corset.- For pain relief, you can take tablet pregabalin after proper prescription. Usual adult is 75 to 150 mg twice a day. If still no relief, you can take tablet amitriptyline after proper prescription.- For cramps, do physiotherapy and take tablet baclofen after proper prescription.- Also increase your protein and calcium intake for strengthening bones. If still no relief and symptoms worsen, repeat MRI spine to rule out any progressively increasing compression of spinal cord or nerves. Sometimes surgery (less than 10% cases) may be needed to relieve pressure symptoms. Hope it will help you. If still in doubt, do let me know. Thanks. Take care. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i want to know that my gyeno has recommended me femilon conterceptive pills but how to take it and after sex or before it and she has also told me to take it after my second day of my periods?and at what time in the whole day?and after taking these tablets how many times we can have sex in a month?", "output": "Hi, Felon is a combined oral contraception pill commonly used for prevent an unwanted pregnancy. Take one active pill (with hormones) once daily for 21 days in a row. If you are using a product with 28 tablets, take an inactive pill once daily for 7 days in a row after you have taken the last active pill. If you start taking the pill within 5 days after your period starts, you will be protected from pregnancy straight away. If you start combination pills any other time, you will not be protected from an unwanted pregnancy you need to take another method of birth control like a condom during your first week on the pill if you wish to have sex. The pill should be taken on regular basis at the same time of the day. You can have sex as long as you are comfortable but remember, although these pills can prevent an unwanted pregnancy, but they do not prevent any sexually transmitted disease like HIV. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doctor,i am chaitanya.age 28,from hyderabad.my problem is ....i got thyroid in my frist preganacy .my delivary date was on july 24th 2009 but on july 6th early morning around 7 oclock suddenly heany bleeding started and i rushed to the hospital but they could not save the baby(boy)...i lost my frist baby.then after 6 month i concevied again but doctors said that baby is having some heart problem and the sevarity of the problem can be known after the baby birth and i should go for a planned delivery.doctors did a c section on cotober 21 2010.doctors said that babys problem is not that serious but it is a heart problem so we need wait and see for 7 days.on 5th day the baby is dead.i want to know is their any problem in me that it is happing like this...do i need o go for any test before planning for next baby.i had 2 c section till now.what are the chances for me for the next baby.how long do i need to wait and plan for next preganacy.", "output": "Hi, Thanks for the query. I am sorry to know about the mishaps in both of your pregnancies. I have read your query carefully, I feel both the times there were different causes forth outcome.(First time may be fall /hit to abdomen, high blood pressure or UN diagnosed placenta prefix & second time due to family history / viral infection like Rubella in first three months of pregnancy) Still You need to plan your next pregnancy with due precautions as follows. - Both of you get full physical check up & relevant investigations to rule out any existing health problem./ get safe alterations in regular medication for chronic illness. If any. Have a healthy lifestyle for 3 months prier to conception, see that you don't get any health problem & do not need any medication in those days. - Get Rubella vaccination 3-4 months before you plan pregnancy. If a pregnant lady gets rubella infection in first three months of pregnancy . The fetus gets congenital defects, one of them being heart problem. - Get you thyroid profile done before you plan for pregnancy. Normal thyroid hormone is essential for fetal developmental If you have any thyroid problem. It must be controlled before pregnancy & normal levels maintained throughout pregnancy with endocrinologists advise Once you get pregnant, be careful to follow doctors advise after regular pregnancy check-ups./ have healthy lifestyle/nutritious diet/ exercises & sleep. With a planned pregnancy & careful follow-ups you would be blessed with a bony baby. Rest assured. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi guys, Good a bit of issue, about 2 weeks ago, I noticed a pea size lump on my anus rim. Prior to that about a week before I was traveling oversea in South E. Asia and got diarrhea for about 2 days and had very red stools. I went to the clinic and they suspected food poisoning gave so medication to solidify my stool. To date, the pea sized lump is virtually gone, however I have noticed a white pimple spot near the anus. A bit worried about it, I ll definitely be seeing the doc next week when I have time off. Seeking a bit of insight to put my mind at easy. Look forward to your assistance.", "output": "Hi, Dear,Thanks for the query to Chat Doctor. I studied your problem in depth and I understood your concerns. Cause for pea size lump around anus-In my opinion your small perianal lump is -Sentinel pile, which would need confirmation from ER Surgeon, as it appears to be there long back, simultaneously and got detected now. This is non-malignant condition but needs treatment by an ER Surgeon.Hence, stop worrying about it, as it is not a CANCER as you fear and think, but do check it up from ER Surgeon. For Final Diagnosis and treatment needs clinical data from a Doctor. And Hence for further treatment I would advise you to Consult ER Surgeon, who would treat it accordingly. This advice is based on the facts from the history you give and needs further clinical check.Hence, I would advise you to check with ER Surgeon. So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you. Hope this would relieve your problem. Welcome for any more query in this regard to Chat Doctor. Write good resume and Click thanks if you feel satisfied with my advice. Have a Good Day. Chat Doctor. N." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I went to er Friday night for severe lower back pain. They did a ct scan and it was normal. They said it was probably a muscle strain and gave me pain meds and muscle relaxer. It s been 2 days and I m still in pretty severe pain. I can t walk, sit down, stand up, sit up from laying without a lot of help. The pain radiates into my hips,legs and sometimes groin area. I can t reach far with my arms without causing pain in my back. I can t move my legs very much without pain, I can t even wipe myself when going to the bathroom. The only relief I get is slightly reclining in a reclining chair and thats still painful. Should I go to my primary doctor tomorrow or give it a few more days?", "output": "Hi, You said you underwent a CT scan, and it is normal. Then it will be literally a muscle spasm. By meeting up a physical therapist he will help you a lot. Ask for a Therapeutic Ultrasound therapy and TENS for the pain. It will help you reduce the spasm and pain as well. Doing a little of core stability exercises will surely help and make your core stronger to avoid any aches and pain in the future." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, i am 50 years old male living with wife and have a son and a daughter,both are studying. for a few weeks a am feeling giddiness in my head . my work includes computer related work. i consulted a physician and he advised me x-ray of my neck. after seeing the x-ray film he advised me 6 hours use of cervical collar and neck exercises.on 18th of june, at about 11.30 in the night i felt very high heart pulpitation.i recorded my b.p.with a digital machine,it was about 160/100, pulserate 124. myhands and legs had been very cold,i felt very restless. i was taken to the local govt. hospital where they used saline and some injection. next day i consulted a physician(MD, Cardiologist). he advised me petri beta-10 in the night and after ECG diagnosed anxiety and stress. the other day ,i went to patna and consulted a DM Cardiologst.he did HOLTERMONITER TEST AND TMT and said that i have no cardiac problem and advised Rivotril 2.5, half tablet every night. i came back to my place and started doing neck exercises. on 25 june ,i took harassment due to certain marriage ceremonies and in tne night my B.P. again shoot to 177/90, pulse 115. I took one full tab. og rivotril and again went to the hospital where they gave me dexona and some emergency medicines.but on this day i was more relaxed than the previous one. last night my B.P. again shooted to 160/90, pulse rate 125. i took half tab of rivotril and one tab of petril beta . after half an hour , imy B.P. was normal i.e. 116/76, pulse 75. my question is what should be my next step of treatment and why is my B.P. going high suddenly., why my heart beat excelerates so much and if it happens in the night , what damage it can do.", "output": "Degree understand your concerns went through your description. I suggest you not to worry much. From the given details, I can surely suggest that you are anxious. Stress and anxiety go hand in hand. The high blood pressure with tachycardia without any cardiac or digestive symptoms surely points at anxiety and apprehension. You should learn to relax and handle the stress and anxiety. Do not take self medications. You may also be obsessed with blood pressure monitor. The moment you tie into your arm, the BP rises, but in actuality it is not. Therefore, please do not take BP medicine without expert advise. Continue the current medicines, exercise, do relaxation exercises, meditation etc. Psychotherapy treatment should also help you immensely. If you still require my services on this aspect, you may post a direct query to me on this portal. Please include as many details as possible. I shall provide psychotherapy treatment tailor made for you which should help you good. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was on my normal 5 mile walk yesterday and all of a sudden going up a hill I got this sudden sharp pain that ran thought my knee cap. Almost like an electrical shock. Only lasted a few seconds but started walking and it happened again. Got home did the whole ice, elevate and did some stretching. Doesn t bother me to kneel or go up stairs. Today I ve has a few (3) episodes. It s totally random. I do have osteo arthritis. Any thoughts?", "output": "Hi I did review your concern. Your electric shock like sensation over knee could be due to nerve root irritation in the back like lumbar spinal stenosis and typically occurs when you extend you back or walk on toes. I would advise you to consult an orthopedic surgeon who can help you with diagnosis or a neurologist who can also run tests like Nerve conduction tests. A spinal MRI after detailed neurological test would be highly advantageous here. I hope this helps. Let me know if you have any more questions or concerns. Wish you healthy and happy life ahead." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, my wife has a dry cough for sometime now, and had a history of Asthma long back in the history, and was told by the doctor then that although it is cured now, it can relapse after forty. She is 34 now, and the doctor yesterday prescribed her to take foracort 200 inhaler from Cipla for 6 weeks, and said that it is not for Asthma but the component in it addresses Allergic condition that she is prevailing now due to which the cough is occurring. Can you please confirm if the use of this inhaler can tend to become habit or is a curable method?", "output": "Hi, Thanks for posting your query. As your wife has past history of asthma, there is high chances of persisting asthma. Foracort 200 is meant for the same purpose. Still you should consult with internal medicine specialist/ chest physician and should go for thorough check up. Inhalational therapy (by forecourt) has been defined the best therapy. By this route, medicine directly reach up to the lungs and whole body is prevented from the side effects of the medicines. Medicines available in inhaler is in microgram while medicine taken orally is in milligram, so by this route body is exposed to less dosage. Asthma is an allergic disease and if it is occurring in adult age then chances of permanent cure is least likely. It can be controlled but can't be eradicated. If body needs use of inhaler for getting relief then it can't be labeled as habit. Take care," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am Sarmistha . I want to know about my fathers health. At pre sent he has creatinine level 1.5Now he had done a X-ray report and ultra sonography . In ultra sonography report there is no calculus found, but in X-ray report there is upper pelvis multiple calcification. Is it very serious problem?", "output": "Hi Samantha, Looking at the radiological and ultrasound findings, in my opinion these are normal age related changes. The pelvic calcifications seen are due to calcium depositions in the pelvic veins. It is normal age related degenerative change. The ultrasound findings are normal and there are no stones. Creatinine levels are dependent on muscle mass and exercise. 1.5 mg could be normal. Require further history of diabetes or hypertension or any renal related abnormalities to further confirm. Any further queries, happy to help again." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi there.i was diagnosed with sgot 103 and sgpt 168.it was down from a high of 203 last month but sgot was up from 83.i need to lower down this figures within 1 week.what could be the best thing to do?please help,i feel a lot of pressure right now.tnx in advnce.", "output": "Dear Friend, greetings from Chat Doctor. I understand your concern. You need to fund out the reason for high GOT and SGPT levels. It could be some inflammation and as the inflammation of liver subsides even the liver enzymes also come down. You do not take alcohol, avoid more of carboy Chat Doctor. Take more of green leafy vegetables, fruits. Do walk daily for an hour. You will be alright. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had breast reduction surgery four days ago and I have a slight yellow discharge coming from the incision, it is constant slow drainage, it took all day to soak through a piece of gauze. I also have a small blood blister on the incision..is either an infection? Should I caal my doctor?", "output": "Hi, Welcome to Chat Doctor. I understand your concern and yellow discharge and a blister does indicate infection. Thick yellow discharge and foul smell indicates infection by bacteria like staphylococcus. You might be prescribed antibiotics and painkillers to be taken after the surgery. I suggest you get in touch with your doctor and get the prescription for antibiotics extended for 7-10 days. Also get the wound Chat Doctor. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My dad had a compression of D10-D12 vertebrae because of a fall. He is completely on bed. how long will it take for him to get better. As a follow on, what is the diet he should follow so that he can regain the spinal strength. Will he be able to lead a pain free life.", "output": "Hello. I have been through your question and understand your concern. Generally after a fracture of this kind of it is stable (like I suppose in this case, otherwise your dad would have had spinal fixation) it is recommended a 6-week bed rest. Afterwards he can return to his normal activities with certain precautions. Generally these cases go well. He might have some back pain, but not serious or debilitating kind of pain. Wish your dad the best health. Please feel free using MHC again." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I would really appreciate if some one could he ll me with this. I used to be on a lot of mood stabilizers but my doctor felt I was on too much of the same things. Since November last year I came off 800mg of Epilum and 100mg of Seroqual. My doctor says I m still irritable and hyperactive because of the withdrawal. After this time period is it still possible? Many thanks", "output": "Hello, Thanks for choosing Chat Doctor for posting your query. With Chat Doctor. If you are having bipolar mood disorder, then you are prone to develop anxiety disorder as well. You should visit your psychiatrist and insist him to add up a benzodiazepine until you recover with your symptoms. CBT will also help you a lot. Take proper diet and plenty of exercise. Hope I have answered your query. I will be more than happy to help you if you need any further clarifications. In case if you want to discuss with me directly you can use the link:http://www.ChatDoctor .com/Funnel?page=askDoctorDirectly&docId=64634Wish you a good health!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi sir, i am 30 years, male. i am masturbating since i was 12 years old, now over the years it become my habit, i do it every night now. sometimes 2 times in night. result is i am underweight, seek person, i got tired easly. my penis erection is not as hard as it used to be, also i ejaculate early. even if when i am not doing masturbation but looking/reading/thinking any erotic thing, something like waters come out from my penis continuously. please help me", "output": "Degree understand your concerns went through your details. Let me assure you, masturbation in moderation is good for health and is a stress buster. Moderation means, in your age, thrice a week or so. Never twice daily. This habit also shows, you are not engaged in any other physical activities and job related activities, and you have enough leisure time. Exercise rigorously and be active and take interest in your job. Automatically the masturbation addiction comes down. I don't see masturbation directly affecting your health. But anxiety based on masturbation can affect your mental health. You could need psychological counseling. If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my husband has had a by pass 10 years ago in 3 major veins he also had a stent put in one of his veins lately. HE ALSO HAS DIABETES.He stopped all his heart pills except those of diabetes.He is now spitting blood especially in the morning. Do you think that this is because of the stent? Thank you", "output": "Hi, dear. I have gone through your question. I can understand your concern. Spitting of blood may be due to many reasons. He may have cirrhosis of liver or some problems in lung. You should go for ultrasound abdomen and x-ray chest. Search the cause and take treatment accordingly. It's not due to stent. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 9 year old son fell and hit his forehead near the hairline on a slide at the playground today. Its bruised around the site but its indented. Ive never seen this before. He says it hurts to touch, no headache or any other symptoms. Should I take him in?", "output": "Hello, Welcome to Chat Doctor, As the injury is on forehead and indented, there are chances that there is an underlying fracture of the skull bones. You should take him to a nearby hospital and get it checked as early as possible. Please get an X-ray/CT scan to rule out fracture. For the time being, you can give him Arica 200, 1 dose now and second dose tomorrow. It will help in reducing pain and speedy healing. Hope it sorts your problem." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Dr. From past few days i feel mild pain on my stomach (i believe its due to because of my tight pants) and 4days before when i was pooing solid semen came out from my penis.. when i tried to discharge the stool liquid semen also coming... same thing happened yesterday also? can u please advise me wht i have to do?", "output": "Hello, There could be simple logical explanation for this problem is that you might have retrograde ejaculation means semen enters your bladder instead of coming out of urethra or there is some semen left in urethra after the last ejaculation. However, it's not possible to have semen in bowels, that whitish discharge could be due to mucus in stool which could be a due number of reasons like infections, fissures, bowel obstruction or Crohn's disease. I suggest you to visit your doctor for detailed checkup regarding your problems and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Please excuse my writing skills as I am a construction worker and truck driver. I am off a recent bout with pneumonia and plurasy (no idea how to spell that) I was in the emergency room three time in jan with both lungs spotted with pneumonia and could not breath deep could not stop coughing its april now and just went back to work concreting and lost my breath very fast and powered through it but had a coughing fit and it feels like I have been kicked in the ribs, its in one spot on the bottom in the back on the right what can I do. it hurt before and was better but never comfortable. I hope this makes sense and thank you for reading", "output": "Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. Travelling is a risk factor for pneumonia. So in your case, since you are still having coughing and chest pain, better to consult pulmonologist and get done1. Repeat chest x ray2. PUT (pulmonary function test). Repeat chest x-ray is needed to rule out worsening of pneumonia. PFT is needed to rule out bronchitis as this is common after pneumonia. You may need inhaled bronchodilators and antihistamine Chat Doctor. So better to consult pulmonologist and first diagnose yourself and then start appropriate treatment. Don't worry, you will be alright." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Squeezing pain under my left breast Q: Hi Dr., I m a 49 y/o male, 5 10 tall, 83kg in weight, don t drink and smoke. On Propranolol 20mg x 3 time/day for palpitation and blood pressure. My palpitation and blood pressure started July last year, in the wee hrs in the morning while sleeping. Rushed to hospital and said the cause is anxiety. Until to-date, the doctor/s could not figure it out the actual cause of my palpitation and blood pressure. Stress test (treadmill), Echo, and ECG were done and shows normal. Have done laser surgery for nasal swelling a yr ago. Have been treated for mild bronchitis, and use inhaler whenever I feel chest tightness. Palpitation & BP are under control. My total cholesterol test today shows 4.39 mmol/L.Past few weeks, I am getting squeezing pain under my left breast (off and on) which is quite painful and lasts for 2 to 3 mins. I m concerned about the pain and seeking help. Please help me. Thank you.", "output": "Hi, This is likely a gastritis and acidity problem. Avoid fatty, oily and high calorie diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Lots of green leafy vegetables, fruits. Avoid smoking and alcohol if any. You can get prescribed tab Pantoprazole before breakfast once a day for 2 weeks. For pain, you can ask for antispasmodic like Dicyclomine. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Sir , I have baby Boy age is 14 Month. He start walking in the end of 9th month. he was dancing & capable of walking without support. But from last 25 days first he started disbalancing in his walk later in 10n -14 days he stoped walk. now condition is that he can not stand with out support. he has started some shaking of body parts. from last two or three days his eyes are also not stable once he see on the upside his forhead. for few seconds he was doing it but now he is doing this activity frequesntly. Please help to understans about this problem. MRI for brain & Spine is normal. EEG is also normal.Please help....", "output": "HI...by what you quote I feel that your kid is presenting with a classical history suggestive of - 1. A neurodegenerative disorder or2. A sub-acute form of cerebellums most probably viral in origin or post viral. If it is neurodegenerative disorder - normal MRI doesn't rule it out in the early stages. But acute or sub-acute cerebellums should have been picked in the MRI brain. I suggest you consult a pediatric neurologist for this. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, i have 3 small boils on my sac, one on the base and 2 on the sides. They are painful to touch and it is also making walking difficult. I have not had sex for more than a month now. Should I regulate my diet/ take any specific medication/ topical cream? Please advice.", "output": "His understand your concern. If some patient walk in my clinic with this complain then I prefer both local and systemic antibiotics. Local application of TB ACT. Or neomycine cream over boils three times in a day. Systemic antibiotic like definite or cefuroxime for 7 days. Take analgesic like diclofenac with paracetamol to relive pain. Avoid sex till healing and use loose undergarment, wash with warm water. I hope I have answered your query. Still have a query then feel free to ask. Thank you. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Red spotted rash on face, bilateral arms and legs, torso, chest and shoulders and upper back. Vitals normal. Now having chest pain that radiates through to right of my thoracic spine. The chest pain mimics heart burn and seems to be coming in waves. Finished (dental prescription post root canal) oral clindamycin treatment 4 days ago, during end of treatment I did notice some slight redness to my left cheek, but figured it was the sun or heat.", "output": "Hi I do care for your concern. The red rashes may be caused due to sun exposure or even trivial exposure to allergens, and to some extent caused by the rug that you are taking. The higher antibiotic such as Linda may cause heart burn. If I were your treating doctor then I would advise, To start on oral anti ulcer Chat Doctor. Hope I have answered your question. If you have more doubts feel free to ask. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir, Recently I have gone medical checkup, it was noticed that Liver size is normal with increased echopattern. The IHBR aree dilated. No focal SOL is seen. Portal vein is normal in callibar What it means, what are the symptons normally we see in this regards. what do you suggest, whether is it serious in nature.", "output": "HelloIncreased echo texture of liver may indicate fatty changes in liver. It may be due to many reasons like obesity, sedentary lifestyle, hepatitis,alcohol intake, altered lipid profile, diabetes mellitus, medicines etc. You may need few more investigations like routine hologram, random blood sugar, liver function test, lipid profile. Other findings in liver are normal. Intrahepatic biliary articles(IRS), portal vein are normal. You should increase your physical activity and avoid fried and fatty food. Fatty liver is a reversible condition. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Yes, I have been having some watery red spotting after I wipe when I go pee pee. I have been the the doctor three times and I gave them a urine specimen. The first time, doctor diagnosed me with a UTI, but wasnt sure if it could also be a yeast infection. So, she prescribed Bacterim for 5 days but it gave me diahhrea so Dr. changed it to Cipro, which worked fine. She also gave me a one time pill to take for the yeast infection after finishing the Cipro. I took all my medication. During treatment, I saw a little spotting of watered down blood after wiping my pee pee. Dr. took another urine exam. Said I never had UTI but that I definitely had a yeast infection. I finished all my meds so I waited to see if I would be okay and it seemed as though I was. Yesterday, when I went pee pee, I wiped and saw some more watered down red spots on the tissue. I returned to the Dr. today who ordered a urinalysis. He is having me worked up for bladder or kidney cancer just as a precaution. Still dont know what is causing the sporadic blood spots. Pls. advise.", "output": "HIT hank for asking to ChatDoctorI really appreciate your concern, you gave your history in detail but the important things you missed here, your age and gender which is extremely required in your case, just think it about you are asking a medical person without saying anything, who you are Male or Female what the age, how I would be able to advise you, on other hand your complaint is dam related with your age and gender, next time take care, bye" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "What would you say is the problem if I m experiencing more bloating than normal, specifically in the face, and I notice I m more sensitive to alcohol, experiencing blackouts after drinking alcohol but not what I would consider an excessive amount... Could this be a sign I need to cleanse my liver? Or could I have Candid overgrowth?", "output": "Hi, thanks for using Chat Doctor If you are experiencing black-outs in response to alcohol use, it would be best to discontinue the use of alcohol even if you are only using small quantities. It is possible that alcohol use can affect the liver particularly if it is used repeatedly but liver disease itself, unless very severe, would not normally cause loss of consciousness. In terms of candida overgrowth, this is not a known cause of black-outs. Other potential causes would be electrolyte disorders, heart disease, low blood pressure, deny Chat Doctor. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi...I have a 4 year old girl and she has been sick fir a few days (fever and not very hungry). I noticed today that she want able to make itvuo the bathroom in time, so she urinated on herself. The urine smelled weird...kind of fishy, but definitely strong. I am concerned at what it could bevand whether I should take her to the doctor. Please help me. Thank you.", "output": "Hi, thank you for the question. It looks from your history that your child might be having a urinary tract infection which can be confirmed with a urinalysis and if confirmed can be treated with a course of antibiotics like definite. You need not worry about the loss of appetite which is due to fever, once your child is started on treatment and the fever starts coming down the appetite improves. You should take your doctor to a pediatrician. Chil Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have my first test tomorrow in my history class and today I woke up feeling very tired and weak. I have had body aches all day and my throat sort of hurts. I recently got a flu shot about a week and a half ago because the flu had been going around the college I attend. Am I coming down with something?", "output": "His have gone through the question and understand your concerned symptoms that you are having are quite common after flu shot as body shows some reaction while building resistance against a particular antigen. So, no need to worry about it as it will subside within a week. Although if it stays for more than a week, then you should consult your physician. Hope this was of helped me know if you have other queries. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "About 1.5 years ago I started with a wart on mid-finger (rt) hand. I have tried OTC remedies i.e. compound W and Freeze Away. It would kill the top surface of the skin, but would continue to grow afterwards. ( Seemed as though it fertilized them). What started as one went to 5 on mid finger, 1 on ring finger, 2 on index finger, 1 on knuckle on rt. hand m.( index ). as well as one on left thumb knuckle joint. The big one on mid finger is cracked in 2 different places and occasionally bleeds. I m sure this has some to do with the Papilona HIV. virus. Can these be burned off by a dermatologists?", "output": "Hello, I understand your concern. I am Chat Doctor, infectious disease specialist, answering your concern. Wart is caused by the HPV virus. Not HIV. Yes it can be burnt of by the phenol by the dermatologist. But wide variety of the treatment is available for wart to treat depending on the size, location and severity of the infection. Visiting the nearby doctor can help you further. OTC remedies won't help in your case instead it worsens the case. So please do not take the OTC medication. If you are sexually active and genital warts, please take the treatment from both the partner and avoid sexual contacts till you are receiving treatment. I will be happy to answer your further concern you can contact me here, or you can contact me on bit.ly/ Chat Doctor. Thank you, ChatDoctor" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my name is Greg Bernstein and my x-wife has filed for her fifth divorce and has blamed all ex-husband.Bottom line,I didnt want one. I was a fine human being and was a very good husband. Sidney is morbidly inconsiderate of others and her husband of thirteen especialy me because of close quarter living and never showed remorse but would blame me for verbal abuse when I was angry with a just cause. She was a chronic blamer with constant excuses for her behavior, she lied through omisson , lied for no reason, had a mask,or fascasde ,front, act, lived in denial, extremely defensive, even with mild criticism, nerver could hold her self accountable or take responsibility, manipulative in ways that were suttle unforgiving,bring petty little things from a long ago past,remembering things that I repented and redeemed myself of before before I was repentive talk the talk,uncoperative, arrogant, defiant, mocking insolent,Very knowledgeable of Bible Road Less Traveled and never applied any of it. As her husband and a good one, she is absolutely shameless about her 5 divorces and I was nowhere on her priority list. She could be very sweet and angelic to the public and performed excellent as a hopice nurse and was a a workaholic and entirely unavailable . Her Father was a violent Alcoholic that she was terrified of and had an unloving mother. Her Father divorced 5 more times. I have OCD; what is wrong with Sidney? My OCD has been in remission for many years. Thank you Greg", "output": "Hi and thank you so much for this query. I am so sorry to hear about this. It can be so overwhelming to have a wife who portrays all these characteristics. I can only imagine how difficult she is to deal with. Having gone through 5 divorces, there must be something fundamentally wrong with her attitude that needs to be ad Chat Doctor. I cannot think all the 5different men are the problem. Well, I think she needs some serious counseling. Look for someone that she really respects and identifies with to try and ad" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI SIR , MY FATHER IS ON DIALYSIS IN 2 TIME IN WEEKLY... HE IS A DIABETIC PATIENT AGE IS 58 AND ACCORDING TO DR. HE HAS A KIDENY DISORDERS . CREATININE LEVEL AND UREA LEVEL IS HIGHFOLLOWING SYMPTOMS ARE SEEN :::1.BACKPAIN2. SWELLING BETWEEN BOTH LEGS3. HEADACHE. 4. WEAKNESS. ACCORDING TO DR. ONLY DIALYSIS IS OPTION ,, HERE MY QUESTION ANY OTHER SOLUTION ON THIS CONDITION .,", "output": "Hello. Welcome to Chat Doctor. I have read your question and understand your concerns. Once END STAGE KIDNEY DISEASE occurs there are only 2 options available to the patients.1. Regular maintenance dialysis for lifetime.2. Kidney transplantation. My advice to you is-1. If you can find a suitable donor for kidney transplantation then it will be the best treatment available.Meanwhile, maintain regular dialysis is essential for continuation of life. We can't stop dialysis of a failing kidney otherwise person cant survive more than few weeks.2. The symptoms you have mentioned are all due to kidney failure. Just ask your doc about in.erythropoietin to increase his HE levels. Avoid excessive salt and water use. Avoid any type of painkillers and excessive protein diet.3. Do his kidney profile every monthly and keep in regular followup of your nephrologist. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, My wife took a postpone tablet on the 28th day of her cycle and on the same day we had unprotected sex. She also took a emergency contraceptive pill (iPill) after 48 hours of our intercourse. She has not got her periods yet. and today is 32nd day after her last period. Is there any chance that she is pregnant?", "output": "Assuming that she took the pill within 72 hours of intercourse as you describe, she shouldn't be pregnant. The fact that her period is delayed may be a result of the pill which can sometimes cause irregular periods. However, if you also had intercourse at any other time in the cycle, without taking the pill or using another form of birth control, then she could be pregnant. I would recommend taking a pregnancy test either way, just to make sure she isn't pregnant. I hope this answers your question, please let me know if you need any more information." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am 50 yr old female I had mono last February and I have the same symptoms again. Low fever daily constant fatigue. is it possible that it has just returned. The Dr. couldn t do anything for it the last time should I make another appointment to see him.", "output": "Greetings from Chat Doctor. Thanks for posting your query. Fever and fatigue can be caused by any infection. Infection most commonly happens due to Virus or bacteria. Even MONO is a viral infection. Among viral and bacterial infection, most of the viral infections are self limiting, means there will get cured by itself in 2-4 days. So my advice it to wait for 2-3 days, you can take Tylenol for fever, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor,i have done liver test. In the result, SGOT is high as 140 but SGPT is in normal value. let me know whehter there is any problem due to this value. i have undergone treatement for TB 7 years back and for jaundice 12 years back. will it be a reason for this high level", "output": "Hi thanks for asking question. You have not mentioned which type of jaundice do you had in past?? You have taken antitb treatment which can lead hepatotoxicity and lead to hepatitis. So Chat Doctor. Just now viral cause for hepatitis has to be ruled to put by doing viral marker.Bag carrier can lead its elevated value. Fatty liver also can lead its elevated value.USG will be helpful for that. Sometimes previous heart attack and muscle injury can lead to elevated liver enzymes. It is better to repeat value after 3 months if cause is not clear. If still cause not clear and value increasing then USG and FNAC can be done as further work up. For that consult gastric surgeon. I hope I have solved your query. Regards;" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello. 43 year old Male. I have a small red lump under my tongue, at the base of the Frenulm area. It showed up yesterday. It had a whitehead on it, but red now b/c I was squeezing at it thinking it would pop. Its not painful. And just feels a bit weird, like extra flap of skin at the base of the tongue. From what Im reading, blocked saliva gland or small cyst it sounds like... but Im not sure. Should I be concerned? Thanks.", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. Thanks for your query. The symptom you mention in query are clearly indicate that it is a swelling of connective tissue filled with much leaked from rupture salivary gland duct due to minor injury. The condition is known as manual. Small manual do not require any treatment. I would suggest you to consult oral surgeon for proper examination and treatment. Doctor may order biography, sialendoscopy, ultrasound or CT scan. Doctor may Chat Doctor. Doctor may also go for steroid medication. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My cousin who is 58 year old male is having certain signs of physic whcih needs treatment:1. His sister is totally mentally sick and she refuses to take medicines. I feel this sickness is in the family , that means it is hereditary. They have another two brothers which also have light signs of this ailment. 2. This cousin to whom am referrring gets irritated for little things. But he does all the work well but he gets some sound which remains in his memory and haunts him all the time those illusions. I am trying to give him Parocen 25 mgs , one per day for 6 months and than reduce it to 12.5 mgs. With this treatment I feel he should be given a tranquilizer of 1 mg and again reduce to half.at night. 3. I would like to know whether there will be any side effect or any other treatment is suggested?Kindly give me your feedback Doctor.Stephen Dias, Goa YYYY@YYYY", "output": "Hello and welcome to Chat Doctor. Thanks for your query. I understand that you are concerned about your brothers psychological problems. From the limited information that you have provided it is not possible to pinpoint a definitive diagnosis. A detailed history and proper psychological assessment is necessary for this. Regarding the medication that he is on - Proven (Paroxetine) is an anti-depressant medication and Located (Clonazepam) is a sedative / antianxiety medication. Without confirming the diagnosis, it is not possible to say whether this medication are appropriate for him or not. I'm not sure if he has been seen by a doctor and then prescribed this medication. If not, please take him to a psychiatrist for a detailed evaluation and further treatment. Wish you all the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been diagnosed with degenerative disc disease. I am 66 yrs old, physically active, working as an RN. I have experienced back issues for years and am under the care of a Chiropractor. This week, XRays revealed above dx. Was told I had the spine of a 90 yr old and needed to be careful. Shocking as well as frightening. Looking at the reviews of Instaflex , and pondering the validity of the claims. Thanks so much,", "output": "Hello, Thanks for your query. It seems you are suffering from degenerative disc disease & it occurs due to repetitive overload or stress to the disc & it increases the risk of disc herniation & spinal canal stenosis. The main treatment of such pain is bed rest along with painkillers and muscle relaxants. Muscle relaxants can help with your symptoms if used in appropriate dosage in combination with a potent analgesic. You can get the appropriate Chat Doctor. Meanwhile, you can follow these measures:- If the pain is severe, you need bed rest till the pain resolves. - Get some analgesics prescribed and apply analgesic spray or ointments.- While resting, keep a pillow under your knees if it doesn't bother you.- Avoid lifting heavy objects.- Back strengthening exercises and stretching exercises daily as advised by a Physiotherapist.- Avoid exercises in times of pain. - Improvise your posture while sitting.- Using an LS contour belt of appropriate size might be helpful in providing support to back muscles. Also, maintain a proper posture while working, sitting and standing. Keep your back straight. Physiotherapy plays a major role in treating such conditions. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello.. Im wondering if there is a difference between a torn disk, herniated disc, bulging disc. are they different or basically mean the same thing.. ? a mri has shown 2 tears with mild bulging in my l5 s1 disc and herniation in l4 l5? what should I expect from this? I have already had surgery on l5 s1 in 2009. just wondering if I will need another surgery for this?", "output": "Hi the various conditions you have described as torn disk, herniated disc, bulging disc. Are stages of the same processes. First annular ligament is torn and a part of disc bulges out, then it goes beyond the boundary of disc into neural space(herniation). Only these conditions don't determine whether you need to be operated or treated conservatively. Majority of disc diseases do not need operation. I suggest you take painkillers, muscle relaxants and physiotherapy, and if there is no relief then go for orthopedic consultation." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, My son is eight years old, he has got beside his knee black rash, it looks, as if boil water or oil spills it was looking like a boil, Initially i thought boil water would have splashed, but now it is black flat rash. This rash is dry and itches for him, and nearby the rash small black rashes also started appearing, i consulted the doctor they gave him a cream ( iam sorry unable to remember the name of the cream) and every night one small table he has to have, after having this tablet and applying the cream, no changes, what could be the reason plz help", "output": "Hi, The rash could be a keloid or a hypertrophic scar. But there is another possible diagnosis too. So, it is very important to confirm the diagnosis by proper clinical examination before initiating the treatment. I request you to consult your Dermatologist for confirming the diagnosis and for initiating the proper treatment. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, my dad has eosinophilia and for the last few months, right before bed, starts acting extremely strange, he forgets that his sons are home and I guess he just acts like a zombie, very strange. He also sometimes gets dizzy, sweats, nausea, and pain in different spots, including minor chest pain. Could any of these symptoms be caused by eosinophilia?", "output": "Hi, dairy have gone through your question. I can understand your concern. Her forgetfulness is not due to eosinophilic. Dizziness or sweating are also not related. He should search the cause of eosinophilic. Asthma, allergy, hypersensitivity, parasitic infection etc. can lead eosinophilic. Investigate for the cause and start treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i am a gay man and have noticed that when ejaculate my semen is clear with a slight brown tinge to it ..this been happening now for the last couple of weeks..I am now experiencing a pain in my scrotum ..i had an ultra sound a week ago and was found to be clear of anything.. i am also experiencing a slight burn sensation when i pee..", "output": "Good Day, and thank you for being with Chat Doctor ! I would suggest doing an urinalysis to check for infection. A semen analysis with culture would also help determine if there is an infection. Most common cause of brownish discoloration of the semen is still blood brought about by inflammation and rigorous sexual activity. Pain in the testis could be inflammation also from trauma and will resolve with rest and adequate pain relievers. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: http://www.ChatDoctor .com/doctors/ Chat Doctor. Best wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had sore throat since last Monday, I have trouble breathing since Tuesday morning. Saw doctor that evening and he said i have throat and lung infection and gave me antibiotics. Today is Sunday and I am still coughing, no more runny nose, at times I cough out pleghm with blood and I notice a tiny black dot on my throat and 2 white spots (look like ulcer) inner throat near tonsil. What could this mean?", "output": "Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. You are having hemoptysis (blood in sputum). And it is seen in following conditions. 1. Tuberculosis2. Pneumonia3. Bronchitis4. Lung cancer etc. So better to get done1. Chest x-ray. 2. PUT (pulmonary function test). 3. CT thorax if required. Chest x-ray and CT thorax are needed to rule out tuberculosis, pneumonia and lung cancer. PFT is needed to rule out bronchitis. So better to first diagnose yourself and then start appropriate treatment." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "dr. im 42 years old, my first baby expired before four years who was 10months.my and my hsbnd reports are fine.why i cnt concieve again .he dnt want I.V.F.how i can concieve natarully.wht is my healyh problem.i want to concieve naturully as soon as possible not by i.v.f.can m2 tone help for it.", "output": "Hi, I guess your concern is about getting pregnant, naturally without IVF, at the age of 42 years. You have mentioned that you are taking medicine - M2 tone for regularization of menses. The dose and since when you have started taking the medicine is not shared by you. After taking the medicines whether the menses have become regular or not, it is also not shared by you. It is natures rule, as we get older the functions of our body will be decreased quantitatively and qualitatively. The ovaries also decrease in its function as women become old. The reproductive age group, that is maximum chances of conceiving is more usually at 20 to 40 years. Around the age of 50 to 52 years, women stop her menses. This indicates she can't conceive anymore. The age 45-48 years is a transition zone from highly reproductive age group to the age group where menses stop. And here the chances of getting pregnant are not as high as reproductive age group and not low as 50- 52 yrs of age. But still there are a chances of getting pregnant in this transition age, and you are at 42, so there is a hope of getting pregnant. Be positive and don't lose hope. However, irregular menses at this age decreases the chances of pregnancy. But, as you are on medicine for irregular menses, once the menses becomes regular, the chances of getting pregnancy increases. So there is double positive hope for you. Some people thought they are in reproductive age group, because of problem, either in husband and wife, chances of getting pregnancy decreases. You have told that MY AND MY HUSBAND REPORTS ARE FINE. So there is triple positive hope. As you have lost your first child, and you are at the transition zone, it's better to go for an accelerated method of pregnancy. The accelerated methods are-IVF, GIFT, GIFT, CSI. The advantage of accelerated methods is getting twins of triplets is also there. My suggestions:1. Have patience. Wait till the menses becomes regular. Then pray to God for natural method of getting pregnant.2. At the age of 42, transition zone I would recommend u for accelerated methods - assisted reproductive techniques (ART) - IVF, GIFT, GIFT, CSI and to visit nearby infertility specialist to know pros n cons of each. I pray God to give strength to your family about the loss of first child and bless you with a cute and healthy baby as soon as possible. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Is there any evidence , of any sort, that connects pseudocholinesterase deficiency to an inability to process alcohol? or any evidence that suggests pseudocholinesterase deficiency could amplify the effects of alcohol on the liver? I have a relative that has liver cirrhosis and claims that she was told that her pseudocholinesterase deficiency accelerated her liver problems as it caused her to not be able to process alcohol as well. I have not been allowed to talk to her doctor, but all the research I have seen on pseudocholinesterase deficiency says that it only effects the bodies ability to deal with specific drugs in anestecis. Just trying to figure out the truth.", "output": "HIT hank for asking to ChatDoctorI really appreciate your concern if this is the case of liver cirrhosis then here truth is this that alcohol has done the job and the degenerative process have been started there now if the deficiency of pseudo cholinesterase if taken into consideration then this is of no value or does not prove anything or it won't help the patient in the prognosis, hope this information helps you have nice day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir; my seminal analysis is as following: Liqueficatior complete:2 hours, volume: 8ml, PH:1.5, viscosity: viscous, colour: normal, sperm count: 70.4million/ml, total count: 105.6million, Pus cells and RBC: 0-1, bacteria: 0, Spermatocy e:0-1/HPF, Fructose:278, Morphology: Normal-35% Pathological: 65%, Motility: (after 30 min, 3Hrs and 6Hrs respectively): Motile-30%,25%,20% Sluggish-20%,20%,25% Immotile-50%,55%,50%. Activity after 3 Hrs: very active-15% moderate active-35% slow active-50%please sir is my analysis bad? can i be father or not???", "output": "Hellothank you for trusting ChatDoctordear nothing to worry your semen analysis is normal. Below some values of semen analysisVolume: 2.0 ml or moreover Concentration: Over40 million totalSperm Concentration: Over 20 million/morphology: 30% or more normally formedVitality: 75% or more alive PH : 7.2-8.0White blood cells: Less than 1,000,000/mlImmunobead test (sperm with beads): Under 20MAR test (sperm with RBC's) Coagulate, Liquify, and Agglutinate: Motility: 50% or more with forward progression; more than 20 motile sperm/color: Gray/Translucent No Clumping, Sperm-to-Sperm, and Sperm-to-Round Cell. I think I answered to your question if you have more questions feel free to ask." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my daughter who is nearly 17 has breath that smells like metal, we went to the doctors about 2 months ago because she was having bloating feeling and mentioned the breath then, he gave her some tablets for her stomach and said it should help the breath aswell, but the metal smell is still there, She has had it for a long time now??", "output": "Welcome to ChatDoctorI have read and understood your query and appreciate your health concern for your daughters of all you need to check few things is your daughter having oral ulceration. Dies she Has gum bleeds? Or there are recurrent episodes of cold flu or sinusitis? Bad breath can arise more commonly due to tongue, nose and gum problems beside other reasons. Your daughter can do few things to overcome this problems her to brush her teeth after every meal, use garlic and onions less in meals, gargle with mouth wash for at least 30 seconds. Floss the teeth. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My friend in London has been to every doctor there and still has such painful stomach problems she believes to be caused by parasites. She asked me to find out if there is a doctor here in the U.S. That specializes in this area that will do telephone consultation. She traveled extensively, is in so much pain she wants to die.", "output": "Hi. Thanks for your query and concern for your friend in London. Your history says that she had been to every Doctor there, has painful stomach problems. What she believes like having parasites may not be tried, and can be diagnosed and treated well. This is a treatable problem and once you get rid of the parasites, the pain should have been well controlled. The main issue is the pain in abdomen not getting OK in spite of visits to May Doctors suggest me the most probable cause as IBS, the Irritable Bowel Syn Chat Doctor. Yes, she can consult the Gastroenterologist in U.S. Second opinion of a Gynecologist to be sought after just to rule out any problems related to it. I hope this should solve her problems." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have swollen ankle, discoloration of the leg, above the swollen ankle for 6inches, the area of skin has turned black almost a band around the entire leg,above that the entire right leg is swollen and painful.I was advised to take motrin for the swelling. i have taken ibuprofen and the pain has eased. i am a black man in my mid 50es. what the cause.", "output": "Hi, thank-you for providing the brief history of you. As there is no mention the mechanism of injury in the history it appears more of the systemic issue and needs a thorough clinical assessment. As you are 50 years old this could be degenerative changes happening in the body. This is a normal human physiological process. Also, checking the kidney function test and vascular insufficiency will make understand the cause of the discoloration of the skin and swelling. The swelling without any Injury can occur due to two factors like kidney issue or the vascular insufficiency. Kidney function Test and Doppler scan Will help understand the possible causes and treatment will be guided accordingly. Regards Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Sir, I am suffering from hives since last two weeks. I have itching all over my body, most of the time on back, legs and arms with red patches and swelling with some welts on the skin. I consult to doctor and then they have given Atarax 10 mg, Cetzine medicines. Last 1 day back My doctor had given my blood test report in which all of the things was normal except ESR. My ESR 37 shows high little bit higher than normal. I was suffering from cold and cough and when these test has taken. Please consult me, what can be cause to get high ESR in my blood test report. How it can be controlled. Is this related to any cancer or This is to only due to allergy in my body as hives.", "output": "Hello, Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for you as follows:1. I would like to know more about your complaints like - a. did you have such hives in past? b. do you have any allergies? c. what was the cause of cough-cold? d. what is your hemoglobin level? e. do you have any digestive complaints? f. do you have any other medical conditions? g. do you take any medications regularly/frequently? h. what is your age? i. any weight loss, poor appetite, etc.? Above details would help me to know about your complaints better and therefore to make more specific suggestions for you. Also, there are many possible causes for hives. It is important to know more about your complaints before determining cause of hives and suggesting investigations.2. For symptom control, I would agree with HY Chat Doctor. 3. I would also suggest you to apple calamine lotion or moisturizing cream application over the itchy areas as well as " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good day,sirMy wife is suffering with typhoid fever at 99-99.5 degree for the last 1 month.he is taking medicines, but no recovery. temprature does not go to 98.4 from 99-99.5. doctor has not given any tablet for temprature like crocin.he said fever is due to infection.pl advice.", "output": "Hello, Welcome o Chat Doctor, As your wife is having fever for last one month it may be a fever of unknown origin (DUO) which should be thoroughly evaluated to find out the causes for the fever. As she is having for last one month all the relevant investigations should be done to rule out the cause of fever. As your doctor has prescribed paracetamol to reduce the fever, this Chat Doctor. The source of infection should be found out by the investigations. To confirm it has typhoid after having fever for last one month your wife should undergo stool and urine culture to confirm it. There are many conditions which can lead to fever of more than one month which should be evaluated thoroughly. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "had a teeth pulled 5/21. molar plus front 3 upper for partial denture. had descaling 6/16.. came down with parotis 6/20. hospitalized and treated. now have lump on outer gum of pulled molar that hurts. also, cannot open jaw..what needs to be done?", "output": "Thanks for using Chat Doctor. Read your query. The symptoms you have mentioned in the query, suggests the non-healing of the tooth socket and also there is a formation of abscess which is causing you the pain and difficulty in opening the mouth. I would advise you to visit your dentist so that he will have a look at it and if there is an abscess he can do the required treatment to induce the healing of the socket.Additionally, you will require antibiotic like amoxicillin three times a day and metro tablets, ibuprofen (if you are not allergic to any medication). Warm saline gargling will be of major help to you. Maintain a good oral hygiene and avoid vigorous gargling. Hope this was helpful. Thanks and regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my ten month old son just refused to eat his food n always in demand for breast milk n today he is having motions few days back he has got a very bad cough n the cough syrup prescribed by the doctor has got such effect over stomach but now he is not taking the syrup any more n got motions", "output": "Hello, The child may refuse to eat during coughing and cold due to the simple nose block. When there is a fever, appetite can go down naturally. You just need to HY Chat Doctor. If your child is active and playing well, no need to worry. He may start feeding, once cough and cold settles. If there is a high fever (102f or above), fast breathing or decreased activity, you need to consult a pediatrician. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "last night i had a terrible headache with lots of pressure in my head. i also had nausea, palpitations, confusion and weakness. i almost felt like i was out of my body watching what i was doing. i had chills for several hours and then suddenly i was incredibly hot and clammy. tonight i still feel a little lightheaded and my hands are kind of weak feeling.", "output": "DearWelcome to ChatDoctorWe understand your concerns went through your details. From the look and feel of the symptoms, it seems that, last night you had nocturnal panic attack. The cause most probably could be your stress. Try to recollect, were you stressed in the near past or are you doing something (job or burden) which continuously stresses you? Also recollect whether you had any abdominal or digestion problems or disorders on these days. It is quite natural, after panic attack, the symptoms do wander around. In any case, you should consult a physician for an investigation and further advise. If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail. Hope this answers your query. Please feel free to post follow-up queries. Available for further clarifications. Good luck. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son had a large patch of ringworm on back of his scalp. Lost his hair, took a whole bottle of oral meds to clear it. Seemed to be doing ok. Hair grew back. Now, same area, there s a patch of hard bumps. Some red, some pussi. Could it have not cleared up completely?", "output": "Hello, Welcome to Chat Doctor, I understand your concern regarding your skin problem and I hope I am able to help you in the same. Your child seems to have developed Tina wapitis which is a fungal infection of the hair which occurs mostly in young child Chat Doctor. The most important part of its treatment is the intake of oral antifungals which your child will start taking in few days. For the associated pain, you can give a simple painkiller like paracetamol in the right dose which is determined by her weight. Maintain proper hygiene of the surrounding hair also. Avoid use of hair oil. Wash the hair properly. This problem might take at least three to six weeks to completely heal. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been having heart palpitations for about six weeks. It started only when I layed down but now it happens more often. I do not smoke drink or even drink caffeine. It agrivates my gerd. I am 41 weigh 169 and am 6 1. My biological died of cardiopathy in his early 40 s. Most of what I read says not to worry but should I?", "output": "Hello, Herd is a common problem and It's rarely also related to heart disease. Most of the time, there is no need to worry. However, since you have a history of heart diseases, it's better to get ECG done and stress test like treadmill test which will rule out your concern. For Herd, you should avoid fatty, oily and spicy diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Lots of green leafy vegetables, fruits. Elevate head end of the bed or use pillows during sleep or rest. You can get prescribed tab Pan DSR 40 mg or omeprazole risperidone combination before breakfast once a day for 2 weeks. If not adequately relieved, then you should add SYR sacral O or genus two teaspoon three times a day for a week. Hope this helps you and get back if you have any doubts." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my name is Mrs.Farhana i am 30 having 67kg wieght. My last date was 1st January,2012 I am using (Dirogest 10mg) Once a day as per my Doctor s advice .. i need to know that how long i have to take this medicine is there any side effects..? and also please let me know that this medicine be helpfull for me getting pregnant. looking forward for a positive come back ..", "output": "Hi, Generally it is well tolerated. Digest is a synthetic form of female hormone progesterone that is commonly prescribed for delayed period, irregular or heavy menstrual bleeding, endometriosis and other conditions. By regularizing your cycle it will help in getting you pregnancy. To regularize the period it is usually given from cycle days 5 to 25. Its common side effects include nausea, vomiting, headache, and breast pain/tenderness. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 3 year old son had a basic allergen profile blood test. It showed low allergy to milk and undetermined allergy to egg whites and wheat. Doc will not refer him to an allergist for further testing. He just wants us to try an elimination diet for a few weeks. His only symptoms that we noticed are a rash (keratosis pilaris) and a runny nose. The allergen profile only tests for a few things. Should we insist on seeing an allergist?", "output": "Hello, If symptoms of allergy like a rash or runny nose improve after eliminating egg or milk, then probably you don't need to go for further testing. More than food other allergens like pollen, dust, mites, artificial flavors in candies, chocolates, juices, etcetera, can cause allergy. If symptoms are not improving, you need to go to an immunologist. In the meantime, you may have antihistamines medicine for symptom relief. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 40 years old - trying to conceive - have been on Clomid 50 mg for past 2 months - both times had 4 folicals ready - ovulated just fine - Progestherone levels very high after tested on day 23 of cycle- or 10 dayse after ovulation .Dr ask me to see him on day 16 after ovulation because he thought I might be pregnant - on day 24 I had like an light implant bleeding - and then on day 26 had like a period but only for 24 hours - even less - not that heavy as always only for 24 hours - I phone my dr and he wanted to see me straight away - then on day 28 I went and see dr - he did a sonar and then saw the fetus well to him it looks like the fruit bag and then also told me to start using Duphaston one a day for 10 days and toldm me that if I do not start with heavy period after day 7 of using it then have to go to do a blood pregnancy test - i did a homepregnancy test on the 3rd day of using the progesterone medicine and it was negative - what is the changes of doing it perhaps to early - what is the reasonf for me to test if possitive only on day 7 of usage on Duphaston?He also told me to contact him immediately if I would start with my period while on the progesterone .", "output": "Hi there, I have understood your concern and I will suggest you the best possible treatment options. Please do not panic. I will suggest you to get pregnancy test done at least 20 days after your ovulation date. It can be inconclusive before that. Please get mornings first sample of urine tested for pregnancy. In case of any doubt, blood beta Chat Doctor test and USG will be of help. Days of Phaeton tablet has no effect or relation with urine pregnancy test. May God bless you with a bundle of Joy. I hope this answer helps you. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,I am 31 year old and have 2 year old son. I was expecting my second baby in this june. Pregnancy went well till 38.4 weeks with all reports being normal. I do not have blood pressure or diabetes or any other health problems. Pregnancy went normal without any events. On 5th I did scan and babies weight was 3.0. Doctor asked us to take c-section date and we choose 14th june. Tuesday on 8th, I was feeling extremely tired and had cramps in my legs. I also was feeling less baby movements. I went to doctor and they checked heartbeats. It was 148. So, they told us baby is fine and come for final checkup on 11th. I went on 11th and doctor couldnt find babies heartbeats. What could be the reason for this? I had to take out still born child immediately with second c-section. Is it okay to try conceiving for second baby now? I had one cycle of my menstrual period in August. What kind of care should I take and what are the chances of getting similar even repeated? Doctor told me that there was blood clot in umbilical cord and so babies heartbeat stopped suddenly.Cheers,Shweta", "output": "Hello, I am very sorry for what you had to go through. Since you had a cesarean section just a couple of months ago, I would ask you to wait for a year before planning another pregnancy. This helps you to recoup, and the wound also heals in the meantime. The cause of the fetal demise is not a recurrent one. It calls for extra care during your next pregnancy in fetal monitoring. Please have a healthy diet and adequate rest. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i am a 21 year old man and am having a dry skin , accompanied by severe pains and itchiness every second of the day. The skin disease is located at my ankle joint and it started gradually from childhood. Now it has become so serious that sometimes i even want to cut that part of my skin off. i have also conducted a lab test and it came up that it was fungal spores. I have taken drugs like ketoconazol, flucloxacillin , rhizin, fluconazole but it didnt help. please help me as am really suffering. i have taken pictures of it and wish to send to you so you know exactly how it looks like. Please can i get your email so i mail it to you?", "output": "Hi, thank you for your query. The fungi infecting skin are called dermatophytes. These are the parasitic fungi that cause skin infections such as athletes foot and Tina courts. Most dermatophyte fungi take the form of a mold or spore when cultured. What you are suffering from is called Athletes foot. Is a fungal infection of the foot. It causes peeling, redness, itching, burning, and sometimes blisters and sores. Athletes foot is a very common infection. The fungus grows best in a warm, moist environment such as shoes, socks, swimming pools.to treat athletes foot you should treat the current infection and prevent any further infection treat the current infectionTopical antifungal medication should be compulsorily used along with oral Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 11 month old daughter has over the last 3 weeks got a large smooth non tender liver, her abdomen is distorted by it.She is otherwise well except over last few days she occasionally appears to posset some food again. She was given azithromycin for a presumed mycoplasma infection for 2 months atopped in may and had a tonsillitis in may with high fevers for 10 days. At present she is well but this mass is very concerning. We are seeing a paediatrician soon do you have any thoughts.", "output": "In infancy liver is normally palpable. Its pathological only if the liver span or its actual size is increased. As u said cytoplasm infection which can cause respiratory symptoms can cause pushed down liver which can be why it's palpable. So unless there is visible jaundice or high colored stools or clay stools you need not worry. Repeated vomiting and loss of appetite can be symptoms of hepatitis. I would suggest an ultrasound abdomen and liver function tests to rule out liver pathology" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have this feeling in my chest like something is in there and its kind of difficult for me to breath, it has me coughing but nothings coming up, i am 6 months pregnant, so what should i do? the doctor gave me a chest xray lastnight but couldnt see nothing, what other test shuld i do, they gave me rocephen saying that its a upper respirtory infection, but when i jump out of my sleep i feel numb all over until my blood catches up i guess", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Coughing, chest congestion, tightness with normal chest x-ray are commonly seen with bronchitis. So better to consult pulmonologist and get done PFT (Pulmonary Function Test).PFT will tell you about severity of the disease and treatment is based on severity only. You will need inhaled bronchodilators (formoterol or albuterol) and N acetyl cysteine (NAC) (bucolic and expectorant Chat Doctor. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been using the treadmil for years now, the last week i have noticed the longer i stand or put any pressure on my right leg a small lump appears on my lower leg 4-5 inches above my ankle. It is squishy but does not hurt and is very noticeable. Is this something to worry about?", "output": "Hi, Dear,Thanks for your query to Chat Doctor. I studied and understood your query details. Based on the facts of your query, In My opinion you seem to suffer from CUES(Chronic Compartment Exertional Syn Chat Doctor. this lump is due to the Incompetent Perforator Vein, which pops out form the leg fascia-when the right leg is pressed or stressed or put to strain. You don't have to worry as being benign and Venous lump and as it is non-cancerous Lump. Color Doppler study of the leg veins would fix the diagnosis. Hope this reply would help you to resolve your Anxiety. ThnksGood Day!!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "What are the possible side effects of lumerex tablet. I was prescribed that for malaria. I want to know if it causes hair fall? I usually don t have that problem bt now my hair is falling a lot. I m on zanocin antibiotics too as I had both malaria n typhoid, salmonella typhi o 1:80", "output": "Hello, Hair loss is a common complaint of patients who have a history of malaria or typhoid. Medicines used to treat malaria have alternate is associated with temporary hair loss. Since you also had typhoid, hair loss can occur due to poor diet, anemia & weakness. After typhoid relapses can occur, so you should be very careful with your diet. Take homemade nutritious food (boiled or cooked in little oil). Hair loss occurs because of lack of nutrition & protein. Take adequate rest & food rich in protein, minerals & calcium. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 73 yrs. old 250 lbs.. I have a small lump about the size of a ball (about half the size of a table tennis ball) on the outside of the left knee area, [Total Knee 2004]. It has grown in about 2 months It is hard and somewhat painful when touched, difficult to walk 200 yards or so. Orthopedic Surgeon opened the area, 4\" incision and said, \" I have not seen anything like this in all my years!\" It was like a jell substance 3 colors orange,tan,red, all the way to the bone and no idea where it originated from! Altar Sound showed a solid Cyst. He removed what he could and stitched me up. This had all been sent to the lab, all negative for Cancer, Disease, and Infection! I still have a bulge on side of knee. It is still painful to walk any distance. He has me in therapy 2 weeks now, not much help also wearing a Knee brace. Therapist tested for strength which was very good.I was in DaNang, Vietnam, Agent Orange in 1963. I had Prostate Cancer, Gleason Score 8 Radical removed April 2010 3 Month later PSA 1.8 high risk fast growing, had 36 Radical Treatments Radiation. Could some of my problems be related to Agent Orange or another type of Virus? Help!!", "output": "Hi, Thanks for the query to Chat Doctor.-I studied your query in depth and understood your concerns.-Cause and Treatment-of the painful lump on side of knee--In your case the cause mostly is -due to Al-amyloidosis with cystic lump in the knee.?possibility of the Mets from the prostate cancer needs to be ruled out. Treatment would be according to the cause--Detox treatment for the Agent Orange -FDG Pet scan to find out the bone Mets -I would suggest Onco-Surgeon to deal with your case-Hope this would resolve this tricky problem. This would help you to plan treatment with your doctor.Don't worry and things will settle Hope this would resolve your query. Welcome further for any query in this regard. Wishing you a fast recovery.Don't forget to Write a good and strong review ASAP for the benefit of other patients. Have a Good Day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "For the past 3 months I have had pain in my upper abdominal. I have been throwing up for the past 3 months on and off but recently it has become every day. My throw up is not food, but instead bile ( of white or clear at times). I have not been feeling like myself. Recently I have started juicing and even that is making me feel sick an hour or two after I have it Do you know what that could be?", "output": "HI. Vomiting of the bile and or clear (gastric) fluid indicate that you may have HERD, = gastroesophageal -reflux -disease. Or an obstruction in the small intestines. Your history is so long - 3 months. You should have got the investigated done long ago. I would advise you to take a consultation of a Gastroenterologist and undergo upper GI endoscopy, Barium studies if required. This will give the diagnosis and a guideline for a proper treatment is possible only then." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My HSG report post ectopic pregnancy: \"Fallopian tube is visualized on the right side without peritoneal spill of contrast, s/o block at fimbrial end. Left fallopian tube is outlined in its proximal extent. Venous extravasation of contrast is noted without peritoneal spill\". My question is, how can this be treated so that normal conception can take place.", "output": "Hi, If milking was done to treat the prior ectopic pregnancy, chances of retaining tubal function are very good. Laparoscopic release of any adhesions and restoration of the patency of the tubes can be done. Natural conception can then be tried, but with caution in view of the past history and the tubal blocks that developed. Tubal reconstructive surgery under skilled hands may be needed when there is damage to part of the tube. Hope you find this information useful. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Here s the result of my husbands sperm analysis, is it normal? Thank yoy - yellow, opaque, viscous, semigelatinous, approximately 2ml. Motility initial 85%. After 2 hours 75%. Count 94,000,000 per ml; Normal .80, abnormal .20. No red blood cells. Pus cells 0-2/hpf. Bacteria occasional.", "output": "Hi, dairy have gone through your question. I can understand your concern. Your sperm count is 94 million per ml. Normal count is 20 to 120 million per ml. So your sperm count is normal. Normal motility should be more that 50% and normal morphology should be more that 50%. So you have normal morphology and normal motility. Overall you have normal semen analysis report. You are fertile and able to become father. Don't worry. Just be relaxed. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "the left kidney was located in the left inferior flank region and has a dilated pelvis and proximal hydroureter measuring up to 9mm. the left kidney measures 37mm.the right kidney measures 35mm and is unremarkable .this is ultrasound report of 32.2 weeks and 2 days at last the comment is there is a left pelvic kidney with pelvicalyceal and uretreric dilation. i want to know is there is any thing serious? what does it exactly mean?", "output": "Hello and welcome to Chat Doctor, The ultrasound report suggests that there is dilatation of the left pelvis and left ureter. Dilatation of pelvi-calyceal system is seen in case of obstruction at level below the region of dilatation. The most common cause of obstruction is kidney stones. Other common causes include an intramural mass or an extra-mural mass compressing the ureter. Further investigations are required to find out the cause of obstruction. Consult a surgeon or a urologist for relevant investigations and further management. Thanks and take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "yesterday night at 1:30 i got bitten by a rat to my left ear which was bleeding for a while .. is it a serious thing? is it necessary to take treatment for that? if so what treatment do u suggest and its please specify its expenses..am a banglore resident near Kundahalli..", "output": "HiT hank you for asking Chat Doctor. I have gone through your query. Rat bite can cause bacterial infections. So it should be washed thoroughly with soap and water and apply antiseptics. Tetanus prophylaxis should be taken. Antibiotics will be needed also. This treatment you can get in government hospital for free in Bangalore. In private hospital also the whole treatment will be within 500 rupees. Antirabies prophylaxis is not given for small rats. Hope this may help you. Let me know if anything is not clear. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "What can stop a gall bladder attack? I m not too certain that it is one I ve spoke to family and friends and they say it is , the pain various from my right side under my right breast to my top abdomen in the center and it feels like a baseball bat is hitting me and it s hard to breathe and it hurts when I take in more breaths and it lasts up to two hours and 18 mins every one it get , I can t sleep or drink water and or milk tums Zantac nothing helps to get it to stop and trust me the pain is so violent I shed tears and forcefully make myself puke which that don t help. When I stretch sometimes it can relieve but not so often it s really bad pain and I need to know what it is exactly is there a cute please help me.", "output": "Hi. The most important thing is to get an exact diagnosis by means of a clinical/ physical examination by a Doctor, ultrasonography and blood tests for liver function tests, amylase, lipase, WBC, and X-ray of the chest as per the symptoms you have put down above. Once a proper diagnosis is made, you can go ahead with a definitive treatment too. This is most probably due to :Inflamed gall bladder;Liver abscess, Lower lung or pleura problem, Medicine is an evidence based practice and stop following your family and friends and rush to ER ASAP." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have two problems that have cropped up within the last month. First a small lump showed up under my left arm, then it went away, the next day it came back and went away. then it came back got large and hasnt left for a month now. Its painfull on and off and and is now interfering with my arm movement. everything I try on it seems to reduce the size, but usually overnight it gets big again. help! Second thing is I lifted something 3 days ago and twisted on my left leg while doing so and I have had trouble doing anything since. Help!", "output": "Hello rearward welcome to Chat Doctor.come have evaluated your query in details .* Left arm lump seems to be sebaceous cyst, lipoma or other soft tissue lesion. While primary relief can be with analgesic tablets, must get final diagnosis with examination by consultant surgeon.* Leg pain is in concern with ligament sprain or muscle stretch, local application of heating pad, analgesic tablets will take care of it. Hope this will help you for sure . Wishing you fine recovery. Welcome for any further guidance. Regards ." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ive been having a lot of discomfort on my left side, at the lower back level. Have thought all day its a muscle on my left side, but dont remember doing anything to putt a muscle there. My stomach feels swollen, but no sensitivity or hurting, just diarrhea. Just normal urination, again with no pain. The only pain is in that muscle.", "output": "Hi there. The symptoms you have mentioned do correlate to a muscular pain. Muscle soreness of such sorts can sometimes happen without us recalling of any stress or injury. It could happen due to a bad posture or mild twist. Secondly, and more unlikely, it could be due to referred pain from your stomach problem. Take reshot fomentation to the partially local diclofenac gel Analgesic like etoricoxib which is safe during upset stomach. Abstain from strenuous activities. Consult a astrophysical for the stomach problem who might get an ultrasound abdomen done. Proceed according to the reports. I hope my advice has helped. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "For about 4 days I have been having lower back pain and also pain on my lower left side. Also dizzyness and headaches which I never get. I had a hard time walking and getting up last night not as bad today I have been taking ibprofen to day some comfort not much.", "output": "Dear patient This may be Muscle spasm or back sprain. Have you injured your back recently or lifted heavy weight? Both may be reason for sprain. I would advise X-ray of lumbosacral spine anteroposterior and lateral views to rule out bony abnormalities. If its normal start tab diclofenac plus thiocolchicoside combination twice a day and tab attract p one at bedtime for 7 days. Apply nice gel locally at site of pain thrice a day. If X-ray report is abnormal need to consult expert orthopedic surgeon." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Bad tailbone pain/coccydynia , please suggest a pain killer that is safe(very very safe) for kidney , as i have a solitory kidney.Thanks..Any urgent respnse will be highly appreciated because pain is getting severe.I have to work long hours sitting position , and its just worseining.", "output": "Hello, As I went through the history I could figure out that you have too much of gluteus muscle weakness. Off late losing the fat tissue from the hip muscles is common in most people having a desk job. Noticing every other individual losing fat tissue from the muscle has become common. This issue leads to instability in the lumbar spine and also high pressure over the coccyx region. You can definitely have medicines like ibuprofen or attract. But over the long run, you need to strengthen the hip muscles and the core muscle to stop recurring the symptoms. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I have recently over the past year developed what I thought were pimples on my abdomen but they differ, it seems some grow to large size and one was in the crack of my anus, but I am not sure what it is. A doctor told me I may have some form of hair follicle illness or ailment and gave me medication however whenever I take a pill I always have the need to belch or burp afterwards and the aftertaste is just awful. What do you think these things are? I have popped it before and both puss and blood exploded from the wound, It hurt to touch and even more to pop. I hope you can help me out with this problem.", "output": "Hi. Since you have a problem of more than a year it will be wise to get all the relevant blood tests done including blood sugar. I would also advise such a patient to surgically remove the disease and subject the specimen for biopsy as it may come up with a proper diagnosis, as the abscess does not last this long. Pus culture and sensitivity will guide for the best possible medicines and go for injectable form of antibiotics to avoid the taste problem." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doc. i am very depressed. i have always a sense of loneliness. i h am married 28year female blessed with 2and half year doc. i am not able to sleep at night. am just sleeping once in 4-5 days and that too not a deep and sound sleep. wat should i do ?", "output": "His understand your concern and emotional stress. Depression has low mood and lack of interest and sleep disturbances, and it should persist throughout the day for 2 weeks. You should consult psychiatrist for better outcome. This kind of condition can be treated with SSRI .SSRI like Escitalopram is very useful in young age. Beside this exercise, meditation, diet, proper sleep all can help.if you have a sleep problem then holiday 5 mg is beneficial to restore good sleep. Still have a query then feel free to ask. Happy to help you. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI MY NAME IS DEBBIE I FELL ON A WET FLR. AUG 8-10 HURTING MY RT HAND,LT , LT KNEE XAYS SAID I HAVE A VERY BAD SPRAINS, I HAD HERNIA SURG 6-10-10 AND MY STOMACH HAS BEEN RELLY HURTTING THAT NIGHT OF THE FALL COLUD I HURT THE MESH IN ME OR THE HERNIA?", "output": "Hi Debbie. Thanks for your query. Read and understood your problem. On felling the muscles of the abdomen also go into sprain and spasm, stretching over the fibrous tissues around the hernia repair and the mesh. It is likely to get healed well provided you take proper treatment. The right hand and left knee will also heal well as there is no fracture on them. I would suggest you the following:Strict bed rest-this is the most sure shot way for early recovery. A course of an anti-inflammatory medicines like Ibuprofen in proper full dosages as per your body weight and after full stomach. You will be fine soon." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have this problem,now is the second time i have experience.. the problem is i cant stop my self from masturbation.have been doing it for almost 9yrs. but now i have experience when ejaculating sperms, i see blood instead of sperms what is my problem,, please advise what to do..thanks regardsabdul", "output": "Dear Abdul understand your concerns went through your details. Masturbation is not unhealthy. Masturbation is not the reason for what you are experiencing now. Blood smears and light brown colored semen can be considered common and is supposed to be occasional. But, Chat Doctor. There could be many reasons like prostrate issues, urethra inflammation, kidney problems etc. Proper diagnosis needed for proper treatment. I suggest you to consult a urologist at the earliest. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "three weeks ago I had a bad toothache, took a 500mg of amoxicillin cap for 8 days, now I have had this bad taste in my mouth for three days. I feel shortness of the breath for about 20 minutes at night around the same time, and now as each passing day Im getting nausea. Should I be worried?", "output": "Hello, Thank you for consulting with Chat Doctor. As you are mentioning that you took 500 mg of amoxicillin three weeks ago, and now you are experiencing bad taste, it looks that it can be because of antibiotic only. Actually antibiotics causes alteration in taste, but it is not so extended. But other symptoms like nausea and shortness of breath are not associated with this. Better that once you should visit your general physician for complete examination of the condition done. Hope it will help you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my forth day follicular ultrasound shows right ovarian follicular size 21.6mm and endometrial reaction 7.8mmi took 5000 i.u hucog injection two days back.kindly reply me as to when my follicle is likely to get rupture and when can we proceed with the intercourse", "output": "Hi, Thanks for writing to Chat Doctor . You will conceive soon. Be stress-free. Your follicle size and endometrium thickness are good and adequate. After taking Chat Doctor injection follicle will rupture in 6 to 36 hrs. So I advise you to have intercourse from 12 hrs after Chat Doctor injection and once/ twice in a day for next 4 days. Sperm life in uterus is 3 to 4 days. So if any time you are not able to do intercourse don't worry. Also, after intercourse don't stand up or sit for 30\u00a0mins. Sleep in same position for 30\u00a0mins. Hope I have been helpful. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Since July 2011 I have been experiencing severe cramping symptoms in the lower right abdomen. These attacks come at least once a month, most recently 10 days apart and can last three hours in duration. Sometimes I can see a bulge in my lower right groin. Taking a 5 mg valium and 5mg oxycodone can help stop the attack. I am 60 years old and have had a gynocological ultrasound but nothing was found. What;s going on?Sharon", "output": "HI Sharon ! From the history of a bulge in your lower right groin, the first diagnosis one can think of is a possibility of Right Inguinal Hernia in its initial stages which gives rise to pain. This will occur whenever you go for a heavy activity which increases the intro abdominal pressure. Apart from this there could be a separate intro abdominal pathology altogether. If it is a grumbling appendix, then the ultrasound may not show anything positive. A urinary tract infection or an infection of the pelvic organs can also give rise to such symptoms and your doctor may advise you for a routine urine test and a clinical pelvic examination to exclude the same. Do you frequently eat outside specially junk foods ? In that case one has to exclude intestinal infection specially amoebas. I am not sure to which region you belong to. One has to exclude chronic granulators infection of the intestines in people who live in endemic areas where such infections are common. Your family physician can investigate you to exclude this kind of infection. Wish you an early recovery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My toe (first one next to big toe) has had a small red bump for 2 wks. It has continued to swell and is very sore and swollen now. There is a small white bump there now. If I bend my toe , there seems to be several white bumps appear. I have been soaking my foot in epsom salt water. What can it be? Thanks", "output": "Hi, As what is understood with the history that this could be related to the secondary issues as you haven't mentioned any direct Injury to the great toe. Few questions to be checked before coming to any conclusion. Are your diabetic? What is your age? Did you check your uric acid levels?, etc. Until we have these basic things answered it becomes difficult to come to a conclusion as a diagnosis has to be made on a much more factors. To make it simple I would advise you to reduce the salt in take. Take less of acidic Chat Doctor. Try to relax the great toe and dip in normal Luke warm water without any kind of addictive. Post which you can raise the leg up keeping it over a pillow. Please feel free to contact me with more detailed history as a diagnosis is important on factors to be considered. Hope I have answered your query. Let me know if I can assist you further. Jay In" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I HAVE AN UTI WITH E-COLI BACTERIA AND I AM RECEIVING IV INFUSION AT A INFUSION CLINIC. I AM RECEIVING MERMUM ONCE A DAY. WILL THIS GET RID OF THIS INFECTION? IT SEEMS THAT I AM HAVING UTI EVERY OTHER MONTH. COULD THIS BE CAUSED BY MY KIDNEY FAILURE STAGE 3?", "output": "Hi I do care for your concern. The Chat Doctor. Though kidney failure can also create an environment for urinary tract infection but in most case infection occurs by unhygienic environments. I would advise Continuing the same course of treatment under physician supervision To do confirmatory laboratory testing for UTI. To use antiseptic soap for washing and maintaining adequate hygiene. To follow up with nephrologist for renal failure. Hope everything gets well soon. Hope I have answered your question, if you have more feel free to ask. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son is 4 year old .... yesterday he passed his stool after 2 days .... and did not eat anything after yesterday s lunch as he was very tired as we where travelling so he dossed off & woke up straight away at 7 in the morning & since then he s complaining abt stomach ache", "output": "Hi, There are many causes of abdominal pain in child Chat Doctor. These include: Pneumonia, dietary indiscretion or intussusception of the appendix (when one part of the intestine folds into an adjacent part) or blocked kidney. To narrow down the possibilities additional information is needed. Does he have fever, vomiting, cough, runny nose, sore throat, skin rash, pain in other parts of his body? Has he been exposed to others who are ill? Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have A SWOLLEN BUMP/LUMP THAT IS LOCATED IN THE TOP PART OF MY BUTT(IN THE CRACK) IT COMES AN GOES ALOT AN IT HURTS WHEN I SIT OR BEND OVER. I USE TO GET SPINAL TAPS ALOT I HAVENT HAD ONE OF THOSE IN OVER A YEAR. WHAT COULD IT BE AND WHAT SHOULD I DO/", "output": "Hi, thanks for sharing your health concerns with Chat Doctor! If I were your treating Doctor for this case of butt-crack lump, I would come up with only one and one possibility that is a sebaceous cyst! Nothing to worry about this and try not to get infected there! However, it could be some benign tumor like neurofibroma or lipoma like conditions also! I suggest you to go for an FNAC test of the lump for confirmation and to relieve your concerns! Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i have been diagnosed with PCOS and have been trying for the ppast for years to get pregnant and have visited several gynaes who just do tests and give me medication to stop the bleeding and put me on birth ccontrol pills and i started taking folic acid today as i am desperate to fall pregnant...please help", "output": "As you are suffering from pod. As it's a hormonal imbalance, Increase an Chat Doctor. There are some lab tests for diagnosis of pod Like LH/FSH ratio, sugar level, ultrasound. As in pod many small cysts/ follicles develop, so no follicle develops up to the mark that can Rupture or ovulate, so one may have trouble in conceiving. Pcod can be treated with medicines. Treatment includes metformin, contraceptive pills these all help in regularize the cycle. And you can conceive." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 67 years old and recently had approximately 5-7 days of vaginal bleeding. It stopped and I went to an OBGYN for a ultrasound. Her nurse said although noted as rather normal scan my endometrial thickness was 8mm. What home remedies should i take to prevent endometrial cancer?", "output": "Hi, Thanks for writing in. The inner lining of uterus is called endometrium. At 67 years age, you might be having an overactive endometrium. The endometrium is shed during the periods in women of the reproductive age group. At your age, it is important to get an endometrial biopsy if your gynecologist has advised one. Hormonal changes can cause vaginal bleeding in elderly women but if you had a continuous bleeding for 5 to 7 days then it is a concern for endometrial polyp or cancer. Since no large polyp is seen, it can also be that the endometrium is altered due to many reasons. Early stages of cancer cannot be seen on ultrasound. I suggest you also get an MRI scan of your pelvis with the recommendation of your doctor and then do endometrial biopsy. If the biopsy results are negative for malignancy then benign causes must be thought of. If the bleeding repeats frequently then you might require a surgery. There is no home remedy to prevent endometrial cancer. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. My boyfriend put his penis inside for about 30 seconds or so, just the tip. I was paranoid about pre-cum so I took plan B the next day which was the 9th of July. I got my period on the 15th it was heavy with clots and all which is pretty normal and it ended on the 20th. About 4-5 days after when I wiped there was dark red blood, the next time the blood was brown and then it was a mixture of both on my tampon. Is there a chance I could still be pregnant?", "output": "Hello, Since you developed a normal menstrual period lasting for around 6 days after TH unprotected sex, there is practically no chance of pregnancy. As far passing brown and black blood after few of your pregnancy is concerned, it is normal. This blood is the leftover blood from your period and has turned black because of oxidation process. There is nothing to worry and this is no sign of pregnancy as it can not be implantation bleeding since it is occurring 4-5 days after a normal menstrual period. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was diagnosed of having tb adenitis by simly having the skin test and the presence of lymphnode in my neck. I had taken treatment for tb for only two months, then i stopoed.i got scared of the drugs.i have had doubts of the diagnosis of my ent doc. I havent gone to other doc yet to have checked. Until now,the hard lymph node in my neck(below the jaw still there) the lumphnode below my ears does not disappeared. My throat not feel ok. Sometimes its hard to breath. Iwant to go to the doctor, whom shld i consult? An internal med doc or the ent? Is this realy a tb adenitis? Is this cancerous? Is there any possibility of lymphoma?thanks", "output": "Hi and thank you for choosing Chat Doctor to post your question. I read carefully your question and my opinion is as follows:Tuberculous lymphadenitis presents as a slowly progressive, painless swelling of a single group of lymph nodes more frequently of cervical lymph nodes. Clinical suspicion is important in diagnosing this condition in persons from endemic area of tuberculosis and with positive skin test(PPD test). The cornerstone of treatment remains antitubercular therapy, but response is slower than with pulmonary tuberculosis. A definitive diagnosis can be made by culture or nucleic amplification of Mycobacterium tuberculosis in an affected lymph node. I would recommend excisional biopsy since it has the highest sensitivity, but fine needle aspiration is less invasive and may also be useful, thereby permitting distinction from other causes of lymphadenitis(cancer, lymphoma,infectious etc)I hope my opinion can be helpful. Wish you good health. Kind regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter, aged 37,and her husband, aged 41, have been trying to get pregnant for over a year now with no success. My daughter thinks it is because she was on birth control for over fifteen years, but her husband recently had his sperm tested and was told that he has a high percentage of malformed sperm. Also, he smokes, I think the problem is with the sperm. Do you agree?", "output": "Thank you for the questions you have rightly mentioned, healthy functional sperms are required for conception. Abstinence from smoking might improve the sperm morphology and increase chances of conception. When a person has the high number of malformed sperms, the chances of conception reduces, but it does not mean that the married couple cannot conceive since it requires one healthy sperm for fertilization with ovum. Consult a fertility specialist who can provide a better insight into the issue and guide you accurately on how your daughter can improve her chances of conception" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi my name is devi. my age is 29 i had a one year baby feeding.weight 62, height 5.2 .From last few weeks i have a pain in my upper abdomen after eating.. HB,sugar test are normal & again went for upper abdomen test there impression shows Mild hepatomegaly with grade 1 fatty infiltration(otherwise normal sonogram of upper abdomen )..i am a vegetarian and no other bad habits.please suggest me how to overcome with this.i m soo worried..", "output": "HelloThanks for writing to ChatDoctorAccording to your USG reports, You have grade 1 fatty liver, and it is due to mild deposition of fat within the liver cells which causes bright echo texture of liver and due to this liver is mildly enlarged in size. It is reversible condition, and it can be reversed by diet modification, medicines and increasing physical activity. You should avoid saturated fat, fried and junk foods. You should also do walking and exercises. You also need few investigations like routine hologram, LFT,Lipid profile, RFT and RBS. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband is experiencing severe pain on the left side of his jaw. He said it s not a toothache but it comes and goes. So severe that I took him to the hospital yesterday but they couldn t find anything. He started using sensodyne whitening toothpaste last week , do you think this could be the cause?", "output": "Thanks for your query, I have gone through your query. The pain in the jaw can be secondary to wisdom tooth infection, or it can be because of the temporomandibular joint disorders. Nothing to be panic, consult an oral physician and get it evaluated. You need to take radiographs like IOP AR and OPG to confirm the diagnosis. Meanwhile you can take analgesics like diclofenac(if you are not allergic). I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my daughter is 4 months old. Since last 10days she is having loose motions. Weve done stool test 5days back & prescribed by a doctor for Zifi100 Dry Syrup. Since last 4days weve fed her with milk food and medicine (Zifi100) as advised by doctor howevr no improvement is observed. Today when i checked Zifi100 on web i realised that it is best remedies for few other disease but not for gastrointestinal infections. Doctor has advised Norflox100 DT as an alternative now, but when i searched this on internet i found that it is not recommended safe for infants. ..the comments on stool test report says shes NUMEROUS INCLUMPS IN MUCUS....Please advise best medicines....QUERY FROM INDIA..", "output": "WiFi works well for gastroenteritis when caused by bacterial infection. If the infection is viral which is the most common cause then WiFi itself can cause loose stools. In addition, this baby is most likely having transient lactose intolerance due to viral diarrhea. Please stop the antibiotic and keep the baby on strict breastfeeding. Get stool check done for reducing substances, and if strongly positive, can change milk to a lactose free formula temporarily." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was diagnosed with Bronchitis 2 months ago. The first series of antibiotics did not kill the virus, so my doctor prescribed a second (stronger) dose. The antibiotics seemed to cure the Bronchitis, but I havent been able to smell or taste since that time.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Change in taste can be due to antibiotics, but loss of smell perception is not due to antibiotics. Some antibiotics like clindamycin, azithromycin, metronidazole etc. alter the taste of mouth. But no need to worry about this. Once antibiotic is stopped, you will start tasting normally. Loss of perception of smell is mostly due to viral infection. It is due to inflammatory changes in mucosa. No need to worry about this also. This will normalize by itself once your viral fever is treated completely. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My wife has been diagnosed with fatty liver dont know the degree yet - ct scan scheduled for Monday. She had breast cancer a year ago and has been taking arimidex. In my research it appears that there are cases that arimidex causes fatty liver - what do you think/know?", "output": "Hi welcome to the Chat Doctor You have been prescribed anastrozole Chat Doctor. . It can sometimes lead steatohepatitis (you are right) and elevated liver enzymes But other causes should be ruled out like... -alcohol -high cholesterol -Obesity -Smoking etc.... For fatty liver dietary and lifestyle modification done Take low fat diet and fruits and green leafy vegetables more Investigate with serum Sept and got for look for degree of hepatic injury by this " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I rolled my foot to the side about 5 hours ago. There is no bruising and very little swelling, I cannot tolerate any weight on it. I do not have insurance so I am not one to run to the Er. Is it possible to have something seriously wrong without swelling or bruising?", "output": "Welcome to Chat Doctor, short answer : it is due to sprain in your ankle joint detailed answer: some small sprains will not have severe swelling or bruising, but you will have pain. I was your treating physician I will advise to have rest for your ankle joint by applying elastic cr\u00eape bandage the next thing is applying ice indirectly by wrapping in towel I would advise you to take NSAIDs for receiving your pain. Some manipulation of the ankle joint with experts also help. Hope this finds useful with regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a cough which isnt getting worse or better - have had for the past 4 weeks. Little if no phlem .. it is a similar feeling to having breathed in dust & not being able to clear it away - specifically one side my left - no problems sleeping just when I get up until i go to bed", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have cough with phlegm which is due to upper respiratory tract infection/ lung infection. Need not worry. I would suggest you to take antibiotics such as Levofloxacin along with cough expectorants. You should take bucolic agent as well. You should consult a Pulmonologist and get evaluated and go for blood tests, throat swab culture and chest x-ray to find out exact diagnosis and start treatment. Furthermore, you should do warm saline gargles and avoid spicy and chilled foods. Furthermore, you should use mist humidifiers in room. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Why do I have uncontrollable gagging? Ive had it for about a year and every morning I wake up, I gag when i brush my teeth, blow my nose, or eat. Im hungry when I wake up and its a pain that I cant eat. The only thing I can do to satisfy my hunger is drink.", "output": "Thanks for your query, I have gone through your query. This is a normal defense mechanism that prevents foreign bodies or any irritants from entering trachea. Gagging can be managed by distraction techniques, relaxation, systemic desensitization and sometimes you can also use topical anesthetic to numb that area. Gagging can also be caused by fear, be confident and remove the fear from your mind. I hope my answer will help you take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, while at work today, I was sitting in a very low chair (elementary school) & hurt my back. I leaned forward to lift a medium sized Rubbermaid bin filled with wooden blocks, and before I could fully lift it something popped/snapped/pulled in the sacral area of my lower back. It hurts to move, especially going from sitting to standing or vice versa. Also, it feels rather warm to touch but the pain muscular.", "output": "Hi, thanks for posting your concern in Chat Doctor. From the history, it seems that you have got traumatic PIED. To rule out, you may need a X-ray LS spine-AP & Lat, and MRI of LS spine done. For pain management, you should have rest for 2 days, stat bolus dose of injectable analgesic (e.g. Diclofenac with Sanitizing) followed by oral analgesic (PCM/ Diclofenac/ PCM+Diclofenac) with some PPI to avoid peptic ulcer, some muscle relaxant (e.g. cyclobenzaprine 15 mg) and ice pack 4 times a day for 1 day. You may need a lumber brace also. All the medication dosage should be according to the age or body weight. Please consult local orthopedic consultant or write back to me with the reports of imaging. Wish you an early recovery. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I user epishine vitamin c 15% serum, I applied it overnight. It made my skin dry dull and dark. When I apply Vitamin E oil or Vitamin E cream over night, my face will have glow.My Dermatologist recommended \"epishine vitamin c 15% serum\" for the dark patches on my face, which is caused by sun burnt.Please recommend what to use, My skin is very sensitive for sun and dust.", "output": "Hi XXXIX Welcome and thanks for posting your query to Chat Doctor. My self Chat Doctor. It appears from your query that your skin is very sensitive for sun and dust. Using vitamin E oil and cream overnight is not a bad idea, to maintain a glow of your face you can add one more cream name ADMAN from Alembic and with this add sunscreen when you are going into light. This cream will protect you from sun burn and will also certain the glow of your face.thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor, I am 25 years old female. I am trying to conceive for last 2 years. I have PCOD problem. 10 months back i was pregnant with the help of ChatDoctor injection. But unfortunately it was got miscarried after 5 weeks. My doctor suggested me to take Duphaston 10mg tablet for day16-day25. My 2 cycles are over after taking this treatment(Feb 2017 & March 2017). But no luck yet. This is my 3rd cycle. I dont have anyother health issue. Is there any possibility to get conceive this month? Why it was not happening with last 2 months?", "output": "Hi, I think the main problem in pro patients is non ovulation. So, I think you should take some medicines like camphene for inducing ovulation and track your follicles' growth by repeated ultrasound and when follicle is more than 17 to 18 mm, take injection for rupture of follicles. Be in contact with your husband for 2 to 3 days after the injection. Take progesterone for next 2 weeks after rupture is confirmed on ultrasound Do a urine pregnancy test after that. You can try like that for 3 to 6 cycles. Also get a thyroid profile and prolactin level done. Talk to your doctor regarding this. Hope it helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "What are the main symptoms for MS? I was diagnosed with Fibromyalgia, but I don t think that is all that is going on. Some things I have read say that you can have white spots on the brain which I have and when I have issues it seems to be more in my upper arm muscles and then spasms in my legs and feet. Could this be MS?", "output": "I am sorry about your troubles. However, what do you mean by having spots in your brain, have you had a CT OR MRI? The only way of visualizing MS brain lesions is through MRI. As for the physical signs what you mention could be caused by fibromyalgia. Not that I can exclude MS, it's a disease with many ways of presentation according to the affected areas, but it's a diagnosis which is suspected by a careful neurological exam and history taking and confirmed by MRI." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had some traces of blood in my urine for about 4 months now. I have all types of testing done and everything has come back negative.I do have a very small stone and a tiny cyst on the liver, but other than that all is ok. Should I still be concerned?Thank you", "output": "HelloYour finding suggests tiny simple liver cyst. It is generally an age related developmental findings. Generally this condition doesn't require any treatment. It may only require follow-up ultrasound. It may require surgical intervention if there is pain, infection,increase in size etc. At present, I only advise for follow-up ultrasound if you are asymptomatic. This is usually not a serious finding. Tiny calculus in liver may be due to past healed infection. It also generally doesn't require any treatment. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I am Prof. Rajesh, I underwent kidney transplant eights years before. Nephrectomy was done on both right and left. Now I had a pain on left side 4 inches above the transplanted area... Urea, creatinine and output everything normal. No fever... What Shall I want to do... Is it create any complication...", "output": "HelloThanks for query. With normal renal function and urine output Pain in abdomen 8 years after renal transplant surgery above the site of transplanted kidney can not be related to kidney but can be due to other intro abdominal pathology. Please consult qualified General Surgeon and get ultrasound scanning of abdomen done to find out the cause of pain.In the meanwhile take anti spasmodic like Spasm Procyon twice daily. Further treatment will be decided by him based on investigations. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "So I am 21 years old, I have had back pain for almost a year now, it initially strated last fall when I herniated a disc, i traeted in with physical therpay and it resolved, but similar symptoms seem to keep coming back a couple months after and they are with me every day since then sometimes really bad and other times very miminal. just pain in the lower back mainly on left side that will continue on down to my fibula head where my gait is altered and my ROM is limited, ADLs are hard and I feel like an old man haha. Granted I have a slight LLD and my hamstrings are very tight, I have a lot of functional issued that need adressing but none too serious. Recently I have been having testicular discomfort and abnormal stools where they are blochy and it seems like papery like flakes coming off of the clumps stool, no whole normal stool is ever pushed out. I am worried that this may develope into something more serious...", "output": "Hidisc once herniated gets fibrosis the ring enclosing it weakens over time and some more part of disc may bulge out through the rent and cause fresChatDoctorpression on nerve roots. Once fibrosis of this fresh part occurs, the pressure releases and pain abates. Rest, physical therapy as before may be indicated again-see an orthopedic doctor and have MRI done. As for stool problem, modifying diet with more of cereals, leafy green vegetables, fiber rich fruits and Isabel husk(available in markets) at bedtime daily will sort the stool consistency issue testicular discomfort if with some local pain and tenderness may be shown to a physician or a surgeon. Without examination of testes, no diagnosis can be made., treatment obviously follows after knowing cause best wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 88 year old mother has the diagnosis of adenocarcinoma of the colon. The gastroentrologist said he could not pass the scope passed the recal tumor. She is not in great shape and could not tolerate two surgeries and chemo so has elected to do nothing. She was in hospice but is now in a nursing home. She did have a CT scan and nothing was seen in her liver. I do not know the stage. We thought she was going to die when they took us to hospice but now seems to be doing well. What can we expect as to a time frame. Just want to know how to best deal and help her.", "output": "Welcome at Chat Doctor I have gone through your query and being your physician I completely understand your health concerns. She needs a multidisciplinary approach including surgeon, gastroenterologist and radiologist. It is difficult to comment on basis of history provided. If there are no secondaries in liver then surgery can be done but your surgeon will decide whether to operate her or not depending upon the overall status of the patient. Meanwhile, stay calm May she get well soon Hope your query is adequately ad Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi 2 weeks back i started having severe pain in my knee and fever with chills. i was treated with 3rd generation cephalosporin but i had persistant fever with severe knee pain. now i am diagnosed to have typhoid. what changes does typhoid cause in the knee", "output": "HI, Typhoid can present with knee pain and joint pain. It is a part of the disease process. Once you are on antibiotics and the disease subsides the knee pain will also go down. Typhoid bacteria(Salmonella) take their time getting eliminated from your system. They have no long term effects on your knee unless you are a hemophiliac or very rarely you have a knee abscess. Please do not worry. You would be perfectly fine to resume normal activities like running in another week and a half. Thank you for your query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi About a week ago I had extreme pain in my center upper stomach. It eased off. But now has come back and it is a 9 out of ten. It is going into my back and will hurt constant and pain will hurt more I waves of 30 secs. Or so. It has been hurting for about 2 and a half hours.", "output": "Hi, The most probable causes I can think about are:Gastric ulcer on the posterior wall. Pancreatitis with or without gall bladder colic or due to pancreatic stone causing spasmodic pains. Rare cause about the conditions of the retro-peritoneal structures should also be kept in mind. The best possible ways are as follows:Rush to ER.CT scan of the abdomen can help a lot. Relevant tests of blood and urine. Upper GI Endoscopy is feasible. All these will lead to a proper diagnosis and a plan of management. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 21 yo NCAA cross country runner and within the past 2-3 years, I have been blanking out during races. I get blurry vision and headaches for about 15min after hard workouts/races and become very lethargic for the rest of the day even after eating and drinking water. The ATs thought it was hypoglycemia so I ve been eating carbohydrates before races and intense workouts (which never do anything and I still have the same symptoms). I ve been checking my sugar after races/workouts and it is around 200-250 mg/dL. Coaches also assumed my fatigue may have been from anemia. Ferritin level was 15 and I have been taking iron and vitamin C everyday for 3 months. My fasting glucose is usually around 105-120mg/dL. Is there a possibility I might have type 1 diabetes?", "output": "Diabetes doesn't seem likely with those sugar numbers. When your symptoms come on do you feel LIGHTHEADED at all, faint, or otherwise zoned? Are you usually breaking a pretty good sweat when this all happens? Are you cutting weight for your running? Have they taken your orthostatic blood pressures? Have they measured your BP's orthostatically when you feel this way? Have you had blood work done, imaging study of the head, EKG, or a Holder monitor? I am a neurologist and I also compete as well as assistant coach a varsity NCAA wrestling team here in Cleveland, OH, so I know a lot of these sorts of issues as related to our guys and every year at least 1 or 2 of them get into similar problems. Of course, wrestling is a different sport from track and weight losses play a major role in our sport that can get people in trouble if they're not careful. But across the board, HY Chat Doctor. You say you're anemic? And you're taking iron? But have they also checked magnesium levels? If you have a magnesium level deficiency, and you are anemic...no matter how much iron you take you will never correct the anemia.....so little details like that keep people from getting better. Of course, a bigger question for me is WHY ARE YOU ANEMIC? You shouldn't be....you're an athlete, your diet should be top-notch, your sleep habits should be top-notch, and your training should be intensive but controlled and carefully overseen. You should HY" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": ",34yrs of age.last year i have some pimples on my scrotum which are painless i went to a doctor and he made some prescription,but the pimple did not clear and i was given another precription by my doctor who said i should not take another drug,that it will clear by it self,yesterday i notice a lump in my testes that looks like a testes making my testes three in number,theres no pain,no swelling of scrotum,pls what can this be.", "output": "Welcome to Chat Doctor. 1. It can be the thickened chord, epididymis which you are feeling like third testis or mass lesion.2. The superficial lesions you have mentioned are possibly hair follicle infection.3. This case ultrasound scrotum will help to evaluate the status of the testis and third structure can be delineated the source, and where it is extending.4. Treatment in this case will be a course of antibiotic treatment.5. For the superficial lesions, do not disturb, press, scratch the lesion - maintain hygiene and clean with antiseptic liquid that will help. Good luck. Hope I have answered your query.Anything to ask do not hesitate. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI sir, iam a dentist aged 26/f , single, i found out 2 lumps in my neck rt side post auricular n cervical. i consulted an oncologist he advised for FNAC,blood smear study , mantoux test n routine blood test. the results were normal smear study, negative mantoux n reactive lymphadenitis, ESR-50 . My mom s a breast carcinoma patient . im under vaccination for cervical carcinoma two doses... do i have to worry? or wat further follow up should i do?", "output": "Hi, Nothing to worry right now. Reactive lymphadenitis is common finding. You should be on to follow up. You should search for any infective etiology at the Chat Doctor. Exact size, shape, consistency, fixity to the underlying structures should be carefully examined. If the lymph node decrease in size no need of any investigation. Anyway, As you have family history of breast cancer it is better to go for clinical breast examination at three years interval. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was wondering about the andro gel and testim testosterone products that are involved in a lawsuit, I take a multi vitamin, wich has the vitamins to build testosterone but i started taking T-Booster by muscletech that wal-mart sells, i have heard good thing about keeping testosterone up, is it safe to take other T-Boosters", "output": "Greetings Nice decision to take an expert opinion.since you have not mentioned your age and other associated medical conditions it is difficult to give an opinion However assuming that you are in the fertility range and planning to have kids, then taking testosterone will suppress your sperm production and can lead to zoo permit. Secondly if you have finished your family supplementing testosterone is not advisable unless there are indications of low testosterone. You will have to have a hormonal analysis along with digital rectal examination and blood PSA to assess the prostate gland.without doing all this it is unsafe to take testosterone supplements. Hope my answer helps you. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i had a week or two of chronic masterbation(hours at a time multiple times per day). I now have an itching sensation in the tube of my penis. it does not burn when i pee and there is no discharge. I have laid off for three days and the symptoms have not gone away. what could this be and what should i do?", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. Masturbation is normal and natural but definitely not health deteriorating. Understand please. Hours of masturbation practice is not natural and that could be the reason why you are being anxious about it. That anxiety is giving you doubts. One of the doubt could be itching sensation. Ignore it and indulge in some other career related activities or physical exercises. You should get relief. For sexological and psychological counseling and for different psychotherapy treatments visit http://psychocure.webs.com/Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello im taking kingtropin for the last 30 day and i notice that i have headheaches and wrisk pain. is there a mayor side effect? im 44 yrs old athletic and this is the first time im taking this or any other product. im injecting 2 units daily. what is the risk of taking it?", "output": "Hi, Yes, headache and wrist pain are important side effects of kingpin. Kingpin (human growth hormone) is commonly misused by athlete in an attempt to increase exercise capacity, improve bone density, build muscle mass, and reduce body fat. Its used is associated with a high risk for getting carpal tunnel syn Chat Doctor. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had ultrasound & dr office just called & said I have cyst on liver. I have been having stomach issues and he though may be gall bladder. Didn t get appt to go in to talk to him until 7/18, can you tell me if this is serious. If it was, don t you think he would have referred me to someone?", "output": "HelloMostly simple liver cysts are asymptomatic, and it is an incidental finding. It may cause symptoms if there is increase in size or infection inside the cyst. It is important to know present size of cyst. CT scan of abdomen can be done for proper assessment. If cysts are symptomatic then surgical removal can be considered. Generally it is not a serious issue. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My sons front tooth was broken in two a couple years ago and glued back together right away. The repair just failed and Im wondering how to store the piece until we can see a dentist tomorrow. I remember something about milk, wondering if it has to be whole milk and if I then put in refrigerator?", "output": "Hi. Thanks for the query. The tooth can be saved only in case if the tootChatDoctores out as a whole like with the root and crown portion all intact in a single piece. But as your tooth is broken and is not in one piece therefore, it has to be replaced with artificial tooth or dental filling as the broken piece is of no use and gluing it back will not help in any way. So my suggestion is to consult an Oral Physician and get evaluated along with x-ray of tooth. If the nerves are not exposed then simply filling or capping can be done. If the nerves are exposed then root canal treatment followed by capping can help. Hope this helps. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Wondering if I should be concerned I was punched in the chest really hard my chest and back keeping throbing, hurts when I breath out move even a little. This happen about 3 hours ago but was already sore from the same injury happen 4 days ago and this feels like something is not okay.", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. You are having blunt chest trauma. Any following are the complications of blunt chest trauma which can lead to soreness, pain on breathing and unwell feeling in chest.1. Rib fracture.2. Pulmonary contusions.3. Pneumothorax4. Muscular injury. So chest x-ray is needed to rule out all these. If chest x-ray is normal then no need to worry much, you are having muscular injury only. So try to follow these steps for better symptomatic relief.1. Avoid heavyweight lifting.2. Avoid strenuous exercise.3. Avoid movements causing pain. Avoid bad postures in sleep.4. Start painkiller and muscle relaxant.5. Apply warm water pad on affected site.Don't worry, you will be alright." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 7 weeks pregnant and we booked a trip to Aruba before we got the great news. Is it advisable to fly? We don t want to lose out on this trip but we are worried because this is our miracle baby and don t want to jeopardize anything. Your thoughts please", "output": "Hello dear, I understand your concern. In my opinion air journey is safer than road and railways. You can go on with the journey if the pregnancy is normal without any complications like anemia, any spotting etc. Consider getting an ultrasound to know the well-being of pregnancy before the journey. If everything is normal you can fly.Don't compromise the diet during the journey. Take adequate fluids up to 2-3 liters per day to prevent urinary infections. Best regards...." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, i am A 22 yr female and i have been experiencing some uncomforting chest pain on my left side. Sometimes its really sharp pains that shoot throughout my left side of my chest and sometimes all the way through my left arm but mostly its just an uncomfortable tight. Sort of pressure. This usually happens at night while i an relaxing. I do suffer from anxiety attacks and my question is can anxiety cause chest pains or does this sound more serious.. also i have tried tums and inositol for the anxiety but this doesnt seem to work", "output": "Hi I can understand your question... Yes you are right. Anxiety induce panic attack can lead sweating, chest pain. And dyspnea also... So try to avoid stress. Regular exercise and yoga done which help in relieving anxiety... If needed consult psychologist for it... If still problem ECG or chest x-ray done for further work up to rule out respiratory or cardiac cause..... If you have regular acidity problem or ulcer then referred chest pain can occur. I hope your concern solved. Take care. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi , i had sex around 1.5 years back and after that yesterday , as i had a fear of getting pregnant i took an ipill ..i am scheduled to get married next year will it effect chances of getting pregnant in my later life ..also though i have rarely had sex , i feel my pussy is quite loose . am afraid wat should i do .pls suggest", "output": "Hello, You have not specified the birth control pill that you have taken, but in general, the effects of these pills revert once you stop taking them. There is data from long term use of most birth control pills that are generally prescribed and used. These do not suggest any evidence of harm on the chances of a future pregnancy. It might be worth discussing with your doctor, which method would be more suitable for your needs, given that the sex is infrequent. Regarding the concern about the muscles in your bum area (I suppose that you are referring to gluteal muscles when referring to pussy) - their tome depends on exercise. With age, especially after 40 years, these muscles tend to go lax. The remedy lies in a diet with good protein content and structured physical exercise that focuses on toning and strengthening these muscles. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i have recently had 2 lft tests under taken,the first test my ggt was 900,got my second test 6 weeks later and my lft results were back to normal.i was drinking spirits and beer every day for 10 years,and after my first liver test i reduced my alchol down to 2 shandies a week,and my lft was back to normal,is it still safe to drink a couple of shandies per week.im 44 years and 10 10 high and 11 stone.thanks stephen..", "output": "Hi Stephen, Welcome to Chat Doctor Forum. The normal range of GGT is 0 to 51 international units per liter (IU/L). It could be raised in condition like liver and bile duct diseases. Since your GGT was 900 earlier, what is the recent blood Report of GGT? If you say it has come down to normal, it could have been elevated due to congestion of the bile ducts, which is called homeostasis. Kindly stop your Alcohol intake as you may end up having Liver Cirrhosis and Hepatitis. There will be chances that you may increase your daily alcohol intake day by day. Join an Alcoholics Anonymous group where in you will meet, men and women who will share their experience and help each other so that they may solve their common problem and help others to recover from alcoholism. Practice relaxation techniques like Yoga and Meditation, Exercise regularly and maintain a healthy weight. Avoid high calorie foods and eat healthy nutritious balanced diet which should include fresh fruits and Green Leafy Veggies. Wish you Good Health, Take Care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi there,I have been on YAZ birth control for around 7 years and have had very mild PMS during my menstrual cycle but over the last few months, I ve noticed a large amount of bloating/distended tummy before and after my short period. This month I got my period 2 days earlier so I finished 3 days earlier but I still have lower back pain and abdominal cramps just 3 days after my period stopped as if I m still on my period.Is this normal to have pain 3 days after period ends?", "output": "Hi dear, I understand your concern at this point of time. Your symptoms like abdominal bloating and backache are suggestive of premenstrual syn Chat Doctor. Some treatment options like lifestyle changes, medications like ibuprofen or aspirin and supplements like vitamins and minerals can be tried by you to ease the symptoms.please let me know if you found my suggestion helpful .best wishes for great health. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello for the last maybe 2 weeks i have noticed 2 to 3 tiny red bumps on my face below my right eye they do not burn or itch but are visible and red. i tried hydrocortisone and it helped make the redness lighter in color but its not completely healing the problem", "output": "Hi Dear, Welcome to Chat Doctor. Understamding your concern. As per your query you have tiny red bumps on face which could be due to allergic reaction to certain allergen, due to stress, change in hormone levels. Need not worry about it. You should use anti-inflammatory creams on these bumps. Wash faces with clindamycin gel. Avoid repeated touring or pricking that area. You should apply tea tree oil on these bumps with the help of cotton. Take diet rich in fluids. Avoid use of cosmetics containing many chemicals. Avoid spicy, oily and sharp food substances. Avoid exposure to sunlight and if ever you to go apply sunscreen rich in SPF. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir i m having shortness of breath for the past 1 week. Initially i had an x ray it appeared normal . nest day i took a CT scan . the impression was ..... 1. mild pleural thickening , 2.subtle air space opacity seen .. what does this mean .... and what is the treatment for this .... any antibiotics .....", "output": "HelloYour chest CT findings suggests small airspace opacity in lung. It may be due to infection/pneumonitis, small segmental collapse etc. It is generally a benign finding and patient may only need symptomatic treatment. You may need to take antibiotics after evaluation. Your condition need clinical correlation and routine blood investigations. Mild pleural thickening may be sequel of past infection and generally it doesn't require any treatment. Pleural thickening is a healed stage. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my dad recently was stung by a bee on the ear. He did have some swelling from the ear to below this chin (neck area). 24 hours latter he was in the ER and they were treating him for symptoms of CHF. His ejection fraction was 35%. The ER couldnt believe he had never been diagnosed with CHF because of this (and his doctor has always told him all was good). In 2008 we checked a previous test and it was at 65%. In 2011 in the hospital was the next test which showed 35%. During this time his doctor also had him taking avandia and it took us confronting this doctor before he agreed to change meds (his comments were his heart was fine and the avandia wasnt an issue). With all this info, do you think that the bee sting could have caused symtoms of CHF or the avandia could have change the ejection fraction? He will be seeing a specialist in July so I am trying to get info to review during this visit", "output": "Hi as per your query bee sting has nothing to do with congestive heart ailurethere are a number of causes of CHF, in most of the people it takes many years for the EF to lower from 60% to 35%, but there are diseases like cardiomyopathiesavandia (rosiglitatzone) has been banned in the market because it has serious side effects like causing a heart attack and precipitating CHF...this rapid decoration of your father LV functions can be because of rosiglitazoneif there are no findings of any particular cardiac disease in his echo, it can be a CHF caused by rosiglitazoneif echo reports of your father showed some regional wall motion abnormality then another possibility is that your father got a silent heart attack(as a side effect of rosiglitazone) (in diabetic due to neuropathy many times' chest pain is not there), so as the heart attack pass\u00e9 UN noticed his ejection fraction decreased by time till the time you see a specialist tab lasilactone 50 mg once daily tab circa(carvedilol) 3.125\u00a0mg twice daily tab Candace (April) 2.5 mg once daily tab flatiron Mr 35\u00a0mg(trimetazidine increases the ejection fraction) should be given" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My child is 4 years 2 month old is suffering from cold and cough from 15 days when a Dr is giving him medicines he is feeling relaxed after 3 days again he is suffering with same problem Dr says that he is suffering from Bronchitis I; want to know what is bronchitis what precautions should be taken ?", "output": "Hi, You should consider whether your child is having asthma symptoms instead of bronchitis. They are hard to tell the difference sometimes, but different medications are used. These two diagnoses also can be inter-related. Cough at night is a subtle sign of asthma and may respond to medications like albuterol or steroids. Asthma tends to cause recurrent episodes of coughing or trouble breathing, and can be triggered by colds. Bronchitis is a general term for a viral infection, like a cold, that has gone a bit deeper in the chest. This is not so often recurrent. Hope I have answered your question. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m only 43 been having sever chestpain that starts throat area ,can t cache my breath,pain moves to shoulders and arms .numbness follows,also dizziness,sweating,feeling like I m going to pass out,I have panic disorder and feels nothing like oanic attack.very scary", "output": "Hello, I have gone through your query. Thanks for using Chat Doctor. All your symptoms are due to panic attack. You should take Tab. Clonazepam 0.5 mg mouth dissolving preparation at time of your symptom. Mostly if you will be immediately relived, and it will confirm that your problem is nothing but anxiety. In case you are not relieved, you should get ECG and Echo done to rule out any heart disease. My best wishes Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been on Nuvaring for almost 6 years now and have never had any problems. My cycle is like clock work. I take my ring out, 4 days later I start my menstrual cycle and bleed for 4 days. Last month I was a few days late with my cycle but on the day that I was to reinsert my ring I started spotting. Took a home pregnancy test which was negative so I reinserted my ring. One week later, I got what I thought was my normal cycle. Now this past Wednesday when I was supposed to take out my ring I realized that it wasnt in. I dont exactly know when I lost it, but it is definately not in. Just wondering what my chances of pregnancy are and when I should insert a new ring since I dont know when my ring fell out. Any information you can give me would be helpful. Thanks!", "output": "Hi, In the current scenario, you have the risk of conception, so do not insert another ring until you exclude pregnancy. You can wait for your natural period to ensue and if it does not, please go ahead with a HPT 3-7 days later. Also, see your specialist for a local examination to see where the ring has gone. You may also need a trans-vaginal sonogram. Your recent menstrual history also suggests some hormone imbalance which needs to be looked into. Hope your query has been clarified. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi Sir I have a oily skin & fast hair loss problem since last 1 year afterwashing hair there is a white paste throughout my scalp i use lot of shampoos to get rid this problem but all are failed right now i cutoff all my hair i see after washing my hair my scalp is going to oily & after some minutes there is same white paste in my scalp i use sometime my icard to remove this whitepaste Sir i dont know what is this Sir please help me out this problem", "output": "This is so-called Seborrhea in which the patient has excessive functioning of seborrhea glands.first cut down all the oily food and dairy products, stick to skimmed milk.don't apply any oil in your hairs.try tar or salicylic acid with steroid containing shampoos and lotion after dermatologist prescription.for face use salicylic acid containing face wash even if it remains than you can go for salicylic acid peels under a dermatologist supervision...thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Treatment of polio by acupressureHello sir, my name is Amit kumar ray, i am from jharkhand,india. i am a polio patient since 1 year of my childhood,now i am 18 years old. i am getting my treatment for polio by my local acupressure therapist. Will it help me to getting out from my polio problem.Is accupressure effective in case of polio disease?plz HELP me, im waiting for your reply.....Email ID- YYYY@YYYY", "output": "Hi Welcome to Chat Doctor Dear Amit I am glad that you are aware of your situation & getting your treatment done. Though it cures slowly but cures safely with no side effects. Do help you to apply acupressure techniques to help you obtain pain relief and improve health without resorting to chemicals, invasive procedures, through specific points that allow you to manipulate the flow of energy. The belief that illness and pain is due to the interruption or blockage of this flow is the basis for both acupressure and acupuncture. So you are in right hands , cooperate with the person who gives you treatment . Have faith in him, in you and in god. Have positive thinking, balanced simple food, containing fibers vitamins minerals and proteins & a lot of water coconut water. Proper sleep. Be free from constipation . Be active as much as you can. You will be alright soon Panama and Papal Haiti can further help intoxicate your system to enhance process of fast recovery. Take Homeopathic remedy : Lathers Sat 200, one dose in first month , 1 dose 200 next month, 1 dose of 1 M third month , will help accelerate the recovery. It has no side effects. Hope this helps you in solving your query. All the best Get early recoveryDont hesitate to get back if you have any further query. Chat Doctor. Com" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I m Dawn from Trinidad.....my 4-y-o son took enterogermina last night as he has been having loose stools...is that ok?He vomited a while ago too-has another dose to take-normal weight for his age-vomited once Saturday last with loose stool since.Very frequent trips to bathroom between 5 and 11opm last night. Thanks", "output": "Hi... Thank you for consulting in Chat Doctor. It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my top left canine tooth is bothering me if i rub finger across the front of the tooth its very sensitive and if i rubb the gum it sends a pain to the tooth and even when i put my makeup on with sponge i cant rub the area with out putting my tongue there on the gum to protect it and it also hurts to tap the tooth BUT it does not hurt to push up on the tooth or put my teeth together??????", "output": "Hello there, canine tooth is the corner stone of your face and gives you beauty, so please do not neglect and consult your dentist soon. Sensitive gums suggest that your gums are inflamed, pain on tapping the tooth shows that there is some kind of root infection or pulpits (inflammation of pupal nerves). X-ray examination of the affected area is needed to be followed by treatment. I hope that helps you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my girl baby is 6 months old, she had diarrhea in alternative days for 2 months, so we took motion and urine test, it shows urine has normal, motion test shows pus cells occassionally found.is it normal ? no weight gain for the past 1 month.now she is 7 kgs.pls advice us whether she is normal?", "output": "Hi...a 6-month-old kid weighing 7 kilos is normal for her age. Do not worry. She might be having a viral illness. It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Since Sunday I keep getting an odd pulsing sensation on the inside of my left arm just above my elbow. I seem to get a similar sensation in my chest too at the same time. I also keep experiencing a sensation in my left arm similar too when you get your blood pressure checked and again I seem to have similar sensation in my chest.", "output": "There may be issue with your heart also. I suggest taking ECG and treadmill test and as per the report take suggestion from cardiologist if there is any issue. Now if every thing is normal with heart then check with your blood pressure and take needed steps if it remains high on a regular basis. You can also Learn stretch exercises from physio for your upper limb muscles and nerves. And practice it regularly if there is no other issues. But any time if there is a breathlessness on exertion and if you feel there is a pain in chest along with this then immediately go to hospital for proper treatment and management. Also do regular walking and maintain good diet. Do not eat heavy in night and do not sleep immediately after dinner. Have different color fruits also in your diet. I am sure if you follow this properly then it will be useful for you. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have been feeling pretty crappy for the last 4 months. i have been going to the doctor and he thinks that i have fibromyalgia. I have had 1 xray of the chest that came back perfectly fine along with 2 ct scans of my chest that came back fine. I had a cbc blood test that came back fine and i have had a brain mri and they all came back normal. i just went to the doctor yesterday because my sinuses were acting up and he said i had a sinus infection and that is why the lymph node on my neck is swollen and tender. what do you think?", "output": "Hi. Welcome to Chat Doctor . As per your question if you have all the investigations done with normal conclusive reports and if you are suffering from Sinus infection then the swollen and tender lymph nodes in neck are most probably due to infection as the lymph nodes in neck can get inflamed due to infections occurring in head and neck region, and it is nothing abnormal and is a relatively common finding. You need not worry about it and should take the medications like antibiotics and painkillers and other medications like decongestants and saline nasal sprays as advised to you by your doctors. Gradually as the infection will subside the swelling of the lymph nodes will also resolve. You can do alternate warm and cool compresses over the lymph nodes for relief from pain and faster resolution of swelling. Hope this information helps. Thanks and regards. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had mitral valve robotic repair dec. 2013. Now they are telling me I have osteoporosis of spine and right hip. I am 66, and otherwise in good health, weigh 115, I am leary of drug side effects, especially with the recent heart surgery. I have a ring keeping the valve working. Dr. assistant, PA, wants to put me on Fosomax. for 2 years -2.9 spine, -2.6 rt. hip Dexa scan, other areas are osteopenia. I have read of serious side effects Can I treat with just vitamins, diet, exercise. Would I be foolish to do that? I am very sensitive to all drugs, fast metabolism.", "output": "Hi, as you mentioned your age as 66. let's look into the things which can help you fight this osteoporosis. Having a good vitamin D can be done by regular sun baths. Because sun is the only source of natural and charming vitamin D. for calcium you need to take regular milk. Now how does your astrology improve? Well doing a weight-bearing exercises in a graded pattern will surely be of help as to many it has done. Bone mineralization occurs when one takes proper vitamin D through sun, calcium through milk and absorbing of it through exercise. I wish you will be helped and the pain and aches due to osteoporosis will be removed. Taking to the issue with the heart, well exercise is the best medicine for most of the problems as it's a natural inducer of metabolism and immune system." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I had a wisdom extraction about 5 1/2 weeks ago. I was sedated by the IV the dentist inserted in my arm. I noticed my vein had damage which is common from an IV insertion. It was a little hard and of course bruised. I expected the swelling to go down by now. Instead, the lump which is the width of my vein has slowly moved up about half an inch. It has increased in firmnessand aalmost feels like there is a tube almost an inch long in my vein. When I press on the lump it moves and feels like there is an edge to the lump at both ends. I have received bruising after pressing on it. When I bend my arm or flex my bicep it feels like its pushing against my bicep. I am a phlebotomist and draw blood mainly on geriatrics for 7 years. Ive seen veins with scar tissue and hematoma, but never anything like this. Also my veins are very prominent. Could there be debris or something left behind from the IV?", "output": "Hi, Thanks for asking the query, Your clinical history suggest that you had developed a sweeping at the injected side of your arm which you are feeling as hematoma. If you are comfortable with your day-to-day activities it is advisable to apply a bandage at the side, so that the hematoma resolves faster. If the skin over the hematoma is showing any signs of unhealthiness, it's better to consult a physician and get the checkup done. Follow the post-operative instructions given by the Dentist properly. Maintain a good oral hygiene. Hope this helps out. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I hit my shin pretty hard against a metal object 5 days ago. It hurt but I kept working. I work 12 hour shifts on my feet and even though the pain has eased up some the swelling is still really bad. The bruising has now started and is down to my foot. The swelling goes from the middle of my shin to my ankle, especially when I remove my socks. Is this normal? I work on an off shore oil rig and won t be back to town for another week. I just want to know if I could be hurting it more by standing or should I find a way to see a doctor?", "output": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint it seems that due to traumatic injury to the shin there has been inflammation of soft tissues leading and accumulation of inflammatory exudate in the soft tissues leading to swelling. Bruising is due to ruptured blood vessels leading to accumulation of blood into the soft tissues. As you are able to walk and the leg is bearing weight there does not seem to be any bony fracture. I would suggest you to take Ibuprofen for relieving pain. You can do cool compresses to reduce inflammation, pain and swelling. You can apply Heparin gel to fade away bruising. You can elevate your leg while lying down. Apply Analgesic gel like Diclofenac to relieve pain. In case of no improvement in a week consult an Orthopedic and get evaluated. Hope this information helps. Thanks and regards. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am having lower back pain that is also causing discomfort in my legs. When I press on my lower spine it is very tender and sore to the touch. I have had (3) cervical fusions in the last 4 years on wonder if this could be related to my medical history with my surgeries. I know this isn t a normal feeling of pain and worry this could be serious?", "output": "Hello, I wouldn't jump to the conclusion that the pain represents anything SERIOUS based on the little information you've provided but the fact you've had several cervical fusions could mean you are prone to developing more than average osteoarthritic degenerative problems which would explain the back pain. However, going for an evaluation with a doctor is always the best first step in solving such problems. It will likely be necessary to get an imaging study of the back, but it is also very likely (based on probability) that your pain in the back and legs can be adequately managed using conservative means at this time such as PHYSICAL THERAPY, AROMATHERAPY, and APPROPRIATE MEDICATIONS. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi dear doctor , i have very very fear, i m 27 years old i hve problm last 2 year, water collor drops comes when i talk on mobile wd my feancy , or see dance or talk wd open girls or womens , so when comes drops my brain and heart too too much weak plz plz plz dear doctor help me, when my cell ring come i m feel very fear my heart is too much weak plz plz help me i m frome pakistan", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. I can see that you are anxious. You are anxious about something which makes you startle. But the description do not say anything about your reason for anxiety. The symptoms are related to anxiety. If you are unable to tell the reason for anxiety, visit a psychologist who uses several methods to find the reason for your anxiety. Once the reason is found, this problem can be treated easily with the help of psychotherapy. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am currently taking the pill levlen and I m having side effects like vomiting diorreah major bloating, red spotting and also head aches.Is it my body adjusting? Because I don t have access to any other type of pill At the moment and it s my first time being on it. Thanks", "output": "Hello, Some side effects of Even are the symptoms that you have mentioned like: headache, bloating, diarrhea swelling in your hands, ankles, or feet or weight change may occur. Vaginal bleeding between periods (spotting) or missed/irregular periods may occur, especially during the first few months of use. I think you should take an appointment with your doctor because of the side effects and another reason is that the Even doesn't work properly when you have vomiting or diarrhea, so you have to take something else for birth control. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had bronchitis for over two weeks and have seen my doctor twice in that period. He has given me antibiotics and cough suppressants that I have taken as instructed as well as Mucenix. Today for the first time I am wheezing. Should I be concerned or call my doctor again?", "output": "Hello, Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for you as follows:1. It is possible to have wheezing in bronchitis as there is narrowing of respiratory tubes (bronchi), so please do not worry too much about that.2. I would suggest you to follow-up with your doctor who will examine your chest with stethoscope and may prescribe you bronchodilator like albuterol or levosalbutamol. It would dilate bronchi and would give you relief.3. If you have episodes of bronchitis repeatedly/frequently, I would suggest you evaluation for allergy. If it is for the first time, it might be due to infection, and you should not worry.4. Having adequate warm fluids during day will also help you to recover earlier. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you a rapid recovery and the best of the health ahead. Thank you & Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Last week I slipped on some black ice and landed on my back at around 7pm. It hurt a little, but no big deal. At about midnight that same nigh, I woke to severe pains in my abdomen, just below my rib cage. It felt like gas pains, which I rarely have, so I tried a chewable simethicone. After a few minutes, the pain subsided and I could feel the gas moving around. Since that night, Ive had several instances when I feel the pain coming on and I take the simethicone and it helps. Im just wondering if I may have screwed something up inside or is it possible that I just pulled some abdominal muscles and am just more sensitive to the gas pains. Thanks in advance!!", "output": "Hello, I have studied your case. I think there can be due to some abdominal injuries. There is also a chance that it is not related to your fall. In both cases you need to get ultrasound examination of the abdomen and check if there is any abnormality of any structure. If this is due to problem of digestion then it will also become clear after ultrasound. According to that we can plan further management. I hope this answer will be useful for you. Let me know if there is any other followup questions. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have a swollen gum with a sensitive tooth, the pain was very sore earlier today but stopped and is now just swollen and sensitive. What is worrying me is that I have now developed a red ring on the outside of my check under my eye near where the tooth is. What is this?", "output": "HI...WELCOME TO Chat Doctor.REPEATED IRRITATION TO GUMS BY TRAUMA OR CALCULUS OR FAULTY TOOTHBRUSH SEQUENCE CAN LEAD TO GUM SWELLING.BY SCALING PROCEDURE CALCULUS OR PLAQUE AROUND TOOTH CAN REMOVE.YOU HAVE SENSITIVITY PROBLEM SO TAKE Desensitize PASTE CONTAIN SODIUM FLUORIDE OR POTASSIUM NITRITE.CONSULT A DENTIST FOR ORAL CAVITY EXAMINATION.SOME Chat Doctor. IF YOU ARE TAKING ANY ANTI HYPERTENSION OR ANTI EPILEPTIC " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been having right side abdominal pain all day that been getting worse. it seems to be the worst when I push to the left of my hip bone (my left looking down) and up a little bit it also is in my back in the same area. Now what concerning me most is when i sit down the pain gets worse.", "output": "Hi! Good evening. I am Chat Doctor answering your query. Even though it needs a clinical examination of your abdomen to arrive at a tentative diagnosis, from the history alone of your symptoms, this seems to be an inflammatory condition of the intro abdominal organs and if it is on the right side, appendix and gall bladder top the list. If I were your doctor, I would advise you for a complete blood count, a stool test for ova and cyst, a urine routine and microscopic test, and an ultrasound of the abdomen to rule out such and other related conditions so that appropriate treatment could be planned. Till then, you could go for an anti-spasmodic along with a proton pump inhibitor Chat Doctor. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. My chest is hurting. When I breathe in deep it feel like everything bruised is the best way I can describe it. Also Iva had terrible diarrhea for that past two days to where I have to go every two hours. I dont smoke, use drugs, and exercise regularly. Could help me?", "output": "Thanks for your question I completely understand your question chest pain can be due to variety of causes like pleural effusions can cause dull pain and pain is stabbing more on inspiration and catchy, other causes can be cardiac and gastritis you need to visit a pulmonologist and get a chest X-ray and ECG done to rule out the causes and to come to a certain diagnosis thanks feel free to ask more questions may god bless you with good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doc. im 38 year old healthy female, taking 25mcg thyronorm for the last three years, if i plan pregnancy how do i go about my dosage, is there any way of having only a male child, and what is the latest age to have a healthy child. Thanks. Warm regards.", "output": "Hello dear, I understand your concern. In my opinion there is no way to determine the gender of the fetus before pregnancy. It is all chromosome based and little is known how it happens. Mother contributes two X chromosomes and father X and Y chromosomes. If X from mother fuse with X of father it leads to XX female fetus. If X from mother fuse with Y of father it leads to XY male fetus. After the pregnancy is confirmed thyroid profile is done and dose is adjusted. According to it. The age more than 35 years is considered as elderly pregnant. Best regards... Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had a pain in my upper abdomen when inhaling. When laying down it hurts to exhale. I recently took a blood pressure reading at 143/68 I am 20 years old. I feel the pain is a muscle I may have tweaked playing softball the past weekend but it doesn t help I had a high blood pressure. I am just worried is there a correlation with pulled muscles and high blood pressure?", "output": "Hi. Thanks for your query. There may not be a relation between the pulled muscle and High Blood Pressure directly. Your anxiety / pain / fear can temporarily increase blood pressure. You are advised to take Blood Pressure on three different days, it may settle by this time. If the BP does not come down, get an opinion of a cardiologist and a treatment for the same. The pain in the abdomen may be really due to pulled muscles as you rightly suspected. A painkiller and a muscle relaxant along with strict best should help you completely recover unless there are associated problems like pleural infection and inflammatory process going on in the upper abdomen or a lower chest. Yet is always better to confirm or rule out -" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I broke my leg 9 months ago and had a plate and screw put in. No pain what so ever in all this time. My leg swelled over the weekend very badly and tonight at work I could barely walk. Very painful even tho the swelling has gone down. What is up with that", "output": "Hi, thank you for providing the brief history of you. As you mentioned you had implanted in the leg and for so long days no pain and aches. So now if the pain is arising then you should get it once checked by taking up an x-ray. As by understanding the biomechanics of the bone, the leg bone is a weight-bearing bone and any implant fixed needs an assessment if pain arises.Also, when you stand for long hours the biomechanics of load and stress of the bone is high, and it may give some indication in the form of pain. So getting an x-ray done is advised. Based on the X-ray findings the next plan can be made. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I woke up and my jaw was bothering me and I thought it was from a tooth, then all the gum line seemed to ache to I used mouth wash. Later it seemed to be getting better, but the ache went down to the neck and into my throat where it seems to be settled. I am getting quite concerned", "output": "Hi, If there is any decayed tooth then the pain can be very much due to a decayed tooth that can radiate to the jaw and the throat. But a confirmation is a must so better consult an oral physician and get evaluated. If there is any decayed tooth than an X-ray can be done to rule out the exact cause of the symptoms. For decayed tooth root canal treatment or extraction can be done depending on the condition of the tooth. For now, you can take painkillers like Advil and do warm saline gargles. Hope I have answered your query. Let me know if I can assist you further. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HELLO SIR,its my father having a liver problem saying theres a swelling in his lever causing eating lesser so getting weaker n weaker. he is almost 70 yrs old. so you are kindly requested to suggest something regarding it and it would be really nice if you suggest any doctor in varanasi. looking forward to hear you soon.thank you shiva k dubey", "output": "Hi, dairy have gone through your question. I can understand your concern. He may have liver problems. First he needs to search the cause. He should go for complete liver function test and ultrasound abdomen. These will give you exact diagnosis. Then he needs to take treatment accordingly. He should approach physician for this liver problem. Then take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have only a partial kidney my Gfr is 45 .i have a lot problems with fatigue , deppresen and concentration and memories. I also have chronic liver disease . Kidney problems are from clear cell renal cancer. I do not understand why I still feel so bad .i had a radical nephrectomy left side and partial nephrectomy on my right side. I have bridging fibrosis May or may not have cirrhosis . I should be feeling better but I am not.", "output": "Hi, Fatigue is common in patients suffering from the chronic liver disease. Lack of concentration & fatigue may be due to other health conditions such as sleep disorders, anemia, thyroid dysfunction, depression, emotional stress, worry, etc. Get physically examined with all required screening tests. Get treated. Do regular exercises, avoid spicy food, eat boiled homemade food. Get adequate sleep, ensure adequate water intake, take a well-balanced diet with fruits, veggies, grains, protein in low amounts. Stay positive, take care. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I recently came to know about my hepatitis c . I m also diabetics in the range of 120 to 140. Doctor prescribed me Silbostin 3time daily , Ursokem 300 mg 3 time daily & Zanocin OD 400 mg . In my ultrasound dotor mentioned Panchram of Coarsened Liver Echotexture. In my earlier Ultrasound other doctor mentioned Diffuse Chronic Disease ( Cherros ) Difference in utrasound is 16 days only why the difference of opinion", "output": "Hello, Welcome to Chat Doctor, Medical literature shows that antiviral medicines are used to treat long-term (chronic) hepatitis C. These medicines can help prevent the hepatitis C virus from damaging your liver. Sometimes treatment doesn't permanently lower the amount of virus in your blood. But some studies have shown that treatment may still reduce scarring in your liver, which can lower your chances of developing cirrhosis and liver cancer. Further medicines to treat hepatitis C don't work for everyone. Chronic hepatitis C infection is cured or controlled in about half of the people who are treated with a combination of peg interferon and Riboviria. I suggest you discuss this with a gastroenterologist (specialist in liver diseases) and then your doctor will decide what is good for you depending on further testing. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "About 3 months ago I had a bad toothache (my left side back tooth) I went to the dentist because I.wanted them to pull it but they wanted to do a root canal and then cap it. I did not have the money for all of that so they gave me antibiotics and pain medicine. I finished the antibiotics and my tooth quit hurting so I never went back to the dentist. About 3 weeks later I got a knot right below my jaw line its about the size of a quarter and is very sensitive to touch. Is this an infection or something else?", "output": "Thanks for your query, I have gone through your query. The knot you are describing can be because of the tooth infection resulting in the formation of a cyst or osteomyelitis. So consult an oral physician and get a radiograph done to confirm the diagnosis. But get the tooth treated as early as possible. Once the infection is treated the lump or knot will automatically reduce. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 8 yr old has been running a fever for the last 16 days he has been to Dr. and hospital several times but this weekend my father-in-law was watching him he had a fever of 105.3 the only symptoms he has had have been Fever,tired and headache what would you suggest doing. his white blood count was 7.8", "output": "Dear parent, The description u gave suggests the possibility of Pyrex of unknown origin. Please get the complete blood count, urine examination, blood culture, malaria TXT, dengue serology, widal test done. The most common cause of prolonged fever in India is enteric fever, viral fever and tuberculosis. There are other rare diseases also. Please get the basic investigation done before proceeding to further. Thanking you," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, Emma here! Once in a while when I eat food with too much sugar or salt, I get chest pains. Maybe this is a good sign from the body, telling me to stop eating bad food, but it makes me wonder if I should have my heart checked. What would you recommend?", "output": "Hello Emma and thank you for choosing Chat Doctor to post your question. I read carefully your question and in my opinion your chest pain is not related to heart disease since it doesn't have the characteristics of a cardiac chest pain. The fact that the pain is related with the consummation of food like sugar and salt, makes me think about gastroesophageal reflux disease although you don't describe other symptoms. In this case the best treatment is to modification your lifestyle.(Avoiding sugar, salt and other kinds of food that provoke pain)Wish you good health. Kind regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi ...I am 30 yr unmarried male. I have a problem related to musturbate. Whenever I go for maturbation no ejaculation occur.sometimes I have wet dream . I really worried about my future life.....Please give me some suggestion for which doctor should I visit. Is this problem treated. ...?", "output": "Degree understand your concerns went through your details. I can understand. If there is no ejaculation after masturbation, it simply means that your body is not sexually aroused. Masturbation results in ejaculation only when your body is sexually aroused. Otherwise, masturbation is painful. Because of the same reason, nocturnal emission happens you. I surely think, you are anxious about sex, sexual organs and related concepts. Your knowledge is false. I suggest you to consult a psychologist for sexual counseling. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi l m mary jane romeroso, l m asking about the micro pills....before l use trust pills almost 4months. so l decide to change my pills which is micro pills...is it ok or safe and also what are those side effect of this pill....and also l don t want to weight gain...do we have pills that can prevent a loss weight.", "output": "Hi, Micropills contain only progesterone whereas combined pills contain both the female hormones, estrogen and progesterone. Micropills are used when estrogen is contraindicated due to their side effects. Irregular bleeding, breast tenderness, nausea, headache and mood swings are common with the Chat Doctor. Weight gaining side effect may not be seen in all patients, and it is less common than other hormonal pills. Take care. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just got back from an orthopedic surgeon for my shoulder, MRA yesterday, no report but he read the pics and said it is a sublabral foramen not a slap tear, wont need surgery, considered to treat for strengthening bicep and rotator cuff and cortisone injections. next appt 3 months.", "output": "Hello, What I can understand from your opinion of what the orthopedic surgeon said is that you may have an inflammation of the labral region for which surgery may not require at present. So that the reason why he has suggested physiotherapy and injections. I would suggest you wait for the radiologist report, and then recons ult your surgeon if any doubts. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was a distinction student through my academics. When I was doing post graduation, my father deceased and I had to take care of the family and went through many problems. For a year I did nothing and then I joined medical transcription and working for the last 6 years. The problem is that I do not remember many things that I read and watch. Even sometimes, I forget where I placed my mobile phone. These small small issues are bothering me a lot. Why is my memory so poor now? How can I be as I was before? Please advise.", "output": "First clarify if you are forgetting after you do the activities with absolute concentration or is it just that the activities you do habitually that you forget. With age and increase in responsibilities people are mostly preoccupied by higher level activities because of which they fail to focus on simple things that is done habitually. Increased stress level further adds to the intensity of the problem. But in rare cases it may be some physiological disorder also. So first consult a clinical psychologist to evaluate your attention and concentration, stress levels and memory quotient using standardized tests. Then decide about what intervention should be done to overcome this problem Regor. ManojClinical Psychologistrmanojcp@gmail.com" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 38 yo female. 230lb. 58. I have had past history of kidney stones but that has been ruled out through blood tests and ct. I have pain in my right side and on right side of my back. It seems as though anything I eat or drink makes me cramp. I had a ultrasound and blood work and no stones were to be found and blood test results were normal. Whatever that means!!! Today, I have a Hida Scan and after laying there an hour I was again injected. I became severely naseous to the point I felt lightheaded. My stomach fellt as if it was burning in the right side and cramping in the lower right side of my pelves. Does this mean that my gallbladder is not pumping correctly????", "output": "The problem during HIDE scan would have been a reaction to the Chat Doctor. Only the report can tell whether you have a functioning gall bladder or not. The cramps you are describing can also be due to IBS or so. Get a proper treatment with a course of an antibiotic and antispasmodic tablets for 7 days, your problem may be solved. You have already undergone the CT scan and an ultrasonography, which you have mentioned to be normal. It would have already picked up the other problems. I would think of IBS and other reasons. I would advise you to go for a test of barium called Enterocolitis under a fluoroscopy control to see the real time movement of the bowel, any obstruction or motility disorder." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have had bronchitis that led to pneumonia which led to pleurisy. Yet I have hhad the past week with my pleurisy a pounding heart and resting heart rate around 105. I have had pain in my left neck and wrist and hand. Should I be worried or is this something to expect with pleurisy? I am 27 and have otherwise been very healthy at a healthy weight.", "output": "Hello! Thanks for posting your query. Pleurisy is a common complication of pneumonia. The good news is, if detected in early stage, it can be completely cured with the right choice of antibiotic. I would prefer to start you on antibiotics like amoxyclav and azithromycin to start with, which generally work well for community acquired pneumonia. Before the first dose of antibiotic, I would suggest you send a sample of your early morning phlegm for gram stain and culture sensitivity (the test that detects which organism has caused your phlegm to get infected and also tells which antibiotic will work to kill that organism). As far as your pain is concerned, it seems to be a musculoskeletal pain. The pounding heart is also mostly likely due to the pain. So taking analgesics, hot compress and physiotherapy should help. Do consult a physician in person for a complete check-up and evaluation. Hope my reply was of help. Do Chat Doctor. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I get allergic cold everytime there is a change of climate. I also allergic to dust, kerosine, pesticides,smoke,etc. It starts with sneezing and then broncial infection and it linger for a few day. I also tend to get throatirritation and cough. I have done all the allergic tests, etc; seen all the doctors possible the ENT, Chest specialists, etc. For some time I am okayand then after about 4 months it reaccures. In such a case what do I do?", "output": "Hello, Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for you as follows:1. I would suggest you skin prick tests for common aero-allergens like house dust mites, molds, regional pollen, insect proteins, animal dander, etc. Usually qualified Allergists perform such skin prick tests.2. Based on allergy testing, an Allergist may prescribe you allergen specific immunotherapy which works on immune system to gradually improve allergy symptoms over a long period and reduce recurrences.3. For symptom control, I would suggest you to take combination of montelukast + levocetirizine. If you have wheezing/bronchial symptoms, I would also add albuterol to your treatment.4. Regular nasal saline washes, steam inhalation and warm saline gargles will also help you in a long run.5. In general, please avoid exposure to dusts, smokes and air pollution as much as possible.6. If stress is an important factor for you, regular relaxation and meditation will also help by reducing stress. Stress is an important trigger for allergies. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you the best of the health ahead. Thank you & Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My wife that is 31yrs old had a major operation 6mos ago. She had thymic cancer with 3 large malignant thymomas pressed against her right lung her heart and her liver ..they removed her right lung and removed then reconstructed part of her pericardium (lining of her heart) and the tumor on her liver was completely encapsulated so they didn t take a slice of her liver like he though he would have to . Dr. Calhoun of uc davis who is a straight up stud removed 100% of the tumors it looks like so far. Her first 3mos checkup was fine last week for her second checkup they said it was still OK. They called us today and said she needs to come back for another ct scan because they just noticed dark spots on her liver..what would you think this could be?...they think her tumors were very slow growing so it wouldn t make sense that already it would be showing up..but this is a very very rare case. So they don t have a lot of other cases they can refer to. She spent a month in ICU because of every complication in the book..a lot of infections (cdif etc..) I am hoping it s just something like that. what do you think the odds are for all the different possibilities it could be ?", "output": "Thanks for the query from the history it is quite evident your wife had shad a very tough time but from the diagnosis of malignant Thomas I have to tell you that it means the liver has got metastasis from the Thomas that is what they mean by the dark spots in the liver, and mostly they want to resect it now I would suggest you talk to the oncologist who's in charge of the case for a clear-cut explanation take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 30 years, trying to concieve for the past 6 months, I am advised to take Glycomet SR 500, Folic acid and from today being 16th Day Duphston.I have been given HuCOG today and under folical monitoring. Wanted to check what are my chances of getting pregnant", "output": "Hallow Dear, Humor is a Chat Doctor preparation which helps the release of the egg (ovulation) from a matured follicle. Gluconate with Camphene citrate helps the maturity of the follicles. Phaeton would work better if given after injection of Chat Doctor. In fact, when Chat Doctor is given, Phaeton becomes optional medicine. Folic acid helps the endometrium to grow and the follicle to be healthy. Please monitor the ovulation by ultrasonography. Mostly within 24 hours after the Humor injection, ovulation will take place. So have daily intercourse for next 48 hours. This will increase the possibility of pregnancy. I hope this clarifies your doubts. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 40 year old female. Today, my Dr. put silver nitrate on canker sores on the insides of my lips. My lips are now swollen and black on the insides. When will the black stains disappear & the swelling go down & is there anything I can do to speed up the process?", "output": "Thanks for using Chat Doctor. Read your query. Some medical professional do use silver nitrate to be applied for canker sore. It chemically cauterizes the nerve endings in the area and usually result is a potentially longer lasting ulcer but it doesn't hurt during the healing period. The swelling and the stain will take an around a week to resolve and get the normal tissue. Do salt water gargling and if painful, you can apply denote /McCoppin ointment to relieve symptoms. If the swelling and blackness is still persisting after a week or so, please report back to your doctor. Hope this was helpful. Thanks and regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. Last month i felt a small peas like on my underarm. I didnt pay much attention until this morning. I was worried when i stretched my skin on my right shoulder and i saw multiple peas like on my skin. While im having my shower this evening i also felt the same way when i palpated my upper back. Im so worried. Could you please give me some advise on what to do?", "output": "Hi ! Good morning. I am Chat Doctor answering your query. It might not be possible to reach even at an approximate diagnosis only with your history over the net. I would suggest you to please visit a general surgeon in your area for a clinical examination and further management of the problem to avoid any related complication. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter had mild cold symptoms with little drainage and very minor cough last week. Takes vitamins daily. Shes still feeling run down, her throat has hurt a couple days and has lost her voice. She has not had a fever at all. Is this just a lingering seasonal cold? She plays outdoor soccer in the cooler temps and the rain.", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query your daughter have symptoms of cold and cough which seems to be due to upper respiratory tract infection or poor immunity of body. Infection is spreading to larynx region as well leading to inflammation of vocal cords. Need not worry. Avoid intake of cold carbonated beverages. Avoid intake of sharp spicy food. You should apply mist humidifiers in room and take throat lozenges. Visit ENT specialist once and get it examined and start treatment after proper prescription. You should maintain oral hygiene. Do warm saline gargles. You can go for blood and sputum tests as well. You should take proper course of antibiotics along with anti-inflammatory medications. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son has been hospitalized for the 5 time for mental health issues. He is 14 and this all started with tics. Little did I know then how much worse things would get. 4 years later and he was choking me this past Friday and our butcher knife is missing. We come from a good home. He has had the best childhood. He says now that he is hearing a voice telling him to do bad things. Weve tried many medications. They have prescribed Geodon. I know after many different types, that antipsychotics cause him to get worse. Im really worried for him and for me. Is Electroconvulsive therapy an alternative for someone his age in Ohio? I feel like he is getting worse every month that goes by. I miss my son and how fun he used to be. Im afraid that in 4 more years he could be worse. I want to get ECT for him. What are your thoughts?", "output": "Dear serve understand your concerns went through your details. Electroconvulsive therapy (ECT), were originally used for the treatment of catatonic schizophrenia, and there is little doubt that ECT remains an effective intervention for the treatment of schizophrenia. Usually Electron Convulsive Therapy is decided after careful psychiatric discussions. Please let the psychiatrist decide on this matter. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doctor, I am male 43, I am doing masturbation every three days, what my observation is, when I am doing masturbation I am feeling very tidy and week. and also I am suffering with headache and eyes are paining. when I am not doing that day s I am feeling healthy. Is there any problem when doing masturbation?", "output": "You have asked a very relevant question, and it will benefit many. Modern medicine doesn't pay heed to loss of semen but AYURVEDA does. Excess loss of semen deteriorates other status (elements) of the body too, and it gives rise to various vat Rojas i.e. nerve disorders, nutritional problems, strength, Libido etc. and its well accepted proven fact. To overcome rushy group of medicines enhancing semen are required. Selection of herbs will depend on your current condition and little history. If you agree, pl give more information and current condition through direct question for further advise. Hope you find it helpful." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my sister is having burning pain in her kidneys, no signs of kidney stones, she would be in much more pain. she has had for about four hours. has had abdominal pain off and on for some time now. not sure of fibro. not all smptoms.has had back pain off and on, can you come up with some thing? or just a little help, please?", "output": "HIT hank for asking to ChatDoctorYour sisters symptoms are very much vague of course she might be having some kind of trouble, but that might not be related with kidney, we need to think something else beside the kidney, first the antispasmodic(Dicyclomine) should be tried, I think the problem will go away with this even if it does not go away then she needs to be examined, but I think this will come around have nice day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi! For the past year, I have had a small lump on my upper palate, in the middle, by the incisives. It goes from being felt to disappear. It has been painful at times, while other times is not. Feels like a needle up my gums up to the nose. Sometimes seems like there is a discharge, no colour, but saliva gets a bit foamy. Went to 2 different dentists in the past 9 months, they both took a scan & they say there is nothing wrong, just floss & use Corsodyl. Did that but pain & discomfort comes back at times. Especially after drinking alcohol at weekends. Or using e-cigarettes which I have been smoking (instead of normal cigarettes) since almost a year. Chewing ginger helps a lot, but I am still concerned. Could both dentists miss some other gum problems? Herpes, sdts or else? Told them I had a little fish bone hurting the upper palate a year ago, but the scan only shows receding gums & nothing else. Tks in advance. K", "output": "Hello, As per your query, you have symptoms of lump on the upper palate. Well, there can be many reasons for your condition such as muscle, constant irritation of mucosa, tooth infection, torus palatines, and sometimes cancerous condition. Need not worry. I would suggest you avoid intake of sharp and spicy food. Do not touch or press it. Maintain complete oral hygiene. You should consult an oral pathologist for proper examination. The Doctor may order CT scan, blood test, biopsy and examine it physically. The doctor may further extend the course of antibiotics along with the anti-inflammatory Chat Doctor. Get it examined properly once and start treatment accordingly. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, i have been suffering from hepatitis a, jaundice since last 2 months! Earlier my sgpt was 1953 and total bilirubin was 4.0 and now after 2 months sgpt is 60-70 whereas total bilirubin is 33.0 Bilirubin reached to 37 then goes down to 17 and now again rises to 33.0. Taking udiliv 300 vitamin B12 as prescribed by My gastroenterologist. I want to ask how much time it takes normally for this much of bilirubin and what is your advice regarding it!", "output": "Hi there, Thanks for posting your query. It usually takes 2-3 months for complete recovery from hepatitis A infection. In a subset of patients, it may prolong a little more. Since your bilirubin level had a second rise, other causes of liver injury should be ruled out. Other viral infections like Hepatitis B and C should be tested. Try to avoid alcohol and also medications that affect the liver. In addition to Ad\u00edlio, also take silymarin after consulting your doctor. I hope that answers your query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor,i had my periods on 8th of Feb, bleeding continued till 17th Feb, i had unprotected sex on 17th but my husband dint discharge in me..he ejaculated out, but not sure ..he thinks that the discharge touched my outer vaginal lips. i washed myself after that then again had sex. v continued to have sex even i was bleeding on 18th and 19th also ,but he dint discharge in me..he always discharged outside. is it possible for me to get pregnant.age 22,", "output": "Hello dear, I understand your concern. In my opinion there might be rarely any chance for pregnancy. Because the semen was not ejaculated inside the vagina. And moreover you have washed your genitals after intercourse. So there might not be any remnants of semen and Just touching of very little amount of semen will not be able to cause pregnancy. A minimum of 2 ml of semen might be necessary to cause pregnancy. Though the intercourse was done on successive days none of the times' semen was ejaculated inside. So relax. Nothing to worry. There is no chance of pregnancy. Hope this helps. Best regards..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am having a problem with mouth ulcers, I get one after another, not all the time but once I get one then several others follow. I have quite a painful one at the moment( had two or three a week ago) and despite trying many products this one is still causing a problem. Many thanks Chrissie", "output": "Hi. Thanks for the query. As per your complaint and presentation of symptoms you are suffering from RECURRENT AUTHORS ULCERS / RECURRENT CANKER SORES. It can occur due to a number of conditions like Nutritional deficiencies, hormonal fluctuations, acid reflux, stress, etc. At times, it can occur without any underlying cause as the exact cause of authors ulcers is still unknown. In case if the ulcers does not respond to any other Medication or remedy then Steroid therapy is the ultimate treatment. You should consult a dentist and get evaluated. He can start with a loading dose of steroid followed by tapering the same. Gargle with 1:1solution of water and HY Chat Doctor. . You can apply milk of magnesia two to three times a day on the ulcers. In case of pain lidocaine gel can be applied over ulcers for relief.OTC painkillers like Advil can be taken to relieve pain. Avoid hot, spicy and citrus foods as they can cause irritation. Hope this helps. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have viral fever 101.8 last week after take medicine from doctor fever has gone . since i reguraly take medicine i feel ok and dont have fever but tester again i have fever of 101 and after take medicie its gone but now again i m feeling sick and week and i dont want to eat anything and i dont feel hungry let me know what i do?", "output": "Hello are having fever since 7-8 days and regularly taking medicines. Still there is fever (sick) , anorexia (loss of appetite), weakness, these symptoms may be due to these reasons, these include.1 Typhoid fever, as this may be the reason of such long duration fever and all these symptoms are an indication of typhoid fever. Diagnosis can be confirmed by Tidal test as well as stool examination for salmonella.2 Tuberculosis is another reason of such long-standing fever. Diagnosis can be confirmed by X-ray chest as well as blood for C B C, E S R (if > 100 mm strongly suggestive of some chronic disease or tuberculosis), sputum for A EF B.3 Jaundice, as I have noted in my so many patients who visit my clinic with these symptoms have Jaundice. Diagnosis can be confirmed by liver function including serum bilirubin, S G O T, S G PT, hepatitis A, B C E.However, there are so many other reasons of such prolonged fever but deal as mentioned above. So consult a physician (2nd) and get his opinion. Hope this will be helpful for you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here...I was on my period December 25-29 had severe cramping the 26th and 27th. I was exercising a few days later and had a light pink blood in my shorts. I read this could be implantation and took a test. It was positive. I just took two now only 9 days later and they re negative. What is wrong? Am I pregnant or not?", "output": "Hello, If you had a normal menstrual cycle, your chances of pregnancy are very, very rare. The positive pregnancy test could be an artifact. This is because the successive tests you took were negative. Yet, a clarification can be had through an estimation of the serum beta-ChatDoctor titles. Exercise can sometimes cause spotting, if the workout is rigorous. You can see a specialist for further evaluation of this spotting and also get a trans-vaginal sonogram to know the status of the pelvic organs. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI, THERE DOC. my age is 24.i have been married for 7 years.Me & my hubby r trying to conceive for last 1 years. but still no result. I am a SLE paitent. My SLE is stable right now. Do i need to stop my SLE medicines to conceive. I am taking reconil 200mg (1.5+0+0). i HAVE GOT PCO ALSO.I AM TAKING OVACARE(0+0+1) EVERYDAY.", "output": "Hi, first you're suffering from SHE which one is a multi system chronic autoimmune disease which cover many system/organ of over body. And you have told that at present you have stable SHE. Means your treatment of line has control over SHE. So don't think to stop for medicine or treatment. And you have developed the pod which may be a consequence of SHE. As per your infertility problem you have to consult to your physician for SHE and gynecologist for pod and infertility both. But you need both specialist. Get well soon." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I AM A CKD PATIENT NOW ON CAPD. NEED TRANSPLANT. MY KIDNEYS NOT BEEN DONE ANY BIOPSY BUT MY DR. IN KUWAIT IS TELLING KIDNEY FAILED DUE TO ANTI GBM ANTIBODY.I HAVE SKIN DISEASE FOR 35 YRS AND I THINK THERE IS RELATION BETWEEN THIS SKIN DISEASE AND KIDNEY DISEASE.IF I GO FOR TRANSPLANT, DOES THIS PROBLEM AFFECT MY NEW TRANSPLANTED KIDNEY?", "output": "Hi, A lot of research is going on the topic of anti-glomerular basement membrane (anti GBM) antibody disease recurrence after transplantation. Anti-glomerular basement membrane (GBM) antibody disease may progress to end-stage renal failure, requiring either dialysis or renal transplantation. There are only six reported cases of symptomatic recurrent anti-GBM disease in the literature. The incidence of recurrent linear Immunoglobulin G (Egg) staining in the transplant may be as high as 50 percent. However, most patients remain asymptomatic. You may discuss this point with your doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My mother has just been diagnosed with Dementia. MRI results said moderate dementia. I m not sure what they mean by moderate, would that be considered early stages? We have not gotten the EEG test results. She is 78 years. Has had both knees replaced. Both surgery s were very hard on her. The anesthesiologist gave her to much when she was in surgery. This happened both times they had a very difficult time waking her up, to the point we almost lost her on the 1st surgery. This was suppose to be noted in her chart. We know that after the 2nd surgery being put to sleep did affect her. So she doesn t need to be put to sleep ever again. My question what medications are available to help slow the progression of this disease, Dementia ?", "output": "Hello! I am glad to attend you on Chat Doctor ! I agree with you that general anesthesia can have some influence on Dementia. You should know that the degree of Dementia is not only evaluated based on the MRI findings, but also based on the cognitive test results. Anyway, regarding the treatments, there are different treatment options, including Cholinesterase inhibitors (Donepezil, Rivastigmine, Gallant amine) or Meantime(which is an N -methyl-D-aspartate (MDA) antagonist). I would also recommend checking vitamin D, vitamin E and vitamin B12 plasma levels for possible deficiency and her thyroid hormone levels for thyroid dysfunction. Hope you will find this answer helpful! Kind regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "yes please Iwas diagnose at age 3 with aplastic anemia.&was treated by ely lilly (experimentaly) & had a miraculis remission.WHEN I WAS 42 I RELAPSED & HAVE BEEN HOSPITALIZED 8 OR 10 TIMES SINCE 2002.HOWEVER NOW THEY CALL IT PRCA. CAN THIS CUSE MEMORY PROBLEMS?????", "output": "His had gone through your query. Anemia or nutritional deficiency may cause MCI.MCI means mild cognitive impairment. Memory affects in form of registration and recall.MUSE means mini mental status examination will give idea about MCI and its severity. Anemia or nutritional memory loss are reversible when we started to give supplement or treat it. Investigation like MRI can help to find area which are affected due to it. So consult neurologist for better assistance. Still have a query then feel free to ask. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here...hi,,i had a tooth pulled 5 days ago,,i had it packed 2 days ago(dry socket) it fell out after 4 hours,,im on my 3rd day on metronidazole..i now have pain all along the palette...im in so much pain what can i do?", "output": "Thanks for using Chat Doctor. Read your query. Chat Doctor. I would suggests continuing doing salt water gargling, but avoid gargling vigorously. Relax and do not keep on probing the socket. For pain Ibuprofen can be taken (if you are not allergic). Antibiotics like amoxicillin 500\u00a0mg and Metro lag 400\u00a0mg as prescribed is to continue. Pain and the infection will gradually subside. If the symptoms increase, have it reviewed by your dentist." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good evening I seem to have a sebaceous cyst on the right side of my neck its pretty big now about the size of a marble.Unfortunately I do not have health insurance.I tried to puncture it with a syringe to see if that would help but it did not.Do I have to have it cut out by a doc??It only hurts a bit but it has gotten harder,and its unsightly I definitely want it out what should I do and what kind of doctor do I go to??Thank you for your help.", "output": "Hi Dear, don't worry I will help you out-My Diagnosis and advise about it- 1- its messed up punctured oozing-Sebaceous cyst of rt neck.2- Consult Surgeon and take -Treatment -as follows from him ugly -a-start antibiotics tb of lox- Oz x 5 days b- tb baclofen. X 5 days time- antiseptic padded Chat Doctor. Hope this would solve your messes up sebaceous cyst care and cure. Wellcome for any mote help. Wishing good health. Good Night." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband (57) was sitting on his motorcycle this afternoon, it was hot, he got lightheaded and passed out. He fell on his right side with his motorcycle on his right leg. Passing out is not normal for him. He came home but after returning home he has sever burning sensation in his left hamstring and tingling & numbness in the calf. His right foot hurts but is more worried about the left leg. He wondered if it has to do with circulation as well as causing him to pass out?", "output": "Hello! Welcome on Chat Doctor 1I read carefully your question and understand your concern. The fainting does not seem to be related to the leg pain. Maybe the leg pain is caused by a trauma in this region during the fall. Coming to this point, I would recommend consulting with his GP for a careful physical exam and some tests to investigate for the possible causes of fainting (cardiac arrhythmia, epilepsy, low blood pressure, low fasting glucose, etc.). For this reason, it is necessary performing some tests: - a resting ECG and a cardiac ultrasound- an EEG- an ECG Holder monitoring to investigate for arrhythmia-complete blood count-blood electrolytes- fasting glucose. A head Up tilt test is necessary to exclude possible orthostatic hypotension. Meanwhile, it is necessary to closely monitor his blood pressure values. A leg X-ray study is necessary too, in order to exclude any bone fracture in this region. Acetaminophen and ibuprofen will help for the pain. Hope you will find this answer helpful! Best wishes, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Krueger,I am SM Malhotra form Delhi I Cousin had a Cancer and operation of Intestine Two years ago.With the passage of time ,It spred to secondary region of Liver and enlargement of the liver has been declared unfit to operate,Having treatment at All india Medical Sciences Chemo is going on of advance nature,Feeling too uneasy unable to eat and digest,To-day Doc are doing endoscopy what it coul be pl.", "output": "Hi, dairy have gone through your question. I can understand your concern. You have intestinal cancer spread to the liver. SO it is stage 4 cancer. Surgery is not possible at this stage. Only treatment options are chemotherapy and radiotherapy. Explain like Chat Doctor. Consult your doctor and take treatment accordingly. Endoscopy is done for to check inside intestine. GO for it according to your doctors' advice. Hope I have answered your question, if you have any doubts then contact me at bit.ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im a 17 year old female and have been having terrible chest pains just under my sternum for the past 3 months, Ive also find it hard to breathe at times and lose my appetite to eating or socialising a lot lately. My father has had two heart attacks before I was born and has diabetes as well, but my health doesnt include any of his medical history; at times I even find myself becoming dizzy or being really weak on my knees.Ive had trouble breathing before but the doctors said Im not asthmatic, Im starting to get a little worried?", "output": "Hi, Since you are young the possibility of heart disease is less. The various possibilities are acidity and gastroesophageal reflux disease, do you any upper abdominal pain, bloating, nausea, sour water coming in mouth, does it increase after food, if yes it supports the diagnosis. Till the time diagnosis is confirmed, you should avoid spicy and fatty foods, avoid heavy meals, maintain regular sleep habits, have some walk after meals. You may try tab Pantoprazole. Does this pain increase on deep breath, any fever, or cough. If yes let me know, you will further investigation like chest x-ray and other test. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I live in Canada - a recent blood test reveals I m borderline in my potassium level 3.3 (range 3.3 - 5.1) I m a senior 79 years old - only medication is a water pill 2.5mg daily for blood pressure problem - last reading 130/78 and an adult coated aspirin 81mg taken daily. My doctor has suggested I take 1 x APO-K - Potassium Chloride - Slow-Release 600mg tablet daily - I would like your opinion.", "output": "HI, thanks for using Chat Doctor The potassium level is just within range. It is possible that it may remain in this normal range but with the use of the diuretic (the water pill that you mentioned), it may go below normal. You can consider the use of the potassium replacement therapy, but it may not need to be taken daily e.g. alternate days may be enough. Your doctor should also monitor potassium to make sure it does not go above the upper limit. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,I am concurned about my boyfriend John. He is 16 years old and I fear he may be undiagnosed bipolar. Ive researched online and I am almost convinced but i think i need an expert opinion.He suffers from extream depression and has terrible mood swings that can occur at almost any time. Ive had to talk him down from a suicide attempt twice in the last 3 to 4 months.He feels extreamly agitated and hopless, and is constantly anxious. He has what looks like panic attacks and he is also has trouble sleeping most nights.His anger causes him to act out and snap and yell at people. Earlier this month he flipped off the dean to our school! His behavior is unpredictable and quite scary.He used to cut and burn himself, but ive managed to get him to stop that, and he still occasionally abuses Marijunana, but not as much as he did at one point.his parents are in the dark about his problems and are not very involved with him. Hes afraid to confront them about anything, because they do not see eye to eye. Im concurned and frightened, but I am also, only 16(almost 17). What can he do and what can I do as his girlfriend and best friend to help him?Thank you,Mariah", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. I sincerely opine that your boyfriend could be troubled by schizophrenia, not bipolar. He is showing the classical symptoms of the depressive side of bipolar disorder, but not showing the exhilarated state. In any case, he needs psychiatric treatment. First take him to a psychologist who can help you to assess and diagnose the correct problem with the help of psychometric tests. Then psychiatric medicines should help him recover. Please do not delay any further. If you still need my help, please describe the whole problem in detail and post a direct question to me. I shall definitely help you with psychotherapy techniques to overcome your problems. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have cervical lymph node swelling just on the left side, I have begun snoring incredibly loud at night- so loud that I wake myself as well as my spouse, and I have a constant ache in my left upper arm and left shoulder. I went to my PCP today, and she ordered TSH level and a CT of the neck and chest. Anything else I ought to ask my MD to check? I am 40 yrs old with a negative health hx, no tobacco hx, and min. ETOH use. Since my time for taking care of myself is limited due to other commitments, I just want to make sure that I can be as efficient as possible when I do go see my MD.", "output": "Hello, I have studied your case. If your neck lymph node is enlarged then you should get needle tests. If there is any pus or any cell then it can be checked under microscope. Most probably it will be infection, and you will require Antibiotics. For your snoring you need to see an ENT specialist. I hope this answer will be useful for you. Let me know if there is any other followup questions. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had been prescribed percecet for injuries in past ( last time about year ago )with no problem. I have just fractured fibula and Ortho prescribed generic for me (oxycodone- acetaminophen 5-325). Tried to take twice. One time when hadnt eaten reaction was severe - felt really weird - like I couldnt breathe, nauseous, light headed, heart doing something weird. I tried taking it once again before bed; but couldnt sleep after, felt again like heart was racing a bit. I take wellbutrim twice a day. Depakote three times a day. And Aderall in morning. All are generic. Thanks Bonnie", "output": "Respected Bonnie, hi I evaluated your query thoroughly. Dear it's your body is not tolerating oxycodone-acetaminophen to certain extent giving rise to your said symptoms. So simply you have to avoid it as your body is sensitive to certain molecules. In rest of the medicines you have no problem, so you can continue with it. Hope this clears your query. Thanks for using Chat Doctor and taking time to read my answer. RegardsTake nearby Dear. Wishing you a happy healthy life ahead." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Got stung by a wasp on my left arm near my wrist and it swlled the first 3 days then became itchy after the first day it had widen out over the days and was hot to the touch. Put benadryl cream on it now its finally stopped itching but now where the reaction happened on my arm is turning kinda purpleish. Is this bad? Also got stung again on bottom of my foot test now itches bad but cream won t help. Thanks", "output": "Hello, Welcome to Chat Doctor, Bee stings most often trigger allergies. However, most people are not allergic to insect stings and may mistake a normal sting reaction for an allergic reaction. Symptoms of a severe bee sting allergy may include one or more of the following Difficulty breathing, Hives that appear as a red, itchy rash and spread to areas beyond the sting, Swelling of the face, throat, or mouth tissueWheezing or difficulty swallowing, Restlessness and anxiety. Severe allergic sting reactions are treated with a Chat Doctor. Usually, this injection will stop the development of a more severe allergic reaction. Intravenous fluids, oxygen and other treatments are also necessary. People who have had previous allergic reactions to bee sting must seek immediate medical attention. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Your thoughts would be appreciated : 19yr White Female, Elevated LFT since April 09, recent test GGT355, ALP232, ALT107, AST55. All others within average incl Tot Bili at 11. R.B.C. 5.34. Liver biopsy not bad. PANCA Pos. APC Pos. Enlarged bulky spleen 11.4x6x11.6cm, with no focal lesion.Fatty Liver. Contracted Gallbladder. MRI nothing outstanding, thin bile duct walls. Crohns in family history but endoscopy & colonoscopy clear. Took prednisalone which doubled LFT results. Non drinker and non drug user. Had knee surgery 2008.", "output": "Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Possible vasculitis associated with bile duct injury.2. Liver function near normal. Mild obstruction seen at level of bile ducts. Immunosuppression necessary to avoid further damage.3. Complete hologram essential to evaluate for hemolytic anemia. Need further clinical details and lab results for further opinion. Hope it helps. Any further queries, happy to help again." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sometimes, when I sit, I feel like there s sudden beating between and below my lungs, somewhere in diaphragm I guess, it s not hurt or anything, it s only beating like a heart, but only once or twice per day. It has never happened before. And it starts last week. Is it normal, and what is that beating feeling exactly, and where it takes place actually, because I m not sure either, whether it s spleen or diaphragm", "output": "Thanks for your question on Chat Doctor. I can understand your concern. No, I don't think it is due to spleen or diaphragm. In my opinion, we should rule out arrhythmia (rhythm disturbances in heart) first because this can also cause unusual beating sensations below lungs. So consult doctor and get ECG, 2d echo and Holder monitoring (24 hours continuous recording of ECG). If all these are normal then no need to worry about arrhythmia or other heart diseases. Sometimes stress and anxiety can similar feeling. So avoid stress and tension, be relaxed and calm. Don't worry, you will be alright. But first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My sister has a form of alzhimers called aphasia. She recently took cipro for a UTI and seems to have gotten much worse in her verbal skills. Could cipro have an effect on her or is this perhaps coincidence and she is just slipping away on course. Her mind is still functioning fairly well but can t verbally communicate. Hard to see this happen.", "output": "Ciprofloxacin is not known to cause or worsen verbal skills in a patient of Alzheimer's- Aphasia. I would like to look for any other cause before attributing it to ciprofloxacin. If not found any other obvious reason, worsening verbal skills is seen as natural course of Alzheimer's. And worsening verbal skills with ciprofloxacin is just a coincidence in my opinion. Also, I would like to suggest you to consult your treating psychiatrist about this worsening to rule out any pathology with brain imaging." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i had sex with my boyfriend 15 days back , we used the condom but it slipped , and now i missed my date yesterday...generally i dont miss my dates on the contrary i get it 2 to 3 days earlier...but now i m really very confused of being pregnant please suggest me what should i do ? or how will my date start.....?", "output": "Hi dear, and thanks for your query. If your cycle is regular and if you haven't had any delay periods, you should get a pregnancy test to rule out pregnancy. If the test is positiver than consult with a doctor to have other examination done, like transvaginal ultrasound. If the test is negative there are many other reasons that can cause delay periods. You can take duration 10 mg 2 * 1 per 5 days, to breakthrough periods. ALL THE BEST" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doc, i have a 2-year old niece and she was diagnosed with TB...could you kindly explain to me how serious this disease for child like her age...And other than medication, what will be the proper treatment for her for her fast recovery...thanks and God bless", "output": "Hi... I appreciate your concern. But your question can be appropriately answered only if I know what type of TB it is - like which part of the body or area or region of the body is involved or infected with TB. I am telling this because different types of TB behave differently and need to be dealt with separately. Please get back to us with the above information, and we would be glad to help you out. You can approach me at the following link. Please find the link below - www.ChatDoctor .com/doctors/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "What are the remedies of bronchitis?I am a young chap of 33 age and got very bad cough since long, visited an ENT specialist Dr.Ananda Brata Bose, who advised for a digital x-ray, report comes with a result of bronchitis! Now what should I maintain to over come from this diesis!", "output": "Thanks for your question on Chat Doctor. I can understand your concern. For in my opinion, you should definitely consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment is based on severity only. Your cough will mostly improve with inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir, my wife now 3 month pergnet she is still in hospital , before 2 time she aborted . she now done ( utess stich ) doctoer tell make rest ( now she having all time bed rest in hospital ) now i am woking united areb emirats . wife in india", "output": "Hello dear, i understand your concern. In my opinion as per your information she might have undergone cervical encircle where in a stick is placed around the cervix. Yes after putting this stick bed rest is advised. Any type of physical strain is avoided. Incompetent or short cervix is the most common cause of recurrent abortions. And cervical stick helps in preventing them. The stick is removed after 37 weeks of pregnancy. Hospitalisation is needed for 48 hours after the surgery. So relax. Nothing to worry. Best regards...." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My boyfriend is has been having discomfort in his testicles lately. He has cysts that have been there for a while, but his doctors have told him that it is nothing serious. He wants to get a biopsy on it to see if it is cancerous or not. what would you suggest doing?", "output": "Hello, It depends on \"cyst\" size. Usually cyst is not common in the testicles. Rather there are tumors. It is not clear from your question whether he has cysts, tumors or just enlarged testicles. Most of the time, scrotal ultrasound gives information whether the testicular swelling are \"normal\" or \"cancerous\". In some cases, blood tests can also be helpful (beta Chat Doctor, AFP, LDH). Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My father never had high blood pressure until recently. This started happening after he was mowing the grass and got bit by something and it grew into a bullseye in which he had to be hospitalized. They tested him and dont know what bit him. Can a bit of any sort cause recurring hypertension?", "output": "Hello, thanks for posting a question. I understand your concern towards your dads issue with hypertension. There is no need to worry. Getting bit by an insect does not directly cause hypertension, but the emotional distress he encountered during the duration of events could increase his blood pressure. I have experienced patients that had hypertension shortly after a scorpion bite, but hypertension subsided a few days after. I wish your dad a quick recovery. Best regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have no health insurance and need to know if my symptoms warrant a trip to the ER. I am a 24 year old female and I Just moved to Prescott,AZ almost a month ago and am at a very I elevation. My symptoms are, very swollen and painful breast and nipples. All my joints and bones are beyond painful and stiff. I have noticed some swelling in my hands and haven t slept in 24 hours because of the pain, I have tried advil , hot baths, and even half a Vicodin and nothing touches it. I am also having a lot of asthma attacks and find my self waking up have to take heavy breaths like I was just running around. Originally these where slow onset about 2 weeks after being here but they hit me incredibly hard the last week. I keep waiting for it to go away but it just gets worse. Also I have celiacs , however I am religouse about my diet and haven t had ANYTHING with gluten in it for years. I am also having alot of dull, throbbing headaches.", "output": "The allergy asthma ad other problems slowly and slowly involves joints which is MIS diagnosed by arthritis if you have celiac disease you might be allergic to whole wheat proteins rather than gluten totally avoid wheat and wheat product snot take even gluten-free wheat you can get blood serum tested for food specific antibodies for wheat and other foods to rule out interference by other food yo can start twice-weekly dose of neotrextate tab methotrexate 2.5 mg twice a week this is immunosuppressant and I have used in my cases of asthma skin sinus and bone problems am still using and has got excellent results to prevent allergies in this dose and there are no side effects on long use others medicines can continue with this in painkillers avoid paracetamol broken dispirit dietary supplements as they increase the problem rather curing it" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I would like to know if the absorption of Vitamn B12 helps me keep bees away from my skin ... i am allergic and have strong reactions everytime im stung ... what would you recomend me ? Thanks PAT Age 62 height 1.70 wirght 66 kilos have no other allergic problem and am in good health on the whole ... treated for hyperthyroid problems !", "output": "Cellophane You for contacting Chat Doctor. B12 as no such role in allergic response. I would suggest you following things for recurrent allergic problem:> Take levocetirizine one if there is insect bite> Take montelukast one daily for one month. Research has shown that it decreases the allergic symptoms considerably. I would also suggest you to undergo allergy testing at allergy clinic as you have chronic allergy problem. It will tell that you are allergic to what specific thing. The results will help an allergist to prescribe you immunotherapy to that specific allergen, and it will improve the problem. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello, i have check my doctor and the result of my SGOT is high 64.6 and my sgpt is 27.8..what is the cause of high Sgot?before i correct already my sgpt before is 74.3 now become 27.8..iam take a medicine of silymarin capsule..i have also have problem before in kidney they found out an gravel stone on it but not yet stone and also they see mild fatty liver on it this is last 2months ago..but the kidney now is already clear as per doctore said..", "output": "HelloWelcome to Chat Doctor. Your GOT and SGPT are mildly increased. It may be due to fatty liver. Mild increases also found now in patient infected with Hepatitis C. Liver enzymes increased in many conditions like liver injury due to hepatitis A or E, certain Chat Doctor. Alcohol also a cause. I think you have fatty liver that's why or medications you have taken for kidney stones in the past. If you are overweight than first try to reduce it by exercise and diet. If certain " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I dont even know how to start, first things first i am a 21 year old female an im now terrified to go to the toilet because when i go it feels like my is been ripped to shreds when i do it bleeds and its so painful. the second thing is since my pregnancy with my daughter who is now 1 occurred my relationship with my partner is sinking because i always think he is against me i think he is cheating on me all the time i cause arguments with him for no reason i hate him touching me and i hate sex before my pregnancy i used to be happy now i feel down and stressed out i feel like someone has got there hands on both sides of my head and squeezing as hard as they can i dont know how to deal with it anymore i lye awake at night feeling guilty for different members of my family for no reason i keep myself up with thoughts i dont even know my concentration has like a 2 second spam i feel like everyone is against me an i just dont know why sometimes when me and my partner have arguments i lock myself in the bathroom because i imagine him coming at me with a knife even though i know he couldnt harm me i just scared of everything dogs the dark (i always think there is someone watching me) been in a car with my partner its ruining my life i dont know what to do anymore i wont go to a doctor because i think they will judge me i feel so sorry for my daughter in all this because im just to tired to do anything an its just not fair on her. I just need help but i dont know where to start i cant go to the doctor because he would think im attention seeking.", "output": "Hello, Your symptoms are bordering onto psychosis. Auspiciousness, difficulty in believing, fearfulness without appropriate reasons. Such symptoms have very good response with Aquitaine or olanzapine (2.5-5\u00a0mg initially) and later can be increased when there is some response. You will feel a lot better in few days after starting meds. Please donor worry, you can see a psychiatrist and start the Chat Doctor. Even other doctors won't feel that you are attention seeking because those patients are quite different. You can tell the symptoms so clearly that it is very helpful in diagnosing correctly. With " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello how are u ? I have a pain in my knee I went to the doctor ,I did ray for knee and uric acid test and some blood test the doctor told me all results is ok but I have maybe low in glucosamine cz my pain in my Knee .He prescribe for me divido ,dorofen and mydocalm ,I m taking divido and dorofen only since 4 days and suddenly I have a terrible pain in my estomac .I stopped the medicine maybe cz for me this pain and I need alll this medicine to prevent my knee pain?suzan", "output": "Hi, thank-you for providing the brief history of you. A thorough musculoskeletal assessment is advised along with MRI of the knee. As the pain can be due to degenerative changes in the knee joint an MRI can suggest the possible changes. Also, by understanding the medication you are talking it looks they are mentioned for the cartilage related issues. As medicine are symptomatic and for long term rehabilitation physical therapy is recommended and research has good evidence on a positive note. In my clinical practice patients with knee pain are advised physical therapy, and they respond well. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My mother 57 years old has had smelly white cheesy filled bumps on her back most of her life. I popped them last night for her tons of this yucky stuff came out and now she is very cold and has shortness of breath do you think the infection coming out could make her physically sick?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Yes, severe infection (sepsis) is more likely cause for her symptoms. She might be having gluteal abscess. And the stuff you are talking about it pus only. Pus is liquefaction of tissue due to local infection which is uncontrolled. This severe form of infection can also spread to blood. This is known as sepsis. Sepsis is the most common cause fir hypotension (septic shock). And this hypotension causes shortness breath, cold clammy skin. So your mother is mostly having sepsis. Better to consult doctor and start antibiotics and surgical debridement of pus. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi when i was ten i had fallopian tube torsion and had my right fallopian tube removed. I am now trying to have children and i have been activly having sex with no protection or birth control and can still not get pregnant. Could only having one fallopian tube be the problem?", "output": "Hello dear, I understand your concern. In my opinion single Fallopian tube will not be a in Chat Doctor. I suggest you to undergo hysterosalphinogram(HSG), diagnostic laparoscopy to rule out any tubal block or any adhesions around the tube or any. Adhesions can also be one of the causes for infertility. There is one more option like intrauterine insemination (GUI). This GUI can be tried.GUI offers good success rates in case of tubal abnormalities. Nothing to worry. As if one tube is patent and functioning there is good scope for pregnancy. Relax and avoid stress. As stress cause hormonal imbalance and delay fertility further. Hope this helps. Best regards..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have problem that during sex my liquid water come erlier due to this my penis will come down early before ejaculation...please help on it....this problem heppan since long back, in my teen age i had habbit that to see por video create feeling on as a sexuality", "output": "HelloThanks for your query, based on the facts that you have posted it appears that you are facing problem of Premature Ejaculation, In absence of any major health issue cause of premature ejaculation is mind related and due to what is called as performance anxiety. Following measure will help you to boost up your confidence and getting good erection. And delay ejaculation.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc3)Take anti oxidants like Almonds 5-6 every day.4) Avoid alcohol and smoking. Taking Sildenafil Sidewall (Viagra)as on demand will help to get good hard sustainable erection and to have enjoyable sex. Chat Doctor. ." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am 29 years old Female having two daughters (6 years and 3 years). At present My ESR is 38 mm. I would like to know what does this mean....since 15 days i feel weakness very much. Also tell me that what i eat and do that my ESR is coming normal.", "output": "Hello and welcome to Chat Doctor, Raised ESR is not a disease. Raised ESR is actually an indication that some disease process is going in the body. In females the normal ESR should be between 0-20 mm in first hour. A value of 38 mm suggests there is one chronic disease process in the body. Accompanied weakness is probably due to same chronic disease process. You need to consult your primary health care provider for general physical examination to look for the cause of high ESR. Treatment of the underlying disease process will correct the raised ESR. No specific medication is required to correct raised ESR. It is actually the treatment of disease that is required. Thanks and take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I fell off a scooter and got a chromosomal on my left hip. It s through the bruise stage now but yesterday d aye it s yt? Rated to look bigger. To daily there is a black wide bruise running from my hip to my knee area and I have numbness in both hands since it s happened. I m 47 @almost 48,have a husband and two small children. I ve been to a hospital yt? All twice where I was retooled I m governed x rated. I have been on abstention. 600 mg 3xs a day, methadone 3days@ day, clonazepam 1 mg 3 xxx a day and 5 mg of a blood pressured lysinoptril in the past 6 ?not h s and amitriptyline 10 mg at bed. They added torpedo for antoi inflammatory properties sin c e the f all and everything else I ve been on and off for years since a f all when 4 out a 3 story window, spinal issues, bursitis, degenerative v e disc disease, and problems in both lower and upper spine and k legs. Is the numbness something to b e concerned about? It s new and v Dr scary. :(", "output": "Hi Hope this message finds you in good health. I have gone through your complaints and understand your concern. You seem to have injured your thigh muscles which generally take around 3-4 weeks time to heel, if given adequate rest. The treatment you are taking is absolutely right, but I guess you are not taking sufficient rest. But still, it will eventually heal. Tingling sensations are caused by sort of hormonal, calcium or vitamin deficiency. Another possibility is neuropathy, that can be cured by pregabalin tablets. You can get a X-ray and Nerve Conduction studies to find out what's wrong. Take analgesics, anti-inflammatory tablets, crepe bandage, rest. Nothing to worry about. I hope your question has been answered. If you have any follow-up queries, feel free to consult me anytime. Thanks, Take care, God bless." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I feel little pressure in my left side of my chest and fell when i breathe is like i dont breathe right and sometime when i sleep i wake up and my mouth is dry and i cant breathe true my nose i vent to se a doktor the say nothing is wrong with my hart what could be", "output": "Thanks for asking your question completely understand your problem these symptoms like pressure over chest and chest pain while breathing may occur in pleural effusion. Nasal blockade can be due to sinusitis. For these symptoms you should visit a pulmonologist who can get a chest X-ray and a X-ray PNS to accurately diagnose the condition. If each test comes normal then it might be due to anxiety.thanks/regardsfeel free to ask more questions may god bless you with good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I KEEP GETTING THESES PAINS IN MY STOMACHE MAINLY WHERE THE RIB CAGE MEETS IT COME WITH WHATEVER I EAT OR DRINK ITS ALL THE TIME EVERY NOW AND THEN IT WILL WAKE ME FROM A DEAD SLEEP IM IN SO MUCH PAIN THE ONLY THING THAT HELPS IS A HOT BATHE IT FEELS LIKE A ROCK IN THERE NO MATTER WHAT WAY I MOVE IT FEELS LIKE ITS MOVING WITH ME I HAVE HAD SEVERAL DOCTORS TELL ME THAT ITS GASTERNITIS BUT I KNOW ITS NOT THAT BECAUSE I DONT EVEN HAVE TO DRINK CAFFINE OR EAT CHOCOLATE AND I STILL GET THE PAIN LUS THIS PAIN IS MUCH DIFFRENT THAN THAT CAN ANYONE PLEASE TELL ME WHAT THE PROBLEM IS?", "output": "Hi, Ok, the stomach is near the bottom of the rib cage. Irritation there will usually cause pain there. Ok, 1 in 3 people have problems in that region that does not show up on tests and is treatable with the latest stomach medicines (PPI, Omeprazole, etc.). And, it is pretty common to have an enlarged hole in the diaphragm and the stomach to pop into the chest a little (hiatal hernia) the Chat Doctor. Surgery works. But the hole usually eventually comes back. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a lump about the size of a dime and its oval shaped. Its right between my vagina and my inner thigh. There is no head on it and it isn t hard. It doesn t hurt unless I mess with it and its red. I don t know what to do because I don t have insurance to go to the doctor. How do I get rid of it ? What could it be ?", "output": "Hello and welcome to Chat Doctor, A soft lump between vagina and inner thigh could be due to enlargement of inguinal lymph node. A clinical assessment of the lesion is necessary for treatment. Thus, you will have to consult your doctor. In addition, an aspiration cytology of the lump is also required. Aspiration cytology is an office procedure wherein cells are aspirated using a needle, cells are spread on a glass slide and stained wit appropriate stain. The cells are examined under microscope. This investigation determine the site and nature of the lesion. Depending on the type of lesion, appropriate management is planned. Enlargement of inguinal lymph nodes is common after genital tract or urinary tract infection / inflammation. Thanks and take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have irritating cough along with accasional running nose WITHOUT having cold. Sometimes it is dry, sometimes cough is yellowish and sometimes it is dark in color. I visited ENT doc and he suggested Amoxycillin tab, LCZ plus and RESWAS syrup. After having taken for 5 days it is not yet perfectly ok. I had sinus problem in the past.", "output": "HelloIrritating cough, Running nose, Cough is associated with yellowish color phlegm or sometimes dark, An old case of sinus problem. Amoxycillin, lecoceterizine and cough syrup (res was) are not working. When patient with these symptoms visit my clinic I usually advise them to take montelukast+ albuterol tablet once or twice in day till complete cure. If sore throat is there I advise them to take levofloxacin 750 mg once in day for 5 days. I also advise my patient to avoid contact with mite, dust, pollen, mold, sudden change in temperature, fine dusting powder, hay. Because these are predisposing factors causing sinus problem and allergy (as you may have these symptoms due to asthmatic allergic bronchitis) . Hot coffee and steam inhalation also act as bronchodilators. All these symptoms are due to bronchoconstriction caused by these predisposing factors. Since these Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been in pain lower back ,L4 L5 FOR 13 years been told by doctor they need replacing operation through the stomach others doctors said nothing wrong ,anyway I try lyrica last night got it of a friend today is the first time in 13 years I have no pain ,is it a safe drug doctor it has saved my live", "output": "Dear- Than for using our service and will give you my medical advice.First, it is not advisable to take a medication that has not been prescribed to you. Lyrics is a good Chat Doctor. You have disc disease with probably pinched nerve, so that is why you are suffering from neuropathy from that. Discuss with your doctor your situation and improvement after the medication and he/she will tell you if it is indicated for you. Hope my advice will be helpful" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here...my father has to undergo liver transplant .he is 52 years old and his blood group is AB+.which blood group doner can give him his liver .can a person of age 27 give him what r the risks involved for both the doner and the reciptent.", "output": "Hi, Recipients with blood type AB can receive a kidney from blood types A, B, AB and O (AB is the universal recipient). Also, he can receive it from 27 years old. Risk are higher for recipient but in most cases surgery goes well and there are no serious complications. I hope I have answered you query. If you have any further questions you can contact us in every time. Wish you a good health. Kindly regards, Ivan R. Rammstein" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have slight trouble in my left knee. I feel mild pain for 20-30 seconds after standing from long sitting position. my uric acid level is 7.0. Doctor prescribed me FEBUGET 40 once daily for a month. Another doctor prescribe me Diacerin with Celecoxib two tab daily for two month and FEBUXOR-40 one tab daily for one month. Patholoigist just ask me that uric acid is within the normal range but on upper limit thus no need to start medication just take precautions only in food habit and life style. Pl Guide me", "output": "Hello welcome to. I have read your question and understand your concerns. High Uric acid levels may or may not be associated with gout and the knee pain you described. Medications are not mandatory at this blood levels. My advice to you is - 1. Strictly avoid non veg diet and alcohol intake. It will avoid rise in uric acid levels. There are other dietary modifications required like avoiding excessive citrus fruits, curd, high protein diet etc. 2. Ask your doctor that you want to stop Tab febuxosatat, you are taking right now. He will guide you how to gradually reduce the dose of medicines. DON'T ABRUPTLY STOP MEDICINES. 3. Do serum uric acid levels every 3 monthly. Next time you also do your whole kidney profile because damaged kidney may cause rise in uric acid levels. Thank you. Have a nice day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi.. had a nova t380 fitted 2 months ago, i started my period 12days ago and theres no sign of it slowing down. i am anemic taking 3 iron tablets a day. because i have been bleeding with the pill, injection and i had a nova in 4 2months b4 this 1 and was bleeding, got sent 4 a scan and it was in the wrong place! is all this bleeding normal?", "output": "Hi Hope this message finds u in good health. I have gone through your msg and understand your concern.it may be due to some sort of hormonal imbalances or variations in the body, though there may be other reasons as reclothing to worry about, You should eventually get back to normal. Take multi vitamin and calcium supplements Do consult a gynecologist if symptoms worsened back to me for any FOLLOW-UP QUERIES anytime. Chat Doctor. .(MBBS, MS,MCH)" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had an open mri of my hand. MRI and xray normal. I clearly have pain and swelling between the index and middle metacarpals near the fingers on both sides of hand. (Between knuckles on both sides of hand). Pain goes down both fingers. Hand feels tight. Hurts most of day especially when gripping or twisting. Any information would be appreciated. I was shocked that mri was normal.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Since your MRI and x-ray is normal, no need to worry about major musculoskeletal cause for your hand pain. Sometimes, calcium, vitamin D3 and vitamin B12 deficiency can also cause similar kind of hand pain. So get done blood reports for calcium, vitamin D3 and vitamin B12 level. If there is deficiency then you have to start supplements. Application of warm water pad and ice packs alternatively will also give you symptomatic benefit. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello, my baby is 5 months old. from the last 2/3 days she is suffering from indigestion & gas problem. doctor prescribed decolic drops & neopeptine susp. she was ok yesterday, but now she has become restless & crying a lot. Any advice will be appreciable. thanks. ajit", "output": "Hi, Thank you for asking question on Chat Doctor. Bottle feeding babies usually ingest gas while feeding. Either breastfeeding or feeding with cup and spoon will prevent gas. What your doctor prescribed is OK, continue the same medicines. Hope this answer will serve your purposeless feel free to ask any more queries if requiredTake care Chat Doctor. V. Subrahmanyam MD;Disassociate professor of pediatrics" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Im a 17 year old girl, I had unprotected sex about two months ago and I got my period but I feel a very small lump in my pelvic area on the right side and when I put pressure on it, it really hurts. I dont know what it is, maybe pregnant or a cyste?", "output": "Hi, welcome to our site. I am Chat Doctor, MD. Read your query. That is a very significant question and I appreciate your problem. I will try my best to answer your query pregnancy lump cannot be felt so easily. You need to be pregnant for sometime before you can feel it. I would like some more information however-Is the lump hard/soft? If soft, does it feel dense, or like fluid filled? Is it mobile? I would also suggest an x-ray of the pelvis and USG, since I cannot examine it. If possible, upload an image of it and this may help in diagnosing what it may BEI hope this helps you. Inform the reports mentioned above/if any other, so I can be of help further. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you. Please do understand that some details could be extracted from a detailed history and examination. Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further. (If the answer has helped you, please indicate this)Best of luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello, I have been experiencing a tingling prickly sensation when I touch stuff, for example my cell phone which is a touch screen, grip tightly a cup and even when I type on my computer keyboard. This sensation is only located on my finger tips. Towards the end of the day my hands (palms and fingertips feel relief when I hold something cool). This has been going on for about five days now. please do help!", "output": "Hello dear, The symptoms as mentioned in your post can be attributed to:1. Compression of nerve fibers at the upper limb, either due to mechanical compression or spasm of para spinal muscles.2. Inadequate HY Chat Doctor. 3. Dietary deficiencies of certain nutrients like Iron, Calcium, vitamin D, Vitamin B12, Folic acid, etc. which help in blood formation & nerve conduction.4. Peripheral neuropathy caused due to any fluctuation in blood pressure or blood sugar level. Symptomatic relief can be obtained by intake of cervicogenic agents (like Vitamin B6, Vitamin B12, Folic acid) as well as multivitamin & multimineral supplements including iron, calcium & vitamin D needs to be added in your diet. Physiotherapy & postural exercise will also be helpful. If symptoms still persist, kindly consult a Neurologist & get a complete Neurological examination done. Certain investigations like complete blood count, serum electrolyte estimation, fresh estimation of blood pressure & blood sugar levels & nerve conduction studies will be helpful to rule out any pathological cause for the symptoms. Wishing you a Good Health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "The other day out of no where in my right inner elbow I found these two separate little circles of raised non itchy bumps, a little while later I started noticing these little bumps traveling up my arm,and then anotherNon itchy group appeared then theres a line of three red bumps on my shoulder. On my chest there is a group of more bumps that are close together but do not gotten a circle like the other spots. On my legs I have like this red rash that is not bumpy or raised traveling from my ankle all the way up to my thigh. I woke up Monday with a sore throat, then I developed a horrible cough and terrible naseousnes. I have had shingles, I have also have tinea versicolor I think Is what its called my skin is always really dry and my skin just peels of taking my pigment with it... I am very concerned because in 2008 I had necrotizing fasciitis...", "output": "Hi I understood your query and concern Circular bumps u explained can be Tina corporal .yes sometimes it is associated with Tina tricolor.both are fungal infections .they should be treated with oral fluconazole 150\u00a0mg weekly once for 4-6weeks and application of neural ointment over the both the lesions can treat the condition. Regarding shingles use antiviral treatment. As these are coming together rule out immunocompromised disease like bag or HIV" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello my name is julita. I never had this feeling before . I m a smoker and I ate Chinese food but after that I felt like I had a little panic attack which I always got. My question is I have a burning feeling in my stomach ever since I ate the Chinese food . Am I okay or should I go to the er because I m a little worried about this feeling.", "output": "Hi, May be the Chinese food was too spicy or something that has caused gastritis. Burning sensation in stomach may be the features of gastritis. SMOKING ITSELF CAN GIVE RISE TO GASTRITIS. You may take medicine like machine gel 2 SF 3/4 times to get relief from the burning. If the symptom persists you may take petard d 1 daily for few days.getting a check-up from physician will be helpful Hope you be all right." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am looking at having a knee replacement and my doctor is strongly urging me to wait as long as possible before getting it done. Why? At this point I am unable to do normal activities such as walking without pain. I cannot even stand for any length of time without pain. He wants me to lose some weight to help out the knee joint but I can t do that unless I can walk further or hike. Is it time for me to get the surgery?", "output": "For severe knee arthritis the surgery is must. But here your doctor is also right if you are very much over weight then post surgery the rehabilitation may become difficult. Here I suggest to start physiotherapy first and take a dietician consultation to plan your diet. Now here with physiotherapy treatment it will help to relax your soft tissue and knee inflammation. At the same time do take suggestion on how to reduce weight without doing weight-bearing exercises? One way is by cycling. Also take a complete exercise program on knee strengthening exercise and follow it. This will help you to recover fast after surgery. Follow this for some time and reduce your weight and strengthen your knee. I am sure with this your knee pain will also reduce as well for doctor also it will be easy to take a call on surgery. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband is 44, height is 58, weight around 300. He just went to the dr and found out he has a low sperm count and the sperm is misshapen. We just lost our insurance so we cant go to a specialist right now. What should he do to help his count get better for now until we get insurance again? Also we are wondering why the sperm is misshapen? Thanks, Frances", "output": "Hello, The low sperm count is called oligospermia. The causes include varicocele, low FSH, LH, mumps orchids, chronic epididymorchitis etc. I suggest you investigate primarily with ultrasonography testis, CBC, serum testosterone, FSH and LH estimation for primary work up. You can revert with reports once done. Meanwhile, you can take hey Forte or Maxima L like amino acid and l carnitine containing tablet. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter had a fever 2 nights ago with a sore throat. The fever is gone but she says her neck is sore, has a headache but no more sore throat but has some flem in the back of her throat. Treating with tylenol n she has been putting ice on her neck. Anything else we should be doing or concerned about?", "output": "Hi, Thanks for the query. I have gone through your clinical history, and it is a common problem in pediatric age group. I see many similar cases in my clinical practice. She is most probably having pharyngitis(inflammation of throat), If a kid with similar symptom comes to my clinic I would prescribe simple analgesics like paracetamol or acetaminophen (Tylenol is a brand name of acetaminophen) for fever and pain. I would also start a short course of antibiotics like amoxicillin dose of which depend on weight of the child. Warm saline gargles could provide symptomatic relief. Since the antibiotic dose has to be calculated according to the weight of the child I suggest you to consult your family doctor. If you have any further queries feel free to contact. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "what is hepatitis A? what are the symptoms?what is the treatment of hepatitis A infection ?", "output": "Hepatitis A is a virus which causes an infection of the liver: commonly referred to as jaundice. It is extremely common in the developing countries, but most people are immune to it here-because of the habit of eating form roadside eateries.SYMPTOMS are :loss of appetite Nausea abdominal pain vomiting: passing high colored urine yellow discoloration of the skin and white part of the eyes these symptoms are common to all liver disease in some cases fever also TREARMENT.it is usually self limiting-that is it resolves without any medication an: only a strict diet restriction has to be followed to give the time for the liver to recover." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have had problems with my heart skipping a beat every now and then for about 4 months or so. I have had a few ECG s and an ultra sound and not mucChatDoctore up. I have now had a 48 hour ECG but I am waiting for the results to come back.I am 26 years old 6 foot 2 inches tall and weigh about 189 pounds. I do regular exercise (running about 15 miles a week). I noticed my heart was skipping a beat quite regularly 2 weeks ago so I decided to not do any exercise last week to see if it stopped and it did! I really don t want to stop exercising, my aim is to run a marathon. Is my heart skipping a beat potentially dangerous, should I stop running?", "output": "Hi, Skipped heart beat could be simply PCs (extra contraction from a normal heart) which can occur with exercise, or it could be some other arrhythmia. Let the holder report come & further course of action will depend on its report. Holder is done when you are not exercising. I will also recommend you to undergo a TMT that will report these skipped heart beats during exercise. You can follow up with me after the report. ThanksTake care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "dear doctor , below is my semen analysis report COLUR : GREYISH WHITE , VOLUME :2 .0 ML , REACTION : ALKALINE , PH : 8 ,LIQUIFICATION TIME : 20 MIN , VISCOSITY : LOW , TOTAL SPERM COUNT : 50000/ CUMM , ACTIVE : 30% , SLUGGISH : 20% , DEAD : 50% MORPHOLOGY PIN HEAD : 10% , GIANT HEAD : 10% , SWALLOW MID PIECE : 10% , LONG TAIL : 10% , TAIL DEFECT : 12% ., NORMAL : 48% , PUS CELLS : 3-4 / PHF , EPITHELIAL CELLS : 2-3 / PHF , FRUCTOSE : 296 (N.V 200-400).What kind of medicine i have to take?is it curable?", "output": "HelloThanks for query, Based on the report of your semen analysis that you have posted I would like to comment in details as below 1)The color, liquefaction time, reaction and fructose are within normal limits as compared to WHO standards 2)Sperm count is very low(Oligospermia) normal range being 35-50 millions /ml 3) Motility of sperm-Within normal accepted range 4) Morphology of sperm is within accepted range The presence of 3-4 pus cells suggests infection and needs to be treated with antibiotic like Doxycycline twice daily for 4-6 weeks. The (Oligospermia) sperm count can be increased by following general measures 1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning. 2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc 3)Take anti oxidants like Almonds 5-6 everyday4) Avoid alcohol and smoking. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am trying to treat my husband for low sperm count, motility and morphology. I have heard that low iron levels may cause problems here. I thought about buying him a multivitamin with iron added, but I want to be sure he needs it. Why dont multivitamins already have iron in them?", "output": "Hi welcome to Chat Doctor. I have gone through your question. Low sperm count, low motility and abnormal morphology should be investigated with color Doppler ultrasound of scrotum first, as varicocele is the major cause of low motility and low count. As far as multivitamin contains vitamin B complex is generally not having iron with in them. Multivitamins are nutritional supplements which provides only nutritional requirements, but don't help in cure the pathology if it's there. So I would advise consulting urologist. Hope I answered your question. Would be happy to help you further. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, My 12 year old son came home complaining about his testicals being sore. I have my own theories but want to make sure its natural. He plays Baseball and is a high driver so, I m a little concerned. Weeks ago he had what we refer to as poop cramps so we took him to the DR. we all thought it was cause by eating dairy.", "output": "Hello, The causes of testicular pain are:1) Injury2) Testicle torsion3) Epidydamitis4) Orchitis5) Inflammation due to sexually transmitted disease. Give proper support to testicle. Take tablet Broken, if pain occurs and also go for ultrasound of scrotum. The treatment mainly depends upon underlying conditions. Kindly follow with detailed history or consult with surgeon. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "a pyeloplasty of my left kidney was done about 16 yrs back now i am 53 yrs 5 months i was admittd to hospital on 1st april 2011 after having temp of 99 -99.5 degree since jan 2011 ,di agosed having uti routine urine had pus cells full field 7 culture sterile being given many antibiotics cipro, nitrofurantion group & many more since april 2011 .Also there is a pain on the left side at the outer side of the lower ribs .dtpa revealed kidneys are good with left kidney enlarged urologist says kidneys are functioning very good one of the Dr said may be it is chondritis/tumor as the Kidneys are much below .Drs are now giving me tuberclosis medicines ie--Rcinex 600, pza 750 chlorambutol pridoxine liv-50 &polybion .After about 1 0 days of this medicine urine routine pus cells were 10-12 & urine culture sterile. still i am having temp of 99degree B.P --122/88 Wt--56.6Ht- 4.6 feet today i am advised Bone Scan & CECT Urography please advise me", "output": "Hello and welcome to Chat Doctor. As a urologist, I can understand your anxiety. After an examination by Urologist, the proper test to do is a CENT. The creatinine level must be written. The urine is sterile. So no there's no UTI. Anti-t.b.treatment has been started empirically. Urine should've been sent for AFB culture. You may send the CENT and creatinine reports to me, for an expert opinion, as a direct question. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had hep c for 13 years. I now for a long time had an ache in my upper right abdomen , serious fatigue , don t ever sleep well or long, and for months on end, every day had loose stools . I ve never had jaundice , though. Could this be symptoms of something else such as gall bladder problems? Why the side pain and stools? I ve read that the liver problem wouldnt cause pain. This gnawing ache and daily diarreah is just terrible. Whath else could it be? I have also had small painful mouth ulcers in the past.I get hungry, but no fod seems good to me, and when I do eat, I can t seem to eat very much at all.", "output": "Dear batsman, You say you were diagnosed 13 years ago. Were you ever treated for this? There are highly effective treatments to clear the virus from your system and achieve \"Remission\" or cure of this condition, preventing complications from Help. C virus damage to the liver, such as liver coma or even cirrhosis(Scarred liver) or liver cancer. You do need to follow up with a digestive disease specialist or a liver specialist. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My baby was fair when she was born ...but day by day her skin become darker and darker... what should I do ...so that she get back her fair complexion. And other thing is happening with her is that she has green marks in her hips, back , hands, legs.....is it normal.", "output": "Hi...the green marks you quote on her hips, back, hands, legs are called Mongolian spots, and they will eventually disappear - do not worry. Regarding complexion too - it is normal for all the babies to be pink and fair skinned when born and gradually the genetic component takes over, and the baby will attain the complexion of her parents. There is no way a genetic skin complexion can be modified with Chat Doctor. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I donat blood and after that make all tests required and the result apaer reactive anti HBCII after that make other test anti HBS result is more than 1000 , my question what does mean that and I am not took any vaccines to protect from hepatitis , Is that mean I infected ? Pleas help me ? I am scared", "output": "Hi thanks for contacting Chat Doctor. You have protected antibody formation against hepatitis b. So yes you are infected with hepatitis b.... What is your liver enzymes report ??? Let me know you infection can occur through unprotected sex, contaminated syringe and needle, via blood sharing object with infected person etc.... Just now take rest with low fat diet. Fried food less. Take one tsp licorice with honey. Avoid alcohol. Fruit more like papaya.... Your report again done after six months for Bag detection via ELISA to rule out chronic case or carrier.... Hope your concern solved d. Take care. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have woke up and my right arm is feeling heavy and weird. i have a strange feeling hard to describe in my shoulder, not pain but not pleasent. i also have the same pain near my spine under my right shoulder blade. Its quite warm, and I am stressed out over work related issues. please help.", "output": "Hi, Firstly, Sorry to hear about your condition. Coming to the history, I feel this is due to tightened trapezius muscle. This is a common condition in most people due to weakness of the muscle and this may lead to painful symptoms. This condition to be provisionally diagnosed as Trapeziums. It means inflammation of the trapezius muscle. Using hot water bag over the region and strengthening the neck and trapezius muscle should be of help. Many things this is a major condition but in my practice I feel one can get rid of symptoms if assessed properly and guided properly. Rest assured, performing regular exercise for the mentioned group of muscles you should be fine in 2-3 weeks of time maximum. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I;m going through spells of depression a few times a week and then it seems as though Im full of energy. Im sleeping a lot some days; then other days it seems as if I cant sleep at all and on those days Im full of energy and the lack of sleep does not affect my work performance. I cant concentrate, my thoughts race though my mind. My wanting of sex has increased. I have lost interest of the things I have once enjoyed, most of the time I just want to be left alone with my thoughts. Im afraid of talking to someone about this.", "output": "His understand your concern. Frequent episodes of depression need evaluation for different mood features. Mood reactivity need to evaluate properly. Frequent episode sometime may indicate bipolar disorder. So consult psychiatrist. After proper evaluation we are able to do proper treatment. It can be treated with SSRI and mood stabilizer. So consult and get help. Still if you have a query then feel free to ask. Thank you. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m a 22 year old male who weighs 160 pounds and I m 5 7. I ve been feeling dizzy and nauseous all day as well as going in and out of consciousness like blacking out, I had my blood pressure taken TWICE and both readings came at 152/92 is that serious and should I seek medical treatment? Or just lay down and drink some water?", "output": "Hi, dairy have gone through your question. I can understand your concern. Your blood pressure is high. You have blacking out and loss of consciousness. You should consult the doctor urgently. Furthermore, you may have transient ischemic attack or some other pathology. Furthermore, you need antihypertensive medication. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my baby is just 6 months 8 days, she is exclusively breastfed. From last Friday, she has been suffering from greenish stool for 3 to 4 times/ day. On Saturday, synflorix (3rd), rotateq (3rd) and OPV were administered.From Sunday morning onwards, she is on Enterogermina (2 amp daily dose). No improvement till date.What to do?", "output": "Hi...an exclusive breastfed baby having green stools is perfectly common and normal. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use Probiotics like Enterogermina. It is not about improvement as this is going to settle spontaneously buy itself in few days. It is unlikely to be related to vaccinations. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "why do doctors do ex rays or ct scan for one thing and discover a dark spot on the kidney by accident and say dont worry its nothing and 2 years of bleeding pain pullups and other stuff then just to discover that when the patient questioned the doctor before was ignored and now diagnose with kidney cancer which could have been cured 2 years earlier tell me that answer hey why doctors play god and think were all dumb and how dare we question you guys. you may of went to school for this but does not mean you know everything.For example fen fen was a diuretic used for obese people but it took 50 years for doctors to fess up it destroyed hart vales why is that hey why you may think this may not be for you to answer but this applies to all doctors for all things also the cure for cancer if cancer is in all of us and some get it others dont its not an off switch its whats missing in the body it is like the game kerplunk pull too many sticks out it all falls apart leave them all in nothing happens . Its an enzyme people loose radiation and chemotherapy talk about old school do a study on what each cancer patient is missing sometimes it does not have to do anything it just has to be their to keep the rest in place . Yes call me crazy I do not care but long long time ago people believe a simple thing as a doctors washing their hands before surgery was a waste of time so I pose to you and your fellow doctors look for the block support of the body if we all carry cancer then our own bodies have the cure sometimes its so simple it is actually looking at you but every one cannot believe it because it goes against whats taught ---Good thing BEES do not believe in the Laws of physics or they would not fly amazing a big body tinny wings yet it defies all the laws of gravity physics etc imagine if doctors would think in the same path way I wonder you should too all good hiding places are in front of you too see yet blinded by the simplicity of it", "output": "Hi, Thanks for writing in. At times, features of a disease on an X-ray and CT scan is not characteristic and obvious to the eyes years before it manifests in to a disease that could be hurting. I guess unfortunately such an incident has occurred with you. The dark spot which you questioned was probably looking more normal and acceptable on the X-ray and CT scan earlier. Many doctors choose to follow up such findings and this is subjective. Therefore, any such normal findings might be passed as harmless. The patient is usually cautioned to follow up with the doctor. Many medicines are initially discovered for treatment on one disease condition and are later found to help in other conditions. There are clinical trials at multiple levels before a medicine for cancer might be implemented for regular use in patients. The topic about scrubbing before surgery is a time tested practice and confirmed to reduce chances of infection. There are many arguments in medicine and most are sorted out with research and evidence based medicine followed in modern day. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband was receiving chemo once a week for lung, liver cancer. Since the liver tumors have shrunk he was given some time off from chemo. However, he has not had any chemo now for about 4 weeks and is experiencing extreme fatigue, no energy, loss of appetite. Is this what happens? Please advise", "output": "Hi.yes. Those symptoms are most common post-chemotherapy. Your husbands immune system and physiologic state will eventually come back. It is best if you advise him to continue eating regularly despite his loss of appetite since his body will need nutrients. If available, you could consult with a clinical nutritionist to help/guide you with his daily diet/oral intake to meet his daily caloric needs. Hope this helps. Good day!!~ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My mother aged 59 was diagnosed with Sarcoidosis at GB Pant hospital. The reports showed: -Honey combing of lungs was seen in Xray. -Elevated ACE levels: 67.70 U/L. -Liver Biopsy: Sections show cores of liver tissue with maintained lobular architecture. Many well defined epithelioid cell granulomas are seen in the parenchyma and Portal tracts. Many langhan s and foreign body giant cells are also seen. No caseous necrosis is present. Focal macrovesicular steatosis is seen. After she developed regular coughing she was advised to receive treatment for Latent Tuberculosis. She started DOTS from 21st December 2010. Her coughing was relieved after 2 months of treatment. But Liver Function Test showed: -S.Bilirubin(Total): 8.47 mg/dL -S.G.O.T.(A.S.T): 1,048.70 U/L -S.G.P.T.(A.L.T.): 797.10 U/L -S.Alkaline Phosphatase: 273.01 U/L She was diagnosed with Jaundice and DOTS was stopped. The doctor changed the medicines to ETHAMBUTOL, URSODIOL, OFLOXACIN, STREPTOMYCIN and PANTOSEC. She has been taking the above mentioned medicines for 7 days. Since then she has been suffering from extreme gastric complications, yellow eyes, swollen stomach, loss of appetite and insomnia. She has a history of Gastric problems, Urinary Tract Infection, and she also has an artificial pacemaker installed.", "output": "Hi.as your concern your mother has ACIDOSIS. DOTS treatment had produced side effect on LIVER FUNCTION. Your doctor had changed the therapy regime to avoid toxicity of DOTS regime. Its only 7 days so better to have LIVER FUNCTION TEST after 10 -15 day.to see if present side effect is of changed regime or earlier one. Keep repeated LIVER FUNCTION TEST every 15 -20 days to see proper function of liver. And for gastric problems take medicine with milk or food." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have cirrhosis of the liver. three days ago my stool was accompanied by lots of blood which was very red and clear. Yesterday this bleeding stopped but now it has been bleeding again today. I have bowel movements at least 3 times a day sometimes more so it makes for quite a bit of blood lost. I am thinking this bleed is coming from burst hemoroids and small veins in that area but i am still concerned with the loss of blood as my cirrhosis is a level 4.", "output": "Thanks for posting your query on Chat Doctor! I can understand your problem. Blood in the stool (bleeding per rectum) occurs in patients with cirrhosis of liver due to abnormally dilated veins beneath the lining of food pipe and also in the lower part of rectum. This is due to increase pressure in the blood circulation (portal circulation) which involves the Chat Doctor. Bright red blood in the stool is highly suggestive of rupture of such abnormally dilated veins resulting in the bleeding which can cause anemia. You are advised to consult your doctor for proper assessment and treatment. Wishing you a good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My father-in-law was recently diagnosed with dementia. I believe he is 75 years old. His father had alzheimers disease. My question is simply does someone start out with the diagnosis of dementia and then it possibly turn into alzheimers. I know that alzheimers is one of the most common forms of dementia. Just curious.", "output": "Hello, As you know, Alzheimer's is the most common form of dementia, but there is no definite test to diagnose Alzheimer. It is diagnosed on postmortem study. There is no definitive curable treatment for dementia. All medication helps in reducing the progression of disease. So doctor diagnosing dementia or Alzheimer's treatment will be same. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have hives all over body that itch, upon hives i get runs, then break out in sweats and have severe stomach pain. after sweats i get chills. I sometimes vomit when this happens. had ultrasound of abdomen and ct of kidneys along with blood work last week. results only showed a fatty liver. what could cause this? colonoscopy is scheduled for Tuesday May 1 st.", "output": "Hi, Fatty liver is not usually related to hives. I request you to consult your Physician for managing your fatty liver. Coming to hives, management of hives is mainly by identifying and avoiding the causative agent. As sweating leads to your hives, you can use Clotrimazole dusting powder and Calamine lotion for preventing sweating. Also, you must take an antihistamine tablet for a week. If you do not get any improvement in a week, you should consult your Dermatologist for further management. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Fro Charlotte - My husband has the problem of a feeling of swelling of the head accompanied with dizziness and nausea. We have been to see our heart doctor and an ENT but both of the doctors felt his condition was not something that they could diagnose.", "output": "Hi thereby your question I am assuming that he feels there is a swelling of head while there actually is no real swelling of head this is associated with vertigo and nausea this may actually be a PCA infarct would suggest you get a MRI brain with Mr angiography as soon as possible please note my judgement is limited by the information you provided have no idea about his age, habits, prior medical issues and medicines best of luck" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter (26) is just shy of being 6 months pregnant....she is experiencing kidney stone issues. Within the last 72 hours she ended up having a stent put in and they plan to leave it there until after the baby is born. She is on the antibiotic Macrobid and I was helping her look up information on this medication. She experienced an unusual discharge (vaginal) this morning - no pain, no blood...no cramps etc. Just a discharge she hasn t seen before and she called me to ask if I thought that was normal. (She is at work) so I looked it up and see that it is possible to have a vaginal discharge while taking macrobid. Question is - without pain, blood, cramps or anything - should she call her OB about the discharge or since she is taking the medication Macrobid and it says vaginal discharge is possible.....should she just see if she continues with this discharge. I also noticed it said not to take this medication while nursing and not to take it during the last 2-4 weeks of pregnancy. THAT bothers me - why is it safe for the baby NOW but not in the last few weeks of pregnancy?? Thanks", "output": "Hi there,Macro bid or nitrofurantoin is the recommended antibiotic for Urinary tract infections in pregnancy except after 38 weeks as it can cause a rare type of blood disorder called hemolytic anemia in the baby. It is safe in the remainder of pregnancy and is Category B (that is proven to be not harmful). It is recreated in breast milk which is why it's not prescribed to breastfeeding mothers. If she has discharge she should get examined by an obstetrician as vaginal infection can occur in pregnancy and these need to be treated promptly to avoid preterm delivery. Hope this helps. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi.i am from delhi and my name is anshu. i have a dark complexion n have heard about this cream named meladerm.i dont trust this but i want to try this also.where can i get this cream in delhi and does it actually works? can i get a lighter complexion by appying this cream?", "output": "Hello, Thank you for posting on Chat Doctor. Complexion of any person is having two components; constitutive, one which is predetermined by genetics and racial factors and usually cannot be changed with any treatment. The other component is due to external agents like environmental exposure, sunlight, use of any cosmetics etc. and is amenable to treatment. Avoid MESODERM or any similar product as it contains ingredients which can actually damage your skin. I would suggest you to get a series of chemical peels, which actually remove the upper dead layers of skin and stimulate regeneration of collagen and thus newer layers of skin. Many options are available in chemical peels depending on the requirement and skin type. (Glycol peel, retinol peel, cocktail peel etc.)Also, chemical peeling can be preceded by a simple procedure called microdermabrasion or commonly known as skin polishing to augment the results. Also, at home you can try using cream containing comic acid, betray Chat Doctor. Always use broad spectrum sunscreen before going out in sun. Use a plain moisturizer like detail DAM on daily basis for healthy and HY" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Got a little cold this morning and placed a towel over the chest area and got warm, but realized the estimated 3 below the trach. and 2 left was a bit sore. The nickel size is right on the bone line of the collar bone. Right side is normal, flat and not puffed under skin. I do have sinus drainage and mild cough. Is this something to be concerned about?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. If I understand you correctly you are talking about enlarged nodes in your neck with discharging sinus. If I am right it is a cause of concern and will require detailed evaluation and investigations for the same. Kindly consult your doctor at the earliest for the same.Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My granddaughter 10 years old on an island in the Irish sea is now getting pains on her chest and her left arm is getting very cold. At one time it was turning blue. As the arm was heated the blue went away. The current temperature there is now about 2 degree. Is it a heart attack or just the cold.", "output": "Hello dear, thanks for your question on Chat Doctor. I can understand your granddaughters situation and problem. Your granddaughter was having cyanosis (bluish discoloration of skin) in hands. And this can be seen in congenital heart disease and exposure to freezing. So better to rule out cardiac disease first. Consult cardiologist and get done1. Ecg2. 2d photo rule out cardiac cause. If both are normal then no need to worry much for cardiac cause. Exposure to freezing can be the cause. So better to give her warm gloves in cold weather." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I m isdro. I have a female friend her mouth its twist to the left side Her chick muscle didn t work she feels litle bid and she don t Have any problems to talk or to eat but her mouth its not Straight so she s don t know what kind of clinic or doctor to look for to ask what surgery or medicine needs to take", "output": "Hi, If it is present since birth then it's just a normal variation of the anatomy and nothing needs to be done apart for cosmetics purpose. If it is acquired later in life and is associated with other complications, it is then suggestive of facial nerve paralysis. Whatever is the cause you need a plastic surgeon to look after them. Take care. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m an 18 year old girl and have had back problems for maybe 3 years. Went to doctor to get an X-Ray and they couldn t find anything. Sometimes it hurts on my lower back, sometimes upper, and sometimes all over. It hurts when I lay down, sit down, and stand up for maybe 45 minutes. Please tell me what it could be??", "output": "Hello and welcome to Chat Doctor, Lower backache has to be investigated with appropriate investigations. MRI of the spine is the investigation wherein the soft tissue surrounding the spine are visualized. Soft tissue lesions are more commonly responsible for chronic backache. Treatment can be instituted after relevant investigations. Physiotherapy will also help to relieve the pain. I suggest you to consult an orthopedic for further management. Thanks and take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband has had 3 attacks of vertigo this week. They all came early in the morning while in bed. This morning it was 3:30. This attack has lasted for hours. We originally thought they were triggered by reading or looking at the computer. He suddenly has had many attacks in the last 4 months since we moved and he took a new job. Does stress bring on attacks? He hadnt had an attack in 10 years! Will this pass? It seems very serious right now.", "output": "Hi, Thank you for posting your query. Vertigo is not caused by stress, the common causes are related to ear or brain dysfunction. Severe cervical spondylosis can also cause it.First, get him evaluated by a neurologist, to look for any abnormal findings on neurological examination. Then, an MRI of brain may be ordered if any abnormalities are found to rule out brain ischemia (lack of blood flow to brain). Secondly, your husband would require an ENT evaluation to exclude BPPV-benign paroxysmal positional vertigo, which is the commonest cause of recurrent vertigo. There is no need to worry, as all these are well treatable with medications. I hope it helps. Please get back if you require any additional information. Wishing you good health, Chat Doctor. Ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello! I have been experiencing episodes of rapid sneezing, then followed by a period of time where I have an uncontrollable runny nose. I suspect they are being triggered by a rapid rise in temperature, as the symptoms occur after I exercise and after I take a hot shower. This has been happening for about 2 weeks. What could this be; a heat allergy, or something else?", "output": "Hi, Thanks for using Chat Doctor. Your symptoms look like vasomotor rhinitis that is usually triggered by change in temperature. The treatment for this ID avoiding sudden change in temperature. For the time being for symptomatic relief you can take antihistamine tablet like loratadine twice daily. This will help you. Have adequate regular sleep, plenty of fluids, nutritious diet with required calorie and regular outdoor exercises. Hope I answered your question. Consult your doctor for further management. Feel free to ask me if you have any further queries or doubts and I shall be glad to help you out. Wish you good health. Take care. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a spermatocele which has grown to about double the size of a norman testical. It is not painful, but does make me aware through exercise, pants, etc, that \" something \" is down there. I have been informed that surgury is not reccommended at this time. Are there any homeopathic or herbal remedies that you can suggest?", "output": "Hi, Dear,Thanks for your query to Chat Doctor. Dear I read your query and reviewed it with context to your query facts. I understood your health concerns and feel Concerned about them. Based on the facts of your query, you seem to suffer from-Spermatocele- which is a Cystic Swelling of the Va's difference Chat Doctor. Remedy-You should take Consults from Urologist and should take second Opinion from Surgeon, before thinking of any other path medicines. This is because, Surgical Treatment at the experts hands is the only permanent treatment for Spermatocyte. Treatment with Antibiotic cover+NSAIDs +Choral Forte-x 10- days would be needed before panning surgical Excision of the Spermatocyte. Herbal and HomeopatChatDoctoredicines may give you temporary relief in pain, but permanent regression is achieved by a Planned Surgery Only. So rethink about your confused decision and act fast for needful treatment from expert doctors. Hope this would help you to solve your health issues in the best way possible. Welcome for any further query in this regard. Good Day!!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My wife has endemetrial cancer stage 4 has had radical surgery and has had numerous chemo therapies,her liver is involved and she has a very distended stomach resembling a pregnancy in 8th month, bowel distress, alternating from constipation to diarrhea, Fecal discharge usually mucous or watery with no control. Any help available or in sjght, she sees an oncologist regularly but no symptom relief", "output": "Hi, Thanks for writing in. It is possible that she might have developed complications arising from endometrial cancer. The abdominal distension is possibly due to fluid accumulation and this is appearing bloated abdomen. She might also have developed bowel infection which is causing alternating diarrhea and constipation. You might try and give her more high protein foods with fiber content. This will increase the stool consistency and harden the stool. Liver involvement is a cause of concern and this is also to be treated with chemotherapy. Pain relief is important and adequate pain management. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "For the last two years I have been suffering from a pain at my testis. not regularly by repeatedly. After that I am suffering a sexual disability...like my penis is stern as before. Earlier, at morning time it was very firm but now a days it is not happening. can u tell me why it is happening....I am 30 unmarried...", "output": "Degree understand your concerns went through your details. I am surprised, you are having this testicle pain for the last two years, and you did not consult a physician for treatment? I advise you to do so as early as possible. Furthermore, I suspect your erectile dysfunction is due to psychological reasons. But you should confirm there is no physical or organic reasons. Please consult a physician. If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have this empty feeling in my stomach even after eating and I dont feel hungry though its just a hollow feeling and I also have shortness of breath sometimes and occasional sharp pains that will happen. I recently became began I dont know if that means anything...", "output": "Thanks for your question on Chat Doctor. I can understand your concern. You are having stomach problem with shortness of breath. So possibility of HERD (gastroesophageal reflux disease) induced bronchitis is more. HERD is known risk factor for bronchitis. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT will also tell you about severity of the disease and treatment of bronchitis is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS). For stomach problem, take proton pump inhibitors and prokinetic Chat Doctor. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have been experiencing some dizziness the last couple of days...not spinning, just feeling unstable on the feet, sometimes I feel like I step onto an uneven ground and kind of wobble a little...occasionally, I also feel sudden tingling/numb in the lower back of the head...the dizziness can last for hours but mostly when I am standing up and walking around...I was at the emergency room twice with some signs of heart attack (chest pain) but all test came back normal except with some imaging from stress test that indicated a potential insufficient blood to the heart...(very mild case and may not been conclusive according to my cardiologist)..heart CT scan is scheduled. I am otherwise very healthy with a little of thyroid issue and no family history of heart issue...I have continued with my exercise routine (cardio and strength training) and have not created any problems....Could I possibly had a mini stroke that they did not get picked up on?? I will need to travel (fly) for work and I am a little concern....thanks", "output": "Hello dear, The symptoms as mentioned in your post need to be evaluated in details before certifying you as fit for flying. The symptoms can be attributed to pathology in the Vestibular Apparatus in inner ear (it is associated with maintenance of body posture & balance) most probably Labyrinthine or Benign Paroxysmal Positional Vertigo. Symptomatic relief can be obtained with intake of Vestibular sedatives like Betahistine or Linearizing preparations (to be taken only under the guidance of a Physician). So, kindly consult your Physician/ ENT Specialist & get a complete clinical examination done. Investigations like estimation of blood pressure, blood sugar levels, serum electrolytes & vestibular function tests will be required to rule out any pathological cause for the symptoms. There is no need to worry, you will be fine. Till then, maintain adequate HY Chat Doctor. And also take precautions of getting up from bed slowly & avoid sudden head movements. Wishing you a Good Health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Am having irregular periods for the past one year. Last month my endometrium was thickened and i underwent a DNC. After that ,my doctor gave me REGESTORNE tablet through which i got my periods this month. Now my doctor has given me NOVELON tablets for 3 cycles to regularise my periods. Is it safe to use Novelon tablet? Am scared whether i ll put weight if i take the tablet. Will i not get my periods regularly without using Novelon tablets?", "output": "Hello, Any medication have little side effects. Same as the Chat Doctor. Spotting between periods (breakthrough bleeding).2. Possible weight gain or fluid retention.3. Breast swelling or tenderness.4. Nausea or upset stomach5. Mood changes. So don't worry if you observe above side effects then you may consult treating doctor she may change or treat with alternative medication. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi i was diagnoised with A fib last year in AE very fast and irregular beat , some days i also have irregular beats with a normal rate seem to get it when im stressed or excited , these irregular beats make me feel really anxious, and i think the anxiety makes them worse, are these irregular beats also A fib? Should i be on medication ? Im a otherwise healthy 47 year old male.", "output": "Hi I will suggest that you should get your BP checked and get ECG done and chest X-ray. If there is a defect then get it treated. If all are normal then please go for ECG whenever you get episode of fast heart beat. Avoid smoking, alcohol and coffee. Get assessed for anxiety from a psychiatrist. You may try deep breathing during stressful state of mind. If you are satisfied with my answer then please vote helpful. With Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a uterin ablation and tubaligation 2 weeks ago. In my belly button I have pain to the touch. Today when I touched it a very small amount of white discharge came out with little blood. There was no swelling or redness before I touched my belly button. Do you think its infected?", "output": "Hello, I understand your concern. I am Chat Doctor, infectious diseases specialist, answering your query. In my opinion you should avoid touching it.It's been two weeks and you are still having discharge from the button. Normally discharge can be seen only for the two to three days. But since its two days it is likely to be infection. I advise you to take Ampicillin and sulbactam under your doctors' guidance. You can apply newsprint powder over the discharge. Please maintain the local cleanliness by frequent Chat Doctor. I will be happy to answer your further concern, you can ask me on bit.ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, i have chronic ibs,im in pain with it24/7,lately i have been having fellings in my upper abdomen of fullness and winded, it feels like ive been puntched in the stomach and it gives me goosebumps all over,it lasts between half an hour to 45 imns,is this comman for chronic ibs? joanne", "output": "Hi Joanne. Since you are a known patient of chronic IBS, it is possible that you are having more stress and / or anxiety at the moment. This is the most important cause of increase in your symptoms of feeling of full in the upper abdomen and feeling wind. The feeling of abdomen being punctured and goosebumps all over can be due to intestinal infection. I would advise you the following :Take a 5-day course of an antibiotic, metronidazole. Continue probiotic for a long time. Stop all the foods and beverages that increase your problems. Control of the stress / anxiety by yoga, naturotherapy or medicines if needed. If there is no response go for the investigations of the blood, urine, stool, colonoscopy and CT scan of the abdomen to find or to rule out any probable causes of your problems." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doc, I am 30yrs male & diagnosed with Typhoid, and my liver & spleen shows mild enlargement too. It s almost 9 days now i m on antibiotics. From the last 3 days there is absolute no fever and i am feeling much better (still on antibiotic & multi vitamins ). Just slight headache and pain in the eyes... Is it ok if i consume alcohol in limit? regards _AJ", "output": "Welcome to Chat Doctor! You must avoid alcohol till you recover completely. The fact that your liver and spleen are enlarged due BTO typhoid that means these organs are already diseased and on top of this if you consume alcohol whatever may be the quantity and quality it may be causing more harm to your liver. Besides, there are certain antibiotics used in the treatment of typhoid which may interact with alcohol producing toxic reactions. So, in view of the above-mentioned harmful effects, refrain from taking alcohol. Take care of your precious health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Can a patient with cirrhosis eat cooked crawfish or sea bass?My husband was told on Wed. his cirrhosis on a scale of 1-10 was an 8. Hes 50 now and and has been alcohol free since 5/12/2011. Doctor says he needs a transplant. So hes looking for foods that are safe to eat. Naturally, being from Louisiana, crawfish are in question.Thank you!", "output": "Hi thanks for contacting Chat Doctor... Your father having severe degree cirrhosis. So liver transplantation or stem cell transplantation is final mode of treatment.... As far as diet concerned fat diet taken less to rest liver.... Fried food and refined food less. In breakfast take salad of tomato, cucumber, carrot etc.... Vegetable soup and fruits taken more.... Avoid alcohol. Fried fish not taken. Boiled one can take... Take crushed papaya seed one tsp with lemon juice daily. Daily take grinned spinach and carrot juice daily.... Hope your concern solved. Take care. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello i went to the doctor recently because of pain in my bottom right side of abdominal which the doctor thinks it may be endometriosis because ive been in so much pain. She saw a liquid filled sac really small that shes watching to see if its a cyst or not, or to see what happens. She did a ultrasound to take a better look and whatever was on the right side is gone but something on the left which shes watching. I still have really bad pain on the right only when i come on my menstraul and it lingers for a couple days after. Do you think this could be endometriosis. I also have noticed throught this that my cheeks on the inside of my mouth look swollen and i have looks like white patches on the gums and cheeks. The grey came first which looks like a line in the cheek. Also in the left corner of my mouth seems like there is irritation there sometimes. I do have some work that needs to be done on my teeth which the dentist said one tooth cannot be saved and the other tooth could but its also decaying also. So do you think that could be because of the bad teeth in my mouth?", "output": "Hi Brownappril, The problems you are describing as pain on the left side of your stomach can be because of many reasons. Endometriosis can the one of the important cause. Depending upon the pain description that you have more pain during the period, it shows that the chances of endometriosis is there, and it needs to be taken care. Now depending upon the severity of pain and duration of this problem and other investigation you can be prescribed some hormonal medications which can help to control this endometriosis and can regress this condition. Most of the time medication is sufficient to treat the condition, but some time other intervention may be required. In the meantime you also have to work up with the USG finding of cyst which may be the cause of the pain and after proper examination and investigation only something can be decided. The other problem of your oral cavity can be because of the problem which is because of the decaying tooth. I would suggest you to have consultation with your dentist at the earliest so that other complication associated with decaying tooth can be prevented and in the meantime try to maintain proper oral hygiene. Hope this will help you. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I am a 21 yr old female. I ve noticed and indentation in the top back of my skull . I haven t noticed how long I ve had it but its been awhile! It gets sore sometimes when I put my hair up or just randomly. I would like to get an idea of what this could be and if medical assistance is required. Please get back to me", "output": "Hello, Thanks for your query. Usually people come to know later in their lives about such little deformities having no much importance, however it can be Scalp Synesthesia in which patient may feel indentations, pain, burning, itching, crawling, lightness etc It can be treated with Domain or Amitriptyline. Maintaining optimum weight, proper diet, vitamin supplements, exercise, treating stress and depression which will help in reducing the symptoms. Visit your doctor for more information and management. Hope it helps. Take care!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Helloo.. i am 17 years old.. ive been having bad cough since 4 years.. it comes and goes comes and goes.! yesterday ive had a bad headache,, my heart is beating so fast, and have 2 red eyes and i shiver in all my body parts.. i feel so weak and i cant do anything.. i really need your help.. i dnt knw whats wrong with me!", "output": "HelloWelcome in Chat Doctor I can understand your concern. According to the history you explain that it's been 4 years now for you with cough. I think you should do some blood tests for this situation as follows; Blood count EritrosedimentationCRPChest X RayPneumoalergens Spirometry testing my opinion this might be a viral situation. You can take some painkillers, liquids, have a rest and be careful. Having the above results the GP should advise you further. I wish you a fast recovery. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor my daughter is 2yrs 10 months age.from day before yesterday she is suffering from caugh and mild fever.from yesterday started running nose and continuos sneezing with same mild fever today her fever raised to 101.7 i gave her meftal p.from day before ysterday we are giving Levolin and alerid by paediatrition suggestion.iam very much worrying about her health kindly suggest that we are following right medicine or not and when my daughter will get relief from fever,cold and caugh.", "output": "Hello! Welcome to Chat Doctor! It sounds like your daughter has a virus. To be honest, her fever is a good thing because we know her body is trying to fight off a nasty virus. I know it's not fun to see her sick, but her body is doing what it needs to. The medications you are giving sound like a good match. A cold virus can last several weeks. To be more thorough, a fever associated with a cold can last for up to 3 days. The nasal congestion can last up to 10-14 days as well as the cough. When your little girl has a fever, we don't want to turn it off with medication. The main goal is to keep her comfortable so only give the fever reducer if her fever is above 102. Of course, you can give it for other cold symptoms such as body aches and sore muscles. Give her plenty of fluids to keep her HY Chat Doctor. Hopefully your daughter will start to feel better soon!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have felt lightheaded on and off for the past hour, especially when standing up and moving. My hands are also going numb and feel like they re trying to clench up against my will. I had a heavy amount of salt in soup broth a few hours ago on a pretty empty stomach and don t know if this is due to my salt intake or not. I m also on medication that does cause lightheadedness but I ve been on the medication for nearly a week and was on the medication years ago and have never experienced this reaction. I m currently having a lot of water (I m on my second glass) and the lightheadedness and hand numbness/clenching is starting to go away, but I m also sitting and as I said before, these symptoms only occur when I stand or am moving, not when I m sedentary. Please help!", "output": "Hello, Thanks for posting this question in ChatDoctorThe description of lightheaded feelings you have given suggest a possibility of postural hypo tension. I will request you to check the blood pressure in supine and standing position to know this. Once this is established, you need to meet a local physician to find out the cause for the same. Mostly this may be medicine related. Your Chat Doctor. Taking lot of water may not help Hope this clarifies" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am 25 year old. i have kidney stone (left side 4 mm and right side 4.5 mm) before 2 year now ,i have fever and in urine test found 8 pus cells and calcium oxalate(few) Jut today in sonography test now i have 4mm stone in left kidney. 4.5 mm stone has been passed via urine. So this fever can be occur due to kidney stone.? Thank You in advance", "output": "Hello., History noted, it's good that you have passed one stone. Kidney stone can cause urinary infection and in turn fever if that stone has caused obstruction to your urinary pathway. Since the sonography report does not show any obstruction, your urinary infection and kidney stones are co-incidental. Kindly consume a minimum of 3 liters a day regularly to wash out your stones as well as infection. Also take antibiotics as advice by your physician. Good day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had fluttering in the heart for 4 weeks. Had an echo and ekg and results were normal. Waiting for results from the holster monitoring. I have a thyroid condition and take synthroid and lexapro for depression. What do you thinkg it might be?", "output": "DearWelome to ChatDoctorWe understand your concerns went through your details. I suggest you not to worry much. You have thyroid condition, and you are under treatment for that. Your EKG and echo came clear means your heart is healthy. The nth problem you are facing could simply be anxiety disorder. Let me explain. Fear is objective and apprehension an anxiety are subjective. Your re apprehensive of something which makes you fearful and that is anxiety. Anxiety produces all those symptoms which fear produces, like palpitation, goose bumps, sweating, labored breathing etc. But not to worry. You should be treated for anxiety with the help of psychotherapy. Please post a direct question to me in this website mentioning ll the details about you. I shall then prescribe some psychotherapy methods which should help you to overcome anxiety and its symptoms. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Can the dietary supplement Lean EFX cause mouth sores? I have been taking it for ten days. It causes dry mouth so I am constantly drinking water. About three or four days ago I got a sore on my gums and swollen taste buds on the tip and side of my tongue. Today the entire tip of my tongue began to hurt and have a numb feeling. Very painful and hard to eat anything. I expect this will all go away in a couple days but I am wondering if it is from the Lean EFX. Any ideas???", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have Chat Doctor. Although this supplement not known cause such problem but in some people it is known to cause problem. Ingredients like diuretics and stimulants are known to cause side effects in some people, usually those who are suffering from some other medical condition or taking other medication. I would suggest stopping taking this supplement and consult dietitian and discuss the whole scenario. For now " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I recently noticed a painful lump on the joint closest to your hand on my middle finger. It s especially painful with pressure to the lump. I m guessing that the size is probably about 1/4 of an inch diameter. What could this be? Will it go away on its own or is it any cause for concern?", "output": "HI, Dear,Welcome to Chat Doctor. Based on the facts and data of your query, you Seem to be having -Ganglion / or could be rheumatoid nodule. Treatment-Consult orthoSurgeon-Get the X-ray / if need be CT of Handset Compresses/ and Infrared Heat therapyAnti-inflammatoryPainkillersIf no relief Rheumatologist opinion, who would do RA/CRP and would evaluate and would give needful treatment Ganglion on the hand on middle finger extensor tendons-Ganglion Excision by Endoscopic Laser Ablation of the Synovial Histiocytoma around the joint line and tendon near it. Other causes need to be ruled out by Second opinion from your doctor which would help you to plan treats in the future. Hope this would help you to resolve your sever anxiety. Welcome for any further query in this regard Will appreciate writing your feedback review comments, to help the needy patients like you at Chat Doctor. Good Day!! Chat Doctor. S. Genl-CVTS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi! I ve had bronchitis for the past week. I ve been to the doctor twice and put on antibiotics but now I have a sharp, stabbing pain on my left side. When I m sitting still it doesn t really hurt but if I cough, sneeze, take a deep breath, or turn I feel that bad pain. What is it and what cand I do?", "output": "Hi, Since you were suffering from bronchitis, the most likely cause of this pain is pleurisy(inflammation of pleura/lining of lungs). We also need to rule out any cardiac cause of pain. You might need evaluation in form of Complete Blood Counts, ESR, Chest X-ray and ECG. You can take painkillers for symptom relief and continue antibiotics. In case your symptoms persist, or you develop fever, then kindly consult your treating doctor, who can arrange for the above investigations. Hope it helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello, i have this itchy rash thing on my elbow joints, and on the back of legs (joints again) .. i looked it up and iv looked at pictures and this is exactly what it is (im almost certain) - Erythema annulare centrifugum .. what should i do about it??", "output": "Hi Dear, Understanding your concern. As per your query you have symptoms of itchy rashes on elbow and back of legs which is very common mainly due to fungal infection. Need not worry. I would suggest you to- Avoid wearing synthetic clothes and wear loose cotton track pants.- Keep this area clean and Chat Doctor. - Apply calamine lotion over rashes. If condition doesn't get better than consult dermatologist for proper examination. Doctor will examine physically along with blood tests if required and may prescribe medications. Hope your concern has been resolved. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "some nights when lieing in bed i feel as if my hart is fluttering and all of sudden i get a strange blood rush all over my body and if i get up i will be fine but if i stay lieing it will keep happening what could it be. also i was told i had vertigo last year but to me it felt like the feeling i get when lieing down and i nearly fell down.", "output": "Hello! Welcome and thank you for asking on Chat Doctor! I understand your concern and would explain that your symptoms seem to be caused by anxiety. Anyway, I would recommend consulting with your doctor for a routine check up: - a resting ECG- a chest X-ray study-thyroid hormone levels for thyroid dysfunction- complete blood count for anemia-blood electrolytes. An ambulatory 24-48 hours ECG monitoring would help examine your heart rhythm trends for a prolonged time. Hope to have been helpful! Best wishes, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi. I have had this pain in my heart area for a long time now, i cant feel it when i breath half way and then sometimes i can feel it with every beat of my heart. I get dizzy when i stand up from doing gardening or low things. I have an irregular heart beat and my blood pressure is low as it runs in my family.", "output": "Hello, You described different symptoms and I will try to go over them one by one. If low blood pressure runs in your family, then nothing to worry about it, it is your normal blood pressure. The only issue with this is that you should be careful when standing up, as standing up abruptly can cause dizziness and blacken in front of your eyes. Just do it slowly and everything will be fine. Concerning the pain in your chest which worsens with breathing; such pain is usually muscle pain, it can come from the spine. It is not dangerous but can cause quite a discomfort. You can take Ibuprofen unless you are allergic to Ibuprofen or have stomach problems. For irregular heart rhythm; if you feel it occasionally, especially as a skipped beat, then there is nothing to worry, it can happen to a healthy adult as well without any consequences. Just limit the intake of caffeine and quit smoking and excessive Chat Doctor. In case the palpitations are frequent and don't decrease after decreasing caffeine, avoiding cigarettes and alcohol, you will need to refer to a doctor and have ECG monitoring, to find out what type of heart rhythm disturbance you have. So your doctor can prescribe treatment. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I had a surgery done on a right hydrocele about a year ago, and recently the scar has developed a red lump under it. I am worried about this because I leave for basic training in about 2 weeks and I dont want it to make me fail my physical. It doesnt really hurt unless I put pressure on it.", "output": "Hello! Thank you for the query. A lump in the scar area after such long time usually indicates some tissues' irritation due to stitches which were left under the skin. This stitches usually get absorbed after 2-3 months. However, in some patients stitches can trigger inflammatory reaction. This results with lump creation. Other possibility is that your scar is growing and creating a keloid. Both conditions are not serious. But you should consult a surgeon with it. Hope this will help. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi,i have a 20month old boy who scratches his anus all the time for 3weeks now,i took him to hospital and they had his stool tested for amoeba and others but they all came out negative.am worried because from yesteday he started having rashes all over the body.", "output": "Welcome to the ChatDoctorIt seems that your child has worm infestation most likely due to pin worms along with allergic episode. Stool examination many a time is not sufficient to rule out these infestations. To detect pin worms, you need to apply a piece of cello tape in perianal area of your kid at night. Remove it and get it examined under microscope by your pediatrician the next day for sticking eggs or pin worm. To treat it completely I recommend my patients to take Albendazole (400 mg) on day 1 and 15. This should be along with trimming nails and good handwashing and hygiene. For allergic reaction, you may give your son Spy. Ben Chat Doctor. Apply lac to- calamine lotion on the skin lesions. It will reduce itching and redness. Hopefully this will help you. I would be glad to help you in any further questions. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Have had back pain for some time now. Area by kidney is swollen. I have different degrees of pain ranging from mild to very uncomfortable, not severe. Have been icing swollen/painful area two to three times a day for about 2 weeks now. I ice 20 minutes at a time. Yesterday, I started using moist heat for 15 min, followed by icing for 20 min. Seems to help, but start getting achy again in about an hour. I urinate frequently, usually once or twice in a couple of hours, and sometimes I get the urge where I have to urinate right away. I usually have to get up two to four times a night to urinate. It is never painful when I urinate, but I do sometimes seem to not be able to empty my bladder completely. I may go and then go again a half hour later. Since I m swollen around my kidney area, is it possible I may have a kidney infection, or kidney stones?", "output": "Dear patient frequent micturition even at night is early sign of diabetes Mellitus. Burning micturition with urgency is early sign of urinary tract infection. What is your age? Always mention your age while giving history. Diagnosis can very depend on age. For example if you are elderly all these symptoms points towards benign prostatic hypertrophy. This needs to be investigated with 1) urine examination for blood, sugar and crystals.2) fasting and postprandial blood sugar levels 3) ultrasound of pelvis to see prostatic volume. You need to consult your physician with all reports so that appropriate treatment can be started." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good morning, I have a numbing sensation near my left knee. If I kneel on it it hurts? It doesn t hurt when I walk or run on it? Just this morning on the way to work I felt some discomfort, it shot right up to my knee cap. Just curious as to what this my be? Thanks.", "output": "Hi... Your knee numbness is due to bursae of the knee joint it could have inflamed while you kneel for a long time and out pressure over the bursae... Since it may not be that much worse you may not have much of issues from it currently... The same us responsible for your pain around patella. Nothing to worry. I suggest you to... Do lot if icing to receive pain and season ...do it frequently... Gentle massage around patella and over front thigh muscles, inner thigh muscles and calf muscles... Gentle stretching to front thigh muscle...and calf muscles... Lot of icing over painful area of the knee (in the lower area of knee cap)Hope this is helpful for you... Kindly revert in case you need any further help in this regard" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello sir, my daughter is 17 months old..two days back she got severe fever so doctor started with paracetamol and enterogermina due to somewhat disturbed motion...yesterday her fever increased and consulted again so he added augmentin...now today she got very severe diarrhoea that was light colored and in bulk... i didnt stop augmentin ..but motion were somehwhat loose before antibiotic and got severe after it...fever got less. now on enterogermina, augmentin, zinc , mebarid...what should i do...? so situation doesnt worsen", "output": "Hi...this looks like a viral diarrhea. One of the side effects of Augustin is antibiotic associated diarrhea. STOP Augmenting. It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics (LIKE AUGMENTING) unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have tiny little red bumps that surround my pee hole on my penis head...They recur..I only hae had one partner for many years and we rarely have sex...but I do masturbate about 2-3 times per week...Occasionally these bumps will turn into an extremely small scab...do yo know what it is/ it does not hurt or itch", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. The tiny red dots could possibly be inflammation of the tender skin in that urethra opening area. This happens to everyone and is natural. I don't hink there is anything to worry if there is no itching or burning. Wash they are with warm saline water a give two day holiday to masturbation, and it should be alright. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello, last year october i had about 4 weeks of heavy bleeding. took an ultrasound and it was discovered that i had cyst on my ovaries. my periods were always irregular but the longest id go without a period was two to three months. since getting the bleeding to stop last october i beefed up on vitamins- folic acid and b complex especially and also was taking a heavy dose of herbal medications. what concerns me now is that i havent seen my period since, yes ive had unprotected sex since that october in fact that november. now its a whole lot of months later and i want to know what are my chance of being pregnant. i did one of thoshad a e pregnancy calculator things and when asked to fill in my last period i did which was oct 26 2012 and it told me the day i might have conceived which was the exact date i had intercourse. im now experiencing naseau, indigestion, mood swings, weight gain, alot of sleeping and always tired, breast tenderness at times, what confuses me is that when i researched PCOS i read that it mimic pregnancy symptoms and i took a hpt which had a negative result but i know my body ive never missed a period for this long Could i be pregnant?", "output": "Hi, Thanks for the query. As you are having irregular periods it is difficult to guess the time of ovulation. So though you are having some symptoms of pregnancy just by them, we cannot confirm or rule out the pregnancy. As some other conditions as you told PCs etc. can present with this kind of symptoms. So you once consult gynecologist, get examined and go for ultrasound. By this the chance of pregnancy can be rule out and also the possible cause for your amenorrhea can be made out. For more details you can ask me through: http://www.ChatDoctor .com/doctors/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "im in a horrible situation I moved out of my ex boyfriends house by oct 20th and met a guy very shortly after I had intercourse with him the first week of nov. I found out I was pregnant and my ogyn said my conception dat is oct 31st witch is impossible because I had sex before the 20 of oct and the first week of nov with the new guy I met. so im confused about id the baby belongs to my ex or my current boyfriend.", "output": "Hallow Dear, If you are having regular menses, it would be easier and simpler for you to figure out the date of conception. The egg release (ovulation) takes place 14 days prior to next expected menses. So you can calculate the date of your ovulation. The intercourse which is around (plus or minus 4 days) the date of ovulation is responsible for the conception. Since there is difference of about 15-20 days between the two intercourses, ultrasonography can give your approximate date of conception (rather the age of the baby). This also can help you to figure out which intercourse is responsible for this pregnancy. The foolproof evidence you can have about the paternity of this baby is by DNA test. I hope this helps you to resolve your dilemma. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, Im 15 and Im not sexually active but Ive been extremely moody and agitated lately and I never feel hungry like I usually do I can just eat breakfast, lunch and then be done eating. My mom has always had a pretty severe case of depression and I keep researching and I have a lot of the same symptoms of depression. Could what Im going through be depression?", "output": "HiT hanks for writing to Chat Doctor The symptoms like decreased appetite, decreased sexual interest, agitation and moodiness could be suggestive of depression. As your mother has depression there is an increased risk for u having it. Depression is also associated with low mood, decreased energy and initiative, loss of interest in activities and negative thoughts(about self, others and future) Ideas of hopelessness and worthlessness are also seen. Sometimes one feels suicidal. If these symptoms occur in u try consulting a psychiatrist at the earliest. Hope this helps thanks and regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, i have been married for 6 yrs for now. n i m not able to conceive. once i conceived in 2009 but the baby could not survive for more than 15 days in my womb.then i m still on infertility medication. now recently i started blotting so got my TSH tested it was 5.4. i m taking medicine for that.i m due for today for my mensus. now my doubt is it difficult to concieve at this stagemy abdomen has also bloated as if i m carrying. i get my peroids regularly. plz reply", "output": "Hi, I think you should go for GUI. You can take some medicines like camphene for the growth of your follicles and track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles. GUI will be done the next day. Take progesterone for next 2 weeks. Do a urine pregnancy test at home. You can try like that for 3 to 6 months. If it doesn't work then you can go for IVF. Discuss with your doctor regarding this. Hope I have answered your question. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "PE in 2006 due to traffic accident, no liver disease , high ferritin level, 729ng/ml Mar 2011, increased to 939ng/ml in September 2011, Decrease to 679ng/ml last week. Chinese, transferrin saturation at 42%, bad life style. zero excess , high red meat intake. over weight . pain at liver area only at running , no other symptoms.liver function normal, full blood count normal. done liver ultrasound,showing fatty infiltration within the liver , with an area of slightly reduced echogenicity adjacent to the porta which measure 3.5cm in maximal dimension. It may be a small area of focal tally sparing but follow up ultrasound of the same is indicated.no other significant findings identified. Gallbladder, common bile duct , aorta, spleen, pancreas and both kidneys appear normal. report attached. my questions is: is any possibility this could be cancer related? thank you", "output": "Hello David. Lee, high ferritin level-seen in iron storage disorders-hemochromtosis, hemosiderosis, porphyria or chronic disease process, alcoholic liver disease, adult onset stills disease, hemophagocytic lymphohistiocytosis, hemolytic anemia, sideroblastic anemia, autoimmune disorder, chronic infection - In USG-fatty liver-increase risk of diabetes, hypertension, obesity, dyslipidemia, with reduce echogenicity- may be seen in so many diseases, in hepatocellular carcinoma- hyperechogenic &hypoechogenic area present, in metallic carcinoma of liver diffuse loci present in liver from breast cancer, colorectal cancer, advice-CT SCAN with contrast if doubt MRI, PE(pulmonary embolism)- risk increase in prolonged bed rest, or cancer investigation-D-dimer test, CTpulmonary angiography, your history is not proper, you want to rule out which cancer, can you mention, hope my advice is useful to you, thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a posterior capsule tear. Whats the best way to heal it and the fastest, Im an athlete, about 3 weeks ago I hyper extended my knee, no other torn ligaments at all. Have trouble bending my knee all the way back to my butt, doesnt go as far as the other one, without pain, any suggestions", "output": "Hi. As you wrote that you have posterior capsule tear without any other ligament torn. I presume that you confirmed the diagnosis made with an MRI as well. If their us posterior capsule tear... If I were your treating doctor. I would look to the grade of tear. And advent to move your knee and keep it immobilized.Don't keep pushing it to limits for checking its function often. The spasm could limit your movement by forcing it you are actually worsening and disturbing the healing. Do a lot of icing in the back of knee... Be patient as it would take around 6 Weeks to heal so don't be in a hurry to get back to your sport.once healed get proper rehabilitation and progress gradually to the sports... Hope this is helpful kindly Revert in case you need further clarification..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My friend stopped his Dilantin went into seizure. He s color was purple neat death experience with life light to hospital. He s on 2000 mg Keppra. He s exhusted, muscle pain in bones. He very thin, and so fraile. He s to follow up with Nerologist but has not referred to one. We live in a small town, he has no insurance! I m trying to get him to rest his body after what he has been through. I m a surgical nurse fir plastic surgeons so giving him advice to take care of his body! I advised dobt stop your meds. He s tried some oil homioathy reamidy just I said was ridulious! Any advice ? Thanks so much !", "output": "Hello, His symptoms do not seem to be related to Kendra adverse effects. Did he have these adverse effects while taking Dilation? Anyway, I would recommend consulting with his GP and performing some blood lab tests: complete blood count, kidney and liver function tests, vitamin D levels for possible deficiency, PCR for inflammation, muscular enzyme levels, in order to exclude other possible causes that may lead to such clinical scenario. If these tests result normal and these complaints started with Kendra Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, My father is 70yrs old and was recently admitted in hospital witChatDoctorplaints of low sodium (120). He was then discharged in a few days once his sodium levels were 132. But he was depressed and had delusions. Consulted a Neuro and he said he is having mild dementia/alzhimers. He initially gave aricept, nexito plus and vit b12 tablets for a week...nothing improved", "output": "Hello, dementia is a chronic condition that impairs the functional capacity of the patient, causing memory loss and other deficits as the disease progresses. I can't - obviously - explain your fathers condition without having examined him but I'm sure the neurologist is more than capable to handle such situations. After dementia becomes evident, you can't expect a great improvement, and you can't expect him to get back to normal. The Chat Doctor. Despite that, you should discuss how he's going with the neurologist. The neurologist should re-assess your father and perhaps modify his treatment regimen. Kind Regards!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My testicles and inner thighs have itched for months and nothing cures it anti fungus creme works for while but it comes backs daily have to keep it on there all the time to stop it from itching and some burning what can i do please help it effects my daily routine everyday", "output": "HelloYour symptoms may indicate fungal infection. It is usually due to candida infection. You may need clinical examination and investigations. You may need routine hologram, random blood sugar. You may need clotrimazole ointment or powder to apply locally. I also prescribe antihistamines like tablet cetirizine(10 mg) twice daily for 10 days. Try to maintain personal hygiene and don't keep private areas wet. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 5 year old has a middle ear infection. Due to a yeast problem in his gut (hes currently on nystatin), we are waiting to see if the ear infection may be viral and resolve on its own. So weve postponed the antibiotics for a few days. But now he also has a lot of eye drainage in both eyes. Does that mean its a bacterial infection? If so, will that ever go away without antibiotics?", "output": "Hi, dairy have gone through your question. I can understand your concern. He has ear infection with some Chat Doctor. It can be bacterial infection. He should take antibiotics. Ciprofloxacin or ofloxacin is helpful. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my name is jessica and im 20. I was diagnosed with Tuberous Sclerosis when i was born, i also have epilepsy as well as some Cognitive issues that go with thinking,learning,logic and everyday life. Im not sure if i could have some type of Mental disorder of some kind. I know Ive had a problem with it since i was young. I would always keep to myself, shy,quiet, hard to start conversations, my thinking is slower harder to process and learn things i have a slight stuttering problem cause of it. I also dont learn as fast, i have terrible problems with my body language and tone of my speech. I am terribly always been clumsy as well. Ive noticed it for the longest time just never been diagnosed and not sure if it is a disorder or not. Like i could be talking to someone and to me i sound normal and to them i sound like im whispering. Or i think i look fine then im told i look pissed or mad with my body language . I hope you could possibly help me.", "output": "Hello! Thank you for asking on Chat Doctor! Regarding your concern, I would explain that Tuberous Sclerosis and epilepsy can cause mood changes as well as cognitive deterioration. I recommend consulting with a neuropsychologist for a careful examination and some cognitive tests. Consult with a psychiatrist would also be helpful in excluding possible depression that may interfere with the cognitive functions. Hope to have been helpful! Kind regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had sex the other night, we used a condom, and I have been on birth control for a year taking it every morning without missing any. The condom broke and we noticed and immediately stopped. He had not came, but there was most likely precum in it. He peed before we started, and I ve read that most washes out any sperm that remains in the urethra. Could I be pregnant? Or am I just worrying for no reason", "output": "Hello dear. Understand your concerns.Don't worry dear, you are completely safe. As you are on oral contraceptive pill, no matter whether you have used condom or not. Regular use of Oral contraceptive pill is high effective in preventing the pregnancy and only 0.5% failure rate. Make habit to take OCP on regular time every day by putting reminder in the mobile. Enjoy your life. Avoid stress, eat healthy diet and do regular exercise. Hope this may help noncontact Chat Doctor for further health query Best regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 8 year old daughter has been coughing severely for 7 weeks or so. When she was little she was diagnosed with asthma so we chalked it up to that. She is on inhalers and 4 days ago we took her to the doctor and she was given decongestants. These have not worked and on occasion she is coughing up white thick mucus . Her breathing is getting more and more restrictive. No fever or sweating present. I am getting concerned as this is not showing even the most remote signs of improving. We are thinking of taking her to the children s hospital for an X-ray .", "output": "Hi Welcome to healthcare Magic! At times the asthma gets exacerbated due to seasonal change or exposure to the factors that cause the bronchospasm. Different asthmatic persons have different triggers for precipitating an attack. Please keep the child away from dust smoke and open environment where pollen are in plenty. An intercurrent viral infection can also lead to increase in the problem. The idea of taken her to hospital is a timely and wise decision, she will get relief with nebulizations of bronchodilators and if required antibiotics can be instituted. Wish you a great health!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had two facial fillings two days ago on my front two teeth. They gave me two shots of novocaine in the gums above my two front teeth and now I have a lesion above the right front tooth and I cant get my dentist on the phone since its the weekend. I have been swishing with peroxide and salt water but I am worried there is an infection.", "output": "Hi. Thanks for the query. As per your complaint lesion above the tooth that has undergone any dental treatment can be due a few reasons. It may be due to traumatic injection given to you during treatment. It can cause injury at the injection site leading to lesion formation and pain. Other reason can be that in case of deeply infected tooth if the filling is done accidentally directly over the tooth nerves and blood vessels present in the central portion of tooth can cause inflammation of pulp and pus formation near the root tips of tooth causing lesion formation and pain. One reason can be that during treatment any instrument got accidentally injured the gums or the filling material got impacted into the gums causing infection. Treatment can be decided only after clinical examination by a dentist to rule out the cause for infection. By the time you can take painkiller like Ibuprofen if u have pain and not allergic. If the cause is due to filling over the nerves' removal of filling followed by root canal treatment and antibiotics can resolve the lesion. If infection is ruled out antibiotics can be helpful. In case of any foreign material impacted in the gums can be treated by scaling... Hope your query is solved. Thanks and regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello I am a female 43 years old. Have had a PE about 6 years ago. I have 4 gene mutations wich are MTHFR and PAI-1. I have an Ivac filter in my vena cava. I have had chest pains for a long time now ,been to emergency rooms countless times. they never find anything. I recently moved to a very remote area and dont have any Specialty Drs. here. I last saw my hematologist in Dec 2012. He said he thought it was showers of micro clotting and to double up on my asprin and folic acid every other day. That worked for a few months but know the chest pain is back and it moves around and is very unsettling, it also seems to get worse with my menstral cycle. I dont know what to do anymore. Any suggestions? I have to pay to get an answer? Figures", "output": "Hello..... As your details it seems that you are suffering from Congenital hypercoagulable disease. In this case, the blood getting thick day by day and causes clots at any site. Most common is lower large vein due to more stagnant condition. This clot frequently embolizes to chest and causes chest pain that is called Pulmonary embolism. With your description, you are suffering from Chronic pulmonary embolism that also causes right heart chamber enlargement and bilateral leg swelling. But you did not mention regarding breathlessness and leg swelling except chest pain on and off. Definitely this chest pain is due to microclot in pulmonary vessel. But the treatment you are taking is very ineffective. Aspirin is not enough alone to prevent the clot formation and keep the blood thin. So my advice is to start Tab Action with lower dose 2 mg once a day along with aspirin with folic acid. And do your Prothrombin time (PT INR) at regular interval of 15-30 days to keep your INR 2 to 2.5Thank You" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a low sed rate now after 8 weeks of antibiotics to treat Staph Aures that was in the T9-T10 area. The MRI shows that there is still something going on there but no one can tell me if its infection or inflamation. How can I find out before doing an operation?", "output": "Hi thanks for asking question. Here staph infection should be resolved with use of antibiotic. But still to confirm about infection or inflammation do your CRP estimation. If it is elevated then suspect inflammation or infection. In infective case your CBC report might reveal high count with necrophilia. If infection is ruled out then inflammation might because for which anti-inflammatory Chat Doctor. I think before operation according to report and physical examination decision has to be taken by doctor to whether operate or not. I hope my suggestion will helpful." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi My name is nikita and I m trying to conceive since 1 and half years. Once i got misscarrige before 2 year and now Me and my Husband done all the report. behind that. In my husband s report Low sperm count came near 50 million and sperm motality is 80%. And now my doctor started medicine for both of us. She recommended my husband for fertly M.[25mg] daily one at bed time and Provironum[25mg] at bed time. And for me OVA Shield and its come in 30 capsules pack. from 1 days of my period i have to start 2 tab for 5days in that 1 capsule contains 2.5mg letrozole and another is contains Astaxanthin 4 mg. After 5 days i have to take 1 capsule daily contain Astaxanthin 4mg. So i want to know what is the use of this. And how much is useful to me. When i have to take in the night or in the day after lunch. Waiting for prompt reply.", "output": "Welcome to ChatDoctorRead your prob, as per your report your husband has normal sperm count, it should be more than 15 million. N active form should be 40% of total count. You should rule out cause of infertility by getting hormonal assay for gonadal n thyroid Mormon. As hormonal imbalance is cause of it. You should get sonography of uterus n follicular study. Consult with your doc, reach to cause of infertility n start proper treatment." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Thanks very much, I have a pain on the bottom of my foot, it feels like there is a lump or swelling. Had it for two days, it gets better with ice but when I walk on it for a while it gets worse and eventually too painful for walking. I have had these before, I was wondering if it could be gout, as I m lactose intolerant?", "output": "Hi you have a lump/ swelling on the bottom of your foot for two days, and you had these before-recurrent swelling which gets worse on walking on it and pain is relieved by Ice. Gout generally effect the joint of big toe and not the bottom of foot. I think you might be having plantar fasciitis. Take Pain killers for few days + Ice and soft heel footwear, if it does not help, then consult your doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My name is Roger. I am currently being treated for panic disorder with the use of clonazepam 2mg twice a day, however, this has proven to be ineffective and I have only just started taking this medication. I have used alprazolam in the past but had to discontinue its use because of adverse reactions. I have read about diazepam and lorazepam and their efficacy in treating panic disorder and anxiety and would like to know more on the subject. Please help.", "output": "His understand your concern. Panic and anxiety disorder can be treated with benzodiazepine like diazepam and lorazepam. Both Chat Doctor. Both can help in reduce anxiety but have sedative effect. Nowadays non-sedative anxiolytic like Mizoram is also useful to treat panic disorder. SSRI like paroxetine and Escitalopram in low dose can help. So it has various modality of treatment. Consult psychiatrist and get help. Still have query then feel free to ask. Wish yo a good health. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "At total rest, especially at high room temp, I feel air is not enough for me. Pulse oximeter justifies my feeling, it does show some lowering in oxygen saturation down to 93-94%. Funny thing is this feeling totally dissapears if I breath cold air from AC or start exercizing even with very aerobic exercize, then everyting comes to normal and better, and my lung function becomes pretty good, concidering just two years ago I quit (heavy) smoking. Spirometry shows no COPD, and CT shows very very light emphysema signs, not justifying my uncomfortable feeling at rest. Any idea what other possible dama- ges could cause my peculiar symptoms? Thanks a lot, Nik.", "output": "Hi thanks for contacting Chat Doctor... As you have smoking history COPD chances more .... But CT scan normal for it . Second your symptoms could be from cardiac cause like heart failure that can lead dyspnea.... So for further work up investigate with....1. Blood pressure measurement 2.ECG 3.ECHO etc.... Avoid smoking ..... If blood oxygen very lower than oxygen therapy needs to be given.... Take care ... Consult pulmonologist or physician for this ..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have a kind of small hole next to my back left tooth that feels like a sore it s like the skin split or the gum split . I put my finger on it as I look at it in the mirror and it kind of feels like I m touching the base of my lower wisdom tooth that never grew in fully . will this thing heal by itself? will skin or gum grow in soon to fill up this small oval shaped hole? YYYY@YYYY", "output": "Hello & welcomes you said that wisdom tooth never grew fully means that this tooth of yours is impacted & problem you are suffering here is peritonitis. This is gingival flap inflammation usually covers partially impacted teeth. Permanent cure for such type of problems is extraction of wisdom tooth, so I will advise you to visit your dentist as soon as possible. Rest maintain proper oral hygiene, start up with one antibiotic course including amoxicillin, metro, & painkiller ibuprofen along with Betadine rinses. Thanks & take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i think i could possibly be about 7 weeks pregnant i have had a constant fever from 99.3 to 100.0 for a few weeks now i have vomited twice the past couple weeks and feel nauseated all the time i have a pounding headache and feel so weak so dehydrated so sick constant back pain cramps in lower left side, i have pancreatic cancer and only have a very small percentage of my pancreas i was told that a pee test probably wouldnt show if i was pregnant or not could there be a chance that i am pregnant i have lots of the symptoms", "output": "The symptoms that you describe are unlikely to be due to pregnancy. However, in order to be sure, you should get an ultrasound of the abdomen done as the urine test maybe falsely negative. It would have helped had you given some more details about the cancer, what stage was it, when did you have it, what surgery did you have, etc. I don't want you to worry unnecessarily, but it is possible that you may have a recurrence of the disease and that can explain all the symptoms. Even that will become evident on the ultrasound." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I was diagnosed with Hepatitis-C and Liver Cirrosis. Before the treatment my TLC count was 4500. HB was 14.2 and Platelet count were 0000. So my hepatologist recommended a low dose 80 mcg of Peg- Interferon alpha-2b. Due to the low dose my RVR and EVR were negative. The virus count were undetectable only after 20 weeks. So the doctor increase my treatment to continue 72 weeks. During this process due to low TLC I was recommended a weely shot of filgrastim-30 mcg. Now the treatment has been completed a month before and the virus count remained undetected during 20th to 72th injection . The problem now is that the TLC is not normal till now. In my test yesterday it was 2500 with Neutrophils as 55%. Can you suggest any treatment / diet to improve this. Regards Kamal", "output": "Hi Kamal, there is nothing you can do in your diet to improve your white blood cells. This decrease that is seen on your labs is due to the interferon injections. The only thing that can be done is either stop the interferon, which i wouldn't recommend if you are undetectable and have not completed therapy; the other alternative is to continue filgrastrim injections to boost your cells. Just so you know new therapies without interferon should be coming out relatively soon - in 1-2 years, so be on the look for those if this treatment course fails." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am going throgh medical treatment. My wisdom teetChatDoctore out long time ago.but recenty cheek behind the wppisdom teeth cut out by that teeth and i am feeling pain for 7 days. I am taking medicine is it sasafe to remove the teeth if the pain remains same", "output": "Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have cheek batting due to wisdom tooth yes, treatment for this is Extraction (removal) of tooth. Go for extraction if your pain remains as same. Do warm saline gargle two - three times a day. You can apply ointment McCoppin or Colonel twice pain on cheek batting area it will give you relief. Hope this will help you. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Dr.,I have been diagnosed with Alopecia Areata & Lichen Planus. Just wanted more info on the co-existence of these two conditions and whether it is curable. I have hair loss across my body & also patches in my skin which look like it has been burnt.Also, What is Vitilex 150 used for?Regards,Reza (M/34/Hyd)", "output": "Hi, welcome to Chat Doctor, alopecia errata is an autoimmune disease. Etiology of lichen plans is unknown, but it is thought to be a T cell mediated autoimmune disease. But these two disorders are rarely associated. Alopecia errata is associated with thyroiditis, diabetes, vitiligo etc.virile 150 contains camisole commonly used to treat parasitic worm infestation. It is also a cellular immune enhancer and this property is utilized in some disease like vitiligo, chronic wound, lichen plans etc. Hope this will help you. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have low platelets, high wbc count, and now i find out i have a little blood in my urine. No infections. my wbc count has been high for a while (kinda up and down), so my doctor sent me to an oncologist-blood specialist, she just seems to think i am a puzzle, and a rare case of someone who just has high wbc, cause i smoke. all the symptoms i look up all have the word cancer some where in the diagnosis. Should i be worried, or just go get checked again in three months.", "output": "This is unlikely to be cancer. It is probably just a urinary tract infection. Because of infection the WBC count is on the higher end and because of this more number of platelets are getting destroyed in the blood (by the macrophages) . The bleeding manifestation Is because of this decreased platelet count. The patient should be started on antibiotics like nitrofurantoin and if any burning sensation is there during urination then can add a NSAID to your treatment." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi .. i m 25 yrs old unmarried girl .. i have been suffering from skin lichen planus since i was 14yrs old ..from past 2 yrs i have switched to homeopathy treatment from allopathy(steroids) ..its improvin no doubt ..but i have blackish dark skin both the inner thigh ..which is increasin day by day ..it itches some time .. how i can i remove blackish dark skin ??", "output": "Hi welcome to ChatDoctorThe lichen plans is very well curable by constitutional homeopathic treatment. The sign of improvement of lichen plans starts after treatment with homeopathy. As you were on steroid, so it will take a time to put its full curative effects. But as you are telling you are getting improvement that shows the treatment is on right tract. When the rash tends to heal that leave a blue-black or brownish discoloration that persists for a long time. But that is also a vital symptom for a homeopath. So consult your homeopath and narrate the new symptoms you have received then he is the best person to decide whether the potency of the existing medicines will be changed or medicines will be changed or to give gap in between two medicine that totally depends upon the treating doctor. So nothing to be worried just consult your homeopath and keep continuing the treatment. Yes you can apply Echinacea ointment in this patchy area but consult your homeopath before using. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I fell and hit my left rib cage pretty hard a little over a week ago. I was stunned but okay. Is it normal for it to hurt more after a few days? This week it s hurt to inhale deeply and to sit up from a lying down position ... also hurts to laugh but not so much that I d think anything is broken ... almost like muscle pulls. No visible bruise on skin. Mary Jo", "output": "Thanks for your question on Chat Doctor. Causes of shortness of breath and chest pain after inhalation, in blunt chest trauma are1. Rib fracture.2. Muscular injury.3. Pneumothorax. 4. Pulmonary contusions. So chest x-ray is needed to rule out above things. So get done chest x-ray first. I think you are having muscle injury. Try to follow these.1. Avoid excessive movement on affected side.2. Avoid heavy weight lifting and heavy exertion.3. Take good painkillers and muscle relaxant.4. Apply warm water pad to the affected part.5. Avoid bad postures in sleep.6. Wear rib belt to avoid movement of painful segment." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here...i have a girl baby .she is one and half year old she doesnt eat properly ..and frm 6 days she is not taking solid food .she is only on milk .plz advice me what should i do", "output": "Hi, At her age interest in play increases and interest in food decreases. This is quite natural. If she is active and playing around you need not worry. This age rather than the quantity of the food I suggest you concentrate more on the number of times you feed her and also make whatever you feed her calorie dense by adding a good amount of ghee to it. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "for the last couple of days i have been having a clear liquid from the rectum when i urinate somestimes there a little pieces in it. have a little gas did have some cramping in the gut but not so much now feels like i have to take a bowel movement.when i go its a little gas and clear fluid.this is scary", "output": "Hello appreciate your concernLooking at your description that could be hemorrhoids or fissure in anus, and it can be caused by gastroenteritis, colitis or worm infestation So to be on safe side I would advise you to consult your doctor for per rectal examination and a colonoscopy if need be.Meanwhile, try to avoid constipation by taking laxatives or stool softening agents like liquid paraffin or lactuloseLignocaine ointment for pain and burning sensationPantoprazole or omeprazole as an antiacidity medicinesHave pots of fruits and vegetables with dietary fibers Hope this helps you wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I had my period on the firs of june for only like half a day and a week later I had some brown spotting for only half a day could I be pregnand we have been ttc for 8 monthes now and I really hope thad I could be pregnand my period always comes every month and last for 4to5 days but never start the same day please help my", "output": "Hello, Thanks for writing to us. As you have mentioned you are on treatment for last 8 months for infertility. You have not mentioned the date of your last normal period and whether any medications were taken? I suppose that first June was your expected date of period and that was scanty, and later you had brown spotting, so I will suggest you to undertake urine pregnancy test, ultrasound scan and consult a gynecologist for further management. Good Luck. Take care," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Two weeks ago, I was twisting and contorting myself while trying to adjust my newborn s carseat base into our vehicle. Two days later when I was in the seated position (on the floor) and stood up abruptly I felt a burning/pinching sensation in my lower right abdomen, probably two inches to the right and down from my belly button. It hasn t gotten any better or worse since that time, although I ve now poked and prodded myself about 100 times since then so its probably irritated. I have a doctor s appt on Friday this week, but am curious about what is likely. I ve seen everything online from a muscle strain, pull, tear, to a hernia. On that note, I have no protrusion at all that is either visible or that I can feel when standing or lying down. I m a male.", "output": "Hi. Thanks for your query. The most probable cause of such a pointed pain in the abdomen right to the belly button can be due to appendicitis and must be investigated by ultrasonography and relevant blood, urine and stool tests. This may not be related to the twisting and contorting at all, as the pain would have been immediate or within a day of this. Please get examined at ER or by a Surgeon to get an appropriate diagnosis and treatment before it is late." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear doctor good morning sometimes I feel my penis is small than normal penis....is there any chance to grow it more or make it large...? Or if you can suggest anything to do it .is the small penis able to pregnant my wife or not. but when I am Ready to sex with my wife it became large...but normally it s not looking big like others ...Why? Any problems... Please guide me thanks . Vicky...Dubai", "output": "Hello dear, The size of penis is genetically determined, and it does not increase after a certain limit. But one thing should be known that the size of penis does not determine the potency of an individual. So, stop worrying about this. Also do not get influenced by any over the counter medication which claim to increase the size of penis or improve performance...it may be harmful. Having a diet rich in fruits, vegetables, fish, nuts & honey increase blood flow to penis & maintains erection. Avoid stress...practice meditation.this helps in improving concentration & builds up the confidence level. Avoid smoking & alcohol. You can also do oil massage of the penis...it increases blood flow & maintains the erection. Wishing you a Healthy Life. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "\"I was diagnosed with mono about a 2 yrs ago. When I was 1st diagnosed I had sever pain on my left side/abdomin and they did a test that showed my liver and spleen was enlarged/swollen. Over the past 2 years this pain continues to come back. I have been to the Er where they just sent me home and told me it was nothing. I still continue to get sever reoccuring pain on my left abdomin (much like the pain I had when I was 1st diagnosed) and I still very often get wore out easily and will stay in the bed for hours. Just wondering what is going on and if there is something wrong or something I need to do.", "output": "Hi, Thank you for your query. You mentioned that you are having pain on the left side of your abdomen for the past 2 years. However, you have not mentioned the following:1. Exact location on the left side?2. What kind of pain it is?3. How long does it last?4. How is it relieved?5. Any investigations done? Though the above information will help us in guiding you further, but the description is suggestive of ureteric colic. The least investigation that can be suggested at this moment are a urine routine and an ultrasonography. I hope I have answered your query to your satisfaction. Wishing you all the best. Rajiv K Khandelwalhttp://goo.gl/SuCjl" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a cyst removed from my neck 5 1/2 weeks ago and a seroma ever since. It seemed to be clearing up, and the fluid loss was down to a constant drip, but now a new swelling is growing again that feels harder than the original seroma and not necessarily fluid filled. Advice please!", "output": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern.First you need to diagnose the reason for swelling. You can diagnose it with the HRCT thorax. It will give you exact dimensions of swelling and the nature of the same is also should be known. The common cause of the swelling rising is the cystic aroma in this area. If It's so, then there is need for radical cure. Until you are not done with the radical cure this swelling will never go permanently. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I know I am headed for failing kidneys. My dr. said my blood tests looked good but my kidneys appear stress. I am diabetic. She said my albumin was 10 pts. above the max. I got a juicer and have been drinking vegetable & fruit juices. I am serious about lowering my test score. 8o", "output": "Hi welcome to Chat Doctor. I have read your question and I have understood your concerns. Loss of protein in urine is a sign of kidneys damage in any disease, also in a diabetes. But the most important parameter is S. Creatinine and GFR(glomerular filtration rate). Please just see your reports and discuss with your doc about that parameters. My advice to you - 1. Avoid excessive fluid and salt at it will raise your blood pressure in kidney DISEASE. DON'T TAKE EXCESSIVE FRUIT JUICES - THEY SHOULD BE AVOIDED BOTH IN KIDNEY DISEASES AND DIABETES. SO restrict fruit intake. Up to early stages of kidney damage normal protein intake in diet is allowed. 2. Tight control of blood sugar is of utmost importance. Target will be FBS 3. Don't get panic, in early stages kidney diseases are preventable. Take regular follow up with your kidney specialist and do every 2 monthly blood reports for kidney and diabetes. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a root canal treatment (BMP) done a week back and had some pain in the following days along with swelling of the face (same side). I was told by the dentist (on phone, when i explained the problem) to have Clavam 625, twice daily for 5 days. The course got over yesterday but the swelling is not completely over. It is much better now (i would say 80-90% better), but some discomfort in the jaw joint while opening the mouth to full extent and I feel a funny taste and bad breath in the mouth too. I am due to meet the dentist again this week for crown cutting. Should I be worried about my present dentist or take a second opinion. Also, please note that my root canal was done on the upper tooth, right adjacent to another tooth where an earlier root canal had been performed, with post and crown around 5 years ago by a different dentist. thank you.", "output": "Hello and welcome. After going through the history posted here it appears that the infection has not recovered completely. Even after taking a course of antibiotic.Therefore, in my view please discuss with your present dentist regarding alternative antibiotic course like metronidazole and Cipro course too. Once the swelling comes down and when you start feeling better only then the next procedure can be started. There should be no hurry in this.Meanwhile, please do warm saline rinses too and do not be worried it would be fine. I would like to remind you that in case of diabetes and hypertension, any wound takes longer time to heal as you have not mentioned your medical history. Only when you are not convinced by your present dentist then please look for Endodontist in this regard. Thanks. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My gums swell up whenever I eat chocolate or certain kinds of shellfish. This started about 3 years ago after a visit to the dentist for a deep cleaning. I went to an allergist, and he said that I am not allergic to chocolate or shellfish as far as he can determine, but I may have some sort of contact allergy with my gums. Is there anything that I can do to either make the swelling go down right away, or stop it altogether without having to change my diet. My teeth have become crooked because of the swelling over these three years. Thank you.", "output": "Thanks for using Chat Doctor. Read your query. Allergic reaction to the gums (contact dermatitis) can be due the preservatives or any of the flavoring agents in these things which is causing you the swelling of gums. I would advise you visit an oral surgeon and get it evaluated, if necessary a biopsy can be done. Recurrence of the allergy using the same products will confirm its diagnosis. Avoiding the products is usually recommended. Get your teeth cleaned and check it for the irregularities and get it treated. Avoid the allergens. Hope this was helpful. Thanks and regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi this morning, i fell and bumped the bottom of my cheekbone, the area instantly swelled up but felt numb, as the day has gone on the swelling has gone down however it is starting to become painful. No bruising has come up where I actually hit my face however at the end of the cheekbone next to my nose a bruise has come up. What would you reccomend? I am female & 21 years of age", "output": "Hello, I read carefully your query and understand your concern. The symptoms seem to be related to the injury on the cheekbone. I suggest using anti-inflammatory medications such as Acetaminophen to relieve the pain. I also suggest using cold compresses for local application and rest. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards! Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My mom s recent MRI results: IMPRESSIONS: NO ACUTE ABNORMALITIES ARE SEEN. MODERATE DIFFUSE VOLUME LOSS WITH MINIMAL TO MILD PERIVENTRICULAR AND SUBCORTICAL SMALL VESSEL ISCHEMIC CHANGES ARE SEEN She only started becoming very confused in March and I have searched for answers, including possible hereditary thyroid issues, but the only real answer is that this is dementia and could be related to early onset Alzheimer s (and mini strokes which I don t understand) - the other issue that began in March, and is not related to UTI is frequent urination as often as 15 to 30 minutes. She is almost 76, never had many problems other than developing a seizure disorder 12 years ago, but that has been controlled with Keppra. I am trying everything possible and have seen many specialist, but still think I am missing something?", "output": "Hi, Thank you for posting your query. First, I would like to reassure you that the MRI abnormalities in your moms' case are minor, and there is no need to worry. Kendra (levetiracetam) may cause confusion, and so, if possible it should be stopped and replaced with another anti seizure Chat Doctor. For mini strokes (small vessel ischemic changes), a blood thinner such as aspirin, should be started. For diffuse volume loss, no specific treatment is available. It could be normal for age, or it could be a part of Alzheimer's disease. This can be confirmed by a clinical examination by a neurologist. Best wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I ve been suffering with pain on the left side of my chest for about a year, I have a pulling sensation from my neck under my collar bone it also goes through my armpit down to my elbow and into my fingers, I also suffer with pain with my lower ribs on the left side that goes round to my back. The chest pain also goes round to my back.", "output": "Thanks for your question on Chat Doctor. In my opinion it seems muscular pain only. But as a rule in left sided chest pain we need to rule out cardiac cause first. So get done ECG SND 2D Echo to rule cardiac cause. If both of these are normal than your symptoms are most probably due to muscular pain only. So try to follow these for better symptomatic relief.1. Avoid strenuous exercise. 2. Avoid heavy weight lifting.3. Avoid bad postures in sleep.4. Take painkiller and muscle relaxant. 5. Apply warm water pad on affected site.6. Wear chest belt to avoid mobilization of affected part.7. Avoid anxiety and stress and be relaxed and calm." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have a lump on my lower lip i have this lump from bitting my lip, i have done some research on mococeles and i thought that was it but i discovered that the lump is just inflamed & it had no fluid, no puss etc. and also it kindve feels like a ball but it doesnt hurt at all! so im wondering if i should just let it be and maybe it will swell down or should i get it checked i honestly feel ;like theres no reason for getting this checked.", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have inflammation in muscle or some benign cyst. Wait for a week. Mostly it will become normal by itself. If it remains persists then you should consult your doctor and go for examination. Right now no any treatment is required. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had an epidural last summer to help ongoing pain in my back and hip that shot to my knee. I ended up with a hematoma that had to be evacuated immediately because I couldn t use my left leg (where the pain was originally). Needless to say, the epidermal did not work but the surgery on my spine helped immensely. I m not in the pain I was in but it has gotten really bad. My doctor prescribed me narco until I can have another epidermal (which I am extremely reluctant to do) however, until then what can I do to get comfortable?", "output": "Hello, As per your history, it may be due to nerve compression at lumbar spine level For that you can take tablet acetaminophen. Apply diclofenac gel or ointment locally. Heating pads will also give For further assessment you may require MRI back and nerve conduction studies after consultation You may require tablet Gabapentin after consultation Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello!I have a Nickle sized oblong or oval bump growing between my left testicle and thigh... It is very painful especially when I am on my feet. It seems like it is getting worse and the leg of the side that it is on is starting to swell... Any idea what it could be?", "output": "helloThanks for query. The painful bump between thigh and testicle is most likely to be a Staphylococcal infection of hair follicle in a stage of induration (Boil).However, this can be confirmed only on clinical examination by a qualified General Surgeon. Take antibiotics like Doxycycline and anti-inflammatory medicine like Diclofenac twice daily for a week.If it does not subside you may need to consult qualified General surgeon and get it incised and Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I am helping my son find dental help. He has no insurance and is a temp worker. His jaw was broken in 3 places when he was 18 and ever since then his teeth have broken off and turned black he has no molars whatsoever as they are broken off at the gums and the rest are slowly falling apart he needs to have them all pulled and dentures made. can you help me find either free dental or a dentist that is willing to take monthly payments.Thank You", "output": "Hi, Thanks for asking the query, I would suggest you to first get a clinical evaluation done by a Dentist, take an OPG x-ray. Infected tooth can also be root canal treated and saved permanently. Tooth which are mobile, root stumps are to be extracted and replaced by a fixed and removable denture. Depending upon the x-ray tooth which can be saved can be root canal treated, and remaining can be extracted and replaced. I suggest you to inquire for any Charitable Dental Trust or a Dental School in the nearby place where you can get your treatment done at reasonable rates or even free of cost. Hope this helps out. Regards..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was given Cipro. Within 3 days I developed a rash on my hands that have spread. I went to the hospital and they said to stop medication. My hands are now swollen and it feels like there are little needles sticking my finger tips when they are touched. I can not take Benedyl like the wanted me to because I am allergic to it. I have had this for a week and it is only getting worse. No poison ivy around but there are no blisters on the rash either. Itches horribly", "output": "Hi. Well it looks like you have developed allergic reaction to Ciprofloxacin that is an antibiotic. Rashes can be due to allergic reaction to antibiotic. Stopping the medicine can help but to resolve the symptoms you should take anti-allergic medicine for relief. If you are allergic to Ben Chat Doctor. Also, you can get a steroid shot so that the symptoms resolve soon. Hope I have answered your query. Please let me know if I can assist you further. Regards. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor, My 1.5 year son is now suffering from typhoid fever.Taxim o Forte & Agithral 200 mg , Crocine DS sos is going on from 15.04.2014. Fever starts from 07.04.2014 and typhoid detected 0n 15.04.2014. Now fever is 105 degree F. When he will be cured. please suggest.", "output": "Hellothanks for asking us. I understand your concern. In my opinion, you should continue with taxi for 7 days more and continue with Cronin alcohol do u know its typhoid?did the doctor do blood culture test? Hope this answers your question. If you have additional questions then please do not hesitate in writing to us and do a follow-up. Please let me know all these queries so that I can help you accordingly.*Always check for history of allergy before taking any medicine. Wishing your child good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ok so Sep 25 I had unprotected sex with my bf i took plan b the morning after. Again at the beginning of oct (unprotected) but again took plan b the morning after. I got my period or what I thought was my period oct 9 on time. it seemed pretty normal. It ended about the 12th & the day after I experienced a really bad headache & severe nausea which ended with me vomiting multiple times. the day after that I encountered brown watery discharge like watery watery . So the day after that I took a pregnancy test& it came back negative. So I waited a week & throughout that week I experienced & am still experiencing symptoms (nausea dizziness headaches, horrible fatigue... etc.) I started to randomly get really tired and fall asleep randomly I have uncomfortable stomach pain and aches in my hips & lower back. I took another pregnancy test today and it is still negative. Could the plan b have not worked? & if I am pregnant am I testing too early? If not what else could this be?", "output": "Hello, Thanks for sharing your health concern with us. I have gone through the query and would like to offer some suggestions. Firstly, you do not need an emergency contraceptive if you have the intercourse during the safe period of your cycle. Ovulation occurs two weeks prior to the onset of the next period and this is the fertile phase of the cycle. Secondly, the high hormone content in the emergency contraceptive pill creates hormone imbalances and this is the most likely cause for your current symptoms. Since you have inconvenience, please get proper help from your health care provider. In the future, please restrict the use of the emergency contraceptive pill use for one or two occasions per year and go for regular contraception instead. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 45, have a history of migraines that have been much less frequent since stopping birth control pills. I was prescribed 50mg vyvanse for ADHD and started taking it yesterday ( at the recommended half dose.) I have had a migraine for 24 hours .... Is there a possibility the vyvanse is causing the migraine? Thanks.", "output": "Hi, Vyvanse is unlikely to cause migraines. Vyvanse (amphetamine derivative) commonly prescribed to treat attention deficit hyperactivity disorder. Its most common side effects include decreased appetite, insomnia, Chat Doctor. The exact cause of migraines is not known. There are certain triggers such as lack of sleep, skipping a meal, caffeine or alcohol, and being under stress, sensory stimulation like unusually bright lights, loud noises, or strong smells, hormonal changes or while on birth control pills may also cause recurring migraines. Avoid those triggers and consult your treating doctor if there is no relief. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have had psvt for 5 years now, but i just got diagnosed with it last week. my heart rate went up to 245bpm and i had to have 6mg of adenosine to make it stop. it used to only last for 30 seconds to a minute, but now it just doesnt stop. i had it happen again today and i was able to stop it on my own by pushing my stomach muscles down (thankgod). adenosine was a terrible experience and i wish to never have it again. anyways im only 18 and i was wondering if this is just going to worsen with time? and why did it happen twice in two weeks when it normally happens once every 6-12 months? it scares me a lot and i just want it gone :(", "output": "Hello, Paroxysmal supraventricular tachycardia (PSVT) occurs due to the presence of an aberrant pathway in the electrical system of the heart and triggered by premature atrial contractions (re-entry mechanism). If the episodes become frequent, it's better to go for an electrophysiologist study and then radiofrequency ablation finally to cure it permanently. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Respected Dr(s), Urgent request for consultation, My Close friend he is suffering from sever viral infection, we understood the current infected virus we are not able to identify still now and he is in critical condition every day each organs are getting affected. His symptoms are as below from last Saturday he got admitted for the stomach Pain, He has breathing problem and got mouth ulcer with gas blocked from mouth till chest. His cretainin test reduce from 15 to 10.6. Liver test shows liver got swelling and infection. Blood also got infected. Now stomach pain is reduce but doctors are not sure of his recovery. Kindly help if you have any suggestion about the Virus or any reference doctor who have similar treatment for any other case. Patient still in ICU with critical condition,", "output": "Dear Friend. Welcome to Chat Doctor. I am Chat Doctor. I have read your query in detail. Furthermore, I understand your concern. It seems that your friend is suffering from Multi Organ Dysfunction Syn Chat Doctor. This can result from Atypical Viral Infection and also from Severe Sepsis. It is difficult to discuss the treatment here with the available information. Please get us his history, and all investigations. You can ask your doctor to give a summary of his illness to you to take a second opinion which you can send to us for a better help. This is my best advice for you with the available details, if you have any further query, please ask me. Stay HealthyChatDoctor, MD" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am currently starting my third month of birth control (quasense). The first month I had no issues, no spotting. But within the second month I ve experienced spotting. I ve had unprotected sex at least once. I am now experiencing heavy thick brown blood on some days and others its light and thin. I ve had an increase in my trips to the bathroom. Is it my body adjusting to the medicine, or could I be pregnant?", "output": "Hello dear. Understand your concern.no need to worry dear, its just side effect of BCP (birth control pills).in earlier months, some have some side effects like spotting, irregular & heavy bleeding, pain & cramps, headache,nausea, tenderness in breasts, weight changes.....so no need to worry, just be calm. Look, every contraceptive methods has some failure rate, BCP has 0.5-1% failure rate. You have that symptoms, that does not mean you are pregnant, so be relaxed. Hope this will help you. Best regards. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Dr Siegel I have been for a MRI lower lumbar scan2 years ago and have only recently discovered the diagnosis, this has come to light as my lower back grinds and pops with hip movement, this problem prompted my doctor telling me that the disc has dehydrated, I have since that consultation asked for a medical diagnosis which is disc degradation of the lower lumber with paravertable spasm, I have also had many problems with my bowls. I am due for another MRI to see what has changed but I need advice as to how I can live and work and have pain relief which will improve the quality of life", "output": "Hello, Thank you for using Chat Doctor. I read your question and understood your concern. I think you should do physiotherapy and exercises to strengthen your back muscles and abdominal muscle. Swimming is very good for you and cycling also. Walking and jogging is OK but not running. Also, Chat Doctor. Stretching exercises and posture modification is helpful also. I think if you make such a regime you will see improvement in 3 months at least. I wish you quick recovery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband has a liver disease, we are trying to find natural ways to help him with his difficulty in getting enough air. His air is short, sometimes he can t complete a sentence. This just started yesterday. Before that he had body aches (now gone) and a headache (now gone) what can we do to help him to cough more and so clear his lungs.....", "output": "Hi thanks for asking question. Get examined patient by doctor. If on auscultation rhonchi heard then it is bronchospasm by obstructive condition like asthma or bronchitis.x-ray and pulmonary function test useful for it. If along with headache fever also present then chest x-ray done for rule out any consolidation in lung. Noted you have mentioned liver disease ... But which dz?? Fatty liver or cirrhosis or any other?? I am asking this because in cirrhosis functional pulmonary problem occur as result of portal hypertension and development of hepatopulmonary syn Chat Doctor. I hope your concern solved. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im going through depresion right now but dont seem to shake the feeling of uneasiness in the upper chest. I do smoke about 6 cig s a day and trying to quit. Breathing does not seem to be a problem even though i suffer from panic attacks once in a while. I try to do breathing excercise to calm myself down. I concerned shoul i be about this slight tighness in the upper chest?", "output": "Thanks for your question on Chat Doctor. In my opinion you should first rule out cardiac and pulmonary causes as you are smoker. So please get done ECG to rule out cardiac cause. Get done chest x-ray and PFT (Pulmonary Function Test) to rule out bronchitis. If all of the above are normal than it is mostly due to depression only. Anxiety can be associated with depression and cause this kind of symptom. Panic attacks can be the cause. So try to avoid stress. Consult your psychiatrist and get done counselling sessions." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my mom is diagnosed with a rare disease which is closely related to miller fisher syndrome. she used to be active and just recently she witnessed a fire that in their storage house that left her so devastated of what happened.shes 64years old, has diabetes and has allergic reactions to pain relievers. Is there a home treatment or remedies to cure miller fisher syndrome?", "output": "His welcome you to Chat Doctor. Your mothers' disease is definitely a rare disease, but the prognosis of this disease is very good. She should be treated with intravenous immunoglobulins or plasmapheresis, but I am not aware of any home remedies. I do not think that there are any home remedies that can bring her out of this. I would advise you to take your mother to the nearest hospital and treat her as soon as possible. The more you delay, the more severe it becomes. Hope I answered your query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Sir, I got married in december There are some conflicts in my family. Mine is a love marriage. There are some issues with family backgrounds and culture. These differences are hurting bad. My family is acting absurd and this set up is affecting my wife s mental stability. Kindly help me with your kind advice", "output": "Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. Counselling and supportive psychotherapy with interpersonal therapy will help you in this regard. Get hold of a good psychologist who can help you with these problems. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 27 year old female. I was diagnosed with a kidney stone ( CT scan ) a week and 3 days ago, after experiencing the worst pain of my life. It was at my ureteropelvic junction, a 4-5mm piece of agony. The urologist immediately wanted to operate, I asked him to discharge me and give me a chance to pass it normally without surgical intervention. That night the agony set in again, but this time when I stood up and went to the toilet, the pain subsided enough for me to go back to bed. I have not had pain since then, no problem urinating, no blood in my urine, no fever , basically asymptomatic . Now however I have a constant urge to urinate, with an uncomfortable pressure right by my pelvic bone. I do not struggle to urinate, but it does feel like my bladder is not empty when I get up from the toilet, so I need to go immediately again. This is obviously incredibly irritating. I just want to know whether this is the stone trying to leave my bladder? I still do not have any other symptoms, no pain urinating, no visible blood in my urine, no fever or chills, no pain other than the mild pain in my pelvic region.", "output": "Hi and thanks for the query, Not all kidney stones cause symptoms. The symptoms are actually related to the size of the kidney stone, the location of the stone, type of stone and the duration of the stone. Many people in the general population have small stones and present with no symptoms. Its there normal for a CT scan to detect stones without any symptoms. It becomes a worry when symptoms like pain, urination difficulties, infections and kidney failure come into play. However, regular clinical, biological and radiologic monitoring by your treating physician remains well indicated. Thanks and best regards, Luchuo, MD." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir i am suffering from low platelets count as i had phalsiphofum maleria last 2 months back. Now i am on sterods tab dexa 10 mg after my bone marrow test. when i take 10 mg platelet count increase and when i decrease the dose platelet count goes done. So what i can do", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have ITP. Its immune thrombocytopenic purpura. Your body cause destruction of platelets by producing antibodies. You should take immunosuppressive Chat Doctor. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sorry Im not really good in english So heres my problem I have a hole in my tooth then the gums started filling the space in the hole Now Its still growing What do I do What is that called? Is it dangerous?", "output": "Hello and thank you for your questions. First cavities are caused by bacterial infections in your teeth. The bacteria produce acids that eat away at the outer surface of your teeth (enamel) and then spread to the inside of your teeth. Cavities are prevented by:-decreasing frequency of sugar intake, especially sticky, tacky snacks-avoiding beverages high in caffeine, sugar and acids: coffee, energy Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "good evening, i have been experiencing quite cramp like pain at the very top of my stomach no real about an inch down from in between my breast bone, it causes shortness of breath. It has been over a week now. I have taken gaviscon but impact. Any thoughts", "output": "Hello! Welcome on Chat Doctor! Regarding your concern, I would explain that your symptoms could be related to different causes: - gastritis or an ulcer- pancreatitis- indigestion- musculoskeletal pain or inflammation. Coming to this point, I would recommend consulting with your attending physician for a careful physical exam and some tests to investigate for the possible underlying causes: - a resting ECG- a chest X-ray study- an abdominal ultrasound-some blood lab tests (complete blood count, PCR, ESR, kidney and liver function tests, amylase and lipase levels, fasting glucose). If Davison help improve your situation and all the above tests result normal, I would recommend performing a fibrogastroscopy to investigate for gastritis or ulcer. Hope to have been helpful! Best wishes, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "For the past few days ive been going to the bathroom, CONSTANTLY and it hurtsreally bad to pee and I feel like I ALWAYS have to pee!!! Just today my lower back has been hurting and im having nausea, im also having hot flashes!! Icant get into my doc for a week and now that its the weekend I dunno what to do!!! What do you suggest???", "output": "Dear patient Are you having burning sensation? Frequency of micturition mostly Is due to urinary tract infection and uncontrolled diabetes Mellitus. So if you are not diabetic only thing remains is UTI. You need to be investigated with urine routine and microscopy examination for pus cells. It helps in confirming diagnosis. If its positive start tab Aeroflot 500\u00a0mg once a day with tab metronidazole 400\u00a0mg thrice a day for 7 days. Also take syrup alkali 5ml thrice a day. If you are diabetic need to consult expert diabetiologist and ask for medication for strict diabetic control." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am being treated by my dentist for an abscess and have been on antibiotics. I was scheduled for a root canal today, but I am not able to open my mouth due to swelling and tightness in my jaw. He indicated that there are times even though the abscess is being treated with antibiotics, the infection can settle into the jaw muscle and cause it to tighten up and that is likely causing the problem. He prescribed a muscle relaxer to see if that will loosen up the jaw muscle. I have been taking OTC pain relievers to help with the swelling and pain but wondered if you could tell me if there is a name for this condition and if there is anything else I can do to help myself or help speed up the healing process? The root canal has been put on hold for a week in the hopes by then I will be able to open my mouth/jaw enough to do the procedure. Thank you for your time.", "output": "Hello, It looks that you are suffering from a condition known as Erasmus, and it is the cause for difficulty in opening mouth. It can occur due to infection and abscess formation and can also be due to muscle spasms. You should continue taking antibiotics and muscle relaxant and also try to gently open the mouth as much as you can. Let the infection get reduced as it will help in reducing swelling and then the mouth opening will also get improved. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi every now and then I m getting pains in the top part of both rib more to the side area some times the right side sometimes the left also wen I sit down my stomach feel really tender and gasy feel like it s guna cramp in areas can you help?i got a bad back but don t think that s anything to do with it", "output": "Hello, This pain is because of improper dietary habit, if one is not taking adequate and nutritious diet on time, this develops the ulceration and presents with such pain. If such a patient comes to me in my clinic, I suggest him for upper GI endoscopy to rule out the acid peptic disease. I will suggest the patient to take Capsule Pantop-LSR twice daily (half an hour before food). So consult a physician to get an endoscopy done. I also suggest such patient to take following medications also Tablet Attract twice daily for 1 week. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my father retired from the military in 1991 and worked as a pilot out of Nellis Air Force Base for the last 22 years. He retired in May 2012. When he retired he started having inconsistencies with his blood counts. Extremely elevated RBCs that have been unexplainable to doctors. He s had really bad stomach issues for probably the last 15 years. He s been going to see a hematologist oncologist for the last year having his blood drawn many times a week and then reduced to a couple of times a month to reduce his RBC counts. He has been extremely sick for the last year and passed away this past Sunday due to unexplainable causes. My question is, do you think his condition could be due to his two tours in Vietnam as a pilot flying through the agent orange? We are trying to better understand this tragedy. I have noticed a lot of posts on the Internet in relation to elevated red blood cells leaving the physicians scratching their heads. I know he was diagnosed with polycythemia recently. Any help would be greatly appreciated. Thank you so much.", "output": "Hi, Welcome to Chat Doctor. Please accept my condolences. Polycythemia could be due to exposure to high altitude in your fathers case where low oxygenation stimulates erythropoietin production causing increase in RBC count. Many cancers also predispose to polycythemia like liver cancer. Associated conditions along with polycythemia play an important role here. Many patients suffering from polycythemia present with abdominal pain and generalized fatigue. These patients are also prone to develop clots easily hence predisposed to sudden stroke and heart attacks. I hope I have helped you with this. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am currently 35 weeks and 4 days pregnant. I have been experiencing a sharp lower abdominal pain sometimes when I stand up that makes me double over in pain and have to sit down. The first one lasted for about 5 seconds, and this last one lasted for about 20 seconds. Can you tell me what this might be?", "output": "Hi! Good evening. I am Chat Doctor answering your query. This could be your pre labor pains. If this continues and for gradual longer durations, I would advise you to get yourself assessed by your obstetrician or report to the ER of the nearest hospital. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Doctor,My wife is suffering from this strange disease of hearing voices of people whom at times she says spirits at other times not. But she does not recognise no know any one of them. She has been suffering from this from the year 2005. At present she keeps swinging her mood , remains irritated , short tempered and always talks to herself. Does this problem of hers have any medical treatment ? If yes How and where ? Whom to approach ?", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. From the description it is clear that your wife is suffering from a mental disorder named schizophrenia with hallucination and paranoid personality disorder. Hearing of other voices are actually a delusion and are common for these patients. Medical treatment is a must. Please consult a psychiatrist for further advice. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My friend had a partial mastectomy 13 years ago and the scar has suddenly started weeping and bleeding. She says she might have scratched it in her sleep but she is afraid to go to her GP in case it is bad news. What could cause bleeding so long after the operation?", "output": "Hi thanks for contacting Chat Doctor... Noted your friend having bleeding from scar of mastectomy... Here consultation to surgeon done without delay to prevent further complication. Here breast must be examined by palpation for detecting any mass... If mastectomy in past done for malignancy then there can be development of malignancy from residual tumor cell. If mass palpable FNAC done.... If palpation normal then bleed may from scar that might hypertrophy ... If scar is seeming to be infected then antibiotic needed... Brufen like anti-inflammatory Chat Doctor. . Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi I have a son who is already 3 years of age. he suffers from on and off fever so I brought him to a doctor for a check up.Unluckily the doctor is on leave. i just let my son have his urine test. and the test have a positive findings for A. urates/PO4 and mucus threads. What does these mean?", "output": "Hi...this is normal finding in the urine of any kid who has viral illness. Do not worry about it. The report is normal. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Yes please, I had 2 back surgerys within 10 months, I have 1 L vertabry left, last year he did the L 5 4 this time 3 2, Im in my 3rd week the pain is so bad never have been in pain like this, is there any pain med that do not have Tylenol in them I have been on Norco for 9 years 10/325 after all this suffering I will end up with liver failer , I take 2 every 4 hrs. 10 when pain starts 10 hour later of taking meds, no sleep at all laying down kills me, and you say?", "output": "Hello, I have studied your case. You may need to do MRI spine with contrast again to see for nerve compression. Due to compression of this nerve root there can be pain associated with it. Previous surgery may lead to early degeneration around operated vertebrae. Another possibility of spinal canal stenosis leading to pain on standing. If your MRI shows disc bulge with nerve compression then re surgery may help. For these symptoms analgesic and neurotrophic like pregabalin and methylcobalamine medication can be started consulting your doctor. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and TENS therapy will helpEpidural injection may help till time. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Starting Mar2013 I have experienced about 7 spells, I call them. I all of a sudden get very dizzy have to sit down because it is quite servere . I let it pass for about 15 min by sitting and closing my eyes. Then I break into a big sweat and feel nauseated and tired It happen about every 12 to 17 days. I have had a heart monitor on and since the Dr didnt call me back I think it was OK. My blood pressure seemed to be OK and I had an egg and a blood sugar test and it was normal. The last spell I had was typical but since I have been a bit dizzy and a little nauseated. I can go through a normal day but feel like a have a hangover, to describe the feeling. I cant get into see my Dr for a week and a day. I am very frustrated and frankly wonder whats going on. Thank you for listening.", "output": "Hello, Thanks for the queryPlease note that there are many causes of dizziness which begins with heart problem, neurological problem, and ENT problem and so on. The possibilities' ion your case could be migraine. But you need a detailed examination by a local physician to exclude other causes. If the investigations are normal, I feel that you may benefit with anti-migraine medications under supervision. Please get back if you need any additional information Best wishes" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Pain to left side of my spine near my shoulder blade My partner is in pain and feels a vertebrate has popped out on the left side of his spine near his shoulder-blade. Are there any suggested advice someone can give me. I ve popped a vertebrate in his back before but the location is awkward near his shoulder blade and I can t pop back in the vertebrate.", "output": "Hi, i would advise you not to indulge in any form of popping of the spine as it has delicate spinal cord and nerves around that area which may get damaged. If there is pain in the back near the spine it could be related to vertebral column or muscles in the region. Did your partner take any painkiller for the same? If the painkiller is not relieving him of pain and if it is more than 2-3 days then you should see an orthopedics doctor who would advise you to take a X-ray to rule out any bone problems and suggest treatment accordingly. If the pain is more you can try to take hot fomentation to they are it will soothe if it is muscular. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "At intervals, I feel dizzy and light-headed once or twice a day. My doctor ordered Propionate nasal drops in December. More recently, I also have shaking in my right leg at the same time. The shaking is visible to those present with me at the time. I am on chemo presently, but I feel good otherwise and have no other heart, lung or otherwise problems.", "output": "Hello! Welcome on Chat Doctor ! Your symptoms could be related to chemotherapy adverse effects. I would like to know more on your past medical history and the reason that you are on chemotherapy. Anyway, considering the fact that you are on chemotherapy, I would recommend performing some tests: - a brain CT scan or MRI-complete blood count for anemia-blood electrolytes- kidney and liver function tests-thyroid hormone levels for possible thyroid gland dysfunction- vitamin B12 and vitamin D plasma levels for possible deficiency. You should discuss with your doctor on the above issues. Wishing all the best, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doc, I m suffering from jaundice. My recent Bilirubin Level is 2.4. I Had it two months before and got cured. Can you please state why this jaundice problem reoccurs if once it has occured. And kindly inform the diet i should take.And inform me the way to keep away from this disease. And what test should be done in order to know what type of jaundice is it?", "output": "Hi.noted history of recurrent jaundice and elevated bilirubin levels. Are you experiencing any other symptom like abdominal pain, weight loss, nausea, vomiting? Jaundice may be caused by an infective (i.e. hepatitis) or an obstructive (gallstones or tumor lesions) pathology. It is best if you consult with a doctor, preferably a general surgeon or a gastroenterologist, for physical examination and clinical evaluation. Diagnostics (such as ultrasound, ct-scan, liver function tests, blood counts, etc.) and management (medical and/or surgical if indications are found) will be directed accordingly. If it is indeed of gallstone disease, low fat diet is recommended. Hope this helps. Good day!!~ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 32 year old female that had a lithrotripsy done three weeks ago on a 5mm stone and now I have blood and pus in urine and another stone doctor is going to explore it in the morning to see if it is lodged in uretha what can be causing all of this now", "output": "Hi, Thanks for writing in. Most persons pass blood in their urine after the lithography procedure. This is normal and should clear after several days to a week. Blood and pus can be due to injury of ureter by dislodged smaller fragment and subsequent infection. Lots of fluids should be taken to encourage the flushing of any gravel remaining in the urinary system. Treated persons should follow up with a urologist in about two weeks to make sure that everything is progressing as planned. You may need to take a course of antibiotics to control infection." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have found a lump the size of a ping pong ball on my stomach a few inches below my rib cage. It seems to decrease in size depending on if I am sitting down or standing up. When I press on it or apply pressure there iss a little pain/strain. Only other symptoms is that I do suffer from indigestion quaite alot and my stomach in general seems quite bloated. Thank you", "output": "Hi, Dear,Welcome with your query to Chat Doctor. Studied your query in full depth of its details. Reviewed it in context of your health concerns. Based On the facts, You mostly seem to suffer from-Painful Epigastric Hernia with Entrapment of Mesentery or Mental tissue. Reflex pyloric and other intestinal spasms would cause bloating in the abdomen. Prominence of the stomach lump on standing -indicates popping up of the intro abdominal contents through the weakness of the Epigastric Ventral Hernia. Treatment-Repair of the Epigastric Hernia-as a planned surgical procedure is needed.USG study of this lump would help in assessing the surgical plan in your case. Second opinion from Surgeon would be helpful to you. Hope that, This reply would help you to plan further treatment soon with your treating doctors. Best of Luck and early recovery. Welcome any further query in this regard, which would be replied in next session. Good Day!! Chat Doctor. N. Senior Surgical Specialist" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi im keira i have this throbbing pain in both of my knees and i have had this pain 5 days straight and it s getting to the point where i can hardly move my legs i have taken pain killers but nothing helped and i dont no what i ve done . i was wondering if you could help sincerly keira", "output": "Hello, As the pain is like throbbing in nature which is not allowing the knee to be any better I will advise to first take a hot water fermentation. Use the hot water bag wrapped in towel. This will provide deep heating effect. Continue this along with the medicines you are taking. And also keep the pillow underneath the knee. If you aren't diabetic than please use icing for the lower back region. This will provide the anesthetic effect and reduce the sensory functions by which the pain will come down. As pain travels by the nerve, rather using a steroid shot it's better to use icing which is non-invasive and no side effects. Wait and see if the knee is any better. If diabetic you can use hot water bag in the lower back which will slow down the sensory system by dilation effect. Once the pain comes down kindly try doing knee bending and extending. If that is possible you can possibly do some exercises like static Qua Chat Doctor. Kindly do on both sides the exercises, so the strength is equivalent. In case you are able to perform extension and flexion of the knee, I think it's a ligament injury, and we ended to take up the MRI to rule out this. Rehabilitation of ligament injury will be followed with Physiotherapist. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi,i had a sex with my gf on 23 april n gave her ipill n she took it within 7-8 hrs..den on 25 i again had a sex bt dat time i didnt gave her the pill n we were also not dat the sperm has ejected inside or not..later on 28-29 she got her menstural cycle bt aftr dat til date she didnt hav got her scnd cycle..expcted date was 2 days agois der anythng to worry..plss help me", "output": "Hi and thanks for using this panel. If she has seen her menses after this unprotected sex episodes, then it is unlikely that she is again pregnant. However, have you had any unprotected sex after her last menses? Doing a rapid pregnancy test is the standard of care when you have not seen your menses. This will give an instant answer. I will not be particularly worried at this time because menses may come earlier or later than expected. But if it should delay for more than a week, then please run a rapid test. If you are afraid of unwanted pregnancies, I suggest you both meet and talk with your physician on what other options are available if you don't want to use protection during sex. Hope this helps...feel free to return to us. We wish you good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I have a question. I started taking ortho try cyclen lo birth control about four months ago I believe. I didn t have a period the whole month of january which is understandable because they said it would be normal to miss one the first 1-3 months. My period then came right on the first of february. It then ended but for some reason around the 27th or 28th of that month I was spotting and it lasted for a while. I was very confused. I took two pregnancy tests and they both said negative. I went to the clinic and they changed my birth control. I haven t had my period this month yet. Should I be worried or okay since both tests were a negative?", "output": "Hi, Thanks for the query. Menstrual irregularity is a common problem with contraceptive devices. These can be amenorrhea, inter-menstrual spotting, break through bleeding etc. So all the symptoms you are having could be side effects of the contraceptive method. As all both your tests came back as negative there is very less chance for pregnancy. You can go for blood test for pregnancy once which will clear-off the doubt. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been having numbness in my head on the right side of my face the doctors keep telling me their is nothing wrong with me but i know there is something i have also been losing more hair here lately.I do have anxity so i take meds for it paxil 20mg and 10mgs at night.", "output": "Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. It seems you are over concerned and your anxiety disorder is causing you to worry more. Paxil is a good Chat Doctor. You may get your testosterone levels checked. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had 4 EKGs echo chest xray d dimer cbc and cardic enzymes teating done all came back great I am 25 no history of heart problems in my family or with me but do have health anxiety really bad not over weight light smoker no drugs or drinking I just get weird chest pressure and sharp pains and it scares me can I rest assure with all the teating I have had done that my heart is perfectly fine and it is in fact my anxiety", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. Since your extensive cardiac work up is normal, no need to worry about heart diseases. By your history and description, possibility of stress and anxiety related symptoms is more. So consult psychiatrist and get done counseling sessions, try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. So avoid stress and tension, be relaxed and calm. Don't worry, you will be alright. Also quit smoking as soon as possible. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I am currently on 7.5 mg of methetraxate a week for psoriatic arthiritis, I have had a cyst on my neck that went infected, last week I went to the dr s and he put me on flucloxacillin, even though I am allergic to penicillin as I get thrush, although my neck is starting to get better I now have thrush, I have 2 days tablets left. What do I do next?", "output": "Hello, THX to contact us. I understand your concern. If I am your treating doctor I advise you that Methotrexate causes a state of immunocompromised in the patients in addition to it antibiotics makes the path for the yeast infection further. So to some up both the Chat Doctor. You can use fluconazole tablet for fungal infection. I will be happy to answer more of your concerns, kindly know me, Wish you a very good health at Chat Doctor. Chat Doctor. Infectious Disease." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "how can I ease stomac pain quickly to be ready for my work presentation -Can one be sick from 1 energy drink? I didnt sleep all night, threw up once, I feel starved yet naucious, Can those things poison you? 23 female 160 pounds -have had ulcer before", "output": "Hi. Thanks for your query and an elucidated history. Certainly yes, the Energy Chat Doctor. Well since you have to get ready for the presentation with all the symptoms you have suggested, I would advise you the following. Take a tablet of Sanitizing 150 and Risperidone 10 mg, an antacid get. This will act within half an hour, Then you can take a light breakfast and start your presentation. IF the above medicines do not show a positive effect, I would ask you to visit a Doctor at once to get a clinical examination and investigations and treatment as per the findings. Tell the Doctor what you have taken so that the doses are not repeated." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello I have ankle pain and I do not remember hurting it, it happened last nite and today it s swollen and hurts bad, not sure what happened I do work and am on it all day from around 8 till 6 at nite, I did ice it last nite to sleep and tonight I am soaking it in espom salts water, what else can I do?", "output": "Hi, You may have ankle sprain. May have happened due to minor twisting of ankle which may be missed. Treatment is Rest ice compression elevation of ankle on two pillows. Tab choral forte twice a day helps for reducing swelling. If pain is not bearable tab diclofenac sodium twice a day can be taken for pain relief. Visit to orthopedic surgeon for detailed clinical Examination will be more helpful in diagnosis. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have a picc line in for about a week and in that time i have had pain in my arm, shoulder and chest that has slowly gotten worse, i cant raise my arm up very high without pain either... it is also hot and my best friend thinks my arm also looks a little swollen. Is this normal? should i be concerned?", "output": "Hello, As I was reading your history it misses a lot of things like why it was inserted? Since when it is inserted? Are you diabetic or do you have any high blood pressure? Any chest infection etc.? To come into a history conclusion I feel one should be able to differentiate between edema and wasting of muscles. As the upper limb is not moving much there might be wasting of muscles. Also, swelling can be caused due to poor venous return and using a stocking for it should be of choice initially and some simple exercise for upper limb should avoid swelling to persist longer. Besides, will recommend you get it checked by a physician as edema in upper limb over the left side mostly which isn't mentioned in the history needs to taken with attention without wasting time as heart may get involved. Please feel free to mention detailed history, so we can look out for a conclusion in precision. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi i was wondering if you could associate these symptoms with a diagnosis.Ive been suffering from them for the past 4 months.While im trying to fall asleep i feel as though an adrenaline rush goes through my body and it feels like i stop breathing,heart palpitations,and even slow a slow heart beat at times.After this happens i cannot fall asleep for the next 2 to 4 hours.Its gotten to the point where im afraid to fall asleep and i cant find anything online that explains these symptoms.", "output": "Hello and welcome to Ask a Doctor service. I have reviewed your query and here is my advice. Are these things preceded by any weird thoughts or panic in your mind, or stress. This is not any particular heart disease it's just an anxiety and excessive awareness of your heart beats. Try to ignore these things and focus on sleep. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI, my name is Ferol MATTHEWS. my email address is YYYY@YYYY . The inside of my mouth and tongue is very sore. I have sores on my tongue and the inside of my mouth that appear somewhat translucent while other appear white and crusty. Food in general burns. It hurts to talk. Help!!!!", "output": "Hi. Thanks for the query. It looks like you either have canker sores or authors ulcers, or it can also be due to viral infection causing herpetic cold sores. Nothing to worry, as either of them are treatable and will resolve in a period of one to two weeks. As of now start taking a vitamin B complex tablet daily along with lysine and folic acid . Gargle with mouthwash containing Lidocaine or Lidocaine to reduce burning especially before meals. You can also do soda bicarb gargles, warm saline gargles are also helpful. Suck ice pops or do cool water rinses. Take soft and bland meals. If you get relieved in a week its fine or else get an oral swab culture and blood test done for herpes and then if it comes positive antiviral medication can be advised. Hope this helps. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "24 Yr. old male: I have a bicuspid aortic valve and a coarctation of the aorta. I am also being treated for high blood pressure (my BP prior to medication was usually around 145/90). My resting hear rate is usually around 55-65. My question is: I use marijuana fairly regularly (once every other day or so). Are the negative side-effects of marijuana more troublesome given my heart defects?", "output": "Hello! Thank you for asking on Chat Doctor! Regarding your concern, I would explain that in a normal person, marijuana can lead to 5 times increased risk of heart attack during the first hour after smoking it. From the other hand, when taken regularly for a long time, it can lead to chronic changes in the blood vessels wall, causing progressive atherosclerosis. Now, considering the fact that you have coaptation of the aorta, I would strongly encourage you to stop taking it, as you are at a very increased risk of a heart attack or further aortic stenosis. Hope to have been helpful! Kind regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my wife and I both suffer form the same reoccurring problem which has become worse over the past years. we are in the 30 - 45 year old age range have been together for over 13 years and during that time both of us have been 100% faithful, we have two children. Over the past year we have both had a series of problems (burglaries, health issues - my wife stress and high blood pressure , but is normally healthy, myself spinal problems following accident - 4 disc displacement leaving in need of morphine daily, chest infections ending with pneumonia and 2/3 days in ICU ventilated, two allergic reactions to incest bites following in infection, and getting beaten up by a thug, I am a asthmatic with spinal problems and reoccurring uti s) to deal with as a family. the problem is we both suffer from sticky red itchy skin on our genitals - my wife on her labia/vaginal opening, myself around my penis under the foreskin which is normally rolled back thus exposing the sore are it is anything from 1 to 5 cm wide, neither of us has any discharge or smell, it itches when warm or hot, or in contact with clothes/bed linen etc.. we have tried thrush treatment and various creams which help but do not totally clear it up. Both of us wash daily and are particularly careful when washing our genitals we use a special soap recommended for that region. Both of use are in the profession (ie. self: Prof. Dr, Col. wife: Dr) but we are now at a lose any suggestions...", "output": "The medicines year taking can cause this in your case painkillers and synthetic vitamins can cause this according to new studies Synthetic vitamins fuel sicknessParacetamol and broken in painkiller can cause this if you can change your salts you can get relief in your wife case also some BP salts can do this And also vitamins, paracetamol,broken, ecosprin, and dietary supplement change the salts and STO all vitamins and dietary supplements you will get result scan ask if you need" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "monday i was prescribed amoxicillin for a chest infection and prednisolone for my wheeze and a referral to a asthma nurse in new year for an assessment. i am 50 and suffer from dust and pollen allergy but wasnt sure about asthma. i am getting a hot itchy rash on my neck and shoulders and saclp", "output": "Hello, Welcome to Chat Doctor, As you are having allergy to dust and pollen you may get the symptoms which you are having. As you know you are allergic to dust and pollen I would suggest you to test for absolute eosinophil count (AEC) to know the presence of allergy in the body. I would suggest you to undergo skin prick test with existing all dusts and pollen to identify the allergen causing these symptoms. After identifying allergen it will be easy to avoid the allergen if you are not able to avoid you can undergo Immunotherapy against particular antigen and reduce your symptoms. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 49 yr old, relatively healthy, Asian female who started walking for exercise about 3 weeks ago. However, every day for the past week, right around the same time (about 130 or 230 pm) I start getting the chills. When I take my temperature, it is usually around 99.5 to 99.9. I dont have any aches or pains or infections that I know of. I have been taking Tylenol for the fever, but the next day this happens all over again. I have lost about 6 lbs since I started walking.", "output": "Hi, Thank you for your query. I can understand your concerns. Rise of temperature with chills almost at the same time regularly for 1 week points towards underlying infection.However, lack of other constitutional symptoms like aches or pains suggest indolent nature of illness. In Asian countries, one need to rule out TB. Other possibility is lymphoma. You need physical examination and baseline investigation like complete blood count, peripheral smear for malaria parasites, Urine for routine analysis and ESR (fasting). Regards " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "ATTENTION TO DR JAIN GEORGESir hope this finds you in good helth.Iam JAYADEVAN under gone operation of BRAIN TUMER during the 1st week of June-2012 performed by you While you were serving in INDO-AMERICAN hospital (brain & spain) sir, you have instructed me to meet you after one year ie june 2013. On visit I could not meet you as you left BRAIN & SPAIN hospital. Then I showed my case to Dr.Bahulayan sir. He asked me to take the advice of you as there is little growth of tumer in the scan report and started the medicine. PHENY TOIN TABLETS IP 100mg EPTOIN One each thraise in a day. So please consider my case and advice me for further medicationIam waiting for your replay. Tanking you , your faithfully JAYADEVAN", "output": "Hi, Thank you for posting your query. To answer your query better, we need to have the biopsy report from the first surgery, and also the scan reports. So, please upload them. If the growth of tumor is small, we can wait and watch, and repeat the scan after 3-6 months. Phenytoin tablets are given to prevent fits, so, you can continue to use them. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I do drama as a subject, and whenever I have to perform I get nervous before, but as I perform I feel less nervous, however, my hands shake violently and everybody notices and that is what makes me nervous, how can I sto my shaking hands? (I do not have any caffeine or a low blood sugar)", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. This problem is common with so many people. Can call it stage fear. This comes due to apprehension. You start worrying about these hours or days before the event itself, and it becomes anxiety. Even though you are not worried about it, it does troubles. That is mind. It does what you tell it. Here you are asking it to behave so when you apprehend. Mind does as asked. Here is help with Cognitive Behavior Therapy which includes so many techniques to alleviate your problem. The treatment method more individualistic. You may come up with a premium question. Give complete description as much as you can. I shall help you with it, and I am sure that your problem will be cured. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am 18 years old and I can t stop masturbation . I was 12 when I started it. Now I feel I have destroyed my whole life. I started to feel less happy and energetic. And because of masturbation I spend more time on it rather than having friend, studying, doing sports, having hobbies, ..etc. now I feel alone, depressed, unhappy and ashamed . I need help", "output": "Dear user first you should not be shamed of that severe masturbation is common problem especially in your age and you should not be shamed of that as it will lead you for depression and stress and psychological problems that will harm you more and more.....try to see your doctor to check if you have any infection genital or urinary...as infection may be cause of severe irritation lead you to have great desire to masturbate.....2nd try to monitor your lifestyle and have healthy food reach of fibers and for regular exercise will help a lot ....regular exercise utilize your energy and masturbation will decrease....you may have psychological problem with sex or maybe you have emotional disorders....at last try to live simply away from stress or emotional troubles and do regular exercise and have friends and be happy .......don't get shamed .......wish you healthy life" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. This is so embarrassing. Thats probably why I havent gone to the Doctor. I have a pretty large external hemorrhoid. Its painful. For the last couple of days I have tried over the counter medications. It doesnt seem to be shrinking. Its I guess about a inch in diameter and very hard. Should I just wait it out. I am soaking in warm water now. I read online where it could help. I had one similar to this about 6 months or so ago and it went away after over the counter treatment. This one seems more painful and larger. Is this something you could help me with?", "output": ". I read your question carefully, and I understand your concern. First you don't have to be embarrassed from this situation, especially in front of healthcare providers, since this condition is something that healthcare providers have a lot of experience, and it is not seen as something weird, rare or embarrassing. From what I read in your post, it seems like the symptoms might be a consequence of thrombosed hemorrhoids (hard and painful). The conservative measures that might help you are warm baths; ice can relieve the pain of acute thrombosis; high-fiber diet (methylcelulose); stool softener; topical steroids can alleviate symptoms of itching and inflammation; topical nitroglycerin can also reduce symptoms, but it can have side effects like dizziness and hypotension. I recommend visiting a general surgeon or a proctologist in order to be evaluated more objectively and for a possible surgical treatment. I hope my answer was helpful. Best regards and I wish you a fast recovery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "good day doc.I m 28 yrs old and have a 1 yr old baby boy.could you pls. suggest us which brand of infant formula is best for baby who often suffer from constipation also considering hypoallergenic one..we tried switching to a lot of formula-milk s-26,similac,nan-ha and now we are feeding him enfagrow but still crying while taking a vowel..hope u could advise us.thank u so much!", "output": "Hi...except breast milk any of the formula milk can cause constipation. Rather than suggesting a formula I will suggest you a diet and a plan to relieve his constipation. Suggestions:1. Natural methods are the best to relieve constipation.2. Maximum milk consumption per day should not exceed 300-400ml3. Minimum 3-4 cups of fruits and vegetables to be consumed per day Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor. I am 21 years boy. I am suffering from hair loss since 2 years. I also suffered from depression. my scalp is itchy . If donot shampoo my hair for one week , I can feel crusty bumps on my head. if I scratch them, liquid comes out. itching increases in sunlight. I had random blood sugar test and tsh test but those were normal. the dandruff is greasy. please suggest some cure", "output": "Hello, I am glad to be helping you out with the problem.First, have a healthy diet that includes proteins. You can also take supplements that have vitamins and antioxidants. Wash your hair at least twice a week so that your scalp remains clean. In case you use a conditioner, do not apply it on your scalp. Try some yoga to relax your mind as this will also have a positive impact on your physical health. Hope this helps. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor, My tailbone has been killing me for the past few months. The pain is a heavy - pressure kind of pain. My MD had X-rays taken, this showed nothing. I saw him the other day and told him I still have this pain. He said he is not sure what else he can do for me other than use a donut when sitting. I sit at home on a nice soft leather recliner, my tailbone still kills me. I end up leaning on my side when I sit, but when I get up, the pressure/pain is terrible. I notice the pain/pressure even when I walk. Hurts when I sleep, especially turning over. I do want to mention that I had a colon resection back in 2005. I had a tumor in my rectum. The surgeon could feel my tumor, that is how low it was. I am worried I may have another tumor. PLease give me some advise what I need to do. THANK YOU FOR YOUR TIME!", "output": "Hello! I read your question and understand your concern. In my opinion the pain you have may be related to a sacral bone problem. I would like to know if you have fever or problems with the stools. These problems may be caused by a tumor infiltration the sacral and cochineal bones, by an infection of this region like an abscess or osteomyelitis, or by irritated nerves of the region from radiotherapy. Your past medical history is very concerning. You didn't mention radio or chemotherapy. So I would recommend a good physical by your GP, a full blood work for infection and a CT scan or MRI of the pelvic region to exclude these causes. Hope to have been helpful! Best wishes " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I WAS ALREADY DIAGNOSSED WITH ACID REFLUX. I HAVE BEEN ON DEXILENT FOR 3 MONTHS NOW AND I FEEL TOTALLY BETTER. MY PROBLEM IS THAT MY LUNGS DONT FEEL HEALTHY. THEY FEEL HEAVY. WHEN I TAKE A DEEP BREATH OUT I FEEL LIKE I WANT TO COUGH. MY THROAT HURTS ME WHEN I TOUCH IT ON THE OUTSIDE. IT IS VERY TENDER. I WENT TO AN ENT AND HE SAID THAT EVERYTHING CHECKED OUT FINE, WHAT ELSE CAN BE WRONG WITH MY LUNGS THAT CAN GO WRONG. THANK YOU", "output": "Thanks for your question on Chat Doctor. I can understand your concern. You are acid reflux. Chronic acid reflux can cause bronchitis. Bronchitis can be the cause for Heaviness in lungs. So consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). If PFT is normal then no need to worry about bronchitis or other lung disease. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Since the 20th of this month i started experincing Deep Pounding palipitations i finished my menses 3 days ago they are random at times i feel mild ache in my shoulders sometimes the left also seems aggravated by eating heavy meal exercised regularly...did have major stressors at work but those passed will be evalutated by cardilogist though primary doc thinks it anxiety ativan seems to help with palipitations but does it sound like a blockage issue ? Wore a holter monitor but dont know results also a littel anemic HGB 9 Thanks", "output": "Hello, Anemia with hemoglobin of 9 gm % can itself explain the palpitation and even the irregular menses this time. When the blood has less hemoglobin, the heart has to pump faster and stronger to pump the extra blogs to provide the required amount of oxygen to the body. The would pensive as palpitation particularly when you are lying down. Correction of anemia after confirming its cause should take care of your symptoms. As you haven't mentioned the age by considering you have active menses I think you are less than 45 years of age when heart disease in woman is less common. Lastly blockage per se doesn't cause palpitation commonly. Regards " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Greetings Doctor. My name is.Bamy, I am a man am single n am 23 years old. Done.with the study, I dont work yet.I have a backache specially at the bottom erea since nearly 10 days. I dont understand why ?! I havent fallen down or had an accident....!! And also at my right hands wrist !! Things that I noticed is it used to begin when I STOP the gym !!!Thank you very much for your help.", "output": "Dear Baby, The symptoms can be attributed to inadequate HY Chat Doctor. Which help in blood formation & nerve conduction. Symptomatic relief can be obtained by intake of cervicogenic agents as well as multivitamin & multimineral supplements including iron, calcium & It D needs to be added in your diet. If you still find any difficulty, kindly get certain investigations like estimation of blood pressure & blood sugar levels, Thyroid profile & nerve conduction studies to rule out any pathological cause for the symptoms. Till then, maintain adequate HY" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor, My report shows - liver is mildly enlarged in size with increased echogenicity. what does this meanalso my husbands reports shows calcification in right lobe of liver? Calcified Granulomaalso left renal cortical cystPlease advise if there is any issue and also the remedy for it", "output": "Hi and welcome to Chat Doctor. It would be easier if you've posted the liver enzymes findings. It ma indicate alcoholic, viral, autoimmune or toxic liver damage. The most probable cause is is fatty liver which can be found in healthy people, but usually is resulting from elevated blood lipids, overweight and elevated blood sugar. If ultrasounds didn't find anything and viral markers are negative then you have no reason to be concerned. You should treat it by changing dietary and lifestyle habits. Do exercise, avoid alcohol, smoking, fats, fast food and carbonated Chat Doctor. Eat more fruit and vegetables, boiled meat and follow some of hepatoprotective diets. Findings usually improves on such measures. If not, then some medicines can be prescribed, but I suggest going step by step. If you don't have any symptoms then this is just slight and reversible liver damage. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor i am sujata .... before one year aprox i have a misscarriage and after that i had treated with medicine.. now i have consult a doctor to conceive, so my doctor advised me to take letsi tablet for 5 days countinue after the complition of menses.. and then i was given folic acid tablets and dupastan 10mg given to me on the 16th day for 12 day twice daily... so please suggest me about the results... ? and the right method of taking the medicine.. and please tell me that dupastan is used basically for conceiving . actually i want to get pregnent as soon as possible.......regrds & thanks", "output": "Hi Sujatha, How are you doing ? I understand you concern. If you have conceived once then you will conceive for sure again.(No matter what the end result of the pregnancy was)(Miscarriages are just like an accident, any lady can have it, but you have 97% chances of having a normal pregnancy). Now about the medication1. Tab. Letsi is a hormone pill which suppresses the body from producing its own hormones, thus there is a sudden surge of follicles. So more follicles/ eggs means more chance of sperms meeting the egg. So pregnancy chances increase2. Tab Duphastone, is Progesterone hormone which prepares the uterine inner lining for the possible baby & give a good attachment to the uterus, preventing any bleeding & early abortion May I advise you, Now you are blindly trying for the pregnancy, what if there is an undetected in Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I used to masturbate daily once. sometimes twice...from 2 years. Recently (1 month back) I found that my left leg back of upper thigh portion is paining a lot. I am unable to walk properly. Especially morning, when I wake up it pains me a lot. I cant put a step to move further after i got up. My right leg is fine. Only problem is with the left leg. And I cant jump, run, cant do anything,.. only I need to walk slowly. if I feel the pain then I will stop and again i will start slowly. pain is always there in my left leg, based on my leg movement it comes suddenly don t know exactly when. Its really bad pain. I couldn t bare this pain. I stopped masturbating slowly. But pain is still there. I don t know if the pain is because of excessive masturbation or not?. Specially morning, it pains so much when I got up from the bed.. Please help me, what I should do to come out of this pain permanently. Why this has come to me recently. what is the cause? What is the medicine to use? I didnt consult any doctor yet. Do I need to take any medicine or shud I consult any doctor? Also, I didnt take any medicines. I am applying pain balm. Please respond to my query & help me.", "output": "Hello, As when you do masturbation there will be an isometric contraction of the muscles of the abdominal region, pelvic floor, thigh muscles and leg as well. Due to which there will be fatigue to set in, and muscles become over tiring and weak. Avoiding too much masturbation or in fact avoiding it for time being will be a good choice. Do simple exercises like walking or aerobics with low intensity and regain muscle strength and bulk back. This is one of the commonest reason that after undergoing sex most people feel tired as maximum energy is being utilized. The best way is to have a good diet, water, and avoid masturbation. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have pain in left side lower back since yesterday morning when i got up, i am not able to bend and also having pain in certain movements. In some positions i feel no pain. I want to know could it be a kidney pain? i am feeling little burning in urine also.", "output": "As mentioned in your narrative I think you are a young adult, and you have got rid with just a muscle spasm nothing else. For this you have to take some painkiller with muscle relaxant like tab danger or tab osteopath twice daily after meals when your back pain is worse enough to disturb your routine work along with tab shall 500 mg once daily after meals with tab rant ac or tab carotid twice daily before taking meals. You can also use holdup gel or powergesic-plus gel for local application as it is quite helpful in relieving your back pain and muscle spasm." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor, I am 22 years old (Unmarried) . My Tbigm is 2.25 it comes out positive. I am regularly suffering with the pain at the right bottom side of stomach. My periods are also not regular, Last was on January 2012. Doctor said that it is infection and you will have to continue treatment for 6 month bt they didnt specify the reason why this infection happened to me. Still with the regularity of medicines i am suffering with the pain.Please specify me the reason of this infection and its effects.Thank you", "output": "Hi. Tuberculosis of the abdomen is caused by specific bacteria and goes to intestine by either an oral route or blood stream. The best way to diagnose the pain in your case would be to undergo CT scan of the abdomen after a proper preparation. Also, good is the investigation called Enterocytes if CT indicates an obstructing lesion yet can not specify. You may need a surgery for removing the cause of pain." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been under 2 IVF (6 embryo transfer) cycles that were all not successful - I have visit a new IVF center and again 2IVF (2 embryo transfer) cycles that were all not successful. After that doctor has sugeested for Era report before going for next ivf. That Report is normal as per doctor it is p+5. I have visited doctor at second day of my period and he has done a scan on my whom and ovaries. And suggested to visit again at 12th day of my period for checkup and he said that tranfer will be on 15th-16th day of period. i would like to know that in this case what is meaning of ERA because earlier in 2 cycle they have transfered on 15th or 16th day so what is meaning of ERA. And i want to know that what should be the uterus size before transfer and miprogen or progaynova is useful to increase size of uterus please answer as soon as possible", "output": "Hello there, Thanks for writing in. I learned from your writing that you have so far undergone 4 IVF cycles which were unsuccessful. Let me help you understand in this scenario the meaning of implantation failure. When pregnancy test comes negative in two or more IVF cycles where 6 or more reasonably good quality embryos are transferred then it is assumed to be implantation failure which means the embryo has failed to get buried in the soil(which is endometrium). When the embryo is transferred, the endometrium needs to receive it with the help of finger like microscopic structures to help it get buried. And the endometrium can do it only within a very short time frame, usually 6 to 7\u00a0days post ovulation. Sometimes this timeframe within which it can receive seems to be shifted either early in the cycle or later. By doing an ERA(Endometrium receptivity array) test we are able to predict this timeframe much precisely so that the embryo transfer can be timed accordingly. 2. The size of the uterus doesn't matter for pregnancy unless its tiny. 3. Progynova is not being used for increasing the size of uterus. Hope your question is satisfactorily answered. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter is suffering from cough. She will be normal and once she starts to cough it continuesfor half an hour. I have consulted many Doctors and they advice cough medicines and this is contined from past 1 year. I am looking for a permanent solution . I require expert guidance regarding this .Please advice and do the needful.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Your daughter is having chronic cough. So we should definitely rule out chronic lung infections (tuberculosis or fungal infection), asthma and bronchitis. So consult pulmonologist and get done clinical examination of respiratory system, chest x-ray and PFT (Pulmonary Function Test). Chest x-ray is needed to rule out lung infection. PFT is must for the diagnosis of asthma and bronchitis. She may need antibiotics, inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone) depending on the reports.Don't worry, she will be alright. First diagnose and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wishing good health to your daughter. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, My husband is 28 years old and has been feeling a slight fluttering underneath his scrotum before his perineal area. It has been going on for 2 weeks now. He works as mechanic and no strenuous heavy lifting once in a great while. He feels that his scrotum is a bit cold at times, and lifts weights everyday for 30 minutes. It has not happened before. Is this something that we should be concerned about?", "output": "Hi! I do not think that there is anything much of concern about the symptoms of your husband. This may be a hyperactivity of the muscles of the scrotum. He does not have any pain, or redness, and so we can exclude any infective pathology. However, he should use proper scrotal support garments whenever he lifts weights and does any kind of strenuous work. A proper re assurance will help him. If the symptoms persist or increases with any other problem, he should consult the family physician for a routine check up. Hope this helps your husband." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, Recently, I ve had dry and red cheeks. It started when I went on vacation in relatively hot weather where I would be in the sun a lot. Every time I d use my regular cleanser my cheeks would sting and burn. Before that they d get dry no matter how many times I dranj water or how early I went to bed. It stopped after a while and I thought it d go away. However, recently I ve been outside daily under the sun for long periods of time and my cheeks are back to being dry, red, a little flaky, and stingy (when I put my cleanser on). I have a theory that I might have sensitive skin, but I m not totally sure. My skin was never like this before. It just recently started this past month. Do I have exema or some kind of infection? If so, what can I do to treat it or at least ease the pain? Please help! Sincerely, Rain", "output": "Hello, Thank you for posting on Chat Doctor. The red flaky skin over your face seems to be due to sunburns. Acute sun burns are sometimes frightening but nothing to worry as It's pretty easy to manage. Generally, I advise short course of prednisolone along with local application of mometasone cream and soothing calamine lotion twice a day. Apply good moisturizer like Detail every time before going to bed. Antihistaminics and antioxidant tablets can additionally be added. Use high SPF broad spectrum sunscreen every time before going out in sun. Cold sponging will definitely help. Hope this will take care of your issue. Wish you best of health. Thank you Chat Doctor. D Dermatology" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello my name is siritha I came to banglore in august 2008first day only i effected with cough and heavy breath and sounds while breathing and from that year evry winter and rainy iam suffering with breathing some,i use inhallers some doctor said that this pollan allargy i want meet the allergy doctor in the blore city,kindly suggest me the best treatment, i more thing if go to my home town(AP),hyderabad gradually redusing this problem and not getting breathing problem while I am roming the rain also. acording to my abservation Iam getting this problem when i stay banglore in winter and rainys,please give me the solution.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. By your description, possibility of allergy is more likely. So along with inhaler, you should take combination of antihistamine (levocetrizine or fexofenadine) and anti-allergic (montelukast) once a day at night before going to bed. This combination will be more beneficial in your case. No harm with long term use as both these Chat Doctor. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had mantel cell lymphoma and underwent chemo then a stem cell transplant using my own harvested stem cells. Mantel cell lymphoma.phones remains in remission, but I was diagnosed with cirrhosis and my liver is still functioning, but I have no energy to do even small tasks. My penis has shrunken flat with my body like a button a d does not stick out causing me to be unable to control the way the urine sprays when I use the bathroom. I am 69. Can anything correct this? My oncologist, my digestive specialist, and my primary doctor are not gel ppl ing or won t tell me. A urologist said I gained weight and the fat belly made it draw in.", "output": "Hi. With clear diagnosis and procedures done and complication post cirrhosis of liver indicate that nothing much can be done as far as modern science is concerned. Moreover, the cirrhotic condition is irreversible. Support of steroids etc. must have been planned by your able doctors. If I were your doctor I would have advised you get the help of traditionally (Ayurveda) used decoction of herbs which controls the progress of cirrhosis. Even cures in initial stages. But since It's too late and also your age factor, you cannot expect miracles in Ayurveda or Allopatry. But one thing is clear that if you take this decoction and some other simple medicines, you will certainly see improvement in signs and symptoms and appetite and other things. Whatever time you live, you will feel better day by day. This is pathway quoth prepared by about 7 herbs but not commonly available. However, raw herbs freely available. Since profit is not much in it, companies do not take interest in marketing it. No need to be apprehensive. This is safe with no bad effects. Even best of medical science today will not guarantee full cure. I do not know where you live otherwise may give some hints where you can try to find these. Its better you consult some Ayurveda doctor of experience in your area. Hope this helps you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 29 year old son fell off a lorry and strained is calf muscle yesterday.. It swelled instantly and was very painful . He did go to A&E they said it was pulled muscles... Today i have notice the leg that is swollen leg is very cold from knee down its still very painful is the coldness normal", "output": "Hello, I have studied your case. As per your history there is possibility of soft tissue injury in knee and leg muscle spasm. Most commonly meniscus injury occurs. As per your symptoms you need to do physiotherapy and knee exercises to improve range of motion. If pain persist then you may need to do MRI to see for any functional defect. Small meniscus tear can be managed conservatively with physiotherapy with USG and TENS. Meniscus injury can be managed by arthroscopic repair, and same day you can go home. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello there, Im 23 years old and have a 3 year old, me and my partner have been trying to get pregnant for about 2 years now, i miscarried about 6 months ago. Since then i have been testing whenever i feel like i could be pregnant again, i had 10 home strip tests and over a period of 3 weeks or so i have been using them every other day because i have been getting pregnancy symptoms, but all 9 came back negetive. I did my last one yesterday and that was posistive. Im tired all the time and im very very late on my period. all the signs are pointing to me being pregnant, but im worried because of losing the baby before. The result line was faint but absolutly there and clear. Im going to go doctors ASAP but id like to know what the possibiltys are of pregnancy and if what im feeling in my body is real. I have sore breasts, bloated uncomftable stomache, missed period, and i can barely keep my eyes open by around 6 in the evening. help!", "output": "Hello and welcome to Chat Doctor. The symptoms that you have portrayed definitely do point towards pregnancy. Single episode of miscarriage does carry a slightly higher chance of miscarriage in subsequent pregnancies, but this risk is negligible and usually ignored in practice. My opinion is that there is minimal risk to your baby. Visit your gynecologist to confirm that you are pregnant. I would like to have few more details like-the date of the first day of your last menstrual period and after how many months of pregnancy did you undergo the miscarriage 6 months back etc. to give you a more specific answer to your question regarding the risk to your current pregnancy. Hope I have answered you question to your satisfaction. Please do get back if you need any clarification of this answer or any more queries that you have." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Years after having a really bad tear while giving birth, Ive notice a foul and embassing odor coming from a small hole near my anus. It smells when i bare down to urinate. It will start to smell right after I bathe. I have been on all kinds of antibiotics, Cipro. They work while on them but a few days later the smell returns. Went to the Dr. and he says the hole doesnt led to anything. So. why does it smell so bad? Help Please.", "output": "Hi, Thanks for posting in Chat Doctor. I understand your concern. What problems you could be facing is infection of fistula-in-ano, on and off and that is why you are experiencing this bad odor, which would subside with intake of antibiotics. You need to consult Surgeon in this regard and undergo fistulectomy operation for its permanent cure. Kindly do to overcome the same at the earliest. Hope the information provided would be helpful. All the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have a sharp pain across my upper abdomen just below my ribcage and across my breasts. The pain radiates through to my back to both shoulder blades. It is slightly worse on the left side. It is tender on the left side of my upper abdomen just below my rib cage. I have been experiencing pain across my abdomen off and on for some months. In February I had very itchy skin - scalp , ears, arms legs and sides of torso but no rash . My stools were paler in colour. I find that alcohol can trigger pain. Sometimes when the pain is severe I feel sick. The pain varies and is not constant.", "output": "Hello! Thank you for the query. Most likely you do suffer from gallstones which do migrate to the bile ducts and give its obstruction. Obstruction causes jaundice (symptoms of jaundice are itchy skin, pale stools, dark urine, yellowish skin). Alcohol can trigger your symptoms indeed. Moreover, it can happen that some stone will obstruct pancreas duct and will lead to acute pancreatitis. That is why I suggest you to do not wait anymore. You should visit your doctor, have blood work, liver tests (AST, ALT,GTP, AP), amylase, lipase, urine amylase and abdominal ultrasound. If stones are present, surgery should be performed which should permanently solve your problems. In a meanwhile you should avoid fatty foods, fried foods, spicy foods and alcohol. Hope this will help. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doctor, this is vijay my problem is i have unwanted hair on my cheeks n below the eyes. i need to remove the hair. pls give me any suggestions. whether is laser treatment is okay for me are not, is there any side effect in that and is there any creams to remove unwanted hair permanently . please give me good suggestion.", "output": "Hello and welcome to ChatDoctorLaser hair reduction (LHR) is a very safe and reliable way for hair reduction. Apart from mild redness after the sitting which usually resolves in 1-2 hours, there are really no side effects at all, if done by a well-trained/experienced expert. Normally 6-8 sittings will give you a good hair reduction. The hair will become finer, the density will decrease and thereby greatly reduced. It is the FDA approved for hair reduction and gives long-lasting results. Creams containing ingredients like efflornithine HY Chat Doctor. They only slow the hair growth rate. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Respected Doctor.My husband is 50 years ,5.8 hight and 80 kg weight. having type 2 diabetes and obesity ,sleep apnea.he don t do physical activity ,no diet control.He is taking azulix 1 tablets daily 2 for 10 days in a month.remaining 20 days he doesn t take any care..will he out of danger?", "output": "Hi, If patient has diabetes and is also overweight, like your husband (BMI26.81 kg/M2), then it is absolutely necessary to control blood glucose within the prescribed limit like fasting closer to 100 mg, Pp 150 to 160 mg & HbA1c%. To control sleep apnea, weight reduction is a must. Lifestyle changes that help reduction of weight will help in reducing sleep apnea. Particularly weight reduction. That means patient has to follow a strict dietary restriction, taking calories based on his ideal body weight (72 kg X 25 call = 1800 calories/d), avoiding alcohol completely and exercising for at least 1 hour a day. These changes will help in reducing body weight. Plus there are devices like CPAP, which can be used to prevent sleep apnea. But taking specific medication, controlling blood glucose, following dietary restrictions, adapting changed lifestyle and regular exercise is the only way to overcome the present situation. If he is unwilling to follow these necessary adaptations then it is difficult. Thanks," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 36 year old mother of 3 boys. When I had my 3rd boy in 2009, 2 weeks after birth I had High Blood Pressure. Ive been struggling with it ever since and I am on Propranolol 80mg for almost 4 months. Its been doing ok, but my BP still spikes and Ive noticed it gets really high 1 week before my period. What can i do?", "output": "Hello, You should ask you to change the BP medicine from Propranolol to other class like ARB like Telmisartan or ace inhibitor like April or calcium channel blockers like Amlodipine. Your current medicine is not effective for BP. Avoid fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. Regular exercises like brisk walking, jogging according your capacity at least 30 min a day and 5 days a week. Eat lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity. Get your lipid profile and sugars tested once. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Sir /MadamMy Sister(Age-25) is suffering from disease like ASTHEMA(but not exactly ASTHEMA because we have done all test for ASTHEMA in our local hospital butt all test are negative). Now my quary is that in which department i have to consult.sumanta", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Consult pulmonologist and get done PFT (Pulmonary Function Test).PFT will not only diagnose asthma, but it will also tell you about severity of the disease and treatment is based on severity only. She will need inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone). She may also need oral combination of antihistamine (levocetrizine or fexofenadine) and anti-allergic (montelukast) once a day at night.Don't worry, she will be alright. Hope I have solved your query. I will be happy to help you further. Wishing good health to your sister. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 2 yr old has had slight blood shot eye for over a month and in the last few weeks ive notcied a growth or lump on the edge of her iris. today i think i saw a nother lump starting bleow the first . its on teh side away from her nose close to her ear but on the iris ring itself .. what can this be from. when she was born she has up beating nystagmus which has calmed down so much its almost gone. her vison was fine when tested last year. she has hod tonsilitis for 3 months straight atm and still currently on antibotics for it . shouldi be worried about the growth forming on her iris?", "output": "Hi. Thanks for your query. Growth / lumps on the iris, on the edge of the eyes in a girl of 2-year-old has to be worried about, as this is the rarest to occur. First you have to Consult a Pediatric surgeon as well as the Ophthalmologist to see what the diagnosis is, whether this is related to the local growth or some sort of tumor to be worried about, If needed go for excision and biopsy to get a confirmed diagnosis to get the most proper treatment." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had my gallbladder out about a year and a half ago and since then I Still suffer with nasty reflux, about three days ago I got really bloated and my reflux kicked in again , then my chest in betweenbreasts hurts everytime I eat or drink anything do you have any idea what is going on?", "output": "Hi. Thanks for posting query at Chat Doctor. You may be familiar with the common mechanism of gastroesophageal reflux disease (HERD) ; however I will briefly explain:Food enters in to stomach from esophagus via lower esophageal sphincter (LES). If LES fails to close/contract effectively food content from stomach may reflux into the esophagus leading to HERD. Certain food may lead to relaxation of LES and/or increase gastric acid production. 1. Chocolate 2. Caffeine. 3 Alcohol. 4. Fatty meal. 5. Citrus fruit and tomato you have a history of HERD that has been treated successfully, then advise is:1. Avoid chocolates; carbonated Chat Doctor. Avoid tomato juice, decrease salt intake3. Minimum alcohol intake and try to quit smoking (if you're a smoker)4. Eat your dinner at least 2 to 3 hours before going to bed5. Raise your head by placing two pillows under your head before sleeping Hope to answer your concern Further questions are most welcomeRegards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have a one year old he will not let me touch his mouth or teeth he has been teething and his teeth are getting bad , there yellowish at top of teeth and i noticed a little gray spot on his top teeth. and i think he chipped a tiny peice i dnt know what to do i tryed forcing him but his gums started to bleed i feel like i hurt him because he crys??? what should i do to fix it? what causes it? how can i get him to let me brush", "output": "Thanks for your query, I have gone through your query. The pain or discomfort could be because of the erupting tooth, because while erupting the mucosa will be perforated by the tooth. During this pain will be there in the gums and teeth. This can be reduced by applying topical anesthetic and analgesics like Anabel gel. Since you are telling there is a chipped tooth, consult an oral physician and get it ruled out, if there is any history of trauma, then you should consult an oral physician. Regarding the color of the teeth, the yellowish color could be because of the deposits. Nothing to worry about it, maintain oral hygiene properly with the help of a gaze piece. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have never been shown or told that i should pull my foreskin down and now im 30 and cantI try and can only get it down a very small amount before its too tightIt seems that as i do it it starts to look like its pulling my glands in like a waist and it cant pull it back anymore", "output": "HelloRetraction of foreskin and replacing over glans is a prerequisite to have normal enjoyable sex. Based on your statement I would state that you have Mitosis however this can be confirmed only on clinical examination in person by a qualified General Surgeon or Urologist. If it is confirmed to be Mitosis you will need to get circumcised. This is a simple surgery done under local anesthesia as an out patient procedure and offers permanent cure and helps to have enjoyable sex for rest of the life. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I went to an ENT for acid reflux, but a throat culture showed pseudomonas aeruginosa. I was told they tested several antibiotics on the culture, cipro being the only effective one. Im having trouble finding any information on this bacterium as it relates to the throat. Im on cipro, but wondering where this could have come from. Female nearing 40, usually in good health but flu-like symptoms for last two months. Thanks for any info.", "output": "Hello there, Pseudomonas aeroginosa is a different organism in the fact that it has the ability to form a biofilm. What it does is, attach to your throat then forms a slimy layer around itself which prevent the body from destroying it and then intermittently attack the throat epithelial layers. So you would have on and off fever along with a persistent sore throat over a period of time. Now that the doctors have established what it is sensitive to the antibiotic would take care of it. It is an organism present in the environment and occasionally infects us. So you do not have to worry whether you were singled out or you did something wrong. Thank you for your query. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doctor I am having naturolax occasionally. But without reading the contents I gave it to my children aged 5-7 years of age as they were not getting motion nicely.My 7 year old after having that was shivering and sweating all night and was uneasy and she didn t sleep. Is anything serious plz advice.", "output": "Welcome to ChatDoctorNaturolax is Isabel i.e. a husk obtained from Psyllium plant. This has no side effects and is a remarkable medication for constipation. Since it has only fiber to add bulk to stools, and no associated Chat Doctor. Symptoms in your daughter seems to be due to some other reason. In my opinion it might be due to constipation per se if not relieved and if not associated with any other symptom. If symptoms still persist, do consult your physician. For further questions, do contact us." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi! I had an unprotected sex with my boyfriend on 28th August and that day itself I took Ipill and 30th August again we had unprotected sex and took ipill again. I know it was stupid and I have done a terrible job. But i was so confuse. Now i am having some kind of allergy rashes in my body even having headache and weakness. My menstrual cycle date is 8th. So should i wait till 8th or take some kind of medicine for all these ?", "output": "Hi Dear thanks for your question on Chat Doctor, you had unprotected sex twice and both time you used I pill, and now having headache and weakness, this is due to the side effect of I pill, dont worry it will go, your cycle is due on 8th of September, you wait for your cycle before taking any other treatment, I hope you won't need any treatment, still you wait for your cycle, and if it gets delayed then go for further treatment" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had gotten a spider bite a few day ago on my finger. It had swollen and a red line started tracking up my arm. The doctors dripped antibiotics in me through I v and prescribed me Clindamycin. This morning I got another bite which is as well starting to track. Will the Antibiotics I am currently taking be affective on this new bite or will I need to go to back to the hospital ?", "output": "HelloWelcome to Chat Doctor, Spider bites are actually rare occurrences and bites from most spiders cause local redness, irritation and pain that usually can be treated at home. These local reactions usually resolve without treatment over a period of 7-10 days. I would suggest you to follow Wash the site of the spider bite well with soap and water. Apply a cool compress or ice pack over the spider bite location. Over the counter pain relievers may be used to relieve symptoms. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my nephrologist says that I have acidosis. I take 2 sodium bicarbonate twice daily. I do not know anything about this condition. my creatinine and my nephrologist says that I have acidosis. I take 2 sodium bicarbonate tablets twice daily, my creatinine and my nephrologist says that I have acidosis. I take 2 sodium bicarbonate tablets daily; my creatinine and bun are also elevated, can you help me understand acidosis?", "output": "Hello, If your creatinine and blood urea are high, your doctor would have told you that your kidney function is reduced. Acid is normally produced in the body by the metabolic processes that sustain us. This is excreted by the kidneys so that the blood is kept at the normal pH. When the kidney function is reduced, the kidneys cannot excrete the acid and acid builds up in the blood and the pH Chat Doctor. If it " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I fell down the stairs almost four months ago, and my leg is still sore and numb. I had a very large goose egg on my shin and the side of my leg. I had X-rays and a test for blood clots that were negative. I also have diabetes. Is it normal to still have pain and numbness?", "output": "Welcome to Chat Doctor .1.No not normal to have pain and numbness throughout - there could be some nerve involvement causing the above symptoms.2. After injury, collection with pain - can think in terms of infective process.3. Get an ultrasound to evaluate the type of lesion, where it is from and what content. A needle aspiration to assess the cells.4. After the results - a small incision and Chat Doctor. 5. If money is not an issue - MRI of the area / leg will help in good anatomical and biochemical delineation of the lesion. Good luck. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I checked my 22 month olds blood sugar about 2-3 hours after she ate breakfast. I can t be exact on the time because she eats pretty slow so it takes her a while. She had 2 eggos, a quarter of a banana, a cup of milk and a half cup of orange juice for breakfast. 2-3 hours later her blood sugar was 135 is that too high?", "output": "Hello, Please don't get panic. This is called Random Blood sugar level. And its in the normal range. Up to 140 mg/DL is considered normal RBS (random blood sugar) level. In case of family history of diabetes. One can monitor blood sugar levels like: FBS (Fasting blood sugar), PUBS (Post Radial blood sugar). But in such a small kid. It's not required as such in general. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had an episode tonight : I began to choke on aspirated liquid. My partner began pounding my back. Then my hands began to move as if to clap. My face turned purple. I lost consciousness for a bit. When I began to regain it I noticed my hands still moving as though to clap. I was still having trouble getting any air. Eventually I did. Now my partner and sister are freaked out: You were in seizure!!!, You were GONE!!! etc. Did I have a seizure? Is it brain related or due to lack of oxygen to the brain? If I need to see a doctor, what specialty? I don t have a primary care physician that has any decent history on me... Any thoughts???", "output": "Hello! Welcome on Chat Doctor ! Its seems that you have had a seizure. For this reason, I would recommend consulting with a neurologist and performing a careful neurological exam and some tests: - an EEG-complete blood count-blood electrolytes -a brain CT scan or MRI study. Other tests to consider would be a cardiac check up, including a cardiac ultrasound and an ambulatory Holder rhythm monitoring for cardiac arrhythmia. Hope you will find this answer helpful! Kind regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi! I pray that this is legit. I had a septoplasty (RT nasal psg) 2 years ago. Now I have constant blockage on this RT nasal side- then they found fungus on my RT eardrum. ENT peeled it off ...NEW ENT peels it off and I feel better for maybe one day. It grows back. Then I was dx w/ a very serious staph infection in sinus cavity. Now I am sick all the time ! NONE of the (ENT & Infectious Disease) doctors know what to do. I was put on Diflucan for 10 days solid. NO change! I requested the anti-fungal \"purple dye\"- ENT never called me back- nor does he have explanation why my RT nasal inner passage has a fluid-most likely blood- lump inside at very top. It bleeds a lot and now a huge blood clot came out after a 10 minute nose bleed. I am soooo sick of this and the unprofessional care! Is there anyone out there who can help me!! Thank you sooo much for reading this. Sherry", "output": "Hello, Thank you for your contact to Chat Doctor. I understand your health concern, if I am your doctor I suggest you that both the infection should be treated simultaneously to get rid of the both infection. It is also kept in mind that Staphylococcus may be a MRSA that is Methicillin Resistant Staphylococcus aureus. So screening test diagnosing MRSA must be carried out first, because MRSA strain are very resistant to routinely prescribed antibiotic and special antibiotics are required to treat such an infection. Once you treated for both infection you will be out of infection soon. I will be happy to answer all your future concern. Thank you, ChatDoctorInfectious disease specialist. Wish you the best health at Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have twins kids; son and daughter. They are 4 years old. They have never complained about any problem with their eye and seeing anything. However since my wife has eye power -7.0 in both the eyes from the age of 9 years, therefore we thought to check up kids eyes with the doctor. The pediatric ophthalmologist from the L.V. Prasad Eye Institute, Hyderabad, India prescribed the cylindrical power for both my son and daughter. Son power is - 1.25 and -1.5. Daughter -1.50 and -1.75. The doctor prescribed the glasses for both of them. I am completely confused and worried. I have following questions to ask and I would highly appreciate any suggestion and advice for my queries: 1. Do we need to use glasses as per the doctor advice? 2. Is it possible that these powers will decrease and completely go away as the kids grow? 3. What are the precautions we should take? Any particular nutrition? 4. Is their any other form of treatment? Thanks", "output": "Hi, I am answering your questions :1. Yes, you need to wear them glasses as per doctor advice, because if they don't wear glasses then there number will increase and secondly, problem of headache can occur. 2. Since, the number is more, chances of them getting completely ok is remote but yes the number can decrease over a period of time if they continuously wear glasses. 3. Precautions like watching less TV, and from a distance of at least 8 feet. You need to give vitamin A rich foods like mango, carrot, cabbage, spinach, sweet potato, tomato, watermelon etc. I hope this has helped you. If you have any more questions, I will be happy to help. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a female eighteen years old.Because of my pshychiatirc promblem, doctors have put me on lithium 400mg BD, Sertaline 200mg(50 in the morning and 150 at night) This raised my TSH level and I was put on thyroxine 50 microgram. Can I continue Lithium or should it be placed by some other medication. Please help me.", "output": "Hi, I read your query and can understand your concern regarding the side effects. Lithium is linked with causing hypothyroidism and increase in TSH levels. Decision regarding continuing or stopping lithium should be taken based on multiple factors, like how effective lithium has been for your condition, any other side effects, treatment resistance to any other Chat Doctor. If you have responded well to lithium, having no other side effects and your TSH levels are normalized with thyroxine, lithium can be continued. Your psychiatrist would be the best judge for deciding regarding it. Hope this information was helpful. Best wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "About two weeks ago i saw a white patch on my foreskin, but didn t notice it much. But as the patch began to grow i searched on the net and went to a urologist. He told me that it was due to smegma accumulation and gave me mutop ointment along with some medicines. But the patch is still there at my penis tip. my foreskin has also become tighter than before. could you tell me what is the problem and how to deal with it ?", "output": "Degree understand your concerns went through your details. The urologist did clarify about your problem. In every possibility it has to be Sega accumulation. That should go off if you apply ointment regularly. Sega lubricates the cavity between the foreskin of the penis and the glans, thus allowing smooth movement between them during intercourse. More importance is to be given to hygiene of that foreskin area. Cleaning the foreskin area with soap twice or thrice a day should do for you. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hiii... can u please tell me the tests done for abdominal or intestinal tubrculosis..??As my stomach is paining at right side.. so the doctor ask me to test it for tuberculosis..!! Soo.. can u pls help me.. and please tell me that is it communicable and can harm my family members..? For this what are the precautions i will have to take..! I will be highly thankful to u!", "output": "HelloAbdominal tuberculosis can be classified into the Tubercular mesenteric amenities, intestinal tuberculosis, mental or tubercular peritonitis. The first investigation is blood test which can show increased ESR with raised lymphocytes count. Then a USG should be done to find out any enlarged and matted lymph node, thickening or adhesion of the intestinal wall or any collection of fluid. The next investigation may be CENT abdomen for better delineation of anatomic abnormality or if USG is doubtful. Sometimes there may be formation of cold abscess or mass, then aspiration of pus or USG guided biopsy of mass may be needed. The pus should be sent for test of tuberculosis. A test called Quantifier gold test may also be advised for diagnosis. Tuberculosis is a communicable disease and mainly spread through Chat Doctor. Most communicable is pulmonary tuberculosis. Chances are very, very less in abdominal tuberculosis if not associated with pulmonary TB. If there is only abdominal TB no specific precaution is needed. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have severe back pain in the day time and take prescribed pills for it, Sometimes it helps other times it doesnt. At night I wake up in a terrible sweat. Sometimes duriing the day when I have backpain I have pills which give some relief and at other tmes they dont work. jd smith.", "output": "Welcome to Chat Doctor .1. Next time please mention the age, as the advice will be changed.2. First thing you have to analyze the cause of the pain, as you already tried medication, and it seems not working.3. If you are my patient I would start with an x-ray lumbar spine AP/LAT views, depending on the finding, if required MRI will be indicated.4. The treatment start with simple x-rays to interventions as required.5. Back pain exercise please follow this link. http://www.nhs.uk/Livewell/Backpain/Pages/low-back-pain-exercises.aspx6. If it does not work then see your GP and get investigations done. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have felt incredibly sick for two days. I have extreme pain in my stomach. It never goes away but sometimes dulls for about a hour. And this morning was the worst I felt like death and I vomited a thick vomit with black chunks. Whats happening to me?", "output": "Hello! Thank you for the query. If this is upper middle abdominal pain, most likely you are facing with peptic ulcer. It is quite characteristic for this condition to give dull pain which does not go away even with painkillers. Some food intake can sometimes help with the pain (depending on its location). Black chunks can indicate bleeding from the ulcer. I suggest you to do not wait any longer with it and visit a doctor. Gastrostomy should be done if bleeding seems possible. Hope this will help. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have dust allergy (continuos sneezing and cold once in 2-3 days) caused due to long distance travel to office daily. Has done allergy test already and I am confirmed with pollen allergy. Please let me know best doctor in chennai for treatment and let me know which kind of treatment is best for this kind of allergies.", "output": "Hello, thanks for your query, sequence of sneezes, running nose, itching in ears, itching in roof of mouth, blackness under eyes are the symptoms of allergic rhinitis. It is best prevented by not to expose to cold, dust, not to consume ice creams, fridge water, curd. Best street meet is Adams(fluticasone) nasal spray twice daily, tab. Monte- LC (montelukast+cetirizine once daily at bedtime. All the best. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i have an odd question. i have always got a heat or friction rash between my butt cheeks when it is hot an i do a lot of walking and sweating at work. it is painful to walk by the end of the day because of the rubbing. im not over weight i dont wear tight clothes butt im looking for the resolution", "output": "Hi Dear, Understanding your concern. As per your query you have symptoms of frictional rash between but cheeks which could be due to clogging of sebaceous glands with dead bacteria and sebum and infection of hair follicle as well. Need not worry. I would suggest you to wear cotton clothes to avoid frictional heat generation. You should keep the area clean and maintain proper hygiene and Chat Doctor. Wash properly with cold water and apply topical antibacterial cream bacitracin. Avoid itching and pricking skin. Take oral antibiotics as well. Visit dermatologist once and get it examined and start treatment after proper prescription. Hope your concern has been resolved. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello, i have been getting relatively spread out little sores on the back on my legs that start out as a small blister/ pimple sort of thing. not very much pus at all, and they are not overly sore, but they will not go away. I have been getting them sporadically over the year. They are very red and leave nasty scarring, even though i do not pick at them!", "output": "Hi i thunk you're suffering from purity nodularis.it is intensely itchy condition mainly present in lower extremities.first a pa pule appears then on repeated itching a nodular lesion occurs. On itching u get bloodbath only little pus.it can be treated with Atari 25 mg at night.an antibiotic. Short house of steroids starting with 30 mg tapering to 10 mg. Application of Venusian max cream and Hispanic ointment over the lesions can cure. Then afterwards spots are treated with intraluminal steroids" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had high blood pressure for awhile, but have lost 60 pounds and no longer need to take meds for that.... but now I seem to have a low pulse rate..resting rate is 36...active rate is in the 60s..sometimes I have chest pains and I can feel my heart beating hard...but still a low pulse. Thanks", "output": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of heart block is more. Heart block means there is interruption in impulse conduction in the heart. Resting heart rate of 36 and low blood pressure are mores suggestive of heart block. So better to consult cardiologist and get done 1. ECG.2. 2d echo 3. Stress test 4. Holder monitoring (24 hours continuous recording of ECG). You may need pacemaker insertion to increase your heart rate. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have exercise induced asthma and when I walk up a flight of stairs my heart races but I am not out of breath. I walk 5 miles a day 7 days a week and my heart does not race and there is no shortness of breath. I weigh 106 pounds and I am 5 feet 1 1/2 inches tall.", "output": "Greetings Sir/madam. Its appreciable that you are even noticing some minor changes happening inside you. As for as exercise induced asthma, In exercise-induced asthma, the muscle bands around the airways are sensitive to these changes in temperature and humidity and react by contracting, which narrows the airway. Because people tend to breathe through their mouths when they exercise, they are inhaling colder and Chat Doctor. * The symptoms of exercise-induced asthma generally begin within 5 to 20 minutes after the start of exercise, or 5 to 10 minutes after brief exercise has stopped.- If you are experiencing any of these symptoms with exercise, inform your doctor.1. Coughing 2. Tightening of the chest 3. Wheezing 4. Unusual fatigue while exercising 5. Shortness of breath when exercising-As for treatment is concerned, Bronchodilator medication, after consultation with your doctor in order to rule out any other cause apart from exercise induced asthma. - Avoid strenuous exercise if it causes you uncomfortable. Hope that helped you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i got spots awhile ago on my penis. red little spots and made its hard to touch my penis. i couldnt masturbate for like 2 weeks and the spots would always come and go but there wasnt pain anymore however i cant masturbate as often anymore. only 3 time tops a week. wtf is wrong with me?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Spots on the Penis are usually not as serious as they appear. They may be regular modifications of the underlying skin structures. They are of concern only if you have had an unprotected sexual intercourse in the last couple of weeks to months. If they are nodular, you must see a doctor, they can be genital warts and will need treatment. But you can relax, because it is quite treatable. Otherwise, if you do not have history of such a sexual encounter, you must not worry at all. Take care, Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just had a sonogram which showed a shadow behind the left ovary. The doctor said it could be calcification. I will be going for a CTscan in 2weeks. My concern is that it s cancer. I m 55yr. old going through menopause. At 19 I had an ovarian cyst the size of a grapefruit. It went away after being placed on birth control pills. There is no history of ovarian cancer in my family.)", "output": "Hi, Welcome to Chat Doctor forum. There is a shadow behind the ovary in ultrasound may not be due to cancer. As your doctor says it may be a calcification. Unless seen in C.T.scan it is not possible to say what it is. Anyhow you are going to have it soon. Till that time make sure it is not cancer. After C.T. scan your doctors will plan your treatment and every thing will be fine. don't worry. In the meanwhile avoid taking spices. Junk foods, and oily foods. Wishing for a quick and complete recovery. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my son is 18 and just showed me a 3 bumps (looks like possible bites with a little redness around them) on his lower left side and I noticed on his lower back as well. He said his whole left side up towards his underarm is really sore like someone punched him. While he was touching the area he noticed a bb-sized hard bump under the skin maybe 3 inches down and to the left of his left underarm.", "output": "Welcome to Chat Doctor .1. It can be bacterial infection - with collection / pus and pain on touch, (carbuncle / fur uncle).2.Post-traumatic cause also cause similar infective symptoms. Next possible cause is lymph nodal enlargement.3. If you are my patient I would have examined and ask for an ultrasound lump to assess the nature of the lump, its source, and extensions.4. Depending on the findings the treatment will be simple course of antibiotic treatment to small incision and Chat Doctor. 5.meanwhile as a home remedy keep lumpy the area hygienic, clean with antiseptic liquid and do not let him scratch the area as it will complicate.6. Get an appointment and let get examined and treat accordingly. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Would like to know if it is feasible to get full dental implants, my teeth are brittle and I clinch my teeth, I will be in India in July and would like to know how much it would cost and if you can recommend a dentist in the area of Uduipar, Rajisthan India", "output": "Hello, I went through your query. Looks like you are having a condition where the enamel portion of the tooth is not developed properly. If your teeth are already completely workout, then it's better to remove them and go for full dental implants. If they are still in position to be saved, then it is wise to retain them and place crowns over them. By this you are still maintaining your original teeth. Cost of dental implants vary widely throughout India. Approximately it will cost around Rs.20000 per implant with crown. I am sorry I am not familiar with any dentists in Udaipur. Hope your queries are answered." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Since I moved to XXXXX over a year ago,I ve noticed a rash next to my nose whicChatDoctores and goes. I saw a doctor Who gave me steroidal cream which seam to help,but for only a short time.ive varied my diets to see if there is a Comin denominator ( none) I stopped drinking hot coffee and gone to frappichinos and it seemed to go away, this morning I had hot coffee and my nose area started to tighten up and get blotchy and for dinner I had hot chili and that set it off , it got really tight and blotchy -- any ideas ? other then that I am in fantastic shape and I eat Healthy", "output": "Hi there Generic. Your clinical observations are very astute if I may say so & would help any dermatologist pinpoint the diagnosis. I may be wrong as this is only an online portal & for best results, you need to visit your dermatologist on the ground; But, your condition seems to be what we call Acne Rosacea or plain Rosacea. This will need visual confirmation & as such, feel free to upload clear digital photos on this site. Do ensure you use a sunscreen from dawn till dusk, avoid hot & spicy foods e.g. hot tea etc. & UV light in general. Do try to use a topical antibiotic cream called metronidazole evenings & it just might get rid of your problem. Good Luck! Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 47, 53 and weigh 14 stone, I work as a primary school teacher. I have had back pain on and off for many years, this has escalated since January to the point of constant pain to the left of my back, severe pain through my left buttock and down my left leg. I am now struggling to teach, i find it difficult to sit, stand or walk for periods of more than a few minutes. Also the pain is worsened when i bear down to go to the toilet. My sleep is disrupted by the pain. Anti inflammatory pain killer helps but wont cure, what can you suggest? I have not made time to see my GP, but now feeling the need to seek help.", "output": "Hello respected teacher... Yes you should see a neurosurgeon. Let me explain to backache with pain radiating to legs . There is list which causes this but the most important is disc slip and spinal stenosis. In these two conditions there is a compression on the nerve fibers which supply to the lower half of the body and as result of compression there is back pain and also in legs. I should suggest doing act lumbosacral region of backbone... Bye.see you in good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a stent placed in my heart in March. A couple of days later I had very sharp pain go down my left leg to the top of my toes and have had an uncomfortable sensation in the area above my left toes ever since. Last week I don t recall hitting anything, but I felt a knot rising on my front left thigh. I immediately went to check it out and discovered a large bruise in the area with a lump in the middle. I put ice on it and it seemed to go down, but last night I again noticed the lump. The area in the middle of the bruise where the lump is is now almost back to flesh color. I take Plavix and aspirin daily. Is this lump cause for concern? I am 59 years old, 5 4 and weigh 139 lbs.", "output": "Hi, Dear,Good afternoon. Thanks for the query to my Chat Doctor online-clinic. I studied your query in-depth. I can understand your concerns.-In my opinion the lump-above the toe-is just due to the over dosage of the aspirin and Plavix, which needs to be titrated under observation of your cardiologist.-Advise-You need expert observation of your/or ER physician / ER Cardiologist, who would admit you for the controlled dosage by titration over a weeks time.-Hope this would resolve your worry-some query. Wellcome again to Chat Doctor. Have a good day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was first diagnosed with borderline ectasia of the ascending aorta at 3.6 cm back in 2010 via CT scan. In 2011 it grew to 3.8 cm via CT Scan. In 2012 it grew to 4.0 cm on CT and it was reported as 3.8 cm with echocardiogram done by cardio surgeon. It was determined that with me having so many CT scans for other medical conditions that they observe the ascending aorta via echocardiogram because of concern of developing radiation from recurrent CT scan. In 2013 the ascending aorta was at 4.0 according to echocardiogram done by cardio surgeon. Just recently as three weeks ago my primary sent me over to a cardiologist as opposed to the cardio surgeon on March of 2014 (this month). Cardiologist did echo and said it was 3.8 cm and that it was barely dialated and that even if there was concern that consideration for surgery could be done only at 5.0 cm or larger. He did say, however, that he d like to see me in 6 months for follow up. This is concerning to me as there is conflicting info from this recent echo from the cardiologist (claiming it was 3.8 cm) and the echo that was done by the cardio surgeon back in august of 2013 which was reported at 4.0. What should I do? Should I request a copy of the report done in 2013 done by the cardio surgeon and give it to the cardiologist I m seeing now? I know the number is not so serious for surgery yet, but I d be more comfortable having the correct number in the monitoring process.", "output": "Hi, Actually, there can be some capabilities between echocardiograms, there can be interoperator and intraoperative variability. And small differences are acceptable. According to your results, there is difference of 2 mm, it is ok. The important thing is the aorta didn't dilated since the last exam.Also, you should consider that your aorta is not dilated as much to undergo an operation. 40 mm is not that dangerous and there is a need only for follow up. Hope I could help nourishing you good health In case of further questions don't hesitate to ask" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had my gallbladder removed 2 weeks ago. They also did liver biopsy and I am now being tested for Hemochromatosis. Over the past week I have noticed a very strong vaginal oder. I have no fever and haven t changed soaps, prescriptions or my diet. I have showered every night. There isn t any pain but I did bleed lightly for 1 day (which is strange bc I usually don t have a period bc I m on Depo). Any way the oder could be caused from the surgery or hemochromatosis?", "output": "Hi, Welcome to Chat Doctor. I have read carefully your concerns. Hemochromatosis is manifested with symptoms like fatigue, weakness, joints pain and if there is massive hemochromatosis patient suffers loss of sex Chat Doctor. Vaginal odor is normally not causes by hemochromatosis. Common causes for vaginal odor are Bacterial vaginosis, trichomoniasis and poor hygiene. You have said about your hygiene status. Please go to local physician or gynecological doctor to check for vaginosis and trichomoniasis. Hope I have answered your query. If you do not have any clarifications, you can close the discussion and rate the answer. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello. I have a quarter size bump on my back. It s hard and red...similar to a pimple. I squeezed it and a smelly puss and some blood came out. After touching it for a while it starts to hurt. How can I treat this? I thought it was a pimple but I don t think it is anymore", "output": "Hi, Thanks for your query. After going through your query I came to know that you may be having infected sebaceous cyst. Treatment of it is analgesic such as diclofenac and antibiotics. Vitamin B and C will help in promoting healing. If it is not healed by it then excisional biopsy of it can be carried out which will exclude other affections. You can discuss with your treating Doctor about it. I do hope that you have found something helpful. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "after eating and feeling full, within 5 minutes time I feel like I haven t eaten all day. I get light headed and a bit shaky. Almost to the point of panic attacks because it takes a while for the feeling to go away. I don t eat a lot of sugary things. Cheerios, toast, milk, bananas, almonds usually start my day. Any clue what this could be? I do have a doctors appt. on Tuesday.", "output": "Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. You need to be investigated for diabetes. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello! About a year ago I had pannik attack and the doctor prescribe Zoloft and Tafil. I did the treatment for 6 months and felt good. Now I feel like sometimes I can not swallow, I am eating less and I tray tio eat only soft food. am I having panik attacks again?", "output": "Hello and welcome to Chat Doctor, In your query you have not mentioned whether you are still continuing medication or not. I hope you eye on medications which can be tapered slowly before stopping with regular follow up from a qualified psychiatrist. Experiencing mild difficulty in swallowing once in a while do not appear to be a part of panic attack. Maintain good food, adequate HY Chat Doctor. So as far as I can see, there is nothing in you that you should be worried of. Hope I have answered your queries. Feel free to write if you need further clarifications. Get well soon." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hy dr plz tel me about my health my age is20 yrs and i was married in9august2010 i took medicine for concieving a baby after2months of my marriage first 2month dr gave me medicine but i was not pregnant then she gave me inj hmg massone this time again i was not pregnat in jan 2011 my husband went abroad and after that medicine i hve pain in lower abdomen i m so confuse why there is no pregnancy and pain if there are side effect of medicine and now what i have to do", "output": "I think you are misguided about your complaint. There is no need of treatment for pregnancy in just 2 months of marriage. Also, you say that your husband went abroad, and you take treatment for pregnancy. Why? Primary thing is to live both of you together for at least 1 year. Your problem will solve without any treatment. If not than go to doctor. Please stop all the medicine you are taking. Hormonal in can give rise to pain in pelvic region." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have had a tooth removed about 4 weeks ago because it had a abscess under it but now the Swelling has come back on the underside of my jaw bone and is getting bigger there is no signs of tooth pain just a warm feeling on side of face and this large rock hard lump growing under my left jaw line What should I do", "output": "Hello, Please schedule a follow-up visit with your dentist. This may be a cellulitis as a result of the original infection. A pocket of pus may be trapped. Healing of the socket needs to be evaluated. This may be a reaction from a cyst or lymph node or the sublingual salivary gland may be a source. Further diagnosis most likely will require prescription antibiotics and a possible incision with Chat Doctor. I recommend ad" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Semen analysis, low sperm mortality level, CoQ Forte capsules, side effects hello doctors, i have done my semen analysis and doctor advised to increase motility level and she prescribed CoQ Forte capsules. do we have any side effects due to this tablet?", "output": "Hello and. As a Urologist, let me advise you, that COQ forte does have side effects. The common side effects are nausea, omitting, rashes and stomach upsets. However, there are much more effective treatments available for increasing motility, which, I can advise you, if you can send a copy of your semen analysis, report, here, in my name. The semen test must be done after 2 days, without having intercourse. Chat Doctor. Manga." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "the muscle on the right jaw is tightening up. I cant close my mouth very easily and although it is a big discomfort, it does not kill me by any means. I also have a sore throat and wondered why everytime I get a sore throat (Strep) does this happen. I dont know that I have strep yet though.Any thoughts?", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have sore throat and tightening in jaw both of them are related as temporomandibular joint disorder occurs due to problems with the jaw joint, and it can lead to pain in jaw, ear and the temple region that is side of head. It leads to problem in sinuses which is causing sore throat to you. I don't think you have symptoms of strep. You should do facial stretching exercises. You should visit oral physician once and get it examined. Get Orthopantomogram done to check joint positioning. Do warm saline gargles several times a day. You should take combination of levocetrizine along with amoxicillin for 3-5 days. You should visit ENT specialist once and get it examined. Avoid cold carbonated beverages. Maintain hygiene rinsing with antimicrobial mouth wash. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Respected Doctor, Last one year my father suffering from CKD and recently he severly suffering from asthmatic(severe wheezing). He cant take sleep with bed, cant walk. i saw your shows on Vijay TVS Neeya Naana Programme. I 100% Confident about your treatment. Kindly Request you to accept my requestment about my fathers disease. Now his age is 61.We are from Madurai. My mail ID is YYYY@YYYY . & Mob.No.Is YYYYYYY", "output": "Hi thanks for using Chat Doctor When a CKD patient develops breathing difficulty, it cannot be always asthma .CKD patient can have fluid overload and this can cause breathing. Along with Renal problem associated Cardiac problem also will be there. Do an ECHO Cardiogram and look for the pumping capacity of the Heart. Proper diuretics can help both the conditions can also try inhalation bronchodilators and this can help. Ideally a PFT (pulmonary function test) has to be done. Thank you ....." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had neck surgery and after surgery moved to room my blood pressure was an issue. The doctor ended up keeping me overnight. Had TEE performed and blood pressure dropped to 76/52 and reparations were noted as 12. This is from the medical records. Could this be an reaction to the anesthetic?", "output": "Hello! Welcome and thank you for asking on Chat Doctor! I passed carefully through your question and would explain that low blood pressure could be related to different possible causes: - anesthesia adverse effects-anemia from bleeding during surgery- deny Chat Doctor. Coming to this point, I would recommend having some rest and taking plenty of water in the next days. Hope you will find this answer helpful! Wishing good health, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 44 yr old female, hemooglobin of 6.8 raised to 8.8 with two units of blood low to mid back pain history of kidney stones, went to the urologist, I have stones in the pelvis of my kidneys, urologist states my pain is not from them. gastric bypass 10 yrs ago,stone history prior to bypass", "output": "HAI.your anemia is due to your chronic problems, could be slow red blood cell destruction. Stones are more painful in lower down area, (pelviureteric junction), ur chromic back pain can be due to mother problems like anemia, ca it d3 deficiency, strain, weight-bearing, any lumbosacral related spinal problems, large tummy, incisional hernias, post-operative regional pains due to nervous irritation.u can ho for iv ferrous preparations 3 doses per, month check your he % levels, pls test your Sr creatinine, , urea, uric acid levels, sugar, calcium, thyroid profile, total iron profile, , potassium.with MRI thoracolumbar spine.cueing for safe tabs like tramadol, pregabalin to reduce the pain. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I used dip(tobacco) twice the other day in which I by the way do not dip all the time like once a year I buy a can and em up giving it away after a few dips. Back to the other day, when I got home from work, about 4 hours after last dip of tobacco, I went to brush my teeth and such an notice my gums were black/ very dark purple. What causes this? Is it serious? Been afraid to use the tobacco product since.", "output": "Hi , Thanks for asking the query, Use of tobacco can lead to many diseases of gums like leukoplakia , erytholeukoplakia, and benign malignant lesions . It causes hazardous effects and I suggest you to quit the habit. Get a checkup done by the Dentist . Take an OPG x-ray to know the condition of the underlying bone. Get complete mouth scaling and polishing done. Take tab becomes OD for 30 days. Use warm water gargles 3-4 times a day. Further treatment will be decided on visual and radiological examination of the lesion . Discuss this with your dentist. Hope this helps out. Regards..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "OVER LAST WEEK I GOT THIS LIGHT HEADEDNESS FOR WHICH I COULDNT WALK PROPERLY AS IF I WOULD FALL.. AND I ALSO HAD VERTIGO FOLLOWED BY NAUSEA WHEN I WAS IN BED TURNING MY HEAD FROM SIDE TO SIDE BUT THIS HOWEVER WENT AWAY WHEN I CLOSED MY EYES FOR FEW SECONDS..IS ABRUPT AND I AM DECAPACITED...PLS HELP", "output": "Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. Problem : OVER LAST WEEK I GOT THIS LIGHT HEADDRESS FOR WHICH I COULDN'T WALK PROPERLY AS IF I WOULD FALL. AND I ALSO HAD VERTIGO FOLLOWED BY NAUSEA WHEN I WAS IN BED TURNING MY HEAD FROM SIDE TO SIDE BUT THIS HOWEVER WENT AWAY WHEN I CLOSED MY EYES FOR FEW SECONDS.IS ABRUPT AND I AM DECAPITATED...PLS HELPQuestion : What does vertigo and nausea while lying down indicate ? Impression : You are suffering from Lesions in Vestibular Pathway Solution : You need to undergo Clinical Examination, Funds Examination, EEG, MRI Brain and if needed four vessel angiograms. Please consult a Neurosurgeon near you place Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in Chat Doctor at http://bit.ly/ask" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Diagnosed w Bactrial pnemonia on Oct.28,2014(I waited to go to ER for about 1.5 weeks got sick:Oct. 18, 2014). Was given *Levoflaxacin*500 mg for 7 days & gallon of IV fluids & pain med. Wasn t any better. Went back on 11/08/14 said it was gone. IV fluids/anxiety med... By than in bed for 3+ weeks. Went to my PCP on 11/17/14 and she said no u still have it. So now 750 mg *Levoflaxacin* & pain med... Lost 27 lbs so far...And I m stil in bed stomach cramps/fatigue/insomnia/ shortness of breath( not as bad)/dehydrated/ache all over/ bad headache/nausea. *CBC*: RBC=2.97mg HCT =L 30% MCH=H 32.1 HGB=L 9.9g/dc PLT=H 548 k/ul MON%= H 9.8% ( rest on CBC normal). *CMP*: K=L 3.1 GLU=H 108 Creatine=H 1.09 CA= L 86 ALB= L 3.0 NA= L 131 mmo/c...(H=high L=low). After all that...no energy what so ever!! I took all antibiotic and still am losing weight/no appetite & trying to force fluids. I m 5 10 & now 123lbs. It s been just over a week since last went in. I m 50 yrs old. Do blood results look just alright? Pnemonia should be gone. If so, how long to recover. 6-7 weeks in bed is no good. Should I go back again. I m tired of this-just want another opinion on what more I can do. Thank u and sorry for the novel. Coleen", "output": "Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion you should definitely consult pulmonologist and get done1. Chest x-ray repeat.2. CT thorax if needed.3. Sputum culture and sensitivity4. Sputum examination for AFB. Repeat chest x-ray is needed to rule out position of your pneumonia, means it is decreasing or static or worsening. CT thorax will be more informative if x-ray is inconclusive. Since you are having ongoing weight loss, tuberculosis must be rule out as a cause for your pneumonia. Ideal way to treat pneumonia is by isolating the causative organism and start appropriate antibiotics according to sensitivity report. This will avoid haphazard use of antibiotic and prevent Chat Doctor. So better to first consult pulmonologist and discuss all these." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was in bed with my husband and more then 4 times in 2 weeks he was saying he had the taste of bad apples and very bad chest pains. He works in concert and has been doing so for about 20 years.He works very hard ,his father just pasted away from a heart attack. Should I be worried?", "output": "Hi thanks for contacting us.... Noted he is having chest pain... He works very hard ... So here it seems musculoskeletal pain... Advise him for take rest for few days. Analgesic can be given. Hot compress applied. Avoud movements causing pain. Physiotherapy for chest wall muscles stretching exercise useful.... Avoid hard work for few days. If pain radiating to arms then cardiac cause like ischemic heart disease rule out by ECG or ECHO. Take care. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im on Tegretol XR for seizures. I take (2) 200 mg tablets twice daily. I am having pressure in my left eye, a rash on my chest and neck, feeling extremely tired all the time. I think that my level is too high. The last level that was taken I was told that it was 10.4. That is high but they did nothing to change it and now things seem to be getting worse. What should I do?", "output": "Hi, you are on regret SR for seizures, you got pressure in left eye, rash on the chest and neck, tired all the time. The thing you have to look is whether seizures are controlled or not, it depends upon when did you start the tablets, and when did you get the pain and rash. If both are apart, don't worry, you can consult a physician for treatment. If started immediately after starting the tablets consult your doctor for change of the Chat Doctor. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Here is my question I have a friend who has an irregular heart beat and he had a Black widow blood clot and nearly died. How do you get a Black widow blood clot. he was able to live because his once he called his wife complaining of a stomach ache, losing brate and his arm bothering him. She told him to run to the hospital. He did and was brought back to life after being lst for 22 minutes. it is an amazing so which just occurred on November 20 of this year. he just got home Wednesday. Again the question is how do you get a Black widow blood clot", "output": "Howell come to ChatDoctorI really appreciate your concern, certain creatures are there which got the deadly venom and these are either neurotoxic or demotic in case of demotic it changes the all chemical constitution of blood like its ability to form the clot or preventing it from forming clots, and in this way venom affects the blood property, hope this information helps, take care and have a nice day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 64 year old mail. 2 years ago I had a green light laser procedure for an enlarged prostate. I still have some urine retention, which my doctor said is normal, but have noticed the past 3 days a twitching near my left kidney area. There is no pain, but wonder what is causing it", "output": "Thank you for asking! Age of 64 has its geriatric limitations. Twitching is quite a vague term to explain what's going on. A procedure 2 years back does not look like to be connected here anyhow. Try some acetaminophen and skeletal muscle relaxants like relaxing or tizanidine and if the symptoms persist seek the nearby physician and let them sort out after detailed history and physical examination. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am a 38 yr old woman with 2 kids, suffering from PMDD. I approached several gynecologists and no one could really understand my problem nor help. When I say PMS (since many dont understand PMDD term), all I get is \"oh its normal\" , take B6, take it easy, keep your mind occupied, take up a job etc kind of responses. My family might pretty soon break if I dont get help. I get uncontrollable anger, crying for hours for no reason, yell, edgy. My whole personality changes. Once the period starts I am back to normal. I become like this every month about one week to 10 days before my period starts. After period starts, I am so exhausted by all this, start feeling miserably guilty. On the whole, half of my life is spent feeling miserable. I quit jobs, I am loosing on my relationships with husband, kids, I have terrible guilt. I am desperate for help now. Pl advice. I live in India, Hyderabad. Any doctors in Hyderabad who can treat this condition? Any other suggestions? Pl help.", "output": "Hello, You will feel better with desvenalafaxine 25-100\u00a0mg, daily. The response usually starts coming in pms with in few days...one need to complete one menstrual cycle to know its effect or if there is a need to increase Chat Doctor. I have seen many such patients in our poly clinic where the gynecologists refer them to me when there is no response to multivitamins and symptoms are troublesome. Also getting TSH level and Sr. It. B12 will help to make situation more clear. I also advice the females to see if they can stop OC pills (if they are on them) & use other modes of contraception. Good luck" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear sir, How are you now? This is Mahbubur Rahman from Bangladesh. I have collected my semen analysis report and it is Sperm count:53.2 Million/ml Motility: Incubation Active motile: 50% Sluggishly motile: 20% Non motile: 30% Pus cells: 1-2/hpf RBC:1-3/hpf Morphology Normal: 80% Abnormal: 20% Chemical Examination: Fructose: Present May I know some thing about it?", "output": "Hiiii, Your semen analysis report interpretation as follows>>1) Sperm count 53.2 million/ml>> NORMAL (Normal value 20-150 million/ml)2) Sperm motility active 50%,sluggish 20%,Non-motile 30% >> BORDERLINE to NORMAL (50-60% forward motile sperm is ideal)3) Morphology 80% normal>> NORMAL (At least 70% normal morphological sperm is ideal)4) Pus cell 1-2/HP and RBC 1-3/HP>> within NORMAL limit. Your overall semen analysis report is normal. Take healthy diet and avoid stress. All the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor :) Im feeling so tired lately, my bones are weak my muscles are weaker, I burly can hold my laptop bag for 10 mins, i used to be tougher, im 26 yo 172 cm hight, and 87 kg in weight. im over weight but i used to e the fastest when it comes to running, now as long as im walking i keep feeling my bones cracking, sounds everywhere, if some one would push me from the back ill fall down directly for sure... it all happened in a week or two and im sleepy most of the time... i just dont know what to do. please help me to know what is this! thanks", "output": "Hi, as you mentioned your symptoms, your work style and your age, I could sense something here is the stress. You have stress of work all the time may be, then since you may be working on a computer for a long time your spinal muscles must have gone weaker, also your metabolism must have slowed down. What I can advise you to do regular physical exercise, breathing exercise and meditation. This all three when applied together will assist to remove your weakness and tiredness. If you have further query can contact meRegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I fell on my knees friday night, and it some how knocked the wind out of me, and since then I have a had really bad pains in my left side, which I Initially thought was my ribs, but I had xrays done and nothing showed up, but the pain is getting worse, and seems to be affecting my lower back and breathing now as well.", "output": "Respected user, HiT hanks for using Chat Doctor.come have evaluated your query thoroughly.* This seems in relation with intercostal muscle, ligament or neurovascular bundle related issues (usually not detectable by plain x-ray) * Strongly recommend getting MRI report for the diagnosis and further management accordingly. Hope to clarify your query. Welcome for further assistance. Thanks for using Chat Doctor .com & giving opportunity to assistWishing fine recovery. Regards dear take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 41years old my angioplasy was done on 24th April,2008, I take Tab.Ascard 75mg & Atarva 20mg I am feeling well my B.P usuall 80/120. I am warried about my healt in future please tell me about precaution about my health. Regards, Saleem Raza", "output": "Hi, Post-Angioplasty the precautions should be to take the blood thinning medication regularly (Aspirin), avoid junk food and fat-rich diet, do regular exercise. You should also do a stress test every 2 years just to see everything is fine. The complications post Angioplasty is mainly because of blood thinner which can cause bleeding from any part of the body, but these are essential post Angioplasty, so any incidence of significant bleeding should be reported. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a hysterectomy and have been gaining weight.I went to bio identity Dr for my hormones to be checked and started to take esterdol?and a progesteron burk had to change the pro Dur to my ins. And the new one doesnt work forms. I have weight gain hot flashes cant sleep and hooting I feel.pregnent what tx can I replace the progestron with to work for me???", "output": "HIT hank for asking to ChatDoctorI can understand your problem you have done the Hysterectomy, and now you are looking for alternative for hormone pills, but there is no alternative available for this which has got no side effects, because hormone is after all hormone, with the slight changes in molecules side effects can not be changed, better option is forgotten about the hormone therapy, hope this information helps you have good day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 4 year old got a skin infection on her arm after a bug bite. The swelling and redness are gone since she has been on antibiotics but the skin is crusty where she was bit and where she scratched when her arm was swollen. The area that was previously swollen is also a little darker then the rest of her skin in that area. What can I put on the skin to make it softer and heal nicely?", "output": "Thanks for posting your query at Chat Doctor. Please do not worry as it is nothing unusual. Apply some calamine lotion (available in brand names like call Chat Doctor. ) or any other moisturizing lotion like aloe vera and things should be fine in no time. If there is some itchiness still present, you may give him some antiallergics. I hope that helps. Feel free to revert in case of further queries." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here...i have been on altace and hydroclorizade for years recently a failure to take the meds which sometimes were needed and sometimes not resulted in a rise of blood pressure from the 130/90 to 184/115 which was felt as highblood pressure new meds were given after a hospital visit and a visit to a regular doctor the balance problem which is not visible to others after trying to stand still in the same spot for a few minutes has not has not gone away and the blood presuure towards the later part of the day has not been lowered below 150 or 160 /95 yet it is at this time that the balance issue seems to be felt and can high blood pressure cause a minor balance problem while trying to stand in one place a mri and a cat scan were done without anything showing will the problem likly go away with additional meds every 12 hours", "output": "Hi, If you are having symptoms of high blood pressure & taking medications, you are recommended to have a thorough cardiac checkup (Lipid function tests, ECG, Echocardiography, CBC, MRI, CT). High blood pressure does not cause co-ordination problems or headaches, these are side effects of some medications taken for hypertension. Co-ordination problems, loss of balance, sudden dizziness may lead to syncope or stroke. Get physically examined, evaluated & treated without much delay. Balancing problems occur in hypertensive crises (180/120), if you have it, you need medical attention. Get connected to your treating physician. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 16 year old son jumped from a height of 5 feet and hurt his heels. X-ray reveals a displaced fracture of his left calcanean. I was informed that his arch is also damaged causing flatfoot. My question is, is surgery necessay? without surgery, will the heels heal without chronic pain in hte future? Thanks.", "output": "Hello, As mentioned in history that x-ray reveals the displaced fracture then I would say surgery should be of choice. If treated conservatively than chances of malformation or non-uniform healing is higher. So this might lead to changes in gait (walking pattern) and may lead to other joints in trouble. Also, due to non-uniform healing chances will be he will have on/off pain in the region and trouble other joints. Hope you take the right call. But my advice will be to opt for surgery. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had major back surgery 3 weeks ago. At the time right before surgery and after I noticed increased swelling in my sides, stomach and reaching to the back. I thought it might be due to recurring kidney stones coming down, but CT scan shows stones in kidneys but not coming down. Said probably from surgery. Others say no. It is getting worse. Can t eat. No room for food. Bile comes up in throat. I look pregnant so swollen and it is painful, especially at night. I ve been to ER last week for this, primary care doctor, etc. I can t just run to surgeon that did back surgery. He s in another state. I see my urologist on 24th. Don t know if I can wait till then since so painful. Any ideas?", "output": "Hello, What surgery you have undergone? Stone may not cause bloating of stomach. Bloating may be due to gas or feces or fluid, or it may be due to food. So get it done ultrasound abdomen and use tablet Nexpro-l one table before breakfast for one week. Avoid spicy food and alcohol. If symptoms not improved please consult with your surgeon he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My skin is indented on my right upper buttocks, and lower back. At first, I thought it was a bruise, but it wasnt healing after 3 weeks or so. It was not until today that I noticed the large indent. Moreover, I thought I pulled my groin, or potentially pulled some hip muscle, because that it what it feels like. However, I am a long distance runner, and I havent been bothered by it when running. What could this be?", "output": "Hi, I don't want you to be worried because this is common and if it is symptomless and doesn't cause any pain or muscular spasm or increase in mass. Usually it is present but not seen or felt except by luck. Its cause is unknown mainly inherited or congenital. Rarely, sacral dimples are associated with a serious underlying abnormality of the spine or spinal cord. Examples include: Spina bifida - A very mild form of this condition, called spina bifida occult, occurs when the spine doesn't close properly around the spinal cord, but the cord remains within the spinal canal. For simple sacral dimple may not need any kind of treatment. Hope the above information helps you. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir, I am 44 years old, I have done full body checkup. Every thing is ok, but my blood test show low calcium 8.3mg/dL and high cholestrol 219mg/dL, triglycerides 176mg/dL, HDL 32mg/dL, LDL 140mg/dL. My doctor suggest two tab CALTEN-D 1250mg and lipikind-10. Is it OK.pls. suggest.", "output": "Canton D is Contains calcium and vitamin D, you can take it for your low calcium, though low calcium does not always suggest deficiency of calcium, but as it is a supplement no harm in taking for a short while, do not take it longer than 6 months with evaluation. As it F toxicity is known n off. As for your lipid profile, the results are on higher side though not something you should be really worried of. If you have no risk factors o would suggest lifestyle modifications, life cutting oil/fat in your diet, substitution with healthy oil like olive, supplements like omega 3 fatty acid flax seeds and otherwise. RPT lipid profile after 3 months and if still higher than start a medication for it, in my practice I have seen patients becoming complacent when they see the cholesterol coming down with meds and make no effort to change their unhealthy lifestyle. We have to understand cholesterol is not the only risk factor for all future problems of blood pressure, heart problems, stroke, diabetes and changing overall will help. Also, if we follow guidelines, it is not prudent to start limiting at your test s when there is no other risk factor. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I started working at a Wastewater Treatment Plant 4 months ago. Around a month and a half ago, a piece of wire that was in influent wastewater stuck my finger through my latex gloves. Our treatment plant handles wastewater from the local prison. Around 3 weeks ago I started having pain in my right side. I thought it was from shoveling. I havent been shoveling since then, and the pain continued and now has expanded from the right side to the right front of my abdomen just below my ribcage. It is tender when I push below my ribs and it feels like something is pushing on everything around that area. I started with what I thought was a chest cold a week and a half ago, and now I started in with hives head to toe 4 days ago. Ive kept the hives down somewhat with Benadryl, but I have a huge loss of energy, still rattly cough, and the swelling (which I believe is my liver) hasnt gone down at all. My worry is that I may have contracted Hepatitis or some other form of disease/parasite from work. Ive looked a lot online, and it looks like I have 90% of the HepA symptoms but am not jaundiced. I know ultimately I will need to go get checked out locally, but am curious as to what your opinion on the situation is.", "output": "Hello1) yes you need to do hepatitis profile for hepatitis A, B and C2) you also need USG of abdomen to find any structural changes in liver which can be seen in parasitic infection3) you also need liver function test to be done to check level of bilirubin, liver enzymes4) It is nit necessary to develop severe jaundice in mild hepatitis as it affect liver function mildly, there might be only elevation of liver enzymes only5) sometimes, stones in gall bladder also produce similar symptoms but it doesn't case development of generalized symptoms i.e. weakness, loss if energy or tiredness, mild fever" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "yesterday when I woke up I noticed very , soft little bumps very close together and a lot of them, on the roof of my mouth, today they have spread to the inside of my cheek and lower lip. do you know what this could be? when I rub them with my tongue, it almost feels like powder. pretty weird.. Ill going to the doc this week but just ant to know if its serious. Thanks", "output": "Thanks for your query, I have gone through your query. The bumps at the roof of the mouth could be because of the herpes zoster infection caused by herpes virus. IT produces multiple vesicles over the palate buccal mucosa and lip. Consult an oral physician and get your self to rule out the herpes infection. If it is herpes infection then start immediately with antiviral Chat Doctor. You can use topical anesthetic and analgesics like Anabel gel to reduce the pain. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 5 weeks pregnant and was on 50 mg eltroxin for a month(since dec4 2010 to jan 3rd 2011)I had a check of TSH hormone on 3rd.Both T3 and T4 levels were in the normal range.so my physician asked me to reduce the dosage to 25 mg.but my gynaec says that throxine requirement is more during pregnancy..just confused as to wether i should continue with 50 mg or 25 mg?", "output": "Hi, The range of TSH to be followed for pregnancy is different from in non-pregnant women. The normal values for first three months of pregnancy is less than 2.5 mid/L, for the last six months of pregnancy is 3.0 mid/L. For, the non-pregnant it is 4.5 mid/L. So everything depends on your present TSH levels if they are below 2.5 then you can take 25 mg of thyroxine, but if they are above 2.5, I would advise you to take 50\u00a0mg. High TSH values have shown to affect the pregnancy, and it is advisable to keep levels in the range described above. Hope this helps. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son is 29 years old and has continued to ignore abcessed toothaches Now his left side of his face is swollen from his lip up to his eye! Weve put baby asprin on it, rinsed his mouth with periocide, heating pad? Any suggestions besides he needs to see a dentist?Thanks! YYYY@YYYY", "output": "Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, you have mentioned that you have Access in tooth now you have swelling on face for this you have to go to dentist and go for Oral Examination done, go for investigations IOWA and of tooth is decayed then go for Extraction and if tooth is Carious then go for Root Canal treatment, Don't do Hot fermentation, take medication for pain One Tablet Diploma SP twice daily and Consult dentist as Early as possible and go for treatment Hope this will help you. Wishing you good healthRegards " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 66 year old female suffering from a chronic itching with a rash. I have had this condition for approx. 8 weeks. I have tried many OTC remedies including calamine lotion, allegra, etc. I have also tried a 10 day dosage of Predasone 5mg without any relief. I have changed my laundry detergent and also discontinued certain prescription drugs temporarily. Nothing helps.", "output": "Hi, It may be lichen simplex chronic us most probably. Consult the dermatologist for the perfect diagnosis and proper treatment. If it is same as I said, I would recommend you to apply steroid cream like Clobetasol Propionate cream. And you should take steroid tablet in a tapering dose. If needed, an intradermal steroid injection may be taken. Take antihistamines like Loratadine. Avoid soap bath. Avoid dietary stuff like cows milk, fish, prawns, chicken, eggs, fermented food, nuts, soy products etc. Hope I have answered your query. Let me know if I can assist you further. Take care. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am experiencing fairly severe pain in my palate, right front tooth and up in to the septum. I had an xray done last week and the dentist did not express concern of any infection, but I am beginning to doubt that. I originally, about 3 weeks ago, thought it was a sinus infection and did 5 days of an antibiotic, but the pain is still present. Any other thoughts?", "output": "Thanks for your query, I have gone through your query. The pain in the palate, front tooth can be because of the tooth infection. Consult a good oral physician and get a radiograph done to confirm the diagnosis. Once the diagnosis is confirmed, the tooth can be treated with root canal treatment. If I am your treating doctor, I would have prescribed a course of antibiotics like amoxicillin and metronidazole you are not allergic). I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doctor.. i m 33y old .. after 8m of my marriage i had my 1st pregnancy .. but unfortunately after 1m and 14days(14.03.2011) i had an missed abortion .. now i am taking Clomifene and Aspirin tablets.what are the benefits of these tablets?please tell me. By Christy,Chennai,India.", "output": "Hi, Clomifene is useful in inducing ovulation (egg production) in women who do not produce ova (eggs) but wish to become pregnant (infertility). It causes eggs to develop in the ovaries and be released to get fertilized by the sperm in the uterus. Aspirin is useful to prevent unexplained stillbirth, recurrent miscarriages and pre-eclampsia. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I was in car accident in 2001. I had a large bruise and lump form on my outer left thigh. I had an MRI after the bruising healed to see why there was still a large lump. The doctor told me that it was not tissue damage and appeared to just be fatty tissue. But how can that be since it wasnt there before the accident and immediately formed after the accident?", "output": "Hi.lipoma (or fatty tissue deposit) can occur anywhere in the body, even if there's no triggering factor. It is best if you consult with a doctor, preferably a general surgeon, for clinical evaluation. If the lesion causes you discomfort and starts to bother you, it is best if you have it removed. Definitive management is excision biopsy of the lesion, along with antibiotic treatment. Hope this helps. Good day!!~ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i had my gallbladder removed in 2010 due to really sharp pains in my stomach, which they said i had major gallstones and blockage. well i am still having major pain and the no one can tell me what it is. they ruled out my appendix, and want me to go have a biliary tract ultrasound . what could be wrong with me, i can not get any answers from anyone. tyl9onal and ibprophen do not work for the pain and the doctors will not prescribe me anything saying they want to treat it not mask it whatever that means, but my pain is so bad at times i am literally bald up in a ball and can not breathe and feels like someone is taking sharp knifes and stabbing me in my right mid adomin and stomach ....what can i do for pain? please some one give me answers", "output": "Dear ...! Many thanks for the mail. I have gone through the details for your mail and could grasp its contents. The pain in your stomach may or may not be related to your gall stone operation. The causes in relation to your operation may be a stone in the common bile duct, a narrowing of the CBD, a stone in the cystic duct remnant etc... Cases unrelated to the operation include, chronic pancreatitis, ulcer disease, sphincter of Odd dysfunction etc. Either way you need to have some definite investigations before making a certain final diagnosis. Please see a gastroenterology physician and get going with the tests. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 20 year old son had a partial right lobectomy for a mio fibro blastic tumor.[non cancerous] he has developed asthma due to a reaction to his surgery. have you come across this before? one of his consultants put him on prednisolone and inhalers. two weeks later he went back to consultant and blew out half a litre more into the machine. hes hopeful this will go, but im not so sure. he is a non smoker.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, he is mostly having bronchitis. Bronchitis is inflammation of airways. It is common after thoracic surgeries especially lung surgeries. It is because of handling of lungs with instruments during surgery. Furthermore, it is usually short-lived and recovered with steroid and inhaled bronchodilators (formoterol or albuterol). So continue with prednisone and inhalers. He will mostly improve with all these in 1-2 months. Hope I have solved your query. I will be happy to help you further. Wishing good health to your son. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "It s been about 9 months after acl reconstruction, I still a little bit pain, and i decide to go back to sport, and i fine out the back of my knee have bruise but while I practice it doesn t pain or knee pop, I don t know if its ok, and how do i know if i tear my acl again?", "output": "Hello, ACL reconstruction doesn't fail or break again until it's a major accident. So be assured you got the good ACL reconstruction. I will advise you to do balance board training as that is the one which helps the joint proprioception to be active and give good results out of the knee. Usually, this is missed out on the rehabilitation of the knee in many cases and most patients have similar complains after some months of ACL reconstruction. But in my clinical practice with balance board training as a last part of the training, we have been implementing on almost all patients who visit us in the last 12 years. Inline recommend you to undergo balance board training, and you will find amazing results. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im an athletic 26 year old male (5ft 10in and 145 pounds) and I have a hard, non-movable, pea-sized lump under the skin on my left calf. It doesnt hurt and has been there for a few months at least - doesnt appear to be growing. It has a slight brownish color to it.", "output": "I, Dear,Good Morning, and Thanks for your query to my virtual Clinic At Chat Doctor. I studied your query in depth and understood your concerns. Causes for the lumps on the calf are as follows-a-Mostly they are -Bursitis popliteal ?or MB cyst with knee arthritis I would advise X-ray knee joint and consultation with Orthopedic Surgeon.Don't worry of them, as they could be relieved with proper treatment.-Treatment -a- Tab-NDAIDs/b-Hot fomentation, c-Rest and Elevation of knee and affected leg. D-Ortho-Surgeon consultation and needful further treatment with him is advisablee-To remove that lump-I would advise Diclofenac Gel locally x 2 was time. Hope above reply would help you to relieve of the issue you have. Welcome for any further query to ME and Chat Doctor. Write Good review for the benefit of my new patients. Click thanks ASAP after this. Have A Good Day. With Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "How can I take to lose weight in the stomach area? I have hypothyroid, had a pituatoy tumor that was removed w/o being maligment, diagnosed w/breast cancer last July...but caught it early. I did not have to do chemo nor radiation. Only takes tamoxifen daily for 5 yrs. Please help!!!!!", "output": "Hi, Welcome to Chat Doctor forum. As you describe it appears to be the hypothyroidism, which is causing the bulky stomach. As you are taking tamoxifen since 5 years, the uterus should be screened regularly, as it may cause the uterine cancer. I advise you to consult a gynecologist for diagnosis and treatment. You may need to have an M.R.I. for diagnosis. Avid taking fatty foods, junk foods, oily foods. Wishing for a quick and complete recovery. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My father has terminal pancreatic cancer. They said he had 3-6 mths to live about 1 mth ago but since then he became severely dehydrated due to not being able to keep water down for 10 days. He then got a blood infection and they told us he would live days when he left hospital 10 days ago. He lives in Thailand and now me and my brother are his primary carers. We have been sent from hospital with bags of pills and very little advice. He is very weak and hardly gets out of bed now, he has 25mg morphine patch but today has needed more through tablet form. He is keeping a little water down and urinating however he is vomiting a lot of mucus which over the last 24hrs has turned a dark green colour. Can you please give me some advice as to how long you think he has left to live and also how many mg of morphine would be advised on top of his morphine patch? Thank you.", "output": "Hi, dairy have gone through your question. I can understand your concern. Your father has terminal stage pancreatic cancer. So it is incurable now. What you are prescribed is only symptomatic treatment. Morphine is given in terminal stage cancer for pain relieving agent. Dose can be increased if your father has sever pain. Pancreatic cancer may cause obstruction in the intestine and may leads to bile containing green vomiting. Ondansetron is helpful in this kind of vomiting. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "since last 20 years I suffer sometimes inspirational problem particularly in the morn. most acute during winter now I am 59 and due to same my bp level remain 190/110 after taking telma 40 for one month it is now 140/80 and ecg indicate LVH present medicines are ventoline 8 mg+docyphyllin 1/2 tab +telma 40 I am working and not confined to bed but still i am suffering some times whats the remedy?", "output": "Howell come to ChatDoctorLVH (Left ventricular hypertrophy) is common phenomenon in long-standing hypertension breathing difficulty could be due to asthma, here cardiac asthma need to be ruled out (Congestive cardiac disease) in my opinion diuretic may be added in line of treatment this would be helpful if this is CHF, you may discuss this with your physician, hope this information helps, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I had a dry cough which lasted for 3 weeks before christmas (it cleared up when I decided to make a dr appointment). Anyway, the cough is back (for over a week now) it has been accompanied by loose stools, intermittent pain on left side of my chest. I am asthmatic and have been needing to use my reliever more frequently. I have also been vomiting - this is at least daily but not frequent, possibly a few times a day. I am getting tired and would appreciate any insight into what is causing these symptoms. I am female, 39 and smoke 15-20 cigs a day. thanks", "output": "Your symptom resemble legionnaires disease, you have to go for sputum examination as gram staining bacterial culture sensitivity and fungal staining and also urine antigen test for legionella, take chest X-ray PA also and stop smoking in between these days. Tab moxifloxacin 400 mg OD tab azithromycin 500 OD tab Able Sr 200 OD and your inhaler with good inhaler technique(watch YouTube for good technique)" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a 7 mm stone at u.v. junction and another 8mm at right distal ureteric stone. I have taken homeopathy treatment. This is very painfull at back side. My faimily force to laser treatment.Whats I do, how many time it will takes to through out stone.", "output": "Hello and welcome to Chat Doctor. As you have 1 stone 7\u00a0mm at the UV junction and an R. distal 8\u00a0mm. Stone, its best that you undergo an endoscopic lithography operation, using Laser or ultrasound. Both the stones can be treated in one session. The patients usually discharged the next day, if there are no complications like, fever, bleeding or any other medical problem. Your pain due to the stone will be relieved at once, and there won't be need of any other treatment like homeopathy. Remember to Chat Doctor. Wish you a speedy recovery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "In early December I had blood work done for exhaustion. It showed that in slightly anemic and vitamin d low. Gfr 55. I found out 12 yrs ago that I have only one kidney during an ultrasound for pancreatitis . I am 59 yr old female weight 122, 5 6 . Bp about 108/68 most of the time. I am scheduled to see a nephrologist in late may should I be on any kind of diet restrictions?i have never smoked but I drink one light beer a day", "output": "Hello, Thanks for posting your query. As you are having only one kidney, so your renal system is compromised. GFR is much reduced, and vitamin D deficiency and anemia are also related to kidney. You should watch their protein consumption to avoid taxing the kidneys as they heal. A low-cholesterol and low-saturated-fat diet is good. High-potassium foods such as bananas, kiwis, avocados, prunes and prune juice, tomato juice and sauce, nuts, Chat Doctor. Vitamin D and Calcium supplements would be helpful. Hope it helps. Take Care!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i have been diagnosed with pco at the age off 14. My partner and i have spoken about trying for a family and we have been for a year im currently on a strick diet to help lose some weight and it is coming off slowley my thyroid medication has been increased as last blood test showed they were below average again quite a lot, is there any things else i can do and or take to help my chances to conceve.", "output": "Hello, Thanks for posting your query. It is good that you are already doing your part in maintaining a healthy lifestyle. This is a very important aspect in the treatment of hormone imbalances. Further, since you are trying to conceive, you should go through the proper protocol of investigation. This includes a complete hormone assay, sonogram of the pelvis preferably in the trans-vaginal route, blood counts, tubal patency tests and urinalysis. Evaluation of the male partner also is important. Further management can be planned accordingly. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Acutally im overweight and tall but feel like my penis is not that big plus that im still a virginSo feel little bit depressed and worried abt best postions for me to do and does the size matters or no ? To be more honest its around 5 to 6 cm in rest and around 14 to 16 in erect postion... The problem is that i have lots of fats around it ... So what do u think?!", "output": "Hi, You feel small size of your penis due to more deposition of fat on abdomen. Having size 14-16 Cm size when exact is quite good size, and you will satisfy your partner. Important is reduced your weight and particularly try to reduce fat from tummy. Go for abdominal recto muscle exercise daily. After removal of abdominal fat you will feel strong and lengthy penis. Avoid psychological fear and tension of the size. Ok and take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi.my father is suffering from Non alcoholic steatohepatitis...with acute attack of hepatitis E.. But at present all enzymes are in range.Inflammation has gone..But bilirubin is fluctuating between 12 and 13..Its not coming down..how much time will it take to come down to normal?", "output": "Hi welcome to the Chat Doctor In acute hepatitis complete bilirubin recovery sometimes may take time up to 3 months... Your bilirubin very high, hence take precautions not to take fatty foods much as liver needs rest in hepatitis from fat digestion... Take fruit juices, Apple juice, coconut water more Sugar cane juice beneficial Avoid outside foods strictly for few weeks Green leafy vegetables more Ad\u00edlio tablet can be prescribed (300 mg dose) for your condition Take care Hope your concern solved Follow your treating physician advise and regularly examined by him for at least 2 to 3 months duration" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a lump on the left side of my neck. It is painless and does not seen to get bigger or smaller. I first noticed it about 18 months ago. 18 months ago i was into sleeping on my stomach (which I later found out could really strain your neck). After consistently sleeping on my stomach and therefore straining my neck, I started feeling pain and swelling on the left side of the neck (where the lump is now). Ever since then, i started sleeping normally and the pain is gone but the lump has remained. I am not sure if this is related but i think it is. The lump is painless and between my hairline and trapezius. It is also about an inch in length and width. I can only feel it when I bend my neck down and run my fingers through the area to massage it. It only moves when I massage it and lastly, whenever I would strain my back, it seemed to get worse for some reason. Should I be concerned??? Is there any possible treatments i could do to treat it??? Please help I am so desperate.", "output": "Welcome to Chat Doctor .1. First thing, lying on the stomach will not cause lumps in the neck, it may strain the muscles and cause pain. 2. The most possible cause is lymph nodal enlargement. (could be due to recent infection / underlying medical conditions and systemic causes)3. If you are my patient I would have examined and ask for an ultrasound neck to confirm the nature of the lump, its origin and extensions.4. Depending on the findings an FNAC - fine needle aspiration cytology will help in definitive diagnosis.5. And if any systemic causes - first treat the cause. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "8 months baby suffering from cold and dry cough for past 2 days. doctor prescribed defcort and respinil syrups along with mucolite and trifect which we are already providing. now he seems to be suffering from diarrhoea with flux, is this expected with the above medication?", "output": "Bi...usually antibiotics cause antibiotic associated diarrhea. But the above medications are not antibiotics. But all the medications in syrup formulation will have a sugary syrupy base in them and this might cause osmotic diarrhea. I feel this is the reason for the loose stools rather than the medications. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. I suggest you use zinc supplements (Z&D Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been having terrible bowl movements for about 3 months now, but not consequatively. Maybr once a week ot so. It first starts out with me cramping like pms pains and when I sit on the toilet the painn moves to my low back and up into my stomach and it s hard to breathe or even think because my legs are shaking and I am having cold sweats and my pain is hardly bareable. I am usually hurting for at least 10 minutes with no relief from the pain. My bowl is usually in large amounts and greenish and soft so it burn some at the same time as everything happening. I do apparently have a bad gallbladder , but not for sure how bad. I had appendicitis recently and had surgery and during surgery is when the doctor found out my gallbladder was bad. Do you think my gallbladder has any affect on my pain or is it intestinal?", "output": "Hello! Thank you for the query. Gallstones pain is usually located in the upper right abdomen and radiates to the back. Nausea and vomiting can be present. It usually comes and goes. Green stools and diarrhea can be also present. However, cramping, and stool problems are more characteristic for bowels issues like partial bowels' obstruction due to adhesions post appendectomy. Chronic bacterial infection is also possible. I suggest you to visit general surgeon. Consider abdominal CT with oral contrast (enterocytes) to rule out partial bowels' obstruction. Stool tests should be also done. Gallbladder removal might be necessary as well. Hope this will help. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "volume 2mlviscosity thinreaction alkalineSperm count 45 million/mlactive motile 50%sluggish 10 %non motile 40%epithelial nilpus cells 18-20/hpferythrocytes nilmorphology normal 85%abnormal 15%other nil.Please tell me that my report is normal or not", "output": "Hi, Your semen analysis report is normal except for the pus cells. Your semen analysis report shows pus cells in increased number. So it can be due to inflammation of the prostate or seminal vesicle most likely. I suggest you take Levofloxacin for two weeks. There is no need to worry as far as sperm count, motility and Morphology is concerned. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a tooth extracted 6 days ago. It was a traumatic oral surgery which took nearly 50 minutes.About two days ago I began noticing a bad rotting smell coming from hole which is white and spotty. It hurts and I am out of medication. I took antibiotics 2 days before extraction and three days proceeding extraction. Can this be remedied at home?", "output": "Hiiii.welcome to Chat Doctor I have gone through your query, and it seems that traumatic extraction many a time can lead to Chat Doctor. A condition wherein postoperative pain starts within 3 days post surgery along with presence of foul odor. Basically the blood clot that is formed during healing gets disintegrated thereby exposing the underlying unhealed bone. The line of treatment for this would be repeated placement of antimicrobial " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my dad is 49 years old and is mildly active. hes recieving chest pain that are deep, aching throbbing pain for about four days and no injury to cause it. its getting worse and hes getting back pain, shortness of breath, a cough, his voice is hoarse, and he is having trouble swallowing and so far nothing has happened to him before.", "output": "Hi thanks for contacting Chat Doctor... According to history your father can have respiratory lung infection along with laryngitis ... Consult physician for examination.... Posterior pharynx also needs to be examined. Chest x-ray done ... If needed spirometry also done ... If evidence of bronchoconstriction by investigation bronchodilator can be given . If seems lower resp infection then antibiotic given ... If needed short term steroid can be given... Steam inhalation can be useful.... Chat Doctor. ... Avoid smoking... Take care ..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi every time i get up my heart will pound fast and i can feel it beating in my ears. A visit to my doctor last week had a blodd pressure realy high 192 and cardiac rate 137 then twenty minutes later 106 BP, whats is this do u know. age 35 small build 105lbs.", "output": "Hi, You hear pounding heart beats in your ears because of high blood pressure and fast heart rate. You should undergo some examinations, such as tests for thyroid, kidney to find out the reason for your high blood pressure. Meanwhile, you should receive treatment because such blood pressure is harmful for your organism. Hope I have answered your query. Please let me know if you have any further questions." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ive recently ( one week ago) had a right sided inguinal hernia repair, a mesh was used. I am concerned that Im getting funny sensations in the groin, the occasional bit of shooting discomfort into the right side of the penis and testicle ( I assume this is nerve related) and pain in the right side of my back (SI joint region) when I sit too long. And when I empty my bladder it feels as I havent emptied it fully and within in 30 minutes I need to go to the toilet again.Its also numb around the incision area. What I am experiencing is this normal? will all these symptoms eventually wear off?. I wasnt informed of any of this before my surgery and now I am concerned and worried. Im started to regret having the surgery. Thanks", "output": "Hello. Thank you for the query. After inguinal hernia surgery the main symptom is pain in the wound area. Other mentioned symptoms are not characteristic. Your symptoms indicate urinary tract infection or testis inflammation. Frequent urinating, burning while urinating, back main, lower abdominal pain and groin pain are typical UTI symptoms. I suggest you to visit your doctor, have urinalysis and testis ultrasound. Hope this will help. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ive been having a discharge all day. Im a guy. It doesnt burn at all when I pee. I last had sex over a week ago, and she says she isnt having any issues. I have been a drinking a lot, and eating bad (fast food) everyday going on about a week. What could this be?", "output": "Degree understand your concerns went through your details. Please let us know what kind of discharge you are experiencing, its color, viscosity, quantity et. We will be able to help you better. If you still need my assistance in this regard, please use this link. http://goo.gl/YYYYYYYY. Please remember to describe the whole problem with full detail. Hope this answers your query. Please feel free to post follow-up queries. Available for further clarifications. Good luck. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i got dumped surfing in some big surf on thursday causing a twisting strain i think it is a intercostal strain i have been to hospital taking endone and anti imflam naproxen 500 iam 55 years old have to sleep sitting up have alot of pain tablets help how long does this last", "output": "Hi, thank-you for providing the brief history. As you have intercostal muscle spasm this will last for about a week or two. As there will be inflammation of the muscles and may be Cochin Chat Doctor. I will advise you to undergo some simple breathing exercises like -1. Deep breathing exercises 2. Diaphragmatic breathing exercises 3. Costal breathing exercises 4. Pursed lip breathing exercises 5. Abdominal breathing exercises. As doing this breathing exercises will help improve the strength of the muscles of respiration and improve the lung capacities as well. Kindly note that when performing this exercises you Need to place the hand on the injured area, so the pain will be avoided. Regards Jay In" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "can you help me with my wisdom tooth?its partially broken with a huge whole already and im in deep pain right now. it seems that the whole is getting some air when i enhaled through my mouth. it really is painful and it triggers my entire nerve of my mouth. my wisdom tooth is located at the right bottom part of my teeh", "output": "Thanks for your query, I have gone through your query. The pain is because of the infection from the wisdom tooth. Consult an oral maxillofacial surgeon and get the tooth removed. Before that for the infection to come down, you can a course of antibiotics like amoxicillin 500\u00a0mg and metronidazole 400\u00a0mg TID for 5 days(if you are not allergic). Do saline gargling. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "is there any new thinking on treatment of canker sores? i have another one (though i dont get them as often as i used to, since i switched to toothpaste which does not contain SLS), this time behind my upper jaw between my cheek and soft palate, tucked away. my jaw muscles are very sore now, and opening my mouth is a painful struggle. id love to get rid of this thing ASAP.", "output": "Thanks for your query, I have gone through your query. The recurrent authors ulcer can be treated by using topical steroids like triamcinolone acetone 0.1%, apply 3-4times daily after food. Use topical analgesics and anesthetics like Anabel gel 3-4times daily before food. I hope my answer will help you take care. Consult your oral physician to rule out this authors ulcer from allergic dermatitis since you are giving history of changing toothpaste." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doc, My right shoulder pain when I lift my elbow up. This is happening from past 2 weeks. Then yesterday, my left wrist and ring finger started aching along with my first half of right leg sole. Today morning my right ring finger started aching. Please could you suggest what is the problem I am facing?", "output": "Hello, The symptoms look like the cervical Radiculopathy. I will advise for MRI cervical spine. Use a cervical soft collar to stabilize the spine. Do hot water fermentation for the cervical spine. Shoulder Range of motion exercises and shoulder stability exercises. Neck stability exercises. You should do well in 3-4 weeks of time. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I have an unexpected pain on my shoulder, collar bone, hurts when I lift my shoulder. It started unexpectedly and it feels to be extending to my neck for brief moments. It also feels like those pains caused by acid reflux, but intensified x 10000 times and it feels like it radiates all over my right side.", "output": "Pain can be from many causes. What triggers or relieves it basically tells what is going on. If the pain is elicited by particular movements then it is not reflux and the particular area would tell where the pain is coming from. Usually from the attachment tendons around the shoulder joint (rotator cuff). If antacid relieves the pain that not only tells that it is indeed reflux but also shows an effective treatment." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My blood pressure ranges from 111 over 60 when I am taking Diovan HCT 160/25 mg. I feel so tired all the time and I find it hard to concentrate or meet my daily responsibilities. I stopped taking Diovan HCT for a couple weeks and immediately felt better and had more energy...I was actually happy for a change. The on got a bad headache that wouldn t go away. I took my blood pressure and it range from 130 to 156 over a 7 day period. During that time I started taking Diovan HCT again and now after about 10 days, I m feeling sick, tired, depressed and stressed out. My blood pressure is 111/59 today and evening. My question is: Do I have to take Diovan every day or only when my blood pressure exceeds 140. My doctor doesn t seem to take an interest when I call her. Help please advise. Should I go to a different doctor for help? Thank you.", "output": "Hi and thank you so much for this query. I am so sorry to hear about this sick feeling while on Divan HCT. The blood pressure is very normal but would be considered somewhat abnormal for a person on treatment for high blood pressure. The goal of your treatment should be having the blood pressure less than 140 but not as low as 111. The dosage of divan HCT should be adjusted. It appears the current dose is too much for you. This Chat Doctor. I hope this helps. I wish you well. Thank you so much for using our services and do feel free to ask for more information and clarifications if need be." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had pain on the left side of my lower back for 5 days now, it seems ok durning the day and worsens at night. Last night it kept me up all night. and it is hurting today. It s lasted all night long trying to determine if it may be a kidney stone", "output": "HelloThanks for query. The pain in lower back is mostly due to presence of stone either in kidney or ureter. Please consult qualified Urologist for clinical examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture.2) Ultrasound scanning of abdomen and pelvis In the meanwhile take spectrum antibiotic like Definite along with anti-inflammatory Chat Doctor. Get the prescription of medicines from your family Physician. Ensure to " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I m 7 weeks pregnant and had been given Utrogestan by my doctor. I read that it could be either taken orally or vaginally and was never instructed anything by my doctor and therefore took it orally. I now have realised that I should have taken in vaginally, I am concerned that due to me taking it orally this will affect the baby negatively in anyway and just wanted to ask if it could and what is the difference between taking this medicine orally or vaginally. Thanks", "output": "Hello dear, I understand your concern. The progestin is a natural micronized progesterone and is prescribed in cases of threatened miscarriage or past history of miscarriage or any dull pain in pregnancy etc. It can be taken by two routes orally or vaginally. Usually it is said that the absorption will be better and side effects will be less with vaginal route. But studies done with progestin has similar effectiveness with both oral and vaginal route. But nothing like it's going to harm the baby by taking through oral route. So relax. Avoid stress. Avoid physical strain and intercourse. Take good rest and healthy nutritional diet. Nothing to worry. Hope this helps. Best regards..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have been to doctors after doctors and then in hopkins county memorial and was admited for 6 day now i have a cathider in my left arm that leads to the main arterie in my heart the doctors are saying that i have a bactirial infection in my lungs along with scar tissue on my lungs as well as my white blood cells being low i believe there is something more please i think they are not telling me everything i need to know what is wrong please what is your professional oppenion what would you think they have ran every test first it was tb then it was cancer and now its supose to be a bactiral infection please help", "output": "Scar tissue of the lungs is not a disease. It is the tissue that can substitute normal lung tissue that suffered an inflammatory injury, as result of a severe infection for example. Some diseases are difficult to diagnosis and sometimes clinical symptoms, signs and tests findings may be inconclusive or misleading. A strong relationship of trust with your physicians is extremely important to overcome the challenges of your treatment and rehabilitation. Your physicians will not hide from you anything related to your condition if openly questioned about it. The anxiety in the presence of a condition that is not completely understood or that does not improve may sometimes lead us to look for opinions of many specialists. However, this conduct can also cause prejudice as sometimes it is difficult to establish and follow a sequence to diagnosis and treatment. Talk to your attending physician, expose all your doubts and questions and if you feel assured that you are being well cared, continue your treatment." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 50 year old male. Few months ago, I suddenly had pains around both hips and lower abdomen. I ve been walking on the treadmill, on average, 10 miles per week for many years and lately playing cricket (bowling fast like throwing fastball) with my kid. The pain became uncomfortable while driving and when turning sideways while sleeping. I realized quickly the pains had started after playing cricket with my belt tightened so that I did not have to worry about my pants dropping few inches every minute. I had played cricket the previous summer and had none of the symptoms listed above. But I always played wearing the belt a bit loosely. After about a month, the pains slowly went away completely. I continued playing cricket as well as walking on the treadmill. Last weekend, I forgot to loosen up the belt and played cricket for short time and the above listed pains came back right away. I feel the pains I am experiencing are muscular pains but worried that this might be a more serious condition than that, perhaps appendicitis etc. Appreciate any advice or suggestions. I checked for prostate cancer recently and was diagnosed negative. I also have the irritable bowel syndrome, cannot eat too much spices etc.", "output": "Hello, thanks for the query to Chat Doctor. C. Appendicitis ? No way. Physically you are fit that's a nice thing. Pain around the buttocks and in pelvic region after belt you wore is somewhat tight. Now please do one thing that this pain may relate to large intestine (colon, rectum, anus ). Please get a U/S of whole abdomen to rule out any involvement of large intestinal parts. Lastly please consult a doctor for hemorrhoids and fissures as these two in early stage don't recognize easily. Have a good day. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my husbands knees give way and are very painful but last night when he sat down a lump of what i think was gristle showed from the right side of his left knee which was etremely painful for him till it disapeared he is waiting for some results from knee xrays", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have some meniscus or ligament injury. Wait for the x-ray results. If it is normal then go for MRI knee. It will give you exact idea about soft tissue injury. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im in the military and I injured my back 3 months ago and I have been to the doctor 3 times and the first time the said I had a fracture and then the next time they said I hurt it before I came in the military and now there saying I was born with it and during all this a have been doing physical therapy but it is not improving and tonight I can bearly stand up. What should I do?", "output": "Hi, thank you for posting. I have gone through your query and I understand your concerns. Physical therapy is an alternative of injury treatment. In these cases anti-inflammatory non-steroidal are recommended. But to determine the treatment you need a diagnosis. To do that these tests are necessary:1. Back Ct-scan.2. Complete blood count.3. Fibrinogen test.4. Urine test. Contact your rheumatologist. All the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here...My husband had an angioplasty done he got a baremetal stent which got blocked very early within 4months but he had no symptom then the doctors did another angioplasty and put an xiense drug eluting stent its been a year now but I still worry about them getting blocked are there any symptoms which can tell if they are he is only 36 he goes to the gym and after exercising his Bp would be like 120/80 please tell me if there is any medicine that can remove the blockage is angioprim a scam", "output": "Hi their understand your concern for your husband health and I would like to tell you that the symptoms that are produces by blockage of a stent are the same that occurs while a heart attack like 1. Central chest pain or heaviness2. Radiation of the pain to the inner aspect of left arm or shoulder or in the neck below the jaw line.3. Breathlessness, sweating, sense of doom4. Vomiting5. Giddiness BP is fine. No there are no medication that can be taken by patient himself to take out the block. Just make sure that he follow good lifestyle habits and take his medicines on time. I wish him good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My friend David who will be 70 yrs old and is heart patient with stent - had a larger than 50 piece cyst on his sterum middle of chest. Of course he let it go tell inflamed red and some infection in center. When he went to doctor - put him on sulfa type antibiotic but I saw yesterday and no change. I am concerned because of the infection and its location near heart and lungs. What should his next step be? thanks Aggie", "output": "Hi, Dear,Good Evening from INDIA. Thanks for the query to Chat Doctor. I went through all the details of your query. On the details given by your query, In my opinion you suffer mostly from-on the facts there in-mostly you suffer from-Chronic infected boil on the chest. Treatment I would suggest is as follows-a-Tb NASAIDsb-Antibiotics -like Ofloxacin with ornidazole-as it has not responded to sulphac-Cold compresses d-Get his FBS and PPS -as he is old with non responding infective lump on chest.-consult ER doctor for the script of Chat Doctor. Hope this would resolve your query. Welcome for any more query to Chat Doctor and ME, in this regard. Wishing you fast recovery. Write review ASAP with strong recommendations for Chat Doctor and for ME, for the benefit of other new and old patients. Have A Good Day. With " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "With all due respect sir/mam, I am 22 years old. I am very sad. From 8 months I am having some dizzy feeling in my head. For 2 months it was just some dizziness. Then I consulted a doctor and he gave me a neck collar. I used it for 2 weeks and found that whenever I move my neck it feels as if neck skin is stretched. And neck feels stiff. And many times when I move my neck a certain cracking sound comes. And one more thing sir. In previous 8 months l have had around 4 episodes of around 5 seconds during night where I got up from bed due to a certain sudden spinning in my head . that is very horrible experience. And I have the feeling that it may always happen again. I have to change my sides during night to averse this spinning attack. Please help me out.", "output": "Hi, Thanks for writing in. Moments of dizziness can happen due to decreased blood flow from heart to brain. When it happens, the blood flowing through the vessels from heart to brain might have a reduced flow. These are by the carotid and vertebral arteries on either sides. This is more significant when you are standing upright and doing any moderate to heavy physical activity. You might require a CT scan or MRI scan of the brain. The best way to analyze if the reduced blood flow to the brain is causing your dizziness is by doing a carotid and vertebral arteries Doppler ultrasound. It will show the flow of blood from the heart to the brain and if it is adequate. Clinical examination of inner ear and vestibular system in the ear is also required. It might help to do an Electronystagmography (ENG) or videonystagmography (VNG) done to record abnormal eye movements while the head is placed in different positions or your balance organs are stimulated with water or air. For this you might have to consult the ENT specialist. Dizziness can also occur due to stress related anxiety or overflow of emotions." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im Having Trouble Getting to The Docs But Im Having An Unusual Problem..... At First i started to have alot of bad heartburn then alot of diarrhea..... and now i have and infection in the back of my throat and my taste buds are swollen and i feel like i have something on the back on my throat to swallow but it never goes anywhere. Can u help me by telling me what that could be?", "output": "Cellophane You for contacting Chat Doctor. Welcome to Chat Doctor. My name is Chat Doctor. I have gone through your query and would try to help you in the best possible way. The way you described it from the very start of problems till now it seems that the infection you faced probably made your tonsils /adenoids swollen, and now you are physically feeling them at the back of your throat. In my opinion if they don't pain or give you fever you can wait for a month or so they would gradually regress in size. If that doesn't happen consult your doctor and discuss a referral to an ENT specialist. For this you don't have to take any meds but if you feel pain or discomfort if I were your doctor I would suggest you over the counter broken 200 mg twice a day or Tylenol 325 mg twice a day. HEART BURN: -Leave alcohol if you do-Leave smoking-Leave fuzzy " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 64-year-old male. I have difficulty making a complete fist now in both hands. I went to a Hand/Arm Doctor last year with a complaint of soreness in my left hand, thinking I might have arthritis. I was diagnosed with tendinitis in my left hand and received a cortisone injection. X-rays were negative for arthritis. Now I am wondering why my fist won t completely close without some discomfort. Any suggestions or ideas?", "output": "Hi, thank-you for providing the brief history of you. As you mentioned you were diagnosed with tendinitis then you should have consulted a physical therapist after the cortisone injection. As the cortisone was just to help you ease of pain, but the inflammation of the tendon has to helped by getting its normal. Properly of elasticity for which a physical therapist would have played a key role. Even for now, you should visit a physical therapist and learn about how to get the normal properties of tendon. As with this the joint mobility will improve and the Strengthening will help to get the functioning of the hand close to normal. Well, with the grace of God I wish you good health regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I spent the night at my Aunt and Uncles house the other night with my daughter. Around midnight my feet started to itch. I went to lay down for bed with my daughter, and after maybe 30 minutes I woke up itching on my legs. I thought maybe it was just my pants so I took them off. Then maybe 5 minutes later my torso also began to itch, so I took my shirt off. Maybe 10 minutes later my entire body was itching so bad I couldn t get a bit of sleep. I laid down on the couch thinking perhaps it was just the bed, and needless to say, I didn t sleep at all. The itching didn t let up for 6 hours. I took a shower which made me feel a little better. I managed to get an hour of sleep before I woke up itching again. I didn t get any rash or bumps until about 1pm today. I have been itching nonstop since midnight the night before last. The weals were on my legs and very large. Covered my entire thighs. They were there for about 2 hours, at least. When I got home from work at 6 they were gone. I then got weals on the bottoms of my feet, and on my hands. I finally got them to ease up after about 2 hours. Now there on my stomach, the top of my bottom around my waist, and going up to my chest. Also some on my neck. I haven t changed soap, laundry detergent, or any unusual food.", "output": "Hello. Thank you for asking at Chat Doctor. I went through your history and my impression from your history is you are having what we call \"Acute Urticaria\". I would suggest you to take a combination of tablet levocetirizine in the morning and table thy Chat Doctor. However, if this does not help you, I would suggest you consult your doctor who will suggest you some tests to identify the cause of acute urticaria and prescribe appropriate medicines. Acute urticaria are due to many causes like viral infections, parasitic infections, food allergy, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I experienced pins and needles in my hands arms and face twice in a 12hour period. This has never happened to me before. It was quite intense as I could hardly move my hands and my face pulled so much that at some point I thought I m having a stroke . If I may add the sex was very good. What caused my body to react like that.", "output": "Hi, Thank you for posting your query. There are two possibilities in a person with transient neurological disturbances:1. Transient ischemic attack-occurs due to lack of blood flow to a part of brain,2. Seizure-occurs due to abnormal electrical discharges in the brain. Your symptoms may not be related to sex. You should consult a neurologist for evaluation, who may order MRI brain and electroencephalography. I hope it helps. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband has been complaining of throbbing full pains in his upper chest, right below his collarbone area. After exertion it is worse and seems to go up his neck and into his ears as well. Does this sound like a serious problem or will it go away in time?", "output": "Hello, Possibility of musculoskeletal pain is more likely because it is throbbing type and worsening with exertion. So tell him to follow these steps for better symptomatic relief in musculoskeletal pain. 1. Avoid heavyweight lifting and strenuous exercise. 2. Avoid movements causing pain. Avoid sudden jerky movements of chest and shoulder.3. Apply warm water pad on affected areas.4. Take painkiller and muscle relaxant Chat Doctor. Don't worry he will be alright with all these. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here...family member has blood in stool, waiting to see a specialist tomorrow, very worried, just came back that his c reactive protien level is extrememly elevated, what could this be an indicator of", "output": "Hi & Welcome. I can understand your concern for your family member. Incomplete data like age, gender, purpose of doing the lab test C reactive protein, results of other tests and presenting problem. High levels of C reactive protein with a history of passing blood in the stool is suggestive of inflammatory bowel disease like ulcerative colitis. Your family member needs to be evaluated further by a gastroenterologist, an endoscopic examination of the colon with biopsy, CBC & ESR may be needed to confirm the diagnosis. Hope this answers your query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son is now 20 he is sound in mind and health. However the size of my sons penis is only 2 Inches. What we need to do to increase his size of penis?When he was young boy at that time he had urine dropping problem. Last 2 years he has no complain about dropping.Would you please suggest me what I need to do now ?", "output": "Dear, We understand your concerns went through your details. Two inches of non-erect penis is more than enough. On erection your sons penis should be at least five inches, for sure. Five inches penis more than that of average size which is 4.5 inches. You can talk to your son regarding this. If he has any sucChatDoctorplaints consult a urologist for counseling. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query. Further clarifications are welcome. Good luck. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "had a mental snap 23 year old healthy patient. Male 6 footer weight not sure. he is slim and a state runner.He was normal like any other lads but had this snap when he was a teenager. He losses his temper with his parents. more with the father. breaks things when angry. was receing medication from singapore institute of mental health. but not much improvement.He is bright and has a pre unversity education. Any help?", "output": "Degree understand your concerns. I went through your details. We always underestimate the behavior of parents. They are actual triggers. The person inn question is a young adult and do have his opinions and thinking styles. Pushing him too much should certainly invite trouble. That is one. Second - That is the way young adults behave, we have to understand them. They're just learning the intricacies of life. Once learned, they calm down. You may teach him relaxation techniques and yoga for better calming down effect. After all adjustment with scenarios is called life. You may consult a psychologist for further help. If you consider my help, Please post a direct query with every detail. I shall prescribe some psychotherapy techniques to practice. I assure good relief. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am having trouble with my front teeth hitting first. I can clench slightly to make my back teeth touch. I have worn two different appliances for over 20 yrs. I am a bruxer and prior to appliance therapy, had numerous headaches. I wore a full splint for about 11 yrs. and an NTI since. Both worked well. Recently I have been clenching a lot during the day as well as during sleep. I am \"religious \" about wearing my NTI. What do you think is going on in my joints to cause this ? Thanks.", "output": "Hello, Thanks for writing to us. Clenching anterior teeth primarily may be due to-crossbite, posterior open bite, TMJ dislocation. I would advise you to get a thorough clinical as well as OPG investigation done for the jaws. Based on the radiographs, position as well as alignment of each tooth and treatment plan can be evaluated. To prevent the habit of bruise, habit breaking appliances has to be placed. Meanwhile, maintain oral care. Hope these suffices. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Our 17 year old had some routine labs drawn and has elevations in his RBC, Hgb, auto monocyte, eosinophil Count Abs, AST/SGOT (137), elevated total protein, albumin and globulin (3.7). I am nurse of 20 years and am curious about CA or kidney disease. I have an appt with his PCP in the am. thanks Wendy RN MSN", "output": "Hi, dairy have gone through your question. I can understand your concern. He has high AST & ALT. They are liver enzymes and their levels increase in liver damage. It can be due to viral infection, alcohol, Chat Doctor. Don't worry about high RBC count or protein. He doesn't have any cancer or kidney disease. He should go for ultrasound abdomen and complete liver function test. Then he should take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir my son he lost his memory, know he is 34 years. when he was 21 years, he is in B.om student. one night he sleep , early in the morning, he lost his memory he told , he cant remember any thing, how he can give the paper, and he left the paper blank many docto give me suggestation. riperdol and, rivitrol tablet. but cant get any result. please guide me, and suggest me, any suitable medician.", "output": "Hello, You should know that memory troubles are not really common at this age and could be attributed to a psychological disorder. Anyway, I would recommend checking vitamin B12, vitamin D, and thyroid hormone levels. A brain MRI is necessary too. Only after these tests, I would suggest trying sertraline or paroxetine. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have noticed unexplained bruising on my thighs (currently a total of 5 bruises). I have tested with a positive ANA (low positive) and have suffered from muscle pain and fatigue for the past 5 years, with no firm diagnosis. I also have had unexplained blood in my urine, but have had a full work up on my bladder (CT and cystoscopy), with no material findings (my mother also has this). A full CBC run just a few months ago was normal, except for the ANA. I have also tested postive for the Smith antibody and am positive for MTHFR. Is this bruising possibly related to an auto immune condition? Does the MTHFR have an impact? I am not on any medication, but do take a B12 and folic acid daily. I also took a very small dosage for predisone about 4 weeks ago, to help relieve inflammation from a back injury (twisted too much in yoga). Not sure if the predisone could cause bruising so much later?", "output": "Hello.thanks for using Chat Doctor .autoimmune condition can cause bruising by platelet destruction. But since you had one episode of blood in urine, i will recommend you to consult hematologist. He may advise you to go for complete coagulation assay.since you are positive for MTHFR you should take active form of folic acid like l-methyl folate.it is less likely that steroid causes bruising so lately...hope I have answered your quarries satisfactorily.have a nice day ahead." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello I am 56 yr old female who w tagged as bipolar in my 30s. I have recently switched psychciratrists and altering my meds and a change in and clear up my confusion and anxiety. I just started a new job after 2 years of looking for work and not finding it. Right now I am about to lose this job due to the confusion I obviously have. I need to get my head cleared up and my anxiety under control. Can you help?", "output": "Hi, I read your query and can understand your concern. Anxiety is very common in people with bipolar disorder. I would have liked to know how frequent are your manic and depressive episodes. More importantly, you haven't mentioned what medications are you currently on, as it will be difficult to comment as such without that bit of information. In general, you might be needing one of the mood stabilizers like valproate or lithium in adequate dose. To take care of your anxiety, benzodiazepines may have to be added. SSRIs might be needed and indicated if you did not have any recent manic episodes. You can also start some form of behavioral therapy for relaxation. Doing some relaxation exercise like progressive muscular relaxation will definitely help. Discuss all your issues with your treating psychiatrist. Wishing you a speedy recovery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I keep getting negative hpts but for the past 3 months have been showing all of the symptoms of pregnancy except ,issued period. They are very light, brown in color and shorter than normal, although nearly on time every month. Im a small figured person and my stomach has increased in size and I havent made any changes in my eating habits (despite all the cravings recently) could I be pregnant?", "output": "Hello, On regular period & negative HPT, it is quite impossible to be pregnant though some clinical features persist. Here, you need to undergo some investigations like pelvic USG, hormone assay, thyroid profile etc. required to pinpoint the diagnosis. You need to consult with gynecologist regarding this. Take healthy diet with vitamin supplement, avoid mental stress or fictitious imagination, maintain genital hygiene & take sound sleep. Be well." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my daughter is 11.11.2006 born..has rhinities allergiey from birth..shifted to pune from indore a mnth bk..since 3 days complaning abt thumb of right leg aching..yday eve i noticed swelling n redness...her eyes were also lil swollen n lil feverish..rushed to nearby doc who suggested livorid..n a paracetomol syrup..since mrng i noticed redness in whole body..especially back n front..nt interested in eating..spoke to her older doc in indore who suggested alerid 5 ml n ibugesic + 7.5 ml...no fever nw..but complaining stomach ache..", "output": "If she has rhinitis allergy and swollen eyes, PCM and eugenic and ale rid type of medicine will give quick but temporary relief. Stomachache could be due to intolerance of eugenic or other Intestinal infection or spasm too. Without more clinical questions, we will be just guessing. To my own patients I give very basic and successful Ayurveda medicine Chiara Habitat. It's safe but little bitter. If you can give to your daughter of 9 yrs of age 1 tsp twice a day for a month or more, you will see wonderful improvement. Nasal Chat Doctor. More soft is AND TEL. 1 " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a oblong lump in the crease of my thigh at the bikini line! It is not painful but had gotten bigger over the past couple months. It is approximately 3 long by 1/2 wide. I have had a sonogram in which shows no border. Been to the gynecologist who had no idea what it might be, she seemed concerned while examining it so sent me to a surgeon who is not able to see me for two months. Any idea what it could be. There is no change in skin color. It is deep under the skin. Never mind I ll check web MD for symptoms I can t afford 15", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have some enlarged inguinal lymph node or soft tissue mass. You should go for fine needle aspiration cytology. It will give you perfect cause. Then you should take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband is suffering from fever on and off, with muscle pains, mild diarrhea and a bad headache. Is it dengue ? Discovered some spots on his legs too. If im not wrong, theres no treatment for dengue, how would a dengue patient recover? And what are the signs that he is recovering?", "output": "Thank you for your query. Dengue is a viral disease that spreads through mosquito bites. Any Fever can be associated with muscles pain and headache and is non-specific to diagnosis of Denouement cases of dengue resolve on its own. In certain people, there may be complications such as bleeding, liver, kidney failure. They will need supportive treatment at the earliest to prevent worsening of the condition. (most commonly there is an increased bleeding tendency that can be corrected by administering blood products if the values are too low)Dengue is confirmed by a high clinical suspicion and the detection of antibodies to the dengue virus (Dengue IGM)Any fever that lasts for more than 3 days without showing signs of resolution and worsening of symptoms and overall condition should be evaluated thoroughly. See your doctor if his symptoms persist. Signs of recovery would be reducing temperatures, improvement in overall health. You mentioned spots on his legs. Monitor them closely to see if they spread or increase in number. Let your doctor know. If he becomes Chat Doctor. Hope this helps. Wish you both good health. Please get back to us if you have further queries" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a cold sore about 10 days ago. It was healing but on Friday last week, it bled as if some small veins were ruptured. It stopped after 5 mins of pressure. It happened about 4 times or so. On Sunday, I felt a pressure on my front teeth from my lower jaw. Today, my lip is numb and more pressure on my teeth. I feel slightly warm but I haven t take my temperature to know for sure yet. Is it normal for cold sore blister or is it my teeth?", "output": "Hello, A tingling, irritating and a burning sensation surrounding the mouth usually mark the start of an outbreak of fever blisters. Small fluid-filled blisters then appear, most commonly on or around the corners of your lower lip. You can try some home remedies to avoid cold sores. Dip a piece of cotton roll in milk and place it on the cold sore to relieve pain. As and when the tingling starts try this remedy and prevent it from even developing. You can also apply ice pack over the area to avoid irritation. Replace your toothbrush. You can also apply petroleum jelly over the cold sore to prevent infection." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i get pain on right side .i am 21 weeks pregnant .it is a dull pain ,i get it when i breathe or when i change from this side to that while sleeping or when i press while standing. why is that like that", "output": "Welcome to Chat Doctor If the pain is in the side of the lower chest, you could be having a muscular pain due to bad posture during sleep or work. Nothing to worry. You can apply pain killing balm or gel on that area to relieve the pain. Adopt proper posture, no sideways turning of head and upper body during sleep. Get a urine test if kidney stone is suspected. If you develop fever, back pain and burning sensation on passing urine you would need medical help to take care of a possible urinary infection which should not be neglected. Chat Doctor. Eat plenty of fresh fruits and vegetables to prevent constipation as well." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am looking for an antihistamine for my 9 year old son who has multiple food allergies and environmental allergies. I met with an allergist yesterday and he recommended xyzal syrup which is flavored. i am not sure what the flavor is since he is allergic to a number of flavors including artificial flavors.would you know of what flavors are available? the tablet form contains lactose and he is intolerant to dairy so not sure here as well. please advise.", "output": "Rizal contains levocetirizine which is an effective antiallergic. Although a child could be allergic to many external principles, he would not be allergic to all. You may still give the medicine a try and see if he has any reactions to it. Chances are that he would not be allergic to them. As of now do not bother about the flavor. The amount of lactose contained in a tablet is not much and so it would probably not be a cause of concern. You may also try giving Montage LC Kid (montelukast + levocetirizine) in tablet or syrup form. I hope that helps. Feel free to revert with further queries if any." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I get short of breath when talking....This only started happening within the last few weeks....Chest x-ray was clean and so was the other breathing tasks that I was given...I can exercise wihtout any problem. However, talking triggers my shortness of breath......Any thoughts?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Breathlessness with normal chest x-ray is commonly seen with bronchitis (inflammation of airways). So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment is based on severity only. You will mostly improve with inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My boyfriend is ADD, maybe ADHD and he was taking ritalin, but has changed to Adderall. I think he talks a lot period, but it seems like it just doesnt ever stop anymore. He is intelligent, but I cant say anything. Sometimes if I try to add something to the conversation he just cuts me off. What do you think about the medication and does this sound like ADHD?", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. ADD or ADD has so many related symptoms and are commonly over read during adolescent period. If your boyfriend is taking Adderall, under the prescription of a psychiatrist, then he must be suffering from ADHD. Normally psychiatrists are trained to give medicines for the correct diagnosis. I surely think it to be true. But from your description here, there are no symptoms are given which confirms his attention deficit or hyperactivity. Talking incessantly cannot be termed as hyperactivity. Any way, if you are able to provide me more symptoms, I shall try to diagnose. But again, his psychiatrist is the best judge. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have this pain in my Left shoulder, when i move my shoulder in a circle it feels like the bones are crunching, this pain is evan worse when sleeping often wakes me up. This came about 2 years ago when cleaning and scrubbing walls for like 4 days and seems to be getting worse.", "output": "Dear patient Pain in left shoulder with cracking sound on movement indicates arthritis of shoulder. Cracking sound is credits produced due to rubbing of two articular surfaces when they are eroded. This needs to be investigated with X-ray of left shoulder anteroposterior and lateral views to confirm diagnosis and MRI of shoulder joint if required. Meanwhile, start tab attract p twice a day for pain relief. You need to consult expert orthopedic surgeon with X-ray report. All the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, i got a pus pocket behind my big front upper tooth. the tooth is crooked/twisted and the pus pocket has been there a few months. i saw a dentist in april with the initial concern and she just gave me anti biotics, now there is alot of pain and the tooth is loose. the tooth was chipped and repaired about 11-12 years ago and had no issuse apart from the obvious crookedness. i cant make an appointment with the dentist untill monday and ive taken alot of painkillers already. is there anything i can do to relieve my pain short term?and what do you think will happen with the tooth?alot of painkillers dont work on me and from what ive experienced in the dentist previous & in hospitals thier injections dont seem to work much either, so i dont think its going to be a fun time getting this sorted and the situation seems quite severe. help please!(pretty sure its abscess)Also the pus comes out from a small hole above the tooth (in front)occasionaly/if pressure is placed on the pus pocket, the pus pocket being behind the tooth & in the gum/close to roof of mouth.", "output": "Hello, Thanks for consulting ChatDoctorRead your query, as you have pain and pus in upper front tooth this can be due to poor oral hygiene formation of periodontal abscess, or it can be due to periapical abscess secondary RO caries or trauma. Don't worry I will suggest you to take medication Antibiotic like cap. Amoxicillin 500\u00a0mg and analgesic like petrol DT if you are not allergic to this medication. Do warm saline gargle two - three times a day. Consult dentist as early as possible for its treatment. Hope this will help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i got a high wbc it 22.0 hemoglobin110 hematocrit 0.333 rbc count 3.42mcv 97.4mch32.2mchc14.8 platelet count 17.6 absolute count 17.6 lymph 2.9 mono 0.2 eos 0.2 baso 0.0 band 1.1 do i got to be worried my doctor say no", "output": "Hi, dairy have gone through your question. I can understand your concern. Your total WBC count is high. Your neutrophil count is also high. It suggests that you have some bacterial infection. You should take a course of antibiotics according to your doctors' advice. Your MTV is also high to suggest you may have it b12 deficiency. You should take treatment for that also. Hope I have answered your question, if you have any symptoms then you can contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband s urine smells like vomit (he flushes, but I can smell it when I enter the bathroom minutes later) and when I mentioned it, he says it is also really frothy. He thinks this is funny, but is there something wrong with his kidneys? Diabetes runs in his family.", "output": "Hello, thanks for posting on Chat Doctor. It is good you took this into consideration. Smelly and frothy urine means that he might be losing proteins in urine. Smelly urine could be because of ketones in urine. As diabetes history is present in family it will be very much important to find out his diabetic status. I would like to advise you to get a urine routine examination done and also get a morning fasting blood sugar levels. Urine examination will comment on presence of proteins, ketones, any sort of infection present in urine or not. Fasting blood sugar will tell you whether he is entering in diabetic range of blood sugars or not. If you have a family doctor you can consult him with the reports, or you can revert with me. I will be glad to report it and advice accordingly. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had undulant fever in 1953, have had severe fatigue, joint pain etc. on & off for several years, very severe this past year. I was diagnosed with fibromyalgia 9 i really dont think I have that) I had a dream and was directed to tell my Dr that I had Undulant fever as a child, I did and now she really thinks I am nuts. I have read some things about cronic undulanr fever. So the question is this..could I have this after 57 years? Is there a blood test for this?", "output": "Hi thanks for asking question You want to know about how to diagnose undulant fever. It can present with fever, myalgic, arthritis, headache etc. Blood will reveal anemia and leukemia mainly. Gram stain reveal gram negative coccobacilli. Serological test is helpful like ELISA. Blood or bone marrow culture helpful for diagnosis. If liver is involved liver enzymes like AST elevated. Liver biopsy can be helpful. I hope I have solved your query regarding diagnosis of brucellosis" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I have had the implanon inserted for about 2 years now, I had a lot of spotting and so a couple of months ago I took birth control pills and that made the spotting stop. A couple of days ago I smoked marijuana and suddenly my spotting returned, could the marijuana have caused the spotting?", "output": "Thank you for your question and I will try to help. The most common complaint with these implants (they are progesterone implants) is breakthrough spotting. Early on after their insertion, this is very common. Later, such as after 2 years, the lining of the uterus becomes very thin (which is normal) and prone to bleeding. This can once again be treated with birth control pills. This has nothing to do with marijuana use. Finally, make sure that you check a pregnancy test now and in 1-2 weeks. I hope that this helps and good luck!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I seem to have palate ulcers (at least thats what i think they are) very sore to eat and swallow this is day 3 now.When i touch them with my tongue they feel like deep holes i am wondering if i need to seek med advice either Doc or dentist?? I dont smoke nor drink i am 43yrs old and slightly over weight(about 1-2 stones)", "output": "Hello, Thanks for consulting Chat Doctor, Read your query, as you have ulcer on palate this can be due to stress related, Nutritional deficiency, Herpes viral infection, or due to thermal burn also, For this I will suggest you to consult dentist and go for examination of Ulcer, if needed go for Cytology of ulcer, in meantime you can apply ointment triamcinolone acetone paste on ulcer, you can take vitamin B supplement by consulting with your doctor. Hope it will help you. Wishing you good health. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Yesterday, while grocery shopping I began gushing liquid, and I am almost certain that it was not urine. It felt like blood during my period, but it was clear and would not stop. I went to the hospital and they checked me out and saw plenty of fluid around the baby and didn t see any amniotic fluid inside me when they did a swab. What could it have been?", "output": "Hello dear, I understand your concern. Iam happy that the leaked fluid was not the liquor. As enough liquor is present, and the vaginal swab has ruled out it to be amniotic fluid it might be mostly vaginal discharge. Sometimes the vaginal discharge will be so excessive and mistaken to be liquor. So relax. Avoid stress. Observe for fetal movements. Take adequate fluids up to 3 liters per day. In case of any excessive thick curry white or any yellow vaginal discharge I suggest you to rule out vaginal infection. Best regards..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi went to my drs today as suspected I had high blood pressure and have being having palpatations. She gave me an echo which seemed ok, however is sending me for a chest xray, lots of blood tests and also have to wear a blood pressure monitor for 24 hours. Is this really necessary ? Wouldnt the echo have shown something if there really was a problem. I really hate doing these things unnecessarily.", "output": "Hi, If you there are a suspicion of high blood pressure, then we perform ECG, echocardiography, some obligatory blood tests to rule out other organ problems which could cause high blood pressure. We measure blood pressure at the hospital, but in the majority of cases it is not enough, and we need to know how the patients blood pressure behaves during the day, to decide out strategy of patient management. So, in my opinion your doctor does everything correctly. Take fearsome back if you have any further questions" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "For the past month or more i have had a smallish whitish lump on my upper gum above tooth . I have been to dentist and they have done full x-ray of mouth and he couldn t find out what it was and it wasn t an abscess and I have been to my doctor and she didn t know what it was. My dentist is referring me to a specialist in hospital but said i could be waiting 3 to 4 months. What could this be?", "output": "Hi, Thanks for asking the query, Lump in the mouth can be because of several reasons, It can be because of abscess in the arising from the infected tooth, either it can be a gingival abscess due to accumulation of bacterial plague and calculus deep in the gum pockets, can be due to authors ulceration, can be due to irritation due to trauma or smoking and tobacco chewing. I would advise you to visit to Dentist get checkup done. Take an x-ray. Get complete mouth scaling and polishing done . Maintain a good oral hygiene. Hope this helps out . Regards..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi there, I am 28yrs old 5ft 2in weight 175lbs, I have hypo thyroid. Heart disease runs in my family, my father died at 49 because of it and so did my grandfather. I have been experiencing a lot of low BP and low heart rate, today it was 36. My dr seems to be very puzzled on what to do with me and I am starting to get worried. What do you think?", "output": "Hello, The very first thing is to re-evaluate your thyroid through thyroid function test. You need a further complete cardiac check up (EKG, echocardiogram, Holder monitoring). Complete blood count to rule out anemia, blood electrolytes to rule out related imbalance, check also levels of vitamin-D and calcium, altogether are required to determine the right diagnosis. After evaluating the results, you can decide about the best treatment strategy. Discuss this further with your caring doctor. All the best. Hope I have answered your query. Let me know if I can assist you further. Thank you. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, i been on birth control for a month, and i had unprotected sex with my bf, should i take the moring after pill? could the mix of both pills do harm? or i shouldnt worry? i been taking the BC everyday, but not always at the same time, does this affect in any way?", "output": "Hi, The pill offers enough protection if you are regular with it, though you may miss the exact time by a few inches. Yet, added protection is needed in the initial month of pill intake as safety cannot be guaranteed. As such, you may need the emergency contraception if you happen to be during the fertile period when the intercourse happened. If you need the pill, please take it within the stipulated time, and a few hours away from the regular pill intake. Your hormonal balance is going to be disrupted in this cycle, and you may need assistance if you do not see your next period even after ten days after it is due. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello i am 21 years old 170 63. i have some really old life long cavities and it seems like my jawbone is throbbing on my nerves and its super sore and my neck ears and temples throb all the time.but in my gums im noticing like fluid and stuff that moves in my gums.top and botem left n right side. to me it feels life threatening everyday. i go to bed in pain,then wake up in pain i realize its because my teeth are bad but can u tell me whats going on and what a doctor can do to help me.", "output": "Hi, Thanks for posting the query, According to your clinical symptoms I suppose that you are having a lot of cavities in your mouth this could be due to poor oral hygiene. I would suggest you to get an examination done take an OPG radiograph, the tooth which can be saved can be root canal treated, which cannot be saved can be removed and replaced by removable and fixed prosthesis. For pain relief take tab almost TDS, tab dicloserratiopeptidase TDS, tab omen BD. Go for complete mouth scaling and polishing. Take care!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I guess I was raised to fear the label of malingerer more than that of recently deceased. Over the span of a few days the following symptoms have been intermittent but persistent: distention and full feeling of upper abdomen, burning in chest (heartburn), mild pain in left jaw, neck, shoulder and arm. Some swelling of face and hands, shortness of breath. Was recently treated for pneumonia but cough and congestion still a problem. I am just wondering at what point does this become emergency? I am a 44 year old female.", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. By your history and description, possibility of HERD (gastroesophageal reflux disease) and bronchitis is more. HERD causes micro aspiration and this can aggravate bronchitis and cause breathlessness. Your heart burn, upper abdominal discomfort etc. are due to HERD. So proper control of HERD is needed in your case. So avoid stress and tension. Avoid hot and spicy food. Avoid junk food. Start proton pump inhibitors and prokinetic Chat Doctor. Go for walk after meals. For bronchitis, you should first get done PFT (Pulmonary Function Test). This will also tell you about severity of the disease. And treatment of bronchitis is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS). So consult doctor and discuss all these. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a young person of 35 years, but look like a old person, skinny with sunken cheeks and eyes. my eyes look very dull. Sometimes I go blank in mind. sometimes is depressed and angry. I have piles problem. I am undergoing ulcer and piles treatment. I have taken health products by ownself but to avail. My relationship are facing problems. I am a ciggeratte smoker. please advise", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. From the given description it is very difficult to diagnose your problem. I do see some mental troubles with you. But it is premature to tag it as depression. Most ideally, you are dissatisfied with life and your health conditions. This disappointment does not amount to clinical depression. Understanding yourself and your body should give you insight. Diseases are part of life. Healthy and happy living never means disease less condition. Learn to live with problems. In case if you need more explanation in this regard, please post a direct query to me in this website. I am happy to explain. Hope this answers your concerns. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter who is 1 years old has a habit of sucking her thumb during the day and night .... I have heard about a lotion Femite which is bitter in taste to use for getting rid of such habit.... want to know how safe is it to use on kids... any side effects ?", "output": "Welcome to Ask a doctor service. I have reviewed your query and here is my answer. As a matter of fact, your child will not swallow even a little amount as it is very pungent thing. But yes, it has side effects as gastric upset, nausea, omitting and loose stools. But as I have said above, no child will suck his finger if Semite is put there. He will spit out. I hope I have solved your query. Let me know if I can assist you further in this query. With regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Post triple by-pass surgery 7 weeks. Been getting burning sensation at night while sleeping upper shoulders across back, wakes me up Goes away after approx. 5 min. but by this time I am quite anxious and BP goes up and heart pounding . Settles back down after getting up. Any ideas", "output": "Hello! Welcome and thank you for asking on Chat Doctor! I understand your concern and would explain that your symptoms seem to be related to gastroesophageal reflux. I recommend consulting with your GP for a careful physical examination, and some tests:- resting ECG and cardiac ultrasound to examine your cardiac structure and function-blood lab tests (complete blood count, cardiac enzymes, inflammation tests, liver and kidney function tests, blood electrolytes). A fibrogastroscopy is necessary for the diagnosis. I would recommend starting omeprazole or lansoprazole. If your symptoms improve by these Chat Doctor. Hope to have been helpful! Kind regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter is 4 years old and got bitten by a dog in her hand she got an Infection called cellulitis she was hospitalized for 3 days she was sent home today just want to make sure if the infection can come back Im just scared about this disease cause I heard its deadly", "output": "Hello, Welcome to Chat Doctor, Rabies is a disease caused by animal bite, it is a 100% fatal, but it is 100% preventable by proper and complete treatment. The treatment includes thorough wound wash, antirabies vaccine and anti rabies serum (AS). Antirabies vaccine should be taken intramuscularly on to deltoid on days 0.3.7.14 and 28 along with the rabies immunoglobulins around the wound on day 0. As the bite was on the hand, because of the bacterial infection of the wound area it may lead to cellulitis of the affected area. It should be treated vigorously with antibiotics like syrup Autoclave and the syrup solo. Cellulitis after treatment it will go off. The scheduled vaccination should be continued without any delay. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "History: I am 35 years old. I am a computer programmer by profession. I have been playing badminton with intermittent breaks (1-2 year at a stretch) for about 17 years now. I have never played professionally but when I do play I play it regularly and I generally play for long hours. I have been noticing that I have tired legs for past 4 years. Initially I thought maybe it is because of my habit of sleeping late, sleeping for less than 6 hours on an average and my smoking habits. But then for past 2 years I have stopped smoking and have improved on my sleep patterns. But the problem of fatigued legs, especially my knees has been increasing. Though there is no swelling or any pain in any particular area, I do not feel the same energy in my knees like before. To sum it up, earlier I had a good jump and I used to jump and smash. But now I rarely jump. I don t plan and not jump but its just that I have involuntarily stopped jumping for hitting smashes because I don t feel comfortable with my knee. I get searing pain at certain angles. I cannot climb the stairs in a carefree manner for the fear of that searing pain at certain angles. At those angles when that pain comes, I have to balance myself using my other leg or else I feel like I could not take my body weight and will tumble. I can t remember of any specific injury or anything apart from one incident when I was trying to stamp my right foot in the ground really hard and then I felt a sharp pain in my knee. The pain was a so sharp that I got scared and stopped. But it wasn t like a continuous pain but I felt that something went wrong with my knee that day. I eventually stopped playing for about a year and then my knees felt better but then what started to happen was that my knees would feel tired about playing for about say an hour. Earlier I could easily manage it for 2-3 hours with breaks between matches and occasionally sit-outs between consecutive matches. Also now I don;t jump to smash and also I don t jump to reach to shuttles near the net from center of the court. It has affected my ability to cover court during the play.", "output": "Hello, I have studied your case. As per your age and history there is possibility of soft tissue injury in knee. Most commonly meniscus injury occurs may be associated collateral ligament injury. If pain persists then you may need to do MRI knee to see for any functional defect. As per your symptoms you need to do physiotherapy and knee exercises to improve range of motion. Rest and ice fomentation along with supportive brace will help to reduce swelling and pain. Small meniscus tear can be managed conservatively with physiotherapy with USG and TENS. Meniscus injury can be managed by arthroscopic repair. There can be associated muscle cramp in leg muscles. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "im a patient of h pylori since 5 years but i knw dis now by taking my blood test report dat im having h pylori germ in my stomach having a value of IgG 28.37 U/ml &IgM 1.09 now my question is dis how can i protect my self frm dis desease also by knwing the diet plan of my daily life and also by madicine plz help me", "output": "Ok dear as u have a diagnosed case of H. Pylori disease so we will start H.pylori eradication therapy. So all you have to do is start having medications and once it is settled then you can prevent this disease by following simple preventive measures. Medications:1-Tab Azithromycin 500\u00a0mg twice daily2-Tab Amoxicillin 1g twice daily3-Cap Omeprazole 20\u00a0mg twice daily You have to take medications for 2 weeks. Prevention: This disease can be prevented by following these measures.1-You have to stop taking NSAIDs for pain relief e.g. aspirin, diclofenac, naproxen,fanatic acid. You can take paracetamol for pain relief which is not a NSAID.2-You have to modify your diet i.e. less spicy foods and avoid one large meal. Instead, have three small meals a day. 3-Avoid cigarette smoking as it causes peptic ulcers Thanks, Wishing you best of health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doc i am sajid i am 28 years n i am suffering from hair loss n i had consulted a hair transplant expert he told me that it will require at least 2000graphs to be inserted for hair transplant plz suggest me regarding it n what wil it cost plz help me", "output": "Hello, Hi SAJID A. there are two method of HT 1. DUE- more popular now. It is scarless, painless, stitches less surgery2. FUT-strip taken from the back of scalp, stitches, scars comes usually do DUE until unless somebody requests me to do FUT. In DUE grafts are taken from the back of scalp (occipital area) and implant over the bald area. It is very safe procedure and post op complications are not much. Results are good. Well about requirement of graft its very difficult say anything until I see photos of bald area and scalp. Front area takes 2500 graft usually with covering of good density." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had knots in my calf muscle for years but it has gotten progressively worse. Sometimes it is hard to walk very long without having to sit down. Sometimes the pain is really great and sometimes it is not. When the pain is there it also causes some pain in my upper leg and hip. I have had the vain and artery check which they say is ok. I also stretch my calves which does not seem to help. I also have plantar facetious.", "output": "Hello, Did you mention in history about the knots? Is it varicose veins? Have you got your Doppler done for the veins and arteries? Once checked we can find out if it is the cause for knots in the calf. Now coming to your plantar fasciitis, I would recommend you to do hot water fermentation and some balance board exercise. Usually, people have abnormal gait due to plantar fasciitis which can lead to additional biomechanical changes in the muscular system. Doing balance board training should help improve muscle Imbalance and improve the strength of the muscles. Most of my patients with plantar fasciitis response well to balance board training. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter has suffered from vertigo for more than 2 years. It is accompanied by palpitations,general weakness,a heaviness on her chest.She has been under the psychiatrist for anxiety but has had no relief after taking diazepam and seroxat.The dizziness is daily to some extent or other and sometimes she can barely stand.Problems with the ear have been ruled out.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, she should consult another psychiatrist and psychotherapist. All her symptoms are due to uncontrolled stress, anxiety and panic disorder. Counselling plays very important role in control of these symptoms. And psychotherapist are the best persons who give counseling. She will also need newer anxiolytic and anti depressants for better symptomatic relief. So don't worry, she will be alright with proper counselling and newer treatment. Hope I have solved your query. I will be happy to help you further. Wishing good health to your daughter. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "what are the long term effects of low hemoglobin? I was admitted into the hospital a week ago with hemoglobin level of under 7. I was given blood transfussions & iron via IV and was discharged with hemoglobin level of 10. I am concerned of the effects in the long run if I dont increase my hemoblobin levels.", "output": "Thanks for asking to Chat Doctor. I understand your concern.In my opinion, bodys compensatory mechanisms come into play, when the hemoglobin levels are low, and you feel generally only symptoms like palpitations, weakness,headache, shortness of breath etc.However, If anemia(low hemoglobin) left untreated, the compensatory mechanisms start to fail due to exhaustion and any other conditions, which takes years, serious problems like multiorgan failure can occur(for heart failure due to cardiomyopathy). Hope this information helps you. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "well sometimes ill be sitting, standing or walking and out of nowwhere it feels like my heart juss suddenly hesistates to beat...so it will hesistate then beat what could this be?", "output": "Hello, Your symptoms could be related to anxiety. Nevertheless, I would recommend performing some tests in order to exclude any possible cardiac arrhythmia or metabolic disorders: - a resting ECG and cardiac ultrasound-thyroid hormone levels for thyroid gland dysfunction- blood electrolytes for possible imbalance-complete blood count for anemia. A 24-48 ECG Holder monitoring would help exclude possible cardiac arrhythmia. If these tests result normal, you should consider anxiety as the main cause of your complaints. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI Doctor,My brother had a sever stomach pain in the right and back side of the Stomach. We went to a doctor and he gave a injection and pain killer where in he got omitting.Then doctor asked us to go for a scanning where in they diagnosed it as a kidney stone that is of 0.6mm and effecting the surrounding areas.Then they asked us for CT Scan where in the report is as belowa preliminary A>P scanogram of the abdomino-pelvic regions was first made. spiral scans were made through KUB reagions. emplying 8mm sections and wide latitide in wimbdow settiong coronal reconstructions were also performed.both the kindly are normal in location, orientation and size and shape and attenuations.on the right side of the mild pelvicalyectasia with ureteric ecatasis is noted down to the upper L3 level at which point loged on a nodular focus of cacific hyperattenuations of up to186HU in attenuation values and about 0.40x0.38x0.73cm in diameters distal to thus the right uerter grossly appears normal.the appendix is retrcaecal/retrocoloc in orientation and measuring approximately 0.6cm in diamiter and normal.Please let me me know the reason and what action is required. IS a surgery nessecary ?", "output": "Hi there, the CT scan report is a little fuzzy but what I gather is that there is a stone about .6 cm-.8\u00a0cm size in the rt ureter, and it is not causing any significant obstructive myopathy. The pain that your brother experienced is due to the stone moving downwards. Usually this size of stone does not require surgery and usually pass down on its own over a period of time. Though it can be painful, there are other options besides surgery like ESL to break up the stone into smaller pieces so that it can pass out in the urine. Kindly consult a urologist and get your options cleared and accordingly opt for the best kind of treatment. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i had multiple fibroids in uterus and cyst in ovary which was removed. no children-age 37. now iam feeling some heavines in my lower abdomen, severe pain on the right side of lower adbomen at times. urgency to urinate one day a clear watery secretion came from vagina.is it cancer? i have hroid problem also &pain on the back-left upper thoracic area", "output": "Hi, dairy have gone through your question. I can understand your concern. Multiple urine fibroid and ovarian cyst doesn't suggest any cancer. If you have abdominal pain then you should go for ultrasound abdomen. You might have some other disease also. Consult your doctor and go for investigation. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hiI have got LFT done in which ALT and AST , GGT and are almost triple the normal range and Uric acid test is also double . Also whole abdomen ultra sound reflected fatty liver -II and rest everything came normal including liver shape and size.Gastro prescribed :-Heptral 400 mg twice dailyEvion Vit E 400 IU dailyGlycomet 500mg twice daily(weight loss)Zyloric 100mg 3 times daily(for high uric acid)Is it safe to take all medicine for fatty liver -ii or do i need to change or add any other medicine in it ?RegardsMike", "output": "Hi. I went through your concerns regarding your condition of fatty liver and a high ALT level. It's a condition in which triglycerides are deposited in the liver. In 20% of patients which causes inflammation in the liver and high ALT level, the condition is called NASH.NASH is more dangerous than fatty liver. 20% of patients with NASH will develop cirrhosis of liver. Your condition is NASH. It is a control able condition. The first line management is achieving weight loss by lifestyle n dietary modification. You should avoid junk foods, oily foods and sweets. You should continue combination of capsule ursodeoxycholic acid 250-300 mg once a day and capsule vitamin E 200-400 mg once a day. This combination has shown promising effect in clinical trials. Ursodeoxycholic acid is a safe Chat Doctor. It has narrow spectrum of side effects like nausea, vomiting, diarrhea, headache, dizziness and dyspepsia. But most of the patients tolerate it very well. Clinical data has also shown proven role of metformin which you are already taking. You have been prescribed appropriate treatment for your condition (NASH). You should continue this treatment regimen and try to lose weight. You should continue Pyloric which is for your high uric acid. But it has no definite role in fatty liver/NASH. I wish you good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i m 30 yrs old female i m suffering from tb. my symptoms is feverish. i already taken 6 mounth madicine AKT-4 kit. then i leave after blood test. but after 1 or 2 mounths i do mantoux test it is positive what i do? i have no kids, i have problem in consive. on feb 2007 i got marriage. plz help me .", "output": "Hello were (are) a tubercular patient and took treatment for 6 months. Months test is still positive even after 2 months treatment stopped. Now for confirmation of tuberculosis get in these tests.==Sputum examination for A F B, if no sputum then get it through nasogastric tube.==Bronchoscopy, because you stopped the treatment, so this is important because Months is still positive.==Chest X RAY, particularly see healed calcified & fibrosis. Also confirm whether FRESH lesions present or not present.==Sputum for TB CULTURE and sensitivity test.==Blood test for C B C (leukocytosis in mild to moderate cases of T B) E S R (if > 100 mm highly suggestive that still T B is active).==Protein Purified Derivative (PPD0-Tuberculin Skin Test. The main question is about the lesion of tuberculosis. As far as about pregnancy, even after 7 years of married life, consult an INFERTILITY specialist and get his opinion. But I recommend you consult a CHEST & TUBERCULOSIS specialist and get his treatment. Hope you will understand seriousness about T B treatment." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am experiencing my left side lower lip shivering every now and then from 2 days. It just happens for a second and then goes off. I had problem in chewing food and now its gone. I have started with some fat burners recenly and am worried what would be the reason. Kindly suggest", "output": "Hello! Thank you for asking on Chat Doctor ! Your symptoms could be related to anxiety or an electrolyte imbalance. I would not exclude an irritation of the facial nerve too (facial spasms). Anyway, I agree with you that the fat burners can contribute to your symptoms, considering the fact that they may cause a lot of changes in your metabolism, electrolytes and even increase irritability and anxiety. If the problem persists, I would first recommend stopping these substances. If this tip does not help, consulting with your doctor and performing some tests (including blood electrolytes) will be necessary. Hope you will find this answer helpful! Kind regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "1 am a 76 year old mail- i have an enlarged prostate. recently i have found blood when going to the bath room right after having sex with- it would seem to me i still have some seman when i start going to the, and when this is flushed away the bright red blood vanishes ant my urine is clear. this has happened twice , both times as a result of our sexal activity about a month apart. i was told that it could be a result of the strain on my prostate. i had my last psa approx 6 months ago and it was under a three. i have had some lower back on and off for several years and some pain in my hip area. i did have an mri/body and it indicated my prostae was clear. any advice as i;m still worried. also had my bladder checked/scloped in the doctors office, and was told everything look normal. however i read some place that diccomford in the loer back,upper leg and hip/rump area could be a sign of prostate cancer. could you please advise if further checking is nessary? im am still very concerned. thank you very much. joe black 608-868-3413=my e-mail is YYYY@YYYY again thank you .", "output": "HIT hank for asking to ChatDoctorI can understand your concern you have already completed 75 years, the bleeding you see could due to the bladder cystitis it is common in this age group and this is not the cancer, this will come around with the \"Sodium citrate liquid\" have it three to four times in day with good amount of water, the bleeding will go away, and nothing to worry take care and have nice day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ive been having dark brown discharge about a week before my period. I am on birth control, I take the pills. Sometimes I take it a couple hours later than I should and I sex with my boyfriend. I had sex with my boyfriend when I was supposed to start my period in May but it never came because I spotted in the middle and had switched birth controls. I then had sex with him again but when I was on the pill on the 15th and he did NOT cum inside of me. Could I be pregnant?", "output": "Hello, Here, you need to undergo one blood test for beta-ChatDoctor and TVS scan (around 4 weeks from LMP) to rule out implantation bleeding. Other reasons are pelvic/ vaginal infection, old endometrial tissue, hormonal imbalance (with effect of the pill), uterine pathology etc. Following initial test reports, you consult with gynecologist to proceed next line investigation after clinical examination. Take suggestive measures accordingly. Maintain genital hygiene properly. Take healthy diet with folic acid supplement. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband has a small rash on his thigh that is cresent shaped and is painful....like he has a fever in the skin around it. It does not have blisters. There is also a rash and bump in his groin area that is particulary sensitive and also another small rash spot on his lower back. He did recently also have a cold sore on his lower lip Could this be shingles?", "output": "Hi, As per your query, your husband has symptoms of painful rash on the thigh and starting across the body which occur because of clogging of skin pores by debris and bacteria, contact dermatitis and could be due to viral infection. Need not worry. I would suggest you maintain complete hygiene and apply a cream containing atelier acid which is good for use. Apply aloe vera gel at night. If the condition doesn't get well in a week then consult a dermatologist for proper examination and treatment. The doctor may prescribe antibiotics like minocycline, steroid ointment. You should apply Melanie XL cream which is a combination of HY Chat Doctor. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, Im a 24 year Girl.... I feel choked at night and not able to sleep.. I keep coughing the whole night. One doctor asked me to go for endoscopy as he predicted That I could have thick Mucus problem.. but the test came clean and he said its all in my mind... :(But every time during this period of year when the weather changes to cold, I face the similar problem... Please help me as Ive my exams next week...", "output": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, we should definitely rule out seasonal bronchitis in your case because you are having symptoms every year in cold weather. Bronchitis is inflammation of airways and this in turn causes bronchospasm and chest tightness, Breathing difficulty etc. So consult pulmonologist and get done PFT (Pulmonary Function Test). If PFT is showing obstructive defect then you will need inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).Don't worry, you will be alright with all these. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "A couple of weeks ago I developed a sharp pain in my upper back just between my spine and left shoulder blade after an intense work out. It has seemed to get better over time but I find it to get easily irritated again when I m doing alot of physical activity. Sometimes the pain will even radiate down my left arm and cause my hand to tingle. From what little research I ve done I wonder if I may have spinal facet lock...does this sound right? And if so, will it eventually go away or do I need to be seen by a physician?", "output": "Dear user, Thank you for contacting us a Chat Doctor for more info on your symptoms. First It's good to search through the net for diagnosis, but sometimes this will cause anxiety because of many syn Chat Doctor. Nevertheless to diagnose spinal facet what you need to do is during the acute attack to visit your doctor and ask for plain anterior-posterior (front-back), lateral (side view), and oblique (off angle) X-ray a CT is even better, and he will tell you if he notices changes, another thing is to inject the facets with a cortisol and check if that reliefs the pain if it does then it is facet. Treatment can be surgical or non-surgical, non-surgical such as posture control, NSAIDs intake, etc...hope that helped. Best regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi i was last on the depo in january of 2013. I am 32 years old and have went back for any of my injections for about five months now. My last period was May 31st until June 5th. Me and my husband have been very active alot but I still have negative pregancy tests. My period did not come on and now its July. I am having crazy food cravings, constipation, and frequent urination. I dont know whats happening and I believe if I go to the clinic and get a blood test, its gonna say negative. I am totally confused maybe I am pregnant, or maybe not. Help!!", "output": "Hi, Welcome to Chat Doctor, By 5 months the effect of demo should not be there. You may wait for few more days to go for urine test for pregnancy. If the period is not regular and late ovulation fertilization time may be delayed. It will be better to consult gynecologist in case your pregnancy test remain negative and not having period for a check-up. TO ENHANCE THE CHANCE OF PREGNANCY YOU MAY CONSULT YOUR DOCTOR AND GET BOTH OF YOU EVALUATED AND TAKE MEDICINES AS ADVISED." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son 15 months old has running fever, cough and loose stomach for last two days, we have given Meftal along with CEFI now doctor changed the CEFI with Novamox 30ml, please advise if it is safe and will be effective as earlier combination of meftal & CEFI not worked", "output": "Hi... Thank you for consulting in Chat Doctor. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15\u00a0mg/kg/dose (maximum ceiling dose of 500\u00a0mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Meftal-P contains Metonymic acid which is a NSAID. It carries the risk of gastritis and renal problems in the long run. Please do not use Metal. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "During pregnancy i hard bad allergies, i notice a little lump on the left side of my tongue its not painful dont even notice its there unless I look at it. But I notices every time my sinus get infected badly it grows a little. just a pea size. i am very worried. could it be a sign or oral. I am 28 years dont smoke or drink.", "output": "Hello and welcome to Chat Doctor, Gum infections are common during pregnancy. Such pregnancy gingivitis has to be treated by maintaining good oral hygiene. Get your teeth cleaned. Use chlorhexidine mouth rinse to gargle. Rinse your mouth after every meal. Get the pus within the lump Chat Doctor. Please do visit your dentist for further evaluation. Use soft-bristled toothbrush to clean your teeth. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a accident last month at the beach body surfing where i hit the ocean floor head first. I has a ct done and it stated i had a prolapsed disk at c4 - c 5. Im now having erectile dysfuntion and vertigo symptoms. What type of doctor should I go see? Im not really having much back pain or tingling of arms.", "output": "Hello and. As a Urologist, I must advise you to consult a neurologist first. A prolapsed disc is a significant finding, and unrelated to ED(erectile dysfunction). Vertigo is likely due to the injury, due to inner ear problem. That's easily treatable after identifying the cause for it. Linearizing and prochlorperazine are commonly used.ED(erectile dysfunction), will need to evaluated after resolution of the disc problem. If you want my expert opinion, send the report as a direct question. Chat Doctor. Manga." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had a migraine for the past five days. I think I may have a sinus infection. Im having trouble seeing clearly (my vision is great) and also sensitivity to light. If I lie down the pain increases and also if I tilt my head forward. If I tilt my head backward only while sitting up I get some momentary relief. Also when I am able to blow my nose that provides temporary relief until it fills up again. My nose is not always blocked up but I know there is mucus in my sinuses because I can feel the pressure in my face. My cheeks are also more red than usual. Are there any home remedies for clearing up a possible sinus infection?", "output": "Helloo.read through your query...I suggest u follow this regularly, and it will prevent your sinus probs.1)do steam inhalation(with picks) for 15-30mins daily morn and night2)practice breathing exercise(Panama)for 15mins3)practice yoga or any other exercise for 30\u00a0mins 4)avoid any allergic agents like dust, pollen,cotton etc.5) Chat Doctor. .it will benefit you.I have experienced it...be happy and follow. Hope your benefitted something from this reply.have a healthy day!!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a girl of 25yrs of age am married but is yet to conceive, were I live we use a public toilet please tell me can toilet infections stop me from getting pregnant ? 2, how can I cure or prevent toilet infections", "output": "Hellotoilet infections do not prevent but at same time it's not healthy to have recurrent infections even prior/post confinement. Try and keep toilet clean. Personal hygiene to be maintained. Make sure you clean your vital parts after using the toilet. Wash your hands. Chat Doctor. 5-3l/day.take it c supplements or in diet.in case of developing burning sensation of urine or frequent urination get a urine routine test done.TC" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I always feel like I have to vomit but can t. It is very rare that I actually throw up. Sometimes when I eat spicy aciddy foods it result in me having that vomitting feelin again. I also get pain in my chest/ stomach a lot it s an intense throbbing pain and sometimes may burn . Now that I am on my menstraul cycle the pain is even more intesefied and vomitting feeling has increased.", "output": "Hello Good Evening, According to your symptoms you might be suffered from Gastric or duodenal ulcers which cause pain/burning sensation and nausea and even vomiting. After having spicy food your symptoms rise, because there is physiological more release of acid for the digestion of food. For the confirmation of your diagnosis you should go through UGI Endoscopy. After that you should be prescribed PPI, Risperidone, Antacids and Sucralfate as per guidance of your GP. Following steps should follow to lessen your symptoms:-Walk after eating a meal.-Exercise-Avoid coffee and chocolates.-Avoid Meals that are high in fat.-Avoid extremely hot or cold food.-Avoid alcohol and smoking" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i am sandhya. frm india. my daughter is suffering from cold and cough,since 5 days.as prescribed by doctor i am using asthalin, azithral 100mg 5ml 2-times a day and also ascoril d but she is having vomitings also due to cough. canu suggest me watcan i doin this case", "output": "Hi... Thank you for consulting in Chat Doctor. Cough and cold are viral 95% of the times in child Chat Doctor. For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. I am unable to tell you whether you can use any specific cough suppressant or not as you have not mentioned the age of your daughter. Some cough suppressants should be avoided till 2 years of age. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dr my son is 4 and a half, he had his first full front teeth extracted due to cavity 2 days back. He recovered well. Suddenly he is running a temperature of 102deg is this something to do with his dental procedure or we should consult our pediatrician.", "output": "Thanks for your query, I have gone through your query. The fever can be because of the inflammatory reaction that occurs following extraction. Nothing to be panic, you can take a course of antipyretic like paracetamol along with antibiotics like penicillin(if you are not allergic). If the fever does not come down in 2 days, then consult a physician and get it evaluated. I hope I have answered your query, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 31 weeks pregnant and have been having soreness - painful soreness- in my sternum for several days now. The pain also goes into my right breast and even had the veins in my right breast looking almost bruised the other night. Is this something to worry about? It has lasted for 4 days now and I have a doctors appointment scheduled in one week, but should I seek out an earlier appointment? I am 32 years old, 31 weeks pregnant.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Yes, you should definitely consult your doctor immediately and get done clinical examination of local part of right breast. You are having pain and bruised veins on that part of breast. These are seen in breast infection like breast abscess. During pregnancy, there is milk production in breast. Since you have not delivered, this milk will stay in the breast and make breast engorged and tender. It also causes infection and this can lead to abscess formation. So better to get done clinical examination and ultrasound examination of breast as soon as possible. You may need antibiotic, anti-inflammatory and painkiller Chat Doctor. Application of warm water pad on affected areas is also beneficial. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am interested in getting a evaluation done, when I was younger I was told I have a learning disability, and I am really having a hard time in the last couple of years with work and home by staying focused and am not able to get anything done. I just don t have the energy to the finish my projects. And its only getting worse. is there any relation between two problems.", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. Definitely I do not see any relationship with childhood learning disability and the current problems. The current problems you are facing could possibly due to stress. You are unable to focus on work or loosing interest or loosing energy to finish projects. You could be stressed, disappointed with some life happening or having low self-confidence due to life events. Please do not compare present with past. SucChatDoctorparison leads to relate everything with past negative episodes and even in present, we see negatives. Never do that. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had constant lower back pain since the delivery of my daughter 9 1/2 years ago. I was placenta previa and had an emergency c-section which required a spinal block. I jumped when it was being administered so they had to go in again with a bigger needle. The next day I had a blood patch done due to fluid leakage from my spine.The spot was tender for almost a year. Since then my lower back pain has worsened. I am also now 2 inches shorter. Over the past two years I have developed shoulder and hip pain . This prevents me from sleeping most nights. I have also been experiencing horrible knee pain when I bend them. I am only 34. This is making it hard for me to even walk. Also when I rotate my hip I heaand feel grinding. Any advice?", "output": "Hi, Thanks for writing in. Since multiple joints are involved in your case, I seriously doubt that it is related to the delivery of your daughter. Although the low back pain may be related to a faulty posture, the first thing that we need to do is rule out an arthritis which could be involving several joints. The conditions I would like to rule out are rheumatoid arthritis, infectious arthritis and a seronegative spondyloarthropathy. I would suggest you see an orthopedic surgeon at the earliest. We would need to run some tests and do a proper examination so that a proper cause can be found and treatment can be started. Hope this helpsRegards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My girlfriend was recently diagnosed with PID and treated with doxycycline and metronidazole for two weeks. I was given a week long course of 200 mg/day of doxycycline. We were both tested for HIV, syphillis, gonnorea, chlamydia but all tests came back negative. We have not have sex for two weeks while the drugs were taking effect. I m now finding that when I masturbate, the head of my penis has red with small red bumps and my foreskin becomes red and itchy. I m also getting a clear discharge when erect. Please help!", "output": "HiT hank you for asking Chat Doctor. I have gone through your query. Your problem can be most likely due to yeast infection. This can be a side effect of antibiotic therapy. Antifungal ointments like fluconazole for local application will be helpful for this. It is available as over the counter in brands like captain. Avoid washing the area with soaps or irritants. You can use warm water or saline for this. Hope this may help you. Let me know if anything is not clear. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am having a huge problem!I am having a severe pain in my lower right abdomen, it comes and goes every time I get up and it even hurts sometimes when Im lying down. I am having this problem for 36 hours now. I have been to the E.R. this morning, they took my blood, urine, temperature, etc, everything is fine. My white blood cells are in the normal range. No nausea, no fever, no vomiting, nothing. Still this pain is excruciating. From the E.R. they gave me an anti-inflammatory drug and sent me home. They said its not a hernia, not appendicitis. What in Gods name can it be???", "output": "Hi. Thanks for your query. Your history looks like appendicitis or Nephritis (inflammation of the cecum) or right ureteric stone or so. If the pain is coming and going the possibility is more of an impacted stone in the right ureter. The blood, urine and everything else can be normal. The proper diagnosis can be made only on a high resolution ultrasonography and / or CT scan of the abdomen. Insist for one. Get the diagnosis and get treated accordingly." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "what is the treatment of globus bilateral pallidal calcification?is it harmful.actually my mother suffer that problem in the age of 50", "output": "Hi!welcome to Chat Doctor .com. The globes pallid us is a part of the brain that helps regulate movement. Calcification of it can be a sign of a neuropsychiatric disorder (idiopathic basal ganglia calcification) that may present itself as having difficulty performing movements and some psychiatric problems such as difficulty concentrating and/or memory and personality changes. However, in age 40 and elderly it is a sign of age related change. Hope she doesn't suffer any symptoms. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Abdominal pains/upset stomach occurred after using Keflex 500mg by 4 per day. Took these for 6.5 days then stopped after consultation with Surgeon. The upset stomach problem settled down somewhat after some 7/8 days but even now I still get twinges some 14 days after stopping them. The problem started after taking the medication for just 3 days. Do you have any thoughts about about this? Thankyou, Don Safstrom", "output": "Hi. Keflex 500 four times a day can cause gastrointestinal flora disturbance. The normal bacterial flora of the intestines is disturbed and a person suffers from bloating, loose motions, pains in abdomen and so on. Your problem started 3 days after you started the Reflex, so the cause of your problem may be different. Start the treatment with Probiotics and prebiotics to replenish the bacterial flora of the intestines. Get the stool tests done, an ultrasonography and colonoscopy to rule out other causes. Treat the obvious problem if found with antibiotics, metronidazole. Take activated charcoal tablets, banana and curd, a natural probiotic. Consult a Gastroenterologist." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir,Last few months or say around a year....In my mind think such unwanted things... They fully depressed me in all time ....I know the questions or thinking comes on my mind is unwanted or waste there is no mean in real life......in other I think as..... I correlate the all things to the nature, to the rules of nature........Sir please give me some recommendation to I prevent myself....please sir..", "output": "Degree understand your concerns went through your details. You have not mentioned you are here. First, I request you not to worry regarding your current mental state of affairs. In my opinion, the given information may not be enough for a proper diagnosis. But, I think your problem is not depression, but disappointment. Your negative thinking and unnecessary thinking could be due to obsession with the disappointment happened to you, the reason for the disappointment. Introspect, understand your disappointments, try to correct them. Interact with people, be active, play games, work well. Everything comes together to manage your disappointment. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Is chest pain that radiates to the arm is a symptom of pulmonary tuberculosis? My friend has been diagnosed with PTB and is having chest pain. She started her PTB medication on May 26, 2012 or a month ago but she still feels pain in the chest area. Is it normal. How long will the pain go?", "output": "Thanks for your question on Chat Doctor. I can understand your friends situation and problem. Treatment of tuberculosis is long, for at least 6-8 months. So recovery is also delayed. Usually recovery is expected after 2 months of regular treatment. Tuberculosis causes pleurisy (inflammation of pleura). And this causes chest pain and arm pain. She is on treatment since 1 month and so it is very early to see improvement. In my opinion, she should take treatment for 1 more month because usually 2 months are required for clinical and symptomatic improvement in tuberculosis. If after 2 months, she is still having pain than get done chest x-ray and sputum report to rule out Chat Doctor. But at present, wait for 1 more month. Hope I have solved your query. Wishing her good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, My name is Kelly. I was just wondering if anyone could help me understand why it s taking so long to get pregnant after the depo shot. I ve been off of it for 9 months now and I have recently seen dark brown spotting but only once and it hasn t come back. I was on the shot for about 4 years. My husband and I would really love to have a kid. Please helps. Tia (:", "output": "Hello, and I hope I can help you today. Unfortunately, Depo-Provera is a very long-lasting contraceptive. For convenience\u2019s sake, having to only worry about birth control every three months is extremely helpful. However, in some women, normal ovulation can take many months to come back some even up to one year. The reason for that is that the hormone that is in Depo-Provera is designed to be long-lasting and different people metabolize the Chat Doctor. Also, the fact that you had been on Demo for four years, and likely you did not get your period during that time is a sign that your estrogen levels also had been suppressed by the medication. If at one year since stopping the Depo-Provera you do not have any sign of real menstruation, I would recommend that you and your partner see a gynecologist for evaluation. They could do an analysis of your hormones, and medication to help stimulate you to ovulate again may be a possibility. So I know it is difficult, please try to be patient if at the end of three months you still have not resumed normal menstrual cycle, I would recommend evaluation by a gynecologist or endocrinologist to evaluate why you are not menstruating. It may be recommended also for your partner to do a semen analysis, as most doctors want to know that there is no male factor involved in your fertility issues. I hope I was able to adequately answer your question today, and that this information was helpful. Best wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am looking into birth control. I have never had intercourse, but will be getting married and we are not looking to get pregnant right away. I have never taken a birth control. I have a high stress, constantly moving career, and am in need of a birth control that will not create to much of a disrupt in my life. What recommendations could you make", "output": "Hello misunderstand your concernNewer birth control pill like yam, ya mini and felon have very few side effects. I advise you to take any of the above birth control pill. You have to use pill regularly on the same time. You have to make habit to take regularly by putting reminder in the mobile. As you are using it first time there may be chance of delay period. If you miss one pill then take it as early as possible or on the next day with the that day of pill. If you will miss two pills then take two missed pills along with nest day pill and use barrier contraception like condom foe next 7 days. Other option is barrier contraception. So convince your partner to use condoms. Hope this may help you Best regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a fall the other night and split my eyebrow, bleeding stopped and has scabbed over now. Yesterday the swelling was above my eye but that has reduced. Today I have fluid underneath my eye. I have no difference in sight or anything and hardly any pain at all its just annoying because the fluid is making it a little hard to see out of my eye. Just wondering If the fluid will go away by itself or will I have to see a dr? Any help would be great. Thanks in advance. Tracie", "output": "Hi, Thanks for writing in. It is important to know if the injury area is developing an infection. This can only be confirmed after seeing a doctor. To avoid infection you need to take a course of antibiotics. A short course of broad spectrum antibiotics is important. Also, a tetanus toxic injection need to be taken. You can take diclofenac and serratiopeptidase tablets for faster healing and pain relief." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My cousins child had been identified with dengue fever last week and admitted in hospital with platelet count around 1lakh. She got discharged 3 days back and started having loose motion green in color from that night itself. dr gave medicine for diarrhea; the color has changed but still she is passing stools very frequently and they are very loose. What could be the reason?", "output": "Reclothe acute episode of uncomplicated dengue fever usually last for a week. This diarrhea is not related to dengue illness. The loose stool may persist for 5-7 days. The main aim of management in diarrhea is to prevent deny Chat Doctor. Give her Zinc syrup with some probiotic for early recovery. If there is decreased urinary frequency or decreased oral acceptance consult your doctor immediately. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Respected Doctor, my father have probloum in his heart.we have don all heart test.now doctor told us.his heart is working only 25% and some vain have also workin only 20%.but he is looking very healthy.he dnt feel pain but he feel his heart beeting fast .now doctor told only they have to go for medicen ther no tretment.no heart surgry or no stunt.only they have to eat the medicen.pls give me answer how mutch this danger.or ?????.your well wisher.shahid", "output": "Hello! I can understand your concern for your father.1. The conditions you have written indicate that his heart is having its 20-25% capacity to supply blood to the whole body.2. His heart is working more to pump blood everywhere, so his pulse is fast.3. He is not doing any work, so his heart is able to cope up in resting phase.4. The medicines he is taking is relieving his pain. 5. The condition of the heart is such, that it will not tolerate any anesthesia. Other blockages in the arteries, and possibly the loss of pumping capacity, which is called failure, are complications which make operation impossible. Please continue the medicines for a good quality life. If there was any surgical treatment available, the doctor would have advised you. Best wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have noticed i have a slight tear under my penis i think its the frenulum tear. Symptoms are my foreskin is swollen and red, when i urinate and it runs down over the cut/tear it stings really bad for a few seconds. Also i seem to be leaking some fluid like substance and it has a smell to it. What is my problem?", "output": "HelloThanks for query. Based on the symptoms that you have described you seem to have infection of foreskin (Prostatitis). Many a time it is a presenting symptom of Diabetes hence get your blood sugar test done to rule out Diabetes. You need to take broad spectrum antibiotic like Definite and anti-inflammatory Chat Doctor. Ensure to wash your genitals with warm water twice daily. Ensure to avoid sexual encounters till it heals up completely." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had to put a few things up in the attic today. When I went to close the overhead door the string on it snapped and I fell backward hard. My boyfriend aid I flew in the air before I landed on the floor. It happened about 10:30 /11 this afternoon but my back still hurts really bad and its hard catching my breath. I have a bad headache too. Should I take something or go to the doctor?", "output": "Hi, Welcome to Chat Doctor. After going through your query I think You are suffering from acute backache after injury. Treatment of it is rest and analgesics. Diclofenac three times a day after meals is effective. Sometimes strong analgesic(such as attract three times a day after meals) is required. OMEPRAZOLE before meals prevent acidity caused by analgesics. You can discuss with your treating Doctor. There are three possibility, one is simple muscle injury, second is disc prolapse and third is compression fracture of vertebra. To further investigate MRI of the region is advised. You are advised to see orthopedic. I think your query answered. Welcome to any follow-up query" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 31 years old 163 cm tall and 51KG.i am having spasmodic pain in my chest,it feels like \" quick squeezing\" and is irregular but probably a couple of times every couple of minutes , it has been going on for 2 days, the pain is probably a 2 out of 10 for severity, each time it happens i feel I need to catch my breath. otherwise I feel absolutely fine.", "output": "Hi welcome to the Chat Doctor Here cardiac causes has to be ruled out first... Your work up should be done as follows .... -Auscultation -EKG -CBC with HE estimation -Chest x-ray if needed -echocardiography if needed -Blood pressure measurement -Tread mill According to cause further specific treatment given Excess stress sometime can lead pain.... So avoid stress... You should consult pulmonologist or cardiologist for examination and further work up Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My four year old daughter has been excessively sweating under her armpits. She has a twin sister who does not have this problem. I thought that young children do not sweat so much that you could smell body order under their arms. Please advise. Thank you.", "output": "Hi, this is focal excessive sweating commonly seen in young child Chat Doctor. In healthy child, causes are excess physical activities, anxiety, spicy diet, too much cold water, excessive heat or might be genetic (no comparison with twin child)Generally sweating occurs in body to lower down the surface temperature and to cool down skin. Treatment, you can apply antiperspirants(aluminum chloride) or topical anticholinergics which will reduce sweating to some extent. This kind of problem subsides usually as with the growing age. No need to worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doctor, my daughter is 2 yrs n 7months old. she won t eat, she dont like to eat food.my friend suggested me to give her medicine. i m giving her APTIVIN n PAPYTAZYME SYRUP. so can u pls tell me these both medicine is safe for her or not. and 1 more question is she always suffer from very bad cough, we check with doctor n we have done some tests for that every report is normal than why her cough is not going", "output": "preferring milk to food is common in toddlers, and It's important to distinguish a behavioral issue from an organic cause, did you notice that she might not able to eat because she feels pain ? Or it is a preference issue ? If it's a preference, then cut down the milk and make her hungry a little and offer her sweet food first, mixing with that a little vegetables and fruits. don't use conditioning (prize for eating) method, because it will not help .the papytazym is used in cases of suspected herpes and oral pains, if nothing is there don't use it action is an antihistamine which used in Cases of allergy. For the second question : the most common cause of Cough in child Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 64 yr. old female. I have been told that I have a benign cyst in my pancreas that requires surgery. If I do not get the surgery I will need to continue with endoscopies. I have been get these every 6 mos. and it is taking a toll on me. I get pancreatitis every time I have an endoscopy. I understand that if no surgery, it might turn into cancer, but what is the survival rate for this surgery, how invasive is it and approximate re-cooperation time. Also, if not malignant, why the surgery?", "output": "Hello, pancreatic cysts are sac like pockets of fluid on or within your pancreas, most pancreatic cysts are not cancerous & many donor show any symptoms, but some pancreatic cysts can be cancerous. Sometimes it's not be able to tell whether a cyst may become cancerous. Your doctor may recommend monitoring cyst over time for changes in size or shape that may suggest the need to remove it surgically. Some cysts have low potential for becoming cancerous, & your doctor may recommend watching them carefully. So your recommended for regular endoscopies to ensure any changes, in case you're not willing for the surgery. Hope it helps, Take care & please do keep me posted on how you're doing or if you have any additional doubting regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a sharp pain when I sneezed just now in my lower right stomach. I had pains before a few times in the same spot when I bent down to pick something up. It felt just like a leg cramp in my stomach muscle and I had to wait until it stopped cramping before I could move again. My first thought is a hernia but I see or feel no lump there and it probably is not a appendicitis because I have not lost my appetite or had fevers. wondering if I need to go to a doctor. I am a 41 year old female who had kids before and thinking my stomach muscles might just be ruined from the stretching of the babies growing.", "output": "Hi ! Sometimes a developing hernia in its initial stages may give rise to such sharp pain on coughing. You may not be able to see any lump initially until the hernia protrudes out. Any intro abdominal organ when inflamed may give rise to pain in the abdomen with every movement of the abdominal muscles and the parietal peritoneum with it. Appendicitis is an example of it which does not look to be so in your case. However, if the pain persists and disturbs you in your normal day-to-day activity, then you may have to consult a surgeon for getting examined clinically and further needful. Wishing you all the luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Doctor, i am 31 year old male and have recently undergone through pre employment medical check up and it was found that i have sgpt- 48 and lymphocyte-41 except this all test are absolutely normal test includes LFt, Lipid profile serum, urine rotine and microscopy, CBC and PT/PT-INR. So please suggest what to do(precaution and prevention) to get this reduced.", "output": "HIT hanks for posting your query to Chat Doctor . I think there is nothing to be worried or concerned of these reports. These are minor elevation and can happen due to simple causes like a Viral or bacterial infection. Even one booze of alcohol can elevate your liver enzymes (but not Lymphocyte). At present no precaution or prevention is required. Only one thing if you are consuming alcohol kindly stop it for few months. Repeat SGPT and Differential Count after 3 months and revert." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my three year old has a red earlobe at the back of one ear . I recently put new earrings in but if it was the earrings then both ears would be inflamed? I may have tightened on earring too much and now for two days have been using savlon antiseptic cream on sore ear but it s still red. She doesn t have any illness with it.", "output": "Dear Sir/ Madam, Thank you for posting your query at Chat Doctor.comes, this is inflammation caused by new earring(could be the way it was made to wear, due to process of ear puncturing, too much of tightening of earring). I advise you to remove the earring and do not use any antibiotics for now. DAP the ear lobe with Luke warm water multiple times in day and Chat Doctor. If still does not heal in a couple of days, consult a pediatrician, for the further course of action. Once it heals, make your child wear easy and loose type of earring. And ensure the part is " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been getting electric like shocks in my left chest for seconds at time and then they disappear. In addition, I am having pain down the middle of my neck. It was only on the left side, but now its on the right too. Could these be related? Im confused. Thanks!", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. Electric shock like feeling in left sided chest with neck pain can be due to heart diseases like angina or arrhythmia. So better to consult doctor and get done 1. Clinical examination of heart 2. ECG 3. 2d echo 4. Holder monitoring (24 hour continuous monitoring of ECG). If all these are normal then no need to worry about heart disease. Sometimes stress and anxiety can also cause similar symptoms. So avoid stress and tension, be relaxed and calm. Don't worry, you will be alright. But first rule out heart diseases. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I am 45 year old male. I have been having pain in my right foot. First it was my big toe joint on the inside of my foot. Very tender to the touch or if I bumped it. Would send frequent pain bursts into big toe. Now it also includes my littl toe. If I put pressure on my foot to pivot, my little toe will send shooting pain into my foot. I still have the big toe issue as well. Any ideas?", "output": "Hello, This sounds to be an increasing level of uric acid. Kindly get this checked. As due to increase in the uric acid levels there might be symptoms of the foot pain, toe pain etc. Monitoring the uric acid levels with the help of medicine should provide some relief. Consume more water and pass more urine to reduce the uric acid levels in the body. Also, I will advise doing simple exercises at home to improve the strength in the muscles of the legs. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I started treatment for chlamydia 3 weeks ago. I underwent a 1 week course. I was told no sexual contact during treatment week and the week after. 5 days after treatment finished I had protected sex once with my partner who started the same treatment as me at the same time. I am worried about re infection, is this possible? We had no unprotected sex or oral during the week of treatment and the week after", "output": "Hello and welcome to Chat Doctor. Thanks for putting up your query over here. There is less chance of transmission of sexually transmitted disease during protected sex. This is true in case the condom was fitted properly all throughout the act and there was no event of tearing. But still, it is advised to refrain from sex for few days as it interferes with healing process. Mucosa becomes more prone and sensitive. Also healing process is interfered during menses. Keep doing proper follow up with your treating doctor and discuss this incident with the doctor. Hope I answered your query. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Im 38 yrs old and had 2 sinus surgery about 3 yrs ago. Everything was fine until about a month ago. I got another sinus infection and its real bad and wont go away. Doctor wanted me to gov5o Ent and said would prob need 3rd surgery. I had appt set up to go toENT march1. I just found out yesterday I am pregnant. This infection is killing me. Pain is unberable and face is swollen. Will they still do surgery if pregnant?", "output": "Hello, As per your clinical history is concerned, please follow like this:1) Do a clinical examination by your Doctor and do a nasal endoscopy and sinus culture. Discuss with your Doctor to manage it in the conservative way as much as possible and if a surgical procedure is required then do it after child delivery only.2) Do use saline nasal irrigation and discuss specific antibiotics as per sinus culture report. Do follow lifestyle modifications like this:1) Try to avoid upper respiratory infections. Minimize contact with people who have colds. Wash your hands frequently with soap and water, especially before your meals.2) Carefully manage your allergies. Work with your doctor to keep symptoms under control. Do a blood differential count every month.3) Try to avoid cigarette smoke and polluted air. Tobacco smoke and air contaminants can irritate and inflame your nasal passages.4) Use a humidifier in your be Chat Doctor. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I noticed a small swelling on both my cheeks. It is below the eye but on my cheeks. Although it is not very prominent I noticed it 2 nights ago after removing my make up with make up remover pads. I used these pads a few times before too. But I also feel I might have exerted more pressure to remove my make up under the eye area. Its not painful either. It just looks a little puffy if you look very closely. What could the problem be? How may I subdue it?", "output": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. It is type of swelling. Usually it is harm less. It arises when you are on stress, or you have not taken enough sleep. It is nothing to worry. Furthermore, it will go with its own. You can take good sleep approximately 8 hours a day. Avoid excessive stress. This small measure can remove all the swelling you have. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I recently had a rusty nail puncture my hand between my fingers quite deeply, very little blood when it happened but I could see down inside the puncture wound the bits inside. I went to the hospital where they washed my hand in iodine and glued me back together also had my first tetanus jab. now the swelling has mostly subsided I am experiencing shooting pains up along my fingers and a crunching sound in my jaw. the pain in my fingers is quite substantial. do I need an xray to see if any damage has been done", "output": "Hi, I value your concern regarding the symptoms. I have gone through your symptoms, and in my opinion you should first take Tab Tramadol 100\u00a0mg to relieve you of your pain, then an X-Ray is a must to see if there is any phalanges fracture. Also I would recommend a short course of antibiotics to prevent any infection from the injury. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. Special note-Any medication prescribed needs to be taken after consultation with your personal doctor only." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello i am a male 24 years old.i shaved my pubic hair scrotum area and around and now it itches like hell continuously and i scratched it causing it to swell on scrotum region where i specifically scratched.the itching doesnt go away.i wash it with dettol or savlon and the itching stops for a while like an hour or two then gain it starts.please help.", "output": "Degree understand your concerns went through your details. Itching can happen due to irritation and inflammation or certain types of skin allergy. You should check the razor with which you had shaved that part. There could be some allergens. Maybe the allergens were already there, and it got agitated when you shaved the area. In any case, to treat itching for the time being, you can use warm water. Clean the area with warm water twice or thrice. Fix an appointment with a dermatologist and consult him. If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail. Hope this answers your query. Please feel free to post follow-up queries. Available for further clarifications. Good luck. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband suffers from high bp he is on medication ,he takes enam 10 and eslo 5 regularly.he is non alcoholic ,works out daily and does not smoke too.his bp problem is hereditary,when he sneezes he feels a sharp pain in the chest. His age is 32,what should he do to further treat his problem.", "output": "Hello! Welcome and thank you for asking on Chat Doctor! Regarding your concern, I would explain that his symptoms do not seem to be cardiac related. They could be related to musculoskeletal pain or inflammation. You have nothing to worry about! I recommend consulting with his attending physician for a careful physical examination, a resting ECG, a chest X-ray study and some blood lab tests: - complete blood count- inflammation tests (PCR, sedimentation rate). You should discuss with his doctor on these issues and the proper treatment based on his test results. Hope you will find this answer helpful! Best wishes, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor i want to ask u that which laxative is safe for achild of 1year my child is 1 yr s & he is having severe constipation during defecation he feels very pain he passes fecoliths doctor has recomended so many laxative milk of magnesia,lactulose,sodium picosulphate & now this laxopeg sachetz but every time i feel insecure to use all this can you suggest me best & safer laxative & for how much time this constipation will remain to him any herbel way out to eradicate this", "output": "His can understand your concern regarding constipation in your child. You have used many laxatives till date. But I would like to know whether you have evaluated your baby for this constipation. Your baby needs some blood investigations to rule out thyroid dysfunction, any intestinal anomaly should be ruled out. You may try following:1] Chat Doctor. 2] use diluted juice with water or plain sugar water.3] High fiber diet.4]Flax oil one teaspoonful in a day.5] You may use glycerine suppository. Hope this helps you. If so do vote." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my son is 18 yrs oldhe just turnend 18 for the last 3 days he has congested and coughing up alot of phlem and saying he feels like hes choking on it when he is sleeping just now went to bed after being up for36 hrs straight. he aso had a bloody nose and coughed up some blood and complaining of some pain in his chest from coughing we have no family dr. what can i o to help him please help I also had a mi cerbereal stroke 2 yrs ago in june so can you help find a family r. that takes medicaid we live in Arvada, Co. of of 76 need a close by dr please and thank you so much. God Bless you.", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion you should consult pulmonologist for your son. His symptoms like chest pain on coughing, blood in sputum, chest congestion etc. suggest possibility of lung infection mostly pneumonia or tuberculosis. So consult pulmonologist and get done1. Chest x ray2. Sputum examination for tuberculosis.3. Sputum culture and sensitivity4. CT thorax if chest x-ray is inconclusive. If all these are normal then valvular heart disease can be the cause. As it can present with similar symptoms. So get done 2d echo to rule out cardiac cause." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My five year old constantly complains of a tummy ache right behind her belly button. She tells me it s like someone punched her. We have tried doing the dairy free approach and nothing. It happens at all times during the day...even at night. She s not constipated. Any suggestions?", "output": "Hi, Before commenting about the causes, it would be better if we know about the duration of abdominal pain and any aggregating or relieving factors. Any night awakening because of abdominal pain? Any recent history of viral infections? Any altered bowel habits or blood-tinged stools? Her weight and growth pattern? Her schooling and absenteeism? Anyone in the family has migraine history? I know you are worried, but we need these details before commenting on the causes. I would advise you to visit a pediatrician to examine your children tummy to rule out any surgical causes. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My partner suffers from Steven Johnson syndrome due to an accident back in 2004 he has metal plates in his head he recently has felt as if the metal plates are cracked and moving apart now for the past 3 days he has had a severe headache followed by a severe nose bleed that lasts for anything from 10 mins to 30 mins resulting in the headache clearing He is awaiting an appointment with neuro surgeons any advice", "output": "Hi, I would explain that his symptoms could be related to uncontrolled high blood pressure or an infection (considering the fact that he has metallic plates inside his head). I would recommend you to closely monitor his blood pressure values. It is also important performing some other tests: - a brain CT scan - complete blood count- coagulation tests- PCR, sedimentation rate for inflammation. Hope to have been helpful! Wishing all the best, Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,I am suffering with harpies viral infection in my left side of neck till shoulder. Today is the 4th day. I have started taking aciclovir 400 tablet 5 times a day and applying aciclovir cream 3-4 times a day. Is it the correct way to cure it? Do i need to take anything more? How many days will it take to cure it (approx)?", "output": "Acyclovir is a specific treatment for the harpies viral infection. You have to take the medicine for 7 days. The vesicular lesions may disappear after 2-3 weeks. However, if the pain is very severe you may need additionally corticosteroids medicine for 1-2 weeks after which this can be stopped gradually by tapering the dose for 1-2 weeks. In some people the pain will persist for 6 months to 1 year (post -hype tic neuralgia). In such a case Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am having high SGPT level 109 ? how to lower it? Reason as to why so high? In a recent medical test it is found that my SGPT is 109. I am not an alchoholic i drink 3 PEG BRANDY TWICEl IN every week. I was not taking any medicines for any ailments. I do eat food from outside as i am staying away from home. Tell me how i can lower this. 2.5 MONTHS AGO IMPLANT REMOVAL (PHILOSPLAT)SURGURY AT SHOULDER And why this has happened", "output": "Hi. Thanks for posting query at Chat Doctor. Value of AST or ALT greater than 85 or above maybe investigated further. HAV, HBO, CV, Alcohol ingestion, obesity are common causes of liver disease. Rule out HBV and Usually ALT or AST values higher than \"two times the upper normal limit\", is considered abnormal (in some countries, ALT or AST values of more than 100 are considered abnormal). Advice for fatty liver:- abstinence from \"Alcohol\" - LOW fat diet should be followed, AVOID junk food and beverages-decreased oil consumption (oily food)- NO red meat-green vegetables should be ingested daily-use lemon juice (lemonade) once in a day-reduce weight if overweight/obese-\"recheck liver enzymes after 6 to 8 weeks\" and/or ultrasound. Any further questions are welcomed. Hope to answer your concern. Wish you good health. Regards, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, i have a rash or what looks like a rash on my fingers and mouth area. little blisters pop up and itch like crazy,and when they are popped clear liquid comes out of them. and then my skin peels off almost like a snake skin. it hurts very much and i think it has now spread to my chin and my lips.it is really bad on my arms,it lasts anywhere from 5 to 8 months at a time ,it keeps coming back please help me the itching is so severe sometimes i think im going nuts.", "output": "Hi Dear, Understanding your concern. As per your query you have symptoms of rash which is growing, blister which itch and skin peels off which is due to constant contact of allergen. Need not worry. I would suggest you to protect your skin from sun by applying sunscreen with SPF 50. Chat Doctor. Consult dermatologist for proper evaluation. Doctor may prescribe topical corticosteroids, vitamin D supplement, ginkgo Balboa or " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, Im a 29 year old man, married since last 2 years. We had lot of differences in the first year of marriage which got sorted out gradually. Since last six months Ive been staying alone and travel on weekends to home due to professional engagements.On 19th we were celebrating our second marriage anniversary, everything was going fin till the time I got drunk and blasted at her. I asked my wife to get down of my car and told her that everyone is my enemy and you are not greatful for anything.This genrally does not happen with me Im very calm and controlled person. But since last 6 months im not enjoying my life and not happy about anything, life... job.. weekend travel....", "output": "Hello and thanks for your query. I understand that you are going through a difficult period. You have mentioned that of late you feel more angry and irritable and that you are not able to feel enjoyment or happiness. All these symptoms could be indicative of a depression. Since this seems to be affecting you as well as your marital relationship, it is necessary that you seek professional help. Help is available in the form of medication to relax your mind as well as counselling. So, I would suggest that you consult a psychiatrist in your place for a detailed evaluation and further treatment. Best wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir yesterday night i had two breads with vegitable made of Bread fruit. after one hour i took tablet of collestrol and gone to bed. but i started suffocating while breathing. My age is 45. Just 15 days back i suffered from high BP (154/80) I checked collestrol on 1st may 2012 , it shows (263) Kindly advice", "output": "A feeling of chocking breathlessness while sleeping is medically termed as paroxysmal nocturnal dyspnoeayou are a dyslipidemia and hypertensive patient both of them are a major risk factor for cardiovascular diseaseparaoxysmal nocturnal Dyson can be a sign of cardiovascular disease would suggest you to go forecg2 d echo test a pulmonary function test if done would help to rule out any respiratory system problem lipid profile every 3 month should be repeated once these test results are out Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hI I HAVE HIP PAIN FOR A YEAR THAT STARTED RANDOMLY AND IT IS GETTING WORST BY THE DAY I T HURST TO SIT SLEEP AND WALK TODAY I HAVE WOKE UP AND THE PAIN IS ALL DOWN MY LEG AND IN MY KNEE AND HIP WITH A WIRED FEELING. I FEEL SO TIRED ALL THE THE TIME WHAT IS WRONG WITH ME", "output": "Hello, The symptoms guide towards the lumbar Radiculopathy. This happens due to nerve entrapment anywhere in its course. MRI is advised. Treatment part. Doing McKenzie maneuver will help centralize the pain in the lower back. Check online about McKenzie maneuver. Post which hot water fermentation should be used to dilute the pain by vasodilation effect. Hot water fermentation will also help reduce the muscle spasm. Post this core stability exercise, spinal muscle strengthening exercises, hip strengthening exercises, static Qua Chat Doctor. Hope I have answered your queries. Let me know if I can assist you further. Take care Jay In" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have severe pain in my hamstrings and I also feel like I am going to collapse while I am walking, and it hurts me to walk. I have just consulted with my doctor and she thinks it is strained muscles, but I know that I have not strained any muscles as I do not play sports. I am having a hard time believing this.", "output": "Hi, Thanks for your query. The symptoms you have described are more likely to be symptoms of muscles strain. To get relief from the pain and for quick healing:1. Do hot fomentation at the site.2. Apply local anti-inflammatory gel 2-3 times a day.3. Take anti-inflammatory Chat Doctor. 4. Do not put weight or try to do exercise that involve painful muscles. Give proper time to heal. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 53 year old female, weight 146-height 5 4 . I recently had an ultra sound because of elevated liver enzymes . There was some fat infaltration. One month after the ultra sound my liver enzymes were AST-29, ALT-57. I was told to continue to abstain from drinking alcohol for a total of three months and have my enzymes checked again. I had been drinking 3 to 4 glasses of wine a night for many years because I have high cholesterol and thought this would help with the cholesterol. If my liver enzymes return to a normal range is it all right to have an occasional glass of wine?", "output": "Hello madam, I have gone through your problem. You said that you are Chat Doctor. Fatty infiltration of the liver is seen in obese patients and patients who take alcohol. You also had raised liver enzymes which shows that you had alcoholic hepatitis. Now your liver enzymes had returned to normal, but still there is a chance for you to have hepatitis (raised liver enzymes) in future if you take alcohol. My advice is to abstain from " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am looking for an advice on radiotherapy for my mother who was operated for removal of uterus. Uterus was found to be malignated. Although, all other reports after the operation confirms negative meaning no malignancy in the body now, I would like to take a second opinion whether it is recomended to go for radiotherapy.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Yes, radiotherapy is advisable after surgery for uterine malignancy. During surgery, spillage of malignant cells is unavoidable. Spillage is common due to handling of tumor mass. So tumor cells are likely to present at the site of operation. And hence local site recurrence is common after tumor surgery. To avoid this recurrence, radiotherapy is given post operative. Radiotherapy will kill the tumor cells at local site. And hence recurrence can be prevented. So it is always advisable to give post operative chemotherapy to prevent local site recurrence. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my mum was diaganosed 4 years ago with follicular non hodgkins lymphoma and finished mab therapy last feb however 2 weeks ago she was told she has swollen glands due to the disease again and a gland in her neck swelled to a large size overnight, this lump is hard and painful. Is this lymphoma and this mean that it is becoming more aggressive, also what is expected life expectancy with this type of cancer . Thank you", "output": "The swelling appeared overnight may be secondary to the lymphoma your mother had. Since it is a large and hard mass it is probably a spread of the lymphoma and is of aggressive type. At this stage It's difficult to predict the expectancy because it may vary person to person. But theoretically she may have up to 2 years if she is retreated for the lymphoma. Retreatment also depends on her health status. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications. I would gladly help you. Best wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My wife s personality has gradually changed. She was an English teacher for a decade before she quit to raise our kids, but now she takes an hour just to compose a short email, and has trouble explaining anything. She used to be able to quickly plan and execute complex activities, but now seems to mentally spin her wheels over anything that requires a significant decision. My brother, who is not a doctor but works in health care, said it sounded like it might be some early sign of dementia, and thought she should see a doctor. My wife is only 48, but her father has Alzheimer s, and her father s mother also had it, so this struck a chord of terror. I have not observed any memory problems. Does this seem likely? I don t want to bring it up with her out of concern it will just cause needless anxiety, unless I have something more concrete indicating that she would really benefit seeing a doctor. Thanks.", "output": "His had gone through your query. Alzheimer is age related dementia. Dementia is forgetfulness in which recent memory effect in initial stages. Inability to register new events and in ability to recall events that occur recently is main core feature of it. It is going to worsen as age progress, and gradually it effect whole cognitive functions. In last, it may affect executive functions along with behavior disturbances. Psychological illness like anxiety, depression, catastrophic reaction may associate with it. Proper treatment in early stage can prevent further damage. It can be treated with medicines with psychological approach. Consult neurologist and psychiatrist for better assistance. I hope I have answered your query. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,My name is Benu Khanna. I am 30 yrs old and a mother. My baby is 15 months old and I am not getting any time to exercise... Also my eating habits have gone bad. I dont eat on time sometimes no lunch, the other times no breakfast etc. I need a way to keep my body fit and healthy.. I dont have time to go to Gym.. nor much time to exercise at home.. Plz suggest something I need to burn fat from my upper body...(back fat and arms). Is there any Homeopathic or Ayurvedic medicine to loose fat only... Regards,Benu", "output": "Welcome to Chat Doctor. There are so many medicines in Ayurveda, homeopathy and even in apathy. But without diet and exercise management it will not work. You have to be manage you diet pattern. Avoid oily, fatty foods. Make regular habits of diet for lunch and dinner or take frequent small diet. Eat more fruit juices, vegetable soups and high fiber diet. Do regular exercise (aerobics). Yoga will be helpful. Remember this....there is no any shortcut to reduce weight. Consult a good dietitian for better planning." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just recently had sex with my boyfriend I have herpes but we used a condom I just got over an outbreak there was little skin to skin contact on his thigh from where I had my outbreak at can I spread it by his thigh touching it but he washed up and took a shower right afterwards is he at risk I know it takes 2-7 days for symptoms to show I really need some answers im scared for him!", "output": "Thank you for your query. You have genital herpes, transmitted mainly by human herpes virus 2 (HHV-2). (HHV-1 causes oral lesions; HHV-2 causes genital lesions). The virus is present in the fluid within the vesicles. Rupture of the vesicles and contact of the infective vesicular fluid with the skin of the uninfected person can transmit the infection. Herpes can also be transmitted by oral sex. In your case, there appears to be a possibility for infection." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I constantly have really bad back pain its the bottom of my back and also going up the right side. I like I was to vomit a lot and get a lot of headaches and for the past month and a half Ive going to the bathroom a lot not urinating but passing stools. Everytime I eat I have to immeditley go to the bathroom to pass stools. Can you give me any help of what could be the matter?RegardsEmily", "output": "Hello. Thanks for writing to us. The symptoms that you have described are likely to be due to an irritable bowel. The pain in the back could be due to a bad posture, poor nutrition, stress or indigestion. You need to get yourself physically examined to find out the cause. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http://bit.ly/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi...im a 22 year old hypotensive female...two weeks ago i had this pain at the back of my left knee while i was shopping.but it has been 2 weeks now and it still hurts.its still bearable but i wonder why the pain isnt going off.when i walk longer distances,it gets worse.also i notice there is a visible vein at the region..and this isnt present on my other leg which is normal.why is that and what should i do?", "output": "Hello, The visible paining vein that you are seeing at the back of the leg and the intensity of pain which increases when you stand or walk for longer time indicate towards the possibility of varicose vein. Veins are the blood tubes that carry deoxygenated blood from various parts of our body to heart and lungs. If these veins become abnormally thick, twisted or tortuous, they are called varicose veins. Usually these happen in elderly people, but if there is some abnormality in the vein wall, you are obese, your routine requires you to stand for very long periods of time then younger people like you may suffer from it, too. To get relief from this, you need to wear compression stockings that are available in medical stores. Do lots of exercise. Elevate your legs while sleeping and if possible, when you are sitting. Try to avoid continuous standing periods. If you do not find relief in symptoms or then worsen, you should see a physician for physical examination. I hope this information helps. Thank you for choosing Chat Doctor. Best," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have this feeling/ sensation/ pressure in the middle of my back on my spine like someone is pressing a marble into one spot (for almost 6 months). It is most noticeable when I press my back up against a chair, lie down or curve my back. It is starting to become an annoyance, despite not being painful. Any explanations would be greatly appreciated. Thank you.", "output": "Hello, Thanks for posting this question in ChatDoctorLet me explain that the feeling you have described could be due to several reasons and our job will be to pinpoint the exact cause of such feelings and this will guide us for treatment. Such feelings can be due to various causes like spinal cord problem, compression in the spinal cord due to infections or even tumor. The best thing will be to be examined by a neurologist who will assess the exact neurological problem. I mean he will examine the back for any local pain, swelling etc., and he will do a detailed neurological assessment regarding the presence or absence of any neurological deficits. This will help us guide you if you need an MRI scan of the back or not. If both the neurological examination by a neurologist and MRI scan comes as normal, then you may benefit with physiotherapy or else you will have to undergo treatment as per the cause identified by these tests Hope this clarifies" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a family history of CAD and I am hi stress with high cholesterol. Played Basketball for 1st time in year and had sever breathing problems for 45 mins after game with chest pains. Then had tingling down both arms. After an hour I was back to normal. Do you think this was a heart attack? Dad died at 49.", "output": "Hino it was not a heart attack but it was a stable angina severe breathlessness on exertion is called dyspnea annexation grade 2.adv2d echo to check the cardiac functionsactread mill test to rule out the functions of heart when stress is given any ischemia to heart will be reveled in these tests pain or heaviness or breathlessness which relieves on King rest is called stable angina! What you had was called stable angina, a thorough investigation is very important tank you!!! Early history of cardiac disease in family also supports the possibility of angina!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My mother aged 82 has a mild infection and swelling behind the ear.The Dr prescribed cepodoxime xp 325 twice a day for 7 days.After the first two tablets she has ben very nauseous and uncomfortable.Earlier I have seen once the vomiting starts she becomes weak for a week or more.She has tolerated Novaclox in the past well.Can the medicine be switched?", "output": "Hello, Welcome to Chat Doctor, As your mother is having some infection with swelling behind the ears, which may be due to infection of the external auditory canal. As your doctor has prescribed Cefuroxime XP 325 mg, twice a day for 7 days. But she has not able to tolerate this medicine. As she can tolerate Tab Inovalon, it can be given as it also covers wide range of microorganisms. This is also an excellent Chat Doctor. Before giving this " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 43 year old daughter was recently diagnosed by her dentist as having 2 right lower jaw tumors. She has had no symptoms. The Oral Surgeon told her these need to come out soon. He will also remove part of her jaw bone. My question is: are these types of tumors usually malignant? She will have an US of the Breast and a complete body scan prior to her surgery.", "output": "Thanks for your query, I have gone through your query, the tumor of photogenic are commonly benign but are aggressive like ameloblastoma. Other tumors like keratocystic photogenic tumor or ameloblastic fibrous can occur these are all benign. Malignant tumors like ameloblastic carcinoma, interosseous carcinoma are rare. Get a chest radiograph or PET CT done to rule out metastasis if it is a malignant tumor. Take biopsy and confirm the diagnosis. I hope my answer will help you. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "two days back i have ultrasound of my upper abdomen and finding shows that i have many small stones in my gall bladder please advise what i should do i dont want to go for surgery is their any other reamedy for gall bladder stones, and also what food i may take, thanksregardsmoin-ul-haque", "output": "Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. In most cases, treatment of gallstones is considered necessary only if you are having symptoms. Of the various conventional treatments that are available, surgical removal of the gallbladder is the most widely used. Some alternative treatments have also been found to be effective in alleviating the symptoms of troublesome gallstones. When deciding what course of action to take for symptomatic gallstones, doctors usually choose from among three main treatment options: Watchful waiting, nonsurgical therapy, and surgical removal of the gallbladder. Though a gallstone episode can be extremely painful or frightening, almost a third to half of all people who experience an attack never have a recurrence. In some cases, the stone dissolves or becomes dislodged and thereby resumes its \"silence.\" Because the problem may solve itself without intervention, many doctors take a wait-and-see approach following the initial episode. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I have been taking Cerazette for one month and I have forgotten to take the pill yesterday. I took it today together with todays pill and I havent had sex past seven days. I have been reading different answers on question how long you should have an extra protection (e.g. condom). Some say 48 hours, others 7 days, I hav even read a whole monht. What is the correct answer? Thank you", "output": "Hello misunderstand your concernCerazette is contraceptive pill. For better effect should be taken regularly on same time. According to your history, you just missed only One pill, and you took two pills together on next day. So in your case there is no requirement of extraprotection is needed in your case. Take the remaining pack regularly till the end. Take pill regularly every day by making habit. (put mobile reminder of specific time every day)Hope this may help you Best regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had extreme pain in both hips for several months now. The onset of this pain was sort of sudden. Now I am having some pains shooting in my shoulder joints and in my knees. i can tell that this is progressing rather quickly. My doctor is treating me for bursitis. I was on naproxin for a couple of weeks. It helped a little. I had to stop taking it due to side effects. The pain was back immediately. My question is \"Do you think that I might need to seek out a specialist?\" \"Is this something attacking my skeletal system?\" i am a white 69 year old female. My fear is winding up in a wheelchair.", "output": "Dear Madam, I value your concern, and the symptoms you describe with involvement of both hips knees shoulders, cannot be just bursitis, My main concern in your case would be to rule out inflammatory arthritis, and that can be done by few blood tests, for that you will have to consult a Rheumatologist. Do not worry, as your pains could be functional, but to be sure we need investigations, hope you value my concern, and get investigated. All the best, let god heal you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello sir, Me aged 27,female, I have no equal teeth so I cud not smile good n comfortable, once I have done cavity removal n cement filling, can u please suggest me what cud I do, actually during school days I got double tooth and front one had fallen and back teeth has moved forward its not clearly settled to other tooth equal, so find uneasy to smile, so my question is, Is teeth removal is necessary", "output": "Hi. Can understand your concern. As per your complaint you have MALIGNED TEETH and you do not need to get it removed because as per your explanation your milk tooth which was over retained in the front region where you had double teeth has already fallen and the tooth that is remaining is a permanent tooth, and it can be very well re-aligned by Orthodontic treatment by using braces. I would suggest you to consult an ORTHODONTIST and get evaluated and treatment will be accomplished either using removable or fixed orthodontic appliance and the tooth will be aligned. Hope this information helps. If you find the answer helpful please write a positive review and click on found this answer helpful as a token of appreciation. Thanks and regards. Chat Doctor. ." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been having chest pains for close to 4 months. Ranging from mild to very painful, that they make me dizzy. I seem to be finding it harder to breath as well as like a empty feeling in my chest for a second every now and then when it happens. the pain also seems to go down my arms and in to my back and stomach at times. My G.P couldnt hear anything wrong. But i am still Unsure as I am only 20 within my weight band active but my father has had a stroke related to a faulty valve in his heart within the past year.", "output": "Hello, Thanks for posting your query on Chat Doctor ...* Brief Answer: your age and medical history mentioned is not a source of worry, follow-up chest tightness, may do an echocardiography to be sure.*Explanation: My opinion is that ischemic heart disease is an important condition that needs good plan of management first of all anti-ischemic medications such as antiplatelet and antihyperlipidemics are crucial. Then regular follow-ups with a cardiologist is a must to modify your treatment and see if any new findings in patients heart condition exist. Of course healthy diet with low salt and fat content and regular exercising do help in such condition. Avoiding stressful conditions and smoking is nonnegotiable.in your condition, an electrocardiogram and echocardiogram may be needed just to be sure but nothing serious is going on here, I suggest my patients the following :healthy diet and exercise is good for your heart. Family history is not enough to be overwhelmed about ischemia. The information provided by you is not sufficient to provide a good opinion. If someone comes to me with this condition I would ask them about other comorbidities and risk factors such as diabetes, smoking and obesity. If you have any further questions I will be happy to help, If not, you can close the discussion and rate the answer. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am experiencing occasional pain in my right hand halfway between base of thumb and wrist. It appears a bit inflamed but not red or warm. I was playing with a toddler and he accidentally kicked the sore spot and pain was horrible for about a minute. It has been going on for about 2 weeks now, but not at any regular time. I workout daily in the gym and thought maybe I did something there, but now I m thinking perhaps there is fluid or something in there. The range of motion is normal for my thumb and does not hurt when I move it or touch it.", "output": "Hello First I will advise doing x-ray and rule out any unicortical fracture in your thumb/wrist. According to your history it looks that there is possibility of injury to ligament of metacarpal or flange joint. If you are having swelling and pain you can strap your finger to get proper rest to joint. And apply cr\u00eape bandage for support and compression. Use ice packs to reduce swelling, inflammation and pain. Physiotherapy with ultrasound and Tens will help you, For early healing you can take Tab Colin [it C] and antioxidant with anti-inflammatory [Tab enzymic plus]. If there is no relief them you may need to do MRI. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 46 yrs and have been a heavy smoke for over 26 yrs..I have COPD and a small 5mm left lung nodule which hasnt been checked in a few years due to lack of insurance. Lately having more trouble with my chest feeling tight , and sharp pains in both shoulders and collar bone area..my arms get tingly at times and neck get stiff...is this something to be concerned about or just signs that my COPD is getting worse...", "output": "Hi. I can understand your concern. Get a chest x-ray done to evaluate your lung nodule. Possibility of bronchitis is more in your case. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT is needed for the diagnosis of bronchitis. It will also tell you about severity of the disease and treatment of bronchitis is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS)Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, Roughly around three weeks ago i was tumbling in my front yard. Haven t done so in a while. Nothing seemed to bother me that day. I woke up with my back causing me so much pain.The Feeling was in the middle of the spine. Feels like It constantly needs to be popped. About a week later i start having horrible pains in my rib area. Right under my breast. So i finally go to the doctor the take xrays of my lungs to make sure its not a collapsed lung. Nothing found. I can t sleep at night. I find it more comfortable sleeping on the floor. And sometimes in the middle of the night i have so much pain in the back/rib area i feel the need to get up and vomit.The MRI on my spine is next..?", "output": "As you have not mentioned your age it is very difficult to plan the treatment because age is very important determinant as far as back pain is concerned. But from your narrative I think you are a young adult, and you are most probably suffering from disc prolapse, so you just have to take some painkiller with muscle relaxants like tab danger or tab osteopath twice daily after meals when your back pain is worse enough to disturb your work along with tab shall 500 mg once daily after meals with tab rant ac or tab carotid twice daily before taking meals. You can also use holdup gel or powergesic-plus gel for local application. It is also quite beneficial in relieving back pain and provide you some comfort. Apart from these you can also go for physiotherapy exercises after an expert opinion of physiotherapist. Also, you have to sleep on plain surface as you are doing because it is a good practice in case of back pain which is due to disc prolapse." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I wake up with palpitations every morning, and they often occur when Ive eaten. My blood pressure is on the low side. Could the two be related or have you suggestions to stop waking up like this please? This has been going on for months. Im female, 42, and in good health otherwise.", "output": "Hello, Is there any anxiety, stress? If yes use some relaxation techniques like yoga and deep breathing exercises. Do you have any bloating, burping, upper abdominal pain, nausea, if yes this suggests acidity problem? You should get one hemoglobin and thyroid tested. You can get Tablet Collar LA prescribed from your local doctor. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "32yof, 51; hx of root canal/crown placement of right front tooth in 1999; now have palpable raised area between right nostril down to gums- beneath gums- not externally visible; tender to pressure/percussion; no fevers; throbbing pain/pain with pressure to tooth; abscess? cyst? tooth or sinus?", "output": "Thanks for using Chat Doctor. Read your query. Re-infection of the root canal treated tooth can be the cause for the swelling, tenderness and pain in the region leading to the abscess formation. I would advise you to visit your endodontist and get a radiograph done to see the status of the root canal treated tooth. If needed, carry on the re-treatment. If not periapical surgery can also help you. For the pain take ibuprofen tab (if you are not allergic to any medicine). Antibiotics may be required like amoxicillin 500\u00a0mg and metro lag 200 mg on prescription by your dentist. Hope this was useful. Thanks and regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I m a 22yr old male. I exercise pretty rugularly. I feel like I have a low fever. I have a white color on the back and mid part of my tongue and a salty taste in my mouth. I have been kinda thirsty and not too hungry the last couple of days. I was taking Keflex for sinus/ allergy trouble, which I ve had a lot of ever since I can remember. Oh, I have asthma and take an Albuterol inhaler . I also take Famotidine for acid reflux . A lot of problems, I know. I hope I have given enough info.", "output": "Hello and welcome to Chat Doctor forum, according to the medical history presented by you, it seems you had an upper respiratory tract infection couple of days back, as you were on reflex. I would like to inform you that excessive thirst is due to Chat Doctor. Also, white color patches which are present over your tongue are due to inability to maintain your oral hygiene as you were down with fever and sore throat, kindly use a soft bristle brush to clean your tongue, do not apply excessive pressure. You can also use a mouth wash (twice/day), I would recommend you to " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I ll be as brief as possible. Basically I m wondering if my rapidly decaying teeth I was informed of 30+ yrs ago would have any connection to the myxoma (benign) that was discovered growing (and removed in 2014) in my left atrium. When it was confirmed I d had a minor stroke , ER Dr. said there was evidence of older ones as well but couldn t tell from how far back. I had absolutely no idea. It ts still doesn t seem real.", "output": "Hi.... Welcome to Chat Doctor. You have problem of decay tooth that may be because of poor oral hygiene... more prone to infection. Lack of saliva also lead to more decay tooth. Food lodgment or more sweet consumption also lead to this type of symptoms. Consult a dentist for oral examination and treatment plan. If tooth decay not treat than it progress and involve full tooth sometimes access or bony infection. Better to treat a decay tooth in initial stage. In decay tooth filling or act or extraction that one treatment plan...all treatment depend on tooth situation... I hope this will help you. Get well soon. Thank you. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had bronchitis about 2-3 weeks ago. I took all the medicine; however, I still have a slight cough. Also I have been having what feels like heartburn all down my throat into my chest. Also I have been getting an occassional sharp pain in my chest and when trying to drink anything cold it does not go down easily.", "output": "Hi. I can understand your concern. HERD (gastroesophageal reflux disease) can cause similar kind of chest pain. HERD is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause central chest pain and nausea. Take proton pump inhibitors. But along with Chat Doctor. Avoid stress and tension. Avoid hot and spicy food. Avoid junk food. Avoid large meals, instead take frequent small meals. Quit smoking and alcohol if you have these habits. Go for walk after meals. Keep 2-3 pillows under head in the bed to prevent reflux. Lose weight if you are obeseDont worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "this is to certify that Mr. moosa ibrahim 64yrs us a case of (CAD )effort angina, TMT +ve, systemic hypertension, dyslipidemia. He underwent (CAG) on 9/6/2011 which revealed LMCA steno sis with two vassel disease. He is advised early (CABG) can u explain this is serious or normal and this short forms", "output": "First of all the abbreviations:CAD-coronary artery disease i.e. disease of hearts blood vessels TMT- treadmill test i.e. a test done on treadmill while the patient runs on it to study status of hearts circulation on exertionCAG-coronary angiography done to see blood vessels of heart and their patency CABG- coronary artery bypass grafting; a procedure done to bypass a block in hearts vessels so that it continues to get blood supply.YMCA- left main coronary artery The test results show that the patient has angina on exertion due to two vessel disease that is two of the hearts vessels are blocked. As was suggested by his physician the patient needs to undergo CABG. The patient also has hypertension and dyslipidemia i.e. poor lipid profile both of which are independent risk factors for CAD. I would suggest consulting cardiologist to discuss the Chat Doctor. Physical exertion might also need to be restricted for some time to not provoke angina. Hope the above answer helped you. If you have anything more to ask I would be pleased to help." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir my dad had gas trouble and got some pain near the chest i just want to know whether gastric trouble leads to heart attack.and he checked his condition near a doctor that to a cardiologist and the doctor had tested him i.e. ecg blood test and sugar test everthing is negative", "output": "Hello if your father is diabetic?? What is age ?? Smoker?? Obesity?? Gastric symptoms many times present as heart attack. ...these are not classical symptoms. But if you have these symptoms. And risk factor I mentioned earlier.... Don't neglect... Just do ECG... Which rightly done by you...u can go ahead with TMT and echo....once sure...these are not related with heart then can treat separately gastric symptoms... Need not panic every time ...take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a protruding abdomen which has been getting bigger with the passing years. I am a 63 year old female and moderately active, I dont drink but I do look like I am 9 months pregnant. My weight has not increased but the size of my abdomen has. I have had several abdominal surgeries and have had a mesh inserted under my navel. I would really like to know what is causing this. There is a history of colon cancer in my family. Would this cause this increase in size?", "output": "HI, Thank for choosing ChatDoctorFor sure this not a colon cancer even if you have colon cancer family history, the protuberance of belly is kind of obesity and this is due to genetic defect (Mutation of specific gene), only thing you can do right now just to control it, reduce the high calorie diet do regular exercise under guidance of physiotherapist or instructor, this may help you a little, Have good day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "feelingvery low, crying for no reason, aching upper legs and arms, cold toes and fingers but rest of body very hot, currently on low dosage evorel hrt patches, lost interest in many things, l get two good weeks and a real bad week just now and feel so low in self esteem etc", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. All the described symptoms correspond to menopause. Most of the women go through a depressive state due to the hormonal change in their body during menopause. That is quite natural. But worrying about it worsens problem. You should be aware of it. Read the literature available all over internet. If you want to come out of the situation, the only way out is activities which keep you engaged throughout the day. Studies confirm that working Women come across menopausal depression far lesser than non-working women. Please engage yourself in hobbies or other activities. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Two years ago after receiving a tooth filling, my mother developed very strange symptoms. Let me start by saying my mother has fibromyalgia, so I believe the the symptoms are nerve related. She continually secretes a salty/foamy fluid from between her teeth and gums. Secreting the fluid is painful and burns. If she swallows it, it makes her sick to her stomach, so she has to spits it out all day long. She is taking pain meds to control the pain, and has tried several antibiotics but nothing seems to work and no doctors or dentists seem to be able to accurately diagnose or treat it. She is losing weight rapidly because it is difficult an unpleasant to eat. Have you ever heard of a similar situation?", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have symptoms of painful secrete salty fluid between the teeth and gums which seems to be due to inflamed gums and gum infection. If you could be possible you have symptoms of gastroesophageal reflux disease. This is not so threatening situation, but it could progress to a more severe infection if you do not get it treated. I would suggest you to visit dentist once and get complete examination done and start treatment after thorough examination. Maintain proper oral hygiene. Chat Doctor. Avoid intake of sharp and fried food. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I noticed about a month ago that my 8 yr old daughter had what looked like a small canker sore right above the front tooth on the left side. It was bothering her at the time and was red around the area. I didnt give it much thought at the time because I really thought it was just a canker sore. She has been to her orthodontist twice since I noticed it to get things started for her braces (she only has spacers at this time). The orthodontist didnt say anything about it at either visit. I noticed last night that it is still there. I decided I would feel it and it is hard and spiky feeling. It doesnt seem to bother her at all, but she acted like it hurt a little when I touched it. Do you have any idea what it might be?", "output": "Hello, thank you for consulting with Chat Doctor. Canker sore does not stay for so long, it takes maximum 7-14 days to heal. The type of lesion you are mentioning, it can be a sinus opening, as it is present above the tooth in the gums. It is condition, which occur when a tooth is infected and there is an abscess formation in the apex of the tooth, and when the pus starts coming out it forms a sinus opening. You should visit your dentist and get an x-ray done of that tooth as it will show the infection. Hope it will help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, i am 28 years old female.... I am suffering from Polycystic ovarian Syndrome & bulky uterus....My thyroid level (TSH) now come down to 3.18 (from 7.2).. we are trying for a baby... but my periods are irregular.....(like last period i got on 4th July) till now i have not got my periods. My doctor suggested me to take Lupigest 200 orally for 5 days... Please let me know whether it will help me to regularise my monthly cycle... (I am since having this problem since from last 1 year)", "output": "Hi, It is good that your TSH levels are within normal limits. As part of the investigation, you should also get other hormone levels checked, glucose tolerance test performed and tubal patency tested. Lupines 200 will help you to attain your menstruation for this cycle. For regularization of cycles and regular ovulation to help you to conceive, you need specific treatment that is possible after complete evaluation. Please maintain a healthy weight, do some regular exercise and take a healthy diet. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi am having a major fear after seeing a lot of boils around my genital area.its mostly spread and often the size changes on its own.I had a (one)wart earlier an year ago and its not seen anymore. it might be a skin tag too but am not sure.Once i broke it but it came back again.but now i do have so many boils and its freaking me out.Please help", "output": "Hello, Welcome to Chat Doctor, I don't know if for sure this is a boil or a swollen lymph node in response to a wound or infection that you have on the lower limbs. If you have no wound, then this is most likely a boil. You seem to have pyoderma in groin area. It is a bacterial infection caused by staphylococci. You consult dermatologist for firm diagnosis and investigations. Antibiotics like definite and anti-inflammatory Chat Doctor. Immunoboosters may be taken to improve immunity. Hygiene should be improved to prevent relapse. Detail bath may be taken to improve hygiene. I think you might get good result. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was in the emergency room with severe sudden back pain. I was given Toridol and an Xray. The results will be reviewed by the Radiologist on Monday. I was given Percocet as well. Neither medications have helped with the pain. The ER Doctor said it looks to be lipping in my spine. What will the course of action be should this be the result?", "output": "Thanks for writing to us. Sudden onset back pain may be due to disc rupture. Lipping of the vertebral body indicates degenerative changes and called osteophyte formation. X-rays not of not much help in disc prolapse, and you may need to get MRI spine to diagnose the problem. Please consult a spine specialist and get thorough exam. It is important to know the pain pattern, any leg pain, previous episode if any. Till that period continue percent with muscle relaxant and physical therapy if possible. Take some rest which is crucial. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Went from no panic attacks for 28 years since I was born to three in the last 2 months. I stopped smoking 9 months ago but have started Hookah Pipe Smoking . It seems to happen when I feel my heart beat when I smoke . Is it a trigger for my panic attack and is it normal to get a higher heart rate 100 to 129 bpm when smoking? Thanks", "output": "Hello and welcome to Chat Doctor. Thanks for your query. Your symptoms seem to be indicative of panic attacks and smoking can indeed trigger such attacks. It is definitely not normal to have a such a high heart rate when smoking. Please consult a psychiatrist for further evaluation and therapy - both for your panic attacks and for help in quitting smoking. There are effective treatment options - in the form of medication or counselling / psychotherapy which will help you overcome your problems. Wish you all the best. - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my mum has pancreeatic cancer for the last year she was brining up blood last night was taken in to hospital is in side room drs think that it might be her meds that have caused her to bring up blood i think its the next stage of her cancer can u help", "output": "Thanks for your question on Chat Doctor. I can understand your mothers situation and problem. Cancer Chat Doctor. Another possibility is worsening of pancreatic tumor which is now involving stomach and cause blood vessel erosion and hematemesis. So better to get done CT scan of abdomen and upper GIs copy to rule out above-mentioned causes. First diagnose herself and then start appropriate treatment. Hope I have solved your query. Wishing good health to your mother. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My wife has a severe depression. Her doctor put her on Latuda and she experienced slurred speech and mouth/teeth chattering. The Latuda was discontinued but she is also on Wellbutrin which will be discontinued tomorrow. The mouth/teeth chattering is wearing her down. This has been going on for the past three days. Going to emergency is not in the cards as it is holiday time and all that will happen is being put in an emergency room with an iv doped up until Tuesday. By chattering; the mouth is opening and closing as if she is shivering. Eating is almost impossible. She is able to drink. It appears that rivitol helps but only short time.", "output": "Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. Latuda is duration, and it is definitely not an anti-depressant. Probably your wives' diagnosis is either psychosis or bipolar depression. The side effect that you have reported is an extrapyramidal side effect and this will require either shenanigan or Pakistan to improve. This is reversible and will take some 1-2 days to recover. There is no emergency, if she is troubled take her to ER and one shot of Shenanigan 25 mg IM will settle her down. Or else visit your psychiatrist at the earliest possible time. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Last month my dentist put in a crown, and since I have tasted and felt like there was dental cement stuck to the back of my tongue and my lips on that side of my face go numb feeling as if the novacaine is wearing off. Do I have nerve damage?", "output": "Hello, I went through your query. There might be bit of cement stuck below your crown. You can go back to your dentist to get it removed easily. For the numbness of your lip, it is unlikely that you have a nerve damage, because nerve damage usually occurs after any kind of surgeries in the mouth. One possibility is Nickel allergy from the crown(if your crown is made of metal alloy), which usually can cause tingling sensation of tongue or lips. In any case, it is better to visit back your dentist to correct it. Hope you have benefited from the answer." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doctors.. last dec.4 i had may medical examination the result of my sgpt was 132.. my doctor gave a godex 3x day, she said that i would lower my sgpt. after a week i had taken again my medical exam but the result of my sgpt goes higher it is now 489. should it be alarming the continues rise of my sgpt in spite of the medication and diet? is there any effect or symptoms if u have a higher sgpt and does it mean that i have a hepatitis because of my sgpt?", "output": "Dear sir, Elevated Sept can because by hepatitis of any kind, biliary diseases, diabetes, some medicines and other liver damage. 489 is pretty high and this definitely means something. You don't need to have symptoms during the early stage of disease. You can feel tired, have pain in right side of abdomen, nausea and other non-specific symptoms. Furthermore, you need to do liver US or CT to find is it just fatty liver or some more serious disorder. Also, you need to check viral markers and change you are lifestyle, avoid food and Chat Doctor. Besides repeat your enzymes tests constantly to see the dynamic of it. Wish you good health. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im 20 years old and 2 years ago i had my little girl.. i also had severe pre-eclampsia, since then i have sufferd with pain in my chest in the heart area.. every now and then (sevral times a day) i have had an ecg, all came back clear and also tryed tablets to see if it was to do with indegestion, they didnt do anything but mabie made it abit worse. The docters have given up on me abit but im realy worried. Dont know what the next step is.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. No need to worry about heart diseases because your frequent ECG s are normal. In my opinion, your allergy symptoms are related to stress and anxiety. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Don't worry, you will be alright. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have a red itchy rash that comes and goes that s not on a regular basis but it appears on my arms, legs, feet , and hands. I went to the school nurse a few times and they said it looks like contact dermatitis from washing my hands, but i don t wash my legs too. There isn t really any changes in my soaps or lotions anything like that either. I don t know what to do because if i go to the doctors office it is not always on my body.", "output": "Hi, From the description you have given it seems more like urticaria than contact dermatitis. In most of the cases, urticaria has no underlying cause. However, worm infestation, particular food intake, foods with preservative like jams pickle and sauce, medicines, infections can cause urticaria. To treat the same, you might require a course of oral anti-allergic like fexofenadine or cetirizine for a couple of weeks. You can also apply calamine to soothe rashes. Hope that answers your query. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I work out and life weights recently Ive had a really bad pain in my right arm along the ulna, one of the muscles in the area seems to be a little bigger than the same area on my left. I was wondering if the pain is coming from a pinched nerve there, the pain can go down into my palm but never travels up. thanks you", "output": "Hello, You lift the weight. Its more possibilities of there is muscle injury or strain or ligament sprain with nerve stretch. Improper weight lifting causes arm pain. And your right hand is looking slight heavier than left, so it may be swelling due to strain or sprain. When ever you push the affected area the pain goes down it means nerve is also affected. But the other causes are rotator muscle injury, it occurs when over head weight lifts as bench presses, shoulder presses etc. in this case the pain radiates up to elbow. Other reason is torn of rotator cuff, patellar tendonitis, back sprains and strains, herniated disc. Do some stretching before weight lifting. For the swelling reduction take painkillers like ibuprofen and naproxen. Apply hot and cold fomentation. Although you don't get the relief get MRI and consult the or tho. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i em experiencin heavy hairfall durin n after head bath.....and my hair is very thin due to this reason...one day i started countin ma rapidly fallin hair and found 96 strands has fallen....i em really terrified and not in a mood to experience early baldin....", "output": "Hi... It seems that you may be having a condition known as halogen effluvium. I would like to say few things about halogen effluvium. It is a condition in which the hairs fall in halogen stage of hair cycle. The causes may be many like. ...tension, anxiety, thyroid diseases, endocrine diseases, hormonal diseases, diseases like typhoid, malaria, viral diseases, surgery,trauma, Chat Doctor. .methotrexate, internal diseases, anaemia, nutritional deficiencies..... etc. might precipitate the disease. Excessive sun exposure may be responsible for the disease. Dan" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hope you can help I am beyond frustrated. Have had what s been described as me as a hive like rash on various parts of my body for over two months now. Prednisones seems to keep gone or at bay depending on how much I still have in my system of the prednisone. Been to four different doctors. First 2? There s did scratch and test bloodwork. - found high allergies scratche asked came back negative. Allergy specialist did painful allergy test found large list of allergies. Inside and outside. He put me on enough Zrtec, Alegra and Zantec to kill a zombie---no help there. Allergist is also offering allergy shots, but said they won t kick in for 2 months:(!! What my gut is telling me what it feels like that whatever is causing the rash is staying under my skin . I have been living in the same home for over 30 years and never ever had any kind of rash (other than poison ivy) and that went away directly with prednisone. I haven t changed any of my eating habits environment I have tried eliminating foods and household stuff - not eating the foods of exposing myself in the house to possible allergens My gut is feeling us something is MISSING. Every doctor wants to blame it on allergies. I have NEVER had a rash/hive allergy in my entire life. I m trying to get into see a dermatologist. Most dermatologist take up to two months to get into see---even with the doctors referral I m looking at:( I hope you can help this pretty much making my life unbearable", "output": "Rash on various parts of body it seems you have no allergy but a skin disease naming scabies. If I have to treat such a patient i will, advice lotion permethrin 6% to be applied on body from chin to feet before sleep daily forgive days, tab ivermectin 12\u00a0mg stat 12\u00a0mg after 14 days, tab methyl twice a day, wear clothes after ironing and beds should be daily spread in sunlight. Check other family members. Rule of thumb is to apply the lotion, all family members at one time." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Today Ive been having dizzy spells. Once when I was sitting down suddenly the room started spinning and i felt faint and ill. A few hours later while standing in the kitchen i again felt dizzy and had to quickly sit down. Right now I feel ill and every time I move my head I get dizzy.", "output": "HIT hank for asking to ChatDoctorI really appreciate your concern looking to the history given here I could say that this could be vertigo and the most probable cause of this would be low blood supply to the tympanic membrane or inflammation of tympanic membrane, you have not mentioned your age and gender else I would give you proper advise, your information of age and gender would help a lot, take care and have a nice day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am 28 yeals old , female with total cholesterol 270 mg/dl , LDL 200 mg/dl , HDL 34 mg/dl , serum TGS 190 mg/dl . i have discovered this 6 months ago . now the total is up to 300 , LDL 250 , HDL 40 , TGS 190 . i want to get pregnant then i will take the drugs . But, would these results affect the fetus ? or should i postpone pregnancy and take the drugs to lower it first ?", "output": "Hello, I hope I can help you today. The common medications which are used to lower cholesterol, called statins, are not safe to use during pregnancy. For one, cholesterol levels actually normally rise during pregnancy, because cholesterol is used to make a lot of the hormones and developing tissues, such as the brain, in the fetus. For that reason, many medical professionals do not recommend any woman of reproductive age to start using cholesterol-lowering medication. The other reason is that the chance at your age of your actually having a heart attack or stroke just from high cholesterol is still extremely low. At your age, the likelihood of your having problems conceiving are relatively low and the best way to have a healthy pregnancy is to be healthy before you get pregnant. So I recommend following your doctors instructions regarding cholesterol-lowering medication, and delaying pregnancy until your cholesterol is under better control. In addition to medications there may be diet and exercise recommendations that your doctor may have which will put you in a better state of health then you are right now. So in summary, high cholesterol does not affect the fetus in any negative way, and the body actually makes more cholesterol during pregnancy to provide the fetus with nutrition. However, cholesterol-lowering medication can actually harm the fetus by decreasing cholesterol levels to the point where the proper development of the fetus could be compromised. So in order to both keep the baby safe and improve your health I would recommend delaying pregnancy until after you've worked with your primary physician in order to lower your cholesterol and get your body into a healthier state to prepare for pregnancy. You should be off cholesterol-lowering medication at the time you are trying to conceive. In the long run, missing high cholesterol medication for about a year especially at your young age and if you do not have any other cardiac risk factors, will not do harm to you. I hope I was able to adequately answer your question today, and that my advice was helpful. Best wishes, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i have a small pimple like appearance on the side of shaft of my penis...i have indulged in masturbation...i am right now at the age of 20...from past 5 yrs i continued only masturbation without any sexual contact....please can you tell me the treatment for my pimple....reply soon doctor...i am very afraid of it.......is it harmful..........please do reply", "output": "Hi, If you had no sexual contact, there is nothing to be worried about, no fear for STDS. However, if you had oral sex, then, should be tested for warts or herpes infection. Next, you are saying to keep masturbating. If you are also uncircumcised, it could be related to local infection. So, I'd suggest to :- consult a urologist to get circumcised- stop masturbating until improvement- get your genital well cleanedTake care! Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, I m a physiotherapist treating a patient for lower back pain when running. He recently found out he has a thornwaldt cyst. He also presents with sudden large twitching of his body which I predict it originates from his lower Tx spine as that is where the greatest contraction of the muscle occurs- been occuring for about a year and only occurs when he is relaxed. his back pain is present for about 3years", "output": "Hi, Thank you for providing the brief history. As mentioned, the patient is having a low back pain, first needs to undergo an MRI as it will provide the insight to the soft tissue injuries. Also, by doing TENS therapy and ultrasound the pain can be under control. Post that doing regular core stability, pelvic floor and spine strengthening exercises will put a weightage to the recovery of the patient. Performing regular breathing exercises will help to improve the capacity of lungs, and also it will help to improve the cellular physiology of the muscles. As you need to figure out what is the pathomechanics of the spine for this patient, usually pain in the back can be of varieties of possibilities and needs to be ruled out before implementation of the exercises. With the grace of god I wish for good recovery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am going through the follicular study and have PCOD. After HSG , its been confirmed that my tubes are clear.However, on 16th day of my sono scan, on my left ovary the follicle was measuring 15*14 mm and right had msf.ET was 8.1 mm. on the 17th day, the doctor had asked me to take fertigyn 5000 injection for the follicle to develop. i went in for another sono scan on the 19th day, ET was 8.4 mm, Left ovary the follicle that develped was reduced[regressed]. right ovary MSF and no free fluid was found. i would like to know how the follicle must have reduced its size in 2 days, because the doctor stated that there was no evidence of egg rapture, if so fluid must be found under the ovary which was also missing. Can youplease guide me on this and what must i do. i have been having irregular periods often, for past 7 months, i have been having it regularly on the right date. I am weighing 90kgs", "output": "Hi Piriyadarshini, The follicle reduced in its size because of the rupture. There is no other way that it reduces in size. You need to try again in the next menstrual cycle for a successful conception. Meanwhile, you need to decrease your weight. This is the first goal in infertility treatment. Once you reduce your weight, your hormones will come to balance, you will have regular menstrual cycles, and it will be easy for you to conceive. Keep in regular touch with your treating doctor. All the best. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here...Since giving birth to my last child, I have noticed blood on my tissue from the anal area, during my period only. Could there be a tear between my vagina and my anal canal?", "output": "Hi, I have gone through your question, and I think I have understood your concern. I will suggest you the best possible treatment options. Please do not worry. If you have undergone vagina delivery with perineal tear, or if your episiotomy wound had healing problem, then you may have an old healed perineal tear. Please get it correctly diagnosed from expert gone doctor. Till that time, I will suggest you to use Lactated vaginal wash. Take Sat bath. Keep private parts clean and Chat Doctor. I hope this answer helps you. Thanks " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have fatty liver and my liver is high on enzyme production. So Im on a strict diet and avoid oil in any form. Im down with fever from the past 3 days due to severe cold & flu and very skeptical to take any tables thinking it may affect my liver. Im 32 years old and weigh 65 kilos. Can you please advise?", "output": "Hi thanks for your query. Fatty liver is an indication of liver disorder in an early reversible stage....it is associated with elevated enzymes when complicated by infection of liver-HEPATITIS.....THE DIETARY MEASURES WHICH YOU ARE FOLLOWING CURRENTLY UNTO TO MARK.ALSO THERE SHOULD BE COMPLETE CESSATION OF ALCOHOL INTAKE IF ANY...YOU NEED TO GET TESTED FOR bag a liver infectious antigen +ultrasound of the liver to narrow the diagnosis. Consult an expert hematologist. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a discomfort left side below ribs. Sometimes it is really uncomfortable. Comes and goes and has done so for a couple of years. I feel bloated and pass a lot of wind. Notice it more when sitting at work (computer operator) and when I m feeling stressed. I have put on weight and always tired. My doctor pressed around my stomach and didn t feel anything. Im 58, female", "output": "Hi, thank you for providing the brief history of you. A thorough musculoskeletal assessment is advised. As you mentioned your symptoms and also visited the doctor which was nothing serious, I feel it must be just gastritis. As you have put on weight, you are always tired and your age is 58, I feel your metabolism is slow and needs an attention. Performing regular exercises, yoga, meditation, aerobics, etc. will help improve your metabolism. Also, on a longer run, your pain and aches which may trouble you due to aging will be delayed or avoided. For improving the bodies metabolism, one needs to perform exercises. In my clinical practice I meet regularly patients with similar complaints, and I put them on physical therapy, after 4-6 weeks of time, the feel better and energetic. Also, exercise will help lose weight and look brighter. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. My scrotum and the area directly between my legs itch. There are now two hard lumps very close to my scrotum between my legs. They itch. I have had itching there in the past but it would pass in a few weeks. This time it will not go away. Also never had the hard lumps either. These just appeared recently. This itching has been going on for about two months. What could it be. I am beginning to worry. Oh and the lumps are small maybe 1/4\" and under the skin only.", "output": "Thanks for contacting Chat Doctor with you medical questions. I am sorry to hear that you are having problems with itch and lumps around your scrotum area. From your description the itch is caused from a fungal infection in the groin area. This is commonly known as Tina courts or jock itch. The fungus likes to grow in dark warm moist areas and the groin is a perfect area for fungus. This growth of fungus can occur after excessive sweating or after taking antibiotics. In my practice I usually treat the area with Inaction or Tamil. These are antifungal preparations used twice a day until the area is healed. Also keep the area as Chat Doctor. The two lumps that you have could be the lymph nodes that are trying to fight the infection. Once you get the infection under control and cured the lumps should also go away in a week or two. Hope this answers your question. Please contact us again with your medical concerns and questions" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son had a sports physical and the doctor said, your testes are smaller than other kids your age. He is 17. My son did not ask, and this doctor in my opinion was very wrong to say this unless sure. Can doctors tell very quickly if testes are so small that need testng", "output": "Hittites size varies among individuals. It is not the size but whether it functions properly or not that matters. The testis produces sperms as well as hormones. Hormone function is tested by blood tests and sperm function by semen analysis. Asking your son to get these tests done might be too traumatic mentally for him if he has not got any symptoms.Hence, I would not advise you these tests now. If you are still worried then you can get an ultrasound of the testis done that will rule out any major problem with testicles but not confirm whether it is a small testicle or not." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a hx of kidney stones, was having flank pain yesterday. went to the ED, they did a CT scan, was negative for kidney stone. I continued to have pain, all through the night. It has went from my left flank area to my left chest area. I also have a gastric band. I don t want to go back to the ED if nothing is wrong. But I also don t want to wait until something goes wrong. I know its sharp pains, worse when I breath. I took 324mg of ASA this morning, been extremely fatigue and sleepy but serious pain. What could it be? I have read various scenarios. I am a RN, don t want to over think the situation but I also don t want to injure myself by not seeking help.", "output": "HelloThanks for your query, based on the facts that you have posted it appears that you have undergone treatment for kidney stone very recently and now have pain in flank. Assuming that you have undergone Extra Corporeal Shock Wave Lithography (ESL)And your CT scan does not reveal any residual stones in kidney or ureter the pain that you have is most likely to be due to trivial injury to the kidney by shock waves of ESL. This is nothing to be worried about. Please get your routine urine test and urine culture done to find out the organisms causing this infection and antibiotics to which they are sensitive to. Please take broad spectrum antibiotics like \u010ceferin along with urinary antiseptic like Nitrofurantoin twice daily and urine alkalizer thrice daily. Later on switch on to appropriate antibiotics as per culture report. Get the prescription of medicines from your family Physician. Ensure to Chat Doctor. To keep your urine dilute This will help to control dysuria. His will get cured within a week." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son suffered serious traumatic cerebral haemorrhage after hitting his head on the tatami mat while performing physical combat training. The injury happened on 12th Oct 2012. He underwent an emergency surgery to remove blood clot. Portion of his left side skull was removed during the process. Subsequent he underwent 5 more surgeries on the head in the last 85days. After the crynoplasty on 7th Dec 2012, he developed flickering of lips & tongue in addition to the previously started shivering of left hand & right leg. Need ur advice on cause & what medication for total recovery.", "output": "Hi, Thank you for posting your query. It is good to note that your son is recovering well from the traumatic brain injury. Also, he has withstood five surgeries! Regarding the flickering of lips and tongue, they could be due to partial (or focal) seizures. This is often due to scar in the brain caused either by the trauma or the effect of surgery. Treatment would be with anti-epileptic medications. Please discuss these issues with his doctor. Best wishes, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am an 84 year old male with a high IQ. The first sign of memory issues occurred at age 12 when I got into a dispute with the English teacher becasue I said I could not memorize a poem. Memory issues were more pronounced in high school where memory became more important. But I got through high school and college with a B to B+ average. If I have ADHD, I have managed to overcome it pretty well, except for being disorganized all the time. Disorganization, impulsivity remain. But memory issues are increasing in the past couple years. I wonder if ADHD is affecting my memory more now but it might be helped with ADHD RX.", "output": "Hi, The likelihood that ADHD is the culprit to any memory problems you are currently having at age 84 is very unlikely. I would recommend a good assessment by a neurologist in your area who can apply simple bedside cognitive testing and if necessary refer you to the services of a NEUROPSYCHOLOGIST who can usually perform or even more detailed and ample testing in order to rule out more common problems of memory dysfunction for your particular situation. The neurologist will likely engage in blood work and even urine testing looking at specific levels of things such as B12, vitamin D, testosterone, and thyroid hormones, electrolytes, liver and renal enzymes-in addition to the possible presence of a chronic subclinical urinary tract infection, etc. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctors, This is Srinivas from Srikakulam. My mother has got elephant leg(right). We have consulted General Physician. He has suggested to take anitbiotic injections. Arround 8 injections are given. It is not yet completely cured. Swelling has been reduced 50%. Please suggest us best treatment in Andhra Pradesh.", "output": "Hi thanks for asking question. When treatment with antibiotic done or filariasis infection already occurred in lymphatic. So even with the best treatment swelling sometime may not reduce completely. Large HY Chat Doctor. Avoid fatty food. WitChatDoctorpression bandage try to do movement of affected limb. Take care about not biting by insect. T prevent secondary infection apply antibiotic cream at abraded area, clean nail and wear comfortable footwear. I hope I have solved your query. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I ve been told by doctors that I have a sluggish liver. I woke today with chills and extreme fatigue. There are dark circles under my eyes and the whites are off-white. Several hours ago I took two milk thistle capsules, am on my third cup of dandelion tea, and feel slightly better. Do you have any suggestions for diagnosis and treatment?", "output": "Hi welcome to the Chat Doctor Milk thistle powder usually prescribed in case of cirrhosis like liver condition as a supplement Here you might have chronic hepatitis as well. So your detail report needed to conclude sluggish liver cause... -Serum SGPT, GOT -Total bilirubin -Serum albumin and total protein -viral marker by ELISA for bag and anti CV According to report further treatment guided If cirrhosis present than TIPS like procedure or liver transplantation useful So post your above reports after being done. You can consult gastroenterologist for examination Hope this will help" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i had A tubaligation in 2012 after my 4 baby was born im 24 yrs old and i have been having some slight abdominal pain and i have been off my cycle for 2 weeks almost and for the last 3 day i have been having light pink spotting and discharge what could it be", "output": "Hi. There is nothing serious with you to be worried. It may be just an acute infection of lower genital tract. Get a urinalysis and ultrasound abdomen to make a diagnosis of urinary or genital tract infection. If you were my patient I would give you a painkiller and empirical antibiotic to cover underlying infection. Visit your local gynecologist to give you treatment. I hope I have answered your problem. I will be happy to help you further. Thanks for using healthcaremgic" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 16 year old son has acquired some HGH capsules, which he says he has taken them for the past two weeks. He is uniformed about the possible side affects of taking the HGH. Please provide us with a list of possible side effects of short term use, continued use, and long term use. Your help is surely appreciated. Thank You Very Much.", "output": "I understand your concern. Some people turn to a substance called human growth hormone (HGH) in hopes that it will keep them feeling and looking youthful. But experts say that hope is unfounded. And worse, these products can be harmful.HGH, produced by the pituitary gland, spurs growth in child Chat Doctor. It also helps to regulate body composition, body fluids, muscle and bone growth, sugar and fat metabolism, and possibly heart function. Produced synthetically, HGH is the active ingredient in a number of prescription " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "MY HUSBAND HAD AN ILIAC STENT PUT IN THAT WAS PERFORATED BY HARD CALCIUM. HE LOST ABOUT 2 TO 3 PINTS OF BLOOD IN BODY CAVITY. THE DOCTOR WENT BACK IN AND INSERTED MESH TO STOP THE BLEED. HOSPITAL STAY FOR 4 DAYS. HE IS HOME NOW BUT EXPERIENCING A LOT OF BACK PAIN. BLOOD PRESSURE IS OKAY. WHAT IS CAUSING THE BACK PAIN YYYY@YYYY HOW LONG WILL IT TAKE FOR THE BODY TO ABSORB THE BLOOD IN HIS ABDOMEN?", "output": "Dear friend, I understood your concerns, see this is called as peptic ulcer, or you May have ulcerative colitis, then only you may have bleeding in stomach or intestine, as your ulcers heals your bleeding stops and pain also decrease... and pain in back may be due to weakness or spasm in muscles, so we need to take ice treatment for pain reduction. Within 15\u00a0days pain will decrease. You have to improve your posture also." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doctors, i am rajani, my last MC date was 15th December 2010, every thing is going fine under treatment of my doctor. medical background- already faced many tine like Anemia, typhoid, and jaundice and thyroid(all of these were before marriage). currently doctor told me to take altroxin 150Mg, calcium 100, Ferium XT iron zintec(for some gastic problem), GRD, and vitamin syrup.I am felling pain in my back bone, small pain in stomach, baby area stomach is very hard, and also notice some white liquid with some small particle from my vagina. is this symptoms of labor? Please let me know what are other labor symptoms.ThanksRajani", "output": "Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I jaundice is usually sign of certain liver disease and high bilirubin value. Causes of jaundice vary from non-serious to potentially fatal. High bilirubin may be due to liver diseases such as cirrhosis or hepatitis, infections, medications, or blockage of the bile duct In the developed world the cause is more often blockage of the bile duct or medications. Blockage of the bile duct may occur due to gallstones, cancer, or pancreatitis. Medical imaging such as ultrasound is useful for detecting bile duct blockage. Treatment of jaundice is typically determined by the underlying cause. If a bile duct blockage is present surgery is typically required, otherwise management is medical.[Medical management may involve treating infectious causes and stopping medication that could be contributing. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": ".Dear sir, im Anosha, 29 years old mother and I have 7 months old baby. I have hypertension for 2 years when I was a girl.it was indicated 150/100. many investigations have been done. but every report is normal. now Im taking Atanalol (50mg) bp as a drug. is this essential hypertension? please be kind enough to answer me.", "output": "I read your question carefully, and I understand your concern. Since you say that all tests have resulted normal (since you do not say which tests I will have to assume that all the necessary tests to exclude secondary hypertension were done) then your case can be considered essential hypertension. As for treatment with Atenolol, yes, it is one of the most used treatments, among the safest ones and particularly suitable for your age. So you can continue taking it, of course monitoring blood pressure from time to time and having regular check-ups with your primary doctor. I hope to have been of help." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I woke up this morning with sharp stomach pains. The pain was about 2 to the right of my belly button. I started getting dizzy as if I was going to pass out.. I took some Advil and laid down. After a couple of hours, the pain has decreased but has spread all across my stomach and has since moved to my left side as well as my back. It s not hurting as bad as this morning, but is still noticeable.", "output": "Hi, Thanks for the query. I understand the pain you are going through. Any pain in abdomen should not be taken lightly. Painkillers may reduce the pain for some time. But they are also masking the actual problem. You have also mentioned that pain has spread all over the abdomen though reduced in intensity. It shows that the problem still persists. Are you having fever? Is there any problem while passing urine? A lot of questions needs to be answered before finding the exact problem. I would suggest you to consult a gastroenterologist at the earliest. Your condition needs to be examined properly. You might have to undergo ultrasonography of abdomen to pinpoint the cause of pain. Meanwhile, avoid spicy and oily food. Chat Doctor. Hope I have been of some help to you. Let me know if I can assist you further. Thank you. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have some canker sores on the inside of my lip in front of my lower teeth as well as several on the roof of my mouth. Ive been taking ibuprofen for the past 3 days and it takes the edge off but doesnt get rid of most of the pain. Its making it very hard to eat and even drink. Im not sure what else I can do at home to help. I know I should see my doctor if they dont go away after 3 weeks, but I dont want to wait that long. I just need a little relief. Any suggestions would be greatly appreciated! Thank you!", "output": "Hi ! Good evening. I am Chat Doctor answering your query. If I were your doctor, I would first look into your oral hygiene, and advise you for some kind of antiseptic gargles several times a day, like provide iodine preparation. Also, you might need some antibiotics specially against anaerobic organisms for the oral cavity. This is a fast-growing condition if not treated properly, and so you should also consult your treating doctor soon. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have gall stones and the other day (4days ago) I had extreme pain so I took some panedine forte for the pain and 2 panedine extra since then and I don t know if these are related I have been vomiting I have no desire for food (unusual) I am having difficulty breathing I feel clogged up yet the mucus is clear occasionally there is a hard bright green chunk in it I continuously have coughing fits and am panting after doing the smallest thing I have incredible back pain and I swap from being cold to hot and feel incredibly weak I also have headaches and pain in the back of my eyes when looking any direction but straight Just in case it s relevent I was assaulted a few weeks ago with a cricket bat I was hit in the head 3 times and had a 6cm gash stiched but that has now healed but the headaches started then however the other symptoms only occurred after the gall stone pain which went away within a few hrs then the onset of the other symptoms occurred", "output": "Hi.noted history of gallstones and frequent occurrence of symptoms. An acute vs chronic attack of cholecystitis (inflammation of the gallbladder) secondary to cholelithiasis (gallstones) must be considered. It is best if you consult with a doctor, preferably a general surgeon, for physical examination and clinical evaluation. Diagnostics (such as ultrasound, liver function tests, alkaline phosphatase, complete blood count, etc.) and management (medical and/or surgical if indications are found) will be directed accordingly. Definitive treatment is cholecystectomy or surgical removal of the gallbladder. It could be done laparoscopically (gold standard) or through open technique. Also, an elective (scheduled) surgery (vs emergent surgery) has better outcomes and fewer risks of developing post-operative complications. Anti-spasmodics may temporarily alleviate the pain. Low fat diet is also recommended. Hope this helps. Good day!!~ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi i have lupus sle and i started taken Herbalife products like 21 day cleansing, herbal green tea, formula 1 healthy meals, miltivitamin and cell activator. I have became very itchy since taking these products. Do you thimk its an allergic reaction or its my body cleansing itself?", "output": "Hello, I think this is an allergic reaction to the products that you are using and the best way to fight it is not to use these products anymore. Also, you can take a tablet of an antihistamine such Cetirizine at night for at least 5\u00a0days. If you see swollen lips, difficulty breathing you can go to ER for epinephrine and prednisone injections. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "58year old man assaulted by gang kicked many times in head and body. treated in hospital for section 18 wounds. lesions to face and dog bites to torso and bruising to torso and head. had concussion was ri scan to head xray of chest ultrasound of abdomen mltiple blood tests on 0000. was already on warfarin and bisoprolel, fumerate and citalopram for heart condition and depression. had niggling pain back right just below ribs on discharge from hosp on 26/3 this has come and gone no pattern has become ore intense in last 48hrs, releif slightly if presses fist into pain area. now disturbingly uncomfortable, please advise possible problem and any action needed.", "output": "Hi Call, I would like to know whether you are still continuing wit Warfarin. If yes, do monitor you coagulation profile (Prothrombin Time-international standardized ratio), if deranged these pains could be due to developing hematomas in your wounds. Do take analgesics prescribed for pain, if no relief visit closed Emergency for help for a visual inspection of your healing injuries. Do continue your Escitalopram." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 57 yrs. old and get mammograms regularly,about 5 yrs ago my right nipple stopped protruding when stimulated and if squeezed white creamy smelly stuff came out,I told my dr. she said to just leave it alone,about a week ago it felt sore and when I looked it was prodruded out and in the middle of my nipple is a red sore hard bump?", "output": "Dear Ma'am, Sorry to hear about your problem. The symptoms which you are describing can be explained due to two conditions. One is known as duct Eurasia, and it commonly occurs around the time of menopause and can lead to the formation of abscesses (red, painful sum) close to the nipple associated with discharge. There is also a small possibility of it being cancer. My advice to you would be to visit your breast surgeon and have your condition evaluated. In addition, get a mammogram and a sonomammogram." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi this is wendy here, age 32, female, height 1.62m, weight 56kg. im an asthmaic since i was a child. 2 days ago, i feel my left side chest pain and abit swell. Today, i start to feel pain when i breathe and i have shortness of breath.. pls advise me about my condition thanks", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Chest pain and shortness of breath in asthmatic patient is mostly due to acute exacerbation of asthma. So we should definitely rule out acute exacerbation of asthma in your case. So consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Chest x-ray 3. PUT (pulmonary function test). Chest x-ray is needed to rule out lung infection because lung infection is the most common cause for worsening of asthma. PFT will tell you about severity of the disease and treatment is based on severity only. You will need inhaled bronchodilator (formoterol or albuterol) and inhaled corticosteroids (ICS) (budesonide or fluticasone). Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello DR . TODAY when I had got out of bed I was fine , later on in the day my lower back left side became so painful that it is just about impossible for me to walk or bend ! at first I had thought it was one of my kidney s being diabetic !! & also I had thought siadic nerve but it is just painful where the back bend s !! help as iam in so much pain !!", "output": "Hi, The symptoms you describe seem to be sudden in onset. Its most likely a sprain in back. It should go with rest, anti-inflammatory -analgesic pills (ibuprofen like pills), muscle relaxant ointment, fomentation -in a couple of days. In case its long-standing, likely to be joint pain, spondylitis. In this condition proper examination, investigations & treatment by an Orthopedic doctor would help n long run. Oral medicines, injections,physiotherapy are various ways to manage such condition. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I ran a marathon today and at around mile 7, the side of my right leg started hurting, from about the ankle to the mid calf. I ran the rest of the marathon after that, so about 19 more miles, and now I see that there is a bruise there. Was that most likely the problem all along? Or is it possible that I injured something and then running 19 miles on it caused a bruise?", "output": "Hello, The causes of pain and bruise in legs are:1. Sprain2. Overuse3. Injury4. Blunt trauma5. DVT (Deep vein thrombosis)6. Vascular diseases that, you can take tablet Broken. Apply diclofenac gel or cream. Also, apply ice locally with thrombophob gel locally and do color Doppler of legs. Treatment mainly depends upon underlying conditions. Kindly follow with detailed history or consult with orthopedic. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "what to eat and what not to eat during high ESR,My current ESR result is 85mm at the end of first hour.please suggest curative measures,my age is 55 yrs.I am suffering from night fever since 10 days,today i got my ESR checked and the result is mentioned above", "output": "Hi, Thanks for asking. Based on your query, my opinion is as follows.1. ESR is not increased due to your diet. It is increased due to your night fever.2. Treatment of night fever, which had led to inflammation has led to raised ESR.3. Get a complete hologram and a peripheral smear to identify possible cause. Your CRP will also be increased. You can have your usual diet. Further details necessary for complete opinion. Hope it helps. Any further queries, happy to help again." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have pain in the abdomen on the left side.It has a stabbing feeling at the front and aches around the base of the rib cage. It flares when I sit for a few hours and also on a full stomach, it is partially relieved by lying down by not completely. Prior to this I have experienced several bouts of acid reflux treated with lanzepralzol. l am on a low does of tyrosine for hypothyroidism. Is it an abdominal hernia what should I do.", "output": "Hi. Thanks for your query. The pain in the upper abdomen at the ribs, which increases on sitting for a long time and on full stomach, partially relieved by laying down, known case of acid-reflux, and on low dose of Thyroxine (Tyrosine ?) can not be due to the medicine for Hypothyroidism or Abdominal Hernia. The most probable cause from your history is :Costco Chat Doctor. Or Gastric Ulcer or cancer. Hence, the need of the following investigations:Upper GI Endoscopy and biopsy. X-ray of the Chester the proper diagnosis to get properly treated by a General Surgeon." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Small pea sized lump on Mastoid Bone that is as hard as a bone and I cannot tell if it moves, if it does it isn t moving much. Little to no pain when I press on it, more pressure than anything. Should I feel alarmed? Is this something worth going into the doctors office for? Thanks!", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have some enlarged lymph node due to reactive hyperplasia or mastitis. You should take a course of antibiotics. If it doesn't respond to treatment then biopsy diagnosis is advisable. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been having slight blood in my stools, so I thought I must have a hemmoriod, but it didnt hurt. Today Ive been having severe pain in my stomach and lots of very hard bowels movements, but they come out with black flakes in the stool. Should I be concerned?", "output": "Hello! I read carefully your query and understand your concern. There are many causes of red blood in stools and hemorrhoids is one of them especially if you suffer chronic constipation, and you have lack of physical activity. The diagnosis can be confirmed by physical examination(rectal examination) or lower endoscopy. The presence of black tar stools(not only darker than usually but black) indicates upper digestive tract bleeding. Associated with severe stomach pain it indicates a peptic ulcer. You need a complete evaluation, stool examination to confirm the presence of blood, complete blood work, upper endoscopy to visualize every possible lesion is stomach. I suggest consulting a physician and get evaluated. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am just wondering that I am trying to conceive in the past months but been unsuccessful at the moment due to having pirituary gland tumour and have started taking evening primrose oil tablets and angus castus tablets is this right or is there anything else you can recommend in getting pregnant ?", "output": "Hi, I guess your concern is about does primrose oil and Angus casts medicine help to get pregnant while having pituitary tumor. Firstly I want to tell you that there are many types of tumor occurs in pituitary, among this prolactin is more common (tumor which secreting prolactin hormone) poses difficulty in getting pregnant because it causes irregular menses. But it's treatable with medication if it is small. Secondly I would like to discuss your medication. Primrose oil usually given for the mastitis (heaviness or pain in breast). Its having no role in pituitary tumor. I don't have any idea about the another medicine u have (Angus casts). No need to take tension. It is treatable but require surgery. In both of the cases chances of getting pregnant is high. If you are still worried then, revisit to your treating doctor, discuss it. If you are not satisfied with them then visit to nearby infertility specialist. He/she can help you. I pray to the god that you will be getting pregnant as early as possible and blessed with the cute baby. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My child is 8 months and is milk and soya intolerant, he has had green stools since being on nutramigen aa which I am told is normal, but when changing his nappy today his stool was greeny/pale grey colour and looked a little mucusy is this something i should be concerned about?", "output": "Hi, Can understand your concerns. Green color stools are normal in babies, it occurs because of decreased transit time of food in intestine of babies. Due to decrease transit time, the bile is not separated from food. Due to this the color of stools appear green. Sometimes the child can also pass Golden and yellow color stools, both of these colors are also normal. At this age, Semi solid food should be started. I hope this will help you. Wishing your child could help. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "the other night i was lay in bed trying to sleep. All of a sudden my brain felt it was vibrating violently (think of one of those vibrating exercise plates) and there was alot of pressure and my hearing turned to a loud ringing sound. i thought i was dying by the time i had thought that it was over.", "output": "Thank you for asking Chat Doctor. My name is Chat Doctor. Well if you are experiencing this type of problem with sleep disturbances and torridness there might be psychiatric condition. Panic attacks along with these type of symptoms as experienced by you make many teenagers and middle-aged to visit frequently to ER.Also, I would like to suggest visiting neurologist to find out the actual underlying cause. Consult your nearest medical consultant to take some relaxing medicines I hope you will feel better within one to two days. Hope this may help you. Let me know if anything is not clear. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Doctor , I am getting irregularity in period my age is 30 and also i am trying to get pregnant from 9 month i m trying but not getting result wat measures can i take.", "output": "HIFI papaya, Welcome to Chat Doctor. Your period is irregular, and you are trying for pregnancy for 9 months. Pregnancy depends on ovulation and sexual intercourse in correct timing. Avoid stress, tension or anxiety. Do sex in cool environment and in proper position. Also regularize your period with medicine to correct ovulation timing.Otherwise, need to investigate properly to rule out pelvic pathology if any. Also husband semen analysis is very important. Consult with your gynecologist. All the best. For more detailed guideline and suggestion, mail me....soumenmmch@gmail.com" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi i m a male 23 yrs old and i am suffering from hair fall. I dont know why its happening ? My father has hair till now. It may possible that as i am thinking of it thats why my hairs are falling , previously its physical now it may be mental what to do please give me suggestions, and please tel me whats the normal rate of hair fall in a day for a male? and please tel me is my hair fall natural or something else?", "output": "Hi, Probably you may be having halogen effluvium. It may be due to some cause. Most common cause is psychological upsets like anxiety, worries,tension or depression. Other causes may be thyroid dysfunction, vitamin and mineral deficiencies, anemia, other internal diseases, Chat Doctor. .etc Normal hair fall in adult may be 100 to 150 per day. You consult dermatologist for firm diagnosis and treatment. Blood investigations may be done to find out some internal cause. You may take biotin containing tablets for long time along with vitamin E cap. You may apply mild steroid lotion like beclomethasone lotion on scalp at night. Mild herbal shampoo and almond oil may be used. Have patience for the result. I hope you got my answer. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had an diprophos injection in my right heel for pain there after it didn t go away by taking anti-inflammatory pills. Now I have pain around my fibula where I also have a bone spur. The x-ray showed the bone spur and the doctor said it looked like it s been there for a some time now. I ve never had severe problems though. Could the diprophos have triggered that irritation of the bone spur?", "output": "Hello, Bone spurs are commonly caused in the areas of inflammation & injury. Tendonitis or OA. Dexamethasone may cause delayed healing, low potassium levels may cause Chat Doctor. Diabetes is a risk of developing OA & bone spurs. Keep blood glucose under control at all cost. These trigger the discomfort due to bone spur. You are suggested to get clinically examined by an orthopedics. You may need steroid injections(cortisone). Get treated at the earliest. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor i had head injury & got operated in 2008. I continued eptoin 100mg till 1 year & then stopped without consulting doctor. I am not facing any problem till now. Should i continue eptoin 100mg tablets? Awaiting for ur response...thanku doctor.", "output": "HAI, Welcome to Chat Doctor, As a doctor, I would like to know how long has it been since you stopped your dosage. In most cases, abrupt stopping of anticonvulsant can lead to seizures. If you are or were symptom free for more than three or four months, you may not restart your medicine. You need to worry only when you develop similar symptoms of your past episode again. Wishing you good health, Hope my answer helped Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im 37 2m tall ive been quite healthy all my life.and my family are all healthy people.4 the past year ive been getting 5 chest infections.as soon as antibiotics up.3 weeks later it return.now im sitting with tight chest no coughing or weezy.what can it be", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Recurrent chest infection can cause inflammatory changes in lungs. And this can lead to post infectious bronchitis. This kind of bronchitis will not cause coughing or wheezing. But it will cause chest tightness, pressure, discomfort in chest etc. So better to get done PFT (pulmonary function test). It will tell you about severity of the bronchitis and treatment is based on severity only. You will mostly improve with inhaled bronchodilator and inhaled corticosteroids (ICS). To prevent Recurrent lung infection, it is advisable to take adult pulmonary vaccines like pneumococcal (every five years) and influenza (annually). So consult pulmonologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi i am getting treatment for acid/ heartburn which i was taking omeprazole for i have had this for 9 months now and i have just started getting nausea which doesnt seem to go away what ever i take! i havent lost weight or have had any red flag symptoms but i really have bad cancerphobia through watching family and friends with it", "output": "Instead of omeprazole go for Omeprazole and Risperidone. Avoid spicy foods, outside foods. Eat plenty of fresh fruits and green leafy vegetables. Stop smoking and alcohol if you are taking them. Please get an upper GI endoscopy. A small cancerous lesion if at all present will be seen by this procedure. Get this test done and be relieved. Hope it will come normal. Nothing to worrying you good healthRegards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "7 year old boy with a resting heart rate of 105 bpm taken apically. No other symptoms or complaints of pain with the only discomfort being an elevated heart rate. He has been treated with albuterol for respiratory issues related to a suspected allergic reaction to dogs. Was given a treatment of albuterol 15 minutes ago. What could cause this issue?", "output": "Hello, I just read your query. Albuterol which you are using for allergic respiratory problem is a bronchodilator. Bronchodilator usually relaxes muscles of bronchi(airway that conducts air into lungs), as a result makes breathing easier during allergic reaction.* Rapid heart rate or pulse rate is one of the side effects of using albuterol. * You can discuss the thing with your physician and opt out for alternative. But if you can not contact him immediately and other dose is due then for the time being use half res pule of albuterol, and you can also mix the half res pule with normal saline. * But do contact with your treating doctor and go for some other option.* I hope you find my answer helpful. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doc.. I am 28 years old man and I am facing hair loss problem ( hair loss is excessive). My sister is taking Keraglo forte once a day based on doctor recommendation for the same problem. i have a question here. is this only for ladies or mens also can take the tablet", "output": "Hi. You can use seraglio forte men capsules once daily for 3-6 months. Daily shedding of up to 100 hairs is normal. Excessive hair fall can be due to male pattern baldness, physical or mental stress, anemia or nutritional deficiency or certain medical conditions like thyroid disorders, low serum ferritin etc. Take a nutritious and protein rich diet(pulses, milk products, eggs). Avoid routine application of gels or frequent blow Chat Doctor. Use a sulfate free shampoo for your hair twice a week. Biotin containing hair supplements can be taken for 3-6 months. Hope this helps! Good luck!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Muscle spasms for years in my right leg after MRI June this year Dr did surgery on my discs in lower back , no relief except Lyrica 75 g does help , still cannot walk numbness in toes excruciating and debilitating pain in left leg from walking over 25 ft. developeing on toe another dr says it is a pressure sore and needs to be checked out by vascular dr. meanwhile ortho surgeon wants to do another MRI and try to figure out why I am still in horrible shape My question is this I keep telling Drs that i am experiencing significant pain on right side and was told in 94 i had a cyst on right ovary could this be the path i need to pursue to see a gyno that it might be a the root of nerve pain and damage to leg", "output": "Hi, The orthopedic surgeon is telling you to accept things the way they are and tend to what you need. Get that MRI done to know the exact cause of having pain in the legs. The pain in your legs has nothing to do with your ovary; it's because of compression of the nerve in your back. To know the exact status, an MRI is required. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Experiencing right jaw popping that has just been a grinding sound in my ear when I would open and close mouth , now cracking a lot and pain for 4 days, especially brushing teeth the movement cause severe stiffening with discomfort, had this in high school now 61; another age ailment?", "output": "Hello, It looks like you have jaw joint related problem like TMJ/TMD. It is the cause of grinding and popping sensation of the jaw joint along with pain and stiffness. So my suggestion is to consult an Oral Surgeon and get evaluated. A clinical examination and investigation like panoramic x-ray should be done to rule out the exact cause. You can be advised a combination of painkillers and muscle relaxant, mouth guards and Physiotherapy for relief. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am a 46 year old female 5 ft 7 weigh 120lbs i am continually having finger nail infections where the nail turns white and red and sore below nail bed i am treating it with polyfax ointment and daktacort cream prescribed by my doctor but not having great results any suggestions would be welcome tks", "output": "Welcome to Chat Doctor. I appreciate your concern for the finger nail infection. Apparently you have some sort of fungal finger nail infection which usually does not respond to Daktacort cream or Poly fax ointment. You need to be examined by a dermatologist for probable use of Oral Anti-fungal Chat Doctor. It may take four months or longer to eliminate an infection. So you have to take these medications for a period of 6-12 weeks. Medicated nail polish containing Ciclopirox is also effective. You have to paint it on your infected nails and surrounding skin once a day. After seven days, you wipe the piled-on layers clean with alcohol and begin fresh applications. You may need to use this type of nail polish daily for a year. Hope the suggestions given above could be beneficial to you. Best regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, my infant son is 2 mos old, and he has a lump right above the breast. there are a few tiny red spots on the skin.. he otherwise looks perfectly healthy..does not seem to irritate him, but i will be getting it checked soon, as i am concerned... (i breastfed for about 5 days so not that long..) any thoughts?", "output": "Hi. Thanks for your query and an elucidated history. Noted your history of your 2 months old son getting a lump above the breast with tiny red spots. This obviously looks to be an inflammatory swelling and hence may need antibiotic and anti-inflammatory medicines. Consult your Pediatrician for clinical evaluation and to get the correct weight adjusted medicines. Breastfeeding may not be related to this incidence." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a UTI last month, was cleared, and over the last week have noticed an increase in frequency of urination. I could get up and drink 17 oz of water and need to urinate 2-3 times over the following hour and half ....is this another UTI, should i be concerned about kidney failure?", "output": "Hi Dear XXX ! Thank you for posting your questions here. If you Chat Doctor. It does not necessary say that you have kidney failure or UTI. Usually the symptoms of UTI are: frequent urination even too little.-burning during urination.-pain in your lower abdomen or lower back.-fever, feeling tired and sleepy Kidney failure symptoms: Weakness, Cause, lethargy, fast heart beat, problem breathing, edema, etc. If you have increase of urination with little urine while you don't " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, my name is Luis my girlfriend and I had sex the 3 of May we used a condom the first time , the second time we had unprotected sex but only for seconds , we recently found out she is fertilizing today , what are the chances she may get pregnant , she s kinda freaking out", "output": "Hello misunderstand your concerns you had unprotected sexual intercourse during the ovulation time there is high chance of pregnancy. Sperm fertilize the ovum release during ovulation time. You can use I pill/unwanted 72 to prevent the unwanted pregnancy up to 72 hours after sex for safe practice. If 72 hour has been crossed then you have to wait for period tome. If period will delay by the 8-10 days from normal expected period then you have to confirm the pregnancy by urine pregnancy test and or blood Chat Doctor. You can terminate the intrauterine pregnancy by using abortion pill under the observation of gynecologist. Hope this may help noncontact Chat Doctor for further health query Best regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Over the holidays I had a fairly severe upper respiratory virus with lots of green mucus, coughing and blowing my nose. Went on a z-pack - really didnt feel a whole lot batter. After about 2 weeks, coughing stopped, not really blowing nose, still feeling run down and not quite 100%. Over this past weekend, my next and throat started to feel still and hurt. Now when I breath deep my chest hurts, when I walk it hurts and feels heavy, and when I lean over there is a throbbing. I went to the doctor on Sunday and was given cephalosporin and have taken for 2 days. Should I just wait it out to see if the chest pain is relieved? At what point would I return to my doctor?", "output": "Hi and thank you so much for this query. I am so sorry to hear of this rather difficult to treat respiratory symptoms and infection that you have reported. With a recent evaluation and change of treatment regimen, I will suggest that you wait and complete the course of treatment. Should symptoms not improve, return to him for further evaluation. That in itself would be very helpful towards identifying the exact problem and managing appropriately. I hope this helps. I wish you well and thank you so much for using our services. Feel free to ask for more information and clarifications if need be." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just underwent abdominal myomectomy for removal of fibroids 8 days ago. When I stand or sit I have shortness of breath and feel pressure right at the at point where my rib cage meets. When I lie down I feel fine. I have night sweats ( only at night and I read this could be because I am still eliminating the intravenous fluids) Otherwise I feel fine. I feel no pain at my incision and I am not taking any pain medication.Thank you", "output": "Hi. I understand your concerns. There is nothing to worry. You are using painkiller and feeling no pain, but still incision and wound can't bear pressure of your abdominal contents when you stand up, that's why through in involuntary pathway your respiration becomes shallow and rapid.that's why you feel shortness of breath. Nights sweat is probably because of NSAIDs(painkillers). These symptoms will fade away within few days. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctorthis is denial from USA i am 27 years of age i have sperm ejaculation problem since age of 14 i was doing Masterbation and on age of 23 to now i am suffering from sexual problem, in 15 second my sperm came out when i do sex with my partner or do masterbation i need cure of it , is there any way to be normal again ?", "output": "Hi denial thanks for writing to ChatDoctorafter going through problem rather query, it looks you are blaming masturbation as the cause of your problem. Let me make it very clear, dear denial its absolutely normal healthy habit to masturbate. Check for blood sugar level. Now, coming to your problem, my advice would be-do pelvic floor exercises like contract your anal sphincter as many times a day as possible for few seconds while watching t.v. or sitting in office. Have healthy nutritious diet and while doing sex don't be in a hurry. Take care and enjoy sex life." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "cold air feeling when breathing , get lightheaded soemtimes and weird feeling in my eyes or sinus area but its a cold dry air , makes me not want to breath through my nose as much but i breath through my mouth to much then , any idea of what this is , i also have a stomach ucler with no medicine for it cause i just got health insurance and i woke up with burning pain in my stomach in one spot and it was burning my back to , and all the nurses at my work think i hae an ulcer since i get bloated fast when i drink or eat and my stomach feels like its pushed out all the time and i burp alot and my stomach always feels like crap , but can that have an effect on why i breath this cold dry air that makes me lightheaded and gives me a weird type of headache , i would really appreciate some kinda answer", "output": "Hi. Pain in stomach- as you rightly said looks to be due to gastric ulcer. You can start the following: would advise the following in such a patient:Continue Santa 12 hourly. Pepcid every 3 to 4 hours when on empty stomach. Add Risperidone or such motility regulators. Soft bland diet. No aerated colas / soda/ Chat Doctor. Early dinner. No late nights. Treatment for anxiety (as prescribed / needs a prescription by your Doctor)Lying in a reclining positional around after dinner. Think of the factors which increased the present problem, HERD, anxiety and try to avoid. If no relief, get Upper GI endoscopy done and get prescription for added Medicines. EKG for the heart n a safer side to rule out cardiac problems. This helps all my patients and should help you, hopefully. The light headdress looks to be concerned with your sinus problem as you already have nasal symptoms. Get a CT scan, take antihistamine and decongestant nasal " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "What is the cause of Peripheral Neuropathy, and what is a persons life span that has it in feet and legs? I have no balance, and no Diabetes. Toes have little or no movement, lower legs are ice cold during daytime and very hot when sleeping at night (causing restlessness) this has been ongoing for 4-5 yrs. It ends at my knees. Will this go any further in my body? Was a very active and high level tennis player. Outside activities included biking, boating, walking, and tennis. Cannot do any of these things now, and it is stressful. Is there an answer???????", "output": "Hi, Thanks for your query. Peripheral Neuropathy is a condition caused by damage to the peripheral nervous system [most commonly seen in diabetic patients]. The reason may be due to deficiency of nutrients or due to vascular compromise or due to any pressure effect.1. So you can take multi vitamin supplements consisting of pyridoxine, methyl calamine with pregabalin. This supplements will help you in the prevention of symptoms. 2. Along with these you need to have nutritious diet consisting of fruits and green leafy vegetables and more fluids3. Daily out door exercises (150 min per week). I do hope that you have found something helpful, and I will be glad to answer any further query. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "goodmorning sir,iam lalith,i am 31yrs old,i am getting my periods in a correct cycle of 28 days, the thing is i have a pain in my abdomen before 10 days of my mensus period. we r planning to have a child.i have my back pain ,not severe.i got married before and half year.just six months only i am with my husband,before six months i went to doctor, there was no problem in my scan report. but now i am getting urine infection also.is there any possibility to get pregnant if the pain is there before menus period also.thank u", "output": "Hi, I think abdominal pain 10 days before periods is an indication that you are ovulating. You can confirm that you are ovulating by repeated ultrasound or ovulation detection kits. If it is normal and ovulation is detected, you can try another 6 months. There is a good chance of getting pregnant. Do a semen analysis of your husband. Be in contact with your husband every 2 to 3 days after your periods stop. It will increase chances of your pregnancy. If it doesn't work, then you can take some medicines like camphene for the growth of your follicles and track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles. Be in contact with your husband for 2 to 3 days after injection. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. You can try like that for 3 to 6 months. Hope I have answered your question. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, my period is close to two weeks late. I got off Bcps in may and have been getting my period every 37-40 days without being late. My husband and I are ttc and have tried on 9/12. I was due for my pd 9/17 still havent gotten it. I believe i ovulated on 9/3 but incould be wrong, i was tracking cervical mucus. I took afew hpts theyre all negative. I feel some symptoms such as cramping, nausea, bloating, acne and occasional constipation. I really want to be pregnant, any possibility I still might be even with the negative home results? Im going for labs on Monday 10/8 either way, Im just anxious", "output": "Hi, Thanks for the query. I understand your concern. Your cycle is 37 to 40 days. I would like to furnish you few tips for detection of ovulation also about the days with the highest possibility of conception. Ovulation detection. -you are using cervical mucus test. But it can be little confusing to detect its quality your self. So- 1. I would advise you to have USG ovulation study before planning for pregnancy. 2. Ovulation is 14 days prior to the date of next period. Your ovulation would be on 23rd day or 25th day of your periods .....test the cervical mucus 2 days prior to it (From 21st day of your periods till 25th day - You can use L.H. surge test to avoid confusion in observation of mucus. 3. When ovulation is predicted . Have unprotected sex from (5-6 days from the +ve L.H.surge test). 4. Consult a gynecologist be under her care throughout the process." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am 48 old male operated for piles and hernia and also affected by jandice in 10 years back as per dr advice i took stress test it shows variation but i dont have any pain in stressmill test,my 2d echo colour-doppler shows no clotting but it showed mild centric lvh in the result, my bp readings are 150/90 and i took cardibeta and homocheck after taking the starplus 25mg my bp readings were 140/80 so i stop starplus 10 month back now my bp reading are 164/94 pl advice me to what do further", "output": "Hello and pleased to answer you Left ventricular hypertrophy is defined as the increase in muscle mass of the left ventricle; It can be hypertrophied of the muscle leading to a systolic HVG or a dilation of the muscle leading to diastolic HVG. The diagnosis is suspected on the ECG and confirmed by ultrasound. Among the causes of left ventricular hypertrophy are age, intensive practice of one or more sports, obesity, prolonged hypertension. The seriousness of hypertension arises from its impact on a number of organs (target organs). The complications that can develop at their level explain the increased morbidity and mortality associated with hypertension. The heart is one of the main target organs, and one of the first consequences of elevated blood pressure (PA) is left ventricular hypertrophy (HVG). The heart adapts to high blood pressure by increasing the volume, resulting in an increase in oxygen consumption by the heart muscle. As a result, coronary revascularization may gradually become insufficient. Progressively, the diastolic function (see DIASTOLE) then systolic (see SYSTOLE) will alter. In addition, this increase in volume of the left ventricle may cause ventricular rhythm disturbances (ventricular extrasystole for example) and poor revascularization of the deep layers of the myocardium (risk of INFARCTS). I advise you not to stop your antihypertensive treatment (keep it for life)To practice a hygiene of life with especially a diet without salt (look at the dash or dietary approach to stop hypertension see https://www.yyyyyyyyy.yyyyyy.gov/yyyyyyy/yyyyyy/public/heart/hbp_low.pdf)Walking every day (45 minutes per 24 hours)And consult your cardio as quickly as possible. May this informations help you best wishes" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hey there ! I had my paragard iud inserted on 18 sept,,2013,, last month,, and i didnt had intercourse till yesterday its like 3 weeks now and today i had it and i noticed little spoting after that ,may i know is this something serious ?? or do my iud got moved or something ,, i am just worried,,, please answer . .", "output": "Hello! Thanks for your query. Postcoital bleeding isn't normal, but it can be caused from: infection cervical or endometrial polyps vaginal cancer cervical cancer trauma determine etiology of postcoital bleeding, you need for further evaluation by your gun. If your recent PAP smear is negative, despite the low rate of serious pathologies seen in referred postcoital bleeding, is recommended colonoscopy. Take care of your self" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been battling stage IV Fallopian cancer for 2 1/2 yrs. The cancer recurred 7 months after initial 18 weeks of chemo. I have been undergoing various chemo treatments ever since ( 15 months). My most recent scan showed nodes in the vaginal cuff, anterior rectal wall had enhanced from 4 mm to 6 mm. Hot spots still showing on colon, as well. What could this mean?", "output": "Hi and welcome to Chat Doctor. Thanks for the query. These findings are nonspecific and usually this is just inflammatory reaction of lymph nodes, but it can sometimes indicate new recurrence of malignant disease so further tests are required. You should do PET CT SCAN to see is there some metastases and then new behemoth or radio can be started or surgery can be considered. Wish you good health. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have some darkened tissue around the left side of the tubercle of the epiglottis, accompanied by ear pain and recently otitis media, which was treated by oral administration of doxycycline. I ve also had increased appetite recently and weight gain. I know that the epiglottis is located by the thyroid gland and this might explain the appetite change and weight gain. Is it possible this may be epiglottal cancer and if so, what is the general stage of progression of the cancer before it is caught. Also, what it the common treatment and five year survival and complete remission rate? Note that I am a smoker and a moderate drinker. Please give your feedback. I am a Nurse Practitioner and familiar with medical terminology.", "output": "Hi, how did you see your epiglottis?endoscopy pictures?symptoms for ca. epiglottis are voice change(most common)pain in throathemoptysisdysphagia and loss of weight(not weight gain)increased appetite and weight gain can be due to steroid use(if you have used any)confirmatory investigation for ca. epiglottis is laryngoscopy and biopsy.treatment for early cancer can be -radiation(80%cure rate) but associated with morbidity-partial laminectomy neck dissection (80-90% 5 yr survival)treatment for advanced cancer is multimodal.total laminectomy followed by chemo radiation. Overall cure rates and patient satisfaction is excellentWITH THE SYMPTOMS YOU SAID I DON'T THINK YOU HAVE A CANCER.GET EVALUATED BY ENT/HEAD AND NECK ONCE AND CLEAR YOUR DOUBT.hope my answer helped you if you have any more queries I would be happy to help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hellow Doctor My name is Saba i am 17 years old and when i was around 5years old there have been mosquitose that has been biting me on my legs which caused me to rub my legs with my nails continously and today the black spots disturb m because my legs skin is white and it looks horrible with the black spots. can you give me a good solution", "output": "Hi You have many pigmented scars over the legs. Topical medications can definitely be of help to you in reducing the pigmentation to some extent, although only after proper treatment, we can know the results Since these are dark scars, I would advise that you should use a lightening agent like comic acid and vitamin C combination over the scars. This is a simple, harmless lightening agent which can be used for as long the blackish pigmentation is there. Also, try not to touch the area too much Use proper sunscreen (SPF>26) before going out in the sun so that the lesion doesn't darken any further Take a diet rich in vitamin C and antioxidants like Citrus fruits and lots of salads If after all the above measures, the scars tend to persist, then I would advise that you should see a dermatologist as there are various other measures for the treatment of pigmented scars like the use of chemical peels, dermabrasion etc. which a dermatologist can decide according to the type of scars. Hope it helps To wish you speedy recovery Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I quit chewing tobacco, but still have some numbness in my tongue. The dentist says there are no signs of oral cancer. Does this get better in time, or the price to be paid for bad decision making? No sores or anything, just numbness that comes and goes", "output": "Thanks for your query, I have gone through your query. The numbness(anesthesia or paresthesia) can be because of the pressure over the nerve by a wisdom tooth, or a tumor or a cyst. The other possible cause can be any injury to the nerve by trauma or any injection at the site of nerve. Nothing to be panic, consult an oral physician and get yourself examined and take a screening radiograph like OPG to rule out the above said causes.Meanwhile you can take a nerve regenerating Chat Doctor. Take care of the part which is numb from hot, cold and sharp objects, because you will not be able to make out the sensation. The numbness has nothing to with the use of tobacco, unless there is an oral cancer. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am having sciatic nerve pain. Starts in my right hip & goes down to my foot which is tingling & numb. I have had this before but never with as much pain as this time. It takes my breath away & lasts for quite awhile. I have a back brace that seems to help. I take 15mg of prednisone daily for lung problems. Aleve seems to give some relief but I am concerned about the two drugs causing stomach problems. Tylenol doesn t seem to help much Thank you for your opinion,peggy", "output": "Hello, There are so many causes of sciatica pain, but treatments are several but non-surgical treatment is temporary. Although treatments are:you can take hot/cold therapy:apply hot water fomentation for 20 mins. Hot therapy reduces the spasm and numbness or induce the blood circulation. Cold compresses or therapy reduce the swelling over nerve and numbness. Apply ice cubes within towel over your back for same time and don't exceed this therapy more than 20 mins to avoid skin burn. You can apply massage with mahanarayan oil 3 to 4 times a day.it reduces the muscle spasm and increase circulation and range of motion. Exercises:Do isometric spinal extension exercises 3 times a day as ankle stretching, lie on your back bend your knees and raise your waist and hold up to 20 secs than release and repeat it again for 10 times. Avoid forward bending, weight lifting, long sitting and standing it will increase the pain. Stretching do hamstring stretching so that sciatic nerve got relax." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, Im 15 years old and I ve just started going on the pill, this is the second time as the first one made me feel very bloated and caused my constant tummy pain, but now I ve started this pill I am experiencing, constant bloating, feeling sick, back pain, I ve been on my period for about two weeks now since I started it, I constantly feel as if I need to poo and some times I will have a very sore stinging wee, please can you let me know if this is related to the pill or is something complete different, thankyou", "output": "Hello, and I hope I can help you today.First, in the first month of use, all birth control pills will cause some degree of side effects of bloating, breast tenderness, nausea, mood changes and irregular bleeding. This is because when you first are taking the pill, your body is still making its own hormones, so essentially the hormones on the pill are sort of tricking your system to make it think that you are pregnant. This is why many women get symptoms that are sort of like pregnancy in the beginning when they start the pill. However, burning with urination and back pain are not usually due to side effects of the birth control. These are actually symptoms of urinary tract infection, which can happen to any young woman when they are deny Chat Doctor. Urinary tract infections require a urine test that needs to be performed in a doctor's office to determine if you need treatment. So in your case, I would recommend continue to take your pill and trying to take it as close to the same time every day as possible will hopefully make your breakthrough bleeding stop. However, I do recommend you see a doctor or other healthcare provider to get your urine tested to make sure you do not have an infection, as if he is urinary tract infection is not treated it can spread your kidneys and make you very sick. I hope that I was able to adequately answer your question today, and that this information was helpful to you. Best wishes, and I hope you feel better," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi Im a female of 49 yrs of age. Ive been having this very dull ache on the left side of my chest since yesterday morning. while the pain is persistent, it does not get worse with more activity or breathing in harder or holding my breath or even sleeping positions. it is just a constant light ache and nothing more and sometimes I feel my left back also involved ..sometimes .. I am worried that it can be a problem. a good friend of mine passed away last week of a heart attack. He was also 49. thank you", "output": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, we should rule out cardiac cause first for your left sided chest pain. So better to get done 1. ECG 2. 2d echo. If both are normal then no need to worry about cardiac chest pain. Simple musculoskeletal pain can be the cause. So avoid heavyweight lifting and strenuous exercise. Avoid movements causing pain. Apply warm water pad on affected site. But better to first rule out cardiac chest pain. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have pins & needles across my chest and starting to go down my left arm, the sensation started this morning and comes & goes within a few seconds. I am a dibetic & have had heart surgery could you give me some idea what might cause it. I am a 76 year old male reasonably fit walk often & play golf twice a week.", "output": "Hello! Welcome to Chat Doctor, and thank you for your question! I understand your concern, and would explain that your symptoms coupled with your past medical history are very concerning for a possible coronary artery disease. I recommend going to the ER for a careful physical examination, a resting ECG, a chest x-ray and some lab tests : fasting glucose, complete blood count, kidney and liver function tests, blood electrolytes and cardiac enzymes to exclude possible acute coronary disease. Further, tests (like a coronary angiography, etc.) may be needed if suspicions are raised. Hope to have been helpful! Best wishes, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dr.My husband age 44, i am 29 .We have a second marriage. But I have a child. My second marriage is done in one year. But we have no child.We meet one doctor, and prescribed fertisure medicine. my husband,s motilility is very low. Dr. how many months this medicine is used, which time this medicine is effected.", "output": "Hello, I have gone through your query and understand your concern. Fertisure M is a supplement in the form of anti oxidants which would help him to increase sperm motility. You should rule out any other cause causing infertility like infection. If there is any sign of infection, he may need broad spectrum antibiotics. Further we cannot surely how long he has to take feature M. Because this may work in many and not in some and the effectiveness vary from person and person and also on other factors like age, previous infections, etc. Recommend him to take natural foods to increase the sperm count like garlic, ginseng, pumpkin seeds, walnuts, asparagus, bananas, dark chocolate, oysters etc. Further if he is a smoker, he should stop smoking and taking alcohol too. My recommendation is to recheck the sperm analysis after 3 months of taking this Feature M to know about the status and discuss with your treating physician. Hope this helps. Please write back for further queries. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I seem to have thrush in my cheeks gums and am in the middle of an antibiotic treatment for a sinus infection. Any ideas? I am a 75 year old male in fairly good health but have been down with this for a week or so. Very tired, had a bad cough but that has lessened . YYYY@YYYY", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Some antibiotics can cause oral thrush. Antibiotics kill bacteria. In doing so they also kill natural human flora of mouth. This causes thrusChatDoctormon antibiotics causing this symptom are amoxicillin, cephalexin, doxycycline etc. So if you are taking any of these antibiotic, you should definitely call your doctor and discuss changing antibiotic. You can take probiotic tablets for oral thrush. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am 28 years old.Ten days ago I was suffering from Dengue fever.I was ok then again I became sick and temp raised up to 103 degree.I got my blood test today.It says Serum ALT SGPT is 236 U/L.From the internet I have learnt that this is not normal.Please suggest me what to do with it.", "output": "Hi welcome to Chat Doctor .... Noted you had dengue infection with elevated liver enzymes.... Here you need to maintain plasma volume as you have dengue with more and more water Chat Doctor. ... Papaiya like fruits useful.... For few days take soft and bland diet. Avoid alcohol. Fatty and fried food taken very less. Non veg food avoided.... Even if after recovery from dengue and after that few days liver enzymes elevated then complete LFT profile done with viral marker study for further work up..... Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir, my daughter is 19 months old. she was suffering from heavy caugh &cold along with fiver 20 days ago. doctor suggested ambrodil s with antebiotic and fivago. then given. caugh and fiver gone .now she is again suffering from caugh. can ambrodil be given for 3 ml thrise a day?", "output": "Hi.... By what you quote I feel what your kid could be having viral associated wheeze or multi triggered wheeze. I have a few questions for you -Questions:1. How many days per month does she cough or feel breathless?2. How many nights per month does her sleep get disturbed due to above symptoms?3. Does she feel breathless when she runs around or plays with other kids?4. Are the symptoms when there are seasonal changes?5. Is there any family history of asthma or any other sort of allergies like skin allergy etc.?6. Is the cough always associated with fever? If your answer is yes for any of the above questions, your kid might be having viral associated wheezing or multi triggered wheezing, and I suggest you meet a pediatric pulmonologist who is near your place. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been suffering with abdominal pain for about a week, I was admitted to hospital where they found a blood filled cyst on my right ovary. That has now gone but i am still having pain on my right side...The hospital have blood tested me to make sure that i didnt have infection in my appendix. I am now starting to get back pain on my left side. Also prior to this a water sample indicaated i had puss cells however this was not picked up on a following sample", "output": "HelloPreviously pain was on the right side due to blood filled ovarian cyst, that resolved (according to you). Now pain recurs but on both side (pain in back also on left side) . Such type of pain on both side may be due to these reasons, This includes.1 Poly Cystic Ovarian Disease (pod) . Once again get in ultrasound of both ovaries because recurrence is very common in ovarian cyst, particularly if proper treatment is not taken.2 The next reason of such pain may be due to renal calculus on both side or on one side. So get in ultrasound of both kidneys as well complete urinary tract system.3 The next reason such pain may be due to salpingitis (infection in fallopian tubes) Gynecological examination will rule out the disease. In my opinion consult a surgeon / gynecologist and get their opinion. Hope this information will helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor, I m writing to you from India. My 3.5 year old son is suffering from diarrhoea since last morning... have been giving him ORS and a little milk... hes active otherwise, except that hes getting weaker due to no intake of food... hes epileptic and is on Leveracetam 2.5-2.5 per day. He was diagonized with bilateral hippocampal atrophy when he was 2 yrs old. He suffered his first seizure at 14 months. Can i give him nor metrogyl. If yes, what would be the ideal dosage and for how many days should it continue (given the fact that its an antbiotic)? Many thanks in advance for your advice, doctor...", "output": "Hi...this seems like a viral diarrhea to me. There is no need to use antibiotic unless there is blood in the stools. Actually metro is metronidazole and can cross-react with some antiepileptic medications. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had an odd red rash on the back of both of my knees for a few days now. I typically don t notice them unless my jeans rub against them. They kind of look like skin would if you scratched it too much, no bleeding or oozing. The other day I was stupid enough to shave my legs with a barber-shop style hair trimmer (my husband uses it to shave his head, he s in the military ). It s been about 4 days since then though, could that have caused it? I also read somewhere that rashes on the back of your knees could be a sign of HIV . I ve had the same sexual partner for almost 2 years now, and he was tested a few months ago and came back negative. Any ideas or feedback would be great. Thanks!", "output": "Hi.thanks for your therefrom what you describe, it appears that you are starting to have an edematous rash behind your knees. You can apply a mild topical steroid for a few days on the lesions and have oral anti-histaminic tabs if it itches. I do it think you are showing any symptoms of HIV due to occurrence of a simple rash. However, since edematous / similar rashes tend to be persistent and recurrent, you should consultant dermatologist to get the appropriate therapy started. Hope this helps. Take care!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor, an employee of my husband (male around 40 yrs) has been sick over the past 2.5 months. He has come in to work at least 5 times saying he can t stop vomiting. He can t breathe and doesn t stop coughing. his doctor doesn t seem to be helping him. Any idea what could be wrong with him?", "output": "Hello, He is suffering from irritable bowel syn Chat Doctor. If his cough is also accompanied by the fever or weight loss then his chances of been infected by the tuberculosis is high if its without the fever, then he might be suffering from the IBS its like the intestinal disease but along with vomiting it is also accompanied by diarrhea if neither is the case then he must be suffering from asthma for its confirmed diagnosis an x-ray should be conducted. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "a heavy object fell on my ankle in 2008 i still have pain and swelling an saw quite a few specialists and had a mri xray and ultrasounda and they cant find a problem i saw a neurologist he thought it was nerve damage but cant find anyting do you know what it might be", "output": "Any cause of peripheral neuropathy should be ruled out. Kindly check your blood sugar level both fasting and postprandial to rule out any diabetic neuropathy. Completely avoiding any movements can increase the pain hence daily walking is recommended. Physiotherapy can also be helpful in reducing the discomfort. Vitamin B12 and B6 are useful in reducing nerve pain. They are available in tablet forms which can be taken daily after food Hope I have answered your query. Let me know if I can assist you further. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My six 6 old son took his last dose antibotic this morning.....last monday he was diagnoised with strep throat and came down with hand,feet and mouth....all rash gone and no complaints. Shortly ago he was outside and walked in front of 12 yr old brother swing a plastic bat hit him in head....he did not cry but came in got on couch....he had glassy eyes, and felt warm to touch...checked fever said 99.9 then did again said 100.00 he was hungry ate three pieces of pizza now is up playing....could this be the hit or sick again", "output": "Welcome to ChatDoctorStreptococcal throat infections can be easily treated by antibiotics. Only thing is that you should complete the whole course of antibiotics, to prevent further risk of having rheumatic fever. In my opinion, this episode of trauma is not significant as there are no symptoms of any neurological injury by your description. Mild rise in temperature seems to be due to physical activity he was involved which seems to be perfectly fine. In case of any further questions, do call back." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i have a prob im just a student en me and my gf had sex and right aftr that night few hours aftr sex she take nordette she has taken it for 7days then she stop because of severe migraine and weakness then today is her period and she missed she takes nordette again my question is, is it ok or still effective to take nordette? is she pregnant ? ? because she missed her period? we did it feb. 1 she taken nordette for 7 day aftr we had sex then stop continued again feb 10 is she pregnant? bcoz she missed her period? plsss i BEG you answer my question pls? thanks alot doctors i beg 4 ur help :(", "output": "Hello, Nordette is not an emergency contraceptive and as such, if ovulation had already occurred prior to its use, conception can occur. It is a regular oral contraceptive. If she has regular 28-32 day cycles, you had intercourse during the fertile period, and so, the chances of conception are higher. I advise you to get a pregnancy test and follow it up with a trans-vaginal sonogram, if positive and get further help from your doctor. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My step daughter (age 41) recently had a spinal cord bleed . At the rehabilitation center where she received therapy, one of the physicians told her that what she had was a stroke of the spine . After going on line to get information on these subjects, I do not see where the two are the same even though the results are the same. Is a spontaneous spinal cord bleed and a stroke of the spine the same thing?", "output": "Hi, Thank you for posting your query. Bleed in the spinal cord is often due to bleeding diaeresis, such as low platelet count, other disorders of blood, etc., or sometimes due to trauma. Spinal cord stroke is often due to lack of blood flow to spinal cord and the risk factors are diabetes, high BP or cholesterol, etc. I agree with you that both spinal cord bleed and stroke would have similar adverse impact on the patient. I hope it helps. Best wishes, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have medium size hard lump on my face, upper cheek bone, under the corner of my eye. This has happened once before and went away over the course of a day or two. I was rubbing my face and felt it again. Its not causing pain or affection my vision, just minor discomfort.", "output": "Hi! This lump should not be neglected... Yes, its location is very critical and if further enlarged, can affect not only your looks but also your eye and nose! This one is an infected inclusion cyst or some benign skin tumor-like lesion like histiocytoma or dermatofibroma! A simple 2-minutes needle biopsy can confirm the diagnosis and please don't rub/poke it. And see a dermatologist/surgeon for a direct examination and treatment plan!regards," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I really really need your help.My partner has suffered from the same problem for around 4/5 years maybe longer now. His problem is he overthinks...about the same stuff all the time. things in his past...did i do that?? what actually happened? when he knows he hasnt done anything wrong his overthinks it an questions whether he has. When we go out if he talks to a girl (even when i am there) he will think about it for months after what if i tried kissing her...was i chatting her up? what if i had cheated? even though i am with him the whole time and he knows he hasnt done anything wrong!He wakes up thinking about it and goes sleep thinking about it. He says he cant even feel his own feelings anymore, hes always tired from it, we havent had sex in 2 months i just dont know what to do! he saw a physciatrist 3 years ago and they prescribed him tablets but they just turned him into a zombie. Please can you help and tell me how we can get through this. Thank you x", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. From the description it is very much clear that your husband is a victim of obsessive thinking. It is a personality disorder and treatment is necessary. First he must be made aware that he has this problem and should be explained reasonably. This is a psychologist can do. Then he should be motivated to follow a lifestyle which is engaging. Called occupational therapy. Then his thinking (cognitive) style should be changed using positive techniques which is coming under Cognitive Behavior Therapy. A psychotherapist does this. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have low blood pressure ususally 80 systolic and 40s and 50s dyastolic. I also have heart flutters especially when I lay down too fast and lay on my left side. I have had panic attacks for 14 years. I have had an echo and two holter monitor tests and felt the flutters with the holter on but nothing was ever picked up. I recently switched from atenolol to metropolol and it made the flutters worse. Is it likely that I am just experiencing pvcs or something and that nothing is wrong. I have seen two cardiologists who have put me in the clear", "output": "Hi Thereafter reading the medical details provided by you, I am surprised why you are taking BETA BLOCKERS in first when your BP is staying low. I would like to advise you to stop taking Metoprolol for a week and monitor your BP daily at same time for a week and if it stays below 140/90 MMH then you need not start the medicine back just need to maintain healthy lifestyle habits, and you will be fine. THINGS TO DO for healthy lifestyle habits.1. Daily brisk morning walk for 45 mins a day for 5 days a week.2. No smoking 3. Low salt diet4. Avoid junk and canned food5. Include good amount of fruits and vegetables in diet.6. Keep calm and happy wish you good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my Dr. put me on amoxicillin/clavulanate 250/125mg, yesterday, as she thinks I have bronical pheumonia and I would like to know the side effects, as I have no energy, itchy, all over eyes to fighting to keep my eyes open, cold, headache, r these side effects?? they are an anti-biotic I have no energy, at all so I was wondering what the side effects are? Rose Scott YYYY@YYYY YYYY@YYYY", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Weakness can be due to bronchopneumonia or due to antibiotic you are taking. Bronchopneumonia is an infection. And decreased oral intake, weakness are symptoms common in acute infection. Antibiotics can cause weakness, but infection is more likely cause for your weakness. It will improve once your infection and pneumonia resolve. This will take at least 7-10 days. So better to Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi im 25 years old ive been trying to have a baby for the last 4 months but my question is why do i always have watery discharge in my underwear? This is like all month already i just finished my period 3 days ago i dont know whats going on this has been going on for about almost 3 months already i have gone to the doctors and she told me it was normal that not worry about it but i dont think its normal i know the difference when im fertile and when im not i always have leaks in my underwear and when it first comes out it looks like pee but when its almost dry it looks like discharge please help", "output": "Hi, Welcome to Chat Doctor. Such discharges are seen either due to infections or due to hormonal imbalance. If the discharge is associated with any amount of itching then it is confirmed that it could be due to infection. If there is no itching associated and the color is white or colorless then it is due to hormonal imbalance which is normal and subsides on own after few months and do not affect the fertility much. Wish you the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Our friend has stage 4 tonsil cancer. he went by way of alternative treatment and did radiation and hyperthermia treatment. This started in Fall of 2009. It worked until February of this year. He was given a high dose of steroids that made him very ill. While he was being weaned off the steroids for two months his tumor markers went up. He is stage four and cant eat or drink. He is in Los Angeles and just wanted to know where to go from here. They are looking at taking him to City of Hope. Thank you for your time.", "output": "Hi, dairy have gone through your question. I can understand your concern. He has tonsil cancer, and it is of stage 4. So surgery will not work. Chemotherapy and radiotherapy remains the treatment of choice. However, it can not cure the disease. Despite treatment prognosis remains poor. Life expectancy is not good. Sorry to say, but one should not expect much from this case. Consult your doctor and plan accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am a 44 yr old male pack a day smoker, no family history of major health issues, i do not drink or do drugs, i am on my feet 8-10 hrs a day, ive never had any health issues and i dont exactly eat the way i should, i am around paint and some chemicals on the weekends and i dont have a doctor that i see.every now and then i get a thump or fluttering in my stomach and chest area and i cant seem to exhale and for a second i lose my breath entirely and honestly it really scares me. any thoughts on what may cause this and am to young to have developed emphasema pr to old to develope asthma ? please help", "output": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of arrhythmia (rhythm disturbances in heart) and COPD (chronic obstructive pulmonary disease) is more. Fluttering sensations in chest are mostly due to arrhythmia. And arrhythmia is common in smokers. So consult doctor and get done ECG, 2d echo and Holder monitoring (24 hours continuous recording of ECG). If all these are normal then no need to worry about arrhythmia or other heart diseases. You are also having breathlessness. So chances of COPD (emphysema or bronchitis) is also high as you are a active smoker. Smokers are prone ti develop emphysema after the age of 40 years. So at 44 years of age, you are at risk of developing emphysema. So consult pulmonologist and get done clinical examination of respiratory system and PFT (pulmonary function test). PFT will not only diagnose COPD, but it will also tell you about severity of the disease and treatment is based on severity only. You will improve with inhaled bronchodilator and inhaled corticosteroids (ICS). In any case, quit smoking as soon as possible. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, many times I feel blood in my saliva. Sometimes it comes from my teeth but sometimes from my throat. My family doctor told me that this is because of gums problem and prescribed me some medicines. But this still happens once in a while (once in two days or so). I am worried. I dont have any other symptoms. I am 26 non smoker non drinker. Please help", "output": "Hi there, Thanks for asking your query, Dont panic. What was the color of the blood (bright or pale red). Blood can be found in saliva because of periodontal infection surrounding your teeth and gums. Sometimes due to Chat Doctor. If your cleared of dental related problems then visit your physician. Due to irritation in your throat, blood can be seen. Many a time due to gastrointestinal bleeding or respiratory infection, traces of blood can be seen. If the problem persists please visit a physician. Hope this helps you, regards," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter is 4 yrs old, 34 lbs and has had a fever for 4 days. It started on wednesday at 99 and by friday its at 102. I can control it with Motrin/tylenol but it wont go away. Today I see white spots on her tongue and her mouth is red. What is this?", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query your daughter have symptoms of fever and soreness in mouth which is due to viral infection mainly due to herpes, and it is due to poor immunity of body. It could be due to poor oral hygiene. Need not worry. I would suggest you to apply calamine lotion on these sores. You should take antiviral medication such as Acyclovir. Visit dermatologist once and get it examined and start treatment after examination. Apply colonel for soreness in mouth. In some cases it will develop bacterial infection as well, so you should apply mupirocin gel on these sores and take antibacterial medication. You can go for application of retinoid cream over the affected area with proper medical supervision. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good evening, I am the parent of a 14 year old girl. She started experiencing upper abdominal pain on March 28th. She complained with the pain constantly and them would be worse after eating. We have had upper GI, stomach empting scan, ultrasound, and xrays, all with no signs of something abnormal. She has been on prescription Prilosec and Erthymocin for the 2 months with no relief. If she does not take the erthymocin at least 30 minutes before she eats, the pain is worse. Her GI has pretty much given up and says there is nothing medically wrong with her and they want to explore anxiety. But I know as a parent that, that is not he problem. Can you please let me know what your thoughts are? Thanks", "output": "HIT hank for asking to Chat Doctor I really appreciate your concern for your daughter and from the history given here I would like to say that if nothing turned positive in investigation then antibiotic should be discontinued, otherwise the condition would be more difficult, assure the kid that she is has got nothing in her abdomen, if still the symptoms persist then consult the psychiatrist, have a nice day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi,im trying to conceive from last 4 months.my doc has advised meto take duphaston, pyricontin-f,tonoferon and metformin.but still im not able to get pregnant now my doc has suggest me to take letsi-2.5 mg my question is this medicine will help me to get pregnant.this medicine is safe for me im suffring from PCOD and my hubby siemens test is ok.im wooried about my pregnancy.when i will get pregnant plz help me out.", "output": "Hi, I think metro can help you in conceiving. It is given to increase the growth of your follicles and induce ovulation. In pod patients the problem is with ovulation. Thus, metro can help in that. You can track your ovulation by ultrasound or by ovulation detection kits. Be in contact with your husband every 2 to 3 days after your periods stop. Take progesterone for next 2 weeks after ovulation. Do a urine pregnancy test at home after that. You can try like that for 3 to 6 months. Hope I have answered your question. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "1) my wife is 0 negative and am positive, she delivered a baby boy but died shortly after delivery due to essesive loss of blood . Pls I will like to know if her blood group has anything to do with these. 2) We had over 2 years delay before this conception. I will like to know if it has anything to do with 0 negative", "output": "Hi dearWelcome to Chat Doctor. Blood grouping is said as positive or negative based on the Rh typing and antigen. As you are positive, and she is negative, there are chances (not surely 100 % though) that she may develop antibodies against baby blood group, if baby is positive too. But generally the disorder or death occurs of second kid. I am of an opinion that bleeding occurred not because your wife is negative but because of some other reason. But you definitely need to get evaluated properly and counseled before conceiving again. Take care and good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my lower left side/back/abdominals are extremely sore and it hurts to sit, walk, bend over and the pain increases immensly when I breathe deeply. I am menstrating but I have never hurt like this before and the pain is not in that area. no medical history19 yrs oldfemaleabout 5 foot 4", "output": "HI. This can be a muscular pain due to spasm and would have been there due to a local problem. You might have some stretching unknowingly. The respiration involves these muscles indirectly, so there is pain at breathing also. It would be wise to get this clinically checked by a Doctor to confirm what I think and to rule out any other problem. Young people like you rarely get this Are there any other symptoms ?" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i m suffering from multiple issues and symptoms rash on face when in sun, locking of the joints, pain in some bones, when i m going to star menstruating symptoms worsen also get before I start my period swelling in the brain, off balance, dizziness, cant remember things, cant think right, severe pain , kidneys seem to not work I fill up with 10lbs of fluid in my body, kidney pain, inflammation all over including stomach, chest, gums, joints , neck, back, blurred vision, pain in bladder, incontienanceof urine sometimes stool, cant have a bowel movement , heart palpatations, plus more", "output": "HiT hank you for asking ChatDoctorI have gone through your query. A proper diagnostic work out is necessary to rule out the main cause of your problem. You should get a blood routine to rule out anemia, thyroid function test to rule out hypothyroidism and urine routine to find out whether kidneys functioning well. Blood routine will be helpful to find out any raised ESR which points to any inflammatory process running in the body also. Hypothyroidism or anemia can give the symptoms you mentioned. In case of anemia iron supplementation and in case of hypothyroidism thyroxine supplementation will be helpful to clear your problem. Hope this may help you. Let me know if anything is not clear. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am a 40 year old female and have been experiencing niggling chest pain above my breast on the left side for the past few days. The pain is also radiating down my left arm but not severe. It doesnt get worse when inhaling deeply. Should I visit the ER?", "output": "Hello Left sided chest pain with radiation to left arm need proper evaluation. It may be due to cardio pulmonary causes, musculoskeletal reasons etc. You may need clinical examination and investigations like routine hologram, random blood sugar, renal function test, liver function test, lipid profile, chest X-ray (PA view), upper GI endoscopy, ECG,ECHO, TMT,ultrasound of abdomen. Treatment depend upon findings. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I fell on my butt at work a month ago and I ve noticed that my lower back hurts when I lay for too long, or standing for a while. It s not a sharp sharp pain but it s really uncomfortable it hurts, I don t know what to do to relieve it I can t swallow pills for pain.", "output": "HiT hank you for asking ChatDoctorI have gone through your query. Your problem can be a muscle strain or intervertebral disc injury or sacroiliac joint dysfunction. A thorough physical examination by an orthopedic will give clue for that and an X-ray followed by MRI might be needed to confirm it. For such cases I advise a short course of NSAIDs like Diclofenac Muscle relaxants like thiocolchicoside and neurotrophic Chat Doctor. I also recommend physiotherapy along with this. Usually it will take at least 1 month to recover. For some it may prolong till 6 months. If no improvement with conservative therapy surgical treatment can be considered. Hope this may help you. Let me know if you have any further query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been diagnosed with anxiety disorder for last 6months. I am overweight and started exercising since 6months and lost 20 kgs in 6months.i am experiencing rib popping and discomfort in the left side of my chest for last 5 months.i have done my tests related to heart and all seems normal.apart from rib popping/snapping I get left side chest pains and occasionally jaw pain.i have irritation on my right shoulder blade which burns on touching and gives sharp pains at times which last for a minute .i have food in small quantities and eat on time specially at night.i even take antacid tablets at times after meals fearing of acid reflux.my life is not the same I have done CBT sessions as well but that didnt help me much except the breathing exercises which i still do.i am fed up of this. The mentioned pains occur when there is no anxiety at all its when I am doing normal things and suddenly it hits. Now i constantly fear of having a heart attack anytime.Dr please help me to get back the real me.i request you to keep this confidential and not make my query public.thanks.", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. You cannot say that you do not have anxiety symptoms because \"constant fear of having a heart attack anytime\" is an anxiety symptom. From simple anxiety disorder, I think you had developed somatoform disorder. You can get back to normal life if you do not ignore the advices given by your psychiatrist and CBT therapist. CBT is well known as a cure for every anxiety disorder. Take it as a challenge and do not tire. All the pains you are mentioning are related to somatoform disorder. I think you also have eating disorder. Get yourself tested by a clinical psychologist. OR Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Alright, so I m going to be brutally honest because I really, really want to figure out what is going on. Recently, after a couple weeks of heavy restricting (I m an anorectic) , I d gotten down to my lowest weight at this height (BMI of 18.6) and then I binged one day, the total was about 800-900 calories but I exercised about 600 off, so I wasn t too worried about getting back on track. I heavily restricted the day after that (two days ago) and I found I had gained 2lb. I was trying not to freak out but ended up binging, which brought that day s total to about 1500. All day (pre-binge) I d been having these strange stomach pains that weren t like normal hunger pangs. It was dull ache that began to get worse and worse, like nothing I d ever felt before. In an attempt to calm myself down after my binge I told myself that those pains would probably go away. ....AND I took some Laxatives. And by some I mean 3 when the recommended dosage is 2. Normally when I take laxatives they take 6hrs to take effect and then my bowels release heavily about three times. It s uncomfortable only right before I, er, poo and then it goes away. But the stomach pains got worse and worse and they were topped with shaking, sweating and nausea . Eventually it got so bad I couldn t sleep. Originally I thought the pain had continued because I d eaten so much, but even with the laxatives, nothing I d eaten since that day had, well, come back out. Yesterday I ate 1200 calories to try and increase my metabolic rate . Today, I m still in immense pain, gained ANOTHER 2 pounds, and I don t know what to do. I ve eaten around 200calories today to see if it was hunger related, but nothing has changed. WHAT IS WRONG WITH ME? I took a bit of Pepto Bismol around 3:00am that night, some antacids and some beano (gas relief) but nothing helped. Please help. I don t want to go to the doctor because then I d have to be honest about my eating in front of my mom and my BMI isn t low enough to be diagnosed anyway, especially not now.", "output": "Dear welcome to Chat Doctor There is nothing to worry and don't be anxious. You didn't mention you had pain in empty stomach or after having food. It may be due to hyperacidity and gas problem. Be aware of fatty, spicy, foods, Alcohol, smoking. Etc. Follow the hygienic diet and don't get stressed it add your pain. If possible yoga and meditation gave you relief. If you are chronic problem you better take Ayurvedic herbal preparation for antacid properties and Gas relief. Herbal Chat Doctor. Com.npThanksGet well soon" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My sister is suffering of shortness of breath that gets worse when she walks or bends down. She has an enlarged heart and is functioning at 60 percent according to recent tests, had a cath of the heart that came back normal. Had an exray last night showing no fluid in lungs and no swelling of legs and feet. She recently overcame an infection of the right lung that finally got treated five months later ( I guess it got worse with time and created scarring of the right lung as a result). She takes med for CHF and is on a diuretic . She is like 20 lbs overweight . Please advise on what can be done to help her because they keep sending her back home from the hospital and she cannot work feeling this way as her job is physical. Please help. Thanks", "output": "Hello, I have gone through your question .for guiding you properly I need exact reports of echo n path. As you have mentioned that functioning is 60%, that does not match with CHF.as per your information cat his normal. There is some paradoxical information .so if you can send me proper details I can guide you precisely. She may have cardiomyopathy and diastolic dysfunction. But please provide full details. My best wishes Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Several months ago the day after my period I had sever pain, worse than anything other than child birth, on the left hand side of my abdomin. Each month after the same thing but not as painful has happened. I have had a internal ultrasound and they found a small kidney stone on my left kidney. I have also had painful bowl movements but in the last 3 weeks I have had heavy bleeding for several days and then spotting. The last 3 days I have experienced very sharp pain on my lower left abdomin. My doctor has booked me in for a right hand side X-ray and a specialist will be doing a internal ultrasound. Could it be endometriosis.", "output": "Hello and welcome to Chat Doctor, The pain in the lest lumbar region along with finding of a calculus in the left kidney is more suggestive of renal colic (renal pain) rather than endometriosis. An internal ultrasound will further potentiate the presence of calculi in the kidney and its location. Endometriosis is characterized by painful menstruation (amenorrhea) and polymenorrhea (excessive bleeding). The internal ultrasonography will identify the loci of endometriosis if present. The management of renal calculi depends on the size of the calculi, and its location. Endometriosis can be managed conservatively. Thanks and take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello my name s khaled and i 26 years old I have some questions ? could u please help me ? 1- I have a Masturbation 3 times in a day ? is that any problem ? 2- my friend told me , the more increase your semen the more enjoy sexual pleasure ? is that right ?", "output": "Hello, You have excess masturbation frequency. The masturbation is safe and pleasure giving procedure, but the excess frequency can lead to social anxiety, groin discomfort, premature ejaculation like problems. The climax can be achieved by masturbation, and it can be a safe and enjoyable procedure. But restrict it up to 2-3 times a week. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I will start off by saying I am 5 months pregnant. Sometimes when I go to bed and lay down, I prop my laptop on my belly so I can use it. Is this a bad thing to do? Sometimes I feel the baby kicking more so when I do this. Should I be worried or do you think the baby could like the warmth that is being generated from the laptop. Thank you.", "output": "Degree understand your concerns went through your details. There is no research evidence which reports heat from laptop when placed close to belly can affect child or mother during mothers pregnancy period. But you could be careful. Continuous exposure could harm your skin as well as cells. Better safe than sorry especially when you are pregnant. Please avoid using laptop on your belly or lap while you are pregnant. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query. Further clarifications are welcome. Good luck. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 48 year old woman. I work in a preschool. I have had a mild cold all last week and now have bright red, hot burning cheeks. I have had a mild headache, back ache and a have a slight cough/sorethroat. Slapped Cheek is going throught the school. Could I have caught it?", "output": "HiT hanks for your query at Chat Doctor. I understand your concern and situation. I see no reason for you to think of any syn Chat Doctor. You are having flushing of cheeks which can be seen in viral fever. You could contract viral fever from anywhere. Furthermore, you must take rest, acetaminophen and eat protein rich healthy diet with multivitamins and calcium supplement. Furthermore, you must avoid going to school for about week. Furthermore, you must also do chlorhexidine gargle 5-6 time per day. Best of health. Hope I answered your query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doc! my question is for my father in law, 67years old who is into hemodialysis for 2 years now due to chronic kidney failure. he develop restless leg syndrome. he was required to go thru this heart scanning procedure that would need him to go motionless for half an hour. the result will give him a go signal that his heart can overcome the kidney transplant operation. the problem is that he cant stay lying down without his feet jerking. we already sent him to a neurologist but nothing has stop his restless legs from jerking specially when he is lying down. please help. thanks. carrie", "output": "Hello, As a urologist and kidney transplant surgeon, I can understand your anxiety. He's advised to consider a transplant, only after his restless leg symptoms are treated and he's free from it. A cardiac fitness for surgery is also a must. His symptoms can be seen in people having electrolyte imbalance and neurology problems for which a neurologist should be consulted. His blood to be checked for blood routine, creatinine, RBS, LFT, platelets, and electrolytes. According to reports, the nephrologist will advise treatment. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my baby boy is 6 months old, he is passing green stools for past one week, it makes his skin itchy nd red color, I have started with solid food, morning ragi kanji, and at night , rice cereals with formula, can you please suggest me whether these cause him these itches or not? Help me!", "output": "Hello Sir/Marathi is a normal phenomenon in any child when new feeds are started. The stools begin to change in color, consistency and odor after new diet is started. But I think it is too early to start reign in foods for your child. You can stop it now and retry after 11 months of age when the intestines would have become more mature to handle food. At present continue cereals,breastfeeds, and any other formula feeds you have been giving. When you start any other new food give 2 weeks gap before starting one another. If you have any further doubts, Ill be happy to help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am Chitra Saikhom looking for my mother where anybody can help me out actually doctor told me that she is suffering from DEMENTIA but what is the solution and medication should i give and if i explain about my mon she is not able to think,remember,forget what she need to speak,not able to stay alone scaring and she is noe 48 Age. So any body having any idea please let me know so that i should go forward.Pllease contact my number is (09739441841)", "output": "Hi, Your mother is suffering from dementia. Dementia is the term used where a person has decline in cognitive function(e.g. memory) that impairs with activity of daily living. Most common causes of dementia are Alzheimer and vascular dementia next comes mixed dementia. You need to consult neurologist for detail neurological assessment and higher function test, to categorize her to which class of dementia she belongs. She requires certain blood test to rule out reversible dementia. She requires MRI brain and EEG also." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son s great toe and the toe next to it are infected. One doctor told him that he has trench foot. He hurt his great toe at work, it jammed the toenail back into the curticle. The skin on this great toe started to peel off and swell, then it split in the crease, the second toe started to turn red and peel off. He has a lot of pain in his foot and it travels up into his calf and behind his knee. He had an MRI which didn t show any infection in the bone but the pain is really bad. He was told by wound care to let it dry but it looks worse now than before. This has been going on for more than two months. The pain is so bad he can t sleep. He is a coalminer. He has changed socks often while working. No one seems to want to do any thing to help him. His foot has started to swell now. What is the next course he needs to take. in", "output": "Hello, As per your clinical history is concerned, please follow like this:1) Do a clinical examination by your Doctor [dermatologist] and do CBC with differential.2) Discuss with your Doctor about injectable antibiotics like [Ceftriaxone].3) Try to elevate the affected area for quick recovery and clean affected part in antibiotic solutions. Do follow lifestyle modifications like this:1) Wash your wound daily with soap and water. Do this gently as part of your normal bathing.2) Apply a protective cream or ointment. For most surface wounds, an over-the-counter antibiotic ointment (Newsprint) provides adequate protection.3) Try to cover your wound with a bandage. Change bandages at least daily.4) Watch for signs of infection. Redness, pain, and Chat Doctor. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "a have a small lump on my bottom left testicle. Sometimes it seems soft and sometime harder seems to be at the base of some tube or tangled in some veins. I have had it for seven years and never had it checked out. I have worryed for years that it might be cancer but always just thought it was a cyst.", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have some benign cyst or epididymis orchids. You should go for examination and if needed go for ultrasound study. It will give you exact diagnosis. Then you should take treatment accordingly. Chances of cancer is low. Don't worry much about that. Just be relaxed. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have noticed swelling on the right side of lower neck around 15-20 days back. The FNAC report is strongly suggestive of Tuberculosis. Can you please let me know if I can start the treatment? I need to know when the treatment starts, how can I come to know that I am relieved from TB and when my nodes will heal? Also let me know the precautions to be taken and how can I start my treatment. Whether this is infectious? And what are the reasons for this disease.", "output": "Thanks for your query at Chat Doctor!In my opinion you are suffering from tubercular lymphadenitis infection. As your FNAC report also suggest the same. Absolutely it is high time you start the treatment with first line anti-tubercular Chat Doctor. You may get registered if centers for treatment if provided in your country like DOTS in India where you get free treatment. You might have to undertake repeated aspirations for swelling if it persists and send sample for ZN staining and culture for AFB and sensitivity test for the same. There are special tests like Chains which can be ordered at that time for genotypic testing from aspirate. Yes this is infectious you need to take precautions and follow hygiene practices. After 2 weeks post treatment you will become non-infective. The reasons for the disease is living with a person suffering with TB or you may have contracted it through coughing by infected people who commonly move in public places. Sometimes latent TB gets activated with declining immunity. It is curative, so don't worry. Strictly adhere to treatment of long duration to avoid emergence of " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello, My daughter is 17 and has suffered with migraine type headaches seems all her life. she has been to many doctors and has been on various medicaitons. a couple years ago she did start to have seizures and is on topomax for those. has had 3. anyway she has had a continuous headache for the last 3 weeks. medication no help. i looked online researching out types of headaches and the one that most closely resembles what she has is occipital neuralgia. she has had mri s, eeg no evidence of anything that would cause these. I want to find a physician to find the correct diagnosis and treatment for her. kids should not have to suffer like this im wondering should i suggest to her neuro botox injections? chiropractic intervention? i am at wits end here and need guidance. thank you , sheila", "output": "Hi, Welcome to Chat Doctor forum. It appears to be the tension headache, or headache due to refractive error of the eyes. As there are seizures, it may be secondary to the epilepsy, or there may be some underlying cause like T. B, etc. I advise you to consult a neurologist for diagnosis and treatment. She may need to have C.T. scan with contrast. I usually prescribe to my patient with such symptoms' alprazolam, ranitidine, caloric acid, and paracetamol when ever required, till the diagnosis is established. Wishing for a quick and complete recovery. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "There is slight straightening of the normal cervical lordosis. The disc spaces at C4/5 and especially C5/6 are narrowed there are spondylotic changes in the neurocentral and facet joints at these levels and small osteophytes encroach on the foramin. Tiny osteophytes indicate very minimal thoracic spondyloasis only. What does this mean and what was the cause for this to happen.", "output": "Hi, Thanks for your query. Cervicaland thoracic spondylosis is a common degenerative condition of the cervical spine and most likely caused by age-related changes in the intervertebral disks. I advise you to wear a soft neck collar during the day to help limit neck motion and reduce nerve irritation. You can take non-steroidal anti-inflammatory Chat Doctor. For pain relief and muscle relaxants, particularly if neck muscle spasms occur after discussing with your doctor. Do exercises under guidance of a physical therapist to strengthen neck muscles and stretch the neck and shoulders. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am looking for a Dr. in SIerra Vista, AZ that will accept a patient that has several medical problems and has had several surgeries. I just came here a year ago from the east. I am on Pain Medications for Migraines and Back & Neck fusions. I have diabetic neuropathy also. Thanks very much", "output": "Hi and thank you so much for this query. I am so sorry to hear about this several medical conditions you have and all the inconveniences this has caused you. The best way to get the doctors you need is through your primary health care physician. He constantly evaluates you and make the decision on what your various health needs are and which of the physicians can help you most. This is more important when you need several specialists to attain to you and the need someone to coordinate and integrate all of this care for you. You would most likely need the services of a planetologist, neurosurgeon, neurologist, etc. and there is no single physician who specializes in all this. Talk to your primary care physician to get this sorted out. I hope this helps. I wish you well, and thanks for using our services." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have osteopinia. I have had it now for 4 years. I am 58 years old and I have been either on fozamax or actonel. Both with side effects after taking each for 4 months or longer. ( fatique ,aches and lethargic) Actonel has been more tolerable. Does it benefit me to take medication when it is not constantly improving density to do so? After the first two years my density improved somewhat, but now after my last test it seems to be about the same. I am very active. I run, do body fitness with weight bearing regularly and yoga . I watch my calcium intake and vitamin D which I have been tested for which showed I was not deficient.", "output": "Hi welcome to ChatDoctorostteopenia is the precursor of osteoporosis. There are 3 major cause of lowering bone mineral density- 1) deficiency of It D and calcium 2) inactive of it D receptors by certain inflammatory cytokines result from the presence of few microbes 3) low level of estrogen in case of menopause. As your it D and calcium level is normal, so you have the others causative factors like It D receptor inactivation and low estrogen level. If you will go for a proper homeopathic treatment that things can be solved. It is needed a some detail physical symptoms to suggest some homeopathy remedies like i) how is about your sweats? More sweats than other?, ii) do you have any burning sensation of hands or palms or legs. iii)are you susceptible for catching cold easily iii) do you have any hot flushing of face and any part of body. iv) do you prefer egg mostly in your diet.etc. So if you want to consult me can contact here. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "im 32 yrs old in good hralth. im 51 and weight about 128, not overweight or anuthing like that. recently I noticed my heart jump and then I cough. I dont know if you would call it a heart beat skip but either way I also feel some flutters. I have been under some stress but not extreme. should I be concerned? and what does these symptoms mean?", "output": "Hello, I have gone through you history. Thanks for choosing Chat Doctor. As far your flutter feeling is concerned, it seems that you have anxiety induced racing of heart. Such situation can arise even with mild stress. I would suggest to keep mouth dissolving tab. Clonazepam 0.5 mg in mouth while you have this symptom. It will immediately subside. If it continues to inspire of this I request you to check ECG once. But you will be fine. Yoga n meditation to help to tackle anxiety. My best wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Continual microplasm pnumonia symptoms. Almost 2 years now. Sputum always comes back with negative report. I know better. We lack the sophistication to grow cultures in this state. Need a schematic of proper diagnostic approach to eliminating this malady.", "output": "Thanks for your question on Chat Doctor. I can understand your problem and situation. In my opinion you should consult pulmonologist and get done1. CT thorax2. Bronchoscopy and BAD (Bronchoalveolar Lavage) analysis. Mycoplasma pneumonia is treatable infection. So I think you need to identify the causative organism and start antibiotics according to sensitivity report. CT gives much superior idea about lung infection then chest x-ray. Bronchoscopy and BAD analysis gives much yield and positive result on culture then sputum report. And it is highly sterile, so chances of contamination are less. So consult pulmonologist and discuss all these." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 2 year old daughters back is 103 f her forehead temp is wnl she has aha multiple ear inf b tubes placed 1 of which is blocked n surg sch to replace n remove adenoids as well as her first abr we r unsure if she can hear she is autistic apgar at birth 8 delivered full term c section sch due to breech", "output": "Thanks for posting your query at Chat Doctor. AGAR score of 8 at the time of birth is good. She probably has been suffering from a condition called chronic supportive Otis media (COM) due to her avoids. Our ear has three parts. The ear Chat Doctor. There is a narrow tube deep inside that connects the throat with the middle compartment. This tube often gets blocked when the adenoids increase in size. As a result the air pressure inside the middle ear cannot get balanced and creates a suction force on the ear" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had herpes simplex 1 in my eye, which has been treated and has been in remission for 5 or 6 years. My girlfriend has had cold sores since before I met her, she recently had an outbreak, I was wondering if I should worry about catching cold sores from her or if I am safe because my immune system was already repressing the virus.", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query your girlfriend have cold sores' outbreak which is due to viral infection mainly due to herpes, and it is due to poor immunity of body. You are safe as virus is in latent stage in your body, and it will activate once immunity of body lowers down. I would suggest you to take antiviral medication such as Acyclovir. Apply calamine lotion on these sores and apply retinoid cream over the affected area with proper medical supervision. Visit dermatologist once and get it examined and start treatment after examination. In some cases it will develop bacterial infection as well, so you should apply mupirocin gel on these sores and take antibacterial medication. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I cant stand up for longer than about 2 minutes on the same stop? I feel dizzy often and faint often, always feeling weak and tired! ive had tests for lots of things that have came back negative so doctors put it down to anxiety which I believe is not true, I also have very strange and bad pain in hands and arms when doing anything", "output": "Hello, welcome to Chat Doctor. Anxiety disorders can manifest not only with psychological symptoms but with a variety of physical symptoms also like: Tingling, numbness, hot and cold sensations, palpitation, chest pain, dizziness, muscle spasm and tiredness etc. You may also need some imaging study of brain to rule out intracranial lesion causing dizziness. It is good you are getting yourself investigated for medical illness and investigations are normal, but same time it is better to get evaluated by psychiatrist to rule out anxiety and start treatment accordingly. Wish you good health and all the best. Chat Doctor. 99doctor.com" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 17 year old was just diagnosed with an enlarged spleen they said all her blood work came back within normal range and she defiantly did not have mono because that test came back negative as well as other blood work is this normal to have an over enlarged spleen and if so is there anything We can do to help decrease the size or perhaps a special diet maybe and would taking milk thistle help her anything you could suggest would be helpful and greatly appreciated. Thank you from a concerned mom.", "output": "Hi, Welcome to Chat Doctor. I have read your history carefully. This is not normal to have an over enlarged spleen. Perhaps I would like to know if his liver is enlarged too, as it can narrow our diagnosis. Please be advised there are other causes for enlarged spleen, most common of them which are:-leishmaniasis-malaria-spleen abscess-Hodgkins disease, leukemia, lymphoma-amyloidosis-paroxysmal nocturnal hemoglobinuria-spleen hematoma usually after trauma.-Bud Chiara syn Chat Doctor. Kindly repeat his blood tests and do an Ultrasound abdomen for spleen size and check of abscess or blood collection. If necessary, and advised by local physician in case, you can go for CAT scan and MRI. Hope I have answered your query. If you do not have any clarifications, you can close the discussion and rate the answer. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My baby is 8 months old. His weight last 7 month was 8.10kg. Is this healthy weight. Do i should start with nan products. which one? are these products healthy? or any other diet I should start for baby. He has nachani kheer n dad n rice khimti milk n even breast fed..i even give him vegetable soup", "output": "Welcome to Chat Doctor I went through your question. Weight of you baby is absolutely normal. You have not mentioned your babies height. Routinely I do not recommend market available or packed food products if home made food can be given. Keep a variety to feed him with balanced diet.(like Hindi, Daliyah, DAL, banana, kheer, rice, curd)Hope I answered your query. Feel free to ask if another query.thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,I 28 years old.I had a water in my lung.My doctor removed(water) with needle but she didn t get me any medicine. She said you had lung water because you have sjorgen syndrome.I visited my doctor rheumatology and he said the water lung you didn t have for sjorgen(you had pneumonia and for this reason you have water lung).I was with pneumonia for 2 months(a doctor didn t get me the proper treatment).What can I do know? I m afraid for the water lung?yesterday I left the hospital but she didn t get me any medicine for lung water(although she removed water).Should I take the medicine for lung water?i take cortizone,plaquenil,naproxen( my doktor rheumatology take me this medicine).Thank you", "output": "Hi, dairy have gone through your question. I can understand your concern. You have pleural effusion. You should go for pleural fluid routine and microscopic examination and pleural fluid cytology. It will give you exact diagnosis. Then you should take treatment accordingly. Also, you should go for ANA profile. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I was sick about a month ago. Ever since I have been consistently having to clear my nose of clear mucus but just a small amount to bother me. I also have been occasionally either coughing up or breathing up mucus that has brown specs in it and when it dries it has a metallic sheen to it. I quit smoking 5 months ago so I wouldnt think it would be related to that.", "output": "Hi thanks for contacting Chat Doctor. Before month which problem do you have !? That is not mentioned... You have brown colored phlegm ... Is Fever present ??? First you have to investigate with chest x-ray to look for bronchitis or any consolidation if present like that in pneumonia .... If needed sputum cytological examination also helpful.....sputum culture can identifies species if infection and accordingly treatment .... This brown color phlegm can occur in klebsiella like bacterial infection as well as in aspegilloma like fungal infection.... For that above investigation done. Consult pulmonologist for your condition. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have type 2 diabetes and I was wondering what the normal level. Mine can range from 120 to 245 on any given day. There are several articles that they say their system can cure the diabetes with in 17 days to 6 weeks for ever. Is there any truth in this? YYYY@YYYY", "output": "Welcome to Chat Doctor Keep your Blood Sugar your blood sugar report is 245 -is High No permanent treatment. You can maintain at normal level with proper medicine, diet. Follow the instructions of your doctor. Take your medicines regularly. To avoid ComplicationsMaintain your Blood Pressure at -Keep HBC at 6.50 Percent(indicate 3 months blood sugar level) Avoid sugary, salty,fatty foods. Alcohol, Smoking. Take plenty of water, leafy vegetables, fresh fruits (No fruit juices)Exercise regularly High risks Factors are-High pressure, Family History of Heart Disease, Diabetes,Thyroid. Maintain your weight. Consult Eye Surgeon for Funds Exam to rule out Retinopathy. Yeary. Discuss your doctor for teary check up & for vaccination. Thanks & Relax, DONT EXPECT MIRACLES." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello,Two weeks ago, to date, I had 4 wisdom teeth extracted. Everything seemed to heal fine until yesterday when my final stitcChatDoctore out. Unlike the other times, I felt a sharp pain when it came out. Since then, my cheek has swollen where the cheek and gum meet inside. I went to my oral surgeon today and he said nothing looked wrong, but went ahead and wrote me a rx for a swelling medication and a mouthwash. My mouth is in pain at the site, and the swelling is becoming noticeable from the outside. Id it is relevant, I smoke (my doctor said I could after 7 days). This is also possibly the site where the numbing was injected. Again, no problem for 14 days and now this.", "output": "Hello, Thank you for choosing Chat Doctor, The stitch after extraction has to be removed after 7 days... I think infection has been developed in that region... I would like to suggest you to stop smoking for another 1-2 weeks because it interferes with the healing process. Take proper antibiotic and analgesic according to prescription... You have to do warm saline rinses for at least 7-8 times/day...Don't apply any hot fomentation from outside that may worsen the present situation...Don't be panic...give time, it will heal properly... Wish you good health..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am suffering lots of pimples and white heads on my face. my skin is oily. i wash my skin twice but there is no improvement.sometimes blood even come from them.due to pimples some dark spotes arise on my face. i am 23 years old. what should i do?", "output": "Hello welcome to Chat Doctor, Oily skin, acne and post acne pigmentation can be improved by adopting a good skin care regime.1. Wash your face morning, afternoon and night with a face wash containing salicylic acid 1-2%. This will help in reducing the oiliness, help prevent as well as heal pimples and also help lighten the marks.2. Apply water based moisturizer immediately after washing, on slightly damp skin. This is important as anti acne skin regimes often Chat Doctor. Well moisturized skin prevents sensitivity and allows rapid skin repair.3. Use sunscreen in the morning and afternoon. Preferably one containing zinc oxide and titanium dioxide that won't block your pores (non-comedogenic). This type of sunscreen is suitable for oily skin. Sunscreen is important as anti acne medications can make your skin sun sensitive, increasing the chances of sun burns.4. Use an Darlene+benzoyl peroxide gel with microsphere or sustained release formulation daily at night after applying your water based moisturizer. Apply a very thin layer only on acne affected areas. Avoid eyelids and corners of mouth. This is the most important part of your daily regime. Follow this regime for a month. If improvement occurs, continue till skin clears completely. If no improvement is seen after a month then you should consider prescription antibiotics and Salicylic+Gaelic nanotechnology chemical peels. For more information you can read Skin Care, Acne & Scars at www.dermatologydiaries.comLove your skin," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had an allergic reaction to hair dye. I have taken antihistamine, It started off with 2 lumps 1 either side of the back of my neck. This morning I woke up with quite a large lump behind my ear and some throughout the bottom of my scalp. I am worried as they wasn t there this morning. What should I do and what could this be? Is it serious?", "output": "Hi, thanks for using Chat Doctor The lymph nodes are present in different points in the body. They respond to infection and inflammation present with the vicinity of their location. There are lymph nodes in the neck, in the area of the chin. They would have responded to the allergic reaction on your scalp. You can consider using anti-inflammatory painkillers such as ibuprofen, Catalan, aspirin or naproxen. In addition, the use of anti histamines would also be very helpful. This would include meds such as Benadryl, Allegra, Zyrtec, carnitine, Arius. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "So on July 4th weekend, I fell and hit the inside of my ankle on a concrete pool. I couldn t walk for an hour or two, but I kept going. The next few days was really sore. A few weeks later, I can walk, but now I feel like my bone is sticking out, and it s very tender to touch", "output": "Hello, Thanks for writing to us, I have studied your case with diligence. As per your history and injury pattern there can be persistent tear in ankle ligament leading to pain and swelling. Instability may increase due to laxity of ligament. I will advise repeating MRI ankle for soft tissue involvement. Till time, you can continue use supportive splint or brace. Physiotherapy like ultrasound and TENS will help in early healing. Persistent pain after ankle injury is common and may take 6 months to heal. If there is complete ligament tear on lateral aspect then arthroscopic ankle ligament repair can be done. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have pain in my back. I have pain in my tesicle area. I am thristy at night after sleeping. No pain when I urinate no color. I have had 2 blood test. PSA is 0.7 under 1. Very small amount of blood in urine. I have been on anti-biotics for a month and nothing is helping. First they put me on Bactrim, then Cipro. Negative on STDs. They did a ultra sound for kidney stones-negative. They now want to do a MRI for herniated disk? Does that make sense?", "output": "Hi, Basically, all your tests and terms of the urinary tract infection and the prostate are all normal nearby I think your urologist has cleared you stating that your pain is non-urologic in nature. Next step would be to check for a low back pain caused by the musculoskeletal organs or the spine that is the reason why MRI is being requested for you. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "here are my wifes symptoms in the own words. feels like lava following thru the veins, temples tighten up really tight, then the stomach gets hot and sick, then excssive sweating and excessive gas and burping, this repeats its self almost immeadiatley", "output": "Hello! Welcome on Chat Doctor ! Her symptoms could be related to anxiety. But, before coming to this conclusion, I would recommend performing some tests to investigate for other possible causes that may mimic this clinical situation (thyroid gland dysfunction, partial epilepsy seizures, gastritis or reflux, etc.). For this reason, I would recommend performing these tests: - a chest X-ray study- a resting ECG-thyroid hormone levels - an EEG - complete blood count-blood electrolytes. A fibrogastroscopy is necessary to examine her stomach. If all the above tests result normal, you should consider anxiety as the main cause of her complaints. Hope you will find this answer helpful! I remain at your disposal for any further questions. Best regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi I m a 22 year old male since the age of 16 I have suffers with chest which doctors have told me is due to anxiety but the last 6 months the pain has been different from how it usually is.this pain comes and goes all day everyday and has got worse as the last 6 months have progressed I also get pain in my legs/back and stomach but is mainly my legs and chest the pain on my legs comes and goes and is the same if I m exercising or sitting down.the pain in my legs can be described as a cramping ache or a pinching feeling that can be inmy calves or thighs aand my chest pain is like an achy sore feeling and canhave sharp pains occashionaly the pain is mostly on my left side by my heart or just above it can radiate to my right side but that doesn t happen quite as often as the left.I have had a chest x ray about 4 months ago and an ECG scan botChatDoctore back fine but it jus seems to be getting worse I m in agony as soon as I wake up also my chest pain seems to get worse sometimes when I sit down if thats got anything to do with it.when I go to the doctors I m told its just anxiety even though I know something is wrong with me its a struggle just to get through the day 90%of the time but am to imbarrased to go to the doctors because they barely ask me any questions tthey just say its your anxiety good bye and that s it . I hope it is but am really scared I m in pain nearly everyday just would like some insight and advise. Thank you", "output": "Dear serve understand your concerns went through your details. Body pain and chest pain are a characteristic symptom of anxiety disorder. There are many reasons for this chest pain which links it to anxiety disorder. Anxiety causes digestive issues and acid reflex problems. This acid reflex issues can cause congestion of chest and thus chest pain. Anxiety breathing will be usually fast and this fast breathing can cause hyperventilation. Hyperventilation can cause chest pain. Panicking on chest pain can cause further deterioration. Relaxation techniques, cognitive therapy etc. can help you overcome this problem. If you require more of my help in this aspect, please use this URL. http://yyyy.yy/yyyyyy. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I woke up this morning feeling fine. I felt the urge for a BM and went to the bathroom and suddenly had really bad cramping in my abdomen; it became worse. Suddenly I found myself on the bathroom floor waking up. I must have passed out. I rested the remaining of the morning. Now this early evening, I m a still bit weak and lightheaded, otherwise fine. I did go for a short walk--a little over a mile--this afternoon. I m usually a very healthy, active 59-year-old. Should I visit my doctor?", "output": "Hi, Noted your history about having sudden cramps, passing out in bathroom, still have weakness and so on. All the history is suggestive of gastroenteritis with secondary effects of deny Chat Doctor. Hence, you should consult your Doctor for clinical evaluation supported by proper investigations of blood, urine and stool, ultrasonography of abdomen and thus get a proper diagnosis and have a proper management as per the findings. If there is no nausea or vomiting you can take plenty of oral fluids, electrolyte solutions. Take probiotics, curds, bananas and soft diet. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I HAVE SOME KIND OF ALLERGY WHICH I AM UNABLE TO UNDERSTAND. MY SKIN GET GETS RED AND ITICHY I HAVE SHOWED TO TO SKIN SPECIALIST HE GAVE ME CETREZOH TABLET IF I TAKE IT THE SKIN DOES NOT ITICH. BUT IF I DONT TAKE IT THE PROBLEM CONTINUES. I AM FACING THE PROBLEM FROM PAST 6 MTS. IS THERE ANY PERMENANT SOLUTION TO THIS PROBLEM", "output": "HelloThanks for your query. I will try my best to provide you with the best possible professional recommendations to your questions. Allergies are pretty common. Both genes and environmental factors play a role. Common allergens include: Chat Doctor. Some people have allergy-like reactions to hot or cold temperatures, sunlight, or other environmental triggers. I advise you to find out the cause which is responsible for it and then sensitization should be done. Allergy testing may be needed to find out whether the symptoms are an actual allergy or are caused by other problems. For example, eating contaminated food (food poisoning) may cause symptoms similar to food allergies. The best way to reduce symptoms is to avoid what causes your allergies. This is especially important for food and " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "back in feb I had 4 wisdom teeth removed and still have tingling burning and numb 2/3 tongue altered taste like metalic.Both sides of jaw including chin and bottom lip numb.Hard to find the right mri image for nerve damage.I believe its from injection in the corner of my jaw because if you touch this area feels like glass shooting through my tongue.Dentist says he may have streatched the nerve.Does he know something he really not telling me?", "output": "Hello, Read your query, as you have numbness in tongue, altered taste, after extraction of wisdom tooth there is nothing to be worried so much this happens when there is nerve injury, or you can say stretched nerve this happens when there is traumatic extraction also, for this you can Do warm saline gargle two - three times a day, you can take Erosion tablet and vitamin B supplements with folic acid by consulting with your dentist for month, You can take supplement protein also. Take vitamin, protein rich diet, Don't be so much stressful be relaxed take proper sleep of 8 hours. Take healthy nutritious diet avoid junk food. Hope this will help you. If you have further queried I will be happy to help. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My wife had an operation to remove an accustic neuroma 5 yrs ago some of which was left in her brainstem and treated with radio therapy reports of the success are good. she is on high levels of pain killers due to trigeminal neuralga and headache . She has developed hot flushes of the face hands and feet and is not very mobile her age is 59 she has 8 children until the operation she was extreamly active. have you any sugestions", "output": "Hello. Thanks for writing to us. The hot flushes and decreased level of activity is commonly sent after radiotherapy. There is associated decrease in the blood cells causing such persistent weakness. She needs a proper supportive therapy and regular clinical monitoring along with the symptomatic management under the guidance of a proficient physician. I hope this information has been both informative and helpful for you. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi yes I m thirteen weeks pregnant and a couple weeks ago I noticed my urine had turned a dark cloudy orange and taken on a very overwhelming sweet smell. My doctor said it was from dehydration so for the last two weeks I ve litterally drank an 8 ounce glass of water for every hour I m awake but no change and now I m having pain near my kidneys. Could I possibly have a kidney infection?", "output": "Hello there. Yes dark cloudy urine can be a sign of urinary infection. The chances of infection are more than you now even have pain in the abdomen. Any urinary infection in pregnancy should be taken care of early as it can lead to complications like abortion or premature delivery. Also, if left untreated can lead to spreading of infection to the kidneys (pyelonephritis) and sepsis. So you should get your urine microscopy and culture tests done. Antibiotics to be started according to the reports. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "OK, so the other day i lifted a pallet while working at walmart. I liftted the pallet with my right side while using my right hand while my left hand was supporting it. I lifted with the right side of my body. All of a sudden i felt a sharp pain in my lower left abdomen and so i slowly put the pallet down and walked to the restroom to see what was up. I just felt a pulsing pain and went back to the salesfloor walking and i would feel a pulsing pain everytime i would walk with my left leg. The pulsing pain was in my lower left abdomen. It is in the same spot that months a go i went to the doctor for. I went to the doctor for pain in my lower left abdomen. He felt around and didnt feel a hernia or tell me that i had any symptoms, i also gave a blood test because i let him know that i had a puppy that died from parasites and that maybe they could of spread to me and got in my lower left abdomen hence the blood test. Now it has slowly gone down (the pulsing pain) and doesnt really hurt because it is not pulsing but a more every once in a while throughout the day and it is more uncomfortable than pain.Obviously if i lift something that takes a bit of effort my lower left side will hurt. But if i would have to rate the uncomfortable pain it would be a 3. Oh also the blood test revealed that i was healthy and that a colonoscopy wasnt neccessary. The doctor said that it could be IBS or a muscle strain or a bowel movement issue because i have been pushing hard when i go bathroom, he recommended colace and the pain eventually began forgettable and i stopped taking colace. Month has passed and everything and then the pallet issue happened. Now i dont know what to do because it feels just like the pain that i went to the doctor the last time for. I dont know what to do. Should i wait for the pain to subsize, like give it a week? Or do you think i just aggravated the area?", "output": "Hi. You have to get an opinion of a Surgical gastroenterologist to get a proper clinical diagnosis and then to undergo investigations of ultrasonography and / CT scan of the abdominal wall and the abdomen proper. This is very important as the correct diagnosis only can lead to a proper treatment. This can be due to a muscle strain also. Hernia is still a probability as the bubonocele are not easily diagnosed" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. Just curious. I have had several times where I get nausea and very tired/weak at odd times during a day. When this happens, I have taken my pulse and it s been low 50 s. I also get some discomfort in my chest. I m not a runner or anything, so should I be concerned?", "output": "Thanks for your question on Chat Doctor. Yes, you should definitely consult cardiologist and get done1. ECG2. 2d echo3. Stress test4. Holder monitoring (24 hours recording of ECG). There is high possibility of heart block (conduction block) in your case. Your symptoms like low pulse (in 50s), nausea and weakness, all ate seen in heart block. So first diagnose yourself and then start appropriate treatment. You may require pacing too. So discuss all these with cardiologist." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dr my husband has a black spot on his heart and it is geting bigger he is also complaing about pain when he lift his hand to hang clothes also shortness of breath iam sceard that i might be looseing him he is now 57 years old how shall i deal with this", "output": "Hi treatment depends on the size of the hole, and location of the hole 2 d echo should be done to rule out the nature of the hole, its location and size. Modality of treatment also depends on the direction of the flow of blood termed as shunt direction. At an age of 57 a hole can be surgically closed, but initial work up in form of 2d echo is a must , before decision of surgery or medical management is made" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor, i have a major sex problem. first of all my sperm release during sleep and the sperm has gone very thin,it s like a water now and this is happening 3 to 4 days a week, sometime everyday.an other problem is that wen i have sex i release within few seconds and sperm drops down. it...", "output": "Degree understand your concerns went through your details. The reason for your night fall (Nocturnal Emission) is lack of means to expel accumulated sperm cells inside your body. Whenever you are sexually aroused, sperm cells are produced and stored inside your body. That is a waste product for your body. If you do not masturbate of engage in sexual activities, body finds its own way to ejaculate the stored waste. The usual means are through night fall or through urine. Therefore, don't be anxious. The thickness of semen depends on many factors like what you eat, your water intake, stress level, how many times you ejaculate etc. You don't have to worry in that aspect. Because of the above given anxiety, you are now troubled with premature ejaculation. You need psychological counseling. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi , I think I have an acute prostate inflamation . I did a urine test and culture , and the result was high white blood cells ( 40-45 ) but no bacterial growth . Im on Ciprofloxacin 500 mg twice daily and analgesics ( voltarin ) . What is the best solution and treatment", "output": "What is your age? Have you any burning in passing urine? If the urine culture did not pick up any growth get a semen culture done. Best would be to take antibiotics according to the culture report. Ciprofloxacin is good, but then you should take it in higher dose of 750\u00a0mg twice a day for at least 14 days. An ultrasound of the Prostate and bladder will also help in finding the cause for the infection. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I have a really bad tooth ache on the left side of my jaw but cant seem to pin point a specific tooth. What hurts is the last 4 teeth on the top and the bottom, like all of them. The pain is like a constant ache that comes and goes and when I clench my teeth reasonably hard, it isnt excruciating but it does hurt those teeth more. It kind of feels like Ive tried to untwist the cap off of a bottle with my teeth but I know that I havent. This has never happened before. I dont have outstanding oral hygeine, my gums are red in some places but Im working on brushing twice a day and getting habits up to standard. On my right side, up the top one of the corners of my wisdom tooth has just broken the skin and although the others havent I can feel them through the gum on my left side, top and bottom. There isnt much room at the back of my gums and I fear I may have an infection or it could be my wisdom not having enough room to come through. I am 20 years old.", "output": "Hello pt-Dental Caries (Teeth Cavities) Cause Toothache and Jaw Pain tooth cavity occurs as a result of a combination of factors. Food particles get trapped on and between the teeth after eating. Along with mucus, dead epithelial cells (from the mouth lining) and bacteria, a thin soft film, known as plaque coats the teeth. This provides the ideal medium for oral bacteria to feed upon food debris. Bacteria like Mutant streptococci and related groups, break down food particles and produce lactic acid as a byproduct. It is this lactic acid that is responsible for eroding tooth enamel and causing tooth cavities. Food + Mucus + Dead Cells + Bacteria = Soft Plaque (within 24 hours after brushing)Soft Plaque + Calcium +Phosphates + Other Compounds = Hard Plaque (within 72 hours of soft plaque formation)Left untreated, the lactic acid will continue to erode the enamel and dentin and cause irritation of the nerve which is experienced as a toothache. A toothache (painful and tender tooth) is a late symptom of an untreated tooth cavity. Toothaches may also be caused by an infection, injury or the absence of a tooth. Jaw pain may also occur as a result of a dental cavity as the nerve supply of a tooth follows a path around or near the jaw. However, jaw pain should not always be mistaken for a dental cavity as there can be other causes like TMJ dysfunction (temporomandibular joint syn Chat Doctor. Jaw pain may precede, be accompanied by or follow after a toothache and this jaw pain may often radiate around the side of the affected tooth. This jaw pain can vary from dull pain in the early stages to severe throbbing pain with tenderness around the affected tooth." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My father is 60 years old. In August 2012, he was diagnosed with squamous cell carcinoma of upper alviolous. He was successfully operated upon with clear margins. Doctor said no follow up therapy was required, still we went ahead with full 30 cycles on Radiotherapy which got completed on 2nd nov 2012. my father was recovering well when the disease relapsed in May 2013. we had limited options and doctor suggested 6 cycles of chemo consisting Paclitaxel and carboplatin which ended in sep 2013. now he is on geftifib (500 mg daily), but a white spot in upper part of his mouth is spreading and he feels acute pain which get relieves only after he takes tydol. Taking 3-4 tydol 100mg daily is making him slip into depression. please suggest what treatments we have for him. according to doctors surgery is ruled out.", "output": "HIT hank for asking to ChatDoctorI really appreciate your concern for your father, for the malignancy the line of treatment mainly decided by the oncologist and the oncosurgeon this is team work, and this team taking all the possible aspects into consideration right from the clinical condition of the patient to the test reports, side effect of chemotherapy, prognosis, so this decision can only be taken by the medical team, so in my opinion it would be better to have a word with them, hope this information helps you, have nice day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I was prescribed azithral by my doc two weeks ago to help reduce a fever and when i finished the dose a week later i started having a continuous itch on my hips and butt. Could this be a reaction to azithral?", "output": "Hello;welcome to Chat Doctor Literal is an antibiotic and so if you are sensitive to an antibiotic then you can get an allergic reaction, but it will happen as soon as you take the first dose and it will be generalized all over the body anywhere and not at a specific place. So if you have itching after you have finished the course of medicine then you need to consult your doctor as it may not be due to Literal. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have about 5 lumps (2 about peach seed size and 3 smaller) in my lower left groin and abdomen area. There is no pain. These lumps disappear when I am laying down. I first noticed one lump there about 3 yrs ago and the doctor said it was a gland so I didnt pay much attention to it. Then when I went in for a physical 2 months ago I showed them to my internist. She said it wasnt a gland and sent me for an ultrasound. I the ultrasound lying down and standing up and didnt show anything. My internist said to see my gynecologist first and then my gastroenterologist next to see if they know what it might be. Why didnt the ultrasound show anything. Any ideas? I wasnt able to go to these doctors sooner due to eye surgery. ML", "output": "Hi, Such lumps can be seen only on high resolution probes. Of sonography. Request the Doctor and show Him/ Her where exactly the lumps are... apply a marker so that this can be evaluated properly. Multiple lumps in the area you have mentioned can be due to lymph nodes, lipomas, and so on. The chance of a hernia can really not be ruled out as this is possible.a good clinical examination can really help to know he diagnosis and lastly the ultimate success is by actual surgical finding." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I woke up three days ago really hot, so I took my blanket off and I got really cold, I couldnt control my body temperature. I had a head ache when ever I stood up and I couldnt eat anything. Then two days ago I still felt like I couldnt eat but I tried anyways. But every time I ate, my stomach pain would get really severe. That night my stomach pain was unbearable. And then today I woke up with stomach pains again. I went to the bathroom and had really liquidy whitish diarrhea. What am I sick with?", "output": "Hi! You have not mentioned if you ate anything from outside shop a day or two before. Most likely you have got a food poisoning due to ingestion of stale/infected food. Any kind of infection in the body will give rise to fever, and so you had a headache and body ache with variation in your body temperature. If fever troubles you, then you should take a tablet of paracetamol/acetaminophen. The hot and cold flushes you get could be due to excessive sympathetic activity. Your treating family physician may advise you for getting a routine test of your stool or blood sample apart from prescribing you an appropriate antibiotic and some anti-spasmodic if the abdominal pain is severe enough to warrant it. If you get nausea/vomiting which you might, then go for an anti-emetic. At the same time maintain your HY Chat Doctor. If the pain increases, and you do not get relief even after these efforts, then you should consult a general surgeon, who may advise you for an ultrasound and other necessary test which can be decided only when he examines you. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My systolic jumped very high for about two weeks. My diastolic is always normal 65 - 73 but my pressure jumped to 170 to 192. My doctor told me to double up on my Ramipril 2.5. But I feel like I have the flu or is this just anxiety. I ve had eye headaches for two weeks so I thought it was sinus or flu. I feel very anxious. I m taking 1/4 mg. of xanax to calm me down. I have never taken flu shot", "output": "Hello, A sinus infection can raise blood pressure values. For this reason, I recommend performing a sinus X-ray study and complete blood count for infection. In the meantime, I agree with your doctor on the recommendation to raise the dose of April as long as your blood pressure values continue to be high. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My throat is sore and it may be because I inhaled too much of my Lysol All-Purpose cleaner. I have a cough and find myself clearing my throat a lot. When I take a deep breath, my chest feel a little tight. Any home remedies or OTC medications I can take to relieve my symptoms?", "output": "I have gone through the details provided by you. I feel that steam inhalation would be helpful for you. Water in the form of steam will reach deep within the lungs and dilute the irritant effect of the chlorine in Lysol and would give you relief. You may take some antiallergic tablet like levocetirizine once daily for a couple of days. By taking these measures, I hope that your symptoms will get relieved in a day or two. In case it does not, it would be preferable to visit a doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 13 yr old daughter was released from hospital last tuesday they admitted her thought her gallbladder was bad but they ruled that out then on wensday she woke up with fever of 100.6 and still co pain in right side of stomach now she is very nasua and it now been a week and the fever still there it 100.0 to 100.8 every day and the pain in belly starts below the belly button and radiated thru her whole belly along with back pain", "output": "Hi. With the history your have provided, this looks to be a case of Enteric fever or Pancreatitis or some retro-peritoneal structure getting inflamed. A good clinical examination and a CT scan of the abdomen will be of great help to get a proper diagnosis. Also, important is blood tests - Tidal for typhoid, lipase and amylase liver and kidney functions. She needs Continue with antibiotics and supportive treatment. Maybe a further stay in the hospital for observation and continuous treatment." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,My baby is 3 months now and I have started feeding him Lactogen. He sometimes refuses to have it. I notice that he finds it difficult to pass motion the next day of feeding him Lactogen. He doesnt seem to have any other kind of reactions. Is this normal? Should I continue to feed him the same till he gets used to it? Please recommend as I will be joining work in other weeks time and I dont want my baby to suffer due to this. Thank you", "output": "Hello an infant passing stool 7 times a day or once in 7 days is considered to be normal if not associated with vomiting, abdominal distension or vomiting. If he is feeding well, is active, passing urine normally I won't get overly worried. Check whether feed is being prepared in a normal proportion (30 ml water with one scoop of formula). I would suggest you to continue the feed and observe for any abnormal finding. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My Name is Siddharth Mehta, I am 17, and my question is in my routine blood tests, everything was perfect, just my serum creatinine was 0.66mg/dL, and the reference range of the lab was 0.8-1.2, but my doctor said low creatinine is nothing to worry about, is this true or should i consult a Nephrologist. Also I have severe muscle stiffness and my muscles are achy and weak, I consulted an orthopaedic, and my x-rays were fine, so he said there is no bone problem, and exercise would help reduce my muscle stiffness, should I visit a Rheumatologist, will he be able to help me out. And lastly can my muscle ache could be because of poor blood circulation, but my CBC and ESR are completely perfect, so should I also visit a hematologist.", "output": "Hithanks for posting in ChatDoctorI have understood your concern1. As your doctor already said low creatinine is nothing to worry and no need to consult a nephrologist2. Muscle aches may be due to no exercise or electrolytes imbalance.no need for rheumatologist opinion. I can suggest you to get done serum calcium, phosphate, sodium and potassium. If they are in normal range, you are perfectly alright. I can suggest you daily exercise at least for 30 mins as walking or jogging. Hope this helps you any further questions please let me know thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "In May 2010 I had a perfect liver. Around that time I started take the anti depressants, Lexapro, Trazodone, and Wellbutrin starting three months ago. Ive also been taking Aderall since last may. Now I have an abnormal liver. Could any of these medications be the cause of my liver problem? Thank you.", "output": "Hi, I had gone through your question and understand your concerns. Yes, Wellbutrin and Trazodone are known to have some minor effect on liver enzymes, so this could because of elevated liver markers such as GOT and SGPT. If this is just slight elevation then medications should not be changed but if there are significant values then you should consider switching it to another antidepressants. Also, you should avoid alcohol, and fatty food till liver findings stabilize. All medications changes should be discussed with your doctor. If liver abnormality persist no matter of medication stop then you should look for some other causes such as fatty liver or viral hepatitis. In this cases' ultrasound should be done and viral markers as well. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 9 year old son has suffered from a number of strep throats over the past year and a half. He has been sick 6 times. Like alot of the families that have been sharing their stories about the symptoms their children were experiencing,My son is exhibiting strange,aggressive, OCD,anxiety, worrying ,separation anxiety, irrational fears and thoughts.afraid to leave the house. My husband died,July,2013 from a very rare autoimmune disease that attacked the liver. Primary Sclerosing Colengitus.my question, is my son merely reacting to the loss of his dad, or could this behavior been brought on by strep and it could be PANDAS syndrome. My son acts out mostly at home. He is a straight A student with good behavior. He does show alot of anxiety at school. If a child is suffering from an undiagnosed case of PANDAS syndrome wouldn t it play out everywhere not at home primarily. Do symptoms come and go. Some more episodes more intense than others", "output": "Hello, History of sore throat and symptoms as described by you probably suggest the possibility of PANDAS syn Chat Doctor. However, it needs to be confirmed by laboratory tests for streptococcal sore throat. Treatment consists of course of antibiotics, for behavioral problems cognitive and behavioral therapy, some antidepressant medications, etc. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Yes, I have had pain in my shoulder for a number of years and am unable to reach my right hand too far up and not at all behind my back. Now my left shoulder has become painful and I cannot reach too far up but I am still able to reach behind my back although it is painful. I would like to try exercises but do not want to damage my shoulders more.", "output": "Hi, thank-you for providing the brief history of you. A thorough musculoskeletal assessment is advised. As the shoulder pain is limiting you for utilization of its all functions I will advise you to undergo physical therapy. As initial stages taking therapeutic ultrasound therapy will help reduce joint inflammation and TENS therapy for reduce pain. Post which exercise will start by first isometrics for few number of times and days to get the muscle property back. Post with isotonic and ROM exercises will be implemented to get full should function. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, Recently my dentist made restoration. One of the components offilling contain benzoyl piroxide. Now I have very bad taste,I feel emission in mouth. Can this compound be cause of bitterness and sometimes slightly sourness.Sometimes the eating burn in mouth...", "output": "Hello and welcome. Thanks for sharing your concern. Please recheck with your dentist about the material used for filling the tooth. Most of the restorative cements are bio compatible and user-friendly.Thus, they do not cause odor or irritation. In any case if you are allergic to peroxide then you must see your dentist and discuss regarding this. An alternative material could be used. Hope it helps. Thanks. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been having intermittent sharp pains in lower right abdomen and last week I had sever pain in left shoulder. I am not sure if they are related. I was told the shoulder was spastic muscles but muscle relaxers and naproxen didnt really help. All that helped was time heat and massage but really I still get pains there as well. I am not sure if it nothing, appendix, gall bladder or something else. Can anyone help me", "output": "Hi ! The pain in your lower abdomen on the right side could have been due to appendicitis, or due to a ureter calculi giving rise to recurrent pain. This can be diagnosed only by clinical examination followed by some investigations. The pain in your left shoulder seems to be an independent entity, and management should be warm compresses along with anti-inflammatory Chat Doctor. If the pain in your abdomen continues, then I would suggest you to go to your family physician who after clinical examination, may advise you for some basic blood and urine tests, along with an ultrasound abdomen for further management. Wishing you an early recovery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My brother has als..His first symptoms was tripping n then not too long after that, his tongue started shrinking..You really can t understand him now..It s so sad.. Right now he s close to the end.., not eating n drinking n things are stating to shut down.None of our family has ever had anything like that..My question is what in the world causes it? He used to be a painter..", "output": "I am really sorry about your brothers' disease. As a neurologist I know it is one of the most awful diseases to have in our specialty and frustrating for us clinicians as up to now there hasn't been much we can do about it. It is hard to answer to your question as well because the cause is not well known. Several genetic mutations have been identified in familial cases, but the exact manner these mutations lead to disease is not always clear and different mutations appear to have different related mechanisms. Other factors such as toxic or infectious ones have been implicated, but as I said much remains unknown about the genesis of the disease. I hope you and your family will find the necessary strength in these difficult days." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 8 year old son has had elevated ALT for the last 5 years. His pedi also said his liver is enlarged, they are trying to get us an appointment with a GI doctor. We have been to many specialists. My sons blood sugar used to plummet in the mornings to under 60. He would then puke a horrible highlighter yellow fluid. We ve had a diagnosis of Ketotic Hypoglycemia , which he should have outgrown. His blood sugar is no longer lowering. But he is still vomiting the highlighter yellow fluid approximately every 6 to 8 days. He gets very pale, with black under his eyes and his usually rosey lips turn grey. He then vomits and his color returns. His urine also smells very strong.", "output": "Hi and welcome to Chat Doctor. First the exact cause of liver damage should be found. In his age the first thing to think of is congenital liver disorders such as Gilbert. Secind, it may indicate any kind ONF systemic infection, and thirdly it can be certain blood disorder if associated with anemia. He needs extensive work up to evaluate his blood sugar.it may suggest pancreatic disease or beginning of type 1 diabetes. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am feeling very dizzy, have felt very detached from reality all day (and this happens often) and have a headache. I am currently undergoing tests for lactose, fructose, sorbitol and sibo intolerance and am awaiting those results. I can t help but feeling there is something more going on. I constantly feel like I can t concentrate and like I m not really here. It s very, very strange.", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. In fact worrying causes anxiety and your symptoms feel multiplied. You DI not mention your age. The concentration problem is experienced by every teenager a well as any early adult. This could be due to the over creative brain which always is in search of creative ideas when normal ideal makes it dull a lazy. In that case you should give extra creative tasks to yourself. In what ever case, please wait for the results to come, even though they have nothing to do with your concentration a dizziness. You are feeling the symptoms again an again because you fear them. For psychotherapy and counseling visit http://psychocure.blogspot.com/Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, i am 24 years. I had acne problem due to irregular periods(Hormone imbalance). I consulted a dermotologist and he prescribed Aldactone 50, calutide and glycomet 1gram tablets. And also Ban a Tan after bath and lomela and candiderma in nights. I am following the above for one year and black patches gone. But now Doctor replaced lomela with dremz and ban a tan with melaglow. And i stopped taking tablets alone and now again i am geeting acne. I am Very much depressed and sad. I dont know the reason pls guide me ASAP", "output": "Hi, I can understand your concern for irregular periods(Hormone imbalance) and acne. Pimples erupts due to hormone testosterone and its bye-products. This hormone plays the most important role in high oil secretion and increase the size of oil glands in both males and females. Due to high oil secretion the pores or ducts of the glands are blocked. It leads to formation of pimples and also abnormal periods. In females there is not a direct presence of testosterone is there, but the female hormones turn into the testosterone and other of related chemicals. You have been provided good treatment with Spironolactone and Metformin which are the mainstay of the treatment for your kind of problem. I additionally suggest you to apply clindamycin gel at the pimples' area. DO not use any cosmetics on face. You can meet a dermatologist for best guidance. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im 8 weeks pregnant got the ok from my ob to be treated for my toothe abbsess, they only gave me Tylenol 3s and amoxicillin I have taken 3tylenals 3s and 3 antibiotics so far and Im in sooooooo much pain again to the point Im crying, can I go to a emergency room?? Can they help??? I cant sleep!!! I cant eat!!! The tooth is in the front right of my mouth and broken off at the gum so nerves are completly exposed please help", "output": "Hello, thank you for consulting with Chat Doctor. As you are mentioning that you are 8 week pregnant, that means you are in your first trimester, in this condition the dental problems are mainly controlled by medications. As the dentist has prescribed you. But in emergency conditions treatment is done by specialists with proper chair positions. You should visit an endodontist to get root canal treatment of the front tooth as it will solve the problem. Hope it will help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My mom is 71 and was diagnosed with large b cell lymphoma 5 years ago. She was successful treated with the R-Chop. She had a biopsy from a lump in her mouth last week and was told it was lymphoma. She has a pets can Tuesday and then will follow up with her oncologist. What treatment would you recommend?", "output": "HI thank for asking to ChatDoctorI really appreciate your concern for your mother, the over all treatment plan for such disease is depends upon many things, like the classification of disease, general condition of patient, associate pathology if any, and the oncologist is the right person for this is not the simple etiology that can be treated with the symptomatic treatment, or medicines, hope this information helps you have a good day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Dr, I am Praveen, Delhi. I was addicted to Man Masala with tulsi [tobacco] 5 years back I consume 5 to 10 pouches at different time intervals. I decided to quit & tried not to take even a single time, but coul not control & take 1 to twice minimum a day. Actually a week back I caught mouth ulcer during which it was difficult for me to take Gutkha. I taken medicines for mouth ulcer and with little more effort & will power, finally i have stopped taking [today is 4th Day]. Mouth ulcer is almost gone but the problem is the white & brown patches on my right cheek [where i hold masala previously] is troubling me with pain. I can t resist a little hot food in that area. Is it a cancer or a pre cancer. Can it be rectified by taking / applying medicine? Is there any home remedy to resolve!. I have putted salt directly on my mouth ulcer & also on White-Brown patches. Do i did it correct on applying saly on white brown patches? The pain is now lesser. Please guide.", "output": "Dear friend. Thanks for sharing your concernPlease do not get worried, lesion in your cheek could be due to oral ulcers, traumatic injury due to jagged teeth. Precancerous conditions, or oral cancer too.First it should be well examined through biopsy of the lesion. Visit your oral surgeon for clinical evaluation and biopsy. Do you have associated lymph node swelling? Local application of salt on the lesion is not recommended, But you can do warm saline rinses thrice daily especially after food.Also, it can be very well treated, whether ulcer or cancer, be stress-free. You can continue local application of colonel on the lesion for pain relief, also take vitamin B for 15 days. Visit your oral surgeon soon. Strictly quit your habit. Hope it helps. Thanks. Take care. Maintain very good oral hygiene." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Out of no where red spots appeared,first one,temple it was round red spot that eventually left but, left a brown spot on my face,then in my left upper arm two more appeared then down on my arm like a trail of these red spots they do itch and on my right finger, i am trying to figure what happen,it seem like an allergic reaction but i have not change anything, these red spots have left spots on me please help", "output": "Howell come to ChatDoctorI really appreciate your concern, this is the allergic manifestation it could be due to autoimmune response, or it could be due to viral attack in either of this case condition is self limiting will come around on its own, but it can be managed symptomatically as long as the itching is concern and for that antihistamine locally and orally can be tried, like Tab Levocetirizine 10 mg three times in day and Calamine lotion for local application hope this information helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i lifted an old heavy television 5 days ago ,since then i have had a lot off pain around back and under bust on left side , in the morning when trying to get out of bed , the pain is horrendos it takes my breath away, it feels like my muscles go into spaslm i find it hard to breath", "output": "Welcome to Chat Doctor .1. It could be a musculoskeletal pain, try some gel painkillers at the sites of pain.2. And some painkillers orally.3. If you feel there is no relief over a day - two and of the pain ID more than 6 on a scale of 10 then you see your doctor as soon as possible.4. After examination doctor may ask for an x-ray lumbar spine AP/LAT views done and depending on the findings needful actions can be done.5. Next time recommend being careful while lifting anything, follow few rules how to lift the objects. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a large protruding smooth growth on right side of my tongue. It was painful so I asked my dentist to look at it while he was doing some dental work. He gave me some mouthwash and said if it doesnt go away come back. It went away within a couple of days. Tonight I noticed a white skin tag under my tongue. I looked because it was painful and I thought it might be a cold sore. I have not had a coldBut I recently had a kidney infection. I also have a lkidney stone and a kidney cyst. What is this whir skin tag? I want to know that it is NOT cancer. Ive never smoked.", "output": "Hello, Thanks for the query to Chat Doctor. Forum. If this white bump (skin tag) is on the same site of previous growth then it is a cause of concern. If this is fresh then it may be, 1 candida infection. Diagnosis can be confirmed by physical examination by a E N T so consult an E N T and get his opinion and treatment. In my opinion this is not a cancer ulcer according to history. You mentioned that there are kidney infection and cyst. If you are taking antibiotics for kidney infection then this may be a side effect of antibiotics. In that situation you have to consult your treating physician. So deal according to condition. Good luck. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have this little lump in my earlobe, it only hurts if squeezed andI dont know what it is, I had an odd cut there and that like liquid type pus would come out of it so I am thinking it may be broken cartilage, and that ball is kind of the same thing as colliflower ear, that is just my guess..", "output": "Hi, Dear,Thanks for the query to Chat Doctor. I studied your problem in depth and I understood your concerns. Cause and plan of Treatment-In my opinion on the given data, you seem to have infected wound on the earlobe, with pus in the earlobe.Don't guess more. I would advise ER Surgeon Consultation who would treat it with antibiotics / anti-inflammatory for 5 days time. Hope this would resolve your issues. Act fast. So keep cool and Consult your ER Surgeon, if need be, who would treat it accordingly. So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you, but just ask a query to Chat Doctor and be comfortable to resolve your health issues. Welcome for any more query in this regard to Chat Doctor. Write good reviews and Click thanks if you feel satisfied with my advice. Have a Good Day. Chat Doctor. N." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am having pain in my back and lower abdomen ..i had it few days back also.i went for an ultrasound also.but the reports are normal.when the pain starts i cannot even turn .it becomes very serious.i had some antibiotics thinking it to be urinary track infection.the pain is like the pain i have during periods.it is already time i have my periods but i still did not have it.i am 24 yers old", "output": "Hi, thank you for your query. Lower back pain and abdominal pain before periods is called Amenorrhea. Menstrual pain is due menstrual uterine contractions, which are generally of higher strength, duration and frequency than in the rest of the menstrual cycle. Dysmenorrhea can feature different kinds of pain, including sharp, throbbing, dull, nauseating, burning, or shooting pain. Dysmenorrhea may precede menstruation by several days or may accompany it, and it usually subsides as menstruation tapers off. It is often associated with changes in hormonal levels in the body that occur with ovulation. It is not a serious condition but requires attention. A specific medical history of symptoms and menstrual cycles and a pelvic exam should be done. Initially for the pain, NSAIDs or COX-2 inhibitors can be used. Thank you, wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I put bleach and then hot water down a stinky drain a few times. I now have a tight chest and some burning. Would this have been enough to cause damage to my insides? I was only in the bathroom for about 1-2 minutes following each treatment. Did I do something to my lungs? Please advise", "output": "Thanks for asking your question I completely understand your question yes bleach can cause allergic symptoms. You need to take some leukotreine antagonists like montelukast and some antibiotics like lifetime for a week after consulting a pulmonologist. He can request for a chest X-ray also to rule out any other disease progressing in your chest. Short term exposure leads to allergy but long term and for long duration can lead to toxicity and some chronic changes, so better to avoid next time thanks / regards feel free to ask more questions may god bless you with good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi i am a 33 years old and i have been feeling bad all day. I ignored it and continued the day and early afternoon i got a headache and took tylenol and it didn t help. I am feeling worst right now and i have naseau and a headache. I took my pulse it is 48 with oxygination of 94%. I also some have some chest discomfort, should i be alarmed?", "output": "Hello, Would explain that this heart rate and blood oxygenation or quite normal. Coming to this point, I would recommend taking Tylenol or ibuprofen and an antacid. A viral infection may mimic this clinical situation. If this situation persists, I would recommend consulting with your GP for a physical exam and some tests: a resting ECG, complete blood count, PCR, ESR. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,I have liver disease and had a grave prognosis about a month ago. Am doing everything right now and slowly getting so much better! But I forgot to ask my nurse this am if i can take aspirin or anything for a bad headache?? Thank you!! P.S.Please respond here as my email is down thank you!", "output": "If I were your treating doctor I would advise acetaminophen less than 1-2gm/day if pain relief is inadequate then tramadol tablets starting with low dose with monitoring instead of using aspirin or other NSAIDs for pain relief as they can precipitate liver dysfunction. I have given satisfactory answer to your questions. You can like it if its satisfactory and can ask any other offer your queries and I will be pleased to answer them." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son is 6 months old and I am sleep training him in his crib. Tonight he had a hard time and cried for about 15 mins. I was able to soothe him to sleep but he fell asleep with the gasping for air sound every few seconds. It s been about an hour now and he s still doing it. Should I be worried?", "output": "As this is for the first time the child is getting away from his mother, he must be getting upset. Staying away from mother is a scary thing at this age, as she is the life support. You can try speaking to the child and letting him know that you are there only on a separate bed by his side and not leaving him. Do it repeatedly in a soothing manner. In a few days he shall be fine. There does not seem to be need to worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir, my sons age is 18 and he is in class 12th. He is not doing well in studies and is distracted by net and chatting. When withdrawn these facilities he became rebel and blackmail us that he dont want to live . What to do? He is my younger son and elder son is doing extremely well .", "output": "Hello, Internet gaming addiction in now being recognized as a disorder and is affecting the adolescents. This condition is difficult to manage. I have some suggestions for you. Donor force your child to stay away from these things. The more you will force, the more he will rebel. Involve yourself with him while he is using internet so that you can keep an eye on what he is doing. Encourage him to use internet for educational purposes. Also encourage him to participate in outdoor games and involve yourself with him. Gradually you with Chat Doctor. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "On Saturday I had back pain and what I thought might be a kidney stone. They did a urine dip which was negative for leuks and pregnancy. They also did an ultrasound and said the kidneys were fine but that I had free fluid in my uterus. I feel the pain is muscle, but yesterday I did another pregnancy test as I am late and it came back positive. Do I need to be concerned?", "output": "Dear patient Positive pregnancy test means you are pregnant. You need to be concerned as pregnancy needs extra care and responsibilities. You should ask for repeat ultrasound of abdomen to assess duration of pregnancy. Avoid taking Chat Doctor. X-ray is also contra indicated. Back pain is common during pregnancy but not in initial months. It is common during second and third trimester of pregnancy. U should apply diclofenac gel locally at the site of pain. Wait till pregnancy is over. All the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my son is 7 year old and he has had a bean size movable swollen lymph node on the right side of his neck ever since he was tested positive for mono. My problem is that the lymph node has not gone away, neither has it changed in size. He shows no symptoms of being sick, nor is he losing weight. As a matter of fact he is very active. I took him to a ENT doctor and he basically said it was normal and that my son would be fine. Im just worried this lymph node will not go away and I dont want to wait till it goes down to and later find out its something else.", "output": "When lymph nodes swell in two or more areas of the body, it is called generalized lymphadenopathy. This may be caused by: A viral illness, such as measles, rubella, chickenpox (varicella), or mumps. Mononucleosis (Epstein-Barr virus), which results in fever, sore throat, and fatigue, or cytomegalovirus (CMV), a viral infection that causes symptoms similar to those of mononucleosis. A bacterial illness, such as strep throat (caused by the streptococcus bacterium) or Lyme disease (a bacterial infection spread by certain types of ticks). Side effects of phenytoin (Dilation), a medicine used to prevent seizures. Side effects of measles-mumps-rubella (MMR) vaccination. Cancer, such as leukemia, Hodgkin's disease, and non-Hodgkins lymphoma. Acquired immunodeficiency syn Chat Doctor. This virus attacks the immune system, making it difficult for the body to fight off infection and some disease. Syphilis, a sexually transmitted disease." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I was bitten by my dog(small scarthch) last 2008. I completed the recommended anti rabies shot and the anti tetanus. Then today, i was bitten again (small scratch from teeth) should I be needing the complete anti rabies shot and anti tetanus again this time? I am worried because this new puppy does not have anti rabbies vaccine yet.", "output": "Hello, Welcome to Chat Doctor, As you were bitten by small puppy now, and previously you had taken antirabies vaccine for the dog scratch, according to WHO categorization of animal bit you will be categorized into Re-Exposures. Re-Exposures should receive two doses of antirabies vaccine on days 0 and 3. Even it is Cat III bit antirabies serum is not required. The vaccine should be taken to shoulder. If you have taken TT injection with in five years nothing is required for you. You need to observe the puppy for at least 10 days. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am in the midst of deciding if I should proceed with radiation, chemo and radiation implants or just hope that there are no more cancer cells left in my abdomen. I had type 1, grade 3-4 endometrial adenocarcinoma. They took out the uterus, ovaries, fallopian tubes, cervix, and many lymph nodes and biopsied the omentum. There was no sign of anything except in the uterus. The radiation oncologist I saw yesterday said I have a 9% chance of getting it back without treatment or a 2% chance with it. My surgeon said 15% without and under 10% with it. I know most physicians have no faith in alternative treatments but I do have some (although this is not a religion).", "output": "Hi, dairy have gone through your question. I can understand your concern. You have endometrial adenocarcinoma. You have already gone through radical hysterectomy. Furthermore, you should take radiotherapy also. It decreases the chance of recurrence. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have recently been masturbating at least a dozen times a day. I stopped after erections began to hurt badly. Now a discharge is present sometimes clear most of the time milky and rarely it redish as if blood is present. I have no STDs. Did I break my penis ?", "output": "Good Day, and thank you for being with Chat Doctor ! Too much of everything is always bad and a dozen times a day of ejaculation would cause edema and inflammation to the penis. That is the reason for the bloody ejaculate and clear to milky fluid that comes out. I don't think you broke your penis, but you need to let it rest until the pain and edema subsides. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: http://www.ChatDoctor .com/doctors/ Chat Doctor. Best wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my aunt had undergone a leg surgery for thigh bone fracture After a week of treatment doctor suspected of renal shutdown initiation for some unknown reasons. She is a diabetic and BP patient. And now doctors are kind of sure that both the kidneys have failed. Doctors are taking our consent to decide on whether to go ahead with either dialysis or kidney transplantation . I would totally appreciate if we could guide us with what is best suited for knowing she is a sugar & BP patient and had undergone thigh bone surgery. Kindly respond urgently as we are counting on the expert advice. Also suggest us if you could help us with kidney transplantation. Thank you so much. Thanking in anticipation.", "output": "Hello It looks your aunt had landed in acute renal failure. Since she is a patient of diabetes and hypertension, she would definitely require a renal transplant for the best outcome but the proper approach at the moment would be to go for dialysis. Let the patient settle first from the trauma of surgery and then renal transplant can be undertaken later on depending upon the situation at that time. Consultation and advise from the nephrologist would be the best thing to do at the moment as he can assess the patient properly. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hii have a 4 years old little boy and last year he was diagnosed with asthma,he was coughing a lot when going to bed and in the morning before getting up,he was throwing up quite a lot and he would only throw up flam not food mean while he started to have his medications inhalers and pediatric sachets and his coughing fits started to get better.but sometimes he still has the throwing up problems and last time he had temperature but to me it seems that the doctors give all diferent diagnosis to the same symptoms,i have been backwarss and forwards to doctors and my son seems to still get ill with the same problem,now he is starting to complain of dizziness and tummy aches and headaches all the time its been like that for about two months now i did take him to the doctors about this also but it seems like they is something the doctors arent detecting and am getting really worried with his health,could you give me an idea on what this could be he has an appointment today about dizziness and headaches and i would like to go well informed on what to say to the doctor,thank you", "output": "Asthma in childhood occurs due to antibiotics over use and paracetamol we use for fever you find out reason for allergy. All these problems are related to this food allergydefinately milk but you can get blood serum tested for milk and wheat go for elimination die the will recover from all symptompsYou just stop all milk and diary completely you problem will be solved with minimum medicine sand for cure you can go for desensitization therapy which is newer in the latest therapies" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I suddenly started fainting two months ago. I am 50 and have a nero disease, high blood pressure and have been on heart meds for years. I have been to many dr with no resolve. I get really red in the face before I fainted and I sweat like crazy, a short time after I have a headache and a metallic taste on the back of my tongue", "output": "Hi, Thank you for posting your query. The two most common causes for fainting include syncope and seizures. Syncope can be caused by heart diseases too. For detailed evaluation, you need to see a cardiac electrophysiologist, who would perform a Holder test and a head up tilt test (HUNT test). In addition, you should also see a neurologist to exclude seizures, which may require MRI brain and EEG. I hope it helps. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have the following symptoms for about 3 weeks and there not getting better. Bright red blood clots on the stool , blood clots in the toilet water, feeling of fullness, increased passing gas (this part s been going on for a number of years), slight cramping in abdomen area lower right. What could be causing these symptoms. I m worried it s cancer .", "output": "Hi and thanks for the question, passing out blood as such is somewhat a medical emergency. It is imperative to exclude a gastrointestinal bleeding of hemorrhage. Uncontrolled bleeding could cause hypotension and shock in some cases. Other causes of bleeding like hemorrhoids and infections are possibilities. Consulting a gastroenterologist for a clinical evaluation, stool exams and endoscopic examinations to exclude bleeding is urgent and very important. Hope this helps, Thanks and best regards, Luchuo, MD." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "gd mrng sir.... sir my wife is 32 years old n in april 2012 she has taken leon 500 mg 1OD * 5days due to sneezing n cough problem.....she became all right tht tym bt now frm last 3 days she is suffering with same prblem again should i repeat that dose of leon 500 mg or i should arrange a proper checkup wd any other doctor for her.....(as the doctor wrote ths medicine is transferred )", "output": "Hi, Leon 500 mg helped her previously. It shows that she was suffering from a respiratory tract infection. Are you sure she is suffering from the same problem this time? It needs to be found out why is she suffering from repeated respiratory tract infections. It can also be an allergic attack and so is repeatedly occurring. I would advise you better go to a Physician who can get a complete check-up done and find out the exact cause.Also, Leon is an antibiotic so do not use it injudiciously. Use it only on prescription from a doctor. Till then, you could try taking steam inhalations and warm water to Chat Doctor. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Im 29 m.For last 1 year, im suffering from fatigue ,tiredness and weightloss, bloating ,tiredness,stomach fullness.So i went to General Physican and he advised me to do complete health checkup.Results of thyroid,Sugar,Electrolytes,Iron are in normal range.But there were some abnormalities in indirect billubirin, BUN and he referred me to Liver specialist. LFT Details: Biliburubin Total 1.27 mg/dl Biliburbin -Direct : 0.25 mg/dl Bilibubin - Indirect : 1.02 mg/dl ( is this high?) SGOT : 23.3 U/I SGPT : 15.4 Alkaline Phosphatase : 108.2 U/I GGT : 11.1 U/I Protein-total 7.63 gm/dl Albumin -Serum : 4.45 gm/dl Serum/Albumin Ratio : 1.4 Hemogram: RBC : 4.6 * 10^6/uL hemoglobin : 13.4 g/dl hematocrit :38% RDW CV 14.8 fl Platet count : 236 * 10^3/ul Erythoryte sedimentatin rate : 20 mm/hr Kidney test: Creatine:serum 0/7 mg% BUN : 7.8 mg/dl BUN/SR.creatine ratio : 11.14 Uric acid: 4.5 Calcium : 9.4 mg/dl", "output": "Hello, sundar230,I did go over all your blood work. Your liver enzymes are normal Randall your other blood work, like calcium, protein levels, hemoglobin, kidney tests are all normal. The serum bilirubin, the indirect fraction is very minimally elevated. Usually, Direct bilirubin is the main fraction. We see this sometime in fasting state and a very rare genetic disorder called Gilbert's Syn Chat Doctor. Usually this is benign. Some people have jaundice, especially during stress, cold or flu, fasting, lack of sleep kind of symptoms. You mention weight loss, fatigue, and fullness of the stomach. Stress can certainly do this, but, I recommend that you get an upper Miseries, X-rays to make sure there is nothing going on in the stomach. If anything looks abnormal on x-rays, then you need endoscopy. You can discuss this with your doctor. I wish you well." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My right upper arm has a burning pain or sensation. It s on the the inside like the crease of my bicep. I haven t lifted weights in months but I have been taking classes and under a little stress. There is a knot behind my right eat as well but it doesn t hurt. What s going on?", "output": "As per your explanation I believe it can be due to too much of over head activity the nerve have got stretch. As well if the lump what you have explain is not painful and not increasing in size then you don't worry. Do visit a Physiotherapist to help you with nerve relaxing exercise and some stretch and some more special treatment. As well don't do any activity which increases your pain. Take rest for some days like a week time should be good. I hope it was helpful for you. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,I am having a problem from the past few days, that when I burshing my teeth in the morning and then gargling a small amount of blood comes out. But it shows only in the morning.I usually smokes a 3-4 cigrattes day. Please help me out to confirm which medical test I used to go for. Any precautions I have to follow.Thanks", "output": "Hello, Read your query, as you have blood after brushing and gargling at morning don't worry this is bleeding from gums is seen in patients with deposition of food debris and calculus at sublingual areas of gums, leads to condition gingivitis and periodontitis inflammation of gingival and periodontal fibers, as you have smoking habit also this also causes gingival fibers and periodontal fibers inflamed. For this you should consult dentist and go for oral examination and Scaling and root planning, in meantime you should do warm saline gargle two - three times a day, Do chlorhexidine mouthwash, maintain proper oral hygiene by Brushing twice daily. Hope this will help you. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was recently diagnosed w/ lumbar and dorsal osteoarthritis and spondylosis. Now I am having tingling on the left side of me face, left arm and left leg. Could this be the cause as I have no other symptoms that are normally associated w/ the tingling. No numbness, weakness, blurred vision.. etc...", "output": "Hello, Osteoarthritis and spondylosis of the dorsal spine are anatomically inconsistent with any type of changes in sensation of the face as you describe. I recommend you have that looked at by a neurologist as soon as possible. If the symptoms return you should head to an ER because you may suffer from a stroke which could have devastating consequences. There are other less catastrophic causes of those symptoms, but you do not want to miss the opportunity of diagnosing something that can be very critical, so you must go to the ER the next time this happens. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had flu symptoms since Monday. First fever & chills with body aches, then cough & sore throat and now Im getting light headed with a touch of,diarrhea and nausea. I also just noticed a green hint to my urine. Shoukd I be seeing a doctor or,wait it out?", "output": "Hello, Welcome to Chat Doctor, The history and symptoms ate suggestive of some infection in the body. As you are having the symptoms of fever, cold and the greenish tinge in the urine is indicative of some infection in the body. You need to undergo physical examination and urine examination to find out the exact cause for the symptoms. I would suggest you to consult your doctor for proper examination and for getting the prescription for the antibiotics and other medication. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Am 27 year old female. I have been experiancing mild-moderate chest pain more to the left side. The pain is ininsifed when I lie down or taking deep breath. No shortness of breath and the pain does not radiate. The pain lessen when i sit. I dont smoke", "output": "Hi thanks for asking question. Here are few possibilities in your case.1. If you have associated abdomen pain and heart burn then chest pain might be because of gastric problem like acid reflux or peptic ulcer. Omeprazole useful for it.2. Second it can be simple muscular pain because of bed sleep posture, overexertion or muscle strain because of some unaccounted activity. Simple analgesic and hot compress helpful for it.3. If you have cold, headache, sore throat then it could be as constitutional symptom in viral infection. Symptomatic treatment done.4. Fourth still symptoms increasing respiratory cause rule out by chest x-ray or pulmonary function test. Complete blood examination useful. Lymphocytosis present in viral while necrophilia in bacterial Wish you good health. Avoid stress as you don't have Seems to be serious cardiac cause. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, myself dr, a. mishra (veterinarian), my 3 yrs old daughter was suffering by cold,nasal discharge,cough, some times vomiting with mucosal discharge. primarily she was treated by the doc. with azithromycine, lansoprazole with cough syrup. now dr. wants to give inhelar. should i give it or not?", "output": "Hello dear!I want to ask about the family history. Is there any family history of asthma and allergy?? Does your child suffer from cold very often or quite frequently he is hospitalized or visits a doctor due to respiratory problems? If no then there is no indication of inhaler at this age. I would advise a good anti histamine like cetirizine or levo-cetrizine about 3.5 ml at night and montelukast sachet 4 mg at night for about 3 months. Avoid cold Chat Doctor. You can also try some home remedies like a teaspoon of honey in a glass of Luke warm water to " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my husband aged 69 years, in his scanning report shows cerebral and cerebellar astrophy. his height is 175 cm and weight 67 kg.mild sugar and cholestrol.He burssts with anger without any proper reason also slight memory problem.Is there any medicine in ayurveda/homeo.also suggest food items which helps the patient.He drinks alcohol once ina week.pl.suggest a solution", "output": "Hi there is no treatment in any form of medicine for the cerebral and cerebellar atrophy it's a natural process but u can further slow down the process by maintain and stabilizing your way of life simply life style modification and some simple exercise. As u complained that he burst out very anger u can help in by encouraging him to do yoga which keep him calm .keep in mind that it's not a simple it's the difficult task, and it would take AA minimum of 6 vmonths for recovery.in my opinion usage of any kind of Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i think my infant had a childrens motrin allergy/ Ibuprofren allergy.im curious to know if the reaction stays in the system until treated/addressed or does it cure itself? my pediatrician said my son has excema and disregarded my concern I want to say he started slight skin rashing aound 6mo - around same time he got HFMD and was given infants motrin in the last year the rasChatDoctores n goes, his poops are like rocks/ clay like or black 75% of the time, and has had repeated coughs n congestion- I recently gave him the childrens motrin and he broke out in a burning hive rash aka excema don t think soo", "output": "Hello. Welcome to Ask A Doctor. I have read your query and here is my advice. A side effect of Motrin(ibuprofen) is to cause stomach inflammation which can make the stomachs inside lining bleed. The blood is carried along with intestinal contents through the entire intestinal tract. By the time it reaches the end it is black and makes stool black. Blueberries, Pepto-Bismol, and iron supplements also make stool black. A hive rash is an allergic rash and could be due to Motrin, especially if the hives appeared very soon after you gave him the dose. Tylenol does not irritate the stomach and is safer. Hard stool is usually due to not enough liquid intake. You may want to try giving apple and pear juices. If that doesn't help, prune juice, 1-2ounces one-two times per day might be beneficial. Frequent colds and coughing could be from being in close contact with other young child Chat Doctor. How old is your child? Does he attend daycare? Also, cold and cough syrups are NOT recommended to give to child" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am having a problem with numbness,tingling in leg and foot , mostly in back of leg, pain seems to be centered in back of knees. Yesterday my leg went completely numb and it felt like I had a ball, the size of a baseball on the top part of bottom of my foot just above the arch. I have had disc surgery before for a splasher disc ( L5S1). But it wasn t this painful. Can you help? Thank you in advance for any information you can offer. XXXX", "output": "Hello, With the history, I understand that there is muscle weakness in the lumbar spine region post surgery and needs exercises to be performed like the core stability, spinal muscle strengthening, lower limb strengthening as well. In my clinical practice, this is the least common I have seen with. But after a thorough clinical examination and assessment, they respond well to the spine rehabilitation program. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Why is my stomach hurting so badly? My boyfriend and I had intercourse on a Friday where two condoms broke in a row inside of me. Not only that but he also hit my cervix which caused pain during intercourse so I told him to stop. I started experiencing mild stomach pains till Sunday. I also started bleeding a bit here and there on Sunday as well and its still lasting till today, Monday. On Sunday bits of the condom came out of me. Today I have experienced chronic pain in my lower stomach. It was like harsh gas pains. I went to the bathroom and had diarrhea. I instantly felt so much better. Stomach pains came back but not as rough. Later on in the day a chunk of a condom came out of me while peeing. The abdomen pains are mostly in the upper middle part of my stomach now. Am I having bowel problems or an infection inside of my vagina.", "output": "Hi. Practically speaking, you have got infection of the intestines as well as of vagina. Fortunately the treatment for both the condition or for PID-Pelvic Inflammatory disease. Get the course of an antibiotic suitable for all the expected conditions, take supportive treatment and get examined by a Gynecologist for removal of remaining bits of condom, and examine the vagina to look for an infection." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "4 days earlier i had caugh with yellow sputum and fever now i have caugh and 10 t0 15 tiny water blisters on my on neck ,shoulders and arm pit few weeks ago while repairing mud water pipe some mud water went in to my stomach docter had given cefixime 200 mg tablet but i have not cured from caugh and with new symptops of water blisters on my skin what should i do", "output": "Hi thanks for asking question. Here are few possibility.1. First as fever, cough present and if sore throat or headache associated chances of viral rhinitis or bronchitis or sinusitis are more. Treatment of viral infection is symptomatic.2. Second if mild chest pain also associated then viral pneumonitis can be the cause. Chest x-ray done to rule out consolidation.3. Blister can be because of severe allergic condition as that of asthma. Blood examination reveal high eosinophil count if allergy present.4.fourth particularly herpes like viral infection have tendency for developing blister of skin. Serological test helpful for it.Meanwhile, cough Lozenges with eucalyptus helpful in cough. Garlic and elecampane as cough Chat Doctor. So useful. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello im cat well fri i had bad pains in my stomic left side then i started peeing blood so went to er now the blood went away fri at 3 am but it is now monday and guess what the blood is back and its red not like friday it was dark brown what do i do now i was up all last night with the same pains what do i do now please help im scared ?", "output": "Hi and welcome to Chat Doctor. Most common causes of blood in stool are benign and you shouldn't be concerned. I don't know your age, but usually bleeding is caused by hemorrhoids, figures, angiodysplasia or polyps. Some other more serious diseases must always be ruled out. SO I suggest visiting proctologist who can do rectal examination and decide is colonoscopy necessary.Also, you should do red cells count to see is there any sign of anemia. Try to eat easily digestible food such as fruit, green, milk products and boiled food. And take enough fluids. Nothing serious can happen in short time but visit specialist as soon as you can.Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I dont smoke, but my x-ray result says Pulmonary Hyperaeration. I have been diagnosed with bronchitis almost 20 years ago. I am now 34, a female. I recently had a feeling of shortness of breath and chest fullness (not chest pains) but can sometimes be relieved when I belch/burp. Sometimes I feel like I am not getting enough air when I inhale, and I feel like Im tired all the time. 2 years ago I had a cough for almost two months, the longest I ever had, and that was the time I had pains in my chest and ribs and I was having a hard time catching my breath when I cough. I got terrified that time I was scared to cough or even sneeze cause it was an effort to breath, as if I was pulling my ribs so I could get enough air. Now, I am feeling like I am always tired with shortness of breath which caused me to see a doctor and have me undergo x-ray. Please, can you help me? I hope COPD will be ruled out. Thanks!", "output": "Hi Dear !! Thanks for your query to Chat Doctor. Read and reviewed your query and health concerns. IN the given situation, You seem to suffer from-Chronic Bronchitis with COPD with ? Pleuritis. Cause of COPD with accompanied TB lungs and bronchiectasis, needs to be worked out. Remedy-Oxygenation, Control of Bronchitis with antibiotics, Plenty of fluids, Bronchodilators, would be needed. Breathing exercises, Lobectomy of the inflated nonfunctional lung, with one way bronchoalveolar corrections to improve 02 supplies and working efficiency, are the options in few advanced cases. Hope this would help you to plan further of this complex illness of yours. If need be, update any health issue 24 x 7 by a direct question to ME, at following Chat Doctor link-http://doctor.Chat Doctor .com/Funnel?page=askDoctorDirectly&docId=70229Dear, if satisfied, Dont forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at Chat Doctor services. If you want to update more details and ask more update queries, You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been sick for about 2 weeks now. It started out I was so drained. Nasty cough. Very cold. then it went away. Now the left side of my neck is swallon and hurts to touch. white stuff lines the left side of my throat. What could this be?? Should I go to a doctor", "output": "Thanks for your query at Chat Doctor! You seem to have acquired viral (RSV, Influenza, Para influenza, adenovirus, mumps, etc) or bacterial (Streptococcus Group B, Corynebacterium, Pneumococcus, etc) infection of respiratory tract. I suggest you get the complete mammogram and throat swab and blood culture tested for gram stain and culture sensitivity for aerobic/anaerobic bacteria. Get treated based on your tests. Viral infections are self-limiting, but you can start treatment to prevent secondary complications with bacterial infections. You can start analgesics, anti-inflammatory with serratiopeptidase, anti-allergic and antibiotics(azithromycin/erythromycin) which would require prescription from a local doctor. Do gargles with chlorhexidine wash for 6-8 times/day. Hope I was helpful. Take care! Take multimineral/multivitamins also" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I ve been experiencing a weakness on my lower left side, legs, after having lower left side back pain, it moved to my left leg. That s been going on for 4 days, no other symptoms. Today, I got very numb and started sweating and felt very out of it. Any ideas?", "output": "Hi I am Chat Doctor. . That could be a muscular spasm or a kind of nerve compression due to heavy lifting, vigorous movements , trauma or injury, bad sitting or sleeping postures. These given symptoms may show some sciatica due to neurovascular inflammation which may subsides simultaneously within days or extend to chronic pain if UN treated properly. For now I may suggest Advil tab when needed, hot massages with topical gels, muscle relaxants, B12 vitamin supplementation will be effective for mild cases else I recommend MRI on spine for proper evaluation and management. Please click and consider a 5-star rating with some positive feedback if the information was helpful. Wish you good health, Any further clarifications feel free to ask" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello I have been having severe back muscle pain and diarrhea ,am 64, male, have past diagnose of spondilitsis and crohns but can t confirm that. Live in western colorado and wonder about varmint viruss and spend a lot of time outside. thank you, jerry", "output": "Hi, dairy have gone through your question. I can understand your concern. You have back pain and diarrhea. You are known case of spondylitis. So your back pain may be due to that. You should go for MRI spine. It will give you exact diagnosis. Then you should take treatment accordingly. You should take analgesic Chat Doctor. Vitamin D plus calcium is also useful. Consult your doctor and take treatment accordingly. For diarrhoea, you should investigate for Crohn s disease. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 49 and I am concern that my legs are giving out on me. It is so difficult to stand up from a chair . I have to whole the arm rails and push myself up. It is very scary. My feel a warm sensation in my legs and my knees hurt from arthritis. I feel my legs are giving out on me. I feel I have lost muscle and have none. plese email me YYYY@YYYY", "output": "Hello, As with the history I see, there is a lot of muscle weakness. You need to start doing core exercises along with lower limb exercises. This should help provide more comfort while walking or while getting up from a chair. Also, some may exercise this has a greater significance for the overall strength of the lower limbs and the core. Due to the weakness in the knee muscles there will be a change to damage the lumbar spine. To avoid that, it's better to start exercising every day. Do low intensity exercises. The warmth feeling might be due to uric acid, you can get it checked. It reports turns out negative then it will be a disturbed function of the nerve but not major as it can be taken care with core stability. Doing the exercise for both the lower limbs and core has provided excellent results in my 12 years of experience for patients with arthritis. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m having problems with my blood pressure, it used to be high then I had one of my adrenal gland removed and the blood pressure went down almost too low, I haven t been taking any medication for a yr now. It s going up and down, yesterday it was 124/77 today is 149/92. What could be causing it?", "output": "Hello, As you have a history of hypertension, you are prone to having high blood pressure. Now removal of a Chat Doctor. So your pressure naturally went down, and you did not need hypertension pills after surgery. But because of your natural tendency over the period of time there will be built up of factors which will push the blood pressure up, resulting in pre-surgery like status. So keep a tab on your pressure, SOS 24 Hr ambulatory noodles pressure monitoring and consider starting antihypertensive medication if reading persistently high" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son is 27 and been having re-occurring bouts of severe abdominal pain, nausea and vomiting to the point of dehydration. He has been to the er repeatedly, receiving fluids and having tests periodically. He has no insurance so he has been unable to follow up. And all they do at the er is re-hydrate him and send him home basically. The last ct said that his liver was notable for the presence of periportal lymphedema. Which stated that it could be indicitative of infectious or inflammatory process in the liver. They didnt mention anything about this to us, nor did they say anything about the labs, which several things are flagged as HIGH or LOW. That was 2 days ago, he is back at the er again today. I am extremely concerned. I guess my question is could there be something really wrong here, this has been going on for about 2 years", "output": "Hi, Welcome to Chat Doctor forum. So far it is clear that the liver is effected, with peripheral lymphedema. Now liver function tests are to be done, to know what is the wrong. S.G.O.T, S.G.P.T, Bag, SERUM BILIRUBIN, etc. are to be done. I advise you to consult a gastroenterologist for diagnosis and treatment. His habits are also to be taken into account, like alcohol, smoking, marijuana, etc. and should be avoided. Wishing for a quick and complete recovery. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello; christian greetings! I have a albumin trace on my urine test. the fact is i have already a kidney stone found during on my ultrasound. can you give me some tips or idea the do s and dont;s of food to eat. i mean, a healthy food that is best treatment.", "output": "To be very frank, many doctors give advice regarding food, but there is no such meta analysis proving it. I personally do not advise such restrictions to my patients as once stone former is always a stone former. Advise is to Chat Doctor. 5 liters of water in 24 hours. In my clinic, for small (less than 7 mm) & non-obstructing stones, I prescribe a diuretic, antispasmodic & painkiller if painful or just follow-up ultrasound to look for size & any obstruction to urine outflow. Renal function tests, Serum uric acid, blood sugar & urine routine should be done. Antiuricemic " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m 26 years old, and we have been trying to conceive for Eight months. I have a 28-day period, and I experience all the symptoms of ovulation, but I also have severe PMS. Is that the reason why I m not getting pregnant? I start to take Ovacare, Ebexid and Fertomid-50 mg with the consultation of my docotor after three months there is any chances for getting pregnant! please suggest!", "output": "Hallow Dear, Pre menstrual syn Chat Doctor. You have been put on Eyelid (for thyroid dysfunction), Ova care and Fatimid (for ovulation problems). I hope these dysfunctions are confirmed after due investigations before stating this treatment. Now you have to monitor your ovulation either by ovulation monitoring kit or by ultrasonography. Accordingly, you have to plan your sexual intercourse. Usually the follicle in the ovary ruptures after it reaches 18 mm size. If it does not rupture naturally, it may have to be induced by Chat Doctor injection. Usually within 24 hours after Chat Doctor, the ovulation takes place. The egg or ovum has a life of 24 hours while the sperms are 72 hours active. Hence, a period of about one week around the day of ovulation is considered as fertile period. If you can plan your marital relations during this Fertile window, the chances of success are more. Please note that the ovum released after the follicle has crossed the size of 21 mm size does not have that good chance of getting fertilized or to carry on with successful pregnancy. During ovulation monitoring by ultrasonography, the endometrium is also visualized. Endometrium of about 10 mm or more in thickness is very conducive for implantation of fertilized ovum. Considering this fact, you can adjust your life-style in to pursue of desired pregnancy. If you have any more doubts, or want any more information, you may ask me by Direct question. With the Best of Luck," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Dr. Matthew MintzI have a very sore tongue. It looks like blotches of raw tongue where it looks like the skin came off. It is constant and very painful with a large degree of burning. I also have little ulcers (white dots) which also are extremely sore. It hurts to eat anything with salt or something acidity. Lately it has become almost unbearable. Can you help?", "output": "Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have mentioned that you have sore painful tongue, don't worry it can be due to National deficiency, or decapitation of papillae. You do is take one capsule vitamin B complex supplement, twice daily for 5 days. You can apply ointment McCoppin or colonel twice daily for 5\u00a0days. If then you won't get relief then go to dentist for examination and if necessary investigations. Hope this will help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi there,Im a 21 year old male and I have a few symptoms that I cant get out of my headI have a small lump in my left breast and have had it for about 3 years. It hasnt gotten any bigger and Ive had an ultrasound done on it that came back showing it to be non-cancerous. I also have an enlarged lymph node in my neck/throat just below my jaw line, only on the right side that sometimes swells up and sometimes is normal, but Ive had this too for about 3 years.In about the past year Ive developed a pain in my right shoulder, 99% of the things that I do in my everyday life dont effect it at all. But I can feel like its slightly swollen/enlarged compared to my left shoulder. When I raise my right arm above my head like Im pointing to the sky and bring it back down slowly and to the side my shoulder cracks, every single time that I do that motion.Recently, in about the past month Ive started to get a tightness in my chest, almost exclusively associated to the days after I consume alcohol but not only on those days. Im constantly thinking about these symptoms and second-guessing the ultrasound results. Cancer is in the forefront of my mind whenever I start thinking about all these symptoms and my chest tends to feel like its tightening when I think about them as well.", "output": "HIT hank for asking to ChatDoctorI really advise you to control your thoughts it may be dangerous later on, it is kind of psychological condition developing, and that need to be stopped as early as possible, and you can only do it, it is not at all the thing as you are thinking just relax and forget every thing about this swelling it will go away without medicine do not worry eve if it takes little more time for this, have nice day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I got my nose pierced about 5 weeks ago and it was perfectly fine, producing no crusties at all, wasn t hurting, and i thought it was healed so i decided it was time to change it since i really didn t like the stud. I had my piercer change out my jewelry for a hoop i had bought at a store that sells lots of body jewelry. Two days later, I have a smallish, red bump right above my piercing with tenderness around my nostril. I don t know the material of the hoop but I am not allergic to anything but mosquitos so it can t be that. I tried a hot sea salt soaks today and it reduced the redness and tenderness but now it s forming green crusties around the piercing. So here are my two questions: 1. Is that good that i m forming green crusties after the sea salt soak since maybe it s maybe pushing the infection out or is that making it worse? 2. How long does it take for a nose piercing infection to go away with sea salt soaks?", "output": "Hi, No, the green discharge can imply that the infection is unfortunately worsening. There is no specific time interval that it may take for an area to heal with the soaks though it normally takes 4 to 7 days. If there is no improvement or any worsening then you may need a course of topical or oral antibiotics. While an infection is present, the foreign object or jewelry, that is the cause of the infection, may need to be removed till everything is improved. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been experiencing some intermittent pain in a weird location. It is a diagonal pain, above left breast, and heads toward left shoulder. Pain extends about 6 inches. I ve had some chiropractic because I thought it might be related to my cervical spine, and it goes away for a short period of time but then always returns. I had an adjustment today, and the pain was gone for about 5 hours, but it is back again now. It is not sharp, or constant, but feels kind of like a muscle pulling. If I turn my head tot the right, it definitely exacerbates the feeling. I haven t had any injuries. I m 53, good blood pressure, pulse, no diseases other than degenerative disc disease which is causing me lots of pain in my lower back and SI joint areas.", "output": "Hello, The location and movement of pain give clues as to what is going on. Localized and outside the chest would simply a small area. While in theory breast cancer could cause that, the more common cause of breast local trauma, pulling down on nearby structures with age and sagging, bra fitting wrongly is of course more common. Nevertheless, every over 50 women should have a yearly mammogram and that would also show infection/tumors other than cancer/cysts/scar. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello for the past three days i have a pain in front of by chest near my right arm pit and chest it hurts when i cough and when i use my right hand even when i try to clear my throught its alittle better now what might of caused this there is no redness or bruising i went to a doctor he said to see a charopracter or it might be a cold what could it be", "output": "Hello dear, thanks for your question on Chat Doctor. In my opinion we should rule out causes for pleurisy (inflammation of pleura) for your symptoms. Because chest pain on coughing is characteristic feature of pleurisy. Following are the possible causes for pleurisy. 1. Pneumonia2. Tuberculosis3. Pleural effusion etc. So get done chest x-ray to rule out these causes. If chest x-ray is normal then no need to worry, muscular pain is the probable cause. So start painkiller and muscle relaxant. Avoid strenuous exercise and heavyweight lifting. Apply warm water pad on affected site. Don't worry, you will be alright." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello sir..actually ive been masturbating over a year.But problem is that day by day my handwriting is becoming poor and also im getting unable to write..even in my exams i cant write all answers in time.Sir is this problem is due to my heavy masturbation.?plz help me.", "output": "Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. Masturbation does not cause poor handwriting Masturbation is Physiological It means it is a normal phenomenon It does not cause any problems It does not have any side effects It does not interfere with your general Health It does not interfere with your Sex Life There is no need to Stop it Another is no need to worry about displease do not believe nonmedical articles or rumors Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in Chat Doctor at http://bit.ly/ask" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello my name is harry ... i went to my doctor this morning and found out i have hepatitis c..after she had told me my mind just went blank ..she also gave me a application to fill out for a drug that can help me.. i was told the faster i bring it back the faster she can fax it... i believe i didn t fill it out correctly...is there a cure for this hep.c??", "output": "Hello, Sorry to hear that you have diagnosed with Hepatitis C, that feeling must be very scary and uncertain. However, you are in luck that there is a new medicine that has a very high cure rate for hepatitis C. Harmony (Ledipasvir/sofosbuvir) has a 94 to 99 percent cure rate. The treatment is generally 1 pill per day for 12 weeks. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I was on Loette Birth Control pills but stopped taking it for a month. I started taking Loette again about a week ago but not during the start of my period . If I have unprotected sex, will I get pregnant? Or how long do I have to wait before I can have unprotected sex?", "output": "Hi tan, Thanks for consulting us. Ideally Letter pills should start on day 1 of a women natural menstrual cycle (i.e. the 1st day of menstrual bleeding). Starting on days 2-7 of the menstrual cycle (e.g., Sunday start) is allowed, however, a non-hormonal back-up method of birth control (e.g., condoms, spermicide) is recommended during the first 7 days of Letter use. After that you may resume unprotected sex without facing extra risk. I hope you know that pills do not protect against Sexually Transmitted Diseases & it is a good practice to add a back-up method like condom for protection. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son, 10 year old, is asthmatic. He is frequently getting sick these days. His asthma was diagnosed when he was only 8 months old. During these years he has improved. In last two years he was much better. For the last three months his frequency has increased.", "output": "Hello. Thank you for asking at Chat Doctor. I went through your sons' history. Childhood asthma is a dynamic disease which has a tendency to improve and worsen over long time periods depending upon children environmental changes, diet, medications, etc. If for last three months his frequency has increased, if his symptoms limits his daily activities/exercise, or he has nighttime cough more than once a week, or he has to use his rescue inhaler (such as albuterol or levosalbutamol) for more than twice a week, I would suggest him to start daily controller medications (or increase his controller medications if he is already taking them) for at least next 3 months. I will also suggest you to consult an Allergist-Immunologist who will test him for allergies and may suggest additional measures and allergen immunotherapy to improve asthma control. I want to emphasize on correct technique of using inhalers as this is crucial to ensure that adequate amount of Chat Doctor. Furthermore, I would also suggest him regular breathing exercises, a healthy diet rich in vitamins and minerals and avoidance of dusts-smokes-air pollution as much as possible. Hope this will be helpful to you. Wish your son the best of the health. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I m 22 year old boy..and suffering from compulsive masterbation(Approx. 7-10 days in a month)..due to this problem, i feel guilty,ashame, depression, anxiety, and mind disorder problem..so plz if anyone suggest me! How to i start my bright life without these problem, then it will be help for me.", "output": "HelloThanks for query. You had been indulged in masturbation since many years and now facing problems related to general health which you think them to be due to masturbation .First there is myth in a mind of common man that excessive masturbation is the reason of all sexual problems But I would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ or system in the body. All the problems that you are facing now are mind related and due to anxiety. Though it is harmless, excessive and frequent habitual masturbation does affect quality of erection and delays ejaculation. Please try to reduce the frequency of masturbation by keeping yourself busy in activities like sports, reading, social work etc. so that you will not get free time to masturbate. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "This is fifth attack since April 2010.Symptoms are, low fever, heaviness in eyes, weakness, low appetite, bitter taste, some time vomiting sensation.It remains for 15to 20 days. I have taken antibiotics course three times.Today I have whole abdomen ultra sound, report of which is absolutely normal. what do you suggest .", "output": "Hi thanks for asking question. It is better first you do your complete blood examination CBC. If lymphocytes comes high it can be viral infection.Meanwhile, CBC will also reveal whether malarial parasite present or not. If fever associated with cough and feeling of weight loss then sputum examination done for ruling out tuberculosis. It is also advisable to do your SGPT, SGOT to rule out early case of jaundice by hepatitis, although chance of it less but still these constitutional symptoms can appear in hepatitis. If still cause not clear then it further works up should be planned according to physical examination. I hope I have solved your query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am aged 45, male. My creatinine is 9.1mg/dl, Urea-101.1 mg/dl, haemoglobin : 9.2 mg/dl, BP is 150/100, doing dialysis twice in a week. What if the medicine for reducing, BP, Creatinine & Urea I dont have edema, I have normal urine flow ,and I have disturbed sleep In one of your post you have advised to take -- Elserum 3x 4 pills twice in a day -- Vesicaria Q 4drops in half cup of water twice in a day You also said All the medicine should be made in Germany Where to get these medicine in Chennai", "output": "Hello and welcome to Chat Doctor. As a Urologist, I must advise you to be safe for your health. Kindly follow one system of treatment. It isn't safe to mix allopatry and homeopathy. Homeopathy doctors with kidney failure come for dialysis. Your dialysis treatment will continue till, you can have a kidney transplant. You must mention the kidney biopsy report, so I can guide you better. Kindly mention to your nephrologist, that you're also on home treatment. If you've any doubts, you may send it as a direct question, to me. Chat Doctor. Manga." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was diagnosed with tuberculosis synovitis in Feb 2012, I was started with AKT4 for 60 days, now I am been started with R-Cinex for the past two days, but for the past 15 days I have severe joint and muscle pain. Is it side effect of AKT4?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. AKT 4 contains rifampicin, isoniazid, pyrazinamide and ethambutol. Amongst these, pyrazinamide and ethambutol cause rise in uric acid level. And this high uric acid level can actually deposit in the joint space and cause joint pain. High uric acid can also cause muscle damage and cause muscular pain. So better to get done serum uric acid level. If it is high then start Eurostat to lower down uric acid. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello sir ..m AAAAA ..and m married 2 yrs past....i ve a broblem that low sperm count ...it was 14million..before met the doctor..and taken spemen tab...for 3 month....then the count was 56 million...but now its slowly reduce its self....4month before 38mil after 30mil.....but now only 5million....m still taking medical as for doctor addvice.....can u plz tell me any sollution....please", "output": "HelloThanks for your query, based on the facts that you have posted it appears that you have what is called as Azoospermia. And your sperm count is fluctuating over a period of last four months. Truly speaking there are no medicines that can increase sperm count however Following measure will help you to increase sperm count .1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc3)Take anti oxidants like Almonds 5-6 every day.4) Avoid alcohol and smoking. Repeat semen analysis after three months under ideal circumstances (After abstinence for 3 days). Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir i am sufring from a toothache due to a cavity and right now i am not in a condiotion to go for Rct due to my exams , i will be going for it a month later . i visited a dentist at ma university and told him that i am having pain in the same tooth. he gave zenflox -oz . is it rite for my problem", "output": "Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have toothache due to caries don't worry as you are asking for medicine yes it is correct for you and for pain you can take painkiller like one tablet Eugenic plus twice daily for one week Do warm saline gargle two - three times a day Consult dentist after your exams and go for Treatment Root canal. Hope this will help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a six year old who vomits at least 3-4 times a week at school. This is usually about 1 pm. She is fine on the weekends and at daycare but at Kindergarden she falls back into this pattern and it is usually just one vomit. Dr. visit - no concerns. Any idea what could be happening?", "output": "Helloas per your complaints, it seems like a psychogenic phenomenon as child of this age can very easily mimic and can even induce vomiting just to show their disinterest or to avoid going to school. In the absence of other associated factors like fever, loose stools, weight loss, decreased appetite, jaundice or body aches which you haven't mentioned and the point that he is fine on weekends seems to be psychogenic or what we call functional.It's also called Munchhausen syn Chat Doctor. But I would recommend having a complete physical checkup of your child from a pediatrician to rule out other possible and common causes" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, i had been sitting on my chair in the office for a long time, that too I would keep my legs on the CPU of the computer which was under the table. N I think the whole pressure must have gone on my tail bone coccyx. So from that time I have been getting pain. I have been trying to avoid sitting for a long time but at times there is little pain. What should I do? Do u think its serious", "output": "Hello, I have studied your case. Due to microtrauma there may be fibrosis formation. You need to correct your ergonomics. Do hot fomentation over sacrum. It will take weeks to months to subside. Use ring cushion and take site bath [sitting in lukewarm water for 10 min]Take analgesic like Nicosia 90 once daily along with tab methylcobalamine 1500 mcg once daily consulting your doctor. If not relieved with all these methods then local injection may be required. You can take this consulting your doctor. Clinically spinal origin of pain needs to be ruled out, if required MRI spine can be done. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I suffer from severe anxiety. I wake though night with tingling pain from feet which goes to my bladder lower bowel & travels to my rib area, goes after a few minutes, but I think it has affected my bowel ( can t do healthy stools ) bladder feels bad, full sometimes, rib area feels tight, nervy pain. This is a vicious circle my symptoms make me more anxious. my Dr says I have IBS . & their are no tests for the symptoms I have, I am very depressed.", "output": "HelloWelcome to Chat Doctor Usually IBS or irritable bowel syn Chat Doctor. Anxiety increases the symptoms of IBS and IBS increases anxiety. So a vicious cycle results in deterioration of health. There are no specific tests that can detect IBS with confirmation. All major tests of stomach and bowels come normal. You should visit a psychiatrist for expert opinion. There are various medicines which can be used in anxiety and IBS. Medicines like SSRI as Paroxetine, sertraline are very useful in IBS with anxiety. A specific medicine Libra which contains clinician and chlordiazepoxide is very effective in controlling bowel symptoms in IBS. In some patients stool softeners are also used to relieve constipation. As you are in pain, have tightness in rib cage, I will advise you to visit a Psychiatrist. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My father has a grapefruit size lump in his armpit. He has had an MRI recently and they are going to remove it. He is scheduled for surgery in two weeks. They are taking it out to check to see if it is cancerous. He had prostate cancer 3 yrs. ago (had prostate removed)- counts /margin came back good then. His Dr. is saying that he may have nerve damage due to the size of the armpit lump...is thim common?", "output": "HI, Welcome with your query to Chat Doctor. Based on the facts of your query, Chances of nerve damage are not more and are as usual as for any other axillary surgery for the lump of that size.Also, the chances of Mets from prostate are very less due to complete excision 3yrs back. Still what your doctor is saying is to be taken for the sake of explanation for the consent. Rest you don't have more than normal chances of nerve injuries for removal of armpit lump. Welcome for any further query in this regard Will appreciate writing your feedback review comments, to help the needy patients like you at Chat Doctor. Good Day!! Chat Doctor. S. Genl-CVTS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here... I went to see dr about numbness in testicle. The phy. asst. checked my prostate then the urologist came in and checked me again, when he checked me it was very painful he put his finger right and left rubbing inside. Later my anus and rectum became very planful. Now when I get just a little erection I feel pain and sqizzing in my butt with pain, after coming I have pain for days. Ive been to dr after dr and they just keep saying its prostate infection and been on at least 3 different antibot. I need answers, I cant get reg. erection and coming.", "output": "Hello, Numbness happens When a person loses some or all of the feeling in their penis, it has become numb. The penis contains many nerve endings, and it is usually very sensitive. Numbness can occur when a person sits in a certain position for a long time. It can also result from low testosterone levels, another health issue, or an injury. Parodies disease, nerve problems, prostrate problems, etc. can also cause these numbness issues. But proper evaluation is necessary for successful treatment. Therefore, I suggest consulting a urologist for physical examination, diagnosis and treatment. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, i have recently masturbated with a kind of handsoap and i didnt wash the soap off, well not that good. And the next day the foreskin became dry and pretty much everywhere i used the soap, not the head tho. Its been like this for about 3 days now, please give advice on how to heal it.", "output": "Degree understand your concerns went through your details. If you are using the same soap for bathing for many days, then this could not be an allergic reaction. Otherwise, this could be an allergic reaction and I suggest you to consult a skin specialist. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Sir, I am 31 years old married guy and below are the particulars of my sperm test report. Please have a look into this and interpret the results to me.. should i consult a doctor for a baby. Volume: 2 ml colour: Pearly white LIQUEFACTION-NORMAL: 25Min Reaction: Alkaline Sperm Count: 70 million/ml Active Motile: 40% Sluggish: 30% Non Motile: 30% Epithelial Cells: nill Pus Cells: 6-8/HPF Morphology Normal: 60% Abnormal: 40% I am waiting for a quick reply. Thanks in advance for your support", "output": "Hi.welcome to Chat Doctor.I analyzed your reports.my opinion is that,1)your semen analysis report is normal except that of increased pus cells. Normal pus cells in semen analysis should be up to 2.but you have 8 pus cells.2) increased pus cells in semen analysis test suggests some infection in your genital tract.3)kindly consult your treating doctor. He will advise you an antibiotic course. Thank you. Hope my answer will help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "We have a 16 month old baby. She has been suffering from serious allergy for last 3/4 months. Her skin gets red as rash. It itches heavily. She feels discomfort in sleeping. Sleeping does not look like sound. Would you please suggest us what we should do now? It is mentioned here that I, the father of the baby have acute allergy from my age 23.", "output": "Hi... I sympathize with the kid and understand your concern. By what you quote I feel that it could be eczema. The trick of the management is keeping the skin moist and never allowing it to be Chat Doctor. For this oil massage and lotions like Hiatus will help. Regarding cure options - eczema is a sort of allergy...allergies can only be controlled and can never be cured. But usually kids grow out of it...that is as the age progresses, they become better starting from 6 months. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My blood pressure is 117/90. The bottom is consistently high when I wake up in the morning. Im pretty sure I have sleep apnea, which I believe is what brought this on. Sometimes when it is real high, my mom or dad will give me one of their blood pressure pills.", "output": "Hi, Your blood pressure appears to be within the normal range. You have not mentioned the blood pressure, which you say is consistently high. However, I would like to inform you that sudden arousal of the sympathetic system you blood pressure will be high in mornings compared to other times. It will be higher at around 10 am and peak till the noon and then Chat Doctor. This is normal diurnal variation in all individuals. Avoid taking unregulated treatment. Your dosage might be low, but other added factors might lead to hypo-tension and accidental injuries. If you still have doubts, you can take ambulatory blood pressure monitoring, which helps in checking your 24 hr circadian blood pressure variation. If you think you have sleep apnea, meet the doctor and try to get it treated as it increases the risk of stroke, vascular diseases and congestive cardiac failure. If you have further doubts, you can get back with the exact high blood pressure in mornings and I will try to further help you. Hope I have answered your query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just got back the results of my MRI. Don t know what it means, either. It says At L4-5, there is broad-based annular bulging, somewhat more prominent in a left paramedian distribution. There is also hypertrophic degenerative facet disease. This results in slight effacement of the ventral thecal sac and bilateral neural foraminal encroachment, left greater than right. On another part of my MRI it reads, At C6-7, there is broad-based annular bulging and bilateral uncovertebral joint hypertrophy, right greater than left. This results in effacement of the ventral thecal sac and bilateral neural foraminal encroachment, right greater than left. What does all this mean, and how can my back get fixed? Thanks!", "output": "Hi, Thanks for writing in. Your MRI cervical and lumbar spine findings are explained below in simple language.1. At L4-5, there is broad-based annular bulging, somewhat more prominent in a left para median distribution. There is also hypertrophic degenerative facet disease. This results in slight effacement of the ventral thecal sac and bilateral neural foraminal encroachment, left greater than right. In the lower back region, there is a disc at L 4 - L 5 level which is bulging from its normal position and causing pressure on the sac covering the spinal cord. There are degenerative changes in the area and the bulging disc is causing pressure on both sides at the nerve roots. This is the cause of any lower back pain you are experiencing2. At C6-7, there is broad-based annular bulging and bilateral uncovertebral joint hypertrophy, right greater than left. This results in effacement of the ventral thecal sac and bilateral neural foraminal encroachment, right greater than left. In the lower neck region also there is a bulging disc at C 6 - C 7 level and this is causing pinching of nerve roots on both sides, slightly more on the right side. This is mentioned as bilateral neural foraminal encroachment. This is causing any pain in neck region and numbness or tingling in the hands. Treatment of the above conditions requires you to do physiotherapy and take mild pain relievers which can treat nerve related pain. Please do not make sudden neck movements and lift heavy weights. Avoid standing for long durations at work or home." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I recently have been having panic attacks about 2 month ago. I have has an EKG, blood work, Echto Cardiogram, eveything checked out normally. I have not gotten over the anxiety attacks, however I still get twitching and spams in muscles where it seems my heart is. Is this normal? Just anxiety? please let me know @ YYYY@YYYY", "output": "Thanks for your question on Chat Doctor. I can understand your concern. No this is not normal. In my opinion, you should get done serum calcium level because hypocalcemia can also cause similar kind of muscle twitches. If calcium level is low then you will need supplements. Proper management of stress and anxiety is also important. So consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Don't worry, with counselling and " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor ..im 28 yrs age frm nepal..my current report is Hbeab+ve, Hbeag-ve, Total brilium=0.5mg/dl, c brilium=0.10mg/dl, ALT=19.0 iu/ml, AST=23.5iu/ml, Total protin=7.3g/dl, Albumin=4.8g/dl...and HBV DNA Viral copies/ml plasma=750...so doctor i want to know my stage of disease and condition of liver ....should i start medicitions..?..if i start how long i ll take an what is it cost per month..?", "output": "Welcome to Chat Doctor Good Dayton do not have significant liver damage. Since your Head has appeared, your infection is being contained, and you should recover soon. Your HBV DNA Viral copies are not clinically significant. Don't worry. You should be fine soon. Eat fat free food for 2-3 weeks. Eat plenty of fresh fruits and vegetables. Chat Doctor. Get the test repeated after 2-3 weeks or as your Doctor has asked." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi.. i am toyosi i want to tell you that i am having bad breath and smelly nose ..when i am outside..even the people is far from me they will cover their nose..i dont know where it comes from because even i do not open my mouth , the smelly things come from me. people will cover their nose when they are near me even after i brush my teeth . can you explain about my problem because it affect with my social life..i don t confidence in myself and make my life miserable", "output": "Hi, Thanks for asking the query, Bad breath can be because of various problems like sinusitis, oral infections, tongue coating, eating of food stuffs like onion, cumin, starvation, GIT disturbances. According to your clinical history it appears to be sinusitis. I would suggest you to visit ENT specialist and get the checkup done. Go for symptomatic treatment of complete mouth scaling and polishing. Maintain a good oral hygiene. Use antiseptic mouthwash gargles twice daily. Hope this helps out. Regards...." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 40 yr old son has has two open heart surgerys back to back after the first one he was not sent home with antifungal his heart valves had to be repaired due to infection now he cannot be opened again and within 8 to 10 yrs when they need to be repaired again what happens then?", "output": "Hello, If it is the valvular heart disease then it can be managed it medical management or surgical management, and it depends upon the which is diseased or the elements that have once it is the surgical category, then it needs surgery and once the surgery done, then it can not be taken again for the surgery for the same reason of valve disease or for the opening heart again it is very less likely, moreover the infection of the valve can be managed with medicine if the condition is not severe. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have rhumotoid arthritis and goit and I am taking 300mg allopurinol,30mg lansoprazrazole,5mg lisinopril,250mg naproxen,40mg simvastatin,200mg hydroxychloroquine and 500mg paracetamol.My hands,elbow joints,neck and shoulders are still very painful,am I taking too many tablets or are they the wrong combination.I am male and 69 ,thank you. Peter", "output": "Hello, To comment first on the history with respect to medication, it is totally a physician decision based on the symptoms provided at the time of writing the prescription. So he will be the right person to give justification on why so many medications were prescribed. Now coming to your pain part. The pain is due to inflammation of the joints. Which you might be aware of. RA is a moving pain and can lead to pain at small joints and big joints also at times. You have a take a bigger precaution and that is to keep yourself warm. Like staying in cold weather will aggravate the symptoms. So keeping yourself warm will be first line of action. Next will be since how long you been facing this pain, and when was this RA diagnosed to you? This plays a key role in the overall guidance of the treatment plan. Regarding the medicine part please visit a rheumatologist as he will be the right person to take care of it. Now treatment part. First thing is to keep the muscle and joint mobility to the maximum. So a physiotherapist will play a key role here. They might perform some passive or active exercise based on a physical assessment. Also, physical therapy pain reduction modalities like Ultrasound therapy and TENS therapy will be of benefit to reduce the pain. Besides, please understand that this is only symptomatic for the pain. But to improve the metabolism and keep the body warm internally is only in your hand. The more the active you are the more, the better the outcome score. Usually, I see chronic RA cases in my clinical practice. They all respond well to exercise. Any kind of deformity present needs correction via physical therapy or with the help of splints. But most patients respond well to exercise in long term rehabilitation. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am a 59 year old male that has experienced a sharp stinging feeling, not pain, on my left breast about an inch above my nipple. Its not a deep feeling, just below the surface whicChatDoctores and goes about 3 or 4 times within the day. It began about one week ago. Need to worry?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Since you are having left sided chest discomfort, better to first rule out heart diseases in your case. At your age of 59 years (post menopausal age), women are prone for heart diseases because of low estrogen and progesterone. So first get done ECG, 2d echo and stress test (trade mill test). If all these are normal then no need to worry about heart diseases. Sometimes stress and anxiety can also cause similar kind of chest discomfort. So avoid stress and tension, be relaxed and calm if you are having stressful life. Don't worry, you will be alright. But first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my daughter fell and bumped the back of her head. She cried for abput 5minutes and then was fine. She went to sleep 6 hours later and after 3 hours of sleeping woke up crying and said her head hurt. Should she be seen by a doctor? She keeps crying and waking up from discomfort.", "output": "If your daughter had no episodes of vomiting, unconsciousness, convulsions, sensory or motor problems, altered behavior etc. then you need not worry. After 4 to 6 hours of head injury absence of above-mentioned complaints usually rules out possibility of serious brain injury or brain bleed. For headache, you may give paracetamol or ibuprofen. If pain is not relieved after medications then you will have to consult doctor. For further queries regarding this disease or its medications you may take my appointment at Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doc my 2 year 3 month old daughter got Uti followed by fever an cough.after consulting pedia we started her antibiotic course and she is relived from UTI and fever but the cough still persists and she is facing difficulty in eating is very cranky she has severe congestion I m giving her steam and also use humidifier in her room but the cough is still troubling her please suggest", "output": "Hi, your child needs a good bronchodilator. Start by giving her Syrup Absolute S 4 ml thrice a day for 5 days. Continue giving her nebulizations with Stalin solution. Start a course of antibiotic in form of Syrup Augmenting if she runs fever or her condition deteriorates. Give her a course of Syrup Kindred(5\u00a0mg/5ml) 5\u00a0mg twice a day for 3-5 days. This should reduce her congestion. Continue to put position nasal Chat Doctor. Thanks and regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My doctor diagnosed me with High BP and prescribed Toprol XL (100 mg) one a day, Diovan HCT (16-12.5 mg) one a day, Lasix (40 mg) twice a day, KLOR-CON M (20 tab) one a day. I am also a RA patient. My symptoms are lightheadedness, shortness of breath, heart palipitations, and swelling of the lower extremities (legs and feet). My doctor says I have a small amount mitral regurgitation. Is diagnosis and my symptoms, would be considered heart failure?", "output": "Hi, As per your doctor, you've mild MR which can cause occasional palpitations and mild shortness of breath. However, it doesn't point to heart failure. .it may be an early sign but get an echo done ANE if echo is showing normal functions then doesn't seem so. If you're having leg swellings also, then I suggest you consult a cardiologist AA you may need aggressive treatment. And it may early sign if heart failure" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "is it safe to travel with gall stone(s)? My wife was told yesterday that she had a 1.8cm gall stone, it is too late to rebook a trip we have scheduled for 13 days from now. The pain she had yesterday was the first attack she has had, no previous pain.", "output": "I think yes its safe or better the risk for another biliary colic if the first one was a true biliary colic is the same for a traveler, because it doesn't depend on the movement but more on the food you take. Abundant meals and especially abundant fatty meals may be the cause of a new biliary colic, so she should be more cautious. Meanwhile, you have the time for a laparoscopic cholecystectomy and a good recovery in 13 days if possible." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 31 yrs male and my partner is 28 yrs old. we had all test normal. Doctor prescribed me to take coqforte capsules. I want to know how long i should take this capsule in order to get conceived. Is sugar level matters in getting conceive, as my partner sugar level is 150.", "output": "Hi, Coqforte contain essential mineral and antioxidant substances. It works by neutralizing the free radicals and protecting against cell damage; acting an antioxidant by fighting free radicals in the body, preventing the blood clotting and help in conceiving by reducing oxidative stress. You can take it for 2-4 months. High blood sugar may be due to insulin resistance and cause ovulatory dysfunction. You can ask for Metformin to reduce blood sugar and also reduce insulin resistance. Avoid stress, take healthy diet, Chat Doctor. Hope this may help you. Contact further if follow up needed. Best regards," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter is seeing a specialist in reference to a tumor , the size of a quarter, that an MRI showed is against the Parotid Gland Her doctor said it could be serious because of the closeness to the gland. When we see the specialist what questions are important that we make sure we ask because we have heard that it could affect the facial nerve? Thank you", "output": "Hi, Thank you for posting your query. Most tumors in parotid gland are benign in nature and can be completely cured with surgery. It is important to confirm the nature of tumor, whether it is benign or malignant (cancer). This may require FNAC or biopsy of the tumor. You can discuss the risks involved in the surgery, especially the risk of damage to the facial nerve. I hope it helps. Please get back if you require any further information. Best wishes, Chat Doctor. Ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i got married on 1st feb. ,during first month of my marriage i didnt had any problem during sex, but frm second month i see little blood during our intercourse. after examination the doc said thr is a small mole/poly or anything.so the doc advised tat it should be romed immediately.I havent understood the reason for this and also in ultra sound report its seen tat a calculus is seen in mird 3rd of right kidney measuring 3.3 mm in size, thr are features of endocervictis, small cortical cyst is seen in both the ovaries and minimal collection is seen in POD? what should i do now, what are the remedies? will i have any problem in conceiving a child???pls help??", "output": "Hi, Thank you for your query. You have not mentioned the location of the mole/polyp. If it is on the cervix then it should be removed. Endocervicitis can be controlled by appropriate medications. The kidney problems should not be a cause for worry if the kidney functions are within normal limits. The doctor shall be seeing to this aspect. Cortical cyst in ovaries and minimal collection of fluid in the POD are normal. These should not cause any problem for you to conceive. However, you need to be under constant medical supervision for your renal problems. I hope I have answered your query to your satisfaction. Wishing you all the best. Rajiv K Khandelwalhttp://goo.gl/SuCjl" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my husband has neuropathy in his feet. He is on the mediation in the patch. He does not stand very long. So he has not been brushing his teeth. Alot of his teeth has rotted and fallen out. Now he has headaches at least two to three times a week. Do you think this is an infection starting from his teeth and going to his brain?", "output": "Hello, Plaque remaining on the teeth will cause decay and tissue inflammation. Left untreated, this may turn into a possible abscess situation. An abscess can occur in tooth structure as well as an in periodontal supporting bone and gum. Oral hygiene must be maintained. The spread of infection is of great concern and should be treated. Antibiotics may need to be prescribed and recommended treatment completed to eliminate infections. Most likely the symptoms are related to a deteriorated oral condition that will require extractions or root canal therapy. Please schedule a dental visit and discuss options to be able to improve home care. There are assorted tools available to assist difficult situations and your dentist will guide you with suggestions for this difficult situation after a full evaluation. Thank you for your inquiry and I hope you will be able to have relief soon." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Gday. I dont really know where to start but i suffer from panic disorder whereby it is affecting my life in that i am not living life to the fullest. I used to travel/fly heaps but now i am to scaed to get on a plan, train boat, bus numerous things even rollercoaster. It isnt the ride itself that scare me i love the feelings of a rollercoaster or the turbulence but i panick at the thought of going on a plane or waiting to get on a train/plane and then worry about having a panic attack in mid air or on the train or whatever it be. I have xanax that i was prescribed by my GP in 2011 and am stll on the first script so i only take it when i need to do something scary. But i havent used them to go on a plane or boat or train yet as i am still to scared and i also wish to take more than the one tablet that was suggested. I would like to take maybe three or four and see if it really helps. Any suggestions?", "output": "Hi, I have gone through your query. You are already diagnosed with Panic Disorder and on prescription of Alprazolam (Xanax). You haven't mentioned the dose. Alprazolam is a benzodiazepine and is not first line of treatment for Panic disorder as it causes tolerance, dependence and abuse. You are suffering from its tolerance and ongoing dose is not working on you. Rather than increasing the dose I would prefer that you should go for Selective Serotonin Re-uptake Inhibitors (SSRIs) like Fluoxetine and Cognitive behavioral therapy. It is better to consult a psychiatrist about the prescription and treatment. Do consider positive feedback as a credit to my work. Let me know if you have any further questions." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I stopped my birth control a month ago last day of my period was last month on the 14 it is now the 13.I have diahria as well as a little brown discharge could this be from stopping my birth control or pregnant? I took 3 home pregnancy test and all were negative. I also have had a pin drop size of blood but that was all", "output": "HIT hank for asking to ChatDoctorI really appreciate your concern, if you are taking birth control tab or had taken it recently that does not cause diarrhea, diarrhea is different clinical symptoms and not related with the birth control tab, neither this is the sign of pregnancy, if this is the blood stain stool then wait for few days this would come around on its own, nothing to worry about this, take care and have a good day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am constantly making a em em sound somewhat under my breathe, my husband says I do it all the time. Female, 58 years old, finished chemo Feb 28 for rectal cancer, had surgery last summer. I have a colostomy and I think it might have started as a coping mechanism to get used to changing the bag, but not sure. Also have RA and degenerative disc problems. I am taking Ativan, Zoloft, tramadol, methotrexate (for last 2 months), hydroxycloriquine.", "output": "Welcome in Chat Doctor. I understand your query as you said you are a follow-up patient of rectal cancer and having sound while breathing. Here I would like to say that unwanted breathing sounds are produced whenever there is either swelling, phlegm or obstruction in airway. Whenever these sounds are heard only during sleeping hours we call it as snoring. As a rule all above may be either in nose or throat. Different clinical conditions may be-1- Deviated nasal septum.2- Chronic Maxillary sinusitis.3- Nasal polyps.4- Turbinate hypertrophy.5- Thick and slag soft palate.6- Short neck with double chin.7- Loose para pharyngeal soft tissue. All above may be easily ruled out by clinical examination by an ENT doctor and may be managed accordingly. Thanks for consulting Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doc, my sister is suffering from severe hair loss since dec end,earlier we thought its something related to weather but it never ended.her hair is thinning from all over the scalp,mostly from the front area.every time whether she combs her hair or does oiling,washing whatever it keeps on falling. plz suggest.", "output": "Hi Dear, Understanding your concern. As per your query you have symptoms of severe hair loss with thinning which can occur due to many reasons such as compromised immunity of body, stress, genetic factor, improper hygiene, fungal infection and hormonal changes. Need not worry. I would suggest you to - Avoid using shampoos that contain excessive chemicals. - Take diet rich in supplements like vitamin A, Omega-3 and vitamin E.- Take protein rich diet and healthy food intake on daily basis. - Do massage of hair scalp on daily basis. If symptoms keeps on persisting visit dermatologist once and get it examined and start treatment with antifungal medication and shampoo. You should use olive for massage. Hope your concern has been resolved. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My fifty day old child has a feeding problem.She had refused the breast during her first few days and since she had neo-natal jaundice we were forced to bottle feed the baby. Last 2 weeks she has been refusing the bottle and is always crying. Pl. advise.", "output": "Ur baby may be crying due to infantile colic, common cold, earache, but more probably due to infantile colic. Are u give burping to your baby after every feed. In bottle-feed baby more chance of aerophobia & more chance of infantile colic. To prevent this keep bottle vertically during feeding & remove bottle whenever slightly milk remain in it & the hole of nipple not much small or not much large. Start burping practice after each feed. Apply been (assafoitida) paste on abdomen. Give Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir I have a long history of chronic lumbar back pain, D.D.D., Stenosis this morning on my lower left side just above caudal equi area i am having horrific pain I take morphine sulf. 200 mg 2x daily and are having no effect I am 2 hours any from my primary and have tried heating pad ice nothing is helping????", "output": "Hi, Since your pain is not relieved by strong analgesics possible cause may be 1. Mechanical backache and 2. Instability. Detailed investigation in form of 1. X-ray of lumbosacral spine anteroposterior and lateral views and 2. MRI of the lumbosacral spine with screening of whole spine needs to be done. Please get it done from radiology center nearby you. Meanwhile, start tab. Attract. Visit to orthopedic surgeon for detailed clinical Examination is recommended. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "At times I feel like I actually have to make myself swallow and it feels difficult to take deep breaths. I felt like this two times this weekend, and they both happened while I was eating. I have felt this way a few times in the past before when I lie down to sleep.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of either esophageal motility disorder or HERD (gastroesophageal reflux disease) is more. In both these conditions, patient is having symptoms in lying down position and while eating. So better to consult gastroenterologist and get done upper GIs copy. Start proton pump inhibitors and prokinetic Chat Doctor. Avoid stress and tension. Avoid hot and spicy food. Avoid junk food. Avoid large meals, instead take frequent small meals. Keep 2-3 pillows under head in the bed to prevent reflux. Quit smoking and alcohol if you have these habits. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was told I have SERtinuin Syndrom from taking the drug Savella for 6 weeks my doctor has been treating me with Beandryl my symptons are the same mri and eeg Dr said looked alright and I will get well it is just taking longer, I was told to stop taking the Benadryl,which is the only thing that stablizes me a little bit for the past 2 days my heart seems to be beating a little faster it feels funny. I have a heart condition Tetrology Fallot, had a cardic montor on 2 weeks ago everthing was ok so how can i tell if my heart is beating a litt faster", "output": "Hello, I passed carefully through your question and would explain that your symptoms could be related to possible tachycardia or cardiac arrhythmia. The increased heart rate could be related to the abrupt stopping of Ben Chat Doctor. Coming to this point, I would recommend you to closely monitor your heart rate and heart rhythm. In case of an irregular heart rhythm, I would recommend going to the ER for a resting ECG and checking blood electrolyte levels. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my son is 34 yrs old and obese(about 300lbs) and now his blood work shows elevated liver enzymes as well as a gallbladdder number that is not normal. his tryc.,his sugar,his colesterol are all high. what can he do quickly to get on the right track. the dr is doing a 2nd blood test to make sure the first one was correct.he is already on blood pressure pills,including fluid pills. I am so worried about him and knew his over weight problem was going to turn into something much worse. he is a very stubborn guy but he is scared now,really scared. He might see that a Mom does know best and he should have listened to me.help!", "output": "HelloElevated liver enzymes may indicate liver injury. It may be due to many reasons like hepatitis, alcohol intake, altered lipid profile, medicines,autoimmune causes, obesity etc. High liver enzymes may be due to altered lipid profile in your sons case. Findings also suggests altered lipid profile. He may need few investigations like routine hologram, viral markers, ultrasound of abdomen. I suggest tablet ursodeoxycholic acid 300 mg twice daily for three months to my patients. It helps in regeneration of liver cells. I also suggest combination tablet of atorvastatin 10 mg and fenofibrate 160 mg single dose at night after dinner. It will control increased lipid level. He also needs diet and lifestyle modification. He should avoid saturated aft and go for brisk walk regularly. He also needs medicines for diabetes mellitus. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my name is barbara and I am having some pain in the lower part of my back and when I take a deep breath it hurt worst I started taking Advil on yesterday I took three at on time I was hurting so bad but today I just went online and ask the question about Advil v aleve and most of the sights sad aleve was better for mussel pain so I took two aleve can you give me any advise", "output": "Hello, Thank you for contact us,Nowadays it's mostly the common problems in humans. Mainly its due to inactivity of muscles it. Today every one having totally sitting life as no work at all that could be count as a body exercise due to that problem occurs. For lower back Pain you should follow instructions described below -Best medicine for Lower back pain is Rest. Resting for some days will heal the muscles which could be damage because of jerk. Muscles need some time to heal so give them time for the same. Another way is to take message with hot or cold water, Some people take cold water and some takes hot for massage. If pain is because of any accident or something big issue than you have to concern good doctor for the same. Other exercise should be done as doctors suggest after checking you physically. Hope it will work for your back pain. Good luck, Take care. Thanks & regards," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi there i am 29 weeks pregnant... honey bee has stung me just a couple of minutes ago and laterly i realised when my body was itching all over and also got swollen where the honey bee stung.. red spot on my body is spreading everywhere and is itchy ... plz advise me something good... thank you.", "output": "Hello, Thanks for contacting Chat Doctor. If you had a severe allergic reaction to bee sting in the past, then you need to rush to a nearby hospital. If you are not allergic to any insect bites, you can take any antihistamine like cetirizine and see for response. If the rashes and itching subsides or not grow in intensity or area then it should take nearby itself. You can repeat the dose every 12 hours for as minimum as required. 2- 3 doses should be enough. But if inspire of taking it if you experience increase in intensity of rash and itching, you better get to hospital soon.In the meantime you can apply cold application at the site of bite and if possible to get the sting out. Hope you get relieved. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have sore muscles in my lower legs and feeling very tired. I do have type 2 diabetes but my blood sugars are not high or out of control. The feeling of fatigue is being to be overwhelming and the pain in my legs keep me from sleeping or getting rem sleep", "output": "Hello, I read your query and I would like to say that Diabetes can cause weakness and loss of fitness. Having raised blood sugar levels sometimes after a heavy meal and occasional altered salt levels puts muscles at a disadvantage and they don't perform quite well. Also, with time as diabetes progresses, the blood supply to small nerves is lost and that nerve fiber dies. When the nerve serving a muscle fiber dies then the muscle fiber will also stop working. In addition, people with diabetes also have an increased tendency to narrowing of the arteries that is a condition called peripheral vascular disease which is caused by narrowing of the arteries, usually due to the build-up of cholesterol. It is associated with smoking and poor diet. The blood supply to the muscles is decreased with time and this phenomenon is more pronounced after exercise, as it can't keep up with the demand. Pain is often more noticeable than weakness, but both can be a problem. Hope that solves your query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor i feel i have a huge problem iam male 19 years old 5 feet 9 inches and only weigh 110 pounds. I eat normally 3 meals a day few snacks hear and there but i dont gain weight. I lose a lot of hair and have a very very hard time sleeping i find myself thinking to much. I believe i might be stressed and even have ADD. Can you please help with any suggestions.", "output": "Hi, You have to rule out hyperthyroid by serum TSH estimation. If it comes normal than stress or anxiety indices hair fall and weight loss can be possible. You can Consult a nearby psychiatrist for detailed evaluation and behavioral counseling. Antianxiety medication like alprazolam or clonazepam also can be prescribed. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Sir, I have been masturbating from the age of 13. Almost everyday from the age of 16. Now my testicles have shrunk and become loose and small.( they are like a very small ball in a big sack of skin ). Even the skin over my penis has become loose and veins are visible from outside. Also, my erections are not hard enough to have sex. Right now I am 23 years old and its really scary to see the condition of my penis.Please tell me what to do??", "output": "HelloThanks for your query, based on the facts that you have posted it appears that you have been indulged in masturbation since 7 years and now facing problem related to your sexual health.First there is myth in a mind of common man that excessive masturbation is the reason of all sexual problems But I would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ or system in the body. All the problems that you have narrated are mind related and due to anxiety. Following measure will help you to boost up your confidence and getting good erection.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc3)Take anti oxidants like Almonds 5-6 every day.4) Avoid alcohol and smoking. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was detected with hydronephrosis and have serum creatinine 3.9, and blood urea at 98. The doctor advised CISC (self-cathetarisation), but that is resulting in UTI. Antibiotics for curing UTI again raise the level of creatinine. Is there any way out of this loop? Pl help me with your kind advice.", "output": "Hi and welcome to Chat Doctor. As a Urologist, i can understand your anxiety. You should write your age, gender,cause of CKD and its duration. You must get examined by a Urologist and do the following tests :1. Urine routine, culture and ACR.2. Blood routine, RBS,LFT, platelets and electrolytes.3. Ultrasound -PUB, with residual urine. According to reports, the best treatment is advised. CISC is advised in CKD people, whore not fit for a transplant or dialysis.That's the best option, along with cyclical, chemoprophylaxis." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have 2 sons that have Candida and have had this for the last 2 yrs. and have tried all different supplements for this condition and have had no luck. What treatment can they seek and a Doctor that will help them. This has interfered with their lives and work ect. This is coming from a worried mother.", "output": "Hello, Welcome to Chat Doctor, The presence of fungal infection should be confirmed by the lab investigation like KOH mount of the skin scrapings of the affected area. The symptoms and the lab investigations should correlate in making the diagnosis, if both of your son is having the fungal infection it should be treated by proper medications. I would suggest them to follow1. Keep that area clean and Chat Doctor. Topical application of griseoflavin3. Oral antifungal " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my mother had a brain anneursym on jan 15 2914 she was showing improvement a month in mouthing words and moving around and responding when told to open or close eyes. she was put on a trach and they bounced back and fourth with the vent and trach and she is now in rehab and had phenomia and ulser bleeds. she is responding some and also had a craniotomy I waqs wondering since she isnt responding as much is this normal for what she has gone through.", "output": "Hello! Thank you for asking on Chat Doctor! I understand your concern and would explain that her symptoms seem to be related to the brain hemorrhage caused by the aneurysm rupture. You should know that it is needed a long time (months up to a year), to recover from such a disorder. After the first year, the possibility of improvement is too low, and the situation remains the same. This is because during the first months, the blood is being absorbed and the there is inflammation in the surrounding tissues. But after this long period, the deficits which remain are caused by the damaged brain cells, which do not regenerate. The situation, complicated with pneumonia and ulcer bleeds is really concerning and needs a careful treatment in specialized medical centers. They could be related to aspiration and the therapies she has been taking. Hope to have been helpful! Best regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have uterine cancer earliest possible stage. In july my dose in hormone went up. Im on a really high dose of Megace basically 320mg a day 4pills in the morning 4 pills in the night. I dont feel sick. No bleeding no problems but from the medicine. After my last DNC in July the oncologist advised me to do surgery since there was not a huge difference, but I said no sugery and he raised the dose. He said to get a second opinion but its hard when everyone knows him in the area. I am only 35...I want a child naturally. Im drinking an tonic thats suppose to help and I believe there is no cancer or its disappearing. whats my best next step?", "output": "Hello have gone through your query and understood your concerns. I will always suggest you to take a second opinion, and it will always help you a lot to know more about the condition and possible treatments. As the early stages of uterine cancer can be treated, but mostly we suggest surgery to prevent further spread. But as you have started using hormones I advise you to have investigations done again and stage the disease at present so that any doctor can help you much better. Hope this information helps you. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Blood pressure is 123/86 with a pulse of 109. 53 year old male. 74 kilos and live in warm part of Costa Rica. I m taking Ramipril, Hydrovhlorothiazide, amlodipne, cipralax and oxi-dine for knee pain. I am on a good diet and try to exercise daily.. I sleep more often now then before and have stopped smoking 11 days ago.mi was taking zyBan. But decided to stay off it. I have been suffering by hypertension for two years now and still find the need to monitor my pressure as it has increased to 150/110 without reason.. Await your reply", "output": "Hi, dairy have gone through your question. I can understand your concern. Your blood pressure is too high. You should immediately consult your doctor and take treatment for that. Life-threatening events like myocardial infarction or stroke can occur with this blood pressure. We can not find all the cause of blood pressure. Genetics, lifestyle, stress and many other factors are there. You need to set the dosage of your antihypertensive medicine. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im 28 weeks pregnant now. Im having fever for 4 days (between 100.4 and 102.4) After taking paracetamol it goes down and come again in 5-6 hours. My babys movements are normal. And there is no any other symptoms. Is it harmful to my baby? Thank you", "output": "Hi, Thanks for the query under Chat Doctor forum. I understand your question. Paracetamol is a safe Chat Doctor. It does not have any adverse effect/ teratogenicity in fetus. It should be taken three or four times dose as per doctors advise, Still you should consult a physician for the fever & take specific treatment. If it is viral fever only paracetamol is sufficient BUT in case its due to infection. You need suitable antibiotic along with it . To cure the condition. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello..I have given birth for about a month..but i had a recent sexual intercourse with my husband..my husband is suffering with a certain internal infection and secreting pus as indicated on its marks on his underwear...unfortunately, i think i am also infected..i am secreting a yellowish liquid same with my husband..we are both taking amoxcicilin", "output": "Hi, Thanks for writing to Chat Doctor. From the description you have mentioned, it appears that both you and your husband are suffering from Urinary Tract Infection (UTI). It needs to be treated with appropriate antibiotics. I am sorry to state that amoxicillin Chat Doctor. Since you have started it, kindly complete the course for 5 days. You can take another antibiotics of quinolone family like Ciprofloxacin or Levofloxacin 500\u00a0mg twice a day for 5 days to overcome the infection. Heep your self well HY" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i injured my neck 3 weeks ago while i was performing martial arts, i was rolling on the ground. i went to the hospital they said the xray is fine i sprained my neck its been 3 weeks and i feel less pain but i still have pain behind my head and a little swelling,headaches, im able to move my body", "output": "Hello ! I read you question and understand your concern. It is very common to have headache after head concussion or trauma. It may be caused by the muscle contractions in the scalp, or by an irritated occipital nerve from the trauma. I think that it will get better spontaneously. You don't have any other symptoms like gait problems or numbness in your limbs. This is an indicative sign that there is nothing wrong with you (like an intracranial hemorrhage for example). So I would recommend having some rest. There is a high risk after a head trauma to get in a serious condition if the trauma is repeated. For this reason it is very important to be careful for a month after trauma and to avoid possible other trauma. Regarding the headache I would recommend painkillers for some days. Hope to have been helpful! Greetings ! " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doctor, my mother has been advised to go for gall bladder removal surgery after the scan report confirmed she had multiple stones in the gall bladder. She was also diagnosed with a 6mm stone in her right kidney recently. she is 46 years old and she has thyroid and is under medication for the same. About 8 years back, she had cysts in her uterus, she underwent a surgery and both her ovaries and uterus were removed! Will she have problems if her gall bladder is removed, also she gets emotional to know why body parts have to be removed! Can you pls suggest what could be done and what effects will this surgery have on her?", "output": "Hello there! Thank you for asking. Aside from all other issues your concern for gallbladder removal is un necessary. Many patients are advised to get rid of gall bladder. Gall bladder function is to just store bile an ingredient whicChatDoctores from liver and stored in gall bladder for usage of fat digestion. So maximum trouble after gall bladder removal would be too unable to eat fatty foods in excess. So instead of taking 3 large meal 5 small meals in a day would be recommended, or low fat diet would be all your mother need. Stones once slipped to common bile ducts can be a disaster then, so it is better to go electively for its removal with minimal invasion. Good Lucks Khan" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, Im suffering with a bout of very bad depression and ocd thoughts.I am on 200mg of Lamictal 1.5mg of Xanax and 40mg of Lexapro daily they have stopped working.Ive been on Prozac,Wellbutrin,luvox,cymbalta,and just recently Effexor.What other meds are there to make this go away so I can have my life back again?", "output": "Hello and welcome to Chat Doctor. Thanks for your query. I understand that you are going through a difficult time due to your depression. You have mentioned that you have already been tried on different anti-depressant medication, but have not had a resolution of your symptoms. So, it is likely that you are suffering from what we call a treatment resistant depression. In such a case, the next step would be to try a combination of two antidepressants or to augment the antidepressant medication with Lithium or Thyroxine. Also, adding on CBT (Cognitive Behavior Therapy) to medication has also been proven to be effective. So, I would advise you to discuss these options with your doctor so that the next appropriate line of treatment can be decided. Wish you all the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, Ive had recurring pain in my next for a couple of weeks now, it feels like a pinching burning stabbing sensation that is very sharp but only lasts a few seconds at a time, coming back every few seconds to 30 seconds in intervals. I just noticed a rash on my neck in a v shape ending at my mid chest. what could this be?", "output": "Hi, Welcome to Chat Doctor. You seem to suffer from Shingles or Herpes zoster with mild presentation. Check with Second Opinion from Dermatologist due to its uncommon presentation and to rule out any other causes after physical check up. Hope this would help you to resolve your query. Else Contact with a Followup Premium question to ME. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. Welcome with any other further query in this regard. Good Day!! Chat Doctor. S. Genl-CVTS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I took almost two weeks ago the morning after pill because the condom broke.Yesterday I did just one test because I was feeling nautious and had stomache. It was positive. Could I be pregnant or could it be a false positive? Should I try another test?", "output": "Hello, Thanks for sharing your health concern with us. If you tested positive with a standard test kit, you need not repeat the pregnancy test. Instead, see a specialist for a proper clinical evaluation and go for a sonogram of the pelvis, preferably in the trans-vaginal route, to confirm the gestation sac, the location, the age and the viability. Emergency contraceptive pill offers 85-98 percent protection depending on the time duration elapsed after unprotected intercourse. Please plan further management after review. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello there, A few days ago, I started having neck issues and assuming its from work being I have a very physical job, but whatever the case may be. At first I had thought it was pulled muscle knotted up, but I noticed I had these bubble like/ball like things in my neck that move around and I m not sure if it s swollen lymph nodes or something else? I been getting these killer head ache from it so bad I feel like my neck/head is going to exploded. Going to be seeing my doctor this weekend but it rough because i work 12 hr shifts being the holidays coming up and on the 3rd shift.", "output": "Hello, I read carefully your query and understand your concern. The symptoms seem to be related to.muscle knots in the neck. I suggest using muscle relaxant such as Baclofen three times a day. I also suggest using magnesium supplement for muscle relaxation. Furthermore, I suggest warm compresses for local application at the neck area. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards! Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My mother has brain cancer and only a few months to live. She is on a number of medications, including steroids and her stomach is getting bigger. I dont think she has been putting out enough and I know she does not drink enough water. She is on anti seizure meds also. What can we do in addition to the stool softeners and laxatives she is already taking. I dont think her body is even digesting these,.", "output": "Hi, Thanks for writing in. Cancer is a challenging diagnosis and one should fight it till the end. It is possible that your mother is being given a high dose of systemic steroids to control brain swelling and other symptoms like pain. Treatment with steroids can lead to several side effects including abdominal distension and retention of fluid. The enlargement of stomach is due to steroid dependent side effects leading to such an appearance. Not Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi so recently I was showering and when drying me self off I noticed a few pimple sized red spots behind my scrotum, for the most part they are not raised and do not hurt or itch, in fact if I had not physically seen them I would have never known about them. I work in a auto shop in very heavy pants so I have been getting normal sweat pimples occasionally but I feel the proximity and area of these are a little different. The last time I had sex was probably a month ago and it was fully protected with just a short bit of unprotected oral. And as of today i have been feeling a little bit clammy and off the weather but Intend to over myself so it could be that, along with recent lack of sleep the past few nights, but after drinking a bit of water felt a lot better. My question to you is how closely do any of these symptoms correspond to a std such as herpes. I know nothing is certain over the internet but a little peace of mind will make me feel better", "output": "Hi Heath symptoms that you have described is most likely to be a fungal infection which occurs after skin excoriation caused by sweat. Fungal infections can be treated relatively easily, but some modification in clothing will allow it to heal faster. Try wearing looser clothing or clothing that will not make you sweat as much. When sleeping, if possible, wear as little clothes that cover your pubic area as possible. Antifungal creams/ointments such as Ketone / Clotrimazole /Tamil etc. should be applied on the area. Remember, scratching will only allow the infection to spread faster and delay healing. A mild antihistamine will help if the itching is affecting your daily activities." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I recently had a ruptured cerebral aneurysm and had a coiling proceedure done. They did a spinal tap to be able to find traces of blood in my fluid. Since the spinal tap I have had lower back pain everyday and in a couple of cases my legs have almost given out on me. The spinal tap was done about 3 weeks ago now. Should I be worried about this. I have researched the internet and have found that other people have experienced this as well.", "output": "Hello. Thanks for writing to us. The spinal tap is sometimes associated with a persistent pain in the legs due to the irritation of the nerve roots at the level of spinal cord. This is a self limiting symptom and is likely to improve in next 2-3 weeks. Taking methylcobalamin supplements will help. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http://bit.ly/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have back pain in my body with weakness stomach pain and it has been that way for over three weeks and only getting worse. I also been having diarrhea. I injured my back at work almost two years ago and been dealing with chronic pain Can the injury be the cause.", "output": "Hello Thanks for writing to you need proper clinical examination and investigations. Back pain may be due to many reasons like unaccustomed exercise, disc prolapse, vitamin D, calcium deficiency, hypothyroidism etc. Investigations include routine hologram, RBS,LFT, RFT, urine RE/ME, serum calcium and vitamin D level, TSH estimation, ultrasound of abdomen, X-ray L/S spine AP/Lateral view, urine RE/ME. Further investigations MRI L/S spine can be done if needed. At present, you should take rest, analgesics and muscle relaxants. Proper treatment depend upon the findings. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Yes, I have elevated hepatic enzymes 2-4 points for each enzyme. I am 74 year old female. a ct scan of the liver showed a fatty layer around the liver. I am asymtomatic.My primary care physcian want a liver biopsy done by a general surgeon. He seems reluctant to do the procedure although he said would only take 15 minutes to perform. It is schudulefor July 8th., but I am confused.", "output": "Hi. Thank you for your query. Further information may have been helpful. Are you alcoholic?what is the status of Hepatitis B & C profile? If your NON-alcoholic and Epic serology is negative, then the only concern is mildly elevated liver enzymes. You NEED NOT worry. Its \"fatty liver disease\" which is reversible. Do NOT Chat Doctor. Then follow up after 3 to 6 months. Wish you good health. Regards," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Sir, My wife having upper abdominal pain both side since last 5 days, she is taking antibiotic for infection/ swallowing by a doctor, but dont getting releif, yesterday we did whole abdomen ultra sound , which is normal, Doctor gave her 2 injections yesterday, but today again she have pain in stomach .. please suggest me .... what we should do , many thanks Ashwani YYYY@YYYY", "output": "Hi, Thanks for posting your query. Let me know the associated symptoms along with abdominal pain. Does she have vomiting/ fever/ watery shit? Does she have acidic belching along with abdominal heaviness? You should consult with your treating doctor and should go for antispasmodics along with proper antibiotics. If her condition won't improve then she should go for endoscopy along with CT/ MRI scan abdomen. Hope that helps you. Take care," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have done my MRI as per suggested by a doctor report showed some problem that 1.there is an evidence of hypercelluar marrow in the vertebrae 2. c4-5 and c5-6 show mild posterior bulge which indent the thecal sac without causing any neural compression . is it something to be worried off? any major problem?? thanks for your reply in advance", "output": "Hi, Could you tell your age? MRI that showed hypercellular bone marrow is mostly a factor of age. In general, in adults, hypercellularity is due to anemia causing increased stress on bone marrow (hemolytic). But in a child of 10 years it is considered normal. Mild disc bulges are commonly seen above 50 years and NEEDS NO WORRY, as you don't seem to have either compression or foraminal stenosis. Hope I am clear." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, i ve had water retention in my feet several times when i fly or when it s hot and humid. However, i ve noticed for the first time my left foot is swollen (water retention) but there s like a lump on top of my foot ( i just started my period two days ago) could this be just another form of water retention?", "output": "Hi! Foot swelling in a diffuse pattern especially around ankles is a sign of edema or water retention but water retention should not present as a localized lump...! However, this lump is easily palpable therefore easy to diagnose clinically and determine the cause behind it; the various causes could be gouty tofu, synovitis, cysts, abscess etc. etc...Therefore, you need to see your physician for a clinical examination and possibly to undergo a needle biopsy for confirmation and management! Take care; regards," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "We have a family friend who lives in Japan whom we have known for many years we live in the us). When we met, he seemed like a normal person. He has an exceptional ability with numbers (being able to mentally calculate 6~7 digit numbers in seconds) which we found amazing. But aside from that, we have been noticing that he severely lacks social skills; as he does not seem to have any friends. To give an example, he recently contacted my brother over the phone several times and by email; when he did not receive a response, he said that he is flying over to see us. As in other instances, he is very persistent and refuses/cannot have anyone drift away from him.", "output": "Exceptional math skills !!That's wonderful. A few people are gifted. And a few people have the misery of lacking social skills. This need not be a mental issue per se. Try to keep him involved with people he understands and share the same interests. And just when the friendship is deep enough between them, try to disarm the social bomb making him aware of what boundaries are. Such people might get hurt pretty easily, so be sure you are polite and convey the message straight enough. Good Luck !" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 6 yo girl was accidentally hit in the her mouth and the top two front teeth were knocked loose. ER doc removed one by just trying to push it back in. She is distraught because of loosing them, hasnt lost any teeth yet. We were told that the remaining tooth might be pushed back in and it may stay in place. What would be your recommendation on how to handle this with her and what type of dentist to seek for treatment. We are guardians and she hasnt had anything more than a cleaning or two before our care. I wanted more information and was just doing what I thought was general research. I didnt expect a payment component as I wanted to get a background of this type of situation. I think I need to start over and come back once I have basic knowledge.", "output": "Hi...thanks for the query...most probably your daughters tooth was primary... permanent erupt at the age of 7-8 years... so don't worry if re implantation failed...just clean the affected area or socket properly... tell her to go for warm saline rinses... and assure her that new tooth will come soon...you can also go for temporary removable plate also after the area get healed... it will also maintain your daughters arch form by acting as space maintainer...but please do CONSULT PERIODONTIST ONCE... and don't worry... she will be fine..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was diagnosed with mild encroachment of the spine on my left CV4-CV5 IVF....the pain became unnoticeable after a bit so I didn t follow up with an orthopedic doctor but not the pain is back and is becoming more noticeable...what are the procedures for relieving the pain, etc.?", "output": "Hello, I have studied your case. Due to compression of c 4-5 nerve root there is tingling numbness in your arm and pain. In cervical spine muscle spasm there may be loss of lordosis. For these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "AndI have 1.2 year old child. He has covirsion problem from when he is2 month old after birth.delivery is pre planned cizarion. First admitted in vs hospital and all report donned like a Brian water , brain sonography , eeg ,MRI etc.. All report found normal but covirson strock continue 2-3 time in every day during treatment in vs hospital.then I checked out and admitted in Apple hospital at parimal garden Dr.abhishek bansal and other Dr refrance donned baby shield report it was normal .Dr sanjiv Mehta also consulted from. But till now Asper reffrance torleva and troptal medicine contiue but convirsoin strock continue in one time in day. He has weight now only 5.5 kg and he has no balance always keep stick his hand and leg and development is so slow kindly suggest for Treatment .", "output": "Thank you for your quires and sorry to hear about him. Most likely he has developed some brain white matter lesion which is not always visible in MRI or other tests. Now coming for treatment option, firstly you should give medicines for stopping the convulsion attack as every convulsion put a stop for blood circulation in brain for time being and put a damage which will be more detrimental for his development. He may require some combination therapy for convulsion. To improve his development you should start physiotherapy and occupational therapy which will improve his motor, sensory and speech development. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a patient who had abdominal pain and loose stools for 3 weeks.travelled from pakistan 10 year old.stool routine analysis ,urine analysis and ultrasound were normal.treated with metronidazolefor 7 days and he improved but after 5 days now he came now with 4 days of fever ,cough,loose motions,vomitting and abdominal pain.got his blood analysis done.CBC, CRP ,-normal.BUN-5,creat-normal,but SGPT-1820 raised.widal,blood cultureand urine analysis awaited.what should be the differentials", "output": "HiT hanks for your query. Your patient has a highly elevated serum SGPT level. In this case you should go for total liver function test (LFT) which include total bilirubin, conjugated and conjugated fraction, serum albumin, GOT, SGPT and alkaline phosphatase level. Along with these you should also have hepatitis surface antigen (HBS Ag), anti-bug, test for hepatitis c virus (ANTIOCH), hepatitis A virus (Anti-vax), Hepatitis E virus (Anti-HEV). Also wait for the other results to come which you have sent. It may be a case of viral hepatitis. If alkaline phosphatase and conjugated bilirubin is very high you should have an ultrasonography (USG) of abdomen. Keep the boy on bland diet, plenty of water per mouth and liver tonic and digestive enzymes until further diagnosis is reached. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, my daughter is 3 year and 4 months old. Since birth she had these straight line like skin growth in both her inner cheeks. We didn t pay much attention to it before, but recently it is more visible than before and today she has been complaining that they are itching a lot. Please advise what we should do. Thanks.", "output": "Hi... Thank you for consulting in Chat Doctor. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 78-year-old female who broke my toe next to big toe when I was age 8 or so. It healed in a bent position like a hammertoe. Now I am having a difficult time with swollen ankles and inflammed fat pad on both of my feet. I weigh 138 lbs. and am 5 1 . I have this foot pain flare up several times a year. I usually ice and take ibuprofen and in three or four days it settles down, but now for the past few months my feet have been very sore and the other day were so painful, I could not step. I have been icing for the past few days and feel someone better but fat pad still red and looks swollen. Could you please give me an idea of what I am dealing with. Thank you so much.", "output": "Hi, thank you for providing the brief history of you. A thorough neuromuscular assessment is needed. As mentioned by you the brief history there are 3 possibilities coming in my mind for which a thorough neuromuscular assessment is needed. The first is a vascular insufficiency, the second is the increased uric acid levels and the third is the neuropathic pain.to rule out the factors here - performing a urine test will help us determine is the pain and swelling is because of the increased uric acid levels and by medication and physical therapy the pain and recurrence can be avoided. For ruling out the vascular insufficiency the Doppler test for both the Lowe limbs will be performed post which is the test is positive - rest, Medication and physical therapy will be advised for better results. You need to use even stockings of lower limbs to ensure the venous return. For the neuropathic pain, your blood glucose levels and MRI of lumbar spine will be guided. Post which based on the possible positive test the treatment will be planned. As due to aging factor - there is even a possibility of lower cardiac output and slower venous return can lead to swelling of ankles. Understanding that the body needs mobility more at this age to allow the venous return to occur and improve the metabolism as well. After a thorough assessment the root cause can be found and post which the treatment will be planned to avoid the future recurrence. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,I did a TMT as a formality for a new insurance policy, and the comment says, TMT MILD POSITIVE FOR INDUCIBLE INFERIOR AND LATERAL WALL ISCHEMIA.. is this dangerous, just let me know. i have a balanced lifestyle, with regular exercising and almost zero cholesteral and adequate carb diet. Iam 37 yrs, 170cm tall and 72 kgs.. Kindly suggest on how big a worry this is...", "output": "Your cardiologist will decide what should be next step... As there is problem in stress test need to undergo... Coronary angiography... Either conventional or CT angiography.... Chances of coronary angiography becoming normal Is also good... But its always to be 100% assurance . Which can be through coronary angiography... Need personal interpretation of your TMT report to tell significance ... Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I ve been on omeprazole for a dozen years (reflux) and developed microscopic colitis about two years ago. No pain with the colitis, but very soft stool and occasionally diarrhea. Nothing has helped: I ve tried Entocort, laiada, bismuth, probiotics, lactose free diet (for about a month). Because the omeprazole may contribute to the colitis, I ve been urged to substitute pantoperazole or lanoperazole for the omeprazole. I ve been told that the former may be less likely to trigger the colitis than the omeprazole. Any suggestions?", "output": "Hi, Based on the history colitis seems to be due an important side effect of proton pump inhibitor omeprazole. Colitis seems to be due to bacterial infection which occurs due to suppression stomach acid production by proton pump inhibitors. All the proton pump inhibitors are known to cause colitis or diarrhea. I suggest you to take and H2-receptor blocker like famotidine for your reflux disease. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Sir, I m 40 years male found HBsAg + in 2006 HBeAg negative but SGPT was 79, a bit fatty liver , HBV DNA + 1.0 x 10 (4) then I go under medication (Lamivir 100mg) after 3 years in August 2009 HBV DNA found negative but continue medication. Further test in May 2010 HBV DNA found negative then I leave medication, meanwhile SGPT always fluctuating in between 50-90. after leaving medication SGPT fluctuated same as earlier. Recently SGPT increased to 120 in last August 2 days back SGPT found 124. May I know what is my current condition and what should I do?", "output": "Hello, Your SGPT levels are almost three times the upper limit of normal, this suggests reactivation of the disease. I would advise you to Get a HBV DNA viral load done and in case it is detectable you would need to start treatment. It would have to be a medicine other than lamivudine as now better Chat Doctor. I would also suggest you get a USG and complete LFT done. I would advise you to consult a gastroenterologist who would guide you regarding the further management plan Hope this helped get back in case you have further queriesRegards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have stage 3 a kidney disease, a history of hypertension, which is currently controlled to borderline, and high cholesterol. I take 10mg SimvastTin, 2.5mg Bendroflumethiazide only as I have an intolerance for other BP drugs. More recently I have developed burning sensation of soles of feet at evening and night, tingling sensation down one arm in the main, and nerves firing in lower limbs in evenings and night. I am aware it may be signs of nerve damage? What do you think. Otherwise, I look very fit for my age which is 63, am still working and very active.", "output": "Hello! Welcome on Chat Doctor ! Your symptoms could be related to peripheral neuropathy. For this reason, I recommend consulting with a neurologist for a careful physical examination and a nerve conduction study. Further, blood lab tests may be needed to investigate for the possible causes : complete blood count, blood electrolytes, thyroid hormone levels, HbA1C levels, kidney and liver function tests, vitamin B 12 plasma levels, PCR, sedimentation rate. Hope you will find this answer helpful! Best wishes, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I slipped on ice and fell last friday, since my lower back on the right side above my butt is hurting. It hurts mostly when I bend, or lay for long periods. The pain is dull but continuos. I have noticed I cannot make fast movements. I am worried that I could have severely hurt my back.", "output": "Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have mentioned that you have injury now you have pain don't worry you can do is take One tablet Diclofenac sodium twice daily of 3 days You can apply ointment of pain also Diclofenac sodium gel tropical on painful area, If your problem continues you won't get relief then consult physician and go for investigation early as possible Hope this will help you. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im 30 years old, a software professional,Im feeling pain in my chest, no sweating, no heart pounding,earlier also i had these kind of pain symptoms and it just got away with out treatment. now it has come back what is this pain? what should i do?", "output": "Hi sift chest pain can have multiple reason. I wish you must have told about the site duration intensity of pain. Squeezing and chest tightness sort of feeling with pain at the left shoulder, arms, neck, jaw can be anginal pain....in this case urgent ECG and cardiac enzyme testing has to be done. A localized pain which increases on deep inspiration, coughing, sneezing etc. can be pleuritic pain which needs antibiotic therapy. Pain at anterior chest at Costco Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my son (21 yr old) was diagnosed with pleurisy a year and a half ago. He was and is very active. Ever since the pleurisy he has been unable to run with out chest pain and feeling short of breath. The doctors think that maybe he has exercise induced asthma. He didn t have that before the pleurisy. Could the pleurisy have done damage to his lungs?", "output": "Thanks for your question on Chat Doctor. I can understand your sons situation and problem. Yes, you are right. Pleurisy can cause permanent damage to the lungs. It is actually an inflammation. And if inflammation is stayed long, then it can cause permanent lung changes and give rise to bronchitis. So better to consult pulmonologist and get done1. Repeat chest x ray2. PUT (pulmonary function test). Chest x-ray is needed to rule out pleurisy.PFT Ia needed to rule out bronchitis. It is also helpful in diagnosing exercise induced asthma. So better to consult pulmonologist and first diagnose him and then start appropriate treatment." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi if i have had sex a few a hours before taking pill and later during the day a take them can i get pregnant", "output": "Welcome to Chat Doctor. It seems you have started the birth control pill on the day of sexual exposure to avoid the pregnancy. The oral contraceptive pills need time to act and are not effective if started in emergency. They must be taken regularly every day for 21 days followed by Chat Doctor. If you are within 72 hours of the exposure you may start another type of medicines called Emergency contraceptive kit. I hope the advice will be helpful for you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have regular bodyache but body temperature is normal from outside. I feel uncomfortable from inside only. I feel lazy to do the works and get tired soon, mostly when i walk for even short distance. I feel energyless. But I feel a lots of hungry and sleepy.", "output": "Hello, What I feel is you should get your blood glucose levels checked and also your thyroid levels. As due to the changes in the blood glucose levels usually, people feel more tired and hungry. Also get your blood pressure checked, because feeling tired so easily for a short distance isn't acceptable to anyone. I feel once you check all this you will be able to figure out what's happening within the body. Also, getting physician advice for multivitamin medication along with vitamin D should give you some form of relief from the symptoms. Kindly indulge yourself in regular physical exercise like - breathing exercises and kind of aerobics for short minutes. Later you can take it to longer minutes. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my wife missed her peeriods for 10 days now. She is always tired now, mostly sick in the morning. She has vomiting sensation after taking food but not vomiting. gets headache often, frequent urination are other symptoms. Is she pregnant ? We were sexually active for more than a month continuously..", "output": "Hello dear, I understand your concern. In my opinion all your said symptoms suggest pregnancy. But it needs to be confirmed by doing a urine pregnancy test a week after missed period. The test will be mostly positive by now if there is pregnancy. So consider doing urine pregnancy test. And if positive consult gynecologist as you need prenatal like folic acid. And also take medicines to decrease sickness.Best regards...." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my mother had diagnosed with 3b cervical cancer a year back, all treatment done including radiation, barchytherapy but not done chemo as her kidney was not suitable for chemo . now she active but her leg ha swollen & become thick. what type of treatment to done now", "output": "Swelling of one or two legs in your mothers' case warrants that recurrence of her disease in the abdomen be ruled out. It is quite common in advanced stage cervical cancer for the disease to recur, particularly since the treatment was suboptimal (no chemo was taken). It comes in the form of nodes in the abdomen which press on the veins Chat Doctor. A CT scan of the whole abdomen will give the correct picture." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a painful shoulder it hurts to move it,I have had 2 shoulder surgery for torn rotator cuff in January and may and I keep hurting myself. This time I lifted my disabled dad out of the car and then 2 days later I fell. It is swollen and I am sick to my stomache from the pain. Please help me.", "output": "Hi, You may have injured shoulder again with possible rotator cuff tear. Shoulder should be immobilized in arm pouch. Recent MRI of the involved shoulder needs to be done. Please get it done from radiology center nearby you. Meanwhile, start tablet Attract twice a day for pain relief. Visit to your operating surgeon with report is highly recommended. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello i have 5 buldging disc, T-2 &3, L-4/5 andS-1. Injury happended 6 months ago . I had facet blocks done in April and did not proceed with the ablassian due to the pain did not stop the same day of the procedure. My pain did not go away until the following day. I was pain free for 3 weeks and now my pain is back and increased. My doctor is saying there is nothing else to be done other than teaching me how to cope withthe pain. I was wondering if there is any other no medication methods to relieve pain.", "output": "Hi, Welcome to Chat Doctor. After going through your query I think your You are suffering from lumbar disc prolapse. There are two treatment options. First option is Rest in position of relief(generally lateral position with both knee bend), NUROKIND GOLD ONCE DAILY and analgesics (Diclofenac three times a day after meals is effective). Sometimes strong analgesic(such as attract three times a day after meals) is required. OMEPRAZOLE 20 MG before meals prevent acidity caused by analgesics. This method needs patience as it take longer treatment times sometimes up to 6 months. Second option is go for surgical operation(Discectomy), but as bulge is at multiple level, so this method is not suitable. I think your query answered. Welcome to any follow-up query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a cyst grow on my right side of the face just below my ear lobe. It started small but has grown In the last two years and currently stabilized. It has turned Gregory black. There is no pain but dont know what might happen in the long run. My dermatologist took a look and said it is a cyst and said it can be removed with local anesthesia. Would it come back after removal? Would that have probability to give room for more issue? I am 62 years old.", "output": "Hello! Thank you for the query. If it will be removed with small margin of healthy tissues, no regrow should appear. As it is black, it may be a mole or cyst with a mole. Moles can in some cases become malignant. Those which grow, change size, shape, give pain or itching, should be removed and checked under the microscope. Usually such lumps are removed, and no new lesions appear in this area. So removal will be the best and final treatment. After it, you should forget about this lump and live your life. Hope this will help. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "When I went to the bathroom I had a little tooth aChe I went to brush it with salt and water a little bit after I finish I felt dizzy couldnt see everything felt like spinning and fell down now I am a little dizzy and I am laying down is there something wrong", "output": "Hi, I appreciate you for writing while you are not feeling okay. First, I would like you to know that toothache could be from one of the several causes which include, dental caries, trauma, gingival/periodontal condition, etc. In order to rule out the cause for toothache I will suggest you see the dentist soon. Also, warm saline rinses 4-5 times a day can definitely take away the toothache if there is some inflammation associated with the tooth. Please prefer not to brush your teeth with salt / water as it is a little abrasive for your teeth. For the dizziness, I feel it could be either from weakness if your tooth has an infection or not at all related to tooth. But, again it will be best if you could get your tooth examined by the dentist. I will advise you to take good rest and Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Had colonoscopy and gastroscopy with the removal of 9 polyps and hemmroid banding and about an hour after leaving day surgery I experienced pain from the left bone in my vagina region all the way down to my left toes, 4-5 hours have passed and I am still ex perching severe pain on my left foot and radiating pain up my leg, is this normal or should I go back to that hospital ? I understand the pain around my backside but not the foot pain", "output": "Hi, thank-you for providing the brief history of you. A thorough neuromuscular assessment is advised. As the pain is radiating in nature I feel it could be a pinched nerve in the spine. Undergoing a physical therapy should help you and later the recovery Should be good. As you even have weakness of the muscles needs little strengthening. Majority of patients respond well to physical therapy. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been having my period for 4 weeks straight now and I am on the pill. Starting tomorrow I should be on my period but I never stopped since I started a week early last month. I have had blood clots and now they are getting larger. When should I see the doctor?", "output": "Hi, Thanks for the query. Some amount of spotting can be seen while being on pills. But prolonged bleeding with passage of clots is somewhat abnormal. Better to consult gynecologist once and get evaluated. Go for ultrasound, thyroid profile and coagulation profile. Possibly with this workup the cause for your problem can be identified and treated. With your doctors' advice you can go for anti-fibrinolytic Chat Doctor. After investigations, you can continue with your pills with your doctors' advice. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been getting severe headaches, Paleness of skin, shortness of breath, rapid heart rate and sickness. A blood test showed my ESR is 67. My doctor said this is fine, but i read that a normal reading should be between 1-7. Is there something she is not telling me?", "output": "Hello There After going through your medical query I understand your concern and I would like to tell you that yes your ESR is high, and your symptoms can be due to anemia, jaundice or heart abnormality. It is recommended for you to get CBC, LFT, ECG, Echocardiography and USG abdomen done and consult a physician with reports for further management. Hopefully this information will guide you properly. Kind Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "helloI am soccer goalkeeper and yesterday while saving I hit my lower left back, and an accute pain arousd. after laying on the field for a couple of minutes the pain got better but i still have some lower bakc, buttocks, and leg pain that makes me not walking straight..do you think i should see a doctor right away? Im quite scared", "output": "HiT hank you for asking ChatDoctorI have gone through your query. Your problem can be due to sciatica or back muscle strain. An examination with an orthopedic will give clue for this and X-ray followed by MRI of Lumbosacral spine if needed to rule out this. In such cases I advise my patients with NSAIDs like Diclofenac, muscle relaxants like thiocolchicoside and neurotrophic Chat Doctor. I also advise muscle strengthening exercises and Physiotherapy if it last longer. Hope this may help you. Let me know if anything is not clear. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi i feel as if I may have a yeast infection its kind of itchy down there and when i recently went pee there was a little tiny bit of blood when i wiped also i recently went to my obgyn n for my yearly and left a urine sample n it came back with blood in it what could be wrong", "output": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Yes, itchiness and bleeding from the downside is suggestive of infection. But without proper microscopic examination it will be difficult to predict that which type of infection it is. I suggest you to diagnose yourself by microscopic examination of the discharge that is coming out. You can so Grams staining from the discharge. Report will tell us the possible pathogen and its treatment. If its yeast than antifungal treatment is the choice of treatment. Please maintain good hygiene until you are diagnosed. Avoid sexual intercourse during the period. And if your partner is having same symptoms than both partner should take the treatment. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have hypothyroidism and recently went to the hospital because I felt weak and exhausted. When I got to the hospital my red blood cell count was 5.6 ...the doctors gave me a blood transfusion and the next day I developed paralysis and was diagnosed with Guillian Barre Syndrome. Does Low red blood cell count part of the GBS or is this something else? Can the thyroid be causing this", "output": "Hi! Thanks for posting your query on Chat Doctor. I am sorry to know that you have been diagnosed to have Guillain Barre syn Chat Doctor. It is a rare disorder that causes your immune system to attack your peripheral nerves which connect your brain and spinal cord with the rest of your body. The damaged nerves can not transmit the impulses to the muscles. As a result, your muscles have trouble responding to your brain resulting in weakness and muscle pains. The exact cause of Guillain-Barre syn" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Yesterday I felt some tightness in my jaw on the right side and I thought I must have been clenching it in my sleep the night before. I woke up today and had extreme tightness in both sides of my jaw. I can open my mouth fine but my ear seem a little plugged and the pain is pretty bad. What is causing this? What can I do to relax my jaw?", "output": "Hi. Thanks for the query. It looks like you have severe muscle spasms causing tight feeling in the jaw. It can be due to clenching of the teeth and teeth grinding habit. It is the common cause for muscle spasms over the jaw. So my suggestion is to consult an Oral Physician and get evaluated and a thorough clinical evaluation and x-ray can help in diagnosis and treatment can be planned accordingly. You can be advised mouth guards along with Physiotherapy and stress relieving exercises. As of now take a combination of muscle relaxant like Chlorzoxasone and pain relievers. Massage the side of the jaw with fingertips. Hope this helps. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am experiencing aches and pain generally in my arms, knees , lower legs which show redness . Seems like flu symptoms and tiredness - this has lasted few months & doctor has taken blood tests four seem ok but the problem is ongoing. I am a 64 lady who has always been quite active but have now this constant achiness- can you assist with any suggestions to ease my problem", "output": "Thanks for contacting Chat Doctor. You have problem of pain swelling and redness at knee region that may be because of rheumatic arthritis. Bursitis may cause stiffness and redness around knee region. Gout may cause swelling and pain because of accumulation of uric acid crystal. Ct scan is helpful for further diagnosis. Consent a physician for further diagnosis. Proper physical examination and history give exact idea. I hope my guidance is helpful to you. Take care. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello Doctor my would be husband is suffering from lower back pain since childhood his veins are been compressed which leads to unbearable pain and now hes not even able to sit properly please suggest some useful advice what he should do for his health? please reply soon its really urgent.", "output": "Hi, Welcome to Chat Doctor. After going through your query I think your husband is suffering from chronic backache with sciatica. Treatment of it is rest and analgesics (diclofenac). Sometimes strong analgesic(such as attract three times a day after meals) is required., neurotropics such as mecobalamine once DAILY. You can discuss with your treating Doctor. . Sometimes vitamin D deficiency is the cause so get your vitamin D checked. If it is low then vitamin D supplementation(weekly with milk) can be taken. Eat milk, fruits and green leafy vegetables daily. He needs to do MRI TO RULE OUT other causes. I think your query answered" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son is suffering cough from last month...i had given him 2-2 bottles of augmentin and tus q .But there was also no effect of the medicine.He is 10 year old and weight 29 kg. Please tell what medicine i give him and can i give him corex? If not then please suggest.", "output": "Hi, As he is having this problem since month requires some blood work to be done. Go for complete blood checking like TC, DC, ESR, Eosinophil count. Stool testing for ova and cyst. Many a time due to eosinophilic gives this type of cough. And at this age worm infestation is common, which gives Eosinophilic. After report go for treatment accordingly. Any cough syrup gives temporary relief from cough. Ok and take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am suffering from blocked nose nd suffer it every winter. i had a treatment through an ENT specialist but didnt get expected results. i face breathing problem all throughout the day.i have tried home remedies but not getting any soothing solution. please suggest me some remedies so that i can get rid of this problem.", "output": "**1. As the problem is chronic, and most home remedies tried, didn't yield sufficient result, thus probably disease has progressed to chronic rhino sinusitis, and probably require second opinion from ENT specialist.2. As attacks are frequent and occur every winter thus:i. Take high protein diet, such as: egg (white), soyamilk, pumpkin, squash, watermelon, peanuts, almonds, legumes, sprouted pulses/cereals, milk with protein powder [since blockage of nose is an issue thus yogurt and beans are not recommended] and deep breathing Exercises [Anglo film] ii. Vitamin A: helps to maintain Thymus gland which is a powerful antiviral gland: thus mango, carrots, cantaloupe, egg yolk, apricots, pumpkin, papaya, are ideal.ii. Vitamin C: is needed for proper functioning of immune system: AMLA is the best iii. Vitamin E: is a powerful anti oxidant which helps to stimulate antibody production: peanuts, Chat Doctor. iv. Vitamin B is important for the activity of phagocytes: eggs, cheese, pistachio, raw garlic, sunflower and sesame oil.v. You may ask for prescription " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Its hard to explain but my sister who is 53 year old has been in 13 nursing homes and in the state hospital right now in witcha falls ,, she is thinks the devils out to get her at ever turn, she thinks nurses are killing her. she accuses most men of raping her even in the nursing homes, she is combative ,argumentative, she can not see well at all now ,, it is heart wrenching. She was in good health till about 6-7 years ago. She was a respiratory therapist and was great at her job. we are desperate to find help for her . One doctor said she had conversion disorder but with other underlining problems we really need a mayo clinic to help her save her . Can you recommend any one or place we can write to", "output": "His had gone through your query. Symptoms that you mentioned are not indicating conversion disorder. Odd belief with persecutors delusions and suspicious nature may indicate psychotic illness It may indicate psychotic illness like brief psychotic or dissociative reaction. Proper mental status and psychological evaluation will give more confirmatory idea. You have to consult psychiatrist nearby for more detail assessment. It is treatable conditions. Anti-psychotic medication can help. So consult and get help. Wish her very good health. Feel free to ask. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I have been diagnosed with a spinal syrinx last October, have seen a Neurologist and was told at this point there is not a lot they can do. I was told I did not have a Chiari Malformation , but have sure signs of it, like pain in arm and legs, constant nausea, chest tightness, dizziness, tingling to name a few. I do have a lot of nerve pain around my middle back right side. I am really concerned that something is overlooked or missed in my case. I have been put on 2700mg of Gabapentin , but have not have great relief. Should I be referred to a Neurologist or even Neurosurgeon again? Or any other help for my condition?", "output": "Hi, Thank you for posting your query. Spring refers to cavitation with fluid accumulation within the spinal cord. The symptoms depend on the extent and severity of the spring. There is no medical treatment for spring. The definitive treatments are with surgery such as syringostomy. Also, one needs to exclude secondary causes of spring formation such as Chiara malformation, HY Chat Doctor. Please have a review with a neurosurgeon. Please get back if you require any additional information. Best wishes, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have a child around 18 month with a slight genu varum. Is it correctable? do we have to wait longer than 18 month? will he be able to run as normal children and have sports? i am the morther and i also have a slight genu varum, but i dont know the cause, is the way i grown. What do we have to do for my child so we don t have to do a surgery later?", "output": "Hi, just saw your question on genus arum, or in simple terms your sons knees are closer than they should be, and the legs are curved or bowed . Sure your child will be able to walk, at 18 months he will be already toddling around.I suggest that you and your baby have an X-ray of the knees done before he is 2 years of age to see if the upper part of the shin-bone is projecting inwards.causing the bowing. If it is so then see an orthopedic surgeon. This is called Blunts disease and will need some corrective appliances. Also check out if there are evidences of rickets or vitamin D deficiency, in this case supplementation with It D will bring it back to normal. Though most child Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i had ppcm and my bp is averaging 140/85 pulse of 60 and i am on a beta blocker.... I still get chest pains and shortness of breath but my stress test was good and my cardio mri was good.. i used a halter monitor and it showed at times i spiked to 120 plus heart rate and on a occasion i had 4extra beats together any clues.... the more opinions the better in my book....", "output": "Hi, How much is your ejection fraction, is it low? If it is then I guess you must on diuretics or water pill, if not then you need to be on or if yes then dose need to be increased to relieve your shortness of breath. Is your hemoglobin normal, get it tested if not tested recently. Chest pain are common in PPCM, it's probably the gastritis and reflux causing pain. So avoid spicy and fatty foods. Avoid smoking and alcohol if any. Also maintain sleep habits regular and also do regular exercises. Have some walk after meals instead of taking rest immediately. You can take acid suppressant like tab Rant ac. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My girlfriend went to the hospital yesterday after slipping and hitting her head on a concrete wall. She was dazed for several minutes and had trouble walking an hour later. After a CT scan, she was diagnosed with a moderate concussion. Today she s home and very bored, unable to watch anything, text, do homework, etc. Is it okay for her to, well, masturbate a little?", "output": "Hello! I understand your concern. The troubles your girlfriend has been due to the head trauma and concussion. It is a normal for her to be in this mood. She needs rest for at least a week. I don't think masturbation will bring her any good or make her feel better. It may also cause a little physical stress. I am talking about the body autonomic response to this situation. She will feel better in a couple of weeks. By the end of the month everything will come back to normality. Hope to have been helpful! Thank you for using Chat Doctor! Best wishes, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello I ve been experiencing back pain in my lower back burning tingling sensation itching , dizziness spells fatigue , and under my left rib cage its a burning tingle itching sensation as well this has been going on for the last three months maybe more please could some ideas be sent my way of what this maybe im so scared of the hospital", "output": "Hello, Thanks for writing to us. The symptoms that you are having are likely to be due to a nerve root compression most probably at the level of lumbar spine. You need to get an MRI scan of the area done and consult a neurophysician for proper diagnosis and treatment. For this condition you have to do stretching & strengthening exercises in which you have to stretch tight muscle & strengthen weakened ones which will alleviate stress on facet joint and disc.Meanwhile, for pain control take anti-inflammatory Chat Doctor. Hope this will help regards. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Husband had a heart attack. Drs. say he had very little oxygen at arrival. He was placed under sedation, however they suspended the sedatives and he doesnt respond to commands . he is on a respitator, how long for us to know if he has brain damage or not.", "output": "Hello madam, I pray to God for you. There are some hallmark signs of brain death-1)when you shine torchlight in the eyes, the pupils don't constrict or react, and they remain fixed and dilated.2)when you touch the cornea of eye with a wisp of cotton, eyes don't blink in a dead brain.3)when you turn the head towards one side, in normal individuals eyeball move in opposite direction(dolls eye reflex). In a dead brain,eyeballs remain fixed. These signs suffice for calling it a brain death, for all practical purposes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi my right collar bone sticks out more than my left, there is some pain when i put pressure on it and it aches when i am just sitting down. I am right handed so i do use my arm alot. I do competitive cheerleading. I got an x-ray done i was just wondering if any one knew anything while i wait..", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have severe collarbone pain. Well there can be many reasons for symptoms you mention in query like fracture or injury, acromioclavicular ligament tear or wrong movement of arm or shoulder. I would suggest you to take proper rest and do not move arm or shoulder much, apply warm compresses and take ibuprofen or acetaminophen for pain. If condition doesn't get well then consult orthopedic surgeon for proper examination. Doctor may order CT scan or physical examination. Doctor may prescribe muscle relaxant, anti-inflammatory or recommend physical therapy . Physical therapy will help a lot. Doctor may also immobilize your joint for some days. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im a software Engineer... working till late in the night usually. Im feeling that for some reason Im strangled and short of breath. There is slight pain shoulders/Neck. ECG is normal.... repeated 2 times in last two months. I feel that Im chocked sometimes.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Choking sensation, breathing difficulty, neck and shoulder pain in a young individual can be due to asthma. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).PFT will not only diagnose asthma, but it will also tell you about severity of the disease and treatment is based on severity only. You will mostly improve with inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).Don't worry, you will be alright with all these. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "can you please explaing what is meany by following MRI reportMRI suggests disc at L4-L5 , L5-S1 causing thecal sac & nerve root compression & Disc bulge at L3-L4whether surgery is compulsory ?what are the precautions to be taken for avoid escalation of the above problemwhether it can be cured by physiotherapy", "output": "Hi, Thanks for posting in Chat Doctor. I understand your concern. Its age related complication and also due to over weight .you didn't mention either of them, surgery is needed only when you have symptoms like paresthesia of your limbs, difficulty while you sit and stand, and if you are passing urine and stool without your consciousness. Some time if you have associated bone degeneration you will have disc problem. Precautions can be taken if over weight -- reduce your weight if you age is if your age is >45 its hormone related bone issues in female and male age related and surely it's treatable with regular physiotherapy Hope the information provided would be helpful. All the best. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I had sex with my boyfriend on Saturday. He was not using a condom and he doesn t think he came inside of me but he is not for certain. I did not take a plan B and I am not on birth control. I was ovulating according to my period calendar about 3 days before I had sex. Could I be pregnant? I am very scared", "output": "Hello. I have read your query. The calendar method for birth control is not 100% effective to prevent a pregnancy, as it relies on calculations to determine the fertile period. This is especially true when intercourse happens around the ovulation time. In case the periods are not regular the method is unreliable. Do not worry, just wait for your period to come normally. If it's late do a home pregnancy test or an ultrasound to confirm. I would recommend moving to other effective reliable forms of birth control. Talk to your gynecologist about it. Hope this is helpful. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor, this Antony from Bangalore...and I have problem with head in sense of long term itchy occurs and that leads to lot of hair fall also... i used lot of shampoo related to avoidance of dandruff but it could not work until now...... suggest me a proper solution please", "output": "Hi, It may be seborrhea dermatitis. There may be itching and hair fall due to the disease. Consult the dermatologist for the perfect diagnosis and proper treatment. Stress might precipitate the disease. Apply lotion of mild steroid with salicylic acid on the scalp. Take antihistamines like cetirizine. Take oral steroid like prednisolone in a tapering dose. Cleanse the scalp with ketoconazole shampoo. Avoid stress and worries. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor..I m 30 y old male & my wife is 29 Y old, married from last 5 years & have a 4 year daughter. My is 4 months pregnant. From many days I want to take & give ORAL SEX with my wife. But she refuses as she doesnt likes it. I just want to ask that is ORAL SEX unhygeinic? & is it right to do with a pregnant woman? & if yes, then how should i convince her", "output": "Dear Friend, If the genital parts are kept hygienically clean and if there is no sexually transmitted infection, oral sex is not unhygienic. There are different steps - from just applying lips to the genital parts to swallowing the secretion or ejaculation of the sex. To which stage to proceed is an individual choice. However, if the partner does not like oral sex and hates it, it may create psychological trauma, and she may lose sexual interest. Please do not compel. Oral sex is safe in pregnancy. Hope this helps you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I noticed today a small pain when siting down. Once I got home I went n the bathroom only to discover a small lump between my butt cheeks. I had my room mae take a look and while looking a head apeared and it popped. There was a thick white pus to come out and a clump that was harder than any normal pus. I am in a lot of pain and I have no idea what this could be. Should I. Go to the emergency room because it wasnt there this morning when I washed. It just appeared out of nowhere", "output": "Hello, You had noticed a lump today at the advanced stage of popping out and has developed underneath the skin over the last few days. The bruise in the butt cheek got infected and got burrowed with infection underneath the skin there. As its deep down with more cellulitis, its more painful. Treat it with surgeon consultation with antibiotics or anti-inflammatory Chat Doctor. After recovery adequate surgical " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I live in XXXXXX. I am 26 yrs old. From 15 yrs of my age i am suffering from cold allergy . I had breathing problem too. Always cough appear in my throat. Can you please help what i will do? I have already got treatment from an Allergy specialist. My breathing problem was disappeared but cough was appeared in my throat, Recently my breathing problem start again. Plz help.", "output": "Hello dear... The symptoms as mentioned in your post suggest that you might be having Allergic bronchitis. Management includes:1. Steam inhalation for providing soothing effect & reduce the irritation in the respiratory tract.2. Antihistamine preparations like Allegra can be taken for symptomatic relief.3. Montelukast, which is used as a maintenance therapy to relieve symptoms of seasonal allergies & asthma.4. Maintain adequate HY Chat Doctor. 5. Also make sure that you are well protected from cold, dust & other allergens. You can ask me any further query on this website using the below link: http://www.ChatDoctor .com/doctors/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am experiencing pain and weakness in my arms from my elbow to about halfway down my forearm. The pain is particularly noticeable when I try to pick and lift something up. I initially believed I over did It doing yard work but the pain is not improving and it s been at least a month. Taking Advil dulls the paid Someone mentioned to me that this may be carpal tunnel related? I am sick of chalking it up to old age. Any ideas?", "output": "Welcome to Chat Doctor I have gone through your query and understand your concern. It is more likely to be overwork related and conditions such as tennis elbow. I do not think it to be carpal tunnel related. In carpal tunnel syn Chat Doctor. But I advise you to consult your Orthopedic and get treatment accordingly. So you can treat it after consulting your Orthopedic. You can discuss with your treating Doctor about it. Hope I have answered your query. If you have any further questions then don't hesitate to writing to us. I will be happy to help you. Wishing you good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Looking to get a 2nd opinion on knee pain. Had an MRI done in Sept. Showed damaged muniscus and cartilage. Did 8 sessions of physical therapy. Helped by strengthening my leg due to walking with a bad limp. Continued to have pain so had cortisone shot in November. Now back to pain constantly", "output": "In its early stages, arthritis of the knee is treated with nonsurgical methods. Some of the more common options include changes in activity level, pain relievers such as acetaminophen or non-steroidal anti-inflammatory Chat Doctor. another treatment option is a procedure called viscosupplementation. In this procedure, a gel-like fluid called hyaluronic acid is injected into the knee joint. Hyaluronic acid is a naturally occurring substance found in the synovial (joint) fluid. It acts as a lubricant to enable bones to move smoothly over each other and as a shock absorber for joint loads. People with osteoarthritis (\"wear-and-tear\" arthritis) have a lower-than-normal concentration of hyaluronic acid in their joints. Viscosupplementation may be a therapeutic option for individuals with osteoarthritis as probably your case seems to be. There is a course of these injections for longer term reliefYour doctor may consider it if it agrees" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my daughter is 16 yr suffering from tuberous sclerosis on frisium 10 bd,enchorate chrono 500bd,keppra 750 bd other medicines for tuberculoma are Rcinex and benadon still seizures are there pl tell me need to increase dosage and tell me the side effects also", "output": "First be sure whether it is tuberous sclerosis or tuberculosis. .!!!anyway it must be tuberculosis as she is getting anti TB medications. As u mentioned she is taking three medications for seizures. But if seizures are persistent then optimizer the Chat Doctor. If still no benefit then try tab oxcabazrpine instead of valproate. Anti TB medications and valproate cause liver dysfunction. So taking both at a time needs close monitoring of liver functions (GOT, SEPT)." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had suffered from severe jaundice when I was 9 yrs old.. Due to that my liver got severely infected and became more tender & enlarged. Sometimes I have terrible abdominal pain due to which I cant even get up from my bed. Now whenever I eat something of outside, I feel that pain crawling up inside me. I want to know that is my liver getting terrible ? Will it harm me in near future ? Im just 17 right now..!", "output": "Hi, Welcome to Chat Doctor, After going through your history, you suffered jaundice possibly viral hepatitis 8 years back usually such hepatitis are self limiting and liver becomes completely normal after full recovery. In only some cases of chronic hepatitis like B or C chronic liver failure develops, so please visit your Physician or Gastroenterologist to test for any abnormality and test for viral markers if necessary and ultrasonography to detect any abnormality in liver. Pain in abdomen may be due to stones in kidney or gallbladder or disease of intestine itself. Please go for medical checkup and if any cause is detected it can be treated there is nothing to worry. Wish you good luck. Take care. Chat Doctor. M.D." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Sir i got problem of semen. my semen is 40% dead and its watery as wel. i use genetics pills for my hair falling and than i got a semen problem and my head is fully become bald as wel and im 24 year old. any idea and prescription please.Many ThanksIrfan", "output": "Degree understand your concerns went through your details. Semen is supposed to be in liquid state. It is sometimes thick and sometime thin. The average semen volume in an ejaculation is 2-5ml. Semen from one ejaculation contain around 40-600 million sperm depending on the length of time the ejaculation lasts and the volume of the ejaculation. You are pointing out that 40% of your sperm cells are dead, and it is watery. Have you consulted a urologist and got the semen report? If yes, your urologist must have given you advice on how to overcome the problem. Work with your urologist to solve the problem. If you are worried without undergoing urological investigation, the problem is just in your mind. I suggest you psychological counseling. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "It is not swollen. It hurts behind the ankle. It is tender to touch. It hurts when I walk, but not when I walk on tiptoes or if I try to keep my foot from flexing. Also, it is most comfortable when the tendon isn t tight behind the ankle (when my foot is pointed toward the floor).", "output": "Hello, It looks that most probably you have strained your Achilles tendon. You should do following to have relief in this:- Do contrast bath i.e. Alternate cold and warm fomentation over your affected area.- Avoid putting excessive strain over your ankle like excessive walking, walking upstairs or downstairs, etc.- Take a mild analgesic like Advil or sleeve for relief. Do this for at least 5 days. Take care. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 18, just got told I have asthma this year. I am on Asthmanex and Foradil and Ventolin. I was wondering when I should consider my asthma bad enough to go to er. Most times I put it off and say im fine. I dont have a peek flow meter or anything so I just wondered.Thanks Kristen", "output": "HelloSign you are an asthmatic patient and taking asthma, floral (frail) and Ventolin. All these are bronchodilator and anti-allergic. This indicate that you are having asthmatic allergic bronchitis and for your kind information this is a very common disorder in modern life due to so many allergens surrounding around us. These allergens are : Pollen, mite, fine dusting powder, sudden fall and rise of temperature, mold, pests (cockroaches) pets (cats and dogs in home) fumes, smoking (active and passive) . As all these are predisposing factors, so avoidance help great. Do these measures :Wash all bed covers in hot cycle every week. Treat carpets w/parricides or tannin acid. Keep dust-accumulating objects in dust cup board. Replace curtains with blinds or easily washable curtains. Use vacuum cleaner, Encase mattress, pillows & quilts in impermeable covers. Install air- conditioner or dehumidifier. When such patient visit I only prescribe them to take montelukast+ albuterol one or two tablets in day. All patients respond this treatment very nicely. No medicine except this. Hope this will help you. Take whenever necessary, stop once relief, recurs, use again. In my opinion there is no need of ER. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my husband has stag 4 esophagus cancer and it has spread to his lungs. he is scheduled for port placement next week. he eats very little and sleeps day and night. im so scared and know very little about what to expect. I dont really want to ask certain questions in front of him at the dr. appt. is this normal . please help me, no matter how bad the answer is.", "output": "Hello, Thanks for the query to Chat Doctor. Forum. Since you have mentioned that cancer 4 stage is there, but nature of cancer not mentioned in query. It spread to the lungs also, so this is the cause of concern. In my opinion the prognosis is not good (condition is not good). 2nd point, how much lung involved ? Nowadays treatment is very effective, as chemotherapy, radiotherapy, surgery, so consult an Oncologist and get his opinion. Good luck for your husband. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im 30 year old male. since i quit drinkn 5 years ago my sysmtoms have come back. I was on add/adhd meds from 5 to 15 yrs old. Then i started smokin pot & drinkn, now ive quit my old symptoms have started comin back & causing problems with m wife a daughter. Where i live dr s dont care bout people they just want your money. I need help & ive never abused drugs. Please call me at 850-227-8395, i can feel you in more,,, thanks Brad blackmon 0000 YYYY@YYYY", "output": "Hi. I understand your concern. ADHD is difficult to diagnosed in adult. It may be mimic bipolar mood disorder. Childhood history of ADHD can predict bipolar and other psychological disturbances. It may be Chat Doctor. Detail psychological work up and mental status examination can give more confirmation diagnosis. It is treatable but only after proper assessment. Medicines can help. Stop taking any " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello I am almost 18 years old and I think I may have COPD because I feel short of breath. It all happened at a friends house about 5 years ago and suddenly when I came home an hour later I lost my voice and got a chest infection. then It never stopped I still feel short of breath. Back then all my friends parents pretty much smoked. Ive had this for a long time. I do not feel fatigued or had any chest pains. I went over there everyday after school. Stayed for a few hours and left. Will I die? I m rather worried.", "output": "Hi COPD/chronic obstructive pulmonary disease has 2 main forms: emphysema or chronic bronchitis. Emphysema occurs when there is enlargement of air spaces due to destruction of the walls of some air passages in the lung. Chronic bronchitis is diagnosed if the person has a productive cough for at least 3 months in each 2 consecutive years with all other causes having been excluded. (You would need to have a mucus producing cough for 3 myths out of each of the last 2 yrs). Symptoms may include productive cough, breathlessness and wheezing. It is diagnosed based on history of smoke exposure and symptoms, physical examination. Blood test and imaging studies will need to be done if it is suspected by your doctor. COPD is not normally seen in young persons There are other causes of shortness of breath and your doctor will check for these. They include: anemia, asthma, lung infections, heart disease, inflammation of the lung, blockage of the upper airway such as the nose. You need to see you doctor to determine the cause of your symptoms I hope this information is helpful to you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "GM sir, My husband was infected with TB for abt 2 years back And now i am infected ...as i had a doubt ....we had a skintest for both of us and both our results were positive pls help us to get it cured", "output": "Hi Shari; Please write details of your complaints like if you have low grade fever;cough;loss of weight ;loss of appetite;any pain. The skin test you said is not diagnostic. First you need to find the symptoms ;then investigate like do a CBC;ESR;X-ray of chest ;If TB is seen in these reports along with the symptoms I described & if the skin test is positive along with all these then you can for sure that you have Tuberculosis;alone test of skin has no value. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "yesterday I started with lots if pain on my left hand that covered the middle, pointer and thumb fingers. The pain are covered from the middle finger down to the palm and ran down to a bit past the wrist, it traveled around the top of my hand like in a circle. My hand is weak cannot bend my 3 fingers, especially the pointer, and very painful. I have never had this kind of bro lemme before. Can you please assist with information? Thank you!!", "output": "Hello and welcome to Ask A Doctor Service. I reviewed your query and here is my answer. Is it pain or numbness as well? The pain in these fingers only shows that your median nerve is compressing somewhere. If it is only involving the area below the wrist, then it is most likely carpal tunnel syn Chat Doctor. Does your pain get severe or appear when you flex your wrist for some time like half a minute or so? If so, then you need a nerve conduction study which will confirm it. And for that you need to exercise your wrist in a way that flex it for few seconds, then extend it for few seconds. Keep doing it at least 10 times for 3 times a day or more if possible. Avoid activities which involves rotation of wrist joint like cooking etc. You may need some " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had my colon removed in May 2012 within a week after I had emergancy surgery for a twist in the small intestine .. every since Ihave had a severe pinching pain at the same side beside my Illiostomy.. I have had CT scans..MIR.. and the doctors have nothing.. they have given me Morphine that doesnt help.. Percocets .. they dont work and even Fentnyal patches all not touching the pain... an opinion would be great.. I dont know what to do..the pain is killing me.. Thank you.", "output": "Dear sir, it is hard to believe that all these medicines can't help you. Did they think of pastoral hernia? It doesn't need to be seen on CT. If you have such a persistent pain then revision of ileostomy should be done. Complete colon removal is a mutilating procedure and many complications can be expected, but the source of pain must be evaluated. Diagnostic laparoscopy can be preformed. But also this could be neuropathic pain, so you can consult with your neurologist what to take. There are medicines such as Lyrics which can be helpful. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HELLO MADAM AM MRS KAVITHA FROM RAJAJINAGAR.......I AM WORRIED ABOUT MY SON WHO IS OF AGE 10YRS AND IS GOOD AT HIS STUDIES AND IS DOING HIS 4TH STD..........HE SNORES AT NIGHT AND HAVE READ THAT IT IS NOT GOOD FOR HIS HEALTH SO THOUGHT OF CONSULTING PLS SUGGEST................", "output": "Welcome to the ChatDoctorI appreciate your awareness. Snoring in a child is a sign of obstructive sleep disturbance which needs an evaluation. Many a times enlarged adenoids or bad posture can be the reason in this age group. You may visit an ENT specialist for complete evaluation to rule out enlarged adenoids. Also, the following measures will be useful:1. Avoid thick pillows while he sleeps.2. Treat nasal congestion and cough or cold with antihistamine such as Spy. Mantra or T- mini.3. Keep a room humidifier if the season is Chat Doctor. 4. Normal saline nebulizations before sleep may be useful. Hopefully this will be useful. I would be happy to help you in future health related questions. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello. Im 52, taking medications to thin my blood because of congestive heart and afib. My teeth are in various stages of breakdown, inherited condition that I have been trying to address. I floss aggressively after meals and sometime in between meals as necessary. I use arm and hammer toothpaste with orajel and keep a tube of orajel handy to put on teeth and gums that bother me. Had a toothache in lower left quadrant and earliest dentist could see me is on a Monday. Toothache went away yesterday evening and my face was a little swollen and numb in the area of toothache. Woke up this morning and teeth feel fine but my whole cheek is swollen now. Only slight numbness in lips no where else, no redness or pain.", "output": "Hello and welcome. As per the history posted here it appears there is an abscess developed in your jaw.Therefore, please see your dentist soon. The numbness is due to pressure on nerve. Do not cover the swollen area. Do warm saline rinses and maintain oral hygiene. You can consult your Cardiologist now for deciding the suitable antibiotics and its dosage and immediately start with antibiotics and analgesics. Later on you can get the root canal treatment done upon meeting your dentist. Thanks. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi im 22, had unprotected sex and took a tablet of postinor 2 the following morning...i forgot to take the next pill ten hours later but took it the next morning after the last one but it was still within 72hr..my period has delayed 2 days and my breast are getting bigger..can it be pregnacy", "output": "Hi, Thank for writing to us. Since you had taken within 72 hrs, you need not worryPostinor 2(Levengestrel), it prevents 85-95% of expected pregnancy. Wait for 3 weeks. Changes in breast most likely due to Posting. If you does not get periods after 3 weeks, you need to go for urine pregnancy test. No need to worry, in your case you have very fewer chances of getting pregnancy. If you have any queries I will be happy to help you. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 33 year old female I weigh 139 and Im 53 i had a baby 3 months ago. Was completely healthy while pregnant and no blood pressure issues at all. Over the past several weeks I have been really worried about my health and it has stressed me out badly. Started taking zoloft 25 mg for anxiety at night. Last week I had blood work done because I have been getting light headed and very tired. My blood counts were good and no thyroid issue, sugar and iron were fine. They found a trace of protein and blood in urine and chalked it up to a UTI. Also had elevated liver enzymes of Alt was 98 and ast was 51. Cholesterol was 262 with LDL being 179, hdl being 74, and triglycerides being 54. My blood pressure at the doctors office was 124/90 while sitting, 117/79 while laying down and 177/81 while standing. I was very nervous an attributed that to the readings. Since then, I have been so worried about the elevated enzymes that it has caused me to stress. The other liver function test they did was normal and i didnt test positive for hepitits. Today my blood pressure was 134/100 and 2 minutes later it was 117/76. Im afraid my cuff may be going bad or something because how could it go down so fast?? Im super worried.", "output": "Degree understand your concerns. I went through your details. As your doctors said, nervousness is evident from the blood pressure readings. The condition becomes a sort of obsession with Hyperion Chat Doctor. But it is never actual. Whenever you see the sphygmomanometer, your BP rise. Obsession. Nothing to worry. Time shall take care of it. The more you measure your BP (another person should do it) the easier for the cure of this condition. Meanwhile, you should learn some lessons about your health, life, diseases, past future etc. Please post a direct query with every detail. I shall prescribe some psychotherapy techniques to practice. I assure good relief. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I woke up on morning an my abdomen was distended and I gained 18lbs in a month feel movement in my abdomen. Also I had a pregnancy test negative and vaginal ultrasound negative everything looks good from a ob/gyn standpoint; i also have a mirena in. i also went for a abdominal ultrasound which showed two gallstones. i have been having lower back pain pain in my abdomen midstomach to chest and below my right breast bone also right shoulder pain. I still have the movement in my abdomen like a fetus. My bowel movement have been a little constipated and on the thinner side as far as width and have lightened in color. also have high h-pylori which i have had in the past. and i also have been having troouble swallowing too.", "output": "Hi. Thanks for your query. Read your history and correlated it to two things. I have two diagnoses for you1. Pseudocyesis2. Gall bladder stone.1. Pseudocyesis : Means there is no actual pregnancy, but the patient gets all the signs and symptoms. This is confirmed by a negative ultrasonography. He is patient who has the extreme desire of having Motherhood again develops this sort of problem. No one really knows the reason and the exact mechanism by which this happens. Consult your Senior Gynecologist who has seen such more cases for counselling and further management.2. Gall bladder stones may be incidental, but you have a right shoulder pain, so a gall bladder infection / obstruction / can also be present. Plan a Surgery after the pseudocyesis is resolved." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have lower back pain and tried almost all types of treatments ( Allopathic / Accupuuncture / Physiotherapy) but still my back ache is as usual. I am taking NUCOXIA 60 MG one pill and the effect of pill lasts upto one week. I am a Software professional working in the same industry for last 7 years and suffering with back ache for last 5 years. Please help me.", "output": "Hi, Welcome to Chat Doctor. Probably you are suffering from simple backache. It is generally due to muscle and weakness. Exercises and analgesics is main treatment. You continue with Nicosia as it gives you 7 days analgesic effect. Regularly do back exercises. Sometimes pain is due to deficiency of Vitamins specially VITAMIN D. So got vitamin D3 level and if it is deficient than supplement it. I hope this will be helpful." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, my 15 months old son got his vaccination done 2 days ago for Chickenpox, MMR and Hib and Prevenar, in 2 shots, one in each thigh. later, i have observed that there has become a big marble sized lump on of his thighs, with pinkish red skin all around the injection spot. Please tell me what it is and is it dangerous? How to cure it?", "output": "HI, Dear,Thanks for the query to Chat Doctor.1-I have studied your query in depth.2-IN my opinion, this red skinned post-injection thigh lump, is a post-injection cellulitis-a normal reaction to such vaccines.3-I would advise you to -a-Cold compress if for a day b-Show it to your doctor who would give NSAID -Syria he is a child of 15 myths. And c-antibiotic syrup -SOS, if doctor suspects-early abscess with post-injection infection.4-Hope this would solve you query to your satisfaction.5-Wellcome for more queries to me On Chat Doctor.6-Thnks once again for your inquisitive query. Have a Good Day.!!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I got my wisdom teeth removed about 2 weeks ago, but I dont know if this plays a role in my issue. I bit my cheek really hard about 3 days ago, and I have been moving my jaw around more often than usual. Today the inside of my cheek is really swollen and it kind of hurts and I cant chew food on that side.", "output": "Hello, Thanks for your query. Your cheeks get puffy and swollen after your wisdom teeth are removed because your body is going through a process that will help heal the damaged tissue. Getting your wisdom teeth taken out can be a traumatic experience for your body. It responds by trying to heal the extraction site as quickly as possible. Inflammation and swelling helps this healing occur. It is important to know that the swelling is a normal, healthy response that your body is mounting due to the trauma from the extractions. The puffiness and swelling will start to decrease approximately three to four days after the wisdom teeth extraction and should completely subside about one week after the extractions. Heat applied on the third day after surgery can help reduce cheek swelling. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor, My mother is 88 years old. She had a very tough life all along. She didn t get along with my dad who neglected her pretty much and didn t take care of her. My mother being a middle school teacher raised us independent and strong. Now both parents are living with my sister who takes care of them. My mother is a very frail health. SHe hardly can walk. But she is so angry and impatient with everyone in the home, always shouting at my father, cursing him, complaining about him. She also can not stand when my sister and her husband go out for fun or any get together. Its so painful to watch her in this condition She takes Nexito and Admenta these days. Is there any prescription medication that can help her to be positive, clam and tension free. Please advise. Thanks in advance.", "output": "Hi dear, at this age anger and disappointment is treated with medicine but first it is necessary to know underlying cause. What kind of insecurity or thoughts she has and why she behaves like that. For proper diagnosis detail history and mental status examination is must. What about her memory?at this age brain atrophy occurs and so such behavior problems also rise, and so we need to differentiate such condition from depression. There are many medications now an available to calm like pride HY Chat Doctor. Consult psychiatrist and discuss. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here...I am on the yasminelle contraceptive pill, now on my fourth month. About a month ago and again this week I have woken up with severe abdominal pain in upper, centre of abdomin. I do belch regurlarly too. Could this be anything to do with the pill?", "output": "Welcome to Chat Doctor .1. No, it doesn't look like its because of the pills you are talking.2. There are quite a number of reasons for the abdominal pain - renal stones / bowel problems / pancreatic causes / stomach a go on.3. So get an appointment and let your doctor examine where exactly the pain and if needed doctor may indicate an ultrasound abdomen pelvis, which will rule out many causes and helps in narrowing the diagnosis.4. Belching i don't think it will cause similar symptoms,5. Hope it helps you. Anything to ask ? Do not hesitate. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello my right side hurts bad its not abdomen area its up more and it hurts so much more to lay down or take deep breaths but its the third day Ive had it and this time the pain kept me awake i dont have insurance until next week btu i want to go now it hurts.", "output": "Hi ! Good morning. I am Chat Doctor. A pain of the intensity you have described on the right side upper abdomen and under the ribs could be due some pathological process in the hepatobiliary system. If I were your doctor, after a clinical examination I would advise you for an ultrasound of abdomen to rule out a gallstone cholecystitis, or an inflammation in the liver. Further management would depend on the clinical findings, and reports of the investigations. As your pain is high in intensity, I would suggest you to go the ER of the nearest hospital to get assessed and proper immediate management of your pain. Any elective procedure could be done after you get through your insurance papers and depends on your doctors' advice as well. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i last had sex about 2 weeks ago and i am due for my next period in 10 days, so have not yet taken a pregnancy test, but i feel like strange and baby-like maybe going on in my stomach, so i was wondering if there are any sort of natural ways which i could ensure that no foetus continues to develop?", "output": "Hello, I have gone through the query and understood your concern. If you have regular 28-30 day cycles, you had the intercourse during your safe or non-ovulation period. Hence, your chances of conception are nil. There is no need to do anything to avoid conception. You can safely wait for your next natural period. Please do not stress since stress and anxiety can alter the menstrual cycles by disrupting the hormone milieu. Hope you find this information useful. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter is 22 years old. She was fine until august, 2012, she was admitted into the hospital for a virus. She was dehydrated and blood pressure dropped very low. She was overloaded with fluid and had to be transferred to a bigger hospital. She has had tremendous amount of pain in legs, wrists, complains now of headeaches and memory loss. She was diagnosed with fibromyalgia but now her reumotologist is testing for lupus. Could this have occurred from fluid overload or do you think it was already in her system", "output": "Hi, thanks for using Chat Doctor Fluid overload can cause symptoms such as swelling in the arms, legs, abdomen. It can also result in the accumulation of fluid in the lungs which would cause shortness of breath. Fluid overload would not cause fibromyalgia or contribute to the development of autoimmune diseases such as lupus. Blood tests would be able to determine if lupus, RA or any of the other autoimmune diseases is contributing to her symptoms. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i was with a man for ten monyhs and just found out he was smoking crack,we had sex and his scrudom was red and dry and wrinkley hard crusty,he said it was from sweeting.does this sound right,of course i am not with him but really grossed out please help", "output": "HelloLooking at your description this could be related to chronic infection, occupational exposure or may be caused by hyperkeratosis would like more information to guide you better His age and any relevant medical historian history of rashes or discharge from penis? Since you are not with him so need not worry. To be on safer side I would advise you to consult your doctor for a battery of tests to rule out any STI like urine culture and V Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my daughter had minor surgery on the underside of her foot 5 months ago that still has not healed. The cut is over 2 cms long, uninfected and the sides have remained apart for this time. She has been offered further surgery under a general anaesthetic but really does not want to go down this route after being told there is no guarentee that this will work either. She is fourteen, has been using crutches for this time and not been enjoying life. Her consultant just says come back in 6 weeks when we visit and suggested I take away a crutch, leaving her in agony when she puts weight on the wound. Please can I have any advice?", "output": "GreetingsWelcome to Chat Doctor. Wound remaining open for 5 months is a very long time indeed and I completely understand how much pain you daughter much be feeling. Well here it is important to know here what surgery was done initially so that the underlying problem can be identified which could be causing the wound to remain open. Secondly to really find out if the wound is uninfected you will have to visit you doctor because infected would doesn't necessarily mean lots of pus. As far as the advice of you doctor is concerned to undergo a surgery, I say it would be a wise decision because no matter what medication your daughter takes or how clean you keep the wound, the wound will not heal if the ends of the wound have not been approximated. This will quickly start the healing process with very good antibiotics with broad spectrum coverage. She might be reluctant, but if you counsel her that surgical intervention again has good chances of healing your wound, I am sure she will be ready. After all It's going to be under general anesthesia and she wouldn't feel a thing. I hope the answer was helpful. In case you have any further questions feel free to contact in writing. Regards. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Can you help me please.I have very big problem with my teeths,I didnt treat them right from my early ages.They are in a mess now. I was reading about dental implants so I am about to explore more about it. If you can tell me something what can help me to decide. Is it good or bad? How long the implants can last.I am 20 years old and my bad teeths make me feel so uncomfortable to be in my skin,I really want new teeth so I can have always a big smile and confidence. Also I would like to know does the implant look naturaly? And how much would it cost ,I would like a total treatment ?", "output": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your query in case if you have bad/ decayed teeth then treatment is decided depending upon the severity of decays as well as whether there is need to extract the teeth to place the implants or the teeth can be conserved with treatment. As far as implants are concerned, yes they are among the best treatments in case if you lose your teeth and looks more natural as compared to other fixed treatments like bridges and crowns. The charges depend upon the type of implants as well as the region where you are put up. It is however in a range between about 10,000 to about 15,000. In case if you do not have any medical conditions or bone elated problems, implants tend to last for long durations of about fifteen to twenty years. My suggest for you would be to consult a dentist and get evaluated and if you have multiple decayed teeth get a full mouth x-ray done. Once the x-ray is done you will be advised appropriate treatments, and it will be better to get your natural teeth conserved with treatments like root canal treatment. In case if any of the tooth needs extraction, then considering your age it will be best to go for implant placement. Hope this information helps. Thanks and regards. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi I am trying to get pregnant and I was prescribed provera for ten days my cycle came on and the ten days are up. Me and my husband have not used a condem since then. My question is how long would it take to get pregnant after getting off of provera ?", "output": "Hi, Provera contain progesterone and use in person who have luteal phase abnormality. Treatment response is variable. You can use it for 4-6 months, but make sure that ovulation and ovarian follicle study is normal. It will make uterine environment favorable for implantation and support pregnancy. You can start folic acid tablet also. Avoid stress, take healthy diet, Chat Doctor. Hope this may help you. Contact further if follow up needed. Best regards," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have PCOS, i was taking Ovafar tablet from 3rd day of my period to 7th day. Each day a tablet.I did home pregnancy test positive. Consulted doctor she also confirmed that i have conceived.She gave me Ecospirin 75, stero-p 200 , Folygel to be taken. I was followed and taken same. But within a week i was bleeding, then my doctor prescribed TRAPIC to stop bleeding. But bleeding didnt stopped. It was increasing. Finally i got miscarriage. even i was in full rest. I didnt travel any where. kindly suggest the reason behind this why i got miscarriage ?", "output": "Hi, I have gone through your query & understood the concern. POD is a problem in development & maturity of Graffias follicle to form an Ovum. You had taken Ova far. Which stimulated maturity of ovum. & its release from ovary. You conceived , the test was +ve, but ultimately it was aborted. Actually you were given proper treatment for maintenance of pregnancy. Still it happened. I seem to be a blighted ovum, where fertilization takes place.but embryo is not formed because it's just a chemical pregnancy which can not grow in fetus, & gets aborted.& this can happen with any pregnancy It need not repeat.& POD is not supposed to be its cause. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i hav a 11 yrs old daughter who got disabled at the time of birth due to cord rounded around her neck. her survival was not complete and now she is a special child. she is completely bed ridden and dependent on liquid or mashed diet. she is bed ridden can not hold her neck and also feels fits. she passes stool after 6-7 days. she is on medicines like revotril drops, tab topamax.kindly suggest balanced diet for her particularly to keep her fresh and avoid constipation", "output": "Hello dear! I can understand your concern as I am a mother too. It feels heartbroken to see your child in misery. I would advise you to make a diet chart based on her caloric requirement according to her current weight and considering the ideal weight at this age. Suppose at this age, she should have a weight of at least 35 kg, which I am sure she wont be. So you should start with LEAST 60% of the required calories of this weight that is 1800 calories (60% would be around 1000 calories)I am making a sample of diet chart which you can give to her and gradually increasing calories. Starting from 8 am give her whole egg in the form of a pur\u00e9e made with poring egg in about 5 ounces of boiled milk and gradually stirring with a whisk.it will be like a custard. Add in 2 teaspoons of sugar and a Chat Doctor. At 10 am you can give chicken stock made with about a 100 gm of chicken in water with selected spices like black pepper or paprika and salt, whichever she likes.it will provide around 150 calories save the meat of chicken and blend it with a cup of wheat cereal with a little stock if remaining)it will provide around 250 calories. At 12 noon you can give about a cup of rice pudding made with 4-5 ounces of boiled rice and 8-10 ounces of milk with added sugar if she likes and a cardamom to enhance the flavor. It will provide around 200-250 calories.at 2 pm you can give her mashed veggies like a mashed potato medium-sized.you can also grill with butter and sprinkle some salt and then mesh it with chicken stock or milk or anything you like. It will provide around 150 calories and with added butter and stock around 250-300 calories. At 4 pm repeat the wheat and chicken stock (wheat cereal/oatmeal is high in fiber to avoid constipation). At 6 pm give her banana shake.2 bananas in 5-6 ounces of milk, it will provide around 200 calories. At 8 pm give her lentil soup (about 100 grams) with selected spices. It will provide around 250 calories in almost a cup of 5-6 ounces. At 10 pm repeat rice pudding At 12 midnight give her warm milk about 5-6 ounces with a tablespoon of olive oil. It will enhance the calories and relieve constipation. Hope it will help. You can always make variations in the diet with the choice of ingredients. Wishing your child good health :-)" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my father is having hicups, and burps since the last 2and half days . We showed him to our GP in India , who has given him an injection and has also done a chest xray. The reports show that his left lung/diaphgram is raised. Sorry we dont have the report with us as we are overseas. Please suggest He is 69 years old,weight approx 60kgs, height about5ft 5inches.Is diabetic , has blood pressure and gout. Since the last 3 days he was on antibiotics for throat infection", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Elevated left sided diaphragm on chest x-ray can be due to 1. Pulmonic effusion 2. Splenomegaly. Both of these can cause diaphragm irritation and this intern causes hiccups, burping etc. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Ultrasound examination of chest for pleural effusion 3. Ultrasound examination of abdomen to rule out splenomegaly. If it is effusion then he will need aspiration of pleural fluid and fluid reports to identify the cause. If it is splenomegaly then get done blood tests to rule out malaria, dengue etc. Don't worry, he will be alright. But first diagnose him and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wishing good health to your father. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband had knee surgery in Jan chest xray was clear, he had another a week ago and the surgeon said there was a \"spot\" on his lower left lung and he is going for a ct scan tomorrow, he has been having headaches mri on head was clear, he also has type to diabetes and diabetic neoropthy, he is a smoker, has not been sick at all, what could be causes of the spot", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Since your husband is diabetic and active smoker, we should definitely rule out lung cancer and lung infection for his spot on chest x-ray. Diabetes decreases lung defense system and so makes individual prone for lung infections. Smoking is the biggest risk factor for lung cancer. So get done CT thorax and bronchoscopy for the diagnosis of lung cancer and lung infection. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello my name is Umair and i am livin gin pakistan, i am 29 years old 5 feet 10 inches in height, recently facing hair loss issue and most importan factor that i am suffering form psoriais, my need to ask if there is any thing that i can do as sometimes i m having scaling on my scalp as well, please guide me for any treatment", "output": "Hello. Thank you for writing to upscale psoriasis presents as red, scaly patches. Scaling can be thick, adherent and psoriasis involvement of scalp may be associated with increased hair shedding. If I was the treating doctor I would suggest you to use a coal tar+salicylic acid based shampoo, daily or on alternate days. Topical, for the scaly patches you may use a potent topical steroid with salicylic acid in a lotion form. Scalp psoriasis responds remarkably well to topical steroids. Besides psoriasis there might be another reason for hair fall in males e.g. an Chat Doctor. In an" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Okay this is difficult explain. i have gerd and had several abcess s in my teeth repeatedly for year. Anyways, they have recently been fixed. But shortly fterwards ive had a weird feeling in my left chest. Its a constant discomfort and it s like my chest itches on the inside. Theres always pain or trapped gas, but only in the top left chest. I guess im just worried my abcess s traveled and was wondering if this sounds like anything", "output": "Thanks for your question on Chat Doctor. I can understand your problem and situation. GERD and teeth infections are common cause for aspiration and lung abscess. It is due to micro aspiration and HERD can cause constant micro aspirations. This can lead to aspiration pneumonia or lung abscess. So possibility of these are high in you case and your chest discomfort and itchy feeling can be due to these. So get done chest x-ray to rule out all these. If chest x-ray is normal than no need to worry much. Start treatment for HERD. Don't worry much, you will be alright." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am finding it difficult to breathe for past couple of days. I feel as if am short of oxygen and tends to take deeper breaths and keep yawning. I smoke around 5-6 ciggaretes a day and am a working professional. What can be the reason and cure for it.??", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. By your history and description, possibility of bronchitis is more. Cigarette smoking is the most common risk factor for this. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. PUT (Pulmonary Function Test). PFT is must for the diagnosis of bronchitis. It will also tell you about severity of the disease. And treatment of bronchitis is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS). Quit smoking as soon as possible. This will help you more than Chat Doctor. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was told today that I have to have surgery done I do have spinal stenosis but there are a couple questions that I have that I am really concerned about one is will the pins and rods stay in Forever? And if I don t have the surgery what will happen if I don t have the surgery", "output": "Cellophane you for trusting ChatDoctorDear indications for spinal stenosis is 1. Your symptoms are interfering with your daily routine and negatively affecting your quality of life2. You have not experienced acceptable results from nonsurgical treatments after many weeks or months3. Your physician has clearly identified the source of your spinal stenosis and explained how it could be treated by surgery4. You are completely comfortable with the surgical plan, understand the potential risks and are otherwise in good physical health5. In rare, emergency instances, you experience severe symptoms like paralysis, loss of bowel or bladder function or sudden, severe numbness in the extremities. Dear if you won't undergone surgery then there is chance of migration of your symptoms with bladder and bowel dysfunction.Finally, lead paraplegia. Chances of recovery after surgery 80% and up to 60%patients symptoms are elevated. Still have questions please consult your doctor he will examine and treat you accordingly. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my son has had little welts all over his body for the last 2 days...he doesn t have a fever and it doesn t seem to bother him, but last night he started vomiting and then so did i. and i still don t feel very good. do i need to take him to the doctor or will this pass?", "output": "Hi, Had he taken any food items other than usual? Any history of atop, like eczema or wheezing in the past? Welt indicates some form of allergic reaction, which may be associated with vomiting if there is mucosal involvement too. Many times we will not find out any specific cause. If he is otherwise active and playful, and not associated with breathing difficulty / strider / swelling around lips and eyes, you can give antihistamine like HY Chat Doctor. Calamine lotion application over welts can have a soothing effect. If not getting down in 2 days or the above said features are present, kindly take him to doctor as he may need steroids too. Meanwhile, give frequent feeds in small amount, to improve retention. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "heart problem my 45 yr old mom has idiopathic pulmonary hypertension and stage 3 heart failure along with sleep apnia she has been habing a very hard time breathing the past two days more than normal. im getting very worried but she says theres no need what do you think", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Yes, you should definitely worry and concern about your mothers breathing difficulty. She is having idiopathic Pulmonary hypertension (PH) and sleep apnea. Both these can cause right sided heart failure and this can cause Pulmonary edema and breathing difficulty. If not treated promptly, this can lead to serious complications. So better to consult pulmonologist and start treatment for PH and sleep apnea. She may need diuretic, anti PH Chat Doctor. So, don't wait at home, take her to the hospital and start treatment. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I herniated my disk at S1 L5. I have no pain but numbness in my foot and can not stand on my toes on that foot. Its been 2.5 weeks and I had a pain specialist recommend cortisone shots. Is that something to really consider or should I ride it out for a few weeks and see if the feeling comes back", "output": "Hellowelcome to ChatDoctorwell cortisone injections are given in epidural region to receive surrounding inflammation n this procedure is also called as EPIDURAL BLOCK....it will certainly provide relief from the pain you are suffering from BUT ONLY FOR A LIMITED DURATION and it's not a good option to get repeated epidural blocks to get relief from pain...a more natural way to get relief from pain is to LEARN N DO SPINAL EXERCISES FOR STRENGTHENING OF YOUR BACK MUSCLES, it will also do a lot in providing long term relief and if you commit yourself to do these exercises regularly for long term then it will do heavens good to your back problem....you can visit a physiotherapist who will make you learn the spinal exercises you need....regardsChatDoctor" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i need helpi have recently had a periond around the 19th of june it lasted for the normal 3-4 days and then i noticed that i came on again on the fifth of june...i had been trested for chlaymidia and had a sexualy intercourse usin an condom ...i am also experiencing clear/white discharge frm both of my nipples i also havent been feelin like myself and its very easy for me to catch a headach...i often experience split second dizzyness while working...could i be pregnant if so when so i take a test", "output": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. As you have received the period in short span of time it must not be pregnancy. But you can confirm it by rapid test. The test is reliable after the two weeks of pregnancy. I think you must be having some kind of tumor in the brain producing the hormone responsible for milk discharge form the breast. Prolactinoma is the most important one responsible for such symptoms. You can do CT San of the brain along with serum prolactin level. For you the final treatment option is the surgical removal of the tumor. You can take the diclofenac and pantoprazole tablet for headache as and when required under your doctors' guidance. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 88 yr old wife, post stroke on 01/09/2018 is being given trazodone in a rehab facility. her evening or resting hours are filled with insomnia, anxious behavior, restlessness , confusion, thus not much solid sleep. She is also on a blood thinner and has afib,a valvue issue and CHF. I believe this is not a good match, she then is weaker, not connecting the dots and very drowsy most of the day. What do you think of this as a sleep aide", "output": "Elderly patients are more likely to suffer from chronic insomnia characterized by difficulty maintaining sleep than difficulty initiating sleep. Management of insomnia in these patients requires very careful evaluation and exclusion of an underlying medical or psychiatric condition. Nonpharmacologic interventions in elderly patients, especially use of behavioral therapy, have demonstrated some successor can discuss newer medications with psychiatrists Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "a huge lump appeared on my arm just under my wrist very sore painfull didnt hit my arm or hurt my arm in anyway it come up at 8pm i went to sleep lump still there woke up at 5am lump tottally gone but left with a huge black bruise which is getting darker every day instead of getting better", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have some insect bite or edema due to inflammation. It will come back to normal within few days. No need to worry. If it remains persistent then consult your doctor and take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been diagnosed with type 1 Arnold chiari in July 2011. I had balance issues could not walk without a frame for two months. Hospitalised for a month. Swallowing , speech and tingling and numbness down left side of body. Also bad headaches which lasted months. Don t sleep we ll. most symptoms have gone now apart from occasional headaches and nightly numbness in hands. Neurologist says it is nothing to do with chiari and that I have functional disorder of the central nervous system . I am not convinced. Chiari is 5mm herniated. What is you opinion?", "output": "Hi there ~ As a psychiatrist I can tell you that you are having neuropathic pain symptoms from the Arnold Chiara malformation. It is not untreatable. There are various Chat Doctor. Lyrics is one of them and there may be more in the market and better ones. I hope you consult your neurologist to see if he has anything in his basket to help you out. I hope this helped. Take care and have a lovely day !" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I ve experiencing a Sinus infection, with swollen tonsils, earache, and a sore jaw. I also notice that it seems my wisdom teeth are slightly cutting thru. I do not feel any pain in my teeth. My throat is really sore and since I ve been gargling salt water for days, the swelling in my tonsils have gone down a little. Do u think it s just a bad sinus infection or it s all caused because my wisdom teeth might be coming in?", "output": "Ello, Welcome to Chat Doctor, The symptoms of sinusitis are related to inflammation and congestion of the sinuses with or without an infection. There are many organisms that are causing sinus infection. For your symptoms I would suggest you to follow1. Warm facial compresses applied for 5 to 10 minutes would encourage Chat Doctor. Oral anti-inflammatory painkillers such as ibuprofen would reduce the inflammation and help with any facial pain3. Oral anti histamine combined with decongestants like Zyrtec d, Allegra d will help. Topical decongestants are normal saline or striving, both are available over the counter, you can try the striving first if it is available.4. Steam inhalation would also help with " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had a migraine/headache for over a week straight. I suffer from them & have tried numerous preventatives which I thought were working. I cannot lay on my stomach & lift my head up without pressure. My speech hasn t been 100% lately. I mix up my words, say one thing but mean another & often times I have to stop & start over. I ve always been an awful speller but lately I cannot even sound words out properly to type them and its frustrating. About a year ago I had an MRI done which showed a lesion in the white matter of my frontal lobe. My nuerologist said it was normal. I m concerned that there is more to it. I keep giving my old phone number & zip code when asked & its been a good 5 years or more since those have changed. Is this normal?", "output": "Hi, Thanks for writing in. White matter lesions in frontal lobe are seen in many people in the elderly age group. Since your age is not mentioned, I guess you are in your middle age or elderly. The frontal lobes are most severely affected by subcortical vascular ischemia. In this there is reduced blood supply in the specific areas of the brain and these are more abundant in the frontal region. It is not a serious finding and your doctor might have considered it as a part of normal aging changes in your brain and therefore mentioned it as normal. Such findings have been associated with frontal hypometabolism and executive dysfunction. There is reduced nutrition to these parts with decreased cognitive functions and probably speech at times. The memory problem relating to saying your old zip code shows that you have an intact long term memory, but your recent memory is affected at times. Please discuss this with your doctors, and you might like to remember things using other methods like writing down important things on a piece of paper." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here... I have a lump near my anus that extends up to the gooch. I had unprotected anal sex with my boyfriend about two months ago but it wasnt a sudden swelling, it has been gradual. Every time my boyfriend rubs it during sex it swells up a bit and is a kind of purple colour. However, it doesnt hurt in the slightest. There is no visual cut that I know of and it is the size of a grape. What do you think it may be?", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have some hemorrhoid (piles). You should go for examination. Take plenty of water and high fiber diet. Avoid constipation. Permanent treatment is surgery. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Last Tuesday I had my gall bladder removed day surgury . On Friday I awoke with a hugh black and blue 8 inchest by 8 inches on the rifgt side of my stomach. Today, Saturday this black and blue has gotten larger to include my groin area. Is this alright ? The reason I am asking you is because my surgeon is away on vacation.", "output": "Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. This is not concerning. This happens due to subcutaneous hem atom in abdominal wall due to laparoscopic instrument placement of small vessel injury. You need to apply cold compresses, heparin gel and rest. Take nosnetroid painkillers. There is no danger of such hematomas. This will full back in 2 weeks. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi there, i have various symptoms, i have irregular heart beats but no real heart diseases, i have very irregular and weak urination symptoms, very weak and tired, and have gained about 4 kg in couple of weeks even thoughi eat less then my 2 year old, lower back pain, breathlessness. I am scared that it may be heart failure or anemia with blood loss. My stomach seems slightly rounder then normal, is there distinctive signs for anemia with blood loss as the cause", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have some anemia due to blood loss or some other reason. It can lead to breathlessness and congestive heart failure. You should go for ultrasound abdomen and anemia profile to search the cause. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My baby died two days after birth. His body gets extremely red 6 hours after birth and converted into red spots. his weight was 5 lb. it was 3 weeks preterm birth due to lake of water. what should we care for next baby....and when should we plan for next baby!!!!!", "output": "Hi, Thank you for asking question on Chat Doctor. The red colored spots may be due to capillary fragility because of preterm delivery. You may go for next pregnancy whenever you wish. Be under supervision of an obstetrician right from conception till delivery. Hope this answer will serve your purposeless feel free to ask any more queries if requiredTake care Chat Doctor. V. Subrahmanyam MD;Disassociate professor of pediatrics" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here... my 10 year old son had a fever the other day then yesterday there were red itchy and painful bumps on his palm now on his soles. does it have something to do with her sister who is currently with chicken pox? he was infected with chicken pox when he was 6 years old", "output": "Thanks for posting your query to Chat Doctor.Chicken pox rashes are multiple to appear in crops and very painful t, they are fluid filled . Rashes involve whole body start from chest and spread to limb and other body part.rashes appear 3-4 day after systemic feature like fever and respiratory illness .so if child do not suffered mentioned fever it could be some other kind of infection. So you can contact to your pediatrician and take treatment .hope this information will be sufficient for your query .rate me if you are satisfied with my answer .feel free to ask." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my blood report is normal ?Haemoglobin =13.2 gms/100 c.c.s glucose F (normal 70-110 mg%)= 72 , bilirubin (total 0.2-1 mg%) = 0.98 , SGOT( normal 8-40 unit)= 44 , SGPT (normal 5-35 unit) = 50What is SGPT?how does this affect the humanbody?does it harmful", "output": "HelloYour findings suggests mildly increased SGPT. Serum lunatic Pyrrhic transaminase(SGPT)is an enzyme that is normally present in liver and heart cells. SGPT is released into blood when the liver or heart are damaged. Liver related increased SGPT may be due to many reasons like hepatitis, alcohol intake, altered lipid profile, medicines,autoimmune causes etc. Increased GOT may be due to many reasons, it is non-specific. You need few other investigations like viral markers, lipid profile and ultrasound of abdomen.SGPT also increases during heart attack. It needs clinical correlation in your case. You may need to take some medicines after proper evaluation. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi there,I have just cut myself with a sharp nail which was slightly rusty under a table in a coffee shop!After it happened, there was a streak of blood but soon after that it looked a bit red and inflamed. I simply licked the wound and put a band Aids on it until I reached home.What kinds of risks are there? HIV? Tetanus? Please help", "output": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand. As per your complaint getting injured with a rusted nail can have a risk of developing tetanus, not always necessary but there can be chances while chances of having HIV are very rare and almost will until someone is unfortunate enough that the nail is contaminated with the blood of an HIV positive or AIDS patient. You need not worry and get a Tetanus Toxic Vaccine injected for safety and prevention. Clean the area of the cut with antiseptic solution and apply triple antibiotic ointment and a steroid ointment over it, and then you can bandage. Limit water exposure to injury site for faster healing. Hope this information helps. Thanks and regards. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi there, I had tonsilitis a few months ago and since then i have been getting small (never bigger than a pencil eraser) red, slighty raised, dry flaky spots on my arms and legs and sometimes face. I usually have dry spots on my face in the winter but now it is on my extremities. They arent itchy. Any idea what it could be without looking?", "output": "Hi, It seems that you are having mutate psoriasis. You are having history of tonsillitis. Guttate psoriasis is a type of psoriasis that looks like small, salmon-pink Chat Doctor. In your case there is history of tonsillitis. The eruption of the lesions on the skin usually happens few week to few months after the infection. Guttate psoriasis may clear completely following treatment. Sometimes, however, it may become a chronic (lifelong) condition, or worsen to the more common plaque-type psoriasis. There may be pain, secondary infection or severe itching... The disease may heal by itself, if you have mild form of disease. Local steroid and oral antibiotics may be needed. If you have severe mutate psoriasis, you may take medicines to suppress the bodies immune response. These medicines include corticosteroids, cyclosporine, and methotrexate. Sunlight may help your symptoms go away. Be careful not to get sunburn. You may choose to have phototherapy. Phototherapy is a medical procedure in which your skin is carefully exposed to ultraviolet light. Phototherapy may be given alone or after you take a " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hii I was suffering from jaundice from last one month.but now i am properly fit my all reports are ok and under control.now i want to know when i start my gym back and what to eat properly like chicken and my protein shakes. now i am start taking normal meals.m waiting for ur response.thanks", "output": "Hi, dairy have gone through your question. I can understand your concern. You were suffering from jaundice. Now you are ok. You should check your liver function test. If SGPT and bilirubin is normal, and you are fit then you can take your regular diet. But avoid alcohol. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a kidney stone that is 5mm since wednesday. I havent had a lot if pain today but i have blood in urine and a pressure feeling in abdomen still. Also i have been pooping mucus with blood in it. Is this normal with kidney stones or is it caused by the medicines? I am on toredol, oxycodine, flomax and ibprofine", "output": "Hi, Let me start my answer with a small description of the kidneys, ureter and urinary bladder. The collecting system of the kidney is made of renal calyxes and pelvis. This collects the urine formed in the kidney and transports it through the ureter (tubes connecting kidneys and urinary bladder) to the urinary bladder. I guess that you have got an ultrasound scan done, and it show shy Chat Doctor. Since you have a 3 mm stone in the ureter, it is possible that the stone is now in the lower part of the ureter. This is causing an obstruction and please " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My father is having parkinson for the past 17 yrs. He is now 73. The following are the drugs he is taking Syndopa 110 = 6Am-10AM-2PM-6PM Syndoppa CR = 8AM-8PM Urimax F = night Waklert 50 = morning One aspirine tablet (myogrel 75) - noon Morning he is able to walk .. but by noon .. he could not walk and not able do anything with out any others help. At night things become worst .. his thigh muscles becomes stiff and very painful so that he could not sleep.. What could be the reason?", "output": "Hello, Thanks for the query, I understand your problem All these symptoms that you have listed are mostly related to Parkinson disease itself. This is the natural history of the disease. The fluctuation that you have mentioned could be related to OFF period after syn dopa that generally happens in patients with this disease. He would require further dose adjustment of his medications after careful clinical examination. Further, I will like you to tell that there is another option for treatment of Parkinson disease called as DEEP BRAIN STIMULATION. You need to consult a movement disorder specialist (Neurologist with advanced training in this disease) for the same. I am sorry that I do not know your location. If you are form India, the centers that will help you are 1. The Free Chiara tribunal center, Driven Chat Doctor. SIMIANS Bangalore 3. AIMS Hyderabad etc. Best wishes" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my right leg is much weaker than my left, and my balance is not very good, also my legs ache all the time, i have had MRIs. and show that nothing was wrong , i am taking Fenofibrate and since i have been taking it my legs seem to ache worse.do you have any suggestions as to what might be causing this .", "output": "Hello, I have studied your case. Fenofibrate will lower bad cholesterol/triglycerides. LDL cholesterol is not good for vessels. Yes there are side effects of this medicine which include muscle pain. Musculoskeletal pain aches and pains in the extremities, joint pain and arthritis, and backache have been reported. Other common side effects includeConstipation, stomach/abdominal pain, gas, nausea, and vomiting may occur. If any of these effects persist or worsen, then consult your doctor. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I m getting a bit concerned about my heart a few weeks ago I was jut sat watching tele and my heart just nearly lept out of my throat I went to my local walk-in center because I had a severe panic attack I am now on medication for indegestion and propanalol for panic attacks but the tablets for the indigestion are not working I m suffering with the heart thumping as I m writing but the doctor said my hearts fine can you help I m so worried it could be more serious", "output": "HI, thanks for using Chat Doctor An ECG, thyroid function blood test and a complete blood count would be able to assess the palpitations to see if there is any cause related to either of these 3 areas. If these are normal then this may mean that there is no organic cause and the increased heart rate is related to your panic attacks. If the tablets for indigestion are not working then you may want to see your doctor for another one that may work better for you. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, my grandmother suffered from typhoid(thats what the doctor says) last month and she has been on bed since last 1 month. She cant move 1 of her hands and unable to open both her eyes(she can open 1 eye and rarely opens both eyes). She has been sleeping since last month and is completely bed ridden.She rarely opens her eyes and is always sleeping.The doctor said that some veins in her brain have shrunk(even though he never conducted mri or ct scan to conclude that) and said that it will take a long time to heal if she ever recovers. Can you please provide some guidance?", "output": "Hello. Thanks for writing to Chat Doctor. I read and understand your question very well. I try my best o help you. Typhoid have symptom like diarrhea, omitting, fever which increase day by day, abdominal pain, weakness, tiredness etc. As your grandmother bedridden since one month, and symptoms, so there are many causes for this. I suggest consulting a good physician for this. I hope my advice will help you a lot. Thanks and Regards. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor my name is vani,my brothers daughter Name s.yuvarani age 18 yrs she is mentally disturbed and always saying that she want to die and she feels like that someone are saying to her that why are you living die soon.so we want to know what is inside is mind by hipnotism it is possible to find out", "output": "Hi Van, Thanks for choosing Chat Doctor. I have read your query carefully and I would like to advice you strongly to take your niece to a psychiatrist as soon as possible. What I can understand from the information given by you that your niece is having symptoms strongly suggestive of Severe depressive episode with psychotic symptoms. A further detailed assessment is needed to clarify. But immediate intervention by a psychiatrist is must. Also regarding hypnotism, it is helpful in some other conditions and that too not helpful in every individual. In this case there is no role for it. Hope I have answered your query, let me know if you need any further information. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My doctor told me to take vitcofol injection. after taking it.. my skin became little hard and i am continuously feeling that somthing is there at the place where i took injection. i am worried as doctor told me to take 9more vitcofol injection.. is there anything to worry about ?", "output": "Hi, Local underlying subcutaneously collection or fibrosis or hardness or lunch formation may be normal variant after intramuscular injection but can be sign of local inflammation so need to be reviewed by your primary care physician before continuing second dose of the injection. Using local anti-inflammatory Chat Doctor. Hope I have answered your question. Let me know if I can assist you further. Wishing you a speedy recovery. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My glucose blood sugar level was 120, and my Iron level reads 194. I had a blood work up because i am tired all the time, no matter how many hours of sleep i get, and also for the past 6-9 months i have and continue to lose a large amount of hair. I initially thought this was because i lost 70 pounds in the past year, but it wont stop falling out.", "output": "Hi, I understand your concern. The total iron level normal range is 60 - 170; yours is a bit higher than normal range (194). Further tests are recommended to determine why your iron levels are higher than the normal range:- iron supplements- it. B12 deficiencies (it. B12 and folic acid levels to check)- complete blood count-peripheral smear-total iron binding capacity In this way we can determine why you are tired all the time and why you are losing a large amount of hair. Hematologist to consult further. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I noticed a hard bone-like lump below my collar bone (i am thinking the top rib) It feels as hard as bone, it is unmoveable, and pretty much has the same contour as a rib but feels a lot different from the right side as it protrudes more, the left side of that area is flat. It starts pretty much on my sternum then extends to the left about 2 inches, then the area is flat again. It feels like it might be wider than a normal rib too. I can t move it around. It is non-painful, but i am not sure since when I have it. I would just like an idea as to what this could be.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, in my opinion, you are mostly having enlarged subcuticular lymph node. In neck, there are many lymph nodes and subcuticular nodes are one of the group. The most common cause for lymph node enlargement is infection and second most common is malignancy. So better to get done ultrasound examination of neck for confirmation of lymph node enlargement. If this is lymph node then fine needle aspiration cytology (FNAC) should be done to establish the diagnosis. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, i am from kuwait, i have 2 kids. my first daughter is 5 year old. my second son is 3 and half year old. Both of them are allergic to milk. please tell me the suggestion for other substitute for milk. both my kids have the often complents of leg pain ( over calf", "output": "Hello, An alternative for milk : 1. Coconut milk 2.soda milk3. Badam milk Above 3 are less allergic and highly nutritious than cows milk. You can prepare in the home itself with good hygiene method. You can give egg yolk (yellow) which is less allergic and highly nutritious. You can try germinated seeds for the elder child. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am suffering from nightfall it occurs 2 to 3 times a week . ... hello sir m raj i have night fall problem 2-3 year rite now m age of 24 pls help me . .... It start from last month and it is continue going on every week, i am woried and scared from that matter .please help", "output": "HelloThanks for your query, based on the facts that you have posted it appears that you have problem of night emission. Please note that night emission is very common at the age of adolescence and nothing to be worried about. It usually gets resolved itself without any treatment. Following measure will help you to improve your general heath and get rid of this issue.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc3)Take anti oxidants like Almonds 5-6 every day.4) Avoid alcohol and smoking. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My grandson had a high fever ever since Saturday, they keep on saying that it is a Viral infection, but it persists, as soon as the medicine is over, around one hour before the fever starts going up. Yesterday he dad 103 and today we just read 102.8 Is this normal? How long will the body resist? he is 6 years old and looks week", "output": "Hi...your pediatrician might be right. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My friend s son recently underwent laparoscopic due to abnormal pain on his right side of lower abdomen....the DOC told there s a kind of bouncing sensation felt when he pressed on the painful area.However the pain and bouncing still persist even after the doc did some minor detachment on the area. The doc isnt sure of the causes and suggested the boy may need major operation in the colon to identify the cause......i feel this is ridiculous......pls help me what could have been done", "output": "Pain in right side of lower abdomen could be due to constipation, right kidney stone, appendicitis, bowel cancer, hernia, pelvic inflammatory disease, ulcerative colitis. Now I can not say what exactly your doctor have done since I have not seen any document of patient file. Here I suggest if your doctor is not sure what it is then change your doctor and take a secondary opinion. For evaluation ultrasound of abdomen as well ct scan also may be needed. I suggest going ahead if needed and suggested by the next doctor to evaluate properly and take treatment according to it. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter (5yrs old) was prescribed Azythromycin (300mg / 100mg per 5ml) last week Friday and we were instructed to start it on Saturday if her fever continued. We started on Saturday with a 1 1/2 tsp dose with continued 3/4 tsp doses. We are now on day three of taking the medication with no relief in her fever. I have been treating with OTC Children s Advil for the fever. I am wondering how long it should take for the fever to disappear? She was tested for the flu and this was negative. Are we dealing with a virus and I just have to let it run its course?", "output": "Hi.regarding your query, of fever still persists after documentation of the temperature for three days it is better to do a blood total count just to make sure it is a viral infection or bacterial. If associated with any other symptoms like cough, sore throat, vomiting, abdominal pain, symptomatic treatment would be apt with an antipyretic like paracetamol that should have been taken along with the antibiotic plus an antacid. Do not worry. :) hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have a feeling my belly piercing is infected, i had it pierced befor and it got infected so i took i out. some people say to let it make its way out because if i dont ill just have to get it cut and drained. i do not want to take it out, so what do i do? leave it and let it make its way out?", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have skin infection at belly piercing site which could be due to excessive instrumentation, and it could be due to improperly sterilized instruments. Need not worry. I would suggest you to apply cotton dipped in tea tree oil and apply it on infected site. You should remove piercing and get it properly cleaned and sterilized and reinsert it. Don't use ant cosmetics and hard substances on it. Apply topical antibacterial ointment on it such as McCoppin. Take diet rich in vitamin E. Chat Doctor. Visit dermatologist once and get it examined and start treatment after proper prescription. Hope your concern has been resolved. Get Well soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had 2 cardiac stents 18 months ago... No chest pain since but lately I can hardly walk very far without becoming very short of breath and my heart rate going up high. No energy. Occasionally feel a hard pressure squeezing feeling around the upper part of my heart. Doesn t last long. I m a nurse and would tell a patient with these symptoms to go to the ER but can t seem to take my own device. I m 70 years old and still work full time. Need to go to work tomorrow.", "output": "Hi thereafter going through your query I understand your concern. I would like to tell you that your symptoms are suggestive of angina, may be a new blockage has been developed in your arteries and this needs to be evaluated before any complications.It's advisable for you to personally consult a cardiologist and get your TMT done, if result will be positive then you have to go for an angiography. Hopefully this will answer your query. Kind Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i just had my marena removed...: birth controll ..and i started bleeding the next day and i had it for a week..but its really heavy and extremly painfull cramping..i have been using tampons...and big globes of blood have been coming out...is this normal", "output": "Hello, I have gone through your query and understood the concern. Since IRENA is a hormonal device, removal causes with Chat Doctor. The amount of bleeding depends on the endometrial thickness present prior to the onset of the bleed. Cramping is mostly an after effect as the uterus contracts during the process. You may use a uterine anti-spasmodic for relief. To reduce the bleeding you should use styptics and report the matter to your gynecologist for proper management. If there is no respite, you may need hormone supplements to arrest the bleeding. Avoid using tampons to know the exact amount of bleeding and also to reduce cramps and chances of infection. Hope your query has been answered. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,this will sound a very weird question but is it possible to still be pregnant when told i had miscarried? when i was 7 weeks pregnant i had early scan because of previous miscarriage. Scan showed good strong healthy heartbeat showin at just 6 days behind what i thought i was. 2 weeks later another scan showed that fetus had vanished. Gestational sac was there and had still been growing to the dates i should have been. I passed nwhat i believed to be the sac 2 weeks later. A follow up scan showed empty uterus but still showed a very small bleed still. Antibiotics were prescribed to prevent infection and i bleed for a few more days. I have since had 3 regular periods excatly 28 days cycle. However the last 3 or 4 weeks i have noticed that my stomach has slightly swollen and i regularly am feeling movements in my stomach. I am scared to see my gp because i feel he may think i m paranoid or displaying signs of a phantom pregnancy! please help! my partner thinks its all in my head as he saw alongside with me the scan that showed my uterus was empty and he was there when i was told that the fetus had vanished!", "output": "Hallow Dear, Vanishing of fetal heart beats was confirmed by ultrasonography meaning thereby that you had missed abortion. Later on you aborted completely as evident from the ultrasonography. So continuation of this pregnancy is out of consideration. Your belly has grown, and you are feeling some weird movements in the abdomen. This is most likely due to over eating due to which your belly has increased in size, and you have gaseous problems. Gurgling movements of gases in the intestines is perceived often as fetal movements. I would advise you to take some carminative mixture, plain soda to expel the gases. If needed, you may take some digestive enzyme preparations. Worms also can cause such symptoms. You may take deforming medicine. This should give you relief. Pregnancy starts showing visibly by increase in the size of the abdomen after 16 weeks. So this increase in the belly size cannot be correlated to pregnancy. However, I do not wish to insult your feelings and perception. I am sure you are honest in describing your symptoms. Therefore, to confirm or rule out your suspicion, please perform urine pregnancy test on your morning first urine sample. This will clarify the dilemma. Even ultrasonography can give you direct visual evidence of the pregnancy status. I am sure, this should help you. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good Evening Sir/Madam, Pls. due to circumstances i took abortion since 3rd November, 2010 i have seen my menstral cycle so i do not if i am pregnant because i have been seeing water coming out from my breast when pressing it, Please doctor i need your help.", "output": "Hallow Dear, The water you think coming out of your breasts is most likely raw milk - what is known as colostrum. After abortion, this secretion may continue. Please do not squeeze it out. More you squeeze, more milk will be formed. Give a tight binder to the breasts so that the milk secretion can stop. There are Estrogen preparations available to stop the breast secretions. Your Gynecologist will help you for that. The colostrum secretion despite pregnancy may be due to increased secretion of Prolactin hormone from Pituitary gland. Please get your blood examined for levels of this hormone. Raised levels may require X-ray of the skull to find out any cause present in the Pituitary. Usually, such conditions can successfully be treated with Tab. Bromocryptine. Please report this to your Gynecologist for investigations and appropriate treatment. I hope this helps you. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have been having a constant cramp-pain in my left lower side which feels like a runners cramp especially when I bend down. I do have lupus, sjogrens syndrome, antiphospholipid syndrome and ITP, though I cant see how this would be related. I also have some fibroid tumors, but the only large tumor is in the upper area of the uterus. If it is in fact the fibroid tumor causing the pain, is there a solution other than a hysterectomy (I cannot take hormones after such due to the antiphospholipid syndrome). Thanks for your time.-AAAAA", "output": "Hi and thanks for the query, There is actually no direct relationship between the pain and the health conditions that you present. A clinical examination might be necessary. Excluding gastritis is necessary. Other accompanying signs like fever, diarrhea might be needed during the evaluation process. The past medical history, an abdominal ultrasound coupled with a complete clinical review might be very useful in determining the cause of the pain. A chest X-ray showing the lower borders of both lung fields could be required at some point. I suggest you consult your internist. Thanks and kind regards, Bain LE, MD." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Sir, My wife is suffering from Bone Tb for 2 months,just above her left brest. 3 days ago she has tested positive for pregnancy. Now, we are in dilemma that should we continue with prenancy or should we abort it. she is on heavy medicines like injections daily and about 9-10 medicines daily. Do u suggest that MTP or continuation of Pregnancy?", "output": "Hello, I have gone through your query and understood the concern. The medications like rifampicin, isoniazid, ethambutol and pyrazinamide have not been shown to be associated with any fetal congenital malformations when used during pregnancy and hence are considered safe. Streptomycin should not be used. Vaccination should not be given. Hepatic function should be carefully monitored, and nutritional supplements amply prescribed to avoid peripheral neuritis. In this scenario, please discuss with your consultant as to the safety of continuing with the pregnancy as the treatment of the disease is also essential and if she needs teratogenic medication, she cannot continue with the pregnancy. Hope your query has been clarified. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Two nights ago I had some weird stomach cramping that kept me up a lot of the night. I also had chills and hot flashes but the highest my temp got was 100.1. It was better the next day, however last night the same thing happened, only accompanied by a major headache. This morning that headache is raging, im nauseous, and my stomach is just overall crampy. Is this some kind of flu bug? No vomiting yet. I turned 21 last week and deprived my body of sleep and had a larger intake of liquor than usual, could this have anything to do with it?", "output": "Hi welcome to Chat Doctor forum. Thanks for choosing Chat Doctor. Forum. You had pain abdomen, chills, hot flashes, with temp of 100,2 nights ago, next morning was better. Next night again you had stomach pain, nausea, headache, in the next morning also. It appears to be the symptoms of malaria fever, or typhoid fever, with stomach pain due to indigestion of the fever. I advise you to consult a physician for diagnosis and treatment. You may have to get blood tests done for confirmation. Once fever is controlled all other symptoms will automatically subside. In the meanwhile you take light diet, like bread, biscuits, milk, juices, etc. for maintenance. Wishing for a quick and complete recovery. Best wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had an epidural steroid/ cortisone injection for sciatic nerve / back pain this morning - after dinner and glass of white wine - my heart started racing - this has happened in the past but only after running / exercise - my heart rate now is about 135 BPR - any connection with the injection and rapid heart rate - 66 year old white male.", "output": "Respected thanks for your query to us.1. Unless you develop allergy to some components of steroids injections, tachycardia (increased heart rate) is not likely due to this.2. Wine intake may be associated with the tachycardia. If you have tried a new brand, or you have tried a new combination then it is more likely. Do see your emergency physician if it does not settle down, or you have any new troublesome symptom. SincerelySukhvinder" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi my baby 4 month15 day old daugther is having loose motions since 1month.i tried homepatChatDoctoredice but no resltu.she pass the stools in 6 7 time a day.i am giving brest milk and also dariy milk the stool are not losse.some time they stool colour is green .", "output": "Thanks for asking I have gone through your question and understand your concern your 4.5 month daughter having loose motions since 1 month. You giving both dairy milk and breast milk. Passing motions 6-7 times per day may normal for 4.5-month-old child if she's growing will. Her weight should be about 1.9 times to birth weight at 4.5 month age. She should pass 6-7 times urine. Other thing I noted in your query, that you give her dairy milk. If mother is healthy then her should is sufficient for 6 months .take balanced diet, do proper rest (2 hours daytime rest is also advisable).if you can not avoid to give extra milk, then give formula milk. Maintain proper hygiene during milk preparation and feeding. handwashing and boiling of bottle before each feed." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doc.. my fater had undergone Cabg + stenting in kidney too. for last few days he has loss of appetite. also has cough n water coming out oftenly. today he is complaing dizziness. does these symptoms shows some criticality? does it require an urgent consultation in hospital?", "output": "Hello! Thank you for asking on Chat Doctor! Facing his medical history (CABG & kidney stenting), the current clinical scenario should be taken in consideration. I recommend a medical check up without a delay. A physical examination coupled wit ha resting ECG and some blood tests would be necessary to determine the exact reason for his actual complains, and to avoid any serious complications of his primary diseases. How to have been helpful. Greetings! " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i took seragem treatment for 8days only last 3days continously treatment for all days 40 mts. i had loose motion on the last 2days one time each now i stopped taking treatment my back pain reduced to80% but now i have slight pain in my bones ie left small finger tip ,left side of inner palmleft shoulder back,left side of the ribs,initally i had pain on the left jaw now it is gone but little ittching in the skin is thereon the right palm left side please suggest me a solution to over come this. regards sambath kumar india kerala", "output": "Hi dear, Welcome to Chat Doctor, Understanding you concern. As per your query your wife have pain in left side ribs, fingertips and shoulder. Well the symptoms you mention in query are pointing towards a condition like atrial fibrillation or angina. I would suggest you to consult cardiologist without any delay for proper diagnosis, because it can lead to heart failure and rule out causes like stress and anxiety, muscle spasm and nerve dysfunction. Doctor may order certain test like ECG, troponin t, echo and examine with stethoscope. Doctor may prescribe treatment for restoring your ventricular rate. Beta blockers, like Atenolol, Carvedilol, Propranolol, and others can slow the heart rate. Calcium channel blockers, such as Diltiazem and Verapamil. For now take proper rest and do not exert your body. Doctor may also refer you to orthopedic surgeon for muscle strain. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,I am not able to satisfy my partner since my erection doesnot last more than 5 min after insertion and strokes i ejaculate very soon. Is there any problem? She expects more strokes with erection . I feel totally depressed because of that. Please guide me.", "output": "HelloThanks for your query, based on the facts that you have posted it appears that you are unable to satisfy your partner in spite of having good hard erection and performing sex for 5 minutes. Ideally 5 minutes time after insertion is sufficient for orgasm of a female This is likely to be due to she's getting orgasm late . Please consult qualified sexologist to learn to modify and learn sex techniques like stop and start and squeeze technique. Taking Slldenafil (Viagra) on demand will help to sustain erection longer. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Over the last five days, my ability to remember has rapidly diminished. Every mental task you can imagine is now slower and harder. A few examples: I cant do mental arithmetic anymoreI have trouble understanding what people are saying. Theres usually a delay before I realize what they said. I cant comprehend long sentences anymore. I forget things almost immediately after I hear or read them Telling the time is difficult My heart rate has also increased and its so strong that it moves my head when Im lying down. I can see my stomach moving up and down in time with each beat. Ive lost my appetite and im drinking water excessively. Im seriously concerned that my brain is deteriorating.", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. First, you did not mention your age. Secondly you are worrying too much. Leave the diagnosis part to the doctors. If you have any trouble, please consult a qualified physician, and he shall do the rest. Unnecessary worrying like this shall cause anxiety and apprehension and shall result in other mental disorders. All other symptoms you are mentioning are related to anxiety. Anxiety do make people forget things. People even forget about their spectacles which is kept on their forehead, just because of anxiety. Forget it. Consult a physician and then do the worrying, if there is something really wrong. Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some memory enhancing techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi my i am 23 years old. I am workin in a IT concern. I have a problem in me. I imagine many things and react for it. I create my own imagination and act accordingly. I am well at work and family. But at times i act bad. wat should i do?", "output": "Degree understand your concerns. I went through your details. I suggest you to keep calm. You are the person who know you very well. Once you know the reason for your trouble why don't you correct it. You have these problems just because of over imagination an action. You are an IT employee. IT employees are supposed to be busy people. Are you not busy enough? Where o you get time to think and imagine? If you know answers to the above questions, you can cure your problem. Secondly keeping yourself busy in work reduces unnecessary thinking. To work hard you need to be passionate in your work. Remember Idle mind is devils workshop. In case if you need more of my services in this regard, please post a direct query. I am happy to reply you. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, My 11 Year old son has a hole in his gum, top left corner. Its near his molar the one next to the canine. It does hurt when he touches it with his tongue. My son showed me it and there is thing inside the hole, I dont know what it is. How serious is this? Is their any cure for it? Please answer my question.", "output": "Thanks for your query, I have gone through your query. The whole over the gums could be a pus discharging sinus tract secondary to tooth or gum infection. Consult an oral physician and get yourself examined to rule out the tooth infection like periapical or dentoalveolar abscess and get a radiograph done. If it is infected tooth, then get it restored or removed. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Last year I sufferred for loose motion for nearly four month during gaps right from August 2012 till December after that I did recover but had Aldicit till April. After stopping medicines my bowls have become irregular some times I pass once a day some times twice a day or once in two days. Even after having cleared bowls I have urge to go for the whole day it has effected me emotionally I have stopped going out as I am not sure when I have the urge now since January I am much better but the urge to clear the bowl is there whole day and have lot of gas problem please help me", "output": "Hi there ~ The urge to clear the bowels is what we medically call census, and it is a condition that needs treatment. I would think that you should visit with a psychiatrist only after you have ruled out all medical and surgical causes for census or the urge to clear your bowels regularly, more so if it is affecting your functioning. I think that you should also consult with your family physician to see if you need referrals that are appropriate after testing. Furthermore, I hope this helped. Take care and have a lovely day !" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m 50 years old , thought I had pulled or turned wrong last winter pickin up grand daughter, went to the chiropractor for 2 months , still had the pain , went to the drs ,told it was sciatic in my left side lower back, had xray told severe arthritis ,need advice on pain relief", "output": "Dear patient. When you didn't get relief from back pain for last 2 years, we need more investigation to confirm diagnosis first. I would like to do your MRI of lumbosacral spine with screening of whole spine. This would help in diagnosing arthritis, disc prolapse, infective pathology and instability. At your age arthritis be degenerative or inflammatory. Treatment for both conditions are different.I would also advise radiography of lower spine lateral view in full flexion and extension to rule out instability. Please do these investigations as soon as possible so that we can suggest you better treatment. Meanwhile you can take tramadol 37.5\u00a0mg twice a day for pain relief." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im a 25yr old female. My build is very slim and I seem to be underweight at the moment. Ive recently been to see my doctor on several occassions witChatDoctorplaints of swollen neck glands, weight loss and sweats. I was sent for a blood test whicChatDoctore back with nothing and then recently sent for an emergency x-ray since my doctor thinks I may be suffering from TB or possibly lymphoma. i have been on antibiotics to see if the swelling with go down but nothing seems to be happening. For the past couple of days Ive had difficulty breathing and it feels like theres something in my throat...so I check and i seem to have two very large lumps on my tongue. can you help?", "output": "Hi, Dear I went through your query.1-By the facts placed by your query, I feel that these 2 lumps on the tongue could be due the MALT lymphoma-a NHL condition. And needs FNAC/ biopsy of the tongue lumps and of the neck glands. -It could be due to even TB, but needs FNAC biopsy to give any reasoning opinion on it.3-Plz check your your once- doctor for second opinion .4-Its alarming condition, and you need to act fast and take care with your once doctor. 4-Hope this would solve your query,5-Thanks for your query to the Chat Doctor. 6-You are welcome for any further treatments if required.7-I would love to help you out of Your tongue and neck-lumps. . Thnks. Wellcome." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had an appendectomy one week ago. I had key hole surgery but they had to make a bigger cut to take out my appendix because it was stuck to my bowel and and had become severely nasty and inflamed. I have been doing really well considering. They sent me home the next day, I took the antibiotics and pain relief for 5 days as requested, kept my wounds clean and started showering only after I had removed my dressings. My question is that I ve had a few cases of diarrhoea since, not every single day though. It s been going from good to bad since my surgery but was completely fine before my surgery. I am wondering if this is normal and because of my surgery?", "output": "Hello, I would have liked to know your age and whether you still have abdominal pain associated with the diarrhea and if yes which part of the abdomen. As of the information provided, probably there was a highly inflamed and adherent appendix, propably appendicular mass due to which surgeon had difficulty doing Laparoscopically. In such cases there r chances that the infection takes about 10-15 days to settle down completely and could be the cause of diarrhea. In this case it will slowly settle down. Is it associated with any abdominal pain? Is the diarrhea completely watery or pastelike, any blood or mucus?how many times a day? Another cause could also be antibiotics associated diarrhea, but unlikely as u said they are intermittent episodes. Only if fever or associated with severe abdominal pain do consult your surgeon or if this doe snot subside after 15 days u can consult him. Mostly after surgery it should settle with time. Have a healthy, nonspicy, non-oily diet which includes a lot of vegetables and fruits. Also consume plenty of water. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have mass in right side of lung of 2.5-3.00cm.i have done FNAC yesterday after ct scan of the chest but the reports have not come yet,my age is 75,my voice have become hoarse n choking,my neck is ok as the ct scan of the neck shows.what it could be?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. At your age of 75 years, 2.5 to 3 cm mass in right lung is more likely due to malignancy (cancer). Your hoarseness of voice is also due to recurrent laryngeal nerve involvement due to malignant mass in lung. So wait for FNAC (Fine needle aspiration cytology) report. This will be confirmatory for malignant mass. If it is malignant lung mass then we will have to determine staging because treats based on staging only. Early stage 1-2 will need surgical removal of mass. Stage 3-4 will need chemotherapy and radiotherapy. So collect FNAC report and consult oncologist for further treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i was detected with blood infection(toxoplasma-igG 139.0 IU /ml,Rubella IgG 123.8 IU/ml,cytomegalovirus Ab.(IgG) 500.0 U/ml,)which caused abortion after 3 months.doctor advice me to take natclovir for 3 weeeks.but i took for 3months by mistake.so will there be any side efffect. is it safe to have a baby now?.", "output": "Hi, Most all Chat Doctor. If you are not pregnant WHILE on the medicines, then that isn't an issue. Having antibody to things is not the same as an active infection. It means a previous infection in the past, often a very long time ago. Likewise unless the infection is present DURING the pregnancy, it doesn't generally matter. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my husband sometimes acts like 2 different people , when he gets angry he yells and breaks things and tells me how he regrets getting married to me and having kids, and the next day he acts like nothing happened , he laughs , and he treats me like a queen . and when i talk to him about what happened he swears he doesnt remember half of what he did and said ? does he need anger management???", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. Such behavior patterns are normal in husbands. You do not need to see bipolar in this behavior. Anger always comes due to frustrations in life. Frustrations are normal with everyone. People learn to ignore frustrations when they get experienced. Does your husband get angry to circumstances outside your home as he gets angry at your house? His office, bus stand, railway station, neighbors etc. If yes, he might need to get evaluated for anger issues. If NO, just make him understand and compare the two situations, and he can be better yourself. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "For the last 24 days i am feeling numbing in the two tips of my two fingers. Doctor has given me neuromet cap one daily for 30 days. This numbness seeming as spreading towards the finger root slowly. Is it some serious indication of possible paralysis in the RHS of body. Kindly through the light. I am also suffering from AVN in both hip joints", "output": "Hello, It may be due to peripheral neuropathy. For further assessment you may require MRI neck, nerve conduction studies, vitamin B 12 levels after spine surgeon consultation. Further treatment mainly depends upon the underlying condition. You may require tablet pregabalin and multivitamin after consultation. Continue physical therapy Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir, my wife has developed a large bright patch on her face . a dermatologist has carried out blood sample test, which has come normal and a test Skin for AFB , by taking a piece of skin from the affected area, which has come negative. the Doc has prescribed Rifampicin and Dapsone for it. he has said to be under medication for 6 months and written the disease as T T . what is this T T in medical terminology? She had a minute patch on her left cheek for quite some years, which has all of a sudden flared up recently. her age is 34 years, she has thyroid and no other complications. going by the prescribed medicines, could any skin specialists enlighten me on what could be the probable reason for my wife s skin problem? Is it curable? Thanks", "output": "hit is type of leprosy, and it takes long time to cure, but it is curable now spot may last up to years but i don't know why he has given in your test as your biopsy is normal.there is alter sensation of touch and temperature in leprosy casein they are altered then she needs to start these medicine this is major disease, and it is legal duty of doctor to inform about it please consult him again and ask for explanation why he has started it better to consult other dermatologist before starting medicine." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had pneumonia last month and received antibiotics from my doctor. I went back to the doctor a few weeks ago to see if the pneumonia was all gone. The doctor took an x-ray and confirmed that my pneumonia was gone. I mentioned to him that I felt like I wasn t breathing properly. I had difficulty breathing through my nose, and I felt as if it wasn t the common cold. I am a serious athlete, and my stamina has been lacking in the past few weeks. The doctor told me it was just vocal cord dysfunction, and he told me to try some breathing exercises. It hasn t really helped that much. Can someone please tell me how to get my lungs and my body back to normal? And why can t I breathe easily, like I was breathing before the pneumonia? Thanks in advance :)", "output": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you are mostly having post infectious bronchitis. Pneumonia causes inflammatory changes in lung. So some patients tend to develop bronchitis after pneumonia. And it causes breathing difficulty. You need PFT (Pulmonary Function Test) for the diagnosis of post infectious bronchitis. You may need inhaled bronchodilators and inhaled corticosteroid (ICS). Don't worry, you will be fine with these Chat Doctor. So consult your doctor and discuss all these. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I recently started riding a bike. I havent been on one in years. The day before yesterday was the first time. Afterward I felt as though I had been punched in the stomach. My actual stomach just below my ribs. My lower abs felt fine. I found it difficult to breathe as a result.I thought maybe it was the workout and I was just sore but the pain felt internal.The pain subsided. I rode again today somewhere and shortly after (maybe 45min) the pain returned until I ate something. After riding back today, I had no issues. Then suffering from a mild heartburn hours later (which I often get) I took some alkaseltzer. Then I had yogurt with granola and some chips with mild salsa. I didnt over eat. The pain returned worse than ever about 30min later. My bowel movements have been regular.My stomach is inflamed and I am bloated with difficulty breathing. I am worried it may be a hernia. But Im wondering if a dietary change could be to blame?", "output": "Hello! Thank you for the query. This sounds more like a peptic ulcer. The pain usually appears after a meal. Nausea can be present and chest burning. If it is about hernia, it can be hiatus hernia (a kind of internal hernia where a part of stomach gets to the chest cavity). I suggest you to visit your doctor, have blood work and abdominal ultrasound. Gastrostomy should be next. During this test also Helicobacter Pylori infection will be verified. In case of its presence, antibiotics are necessary. In a meanwhile please avoid fatty foods, spicy foods, coffee, alcohol. Hope this will help. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My mom had small bowel cancer in August. They did a complete tumor resection and now she has pain in her lower left abdomin. They did bone scan and ct scans multiple and didnt see anything. Yesterday she went to see the surgeon and he didnt like the way her belly button area is swollen and sore. He thinks there may be a lump there and wants to remove it. Would abdominal ct scans show a cancerous tumor by her belly button or is it more likely a surgerical hernia? Is the belly button surgery difficult to recover from? Shes 83 years old.", "output": "Hi, Thanks for writing in. An abdominal CT scan is a detailed investigation and will surely show a lump in the umbilical region. CT scan takes detailed images using a concentration of X-rays using a computer. In this way the scans make thin sections through the abdomen and then these studied for any abnormality. If there is a lump that appears more with increased abdominal pressure then a surgical hernia is more likely. This happens when the muscles in the anterior abdominal wall are thinned out and separate or in the site of a previous surgery. Since she is having soreness therefore it can be a hernia. A CT scan will tell a hernia from a cancer lump. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have raised gtt levels and enlarged red blood cells. I was diagnosed with pernicious anaemia 19 years ago and have b12 injections. I had my gall bladder removed 14 years ago. i have drank a lot in the last year. Should i stop drinking completely or is it enough to cut down?", "output": "Hi welcome to Chat Doctor .... Alcohol is injurious to many organs when taken excessively..... Alcohol and its metabolites Acetaldehyde are injurious to liver hepatocytes.... Liver bile calculi also get affected .... So here elevated GGT level... So it is better to stop alcohol Chat Doctor. . If you want to take then don't cross over safe limit...20 gm per day is safe limit. Fatty food less. Fruits more.... Junk foods, no veg taken less.... Hope your concern solved... Take care...." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I recently visited my physician and had blood work done. At the visit, they took my blood pressure which was 86/52. The results came back for my blood and everything was fine, besides my WBC. They said it was 3.4, I understand that s nothing seriously low but it is concerning to me since they felt the need to tell me about that. I ve had problems with my digestive track as well. My headaches are horrible when they randomly hit. I ve been having these symptoms for months now. I m a 19 year old female and shouldn t be having these problems, please help me find some type of answer, or lead me in the right direction.", "output": "Hello. Thanks for asking on Chat Doctor. Your WBC count is slightly low. Normal ranges are from 4-11 thousand per cubic mm. Now what was the reason you visited the Healthcare facility? WBC commonly lowers in transient viral infections. Viral gastrointestinal infections could be a cause. However often the count rises to normal values few days after the infection has resolved. However, other causes of neutropenia are overwhelming bacterial infections, long term use of certain Chat Doctor. In these cases the WBC count remains low for long periods of life. Better would be to get yourself tested again after 20-30 days. Most probably your transient neutropenia might have resolved by then. If still not resolved then you'll have to consult a hematologist to look for underlying causes. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have what feels like either a gas bubble or air bubble in the dead center of my chest. I am a 34 yo female, no major health issues myself. However, father passed at 48 of heart attack which was determined to be heart disease. Just recently suffered a miscarriage. Thoughts?", "output": "Thanks for your question on Chat Doctor. I can understand your. Better to first rule out heart diseases for your symptoms. So get done ECG and 2d echo. If both these are normal then no need to worry about heart diseases. Sometimes, stress and anxiety can also cause similar symptoms. You might be having stressful life due to fathers death and miscarriage. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Don't worry, you will be alright. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "what do it mean to have strep in your urine? I am 51 years old and just got remarried about 6 weeks ago. Had been married for 28 years and only 1 partner. not had sex in the last 3 yrs... I am really tired a lot with low energy. Labs done 4 days ago blood work ok. Thyroid B12 checked but step in urine What would cause this", "output": "HiT hank you for asking Chat Doctor. In case of urinary infection proper antibiotic therapy will help. Diabetes also should be ruled out by testing blood sugar level. Exercise regularly and take aphrodisiac foods like seafood, eggs, meat, chicken, nuts and citrus fruits in your diet. The loss of stamina can be due to low levels of testosterone. Exercise daily and nutritious food helps for that also. Hope this may help you. Let me know if anything is not clear. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir, my patient is periampullary adenocarcinoma with locally advanced stage, given gencitabin 1000 mg and oxaplatin 100 mg 4 days back, now total bilirubin is 2.2 in comparison to 1.5 before application of chemo, alkaline phosphate comes down to 612 from 685, other LFT parameters elevated moderately, kindly comment on state of health of my patient,", "output": "Hi, dairy have gone through your question. I can understand your concern. Your patients have periampullary adenocarcinoma. He is taking gemcitabin and explain. Explain can cause transient elevations of liver enzymes. You should keep close watch on liver enzymes. If level increase further than it can be due to explain toxicity, and you need to stop explain. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my wife has recently been tested as positive for CMV (cytomegalovirus). She tested for CMV during her routine 20 week scan and the results was obtained today saying \"IgG positive - results 205\" and IgM non-reactive - results 0.09\".What can this tell us about change of primary infection vs non-primary infection?", "output": "Hi & Welcome. I appreciate your concern for your beloved wives result. Positive CMV Egg result indicates past or recent CMV infection. She may transmit CMV to the growing fetus through blood and tissue products. A non-reactive cytomegalovirus (CMV) IGM results suggest that the patient is not experiencing a recent infection. However, a negative result does not rule out primary CMV infection. The CMV IGM and Egg results should not be used alone to diagnose CMV infection. Results should be considered in conjunction with her clinical presentation & history and other laboratory findings. In cases of suspected disease, the testing should be repeated in 10 to 14 days. Hope to have answered your query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I recently noticed a little small lump, inside the scrotum like by my left testicle, doesnt give me any pain nor bothers me. Id also like to mention in 15 male, Im not sure if this is normal or what? But I heard of cancer this cancer that..Im just uncertain.", "output": "Hi, Any lump is not carcinoma it can be plenty of things. Most common is inguinal been at that scrotum which shows positive cough reflex, after reducible, increases in size on straining n coughing. So lump present must be diagnosed through examination n accordingly investigated including biopsy And accordingly treated. So in my opinion don't panic n visit a general clinic get checked n treated Thanks n regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "ihave sebaceous cyst on my face around my nose , my doctor extracted them by surgical method and she also used the cautary method , please tell me if this scar will disappear please noted that i used fucidin oint ,bioderma cicabio creme ,solcoseryly gel", "output": "Hello, Welcome to Chat Doctor, Sebaceous cysts are the cysts which originate from sebaceous glands and which contain sebum. Sebaceous cysts generally do not require medical treatment. However, if they continue to grow, they may become unsightly, painful and infected. The medicines and cream will help to control the symptoms like pain and infection, but it will not cure it completely. Surgical excision of a sebaceous cyst is a treatment of choice which is a simple procedure to completely remove the sac and its contents. Recurrence are very rare following surgical excision. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a filling changed for right upper first molar, but in 2 weeks I was having intolerable headache, pain in ear, tongue, jaw and surrounding areas. The doc re-opened the filling and found pulpitis, said his drilling might have exposed pulp. I was prescribed anti-biotics for a week and he did root-canal. 3 canals were found and filled, on top of the filling he put cotton stuffing and then the temporary filling. He had already used up all of my insurance on the fillings, so said the permanent filling could be done in an year. Is it safe to wait for an year, I am not really sure if he did the sealing properly.", "output": "Hello, After pulpits and root canal therapy, there will be a period of healing required before the tooth feels better. The antibiotic should help to heal and reduce inflammation. Take some anti-inflammatory medication such as Tylenol or Motrin. Return to your dentist for a follow-up visit if it is not improving or feels worse. Do you hit the tooth hard when you bite? You may need the tooth adjusted to reduce stress. I recommend taking an X-ray. Consider getting an evaluation by an endodontist. This is a root canal specialist. I do not recommend restoring the tooth until it is comfortable. A hidden canal might exist or pretreatment may be necessary. I do not recommend leaving the tooth in a temporary filling for a year. You risk fracture, and it can continue to decay without causing pain. Plan to progress with a restoration. For back molars, I recommend a post and core with a crown. Sometimes, I place the post and core with plans to place the crown at a later time. Also, a temporary crown to prevent fracture, can be placed for a longer period of time to allow monitoring of the progression of healing with this tooth. Thank you for your inquiry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My heart feels like its going 2 jump out my chest. I am a 25yrs,drinker+smoker heavily. 1st time I had heart palpataions I was 10,but never felt it this bad bf. My question is,Why is it so bad now,why have I always had heart palpatations(which have been never diagnosed) + wuts the reason 4 it alll?", "output": "Hello, I understand your concern and would explain that chronic alcohol intake can trigger cardiac arrhythmia, even in young patients like you. Other possible causes to consider would be anxiety, electrolyte imbalance, chronic anemia, thyroid gland dysfunction, etc. For this reason, I would recommend consulting with your attending physician for a physical exam, a cardiac ultrasound, a resting ECG and some blood lab tests to exclude the above-mentioned possible causes. An ambulatory 24-48 hours ECG monitoring would help investigate for possible cardiac arrhythmia. You should discuss with your attending physician on the above tests. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my husband s upper right arm started to feel achy earlier this evening, a few hours later, complaining that it was hurting, I saw his arm,. It s swollen and black and blue in one spot. He doesn t recall doing anything to it. I gave him 2 Aleves at 4:00.", "output": "Hello, I read carefully your query and understand your concern. The symptoms of your husband seem to be related to an n injury. It can be a microtrauma which he did not notice. I suggest using anti-inflammatory medications such as Acetaminophen to relieve the pain. I also suggest using cold compresses for local application. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards! Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, i recently have an x-ray for employment medical reqirements. The result was Minimal Koch s infection, left upper lobe. I asked my Doctor if i need to take any medication, but he said that no need to take medicine, really i have a cough that time. He told me to return after 6 months for another X-ray. Can it affect my application for a job? Thank you. Please help me.", "output": "Hi Thanks for such delicate question. I want to tell you that if once TUBERCULOSIS develop in the X RAY, it will remain there forever and these are actually fibrosis (calcified healed lesions or scars) old scars. It will remain for life long, sorry to say, but this is for whole life. I don't know it will affect your job or not because now these are healed lesion i.e. practically you are not a tubercular patient, but you were a tubercular patient in past (appeared in X RAY). Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, im 29 yrs old and today i experience something that i never had, my hrt started beating really fast, i got dizzy, and sweating. I tried to sit down and take a deep breath but did not work. It lasted about 20 mins, this happened after a cup of coffee(which i have everyday)...should i see a dr asap and can it be that im anemic.", "output": "Hello, This can be a cardiac arrhythmia like PSV or atrial fibrillation, or just rapid heart rate both precipitated by the coffee, in which heart rate suddenly goes up and also suddenly decreases. Blood pressure falls during these episodes and one has dizziness, fainting, blackouts, sometimes syncope. Usually ECG is normal as it is usually done in between the episodes. ECG done during episodes will show abnormality. You will need 24 hour holder monitoring. So visit nearby cardiologist for this investigation. Avoid coffee and other stimulant if any. Also, hemoglobin and thyroid test should be done. Ln order to abort such episodes you should try to cough hard. Is there any stress or anxiety associated. Till the time your evaluation is complete, you can ask your local doctor for tab collar LA 20 mg once a day. If none of the above is successful and episodes recurs then last option is of electrophysiologist studies which is invasive test which can diagnose and treat the arrhythmia permanently in most of the cases." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 6 year old has been dealing with elevated enzymes since November of last year?? Its been off and on & its making me absolutely crazy worried! We just got his hepatic checked on Tuesday but the time before that was around the 15th of March & they were normal now they are slightly elevated. We have a liver specialist and he does check ups we will be seeing him again in August. My question is why are they going from normal to elevated over & over??", "output": "The human liver contains thousands of enzymes. A wide range of health problems can lead to elevated liver enzymes like.1. Inadequate levels of hormones released by the Chat Doctor. Alpha-1-antitrypsin deficiency 3. Autoimmune disorders of the liver and bile ducts, such as autoimmune hepatitis4. Fat tissues5. Excessive use of certain herbal supplements, such as camera, lava, penny royal, and skullcap6. Infections such as viral hepatitis and mononucleosis7. Metabolic liver disease such as hemochromatosis and Wilson's disease8. Muscle disorders9. Obesity10. Tumors of the liver or bile ducts You must investigate it properly and get to a diagnosis. It can be easily treated by natural herbs and some lifestyle modifications such as low fat diet, using liver tonics, Weight loss(if overweight) and no fatty and spicy food. Than " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my father was prescribed omnacortil 100 for a week due to cancerous lungs and COPD. after a week it was reduced to omnacortil 50, then 40mg after another week and then 20mg. he is sufferring from dizzines, bodyache, headache and insomnia. please suggest.", "output": "Hi, Thanks for writing in. The medicine omnacortil is prednisolone which is a steroid. This is a Chat Doctor. It is to be reduced slowly and that is the reason his doctor has given it as 100 mg, 50 mg, 40 mg and 20 mg. This is to reduce the appearance of side effects due to stopping treatment with steroids. Since he is having cancer lung and COPD therefore the dizziness, body ache, headache and insomnia can be due to the stopping of treatment with steroids. The anti-inflammatory activity of steroids is not present and there is recurrence of symptoms due to disease. Please discuss with his doctor to find alternative measures to treat his symptoms." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have what feels like a very sore and bruised 2nd metatarsal on the right foot and painful to walk on it. To the touch the area on the right foot feels like a hard lump and swollen compared to the left foot which is not swollen and no lump like hardness under the fleshy area. I normally wear MBT rockers due to ples planus. I am a teacher and on my feet most of the day. Tonight it even hurts elevated. Will heat or ice help?", "output": "Hi, DEar, I went through details of your query to Chat Doctor, thanks for it. In my opinion rt foot swelling is due to the mismatched MBT-rockers for the PES plans. You need to get the proper MBT shoes-from the gender, from whom you bought it. I would advise taking anti-inflammatory tbs from your doctor and take orthopedic opinion -if the problem persists. Hope your query is answered. Wellcome again." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have vasculitis but havent been able to find out which one it is. I have severe allergies and im constantly smelling a very bad smell. Every morning when i wake up i feel like im choking and i start to gag. I spit green/brown and its alot. Sometimes when i blow my nose there is blood. My current meds are Dapsone and Plaquenil for the vasculitis inflammation and pain.", "output": "Hi, dairy have gone through your question. I can understand your concern. You have vasculitis. You should go for ANA profile once. Man Vasculitis are limited to some autoimmune disorder. So you should search the cause first and take treatment accordingly. Steroid can help you. Consult your doctor get the exact cause and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi.I have a painless problem.Whenever I sneeze,cough or blow my nose,something on the upper right side of my scrotum inflates.Its as if a bag is filled with air.If I keep my scrotum pressed between my legs,I can feel the place inflating a little bit and deflating back again because of the pressure of my legs pressing.I really dont know what it is and I am ashamed to goto the doctor.Please help me out here.Thank you.", "output": "Hello, The symptoms are typical of hernia. While coughing the abdominal pressure increases and the bowel contents slip to the scrotum. Consult a general surgeon and get evaluated. An ultrasound scan is required to confirm the diagnosis. Once the diagnosis of hernia is confirmed, surgery will be the treatment of choice. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband has been having pain in his groin and abdomen on the the left side. He went to urgent care the other day. they took x-rays did not find anything gave him a prescription for Tylenol codeine and said that he should see a urologist. The problem is our insurance does not seem to cover a urologist as they are all telling us they do not accept it. The doctor said he may have varicose seal.", "output": "Hi, Based on the information you provided this is most likely varicocele which is, for your information, is also an urological problem. I am definitely sorry for your insurance issues, but this condition requires you to see a doctor (urologist). So, please make every effort to see the doctor. Consequences of untreated varicocele are not good (the toughest one being infertility). Meanwhile, while you are sorting this out, your husband should wear tight underwear in order to keep the testicles in relaxed and suspended position. Additionally, he should avoid lifting heavy items and making extreme physical efforts. If he follows these recommendations, he should be painless even without taking codeine. Hope this helps. Kind Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 9month baby is passing creamy textured loose stool 5 times in 6 hrs( not watery). Yesterday i gave him spinach juice concentration and rice dal paste. He was fine till 1pm. Please suggest diet, home remedy. Also tell me if i can give him medarid syrup?", "output": "Hi, It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting, you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic-associated diarrhea. I suggest you use zinc supplements (Z&D Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sometimes when I eat- suddenly it feels like my food is caught in my chest - hurts awful - there is always allot of spit/mucas/phelm involved - seems to come out of no where. Sometimes I can get it to go down by waiting and spitting out spit...other times I thow up and it is always the food followed by a huge blob of phlem..awful - again, doesn t happen all the time - and doesn t seem to matter what I m eating - can even be something like mashed potatoes or even soup - just comes on and suprises me... my mom seemed to have same problem in her later years - I ve been doing this for a few years now, I m 66", "output": "Thanks for asking your question completely understand your problem actually in this case coming to a diagnosis is difficult just by history. Some investigations like chest X-ray, barium swallow, are important. Because, it can happen in variety of diseases like in bronchiectasis, a lot of phlegm production is there, and you have to cough out all the phlegm out of which largest is in the morning, secondly it can be a fistula connecting your food pipe and wind pipe that can be caused by variety of reason, this fistula causes food to go from food pipe to the wind pipe and causes expectoration of this material as it is obstructing the wind pipes better you consult a pulmonologist and get some investigations done thanks/ regards feel free to ask more questions may god bless you with good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi sirrrr,i am 24 yrs old..i had a problem with semen leakage from past 1-2 years.At the starting it occurs once in 2 weaks or 20 days when i am dreaming about some adult things...but now it occurs twice in week without any dreaming..and my sperm became very diluent like watery than before...i am fearing about this problem...please help me...what are the remedies for it..otherwise if any medical supervision required or not...", "output": "Degree understand your concerns went through your details. Whenever your body is sexually aroused, semen is produced and stored inside your body unless you throw it out through masturbation of sexual act. Remember, semen is a waste product. If you do not indulge in the above activities, body finds its own to way to throw the semen out. The usual ways are nocturnal emission and through urine.There's nothing you can do to control or stop wet Chat Doctor. Even if you have a lot of wet " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a burning/stinging feeling on my tongue and roof of my mouth. Have had it before but my tongue had a white film on it and was swollen a bit. I was given a mouth rinse that they normally give to cancer patients. It went away after about a week. I dont have the white film or swollen tongue but do have the burning/stinging sensation.. Would like to get rid of the problem, not mask it by getting the mouth rinse again. Can you help me? Thank you......", "output": "Hello, Thank you for consulting with Chat Doctor. Actually there are many causes of burning sensation in tongue-It can be possible that you are having some habit of tobacco chewing or smoking because of which there are pre-malignant changes present and these are causing this burning sensation.-or it can be possible that you are having some candida infection thrush which is causing this infection.in first case you should start with some antioxidants like lycopene.in another condition you have to start with antifungal medication. Hope it will help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Feelings of blankness inside head, short term memory, or memory fluctuations, pains from brain injury four years ago, MRI, myelin, some times tired, off balance when tired, dizzy, neck pain off and on, chronic pain not as bad as even year ago. Usually symptoms when tired or salt or heat or worry, had a tbi, from closed concussion ,years ago! Hard to describe, sometimes bad headaches or pains where injury before.sensitive to sound light sometimes. MRI said mini stroke four years ago.", "output": "Thank you for asking Chat Doctor. My name is Chat Doctor. You have been gone through a major mental stress after head injury...the signs and symptoms that you are experiencing are consequences of concussion that your brain experienced.... I would like to suggest you follow-up visits to neurosurgeon every 03 months so that Neurotics can be given to you for some period. Also change your lifestyle. No more stress no more work overload.have sound sleeping habits and minimum half an hour exercise daily. Just keep mentally calm and try to focus one thing at a time. Hope this may help you. Let me know if anything is not clear. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My granddaughter who is 2 months old has not had a bowel movement in two days, I raised 4 boys and never had this problem. Her parents are out of town and I am watching her, is there something I can give her that does not require a doctor. thank you for your help.", "output": "Hi, Its quite common for infants not having motion for 3-4 days. If he is not having significant abdominal distension/repeated vomiting/excessive crying, and feeding as usual, nothing to worry-he will pass motion in coming 2-3 days. In such cases, if above-mentioned symptoms are present, after ruling out structural obstruction by abdominal examination and rarely an X-ray, I used to give bisacodyl suppository 1-2 times and further workup if symptom recur or persist. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i was wondering if i should call my doctor about swelling in my right foot is more swollen than my left and i could not spread my toes apart because of the swelling. i also had blurry vision the night before last. should i be concerned i am almost completed with my 37 week of pregnancy.", "output": "Hello dear, I understand your concern. In my opinion the presence of swelling in right foot more than left foot is a normal finding. Because the uterus slightly rotates to right side this causes compression over the veins over the right side leading to swelling on right side. The swelling of feet is due to various reasons:-1)Physiological edema -This is normally seen due to compression of uterus over blood vessels. This will subside after 12 hours of bed rest. This is seen more in later months of pregnancy.2)Anemia with low proteins.3)Hypertension in pregnancy.4)Excess liquor. I suggest you to rule out anemia by getting done HE. And as there is blurring of vision along with swelling I suggest you to rule out high BP. Nothing to worry. It will subside. Preferably lie on left side and observe your fetal movements. Hope this helps. Best regards..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My Dad is 71 and he has suffered from head shakes for many years. He won t talk to the Doctor about it and the Dr never noticed anything. Some days he s not very clear and I have noticed some personality changes. They are brief but none the less I notice them. His head doesn t bobble all the time either. Any thoughts as to what this might be. He has smoked since he was 14 years old. ten", "output": "Hello dear Your father may be having essential tremor causing head tremors. Usually it is familial. The other complains like behavioral abnormalities and memory loss at this age may be due to neurodegenerative diseases like Alzheimer's, front temporal dementia or other parkinsonism. You must consult a neurologist for proper examination and evaluation and investigation accordingly. For tremors, you can try clonazepam at 0.25 mg dosing. But better to get evaluated by neurologist. Your father may also require imaging of brain like MRI. Hope you found the answer helpful God bless you and your family" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi am 25 weeks pregnant i have 2 questions. 1. I have had a slight spotting. upon doing and ultrasound it showed there was slight fluid between the cervix opening and the placenta. What does that mean? 2. I have been experiencing a red dry rash behind my knees parts of my calf and inner side of my lower legs. It is very itchy and mostly it irritates at night. What is the remedy and does it men i have some sort of deficency?", "output": "Hello, I will be able to give you a better opinion if I can see the sonogram report in detail. Since you had some bleeding, it should be noted if there is a low-lying placenta or placenta Pravda, or an abruption of the placenta. Management varies with each case. Either way, you need absolute rest preferably with elevation of the foot end, monitoring of fluid and electrolyte balance and observation with further sonograms if necessary. Please avoid strain throughout pregnancy. The rash does not mean any mineral deficiency; it can be some allergy and a dermatologist should be consulted for proper treatment. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have pain on my left arm around my elbow. It started about 3 or 4 weeks ago while camping. It is on and off. I tried heating pad. It will help for a while but then come back. The pain is like coming from the bone. Thanks if you an tell me what it is and what can I do about it.", "output": "Dear patient If your pain is coming from bone and if located on outside of elbow likely diagnosis is tennis elbow. In this condition inflammation at the lateral condole of elbow leads to pain on activities like twisting and weight lifting. Pain is off during rest. If your elbow pain is located on the inner side diagnosis is likely Golfers elbow. Here pain and inflammation occurs on medial epicondyle of elbow. Treatment initially is hot water bag fomentation and modification of activities. Tab diclofenac sodium 50 mg twice a day for pain relief. If not relieved then local injection of depose Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My brother had 4 stents put in. Then had to have pump in femoral arteries put in they flew him out. Pump removed. Now staph infection. He still needs defib installed. How bad could he be affected by this and defib delay. So far no more v tach since arrival there", "output": "Wellcome to Chat Doctor, and thanks for posting you query. Staphylococcus having tendency to colonize over implanted tissue, so you need to be careful about this organism but no need to be worry as appropriate precaution and treatment can cure infection. If you are suspecting infection you need to send your blood culture and sensitivity to microbiology lab to confirm diagnosis and getting sensitive antibiotic to treat it. Staphylococcus are resent in environment and can be found in skin flora and from there it can enter inside blood stream to cause infection, so any breach in skin should be treated properly with antiseptics. Hope you would be satisfied with my answer. Feel free to communicate if any query.regards, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello. I have a question about fluid retention. I just began a new exercise program about 10 days ago, and I seem to be experiencing water retention at a rate that is higher than what is normal for me. Any suggestions? I try to be mindful of what I eat and drink, but want to know why I am retaining, and how long i can expect to do so. Thanks.", "output": "Welcome to Chat Doctor I have gone through your query and understand your concern. Your water retention may be related to higher salt intake. So you should look for foods which are salty can because of your water retention. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi my name ebrahim i had acute sever disc herniation at the C 5 - C6 level before six month and berform discetomy by anterior appraoch with cage and fixation and the sever pain is subside but still have apain with parasthesia agraviated by neck movment and i make CT scan and fined that ihave big osteiophyte at the same level i wante to know is this osteiophyte can lysis or it need another operation to remove", "output": "Hi, Thank you for posting your query.First, I would like to reassure that you do not require a second surgery to remove the osteophytes. Also, at this stage, you require medications such as pregabalin or gabapentin capsules to relieve the nerve pain, arising due to nerve compression in the neck. In addition, you would also benefit from physiotherapy, such as IT/ultrasound to relieve the pain, and neck extension exercises. I hope it helps. Please get back if you require any additional information. Wishing you good health, Chat Doctor. Ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a sharp pain in my chest, that goes straight through to my spine in the same spot. My heart rate is 92bpm, but Ive been at rest for longer than 10 minutes, pain has lasted for almost 15 minutes now, and Im 2 weeks shy of my due date. Ive felt this pain before, just dont know what it is but I dont think think its lasted this long before.", "output": "Hello dear, thanks for your question on Chat Doctor. As a rule in chest pain, we need to rule out cardiac cause first. So get done ECG to rule out cardiac cause. If this is normal than no need to worry much. It is mostly musculoskeletal pain either due to muscular pull or unknown injury. So try to follow these steps for better symptomatic relief. 1. Avoid heavy weight lifting and strenuous exercise. 2. Avoid bad postures in sleep. 3. Take good painkiller and muscle relaxant. 4. Apply warm water pad on affected site." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I live with my sister who is 59 and mentally handicapped. She has lived alone for a longtime and will not go to a doctor. I m noticing she has an occasional hacking cough and her skin looks yellow. Her eating habits are terrible but she will only eat what she feels like eating. She s about 4 10 and maybe 90lbs. Got any ideas? I can t force her to go to either a doctor or a dentist.", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. Yellow discoloration of skin can be due to jaundice. It is because of high bilirubin (pigment), which accumulate in skin and gives yellow tinge to it. Bilirubin is raised mostly in liver diseases. So get done liver function test to rule out jaundice. Hacking cough can be due to lung infection, so chest x-ray is needed to rule out this. So for diagnosis ABD treatment you have to take her to the doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "well i am !8 years old and my whole life i have never had a regular period cycle. there are some years where i go with maybe 3 periods max. a year... my last period was May 30, 2009 and since then i have not had my period.... today while taking a shower i felt a lump the size of a dime between my upper thigh and my vagina.. it is where the leg creases in the pelvic area.. this lump has a purple color to it and when you feel it with two fingers, you can actually feel like a round lump. it doesnt hurt to push on it and i dont know if i should be concerned about this lump or is this just natural?", "output": "Hi.based from your description, it could be an inguinal lymphadenopathy or an inflamed lymph node secondary to a recent infection. It could also be a cyst (a sebaceous or a gelatinous type). It is best if you consult with a doctor, preferably a general surgeon, for clinical evaluation. Further diagnostics and management (medical and/or surgical) will be directed accordingly. Hope this helps. Good day!!~ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a small lump that seems to leak puss just above my anus. It is painless but irritating as I know its there. I have been to the doctors twice about this back in November but they tell me it s just a blocked gland or duct. It doesn t seem to be going though. Can you help?", "output": "Hi. A small lump, leaking pus, above anus is usually a fistula-in-ano unless proved otherwise. The best way to get a diagnosis is a digital and procto-scopy examination by a Surgeon. Confirmation is done by a histogram either by x-ray or MRI (if available) for its nature- whether this is high or low. The low fistula are easy to treat surgically. High types are a challenge even for a reputed Surgeon due to its anatomical difficulty. Please go for a proper diagnosis for a perfect plan for surgery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello sir my father is sufffering from psoriasis from past 20 years but he keeps on applying some soute of cream to his body but no cure he never approches to the docter but takes hears advice from other so i want to take him to the best hospital in town to cure it pls help us", "output": "Hi, As you said your father suffers from psoriasis from last 20 years. I would like to say few things about psoriasis. Psoriasis is a chronic relapsing and autoimmune disease. You may be having scaly plaques on various parts of the body, scaly lesions on the scalp. Exact cause is not known. Genetic tendency, autoimmunity, stress, Chat Doctor. .etc. may be responsible for precipitation and exacerbation of psoriasis. You consult dermatologist for firm diagnosis and treatment. I usually recommend cap accretion 10 mg twice a day along with methotrexate 15 mg weekly in three decided doses 12 hourly...for psoriasis. This may be taken for long time till good response. Blood tests may be done to monitor the treatment. For itching, you may take antihistamines like levocetirizine. Avoid oral steroid, as it may lead to flare up of the lesions. Tell him to apply mild steroid cream or calcitriol point on the lesions on the psoriasis lesions. He may apply moisturizer to improve the skin texture. He should avoid soap bath for few weeks. And he should be free of stress and worries as that might worsen psoriasis. He might get good result. I hope you got my answer. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 56 years old and see my cardiologist regularly for a heart attack (they believe to be stress induced) I had 14 yrs ago. I have rare anxiety attacks which have similar symptons to my heart attack symptoms. I have heartburn, indigestion, difficulty breathing, and some chest discomfort in my upper left chest area. Do these sound like anxiety symptoms?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Yes, your symptoms are more suggestive of stress and anxiety. Stress is well known risk factor for HERD (gastroesophageal reflux disease). It causes laxity of gastroesophageal sphincter. So acid of the stomach tends to come up in the esophagus and cause the symptoms of heart burn, indigestion etc. So we need to treat your anxiety first. Better to consult psychiatrist and get done counseling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. So avoid stress and tension, be relaxed and calm. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi im 19 years old i was walking with my sister, and i possibly swallowed a bug while breathing since the grass had been cut, i started coughing and i heard a poping noise on the left side of my front forhead, it was like a poping sound, i want to know if i possibly popped a blood. Vessel and i should be worried, it was hurting me for a bit but i feel a bit discomfort. Should i be worried if i suffered any brain injury what so ever? Please let me know.", "output": "I read your question carefully, and I understand your concern.However, you have nothing to worry about regarding brain injury. That popping sound was related to changes in pressure in the sinuses and the middle ear due to the coughing. Blood vessel rupture doesn't manifest with such sounds and almost always is associated with neurological vomiting and neurological deficits. I hope to have been of help." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good afternoon Dr. Four days ago I was diagnosed with kidney stones have been getting a lot of pain in my lower back ,on the scale of 1 to 9. I feel I been having this condition for at least a year it has grown much worse. My doctor put me on antibiotics three weeks ago for a week not much success. He just put me on antibiotics the middle of last week for a month . The medicine that I m taking is sulfamethoxazole/trimethoprim 800/160 tabs?I m leaving this week to go on Christmas vacation for three weeks should I do that or not.? The CAT scan and said that my kidney stones were fairly large. What else can I do? Thank you and have a Merry Christmas", "output": "HelloThanks for your query, based on the facts that you have posted it appears that you have large sized stones in your kidney (You have not mentioned size of the stones your query and location of stone). The pain that you have are due to obstructive myopathy due to stones and needs to be treated by endoscopic procedure either by Per Cutaneous Lithography if stones are located in renal pelvis or calyxes of kidney. Or by Ureteroscopy if stones are in the ureter. It is advisable to get treatment done before you go for vacation. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor, My baby is suffering from cough and cold. Last two days he vomitted the mucus also couple of times...But he is taking food and all and not vomitting the same. I have consulted a doctor yday and he adviced for Zyrtec only. I am giving 9 drops for him...But since i noticed some kitch kitch in the morning and he is getting the temtation again for vomitting, can i give aAsthalis also..previously my doctor has prescribed him for the same. He is aged 1.5 yrs. Thanks in advnce, manoj", "output": "Your child is suffering from a respiratory tract infection which is likely to be caused by a virus. As he is trying to cough out the thick mucus, the gag is triggering a vomiting but not otherwise. Zyrtec (cetirizine) is an antiallergic which relieves the allergic component of such infections and should be given for a few days to relieve the khitch. Give him steam inhalation or nebulization if possible. The water in the form of vapor or fine particles will reach deep into the lungs and help in diluting the cough and give him relief. Stalin contains Albuterol which is a bronchodilator and needs to be given if the child has wheezing. It can best be delivered by nebulization, but syrup is another alternative." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "high white blood cells and overload iron. stabbing pains all over body. bruising by just itching hands and arms. doing regular phlebotomies for iron overload. what say you - only 57 years old - worked all my life - never had health issues - should I be scared. Also, growing hair on side of face and chine. Should I check into MD Anderson. Diagnosed by RR med with fibromyalgia, neoropathy.", "output": "Hi, Thanks for asking. Based on your query, my opinion is as follows.1. High white blood cells with itchy arms and iron overload suggests chronic inflammation.2. Regular phlebotomies, means you are possibly suffering from polycythemia Vera. Polycythemia Vera can progress into other myeloproliferative disorders.3. Bone marrow biopsy is necessary for confirmation. Better go to MD Anderson institute for further diagnosis and therapy. Hope it helps. Any further queries, happy to help again." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have Fibromyalgia. But lately I m beginni,g to wonder if I have lupus also. I suffer pain constantly but a soon as the sun goes down all my joints begins to ache and swell and my legs feel like I have a second degree burn. And I m constantly fighting fever blisters around my mouth and inside it also. And I ve noticed also if I m out in the sun or if I m really stressed I break out with fever blisters, I m wondering if this could be caused by Lupus? Thank you", "output": "healthier should be immediate consultation with your doctor treating fibromyalgia, and he may have to look to whether any medicines prescribed by him are causing hypersensitivity to sun rays, usually antiarthritic medicines like sulfazalazine, methotrexate and HCQ cause this, any many a times unusual reactions to any medicine is possible. Secondly see a dermatologist also for this symptom. Lupus usually has varied symptoms and can be brought on my sunlight or medicines, but typical features are butterfly erythema on both cheeks, even then, autoimmune blew tests like anti-nuclear antibody(ANA), immunoglobulin tests etc. may be required to rule out lupus. The best option is to consult a rheumatologist. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I recently had protected sex and during oral still protected I noticed that the condom had filled with blood after closer inspection it looks as if I been pinched on the head of my penis and it had burst is this something that I need to go to the emergency room about or just apply anti bac cream and let it heal?", "output": "Thanks for asking in Chat Doctor forum. In short: Frenulum tear might have caused this. Explanation: Bleeding from male genital organ while sex can occur after the tear of frenulum. So, I would like to suggest you to visit a doctor as early as possible for your problem. Small tear heals by itself after sometime if given rest. Otherwise, sometimes need to be checked if it has to be sutured or not. Good luck" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi mh name is jamie im am 10 weeks pregnant and have neruocarido syncopy and i have recently almost been passing out i dont take anything for it cuz i know know to deal with it normaly but it has gotten worse and i almost pass out some times 2 to 3 times a day if not more. was wondering if i sould call my doctor to see what she can do or wait until my apt next monday?", "output": "Hi, I agree with your decision to call your doctor to alert them to how your condition appears to be getting worse since I'm sure they will want you to come back to see them quickly in order to do an examination and determine what the best course of action would be to help stop these passing out spells. I would not wait at all for the next appointment since your doctor may even wish to put you in the hospital for observation given the fact you are still in the 1st trimester and further complications could risk the viability of the pregnancy. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello. I had four stents put in my heart on 10/2009, and have had no trouble whatsoever since. Ten days ago I thought that I d been bitten by a mosquito just by my shoulder blade as an itch started. This feels like a wire from a stent has come adrift somewhere. This only happens when I m standing but not when I m either sitting down or in bed, and there is no support on my back. Seems like a small prick under my left nipple and at the same time as a prick on my back. I am 76, male, haven t smoked for forty years and blood pressures are usually around 130/70. Cheers. Tom O Farrell", "output": "Hello Tom! Thank you for asking on Chat Doctor! First, I would like to assure you that your pricking complains has nothing to do with your stents, Stents, or even their components cant come a Chat Doctor. Your pain is so atypical for explaining a possible ischemic myocardial disorder (it is a sharping, positional, migrating and well-defined discomfort). So, to conclude it seems t OBE an extracardiac pain. I recommend to consult with your doctor (GP or internist) for a comprehensive physical exam, a resting ECG, chest X-ray study, and if suspicions are raised, a cardiac ultrasound to rule our any possible pericardial effusions. Hope to have been helpful. Greetings! " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son is 9 months old had croup a couple of days ago and yhis morning woke up coughing and sweating. While he would cough he would cry and than i held him and he went back to sleep. He woke up and seems ok now but Im worried that it maybe something else wrong ie pneumonia or bronchitis. Can you please help.", "output": "Hello, I understand your concern. I would like to know if he has any other symptoms such as fever or fast breathing? My suggestion is that you count the number of breaths he is taking in a minute (watch his chest movement up and down for a full minute). If it is more than 50/minute, I suggest you take him to a pediatrician who can listen to his chest for wheezing or other sounds. Watch for the following:1. High fever >102 F2. Fast breathing (>50 breaths per minute)3. Gasping for breath4. Poor feeding or decreased activity5. Wheezy sounds heard when he is breathing none of the above are present, it is unlikely that he has pneumonia or bronchiolitis. Nebulised a Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My four year old has had a cough for a few days now, and today she developed a fever of 104.2 I gave her childrens motrin and it came down to 102.7 now she has a nose bleed..should I contineu to give her motrin in an attempt to get her fever down or should I take her to the ER?", "output": "Hi dear, I had gone through your concerns, she has very high hyperthermia, you can give her Motrin one more time, but I advise you take her to ER and get examinations: blood, urine tests, X-ray of chest to exclude sever conditions. Hope I answered your questions. If you have the following queries, then don't hesitate to call us. I would be happy to help you. Wishing your baby speedy recovery and good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My friend is in south africa he has skin problem for the last 4 years. at hands ears,some part of the face also. He seems scratch the skin and some white powder like skin comes out leaving somes red rashes.he has been taking medication but not useful.doctor says it is one type soroisis.what medicine he should takepl suggest", "output": "Hello. Thanks for writing to us at Chat Doctor Psoriasis presents as red, scaly, itchy patches at various body sites; commonly extensors like knee, elbow, scalp, hands. Facial involvement is less common but may involve the hair line, that may extend on to the adjacent facial skin. Diagnosis of psoriasis is clinical; skin biopsy may be confirmatory in doubtful cases. Psoriasis is a steroid responsive dermatitis and treatment of limited disease includes potent topical steroids e.g. clobetasol propionate clobetasol propionate in cream/point/lotions. Topical vitamin D analogues e, g calcitriol, calcitriol are also among the treatment options. Systemic treatment may be started in those who have widespread Or severe involvement (e.g. pustular psoriasis, erythrodermic psoriasis). Systemic treatment options include methotrexate, cyclosporine, phototherapy etc. Methotrexate sometimes may also be started in those with limited involvement e.g. recalcitrant involvement of hands and feet. Psoriasis is chronic and can recur after seemingly complete cure. Factors that are known to exacerbate psoriasis include Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doc i am a single mum, no boyfriend and i had my gallbladder surgery 4 yrs ago. i take some vitamins and some herbal supplements but not religiously. i have hemorrhoid but i didnt take medicine for that. i have mucus secretion on my anus. it is yellowish and sometime it has foul smell. can you please enlighten me doc what has happened to me?", "output": "Hi welcome to Chat Doctor forum. Probably nothing serious.it may be normal anal discharge or sign of perianal infection, fisure of polyp so I suggest doing basic physical exam to rule this out. Also, try to have site baths and do blood stool test. If there is something suspicious then endoscopic procedures should be done but i don't think this is necessary at this point. Hope I have answered your query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doctor am having small breasts,and am 20 years old and am thin,please help me get rid of it.", "output": "Hi...dear XXXXXX..., Thanks for choosing Chat Doctor..., I have gone through Your problem., There is no definite treatment for Breast enlargement..., A)............ Natural enlargement of Breasts is the best option., It can be got by using Breast Exercises like.....1) Push-ups.... Lie on your stomach, bend your knees, and cross your ankles. Bend your elbows and place your palms on the floor a bit to the side and in front of your shoulders. Straighten your arms and lift your body so you're balanced on your palms and knees. Tuck your chin a few inches toward your chest, so your forehead faces the floor. Tighten your abdominal. Bend your elbows and lower your entire body at once. Rather than trying to touch your chest to the floor, lower only until your upper arms are parallel to the floor. Push back up. Don't lock your elbows at the top of the movementRepeat 10 times. Break for a minute, then do 2 more repetitions2) Palm Pushes:Press your palms together in front of your breasts. Hold for five seconds, relaxRepeat ten times.3) Forearm Grip:Grasp your forearms at shoulder level and then pull outward without letting go. Repeat ten times.4) Finger Lock:Curl your fingers, lock them together at shoulder height, and pull. Hold for five seconds. Repeat ten times. B).......... By medicines..., Not safety.,but available... Estrogen and Progestins ...increases Breast engorgement temporary..., Some Herbs.... Dong Quiet (Chinese Herb)., Blessed Thistle (German herb)..., Some seeds., Fennel Seed (contains anethole and photoanethole)., Fenugreek seed (contains Diogenes.)., will increase the Breast size..., So first try and flow Natural procedures ok...good luck" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 18 month old has swollen gums upper & lower and upper lip is a little swollen as well. His mouth hurts and he tries to eat but only takes one bite and says ow and won t eat anymore. We took him to the dentist and he s on a rx for amoxicillin but he wasn t sure what was causing the swelling. He has a mild fever and we re giving him advil for pain & inflammation. I also noticed tonight he has a few small redder than usual spots on his tongue, almost like he ate something sour that irritated his taste buds. His hands and feet are not red, I checked in case it was hand, foot & mouth disease. Oh and he s not sleeping well at night, he wakes up every couple hours but he s still very active during the day. Any idea what s wrong with my little man? Thank you!!", "output": "Thanks for your query, I have gone through your query. The pain, swollen gums and fever could be because of the herpes virus infection, you can just give him symptomatic treatment like paracetamol for fever and topical anesthetic and analgesic like Anabel for the painful tongue. The other possible cause of the pain, swelling and fever could be from the erupting deciduous tooth causing infection of the overlying gums. If the infection is from the gums you can take amoxicillin and Cronin for 3 days after consulting the oral pediatric dental surgeon. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello, my 8 old month baby has a problem with her eyes. when she crys something green comes out of her two eyes. but when she wakes up one of her eyelashes from the top and buttom gets srucked. i clean her both eyes with apple tea. if you can please help me or what should i clean her eyes with?", "output": "Hello, Greenish discharge from eye is suggestive of some (probably bacterial) infections. Since you have already tried home remedies, and they did not work, It's important to consult your family physician or pediatrician as it might require antibiotics to treat the condition. This condition should not be left untreated. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, Sir I am a 15 year old teen named abhishek Arora. I live in new delhi. I have idiopathic adolescent scoliosis with a double major curve. The thoracic being 40 deg. and the lumbar is about 50 degree. Every doctor i have met has recommended me a surgery ( spinal fusion ) . Apart from normal surgical complications, I have learnt from many resources on the internet that there is chronic back pain after surgery. Should i go for this surgery(i have no budget problems). I have been doing Yoga at a very famed institute which claims that they can treat my scoliosis with some exercises and naturopathy . Is this a hoax? Also sir/ma am do tell me if i can regain my height.", "output": "1. as it is diagnosed case of (IAS), means cause is not known.2. Any family history??3. Does the screening test \"Comscore\" been done for genetic screening?4. Any neurological or pressure symptoms?5. Because curve is greater thus conservative treatment is not possible, but prior to surgery you can consult with a Physiotherapist for improving strength and mobility, and improving flexibility in hamstrings and low back, .6. If a curve is more than 45 degree, surgery is likely option. 7. Left untreated, AIS can cause physical deformity, debilitating pain, and psychological distress (depression).8. Epiphyseal cartilages of bone closes after the age of 18, so regaining of height will depend upon the outcome of operation, consult with spinal surgeon for the same." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 33, just had a baby.about 10 months back I had a lump in my right armpit. Got it checked doctor said its bacterial infection due to shaving so gave me medicines but I couldnt take it coz I got pregnant and now after delivery when I went to see the doctor she suggested ultrasound coz my lump has gone bigger and soft. I got ultrasound done but nothing clear and now I have to go to the doctor again. I had tb about 11 years back which was cured. I am worried.", "output": "Hello! Thank you for the query. Such lump usually appears due to hair follicle inflammation caused by shaving. In such case, the best treatment is not an antibiotic, but incision and pus Chat Doctor. It is also possible that this lump is an enlarged lymph node. However, this should be visible in the ultrasound. It is also good to have breasts checked when a lump in the armpit appears. I hope you have had breasts ultrasound as well. I suggest you to consult general surgeon with this problem. Hope this will help. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctoe,Guru,25,176 Cm,Hair Loss. I have consulted on of my local doctor for hair loss treatment. I am very satisfied wt the way they treat me. Doctor prescribed me with Mx5% & Finepecia 1Mg & Anaphase for 6 months. I am little worried about finestraide as I heard very bad review like it have impact on sexual organs! Now, I am not bald at all, Using these medicines for 6 months and then stopping them will show any adverse affects on me?", "output": "Thank you for your question! The two medications that you are taking are the only Chat Doctor. If the medications are stopped, it is a little hard to say that, within 6-12 months your scalp will appear the same as it was before treatment. Regarding one of the disadvantages of Finasteride is that it can cause sexual side effects such as decreased sexual desire and difficulty in achieving an erection. I hope my answer helps you. Feel free to ask me again if anything is left unclear." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am a 48 year old female, very healthy,walk 3 miles 5 days a week. Just had all complete blood panel--everything normal overall cholesterol was 173, hdl 73 and ldl 77. Liver panel alp=38 asp=32 alp=36. I drink 1 to 3 and sometimes 4 glasses of wine per night. I have been having a nagging pain that comes and goes under my right breast. Should I be worried about my liver?", "output": "Hello, Pain in the right chest may be a muscular pain or pleurisy or pneumonitis or herpes zoster or radiculopathy. Until examination is done it is difficult to say what it is. Take tablet attract twice a day for five days. If symptoms not improved please consult with your physician he will examine and take chest X-ray, ECG then treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am trying to find something to help my sister who is in the hospital now. She has asthma, thyroid problems, on medication. She has acid reflux, on medication. She has a hacking cough, get tingling of the lips and mouth and swelling of tongue and throat with cough and sore throat, so far doctors are baffled.", "output": "Hello. Thank you for asking at Chat Doctor. I went through your sisters' history. However, I would like to know some fundamental details like - What is her age? Are her asthma, thyroid and acid reflux under control with medications? Which medications she is taking, since when, in what dose? What are her latest reports? For what is she hospitalized, since how many days, what is her condition? How she developed symptoms like tingling and swelling in oral cavity and cough? These questions are very important to make suggestions to you. Please have faith in God and her treatment by doctors. Please feel free to ask/communicate at Chat Doctor for any concern. Wish her a very good recovery and the best of the health. Thank you & Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I had a C-section about a week ago and have been having very consistent heart palpitations.. about 1 every 5 beats or so. It s a very uncomfortable feeling but my OB doc didn t seem too concerned. I was anemic during my pregnancy and then had the surgery so not sure what exactly is causing this. Should I be concerned? Is this normal post pardum?", "output": "Hi there, I have understood your concern and I will suggest you the best possible treatment options.First do not panic. As you have mentioned that you had anemic condition and there was history of C section, this might have further lead to decreased hemoglobin levels. I will suggest you to get complete blood count and urine routine examination done. Please consult with your internal medicine consultant, to get an idea about your palpitations. This will help to know if palpitations are due to anemic condition or anything more related heart rhythm system. Till then, be calm and quiet. Get relaxed. Meditate regularly. Think positive. Eat plenty of fruits, vegetables and salads in daily diet. Chat Doctor. Things will be fine in the due course of time. I hope this answer helps you. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have chronic pain everyday in the same location, left shoulder blade, left lateral neck and behind left ear. it is a deep pain, feels like an ice pick. I have had a left mandibular joint replacement for a disc that was almost gone. I have had a 4 level ACDF for 4 herniated discs,C3-7. it has been 7 months since the ACDF and I still have the same pain. I don t know what to do anymore. I only take advil for pain, stretch and use hot packs. Do I just live with this?", "output": "Dear patient Reason for pain may be continuation of pathology that was prior to your surgery because you are having continuous pain since surgery. Pain relief should be there after surgery. 4 level disc surgery is major procedure. Pain in shoulder blade may be articular pain due to disc pathology. You need to consult your operating surgeon as soon as possible. Meanwhile, start tab regain x 75 mg one at bedtime." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Well Im 18 and for the past week or two just after my menstrual ended Ive been experiencing nausea, vomiting, stomachache, headache, frequent thirst and urination, dry mouth, fatigue but last night i could not fall asleep at first i thought it was because of the time change but it was already 11:00p.m. then 12:00a.m. and i finally forced myself to sleep at about 1:00a.m.So please anything would help i would like to know if it could become serious.", "output": "Hi. Your symptoms of nausea, vomiting, stomachache, headache, frequent thirst and urination, Chat Doctor. This looks to be due to severe urinary tract infection with attendant symptoms. I would advise you the following:First give urine sample in a sterile container for culture and sensitivity before you are started on antibiotics. Also give blood for routine tests and kidney function tests and sugar. Ultrasonography helps in some cases. Get started on an antibiotic and supportive treatment." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor ! 2 days back I had a sever spinning of my head while sleeping with restlessness & sweating . Checked in nearby hospital Doc suggested me to take Virtin16 two times a day. ECG was ok , Blood sugar was ok , I am also taking BP medicine Benetec H 20 since last 3 years . Also checked my Ear with ENT Doctor . He advised me to take Virtin16 alon with Nuromet cap 1 per day . In place of this cap , I get Mecofol plus nf . Please suggest me should I take this Cap in place of Nuromet ? Also suggest me for what purpose this medicine is ? Any side effect ? What you suggest for next course of action . Rgds Sanjeev", "output": "**1. Since blood sugar and EKG came normal, thus probably could be vestibular symptoms for which medicine is given, but since you are taking blood pressure medicines, it may be excess dose or postural hypotension, you may ask your doctor to adjust the dose or use a different Chat Doctor. 2. Alcohol plus NF is a class of nerving tonic [nootropic] and is a combination of multivitamins and minerals essential for normal body growth. You can safely take it as a regular supplement, and since taking it in oral form thus few adverse " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Dr, My 6 months old baby is suffering from loose motion and am giving sporlac for past 6 days and also oflomac I gave for 5 days. But still its not completed stopped and she got severe redness in her back. PLease suggest whether I can continue the Sporlac ( I stopped the antibiotic from today morning).", "output": "Thanks for consulting at my virtual clinic. I have carefully worked through your case, and I can realize your health worries. Being your physician, I assure you not to worry as I will take care all of your medical concerns.sporadic contains spore of good bacteria which will fight of the bad bacteria that can cause loose stools. Loose stools can because by either bacterial, viral, protozoa, fungal infection. Only bacterial infection responds to antibiotics. 5 days of antibiotics treatment will be sufficient. Even you can stop sporadic. breastfeed your baby frequently. See for any signs of deny Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I fell on my knee hard about 15 years ago, I was sore and in pain for two weeks, then it went away, I could jog and ride a bike, then 10 years later I was playing volley ball, the pain came back for one week, then went away. One year later I was swing dancing when my partner turn me really quick that I felt my knee pop, I was in pain for a whole week. I don t play volleyball but still dance but just careful how I turn. I continue to jog and ride a bike, until recently back in September 2012, I was perparing for a party which caused me to be on my feet for three days in row, after the party the next day, my pain came back for a couple of weeks, then went a way, then two weeks ago I was squatting for along time doing chores, it was fine, until the next day, I was in pain, I m still in pain.but I still did some bike exercise. Now it seem harder to walk, bend, sit at my desk for along period of time. The pain is all over the leg beside the knee, expecially the thigh. Do I need to go to the doctor and get an x-ray, I ve never been to the doctor about my knee. I know now not to squat, play volleyball. I dance carefully too. If the pain goes away, do I just take care of my knee more carefully. Do I just need bedrest for a week. I feel now it take longer to heal. What do I do now? Thank you.", "output": "Hello, I have read complete details. Looking at your details it looks that most probably you may have a meniscus or ligament problem. In this case only having an X-ray will be not sufficient. You should have MRI of your knee. At present, you should do following to prevent further injury:- Use a knee cap over the knee-Avoid turning on your knee. Avoid running, squatting, dancing and putting pressure over knee. Clinical examination and MRI result will further decide next course of treatment. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I feel a bit nauseous. My head hurts, talking a little strange, suddenly emotional. Bright red, burning line from the bottom of my neck around my forehead and down the other side. low grade fever, 99. Feel a little disoriented. I have had issues with a recent crown on my molar and my mouth is sore, but nothing else.", "output": "Hello, Are you a known case of Diabetes? Are you taking Pills to Control your Blood Sugar levels? If the answer is yes, then you need to check your Blood Sugar levels Checked such as:-FBS (Fasting blood sugar test)-PLUS (Postprandial glucose test)-HbA1c (Hemoglobin A1c)If the answer is no, then take good analgesic (NSAIDs) and adequate rest. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was suffering from typhoid fever which get treated with ceftriaxome and amikacin inj BD 5 days & cefodoxime BD for 10 days , but occasionally i have low grade fever like 99.0, 99.1. my dr. advised for mantoux test whicChatDoctore positive, chest X-ray is clear and i have no symptom of TB but my dr. has started TB treatment. Am I suffering from TB as every one says that positive mantoux doest not surely confirm TB?", "output": "Thank you for writing on Chat Doctor. In my every day practice we don't treat every patient which is manitou positive. There are some criteria to start treatment. Anthony can come positive with means that you have been exposed to mycobacteria tuberculosis but it's not equal to disease. It needs to have other clinical correlations. A normal chest x-ray normal is against starting of treatment. At first there is the need the see you have had any previous contact with tuberculous patients. If any member in your family has had tuberculosis. Low grade fever could be symptom of other disease and the list is long including infection, systemic disease etc. You have to discus again the reason for starting of treatment. Low grade fever is not an indication for Tuberculosis treatments you good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my friend is diagnosed with melanoma cancer metastasized to the liver. He has had 2 cycles of the 6 prescribed biochemotherapy. The area where the liver tumor still feels hard and large. Is the bio chemotherapy working if it still feels hard and large. Please let me know as we are all worried. Thank you", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. Melanoma is very notorious in cancer spread. And liver spread indicates end stage (stage 4) malignancy. Only palliative chemotherapy is indicated in this stage. Since you are telling that liver mass is same, this suggests failure of treatment and worsening malignancy. So your friend is not responding to the chemotherapy. Better to consult oncologist and discuss all these." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor , this site recomended by my wife , I am 51 yrs old, i surf a few times a week, i swim laps (around 1-2 ks per day, ) over the last 18 months stopped drinking Cola as sugar was high, I have lost 12kgs in 18 months, recently i get symptoms of a really chemical smell, sometimes feel really sweaty with the smell, today had a slightly pins and needles in my hand , starting to worry about these symptoms", "output": "welcome to Chat Doctor and I can understand your concern. Swimming is one of the good exercise to keep your body fit, as well as to reduce weight. Yes cola contains lots of sugar. If you are diabetic i.e. high blood sugars, fasting blood sugar >100 and post postprandial sugar level>140 considered as diabetic. If you are diagnosed as diabetic as u have control your sugar level first, by diet like using more of wheat, ragi, vegetables and avoid rice, sugar added food, by doing regular exercise like walking or swimming, and you have to start antidiabetic Chat Doctor. If your sugar levels gone too high, then you may suffer from usual breathing, in that bad smell comes out from your mouth. But it is rare. Common other causes of bad smell breathing are oral candidiasis or any bacterial infection. Tips1. Maintain oral hygiene2. Use mouthwash after each meal3. Do gargle with hot water and salt and about your pin and needle sensation, you might be having peripheral neuropathy because of diabetes.I hope I have answered your query thank you take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Dr. Good morning. My name is farhana and my husband name is Rajesh kumar. am from Chennai.we both working in infosys.We married on 26/10/2010.but still now we dnt have baby am very much logging for baby Dr. once i checked With Dr. Sulockchana in chennai, she took pelvis sacn she said that no problem to me i can give a baby and my husband also good in wealth and i also think that he dnt have any problem in his sperm. so i dnt knw what to do now.please advice me about the baby. thanks & Regards,Farhana.R", "output": "Hello dairy understand your concerns you both failed, I would suggest you both to consult infertility specialist. Infertility could be due to Hormonal imbalance, poor quality of egg, ovulatory dysfunction, problem in fallopian tube, poor quality of egg. I would suggests undergoing following investigations and complete clinical evaluation. For you: reproductive and thyroid hormone analysis, ovarian follicle study, HSG tester your partner: full semen analysis, USG if neededSpecific treatment depend on cause. You can start acre plus: it provides essential nutrient for maintaining reproductive healthClomifene citrate: if problem in maturation and rupture of follicleProgesterone pill in second half: if there is hormonal imbalanceTablet metformin: to regularize glucose homeostasis and maintain weightTablet gonadal F your partner if problem in semen parameter. Avoid stress, take healthy diet, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir i am male doing masturbation from my 12th year,now my age is 23years i ll do it twice a day,when i was did masturbation i feel my legs and spinal card are paining and total body is going to be soo tied after this attempt,also is their any problem in feature for me.", "output": "HiT hank you for asking ChatDoctorI have gone through your query. You are worrying too much. But too much masturbation is not good. It may have a psychological impact. You can change that by deviating your mind to some hobbies. You can do daily exercises like swimming jogging or playing games which will deviate your energy and you won't get the feel for masturbation.The have could be due to the award posture while masturbating or excessive stroking of hand. Hope this may help you. Let me know if you have any further query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello I keep getting lower backache an cramps have started in my stomach about belly button level an they shoot down to my pelvis area I feel extreme pressure on the arch of my back which feels like it spreads upwards an just lately when I urinate they become more painful allso I cant pass wind as it puts toi much pressure on tge front of my stomach do you know what could be causing this please thankyou for your time.", "output": "Hello, thanks for posting your query to Chat Doctor. C. During urination if pain is there, it might due to urinary tract infection (UTI). Stomach pain is also, but it may happen a rifer pain from U T I. Desire of defecation usually associated with U T I. So consult a doctor and get in U/S of whole abdomen to rule out any disease in effected area. Urine and blood examination will also highlight the disease. Good luck " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have a wisdom tooth underneath my gum on the lower left side . I went years ago , to an oral surgeon who said it was very close to a facial nerve and i should put hot packs on my jaw. the pain went away but now its back, I have been putting hot packs, on my jaw, i see the dentist this week. im very nervous i dont want my face or jaw, or mouth to be numb what should i do?", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. Thanks for your query. This is very common condition when impacted tooth presses a nerve. This is the reason for pain. You should continue giving hot packs. Such impacted tooth should be removed otherwise they keep troubling you with on and off pain episodes. It requires very skillful and experienced oral surgeon as there is involvement of nerve. I would suggest you to consult oral surgeon (as there is already an appointment) for proper evaluation of condition. Doctor may take X-ray or CT scan to access the position of the tooth and may perform surgery under local anesthesia to remove the impacted tooth. For pain ibuprofen(if not allergic) or acetaminophen and do warm saline rinses. Hope your concern has been resolved. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. So I broke my elbow when I was 8 years old and had to get a plate put in my elbow..now I am 18 now and for the past year I get extremely really bad pain in my wrist. It feels like someone broke my wrist. I went to get it checked out but of course when I went the pain was gone..I can go like two days where I can do what ever I want with my wrist and then next I can t even move my fingers without it hurting..its my left wrist and I never use that wrist for anything...I m so hangry because nothings helping it ..when it hurts I sometimes still can pick light things up but its just I can t move my wrist up or down and I get open any doors ..please help!", "output": "Hi, thank-you for providing the brief history of you. A thorough neuromuscular assessment is advised. As you had surgery 10 years back with screws and plates in the elbow, my first doubt here is, is the plate and screws removed. If not than it has to be done for which you can discuss in person with an or tho. Also, when you have pain in the wrist and not able to even pick a ball then the motor and sensory nerves needs an assessment since you had a past injury which was treated with the screws and plates. As the muscles must have been weaker.Also, usually with simple physical therapy the strength is regained back, and muscle re-education is provided by physical therapy. In case if the screws and plates are not removed I will strongly recommend getting it removed as it will lead to restrictions in the overall growth of the bone and muscle system. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my mother has developed kidney stone at right kidney,which is 40mm size.medicines(zurig40mg&portrate mb6) has been using from last 2 years,but no result. what is the best treatment for it? which doctor shall i consult? blasting is neccessary for it? she has sugar& BP also,her age 52 yrs.thanking you...", "output": "HelloThanks for query. Your 52 years old mother has been detected to have stone of a size of 40 mm in her Right kidney. Considering the size of the stone being 4 cm in size Extra Corporeal Shock Wave lithography (ESL) is not possible in her case. The only best treatment option for her is to get the stone fragmented and removed by a procedure called Per Cutaneous Nephron Lithotomy (PCNL). This surgery is done by a well-trained qualified Urologist under spinal anesthesia, and she has to be hospitalized for 3 days. Diabetes and hypertension that she has will be taken cared of by a team of physicians. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had Hodgkins Lymphoma this year and beat the cancer. Would my doctors/oncologist have tested if it was HIV-related lymphoma? I have not ever been tested for HIV, but was just curious if it would have shown up when testing and staging in the beginning.", "output": "Hi, dairy have gone through your question. I can understand your concern. Oncologist can easily detect HIV related lymphoma. If you have not tested for HIV then go for HIV testing. Take treatment of your lymphoma according to type and stage of lymphoma. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Have you ever heard of being given Remeron, Protonix and Pepcid for 87 yr old who is anemic, some blood trace is stools and low iron. She gets iron infusions every 8-12 months. Is being treated by a hematologist. A gastro doctor just put her on these meds on top of 20+ other meds she s taking. I question this action.", "output": "Hi, Thanks for asking. Based on your clinical history and query, my opinion is as follows:1. Medications nos. Are too many.2. She will miss important medications.3. Full clinical details are necessary. However, at present, these are not essential ones. Discuss with your doctor. Appetite improvement is not primary. Non-pharmacologic methods necessary. Hope it helps. Any further queries, happy to help again." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I have recently been prescribed Zoely contraceptive pill due to the symptoms of low moods and mood swings on Microgynon 30. Some literature recommends a low progestin pill for low moods/depression, Zoely contains 2.5 milligrams of nomegestrol acetate (progestogen) and 1.5 milligrams oestrogen. Is this combination considered a low progestin pill and could it help with reduced mood symptoms? Many thanks", "output": "Hello, Steroid based OCP have a propensity to cause and intensify psychiatric illnesses. So, by reducing the steroidal component of your contraceptive the doctor has tried to reduce the risk. But ideally, the patient who develops mood swing or any psychiatric symptoms while on OCP should be put on non-hormonal contraception. So, the Chat Doctor. .it will not work on your mood symptoms so, it would be wise to get proper med for mood swings from a psychiatrist after detailed interview. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "if my family member had supposedly three untreated heart attacks and finally went to er diagnosed with chf treated with lasix two inj.x2 daily survived triple bypass surgery 12 hrs later on oral lasix 24hr back on lasix injections .this doesnt seem normal", "output": "Hello, Thanks for posting your query on Chat Doctor ... * Brief Answer: congestion in intestinal mucosa can alter Chat Doctor. *Explanation: My opinion is that in your relative case congestive heart failure is a result of ischemic heart. After bypass surgery, post-operative care is crucial. Shifting to oral medications is a good sign but sometimes, especially with lasix, response may not be satisfying as for " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am so in shock about the shooting in Con. I have a 10 year old son who is now having trouble sleeping because of this, he has woken up in the middle of his sleep frantic......it is so clear that he is worried it could happen at his school, I reasure him that it wont happen, but that doest seem to take away the fear.", "output": "Hello and welcome to Chat Doctor. Thanks for your query. I understand that you are worried about your son who has become fearful about the recent shooting incidents. Now, though it is natural for everyone to develop fear or apprehension after hearing such disturbing news, it can become a problem if the fear is excessive or causing dysfunction. So, if your son is having excessive fear or is refusing to go to school because of this, I would advise you to take him to a psychiatrist for a detailed evaluation and further help. He may need professional help in the form of counselling to help him overcome the fear. Wish you all the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi i am 33weeks pregnant n was prescribed wit candid v3 vaginal tablets and the cream . I have been using the cream but have avoided the tablets because of the babies position and according to the instructions i should not be using it at this stage what should i do ? Will it affect the baby ?", "output": "Hello dear, I understand your concern. In my opinion the candid V 3 vaginal tablets are safe to use in pregnancy. The candidiasis is the most common infection seen in pregnancy. Untreated vaginal infections also are one of the causes for preterm pains. So candid v3 tablets can be used to treat the infection. Nothing to worry. It doesn't harm the baby. There will be local action of Chat Doctor. Best regards..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I wish you could help me but probably not. My husband has Parkinson and we have been in the hospital because of a build up of Co2 ( Blood count 119) We are now an out patient with hospice so you probably cant really suggest any thing. I am just confused how to help him when he has tremors from his waist down which we have never seen before.", "output": "HiT hanks for writing to Chat Doctor Tremors in the resting state are characteristic of Parkinson disease. These tremors occur in the extremities and are associated with rigidity and slowness. Sometimes toxicity due to Co2 can precipitate Parkinsonism symptoms. The treatment for CO2 intoxication includes giving O2. Treatment of tremors for parkinsonism involves giving levodopa and anticholinergic Chat Doctor. But in your husband the tremor is not typical of a Parkinson type. The other causes of tremor include: essential tremor, hypoglycemia, liver disease, Wilson disease, asteroid, myoclonus, epilepsy partials continua, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, im a female 34 years old. I work as an Architect and i got promoted to be a head Architectural Design recently, though i have some problems that appeared almost 2 years ago after breaking up with my fiance in 2 months and loosing my work at the same time cause i used to work in his office.Im always in a black mood and the strange thing is that i cant see the sun light so bright and nice as i used to, now the sun is brown to me and i have blurred vision and i dont like the sun anymore as i used to.Im wondering if i have depression? and if yes why am i so much good at my work and getting better and better these symptoms should make me go back and not to improve!! Thank You", "output": "Hi, You are a female aged 34 years, you are always in black mood, don't like to seethe sun, sun appears to be brown. This is all not depression, it might be a change in your eyesight. If you have depression also some people in depression will concentrate on something else and improve life in that line. Some unfortunate people only go down to the floor. Congrats you are in a right path. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am suffering from hair loss. I went to the doctor and she suggested me 2 medicine and 2 lotion. Medicine: follinhair and finax. And lotion: Halox and mor f 3%. Saw the side effects. She wrote me the medicine for 20 days. I want to know when to stop the medicine so that medicine side effects doesn t affect me.", "output": "Hi sir/madam, Hair loss can be easily treated in Ayurveda. Stress, worry, anxiety, and inadequate nutrition lead to hair loss and premature grain of hair. Increased intake of fried, sour, spicy, salty, and fermented foods, as well as tea and coffee, aggravate the Pitta Doha in the body. This Pitta accumulates in the skin of the scalp, leading to hair falling out and grain prematurely. Hair loss can be one of the most common signs of iodine deficiency. Iodine, when combined with iron, zinc and magnesium is said to be one of the best minerals that help in maintaining healthy and lustrous hair. Iodine stimulates thyroid gland which helps in strengthening the hair root and boosting hair growth. Excessive consumption is also dangerous. Causes of Hair Fall:-1. A prolonged illness.2. Stress.3. Thyroid hormone imbalance.4. Few Medicines like anticoagulants, medicines used for gout, chemotherapy for cancer, excess of vitamin A, birth control pills and antidepressants.5. Conditions like lupus, diabetes etc.6. Fungal infection of scalp.7. Use of harsh chemicals or hot oil for treatment.8. Anemia. Ayurvedic Home Remedies For Hair Fall:-1. Grind some slightly Chat Doctor. 2. Powdered AMLA has to be mixed with warm water and used on the scalp to promote hair growth. It also prevents premature grain of hair.3. Fenugreek is very effective in preventing Dan" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "how long should iv fluids continue to be given to ensure stable hydration and kidney function after kindney function stops due to rhabdomylosis?", "output": "Hello and welcome to Chat Doctor. In rhabdomyolysis myoglobin is released from the affected muscle leading to tubular obstruction in kidney. Initial aggressive volume loading followed by mannitol-alkaline diuresis of up to 8 liters per day is required till the myoglobin is no longer detected it urine and serum creatinine comes to normal. I hope I have answered your query. Best wishes for your and your families health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am 6 months pregnant and i found out yesterday that i have the HPV Virus...i dont know anything about this virus...my OBGYN just told me and walked out of the room...can u please give me advise and tell me what I am up against or what i can do to get rid of it...im scared that it will get passed on to my unborn child if i dont do anything about it...please he me", "output": "Hi, HPV infections are common in sexually active women in child bearing age. Usually this is a transient infection which resolves on its own in 90% of the women in less than 2 years. In the remaining 10% it could be persistent and in such women monitoring by cervical smears is necessary.HPV infections have no cure as such. But they can be prevented before a girl becomes sexually active by taking HPV vaccine. So, there is nothing for you to do right now in pregnancy. After Delivery, you could get the HPV DNA status and cervical smear done to reevaluate. It will not affect your unborn child or mode of delivery in any way. Hope this helps. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, lately I have been getting this pain on the side of my right thigh. its a tingling sensation that has a numbness feel. I seem to get it when I have sat down for awhile on that side. When I go to get up and have a stretch it is an excruciating pain that feels like something is pulling on the inside. I can t seem to stretch it out as it hurts, it seems to rectify itself when I haven t been sitting for awhile especially on that side. Not sure what to make of it but it really hurts at the time", "output": "Hi your symptoms look like neuralgia parenthetical, where a nerve supplying the lateral aspect of your thigh gets entrapped, The most recommended treatment is 1 wear loose clothes that are not too tight on the waist.2 An injection of long acting steroid can also help relieve inflammation and thus pain, for this you need to consult your doctor.3 in few instances surgery to relieve pressure is needed." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I got ultrasonography in Oct 2010 and following findings : a) small GB polyp b) mild fatty change in the liver c) mildly enlarged prostate with significant PVT same time I got test of PSA and CEA, result were: total PSA 0.95 ng/ml CEA 1.10 ng/ml any risk for me ? pls let me know next course action from side. thanks and regards", "output": "Hello! Thank you for the query. 1. Small GB polyp - this one should not be left alone as polyps can be misdiagnosed with gallbladder cancer. That is why every gallbladder with polyps should be surgical removed. 2. Mild fatty liver - this can be caused by alcohol abuse or by obesity and fatty foods' intake. Fatty liver is reversible condition, however it leads to liver cirrhosis (which is not reversible) and can cause liver failure3. Mildly enlarged prostate is not anything to worry about, however it should be observed and consulted with urologist to have transect ultrasound with biopsy if necessary Your PSA level is fine and so is CEA, however CEA is not a good way to check if there is colon cancer or not. It elevates in about 50-80% of colon cancers mostly in late stages. Better way to check colon cancer risk is fecal occult blood and the best way is colonoscopy. Hope this will help. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I feel like a blockage of breathing ? Im 16 female, im on birthcontrol, i have heart palpulations sometimes. I have had headaches lately.. usually when im with a few people i feel i cant breathe, but now Its happening when im just sitting at home. I feel often dizy, sharp pains in chest a lot. Im just scared and dont know whats going on. I fear like, when i cant breathe im going to die.", "output": "Hi, I carefully passed through your question and would explain that considering your young age, the most probable cause of your complaints seems to be anxiety. Anyway, the fact that you take birth control pills, makes you more susceptible to increased cardio-vascular risk and exacerbates headaches. So, I would recommend consulting with your attending physician for a physical exam and some tests to investigate for other possible causes underlying your symptoms: - a chest X-ray study and respiratory function tests to exclude a lung disorder- a resting ECG-thyroid hormone levels for possible thyroid dysfunction- a cardiac stress test-complete blood count, PCR, ESR for inflammation. If all the above tests result normal, you should consider anxiety as the main cause of your troubles. Hope this will be helpful. Let me know if I can assist you further. Kind regards," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been experiencing chest pain in between my breasts (feels like breastbone or muscle) It feels like a pulling sensation and only happens at night when I move a certain way..last night the pain radiated from my breast to under my arm. I have no shortness of breath or dizziness. I had bronchitis about 3 weeks ago and mostly over it except still coughing up some mucus. Is the pain I am experiencing from the bronchitis or am I experiencing angina? I do smoke, trying to quit, but its been difficult but am down to around 5 cigarettes and I am smoking them at night. I took 2 aspirin and the pain subsided.", "output": "Hi welcome to Chat Doctor... You have chest pain along with radiation of pain toward left side arm ... So it could be coronary artery stenosis like case for ex...angina ... For that investigate with ....1. Blood pressure checking 2. Stress test 3. Echocardiography If coronary stenosis present arbitrate given for relief of stenosis ... And antiplatelet Chat Doctor. ... You have cough and mucus also, so thus could be bronchitis chest pain also ... For that chest x-ray and spirometry done with CBC . If needed antibiotic given for that ... Take care. . Consult pulmonologist for this ....." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son underwent nephrectomy(left) in June 2010 ((he was 6 yrs) due to congenital obstruction between his blader and ureter detected late. After the surgery, now after 2 years he is again found frequently urinating and sonography says mild hydronephrosis and upper hydroureter in the right kidney. what may be the possible reasons. In 2010 his renal scan said functioning of right kidney to be 92%.", "output": "Hello, Thanks for posting your query. Hy Chat Doctor. It can be due to lower urinary tract infection which may ascend to kidneys causing frequency of urine and distension of kidney/ureter. Stone in ureter can also cause distension of ureter and kidney but would have been detected on sonography. As your child has had surgery for congenital abnormality, he is at higher risk of UTI and obstruction by post-surgical strictures. Give him cranberry juice which may cure and prevent Otis. Get his labs done, urinalysis, urine culture and dye scan.UTI can be treated effectively with antibiotics after urine culture results. Hope it helps. Take Care!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Two years ago I had a brain aneurysm clipping surgery. For the past few weeks I have had this strange smell similiar to a plastic/chemical scent in my nose and my mouth. Does this mean anything? Could thi be related to the brain surgery I had?My e-mail is YYYY@YYYY", "output": "Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. This strange smell similar to a plastic/chemical scent in my nose and my mouth are suggestive of temporal lobe dysfunction and with history of aneurysms, you need to take it seriously and immediately consult your neurosurgeon. Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in Chat Doctor at http://bit.ly/ask" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, good day i was diagnosed of Dengue Fever on my third day of disease due to my positive Dengue NS1 result, I was not confined in the hospital since my platelet was not that low 139, it decreased to 120 then to 112 today (5th day of illness), I do not have fever for more than 18 hours right now but whats bothering me is my severe leg pain especially at the back of my knees, I can walk but its very painful, Is this still a symptom of dengue?or do I lack Vitamin B or Potassium thats causing my severe leg/back of my knees pain?Thank you very much", "output": "Hello, Welcome to Chat Doctor, The symptoms and the lab reports are in favor of dengue fever. As the NS1 is positive it is in favor of dengue, and it can be confirmed by the IGM ELISA which helps to confirm the diagnosis but as there is a low platelet count along with the joint pain and the myalgic are classical of dengue. Dengue is a viral disease which is transmitted by bite of female Andes mosquito, and it is a self limiting disease, and it will come down by itself. It can be manged by fluid therapy and prepared to manage the complications following the disease. The platelet should be ready to manage the disease, and it will improve by itself. Symptomatic treatment should be given to manage the patient with dengue fever. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a white painful mouth ulcer on the end/top of my tongue. Circling it are red bumps. Its extremely painful, and as you might imagine, extremely hard to eat and drink with. What is this? and what do I need to buy to make it go away and relieve the pain? D.", "output": "Hello, welcome to Chat Doctor, The history and the symptoms of mouth ulcers suggest me that you are having stress ulcer or Authors ulcer. This ulcer is common whenever there are episodes of fever and stress. This can be cured and prevented by taking following measures.1. Wash the mouth frequently with Chlorhexidene Mouth wash.2. Apply Angel over the ulcers.3. Take It B complex.4. If there is any infection You can take a course of antibiotics. Thank You." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Just wondering, I had a pleurodesis and a blebectomy in June 2007 when my right lung collapsed to fix it. I also had a preventative surgery on my left side (as blebs were found in a CT). Im still experiencing a lot of pain on my right side and it feels as if I cannot breathe properly. I still get pain on my left side, but its nowhere near as bad. Just wondering if there is anything I can do about it, because my doctor just tells me its normal, but I know it isnt. Im 19 and I had the surgeries when I was 15.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Pleura is the layer surrounding lungs. Its main function is to provide lubrication to lungs while breathing (inspiration and expiration). Pleurodesis means artificially we are reducing pleural space and join two pleural layers. It is commonly done to prevent recurrent pneumothorax. So Pleurodesis patients won't have lubricating effect while breathing and hence they feel pain and difficulty in deep inhalation. This is normal thing after Pleurodesis. No treatment is required for this. You can apply warm water pad on affected areas of chest for symptomatic relief. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Can clozapham and ativan disolved on the tongue plus drinking green tea with honey and ginseng cause a swollen tongue. I had a reaction today that when I did this caused a swollen tongue. It happened before but I can not remember if I took them all together. This happen so quickly this morning. I am wondering if all three are to blame or just the ativan and clozapham. I am a 47 yrs old female and have taken colzapham for a few months and never had a problem with drinking green tea with honey and ginseng ever. I also have taken ativan before switching to clozapham never had a problem.", "output": "Hello;welcome to Chat Doctor Yes the tablets of clonazepam can dissolve on tongue but does it cause a swollen tongue I guess no as there is no reporting regarding this complaint. Even the green tea or given do not cause this. This can be if you had accidentally had taken a sip of hot tea or some other sort of reaction. Please get examined by a doctor, and he will give you the necessary treatment. As for whether green tea causes any effect on potassium the answer is there is no study proving this and no report confirming it. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I would and its extremely important to me but I dont have any extra money for the answers. Briefly I had continual frontal lobe seizures last Monday until Friday. They also put me in CCU cuz my heart rate went down. Now Im home and taking potassium and Keppra (twice a day - which I dont like the feeling). I just wanted info on potassium and the heart (my father died at 50 and Im scare). I seen the price for the answer and cant do it. My e-mail is YYYY@YYYY if your interested or my telephone is 715-205-7774.Sincerely,Nancy Woodard", "output": "HelloWelcome to Chat Doctor You have developed frontal lobe seizures and were kept in CCU and then discharged with advise to take potassium and levetiracetam. Levetiracetam is an anti-epileptic Chat Doctor. You must have developed low potassium for which you have been given potassium. Potassium is must for contraction of muscles of heart and is useful for cardiac function. But commonly it is usually prescribed for low potassium arising due to a number of causes. There is no risk that you have serious illness, or you will develop any serious illness just because your father had heart problems. Continue to take medicines as per your doctors prescription. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 36 years old I have hyperthyroidism I am on lopresser twice a day and ptu medication 3 times daily. I have been admitted in the hospital twice this month because of chest pain and palputations it can be scarey but so far all heart test ekg and echo cardiogram shows normal my vitals are always normal so far. I still have chest pain and palputations almost all day and I can not walk around for more than 10 mins. Grocery shopping is out of the question. I feel so sick nausea and having pains , fatigue shortness of breath at times I have to just sit or lay in bed for hours I cant even work. Thank god I have my own business and was able to higher someone to work for me. I am suppose to go to New york to visit my sick grandma but Im seriously scared to fly on the plane fearing I could go into a thyriod storm while traveling. What should I do I feel like I am to young to live like this i cant even cook dinner for my kids thank god my husbands been doing everything..", "output": "Thanks for your question on Chat Doctor. I can understand your concern. No need to worry about heart diseases as your heart reports are normal. Yes, hyperthyroidism can cause similar symptoms if it is uncontrolled. So first get done Thyroid function test. If this is normal then hyperthyroidism is not a cause. Sometimes stress and anxiety can be the cause for your symptoms. So consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Don't worry, you will be alright. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 8 year old daughter has been waking up (not every day but more regularly lately) with large, red welps on her thighs, front and back and sometimes on her buttocks. We washed her sheets and I ran through another rinse cycle and took her comforter off her bed and just used a regular cotton quilt. Do you have any idea what could be causing this. It always goes away within and hour of her getting up", "output": "Hi... Thank you for consulting in Chat Doctor. By what you quote it should be an urticaria or a simple skin allergy. You can use HY Chat Doctor. Most important thing to be remembered is that it has a propensity to recur (called as second crop) within 10-14 days. If this happens, you can start using the same medicine, but I suggest you get the kid evaluated with your pediatrician. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had a hollow cough, as well as a cough consisting of mucous. I am getting over a cold that has triggered my asthma. My Dr. prescribed an antibiotic. Through this I have lost my regular voice. It is now deep and husky cracking high pitches ocassionally. I try not to talk but whisper. I am concerned I will never regain my true voice. I am a singer, and take my vocal chords serious. What can I do to recover my loss. I also have asthma and heartburn. I just want my voice back. Can you help?", "output": "Hello dear, The symptoms as mentioned in your post can be attributed to acute exacerbation of asthma, secondary to a respiratory tract infection. Management involves:1. A course of antibiotics to eradicate the causative organism. As you are taking antibiotic, please complete the full course as advised by your Doctor.2. Stalin & Aeroflot inhaler-provide symptomatic relief by causing bronchodilator (dilating the smaller airway passages, relieving the obstruction & increasing airflow to lungs)3. Montelukast preparations- used as a maintenance therapy to relieve symptoms of asthma.4. Antihistamine & anti-tussive preparations for symptomatic relief from cough.5. Steam inhalation & deep breathing exercises.6. Warm salt water gargle & voice rest7. Maintain adequate HY Chat Doctor. 8. Also make sure that you are well protected from cold, dust & other allergens. If symptoms still persist, kindly consult a Pulmonologist for proper clinical evaluation. Wishing you a good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi i am a 40 year old male I am suffering from extreme cramps on the right side of my stomach, i also have severe headaches on top of my head. A redness has also spread around my eyes and i have noticed it on my legs. every morning and night i am vomiting but i am afraid to go to the doctors in case it is something that i fear the most. Can you help?", "output": "Hi welcome to Health to Chat Doctor forum. Thanks for calling Chat Doctor. Forum. You are 40 years of age, had severe cramps on right side o stomach, severe headache. A red less has spread around the eyes, on the legs, every morning and night getting vomiting. Don't worry it is nothing of that sort to be afraid. It appears to be the gastric pain, may be some fever may be associated, rash may be associated with the fever. Other causes of stomach pain could be gallbladder infection, pancreas infection, worms in the intestines, Urinary tract infection, or stones in the urinary tract, etc. I advise you to consult a physician for diagnosis and treatment. Avoid spices, junk foods, and oily foods. Wishing for a quick and complete recovery. Best regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My baby developed a gunky eye the day after being born. Swab was done and tested positive for strep B. However the eye started to clear up and midwife said not to bother with antibiotics. Now the eye is gettin gunky agen. I have just been reading up on the internet how babies can die from strep B no one has told me about this. Should i be really worried??", "output": "Strep group Bryan infection is worrisome if they are found in the blood stream or in urine, and if that happens it causes symptoms like poor feeding, irritability, and increase sleepiness or decrease activity. If any of these symptoms develop then it's an emergency. But eye swab culture of strep and a gunky eye will probably will not cause this, all you need to do is give her saline Chat Doctor. I also recommend high vaginal swab for you in the next pregnancy between 35-37 weeks if it's not a routine in your area. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor, My daughter is 5 months old and suffering with running nose, rubbing eyes n cough since a week.. I tried with T-MINIC for cold and KUFRIL drops for cough FOR 2 days and later went to pediatrician , He said she got chest wheezing and so he gave nebulization to my daughter in the clinic and prescribed levolin inhaler with a mask thrice a day.. gave her the inhalation twice till now but the cough n cold hasn t reduced. He didn t suggest any oral drops.. I m in dilamna!! Help me", "output": "Hello Many, Wheezing is caused due to bronchoconstriction (obstruction of smaller airway passages) which is indicative of Hyper-responsiveness of air passages (seasonal allergy or asthma) Management consists of: 1. Inhaler-provide symptomatic relief by causing bronchodilator (dilating the smaller airway passages, relieving the obstruction & increasing airflow to lungs)So, it can be used during an acute attack. 2. Montelukast preparations- used as a maintenance therapy to relieve symptoms of seasonal allergies & asthma. 3. Antihistamines can also be used to provide symptomatic relief. 4. Protection from exposure to cold, dust or other allergens. So, the medications prescribed by the Pediatrician is correct. Please continue them as advised. If symptoms still persist, it will be better to consult the Pediatrician again. Wishing your daughter a Good Health. Let me know if I need to clarify further. Thanks & take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my heart rate is 46 right now. It has been as low as 38. I have Bradycardia. I had a heart ablation Feb 12 for Atrial Fib. Now I am taking Sotalol. I see my heart surgeon next Friday. How low is too low? I am 70 years old. I have been considered athletic. Before the ablation, my normal low limit on my sport watch was set to 45.", "output": "Hi welcome to Chat Doctor. I understand your query and concern. Bradycardia has to be dealt properly through adequate investigations.It's can be treated through procedures like implantable cardiac pacemakers. Chat Doctor. I advise you to have a baseline 2 dimensional echocardiography, ECG and lipid profile to assess the basic cardiac reserve of your heart. Restrict the intake of salt to less than 6g/day. Regular physical exercise in the form of brisk walk for 20 min a day for 5 days a week is pretty useful." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband is wheelchair bound and is complaining of his butt hurting....upon inspection there is a hardened area on his left butt cheek and there is a smaller area that is open in the middle of it...he is complaining of being achy and is running a 100.5 temp...could this be a pressure sore or possibly something else", "output": "Thank you for asking Chat Doctor. My name is Chat Doctor. In wheelchair bound or bedridden persons, pressure sores are common at areas where bony landmarks are close to skin and there is weight on those spots. This can be pressure sore but since he is running temperature of 100.5 then probability of perianal abscess is also there.in that case, such swelling should be evaluated by the doc via clinical examination so that he should further guide your husband about treatment plan which can be either via Conservative approach or via surgical approach depending upon the size and condition of the lump as well as the condition of the patient, Hope this may help you. Let me know if anything is not clear. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my daughter is 6 and has had hot red cheeks for past two days. her forehead is cold and she is not unwell, but cheeks are hot to the touch. what do you reccomend? she has no allergies and is of normal height and weight and of very good general health.", "output": "Hi...by what you quote I feel that it could be a viral illness called slapped cheek disease. Slapped cheek disease is sometimes called fifth disease or erythema infectious. It is an infection caused by the arbovirus B19 virus. It most commonly occurs in child Chat Doctor. Furthermore, it is infectious (can be passed on). The infectious period is for 4-20 days before the rash appears. By the time the rash develops, it is usually no longer infectious. But.... Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. You can approach me at the following link. Please find the link below - www.ChatDoctor .com/doctors/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am experiencing pain behind my left knee. My foot feels numb and kind of tingles. It hurts when I walk but I am able to bend the knee. I went for a short walk this morning, some of which was uphill. The pain did not start until several hours later. I am 72 years old and not in great physical shape. I am worried about a possible blood clot. What should I do?", "output": "Cannot diagnose or treat without actually being there. Pain can often be localized to where the problem is by 1) poking areas and seeing what is painful. Joint pain varies a bit, but generally it hurts when moving the joint or bearing weight on it. Muscles often hurt after the exercise in situations that are NORMAL. Blood clots hurt soon after they occur and stay constant.2) the pattern of what causes the pain exercise causes pain due to lack of blood flow and occurs as a dull ache after exercise and often gets worse hours or a day later. If this occurs with minimal exercise atherosclerosis to the area and serious circulatory problems can be there. This would show other signs of an area not getting blood (pale, white, cold, poor pulse, etc.)these would need evaluation and treatment pretty soon." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I came down with a very sudden high fever on Monday and experienced numbness in my fingers, and very bloodshot eyes. Now 3 days later the fever is gone but I have numbness in my legs when ever I cross them or stand. Could i have nerve damage from the high fever?", "output": "Hi, Your description of the issue fits in some ways with a condition called Reynolds disease /phenomenon. It would be better if you get in touch with your treating doctor and get to the bottom of the issue, if it's not Reynolds even then it needs to be investigated, underlying connective tissue disorders of autoimmune origin certainly need ruling out. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My brother began acting strange about 6 years ago. It started out with him thinking that people were after him and has progressed so much that he is completely antisocial, doesnt work, he has been Baker Acted 2 times for a suicidal threat and attempt, he thinks the government is after him, thinks there are speakers hidden in his furniture, we have caught him chanting (not in any real language) and writing strange non-sensical notes. He has false memories of when we were children. He believes doctors are trying to control him and drug him. Our family has tried to get him to seek therapy and/or drug treatment, but he refuses. Over the past couple of years, the irises of his eyes have darkened and now they are almost black. I cant find any reason for this...he has not been on any long term drug therapy. I also cannot find a way to get help for my brother as he is an adult (in his 30s) and he refuses care. We live in Florida and even when he was Baker Acted, the doctors and nurses would not even listen to our accounts of what had been going on with him because he is an adult, and he was released after 72 hours because he told the doctors he was fine, even though he wasnt. He lived with our father for a couple years, and rarely came out of his bedroom. Now he has decided our father is trying to kill him and is moving back in with our mom. He is 32 years old, 6 feet tall, and about 180 pounds. He has no medical issues (other than this). Is there anything we can do? Is there any information you can share? Thank you.", "output": "Hello, The symptoms suggest that your brother is suffering from psychotic disorder, most probably schizophrenia -paranoid type. He needs urgent psychiatric care and without meds he will only deteriorate. I can not understand why he was never shown to a psychiatrist till now when the symptoms have been so bothering for everyone around?? Please meet a psychiatrist and get the meds (Chat Doctor. He will show great improvements with treatment, far from what you can even think right now. Such patient do not agree for medicines or even to visit a psychiatrist easily, they are usually taken forcefully for initial few visits. There are several preparations available in market for antipsychotics " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi I am married since september 2009 but I didnt able to concieve as yet before 9 months I went to the doctor n she took my pitutary test it was normal but I had high prolectin but now I have normal prolactin but I have fibroids n I am taking one parlodel and one folic acid tablet so wht do u suggest me how can much chances to concve as early as possible", "output": "Hello.thanks for trusting the Chat Doctor doctors for your health related issues. High prolactin n fibroid causes irregularities in period. As u told that it prolactin level reaches normal level, that's a good thing but u have fibroid, which is one of the cause of irregular menses due to that it will cause difficulty in conceiving. But u can conceive even in presence of fibroid, if your menses gets normal n fibroid will decrease in size. For both u can take medications, so that your menses becomes normal n fibroid will decrease in size. They will help in conceiving." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here...Hi, my sister has metastatic breast ca and was just recently moved to calvary hospital..they gave her morphine on admission I believe and can barely wake up to eat...she is 51 years old and I know that she still want to fight to live however morphine makes her so sleepy that she barely wakes up to eat...how can she fight if she is under the influence of morphine all the time", "output": "Thanks for your question on Chat Doctor. I can understand your sisters situation and problem. Morphine can cause sedation, but it can not cause profound sedation. Profound sedation in Patient with metastatic breast cancer can be due to many causes, but the common causes are 1. Brain metastasis 2. Electrolyte disturbance like hyponatremia. So better to first get done MRI brain to rule out brain metastasis and electrolyte levels to rule out electrolyte disturbance. Hope I have solved your query. I will be happy to help you further. Wishing good health to your sister. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good morning. i woke up a decent about of bleeding from my scrotum area. After a few minutes I was able to get the bleeding to stop y cand locate the wound. it appeared to be a slightly raised white bump with a rather small but distinct hole in the middle, i know scrotum injuries can bleed quite a bit due to the number of small veins. My concern is more so that i was never aware of the bump before and it appeared to rupture on its own. Should i have serious concern?", "output": "Hello Fairbanks for using Chat Doctor.come have evaluated your query thoroughly.* This is ruptured sebaceous cyst of scrotum.* Not to worry about the same, it is a benign condition absolutely Kindly consult your doctor for the same, he will prescribe you needed antibiotics, anti-inflammatory agents, ointments for local application & you will be cured. Hope this clears your query. Welcome for any further assistance. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi , I am 28 years lady from india In my face (cheeks, and nose) some dark spots appear from last 2 years and day by day it increases as well as become more darker ( i think it is melasma or pigmentation but not sure,i never visit any doctor till now). In my nose some very small white prickle like thing come which are hard in touch. I tried many medicine but all were waste.suggest some home remedies also.", "output": "HAI, follow the advice as mentioned below. Take 4- 5 liters of water every day. That will keep your skin HY Chat Doctor. Wash your face twice or thrice day. Depends on exposure to open area.use aloe vera face wash.apply Multan mitt powder mixed with butter milk twice in a week. That will remove dark spots. Later on apply once in a week. Apply olive oil once in three days.don't take junk foods. Take more leaf vegetables and fruits.u can also take trial juice (Himalaya " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i keep getting like pain in the left side of my chest that feels like something is squeezing my heart, it is not there all the time and when i get it there is not specific reason why it occurs. it also hurts more when i breath and sometimes makes my left shoulder hurt too.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Left sided squeezing type of pain with left shoulder pain are characteristic symptoms of cardiac chest pain. So better to consult cardiologist and get done blood pressure monitoring, ECG, 2d echo and stress test (trade mill test) to rule out heart diseases. If all these are normal then no need to worry about heart diseases. Musculoskeletal pain is also one possibility because you are having chest pain on breathing. So apply warm water pad on affected areas. Take painkiller and muscle relaxant Chat Doctor. Don't worry, you will be alright. But first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI DOCTOR I HAVE A PROBLEM WITH MY SGOT LEVEL , MY SGPT IS ALWAYS NORMAL EXCEPT FOR SGOT I NEED IM TAKING UP URSOFALK 250 MG I NEED TO DECREASE FOR MY MEDICAL TO WORK ABROAD MY SGOT IS NOW 97(35-45 NORMAL VALUE) WHAT SHOULD I DO AND WHAT DIET AND WHAT CAUSE BY THIS IM HAVING THIS FOR 2 YEARS NOW THANKS SO MUCH DOCTOR", "output": "Hi ... Your concern is regarding diet in highs got level. But you have not mentioned cause of its elevation..... If cause is known then further better advise can give....Anyhow, for good liver health below are some instructions.... More fruits taken... Take fatty food very less. Avoid trans fat diet like cheese, butter, pizza, pork meat etc... Use very less oil in cooking and good oil used like sunflower oil. Regular exercise done... Avoid alcohol and smoking... Hope your concern solved. Take care. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi...my son is 20 months.1 week ago he had high fever and 2 days later he had something on his tongue like kind of blister followed by bad breath..when i took him to the hospital,the doc said it was viral fever n cuz of that his tongue is infected n gave a cream to apply on the tongue. it has been 3 days.no improvement at all.his gums are kind of swollen ..bleeding when he chew or munch something..especially his breath i would say...very smelly kind of rotten eggs smell...is he theething...?or wats wrong with him..??but he eats well...likee soup..porridge ..wat canlt be?any help", "output": "Thanks for your query, I have gone through your query. The swollen and bleeding gums could be because of the herpes viral infection(herpetic gingivostomatitis) or it can be because of deposits. Nothing to worry, you just take symptomatic treatment like topical anesthetic and analgesic like Anabel gel and topical antiviral Chat Doctor. Usually the lesions will heal within a week. Do saline gargling and maintain oral hygiene. After 10 days once the infection come down get your teeth cleaned. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, i am facing a hair loss after comming to usa. i eat good food,friuts and i have no diseases. im leading a stress-less life.but im not able to figure out the reason.i am very friendly with my hair while shampooing or combing. can u pls suggest what causing the hair loss?", "output": "Hello, the diffuse hair loss form which you may be suffering is halogen effluvium. It is caused by a variety of causes; moving to a newer home may be one such precipitating factor due to variations in humidity, saline content of water etc. This is temporary. I would adv you to get a thyroid function test and a serum ferritin levels to rule out common systemic causes of hair loss and start on hair supplements like tab Foliage 1 tab daily for at least 3 months and a volumizing shampoo like Again for washing your hair. ThanksTK" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor, usually 27 th is da period date for me, 30-34 days a cycle f period it is. some time 2-3 days of variation is der, i had unprotected sex in dis month, and i dont want to ahave pregnancy, i already completed 6 tablet course of mensovit yesterday only. still am nt feeling any symptoms of period kindly help me. suggest me what to do", "output": "Hello dairy understand your concernMensovit tablet is not used to induce the period have to wait for the period to come. If period will delay by the 8-10 days then go for urine pregnancy test and or blood Chat Doctor to rule out the pregnancy. If you will be pregnant then intrauterine pregnancy can be terminated by the ABORTION PILL CONTAINING MIFEPROSTONE AND BISOPROLOL under the advice of the gynecologist.Meanwhile, take healthy diet, avoid stress, Chat Doctor. Hope this may help noncontact Chat Doctor for further health query Best regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi...m 30 yrs old...unmarried female..from last few months m facing severe pain in lower abdominal..its not that daily i feel the pain but whenever it occurs it takes my breath away its that painful..is this gastric or acidity attack or something else... p.s: anytime of the month not associated with my periods", "output": "Hi. Thanks for your query and an elucidated history. Severe lower abdominal pain can not be due to acidity; it causes upper abdominal pain. Secondly, your pain is severe and not associated with the menstrual cycle. The most probable causes of a severe pain in lower abdomen which takes breath away can be due to:Twisting of the ovarian cyst. Lower Ureteric stone. Volvulus, meaning twisting of the intestine along its own axis. I would advise you the following in such conditions.First get an X-ray of the Abdomen in the standing position. This is the simplest form investigations giving the maximum information particularly when you are in a pain. Ultrasonography, blood and urine test will help for further diagnosis. The treatment will depend necessarily upon the diagnosis one gets." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a very small lump, size of small pea, on the opening of my anus! Just inside! I have severe itching at times and some small red patchy areas around the anus! I have tried canestan cream containing hydrocortisone and anusol but neither seem to help in the long term!", "output": "Hi ! Good afternoon. I am Chat Doctor answering your query. It might not be possible to opine on your problem unless it is clinically examined. Therefore, I would request you to please take an appointment with a general surgeon for a proper examination of the lesion for an appropriate management. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a young healthy 27 year old, however I do smoke and I drink alcohol on the weekends. I have a itchy rash on my ankles that happend after laying in the grass working on a vehicle. It was more on my left and now it is spreading a lot on my right ankle. It is very itchy to the point where it wakes me up at night. I have tried cleaning it with rubbing alcohol and hydrocortizone cream and it is still itching and spreading. What could it be.", "output": "Hi, It seems that most probably you may be having allergic contact dermatitis on ankles. It might be due to grass. Please have visit to dermatologist and have firm diagnosis and treatment. I would like to suggest as follows.- a short and tampering course of oral steroids- antihistamines to relieve itch sensation - mild steroid cream may be applied-avoidance of contact with grass and others suspected allergens hope this might help you... Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have lumbar spinal stenosis, and the pain has recently started to refer into the groin and the right testicle. What can I do to mitigate the pain? I have been recommended to have a 4 level lumbar laminectomy. Will this likely be effective to stop the testicular pain?", "output": "Hi, Welcome to Chat Doctor forum. Lumbar spinal stenosis, may have these symptoms, but also clarify about the other causes, like stone in the ureter, and urinary tract infection etc. I advise you to consult a urologist for diagnosis and treatment. You may need to have M.R.I. for diagnosis. As an alternative treatment I usually prescribe to my patient with such symptoms neurotrophic injections for 10 consecutive days, and then periodically, along with other medication. Avoid taking potato, other tubers, tomato, egg, chicken, and seafoods, till the pains are completely cleared. Wishing for a quick and complete recovery. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a horseshoe kidney located right below the belly button. I have all the symptoms that go along with gallstones and or pancreatitis. I get stabbing pain right below the breast bone towards the naval area that then radiates to my lover back. Had CT of belvic and abdomen and shows no inflamation but many abnormalities with organs. Blood work shows elevated liver enzymes and low white cell count. What would you think may be causing these symptoms?", "output": "Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can.GOT and SGPT are sensitive indicators of liver damage or injury from different types of diseases or conditions, and collectively they are termed liver tests or liver blood tests. So the next step is to look for certain liver damage and most common case is fatty liver disease. It should be confirmed by ultrasound. Other causes are viral hepatitis, cirrhosis, medications, alcohol intake or autoimmune diseases. To verify exact cause, US, bilirubin levels and tumor markers should be additional done Then appropriate treatment can be started. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my mum has been told today that she has a fatty lump on her liver , what could this mean, she recieved a kidney transplant 3 years ago and now has a uti that they cant get under control, on scan they said the kidney is fine but theve found a fatty lump on her liver,", "output": "Hi. Thanks for your query. Read and understood the history about your Mother. She had undergone kidney transplant 3 years ago, has UTI that is not getting under control, the ultrasonography shows kidney is fine, but they found a fatty lump on the liver. From this report one thing is certain that there is no cancer or so, hence nothing much to worry about. Fatty lump on the liver needs no active treatment.-To confirm that this is benign, it is better to get Contrast enhanced CT scan or MRI and keep this under observation.-Get Liver function tests done, and if no need to worry if these are normal." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter is 35 and has had pneumonia last year 2 times and was hospitalized. She now has it again. I m very concerned that she may have bulemia. She had a lap band 6 years ago and is very thin now. When we eat out, she excuses her self to go to the bathroom. I am just very concerned.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. She is having recurrent chest infection (pneumonia). And these are commonly seen in malnutrition and poor immunity patients. She is having eating disorder and very thin built. So all these cause immunosuppression and malnutrition. This intern make her vulnerable to recurrent infection like pneumonia. So first she should be treated for her eating disorder. For this, consult psychiatrist and get done counselling sessions. For poor immunity, give her high protein diet, multivitamin tablets, vaccination like pneumococcal and Influenza to prevent recurrent respiratory tract infection. Don't worry, she will be alright. Hope I have solved your query. I will be happy to help you further. Wishing good health to your daughter. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Please suggest me a medicineCERVICAL SPINE:Osteophytic lipping from C2 to C6 levelMild reduction in disc space are seen from C3-4 to C6-7LUMBO-SACRAL SPINE:Osteophytic lipping is seen in all lumbar vertebrae.Reduction in disc spaces at all levels most marked at L5-S1 level", "output": "Hello.... You have not mentioned the symptoms that you are experiencing. A reduction in disc space without any symptoms does not necessarily warrant treatment. It would also help if you could tell me your age since some disc space reduction can occur as a normal part of aging. A significant reduction at L5-S1 could suggest lumbar canal stenosis and would cause symptoms such a low back pain and radiating or burning pain along the back of the thigh and in the legs. If you are experiencing these symptoms please consult an orthopedic surgeon who would guide you as regards the further course of action. You may need to take lumbar traction along with calcium and it.d supplementation. Severe lumbar canal stenosis would require a surgical procedure known as laminectomy. Hope this helps..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hlw sir i am 24 years old bt unmarried.i do hand practice from when i am in 6 class.i have problem that is when i went in bathroom then automatically start to hand practice or when i am single in my room. sir i want to avoid it.nd is it cause future problem", "output": "HelloThanks for your query, based on the facts that you have posted it appears that you have been indulged in masturbation since many years and now worried about having sexual problems in the future.First there is myth in a mind of common man that excessive masturbation is the reason of all sexual problems But I would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ or system in the body. Following general measures will help you to built up your confidence and have good state of mind and heath1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc3)Take anti oxidants like Almonds 5-6 every day.4) Avoid alcohol and smoking. Engage in some activities like sports, reading, listening to music so that you will not get free time to masturbate. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i am trying to get pregnant since my last day of my period witch was july 1,2012 it lasted 4 days only and we had unprotected sex since july 5.. i was suppose to get my period but it has not come i am 3 days late and i have a lot of cramping,swollen in my breast and discharge every time i think my period came its not it..its only white discharge or watery. i did a pregnancy test but it keeps coming out negative i did took prenatal vitamins just in case. also i already have a baby his only 1 year old and i thought i could get pregnant faster because of that. what should i do? can i be pregnant?", "output": "Hi, Thanks for query, As your pregnancy test shows negative result the chances of delayed period is much more. Due to hormonal imbalance you get this type of symptoms too. Hormonal imbalance can occur due to tension, Anxiety,long working hours, shift duty, ovarian pathology etc. Previous delivery can not increase the chances of being pregnant. Wait for few more days. If you do not bleed repeat pregnancy test. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have gastric problem how it can remove", "output": "Hi akbarWelcome to Chat Doctor. I hope you are asking about gastritis. Gastritis can occur due to many reasons especially in middle-aged due to stress. There is increased acid secretion inside your stomach which causes high acidity and burning sensation in your stomach. Other symptoms like excessive belching, burping, altered bowel habits, altered appetite can also be there. The specific treatment of gastritis aims at reducing the acid secretion and decreasing the movement of gut. You should visit your doctor and get a specific prescription for this. Your doctor might advise you an acid reducing medicine like pantoprazole or omeprazole along with risperidone. This Chat Doctor. You should make a habit of having a glass of water 15 to 20 minutes before your meals. You should take adequate water throughout the day. Please practice yoga or meditation and proper diet and at regular intervals in small quantities, to get free from gastritis or hyperacidity. Hope this information helps you and others. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "A Contrast CT scan was done on my boyfriend and they sound a solid mass on the upper pole of his left kidney. He also had extremely high blood pressure, and nausea and vomiting in addition to headaches. They discharged him and told us to follow up with a urologist but we have no insurance and cannot afford even the consult let alone any work. Were thinking of going back to the ER where they did admit him for a few days, but we would like to have a best/worse case scenario if possible. Thank you", "output": "Hi welcome to the Chat Doctor You are having mass on upper pole of kidney. Kindly mention what CT scan report says whether it's an abscess or mass written?? What is the size of mass?? Let me know you this should not be neglected if mass written in CT scan report For that USG guided biopsy taken and histopathology examination needed to rule out nature of lesion If it is malignant then surgical removal necessary If you can't afford private hospital then local government hospital or organization should be searched and get further investigation for mass in kidney Hope your concern solved Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear! I Want to conceive 2nd baby for that Dr gv Prolifen after 1month I got my periods which didnt stop till 18 days dn Dr gv Primlut N....now periods stopped n I hv to complete till 21days ....will I b able to conceive at this stage ...I am 36.... n hv some depressions also...Thanks", "output": "Hi, You cannot conceive naturally unless you ovulate. Looking at the way your menstrual pattern has been this cycle, it appears as though you have had a neuropathic cycle and this implies that you did not ovulate. Please wait until your menstrual rhythm sets back to normal. Please remember, psyche affects the hormones more than anything else and try to stay in a cheerful mood and get some counselling to help you. With proper evaluation and approach, you will definitely conceive again. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doctors, ive heard of a \"human embryo\" vaccine for dog bite. can i have this vaccine instead of usual antirabbies (5shots) for my relative? am i correct with that information. please enhance me with what vaccine is needed. will appreciate your response. thank you!", "output": "Hello, Welcome to Chat Doctor, There are different type of anti rabies vaccines like human diploid cell culture vaccine (HDCV), purified very cell rabies vaccine (PVRV) and purifies chick embryo cell vaccine (PCEC) which are available in the market. All these vaccines are equally effective, and you need to take all the five shots of vaccine with any of the above-mentioned vaccine. If you give any of this vaccine as per the WHO schedule it is going to protect against development of rabies. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have a really severe pain in my back by my kidneys and abdominal pains too . I have been to my gp several times and the first time he gave me anti boiotics due to blood in urine this did not work so another dose was given , in the meantime I was getting a burning sensation below so went to the gu clinic which gave me a full mot and said I had kidney stones ? I went back to my gp and he referrered me for an ultrasound all results came back clear . I am still in severe pain and have been to many out of hours gps due to intense pain and even a&e twice all are saying stones but wen I go back to gp he says they are all wrong and the ultrasound was clear so it s not that ?! He has now said I have a slipped disc and will have to wait one month b4any action can be looked at . I have since been back today in extreme pain and he now says it s back spasms ??? And to see how I go . Please please help if u can I don t no what else to do I m in extreme pain . Penny", "output": "Hi welcome to Chat Doctor, I understand your query and concern. Your symptoms are suggestive of probably renal stone. For this you need to have a CT scan of the abdomen for accurate assessment. I advise you to have Tab Tramadol and Tab. Pantop 40 mg, a course of antibiotic taken under medical prescription to control this pain. Further expert management depends on the outcome of the CT scan result and Intravenous paleography. If the size of stone is more than 5 cm then depending on the location of stone Extra corporeal lithography can be done.Meanwhile, you need to take soft and less spicy foods. Chat Doctor. Fruits, fruit juices, vegetable salads, soups should be taken. Exercise regularly. Consult your nephrologist for expert management. Post your further queries if any. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, i am 29 years old, i have been trying to conceive... recently i have been on drugs ... clomid , pregnacare conception ,,later i took fertomid but my menses came last three months and flew for 2 days only. i had pregnancy test , the result isn t clear and right now i noticed little liquid coming out from my breast.. please i want to know whelther am pregnant or not,, i need your answer pls", "output": "Hi, Thanks for the query. You wait for few more days and go for urine test or go for blood test for pregnancy now. If the result comes as negative, consult gynecologist once and get tested for prolactin levels. If the levels are elevated take treatment for that. After that you track the ovulation and plan unprotected intercourse around that time which will increase the possibility of pregnancy. For more details you can ask me through: http://www.ChatDoctor .com/doctors/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello ! i am 23 years old male and i had a so called panic attack 1 and a half years ago. Since then i am upset regarding my heart and have taking atenolol 25mg (as per symptoms). i sometimes feel my heart slows down and also feel slight dizzy but it recovers in a fraction of a second. sometimes my temporal veins engorge as well and i feel light-headed and slight numbness in my left jaw. Sometimes i also wake up at nights with mild pain on my upper back and my eyes are red and itchy with pupils dilated. since this winter i also notice my nails getting slightly bluish. I had my EKG and Echo 4,5 months ago which were normal Please guide me in this matter. Thank you", "output": "Hi, Welcome to Chat Doctor Forum Panic attacks can occur in physical and psychological illness. As your ECHO and EKG is normal, then it is better to rule out psychological reasons (panic disorder, GAD, stress and depression) and other physical reasons (thyroid imbalance, anemia or increase BP) in your case. For evaluation and management you can meet nearby psychiatrist as your symptoms started after a panic attack. I hope this information has been both informative and helpful for you. Wish you Good Health. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I misscarried in early november last year. and went straight back on the pill had one break and a period came. now im on the pill witha week to go and i have been experiencing brown discharge for 1 week now and i also noticed i have more saliva which was the first sign i noticed when i was last pregnant. is it possible im pregnant again?", "output": "Hi, thanks for using Chat Doctor. Birth control pill, if taken regularly, are effective in preventing pregnancy. Irregular bleed may be seen in few women taking oral pills for the initial few months, not to worry. Less likely to be pregnant in this cycle. You can get urine pregnancy test or blood Chat Doctor test to confirm or rule out pregnancy. Consult your doctor for examination Hope this helps you. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, Lately I have been getting, numbness and a tingling sensation in my hands and fingers. Particularly the wrists side of my little finger and my ring finger. I have also now just noted that the sides of some of my fingers are starting to turn a sort of yellow. I don t smoke so I know it has nothing to do with that. What could it be? Thanks for any help in advance :)", "output": "Hi, Thanks for your query. Numbness and tingling in hands and fingers indicate that there is some sort of neurological disturbance (impaired conduction of nerve impulse) in the involved nerves. This may result due to compression of the nerve at some level during its course or may also result due to some systemic diseases. A detailed clinical examination and few investigations like EMG & Nerve conduction studies are needed to establish a correct diagnosis of your problem. I suggest you to consult a Neurophysician and follow the advice. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I wanted to know if there was a difference in taking (3) venlafaxine er 75 mg capsule, extended versus a 150 mg tablet ? What I had done without consultation is take a 150 tablet of venlafaximine and a 75 mg er, but started feeling extremely tired and anxious on top of chest pain which was checked out to be normal at the er.", "output": "HIT hanks for using Chat Doctor It is the side effect of venlafaxine at higher dose. You have taken three tablets of venlafaxine and at higher dose, it causes hypertension, anxiety symptoms and chest pain. Nothing to worry about that. Just take two tablets and try to stay at same dose for next few days. After that, try to escalate the dose. Rest, you can discuss with your doctor. In case, you need further help, you can ask. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Severe lower abdominal pain, collitis, fever 97.7-99.4 today, new symptom lower to mid back pain, rapid breathing, high WBC, tingling and numbness rectal nausea and vomiting. I ve had 5 known GI infections in 5 months. Everytime I have a small incision I get sicker with more spreading pain and symptoms. Help!", "output": "Hi. It looks that you are in a stage of septicemia, in which there is an increased WBC count and all the symptoms you have. I think you need an admission to the hospital, intravenous fluids and antibiotics along with orally acting antibiotics on the colon, probiotics and supportive treatment as per the findings on clinical examination and investigations. The counts to be repeated after 48 hours to see the response. Since you had 5 attacks, I would advise undergoing further investigations to rule out any general problem like diabetes, Cancer, HIV status and anything that can lower your immune system. Once the current problem is over, you have to undergo Colonoscopy, CT scan of abdomen and other investigations as may be suspected by the clinical examination and findings" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 82 yrs. old. My primary doctor gave me a DTP shot on 6/12/14. On Sat., 6/14/14 I got up and within a few minutes I felt faint. I was sweaty and lightheaded. I took my blood pressure and it was 104 over 70. Is this a reaction from the DPT shot? I felt poorly for 2 days then started to feel more normal. Today is Tues. 6/17/14. My arm at injection point is still bruised and my upper arm is red and itches. Is there anything I should do or should I just give it time to wear off?", "output": "Hello, Thank you for your contact to Chat Doctor. I understand your concern. If I am your doctor I suggest you that either you had allergy or reaction to DPT vaccine. You have to be careful when you go for second dose. Right now you can take an ORS and chlorpheniramine male ate as antihistamines to relieve from such s light headdress also think for low dose prednisolone for further improvement. I will be happy to answer your further concerned can contact me. Chat Doctor. Infectious disease specialist. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Thank you. I am seeing a cardiologist, because I sometimes have incidents of chest constriction, discomfort, sometimes lightheadedness (and now on Losartan I seem to have that every morning). These episodes pass in 10-15 minutes, but they leave me feeling weak. I ve had high blood pressure for several years and have been taking Atorvastatin and Metoprol, now also Losartan. I fear a real heart attack or stroke. This past week I had a chemical stress test and will find out next Friday if it revealed the cause of my condition. I also will let the doctors implant a very small heart monitor under my skin in two weeks. I just hope I last that long! I am really worried. My cardiologist thinks it s either A-fib or a blockage. Neither sounds very good. I haven t passed out yet, but about a month ago one of my constrictive events resulted in a dimming situation. After 3 Nitrostats and putting my head on my knees, I recovered, but that is the episode that got me referred to the cardiologist I m now seeing. Of course I ll be interested in your opinion.Thank you again. - Helene Langtry", "output": "Hello, In my opinion, you have two problems with your heart, one that will be treated with a pacemaker (that you call small heart monitor), that would be a blockade in your case because if it were A-fib, you must take medications for anticoagulation. The second is that chest pain, that would come from problems with your heart arterial. There is no connection between using your medications and pain aggravation. Seems that your second problem is becoming more dangerous. If you have chest pain, you should go to the emergency room. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I heard a click or pop in my left knee like it tore something while I was at my Physical Therapy session for my right leg problem. Same thing happened to me while I was working out and stretching my leg in gym and heard the same sound from my right leg over two years ago. I have been to soo many doc, Pain specialist, had cortozone/steroid shot in hip twice. But none of doc have been to explain my symptom, MRI and x-rays looks normal. Doctor seems to think its an issue with siatica because I feel starin in hip and back of my thigh sometime. But most of my issue is around knee and right foot. I feel numbness feeling in shin and burning and throbing over the top of my right foot. heel of my foot also hurts. I also have flat feets dont kow if this has anything to do but I have seen paidotrist for my foot and found no issue. I would be glad if I could find an answer to my issue. Thanks", "output": "Hi, The click at the knee joint if it is painless than there is nothing to worry but if the sound is accompanied by pain then what I think is medial meniscus at fault. Since you are having a flat foot, muscle imbalance is a common problem. This leads to shin pain, foot burning and similar symptoms that you have mentioned. You need to do strengthening exercises of foot that includes inversion (foot inwards), Everson (foot outwards), dorsiflexion (foot upwards), also hip strengthening and knee strengthening.Also, what I suppose is your certain muscles might be tight so with the help of the physio you can relieve them. Your footwear plays an important role in maintaining your foot condition so always keep them in food condition and check for any wear and tear. Hope you find this helpful. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi on the tooth all the way in the back of my mouth i have a bump the size of a #2 earaser and now my whole mouth hurts and my tonsol hurts please help me", "output": "Thanks for your query, I have gone through your query. The pain and bump over the tooth can be a periodontal abscess, that is collection of the pus below the gums over a wisdom tooth. Consult an oral physician and get a radiograph done to rule the amount of space present for the tooth to erupt if space is there for the tooth to erupt then the gum covering over the wisdom tooth can be removed. If the space is not available then you have to get the wisdom tooth removed. Meanwhile you can take a course of antibiotics like amoxicillin 500\u00a0mg and metronidazole 400\u00a0mg TID for 5 days (if you are not allergic). Do saline gargling. I hope my answer will help you, take care. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "when im talking to some one .... and i get the feeling that the heat of this chat is going up ... my hands shake ... i hear my heart beats .... like im scared to death !!! it embarrasses me a lot ... makes me skip important chats, makes me skip what i really want to say. please help.", "output": "Hello, I think you have anxiety issues. This doesn't look like social phobia as you have problem while talking only. Do you feel anxious of trivial issues or most of the time of the day? If the answer is yes, then you need to take antianxiety medicines as this might increase if left untreated and make it difficult for you to work. Late treatment also makes the problem chronic. There are several safe and good medicines available nowadays like, Escitalopram and sertraline. Please go to a doctor and discuss the problem in person and in detail. Regular exercise and deep breathing also helps, but nothing is as important and as effective as the correct medicine. Good luck. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "lost my husband unexpectedly aged 58 ten weeks ago,at home with meheart attack. was fit and had had no symptons .had been to doc week before and had all clear apart from being sent for blood tests. so was a shock to everyonr including doc.finding it very hard to cope .cant sleep for more than 3 hours at ago keep crying uncontrollably at times .have been given diazapam 2mg (only 14) to take when it gats too bad but they seem to have very little effect .I have been given sleeping tabs which help me sleep but only a few so am having to ration them myself.dont want to take them all the time but find it hard to cope if i dont sleep -just get more upset more often.dont know whether to ask gp for more as she is not very keen on suscribing them even though i dont want to take them too often myself.I would not do anything stupid with them .am not having suicidal thoughts i cant i have elderly parents to help", "output": "Hi, Thanks for using Chat Doctor. It is so sad to hear about your husband. I have gone through your available history. What you are having is adjustment disorder with depressed mood. Diazepam is very good Chat Doctor. There are some non-addictive sleeping pills available like collided which has very low addictive properties. You can ask your doctor for that.Meanwhile, you can try some good sleeping measures like avoidance of caffeine, Yoga, meditation or breathing exercise to have a good sleep. I hope you can cope the stress soon. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have Wegeners. Last Rituxan infusion Jan 2013 and Prednisone free since Nov 2013. I was taking Plaquenil and the occasional Diclofenac and have weaned off those completely as well. It has been about a month medication free and I am having a flare. My doctor is on vacation and I m not sure what to do. Severe joint aches in back, knee and elbow as well as increased inflammation in right ear. Prednisone? If so how much. Also do I start taking Plaquenil again...it will take a while to get back into my system. If I take prednisone without a maintenance drug in my system will my body be reliant upon it?", "output": "Hi, thank you for providing the brief history of you. As you being suffering with Wegener, and taken steroids as well, for which now you are again having pain and aches, so you want to restart the medication. Well, self-medication is never advised as if complications happen one can never be sure off. Also, steroids for longer run will not be a choice of any physician due to the future side effects and the troubles if taken in excess dosage. As you have the joint aches, pain, backache, knee pain, elbow pain, etc. I will advise you to undergo physical therapy. As per the pathology of the Wegener, one needs to make the control of the symptoms with little medication and more of the physical therapy like - exercises. In my clinical practice most patients with Wegener are misdiagnosed with RA and only on a later stage they come for a conclusion of Wegener. We recommend them to try physical therapy and the majority of them has a good outcome score. Since the pain can be controlled without more of the medication than it should be tried out. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor,i amm 22 years old.. i heve been masturbating for past 5 years... i am having pain in my testis for about 2 years.. i have done all the tests and the results are found to be normal... but the pain is there.. befor i was having pain only in my left testicle but now i am having pain in both the testicle... after ejaculation i am getting more pain... if my penis erects it starts to pain in my testis... i am also having night falls and after that i am getting more pain... i also have the problem of premature ejaculation... please help me out...", "output": "Hi, If you had unprotected sex - need to rule out sexually transmitted infection. If not, it can be due to prostate inflammation or orchids - share your lab reports. Masturbation 2 to 3 times a week is considered normal, more than that can cause nutrition issue can give you pain in penis during masturbation / sex. Night fall / nocturnal emission can be controlled by decreasing the sexual thoughts - yoga, exercise and change of diet pattern. Premature ejaculation - share more details (during masturbation or sex). Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "how long does it take benadryl to leave your system? I have allergies to soy and took it several times last week and now I have been sick to my stomach every day since and getting worse. Now I am throwing up. This also happened to me in January, and it took 9 days until I felt better, so of course I am never taking it again, but until then, how long to I have to suffer from this?", "output": "Hi, once you're allergic to something It's for life. Its better you avoid taking soy again in any form. If you are certain soy is the one which is causing stomach pain and vomiting than you do not need to do any test for allergy, any food item allergy you have to avoid in any form. Also take antihistamine tablets those will give you relief, and you will not feel sleepy also, like cetirizine etc. Bena Chat Doctor. Do not worry about side effects of antihistamine just take correct dose. And do not " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My ankle hurts. There is no bruising, swollen slightly. I have a bad back an the area that my back hurts is the same side. I have my ankle in a support for 4 days now an it still aches. Try to rest it but have to do core exercises because of my back. I have not sprained it but it feels like I have", "output": "Hi, If I were your treating Doctor for this case of severe pain in the ankle I would suggest you to follow the following precautions, firstly try to put 6 inch cr\u00eape bandage for ankle which subsides your swelling and restricts major movement which will be sufficient for your ankle ligaments to get healed if present. Use analgesic with antacids combinations that will be sufficient. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi!Few days ago I noticed red rings on my skin (chest and belly area). Not itchy, slightly swollen, inner part skin-coloured, ring cca 1mm in thickness red coloured, diameter from 1 - 1,5 cm.Please tell me what it could be?I havent been in the contact with ticks", "output": "Hi Dear, Understanding your concern. As per your query you have symptoms of itchy red rings in skin seems to be due to dermatitis. It could be due to increased skin sensitivity. I would suggest you to start taking anti-allergic medications such as Allegra. You should apply a steroid ointment like cortisone over the rash area for relieving inflammation and itching. Application of calamine lotion will be effective to soothe the skin. If symptoms still keeps on persisting you should visit dermatologist once and get it examined. You should go for patch test and blood tests and start treatment after proper prescription. Hope your concern has been resolved. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a lump and discomfort in my right arm pit . Mammogram and Scan show no likely breast cancer. I am booked to have an aspiration to withdraw tissue for testing. Doctor said it may be fat deposit presiding on muscle or nerve. I am fit and active but am rather tired lately", "output": "Welcome to Chat Doctor I am Chat Doctor and I will help you with your problem have gone through your question. You have a swelling in the armpit, and you are worried that It might be Breast or any other carcinoma. I need answers to few questions as required always to understand the problem in better way-Exact site of the lump?- How you first noticed it?- How it bothers you?- Is its fix or mobile?- Can skin be pinched over it?- How is the consistency of the lump? Whether its soft/ firm /hard? With available information and when screening for breast Ca is negative. This swelling can most likely be Lipomafollowed by Lymph node enlargement and sebaceous cyst. Ultrasonography can play an important role in differentiating between these. Small lipoma and sebaceous cyst need no intervention while lymph node enlargement need a cause, which should be looked far. Excisional biopsy followed by histopathology of the removed specimen; will end all suspicions and give us tissue diagnosis. I hope my answer will help you. Do rate it, if you like it. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "The inside of my jaw hurts.. maybe my wisdom teeth are coming out but I dont know for sure.. I have had mumps as a child and sore tonsils more than once due to viral infection. This time its the connecting tissue between lower and upper jaw at the far end of my molars. Its located exactly in the thin ligament-like tissue right where my teeth end.. I am a smoker and the pain sometimes increases when I smoke.. I brush my teeth once everyday. Pain is only on the right side. Please help.", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have symptoms of persistent pain in jaw and probable chances are that you have temporomandibular joint problem, it could be due to clenching of jaws or grinding of teeth and stress is one of the major factor for your condition. Need not worry. I would suggest you to visit dentist once and get it examined properly. If it is dental related issue like due to particular tooth infection, abscess or cyst, then go for IOWA and check the extent of infection and start Root Canal Treatment. Maintain hygiene of oral cavity by brushing and flossing. If it is related to TMJ joint, then mouth exercises such as TENS physical therapy is very effective. Take muscle relaxants for this. If this condition really troubling you and is extremely painful go for surgery of joint for proper manipulation but after oral surgeon consultation. Hope your concern has been resolved. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I m 20 and last couple of days I have this sinking feeling in my chest as if my heart was sinking down towards my stomach. I didn t eat much last week but since monday I started to eat more and regularly. I got a bit bette but those feelings still occur. I m really worried about it but i guess that my stress about it maybe makes it worse. Can you tell me what should I do about it?", "output": "Hi welcome to ChatDoctorI understand your query and concern. Your symptoms are suggestive of Gastroesophageal reflux disease. I advise you to get an Upper GI Endoscopy and Crease test, complete blood picture, stool culture, per digital rectal examination to confirm the diagnosis. Also get an ECG,2 Dimensional echocardiography of your heart as a part of routine check up. Chat Doctor. Pantop once daily before breakfast, Syp. Gelusil and Di gene chewable tablets. Avoid strain and coughing as it may lead to Diaphragmatic hernia. I also advise you to get investigated for H.pylori. You may also need to take Qua" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My jaw aches on both sides on bottom of my mouth. Its a dull achy pain. Doesnt hurt when I eat, only when sitting quietly it occurs, mostly at night. Its been occurring over the last week. Ive also noticed for aa few months that it feels like I have something stuck in my esophagus when I swallow.", "output": "thanks for your query, I have gone through your query. The symptoms you mention in query are probably occurring due to a condition known as acid reflux or HERD. HERD occurs when stomach acid or, occasionally stomach content, flows back into your food pipe up to the oropharynx due to defective functioning of esophageal sphincter. This cause irritation of mucosa of esophagus and throat that cause pain while eating and at night, which appear to you as TMJ pain. I would suggest you to avoid eating spicy and heavy food specially at night, take a light walk after every meal, eat small and frequent meals and take antacid like genus. Consult gastroenterologist for proper examination . Doctor may order certain test like endoscopy to rule out conditions related to TMJ. Doctor may prescribe medicine like sucralfate, sanitizing and omeprazole. Hope your concern has been resolved. Get Well Soon." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "usg finging shows prostate enlarged in size median lobe enlargement 16.1 mm, U.V 118 ml. doctor suggest for review USG pvr & PSA , DOCTOR ALSO PRESCRIBE wing medicines for ten days 1 cefpodoxime proxetil 2 Tamsulosin hydro chloride 0.4mg+dutasteride 0.5mg. please suggest it is good treatment for patient of diabaties", "output": "Hello and. As a Urologist, i must suggest you continue the same treatment now. Median lobe is seen in many patients. It's called tribal prostate gland. It has nothing to do with diabetes. Diabetes should be well controlled. You must have had urine routine and culture test, with fasting sugar, HbA1C, kidney function tests, and PSA. Urine culture should have been checked before starting the antibiotic. A THUS (trans rectal ultrasound scan), is better to assess the prostate gland. If you've any doubts, you may contact me directly, with all reports. Chat Doctor. Manga." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am an 87yr old lady and when I had to have my appendicitis out last summer a small cancer was found onn one of my kidney s i chose to leave it alone, and tthe Dr agreed with me, this year when I had a ultra sound it had grown about a centimeter again I chose to leave it alone , wondering if I did the right thing/ ,", "output": "Thanks for your question on Chat Doctor. In my opinion you have done correct thing. At your age it is not advisable to diagnose malignancy and start chemotherapy and radiotherapy as these will not improve your life expectancy. Any treatment or work up is worth doing if it improves life expectancy and reduce suffering s. But this is not true for your age. Infact chemo and radiotherapy will harm you more than they are not routine medicines, they are highly toxic Chat Doctor. So I advise to leave it as it is and if you are symptomatic in future than go for palliative treatment." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I feel pain some times in my penis, especially in the left-hand side of it. This pain comes for a second and go, then come again for a second and go. This rotation however doesnt happen all the time but its really painful sometimes. I feel its related to masturbation. I noticed that I have it more often few hours after masturbation but I am not sure. Can you help me?", "output": "HelloThanks for your query, based on the facts that you have posted it appears that you have pain in your penis after masturbation. During erection the blood flow to the penis is increased to 15 times more than normal resulting into congestion of the entire penis. This congestion remains for few hours and that is the reason you get pain in penis. Do not worry just make it routine to Chat Doctor. If pain is severe take painkillers like Broken." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am an 18 year old female taking seizure medication from almost three years.I also suffer from hyperthyroidism and have a history of hamstring muscle tightness.From the last few days,I m having pain in the left side of my chest,upper back and right shoulder.When I breathe l feel pain in my chest.Please help.", "output": "Hi thanks for asking question. Here are few possibilities.1. First hyperthyroidism can lead to muscular weakness and so muscular chest pain can occur. Simple analgesic is helpful for that. Hot compress also effective in relieving muscular pain. Treat hyperthyroid with Chat Doctor. 2. Second it could be muscular pain because of improper bed posture or muscle strain by overexertion.3. If cough, fever also present chest x-ray done to rule out respiratory problem like pneumonia induced pleuritic, bronchitis etc.4. Simple common cold can lead to muscular pain as constitutional symptom. In this case headache, runny nose, sore throat may be associated. I hope I have solved your query. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Yes, thank you. I have a large mass under my neck. I had an ultrasound and was told that the lump had some connection to internal organs and I was sent to undergo an MRi (i was unable to undergo the MRIs due to sever claustrophobia) I had a biopsy a year ago and was told the lump was benign. I had a lot of pain in my neck at that time. I was told it was not connected to the lump/mass. Since that time I have begun to have a great deal of pain in the lump and my left arm and stomach which all seem to be connected. do you have any thoughts on this matter you would share or advice for me?", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have enlarged lymph node, salivary gland pathology or some soft tissue tumor. If MRI is not possible then go for ultrasound study. It will give you exact location and spread. Go for fine needle aspiration cytology or biopsy again. If lump is benign and surgery is possible then go for surgery to remove the lump. Your pain may be due to neural entrapment or some other cause. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have a low wbc and used botox. Loved the results. Felt fine. However I went to get a physical and my wbc lowered from 3.7 to 2.1. So I waited a few months when the botox was out of my system and noticed my wbc was back up to 3.7...Is it not safe to use botox? Could this decrease my wbc?", "output": "Hello, I understand your concern. I am Chat Doctor, infectious diseases specialist, answering your query. In my opinion you should not worry taking Botox. Botox has nothing to do with the WBC count. It will be by chance error that had happened in WBC count in your case. You can confirm it by second time when you start Botox again. I will be happy to answer your further concern, you can ask me on bit.ly/ Chat Doctor. Thank you. ChatDoctorInfectious diseases specialist." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my left calf muscle has been very tight for about 4 weeks now, i cant walk properly as it feels like the tendons r being squeezed, two times it has felt like something has exploded and the pain becomes million times worse and then i cant walk properly. it aches constinly and starting to get me down. please help", "output": "Hello, As the history directs towards the nerve entrapment in its course. Do core stability exercise, spinal muscle strengthening exercises, hip and lower limbs strengthening exercises as a whole. This should get some good results. Use hot water fermentation for the calf muscle to reduce the vasoconstriction and keep the leg elevated over the pillow. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter is suffering from a bad toothache that started yesterday. It is now affecting her ear. She can t eat or hardly drink. Her dentist appointment isn t until Wednesday and I don t want her to go with pain for that long. what should I do?", "output": "Thanks for your query, I have gone through your query. The tooth and the ear pain can be because of the tooth infection, and You need to get it treated. Since you have not mentioned the age of your daughter, considering her age less than 14\u00a0years, If I am her treating doctor, I would have prescribed a course of antibiotics like amoxicillin 250\u00a0mg TID (if not allergic) and analgesic like paracetamol syrup TID for 3 days. After taking the course of these Chat Doctor. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HiIm trying to get pregnant I want it more than anything to start a family with my husband but I take laxatives every week and eat around 600 calories a day as I am not happy with my body, my period stopped I get maybe 3 a year will I ever get pregnant living like this? :(", "output": "Hi, I understand your concerns, but you do not get adequate nutrition. You should eat an average of 1500 calories per day. Also, you should be eating food from all classes including vegetables, fruits, carboy Chat Doctor. Your period stopped because your ovaries stopped ovulating due to starvation. Without ovulation, you can't get pregnant. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Yes, I first felt a lump pea size on tight side of neck. Went to doctor and he gave me antbiotics but did not help. Next were xrays and cat scans and showed a small nodule on lung that is spiculated. Cancer surgeon wants t wait 5 weeks to get another cat scan before he operate. But in mean tme, had to get neckscan as he told me it could by lymphoa, nect cancer, throid cancer. I hear about the results tomorrow. Needless to say, I am terrified. Is there any chance the the pea size on lymph nodes be something else besides cancer. i already had antibiotics. I hope you can give me some hope.", "output": "Hi, dairy have gone through your question. I can understand your concern. You have pea size lymph node. It can be reactive lymph node, tuberculosis, lymphoma, cancer anything. Biopsy will give you exact diagnosis. You should wait for biopsy results. Then you should take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am XXXXXXX. I regularly suffer from cold, cough , mouth alcer and some allergy problem.I am taking Bio C for the past 1 month. I don t see much difference. Is Bio C good for health? My sister also having same problem. Can i recommend it her ? she is 40 years old. My mother suffer from joint pain and neck pain . Can i refer her Cal mag tablet from XXXXX. She is 65.", "output": "Hi, Thanks for posting your query. Do you have recurrent watery diarrhea, abdominal pain and bleeding per rectum? There may be possibility of viral induced upper respiratory tract infection with mouth ulcers. Presence of cold, cough along with mouth ulcers suggest the diagnosis. You should consult with internal medicine specialist and should go for thorough check up. You and your sister should take multivitamin with zinc supplements, vitamin C, rebaptize and proton pump inhibitors. You should also take cough suppressants along complete antibiotic course. You should also go for colonoscopy if above-mentioned symptoms are also present. Take care," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I was recommended by s gynecologist to have the marina coil fitted. Due to me having non bleeding PCOS I got this fitted 5 month ago been experiencing a lot of bleeding. I also got cetezette to try stop the bleeding but since coil been inserted I been crying at silly things n getting annoyed at nothing . But since been on cetezette as well as the coil my mood s are crazy like jeckel and Hyde. After having mad moment I then start to cry also I know feel my full body itchy.", "output": "Hi, Thank you for posting your question here, I will try to answer it to the best of my abilities.IUD's are known to cause mood swings, it is not something new, so that could be the reason you're feeling the way you are. Contraceptive pills, also cause mood swings and well it seems that both of them working together are really getting to you. As such you should consider having the IUD removed. I hope this answered your question." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Sir/ Madam, I have been suffering from Jaundice since last one month.My Bilirubin count is now 0.9mg/dl however there is not much improvement in my SGPT /SGOT/Alkaline Phospatase count.Please find below my last 15 days Report. Dt-17/6/2017-SGPT-132/SGOT-121/Alkaline Phospatase-152 Dt-8//6/2017-SGPT-146/SGOT-112/Alkaline Phospatase-319 Please advise as how long it will take to come to a normal level or if i have to take some additional steps as i am strictly having home boiled food without any spices and also having only boiled water.", "output": "You are improving subject yourself to clinical examination look for enlarged liver citrus and appetite level they are signs of progress exclude hepatitis b and c since you have to take specific treatment and confirm improvement are you immunized against hepatitis b. otherwise you are improving. Have you got nausea and vomiting? Take bland diet. Less oil and spices keep watch on your improvement. Repeat liver function test." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "doc i am suffering from survical pain n it started when i was a small kid.now my age is 18 and i am an engineering student and whenever our exams are going to be started my pain also starts its not like that i do not study.please tell me something so that i cam overcome it..??", "output": "Hi, Welcome to Chat Doctor forum. It appears to be due to the anxiety, and tension. The other causes may be the hypertension, spondylosis, cervical color etc. I advise you to consult an orthopedic surgeon for diagnosis and treatment. You may need to have M.R.I. for diagnosis. I usually prescribe to my patient with such symptoms alprazolam at bedtime for one month. Neurotropic injections for 10 consecutive days, and then periodically, calcium supplements, and painkillers. Avoid taking potato, other tubers, tomato,egg, chicken, and and seafoods. Wishing for a quick and complete recovery. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My children and husband all had upper respertory infection that lasted about a week. I got it a week ago and just as I thought I was recovering I can no longer breathe when lying down, The cough is getting worse again but it is not a dry cough anymore. should I go to the emergency room for pneumonia or do you think it is just another phase of the infection?", "output": "Thanks for asking your query completely understand your problem if you are running high grade fever along with productive cough, it can be pneumonia, you can consult a chest physician or a pulmonologist and get a chest X-ray done to rule out pneumonia. About upper respiratory tract infection, you should take a course of antibiotics like lifetime for a week or two. No need to panic.thanks/regardsfeel free to ask more questions may god bless you with good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have edema in my lower legs due to obesity . They have become dark, hard and scaley with a built up of a oily dirty film. How can I removve the buildup and smooth my legs? my legs are hard and scaley from edema. How can I make them smooth and remove the build up of oil and dirt.thanks, want to wear shorts again", "output": "Hi Welcome to Chat Doctor Forum Edema is seen in a lot of illness, first a diagnosis has to be made, only then a treatment can be suggested. Please mention your ht, wt and any other present or past illness you may/have had. Edema does cause skin changes when it is present for a long time, for which homeopathy is very effective, once the condition is properly diagnosed, you can start with homeopathy for the same. Takecare For further inquires- Chat Doctor. rathore@yahoo.co.in" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I had oral surgery to remove a front upper tooth and also to prep my other front teeth for a bridge.Dentist also did a \"scaling\" of my teeth where they go up into the gums to remove tarter.In addition they performed a \"laser\" treatment where they use a laser to kill bacteria up under the gums.2 days after the minor surgery I have pain in my left jaw. It feels like an \"infection\" type of pain rather than pain from my jaw being worked on. I fear I have an infection but the pain is not in the front of my teeth where the actual work was done but the pain is in my jaw. Any thoughts on what might be the problem? Thanks.", "output": "Hi. Can understand your concern. As per your query the pain in your lower jaw may be due to either an infected tooth or infected gums. If it is an infected tooth you can see your dentist and an IOP AR(x-ray) can give you and your dentist a clear picture of the tooth decay and what treatment should be carried out. Other thing is that when your scaling was done may be due to deeper scaling there might be laceration to the gums or any calculus or food debris may get deeply impacted into the gums accidentally leading to pain. The exact cause of pain can be found out by clinical examination and x-ray. I would suggest you not to take any painkiller if the pain is not severe as if the pain subsides it becomes difficult for a dentist to quickly rule out the exact cause of pain. Hope your query is solved. Thanks and regards. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "During my last visit to our primary doctor to go over the blood test he prescribed he said my blood platlet count has dropped to 83, what should I do. Had many tests a year ago before having open heart surgery to replace a leaking valve, they couldn t find any reason for the low blood count.", "output": "Hi, dear. I have gone through your question. I can understand your concern. Your low platelet count can be due to many reasons. Most common is simple viral fever. Even malaria can lead to low platelet. So if you have any symptoms then you should go for further investigation and take treatment accordingly. If you don't have any symptoms then no need to worry. Just be relaxed. If you see any signs of bleeding then consult your doctor otherwise no treatment is required. It will come back to normal within few days. . Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 63 yr old female was diagnosed with a closed fracture of the pelvis very painful can I use a hip stabilizer to help me with walking I use a walker however it still hurts to apply any weight to it I also take methotrexate and prednisone for moderate to sever RA the fracture occurred 3 weeks ago I also have osteo.", "output": "HiI may suggest you consult an orthopedic surgeon if he thinks, you may refrain from walking for 2-3 weeks to be pain free earlier with bed rest. Some surgeons give bilateral pelvic traction in bed for 3 weeks to stabilize fracture, which I too prefer. Once callus forms, there may be little difficulty with walker support and walking after 3 weeks rest. For your you may continue meds, and ask rheumatologist if you can stop prednisone for 2-3 weeks by tapering doses, so that bone osteoporosis and delayed healing can be prevented by this at the fracture site, methotrexate is ok, doctor may substitute with some NSAID instead of prednisone best wishes" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good day. i just wanted to ask if what are the earliest and visible signs of rabies in humans? i was bitten by a dog 3 days ago and its not that deep bite. my skin was only peeled a little and theres no blood coming out after the bite. now, i am experiencing itch not on the site of bite but on any part of my body. im afraid if this is a sign of rabies or its only a skin problem. i have no fever nor signs of flu. only that itch. thank you!", "output": "Hello, Welcome to Chat Doctor, The incubation period in case of rabies is variable ranging from 3 weeks to 3 years. If you are scratched by a stray dog 3 days and following which you have developed generalized hives all over the body. These symptoms are not the signs and symptoms of the disease rabies. I would suggest you to take active immunization with antirabies vaccine on days 0, 3, 7, 14 and 28. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here...from past three days i have severe abdominal pain that too at midnight 1.30 it starts from abdominal and i talke ocid20mg and gelusil but it is transfered from lower abdominal to the back and later the hip and the back when i consulted the doctors they say it is more of bile juice secreation what should i do to get releif from the pain", "output": "Hi. Thanks for your query. You have got a classical pain pattern of developing it at 1:30 am and the pain is transferred to the back and hip and back again. The occurrence at this time is indicating that the stomach get emptied of the dinner you had and so the timing as this is the time to get the pains . I would recommend you the following:First thing to do is to get an upper GI Endoscopy done so that you get a perfect diagnosis and the treatment can be modulated as per the findings. Take Acid Twice daily. Antacid every 3 hourly to cover the stomach when it is empty Take small frequent meals." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "we had sex for the first time,n hymn broke n it started bleeding,v got scared n dint hv sex again,after having sex immediate next day i took meprate tablet do n no sperm got ejected as it was only two times we did n it bleeded,is there any chances of getting pregnent", "output": "Hallow Dear, The chances of pregnancy depend up on which day of the menstrual cycle the intercourse was performed. The egg is released 14 days prior to the next menses. The egg lives for 24 hours while the sperms are active for 72 hours. Hence, a week around the day of egg release is a fertile period. If you had unprotected sex during this fertile window, you have got high chances of becoming pregnant. The best indicator of probable pregnancy is missing a period. All other symptoms appear a week or more after that. So if you miss your period, get your urine tested for pregnancy which will guide you. I hope this helps you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Please tell me about Causes of kidney disease?", "output": "Hi DhanshreeThere are several causes of Kidney diseases. It would be easier if you can tell me the exact problem.However, the main causes are according to age group, heredity, etc. These are:1. Congenital causes Since birth2. Immunological3. Infectious4. Secondary to some disease like Diabetes mellitus,etc5. Due to Obstruction by stones, etc.6. Due to Vascular causes like Hypertension. Are only a few causes. Thanks!!!!!!!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Gud aftrnun sir, My husband is suffering with low grade fever from two months. He also has sore throat n swelling in the throat .doctor says Its because of infection n allergy. But the fever repeats after every week. Is there any fear of tumor doctor? Because of persistent fever. Or its just coz of sm allergic infection? Othr symptoms include swollen testis, weakness, cold, muscle fatigue.", "output": "Hellos your husband is having fever (low grade) from last 2 months with sore throat. In my opinion however it is very difficult to establish any diagnosis with this short history, but allergy is not responsible for such type of fever. Usually allergy is another sort of problem causes bronchoconstriction, hence cough and cold may be due to allergy. If infection is there, this may cause fever. In your husband the duration of fever is very long. This is a cause of concern. As you husband is also having swollen testis, cold, weakness, fatigue. Weakness and fatigue may be due to fever. The possibilities of fever may be, these include .1 Orchids inflammation (infection)of testis sometimes develops such type of low grade fever. So consult a physician / surgeon and get his opinion because physical examination is important in this case. If there is fluid collection in sac of scrotum (testis) it don't produces fever.2 Tuberculosis, this is another most common cause of prolonged duration fever. Get in sputum examination for A F B, blood for E SR, X-ray chest, months test .3 Typhoid fever is one such cause of low grade fever. Get in Tidal test as well serology test for confirmation. There are so many other causes of fever as anemia, tumor in lungs, abdomen. But deal as mentioned above. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here...I thought I had a 24 hour gi flu starting a few days ago with nausea/vomiting, diarrhea,bloating, chills, myalgias (not sure about fever since I didnt take it). the n/v has stopped about a day ago but I continue to have beige colored diarrhea 4-6 x/day with extreme excessive gas whenever I eat anything but my oatmeal in the morning? I eat almost nothing during the day due to the symptoms. Other symptoms have pretty much subsided. Any clues?", "output": "HI, thanks for using Chat Doctor It can take a few days for diarrhea to resolve completely. If you are still having symptoms, it would be best to avoid solid food till your intestines are ready to absorb food. The use of food when they are not ready would just cause abdominal cramping and cause it to be passed out. When there is a 4-hour window with no symptoms, small amounts of Chat Doctor. You can try using probiotics, these help diarrhea to resolve because they restore the normal vaginal flora. Meds such as Pepto-Bismol or Omotic may also help you. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "First of all thanks for your gesture in providing this query facility. Kindly enlighten why we get cold and cough when ever weather changes from hot to cold, and also during winter temperature? What are the effective home remedies for persistent common cold and cough?", "output": "Cold and cough are caused as either the immunological response of the body against a foreign body which enters or irritates the respiratory tract or caused by viral infections. The reason for cold attacks when the climate changes occur is that the viruses and the irritants like pollen are maximum in the atmosphere in cold damp climate. There are many effective home remedies for cold. Decoction made of quasi leaves, black pepper, Purina leaves, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a mole that was damaged on my back, and it barley grew back and there is no sign of activity, I mean a layer of skin hasn t came back, it feels flat and somewhat healed, but I don t think it grew back fully.... Could this be a skin issue? Like I know moles in general don t give you cancer, but if there is something that happens to the skin, it could develop into cancer. Also, I know soda is very unhealthy, could you give me long term issues? Maybe just to scare me a little haha, I am drinking more water, but I can t stay away from soda", "output": "Hi, dairy have gone through your question. I can understand your concern. You have mole and it gets damaged. No need to worry. Just damage if mole is not a risk for cancer. If you not recent changes in the size, number, color or texture of moles then you should consult your doctor and go for biopsy. It can give rise to skin malignancy called malignant melanoma. You should not worry about cancer. Just be relaxed. Avoid soda because anything in excess is harmful to body. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I found about a marble sized hard lump on the back of my neck the other day, it doesnt hurt when i touch it but i i turn my neck there is a slight pain and i also have a slight headache, i also have a much smaller sized lump on my labia however this one has been there for a while. What could this be ?", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have enlarged lymph node. It can be due to some reactive hyperplasia, tuberculosis or lymphoma. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "30 mins ago I dropped a stool on the top of my foot. About an inch from where the foot turns into ankle. There is now a large bump, and its numb to the touch. It seemed to help when I had it elevated. Should I get an x-ray to make sure it s not broken.", "output": "Hi, On a safer note yes. But you can wait till 24 hours as most swelling subsides by that. You can do hot water fermentation and keep the feet elevated on a pillow above the level of the heart most of the time. This will help reduce the swelling. Numbness may be a temporary reaction which will be resolved over a time. After 24 hours if there is no change in sweller than you can surely proceed for x-ray. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear,DoctorI want to ask you behalf of my husband, my husband having chest pain(just beside the heart) for almost a year. he went to hospitals but still he have the pain. he did ECG also, but it was normal... can i know why is the chest pain still there for almost a year... the chest pain also i think it is connected to his back down his shoulder.. can you pls help me? wht is the next step we need to do? he is 29 years old", "output": "Thanks for your question on Chat Doctor. I can understand your concern. First, no need to worry about heart diseases because he is young (29 years) and having normal ECG. Possibility of musculoskeletal pain is more likely. So tell him to follow these steps for better symptomatic relief.1. Avoid heavyweight lifting and strenuous exercise.2. Avoid sudden jerky movements of chest.3. Apply warm water pad on affected areas of chest and shoulder.4. Take simple painkiller like paracetamol or ibuprofen.Don't worry, he will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have oozing from foreskin, redness of forskin just below the head and redness of the head. I have washed it everyday for two weeks and put neosporin on it whenever possible. no problem with urination... I am at a loss, no sexual contact in three years!....confused", "output": "HelloThanks for query, Redness of the foreskin and glans penis with oozing from foreskin is mostly due to infection of Foreskin and Glans penis (Ba llano Prostatitis). Many a time these symptoms are presenting symptoms of impending diabetes hence get your blood sugar tests done to rule out diabetes. You need to take broad spectrum antibiotic like Cefuroxime along with anti-inflammatory Chat Doctor. Ensure to wash your genitals with warm water twice daily." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi my partner has been feeling unwell so he got bloods taken and was sent for an x ray his bloods said his blood count was low so he has a bleed somewhere and his liver was inflammed or enlarged his x ray said he had a shadow at the bottom of both lungs he never smoked he does road mainteance", "output": "Hi dear Thanks for choosing Chat Doctor. By low blood count do they mean low Hemoglobin?! Enlarged liver can be caused by many reasons that cant be counted here, but mainly due to Hepatitis Infection (A, B,C or E), it can also be due to Alcoholic or non-alcoholic fatty liver disease, history of medication Chat Doctor. People with liver disease develop some sort of thing known as portal hypertension which could lead to bleeding in the Gastrointestinal system mainly esophagus or stomach. Based on your question it seems like the Doctors are still running some other tests to confirm, so please don't overthink and try to stop worrying, until the doctors give you a final diagnosis and treatment. Wish you all the best and hope your partner gets better soon." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Yesterday I started 500 mg twice a day of clarithromycin for bronchitis and sinusitis. last night I received a deep cat bite from a stray himilayan. my tetnus shot is due in sept. is the clarithromycin enogh to kill the wound bacteria. can a vet identify rabies antibodies in the cat? Ontario", "output": "Thanks for your query at Chat Doctor! I am Infectious Disease Specialist! I went through your query! Clarithromycin is fine for your upper respiratory tract infection but not cat bite. You get tetra and start Raipur (0,3,7,14,28) and booster at 90 days. Watch the behavior of pet for 10 days. Happy to take more queries! You can also write a review for me. If you would like some more information, I will be happy to provide. You can take a follow-up query. Take care!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a baby girl of 6 yrs, before her birth we( me & my wife ) enjoy our sex life very much, even 2-3 times a day, but after delivery my wife always insult me when ever i demand 4 sex and use to lye down like a dad body, not even look, touch me also try to fight before night and even hit me or pull my organ very badly, try to hurt me .We both are working, living in separate cities and mostly we meet after 15 days but every time the situation is same. her anger will increase when i ask 4 second issue. If I force with her she started shouting and throw things here and there, and try to go out of the room in nude condition before my parents.Please help me", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. I am really sorry for the state of your affairs. In my opinion sex is a divine act. Both partners should be able to enjoy it. If one of the partners is not interested, the couple should avoid sex. No pleasure shall be obtained on forced sex for both the couple. Please understand the feelings of your wife. She is not a sex machine. She has her own worries and troubles. Talk to her and you definitely can find a way out. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have back pain since from 6 month. please advise me to which hospital i should i contact. let me know reason for back pain as i am getting lot of back pain. and also let me know what procedure doctor will follow to give treatment for back pain and how much it will cost?", "output": "Hello, I have studied your case. Usually nerve compression can't be seen on x-ray you may need MRI for this. At old age there will be age related spondylitis but if there is any nerve compression then that may need specific treatment for back pain. I will advise you to do MRI instill time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. You can take treatment from hospital where orthopedic or spine surgeon is available. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Got sick after 3-4 hours after eating. Abdominal cramps, no diarhea and no vomiting but almost. Since then i have abdominal cramps when I eat ( not after but a few minutes after firs bite). 20 years ago i had something like this and had to take sulfamide to get rid of. Is it a bacteria or food poisoning or both ?", "output": "Hi. Thanks for your query. This type of pain can occur as a reflex. Seen in case of either appendicitis, colonic problem, gastritis or gastric ulcer. You say you have a typical cramp when you eat. I would advise the following:Ultrasonography to rule out appendicitis and other inflammatory diseases. Upper GI Endoscopy for esophagus, stomach and duodenum. It is better to get a proper diagnosis than just a symptomatic treatment. Let this be a directed treatment otherwise these problems become recurrent." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My heart beat has been jumping or doing a hicup ever two beats for the last couple of days off and on went to the emergency room and they said id be fine it was from stress, i made it quite aware to them that i had wpw syndrome and had surgery for it and its been ten years since i had problems like this. I feel like this is dangerous but they said id be fine unfortunately my heart leveled out at the top or bottome of the ekg every two heart beats instead of making a point after every beat. This is very uncomfortable and i dont have inusurance no family doctor and i feel like this is unhealthy.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Yes, stress can cause rapid heart rate. But since you had WPW (wolf Parkinson while) syn Chat Doctor. So get done ECG, 2d echo and Holder monitoring (24 hours continuous recording of ECG). If all these are normal then no need to worry about major heart related diseases. Your rapid heart rate is mostly due to stress. So consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a 4yr old son who for the past 5 days has had fevers from as low as 100.2 and as high has 105.2. he has complaint of headaches to the point of not getting off of the couch for over 2hrs. We have taken to his primary care physician who believed he had the start of an ear infection and gave him an antibiotic, he continued to get worse vomitted three times and had a nose bleed. We are at day 6 and he is again running a low grade fever having very limited appetitie if any at all and continued complaint of a headache. I am starting to get concerned Any suggestions as to my next step?", "output": "Hi, If I were your treating Doctor for this case of severe headache and fever under the left rib cage, I would come up with three possibilities:1. I would first rule out serious conditions as meningitis. You should consult hi at neurologist, or You can discuss this with your treating Doctor.2. The second possibility is of Infectious mononucleosis(herpes infection), causes by ABV, CMV,HHV 6 type. Try having Acyclovir 30 mg/kg divided for 2 times for 5 days. Diagnosis can be confirmed by blood test, IG M, G to ABV, CMV,HHV 6.3. The last possibilities are of sinusitis(thyroiditis), GI infection, UTI. I suggest you for differentiation perform blood, urine tests, stool analyses. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing your baby speedy recovery and good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 8 year old is having trouble falling asleep due to her severe, dry cough. She has been having it for several nights but is fine during the day which is why i keep forgetting to purchase cough medicine. She is very tall for her age and weighs about 70lbs. Is it ok to give her a small dose of adult nyquil?", "output": "Hi... Thank you for consulting in Chat Doctor. Greetings from Chennai. By what you quote I feel what your kid could be having a wheeze. I have a few questions for you -Questions:1. How many days per month does she cough or feel breathless?2. How many nights per month does her sleep get disturbed due to above symptoms?3. Does she feel breathless when she runs around or plays with other kids?4. Are the symptoms when there are seasonal changes?5. Is there any family history of asthma or any other sort of allergies like skin allergy etc.?6. Is the cough always associated with fever? If your answer is yes for any of the above questions, your kid might be having wheezing, and I suggest you meet a pediatric pulmonologist who is near your place. No point in using cough syrups if it is really wheeze. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dr.sir I m 63days of pregnant today my last LMP is 7/2/17 I had a problem littlevbrownish bleeding was started on my 45 the day I was constellated 3 doctors they took scans they told me still heart beat was not came the growth was in 6 weeks only so they told me to wait now the bleeding was became bloody... I was scared please help me", "output": "In very early pregnancy bleeding is more commonly due to pregnancy itself. Now if at 6 weeks no heartbeats than there is chance that this pregnancy will not survive more and ultimately abortion will happen. But sometimes pregnancy survives and go up to full term with absolutely normal delivery. So we don't have choice other than to wait and take the best possible support for pregnancy in terms of oral medications and injections and bed rest. Which must be prescribed by your doctors. So wait continue medications and strictly follow the instruction of your doctors.in case bleeding is very heavier than you have to consult doctor immediately. Or ideally you should get admitted if any bleeding in early pregnancy and complete rest at hospital with all medication. Because complete rest is not possible at home practically." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello. I have a question I would really like you to answer. I woke up 2 days ago with a hard lump on my wrist under the thumb On top of my bone it hurts to move my wrist in a certain way And when I put pressure on it it also hurts. do you possibly know what this could be", "output": "Hellos per your description of the lump it seems to be a Neurofibroma. Need not worry, it's a benign condition, and it is mostly a cosmetic concern rather than pathological. The common sites being the fore arm wrist back etc. it causes pain only when pressed deep, otherwise it only causes mild tingling or mild pain. It may be single or multiple. Definitive treatment for this is only surgical excision of the lump. Need not worry about this too, as it is only a day care minor surgical procedure. Thaank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "what is the prognosis of bipolar depression when detected in a young individual say at 2o yrs.?Whether the individual can focus on study during treatment ?What are the chances of relapse while on treatment?Any latest major brakthru for this disease as far as treatment is concerned?", "output": "Hi, The options available to treat the bipolar disease are many these days. The prognosis to manage this problem in a student who is 20 years of age is excellent in my opinion and if the individual were working closely with a counselor or therapist as well as a doctor I believe there is a very good chance that relapses can be significantly minimized, possibly avoided if vigilance is maintained at a high level by both patient and doctor. There are very good treatments and approaches available both pharmacologically and non-pharmacologically. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I recently did something stupid with my grandkids. I took a ride down the stairs and my tailbone has been killing me. The last few days it has started really hurting in a in a v shape on both hips,lower back. Is anything I can do for the pain until I call my doctor next week", "output": "As you alluded to, you appear to have bruised your tailbone, or \"coccyx.\" The first thing to do is to apply ice, in this case by sitting on an ice pack, 20 minutes on, 20 minutes off, as often as you can. This will reduce inflammation, and will help numb the pain. Additionally, topical anti-inflammatory creams, such as Aspercreme, will help with pain. Finally, Naproxen/Allele by mouth twice per day with food can help greatly with inflammation and pain. You will also need to find a good cushion or pillow to sit on for cushioning." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 31 year old female, and I have been taking phentermine on and off for several months. In the past few weeks, I have had a swooshing heartbeat sound in my left ear. It comes and goes but it mostly occurs when lying down. I feel really tired all the time and even right now my bones/muscles just dont even want to type. Im having chest pains and lots of pressure on the right side, sometimes it feels like a brick is sitting on my chest. I also the middle right side of my back hurts very often. I went to the Dr. they said my ears and heartbeat was fine. I have read that Phentermine can do things to your arteries and heart, and now Im really concerned.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Yes, determine can damage heart and blood vessels. Phentermine is symphathomimetic Chat Doctor. It stimulates lymphatic system. This will in turn cause rise in blood pressure, vasoconstriction and tachycardia (palpitations). So better to consult doctor and get done blood pressure monitoring, ECG and 2d echo. If all these are normal then no need to worry about determine related heart damage. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "patient had seizure first time ever in september, i came home and patient was extremely confused in discussions, he started hallucinating, took to hospital and he was sent home with ativan, took one and he got 100x worse, he is now in critical condition", "output": "Hi. Thank you for asking question. I had gone through it. I understand your concern. It is post octal confusion. It is occurred with seizure. After convulsion has stopped there is period in which patients become disoriented and hallucinated. This period can range from 30 min to 2 days. But proper treatment of seizure can prevent further convulsion and post octal disorientation. Ativan contain lorazepam and only Asian can not help. This kind of convulsion can be treated with medicines like phenytoin, valproate, levitracitam, clobazam etc.Consult the best neurologist and get help. I hope I have answered your query. Happy to help you. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i feel like there an earthquake in my chest/throat area... i dont know what it is..been going on for a couple years now an happens a few times a month..feels like im choking-but im not actually choking..pain in chest area, only for a short moment (couple seconds)", "output": "DearWelcome to ChatDoctorWe understand your concerns went through your details. Your current problem is going on for around two years. In that case you must have consulted a physician for further investigation. If not, I suggest you to consult a physician. Anxiety and obsession along with acidity symptoms are the prime cause of consistent chest, stomach, lower rib area pains. Due to acidity pressure, when the diaphragm is pushed up, the chest cavity constricts and results in choking and constrictive feelings. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my son is 1 month old, he do motion everytime i feed him, either breast feed or formula milk.its very smelly n he get hungry again after stool passing.dr gave him lactose free formula n enterogermina, bt there is no diffrence.im from Pakistan, plz help me out.", "output": "Hi... Thank you for consulting in Chat Doctor. What your kid is having is not a diarrhea and is only a gastronomic reflux. It is quite common for babies of this age group t pass small amount of diarrhea or loose stools soon after feeds. This need not be treated as diarrhea and especially antibiotics are not indicated. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i think i may be pregnant because last tuesday i had sex without a condom . i know one of the symptoms is missing your period. i dont get my period oftern its really iregualr. i take provera for it. my question is how many days should i wait before i take a test?", "output": "Hello, I have gone through your query and understood the concern. Since you have irregular cycles and also use progesterone to induce a period usually, your ovulation status is questionable. This makes you safe and puts your chances of natural conception very low. Yet, even with natural regular ovulation, the earliest time to test for pregnancy is at least a week after the intercourse through an estimation of the serum beta-ChatDoctor titles. A trans-vaginal sonogram can follow after another week or two, if tested positive. This will help to estimate the age of the pregnancy and to locate the gestation sac. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have beensuffering from shingles on my scalp for 3 months started eish rash blisters itcthing now a full line on my left side of scalp been given anbiotics steririod pill shots now prescribed veltrex no relief increase in blisters raw itching loss of hair what can i do?????? /", "output": "Hello, This is a complicated problem. Shingles can be very hard to treat. The value really will not get rid of it but may help prevent post-herpetic neuralgia, which is a painful condition that can last for a year or more after the rash resolves. Antibiotics can treat an infection if that has occurred and the steroids can decrease inflammation, but really do not get rid of the rash. The best you can do is take the medication that is prescribed, keep the area clean with gentle soap and water, avoid scratching or rubbing the area and see a doctor if it's looking infected or getting more painful.Also, it would be good to get the shingles' vaccine. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my neck is very stiff. it appears a knot above collar bone, back side. its painful,have trouble sleeping. when i try to massage it, a small sharp shock occurs and slightly clicks years ago i was t boned, and had trigger point injections. 2.that was over 12/ 14 years ago. im trying ice. can you help me please.", "output": "Hello, If you are suffering from an acute bout of cervical pain that was not really there before recently (even though you do have the remote history of the accident) and you believe there is a lump of some sort above the collar bone then. I would recommend you see a doctor and have that looked at to make sure it is not a mass that is impinging upon one of the cervical nerves causing the pain and electric shock-like sensation. Ice is an acceptable intermediate therapy, but this should be looked at by a doctor with possible imaging studies to define the knot a bit more precisely. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my ultrasound report is RIGHT kIDNEY- mearure 113*38 and show bright echotexture. Corticomedullary differentiation is maintain. Small cortical cyst noted in the lower pole. No obvious calculus/ hydronephrosis is seen. Left Kidney - mearure 101*45 and show bright echotexture. Corticomedullary differentiation is maintain. Small cortical cyst noted in the lower pole. No obvious calculus/hydronephrosis is seen. Urinary Bladder m- is seen in partially distended state. It is regular in outline and shows or no mass lesion. Wall thickness is normal Prostate - is normal in size and echotexture, Vol. 21.7cc IMPRESSION - Bilateral medical renal disease with small cortical cysts . Right pleural effusion noted You are requested to suggest what this report shows.", "output": "U need to give me more information for e.g. your age and family history. Anyways going by ravines criteria u don't seem to have AD PKD. Have enclosed the criteria below for your viewing Ravine et al. Established age-dependent ultrasound diagnostic criteria for PKD1. Specifically, in at-risk individuals between 15 and 30 yrs of age, at least two unilateral or bilateral kidney cysts; in individuals between 30 and 59 yrs of age, two cysts in each kidney; and in individuals older than 60 yrs, at least four cysts in each kidney. So it is absolutely by age. If it is any other kidney disease apart from the cystic ones we cannot just tell it by the ultrasound alone u need to mention1. Blood pressure2. Urine examination for presence of proteinuria / hematuria3. Blood urea and serum creatinine" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi , I have been having left arm pain and pain in the left chest...not like someone is sitting on me but like a tingling pain, my feet and ankels are swollen my right leg actually has a throbbing pain accompaning the swelling, I am very fatiged and am not sure if I need to make a big issue over this. I am 38 years old I am overweight and have not had much water intake lately.", "output": "Hello, As per your symptoms, there is possibility of pain due to bad posture as your whole body is involved, analgesic and muscle relaxant will reduce pain. If not relieved, then possibility of polyarthritis needs to be considered. Rheumatoid arthritis may involve small joints and early morning stiffness in joints, do you have sucChatDoctorplain? Ankylosing spondylitis typically involve spine and hips with other large joint also. There is reduced chest function in this disease. Stiffness in spine is increased do you have such stiffness in spine? When such patients come to our hospital I advise them blood test like RA factor, CCP, ESR, complete blood count, HLA B27. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor,i have wheatisChatDoctorplexion and i am 26 years old girl.i want to know that is there any way to get fair complexion,and please suggest me any capsules and treatments for my age and healthy wise. if i am taking if there any harm on body so please tel that also", "output": "Hello, Thank you for posting on Chat Doctor. Complexion of any person is having two components; constitutive, one which is predetermined by genetics and racial factors and usually cannot be changed with any treatment. The other component is due to external agents like environmental exposure, sunlight, use of any cosmetics etc. and is amenable to treatment. You can get a series of chemical peels, which actually remove the upper dead layers of skin and stimulate regeneration of collagen and thus newer layers of skin. Many options are available in chemical peels depending on the requirement and skin type. (Glycol peel, retinol peel, cocktail peel etc.)Also, chemical peeling can be preceded by a simple procedure called microdermabrasion or commonly known as skin polishing to augment the results. Also, at home you can try using cream containing comic acid, betray Chat Doctor. Always use broad spectrum sunscreen before going out in sun. Use a plain moisturizer like detail DAM on daily basis for healthy and HY" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My left leg has been hurting me for about 3 1/2 weeks now, swelling from angle to thigh, my doctor did an ultrasound about 2 weeks ago and the report was negative, gave me some meds for inflammation however it has gotten worse. it was in my calf area then moved to behind my knee, I work during the day and my leg would be swollen by the time I got home, I would elevate it at night but it never seemed to go down all the way, two days ago I couldn t hardly walk on it, after staying off of the leg for 2 days now the swelling has gone down but now the pain has moved to just above the back my knee to my lower thigh on the inside should I get another ultra sound & how soon, could this be a blood clot. I have Lymphoma and have had one before.", "output": "Hi, as mentioned by you or gives me an impression that it can be a pinched nerve in the lumbar spine which is giving all these symptoms. So getting and MRI of the spine will help provide some inputs. Also, taking a proper rest and medicine has a combination along with medicine will give 99% pain free. All you need to get focused on the exercises and all will be fine again. With the grace of God I wish you a speedy" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Dr.I am 29 years old. I am 62 and weigh 230 and for the past 6 months I have had very intense chest pain. I have gone to the ER numerous times and have followed up with my Cardiologist. The following exams have been done: bloodwork, EKG, catscan of the heart, stress test, sonogram of the chest, chest x-ray, and a I wore a 24 hr heart monitor. All test continue to come back negative and I am sent home each time with a clean bill of health. A few months ago, I went to a GI and was diagnosed with GERD, esophaghitis, hiatal hernia, and mild gastritis. I also went to a therapist since my chest pain continued. I have been prescribed Nexium, Adavan, and Zoloft to treat the GI problems and anxiety. But I can not understand how my GI issues can be causing such intense chest pain. I keep thinking that maybe there is another underlying cause that is being overlooked. I am still concerned that I may have a cardiac related problem. I am eating much better and taking medicines as prescribed. What else could this intense chest pain be? I have read it could be muscular. I just want answers so that I can move forward. Who else should I follow up with and are there other tests that I should have done?Armando", "output": "Thanks for your question on Chat Doctor. I can understand your concern. First, no need to worry about heart diseases as a cause for your chest pain because your extensive cardiac work up is normal. In my opinion, you are mostly having HERD (gastroesophageal reflux disease) related symptoms. HERD is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause symptoms of intense chest pain. Only Chat Doctor. 1. Avoid hot and spicy food. Avoid junk food. 2. Avoid stress and tension, be relaxed and calm. 3. Avoid large meals, instead take frequent small meals. 4. Go for walking after meals. 5. Keep 2-3 pillows under head in bed to prevent reflux. Follow all these and you will mostly improve. Sometimes, musculoskeletal pain can also cause similar kind of pain. So avoid movements causing pain. Avoid bad postures in sleep. Take painkiller like ibuprofen. Apply warm water pad on affected areas. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am frozen by my fears..i feel that I cannot do anything at all. I have been suppressed all my life and controlled. Now I am incapable of doing more than a bit of cleaning. I don t want to go where anyone can see me, and I feel like I don t know anything at all...the world is a scary place for me. I know I have PTSD...what else could this be though? I am looking for ways to cure my brains inability to function but need to know what I m dealing with. Thanx", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. How do you know that you have PTSD? The symptoms are pointing more towards social anxiety. But this could also be an outcome of PTSD. In any case, self diagnosis is wrong. Consult a psychologist who shall use psychometric tests to diagnose your mental problems. Please do not hesitate. Do what is necessary. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m finding some information that pertains; however, here goes. I m having clenching pain in left cheekbone that radiates to my left eye, along with sight disturbance. This concerns me because I had an acoustic neuroma removed from my right side (2.54 cm, retrosigmoid approach) in 2007 and had eye twitching related to it that I originally put down to stress. My guess is that I just need to go back to my neurosurgeon but have High Deductible plan and hate to go it not necessary.", "output": "Hi, On the one hand a new symptom that goes in the pattern of a definite nerve problem is going to be1) real and2) needing attention. On the other hand, it is going to be ad Chat Doctor. Worst case is that nothing is broke, and the TRIGEMINAL NERVE IS IRRITATED. Nerve dampers like any anti-epileptic work really well on this. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, when i woke up this morning i had this bad pain in my chest on the right hand side, so now im at working and the pain keeps comming back its about 2 or 3 min apart. but the last pain i just got moved over to my neck then my arm causing it to go knumb for a second. what could this be", "output": "Hi thereafter going through your query I understand your concern. I would like to tell you that first impression for chest pain always make us think about the cardiac chest pain. If it is off & on chest pain then it could be unstable Angina. Because non-cardiac pain is localized, feel on putting pressure and do not radiate.It's recommended for you to get an ECG and Electrocardiography done and consult with a cardiologist regarding same. Hope this will helping Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have reoccuring yeast infections and i most recently experienced cracking around my anus and bumps on my vulva and labia and around my anus, the yeast infection seems to be gone internally, but i went to a doctor who said that they think i have herpes, the next doctor said the same, how common is it that his is misdiagnosed? can yeast cause the symptoms i am showing?", "output": "Hi, The Herpes simplex viral infection has to be either confirmed or ruled out by doing a few investigations. a. Track test: Scrapings from the lesion are collected to detect giant cells and intranuclear inclusions by staining. b. PCR: The virus, viral antigen or viral DNA can be detected using this molecular diagnostic test. The treatment can be specifically initiated after any of these is done. A mere clinical diagnosis is not helpful." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello, i have 2 yrs old son suffering from Primary Complex. His weight is playing from 10 kg to 11kg. Im thinking why he is not gaining a high weight bec he eats a lot ? He is countinuing his medication and it will end this coming october. Why do it happen that he is no gaining a lot.Thank you goodbless", "output": "Hi... I would have been happier if you had mentioned on what basis primary complex was diagnosed and how many months of treatment was given and what Chat Doctor. Please get back to me with above questions - 1. What was the birth weight?2. What was the weight before starting treatment?3. Exact weight now?4. On what basis primary complex was diagnosed and how many months of treatment was given and what " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, Im 29 yrs old and married for 6 yrs and not yet conceived at all. Had been in treatment from the 8th month of my marriage and took breaks too. GG, had been there for almost 2 yrs with laproscopy and 5 unsuccessful IUIs done. And 2 IUIs at Prashant multi speciality hospitals, which of first happened to be weakly positive. My problem is there is no diagnosis of what my problem is. My husbands count n motility is normal. My laprscopic n follicular studies give clear positive results. Inspite i have not conceived. Really wondering to know why we have to do IVF. I have a perfect 28 days cycle. My BMI is 29(overweight) and from novemeber 2010 have been identified thyroid too. Could there be anything like egg doesnt release? What to do if so? or egg release but too thick for the sperm to penetrate? what could be the reason? What to do now?", "output": "Hi, I think you can go for few cycles of natural monitoring by ultrasound. You can track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles. Be in contact with your husband every 2 to 3 days after your periods stop. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. You can try like that for 3 cycles at least before going to IVF. Continue your thyroid medicine. Hope I have answered your question. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Age 27 yearsHeight; 59 inchesWeight 65 kgsCourse business studiesMild asthmaI came to Germany three months ago and have had a number of bad experiences with racism, people undermining one in class and this is affecting my ability to concentrate and study for the pro gramme.I have a bachelors degree and did this simultaneously together with accounting exams under pressure and I managed pretty successfully. I have fatigue and it takes me hours to read a chapter, im very worried as exams are coming up and my mind feels burdened, I eat pasta, vegetables, rice and at times dailyIm trying to harden up and not take personal attacks seriously, but these thoughts keep coming back, my self esteem has drastically reduced and my heart alos feels quite heavy when I go to sleep. Please help", "output": "Hello, All symptoms are stress related, and the cause is already known to you. Don't worry this is manageable. If possible, you can go for counselling sessions with some councillor in university itself and discuss these issues. OR you may seek help from a psychiatrist and enter into therapy sessions. If both of these are not possible, please do relaxation exercises- Panama or other breathing exercises regularly three times a day, for 10-15 minutes...this will not only relax you but also help in focussing your mind to the task at hand. Try to avoid junk food altogether, also stop taking alcohol even if you take it just once a week. Still, if there are enough problems and there is difficulty in proceeding with counselling/therapy due to any reason, you can start Escitalopram 5-10\u00a0mg, along with something for sleeping at night, like collided 5\u00a0mg. After a week or 10 days- collided can be stopped but continue with Escitalopram. This will help you a lot in getting better and response will come in few days... So, please don't waste your precious study time in taking stress or suffering, meet a psychiatrist and start meds. You will definitely get better and come out with flying colors. Moreover, once your course will finish, I hope the stress will lessen, and you may not need to continue the meds for long time. Wish you good luck!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have had upper dentures for 3 years now. For most of this time I have noticed what appear to be skin tags on the outer gum. These become quite painful when the dentures are in, as the dentures have to sit in the crevase between the tag and the gum,", "output": "Hello, Read your query, as you have skin tag on gums after wearing denture, it can be soft tissue growth that is Ellis, Ellis is overgrowth of tough tissue, this Ellis is said to be denture Ellis forms when edges of denture doe snot fit properly. For this you should consult good prosthodontist and go for removal of growth and when lesion healed then go for refitted denture. Hope this will help you. If you have further queried I will be happy to help. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My two sons age 3 years and 9 years developed red spots on their chest/stomach, on their backs and just starting to go down their legs a few also. The spots have little yellow heads on. They have both had chicken pox and they do look different to the pox because once they have deveoped into the head they leave a tiny little speck spot. Please can you help?", "output": "Thanks for posting you query to Chat Doctor.chicken pox lesion develop in crops multiple vesicle develop same time and are very painful.after 5-7 day heal with crust formation. Second if once person get infected with chicken pox it gives immunity for that infection so second time it does not manifest only the virus remain latent in nerve tissue and some times develop as herpes zoster during adult life. You should contact to pediatrician for taking treatment of this lesion. Hope you would be satisfied with my answer. Feel free to communicate if any query.regards, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir i have infertility problem as my sperm count (less then 40 million) and motility percentage is very low around 15-20%. kindly help me put how can i improve this as i got married 4 years before and no birth yet.also advise me the diet and what should i avoid in meal?If some other information required please ask i will answer further. thanks", "output": "Hello Ya sir Welcome to Chat Doctor Your sperm motility is low. If you have done the test once i advice you to repeat it after 3 days of abstinence. It is better if you take course of antibiotic before going for test. If again it is low i advice you to see urologist to rule out varicocele. Doppler is done to rule out this. After this also you have low count you have to see infertility specialist. Hope you have got the information you needed. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi I started with my period on 18-Jan-14 and I got my pregnancy test done on 23-Feb-14 it came negative then I hade meprate medicine on 25-Feb till 1st of March .I just want to known when you dont no about pregnancy and you take this medicine will it harmfull if I am pregnant.", "output": "Hello dear, I understand your concern. In my opinion me prate is not suggested to take during pregnancy. If the lady is on me prate and pregnancy is accidentally detected then the me prate is stopped. Meprate is associated with genetic abnormalities in fetus. But of course there is no clear indication of damage caused by it. Your doctor might have prescribed only after the pregnancy is 100% ruled out. If you were pregnant the urine pregnancy test would have been positive. If you still want to confirm blood BChatDoctor test can be done to check for pregnancy. But any doctor prescribes it only after confirming the absence of pregnancy. So relax. Hope this helps. Best regards...." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I had my follicular reading done ,on 19th day my follicule size is 10mm . It s was constant from 10th day to 19th day and didn t increased a bit, my doc has prescribed me with metaformin 500mg (bd) and duphaston10 mg (bd). Can I get pregnant this month ? I have pcos.", "output": "Hi, Thanks for your question. I do understand your pain and discomfort. I have seen many cases with similar complaints. As per your history, Please find my advice below-:1)The size is very small, so it is impossible for fertilization average size is (18-35MM)2)Do proper treatment for PCs as per RACE guidelines only. I hope I was able to ad Chat Doctor. If you have any further questions, please do not hesitate to write to me. Wishing you all the best. Thanks," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been married for almost 9 years. my husband is a very angry and verbally hatefull person. he puts people down including our 8 and 9 year old sons. he is more mean to our youngest son which is his son and nicer to our oldest which is not his biologically (our oldest son doesnt know he is not his biologically). he does very mean things that he know will get a reaction like instigating the kids and myself then yell at us when we get mad cause he thinks its funny(example cleaning our youngest sons ears with q-tip then put the dirty q-tip in his mouth casue he thought it was funny then yelled at me for getting mad and yelled at son for crying) what do i do and how do i get him to get help. I have threatened to leave in the past. he is in army and does deploy and hoinestly i have less problems when he is gone", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. Anger always comes due to frustrations in life. Frustrations are normal with everyone. People learn to ignore frustrations when they get experienced. Does your husband get angry to circumstances outside your home as he gets angry at your house? His office, bus stand, railway station, neighbors etc. If yes, he might need to get evaluated for anger issues. If NO, just help and motivate him to understand and compare the two situations, and he can be better himself. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "had wisdom teeth pulled 3 weeks ago. had dry socket in both lower holes. still having alot of pain in lower left and yellow pus coming out. been \"sick\" with cold/flu like symptoms for 2 days also. is there something that I can do at home, or should I go back to oral surgeon?", "output": "Hi Dear, As per your query pain in the gums after tooth extraction seems to be due to presence of remaining infection and infected tooth sockets. I would suggest you to consult dentist once and get thorough examination done and do warm saline gargles. Apply numbing gel over the sore area for relief from pain. Avoid eating from that side. Avoid spicy, sour and acidic foods. Take proper course of antibiotics along with anti-inflammatory medications. Go for qua Chat Doctor. Hope your concern has been resolved. Get Well Soon. Best Wishes, Harry Maheshtala" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doc Ive got some symptoms but no doctors are not knowing what Ive got my symptoms are very low blood also low iron I never have any energy to do anything also Im never hungry but whenI eat I always feel very nauseas Ive had these symptoms for nearly 7 years can u please help me in finding out wats wrong with me", "output": "Hi, dear. I have gone through your question. I can understand your concern. You need to investigate properly to diagnose your problem. You should go for complete blood count and peripherals smear examination. After that accordingly you should go for further investigation. If you have iron deficiency then you should take iron treatment and if you have it b12 deficiency then take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my son is just 6months old. Since, three months of his birth, there is huge variation in his body temp (primarily head & foot) and very frequently it reaches > 101deg.... we have diagnosed thru his blood, urine, x-ray...everything is norma. However, I dont understand the reason for the higher temp?", "output": "Thanks for the consultation. Small baby temperature thermostat is very sensitive. They also have high metabolic rate. Baby head and feet are very warm during feeding specially during breastfeed time, This is normal phenomenon, no need to worry at all. If the baby is active, taking feed and pink and passing urine and stool then you should not worry. Although you have performed all the basic test which are normal, there was no need of it. If the babies are sick or something wrong, then are not taking feed, and they are not active. This first thing happen to them which should be alarming to the parents." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I am looking for answers for my partner who suffers from debilitating pain in the back of his head. It has been continual for many years, varies from moderate to severe and leaves him dependent on very strong pain medication. No tests have shown anything to cause this and I m just wondering: a) if there s other tests or ideas you may have of the cause of pain in the back of the head or b) how to better manage the constant pain he is in. Thanks", "output": "Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras, and I am here to help you. I have read your question with care and understand your concerns. Two common causes for constant Pain in Back of Head are1. Problems inside Skull 2. Problems in Cervical Spine (Neck Bones) If we do the following tests, we can find the cause 1. MRI Brain2. MRI Cervical Spine including CV JunctionBased on the findings of MRI, we have to manage the pain Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. Best Wishes for Speedy Recovery Let me know if I can assist you further. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 21 years old I am facing the problem of hair fall for last 6 to 7 months...my hair was used to be very thik and dense but but its getting thinner day by day...my scalp is very oily...one of the doctor prescribed me to use clonate lotion. is it safe and effective ???? and what should I do to stop my hair thinning ???", "output": "Hi there.1. Your concern is halogen effluvium along with seborrhea dermatitis.2.don't use climate lotion, it's a medicated steroid, it won't help for reducing oily scalp or it won't reduce hair fall.3. Reconsult your dermatologist for the reason to suggest you climate lotion and follow doc advice if you feel feasible, may be other doc who had examined you might have suggested for any other scalp issue.4. For oily scalp you can try pastoral SP lotion, weekly twice.5. For hair fall you can try collinear new supplements daily one after breakfast. This may serve your purpose." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Okay this question isnt about myself it is about my girlfriend. She is 24 years old and has had toothaches for a very long time, since she was a teenager. Shes never seen a dentist before. One of her teeth is decaying, she is always in pain because of it. She recently told me it is an abscessed tooth. And that there is a small red spot on her gum around it. She said it could possibly be a hole but it looks like just a small red spot. She doest have the money to see a dentist or have it pulled or treated. She has been waiting on her medicaid for almost a year and they keep messing it up. Im scared she might die :/ please.. what can we do? I have no job and she has no job and no one will help us. We need to get her tooth fixed before its too late :/", "output": "Thanks for your query, I have gone through your query. The pain in the tooth could be because of the tooth infection. The red spot is because of the pus discharging sinus tract secondary to abscess in the root tip of the infected tooth. You can take a course of antibiotics and analgesics like amoxicillin 500\u00a0mg and metronidazole 400\u00a0mg TID for 5 days. Do saline gargling. You have to consult an endodontist to get the infected tooth treated. There is no other option. After taking antibiotics you can get the tooth treated with RCT(if bone support is fine) or extraction for tooth infection. Do not worry your girlfriend will not die because of this reason. Try to get it treated as early as possible, wherever you can get it done free. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my sister is having cancer in breast,throat area,c1,c2,c3,c4,skull,ribs.it was found a week ago.stage 4.radiation 5 sittings over.chemo is yet to start.whether we can increase her life through chemo and radiation.approximate cost of treatment can you say", "output": "The radiotherapy has probably been given to the spine area. This will not affect her life span but will decrease the chances of the spine fracturing due to the disease and also decrease the pain. The chemotherapy however, will act on cancer throughout the body and if there is response (which occurs in 60% patients), then it will increase her life span. Cost is difficult to say and will depend on which country you belong to, the Chat Doctor. Your treating oncologist can give you a better idea." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i m suffuring from depression and pannic attack, i m taking etizola plus 10 mg and etizola .5 since last 20 days, in one whole day in evening i feel like cuff in throt and difficuilty in breathing as soon as i take .5 etizola i get relaxed please guide me", "output": "Hi, I read you query and can understand your distress due to anxiety and depression. The medications that you have mentioned are eidola plus which is a combination of Mizoram 0.5 mg and Escitalopram 10 mg. Eidola .5 contains only Mizoram .5 mg. Etizolam is a benzodiazepine which helps in reducing anxiety. However, it doesn't reduce the disease process which is causing anxiety and depression. Escitalopram is a selective serotonin reuptake inhibitor which helps in the treatment of anxiety as well as depression. Since it is already 20 days of your treatment, I would suggest you revisit your psychiatrist for a treatment review. Had I been your psychiatrist, I would have increased the dose of Escitalopram further and waited for its effect. If still there is no improvement, some other Chat Doctor. I would also be taking care that the dose of Mizoram is kept under control and later tapered off to reduce the chances of developing dependency. Hope this information was helpful. Best wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I m 16, and of average weight. For some reason I have redness on my left cheek along with a few small red dots (needle tip sized), and a raw sore feeling on the left side and the underneath of my tongue along with a similar raw, sore feeling on the inside of my jaw, where my tongue rests. I am not sick, nor do I believe that I m getting sick. A few weeks ago I had a cavity filled but I doubt that has anything to do with this, the filling is not touching anything. I ve not recently eaten or drank anything rough, spicy, sour, acidy or anything else that could irritate my mouth. I do not bite the side of my mouth or anything like that either. I m just wondering why this is happening, will this subside within a few days?", "output": "Hello welcome to Chat Doctor Dental Health public forum, You have mentioned you have got the filling done and noticed few small red dots in multiple areas. You have not mentioned what type of filling you got it done, very rarely few individuals will be allergic to some materials which are used for fillings, It can correctly diagnose only by consulting personally. Please see is this kind of small red dots are there anywhere else on you body and consult oral pathologist/Dermatologist. Thanks & Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello. I have mild scoliosis in 2 parts of my back that was just diagnosed and I am age 49 (done bearing children and have had a hysterectomy). My dr. has me on 4 tabs of (300/30) Tylenol 3 1 time a day. I also have back spasms. The tylenol 3 does not seem to work and I have to take more and more and I am concerned b/c of the high dose of tylenol. I used to take Vicodin and I would take 1-2 a day and I was fine. Am I stepping backward by asking my dr. to prescribe me less of a higher dose vs. more of a lesser dose of pain med. I have tried tramadol, meloxicam, you name it. The codeine is really what seems to make the difference so that I can get through the day without being in terrible pain and having to stop and put on heating pad for an hour. Any recommendations of a pain reliever that has codeine but you don t have to take in super high doses and doesn t contain dangerous amounts of tylenol?", "output": "Hi. For back spasms I suggest a muscle relaxant for example Flexion MRT answer your specific question u can take Canada.However, I should warn you u should not take it for more than 3 days continuously as it can cause addictionsAlso since Flexion MR does have PCM don't take the 2 together. If Flexion is unavailable try LoraineSuggested dosage:1 tab of Flexion MR in the morning1 tab of Canada at night" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have adenoid cystic carcinoma with numerous large lung mets. The original site (bartholin gland) has not had any recurrent disease. I have had a chronic cough for a long time. Recently, coughing jags are followed by an unexpected small vomit. The first vomit seems to be almost burped up, then the gagging/coughing continues. I am end stage and am short of breath when I go up stairs or walk any distance. Is the vomiting a result of progressive disease or more likely have another cause. I am not undergoing any treatment at this point. Thank you, in advance, for your response.", "output": "Hi welcome to Chat Doctor, I have gone through your query regarding frequent vomiting and cough. It is a matter of concern. You have adenoid cystic carcinoma, ant yet started any medication ? It is great negligence on your part ? I would like to know your age, since when you have come to know that you are suffering?. I like to suggest you to visit your physician and find the possibility of your treatment . You can get cured. Don't loose heart . Today every thing is curable . A cough is a reflex action to clear your airways of mucus and irritants such as dust or smoke. The mucus production is related to a body that is overly sensitive to its environment due to these problems and, thus, constantly inflamed and causes deep cough that brings up thick mucus or phlegm and if not able to be expelled , leads to vomiting, WHICH IN A WAY BOON IN DISGUISE as it clears your system from mucus. More or less our lifestyle is also responsible for that. In the early stages you may experience shortness of breath when exercising or moving and, in the later stages, shortness of breath while at rest. Hemoptysis (coughing up of blood) may also be present especially when an infection is present. As you know prevention is better than cure, Meanwhile, you have to follow a balanced food habits and regular lifestyle . 1. Make sure to include all essential nutrients in diet as fiber whole wheat grain, soups vitamins, minerals in natural form - fruit, veges, Almonds , ginger, garlic, honey, black pepper .long pepper cinnamon, and other antioxidants as turmeric powder with warm water or a cup of hot milk at bedtime , Lemon juice twice with warm water before meals, Aloe vera juice 25 ml +AMLA juice 2 spoons in the morning , after salt water gargles 2. Avoid fried, fast foods, tea, coffee , smoking, alcohol, mental stress, worry. Anger and constipation which is mother of all ills. 3. Make exercise, walk, yoga. Pranayam, deep breathing an essential part of your regimen for detoxifying your body and enhance strength to immune system. 4. Meditation, rest and proper sleep is necessary for total health. 5. To cleansing, Gargling with warm salt water loosens phlegm in the airways and bronchioles. Simply add a spoonful of salt to lukewarm water and gargle with in the morning and again in the evening.6. Meals should be light, easily digestible ,small meals at frequent intervals --after 2 hours gap or so .7. Ayurvedic Punjab is also helping to cleanse internally to make the system free of mucus -- After evacuating your bowls , Chat Doctor. Then vomit and force vomit the water you " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "After the leep surgery, i lost my libido, before i had regular check ups and coloposcopy. Why did this happen, i am 48 years , i have the mirena iud. i have feeling very bloated, only my abdomen is large i have size 36 waist. why has my waist been increasing so much.", "output": "Hi. Thanks for your query and history. You had undergone Loop Electrosurgical Excision Procedure (KEEP) for Abnormal Cervical Cell Changes. It is possible that you needed an extensive cauterization and might have temporary nervous problem related to local excision, age related problems of hormonal changes that have caused loss of libido. You can always discuss this in detail with your Gynecologist when you will have the next visit. It is possible that the large abdomen can be due to fat deposition Bloating can be due to stress and anxiety. If you discussed all these points together, it will help for a proper diagnosis and treatment" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was decorating the christmas tree, fell off a chair and banged my elbow on a hard wood floor. Now I have a spot about the size of a nickel that will deliver instant shooting pain if I lean on it just there. Will it heal up after a while? I am 56 and male and sort of a skinny guy.", "output": "Hi, In my opinion if no fissures or any inability of movements of your joint actions' flexion, extension, rotation, supination properly with icing it for the first 48 hrs, massaging with topical gels and NSAIDs painkillers would not take more than a week if not I recommend slabbing and elevating by an arm sling, x-rays, CT for proper evaluation. Please consider some positive feedback if the information was helpful. Hope the above information helps you, Any further clarifications feel free to ask." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Latest CT Scan says : Borderline hepatomegaly. Mild to moderate hepatic steatosis. I ve been having so many problems, fluid retention, dizziness, blood flow problems, chest pain, etc , reoccurring infection w kidneys or behind liver or something, Levaquin knocks it out , but 3 or 4 days after stopping levaquin, symptoms start back. What would be the next move for me to make? I am so sick but I haven t gotten any where with anyone. The only cardiology exam left that we haven t looked at is heart Cath. I m very not well, but no one has been able to give me much to go on. Please help in any way that you can. Jacob", "output": "Hello, There is no specific symptom for Hepatic Stenosis in initial stage. But some people may have malaise and fatigue. Symptoms are predominantly seen in advanced stages where they may have ASCIIs and jaundice. I order for the following tests in such cases to identify the cause. 1. Liver function test 2. Fasting lipids (usually raised) 3. Fasting glucose 4. Full blood count 5. Ceruloplasmin 6. Anti-Nuclear antibodies studies. Treatment depends on the cause. If you consume alcohol it is best to quit alcohol now. Diet containing plenty of vegetables and fruits is a must. Avoid deep-fried and fat rich foods. You also need to start exercise to shed extra weight. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. Rammstein, General Surgeon" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "So I was diagnosed with chlamidia from a previous girlfriend. My current girlfriend and I were treated.. Although she read online 7 days after the treatment it would be enough we had intercourse and got it again, I m 100% sure she hasn t had intercourse with anyone else. We got the treatment again and it has been 7 days . 4 days into the treatment I masterbated. But the past couple days I still have some discharge and irritation. My question is could I give myself chlamidia again from masterbation?", "output": "Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. Ones you are infected you cannot reinfect yourself with chlamydia with masturbation. In fact masturbation is a safe way of expressing sexual desires. You and your girlfriend should give a time of 15 days for it to heal. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, or want any further details about this same issue you can use the below-mentioned link:bit.ly/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a pain in my tummy and it feels like Im bloated but I go regular and it feels like I have gas but thats fine I get a pain across my tummy every now and then and I also have a pain which is always there on the right hand side of my tummy and sometimes I feel sick with it", "output": "Hi. Thank you for your question. Let me assure first that you are fine and need not panic. Pain on the right side of Abdomen and feeling of bloating can be due to several reasons like Constipation, Peptic Ulcer disease, Malabsorption,Intestinal obstruction, etc. I will advise you to visit your Surgeon and get physical examination and necessary investigations done. I usually advice my patients to:1)Have complete Blood count and Ultrasound of Abdomen done.2)Intake plenty of Fiber rich diet3) Intake plenty of water4) Course Proton Pump Inhibitors for 15 days.5)Avoid intake of junky food, smoking,Alcohol, Medications like Aspirin. Hope I answered your Questions. Wish you a healthy life. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband is having psorasis since 3 years since 10 months he is taking homeopathy treatment for the same.till last month the treatment was showing improvement but since last month all of a sudden it has relapsed and it is severe than before. we are in a dilemma as to what should we do search some other homeopathy doct. or go for a allopathy treatment.", "output": "**1. One thing to remember is that the duration of treatment may not be proportional to the extent of skin involvement, probably because of a disturbed immune system, so prolonged treatment with Madhya (Nerving) & Malayan Chat Doctor. 2. Avoid:milk, yogurt,sugarcane products, fish meat, new harvested rice, salt, vinegar, oily foods, raw radish, over eating, sleeping during day, brinjal, tomatoes, soap (" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have slight chest pain n my ekg was abnormal but ER dr said my chest wall is inflammef. It feels like bad gad n im scared. I dont have insurance buy im seeing a primary vare doc Thursday mornomg. I have taken chewable aspirin n gasx. I feel bloated. Thats all.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Since you are having changes in ECG, possibility of heart disease is more for your chest pain. So better to consult cardiologist and get done 2d echo, coronary angiography to rule out heart diseases. If all these are normal then possibility of HERD (gastroesophageal reflux disease) is more because you are also having gaseous bloating. So take proton pump inhibitors and prokinetic Chat Doctor. Avoid hot and spicy food, junk food. Don't worry, you will be alright but first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Doctor, I am 30yrs old .I had my IUI on 16thJan 2013 and was given ChatDoctor10,000- for rupture, I am on FolicAcid, aspirin ,Glycomet and Duphaston , ,i am taking Susten 200 for Vaginal insertion after IUI,but that was giving me diziness and also i was having a lot of thick white vaginal discharge ,should i take it orally for gud result? I had 2 miscarriages,one on my 7th week(2yrs bk) and the other was tubal pregnancy(last year jan),tuk methotraxate injections for clearing the pregnancy.this is my first IUI........hope this would work.. i want to know that susten is effective in pregnancy or not ?is there any side effects?", "output": "Hello, Thanks for your query, Austen is a brand name for progesterone. Many studies have shown its usefulness in preventing miscarriage and maintaining pregnancy. Side effects include Austen (Progesterone) include: Cramps in the stomach, diarrhea, bloating or nausea flashesPain affecting the breasts or jointsVaginal itching. Austen is definitely helpful in pregnancy. I recommend you to continue with the same. Hope this helps. You may write to me anytime for further clarifications to following link:http://www.ChatDoctor .com/Funnel?page=askDoctorDirectly&docId=64926 regards, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been on depo for over a year and no spotting/bleeding and this morning I had spotting not enough for a tampon but more than a normal spotting and fpr 3-4 days been having terrible night/day sweating and I am not the person to sweat easy and it s been terrible theses couple days is this normal or should I talk to my obgyn?", "output": "Hello, and I hope I can help you today. Alhough most women will not menstruate at all after being on Depo-Provera for a long time, Demo Proverb can give you irregular periods even years after you start using it. Whatever the hormone fluctuations that caused you to bleed probably produced the side effects of the night sweats. Most of the time, these symptoms resolve themselves after a week or so, so try to be patient, and your hormones will probably be back to normal soon. Unless you have other reasons to have hot flashes (if you are over 40, or have thyroid disease or other medical problems) this is unlikely to recur. If you continue to have these symptoms for more than a week, you may just want to check in with your ORGAN regarding hormone tests for your thyroid and menopause if you are of an age to be at risk. I hope I was able to adequately answer your question today and that my advice was helpful." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 10 month old son has cold and cough,some times only cough and chest congestion with sound like bubble or may be like rattling dont know what exactlly.he is on montair4 and levolin inhaler for almost 3month now. what are the side effects? and what is the best way to treat a child with this symptoms?", "output": "Hi... Thank you for consulting in Chat Doctor. Greetings from Chennai. By what you quote I feel what your kid could be having viral associated wheeze or multi triggered wheeze. I have a few questions for you -Questions:1. How many days per month does she cough or feel breathless?2. How many nights per month does her sleep get disturbed due to above symptoms?3. Does she feel breathless when she runs around or plays with other kids?4. Are the symptoms when there are seasonal changes?5. Is there any family history of asthma or any other sort of allergies like skin allergy etc.?6. Is the cough always associated with fever? If your answer is yes for any of the above questions, your kid might be having viral associated wheezing or multi triggered wheezing, and I suggest you meet a pediatric pulmonologist who is near your place. No point in using antibiotics every time. It will do more harm than good by increasing bacterial resistance. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I ve been on microgynon 30 for over a year, around beginning of december 2010, never had any problems with it, was able to take pills back to back wouldn t have any issues what so ever. Since december 2011, i began to get all depressive , started worrying about everything, like worrying my boyfriend didn t love me, my friends didn t really like me, and also started convincing myself i was pregnant , even though i had all my periods on time, and they were normal (partly thing this was because some girl at college got pregnant for using no protection, auntie was pregnant, it was just always mentioned) so i got it in my head that i could be and got myself all worked up. I even managed to get things like sore breasts, pains in my stomach , tiredness, everything, but only when i think about it, anything i get wrong with me i am convinced is a symptom of pregnancy because i sat there looking up symptoms and scared myself big time. I ve always been quite an emotional person but i feel since december i have become worse and all i can think of is my pill. I take it at 7am everyday unless the odd day my alarm doesn t go off and i ll take it 8:30am latest, never miss any, i m VERY conscious about it, i ll always think i ve forgotten to take it when i haven t and panic. I m 17, nearly 18 and just want to be able to sort out this issue as it s genuinely effecting my life now, We don t always use condoms as in the leaflet it says you don t have to as long as you take the pills correctly and I am fully aware you aren t protected against sti s but me and my long term boyfriend are each clean.", "output": "Hello and welcome to Chat Doctor. Thanks for your query. You need professional help to deal with your depressive symptoms and the false belief that you could be pregnant (which could be anxiety-related or sometimes, indicative of a delusion). I would advise you consult a psychiatrist for a detailed psychological assessment and further treatment. There are effective treatment options - in the form of medication or counselling / psychotherapy which will help you overcome your problems. Wish you all the best. - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am allergic to dust and change of temperature, each year in month of jan-feb-march (change of season from winter to summer and vice versa..) it become worse, During this allergic period, I keep on sneezing and I have running nose and eyes. Please suggest some medicine. I am facing same condition from last 5 year (my age is 31)", "output": "Hi, you have treat allergy in step wise manner. If you have allergy only during 3-4 four months time then you should start with antihistamine tablets. See for the results if there is no improvement then you have to go to the next step that is nasal steroid sprays. You have to start steroid nasal spray 3-4 weeks before your symptoms start. It gives very good results. If these sprays do not work then you have to undergo allergy test, an immunologist will do skin prick test to find out your allergic to what all substances. Once it is identified you will have to take immunotherapy. This I can assure will cure your allergy to up to 80-90 percent. Kindly go to physician he will start antihistamine tablets and nasal sprays for you. For allergy testing go to immunologist thank you Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 48, 52 200lbs. I am being treated for high blood pressure. I had a lump show up 8 days ago on my neck, just above my clavicle. I went on a series of 2 antibiotic shots a day for three days and then a 400mg oral antibiotic for 2 days and the lump has not changed one bit. It is still tender to the touch and I can still feel a lump in it.", "output": "HI, Good Evening. Thanks for your query. I studied the query in-depth. I understand your concerns. Your 8 days lump is inferior cervical amenities. Antibiotic trial failure indicates its mostly TB lymphadenitis-as it is little sore also. It could also be-Lymphoma-HL or NHL. Consult with ER-Surgeon and Oncologist-as your team doctor.-Excision Biopsy would relieve you of the worry you have with this lump.-Anti-TB treatment or the anti-lymphoma treatment would receive the patient of the disease.-Wishing you early recovery and good health. Wellcome again." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have two problems which are annoying me, I have convex curve in my back, I do a lot of exercise and I have tried doing yoga , do you know of any ways I can widen my shoulders and straighten my spine? My second problem is I have a permeant blocked nose , my face has swollen all over, my eyes look really small. I hope you can help thanks Aubrey ps I breath through my mouth when sleeping. I have tried breathing through my nose,but if makes me feel like I am suffocating?", "output": "Hi, Thank you for your question. I am a spine surgeon and can answer the first part of your question. The convex curve that you have described is called kyphosis when it is in front of back plane whereas side to side curve is scoliosis. The kyphosis if it is postural which is common in adolescent girls and presents with stooped shoulders and slouched trunk. This can be corrected with physical therapy and strengthening of back muscles with posture training. If the kyphosis is structural which means the alignment of vertebrae is fixed in kyphosis it needs to be corrected by surgery which is indicated if associated with weakness in legs or trouble walking and not for the cosmetic reason. Structural and postural kyphosis is differentiated on X-ray of the spine. So answer to your question is- it is likely to be postural kyphosis. See a good physical therapist." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "9 yo Male. San Joaquin Valley location. present with fever (102) followed by chills x 4 days. epigastric tenderness since resolved. dry constant cough. headache frontal lobe. stiffness in BLE esp knees. usually healthy with some previous epigastric pain in the prior year. No DM. child quite active.", "output": "Hello, I would explain that the children symptoms are suggestive of a possible infection or the upper airways. The headache in the frontal lobe could be suggestive of a sinus infection. For this reason, I recommend consulting with his pediatrician for a physical exam, a chest X-ray study and a sinus X-ray study, coupled with inflammation tests (complete blood count, PCR, ESR). Considering the Covid pandemia, I would also recommend testing for coronavirus. You should discuss with his doctor on the above tests. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello I was pregnant year before and had misscarriage now since 8 months have passed m not able to conceive so m going for checkups my doctor noticed cyst on my right ovary and also prescribed me toh have Nautrogest 300 sr can you suggest how the tablet will help me to conceive", "output": "Hallow Dear, Narrowest Sr 300 contains Natural Micronized Progesterone. Progesterone is needed for stabilizing the pregnancy after conception. If by any chance the levels of Progesterone are less in the body, then the pregnancy cannot get stabilised and gets aborted before missing a period; which is perceived as no conception. In such cases, this medicine can support stabilizing the pregnancy. I would advise you to get your ovulation monitoring evaluated. If you are releasing the eggs regularly, this medicine will help to stabilize the pregnancy after conception. If you are not ovulating, you may need ovulation induction treatment. Also get your tubal patency evaluated by Hysterosalpingography and Laparoscopy. If there is block, you may need surgical recanalization. Get husbands semen examination done after 4 days of sexual abstinence. I hope both of you get evaluated thoroughly instead of taking any empirical treatment. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi i have small pink bumps on my stomach, chest, back, and legs. They do not itch, and are slightly raised. They average about the size of the end of an eraser on a pencil. They are pretty scattered on my body, but they seem to be spaces out, there s about 20 on my stomach and chest. What are they? How so I treat them?", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have some pustules or other skin lesions. You should go for biopsy and histopathological examination of one lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I had a mining accident in 2002. My ribs have been popping out of my back in the left shoulder blade area. Not one doctor has ever told me what it is. It s pretty painful and happens frequently. I had major shoulder surgery last May because the MRI was misread in 2004 and I have a neck injury also as a result of the fall. I fell sideways and basically tore everything. I was told it was Hypermobility? I have all of the medical reports as well to better explain.", "output": "Hello, Welcome to Chat Doctor Thank you for providing the brief history. As you have all the reports you can share the same in detailed, so we can understand what went wrong. For now, it looks that due to weakness in the muscles of the upper back there is misalignment or the ribs and have become prominent. With regular breathing exercises and stability exercise for the shoulder joint will help improve the muscle coordination and also improve the pain levels. Using cervical collar will be advised for the nerve injury to avoid stress and strain over the muscles. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello dr i m heamophilia patient nowadays suffering with gum bleeding i took 4vials of AHF but still bleeding. please help me ?", "output": "Hi, You should meet your physician/Hematologist for the treatment. Please do take care of your teeth or gums. If your teeth requires extraction it has to be done under precautionary measures. You should also take care of the following instructions. Massage your gums using your finger after brushing your teeth. Clean your tongue using a tongue scraper. Change your tooth brush once in 3 months. Floss your teeth once daily. Visit your dentist once in 6 months." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Do the following if the child has microcephaly. And a few percent chance mental retardation. bpd:43mm ofd:53mm hc:150.8mm cm:4.7mm tcd:17mm ventriculum atrium:5.6mm tad:48mm apad:46mm ac:147.7mm fl:32mm humerus:32mm age of fetus:21week+5days estimated fetal weight hadlock(bpd-hc-ac-fl):313g 11oz also amniotic synthesis the QF-PCRmethod for chromosomes 21,13,18,x and y is normal", "output": "Hi, Regarding your concern, I would explain that this is a complication related to the fetal development. Genetic mutations can lead to this malformation. Other possible causes to consider are the deficiency of folic acid in the first trimester, Chat Doctor. Unfortunately as the brain is small and not well-developed retardation and seizures occur commonly. You should consult with a pediatrician on these issues. Hope to have been helpful. Let me know if I can assist you further. Kind regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my husband was just informed that his hemoglobin was 72, and he must go to hospital tomorrow for a blood transfusiion. He has prostate cancer, and had his first chemo treatment one week ago. We were warned that a transfusion might be necessary. What is normal hemoglobin?", "output": "Hi, The normal hemoglobin in males is between 13-15g%. His hemoglobin must be 7.2 go indicating moderate to severe anemia. As he would be elderly, his cardiopulmonary functions would also be less and hence low hemoglobin needs to be treated urgently. The more reason, would be to improve his overall strength due to prostate cancer and chemotherapy related issues. He would require an immediate transfusion of packed red cells and at-least maintain the hemoglobin above 10g% for the time being. Any further queries, happy to help again." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "So I went to the ER thinking I had a UTI. The doctor didn t confirm or deny my thought but gave me some antibiotics and some pain reliever. So now I ve completed those meds and have noticed that there is a lump on the the side of my vagina where my lip is on the right side it s a little smaller than an egg but it don t seem connected to anything like I can feel completely around it. And also when I wiped today there was a little blood and I ve had some frequent pain when urinating. Do you know what the lump could be or what my problem is?", "output": "Hi! Good evening. I am Chat Doctor answering your query. From the history, it seems that you had an infected Catholics cyst on the right side which was controlled by extensive antibiotic therapy prescribed by your doctor. Also, the pain during passing urine points to a possible co-existence of a UTI. If I were your doctor, I would refer you to a gynecologist, who after a clinical assessment of the lump, would also go for some routine investigations like a CBC, urine routine/microscopic/culture and sensitivity test to rule out a UTI, and after it was treated, might go for a surgical intervention for a permanent cure of the lump. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my name is Hillrie I just found out I have HVC. When my daughter passed away 7/25/10 on a Sunday morning, I lost it. I would continue to Blackout most of the 1st year, I felt like a zombie. The second year 2011 I started coming out of my shell little by little, I knew I had my eldest daughter, a grandson she gave me, a son who is now 16yrs.old & a my youngest daughter, who will be 12 Aril,20,2013. By 2012 I started to realize how much my family needed me. Even my grown daughter and sickly mother, so in 2012 I broke that shell & fought my way bake. I lived a very self destructive life style after the death of my daughter. I felt I should have been the one to go, not my beautiful daughter. I wont lie I even tried twice back in 2010, now I live for my family who I love so very much! I wake every day & remind myself God needed Jessica, my daughter for something so important that she had to return home & we will all be together again when the time is right. Now I am in the fight for my life & need any & all information on Hepatitis C. I NO THIS DESEASE IN MY PONISHMENT, for the way I lived my life after my daughter. It is now 2013 my life is all about taking care of my sickly mother & all my children & my grandson for as long as God allows me to. I would appreciate any new info sent to my e-mail address also treatment new or close to being FDA approved. Thank you for reading my e-mail that I sent to you this is my e-mail ( YYYY@YYYY )9", "output": "You should talk to a hepatologist to see if you are a candidate for treatment with the current available Chat Doctor. There are many factors to be taken into account before starting on therapy. The current therapy has a lot of side effects, and these are mainly to the Interferon injection that needs to be given with the rest of pills, however soon there will be a new therapy approved which will be only with pills, no injections, less side effects. You can see the progress of all the medications undergoing clinical trials at www.hcv" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have an ovarian cyst in my left ovary. Right ovary is not visualised. My marriage is on 22 June 2012. I have 34 years. I used Productive F Tablet for last two months. CCQ 5 days from 15 /11/2012 to 20/11/2012. LMP is 11thNvember 2012. I have intercourse with my husband almost all the days especially from 19 th November 2012 to 29 the november 2012. Is any chance I have to get pregnant. When I have to check this.", "output": "Hello, Thank you for your query. Yes there is a possibility for pregnancy provided that the ovarian cyst is not causing any hormonal imbalances. If you have regular periods, take a pregnancy test after your period is due (if late) or on the period due date. If negative and still no period, repeat test after 5 days. If negative, see your ORGAN to check for hormonal imbalances. A luteal cyst of the ovary can delay periods. Nothing to worry though. This resolves in 2-3 months. Continue trying to conceive. You are doing the right things. If you don't get pregnant in 6 months, see your ORGAN to check for possible causes. Hope this helps. Pls let me know if there is anything else I can help you with. Hope you conceive soon" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a culture done and I have a UTI - but I am actually feeling better. My doctor prescribed Nirofurantoin Mono and I am concerned of the side affects. Do I have to take this medicine or will the UTI clear up with drinking plenty of water and cranberry juice?", "output": "Hello, A urinary tract infection (UTI) is a very common condition and should be treated with antibiotics if the diagnosis confirms or even empirically. Nitrofurantoin is not routinely prescribing, it's indicated in two situations: the first for pregnant and the second if sensitive in the culture. The other medications commonly prescribed: Co-trimoxazole for lower UTI and Ciprofloxacin for upper Otis. Also, you have to know that nitrofurantoin causes gastric upset most commonly, and the other serious complications like lung fibrosis occur only if you use it for the long term. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I am 27 and i am 230lbs. I am 5 4 . My boyfriend and I are trying to get pregnant. We made sure to have sex 1 and 2 days before suspected ovulation (which was supposed to be this past monday). I noticed that wednesday and thursday my urine was bright yellow and also a bit cloudy. Today it was still bright yellow and it was clear (not cloudy). Normally, it is clear color or pale yellow, no cloudyness. I am not having unsual urine frequency, or pain or any discomfort (it feels completly normal, but is just different color). I drink iced coffee and I drink water, I havent had any soda or other juice beverages. I do not take multivitamins, I havent changed my diet (egg whites, sausage patty and american cheese on a wrap for breakfast). small soup (either chicken noodle or beef noodle) for lunch with a side of veggies, and usually a meat, veggie and starch for dinner. Also, please note that I have PCOS but do not have diabeties. Could the urine change be pregnancy, or perhaps something else?", "output": "Hallow Dear, From your history, I have not understood whether you have missed your period or not. Of course, though the first cardinal symptom of pregnancy is missing the period, since you are a case of PCs, your menses could be irregular. Hence, missed period cannot be relied upon in you. However, the urinary changes that you have explained are not the signs of pregnancy. Still if you have got doubt, please get your urine tested for pregnancy. Cloudy appearance of your urine could be due to crystals in the urine. Please get your urine examined to find the cause. If you are keen on becoming pregnant, you have to get your PCs treated. In this condition, the eggs get stuck up in the ovaries. The doctors will give you medicines to release eggs; however you also have to cooperate in the management of PCs by bringing down your weight. I hope this helps you. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good day,today I experienced a strange feeling ,my right arm became lame ! I was unable to open the car door with my right arm , I raised my arm to my mouth and it went to my left , after a while I got out of the vehicle , went into the hardware store , and difficulty speaking to the assistant ? Please assist !", "output": "Hi, The symptoms you have described here are commonly those that occur during a transient ischemic attack, though you haven't mentioned how the symptoms proceeded further. Have you completely recovered from it or if there are residual symptoms still? However, I would urge you to fix an appointment with a neurologist and discuss starting antiplatelet medications. It is very important that you see him immediately as there are increased chances of stroke following a transient ischemic attack. You will also need thorough evaluation along with Doppler ultrasound of your neck vessels to assess their patency. A CT too may be required while you are at it." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have developed mild itch all over my body, scalp and face. I noticed some small dark spots on some places which are very few. Earlier, around 2 months back I suffered from fungal infection near groin and inner thighs for which dermatologist prescribed clotrimazole, ketocanazole and fulcunazole and it was cured.Now mild itch started again this time all over body including groin and scrotum. I am 23 years old male.once in a year or two i suffers from such skin problem due to which my inner thighs and butts have become darker.plz suggest some solution", "output": "Hi Dear, Understanding your concern. As per your query you have symptoms of persistent body itching which is known as demographic urticaria which could be due to increased skin sensitivity and compromised immunity of body. Need not worry. I would suggest you to:-- Apply cold compresses to the affected area.- Avoid sun exposure. Apply broad spectrum sunscreen with SPF 15.- Chat Doctor. - Take aspirin or acetaminophen for itchiness and burning sensation. Take over the counter anti allergic " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have lower back pain along with pain in the lower seccion of the belly it gets worse when I m standing or walking, at first is very painful in the morning and then as i move it gets better this is going on for like two weeks sometimes the pain is very sharp, and also have feel like I need to go potty, can you help?", "output": "Hi, thank you for posting. I have gone through your query and I understand your concerns. According to your symptoms I can say that you suffer from colonopathy. To relieve your symptoms you should avoid spicy foods, alcoholic and carbonated Chat Doctor. You should also quit smoking(if you do smoke). Proton pump inhibitor medicines such as Medium are recommended in such cases. A fibrogastroendoscopy, a colonoscopy and an abdominal ultrasound are necessary for confirming the diagnosis. A fibrinogen test and a spinal X-ray are also necessary in order to rule out arthritis. You need a complete blood count and a urine test, too. Consult your gastroenterologist for the needed treatment. All the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I started having pain on my lower right side of my back a few weeks ago. I have been tested for stones, UTIs, vaginal infections, STDs, and appendicitis, and all were normal. Because I was also having bladder urgency problems and retention and right abdominal pain. A few nights ago I started getting really sharp, intense pain at the top of my left toe, it only lasts a few seconds and then stops . I then started having back pain on both side of my lower and upper back so severe I find it hard to breath, and it wakes me up at night, but goes away after a short time and then comes back. Then yesterday, I started having really horrible tailbone pain and found it hard to sit or stand or lay down. I feel the urge to go to the bathroom and I have no luck getting anything out and it hurts my back like crazy to try. I looked at my bottom in a mirror and it doesnt look like a hemorrhoid, it looks more like skin grew over my anus and now there is no view of a hole anymore and there is a red streak that started out small this morning and now it has spread up to my spine from the aaus and I feel excruciating pain when I sit, stand, lay or even try to go to the bathroom in my spine and hips. I also have been experiencing muscle spasm type feeling through my legs whenever I get up from sitting, it is also very painful and it has been going on for about 3 weeks,and the pain can last for hours. I have no idea what to think any of this is. I know I am not pregnant, I have been tested and I have started bleeding a few minutes ago from what I hope is my period. I have fibromyalgia, IBS, Interstitial cystitis, Migraines, and Bipolar as my history. I have been taking Neurontin and elavil though for those things.", "output": "Here you have told as per your past and current history you have irritable bowel syn Chat Doctor. Now recently you have started developing back pain along with muscle spasm feeling in your leg. Here your back pain can be related with multiple issues. It can be due to fibromyalgia where it is affecting your spinal muscles, it can be due to IBS where due to over strain on soft tissue it is causing pain, it can be due to problem at lumbosacral spinal level where there might be issue at lumbar spinal curve or disc related problems disturbing the nerves coming from. That particular level, it can also be due to interstitial cystitis which is disturbing the soft tissue and creating more inflammation in soft tissue.However the conformation can be done by MRI of lumbosacral spine and physical test examination by orthopedic doctor. As per the report and orthopedic examination, or tho doctor will suggest you either surgical correction for severe damage in spine and disc or conservative management with physiotherapy treatment and exercises for mild to moderate issues. Here if you have any issue with your digestive system as well for passing motion then you can also check once with Castro neurologist. For back pain you can also use hot and cold pack to have some more relief at home itself. As well do take suggestion on postural correction and physiotherapy spinal exercises properly. This will help to improve strength and stamina of your spine. If your MRI is normal, and it gets conform that back pain is due to fibromyalgia. I suggest first keep some rest to body and mind, do Panama and yoga to heal body from inside. Along with this again physiotherapy treatment and suggestion will help you a lot. Also do changes in your lifestyle like keep food habit regular and have simple food with Lora of fruits and fiber, maintain sleeping time etc. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a stint placed in my kidney 10 days ago. I now have very bad pain in my back and bladder. I am not able to urinate, my bladder is full, but nothing comes out. I feel sick to my stomach but no vomiting. Im scared somethimg is wrong. What is wrong and how do I urinate?", "output": "Hi, Thanks for writing in. It is important to know the reason why stent was placed in your kidney and whether the stent is on one side or on both sides. Stents are tin long tubes with curves in both ends. One end is in the pelvis of the kidney and the other end is in the urinary bladder. A stent helps in clear passage of urine from the kidneys to the urinary bladder. If your bladder is full then the stent is clear and allowing urine to pass through. An ultrasound scan is required to know if there is any urinary bladder infection or any other cause for not being able to pass urine from the bladder to the exterior. If there is acute retention of urine then you should go to your doctor now and have the bladder pressure released by inserting a catheter. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir iam santosh i have the problem of asthma. sir i have no child.my age is thity years ago. i am get marriage form seven years ago. i also treated this problem for a private hospital for two years,but there my problem is not solution. now sir iam very sad. now iam not intertsted in my life.please sir tell me what i do.thank you.", "output": "HAI, there is a solution for everything in the world. don't get frustrated. Asthma will not cause any infertility. Kindly go for a semen analysis and consult an infertility specialist with your report and fix the reason behind your infertility. Once the cause for your infertility ruled out then the treatment can be planned accordingly. With your given quoted query I have given the possible solution. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My father, 81 had bypass about 9 years ago. He is now having regular angina. He had dye injected and the main bypass still looked good but some of the smaller ones have blockage. His cardiologist didn t recommend any surgery at this point - just changed his meds. Advised is a candidact for heart attack but that where blockage is would be too risky to operate. Dad has pains several times weekly and also has several times had to use three nitro pills to resolve. He has an EF of about 40 and possibly may do a pacemaker at some point. Seems we are at wait and see. Still leads a busy life style. Working and getting around Ok but having a lot of pain fairly often. What type of life expectancy could he have if nothing changes. Non-smoker, reasonable diet, 160 lbs but limited energy at this point.", "output": "Hi pacemaker is required for critically lowered ejection fraction less than 30%, your father is 40% which is not that bad. If your cardiac surgeon is saying that CABG can cause more harm than benefit, then you can ask him to keep your father on chronic antianginal, they are highly efficient in reducing stable anginaApart from nitrates he can take tablet reinflating, trimetazidine and nikorandin in therapeutic doses. In fact trimetazidines apart from being a chronic antianginal will also improve his cardiac functions" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello! I have a question about my spine . I am 16 years old and since I was younger I noticed my spine sticks out. I have realized I do hunch a lot but I am going to pay attention to my posture more. When I bend over the bottom of my spine sticks out with a little bump/hump. Then at the top of my neck my spine sticks out too. I m very scared of this. Can it be fixed without surgery? What kind of doctor do you reccomend me to see, a chiropractor or an orthopedic? I have no pain but I am very self cautious of it. I really do not want surgery. Could it be something I heard of called lordosis?", "output": "Hi, You may have a slight kyphosis. This is when the spine protrudes a little. I suggest you see a physiotherapist who will be able to examine your back and posture to assess whether there are any abnormalities. The physio may be able to suggest appropriate exercise to help improve your posture. Spinal surgery is a major operation and not useful for correction of minor abnormalities or the spine. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "SInce 1 month i had been Having 3 boiled eggs everyday in breakfast but , ever since i started having boiled eggs in my breakfast i have been having hea boils all over my back and in my face too is it beacause of the eggs or my stomach is not clean ?", "output": "Welcome to hellcat magic Chat Doctor. . it\u2019s though a very rare incidence but yes there have been reports of egg allergy and most of them were to the people who consumed egg yolks (whole egg)Things to do: (1) First stop using egg for ten days.if issues resolve it means eggs are culprit(2) Start taking just egg white not the yolk if no issue arises it means yolk was the culprit not the whole egg.(3) if even egg white causes issues then stop eggs and use other protein sources like red beans .pulses. Chicken .fish stopping egg does not resolve the issue then your suspicion about egg being culprit was wrong may be its some new med.diet...cloth.or place you have just came in contact with try to find out the causing agent and contact your physician.plus we at Chat Doctor are always there to help you:)I hope this would be helpful. Stay blessed and healthy" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, My daughter is 20 months and has been fussy eater. She eats only chapatti (stuffed with dal), rice (simple boiled rice), egg, cheese and French fries. No top feed only mine. She has no interest in foods and have to struggle a lot to feed her. Her every meal takes me 1 and 1.5 hour. And now since 3-4 days she has stopped taking everything. I am really worried. Please advice.", "output": "Hi... I take this opportunity to tell you certain scientific facts and relieve your distress - An active is a well kid even if she is not eating well. Development of a kid is as important as, or I would say even more important than growth alone. As the kids grow their interest in food decreases and interest in play activities increases so that they eat small quantity and run away to play. As parents, we need to be more patient and feed than less quantity but more liquors per day. This age rather than the quantity of the food I suggest you concentrate more on the number of times you feed her and also make whatever you feed her calorie dense by adding good amount of ghee to it. I suggest you not to use appetite stimulants on long run as they may cause Chat Doctor. Hope my answer was helpful for you and if so kindly rate it. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HAZY DENSITIES ARE SEEN IN B0TH UPPER L0BES. HEARTH IS N0T ENLARGED. HEMI DIAPHRAGMS AND SULCI ARE INTACT. B0NY TH0RAX IS UNREMAR KABLE. IMPRESSI0n - PTB. UPPER L0BES UNDETERMINED. Kindly explain this result? And what is the right medicine? Thank you.", "output": "Hi, Anti-tuberculosis Chat Doctor. The given chest X-ray report is suggestive of tuberculosis of the lungs. Your doctor will further evaluate the condition and prescribe the standard treatment for about six to nine months depending upon the severity of the disease. In the initial phase (for first two months) isoniazid, rifampicin, ethambutol, and pyrazinamide along with vitamin pyridoxine are given daily. And this is followed by continuation phase (for remaining four to seven months) isoniazid, rifampicin along with vitamin pyridoxine are given. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a high tryglyceride and stop medication from more than 2 years because the Lipantile piles 200mg, increased my sgpt as the liver couldn t filter all the accumulated fat, and recently I made the blood test and I have high sgpt 108 while max should be 40, and high tryglyceride of 398 while max should be 160, Cholesterol is slightly high of 220, while high should be 200 The Lipantile and Omacor didn t help What kind of medicine should I go for to reduce all the ad results, because the diet andsports didn t result good as well I m 40 years old Weight 90 kg", "output": "Hello Your findings suggests raised SGPT with altered lipid profile. Increased SGPT may indicate liver injury. It may be due to many reasons like hepatitis, alcohol intake, altered lipid profile,autoimmune causes etc. It is most likely related to altered lipid profile in your case. You may need few more investigations like routine hologram, random blood sugar, viral markers, ultrasound of abdomen. I suggest tablet ursodeoxycholic acid 300 mg twice daily for three months to my patients. It helps in regeneration of liver cells. I also suggest combination tablet of atorvastatin 10 mg and fenofibrate 160 mg single dose at night. It will control lipid level in blood. You should increase your physical activity in the form of exercise and brisk walk. You should avoid fried and saturated fat. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter is 14 months old and has been 8kg since she was 8 months old. She refused solids until she was 12 months old. She has been eating (very fussy) for the last 6 weeks but still no weight gain. She was put on Osmolax by her ped as she is terribly constipated 6 weeks ago. She started eating once the osmolax started her pooing. In the last 2 weeks she has started refusing food again. I have also noticed that the osmolax doesn t seem to be working as well and we will need to put her dose up again soon to continue her pooing. This is worrying as she is so little and the laxatives can t be good for her. She seems to have not a lot of interest in food. She was exclusively breastfed for the first 6 months but never even seemed that interested in breast milk either. She also gets a rash on her face when she starts to refuse food. She scratches it a lot and we put steroids cream on it to calm it down. We have also noticed her gums and mouth bleed a lot for no apparent reason. Our ped got her cheeks swabbed to test for the celiac gene and her cheeks bled from the gentle brush of the swab.", "output": "Thanks for follow up. At the first you should give laxative medicine - cephalic 5-10 ml before night. The second thing-bifilac 1 capsule 1 time 1 month for normalization of flora. Do ccorrection in diet, give more rubber carrots, boiled beets roots with 1 teaspoon of sunflower or Olive oil, fresh Dali, fresh carrot, beetroot juice 100-200 ml. Do exercise with baby, he should walk more. Please give antiallergic-cetirizine or desloratidine syrup 7-10days. Avoid allergic from her food. Give to her absorbent -charcoal 1 tab before night for absorption allergens from Italy the best" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I ve been chewing tobacco for probably about a year and a half now. And I do drink a fair bit, maybe twice a month. And I ve been getting cankers in my mouth a lot but they heal up and disappear, so i m just worried about getting oral cancer or something? how likely is that?", "output": "Thanks for your query, I have gone through your query. The ulcers what you are getting repeatedly are nothing but recurrent authors ulcers, these can come secondary to stress or nutritional deficiency. Nothing to be panic, lead a stress-free life, take proper nutritious diet. If I am your treating doctor, I would have suggested you to take topical anesthetic and analgesics like 2%lignocaine and choline salicylate gel (Anabel gel) apply 3-4 times daily before food and topical steroid like triamcinolone acetone 0.1% 4-5times daily after food. Do saline gargling. If the lesion does not heal in 5-7 days then consult an oral physician and get it examined. Regarding you tobacco chewing habit, when you know it can cause cancer, you better quit it gradually. Otherwise, once the changes occurs in the mucosa its irreversible. So better quit it. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor, My Name is Manikandan, I have completed 2 years of my marriage life. My wife got a miscarriage within 6months of our marriage life. We started trying for a baby after 3 months from the date of miscarriage and ended without any luck after tying for about 9+ months. Later she was tested and treated for her PCOS problem and she took glycomate and Letrozole to stimulate egg rapture for about 4 month. She had normal periods around this 2 years and she is noramal now without any PCOS issue. Later we thought to check me and consulted a urology. Doctor asked to do a Seman analysis and scrotum scan of my varicocele.The results of Seman Analysis:Volume: 2mlCount: 14million/mlMotility:1/2hr---> Active:70% Sluggishly:20% Non-motile:10%1 hr----> Active:65% Sluggishly:20% Non-motile:15%2hr-----> Active:60% Sluggishly:20% Non-motile:20%Morphology : 10% Normal and 90% AbnormalYet to do the scan...Please advise on when can I recover from the problem. I am more worried about the morphology %. I had smoke and drinks habit for about 12 year and have quit more than 3 months back. Will we able to get a baby with natural intercourse.", "output": "Hello ManikandanThanks for writing to us with your health concern. Your semen analysis report is showing definite problems. The semen count is quite low (normal is at least 20 million / ml)Also, the percentage of abnormal forms is quite high. This could be due to - stress, anxiety, recent surgery or illness, alcohol, tobacco, heat exposure. Genetic abnormalities, hormonal deficiency, structural changes, blockage of ducts, infections - all these are potential factors. Your Urologist should conduct detailed tests - hormones, ultrasound of scrotum and testes etc., to know the real cause. You should repeat the semen analysis 3 months after stopping tobacco and alcohol. If natural intercourse fails, you can go for GUI (intrauterine insemination) which will yield good results. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been in treatment after 2 spinal surgeries since 2014. I have good days where I can get around pretty good with a cane or walker. Other days I can hardly walk. On good days I can drive well. Bad day forget driving can hardly feel my feet on gas or Brake pedals. I am starting to feel like my spine is not the problem but may be circulation from knees down to my toes. Should I seek help for bad circulation? Thank you for any info you can give. Mary T YYYY@YYYY", "output": "Dear patient first diagnosis would be decreased sensation in lower limbs post surgery since you have undergone two spinal surgeries. Circulation issues might be there but less likely. Ultrasound Doppler arterial plus Venus would be helpful to rule out circulation issues. A visit to your operating spine surgeon is required if problem persists. Meanwhile, tab regain x 75 mg one at bedtime should be started." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I m struggling to breathe while trying to sleep it s causing a pain in the centre of my chest when sitting up and breathing this same pain occurs I have a infection in my lungs and sinus at the moment which is being treated with antibiotics and I smoke for 2 years now and currently 18", "output": "Hello rearward welcome to Chat Doctor.come have evaluated your query in details .* The pain is in relation with underlying pleura irritation through deep breathing as a part of inflammation by the infection.* Guidelines for speedy outcome - Deep breathing exercises, YOGA , walking in fresh air will help great.- Addition of analgesic, anti-inflammatory agents with the Chat Doctor. Wishing you fine recovery. Welcome for any further guidance. Regards ." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello i am 33 yrs old male i was diagnosed fatty lever disease grade 1and kidney stone, my lipids profile shows increased triglycerides which was 254 and now after 2 months is 160 i havent taken any medicine for cholesterol. and i was also diagnosed with a stone in kidney which was uric acid stone (in stone analysis) doctor advised me for uric acid test which was normal but now i am confused which diet should i follow. kindly help me out. as i am not taking any medicine for fatty lever, high cholesterol and uric acid.", "output": "Hello and welcome to Chat Doctor. As a Urologist, i can understand your anxiety.You've two issues:1.fatty liver with high TGL and 2. Kidney stone-?uric acid.1. Its amazing that your TGL(triglycerides)reduced so much, without Chat Doctor. Normally, a Statin with a Fenofibrate, is given to reduce the TGL. You need to do regular exercises and reduce fatty foods in your diet.2. You need to repeat your scan, to see if there are any other stones. Furthermore, you should do a 24 hours urine uric acid, calcium. Your stone could recur. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have large painful lump on lower right buttocks. It appeared a few days ago Sore to sit on and touch Does not move when touch. I also have a lump under my left armpit approx. 3 inches below it .This one moves has grown over last few weeks, Is not very sore. Also weight loss (unintentional) Fatigue.Thank You YYYY@YYYY", "output": "Hello rearward welcome to Chat Doctor.come have evaluated your query in details .* Buttock lump indicates acute infective lesion, needs immediate evaluation with your consultant surgeon.* Armpit lump likely to be lymph node, will be ad Chat Doctor. * At present can have relief with tab. Ibuprofen(400) mg and ice application. Wishing you fine recovery. Feel free to ask any further queries. Regards ." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter is aged 3 and been under the weather now for nearly two weeks it started off as flue type symptoms fever off food very tired. This lasted a week just over now has turned into a cold and cough she seems ok ish in the day it gets worse at night and she is up coughing all the time she is still off food and doesnt seem herself! Do you no what it could be?", "output": "Hello, All these symptoms are because of the flu. It may likely be viral fever or may be a bacterial infection. As these symptoms have lasted for 2 weeks, I would suggest that you get a chest x-ray, sputum examination and complete hologram after pediatric consultation. For that, you can give syrup Eugenic Plus 1 teaspoon, syrup Amos Clan 1 teaspoon and syrup Aerosol D after pediatric consultation. Along with that you can give nebulization twice a day. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am 21,,,years old....girl...having wheatisChatDoctorplexion.....i wanna become...very fair....like my mom.....n i want want this....fairness...for permanently......which pills can help me,,,...please suggest me a pill....which is very safe n effective.....at the same time", "output": "Hello, Thank you for posting on Chat Doctor. Complexion of any person is having two components; constitutive, one which is predetermined by genetics and racial factors and usually cannot be changed with any treatment. The other component is due to external agents like environmental exposure, sunlight, use of any cosmetics etc. and is amenable to treatment. You can get a series of chemical peels, which actually remove the upper dead layers of skin and stimulate regeneration of collagen and thus newer layers of skin. Many options are available in chemical peels depending on the requirement and skin type. (Glycol peel, retinol peel, cocktail peel etc.)Also, chemical peeling can be preceded by a simple procedure called microdermabrasion or commonly known as skin polishing to augment the results. Also, at home you can try using cream containing comic acid, betray Chat Doctor. Always use broad spectrum sunscreen before going out in sun. Use a plain moisturizer like detail DAM on daily basis for healthy and HY" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my husbands semen analysis report is color- opaque white total volume- 2ml viscosity- viscous a.motile- 10% s.motile- 10% nonmotile- 80% total count- 02ml pus.cell- 2-3/hpf R.B.C.- 1-2/hpf . I want to know, can he be a father of a child. write the remedies for my problem?", "output": "Hello appreciate your concernAccording to these reports he has more of non-motile sperms with less in number will definitely help you in the best possible way if you can answer my these questions age and presence of any medical or metabolic disease Does he smoke or consume liquors, He can be a father of child first it needs to rule out any organic cause for low sperm count and non-motile sperms, by treating the underlying cause, healthy sperms can be improved it fails to increase, than artificial insemination and other artificial reproductive techniques can be used. Ask him to have good balanced food multivitamin and minerals supplementsoHope this answers your question Best wishes" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I had a month on Lo Loestrin Fe birthcontrol and then switch after a month to Tri-Sprintec. I did not skip any pills just went straight to takin Tri-Sprintec after finishing my pack of Lo Loestrin. My boyfriend ejaculated inside me during my first week of Tri-Sprintec, Im scare since i switch and was on tri-sprintec for only a week that I could get pregnant.However my boyfriend insisted that ill be fine since I was already on Lo Loestrin for a month. Now my breast are sore after a week of being on sprintec and my nipples have grown however the soreness is not as bad as a previous time when i was pregnant. Im scare that i might be pregnant since my breast are sore, or if its just a common side effect of tri-sprintec but i dont understand why my nipples have grown a bit pls help?", "output": "Hallow Dear, Both the pills you have mentioned are birth control pills. Lo Lobstering Fe is a low estrogen pill hence it may cause low bleeding. Tri-Sprintec is an average Oestrogen-Progesterone pill. If you were on one brand pill regularly and just change the brand without having any gap, the chances of protection are very high. Moreover, the intercourse happened in the first week of menses. This is little away from the fertile period. Egg release in women happens 14 days prior to next menses. Considering 24 hours life of egg and 72 hours activity of sperms, a week around this day is considered as fertile period. Already on birth control pills and intercourse away from the fertile period, the chances of pregnancy are very low. You have not mentioned whether you have missed period or not. Missing a period is the first and cardinal symptom of pregnancy. All other symptoms appear later. Your breast and nipples symptoms could be due to rough handling also. Still if you are in doubt, please wait for the periods to miss. If at all it misses, then 8-10 days after that perform urine pregnancy test and/or ultrasonography for detection of pregnancy; done earlier, they may prove to be inconclusive. Beta Chat Doctor tests are conclusive even 2-3 days after missed period. I hope you are satisfied with the explanation." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been having slight pain in the right chest, with tingling running down my right arm, that sometimes shoots into my leg, right and left, really weird. I am 37 years old. I have been diagnosed with gastritis and IBS. I also suffer joint pain and had an ultrasound a few months ago that which a Bakers cyst was found. This all came on by a new workout regime I started. But, my main concern is the pain in chest and tingling on the right side on my body.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you should first get done vitamin B 12 level because deficiency of this can cause tingling and Chest pain. So if deficiency then you need supplements. Another possibility is stress and anxiety related symptoms. You are also having gastritis and IBS (irritable bowel syn Chat Doctor. Both are commonly seen in stress and anxiety. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, Dr. Need your consult about swelling of the leg . I am experiencing the same. my leg is being swelled when I sit more than 1 or 2 hours. but when i checked with one of Dr. he suggested me to do some check up to know the root. 1.color doppler 2. Blood test 3. urine test", "output": "Hello, Swelling of the legs what you are experiencing could be due to left ventricular dysfunction leading to symptoms associated with congestive heart disease. Kindly get the investigation work-up done as suggested by your treating doctor. Kindly consult physician with the reports for clinical evaluation and appropriate management. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my son is 18 yrs old . Yesterday he has been scratched by my pet dog while playing. Scratch was on arm and was oozed little . Dog has been vaccinated yearly, but this time due date was 1 and half months back. So I missed its vaccination. My dog is ok . Does my son need rabipur injection or inj tetanus", "output": "Hello understand your concern. Yes your son need Raipur injections, but you can give him first 3 doses on 0, 3, 7 days and till 10th day, you should keep a watch on your dog. If nothing happens to him your son does not two more injections of Raipur. The incubation period of rabies is 2 months to 2 years. Yes he needs tetanus injection also. Hope this answers your question. If you have additional questions then please do not hesitate in writing to us." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my son suffered from scarlet fever a month ago since then he has been falling sick and always given antibiotic.currently he is having cold. I am afraid he should not get fever and be on antibiotic. Please tell me why this is happening to him.Worried mum", "output": "After complete treatment with antibiotics the chance of complications are reduced. Complications now occur very rarely. However, if they do occur, they can be serious. Complications due to the spread of the infection can occur early in the infection and may include the following:Ear infection (Otis media)Throat infection and collection of pus (abscess)Sinus infectionPneumoniaMeningitis and brain abscessLater complications can (rarely) occur a few weeks after the infection has cleared. These occur as a result of immune reactions in the tissues. These may include:Rheumatic fever (which can damage the heart)Kidney damage (glomerulonephritis)If your child has only cold and no other symptoms, you may give him chlorpheniramine. But in case he develops high fever or any other symptoms, do contact your physician." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am a 63 year old woman, 5 feet 0 inches, weight 117 pounds who had a dental implant this morning. the tooth has been bleeding for about 8 hours, and i can t stop it. i have been putting pressure on it by biting down on kleenix, but the bleeding continues. thank you kathy ann", "output": "Hi Kathy, Normally after the placement of implant bleeding does not happen to this extent.in your case the bleeding continues for about 8 hours, this is not a good sign. As a home measure, I suggest you to keep s firm pressure of cold gauze pack for minimum of 30 minutes, no spitting, no Chat Doctor. If it does not subside with all this, visit your planetologist and tell your problem. He will diagnose the cause and site of bleeding and treat you accordingly. He may use local coagulating agent on the site of bleeding or prescribe you systemic coagulating agent depending on the severity. Sometimes suturing also stops the bleeding. Regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI MY NAME IS BHAVIK. I have lost the hair in the frontal side . i am using minoxidilin 5% . Should i go for hair transplant treatment or continue to use lotion ? what is the cost of hair transplant?i can send u my photographs for verification. pls give me yr email id .", "output": "Hello batik. Thank you for writing to you seem to have an Chat Doctor. This type of hair loss mainly affects the frontal part and crown part of the scalp. Hair loss is also associated with receding anterior hair line and widening and deepening of angles of anterior hair line. The goal of medical treatment with minoxidil and finasteride is mainly arresting Or slowing down the progression of hair loss therefore the earlier the therapy is initiated the better it is. Hair transplantation is an option if your anterior hair line and the hair line above temples have receded. Hair follicles would be harvested from the back of scalp and transplanted to reconstruct the anterior hair line. Cost of hair transplant would vary from doctor to doctor and is usually calculated based upon the number of hair follicles that are required to be harvested. It might cost you anywhere between USD 850 to USD 1500 depending on the number of hair follicles that need to be transplanted. Besides hair transplant you would be required to continue with minoxidil and finasteride to prevent further progression of hair loss. I suggest that you visit either a dermatologist or a plastic surgeon in your vicinity. Your doctor will be able to visually assess the degree and pattern of hair loss and then decide on the cost of hair transplant. You can also upload images of your scalp depicting the pattern and severity of hair loss and contact one of doctors on this forum, either a dermatologist or a plastic surgeon. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Dr, I am a 39 year old female I am 52 and weight 112 I was told I have a follicular cyst few months ago. Recently I had another ultrasound done and I was told it could be endometrial or a chocolate cyst, the doctor also mention he notice a little bit of blood on the cyst, my abdomen looks a bit swollen and I do experience lower back pain, I also urinate a lot sometimes and my period sometimes looks like blood clots and sometimes is very runny. I am concerned", "output": "Dear-thanks for using our service and will try to help you with my medical advice. A follicular cyst is a benign physiological cyst that should not make you worried. A chocolate cyst is also benign and may have blood on it, that is why is dark like chocolate. It can give you pain but is not malignant and most of the time dissolves without any medical treatment. The clots in your periods can be from the bleeding cyst. I recommend you to have followed up with your gynecologist, you should not be concerned because you have had the necessary workup and nothing serious has been found. I hope that my advice has been helpful Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Iay ih ow ? Please type your query here...I have been experiencing discomfort in my upper abdomine the area directly above my belly button. It is a tightness that sometimes feels like my stomach is being twisted. Sometimes a throbbing sensation but not severe.", "output": "Hi. Thanks for your query. The most probable cause of pain in the upper abdomen directly above the naval region can be :-Colitis, meaning inflammation of the transverse colon, Or cancer.-Problems related to Stomach like ulcer, cancer or so.-Duodenum, pancreas and Mesenteric lymph nodes. All these problems can give you the symptoms like tightness and something feeling like the stomach is being twisted. To get a proper diagnosis you need the following:Actual physical examination of the abdomen, X-ray of the abdomen in standing positionUltrasonography to start with and CT scan to confirm. Upper GI EndoscopyColonoscopy- biopsy these things will lead to a proper diagnosis, which is so much important for a proper plan for the treatment as this is going to be different as per the diagnosis hence made. Get treated, follow the advice of the Gastroenterologist a get well soon." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Bilirubin elevated to 2.7, I m 57 y/o have high blood pressure, mostly controlled with medicine, high cholesterol, & hypothyroidism. 40 lbs overweight. Do occasionally enjoy mixed drink. This is first time with lab work this was found. Recommend things to do/ concerns?", "output": "Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Get a liver function test along with direct and indirect bilirubin.2. Need to control cholesterol, possibly fatty liver disease. However, diagnosis is based on direct or indirect bilirubin which is elevated. Hypothyroidism can also cause elevated bilirubin due to reduced metabolism, repeat of bilirubin to be done after treatment with thyroxine.3. Advise stopping alcohol, weight reduction, control of lipid profile and regular medication for all including hypothyroidism. Hope it helps. Any further queries, happy to help again." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Two years ago I fell and broke my left thumb . After a short period of time I began to have pain in the scapula area in my back, then my left shoulder began having tremendous pain and limited motion in my left arm. I have had two MRI s and a torn rotator cuff was eliminated. It was determined that I have a bulging disc in the 5-6 vertebrae with a pinched nerve causing the limitation of motion and pain in my back and down my left arm to the left thumb. This may have been caused by the fall. Now I am having pitting edema in my left ankle. Also I have severe indigestion (which I feel is not connected) and I am not taking any medications. I did have cortisone injections in my neck which helped the pain for a short while, but is returning. Is there any connection with the swelling and the pinched nerve?", "output": "Hello elmogreeneyes. Welcome to Chat Doctor .com. A broken thumb does not cause a pinched nerve at the c5-6 level. That is coincidental. The fall could have caused the pinched nerve at the same time that your thumb was broken. The nerve interactions of c5-6 may explain the pain in the left arm that radiates to the thumb, however, those nerve paths do not have a connection to the difficulties of your left leg. Unilateral swelling (swelling on only one side) indicates a disease process that is not related to your heart. Some causes of unilateral swelling include fractures, ankle sprain, thrombophlebitis (blood clot), cellulitis (skin infection), venous stasis dermatitis (skin infection due to pooling of fluid in the lower extremity). If your leg is hot and red, go in for emergency evaluation of your swelling, if not, contact your family physician for evaluation of your condition. Be well, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "would like to know what can be done for pimples and pimple marks I would like to know what can be done for pimples and pimple marks I am 22 unmarried and working as HR. from past 2 months i have black heads slightly improved but marks r still there will chemical peeling help reduce marks? Does it have any side effect", "output": "Hi! Richa, Welcome To Chat Doctor forum, Before telling you details about pimples, let me tell you first about chemical peel.It's a very safe procedure if done by a dermatologist, and it can be done even if you have pimples. It works both for pimples and dark spots. The best peel would be salicylic acid peel. Now, pimples are multifactorial, and therefore one has to find the exact cause of it. It can be because of wrong use of soaps to moisturizers or any fairness creams which one is using, to hormonal disturbances if anybody has(esp in females). So, a complete work up is necessary in all patients.Also, one should remember that it's not a short course treatment, but a matter of say 6 months or so if pimples are sever. Firstly I would advise you to stop all cosmetic creams if you are using on face. Also look for other features of hormonal imbalance in body like weight gain, irregular periods, facial hair & scalp hair loss. If you have any of these then get a hormonal profile done. In such cases conventional treatment(antibiotics) for acne would not work, and one needs hormonal tablets to cure acne. In case you don't have any hormonal imbalance & you don't respond to conventional treatment, then one can take retinoids. Retinoids is a wonderful medicine for acne, provided one gets all the relevant investigations and takes care of all the precautions associated with it. Along with chemical peel, this would give you a flawless skin. I advise you to consult a dermatologist and take proper treatment. After few days my website would be launched (www.skinhairclinic.com), you can get details and pictures about pimples and their treatment. If you have any further questions you can write back to us. Regards, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My thirteen year old son had two larger kidney stones removed in March. Follow up appointments and test have shown his Calcium and Salt levels have soared. We have been refered to an endocrinologist, what could this mean? Is this normal for a teenager?", "output": "Hi, Thanks for your question. Noted your concern. Kidney stones with low calcium and salt levels in teenagers denotes possibility of metabolic disorders. One common form of metabolic disorder with this type of presentation requiring endocrinological evaluation is Renal Tubular Acidosis (RTS). In which kidneys fail to excrete acids (H+) from blood in urine. There are different type of RTS - Type 1, Type 2, Type 4. Type 1 & 2 are common in teenagers which are present with low potassium, low calcium, renal stones, developmental abnormalities, other nutrients' deficiency. In such cases there is a need for detailed clinical examination, blood tests to evaluate blood and urine pH along with electrolytes, other nutrients' deficiency, acid load challenge test. Treatment will depend upon underlying cause. Usually there is a need for salt supplement. Hope this helps you in taking appropriate decision. If so do vote as helpful." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor My son is 2 years 7 months, He is having fever from yesterday. Today he passed motion almost 10 times. Now I am noticing blood in it. he is complaining stomach pain also. I am bit worried. Could you please help me to stop his stools. Every 5 min he is going to toilet now.", "output": "Hi, It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting, you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic-associated diarrhea. I suggest you use zinc supplements (Z&D Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi my brother had an accident and is paryalised under abdomen he has urine bag since 2010 now he is having kidney problem with cretaine 2.7 and urea 90 in his recent report pl advice me what step we should consider to control as he suffer with severe pains", "output": "Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Renal failure is occurring as elevation of serum urea and creatinine values show 2. Due to using renal bag, he has suffering from recurrent urinary tract infections, which has led to bilateral renal insufficiency due to possible pyelonephritis.3. He will need dialysis to control urea and creatinine levels. Discuss with your doctor. Hope it helps. Any further queries, happy to help again." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My Partner hurt his big toe 2 months ago and it has a huge lump on it. He hurt his elbow 10 days a go and his elbow has a bit long lump on it. I told him he should see the doctor but says its fine as he has acid between the joints and has caused this??", "output": "Hi, I had gone through your question and understand your concerns. You haven't mentioned your partners age and proper medical history. As per your information, the deposition of sharp acid crystals (uric acid) in joints, often in the big toe is the possibility of the condition called gout, deposits of uric acid (called tofu) which look like lumps under the skin. It affects many joints including elbow. It is one of the most painful forms of arthritis. People who are more likely to have gout if :Have family members with the disease, are a man, are overweight, Chat Doctor. I would recommend you to see a doctor immediately to rule out the condition. Take the medicines your doctor prescribes as directed, tell him about all the medicines and vitamins you take, also plan followup visits with your doctor, maintain a healthy, balanced diet, avoid foods that are high in purines, and " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My baby is 20 months old and weighs 10.2 kg. Last week on a routine check Pediatrician could hear a murmur in her heart and referred her to a cardiologist. There she had an echocardiogram in which an ASD of 1cm is detected. Is there any chance for the ASD to close b itself ?or we have to go for a treatment? Is there anthing to worry about? In my and my husband s family there is no history of any such heart diseases. We are very much worried and planning to consult a pediatric cardiologist as soon as possible.", "output": "Hi, welcome to this forum. Can understand your concern.ASD is an Canopic congenital heart disease. There are two types of ASD, one is vascular and other is muscular. The secondary type of atrial septal defect, usually closes as a child grows. While membranous atrial septal defect does not close. An Eco cardiograph, should be done at 6 monthly intervals, to know whether the atrial septal defect is closing or not. If the atrial septal defect is closing, then there are chances that it will fully be closed after a certain age. In my opinion, you should do echocardiography which will tell us about the type of atrial septal defect. For the treatment, we depend on the ego cartographic Test. I hope this will help you. Take care. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have an ark of moderate pain and what appears to be an arced bruise on the underside of my left big toe. 3-4 Days ago I suddenly felt a sharp pain there and thought I saw a dark hairline black arc somewhere under my skin, but figured I was over reacting. I can walk on my one fine most of the day as long as I walk on it normally and dont roll my toe or walk on the side of my foot/toe. On the middle and innermost end of the arc the arc seems to have points - almost ike a blood blister, but way under my skin. Any way to know what this is?", "output": "Hi, I value your concern regarding the symptoms. I have gone through your symptoms, and in my opinion you need to get your blood uric acid level done as you may be suffering from Gout. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. Special note-Any medication prescribed needs to be taken after consultation with your personal doctor only." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My post-thaw analysis semen reports I think are low. One report says concentration 15 M/ml, 20% motiilty, 1.0 ml, motile/vial 3/M, progressive motility 3.0. Another report 15 days later says concentration 16 M/ml, motility 13%, vial volume 1.0 ml, motile cells/vial 2.0 M, pgoressive motility 2.5. What does that mean? This was done on 07/30/2001. I want to know if these parameters are good.", "output": "Hello and welcome to ChatDoctorThe useful information that I could get from what you have posted that you have got your semen analysis done on two occasions. On both the occasions, total volume of semen was low (Normal volume per ejaculate is at least 2 ml)Sperm count is also low on both occasions. Normal sperm count is at least 20 million per ml or 40 million per ejaculate. Sperm motility is also low on both occasions, 20% and 13%. Normally, at least 50% sperms should show progressive rapid forward movement. Low sperm counts and low sperm motility leads to infertility. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi.. i am 26 years old and i was detected with pcos due to irregular periods from last 3-4 months. and my insulin level is high. my doctor has advice me to take ginette-35, B long F and Bigomet SR for 3 month. Now i am little bit worried to beome pregnant. I am married since last 3 years and we did not plan for a child but now we are trying to have a baby and i found that i have a problem of pcos. My question is after completing this course it will be difficult to onceive?Please advie....", "output": "Hello.thanks for trusting the Chat Doctor doctors for your health related queries. I guess your concern is about...can taking medicines affects changes of conception.right.well...YES.it will effect your conception, but it will not harm to your baby. Let us discuss the problems u have. As u told that u have PCs(polycystic ovarian syn Chat Doctor. In these women usually having irregular menses due to hormonal imbalance along with this few r having high insulin level or thyroid problem etc. Due to all these women usually facing difficulty in getting pregnancy. But DON'T WORRY.EVERY PROBLEM HAVE SOLUTION. Once women achieve regular menses along with normal insulin levels, chances of getting pregnancy is high. that's why your treating doctor gave u the all medicines(genette-35, N long r, and Bigoted SR).PCs is not a big deal.it will resolve with medicines with passage of time.RELAX.KEEP PATIENCE.with the above discussion u can try out my suggestions-1. RELAX...NOTHING TO WORRY. As u r come under the reproductive age group(age from 15-45 years came under this, in this group chances of getting pregnancy is high). So DON'T WORRY.2. Try to do coitus during fertile period(it is from 10th to 16th day of menses during this period chances of getting pregnancy is high).3. Feel free to ask your treating doctor regarding this matter. He/she can help u.4. If u r in hurry then visit nearby infertility specialist. He/she can help u. I hope the above information is useful, informative and helpful for u.regards-" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Recently i broke a bottom back tooth . Got it filled thar day even though I wasnt in pain. Two weeks later i went back to dentist as i has terrible pain in my jaw beside my ear and shooting pain out my ear.not to mention the headaches . Was given antibiotics and diclac. Everything was goi.ng great as the dentist had taken xrays and said the tootb and nerve lokked normal.then 3 days after i finished the antibiotic the pain camw back while i was in bed and was horrific. No pain in the toith only in jaw and ear. What is going on?", "output": "Hi and welcome to Chat Doctor, As you have got your tooth filled there are no chances of pain and infection since the tooth is filled only after complete excavation of the decayed material to prevent deeper progress of the caries. Since your tooth got broken, I can suspect some periodontal damage to the underlying tissue or infection that is radiating pain to the adjacent ear and jaw bone. Pain in the jaw and ear is clear indication of infection, I suggest you get an OPG radiograph done for your jaws, which will show bigger picture of all the teeth, bone support, jaws, adjacent vital structures and the underlying lesion if any, accordingly treatment can be carried out.I hope this will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doc, My name is Rana. I am doing a biology research in school about monoclonal antibodies, and I was hoping you can help me in it if you can. my questions are : How monoclonal antibodies can help in cancer therapy? and how does this therapy work? Since when this therapy had been used and how many people improved or were cured because of it? Thank you", "output": "Hi Reyna. All cells in the body have many receptors present on the surface and inside the cell. These are necessary for their normal functioning. Cancer cells utilize some of these receptors to enhance their growth and stay immortal. So we as oncologists have started to use these receptors for treating cancer by blocking these receptors. That is done by using monoclonal antibodies and is called targeted therapy. It was started in the 90s with a Chat Doctor. Now there is a plethora of such " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi the other day I experienced chest pain on my left side for an hour or so, I also had pain in my left shoulder and a little in my neck. I felt really hot all of a sudden and my left arm had felt dull achy all day. Im a 40 year old non smoking woman. Can u give me an idea as to what it was.", "output": "Hi. I can understand your concern. Ideally ECG and 2d echo should be done done first in your case. If both are normal than no need to worry about heart diseases. HERD (gastroesophageal reflux disease) can cause similar kind of chest pain. HERD is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause central chest pain and nausea. You can take proton pump inhibitors (Pepcid). But along with Chat Doctor. Avoid stress and tension. Avoid hot and spicy food. Avoid junk food. Avoid large meals, instead take frequent small meals. Quit smoking and alcohol if you have these habits. Go for walk after meals. Keep 2-3 pillows under head in the bed to prevent reflux. Lose weight if you are obeseDont worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am now in my first year in college.. my problem is that i usually forget my lessons quickly.. not that quickly but after about two days, i cant remember what we have discussed earlier.. i am also having a hard time recalling simple things, aside from my lessons,. i am not like this two years ago,. those days i have topped my class but since i had this problem, i seemed to be just like an ordinary student,, do you know whats happening to me? i am so depressed..", "output": "Hello and welcome to Chat Doctor. Thanks for your query. I understand that you are going through a difficult time due to your memory problems. Now, memory difficulties in a young person can be due to a variety of reasons like stress, anxiety, excessive workload, depression, etc. It is difficult to drive at a diagnosis without a detailed history and psychological assessment. Hence, I would suggest that you see a psychiatrist in your place for a detailed evaluation and to decide on the further course of action. There are effective strategies which can help you overcome your problem, so please seek professional help at the earliest. Wish you all the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a question about pain that comes with crohns disease . I have had a recent endoscopic, that indicated I have Barretts esophagus and duodenitis that was inflamed. but have not been diagnosed with Crohns disease. What do I need to help with pain management? Some time the pain is unbearable.", "output": "Thank you for your question! Pain in your case is due to duodenitis. It will be burning in nature in the epigastric region. Pain is due to excess amount of gastric acid production and reflux of acid into esophagus due to low esophageal sphincter tone (which help preventing acid reflux into esophagus). Crohn's disease is a different entity. Your pain is not related to Crohn's disease. Take pantoprazole tablets twice daily for 10 days. It gives symptomatic relief. Avoid alcohol, smoking, caffeine and late night dinner. These measures will keep your esophageal sphincter in a good tone." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi i recently found out my 3 year old son has blount s disease. The 1st meeting held with the doctor he suggests that we operate....I am not comfortable with this initial decision.....what are my options based on his age and the stage of his bowing?", "output": "Welcome to the ChatDoctorConservative treatment can be an option in early onset Blunt disease and consists of brace treatment. Brace therapy should be attempted in all child Chat Doctor. 5 years with stage I or II disease. Ambulatory bracing with an above-the-knee orthosis has been shown to prevent progression of disease. Bracing has been shown to correct both the virus deformity and the pathologic proximal-medial tibial growth disturbance.[18] If the disease continues to progress to stage III with brace treatment, it will no longer be effective. Other risk factors for failure of brace treatment include obesity, virus thrust, age older than 3 years at initial treatment, and bilateral disease." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Had a fall last week and hit by lower left back muscle at which time the hospital did several cat scans of abdomen where they discovered I had a cyst on my liver. Doctor told me to go see gastroentologist and follow up looking for one in Jackson MS Can you help me", "output": "HIT hank for asking to ChatDoctorI really appreciate your concern and from the given history here I could say that the cyst in lever being detected in routine test, so it means you do not have any specific symptoms regarding the liver cyst, if this is asymptomatic then no need to worry about this, in my opinion it is advisable to go for MRI to rule out the certain pathologies, take care and have a nice day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I feel light heade all the time light sensitivity had all tests done they keep coming back normal I feel as this is taking over my life I can t drive can t run can t go shopping I start to get more lightheaded when I walk its ruining my life I don t know what to do?", "output": "Hello, It would explain that if lightheadedness is related to standing up position, this could indicate possible orthostatic hypotension. In such case a Head-Up Tilt test would be necessary. I would also recommend consulting with an ENT specialist in order to exclude a possible inner ear disorder and performing a cervical spine X-ray study. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i m 29 yrs old , my husband is 34 yrs old . we got marriage before 9 months , i went to doctor before 6 months for getting pregant . she gave tablets like ferrium-xt , for last 15 days i had gestovin tablets , still i m getting mensutral cycle for every 28 days. so doctor advised me tubular test . i done it before one week . now she prescribed placentrex injection fo 10 days. my husands test is normal. is this is a correct procedure", "output": "His understand that you have been trying to conceive for past 6-9 months. In my practice I generally tell my patients that it takes an average of one year to conceive for most people. Secondly, to begin the treatment It's important to know what the problem is. By reading your post It's difficult to know what the problem is. Generally the first line treatment for infertility is ovulation induction with Chat Doctor. Please make sure you are being given the correct treatment. Let me know if you have any other queries. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Sir, I got few lumps on my face around 20 now.. It increased.. It doesn t pain but but when i shave it disturb and some time by mistake i cut them also. i consulted on doctor.. she told this isnormal wart.. she given few vitamin tablets and removed all by operating it.. But agagin now i got it.. Please advice me..", "output": "Hi Dear, Welcome to Chat Doctor team. Understanding your concern. As per your query you have lumps on face which are increasing in number could be due to have solar keratitis also called actinic keratitis. As you had surgical procedure done and It's still reoccurring, I would suggest you to consult dermatologist once and start with application of diclofenac gel and salicylic acid 12% solution on the lesions. Application of TCA solution on lumps on face would also be very effective. You can go for electrocautery cautery under local anesthesia. This method is little more expensive. Also apply vitamin C serum at night. Hope your concern has been resolved. Get Well soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, from last 2 days i am caughing (medium), but today i found some blood mix with spit(like air boobles),what could be the reason?. It only happens once, after that i drink lots of water i can feel remaining blood i drunk with water, but im feel ok now cough was reduced, almost gone", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Blood in sputum is known as hemoptysis. In your case possibility of friction bleeding due to coughing is more. Other causes for hemoptysis are pneumonia, tuberculosis, bronchiectasis, bronchitis and lung cancer. So better to get done chest x-ray to rule out all these lung related causes. If chest x-ray is normal than no need to worry much. You are mostly having friction bleeding due to coughing. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im 40 and have had Slight discomfort on left side of my chest, kind of a little pressure, actually felt like i may even stop breathing just for a couple seconds then everything went back to normal but i was so tired and no energy after this episode....What could this have been...actually twice this has happened over last few weeks", "output": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, we should first rule out heart related diseases because left sided chest discomfort is commonly seen with heart diseases. So get done ECG and 2d echo. If both these are normal then no need to worry about heart diseases. Sometimes, stress and anxiety can also cause similar kind of chest pressure and left sided chest pain. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Don't worry, you will be alright. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My six year old has been complaining of severe headaches with sudden onset, usually at night. He has to go to his room turn lights off, close his eyes and lay down. The pain is so severe he starts crying and loses control. No vomitting. I give him childrens motrin and it takes a while for him to start feeling better. He s so drained he just falls asleep and will not wake up until the next day. No fever or other symptoms go along with these. He was just referred to a neurologist by his pediatrician. What could this be?", "output": "Headache can have varied reasons if it is persisting for months may be a trauma old could have induced sub rural hemorrhage it can present only with headache or could be simple stress, it could be any vascular malformation in brain if no seizures it is a good sign that there is no cerebral irritation, please get a ct scan to determine bleeds, if no bleeds then do MRI for any space occupying lesions, it could be neurocysticercosis if u have eaten any time undercooked pork. If everything is negative then consult psycho therapy stress induce headache" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had red numba on the head of my penis and on the shaft that itch like crazy. I also have them around my thighs, lower waste, and my butt is very itchy at times. I ve been tested for std and it has came up negative. I havnt been sexually active in over 6 months and they just started showing up recently. Please help", "output": "HelloSign you are not sexually active some and also ruled out by testings could be related to local allergic reaction or skin infection If you can upload me a photograph I will be able to guide you better In my opinion you should wash it with antiseptic solution or soap and keep it clean and moist should also take antihistamines like fexofenadine for itching and to reduce further inflammation. You can apply antibacterial ointment to avoid super added infection it doesn't improve than you should see your nearest doctor for physical examination and further course of action. Hope this answers your question Best wishes" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir, my elder son (18yrs). is having a mentality of the fact that He is the best and all other in his known circle are either corrept, shameless, poor,doesnt know nothing , etc etc If any debate occurs he has the fitting that he knows every thing about the topics and other dosent. What to do", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. Don't worry about his attitude for the time being. He is 18 and naturally have high self-esteem. He is behaving like this because he wants to be a positive thinker and wants to keep his attitude positive. Leave him like this. If you try to advice him now, that may have adverse effects. People always learn from their experiences. He shall also learn from his experiences. He shall undergo natural experiences which should bring down his ego and esteem down. Your role as a parent and mentor should be positive then. You should be able to motivate him then. Be prepared, the time shall come anytime now. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Well I have to get a tooth pulled that had an abscess. it does not hurt but I think my face is getting swollen, I know it is. I know I have to get them pulled and its scheduled for this week, but am I in any imediate danger. No stiff neck, my eye not swollen, no pain but I can tell its moving..feel like a bubble under my face. Should I go to the emergency room or my dentist/doctor tomorrow..", "output": "Thanks for your query, I have gone through your query. The swelling following extraction can be because of the inflammatory response following extraction, if they have done bone cutting. The other possible cause can be because of the infection from the other teeth resulting in abscess formation. Nothing to be panic, consult an oral physician and get it evaluated. Meanwhile you can take a course of antibiotics like amoxicillin and metronidazole(if you are not allergic). Once the diagnosis is confirmed we can treat accordingly. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello sir...I m planning to conceive...but this month I m taking norethisterone (month of april) to stop my period bcz of a wedding function..after stopping pills I ll get my period...so my question is that can I try to conceive from my coming ovulation date( month of May)???what would be my chances of getting pregnent???", "output": "Hello dairy understand your concernNorethisterone contain progesterone and some time it causes hormonal imbalance. So it may cause disturbance in your next menstrual cycle. But it will not affect your conceiving process. You can do unprotected sex in fertile phase of the period according to length of cycle. If you have cycle length of 28-30 days then do sex during 10th to 20th day of cycle. So you have high chance to become pregnant. Avoid stress, take healthy diet, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i am a girl of 22years i hav been infected badly in my vagina after having sex with a guy, then onwards am having excruciating pain there inside n outside n it is almost closed that i cant even put my finger n i hav pain around clit wen its touched before i had sex. i get white discharge also.", "output": "Hello, Welcome to Chat Doctor, The history and symptoms suggest me that you had infection before you had sex. The act of sex has injured the vaginal epithelium. The physical injury to the vagina and the area surrounding has led to all these symptoms. I would suggest you to consult your gynecologist at the earliest for the physical examination to assess the extent of injury. For your symptoms, I would suggest you to follow1. Avoid sex until the symptoms comes down.2. Tab Azithromycin for three days to control the infection. 3. Oral Ibuprofen to reduce the pain.4. Give hot fermentation. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 55 and weight 115 pds. For about a week now my rear end bones or muscles hurt. Kind of like your sitting on the edge of a high stool chair and it puts pressure on the seat area. It mostly hurts on each side of my rear end in the exact spots. (closer to the outside of my hip) When I rub it, it feels better. I have not done anything to make it hurt. It s like a annoying feeling that wont go away. Why would my seat muscle ache?", "output": "It is clear case of inter-vertebral discs involvement. Your lower lumbar and/ or Coccyges vertebra are exerting pressures on nerves emanating from those regions. Where ever these nerves supply, pain is felt. Pressure could be due to various regions. IVD gaps reduced due to degeneration, trauma etc. or osteophytes grown due to age/ ORS.Painkillers is no solution. Try physiotherapy and better to do Yoga postures. Warm water treatment over the region while bathing (pour warm water). Then apply some natural relaxant. To my own patients I successfully recommend Rumply herbal liniment for very gentle massage. Rumply forte tab also give strength to muscles and joints. Both are pure non-toxic Ayurveda products. Hope it helps you. Once you start following instructions, we will tell you what to eat and what to avoid as per Ayurveda and Yoga principles with logic behind it. Happy relaxed days ahead." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have not been able to bend my right wrist for over 5 years now. It is extememly painful if I even attempt to bend it forward. If I hit it on something, I will be on the ground in agony for at least 5 minutes. I have never injured it to my knowledge and the pain is getting more severe latley. My entire right arm and hand have a constant dull pain like someone slugged me in the arm.", "output": "Hello, It looks from your details that you may be suffering from continuous wrist pain. Such type of wrist pain can be due to:- A old sprain-Avascular necrosis of a carpal bone- Impingement of capsule or disc at wrist joint. I shall advise you to have an X-ray of wrist to rule out reason behind it. Till then, you may wear a wist support and take a mild analgesic like Advil for relief from pain. Take care. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 10 year old son plays baseball and has been pitching more lately. He developed an unexplained bruise that keeps expanding from his elbow to his mid forearm. All bloodwork came back ok, X-rays were negative and ultrasound just showed soft tissue swelling. There is no infection. Can you tell me what this might be", "output": "Hello, I think this is an overuse syn Chat Doctor. I suggest to decrease sport activities for a while. Keep a soft brace for the forearm for 2 weeks. Then after 2 weeks the son can start gradually to increase the activity. It may be a chronic problem if he continues till play baseball, but it will go way gradually after 16 years old. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "twice I have been in the ER with extreme crushing chest pain. Both times I was told my heart was fine, and I have to no reason to think otherwise, as did not feel like a heartattack to me. Two shots of morphine could not relieve the pain. Everytime my chest moved to breath the pain was almost unbareable. I was told it could arthritis of the ribs. Does that sound right to you? The two attacks were not close together either, they were at least a year apart. I guess I want to know who to avoid them in the future. Thank you", "output": "Hi, As you mentioned you been told it could be arthritis of the ribs, then an MRI will be of insight to confirm the inflammation of the Costco Chat Doctor. Also, Only Rheumatoid arthritis can affect the rib cage so for this the RA test has to be performed to confirm rather just predicting it with symptoms. Also, for a complete analysis of the cardiorespiratory and musculoskeletal system the assessment has to be done by examination and observation. By doing regular breathing exercises will help improve the muscles of the rib cage and hold the joints in proper position by which the pain reduces. Usually pain arises due to the abnormal anatomy of the joints and can be corrected by getting the optimum strength in the muscular system. I have seen cases with chest pain and also RA of rib cage. We have come closer to the maximum improvement where the normality of the daily activities can be maintained. For further deep discussion you can contact meRegardsJay In" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi there. Lately ive been having teeth pain as well as swollen throat that has not gone away and 3 of my wisdom teeth have came in and I just got one wisdom tooth extracted 4 days ago and when the numbness from the medicine went away I started having worse pain than I did with the tooth there. Ive noticed either food particles or something else stuck in the hole where I got my tooth taken out and its kind of white/yellow and ive been trying to pick at it because im afraid to get food stuck in there and make anything worse but I noticed nothing much is coming out and it feels like I hit a nerve or something because the pain just gets worse and I feel it through my head and neck and jaw. I dont have dental insurance so what should I do?", "output": "Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have pain in extraction socket don't worry you do is warm saline gargle two - three times a day You can take analgesic tablet described by your dentist for pain If your pain continues then consult dentist and go for irrigation of socket and Zinc oxide eugenol pack. Hope this will help you. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "pI started out with what I thought was a canker soar but after putting powdered elm on it realized their was another inside the bottom of my teeth (the floor of my inside teeth...my gums are red and see a few white patches on them Would this be oral cancer? I have been using preroxide to kill what is in there??", "output": "No this would not be an oral cancer but yes it can be a pre-cancerous lesion though. If you have any habit of tobacco chewing or smoking I would suggest you to discontinue that if not and still you have such a patch it could be due to fungal infection in which case you will be able to scrape that patch, and it would appear more like curd. Also, please get rid of using peroxide as it would only exaggerate the problem if used without knowing the cause. For further investigations I would suggest you to get a biopsy and clarify what it is and only then take whatever medication is needed." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Doctor I am 57 years 5ft 2 and in good health. I have a rush at the corner of my mouth, what can i do to deal with it.", "output": "Hi! Welcome To Chat Doctor forum, If it is involving both the angles of mouth, then it must be ANGULAR CEILINGS or ANGULAR DERMATITIS. It can be because of the following reasons:fungal infection or bacterial infection (can be secondary also)vitamin B deficiencyMalnutrition. Ill-fitting dentures. Zinc deficiencyIron deficiencyanorxia nervosastomach pre-treatment would begin with oral antifungal and antibacterial agents. Along with this one should take a long course of oral vitamin B complex medicines. So keep your general condition good, and you would see an early response. Regards, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 33 year old female, smoker, overweight , drink 4 cups coffee per day, treated for anxiety and depression with 125mg Effexor XR daily. I ve always had a resting heart rate in the 80-100 range. In the last month, it has started jumping up to 140-150 just from walking up 15 steps or when I m out walking around while shopping. I ve also experienced severe weakness, hypersomnia , and tremors in the last month. Bloodwork showed no indication of thyroid problems or deficiencies.", "output": "Hi, Welcome to Chat Doctor Forum Effector contain Venlafaxine which is used for anxiety and depression. Venlafaxine is associated with cardiac side effects like increase blood pressure. Get your blood pressure while on treatment. As you are having cardiac symptoms in form of increase heart rate 140-150 BPM, it is better to rule out cardiac problem first. Although increase heart rate can occur in anxiety too. Apart from that coffee contain caffeine which increases anxiety, BP and heart rate. It is better to slowly stop or reduce coffee use to 1-2 cup every day only, it will reduce some of your symptoms. Following simple measures will help you:-Healthy diet: Milk and fruits in diet.-Daily morning walk-Breathing exercise, yoga and meditation (which you can learn from some expert in person) Wish you Good Health and all the best. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ive been coughing for 5 weeks straight Ive been to the doctor had an xray done on my lungs everythings ok says the doctor but its been 2 wks iv been coughing at night wake up gasping for air nothing the doctor has prescriped has helped. what should I do I have had sleepless nights?", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. Severe coughing in night with breathlessness is seen in 1. CCF (congestive cardiac failure)2. Bronchitis. So get done ECG and 2d echo to rule out CCF. Get done PFT (pulmonary function test) to rule out bronchitis. If both are normal, then mostly you will have anxiety and related symptoms. So avoid stress and tension. Be relax and calm. Don't worry, you will be alright." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Is BP reading of 143/63 normal,This is of my mothers who is 57yrs old and has diabetis and hyperthyroid and BP too.From last three days she is not feeling like having food and has vomiting once/twice a day.the last 2 days the BP reading were normalBut today morning it was found 143/60 when tested at home.", "output": "Hello, Very high blood pressure can cause vomiting, However the blood pressure reading you have mentioned w should not cause vomiting. The 2 most probable reasons are. Diabetes related. Keto acidosis. If the diabetes is very high or rather if it's staying in control but continuous vomiting with no intake of food and decreased water. Just check ketone in her urine. A strip is available at all medical stores. A bad stomach. If there is history of food at an outside joint, abdominal cramps and some change in stool consistency. I would pursue that you visit your family doctor as its already 3 days. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i recently injured my lower left back trying to pick up some of my kids toys and i have been in excruciating pain ever since i can t sit down or lay down i can t stand up or walk and i need to be able to move i have 3 kids in school and time off is not a option for me please any information on what i can do to help would be amazing!!!", "output": "Your complaints seems to be due to lumbosacral disc prolapse causing nerve root compression. Definite diagnosis can only be made after examination. But if you don't have any limb weakness, bladder complains Or sensory loss then bed rest for 2-3 days and painkillers with muscle relaxant may help. Try not to stoop forward or lift heavy objects. You may require X-ray or MRI of lumbosacral spine if symptoms persists. May you get well soon." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am having PCOD s , from last 3 months i am taking siphene 100mg, and i am undergoing folicular study every month.. i am ovulated on 13..14..12th day of my period..still i am not a pregnant. my question is the doctor said the egg is released on right ovary consecutively for last 2 times. and i am have not delineated on right when HSG test performed. with this note we are expecting an egg on left this time.. wht are the chances to get pregnancy this time? if so having intercourse before or after ovulation helps us ?", "output": "Hi, Chances of conception with ovulation induction (Sphere) in POD are 25% per cycle, which is equivalent to normal couple. If your HSG has not delineated right tube, it's better to go for laparoscopy to know real tubal status if you don't conceive within 6 months. Chances of conception increase if you have intercourse before ovulation (It's better to have intercourse daily around ovulation/after egg size >10\u00a0mm) to not miss the opportunity. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Yesterday...the third time in six months I developed severe chills or rigor. Prior to the onset of the shakes my hands were so cold that I put on gloves in a 72 degree room. Then I was shaking uncontrollably. I didn t seem to have a fever and just went to bed to keep warm. After an hour it stopped leaving me with very sore back muscles. After about 24 hours of feeling drained with little energy. After waking up after sleeping off the chills I noticed a slight difficulty in swallowing . After the gradual 24 hour recovery I feel fine...just normal. Like I said, this happened three times with an interval of about three months. I m 76 and as a kid had measles mumps and chicken pox ...very healthy until I came down with stage four bladder cancer . It had spread to my liver and lungs and the doctors told me that only 3% of patients respond as well as I did to chemo . That was over 3 1/2 years ago and I m now minus a bladder and prostate , but supposedly cancer-free and go in for an annual CT scan and examination by my doctor at the James Cancer Hospital at The Ohio State University.", "output": "Hi there, Im happy to know that you have done well after treatment and are on regular followup. Chills and rigors are usually caused by infection. When the bad bacteria find way to get into blood circulation, the body fights by secreting proteins and chemicals and most of the time alongside chills, fever is present. In case its happening repeatedly do check temperature by thermometer and report to the doctor. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have never had heartburn in my life besides my last peegnancy. However, since Monday I have had constant heartburn. I took a pregnancy test tuesday and it said no. According to my calender, I am not due for my period until the 13th. I should be ovulating around now. Would that cause this?", "output": "Hi, Dear,Thanks for your query to Chat Doctor. Dear I read facts of your query and reviewed it in context to your query health issues. I understood your health concerns and feel Concerned about them. Based on the facts of your query the reply of your query is-This mostly is from -High Progesterone Post-Ovulation, as your prey test is negative. So the answer is YES, ovulation at this stage may be causing this. The high Progesterone relaxes the LES(Lower Esophageal Sphincter) and is accompanied by lowered Folic acid levels, due to Post-Ovulation high needs of Folic acid and It B12. Get your prey test checked after 2 weeks time also. This could give you the exact cause for this Constant heartburn in your case from the pregnancy with high Chat Doctor and high progesterone levels. If need have Second opinion from Obstetric and investigate. But in the absence of other information, I would suggest you to go for Obstetric Consults. As the facts could be different from what you submitted. So looking into the sensitive complaint of yours, I would suggest you to rule out abnormal Progesterone and Estrogen levels by Consulting and investigating with Obstetric doctor. It would be prudent to have physical Check from Consulting Obstetric first-before planning further investigations and treatment for it. Other causes need to be ruled out in any case. Dos -suggested for your case-Check with Family Physician and thereafter with Consulting Obstetric.Don't miss to have checks for high progesterone levels. Just don't worry and be patient and co-operate with your doctors, till you verify with your attending doctors. Need to Check with Consulting Obstetric-specialist if need be, if things don't recover.-Other causes need to be verified with your family GP /Consulting Obstetric -Specialist doctors, as the facts may be different what you submitted.-For this Second opinion with Consulting Obstetric- specialist-is needed who would do proper investigation after proper physical assessment to resolve your health issues.-for early recovery-please follow above dos which would resolve your complex health issues. Hope this would help you to treat your health issues in the best way possible. Welcome for any further query in this regard. Good Day!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter is 13 and for about a year now her nightmares have been coming back off and on. At first it was just a rude awakening for her and she would go right back to sleep but now they have become so real to her (as she says). She screams and cries like it is really happening and it is affecting her sleep schedule and performance in school along with her other activities such as girl scouts and band. I have looked for therapists but Im just not sure yet if I should take her or just help her at home.", "output": "Hello, I understand that you are worried about your daughters sleep problems. Now, everyone experiences nightmares sometimes, bit they can be quite distressing if they happen very frequently. Frequent and distressing nightmares in child Chat Doctor. In your daughters case, since her symptoms are resulting in significant dysfunction and affecting her school and social life, I would adviser you to seek professional help from a psychiatrist or child psychologist. Best wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was attacked by a dog (pit bull) three weeks ago and have a number of bits on both forearms. I got treatment at the emergency room and their initial evaluation was that I didnt have any structural damage. My wounds are just about healed and Im not experiencing pain, but I have a patch of skin on my wrist that is completely numb to touch. Its been like this for three straight weeks with no change. Its located on my left wrist (on the thumb side of the palm) and starts at the base of the hand and continues down that side of my forearm about 5 inches and ends at one of the dog bites. Im guessing I have an issue with the nerve, but since its not painful, and doesnt impact my mobility, what are the risks of not getting the nerve damage corrected?", "output": "Hello, Thanks for writing to us. According to your description of numbness, it seems that you have numbness only on some patch of your forearm. If a main nerve is damaged - it will create numbness till the end of the finger. So if your numbness is patchy - it means that only a very fine nerve branch may have been damaged, if any, which is not possible to repair. The good thing is that - nerve endings do grow back, but at slow pace, some few mm in a week. So my suggestion would be to wait, as time goes by - the nerve will regrow and your numbness will disappear. To accelerate the nerve growth and minimize the numbness - you could take vitamin B 12 supplements. They are essential in nerve repairs and may help you to recover a bit faster. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter has behcet`s disease similar to lupus i would like to know if it would be ok for her to have tyrozets to numb her mouth ulcers.", "output": "Hi Jayne, Welcome to Chat Doctor Forum. How old is she? If she is less than 12 it is not Recommended. If she above 12, she can take these Lozenges safely which contain a Local Anesthetic and an Antibiotic Specially designed for symptomatic relief from Throat Pain and Mouth Ulcers. See to it that she does not take more than 8 Lozenges in any particular day. Let her take her Medications regularly and go for regular follow up. Good Luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son 7 years old has been diagnosed HSP Henoch schonlein purpura 3 months back, Dr started steroid for a month, his rash was cleared but again he was infected after a month, so we changed his Dr. his new Doctor stopped all oral medication and told us that it will have with unknown period so no need to be worry but whenever it starts again u can give him anti-allergic syrups for atleast 4 weeks, but we are observing that during his medication he has infected again n again, we have taken Urine D/R and Cretinine test and all are Ok, I want to ask u that what is the duration of this disease. Is this disease ever under control by this medication what we are giving to him, Really we are much worried about his health, and plz suggest us any precaution, side effects of this disease and the main cause of this disease. i ll be very thankful to you Best Regards", "output": "HI. I could understand your pain, HSP mainly involves skin as rash and purpura, joint pains, kidneys and gut with loose stools or severe cramps. It usually subsides and self limiting, but may recur in few people. YOU CAN GIVE pain medications like paracetamol, naproxen .only, if he had severe gut pain with bleed and proteins in urine you will be advised steroid medications. Apply, emolients/moisturizer locally. If still the rash and pain persists, NEED TO GIVE STEROIDS FOR A SHORT DURATION, pLEASE SHOW TO A PEDIATRIC RHEUMATOLOGIST, IF YOU ARE GETTING RECURRENT SYMPTOMS.hope IT ANSWERS YOUR QUERY" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "There was a blood clot in the left side of the brain on a patient on 24th January 2012 at 9 am. The patient gone unconscious. The patient undergone operation and the blood has been drained. She has been unconscious since then. She is in ICU and she was under ventilator and now the she some times breathes without ventilator for some time. She has no sign of involuntary movements of her body and even the eyes. She has fever now. Please advice how long it will take her to get back into senses ?", "output": "Hello, Unfortunately, there is no way to give a time frame as to exactly when she may regain her normal conscious state. This is entirely dependent on the severity of the stroke. You also state that there was a clot to the brain but at the same time blood was removed surgically so it's not clear to me whether she had an initial SUBDURAL or SUBARACHNOID hemorrhage or whether she may have had an embolic stroke which then, underwent hemorrhagic conversion and was Chat Doctor. In any of those cases, mental status can be affected for days or weeks on end. The neurologist managing her case does have some tools at their disposal to assess the degree of damage to the brain. Perhaps, a conversation with the neurologist can yield more information on when the expectation would be that she can start displaying function and higher levels of consciousness. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello. I have had dull neck/ shoulder discomfort for the past few months. This seemed to start when I noticed a small bump in the back of my mouth . I went to a dentist and they told me I have a impacted wisdom tooth . They referred me to a oral surgeon. They then told me that if it started to hurt and cause pain to let them know and they d remove it. My question is this... can a impacted wisdom tooth cause what I am experiencing? Thanks.", "output": "Hi Impacted wisdom tooth along with infection if present can lead to the symptoms as described by you. Infection in such cases spread to the path of the lowest resistance, and it can either progress to neck spaces or spaces around inferior of the mouth or around shoulder. So pain in these areas. it's better to get it removed as soon as you can. In the meanwhile take amoxicillin 500\u00a0mg three times a day along with veteran three times a day. Do warm saline rinses 3 times a day. Wishing you healthy life with best regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Skeletal chest pain left side, had for aroud 18 months, 22nd October 2010 had PFO closure so I know my heart is all OK, no more mild strokes. I get sharp pains to the bottom side and top of my chest, sharp twinges then release. The pain is like a burning pain that can grind away for hours, sometime pain killers will give me relief, sometimes no. When I am sitting and slightly leaning forward is when I at my worst or trying to complete some physical work. Have been told it is skeletal or nerevs caught in my rib cage casuing the problem. Your thoughts thanks David", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Possibility of musculoskeletal pain is more likely because your pain is associated with specific body position (sitting) and movements (leaning forward) of chest. So follow these steps for better symptomatic relief. 1. Take painkiller and muscle relaxant Chat Doctor. 2. Avoid heavyweight lifting and strenuous exercise.3. Sit with proper back support.4. Avoid movements causing pain. Avoid sudden jerky movements of chest.Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I am a 25 year old male and i want to know that i have some problem. Over the past few weeks, I ve been experiencing a vibrating sensation on my neck sometime 2 or 3 times in a day for 10 to 15 min. so can you tell me what could be causing the muscle shaking in my neck? Thnx...", "output": "Hello, I think the vibrating on your neck could be due to possible bad positioning of your neck. This might have caused pressure or bad stretching of the muscles, ending up to vibrating sensations. This might be corrected through :- avoiding bad positioning- light stretching exercises of the neck area and back-taking a magnesium supplement. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter 2yrs is suffering from cough and fever for two days. We consulted our local doctor and he said that she get pain in tonsil causing fever and prescribed Azithral 100 for 5ml per day. Her fever still persist. We give her SumoL DS 8ml but could not relieve. Kindly help .", "output": "Most of the fevers in child Chat Doctor. Same for sore throat. Since your doctor has felt it reasonable to give Literal (azithromycin), please complete the course as prescribed. Sumo contains paracetamol 125\u00a0mg/5ml. How much dose your child needs depends on the body weight which you have not mentioned. The dose is 15 mg/kg/dose given at a minimum interval of 3-4 hours. If fever is not relieved with Sumo, you may try Eugenic plus or Metal which are more effective in reducing fever." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my husband has colorectal tumour with metastises in both lobes of the liver, He has undergone radiotherapy and chermo in tablet form then a second treatment of cetuximab, oxiplaitin and fulfox? which have significantly reduced the tumour markers but we have been told the liver is inoperable here in the UK. We would like a second opinion and wondered where to achieve this", "output": "Hi and welcome to Chat Doctor. Thank you for the query. You didn't provide enough info about his condition, but general operability of hepatic tumors can be easily determined, so I don't think that your doctors did something wrong. Multiple metastasis may be removed. But in most cases if there are metasties in both lobes then there is usually vascular invasion and the removed part of liver would be too big to allow normal liver functioning. There are some modern nonsurgical therapeutic modalities(RFA, cloth, ultrasound TH etc.) beside chemo and radio, but the results are not promising. Wish you good health and good luck. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i just moved to a new house and its kinda old and dusty and im getting allergies and they wont stop its been about a month now and i still have allegies i been drinkin pills but they dont work. also i sneeze alot but now its starting to hurt my lungs when i sneeze what should i do? plz help", "output": "HI, thanks for using Chat Doctor Dust is one of the more common allergens and is likely contributing to your allergic symptoms. The only way to relieve the symptoms would be to decrease your exposure to dust. This would involve spotless any carpets, rugs, bedding, couches etc. that may harbor dust. Thorough cleaning of any other areas may also be needed. The use of mattress and pillow allergy casing may also be helpful. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "patient smt sumitra devi ,female ,67years old lady ,known diabetic type 2 ,non hypertensive ,H/o CAD unstable angina ,Tmt Positive , S/p CAG [17.5.10] kameneni ,LMCA +triple vessel disease ,good LV function , treated at care hospital banjara for 44 days and presently readmited at hiranandani hospital ,mumbai , for brethlessness and drowsy , kept on Bi pap support , with minimal support , sp02- 99, RR -17, HR 77, BP -134/77 , on pyridostigmine , a know case of occular myopathy , with type 2 respiratory disorder , looks to be musculat distrophy , needs further management ,looking for what can be the suitable offer to the patient , pl advice", "output": "Welcome to Chat Doctor, type 2 respiratory disorder can be diagnosed by ABG(arterial blood gas analysis). It responds well to BiPAP, the settings can be decided by a pulmonologist. But, her coronary artery disease needs attention too. I would suggest getting her stabilized first and get her CABG done as soon as possible. Muscular dystrophy is a subset of disease with very few treatments. Physiotherapy and correct diagnosis of type of muscular dystrophy may help." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i got bitten by our puppy who has not received any shots yet, he was already sickly during that time and today, 3 days after the incident, he died. I did not bleed when he bit me, but only had some scratches which were not deep and was not infected. Am i in danger, too?", "output": "Hi & Welcome. I can understand your concern. It is unfortunate your puppy died after the biting incident. Being not vaccinated against rabies, it seems to have died due to rabies or some other illness. But, since you are bitten by a rabid animal you must take five shots of antirabies vaccine on the following schedule, day 0,3,7,14 and 28. Since rabies could be the cause of the death for your puppy, you must take anti rabies SERUM immediately along with the first dose of anti rabies VACCINE on day O. Hope this answers your query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have been having uper thigh/lowser abdomen pain for about 24 hours now. It is getting slightly worse over time. I really would like to know what this aching in this area could be. I have read about it and it looks like it could be a possible groin strain. can u please help me?", "output": "Bellflower abdominal pain may be due to many reasons like pelvic pathology, genitourinary pathology, colitis,musculoskeletal reasons like sprain etc. You need clinical correlation and investigations like routine hologram, random blood sugar, liver function test, renal function test, urine RE/ME and ultrasound of abdomen. Ultrasound is important in your case. Proper treatment depend upon findings. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "A couple years ago I went in the hospital for severe infection on high any biotics the antibiotics kill good antibiotics which created another infection after I got through that infection and you re so go I noticed that a rotten piece of meat fell out of my ear which was a skin graft since then I ve been leaking a yellow greenish substance out of my ear that never seems to go away what can this be caused by", "output": "Hello, I guess there is persistence of infection or might be reactivation of infection that causes this discharge. If you finished an antibiotic course just within three months then it is advisable to consult an ENT surgeon for basic Endoscopic examination. If not you can take T. Mahacef CV medicine BD (twice daily after food) for 7 days and it is necessary to do Endoscopic examination. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HELLO I HAVE A TOOTH INFECTION WHICH I TOOK AMOXICILLIN 500MG FOR 5 DAYS 3 TIMES A DAY ON THE SIXTH DAY I STARTED TAKING LINCOCIN 500MG FOR 7 DAYS 3 TIMES A DAY THEN I HAD MY TOOTH PULLED AND PUT A TEMPORARY BRIDGE OVER ITON THE SAME DAY. THEN I CONTINUED TAKING CLINDAMICYN 3OOMG FOR 7 DAYS WHICH I FINISHED TODAY AND STILL FEEL MINOR PAIN .YESTERDAY I WAS PRESCRIBED AMOX-CLAV 500-125MG #20 TABLETS.MY QUESTION IS,SHALL I TAKE THE LAST MEDICATION [AMOX-CLAV] FOR THE NEXT 7 DAYS?BECAUSE IM READING EVERYWHERE THAT I SHOULDN T TAKE ANTIBIOTIC MOR THAN 10 DAYS OR DRUG INTRACTIONS FROM 1 DAY TO ANOTHER.PLEASE HELP", "output": "Hi, Well if the pain is minor then better stop taking antibiotics now, as you already had enough and is sufficient. So my suggestion is to once get your extraction site checked by your Dentist to see the status of healing. It will be better if you keep the extraction site clean, use antiseptic mouthwash gargles to gargle daily and also do warm saline gargles. Take soft meals till the pain completely subsides. However, after a clinical checkup of the extraction site it can be decided that further you need antibiotics of not. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Today I got a call from my uriologists nurse following a prostate biopsy. She wants me to come in to the office. I asked her if the test showed any signs of cancer and she said yes. I have an appointment with him in 10 days. But right now I m worried and want to know what to expect and what Im up against. Can you give me some answers? Jay", "output": "Hi Jay. I can understand your anxiety and worry. Why was your prostatic biopsy performed. What was your PSA level. Now that your prostate cancer has been diagnosed, staging investigations are required to see if the disease is limited to prostate or if it has spread to other parts of body. A bone scan, MRI scan of pelvis and CT Scan abdomen & pelvis may be required. Further treatment plan will depend upon the stage of the disease. I hope your question has been answered. If you have any further queries I will be more than happy to answer. Thank you for choosing Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was diagnosed with Anti Musk Antibody Myasthenia Gravis in September and twice (the last being Saturday) I woke with severe pain in the middle of my chest and back. It was hard to breathe because it hurt so much. It did ease off and I now have a dull pain.", "output": "Hello! Welcome and thank you for asking on Chat Doctor! Regarding your concern, I would explain that it is important performing a comprehensive differential diagnosis between different possible causes that may lead to such symptoms: - a lung disorder- musculoskeletal pain- a Tacoma (considering your positive antibodies)- a heart disorder-esophageal spasms, etc. For this reason, I recommend consulting as soon as possible with your attending physician and performing some tests: - a chest X-ray study and pulmonary function tests- a resting ECG and a cardiac ultrasound-complete blood count, PCR, ESR for inflammation- D dimmer levels for possible pulmonary embolism. A chest X-ray study would help investigate for the presence of Tacoma. Hope you will find this answer helpful! Kind regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 57 years old - 5 ft 9 in and have had 3 normal childbirths. I never gained more than 25 lbs when full term. My weight after pregnancy returned with little effort. For at least the last 35 - 40 years my weight was never a vanity issue. I was a size 6 easy. However In the last 9 years I have been diagnosed with an autoimmune disease (SLE). It has dramatically affected my activities with fatigue but my body seemed to adjust. A year and a half ago I had a series if severe seizures and was basically very still or did no exercise as it worstened my symptoms. About 8 months ago I just started gaining weight at a pace that I could order jeans and they would be too tight by the time I received them. What, besides the above info can you tell me as to why I am gaining weight. I do feel like all parts of my body are inflamed at times and it seems to be getting worse. Janet", "output": "Hi, Thank you for posting your query. The most important causes of weight gain is reduced physical activity and eating more than required. Reduced physical activity can be on account of your illness (SHE and seizures). When your lifestyle requires less physical activity, then, the food intake should also be proportionately reduced. If not, then, the weight tends to increase. In addition, the medications used for SHE such as steroids also lead to weight gain. In any case, diet control coupled with regular exercises, would lead to your weight becoming normal again. I hope it helps. Please get back if you require any further information. Best wishes, Chat Doctor. Ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "so my sister was beaten and abused 4 years ago by her boyfriend and now apparently theres damage to the uterus lining and the doctors say that theres a small chance that shell be able to carry a child due to the fact that theres only a 10% chance that the egg will stick to her lining. Is there something that can be done about this as she would like to eventually have a child with her current boyfriend.", "output": "Hi, Thank you for choosing Chat Doctor. I feel she is having Sherman syn Chat Doctor. Next best investigation will be Hysteroscopy to look inside the uterus and some blood investigations like FSH to know her ovarian reserve. I hope this information has been both informative and helpful for you. In case of any doubt, I will be available for follow-ups. If you like my answers kindly rate it, and write a review as well. Please do not forget to accept it. Thank you, Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have been having horrible chills, followed by back/nect pain (FROM BEING HIT BY AN 18 WHEELER IN 2004) ELECTRICAL SHOCKWAVES THROUGHT MY BODY LIKE BEING TORTURED WITH A TAZAR, I GET A SENSATION OF BURNING AND ITCHING. THAT IS FOLLOWED BY WEAKNESS AND MEMORY LOSS/STUPITY THEN A HEADACHE. I HAVE HAD A IUT THAT WONT GO AWAY.", "output": "Hi thank you for trusting ChatDoctorI read your query and understand your concernUnfortunately your symptoms don't lead to a specific disorder In my opinion you should be checked by a neurologist because neurological exam will give information about the cause and the suffering zone It may your neck or your head which is provoking your symptoms Consult your neurologist than decide for the right examination which will probably be magnetic resonance Hope I have been of helps healthyRegards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "just recently maybe a few days ago I noticed a dark red line at the bottom of two of my back teeth. one of the teeth I had a root canal done several years ago. I never noticed it until it became sore a few days ago. the soreness didnt occur until after I found out I was pregnant. I have a dentist appt. coming up but I would like to know now what it could possibly be.", "output": "Hello, Thanks for consulting Chat Doctor, Read your query, as you have redness in root canal treated tooth after several years back this can be due to inflammation of gingival or periodontal ligament, may be due to pocket formation in tooth, or due to pregnancy induced. For this you should consult dentist and go for examination, investigation IOWA X-ray of tooth and its treatment Oral prophylaxis, in meantime you can do warm saline rinses. Hope it will help you. Wishing you good health. Regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a thumb crust injury on 11/12/12 and have bilateral carpal tunnel and recently had a sprain wrist to the right hand. X ray of right hand had no fracture but showed mild DJD scaphoid multangular and first carpometacarpal joints. I want to have the carpal tunnel release surgery and would i need a joint replacement to the hand and can this situation develope from the thumb crush injury of 11/12/12", "output": "His think you are having 2 different conditions which are not related to your crush injury in 2012. Bilateral carpal tunnel syn Chat Doctor. Carpal tunnel release surgery is advised when everything else has failed to relieve symptoms, and it has a very good success rate. DJD around scaphoid and thumb carpometacarpal arthritis is also very common, it is first treated with simple pain medication, injections and when this fails there is wide range of surgical options to consider and this would not involve joint replacement." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My wife had a second mis-carriage in the 7th week after hearing the heartbeat..and also there was a pregnancy delay of one week frm LMP..and this has been a silent miscariage again.with no stomach cramps..i also got my semen analysis done and found the_sperm_count_42 with motile sperm is 50%..with PUS cells 8-10%...and it indicates Pyospermia...can_you_please_suggest_what_can_be_done??", "output": "HelloWelcome to Chat Doctor As per your query regarding your sperm health, and you have indicated as it pyoderma.1. In your semen analysis reports shows little lower count and also lower motility.2. In this condition, ad thing is pus cells, which shows infection in your body which turns sperms in pus formation.3. As per this report, we can not say as the miscarriage been from the sperm quality, however poor sperms makes weak pregnancy or infertility.4. Thus, you have to correct your sperm condition before next try for conception.5. Antibiotic will not work, although it will make count and mobility loss too. Ayurveda medicines are very effective, and it makes sperm quality too much better. Please start the following medicines for three months and evaluate semen after three months for further guidance.1. Tab Beings 2 tabs twice a day2. Dvadashang fan 2 tabs twice a day3. Chandanasava 10 ml twice a day4. Rushy tab 2 tabs twice a day5. Prajasahapan tab 2 tabs twice a day. Avoid spicy and fermented food. Avoid watermelon. Avoid to take any medication avoid having unprotected sex avoid more than two times sex a week more advance treatment you can consult Online too." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have a 9 month old baby and i get help with formula from WIC they only give me 7 cans of formula and sometimes i end up running out of formula like a week before i get issued out again. Are there any other formula related things i can give my child like Nido? My baby drinks Enfamil A.R.", "output": "Let me emphasize on the fact that breast milk is the best feed for a baby up to 6 months of age. Beyond that, the baby needs a mashed version of adult diet low on spices. Milk becomes an optional component at this age if other sources of nutrients are included in diet. Dido, Enamel or similar products may be given, but I would prefer homemade semi solids made from boiling rice and pulses along with vegetables and giving it after mashing it. Most of these would be more nutritive than the available formula, and so I would not speak in favor of formula foods." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I recently found out I had h.pylori and I took all the antibiotics prescribed. I took Omeprazole and probiotics but the heartburn has return with a vengeance and no matter what I eat It just stays. I don t want to keep taking more antibiotics. I want to know could the h,pylori be gone and I still have heartburn and what can I do about it?", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have some ulcers in your upper gastrointestinal tract. You should go for endoscopy. Furthermore, you should also go for the h. Pylori test. If it is still there you should take antibiotics and proton pump inhibitors. Consult your doctor and plan accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i m 30 years old , and few week back only i noticed this spot on my internal foreskin of penis , its small and red . i got myself checked up with skin specialist . he told me that its a fordyce spots and cannot be treated and will not harm me or my partner.But i have a query that is it going to increase or spread . what are the solution or medicine to get rid of this fordyce spots its looking bad i want to get rid of this. plz advice", "output": "Hello and, Force spots are harmless skin structures caused by obstruction of sebaceous glands in the foreskin. As mentioned by your treating doctor, they are harmless and require no treatment. Infact there is no treatment for the condition. Besides cosmetic implication, its presence will not harm you in any way. You need to consult a cosmetologist for the lesion. You can also consult a dermatologist if you do not find a cosmetologist. Thanks and take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband is 52 years old and is on Nitroglycerine, Metaprolol, Atorvastatin, and GymiM1 for the past 5 years. He drinks limited qunantity of alcohol daily and his physical exrcise is minimum. he persistently has a SGPT value aroud 80-90. What does it show", "output": "HelloThanks for asking query on Chat Doctor. Elevated SGPT may be due to multiple factors in your husband and needs evaluation along with treatment. Common causes could be - secondary to fatty liver, alcohol related, Chat Doctor. I would suggest getting liver function test (LFT), Ultrasound of the abdomen to look for fatty liver and testing for hepatitis B and C. Depending on that specific treatment can be decided. Few common treatment goals are - to stop alcohol, increase physical exercise, good sugar control and reduce weight if obese. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was asleep then i woke up with a fast heartbest and throwing up. It lastes for 5 minutes now my heart is normal. I dont smoke and i only drink water. What could of caused it. I have good blood pressure as well. I do have burning in my chest. Do i need to worry?", "output": "Hello, Mostly it's an acidity and reflux disease. Do you upper abdominal pain, nausea, bloating, burping, increase in pain on food, sour water feeling in throat or chest burning, if yes it further supports the diagnosis? You should avoid fatty, oily and high calorie diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Lots of green leafy vegetables, fruits. Avoid alcohol if any. You can get prescribed tab Pan DSR 40 mg before breakfast once a day for 2 weeks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. What is the best line of treatment for someone who has been diagnosed with internal melanoma which was discovered from a large swelling in the lymph nodes under his arm. The biopsy came back as melanoma but he hasn t been offered any treatment, just pain relief as the moment. I find it hard to believe that it can t be treated with cytotoxics or radiation.", "output": "Hi, dairy have gone through your question. I can understand your concern. You have internal melanoma. It is diagnosed by lymph node biopsy. So it is already metastatic malignant melanoma stage 4. Treatment options are chemotherapy and radiotherapy. Despite treatment prognosis remains poor. Life expectancy is not good. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I want to seek treatment for add. I and a 62 year old male who has suffered from being unable to focus in sports activities. For many years I ve tried every supplement I could find and have been unable to find anything that helps. Do you know of any doctor in the Sacrament are that specializes in this area ?", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. Attention Deficit Disorder is a disorder and not a disease. Disorder becomes health or life problems if you take them seriously. Ignore them and be aware of them. Find your attention deficit areas and be aware. Never try to overpower them. Ignore them. Think that they are normal and are causing no problems to you. Slowly and steadily the effect on life reduces. You learn to live with it effectively. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am female 52 years. Suffer ulcerative colitis and awaiting knee replacement.Why do i have cold shivers that last for a couple of hours and feel totaly washed out.It used to happen now and again but has happened three times this week. Today1.30pm and I am only now feeling a bit betterat 10pm", "output": "Hello! Welcome on Chat Doctor ! Your symptoms could be related to a metabolic disorder (vitamin B12 or vitamin D deficiency, an electrolyte imbalance, thyroid gland dysfunction, etc.). Anxiety or Epilepsy seizures can not be excluded either. Coming to this point, I would recommend consulting with your GP for a physical exam and some tests: - complete blood count for anemia-thyroid hormone levels - blood electrolytes- vitamin D and vitamin B12 plasma levels- a resting ECG. An EEG may be needed if suspicions of seizures are raised. Hope you will find this answer helpful! Kind regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear doctor I am the father of the patient my son who is 13 years old. I am from India. During our journey to our native, while travelling in bus, my son fell from top of the sleeper coach and hit his head resulting in swelling on back that is top right corner of the head. He is normal right now and swelling also subsided. Should I take him for CT scan or not is my question please.", "output": "Cellophane You for contacting Chat Doctor. Swelling in such cases occurs due to hematoma formation(accumulation of blood beneath skin) due to damage to superficial vessels which resolves itself after a while. I would suggest you to monitor your child closely for following signs which is appear then needs immediate medical attention followed by CT head.:> Altered state> loss of consciousness> Visual disturbance> seizures> any unusual symptom Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. Wishing him good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor,My self raj, I have been suffering from cold cough and sinus problem from past 4 years and from 2 years i have been suffering from beathing problem means sometime i cant breath propely and whistling sound comes. So many times i have tried so many medicine but after every 10-20 days i face the same proble. kindly suggest me smthing.", "output": "Hello Raj, Thank you for asking at Chat Doctor. I went through your history and would like to make following suggestions to you:1. As you have a long-standing problem, I usually prescribe my such patients intranasal corticosteroids (Mometasone furnace or Fluticasone propionate) for at least 2-4 weeks, montelukast and levocetirizine for at least 4-6 weeks.2. I also would suggest you to use inhaler albuterol or levosalbutamol on as-and-when-needed basis for asthma symptoms or wheezing or breathing difficulties.3. It is important to mention here that all the medicines can usually \"control\" allergy/asthma symptoms, they cannot \"cure\" them.4. I would suggest you allergy testing which will help you identify the substances you may be allergic to and also to know the measures to avoid them. Based on the allergy testing, an Allergist-Immunologist may prescribe you allergen specific immunotherapy which works on immune system to gradually improve allergy symptoms over a long period.5. In general, I would suggest you to avoid exposure to dusts, smokes and air pollution.6. Regular breathing exercises and a healthy diet rich in vitamins & minerals (adequate amounts of green leafy vegetables, fruits, sprouts, etc.) will also help you in a long run by improving your lung capacity and immunity respectively. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you the best of the health. Thank you & Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had what seemed to be a toenail fungus, toes were yellowed,started peeling, slight smell... I have been treating i with tea tree oil and it looks alot bette nw.However here seems to be a few black spots that are not going away.. is this from th fungus? how can i tell?", "output": "Hi thanks for asking question. In the toenail mostly due to improper cleaning, fungus infection chances are more. In this infection lesions itchy with peeling and somewhat foul smelling. So better to treat it first as fungal infection. Apply antifungal cream over that like clotrimazole. Oral itraconazole also helpful. Wash your hand after touching infected nail. Avoid moisture between nails. Use soaks that reduce moisture. Clean soak has to be worn.Don't walk bare foot in public place. Avoid using nail polish. Chat Doctor. For bathing warm water is helpful. I hope my suggestion will help you. If still no benefit then we will think further.thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "little red bump with a black spot in the center on the top of my baby toe. when i break it open and squeeze there is either/both clear fluid and blood. no pain with direct pressure, slight pain with pressure on the sides but i have been squeezing fluid out the last half hour. had it several months, havnt paid much attention to it. hasnt affected normal life in any way. what is it and should i do somehting about it?", "output": "Hi, Dear Good Evening, and thanks for the query to Chat Doctor. Cause of the red lump on the top of my baby toe-I studied your query and understood your health concerns. In my opinion the red lump is mostly due to chronic infected boil-of the toe. It has not affected the normal life of the baby and is due the thickened chronic abscess wall of the toe boil. To avoid any further septic complications from it -I would advise you to consult an ER Surgeon ASAP. Hope this would help in planning treatment with you Doctor. Welcome for any further query in this regard. Plz write a Good Review-without fail, as it would help other patients coming to Chat Doctor. With Regards. Chat Doctor. N." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi sirMy husband is having grade 1prostatomegaly.size of prostate gland is 43*24*37 and weight is 22.5gms.He had renal stones but they have been removed now.No alarming sign and symptoms he is having.Can you please tell what medications should he has?", "output": "Hi, Renal stones are caused due to plenty of causes i.e. genetic, dietary, infective ....etc. Ureter which has the smallest urinary Tract diameter of 5\u00a0mm. So stones of diameter 5\u00a0mm or slightly more can come out by its own. Now once renal stones being formed has tendency of recurrence so one need to remove it by Chat Doctor. Regarding BHP can be controlled medically with alpha blocked and 5 alpha reductase inhibitors at this stage .hope this ll help Thanks n regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Doctor, I am 54 years old, 1.77metres tall and weigh 77kg. I have not really had any health problems except for light blood pressure (10mg Linisopril / day and use Symbicort inhaler - preventative - have not had serious asthma for 12 years). I have had pain on my RHS for about a month, just under the rib cage extending down to lower abdomen. Constant dull ache with occasional stabbing sensation. When I sit in a slight slouching position, the pain feels worse, as though there is a ball or something in there, or a pulled muscle. This morning, a bruise just appeared a hand s width from my navel (RHS). Should I see a doctor? Thanks Allan", "output": "Hello, Your symptoms can be related to many medical conditions. One of the possible cause can be a pulled muscle. Another possible cause can be gastritis which is an inflammation of the lining of the stomach. I suggest using Acetaminophen to relieve the symptoms three times a day. I also suggest using a Castro protector such as Omeprazole 20 mg daily. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "have a scab on my penis, about 1/2 inch below the head. usually takes about 3-4 days to fall off. after sex or masturbation it turns pinkish red and is raw and then goes back to a scab the next day and the process starts again. this started about 3 weeks ago, any suggestions??", "output": "Hello share your concern, I had gone through your question diligently, and I will try to help you out in the best possible such a scab or pinkish red ulcer on the testis can be caused by infection from urine or stool, Sexually transmitted infection and can be allergic as wellie you can upload me a photograph and answer my these questions I will be able to help you Bettencourt age and relevant medical history if any like diabetes or liver disease? Have you ever had similar problem in past any recent exposure to unprotected sex? In my opinion you should see your doctor for physical check up and investigation to rule out infective conditionMeanwhile you can apply antibacterial or antiseptic ointment like mupirocinMaintain good hygiene you can take Ibuprofen for pain. Hope this answers your question, Please feel free to ask for more clarification, I will be happy to help you Best wishesThanks and regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a very large bruise on my knee which is very sore and warm when l touch it. I knelt on a sharp piece of wood 10 days ago whilst assembling a flat pack of furniture. I am flying in 6 days time on a 4 hour flight and concerned about danger of blood clot. I take 75mg of aspirin daily. Is it safe to fly?", "output": "Bruise is blood that has extravasated, it gets reabsorbed on its own, but takes time usually 3 weeks to a month sometimes longer, aspirin you take is for preventing clotting of blood and it used bruise to be very large, you need not stop aspirin as of now, and there is no need to be worried about your flight journey for an external extravasation of blood., I recommend some painkillers SOS, and ice fomentation and wait for bruise to be absorbed." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have had chills thats send a wave of dull pain through out my body i dnt have fever ive had this before i recently went to hospital for palpatations after i have an episode of palpataions i get regular chills but whats been bothering most is these fraustrating pain chills", "output": "HIT hanks for posting your query. Apart from fever chills could be due to low blood pressure, low blood sugars, Urine Infections or some Hormonal imbalances. This along with history of palpitations points more towards either low Good pressure or Hormonal imbalance. Has any tests were done when you had Palpitations? If yes kindly upload those reports. If no kindly get these following reports and revert. Fasting Blood Sugars, Serum Cortisol (Morning sample) Serum TSH and Treadmill test. Hope you find this information useful. Any doubts or queries feel free to ask." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi I have just moved to a tropical area and I have a red, little bit blotchy rash on my left temple, cheek and ear. Prior to getting this I had a headache and sore eyes. I previously had this in South Korea a few years ago and attributed it to seafood allergy. What do you think it is, and what could help?", "output": "Hello and welcome to Chat Doctor I would keep a possibility of Polymorphic Light eruption (POLE), possibly due to intense sun exposure in your area. I would suggest you to apply a broad spectrum sunscreen, that which offers both UV B and UV A protection throughout the day. A sunscreen with minimum SPF 30 would be required. It should be re-applied every 2-3 hours. For the blotchy rash, you could apply a moderately potent topical steroid e.g. futicasone propionate cream twice daily over the affected area. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My four grown children say my husband is a mental abuser and that he is abusing both my one grown son who moved back in with us about two months ago and myself. I know for a fact he is mentally abusing my son, glaring eyes, getting on his back (when I am not around). Telling him he is useless because he is having trouble getting a job. How can I stop this and how do I know he is abusing me. We have been married 40 years, I do not know what to do.", "output": "Hi, Welcome to Chat Doctor Forum Your husband is not happy with your son, which is leading to adjustment problem between him and your son. As a mother, you can discuss difficulties faced by your son, with your husband. Try to find out problem which is leading to adjustment problems, like not getting job is one of the problem. After findings start working on solutions of problems and involve your husband actively in problem-solving. Sometime stress, anxiety and depression may also lead to irritable behavior, in that expert like psychiatrist help may be needed. Wish you Good Health and all the best. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I cant seem to find the right info on the web, hope someone can help. My front tooth is broken and greying inside, smells pretty bad, so im sure its rotting or decaying, bust it does not hurt. Not sensitive.to hot or cold but does hurt if I lightly tap it. Gum around tooth is sensitive however and sometimes lightly bleeds. What do you think is wrong and what would be the best way to fix it? Thanks.", "output": "Hi. Thanks for your query. As per your complaint your tooth has become non-vital which means due to decay or trauma whichever is the reason of breakage of your tooth, the tooth has lost its blood and nerve supply due to which it became dead and does not respond to hot or cold. But as you find pain on tapping the tooth and gums are also tender it shows that the infection has progressed in the bony region just below the tip of root of your tooth. What you should do is to visit a dental surgeon and get an IOP AR (x-ray) done and get evaluated for further treatment to avoid complications in the future. I suppose getting an RCT done if the remaining tooth structure left is sound enough followed by a tooth colored cap can solve your issue related to your disease as well as smile as it is your front tooth... All the best... Thanks and regards. Chat Doctor. ." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My name is tommy I work at a hospital and was vacsanted 2 times for hep b.. my result non reactive. I was told I have chronic hep b. my results Hepb surface Ag Reactive. Hep Core Igm Ab non reactive,Hep b core total AB reactive. Have searched unsure.Said I need liver biopsy all blood work good.liver enzymes are fine.", "output": "Hepatitis B, C and D are transferred through sexual contact, infected blood, from mother to child or through family members who are already affected. To prevent such viruses from afflicting you, habits such as safe sex and maintaining your own toothbrushes, razors, needles, and nail clippers is advisable. Pregnant women should undergo Hepatitis B test. Best Liver Transplant Surgeons In India suggest taking Hepatitis B vaccination as the best prevention method especially if there are risk factors around." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "for the past year ive been feeling breathless, feeling like i cant get enough air into my lungs, i can just be sat doing nothing and still have the same symptons, been to my gp about this three times and puts it down to stress it seems to be the answer to everything! im a young 48 and work full time, my regular meds are zapain and ibruprofin for a bad back which ive been on for approx 3years. I dont know what to do. lesley", "output": "Hi thanks for contacting Chat Doctor.... Noted you feel like not getting enough air in your lung.... First just consult pulmonologist and your respiratory examination done...If you need to rule out asthma or COPD like causes pulmonary function test done by spirometry.... If it comes abnormal then further investigation can be done.... Here you might have stress related dyspnea as suspected by doctor... By excess stress panic attack can lead air hunger... So try to avoid stress... Early morning yoga and exercise good for stress relief.... If needed you can consult psychiatrist for further behavioral therapy and counselling.... No need for worry. Take care.... Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 4 year old child, suddenly, last night developed awful stomach pain and a really high fever and complained of his throat hurting. Today the fever was gone, stomach pain was very mild, and no complaint of sore throat. Suddenly he developed a102 fever. Now his throat is hurting and he is very sleepy. He was just fine. What could be wrong and do I need to take him to the ER or just schedule a Dr appointment? Thank you, Jessica", "output": "Hello. I just read through your question. Infections of the throat are often accompanied by fever, headache and stomach ache. The most common diagnosis is a viral illness. These typically resolve on their own after a few days. However, sometimes this could be a bacterial infection and require antibiotics. This is not an emergency and does not warrant a visit to the ER. I recommend, though, that you have him seen by your doctor, so the correct diagnosis can be made and the appropriate treatment therapy documented." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query hereHi i have been coughing up mucus in the morning and thru out the day but when its thru out the day its clear in the mornin after i wake up its yellow and just a few minutes ago i cough and it was a rumble on my lower back and some chest conjestion what advice could you give me ?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Chest congestion, rumblings in lower chest, coughing, mucus expectoration etc. are suggestive of lung infection like pneumonia. So better to get done chest x-ray first. You may need antibiotics. If chest x-ray is normal then no need to worry about pneumonia. Chat Doctor. Do warm water gargles 5-6 times a day. Take levocetrizine for cough.Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Doctor--Writing on behalf of my Mom. She is 81 years old and right now she is experiencing excruciating pain in her upper back/torso. Additionally, this pain has caused her to develop a large red rash on her back that burns but does not itch. What could this possibly be?", "output": "Hello, Common causes of pain in the upper back are:- 1) Injury or trauma 2) Improper posture 3) Pulled muscle or sprain 4) Spondylosis 5) Herniated disc 6) Arthritis 7) Referred pain due to cardiac issues and many more. You can give tablet Diclofenac. Apply Diclofenac gel or Voting spray. Do physiotherapy as advised. Take a rest. You can do x-ray back after consultation. I will suggest you review here with detailed history or consult with the orthopedic with reports. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "is it okay to drink ginger-ale when one is suffering from constipation? He is 10yrs old and has been this way for 2.5months with what seems like no end in sight. I am doing the best I can yet no success and it IS INTERFERING with his schooling. he has missed 2mo of school due to the pain/discomfort", "output": "Hi... Thank you for consulting in Chat Doctor. I think your kid is having habitual constipation. I have certain suggestions for you. Suggestions:1. Natural methods are the best to relieve constipation.2. Constipation is a risk factor for UTI3. Maximum milk consumption per day should not exceed 300-400ml4. Minimum 3-4 cups of fruits and vegetables to be consumed per day5. Toilet training - that is - sitting in Indian type of lavatory daily at the same time will help a lot. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I m a 39 year old male, overweight and trying to change my diet habits and exercise more. I am however feeling a tightness across my upper chest and it s particularly noticable in the morning when I first wake up and for instance try and roll over etc..etc.. I ve also noticed when I sneeze, I can t perform a deep sneeze that I can feel starting deep in my chest. My body seems to only allow a somewhat shallow sneeze. If I sneeze again, it s deeper (as it should be) but slightly hurts. Same as a cough. I can no longer do a deep cough. My doctor suggests it might be some kind of bug in my stomach? Huh? He ordered a blood test which I m waiting on now. Any ideas? Could it be anything else? What kind of bug are we talking about here and how does one get rid of it? Any help would be great!", "output": "Hello! Thank you for asking on Chat Doctor! Your symptoms could be related to a musculoskeletal pain or chostochon Chat Doctor. Gastroesophageal reflux or gastritis can not be excluded either. For this reason, I would recommend trying an antacid or PPI (omeprazole, omeprazole). If it helps relive your symptoms, it would indicate possible gastritis or gastroesophageal reflux underlying your symptoms. In such case a fibrogastroscopy would be necessary to confirm the diagnosis. Otherwise, I recommend trying ibuprofen. If your symptoms are relied on by ibuprofen, it would indicate possible musculoskeletal pain (including chostochon" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son is having thyroid surgery now. It is half over and they have said he has multiple lymph nodes involved. It is papillary cancer. One of my daughters and my husband have also had this cancer. They are fine. No lymph node involvement. What is his prognosis as compared to theirs? And thank you, Audrey", "output": "She needs a radio iodine scan after surgery. Initially a diagnostic scan. If the scan shows uptake, then therapeutic radio iodine scan needs to be done. This will ablate all the remnant tissues. Once this is done, she is put on follow up. Papillary carcinoma thyroid has a very good prognosis. Most do not die with this disease. In one series cancer related mortality in non-metastatic disease is only 6% after 16\u00a0years." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my father has been scratched by a dog teeth in the leg .It was an outside dog so whether my father should take injection or not and what might be the cost of the injection if he takes", "output": "Dear User, 1. Since the dog was aggressive we must assume it had rabies. 2. Even a bite by an animal which is not aggressive, like a cat can cause rabies. 3. I recommend \"January Diagnostics\" company (5 ml injection) costing 1,780 Rs. It is a good company. It has a Dacha Japan collaboration. 4. Immediately take the course of injections. Do it right now. Thanks for asking, Chat Doctor. www.bit.ly/ask Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my wife was diagnosed with h pylori. the doctor gave her antibiotics and the bloating in her abdomen went down. A few weeks later, she swole up again. He referred her to a gastrogist. This doctor did a colonoscopy and sent off a biopsy. The doctors nurse called my wife back and said something about the h pylori was showing up, but it should have been gone. Tomorrow, the gastrologist is going to go through her mouth and get 3 biopsies to send off again. Does this necessarily mean that she has some kind of cancer?", "output": "Hi, dairy have gone through your question. I can understand your concern. Your wife has gastritis due to H. Pylori infection. It may be possible that still there is infection by h. pylori. It needs a long course of antibiotics and long course of proton pump inhibitor like pantoprazole or omeprazole. Doctor want to confirm the diagnosis that's why they are taking more biopsy. Biopsy does not mean cancer all times. So don't worry about cancer. Just be relaxed. Go for biopsy and give me follow up with report. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my son collapst outside (2nd times in two weeks) fell to floor grazed chin and jaw said he was aware his hands were flapping on the floor. his knuckles were swollen red/purple in colour this morning as he has reins diseases. what could cause him to collapse -", "output": "Hello! Welcome on Chat Doctor ! His symptoms could be related to a cardiac arrhythmia or low blood pressure could cause such episode. Seizures, can not be excluded either, although he was aware of what was happening. For this reason, I would recommend consulting with his GP and performing some tests: - complete blood count for anemia- an EEG for seizures- a heart rhythm Holder monitoring coupled with a cardiac ultrasound to examine his heart and exclude possible cardiac arrhythmia-blood electrolytes for possible imbalance-thyroid hormone levels. Hope you will find this answer helpful! Best wishes, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my son is tube fed, this past week he had an ear infection so doctor put him on antibotics, his but got very sore (diaper rash) soon as the 10 days was done of antibotics his rash went away, but now im noticing a red dry feeling circle around his tube, should i take him to be seen or just continue to put some oniment on it?", "output": "I didn't clearly understand what you meant. Do you mean there is a red circle around where his feeding tube is, or do you mean there is a red circle around his anus? If it is the feeding tube, then it needs to be checked, and perhaps changed, by a registered trained nurse or doctor. If, however, the redness is around his anus, you can apply an antifungal cream on it for a week before worrying about it." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my sister was scheduled for thyroid surgery and the day before had to have preop testing and they found a mass on lower lobe of lung measuring 4.8 cm. They cancelled the surgery until they find out what the mass is. She had phnemonia last winter for a short time. Could this just be bacteria from the phnemonia?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Mass like lesion on lung is more commonly seen with lung cancer. But in some cases, fibrosis from the previous lung infection (pneumonia) can also cause such mass like lesion. For 100% confirmation, she needs to get done CT thorax and Biopsy from the mass. Sometimes, bronchoscopy and Biopsy are also needed. So consult pulmonologist and discuss all these. Recurrence of pneumonia due to bacteria is less likely. Possibility of lung cancer is more likely. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My coworker is having tooth pain and has an tooth infection and I was wondering if he could use this Triple Antibiotic paste with Bacitracin Zinc 400 units, Neomycin Sulfate 5 mpg and Polymyzin B Sulfate 5000 units for a temporary antibiotic until he could see a doctor?", "output": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint the topical antibiotic Medication that you are asking to give is not appropriate for giving in tooth infection. In case if she has an infection in tooth and has pain also she can take Oral antibiotics like Augmenting, anti-inflammatory painkiller like Ibuprofen and can apply numbing gel like Lidocaine. Avoid very hot or cold foods. Take soft diet. Once she visits the dentist she can get an x Ray done and in case of deep decay either Root Canal treatment or extraction can help in permanent relief. Hope this information helps. Thanks and regards. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI PAIN ABDOMEN LAST 25 DAYS IN EPIGASTRIUM ,(STRATED AFTER TAKING OUTSIDE FOOD AND ALCOHOL FOR A FEW DAYS)TAKEN AMOXYCILLIN500AND METROGYL400 TDSX8DAYS AND PANTOCID 40MG IBD LAST 20DAYS AND ALBENDAZOLE ITAB STAT( PREVIOUS HISTORY OF HIATAL HERNIA 4 YEARS BACK WITH HEALED DUODENAL ULCER)STILL HAVING DULL ACHING IN UPPER ABDOMEN BUT NO ACID REFLUX OR HEART BURN.WITHOUT ALCOHOL FOR LAST 25 DAYS AND NORMAL HOME FOOD.ULTRA SOUND IS NORMAL BLOOD REPORTS :LFT,KFT,AMYLASE ALL NORMAL", "output": "Hi, Thanks for posting your query. You are most likely suffering from acute gastroenteritis. Absence of watery diarrhea doesn't rule out possibility of gastroenteritis. You should consult with your treating doctor/ internal medicine specialist and should go for thorough check up. You should take complete antibiotic course (definite and combination of oflaxacin & tinidazole), probiotics, antispasmodics, and continue Antacid DSR. Avoid milk and all milk products such as cheese, butter. Take soft diet with curd. Take care, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I found out i have mitro-valve, pretty severe, 4 yrs ago. Started swelling without water pill (7 lbs in 1 1/2 days) so checked and now my percuspid valve is leaking. High blood pressure, High cholesterol, rapid heart beat with palipatations (12,000) extra heart beats in 24 hr period with no metoperol. Thanks", "output": "Hello, Brief answer: Symptoms and signs of heart failure need more accurate data out of your electrocardiogram. Explanation: My opinion is that you have symptoms and signs of heart failure mainly right side and that leads to generalized body edema or fluid collection also causes heart palpitations you experience. Well also you have too many risk factors that need to be corrected and followed up. High cholesterol leads to ischemic heart disease and atherosclerosis. High uncontrolled blood pressure also aggravates heart failure and that is a big concern. I suggest my patients the following prescribe some anti-failure Chat Doctor. Statins for hypercholesterolemia. The information provided by you is not sufficient to provide a good opinion. If someone comes to me with this condition I would ask them about age, also specific details of their echo. Conclusion: I suggest you check your condition with a cardiologist as soon as possible. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Um. I was bullied from 2nd grade till 6th im in 8th now.im a young teen & around a few months ago i self harmed. & was very depressed for just how i looked. & i still get sad all of a sudden then a few hours later im very happy.My emotions confuse me all the time & worry people. I need help to find out if im actually diagnosed with delression or if its just a phase?& why do my emotions change suddenly?", "output": "Hi, I can understand what you are going through. It seems you have developed some inferiority complex about yourself. You emotional lability stems out from your inability to cope up which is causing problems. To call it depression, one will need more details about your daily routine, sleep and appetite. But there is no doubt that you need help, either in form of medications or psychotherapy. I would strongly advise you to meet a psychiatrist immediately. You also need to start talking to someone in the family whom you can trust and express your inner feelings. Start exercising on a daily basis and try to fix a daily schedule for yourself. Best wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello i m 5 ft 4 128 lbs.. 60 year old female.. I had a car accident back in 2006.. and I was T Boned on the left side of my vehicle. the door was crushed into my left side of the ribcage. my elbow went in my side really hard from air bag.. I was taken to the were .. then later on in the hospital from pain in the same area since then . I have had a pain in my left lower side and this past 3 months has gotten worse.. I ve had several exrays but, nothing showed up unitl this am.. I have never had an exray ever where the tech ahd me blow out my breath instead of..... take a deep breath and hold it!! to me that was how he found my problem after all these years.. and several tests.. the exray tech told me he saw a broken rib floating in there. I freaked out and said to myself maybe this is why my pain is getting worse.. it feels like stabbing pain in my left side. can a rib move/floating .. Iv e also had a collapsed lung in that same area. cold the pain be adhesions? old scar tissue? I hope you can help me ...and what is my next step..my dr s the hospital surgery????? help me Rose Mattoon", "output": "Hello, Since your injury is 10 yrs old, so it is very unlikely to still have a broken rib, floating ribs are the last two ribs which doesn't have sternal attachments, thats normal anatomy and not a pathology. A collapsed lung in itself is not painful until and unless there is pleural involvement, though adhesions that cause adherence of pleura to surrounding chest wall may well be a cause for the pain. Pain may be because of fibrosis in intercostal muscles. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have slight PCOD. I am 37 years. Doctor advised me to take Obimet SR 500 mg twice a day alongwith Ovacare and B vitamin tablet Nurac HR. What are its uses. Do they have any side effects. Doctor has advised me to use for months together. Please advise me.", "output": "Hello, Since you have been prescribed Obi met SR, you have type 2 DM for which you have been given this medicine. (you have not mentioned here that you have diabetes). Ova care & Rural HR are commonly given to women who are trying to conceive. These are given to support ovarian function & restore the menstrual cycle by correcting anemia. Yes, all the medicines have side effects so take medicines cautiously and as advised. You may experience side effects like nausea, vomiting, headache, dizziness, rash, etc. If you get uncomfortable you should report to the treating doctor immediately. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello im 23 weigh 230 and never had these symptom before ive been experience weird symptoms for a while now and no one can seem to find anything I have been experiencing this bad chest pain above and below my left breast for 5 months been taking several prescription and only two helps but that only make me drowsy and i have also been experiencing migraine headache on the right side of my head along with shortness of breath can you tell me what going on?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of stress and anxiety related chest pain is more. Stress can also cause migraine and shortness of breath. So we should treat your stress and anxiety first. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You will need anxiolytic Chat Doctor. Avoid stress and tension, be relaxed and calm. For migraine, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a small bump on my top outer ear (helix?) where it connects to my head. Its hard like a cyst & theres a small pin prick hole on top of the bump. When I squeezed it, a white toothpaste-like substance came out of the hole (It almost looked like a worm, GROSS, until I touched it & it was more like paste). Is this a common ear pimple or is it some critters burrow? Thanks!", "output": "Welcome to Chat Doctor. 1. It looks like a common ear pimple as you said, which h just needs monitoring.2. Do not disturb the lesson / lump as you will complicate in that way and delay in healing.3. The other possibility will be hair follicle infection which will be seen as similar way.4. At this point no medication or medical help is needed.5. Maintain local hygiene and clean the area with antiseptic liquid and do not disturb things will get better. Good luck. Hope I have answered your query.Anything to ask do not hesitate. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have Eosinophil differential count of 08. MCHC of 35.8. 2 years ago, I had a Eosinophil differentil count of 11 which resulted in my right eye having retinal vitreous degeneration.This time too, ive some eye problem. Why does the count go up and how do I control it", "output": "Welcome to Chat Doctor. I am Chat Doctor. My dear friend, eosinophil counts of 11 alone is not a cause for your vitreous degeneration. I think there are other cause for this vitreous degeneration like Parasite infection -Ocular larva migrant. These parasitic infection cause high eosinophilic count. You need to ask your treating consultant for complete blood count with serology test for toxocariasis (enzyme immunoassay). This will very helpful for further management. No need to worry, you will be fine soon. Thanx for query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,Im just wondering if aspirin can raise my white blood cell count?Im 22,female with a pain in my right lower side for the last 6 days,I have been to hospital where they did and ultrasound but couldnt locate my appendix.My WBC came back fine.I have to go back in today and I have been taking aspirin for pain.Can this affect my tests?", "output": "Hello, your white blood cells (WBC) are more likely to be affected by the painful situation. Aspirin won't affect them. Any inflammatory situation and every kind of stress may result in WBC level elevation. Even pain may cause increased WBC. So if you feel pain, you don't need to suffer. You can take the painkiller. I hope I've helped! If you need more information, please ask and I'll be glad to help more. Kind Regards!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir, my job is addiminstration , i am sitting 12hrs on the chair , it very environment , my problem is my heart beat is going up , i have done all the test , like tride mil , ehcoo , etc , they said nothing heart is fine , i dont have any thyroid decesse .colestol and blood sugar everything fine. but i dont know why my heart beat is irriegual.somebody told me sitting in the aircondition , i am getting swelling , that is why heart beat is irrugarl . could u have any suggetion - I would really appreciated if you could provide some information ..", "output": "Hello! Welcome on Chat Doctor! I passed carefully through your concern and would like to explain that a sedentary daily style under conditioned air may be a potential trigger for high heart rate as cardiovascular deconditioning may occur. But, before concluding on potential causes of rapid heart rate is necessary to quantitative and qualitative parameters of your heart rhythm. Coming to this point, an ambulatory 24 to 48 hours ECG monitoring is recommended. In addition, a physically active life-style is highly encouraged, as it may provide improvements not only in cardiovascular status but also regarding psychological Chat Doctor. Hope to have been helpful to you! Kind regards," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 41 years old wt 68kg ht 5ft my myocardial perfusion test impression is achieved 100% HR. poor effort tolerance.complained of breathlessness,ST-T changes during stress,that normalizes during recovery.Dobutamine injected simultaneously as additional pharmacological stress agent", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Your stress test is suggestive of ischemia because of ST T changes and breathlessness. This is due to blockage of coronary artery. So better to consult cardiologist and get done 1. 2d echo 2. Coronary angiography. Angiography is needed for the confirmation of blockage of artery. It is not only diagnostic but therapeutic also. We can put Stent to open blocked coronary artery. Don't worry, you will be alright. Consult cardiologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Last night I was stepping up on some wooden steps and as I came up to the plat form my left foot didnt clear the step which cause me to lose my balance I was trying not to fall went down on my left knee which is my good knee my husband wanted to help me.up I wouldn t let him because my right knee so Icame up with both hands flat on porch I actually got up no real pain mostly emabbarresd walk into place of business sat down and rested .. I used ice lastnight woke up and my knee is swollen its always had a little puffyness to the right side but no pain. . But it was hard to walk on today .. now on the left side of knee to the upper part right above the knee cap it has a swollen like bump and its sore to the right of the knee cap .. I know it fills strained in the back of my knee Im wondering what all I pulled thank you Brenda", "output": "Its simply traumatic manifestation of having impact on knee. It will go by itself but will take time. It pains too. Had I been your treating doctor, I would have advised you to take turmeric 1/2 tsp with warm milk or water daily for few days and see. It's a natural anti-inflammatory, analgesic and bacteriostatic herb which has no side effect. Its safe and do not interact with other measures. Even little turmeric powder mixed in warm clarified butter may also be applied on knee like poultice or some bandage may be used to cover it. However, it stains the fabric so wear accordingly. In India many healthy people also use turmeric milk Chat Doctor. Its Ayurvedic wisdom. If you are in some painkiller etc., do not take it much to avoid side effects. But may opt the use of turmeric additionally. Hope it helps you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My name is Sumit. Recently I have carried out blood test in which following parameters related to liver function test has been found above normal.Serum bilrubin, total - 1.26Serun bilrubin, direct - 0.17Serum bilrubin, Indirect - 1.09SGOT - 48SGPT -60Serum Alkaline Phosphatase - 72.7I am non drinker person. Kindly tell me cause of above abnormalities and advice", "output": "Hi. Thanks for posting query at Chat Doctor. Usually ALT or AST values higher than \"two times the upper normal limit\", is considered abnormal (in some countries, ALT or AST values of more than 100 are considered abnormal). Value of AST or ALT greater than 85 or above maybe investigated further. Viral hepatitis (HAD, HBV, HCV) are common cause of elevated liver enzymes. Typhoid fever may also affect liver and cause high liver enzymes. Advice :- abstinence from \"Alcohol\" - LOW fat diet should be followed, AVOID junk food and beverages-decreased oil consumption (oily food)- NO red meat-green vegetables should be ingested daily-use lemon juice (lemonade) once in a day-reduce weight if overweight/obese-\"recheck liver enzymes after 6 to 8 weeks\" and/or ultrasound. Any further questions are welcomed. Hope to answer your concern. Wish you good health. Regards, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a small spot on my inside gum near a crown that peels off. It feels a bit gross but when i oeel it off with my finger the thing looks like a dead skin...white . What iis this i went to many dentist they say many things... The spot has been there for almost two years, it seems that it started to get my attention when it didnt go away while no dentist knew what it was", "output": "Hi, Thanks for posting your query. You seem to be suffering from fungal infection or Candidiasis. Candidiasis recurs in case of immune deficiency. Please avoid spicy foods totally. Medicines like Statin, Fluconazole or Amphoteric B will be able to provide relief. Please use vitamin C supplements. Please consult an oral surgeon. Use Betadine gargles and avoid brushing hard. Take plenty of liquids because chewing removes the top most layer of the gums resulting in bleeding. Wishing you good health... Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doc , im an alcoholic who has been clean for few weeks..since den have been gettin shootin pain in the heart..went for angio all was fine den started getin shootin pain in the ribs all of a sudden and now have a fracture in the rib. do you think its a neuro problem and i need to see a neurologist", "output": "Respected user, HiT hanks for using Chat Doctor.come have evaluated your query thoroughly.* The chest pain is predictable after quitting alcohol as part of stress or anxiety associated, but fracture in the rib is not in relation with that .* Need definite evaluation with detailed history, co relation of the clinical parameters with other symptoms.* It does not sound euro problem, primary consultation with chest physician is vital to decide further line of action. Thanks. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i had a pain in my back went to the doctor he said i have a pincn nerve i took the meds. He gave me but im still in pain not in my back no more, but now i have these knots from my lower back down to my calfs i tried to massage them out but they just wont go away, i can even walk, can you tell me something?", "output": "Hi, Dear,Thanks for the query to Chat Doctor. I studied your problem in depth and I understood your concerns. Cause and plan of Treatment-In my opinion on the given data, you seem to have Varicose knots down to your calf, which don't go by massage. These knots are not related or caused due to the earlier lumps in the back for which you took medicines. They are 2 different entities and not related to each other. Treatment is by Venous-stock/Rest /Elevation /or Endogenous Laser Treatment(ELT) with gel and foam balls. I would advise you to consult an ER Vascular Surgeon. Hope this would resolve your issues. Act fast. So keep cool and Consult your ER Vascular Surgeon, if need be, who would treat it accordingly. So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you, but just ask a query to Chat Doctor and be comfortable to resolve your health issues. Welcome for any more query in this regard to Chat Doctor. Write good reviews and Click thanks if you feel satisfied with my advice. Have a Good Day. Chat Doctor. N." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a dry circular rash on my outer left thigh. Its 1.5 inches in diameter. Resembles a bullseye or ringworm. Does not itch. It had been there for 3-4 months. Three weeks ago patches of dry skin started appearing on the left outer thigh and now on the rt outer thigh. Now have about 10 patches each thigh. Sometimes get sharp stabbing or pin stick pain all over my legs or pain in my lower legs that feel like bad shin splints. Also notice a reddish purple rash covered by a silky smooth silvery white thin layer of skin on my left shoulder blade. Two weeks later another one appeared on my right shoulder. None of these rashes itch. Prior to these rashes I have developed a sensitivity to some bath products which caused yeast infections. I now bath in apple cider vinegar and honey. What is the cause of all the skin infections. Have noticed two spots on my face now. Hiv test taken 3 weeks ago ands 6 months ago are negative.", "output": "Hello. Thanks for writing to us at Chat Doctor These patches could either be Discoid dermatitis Or Fungal Infection/Tina. The distribution of the patches however goes more in favor of Discoid dermatitis rather than fungal infection. Outer thighs are a relatively common site for these patches because this area is Chat Doctor. A KOH examination would prove to be conclusive in that regard. Topical OTC antifungals e.g. clotrimazole 1% cream may be tried if KOH is positive for fungal elements. On the other hand if it is negative for fungal elements' treatment would EB along lines of discoid dermatitis. Since underlying " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Just yesterday I realized I have a lump in the middle of my chest. Its right in between my breasts. It hurts when i press it and I even get pain in my back directly behind it sometimes. I did not have the lump before but that area did hurt starting last sunday and then I was even short of breath or whenever I would breath it would hurt, and the deeper I would breathe in the worse it hurt. Im not sure what is going on.", "output": "Welcome to Chat Doctor .1. Lump with pain radiating to the back and shortness of breath seems like an infective etiology (bacterial infection - Abscess, infective cyst).2. If you are mu patient I would have examined and ask for the ultrasound lump / lesion. (helps in assessing the nature of lesion, its source and extensions)3. After that depending on the nature - an FNAC - fine needle aspiration cytology to evaluate the kind of cells (benign / malignant / infective)4. If infective a small incision and Chat Doctor. 5. If mass lesion - depending on extension removal will be planned. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I went to the doctor and he diagnosed me with a chest infection ...I went back to the doctors as the pain in my chest right got worse when I led down or did too much . The pain has started in my back aswell ... So the doctor gave me some antibiotics as they checked me out for muscular pain and had none ... The sharp pains are when I move , resting and when I am breathing... Could this be pluerisy", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Yes, this can be pleurisy. Pleurisy is inflammation of pleura. And most common cause for this is lung infection. Pleuritic pain gradually subside with recovery from lung infection. So continue antibiotics given the by doctor. Alsop take simple painkiller and anti-inflammatory Chat Doctor. Apply warm water pad on affected areas. Avoid movements causing pain.Don't worry, you will be alright with all these in 2-3 weeks. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi over 7 years ago i was diagnosed with hyperthyroidism. it cleared up using neomarcazole (carbimazole). ive recently had a baby and just over the past few days i have had a lot of heart palpitations and feeling dizzy and short of breath. could this be my thyroid again should i get a blood test.", "output": "Hi, I had gone through your question and understand your concerns. Irregular heartbeat, dizziness a shortness of breath can be complications of Graves disease. I suggest:- to check TTH,T3,T4;ECG;- getting diet with proper amount of calories, calcium, and sodium;- taking vitamin D and calcium supplements during treatment-Shelcal 1 tablet daily;-Ashwagandha 1 capsule daily for 1 month. Please let me know if you have further questions before meeting your primary care Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ive been snorting and occasionally smoking meth for about a month or so and Ive noticed that I have sores and a coating of white on my tongue and my tongue is actually sore. Also I think Ive been biting my tongue maybe when I sleep cus I grind my teeth really bad.. Anyways I want to stop the sores and the biting are there any ways to make things better on my mouth? Oh and the fucking acne... Ive never had acne ever my body is smoother than a babies butt and Ive been breaking out on my back and arms and even on my legs a little. What does that mean and how do I stop that?", "output": "Hello:)Thank you for posting in Chat Doctor. Quit smoking immediately. This burning can be due to smoking as well. You did not mention if the white coating on tongue is scrapable. I suggest you to consult your dentist for a clinical evaluation. If necessary, you must go for a biopsy, to check if it is a lesion or just bacterial growth. Maintain good oral care. Brush, floss and mouthwash. You did not mention if you are stressed. Stress and worm infestation most commonly leads to night grinding. You can use albendazole if you suspect worm infestation. Ask your dentist for a night guard. This will dissipate the grinding forces. Acne can be because of hormonal imbalance. See your physician reg. This. Apply qua Chat Doctor. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "On Saturday i hurt the tip of my middle finger whilst doing free bound activity (like parcore and gymnastics). It hurt that night but was just bearable. Now it s Tuesday early morning and the pain gotten worse and spread down my finger and just into my hand. There is also some swelling there. What should I do", "output": "Welcome to Chat Doctor I have gone through your query and understand your concern. You may be having soft tissue injury or fracture. It will be clear after its x-ray. You cans pint it by finger splint age. Analgesic such as ibuprofen will be helpful in relieving pain. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I AM USING QUITE ALOT OF MEDICATION DUE TO SEVERE BACK INJURY. MY LEGS AND FEET STARTED SWELLING IN EXCESS, WITH RED LEGS, FEET TO KNEES. AFTER 2 WEEKS ON ANTIBIOTICS, SEVERE SWELLING STTLED. STILL SWOLEN FEET. DR. ADVISED ME TO STOP ATHROTEC. NEXT DAY ANKLES STARTED ITCHING, I EEL LIKE CRYING, CANT STAND THIS ANY LONGER, NOTHING HELPS !!!!! TODAY I STARTED WITH DIAREE.I ONLY HAVE 6\" COLON, NO COLOSTOMY. LAST YEAR DIAGNOSED FOR NON ALCOHOLIC FATTY LIVER. PRESENT MEDICATION:LAURIKA 100MGATERAX FOR ITCHINGTECTACYMBALTA 60MGELTROXIN .05MGUROSEMIDE 40MGFENTYNEL 25MCG PATCH EVERY 3RD DAY", "output": "Hi, you are using many medicines due to severe back injury, feet swelling, itching, diarrhea. You are on medication for injury and painkillers usually cause swelling of foot, as there is itching as well it may be due to urticaria of foot also which also can cause swelling of foot. I prescribe to my patients with such symptoms levocitrizine, and diuretic along with your regular medicines. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am experiencing a throbbing ache and severe fatigue behind my right knee (more in the crease behind it than the knee cap) when I stand for more than an hour or so. This has been going on a few weeks and now it has started waking me up at night too. Any ideas what may be the cause?", "output": "Hello, I want to know one thing had you ever met an accident or fell down? The throbbing pain in knee has many causes like meniscus tear: occurs due to sudden twist of the knee, ligament injury or sprain it occurs when the knee over extended or any over strain on front of bent knee, muscle injury or muscle strain, arthritis.This occurs due to knee injury or over strain on knee. But you have pain behind the knee cap or knee. Then the other causes along with are bakers cyst or PCL tear and also other possibilities of gout in this condition uric acid forms crystals and accumulate in joints and leads to pain behind the knee and also occurs other part of the knee, deep vein thrombosis, rheumatoid arthritis and tendinitis. But to rule out the exact cause get X-ray or MRI and consult the or tho." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i was told a year ago i have crumbling spine, i had loads of phisio and aqupuncher. It was really painful and i cant say it really worked. For the last week the pain in my neck, right arm is really bad, i am taking pain killers but don t no if helping. i don t know how to get rid of the pain. Im 52 Lin", "output": "Hi, thank you for providing the brief history of you. As you are 51 and having cervical spine issue which is leading to radiating pain across the upper limbs I feel you should take one MRI scan and a DEXA scan. Apparently due to less mineralization of the bony regions this kind of scrambling spine occurs and needs a vitamin and calcium supplement. As you said PT and Cairo didn't work well, it could be a muscle fiber malfunctioning which needs a protein supplements for the muscle to grow and have good fibers. Since the muscle supports the skeletal system I will advise you to regain the muscle fibers which are a protein tissue and needs a supplement followed by exercises. In my clinical practice we check all the possible factors taking to muscle and bone, take measures according to the same and provide a good input for the medical attention and physical therapy later stages. It just needs an in-depth understanding of the problems and things can be fine sooner. Regards Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a virus.....high fever,aches, lasted a couple days and cough set in. Been taking cough syrup with codeine mostly at night. Also was taking mucinix capsules up until today, I ran out. My cough is constant. It feels like it is in the bottom of my thrat/ top of my chest. When I am not coughing I hear lots of wheezing coming from my mouth/throat. Is it gonna just stop eventually. It is very frustrating and concerning email is YYYY@YYYY", "output": "Hi welcome to Chat Doctor... I can understand your concern.... First consult physician or pulmonologist for auscultation whether rhonchi heard or not... If present here you could have bronchitis or bronchiolitis like infection according to history..... Continue using Chat Doctor. Take full course of antibiotic.... Steam inhalation also useful.... For congestive symptom antihistamines taken.... If dyspnea more than nebulization given by levosalbutamol and budesonide... If living in cold atmosphere then room humidifier can be used.... I would also like to suggest you to rule out asthma by spirometry after acute attack over.... Maintain HY" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was diagnosed with pancreatitis in 2010 was waking up with pain in my upper abdomen. 3 days ago I woke up with a similar pain and was doubled over with the pain. Ive been trying to eat more healthy since then but my stomach still leaves me feeling uncomfortable. What could this be?", "output": "Hi I read your query of upper abdominal pain with diagnose pancreatitis in2010.you suffering from same type of pain last 3\u00a0days. As u tell the symptoms I think that will be pain of pancreatitis but not sure. U go to the your family physical for investigation. The causes of pancreatitis are alcohol, hypertriglyceridemia, trauma and gallstone. Some immunosuppressant and antibiotics also causes the pancreatitis. Infection like viral hepatitis and ascariasis also the causes of the disease.INVESTIGATION-1-SERUM AMYLASE2-SERUM LIPASE 3-USG ABDOMEN4-CECT5-RBS6-SERUM Ca7-CXR PA VIEW Precaution are taken-STOP CONSUMPTION OF ALCOHOLDONOT TAKE FATTY DIET PROTEIN, CALCIUM, CARBOHY Chat Doctor. DONOR TAKE HEAVY MEAL AND SMOKINGTHANKS FOR QUERY" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I did ivf in January 2012 but after 4 months I had missed abortion and on December 2012,and now had missed abortion and on December 2012 I am going for FET frozen embryo transfer ,my question I am going for FET frozen embryo transfer ,my question to u is the frozen embryo is of same cycle and I think it will have same abnormalities and same thing may happen again,is it wise to go for frozen embryo transfer or go for fresh cycle pls advice.", "output": "HELLO AN MOL. Well sorry to know that you had missed abortion. But there are many causes of missed abortion after IVF and getting frozen embryo transfer may not solely increase your abortion risks. And as such if you have frozen those embryos, you should use them because going for a fresh cycle will have pretty additional expenditure and cumbersome of additional gonadotrophin use. Going for stimulation and ovum retrieval is not without risks, I tell you. So i advice that you use those frozen embryos now and if failure you can go for a fresh cycle after a few months. All the best" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "im 47 yrs old and have been having sudden surges of adrenaline or something going on. my heart is just racing and its hard to breath also it feels like my chest,neck and head are just full of preasure. it happens during the day and night and is totally random when it happens.could this be heart problems or anxiety?", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. We need to rule out cardiac cause first because you're all symptoms are classical of hypertensive heart disease. So better to consult cardiologist first and get done 1. Blood pressure monitoring 2. ECG 3. 2d echo. If all come normal then no need to worry about cardiac disease. You are mostly having anxiety related symptoms. So avoid stress and tension. Be relax and calm. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a painful swelling just on the inside of my ankle below the bump. The swelling hasn t increased by much over the past few weeks but by the end of each day it is a bit more swollen. I It is about two inches in length just under the preference and strikes out about even when with the bone. It hurts about a four off or five on the ten pain scale when walking and a out a two when resting. Today I tried an preinflated ankle brace for doing walking and light chores. It felt pretty good. The only reason I m asking if I need to get it checked by the Dr is that I m leaving for a two week trip and don t want to end up in a strange ER. What do you think?", "output": "Hello, Thanks for writing to us, I have studied your case with diligence. As per your history pattern there can be persistent tear in ankle ligament leading crunching sound or capsular tightness. I will advise you to consult your doctor. I will advise doing MRI ankle for soft tissue involvement. Till time, you can continue physiotherapy exercises and also use supportive splint or brace. Physiotherapy like ultrasound and TENS will help in early healing. If there is complete ligament tear then arthroscopic ankle ligament repair can be done or if capsular tightness is severe then release can be done. Infection needs to be ruled out. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i used to have an erection every often while in the morning during last 2 years....but nowadays , so rarely i get an erectionin the morning while waking up.......and other thing is that it takes lots of tim to have another erect after ejaculating the first time (also suffer from premature ejaculation) while i am still young at 26. why all this?", "output": "Hello, It may be due to performance anxiety. For that you may require complete hologram, lipid profile and electrocardiogram after physician consultation. Along with that Avoid stress and strenuous activity. Take balanced diet and proper rest. Avoid smoking and alcohol. Till then, you can take tablet sildenafil and deposition after consultation one hour before sexual act Hope I have answered your query... Let me know if I can assist you further. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello my chest huts on the top right side really bad cnt sleep do nothin gim39 53 in the half 246weight in have alot of medical history was just taken off sterides..went to the doctor yesterday ... why is im having righr heavy pain in my chest at the top right side over my breast..", "output": "Hi thanks for contacting Chat Doctor.... You have complained of sudden chest pain..... So here you have to consult her or pulmonologist for examination ... And according to investigated further ... If rhonchi heard than status asthma like condition can be there ... If rales heard than pneumonia like acute infection suspected .... For this chest x-ray and spirometry can be done .... Treatment can be done by antibiotic or bronchodilator therapy according to cause ... If constructing pain there with referred to shoulder than ischemic heart disease ruled out by EKG and echo (if needed)... Also examine calf muscle ... If swelling present secondary to DVT pulmonary embolism can be there .... D dimer will be helpful.... So take care and consult her for examination which is needed in your case strongly ... Hope your concern solved. ." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello, I am a 19 year old male and I am not overweight. I don t use tobacco or drink alcohol regularly. The past 3 months i have had this feeling that the right side of my head is heavier than the left side. some other bizarre symptoms i have been having on and off for about 3 months also are jitteryness/shaking, involuntary muscle movements, lose of coordination. I also have this sensation that my heart is beating very fast but it really is not. I feel shaky all the time even when i am fully hydrated and have plenty of rest. On a couple separate occasions i ve felt like i was going to have a seizure/heart attack or something in that nature. i am beginning to become very concerned about these symptoms and i hope it is nothing serious... looking forward to a reply, thank you.", "output": "Hi, thank you for providing the brief history of you. Since you have a worry about the seriousness of the symptoms you are facing I will advise you to meet up a neurologist and a cardiologist.a brain scan and a heart scan will be helpful to come closer to the symptoms. As you mentioned you have involuntary movements, loss of coordination, shaking / jerking feeling etc. you should meet up the Neurologist and take his advice. Once the brain and heart scan comes normal you may come out of this depression of serious illness which is bothering you a lot. Also discussing with the expert is never harmful, in fact it is more informative. I will recommend meeting a neurologist and cardiologist and get yourself checked once at least. They say - prevention is better than cure. So the earlier you act, the earlier we can come closer to the issues. With the grace of God I wish you a healthy and confident future" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "5 days ago I came down with what seemed to be a really bad head cold. Started to get more congested in throat chest and nose. I now have a very bad chesty cough, nausea, loss of appetite, headache, fatigue, sore body all over and am tired but cant sleep. Do I need to see my Doctor? Or is it just a common cold?", "output": "Hellhole, chest congestion, sore throat, running nose, all are an indication, may be due to these factors:1 Flu or viral infection .2 ALLERGIC BRONCHITIS, diagnosis can be confirmed by whistling sound, short of breath, mild degree fever (you are having all these symptoms .3 Asthmatic allergic bronchitis. When such patient visit my clinic I prescribe them to take LEVOFLOXACIN 10 mg / kg body weight once in day (orally). Tylenol tablet according to necessity. But these are prescription Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "For the last few nights, my blood pressure has gone up to 188/105. I do have RX medications...Bystolic 10 mg taken. Daily and Edarbyclor 40 mg for emergencys. So far adding the Edarbyclor when it goes that high brings it down in 3-4hours,but wonder when it would be advisable to go to the ER. How high is too high?", "output": "HI, thanks for using Chat Doctor If you are not experiencing any symptoms related to the high blood pressure or there is no acute damage to the organs then you do not necessary have to go the ER. Symptoms would include headache, blurred vision, weakness on one side of the body, chest pain, shortness of breath, palpitations, abdominal pain, decreased urinary output. It is concerning however that the blood pressure is fluctuating to these levels. It has been shown that a blood pressure that fluctuates to these high levels is associated with as many complications as one that is consistently high. It would be best for your blood pressure to be maintained within normal range at all time. You need to consider visiting your doctor for reassessment of your medication to achieve this result. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "ive been drinking alot of fluid for the past month,the same amount as i always do,actually even more than useual ,and i feel the urge to pee but when i go to pee i only pee a little bit,im taking medicene nitrofurintion for a bladder infection but it aint working,i still aint peeing a normal amount like i always used too,this is the first time this has happened to me,i have had urinary tract infections before and when u pee it burns,this dont burn,it just come out a little bit when more should be coming out ,could i have kidney failure ?", "output": "Hi, I have gone through your query. From the symptoms you have mentioned, most probably you have enlarged prostate. This condition is called Benign Prostatic Hyperplasia (BPH). It is most common in older age group and cause urinary stream hesitancy, intermittency or Chat Doctor. Pain is usually not present.Don't worry, you do not have Kidney Failure. I advise you to have investigation like PSA level and Ultrasound of lower abdomen. You consult a local surgeon for clinical examination. Do consider positive feedback as a credit to my work. Let me know if you have any further questions." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my son is 2 months old now ..he started to have like rashes like pimple on the face when he was 2 weeks old and now its all over his body .its tiny little reddish pimple when it dries the color becomes white/transparent. like heat rash .. it keeps on coming back .i dont know what to do ..pls advise me ..thanks", "output": "Hi, Your son may be having neonatal acne. It is a harmless and benign condition. The acne lesions at this age may be due to testosterone in blood. Not to worry at all. It may recover by itself without any treatment. Still, it remains.you may apply erythromycin gel on the lesions. No oral treatment is needed. Do not squeeze the lesions, otherwise he may develop secondary infection. In that case, he needs oral antibiotic like azithromycin in pediatric dose. You consult dermatologist for firm diagnosis. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ok my husband had a aortic valve replacement and a bypass he is 44. His upper lip after they took tube out is so swollen you coud not believe. All doctors ENT included have no idea. Have never seen this before. Nurses the same. he has had 9 surgeries in the last 9 years and this has never happened. He had cance when he was 18 all surgeries are a result of chemo or radiation. Any ideas?", "output": "You don't say how long ago his heart surgery was. If it was within the past week, some patients will have local swelling of the lips, perhaps from mild trauma or irritation from the endotracheal tube being in the mouth or moving around a little or sometimes the patient biting on the tube and/or his lip while sedated or unconscious. That should subside naturally over the course of a week. It is also possible he might be allergic to latex, a component of the tape glue that is usually used to secure the tube during intubation to prevent it from moving around or inadvertently coming out. That usually subsides when the tube and tape are removed. If the tube have been out awhile without improvement, or if the lip swelling is continuing past a week or so, then his doctors should review his medication list for Chat Doctor. A common cause of lip swelling are " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor,I am trying to conceive from last 5 months. I am ovulating on the 9th day & 16 th day of my cycle & we are having sex from 5 day to 19 th day regularly. I get all symptoms of pregnancy like vloating, pain in nipples, pain in the pelvic zone, pinching pain in the hip area, head spinning, & heartbeat rate of 110. Still by 30th day I am having my regular period. None of us have any complication, then why cant I conceive?", "output": "Hello, There are so many reasons of not conceiving. You have to do regular sex in fertile days or close to ovulation for continuous 6-12 months to maximize the chance of pregnancy. You can use ovulation prediction kit in mid-cycle. If fails, you must consult with infertility specialist to undergo basic investigation like husband semen analysis, pelvic USG, hormone test, test for cervical factor, tubal patency test etc. Proper treatment is made according to etiology." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m a 38 year old woman. I have gained 10 lbs in 2 months but my most concerning symptoms are serious abdominal bloating - my stomach is distended, to where I went up two sizes of pants in the last 3 weeks, abdominal pain, feelings of pressure/tightness, especially in my lower belly area. My upper abdomen hurts, like I pulled muscles type of pain. The discomfort and pain is increasing. The bloating is mostly extended out versus wide, if that makes sense? Like I look like what I would imagine a pregnant person would look three or 4 months in. I can t be pregnant - I m on the pill and I had my period 3 weeks ago, though it was not normal. I made an appointment with a gastroenterologist - I have problems with severe constipation/ibs for almost my entire life, but nothing has changed recently. The first available appointment isn t until December. I cannot last that long - not sure how to proceed.", "output": "Hi. Thanks for your query and an elucidated history and understanding of the problems. There is possibility of Psudocyesis. Ovarian cyst, Distended Bowel related to your past IBS, or intestinal obstruction / ascites... The best way would be to :Get a clinical and physical examination by a Doctor. Ultrasonography and test of blood, urine and stool. Ct scan and endoscopies. The reports will get us the diagnosis and the plan for the treatment ." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a large lump on my head I think it s been there for years. I ve had a ct scan and even though the doctor isn t sure if it s a lesion on part of my scull wants to do an operation on it to see what it is. I m not sure although I ve just had a pre op. I ve only just received my results today. The doctor also said nothing had gone into my brain and he said he wasn t happy with the ct results ie he would of liked to see more. So why would he do this procedure instead of another ct scan??? Thanks Sam", "output": "Welcome to Chat Doctor. 1. The history and the symptoms suggest there is lump on the head which is unsatisfactory on CT scan.2. This suggests possibility of the bone involvement - bony lump with intracranial involvement. 3. This is only possibility - as you have to mention the findings in the CT scan. 4. In this case I would recommend the next step will be FNAC / BIOPSY - fine needle aspiration cytology or biopsy.5. That will help to identify the nature of the cells involved. And treatment will be accordingly. Good luck. Hope I have answered your query,anything to ask ? Do not hesitate to ask.http://doctor.ChatDoctor .com/doctors/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had kidney stones that passed monday. Now I am experiencing tightness in my chest, shoulder pain and bloating...ive been to the ER 2x they did say my kidneys are not functioning as they should, But im not able to get into the specialist until 5/10/12", "output": "Hi, dairy have gone through your question. I can understand your concern. You have history of kidney stone. But your kidney is not functioning well, so you need some treatment for kidney failure. Tightness in chest and shoulder pain can be due to heart problem, so you should go for ECG once to rule out any heart problem. Also check you blood pressure. Then take treatment according to diagnosis. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have an inner ear infection, often have infections in the mouth, have a long history of congested lungs and have recently developed skin rashes that look like ring worm but have been diagnosed as granuloma anulara? This remains active and responds to body heat.", "output": "Hello, Your symptoms are suggestive of possible allergy. Further allergy testing and allergy specialist are recommended for proper diagnosis. Infections in the mouth could be due to viral infection relapse as per low immunity response during congestion episodes. Another cause could be any medication you might be using for congested lungs. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband has portal vein thrombosis with portal hypertension. Due to an increase in his propranolol to 80mg he has not had a bleeding episode in over 18 mo. He suffers from ascites and this past November he developed blood clots in each leg. His gastro specialist got him in with a hematologist who started him on lovinox injections once per day of 100 mg. His blood labs reflect that his liver is working well, although a biopsy reflects some stenosis. Should he be seen by a vascular expert?", "output": "Hello ! In view of history of portal vein thrombosis and deep vein thrombosis, and liver functions being normal, it seems that the patient has tendency of blood clot formation.(he was prescribed a blood thinner/anticoagulant in Lovenox)so cause for this has to be investigated. Complete blood count, serum homocysteine, thrombophilia profile tests has to be done. Consult a hematologist. If you have any query, you can ask." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have had high blood presure for 7 years, sometimes spiking 230 over 115. Sometimes under control. Previiously bilateral strokes found in cerebellum. Yesterday am about 6a Bp 168 / 98 p,76. I couldn use my fingers hardly rt hand and went to er. dr said it was axiety and tetany, gave me a referral and ativan. Today I cant type this without typing i over and over, and i cant pay the piano. dr took cat scan said was no stroke plus old strokes didnt show up, can this still be tetany? Will it go away?", "output": "Hello, Whenever you are anxious, you tend to hyperventilate causing transient decrease in calcium resulting in Titans like symptoms. During such spells just relax and try taking deep and normal breathes or else rebreathe in a sock. This would help you control the spell. However, the blood pressure range you have mentioned is surely on the higher side and treatment for the same is required, on consultation with your doctor you may titrate the dose of your blood pressure medicine or consider starting one. Lastly always remember that anxiety per se will push your blood pressure up and calming techniques are best in such situations. Hoping I could help. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My Mom just called me complaining of stomach pain that extends up to her chest and back. She had this same pain last week and I took her the er. they checked her heart and said things were fine. She had been on an antibiotic and the doctor thought that that was giving her the pain. She switched the antibiotic and still has the pain now. Pain is bad enough to keep her up at night. What do you think?", "output": "Hi and Welcome to Chat Doctor, This condition may be due to acid peptic disease or due to renal stones. Do you have vomiting? Detailed ultrasound study will reveal the diagnosis. Also, Barium meals and swallow series is required in order to rule out Acalasiacardia, gastroesophageal disease and hiatus hernia. Finally, if necessary do endoscopy for further management. Take more fiber diet, green vegetables and avoid spicy foods. Wish you speedy recovery. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good Morning doctor XXXXXXX, I have suspected for many years that I have a severe case of acute paranoia . I am often am tortured by thoughts of my wife being unfaithful simply because she doesnt pick up the phone when I call sometimes. This behaviour is beginning to effect our relationship in a negative way. How can I reduce the paranoid delusions that I am encountering? Any help you can provide would be greatly appreciated.", "output": "Hello and welcome to Chat Doctor. Thanks for your query. I'm sorry to hear that you are going through a difficult time due to your paranoid thoughts. You are most likely suffering from a delusional disorder or a morbid jealousy. It is a good thing that you have a good insight into your problem and have come forward to seek help. Treatment becomes much easier in such situations. So, don't worry, there are good medication as well as counselling techniques which can help you control these paranoid thoughts. I would advise you to consult a psychiatrist for a detailed psychological evaluation and further treatment. Wish you all the best. - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI my name is Craig I recently had a lithotripsy on Friday morning, it was on my left side. Now I am having pain on my right side of the abdomen. not the flank. I dont know if Im constipated but ive only had a 2 bowel movements and one was pellets the other wasnt much both painful..", "output": "Hello. Thank you for the query. Upper right abdominal pain does not have to be associated with recent lithography. It may be caused by gallstones or a stone in the right kidney. Urinary tract infection should be also considered. Gallstones pain usually radiates to the back and is associated with food intake. If your stool is pale, bile ducts obstruction is possible. Urinary tract issues give frequent urinating and burning while urinating. I suggest you to visit a doctor and have urinalysis and abdominal ultrasound done. Hope this will help. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I work with a child that is nine years old diagnosed with autism. This diagnosis was dificult for the childs parents to get as many doctors said the child has global cognitive issues. The parents deny this. The child rarely talks and has dificulty saying the sounds of letters. When he knows about 4 sounds he quickly forgets them or needs verbal prompting. The father says his child knows hundreds of sight words. My problem in teaching this child using ABA techniques is he forgets quickly what he learns, does not have discipline and when the father sees some improvement wants his son to move to more dificult tasks that frustrates the child. What do you recommend and what is a global cognitive issue?", "output": "Thank you for following up. I figured your concern. I would suggest you to give your child Become with lysine 5 ml 2 times or B complex 1 capsule 1 time 1 month, then do break 1 month and again repeat. For improving of cognitive issues you can give nootropic 1 month.1. Try to developed social skills, child Chat Doctor. Build his timetable on your children interests:find his hobby-chess, dance, playing gitare3. Teach tasks as a series of simple steps.4. Actively engage your children attention in highly structured activities; try to stating, swimming, athletics, wresling5. Provide regular reinforcement of behavior, you ask him what he likes the most, he will tell toys, then you promise that you will buy every week toy when he will good perform in studying, don't forget to buy, after week you will see, remind him5. Involve the teacher in developing your child from start to finish. Best regards " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a diabetic and continously suffer from penile infection in which my foreskin cracks after intercourse. What are the disadvantages and advantages of getting circumcision done? What medical term do you refer to in this cracking of the foreskin in diabetics?", "output": "Hello, Welcome to Chat Doctor, The history and symptoms are suggesting me that you may be having Balanoposthitis. This type of infection are more common in patients with reduced immunity like diabetes. I would suggest you to follow1. Proper hygiene and regular washing of prepuce is useful for the prevention of balanoposthitis.2. Topical antibiotics like metronidazole cream and antifungals clotrimazole cream.3. Circumcision is helpful in recurrent cases like you. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my 6 year old is not feeling well. He has been complaining of a tummy ache since last night. Then about 5 hours ago he spiked a fever of 102. He then laid down after waking he was in a lot of pain (stomach) after about 15 mins it seemed to let up. I then took his temp again cause he felt super hot. Well after 3 different therometers i concluded that his temp was 96.7. He also has a cough not eating and is very tired. He is starting to worry me but we had lots of snow today and the roads are not very well right now, so i thought i would see here first if this seems like something that can wait till morning or if i need to get him checked sooner. He also does has asthma not sure if that should matter at all.", "output": "Hi. Thanks for your query and an elucidated history about your 6-year-old. He has tummy pain, fever, cough, not eating, tired and also has asthma and the roads are blocked due to ice. I would suggest you:Watch for : Vomiting, loose stools or no stool / constipation and bloating. If all these signs are not there you can give him Paracetamol, and an anti-spasmodic so that he can relax. If vomiting is not there, give him fluids orally to avoid deny Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i believe that i have a yeast infection (for about 3 days or so now) and last night my tailbone really started to bother me and it has worsened today. i havent fallen on my tailbone ever and am not sure when it is bothering me. could these two be related?", "output": "Hello, Welcome to Chat Doctor, Fungal infection can affect genital area and the area around the anus. The fungus is the normal comedians of this area, it will be kept under control by the bacteria present in this area. Whenever there is a favorable environment in this area it will produce the symptoms of the fungal infection like pain, itching and discrete rashes. As the fungal infection can occur in the anal region that is below the tailbone, the fungal infection can occur in this area. The pain in this area may be due to boils which can occur in this area because of presence of a lot of hair follicle in this area. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "im pregnant for 14 weeks now ,i start bleeding from 7 week of my pregnancy till now ,some time is heavy bleeding and some spotting and every time when i had heavy bleeding i went to hospital and they did ultrasound to me ,they said every think is fine and baby is fine and they didnt know the source of bleeding and my doctor said we dont know the cause of bleeding,im afraid from that bleeding ,can help me to understand my case", "output": "Hello dear, I understand your concern.It's good to know that you have all the reports normal. In my opinion there are various causes for bleeding during pregnancy like :-1)Thyroid abnormalities .2)Progesterone insufficiency.3)Abnormal pregnancy like miscarriage or ectopic pregnancy.4)Bleeding from cervix.etc. So as per your information all the above causes might have been ruled out by physical examination and necessary investigations. Ultrasound helps to know the well-being of fetus as it is normal you need not worry.Don't worry in some cases even though with the presence of bleeding everything will be normal and pregnancy continues till term and have good outcome.Maybe the bleeding might be from cervix. Anyways relax. Avoid physical stress and intercourse. Take prenatal and progesterone supplements. It might subside spontaneously. Take iron rich diet and iron supplements to combat anemia caused due to bleeding. Hope this helps. Best regards..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "This is the second month Im consuming Duphaston 10mg tabs..my periods are irregular..is there any chance to be pregnant this month..Im over weight..and I had no vaginal discharge this month which is a symptom of ovulation..first day of last period was April 16 and it lasted for 8 days..I have had sex most of the days..pls reply ASAP..", "output": "Hello, Duphaston is progesterone supplement and quite effective for successful pregnancy. Following ovulation, mild to moderate vaginal discharge is common phenomena, but it is not a 100% the surest feature of ovulation. So chance of being pregnant is there. Here, you should undergo one home pregnancy test after missed period and blood test for beta-ChatDoctor after 7 days to confirm. Following test report, consult with gynecologist for other relevant investigation & next line management. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I visited a doctor on 09/12 and had an ingrown hair that was infected and needed to be drained I was told this was in result of strep infection. My lab results showed that my Eosinophils was a 0.43 and I had the same test done on 09/17 and it s now higher showing 0.45. I had my wound checked on Wednesday 09/17 and there are no obvious signs of it still being infected. It is actually healing. She has not prescribed an antibiotic because she feels that my fevers are caused from stress. I was hoping you could please offer some advise.", "output": "Hello and welcome to Chat Doctor, The normal range of eosinophils is from 1 to 6 per 100 white blood cells. Thus, 0.43 or 0.45 eosinophils is normal and nothing to worry. Ingrown hair has lead to bacterial infection, however, the infection has resolved and healed thus there is nothing to worry. Bacterial infections associated with ingrown hair can lead to fever and high levels of neutrophils in blood and not eosinophils. Eosinophils increase in case of allergies and parasitic infections. In the meanwhile, you can take antipyretic (fever lowering Chat Doctor. Thanks and take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i had sex with my wife after next morning i had fever and after few days a swollen lymph gland in neck and under the jaw , a small one at my right hand above wrist .these don t irritate at all. Few months later i had these very small tiny red dots on some parts of my body. i have ulcers in mouth but that was a history now i feel fine. but sometimes i do feel that i have some red patches on my penis. my TLC DLC and ESR reports are normal. Only my Red Cell Distribution are above normal. What should i do??", "output": "Hello and welcome to Chat Doctor, An increased red blood cell distribution width above the normal range indicates a variation in the size of the red blood cells. This variation is seen in anemia like iron deficiency anemia, thalassemia, sideroblastic anemia, and lead toxicity/ poisoning. You need to get red cell indices done for more information. For the enlarged lymph nodes, a fine needle aspiration needs to be done. This test samples cells from the enlarged lymph nodes and are stained to know the exact origin of the swelling and character of the cells. The ulcers in the mouth can occur due to many reasons like authors ulcers, infections, nutritional deficiencies, etc. Red patches all over the body can also be due to many reasons. Low platelet count can lead to pin head sized red spots. Viral infections can also lead to red colored patches. Consult your physician for clinical examination, relevant investigations (red cell indices, platelet counts, etc.) and appropriate management. Thanks and take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have had a cold now for 12 weeks, will not go have been to the doctors was given a course of tablets about three weeks ago, which did not work. have been back today to see GP said there is nothing he can do. i cant breath,i have a blocked and runny nose have cold sores inside my nose and around it, also on my lips. i have taken cold and flu tablets nasal spray, i have also had time off work due to go back this week, its getting me down 12 weeks is a long time?", "output": "Hello, Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for you as follows:1. I usually prescribe my such patients regular Levocetirizine + Montelukast for 4-6 weeks depending upon response.2. Furthermore, I also suggest them to have adequate amounts of liquids during day and a nutritious diet.3. Please avoid exposure to dusts, smokes and air pollution as much as possible.4. I would suggest you allergy testing for common air-borne allergens such as house dust mites, molds, pollen, insect proteins, animal dander, etc. This will help you identify the substances causing allergies to you as well as to know the measures to avoid them.5. If you have nose congestion, regular steam inhalation will also help you in a long run. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you the best of the health ahead. Thank you & Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I HAVE A DENT IN MY TIBIA ABOUT 1/3 OF THE WAY UP. I JUST NOTICED IT. I HAD A STRESS FRACTURE 3 MONTHS AGO IN THE SAME AREA AND A BONE CYST WAS SEEN ON THE MRI. PAIN HAS GONE EXCEPT FOR MOMENTARY GLITCHES OF PAIN IN THE BONE BUT THIS DENT JUST CAME UP THIS MORNING. SHOULD I CALL MY ORTHOPEDIC SURGEON?", "output": "Hello, If there was a bone cyst with presence of recent dent then I shall advise you to consult to your orthopedic doctor. In an old case of bone cyst with recent change in architecture with or without associated pain may signify change in behavior of disease. This should be clinically assessed & an x-ray or CT should be done. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i tore my frenulum breve and it is not re attaching its been over eight days and i havent seen a doctor their hasent been blood since the first day it happened but im just worried what would happen if it didnt re attachand idea on effects of torn frenulum breve", "output": "Hello, thanks for sharing your problem. Sorry to hear about your problem but as such torn frenulum should not cause any kind of problems except pain. I've seen so many such cases who present with torn frenulum following violent usage. You can do one thing, wait for the thing to settle down or Get a small surgery done. Circumcision. This can completely solve your problem forever, and you can be tension free. I strongly recommend that you get a circumcision done. There are absolutely no side effects or complications associated. We do a lot of such surgeries. So choose what's best for you and get back to me in case you need any further assistance. Take care. It was nice to help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "How to get something out that is stuck in your ass? its a 6 inch long hard plastic. about 2 inch or 3 wide. its smooth. I can stick my finger in my ass and feel it. Dont say go to the hospital cause that the last option. How much will it cost if you do go to the hospital. I have insurance. How long will I be there. Will I be able to walk out after it.", "output": "Hello! I read carefully your query and understand your concern. As a general rule, most people who have a foreign object in their rectum that cannot be seen or felt outside the anus need to seek medical attention. Most laxatives are too slow in onset to be effective. If a rectal foreign body is present, the sooner it is removed the better. I am sorry to tell this, but you should go to hospital because since you have tried to pull the object out, and you have failed, now it is not recommended to try other dangerous methods at home, you can injure the rectum, or you can push the object higher into the colon while attempting to remove it. I suggest going to ER as soon as possible because prompt removal is advisable. Now you should think about your health and don't put yourself in danger. You should think that the doctors see cases like yours or worse every day. Delayed removal of rectal foreign bodies can lead to severe complications, including the following:perforation, peritonitis, infection, mucosal ulcerations, obstruction, bleeding. Hope my answer has helped. Take care and good luck. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my left ankle is swollen and there are several broken cappularies showing on the top of my foot near the ankle, muscle of my calf feels hard and warmer than my other leg.....i had severe sun poisoning last august where my legs were purple blistered and swollen, the doctor gave me a shot of steroids, and the left leg is still swelling,can it still be from the sun poisoning", "output": "Hello, There is a possibility that past medical history may have left some remissions of the symptoms. Due to the past medical history, there will be damage to the capillaries and with steroid shot, the pain was handled. As there is the hardness of the calf muscles it can be due to spasm and may happen to do disturbed capillary revascularization. I will advise doing hot water fermentation if that is not troubling more to the external layer of the body called skin. Post that using stockings for the lower limb which will be up to the mid-thigh region. This will help to reduce the swelling by providing the compression over the muscles and the capillaries. Please keep the limb elevated over the pillow and do ankle to movements and do straight leg raise. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I m a 19 yr old female with hydrocephalus and lately I ve been have a lot if headaches they r not as bad as and shunt malfunction headaches but they are not going away I ve trying caffeine, Advil nothing is working but I don t want to waste my time at the hospital if it s nothing any advice", "output": "Hello. I have been through your question and understand your concern. While headache might have many causes, in your case it is crucial to rule out any shunt malfunction, which I suppose you already know how HY Chat Doctor. If the ventricles are within normal dimensions there is reason to think headache is caused by it. So I believe this kind of headache is not related to your past medical history, and might be just a tensile type headache, which is the most common type of headache which does not always respond to caffeine and Advil. Hope this helps. Please feel free for further questions." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have all signs of pregnancy. I was one week late for my period. Yesterday should have been the end of my period and I started to spot very light red blood. Not enough for a pad. Something happened today. Could I still be pregnant even though I am spotting?", "output": "Hi, I understand your concern. Pregnancy test (home test after 8 days delay in periods) or USG scan of uterus(after 5 weeks)are the confirmatory tests for pregnancy. You have just spotting after 8 days delay in periods . This can be a sign in weak pregnancy, so you should go for home pregnancy test (with precaution. Not to mix vaginal blood in urine sample). To diagnose / exclude pregnancy. In case it s +ve. A hormone supplement (with a gynecologist advise) should be started right away6. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doc my mother had an infection on her navel stomach what? medicine she needs doctor please help me because im 13 years old if my mother die i cant find where i live and who will feed me? joshua is my name and my mother is nancy tradio", "output": "From the clinical symptoms you have described, it is an umbilical sinus which in this age group usually occur due to poor hygiene in the local area or tuft of stiff body hairs collect in the umbilicus and form what is called as umbilical sinus or weeping umbilicus. Your mother needs to get examined by a General surgeon doctor for proper management of the condition. Initially she may be given antibiotics and if the condition does not settle than surgery would help and cure her condition." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor, I am a 38 year old male. Every year for the past 4 years already, our company requires us again to undergo a chest PA x-ray, for health awareness and safety. I have had a normal chest PA result for the past years, except that i have had a minor/mild dextroscoliosis that was discovered only last 2004, and previous to this i cant remember when was my last xray. Only recently, this year on January, i had the following chest PA xray result: Followup examination since January 25, 2013 shows: There is now a faint nodular density in the right upper long superimposed in the right 4th and 5th posterior ribs (suggest apicolordotic view for further evaluation). The heart is not enlarged. Both costrophrenic sulci and hemidiaphragms are intact. Mild thoracic spine dextroscoliosis is still seen. No other remarkable interval findings. Doctor, am i in trouble with these results? What does this faint nodular density in the right upper lung superimposed in the right 4th and 5th posterior ribs? Please enlighten me. Thank you very much.", "output": "Hello, There are wide reasons for the nodular density in the lung as inflammation (active or chronic), tumor or others. The best approach with contrast CT chest would be the very next step to proceed from here after the discussion with your consultant. Being its accidental finding does not mandate to neglect it, otherwise, it may flare up without our knowledge. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, My 2.5 yr old son was diagnosed with retropharyngeal abscess about a month ago. He was on iv and in hospital for 9 days. He is still on clyndomicyn (sp?). When should I ecpect for the lump to go away? It is a lot smaller, but it seems to be taking forever to go away. thank you", "output": "Hi, Welcome to Chat Doctor. I have read your question in detail and I know that you are very concerned about your child but don't worry about it. Retropharyngeal abscess occurs due to infection most commonly streptococcal and staphylococcal. Once treated, this retropharyngeal abscess will resolve and chances of developing again are low. I hope this will help you. Wishing your child good. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "This is embarrassing...but the end of my spine to the top of my butt crack is really red and hurting I can t stand, sit, or lay down it hurts so bad...also like a knot there also..I m used to lot of pain cause I have RA and fibromyalgia ..any answers would be appreciated....it s not on spine more the top 3 or 4 inches of my butt", "output": "Rheumatoid arthritis and fibromyalgias are two different entities the present complaint pain in the lower spine from top of the buttock to the lower end of spine with redness over that area probably suggests some infectious/ inflammatory lesions. Do you have any Chat Doctor? Do you history of weight loss fever and increase in the pain during the nights which probably suggests tuberculous involvement? Any history of trauma? Kindly take an x-ray lumbosacral AP and lateral views to check for any lumbar spondylosis and consult a neurologist for opinion, and he may ask you if needed an MRI." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "During the evening I am awaken by a numbness in my arm, or sometimes both. It eventually goes away if I squeeze a rubber ball or just hang it over the side of the bed or hold it to my chest. Most of time when it wakes me my arm is above my head. What is causing this?", "output": "Hello, I have studied your case. Due to compression of nerve root there can be numbness in arm.Also, there can be large disc bulge which is compressing over spinal cord. For these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give you relief. I will advise checking your it B12 and it D3 level. If nerve compression becomes symptomatically severe then surgical decompression will give permanent relief. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir, I have randomly arising pain just near left side of Spinal Cord in the middle part of back bone. But sir I Have a problem, that my body behavior is not easily observable by Human hand , Only High resolution electronic machines can justify me. Sir is my treatment possible, please suggest me. SHRI MANI Er. BSNL Muzaffarpur", "output": "Dear Sir., Thanks for writing to us. The history indicates that your backache location must be in the Horace lumbar/upper lumbar region. There is no mention regarding the type of pain/radiation/history of evening rise of temperature/history of longstanding caught/family history of Koch's/history of Trauma/any h/o bowel and bladder disturbances. All these are relevant to pinpoint a diagnosis. The investigations include baseline Blood Counts/Chemistry/Urinalysis/Chest X-ray PA View/lateral/Lumbosacral Spinal X-rays/MRI at the higher end of investigations. The differential diagnosis could be due to compression of spinal nerve roots Radiculopathy due to (A)PIVD-Prolapse of Intervertebral Disc(B)Spondylosis(C)Ankylosing Spondylosis(D)Koch's spine. Treatment;-(1)Rest to the affected Part, (2)Treating the cause(3)Physiotherapy by SWD and Traction(4)Temporary Immobilization Using Lumbosacral Belts(5)Pharmacotherapy by using opioid analgesics such as Tramadol //Skeletal Muscle relaxants such as chlorzaxazone//(5)Spinal Minimally invasive endoscopic surgery. Avoid abruptly bending/lifting of weights/squatting/use a Hard Bed Rest. Wishing you a speedy recovery., Best Regards., Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I m a 30 year old female suffering with severe back pain for the past few years. It has worsened after my recent pregnancy. After x-rays and MRIs these, are the finding: levoconvex curvature of lumbar spine, anterior osteophytes @ L4-5, T9-10, C6-7 and straightening from C3-C7. I was diagnosed with mild lumbar spondlyoarthropathy and vertebral wedging @ L1, also end plate sclerosis and focal spondylosis @ T9-T10. What does all of this mean and what is the best course of action for treatment? Also wondering about best plan for pain management and lifestyle changes? Thanks for your time!", "output": "Hi, In short young lady, the radiology report is saying to your doctors that you are suffering from what would appear to be a moderate degree of degenerative disc and joint disease in the spinal column at various levels. You have excessive curvature to the left (Levoscoliosis) and the rest of the findings can be implied to saying you have arthritic disease of the osteoarthritic type. That's what all the fancy vocabulary means. Best treatment options include exercise as promoted by the Arthritis Foundation of America who has an excellent website. I advise you read it since there are also a number of conservative measures they tell you about in order to try to milk things such as water or aqua therapy as well as the utilization of the anti-inflammatory diet that is felt to possibly reduce arthritic progression of the spinal column, etc. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just got out of the shower and I noticed on the fatty part of pubic area under stomach I have three nots that are blue in color. Not painful, but I had not noticed them before and I am really worried. I am 60 and have not had sex for a long ime and I don t shave around that area. What do you think it might be?", "output": "Hello, It could be folliculitis. It usually occurs after shaving, when hair is accidentally pulled out, and inflammation and infection occur, or when there's an irritation or an inflammatory reaction from the chemical contents of your feminine wash. Inflammation from uninfected follicles will subside in a few days time on its own. If the lesion, gets infected, a cyst or an abscess formation might ensue. If symptoms persist, a consult with your gynecologist is best for clinical evaluation. Management (medical or surgical) will be directed accordingly. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband is 62 years old. He got ill 3 days ago with diarreha, fever, cold chills. His stool turned green, now it is green and brown diarreha. When he sits up his skin gets cold, his face and nose get purplely looking and he feels dizzy. I checked his B/P and it is 83/59.", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you mom having symptoms of diarrhea, fever, cold chills which seems to be due to acute gastroenteritis and electrolyte imbalance in body. It could be due to poor immunity and increased susceptibility of getting infected. Need not to worry. I would suggest you not to panic at all. You should start treatment witChatDoctorbination of fluoroquinolones and ornidazole. Visit gastroenterologist once and get it examined and start treatment after prescription. You should get intravenous fluid administration as well. Avoid taking Risperidone. Avoid hot, sharp and spicy food. Give her banana on daily basis and light food. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "last night my 11 year old son exploded a can of spray paint. It covered his face and hair. We flushed his eyes with water and saline but used paint thinner to get it out of his hair, face and limbs. We immediately rinsed with water and then he had a thorough shower. During the nights he experienced chills and now is achy with a slight fever along with nausea. What should we now?", "output": "Welcome to the ChatDoctorSpray paint and paint thinner exposure needs to be immediately managed at emergency setting as it can lead to short term effects like irritation, nausea, vomiting as in your child and many long-lasting effects. So, kindly take him to an ER with details of spray paint and thinner. The health care provider will measure and monitor the persons vital signs, including temperature, pulse, breathing rate, and blood pressure. Symptoms will be treated as appropriate. The child may receive:-Breathing support-Chest x-ray-EKG (heart tracing)-Fluids through a vein (IV)-Tube through the mouth into the stomach to wash out the stomach (gastric lavage)-Washing of the skin (irrigation) -- perhaps every few hours for several daysHopefully it will be of help. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Ive got a mouth ulcer on cheek of my lower lip and its not as painful only when I try to squeeze it. Once I broke it, if didnt appear for about 3 days and again it seemed to develop again.Im worried because Its been there for a while now plus its recurring. I want to know if its cancerous in nature and should I be worried or let it take time to heal.Mindy respond Thanks", "output": "Hi. Thanks for the query. It looks like there is recurring mouth ulcer and if there is pus formation then it is most probably due to infection. So my suggestion is to apply antiseptic oral gel like Chlorohexidine over it and gargle with antiseptic mouthwash. You can also apply a steroid ointment like Triamcinolone Acetone over it. Do warm saline gargles. In case if there is no improvement then you can consult an Oral Physician and get evaluated so that further diagnosis can be done. Hope this helps. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a small growtChatDoctoring out of my belly button,Its blue (ish) in colour and about the size of a finger tip and not painful to touch. I noticed it about a year ago and it didnt really bother me but reacently i have had a really sore stomach and was wondering if it could be linked. I dont want to go to my doctor in case its nothing. RegardsAllan", "output": "Hi, Dear,Thanks for the query to Chat Doctor. I studied your problem in depth and I understood your concerns. Cause and plan of Treatment-In my opinion on the given data, you seem to have umbilical hernia. Recent stomach sore is due to the hernial protrusions with partial obstructions.USG scan would fix its diagnosis.Don't guess more. I would advise ER Surgeon Consultation to avoid further complications with it. Hope this would resolve your issues. Act fast. So keep cool and Consult your ER Surgeon, if need be, who would treat it accordingly. So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you, but just ask a query to Chat Doctor and be comfortable to resolve your health issues. Welcome for any more query in this regard to Chat Doctor. Write good reviews and Click thanks if you feel satisfied with my advice. Have a Good Day. Chat Doctor. N." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ive had this bubble like thing beneath my tooth on my gums for a few months now, normally it isnt an issue unless i was poking at it, then it starts hurting and im unable go bite anything with the tooth above it otherwise it hurts. I just need to know what this could be and maybe how i can treat it", "output": "Hi, A bubble over the gum under a tooth can be due to either tooth infection causing a dental abscess or can be a gum boil due to deep gum infection. So my suggestion is to consult an Oral Physician and get evaluated, a clinical examination and an X-ray can be done to rule out the exact cause of the lump. In case if there is tooth decay then root canal treatment can be done followed by a course of antibiotics and painkillers. In case of gum abscess deep cleaning of the localized area of gum can be done. For now do warm saline gargles and antiseptic mouthwash gargles. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have really bad kidney pain I feel tired week they found blood in my urine my pain getting worse today the doctor thinks I might have a kidney stone lodged but ctscan showed nothing but waiting for another scan with die in but I m in pain today nothing working taking dicloflex and paracetomal with codeine do you think I need to see doctor as I keep feeling tired dizzy no energy", "output": "Hi, This can be due to urinary tract infection and any kind of tumor-like growth in kidneys and sometimes heavy exercise and constipation can cause. In the absence of complete case history and examination, it is difficult to arrive at a particular point. Let me know:- If you have any problem in bowel movements.- You suffered from any trauma.- Do you have a fever as well?- Have a history of prostate or kidney stones. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "treatment of delayed ejaculation +tretment of low hormone+treatment of increase prolactine 30 yr-married from7 m-have rt&left varcocell i don or since 1 month -fsh1.4-lh 1.3-prolactine 14.1 test 2.60total -free 3.4-seperm no 6 million motility 13% -i done mri sella free wt 100kg help me", "output": "Hi Nashua Ahmed. ASW. Thanks for your query and for using Chat Doctor. Based on the given details, you have following issues1. Bilateral Varicocele2. Low FSH and LH3. Normal Sperm Count but very Low Motility4. Normal Prolactin should be 5. Delayed Ejaculation Since you have done MRI sell and its normal, we can safely say there is no obvious pituitary abnormality. You will need a detailed evaluation to find out what is the cause of your hormonal abnormality. This will include repeat testing for hormones at a different time and correlating. You should also repeat semen analysis as the motility is low, and it needs to be reconfirmed. Bilateral Varicocele can be corrected only by surgery. If not even varicocele interferes with fertility. You should meet an Endocrinologist and an Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir i m doing masturbation for the last 10 years not in the daily manner but whenever i m alone i did sir.Now i feel my right side stomach in pain when i do masturbation and my testicle get down sir, have i affected by any kidney disease? i would like to stop this habit sir, can i do? and how can i do?", "output": "Hi. Thank you for question. Let me assure that you are fine and need not panic. Masturbation for these age group is normal and is not associated with any harm. Pain in Right side of Lower Abdomen may be caused my several reasons like injury to the Testicles, Torsion of testis, Hernia,HY Chat Doctor. I will advise you to visit your Surgeon for physical examination and necessary investigations. For relief of pain you can use Analgesics. Avoid Heavy work. Avoid Masturbating for few dashes can only be done by self-control. Avoid being alone, stop watching and thinking of porn, get yourself engaged with friends, study,etc Hope I answered your questions. Wish you a healthy life." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir i have 1 years baby boy.he suffer vomiting & loose motion in last 2 days.We had taken him to doctor , he prescribed the ondansetron(Orlon) injection,Emigan plus syp, vomikind syp & continue drinking water.but sir after take medicine. vomiting is stop But loose motion still happen.sir please suggest.", "output": "Hello, Your baby is suffering from acute gastroenteritis. Ondansetron and Vomiting syrup are the treatment for vomiting and that responded accordingly. For loose stools, start some pro-biotic such as Eco All or Enterogermina, or Eco norm sachet whatever is available. Also, Zinc syrup maintain shy Chat Doctor. No need of giving antibiotic. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, it s more than a year that my face complexion is getting darker and browner day by day my face skin pores got large (larger) during last year , it s really like a ghost skin. my complexion got brown. i used peels and oxygenation but nothing changed at all. i don t even recognize myself when i look at the mirror. help please.", "output": "Hello, First you should know about for skin type. The best way to prevent hyperpigmentation is to limit skin exposure to the sun. If you go out in the sun, take these preventive measures:1)Wear a hat with a brim to shade and protect your face.2)Apply sun block (such as zinc oxide or titanium dioxide) to vulnerable areas.3)Use sunscreen that protects against both ultraviolet A and ultraviolet B radiation. The sunscreen should have a sun protection factor (SPF) of at least 30. Kind regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am having wheezing problem since I have moved to Mumbai. There is no hereditary problem related to asthama in my family. I got married in Mumbai in 2007. That winter I did not have much problem. By March 2008 I delivered a baby boy (C section). In the same year in winters I had cough and wheezing. My physician suggested to use Rotacap inhaler (Seroflow 100) for three months. Later I did not have the problem. But again in 2009 winters I faced same problem with increase in wheezing. This year I am facing the breathlessnesss and wheezing even in May. Please suggest a good doctor", "output": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of seasonal (winter) bronchitis is more likely in your case. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment is based on severity only. You will mostly improve with inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone). Oral combination of antihistamine (levocetrizine or fexofenadine) and anti-allergic (montelukast) once a day at night during winter is also beneficial.Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been to the doctor, on a Z pac I. Had congestion , a lot of mucus which has subsided. I do not have a fever, however my ears are very compromised. I feel as if I am talking in a tunnel. My hearing is about 50%.I am also taking Advil sinus and congestion pill. Is there something I can do without meds?", "output": "IIN case of upper respiratory tract congestion, the nasal congestion leads to blockage of a tube connecting nose and middle part of ear. This leads to heaviness and blockage feeling. You can use some non-medicinal ways to relieve this condition. 1. Steam inhalation is a good method.2. Blowing of air while keeping the nose closed by finger allows opening of Eustachian tube. Nasal instillation may be helpful." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i m having continous hairfall and dandruff. the dandruff doesnt seem to go after trying anti dandruff shampoos also. scalp is itchy.i m female of 33 years. the hairfall is worst from last five years , when i delivered my second daughter. my hairthinning is very intense. pls. help.", "output": "My DearWelcome to this portal! Your details and concerns have been carefully evaluated, and I think that all that you have is Seborrhea Dermatitis of scalp and Halogen effluvium Dermatitis is a mild inflammatory condition in which skin areas with increased density of oil producer glands produce altered skin lubricants and that reflects as flakes on the scalp. Telogen is a disorder, mostly due to unknown causes, that causes diffuse loss of hairs from the scalp. Good treatment options are available for both conditions. 1 For Seborrhea Dermatitis, one can use combinations of Salicylic acid, Ketoconazole, PTO that are available in varying combinations. Fora minority of patients, initial use of steroids applied locally does give good start to treatment, but please bear in mind that such medications are good only in the early phase and should be discontinued gradually as you recover. Some researchers report that oral Ketoconazole is great help in Dan Chat Doctor. In your case due to coexisting Seborrhea Dermatitis, it is better not to use irritants as they can enhance itching and flakiness caused by the latter condition. You might also attend more carefully about hair hygiene, regular walks, avoidance of hair cosmetic preparations and improve diet to gain health benefits. I believe this helps you in early recovery. Our best wishes!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, for the past few years i have noticed a lump on the back of my neck just below my hairline, in the middle. It is quite large. The last couple of months it has been hurting alot all the time everytime i move my neck in fact, it is now causing me headaches almost every 2nd 3rd day. Can you please specify what it might be?", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have enlarged lymph node. It can be due to reactive hyperplasia, tuberculosis, lymphoma or metastatic carcinoma Or you may have some skin adnexal tumor or soft tissue tumor like lipoma or neurofibroma. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I ha severe stomach pain when i take pain meds and yesterday happened with out meds my head hurts to the touch on top now for 5 yrs and the lleft side of my face teeth nose hurt.only milk relieves the pain but yesterday not.I am a cancer surviver stage 4.THATS IN REMISSION AS FAR AS I KNOW.Please give me somethingideas my docs are not gettting it", "output": "Hi and thanks for your query, Severe abdominal pain, especially acute pain should have different diagnosis and not a cancer in the first place. Depending on the site, the intensity, irradiation of the pain and accompanying symptoms, the diagnosis differs. Blood tests like markers of inflammation and complete blood counts are important in making an appropriate diagnosis. An abdominal ultrasound might be necessary at some stage in the evaluation process. I suggest you visit a gastroenterologist for proper evaluation and management. Thanks and best regards, Luchuo, MD." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my husband had a 4 way bypass surgery 8 years ago and last march he had a heart attack. he has been feeling numbness on the left side of his chest, and last night he had a sharp pain on his chest which stopped after doing some breathing techniques. Is that numbness related or sign of another heart attack?", "output": "Hello! Thank you for asking on Chat Doctor! Regarding your concern, I would like to explain that it is very important perform as soon as possible a comprehensive evaluation of that chest numbness, as it may be related to a new ischemic heart event. So, I would recommend consulting immediately the nearest RE service for a physical exam, resting ECG and some blood tests (including cardiac enzymes CK-MB, Troponin). Remember that after 5 years venous bypass grafts are more susceptible to possible occlusion. Hope to have been helpful! Greetings! " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My mother has a blood level of 7 and has had a blood transfusion of 2 units yesterday, she went in for an upper giAnd they couldnt find where she was losing blood. She was diagnosed with CHF about 2 years ago and I am wondering if this is a symptom.Thank youJanice YYYY@YYYY", "output": "Hi, dairy have gone through your question. I can understand your concern. Your mom probably have some internal or external bleeding. Low hemoglobin itself leads to Congestive heart failure. You should consult hematologist and search for the cause. You an go for ultrasound examination of abdomen and also consult gynecologist one to rule out bleeding from genital tract. First search for the cause of anemia and then take treatment accordingly. Hope I have answered your question. If you have any further questions then feel free to ask me. I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am taking this medicine last one month.. I was having moodout, body pain, no apitite, sleeping tendecncy, not active etc.. Now I am little OK, but still some times feeling uncomfort. I am 57 years old full time computer oriented staff working abrod.. Please help me.. My e-mail address YYYY@YYYY", "output": "HIT hanks for using Chat Doctor I think, you are in mild depression. In that case, you can take low dose antidepressant after psychiatrist consultation. Antidepressant would help you to keep in good mood, and you would feel better. You can also try relaxation exercise like JPMR or deep breathing exercise. You can also try lifestyle modification technique that would keep to stress-free. In case, you need further help, you can ask. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 43 years old. 5 10 , 152lb. I did an IVF session, harvesting eggs at age 41. I had four embryos tested using PGD, two were abnormal morula, one normal hatching blastocyst, one no signal blastocyst. I have a healthy 8 month old daughter using the normal blast and am about to have an FET using the blastocyst with no signal . Any idea of the probability of that blasocyst also being normal for someone of my age. I had 10 eggs harvested and in an ultrasound a few days ago, have a good number of follicles for my age, but cannot afford to do a fresh IVF cycle (which is fine)? Thank you. ( Iknow it is likely just a guessing game).", "output": "Hello, there are very fewer chances with that saved blastocyst frankly but still worth a try so in case everything goes fine good but in case negative don't get disheartened and rather get a fresh IVF cycle as soon as possible even if loan because after some months you might not be having enough eggs to get a cycle on your bodkin case you have any questions in future you can contact me directly on http://bit.ly/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was on Levaquin ti fight an infection and then a dentist ewmoved an infected tooth. I have upper stomach pain which reaches an unbearable level when a short period passes after I eat. Once I eat it subsides for awhile. I am in still alot of pain from my toothe & prior took a lot of ibuprofen for the extreme pain. Please advise.", "output": "Hello, Make sure you have taken the prescription medication as prescribed. Chat Doctor. Avoid taking an antacid with a two-hour period of taking this medication. Report your difficulty to your dentist. A different antibiotic may be prescribed. I usually prescribe amoxicillin 500 mg for infected teeth. Continue to rinse the area and prevent debris from getting into the extraction area. If you have delayed healing, your dentist may need to clean out the socket place a medicated paste into the extraction socket. Try switching to Tylenol for pain relief. This may be kinder to your stomach than the ibuprofen. Avoid irritants such as acidic and spicy foods. Follow good nutrition and balanced vitamins especially vitamin B to assist healing. Thank you for your inquiry. I am available to answer additional questions and glad to assist you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 90 year old uncle and fallen and fractured the tibia and fibula. He also has advanced prostrate ca which is not being treated. He had surgery on the leg and it is casted . Now I m worried about poor circulation and infection. Is bone cancer a common complication of prostrate cancer?", "output": "Thanks for your question on Chat Doctor. Prostate cancer can commonly metastasize to bones especially thoracic vertebrae and long bones like femur, tibia, humerus etc. Metastases from prostate causes osteoblastic secondaries in bones. This makes bone weaker. They cause osteoporosis and demineralization of bone. So bones become highly fragile and prone to fracture. Even slightest force can cause fracture. Bone metastases are very common after untreated prostate cancer." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been having difficulty with breathing. I have had a CT scan which shows light and dark areas in my lungs. The pulmonary specialist that I started seeing put me on 30mg Prednisone for 6 weeks and now 20mg. along with oxygen use at 2L. None of this therapy has really corrected my problem. In fact, now, I need to use the oxygen most of the time. I will be seeing my doctor this week for follow up. Do you have any suggestions what diseases/problems could be causing this. I have had history of sarcoidosis which affected my electrical system of my heart (now have pacemaker for it). Looking for alternate treatments, tests etc. to be done?", "output": "Hello! Thank you for asking on Chat Doctor! I read your question carefully and understand your concern. Your past medical history is really concerning, and your symptoms seem to be related to acidosis. But I recommend performing some other tests like : pulmonary function tests, a blood gas analysis, a resting ECG, to examine better your cardiac and pulmonary function. An ambulatory 24-hour ECG monitoring may be needed if suspicions of arrhythmia are raised. Steroids can be a therapeutic test for acidosis (which is a disorder which improves by steroids). But in your case, the dose of steroids may need to be raised, in order to have the wished effects. The cardiac complications, improve too, when acidosis starts responding to the therapy. You should discuss with your attending physician on the above possibilities. Hope to have been helpful! Best wishes, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am having severe Cough and at times sputum gets blood as well, i suspected some throat infection initially but when i had my CBP and Chest X ray, reports showed my Haemoglobin as 12.6 ( male ) and in Chest X-Ray it mentioned Prominent Bronchovascular Marking two lobes, please suggest ?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Possibility of bronchitis is more in your case. Bronchitis is inflammation of airways. And it can cause coughing, hemoptysis (blood in sputum) and prominent bronchovascular markings on chest x-ray. If you are smoker than you should quit smoking as soon as possible. You need inhaled bronchodilators and inhaled corticosteroid (ICS). Antihistamine and anti-inflammatory Chat Doctor. So consult pulmonologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "please help age is 30 years male his weight is 70 kg ,he had skin biopsy which says its pityriasis linchenoides chronica a type of parapsoraisis ....I wanted to know is there a complete treatment of parapsoraisis in ayurvedic medicine or in homeopathy please tell me who is the specialist in this thanks", "output": "Hi, Satyriasis lichenoides variants describe scaly dermatomes with necrotic popular that are clinically and histologically different from Para psoriasis. This disease generally are benign and undergo spontaneous resolution but, at times, may have a protected course. Para psoriasis refers to 2 disease processes that are caused by T-Cell- pre-dominant infiltrates in the skin. These disease processes are large plaque para psoriasis and small plaque para psoriasis. AYURVEDIC VIEW, Ayurveda believes that impurities in the blood associated with emotional factors are the cause of the disease. The disease also caused by Citation of DATA and KAPPA DOHA. The vitiated dos has affect the skin and blood tissues. They also influence water element of the affected region on skin. Thus, the skin which is influenced by affected dishes becomes discolored [white or copper] scaly and thin. AYURVEDA suggests PANCHAKARMA for the treatment of para psoriasis. This because detoxification of the body is very essential for the treatment of this. Include more fruits, vegetables in your diet. Avoid animal fats, eggs. Use separate, clean cloths and towel for your use. Applying Aloe vera cream thinly to irritated skin and rubbing lightly." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 8 year old son has had a fever since last wednesday (a week ago tomorrow) that has spiked as high as 104-105. We controlled it by alternating advil and tylenol every 3 hours and that was for 4 days. We took him to the Dr. on Sunday and they confirmed strep throat. The only real symptom has been this high fever, and he hasnt complained about anything else. He did vomit once and it was greenish/yellowish and looked like mucus. He is now on Amoxicillin for 10 days, and my big concern is that his fever is not going away. It has been spiking in early evening and early morning as high as 103, so weve still been giving Advil/tylenol. what do you think? could there be a secondary infection or complications because we let it go for several days before treatment?", "output": "Hi, after going through the medical history I feel that the infection is resistant to Amoxicillin. Usually fever subsides within 1 or 2 days of antibiotic therapy. Unless the bacteria is resistant, it is not possible for the fever to be going on till now. The other possibility is that an entire diagnosis has been missed altogether. Why I say this because, Street can also be cultured from healthy people who are called as carriers, and they do not have symptoms because of this. Therefore, it may be co-incidental that we identified this carrier state when he might be actually down with something else. (This is not a common scenario when compared to encountering an antibiotic resistance). So next spike of fever, Kindly take your son to ER, and it is better to get him admitted in the hospital, do blood and urine test and cultures and treat accordingly after ruling out other infectionsRegards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a lump in one of my testicles which the doctors examined like 3years ago and said it is normal just a minor surgery procedure to unblock the arteries and on the other testicles recently i examined them the other testicle has i some sort of roughness like small rashes i can feel them what might wrong", "output": "HelloLooking at your description it seems to be a treatable condition and I will definitely help you in the best possible way if you can upload a photographs see patients with similar complaints in my clinic and after physical examination I would advise then for battery of tests like blood for hemoglobin, CBC, Liver function test, blood sugar and serological tests for STDs if suspected or a color Doppler of testis In my opinion you should wash bit properly with antiseptic solution and keep it clean and moisten manipulate or try to rupture it Hope this answers your question please feel free to ask for follow up I will be happy to help you Best wishes" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I had psoriasis during my pregnancy,but it was cured naturally after I had lot of vomit during my pregnancy.Now. I have scar marks in the place where I had psoriasis.kindly help me to reduce my marks and also give me tips to avoid psoriasis coming back to me.Thank u", "output": "Hello, Thanks for the query, These marks can be reduced by using skin lightening creams like Melanie.However, Psoriasis cannot be totally cured. It can be only controlled. You can use steroid creams to control this. Coal tar preparation is also very useful. Please meet a dermatologist for exact diagnosis. And get the medication prescribed. Let me know if you have any other doubt. You can ask a direct question to me on this forum, following the below link.https://urldefense.com/v3/__http://www.ChatDoctor .com/doctors/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 2 year old son has a bump/boil on his tailbone slightly towards the left of the crack. Barely noticeable until we touch it. It was a reddish rash before and now the redness has gone but the bump can be felt. He does not seem to have any pain or irritation. Doctor put him on antibiotics for 10 days and may refer us to a surgeon if this does not go. I am very worried about the possibility of it being a tumor.", "output": "Hello. I just read through your question. What you are describing is consistent with an abscess. The location is very common for this type of thing. An abscess is a bacterial infection of the skin. It often produces pus. Antibiotics almost always work. However, when they don't, removing the abscess is necessary. This is commonly done by a surgeon. Whether it heals by antibiotic or heals by removal, it is not a tumor, and is nothing to worry about." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ok, my daughter is 2 1/2 months old, and is scheduled for an x ray in a week. I took her to the dr, who looked very concerned. It s a light brown spot on her skin, but if you push on it, it slightly pushes in. She was born with it but at the time, they said lets see what happens. Its bout dime size now. At first, dr said lets see dermatologist, then when she pushed on it, she said my baby needs xray cause its over her heart. I wanna be calm, but am scared, she had a cystic hygroma during my pregnancy. My 5 yr old had kidney reflux and 3 hour surgery to correct it. Any idea what this may be?", "output": "Hi... Thank you for consulting in Chat Doctor. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i hit both my shins on a metal step on a play ground around 1 week ago. It was very painful as i have a lot of bruises but one bruise started bleeding and is still a bit black. It is now numb when i touch it and has a bump. what is this and is it normal?", "output": "Here you have explained you have bruises, numbness, bump at shin border after hit with a metal on ground. Now here since you have got hit with metal, I suggest at least tetanus should be taken. Apart from this check on your pain is it increasing or reducing. Are you able to give weight on your leg? Are you able to walk or not? If there is too many difficulties then I suggest visiting or tho doctor once. Let him examine and take x-ray too. Here the doctor will guide you for treatment as per his diagnosis and x-ray report. He may ask you for physiotherapy treatment as a conservative treatment along with few medications if there is no major damage. For major damage he may keep a plaster(pop) for you. I suggest you can use cold pack and hot pack frequently at home to have some more relief. And do not scratch the bump, let doctor do what is necessary. Black color change of skin could be because of sudden impact (injury) to soft tissue. I have given here general guideline I suggest following it step by step, and I am sure this will be useful for you. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi I have just recieved the results of a mri of my left shoulder.I have had pretty severe pain but the results sound as if my problem is mild. I have degenerative cysts on the posterior lateral aspect of my proximal humerus maginal spurs impinging on the supraspinatus musculotendinous junction. how would this be best resolved?", "output": "If there is a cyst detected you have to go for excision surgery of it. And they may do biopsy also for further evaluation. I suggest going ahead with excision and biopsy and then do physiotherapy for the shoulder post-operative rehabilitation to gain pain free movements. At home, you can also use hot and cold pack for time being for some pain relief. But will not work out long way. Take care and go ahead for removal of cyst." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi my name is bouavone (boo-von), my back is killing me, ive been to chiros but it seems to b a temporary solution. Recently its getting worst, I don t know whats wrong but I can explain the feeling im getting. I first noticed the pain between my spine and left shoulder blade, its still there but that s not my real worries. it started moving into my neck, first the left side and now to my right all the way up to my skull, as if theres a nerve or something getting pinched, I can feel pain down my spine mostly in my chest if I arch my back and look up or if I bend down as if im trying to touch my chin to my chest, looking over my right shoulder is limited. please respond quickly, I cant afford anymore chiro visits for a temp fix, thank you", "output": "Hello, Thank you for contact us, As you described it might because of nobody exercise at all in daily life.Nowadays it's mostly the common problems in humans. Mainly its due to inactivity of muscles. Today every one having totally sitting life as no work at all that could be count as a body exercise due to that problem occurs. For Neck pain I would prefer to not take pillow while sleeping, or you may take very thin pillow. It will help to relieve yourself from neck pain for sure. For back Pain you should follow instructions described below -Best medicine for back pain is Rest. Resting for some days will heal the muscles which could be damage because of jerk. Muscles need some time to heal so give them time for the same. Another way is to take message with hot or cold water, Some people take cold water and some takes hot for massage. As in your description I cant found anything like your back pain is because of accident or any big jerk, so it will be fine if you not concern more doctor even. You may try to not taking pillow while sleeping it might work. Hope it will work for your back pain & neck pain. Good luck, Take care. Thanks & regards," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello I am 35 years old woman, trying to conceive. my LMP was on 12 OCT and started taking siphene 50 mg (2 tablet) daily from 14 th oct to 18 th oct. from when should I start duphason. I have endometrial polyp . please suggest. I have 25-30 menstrual cycle. when will be the probable ovulation day? kindly give a reply.", "output": "Hello madam, As regards to ovulation, it generally occurs 14 days prior to the expected menses. But I think, since you are 35, you should go for a follicular study from 1oth day onwards to exactly locate the day of ovulation. Well you can go for phaeton on days following ovulation for 10 days. But if you are not planning for a follicular study and taking camphene empirically, you can start phaeton from 16th day onwards for 10 days, but restrict to max two/three such cycles. As regards to endometrial polyp, if you are failing to become pregnant within 2 to 3 cycles of camphene therapy, then please go for a polypectomy. Good luck" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My mother in law has been having chest pain and shortness of breath for a while. She was hospitalized for a week and was told that she has angina. She was also told that her echo showed 60% but was not explained what that ment. So can you please clarify that a little for us.Beings she does not have insurance we feel like she was shafted. Do you think she should get a second opinion???", "output": "Hello, If her echo showed that her heart contracts by 60% it is good because it is pretty normal. But if she has chest pain and has been diagnosed with angina, she needs to undergo coronary angiography. It is an examination when the heart vessels are being imaged by injecting a dye and looking under X-rays. It gives the opportunity to see if there are any blocked arteries, in this case, they can be opened by putting a stent. I would advise you to talk to your doctor about the possibility of coronary angiography. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "A. stroke west nile virus cardiac arrest asthma", "output": "Cardiac arrest requires immediate CPR if necessary ACLs or ALS(Advanced Life Support).However, in case of Bronchial Asthma if a patient develop Respiratory fatigue and his Oxygen concentration in blood starts falling put him on a ventilator, but wean him off as early as possible OR if he develops Cyanosis CPR + ALS. There are other protocols for all the above disease, but you stick to cardiac arrest and asthma.Don't forget Cardiac Asthma, severe cases may require ACLs. So it is the indication and entomology of the patient that gives rise to CPR, ACLs etc. no hard and fast rule." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my father has undergone CABG last week. He is now under CAPD for last 1 month. After the surgery there is lot of swelling in legs and hands. The swelling in the hands has come down after the CAPD but the legs are still showing the swelling and from yesterday we are observing some red patches in his toe and foot. Please tell me the cause of it.", "output": "Swelling is because of kidney dysfunction. Kidney is not able to excrete water so need to consume fewer fluids. As it is resolving with card, it will resolve within some time. If not consult your nephrologist to increase dose if Chat Doctor. Red patches may be because he must be taking blood thinners together with kidney dysfunction lead to excessive blood thinning lead to red patches. Still you need to show those patches to your doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My first pregnancy was after I received a fertility treatment due to which initiall I had 2 sacs but later one of the sacs got dissolved and I had only one baby. Now I am pregnant for the second time and this time I did not undergo any treatment. This time it was natural. Now also will I be facing the problem of 2 sacs or twin pregnancy?", "output": "Hi, Welcome to Chat Doctor. I am Chat Doctor. I will be answering your concerns today. The fertility treatment can result in twin pregnancy. But this time you have conceived naturally. The fertility treatment that you took for first pregnancy has no impact on this pregnancy. Your chances of having twins in this pregnancy depends on your family history. If your sister or mother have had twins, your chances of having twins are more compared to general population. Occasionally one can have twins without such family history too. I hope this is helpful." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was recently switched from bystolic to metoprolol tartrate due to a flux in insurance and reduced cost. Used to control blood pressure which has been benign ... now there is a flux with the m.t. they increased dose from 12.5 bid to 25 bid.... Is there an adjustment period? Should I be concerned?", "output": "Hi, I have gone through your question. I can understand your concern. But there is an adjustment period to set the dose of antihypertensive. Or switch from one group to othercgroup. You need to check it for some time to set the dosage. So no need to worry. Once your blood pressure become stable with some dose. It will be fixed. Then also you should go for checking your blood pressure monthly according to your doctors' advice. So just follow the Chat Doctor. And go for regular check up. Hope I have answered your question, if you have any further questions or queries you can ask me for that. I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 43 year old male with a medical history of essential hypertension for the last 8 years. initially i was given amlodipine 10 mg and a diuratic tablet almost for 4 years and my BP remained around 140/90-100. Now for the last one year i am on Losartan potassium 50 mg with amlodipine 5 mg a single tablet a day after breakfast and it keeps my BP around 130/90. I get my Lipid profile , KFT, etc regularly done and it happens to be normal. I am a non smoker and a moderate alcoholic and do a moderate exercise. Now i want to know how long shall I keep myself on the same drug , how safe is it , and what shall i do further? My height is 5.6 Weight is 69 kg and am highly sexually active .", "output": "Hello, The combination of losartan and amlodipine is presently considered one of the most effective antihypertensive and has minimum side effects. Also, it has been able to control your blood pressure well as per the reading you have mentioned. As you have essential hypertension, In high probability you would require lifelong medication to not just control the blood pressure but prevent any heart, kidney or brain related complications because of high blood pressure. The above medication is well tolerated with negligible side effects in an individual. The list is available on free net source. Neither losartan nor amlodipine would affect your sex life. So do continue the medication, Decrease salt in your diet, stay active and continue monitoring of risk factors and Co morbidity. Wishing you Good health. Regards " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I started having back pain from the mid to lower back on the right side along with a general feeling of achyness and just yucky overall. I ve had a low fever, clammy feeling, and the back pain goes from dull to sharp. Recently I ve had sweet smelling urine as well...but not right now. Today I had green stools (softer than normal but still solid). The back pain today is a little better, but still soreness at times.", "output": "Dear Patient, Welcome, and thanks for sharing your concern I went through your query, and I feel, your symptoms are more towards gall bladder problem, may it be stones or growth, Usually in such cases an Ultrasonography of the abdomen is must, and in few cases CT contrast of the abdomen is done. Kindly consult a General surgeon and get these investigations done. I hope my advice would have been useful, in decision-making regarding your treatment, still if you have any clarifications or doubts feel free to contact back. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi im an 18 year old female and i just had my 2nd baby in june, scence than i ve had unprotected sex. i thought i may be pregnant again i took 2 pregnacey tests and botChatDoctore back negitave. i know i didnt take them to early but im still having signs of pregnacy (sore tender lower belly, nausea, freqwent urination, pregnacy discarge, ect.) the the farthist i could be is 3 mont the least is about 1 to 1 and 1/2 months. With your medical nolage do you think theres a good chance i may be pregnant? if not do u have any idea whats wronge with me? thanks for any help, missa", "output": "Dear Miss, When the pregnancy test is negative even after 6 weeks to 12 weeks, it is unlikely that you are pregnant. At this stage of pregnancy, they are quite reliable. If you are breastfeeding your child, you may not get your menses (Lactational amenorrhea). However, there is always a possibility of pregnancy in this Lactational amenorrhea. During lactational period there is chance of increase vaginal discharge. The other symptoms do suggest the possibility of pregnancy; however are not exclusive symptoms of pregnancy. In lactational amenorrhea, if pregnancy occurs, it is difficult to judge the duration of pregnancy. If you are still doubtful about the pregnancy, please get Beta Chat Doctor test done. This test is very specific and sensitive and can give you reliable results even before the period is missed. If this test also reveals that you are not pregnant, please take Tab. Devilry for 5 days. 4-7 days later you should get with Chat Doctor. From day 2 of the bleeding please start reliable birth control pill to avoid such stressful situation in the future, Alternatively, you may choose to get IUD inserted or use condom. Please report to your Obstetrician. I hope this helps you. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi I am a 44yr old female, I weigh 250ilbs and am 5 3 in height. Over the past couple of days I have noticed that when I am sitting at my kitchen table for any length of time my feet and ankles begin to swell. I do not have any other pressing medical issues. Have had an elevated blood pressure the last time I was checked last year but Dr. was not overly concerned. I have also had a 5 to 10lb weight gain in the last 2 months. What may be cause of swelling and should I be concerned?", "output": "Hi, Thanks for contacting Chat Doctor. In cases like yours, most likely the cause is some deficiency in the veins of the lower legs. If the veins are not able to pump the blood back up towards the heart as before, backlog and subsequently, swelling can occur. This tends to be worse with the feet down, as gravity adds even more work for the veins. This is very common in people, and usually the course of action is some type of compression stocking (if the blood bringing the blood down to the legs, arteries, are working properly). I hope this helped answer your question, if you have any others I am here to help. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Routine mammogram done last week came back with focal asymmetry in left breast. Spot compression is recommended. Going tomorrow for spot compressions. I have had 3 biopsies (all benign) and fibroadenoma removal (benign) on this breast. One of the biopsies was last year (same breast, left) for microcalcifications (benign). Had to go back for spot compression last year also, same breast, same finding. Should I be concerned?", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have benign proliferative breast lesion like fibroadenoma or other. However you should go for either fine needle aspiration cytology or biopsy to rule out cancer. Consult your doctor and plan accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Wondering what is causing my lung pain. Background: Worsens both with activity/movement, and whilst lying down. Sitting still provides relief. Seems related to my menstrual cycle - over past year it is worst either during, or just before, menstruation. I ve been checked for heart issues - tests came up clear. Also had CT for chest to check for clots, came up clear. I have existing conditions: recurring stage 4 endometriosis in bowel and reproductive organs, PCOS and ongoing joint pain.", "output": "Thanks for your question on Chat Doctor. In my opinion you are having anxiety related chest symptoms mostly. Since your all cardiac and pulmonary tests are normal, no need to worry about major organic disease. It is anxiety mostly. You are also having endometriosis and PCs (poly cystic ovarian disease). Both these diseases are associated with stress and anxiety. So I advise you to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life. And work out solution for the same. You may require anxiolytic Chat Doctor. So avoid stress and tension. Be relax and calm." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my boyfriend recently went. Swimming and almostimmediatly after has had an increasing pain in his earand jaw what can he do to treat this as the ear spray and decongestants that he has been prescribed are not working and he has been told he has a kind of exzma in his ear however he was fine beffore swimming", "output": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Yes eczema in ear can cause pain in ear and referred pain to the jaw. Swimming pool may contain bleaching powder in it which may cause allergy to the sensitive part of the body in certain individuals. I suspect that you are having allergy to. Please take the medication like tab. Cetrizine and low dose steroid like tab. Cetrizine. Please take above medications under your doctors' guidance. You can use ear Chat Doctor. Please maintain good hygiene as it is equally important as taking antibiotics. I will be happy to answer your further concern on bit.ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear sir, Am a anxiety pateint with high BP, But bp was never in my life from last to lat year i got this bp attack and started medicin for only 6 months and moved to ayurved..doc said stopped all medicines and start ayurveda...then from july 13 to till jan 14..i was not on any bp medication...from but suffered from muscles tightnss on back of neck, tightness in head...sometimes palpitation...few days back bangalore doc asked me take amlong half tablet. but it didint work as the bp was 180/110...sometimes it was 200/110 yesterday banglr hospital doc. gives amlong 5mg 1 tablet along with injection and bp comes down and one physican said..its all coz. of anxiety.he has given me tazloc-ct 40, thiospas, petrilmd 0.5previous 2 yrs back i was on deanxit 10mg...coz. delhi doc said its Fibromyalgianow am only on tazloc-ct 40, thiospas, petrilmd 0.5 ...bp is not the cause its happens coz. of anxiety.....what to do..i fed up by all these things", "output": "Hello & Welcome to Chat Doctor, I had gone through the case and found that these symptoms might be due to some other reason also like Cervical spondylitis. Headache also associated with Hypertension, sleeplessness and some time with anxiety. You do not worry, first go for proper investigation like -Regular monitoring of blood pressure both at morning and during headache and anxiety.- X-ray of cervical vertebrae to rule out cervical spondylitis. Whatever the cause, take medicine if having Blood pressure otherwise do some kind of particular exercises like1- Deep breathing alternate nostril breathing for 15 minute daily, It will reduce your anxiety and blood pressure both.2- Meditation for 20 minute daily, it will reduce anxiety and improve the sleep.3- Do some cervical exercise and avoid pillow during sleep. All these help you definitely. Hope my advice will be effective for you. Thanks, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my lower back hurts pretty badly if i incline slightly forward or back since earlier today. i put no strain on my back other than pick up a box but ive done so many times before. Sharp pain occurs instantly if i incline too quick and I dont know what might be wrong since i havent done anything straining to my back", "output": "Cellophane You for contacting Chat Doctor. In most of the cases such pain is due to muscular spasm. I would suggest you following things:> Take rest for 2-3 days.> Avoid lifting heavy weight> Take naproxen twice a day for 3 days> Take mustard oil and ask some family member to massage your back with it.> Take hot water in a rubber bottle and put it on your back. It will give soothing effect. Report to hospital if:> Condition remain same after 2-3 days> Any unusual symptom appears> Condition deteriorates. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello there doctor! I had a report about primary complex in children. Please help me to understand about the disease,what is the s/s ,incubation period,mode of transmission,different types,and what are the other important informations about the disease? thank you doctor! Portwine Stain", "output": "Hi, Thanks and welcome to Chat Doctor. Primary complex is due infection by tuberculosis for the first time. It is seen in lungs on x-Ray. It is treated with INH and Rifampicin for 6 months. If not treated it may progress to progressive primary complex, plural effusion or cavity and ultimately leads to death. Hope this rely on is OK for you. Please feel free to ask further queries if any. Chat Doctor. V. Subrahmanyam." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I recently had a cavity filled on the upper left part of my mouth. Its been two days since the procedure, and I still have sever pain and tenderness in my cheek where Im guessing they put the novacain. I also am getting a burning sensation in my left ear and sore, red swollen tonsil on my left side. Again, its been two days since the procedure. Is this normal?", "output": "Hi and thank you so much for this query. I am so sorry to hear about these symptoms that you have reported. It is not normal to have a swollen and painful tonsil after dental work. I will suggest that you return to the doctor for further assessment and management. This could represent tonsillitis that needs to be managed somewhat differently. I hope this ad Chat Doctor. Thank you so much for patronizing our services, and please do feel free to ask for follow-up clarifications and information if need be. I wish you the best of health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi My mom(age 62) has stomach pain and vomitting. The doctor took her endoscopy ,abdomen scan & colonoscopy . Report shows gall bladder thickening and some sludge in gall baldder. Is it advisable to take udiliv tablet? let me know what is the remedy. Her blood tests all are normal.The doctor has given her some antibiotic and has asked her to come for one more scan after that he says if she didn t improve should open for surgery and look her abdomen.Is it advisable to take udiliv tablet?thanks", "output": "Hello. Thanks for using this forum. As per your description this seems to be what is called Cholecystitis, which is inflammation of the gallbladder wall. The treating doctor is right in prescribing antibiotics with Unlit tablets, which will help in curbing down the infection. Yes, at a later stage when the infection has been treated or if it still persists despite the conservative treatment, surgery would be the best option to remove the gall bladder. Therefore Unlit can be given. Hope this helps. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I fell and hit the back of my head last night really hard with all my body weight on the corner of a chair. I stayed up for about an hour after and now today I have a horrible headache, fuzzy vision in my right eye and dizziness, should I go to the emergency room?", "output": "Hi! Good evening. I am Chat Doctor answering your query. Yes. With this kind of history, I would recommend you to report to the ER of your nearest hospital at the earliest to rule out any intracranial injury. Good luck and take care. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Tattoo Infection - I have given myself homemade tattoos before and (as far as prisonstyle tattoos go) I have done a pretty good job in the past of sanitation.This last tat I was doing was a cover-up on my ankle, and I used a different ink than I usually use, which has caused my skin to be red and swollen (its day 3 now but I am used to new tats enough to know when it looks healthy, which it doesnt.), and I cant afford to go to the doctor for the infection, so I was wondering if you had any advice to help me out?I have been spraying it with bactine at least daily, giving it plenty of air and avoiding moisture.also, I have some antibiotics (dont remember the name, no longer in the bottle) that my doctor gave me about a year ago for an infection in my intestine, and I was wondering if I should take these as I was thinking they might help, and I figured it was worth a shot as long as they couldnt make it worse, so could they?thanks a lot!", "output": "Hi Thanks for the query There can be two reasons for the above presentation,Either you have developed contact sensitivity due to the tattoo and its pigment i.e. a kind of allergic reaction to the pigment. Or you have developed infection at the site of the tattoo. Allergic reaction usually presents with redness and development of fluid filled vesicular lesions with few solid pa pules or pustules over the affected area.the lesions in this case are very itchy in nature... Infection presents with redness of the area with the development of pus filled lesions... I would advise you to apply a steroid-antibiotic combination like Flutist cream over the area Take oral antihistamines like levocetrizine once a day for 3-4 days... Keep the area clean and Chat Doctor. . If inspire of the above measures, the lesions persist or increase in size, then sometimes a course of oral steroids or oral antibiotics is required according to the clinical picture Hope it helps To wish you speedy recovery " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My otherwise healthy son (4yrs old) woke up this morning with strong belly pains. He says it hurts when I touch his belly. His fever was normal 2 hours ago and now is 101.4. He says his throat hurts a little. He s not interested in eating and is sleeping a lot. Could this be strep throat? Just a bug (virus)? Or something more serious?", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query your child have symptoms of fever and sore throat which is due to upper respiratory tract infection and inflammation of tonsils. It seems to be due to infection by strep bacteria. Need not worry. I would suggest you to take throat lozenges and do warm saline gargles. You should take antibiotic Levofloxacin in combination with antiallergic medication Levocetirizine. Visit ENT specialist once and get it examined. You should get blood and throat swab test done and get it examined. Start treatment after proper prescription. Avoid oily and sharp food. Chat Doctor. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir, I am facing severe pain near my left abdomen. The pain is like insorting pin from inside belly and it lasts for 10-15 minutes but it is continuing for the last 7 years. it is more painful during winter than any other day.I have made all tests on blood nothing wrong found except vitamin d deficiency. Now my doctor wanted cect upper abdomen. Can you please suggest the cause of pain.", "output": "Hi. Thanks for your query and an elucidated history. Your classical history of pain is like inserting pin from inside the belly and for the last 7 years is most indicative of a probable slipped disc at the thoracic vertebrae. I would advise you the following:First to get a Neurologists' opinion as the pain looks to be more of a Neurological reason. Go for MRI of the spine;Secondly take an opinion of the Gastroenterologist, this will help in confirming or ruling any local intra-abdominal problem and get a probable diagnosis and plan for a treatment. He shall also ask for some investigations if required." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 20 years old, with a 1 year old child. i have had reoccurring dark purple lumps under my armpit for a few months now. I have one now that is VERY painful and hard. last night i couldnt take the pain anymore, and i squeezed it--blood exploded out of it. what is this? there was no pus, only blood.", "output": "Hi.based from your description, it could be folliculitis. This usually occurs after shaving, when hair is accidentally pulled out and inflammation and infection occurs, or when there's an irritation or an inflammatory reaction from chemical contents of your deodorant. Inflammation from uninfected follicles will subside in a few days time on its own. If the lesion, gets infected, a cyst or an abscess formation (hi Chat Doctor. If symptoms persist, a consult with your general surgeon is best for clinical evaluation. Management (medical and/or surgical) will be directed accordingly. Hope this helps. Good day!!~" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "ok so im gonna be 13 soon. last week i started having a cough & small fevers. i been having it for a while. & now its a week & it only have gotten worse and now i have a high fever. i fell asleep today, & woke up & my chest was hurting when i coughed & breathed. i also woke up with soreness all over. i took medicine, doesnt seem to do any good. what do you think i have? is it just a fever, or sickness?. or is it anything bad?", "output": "Hi welcome to the Chat Doctor Excess coughing can lead chest muscle soreness and hence chest pain... But before that two condition here needs to be ruled out bronchitis and pneumonia.... For that work up done as follows.... -Auscultation -Chest x-ray (PA view digital) -Spirometry if needed to decide further management plan in bronchitis-CBC According to reports specific treatment given You need to give decongestant like phenylephrine for Symptomatic relief Suitable antibiotic course prescribed If needed like levofloxacin or definite if needed... Steam inhalation done three times a day Salt water gargle done two times a day Take one tsp ginger juice with honey daily vitamin C lozenges useful in such conditions esp if viral condition Hot water used for Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Actually it is regarding one of my friends brother. He passed out engineering in 2007 batch but not got job.He has very peculiar qualities and he can t mix with any people. Even he will not visit any doctor s clinic.Can a doctor visit him in home though we need to maintain confidentiality as he should not know the person is a doctor", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. From the given description it is very difficult to diagnose the condition of your friends' brother. He could be having social phobia or simple anxiety. Early and correct diagnosis should cure his problem. I don't think any doctor will visit patient at his home. You may contact some psychologists to assess his condition and give report to a psychiatrist. Then the psychiatrist could prescribe medicines on seeing the report. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Wow that was quick. I was just diagnosed with cirrhosis 2 months ago. I am 43 yrs old. In 2000, I had Gastric Bypass surgery (successfully)however, addiction changed then to alcohol. I am anemic and have had 2 blood transfusions in 2 years. I also have hepatitis which I also just found out. ? is I drank 60 days straight/drunk. This Jan. and Feb. and I bloated up like the Michelin man, I knew something was really wrong. When I went to the doctor in early March I weighed 292/bloating so severe, I now way 207 I m 5-7 and I m scared I wont be able to stop losing. I am on 2 20mg of furosemide and a potassium and I get b12 shots due to malnutrition. I am freezing all the time, my fingers are always cold is this from the cirrhosis. My doc wants me to go to a liver specialist, but I don t want to hear my death sentence. Thank you for your time.", "output": "Well, I am a gastrohepatologist, but I won't give you a death but a live sentence. Quit Chat Doctor. Its more important than any of your medications at equal value with liver transplant we say. I know is a difficult decision, but you should take it for your good and live. As for the weft loosing a part is caused by diuretics I think, loosing liquids with urine you loose ascites and so you lose weight." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my baby girl is 4 months old. she is having loose motions.her stool is watery and green in colour.she is having loose motion from last 2 months.sometimes it stops and after some days,it starts again.i am breast feeding her.i dnt give her any formula milk.what should i do to stop her loose motions?", "output": "Thanks for asking I go through your question and understand your concern your 4-month-old daughter having loose motions, watery and green off and since 2 months. If I would your treating pediatrician I would like to ask how much motion she passed daily, amount of water passed in each motion. How much she's passing urine per day, how is she taking feeding. A breastfeeding baby can pass stool 8-10 per day. She may pass stool as soon she feed. If she's passing urine 6-8 times per day. And her weight is increasing (Her weight to be about 1.7 times of birth weight). If she's doing all above mention thing, not to worry continue breastfeeding. Her stool frequency will decrease as she growth. If her weigh is not increasing according to age then you should visit pediatrician. Hope i able answer your query" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 27 year old son has a small lump and tenderness behind his nipple. He has been treated for 10 days with flucloxicillin but still feels unwell. The breast area is tender and there is slight tenderness under the armpit. His symptoms generraly appear flu like. His doctor has said it may be a cyst which is infected. He has now finished the antibiotics and is going back to see his GP early next week. Do you have any advice. Elaine", "output": "Welcome to Chat Doctor .1. The history suggests that it can be infected cyst or an abscess or infective collection under the nipple.2. If the antibiotic course has not helped - then needs further evaluation.3. An ultrasound will be best to assess the pathology - it will help in analyzing the nature of the lump, its source and its extensions. At the same time axillary tenderness also can be assessed.4. Axillary tenderness will be probably musculoskeletal pain radiating or a lymph nodal enlargement due to localized infection. 5. In this case of infective collection the treatment of choice will be - small incision and Chat Doctor. Good luck. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir plzz tell me that if i will take manforce50 then can it will increase thetime fr ejaculation??if yes then fr how much time ??and fr how long my penis will erect??and if erection exist fr long time then is there any medicine fr it sir plzz tell me", "output": "Dear, Yes man force 50 contains sildenfil compound which dilated the veins of penis which is responsible for the erection to be maintained. Yes it makes you penis stay erect for long.However, you need to be aroused to have an erection. Remember it just sustains erection, by does not cause erection. The effect can be expected within an hour of its consumption to last for up to 5 hours after intake of tablet. Caution can produce tolerance in chronic and regular use, it is to be use for occasionally. To be use in doctors advice. Hope to have satisfied your queryThanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have one and off back pain especially after working long hours or lifting boxes/books. I also wake up with stiffness/slight pain in my lower back occasionally. My husband has noticed a bruise on my lower back over the past few weeks. It is very low and is in a straight vertical line. My lower back also hurts if you push on it.", "output": "Hi there, low back pain is one of the most common complain in people who work for long hours especially the on lifting heavy stuff. This could be due to excessive use of back and load being heavy, or due to bad posture while you are doing your job or due to weakness due to any bone pathology. I would advise you to get an MRI done for your back and also your serum calcium and it D levels. If you are premenopausal then osteoporosis is to be kept in mind. If everything is fine then you could visit a physiotherapist and do some back muscle strengthening exercises. He will also be able to guide you as to the proper posture to be adopted while lifting heavy stuff. You could take few painkillers to assuage the pain for the time being, taking care to take them only after a meal and never on empty stomach or with alcoholic Chat Doctor. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, my name is Tyler and im 16, 5-10 and weigh 160 pounds, I have concerns about my genital area, for the past few weeks Ive noticed a bump right below my genital area in the gutch area just one and its now the size of mole if that gives you an actual image and Ive tried popping it but nvr seems to break skin for it to pop should I be concerned? And should I see a doctor", "output": "Hello and welcome to Chat Doctor, Presence of bump or lump in the genital region could be due to lymph node enlargement or enlargement of Catholics gland due to inflammation. A clinical assessment needs to be done. Bartholins gland is present at the junction of anterior two third of vulva and posterior one third of vulva. It is painful in all cases. It is caused by obstruction of duct of the Catholics gland. A lymph node is unlikely to be present at this site, however, a clinical examination will allow better appreciation of lesion and relevant investigations can be ordered. Thanks and take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had my gall bladder removed, and I had been told the my spincter oddi muscle does not work properly, I m taking meds to relax it, I m now having very sharp pains right under my last rib on my right side, its sore to the touch, can you tell me what it might be?", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have sharp pain under the ribs with history of gall bladder removal. Well there can be many reasons for symptoms you mention in query like strain on the Intercostal Muscles, gallstones, Costco Chat Doctor. I would suggest you to consult gastroenterologist for proper examination and to check if there is any post gall bladder surgery complication. Doctor my order ultrasound, stool test, endoscopy and take history along with physical examination. Doctor may prescribe omeprazole, ornidazole, laxative or muscle relaxant. Doctor may also refer you to chest specialist for chest infection. For now apply warm compresses on pain site, eat light and non-spicy also take ibuprofen or acetaminophen for pain. Doctor may refer you to orthopedic surgeon for muscle and bone problem or to cardiologist for cardiac problem like angina. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "dear doctor i am 24 year old boy with low back pain and tenderness in l5s1 area. mri shows mild posterior bulge at l5s1 level.this is effacing epidural fat and indenting ventral theca. i am on aceproxyvon and muscle relaxant. pain improved in 2 weeks . none in morning. after car ride comes back. sometimes diziness for second or so when i am walking. sometimes leg weakness for a second or so. i am on active rest.my neurologist says bulge minimal n cant be cause of pain since it has been there for last 3 years. this time pain came after heavy wt lifting. please advice.", "output": "Hi, I had gone through your question and understand your concerns. Back pain after weight lifting may have too reasons: 1. Soft tissue (muscular) damage2. Herniated disc disease the MRI that you report is done after weight lift and shows only bulging, then there is soft tissue damage, rest and pain medication should improve the pain, if MRI is done before the weight lift maybe that bulging was transformed to herniated disc disease, and you need another lumbar MRI to confirm it. The treatment options depend on MRI findings. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "yes, i was wondering ... I just vomited A LOT of blood while in the shower... i do smoke cigarettes, about a pack per day and may have breast cancer... also i am a 39 yr old male, smoked for 32 yrs.... anyway what could this mean. it was a mix of dark red and bright red... threw it up 5 times tonight and before this happened, i had chills and felt dizzy and weak...", "output": "You're vomiting a large amount of blood as is clear from your description could mean one of 2 things, considering your smoking history. Either you have developed stomach ulcers which have now started bleeding. This is quite common in smokers. Or, you have developed stomach cancer which is now bleeding. This is also possible in long term smokers. What you need to do urgently is to see a gastroenterologist and get an endoscopy done through your mouth or nose. That will differentiate between the 2, locate the exact site of bleeding, and if required stop any active bleed. The chills, dizziness and weakness was due to sudden blood loss. You may need a blood transfusion also depending on your hemoglobin. Meanwhile, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was 3 weeks ago diagnosed with hypertension 150/95 and my doctor prescribed losartan potassium. I have been on the drug for 3 weeks and I want to withdraw from the medicine. i dont want to be on medicine for life and it is making me depressed and suicidal", "output": "Hi, In case you have high cardiovascular risk, you should take the medication lifelong. In case your cardiovascular risk is low, the other option can be lifestyle changes for 6 months. If it doesn't help, only after its medical treatment can be considered. Your cardiovascular risk should be assessed. In case it is low, I would advise you to decrease the salt intake, exercise regularly, lose weight if you are overweight. You should avoid fast food and soda. Hope I could help nourishing you good health In case of further questions don't hesitate to ask" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a son whom Im living with right now, and I cant beleive what im seeing and hereing from him. His temper is unreal and you would think he was a 17 yr old boy ... this man is 43... he only hangs out with much younger guys.. I am so ashamed of him I dont know what to do.... He likes to live in his own trash with dishes in his room as you would see in a teen .. wears clothes that i would throw away... what can i do", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. The given information may not be enough to understand your brothers character and diagnose his problem. But I do understand he is leading a lifestyle which others cannot accept and for which he never cares, and if somebody tries to advise him, he does not like it. Borderline personality disorder symptoms are somewhat identical to his condition. But need more information for a proper diagnosis. He needs counseling and psychotherapy. I shall provide you with the required counseling and psychotherapy techniques online, to overcome these problems. Please describe the whole problem in detail and post a direct question to me. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi- I have reduced kidney function and get gout quite often. Can t seem to find a list of foods which would be good for both conditions. I ve seen lists to avoid for each, but one food good for kidney function is bad for gout and visa versa. Thank you.", "output": "Hello and welcome to Chat Doctor. As a Urologist, I would like to know, how much has your kidney function reduced. I will give you expert opinion regarding diet, based on that. Gout dietary advice is given, depending on blood uric acid level. In general, avoid or reduce, red meats. If you've also done, 24 hours urine uric acid, depending on the level, dietary advice can be given. You can send your scan and blood reports here, in my name, for expert opinion." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doc,i m in urgent need of your help....my sister in law is suffereing from SLE as confirmed by a doctor here in ahmedbad, india. Within 3 months her weight has been reduced to almost half..she is suffering from severe arthritis, bronchitis, cough and fever..kindly help me in this regard as one of the local doctor says there is no cure for SLE....it will be very kind of you if you can guide me what precautions to take and what are the medications....", "output": "Dear Friend, Thank you for your question. Your patient seems to be very sick. Her bronchitis is most likely SHE induced lung disease, however we should differentiate it with lung infection with cultures and CT Thorax. She should also be worked up for other major organ involvement like kidneys and nervous system. She requires steroids and HCQ for management asap. Please consult Immunologist/ Rheumatologist urgently for same. If issues regarding appointment please try at Jaipur. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi there, My girlfriend is reporting the following symptoms for a couple of days now:night sweats / fever stuffy / runny nose Sore throat Nausea (quite intense)Today she had dark brown, dried mucus in the back of her throat when she woke up.After she dislodged it, she was gargling with water and there were small amounts of fresh blood in it.NO Cough.Many thanks!", "output": "HelloWelcome to Chat Doctor, The history and symptoms are suggestive of respiratory tract infection which is causing all these Ward symptoms. In severe cases the patients nay have symptoms of blood tinged sputum. I would suggest your girlfriend to undergo lab investigations like CBC, sputum examination, chest X-ray and urine examination. For the present symptoms I would recommend to follow1. Steam inhalation with vocals.2. Salt water gargling3. Oral antibiotics like tab Augmentin4. Bucolic syrup5. Oral antihistamines aforementioned measures helps to control the symptoms and improve the condition. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I saw my family doctor about 8 weeks ago because I had a mild rash on my arms above the elbow , in addition to one on both ankles. He gave me a cream to use, triamcinolone acetonide . So far, it hasn t made a lot of difference. Then, just in the last three weeks, I developed a raised, leathery red rash on my lower back and buttocks . None of this really itches other than occasionally on my legs. I normally have an itchy dry rash in the winter months when the humidity is low. I think my doctor thought this was dermatitis .", "output": "Hello welcome to Chat Doctor forum thank you for your query it looks like atomic dermatitis or edematous dermatitis. Triamcinolone is sometimes not effective, so we have to go for higher one in severe case oral steroid also given by the doctor.apply good moisturizer lotion over the body .use warm water to bathe and wear cotton cloths Chat Doctor. Better to consult dermatologist if it not improves I hope I answered your question" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a lump, in the inside of my jaw. right above my lower jaw. I can move it and it hurts so bad at all times. It s about 3/4-1inch just like round ball inside my jaw. You can t see it, but it is painful and you can feel it. I went to the doctor for this about 3 months ago and they said it was a swollen saliva gland? and it would go away in like 3 days if i just ate alot of sour things, and ate hard candies and stuff. Instead, it got bigger and more tender. I noticed my gumson the inside of my mouth (for teeth #17-19) was feeling rough so i went to brush my teeth and i was pinching a little and it still wasn t gone so i checked the next morning and i have a white patch with red swelling around it that s about 1/4 inch long, and 1/6 wide. all of this hurts so bad. Please help! :(", "output": "Hello and welcome to Chat Doctor forum EMA, according to the dental history provided by you, I would like to inform you that you dentist was correct when he said that the lump is due to salivary gland. You have not mentioned anything about your medical history, I assume there is none. Also, is there any Chat Doctor. I would advise you to visit an oral pathologist as a few tests might be required to rule out the cause and provide you with the treatment. Try to " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "ok i wonted to ask you can a swollen panieal gland kill you i have a small one ive had mri done ive had to test done for head aches and a dizzy test done iam just so scared plus i have bad allegerys and i take shots every month now noise have been close for about 15 months and iam suffering from that two so i have got alot of thigs going on up there", "output": "Hi, Thank you for posting your query. Small swellings in pineal glands are not uncommon and are of no adverse clinical consequence. Definitely, they would not kill you! However, you need to be under the follow-up of a neurologist/neurosurgeon to assess the size of pineal gland swelling, by doing repeated MRI scans at one-year intervals. I hope it helps. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was in a car accident a week ago. I overslept nd missed work today (slept 18 hrs) woke up feeling still sleepy and tired and with a metallic taste in my mouth. is that a sign of a concussion? my head hurts all the time but doctors at er didnt think i should be checked for a concussion", "output": "Hello, Metallic taste in the mouth and tiredness are not SPECIFIC symptoms of having a concussion though they can be found present who have suffered a concussion. If you are certain that you struck your head against something in the car and immediately following the blow to the head you suffered any DISRUPTION or LAPSE in awareness or consciousness or if you are unable to recall good detail of what happened just before or after the accident then, you may wish to see a neurologist with concussion experience for a 2nd opinion. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Should I see a doctor? Im having a severe sharp pain below my naval on my left side. It hurt to touch it or to even move.This was followed by a burning sensation all around my lower abdomen and lower back.Then I started having a dull pain under my right rib cage. And, during this my throat started getting tight. Now I just feel nauseous.All this happened around 2am last night while I was in bed. The pain gradually went down but I feel sick to my stomach and lightheaded now.Oh, Im 19 and female.", "output": "Hi ! Good evening. I am Chat Doctor answering your query. Yes dear. You must see a doctor at the earliest possible seeing the intensity of your pain abdomen. Your doctor after a basic clinical examination of your abdomen, might advise you for an ultrasound abdomen, a serum lipase and amylase, CBC, and in case you are active sexually, a serum Chat Doctor test as well. Further management would depend on the report of the clinical examination, and the investigations. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Ashley, I am trying to get a better understanding of when my conception date was to better explore my options at this time. I have no children and do not want children i have been on Depo shot for the past 7 years my new doctor stated it has been to long and i could no longer receive the shot so she changed me to the pill and now im pregnant 2:51 pm i have not had a cycle in the last maybe 3 or 4 years just a little spotting here and there but not a full or partial cycle i last had sex on October 7 went to the doctor on October 10 for a refill of my Birth control and showed no signs of pregnancy went to the doctor yesterday and was advised i was pregnant by urine and blood", "output": "Hi there, I have understood your concern and I will suggest you the best possible treatment options. As you were on demo proverb injection and shifted on oral contraceptive pills, there must be no definite date of last menstrual period. As such if contraceptive pills were started well before the medicinal effect of demo injection gets over, then chance of getting pregnant is almost nil. But if it has not happened, you might have had egg release and pregnancy might have been there. I will suggest you to get USG done to know about the exact gestational age and viability of the pregnancy. As you do not want to continue with the pregnancy, you can opt for termination of pregnancy with abortion pills under medical supervision safely till 9 weeks of pregnancy. Once you are done with the pregnancy termination, you can get proper counseling done for future contraceptive use. I hope this answer helps you. Thanks. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "could peritonitis cause meningitis which then caused encephalitis? my husband just recently had a heart valve replaced and the surgeon told me he had had peritonitis at some time. he had meningitis and encephalitis which they never found what caused the meningitis but said the meningitis caused the encephalitis that caused brain damage which caused loss of short term memory and a lot of reasoning power. Thank you for taking your time to answer me!!!", "output": "Hi, I am Chat Doctor. I have read your question with care and understand your concerns. Let me try to help you Question : could peritonitis cause meningitis which then caused encephalitis? Answer : Yes. It can. On the other hand, there can be another focus of infection which has caused all these three - peritonitis, meningitis and encephalitis. So the simple answer is - All Three can be related Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. Let me know if I can assist you further. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Two and a half weeks ago I had a temporary crown put on my upper left side tooth near the back. Two days later I had two fillings put in on my lower left side. My mouth was sore from the crown and then after the freezing from fillings came out, I ve had really bad pain when I open my mouth or yawn. I have to hold my mouth shut when I yawn. I can t open my mouth more than about a half an inch without lots oh pain on my left side upper jaw area. Thoughts?", "output": "Hello Sanskrit, The following could be the causes. It seems like a problem in your joint which connects your upper and lower jaw due to excessive opening of your mouth2. Temporary cap which had been cemented could have high points . i.e. you might not be able to bite completely which can lead to secondary infection if their for a longer time period. You might need to get some intro oral x-rays clicked to confirm. If pain is severe you can take an anti-inflammatory medicine Thank you and get it checked as soon as possible. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I had the feeling of a lump in my throat and it made it hard to swallow and breath as I was scared. I went to the ER and they weren t sure what it was but took blood and did an xray. the feeling of the lump slowly moved down my windpipe and was very painful so they gave me a pain killer and also had me on an iv. the week before I broke out in hives. I did go to an allergist doctor and get tested for possible allergies. I have not yet gone to my follow up appointment with him so I don t know what I am allergic too. My main concern was what in the heck was that lump feeling. The next week I was admitted into the ER and I had Viral Spinal Meningitis. They did a lot of blood work and got spinal fluid as well. Dr said it was due to Herpes Virus. I am trying to figure out if the hives was a precursor to the meningitis. Thanks so much.", "output": "Respected user, hi I evaluated your query thoroughly.* Feeling of lump in throat seems Adenoid enlargement post-viral infection in which CT, Blood work, X-ray comes normal.* Hives can act as precursor to meningitis through immune mediated mechanics of the body. Hope this clears your query. Welcome for any further assistance. Thanks for using Chat Doctor & giving me an opportunity to assist. Wishing fine recovery. Regards dear take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi.. I had the mirena coil fitted 10 days ago. I have been bleeding for the last 8 days... I stopped slightly for one day in the middle but now the blood is just like I have cut myself blood.. bright red.I have had the mirena before and never had this. Is it normal? And how long could it go on for.ThanksAimee YYYY@YYYY", "output": "Hi Hope this message finds u in good health. I have gone through your msg and understand your concern.it may be due to some sort of hormonal imbalances or variations in the body, though there may be other reasons as reclothing to worry about, You should eventually get back to normal. Take multi vitamin and calcium supplements Do consult a gynecologist if symptoms worsened back to me for any FOLLOW-UP QUERIES anytime. Chat Doctor. .(MBBS, MS,MCH)" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear sir One of brother 28 yrs old Ultrasound done and found impresssion Hepatomegaly with diffuse increased in parenchymal echogenecity--------Fatty changes of liver. Normal GB ,CBD, Spleen , Pancreas Normal Kidneys,Ureters and bladder.2 Fasting lood Glucose-116mg% Random blood glucose-147mg%.Is it major ? mail id ; YYYY@YYYY", "output": "Hello! Thank you for the query. Fatty liver can be caused by alcohol abuse (alcoholic steatohepatitis) or the cause can be nonalcoholic (nonalcoholic steatohepatitis). Nonalcoholic is mostly caused by obesity, fatty foods' intake, diabetes. Such condition can lead to liver cirrhosis and liver failure, and it is the risk factor of liver cancer. Your brother has also impaired fasting glucose what is prediabetes state. As your brother is very young he should do something with it, otherwise it can lead to serious complications. Physical activity and low fat diet is strongly advisable. Hope this will help. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, iam 33 years old i got married 4 years ago but no child my sperm counts fluctuates after taking medicine. if i take medicine my count goes up and at the same time my puss cells also go up now the puss cells are 15-20 and the count is 8 million and the motility is zero there has been fluctuations for the last 2.5 years my weight is 63 kg and my height is 5 8", "output": "Hi, Welcome to Chat Doctor . If your sperm count is less and motility too I would suggest you to go for IVF. This will benefit you as here sperms are washed, and healthy sperms are taken out and fertilized outside. Sperm motility problem will be bypassed. Success rate is good even though you have less count and motility. Pus cells mean infection. Since you are having frequent infection I would suggest you to get culture study of semen done to know which antibiotics to be taken. Hope I have been helpful. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a hysterectomy 2 years ago. Prior to this I had never had an irregular pap test. It was recommended due to frequent urge to uninate. It was totally un necessary. I read post operative lab reports all tissue and was healthy. I had a pap this past year, it was abnormal. I have gone back for another every three months. My doctor says it is cervical cancer. I no longer have a cervix. He is watching it and I am growing anxious. What happens now??? What would you recommend?", "output": "Hi, dairy have gone through your question. I can understand your concern. You already have hysterectomy. So your cervix is removed. There is no cervix. SO no need of doing pap smear test. Pap test is done for screening of cervical cancer. You can't have cervical cancer. No need to worry about that. Just be relaxed. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hullo Doc, i got typhoid a month ago was on Azithromycin tabs for 12 days, then i got tested again and there was typhoid parasites still in my body, is it possible that it takes a long time to heal? I was given cefalexin tabs and levofloxacin tablets for another treatment.will this work thanks", "output": "Hello mentioned that you took AZITHIOPRIM for 12 days and still positive. At present, you are taking cephalexin and levofloxacin for typhoid fever. Positive cultures of blood, stool or other specimens are required for diagnosis. Stool culture remain POSITIVE for 4-5 weeks and-in rare cases of chronic carriage -for > 1 year.However, TIDAL tests remain positive for > years even after one year of successful treatment. Strain 1:160 counts as POSITIVE, while less than this is negative. When such resistant case visit my clinic I advise my patient to take AZITHROMYCIN 1gram/ day orally for 5 days (standard therapeutic dose). Or High-dose CIPROFLOXACIN 750 mg orally twice in day for 10-14 days. Dexamethasone may be of benefit in severe cases. Hope this will help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am sanjeev and having diabetes and hypertension. Last five years back , I undergone angioplasty in my RCA. Last one year my SGPT lies between 90 to 130. As per whole abdomen CT scan report, my liver is enlarge and fatty. I am taking medicine of diabetes, high B.P. and cholesterol. My age is 44 and weight is 85 Pls advice me any medicine for the control of SGPT", "output": "HelloWelcome to Chat Doctor. You are suffering from too many serious diseases, but treatment is possible. Please control your diabetes by Chat Doctor. Control BP by medicines and low salt diet. This will also help in your fatty liver. Please avoid spicy and oily diet. Take green veg and pulses more. Take your medicine at proper time. Controlling sugar and BP will also help you for liver metabolism. Hope this will help you. Take care..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I,ve had pain in my low back left hip and thigh for sometime now. Thought it was disc disease but MRI shows only minimal disease . Can hardly bear weight on left leg. Also had MRI of this area as well. Frequent urination but have had this for years. Up all night but also not new at my wits end. Feels like if the leg would break everything would be fine. Also pain in left buttocks.", "output": "Hello. Thanks for writing to us. It is good that the MRI shows a minimal disease and there is no nerve root compression involved. You need to have a combination of painkillers and muscle relaxants for relief. Regular physical therapy will help after the acute pain subsides. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http://bit.ly/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I play third baseman for a softball league. A softball it me right on the shinbone, that day it got pretty swollen but I kept playing. It has been I week and it is not swollen but it hurts alot. When I sit for some time then stand up and try to walk that is when it hurts the most but after walking for a while the pain will not be as bad.", "output": "Hello, What I sense with the history is this is direct impact injury and so good the game is of softball that it didn't do many injuries. It is inflammation of the fascia and that will get better with time. There is nothing much worry about this. You can try hot water fermentation for pain relief and improve revascularization, so the healing is faster Rest assured you can play the game in the future. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am 28 years old i have one girl child she is 41/2years and i am trying for 2nd child i was having harmonal imbalance problem now it is ok we are trying since 2 years i am not getting pregnant and thriod,is normal utreus is also normal today is 13th day my doctor is suggested for follicular scan", "output": "Hello dairy understand you concernFirst you have to find the cause of hormonal imbalance. Your problem could be due to ovarian dysfunction, insulin resistance. Reproductive hormone analysis, USG scan and ovarian follicle study will help in the diagnosis. Treatment will depend on the cause. Progesterone pill in second half of period will metformin to regularize the glucose homeostasis. Make sure that your partner profile is also normalAvoid stress, take healthy diet with green leafy vegetables & fresh fruits, Chat Doctor. Hope this may help noncontact further if follow up needed Best regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been making a horrible whezzing cough it occurs when i tried to talk, pain in my back lower back and now i have just notice i am bleeding but not bad bleed, i am been having stomach pains i havent been able to eat sometimes.. feel nausa sometimes too", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. By your history and description, possibility of bronchitis is more. Your stomach problems are mostly due to HERD. HERD can cause worsening of bronchitis. So we need to treat HERD and bronchitis both simultaneously. For bronchitis, consult pulmonologist and get done clinical examination of respiratory system, PUT (Pulmonary Function Test). You may need inhaled bronchodilators and inhaled corticosteroid. For HERD, start proton pump inhibitors and prokinetic Chat Doctor. Avoid hot and spicy food. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Its been a month I got my braces... I am 23years... The problem is I have developed swollen gum in the inner areas of my upper jaw and outer areas of my lower jaw and also the right gap is swollen Please suggest anti biotics or other remedies... I use periex mouth wash and metrogly dg gel.... But have not noticed satisfying results...", "output": "Hi, Read your query, understand your concern as you are wearing braces what happened is during orthodontic treatment it slights difficult to maintain good oral hygiene, don't worry you swelling in gums can be due to deposition of food debris sublingual areas of gums or due to changes in periodontal ligaments leads to periodontal problem. Do warm saline gargle two - three times a day, You can apply ointment Gum paint on gums, use orthodontic brush to brush your teeth. Do chlorhexidine mouthwash twice daily. Consult your dentist for regular examination of oral cavity and treatment. Hope it will help you. If you have further queried I will be happy to help. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My wife was hospitalized with low blood pressure last week (68/37) and was diagnosed as in SepticShock. ano blood infection was identified, and after several days her blood pressure returned to normal. Now, after being home for 3 days her blood pressure is trending low. It is 98/40, and has been holding about there for 2-3 hours. I am worried. Do you think that I may be over reacting?", "output": "Hello, Thanks for posting your query on Chat Doctor ...* Brief Answer: low blood pressure is a common issue in septic shock. As long as your wife is ambulant and no fever detected, nothing to worry about.*Explanation: My opinion is that in septic shock, body capillary system tends to vasodilator causing pooling of blood in peripheral tissues. That causes blood pressure to Chat Doctor. I suggest my patients the following after discharge of hospital after being treated of septicemia, good HY" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 4 year old daughterhas complained of a tummy ache for 3 months now, this week she has had a large bowel movemement and then diarriah after it. Her staomach has always been sort of bloated and i ve always wondered if it is normal but now that i push on it, it is spongy.", "output": "Hi, stomach ache for 4 months in a 4-year-old child can be due to worm infestation, tuberculosis, celiac disease. Kindly do stool for routine microscopy test, contour test for tuberculosis, ultrasound abdomen and TTG levels for celiac disease. The treatment will depend on the above reports. An examination by doctor should also be done so that we may not miss any important finding. Review with reports. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My father had back pain, and for a year was shunted off to a physical therapist until finally he had an MRI, which led to a operation on his spine to relieve stenosis. A few years later, he has now developed pain on both hips. Sometimes the pain goes away. He said wearing a belt around his stomach and back helps. So I m wondering - is this still due to his spine? Are things collapsing in there? And how do we find out?", "output": "Complete bed rest for a certain period of time is the initial mode of treatment in low back pain. In this case the cause of pain may be restenosis. You have to consider that low back pain is not always totally curable condition. Pain can be controlled by medication, exercise, weight reduction, lifestyle modification etc. And if the condition is not improving and impairing your activities of daily living then you have options like epidural injection and ultimately surgery. You can think about having an MRI done again." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi i m suffering from stomach diseses for last 2-3 years. I have all stomach diseses. I recently saw a gastronomologist. She advised me following medicines : Ganaton Total and Darolac.I m suppose ti take these medicines for atleast 2 months. Please advise if it is safe to take these medicines.", "output": "Hi, Yes, the prescribed medications are well tolerated and are considered safe. Canton is a combination of a proton pump inhibitor with a prokinetic commonly prescribed to treat gastroesophageal reflux disease, and stomach ulcers. Darolac is a probiotic (good bacteria) useful in the treatment of acute diarrhea, bowel irregularities, indigestion, and inflammatory bowel diseases. Continue taking them as prescribed. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor, myself is Rekha patil. mu mom is 56 yrs. she s suffering from terrible pain in her abdomen . we did blood tests and sonography of her abdomen and pelvis . ct scan of the same is done but the reports are still to come. sonography report shows 3 solid mass lesions on her liver . can u plz tell me what is it and is it curable. i am quite nervous sir.", "output": "HelloUnfortunately this looks like some metastatic tumors to liver (can't be sure until a liver biopsy is done). It is very important to find the source tumor (of course it this is really metastatic tumors). Regarding the symptoms and age of your mother it could be an ovarian or a large intestine cancer, but it can be also something else (not cancer as well). The CT should tell about the localization. Thus, tumors as well as the main tumor can be treatable, but it depends on localization and a stage of disease. Hope this will help" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Sir, I shared room with my friend for one year who was now infected by sinovial tuberculosis & HIV too...are there any chances for me to get infected by those diseases???How I can I be confirmed whether I am affected by it or not? what precautionary measures should I take if I am not to be affected in the near future?? Thanking you, sir...", "output": "Hi, dairy have gone through your question. I can understand your concern. If you have any blood to blood contact or sexual contact with HIC infected person then there is chance of infection. Otherwise, no need to worry about that. HIV and synovial tuberculosis can not spread by sharing room cloths or other objects. No need to worry. Just be relaxed. For confirmation, you can go for HIV testing. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i am looking after my 9 month old grandson and he has just done his 24 hours with just water (he got up yesterday morning with sickness and diarrhea) i know he must have dried toast for his first meal but how long till he can go back onto his milk?", "output": "Dear user first I would like to tell you that diarrhea is very common problem in infants, and you need not worry about that, but you should do simple steps.......allergy to certain milk formula that baby take, and then you discuss with your doctor to change milk formula and if not, so his milk can be given at any time diarrhea may have more than one cause, but the most common cause in that age 9 months is viral infection of the intestine ....viral infection causes severe watery diarrhea and may lead to complication as deny Chat Doctor. ..... you should give your grandson oral rely" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi,ter my daughter is one year old..she is suffering from loose motions since last 12 days. have consulted her dr and checked her stool. The reports were normal but motions are starting again after a coulpe of days. Her stool is watery and greenish in colour.", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query your daughter have symptoms of loose motion which is due to poor digestion, poor absorption or rapid movement through the intestines and all this leads to watery diarrhea. Need not worry. I would suggest you to take zinc supplements along with oral rely Chat Doctor. You can take Nitazoxanide twice daily to prevent diarrhea. Your symptoms will resolve in 3-4 days. If your symptoms keeps on persisting visit gastroenterologist once and get it examined and start treatment accordingly. You should take antibiotic such as oflox-oz along with rebuild empty stomach one hour before meal. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi. i am nadeem from nagpur. age 42 yrs. i have prob of cold regularly. its allergic i think. when i come in contact with air flow like sitting under the fan with sweating body, it starts continue sneezing with cold. same thing happpens when i drive my bike (without Helmet) or driving car with open window. its happening since last 10 years. in AC i dont have any such problem. kindly suggest and advise me. thanks", "output": "Hi, Welcome to Chat Doctor, You are suffering from a kind of Rhinitis which could be ?allergic common agents dust, pollen, and other such thing. But There are other causes also non-allergic Vasomotor rhinitis and Chat Doctor. You should visit a ENT Surgeon and find out what is the reason for your problem, as anti histamines may give temporary relief, but if it is allergic you may avoid particular allergen, and take proper treatment like preventive nasal spray and systemic therapy if required. You should be better with proper treatment Good luck to you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir My daughter is 1 years & 7 months old and since the last 2 days she is having severe stomach ache/abdominal pain with High Fever irregular & constipated stool (No Vomiting & Diaorhea). Her atppetite has gone down considerably. Some other key changes observed are: 1#. Suddenly she has taken aversion to Water, be it to drink or to wash/sponge body;whereas earlier we had to try real hard to get her out of the Bathroom 2#. Give her anything that she normally likes/loves and she throws it down. 3#. Her Head is very hot compared to entire body. Please suggest", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query your daughter is suffering from abdominal pain and high fever which seems to be due to viral infection and due to lack of fibers in diet leading to electrolyte imbalance in body. Need not worry. I would suggest you to visit pediatrician once and get it examined. You should get blood tests done and start treatment after proper diagnosis. Take diet rich in fresh juices and fruits. You should give your daughter complete test. Chat Doctor. You should take anti-allergic medication along with proper course of antiviral along with Ibuprofen. Do tepid sponging as well to lower down fever. Avoid intake of outside food and avoid sharp and spicy food substances. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was bit 2 days ago by a horsefly. It initially reacted the way that is normal for me, large raised bump with pretty immeditate itching. I was bit 3 times in 3 areas in a few minutes- left knee , inside upper right knee and upper outer right thigh. The one on the inside of my right knee created a large red area and it also seemed to swell my leg in that area and is a little tender when pushed on. It still itches pretty bad (the other 2 bites haven t itched since shortly after getting bit. the actual bite has turned a purple color. Never had this reaction to a horsefly bite before. Do I need to be concerned or give it some more time? It s been approx. 56 hours since being bit.", "output": "Hi there, Thanks for writing in. As of now, I feel you might want to give a trial with over the counter oral anti histamines like portion and apply some HY Chat Doctor. Horse fly bites do take a while to heal. In the presence of other symptoms like fever, wheezing, gradually progressive swelling of the leg, pus formation, with pain increasing in intensity, I would say visit your doctor immediately. If this is the case you might require antibiotics. Hope this helps. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "MY BRAIN MRI SHOWS MANY BLACK SPOTS. I ALREADY HAD A BREAST REDUCTION . THEY SAID IT WOULD REMOVE THE PAIN IN MY RIGHT ARM AND GIVE ME BACK THE USE OF MY RIGHT HAND . I HAD MY GALLBLADDER REMOVED BEING TOLD I HAD A 70% CHANCE OF THE PAIN GOING AWAY. I USE TO BE AS STRONG AS AN OX, I M HAVING ISSUES PICKING UP 40LB NOW. I USE TO BE ABLE TO LIFT 100LB WITHOUT ISSUES. NOW I HAVE HAND TREMORS, THEY CAME AND GO. THE TREMOR ARE GETTING WORST, INCLUDING BOTH HANDS AND NOW ARMS. THEY GAVE ME MY MRI BUT WOULD NOT GIVE ME THE REPORT. THEY SENT THAT TO MY DOC. MY PC SAYS NOTHING MATCHES SO IT HAS TO BE STRESS. THE ONLY STRESS I HAVE IS HOW I FEEL", "output": "Hello, Thanks for the query, I understand your problem You need a detailed neurological evaluation by a neurologist which will include clinical interview to clarify the symptoms that you have followed by neurological examination. This will guide us the necessary investigations required to diagnose the condition. Please note that there are many causes of such problems including problem in the spinal cord. It would be difficult to resolve your issue without a proper clinical evaluation. Black spots in the MRI may also be due to many causes, and it has to be interpreted along with the clinical data. I urge you to get a neurological evaluation at the Earliest Best wishes Chat Doctor. Chat Doctor .com/doctors/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I want to know actually when i have conceived i have irregular cycles My july month period was 4th july and on 29 july i had non penetrive sex with stranger..from 29 july i started taking duphason on 8th august i got spotted in brown colour following periods ib brown colour..nkw my question is On 8th august it was my period or implantation bleeding.. From 19 august i started to have sex with my hubby And on 30september i had ultrasound it dated me 7 week 6 days gestational age.. On 31st october ultrasound dated me 12week 3 days Now my question is when did i get pregnant ..can 29 july incident had made me pregnant? If 8th august was my lmp the y does ultrasound dated me 6th august, have i conceived befire? My due date as lmp is 15 may And by ultrasound is 12 may Please help me to find when conception whould have occured And my mise important question is can ultrasound be wrong?", "output": "Hi.you have had two early pregnancy scans.that makes the pregnancy dating accurate.according to your ultrasound your pregnancy is most probably not the result of your 29th July sex, but has occurred after that. In fact around 13-14 days after 29th July, i.e. around mid August, fertilization and conception would have occurred. Your 30th Sept scan shows 7 was 6 days i.e. around 2 months, which means LMP is around 2nd august and your due date accordingly would be around 9th may next year. Again your 31st October scan also corresponds, showing 12 was 3 day prey i.e. around 3 months.(LMP around 4th Aug). So you can be pretty sure that you have conceived in mid August and will be due around 9th may next year." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello sir i am 21 years old male my weight is 64 and height is 5 7 .sir i ve seen that many of my friends who consumed endura mass have increased there height and i also wish to to increase my height would it be helpfuland does it have any side affects?", "output": "Increase in height is not only dependent on diet and nutritional supplements but also on age and genetic factors. You can take the supplement after ruling out allergies to any of the ingredients present. Restrict to one or two spoons of the powder to avoid any side effects. Even protein taken in excess dose can cause side effects. Hope I have answered your query. Let me know if I can assist you further. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "MY AUNT HAS HAD HER CHILDREN TAKEN AWAY FROM HER FROM CPS BECAUSE THEY SAID SHE FAILED A URINE TEST AND COME OUT POSITIVE WITH OPIATES AND ANPHETAMINES. She has the prescriptions and discharge summary with her, but that still did not help. They have continued to give her ua drug tests and most of them have came out negative but there are a couple a test that came out insufficiant for invalid, but not positive. My aunt has just found out that she has hepatitis c, cirrhosis of the liver and constant urinary track infection. I currently have her children and need to know if this can cause her urine to be insufficiant or invalid. Her creatine level was .8 I have gone with her to get her uas. She is not allowed to take anything with her in there is no sink and the toilet water is blue. Can having these diagnosis or her liver enzymes cause this her urine to be insufficant or invalid? Please help her children want to be home with her so badly especially since their father has past way from stomach cancer 1 month ago.", "output": "Hi there, Im so sorry to hear that. That sounds like a difficult situation. Let me try to answer your questions one at a time. First, if the urine test was done while she was in the hospital, pain medications such as nor co, Vicodin, percent, oxycodone, morphine, diluted, fentanyl or other opiate based pain medication will cause her to be positive for opioids. In terms of the amphetamines, Adderall is a common medication that can cause her to be positive. My recommendation would be to get a list of every medication she was given at the hospital and the emergency room - the discharge summary simply lists the medications that she's supposed to take at home and doesn't mention what medications she was given in the hospital. A creatinine level of 0.8 is normal, and her UA won't really make a difference in terms of false positives. The diagnosis of liver cirrhosis won't make her urine results invalid, especially with a normal creatine. Your best bet here is to get a list of every medication she was given during the hospital and have that reviewed by CPS. Remember, the discharge summary doesn't tell what medications were given in the hospital. I hope this answers your question. Please feel free to contact me if you have any further questions." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I think I may have pulled a muscle or two at work I repeat lifting motions 8 hours a day. I started having throbbing and burning pain along both sides of my spine shoulder blade area. Today though any solid food I swallow especially bread causes what feels like a muscle spasm and pain in that area only what do you think it may be?", "output": "Hi there, Thanks for your question at Chat Doctor. It is most likely muscle spasm. Ice pack application and gel application(analgesic gels) with rest can help relieve the spasm over initial 24 to 48 hours. If your neck hurts when you bend forwards, you should not use a pillow while sleeping. However, you should consider and get evaluated for a pinched nerve if: 1. You have numbness of tingling sensation in your arms or fingers. 3. Any pain which is radiating along your arm downwards.(like sciatica pain in the legs) 3. Any muscle in your limb feels weak. 4. The pain does not subside in first 5 to 7 days after medicines and rest. Hope this helps. All the best. Regards. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi i am a male 510 185 lbs. and exercise regularly. I smoked weed for fifteen years but pretty muched stopped since sept. of 2010. I have smoked since maybe once a week but will not anymore. Anyway i have been having these chest pains that lasts for seconds and come and go only when i am relaxing like watching t.v. oron the computer for five months now..When i go to the gym and run and lift weights i feel great, like really great. But when i am at home or say at the grocery store i get these chest pains that hurt real bad. It feels like a horse kicks me in the chest or sometimes like a real bad burning feeling. It is located on my left side on the center and sometimes under my left arm on my chest. It does not spread through my whole chest. Had numerous Ekgs done, blood work, chest x-rays and a treadmill stress test. All came back (-) except an rbbb during my stress test. Dr. said not to worry that i did excellent on my stress test. What can this be? It only lasts for seconds and comes and goes. Some days i do not get it at all. Other days i feel like it is waiting to happen during the day and it will happen a few times. I go back for a holter moniter in a few days and then an echo the next day. Is this something serious ? Why do i feel so good when i work out and exercise? I did have a lot of stress last year but this happens when i do not even stress about anything. Please Help? I only stress when i get these pains also. Thanks.", "output": "Hello dear, welcome to Chat Doctor.come have evaluated your query thoroughly.* This is more in relation with subconscious mind theory of perception of different sensations in various states, usually it is not related to heart and other chest organs.* Sounds very difficult to read, but it is true and documented in medical sciences.* You need relaxation techniques, deep breathing exercises, concentration techniques, YOGA to recover fully without medicines. Hope this will help you for sure. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had my hip replaced 7 yrs ago, now I m having hip pain that starts in my hip sometimes the pain encircles my entire thigh high up then it travels down the outside of my whole leg, the pain is very uncomfortable and is relieved by sitting down or laying down, having to take more and more pain medication to get the initial results, I don t like to take drugs cause I don t like that dopy sleepy feeling so sometimes I will take extra strength Tylenol then go back to the pain pills. I will never get hooked on pain meds as I hate the dopey feeling it gives me but it helps the pain some what. My e-mail address is YYYY@YYYY .", "output": "Hi! I have understood your query, the pain which is coming to your thigh and radiating to your leg, might be because of previous hip problem as well as some new problem which you might have developed over seven years of time, may be lumbar spondylosis with some nerve entrapment at lower level.to differentiate get an x-ray of your back done. Kindly visit your doctor for clinical examination. In the meanwhile take hot fomentation at home and rest." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have had a high platelet count b/t 460-620 for about 3 years. Is this normal? I have suffered with chronic depression and stress- can those be factors? The only other out of range blood count was my esinophils. My red blood cells are within range but on lower end and my white blood cells are within in range but on upper end.", "output": "Welcome to Chat Doctor. My dear friend your platelets count is slightly high. Patients with this platelets count are usually asymptomatic. No need to worry. There are not any relation with slightly high platelets, eosinophils and depression /stress. You did not mention your eosinophil count. I suggest you that reduce your stress with some mental relaxing exercise, meditation and yoga. You can also consult with psychiatrist for depression and stress if yoga and meditation not help you. Thanx for query. Always welcome for further question." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have been for an early scan due to brown spotting I was told by my doctor that I was 9 weeks but when I went for the scan it showed that I was only 6 weeks and 5 days. On the scan they could see a sac and foetal pole but no heart beat it measured 8mm is there any chance that the baby could still be ok and have a heartbeat soon or have I been sent home to have a miscarriage please help not got my next scan for another week.", "output": "Hallow Dear, I empathize your feelings and stress about the situation. If at 9 weeks gestational period, the size of embryo is barely 7 weeks and if the heart beats are absent, this scan strongly suggests missed abortion. Even if the dates are mistaken, still fetal heart should be present by this time. You may repeat scan after few days. If still there are no heart beats visible, this is a case of missed abortion. When the baby in the uterus is non-viable and still abortion has not taken place, we call it as missed abortion. Missed abortion should be terminated at the earliest lest the risk of complications like clotting disorders (DIC), infection, kidney failure, etc. Please report to the obstetrician to confirm the diagnosis and go for termination of pregnancy if missed abortion is confirmed. Before termination of pregnancy, you may have to get blood tested for Bleeding time, Clotting time, Platelet count, Prothrombin time and Fibrinogen Degradation Products to screen for DIC. Please do not delay termination if it is indicated. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My Mom has Metastatic Brain Cancer. She is in a nursing home and is in alot of pain in her head and neck. We are trying to stay ahead of the pain. She is also not mobile and sleeping alot. Her family lives very far away. How will I know when it will be time to tell them to come and stay with their father when the end is near? Will there be signs I can look for?", "output": "Hi, dairy have gone through your question. I can understand your concern. It depends on type of cancer. It is metastatic, so it is in last stage that is sure. However, life expectancy depends on type of brain cancer grade of cancer. In most of the cases' life expectancy is not more 6 months. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i am 15 years old yesterday i was playing football on a grass field outside my house.i was playing in goal when my friend took a shot i ran accross the goal to stop the ball at this time i was wearing no shoes and the grass was wet my lead leg (left leg) slipped and i fell down quickly awkwardly putting pressure on my left leg in turn putting pressure on my back i did not notice any immediate pain although now the next day it is sore in the upper middle of my back and awkward when i move. should i be worried or should i just relax (it is not causing great enough to disable me from walking cycling etc but is still sore.", "output": "Hi, Thanks for your query. From description, it seems you might develop muscular or ligamentous strain. You can take painkiller like Ibuprofen one tablet twice a day after meals with antacid Omeprazole 20 mg along with muscle relaxant like chloraxazone. This will relax the sprained muscles. If the pain persists, get yourself examined by your doctor do hope that you have found something helpful, and I will be glad to answer any further query. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my name is Peter. I have suffering from hair fall . around 20 hair strands fall everyday in the morning. I used to use hair gel in till mid of last year and then i stopped. now i apply almond oil every morning after the bath. Apart from the I use to keep my hair wet does it contribute to hair fall..?? My dad is also bald. So i would also have the same hereditary problem but what could be done so as to reduce the hair fall rate.??", "output": "Hi Peter. It seems that probably you may be having male pattern baldness like your father. In your case, it may be starting phase.stage I. It is also known as an Chat Doctor. You consult dermatologist for firm diagnosis. Reduce stress and anxiety related hair loss. If you wish, you may start treatment, otherwise you may wait. Finasteride 1\u00a0mg daily with biotin containing tab may be suggested by your dermatologist. He might prescribe minoxidil 5% sold to apply on the scalp. You may cleanse the scalp with ketoconazole containing shampoo. Have patience for the good result. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Today I have been feeling some pain in my stomach sort of a mixture between cramps and gas pains, I went to the bathroom and as I was about to flush I saw a red string in the toilet looked a bit furry, I wasn t bleeding at all I did notice a small bright red on my toilet paper but very very tiny, I have no idea what this could mean", "output": "Hi welcome to Chat Doctor forum. Thanks for calling Chat Doctor. F. As you describe there was mild pain of abdomen, like cramps and gas pain. When you go to bathroom there is tiny blood on the tissue paper. The cause could be fissure in ANO, meiosis, or some infection of intestines. I advise you to consult a surgeon for diagnosis and treatment. You may need to have photocopy for confirmation. Wishing for a quick recovery. Best regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi... i am seeing irregular periods since 5-6 years.... am 24years old now, got married last year and we are planning for a baby .... since three months i dint get my periods till date.i consulted gyno the doc gave me folsafe tab... can i ever concieve? am really worried...", "output": "Hi, Thanks for asking. I understand your concern. Good sperm count in male partner & menstruation with ovulation is primary need for conception. You have irregular periods. Please get your ovulation study done to certain it. * In case it is present the semen is normal you can try with unprotected sex around ovulation day (can be assessed with LH surge test). For 6 days from the +ve test. *Consult gynecologist if ovulation is absent. You would need investigations specific treatment after finding the cause. Once the ovulation is established... try as explained above. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Name: Kamini DubeyAge : 55 yrsWeight: 54Medical history: She is diabetec since 2003Date: 15th June 2006 She was operated for Gall badder Stone and gall baldder was removed.and after some days, She was complaining of stomach pain and passing mucus regularly in toilet, no symtpons of anorexia / nausea /wt. loss.So endoscopy was done but the result was normal. Still she was complaining the same and then we showed to 3 -4 doctors.Date: 15th Nov 2006She was done with Ultrasongraphy of Abdomen and Pelvis and the result was normal. 30th Nov. she was shown to Dr. H. N. Banka specialist for gastrologist almost 4 months but she started losing weight but there was no improvement and we kept shifitng other doctor. Then she was recommended to pshychiatrist by Banka on 6th Nov 2007 but there was no improvement. Date: 16th Dec 2007 She was recommended to 2-3 physician till 6 months but there was no improvement and she kept losing weight and kept changing medications.Sometimes was she was okay but again she was facing problems. This was continued till Nov end 2008. Decembers onwards she starting having a problem of pain in Left side of upper tooth and we showed to Dentist they said the teeth are good and refered her to Neuro, so she was shown to neuro, They were unable to diagnose the problem we also did TMG of Jaws but everything was fine. Then the pain start becoming severe and spread across her full jaws so we showed her to Pain Management and he also gave an injection above jaws for some nerve unblocking (infra orbital nerve block)Date: 24th April 2009In start of March she started complaining pain in abodomen and spine so CT scan and MRI and was diagnosed with Spine TB having pus in D9-D10 done on 23rd April 2009 and operated on 25th April 2009 and apart from that she was still complaining of mucus and pain in jaws and was under bed rest for 6 months.After 6 months Still she was complaining of pain in spine at the operated place and above abdomen. Date: 13th Nov 2009MRI of Spine was performed again to check the pain and all types of Blood Test. The result was progressive and healing. but she was still complaining of pain in spine, stomach and jaws.She also complaining from last 4 weeks that she is getting Medicines :- since april 2009 for TBInj. streptomycin (0.75 mg) 1 M oD x 90 daysTab. ZOCEF 500mg 1 BD x 7 daysCap. R Cinex 450 mg 1OD (she had side effect within 20 days, so it was replaced with Solonex Tab. 300 mg still continued)Tab. Combutal 800 mg 1 Od 8 months and stoppedTab. P. Zide 750mg 1 BD for 8 months and stoppedTab. Pan-40 1 od cont....----------------------------------------------------For Jaws Pain since 30-Jan-09Cap. Gabapain 300mg for 2 months (no response)Tab. Tyrptomar 10mg cont....Tab. Oxetol 300 mg 1 bd for 15 days (no response)Tab. Maha gaba -M fro 10 days (no response)Cap. Prelin - M for 5 days(no response)Tab. Nitravet 10 mg for 5 days (no response)Tab. Metrogil 400mg x 5 days (no response)Tab. clonazepam 0.25 for 2 months (no response)Tab. Pregabalin 75mg for 2 m (no response)Inj. Methyglobal 500 course of 10 inj. on alternate days -----------------------------------------------------------------------Present under medication of physician:Tab. solonex 300mg 1odTab. levoflox 500 mg 1 odTab. pan 40 1 odTab. Glizid 60 MR 1 odTab. Melmet 1000g 1 odTab. Daycare (calcium) 500 mg 1 odTab. Tryptomar 10 mg at nightTab. Tremazac P D (sos)Tab. Riconia LP 1 od ---------------------------------------------------------------------------Current Situation since last month:She is complaining for Jaws Pain , Stomach Pain with Mucus,Vision is not clear sometimes but she was operated for cataract on both eyes last yr. and she is having frequent headaches, uneasiness and sometimes chest pain but the ECG shows as normal. Pain in Spine so she is recommended of MRI again. Please suggest what kind of treatment she should be given or consult which specialist, she always panic for uneasiness and when checked with doctor the result is normal from few days she has also got high BP 160 90. She also cries and says that i wont be cure. Seems to be FED up with Sickness.She is still on kind off bed ridden becoz of spine pain. Please respond as soon as possible.", "output": "Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. Your symptoms may indicate postcholecystectomy syn Chat Doctor. It also includes the development of symptoms caused by removal of the gallbladder (e.g., gastritis and diarrhea). In general, PCS is a preliminary diagnosis and should be renamed with respect to the disease identified by an adequate workup. It arises from alterations in bile flow due to loss of the reservoir function of the gallbladder. Two types of problems may arise. The first is continuously increased bile flow into the upper gastrointestinal (GI) tract, which may contribute to esophagitis and gastritis. The second is related to the lower GI tract, where diarrhea and colicky lower abdominal pain may resultTreatment should be governed by the specific diagnosis made and may include pharmacologic or surgical approaches. First, you should do gastrostomy and ct scan to rule out other diagnoses and then treatment can be planned. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a heart attack due to a 100% over six hours in December; before that I was athletic and in great shape. However, after the heart attack my EF went down to 47... that said my doctor put me on a beta blocker and ace inhibitor. (also blood-thinners and a statin) I exercise heavy 4-5 days a week, and am active for 7 days a week; I eat well, fish at least 5 times a week, all else is vegetables and sometimes chicken; and drink moderately. Today I had another Echocardiogram and suck a peek at the screen before I left. It looked like my LVEF was at 31%. How is it possible that this went down? Am I doing something wrong? What else should I do? Is it safe to fly for business?", "output": "Hello there. You said that you suffered from heart attack due to 100% blockage of artery. After a myocardial infarction the blood supply to a part of the muscle whose artery is blocked does not receive blood. As a result that muscle tissue dies and can't pump blood. As a result the ejection fraction starts falling. It is good that you maintain a healthy and active lifestyle, but I would suggest you to avoid heavy strenuous work like running and picking heavy weights as it will increase further load on your heart. You can do brisk walking instead. However, it is safe for you to fly if your blood pressure is under control. I hope that answers your question. If you have any other queries please feel free to write." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good evening Dr. Prasad I have had fever since the 17th and URI sinusitis and bronchitis went to quick care started keflex, albuterol, lortab, lidocaine viscous, solu-medrol shot, Flonase alternating APAP and ibuprofen for fever which runs low grade while on meds around 100.1 woke up this morning with large lump and several small ones on back of my neck up into my hairline have an apt again with my GP on wed also severe headaches however I suffer from migraine HA any idea about the lumps and yes they hurt if pressed no exudate in the lumps keep in mind Ive been taking antibiotics", "output": "Hi thanks for your question. The big lump in along with several small lumps in the neck could be lymph nodes. Lymph nodes are normally present in body and get enlarged when there is infection in their vicinity. You are having sinusitis, upper respiratory tract infection and bronchitis. These lumps could be cervical lymph nodes. You are taking antibiotics along with plenty of symptomatic medicine. Continue with these medicines. But you are a good physical examination along with investigations like, chest X-Ray, blood count and fine needle aspiration cytology of this lymph node is necessary to establish the diagnosis. After accurate diagnosis treatment can be prescribed to you. For migraine continue the medicine prescribed to you by your G p. Re consult your G P with these baseline facts in your mind, so that he may re-evaluate you for your problems. Hope this answers your question" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a bad sciatic nerve problem, my legs cramp so bad I want to cry, my feet are like ice and some veins are breaking in my left foot. I have been to see orthopedic but they did not want to operate, I take meds for that but still not a lot of relief. What do you suggest about the horrible leg and foot cramps happens mostly at rest.", "output": "Hithank you for providing the brief history of you. As you are having lumbar spine disc degenerative changes I will advise you to undergo physical therapy. There are a lot of cases in my clinical practice who only recovered well with physical therapy alone. Therapeutic ultrasound therapy and TENS therapy will help. Reduce the pain and alter the pain signalling reaching to the brain. Also, the key role here will be exercises to improve the muscle strength and regain the normal anatomy of the spinal biomechanics. As the pain can be controlled much of the time by physical therapy. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a kidney transplant in 1998, it may have 1-2 years left. My husband is being tested to possibly give me another kidney (very kindly) but will I live as long a life as I would have if my kidneys had not packed up? In other words, could I still live to be 80 or more?", "output": "Hi, Patients who receive a kidney transplant typically live longer than those who stay on dialysis. A living donor kidney functions, on average, 12 to 20 years, and a deceased donor kidney from 8 to 12 years. Research shows that patients who get a kidney transplant before dialysis live an average of 10 to 15 years longer than if they stayed on dialysis. Younger adults benefit the most from a kidney transplant, but even adults as old as 75 gain an average of four more years after a transplant than if they had stayed on dialysis. If you get another live kidney and if you are approaching middle age then you might be lucky to live up to 75 years of age or more." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I fell hard on my leg, just beneath my knee. This happened just over two weeks ago. I had a lump and bruising around the bump. Coloring is gone, but the area is still sore. A new symptom is a red itchy rash below the bump. What would cause it and should I be concerned?", "output": "Hello, Since you mentioned you had a fall this could be just a muscle and skin tissue injury and nothing major. Using hot water fermentation and gentle massage will help to heal the bruises and soreness. Itching is because there is a tissue healing in the skin level so don't worry about it. You can apply some Vaseline or any moisturizer which will help you feel relief. You should be fine and there is no major injury incurred. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my sperm count is 3millions.can i increase the sperm count.but doctors are saying the motility is there.so what should i do.i had an operation for vericosis due to that only this count is low.can i increase it with the help of any prescription from doctors?", "output": "Hi, Low sperm count and other sperm disorders are complex, and first you should do more detailed sperm analysis that include number, morphology and motility of sperms. There are plenty of causes and treatment options for men with low sperm count vary depending on the cause of the condition. For example, surgery is the most common treatment for men suffering from varicocele. For low sperm count due to infections of the urinary/reproductive tract, antibiotics can be prescribed to help clear the infection. Medication and hormone replacement treatment options can also be used when the cause of low sperm count is related to a hormone imbalance. In cases of low sperm motility, assisted reproductive technology (ART) treatments would be used to facilitate conception by inserting sperm into the female reproductive tract. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor,we are planning for a baby & i ejaculate very quick & the size of my penis is around 4 inches after erection i would like to know what position we should do intercourse to have baby & is it ok after i ejaculate to continue the intercourse or should i stop for the sprem to find its way to the egg if i continue does it effect the sperm which i ejaculate inside the vagina what are the other things i should do to have baby i know the golden period i am having a low sperm count problem aswell my sperm count is around 10 million please help me ASAP", "output": "Hi. Good that you have decided to have a baby. Let us start with the basic-Your sperm count is low- and I would suggest you to seek a Medical advice by a specialist to look into it. This is the foremost important factor. He would even advise on the other matters you are interest to know. A small penis or an early ejaculation are no in Chat Doctor. The best position during sex is man-up, and you should not continue further after ejaculation and your wife should not get up after sex." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 20 month old has a red rash from her ankles to, and including her butt, almost looks like bad sun burn, but is raised like a welt. It is starting to spread to her hips and small areas on her upper arm. She hasn t eaten anything abnormal and we haven t changed detergents.", "output": "Hello, This might be Urticaria (hypersensitivity reaction)? Maybe contact Dermatitis / Atomic Dermatitis! I just hope that there is No cold /fever! Please just don't get panic. If the baby is fine: no crying / Itching then just wait and watch. If its itching /painful/excessive crying then you need to give medication like Antihistamines. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have a flutter below my belly button, had stretching feeling in lower abdomen, cramps of course, light blue veins in my breasts, sharp pains in my vagina every now and again, backaches, runny nose, and this is all 3 days before my period is due. I haven t taken a pregnancy test yet. I don t know when to do that. Can you give me some advice?", "output": "Hi. Thanks for your query. With the symptoms you have mentioned of fluttering and pain in the lower abdomen, large veins on breast, pain in vagina and others, it is possible that these may be due to PMS- pre-menstrual tension or may be pregnancy. I would advise you to consult a Gynecologist for clinical evaluation, investigations whenever needed and treatment is required. You can have a wait and watch approach if you do not develop additional symptoms or enhancement of the existing ones." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "For the past week or two Ive been having what seems to be a cold, but it seems to be holding on. Ive been having clogged ears, runny nose, headaches, and my eyes have been hurting. I also just recently had diarrhea, but that might be from what I ate today. I suspect maybe a sinus infection, or allergies? Im not sure, please help.", "output": "Hello, Welcome to Chat Doctor, The history and symptoms are suggesting me that you're having some infection affecting the upper respiratory tract which is may be by a viral or of allergic conditions. As you are having clogged ears, runny nose, headaches and eyes been hurting recently is suggesting that you are having infection of the upper respiratory tract. For your condition I would suggest you to follow1. Steam inhalation with Vapocaps2. Oral antibiotics like Tab Autoclave 625 mg for 5 days3. Oral antihistamines4. ORS solution. You can take these medicines by consulting your doctor and getting the prescription from him. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "a family member has metastised breast cancer to the R lung, liver and brain. While the liver and brain are under control for the moment, the lung seems to be spreading quickly. The doctors are removing about 1 litre of fluid every 5 days, and she is on 8-12 L of O2. A cat scan has revealed that the tumor has doubled in 2 wks, and the left lung is showing some shadows. She is scheduled for pic line tomorrow. How long do you think she has?", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. Breast cancers usually have good prognosis if detected early and treatment started promptly. Since your relative has advanced (metastatic) Breast cancer, this carries poor prognosis. Lung metastasis with recurrent malignant pleural effusion further worsen the survival rate. Life expectancy in his/her case is less than 1 year. And five year survival rate is less than 5%. So better to discuss end of life issues with him/her." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, plz suggest me about my SA: volume 2.5ml liquefaction time 25 min ph alikaline sperms count 107.3 millions/ml sperms motility: active Nil%, sluggish 30%, immotile 70% abnormal in shape 20% white blood cells 6-8 thanks for your useful suggestions..", "output": "His had gone through your report. Volume and liquefaction time is normal. You have normal sperm count. Motility absent that is the main problem. It might affect due to external factors so go for repeat semen analysis. Testicular biopsy will give more diagnostic value than semen analysis. Absent motility may lead to infertility. If you have infertility then require other method of artificial insemination due to immobile sperm. Urologist will guide you better so consult and get help. I hope I have answered your query. Feel free to ask. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 7 year old daughter got a cold last week. Me and my son have the same cold but our has not progressed the way hers has. She has had a fever every morning with a headache, sore to move her eyes (mostly her left eye), and a dry cough. She started antibiotics 3 mornings ago but last night she started getting leg cramps. This morning her fever was up to 103 and her legs are very sore. She has a dry cough that hurts her throat and seems to have some laryngitis when she talks. I gave her motrin and her fever went down to 100.7. I have had her stretching her leg muscles to try to ease the pain from them cramping. I am concerned because her symptoms seem to be getting worse instead of progressively better", "output": "Hi... Thank you for consulting in Chat Doctor. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Cough and cold are viral 95% of the times in child Chat Doctor. For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15\u00a0mg/kg/dose (max ceiling dose 500\u00a0mg) every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. For cold, you can use Cetirizine at 0.25\u00a0mg/kg/dose every 12 hourly for 3 days. For nasal block, plain saline nasal " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have 4 yrs old daughter. she is always suffering from cold and cough.all kind of English medicine we used but no cure. finally my friend advised me to buy a sring bhasma ayurveda medicine. is it work? then please tell me how to use this medicine and how many days i can continue for my child.", "output": "Your daughter is very small the adult mantra of mrugashrung plasma[I take it that bring is mrugashrung] itself is 120 to 240 mg. despite using if in my opinion you start your daughter with a good quality of chavanprash. Also give her a Shiraz of just one papal [crushed]+1 cup water+1\u00a0cup milk boil until only milk remains strain remove the crushed papal add khadisakhar and give this Sir PAK. You can give this milk once a day on alternate days, but remember just one crushed papal which is to be removed. I would advise you to consult an Ayurveda expert and then start the medicine. Avoid ice creams, curds.iced milk shakes, banana,custard apples." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi I have had a bad back for a few months and 6 days ago I layed on the sofa shuffling down and I couldnt move from the pain since this I have been in a lot of pain my tummy and sides are blooted I have been to the doctors I am on diaxepam codeine and today they switched me to tramadol, I have had no xray just felt it and told me my back was in spasm as u could see the muscle on the lect side of my spine, do u think this could be something more than a back spasm as it seems to me odd It has. ot felt right for a few months now something has gone to bring this ofull pain and now the swelling I looked on here any it told me 92% chance its kidney stone? what do u think?", "output": "Hello. Symptoms of renal colic by kidney stone include pain in the lower back spine radiating to the abdomen and genitals and problems in urination (increased frequency, difficulty starting urination ....). To rule out kidney stone is needed, plus an abdomen radiography, a urinalysis . Go to your doctor, as soon as possible, for urinalysis and confirm or exclude the diagnosis. I wish you good health.(If the answer has helped you, please indicate this)" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am a cancer patient undergoing radiation and chemo, and I have broken skin, thus I have a risk of infection. I was on antibiotics for 4 weeks just prior to the cancer treatments, and I think I may need a probiotic due to a bloated feeling when I eat. The pharmacist at my hospital warned me against taking probiotics due to risk of septic infection. When I search the Internet, I see that septic infection from probiotics was in rare instances: people who had dental surgery, or babies who had injections of the probiotic. Do you think taking a probiotic orally in a capsule would pose a risk for my situation? Thanks very much.", "output": "Hi and welcome to Chat Doctor, thank you for your query. I don't think that there is any risk from taking probiotics in your case. Bacteria in probiotics don't cause infections, so there is no way that it can lead to sepsis or any other infection in body. It is actually recommendable to take it and improve digestion since bowel may be damaged by behemoth and radio too. Described cases of some side effects are rarity and there is no scientific evidence of probiotics bad effect on immune system. Wish you good health. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor!! i really need your help.i really wanna get pregnant these days but the problem is i m still a virgin and my virgina is too tight.my husband couldnt even get through it.i really appreciate if you can give me some advice to solve my problem.thank you", "output": "Hello, Thanks for letting us know your health concern. In the current scenario, the cause of the vaginismus should be detected BS. If it is any anatomical defect like a septum or a thick hymen, surgical correction is possible. For neuropsychiatric causes, medication, counseling and relaxation procedures are helpful. Please do not worry, you have a correctable problem. Please get further help from a specialist. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi there i have a 7 month old liitle girl, i just went to the doctore cause i cant get immune to rubella he said it might be something else wrong in my body , my results from the blood test came in and it said my white blood cells are high and to have another blood test in a month to see if there gone back to normal . He said not to worry , should i worry?", "output": "Hi, dairy have gone through your question. I can understand your concern. You have high WBC count. There are many cause for high WBC count. But in routine practice most common cause is infection. Don't worry about that. You don't have any serious disease. Just go for repeat blood test. If your WBC count remains persistently high then you should go for further investigations. Right now no need to worry. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my partner has very high blood pressure. She was given tablets to take before I met her but she refuses to take them. Today we have taken a few different readings. 220 over 174. 210 over 169 and 203 over 171. These have been takenin hospital as shes in for a pre-op appointment so I know they are accurate. Can you advise what I should be doing with her to help i.e. diet or exercise?", "output": "Hello These readings are really high, diet and exercise alone cannot bring this down. She has to be medicine like tab Telmisartan 40 and Amlodipine 5 mg once a day, so she should get these prescribed. She should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. If BP is persistently more than 140/90 MMH, then she should be on medicines for it. Regular exercises like brisk walking, jogging according her capacity at least 30 min a day and 5 days a week after blood pressure is controlled. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity. Get your lipid profile and sugars tested once. Hope this helps you and get back if you have any doubts." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "doctor my dick is not stading properly i did sex 2 months befor till then mine dick is working great but now its not working what should i do premature ejucalation takes place in 3 min my sperm came out what should i do pleace reply me fast as possible", "output": "Hello appreciate your concerns will definitely help you in the best possible way if you can answer my these questions presence of any medical or metabolic disease Do you smoke or consume liquor first it needs to rule out any organic cause for low sperm count and non-motile sperms, by treating the underlying cause, healthy sperms can be improved it fails to increase, than artificial insemination and other artificial reproductive techniques can be used. I would advise you following guidelinesWatch your frequency of sex and look for any injuryMake your be Chat Doctor. More conducive and appealing for sex. Spend more time in foreplay and take your time You can ask your wife to press at the base of the glans when you feel to ejaculateAvoid smoking and alcohol consumptionAvoid stress and anxiety, just relax and enjoy your earthier are medicines available for erectile dysfunction as well as premature ejaculation, please let me know if you have need any more assistance, I will gladly answer you Hope this answers your question Best wishes" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 25 ears old and I had a cut behind my penis tip last night while having sex with my girl friend and i didn t notice the bleeding immediately and my penis was hard with the cut and loss of blood. Then, I cleaned the wound and treated it with bentadine to arrest the bleeding. I also checked for blood in the urine and there appears to be none. I want to know if i have severed an artery or something cause i am not able to get an erection since last night! How long shud i wait? and how serious is my condition?? Very Scared", "output": "Hi, Thanks for writing in. The tear in your penis may get better without treatment. Avoid sexual activity until the tear has healed. Once it has healed, you can try using a lubricant during sex to prevent the problem from happening again. It is not a serious issue and might take 2 weeks to heal. Right now you are required to keep your genital clean and Chat Doctor. Please wash with warm water twice a day to avoid any infection. You may apply newsprint ointment over the torn frenulum. Since the bleeding seems to have stopped, you do not need surgical suturing. It may happen that a scar might form in the area, if this happens then there is shortening of frenulum and might be released by minor surgery. This cannot be known now and will be obvious only after one month. Please wear loose inner clothes and maintain genital hygiene. Avoid masturbation or sex for two weeks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I was wondering, with a PET scan, should you be able to tell the difference between active scar tissue, and scar tissue from radiation treatment (which ended approx.7 weeks ago)? Also if a PET scan shows inflammation in the lymph nodes, but the lymph nodes appear normal how likely might it be that the inflammation is residual effects from the radiation,or rather that the cancer returned?", "output": "Hi, PET scan will certainly be able to differentiate between scar tissue and cancer. But the timing of PET scan is very, very important. After radiation therapy, it is ideal to wait for 12 weeks before radiation induced inflammation becomes normal. If FDG uptake occurs after 12 weeks from completion of radiation, it is not radiation induced inflammation. At 7 weeks, it becomes difficult to conclusively say if its cancer or radiation induced inflammation. But the dictum if radiation induced FDG uptake is usually diffuse and low to moderate grade. A focal area of uptake usually indicates another problem like cancer or infection. Recurrent cancer is usually focal and intense, though it's not a dictum in all the cases." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My wife has had a fever that spikes to 102 and then with tylanol, it drops to normal... this has been going on for almost 3 weeks. she vistited a dr and she told her she has an upper res infection. she has headaches and backaches, very tired all the time... what do we need to look for?", "output": "Hi, I had gone through your query and understand your concern. If I were the treating physician, I would look for few more information like>Time when fever rises>Pattern of rising temperature, highest temperature recorded>Rash >Travel history>Respiratory symptoms>Signs of organ enlargement and >Any other local or systemic positive findings etc. Then I might have suggested some laboratory investigations specially blood for culture and sensitivity. Since your wife has been suffering for almost 3 weeks, my opinion is that : Please consult with an internal medicine specialist. Hope this helps you. If you have additional queries, please do not hesitate to write us. We will be happy to answer. Wish your wife a rapid cure." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 37 years old, 171cm and 70 Kg. I feel that the upper part of my left testis ( not left testis ) have some sore pain like a heart pulse. This happen after i have been mastrrbate 3 time in two days (Sat and Sun) last week. And I am riding motorcycle to work. Would you please help me out ? Is riding motorcycle cause this problem ? the vibration of the seat. Thank you very much :-) - Kean Fatt", "output": "HelloThanks for your query, based on the facts that you have posted it appears that you have infection of the Epididymis(Epididymitis). Please consult qualified Urologist for clinical examination and get following basic tests done to confirm the diagnosis,1) Routine urine test 2) Ultrasound Scanning of Scrotum need to take broad spectrum antibiotic like \u010ceferin along with anti-inflammatory Chat Doctor. Ensure to " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "yes Dr. I just moved to FL. from CA. I have chronic spinal stenosis, acute nerve damage ove a log period of time L4, L%; C4, C% disease syatica, skinproblems rheumatoid arthritsis and Hep C [small viral load] I have extensive medical records---MRI head to toe from Scrippts Memorial Hospital EMG from UCSD and full blood work done here at ST Josephs.I have recently been treated with nerve block injections (eight injections each every other week and given pain meds which I do not abuse at all I am also taking flexerall and sometimes tamazapam at night to sleep Yhe nerve block injections were given to me by a pain management clinic here in FL. and has helped. But this doctor is no longer acceptable to me. Now I have no medication and am bed ridden (practically) I need help. I can no longer work and am so depressed. I moved to Florida to be with my daughter during her last semester of high school and have not been able to to see her because I dont want her to see me in such painPlease help meGordon Howard 206 495 7941I need some pain meds I was on percocet 10mg once 4xs a daymorphine sulphate i 3xs a dayI dont care if you can only perscribe tylenol 4 or vicadin 1o mg but I am sufferingIf you cannot perscribe for me , then this has been a waste of time", "output": "Hi, you became a chronic pain patient, I advise you to consult an orthopedic surgeon, and use only those medicines. I to my patient with such symptoms prescribe injections of Vitamin B1, 6, and 12, for 10 consecutive days, and to be continued one injection every week. And N.S.A.I.D. like diclofenac and paracetamol, for 10 days, then changed to acyclophenac and paracetamol, then again change to the previous. I hope this regimen may help you. And slowly decrease the painkillers. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I believe I pinched a nerve on my lower back that caused severe pain that shot through my leg for about 2 hours. This happened over two weeks ago and my right leg is still stiff and hard to walk on. My right foot is numb from the baby toe up to my ankle. Is there anything I can do to stop the numbness is my foot? Also is there anything I can do to loosened the stiff right leg? There is no more pain in my lower back. I believe I hurt myself at the gym the day before this happened.", "output": "Hello, You may be suffering from nerve root compression at lower lumbar spine. No back pain with foot numbness is strong indicator of nerve root compression. Diagnosis needs to be confirmed with MRI of the lumbosacral spine with screening of whole spine. Please get it done from radiology center nearby you. Meanwhile, take rest on hard bed. Avoid all gumming exercises. Tablet Regain once at bedtime helps in relief from numbness. I would advise visit to orthopedic spine specialist with MRI report. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello. I was operated for swelling on right chest wall mass on 30th Aug.2010. The Histopathology report of the hospital was Pseudosarcomatous myofibroblastic proliferation. While I gave the slides & the excisioned sample given to other Lab reported that it is Low Grade Myxofibrosarcoma (low grade cancer). It has again started growing and am advised MRI done. So kindly give your expert opinion as to why it has grown and will surgery needed again? What precautions to take. What is the final remedy to getout of it permanently. I am Mr. Mehta from Mumbai, India, 58 yrs,Male and have no other health problems. I chew tobecco and smoke 1/2 loose ciggaretts daily. Pls reply at your earliest", "output": "Hi, dairy have gone through your question. I can understand your concern. You have low grade myxofibrosarcoma. You have gone through surgery. But recurrence in very common in almost all sarcoma. So you should go for surgery again. Wide excision surgery with negative margins are the most important. If needed go for radiotherapy or chemotherapy according to need. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "1. Why exactly is Deriphyllin retard 150 tablets taken in Mild Asthma? Is it an antagonist or a drug that creates a reaction with some element in the body? 2. The same question for Montelukast 10 mg. 3. Which is the primary drug and which is complimentary? Deriphyllin 150 or Montelukast 10mg 4. Is there any difference in effect of a chewable tablet viz a viz non-chewable one? Thank You.", "output": "Hello, Welcome to Chat Doctor .1) Deriphyllin is a bronchodilator medicine (relaxes the airways), which is being used for treatment of asthma and COPD. Because of frequent side effects (commonly stomach upsets, palpitations, headaches etc.) and interaction with other Chat Doctor. For mild asthma, first choice treatment is use of albuterol inhaler whenever required. 2) Montelukast is a controller medicine which is to be taken regularly to prevent asthma attacks. It reduces inflammation of always, which is the cause for asthma. It can be taken alone or in combination with steroid inhalers depends on severity3) Deriphyllin cannot be considered as a primary treatment of asthma4) Montelukast is available as 4\u00a0mg chewable tablets for child" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have hashimotos for past 27 years and taking synth o Id daily all that time after reading all the articles on what to eat and what not to eat causes great confusion since I eat healthy and most of the foods mentioned are all healthy conscious foods, it is driving me crazy. I suffer from panic attacks at various times of f the year but deal with it along with aching joints am I hurting myself if I eat greens, drink milk all of which is to be avoided.", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. Panic attacks always happen due to underlying anxiety. Therefore, you must add Chat Doctor. Please understand anxiety and related problems. Once you understand your anxiety, you will be able to keep yourself away from panic creating situations. Therapy always starts with avoiding such situations along with coping techniques when forced to be in such situations. Start slowly, progress gradually, attain neatly. Your anxiety is regarding your health and your joints. Even intolerable joint pain could be caused by your health anxiety. Please talk to your psychologist / psychiatrist. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi can you please give me some advice. I have several issues I have Chiari Malformation plus degenerative disc disease in my neck and bone spurs between my C5 and C6. The headaches and neck pain is so severe most days it s hard to function. I currently am in the throes of a violent headache. Can you give options on what I can do to decrease the pain (tried hot bath, cold and got compresses OTC pain meds and RX med of fioricet). This is day 4 of this.", "output": "hello must see a neurosurgeon and get the surgery done for Chiara malformation.commonly laminectomy of c1-2 is carried out with fusion, removal of osteophytes and decompression to ease the pressure from protruding brain cerebellar through foramen magnum into upper part of base of neck. This is a permanent cure. Medicines for pain can give only temporary relief and, there can be serious risk to respiratory and neurogenic functions if left untreated. So consult earliest a neurosurgeon best wishes" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I am 42 year old fit and healty male, I have been experiencing wheezing during exhalation off and on for the last 12 months. I have had cardiac testing and lung testing and X-rays and all is looking normal. I have also trailed a variety of asthma inhalers without success. My symtoms are fatigue, irritability, bad sleeping, exhausted upon waking, lack of concentration, cannot exhale carbon dioxide efficiently during exercise, headaches.Iatelly the laboured breathing is becoming more frequent. My latest observation is that the wheezing or restriction may be in the upper throat region. I am no doctor so this may be an incorrect observation.I now fear I may stop breathing while sleeping.Your help would be much appreciated. Jase", "output": "Hello dear, Wheezing is caused due to bronchoconstriction (obstruction of smaller airway passages) which is indicative of Hyper-responsiveness of air passages (seasonal allergy or asthma)Management consists of:1. Stalin inhaler-provide symptomatic relief by causing bronchodilator (dilating the smaller airway passages, relieving the obstruction & increasing airflow to lungs)So, you can use it whenever you are having an acute attack.2. Montelukast preparations- used as a maintenance therapy to relieve symptoms of seasonal allergies & asthma.3. Antihistamines can also be used to provide symptomatic relief.4. Protect yourself from exposure to cold, dust or other allergens. If symptoms still persist, it will be better to consult a Pulmonologist & get a proper physical examination done. So that appropriate management steps could be taken. Wishing you a Good Health. Thanks & take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My23yr old Granddaughter is desperate for a child..but she has been getting server pains in her stumache for a couple of years and has spent alot of time in hospital..She has been to that she has Policystic Overies and that her tubes were blocked..they have removed one overy and one fallopian tube..she has also be told that er remaining tube is blocked by fluid..she is still getting pains every month but she is frightened to go back into hopital in case they take her remaining overy and tube away.she is due to see a fertility doctor..she is frightened in case they take her down to theater again and have to remove her remaining tube..befor they harvest her eggs.she still has her womb and producing eggs...Is there a way to unblock her remaining tube with out a operation..can you give her some advice about what alternatives she has..she is supposed to be in hospital now but she wont go in as she doesn think they will do anything for her..she has been in hospital about 5 times so far..", "output": "Hi. Thanks for your query. Read the history of our granddaughter and understood the problem. The history of removal of the one ovary one tube can be due to Salpingitis and / or TO (Tubo-ovarian) mass, the commonest cause being Tuberculosis. This might have caused the blockage of the another tube. The polycystic ovaries do not cause blockage of the tubes. Tuberculosis may be the cause of pain in abdomen. I would advise first to get a proper diagnosis of the causes of all the symptoms by proper investigations and treatment. I would advise the following in such a patient:Blood, urine, stool tests. Gold Quantifier test for TBCT scan of the abdomen. Evaluate for the cause, get a treatment first on the medical basis and once the problem is solved her remaining ovary and tube can be saved. Now-a-days the treatment of tuberculosis is ambulatory, meaning there is no need for admission. Once the medical therapy is completed and the patient recovered we can always go inside the abdomen and do a small surgery to open up the blocked tube. This can very well be tried as just removing the other tube and ovary your granddaughter will never be able to have natural pregnancy. Please discuss this with your Gastroenterologist and Gynecologist. This has to be a multidisciplinary approach as it is related to life of a patient. You will certainly get the best results in a way I explained." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 58 and on atenolol and avapro for blood pressure. Recently my blood pressure has been risinglast night I woke up with my heart beat pulsing in my ears and my blood pressure was 177 over 95. Is it okay to wait until 3 days until I can get into my regular physican or should I go to a weekend clinic now I weigh 190", "output": "Hi, Its a matter of worry but it's not emergency, you can certainly wait for three days if you are not any symptoms like chest pain or shortness of breath. Doctor will optimize your medicine, and you should maintain healthy lifestyle like Avoid fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. Regular exercises like brisk walking, jogging according your capacity at least 30 min a day and 5 days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity. Get your lipid profile and sugars tested once. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor,My brother has lost 4-5 kgs weight in last 2-3 months. He is 34 years old. He has undergone many tests like endoscopy, Complete Blood count, Thyroid, stool test for blood loss, blood sugar test and ultrasonography. All results are normal.Today he underwent Liver function test (2 of the parameters are above reference range). Results are as follows (reference range given in bracket):S. BIluribin - 1.5 (0 - 1)D. Biluribin - 0.3 (0 - 0.2)SGOT - 15 (6 - 40)SGPT - 17 (8 - 37)S. Alkali - 102 (36 - 140)Total protein - 8.3 (6 - 8.5)S. Albumin - 4.4 (3.5 - 5)Globulin - 3.9 (2.5 - 5)AG Ratio - 1.1 (1 - 1.4)S. Biluribin and D. Biluribin are slightly above reference range. What does it indicate. Please advise. Are there any more tests needed?Thanks in advance.", "output": "Hello. As you say S. Bilirrubin and D. Bilrrubin are slightly above reference range. The most common causes of increased bilirubin levels are liver, vesicle or pancreas diseases. For Liver and vesicle, abdomen ultrasound is correct additional test but for pancreas is necessary to request a computed axial tomography(CAT scan). Your doctor, probably,will request because a person with weight loss and increased bilirubin levels, pancreas disease must be rule out. I wish you good health.(In case the answer would have been useful please indicate this)" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi sir/ ma am I just ha sex with my gf 3 days ago and I didn t use protection I am kinda scared I had sex but I pulled out before ejaculating I kinda stimulates her vagina with the same hand but didn t finger her Now she got the period Do you think she ll be pregnant I m afraid please help me Thanks", "output": "Hello dairy understand you concernConfirmatory symptoms of the pregnancy is missed period. But you GF got the period, so there is no pregnancy. Pregnancy is not possible when sex was done in safe phase of menstrual cycle. But take following advise:For pregnancy, penetrative sexual intercourse with or without ejaculation in the fertile phase of the cycle is required (10th to 20th day of period). Pull out method is not successful in preventing the pregnancy as pre-cum enter in to vagina unknowingly in to the vagina before ejaculation, and it contains sufficient sperm concentration require becoming pregnant. So keep above thing in mind and use condom in future to prevent the unwanted pregnancy. Hope this may help noncontact further if follow up needed" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,I am Meena Sheth. I was operated for cerivcal myelopathy in August, 2012. My latest MRI REPORT state that Diffuse bulges are seen from C3-4 to C6-7 levels, indenting the anterior subarachnoid space. The posterior longitudinal ligament is diffusely thickened.Pl do let me know in simple language what do you mean by above.", "output": "Hi, cervical myelopathy means - spinal cord in the region of neck is having issues. The diffuse bulge from c3-c4 to c6-c7 Levels means the disk between the two vertebrae is being pushed inside compartment (its slipped from normal position) which creates an indentation / grove like structure in spinal cord and compressing from the front side at separate locations between c3-c4 and c6-c7. Posterior ligament is thickened - means the cover on the back portion of the vertebral column is thick. Thanks. Hope it helps. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my grand mas report is as per follow:phalets low , swollen is found in temparal part of brain , in urine - urea is fluctuatin in between in 72 to 103 , creatinine is 2.8.are doctor says pencreas is nt workin and kidney is infected .blood sugar : 214.case history :she caried by-pass surgery in the year 2008.she is a patient of high blood pressure and daibetes.please, advice what should done next?", "output": "Hi and welcome to Chat Doctor. As a specialist, i can understand your anxiety. Your grandmas condition is quite critical. She has multi organ involvement, with brain, kidneys,pancreas and heart being affected. Each of these organs function, has to be monitored closely.She'll need to be in an intensive care, with a ventilator facility and an intensivist ideally. Her blood routine, LFT,and electrolytes will need to be monitored closely. Along with mannitol infusion, shell need insulin and a broad spectrum antibiotic. Hemodialysis may be needed, if deterioration occurs. So, you can understand that treatment should be in a tertiary center. Chat Doctor. Manga." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "the doctor says that my mum is very ill and her heart is only working at 20% and that she has about 6 months but he wont tell her, but she looks fine to me I dont understand, she does however have limited activities like shower walking do you think the doc is right", "output": "Normally heart function is around 55-60%. Heart function of mother is definitely low but not incompatible with life. Now priority is function should Not go further down. At this function also person can lead good and prolonged life. Regular medicine as advised, low salt diet and fluid restriction is the key. Ask your doctor for AID, device which decreases death rate. Get back if you have any questions" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im having a lot of lower abdominal pressure and pressure in my rear..that is very unconfortable ...few days ago I was involved in car accident was rear ended. I went to the ER and they did a CT Scan with blue dye..but they said everything was ok but I still have that pain is that normal??.", "output": "Hi. It is possible the scan done immediately after accident can be normal in many cases. IT will depend upon the clinical examination by Doctor that whether this is just because of post-traumatic heaviness or a problem with the spine causing lower abdominal pressure contusion in lower abdomen. If you do not have any other symptoms like black stools, bloating, nausea, vomiting, urinary symptoms or pain in lower limbs, you can wait and watch. If any of the symptoms are present I would advise such a patient to undergo a clinical examination and investigations like repeat/ review CT scan and other tests." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had tingling, numbing and no strength in my legs. Also have no control of bowel movement. Numbing in my straddle area and other personal area problems. I was infrmed today that my x-ray showed no space between the l5 and s1. I was told that the nerves are being crushed. They want me to go for MRI tomorrow. I was also told that they would stick two rods in my back and two srews on top of bone and two screws on the bottom. What is the name of this surgery?? How long is the healing process because I own a car service and cannot be out that long of time because I will lose my cliental.", "output": "Hello and thanks for using Chat Doctor. I have read your question and understand your concerns. The most probable diagnosis in your case is spondylolisthesis at L5/S1 level. Symptoms are caused by compression of your spinal cord at this level. MRI will give additional information about your concerns. The surgery to correct this problem is called posterior stabilization (spondylosis) with or without laminectomy. If all goes well, you should leave the hospital in one week and full or near full recovery is expected in six months. Hope you found the answer helpful. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have gingivites since my childhood.Since few days I have a severe tooth ache and my tooth is moving.I already had 2 teeth extractions few years back.I dont want to go to the dentist because he will say I need scaling and extraction of my tooth. Which is very painful so its out of question.I am just 26 I cant have my teeth extracted on and off.Please tell me what should i do? Thank you.", "output": "Hi, At the age of just 26 you got your two teeth extracted that is awful. Let me tell you my friend that in case of gingivitis only, there is no need of dental extraction. It is your internal fear only because of which you are not taking your proper treatment. You had already assumed that dentist will say you to get this tooth removed that's why you are not going for the treatment. Nowadays even your tooth is mobile there are options available, by doing gum surgeries, root planning and reattachment procedures your teeth can be saved. But this depend on only after proper diagnosing the case. My suggestion is to visit to your dentist as soon as possible so that it won't spread ahead. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "DR. i have csf, i remmber that i have flight my job aerial photography the pilot drop from high altitude to low altitude very fast it cause high pressure to my head and ear i feel shark somthing moving in my head not normal ,my question is this the reason for my case, become csf. thank you", "output": "Hello! Welcome on Chat Doctor! Regarding your concern, I would explain that your symptoms are related to the changes in pressure. It is normal to feel that way, after these changes. Anyway, if your symptoms persist, I would recommend consulting with a neurologist for a careful physical exam and some tests: - a brain MRI - complete blood count, PCR, ESR for inflammation. In the meantime, I recommend you to closely monitor your blood pressure values. Hope to have been helpful! Feel free to ask me again whenever you need! Kind regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "m29 , 6f , 165 , no allergies , got a cold 2 weeks ago a burning cough went to the doc 2 weeks ago now on meds (ratio clarithromycin) 2 pills per day , i have chest discomfort on my right lung if i exhale i hear wheezing , on the first few days i was coughing so much i spat some blood in my phlem i think i have a lung infection or pneumonia i get chest pains i have 2 more days of meds and i dont feel like anything got better ( phlem use to be Green now it is clear . will my lungs clear on its own or i should go and consult a doc again?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Yes, you should definitely consult pulmonologist as soon as possible. Your symptoms like, greenish phlegm, chest pain, right sided lung wheezing etc. are suggestive of right lung pneumonia. You are not improving with routine antibiotic, so you will need higher antibiotics. For this better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Chest x-ray 3. Sputum culture and sensitivity report. Culture report will isolate the causative organism and sensitivity report will guide about effective antibiotic treatment. So don't wait at home. Consult pulmonologist and discuss all these and start appropriate antibiotics. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sometimes I feel like nothing is real. Im an observer, everything is dream-like. Other times I feel like nothing exists outside the scope of my senses. Other times I feel that my bones and organs are made of metal and plastic/rubber (ie my bladder resembles a catheter bag).", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. This happens when you are detached from the circumstances and world around you. When you are in your own world. Everyone feels this. You can analyze yourself with this aspect. Just keep a log of the happenings. Keep a record of thoughts and feelings just before these detached feelings. You day Chat Doctor. Be in your own world for some time. And then you wake up, naturally, for some time, everything feels strange. You feel detached. That is what happens. Nothing to worry. Don't think of or associate this with any mental problems. For more psychotherapy techniques, You can post a direct question to me in this website. Include every detail as much as you can. I shall prescribe some psychotherapy techniques to control your condition. I am sure that the techniques should be a success. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "64 yo healthy female with no heart disease, nonsmoker, no history of clots. ?htn. Hx of chronic pain. Recently on mobic 15mg daily for several weeks. To er with eoigastric pain, belching, nasusea, vomiting. Neg EKG. Neg cxr. Relief of nausea with zofran. 80 percent relief with GI cocktail. Positive d dimer (3.05). No sob. No dyspnea. No tachycardia. Is spiral ct necessary?", "output": "Hi ! Good morning. I am Chat Doctor answering your query. Even though D Dimer test could also be elevated in some other situation (like an arthritis with chronic pain as in your case) as well, I would advise you to go with your doctors' advice for a spiral CT to rule out any other likely source to prevent any serious problem. Till then, you could go for a proton pump inhibitor Chat Doctor. At the same time, I would also advise you to get your routine blood check up done like a CBC, ESR, RA factor, serum uric acid, serum lipid profile, blood urea, and serum creatinine. Further management would depend on the reports of investigations. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "SIR, MY CHILD AGED 6 IS A HEALTHY BOY WEIGHING 25 KGS HE IS DOWN WITH FEVER WHICChatDoctorES BACK SIX HOURLY SINCE LAST 4 DAYS. HE IS EATING WHEN THE FEVER IS DOWN I HAVE NOT GIVEN HIM ANYTHING EXCEPT PARACETAMOL. HIS BLOOD TEST DONE ON THIS THURSDAY SHOWS A NEUTROPHILS COUNT OF 64 BUT IS OTHERWISE NORMAL. NO MALARIA", "output": "Brief answer :It indicates infection. Detailed answer :Hi, welcome to Chat Doctor. Your child has fever for 4 days and neutrophil count is 64, this indicates infection in child. Since, malaria is negative, you need to do some more investigations like NS1 Antigen test for dengue, typhoon IGM for typhoid. In my opinion, your child will probably need antibiotics based on above reports. I hope this will help you. Take care. Regards - Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "After c-section I get infection. Doctor prescribed me antibiotics. After antibiotics wound become dry but after 15 days I noticed small opening. My doctor refer me for infrared therapy , antibiotics and dressing. But no relief. Doctor told me just put gauze it will heal it self. After 2 months i noticed small opening is there. I went to other doctor he found the suture knot under the opening and he removed it. Now nearly 6 months small hole still there. Some times smelly discharge is coming. Now what is the treatment for my condition? Someone told me it will become fistula if not treated properly. Doctor says it is a sinus.Please suggest me the best treatment.", "output": "Hi and thank you so much for this query. I am so sorry to hear about this wound infection after surgery. I will like your doctor to explore this area and make sure that there is no material that your body is rejecting. There are moments where the sutures are being rejected by the body and if they are not taken out, the infection would not get controlled. I will suggest that you follow up and ask your doctor about this specifically and hear what he has to say. I hope this helps. Furthermore, I wish you well and feel free to ask for more information and clarifications if need be." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "If I have severe pain after having a kidney stone removed on Monday and a stent placed, the stent was removed yesterday and I am doubled over in pain off and on, now it has been going on for the last 3 hours. What would you advise? I also have blood in my urine.", "output": "Hello and welcome to Chat Doctor. As a Urologist, I assure you, many experience this after stone removal. The pain is mainly due to spasms of the ureteric muscle, and bleeding from the stone fragments, rubbing against the congested walls of ureter. The pain can be relieved with analgesic- antispasmodics, like Dicyclomine -Paracetamol tablets, twice or thrice daily, with 12-15 glasses fluids daily. If you've severe pain and bleeding, report to the hospital, for an injection. If you want my expert opinion, on any doubts, send it as a direct question. Chat Doctor. Manga." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I have a friend who has the following symptoms: a) Feels pressure in his head. b) Has sensitivity to vibrations: Vibrations aggravate pressure. Sensitivity to vibrations when driving a car. c) Head is very sensitive to the touch. d) Some dizziness when moving the head. My friend has seen doctors: CT and MRI exams have been performed but still doctors have not found cause of the problem. Do these symptoms are familiar to you? Do you have an idea of what the problem could be? What is the best medical organization in the US that my friend can consult with? Thank you", "output": "Hi, I carefully read your question and would explain that your friend symptoms seem to be related to tension type headache. The normal CT and MRI results are another argument in favor of this diagnosis, coupled with the clinical characteristics of his headache. I would recommend consulting with a neurologist and discussing the possibility of starting an antidepressant (Amitriptyline, Mirtazapine, Sertraline). It will help relieve his symptoms. Hope to have been helpful. Let me know if I can assist you further. Kind regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi im 19 years old..has normal BMI..i am worried since my last tooth, the one before the wisdom tooth erupts had swollen gum.however my wisdom tooth had recently erupt in the area no further from the swollen gum..is there a need to be worry?..please give an advice..", "output": "Hello! Thank you for posting here. You did not mention if you have any discomfort in the gums, bleeding, pain,etc. Use a mild mouthwash thrice daily. MaIntain a good oral hygiene. Use Flagyl 400\u00a0mg thrice daily and MoxikindCV twice daily for three days. Take a OTC painkiller if you experience pain. Recurring swelling or discomfort is an indication of persisting infection. In this case, removal of the third molar must be done. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im taking 1000 mgs of Acetaminophen 3x a day, with Tramadol, per my internist, in an effort to stay ahead of the constant pain I have from fibromyalgia and arthritis. My rheumatologist adamantly disagrees with the amount of Acetaminophen. He says it can affect my liver at some point at that dosage. They are both great doctors, I trust them implicitly, the rheumatologist is world-renown, but I think I need another opinion. My blood tests come back normal, nothing unusual. Blood pressure, heart rate are fine.My biggest concern is amount of Acetaminophen Im taking, is it too much for my liver?I wont be seeing my nephrologist until Sept. He usually agrees with my internist....HELP.Thanks for your time and knowledge.AAAAA", "output": "Hello, The toxic dose of acetaminophen is variable. The recommended usual dose of acetaminophen is 4 GMS a day and as such seems to be quite safe for you, but definitely there can be some concern if you use acetaminophen constantly although in a recommended dose of just 3 GMS a day. The problem with acetaminophen is actually not the acetaminophen itself, but its metabolite in the liver called as NAP QI. Although NAP QI is cleared easily by liver but in people who are deficient in glutathione or in people suffering from malnutrition deficiencies or people who are taking alcohol regularly, then dangerous levels of NAP QI can be built in liver and cause liver damage. Although this may be far-fetched, but your doctor has pointed in this direction only. If left on me, I would also hesitate in prescribing ACETAMINOPHEN to my patient indefinitely at dose of 3 GMS a day. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband suffered a copd, 10months ago, we found out some blockage in his heart and 4stents were placed.. He suffered major heart attack some 4months ago which also affected his kidney, it was said to be a complication which arise from his type 2 diabetes. my question is, nowadays, his bp and , pulse rate and sugar are generally on its normal range but 2x to 3x a week bp is getting very high reading of 153/97 and the likes, should that be seriously alarming? What should we do when his bp is this high?", "output": "Yes, You should consider it as alarming. Because your husbands body is fully compromised. There are many possibilities by which blood pressure is arising in your husband. You should go with sodium nitro Prussia which decrease the BP instantly. But before that you should consult the nearby physician, because detailed history and physical examination is must in your case before initiation of treatment. THX" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had a history of UTIs so Im very aware of the symptoms. I just recently got over one not too long ago, but not with antibiotics as I do not have health insurance to get to a doctor. I am aware that without treating a UTI with an antibiotic, it can lead to kidney infections. I am not aware of those symptoms at all. Last night it started. I got this very severe and intense pain in my lower back. It hurts to breathe, sit, stand, lay down, everything! I was awoken during the night with the signs of a UTI (trouble urinating, overwhelming sensation to go) but when I woke up, all of the symptoms were gone. At around 8pm tonight, the severe lower back pain came back and its even worse! Should I be concerned?", "output": "Hi, From history it seems that there might be having acute urinary tract infection and possibility of having renal stones as you got severe renal colic after end of the day due to jolting movement during day. You have to consult your doctor for UTI and stones. Go for routine urine check up and ultrasound of kidneys.Meanwhile, take some antispasmodic medicine like Metal spas or Cyclops for pain. Take plenty of water. Ok and take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 22 days old baby is crying since morning. She is completely on breastfeed but since morning she is not taking the feed properly. She could latch on the breasts but within a minute removing it and started crying. She is passing urine normally ( every 3-4 hrs) and have passed stools thrice since morning . I have tried feeding her by expressing my milk and feeding her, but still she hasnt stop crying. My breast are getting enough milk ( both of them leaking since morning today). Please advise.", "output": "Hi... Thank you for consulting in Chat Doctor. This is called evening colic and is quite common in this age group. This happens when the baby sucks at the breast very fast and in eagerness to Chat Doctor. Unless the air comes out like burping or flatus this discomfort will be there and next time check if the baby is sucking too fast and gulping in air too. You will be more convinced. Usually I don't advice any medicines for this as they give only temporary relief. The two best ways to relieve this distress is - 1. Do not put the baby in lying position after feeding till the baby burps out the swallowed air.2. If still crying - put the baby in prone position and keep patting the back gently so that the baby passes off the flatus and gets relieved. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was out walking my dog yesterday in a field and got bitten it was first very itchy then started to swell up i took ibrofuen and piriton and it did go down but today it is quite swollen and where iv worn my work boots all day its made the swelling move up", "output": "Hi You seem to have developed cellulitis (infection of the soft tissue of the leg) following dog bite. Assuming that your dog is not vaccinated against rabies, you need to take a single tetanus shot and 5 doses of anti rabies vaccine on the days 0,3,7,14 and 28 following dog bite. If your dog remains healthy and does not show any abnormal behavior for 10 days post bite, you can discontinue the anti rabies vaccine doses on day 14 and 28.Besides, you need to take a course of appropriate antibiotic (like Oxacillin) and anti-inflammatory Chat Doctor. Do not forget to vaccinate your dog every year and always keep the vaccinated certificate valid. Hope this answers your query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here...my sister was told she has cancer.She found a very small blister on the outside of her vagina.She had a biopsy done, but was not told what kind of cancer it could be. Do you know what kind of reserch I can do,or what she may have. Thank You", "output": "Hi, dairy have gone through your question. I can understand your concern. She may have squamous cell carcinoma. It is the most common cancer of vagina. But it can be other type of cancer also. Please send me biopsy report of your sister so that I can help you further. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi DocMy brother was diagnosed with Hepatitis E witChatDoctorplicated malaria a week back, his conditionis getting worse as his Bilirubin levels are constantly rising and are now at 21 and his enzymes have crossed 3000, my question is that what could be causing the constant rise inbilirubin levels ?", "output": "Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. This may be sign of serious liver damage and there may be a coinfection with other hepatitis types, so it should be ruled out first. Also there may be homeostasis or hemolytic anemia and more detailed evaluation should be performed so that treatment can be started on time. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi , iam 28years ol , i feel lately weird ,i am under stresss of finding job and trying to get money for study and beside i live in unstable country these days (libya) i feel so heavy and my both arms kind weak, and my heart beats so fast ,sometimes at need two pillows to sleep on so my heart dont beat fast and can breath better , but i do feel kinda gassy so mybe thats why i cant breath better maybe! and the last i worry alot until i feel my hands and my feet so cold and get so scared , can some body help me!???? thanks for ur time", "output": "Hi, I can understand the distress you are feeling due to your symptoms. From what you have mentioned, you seem to be depressed and in addition have anxiety symptoms. Your increased heart rate, being worrisome and your limbs becoming cold are direct indicators of anxiety. You should seek a psychiatric consultation for your condition. Treatment with medications like sertraline or paroxetine would be helpful. In addition, you should start exercising daily as that will help you feel relaxed. Hope this information was helpful. Best wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my father has stomach cancer and is having cemo. he has a red sore rash on the top of his butt crack similar to the rash on his heels. could this rash be caused by the cemo like the one on his heels and he also has 2 small lumps on the edge of his anus which have been there about a week. what could they be?", "output": "Hi, dairy have gone through your question. I can understand your concern. Rash after chemotherapy is common. It is due to side effects of chemotherapy. He may have low platelet count. His mass near anus may be piles. He should go for per rectal examination. Then he should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am a 58 year old male that was cutting the grass about 3 hours ago. About 45 minutes into grass cutting the top portion of both my right and left lungs began to develop a burning sensation. As I was almost done I continued cutting the grass but began to get fatigued and I also experienced mild heart pain, but mostly heart burn. I have rested for the past 2 hours and while I feel better I still am experiencing heart burn as well as a burning sensation on the top portion of both lungs. Your thoughts.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, in my opinion, you are mostly having mild irritation and inflammation in lungs due to inhalation of grass. Grass is irritant in nature and on inhalation can cause bronchitis. So this can give rise to sensation of burning. Best treatment is avoidance of grass and inhalation of fresh air. But if you still feel uneasy after 24 hours then consult doctor. You may need anti-inflammatory, antihistamines Chat Doctor. No need to worry about this. You will mostly improve by inhaling fresh air. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was tested with a blood creatine level of 1.9. my 24 hr urine test was normal. My kidney ultrasound showed no blocked. Have I sustained any permanent damage. How should I manage my diet. I am a cycling enthusiast and engage in intense exercise.", "output": "Thank you for your query. Creatine is found mainly in Muscles. Creatinine is a metabolic product of Creatine. Creatinine is removed from the body mainly by the Kidneys. For this reason, it has been used as an indirect marker for assessing renal function. Normally, an increase in creatinine above the normal range would indicate a reduction in the glomerular filtration rate (GFR) of the kidneys functional units. The GFR determines, how effective the kidney is removing metabolites and maintaining homeostasis. For, sedentary to moderately active individuals, the usual lab values provide a good reference.However, in athletes with more muscle mass compared to the non athletic people, there is more creatinine in the blood to start with and may not necessarily indicate a decline in renal function. Diet rich in animal protein, protein or creating supplements, certain medications can all increase the level of creatinine in the body (either directly or by reducing its excretion at the kidney level). Serial serum creatinine levels and monitoring of other renal parameters will help to determine if you have a reason to worry. Try to eat a well-balanced meal and get all your nutrition from natural products rather than concentrated forms. Hy Chat Doctor. If you are on any medications, consult your doctor to see if it contributes to the elevated levels. Go for routine checks and monitor closely. If you have diabetes, hypertension or high cholesterol levels, risk of kidney damage is present. Early detection will help prevent progression. Hope this helps. Wish you good health and get back to us if you need further clarification" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a thick, reddish-brown slime on my tongue after having a tooth extracted. Ive cleaned my tongue off with a tongue-brush multiple times today and it keeps returning. Im concerned that my gums might still be bleeding slightly, or that this is an early sign of infection.", "output": "Thanks for your query, I have gone through your query. The thick reddish slime on the tongue could be because of the bleeding from the extraction socket. Consult an oral physician to rule out bleeding from the extraction site. You can keep a cotton dipped (squeezed in saline) over the extraction socket for 30\u00a0min by biting on the cotton. This prevents any bleeding from the socket. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been diagnosed with a kidney stone,unfortunately it is stuck at the junction of my urethra.I am currently on contiflo and tram acetal to manage the pain. My question is,is possible The stone can dissolve from where it is stuck.Otherwise it is really causing a lot of pain in my lower back and whenever I urinate,the last of bit is very painful. What can I do", "output": "Hi, Thanks for writing in. A stone getting stuck in the urethra can be painful. I would like to reconfirm if the stone is in the urethra or the version ureteric junction as these are two different locations and might be treated in different ways.1. If the stone is confirmed to be lodged in the urethra then it can be easily removed by inserting a cystoscope. This is minimally invasive witChatDoctorplete success.2. If the stone is stuck in the Mexico ureteric junction then(i) Chat Doctor. 5 to 2.5 liters) a day may help flush out your urinary system. This will also allow the stone to enter the bladder.(ii) Please consult your urologist, and they might give you a prescription for a medication of alpha blocker group which will push the stone forwards.(iv) If you are having pain and burning during passing urine then you can take ALSO syrup 15-30 ml twice or thrice daily, dissolved in water for one week. This will prevent acidic urine and stone formation.(v) If you have sharp pain then you can take tablet containing hosting (e.g. HBO Max 10 mg or HYSSOP 10 mg) twice a day for 2 to 3 days, till you have pain. Though side effects are rare, please consult your doctor and take these medications under strict supervision." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hai my son had itp since july 1st week 2010 nose bleed blood counts:48000 next day no treatment b.co 68000.july last week with high fever b.c 5000.ivg given discharged with b.c 120000 .sep last week nose bleed b.c 20000 .next day 28000 then steroid given after 5 days b.c 69000 .will he recover or this may be chronic please guide me i m feeling very very bad", "output": "Hi, ITP most commonly occur only once, but in some it recurs and very rarely becomes chronic. Treatment of recurrent and chronic ITP is complex, need regular follow up and may need bone marrow examination, sometimes more than once, to rule out other important conditions. Apart from IVG and steroids, other immune suppressive agents are also used in resistant cases. It will be better for you to follow up with a pediatric hematologist. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir i have a question... my wife LMP was 4th March 2010 .... we have got married on 24th March 2010 ... we did sex on 27th march for the 1st time... and she got pregnent.. now EDD calculated was 9th December by dates... and after from ultra sound EDD came was 27th December.... 9th month is started now and doctor is suggesting SGA ... we are confused what should be done now...", "output": "Hallow Dear, Since it is cumbersome and not cost-effective to locate the exact date of conception, usually the expected due date of delivery (EDD) is calculated by date of last menstrual period as reference point if the periods are regular. The formula for calculating EDD is :EDD = LMP + 9 months + 7 days. So in your wives case it come to 31st December. Ultrasound also has calculated 27th December which is very close to the calculation by dates. Calculation by ultrasound has allowance of a week or so. I hope this satisfies you. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I ve had Aaron feet for a couple weeks now. The very back part of my ankle on my left foot is tender to tit is also warm to the touch. I ve had trouble walking due to the pain. Im not sure what to do. I have tried ice packs with no luck. Thanks , Kelly", "output": "Hi, thank you for providing the brief history of you. As you had Aaron feet and the pain is leading to difficulty in walking I will advise you to undergo physical therapy as it will help reduce pain and inflammation by Therapeutic ultrasound therapy and TENS therapy. Exercise on later stages will help improve the muscle strength and regain normal functions.in my clinical practice most cases respond well to physical therapy. Regards Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 60 year old woman and I have gallstones they are extremely painful. I cant breath deeply, I feel like there is a stone blocking, its painful when I eat. Im diabetic and have high blood pressure, I am scared of surgery. I found a herbal medication called Gallbladder Complete, my question is will this medication work, can I use it and how much 1QTY is 8 oz please help!!!!", "output": "Hello Thanks for writing to treatment gall bladder calculus is surgical removal of gall bladder(cholecystectomy). Medicines are not very effective for gall bladder calculus. You need early treatment because gall bladder calculus my lead to infection of gall bladder(cholecystitis). In long term, it may also cause cancer of gall bladder.Nowadays, laproscopic removal of gall bladder is preferred and in this method recovery is very fast. So, you should go for it. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI,I have got married 2 years back , Me and my wife have had sex lot of times. But of late my penis starts to shrink even before I could ejaculate in her vagina. We are trying desperately for a kid and am worried. Did my semen analysis about 6 months back and it was normal as per the report. I do masturbate every day, could that be the reason. Can you please help me with a way out since am feeling that am not able to satisfy her and sacred a lot.", "output": "Dear service user, Thanks for writing to Chat Doctor. I can understand your concern about loss of erection before vaginal ejaculation and also for having child. Loss of established erection is commonly caused by performance anxiety. Occasional failure can occur to almost every man in his life. When this happens, one gets concerned about performance during next sexual encounter. He thinks whether he would be able to satisfy the partner or not. So, his mind thinks mostly about quality of erection and performance. For constant erection continuous exciting/romantic/erotic feelings should be there in mind. If mind is diverted to concern about erection (being scared in your case), you will lose erection. This in turn reduces your confidence, and it again affects the erection. Having erection during masturbation indicates that your organs are functioning absolutely normally. Masturbation is a healthy part of sexual activity, and it does not cause impotency or infertility. There are effective behavior therapies having strong research evidence for psychogenic erectile dysfunction. You can read about Senate focus on internet. I suggest having consultation with psychiatrist. There are medications like verapamil or tadalafil which can be helpful with behavior therapy. It is good to listen that your semen analysis report is normal. As far as pregnancy is concerned, you may consult infertility specialist for same. There are treatment options like artificial insemination which can be useful for you. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have Kienbocks disease. I had my R wrist fused 4 years ago, still have pain up forearm. However, I am currently having investigations on L wrist(dominant hand). Has progressed v quickly, characteristic same symptoms as before. Have been signed off work for month. Have had bone scan, and will have MRI next week. I am struggling with everyday tasks and my work is nigh on impossible. Can it be classed as a disability? Thank you", "output": "Dear Patient, this probably is bannocks in the next wrist also, MRI will confirm the stage of the disease, and will further help us to provide you with treatment options, nowadays depending on the condition, radial shortening osteotomy, JESS distraction and Proximal Row carpectomy are good options. I feel if your work profile does not involve heavy work than movement preserving procedures must be tried first. This is due to the fact that your one wrist is already stiff, moreover the operated wrist needs to be X-rayed, and see if the union of fusion aimed has been achieved or not. I hope that helpsThanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had an acdf surgery in Dec 2011. After I had my surgery, my pain was worse. I still have pain in in my neck and both shoulders, more on left side. The pain is even in my upper left arm all the way down to my fingers, especially ring and pinky fingers. I also hurt are my rib cage on left side. What is causing this?", "output": "ACD surgery uniformly yield good result. The radiating pain in the arm may be related to nerve pain. However, It's difficult to establish the reason. I would suggest getting a fresh MRI cervical spine to rule out any residual pressure on the nerve or may be adjacent level degeneration. Another thing how frequently you have this pain. If possible please upload fresh MRI to help you to understand your spine problem. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I live in reno Nv.. which is about 4200 feet above sea level. I wanted to visit my mother in-law tomorrow for mothers day. she lives in lake tahoe nv. which is about 6300 feet. the drive is only 1hr15mins. but i am 35weeks and 4 days pregnant. is it ok to go, or not?", "output": "Hi I understand your concern. As per your history I can suggest you can travel but with great caution. Because at your stage chances of preterm delivers are high. I could not detect from your history that it's a high risk pregnancy or low risk one ...by saying this I mean hope you are not having placenta prefix etc. If that is not there then you can travel but try and take progesterone support 2 days before going and continue it for one week.ang be gentle with the Chat Doctor. Hope this solves your query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have what seem to be bug bites on my arm very itchy and somewhat swollen. One of them is white with a redish outlining. Earlier last week i had them on my right arm a total of 12 and now i have 12 on my left arm it seems to be a little extreme to have that many bug bites in one place", "output": "If I were your treating Doctor for this case of itchy bug bites I would just advise to apply ice pack / cold compress and if possible apply calamine lotion or take anti-allergic tablets like cetirizine 10 mg! The whitish one has pus inside and might Chat Doctor. . Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing your son good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had my mirena since march of this year , and i feel that my mirena is out of place because i can feel the threads out of my vagina like a tampon would but alot shorter , is that normal?? Or should i go to the er to get it out or what should i do ??", "output": "Hi there, Welcome to Chat Doctor, Do you feel that the length of the threads are long? And do you also feel the lower tip of the IRENA? Usually the threads of any IUD are kept long around 1 cm, to check if it still in place, but if it's causing you discomfort then it could be displaced. In that case please get checked by a gynecologist about sits position. An improper place IRENA may not be as effective as expected. So best to get it checked, if misplaced get it removed and replaced with an another. Hope this helps. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here... I am having some concerns with my ChatDoctor levels. I am estimating that I am 5 weeks the following are my test results. I have been told everything from this pregnancy could be etopic to miscarriage but then the levels went higher, although there is a visble sac in utero. I am consulting another physician yet need advice now before I literally go insane. My levels have been.... 12/27/2010 2983 12/29/2000 I was not told a number just that they were down about 200, and that i was loosing the baby. 12/30/2010 4100 1/05/2010 7990. Are there any factors that could have made the level drop other than possible miscarriage. I am over weight and have been dx with POS... Any advice??? Please help, i cant sleep I m so stressed out", "output": "Hello, In a normal healthy pregnancy, the serum beta-ChatDoctor titles double every 2-3 days and this is why serial titles are done whenever the pregnancy status is in a jeopardy. It is not the absolute value of the hormone that is important, but the amount of rise. If there is an initial Chat Doctor. A trans-vaginal sonogram should be performed at weekly intervals until clarification is obtained. This should be correlated clinically. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "only 1 side of my face has pimples , why is it so?", "output": "Hi there, its really noticeable if only one side of face has pimples. Simply check if you do wash that particular area thoroughly while washing your face. Check out if your hairstyle responsible for making that side of face more oily. !! Surprisingly these are few commonest modifications that we can do As far as diet is concern, balanced diet with plenty of liquids is main baseline. Other nutritional supplements could work. Let me know the updates, surely. Contact: ketki_foodcorner@yahoo.com" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I had a period that lasted from April 13-June 1. I was put on progesteron which helped it to stop. I got an u/s on May 24 and it came back that I have multiple small peripheral follicles on both of my ovaries. It says I may have PCOS . My FSH number was 5.3 and my LH was 13.6 when I had blood work on May 26. Do I really have PCOS? I m scared that I have infertility problems.", "output": "Hi, as per your reports you are having normal FSH and high LH, and your scan report showing multiple small follicles on both ovaries, both are indicating the possibility of poly cystic ovarian disease. Infertility can occur in POD because of an ovulation, but by taking treatment for POD you can over come this problem. You follow the treatment given by your doctor, if having over weight try to reduce, dont take excessive stress about anything, as it can increase the severity of POD.take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi sir.... i m tom am 18years old... i stay in Bangalore ( India, Karnataka) from birth i m grown like a boy... n from my 7th std i started getting more taughts like i should be a complete boy..i wanna dress like a man...walk talk do things like a man..etc... this feeling grew bigger n later in 10th i met docter an endocrinologist he told this s a complicated surgery it requires years of treatment n patience n al.. he said 1st i must get a psycatrist concern bt i also started getting tht consulted..but due to my examz it got dropped. now i cant wait any more.. am 18 now n i have to be a man as soon as possible...plz guide me..help me.. in getting it done! sir........... n also i neva neva dress like a girl........ love walking like a man..dress lik man( pant t.shirt...shirts..etc) i want mustach..beards ....... in short i wanna be a man... please help me... :(", "output": "Hello and thanks for writing in. I understand that you are having these intense, sustained feelings of wanting to be a man and are quite uncomfortable with being a woman. This condition is called a Gender Identity Disorder. This is a condition where a person strongly feels that he or she should be the opposite sex. They often feel \"trapped\" in their bodies and experience a lot of discomfort with their present gender. You have mentioned that you want to undergo sex change surgery. But, like your previous doctor has mentioned, this is a very major step and hence is a long Chat Doctor. First you need to have a detailed psychological assessment and counselling from a psychiatrist. Then, if you are deemed to be a suitable candidate for sex change surgery, this has to be planned in stages. You may have to take long term hormonal medication. So, as you can see, this is a very complicated and long " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i am a 16 year old girl, who lost her father to suicide 2 weeks ago. i cant sleep or eat, and im always going to call him fogetting whats happened.i always feel sick cause i cant eat and always feel tired and angry cause i cant sleep. should i got to a docter for antidepression and sleeping medicine?", "output": "His admire your concern. I guess it is grief reaction due to decade father. It is common reaction after lost of loved one. I can understand your emotion. No need of antidepressant. It will only give if symptoms are persisted for more than 1 month. This kind of condition can be treated with mild dose of anxiolytic and which is also helped to get good sleep. I prefer low dose of Mizoram or lorazepam clonazepam etc. in such kind of patients.Besides, this you have to keep your self busy. Try out to maintain daily routines. Keep taking with friends and family members. Fix sleep schedule and stick on into daytime sleep exercise.stress-free activities and meditations avoid alcohol and smokingAvoid tea coffee soft Chat Doctor. All of this will help you to restore good sleep. Hope for the best. Get well soon. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have sarcoid and have blood drawn regularly. The last time, about 8 weeks ago, I developed a lump at the site that felt like a marble. The area around it is red and blue. Last week I developed another on my other are. It has been several months since I had blood drawn from that one. What is going on?", "output": "HI, Welcome to Chat Doctor with your query. Based on the facts of your query, I would suggest you to consult a Physician rather than self-decided aspirations of blood from such lumps. As Acidosis is autoimmune disease with lungs inflicted in 90 % patients, possibility of lung affection in time to come is challenge which you should be worried about. Skin lumps currently indicate, that the autoimmune attacks are recurring and active after 8 weeks again. And you have to be on watch with your doctor. You need to be very careful with your bland and well-balanced diet, which mostly is the exacerbating factor known in such cases like autoimmune diseases. I would hence suggest being under guidance of your Physician and be with needful medicines to control the remissions periods with these medicines like Steroids with It D3 supplements. Hope this would help you to plan treatment with your doctor. Will appreciate your review write up and hitting thanks, to help needy patient visitors like you at Chat Doctor. Welcome for any further query in this regard. Good day!! Chat Doctor. N. Senior Surgical Specialist. M.S. Genl-CVTS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am high grade 3, stage 1, triple negative, node negative cancer. Second time , first cancer 5 years ago was er positive stage 1 , treated with mastectomy and aromatase inhibitors. What chemo is used for the triple negative? I am apprehensive.", "output": "GOOD EVENING. You have developed a 2nd breast cancer which is triple negative. The usual chemotherapy is same for any other cancer subtype (we don't use hormone and trastuzumab in it). However, triple negative tumors have high chances of recurring in first 3 years of life. It has been seen that platinum group of Chat Doctor. We regularly add platinum to our patients of triple negative breast cancer and results are good. YOU can tell your doctor to use platinum in your case.(reference: geparsixto and Caleb 40603 trials)" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello. Im a college student who recently stated shooting up. I dont remember if this is a bruise or if its a spot where I shot up the other day. I was hospitalized 2 days ago for a few hours due to a severe allergic reaction I had to something unknown. I was going to sit down and play on the Internet when I noticed on my leg a black bruise looking thing. About the size of a golf ball. Its pink and black much like a bruise but has darker purple spots in the center of it. It doesnt hurt, but looks odd. On my legs there are some little like sores on my feet like a picked zit, there is no pus and they seem to be going away. Around my crotch area and upper leg theres scratches, anfew kind of look like smeered blood, from where I itched so hard from the reaction the other day. My sinus mucus is a dark yellow, been gettIng a cold it seems. Im curious, if i was in the hospital 2 days ago from an allergic reaction and they took my blood wouldnt they have seen if i was septic or not?? Or had blood poisoning? Im done using needles for good, I just hope I dont lose my life or a limb. I dont have a fever right now, dont think I have had one recently.", "output": "Hi, Welcome to Chat Doctor, I have read your query and understand the concern, This could be some sort of allergic reaction due to which there is blood extravasation has occurred at your upper leg area. You must need to consult general surgeon first to rule out any surgical possibilities like thrombosis or thrombophlebitis. You may require some blood works, ESR, PT with INR and ultrasound of local part. Treatment will be based on the underlying cause. However, you can take symptomatic treatment like antihistamines and topical steroid application." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I have a tingling sensation in one of the arteries that runs the length of my penis (left side). I have had trouble with erectile dysfunction in the past, and currently have slight difficulty becoming fully erect. The left side of my penis takes longer to extend, creating a a slight curling effect until completely engorged. What could this tingling be and how do i correct the problem? Thank you.", "output": "Degree understand your concerns went through your details. First, you have not given your age. I see you are too much worried about your penis and sex. Due to such a worry, people usually have obsession with such matters. Your tingling should be due to your obsession. The time taken to have full erection depends on many aspects due to stress level, sexual interest, anxiety, fullness of stomach etc. You need to watch you. Even though you are having delayed erection, I hope you are able to perform all sexual acts without many problems. Then there is nothing to worry. Please understand, worries tends to be obsessive and obsession leads to performance anxiety. Performance anxiety can ruin your sexual life. Please beware. You may consult a psychologist for counseling. If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a moveable lump in my armpit, this has been there for over a year now. I have seen three different doctors, none of whom could feel the lump, I was however referred for an ultrasound (last year), this did not show any lumps at all. However I still get some pain in the armpit and it looks fatter than my left armpit", "output": "Welcome to Chat Doctor .1. As you said three doctors has examined and declared there are no lumps, and an ultrasound did the same.2. In this case I would recommend an MRI (which gives better anatomical differentiation of the body, and it will 99+% rule out presence and absence of the lump. 3.after that needful action can be taken.4. Furuncle/carbuncles/abscess could be seen in that region, but as you have not said evidence of any pus discharge and redness/tenderness it can be ruled out. Anything to ask ? Do not hesitate. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi..i have undergone raioactive iodine last october7,2010.but right im still under medication because my doctor told me that my freet4 and freet3 is still high,is not possible that the Rai operation did not help me?i am planning to get pregnant thi december is it safe for me and the baby?", "output": "Hi, it is safe to get pregnant after 2 years of radioactive iodine treatment. In some cases, RAI may not work, and you have to take medicines for that. Talk to your doctor regarding this. Sometimes relapse occurs that means it was treated but again appears. I think you should get your thyroid under control before planning a baby because it can lead to miscarriages also. Pregnancy won't have any harm for you. Hope I have answered your question. If you have any other query I will be happy to help. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 29 years old. 2 days backI kept detol soaked cotton over night on pimple. My cheek burnt with a big dark cicircular burn mark. The burn is dry and smooth. In morning I treated it immediately with aloe vera and massage almond oil at night. Will this mark disappear? Do I need to consult doc? Pls suggest some medicine to be applied for getting rid of burn mark.", "output": "HIT hank for asking to ChatDoctorI really appreciate your concern if the burn mark is superficial then chances of vanishing of this mark is very likely without any medicine if the burn is little deep then this would take little more time to vanish, but no medicine is there that could immediately vanish this mark, neither try any this for this, otherwise this could worsen the condition, take care and have nice day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 61 years old 165 cm weight 61 kg Indian vegetarian , non smoking non drinking alchohal underwent throat cancer surgery Buccal Mucosa in May 2008 , taken chemotherapy + Radiation also suffering from dry mouth can i take Miraqule capsules pls adv any other medicine for dry mouth. at present no medications thanks Hari Lulla", "output": "Hi, Thanks for writing in. Miraqule capsule contains Coenzyme Q10 and other supplements which help in general health of the patient. It is recommended for every one and improves the general health by providing micronutrients. The remedy for Chat Doctor. The cause for reduced salivation is the side effect due to surgery, chemotherapy and radiation therapy. The radiation given to the area affected by cancer has affected the salivary glands, and therefore you are experiencing reduced salivation and " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been doing some reading on ACV( Apple Cider Vinegar ) treatments for genial warts . What are your views on this treatment? I have been doing it for about a week now and I am starting to see some results. What is the reason that most doctors dont recommend this treatment for people? It seems to me that a lot of people have cured themselves like this. I am aware that the virus still remains in the body, but it seems to take care of the worst. I have had my warts for about 3 years now and have tried almost everything my doctor told me from freezing to burning it with acid.", "output": "Hi, Thanks for your query, There is no single effective cure for removal of genital warts. A number of treatment options exist; however, no treatment is 100% effective in eliminating warts and preventing them from coming back in all patients. It also is not possible to eliminate infection with human papillomavirus once it has occurred. Genital warts may go away on their own in about 10%-20% of people over a period of three to four months. Cryotherapy: This technique freezes the wart using liquid nitrogen or a \"cryoprobe.\" It is an excellent first-line treatment because response rates are high with few side effects. Laser treatment: This treatment is used for extensive or recurrent genital warts. It may require local, regional, or general anesthesia. The laser physically destroys the HPV-induced lesion. Disadvantages include high cost, increased healing time, scarring, and potentially infectious viral particles in the air caused by the laser plume. Electrodesiccation: This technique uses an electric current to destroy the warts. It can be done in the office with local anesthesia. Of note, the resulting smoke plume may be infection ... with good health... regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My period was late this month. I had cramping on one side of my lower abdomen for a few hours, on and off. Later, I started bleeding. I havent bled enough to fill a panty liner, maybe one or two spots, first brown colored and then bright red. Is there anything else that could cause that besides pregnancy? I took a pregnancy test before the bleeding and it said negative.", "output": "Hi, Brown vaginal discharge is most often associated with old endometrial tissues. In other words, if your period is late you might get a brown, rather than red, discharge. It could also mean that for whatever reason during your last menses the entire uterine lining failed to completely exit. And since your period is late this time round, it is quite likely that its because of dysfunctional endometrial elimination. So as long as other symptoms don't appear, you have nothing to worry about. I hope this answered your question." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 42 year old woman and have been having intermittent chest pain for several months now. The pain is noticeable but not severe. The pain is mostly on the left side of my chest but is sometimes on the right and is sometimes on the far left near my arm and not the mid chest - it seems to move around. I do not have severe shortness of breath but just a little. I went to the doctor a few months ago and they did an ECG and told me I have PVCs but not to worry it wasnt a problem. I sometimes get a little light headed at times too. There is no family history of cardiac problems and I am otherwise healthy.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. PVC (premature ventricular contractions) is not a problem if patient is asymptomatic. But in your case, you are having left sided chest pain which is intermittent. So we should not neglect PVC s in your case. So better to consult cardiologist and get done blood pressure monitoring, ECG, 2d echo and Holder monitoring (24 hours continuous recording of ECG). You may need anti arrhythmia and other cardiac supportive Chat Doctor. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had hip replacement 7 weeks ago. 10 days ago i had a crush injury to the toe 2nd toe on the non surgical leg. I did a follow up dr. visit and found out the toe is infected, maybe staph? I am on sulfa drugs that seem to be working.I went to the emergency room because I couldn t get the injury to stop bleeding, within 4 hours. The emergency room doctor said my toe was bleeding from the inside, broken blood vessel.I was not given antibiotics at the emergency room. I am worried about having infection at the site of my new prostesis. did i catch it in time? can i ice my toe. I m keeping it elevated a lot.", "output": "Thanks for posting your query to Chat Doctor. First I would like to explain to you that any minor internal bleeding stop spontaneously within few hours if there is no any other problem to you. Second internal bleeding leads to collection of blood at tissue of toes form hematoma, Chances of infection are present there so you should be alert about sign and symptom of infection like increase in pain, swelling, fever, malaise etc. So if these warning sump appear you should imminently consult to clinician, meanwhile do following thing :Prevent further injury. If there is skin breach Chat Doctor. Take analgesic Paracetamol 500\u00a0mg two times a day .also you can use ice to get receive. Avoid prophylactic use antibiotic if you are not having any kind of infection. Hope you have got answer of your query. If you are satisfied with my answer kindly rate me. Feel free to further contact.regards," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi my brother have viral hep A in sep2012, on starting his billirubin was 3.9 &sgpt was 2800,after 2weeks his billirubin raised upto 19 then his sgpt was only 284,on 39th day of hep billirubin was 3.4& sgpt is 112 but a week before sgpt is 110,why the sgpt is not coming down", "output": "Hi, dairy have gone through your question. I can understand your concern. His SGPT level is very high initially with Hugh bilirubin level due to hepatitis A. Now his SGPT level is decreasing. It is slightly high but its decreasing, so it will come back to normal within few days. Don't worry much about that. Avoid fatty food and alcohol. Take high protein diet. Chat Doctor. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor,Im 30 years old and having periods every 40 days.I also had a mis-carriage during the first 1.5 years. From there, we were trying and not succesful. So decided to go for treatment.Going for treatment for the past 1yr.Initial tests shows that insulin is not normal.doctor advised to take diabetin/glucophage 50mg.After these tablets, insulin become normal. Still continuing the tablets.Also, taking Diane 35/Progyluton for past 8 months, now i get periods in every 30 days.Doctor planned to do IUI initially and started the ultra sound scanning and found that no eggs formed on the follicle.follicle keeps growing and doctor confirmed that no egg found and it could be Follicular ovarian cyst.Also taking serophene 50 mg (2 day to 6th day) and doctor planned to increase it to 100mg later on. Also if it doesnt work she planned to do injection.Q:1. Wanted to understand the criticality of the problem? 2. what treatment is necessary at this stage ?is it curable and what is the success percentage on such treatment.3. can you advise any doctor in chennai?My weight: 55.5kg.Height : 153 cms", "output": "Thanks for the query. As you told that you had started treatment for diabetes and not developing follicles then I would like to advise you that you should do reports for POD (POLYCYSTIC OVARIAN DISEASE). As in pod insulin resistance develops and follicles doesn't develop up to the mark that can rupture. Due to insulin resistance diabetic picture develops. So consult a gynecologist and he/she is the right person to guide you further. Get well soon..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I recently had a tooth extracted (3 days ago non wisdom) I am in very little pain. Still on prescribes antibiotics and take advil when necessary. M question is in regards to the swelling, while it has gone down significantly I can still feel a tight& hard lump in my cheek. While there is no pain from the lump, I am worried about the tightness and hardness. Should this be a cause for concern? or is this all part of the process?", "output": "HI THERETHANK YOU FOR WRITING IN Chat Doctor.ANTIBIOTICS YOU ARE TAKING WILL REDUCE INFECTION AND ADVIL(IT CONTAINS IBUPROFEN) IS A PAIN KILLER.MILD PAIN AND DISCOMFORT AFTER HAVING EXTRACTION IS NORMAL .BUT I WOULD SUGGEST YOU TO REVISIT YOUR DENTIST FOR CLINICAL EXAMINATION.MEANWHILE MAINTAIN ORAL HYGIENE, DO WARM SALINE RINSES.BRUSH TWICE DAILY.FEEL FREE TO WRITE US BACK FOR ANY QUERY.TAKE CARE." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am taking Sutent for kidney cancer I will have a CT scan soon to see if it has been effective. I also had a kidney removed and know that it ha spread to both lungs. I cant seem to ask questions of my doctor in person, just to real, and reading is eaiser. How did I get this cancer, Inever had any sympotms sxcept for a cough which lead to this discovery.", "output": "Hello! Thank you for the query. It is hard to tell where does the cancer come from. It's a good question. Some kidney cancer are genetic (in few percent). Some are related with smoking, obesity, estrogens and some chemical agents. But so many people smoke and do not have kidney cancer. Generally cancer is caused by single cell mutation which is missed by immune system. Such mutated cell can not be controlled anymore, and its only aim is to grow and spread. This process can not be stopped by human body and that's the main problem with cancer. The other thing is that many cancers does not give any symptoms at all. So no one really knows where does the cancer come from. Hope this will help. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i m 31 yrs old female, i have recently diagnosed by leproscopy just 2 months back. but still i m not get pregnent. My husband age is 33 yrs old, my semen analysis report having liquification problem with motility 60-70%...our doctor give letoval tablets for my wife. pls suggest", "output": "Hi, I think let oval tablet is given to increase the growth of your follicles. You can track your ovulation by ultrasound and be in contact with your husband every 2 to 3 days after your periods stop. Take progesterone for next 2 weeks after ovulation. Do a urine pregnancy test at home after that. You can try like that for 3 to 6 months. If it doesn't work then you can go for GUI. Hope I have answered your question. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, For two weeks now I have developed reddish spots on the corner of my mouth, and slightly above my lip and near my chin. It does not itch, hurt nor has it blistered. Ive used hydrocortisone cream and has helped somewhat but is still present. What could it be?", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have symptoms of reddish spots in the mouth and slightly above lip and near chin which is mainly due to Recurrent Authors dermatitis which could be due to nutritional deficiencies, stress, immune dysfunction or due to hormonal imbalances. Need not worry. I would suggest you to maintain proper oral hygiene by brushing and flossing twice daily. Avoid hot, sharp and spicy foods. Condition still persist then consult dentist /oral pathologist for proper examination and treatment. Doctor may prescribe anti-inflammatory medications for 10-15 days and your symptoms will resolve. Take probiotic food/ Chat Doctor. Do Listerine mouthwash rinses once a day. Apply colonel and McCoppin on these spots. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have fluid like \"lumps\" in my tail bone area that shrink and grow ... right now they are big and painful, (my outer skin above them looks normal)...any idea what they are caused from and how I can prevent them from becoming \"inflamed\". Every search of my symptoms comes up cancer LOL...one time, it was testicular lol and I am female...", "output": "Hi, Dear,Good Morning, and Thanks for your query to my virtual Clinic At Chat Doctor. I studied your query in depth and understood your concerns. Causes for lump in tail bone as follows-Mostly they are -Colonial Cyst with infection as it is painful? Treatement-Tab NSAIDs-like Voltaren Amoxicillin x 5 astray of the Tail bone Orthopedic Surgeons opinionCheck with ER Surgeon and check your FBS and PPS, to resolve the worry.Don't worry of them, as they could be relieved with proper treatment. Hope above reply would help you to relieve of the issue you have. Welcome for any further query to ME and Chat Doctor. Wishing you a Fast Recovery. Write Good review for the benefit of my new patients. Click thanks ASAP after this. Have A Good Day. With Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I m 42 years of age and had what appears to be a single seizure. Blood work normal, ct scan normal and eeg normal. My MRI with and without contrast appears normal as we ll....although there was a single punctate area of increased t2 signal intensity involving the right frontal subcortical white matter of unclear significance. Should I be concerned with this MRI finding???", "output": "Hi, Thank you for posting your query.First, I would like to reassure you that there is no need to worry about your single seizure or the MRI brain finding. Single area of increased T2W signal on MRI is not suggestive of any serious disease, and is most commonly seen with migraine. Also, this finding is not related to your recent seizure. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, Chat Doctor. Ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My aunt was in the institute of mental health for 23 years and the doctors told her shes ok to go home...so we brought her out. But know we can see she is certainly not ok. We have been going through real difficulty with. She speaks such filth in front of my children. My mum n myself want to put her back at the hospital but shes not willing to cooperate.. What to do...Plz help", "output": "His understand your concern. Discharge from hospital does not mean that she is 100% recover. Sometimes it means like now you are able to manage her at home. So some recovery yet to come. If you feel that she is not manageable then you can consult again and discuss all with doctors. But in mental illness the best treatment and rehab has been carried out at home. For full recovery social and family support is must. So support her. Still have a query then feel free to ask. Happy to help you. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had tailbone area pain for about 5 years, I cannot sit for long periods of time without being in pain, and having to shift constantly from hip to hip to sit. I had my tailbone removed 4 years ago, and it resulted in NO relief at all. Then about 3 years ago, I began having severe neck pain. I m not sure if they are related?? My x-ray from a week ago states the following, although I m not at all sure what it all means. 5 views of the cervical spine - there is some straightening of cervical spine lordosis. There is borderline minimal grade 1 retrolisthesis C3 on C4 (spondylolisthesis) with mild left uncovertebral hypertrophy. Disc height is generally maintained. There is left uncovertebral hypertrophy C5-6. There is borderline minimal grade 1 anterolisthesis C6 on C7 with minimal anterior bony ridging. Any help in understanding this and the severity would be appreciated. And, what s the next step, a chiropractor? Thank you!", "output": "Hi, I am Chat Doctor. Based on the symptoms you have discussed and the finding in X-Ray, I would suggest you to visit a Neurosurgeon for Full Evaluation Based on the Clinical Examination, your neurosurgeon may want an MRI Cervical Spine / CT Cervical Spine / Nerve Conduction Studies etc. Based on the Clinical Examination and Investigations, we can chart out the further course of management If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "yes. I have trigeminy and bigeminy plus I have suffer a mild heart attack @my upper left apical wall. because of all this I also from time to time have a heart rate that dips into the 40 and the 30s.what am I suppose to do when my own heart dr wont believe me?", "output": "For this bigeminy and trigeminal need to inspect ECG...if these are not producing any symptoms then no need to worry... Doctor can keep on some medication that will keep these under control... If at heart rate 40 is common only during sleep time if you are getting that means need to evaluate... Simple holder test will giver so much information about your heart rhythm. So you can do it... And your doctor also believe it" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a very large painful lump on my left butt cheek, that follows down straight to my anus. It is so uncomfortable to sit down, move and walk. Ive had a hot water bottle on it all day and had red hot baths but its not helping. I also suffer with crohn s disease. Please do you have any idea what this could be as i cannot bear the pain much longer", "output": "Hi ! Good afternoon. I am Chat Doctor answering your query. With the history of Crohn's disease, the most likely diagnosis goes in favor of a perianal abscess. I would advise you to report to your treating physician or surgeon or to the ER of the nearest hospital at the earliest for a definitive diagnosis and management. Till that you could go for an anti-inflammatory with a proton pump inhibitor to get some symptomatic relief. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doc !!!! my name is Appu and I am 26 yrs old from last 2 years I am suffering from blood pressure and I am getting palpitation , even my brain vein are getting palpitation and some time I feel like getting brain stroke, it might be becoz i think lot please suggest ..............", "output": "Hello, Thanks for writing to Chat Doctor, I am Chat Doctor. You have not mentioned you blood pressure in the question, but I would suggest you to keep checking your blood pressure at home if it stays below 140/90 then no worries if it goes higher than this repeatedly then you should visit your doctor. Throbbing headaches are usually caused by anxiety you seem to be right you think much and are anxious so in my opinion that is why you are facing this problem of headaches and palpitation, anything which makes your heart beat fast can cause palpitation and anxiety is one of the problems. Try to stay positive and productive keep yourself busy this will help. I hope this answered your question, If you have more queries I am happy to answer you. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter has a rash all over her body. It s fine bumps EVERYWHERE. I thought it was fifths disease because it s was going around at her school. What are other symptoms that go with that? She has a headache & swollen tonsils. Is that normal or should I take her to the ER?", "output": "Hello, I understand your concerns. A rash is a symptom of a viral illness, of which FIFTH disease is one type. Headache, runny nose and fever are the other symptoms that accompany fifth disease. My suggestion is paracetamol if she has fever, and an antihistamine like cetirizine if she has itching. The rash will subside in a week and does not need any particular treatment. It is normal for school going child Chat Doctor. You have to take her to the doctor if she has pus coming from her tonsils, is unable to " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Sir, I am a 27 year old girl. I had a accident when I was about 10 year old and its scar is still there on my right cheek just next to nose. Its size is about one and half inch. By a close looks its faded but as scar skin is darker from the other part of the face, it makes it more noticeable. I want to know if it can be removed or at least be made less noticeable as it effect my self confident a lot. please help me with few creams which help in removing scar from face.", "output": "Hi, Thanks for writing to us. Your scar is too old to respond to creams alone. Use of retinoid cream like retina a 0.05 percent might modify it to some extensor a definite treatment, You may consult a Dermatosurgeon or a plastic surgeon for scar revision surgery. The scar revision techniques are devised to reduce the visibility or smoothen the scar as much as possible. You may also try laser resurfacing for scar reduction. Hope that helped. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My friend is experiencing excrucutiating pain only on the tops of her feet. They are also feeling extremely hot. They are not swollen or red. She did not injure them. The pain just started this a.m. and it is getting unbearable. What do you think is causing this to happen?", "output": "Hello, The first thing to check out in such cases is the uric acid levels. If the lab report suggests that uric acid levels are high then this has to be controlled by medication and foot exercises. If the test turns out negative then it's a nerve entrapment in the lumbar spine. And doing core stability, spinal extensor muscle strengthening exercises and lower limb as a while will help reduce the pain. In medicine, we have to keep a differential diagnosis and then come to diagnosis to help rule out the condition. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am having a pain lower jaw after doing yoga is it a dental pain or muscle pull due to streching", "output": "Hello and welcome to Chat Doctor, As you mentioned, usually yoga cannot cause any kind of jaw pain. This can be occurred due to-Muscle stretching/twitching during exercises. Dental infections underlying. An x-ray of the area will help to evaluate the cause of jaw-ache. Usually associated causes can be-Pericoronitis due to impacted wisdom teeth. Deep dental caries progressed into periapical area. Periodontal infection. Traumatic injury due to fracture of jaws. Please do visit a dentist and get further treatments based on the clinical examination. Meanwhile, maintain good oral hygiene. Avoid heavy exercises which can harm your physical health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir Im suffering from jaundice for the past 4 mths ,The billurubin level varies between 2.5 and 2.1 for a long time ,Last month when i had done a test it is 1.4 and it is normal ,again it got increased to 2.5 last week.I had undergone treat ment for the past three mths ,All medicines which i had taken are related to gastric ulcer,I didnt have symptomps of jaundice ,Only discomfort i have is a uneasyness at the right side of the heart that too due to gastric problem but it occurs most of the time ,Kindly suggest what i have to do as i have allready taken lot of medicines", "output": "Hello, I hope you are well. It is important to know all the parameters of your liver chemistry, since you should consider the type of bilirubin elevation, because it can be either of direct or indirect predominance and the diagnostic protocol and handling of the two cases differs. In addition, isolated hyperbilirubinemia may occur in combination with elevation of your liver enzymes and / or alkaline phosphatase or GGT levels to consider a possible obstructive condition in the biliary tract or some hematologic factor. That is why I suggest you perform a complete liver chemistry and from there make the right decisions regarding more studies and / or image." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband started having his joints ache.It started with his shoulder,then to his hips etc.As time has gone on, he can feel that some sort of attack is coming on and depending what body part it is, it swells up, gets reddish and is hot.Its very painful.He s been to the ER 5 times with no answers.It now is in both feet.They are swollen,red and hot to touch and very painful for him to move around.2 wks ago, his arm and hand swelled up and was painful and went away in a day or two.They ruled out lyme s disease,gout etc.As time goes by , it happens more frequently and with more pain.He is 64 and there is no arthritis history in his family or anything else he can think of.Would you have any idea in what direction we can go? We have no health insurance and can t afford to run to specialists until we hit the right one.Do you have any suggestions? He s had blood work and exrays taken that have all come back normal...", "output": "Hi! It may be some allergy or autoimmune phenomena, cause may be some viral or some infection for this sort of arthropathy to occur in fleeting joint pains subsiding in one place and flitting to other joint...rheumatic arthritis is another known condition which has such symptoms...he should be shown to a rheumatologist and blood tests, CBC, ESR, AS title, Rh factor, c-reactive protein CRP should be done. Till appointment is gotten, OTC naproxen or and Tylenol tabs after meals or any available anti-inflammatory meds may be given under supervision of a GP or ER, some moist hot packs may be applied.an anti-allergic medicine like levocetrizine may also be added if he has any history of allergy for anything is known Best wishesThanking you Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am 19 weeks pregnant and I am seriously constipated, I have taken Movicol which helped, however I ahve this pain in my lower abodmin, which feels like I am hurting an organ. Is this normal, also I have pain in my right side which feels like my kidney, I am in discomfort for 3 days.I can t sleep on my right side as it hurts.", "output": "HI, Thanks for the query. I* understand your concern. Yes, any pain including constitutional discomfort in abdomen/ kidney pain can be treated in pregnancy. I feel constipation can cause all of your discomfort & pain . So have a good management for constipation & side by side get your urine checked for kidney problem & other tests to follow if indicated. Constipation causes loaded bowels with excess gasses/ stretching & pain in abdomen/ back/ below ribs follows. You can help your self to combat constipation by-few lifestyle changes. - Using glycerine suppository & stool softener like creamaffin to start with/ take plane water enema to pass very hard stools. - Improvement in diet. Take balanced diet along with high fiber diet (salads, fruits, vegetables, eating non-refined food & Istanbul at bedtime)/ avoid fast food. - Chat Doctor. - have mild Yoga exercises daily under expert guidance, - Form a regular bowel habit. - Take over the counter digestive enzymes after food. Consult your doctor. * consult your treating gynecologist for remaining complaints . If any. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "topic on concussions:My son experienced a concussion in 2008 after being bruttaly beaten up and kicked in the head multiple times with heavy boots. He is experiencing hallucinations getting lower on zyprexa med that he took for bipolar mania after the concussion. Can the visual hallucinations be caused from the lowering of the zyprexa or the concussion? Hes also on equetro.Thank you", "output": "Hello thanks for choosing Chat Doctor for your health related queriesYour son developed concussion in 2008, and he developed Bipolar disorder and mania after that. He was no Olanzapine and Carbamazapine for that. Now on lowering the doses he is experiencing hallucinations. Serious head injury commonly get complicated in psychotic symptoms. He is having these symptoms because of complication of head injury and reduction of antipsychotic Zyprexa or Olanzapine resulted in relapse of symptoms. I would advise you to consult his psychiatrist again and get him evaluated for evidence of psychotic symptoms. Thanks, hope this helps you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have terrible trouble sleeping,it s been going on 12-14 years,i went to GP several years ago and was referred to a neurologist. I had tests done,an MRI scan of my brain and it was inconclusive as to what is causing it,he wanted to put me on medication to help me sleep,but refused as i a deep problem/phobia with medication/drugs,because my father committed suicide in 1974 with a drug overdose following depression from a nervous breakdown in approx 1968. For nearly 5 years i have worked a shift pattern of approximately 16:00-03:00 for 4 night a week,i now feel i am ready to accept some form of medication to help me sleep as it is now affecting parts of my daily life through sleep deprivation,i have also had a couple of near misses on my 3 hour driving home after my last shift, I know it seems a lot in this,but tried to keep it as brief as possible", "output": "Degree understand your concerns went through your details. I can understand you. You have medicine related phobias and apprehension because of your fathers demise. I appreciate your present attitude as Now you are ready to co-operate with a doctor for your own benefit. That is a very good thing to do. I, now, request you to consult a physician, get yourself checked up for any physical problems, and then he will suggest you with the treatment method. Please do not oversee this. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hai Sir, My name is prashant. My weight is 115kg & hight is 5.65ft. Last one 2 times my BP shoots to 150/100. After that I had taken tablet of BP 3 times. From last 15 days my BP is OK. My stress test result is OK. Doctor suggested me to take Nabistar 2.5 tablet to reduce the office tension . Shall I take it. Is it I have to take lifetime. Kindly suggest", "output": "Dear Prashant, .what is your age? Your weight is high. You have BP. shooting ...is your complete evaluation done including labs, 2Decho, USG PUB?there are many causes of a high BP. and you need to work up for the exact cause. If you are already worked up and your doctor advised nebivolol, you should follow it. With lifestyle modification and weight management, It may get better. May be needed long term. If you post these details, I might help better. Take care and keep me posted on your progress. Good luck !" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My Mom had a low sodium level of 115 when we arrived at the ER. The ER said this was due to prolonged alcohol abuse. They gave her sodium chloride and magnesium IVs for 3 days. Since she has been home for the past 4 days, she has been very fatigued and just out of it. She has had no drinks at all! It is starting to worry me because it almost seems like there has been no improvement. Any thoughts?", "output": "HiT hanks for askingBased on your query my opinion is1. Decreased sodium intake in diet due to alcohol abuse could have caused hyponatremia.2. Other causes being loss of sodium due to vomiting secondary to alcohol induced gastritis.3. Excessive intake of water without adequate nutritional intake may cause hyponatremia.4. Your mothers' nutrition need to be improved besides discontinuing alcohol intake as alcoholism decreases appetite.5. Certain medicines cause low sodium levels. Check if she is on any anti depressants or anti-inflammatory Chat Doctor. Hope this helpsRegards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am Carlos.I suffered from a sculp ringworm when i was young, and that caused my hair 2 disappear. After I recieved a treatment I had my hair grown BUT far cry from my beautiful fine soft hair to un ugly strong roots.how i can get my hair back?? I reallly need help!! I always shave my head incase my old hair to come back. I am even afriad of dating! my life is falling apart.", "output": "Hi Dear, Understanding your concern. As per your query you have alopecia problem which is mainly due to fungal infection, covering head with cap and hormonal changes. Stress is an additional factor. Need not worry. I would suggest you to consult dermatologist once for proper examination. Doctor may order skin patch test, blood test and physical examination. Doctor may prescribe you Chat Doctor. Doctor may also prescribe supplements like vitamin A, Omega-3 and vitamin E. Doctor may also recommend hair transplant with HUE technique. Take Indian gooseberry powder (half spoon) with water once a day and use almond oil to massage your hairs. Hope your concern has been resolved. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi.. I am writting from bangladesh. I require medical assistance for breast cancer of one of my relative. Can u please tell me the procedure how to treat in your hospital as the patient will be coming from bangladesh..thanks...regards..billah", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Breast cancer if detected early, can have excellent prognosis with near normal life. So first thing to be done is staging of breast cancer in your patient. If patient is having stage 1-2 disease than surgical resection of tumor with unblock resection of axillary lymph nodes are needed. If patient is having stage 3-4 disease than chemotherapy, radiotherapy, hormonal therapy and debunking surgery are the option. So in India, I advise you to consult Tata memorial cancer hospital, Bombay for management of breast cancer. Hope I have solved your query. I will be happy to help you further. Wishing good health to your relative. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi , in am 32 year old man ,i have that Erection problem frm age of 21,,in that age betwwen 21 to 29 some day i have erction some day not,,but now it very rare my sex life is damage a lot..now i take cavetra 50 ,,that time it work very well,,but i want be normal ,dont want to use these tablet or temparle tretments,,i have no prb of any b.p or sugar or not any,,,yes i eat tobacu a lot,,pl guide me in that", "output": "Hi Sir, Welcome to Chat Doctor I can certainly understand your concerns definitely curable problem... There are many natural ways to get rid of this problem...like... Getting relaxed before sex, avoid stress, try to avoid smoking and also alcohol if any, maintain healthy lifestyle... In addition, needs to maintain adequate weight. It is very common problem to suffer at your age as you are still young to face it, so the above methods would definitely help you, and you can keep tabs like camera as your last option, you can also try some pelvic exercises to improve your erections. If you feel It's difficult to stop smoking, you can start on bupropion. It is helpful to consult psychiatrist for reassurance and other therapeutic measures. Post your further questions if any, I will be available to take up your follow-up questionsThank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been diagnosed with CKD Stage 3a. I am having difficulty with being authorized to see a nephrologist. My doctor Verna Liss, MD has known I have CKD, yet failed to let me know this for the past three years. I am very concerned about the lack of treatment and information I am being given, and need help. Also, the lab tests ordered by Dr. Liss are not being paid by my carrier, Anthem Blue Cross. I cannot afford to pay for having my question answered.Linda Florey09/04/1949", "output": "HIT hanks for your query. The general measures which help control the progression of CKD include:1) Control of blood pressure (BP2) LDL cholestrol3) Strict control of blood sugars (if you are a diabetic)4) Quit smoking5) Use of a class of medications known as Arms under the supervision of a doctor6) Appropriate diet (need to know more reports)Specific measures can be taken once we know the cause of CKD Hope this helps Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have bean taking celebrex for one month in that time I had pain in my ribs on the left side and light headed for about one hour I don t have to pay my doctor in Australia so forget My husband has swolen leg its black doctor gave him erythromycin will that help", "output": "Thanks for your question on Chat Doctor. I can understand your concern. No, erythromycin will not help in chest pain. Erythromycin is an antibiotic. It is used four infection. You are having left sided chest pain with lightheadedness. So we should definitely rule out hypertension and other heart diseases. So better to consult doctor and get done 1. Blood pressure monitoring 2. ECG 3. 2d echo 4. Stress test (trade mill test). If all these are normal then no need to worry about heart diseases. Sometimes simple musculoskeletal pain can be the cause. So take painkiller like ibuprofen. Apply warm water pad on affected areas. Don't worry, you will be alright, but first rule out heart diseases and please don't take erythromycin. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "After having protected vaginal sex, the vaginal fluid outside the condom made contact with my fingers. I put some foam soap in my hand and washed my penis, which had a sore (was reddish, no blood) due to masturbation the prior day. Is there an HIV risk because of the contact of vaginal fluid with my sore penis? Thanks,", "output": "Hi, Vaginal fluid outside the condom had contaminated your fingers and washing your penis with foam soap with these contaminated fingers carries a negligible risk for HIV in spite of you have an open wound on your penis. HIV cannot live outside and also in water or soap. Nothing to worry. But anyhow an HIV test is advisable to see a negative HIV result as to relieve unnecessary mental tension. Chat Doctor. Morgan" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m sitting here at my desk, typing on my laptop and it feels like palpitations all over my upper body. I had a holter moniter done a few months ago which had no serious results. But the palpitation feeling is frequent and has been since yesterday. I m very concerned as I am a cardia patient. I noticed that I have been vomitting alot lately when I eat something that doesn t agree with me. Could this be the cause. I do drink coffee and tea, but never had these symptoms as severe as they are now.", "output": "Hello Thanks for posting here. I have gone through your description. Since a holder done months back is normal, a heart arrhythmia issue is less likely. I recommend you to get your thyroid function tests done. Thyroid abnormalities can cause symptoms like palpitations and. Irregular slow or fast heart rate. Also get your it D levels checked which can also cause palpitations. Wishing you good health. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 62 years old and have had hypertension for over 20 years. I am in reasonably good physical health otherwise. At rest, and at times when in motion, I feel a definite vibration in my heart with sometimes a twinge of slight pain jab in the heart area (to left of center of chest).", "output": "Hello, I would explain that your symptoms are not typical of any cardiac disorders. Anyway, considering your age, I would recommend consulting with your attending physician for a physical exam and a routine check-up including a resting ECG and cardiac ultrasound, a chest X-ray study, complete blood count, blood electrolytes. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a serious pain in my leg which is made worse when standing or walking. There is an almost constant pain on the outer side of the leg running from from midway calf to ankle. Pain recedes when sitting. Three blood tests an x- ray have disclosed nothing in fact shows I am really healthy. I think it is some exercise injury, pain killers ar no use, can you help?", "output": "Hello, I read carefully your query and understand your concern. The symptoms seem to be related to muscle pain due to overuse. I suggest using anti-inflammatory medications such as Acetaminophen to relieve the pain. I also recommend using anti-inflammatory gel for local application such as Voltaren gel. Cold compresses can also be helpful. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards! Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I HAVE BEEN DIAGNOSED WITH TOTAL BODY NEUROPATHY BUT BOTH MY DOCTORS CAN NOT FIND THE CAUSE AND ARE STILL DOING BLOOD WORK. SATURDAY I WENT TO ONE OF MY DOCTORS HE TESTED ME ON A NERVE CONDUCTION STUDY TEST WHERE THEY ELECTROCUTED MY LEGS DOWN TO MY FEET OVER AND OVER EACH LEG ABOUT 15 TIMES. FOR TWO DAYS NOW MY WHOLE BODY SINCE RIGHT AFTER THAT TEST IS VIBRATING, I CAN NO LONGER STAND UP WITH ANY STRENGTH IN MY LEGS, I NOW HAVE NERVE PAIN EVEN IN MY ARMS BEFORE ONLY MY LEGS HAD SCIATICA NERVE PAIN FROM MY LUMBAR AND I HAVE MORE BODY NUMBNESS THAN BEFORE AS IF MY BODY IS ASLEEP AND CAN NOT WAKE UP. NOW I CAN NOT EXERCISE EVEN A LITTLE TO AT LEAST MAINTAIN MY STRENGTH TO GET OUT OF BED. THESE SIDE EFFECTS HOW LONG DO THEY LAST ? OR DID THIS NERVE CONDUCTION TEST DAMAGE ME FURTHER FROM EVER BEING ABLE TO FUNCTION? WILL I BE NOW CRIPPLED?", "output": "Hi, Thank you for posting your query. I feel sorry that your doctors are not able to pinpoint the reason for your neuropathy. Also, it is unfortunate that your weakness and other symptoms are getting worse over time. I would like to reassure that nerve conduction studies (NCV) tests are absolutely safe and have no side effects. If possible, please upload the NCV results. Also, the serum CPK and serum vitamin B12 results. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My father in law was diagnosed with small cell lung cancer September 2009, has had chemotherpay and radiotherapy, and was told he was in remission September 2010. However, he still has poor appetite, very tired, and his left arm is very swollen from the elbow down, no pain, and despite blood tests etc, has been told there is no identifiable cause for this swelling. Often in the morning his pallour is very grey, he is very fatigued. We are obviuosly very concerned.", "output": "Hi Welcome to Chat Doctor I have gone through your very. Your father in laws sufferings, inspire of being in remission is a matter of great concern. I as a Homeopath, Naturopath and Magneto Therapist would like to help you in this. These are no nonsense having no side effects and potent tools for recovery & prevention>You can administer him Homeopathic Carcinogen 200. One dose every fortnight, i Ar's NIC 30 Is wonderful remedy to relieve, tiredness, swelling. Take 4 Chat Doctor. Make 3 doses , each dose half-hourly.administer him some supplements rich in antioxidants which add to enhance power of metabolism and strengthen immune system to help him early recovery and assure stopping endurance....1. Give high fiber diets including all essential nutrients, directly, as it reduce the risk of colon or any cancer, a fiber-rich diet can decrease and eliminate constipation and hemorrhoids, it helps the stool pass through easily and decreases the burden of toxins reabsorbed into the body. Avoid fried fast food, tea coffee, alcohol and smoking .2. Give Mixture of extract of lemon, garlic, ginger, mooring tree bark(Sean tree), vinegar of coconut water and honey. 25 -35 ml is the dose with equal water for 3 -4 days twice 1/2 hour before meals, and after that, pure mixture for 25 - 35 days as required, is great antioxidant and rejuvenating, preventive and curative " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi I have been have fullness and back pain for about a month I went ot my GI he sent me for a ulrasound it can back saying the pancreas look different my gi said that everything else looked ok but beacuse the lab tech worded the report it was better to do a CT I have been having gas and buring pains in my right abdomin my dr told me not to lose any sleep", "output": "Hi. As has been rightly noted on ultrasonography and as advised by your GI, this looks to be pancreatitis. There are various reasons of pancreatitis and may also be related to the diseases of the liver and gall bladder, sphincter of Odd dysfunction, alcoholism and so on. The best way to get a proper diagnosis, I would advise you to undergo MRCP- Magnetic resonance CholecystoPancreatography and Endoscopic ultrasonography and CT scan. Every investigation shows together a proper diagnosis and then her can plan a proper course of management. IF required an ERCP for diagnosis and treatment like sphincetotomy, stenting can be done to give you proper relief. The tests of liver function, sugar are a must as also a test of stool." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My name is manohar,MaleAge:28Extra pulmonary TBAfter extra pulmonary TB treatment i am feeling drowsy and fatigued and in my left side of my abdomen i feel very inconvenienceand slight headache too.How to over come this .pls help me sir.i had stoped taking madicine on 1st june2010 and started taking medicine oct 2009.after treatment i feel like heavy weight in my chest when i sleep keeping chest on the bed for some time.Earlier i was very strong person and used to do lot of Gym.Now i am not able to do anything and loosing interest on every thing.what should i do and how to rectify all thease sir.PLS...pls..pls help me sir.", "output": "Hello dear Manor, warm welcome to Chat Doctor.come have evaluated your query in details .* Current chest pain and other systemic features are not in concern with past treatment of extra pulmonary TB.* The cause of the same has to be evaluated with clinical examination and supportive tests for final line of management guidelines. Hope this will help to clear your doubt . Wishing you fine recovery. Always welcome for any further assistance anytime. Regards ." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I just examined my pelvic area, and i noticed a medium size lump, and I felt a dull pain. I work often like sit-ups and I run often. So can it be a hernia or something worse? i don t have insurance, and I am currently unemployed, I do not have the means to go see a doctor. What could be going on???", "output": "Hi, what is your age? Please let me know the exact location of the lump. Is it restricted to above your groin crease or is it descending to your scrotum. Can you differentiate it from your testicles? Does it increase in size on straining or coughing? Is it soft to touch? If the answers are yes, then it's probably an Inguinal hernia. The only treatment is Surgery. It can be confirmed by getting it examined by a Surgeon or you can get an Ultrasound done. Until you get a job and insurance, you should stop any exercise involving strain on your abdomen and avoid any strenuous exercises. Take care and feel free to ask any clarifications. You can also contact me on Ask a Specialist icon. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My sister had meningitis when she was 5 years old. She had an entirely normal life - works as a lawyer (has a master degree in law) Lately she started seeing sparks and flyes and feeling weekness in the knee area while under the slightest stress . She is 60 now. She started having trouble remembering common words. The tests showed dark spots in the brain. What can be done for her? Thank you Jana from Macedonia", "output": "Hello Jana, Your sister having meningitis at 5 years of age probably doesn't have much to do with her current problems. The cognitive deficits that you have explained along with some imaging findings suggest that she could be having an organic disease of the brain, probably an infarct. IN that case things should improve in some days, and she should be started on proper prophylactic treatment like clopidogrel, aspirin and antihypertensives. Pirates and meantime may also help her. Thanks for posting a query at Chat Doctor. Hope she gets well soon." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi. I have periodental disease and gingvitis. I got even root canal treatment, I think i got it from oral sex and bad hygiene. frequenly i have been taking antibiotics. still pain persisits though I have imaproved much. the teeth even started moving a bit. when I show to dentist he advices only good care and mouth wash etc. kindly help me and should i remove my teeth to relive my pain?", "output": "Thanks for your query, I have gone through your query. The pain is because of the periodontitis and mobile tooth, once the tooth start shaking it applies pressure over the nerve endings and cause pain. Nothing to be panic, consult a good periodontist and get the scaling and root planing done and if required bone grafting or splinting can be done to make the tooth stable. Meanwhile, you can take a course of antibiotic like doxycycline 100\u00a0mg Which is very effective in gum infection. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband had a vasectomy 4 years ago for the past 2 weeks I have had pregnancy symptoms including urinating a lot, tender and enlarged breasts, feeling nauseous and now my period is 2 days late. I took a test last week it was negative. I have a slight white discharge. Could I be pregnant?", "output": "Hello, and I hope I can help you today. Pregnancy symptoms vary widely between women, and the symptoms of irregular hormones (which can also delay your period) are very similar to the symptoms of pregnancy. Women sometimes don't ovulate at the same time as usual, and other factors, such as weight changes, travel, and stress, can also make your cycle abnormal. Furthermore, in your particular case, your husband has been sterilized. And you had a pregnancy test that was negative, which is just as accurate as the ones in a doctor's office. So I think you do not have to worry about being pregnant. To be totally secure about your husbands' sterility, he could get a sperm count done to make sure the vasectomy worked, if you would find that reassuring. I hope I was able to adequately answer your question today and that my advice was helpful. Best wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a procedure today where they were supposed to give me an injection in my neck to basically burn the nerve endings. I ended up with a golf ball size lump in my neck and the pain is worse. They did an ultrasound and it is fine. What could this be?", "output": "Hi, Dear,Thanks for your query to Chat Doctor virtual Clinic. I studied your query in all the details put forth by you. I understood your health concerns. More information is needed like-Was the compression bandage given for that lump or not?or the injection is left without any compression bandage? Cause of painful lump in neck post-Chemical denervation-Still from the data given from you, following causes need to be ruled out-Moslty your lumps seems to be- either a venous hematoma/ or arterial hematoma, post injection, due to the accidental blind puncture of the perineal vessels in the neck.-Ora effused injection material in perineal tissue, which is causing pain due to tissue irritation from the ablative chemical use for neck nerve chemical renovation.(Phenol or Alcohol). Still I would suggest you to take Second opinion from ER Surgeon as I don't have any first hand clinical information or a photograph of this lump. To confirm other causes I would hence suggest you to consult ER Surgeon or PCP doctor. But you need to be worried as it would complicate into infective and other problem associated with it. And act fast on the above suggestions, which helps you to plan treatment with your ER Surgeon. Hope this would resolve your query with full satisfaction. Welcome for any further query in this regard to ME by direct question at Chat Doctor. Write excellent review and hit thanks, to narrate your experience, which would improve my rating for many other visitors to Chat Doctor. Wishing you fast recovery. Have a good day. Chat Doctor. N. Senior Surgical Consultant. M.S. Genl-CVTS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "MY SISTER WHO IS 45 YEARS OLD HAS BEEN DIAGONISED AS HAVING EMPYEMA AND IS NOW IN APOLLO HOSP IN BANGALORE UNDERGOING TREATMENT FOR THE LAST22DAYS. THE PLEURAL FLUID HAS ALMOST BEEN DRAINED BUT NOW THE DOCTOR SAYS THERE IS AIR BUBBLES IN THE LUNGS WHICH IS CAUSE FOR CONCERN .KINDLY LET ME KNOW THE SERIOUNESS OF THE PROBLEM", "output": "Hi thanks for contacting Chat Doctor... Your sister is having lung infection in form of emphysema.... So for that antibiotic given.... And if needed ICD inserted which has been done in your sister case.... Now this air bubble can be from starting pneumothorax.... In this condition patient suffer from chest pain and breathlessness also.... It can be life-threatening ... So constant observation needed.... If dyspnea more and blood oxygen level falls then oxygen supplementation needed...... If needed chest tube Chat Doctor. . You are in good hospital ... So condition is serious and follow doctors advise.... Take care ..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i want to do a full abdomen test with evrything inside cauese i ve left abdomen pain for so long.i have done utra sound everything is fine but still i want to know so why the discomform. i dont know where to go or which dr will do help me as i ve change many drs and hspital due to them telling me evrything is ok while i feel something inside.", "output": "Hello Ashkenazi, You tell us that you have had this pain for a long time. We would like to know more about the pain. Is the pain associated with constipation or diarrhea or alternating. Any nausea or vomiting ? Has there been any change in your dietary habits ? Any change in your activity ? I presume that your ultrasound examination included abdomen and also pelvis. I think if you can send me answers to these, I can advice you appropriately. CT-Scan can pick up a lot more things than ultrasound. Wish you well." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my daughter is 9 and she has been complaining of a stomach ache for a couple of weeks now off and on.. we thought mabye it was her diet and tried to change that now it seems she is having these aches off and on every day and she is having loose stools 2-3 times a day what should we co what is it?", "output": "Hi. Thanks for an elucidated history. The child is 9 years old, pain and loose motions, not responding to change in diet. The most probable causes are : Appendicitis, lymph node enlargement (tummy tonsils), nickels diverticulitis, and so on. A proper history, clinical examination, investigations as per these findings alone can lead to a proper diagnosis. This is most important to lead to a proper management/ treatment. Blood-complete blood picture, kidney functions tests, blood sugar fasting and post-lunch, Urine-routine, microscopy, culture and sensitivity (before start of antibiotic)Ultrasonography of abdomen." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, i have a slightly red rash on my legs from my thighs to my ankles on the back and front of the legs. It is tender to touch and warm/hot feeling when you touch it. It doesn t itch at the moment though but is slightly bumpy/raised. Could this be because of smoking ice over the weekend? It happened last time I took drugs aswell so i thought there may have been a connection. Should I be worried about this?", "output": "Hi I think it is allergic vasclittis.it is caused by Chat Doctor. Food allergy etc.it presents as bumps all over the lower legs which are hot to touch and non-itchy. Rule out other associated features like abdominal pain.vomiting.hematemesis to rule out any internal bleeding.it should be cured by vitamin C chewable tablet.an antibiotic twice daily and application of calamine lotion. Use short course of steroids like cyclone 30 mg tapered to 10\u00a0mg can cure it" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have 3 bulging discs, a torn disc & an extruded disc in my back. The extruded disc is at L5-S1 and is the root of my sciatic pain - Last night, my husband noticed that my upper leg around my hips & thighs was marbled like red & white circle blotches. Is this something typical with my back condition or something different?", "output": "Hi, Thank you for posting your query. Skin changes are not usual with disc bulging at L5-S1 and compression of the nerve. Pain is a common feature, which can radiate up to the foot and toes, along with tingling and numbness. So, if you can upload a picture of the affected area, it would help in making a diagnosis. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Help I pulled my daughters loose baby tooth the tooth was almost straight when she pushed it with her tounge and it came out easy enough but there was a bit of blood and the tooth was hollow and there is a slightly hard dangling piece of either tooth or root in the gum did I do something bad and should I take her to the dentist in the morning she had a bit of a headach after and she said it was hurting thank you", "output": "Hi... Welcome to Chat Doctor . I have gone through your query and can understand your concerns... As per your complaint a small hard and dangling piece over the gums that is present after removal of the tooth does not seem like any tooth piece and can be a hard deposit that are formed over the tooth due to improper cleaning. As you have removed the tooth there might be slight injury to the gums causing inflammation and leading to slight pain. You can give her Tylenol and apply a numbing gel over the sore area. You can try to remove the hard piece using a sterile gauze piece after applying numbing gel. If it does not remove consult a Periodontist and get her evaluated. Hope this information helps. Thanks and regards. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just noticed that my 6 years old son has a lot of blueish red flat small spots on his chin and juste below it. It almost looks like he hate blueberries or raspberries. He was not feeling well today, he had a sore tummy so I kept him home. Could it be a child illness or just a contact allergy?", "output": "Hi, Welcome to Chat Doctor, In dermatology, skin conditions are difficult to evaluate without actual examination. As per your description, it could be acne or some allergic bumps which needs to get examined. Also, provide more information regarding these spots, Whether they are painful or spreading? Is there any fever? However, you can give antihistamines syrup (cetirizine) to your child twice daily. If this red spots remain persistent then you need to see some local doctor or allergic specialist for complete evaluation." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My Son Age just 15 Months old, accedently accidently doctors found he s having High cholesterol levels. Goverment Hospital pediatrician doctors says he s having Glycogen storage diseases and Private hospital doctors says he have Niemann-Pick Disease. Here is the Recent Lipidprofile Report: cholesterol Total : 232 mg-dl Triglycerides : 3805.00 mg-dl ( Yes 3805.00 Correct ) Doctor Note: Triglycerides result, severa; time with dilution markedly increased level other test are not availble dilute interference Triglycerides. i m looking some good advice and treatment? if you need any other result to analyze this diseases please let me know?", "output": "Hi, I appreciate your concern for your beloved son. Based on the results of the lipid profile your son seems to be suffering hyperlipidemia which is suspicious of familial in nature. Familial combined hyperlipidemia is one of the most common genetic disorder that is passed down through families. It causes high cholesterol and high blood triglycerides. It can cause early heart attacks. Other causes may include diabetes and hypothyroidism. High cholesterol is associated with an increase of atherosclerosis and heart disease. High triglycerides by themselves do not appear to increase atherosclerosis or heart disease, but there is an increased risk of pancreatitis. Your son needs to be properly evaluated and certain lab tests such as blood glucose, thyroid function tests, and complete lipid profile. He may need lipid lowering Chat Doctor. Fish supplements which contain Omega-3 Fatty Acids are to be given as they have been shown to lower triglycerides. Statins should not be given as they are not safe in young child" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello. I am Mitesh Vora from Wembley London. My mom is visiting me to London from Mumbai, India , on this Saturday but unfortunately she got a dog bite jus few hours ago. My family doctor said that it will require 1 tetnus injection and 5 Rabipur injection. She took it for 0 day and second one she will take it on Friday before flying. But rest 3 she has to take in London. My question is 1) Will doctor here will help me in giving her those injection 2) How much normally it cost for those injection in London", "output": "Dear Mr Dora, though in England rabies is not frequently seen, but there is a provision of antirabies injection for any person who has been bitten by rabid dog or who handles animals. So answer to your first question is Yes, the doctors over there will help your mother to get this vaccine. Secondly in UK according to NHS guideline generally, unlike India,3 doses are given. And these three doses cost around 120 to 170 pounds in London." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HelloMy girlfriend had her regular period this month. On the very next day of her period we had a unprotected sex. I advised her to take an i-pill though and accordingly she took it the very next day though I didnt cum inside her. After a week she witnessed herself going through period once again.I am worried. Please advise me. Thanks", "output": "Hello, Emergency pill contains excess hormone that disrupts the hormonal milieu of the body and this results in with Chat Doctor. The next cycle may be delayed. If she has regular 28-30 day cycles, she was in the safe period when the intercourse took place and as such there was no need for the emergency pill. Yet, chances of pregnancy are very little as she took it within the stipulated time. If she does not see her next cycle within two weeks after her due date, she should see a specialist for further advice. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a prostate biopsy done last November. Full recovery was pretty fast; took just a few weeks. However, since the procedure, I started to experience some sorts of ED (i.e., lost of sexual desire, lack of full erection, involuntary semen dropping). That seemed to go all away after 6 months. I basically went back to normal. Then I went for a follow up check up with my urologist. He did the routine prostate check (with the finger). That happened about 3 weeks ago; since then I have been experiencing the same ED problems that I had right after the biopsy was performed. I wonder if these problems are still temporary side effects or they are permanent?", "output": "Hi actually prostate is the cause for ED in your case but smoking, Alchohal and diabetes also effect for such situation and Psychological effect also cause ED.1st take good diet, just relax your mind it may be helpful if not than sildenafil 25\u00a0mg may start if their in no contraindication like you are taking any nitrate containing medicine angina stroke or peptic ulcer you can start the sildenafil for ED, and some lab test like U and E, LFT,glucose LH and FH, lipids and testosterone required if it remain permeant" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i ve got a tingling burning painful feeling in my middle finger on my right hand it has been happening for about the last 3 years off and on usually 2 minute 0f pain then it stops maybe 4 times a year here recently its been painful off and on all day for 2 days what could this be", "output": "Hello, The burning, please, numbness, tingling are the symptoms of the nerve entrapment at the cervical region or the carpal tunnel. If only one finger is painful then it can be at the cervical and if the whole hand than it will be carpal tunnel. Based on the clinical examination we can figure out what it is after doing clinical tests. For now, using a soft cervical collar along with a hot bag at the cervical region and wrist region should help reduce the symptoms. Post which doing exercises for the neck and upper limb muscles will be needed to improve muscle strength and reduce the nerve entrapment. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, My dad is 60 years old and his \"Nerves are Bad\", or at least thats what he calls it. When he was a teenager he was put into a mental hospital because of his panic attacks. They treated him poorly and gave him a very powerful medication that had unwelcome side effects and did not help. Because of this he refuses to see a doctor. He has been on social security/disability ever since and has not been able to hold a job my entire life. My father avoids most social situations and any situation where he may have to speak to someone and answer questions, in fact, I must be careful speaking with him, because even discussing the possibility of a job interview or a doctors visit can trigger a panic attack. He even gets incredibly irritable, nervous, anxious and angry if a stranger like a tax consultant or insurance broker or someone will be coming to the house later. I have noticed that when forced to be social, a few beers is all it takes for him to act pretty much normal. He is still a bit shy, but no panic attacks, and he will even tell jokes and perhaps even make friends. This tells me that the condition must be treatable (although obviously not with alcohol). Other symptoms include shaking his feet a lot and vigorously rubbing his hands together. He also would spend a lot of time pacing around the house drinking coffee. Now that he is getting older I am extra worried about his health since he is afraid to see a doctor so I am looking for somewhere to turn. Do you have any advice?", "output": "Hi friend, Welcome to Chat Doctor There is no alternative to Psychiatric consultation... family and friends must convince him... A bad experience, once, is no excuse to avoid it. If one is hit by an automobile, it is no excuse to avoid automobile forever - as a matter of fact, he should look for and catch one (say, an ambulance), to go the hospital for treatment. Psychiatry is well advanced, and he has an excellent chance of improvement. Discuss with local social organization or his friends methods to convince him / if necessary compel him? Wishing speedy recovery God bless Good luck" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have Wilson s Disease and Diabetes. Every year or two I go for an MRI to assess the liver as a result of the Wilson s. I recently went for an MRI of the abdomen whicChatDoctore back as concerning for renal cell carcinoma due to a 1.4 cm mass in my right kidney. I went for a biopsy which was positive for Stage 1 cancer. I am scheduled to have the tumor removed by a laproscopic procedure. Is this the right way to proceed? What is the risk of reoccurrence?", "output": "Hi, Thanks for writing in. If your CT scan has been done and tumor is confined to the kidney then surgery for tumor removal is recommended procedure. Please make sure that there is no involvement of nodes and there is no extra renal manifestation. Usually open laparotomy is done for cancer surgery however if the tumor is small and measures 1.4 cm like you have mentioned then laparoscopy is acceptable. The recurrence of renal cell carcinoma in your case might be 1 to 7 percent and regular follow up will help to treat any persisting cancer. Please consult your doctor regularly. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello my son is 1 yr and 2 months he is getting all four of his molders and two of his front teeth at the same time he has red around the teeth that are growing and they look a little purple and he has two blisters one on the tip of his tongue and one on the roof of his mouth Im guessing hes in a lot of pain because he wont eat any solids what could this be?", "output": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns..... As per your complaint it seems that your son is in the teething phase and inflammation and swelling of gums is not abnormal finding. During teething there is inflammation and swelling of the gums due to pressure and breaking of the gums for letting teeth erupt in the mouth by cutting through the gums and the child can experience slight temperature rise also. Canker sores on tongue is also due to inflammation while can also be due to viral infection. So my suggestion is to give him Acetaminophen [Paracetamol or Tylenol] for pain and do cool compresses over the gums. You can use a very soft toothbrush to clean his teeth and also be gentle and careful, not to touch the gums... Give him a soft and semisolid diet. Hope this information helps. Thanks and regards. Chat Doctor. ." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Yesterday day at work, I was just sitting at my desk and all of a sudden i could not remember anything, i couldn t even remember 1 of the employees names or face and i work with him everyday. I was very sweaty and confused and my workers said i said i was feeling like i had to throw up. after about 30 minutes i felt better but i had never felt like that before", "output": "Hi and welcome to Chat Doctor. Thanks for your question... Your symptoms need to be taken seriously, and you need to have a thorough evaluation to find out the cause. There are numerous possible causes e.g. neurological problems, cardiac problems, etc. and we need more details like your age, sex, presence of any medical conditions like diabetes, hypertension, etc. So, please consult a doctor at the earliest and have a proper evaluation done. Wish you all the best. - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been feeling dizzy, having chest pain, my lips are really pale and i been to a million doctors? the chest pain and tightness i heard is from stess, so ive been told from drs in hospitals and my primary dr. but recently i been feeling sick like headache symptom and dizziness and my lips are real white. i drink lots of water, doesnt help. i been feeling like this for months now, and no dr can help me or diagnose this. i need help pleasE? anyone know wat this could be or caused from?", "output": "Hi, I'll need to know your age, any risk factor (like Diabetes, hypertension or smoking), what is your hemoglobin. The symptoms you are telling could be because of cardiac disease which is generally exacerbated by low hemoglobin. So is your hemoglobin low? If yes you can start taking an iron tablet. To rule out any cardiac ailment causing the above symptoms, I'll recommend you to get a stress test done in form of Tread Mill Test (TMT). Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "One of my friends daughter has gone mad of a person (love) where as the boy is not interested in marrying her, more over the boys is studying and the girl is un employed where shall i get good and perfect pshyciatric treatment for her If it is in chennai its well and good", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. I am astonished with your requirement. Is she that affected? Very few people (0.0005%) can go mad when ditched by a lover. I don't believe this. I think you are overreacting. She is disappointed. Deeply. Such disappointment is normal. It is because of her love and Chat Doctor. She has parents, friends, well-wishers like you. Please talk to her and tell her that nothing has happened. Tell her within a week or so she shall come out of this situation. Tell her that she is behaving normal even in this situation. Motivate her to in these ways. You can take her to a psychological counselor. Or Please call me at 9995407714 (Kerala) and let her talk to me. I am giving you my number because of the urgency of the case. Please do not ignore. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have what seems to be some fever on the right side of my head. very slight pressure on the back of the eye...it does NOT affect my vision. some soreness on the right side of my throat and a tenderness on the right side of my head. I also feel a slight sensitivity in my right ear. age 58 225 No alcohol/drugs 6 1 Generally excellent health no recent trauma for the past couple of days a slight increase in anxiety which I normally NEVER have.", "output": "Hi, As per your symptoms it could be due to upper respiratory infection(pharyngitis, laryngitis, tonsillitis, epiglottis etc.) or middle ear infection, sinusitis you should undergo routine blood investigations and after that you may take antibiotics (quinolones or accolades group) with antipyretic and analgesics with other symptomatic treatment according to underlying cause. You consult ENT surgeon for further advise." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have these small rashes on my shoulders, upper arms and breast . They have been there for a couple weeks now and they are very itchy. They are nickle size or smaller, some of them look dark red kind of like a scar . What could it be? At first I thought it was ringworm but I have had ringworm before and it looks nothing like that.", "output": "Hi. Thanks for your therefrom what you mention, there is a possibility of the lesions being edematous. You can start taking oral anti-allergic tablets to control the itching, as continuous itching leads to itch scratch cycle which further aggravates the disease and its outcome. Topical steroids are applied for 1-2 weeks depending on the severity of the patches. It is important to keep the area moist by repeated application of a medicated emollient.u can use detail moisturizer for the same. You can consult a dermatologist for the correct prescription of topical steroids as they are mainstay of therapy. Hope this helps. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello im 26 yrs old n my ht 5.4 n my wt is 57 i got marrid in 2005 n blessed wid a baby girl in 2006 after dat i used loop for 3 yrs and removed it in 2009 n used condoms for another 1 yr but got pregnant in jan 2010 but i used cytototec as soon i confirm pregnancy but as now i want to conceive again but no result from last 8 months i consulted a gyno she prescribed clomid but im a bit scred now wat shud i do? can u plz help me", "output": "Hello, Thank You for trusting Chat Doctor Your doctor must have prescribed closed to help with ovulation. Closed is a very effective medication the helps with ovulation and conceiving. You don't have to worry at this point, since you have been trying only for past 8 months. Continue taking closed as prescribed, eat healthy and exercise regularly. The chances are you will conceive within next few months while on Closed. Hope I was able to help please ad Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have a high blood pressure developed during my pregnancy and its continuing for almost 7th year now. I take medicines but still i have BP I take cosarat 50 mg morning and 25 mg evening. I do follow diet.. Please let me know how i can get rid of this", "output": "Dear Mrs, Hypertension developed during pregnancy has two resolutions, in some cases it can disappear after pregnancy and no medication is needed, but sometimes it continues and there is a need for lifelong medications. It is very good that you follow diet. Try to exercise much, it will also help to reduce blood pressure. I would advise you to check kidney function as well. If there are some kidney problems, they can lead to high blood pressure. Hope I could help nourishing you good health In case of further questions don't hesitate to ask" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I had surgery two days ago on my face. There was a mole that had got infected and after 20 days of antibiotics they finally removed it. My face around the area is hurting pretty bad and I had some drainage from the area and now along the cut I have two white bumps that look like white heads. Should I worry that my cut is infected?", "output": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Yes, there is probability of the infection. I suggest you to do culture and sensitivity testing from the probable infection site. Taking a treatment as per the report is good. Since you have history of previous infection than you should do culture and sensitivity. Till report comes you can continue your current treatment. Please maintain good hygiene by frequent washing and cleaning. Good Chat Doctor. Please cover the face and wound area while you are out. I will be happy to answer your further concern on bit.ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "How is klebsiella diagnosed? I had it show up a few years ago and now I m not sure if it was a urine or stool test but the doctor never treated me for it. I have a lot if swelling(edema) and not sure if this could be a cause. I ve also had Lymes and food sensitivities and just want to be sure this isn t something to check into and who to go to especially because the dr who saw the test did nothing! Thanks for your help! Julie", "output": "Hello, THX to contact us. I understand your concern. If I am your doctor I advise you that Klebsiella pneumonia in the stool has no importance. So if the K. pneumonia bacteria is isolated from the stool it will be considered as communal flora of the Castro Intestinal Tract. But if it is isolated in urine, it is necessary to treat it. I will be happy to answer more of your concerns, kindly know me, Wish you a very good health at Chat Doctor. Chat Doctor. Infectious Disease." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had unprotected sex so the day after i took a yasmin contraceptive pills. Im on the last 4 tablets now. I think to stop taking it cause my urinary track infection become active since i started taking the pills.i also had a sore between my anus and vigina and its realy give me hard time. i dont do any sexual intercourse after for almost 3 weeks now. Is there any possibility to get pregnant if i stop taking the pills.", "output": "Hello, If you have been abstaining for so long, the question of conception does not arise. Once you stop the pills, you are no longer protected, and you need some other form of contraception before you plan further intercourse. For the time being, please get your sore and urinary infection treated by a specialist. Please abstain until you are totally cured. If you had the intercourse while on the last four tablets, then you need not worry at all as you are safe. Hope you find this information useful. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have lot of rashes in the neck and sides of the cheek, and jawlines. Its been like this for over 6 weeks. I visited the dermatologist and was given a Acne moist cream and some medicine to take in the night named as Xylene. But this treatment didnt work and I ahve the smae condition.", "output": "Hi, You have given very short history, so it is difficult to pinpoint the diagnosis. However, as it is on face and side of neck and your dermatologist has seen giving acne related cream, I feel that most probably it may be folliculitis. Few months course of cap Minocycline daily would improve the condition. Apply Clindamycin gel on the lesions at night. Avoid soap for washing the face and neck. Detail cleansing lotion may be used. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am a 21 year old female, weigh about 135 pounds, i have always had a protrusion in my upper chest, noticeable enugh sometimes that i have been asked if i have ever had open heart surgery. it never really bothered me that much but now i am noticing i have pain between my rbeasts on the right side of my chest and it also protrudes there, hurts when i lay on my stomach, sometimes to the touch, and especially when i work out. i am also having very bad upper back pain that also makes it hard for me to breath when i move my upper body. especially in the mornings, when it hurts the worst, getting out of bed i have to take a deep breath before trying to get out of bed because that movement cuts all breathing from me. and throughout the day when its hurting certain movements make it hard to breath, and deep breaths hurt my chest, coughing hurts my back.", "output": "Hi Dear !! Thanks for your query to Chat Doctor. Read and reviewed your query and health concerns. You seem to suffer from-Workup Right Pectoral Strain with Pigeon Chest. Dear this occurs from childhood It D-and Calcium deficiency, or could be from accompanied chest emphysema problem since childhood. It does not develop in a day. The sternum is protruding bone in this case and the anteroposterior diameter is increased, with imbalance in respiratory rib and bone movements, causing stress and strains due to stressful body workup-as in your case. Chest X-ray to diagnose Pigeon chest and restricted Gym -for 2 weeks would fix the cause of the painful protrusion in the chest. Second opinion with Sport and orthopedic doctor would resolve the issues you have. Hope this would help you to plan further care of this complex illness of yours. If need be, update any health issue 24 x 7 by a direct question to ME, at following Chat Doctor link-Dear, if satisfied, Dont forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at Chat Doctor services. If you want to update more details and ask more update queries, You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello, I have severe back pain, which has caused me to stop working after 13 years. I have been diagnosed with a condition that is private and now it has caused me foot, shoulder and hand pain on a constant and daily basis. What do you suggests I take or do. Thank you and hope to here from you soon.", "output": "Thank you for your question. According to your symptoms, pain in several joints may be due to autoimmune disorders. There are many causes which cause joint pains. Complete blood reports, X-rays and physical examination are required to know the exact cause of your symptoms. So, please meet your physician to discuss your problem. For symptomatic relief you can try ibuprofen tablets twice daily and pantoprazole twice daily. Avoid these tablets if you have renal failure or gastric bleeding." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my SGOT and SGPT is109 and serum alkaline phosphate is 216. Ihave gone through liver biopsy ,but could not found the reason.Since 2006 I am sufferig from this problem. this time again my blood report is not in favour. IS DIET EFFECT the sgot. sgpt and alkaline phosphate level in the blood?", "output": "Hi thanks for contacting Chat Doctor... There will be some organic cause for elevated SGPT and GOT .... Your liver biopsy normal .... So liver cause not there ... Have you investigated for gall stone, pancreas problem, bile duct problem etc.....???? If no than investigate them by USG abdomen and if needed MRCP like higher investigation.... If not present than history regarding cardiac causes and muscular problem should be searched for .... As they can lead such abnormal result ... If you history of malabsorption syn Chat Doctor. . Infectious mononucleosis if suspected it should be ruled out by serological testing ... So your detail history and complete examination needed to investigate further. Take care .... Advise : gastroenterologist consultation..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have bronchitis and the guy gave me a inhaler called asmol and when ever I use it my breathing gets worse what does that mean? And I can t cough laugh or sneeze like before I could do it with my lower abdominal hurting but its gotten to the point where I can t do it now and sometimes I get the same feeling of abdominal pain just under my ribs ?", "output": "Hi, If you are suffering from acute bronchitis then you would require antibiotics (quinolones or accolades or cephalosporins or amoxicillin with clavulanic acid) and bronchodilators like beta agonists (albuterol or terbutaline), anticholinergics like ipratropium bromide or aminophylline with nebulization and steam inhalation. Asmol is a albuterol bronchodilator, and it can be used in treatment of bronchospasm. If your breathing gets worsened after taking it then ii could be due to allergy to that particular Chat Doctor. Consult your pulmonologist for further advise. This all above might have to be given for at least 7 to 10 days to resolve the symptoms. Your abdominal pain could be due to your breathing difficulty leading to rise in intra-abdominal pressure. So, dont worry about that." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor,My baby boy is 9 1/2 months old, having greenish liquid since last 1 1/2 months. We dont know what to do??? We consulted so many doctors, every one says its normal. One doctor told me that dont give cerelac, we did it & it works. But now what to give as an alternate to Nestle Cerelac???", "output": "Hi, Thank you for asking question on Chat Doctor .this is the time when you should wean him from breastfeeding and shift to natural foods. Cerelac is not the only solution. Give him fruit juice, boiled and smashed potatoes, smashed ripe banana, double boiled rice with curd or buttermilk. Only curd with sugar can be given. Double boiled rice with moon DAL, boiled rice with milk and sugar etc., Not only Carla you can choose alternative milk cereal mixtures from the market. Hope this answer will serve your purposeless feel free to ask any more queries if requiredTake care Chat Doctor. V. Subrahmanyam MD;Disassociate professor of pediatrics" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir, its for my 63 year aged mother, yesterday when checked cholesterol,the reading 240,it was the first time she checked it, though have sugar already, doctor prescribed the lipikind-10,should we start medicine or any other solution, do it has side effects?", "output": "Hello. Thank you for your question and welcome to Chat Doctor. I understand your concern. Cholesterol levels can vary from clinic to clinic and from country to country. In our clinic, for example, it is considered to be high >220 mg/DL. Anyway, with these figures, combined with the age of 63, I would also recommend starting on a HY Chat Doctor. ). In your case, I would start her on atorvastatin 20 mg x 1 tb/d. There are no medications without side effects. This particular group of " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had her2+ breast cancer with double mastectomy in September 2013. I was recently diagnosed with a brain tumor but had it removed via gamma knife procedure at cape fear valley cancer center. I am now trying to find out about having brain radiation which is the next step Im told.", "output": "Hi, Welcome to Chat Doctor forum. As you describe, there is no query, but only an information, anyhow don't worry, so for every thing is well and good. Here after also every thing will be promising. Allow your doctor do what ever is required, for your good. It is important to have the radiation for complete eradication is the cancer cells. Take more of green leafy vegetables, pulses,sprouts, and protein rich foods to have good health and resistance. Wishing for a quick and complete recovery. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i was planning to apply to middle east and did a medical test for the same.found that SGPT count is 77 in place of desired 41.i have a history of gilberts syndrome.how bad is it? shoud i be worried about my liver condition.is there a way i can reduce the count in a short time to qualify for the medical test", "output": "Hello. Thanks for asking query on Chat Doctor. I appreciate your concern. You have mild elevation of SGPT. As you have not given the other Liver function test reports, I assume them to be normal. Most common cause of mild elevation of SGPT are alcohol intake, fatty liver and chronic hepatitis B or C. I would suggest you to test for Hepatitis B and c virus, ultrasound of abdomen, reduce alcohol if taking and good healthy lifestyle including daily walk and exercise. Monitor your Lots. With these measures hope it will become normal. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "At 74 years my mother has been diagnosed with central core disease,she has been on statins,blood pressure and drinks minimum two bottles of champagne a day also she has osteoporosis and liver disease,because of the late onset of this disease does this mean it is hereditary", "output": "HiT hanks for posting your query on ChatDoctorI appreciate your concern for your mother. Central core disease is a rare genetic neuromuscular disorder that is classified as a congenital myopathy, meaning that it is a muscle disorder (myopathy). Most cases are inherited as autosomal dominant trait and associated with nonprogressive muscle disease and a favorable prognosis. There is no cure for this disease. Treatment is directed toward the specific symptoms that are apparent in each individual as you have mentioned. She may be at risk for Malignant hyperthermia (sudden severe increase in body temperature, muscle rigidity, hypertension altered level of consciousness) when exposed to certain general anesthetics or muscle relaxants. So, these Chat Doctor. Hope this answers your query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello. Iv been getting a throbbing/aching feeling around my heart. I am only 42 and am generally fit, but my back hurts inbetweeners My shoulders. But it s my heart muscle that s hurting and I feel uncomfortable. Please could you tell me what I need to do?", "output": "Hi, This can be as simple as musculoskeletal pain, yes... and manipulation of your middle thoracic can help but if the pain is sharp in your chest and referred to arms, shoulders and jaw, or it is like pressure on your chest then you should check an ECG to rule out any other problem. Hope I have answered your query. Let me know if I can assist you further. Amman Darragh, Physical Therapist or Physiotherapist" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Doctor i have scalp psoriasis . i just read in a journal that there is a connection between psoriasis and HIV , is there anything i should worry about? Another question is that psoriasis will spread it seems is it true and many of them say it is incurable? I am very much worried please reply as soon as possible,,Looking forward for you reply,,,Thank you.", "output": "Hi Wins, Psoriasis is associated with many diseases not only HIV. Psoriasis is a historical skin disease. Its evidence was found in The Bible and before biblical era but HIV infection was noticed in the USA in 1980. Therefore, association is made now-a days. HIV infected patients can develop various skin diseases' psoriasis is one of them. Chance of psoriasis patient to infected with HIV is same as normal/Healthy person. So, no need to worry Psoriasis is a controllable disease not yet curable. Please visit/consult a dermatologist or search on internet for further information about psoriasis." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi! I just got lab results, and my WBC is low (4.1), my glucose is high (110), my calcium is high (10.4), my PTH-Intact is high (108.2), and my vitamin D is low (25). A urine protein electrophoresis in January result said that the pattern is consistent with nonselective glomerular proteinuria. What disease or problems do all of these lab results suggest?", "output": "Hello and welcome to Chat Doctor. As a Urologist, I can fully understand your concern. You should mention your age and gender, with present medication. As you may be a diabetic, check your HbA1C, He, urea and creatinine, lipid profile, and 24 hours urine protein. You should have an ultrasound of abdomen, and later decide about kidney biopsy. If you can send the reports to me for an expert opinion, I can guide you accordingly. It may send in my name, as a direct question. Chat Doctor. Manga." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have chronic microvascular disease of the brain , I want to know how serious this is. I am 48 and uninsured so I cannot afford the mra the echo cardiogram or all the blood tests that the neurologist wants to do. I just want to know if it can kill me. The mri also has shown that I already had a mini stroke at some time in my life. What can I do to change this or is it possible to chang it.??", "output": "Microvascular disease of brain is usually seen due to hypertension, diabetes, and smoking; and in some instances due to high blood lipid levels, genetic conditions. It presents as repeated mini-strokes leading to gradual stepwise deterioration in physical and mental abilities....and death. Also, the predisposing conditions for your microvascular disease will affect other organs, including the heart, eyes, kidneys etc., such that unless you control the risk factors, you may land up with multi-organ disease. Plus, it is no guarantee that a person with microvascular disease will not have a large vessel disease (which can be rapidly fatal). Thus, it is important to get a thorough evaluation at that start and then regular clinical checkups and investigations, apart from the medications and lifestyle changes prescribed by your physician." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I HAVE LUMBAR RADICULOPATHY IN LUMBAR LOW CHRONIC BACK PAIN OSTEOARTHRITIS SCOLIOSIS DJD DDD SCIATICA MDD AND PTSDBULGING AND HERNIATED DISCS LUMBAR DISCOPATHY ROOT NERVE COMPRESSION SPINAL STENOSIS HYPERTENSION FCET HYPERTROPHY THE MEDS I TAKE AM I ABLT TO WORK IN YOUR OPION MY LEGS LOCK NO WARNING I USE A ROLLATOR AND CANE I AM ALSO LEGALLY BLIND I AM A VETERAN I RAPPELLED FROM GREAT HEIGHTS TRAINED IN 101ST SCREAMING EAGLES UNIT 5 YEARS 4 MONTHS SINCE 1984 I AM IN CHRONIC PAIN WITH MEDS LORTAB 10 PAIN IS CONSTANT WHAT WORK Can i do", "output": "What you are suffering from is a pain that has pathological causes in nature. However, due to various differentials that u already know all contribute their bit to the pain in bilateral lower limbs. Kindly start with mild to moderate physiotherapy, monitor your weight. The aim should be to reduce the weight you are carrying on your knees, and at the same time to increase strength in your lower body." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have pain along my arm in two places. The muscle is tender painful and has lasted for days. Is it a nerve or muscle issue. There a two small lumps that are tender to the touch along the underside of my lower arm between my elbow and wrist. It is difficult to use this muscle or hold anything of weight with this arm.", "output": "Here you have told symptoms like pain at arm and hand level along with lump between your arm and wrist at inner side. I suggest to check do you have neck pain complain too. If yes then it can be related with neck pain. If there is no neck pain and pain starts only from shoulder level then it can be due to shoulder arthritis too. And if your pain is kind of radiating pain then it can be due to hypersensitivity of your upper arm nerves which is disturbed at either shoulder level or neck level or arm level. I suggest you should visit an orthopedic for proper examination and evaluation. Here he also needs to see the size and location of the lump which you are talking about. Based on the diagnosis doctor will suggest for surgical opinion for cervical, shoulder or for lump area if there is anything major. If there is no major problem in your x-ray and examination then he will ask you to go for physiotherapy treatment and take few medications as a primary care treatment program and will review after some days. You can also use hot and cold pack at home for some more relief. Here since physical examination is not done by me, I have given simple guideline on what to do. I suggest do not wait further because it will worsen your issue, and then it will take time to improve. So just follow the suggestion and go ahead for treatment. And I am sure you will be fine with this. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m a 64 yr old woman that has back pain and arthritis. Getting old is not fun! What causes the knee to go out? I was walking in the kitchen & for no reason my knee gave out & I hit the floor. The last time it happened was a few years ago. Can be be very dangerous depending where you may be at the time! YYYY@YYYY", "output": "Hi, In my opinion your I don't actually think that your knee problem is due to your arthritis unless you may have spinal nerve herniation I think it is due to another underlying disease or condition if you faint or became a bit of hypo or hypertensive or such, sometimes spinal nerve compressions can cause difficulty or painful to walk at all but not to go out. For now, I suggest you to try to decrease your weight, hot fomentation with topical gels and physiotherapy are helpful, NSAIDs like Advil, muscle relaxants are recommended. Hope the above information helps you, Any further clarifications feel free to ask." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I started out with what felt like allergies with sneezing, sore throat, runny nose, ithcy eyes and irritated sinuses, but the next day was fever, intense body aches, fainting, could not breathe through my nose dark green and brown sputum. The next day was absolutely no ability to breathe through my nose, fever, sinus pain and swelling in the face, and the next day was loss of voice, mild cough, and every day after that has been no voice and coughing all day and coughing up bright green sputum. I dont know what I have or how I got it.", "output": "Hi, thanks for using Chat Doctor It is likely that you have an upper respiratory tract infection which can involve the ears, nasal passages, sinuses, throat. In most cases it is viral, but bacterial infections can also occur. The pain and swelling in the face imply that the sinuses are infected. You can consider using antihistamines and decongestants which would relieve the nasal congestion and swelling in the face. Decongestants can be oral or topically applied. Since you are having a productive cough, you may want to consider using a bucolic which would help to break up the mucus in the chest. The use of copious fluids would help decrease the viscosity of secretions. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good morning Doctor, I live in Melbourne, Australia. I have a query for my uncle who has Cancer of the food pipe and is very serious. He is being treated by Dr Rai in Chennai and is in his hospital. I am afraid from what I hear that he is not getting the required attention. I am thinking of moving him to the Adyar Cancer institute. I am concerned that my uncle is suffering far too much. Can you please suggest what I do in this situation. Thank you for your time Doctor.", "output": "Hi, dairy have gone through your question. I can understand your concern. Your uncle has esophageal cancer. Treatment of esophageal cancer depends on type of cancer, stage of cancer and spread of cancer. In early stage surgery can be done to remove that part. In later stage chemotherapy and radiotherapy are the treatment options. Please send me his all reports so that I can help you further Or consult your oncologist and plan accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My mom took One dose of advil pm and started having heart palpitations. She is 50 with no know heart problems, she says it gets worse when she lays down. She would like to know about how long this side effect will last and I want to know what are the warning signs if she should go to the hospital.", "output": "Hello! Thank you for asking oh Chat Doctor! I am glad to confirm you that Advil does not trigger any known arrhythmia facing current medical data as far. If your mom experience heart palpitations, probably this is caused by the primary disorder that generates pain, or something else. If palpitations persist and become disturbing, then you need to talk with your doctor (internist or cardiologist) for a comprehensive medical check up, to investigate her cardiac status, to identify any possible arrhythmia, or heart failure, or exclude any triggering factors, like anemia, thyroid dysfunction, etc. If Advil treatment aggravates those palpitations, then your mom should stop taking the Chat Doctor. Hope to have been helpful. Greetings! " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have an infection in my lower right jaw, I m on very strong antibiotics (4 days now) only 1 day left of tabs, today it has become a rock hard golf ball sized lump, I m in large amount of pain and have a fever in all I want to do is sleep do I need to go to emergency? I m 6 month past having part of my jaw bone removed", "output": "Welcome to Chat Doctor. 1. The history suggest infective etiology - possibility of bone involvement can be there. 2. If you had strong antibiotics and not having any changes then incision and Chat Doctor. 3. A CT scan of the skull base till neck regions will be investigation of choice.4.CT will give the status of the infection and extensions - and to plan for the procedure.5. If its superficially felt - ultrasound examination will help to evaluate the nature of the lump. Good luck. Hope I have answered your query,anything to ask ? Do not hesitate to ask.http://doctor.ChatDoctor .com/doctors/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "FOR ABOUT A MONTH NOW I HAVE BUMPS, ALMOST LIKE SMALL PIMPLES, SOMETIMES WITH A TEENY TINY AMOUNT OF PUSS IN THEM AND SOMETIMES JUST RED. I AM SOMEONE WHO IF I GET IN THE SUN MY CHEST WILL BREAK OUT TERRIBLY SO I AM ASSUMING I GET SUN POSION HOWEVER I HAVE NOT BEEN IN THE SUN NOR A TANNING BED AND FOR ALMOST 1 FULL MONTH NOW I HAVE THESE SPOTS. I HAVE NOT CHANGED ANYTHING..NO NEW DETERGENT, SOAPS, FOODS ETC. SOMETIMES THEY LOOK WORSE THAN OTHERS. I WOKE UP YESTERDAY MORNING WITH NEW ONES GOING UP MY NECK AND ON THE SIDES. I CURRENTLY HAVE THEM ON MY CHEST, UPPER ARMS, BACK AND NOW MY NECK. THEY DONT ITCH BUT RATHER EMABARRASING. HELP!!!", "output": "Hello, Welcome to Chat Doctor. I understand your concern. From the details you have given, I assume that you are suffering from folliculities. The red pus filled pimple you are having on your body are most likely infected follicles(hair roots). There may be many reasons for the same as a previous exposure to sun, excessive sweating, friction due to tight clothing, etc. You need not worry in this matter because most of the time it is benign self limiting condition. You should apply some antibiotic ointment (like provide) or antibiotic powder (newsprint powder) along with skin soothing lotion like calamine. I advise you to keep the area clean by washing it with warm water and mild soap. You should not wear tight cloths and should not let the follicles excessively compressed or stretched. Avoid scratching or bursting the pus filled follicles. Consult a doctor if they don't go away in 10 days. Please rate this answer helpful if it was helpful to you. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Can rolling off a pelatius ball during a gym workout cause serious damage especially if the person hit the back of his head against a iron clad wall edge - person got hit at the medulla oblongata area. Did not show any visible signs for over 5 days before succumbing to an attack resembling a brain stroke. The person experienced a sense of paralysis in his left hand and leg during the workout at the gym? He managed to walk 20 minutes away from Gym and went to sit down at local juice bar before passing out.", "output": "Hi, The person whose condition is detailed above needs immediate neurological consultation. You have not mentioned if the person had any other features of brain injury like loss of memory, vomiting, loss in balance while walking, visual disturbances. It may need to be investigated thoroughly through CT scan/ MRI scan of the brain. The medulla oblongata is very much within the head and unlikely to be damaged, but other areas of the brain need to assess. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor, i am 44 years old now.My problem is my falling hair...Its started falling when i was 15 and then now its almost takes no more hair on top...I looked young for my age, but i got this problem on..I am a singer, i cannot go back to my singing career becoz of this..What will i do? Can you help please?", "output": "Hi, Probably you may be having halogen effluvium. It may be due to some cause. Most common cause is psychological upsets like anxiety, worries,tension or depression. Other causes may be thyroid dysfunction, vitamin and mineral deficiencies, anemia, other internal diseases, Chat Doctor. .etc Normal hair fall in adult may be 100 to 150 per day. You consult dermatologist for firm diagnosis and treatment. Blood investigations may be done to find out some internal cause. If there is anemia, iron preparations may be taken. If vitamin B12 deficiency, take in B12 twice a week intramuscularly. Any other internal disease is found, treat it. You may take biotin containing tablets for long time along with vitamin E cap. You may apply mild steroid lotion like beclomethasone lotion on scalp at night. Mild herbal shampoo and almond oil may be used. Have patience for the result. I hope you got my answer. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am 22 female. I have left side abdominal pains lower back aches and lots of bloating. Lower Gas and acid reflux and frontal head aches and fetigue. when I have a bowel movement the toilet is full of blood. I just had a miscarriage about 4 days ago and I am thinking something went wrong i realize some symptoms might be because bChatDoctor leves are still above 5. The blood is associated with bowel movements not vaginal. Please help.", "output": "Hi Thanks for using Chat Doctor Forum, Do not panic. You are likely to suffer from fissure in ANO with HERD. Blood in stool can be prevented by 1)Spy.lactulose 10ml twice a day2) Chat Doctor. Ibuprofen twice a day Treatment of GERD1) Intake of less spicy foods, avoid too much oil in food stuffs2) Be seated for half hour after meals3) Tab. Pantop 40\u00a0mg twice daily BEFORE FOOD4)Spy. Gelusil 10ml thrice a day. I Hope I Provided Useful Information. Do ask Further Questions to help You get well soon. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i m 28, 4.7 ft, 70 kg... i had gastrits last year i did endoscopy it was shown antral gasrtritis and duodentitis. till now my stomach s bloating with pressure. i cant work and concentrate... my heart beat exceeds,, i get stress and anxiety... i feel dizziness . gas stuck in food pipe not able to burp...my left leg and hand start tingling and become week..i feel chest pain also in left side. my left portion feel very tight especialy under bra line and behind.... i m very fear... doctors are saying it will cure automatically... but still my stomach is bloating till now 11 months have passed... when gas bloat and not abe to burp.... my tongue becomes tight and able to speak ... i dont know what happening with me plz help", "output": "Hi, Thanks for posting your query. With the available described details, there appears to be possibility of dyspepsia with decreased gastrointestinal motility. Dyspepsia is a collection of symptoms consisting of acidic belching, abdominal heaviness and bloating, gargling sound, excessive flatulence. Dyspepsia could be due to peptic ulcer disease, bile reflux, and functional in nature. Peptic ulcer disease could be due to Helicobacter pylori bacteria ABD could manifest in form of nodular gastritis, follicular gastritis, erosive arthritis, gastric and duodenal ulcer disease and in severe cases, may cause adenocarcinoma of stomach. You should consult with internal medicine specialist/ gastroenterologist and should go for thorough check up. You should also go for urea breathe test for H. Pylori. If Urea breathe test is found to be positive then you have to take complete eradication therapy for H. Pylori bacteria. Meanwhile, he should also take proton pump inhibitors along with prokinetics. Take care," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband has been diagnosed with a brain stem tumor. He has been taking gnu for 3 sessions and is receiving avastin treatment biweekly. He also has a shunt in his right side. He is experiencing pain in his ankle and muscle spasm when he walks. Any ideas if this related to the tumor or the medication", "output": "Hello ! I read your question and understand your concern. A brain stem tumor can cause different symptoms, like troubles with swallowing, breathing, spastic paralysis of four limbs, imbalance and problems with the gait, double vision, facial numbness, loss of hearing, raised intracranial pressure causing headaches and loss of vision etc. I think that the muscle spasms when he walks are related to the spastic paralysis from the brain stem involvement from the tumor of from the brain damage from high intracranial pressure (you refer that he has a shunt for this problem). This is a very common symptom in cases like this. I don't think that the muscle spasm are related to any medication. So I would recommend a lot of physiotherapy and stretching for the muscles. Baclofen would be very helpful if the pain is severe and the muscular contractions are interfering with his daily activity. Hope to have been of help! Best wishes, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "since last 7 years slowly my father who is 78 years old slowly started forgetting to remember. sometime he calles his wife as sister or mother or aunt but some time he recognize as wife. he remember his date of birth and all. we tested for Dimentia and he was fine with report. CT scan report is fine also. I went to meet him but he didnt recognize me. When I talk to him over tel. he talks fine. He can talk properly but goes out of topic and will talk anything. I dont understand what it is?", "output": "Hi, Thank you for posting your query. Based on the symptoms, your father has dementia, and the most likely cause of his dementia is Alzheimer's disease (AD). You should note that there is no test or scan that can diagnose dementia or AD, and the CT scan may be normal in cases of dementia. The diagnosis of dementia is a clinical one, and can be confirmed by detailed neuropsychological testing, which can be done by a neurologist or psychologist. Regarding scans, functional MRI or PET scan of the brain may be able to diagnose the problems of dementia, as the problem in dementia is a functional abnormality of the brain and the brain structure may be normal. He should also undergo tests for vitamin B12 deficiency and thyroid problems, as that could also cause dementia. AD can also be treated with medications. I hope it helps. Best wishes, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Namaste sir, I was attacked by filaria on my left leg foot before 17 years back and i was faced more problems for 5 years. Now i have no problem with it but how can i cure perfectly from it, is any problem in future and soonly i am going to marriage. please give me advice sir,", "output": "HelloSign 17 years ago, you got malaria, got treatment 5 years ago, now no problem. So I am writing in detail, so that you can understand any things. Patients with lymphatic malaria should be treated with diethylcarbamazine (DEC) 6 MG /KG DAILY FOR 12 DAYS). Albendazole 400 mg twice in day for 21 days (according to Harrison test book). In healthy cases, as in your case treatment regimes should focus on HYGIENE, PREVENTION OF SECONDARY BACTERIAL INFECTION, and Physiotherapy. So since you are not having any symptoms, so get marriage and take care as mentioned above. Good luck. I mentioned in detail, so you get full benefit.," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 8 year old son had a pain above his belly button this evening - got him a hot water bottle. just been in to check, he is fast asleep but felt cold to touch on forehead...temperature of 35.3. he did respond when I tried to wake him to check he was ok but now asleep again. should I be concerned?", "output": "Hi... by what you quote I feel that your kid might be having a worm infestation, or it could be a mesenteric amenities which means, but he might be having some small lymph node enlargement in the tummy. This could be the reason for pain. I suggest you not to do anything as of now. But if he develops green color vomiting or blood in motion or continuous Diarrhea and decreased urine output or rash and joint pain then approach the nearest Emergency Room or your children pediatrician. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had angioplasty in September 2007. I used to take Aspirin and other drugs continuously. Since I feel better and normal. I stopped taking tablets.However I feel little uneasy and loss sleep. Doctor could you please advice whether I should continue the medicine?", "output": "It's not a good idea to discontinue such medication without discussing with your doctor first. You don't say what else you are receiving besides the aspirin, but I suspect they are protective Chat Doctor. Aspirin acts as a blood thinner and a small daily dose is strongly recommended in people who have had stents or heart attacks. You do have underlying heart disease which can continue to progress, even without symptoms for a long time. I recommend you talk to your cardiologist and get back on your medicines unless s/he tells you something different, Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had mildly elevated alt and ast. Dr. Ordered ultrasound of liver. Results said normal liver size, mildly echogenic. Three solid appearing lesions in right lobe, largest is 2.5x2.5cm. Hemangiomas cannot be excluded however dont meet us criteria. What does this mean? Pancreas is normal and gallbladder is normal.", "output": "Hi.noted history of liver lesions on ultrasound report. Are you experiencing any abdominal nor systemic symptoms (fever, weight loss, jaundice)? Further investigation must be done to evaluate the lesions further. It is best if you consult with a doctor first, preferably a gastroenterologist or a general surgeon, for a thorough physical examination and clinical evaluation. Diagnostics (such as tissue diagnosis/biopsy, liver function tests, chest x-ray, etc.) and management (medical and/or surgical if indications are found) will be directed accordingly. Benign vs malignant lesions of the liver must be ruled-out. Hope this helps. Good day!!~ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im a 17 year old girl. I feel empty and tired all the time. I have at least one outburst every single day, when I feel fustrated, empty and angry. Ive been low pretty much all the time for a month, I cant seem to shake these feeling off, Ive tried relaxtion methods, the methods do help, but I cant return to my normal state, even when I forget about my sadness, after a while I realise I still feel empty, its like it doesnt leave me. Also I seem to have trouble concentrating on my homework, its difficult to study, I have to force myself, because now Im concerned about my grades. Ive lost interest in activities, I feel distant from people. I do have minor problems, but these problems on their own should not cause suicidal thoughts, or temptations on hurting myself. Am I just an over reactive teenager?", "output": "Hi, I read your query and can understand your distress with the symptoms that you are suffering with. From what you have mentioned, it is highly probable that you are suffering from depressive episode. I would recommend that you don't ignore your problems as teenage issues and discuss with your parents regarding seeking psychiatric consultation. You would need treatment with anti-depressants like Escitalopram. The medications usually take few days to start showing its effect. So you will have to be patient about the response. Continue doing the relaxation exercises regularly. That will help you. Hope this information was helpful. Wishing you speedy recovery. Best wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I want to make my partner perganent, Can u advise me wat time and wat position i ve to do and one more thing before i used coconut oil for lubrication but in last two i hadnt used any those times i was bleed in my tip of penis.Can u suggest me which one is good, also my reletive pushing us by asking any good news", "output": "Hi, First make it clear that there is no problem with you and your partner. Go for your semen examination and full GAEC check up of your partner. If these reports are fine then go for sex between 10th to 20 ETH day of her period cycle. Do not use any lubricant. Go for foreplay for some time before intercourse to excite sexually your partner so that there will be enough secretion of vaginal canal giving good lubricant. After sex do not allow your partner to go for cleaning or washroom for an hour. Put pillow below her back after sex to prevent semen coming out. Ok and take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "A friend male 75yrs old withopen heart surgery, done aprox.7yrs ago went to Banos Ecuador, after a few day started vomiting,and very bad dizzines episodes,finally as taken to a local hospital,seems he had a mild stroke he has slurr speach, and willneed pisical therapy on his right side of hisbody my ???IS COULD THE HIGH ALTITUDE CAUSE A RISE OF BLOOD PRESURE. ITS ABOUT 6500FT. I BELIEVE IN THIS AREA. AWAIT YOUR RESPONSE.", "output": "Hello, the high altitude may indeed cause a higher blood pressure (depending on the altitude of course but a mean increase of 10mmHg is expected for systolic and diastolic pressure) but the stroke is enough to justify the blood pressure elevation. Actually a stroke may increase the blood pressure much more than a high altitude. I hope I've helped! You can contact me again, if you'd like any clarification or further information. Kind Regards!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Yes I have 5 stitches on top of my right foot just below the 2 small toes from a deep cut caused by my bicycle handlebars it is numb and my toes are bruised and my foot is still swollen since it happened on the 24th of June 2014 I m supposed to get the stitches out tomorrow is it too early to have them removed", "output": "If there is swelling and bruises at local area where stitches are kept. As well if stitches are healed then you can go for removal. But if it is not healed and there is a fluid discharge from local area then it shows there is an infection over there. I suggest visiting your doctor and get evaluated properly make sure there is no infection and then go for removal of stitches otherwise more than the removal the first thing you need to do is start having anti bionics if there is infection over there. And wait for stitches removal(till the time it gets Chat Doctor. You can also use hot and cold pack at painful, swollen local area but make sure the water should not touch the local area where it is paining or stitches are there for some more relief. Here without physical examination it is difficult to guide you in detail, so I have given you simple guideline. I am sure this will be useful for you. Do visit your doctor let him check and take decision. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a lump on my right butt cheek, it is approx 1 inch in all directions and round in shape. At times it is painful. I have had folliculitis (sp?) In the past but this seems different, it hasn t drained like those do. It seems to be slowly getting bigger.", "output": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint a lump on butt cheek that is painful at times can be due to clogged or plugged oil gland that can get infection and lead to formation of a painful lump. Other cause can be hair follicle infection leading to Folliculitis. It can also be a Perianal abscess caused due to skin infection in that area leading to pus formation below the skin and therefore formation of a lump. I would suggest you to consult a Proctologist or a general surgeon and get evaluated, and a thorough clinical evaluation can help in diagnosis. You can be advised to take a course of antibiotics like Augmenting and Metronidazole, anti-inflammatory painkiller like Ibuprofen. Topical application of antibiotic and steroid ointment can be advised. You can also be advised to do cool compresses over it. The physician can also do incision and Chat Doctor. . Hope this information helps. Thanks and regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am male 28,on my infertility work up diagnosed with bilateral grade 2 vericocele, i had semen analysis 4 to 5 times. at first 40 million motility normal after sperm count deceasing to 25, 15, 20, 05 in further tests with all normal motility. i have no stress and psychological problems, all my harmonal reports lh,fsh,TT,TF, prolactin are normal but having elevated E2 is 92.29 pg/ml, having good erections but suffering low libido and no that much plesure in intercouse and while ejaculating. what to i do now doctor suggested surgery for vericocele is it required for bi lateral grade 2?", "output": "Hello and welcome to Chat Doctor. As a Urologist, i can understand your anxiety. Surgery for varicocele, isnt guaranteed to reverse your low sperm counts. Your semen analysis, showed decreasing counts of 25 to 5 million/ml. With normal hormonal levels, you should consider ART.ART is assisted reproductive techniques, like GUI (intrauterine insemination), or CSI, whichs a type of IVF (invited fertilization), or test tube baby. Medical treatment with camphene citrate, Co-Q and lycopenes needed. If you've any doubts, send all reports to me, as a direct question. Chat Doctor. Manga." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi , I have been getting stomach pains on and off for a few years , they have been abit more frequent lately , when i lie down for an hour or so they generally go away . when i get it it always starts in the morning afetr i get up , and gets more sore if i am active .It does seem to correspond with diet (High fat , and acidy foods like grapes , tomatoes etc ) . some of my friends say it sounds like an ulcer ?", "output": "Hi GreetingsThere is not much reason to worry at this moment. The possibility of ulcer is low when someone has such abdominal pain intermittently. The information provided by you is not sufficient to provide a good opinion. If someone comes to me with abdominal pain I would ask them these details to zero-in on my opinion:When did the pain start? How is it progressing since then? Where exactly over the abdomen is the pain? Do you have nausea or vomiting associated with it? Did you lose appetite and weight recently? If yes how much and in what time? I would like these details from you to help you further. Meanwhile you can consult your doctor for endoscopy and anti acidity medicines like tablet pantoprazole and antacids. Hope I have answered your question. If you have any further questions I will be happy to help warm regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I ended up having sex the last day of my period which was 2 weeks ago. I was wondering if it would be possible to get pregnant then, and if so when would I have to test. My cycles are very irregular so I m not sure how long until I ovulate again. I m having some symptoms but not too sure if its my period showing up again or just in my head. Any help is appreciated.", "output": "Hi Cole, i read your query, usually It's safe to have intercourse 5 days before and after your menstruation, no ovulation takes place at that time. So, you are in safe period and nothing to worry, you won't conceive as you had your periods after intercourse, it makes the chances to zero if you further had any doubt, just do an Chat Doctor card test, its most reliable, i understand that your stressed and worried about being pregnant, that itself make you feel like having the symptoms of getting pregnantRegarding irregular periods, consult a gynecologist and have an expert opinion take care Chat Doctor. Surendiran" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I m infected with H Pylori. I did endoscopy for stomach and colon. I m given 5 types of tablets, 2 are antibiotics and 3 others. 1. Proton 40 2. Duspatalin 3. KLACID 500mg 4. Aristoz yme and 5. Levoflox 500 mg Can I continue with Aristoz yme even though I don t feel of heartburn?", "output": "Hi, I understand your concern. H. pylori infection is treated through a combination therapy as you have been prescribed 5 types of medications. Aristotle contains the natural digestive enzymes that are needed during breakdown of foods. They will help digest better the foods, not with your heartburn. They are used for short periods of time, so I advise finishing the medication as prescribed by your doctor. Wishing fast recovery! Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my name is heather I ve been having lower adbomel pain the past two weeks now...it hurts where I get to the point where I double over in pain I can only keep sprite down for a drink...ive been having headaches nausea lower back pains and throwing up yellow stuff that leave s a sour taste in my mouth....and I only had my period for two days Friday and Saturday and I go for five days normally this is the first time this has ever happens to me ...", "output": "Hi Heather. Thanks for your query and an elucidated history, quite as per the books. Throwing up yellow stuff along with severe abdominal pain in which you have to double-up, low back-ache and other complaints for the first time in life can be due to following reasons :::Intestinal obstruction is my first differential diagnosis as the vomiting is yellow and associated problem of severe pain. Other reasons may be severe gastroenteritis / severe PID, volumes, severe form of IBS. I would advise you the following ::X-ray in standing position Ultrasonography, Get admitted to the hospital to get stand conservative treatment till get diagnosed. You need intravenous fluids and antibiotics if needed. Once the diagnosis is done, the treatment will be according to the diagnosis, which may be medical or surgical." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have varicose viens in my testicals Ive been experiencing sharp pains down there I have gone through ultrasounds urine tests and x rays on my kidneys but now all of a sudden I cant go number two there was. A little bit of blood when I whipped and i was sitting down and I got up and there was a sudden pain in my testicals it felt like they tightened and it radiated to my intestines also this may have no role in the matter but I had torsion when I was little", "output": "Hello. Varicose veins festivals (varicocele)is a pathology that must be examined POR urologist. He will examine you and, probably,request a festival ultrasound. The most common complications of varicocele are infertility and atrophy testicle. In that case or if varicocele pain is severe, surgery is indicated. Is effective surgery with small incision and less discomfort after surgery. You must go to urologist. I wish you good health. (In case the answer would have been useful please indicate this)" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. My baby is 40 days old and has recently acquired coughing and ocassional vomiting. This has been going on for the past three days. He coughs quite loudly and almost every hour. The doctor said the infection could be viral and did not advise any medicines as he is too young for any cough syrup. He has not developed any fever. Needless to say, we are feeling very helpless to watch him in this state of trouble. Is it true that medicines do not exist for babies at this age? Will this be gone on its own like common cold or flu? Thank you", "output": "Hi, thank you for choosing Chat Doctor. It is true that there is no effective cough medicine for this age group, but as it is persisting we have to rule out bacterial infection cause like pertussis as this also causes cough in this age group. A simple blood test will differentiate viral and bacterial cause. After this even if we give antibiotic the cough will persist for another few weeks. You can give her steam inhalation or normal saline nebulization as they decrease the irritation in throat and decrease the intensity of cough. Hope this has been helpful to you, kindly feel free to contact again for any queries. Kindly rate the answer if so. Take care. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im 23 my back started to hurt almoat 3 weeks ago after a day I went to gym that night. It probably is my wrong form in the gym that makes me hurt my back but. Now every time I walk I can feel the pain in my lower back and in my thighs and even while sleeping. I can feel the pin more on the right side of my back but every time I walk the pain is on the left side of the thighs. Panadol and Nurofen isnt helping. Please help", "output": "HiT hank you for asking Chat Doctor. I have gone through your query. Your problem can be due to intervertebral disc injury from heavy weight lifting or muscle strain. A physical examination with an orthopedic following by an X-ray and MRI if needed can rule out this. For such condition I advise NSAIDs like diclofenac, muscle relaxants like thiocolchicoside and neurotrophic Chat Doctor. Short period of rest from hard physical exertion also will be needed. Hope this may help you. Let me know if you have any further queries. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have an 18 month old daughter who has had 6 abscesses in the past 9 months They have progressively been getting larger she has one now that is being treated but the last one was the size of a golfball and put her in the hospital on IVs and required surgery are their any conditions you can think of that may be causing this.", "output": "Hi I did review your concern. Recurrent abscesses can be due to immunodeficiency due to malnutrition or primary immunodeficiency. If she is well-fed I would recommend you to get her tested for primary immunodeficiency disorder especially chronic granulators disease where there is an enzyme defect in neutrophils and leads to formation of recurrent abscess. I hope this helps. Wish you all the best. Thank you for using Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my daughter is 8years old and was complainig that she had a headache along with a cough and sneezing she has had for three days. she also has these symptoms.... back and neck pain, has chills, been running a fever of 103, a little stomach cramp. she has to take miralax regular or she will throw up. i took her to the er and her white blood cells were normal but her red blood cells was very high 20 count she did a urinary sample. they said she didnt have mono or even strep but they think a uti even though she and i both havent seen any blood in her urine. so what is causing all this and why red blood cells so high", "output": "Hi, dear. I have gone through your question. I can understand your concern. She is suffering from fever with chills and headache. These all symptoms suggest possibility of urinary tract infection. RBC in urine favor urinary tract infection. You should go for complete kidney function test. You need to take complete course of antibiotics. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am having Pulmonary TB.Have taken AKT4 course completed for 2.5 month and have been continuously taking RCinex450 after that. Its 8 month have been taking RCinex. Now I have to get tested and stop TB tablet. Meanwhile Im getting recurrant neck pain at left hand side. I got treatment twice with myoril saying its spasm. Now recently when I got left ear pain visited ENT, he said there are lumps in neck . Needs to check with ultra sound in next week and asked me to take only painkillers till next week . Pls let me know whats problem ? I am worried bit. I got ELISA test when diagnosed of TB which is negative.", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have enlarged lymph node. It can be due to reactive hyperplasia, tuberculosis, lymphoma or metastatic carcinoma. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Full displacement fracture of my radius and ulna 8 months ago, proximal third. ORIF with twelve screws, and two plates roughly 1/3 the length of my forearm bones. Currently weightlifting (Deadlift, press, bench press) with up to approximately 125% of my bodyweight. What is the likelihood that increased bone density from lifting will compromise my hardware?", "output": "Hihope this msg finds u in good health. I have gone through your complaints and understand your concern. 8 months post surgery is a good time to heal. If your current X-ray shows solid union. U can do almost all your routine work. If u do strenuous job.u shut get your hardware removed 1st and then start heavy jobs. Nothing to worry about. Hope your question has been answered. If u have any follow-up queries, feel free to consult me anytime. Thanks Take care god bless" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have an 11 year old son, and every so often he gets really angry and attacks me, his facial features charge and I m really getting worried. I haven t told anyone but I really need some help, because he s getting stronger and I fear he will really hurt me", "output": "Dear parent its unfortunate that your child is hitting you or other s with great anger. Yes he is entering adolescence, so hormones s are in play. Look back and see if he had been beaten by elders. If yes he has learned it from there. It could be from peers as well. There has to be some source. Try to find it try consulting an adolescent consultant. It will help. Give him time and speak with him what is bothering him. Why he is behaving in this manner. You have been very patient with him. Be watchful. don't confront try negotiation not nagging. He is growing in to a man he is in to transformation period be patient" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband has a very painful bump on his gums in the back ,his gums are very swollen and its getting worse it started last night and this morning its spread to the other side and he has a bump on his cheek (the part that touches the bump also for years he s had an extra tooth its located in near the back but its like not on the gum line like all the other teeth i l ooks like a baby tooth but this morning i looks bigger like its more pushed down we need help he is in extreme pain and has no dental insurance", "output": "Hello and welcomeAccording to the history given by you, it looks like a periodontal infection which occurs due to incompletely erupted wisdom tooth, the reason of bump and swelling is due to the pus around the erupted tooth. Right now you better start with Amoxicillin 500\u00a0mg three times a day, metronidazole 400 mg three times a day and broken 400 mg three times a day and Betadine gargles, for the permanent cure you have to visit your dentist as this tooth may not erupt due to inadequate space, and you have to get it removed after one check IOWA X-Ray" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 3 year old has been complaining of neck pain. Last night she tried to look up at an airplane and winched in pain and held her neck. It s appears to only be the right side. We felt a small lump or knot at the base of her neck on the right side. Could it just be a muscle knot like adults get?", "output": "Hi, Welcome to Chat Doctor, It seems like your child has tortillas that means muscle spasm of the neck which causes such severe pain. The knot feel can be muscle or even a lymph node which is very common in this age group. I would advise you to ask her to rest her neck and not to twist and turn a lot. Hot compresses Can be applied over the painful site. If too much severe pain, a painkiller cream would help immensely. Hope she gets well soon. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have had three children in the last six years, each have been breast fed each for 12 months. I have not consumed any alcohol over this time. I recently decided to have a wine with dinner the other night. I took one sip and could feel the drink go straight down and almost immediately had a uncomfortable ache in my stomach not my lower stomach but more below my my ribs in the middle, top of stomach. It wasn t extremely painful more uncomfortable for about on hour or so. I didn t have anymore of the wine and drank a couple of glasses of water instead. Sometimes when I am stressed I get this ache. I have had a lot of stress in my life over the past 2 years. With an unwell daughter, husband loss of work, new house etc...... This discomfort worried me? I do notice when I sit down and am not doing anything I find the ache is there all the time just not as enlighten. I tolerate it. When I m busy I don t notice it at all. Any suggestions.?", "output": "Thanks for your question on Chat Doctor. In my opinion you are having HERD (Castro Esophageal Reflux Disease). It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms. Your discomfort is associated with stress and intake of wine which also favors diagnosis of HERD. So try to follow these steps for better symptomatic relief. 1. Avoid hot and spicy food. 2. Avoid large meals, instead take frequent small meals. 3. Avoid stress and anxiety. 4. Start proton pump inhibitor. 5. Go for walk after meals. 6. Keep 2 - 3 pillows under head in the bed. 7. Avoid smoking and alcohol if you have this habit. 8. Lose weight if you are obese." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I recently learned my Father was Rh Positive and my Mother is Rh Negative . I was born in 1957 - the second of six children. I know sometime in the 60 s any possible problems were eliminated. So I m wondering what types of health problems / risks may I expect in this regard? Is there a known gene mutation that I should know about, so I can share that with a doctor? Thank you. Clara", "output": "Hello Clara, Thanks for posting, If you and your siblings did not develop any complications at birth due to mother and fetus incompatibility then you have nothing to worry about now. Hemolytic disease of the newborn (the condition is known medically as erythroblastosis fetal is) occurs when there is an incompatibility between the blood types of the mother and the fetus/baby. There is also potential incompatibility if the mother is Rh negative and the father is positive. Now since you are lady, what you need to know now is your own blood type to be able to determine if you will require additional medical care when you are pregnant to protect the fetus (from incompatibility). The Rh factor genetic information is also inherited from our parents, but it is inherited independently of the AGO blood type alleles. There are 2 different alleles for the Rh factor known as Rh+ and Rh-. Now, if your father is Rh+ and mother Rh- it means you will likely inherit an Rh+ antigen (your genotype will be Rh+/Rh-= the two alleles but the Rh+ will be the dominant). So I do suggest, you quit being worried and know for sure that you will have no major health risk when it comes to your blood type. Do however get tested (blood groups) just to be sure. Hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor, I am 28 year old male, I have shoulder pain exactly similar to frozen shoulder, but it is not continues for me from 5 years, it is like episodic appears once in 3 to 4 months, exits for about 15 days and disappears. When i get pain ill take NSAID and pour a bucket of hot water 2 times [morning and evening] and do some stretches.From past 3 months i am going for gym, will affect the shoulder pain.Please give me an permanent solution for this. I like to go gym daily but stopped from 10 days because of pain.", "output": "The effect of gumming on your shoulder joint depends on the type of exercise you does per your history, you need to warm up your shoulder before begging the exercise then depending on the strength of your joint you can begin with exercise but remember any exercise that causes pain needs to be avoided. You can add range of motion exercises which especially involve flexion, abduction and internal rotation of your shoulder joint also as a precautionary measure I would suggest you to check your blood glucose levels as it has been found that frozen shoulder is common among diabetic population. Hope you find this helpful" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I was wondering if it was medically possible to get pregnant through non pentrative sex i.e the man does not ejaculate inside of the women s vagina but ejcaulates inside his boxers? while the women is wearing underwear and they are dry humping. Can the man impregnate the women just by having direct contact through humping?", "output": "Hi, Thanks for writing in. It is unlikely that a pregnancy will occur if the man ejaculates in his boxers and the woman is wearing her inner clothes. Pregnancy requires sperm to be deposited at the vaginal opening and during the above event it was not possible for the semen to get deposited because both of you were wearing clothes.Therefore, in such an even where there is clothing to clothing contact then pregnancy cannot occur. The sperm will not travel through your boxers and then her inner clothes to reach the vagina and cause pregnancy. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi...my name is Nuvaid..my wife and I have been married 9 months now...we have stayed together for about 5 months...now i am in dubai...we wanted children soon...since we are sexually very active, we thought it would be easy....unfortunately this has not been the case...my wife s periods are on time..she always has late periods (by 4-6 days) when i am around....when i am not around the periods are exactly on time...we went to a gynaec 2 months back...since my semen viscosity is a little high, the doctor did prescribe zinc and selenium tablets...i have had them since then...we then did a scanning of my wife and found out that her eggs dont reach a necessary size for ovulation...this is what the doc said...she then prescribed an injection which my wife took...on the 13th day, when we did the scan again, the doc said that the egg is of sufficient size...we had sex regularly since then until i left for dubai last month...after i left, unfortunately my wife had her periods - this time 1 day early!..please tell me what to do...i will be bringing my wife here in a few months...the doctor has again prescribed a medicine for my wife which she should have 2 months before we meet...and a tablet for me which i should have at the time of ovulation...kindly help.!!!", "output": "Hello, I have gone through your query and understood the concern. Firstly, let me tell you that stress is the foremost inhibiting factor for conception. The more casual you are, the more likely you are to be successful. Since you have been together only for five months, there is no need to worry. You can try after your wife comes to stay with you permanently. Meanwhile, please continue with the medication prescribed by your doctor. Avoid Chat Doctor. If ovulation can be regularly established, GUI can be tried if natural methods fail due to thickness of semen. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im very concerned about having esophageal cancer. In 2009 I didnt have trouble swallowing or food getting stuck that i can remember, but I did have that constant lump in my throat feeling for about a whole month. After an endoscopy I was diagnosed with grade B esophagitis, normal biopsy, and put on nexium 40mg once a day. Any time I try to go off of it now, that lump feeling comes back, I lose my appetite mainly because I feel like heaving, and cant really burp, or its foam..", "output": "Hi, Thanks for writing in. Esophagitis is a condition where there is an inflammation of the lining and there is development of an ulcer like condition. Rarely a person having esophagitis can develop a cancer and the risk for this is around two to five percent. As biopsy is normal for you therefore there is no need to worry. Please take medium as prescribed by your doctor and avoid taking spicy and oily foods that might increase your esophagitis. The lump in throat might be due to the esophagitis or can also be a psychological thought that persists in your mind. Please be reassured that if the biopsy is normal then the chances of transformation in to a cancer is remote. You need to take a bland diet and also eat small meals every 4 hours in the daytime and avoid fasting. Avoid lying down after having a heavy meal and also try to raise the head end of your bed by 6 inches to reduce symptoms and dependence on medicine." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor. I have been trying to fall pregnant for the past 6 months, I had my period on the 2nd of this month which lasted for about 3 days. I had sex on the 7th,8th and 9th then started experiencing viganal cramps that lasted for about 3-4 minutes. on the 10th my discharge had a sour milk smell to it... What could it be?", "output": "Hello, thanks for using Chat Doctor It is possible you have a genital tract infection. Genital tract infections could be sexually transmitted or promoted by sexual intercourse. More so, following menses, it is very possible to have germs grow on bits of menstrual blood that are in the genital tract. The best thing to do would be to meet a doctor for detail examination and for a vaginal smear to be done and examined for an appropriate diagnosis of the causative agent. Best regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, a friend of mine got needle prick injury from a needle used by a patient who is VDRL positive with titre 1:4. After the needle prick she quickly squeeze out the blood and wash it with running water for few minutes. how high the risk of getting the syphilis? Thanks", "output": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Yes there is slight risk of the V Chat Doctor. You should take the prophylactic antibiotics so that you will not have syphilis infection. You can start with Doxycycline 100 mg once a day for seven days. Please take the above medication under your doctors Guidance. I suggest should not worry and avoid sex for the week. This antibiotic will kill the bacteria in seven days if they entered in your system. If you want to do sex than you can use the condom. I will be happy to answer your further concern on bit.ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I ve had my wrist pierced over two months and it has been fine until this weekend. I think I bumped it and it has gone very red itchy and puss started to come out. I think i have got an infection and I have used epsom salts and have covered it so I don t scratch or bump it again. Will it heal?", "output": "HI, thanks for using Chat Doctor It is possible that bacteria was introduced into the skin in the past few since the infection is so recent and the procedure done over 2 months ago. You can clean the area with antiseptic solutions and apply topical antibiotics but if there is no improvement or worsening then you may need to consider visiting your doctor. Oral antibiotics may be needed. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am experiencing a lot of itiching coming from my vaginal area. My boyfriend and I just recently had sex and this is the first time I ve had sex in about 4 months. After we had sex I began to bleed like a period but it has been 2 weeks now and I m having a lot of discomfort and a lot of itching. What should I do?", "output": "Hi. It can be due to fungal or yeast infection of the vagina causing itching and bleeding on having intercourse. So the first thing that you need to do is to consult a Gynecologist and get examined. If a clinical examination is not sufficient then a vaginal swab culture can be done to rule out the nature of infection. If fungal infection is confirmed then you can be advised oral antifungal medicines like Fluconazole, Itraconazole etc. and along with it using vaginal antifungal ointments like Clotrimazole and pessaries can be advised. For now to control itching take anti histamines like Levocetrizine and maintain a good hygiene. Chat Doctor. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have been having heartburn frequently sharp chest pains and like someone is sitting on my chest and i have a lump under my chin it hurts but not like having a sore throat or strep its a burning sensation in my throat kindda do i have reason to be worried?", "output": "Thanks for your question on Chat Doctor. In my opinion you are having HERD (gastroesophageal reflux disease) mostly. But better to rule out cardiac cause first by ECG. If ECG is normal than you are having HERD mostly. It is due to laxity of lower esophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause heart burn. Try to follow these steps for better symptomatic relief.1. Avoid hot and spicy food 2. Avoid large meals, instead take frequent small meals.3. Avoid stress and anxiety.4. Take proton pump inhibitor.5. Go for walk after meals .6. Keep 2-3 pillows under head in bed to prevent reflux." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "had lexiscan trying to figure out what the results mean, gi activity along the inferior wall at stress and rest and breast attenuation evident in the anterior wall. small anterior defect corresponding to breast attenuation which does not change or res", "output": "Thank you for asking me this question this is very complicated issue as it can even fool some doctors without too many details it looks like that these are artifacts due to the best interference and I don't think that you have any significant heart disease if you do not have any symptoms, and Then you should not do any other tests anymore if you can give me any more specific information than I can answer you further I hope this fuss have four do you thanks again" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a kidney removed 4 years ago..cancer. I feel terrific but in the back of my mind I keep asking myself...how do I keep my other kidney healthy since I only have one. ...In other words...what is the best type of diet to keep my remaining kidney healthy. .", "output": "Hi, I can understand your concerns. There is no need to worry too much about the health of your kidney. Any food which is healthy for your heart will be good for the kidney also. Just take care of the following things in your diet:1. Eat food rich in antioxidants. These include red pepper, red cabbage, red leaf lettuce, cauliflower, cherries, strawberries, cranberries, blueberries, plum, apple, red grapes, onion and garlic. Try to take as many colored food items as possible.2. In animal protein, try to take egg white and fish instead of meat.3. Use olive oil and vegetable oil instead of butter, lard and shortening.4. Make sure you take regular and adequate fluids. Prevent deny Chat Doctor. 5. Limit sodium intake (about 2.5 g/day). In addition to these aspects of diet, please note that hypertension, diabetes and hypercholesterolemia can worsen kidney function. You need to get checked for these diseases regularly and control them if you already have any one of them. Regular exercise is important to prevent and control these three problems. Regular medical check-up (as per your Urologists advice) is important to diagnose and treat any precipitating factors early. Checking 24 hours urinary protein can show early damage to kidney. Proteinuria is a marker of kidney damage. If this is found in follow-up, it can be treated with specific " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have been chewing Rajanigandha pan masaala for the last 16 years now i have minimized it to one packet per day from four to five. i am comcerned i have oral cancer because my chins are so tight when i open my mouth. it is not bulging enough when i blow up. i have been getting frequent sores on my tongue if i eat too spicy foods. i do not know to what speciality doctor to approach to get the diagnosis right.", "output": "Hi, Thanks for writing in. Small sores might progress to bigger sores and change the type of cells in them. This is the earliest stage of cancer and if you stop eating completely then it will be good. Please consult an ENT surgeon and then have a clinical examination of your oral cavity done. The doctor will check for any sores or suspicious areas in your mouth. Please stop chewing completely. Avoid spicy food frequently. Please tell your inability to open the moutChatDoctorpletely to your doctor. The doctor might ask for follow-up visit, and you should get examined again. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my husband has suffered a back injury like 9 months ago was pinned by the door of a car apon inpact ,he was a pedestrian anyway he has a total loss of 7 disks 1 buldging and herniated and is in extream amounts of pain if you put degenerative disk disease and drop foot and spinal stenosis all toghther this is what you get?????? can you help we have no insurance but the accident was covered by car insurance, we have an attorney handling it but my husband was in such screaming pain that we called an ambuluance he could not walk and they even did an m r I in the er and then did nothing gave him a script for 5 mg oxycodone 21 of them it was total bulshit and a waiste of time any suggestions", "output": "Answer: Hello, Thank you for using Chat Doctor. I read your question and understood your concern. I think you may have disc problem so meet a spine surgeon get examination done followed by x-ray and if nothing found get fresh MRI now as it will give present day status of spinal cord and its compression status which helps to come to a conclusion there might be an unstable spine after trauma and needs MRI for confirming" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Doctor, I was eating just before then my mouth just got a BIG rush of pain, a lump poped up under my tounge, the pain was really sore, i couldnt eat it was too pain full, every time i would open my mouth it would hurt, it has now been 2 and a half hours, i can now open my mouth but now i can feel a lump under my chin , it is only on one side not thy other .... Doctor if you could help me ill be really happy ... x", "output": "Hi, Thanks for asking the query, Painful lump under the tongue can be either a gingival abscess due to accumulation of bacterial plague and calculus deep inside the gum pockets . Or it can be a periodontal pocket arriving from the infected tooth. Visit to the dentist get a checkup done . Take an x-ray of the involved tooth, if the tooth is infected go for Root Canal treatment of tooth and Chat Doctor. Get complete mouth scaling and polishing , " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi there, My dad did his knees replacement within the last six months. He appeared to be healing well, however the doctor diagnosed him with a low blood count very recently. He was at 109 and dropped to 98. I am concerned...What can he do to fix this..", "output": "Hello, You dad has anemia and the commonest cause is iron deficiency for which an iron supplement is sufficient to correct the problem. Serum Iron and Ferritin estimation will confirm the diagnosis. Since he is a senior citizen check his kidney functions also. Impairment of kidney function can produce anemia not corrected by iron supplements and will require other treatments. I shall be happy to answer any further query you may have." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am Kamakshi from Chennai, India, I have been diagnoised on ITP a month back and my platlet count was below 8000 and been treated with Immunoblobin and platlet transfusion, bone marrow test found to be normal. I have been advised to take Wysolne 20 mg morning & Night, I kepr taking the same from the past 1 month and presently my count has increased to 0000. Hematoligst has advised me to reduce the dosage to 10 Mg Wysolene morning and night, kindly suggest me how to find the cause of disease and how to go ahead with mediaction in future.", "output": "Hi, welcome to Chat Doctor, I am Chat Doctor. From the name it is clear that the cause is unknown. In bone marrow normal picture indicates that there is megakaryocytic thrombocytopenic purpura. That means bone marrow produces platelet in normal amount but in peripheral blood platelet are destroyed. The cause is presence of antibodies against platelet. The disease in maximum instances are self limiting. So continue the treatment as directed. All will be ok." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 25 year old male and I am suffering from recurrent pancreatitis (idiopathic) in nature for the last 13 years. I am controlling my diet and not taking fatty and rich food as much as I can. I even became a vegetarian. I am having creon or similar medicines for a long time. Sometimes I get pain 2/3 times a year. As I studied there is no medicines in allopathy for curing my disease but just preventions. Last year I have also developed Diabetes . Can you suggest me. I am really helpless and lost all hope to be cured. Please help me......", "output": "First thing I would like to know is your lipid profile?second let me tell u one thing, the latest science says, idiopathic pancreatitis done exists that often as much as its has been termed may patients are found to have higher cholesterol leading to pancreatitis or alsoampullary dysfunction for pancreatitis or have microlithiatis of cholesterol stones blocking ampulla leading into pancreatitis well lots of things has to be investigated in you for further information email me : Chat Doctor. Comph: 9925033352" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "age 18 height 5.11 weight 150 medical history - good Hi, I will not reveal my name because i think i have quite a worrying and strange disease... its in my head and seems to be an obsession with penis, particularly the word cock. I have many days where I am absolutely fine and normal but sometimes I feel the urge to shout cock in my ass for no apparent reason... I dont know whats wrong with me I always draw attention to me and my family when i shout cock. Yesterday I shouted stick some cock inside you in a little boys face... I mean thats disgusting... If I saw someone else do that I would be very angry... On my grandmas birthday I jumped on the table and put my balls on the cake... Please help me doctor...", "output": "Thanks for asking. I can understand your problems. What appears to me is that you are having involuntarily repeated urge to shout out bad words which you are not able to control. Thus kind of symptoms are usually a part of OCD or obsessive and compulsive disorder. Kindly visit a psychiatrist near your locality and discuss your problems. Don't be shy about asking as it's a very common illness and easily treated with medicines." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "at work my patient hit on my forehead with his head which resulted a lump on my foehead and sever pain been to a&e they sent me home to take rest i am in pain and pain in my ear,neck and feeling sick my patient was a boxer. do i need to worry about this injury.", "output": "Hello! Thank you for the query. Head injuries are very special kind of traumas. Even if there are no symptoms at right after it, some bleeding inside the head is possible. Especially if the injury was strong enough to cause a lump. That is why it is better to have a CT in such case. And for sure you should have a CT if the symptoms like nausea, headache appear. That is why I suggest you to visit ER once again, consult neurologist and consider head CT. Hope this will help. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had 2 teeth extracted (very back teeth) I have a sore tongue, my gums hurt and it hurts when I swallow. Dr. put me on antibiotics and it was starting to get better when he discontinued the med after 10 days. It is back to hurting big time after 2 days of no antibiotics.", "output": "Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have mentioned that you have undergone extraction of molars now you feel sore gums and tongue, Take one capsule vitamin B complex once daily for 7 days Do warm saline gargle two - three times a day Take maintain proper oral hygiene If you have done is consult dentist and go for investigations and oral prophylaxis Hope this will help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 28 year old male, 58, 160 pounds. Whenever I sneeze there is an immediate, intense, and sharp pain on the left side of my chest that I believe is derived from my heart. This has been an ongoing problem for many years. I was on beta blockers for a short time last year to help with heart palpitations, but I quit taking them because I ran out. I also was taken to the hospital 9 years ago for severe chest pains. I have a 5 year history of frequent marijuana use, although I have not smoked in 3 months. I also had a 6 month period of time when I used cocaine heavily, but I have not used cocaine in 4 years. I was a pack-and-a-half a day smoker for about 6 years, but I have given up cigarettes, as well. I still dip snuff 5 or 6 times a day. I take hydrocodone for knee and joint pain about twice a week. I am worried that the sharp chest pains I feel when I sneeze could soon lead to a major health issue. How can I prevent this pain from reoccurring?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Since you are having history of cigarette smoking, Marijuana smoking, snuffing etc., we should definitely look for lung diseases for your symptoms. Chest pain on sneezing can be seen in pleurisy (inflammation of pleura) and pleurisy is commonly due to lung infection and bronchitis. So get done 1. Clinical examination of respiratory system 2. Chest x-ray to rule out lung infection. 3. PUT (pulmonary function test) for the diagnosis of bronchitis. If both these are normal then no need to worry about lung diseases. Sometimes musculoskeletal pain can cause similar kind of pain. So apply warm water pad on affected areas. Avoid movements causing pain. Don't worry, you will be alright. But first rule out lung pathology. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI MY DAD WHO IS 76 YRS OLD RECENTLY GOT A STENT PUT IN, AND SINCE HIS COME BK FROM HOSPITS HE FEELS A WATERY, BLOATED FEELING IN HIS CHEST, AND IT CAUSES LOADS OF PROBLEMS LEADING TO LOW BLOOD PRESSURE, COULD YOU PLZ TELL US WHAT IT ACTUALLY IS AND WHAT CAN CURE IT? THANK U", "output": "Hello and thank you for asking in Chat Doctor. I can understand your concern. According to your explanation It might be better for your father to do a chest X-Ray to evaluate the lungs if there are any problems with them. If the x Ray is negative then it might be a bloating stomach or intestines with gasses. This can cause an abdominal discomfort which sometimes reflects in the chest area too. He should be careful with foods and to do physical activity if he can. But better to consult his doctor. Wish good health for your father. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I believe I have abscessed tooth, the pain is killing me, I looked at the area in the mirror and softly squeezed and watched pus come from the swollen area! This tooth has been hurting for a year now, and I found out today I could die from this! Is pus secretion normal??", "output": "Thanks for your query, I have gone through your query. The tooth abscess could be because of the tooth infection. Consult an oral physician and get a radiograph done to rule out from other conditions like granuloma or cyst. Meanwhile you can take a course of antibiotics like amoxicillin 500\u00a0mg and metronidazole 400\u00a0mg TID for 5 days (if you are not allergic). You can take analgesics like diclofenac 50\u00a0mg bid for 3 days. After completing the course, you can go for RCT or extraction. Do saline gargling. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 50 year old male with a history of cervical spine injury. I have had a disc-ectomy with fusion in 2012 and in Feb of 2013 reinjured my neck in an auto accident. I, in the past greatly benefited from Oxycodone 10mg, It totally worked for me. Other medications such as Nambumetone, Naproxen, Cyclobenziprine, Amitriptyline, Prednisone, as well as several others were not effective. I am an electrician and I do a lot of tasks that are posture compromising. I am often required to crane my neck for extended periods, ( a recent pain management Dr did not know what craning of the neck meant) I have to access crawl spaces and attics. I have to manually bend conduit, and work overhead. I have to work above suspended ceilings off of a ladder, outstretching and reaching to pass wires along, By days end I am in agony. I am unable to get my current primary care physician to prescribe the one medication that works for me. Oxycodone.. I am aware of the dependency risks. I am also aware of some of the warnings that come with the medications they are so freely willing to give me. Shouldn t the decision be mine as to which risks I am willing to take. Nambumetone for example has risks of gastric bleeding, increased incidence of stroke and a slew of other possible side effects. The Amitriptyline has been shied away from for years as an anti depressant because of far safer forms of antidepressants currently available, yet they are more than willing to let me take it for neuropathic pain, even-though it is ineffective. How does one approach a physician about prescribing Oxycodone, without appearing as someone seeking it for less than honest reasons? I genuinely benefit from the 10 mg dose. It worked wonders the 8 months I was on it. it worked so well I opted not to have the additional fusion surgery recommended after my 2/10/13 accident.. When I opted out of having the 2nd fusion surgery the surgeon subsequently ceased prescribing the oxycodone & told me to get it from my PCP who is unwilling to prescribe it, and now I am once again contemplating having the surgery. I actually had the most productive 8 months in over 5 years while taking Oxycodone. My pain was managed, my pain associated depression was non existent, I functioned at work, and got things done at home after a day at work. Now I just barely make it through the day, and when I get home I am a couch potato, to sore to do anything. . YYYY@YYYY", "output": "Hithanks for using Chat Doctor Oxycodone is an opioid derivative, and it helps in controlling pain. If you are getting relief through it, then u can take it. But try to control the dose. With time u will get tolerance to the dose, which could lead to increase the dose. U can take it on sos' basis, it would help u to control the tolerance and dependence pattern. In any case u need our help u can connect us. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have just returned from Mexico from a week holiday. I have been swimming and snorkling daily. I have pain inside my ear as well as pain on the side of my face. My teeth and jaw hurt like a tooth ache. I have had alot of mucus discharge from my nose at first thick yellow then green. it is thick then just like water right after and will run out of my nose like water. 10 hours later it was thick and bloody. I started to use polysporin antibiotic ear drops (24 hours now) sympoms seem to be getting better. Swimmers ear is what we think it may be but realy dont know.", "output": "Thanks for your query, I have gone through your query. The pain on the face can be because of the tooth infection, nothing to be panic, consult an oral physician and get it evaluated. meanwhile you can take a course of antibiotics like amoxicillin and metronidazole(if you are not allergic). The discharge from the nose can be because of the respiratory tract infection, you can consult a ENT surgeon. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doc I wanted to know .. My Bf had bone cancer when he was 5 years old .. He got it operated 25 yrs back which he says its not reoccured are there chances of it reoccurin is it safe to marry him ? Right now hes takin NVR white tablet .. What is that for ? Kindly suggest ..", "output": "Hi, Thanks for writing in. Your boyfriend has been completely treated for bone cancer. Bone cancer is of many types, some are aggressive and some are responsive to treatment. If he has got the right treatment and his cancer has been treated 25 years back then it is possible that he will not get any recurrence. Regarding marriage, it is the unity of two people and their emotions. If you choose, you can request him to get a sperm count analysis done and know his fertility status. This is because he might have taken chemotherapy that might have affected his fertility. This is not a serious concern and I have seen many cancer patients who have had child Chat Doctor. There are many tablets with imprint NVR in the market and having different medications. It will help to identify the medication based on the imprint on both side of the tablet." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi sir my name is bhushan , from india my problem is related to my hair i used minidoxili solution 5%ups its work bt after 2months it didnt work when i uesd this solution my hair get thiner and stronger bt from few days my hair get thiner and thiner anf fall in lager quantity what cn i do", "output": "Dear Bhutan, Minoxidil preparation (5%) applied directly to the scalp helps to stimulate the hair follicles. However, if it is suddenly discontinued, then it results in hair fall again. So, kindly continue it as advised by your treating Doctor. The case history as mentioned in your post suggest that you might be having An Chat Doctor. Also known as Male pattern baldness, it usually follows a pattern of receding hairline & is related to genetic makeup and male sex hormones. Under such conditions, you also need to use:1. Finasteride preparations that interferes with the production of male hormone linked to baldness.2. Multivitamins & mineral supplements. But these medications have to be used regularly under the guidance of a Dermatologist. Wishing you a Good Health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I m looking for an answer to bad stomach bloating! In the morning my stomach is flat but begins to get worse during the day and is quite severe by night. I do have an enlarged spleen due to my cystic fibrosis so my stomach isnt completely flat anyways and have tried to get help from my doctors but any bloating tablets they have given me havnt made any difference at all and have said that there s not much more I can do. It s getting to a stage now that it s really bothering me and its really not nice to look at! Any help would be very appriciated! Thanks -Aileen (attached are photos from morning and even)", "output": "Hi welcome to Chat Doctor forum. Thanks for choosing Chat Doctor. F. As you describe there is cystic fibrosis, and due to that you are having problem of bloating of stomach gradually up to evening and low in the morning. Cystic fibrosis is an autosomal disease effecting lungs, pancreas, liver and intestines. It causes thick sections in effected regions and cause infections which are not cured easily. To some extent you are lucky that you are not effected in lungs there it is quite unbearable. In your case by morning all the secretions getting evacuated down, so you can try to keep the intestines empty by having small meals in an interval of few hours. Avoid taking spices, junk foods, and oily foods, and also sour fruits. Wishing for a quick and complete recovery. Best regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was diagnosed with mild to moderate diffuse cortical thinning laterally. My kidneys are normal size. My creatine levels are normal. And my EGF are is 59. I m confused about my diagnosis. I don t know what it means to have cortical thinning. How serious is this? I m 47 with hypothyroidism but other than that I m healthy or do I thought", "output": "Hi, As a Urologist, I can understand your anxiety. Cortical thinning is suggestive of reduced kidney function, probably from UTI. Normal GFR should be above 90ml/min. An isotope renal scan shows accurate kidney function on each side. Moderate and diffuse cortical thinning occurs from recurrent UTI. You'll need to do urine routine and culture, blood creatinine, RBS and LFT. You can send me a direct question to clear doubts, with an expert opinion. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi good day. I am taking Althea pills now. (last pill tonight) correct me if Im wrong but i will take it the next set on October 10? during the 7 day free pill, is it still safe having sex with my husband without using condom? Ive read so many negative issues using pills..please enlighten us regarding taking pills.. I am married and with 3 kids. thank you very much for your help. God bless.", "output": "Hi, Welcome to Chat Doctor. I am Chat Doctor. I appreciate your concerns. Althia is an effective contraceptive pill. If taken correctly it is more than 99% effective in preventing pregnancy. If you are taking these pills correctly the pill free seven days are safe. You may have sex without using condom. It does not result in pregnancy. But please remember that you need to start the next pack at the right time (exactly after a week) to prevent pregnancy. I hope this is helpful. If you have further concerns, I will be happy to answer. Best wishes, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hii. I am age 35 male. I am suffering from erectile Dysfunction and low sperm count which is leading to infertility. I got myself examined and found out i have Varicocele grade I. Please suggest me good medicine which gives good benefit and no side effects. Sunny", "output": "Hello,If you have low sperm count then you could benefit from Varicocele surgery. Varicocele is known to cause low sperm count. So, you should go ahead with the surgery. It's not a very major surgery and has the potential to increase your sperm count. But, there are no guarantees. If you opt against surgery, then you can try medications. I usually prescribe a product from Himalaya ayurvedic called Speak. I give it for three months and usually find a rise in Sperm count after three months. Choose what you want, but I would advise in favor of surgery. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am Anwesha Chatterjee(23) from kolkatajust 2.5 yrs of marriage.I have PCOD .I want pregnency.So many tablets i have taken.like..Krimson 35(at first of treatment)for 6 mnts,continue G Reg Sr,complete 3 mnts course of My Pill and Benforce M.Complete 3 mnts course of Encc(D3-D7 of period) and Susten(D5 x 20 day).But no good result found.Then i change my doctor.He advice me to Laparoscopy .i done it last 3rd july.Both overies are bulky,some blockedge in left tube.After that he suggest me to continue Folvite MB,Ubiphene(D3-D7 of period) and Duphaston(D16-D25 of period) it is now running for two mnts.I want a baby quickly...Please help me sir...", "output": "Crimson 35 is contraceptive. Austen taken from D5 x 20\u00a0days will act as contraceptive. No need to take Unfasten (D16-25) if ovulation is occurring with iPhone. Just confirm that ovulation is occurring with iPhone & can try naturally/GUI. One cycle of iPhone in ovulatory woman(In PCs) will give 20-25% chance of conception if both tubes are patent & semen analysis is normal. (Half the chance with one tube patent). Can continue iPhone +/- GUI." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor.i have a baby of 2 month old.The baby is quit healthy and weights 5 Kgs.some days before i have noticed that its left foot some time Tremble automaticaly foe few seconds.the frequency has increased now.is it a serious problem. is it a neurolgical problem", "output": "Hello, From the given details, I consider the baby was born with no complications at birth and is doing well. Let me give you a slight insight into what this shaking could be, the term jitteriness refers to tremors in newborns. It is the representation of an exaggerated startle response. It is often confused for seizures (also known as convulsion and fits), which naturally unnerves the parents. It is the most common involuntary movement seen in infants, which disappears completely as they mature. The neurodevelopmental of the babies with no other overt neurological sign but tremulousness is generally good, especially when there is no history of complications during pregnancy, or immediately before and after birth. Involves jaw and limbs. Jittering is easily initiated in newborns by external stimuli such as handling the baby or loud noise. It can be easily stopped by:1.) Gentle flexing (bending) of the affected limb.2.) Just holding the limb firmly and reassuringly.3.) Initiating the babies sucking action also stops the jittery movements. The tremulous movements are most frequently seen during the first few days of life in normal mature babies. It may extend throughout the neonatal period. It usually resolves spontaneously by two months of age. But some infants, with no neurological compromise, may continue to be tremulous till seven to nine months of age. If you notice any other developmental delay in baby or symptoms getting worse over time, kindly see a doctor. Go for regular postnatal check-ups and for now only observe the baby. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son has a metabolic condition that is currently in the process of being diagnosed. He has a high ratio of sterified to free carnintine. He is on L-Carnitine 2x s a day. He has a sore throat today. Is there anything I need to be careful of when taking him to urgent care for his throat..for example I read that ids with some metabolic conditions should not take ibuprofen. What about anti-biotics? anything I should be careful of?", "output": "Hi, By what you quote I feel that your kid might be having a viral sore throat or a streptococcal infection. I suggest you see your pediatrician and get a rapid streptococcal antigen test done. If it is positive then she will require antibiotics. If it is negative then it might be a viral illness and doesn't require antibiotics at all. Cough and cold are viral 95% of the times in child Chat Doctor. For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, my father aged 62 has bouts of severe abdominal pain, chronic dysentry and gas and acidity. he stays well on a liquid diet but on eating anything solid, he starts having acidity and pain around the navel. a colonoscopy has revealed a pulsating lesion 20 cms above the anus partially blocking the sigmoid colon. He also feels severe pain from piles during defecation. please sugest the course of treatment", "output": "Hi! Good morning. I am Chat Doctor answering your query. If I were his doctor, I would prescribe him with a proton pump inhibitor along with a probiotic Chat Doctor. For the pain during defecation, I would advise him for regular site baths, an anti hemorrhoidal cream containing lidocaine and diltiazem. On the finding of the colonoscopy, I would refer him to a gastroenterological surgeon for opinion and needful. I hope this information would help you in discussing with your family physician/treating doctor in further management of your fathers' problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doctor ,I get this Herpes simplex once or twice in a year.This i have noticed happens when i take a long journey or strain my body physically.My lower lip swells aroun the blister and makes me very discomfotable. please sugest a medicine available in india which can give me relief from swelling and pain instantly.", "output": "HI, thanks for using Chat Doctor Oral herpes is very common, the majority of the population would have this virus. There is no medication that would stop the symptoms instantly but the anti viral that can be used would help to shorten the course of the illness. Examples of antivirals are val acyclovir, acyclovirThese are available in topical or oral form.Anti-inflammatory painkillers such as aspirin, naproxen or Catalan would help to reduce the discomfort. You may need a prescription to obtain them from your pharmacy. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i want to know the meaning of this sir,..\" well defined heterogenously enhancing iso to hypodense lesion (7.6 * 6.5 *5.0) at segment 8 and 7 of liver with areas of arterioportal shunting within. CECT findings are in favor of hepatoma.\"", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Hematoma is actually misnomer. It sounds like benign liver tumor, but actually it is hepatic cell carcinoma (HCC). It is most common malignant tumor of liver. CT report clearly mentioned heterogeneous, enhancing mass like lesion. Heterogeneity is hallmark of malignancy. Enhancement after contrast is also favoring malignant mass. So this CT scan report is suggestive of HCC - malignant tumor of liver. Further confirmation by fine needle aspiration cytology (FNAC) or biopsy is required. Hope I have solved your query. I will be happy to help you further. Wishing good health to the patient. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my lower legs have been swelling for the last couple of days. Today my feet are very swollen and changing colors, right new they are both red from my toes almost to the top of my feet. both of my ankles are very swollen. I ve not any type of accident, my blood pressure is normal?", "output": "Hi Thanks for your query and Welcome to Chat Doctor. I am Chat Doctor. There are many causes of swelling in the legs. Most common reason is postural, and many patients develop it when they stand for a long time, but as soon as they elevate their leg up, the swelling subsides. It can happen after any injury which is a priority to diagnose and treat accordingly. Also, there could be infection or inflammation which can lead to swelling. Sometimes heavy physical activity may also lead to swelling in your calf muscles. But we have to look at medical causes as well, chronic cardiac conditions can lead to swelling, any pathology which leads to low proteins in the body like deranged LFT, KFT etc. can also lead to swelling. Hypothyroidism can also lead to generalized swelling like appearance in the body.Also, red discoloration can be due to inflammatory/ infective pathology, or it also is died to an underlying vascular cause but unless a thorough physical examination is done, no comment about the etiology of your condition can be made. For accurate diagnosis we also need to clinically evaluate and get appropriate tests :CBC, ESR, CRP, LFT, FT, Serum Electrolytes and Thyroid profile. Please get back to me should you need more information or with test results. Do not hesitate to contact me if you need any further assistance. You can also discuss your case and treatment plans with me in a greater detail in a private consultation. Thanks & Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son is 7 yrs old. And right now having 103 degree fever. I have been asked to give combiflam. The fever is not coming to normal. It is always above normal and gradually increases to 101 and so. I am giving combiflam evey 6 hours. He is aslo complaining of severe headache. The headache is not going even after combiflam is given. I am givin 7 ml of combiflam. Please guide me. Regards,Anandhi", "output": "Hi... Thank you for consulting in Chat Doctor. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15\u00a0mg/kg/dose (maximum ceiling dose of 500\u00a0mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Meftal-P contains Metonymic acid which is a NSAID. It carries the risk of gastritis and renal problems in the long run. Please do not use Metal. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a Chronic Asthmatic,epileptic, lately I have been having constant pain in my head but not like a normlal headache,dizziness,pins & needles in my hands,arms & feet,my left arm went totally dead, Im battling to breath & very aggressive & feel angry all the time, Im also under a lot of stress,I have seen a specialist who did a lung function test & it wasnt good,he wants to put me on a drip,my heart was also racing & my sugar was 4.1 after eating,hes not quite sure what is going on with me & needs to do a ct scan,but if you could perhaps help,", "output": "IN MY EXPERIENCE OF 32 YEARS IT IS FOOD SUBSTANCE REACTING WITH YOUR BODY AND SUBSTANCE IS ONE OF THE MAJOR FOODS WE EAT EVERYDAYMILK WHEAT CHINA POTATO RICE NUTS EGGS HAVE MANY PATIENTS WHO HAVE RECOVERED AND ARE ON MINIMUM MEDICINES AFTER ELIMINATION OF THAT SUDBSTANCEGET BLOOD SERUM TESTED FOR SPECIFIC ANTIBODIES FOR ABOVE FOODS I HAVE WRITTENTHERE ARE MORE CHANCES OF WHEAT CAUSING THIS AS YOU ALSO HAVE EPILEPSYBRAIN IS MAXIMUM INVOLVED IF WHEAT IS NOT TOLERATED BY A PERSONAE CONDITION CAN DEVELOP AT ANY AGE FROM ANY SUBSTANCE AT ANY TIME SO NO NEED TO THINK HOW IT OCCURRED" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been diagnosed with a non-cancerouse mangioma tumor by my collarbone and across the top of my shoulder. Multiple biopsies were taken and all were negative. Before having the biopsies, I had no pain or discomfort. It has been almost 6 months since the biopsies and now have not only continued discomfort in the area where they did the biopsies, but often have pain down the arm and into the neck and behind the shoulder blade. Should I be concerned or is this more than likely my bodys response to the multiple biopsies? (They were very painful and it took more than ten tries with a guided needle to get enough tissue to do the biopsy)", "output": "Hi, dairy have gone through your question. I can understand your concern. Your pain and discomfort is due to multiple biopsies. It is very common problem and no need to big worry. You can take painkillers like Coquitlam or other analgesic Chat Doctor. Take treatment of meningioma accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "From three month ago i have ultrasound i was pregnant at 7 month it detct that i have multiple gallbladder polyps the largest one is 4 mm after four months i repeat the ultrasound in same hospital by same doctor but no polys was detected .if the multiple polyps in gallbladder can disappear i hope it disappear i am 29 years.i am female my weight 63 kg my height is 157 cm.i have no diseases but i have spenctomy from 8 month ago in an acciddent as it rupture by broken rib", "output": "Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. You need to change your dietary habits first. Need to avoid fried food, carbonated Chat Doctor. You should eat more milk products, vegetables and boiled food. If there is no improvement on lifestyle or dietary changes, then surgery is recommended as the only permanent therapy. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "The inside of my mouth, especially around my lips, is wrinkly feeling and really burns when I brush my teeth. The inside of my lower lip is easier to see, and there are white pinhead-size bumps under the skin that I can see and feel with my my tongue. This has been getting worse over the past few months. Thank you.", "output": "Hello, Thanks for consulting Chat Doctor, Read your query, as you have white bumps in mouth and lips it can be Recurrent authors ulcer, oral Lichen plans, or presence of forces granules. Don't be worried so much for this you should consult dentist and go for examination of oral cavity, in meantime you can apply ointment like McCoppin or Mugel on lips, you can take vitamin B supplements by consulting with your doctor. Hope it will help you. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir,i have sex thoughts about my mother in law,and 7 years back i aksed her for kiss on her belly. for that she told her husband and her doughter(my wife) and scold me like any thing. i told them i was not happy with my wife.from 7 years i asking her again and again by giving signals (not directly) she knows what i am expecting from her but she is not responding any thing. and she is not to close with me she avoiding me. but always asking her daughter about me, i am unable to forget her activities and always disturbing me.she knows my feelings and my struggles .iam not so happy with on my wife. please give me your suggestions.thanks", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. First you must understand the sanctity of relationships. If your wife is not able to satisfy your needs, then you should talk to your wife regarding that. Consult a psychological counselor along with your wife and counselor should be able to settle issues. Second you should not approach your mother-in-law with sex in mine. I do not think it is socially acceptable thing to do. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doctor i m vicki !!! i need to how i can stop hp permanently . i tried alot to avoid it, i keeps myself busy in doing work but at nights some thoughts starts roming in my mind and atlast do it . i m fed up of this habit before anyone becames to know about it plz help me and tell me the best way to stop it for ever :(", "output": "Hello Vicki, First I want to tell you that masturbation is not abnormal and is a normal part of sexuality. If, however, you are finding that it has become excessive or interfering with normal activities, such as feeling the need to do this several times a day, then it may be a compulsive behavior. In that case, some medications that are used to treat obsessive compulsive behavior may be helpful. Often, SSRI medications are used to for this. These are most effective for obsessive thoughts and compulsive behaviors when used at higher doses (but started at a lower dose and gradually increased). Consider seeing your family doctor or a psychiatrist to discuss whether treatment might be appropriate. I hope this information helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir,my name is yogesh raghav and iam undergoing a Severe mental trauma.sir actually from the last 6 years iam feeling like that something has been blocked or choked in my brain and i use to sweat & feels a tremendous pressure while talking.(Iam a stammere too).so may i know that is there any cause related with neurons??", "output": "Dear Mr. Yogesh Raghav, I went through your query and can understand your concern. The symptoms of feeling tensed, stammering, sweating and feeling blocked whenever you talk are highly suggestive of underlying anxiety. If is happens only while talking to others, it might be social anxiety disorder. Anxiety disorders are brain dysfunctions in which there is an imbalance of neurotransmitters. You should consult a psychiatrist for complete evaluation and for initiating treatment. Medications like paroxetine would be effective for your condition. In addition, doing exercise daily will help you relax and feel better. I hope I was able to answer your query. Best wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "yes my boyfriend has kidney stones and recently had an insertion of a stent to remove same , however they removed the stent two weeks after inserting it only to realise it was still there... he is now in alot of pain since removal... to the point where its unbearable... he cant stop urinating and is very uncomfortable.. what shall we do?", "output": "Dear User, I would suggest performing a renal ultrasound. I suppose that the stent was removed by urinary tract. US is helpful to be sure that there is not an ongoing HY Chat Doctor. Also, a complete renal screening (serum creatinine, academia, sodium, potassium, calcium and blood gases) is recommended. However, if negative, the pain may be due by the procedure itself which is invasive (remember that purines are acid, and ureter may be a little stretched by the instrument and the stent itself)." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My mom is 80 years old with high blood pressure and parkinsons disease...she is on blood pressure medicine everyday and today her face is red and we checked her blood pressure ...it is 196 over 99 with a pulse rate of 90...she just took more medicine...what else should we do?", "output": "Hello! Welcome and thank you for asking on Chat Doctor! I understand your concern and would explain that high blood pressure in her situation should be treated like in other patients. You should know that high blood pressure is not typical of Parkinson's disease (it usually causes hypotension or orthostatic hypotension). I would like to know what is her actual antihypertensive therapy. I would recommend consulting with her attending physician for a careful physical examination, a resting ECG, chest X-ray study and some blood lab tests (complete blood count, PCR, sedimentation rate, thyroid hormone levels, kidney and liver function tests, blood electrolytes, etc.) to exclude other secondary causes of high blood pressure. You should discuss with her doctor on the possibility of adding other antihypertensive Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "after a 10 minute walk to the gym and a 40 minute workout in the gym, on the return 10 minute walk home,i got dizzy, passed out and suffered a brain bleed and a concussion on june 5th 2013. most of the pain has gone except for that in my buttocks and the rear of both legs. why am I having pain in my legs and buttocks? please have a neuro-surgeon answer this question.", "output": "Hi, I do not think a neurosurgeon is available to answer the question as of now. I can tell you why for now. But if you like you can post a paid query to a neurosurgeon of your choice. The cause that seems most likely for your leg pains seems to be ischemia. The brain injury must have somehow caused your brain to act and reduce blood flow to the periphery. Also, since you might have had internal bleeding this might be the cause. The muscle receiving less blood must have necroses or started to die. This is the cause of your pain. Anyway, you should go to a neurosurgeon in person to confirm the diagnosis. I hope this helps you. All the best. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "It seems that my right testicle is a lot higher than it should be. I havent gained weight and Im still the same size but now my Left one hangs but my right side seems to alway go up . That side looks wword almost like I loosing my sack. I been getting mild pain now and them and I havent felt anything weird on them", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. I think You are worrying unnecessarily. Scrotum sacks shall be loose or tight. It depends on so many things like your physical state, external temperature, urge to sex, urge to urinate etc. I think you are overly worried about your testicles and that could be the reason behind the mild pain also. I mean worry creates psychological pain. Just ignore and enjoy education and career. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my mother have a problem with mental dipression,she didnt bath,didnt talk to everybody,she wont come out outside its happend in 2 years till now same problem but we have an idea to take necessary steps for consulting a psychiartrists,what she problem ? we dont know anything,before past 3 years she was happiest,please give me any suggestions", "output": "Hi. I had gone through your query. Depression requires proper treatment as early as possible. Early treatment will bring fast and better recovery. It can be treated with different modalities of treatment that include medicines/psychotherapy/ECT. In Medicines SSRI means Escitalopram/sertraline/paroxetine will help. Selection of medicine can depend upon clinical presentations. Supportive psychotherapy and cognitive behavior therapy can help. ECT means electroconvulsive therapy is the choice in severe depression. Consult psychiatrist and get better assistance. Still have query then feel free to ask. Thank you. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor ,i am 18 years old now my hair loss started when i am 13 years old from the left part of toip region of my head ,then all told that i should shave my heaD then i did it and then the density still decreased and then i took treatment in dermatologist he gave some medicine then i used it for 2 months then i found no result so i left it and then after some months i consulted to dr batra he told i should take treatment for atleast 3 yearsd i took 1 year treatment and i found no result then the hair started falling more and almost my scalp begin to shine even if i have long hairs then after leaving hope i regularly shaved my head and then i counsulted again to dermatologist in cutis,banglore he told shave head every 15 days and apply x-pecia in morning and some lotion in evenind and gave told to take two tablets 1 small white another reddish brown and he told to take treatment for 3 months so will it be helpful?", "output": "My DearWelcome to Chat Doctor ! I have analyzed your problem and feel that it is really bothersome for a teenager to have such an embarrassing condition. To me, it appears that there have been some missing pieces of information in your account related to the size and location, demarcation, and pattern of hair loss bur based on your description I feel that you are most likely having Alopecia Area ta. For my patients who attend in person, i usually esquire about the history of allergies (atop) in the family, symptoms, examination of few hairs plucked from the margins of lesions and family history apart from the scrapings from scalp skin. Then, when the diagnosis of AA is established I put them on Folic for few weeks, to be supplemented with steroids locally, intralesionally if necessary either through a delicate needle-syringe or by dermaroller. That works in more than 95% cases while others may need systemic steroids. I am sure your condition can be managed somewhat on the above lines with great results as UPU are young and more likely to respond favorably. Our best wishes!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband is experiencing dry skin on his penis and cuts around the head of his penis. It s painful for him and it s getting worse. This has never happened to him. What could it be? I m pregnant and had a yeast infection but that was treated and shortly after he had these symptoms. He has no other signs of a yeast infection. No white discharge, no burning when urinating...nothing else. Just small cuts around the head and a dry shaft. What is this and how can we treat it?", "output": "HiT hanks for using Chat Doctor It can be due to dermatitis or eczema skin. Treatment depend upon the severity of symptoms. In severe case patients need a higher-potency steroid. But they are available under prescription and should be taken only after consulting a dermatologist. Symptoms can be exacerbated by Chat Doctor. Use good quality moisturizers to prevent moisture loss from the skin. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "A few yeas back a drill bit broke off and impacted in my liver area, For days I struggled to breathe really thought i was going to die. Externally the bruising was from my liver chest and down my right arm. Since then I get recurring excrutiating pain in my back right hand side which puts me to bed for a few days. I have requested a cat scan what tests could I have?", "output": "Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. Your symptoms may be suggestive of gallbladder stones, so you should do at least ultrasound or CT scan to evaluate it more accurately. This is caused by stone in bile duct and is very common condition. Stones are seen more commonly in obese people and those with diabetes. You need to change your dietary habits first. Need to avoid fried food, carbonated Chat Doctor. You should eat more milk products, vegetables and boiled food. If there is no improvement on lifestyle or dietary changes, then surgery is recommended. Other causes include pancreatitis or pleuordinia and should be considered if gallbladder stones are ruled out. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have major pain in my upper left chest and back that increase with movement under the breast that go straight through to the back skin sensitivity to touch in th left breast a burning and or numbing sensation that extends to the nipple. The ER said it is non cardiac, it s been two weeks am taking relation 500mg and cyclobenzoprine 5mg twice a day it s not helping please any suggestions ?", "output": "Welcome to Chat Doctor I have gone through your query and understand your concern. You are probably having muscular pain because it is mostly on movements. You can take analgesic such as ibuprofen for pain relief. Furthermore, you are advised to take muscle relaxant such as thiocholcoside for pain relief. Vitamin B and C is helpful in recovery. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had shingles 4 weeks ago, the rash dried up & the scabs have fallen off but I now have shingles complications, which is PHN, what concerns me is that I have swelling on my right abdomen & very painful. Im on 150mg of Lyrica in the morning & the same dose at night, this doesnt help much with the pain unless I take 2 still pain. Will you recommend any other pain killer or is it advisable to see a neurologist. My age is 78.", "output": "Hi, Regards ! Thanks for your query. The diagnosis is certainly Post Herpetic Neuralgia PHN as you have written. Considering your age which is 78 years, the dose of Lyrics 150 mg is high enough in the elderly. The swelling indicates that the inflammation is still present, and the internal healing is not yet complete. The pain of PHN is more in the elderly people like you, takes far more time than the young adults would take for recovery, control of pain and other symptoms. I would advise such a patient :Neurologists opinion and further management.Discuss the trial of other medicines like Gabapentin / Amitriptyline - Geritol or so, any role of other procedure that can reduce the pain. Alternative therapy like Yoga, Acupressure or Acupuncture can help a lot in reduction of the stress and anxiety of the person who is suffering from this. I hope this answer helps you to visit the Neurologist and get the proper investigations and treatment." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just got through reading the article on how to treat neuropathy, the article say how to take care of your feet, all common sense answers, but it does not say how to treat the leg pains, etc. . . . how do you treat leg and other pain, I take 300 mg gabapentin, a most useless product, There are almost daily ads from DC;s what it that they claim to do, I do not trust DC s only MD s, Gus Real YYYY@YYYY", "output": "HIT hank for asking to ChatDoctorAs long as the question of mode of action of analgesic is concern all the analgesic have a more or less same mode of action from mild moderate to potent, the best way to deal with pain is to bear it till the last moment of it plateau, then the intensity of pain start declining gradually and that is the called real and physiological analgesic affect, of course it is a bit difficult and may take longer than enough time but gives excellent and long-standing result, have nice day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i HAVE BEEN HAVING MILD PAIN IN MY LOWER BACK AND IT MOVED TO MY RIGHT CALF AND AFTER 3 WEEKS AND 6 VISITS TO A DR. iT HAS GOTTEN SO SEVERE IN MY CALF THAT i AM UNABLE TO WALK OR SIT OR LAY . iT IS A BURNING,SHARP STABBING PAIN RIGHT TO THE TOES.. fEELS LIKE A CHARLEY HORSE GONE OUT OF CONTROL,NOW ON OXYCOCET,AND PRAMIPEXOLE AND STILL IN HORRIBLE PAIN . I AM 64 years old and no other helath issues", "output": "Hi, Looking to the history it seems that you might be having pinched nerve pressure pain producing Sciatica. There might be having some degenerative changes in your lumbosacral spines giving this trouble. Go for x-ray lumbosacral spines. Consult orthopedic surgeon and get examined. Physiotherapy, short way diathermy and lumbar traction will be much helpful. Take calcium, vitamin A and D supplements. Avoid weight lifting. Ok and take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I am 30 Years old and trying to conceive for the first time. We have effectively only tried once before this time and since my periods came, doctor suggested a Folic acid tablet- clofert 50 followed by ovulation study. My follicles ruptired on 14th day. Doctor has suggested Lupigest 200. Why Lupigest...what does it do?", "output": "Hello there. Thanks for writing. Lupines is progesterone hormone tablet. This hormone thickens uterine lining making it favorable for implantation of pregnancy. It also supports early pregnancy preventing miscarriage. Rupture of follicles on follicular study after closer 50 use suggests you had ovulation and are likely to conceive if you had timely intercourse. So your doctor has prescribed lupines to support the fertilized egg for implantation and growth. Lupines will not harm your pregnancy or baby in any way. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hellomy father is 67 years ild..he long ago suffered from spondilytist..hes in india and its quiet chilly there..2 days ago all of a sudden he started vomiting n vomited around 6 times in a day including head swirls..his doctor friend gave him a meficine to eat n a collar to put..my ques.is..is it jus the cervical problem or more than that n ehat should he do now", "output": "Hi I am Chat Doctor. . In my opinion i don't think the cervical problem of your father spine is the main reason of that kind of persistent vomiting but sometimes the painkillers or medications used to treat the spondylitis pain could cause such side effects on chronic use. I suggest he maintains a high fluid intake to flush his system, stop any kind of treatment and take the antivomiting and avoid high cholesterol and salty meals and make some lab investigations to rule the underlying cause of vomiting for proper evaluation and management. Please click and consider a 5-star rating with some positive feedback if the information was helpful. Wish you good health, Any further clarifications feel free to ask." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi sir . i am ashish.i am suffering from sex problem. when i start sex my my penis get erected but when i start to intercourse it could not erect properly.i do masturbation by hand , right from my childhood...16 yrs till today 24 yrs. i AM TAKING TREATMENT FOR T.B.(TUBERCULOSIS).THIS IS MY FIRST TIME OF SEX.", "output": "Hi Ashish;welcome to Chat Doctor It is not a problem ;it is a first time hesitation. You are suffering from mental stress regarding the consequences of having sex first time with thoughts ;whether somebody is seeing us ;will I be able to do it & satisfy my partner ?what if she gets pregnant your mind will be crowded by such thoughts. If it is by mutual consent no need to worry it is not a problem. Relax.thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor(s), I experiencing a sharp pin point like pricking pain, it starts from mid chest , then goes through my right chest(lowest rib position), just like how a lightning starts from one point of sky and rapidly draws a line over the sky....it happens ONLY when im swallowing water, Im 25 , completely healthy, dont drink or smoke, BUt cannot help eating spicy food and skipping Breakfast as Im an emgineer in MID East....help me", "output": "HelloYour concern is wright. Spicy food is sometime not well tolerated from the stomach especially in persons who are not used to it. In your case this kind of food might have caused a reflux or a light gastritis that you manifest it as a sharp pain that irradiates in the lungs. You can take some anti-reflux medications as Refluxed for some time and avoid this food. I don't think you need to do any test further. Wish good health to you Thank you " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a hemorrhoid removed a week ago. Tonight, I felt a lot of moisture there. When I felt the area, I noticed that the suture has opened up as big as my finger. I ve been feeling weak today and am not sure if I should see my doctor. Can you please advise me on what to do?", "output": "Hi, welcome to Chat Doctor forum. Your description is suggestive of postoperative wound infection. It needs immediate consultation with your doctor, to decide whether you need to wound debridement and antibiotics. Sometime, it can happen without infection also, and need just supportive treatment only. But it can decide only after seeing the wound. Meanwhile, you keep the area clean and Chat Doctor. Hot saline bath is good. Take soft, fiber rich diet. Hope you will find this information useful. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 2 yr old nephew had baby acne at birth and since it has scarred on both cheeks. Is there anything we can do to clear it up? My sis in law said the large one burst during bath time last year and blood was gushing out. Her doc said oh it baby acne nothing you can do. So now he is 2 and has visible red/purplish scars. Any advice? Thank you.", "output": "Hi... Thank you for consulting in Chat Doctor. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have fluttering in my chest for more than a week it seems more frequent today and had chest pain in the middle of my chest yesterday. I have had sweats like hot flashes and kind of a dull head ache along with left shoulder pain a couple days ago. Also feeling very tired lately. I do have a lot of stress. Anxiety or heart I just don t feel right!", "output": "Hello, I have gone through your query. Thanks for using Chat Doctor. Your symptoms are quite likely to be due to anxiety. But you must rule out any heart problem especially if you are above 45 yrs of age, You have family history of Hypertension, Diabetes or high cholesterol. You should get your ECG done. If needed you should undergo stress test. If it is normal then you may use antianxiolytic like alprazolam 0.5 mg at bedtime for few weeks, My best wishes Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hiya well my problem is breathing i have been strugling brething now for over a month every day every night ? i have been to see my doctor 3 times my heard at my breathing is 100% pains arm ach at times and heavy what could it be and how can it be stoped ?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Breathing difficulty is mostly due to asthma or bronchitis. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).PFT will not only diagnose bronchitis or asthma, but it will also tell you about severity of the disease and treatment is based on severity only. You will mostly need inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone). So first diagnose and start appropriate treatment. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My kid 1 month was in hospital for the last 15 days after she was admitted to due excess dehydration. Later found blood urea as 145. After giving fluid dextrose 10%, it came down to 77, 30 etc. After removing her from ventilator support, she is started feeding breast milk and after 4 days again Urea shoot to 60. Once the fluid is given, the urea level comes down very fast. Otherwise she is sucking breast milk without any issue. This repeated twice in the hospital - like increasing of blood urea. Kidney scanning & tests are done, but could not find any issues. We noticed that whenever the urea is starting to increase, the kid will not urinate and also heavy vomiting occurs. What could be the reason? Please answer in layman s language. Thanks.", "output": "Hi, Urea is a waste product formed after protein digestion in our body. This is usually removed by kidney. For kidneys to function normally, good blood flow is must. When blood flow decreases because of deny Chat Doctor. If serum creatinine(another test for kidney function) is nearly normal and urea decreases after giving fluids, this indicates that kidneys are normal as such but the main problem is deny" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I\"m suffering from sinus that causes me a sever asuthma. Know i\"m under medications, I get monthly injuctions \"Xzulair\" but still i get time to time difficulty in breathing and dizziness.I heard that there is a cure in india for this kind of sinkness. I would be appreciated if you could help me in this matter.yous sincerely,Masooma Faridoon", "output": "Hello Maximum Cartoon, Thank you for asking at Chat Doctor. I went through your history and would like to make following suggestions to you:1. Sinus and asthma are many times linked and sinus can aggravate asthma. So It is important for you to control both sinus and asthma.2. Were I treating you, I would suggest you daily montelukast and an antihistamine like cetirizine or fexofenadine for upper airway disease (rhinitis and sinus). I would also suggest you regular steam inhalation (please be cautious to avoid burns) and daily nasal irrigation with saline sprays which will also help.3. For asthma, I would suggest you inhalers like budesonide-formoterol for regular use and albuterol/levosalbutamol inhalers for as-and-when-needed use for asthma symptoms.4. I would suggest you allergy testing which will help you to identify the substances causing troubles to you. Avoidance of the substances causing allergies is the best strategy for managing allergies. Based on allergy testing, an Allergist-Immunolgist may prescribe you immunotherapy which will work on your immune system to gradually improve your allergy symptoms.5. Regular breathing exercises and a diet rich in vitamins & minerals (adequate amounts of green leafy vegetables, fruits, etc.) will also improve your lung capacity and immunity respectively gradually.6. Please avoid exposure to dusts, smokes, fumes and air pollution as much as possible. Regarding treatment of sinus/asthma in India, there are many allergists in India. Also, Ayurvedic treatments are available in many parts of India which can be very helpful asthma, along with conventional medications. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you the best of the health. Thank you & Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I will be starting the Marviol contraceptive pill on the 1st day of my next period for a duration of around 6-8wks becasue I will be travelling and want to skip my period in February. I m a healthy 40year old non smoker and am curious as to the possibility of side effects like weight gain or increase of breast size in such a short time. I don t want that!!!", "output": "Contraceptive pills can be used for 6 to 8 weeks. Nausea, headache, irregular bleeding are some side effects of the Chat Doctor. Side effects differ from person to person and usually settles in the subsequent weeks. Weight gain and breast pain can occur as a long term effect and may not occur when taken for a week. Only after use, the incidence of effects can be known. It is always better to leave a pill free period to allow with" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am 28yrs old lady,planning to conceive.Dose of Folic Acid tablet is taken twice a day by misunderstanding the docs instructions.Will that cause me physical problem next ?", "output": "Hi Lena, Welcome to Chat Doctor Forum.Don't worry if you have taken it only once. It won't cause any health issue in the future and you won't have any Problem conceiving. Just take it as directed by your Doctor once daily and have Unprotected sex every alternate day from 10th to 20th day of your Cycle to increase the chances of conception. Eat healthy nutritious balanced diet which should include fresh fruits and Green Leafy veggies. Good Luck, Take Care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, i am 24, obese and have had a fatty lump below my knee for 12years. When i first noticed it i mentioned it to my dr who poked it and said its just fatty tissue. It seems to have grown gradually but is now noticeable through clothes. Still doesn t hurt but looks awful should i get it checked again?", "output": "Hi, Dear,Welcome with your query to Chat Doctor. Studied your query in full depth of its details. Reviewed it in context of your health concerns. Based On the facts, You mostly seem to suffer from-Lipoma of the below knee region. As this fatty lump is there for 12 yrs and now lately seems to have grown out of proportion. And is noticeable through the clothes. Other causes of arthritis with Synovial thickening needs to be ruled if you are very obese, as this could cause arthritis with synovial granulation / thickening. CT Scan study of the knee would fix the diagnosis in your case. Hope that, This reply would help you to plan further treatment soon with your treating doctors. Best of Luck and early recovery. Welcome any further query in this regard, which would be replied in next session. Good Day!! Chat Doctor. N. Senior Surgical Specialist" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir,I am having constant pain at my back. I had done test and Xray there is no sign of any problem Slowly this pain is transcending from back to neck. I cant sit and do any thing for more than 15 minutes, It seems as if somebody has put ah heavy weight on my back. This pain is basically on upper back and when i sit straight than again i feel the pain in my bones.", "output": "Hi thanks for choosing ChatDoctorin my opinion you are suffering from either muscle spam due to incorrect posture you may be assuming while working or PIED prolapse inter vertebral disc disease firstly try with keeping a right posture and gait and do some stretching exercises you can also take tab diclofenac and tab chlorzoxazone for symptomatic relief If it doesn't relieve go for an MRI and consult your doctor hope this information will help you best of healthRegards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "im an 18 year old girl and ive never had sex before the farthest ive gone with a boy is making out and there was absolutely no touching there. never even seen a penis and i had my period two weeks ago for this month. However about two weeks ago on monday i had really bad diahrrea and my abdomen was burning whille i was on the toilet. it was very painful i had diahrrea at least 3 times that night. ever since then ive been constipated but also have had diahrrea intermittely. Im also bloated. normally my stomach is flat and i have a bit of a pouch in my lower abdomen now due to bloating accompanied with cramps . i also feel a little pressure around my hip bones. ill also get burning in my abdomen after i eat or in the morning. it radiates to around my breast bone. please help!", "output": "Dear madam,first I would like to tell you that your problem does not seem to be related to your sexual life.Also, the fact that you got your menstrual bleed 2 weeks back should make you reassured. Coming to your abdominal problem....from the history what can be gathered is that you have a gastroenteritis.However, cause for it needs to be evaluated.Hence, I would recommend that you visit your family physician for a basic evaluation and then take a call for there.... All the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a mild case of vitalago on hand ,face and on shaft of penis. I recently had sex ( with wife) and never use codoms but since then I have noticed cracked skin and some peeling. Prior to that the skin looked red & thin. I also have severely dry & chapped lips although we did not have oral sex,,this could be sun related as I am always in the sunn on a boat. Is there sommething I could use to toughen the skin? Years ago a dermatologist gave me a cream but I didnt like the side effects considering the minimal results I was getting. Thank you. N B", "output": "Hi thanks for writing to Chat Doctor. Cracked red skin with peeling after sexual intercourse is suggestive of candidiasis. It is a fungal infection. Get your blood sugar checked. Apply clotrimazole cream over affected area. If your wife is suffering from white discharge then get her treated since it can lead to recurrence of infection. Your Chat Doctor. Avoid sun as far as possible. It can be treated with liquid nitrogen or lasers. You can consult a dermatologist for it. I hope this can solve your query. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello sir , i hv query about my father...........his report shows MULTIPLE LIVER METASTASIS, CHOLELITHIASIS, MILD HEPATOMEGALY WITH Gr. I HEPATIC STEATOSIS & GRADE I PROSTATOMEGALY WITH INSIGNIFICANT PVRU. whtas the meaning of this sir. please help me & tell me the meaning of this that what the real condition of my father", "output": "Hi, dairy have gone through your question. I can understand your concern. Your father has multiple cancer spread in liver with fatty change in liver. He may have some cancer in his abdomen. He should go for ct scan and tumor marker study to search the primary cancer. Then he should take treatment accordingly. He also has enlarged prostate. It is common in old male. It is mostly due to benign prostatic hyperplasia. He can take alpha blocker like prancing and finasteride for that. Check PSA level regularly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI Doc. Our OB-Gyne ask my wife to take Duphaston 3x a day for 1 week, but he told us to come back in two weeks. So, can we buy another Duphaston for 1 week to make it two weeks? My wife has diagnose at early 5 weeks pregnant via Transvaginal Ultrasound, and they only see the Gestational Sac alone.. and it is normal that my wife feel comfortable after taking duphaston, especially her abdominal pain? Thank You and GOD BLESS Doctors", "output": "Hi. Thanks for your query. Read and understood that your wife has been advised, and she is taking Phaeton - the progesterone. This is given to hold back the pregnancy. About the trans-vaginal ultrasonography- showing the sac, 5 weeks is too early to comment upon reports of Gestational sac. Yes, you have to take one more week as advised by her Gynecologist. Get the review ultrasonography after say a few weeks to see the progress of your baby" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 7 year old son was suffering from cough and cold since 3-4 days. Although now he has recovered, but his nose is paining and swollen and the swelling is increasing since last night. (He also has the habit of digging his nose). What could be the reason?", "output": "Hi Dear, Understanding your concern. As per your query you have symptoms of frequent cough and cold which is mainly because of respiratory tract infection, and it is due to poor immunity of body, and it is leading to increased susceptibility of getting infected. Need not worry about it. I would suggest you to visit ENT specialist once and get it examined and go for blood and sputum test to find exact cause of infection. Symptoms resembling flu and normally takes 3 days for viral fever to go. You should do warm saline gargles on daily basis and avoid cold beverages. You should take plenty of fluids and if it is bacterial infection start with proper course of antibiotics. Take proper rest without any discomfort. Hope your concern has been resolved. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I am a 52yr old female. Average height and weight. I have had a total hysterectomy in 2006. I by chance had a d dimer ran about a year ago now and it was at 900. Thinking this was maybe this was my normal. They checked it again in a couple of weeks and it was 1,200 then 1,800, then 2,200 and as of yesterday it is 2,656. I have been to see Oncologist who ran multiple tests including CT of chest and US of legs. US was negative. CT shows two lung nodules and I will have another CT next month. I also have a positive ANA with an RNP antibody of greater than 8. I was sent to a Rheumatologist for this and that apt was a joke. He told me I didn t have Lupus and that was it. I am very concerned that I have a blood clot forming somewhere in my body that will break off and either give me a stroke, heart attack or aneurism. Any thoughts on why my d dimer is increasing. Any advise or response would be greatly appreciated. I do work in a lab and have been informed that it may be a blood clot. I have back pain and seem to catch myself breathing at a rapid rate without exertion. Please advise. Thank you.", "output": "D-dimer can certainly be elevated in the presence of a blood clot, but it can also be elevated in other scenarios as well, most commonly inflammatory disorders. Your doctors have ruled out pulmonary embolism on the chest CT (assuming it was done with contrast as an angiogram) and deep venous thrombosis of your legs with ultrasound. You can also have ultrasounds done of your arms to exclude that, although this is a less common site for clots. If you have any other symptoms, you should be evaluated for any evidence of inflammation in your body which could explain a high D-dimer." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "What are the symptoms of an elevated ammonia level? My 30yr old son takes Depakote for a seizure disorder and bi-polar he also has autism, so I can t ask him about how he feels. For the past few weeks he has been very tired, clumsy, his eyes are beginning to take on a yellow hue though no one seems to notice this but me, and he has black circles under his eyes. All the usual suspects have been ruled out, infection, anemia etc. I was just sitting here at dinner watching fall asleep at the table and the thought popped into my head perhaps his ammonia level is elevated. I can t find much info on what the symptoms, so any information would be much appreciated before I drag him through another blood test. Thank you for your time", "output": "Hi and thank you so much for this query. I am so sorry to hear about these symptoms that your son has been experiencing. Unless the liver is not functioning normally, there would be no increased ammonia levels. With you reporting a yellowish discoloration of his eyes, it could be possible that he has an ongoing liver disease. Ammonia in excess levels would induce sleepiness, manipulation and eventually coma. This would be unlikely without a severe liver disease. Get hi to the doctors should you be concerned but ammonia per se without a suggestive history would be unlikely. I hope this helps. I wish you well. Thank you so much for using our services and do feel free to ask for more information and clarifications if need be." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a right tube blocked along with thyroid problem also. I am not able to conceive due to the same. My doctor has advised me to take 10 doses of placentrax injection for 20 days. i HEARD THAT THIS INJECTION IS BANNED. Please advise if I can take it or not. Your answer can really help me.", "output": "Hello, Yes, it is considered to be a safe medication. Placenta injection is usually given to treat pelvic infections including to treat the tubal block caused by inflammation or infection. As of date it is not banned and very much available on prescription. There is no documented evidence of any dangerous side effects or contraindications of this Chat Doctor. Allergic reactions are rare. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "a few years ago, i was allergic to chocolate. it went away after a month, and never came back. now, 5 years later, i got it again, having bad headaches and rashes on my face, and difficulty breathing. Now all i get is headaches when i eat chocolate. how can you explain this?", "output": "Hello, Welcome to Chat Doctor, The history and symptoms are suggestive of known allergic to chocolates, you should be very careful and try to avoid the chocolates. I would suggest you to undergo absolute eosinophil count (AEC) which will be raised in the allergic condition. I would suggest you avoid the chocolates which is causing all these symptoms Otherwise you can prefer immunotherapy either with subcutaneous immunotherapy (SUIT) or sublingual immunotherapy (SLIT). For the present symptoms you can take Tab Monte LC which helps to control the symptoms, but it is temporary. You need to avoid these chocolates to protect yourself from getting these allergy symptoms. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doctor, im 21 year old male.My problem is that, i get colourless liquid out when i shake my penis for sometimes & sometimes when i pressurize for urine at the time during stool, sperm comes out & also im not getting proper erection. Am I getting impotent? if yes, then what is the cure for this?", "output": "HelloThanks for query. Based on the facts that you have posted you are facing problem of erectile dysfunction. The clear liquid that you are passing is a mucus secreted by Bulb Urethral Gland located in urethra which get stimulated on sexual thoughts or penile stimulation. As regards your problem of ED in the majority of young adults it is due to what is called as performance anxiety. Following measure will help you to boost up your confidence and getting good erection and delay ejaculation. 1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning. 2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc 3)Take anti oxidants like Almonds 5-6 everyday4) Avoid alcohol and smoking. Chat Doctor. ." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "We just took our dog a bath, it seriously doesn t want to take a bath so it screams so loud, it also jumps like crazy. Later on I saw something in my legs, its a light scratch from that dog. He s vaccinated once for anti rabies. Do I need to go to the doctor? Or have I been infected of the rabies?", "output": "Hello, Thank you for your contact to Chat Doctor. I understand your concern. If I am your doctor I suggest you that if your dog is vaccinated there is no need to worry to you. But if the dogs' vaccination schedule is out of time then it is required for you take complete the rabies Vaccine schedule. If your dog is fine for 10 days its further believed that dog is free from the rabies. I will be happy to answer your further concerned can contact me. Chat Doctor. Infectious disease specialist. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I,m 44 years old. I had MRI of lumosacralspine. Conclusion : multi level posterior disc lesions being effective at L 4/5 level where associated ligamento- facetal spinal canal compromise is noted. Filum terminal lipoma (developmental variant ) . Should I send you all the findings in the report or is the conclusion enough ? Kindly advise. Many thanks.God bless you.", "output": "I'm am not interested about your MRI reports. Can u pls tell me your problem. Do u have backache n any radiating pain to legs?any paresthesia in the limbs? Do u have any urinary problems? Is there any history of trauma?your MRI suggestive of multilevel disc bulges most at l4/l5. Nothing to worry unless u have severe backache not being controlled on medications, u have any weakness of limbs /numbness in leg or foot/urinary problems.pls give me all these details then send the MRI findings. Thank u." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have had a lump under arm for quite a few years but it seems to have increased in size. It is about the size of a golf ball and hurts when I press on it. I went to doctor years ago who pressed on it and told me to come back if bothers me. Is it something I should worry about? I m 30 and mother had breast cancer not genetic type. Thank you", "output": "HI. Thanks for your query. Read and understood that you have a big lump under arm for quite some time and seems to be increasing in size. As your Doctor said in the past I would advise you the following:Since this is not a normal part of the body, it is Thebes policy to get such lumps removed for 2 reasons:1. You get rid f the mass which is not a normal part of the body and2. The most important past is that you get a confirmed diagnosis as to the nature of ti whether benign or cancer ((malignant)The preliminary tests of mammography, ultrasonography and FNAC does help in proper diagnosis but the excision biopsy if the only full proof method." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have daily knee pain from a impact related injury will on a deployment over seas and have had exrays and a Mri done and they can cannot figure out what is wrong.. If I run about 3/4 of a mile my knee buckles and I cannot even stand up and I also get shooting pains when I am just doing every day walking and standing. Any idea what it may be", "output": "Brief Answer:Get a second opinion for MRI report and require knee brace or cast for 4 weeks and bed rest. Detailed Answer:Warm Welcome. I appreciate your trust in Chat Doctor and assure you are on best portal on the globe for expert online medical services. Based on what you said, it is recommended to get a second opinion for MRI report to exclude ligament injury. After exclusion, you will most likely need a knee brace or cast for at least 4 weeks. Even if there is slight ligament tear, it can be healed by this technique. You may take tab. Naproxen 20\u00a0mg once a day for your pain. Best rest and decreased movement of your affected knee will Chat Doctor. Hope I add" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am in my early fourties , I am experiencing a persistent cough, I have had this problem for about 5 months. I initially thought I had a cold, my dr treated me with a cough syrup , then I was treated with a antibiotic the problem did not go away. I don t feel sick like a cold makes oh feel, but I sill have tne cough usually after eating something especially milk,ice cream", "output": "Hello are having cough for 5 months and took cough syrup as well some antibiotics. You got some relief, but cough still present, particularly when take milk, ice cream (milk products). Such type of cough may be due to these possibilities, these include:1 Allergy to dairy products, particularly, you mentioned that you develop cough after milk and ice cream. Diagnosis can be confirmed by allergy test for milk products. So consult an allergy specialist and get allergy test.2 The next possibility of such symptoms may be due to asthmatic allergic bronchitis (in this condition patient develop cough due to bronchoconstriction caused by allergy by mold, dust, pollen, fumes, smoking) So take care about these allergens.3 Smokers cough, if you are smoker then this cough may be due to smoking. Be careful about that also. However, there are so many other reasons of such cough but consult another physician and get his opinion as mentioned above." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am suffering extreme hayfever symptoms, runny nose sneezing etc. I started getting small lumps under the skin on and around my chin, culminating today with a large walnut size lump on my temple. They do not itch. Whilst I have had hayfever for many years, never lumps!Thanks Jan Moon", "output": "HI. This means now you have a severe symptom and this indicates the need for an additional steroid. Newer Steroid in the form of deflazacort are better, safer, cause less side effects, and you can take short courses of say a fw day to a few weeks in reducing doses. This is important as the lumps are indicative of the pending complication like angio-edema, which is dangerous if it occurs in mouth, tongue and such places. Consult a Doctor fast to get a prescription and the first shot ASAP" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "What actually causes cold urticaria? I stay in an air conditioned room and usually nothing happens. But when Im exposed to cold stimuli for a long time or if its really too cold, my hands swell up and become puffy and itchy. Is there a way to stop this besides covering up? Im 16, female and I have had this allergy since I was little.", "output": "Hello, Welcome to Chat Doctor, The history and symptoms suggests me that you may be having the Maynard phenomenon. It is a condition in which there is excessive reduced blood flow in response to cold or emotional stress. It is a hyperactivation of the sympathetic nervous system causing extreme vasoconstriction of the peripheral blood vessels, leading to tissue hypoxia and producing these symptoms. This can be managed by avoiding triggers such as cold, keeping a warm body temperature and avoiding smoking including passive smoking. Chat Doctor. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "goodnight doctor, my name is donald, i am 62 years and was diagonised with high blood presure and hypertension. i am presently on meds hydro chlorothiazide and lisinopril. howeveri still have anxiety problem and not sure what i should be doing again... help", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. Anxiety is a disorder and not a disease. Organic diseases require medication to get cured. Disorders normally do not need medicine because they can be cured just with the help of some lifestyle changes. You are suffering with anxiety and at 62 you should have known how to change lifestyle to get rid of it. Anxiety is the after effect of apprehension of a fear creating situation. Means you are imagining fear and your body produces symptoms of fear when there is no reason for fear now. Psychotherapy and relaxation techniques can surely help you. Please post a direct query to me with all details in this website. I shall prescribe some psychotherapy techniques suitable to you, and I am sure that your problem can be cured. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I coughed up a blood clot this morning. I have an appointment with my Dr tomorrow, but I m just wondering how bad can that be. I mean it s certainly not normal, but I have no other symptoms other than this hacking cough that occurs every morning. This is the first time I ve seen a blood clot. This cough has been hanging on for several months.", "output": "Hello, You haven't mentioned other features associated with the chronic cough. Those are whether you have fever, chest lightning, loss of appetite and weight loss. Since you are having cough for some time we can't exclude chronic infective causes like tuberculosis just by history. Need to do blood investigations on you like full blood count ESR, CRP. I need a chest x-ray also. If investigations are suspicious I might request to do sputum investigations also. Have you had a recent contact with a person who had chronic cough? You haunt mentioned your country. If your country is endemic for Tuberculosis and you are having other associated features also i It is a one possibility. You get this type long-term cough due to atypical pneumonia also. Depending on your investigations will come to the diagnosis. And if it is an atypical pneumonia I will prescribe you erythromycin. You haven't mentioned whether you are a smoker. Smoking also cause chronic cough and blood with sputum. Hope this helps. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi,i am 27 years female.i am pregnent for 6 months and this would be my 3rd child have haemoglobin 3gm.i will be thankful to u if u could advice me wheather to transfuse blood or not? as my doctor suggest me to have good diet and wait till delivary.thank you", "output": "Hello, With such a low hemoglobin level, it is most essential to get blood transfusions to replenish the levels and this done, explore the cause for such lower levels. Infections should be promptly treated and any issues like bleeding hemorrhoids and/or fissures should be taken care of. Nutrition should be Chat Doctor. Nutritional supplements should be given, and iron levels should be further maintained through injections or oral medication. Fetal well-being should be monitored throughout. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I work at a hospital. On 4/23/2014, a patient was falling and I helped her from falling on the floor. In doing so, I pulled a muscle in my back. Besides, physical therapy, muscle relaxants and anti-inflammatory prescriptions, are there vitamins or massage aids to help with the healing process of a back sprain/spasms?", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have fluid build up in legs/feet. As you mention that you have already been prescribed muscle relaxant and anti-inflammatory along with physical therapy. Yes your can also take multivitamin supplement for quick recovery, gentle message will also be helpful. But you should concern your orthopedic surgeon before doing above procedure and before taking vitamin supplement. Also, take proper rest, do not bend forward and avoid lifting heavy things. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "what medication is good for trachities? I have had this for approx. 6 weeks. I had recent xrays and came back clear.what can I do without medication?Should I demand medication ?previously I had sinuses and bronciol problems as well as a cold and so on.What is good medication for sinuses?", "output": "For traumatic, just cough suppressants anti-inflammatory agents like nimesulide can be taken...but for sinuses, mainly u should take steam inhalations 2-3 times a day, whenever u have sinus infection, means u have increases symptoms & fever, then antibiotics & decongestants. If you are repeatedly getting sinus infection, then consult your ENT doctor, & sinus surgery can be an option(FESS), if so..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have under gone to widal test, and below are the test results: Salmonella typhi O: 1 in 40 dilution Salmonella typhi H: 1 in 80 dilution Salmonella para typhi AH: 1 in 40 dilution Salmonella para typhi BH: 1 in 20 dilution Is any one there to help on explaining me about the test results Balaji", "output": "Hello thank you for your contact to Chat Doctor. If I am your treating doctor I would like to tell you that tidal title of 1:160 or above is considered positive. You have 1:80 title, which I consider it to be negative. But ideal procedure is that you have to count the community title and accordingly the cutoff is to be decided. If you have anything else to know kindly contact me. Chat Doctor. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi dr...im 26 yrs old..trying to conceive for past 3 months...yesterday went to hosp for pain in right lower abdomen....taken scan...my right and left ovary are normal...in bilateral ovaries multiple follicle are seen....my last period is feb 11...normally 30-35 days...pregnancy test is -ve...will i able to conceive??? pls help me...for the pain dr gave me hyoscine tab...any problem to me...", "output": "Hi, Thanks for the query. I understand your concern. Ovulation is essential for pregnancy & so is good semen analysis value. Bilateral multiple follicles/ & pain in your right lower abdomen ... in your case suggest ovulation problem. The possible condition is POD . Where though menses are regular/ irregular . There is no ovulation due to certain hormonal problem, Before you plan for a baby\u2019t your husbands' semen analysis done & you should get ovulation study done & if that supports POD consult a gynecologist for specific treatment. There are multiple treatment s for it ranging from pills/ injectables/ surgery as per need.& Though the treatment needs patience. You will be fine with either of them & then you would conceive too. Please don't be tense. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My brother is married person and got problem with night fall regularly.bcoz of this he feels very week.he is almost sure that because of regular night fall he got liver problem too.He told me that few years back,once he had sex for 90 mins while he was drunk and he fainted and woke up in the morning,after that he is having problem with lower stomach(just above the penis) and from that time he is having nightfall problem.", "output": "Hello Its completely normal to have nightfall in teenage and adults, however it could be due to excessive masturbation, over production of semen or its thin consistency, weakness of semen holding tubes, excessive use of semen producing diets, avoiding sexual act for a longer duration of time and weakness of kidneys as well. I suggest you to visit your doctor for your brothers detailed checkup and proper treatment if needed I hope I have answered your query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 49 and was diagnosed with mitro valve prolapse when I was 22. My symptoms have been mild over the years.But lately I will have a murmur and its a real hard quiver and I feel heavy pressure in my head. And I see white ceiling fan like images at the top of my eyes almost every day know for about six months. I just had a physical and everything was ok except for high cholesterol. Im taking meds for that. What should I do? What do you think I should do?", "output": "Hello Paymaster going through the details its advisable that you should personally consult a cardiologist as there's a need to do ECHOCARDIOGRAM to see the present status of your MITRAL VALVE, to look for the amount of regurgitation and to decide the management plan accordingly. As you are explaining the murmur it seems like it has increased in intensity. You can also discuss with your cardiologist after evaluation for the definitive treatment to this as it can be corrected. Increased MR intensity can very well cause pressure in head feeling. I wish you good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have chronic back pain that is in my hips down my legs. I take soma and perc. They help me move because i can barely out of bed. I ve done a lot of hard work like stocking at parts store, cleaning houses, and landscaping work. I need to change my Dr. that excepts my ins. Will i still reciece my pain meds?", "output": "Hi, I have read your problem. You should get your x-ray lumbosacral spine done in AP and Lateral done send us report or discuss it with your doctor. Only then further management can be advised. Avoid heavy weight lifting pushing and pulling heavy objects. You can take medicine like painkillers + muscle relaxants by discussing it with your doctor. Apply hot packs for 30 min in morning and evening. I hope you have got your answer. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am a 30 year old female who is almost 6 week pregnant with my first baby. The only concern is that I have chronic high blood pressure, and my OB just put me on medication recently. If my blood pressure is not under control, does that mean I have to teminate my preganancy since it might cause further complication? I really want to keep my baby, is it possible for women my condition keep their BP under control and still have babies?", "output": "Hello dear, i understand your concern. In my opinion if the BP is under control the pregnancy can be continued till term. Or else pregnancy need to be terminated prematurely because high uncontrolled BP is associated with growth retardation of fetus, eclampsia or fits in mother etc. There are many cases with pregnancy with hypertension with good outcome. So relax. Avoid stress. Have regular check-ups to ensure proper growth of fetus and to know the control of BP. Best regards..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am female and I recently noticed a small lump in my right groin area. In the past couple of weeks I have noticed that it has become noticably enlarged on occasion (and visible from the surface) before reducing to its original size. It is pain less but I am not sure what it is and whether it needs to be checked.", "output": "Welcome to Chat Doctor .1. The most commonly seen in this area are lymph nodal mass - they are enlarged due to presence of underlying infections and inflammations. Anatomically it skin2. The second chance could be vascular dilatation (in competent venous channel)3. The possible chances are hernia (in terms of your explanation - no pain reduces on the size) little higher to the groin area.4. When you have the lumps, get an ultrasound lumps done - helps in identification of nature of lump, its origin and extensions. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I went to a hairstylist and got my hair bleached and dyed. Now my whole body feels like it s going numb and tingly. Especially in my toes. Could this be related to the dye? I know there are people who get head numbness, but my head isn t numb. It s mainly my extremities.", "output": "Cellophane You for contacting Chat Doctor. Yes it could be due to dye. I would suggest you following things:> try to change dye of you always have problem from that particular one.> take cetirizine one at night for 3 days. Report to hospital if:> Condition remain same after 2-3 days> Any unusual symptom appears> Condition deteriorates.> There is difficulty in breathing. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been diagnosed with a mild case of mouth thrush but, I cannot find the mouth wash my doctor prescribed for me. If I am spelling it properly, it is fluconarole the doctors penmanship is terrible. Hopefully you can help me. I cannot pay even your modest fee. I have small cell lung cancer, but on limited SSI for household bills only.", "output": "Hello, The medication is called Fluconazole. Rifleman is the US brand name of a tablet that is swallowed. The medication is available by prescription. Dosage and length of use is determined by your doctor. This can vary and must be confirmed for your circumstances. Fluconazole may be given as a liquid, tablet or capsule. For oral thrush, popular alternative rinses or lozenges, are Clotrimazole, Statin, Itraconazole and Ketoconazole. There are combination solutions called \"magic mouth\" that vary in composition with an antifungal medicine, anti-inflammatory medicine and possibly pain medication to help treat thrush and provide symptom relief. Concerns with other medications you may be taking must be considered. I see you have a condition with cancer. You must confer with your doctor to follow the medication as directed. The pharmacy can clarify all details with the doctor and will clearly label the medication with instructions. Thank you for contacting Chat Doctor. I am glad to offer further assistance and hope you will be able to fill your prescription soon. I hope you find my information useful. I am sorry, but I do not know your location to make recommendations on cost saving locations for this medicine." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello. A few days ago i heard a pop on the back of my neck and felt sore there. Half hour later i felt really dizzy and weak and had a huge panic attack for two hour. The symptomes reoccur lightly every few hours since then and i have problems breathing. What s wrong with me? I m 27, healthy, blood tests fine, anual check-up very good, i work out, i am reasonably fit. I can t get out of the house, i m affraid i ll faint!", "output": "Hello, It seems you have anxiety issue. That is what is causing all the symptoms. The pop may have been a muscle catch that gets released with a pop. Sometimes it gives a brief pain for seconds to minutes. However, the subsequent dizziness does not sound like a cervical problem. I think this is all panic and anxiety. So, I would suggest you to relax. Whenever possible, do visit a neurologist for your possible cervical issues. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have several small white bumps no bigger than a fine point pen tip on my gum and then there is one big bump. My gums are pink, but where these bumps are that region of my gum is whitish/pale. And the side of my mouth is swollen. What does that mean", "output": "This means that you are most likely having pus in your gums which can indicate gum disease. If you are systemically healthy and have no medical complains and you're swelling has been persisting then you can start antibiotic amoxicillin 500\u00a0mg thrice a day and visit you dentist who would rule out the cause for such a pus which would be forming either due to a decay or gum disease and either of it warrants further treatment. Do not delay this further since you already have a swelling, and it may worsen the state of tooth as well as your general health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hie i slept with my boyfriend a wk a ago i had stopped taking oralcon birth control pills for almost 3 months,i started taking them that night i slept with him,i took them everyday for 5 days and we had sex again and since them i am on the pills,and i am worried that may be i am preganant,wat are my chances of being pregnant", "output": "Hello dairy understand your concernThere may be chance of the pregnancy when you begin the pill on the day of having sex. To prevent the pregnancy, it should be started from the first day of the cycle It should be taken regularly on the specific time every day. Taking pill for the 5 days does not protect against the pregnancy. So there is chance of the pregnancy. If you will be pregnant then still you can terminate the intrauterine pregnancy by abortion pill under the advice of the gynecologist. Avoid stress, take healthy diet, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have alot of stress from work and home. I have been feeling sleepy alot,tired and i frequently get dizzy spells. What can i take to help me. I have had problem with my blood pressure droping and my iron levels being low.Im currently taking some iron suppliments.", "output": "Hi, dairy have gone through your question. I can understand your concern. Low blood pressure and iron deficiency anemia both are known to cause dizziness and weaknesses. You should take iron supplements like ferrous sulfate or ferrous fumarate. You should take iron rich food like dates, green leafy vegetables, Chat Doctor. Go flow blood pressure you should regularly check your blood pressure. If it hoes low you should take a glass of salt water. If not controlled then you need Lopressor " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my younger baby is one and half old. she have cold running nose twice in a month but there is no solution for that please prescribe some medicines. currently given medicines are levolin, relent. if the cold is severe we have to nebulize 2times per day does nebulization is good for my baby.", "output": "Hi... Thank you for consulting in Chat Doctor. Greetings from Chennai. By what you quote I feel what your kid could be having viral associated wheeze or multi triggered wheeze. I have a few questions for you -Questions:1. How many days per month does she cough or feel breathless?2. How many nights per month does her sleep get disturbed due to above symptoms?3. Does she feel breathless when she runs around or plays with other kids?4. Are the symptoms when there are seasonal changes?5. Is there any family history of asthma or any other sort of allergies like skin allergy etc.?6. Is the cough always associated with fever? If your answer is yes for any of the above questions, your kid might be having viral associated wheezing or multi triggered wheezing, and I suggest you meet a pediatric pulmonologist who is near your place. Or you can get back to me with answers to above questions. You can approach me at the following link. Please find the link below - www.ChatDoctor .com/doctors/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had triple bypass 10 weeks ago. 2 days after surgery I started to experience an increased heart rate which I was given medication for. At the same time my heart started beating really hard. So hard that I could not even lean back or lie in my bed. I am 10 weeks in and the heart beat is still thudding in my back, stomach and head. What is causing this and when will it stop.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Since you recently had triple bypass surgery, we should first rule out arrhythmia as a cause four your increased heart rate. So consult your doctor and get done ECG, 2d echo and Holder monitoring (24 hours continuous recording of ECG). If all these are normal then no need to worry about arrhythmia or other heart diseases. Sometimes stress and anxiety related to surgery is also caused similar symptoms. So consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Don't worry, you will be alright. But first rule out arrhythmia. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "in the past i have had tonsillitis and when i got antibiotics for it, it went. after that i noticed i got 2 lumps in my neck, one under my chin and one under my ear. i have had them for about 3-4 months and i am getting quite worried about them. what could they be?", "output": "Hi, Dear thanks for the query to Chat Doctor virtual clinic. I studied your query in full details updated from you. I understood your health concerns. Based on your query data, In my opinion, Dear Your baby seem to suffer from -Infectious Mono or could be due to Mumps or could be due to Submandibular amenities with parotitis? I would suggest Clinical examination from a Surgeon and ENT surgeon if need be. X-ray of the mandible to find out the cause of the chin lump and FNAC after the CT study of the lump under the ear, would fix the cause of these lumps and it correlation to your old tonsillitis. Gp doctor and Surgeon would be needed to fix this health issue with you. Hope this reply would help you to evaluate your case and treat it with your doctors in time to come. Hope this would resolve your query and worry and Anxiety accompanied by it. Welcome for any further query in this regard to ME. I would love to help you out.Awaiting any further query. Wish you fast recovery from this intriguing health problem. Have a Good Day. Chat Doctor. N.M.S. Genl-CVTS -Senior Surgical Consultant" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi sir this is chanti from hyderabadlast 8 years im sufferrin from HBSAG. it can effect to mind lot more from that time onwards. My ears are totally blocked every time. Im not concentrating in works. And also 24 hours full heat in my body. If want take any food also its not supported to me", "output": "Hi, You are having bag Carrier state. In this condition if not in active phase than no specific medication needed But first rule out chronic active hepatitis stage by:- SGPT and GOT estimation - Head estimation - HBO DNA marker by PCR According to these reports if active phase present than antiviral medicine will be prescribed for bag.Otherwise, meanwhile consume fruits more Carrot, Indian gooseberry, onion, spinach, dandelion, guava, red Beet etc. beneficial for liver. Take care and get USG done If needed to see for cirrhotic nodules. Take precautions not to donate blood and try to keep your secretion contact to other to a much less extent as far as possible. Consult physician for examination with keeping all this in mind. Hope your concern is solved. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Doctor,Six months back I had severe cough which ran through 1 month. The cough disappreared after taking medicine for GERD. I felt some occasional pain below my left ear which was sometimes like sprain in the jaw. My ENT advised me to go for dentist and dentist advised me that I might have TMD. I went for the MRI of left TMJ, the findings are as follows:-Anteriorily displaced left TMJ disc noted in closed mouth position which is not reducing in the open mouth.Streched superior retrodiscal layer noted in left TMJMild TM joint effsion Mild irregularity noted in the articular surface of left mandibular condyle suggestive of mild degenerative changesPlease advise as I dont have any maxilofacial surgeon in Kuwait.RegardsParul Jain", "output": "Hello, Thanks for writing to us. I have read your concern. From the details mentioned, its clear that your TMJ has dislocated. Intermaxillary fixation may be required. Jaws has to be immobilized for a while. Avoid mouth opening too widely as well as biting on hard objects. Usually in such cases, amoxycillin as well as analgesics with muscle relaxants has to be administered. I hope you get well soon." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi sir this is ajay frm kolkata. my aunt is having fever with headache frm past 15 days. we have done widal malaria all sort of tests with no result. right now her right eye is closed and she is behaving abnormally. along with that she is 7 months pregnent. please can you help me in this.", "output": "Hi there, I have gone through your question, and I think I have understood your concern. I will suggest you the best possible treatment options. 1) First do not worry. 2) from your history it appears to be symptom of raised intro cranial pressure. One needs to rule out various causes for the same. 3) I will suggest getting opinion from expert neurologist. Possible causes like space occupying lesion, meningitis, Koch\u2019s, tuberculous venous thrombosis needs to be investigated and treated accordingly. I hope this answer helps you. Thanks Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i masterbit a lot and i m married but my sexual intercourse is weak and ll those after effects of masterbution has also been problem please recommend me medicine for strong sexual intercourse and how can i get my energy back i keep forgetting things and my iq level is not so good like it should be?", "output": "Dear, We understand your concerns went through your details. Masturbation is not unhealthy, and therefore it is not the reason for your weak erection and low sexual pleasure. Your problem could be erectile dysfunction. Please consult a urologist for investigation. You may also consult a psychologist for counseling. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query. Further clarifications are welcome. Good luck. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 13 year old son went to get a physical today and was told his blood pressure 124/84 he weighs 101lbs ht 62inches pulse rate 66 and he is a very active person drinks lots of water doesn t drink much soda but alot of powerade and Gatorade and water what could be causing this and could it be just a onetime thing?", "output": "No one should reach a diagnosis of hypertension on a one-off measurement of the blood pressure. Please do not worry for now. Check his BP with the same physician using the same instrument after proper relaxation in the same position (sleeping/sitting/standing) on THREE separate occasions on THREE DIFFERENT DAYS at the same time of the day. If this reading is seen on all three occasions, you will need to consult a medical specialist for further guidance." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 4 year old daughter has been drinking more fluids tha ususual and going to the toilet very frequent about every 15 min. i have had blood tests done and it stated that she should be further tested for haemochromatosis gene.what is this and are drinking fluids and going to the toilet symptoms of this?", "output": "Hello, Hemochromatosis is a genetic disorder in which excess iron deposited in the body in a various organ like liver, kidney, pancreas. It is not related to excessive fluid intake, though excessive fluid requirement may occur in its central nervous system involvement. It is incidentally detected in blood report where high hemoglobin with high iron level will be present. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have Asthma and currently using Qvar for about a week now. I have pain in my chest along the esophogas. I do take Prilosec in the Morning and an acid reducer at nite. I do not feel badly, I m weezing a bit, and I do not have any tingling in my arm.", "output": "Cellophane You for contacting Chat Doctor. Wheeze means it's an asthmatic attack. If still after taking the medicine you are having an attack then I would suggest you to visit a pulmonologist who will adjust your medication after careful examination & relevant investigations. In the meanwhile you take montelukast one daily for one month. Research has shown that it decreases the asthma attack. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son 8 years old has hive like rash on his arms and leg now on torso. I give him benedryl and it goes away and re-appears when the benedryl wears off. He has been allergic to dogs, milk soy and eggs but has not been in contact with any of those. He has no ever but is tired and was tonight a bit dizzy. We just got back from a trip to Barbados ( for a week) could this be not hives could this be a virus? If so what type of virus would cause this rash that looks and is itchy like hives for two days and no fever?", "output": "Hello, Welcome to Chat Doctor, From your description and past history it could be hives (Acute urticaria) and need not be any viral infection. It is characterized by itchy red or skin colored raised wheals which is transient, that means appears in one place and soon disappears from there to appear somewhere else. The most common cause of acute urticaria is food. Seafood, meat, poultry, egg, milk, peanuts, apples, brinjal, strawberry, coloring agents etc. are commonly implicated. It is subjective, and any food can cause it. Other common causes are medicines, infections, insect bites etc. Antihistamines like Ben Chat Doctor. Identifying the trigger and avoiding it is the best treatment. Hope this helpedTake care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir i was to go through iui pprocess this month ,. my doc suggested me to take sephene for 5 days and ovaflow 3 time a day and go for follicular study . on 8 day my follice size was 12 ,10 day it was 15mm but on 11 day doc told me hemorrhagic follicle . what is it and what are the possible reasons and what should i do next?", "output": "Hello. Thanks for writing to us. The presence of a hemorrhagic follicle is due to bleeding inside the follicle. An ovulation is not likely in this cycle. You need to try again in the next cycle after consultation with your infertility specialist. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http://bit.ly/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi , My Name is Zahid Khan age 30. I have been married this March and My wife became pregnant but lost her baby within a month.She is Living in Patna and I am right now in Bangalore. Her Doctor Suggest her that her miscarriage can be occured due to many problem so suggest me to get a check up .Please Suggest me What to do .from few month i am feeling pain some time in my lower Abdomen and Headroseal.", "output": "Hello, Your wife is having history of abortion. So you need to rule out cause for that like diabetes, Hormonal imbalance, chromosomal problem, lupus, thyroid issue, Torch infection etc. I suggest you investigate her with random blood sugar estimation, serum TSH estimation, karyotyping, Hormonal estimations etc. for primary work up. Along with that USG scan and pelvic examination also need to be done. For your abdominal pain you can take fiber supplement and antibiotic course. If no improvement than USG abdomen scan or colonoscopy might be planned. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My Liver is enlarged in size (span 16cm) Outline is normal.There is diffuse increase in echotexture suggestive of fatty change grade-3.No focal lesion is seen.Intrahepatic biliary radicals are not dilatedGall bladder is distended with anechoic lumen.Wall thickness is normal.CBD caliber is normal", "output": "Hello! Thanks for putting your query in Chat Doctor. I am a Gastroenterologist. Fatty liver has many cause like Hepatitis B, C, Metabolic disorders, NAFLD, alcohol intake etc. So I will suggest you to visit a Hepatologist for evaluation who will advise tests and then manage accordingly.Meanwhile, there are few medicines which I found very useful in my patients are ursodeoxycholic acid and vitamin E. Do regular exercise and reduce your weight if you are overweight, avoid alcohol if you Chat Doctor. I hope I have answered your query and this will help you. Wish you a good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I feel like I have an air bubble lodged underneath my knee cap. I bent my leg wrong during a game of Twister, and now I can t bend my leg more than 120 degrees, after which I feel like my knee cap is going to dislocate. This is excruciatingly painful, I get a very cramp-like feeling with a high amount of pressure on my knee. What could be the matter, and what should I do?", "output": "Hello, It looks from your details that most probably you may be having post-traumatic synovitis of knee. There is swelling of covering or associated soft injury at your knee. You should do following to have relief:- Take rest-Apply a knee support like knee cap-Take a good anti-inflammatory analgesic We used to prescribe diclofenac or other similar substances in such cases. If this does not improve your problem in next 3-5 days then you should consult to your doctor and should have an X-ray of affected knee. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I I have been experiencing lower back, and right leg pain stemming from the sacrum for 3 months now. Work has referred me to physical therapy and I go 2 times a week but the stretching exercises they have me doing are not helping. My pain is getting worse, especially sitting. Driving to work is almost unbearable. My x ray shows that my sacrum bends back where it connects to my L5 farther than normal. But they say it cannot be work related pain. They want to deny me workers comp and sat it s my bad posture. I deliver small heavy boxes all day and sit in the back o a vehicle for 9 to 12 hours a day. I am worried that they are misdiagnosis this to avoid paying workers comp. Any help would be great", "output": "Hi, thank-you for providing the brief history of you. As per the history I understand that you are not undergoing sufficient physical therapy session. I will say underground 2 days a week is for no sure going to help you at all. You need a minimum of 5 days a week of Physical therapy. Also, by your x-ray report mentioned by you, I feel I is work related issue, and you need and MRI for this. I think this is more of a spondylolisthesis of the L5 over S1 region, it's a mere speculation but with understanding the MRI study and comparing to clinical symptoms we can come closer to conclusions, as you are a delivery boy, this condition would have made some changes in the posture and lead to abnormality in the sacral region. Also, it's totally a looking the mechanism of injury is due to job profile.Also, I will advise you to undergo and MRI and also increase the number of your weekly physical therapy sessions for up to 12-16 weeks. As in my clinical practice most patients have work related injury like how you have now, and responds well to physical therapy when the proper kinematics of the spine and the injury is understood. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have what I believe is a muscle strain that has been painful for several weeks. The pain is in my upper left arm. I was doing some research online and would like to know whether I should be using ice or heat on it or both? Right now, I am using Aspercreme rubbed into the arm several times a day. I have also figured out how I can move my arm with the least amount of pain.", "output": "Hi, I am understanding your concern. I want to suggest you something as per your question, in muscle strain, immediate treatment includes Rest and ice. In first 2 days you should apply Ice (Not directly on skin) for 7-10 minutes along with rest. It helps the muscle fibers to heal and rest, and After 2 days go for hot fermentation. It will enhance your healing and increase blood supply to your injured fibers. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Crampin pain Hi im 18 yrs old n i always have worrse than crampin pain on my right abdominal.side i went.to er n they found.nothin wronf.pain comes n goes at.random.times.but when it cums i feel like going.to.the batjroom.n i.cant.do.anything please help", "output": "Hello! Welcome to Chat Doctor. This can be due to inflammation of bowel or can also be due to a stone in urinary tract. Do you have fever, any urinary complaints? In my clinic, many patients with similar complaints have been successfully treated, to whom I advise ultrasound abdomen & pelvis, X-ray PUB, urine routine, CBC & renal function tests. As you have mentioned that pain is cramps & intermittent, more likely it's a stone which causes obstruction to urine outflow. Smooth muscles in ureter contract excessively to overcome this obstruction & so is the pain. For temporary pain relief smooth muscle relaxants like Chat Doctor. Definitive treatment is done according to the diagnosis. Hope this helps. Wish you a good health. Thanks. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have been suffering from chronic constipation from the age of 12, laterly diagnosed with IBS when i was 17. I am now 22 and suffering with, what i believe to be an severe IBS attack that i have never experienced before. 1 week ago i was severly constipated and took over the counter laxitives ( Ducolax) to try and relieve my bowels and ended up off work for 2 days with severe diahorrea coupled with excruciating stomach cramps which i had already been experiencing. other symptoms include nausea, dizziness and light headedness, shooting pain in either the inside of my upper right arm, outside of my left upper arm, just above my knees (right or left) hands or feet. ( the only way i can describe it is intermittent pulsating shooting pains that come and go with no triggers) constant fatigue, feeling the need to empty my bowels constantly and when i do its very ressurinsed pain, black foul smelling stools. for 1 week now i have hav a hot water bottle constantly on my stomach, been taking merbeverine IBS tablets and drinking peppermint or cammomile tea. this is something i have never experienced before and even changed to a low FODMAP diet to try and tackle what i think is an IBS attack. no change. Maybe related, i am on a contraceptive implant and have been for 2 years, i am now onto my 3rd week of a menstral cycle which is also unusual. any advice would be very much appreciated. Laura", "output": "It seems that you have been suffering from deny Chat Doctor. Also keep in mind that if you take delivering it will result in slowing of your intestines hence again causing an episode of constipation. You need to follow up with your doctor and get proper prescription written for you. I hope you will understand the importance of getting regular medical check up for your IBS issue with a gastroenterologist." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "How strong is permanent cement on a front tooth? My front tootChatDoctore out and the dentist used permanent cement to reattach it to the root. Is it safe? When I asked how long it would hold for, she answered by saying she doesnt know. Please help. Im terrified.", "output": "Hello, Permanent cement being used for sticking broken natural crown to the root is not advisable as it will not stay long. As soon as you bite anything hard on it then there is a chance that the crown will come off. Also, there are increased chances of infection. So my suggestion is to consult an endodontist and get evaluated. You can be advised either post and core treatment or removal of a root followed by implant or bridge placement. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello. I am a 26/b/f. I have been experiencing some heart palpitations for the past couple of years now. But in the past few weeks things have gotten worse with the palpitations and last night I started having a tingling sensation in my left arm with a little pain. What could this be? Could I be experiencing some type of heart failure?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. At your age of 26 years, heart failure is unlikely. But we should first rule out arrhythmia (rhythm disturbances in heart) in your case because it can cause palpitations and left arm tingling sensations in young patients. So consult cardiologist and get done ECG, 2d echo and Holder monitoring (24 hour continuous monitoring of ECG). If all these are normal then no need to worry about arrhythmia. Sometimes stress and anxiety can also cause similar symptoms. So avoid stress and tension. Be relax and calm. Consult psychiatrist and get done counselling sessions. You may need anxiolytic Chat Doctor. Don't worry, you will be alright but first rule out arrhythmia. No need to worry about heart failure. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had an MRI on my back and have a deteriorated disk between the L5 and S1 and am having problems with siatica. I have gotten my first epideral injection but it was administered at the S5. Shouldn t this have been given at the site of my problem instead?", "output": "I read your question and I understand your concern. Yes, what you say is correct, if you were told the cause of the pain is compression of nerve root by a herniated disc, the epidural injection is done at the site of disc herniation where the inflammation which we aim to reduce is situated. I believe there must have been an error in the report or something like that because S5 is not a likely site. Even had there been an error it should have been injecting in another disc level, say at l4-l5, while there are no discs from S1 downwards. So perhaps just a typing error. I hope to have been of help." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ok I dont know if it is possible that I could be pregnant or not but I dont want to have a pregnancy test taken yet because part of me thinks its still too early to tell, while another part of me thinks I am pregnant. The reason part of me thinks that I might be pregnant, is because my last menstrual cycle was unusual. It was five days early, lighter, and shorter than what I am used to. Usually my period lasts three to four days and is 28-30 days between cycles. This last period was 1 1/2 days long to 2 days long. The reason that I think that I may not be pregnant is because I have had some stress in life that I have been dealing with. I live with my boyfriend, and we just moved along with starting a new job and quitting because of circumstances. I havent taken a pregnancy test of any kind other than ones on the computer that I have come across and they say that I may be or it is a possibility. I havent told anyone about this except some of my closest friends. My boyfriend doesnt even know yet because I dont want him getting his feelings hurt incase the test doesnt come out in our favor. So this is why I am asking you. Please feel free to comment and ask me questions. I have my reasons to believe that I can be and I can t be. I have expressed the reasons that I think why I may not be. But the reasons to let me believe that I may be pregnant are, other than my menstrual cycle, because of some symptoms I have been feeling. Although I was working for a short period of time, I felt more exhausted. I was falling asleep at a sooner time than I had in a long time. I was on my feel quite a bit with this job, but also noticed how much my feet were bothering me when i would get off them when finished with work for that day. Also when I mentioned to my boyfriend that my period was over for this month and that it came five days early, he said at least it came. And then I asked what it was he meant by this and he said accidents can happen. Although he said this to me the other night, it has been on my mind quite a bit. But later that night I also was planning on wanting to do a romantic night just for the fun of it because we hadnt had one in awhile. However I was turned down and he went back to playing his computer game. Even though this has taken place, looking back I have also felt some other symptoms other than being tired and my menstrual cycle being off, I feel like I have had an increased appetite. One night for dinner when we ordered a large pizza, I ate half of it by myself, I had eaten the first two pieces before I even knew they were gone, another day I had a bag of popcorn as a snack/lunch and I had it gone in maybe two minutes. Although I feel I have an increased appetite, I feel like I am using the bathroom more frequently. I have also been having more headaches, but not too severe. Along with everything else, I seem to have a lot of back pain and I can t get comfortable no matter which way i try to sit or lay down. Yet part of me thinks this is all too good to be true or too soon to tell. I still think that since this has been on my mind so much that it is playing tricks on me. But I guess time will tell when the next menstrual cycle comes around. But please share you opinions with me and let me know what you think. Thanks!", "output": "Hallow Dear, You seem to be in totally confused about the situation you are facing currently. Menses appearing 5 days earlier would not suggest any chance of pregnancy; however, only scanty bleeding for about 36 hours may suggest the possibility of pregnancy. Some of your symptoms like frequency of urination supports the possibility of pregnancy. Occasionally, some amount of bleeding is noted at around the time of expected menses even during first 3 months of pregnancy. Some call it implantation bleeding, some say placental sign. This confuses the diagnosis of pregnancy. I feel, there is no valid reason for you to defer the pregnancy test. Even period is missed and all other cardinal symptoms of pregnancy are present, the confirmation of early pregnancy is done by pregnancy test. Please perform pregnancy test on an overnight first morning urine sample 8-10 days after the expected date of menstruation; done earlier, it may give false negative results. Alternatively, you may opt for Beta Chat Doctor test which is very sensitive and specific test and gives reliable results even few days before menses. Once you have confirmed the diagnosis of pregnancy, please take care of your other symptoms like fatigue, lethargy, pain in legs, etc. They can be due to anemia or Hypothyroid dysfunction. Haemogramme will tell the status of your hemoglobin also. It should be above 12 GMS get your Thyroid function test to know about Thyroid status. TSH should be below 3. Hyperthyroid state does cause voracious appetite. Hypo- or Hyperthyroid state may alter the menstrual pattern. No pain is a symptom of pregnancy. So once your pregnancy status is clear, have a consultation from your doctor regarding the pain. And finally, what you suspect could also be very true. In the absence of pregnancy, most of these symptoms could be due to extreme stressful situation you are undergoing. Please manage your stress appropriately; take help of a counselor if required for it. Continuous stress may lead you to PCs also. I hope this helps you. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Age 2 years. Day 1: febrile seizure with sudden fever 102.5. Took him toER. Tests: pneumonia -neg.,CBC -all good. Light ear infection - prescribed amoxicillin . Day 2: alternating him on Motrin and Tylenol. Fever around 103 Day 3: night fever 104 .4. Came down to normal within ten mins.(Motrin) Day 4: did not let fever spike.tylenol and Motrin every 3 hours.Not very active. Day 5 ,6,: low grade fever(upto 102) every 6-8 hours. No fever for 6-8 hours after I give Tylenol. What is going on..?? He is eating and drinking okay. Ear infection is clear now.", "output": "Hi, Thank you for posting your query. The most common cause of fever in this case could be viral fever. However, as one week is approaching, we should consider other infections such as typhoid, urinary tract infection, respiratory tract infection, etc. A blood culture would be useful. A course of empire antibiotics may be necessary (in addition to amoxicillin, as it has not helped). Please discuss these with your pediatrician. Best wishes, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "im having hypo thyroid and im using thyronorm 75mg for that presently i have diagnosed with 4mm calculus in my right kidney with mild pain in that side and i also have some throat pain but whereas the neck scan reports are normal is there any prob with this calculus i would like to inform u that iv already suffered with this stone disorder last year and suffered for eight days with cystitis infection after blood urination for three times, plz suggest with some remedies for avoiding the repetition of this stone prob and how to get this away and is it easy to pass 4mm calculus without pain and it was exactly the same month that i suffered last year i suppose and y again this time", "output": "Stone formation consists of metabolic disturbances and endocrine balance. Since you are a stone former I suggest you really control your diet to prevent food rich in OXALATE and PURINE. I am sure you can search the web for a diet list. Also, the most important factor to eliminate stone disease is Chat Doctor. Potassium citrate 10meq/tab one tab 3x per day may also prevent kidney stone formation and lemonade can also help." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello,I am a 41 yr old male and have intermittent pain on my right hand side under my chest, particularly when lying down. It feels as if its under my riibs and I get a sharp pain when I breath in deeply. I have had this on and off for the last 6 months. Otherwise I am generally well.", "output": "Thanks for asking your question Central / right sides chest pain can be due to- gastritis/ peptic ulcer-cardiac issues-lung or pleural pathology-local diseases like Costco Chat Doctor. Apulnonologist or a physician who may request for a chest X-ray, ECG, and if required an endoscopy which ll help to reach to a certain diagnosis in my patients I generally start them on proton pump inhibitors and some analgesics like paracetamol and evaluate them thanks feel free to. Ask more questions" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Sir,my father is suffering with Jaundice ( 17.5) admitted in Hospital and after several tests they said my father liver got infected and there is a stone in Gal bladder and due to this jaundice attacked. after 6 days treatment it come down to 11 points. now i am planning to shift him to Bangalore to avail cash less hospitalization from Medi assist insurance. could you please advise which hospital is best to go for further treatment? i am not financially strong so please suggest.", "output": "HiT hanks for posting on ChatDoctorJaundice can be a symptom of liver disorders or infections. Since he is responding positively to treatment, changing the hospital may not be the best option. Since it has be established that jaundice is due to liver infection, I will suggest you discuss your financial situation with your Doctor. Depending on the number of days of hospital treatment he has had, your Doctor may send him home on oral relay treatment depending on the type of liver infection. Regular reviews may be planned, and he will be followed up from the house. I will advise he takes enough water as well. Hope my answer will help you Best regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "37 weeks pregnant, been leaking clear fluid all day and discharge. it come out like ive wet myself but its not urine. in the past 5 hours its been coming out in a gush everytime i stand up and im filling pads regularly, it also comes out alot when i go to the toilet is this normal", "output": "Hi there, It seems like you have ruptured membranes or what we call broken waters. This is the fluid surrounding the baby in the mothers' womb. You need to go to your doctor or midwife to get examined and check if you are in labor. 7 in 10 women go into labor themselves within 24 hours of rupture of membranes. Do get examined immediately to also check for fetal heart and fetal position(whether head first or leg first). Also need to know if you have any fever or any other symptoms. As sometimes you may need antibiotics if you are having fever or infection. Most important to get checked by a doctor right away. Hope this helps. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi! i m having irregular menstrual prblm from the beginning. My age is 24. i did ultrasonography test n doctor told me that my right overy is large in size that is 17ml and the left overy is 12ml. plz tell me will i hv any problem to get pregnent. since i m trying to get pregnent but i m nt getting. m so worried plz reply me.", "output": "Hi, Thanks for the query. If there is only disparity in the sizes of both ovaries, no need to worry. If there is any associated problem like poly cystic ovary disease, ovarian cyst etc. you have to take treatment for that. By taking treatment any possible hormonal imbalance can be corrected, and your cycles can become regular. After that you can track your ovulation and can plan intercourse during that period. For more details you can ask me through: http://www.ChatDoctor .com/doctors/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here...I was recently diagnosed with zollinger Ellison syndrome, I have decided to switch doctors and have an appt with mayo clinic on march 3rd.... I m drained, not sure if I can wait another 2 weeks.....", "output": "Hi thanks for contacting Chat Doctor.... You have YES that gastronomy, gastrin producing tumor. So hyper acid secretion present.... So main aim is to reduce acid secretion by parietal cell. For which pantoprazole like proton pump inhibitor given..... Take less spicy food. Coffe, tea, smoking, alcohol, meat like irritant avoided. Avoid stress. Ultimate treatment is along with medical therapy which keeps basal acid output less, surgical removal of tumor necessary. Take care. Consult surgeon for that... Best one is oncosurgeon for that." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Dr. Grief, My papa is 73 yrs old and has renal failure as his creatinine levels in the blood are very high ranging from 3.8-5.8 mg/dL. He needs dialysis every alternate day and has been in the intensive care unit for ~ 3 weeks. Will his kidneys recover?. The urine output is normal but the filtration capacity is not restored. Can you suggest???", "output": "Hello SABENA, your father has renal failure, we have to differentiate if it is Acute renal Failure (which can recover) or a chronic renal failure which is not likely to recover. Secondly what is the cause of renal failure. These can be judged on the basis of duration of illness any serum creatinine report 2 months back, urine routine findings, and ultrasound kidney size. Also whether he is diabetic. After assessing all this data only one can comment the chances of recovery. If no improvement occurs in 2 to 3 months time then it is unlikely to improve hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hey i am 19 and have some yellowish growths under the rim of my penis i not so sure how to decribe them. i have had them for about two years now but to embaressed to go to a gp. they do not cause any discomfort but they can some times smell. i have tryed to burst them but they do not. its like they are just bits of skin and they painfull when lots of pressure is put on them. any ideas??thanks", "output": "HiT hank you for asking Chat Doctor. I have gone through your query. If you send a picture of it then it will be more helpful in identifying. It can be fungal infection or warts. Do you have any history of unprotected sexual intercourse? In case of fungal infection antifungal creams like fluconazole will be helpful. But if warts it can be removed by applying pedophilia or by freezing with liquid nitrogen. This should be done by a dermatologist. Hope this may help you. Let me know if anything is not clear. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i take co-amoxiclav for 7 days, 1 tablet every 12 hours, after taking the drugs i experience its side effects, i have slight diarrhea and rashes appear in my skin although its not itchy. What should I do, how many days will the side effect last. Thank you.", "output": "Thanks for contacting Chat Doctor. Dear patient you have not mentioned why are you taking this medicine. If you are developing rashes after taking it then you must stop this medicine immediately as anaphylaxis can be life-threatening and should always remember to avoid it in the future. Always tell your doctor that you are allergic to this Chat Doctor. Diarrhea cause by c0-amoxiclav usually stop by itself in a day or two after stopping " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "So earlier today while I was minding my own buisness on the computer, this suddern day dream/flash back kinda thing happened. I was sat there and then all I could hear was the scream of a woman who sounded like she was being dragged away, and someone in my face who kept saying It s all going to be okay, I will all be fine, just stay there . This was all I could think about, I was wrapped in this thought that felt like a past experience, when I know nothing like this has ever happened to me before. This boilin hot feeling started happening on the inside of my chest, not painful, just extremely hot, and it kept happening. If I tried to hunk of something else, all I could hear was this screaming that brought me back. I was completely glazed over, i wasn t doing anything at all. And then I just cracked, I curled into a ball on my chair and just started crying, and couldn t stop, it was like I was hiding, I felt just petrified, curled up in a ball. After a few minutes, I got control again, and just put some music on and tried to forget about it, but it has been a shock to my system. I ve had minor panic attacks in the past, but non of them were this bad.", "output": "Hi, thanks for using Chat Doctor. I have gone through your available history. Your symptoms are of panic attack only. Initial day Chat Doctor. You should also rule out one very rare diagnosis of complex partial seizure. You should consult psychiatrist for the detailed evaluation and treatment. You can try breathing exercise, yoga and meditation and stress management. Avoid caffeine in excess. It may also cause panic attack.I hope you will be fine soon thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Dr.I was diagnosed with aplastic amnemia 7 years ago. I am currently on my lowest dose of cyclosporin 25mg. My platlet count today was 51 so my Dr doubled my dose again to 50mg. I would like to know why I have burning headache. And this then makes me nauscious? please help!!", "output": "Hi, Thanks for asking. Based on your clinical history and query, my opinion is as follows:1. Severe headache is possibly due to anemia and hence reduced oxygenation causing weakness, dizziness and hence a feel of headache.2. Medication and reduced WBC count possibly resulting in infection of GI tract could be making you nauseous.3. Continue the therapy and try to improve the various blood counts. Hope it helps. Any further queries, happy to help again." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Plese give good adivse my future. I am 34 years indian. Recently I have tested my blood and found it Hbsag positive, SGPT Alt -18( cut Cuts and puncture wounds of value 40) Hbeag nagative (p.value 0.09) ( cut Cuts and puncture wounds of value 1.00). When my wife tested she got hbsag negative. What is my status. What treatment is required or suitable? how long will i live? I had no symptoms up to detected the disease. When detected, I got shocked and stated symptoms like neassea, threast, fitigue etc., Please give me good answer as early as possible. What is mean of p.value 0.09 and sgpt Alt -18 please explain?", "output": "Dear welcome to Chat Doctor Please build up confidence, you LFT report suggest the condition of liver but I can be visualized by USG only. Nothing to worry I suggest you following alternative medicine Ayurveda medicine are the best option for treatment of Help Their are lots cases which has been successfully treated by Herbal medicines Best hepatoprotective and antiviral property Chat Doctor. Com.not worryThanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I fell and smacked the inner side of my knee on concrete. After I had mild bruising/swelling and very little discomfort. However I now have an indentation where I hit it and a firm line of tissue underneath the skin along the margins of the indentation. Should I be concerned?", "output": "Hi Hope this message finds you in good health. I have gone through your query in detail and understand your concern. This may be due to blood clot in the traumatized area. Take anti-inflammatory tablets, apply compression bandage, local ice packs. Get a X-ray done if unrelieved Hope your query has been answeredNothing to worry about, You should eventually get back to normal. Get back to me for any FOLLOW-UP QUERIES anytime. Kind Chat Doctor. .(MBBS, MS,MCH)" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi sir i am a medical student. i am now 23 i am a patient of posterior urethral valve ,and i had underwent valve abalation in my new born period.now for 6 months i had joint pain in my both knees . for that i had underwent full health check up. i was shocked when i came to know that my left side kidney is not visualised by ultrasound. my one kindney right side had underwent hypertrophy. my residual urine is40 ml. i have hb level more than 14.5 gm/dl. my uric acid level 6.8gm/dl. urea 30 mg/dl. creatininebin serum 1.0 gm /dl . i had mild pelvic calycix dilataton in my right side kidney. some times i have to give presure for my regular urination i had 2 attacks of u,t,i,i am now depressed now. pls help me to know about my life span .is there any way which protect me from knee joint pain and renal failure pls reply", "output": "Hi, Welcome to Chat Doctor forum. You had a problem with your urethra in the childhood means you have got some congenital problem regarding the urinary system. So for it is compensated, so you need not worry about the coming life, if you maintain a healthy kidney, it will be enough for the rest of the life. In HY Chat Doctor. The main thing here is the genital system, the testis, epididymis, etc. I advise you to consult a urologist, for diagnosis. Don't worry you will be fine but get it confirmed. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i had oral surgery for a blocked submandibular gland about 6 days ago. The wound is still a little swollen and there is a white layer where the incision was made. I tried taking a q-tip to it and it wouldnt come off, so i know its not pus, but what is it? Im 22 years old, Female, 56, 130lbs.", "output": "IIN regard to your query, As you mentioned you had a surgery what you see is nothing but healing tissue I would suggest you to not touch or disturb that area. Coming to the swelling it will come down slowly by another 3-4 days nothing much to worry since you have no symptoms. Swelling is part of a healing processConsult your doctor the if symptoms persist. Hope I have answered your query tic your satisfaction." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am on Levathyroxine, and have now had a second 3 day spell of very high blood pressure, palpitations, irritability and shortness of breath. Previously I ended up visiting the emergency dept. at hospital, who said my dose had been increased too rapidly. It stabilised, and I increased the dose (over 3 months) gradually to 0.50mg, then latterly to 0.75mg. After having the same (albeit not as severe) symptoms I reduced back down to 0.50mg, then later this week I continued to feel unwell, so this weekend Ive reduced to 0.25mg. After 2 days of high blood pressure (155/109), I feel ok now. But Im worried about the damage this is doing to my heart/increased risk of stroke? Been to various doctors and they are not listening?", "output": "I can understand your worries. As your blood pressure was high only for few days, it is less likely to having significant damage to your heart or brain. Your high blood pressure is likely due to inappropriate thyroxine dose. So consult your family physician or endocrinologist. They will range TSH /T3/T4 for you. According to results they will decide appropriate thyroxine dose for you. When you're taking that appropriate thyroxine dose your blood pressure will come down to normal values." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello...I am 25yrs old and delivered my dd during January.My stomach area has become very dark and my tummy is still big.Please help me to get rid off this problem.Thank you.", "output": "Hello, Welcome to Chat Doctor. For the darkened skin, apply creams containing Comic acid or Belief acid are useful. Other treatment options which you can get done are chemical and glycolic acid peels. Microdermabrasion can also be done, but this might require several sessions. Skin resurfacing using lasers is also an option. For the big tummy, eat more of salads and fresh fruits and vegetables. Eat less of fried stuff and start doing mild exercises concentrating on abdominal crunches after getting the nod from your gynecologist. You can go for walks also. Hope it helps. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a tender lump on the surface of my breast above the nipple. In the centre is a black spot. The lump is actually very painful to touch and it is inflamed. The black spot as been there for years. But recently over the last 5 days it has become painful.", "output": "Hi, I have gone through your medical history and am sorry for the situation you are in. Depending on your age, and what you are describing, it might be infection of breast glands. However, as the black spots have been there for years, if I was your caring doctor would advise to run:- physical examination by oncologist-breast ultrasound abscess is confirmed, antibiotic therapy is advised to start orally and should discuss with surgeon for possible Chat Doctor. Wish fast recovery!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have a question.. i took my daughter to the doctors on wednesday for a yeast infection and the doctor said it was nothing to worry about and to just put diaper rash cream on it for a couple of days. but my worry is that she keeps having a a reddish discharge coming it out and is still complaining that it hurts. i am thinking about taking her in to get a second opinion.", "output": "Hi... Thank you for consulting in Chat Doctor. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "im 37 y/o, female, asian. my mother had breast CA. I am a little bit worried because there is a bruise-like discoloration on my right breast and its been there for over a month. It is not painful, no lumps, no warmth, and does not seem thickened. i did notice two black spots on the areola. should i be worried?", "output": "HI, thanks for using Chat Doctor There is an increased risk of breast cancer if there is a family history of disease but this increased risk does not mean that you will definitely get this disease but that you need to monitor yourself. The bruise on your breast may just be an indicator of a small vein burst. It is not a normal presentation of breast cancer. You may want to consider the tests for the bra 1 and bra 2 genes. These genes make tumor suppressor proteins which are proteins that reduce the chance of breast cancer. Persons with abnormalities with these genes are at increased risk breast cancer. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i vaishali patel f-35 had breast cancer last august 2013 and surgery n remove it. now from last 2 week i had khansi too much and such report did i had.said that the cancer is in neck,lever n breast .. doctor siad alomost 4th satge.. and adviced to kemothearpy.. what u suggest sir..please advise..i had 2.5 one boy chiled..", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. Breast cancer when metastasize to liver and nodes, it becomes stage 4 cancer. It is inoperable and incurable disease. The only treatment available is palliative treatment which includes, palliative chemotherapy, palliative radiotherapy, painkiller Chat Doctor. All these will not treat you but can increase your life expectancy and sufferings. So better to consult n\u00e9 and discuss all these." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I lost my husband last year, I have been experiencing some depression. I am currently taking Zoloft, however, I cannot feel a great improvement and wonder if I should just discontinue this treatment and try another medication. I will admit that I quit taking the medication once in the past, because my emotions felt flat. My main problem is lack of motivation and following through with plans on my days off. What do you suggest.", "output": "Hi Dear, depression may result from death of your loved one. And might you get not proper support from family or friends, or you may attach very deeply to your husband. And also might you left medication in past and so it might possibly relapse of depression. Lack of motivation is one of the symptom of depression and so when depression clears of lack of motivation also goes away. If you are not having benefit with Zoloft there are many other medications which helps you so discuss with your treating doctor about SARI SSRI NASA group of medication. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my ankle is swollen and tender and had a hard lump just a little upwords my leg. It started 2 weeks ago by only a straingh on the side of my foot from big to to ankle now it is a bit red and swollen. Can walk but get uncomfortable if i walk to long or stand to long?", "output": "Hi, dear. I have gone through your question. I can understand your concern. You may have some injury SND hematoma or may had some growth. You should go for x-ray of foot and ankle. Then you should take treatment accordingly. Till X-ray you can take analgesic and anti-inflammatory Chat Doctor. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my T6-7 T7-8 is buldging and if I do not do anything its just that area that hurts but if I do any kind of lifting, cleaning etc the muscles to the right flare up and hurt real bad as well, is there any reason that is happening and when I take a deep breath I can feel it in my chest", "output": "The weight causes undue pressure on the spinal column which may in turn cause mechanical compression of the nerves in the thoracic spine region which relay signals to the areas of the upper back and chest region. Unfortunately, this will continue to be the case until you ad Chat Doctor. No other options....oh of course, there are pain medications, but these are poorly effective to PREVENT pain and really not designed for that purpose so you'd have to take a lot of " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "im 5ft 4 186 lbs, started with stiff painful neck on right side, now i have swollen lump high on back just below neck. Neck still very stiff, cannot touch chin to chest, most pain when trying to do that...work .on computer all day....today im 196 (edema?)", "output": "Hi, dear I have gone through your question. I can understand your concern. You may have some enlarged posterior cervical lymph node due to reactive hyperplasia or some soft tissue tumor. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doc, My baby boy is 1 y.3 months old now...he was having fever, as suggested by doc here i gave p250 and bactoclav ds 457 syrup too...he is suffering from fever even after 2 days. Doctor mentioned bactoclav d syrup and medical shop give bactoclav ds 457. Whether both are same ....pls help", "output": "Thanks for putting up your query at Chat Doctor. Had you mentioned the weight of the child, the temperatures recorded, the nature of fever and whether he is having associated symptoms like cough, it would have been easier for me to comments. Most commonly such fevers are due to viral cause which are not relieved on treatment with antibiotics. These are self-correcting conditions that automatically resolve in a few days. Bactoclav is same as Autoclave D Syrup and contains Amoxicillin+Clavulanic Acid. However, it could also due to typhoid or certain other reasons and might need to get investigated. Please consult your pediatrician about this. I hope that helps. Feel free to contact back with further queries if any." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My knuckle is in continual pain. It swells and hurt often. It has been more than 4 months are the pain swelling is still there. I was told by one Doctor that I may have strained muscle tissue in that area. Don t know how true that is but the pain and swelling is getting worse. What should I do?", "output": "Here since you already have pain since 4 months I suggest visiting an orthopedic doctor and take X-ray to see there is nothing wrong with your bones if x-ray report is normal then you can visit physiotherapist who can give you physiotherapy treatment like ultrasound and moist heat for getting relief from your pain. Along with this you can also use hot and cold pack for getting some relief from pain buy anti-inflammatory as well as relaxing and healing effect of both. But if there is a problem with your X-ray and bones with internal damage the orthopedic doctor Will suggest you for surgical option also here he may ask you to do some blood test to rule out there is nothing related to Rheumatoid arthritis or increased uric acid level.I strongly recommend following all about steps to get well soon take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have been suffering with abdominal pain for 2 years,i have had to give up nearly everything i enjoy doing,i have been a postman for 18 years and i am very proud to have had a job for this length of time but i am on the verge of losing it,bit by bit i have had to give up more and more things,i used to be a keen cyclist and drummer,but had to give them up because of the pain i am in,i do not visit my friends any more and cut off from my family,i feel like i am on a downwards spiral,i have spent nearly 1000 pounds trying to get healthy again,it all started when i had an operation on my feet,i had a bilateral foot operation to straighten my big toes as i had bunions on both feet,i also had 6 of my little toes straightened,the doctor said they would operate on both feet at the same time as my brother was off work and could look after me as i recovered,after the operation i was in a lot of pain and making involuntary movements jolting forwards and backwards,i got 2 hours sleep and i was in agony,the nurses eventually gave me morphine to calm me down,i was getting no abdominal pain at this time as it was my feet that was hurting like they had been broke in two,the next night was similar after that my feet although were sore,started to calm down,i didn t know if i had damaged anything and as i was getting no pain from my abdomen i thought i must be OK,but i was on a lot of tablets at the time,i always worry about side effects but thought the medication would do me more good than bad,about 2days after finishing my medication i started to get a pain in my right side half way between my naval and side,like a glowing ball,it was uncomfortable to sit,and very painful,it felt like someone was pressing a knife into my side,the pain seemed to calm down if i lay flat after a while,i went to see the doctor,she said it could be a stone and sent me for ultrasound,endoscopy,colonoscopy this was over a few months and all came back clear,i was also sent for blood tests whicChatDoctore back clear,although my liver profile was slightly high,by this time i was getting a pain in my left side as well halfway between my naval and side although this was not constant,i went to see a herbalist who nearly got the pain to go,but the pain came back twice as bad,after one year i went back again to the herbalist who gave me the same medicine again,i tried it for longer but my symptoms did not improve,i was going back to the doctors who was telling me it was nothing to worry about,sometimes these things sort themselves out and they couldn t see my having this the same time next year,all this time it was getting worse,i was put on lanzoprazol which just gave my direah,omoprazol which did the same,there were no improvements to the pain,my symptoms were getting worse,ihave seen 3 or 4 consultants,the comments i have had are,sometimes these things cant be found,it might get better over time,try to do things as normal and see how you are,what will you do if we cant find out what it is?all the time my symtoms have been getting worse,i was also put on anti-depressants which just put me to sleep and i woke up with the same pain,more recentally ive been put on gabapenin and pain killers which are not getting me any better as my symptoms have got worse still,i told the consultant the tablets were not working and he said you must not be on a high enough dosage,ill increase them and see you in 6 months,i felt the worst i have ever felt,he was telling me sometimes these thing cannot be found we just have to learn to cope with them,if it was him i bet he would be trying harder,at the moment i am getting pain in my right side halfway between my naval and side,pain in my left side halfway between my naval and side,pain right across my stomach,like severe stomach ache,pain in my lower back,sometimes both sides,severe pain in my groin,sometimes when i am urinating i have to stop halfway,sometimes i get shooting pains up my backside,sometimes pain between my ribcage i have to go sleep on my back,i cannot go sleep on either of my sides,and if i turn over by accident it takes hours to get back sleep,i cannot bend down,as the pain in my stomach intensifies,when i have had a poo on the toilet the pain in my stomach is unbearable and i have to lye on my bed,which makes me dread going the toilet i am more exhausted than i have ever been and when i get up everyday i feel like i have not been bed at all,i am writing this now as i cannot get back to sleep,over time my symptoms are getting worse,the last thing the doctor said to my was it is just a symptom,i feel like my life is over to say that to me when i am a person and i deserve a life to,i am in constant pain ,i feel like i am living a nightmare,i do not know how much longer i can take of this,i have been to herbalists,physiotherapists,acupuncture,i have spent loads in health shops,i am eating the healthiest i have ever ate,i have worked all my life and i want to work and have a normal life,i do not want to lose my job over this,i have missed family birthdays,holidays,Christmas,new year,i am just living my life on auto pilot,i feel like i am just waiting to collapse till my body gives up,i feel like i have always been like this,i cannot remember what it was like to be healthy or happy,i feel like i am living someone else s life and mine is over,thanks for reading this letter,i hope you can help me,any input you have i would appreciate i am a good,honest,hard working person,i just want to lead a normal life,Matthew", "output": "I think your having psychological pain abdomen...you please go and consult psychiatrist... before u do DAT u please get cent abdomen so DAT your sure that no abdomen pathology present... if ct is normal den get a neurologist opinion if he says nothing den nothing 2 worry...in my experience i have used SSRI like paroxetine n it worked in many patients... so if possible start on paroxetine 50\u00a0mg daily in night..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "dear sir Please help me, My self neetu meena and my age 23 year old. Sir i m suffering from pyria from last few years. Now my pyria problem is solved but my gum are not improving the doctors are suggested for the gum surgery to me. But I wan t to avoid this painful surgery. please suggest me some other Medician that helps to improve my gum and covering the teeth Properly. Please help Me.", "output": "Hi Meet, The problem of pyorrhea is basically due to improper oral hygiene. A complete scaling can improve the health of your gums. Once the superficial deposits like calculus and plaque are removed, the gums slowly shrink back to their normal self, although this might take some time. Also, deep curettage can be done along with root planing which is not a painful procedure when done under local anesthesia. This procedure is not very invasive and can work wonders for improving the gingival health. If after these and a regular oral hygiene maintenance also your problem remains, then the mucogingival surgery is the last resort. If you're not convinced by your present clinician then a second opinion would help well, and you would have more clarity about these treatment options. I hope this advice solves your problem. Take care :)" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im 38 female and very athletic (exercise at least one hr a day, sometimes 2 sessions for example spinning cycle), Ive been noticing feeling od lump in my throat consistently over last week, no pain, some none-smelling tiny gas bubbles come out if I twist my body. No heart burn pain just feeling of tightness. Im scared as my mom died of gallbladder cancer at 50 and she burped a lot. Is it the same thing? Is it possible that my constant exercising created the hiatal hernia? Is it that I drink coffee in the morning?", "output": "Hello, I have gone through your query and understand your concern. As you know, a hiatus hernia is a condition in which a portion of the stomach is displaced into the chest. Hiatal hernias are considered important, because of the erroneous perception that a hiatus hernia predisposes to esophageal reflux. We now know that acid reflux into the esophagus is usually due to inappropriate relaxation of the lower esophageal sphincter, the muscle barrier between the stomach and esophagus. The hiatus hernia is an incidental finding that is not related to the development of the clinical problem. Individuals who exercise will often have heartburn due to acid or food refluxing into the esophagus. When you lift weights or do setups you strain and bear down increasing the pressure in the abdomen. This increased pressure can overcome the pressure in the lower esophageal sphincter causing material to reflux into the esophagus. Therefore, although exercise does not make a hiatus hernia worse, it can cause symptoms that are often considered by the lay public to be associated with a hiatus hernia. The only way that you can prevent reflux is to avoid exercises that increase intra-abdominal pressure, not a realistic option for most people who exercise. The good news is that the reflux episode usually lasts a short time and there is no long term consequences of the reflux. However, if you are in the minority of patients who have severe reflux symptoms associated with exercise, you may consider taking one of the over-the-counter H\u2082 receptor antagonists or Proton pump inhibitors like Sanitizing or Pantoprazole with Antiemetic like Risperidone. Do not get concerned about this. And it does not have any relation with gall bladder. Avoid coffee or tea as you have reflex symptoms. Hope this helps. Please write back for further queries. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was on the nuristerate contraceptive injection for a month and was due to go for a second shot but did not go,I got my regular period about 8days after due date to go get a 2nd shot and got another 3 more menstrual cycles a week apart and I got an abnormal light period a week ago and it lasted for 4 days which is abnormal because I usually bleed for 7days. What is wrong with me?", "output": "Hi, Your symptoms are more likely due to the hormonal imbalance induced partly by the injection and partly by the failure to take the due dose in time. The menstrual bleeding is a with Chat Doctor. You have two options; either go for additional hormonal supplementation to correct the bleeding disturbance immediately through consultation of your specialist or waiting for a couple of cycles with regular intake of doses to see if the disturbance settles down on its own. Either way, you need dietary supplementation of vitamins and minerals. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My heart beat is inside my head and then it pauses with a funny little bump or flutter in the middle of my chest. I can feel the little flutter/bump in my chest especially at night when I am at rest. I also have heartburn. Recently, I feel off of a small three step, step stool while hanging curtains and landed flat on my back. Could the fall have done something with my heartbeat? I did go to the emergency room with two small fractures on my spine.", "output": "Hello Welcome to Ask a Doctor service I have reviewed your query and here is my advice. The over all given symptoms that you have could be suggestive of dyspepsia and hyperacidity, it is the typical symptoms of acid peptic disease, it can be well managed with Omeprazole once in a day, try to avoid eating spicy food, heavy meal, coffee, smoking. Hope I have answered your query, let me know for further assistance." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 5 year old son has had a high temp 38.5, swollen glands behind his ears, white around his tonsilies, face is puffy and red and he also has a lump at te side of his penis. He has been complaining of sore heads and twice now of a sore stomach. He has had penicillin since sat however seems to be getting worse. Help please", "output": "Hi dear, I understand your concern. White points on the tonsils, fever, enlarged lymphatic nodes are signs of acute bacterial tonsillitis. I recommend going on antibiotic therapy:-Augmenting(Amoxiclav) 250 mg 3 times a day for 7 days.-Vinyl 1 capsule daily for 1 month.-Stress 1 tablet 4 times-Salty and Chlorhexidine gurgling 4 times a day.-Zirconia 5 ml daily for 1 month.-Paracetamol 15 mg/kg/swishing your baby speedy recovery. If you have more questions, then don't hesitate to write us, I am always happy to help." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a warton tumor on my neck under my ear. Went to an ENT Dr. And was told it must be removed however because its near arteries could have danger of paralysis. Had fine needle biopsy no cancer but only when removed can they be 100 percent sure. How do I find a Dr who would specialize with this surgery?", "output": "Hello there, thanks for the question. I'm a dental specialist, read your query, u have not mentioned anything about any pain or difficulty with this tumor. Have you done any radiological investigation like MRI of the said region along with your fine needle biopsy??MRI imaging will give you whether it is involving the arteries and nerves and also will indicate whether surgery is needed immediately, in my opinion you should consult an oral maxilla surgeon preferably or a head and neck surgeon/ENT surgeon. Hope this helps and feel free to get back with other symptoms r any history regarding this tumor u have. Many thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 59 year-old-male who was diagnosed with CLL about one and one half years ago. No symptoms at this time except possibly a little fatigue. I also suspect that I may have a low testosterone level because I dont have much hair on my legs any more, energy level is down, weight has increased a bit, and sexual desire is a bit diminished. My question is whether or not testosterone therapy will have any effect on CLL.", "output": "Hi, Thanks for writing in. Testosterone therapy is unlikely to influence development and progress of CLL. Once you have CLL it is better to get a follow-up done since it has been one and a half year from detection which is not many days back. Please get your blood tests and ultrasound scan done to know if you have any features of CLL. Diminishing of sexual desire is present in many patients of CLL during recovery, and you appear to have had CLL only recently and recovery is taking place slowly. However, your fatigue requires to be investigated and if you need to continue treatment for CLL. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am looking for costs for evoked potentials testing, or any other tests that may be run to indicate Multiple Sclerosis. I have already had MRI brains scans with and without dye. My company supplied health insurance is to be dropped at years end. I will need coverage starting January 1. I have an appointment with neurologist January 7 which the wait time to get the appointment is 6-8 weeks. Unless I enroll in a healtcare plan by tomorrow, I will not be covered by insurance. On Friday, December 20th, we he employees, were not notified by our employer of the change to individual health insurance.", "output": "HIT hank for asking to ChatDoctorAs a matter of fact there is no particular diagnosing criteria which is taken as granted for final diagnosis rather, the clinical sign and symptoms if matching with score decided and at least five such symptoms has to be matched, the MRI study, and the lumber taping which could be having antibodies for MS these are the rules for final diagnosis but most important is clinical sign and symptoms, hope this could help you have nice day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi this is basir I have one qustion from you I always take out my sperm by hand I know that it is harmful and it is also harmful for my future when I married is it possible that my wife will be pregnant Please say the sumrize of my question that is it possible that in the future I will be a father although I always take out my sperm by my hand", "output": "Mr. Basir, well to begin with sperms being produced is stored and when the store is full it would automatically come out as white discharge, letting it out by act of masturbation is also normal. It is definitely not harmful at all by any means. Excessive masturbation, if a person is overly involved in it so as it affects his routine functioning then that is a problem related to hypersexual behavior and indeed requires help. If you could give more details about your behavior I will be in a position tell you whether you need help or not at this point in time." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I took my husband to the ER today with an abcessed boil which they lanced and treated. The doctor mentioned something about if the infection was deep enough it could be something else that is life-threatening...the word sounded like forney??? Do you know what Im talking about and what this is?", "output": "Hi and thank you so much for this query. I am so sorry to hear about this mixed up. I am sure he just tried saying that the deeper the abscess pocket the more concerning it is. However, what matters most is that it has been treated and healing would start. We are not talking of complications but healing at this time and that is the good news. Do not let some of these medical reasoning disturb your quiet peace. I hope this helps. I wish you well. Feel free to ask for more information and clarification if need be, and I will gladly respond to." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I recently had a micro urine test completed and it said i had urobiligin result of 4, leukocyte +1, trace of protein, and squamous epithelial 67 with a result of \"rare\". I also had a result of 9 on a vitamin D blood test. My liver test results also say I had a 4 for my bilirubin. Should i be worried? Im 29 yr old female. 167 lbs.", "output": "Hello and welcome to Chat Doctor. Thank you for your query. Yes, there are a couple of things you should be worried about here. Let us first shed some light on the urobilinogen. The causes for elevated levels of urobilinogen (bilirubin in the urine)are:-Liver diseases-Bile duct obstruction-HepatitisAs you have also an elevated serum bilirubin of 4 (whether total or direct), this indicates some abnormality with the liver. Please conduct an ultrasound of the abdomen and pelvis and also check other parameters in your liver function test. Also, it is important to note that your vitamin D levels are very low. The normal levels are 20-56 NG/ml or 50-140 MOL/L. Levels below 32 NG/ml are considered to be low, and a level below 20 NG/ml can cause serious conditions and predispose to conditions like breast cancer. Please meet your doctor at the earliest and initiate vitamin D injections at the earliest. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications. I would gladly help you. Best wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a diabetic but i also had a stroke last april, the doctor gave me sildenafil teva 50mg as i have started to suffer from ED, when i got home i read the enclosed leaflet and it states that i shouldnt take it if i resently suffered a stroke. he has said i may use this once a weak but after reading the leaflet with the stroke comment i m asking if its safe.", "output": "Good Day, and thank you for being with Chat Doctor ! You may use sildenfil 6\u00a0months after your stroke. If you are still concerned about it, you may try penile vacuum devices and injections or urethral pellets which would have a lower systemic effect. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: http://www.ChatDoctor .com/doctors/ Chat Doctor. Best wishes" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 53 year old male a little overweight and have COPD and is disabled. My BP use to stay around 115/75. The last 2 days it has been going from 113/63 to 159/92 at rest. I have had a few cardio work ups and they are telling me that they dont see anything that is wrong. Could they be missing something ?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. COPD is chronic obstructive Pulmonary disease. It is chronic, progressive inflammatory disease of airways. Treatment steps are as follows. 1. Inhaled bronchodilators and inhaled corticosteroid (ICS). 2. Chest physiotherapy and deep breathing exercises. 3. Smoking cessation if you are smoker. 4. Adult Pulmonary vaccination with pneumococcal and Influenza vaccines. Along with exercise above-mentioned other things are also needed for complete symptomatic relief. So consult pulmonologist and discuss all these and start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I was just wondering..my son is 4 years old for 3 days his fever will goes up and down,his doctor take a dengue test and it s negative,i m still worried what is going on with him,pls. help is my son suffering from viral?how many days viral infections be gone?pls advice.thanks", "output": "Brief answer :Viral fever usually lasts for 3 to 4 days. Detailed answer :Hi, welcome to Chat Doctor. Your child has fever for 3 days. It could be a viral fever if dengue test is negative, other possibilities are malarial infection, respiratory tract infection. In my opinion, you should do some tests like malarial antigen test, CBC with platelets. If your child has some other symptoms like cough, throat pain, then probably the child will need antibiotics. I hope this will help you. Take care. Regards - Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I have had head pains for the past year. They are pulse short pains that happen when I strain or laugh. They usually last 3 to 7 pulses and then are completly gone. Also the past three weeks I have had a pea sized knot right on my hair line around where the head pains are. I have a doctors appoint next week but I am so nervous. Does it sound very serious?", "output": "Hi, If I were your treating Doctor for this case of this head lump, I would come up with only one and one possibility that is a sebaceous cyst! Nothing to worry about this and try not to get infected there, and it has nothing to do with your headache! Headache is related to nerves, brain, blood pressure, emotion, coughs and migraine... I suggest you to go for an FNAC test of the lump for confirmation and to relieve your concerns! Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was wrestling today, and I got hit with an elbow to my cheek bone. We have been putting ice packs to it, but I am very sinsative to cold things and it makes my pain worse. I work as a model, and having a black eye and swollen cheek will not do. What can I do to help this heal faster? Also how long will this take to heal? Thank you Yoshi", "output": "Thanks for your query, I have gone through your query. The pain and swelling over the cheek can be because of the impact or because of the fractured bone. Nothing to be panic, consult a good oral and maxillofacial surgeon and get it evaluated. You need to get a radiograph done to confirm the diagnosis. Till then, you can take an analgesic with anti-inflammatory Chat Doctor. Once the diagnosis is confirmed, we can treat accordingly. I hope I have answered your query, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I need to find a list of foods for Diabetics that are okay and a list of foods that you should avoid, so that I can print it out to go by. My husband has just been diagnosed with this. Can you tell me where I can go to find these list on the computer please. Thank you, Judith Shields", "output": "Hello, As a rule, the sweet foods are to be avoided .and no sweet food should be eaten in large quantity and not shared with any another sweet food as far as fruits are concerned eating whole fruit is much better than taking juice. If you Google for foods which are safe and which are bad for diabetics, you will get complete info on Google, take foods with low glycemic index. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I m Training to be a professional athlete for Snowboarding. I bruised my heel back in February and I m still suffering from this injury today. I got xrays... no fractures. I got 2 cortisone shots, an accupuncture, new footbeds, laser treatments, ultrasounds, taping.... nothing seems to cure my heel. The season has begun... I ve been trying to ride but there s so much impact in my sport that my heel gets so sore. It s so painful to try to subside the pain. I ve been wearing an aircast when I ride... which helps a bunch where it takes pressure off the heel and adds more pressure on my arch. Do you have any suggestions/ideas?", "output": "Hello, It looks from your details that you may be suffering from planter fasciitis. You should do following to have relief in this- -Do warm water fomentation in a bucket half full of warm water over your foot. Do it at least for three times a day.-Avoid running, hiking or lifting heavy weights.-Start doing heel stretch exercises & manipulation of heel from your physiotherapist.-If physiotherapy modalities are not helping you then you may ask from your doctor for steroid injection locally at the site of pain. Meanwhile, you may have medicines like acetaminophen for relief. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a lump on the back left side of my jaw thats getting increasingly larger er doctors have tossed around the idea of a clogged saliva gland I feel my saliva glands are working to the best of their ability could this be a cyst due to oral surgery this isnt painfull all the time but is when I first noticed it 2 years ago and is now headaches pain radiating from my ear pain while chewing hearing a squishing sound now while chewing sleepless sweats while not busy and during sleep fatigue please help", "output": "Hello, Welcome to Chat Doctor forum. Lump arose at the back left side of jaw may be due to-deep caries, periodontitis, pericoronitis due to impacted wisdom tooth. I would suggest you to get a thorough clinical evaluation by a dentist. Pus within the lump has to be Chat Doctor. Associated tooth has to be root canal treated if necessary. Take amoxicillin -500\u00a0mg tablets thrice daily for 3 days along with analgesics. If there is impacted tooth, it has to be extracted or retained depending on the position of erupting tooth. Meanwhile, maintain oral care. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi,i have 1.2 by 1 cm. swelling of left superfacial parotide gland .what are the optiones i have ?can it be reduced by medicines ?will it grow and i will have to undergo surgery ,if left as it is", "output": "Hello there, Thanks for writing your query. There are various causes of parotid gland swelling, few of the following- 1. Inflammation of the parotid tissue known as parotitis. 2. Bacterial and viral infection. 3. Stone in the salivary duct. 4. Progress syn Chat Doctor. 5. Last but a rare cause is tumor in the gland. So I would suggest you go to an oral and maxillofacial surgeon and get the thorough examination done including x-ray and FNAC and biopsy (if needed) and take a symptomatic treatment. Hope this will be helpful. Take care. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi i am rakhi from Bangladesh. I was trying to have baby for 2 months, but was unsuccessful. Then i visited a doctor and found hormone disorder and irregular period considered as a problem. After few medications my hormone became normal and she gave me Tab Letrozole 2.5mg along with gestrenol 5mg and folic tab. Meanwhile i read leaflet of letrozole what is used for. I seen this is for mainly treatment of breast cancer. My question is this the right medication for having pregnant?", "output": "Hello. Thanks for writing to us. The treatment that you have been prescribed is correct and this helps in inducing ovulation thus helping in getting pregnant. You need to be patient and follow your doctors instructions carefully to have best results. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http://bit.ly/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am having chemotherapy as my CEA was 65 and Petscan indicted that some liver cysts that have been there for 2 years, may have become cancerous. After 4 sessions of chemo the CEA is down to 10 but my gamma GT is up from 33 to 65. Could this be due to the chemo? I had a 5th session today (Wed) and after the 6th in 2 weeks I will have another Petscan to see if surgery is necessary. Should I be worried about the gamma GT as I drink wine most days but below the recommended maximum levels.", "output": "Thanks for your question on Chat Doctor. In my opinion you should not worry much about this much rise in GGT.GGT is the enzyme raised when there is obstruction in the billiard tract. But in this rise of GGT is many folds. So GGT of 65 is nothing to worry about. It has nothing ti do with chemotherapy. This may be a laboratory variation. So get your chemotherapy as per schedule and get done follow-up PET scan to see for improvement." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Sir,Im suffering from mouth ulcer spread on gum of upper teeth (patch of 1 sq inch approx) . It is painful only while taking spicy food. I have consulted local Dentists but not getting any relief by Jel & mouth washs prescribed by them . Kindly advice whom i should consult next. I m located in Delhi. .... Regards, D Mitra", "output": "Hi, It would have been great if you could have mentioned the duration of the patch. Anyway, if the mouthwash and gels have been ineffective, and you have exceeded 15 days with the same patch/ ulcer, I feel It's time you see a maxillofacial surgeon who could exclude any other diagnosis. In the meantime, try rinsing your mouth with warm saline rinses and apply topical denote (or a similar formulation) to the ulcer just before having food. This will make you comfortable during eating. This is not the definitive treatment, and is just supportive. Wish you good health. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have just been diagnosed with polyps & Diverticulitis . The Polyps were removed during the Colonoscopy & Gastroscopy . I have fears the Polyp s will return &eventually develop in to Cancer . I take Pariet for Reflux , which I would really like to eliminate . Not sure why , just something keeps telling me they are not ideal to take long term . I have been taking them for 4 1/2 years . I am 60 years old ! Regards , Paula .", "output": "Hi, dairy have gone through your question. I can understand your concern. You have polyp in your colon. Chance of recurrence and turning in to cancer depends on type of polyp. Please send me histopathological report of polyp. For diverticulitis, you should go for permanent surgical treatment. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi im 18 and last night Im not sure if i wet the bed or had a wet dream. I have anxiety issues and am under the stress of going to college. Ive never had a wet dream before, but lately im sexually active but have not ejaculated in a couple weeks. There is no smell of pee on my sheet , but i feel theres too much liquid for it to be a wet dream.", "output": "Degree understand your concerns. I went through your details. You are just 18. At your age wet Chat Doctor. It did not happen yesterday never means it should not happen. From the description I shall conclude the wet feeling a combination of sweat and urine or urine and semen. There is nothing to worry and anxiety and stress do have nothing with nocturnal emissions. Be happy. Please do not ignore. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i had a spell at work where i became light headed, dizzy, shaky and felt like i would throw up when i got home i checked my blood pressure and it was 136/99 and has been in that range ever since (yesterday evening) my normal blood pressure is 130/64 what should i do?", "output": "Brief Answer:At this levels of Blood Pressure, no Chat Doctor. Detailed Answer:Hello and thank you for the question. I read carefully your health concerns. First thing I would like to ask some questions. What is your age? Do you have any family member suffering from High Blood Pressure? Are you overweight? Do you some? Do you exercise regularly? I am asking this question, because those are the mos common risk factors that leads to High Blood Pressure. As your values of Blood Pressure are not too high, before starting using any type of medications, it is preferable to start making some changes of your lifestyle. First your diet must be more focused on high fibers and proteins and low on carbs and fats. It is very important to be on a Low Salt Diet, bevause salt does influence on Blood Pressure. If you smoke or " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my father has both diabetes and high B.P. and his b.p. is 230/130he is taking regular medicine for b.p. and taking precaution for diabetes should not rise(following diet chart). but bp is not goinbg down and proteins is also coming in urine. his reports are also normal..suggest something what should he do now", "output": "Thanks for your question on Chat Doctor. I can can understand your concern. Your father is having accelerated hypertension (blood pressure more than 200/120 MMH). And this much high blood pressure can damage kidneys and cause protein lose in urine. So we have to control his blood pressure to prevent further kidney damage. Follow these steps for better control of blood pressure. 1. Strict control of salt intake is needed. 2. Avoid fatty and oily food. 3. Do regular aerobic exercise like running, cycling, swimming etc. 4. Start angiotensin receptor blocker (ARB) like telmisartan, losartan. Other antihypertensive Chat Doctor. If still not controlled then centrally acting " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Doctor, I would like to visit the jungle here in Peru where I m vacationing. However, I didn t bring malaria pills and the only pills I can buy locally are HCQS. I need to start taking them two weeks prior to visiting the jungle and that s a problem for me, since I want to go now. Can I start by taking a larger doses the day before I go? Best Susanne", "output": "Hi, It is not safe in higher doses. As per the CDC for the prevention of sensitive malaria HCQS is given in the dose of 400 mg per week starting at least 1 week before traveling to the area where malaria transmission is common. And it should be continued as one dose per week while there, and for 4 consecutive weeks after coming back to home country. Taking HCQS in higher doses can cause myopathies, myasthenia-like syn Chat Doctor. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "got some type of bite. have a dime size white (reg skin color) center with spreading purple- bruise like color circling it and getting larger. It s on the inside of my forearm. I helped cut trees today and didn t feel or see any insects, but this appeared afterward.", "output": "Cellophane You for contacting Chat Doctor. Insect bite results in allergic reaction which is manifested in the form of rash with or without itching. It takes few days to recover. I would suggest you following things:> Take levocetirizine one at night for 5 days.> Try not to scratch the area, or it might lead to scar formation.> try to keep your body covered while working outside. Report to hospital if:> Condition remain same after 2-3 days> Any unusual symptom appears> Condition deteriorates.> There is difficulty in breathing. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i had sex 24 hours ago and he finished inside me - i dont want to get pregnant if i am not already i dont know - i live in the gulf - its prohibited and illegal to have the morning after pill and they do not sell it here - i need a solution soon - very scared", "output": "Hello, Thanks for trusting us with your health concern. In the current scenario, if possible, you can go for the insertion of an IUD. Ovulation occurs two weeks prior to the onset of the next menstrual cycle. Please remember that an unprotected sexual intercourse during the fertile or ovulation period only can lead to pregnancy. If the intercourse did not take place during this period, you are safe. Regular hormone contraceptive pills can be used in high doses in place of the emergency contraceptive pill. However, the side effects may be higher, and the efficacy rate is lower. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband is post surgery (left hemi glossectomy with modified radical neck dissection T2,N1,M0) with 7 rounds of chemotherapy (Cysplatin) and 33 radiation sessions. His recent CT (11/11/14) showed soft tissue thickening along the anterior lateral left tongue base measuring 1.1cm (previously measured 1.4cm on 8/8/14). Both his Radiation Oncologist and Oral Surgeon said he is fine .....should I be concerned and if so, what further steps and/or opinions should we take?", "output": "Hi, Thanks for writing in. I suppose your husband got left half of his tongue removed surgically and followed by chemotherapy and radiation. Since his first pre-operative CT showed a 1.1 cm lesion, it was an early stage cancer and that is why surgery was recommended. After surgery, the operated area can develop in to a healthy scar. He has received 33 fractions of radiation and that will control any microscopic extension of the cancer in to the healthy appearing tongue. The soft tissue thickening measuring 1.1 cm is healing scar. The radiation has given an appearance of a scar formation. He must continue visiting the oncologist as required. Also, the operated wound must be regularly examined to see if it is healthy and showing healing in progress. Chance of recurrence from early operated oral cancer is less. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had my kid 3 years ago and I had an episiotomy. It healed nicely. 1 month ago, I felt 1 lump (pea size) along the episiotomy scar. And now, that pea sized lump had grown bigger along with 2 more new pea sized lump. Should I be worried and consult my gynae on this issue?", "output": "Hi, dear. I have gone through your question. I can understand your concern. You may have stick granuloma or some scar problems or some cyst. You should consult your gynecologist and need examination. If needed go for biopsy. Then take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 55 and have been under great stress of caregiving for 3 years. My own health is deterioating. BP goes from 89/50 to 145/125. I feel awful when my bp is out of whack Last night I had the 145/125 spike after an arguement..My chest was very heavy, Pain in my L shoulder area and today woke with a dull fog and lingering headachel The heaviness in my chest waxes and wanes. At what point does it get called an emergency", "output": "Hello! Welcome and thank you for asking on Chat Doctor! Regarding your concern, I would explain that the heaviness in your chest may be related to high blood pressure. But, I would recommend consulting with your attending physician for a physical exam and some tests to exclude other possible causes of chest pain and uncontrolled blood pressure: - a chest X-ray study- a resting ECG-complete blood count for anemia-kidney and liver function tests-thyroid hormone levels for possible dysfunction- blood electrolytes for possible imbalance-fasting glucose-blood lipid profile for dyslipidemia. A cardiac stress test is needed to exclude possible coronary artery disease. Meanwhile, I would recommend some tips to help maintain a normal blood pressure: - avoid salt and caffeine intake-perform a lot of physical activity (aerobics, walking). - try to lose some pounds if you are overweight. Stress seems to play an important role in your symptoms. Yoga and meditation may help in this regard. Hope to have been helpful! Kind regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, my wife was recently diagnosed with a glomus vagale, paraganglioma in the vagus nerve on the right side of her neck. She had experienced a momentary blindness while driving and was being checked out for a possible minor stroke, and the MRA showed that her arterial passages in the neck and head were clear, but that the carotid artery was being displaced by the tumor which had previously been undetected. She also had elevated blood pressure when she went in for the checkup, and her blood pressure has continued to increase since that time a couple of months ago. We have spoken to several people (PhDs) who are medical researchers who have indicated that this might possibly be caused by the displacement of the baroreceptors in her carotid sinus. However, her medical doctors do not believe that this a feasible cause. Any suggestions are possible known similar cases?", "output": "Hi, I am Chat Doctor. I have read your question with care and understand your concerns. Let me try to help you Question 1 : What is the treatment for gloves eagle tumor Answer 1 : Two treatment Options are available a. Surgical Excision is the treatment b. Endovascular Embolization c. Sometimes, a combined approach is needed. First they embolize and reduce the Blood flow to the tumor and then operate and remove it Question 2 : and its side effects? Answer 2 : Side Effects possible are Bleeding, Paralysis of One Side of the Body, Loss of Vision in One Eye, Coma, Death Question 3 : We have spoken to several people (PhDs) who are medical researchers who have indicated that this might be caused by the displacement of the osmoreceptors in her carotid sinus. Answer 3 : Yes. This is possibleQuestion 4 : possible known similar casesFollowing Hospitals have reported having treated similar patients. West mead Hospital, University of Sydney, Sydney, NSW 2145, Australia. University of Toronto, Toronto, Canada. The Departments of Neurological Surgery (JBW, MJL) and Radiology (HJC), The Mayo Clinic, Rochester, Minnesota. 1Department of Otorhinolaryngology, Head and Neck and Facial Plastic Surgery, Hospital Full gag, Teaching Hospital of the Philipps-University Marburg, Full, Germany Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. Let me know if I can assist you further. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have been taking norvasc 5mg for bp for a year . i haven t seen any change in my bp. my bp in my right hand is in the morning 145/75. but in my left hand it is normal. after taking the medicine for one year i have experienced no side effects except lower heart beat of 48 to 52. i am 38. what should i do please?", "output": "Hello, I would explain that novas does not have any effects on the heart rate. As your blood pressure values are still above the normal ranges, I would recommend increasing the dose of novas to 10\u00a0mg daily and see if it helps improve your situation. I would also recommend performing a Doppler ultrasound of the carotid arteries in order to investigate for possible atherosclerotic plaques. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor, My father had fewer, also had fits for 2 times, during fits he was unconscious for 15min, after clinical checkup detected malaria, treated for 3 days, and after 3 days he started to lose his mind control, doctor saying MRI - ECG - EEG reports are normal and diagnose as Seizure Disorder Organic Psycosis... after hospitalized treatment of 8 days now he is taking some tabs like - Cetil 250, Pentarol D, Qutipin, and Eptoin 100 mg, PROBLEM is that he is feeling uncomfortable with stomach (Is it acidity because of the tabulate given, could you suggest any solution on that, also please tell me the diagnosis is correct or having chances to be some thing different )", "output": "His understand your concern. Seizure disorder with psychosis can be treated with anti-epileptic and anti-psychotic medicines. Medicines that he has been taken is appropriate and its take time to recover. Gastric problem and acidity is common in these medicines. Use antacid and dietary control of spicy food can help. Take medicines with milk can reduce acidity. Pentarol D is antacid contains pantoprazole, and it helps in reduce gastric problems. It should be taken in empty stomach 1 hour before the meal. Still if you have problems then consult your treating doctors. Happy to help you further. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. My last period was february 28 but i dint have my period last march 28 so I just waited. On April 8 I took a pregnancy test and it was positive so I took 5 cytotec, 3inserted and I took 2 tabs orally. I had a bleeding for 3 days. its now May 9 and my pregnancy test is still positive. I also feel the signs of pregnancy and i keep on gaining weight. Am I still pregnant?", "output": "Hello, You would undergo one TVS scan & blood test for beta-ChatDoctor to check pregnancy status along with gestational age. After that you need to consult with gynecologist for next line of management. You may need to undergo D & C to complete the abortion. Otherwise, if all reports are within normal range and there is no sign of miscarriage, you can continue your pregnancy if you want. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "is it safe for 2 yr old to take Benadryl and amoxicillin at the same time? and also Tylenol if fevered? she has a bad cough, tight chest and runny nose.I just gave her Tylenol and Benadryl which her doc said it was fine but have to start her on her amoxicillin tonight just need to know if its ok or should I wait a bit?..", "output": "Thanks for putting your query up at Chat Doctor. I understand the cause of concern. Let me mention that the tolerated but common side effect of anti-allergics like Ben Chat Doctor. Amoxicillin is an antibiotic and while killing the bad bugs it also eliminates the good bacteria that reside in our bowels. As a result sometimes mild diarrhea or signs of vitamin B deficiency may occur. It can be overcome by giving curd/yogurt which contain Lactobacillus. Prebiotics and probiotics (available in brand names like Vinyl, enterogermina) can also be give. Tylenol is a very safe " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Tonight I was a restaurant outside and after eating I felt lightheaded and did pass out. This has happened before and my blood pressure was low. Not sure about tonight. I am female 59 years old and in pretty good shape. Didn t eat much today and had a wine sangria before dinner didn t know if potassium or magnesium might also cause this type of symptom. There was a nurse their and kept telling me this is not normal", "output": "Hello! Your symptoms could be related to postprandial hypotension. This disorder can be related to autonomic nervous system dysfunction. The changes in blood electrolytes can lead to cardiac arrhythmia, but they are not related to eating (symptoms occurring after eating are not explained by these changes). I would recommend consulting with your attending physician for a careful physical exam and some tests: - a resting ECG- a chest X-ray study- a Head Up tilt test-some blood lab tests (complete blood count, fasting glucose, blood electrolytes). I would also recommend performing a fibro-gastroscopy if these symptoms persist, or you have other gastrointestinal symptoms to exclude possible hiatal hernia. Meanwhile, I would recommend avoid large meals, hypercaloric meals and try to eat more frequently during the day in small portions, in order to avoid distension of your stomach and blood sugar overload. Hope to have been helpful! Best wishes, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter is 16 years old and has a terrible temper, but can also be very sweet. She has got this fears that she will die or that somebody close to her will die and then she also has voices telling her that she must now say goodbuy to this one or that one because it is now time to go. What will your diagnosis be?", "output": "It is difficult to make diagnosis with the description given. Hearing voices as a symptom could be hallucination, but it needs to be clarified further. Hallucination can be a part of psychotic illness. At times hallucination could be present in anxiety disorder. Hallucinations are of different kinds. Can you describe a little more on your children behavior, mood, problems in daily activities, other associated symptoms???" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi sir, I am 25 yeass old, male. I am suffering due to pimple from last 6 months & left some spot on face also I go to gym from last 2 months & drink protein shake. is this the reason of pimple? can you please suggest me sucessful treatment or Doctor for same ?", "output": "Hello, Pimple does erupt between the age of thirteen to twenty-five years, and in some cases up to thirty years. In male patients, the best mode of treatment is by vitamin A ester. It is basically by Isotretinoin in proper dose for long term period under strict dermatological supervision. Protein shakes itself don't cause any pimples but if these contain any anabolic steroid preparation then can cause the same. For the marks in my patients, I prefer to apply comic acid cream preparation. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Due to high blood pressure Ive been on 3 different pills this year. Im on micronor just now but took it 10 minutes later 2 days in a row. Im now having a slight bleed but its more brown coloured? I was wondering if you maybe knew why? Thanks, jen 20 yrs old", "output": "Hello! Thank you for asking on Chat Doctor! I understand your concern, and would explain that your symptoms seem to be caused by a hormonal imbalance. It is normal to have some similar symptoms when using oral contraception pills. But at your age, the most concerning thing is high blood pressure. Do you have any family history for high blood pressure? What about your past medical history? I would recommend you to consult with your GP for a careful physical examination, a resting ECG, a chest x-ray and some lab blood tests: - complete blood count- PCR, sedimentation rate-kidney and liver function tests-fasting glucose-thyroid hormone levels-cortisol plasma levels-blood electrolytes, etc. to identify the possible cause of high blood pressure. From the other hand, oral contraception pills can exacerbate high blood pressure and increase your cardio-vascular risk (besides high blood pressure). You can try a different contraception method instead of oral pills. I would recommend consulting with your attending physician on the above issues. Hope to have been helpful! Best regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "docter please help i have a lump under my right rib just right most side of belly .it is tender and when i lay down on bed it dissappears it is only visible when i am standing or sitting.i am severly underweight and i have slow development!i am 16 yr and my weight is 30kg !i appear like 12 yr old but i am 16yr old!i have been going to doc. over 4 yrs about my underweight and growth problem!i have done many blood test like anemia profile1 ,vidaletc all neg.and urine test,chest xray,ultrasound also all normal!i am an active boy but from 4 mnths my lump is bothering me!if i press on it i feel pain after sometime!my height is 53 inch!please help !i think my lump is growing!but my ultrasound is ok!my life is totaly ruined due to it!help!", "output": "HI, Dear,thanks for the query to Chat Doctor. Dear don't get your life ruined. Today is the Doctors day.! And Chat Doctor clinic is there to Help you. I studied your query in FULL details given by you.-Regarding Cause of GROWING Lump below rt rib well below the right side of the belly.-In my opinion its -Indirect Inguinal Hernia as it disappears when you lie down and pains when you are standing.-Treatment-I would advise you to consult Surgeon who would plan the following treatment -a-After due investigations Mesh Repair of the Indirect Inguinal hernia-only after ruling out the diabetes as the cause of your low weight.b-Weight building treatment under care of the Surgeon would resolve all the worry you have. Your life will flourish hereafter. Hope this would help you to plan your treatment with your treating doctor. Wish you fast recovery. Wellcome to Chat Doctor for any further query in this regard. Good Night from INDIA. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a trUma from a person that kicked me in my mouth and it cracked my upper palate and there is a dip indentation now on soft palate I suffer from headachs and eye pressure neck pain the pain is seveier and is inpeeding in my life I feel like there is fluid coming out of my eye please help my mri came back ok brain etc.. pls help", "output": "Hello, I can understand your concern. Your brain MRI came out okay, but have you been through investigations like MRI & CT Scan for the facial region? It seems that the way you were hurt, you might have Leghorn II or Leghorn III fracture which is a type of maxillofacial fracture that can cause all the symptoms you are having. I would recommend you to visit an oral and maxillofacial surgeon and go through the physical examination and investigations I suggested above. Based on the report, the surgeon can suggest the diagnosis and management. I hope this information helps you. Thank you for choosing Chat Doctor. I wish you feel better soon. Best," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have severe swelling in my legs and lower stomach, the Dr. say I lymph-edema. They stated to me it is very hard to take care of, I was given a drug name in Spanish, the name is Rofucal-hidroclorotigzida. What I am really trying to do is get rid of this swelling, it is 100 LBS in water weight, My skin is pealing all over the place, What is that? Help me if you can.", "output": "Hi, thanks for providing a brief history of you. Usually after lymphedema if the water retention is more doctor prescribes usually medicines for excreting that fluid out of body. Since excess of fluid in body is not good for the heart as it has to do over load duty. Since you are already onto the medication you should even add a physical exercise under a guided physical therapist for best results as experts helps with precision. in addition to this doing regular breathing exercises, walking and general physical exercise are always of the help. Keep your legs elevated on the pillow above the level of heart to reduce the swelling. Also perform ankle toe movements and straight leg raise which will add on to reduce the swelling and get the excess fluid out of the body through the excretory system. Follow the guidelines by the doctor all the time and try to see if any abnormal skin signs you find. In case you need more deep understanding than meeting a vascular surgeon is always of a great benefit. Also to mention here is to balance your fluid intake and output at most of the time. Which will also be an addition to recovery. With the grace of God I wish you a speedy recovery" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor,I am 28 yrs married woman. I am married for last 2.5 yrs. Now me and my husband wants to plan for a baby. But last january, my doc said I have PCOS, after doing scans. Intially for 3 months doc suggested me to take Yasmin tablet for 3 months as prior to that I had irregulr periods. Then I stopped taking Yasmin after 3 months on her suggestion and started taking folic acid twice a day and letoval tablets once daily from the 2nd day of my periods for 5 days, from last 2 months. My cycle is regular now but I get crampings and feel like vomiting during my periods 1st and 2nd day. After my each cycle when me and my husband intercourse, everytime I bleed heavily with some small and big clots as well. Day by day its incresing and becoming very dissapointing for us.Sometimes I suffer from a bad lower back pain starting from my periods date and it continues for 10-15 days. Even my white discharge is not white now a days, its brownish or wheatish in colour, but no foul smell. Could you please suggest on this?", "output": "Hi dear, I have gone through your question and understand your concerns. Bleeding after intercourse should be properly evaluated, as it can be caused by the local lesions in the cervix and vagina, including cervical cancer. Regular brown discharge is also not normal. I will suggest you to consult an ORGAN specialist for proper examination, investigations including pap smear and treatment accordingly. Hope you found the answer helpful. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I take 2-3 x500mg krill oil daily in an attempt to reduce inflammation from an ankle tfracture of years ago which is now getting stiff as I age when I exercise. It works to ease the pain and stiffness but my urine smells fishy. Am I taking too much. I am55 and weigh 6 stone 8 pounds. I am 4ft10 ins tall and fit Amanda", "output": "Krill Oil Capsules is a good source of Omega-3 (EPA & DHA) and other antioxidants. As a dietary supplement, take 2 capsules daily before meals or as directed by a healthcare professional. As mentioned above it is only a dietary supplement and mainly used in prophylaxis. This oil alone may not be efficient in reducing inflammation associated with fractures. Combine with painkillers for reducing pain and inflammation. Hope I have answered your query. Let me know if I can assist you further. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have on the top of my hand a staff infection the size of a half of a cherry tomatoe i am taking 1ooomg of penicillin every 4 hrs, soaking my hand epsomsalt and hot water and using bacitracinit started on wed is there anything else i can do it does not seem any beter or do i just need more time for it to start healing?", "output": "It usually takes at least a couple of days of antibiotics before you will notice an improvement in an infection. My question is, are you sure it is a staph infection? Penicillin is not very effective anymore for staph. You might need a different antibiotic. Also, the dose of penicillin you are taking is way too high. Did you see a doctor for this? If it's an abscess, you may need it opened and Chat Doctor. Antibiotics alone may not heal an abscess. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, My husband is a diabetic and he fell and sprained his ankle. He also hurt his leg to where it was bleeding and is scratched pretty bad. He also has a big knot and blood under the skin. We felt his legs and they are tight and swollen. Should we go to the emergency room now or wait to go to urgent care Sunday morning?", "output": "Hello, Based on your description of your husbands complaints, I would suggest you to visit emergency room to get an x-ray done and rule out bony injuries. This is more needed as he is diabetic. In emergency room they will be able to know if there is bony injury and also will immobilize the injured limb and maybe send you home. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, Im 16 and I was curious about how to tell the difference between a spermatocele & a Testicular Cancerous tumor. I was attending Health Class at my school the other day and we learned about self examination of the body etc., So when I got home I performed a self-examination of my testicular area and found a (slightly loose and/or barely connected lump to my right testicle.) I was scared & did some research on it and learned that it MIGHT just be a spermatocele. But im still not quite sure.", "output": "Hello welcome to Chat Doctor Thanks for your queryRegarding spermatocyte, it is an abnormal cyst that develops in the epididymis. It contains clear fluid and may contain sperms. It is painless, and non-cancerous. It doesn't cause any harm to you. But when it grows larger and pain then you need to undergo a small surgery called spermatocelectomy under local anesthesia... Regarding testicular cancer at this age is unlikely. It will grow and invades adjacent structures. Consult general surgeon for further suggestions" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor, i am 25 year old female, weight 64 kgs, i am married since 4 yrs and have a 2 yr old daughter. i am so not happy with my life, i mean i really dont know what to do. i always get negative thoughts and get irritated and angry on even very small issues. sometimes feel like ending my life but i love my daughter alot so cannot do it. my husbands face, his words, i mean is everything irritates me but cannot end the relationship because of my parents. i cry almost everyday thinking about my future. please help me!!!", "output": "Hi, I can understand your distress with your symptoms. From what you have mentioned, you seem to be suffering from a depressive episode. You are also having suicidal thoughts, which implies that your depression is quite severe. I suggest that you seek a psychiatric consultation without any further delay. You need to start treatment immediately. Treatment with anti-depressants like venlafaxine or sertraline would be helpful. In addition, you should also talk to someone close regarding your symptoms. Letting out your feelings and emotions will help you feel better. Regarding issues with your husband, you can sit down and talk to him. You can also opt for marital counseling which will help you adapt to each other in a better way. Hope, this information was helpful. Best wishes for speedy recovery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, 2 mos ago, i was diagnosed with epididymal head cyst (thru scortal ultrasound), but before that i experienced groin pain & at my lower back, i undergone urinalysis, and i have hematuria, so the doctor prescribed me with ciprofloxacin 500 mg for 7 days, and the groin & lower back pain disappeared for a week, then it came back again, then i made a physical check up with my srotum and i discovered that i have a lump on my both testicles, then i go to the doctor then, he by feeling it he said this is only a cyst, just to be sure he requested for an scrotal ultrasound, it is an epididymal cyst, but until now im experiencing lowerback pain and occasional groin pain, does it related to my scrotal cyst? btw, my scrotal ultrasound was on july 3 2014, and until now im experiencing the low backpain. please help", "output": "Dear patient Back pain is not caused by scrotal or epididymis cyst and both conditions are not related. Epididymis cyst us usually asymptomatic and diagnosed incidentally. Your back pain might be due to other causes like 1. Trauma 2. Weight lifting 3. Infection at the back. So I would recommend a visit to back pain specialist and radiograph of lumbosacral spine anteroposterior and lateral views to rule out bony abnormalities. If its normal start tab diclofenac plus thiocolchicoside combination twice a day for 5 days. Do back strengthening and back extension exercise. All the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Yes concerned about under the inside of my upper lip right where it comes down toward my lower lip was sore around the edge last night felt sore and irritated, this morning it is slightly swollen and sore in that area? never had this before appears there may be a tiny sore spot under my top lip right where it would touch my left front tooth if my mouth is shut. I have regular dental check ups and very good oral health as a rule what might this be?", "output": "Hi, Thanks for asking the query, According to your clinical symptoms I suppose that white spot on the inner surface of the tongue can be due to authors ulceration, this can occur due to trauma, vitamin deficiencies, immunologic disorders. Apply cortisone acetate topically over the affected area. Start taking multivitamin supplements. Avoid eating of hot and spicy food stuffs and carbonated Chat Doctor. Take complete balanced vitamin rich diet, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello my daughter tried pulling out her tooth but then realized that her roots were all out but her gums are stuck into the middle of her tooth. She only feels a little pain when she tries to pull it. I am worried that she will rip her gums and do damage. What do I do??", "output": "Hithank you for consulting ChatDoctorPulling of teeth with all roots out and sticking into the middle of her tooth should be considered seriously. Firstly you should stop her doing this activity and identify the cause why she is doing. Is it because of unwanted habit, anxiety, stress etc. ?visit your dentist get OPG X-ray done to reveal the status of tooth and periodontics both which will reveal the current status of teeth. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Hello i am a health 29 yr old female with two children and my boyfriend is a divorcee with no children however he recently said he was diagnosed with ureaplasma, while he has been overseas in Bahrain in the military and we havent been sexually active since Oct 2010. And he thinks it may have been from me however, i have never had any abnormalities in my pap smears in all my years (since 16). I would like to know what exactly causes ureaplasma in males..ive heard several things, it can be from a female carrier (who is infertile like his ex-wife) or from anal.But i am just not sure. I just want to get some clear answers...could I have given this to him Ive had BV since weve been sexually active... Is he the cause for it? What causes ureaplasma? Is it linked to HPV? Do I have reason to believe hes been unfaithful since he got to Bahrain if this is an STD or could he have contracted this from his ex-wife since the organism has been known to lie dormant for a while ....thank u for your time", "output": "Hello, Culture of genital secretions or swab or urine will be helpful to rule out this. If it is pathogenic and causing symptoms then should be treated. Otherwise, it may cause problems like infertility or frequent urinary tract infections. Taking antibiotics like Azithromycin is very effective for this. It is better for you and your partner take it at same time. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. Rammstein, General Surgeon" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I m actually inquiring about my husbands symptoms. He is 47 years old, hasn t smoked cigarettes for 2 years now, but was a heavy smoker for many years before he quit. He is a heavy beer drinker, probably drinks an average of 12 beers 4 to 6 days a week. He also has extensive dental problems including cavities and gum disease. His symptoms include a bad burning sensation on his tongue when he eats or drinks anything which has persisted for about 2 to 3 weeks now. Today he discovered a lump or bulge in his tongue on the left side. From what I m reading, there is cause for concern about oral cancer .", "output": "Hi, from the symptoms you have described and his history of chronic smoking and Chat Doctor. The other symptoms that can help you diagnose the problem are -A red or white patch on the tongue, that will not go away sore throat that does not go away sore spot on the tongue that does not go waylaid when swallowingNumbness in the mouth that will not go awayUnexplained bleeding from the tongue (that is not caused by biting your tongue or other injury)Pain in the ear (rare)Its advisable to meet your doctor and get a BIOS done at the earliest. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 2 year old developed a couple of blind boils in her diaper area. Doctor treated them with mupirocin and they diminished but came back within a week. He then wanted to prescribe Bactrim orally, but due to an in depth family history of allergic reactions to sulfa drugs, I opted to treat with Medihoney. Again the boils diminished, but a week later I now see what appears to be a small pimple forming in the exact same spot as a previous boil. It should be noted that the previous boils never came to a head so the doctor was unable to culture them. We are assuming staph/mrsa based on appearance only. I have read much about successful treatment with stabilized allicin, but can t find information on appropriate dosag for her age. Any advice?", "output": "Thank you for consulting in Chat Doctor . Dosage varies 2 to 5 g of fresh raw garlic; 0.4 to 1.2 g of Chat Doctor. Other preparations should correspond to 4 to 12 mg of alien or approximately 2 to 5 mg of Allison, an active constituent of garlic. However, dosage is complicated by the volatility and instability of important constituents in various products (e.g., aged extracts, deodorized garlic, distilled oils). Take garlic preparations with food to minimize stomach upset. Dosage will remain a matter of personal tolerance. You start from to 2 gr 2 times with food 7 days then see effect. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had 5 cardiolite tests over the last 15 years. In fact, I had a total occlusion of the right cardial artery 7 years ago. The only intervention was lipitor . Should I stop these quacks from irradiating me? The WSJ stated 2 weeks ago that one nuclear heart scan produces more radiation exposure than 4 CAT scans. I fear that with great insurance these quacks cannot resist performing expensive tests but I fear the radiation is killing me. I found a web page that states that this expose alone, without including dental x=rays, etc. has increased my chance on getting cancer by 3%.", "output": "Thanks for the query. Itcan be killing. These are certain doses of radioactivity, but it is well investigated and there is no some significant risk of cancer development. Of course, it doesn't mean that you can have these tests as much as you can, but it is much more beneficial to check your heart function and prevent possible complications than think about radiation. Wish you good health. Feel free to ask. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have a lot of pain in what everyone calls their stomach.the drs.have checked all my bloodwork about 15 times in the last 2 yrs have given me a myrade of pills and still don t have a good reason for all the pain.not to mention all the tests.i think it might be my liver.would that show up in a blood test?", "output": "Hi! Good morning. I am Chat Doctor answering your query. Yes ! The pain could either be due to any liver problem, or any pathology in any of the organs inside your abdomen. However, these intro abdominal pathology might not be possible to diagnose simply by blood tests. If I were your doctor, I would also go for an ultrasound/CT scan of abdomen for this kind of chronic pain abdomen of yours before labeling only the liver as the culprit organ. Blood tests should also include a CBC, Blood sugar test, LFT, serum Amylase and Lipase. Further management would depend on the results of physical examination at the time of pain and reports of the investigations. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my boyfriend has suddenly lost alot of weight 12-15pounds within this month, he is already small in nature, usually weighs in between 150-155lbs when healthy. His symptoms are lack of appetite, little jaundice in the white of his eyes, back pain and sometimes pain cramping near the liver, frequent night sweats, pale skin, feeling tired at times, low/no libido. He has seen a liver specialist to rule out any major diagnosis. Doctors have mentioned GS but he isnt fully diagnosed because of uncertainty. This is the third episode he has had within 2 years, and for each time, its after a certain period of time working nights that he gets all of these symptoms. Could there be a correlation with gs and working nights?", "output": "Hello, Thanks for the query to Chat Doctor. Forum. Loss of weight, loss of appetite, back pain, cramps at liver site, night sweating, pale skin, fatigue, no libido, Still no diagnosis ? May be infection in liver, may be cirrhosis of liver, may be some secondaries in liver, may be anemia. Consult a physician and Ultrasound of abdomen witChatDoctorplete blood examination for H I V, hepatitis, E S R, C B C. Hope you will understand the seriousness of condition and at once contact physician. Good luck for your boyfriend. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am doing hand practise since 8 years now my age is 22 years.now i fel some weakness in my body and in my penis as well so kindly sugggest me some good and healthy vegatables and fruits by which i can recover soon. i dont have believe on medicine so kindly suggest me natural things your soon reply will be highly appreciated thanks regards Sheeraz", "output": "Hi, See at your age it is normal to masturbate once in a while, and it does not cause any kind of weakness. Just take good balanced diet and fresh fruits and some Chat Doctor. Also take up some kind of exercises may be some out door sport will help you, and you are under weight then protein powder with milk twice a day may be taken. If there is some kind of disease in body then you must visit a Physician to have medical check up and if required appropriate investigations and any treatment if needed may be given. At you age you must focus on your studies and carrier instead of such activities. Just take care Good Luck" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi sir, I am an 24 yrs married woman,from last 2 yrs I am trying 4 a baby but won t conceive even for once. We went to a gynecologist and gone through varies tests,except HSG and all the reports are normal.During my child-hood days I used to eat slate pencil , so I have a doubt that my childhood mistakes is cursing my life.....so please help me to find the problem and guide me.", "output": "Hi Thanks for your query, Eating slate pencils causes many problems like anemia, dizziness, decreased appetite and abdominal cramps. It has been associated with women's health. But as your all results are normal (yours sand your husbands) , i don't think there is any problem. However, HSG is necessary to see the status of your tubes. Some time subfertility remains unexplained in many cases. So keep hope and get proper treatment. Best of luck Hope it helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i just wanna tell u my sm symptoms for last 2 yrs i m feeling on and off tension like feel like crying feeling of lonliness cant concentrate on my studies and dont feel like doing anything i wanna be haapy but i cant think positively and feel like so lazy and sleepy so wat is diagnosis and how can i prevent these symptoms?", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. You may not be depressed. I am sure about that. I certainly think that you are a teenager. Between the ages 15 and 25, the brain become so creative and vibrant. Brain wants to do creative tasks and is vibrant in everything. If you are unable to give tasks which are creative and vibrant, then it gets bored and becomes lazy. That is what you are feeling now.Don't worry. This is the case with almost 90% of teenagers. They are lazy and cannot concentrate on studies. Mainly because their tasks are mechanical according to their brain. Be active in other activities such as games and extracurricular activities to contain your brain. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been a beer drinker for 30 years, the past 3 years I have been drinking liquor and beer a lot more after my divorce. My blood work over the past 4 years has began to change for the worst. I have a high MCV of 100.4, high MCH of 33.2 and a low Alkaline phosphatase of 36. I have reduced my drinking now and I am eating more exercising and taking supplements, my body looks good and I am fit 6 0 190lb. I have had very low energy levels in the mid-day and late evening, my skin itches a lot and my girlfriend says my eyes are yellow. I am 51 years old. Should I be worried about liver damage or disease cirrhosis etc???? Iam worried and stressing big time.", "output": "Howell come to ChatDoctorI really appreciate your concern, in absence of clinical symptoms such blood test can not be taken into consideration for any disease or else it may need some other investigation if the liver pathology is suspected then it needs to brought to investigation like blood test (LFT) and imaging study, excessive consumption of alcohol is not good for health, hope this information helps, take care and have a nice day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My wife just had an arteriorgram via the wrist. She had chest pain and received relief with a nitro spray. She has been diagnosed with Atrial Fib. The cardiologist found a 30 percent blockage. He said this was not sufficient to cause her chest pain. Where do we go from here to determine what causes her chest pain?", "output": "Hello and welcome to Ask a Doctor service. I have reviewed your query and here is my advice. It's unlikely to have chest pain with 30%, now there are two possibilities, one is gastritis which mimic heart disease and do respond to nitroglycerin spray. For that try tab pantoprazole once a day before breakfast. Also avoid hot, spicy, oily food. Avoid heavy meals instead have multiple small meals and don't lie down immediately after meals instead have walk for some time. Second possibility is blockages small vessel disease which is difficult to pick on angiography which will also respond to nitroglycerin spray. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son was diagnosed with an high intracranial pressure of 41 on Thursday. They drained it to a 22, diagnosed him with idiopathic intracranial hypertension , and sent us home. When we originally went to the hospital one of the symptoms that was different from the migraine diagnosis that he was originally given a couple weeks prior was a nose bleed . Was that a coincidence or a sign of the increasing pressure? He is on diamox, but again woke up this morning with a nose bleed. Should I be concerned?", "output": "Hello, Thanks for the query, I understand your problem Noe bleed could be due to either local nose problem or raised brain pressure and rarely can be due to both the conditions. If his cerebrospinal fluid has been tested, and it has ruled infection as a cause of raised intracranial pressure, the other options could be steroid. I advise you to get re-evaluated in a center having both these facilities and this will clarify the picture. Wish you good health Chat Doctor. Chat Doctor .com/doctors/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i would like to get a suggestion from you. I have got root canal treatment six years back and now i am getting problem with that tooth. food particle are stucking in between the teeth where the crown is placed and getting gum pain. i visited doctor here in boston and the doctor gave me 2 choices. one is to redo the rootcanal, crown lengthening,post followed by a crown and the second chioce is go for implantation. can you suggest me which one is good for me? thank you", "output": "Hi, Thanks for posting the query, I would suggest you to get your full mouth scaling and [polishing done also see if there is any problem with the crown fixed if so then get it removed or refined. Of the above two options of course the first one will be good because it does not require the tooth to be removed, for the last you can think for the implant placement...... Hope you find this as helpful, Take care!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my daughter age 09 years has been suffering from stomach pain last 3 years. all important test i.e. USG, Endoscopy and other blood test have done, but no any symptons shown till date. my e-mail- YYYY@YYYY contact no - 0000", "output": "Thanks for asking at Chat Doctor. The details are inadequate, and it is hard to comment just based on that. The information that I would require are:1. When and how did it start?2. Is it continuous or intermittent?3. What are the triggering and relieving factors?4. Any other symptoms like vomiting etc.?5. The exact location of the pain as in http://littlemedic.org/wp-content/uploads/2013/03/Four-Abdominal-Qua Chat Doctor. please post a query to me with the above details and the reports and I would try to help further. Feel free to revert in case of further queries if any." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "2 days ago I had sexual intercourse. Ive been pooping orange the past two days. Im not sure of its something I ate. But Ive been eating noodles these past days and Im not sure if it that or an early sign of pregnancy. I had protected sex but condom broke. My boyfriend still dont come in me. And it broke a few seconds after checking if it was fine. I think Im just paranoid", "output": "Hi, If there was no ejaculation and if you are not around your ovulation period, you need not worry about conception. It could be something that you ate. Please wait for your next cycle and if you miss it, go for a urine pregnancy test 3-7 days later. If you wish for an earlier diagnosis, you can opt for the serum beta-ChatDoctor estimation about a week before your next period and not earlier. This test is more sensitive and specific. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "ULTRASOUND WHOLE ABDOMEN Liver is normal in size (13.84cm) & outline. There is diffuse increase in echotexture suggestive of fatty change, grade I. Twothin wall cysts measuring approx (1.6x1.2 & 1.4x1.5mm) are seen in the left lobe of liver- simple cysts Portal vein & hepatic veins are normal. What does it mean. Also E.S.R = 19 HAEMOGLOBIN = 12.5 R.B.C. COUNT = 4.21 PACKED CELL VOLUME = 36.3 PLATELETS COUNTS = 141 REST PARAMETERS OF C.B.C , AMYLASE , LFT , GLUCOSE FASTING ,ARE O.K SAMPLE DATE IS 12-5-13 What problem , these blodd parametrs and ultrasound report indicates .", "output": "Hi, Welcome to Chat Doctor, Your reports are mostly within normal limits, your platelet count is less than normal and your liver scan showed fatty liver changes, there is no Lipid profile is not there you should get Lipid profile also and simple cyst they must be incidental finding and this should not be any problem. You should take healthy lifestyle with exercise regularly, and by chance if you take alcohol you must stop taking alcohol. Fatty liver is treatable by lifestyle changes. Change in diet low fats not more than 30% calories from fats and saturated fats should be less than 10% please avoid animal fats, fried items and butter. If you take exercise regularly it will help to recover please also repeat platelet count to check it has recovered to normal. Please take care. Good Luck. Chat Doctor. D." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Had a tumor removed from my pancreas. Here is it 6 weeks later, most of the scab in the belly button are off and I notice puss inside my belly button. It is not draining but I can see some of the puss. What do I do? How do I clean it out? Is this part of the healing process.", "output": "Dear I can understand your concern. I would like to inform you that if pus is superficial you can clean pus by simply using sterile gauge pieces soaked in Betadine. Use disposable gloves while cleaning that. But if it is located deep you need help of a qualified doctor for that. Normal healing tissue is bright red that will start bleeding with minor injuries. Pus is whitish and will wipe out easily and may be foul smelling. Hope this will help you. If you have any other concerns please feel free to message me. Thanks for contacting Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am always hungry even after I eat,I start to get shaky & feel a bit disoriented if I dont eat right away.I do have anxiety and my doctor has now told me that I may be depressed and that is causing me to be hungry all the time.I dont feel it is depression or anxiety I feel that my blood sugar is out of whack but the doctor says all my test came back negative", "output": "Hi, thanks for using Chat Doctor. Stress or depression is usually associated with disturbance in appetite. 90% of depressed patients have loss of appetite but in atypical depression, There may be an increase in appetite and sleep. You should also rule thyroid disturbances as it is known to have these symptoms also. Yous hould consult psychiatrist for detailed evaluation.Meanwhile, you can try stress management and relaxation techniques like yoga, meditation or self motivation. I hope you will be fine soon thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "As per my ultrasound report Liver is mildly enlarged (15.12cm) markedly raised parenchymal echotexture indicating mild hepatomegaly with Grade III fatty infiltration. There is also presence of left renal cortical cyst 1.8 x 1.7 cm. at middle pole of kidney. prostate is mildly enlarged est. wt. 27.18 gms. I do not take much liquor but consume slightly highly oily food. Is my lever leading towards cirrhosis and any problem in my kidney and prostate. My age is 63 yrs. I am presently taking tab. Urimax D (Tamsulosin Hydrochloride & Dutasteride tab) . Please advice course of action", "output": "Hi, For your benign prostate hyperplasia you can continue with prescribed medication which will relieve your Prostatic problem. You have grade 3 fatty liver for which lifestyle modification needs to be done. It's advisable to take a low-fat diet and regular one hour exercise is indicated for you. Avoid refined foods and high oily foods. You can take Ad\u00edlio for your liver problem. Take sugar cane and apple juice more. With the above advice mostly in a few months, your fatty liver problem will be resolved. Don't worry about cirrhosis. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, Doc...Today I had to undergo sonography in my 5th week as yesterday i saw blood fr one minute as happen during periods. Although I am fine and have no pain n stomach or anywhere else. My report says:- Well defined round gestational sac is seen within uterine cavity, with good surrounding chorio decidual reaction. Gravid uterus with single intrauterine embryo of 5 weeks 6 days. Yolk sac is seen. No cardiac activity noted at present scan. Cervical length is normal and internal OS is closed. Both asnexae are clear. No e/o free fluid in cul-de-sac. Corpus Luteal cyst is noted in left ovry.Is everything normal with me???", "output": "Hallow Dear, When you saw some amount of bleeding after missing period, it is but natural for you to get stressed. However, ultrasonography after the incidence of spotting has not revealed any bleeding from the chorionic tissue and the other findings are normal. It is good no note that the gestational sac is well-defined and round, meaning there by that the embryo is viable. Even the embryo of about six weeks also is noted. 5+ weeks of pregnancy may be rather early for depicting cardiac activity. You need not infer any conclusion at this stage. The scan report is optimistic. Please repeat the scan after about a week or more. After 6 weeks duration of pregnancy, usually fetal cardiac activity is noted. With the current scan report, I feel you would have cardiac activity noted in scan after one week. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I have a friend who suffers from ..... I dont know how to call it,...basically,...he broke up with his girlfriend 3 months ago and he seemed to be fine with it, he was the one who helped me with my break-up, we met on a dating site.... he stated in his profile he wasnt looking for anything just chat.Since my first mail to him we skype (only writing)each other every day, but he changes moods from one day to the other....one day he doesnt want a new relationship the next day he sends me kisses and plans a trip with me, he is thankful for having me and says he likes me very much but doesnt want anything cause he doesnt want to hurt anyone, he wants to be alone...I really like him I perhaps would like more but its all magic circle....basically one day full of happiness and three days later he doesnt want to live anymore..... What is this disorder called? and How could I help him? Thank you", "output": "Degree understand your concerns went through your description. I suggest you not to worry much. There is no mental disorder here. But there are conflicts. Several conflicts like family, role, social etc. plays its part. Basically this is combined \"acceptance-avoidance and avoidance-avoidance conflict\". These types of conflicts arise out of indecision in important matters. He definitely wants you but there are so many obstacles in front of him. He is unable to find a way to clear these obstacles. Naturally such change in attitude happens. He might need psychological counseling to free his mind off the shackles of conflict. For telephone counseling you can contact me through customer care at www.ChatDoctor .com. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Had neck and back surgery in 2009. Ive been able to manage my pain with methadone 10mg .I take three every morning and two 350mg soma . And about eight hours later three more methadone and one more soma . But for the last four months my pain is much more intense and the meds just dont work or last long enough . My pain now goes down both legs pass the knee and to my feet more times than not . It is even to the point walking is so painful even sitting . I started taking steroid shots in back . It has helped but Im still in great pain . Im now to the point Im scared to do or go much of anything. Got a MRI my Dr says there nothing to worry about .This is what it said . There is slight straightening of the normal lumber curvature. There has been posterior fusion of L3,L4;and L5 with metallic rods and bone screws in place . Anterior fusion is noted at L4/L5 with obliteration of the disc space noted . The conus extends to the L1level. Disc degeneration is noted at the L2/L3 level with desiccation of the disc demonstrated . Axial plane imaging demonstrates bilateral foraminal encroachment at the L2/L3 level along with mild facet joint arthropathy. Thereis no definite central stenosis . A discrete fragment is not identified paraspinalsoft tissues are unremarkable . PPLEASE HELP ME .", "output": "Hello, Welcome to the magical world of health care, I went through your query, and your report shows nothing significant as far as your disease process is concerned. I would advise you to follow a strict back care and therapy schedule under guidance of a physical therapist. I hope my advice would have been useful, in decision-making regarding your treatment, still if you have any clarifications or doubts feel free to contact back. I hope a 5-star rating if you feel guided in your treatment, Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am having a really hard time to burp since yesterday and it seems like all the food that I ate was just stock inside my stomach. I m feeling a bit tight on my chest right now and there s this little feeling that I want to vomit. Can you give me a home remedy? I ve tried to drink sodas to burp but was unhelpful. Thank you.", "output": "Thanks for your question on Chat Doctor. In my opinion you are having HERD (Castro Esophageal Reflux Disease). It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms. Try to follow these steps for better symptomatic relief. 1. Avoid hot and spicy food. 2. Avoid large meals, instead take frequent small meals. 3. Avoid stress and anxiety. 4. Start proton pump inhibitor and anti-emetic combination. 5. Go for walk after meals. 6. Keep 2 - 3 pillows under head in the bed. 7. Avoid smoking and alcohol if you have habit. 8. Lose weight if you are obese." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi there was discharge a week ago being very sick throwing up and high fever...as the the hospital said that I had a bad kidney infection...was in for 48hrs and after bein let home they gave me a weeks supply of 2 different antibiotics...now been of them for 3day and feeling the start of the symptoms again ie mild pain wilts going wee...can any tell me wot is happening...well all this has starting since 6/7 weeks ago having my appendix out...", "output": "Hi, I am sorry to know about your problems. If you are again developing pain while passing urine, that could mean a persistent urinary infection. Sometimes, the microorganism causing the infection is not eradicated with a course of antibiotics. You need to have a urine microscopy test to confirm the infection. If the infection is persisting, you need a urine culture and sensitivity test for exactly finding out the offending organism and to know the appropriate medicines which can cure the infection. An ultrasound of kidneys and bladder is required to know any other underlying pathology which could lead to persistence of the infection. I hope I have answered your query. I can help you better if I can know your age, sex and any co-morbid conditions like diabetes. Wish you a speedy recovery, Best regards," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Her age is 48 yrs, weight is 83 Kgs.Sir my mom is having benign cystic lesion on her left hand side of the face . But my treatment and excerise it is almost covered 75%. Only she is having problem in her left tonque like tingling and numbness . We have started the treatment of neuro surgeons doctors also they told it will take time. Request you to answer does is recover or she will have problem life long. Please anwer on sales.pamglatt@acg-world.com Her age is 48 yrs, weight is 83 Kgs.Sir my mom is having benign cystic lesion on her left hand side of the face. But my treatment and excerise it is almost covered 75%. Only she is having problem in her left tonque like tingling and numbness. We have started the treatment of neuro surgeons doctors also they told it will take time. Request you to answer does is recover or she will have problem life long. Please anwer on sales.pamglatt@acg-world.com", "output": "Hi, Thanks for query, I ask one question the cystic lesion you mentioned, what neurophysician diagnosed?if it is in connection with nervous system then it is likely that there are some nerves are damaged causing symptoms in the tongue. This will take some more time to recover. But this problem is due to pressure on nerves due to lesion, after relieving of pressure she will have fast recovery. Ok and bye." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband was recently diagnosed with prostate cancer. We have an appointment scheduled to discuss treatment options. The past two days, he has been very sick with nausea and vomiting. Is that related? Im concerned and wonder if I should take him to the emergency room. Hes pretty sick.", "output": "Hi, dairy have gone through your question. I can understand your concern. He has prostate cancer. Cancer cells can secrets some toxin which leads to nausea and vomiting. He can take ondansetron to receive nausea and vomiting. But he needs examination to find exact cause. Also, he should take treatment of prostate cancer according to stage. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have a large lump on my right thigh just above the knee and slightly to the left it is 2 inches across. It came up suddenly overnight and was quite painfull the pain has since subsided but lump remains my doctor has no idea what it is and I am waiting on ultrasound scan. Could you give me an idea of what it might be as I am very confused", "output": "Welcome to Chat Doctor. 1. History suggest most possible cause could be - ganglion which arises from the joint space.2. Could be from tendon, synovial, nerve - most often after a trauma. Its pain less around the joint space. Other possibilities vascular pathology.3.However ultrasound will help to find out the nature of the lump (solid, cystic, mixed) and source of the lesion and where all it is extending.4. If anything related to joint MRI is excellent tool to evaluate the pathology.5. So please wait for your scan - things should be clear after that. Good luck. Hope I have answered your query.Anything to ask do not hesitate. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My nose severally blocks when weather changes..my doctor prescribe xylomist nasal drop with lorfast anti alergic tablets,with romilust l10 .But the problem is after taking those medicine i improve for few days ,after that same thing happens.And to continue my work i have to take xylomist drop in a day till now for some relief from nose blocking.now what will i do?", "output": "You are having chronic sinusitis You can see ENT specialist After Getting X-ray PNS Water View need full treatment of sinuses and allergies temporary measure You can take Fexofenadine !20 mg once a day morning and singular once a day evening can continue off and on till you go ahead for treatment Don't use soloist too much Can apply newsprint H eye ointment in nose twice a Dayan put Seawater Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "65 year old female, lethargic, always nauseous, sleeps more than awake. Is on synthroid and Crestor; had heart attack earlier this year. Am trying to convince her that these are symptoms (items in first sentence), and that she should see a Dr. Any insight or suggestions? Thanks", "output": "Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. I will try to explain and give you my opinion. A person that previously had a heart attack means that suffers from coronary artery disease and of course has a bigger risk than the other population to do problems again. This category of patient might feel tired, lethargic for different reasons depending on heart function, blood pressure, cardiac frequency etc. For example a low cardiac function might be responsible for difficulty in breathing deeply, decreased physic tolerance, lethargy. Feeling sleepy might be a side effect of medications. Feeling tired, nausea might happen even from other pathologies like thyroid gland problems. So, I encourage you to help your friend and convince her to meet the doctor because it might be something treatable, and she will fell better. If I was the treating doctor I will recommend some examination like an electrocardiogram, a cardiac echo to evaluate heart function, a full blood analyze to exclude anemia, hyperthyroidism or electrolyte imbalance. After this we can better understand what is the problem and m\u00e9nage it. Hope I was helpful. Wish your friend good health. Best regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had an mri an was told I had fluid in a sinus cavity. It s 2 weeks later, I had steroids and antibiotic, an have a horrible sinus infection. I also have pain in my gums above 1 front tooth, I woke up one morning with a real bitter taste in mouth. Is this all related?", "output": "HI, thanks for using Chat Doctor The pain in the mouth and the abnormal taste may be related to each other though there are other causes of abnormal tastes in the mouth. The pain in the mouth may be related to an infection in gums or teeth. This may cause abnormal taste. Abnormal taste in the mouth may also be linked to condition such as reflux disease. If the pain continues you should be evaluated by a dentist. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "1. I have been suffering from Coronary Heart decease. In. I had undergone Bye pass surgery 17 yrs back and.the problem re-ocurred four yrs back. I got a Stent and a baloon in right artery. I am regularly taking Deplatt, Sorboide mononitrates and statins since then. I have to take Sorboide Mononitrates before going to walk otherwise I get angina problem. Can EECP therapy may be effective in my case so that I may get ride of medicines..........", "output": "Hi, welcome to Chat Doctor. Thanks for writing to us.EEC(Enhanced External Counter pulsation) is one of the most modern modalities of treatment in CAD. The ideal candidates for EEC are:1.pts of chronic angina 2.pts who are not responding to usual treatment by nitrates, Beta blockers, ACE inhibitors.3.pts who do not qualify for invasive revascularization procedure. Considering the above recommendations you are a candidate for EEC. Please consult with your cardiologist for further details. Hope I have answered your query. Stay fit, good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I recently was rea ended by a vehicle from the side. I started my first therapy for a stiff neck and lower back pain. I have two large lumps that formed overnight on my lower spine area near thebottom approximately horizontal with mith my hip bone. The lumps are on both sides of the spine, and are red. The lumps are hard, but no pain coming from them..", "output": "HI, Dear,Thanks for the query to Chat Doctor.1-I have studied your query in depth.2-DEar,IN my opinion, the bilateral low spinal painless lumps formed overnight after the vehicle trauma, are mostly due to the sacroiliac arthritis -post trauma-with indicated tissue lumps.3-Other reasons could be traumatic hematoma?which needs to be fixed.4-I would advise orthopedic surgeons opinion, for more detailed history to come to the cause of these red painless lumps.4-a-Treatments-would be decided by an ortho-Surgeon-for the lumps below the toe, after S-I joints X-ray studies in various planes.5-Hope this would solve your query to your satisfaction.5-Wellcome for more queries to me On Chat Doctor.6-Thnks once again for your inquisitive query. Have a Good Day.!!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I smoke meth everyday my wisdom tooth was busy coming out and the past few days the side cheek started swelling now I have a swollen lump on the inside upper left side of my cheek close to my back mowler opening my mouth is pain! Hoe can I cure this", "output": "Hello, Thanks for consulting ChatDoctorRead your query painful lump like swelling on left cheek this can be due to partially erupted wisdom teeth due to deposition of food debris and infection due to presence of periodontal flap condition known as Peritonitis. For this I will you to do warm saline rinses 2 - 3 times a day and consult oral surgeon for examination of teeth and curettage. Hope this will help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. My wife had a blood test and it told her that her ALT levels were 118 which is understand as high. She had the blood test because she s been having these symptoms for a couple weeks: intense fatigue, abdominal pain, lower appetite, feeling of being full after eating, and headaches. Sometimes the fatigue is so strong she can t stand up for more than a few minutes. We are seeing a doctor next week, but wanting some answers. We are scared that it is cancer. What else could it be? Thank you for your time.", "output": "Hi, Thank you for posting your query in Chat Doctor. I had gone through your question I understand your concerns. The symptoms you display are consistent with liver cell injury. In liver problems fatigue is the most common and characteristic symptom. ALT and AST are the liver enzymes, most sensitive indicators of liver pathology. ALT is more or equal to AST in acute hepatocellular disorders like fatty liver, hepatitis, Chat Doctor. I would suggest you to consult gastroenterologist near you for further evaluation and management Hope I have answered your question if you have further questions I will be happy to help." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "43 yr old male, 73 inches, 200 lbs. BP 120/76, HR 57. Have had regular EKGs, ECGs, and stress tests the past 5 years or so for physicals and life insurance applications, but today I received an EKG result that says \"consider anteroseptal infarct\". Doctor asked me if I was an avid runner (I am not) because my EKG indicated an enlarged heart. Should I be concerned about this, or might this be an anomoly?", "output": "Hi Their understand your concern Sir, but let me tell you that EKG machine is not a doctor and the comments comes out of it printed is not reliable, being a cardiology practitioner I can assure you that. What I would like to suggest you is that go for an ECHO-CARDIOGRAM to rule out any abnormality. If you never had any chest discomfort in the past like pain or heaviness in the chest along with sweating and breathing difficulty it's highly unlike to have a heart issue. Wish you Good Luck" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor, I am a 25 year old male.I feel a mild pain near my chest after masturbation.I consulted a doctor and he told this is due to hyper acidity.my doubt is how acidity is related to masturbation.why i am getting chest pain only during masturbation if it is due to acidity.please clarify..", "output": "Thanks for your question on Chat Doctor. In my opinion, it is due to anxiety related. And anxiety cause hyperacidity and this in turn cause burning chest pain. Very less possibility of cardiac cause because your age is very young for heart problem. But better to rule out this by ECG. If ECG is normal than mostly it is related to anxiety. So avoid too much stress and tension. Be relax and calm. And enjoy what you are doing." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir, my wife has been laying up in bed for 1 year caused by ill effect of wound secreting putrefied fluid after she got stiched at the time of sezure. The place of stiching at abdomen is affected with reapeted and chronic hole with white fluid surrounding after a long course of painfull swell area at times. Now the place around stiching finds no such problem except one wound created by hole secreting fluid very little. Whats ur opinion about her cure for ever completely.", "output": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. It is the postoperative wound infection. It is type of chronic infection. In such a case Grams staining, culture and sensitivity should be done. And treatment should be taken as per the report received. Please take the full course of antibiotic treatment as incomplete treatment can cause repeated infection. Please take Chat Doctor. Good hygiene is the key for early cure of infection. You should maintain good cleaning and " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a cold then i had a bad cough whent to the doctor he said i dont need anything. My back is in agony from coughing an im waking up every our in the night! My chest feels damp when i breathe in even if im indoors what could it be or why is this??", "output": "Hello, Welcome to Chat Doctor, The history and symptoms suggests me that you may be having some allergic reactions to the allergens. It is important to identify the allergen causing these symptoms. You require chest examination and the chest X-ray to find out the reason for your symptoms. For the present symptoms I would suggest you to follow1. Syp Codeine, thrice daily.2. Oral Least, once daily for 15 days3. Oral antibiotics like Tab Autoclave, 625\u00a0mg, twice daily aforementioned medicines will help to reduce your symptoms and improve your condition. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my daughter had a bowel obstruction and a n obstruction of the left ureter and a non functioning left kidney. She recently had a removal of the left kidney. and resection of 12 inches bowel. She has an adenocarcinoma but they say that neither the ureter or bowel are the primary cancer. Where else might the ca have originated?", "output": "Thanks for your question on Chat Doctor. I can understand your daughter s situation and problem. In females following are the common organs for adenocarcinoma. 1. Uterus2. Ovaries3. Lung4. Breasted all of these can cause secondary spread in bowel and kidney. So better to consult oncologist and search for primary in above-mentioned organs. You can get done PET scan. This will definitely help her to search primary." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my daughter blood test report give below indications. may know it gives any problem. please clarifyReports details in below :-RBCs are mild anisopoikilocytosis. predominantly normocyctic with ovalocytes. hyphochromic seen. WBCs are count normal in numbr. and distrubutions normal, normal morphology. platelets area adequate in number with normal morphology. platelets are adequate in number with normal morpholgoy. No haemoparasites seen - Malarial paracyte & Micro filaria (MP & MF)", "output": "HiT hanks for your query. Based on your query and reports1. Your daughter has mild degree of anemia2. Probably iron deficiency anemia as most common cause of microcytic hypodermic anemia is iron deficiency.3. You can get an iron study done to confirm iron deficiency and treated accordingly.4. Improve her nutrition and also discuss with your doctor regarding deforming as parasites can cause iron deficiency. There is no need to worry. Hope this helpsRegards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I noticed a while ago I had a tiny red dot (size of a pinhead) on my gums right at the base on my front lower tooth . It does not hurt and does not bleed . My gums are in good condition and I get regular check ups. Any idea what it could be? When I looked closer, it almost looks like my gum is red with some broken blood vessel or something. Thanks!", "output": "Hello there...it's good that you get evaluated periodically.....reasons for the red spot could be many...to begin with the simplest of all it could be a traumatic ulcer that would have happened because of trauma to the gums while brushing or middling your pen or pencil between your teeth...the next reason could be an inflamed gum...then could also be a sinus that would have resulted from the tooth above...the tooth would have had an injury earlier or would have decayed resulting in the spread of infection apically, resulting in sinus.... Get yourself evaluated clinically for a confirmatory diagnosis and management..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello dctr. i am 27 yrs old. and i am going to marry..my problem is the foreskin over my penis (erected size 5 inches).i cannot pulldown the skin when erected.and after erection if i touch the head of the penis i m not feeling good..feels like irritating..and i feel not much power to do an intercourse when erected.i think i have to do a circumcision surgery..please give me advice. Thnks Mr.nair", "output": "Degree understand your concerns went through your description. I suggest you not to worry much. If you are not circumcised, then you might feel it difficult to retract the foreskin. I think you should have the surgery. It is safe and painless. Do it and you should feel the difference. The area inside the foreskin is supposed to be tender and should feel irritating on touching. Normal and should vanish after experience. You will not have any problem in your sexual life as you have 5 inches. Your libido also should be good. Weakness might be in your thoughts. You might need psychotherapy and other cognitive behavioral therapies. I can help you through telephone. Please do contact me through customer care of www.ChatDoctor .com for a telephonic consultation session. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doctor. I have a question. I take BC pills every month.. and today Im on my off week.. I just ended my period.. and had sexual intercourse and my partner ejaculated into me.. Is it safe to have sex on my off week? And I never missed a pill during my BC pill period.. I just took a couple pills off time.. like 8-9 hours gap. Please help. Am i still protected?", "output": "Hi, How are you doing ? If you have been taking the pills regularly, then you have no chance of pregnancy, even if he ejaculated into you. Principle of this hormone medication is, the pill is noting but Estrogen + Progesterone hormone, the same thing that your body produces every month cyclically. When this pill is taken regularly, it suppresses the ups & downs in the hormone level. This will prevent ovulation from occurring. The off time is given to cause a with Chat Doctor. You are absolutely safe & can have unprotected sex any number of times on any day. You are under 100% protection of the hormones Hope I have clarified your queries, do write back if anymore queries the best" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am a 31 yrs old female married since 3yrs .i had previously no issue now i have conceived since 3 months .i have been previously suffering from depression and i had been taking olimelt 10 mg but i stopped the medication before one month from conceiving as suggested by the doctor and i felt quite well.i also want to mention here that my mother in laws attitude has been very bad towards me from the very beginning and from a year my husband has also started emotionally hurting me and punishing mef for no reasons eg by calling my parents unnecessarily, by threatening to divorce me ,by not allowing me to meet my friends or parents etc.all this has started anxiety in me again and i fear for the well being of my baby.kindly suggest.", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. Anxiety during and after pregnancy period is quite common and this is caused by various factors. The prime factor being the hormonal activity. That part is to be taken care of by your gynecologist. Work with your gynecologist. Secondly, the stress related to pregnancy and the expecting trauma and post-natal problems, could trigger depression and other related problems. Counseling is applied on this respect. You could also try exercise and meditation. Deep breathing also helps. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had a cough and congestion for 3 days. I woke up this morning at 4 am feeling like someone was sitting on my chest and finding it hard to breath. There is an uneasy feeling in my chest; which I thought was indigestion, but now I am not sure that is it. Any idea what may be going on?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Cough, congestion and Heaviness in chest are commonly seen with bronchitis and lung infection. So better to consult pulmonologist and get done clinical examination of respiratory system, chest x-ray and PFT (Pulmonary Function Test). Chest x-ray is needed to rule out lung infection.PFT is must for the diagnosis of bronchitis. You are many need antibiotics and inhaled bronchodilators (formoterol or albuterol).Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Dr,My name is Divya Nayak and my age is 23. I am working is a software company. I am loosing hairs in larg amount and I started to notice this from last 2 years. I have to wash my hair every alternative days else it will look like i have put lots of oil and it smells bad. below are my other details.height: 4 feet 9 inches weight : 55KG .", "output": "Hi, As per your query you have symptoms of hair loss, oily and smelly hair which seems to be due to genetic factor, fungal infection, covering the head with a cap and hormonal changes. Stress could be an additional factor. I would suggest you consult a dermatologist for proper examination. The doctor may order skin patch test, blood test and physical examination and may prescribe you Chat Doctor. You should take relaxation exercises and start taking supplements like vitamin A, Omega-3 and vitamin E. Take Indian gooseberry powder (half spoon) with water once a day and use almond oil. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "The end of my tongue has been irritated the past 10 days. An area about 1/2\" in diameter has been red and burns when I use mouthwash. I have a \"prickly\" sensation on this area throughout the day also. It seems to be a a standstill i.e. not better, not worse.Any ideas ?", "output": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concern. As per your complaint the symptoms of redness and burning of the end of tongue seems to be due to Authors dermatitis and can be due to a number of causes like Vitamin B12 and iron deficiency, physical trauma to tongue with sharp edge of any teeth, stress, burning with hot foods etc. I would suggest you to consult an Oral Physician and get evaluated and treatment of underlying cause can help in diagnosis and treatment can be planned accordingly. As of now you can apply a numbing gel over the inflamed area for reducing pain. Take a Multivitamin tablet daily. Avoid hot and spicy food. Chat Doctor. . Suck ice and rinse with cold water. Maintain a good oral hygiene. Take Ibuprofen to reduce inflammation and pain... Hope this information helps. Thanks and regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been having pains in the left side of my chest inside the breast area at times it s a sharp and then it becomes dull ache. I now drank some water and there was a shootingsharp pain that caused me to shout what is this and how should I treat it. I took some acetomonopen about 15 min ago I am exhausted.", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. As a rule, any left sided chest pain should first be ruled out for cardiac cause. So get done ECG first to rule out cardiac cause. If ECG is normal than no need to worry much for cardiac problems. Sometimes pleurisy (inflammation of pleura) can also cause sharp shooting pain. So get done chest x-ray to rule out possible causes of pleurisy (pneumonia, pleural effusion etc.). If chest x-ray is also normal than no need to worry much, you are having hyperacidity and acute gastritis mostly. So avoid hot and spicy food. Take proton pump inhibitor. Don't take painkillers as it will worsen gastritis." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 2 year old was playing and climbing at home last night and slipped backwards, causing her to tip her head backwards and bending her neck far enough that we heard a series of 4 pops (sounding like knuckles cracking). She immediately began crying and did so for about 3 minutes while we comforted her and then complained of neck pain for about 20 minutes afterwards, all while resuming playing with her toys, eating snack, and running around the house. I should note that she did NOT hit her head, as we were able to catch her in time, but her neck bent back pretty far. She went to sleep fine about an hour later, playing peekaboo and in a good mood. About 5 hours later, she woke up in the night (as she has been doing lately) and when she was walking around, we noticed she seemed stiff legged. When we asked her if anything hurt, she started touching her right leg and saying ow but also did the same thing with her left arm. She did not react to us touching either, nor did she react to us touching her neck at this point. Is this a sign of a neck injury that she could have suffered or is this to be expected after perhaps straining something? Our pediatrician s office opens in a few hours and we re planning on calling but have been nervous wrecks all night!", "output": "Thank you for following up. It seems she really hurts her neck, that's why we should differentiate bruising, fracture,tear of ligament etc. For excluding fracture you should visit orthopedic doctor and do X-ray of cervical part of spinal cord in 2 projections or MRA according to diagnosis of doctor. She should stay in bed without pillow and be transported in bed position on the back with fixed head by special neck collar, for relief pain you can apply diclofenac gel or analgesic gel with anaestesinTake care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 22 year-old female and I had a root canal done a week ago. Prior to the root canal I complained of sensitivity and a feeling like a pocket was forming in the gum line on my upper left between my back tooth and my molar. My dentist did a root canal and prescribed clindamyacin for what I assume was an infection (he did not tell me what was really wrong). I went home waiting to return the following week to finish the root canal, but in that time, extreme sensitivity has emerged on the gum line and in between the molar and last tooth in 3 out of 4 of my molars (all aside from the bottom right). I have been brushing gently with a soft brush, using non-alcohol mouth washes, and flossing and the pain and bleeding just seems to be getting worse. I will be going to the dentist today, but I wanted a second opinion as to what could be going on. I had early signs of gingivitis in previous years, but have taken care of my teeth including brushing, flossing occasionally (not every day as I should) and using anti-gingivitis mouth washes. What could have caused the spread of such pain and bleeding in my gums over my molars in such a short time? Could it be related to my root canal?", "output": "Thanks for your query, I have gone through your query. The bleeding can be because of the gum infection, Nothing to be panic, get your teeth cleaned and maintain oral hygiene. Once in a year you have to get your teeth cleaned. Regarding the sensitivity and pain in the teeth over the gum line, it can be because of the abrasion over the teeth because of excessive pressure applied over the teeth while brushing Or it can be because of decay in the next teeth. Please do take radiograph to confirm the diagnosis and later proceed with the treatment. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "the biggest drawback of doctors or health care professionals in general is that they focus on curative aspects, rather than preventive. If theres a heart problem, they say ok well cut u up and correct the defect. But its my personal experience that they dont provide health education on how to prevent the heart problem in the first place. I know - I have faced it with a couple of my close friends who underwent surgeries. Life style related illnesses are largely the fault of the people - and the health professionals as well. Your take on this? Age: 38 yrs, female, 5 feet 3 inches tall, 57kg weight", "output": "Hi Ma'am With all due respect I want to say we all are living in 21st century which is an era of modernized and educated society with well-educated people. A person comes to a doctor only when he or she falls sick. I want to ask your good self that how many times have you visited your doctor in your good health just to take health education to avoid yourself from getting sick? Do u believe it's possible for a doctor to go to every household and teach every single person how to stay healthy. So please don't say that doctors or health care professionals are solely responsible. Let me tell me from my experience I have patients who have undergone bypass surgeries/ angioplasties whom I have spent hours of counselling with to tell them to stop smoking as it is not good for them, but they never listen. So was do u think who's fault is this? You are telling doctors just cut up, Ma'am let us imagine a scenario; Say you are coming to a doctor with severe chest pain what do you seek that time A treatment or a health education lecture ? Please do answers before you point a finger at someone do understand the gravity of the scenario. Thanks and Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi dr seminal fluid analysis test vol:7ml color:creamy viscosity:+3 liquefaction more 180 min ph:8 sperm count:35 milion/1ml total count:245 motility data: Rapid15% slow20% non10% immotile55% erythrocytes1-3*0000/l leuco 3-5*0000/l morophology data: NORMAL sperm55% abnormal sperm45% head30% tail10% middle piece 5% Is there any abnormal findings in the examination and what problems?", "output": "Hello Your semen analysis findings may indicate semen infection with borderline decreased sperm motility. Infection is indicated due to presence of few pus cells in semen. Normally semen shouldn't contain any pus cells. Few RBC in semen may be due to infection. You may need investigations like routine hologram, random blood sugar, semen culture and sensitivity. You may need to take antibiotics based on culture and sensitivity report. Motility is slightly low. Normally it should be at least 55 %. Your findings suggest over all 45% motility, so it is low. Sperm count is normal. It should be at least 20 millions/ml. Fertility is expected to increase with control of infection. If infertility persists then you may need assisted fertilization techniques. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my brother has elevated liver enzymes--between 5-12 times upper limits of normal. diagnosed today in EC with hepatitis, serology results back later in the week. if he does not receive treatment and continues his lifestyle, what would be an approximation of time that he has left?", "output": "Hi thanks for contacting Chat Doctor... Noted he has diagnosed with acute hepatitis .... So some lifestyle measures have to be taken. If not then complication can occur sometime fulminant liver failure can occur.... Take low fat diet... Strickly avoidance of alcohol... Green leafy veg more... Fried food and non veg taken very much less.... Rest is done. One tsp licorice with honey useful... Fruits, green leafy veg, apple juice, papaya, avocados good for liver. Early in morning take carrot juice.... If cause for acute hepatitis unknown with full history and investigation then biopsy might be needed. So rather than thinking about his life expectancy consult gastroenterologist for examination... Take care. Chat Doctor. Part" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have had oral sex from a lady 5 months ago. Till that date burning sensation on foreskin. small pin pointed groups of white head appeared. Fever and headache is common. No crust over or any thing. Pls help me. Lot of antibiotics tried still burning sensation after 5 months contnuing.", "output": "Helots could be related to infection or allergic reaction I were your treating doctor I would have advised you for a battery of tests like blood for hemoglobin, CBC liver and kidney function test urine culture an ultrasound and investigation for STI like V Chat Doctor. You may require a course of antibiotics depending upon the reports.Meanwhile, wash it with antiseptic soap or solution and keep it misapply antibacterial ointment like Mupirocin or tobramycin. Maintain good hygieneAvoid sex or other trivial trauma to the glans. Hope this answers your questions you good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I noticed a red lump type thing on my breast yesterday and its still there. Its about an inch and a half wide..it doesnt itch or anything and is really raised a whole lot and when I press on it the redness disappears almost completely and reappears once I let go. I think there is a small limp underneath right where the spot is..should I go to the doctors to get it checked out? Im 17", "output": "Welcome to Chat Doctor .1. The history given by you suggest presence of cystic structure in the breast.2. Infective cause (abscess) excluded due to absence of pain or tenderness.3. So the possible cause could be breast cyst, Ductal Eurasia (dilated ducts) and finally mass could not be excluded.4. You need to see your GP, let it get examined and ask for an ultrasound breast to characterize the lesion.5. Ultrsound will help to evaluate the nature of the lesion (solid, cystic, ductal), its source and where it is extending.6. Depending on findings further steps like - FNAC in mass lesion (fine needle aspiration cytology), Fat, ductal cyst lesion followup necessary. Good luck. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have chronic back pain of 20 yrs & have managed itbquitebwell by, walking, daily exercise regime. I now have developed a very severe pain on my r) hip & get pain when I attempt to turn to the right. I even get pain when driving, cannot turn to the right without pain. I am a very healthy, fit, 68 year old, weighing 9 st. What could cause this?", "output": "Hi, From history it seems that you might be having osteoarthritis changes in your vertebral column. Due to these changes there might be stretching or irritation of nerves giving you this problem of back pain and restricted movement. Go for x-ray lumbosacral region and find out the changes of often- arthritis. Go for physiotherapy and back extension exercise after consulting orthopedic surgeon. Ok and take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My wife has afib. she has had two cardoversions, in addition to amioderone and other medications such as digoxin and carvedilal she is 72. She is not a candidate for an ablasion due to copd. are there other treatments that will increase her energy? YYYY@YYYY", "output": "Hello, I have gone through your query. Thanks for using Chat Doctor. Basically Atrial fibrillation is managed by digoxin and carvedilol. If her heart rate is under control there is no need for any additional medicine except she may need anticoagulants. In view of her age and COPD it is right decision not to go for ablation. I request you to focus on control of COPD as well to combat weakness. My best wishes Chat Doctor. ." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Yesterday I had an anaphylactic reaction to pine nuts. I realized as a young adult that I was allergic to them. Yesterday was by far, the worse reaction ever. Swollen face, tongue, and a restricted airway, as well as severe itching all over. It was also the first time I had to have a shot of epinephrine. I also had 2 steroid shots, as well as dyphenhydramine. I was told to continue Benadryl for 3 days. My question...what should I expect over the next few days? Of course, I m tired, but have a terrible headache today. My face is also flushed and hot. Thanks so my much!", "output": "Hello, Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for you as follows:1. The best management of known allergies causing anaphylactic reactions is avoidance of the food you are allergic to. Unfortunately there is no 100% \"curative\" treatment for such food allergies.Hence, my humble suggestion to you would be avoidance of pine nuts in all forms. Please also avoid those food items which contain pine nuts as ingredients.2. As you have a serious anaphylactic reaction requiring epinephrine, future management plan would be to keep an epinephrine pen along with you for unanticipated anaphylactic reactions. It can be life-saving in such accidental unanticipated reaction. Please consult an Allergist who will prescribe you such a pen for self-use and also teach you how to use it and when to use it. Hope above suggestions and information will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you the best of the health ahead. Thank you & Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have been having a wisdom tooth growing in on the bottom left side of my mouth. It has been causing some issues for the past few weeks and recently saw what looks like an infection. A large area that looks grayish with swelling and bumps. I have also noticed some itching and tingling along the left side of my upper and lower lips . It reached it s worst last night where I stayed up all night in agony. Now the pain has subsided for the most part but it looks awful and is now causing slight numbness in my left upper and lower lip and where the infection is. Should I be concerned about this? I don t have insurance and would like to avoid going to the doctor unless it is neccessary. Thank you for your help. :)", "output": "Hithe pain in the erupting lower molar tooth can be agonizing till its fully erupt. The issue with your upper left lip is due to biting which happened due to partial numbness due to erupting molar. All these symptoms are totally reversible but I would still advise you to see your dentist to rule out any developing problem due to molar tooth. Like see if its erupting upright, if not then plan its extraction with your dentist. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my dad who is 58 years old his weight:60 kg height :maybe 5.8.he keeps on talks on the same topic...and also he hallucinate things which hav never happened.he avoids whole family and he himself feel alone he smoke a lot.he keep smiling even he is alone .for past 10 years he is like dis .my aunt she is a doctor who suggested for sizodon 4ml per day....for few weeks is it suggestable for him.i want my dad bck pls help by suggesting me", "output": "Hello and welcome to Chat Doctor. Thanks for your query. I understand that you are quite worried about your dad. From the description of his symptoms it appears that he may be suffering from a chronic psychotic disorder like Schizophrenia. Soon (Risperidone) is an anti-psychotic medication which is used for treating psychotic disorders. It is usually effective in controlling psychotic symptoms like hallucinations. I would suggest that you take your dad to a psychiatrist in order to have a proper evaluation so that the correct diagnosis can be made, and the appropriate treatment can be initiated. Wish you all the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my nephew is only 3 years old, he loves eating chocolates and lately he keeps in peeing, wanted him to test for his blood sugar level, but we were told he needs to be on npo at midnight which is difficult for us cause he cant sleep throughtout the night not drinking anything..what should we do?", "output": "Hi Thanks for writing to Chat Doctor. From your information provided I understand that you are concerned over frequency of passing urine. You do not always require the child to be empty stomach to do blood test for kids. I would suggest please get a Urine RM test done first. Also keep a watch on water intake of child. Is there fever, difficulty in passing urine, baby crying while passing urine? Hoping to hear from you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have done my semen analysis several times 1st time - Nill sperm ( Pus cells:12 ~ 14) 2nd time - Nill sperm (Pus cells:11 ~ 13) Started homeo treatment 3rd time - Nill sperm (Pus cells:10 ~ 12) 4th time - Nill sperm (Pus cells:8 ~ 10) 5th time - 20 Mill sperm count (Pus cells:2 ~ 4 & Epithelial cells: Nill) 6th time - Nill sperm (Pus cells:3 ~ 5 & Epithelial cells: 1~ 2) Please guide what to do", "output": "Hi, your semen report suggests some short of infection by presence of pus cells. Absence of sperms demand a clinical examination by a surgeon. Please get a check-up and get tests done as suggested. Persistence presence of pus cells require to be investigated by semen culture and treatment accordingly. Please discuss with doctor the course of investigations and treatment available. Testicular biopsy will indicate further line of management. A PRELIMINARY CLINICAL EXAMINATION IS ESSENTIAL FOR FURTHER ADVICE. Please get a check-up and be guided. With best wishes" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am afraid that I have pancreatic Cancer.I was in the Hospital over Christmas with a bowel obstruction and the cat sca showed the pancreas enlarged. I have the scan repeated the 29th of January to compare. My fear comes from month of really bad back pain and obdominal pain. I am scared.", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have pancreas cancer or some other pathology. You should go for CEA & CA 19.9 along with ct scan. Then take treatment according to diagnosis. In early stage surgery is possible. In late stage chemotherapy is the treatment of choice. Gemcitabine IA Chat Doctor. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello i seem to be rather light headed at the minute with occasional dizzyness which can also affect my balance at time but it takes a short while sometimes to focus on some things. at the same time i have been feeling an aching down my left arm which can be quite painful", "output": "Hello! Welcome on Chat Doctor ! The dizziness could be related to different possible causes: an inner ear disorder, cervical spondylarthrosis, orthostatic hypotension, etc. It is not related to the pain in your left arm. The pain in the arm could be related to a pinched nerve. If the problem persists, a nerve conduction study may be necessary. I would also recommend consulting with an ENT specialist to exclude an inner ear disorder. Hope you will find this answer helpful! Kind regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi , I am 29 years old , working as secretary , one day I had pain in my testis , I made ultrasound , it was bilateral varicocle with mild degree with refluxing . also I made semen analysis , it was okay in the number and every thing but the motility was 40 % . shall I make another semen analysis to make sure from the results or it is okay to get married . thanks for your help in advance", "output": "HelloThanks for your query, based on the facts that you have posted it appears that you have done your semen analysis which revealed sperm motility to be 40%. The sperm motility is graded according to pattern of their motility (Grade 1to grade 4)and mere motility has no meaning as far as fertility is concerned. Please repeat your semen analysis after one month and post the results in detail to make precise comments. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 11 year old daughter was diagnosed with strep and Flu A&B on Thursday. She has been taking her medicine since then. She really perked up yesterday and seems fine, at what point can we send her back out into the public again, without putting other people at risk or herself? She wants to go today.", "output": "Hi thanks for asking question. She is suffering from influenza. Usually first 7 to 10 days can be infective for other people through airborne transmission. So for approx week it is better not to go outside and taking rest. Whenever sneezing, use handkerchief for sneezing. Chat Doctor. Eat more fruits and fruits juice. Maintain immunity to counteract influenza infection. I hope I have solved your query.thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI doctor, I am 60 years old male with h/o recurrent depression. I had more episode as I had some post retirement settlement issues. The level of depression was mild to moderate. I was prescribed Cipralex 10mgs which was latter on increased 20mgs. I took it for 4 months without any significant benefit though previously it would relieve me of depression within one month. However soon after taking some decisions about my future plans , my depression vanished just within 2-3 wks. I have stopped medication with tapering doses and am ok now. I would like to know whether antidepressants really help. I have gone through lot research which shows antidepressants don t help much. I have read one of the leading psychiatrist from UK who had written if I get depression I will never take antidepressants. I would like to know your opinion.", "output": "His understand your concern. I do not know who is that psychiatrist in UK. But lots of literature and current clinical practice show it is really beneficial. But selection of antidepressant according to patients profile is very important. It is the best medicines if depression is endogenous or biological. If depression is due to social or economical or any stress related issues then it is not so beneficial as it is in biological, but it has supportive role. Depression mainly occur due to fluctuation in level of neurotransmitters then anti depressant is very important role to treat it. Beside Chat Doctor. For that you have to consult therapist. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had 3back surgeries, most recent in January I m prone to have scar tissue I still have severe leg pain and now I have swelling in foot and leg pain is worse it forces me to stay off my feet I had ultra sound they ruled out blood clot I am waiting to have MRI in two weeks sometimes I feel like warm water is being poured over my leg real slowly from top to bottom I am worried about what s going on I m scared can you help", "output": "Hi, I am Chat Doctor. I have read your question and understand your concerns. Let me try to help you Question : What causes pain and swelling in leg after undergoing back surgery? Answer : The most common cause of Pain and Swelling in Leg after undergoing Back Surgery is a condition called as Deep Vein Thrombosis. Because your legs were immobile for long, the circulation in the veins of the leg had become sluggish and a thrombus (blood clot) has formed inside your veins A Vascular Surgeon will be able to cure this and make you alright Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. Let me know if I can assist you further. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am female, 72, 222 pounds and losing, I have had 4 heart attacks and 17 strokes. I currently reside in a nursing facility. I use a wheelchair but am relearning to walk. My symptoms are: I get sudden severe chest pain (feels like an elephant is sitting on my chest 0, My food gets stuck halfway to my stomach. I cannot move it, I cannot swallow and saliva dribbles from my mouth. I have a hiatial hernia and stomach ulcers again (since age 18). I eat very small bites of food, no coffee or alcohol, no smoking. Help please", "output": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, we should rule out esophageal obstructive lesion and worsening of hiatus hernia in your case. Your symptoms like chest pain, pressure, not able to swallow food down, food stuck midway etc. are suggestive of obstruction in food pipe more. This can be due to mass lesion or worsening of hiatus hernia. So get done CT thorax and upper GI (gastrointestinal) copy for the diagnosis. You may need surgical correction of hiatus hernia. Don't worry, with appropriate treatment, you will be alright. So first diagnose yourself and then start proper treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi a work colleague has had swine flu for a wk and returns back to work on sunday weve asked her to produce a doctors note stating she is no longer infected with the virus but she says they wont do this??? is this right??? also is she still infectious as my son has ongoing kidney problems and i dont want to get the virus and infect him??? please help", "output": "Hi thanks for asking question. Mostly in early stage during first week chances of spread of virus is more. Now she is back to work so mostly after week here chances of her infectious stage is less.Meanwhile, maintain your immunity as when immunity get compromised then chances of infection is more. Chat Doctor. Take healthy diet, all which help from getting viral infection. If still she has resp problem like cough then keep your child away from coming direct contact to her. I hope you understand my concern. Wish you good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi there, i was born with a clubbed foot on my right leg and after 10+ ops to correct this but have now found out that the cartilage has all but gone and im now in constant pain. and because of my job i am unable to take anything stronger than paracetamol is there anything i can do to help reduce the pain?", "output": "Welcome to Chat Doctor I have gone through your query and understand your concern. Your cartilage has been damaged. So it causes pain. Diapering and glucosamine are the best medicine to help you. You can take analgesic such as ibuprofen for pain relief. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have shortness of breath, strong heart beat in my chest, and increased pressure in my sinuses and head area. When I drink water it seems to cool my chest and I am better when resting. I went to a doctor. had an ekg and chest exray and they did not see anything wrong.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. First no need to worry about major heart and lung diseases as your reports are normal. Shortness of breath, palpitations, headache etc. are also seen with stress and anxiety. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You will also need anxiolytic Chat Doctor. Don't worry, you will be alright with counseling and " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Occasionally I will waken from a dead sleep with a squeezing feeling in my chest. No pain, but I feel momentarily short of breath. I went to a Dr. and had stress test and nuclear test but they said everything was fine. I had one last night for the first time in 2 years. The only thing different was I drank a pint of beer a couple of hrs before bed. This scare me. What could it be?", "output": "Hello, Most probably a gastritis and reflux. Do you also have upper abdominal pain, nausea, bloating, burping, increase in pain on food, sour water feeling in throat or chest burning, these are the other symptoms and may be associated? You should avoid fatty, oily and spicy diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Lots of green leafy vegetables, fruits. Avoid smoking and alcohol if any. You can get prescribed tab Pan DSR 40 mg or omeprazole risperidone combination before breakfast once a day for 2 weeks. If not adequately relieved, then you should add SYR sacral O or genus two teaspoon three times a day for a week. Hope this helps you and get back if you have any doubts." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. My 4 year old started vomiting las sunday night.Woke the next day generally unwell and stayed on couch but not sick again, Wed she started with diahrreah. Woke up thurs just generally unwell. Not eaten much all week but drinking milk and water. Friday she was back to old self and eating and playing until friday bed and vomiting again, and tonight in bed. Really worried now as i thought she was on the mend. Help please x", "output": "Hello, It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting. You need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic-associated diarrhea. I suggest you use zinc supplements (Z&D Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am male 29, i got itch around my scrotum and groine the area covered by hair, In addition, at the part where my pines and scrotum touched each other the color is changed like burned skin or scar and the size is expanding since started i have no idea whether it is STD or notive sweat in the area", "output": "HelloSign, how many days, you are having this itching. As you mentioned that, is it due to STD? Without V Chat Doctor. However, such type of itching may be due to, these possibilities, these include:1 Unhygienic care, since there are so many hairs, if proper care is not taken (poor hygiene) may develop itching, so wash this area with mild degree antiseptic solution or soap.2 Edematous dermatitis may be the next reason, diagnosis can be confirmed by physical examination.3 Lice may be the another reason, because this is the most prone area for development for lice. Wash this area with permethrin soap. In my opinion consult a dermatologist and get his opinion as physical examination is important. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 6 year old daughter gets a blue ring around her mouth sometimes, especially in temp. changes. This has happened since she was born, she came home with blue hands, feet, and around her nouth. We are going for and ekg this week im worried. The doctor said if its not a heart condition its Raynauds. What do you think?", "output": "Hello, I understand your concern. I am Chat Doctor, infectious diseases specialist, answering your query. In my opinion it is Reynolds disease. Typical characteristic of Reynolds is the sensitivity to cold particularly to the peripheral limbs. This all symptoms is seen in your child. You can protect him from the cold by giving her a worm covering around his hand and leg. I will be happy to answer your further concern, you can ask me on bit.ly/ Chat Doctor. Thank you. ChatDoctorInfectious diseases specialist." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I would like to know what do I have its been 2 days already I wake up in the morning my stomach starts to hurt then I feel like vomiting and I just spit saliva then vomit clear sometimes yellow but today clear with red line idk Im really concern wondering whats wrong also I get cramps then I go to the restroom but I wonder y do I get cramps if I dont get my days until 2wks Im so confuse can someone help with my disorders!!!!", "output": "Hello! I read carefully your query and understand your concern. The way you describe it seems to be stomach issues(gastritis, acid reflux, ). You can try taking antacids or PPI Chat Doctor. If the cause is stomach you will feel better after this. If your pain doesn't get relieved by antacids than another possible cause of these symptoms is gallbladder stones or cholecystitis. The diagnosis is confirmed by abdominal ultrasound. If the symptoms still persist and don't relieve from antacids I suggest consulting a physician and get some tests done to sort out the right cause and get the right treatment. Hope my answer has helped. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 37 yo female with a past history of stage 3 breast cancer. I completed 6 rounds of chemo last year in May. I had 26 radiation treatments ending in September. At my checkup in January my WBC was low but my oncologist chalked it up to a cold I was fighting. Three months later, my WBC is still low. I am not fighting a cold so what could be the cause?", "output": "Hi, dear. I have gone through your question. I can understand your concern. Your WBC is low. There are many causes of low WBC count. Even simple viral infection, malaria, typhoid can cause low WBC count. However, you have persistent low WBC count. So we have to think about some other causes. You have taken radiation and chemotherapy. So maybe it causes your bone marrow suppression and have low count. Or there may be some other cause. So if you have very low WBC count you should go for bone marrow examination once. It will give you exact idea regarding cause. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I want to know that what problems will I face if I go for surgery to treat my open bite problem. My lower jaw is too back compared to my other parts of the face. I already used twin block treatment to bring my jaw in front. Now I want to go for a surgery, can you please tell me what all problems will I face during and after the surgery?", "output": "Hi, welcome to Chat Doctor .com. I had gone through your question I can understand your concern about the procedure to be done. You will face several transient difficulties during and after the surgery, but these are small things for good gains. A properly done surgery have least or none of the post surgical complications, but following ones are the risk factors:Bleeding during procedure, MAL placed jaw, numbness or loss of sensation, post-operative infection, post-operative muscle spasm because of new adjustments. These things can be complication, but they are not always. So you must trust your doctor and go ahead with the plan for physiological, esthetic and functional betterment of your jaw. Hope my answer will help you. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Symtoms...pain in lower stomach area under ribs, right side, frequent urination, belching after eating anything, weight gain,,even though I eat better now more than ever and I am exercising, Male 38 years old. Just had ultra sound and waiting for results.", "output": "You probably mean abdominal pain and not really stomach pain (stomach is only a small organ present in the abdomen). The specific location of the pain is important which could only be understood after proper examination. You could have got a urinary tract infection, but it is hard to comment without more information. If that is the case, you would need to be treated with antibiotics. There could be several other causes, but it is no use unnecessarily confusing you. The ultrasound will provide some insights to the possible causes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi well i think i might be pregnant i have not missed a period till tommorrow i have had light brown spotting but not like a normal period i am experiencing back pain and i have done a test which said negative was i to earlyvery worried", "output": "Hi, Chat Doctor. I welcome you to Chat Doctor VIRTUAL CLINIC. I have gone through your question, and I think I have understood your concern. Furthermore, I will suggest you the best possible treatment options. First do not worry. Your urine pregnancy test is negative, and you also have started with some kind of bleeding, this itself suggests that you are not pregnant. The brown colored discharge can be normal, or it can be due to mild form of Infection. I will suggest use of condom, this will not only prevent unwanted pregnancy but also prevent from STD. You can take Tab Azithromycin 1 GM stat to get rid of genital tract infection. I hope this answer helps you. Thanks " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My one year old hit her head before bed . She did not cry. She fell asleep and about 20 min later she woke up crying. I ran upstairs and she threw up ! I gave her a bath - she was tired - crying - threw up one more time. Was actin herself climbed stairs but seemed tired. She is sleeping and has not thrown up anymore but I m worried", "output": "Hi...this is not looking normal and the signs you quote like vomiting and excessive sleepiness and not crying are red flags and danger signs after a head injury. I suggest you take her to the nearest emergency room immediately. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 15 month old son had a cough for two weeks followed up by a week of fever up to 105.8...it broke after 5 days and he seemed to be better then, two days ago the coughing reappeared and now the fever again - any clues if there is something more I can be doing...I am treating with Tylenol, humidifier, honey etc...he finished a course of antibiotics four days ago.", "output": "Hi... Thank you for consulting in Chat Doctor. Cough and cold are viral 95% of the times in child Chat Doctor. For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15\u00a0mg/kg/dose (max ceiling dose 500\u00a0mg) every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. For cold, you can use Cetirizine at 0.25\u00a0mg/kg/dose every 12 hourly for 3 days. For nasal block, plain saline nasal " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have several questions for you. Number 1 is I like to run dull knife blades acrossed my fingers and cut my skull with razors blades... now im not suicidal but is this normal? number 2 my modd constantly changes from good to bad ill be happy then be very angry in a flick of a switch what is wrong with me?", "output": "His had gone through your query.1. It is not normal it suggests para suicidal behavior or impulsivity.2. Mood swings can be part of depression or borderline personality disorder. Both of these require proper assessment and evaluations. Mental status examinations and thought processes can give better idea about illness. It is treatable if only after proper diagnosis. So consult psychiatrist and get help. I hope I have answered your query. Happy to help you. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "good morning, my 87yo mother has woken up with left half of her face and lip swollen and dropped. Not painful but has been complaining of a small bubble like small lump in her hairline which gets very itchy and after scratching it disappears but it gives her a headache across forehead. Dr s all dismiss it as nothing. My dr yesterday burnt off a benign wartlike growth(old age)in the same area and this morning her face was swollen and dropped it has affected her speech as her lips are also affected. would appreciate some help,Cheers Rose.", "output": "Hello, Her situation could be related to a Bells palsy or a small stroke. Can she close her left eye? If she can not close her left eye, this would be indicative of Bells palsy, which is a benign condition. In such case the swelling could be caused by a local ear infection. Otherwise, I would recommend performing a CT scan to investigate for possible stroke. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good day, my husband has been getting a fever for the last 2 weeks, we have gone from one antibiotics to the next, this weekend he got a fever again and we went to the doctor which drew blood. ESR 64mm/hr and monocyte of 1.01 the doctor advised this could be an infection so he gave him another course of antibiotics for 10 days. Is there anything we should be worried about or go see a physician?", "output": "Hello, THX to contact us. I understand your concern. If I am your doctor I advise you to go for blood for culture and sensitivity. Since the cause of infection is not known, so first important parameter is to check whether it is bacterial or parasitic or viral infection. There after we can start our treatment accordingly. I will be happy to answer more of your concerns, kindly know me, Wish you a very good health at Chat Doctor. Chat Doctor. Infectious Disease." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 11 month old son is having loose stools since today morning. Also he is not eating his ood as he does normally. I have not given any medicine yet..should i check with a doctor and get it tested? Or is it just indigestion and wait to see if it subsides?", "output": "Hi... Thank you for consulting in Chat Doctor. It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi there, For the last two years I have been getting these large lumps on my lower legs. they are about the size of a 50 cent coin. They feel like a painfull bruise. Sometimes they flare up and go red in colour and sometimes they are still under the skin but have no colour. They will sometimes stay there for months at a time. Kylee", "output": "Hi, Dear,Thanks for your query to Chat Doctor. Dear I read your query and reviewed it with context to your query facts. Based on the facts of your query, you seem to suffer from-Varicose Vein of the legs since 2 yrs. The redness of the lumps is due to the engorged veins from the Varsity. The color goes off when the engorgement of veins is relived may buy less stress on the legs. Treatment-Would suggest you to Consult Vascular Surgeon and assess the case for further treatment as follows-Get Color Doppler dual image USG Scan, to find the extent of the Varicose Veins and if DVT -Deep Vein Thrombosis-is the cause of it along with accompanied incompetency of the Valves of the leg Veins. A-Conservative-Non-Surgical Treatment-with Veno-Stockings / Cap Salon /Trendelenburg Exercise to tone up the Calf muscles./It E Cap-b-EVLT-Endo-Venus Laser Treatment -with or without embolization of the veins /or spring treatment for reducing the Varicose Veins. Hope this reply would help you to plan further treatment with your family and specialist doctors there. Welcome for any further query in this regard. Good Day!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi.. I am not married yet but im in a relationship. We have sex Very frequently and he does not prefer using protection. I take contraceptive pills every time after intercourse. I wanted to know is it safe to take pills and also I wanted to know about Mala d tablet. How to use it and is every time before sex I need to take the tablet. Thank u.", "output": "Hi, Thanks for writing in. It is not safe to take emergency pills each time you have unprotected sex. It can cause cysts in ovary and other hormone related problems. Your periods may also get delayed and irregular due to taking emergency pills. If you are in a relationship, I suggest you take low dose daily pills like male d. You have to start taking them from the first day of your cycle and continue as per directions. It can be taken for longer duration after discussing with your doctor. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My mother has an RA factor of 256 and she has been prescribed a Tablet which I am not sure is ChatDoctors or HLgs. can you tell me what it is. My second question is she does not have any Rheumatoid arthritis symptoms like joint pain etc.How do we attribiute this high Ra factor figure", "output": "Hello and welcome to Chat Doctor, A positive RA factor does not always imply that one is suffering from Rheumatoid Arthritis. However, patients of Rheumatoid arthritis always have a positive RA factor. Thus, do not worry about Rheumatoid arthritis. Continue the medication that you are taking. It is not clear which medication you are prescribed and for what purpose. Thanks and take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 45 year old female, 5\" weighing in at 118 pounds. I have had bile duct spasms(which occur on and off) as well as stones in my bile duct(every 15 years or so)over the past 15 years. I also have panic disorder which is being well controlled. I am under a great deal of stress due to relationship issues and the caretaking of both my ill parents. Over the past year I have been experiencing episodes of feeling like I have eaten way toooooo much(even though i have eaten very little), shortness of breath, heart palpitations, pain in upper middle quadrant(middle under breast bone)through the back, the feeling of needing to burp and/or have a bowel movement. I have been checked for heart trouble(it is not this). My liver enzyemes are normal and the ultrasound taken to show possible liver issues are okay. I do not have a gallbladder and I have had a few ERCPs and one 2 that cut the bile duct to make it larger. The ERCPs showed nothing wrong. I am wondering if the stress that I have been experiencing may have changed avenues. In otehr words..instead of having panic attacks-I now have these bile duct spasms and what I believe might be a hiatal hernia. My question to you...given my background. Outside of the panic and bile duct issues...do you think I could be suffering from a hiatal hernia?", "output": "1) I think so, yes.2) these symptoms are not bile duct spasm, which generally originate/locate on right upper part of abdomen.3) pain in middle upper part of abdomen, burping, difficulty in swallowing, all suggests possibility of hiatus hernia.4) if symptoms are severe and interfere your daily activity then further evaluation to confirm diagnosis is required with surgical correction of hernia, if needed." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "For several months I have had this feeling in my heart like someone is poking their finger on it. It comes and goes. Sometimes wakes me in the night. I am 54, in great shape, very active. A year ago I went on Synthroid for Hypothryodism. I have no other problems", "output": "Hello and thank you for using Chat Doctor. I carefully read you question and I understand your concern. I with try to give you my opinion and advise. You should know that a typical heart pain usually has some characteristics. They are retro-Sternal pains like tightness, squeezing that last from 5 to 20 minutes. They might irradiate to both arms, neck and jaws. Pains like poking a finger that comes and goes its not typical heart pain. It might be skeletal, muscular or neurotic pain. This poking sensation might be a heart rhythm issues. Some electrical impulses that generate in a part of the heart different from normal sinus rhythm cause a premature heart contraction that you feel like a skipped beat or like someone pokes you. There are different factors that might cause this rhythm issues like emotional stress, excessive coffee consumption, coca-cola or energy Chat Doctor. Pathology like anemia or hyperthyroidism might be other causes. So, if I was your treating doctor I would say that you have nothing to worry if this happens once a wile, its normal. But if this begins to bother you and interfere in your live we can decide to do some examinations like a blood analyze, your thyroid hormones as you had problems ones, an electrocardiogram, echocardiography and of course a holder rhythm monitoring to have a full view of your rhythm. Only than we can decide what we should do. Hope I was helpful. Wish you good health Best regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Me and my boyfriend had unprotected sex and I now think Im pregnant over this last weekend I had some pinkish spotting on my underwear and some mild cramps and now Ive been feeling nautious since yesturday and almost threw up last night could there be a possibility that I am pregnant?", "output": "If you had unprotected sex, and you are not using any contraception, then it is always possible that you are pregnant. The symptoms that you describe do sometime an occur in early pregnancy, however, there remand possible reasons for these types of symptoms. So having these symptoms does not necessarily mean that you are pregnant. The only way to know for sure is to wait for your expected next period. If your period comes on time, then you are not pregnant. If you do not have your period when you expect it, take a home pregnancy test, and if you are pregnant, it should be positive. I hope this helps, please let me know if you have any more questions." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I hit the outside of my elbow on the corner of a chair yesterday. My hand tingles a little and my should hurts when I lean on it. I did fine at work today as I didn t lean on my arm but when I drove home I lean on it and it causes pain and a headache.", "output": "Hi, This treatment is being suggested on bases of the information provided. However, I would like to examine & investigate the patient in detail. Control hypertension, diabetes or any other metabolic disorder, if there is any. Any way it may be tried -- Looking Plus (Mankind) [Diclofenac + Paracetamol] 1 tablet OD & SOS for 5 days. Calcified plus (Mankind) 1 tablet OD for 10 days. (You may need help of your local doctor to get these medicines.) Fomentation with warm water. Let the part not be exposed to cold air. Sleep on a hard bed with soft bedding. Use no pillow under the head. Avoid painful acts & activities. Do mild exercises for all joints. (Take help of a physiotherapist). Do not ignore, let it not become beginning of a major problem. Do ask for a detailed treatment plan. Kindly make sure, there is no allergy to any of these medicines. For emergency treatment visit the nearest hospital. Wish you a quick recovery & good health. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i am suffering frm pco problem and my periods get stopped and my age is 24 yrs and married 5 months ago and trying to conceive and my gyno prescribed me the following tablets that is 1. benforce m 2. modus - 10mg 3. mcbm 69 4. mecobalamin with pyridoxin and folic acid is these tablets by consuming make me pregnant and is sex done on the ovulation only be successful? i need ur reply, i will be greatful to u if u find me some suggesstion and how culd i regularize my periods ?", "output": "Hello dear,I understand your concern. In my opinion you are in correct line of treatment.POD is one of the treatable causes of infertility. Weight reduction in case of overweight or obesity is first and most important thing in POD. Even a 10% of weight loss might help in regularization of cycles. The treatment can be for POD or infertility. For POD medical or laparoscopic ovarian Chat Doctor. For infertility treatment ovulation induction " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my sister had Hep C and was treated with Harvoni about 1 yr ago. Now the Hep C is gone, but she continues to internal bleeding. Three or four bouts of this since August. Doctors can not find where the blood is coming. They have cauterized a couple of small Variocese but this keeps happening. The most recent on Friday, they could not find any reason for the blood. Did Endoscopy and CT scan and no leaks. But she throws up pure blood. What could be causing this???", "output": "Hello. Thanks for asking on Chat Doctor. Hepatitis c treatment would not cause bleeding. However, an underlying liver ailment might. Liver produces coagulation factors and impaired liver function can lead to bleeds. Also, portal hypertension associated with liver disorders can lead to enlarged veins in lower end of esophagus leading to bloody vomiting. I think consult a gastroenterologist. He might just do an endoscopy to see what's wrong and treat it. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI DOCTORS,IM 31 YEARS OLD FEMALE..IM FOUND OUT IN 2009 I HAVE INFECTED IN HEPA B WHEN I GOT MY MEDICAL RESULT IN UAE...NOW IM SUFFERING OF ABDOMINAL PAIN IN MY RIGHT SIDE BODY.WHAT TREATMENT SHOULD I TAKE?IM VERY WORRIED BECAUSE IM 4 MONTHS PREGNANT.PLZ HELP ME.THANKS! WHAT SHOULD I DO FOR THIS CONDITION?", "output": "Hollow, thanks for question and don't panic, I will try in the best why to guide you, You have a history of help.b nearly 5 years ago. Most of the patients develop the lifelong immunity after first infection. But now you just have an abdominal pain . U don't have other symptoms like yellowish discoloration of urine, eyes, fever. Pain in right side of abdomen may be due to many reasons it may be muscular pain, gall stones, can be simple gastritis, renal colic, apendicities You didn't mention any other complaints with the right sided abdominal pain. You will have to go through some blood get your obstetric checkup done recommend you to do ultrasound and get you obstetric check up done" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m a 52 yr old healthy female, 5 6 150lbs who runs 3-4 miles, 3-4 times weekly. no smoking, drugs or alcohol use. not on any medications. Last Monday I was suddenly admitted to the hospital for facial numbness pain in left temple and behind left eye with bp of 199/100 (normal bp 118/74). I Had catscan, mri, echocardiogram , carotid ultrasound, all negative in 3 day stay. diagnosis of bell s palsy put on antiviral and steriod for 7 days as well as trigeminal neuralgia put on tegretol 100 mg twice daily. now my bp continues to be 150 s / 90 s, constant pain in face, jaw. It seems as if nerve compression somewhere (4 & 5 vertabrae degenerative disc disease managed with an occasional Aleve) is causing more pain. Is this possible? Should I be on high blood pressure meds? I see my medical doctor on tomorrow and the neurologist next Thursday", "output": "I understand that you must be worried. From the signs and symptoms only, it would seem something more than simply Bell palsy. The good news is that you seem to have undergone a pretty comprehensive evaluation in the hospital and everything has been normal. Had it been a compression of the nerves from a tumor, an aberrant blood vessel or other focal brain lesion it would've been spotted on the MRI, so while I understand that your symptoms are very disturbing, more than usual in these cases, perhaps in the setting of a viral infection, I believe it will gradually improve. Regarding the blood pressure, yes looking at those figures you should have medication. Of course, you should monitor it, if it was normal before perhaps factors like stress due to your complaints and steroid treatment have played a role in increasing it, and you may reduce the treatment in the future, but for now it seems necessary." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello, i burn my self with a curling wound about 2 days ago and it left with a small white mark on the side of my forehead. it still hurts a bit when it move my face .. will it go away ? i m black and i want back my colour at that spot.. im thinking of going to my doctor tomorrow ? i have since put vitamine E on it and a bit of polysporin. sam", "output": "Hi.it is best if you consult with a doctor, preferably a general surgeon, for medical and physical examination. Based from your description, it could be a cyst (a sebaceous or a gelatinous type), a fibrous (fibroid tissue formation) or a lipoma (fatty deposit). These lesions can occur anywhere in the body and have the tendency to recur. Management (medical and surgical) will be directed accordingly. Hope this helps. Good day!!~ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have pain in the stomach and having diarrhea for 2 days now. Slight fever on the first day. Last night, I had fecalysis and result shows everything is normal. I had blood test as well and showed my white blood cells is low than normal range. It was 3.4 as of last night. He asked me to take another blood test tomorrow morning to ensure that I am not having dengue . Another thing, the doctor said stomach pain might be because of hyperacidity . Pain in the stomach is coming from top area of the navel going up. He just asked me to take hydrite for now. I want another opinion please.", "output": "Hi and thanks for the query, Abdominal pain, especially as you describe above the navel (epigastric pain) is generally associated, but not exclusively to gastritis. I think his suggestion for you to take HY Chat Doctor. However, low white blood cell count associated with a fever are all indications of an infectious process. A dengue is quite possible, but other possibilities like typhoid fever should not be underrated. I advise a proper reevaluation be done, and other tests like stool cultures, acute phase reactants in inflammation (Erythrocyte sedimentation rate and C reactive protein), detailed evaluation of the epigastric pain carried out. Thanks and best regards, Luchuo, MD. Thanks and" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I felt dizzy,My right ear is muffled. Came home yesterday starting to do house hold chores. the room was spinning i could even look at the phone to call anyone. i lye down I ate a candy bar( thought maybe sugar was low) and I fell asleep woke up felt a little better but later it happen again ear is muffled i feel weak. i\"m not a sick person this was scary the dizziness i felt like the room was going faster then I was. My ear this muffling", "output": "Hello dear, The symptoms as mentioned in your post can be attributed to pathology in the Vestibular Apparatus in inner ear (it is associated with maintenance of body posture & balance) most probably Labyrinthine or Benign Paroxysmal Positional Vertigo. Symptomatic relief can be obtained with intake of Vestibular sedatives like Betahistine or Linearizing preparations (to be taken only under the guidance of a Physician). If it still persists, then you need to consult your Physician/ ENT Specialist & get a complete clinical examination done. Investigations like estimation of blood pressure, blood sugar levels, serum electrolytes & vestibular function tests will be required to rule out any pathological cause for the symptoms. There is no need to worry, you will be fine. Till then, maintain adequate HY Chat Doctor. And also take precautions of getting up from bed slowly & avoid sudden head movements. Wishing you a Good Health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My father is a Liver cirrhosis patient.It is started 4 years back & it was minor.He used to go to doctor & do all the test.this time doctor said AFP is more(208)& increasing AFP is not good.Please suggest is it a dangerous situation.what&where the best treatment available.", "output": "Hi, How are you? I am sorry to hear about your fathers' diagnosis of cirrhosis. AFP (alpha photo protein) is a substance normally produced by the fetal liver when it is in the uterus. Once the baby is born, the liver stops producing this substance so that in an adult the levels of AFP in the blood will be very low. Unfortunately, if there is a liver tumor growing, then this tumor starts to produce AFP and hence its level in the blood increases. So if there is a sudden increase in the blood levels of AFP, especially in a cirrhotic patient, it could potentially point to the development of a tumor in the liver. This needs to be evaluated with imaging studies, an ultrasound to start with, and then with a Tri-phasic contrast enhanced CT scan of the liver. The treatment options will depend on size and number of tumors and also the general condition of the patient. The best treatment for patients with cirrhosis and liver tumor is Liver transplant provided they meet some criteria. If the tumor is small, then percutaneous ablative techniques or even resection of a small segment of liver in which the tumor is located can also be done. Please do let me know where you are located, so I can guide you to the best center for treatment. Hope this helps and hope your dad feels better. Please do not hesitate to contact me for further details - rxsuresh@gmail.com" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 62 year old mother had a heart attack requiring by-pass surgery and valve replacement. She was in good physical shape except for r. arthritis and hypothyroidism for which she was on meds for. She did not make it out of surgery. Any reasons her arthritis/hypothyroidism had anything to do with it?", "output": "Howell come to ChatDoctorThank for choosing to ChatDoctorI had gone through the history given here, if both the condition are well under controlled then she can be taken for surgery, but the latest test and the physical examination would give the final result whether the patient is physically fit or not, else it is nothing to worry if she is having thyroid dysfunction and arthritis, hope this information helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Having tb of fallopian tubes , advised akt 4 which I took for a month but dr advised to discontinue due to swelling on liver , then adviced r cinex 450 which I took for a month but swelling still persisted, now have been advised only liv 52 and no other medicine. Do I need to take tb medicine in future.....I am fed up talking medicines of infertility and want to stop all", "output": "Hellowelcome to Chat Doctor once diagnosed to have TB - the recommendations are that you take the complete course of the medications - which varies from 6 to 12 months depending on where it is and how severe it has affected the person. The swelling in the liver as you have mentioned need to be confirmed with blood tests which will test the functions of the liver A possibility of incomplete treatment - recurrence of the same medical problem which can then affect the fallopian tubes. I do understand that these are long term treatments, and you can get upset and dejected. Please feel reassured that by completing the course further damage can be prevented hope to have answered your query best wishes Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "o.k first of all hi,i have a newborn babygirl ,she has gazes,she is 2 months,my friend told me that one tea spon of coca cola after milk will help her cure from gazes,even i should drink after each meal,i was surprised,i live in swiss,sh said that all moms here do that with their babies,is that right?", "output": "Hello! Thank you for writing. It is normal for your baby to have gases. Usually it lasts until about four months, so don't worry. After you feed milk to your baby try to put him up lying with the head to your shoulder for 10 minutes rubbing her back in order to get rid of gases. Try to put her mouth good around the areola in order not to suck air. Feed your baby frequently in order not to have hunger because if she has hunger he sucks air during milk feeding. I don't recommend you to use cola for your baby. It will pass as your baby grows old, and the organism adapt gradually. Best regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have pain and tingling bilaterally in my hands primarily in the distal forearms, wrists, and thenar eminences. My grip does not appear to be weaker and am not having difficulty holding onto objects. A few weeks ago I had these same symptoms but ice massages and nabumotome seemed to help with the pain. I have tried friction massage with very little success. This new flare up occurred approx. 3 days ago. I am also noticing loss of balance on occasions but have not fallen. My biggest fear in life is ALS.", "output": "Hello, Your symptoms are not at all suggestive of or indicative of a motor neuron process (mainly based on the symptom of pain in the distal forearms. I think what you can benefit from is a good NEUROLOGICAL ASSESSMENT and evaluation. My first thought based upon your symptoms is to examine the carpal tunnel in both arms and test function of the median nerve though you are noticing any specific weakness in holding onto objects. It is not unusual for CTS to present as PAIN before weakness. Also, does not typically do this as it does not involve sensory ganglia at all in its outset or presentation. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im a male, 66 140 lbs and have always been fit. On statins 10 plus years, chol currently 174, BP 150, recently taking ACE inhibitor, BP 130 now. Aortic valve replacement last July. Last six months once to three times a day bouts of dizziness and a sick feeling, about once a week walking unsteady. Recent MRI of brain compared to 2006, micro vascular ischemic changes and other small changes. Taking a daily aspirin for some time now. Prognosis, treatment?", "output": "Hi, Thank you for posting your query. Your symptoms of intermittent dizziness and imbalance could be due to ischemia (lack of blood flow) of cerebellum and brain stem. However, if you could upload the results of MRI, it would be useful. You are on good medications to prevent any major brain stroke, so, there is no need to worry at present. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I slept on my arm funny last night and the top half is unbearable pain. The pain is really bad when i stretch out my arm in the middle of the forearm. Im hoping it will go away but its been a whole day and im still in terrible pain. Please help! thanks", "output": "Dear Patient, Welcome, and thanks for sharing your concern I went through your query, and I feel, you are suffering from muscular pain, do not worry, take some rest and analgesics with muscle relaxants and do hot fomentation and see if it settles down, if this continues, than you will need to see your doctor. I hope my advice would have been useful, in decision-making regarding your treatment, still if you have any clarifications or doubts feel free to contact back. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 22 years old, my husband and i are trying to a baby and i have been having bleeding without cramps that is dark brownish red and really stringy looking and yet my cervix is closed. my normal period are 28 days, and when they come i always cramp pretty badly ( never do i spot before my period it always comes full force, cramps and all) and my breast hurt for two weeks prior to the start of my period but never during and now with the bleeding they hurt even with or without a bra. i am also having symptoms of pregnancy even have the montgomery tubercles around my nipples. my lmp was june 3rd. at the end of june on the 28th i spotted for five days. i missed my regular cycle for july 1st & 29th, the on the 31st of july i started spotting then bleeding the dark brownish red blood. i took a pregnancy test when my cycle for the 1st didnt show and it was negative. my cervix is high and closed and feels like puckered lips, als have veins visible on breast, tummy, arms and hands, experiencing heartburn ( never had before), metallic taste in mouth sometimes and sore tender breast and nipples seem larger but not sure. is there a chance i could be pregnant even though i am experiencing bleeding with a closed cervix?", "output": "Welcome to Chat Doctor. If there is regular bleeding than there is no chances of pregnancy, although your symptoms are suggestive of pregnancy. Sometime spotting may occur even in early pregnancy during cycle date. Go for urine pregnancy test after 7th day of missing cycle and also confirm it by blood Chat Doctor level, USG. If there is no pregnancy than go for certain investigations like CBC, urine,FBS, ppbs, thyroid profile, torch profile and USG for ovation study and abdomen. Semen analysis of your husband. Start Semitics,b12 and calcium supplement. Consult your gynecologist for better guidance and proper medical management." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I want to know if I should be taking any hormonal therapy to prevent recurrence of low grade stage 2a (3 cm. tumour) NO M0 early breast cancer treated in 2011 while I wait for a total hysterectomy scheduled for October 2013 to treat well-differentiated endometrioid adenocarcinoma with squamous differentiation diagnosed by endometrial biopsy. I am a white postmenopausal woman aged 55. My oncologist told me to stop taking Tamoxifen 20 mg daily since my diagnosis for uterine cancer in July 2013. I would appreciate medical literature references, too.", "output": "Hormonal therapy is normally recommended for 5 years. One of the side effects of Tamoxifen is uterine carcinoma which has happened in your case. In such cases Tamoxifen is stopped and a total hysterectomy with bilateral oophorectomy is done at the earliest and Tamoxifen restarted. It is not advisable either to stop Tamoxifen for 4 months or to continue taking it in the presence of uterine cancer. So my advice to you would be to get the hysterectomy done at the earliest rather than waiting till October and then restart Tamoxifen. All the references can be had from nccn.org" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good morning sir, I m suffering from skin allergy, running nose, eching, red eyes from last four years.I have taken treatment from many local doctors.I have to take one tab citirazine every day. Now the condition is going worse.Please advice me for permanent treatment.........", "output": "Hello, thanks for your query, sequence of sneezes, running nose, itching in ears, itching in roof of mouth, blackness under eyes are the symptoms of allergic rhinitis. It is best prevented by not to expose to cold, dust, not to consume ice creams, fridge water, curd. Best street meet is Adams(fluticasone) nasal spray twice daily, tab. Monte- LC (montelukast+cetirizine once daily at bedtime. All the best. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "For the last 10 days, I am getting dizzy while walking, tired, I tend to breatha bit fast, and my throat is getting dry as well. The above symptoms results a very uncomfortable feeling, and fast heart bpms while happening. Could it be something serious?", "output": "Hello! Welcome and thank you for asking on Chat Doctor! I understand your concern and would explain that your symptoms may be related to low blood pressure or chronic anemia. You should carefully monitor your blood pressure in the next days, frequent times during the day and report these values to your GP. I recommend consulting with your GP for a careful physical examination, a resting ECG, a chest x-ray study and some blood lab tests: -complete blood count (for chronic anemia)-blood electrolytes-PCR, sedimentation rate (inflammation)-kidney and liver function tests-fasting glucose-cortisol plasma levels (a Chat Doctor. A head up tilt test may be need to exclude possible orthostatic hypotension. Hope to have been helpful! Best regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am Farha 35 yr old lady and married since 11 yrs but having no child. Presently i have consulted a gynecologist and started IUI treatment, I am on Menogon75 injections for four days starting from yesterday but . suddenly i started spotting blood today after I had my first injection yesterday . Its eighth day of my periods and its quite unusual for me to feel spotting I never in my life had this spotting coming on my eighth day of periods. Is it due to Menogon? Is is safe and should I continue further taking Menogon for three more days?? Please reply", "output": "Hi, Menogen contains Genotropin hormone, and it works by facilitating the maturation of follicles in the ovaries which contains the eggs. This helps treat female infertility due to improper egg production (an ovulation). Spotting may occur with the Chat Doctor. Continue the injection and check your estradiol and LH levels to check for ovulation. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a partial cholectomy and post op partial small bowel obstruction and ileus which cleared with conservative treatment last week. I have severe joint pain all over including back ls area and hands. Potassium normal level at discharge and sed rate normal. Why woukd I have such bad joint pain so severe I can hardly walk?", "output": "You need to understand that any surgery happens slows down your physiological movements. Slowly start doing small free exercises and FROM exercises under a guided physical therapist. Which will help the muscle tone to improve, and you will be fine soon. Multiple joint pains can be due to non use rather a surgery u have undergone. Kindly meet a close by physical therapist and workout on daily basis. Slow and steady wins the race." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have 18 years and I have a lump on the left side of my pelvis, the pain is very bad when I sit or when it touches something. went to the doctor and he said he could be a hernia and had a fever today. this pain I have it for a week and yesterday I did a lot of excercise and today dawned inflamed and I have much pain that may be?", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have inguinal hernia or some inguinal lymphnodeeenlargement. You should go for examination by surgeon. Hernia can easily diagnose by examination only. If needed go for ultrasound study. Then you should take treatment accordingly. Surgery is the treatment of choice for hernia. Consult your doctor and plan accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I used to bus tables at a restaurant years ago; putting the tub of dishes on my right shoulder balancing it with my right hand and carrying the bus stand on my left; going from 1 table to another..setting the tub on my stand... When the tub was 3 levels high..time to go back of restuarant to the dishwasher.... What happenend over time, my right hip,, lower right back became an issue. Posture imbalance became an issue...this was a part time job. Now 30years later, the pain pops up every few months. Can you provide some photos of the hip or lower back of what is going on.?", "output": "Hello, This is not the forum on which to provide patients with questions photos or uploaded files as your request is asking. However, your problem of repetitive stress and strain upon particular joints of the body due to work related activities is a common one. My suggestion is that you see a physical therapist or a physical medical rehabilitation specialist where your posture and integrity of the musculoskeletal system can be assessed to do what is possible in order to correct the poor posture that may have developed as well as to reduce the pain and discomfort of what already has happened. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Iam 53 I have always been healthy , never smoked . The last 6 weeks I have had a persistent cough , minor shortness of breath , an phlegm . I have been drinking a lot of water and taking about 4 cough drops a day . Just when I think it s getting better it comes back . I have no Doctor , what should I do ? Thank you. Ron", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion you should consult pulmonologist and get done1. Clinical examination of respiratory system. 2. Chest x-ray. 3. PUT (pulmonary function test)You might be having lung infection or bronchitis. So chest x-ray is needed to rule out lung infection. PFT is needed to rule out bronchitis. So better to consult pulmonologist and first diagnose yourself and start appropriate treatment." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I donated blood for the first time and got to know that I have syphilis because my VDRL/RPR was positive with titer 1:4 and FTA abs was also positive. My doctor says to forget what these tests say because he thinks titer 1:4 is not good enough for the disease to be treated. I tested my blood after 3 weeks again and VDRL/RPR is still 1:4. I have never seen any symptoms of Syphilis in my entire life. My age is 24 and I am unmarried. Please advise whether I should take medication for protection in future as my doctor is refusing to give any medication. Also if I dont have active syphilis in my body what side effects can any medication may cause. Many Thanks !", "output": "Hi and thanks for using this forum for your health concerns. I am so sorry to hear about what you are going through. Not all cases of primary syphilis really stand out clear that you may suspect having the infection. You may not have ever noticed you had the infection though you have suffered from it. These are cases of asymptomatic primary infection. For this test to be positive consistently, and FTA which is specific to Syphilis being positive deserve to be treated. I will strongly advise you get treated and so like syphilis which has lasted more than a year because we don't really know when this happened. The side effects of the commonly used Chat Doctor. Treating now is the best way to go. If you don't have any infection, the side effects are still the same and not any more dangerous than with having the disease. Hope this helps... Welcome to ask more questions and wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doctor,this is regarding the noisy snoring of my daughter..She had undergone a surgery for removing adinoid a year ago.She had the same trouble before but after the surgery she was fine.Whereas she is having the same snoring.She is 7 yrs old.What shall we do?", "output": "Thanks for posting your query at Chat Doctor. Snoring can occur due to multiple causes. Most commonly the problem is in the tongue base as the tongue falls back in sleep and causes the obstruction. In that case, even the removal of the adenoids may not give you relief until the tongue base is reshaped. For a child of 7 years, I think you should wait. However, a sleep profiling needs to be done to evaluate whether she is having sleep apnea or whether she is getting proper sleep as it may hamper her growth. Please visit your ENT doctor about that. I hope that I have been able to clarify your situation to you. Feel free to revert in case of further queries if any." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i hav got irregular periods and took treatment for that..i was given clomiphene for induction..on day 16 follicle on rt was 20mm..my partner is in different state..we mated on my day 17..on day 20,follicle ruptured and there was free fluid in pod..my doubt is that when could have ovulation taken place?for how many days after ovulation will there be fluid in pod?plsss answer me", "output": "Hi, Welcome to Chat Doctor . . To tell exactly when ovulation has happened you need to get daily ultrasound. Fluid in POD remains for 1 to 2 days and gets absorbed later. Since you have mated on day 17, and you have ovulated somewhere between day 17 to 20 that should not be a problem. Because sperm stays for 3 to 4 days in uterus. Anytime in between egg formed if other factors are normal fertilization occurs. Hope I have been helpful. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i had a tooth that had a root canal done and then the next day i had to get it pulled, i have a huge swelling between my gum and check, it started at the injection site and has expandedthe Dr put me on steriods, it didnt get rid of it, the lump is bigger and it is hurting again, the dentist said he thought it was fluid build up", "output": "Thanks for your query, I have gone through your query. The swelling in between gums after root canal treatment could be because of the trauma cause to the gums while instrumentation, or it can be because of the gum infection. Consult an oral physician and get it ruled out. Meanwhile you can start with a course of antibiotics like amoxicillin 500\u00a0mg and metronidazole 400\u00a0mg TID for 5 days (if you are not allergic). Do saline gargling. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am a healthcare worker in a prison and 8 weeks ago had a needlestick injury. I received all relevant treatment at time, however Ive gone on to have shingles, headaches and lethargy, very unlike me. Should I be worried about bbvs? The source is low risk as far as we can tell by medical notes. Could it just be coincidence that I got shingles and am still feeling the effects of them 4 weeks later???", "output": "Hello and welcome to Chat Doctor, A needle stick injury can transmit only the blood-borne diseases. There are many viruses which are transmitted by blood route. HIV, Hepatitis B, Hepatitis C, CMV are the common viruses transmitted by blood route. Shingles is caused by varicella zoster infection. This virus is not transmitted by blood route. Shingles is caused by reactivation of dormant virus in the nerve ganglia. A fall in immunity leads to reactivation of the virus and manifestation of shingles. You need to visit your doctor for anti-viral treatment. If you are suspicious of acquiring any blood-borne infection, you can get the tests for these infections. Thanks and take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi my name is sha. I have a question ? I have irregular period each month and some months there s no period at all and last time I went to see my doctor he prescribe my primolut which were taken during Two weeks and then after that I got heavy period then after 3day was bAck to normal, and I am trying to get pregnant too. Can u suggest me something i can take and ovulate as well", "output": "Hello;Thanks for your query. From your history of irregular periods and absent ovulation it seems that you have problem of POD(polycystic ovary disease). As you are trying to get pregnant it is important to treat the condition. I would suggest you to consult your Gynecologist. She will advise you necessary investigations like Ultrasonography and then prescribe you the proper medication. Take care. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doctor..my husband has suffered frm severe stomach pain on 30th dec in the midnight. ..when it was so severe he woke me up n asked to take him to d hospital..bt after smtym pain stopped...we consulted the doctor on next day...he said may b chances of stones..so then doc asked him to go for certain investigations...sonography of whole abdomen..it shws the mild enlargement of the liver", "output": "Hi, thank you for posting. The causes of enlargement of liver are different. This disease is caused from infective(hepatitis and liver abscess), toxic(alcohol), and metabolic causes. To determine the right diagnosis your husband needs:- Blood test.- Liver function test.- Abdominal Ct-scan.- Endoscopic retrograde cholangiopancreatography (ERCP). The results will determine the treatment. I recommend you to contact your gastrohepatologist. I hope you find this helpful. All the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi want to know wat i have wrong with me i have a coldsore on my left hand side in the crease of my mouth which is very painful an dry an i also have a lump under my chin or tounge with hurts if i touch it with my fingers or softly touch it its like a swollen gland but im unsure how do i fix this?", "output": "Hi, From history it seems that there might be having Authors ulcer producing cold sore at angle of your mouth. Due to not getting rest of the part due to talking, eating etc. healing of ulcer delayed. Due to this infection there might be having enlarged tender sub mandibular lymph nodes. Go for one antibiotic medicine course for 3-5 days like Amoxicillin. Apply antibiotic cream or mention violet locally. Ok and take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 2 year old has a cough now for one week now with some low fever and runny nose. She also hase white tounge. The doc said only to use some tylenol for fever.but we are moving to europe on monday and im concerned she will be still sick. Is there anything else we can do?", "output": "Hi... Thank you for consulting in Chat Doctor. Cough and cold are viral 95% of the times in child Chat Doctor. For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15\u00a0mg/kg/dose (max ceiling dose 500\u00a0mg) every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am starting to be more concerned with my body. I am 31 years of age. My husband and I have been trying to get pregant for a few months. I do know that it takes time but that is only a small concern. I have a 10 year old also. I have not been on a birth control for about 8 years now and have never had any pregancy scares so to speak. but the concern that I have and have not been able to get an answer for is that about abnormal paps. I Have been haveing abnormal paps short after I gave birth to my son. I can not recall haveing a normal pap in the last 10 years. so my main question is could all the abnormal paps be a leading cause to why I think i will not get pregant. Thank you for your time,Valerie", "output": "Hi Valerie, Do not worry. Since you already have a child and were on birth control for 8 years now, it is unlikely that you have infertility. Abnormal PAP are related to chances of cervical malignancy not infertility. The PAP smear would not affect your chances of getting pregnant. But if you do have a chronic problem of the cervix which is leading to abnormal PAP, It's advisable to get treated for abnormal PAP and then try for a pregnancy. Hope this helps. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. My name is paul.. I have gastritis and i feel pain and itching in my stomach, back, pelvic region and Penis. The worst part is that it causes my Penis to shrink and now it has become small, i also discovered that my semen is now little and watery.", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. I suggest you not to go with wrong information. Anybody problem is supposed to affect your spirit. That does not mean that a problem like gastritis can shrink your penis. Absurd. Semen thickness depends on so many factors like stress, deny Chat Doctor. You are obsessed with sexual thoughts and worries about sexual health. Anxiety shall be the resultant problem. Concentrate on your studies or career and let sex take its own course. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some sexology related psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i want to know exactly what it is wrong with my 2 and half year old son has he has been occasionally having cough and cold and is unable to sleep at night. my doc presribed ventolin syrup sugar free for him and it relieved himwe had an xray done and his chest was clear.doe it means my son has asthma or we are preventing it.Doc also said we should have the drug handy at home. when he cant sleep his breathing is fast and you could see his chest /stomach really rasing up and down very fast.", "output": "Hello, Thank you for asking at Chat Doctor. I went through your sons history and would like to make suggestions for him as follows:1. I would like to know his symptoms in great details before considering whether he has asthma. Furthermore, I would like to know more about him like - a. frequency of his respiratory symptoms b. since what age c. requirement of nebulization d. any gastric symptoms e. any other allergies f. family history of allergies/asthma etc. etc2. At present, I would suggest you to give him combination of montelukast and levocetirizine for 1 months. 3. It is true that for fast breathing and wheezing (whistling sound from chest), some Chat Doctor. Were I treating you, I would suggest you to have albuterol in inhaler form with spacer and mask device or nebulizer at home, as it becomes effective earlier than an oral " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Maybe about 6 or 7 years ago i was diagnosed with Hepatitis C and mild liver damage. I also have the upper part of my body done every year. This is where the doctor checks my stomach? Why I do not know. So, my question is what does it mean when he states that my liver is stable?", "output": "Hi, How are you? My name is Chat Doctor. Thanks for writing to Chat Doctor and I hope to answer your question today. Hepatitis C virus, as I am sure you are aware, damages the liver cells. The liver has an enormous capacity to regenerate, meaning if part of the liver is damaged, then new liver cells are formed to replace the damaged liver (unlike skin where damaged skin is replaced by scar). The problem with hepatitis C is, it is present constantly in the blood and liver and continues to damage the liver continuously. Just like a rubber band can be stretched only so far before it snaps, so is the regenerative capacity of the liver. Depending on how virulent the hepatitis C strain is, over the course of 10-30 yrs, the liver exhausts its capacity to regenerate and just like skin, the damaged liver cells starts getting replaced by scar tissue - this leads to hardening of the normal supple liver - A condition known as Liver fibrosis which later on leads to liver cirrhosis. The problem with this is, under normal circumstances anywhere between 1200 and 1500 ml of blood flows through the liver per min. When the liver is normal and supple, this blood can flow easily through the liver. But when the liver begins to stiffen or harden as in the case of cirrhosis, this blood is met with great resistance during its flow through the liver. This is called as \"Portal Hypertension\". So the blood starts to look for alternate routes to return to the heart and the most accessible route for it is through the veins of the food pipe (esophagus and stomach). The problem with this is, the veins in the esophagus and stomach are very thin walled and are not used to carrying this much volume of blood. So they distend to a great degree (a condition called as varices) and sometime even rupture with catastrophic consequences. This is easily diagnosed by upper GI endoscopy where the largely dilated veins can be seen. But in your case, since multiple upper GI endoscopies have not demonstrated any varices, it means your liver has not reached a state of \"portal hypertension\" yet and the disease seems not be progressing or is \"stable\". If I was your doctor, I would also get a \"fibrosis\" which is a special scan of the liver to look at the amount of stiffness or hardening of the liver. This can be repeated regularly to see the progression of the fibrosis. I would also explore the different treatments for hepatitis C infection. The gold standard is of course a liver biopsy which will demonstrate the exact status of your liver. I hope this helped, and I do hope you will get better soon. Please write back to me if you need any further clarifications especially the treatment options available to treat hepatitis C. Have a great day" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a heavy, sometimes tight feeling in my upper chest. I know it s not related to my heart. I ve noticed this feeling for over a month now and don t know if it could be muscular, stress related or something worth going to get checked out. It doesn t hurt when I press on the outside of my chest. It s definitely internal.", "output": "Thanks for your question on Chat Doctor. In my opinion you should first rule out cardiac cause for your chest tightness. So get done ECG. If ECG is normal than no need to worry much for cardiac cause. Your chest tightness can be due to anxiety mostly. Anxiety can also cause HERD (gastroesophageal reflux disease). And this can also cause chest tightness due to acid reflux. So avoid stress and tension. Be relax and calm. Avoid hot and spicy food, start proton pump inhibitor (for HERD). Keep 2-3 pillows under head in bed to prevent acid reflux.Don't worry much, you will be alright." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I fell down hard wooden stairs--could have been worse; but my whole left side is bruised and achy..I one abrasion on my left arm. Dull pain on left ribs when I breathe and sneeze.. Difficult to lean down on left side. Should I see a doctor? Should I be resting or moving (yoga, for example)?Thank you!Sandy", "output": "Hello Thanks for writing to us, I have studied your case with diligence. Rib contusion is not always visible on X-ray. You may need to do MRI or HRCT to see details of injury. I will advise consulting to orthopedic surgeon. Medication like muscle relaxant and analgesic will reduce pain along with it use rib support belt. You may consult physiotherapist for pain management. He may start TENS, or ultrasound which is helpful in your case. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. If you find this answer helpful do not forget to give rating at end of discussion. Wishing you good health. Take disregards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im 34yr old female that has not had any previous issues with my stomach, I am now having bad pains in my stomach on and off the past few days so straining to have a BM but am releasing blood from my rectum and some of it is a bit mucousy....what is wrong with me?", "output": "Hi welcome to ChatDoctorBlood in stool along with pain occur if you have constipation, and then it is not a big issue. But in the absence of constipation, other causes are hemorrhoids (piles) and ulcerative colitis. In hemorrhoids, you can identify a mass protruding through anus and stool usually doesn't contains mucus. Blood and mucus are more common in ulcerative colitis need further evaluation consult your doctor Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Dr., I just came back from having my mammogram and breast ultrasound. The Radiologist found shadowing o both breasts, on the ultrasound. I do have a past history of breast cancer, Stage 0, DCIS, and was put on Tamoxifen for five years after a breast biopsy and lympectomy. I have been cancer free for six years. My mother had breast cancer as well. I now need a MRI with contrast. I am a RN, but of course I am concerned. What can cause the shadowing on the ultrasound? I do have dense breasts, fibrocystic disease and saline bilateral implants behind the muscle. What are your thoughts please? Thank you!", "output": "DCI(stage 0) is a precursor lesion for breast cancer, meaning if left untreated it progresses to Cancer.That's why it is surgically removed, and adjuvant treatments are offered to prevent its recurrence and father progression to breast cancer. Coming to your question, Having dense breast tissue, fibrotic disease and saline implants leads to varying tissue density, the shadowing can be a result of that. An MRI with contrast and breast coil is recommended to get complete information as the normal tissue is disturbed by surgery and implants. Nevertheless, a 50 % chance of malignancy is present in normal woman with such findings. Risk of recurrence in your case is very low. I would also advise you to consult your oncologist regarding continuation of tamoxifen for 5 more years. If you are post menopausal, petamole/anastrazole is advised. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a known case of Hodgkins disease in complete remission for 10 years post stem cell transplant. I noted 3 nodes earlier this month one just above armpits and two on foreceps earlier this month. All 3 have reduced significantly since being noted. I did a CBC count, all parameters seem normal except ESR which is elevated to 27. LAst month the same report had counts of 19 for ESR and 10 for EOS (only abnormal results). Is this something to be worried. I have a history of blocked nose and recurrant coughs", "output": "Hi, In a disease like Hodgkin (a form of malignancy) every person should be kept in follow up and every symptom and signs to be judged with great caution. Your lymphoma was cured 10 years back. At this stage chance of relapse are quite less but chance of developing second cancer as a result of treatment is more. Again your lymph node may be due to infection as the other reports are normal. If lymph nodes are persisting an excision biopsy will help to diagnose. Consult hematologist." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had a small bulge in the front of my neck for about 12 years which the doctor descdribed as a non toxic thyroid gland which he said needed to be removed to prevent it from becoming cancerous. Meanwhile In 2012 after massaging the back of my neck with an electric hand held massager to reduce a neck pain, I got a stiff neck which landed me in the hospital. This other Doctor ordered an MRI. The result read thus: OBSERVATION:-The study shows loss of cervical lordosis due to muscle spasm. Minor marginal osteophytes are seen at multiple levels . The vertebral bodies show normal height and marrow signal intensity. No evidence of fracture or dislocation seen. No evidence of destructive or sclerotic lesions present. The bony spinal canal appears normal at each level. Intervertebral disc saces shows reduced T2 signal intensity is suggestive of desiccation changes. C3-C4 intervertebral disc shows diffuse circumferential bulge and causally directed central extrusion causing indentation over thecal sac. There is both lateral recess and bilateral neural foraminal compromise with mass effect on bilateral traversing nerve roots and spinal cord. subtle T2 hypersensitivity is seen in the the spinal cord suggestive of myelomalcia . C4-C5 intervertebral disc shows diffuse circumferential bulge and focal central protrusion causing indentation over thecal sac and bilateral neural for amine compromise. The cord at ather levels shows normal signal intensity. CSF spaces are normal and show no evidence of mass lesion.. The Atlas and axis are normal with no atlantoaxial subluxation. The posterior elements and spinous processes are normal. Facet joints and unconvertebral joints are normal. No soft prevertebral //para vertebral collection is seen. IMPRESSION :MRI features - Degenerative cervical spondylosis as described above... I have always had shoulder and upper back pain since year 2000. Since 2009, after an anxiety attack I sometimes experience muscle tension in both sides of the back of my neck near the skull and it causes head aches and pains. When massaged the pain extends to my shoulders and my upper back muscles and my arms. I have also started feeling some pains and discomfort in my legs, hip and bottom joints and in my fingers. I have also observed loss of muscle tone in my arm and legs. During these episodes I also have blurred vision. All these symptoms are occurring more often now. What is the best thing I can do now. I m worried about my children and my future. Please help me. I am 50 years old. I had about three different traumas to the back of my head. One occurred during a dance routine in the university when I was 18, I lost consciousness. The second happened when I slipped on a slippery surface in my compound. I was about 36, I had a laceration and received about 4 stitches in the back of my skull. The third was a domestic violence. I was 38. My ex husband hit my head continuously against a wooden wardrobe about 3 or 4 times. Please help me", "output": "For cervical spondylitis use a collar in daytime, do isometric cervical exercises, take moral tab twice a day after meals, panto DSR one tab empty stomach once a day. Lyrica 75\u00a0mg and methycobalamin one each consult a spine specialist if he agrees with above treatment. A physical therapist may give cervical traction for 10 days, 10 minutes daily, if your spine expert doctor agrees. Hopefully all this shall help you. Refer to spine surgeon for further management." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I was recently diagnosed with high cholesterol and started taking slimvastin. I took it for about 3 months and it did seem to work but caused too many side effects. I was then switched to Crestor but the side effects were too strong. I was also told that my sugar levels were too high but I attribute that to the cholesterol meds so now I m taking over the counter Cholestoff and multi-betic vitamins. I haven t had my cholesterol level rechecked in about a month but since taking Cholestoff and multi-betic vitamins it appears that my blood sugar levels have gone up. This morning it was up to 138. is it possible that Cholestoff and the multi-betic vitamins are the cause?", "output": "Certain studies have linked that patients with high sugar levels were associated with increased triglycerides and reduced HDL cholesterol or good cholesterol. Control of blood sugar levels caused reduced triglycerides and increased good cholesterol. Kindly control both blood sugar and cholesterol levels. Cholestoff may not cause raised blood sugar levels. Hope I have answered your query. Let me know if I can assist you further. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi so i have this really bad pain that i get in the middle of my back everytime i cough or sneeze. It hurst so bad i have to round my back every single time and that helps just a bit. However, i must tell you I do smoke marijuana and i use a vaporizor. I dont smoke nor have i ever smoked tabacco. I was really sick about 3 months ago but never went to the doctors because i have no insurance. can you please tell me what it might be and what i should do. thanks", "output": "Hello, I have studied your case. Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain; you can take them consulting your treating doctor. Some exercises which can be done after pain has reduced include-Spine extension exercises, lying on your stomach flat lift leg 6 inches from ground, do it for other leg. Now lift both hand and leg simultaneously, 6 inches off the ground and supposition for around 10 breathes. Core stabilizing spine exercises will help. You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case. I will advise checking your it B12 and it D3 level. If MRI shows disc compressing on nerve root then surgical decompression is permanent solution. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. If you find this answer helpful do not hesitate to rate this answer at end of discussion. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "lv had 2 back teeth loosen and simply fall out,,lm on crestor,,tiazac xc and metformin,,,my blood/sugar averages 5. to 6.5 and my blood pressure runs about 134/70,,l cant understand why why these teeth fell out,,,my next doctors visitwould be in the new year..", "output": "Hello, thank you for sharing your problem with us. As you have mentioned that you are taking this medication they do not cause any loosening of teeth, but you are diabetic this can lead to your problem of loosing of teeth. Actually since long time researches are going on which proves that diabetes is related to periodontitis (inflammation of tooth supporting structures) and when then is inflammation of gums there will be loosing of teeth. It will be much better that you visit your dentist and get cleaning of teeth done regularly, it will help you in maintenance of your oral hygiene." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am suffering from lower back pain going to my lower right ribs. Ive undergone blood test, urinary test, whole abdominal ultrasound and even kidney xray but found nothing on it. Also lately i feel thirsty all the time. Is there any other kind of test that I need to undergo in order to determine the cause of this?.", "output": "Hello, I have studied your case. Due to compression of this nerve root there is pain in your filthier is another possibility of Costco Chat Doctor. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my child whose age is 3yrs caught severe flu,coughing with mucus,fever aswel from last five days.i m living in spain plz advise me what type of medicine should i take from farmesi bcz my child is nt eating anything due to severe flu virus.here drs only gave us ibuprofeno.", "output": "Hello, Thank you for asking at Chat Doctor. I went through your children history and would like to make suggestions for him/her as follows:1. Personally I prefer paracetamol to ibuprofen for fever in flu or flu-like infections. The reason is better safety profile. If fever does not respond to paracetamol, then only I would suggest you ibuprofen.Also, I would suggest tepid sponging for fever in addition to medicines.2. I would also suggest him a cough syrup containing an antihistamine (like pheniramine) and decongestant (phenylephrine). It will take care of other symptoms like cold and to some extent, cough.3. Maintenance of HY Chat Doctor. Please ensure that your child is taking plenty of fluids during the day. I would suggest you to offer him oral fluids frequently.4. During a viral infection, it is very common to have loss of appetite. Please do not force your child food. Let him/her take according to appetite and continue to offer him fluids in between.5. Viral infections usually take 5-7 days to resolve. If he develops any new symptom, fever continues or increases or does not respond, I would suggest you to consult a pediatrician who will examine her and also will suggest him tests to look for infections other than viral infections. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish your child a very good recovery and a very good health ahead. Thank you & Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just noticed a very small red dot on my upper gum, and my mouth seems very dry. I take no medication. I am 74 years old, weigh 184 pounds, am female. I recently used a toothpaste to whiten teeth containing peroxide, and baking soda. I have quit it and am using my regular Toms toothpaste", "output": "Hello, Thanks for consulting ChatDoctorRead your query, as you have small red dot on upper gum this can be due to peroxide containing paste caused inflamed gingival, or periodontal problem due to age related causing localized periodontitis in tooth. For this I will suggest you to consult dentist and go for examination of gingival and if it is due to periodontal problem then go for Scaling and root planning. Hope it will help you. Wishing you good health. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good Day. I am a 41 years old Male, non-smoker. Over the past few weeks I have developed itchy red patches on my jawbones. The area is very flaky and is constantly dry. The condition is aggravated by shaving and even though I have been putting on different creams and lotions to hydrate the area, the itchiness and flaking continues. My physician has recommended applying Zindaclin 1% Gel and Eczmol 1% w/w cream none of which is proving beneficial. I do suffer from sebhoerric dermatitis on my scalp which I treat/manage with Alphosyl Shampoo but I have rarely had issues with my face. Please help. Thank you. H", "output": "Hi, Most probably the lesions over your face are that of seborrhea dermatitis only. The similar involvement of your scalp also supports the diagnosis. Though you can use a plain coal tar based shampoo, it would be more beneficial if you use a ketoconazole and coal tar based shampoo(for e.g. K\u00f6niz ct). For your face lesions use a steroid antifungal combination (like mom oz t) twice in a day for a week. Hope that solves your query. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im trying to get pregnant and my Gynecologist prescribed me tamoxifen-10mg 3 times a day for5 daysovacare forte 2 tmes a day for 15 daysARG-9 twice a day for 7 daysbarkeit 3 times aday for 7 days (this tab for me and my husband)i wanted to know how these medicines help", "output": "Hi, Tamoxifen is for increasing growth of your eggs. Ova care forte also helps in building up your pregnancy chances as it contains some vitamins. Arginine is for making your uterus receptive for conceiving. Market helps in thinning the secretions of cervix and helps in increasing motility of sperms. Thus, these medicines will help you in conceiving. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, My wife is suffering with skin allergy( too much itching). This has started during her 5th month of pregnancy. Recently she has been diagnoised with asthama . Doctor has informed that asthama and skin allergy are linked with each other. He also suggested there is no permanent solution for this. Will there be any solution for skin allergy?", "output": "Hi, thanks for using Chat Doctor There are different rashes that can occur in pregnancy and some of these are associated with an itching. Some of these rashes are called : purity of pregnancy, pruritic urticaria pa pules and plaques of pregnancy, pruritic folliculitis of pregnancy. None of these are associated with any problems with the baby and are generally treated with oral antihistamines and topical steroids. Intrahepatic homeostasis is another cause for itching in pregnancy. This is associated with increase in liver function tests. It is treated with antihistamines, some women may require additional medication. In most cases there are no complications though in some rare cases complications may occur. You may want to consider visiting your doctor to determine if she is experiencing one of these pregnancy specific rashes. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi there, I was recently in contact with an individual who told me afterwards that he had HSV2. We kissed, rubbed penises together for no more than 20 seconds, and performed mutual oral sex only on each other. He told me his symptoms always present anally and he hasnt had an active outbreak in over a year. Unfortunately, at the time, I also had Oral Gonnorhea without knowing. I suffer from severe OCD about STDs so became compelled with the idea i had HSV2 especially given i broke out in a few spots around my lip line a week later. I had a sore throat, fever, chesty cough, congestion, aches, fatigue, headache, and even now over 3 weeks on im still not 100% back to best, still suffering from some symptoms. I was swabbed both anally as i was worried about inflammation in my anus (Hospital put it down to diahrrea which i d been having for over 3 weeks) and also orally - though on a mouth crack rather than one of the weird spots. BotChatDoctore back negative for HSV2 in swabs. My penis has been inspected numerous times as i commented it felt hot and itchy, and nothing has been observed. However, i kissed a gentleman 48 hours ago and performed oral sex on his anus and he is now complaining of a sore throat. I am very concerned that i could be carrying HSV2 even though people in clinics and hospitals keep telling me that its unlikely and i dont have symptoms that they would be worried about, even though infection can be asymptomatic. They ve told me its highly likely i d already have HSV1 anyway.", "output": "Hello, Short answer: Detailed answer: Herpes viruses (type 1 and 2) spread in all possible ways, including kissing, although HSV1 is usually spread orally and HSV2 through sexual encounter, fingering, oral sex, anal sex and so on. Also, HSV1 and HSV2 could be present simultaneously in the same person. Herpes viruses are the most common viruses in human populations and there is no definitive cure. HSV1 has affected more than half of global population whereas HSV2 has infected about 500 million persons worldwide. All you can do is maybe to use antiviral medicament in order to ease the symptoms associated with it. The good news is that the virus gets activated from time to time, and for very long periods it could be dormant, and it will not give any discomfort or cause any concern to you. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir m just 18.. and balding is at its peak, and one of the hair consults i contacted suggests me olive oil of fiagro...is using of this oil is sufficient enough to stop balding. if not then please please suggest me some necessary steps to stop this..thankyou", "output": "Hello, Welcome to Chat Doctor. I understand from your query that you are suffering from baldness. Olive oil alone cannot stop the balding process. We have US FDA approved medications like minoxidil and finasteride for it, but you need to take it for a long time as we cannot cure the genetic problem but can halt the process. Minoxidil is a solution which has to be applied twice a day. Finasteride is a tablet which has to be taken with the dermatologists prescription. Apart from these, you could do other treatments like Low light laser therapy, microneedling with stem cells and take oral biotin supplements to help accelerate hair regrowth. Hope this helps you. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "yes I recently had a cat scan done on my liver it says that I have mild diffuse hepatic steatosis, the main portal vein is mildly prominent measuring 16,6 mm dia and the spleen is mildly enlarge at 13.4 cm and possible portal venous hypertension shold I be concern", "output": "Hi there, Thanks for using Chat Doctor. As per the scan report you are having features of portal hypertension. I would advise you to get a Doppler scan of the portal venous system and an upper GI endoscopy done to confirm portal hypertension. This might be due to cirrhosis of liver. You might be having early cirrhosis. A fibrosis or a liver biopsy may be done to see whether you are having cirrhosis. Liver panel may be done which may show numbers indicating liver damage and chronic liver disease. Alcohol intake, nonalcoholic fatty liver disease, Hepatitis B and C infection are some causes for chronic liver disease. You can consult a gastroenterologist for the above-mentioned tests. Is this answer helpful?" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Recently a couple of months ago I had revieved a silver crown on my last tooth on my upper right jaw.This morning while I had brushed my teeth I felt a very unusual cold sensation this morning on the cap and as I brushed I bit down on my tooth brush and felt a horrible pain on the silver crown I cant even continue to eat my lunch and dinner without switching my position and chewing on my left side of mouth.Are there any suggestions to stop the pain?Gargle my mouth with salt water?", "output": "Hello, Thanks for posting your query. The pain and sensation with the silver crowning may be due to-Gingival recession or periodontitis associated with the crowned tooth. Get the crown removed and clinical and x-ray check-up has to be done. Use desensitizing toothpaste to brush your teeth. Maintain good oral hygiene. Brush your teeth twice daily using soft-bristled toothbrush. Use chorhexidine mouth rinse to gargle. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a large hard lump on top of my head with two deep dents on either side..not painful at all..I seem to have noticed it over the last few months. I did fall on my head quite heavily about 15 months ago..it did not cause me any problems as my shoulder was more painful.please advise.", "output": "HI, Welcome to Chat Doctor. I studied your query. I understood Your health concerns. Based on the facts of your query, you seem to suffer from Fibrosis Hematoma with 2 dents on side of it, which could be calcified knots from small accompanied hematomas besides it.FNAC biopsy with USG n CT scan if need be, to rule out any other causes would be needed in your case. As the facts are very scanty, I would also suggest you to take Second opinion from Surgeon, to rule out other causes which would cause such symptom/complaints, after physical/clinical examination. Will appreciate writing your feedback review comments, to help the needy patients like you at Chat Doctor. Good Day!! Chat Doctor. S. Genl-CVTS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I got diagnosed with a respiratory virus and shortly after with restrictive airway disease . My upper throat and across between my ears is very sore with no visible redness. My coughing was pretty intense ...could there be an infection in my throat thats not visible? My glands are swollen.", "output": "In viruses there is only feeling no signs visible the viral infection take three weeks to go the glands are swollen due to reaction of viruses infection of throat even with medicine it may take 3 week you can take symptom wise treatment course of antibiotics to prevent infection anti allergic tab for reducing mucus in tract and anti-allergic spy also to reduce cough analgesic antipyretic SOS for cough and pain use plenty of fluids" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Yes, my husbands left breast begin to discolor around his nipples with measurements up to 3 1/2 long. A mammagram reveals a questionable benign cancer 6 by 8 mm. He is also becoming very crazy upstairs. Could gynecomatia attack the mind as well has the mind?", "output": "Hi, dairy have gone through your question. I can understand your concern. Your husband may have gynecomastia. He should go for biopsy or fine needle aspiration cytology of that lump. It will give you exact diagnosis. Then he should take treatment accordingly. Mental upset is mostly not related to lump. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Doctor I am a male of 24 Years working in an IT service industry in south India. I am staying alone in a mansion at my work town. I am having a height of 163cm and Weight of about 80kg.I go everyday to play badminton or to health club for some regular excise. I have a problem of getting angry quickly if i hear a small issue against me or is done by others. I get also tensed in small issues and even for some thing change from what i did not expects. I want the result or thing done fast for some cases. I cannot control my feeling or cannot control my anger. I just fear of me bursting out to someone when i get angry or i actually feel in smashing something but i try to control doing these thing or will talk to my parents who tries to calm me down but still i become worried too much. I some time feel seriously depressed when i couldn t get some thing done or achieve some thing. Where as I see there are many people in my family and friends who just take thing very easy and is always cool. When i talk to my family on these thing they said It may be because i am having high BP. I also have problem of forgetting words while i am speaking even if i know or even some time forget what i had to ask or say when actually i am going to ask or say something to a person which i just thought and i just stand there thinking what i actually came to ask. I also get confused while i am saying some thing or get mixed up with the sentences when speaking which even confuses my friends or family. I speak loudly when I talk to someone which actually i may have started with a low Voice (I am not able to control my voice.) I also have problem or getting very less sleep. I rarely sleep more the an 5 to 6 hrs only if am really tired and even while sleeping i have lot of dreams coming which actually feels real and after getting up i feel still tired. I am try to control my anger and other problem but still end up in the same place. Can I know should I take some medication or see a doctor or change in my routine activity.Please suggest on what i can do. Thanking You in advance.", "output": "Dear Sarah Baby, Thank you for choosing this platform to get answer to your queries. I appreciate your ability to analyze yourself so well and being able to pinpoint the problem area. It definitely is a step towards health living when we are able to realize our difficult areas and are willing to work on them. People working in the IT industry often have emotional difficulties due to their work routine, spending more time with the machine than with people and staying away from home when on projects. Its wonderful that you spend time exercising as it's a good way to burn out ones aggressive energies literally . How long have you been having these symptoms...sleeplessness, lack of impulse control and anger issues ... Issues related to work and performance as you have mentioned as in expecting fast results and dealing with small failures or setbacks could be personality based difficulties. I suggest you meet a clinical psychologist for a thorough assessment of your situation to identify if it's resulting because of your traits or situation and if it's a diagnosable condition like a depressive disorder or anxiety disorder. You may not require medication if your assessment shows the need for lifestyle and behavior modification like anger and stress management but if there is a diagnosable condition then you may require medication which would assist you in seeking solutions to your difficulties. Please do let me know how you followed up on your case from here on...some tips:1) recognize the physical signs your body shows before you get angry like feeling tension or faster breathing and remove yourself from the situation, Chat Doctor. .that would give you time to rethink 2) maintain good sleep hygiene as in try and sleep at the same time every day and stop watching TV or reading at least 30 min before lying on your bed.you could listen to soothing instrumental music." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a stomach ache earlier in the day then came home argued with my husband about the dog peeing all over the house & then colored my hair & then had back pain in the mid back area & chest pain. I m being treated with physical therapy for ribs that keep coming out of place from a few falls I had over the past few years. I am concerned I could be having a heart attack. I m 40, on Glumetza 500 mg bid to keep my blood sugar low because I was pre diabetic, also take 125 mcgs synthroid Recently lowered my cholesterol. I m also on Wellbutrin for depression. I am also taking a supplement with Green tea extract in it. Maybe too much caffeine?? It hurts to take a deep breath in front of chest straight through to my back.", "output": "Thanks for your question on Chat Doctor. I can understand your problem and situation. In my opinion you are having HERD (gastroesophageal reflux disease) mostly. But since you are prediabetic and had high cholesterol, it is better to rule out cardiac cause first for your chest pain. So get done ECG and 2d echo. If both are negative than no need to worry much for cardiac cause. GERD seems more appropriate cause in you. It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms like central chest and back pain. Try to follow these steps for better symptomatic relief.1. Avoid hot and spicy food. Avoid large meals, instead take frequent small meals.2. Avoid stress and anxiety.3. Start proton pump inhibitor.4. Go for walk after meals.5. Keep 2-3 pillows under head in bed to prevent reflux.Don't worry, you will be alright." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir i am 60 year old and i am having heel pain. i am also suffering from canal stenosis. Dr. have advised me Febuget 40. Should i take it. Today I took one tab. but I feel gastric and mild un easiness in chest which was all right later on .What should I do?.The level of my uric acid is 7.1.Is it high side? should i continue with Febuget 40? Kindly advise.", "output": "Dear patient. Febuget has Eurostat which is a medicine which blocks the activity of Antoine oxidase and prevents uric acid build up. Normal Uric acid levels are 2.4-6.0 mg/DL (female) and 3.4-7.0 mg/DL (male). Normal values will vary from laboratory to laboratory. Also, important to blood uric acid levels are purines. So your uric acid is on the higher side. This medication is contraindicated for acute gout and generally given for chronic and intergout periods.Your heal pain may be a due to worsening of stenosis due to high uric acid which will probably subside once you take the Chat Doctor. Nausea and gastric unease is common with this medication.Hence, I suggest that you continue to take this medication and if the pain is severe take ibuprofen 800\u00a0mg stat. Also and I can't stress this enough please discuss the side effects of debut with your doctor and inform him/her about you taking ibuprofen" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am experiencing sleeplessness. I am presently on zoloft 50mg and Klonopin 1.5 mg. My internist told me to increase the klonopin to 3mg. 1mg at breakfast, 1mg at lunch and 1mg at bedtime I feel that this is too much as I am experiencing anxiety and some shakiness. Also, I understand Klonopin can be addicting and loses its potency over time.", "output": "! You are taking Zoloft for the anxiety and depression, but I do t think it is well controlled with 50 mg and so, you have been advised to increase Klonopin. I do not feel that this will be the correct way to handle the situation as increasing Klonopin will not help the real purpose of handling the illness effectively. What should be done in such case is -- that the dosage if sertraline should be increased to 75-100 mg and then if required to 150 mg daily. This will help to handle the illness and is also not addictive like Klonopin. Once the illness is well controlled for some time, we should plan to reduce the dosage of Zoloft. Moreover, once we increase the Zoloft, then need to take Klonopin also reduces, or may even be not needed at all after some days. Do get your blood test done, and check your blood pressure. Sleeplessness can be handled by taking collided at nighttime in spite of Klonopin, as this is non-addictive in nature. Hope this helps you, Pelase feel free to ask more questions for further clarification" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have a lump on my head that hurts i have been to the doctors and he said it was nothing but the lump has got bigger and more sore my mum died 2 years ago with some thing that happened in her head i dont no what to do as this scares me could it be the same thing", "output": "Hi! Good evening. I am Chat Doctor answering your query. The doctor who examined you might have commented so as it might have been a benign swelling. If I were your doctor and I found a swelling/lump in your head, I would advise you for a FNAC (fine needle aspiration cytology) to know the nearest diagnosis, and treat it accordingly. However, I would also advise you not to be scared of such benign lesions. Further management would depend on the physical examination and related investigation reports. Till then, you could go for an anti-inflammatory Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Does under going knee surgery affect sperm count, motility and morphology? Especially if they are low already? My husband and I have been trying to conceive another child for 16 months. He has meniscus surgery on the 2nd and we will be seeing a fertility specialist on the 9th to talk about ivf with icsi. I was wondering if the surgery would affect his sperm even more.", "output": "Hello and welcome to Chat Doctor. Thanks for your query. Having a knee surgery will not affect the fertility or impact the sperm count, motility or morphology. Most meniscal repair surgeries are done arthroscopically i.e. under local or spinal anesthesia. Even if done under general anesthesia, the surgical procedure or the anesthesia is unlikely to affect a persons' fertility. So, you don't have to worry much about the impact of surgery on your husbands' fertility. You can go ahead with the fertility treatment as planned. Wish you all the best. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband had a bad cough two weeks ago and was taking Sudafed for the sinus drainage and Nyquil at night. It all subsided. Yesterday the cougChatDoctore back and he is running a fever. It also looks like he has a sunburn on his face, chest, arms and back. He sent me to the store to get the Nyquil Muscous control stuff. What should I do, take him to the doctor?", "output": "Hi welcome to Chat Doctor ... Your husband had taken antihistamine Chat Doctor. . But as it is two week since having problem, I would suggest you to consult him to pulmonologist or nearby doctor for auscultation and examination first... Then if needed work up done with... -CBC with AEC count -Throat swab -Chest x-ray only if needed -AS titreAccording to report further treatment guided Ex. If eosinophilic more than Allegra M given... If neutrophil and as positiver than amoxyclav neededTake care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi My name is Jane, I had a lumbar fracture 2wks ago, ER doctor said it is a stable fracture. I have tried to be in bed as much as possible.But I can still walk around in my house with mild to moderate pain on my low back and pelvic area.ER doctor told me to walk around every hour as long as the pain is tolerable. Im worried if I am moving around too much and the healing process is going to be prolonged. Can you give me clear definition of immobilization to promote healing? I am taking Morphine5mg and Ketorolac 1tab once daily. Thank you!", "output": "Hi, thanks for writing to Chat Doctor. A stable lumbar vertebral fracture may heal uneventfully within 2-3 months with adequate rest. A Lumbosacral corset is usually sufficient to provide support to the injured area. Absolute bed rest is not necessary after initial few days. You should always sit with a straight back and avoid bending forwards as this may cause the fracture to collapse further. Regular use of calcium supplements is mandatory till the fracture consolidates. Hope this information is helpful. Good day" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir i was taking medicine feliz s and collonotril from last 1.5 year but now as iknew i m pregnant istop the medicine im 3 months pregnant but the anxiety and depression repeat again. what should i do i m very much worried how i can comeup with this thing", "output": "Hi, I read your query and can understand your concern regarding your symptoms and also regarding effects of Chat Doctor. Felix s (Escitalopram) is an anti-depressant and control (Clonazepam) is benzodiazepine. In your case, since you are having depressive and anxiety symptoms again, it will be advisable to start treatment again. Treatment can be of two types: with medications and with psychotherapeutic methods In case your symptoms are mild, option of treatment with psychotherapy like cognitive behavior therapy can be considered if there is a trained therapist in your locality. Alternatively, treatment with Escitalopram can be considered. Escitalopram is relatively safe even in pregnancy. The highest risk is usually in the 1st three months which in your case is over. Benzodiazepines should usually be avoided throughout pregnancy. So medicines can be started. You can discuss regarding this with your psychiatrist. In any case, treatment is necessary as depression during pregnancy can cause effects on the unborn baby too. Hope I was able to answer your query. Best wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Since I was about 19 (I am 28 now) I have had high white blood cells counts without the presence of infection or sickness. I never followed up with it because I was never given a reason to be concerned (mia culpa). Recently though my new doctor has done 2 separate blood draws and again noticed the elevated white blood cell counts and on the second noticed large plaletes. Im supposed to be seeing a hematologist soon but in the mean time I have been WebMding myself into a frenzy...any thoughts???", "output": "Hello, High WBC count can be elevated in any inflammation cause. It can be elevated in the physiological cause as well as by some Chat Doctor. It is important to know how much WBC elevation is present. So kindly attach your report so that I can check it. The large platelet is usually seen in case of pathology involving platelet destruction. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir, my daughter is 6 months old and she is having hearing problem. she is 5.6kg.after making lots of noise still she does not give any reply.sometimes it seems she is giving reply,sometimes not.my wife had taken a rubella vaccine in the first month of pregnancy but before conceive the baby.after consulting the ENT department and having BERA test, he suggests for ear s machine but sir i want a permanent solution.SIR Pls give me some advice for my baby.", "output": "Hi... I need to see the ERA test report before deciding on what can be done further for the child. The other option you may have is a cochlear implant, but this has to be decided after proper evaluation. I suggest you get back to me with all the test reports uploaded. I wish your kid a speedy recovery. You can approach me at the following link. Please find the link below - www.ChatDoctor .com/doctors/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been handling my Coumadin levels for almost 6 years with diet. Starting the first of Sept my husband wa diagnosed with lung cancer and it has been a roller coaster ride ever since and my Coumadin levels have been on a roller coaster. The only thing that has changed is the stress. Is that the reason for the fluctuation", "output": "Hi, dairy have gone through your question. I can understand your concern. Coumadin is a blood thinner. Its level is affected by wide range of metabolic factors and other Chat Doctor. You should regularly check your PT and INR. Your INR should be between 2 and 3. Consult your doctor and set the dosage accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HiFor the last two days I felt a little pain while urinating. Today when I had sex the sperm was brownish colour and watery. It had never happened to me before.Im a healthy 24year old male, dont moke and go to a gym 3-4 times a week.Should I be worried that I got an STD? I havent slept with another woman (other than my girlfriend) for almost 2 years. She had STD check up about 5 months ago and it was clear.", "output": "HelloThanks for query. Pain while urinating with brown colored semen is suggestive of infection of prostate (Prostatitis). Consult qualified Urologist for clinical and digital rectal examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture. 2) Ultrasound scanning of abdomen and pelvis3) Semen Examination and Semen culture, In the meanwhile start taking antibiotic like Doxycycline twice daily and later on switch on to appropriate antibiotic as per culture report. Please note that Prostatitis takes long time to get cured hence you will need to take antibiotics for 4-6 weeks. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im pregnant with twins. Im about 4 months. Im really worried that something is wrong. I know what the growing pains feel like. But every once and a while ill have a really bad pain and I get worried about it right away. What are the risks with a twin pregnancy?", "output": "Risks of twin pregnancy in mothers-Increased risk of anemia, high BP, diabetes, bleeding, pain, chance of C-Section and breastfeeding problems. Mother may also feel that minor problems may turn more complicated- like increased leg swelling, vomiting, breathing discomfort etc. For baby-there is risk of pregnancy loss, abnormal growth, abnormalities in structures (anomaly), problems related to cords, prematurity, low birth weight etc." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi myself Prodipto. I m 27 m kolkata. I am suffering from kidney stone of 6 mm in my right kidney which was confirmed after going through USG since 5 months. I am very much afraid of surgery . what is the procedure of removal of kidney stone ? Ayurvedic or Homoeopathy ? Kindly suggest.", "output": "Dear Product. Welcome to Chat Doctor forum. Kidney stones are often asymptomatic and do not require any treatment. With proper HY Chat Doctor. Treatment is planned if symptoms occur... The treating options are planned based on the size and the location of the stone. A stone of less than 10\u00a0mm usually gets flushed out. Plenty of water intakes with or without use of diuretics are all that is needed. Stones bigger would need therapeutic management - ECCL or cystoscope removal. In your case, since the size of the stone is smaller, such treatment strategies will be planned only if you persist to have symptoms. Consult a urologist who will guide you through this. Hope this message was useful to you... Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i am 28 with 3kids and a lovly wife but theres been lots of problems in the past with me and family that have died, its been 10 years sence i have been home i left due to i had to,, felt like i was goin crazy and still do ,, please can some1 help me ,, i am a very good preson that always think of other ppl and walkin in there shoes,i think i am losing my mind ,eye site, and my life,, its been to long now for me to keep goin on lik this,,need help just to scared to get it ,, think i maybe be bi polor or have didnt personalltys,, not a bad person just need help and fast", "output": "Hello, Welcome to Chat Doctor There have been many problems in past like family dysfunction, emotional trauma which are the main reason for the symptoms of depression and stress. You have good family but still have problems of depression. The reason is most probably adjustment disorder with depression and not bipolar illness. I would advise you to consult a psychiatrist for opinion. Cognitive Therapy by a trained therapist will help to explore faulty cognition, unresolved conflicts and emotional trauma if any. Once the conflict is identified then treatment becomes easy. Medicines like Fluoxetine, Sertraline, Escitalopram etc. are common antidepressants used in such cases. Consult a psychiatrist for evaluation. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my right side of my mouth(tooth),inside my ear and left side of my neck are hurting.what is happening? i was told i have an infection on my rightside tooth.Never had that problem before.what toothpaste and what else do you recommend that i should take so the pain stops?", "output": "Hello, Thanks for consulting Chat Doctor, Read your query, as you have pain in right side of mouth this pain can be due to some factor it can be due carious tooth, decayed tooth, periodontal problem can be due to periodontitis, gingival problem may be due to gingival inflammation or enlarged. I will suggest you to consult dentist and go for IOWA X-ray of right tooth region if it is due to periodontal problem or gingival problem then go for oral prophylaxis, if pain is due to caries or decayed tooth then go for its treatment, restoration or root canal treatment. Hope it will help you. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doctor this last days I feel tingling in my right arm and leg . And my right hip hurt , I have difficulties to walk . So , please doctor could you tell me what cause that ? . I m 29 years old , I went to the emergency 3days ago because I felt so tired and all this symptom , but they said it s not my heart . So , please if you have any idea . Help me .", "output": "Hi, thank you for providing brief history of you. Since the tiling is on side of the body with pain in the hip first we should rule out any spinal cause. For which you may have to undergo a spine MRI which your or tho might recommend you. If the spine is all fine then we need to look more deep into the case and get assessed by a neurologist. As certain symptoms may be related to stress, work related injuries or any unknown cause. To get a catch hold of the cause we need to use the specialist, and they really help come close to our small and big problems. I wish you a speedy recovery with the grace of God" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I m 60 yrs old, Italian live in NC. right index finger does not feel right. using cell phone is getting difficult. Is there a rehab work out to the feeling. I am using a squeese spring device to strengthen my hand. is there anything else I could do? or am I going down the wrong road?", "output": "I read your question carefully, and I understand your concern. Exercising trying to strengthen the hand muscles is fine, but one must first try to determine the cause of that happening. Such peripheral weakness may be due to different causes like trauma or compression of the peripheral nerves, compression of peripheral nerves in the NEC or even neuromuscular conditions like ALS. So I believe it must be investigated through a neurological exam and a test called nerve induction studies for starters. Depending on the findings other possible tests, causes and management will be decided. Let me know if I can further assist you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dr. I m from srilanka. my wife have a brain cancer . we think that. now she admit in srilanka Ayurveda hospital at matara. that hospital doctors gave to her that tumor melting dosage. but she had a headache , nose blooding , mouth blooding. is that serious problem doctor ? her hair also outing. what is that brain tumor stage ? actually we want to know is it brain cancer ? that s the way we admit her to hospital. (she had a headache ,nose blooding mouth blooding her hair also outing). this is the problem to admit to her hospital", "output": "Hi dear your wife having brain tumor and given radiotherapy, after which she developed headache, bleeding from nose and mouth, along with hair fall, dear these all are caused by high doses of radiation given to melt the tumor. You have asked what is the stage of brain cancer of my wife. Dear staging of brain tumor cannot be done from these symptoms .it needs CT scan of the brain, along with many more investigation.your Doctors must have done the staging of disease before treating her by radiation therapy, you can inquire from your treating physician about the brain cancer of your wife" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am suffering from e-coli infection in urethra. When i take ciprofloxin 500 mg a day for 4 days i get cure very well but suddenly when i take alcohol, my urinary track again catches infection. Is there any medicine for long life cure ?? please suggest.", "output": "HI, thanks for using Chat Doctor You need to consider completing the course of antibiotics for a 7-day period. If the course is not completed, even though you may feel better, the bacteria causing the infection can become resistant to the antibiotic. The infection is not completely cleared (though your symptoms may feel as though they are gone) and you may prevent the antibiotic from working for you in the future. You should have a lab urinalysis done to determine the best antibiotic to treat the infection and take the medication for the complete recommended time to clear it. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im afraid to go to a hospital maybe because i have a phobia. so try to get advice via internet. Im 25 years old, married.I and my husband want to a have baby next year when He came home. I want to prepare my self. How can I get pregnant fast? what vitamins should I take?", "output": "Hello, Thank You for the query at Chat Doctor Chances of getting pregnant is maximum, if you engage in sexual activity around the time of ovulation. Ovulation is around the 14th day of menstrual cycle (If you have regular 28 day menstrual cycle). The days are calculated from the first day of menstrual bleeding last month. If you try 2-3 days before and after ovulation, chances of getting pregnant is maximum. Here are few things to help ensure a healthy pregnancy-Start taking folic acid 400 mg tablets daily and multivitamin tablets containing Iron, calcium and DHA (Docosahexaenoic acid)-Eat healthy and exercise regularly-Stop smoking and avoid alcohol while pregnant-Talk to your doctor regarding any medical conditions or medications you are on currently Hope I was able to help please ad Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a horrible stabbing pain in my lower belly. I went to bathroom and found a huge mass of tissue the size of a tennis ball in my underwear. I went to my gyno asap and he said it was my uterine lining shedding all at once. and that the pain was actually a contraction! Is this normal?", "output": "Hi. Thanks for your query and an elucidated history. Pain due to contraction of the uterus if it has to push down something like this is normal;But the passing of the tennis sized mass is not normal. You should have gotten the histopathology examination of the mass to see what it was, whether a conception product or a polyp or so. Get an ultrasonography of the abdomen to see if there is something remaining something in the uterus." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "meonium plug in neonate-5 day old female infant-weighed 6# 2 oz at birth at 38 weeks-no meconium or stool passed x 24 hrs. Mom breastfeeding fairly successfully on frequent demand. Baby having fussy periods of intense crying. Passing flatus. Previous meconium stools without problems.", "output": "Hi... Thank you for consulting in Chat Doctor. This is called evening colic and is quite common in this age group. This happens when the baby sucks at the breast very fast and in eagerness to Chat Doctor. Unless the air comes out like burping or flatus this discomfort will be there and next time check if the baby is sucking too fast and gulping in air too. You will be more convinced. Usually I don't advice any medicines for this as they give only temporary relief. The two best ways to relieve this distress is - 1. Do not put the baby in lying position after feeding till the baby burps out the swallowed air.2. If still crying - put the baby in prone position and keep patting the back gently so that the baby passes off the flatus and gets relieved. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "can you show me a 6x4x1mm kidney stone. I was diagnosed with a stone this large 5 days ago and with the help of medications the doctor told me I would pass it. How long does it take to pass So far no stone and I am in so much pain, Any suggestions??? Thank you", "output": "HelloThanks for your query, based on the facts that you have posted it appears that you have pain in loin due to kidney stone of a size of 6 mm. You have not mentioned the precise site of the stone. The pain that you have is due to obstruction to the flow of urine from kidney and accumulation of urine proximal to the site of impaction what is called as HY Chat Doctor. There is no medicine that can fasten the passage of stone it will pass down spontaneously however it is very difficult to predict when that will happen. It may pass down within day or two or may take months also. If you have repeated episodes of severe pain and vomiting it is advisable to get it removed by endoscopic procedure what is called as Ureter Endoscopy.(URS). This will prevent further damage to your Kidney and will give belief from pain." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I occasionally get a fluttering feeling in my lower abdomen. It mimics the feeling of early fetal movement, even the location is similar. However, I am not pregnant. I am not having any other digestive issues. Just wondering what this might be? thank you", "output": "Hi. Thanks for your query. Since you have mentioned this as a typical fetal movement and in the same position, that you are so much certain of, and since you do not have any digestive issues as you have specifically mentioned, this can be taken as a case of Pseudocyesis. In Pseudocyesis the re is no actual pregnancy, but the patient gets all the signs and symptoms of being pregnant. I would advise you the following:Get an ultrasonography and standing X-ray of the abdomen and a urinary pregnancy test. Consult the Gynecologist. And be assured if all the tests are normal. Nothing specific treatment is needed as this is self-limiting and passes off most of the time the moment you have next periods. Assurance is the biggest treatment at the moment. If something is found during the course of investigations or the tests, the treatment can be guided as per the cause." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi name is chad I have a broken wisdom tooth and have had no problems with it I just noticed on the outside of my jaw in line with the broken tooth there is a hard kinda lump that runs down and under my jaw its tender when I push on it hard but not painful in any other way there is no paid. When I eat or put pressure on the tooth I am just wondering what this could be and if I should think of it as a life threat", "output": "Hello there, Thanks for writing your query, According to your history I can suspect your broken wisdom tooth has undergone bacterial infection due to food lodgment or improper oral hygiene. The infection has gone worse, and you have developed a periodontal abscess due to spread of infection to the underlying tissues. The hard lump under the jaw is nothing but the spread of infection to the jaw bone. You need to get an x-ray done the affected area to confirm the presence of infection, approach a dentist for the treatment. I would suggest you to start with an antibiotic and analgesic course consulting your dentist, which helps in subsiding the swelling and relives pain. I hope this helps, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I live in Hawaii. We just recently took a twelve day trip to Wyo & Montana where it was very cold and dry. On the last day there I woke up with a rash patch on my lower back, right side. I could feel it, but not see it, my husband said the skin was red & puckered. We had a very long trip back returning home after about 24hrs of flying, driving, and waiting in airports. When I got home I noticed that the rash had spread all over my right leg. The worst spot was behind my knee . a cluster of blisters bright red to purplish in color. They have not spread to any other part of my body, although more spots have appeared on my right leg. I am 52 yrs old, female. The leg in question had been bothering me all through the trip, soreness in the knee and hip area. I was rubbing it a lot on the long flight home trying to work out the soreness. I have been home for about 40 hrs now", "output": "Hi, thanks for posting your query. You seem to have developed allergic contact dermatitis. It can be due to anything you came in contact with, may be a plant, or any other thing else. You seem to have been rubbing due to itching. Actually rubbing initiates a scratch itch cycle which increases the itching. So now you may take oral anti histamine like Ben Chat Doctor. You may apply calamine lotion over the rash. If it does not settle or increases and spreads in a day or two you may consult a dermatologist for exact diagnosis and treatment. Hope this helps you. Wish you a speedy recovery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have a temperature of 34.9, but dont feel poorly, other than tiredness, backaches and a constant groggy type headache and feeling the cold in my hands and feet, where i usually am very hot. i have had a thyroid test, and it is low, but only just so i am not on any treatment for it, (i have started taking sea kelp after reading it can help stabalise the thyroid) should i be worried that my temp is so low, with no fever?", "output": "Hi welcome to Chat Doctor. Absolutely your symptoms can be attributed to under functioning of thyroid. Hypothyroidism is known to cause low body/extremity temperature which can result in sensation of tiredness and fatigue. I strongly recommend you to get a complete full picture of your thyroid gland by blood tests like T3,T4,TSH plus an ultrasound thyroid. This can help to evaluate any nodules in the thyroid which can cause such symptoms. Eating sea kelp will not offer you much advantage. Its strongly recommended that you take external thyroxine supplementation in the form of tab thermoform daily for six months. This can offer you permanent cure in most cases. Consult an endocrinologist in regard to above. Post your further queries, if any. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doc. What are the symptoms of jaundice? Can we make out for sure if we have jaundice? If we do have jaundice what should we do?", "output": "Jaundice is a sign caused by liver disease- it means is a yellowing of the skin, conjunctiva and mucous membranes caused by increased levels of bilirubin in the human body. Jaundice can be due to 1)Pre hepatic Jaundice-excess break down of red blood cells- e.g. in malaria 2)Hepatic jaundice-because of liver disease-can be viral, alcohol abuse or liver damage due to Chat Doctor. g. because of a gall stone causing obstruction. The symptoms of each of these types will be different. If you do notice that you have Jaundice you need to see a doctor for a physical examination to find out the cause for your jaundice. If you have any further queries you can chat with our doctors online between 9 a.m. and 9 p.m. Indian Standard time." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 22 yr old girl. i have braces and it was used to bring my Upper set of teeth forward but the lower set of teeth has not been brought forward. there is approximately a .5 cm gap between my lower incisors and upper incisors. the doctor says that he ll let the gap remain and is planning on removing my braces. is this much of a gap between lower and upper incisors correct?", "output": "Hi, Thanks for asking the query, As you have mentioned that you are having 5 cm gap between your upper and lower teeth I would suggest you to consult the Orthodontist before removal of the braces. Placement of the retainer after removal of the braces is necessary to avoid the relapse of the treatment, I would advise you to follow the instructions given by the Orthodontist properly. Maintain a very good oral hygiene during the treatment. Hope this helps out. Regards..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been diagnosed with a prosterior fossa meninganoma 2.7 x1.5 cm. I am going to the Mayo Clinic in AZ this week to discuss prossible surgery. What can I expect with the recovery for such a surgery? Im 47 and in otherwise good health. I exercise regularly and dont drink or smoke. Im hoping for a quick recovery but Im not so sure that its in the cards considering the location of the tumor. Any advice?", "output": "Hi, Thank you for posting your query. I agree with you that posterior fossa is not the best place to get a meningioma, as the surgery needs precision, as well as recovery is delayed. However, meningioma is a benign tumor and long-term outcomes are very good. You may take 10-14 days after surgery to recover well. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I am a 25-year-old male of Indian descent. I was diagnosed with ulcerative colitis in 2006 affecting both the ascending & descending colons as well as the major part of the intestine. I got cured after around 8 months of medications and strict diet, but after about 6-7 months of completion i started losing my hair and till date the rate of fall has become very high...few UTIs were also diagnosed 2-3 years ago. I generally suffer from diarrhea, constipation, gas related issues, also sometimes unable to properly digest. I have to shave my head to save my hair...can u suggest how i can cure this issue and what the process is? I want to grow my hair back as well as want to permanently cure this issue", "output": "Hi and thanks for the query, The symptoms you experience are very mucChatDoctormonly observed with this disease. Treatment options depend on the stage of the disease. Common Chat Doctor. The staging to know specific stage or gravity is done with the aid of an examination of the colon and rectum (colonoscopy), microscopy and judged from clinical presentation (signs and symptoms) presented by the patient. I suggest you book an appointment with a gastroenterologist for a proper clinical review and management. Thanks and kind regards. Bain LE, MD" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi,i am 30, maleand recovering from tuberculosis,i have completed my medical course of medication for eight months,and vaccination for two months, two and a half years ago,but i masturbate almost daily and suspect it is hampering my health,what should i do.", "output": "Good Day, and thank you for being with Chat Doctor !I feel that your self stimulation is hampering your physical and mental health then you need to take control of yourself. It is good that you recognize and acknowledge your problem. You can try to be busy to take yourself off the habit by engaging in sports or other productive activities. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: http://www.ChatDoctor .com/doctors/ Chat Doctor. Best wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I hAbe had a recemt cold followed by a stomach bug. I have bad back and chest pain as i lay still. Very deep breaths make it worse but overall it is just constant along my spine and sternum. The pain started in my back butgot worse and moved to my stomach and chest after i ate a regular sized meal after 3 days of toast only. It is hrp anx constant, not like a belly ach.", "output": "Dear friend,first thank you for your consultation.it seems that the back pain is really bothering you. You should start doing home regimen of physiotherapy like back muscle strengthening flexion exercise to decrease the pain. Whereas all that you have written about your pain behind sternum and stomach are seems to be because of hyperacidity.3 days of toast has caused some disbalance in your food intake profile causing increased acid secretion .so try to take food in regular interval in proper amount .if the stomach pain is too much you should take antacid tablet for quick relief.in this way you can get rid of your both back and stomach pain problem. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been on birth control pill for about 3months and last week when I was supposed to take placebo pills but instead I skipped them and started a new sheet. Now my period has been late by about 4days and Im starting to freak out if im pregnant or I just skipped a period. I have no spitting or bleeding whatsoever. Do I have a high chance of being pregnant?", "output": "Hi, I understand your concern. You are on contraceptive pills for last 3 months. This month also you had taken the pills without any break... only thing is instead of taking the bland pills. your straight way started with active pills of new packs.... The placebo pills are meant for getting breakthrough bleeding (which we call menses). Between two packs. But by taking new pack again you have extended the hormonal effect for one more cycle. That's why you have skipped one menstruation. Please don't worry, if you continue with the new pack regularly, your contraceptive protection would continue. And you will get bleeding next month while you take placebo pills for 7 days. - In case you have some doubts, you can stop taking the pills now, wait for 8 days without any pills. You would get bleeding in these days. Now, you have to throw the pack you were taking & start with a new pack on 5th day again. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor, My daughter having high Fever .Not Regularly, between 1 hr interval, she is getting the fever with his head and feet.Has consulted few doctors in my home town .But the fever is not reduced.Can you please help us to get some medicines to reduces the fever.", "output": "Follow health advises given below:Measure your temperature and tell me reading 1. Avoid exertion 2. Take tablet paracetamol 500 mg after food (check Chat Doctor. Lot of fluids to be taken 4. Take proper diet homemade food like moon DAL Dalian, chapati etc. 4. Avoid wearing synthetic and tight cloths. We have to evaluate for other symptom like cough/ throat pain/ burning urine/ stomach pain so that we can confirm cause of Reverend get Following test done and review with reportsComplete Urinalysis (CUE), Complete Blood Count (CBC), Erythrocyte Sedimentation Rate (ESR), Malarial Parasite Identification, Typhoon" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am having pretty severe leg pain thatm a nurse friend has suggested may be related to varicose vein problems. sharp pain intermittent back of right thigh, painful swelling there, and some activity in left leg too for past few weeks. I have had RLS for many years, Is there anything I can do to relieve the pain? Am taking 6mg requip for the RLS and 10mg oxycodone, 100mh gabapentin for fibromyalgia. am also diabetic on metfvormin.", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have sharp pain on the legs with swelling. Well there can be many reasons for symptoms you mention in query like acute kidney failure, deep vein thrombosis, heart failure, lymphedema, thrombophlebitis or venous insufficiency. I would suggest you to consult general practitioner for proper diagnosis. Doctor may order certain tests like nerve conduction test, CT SCA, MRI or physical examination to check tenderness. Doctor may refer you to nephrologist for kidney problem or cardiologist for heart problem. Doctor may prescribe anticoagulant, crusade, beta blockers or physical therapy. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I have been diagnosed with cervical spondylosis; also the beginning of a cervical hernia is showing on my RMI. I am a woman, 29 years old, and have had pain and contractions in my upper back/neck for more years than I can remember :) Lately, even I sleep between 7 and 9 hours a night (and at least 4-5 nights in a row getting 7-9 hours) I wake up feeling incredibly sleepy to the point where I cannot function. My eyes are really swollen and hurt, my head is heavy, I cannot focus and basically I would be almost willing to lose my job if it meant I could sleep in the morning instead of having to wake up and go to work. I am not functioning for at least 1 hour after getting up and after that I am barely functional anyway. Coffee isn t helping anymore. Could it be related to the spondylosis and or hernia? Could the quality of the mattress I sleep on contribute to my problem? (because I slept on a hotel bed for a couple of nights and I felt much better in the morning with the same 8 hours of sleep). Any other suggestions? All my standard tests (like employment blood tests etc) have come back within normal limits..", "output": "Hello, I have studied your case. Due to compression of cervical nerve root there can be pain. For these symptoms analgesic and neurotrophic medication like pregabalin and methylcobalamine can be started. Till time, avoid lifting weights. Continue your Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. If nerve compression becomes symptomatically severe then surgical decompression will give permanent relief. You can attach your MRI report or film so that I can help you better. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 67 female with a DX of COPD four years ago, also adult onset of allegic asthma. In the last four years I have had chronic thrush and nothing seems to clear it up. I am in mouth pain continuously with sores and bleeding. None of the thrush medicines work. I have now lost my taste. and one sore was so large on my tongue I had to have a biopsy done, it was negitive. HELP I an broke and my husband just had a stroke and last month I had a heart attack.Like everyone else thanks for nothing.", "output": "Hello, Thanks for consulting ChatDoctorRead your query as you have painful bleeding mouth with sores don't be worried so much I will suggest you to consult oral surgeon for examination of sore on tongue. Inmeantime you can do warm saline gargle two - three times a day you. You can apply ointment like candid gel on tongue. Use chlorhexidine mouthwash once daily and maintain proper oral hygiene. Hope this will help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My mother is suffering from ITP. Its been 7 months now she is on medication but her platelets are fluctuating every month. Last month it was 1.3lac whereas this month 75000 only. She is following all the medicines and her diet includes healthy food excluding sweet, spices. But why that patelets is going up and down with no consistent rise?", "output": "Hi, she is having chronic immune thrombocytopenic purpura. it's the disorder of immune system in which your body is producing antibodies against the platelets. So your platelets is destroyed by that antibodies, and she has low level. And this variation is common in ITP. It depends on your immune response and intercurrent illness. So take steroid according to your doctors' advice. And go for regular monitoring of platelets. Thanks for using Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my lmp may10th 2012. i hava 5year baby. i trying second praganancy for the past2years. i havn t succeed. now my doc advised me take ovecare 10tablet & my husbend to take oligocare tablets and than10 progestrontablets from 18th day. after 40days home test was negative and give another 4 suten100mg tablet..at 56days i take scane that also negative than doc advised gestofit100inj... now still i have no periods . my first praganancy was 80day get postive result via scane not ChatDoctor .. simillary result get positive or not?", "output": "Hi, you may be having some underlying problem like poly cystic disease or any hormonal abnormality, so better you once discuss with your doctor what is the actual cause of your problem and if needed to undergo hormonal evaluation, then depending on that you can plan your treatment, meanwhile you and your husband continue the tablets given by your doctor, if you get ovulation with the Chat Doctor. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Doctor, my mothers age is 74 yrs. She is suffering from cerrossis of liver since last year. Recently a good quantity of bleeding came out from her mouth. Doctor diagonosed as Esophaygal varices. She also suffering by constipation of about 10 days or more. but after that she usually suffering by diarrhea and become very weak and get admitted into hospital repeatedly. Immediate after applying saline she probably become quiet fit. Now, my question is whether the deases is curable or not. I want to make an appointment with early. Thanking you, Sajal Halder", "output": "His have gone through your mothers complaints. You are saying cirrhosis of liver with esophageal varices.it means portal hypertension developed.in cirrhosis, liver cell death & fibrosis will be occurring .its irreversible. But its imp to investigate completely like what is the cause of cirrhosis. What is the present state and to predict what complications will occur. Blood tests like He, Tc&Dc, bleeding & clotting time, Bag & hepatitis c viral test, liver function tests, serum creatinine, ultrasonogram.based on the reports we can assess her status. As you are saying she is getting constipation, more chance of development of altered consciousness called hepatic encephalopathy. We need to know any fluid in abdomen. If liver is still good we can follow her. If it is severely compromised It's important to plan liver transplant. If any queries feel free to write. Thank youRegardsVasundhara" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 22 year old female, sometimes get irregular periods, but lately they have been very normal. I normally get them around the end or beggining of a new month. This month i am experiencing an incredible amount of pain in my lower abdomen and my coccyx. its a sharp burst of pain from my coccyx to lower abdomen. My muscles in my body are also very sore. Is this pre menstural discomfort or do I need to worry?", "output": "Dear friend, there is no need to be worry. Abdominal pain is very common during/ just before starting of menstrual period.often this time of pain went off, once your periods became over. Second, ID you are suffering from acute abdominal pain not associated with menstrual period, you should contact a radiologist to find the causes of acute abdominal pain. Sometimes this becomes very serious too. Otherwise you can take mesenteric acid (Indian brand name metal) tablets for abdominal pain. Keep smiling. Wish you a very happy new year." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "a few days ago I was nauseated with pain in my upper abdomen.Over the next few days my urine has turned a bright orange and my skin is itching horribly.I haven t done or eaten anything unusual nor gone anywhere different.I was told many years ago that I had gallstones but haven t ever had a problem with them,since I do avoid fried foods.I drink a lot of water but was vomiting yesterday but not today.Skin is still itchy.", "output": "Hi. Thanks for your query. Your history is self-explanatory. All the symptoms go in favor of obstructive jaundice. The reason is apparent. The small gallstones might have reversed and got impacted into the bile ducts causing all the problems. I would advise in such a case the following:Urgent ultrasonography, if this is obstruction = to go for ERCP for confirmation of diagnosis and therapeutic too as we can remove the stones. Removal of the gall bladder once everything is settled. I would advise further tests like::Blood -Routine- BT CT PT, liver function tests and kidney function test. Urine: routine, microscopy m bile salts and pigments. Urine: routine and for bile salts and pigments. Stool-- routine and for sterobilinogen. The surgery and medical management will depend upon the reports." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 15 month old has had bad diahrea for give days. It s clay colored and coming in massive amounts. He there up a couple of times. No fever. Took to dr and waiting on stool culture. Also has ear infection. Tonight I noticed 5 large hive looking bumps on arms and his stomach seems hard and bloated. I stopped amoxicillin dr put him on in case of allergy until I see dr tomorrow.", "output": "Hi...it could be Chat Doctor. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 51 yr. old woman. I have a medical history of anxiety, asthma-copd,hgh.bld.press.,sleep apnea,migraines,acid reflux,bells palsy-hemi facial spasms,and t. dyskinesia. I have tried cogentin, valium,topomax,primidone,and neurontin for the tremors. They were not tolerated very well. I had been on numerous depression meds when this developed 2 yrs. ago. I take lorazepam,enalapril,singulair,symbicort,and abuterol on a regular basis. I would like to know of any vitamin-mineral or natural product that might help with the symptoms of this disorder. Look what prescription meds. have already done. Please TRY and figure out something. My family does not understand this disorder and is considering putting me in a nursing home.......CAN YOU HELP!!!!!!!", "output": "Hi dairy understand your concern. Vitamin or minerals can help, but they only boost your energy level but not help to recover from depression. L methyl folate and methylcobalamine can help in depression. Both have a good review in treatment. It is effective only when give with ANI depressant. Anti-depressant like sertraline / Escitalopram will help along with L methyl folate. Thyroid function is also necessary. Do it if you have not done yet. Supplements of thyroxine also beneficial. Do take advise from your treating doctor. Consult psychiatrist and get help. Still if you have a query then feel free to ask. Thank you. Get well soon." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 17 month old son has a shortness of breath and had a nose bleed incident don t know if they are connected and he s been having diareah and the sipping cough as we ll. is this a sign of a serious matter just today he developed the shortness of breath and the bleeding", "output": "Hi... I feel that he is going through a viral illness. But fast breathing s not a good sign to be left alone. I suggest you consult your physician or pediatrician regarding this. Bleeding can occur even due to trivial nose picking or due to viral illness per se. But as 17-month-old cannot pick the nose so effectively, I think it is related to viral illness and I suggest you see a physician or pediatrician. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello my 4 month old grand daughter has a bright red bump on the outside nostril and it appears to be getting bigger. it also is growing in the inside of her nostril too. it doesnt appear to hurt when we touch it but it seems to be protruding now from the inside and outside", "output": "Welcome to the ChatDoctorI understand your concerns but don't worry. It can be due to local bacterial infection known as fur uncle or hematoma. Anything definitive can be said only after proper clinical examination. Hematoma occurs due to vascular malformation. It doesn't require any immediate treatment. In most cases it gradually improves with age. Sometimes it may persist and need surgical treatment for cosmetic reasons. Fur uncle needs proper antibiotic treatment for proper resolution. Hopefully this will be useful. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, age 32 male. Serum creatinine 2months back 1.4mg/dl currently 1.2mg/dl. Blood urea 8. Both kidneys smaller in size ~8.6cm rt and 7.6cm left. Left kid shows scarring in focal area and contour shape affected. Ultrasound shows attenuated CM diff in left side and small ~6mm calculus in lower calyx. Am moving towards renal desease?", "output": "Dear SIMM calculi can be left on its own and will be cleared off. Apart from this do detail biochemical investigations including serum calcium, phosphorus. Consume a lot of water. Avoid tomatoes and other foodstuff containing oxalate. Repeat Ultrasound after 6 months. Most of times the cause of calculi is Idiopathic(no cause found), investigations are required to know the cause and correct it. All the best" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have some lumps on my feet, on the top and under my big toe. The MRI came back that it was likely benign and muscular, but they were unsure of anything else. I am in pain some days when I get home from work, and the doctor told me other than waiting and watching it, surgery was the only other option. I told the doctor I watned to go ahead and have it surgically removed. What are the complications?", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have dermatofibroma or some other benign soft tissue tumor. Surgery is the only treatment of choice. You should go for excision biopsy and histopathological examination. Complications are infection, hemorrhage, movement restrictions etc. No major complication occur generally. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 44 years old. I had a mild heart attack at 33 and a stent put in. I had a single LAD bypass in 2009. In March this year, I had irregular heart beats (PVCS). It felt like my heart skipped a beat, then a strong beat after that. They put in five more stents in my RCAs. I am still having the pvcs, but my cardiologist said its nothing to worry about. It really bothers me, because its the same feeling that made me go into the ER in the first place. I dont feel that he corrected the problem. I worry all the time that Im going to die, although the pvcs give me no symptoms. I hate feeling this way. What should I do ?", "output": "Hello, I understand your worry. After suffering a heart attack you seem to take note of any changes that occur. You are having PVC's because of the heart attack you suffered. They are not harmful, although they can be scary. Factors like caffeine intake, stress, smoking. I feel you should stick with your cardiologists' advice, you do not need any medication. You should keep up with the medications you are already on and avoid factors that could trigger them, and hopefully you will be fine. Warm regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello docgood day i just want to ask if where i can consult the doctor related about my pregnancy we have a problem with my husband 3 years allready we been together until now we dont have a baby.,, i dot know if i have a problems or my husband what is the best way to know that if we have a problem or not?... best regards Mrs.Catherine Pajado", "output": "Hi and thanks for the query, The first thing to do is actually making a proper diagnosis of infertility. You have to be living with your husband for at least one year, having unprotected sex at least thrice to week. It's important. The cause of infertility could be from the female, male or at times unexplained. The first consultation usually should be with you and your husband for an initial battery of tests to be done. These usually range from screening of sexually transmitted infections, hormonal abnormalities, malformations, programs a d temperature monitoring in the female to ascertain effectiveness of ovulation. I strongly suggest you and your husband consult an infertility specialist/experienced gynecologist. Thanks and hope this helps, Bain LE, MD." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my daughter has complained about a racing heart rate and hands shaking with weak knees feeling. We have gone to a urgent care but could not find anything. I was thinking it might be panic attacks or vertigo. Shes on Medicare for her bladder and kidney stones in past . Could you please shed some light on this , she is stressing out. Thank you!!!", "output": "thanks for your query can feel your concerns advice you to have a complete blood count of your daughter to see her hemoglobin level, as these can be symptoms of anemia as wellie she is anemic, give her iron supplements after consulting your doctor improve her diet add meat, fresh vegetables and fruits to her diet encourage her, give her more time she may need antianxiety medicines after consulting your doctor Hope I have answered your query am available for your help regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i cut my finger (finger next to my thumb on my right hand) on the top at the joint closest to the nail 6 days ago. its a relatively small cut but was fairly deep. its heeled shut now, but still throbs all day. i have it bandaged up and did not seek any medical attention, however i have lost feeling in the area between the nail and the first joint where the cut is. when i run my finger over the numb area it tingles like the sensation you get with pins and needles. is this normal and just part of the heeling process or have i damaged some nerves? also the finger seems to be losing colour, a greyish colour. is this due to me not using it for 6 days or is it something more sinister? thanks, Ben", "output": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Do not worry, all your problem is related to the healing process of the finger. Tingling sensation is because of the healing of the nerves which are cut down. It will gradually receive all your sensation. Your bandage must be tight that is why your finger is greyish. I advise you should lose it out slightly. This will improve the circulation to the finger and normal skin color can be achieved. Your first goal in this condition is to avoid any infection and secondly avoid injury to the finger. Rest all Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Im 17 years old and very worriedI had unprotected sex with my boyfriend, (I am on minerva 35) and Im a constant user of the pill, never miss a day, though I have a paranoia about pregnancy and have been having the urge to urinate frequently and am moody, can I be pregnant?? Please help , I always take my pill right on time", "output": "HelloThanks for your query. Oral contraceptive pills are almost 99 % effective in preventing a pregnancy, particularly if used consistently and correctly, and regularly. Since you have been regularly on the pill, your chances of pregnancy are pretty low. However, condoms would prevent against STDs, so they are a better bet. Continue using the pill as advised. Take a pregnancy test if you skip your period. All the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i have been having pain and aches under my left rib cage along my side into my back with lots of back pain ... this has been going on for about 1 and half months.. they say i have a very small kidney stone in the right side and also have precaner cells in cervix ... i now have developed a lump on my left side under my rib cage kinda towards my back...can you tell me can this be cancer to please help", "output": "Hi and thanks for the query, Its too early to think of a cancer with such symptoms. It's true that the bone is a site of predilection of spread (metastasis) of many cancers. However, it might necessary for a clinical and preclinical review be done first in this case. A spinal X-ray and CT scans are particular useful. Measuring levels of Alkaline phosphatase in blood, gives an indirect measure if the bone or the back has spread cancer from another area. A chest X-ray coupled with a clinical review could be very informative. I strongly suggest you consult a primary care physician for an initial complete clinical review and management. He shall then orient you to specific specialists if need be. Thanks and kind regards. Bain LE, MD" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor, this is my first time asking a live question about health quaries? I have low BP, numbness in my left feet or both, and nite sweats and poor circulation. Although I work out 3x during the week, drink lots of water, and try to eat well. But not sure what is causing this alignment.", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have hypotension. You should go for regular checking of your blood pressure. You may go in hypotensive shock also. You should take salt water when you feel dizziness. Your numbness is due to your low blood pressure. You may need acupressure Chat Doctor. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "um, well adderall is seriously making me super irreitable/angry/mad.etc. i need something for motivation!!! something that will get me out of bed and ready to start a new day! also, i need something that will help with the super, super, feeling of being overwhelmed! shot,! i ll take any advice anyone could help me with!!! please!!!", "output": "Hello, The fact that you are using Adderall suggests that you are probably having a condition called ADHD. And the complaints of decreased motivation and energy and feeling overwhelmed suggest that you might be having a co-morbid illness of depression. We need to know further details from you regarding this Do visit a psychiatrist and discuss with him your depressive symptoms. Hope I am able to solve your concerns. If you need further detailed discussion, I will be more than happy to help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have allergies lately since working a new job in a concrete commercial building where there is a karate academy and alot of children. Since working there I have had a tickle in throat everyday for about 6 weeks. I also notice after 6 weeks that the coughing is causing me to urinate its constant now and totally embarassing? What can I do?", "output": "Hi, According to your symptoms, you may have allergy to concrete dust in form of allergic rhinitis or asthma. For confirmation, you need to stay away from dust for a period of two-three weeks If you feel better then, diagnosis of occupational allergy is confirmed. Regarding your question regarding urination, cough may lead to stress incontinence. You did not mention your age. Males above age of 50 years may have benign hyperplasia of prostate which has stress incontinence as one of its symptoms. You require consulting an urologist and have USG of PUB region. You may also use Tablet montelukast-levocetrizine tablet once daily at bedtime for 2 weeks followed by tab levocetrizine once daily. Hope, I satisfied your queries." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "G.C. Age 65. Retired psychiatric nurse. Diabetes for 30years, but no insulin. Right replacement knee since last November. How much yoga can I do? And would Ayurveda or acupuncture help?", "output": " Yes. Yoga and acupressure/puncture can help you great deal fighting sugar problems. Whatever yoga you practice should be less than 30 minutes a day. Best is kapalbhanti Panama 2 minutes a day. Acupressure is better than acupuncture. Please practice yoga after consulting a you teacher to avoid post surgery knee problems. Do not practice yoga myself, or reading on net or books. Because practical experience of treating patients is always imp. Your diabetes is more than 30 yrs, so with the help of alternative medicines you can control and prevent its late age complications which in turn not possible with any other path. So I appreciate your idea of taking other aids. I hope I answered your query. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was diagnosed with mono about a month and a half ago, and now I have a sinus infection. Three days ago, my gums started swelling up, so I stopped using my mouth wash (as it contains alcohol) and kept about my normal routine of flossing and brushing twice a day. My gums have only gotten worse, and I am at a loss as to where to go from here.", "output": "Hi, Thanks for asking the query, Swelling of the gums can be due to infection bacterial or viral, poor oral hygiene, use of certain medications. I would suggest you to visit a Dentist and get the thorough checkup done. Go for symptomatic treatment of complete mouth scaling and polishing deep curettage and root planing. Maintain a good oral hygiene, use antiseptic mouthwash rinses. Hope this helps out. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My MRI says disc dissection and degeneration. Degenerative end plate marrow changes. a central and left sided disc protrusion does indent the the cal sac and contacts the descending S1 nerve root. Can I fix this and rehydrate my disc? What do I do to improve my spine from this point", "output": "Hello, I have studied your case. Medication like methylcobalamine with neurotrophic like pregabalin will reduce pain; you can take them consulting your treating doctor. You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case. I will advise checking your it B12 and it D3 level. MRI shows disc compressing on nerve root then surgical decompression is permanent solution. You can send your MRI films or report. So that I can help you better. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hey, my 17 year old boyfriend has a really bad concave chest and for a while he has been complaining of chest pain and in may it was so painful that he could not take deep breaths, walk or lay down and now again today its that bad. he said it feels like sharp shooting pains in the middle of his chest... is this serious? and does it have to do with his concave chest?", "output": "Hello! Welcome and thank you for asking on Chat Doctor! I understand your concern and would like to explain that your boyfriends complaints do not seem to be related to any cardiac disorders. A musculoskeletal pain or inflammation could be the cause of all this clinical situation. Coming to this point, I would recommend consulting with his family physician for a physical exam and some tests: -a chest X-ray study and pulmonary function tests- a resting ECG-complete blood count, PCR, ESR for inflammation. Meanwhile, I would recommend taking ibuprofen three times daily for some days. Hope to have been helpful! Kind regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello sir I am suffering in high blood pressure and thyroid problem since march 2014. I taking medicine olmax ch 20+12.5mg, thyrup 75mg, pantakind dsr, etilaam pro 20 and xet cr plus 12.5mg. Now my TSH level and blood pressure are normal condition. But I feeling headache and negetive thinking with depression. pls help me.", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. It is natural to have headache and depression due to negative thoughts. These are called obsessive thoughts. Brain (mind) is made for its own functions and its duty is to think. From childhood, we learn to think negatively, which shows its colors. You should know that these problems are not mental diseases, but are mental disorders. Many researches and researchers confirm that medicines alone cannot cure mental disorders. Exercise, Lifestyle changes, change in thinking pattern, relaxation etc. are as essential as medicines. Psychotherapy can help you to change your lifestyle and thinking patterns. Yoga and meditation help you to streamline your metabolism and neurological balance. Please consult a psychologist for further information. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my grand daughter is suffering from fever.Yesterday when she took rinifol syrup she develope light blue skin with red circular patches along with light fits.She was also having stomach pain.The doctor gave injection of Decadan.She seems to be ok now. pl tell me whether Rinifol reacted her. BM Bhardwaj Kanpur UP", "output": "Hi, A very serious allergic reaction to this Chat Doctor. However, seek immediate medical attention if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing. Mild upset stomach or flushing are common. These effects are usually temporary and may disappear as your body adjusts to this product. If any of these effects persist or worsen, contact your doctor. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am very uncomfortable as my stomach is distended and feel pressure inside. I also feel slightly sick from this pressure and dont have an appetite. I I have constant vaginal bleeding. I am under a consultant who has suggested a full hysterectomy but I dont want one if I can help it. I also had a endometrial ablation last year in July but started bleeding constantly again in December until present. I also suffered a heavy bleed and had to call out of hours drs to request noriestherone tablets to help stop bleeding. But now I am starting to bleed through these tablets and it not stopping the bleeding completely.", "output": "HI. You have a failed treatment for vaginal bleeding with ablation and medicines. This is the major indication for hysterectomy. As you have a history of stomach distension and feeling pressure inside I would suggest such a patient first to undergo CT scan to rule out cancer of the uterus. Go for tests of blood, urine and fitness for surgery and anesthesia. The best treatment for you is Hysterectomy." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "What should b a perfect size of folicale to get pregnant ? I m on IVF n it s day 11 but the size of bigger folicale is just 15mm n my doc told me it should b 18 at least ... So I get injected on day 11 again of IVF 150iui... N day after tommorow a repeat ultrasound is asked to perform So plz tell me what are my chances ?", "output": "Hello dairy have undergone through your concern and understand your concernSorry to hear about your problem have seen lots of case like you in my practice. Follicle size between 18-21 mm release quality egg, and it has high chance of pregnancy. You have 15 mm follicle size and get injected on 11th day. Injection effect will be seen with in 24 hours and if ovum will rupture then you have high chance of pregnancy. Along with this Endometrial thickness of 7 mm and above is ideal. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you all the best Best regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi - I have been living in Bangalore for the last 1.5 yrs. Recently (6 months back) I have developed allergic reaction (runny nose, sneezing and sometime shortness of breath) whenever weather changes to cold or rains start. Have been advised to use inhaler by Pulmonologist but am also trying Homeo. Any advice on how to build immunity to prevent/mitigate allergic reaction?", "output": "Hello dear, The symptoms as mentioned in your post can be attributed to Allergic rhino-tracheo-bronchitis. Presented with similar complaints, I usually treat my patients with:1. Tablet Allegra 60 mg twice a day or Tablet Levocetrizine 10 mg in the evening.2. Tablet Montelukast 10 mg in the evening.3. Stalin inhaler.4. Voice rest-avoid talking in loud voice & for a long time.5. Stay protected from exposure to cold, dust & other allergens.6. Steam inhalation.7. Avoid smoking, cold food & Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have pain in my right wrist which feels like a nerve is pinched or rubbing raw. I do not recall any injury and I have had it for about 4 weeks. It is on the little finger side and is a couple of inches above the actual wrist. It used to hurt when I tried to pick up plates or rotate my wrist whilst holding a heavy object, although lifting heavy items whilst my wrist is straight is not problem. I notice it when I uotmail.co.ukse my index finger to type as well. This seems to pull or put strain on the injury. When I manoevre the mouse, I get a similar sensation. Any ideas?", "output": "Hello I read your question and I understand your concern. Your case might well be due to nerve compression in the wrist. It is not rare for that to happen without a discoverable cause, when a cause is found, the most frequent one is diabetes.However, the diagnosis must be confirmed by an exam called nerve conduction study (ENG). Of course a clinical evaluation preferably by a neurologist is advisable to look for the precise localization and other possible signs you might not have noticed. Hope to have been of some help. Feel free to ask further questions." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor, I am 42 old woman got married one year back.my cycle is not regular. I want to get pregnant as soon as .for this, I concealed to a OBGYN doctor and she suggested me DUFASTIN 1 tab three time for ten day and Ovofar tow tab a day for five day. I follow her guide line and did TSH and Folicular Monetaring test but after five days of FM test the age was ruptured. Again Doctor suggested to take same medicine. What shall i do for my betterment.", "output": "Hi Welcome to Chat Doctor As you are 42 yrs old, chances of conceiving naturally is low because as age advances quality of egg becomes poor and fertility decreases. Your periods are irregular which suggests there is hormonal disturbance. As age advances store of eggs in ovaries also decrease. You need aggressive treatment rather than waiting for things to happen. I would suggest you to undergo 1-2 cycles of GUI combined with ovulation induction(Ovular treatment) and if it is unsuccessful IVF treatment will be best option. Even with IVF, success rate is low at your age. Other option is IVF with donor eggs which has good success rate. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a fungus on my left toenail due to polishing it about a month ago, I use tea tree oil and now the toenail fall off, then I use neosporin ointment and now I have a discharge on both side of my toe I do plan to see my doctor in a few days but until now what do I need to do to stop the discharge.", "output": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concern. As per your complaint it seems that you are suffering from Onchomycosis that is fungal infection of toenail, and it is the cause for loss of toenail as well as discharge from the sides of the toe. As you are having a fungal infection, then applying Newsprint will not help because it can treat bacterial infection and not fungus. You should consult a General Physician or a Dermatologist and get evaluated, and he can do a clinical examination and also advise you culture of the discharge to confirm for the exact cause of infection as such symptoms can be seen in bacterial infection also. In case if fungal infection is ruled out as the cause you can be advised to apply antifungal ointments or lotions. You can be advised to take oral antibiotics like Terminating, Itraconazole, Fluconazole etc. You can also be advised to apply medicated nail polishes. Snakeroot extract and tea tree oil application can also help. Keep the area clean and Chat Doctor. . Hope this information helps. Thanks and regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a hida scan today with cck.. I got severely nauseous and had pain in my upper right side. The tech told me I was very white. She got me a cool wash cloth and a vomit bucket. Are these the usually reactions to a hida scan? They didnt tell me any results yet. I have had previous issues with the common bile duct being dilated to 10mm but never stones. This has been going on for three years. I have also had a biliary stent put in a few years ago that was supposed to stay in for a few months but came out in a day...In your opinion( I know you dont have all the facts) does this sound like a bad gallbladder?", "output": "Hi there, It sounds like your symptoms are definitely related to your gallbladder, given that the HIDE scan recreated your symptoms - which sounds like pain and nausea with gallbladder contraction. Basically, what the HIDE scan does is measure how well your gallbladder empties - although you may not have had stones, it sounds like your gallbladder just doesn't empty well. I'd finds a general surgeon who is willing to take out your gallbladder, and I'd also talk to him about doing an intraoperative cholangiogram, which is a special X-ray that he can do at the time of gallbladder removal which will help evaluate your common bile duct and see why it is dilated. Sometimes intraoperative cholangiogram can pick up things that other studies don't see. Another study to consider is a special MRI or an MRCP that may be able to help figure out why your common bile duct is dilated. Overall, it sounds like given the symptoms you have had during the HIDE you're warranted for a gallbladder removal. I hope I have answered your questions. Please feel free to contact me if you have any further questions or if you feel I haven't ad Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI im a hepatitis B carrier and recently i had some blood tests done and the doctor said i had raised bilirubin in my blood but after a week, another blood test was done and my bilirubin decreased. Is this anything i should be worried about? Im 21 year old 168 cm 66 kg and ive got ankylosing spondylitis", "output": "Hi, Welcome and thanks for asking. Bilirubin levels are related to hepatic function predominantly. Increased red cell break down or obstruction to bilirubin out flow can also increase it. In the present condition of hepatitis B carrier, the bilirubin increase is due to hepatitis. Inflammation and damage to the liver is the major cause for raised bilirubin. In your present condition, a raised bilirubin indicates time of hepatic damage and reduced period indicates time of improvement. If it increases beyond normal and persistently, it means it is progressing and risk of cirrhosis is more. At present hepatitis - chronic stage is present. Risk of hepatocellular carcinoma is present in future and routine liver examination is necessary annually. Any further queries, happy to help again." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir, I am suffering from breathing problem i.e. wheezing, asthamatic condition, Dr. in clinic prescribed me Beclazone 50 (2 puffs twice a day) and Reliever if required and also Neuline tablets, my question is if I continue taking Beclazone will it be side effect of that, pls reply", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Blazon is having beclomethasone. It is inhaled corticosteroid. It actually treatment of choice for asthma. Furthermore, it is very safe and having the least side effects. These are possible because beclomethasone is given locally (as inhaler) and not systemically. So Chat Doctor. You just need to rinse your mouth after its use to prevent " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Sir My doctor has told me that i am suffering with GUTB and suggested medicine course for a long period of 9 months. The medicines suggested by him are 1 benadon 2 soliten 3 zanocine 4 R-Cinex Is it true that I have to take the said medicine for such a long period to get the cure from GUTB", "output": "Thanks for posting your query to Chat Doctor. I wanted to know how did you confirm the diagnosis of tuberculosis, what test and specimen you had tested . If you have confirmed diagnosis it is mandatory to take combination of medicine for such a long period as Tuberculosis is caused by a bacteria Mycobacterium which is very resistant and difficult to treat with single Chat Doctor. I suggest you to not break treatment if diagnosis is confirmed .hope this information will be sufficient for your query .rate me if you are satisfied with my answer .feel free to ask." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my name is Stephen and am from Kenya. I have a sister and she s 20yrs old, the thing is that when she was around 5yrs old, she was attacked by a strange disease and when my parents took her to the hospital, they were told that it was cerebral malaria and by that time she had lost almost all of her memories; she couldnt walk,talk or even seat upright she couldnt even know us. Since that day she s been reggaining her memories slowly and now she knows us(family) she can eat. the problem is that thats the only thing she can do. She cant walk, she cant talk so basically we everything for her. Is there anyway you can help me?", "output": "The problem with your sister is that her brain got damaged in childhood due infection of brain by malarial parasites. The brain is one such organ which once gets damaged does not recover unless its treated early. The recovery from this illness depends on the severity of illness and onset of treatment. The brain is very fragile in younger age and mild damage can have severe residual consequences. The center part of brain is important for walking coordination ABD memory integration and this part is called basal ganglia. This part is severely involved in cerebral malaria. At this age of your sister i sorry to say that nothing much can be done to your sister except physiotherapy and some multivitamin and neurotrophic Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been haveing light upper abdominal pain and every so often my belly grumbels like gas is moving around.I feel like I have to use the bathroom but nothing happens. Also I periodically get a wave of cramps in the middle of my stomach. Any help would be greatly appreciated in figuring this out.I don t want to see a doctor if it s only constipation and be embarrassed:-( this has lasted for about 2 full days.", "output": "Hi, Welcome to Chat Doctor forum. The pain appears to be the gastric irritation due to irritant foods, ulcer, or infection. The other cause could be the worms in the intestines. I advise you to consult a gastroenterologist for diagnosis and treatment. You may need to have gastrostomy for diagnosis and treatment. I usually prescribe to my patient with such symptoms' omeprazole, risperidone, lactic acid bacilli, and ofloxacin, and antacid gel. Wishing for a quick and complete recovery. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "am 55 year old male with cfs with high Epstein bar virus had 2 surgeries 2 years ago and got sick after that tried many things on nexavir now was kutapresson years ago doctors not sure how to help me tried Valtrex for awhile nothing the doctor says I have a current Epstein bar infection", "output": "Thank you for following up. I experienced that Value is better for Cytomegalovirus, but for Epstein Barr Acyclovir is very helpful-400\u00a0mg 2 times for 5 days, then you should start to increase your immunity:-Vitamins-Probiotics(Similar, Darolac)-LIV 52 2 capsules 2 times after 15 min before meal for 1 month-Avoid sun, wear cap, stay in shadow, don't visit sea during 5 years, don't do physiotherapy and vaccination during 6 months-Good nutrition Recovery soon Wishing you a good health Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 24 years old Computer Engineering student. When i was 2 years old, an one night typhoid fever paralyzed my legs. many treatment was taken, but no one worked. Now my legs are squeezing, tendons are also squeezing. Is there any treatment that i will be able walk again?", "output": "Hi, You are likely describing an extremely rare complication of typhoid fever called Guillain-Barre Syn Chat Doctor. The paralysis of the legs in this instance occurred because the bacteria (Salmonella Ty phi) which originally caused the typhoid fever had protein material which your immune system accidentally thought looked so similar to the myelin coverings of your peripheral nerves that you suffered what is called an acute inflammatory desalinating polyneuropathy. Your immune system attacked the nerves controlling your legs and stripped the myelin sheaths which rendered the nerves useless and hence the paralysis. What usually happens after such an episode is that slowly with time the myelin begins to regenerate and with therapy function in the legs comes back. At this time, unfortunately, we do not have the means of restoring function back into the legs which have not had proper neurological connections due to this desalinating event for over 20 years. There's certainly no harm in performing physical therapy or using braces for the legs if you may have any degree of physical movement in them at all in order to ambulate. But otherwise, there is no medication or device available to restore muscle function to the legs. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello dear doctor,i guess i had an unprotected sex on saturday night around 4 am. then i took morning after pills around 11pm and 6 pills of vitamin C each day. this happened 4 days after my the start of my period.is there any chance of pregnancy?", "output": "Hello, Thanks for letting us know your health concern. You do not have to worry as your chances of conception are nil. Firstly, you had the intercourse during the safe period and secondly, you had the emergency pill within the stipulated time interval. You can expect some with Chat Doctor. Your next natural period may get delayed by a week or two. Please see a specialist if you become overdue by ten days for further management. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi My brother is 23 years old. About 5 days ago he got a bruise that suddenly appeared on on his forearm. He can t recall any bump. It started small with a blue/black coulour, but it s getting bigger and bigger. It now has a wine red colour with a white sircle about the size of a 20c coin in the middle. He says that the bruise and the white sircle are not sore at all, rather dead. When you press with your finger on the bruise it doesn t make a white sircle like when you press with you finger on your skin. There is no sign of any insect bit. The white area started with a lump, but is now flat after about 5 days. He says that he is very tired and that his muscles are sore. He also is experiencing back pains and a weird feeling in the back of his head. He says that it feels as if a vein is going to pop in his head. Yesterday there were 3 bubbles in the vain just next to the bruise on his arm. He is also confused and can t remember things, almost like blackouts. Please tell me what this can be and what the causes can be? Regards", "output": "Hi, Welcome to Chat Doctor virtual Clinic. Causes of the Bruises on the arm with 3 small lumps-As the bruise on your 23 yr old brother came 5 days back abruptly, without any previous history of any lump, and as it is getting bigger with wine red color changed from blue /black, with veins nearby engorged, with muscle soreness and debility, with disappearance of white central lump in 5 days time, with back pains and weird headache with blackouts, raises many queries about the lump being mostly of infective origin, or could it be any silent malignant melanoma? Or could it be Ringworm infestation?It's very difficult to comment on such a background unless direct physical examination from a Dermatologist /or a Surgeon with verification blood tests confirm it after Second Opinion on such a weird lump. So Second Opinion on this bruised lump on the arm with 3 small lumps of your brother, is suggested to you. Hope this reply would help you to plan treatment with your doctors. Will appreciate hitting thanks and review writing, to help needy patient visitors to Chat Doctor. Welcome for any further query in this regard. Good day. Chat Doctor. N. Senior Surgical Specialist." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am scheduled to have a breast core biopsy done this Friday for a 6mm nodule found on ultrasound, I have had bloody discharge twice in a period of 1 year. The Ultrasound is characterizing it at BIRAD 4 twice in a 6 month period , I have breast pain as if the breast had broken glass in it. Only breast cancer in family was in my aunt. What are the concerns I should have,,,the obvious is of coarse cancer", "output": "Bloody discharge from the nipple along with a lump on ultrasound and a family history of breast cancer are all ominous signs for you having cancer in the breast. BIRDS 4 means that the chances of the lump having cancer are in the vicinity of 60-70% and the least you need to do is get a biopsy. Problem is that to do a core needle biopsy from a 6\u00a0mm lump is technically difficult. If the biopsy is done successfully and returns a diagnosis, then it is alright, but if it misses the lump (in which case the biopsy report will show only normal breast tissue), I would suggest you get operated to remove the lump and send the entire lump for diagnosis. That has a dual benefit. Once it will give a conclusive diagnosis and two, it will remove the chances of this lump developing cancer later on. Even if it turns out to be cancer in the biopsy, it is at a very early stage and you shouldn't worry as you will completely get cured with proper treatment." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Sir, My son 4.6 years old is suffering from stomach ache from past 3 days. we went to doctor and showed him and they gave the injection (pantoprud 40 mg) , cyclopam syrup and Lanzol tablet and still he is complaining about stomach ache. it is coming very frequently. It will be great help if you can suggest some best medicine. Regards Sunil", "output": "Thanks for posting your query at Chat Doctor. It is difficult to comment on the exact cause without putting my hand on his abdomen. Gastritis is a common cause of abdominal pain that your doctor has suspected and tried to treat. Gastritis can cause an ulcer that might be painful and might take some time to resolve. The location of the abdominal pain in case of gastritis is upper or around umbilicus. Central abdominal pain can also be due to an infection, but generally it is associated with diarrhea. In case of acute appendicitis, the pain is in lower right. Pancreatitis is another possibility where the pain may or may not radiate to the back. It may or may not be associated with vomiting. Bowel obstruction is another possibility. But without diagnosing the actual condition randomly treatment cannot be done. Your doctor would be able to help better. Hope that will take care of your query. Feel free to communicate back in case of further queries if any." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "So I am a 22 year old male, and I had what looked like a pimple near my nipple/areola. I popped it since there was a white head forming. Now, it is very sensitive and it has turned into a hardend lump. Is this normal for males my age? I just want to make sure I have ruled out the idea of breast cancer.", "output": "Firstly, lumps in the male breast are common in the pubertal age of 13 to 19 years. This is called Gynecomastia. But they do not have a white head, which is suggestive of a Sebaceous cyst which you have burst. Did some secretions come when you popped it. Secondly, on popping it, the cyst cavity becomes susceptible to secondary bacterial infection which might be the case with you now specially if there is redness and pain in that area. You should take a course of antibiotics like Tab Augmenting 625\u00a0mg thrice a day along with Tab Ibuprofen 400\u00a0mg twice a day for five days and put warm compresses over the area, and you will feel better. Let me know if you don't feel relieved. Take care. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a vein on the back of my knee, in the crease area on the inside of my leg that is swollen and has a red area that extends down to my calf. It was aching on Friday and swollen by Saturday and has been swollen ever since. what could be causing this to happen?", "output": "Hello, As the complaint is about the popliteal fossa region any compression over the area due to soft tissue or other ways might lead to swelling of the same below the injury site. We need to check out for thing like - medial collateral ligament injury, bursitis, varicose veins etc. Having a physical examination of the same can provide more insights. As the history do not mention any kind of injury mechanism this cannot be a ligament injury. But the doubt will follow to the bursitis or varicose veins. In both of the conditions, there is a possibility of swelling below the knee region. Allowing the rest for the knee and avoiding any forceful movements of the knee joint like flexion and extension should avoid the trauma. Also getting it checked will be of good decision. Left ignored will not be a wise decision. Try keeping the leg in hot water and do ankle movements. Post which keeps the leg elevated over the pillow, so the swelling comes down. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello I am 28 years old and pregnant for the sixth time (one abortion 3 years ago, and 4 living children). I am experiencing cramping in the lower abdomen and lower back and even bleeding with passing of clots. What should I do. I have been to the hospital twice for this issue. The first time I was told baby was not doing good and to come back when I came back they said everything was good. I did not experience back pain the first time but now I am.", "output": "Hello dear, I understand your concern. In my opinion the pain abdomen with bleeding with or without backache first gives a suspicion of miscarriage. But as the ultrasound is normal it doesn't go in favor of miscarriage. So need not worry because there might be some other cause for bleeding like:-1)Hormonal abnormalities like thyroid abnormalities, progesterone insufficiency.2)Bleeding from cervix etc. So the above causes should be ruled out by getting done thyroid profile and other necessary investigations if needed. Avoid physical stress and intercourse. Take prenatal and progesterone hormone supplements.Don't worry as many cases which present with bleeding in pregnancy continue till term and also have good outcome. So relax. Take iron rich diet and supplements to combat anemia caused due to bleeding. Hope this helps. Best regards..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am 33 years old pregnant 6 weeks ago.yesterday I was ar doctor clinic and everything was great I also heard the heartbeats of the baby.i am an A negative blood type.today in the morning I started bleeding red its like the first day of the period and even blood is somehow not much liquid.i have no pain anywhere.doctor asked me to make prolaton depot 500 mg as injectioncould it be im loosing my baby? Or is it bcoz of my blood type???? Pls answer", "output": "Hi, Chat Doctor. I welcome you to Chat Doctor VIRTUAL CLINIC. I have gone through your question, and I think I have understood your concern. Furthermore, I will suggest you the best possible treatment options. Please do not panic. Your blood group has nothing to do with your present bleeding condition. The bleeding that you are experiencing is called as threatened abortion. I will suggest you to take bed rest. Tab Pause 500 mg 3 times a day for 5 days. Tab vitamin C 500 mg twice a day for 5 days. Injection of natural micronized progesterone 200 mg or injection of HY" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I developed a very painful lump right under my eyebrow line. It happened overnight. I woke up and my entire eye was swollen shut. I went to my PCP and he said it was either a bite or an allergic reaction and gave me an antibiotic to take. I feel like maybe he s wrong. It s not getting better and in fact it may even be more swollen. I can t tell how big it is BC of the swelling, maybe pea sized, or the size of two peas. I feel like i need a second opinion. What kind of doctor should I go to?", "output": "Hello, I can understand your concern. As it seems like an allergic reaction due to insect bite that may have happened at night, antibiotics may not help in this case. I would advise you to take antihistamine such as Levocetrizine 5 mg (Exocet) or Loratadine 10 mg (Forfeits) once a day for five days. If it was an allergic reaction, it should be controlled by this medicine. However, if it does not resolve in 5 days or increases as time passes, you should see a skin specialist or an eye doctor. I hope this information helps you. Thank you for choosing Chat Doctor. I wish you feel better soon. Best," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Just recently had my annual blood tests done and everything is fine except my liver is off. Now been sent for a ultra sound on abdomen. Saw a specialist last January and he put it down to fatty liver. My doctor said they are worse than last year. Can you give me any ideas", "output": "HelloFatty liver is a reversible condition. It may be due to many causes like obesity, sedentary life, alcoholism,hepatitis etc. You may need clinical correlation and few more investigations like routine hologram, random blood sugar, liver function test, lipid profile. You may need to change diet and lifestyle. You should avoid fried and fatty food. Take a lot of fibers and go for brisk walk regularly. You may need to take few medicines after evaluation. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "A close friend has multiple myeloma. He is 34...and has been fighting it for 4 years. He is getting blood and platelets about every other day now...creatinine levels are high...hemoglobin is at 3...and he now has fluid behind his lungs...do people come back from this?", "output": "Hi, dairy have gone through your question. I can understand your concern. He has multiple myeloma. His creatinine level is increased suggest kidney failure due to multiple myeloma. HS hemoglobin is very low. So it is late stage disease with poor prognosis. Treatment of choice is lenolemide plus dexamethasone. Or bortezomib is useful in some cases. Definite treatment is bone marrow transplantation. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i live in the middle east so i do have a hairfall problem and a dandruff problem. i have fine curly hair and an oily scalp. i hv jus started using cipla x gain shampoo and i also use virgin coconut oil.is this enough or should i use sum other product??", "output": "Hi, You said you have hair fall. I think probably you may be having halogen effluvium. You suffer from Dan Chat Doctor. And that may also contribute in hair fall. Kindly consult dermatologist to have firm diagnosis. Investigations may be done to find out some cause.like thyroid dysfunction, anaemia, vitamin deficiencies or internal diseases. I would suggest as below...- biotin tab 10 twice a day for few months-iron preparation and folic acid if anemia is found-treatment of disease ...if found-continue Ripley X gain shampoo to improve the state of scalp-use almond oil to oil the hairs-have patience hope you got my answer... Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 4yr old is complaining of a headache, stomachache, and knee pains and has a fever of 101.4. She was fine all day then all of the sudden she asked to take a nap, which she never does, and when I felt her head she was kind of warm so I took her temperature and she had a fever.", "output": "Hi... Thank you for consulting in Chat Doctor. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15\u00a0mg/kg/dose (Maximum ceiling dose 500\u00a0mg per dose) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 23yo female and have had a severe case of aerosinusitis during descend in a flight a week ago. I am still experiencing stabbing pain in my RHS of my forehead above my eyebrow which has given me constant headaches everyday. My sinuses are blocked as well as my ears and I have had a fair amount of blood and pain when blowing my nose. Painkillers only seem to temporarily fix the pain.", "output": "Hi, thank you for posting. I have gone through your query and I understand your concerns. Aerosinusitis is treated by Caroline antibiotic medicines such as Tobramycin. You should take this medicine for a week in order to get a good effect. You should also use decongestant nasal spray such as Naphazolina for nosebleed. Antihistamine medicines are also recommended in these cases. Contact your otorhinolaryngologist to discuss the treatment. All the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been in clomid for 2 cycles now on my third but last month I started three days before my expected period I m usually a 28 day cycle. Then I just started on Friday witch would be 2 days before my expected period this time it was dark brown and kinda heavy then stopped today witch is Sunday could I be pregnant or was it my period I started my 3rd round if clomid also the day I started", "output": "Hello madam, well, this type of bleeding can be sort of symptom of a biochemical pregnancy loss. Many times these can be a natural, but we tend to forget them. These are on many occasions natures process of elimination of bad concepts, so nothing to worry. Alternatively these can be disturbance in your cycle as a result of hormonal imbalance . But since you have already had heavy flow, the chances of pregnancy now is remote. So you can continue the third cycle of closed. Good luck, bye" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "underneath the tip of my tongue to the left side it keeps going numb, only a small area for about 5 seconds sort of feels like a painless cramp its been happening for about 4 days but its getting more frequent than when it first started. My tongue doesnt look any different, any ideas on to what it could be?", "output": "Hello and welcome. Thanks for sharing your concern. Numbness could be due to damage to nerve fibrils. It could be a transient phase. Therfore wait and watch for two weeks. If you find the symptoms do not improve then please visit an oral pathologist. Please start with vitamin B complex for fifteen days. Simultaneously do warm saline rinses to treat any kind of developing infection. Hope it helps. Thanks. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am getting severe head ache from last 6 months at the temple regions of eye starting edge of eyebrow corner........consulted many doctors........one said its synositis other said its migrine other said its both u have......took tablets and treatment for all ....still suffering from head ache......dont know when and how it starts searching the reason and problem ......could you please help me to find why?", "output": "Hello Thank you for trusting Chat Doctor Dear many causes for headache If you're suffering from repeated cold nasal congestion it may be due to sinus headache, need CT paranasal sinus to confirm diagnosis. If your getting band like feeling around the head aggravated after stress full conditions it may be due to tension headache, need relaxation yoga etc. Unilateral, periodic each episode lost 2-3days with severe headache with blurring if visioned, aura it may due to migrant. Other causes like cluster headache and temporal arthritis. Please consult your euro physician he will examine and treat you accordingly." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi thereI am 30 years old and a month ago i noticed my left breast increasing in size, it felt heavy and achey, any how i went for a mammo and no lump was found only fibrograndular architecture of the breast was found, to date my left breast has grown more and i am now finding it hard to tuck it into my bra it just overflows i have had 3 children and a subtotal hysterectomy, the size does not increase or decrease during the month it just gets bigger.my aunt on my moms side has had breast cancer on both breast years apart, my other aunt had cancer and my grandfather also had testicalur cancer. my breast also pops up with bruises for no reason at all", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. If mammogram is clear and no evidence of lump than no need to worry much about breast cancer. Breast enlargement can be seen in hormonal imbalance or due to Chat Doctor. So better to consult gynecologist and get done hormonal study. If any abnormality is there, start its correction. I advise you to get done regular mammography annually to detect early breast cancer if at all developing as you had family history of breast cancer. But at present no need to worry about breast cancer." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sitting on the couch I noticed my belly button began to itch slightly. I inspected after a long day at work and saw some wax like substance circling the outer edge of the belly button. I took a q-tip and removed it, which stunk horribly, then used some running alcohol to clean the area. Thinking that was it I noticed the belly button was now slightly red and had a yellow fluid substance draining from it. Now it s uncomfortable and slowly draining.", "output": "Hello and thank you for your question. Sometimes dead skin and other material gets stuck down in your navel and can set up an infection. I would suggest that you use some antibiotic cream on it twice a day after cleaning with alcohol. If the surrounding skin becomes red and hard you may need to see a doctor for antibiotics by mouth. Once it is healed up clean it daily with alcohol and try to keep it clean and Chat Doctor. Good luck to you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I HAVE A QUERY ABOUT THE PREGNANCY FR THE LAST 3 MONTHS WE HAVE TRIED BT NO RESPONSE TILL I HAVE NO IDEA ABOUT INTERCOURSE STRATEGY MY AGE IS 27 AND MY HUSBAND 28 I HAVE A IRREGULAR PERIODS NT PREDICT OVULATION CN REGULAR SEX REGULAR SEX HELPFUL AFTER MENSTURATION", "output": "HIT hank for asking to ChatDoctorI really appreciate your concern look the coitus is the natural instinct that does not need any special instruction or training, now for the pregnancy certain necessary condition are there and that should be fulfilled, ovulation, normal numbers of sperm, coitus at the time of ovulation, keep trying for this, you will be succeeded, hope this information helps you have nice day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My last period was on14th dec 2010. I found out I was pregnant on the 17th Jan 2010. Due to some abdominal pain I was reffered to do a internal ultra sound. The ultra sound showed gastational sac measuring 1.6 mm, ChatDoctor levels 420. On 4th feb 2011 gastational sac measured at 6.5 mm with a yolk sac but no baby. I was told that I was probably having a miscariage as the sac was only measuring at four weeks instead of seven and my ChatDoctor levels were 2000. Is it possible that this could still be a viable pregnancy?", "output": "Hello, I have gone through your query and here are the answers:1. The period of gestation is determined either calculating from the last menstrual period if the cycles are regular or from an early sonogram. 2. If there is no evidence of a fetal pole, the sonogram should be repeated, preferably in the trans-vaginal route, after a week. Sometimes, due to miscalculation of the dates, errors can happen, but, the size of the gestation sac is confirmatory. 3. This should be coupled with serial titles of serum beta-ChatDoctor. Doubling titles every 2-3 days are observed if the pregnancy is progressing well. With all these done, if it is concluded that there is no progress, then it is a missed abortion. Further management should be planned accordingly. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Okay, so i have just taken my fourth sugar pill - im on birth control and have been for over a year. I had sexual intercourse 5 days ago, and the only thing i have been feeling is queasy since very late last night when i started worrying that i could be pregnant. The intercourse was proteted, there was a condom and my partner says he didn t blow into me. I still haven t got my period. What do I do?", "output": "Hello dear, I understand your concern. In my opinion the birth control pills are the most effective of all contraception methods if taken regularly. If you have taken them regularly then you need not worry. And other protection like condom was also used. The chances of pregnancy appear to be less. Avoid stress. I suggest you to start the new pack after consulting your doctor. Hope this helps. Best regards..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was under a lot of stress of just finding out my husband of 10years was cheeting on me and the next morning I was rubbing my collar bone and noticed a lump by the next day it had doubled in size. i was extreamly tired, had the chills, felt just sick and had loose bowles with some mucus in it. By the next day (2 days after) It doubled in size and I was in a lot of pain I couldnt move my neck without it hurting. i was also getting a quick sharp pain through out the day under my arm and then in my groing. That pain did not last it was a quick second of it. I went to the dr.s and they told me it was an infection and not to freak out. She put me on leviquin. I think the leviquin is making me sick. I have severe cramps more loose bowles with mucus, dry mouth, metal taste, I want to vomit, and it feels like someone is pulling on my stomic. 4 days of the leviquin and it has gone down a little in size but it seems to be harder not so swollen. No more pain under the arm or groing. i think the leviquin was making me sicker due to not eating with it. I have been so stressed so I have been eating only a little otmeal a day. Under my arm is sensitive only when I start diging on it to see if i feel lumps. So far none their. How long will it take for the lymp node in my collar to go away. Im so scared of the C word. I have gurd not sure if that helps any and I was off my nexum for like a few weeks. Any way I didnt take the leviquin till tonight and I felt not so sick or not having that stomic pulling pain. Im not sure Im scared because Im going through so much right now I dont need the C word too. Thanks From a dental Tech.", "output": "Hi.it is best if you consult with a doctor, preferably a general surgeon, for medical and physical examination. Two things to consider primarily based from your description: 1. A possible cervical lymphadenopathy (inflamed lymph node) probably secondary to a recent upper respiratory tract infection 2. Other considerations may be fibrous, lipoma, cyst or lesions of thyroid in origin. Clinical examination from your doctor will be of great help. Further diagnostic examination such as neck ultrasound, ct-scan or x-ray and subsequent management (medical and/or surgical if indications are found) will be directed accordingly. Hope this helps. Good day!!~ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 50 yr. old female who has experienced a burning tongue accompanied by tongue ulcers that come and go for the last 2 years. Also experience a lump in the throat feeling always on the left side. Often I wake up during the night because I the airway feels blocked for a second. Just recently, when I swallow my left ear hurts a bit. Should I be concerned?", "output": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint burning sensation of tongue along with recurring eruption of blisters over the tongue and also feeling of lump in throat with breathlessness at night can all be related to Acid reflux in which there is reflux of acid from stomach to throat and mouth leading to following symptoms. Other causes of mouth ulcers can be Stress, Nutritional Deficiency [Iron, Vitamin B12 and Folic acid], hormonal changes, acid reflux, tongue trauma due to some sharp teeth or tongue biting habit, excessive intake of sour and citrus foods, uncontrolled diabetes and other immunocompromised conditions etc. You should consult an Oral Physician and get evaluated and a thorough clinical evaluation and investigations like oral swab culture, laryngoscopy, upper G. I Endoscopy etc. can be done to rule out the cause and then only a proper treatment can be done. In case of acid reflux you can be advised to take Proton Pump Inhibitors like Omeprazole or Pantoprazole. Take antacids like Milk of magnesia. Avoid spicy food and Chat Doctor. . Always take walk after meals and take your dinner at least 2 hours before sleep. You should sleep with head slightly raised as compared to feet. As of now to relieve the mouth sores you can start gargling with a numbing mouthwash containing Lidocaine to relieve the symptoms. You can also take a multivitamin tablet daily. You can take anti-inflammatory painkiller like Ibuprofen. Suck ice and do cool water rinses. Avoid spicy food. Hope this information helps. Thanks and regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doctor Samuel...I am on my second bottle of parlodel for my irregular periods nd infertility but I have not been serious with it. I took it seriously during my last circle nd got a 35days circle...I decided not to take it during dis circle nd now my period is late...my question is can parlodel delay periods when stopped", "output": "Hello welcome to Chat Doctor For your irregular periods you are prescribed parallel medications,it is a dopamine agonist(bromocriptine). From the given medication to you, I will tell you that you are suffering from hyperprolactinemia...that means your prolactin level is very high. High prolactin levels causes irregular periods and becoming pregnant is troublesome. Continue the same medication according to dose,don't skip the dose.after the dose you may get regular periods and the chances of becoming pregnant is more. Hope you understand my suggestion. Thank you Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a large pea size lump behind one ear that has been there for two weeks, now another one is coming up behind my other ear. I contacted my doctor with regrd to this two weeks ago however he said to leave it for six weeks and get bck to him .? its not really painful but is tender and pulsing ?? any advice??", "output": "Welcome to Chat Doctor. 1. Painful lump behind the ear and two - the possible cause could be hair follicular infection in first place. 2. Next possible cause could be lymph nodal enlargement - but rarely cause any pain on touch. 3. In this case first thing you need to get examined and get a course of antibiotics for treatment along with some painkillers.4. Advise you do not disturb the lumps by scratching / pressing / or any manner - as it will only complicate and delay healing process. 5. Maintain local hygiene and clean with antiseptic liquid after bath, and do not disturb the lump. Good luck. Hope I have answered your query,anything to ask ? Do not hesitate to ask.http://doctor.ChatDoctor .com/doctors/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I was recently diagnosed iwth Hepatitis C . I strongly believe I got it this past summer the month of August 2012. I was checked last year oct. 2011 and wasnt detected. But now I have it and I have symptoms of clay like stool, darkening of the liver , fatigue , tiredness, acne , loss of apetite. Is it possible to have symptoms approach this fast? If so, what can I do to change this reaction within my body?", "output": "Hello, Amanda, Hepatitis- C can be contracted by a number of means. This occurs by coming in contact with contaminated blood. Chat Doctor. Blood transfusion or blood products prior to 1992 (We did not have blood tests for Help -C then). Other things that are risk factors include Tattoos, body piercing, sharing tooth brushes, razors etc. Accidental needle prick and exposure to contaminated blood (Lab technicians etc., surgeons )I am giving you all this background to let you know, you can be completely well till the virus starts multiplying in the liver cells and causes damage. Now that you have been confirmed with blood tests, you need to get HCV -RNA viral count and the Genotype of the virus because the response to treatment or cure depends on this. Good news is, there are very effective treatments using a combination of " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "MY HUSBAND RECENTLY DIED - HE LET OUT VERY STRANGE GASPS FOR AIR , EYES ROLLED BACK IN HIS HEAD, AND FOAMING FROM MOUTH. I DONT HAVE THE AUTOPSY REPORT YET BUT HE DID HAVE A THORACOABDOMINAL ANEURYSM. THEY SAID HE HAD A MASSIVE CORONARY YET HIS CARDIAC ENZYMES WERE NORMAL UPON ADMISSION TO THE ER. WHAT MAY HAVE HAPPENED?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, your husband might have hypoxic seizure (epilepsy) during his last breaths. Gasp of air, eyes rolling up, frothing from mouth etc. are classical symptoms of epilepsy. He might have ruptured his aneurysm. So there might be great internal blood loss. This might have caused decreased blood supply in the brain. And this can give rise to hypoxic seizures and death. But all these will confirm only by autopsy report. Hope I have solved your query. I will be happy to help you further. May your husbands soul rest in peace. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have gas pains in my lower abdomen and a slight pinching feeling by my ovaries. I am 2 days late for my period. I have been slightly naseus and my breasts are tender (which often happens before my period). I am sexually active but use a condom every time. I took a pregnancy test and it came back negative.", "output": "Hi! Good evening. I am Chat Doctor answering your query. All the precautions including birth control pills are not 100% foolproof in protection against a pregnancy. If I were your doctor, I would go for a serum Chat Doctor determination to rule this out and if need be would advise for an ultrasound as well. Detecting pregnancy. Breasts tenderness no doubt could also be due to premenstrual congestion, but to rule out a pregnancy, urine pregnancy tests are not always 100% reliable. Till then, I would advise you for an anti-spasmodic along with a proton pump inhibitor Chat Doctor. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "all day today i have had a pain in my chest which feels like it is from my heart, every 5-10 seconds i get a dull pain which lasts maybe only a second. i am currently traveling, and have been in very smoggy cities for 2 weeks now, also the food i have been eating recently is quite salty and fatty, so just wondering if it could be because of this or could be more serious?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Since you are traveling and eating salty and fatty food, possibility of acute gastritis related chest pain is more. So follow these steps for better symptomatic relief in acute gastritis. 1. Avoid hot and spicy. Avoid junk food. 2. Avoid large meals, instead take frequent small meals. 3. Avoid stress and tension, be relaxed and calm. 4. Take pantoprazole tablet on empty stomach. 5. Quit smoking and Alcohol if you have these habits. You will mostly improve with all these in chest pain in 2-3 days. If not improving after 2-3 days then consult doctor and get done ECG to rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my son visited pediatrician today has a puss filled bump on inside of wrist which also has a red line going half way up forearm. she said for him to go home and put hydrocortisone but if it doesnt get better in couple hours to begin antibiotics. it didnt get better so i began antibiotics but now the red line is even higher past inner elbow. i paged the doctor awaiting her call, is this bad??", "output": "Thanks for writing to us and sharing your sons' health problem. As per your description, it is nothing but an infective disease and therefore potentially curable and not to worry too much but seek surgical opinion. There are several possibilities in this case like an abscess, in infected bursa, ganglion or a sebaceous cyst; in worse case it could be related to underlying osteomyelitis also.in any case it is necessary to detect the cause and the infective organism by culture sensitivity test. All the best on this!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here... I have had a colonoscopy, endoscopy, Ultrasound, chest xray, and I still have no real diagnosis of why I continue to have extreme abdominal distention, bloating, upper abdominal discomfort, and extreme fullness when I eat anything, even small portions. Now I have discovered 2 bruised areas on my abdomen, near my naval and to the right of it. I look like I am about 4 months pregnant. I am 60 years old, female. I have high cholesterol, HTN. I have been told I have some diverticulosis, a hiatal hernia, take prilosec which does nothing. I do not experience reflux. I feel like they think I am making these symptoms up, but it is pretty obvious if you look at me.The upper abdominal pain i have is center and to the right slightly, and is always there like a constant discomfort.", "output": "Hi Madam. Thanks for your query and an elucidated history. Read and understood your problem at the age of 60 years looking like 4 months pregnant. All the investigations you did like colonoscopy, Endoscopy ultrasonography, X-ray of the chest may not show everything. Your Symptoms of pain in abdomen, bloating discomfort can be mainly died to the Anxiety and or stress, allowing you to have lots of aerophobia meaning swallowing air, you may have dentures or the change of taste for foods and soda and colas etc. Another reason can be you are taking foods with nuts or so, that give the similar symptoms. I would advise you the following:Get a course of an antibiotic and metronidazole along with probiotics, activated charcoal tablets and an Anxiolytic Chat Doctor. Stop all the foods and beverages which you must have noticed to cause such symptoms and I hope you will be fine. Control of the stress and / or anxiety is the key. If there is not much of a response, please undergo few more tests like Enterocolitis and CT scan of the abdomen. If all the tests are normal, get an opinion of a Gastroenterologist and start getting treated for IBS, the Irritable Bowel Syn" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "For several months I have been having sharp burning pains in my upper left abdomen and the pain goes around under may left arm and left upper back. It seems to be worse when I eat most times. It eases off when I lean over or lie down on a heating pad.Three years ago I had to have emergency gall bladder removal due to 3 golf ball size stones which had caused my gall bladder to thicken walls and I guess just die. I didn t know I would have to pay for the opinion, but thanks anyhow.", "output": "Dear friend ... I understand your problem ,,, this looks more like HERD/Hiatus??? Better get an upper GI endoscopy done ....hope you are over weight??? Please reduce your weight . Add more of green leafy vegetables to your diet . More of fibers . Stop fried and processed/spicy food stuffs... quit smoking/alcohol/coffee/tea . Better divide your meal in to 4-5 parts ... instead of eating at a time . Eat small quantity in 4-5 intervals . In addition, you may have to take tab.PAN-D in the morning half an hour before food. Till u get endoscopy ..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am using Asthalin 100 inhaler for last two years. Earlier I used Seroflow 250 inhaler for 2-3 months which gave me quick relief and I need not take another puff for quite some time with a single puff of Seroflow. Now I am using Asthalin 100 which I need to use quite frequently. Whether I can change to Seroflow 250 now.", "output": "Hello. Thank you for asking at Chat Doctor. I went through your history and would like to make following suggestions to you:1. Stalin and Aeroflot are different types of inhalers. Stalin is a \"rescue\" type of inhaler which is to be used only for asthma symptoms/wheezing/breathlessness. Seroflo is a \"controller\" type of inhaler which is to be used regularly to prevent asthma symptoms.2. I do not advise frequent use of Stalin. If you need to use Stalin for more than twice a week, I would suggest you to use regular Serf lo.3. Were I treating you, I would also add montelukast in your daily treatment.4. I would also suggest you allergy testing, regular breathing exercises and avoidance of dusts, smokes and air pollution. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you the best of the health. Thank you & Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir i have a problem to remember things.when i go to market ,i puschase things.bu t some times i forgot to pickup at home.when i go to some where and anybody ask me to purchase things i forgot that things.i only do my work and i forgot the things.which somebody asks me.i wants to know that is this a symptoms of memory disorders", "output": "Hi Hamlet, The problem you are facing is quite normal. It happens with anybody who is forced to do things or do the work of others. It is also normal to forget the things we need to buy while shopping. Do not panic. Make a list of things before you go purchasing the next time. Try and keep your brain active by certain exercises like playing Sudoku. As you show more concentration in your activities, you will do them better. Eat a healthy diet. Wish you good health. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a chronic lower back problem taking medication and treatment by pain clinic. I now have problems with my feet losing feeling especially while sitting and driving pain starting in big toe. Seen specialist today and have been referred for a new one .(6.5 years since last one. I have also been referred for a nerve examination in feet and legs. Was in severe pain after examination and mind was not functioning.", "output": "Hi, Thanks for writing in. There are 5 small bones aligned on top of each other in the lower back which are together called the lumbar spine. There are soft discs which are spongy structures between 2 bones. Nerves which originate from the spinal cord pass through the holes between 2 bones and then supply the legs. When there is overgrowth of the bones or the disc gets degenerated then it presses on the nerves and causes pain. Numbness is also due to significant pressure on the nerve roots in the neural foramina. It is required that you get an MRI scan of lower back done if you have not got one done and your symptoms of numbness and tingling are recent. This will help to know if the nerve is getting pinched in any location. The doctor will decide the treatment after going through the findings of your MRI scan. Please avoid heavy physical activity and get nerve study done as recommended. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was hired as an Aide to work with an 8 year old girl diagnosed with PTSD due to abuse & neglect in early years. In the school context is it the right thing to remove her from the area if she is tantruming (on the floor banging her feet). Previously my trauma informed approach has been to just go to her ...be with her (stroking and just telling her its ok) until she is calmed and then remove her from the room for her to process her emotions. However her teacher is now intervening to remove her from the room during. She then wants me to go outside to her and then do my therapeutic approach. Does this do her more harm?", "output": "Degree understand your concerns went through your details. I suggest you understand the therapy procedure and basics well. Any therapy gets its ultimate objective when the client is able to perform the given exercise. An open approach is always essential. Exterior rather than interiors are more apt for therapies. You cannot expect 8-year-old to listen and do everything you tell them. They are vibrant. Their attention span is less than 5 minutes. You should approach them with the help of trial and error method. The only foolproof method available for any therapy is trial and error. To master trial and error methods, you need to know the basics of the therapy you are administering. You are the best judge because you know the child well. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI. My husband is in an assisted living facility. He fell yesterday and hit his knee and today the knee and calf of his leg are both swollen and red and warm to the touch. His calf and knee are approximately 1 1/4 inches bigger in diameter than his other leg. He had a knee replacement on the inured knee approximately 4 years ago. Thank you, Jan", "output": "Hi, thankyou for providing the brief history of your husband. A thorough musculoskeletal assessment is advised with X-ray. As your husband has TKR 4 years back and have hit the same knee joint, an x-ray is recommended initially to see if any dislocation has happened. Even to note in the x-ray if any movement in the implant is happened. Never to ignore such falls and visit the ER and get the X-ray done. Usually the implant Do not move but if in case it is moved then we can not judge from outside. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Two days ago, I begin experiencing extreme pain in the hip/gluteus maximus area. It s tough to sleep and walk, or even sit. I ve used a heating pad and have taking motrin in an attempt to provide relief from the pain--to no avail. The only physical thing I ve done in the past two days is get in and out of the car. What could be the problem? Also, might it be something I should get medical attention for?", "output": "Hi, You may have pulled your gluteus muscles during some strenuous hip flexion activity. So I suggest you to sleep over your stomach, don't walk too much and take rest. You may opt for in home physiotherapy sessions as in physio there are various machines like (it, tens and heat therapy which will give you pain relief). If it doesn't get better with 5 sessions then do visit your orthopedic. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a hospice nurse typing up some notes from a patient visit. Pt. has advanced prostate cancer with mets to the bones. But, in addition, recently noticed was a growing bump in the middle of the pt. s forehead . His MD stated this was a very aggressive cancer, and it had spread to there - I am trying to figure out what to call this apparent nodule which has appeared on his forehead? thank you, AAAAAA, r.n. YYYY@YYYY", "output": "Hello and welcome to ChatDoctorSome cancer are very aggressive and spread to distant sites. Cutaneous metastasis is commonly seen in many cancers like carcinoma of gall bladder, carcinoma of lung, carcinoma of breast etc. In case of your patient if it is proven/ confirmed that the tumor cells from carcinoma prostate has spread to the forehead then swelling of this type is described as Cutaneous metastasis or tumor nodule. Thanks for posting your query. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I am currently a student applying for dental insurance. It will not be effective for about 3 weeks which is when I plan on making an appointment to see a dentist but one of my adult teeth is falling out now. It must have became weak quite a while ago and I didn t notice until now that when I take bites my tooth has been being chipped away. There s only about half of it left now and as I said it s extremely weak. There s a dull throbbing pain in the gum area surrounding the root of the tooth and in the same exact place on the other side (those teeth are fine as far as I know though...) I m wondering if I should pull it out tonight or go to the hospital or what my other options are....thank you.", "output": "Hi, Thanks for posting your query. Periodontitis or pyorrhea is a set of inflammatory diseases affecting the periodontics, i.e., the tissues that surround and support the teeth. Periodontitis involves progressive loss of the alveolar bone around the teeth, and if left untreated, can lead to the loosening and subsequent loss of teeth. Ideally, a periodontist i.e.: a gum surgeon must examine you and the treatment may consist of the following:-deep scaling-non surgical placement of Chat Doctor. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Really..... I was just surfin the Web. My Liver enzymes were high. Triglycerides up to the 3000 count. After a normal CT scan..... Ultrasound..... I was taking Gemfibrozil .... 600 mg. Twice a day. I am normal with all tests and now for my blood test two weeks later..... been and still taking Gemfibrol and walk on treadmill one to two miles. My Gastroenterologist never has encountered anything so quickly. He thought I was heavy drinker. I am a small person. BMI is 22.5. I am about 5 3 and weight is 126 ish.... give or take clothing weight. I am 50 years old and have been in menopause for approximately four years. I am divorced..... live alone..... have one son (28 yrs old/married) with no children. Any questions that may help? Maybe I can do something different..... maybe not. I have always had good numbers..... always healthy but not as athletic due to spinal issues. Thanks.", "output": "Hi thanks for asking question. Your main problem is regarding elevated liver enzymes and elevated triglyceride. Try to avoid stress as anxiety can aggravate your condition and chances of heart ischemic attack by excess stress. As far as liver enzymes concerned mostly you can have fatty liver because of high cholesterol. If you are taking alcohol then it could be the cause for fatty liver.USG helpful. Second also do your viral markers to rule out hepatitis.USG is also helpful. For stress relief do yoga and regular exercise. For liver problem take less fatty and fried diet. Avoid trans fat like cheese, meat, burger etc.Omega-3 fatty acid containing oil useful like olive oil and sunflower oil. More water. Green leafy veg taken more. Fruits taken more. After 6 month repeat liver enzymes profile. If needed liver biopsy can take. Are you taking any Chat Doctor? Because excess " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor. My eyelids are very dry and sometimes itchy. The main patch is from the middle of the eyelid to the inside corner on my right eye. Also, now I have it on the top of my right ear and its worse here; a lot more dry and itchy, and now flacky. Could it be ringworm? Thanks!", "output": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Ring worm usually infects the area where sweating is more.Eyelids usually do not have much sweating. So ringworm is having very low possibility in that case. Ringworm is common in inguinal area and other arras of sweating. So in my advice you should show this to your dermatologist. Skin condition can't be diagnosed with description only. If we do not have visuals we can't diagnose it perfectly. Keep good moisture on the lesion area. Avoid sweating. Wash the face frequently. Avoid injury to the affected site otherwise it can. Cause infection. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor.. Im 20 weeks pregnant now.. Doctr suggested me Anomaly Scan , but radiologist has done Tiffa scan. are both scans same, or should i go for Anomaly scan again? My baby weighs 333 gms in this scan , is it ok or any issues will be there? pls help Thanks", "output": "Hi, Thanks for trusting us with your health concern. TIFF or targeted imaging for fetal anomalies is an anomaly scan. There is no need to go for another anomaly scan since it has already been performed. Weight of the fetus depends on several factors like genetic status, race, maternal nutritional status, impact of environment etc. If you can provide fetal measurements, I will be able to say if there is any abnormal growth. As of now, the weight of the baby is within normal international limits. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a bottom front tooth that is very loose. In fact it gets in the way of eating. I cant bite down of course. Also when chewing sometimes if it makes contact with my top teeth it causes great pain. I have no insurance and no dentist. What can I do?", "output": "With your query, it is confirmed that your teeth had lost their support and to rule out the treatment you must visit your dentist without which one cannot decide the treatment plan. If they are hopeless you have to get it extracted and replace the sane either fixed or removable and at the same time get your periodontal health status checked in order to prevent further loss of teeth and be aware of oral hygiene instructions along with brushing techniques. Hope this helps you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I recently visited a friend who complained of chest tightness and shortness of breath in the afternoons and early evening. He stated he had no difficulty breathing at night or first thing in the morning. His doctor just called him in an order for antibiotics. He has no cough or congestion. What do you recommend? He is 62, retired from department of transportation and the navy sea bees.", "output": "Thanks for your question chest tightness, shortness of breath, allergy to dust and smoke, cough can be symptoms of asthma and in this age it can be a late onset asthma other diseases can be heart related like ischemia you need to visit a pulmonologist and a cardiologist who can request for a chest X-ray, spirometry, an ECG, and he can examine you in detail and will rule out uncertain causes thanks feel free to ask more questions may god bless you with good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 13 year old daughter has a lump on the side of her neck. At first we thought she had been stung it has a pin head type look and is very very sore. Her Dr. is trying medication first and then if that does not work on to a specialist and have it removed. It is getting larger and sorer by the day. This is not a sign for cancer is it? To be that sore what do you think it might be?", "output": "Hi, Thanks for writing in. Lumps on sides of neck in child Chat Doctor. When scratched with finger nails, they become infected and painful. Swellings can also occur in other infections like tuberculosis and sore throat. Rarely lymph nodal swelling may occur due to diseases like lymphoma and cancer. If the swelling decreases on taking antibiotics, it is most likely infective. If it persists, your doctor is right in doing a FNAC/ biopsy to confirm diagnosis. It will only be a needle prick test, and please do not worry.Meanwhile you should get concerned if there is significant weight loss, continuous low grade fever and swelling in other parts of the body. This may indicate something serious. If these features are not there, there is no need to worry. You must however completely evaluate the swelling and take proper treatment at the earliest. Hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, My 14 mth old son has 2 large blemishes on his face. They both seem to have started out small and have grown quite large. When I touch it it feels like an underground pimple, like there is something in the middle of it. It is very red and the middle of it is a little yellowish. The one blemish has been there for 5 days now and does not look like it is getting any smaller. We have a dr. appointment on Thursday, but just thought I would ask. Any ideas?", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query your son have symptoms of large blemishes on face which is due to accumulation of sebum infected by microorganisms like bacteria in clogged pores of sebaceous glands. Need not worry. I would suggest you to use cream containing comic acid. You should clean your face twice a day with face wash containing benzoyl peroxide daily, exfoliate your skin once a week to remove dead skin and Chat Doctor. If condition persist then consult dermatologist for proper examination. Doctor may prescribe antiseptic cream for blemishes, glycolic acid cream for scars and also recommend options like laser therapy (fractional laser) and microneedle for scars. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir , i am really disturbed with my face skin initially i was have daane all over ma face after that someone told me of betnovate n cream and i used it for a long period of 6 months and now when i left it my face is having small red daane all over my face and i hv tried all medicines and visited doctor for months and now using homeopatChatDoctoredicine but no difference and now i am suffering from low self esteem sir , i am really disturbed with my face skin initially i was have daane all over ma face after that someone told me of betnovate n cream and i used it for a long period of 6 months and now when i left it my face is having small red daane all over my face and i hv tried all medicines and visited doctor for months and now using homeopatChatDoctoredicine but no difference and now i am suffering from low self esteem", "output": "Dear Rita, Welcome IT CAN definitely BE CURED. You applied Renovate N cream which contains strong steroid, due to which you have developed steroid-induced Rosacea (Please read on net about it yourself also). This condition is treatable. Please do as follows:1) Cap. Doxycycline 100 mg 1 bid2) Metro gel local application bid3) Cap. Nitrogen B Plus 1 biddy it for 20 days & please let me know. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ive had swelling in my both are mostly left one for a long time have been to drs for years on Tuesday the dr said weve tried lits of meds no relief she said theres nothing else to be down chalked it up as chronic pain syndrome and a compressed nerves neuropathy before i wad offered a nerve block now its nothing i know im not supposed to live the rest of my lifr like this please help", "output": "Hello, As mentioned by you in history you have tried almost every possible thing to reduce the pain. What I figured out is that no exercise is tried. So in all the procedures above the muscle would have gone weak by now and making joints to friction by touching of the end plates of the joints. Also, the muscle weakness will lead to fatigue to set in faster and release more of the lactic acid. Improving the overall muscular physiology with the help daily general exercise and some specified for the muscular system where the pain is more will help to have some relief. This has to be done under a competitive physiotherapist and also for a longer number of days. As the much precisely and more you do exercise the more the benefit will be. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a large upside down crescent shaped bruise on the side of my abdomen. There is a hard white lump in the middle, and the bruised part looks like blood pooling beneath the suspiciously white, hard spot. I have not injured myself, certainly not bad enough to get such a bruise. What else could it be?", "output": "Hi, Good Evening. This is Chat Doctor. -I studied your query in depth and Understood your health concerns.-Accordingly on the facts given by you-Causes I would suggest is as follows-a-I think you are a case of-Hamartoma ? Dermoid ? Sebacious Cyst? Dermatofibroma? Lipo-fibroma? Epidermoid Cyst-with rupture of the riding veins around it causing blood suffusion beneath it. Hope this would help you with the relief you needed. Wishing you healthy living and early recovery of this query. Wellcome for more queries till you get the satisfied. Thanks for your query to Chat Doctor Clinic. Have a Good Day...!!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, My mother had a heart attack on 30.09.2010 and she recovered it by completing 10 clexane injections after each 12 hrs with other medicines as prescribed by doctors during staying at Hospital. She has been now released. The doctor advised us to do Angiogram very shortly to know how many blockages are there. My mother troponin I level was found 180 by blood test which indicates must blockage. In the above scenerioe can you suggest what will we do now as we know during ring implementation, it has a chance to miss my mother whose age is now 57 years. Is there any alternative treatment without surgery?", "output": "Hello, After attack, the best treatment available for heart attack is angiography and angioplasty. As it will directly open the blocked arteries. Angiography is nowadays a day care procedure and even after angioplasty patient are discharged on next day itself. So it's not a major procedure. Alternatively, medicines are also effective mode of management. She should be on multiple medicines like Aspirin, Clopidogrel, L-Statin like Atorvastatin, Beta-Blocker like Metoprolol etc. and procedure can be delayed. Hope this helps you and get back if you have any doubts. Take Care! Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I am 20 years old and I think I got bit by a spider about 3 nights ago right next to my right eye, it was a bump at first, but then we tried squeezing it and it swelled immensely. The swelling went down, however it came back during the morning of the next two days including today. Is this normal for a spider bite? What should I do?", "output": "Cellophane You for contacting Chat Doctor. Allergic response to insect bite takes some time to resolve. I would recommend you following things:> Take cetirizine one at night for 5 days.> Take acetaminophen for pain(if occurs)> Take a piece of cloth and warm over flame, put it over the swelled area. It will give soothing effect. Report to hospital if:> Condition remain same after 2-3 days> Any unusual symptom appears> Condition deteriorates.> There is difficulty in breathing. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. Wishing you good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "myboyfriend is experiencing frequent severe legcramps . he has liver cancer and goes in for a procedure through his led artery where they withh drop bombs on the cancer spots. he already beat pancriatic cancer 2 years ago. why the cramping now", "output": "Hello, Welcome to Chat Doctor. From your query I suspect, he may be suffering from frequent electrolyte imbalance or unusual fluid shift. This may be due to his liver disease. Some medication also cause muscle cramps. Vitamin B 1, B5, B6 deficiency also cause muscle cramps. Please check his serum electrolytes and vitamin levels. Usual electrolyte imbalance are low calcium, magnesium or potassium. Low blood levels of calcium or magnesium excite the nerve endings and cause the muscle to contract. Hope this helps. If any doubt, kindly reply. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "under my right foot near my small toe is all these little circles and in the centre is a white dot, if you press on the area its like a bone and if you press on this bone like thing it can be a little painful , what could it be? i am 38 years old and have this since i was a child but never did naything about it because it doesnt bother me", "output": "Hihope this msg finds u in good health. I have gone through your complaints and understand your concern. U seem to have a bony spur or outgrowth that might be causing pain and inflammation of soft tissues in that region. Apply ice packs. Rest analgesics and anti-inflammatory tablets should help. Get a X-ray done to find out what's wrong. Nothing to worry about. Hope your question has been answered. If u have any follow-up queries, feel free to consult me anytime. Thanks Take care god bless" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI MY SON IS 18 YRS. OLD & HE IS SYFFERING FROM PARANOIA SINCE 3 YRS.HE WAS PREVIOUSLY UNDERGOING DEPRESSION SINCE 1 YR. WHICH DEVELOPED INTO PARANOID SCHIZOPHERANIA.HE IS UNDER MEDICATION SINCE 2 YRS.HE IS BEING GIVEN VARIOUS COMBINATIONS OF ANTI-PSYCHOTIC DRUGS SINCE 2 YRS,BUT HIS CONDITION IS GETTING WORSE INSTEAD OF IMPROVING.HE IS TAKING OPIPROL 50mg,PARKIN 2mg & QUTIPIN SINCE QUITE SOME TIME NOW.PLS. SUGGEST THE RIGHT TREATMENT.HIS CONDITION IS GETTING WORSE SO I HAVE BEEN ASKED TO HOSPITALIZE HIM.", "output": "Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. Paranoid schizophrenia will require antipsychotics in the form of risperidone or olanzapine or quetiapine etc. Only with these antipsychotics, the symptoms can be controlled. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 12 year old daughter has had a pain in her tailbone for about 4 months now on and off. She does karate and plays the piano but over the summer vacation has not been attending either. Sitting is becoming very uncomfortable and she gets relief when lying down. She is concerned that she will not be able to sit on the school chairs when she returns in about 3 weeks . We thought that with rest it would have subsided by now but it is still worrying that is has not gone away. I am taking her to see her doctor this week. What can we expect and do you have any advise? Also she has suffered no trauma to that area. Jane", "output": "Welcome to Chat Doctor I have gone through your query and understand your concern. You are likely to be having coccyxdynia. Treatment of it is hot bath by seating in a tub of lukewarm water. Analgesic such as ibuprofen is given for pain relief. Vitamin B and C is helpful in recovery. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi I have a bronchitis ,aasthma and pigeon chest and i am very lean and thin and i feel like i amd depending only on medicine it s been 14 years and i have no improvement i don t know what to do ...please suggest me a best doctor for this ho could help me at least to improve even a little on this thank you", "output": "Hi thanks for using Chat Doctor Your chest problem is due to longstanding respiratory problems... Recurrent bronchitis is the problem. Resoiratory Function has to be assessed. If there is obstructive picture, you can try bronchodilators.(Chat Doctor. . Doses can be titrated and slowly fix to only inhalation. When we use inhalation bronchodilators, it will be better if you use a combination of steroid and bronchodilator. Steroids can decrease the exacerbations of bronchitis... Anti-allergic treatment is good option... There are some medications called mast cell stabilizers can also be used... A pulmonologist can help you out.... Thank you...." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I suffer from allergies so take regular over the counter anti-histamines which usually do the trick. But sometimes my throat can feel tight and I get quite wheezy. Nothing too scary but not pleasant either, just wondering if I should see my GP or persevere with the anti-histamines? Thanks", "output": "HI, thanks for using Chat Doctor If you have episodes of wheezing, you should consider visiting your doctor for an assessment to see if additional medications, other than the antihistamines are required for control. If there is a history of wheezing then the use of inhalers may be suggested. Topical steroid inhalers would be used if there are any symptoms of post nasal Chat Doctor. These may also require a prescription. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here...Hello! I am a 15 year old girl living in Arizona. Over the past few months, I have had what I believe to be Panic Attacks. They come frequently and leave slowly! How do I minimize or stop them from happening?", "output": "Hi. I understand your concern. Panic attack is a kind of anxiety disorder. Stress and anxiety can lead to panic attacks. To minimize it you have to identify underlying trigger events.Stress-free work and activity will help. Do involve in pleasurable activities like music and hobbies. Exercise and meditation will help. Daily schedule work and take proper sleep. It can be treated with medicine like combination of SSRI and benzodiazepine. In SSRI sertraline / Escitalopram will be useful. Do take advise from your treating doctor. Consult psychiatrist and get help. I hope I have answered your question. Still if you have a query then feel free to ask. Get well soon." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I have a rash on my stomachs, it started out as a pimple or a flat spot that itched , I scratched and it bleed but I starched more like a dog with the mange I could not help it. for the pass two weeks I have had this itch and it has spread all around the naval their like sores", "output": "Hi, The rash could be a popular urticaria or could be scabies. These conditions could be distinguished only after proper clinical examination and treatment differs for both the conditions. You could take an antihistamine tablet for relief from your symptoms. But, I request you to consult your dermatologist for proper diagnosis and management. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been getting dizziness in the mornings 3 or 4 times over the past month. I just got my blood pressure checked out and I am 143 over 92. I am at least 40 pounds overwieght. Additionally, I have developed some kind of rash around my neck, upper torso and forearms.", "output": "HelloDizziness early in the morning is due to 2 main factors:- hypoglycemia- spondyloarthrosisBlood pressure of 143/92 as you are taking medication won't be a problem. Should check fasting blood sugar along with blood pressure and record the results.In regard to the rash, I need to have a look myself, so I kindly ask to send a picture in. For the moment, I think it might be an allergy issue, and could also be a possible cause of dizziness you experience. Take oral antihistamine you find over the counter. If not improved, should see your caring doctor. Wish fast recovery. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 65 yrs. of age and both my cholesterol and triglycerides are elevated. Total cholesterol is 257. Triglycerides are 158. HDL cholesterol is 55. The dr. threw a sample of Crestor to me and gave me a prescription as well. I threw the Crestor in the trash. Started taking Cholestoff *Complete* which is for both dietary and genetic high cholesterol (made from plants) and am suppose to take two twice daily before meals. Also am eating 3/4 cup of Quaker Oat Meal w/ cinnamon sprinkled heavily over it each day and am on a low fat diet. Have been told that niacin also helps bring down cholesterol and am wondering if you would recommend taking it. I also take fish oil daily. Am interested in natural products for lowering it. Haven t been exercising appropriately and need to do that. Both of my parents had normal cholesterol levels but my grandmother passed due to a stroke. What is your recommendation and am I on the correct path? I am totally against statins due to their many side effects. I take medication for thyroid which is Synthroid and have no other major medical problems. Thank you very much", "output": "Hi, I respect your beliefs regarding the intake of natural products for lowering blood cholesterol and triglyceride levels. Despite statins as being the primary recommendation for lowering cholesterol levels and triglycerides, studies also support the use of fish oil, albeit slower than statins. They can still be used especially in those whom statins have caused side effects like body pains and liver enzyme elevations. And I agree with your current lifestyle of eating oatmeal, and I also suggest a Mediterranean style diet, together with fruits and vegetables. I would still recommend a consult with a doctor for checking other risk factors, as well as regular testing for your cholesterol levels. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello there,About 10 years ago I had a crown placed on a tooth that had previously been home to a huge amalgam filling. I have had zero trouble out of this tooth until recently. About a month ago I noticed that the crown felt loose and if I press straight up on the crown with my tongue, It feels like it is moving up (ever so slightly). This tooth has not had a root canal and when I have seen x-rays of the tooth since then, I notice what looks like a tiny metal rod that goes down into what tooth was left. I assume this was because there wasnt much tooth remaining after removing the filling material. My issue is that I am leary of having this tooth checked out because I dont want to lose it as it is toward the front of my mouth. How difficult is it to replace a crown? especially if the crown in question has a post already installed? Thanks so much", "output": "Hello there, Thanks for writing your query, According to your clinical history I suspect you had a PIN RETAINED amalgam restoration over your tooth. Usually post with crown preparation is done only after the tooth is devitalized by root canal procedure. In your case as you have mentioned you have no symptoms of pain and discomfort related to the tooth, we need to check the vitality of the tooth before replacing the crown. Exact diagnosis can be made only after clinical examination and evaluation by taking radiographs. If needed, Root canal procedure is done to disinfect the tooth by removing the infected nerve tissue and the root canals are cleaned, shaped and filled with permanent restorative material. Once the treatment is completed, the tooth can be restored by a post and core preparation with a prosthetic crown coverage. I hope this helps, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir, I am 40 years old and suffering from disk bulges and sytica. I feel acute pain in my right leg while walking. I am unable to walk even 10 meters. I am getting treatment from various doctors but no relief. Kindly advise me.Arshad Husain,Lucknow.", "output": "Hello, I hope that I can answer your question. To answer your question, you may need an MRI to determine if these disc bulges are actually pushing on a nerve and likely dynamic x-rays of your spine to see if the bones are sliding past one another and your spine is unstable (spondylolisthesis). The real question is what is worse, you leg pain or your back pain. If you are having mainly leg problems that is due to discs and may be remedied by weight loss, steroid medications, physical therapy and surgery if need be. If the back pain is worse, your options are more limited. If your spine bones are sliding past one another you will still need physical therapy but also might need spinal fusion as well. I hope this helps and can better help guide you and your doctors." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "First Name: sanjayLast Name: kumarI am a: Patient, Family member or FriendEmail Address: YYYY@YYYY Subject: sperm analysisComments: result of my semen analysis. SANJAY KUMAR 28 YEARS MALE 30JUN2011. SEMEN ANALYSIS Time of collection :2.05 pm Time of examination :2.35pm PHYSICAL EXAMINATION Volume :1 ml Colour :Grey opalescene Appearence :Clear Consistency :Hypo Viscous pH :7.5 FRUCTOSE Present MICROSCOPIC EXAMINATION Microscopic examination reveals morphologically normal spermatoza along with pus cells (1-2/hpf) and epithelial cells. Forms with excessively long tails are also noted. Sperm Count :8 Million/ml of fluid motality 05% shows rapid linear progressive motility. 15% shows sluggish linear progressive motility. 20% shows non-progressive motility. 60% are non-motile. SIR, what is my report? could i made a father? plz send me details.", "output": "Hi thanks for writing to Chat Doctor. I have gone through your report. Your semen analysis shows less than normal sperm count 8 million is below normal, 20 million at least. Decreased motility. You should investigate for this. Ultrasound of scrotum to rule out varicocele. Varicocele is the commonest cause for male infertility. But u can become father with this report also. There are so many techniques in this era. Like semen wash out and many more. Consult a urologist and he will advise you further. Have a good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,my age is 17 and i m suffering from overmasturbation side effects. i started masturbation at d age of 14 and now i have lost everything.now i look like a 45 year old man.i am also suffering from the following side effects a.low memory b.excess fatigue c.no smartness d.black rim around my eyes (e).pre,mature ejaculation f.low concentration and confidence and stumering and ejaculation or some drops of sperm everyday as well.i want to mention that i didnt have these side effects before i started masturbation.i cant tell my parents everything entirely and i tried to tell my father once he said it is normal with guys like of my age but i think it is not normal i have exaggerated my effects.plz help me.thanks", "output": "Degree understand your concerns went through your details. I am sure you are anxious and worried about this. Naturally, anxiety and worries creates anxiety disorder and health related anxiety. I assure you masturbation in moderation is not unhealthy. Masturbation is natural. At your age, one masturbation per day could be considered OK. Beyond that it will be tiresome because you have many other things to do. Masturbation consumes only energy and that lost energy can be regained with a glass of simple fruit juice. You need to concentrate on your education more and exercise more so that your mind is diverted from masturbation habit. With the exercise you should feel hungry, and you will eat more nutritious food, which will intern help in regaining your health. Don't worry. If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have a 3 year old daughter, she has been suffering with night sweats and complaining of back pain and now has grey coloured stools, she is being treated for a water infections at the moment, she also has no apetite and this morning started to vomit? any ideas or suggestions please?", "output": "Hi, The vomiting and loss of appetite (I guess it started along with the said infection only) may be a part of food poisoning/water infection you mentioned. But whenever a child is having excessive night sweats and back pain of more than few days' duration, I used to get a complete blood count with ESR and a peripheral smear. This is to rule out important conditions associated with high blood counts. This is especially important if the loss of appetite was there for long, even before the food poisoning and if he had significant weight loss. Kindly discuss with you doctor. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "RESPECTED DOCTOR,MY DAD WAS ADMITTED IN PSG HOSPITALS COVAI. THE DOCTORS TOLD THAT LIVER IS AFFECTED AND IT MAY BE CANCER.. SO THEY SUGGESTED TO MEET RAMAKRISHNA HOSPITAL. THERE THEY TOLD NO TREATMENT IS POSSIBLE.. WILL U PLEASE HELP TO SAVE MY DADS LIFE", "output": "Hi, dairy have gone through your question. I can understand your concern. He may have liver cancer. Treatment depends on type and stage of cancer. In early stage surgical resection of liver is possible. In later stage chemotherapy or radiotherapy is the only treatment option. Despite treatment prognosis remains poor. Please send me reports of his stage and type so that I can help you further. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello , i was just concerned and worried about my sister , today she had to sit down because she felt really light headed she s been feeling like this since thursday..and whenever she breathes, her back starts to hurt , she says the pain comes and go s . so is theyre anything wrong with her , does she need to go with a doctor?, is their anything wrong with her. im very worried!", "output": "Dear friend, whatever you have told us about the problem of your sister it seems that she might be suffering from temporary low pressure causing her light-headed from time to time. This can be due to weakness or some undercurrent disease. Also another point you have mentioned that she is experiencing pain in the back while breathing. This also can be due to some pathological lesion in the abdomen or chest area. So you please go for a detailed clinical check up and x-ray and ultrasonogram or that region.I think this investigation will easily clinch the diagnosis of this condition of your sister.my beat wishes for your sister. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am having my first ever doze of Novelon from yesterday ( that s 2nd October 2013), which happens also to be the first day of my menstrual circle. Please do let me know as to when I shall start being safe after having this contraceptive pill. Some of my friends said that its after the first 5 days that I shall be safe and can have unprotected sex once I continue using Novelon? Is that true? Secondly I am 22+ years of age, will continuing Novelon over the months affect my future desires of having a normal pregnancy. How long can I continue using Novelon under my present social circumstance in order to have unprotected sex with my partner , since we are not getting married pretty soon, Some of my friends says that I can continue Novekon for 6 months and then stop it for 3 months and then start again and continue this process over the years to keep my fertility normal, is that true? Request you help urgently. Regards.", "output": "Hi, Thanks for the query. If you use the contraceptive pills from the first day of the cycle to completion of the pack as per the guidelines it will give protection throughout the month. For more details : http://srsree.blogspot.com/2013/11/general-guidelines-of-using-combined. telco you can have intercourse during any day of the cycle. Usually during initial days of the menstrual cycle, ovulation will not occur. So no need to worry. You can use contraceptive pills for limited period like 1 to 2 years without any break. Usually usage for limited period of time may not lead to any major problems. After stopping the pills within few months you can get your regular cycles and can plan for pregnancy. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i think i have GAD. I get hot flashes, my heartbeat is fluttering, i have a feeling like i might die of a heart attack or a anyrsym and it occurs just about everyday at night. i feel weak, and dizzy. my chest is tight and im nervous. ive had alot of stress what do you think?", "output": "Hello there. Thank you for choosing Chat Doctor. I can see that you are suffering from a lot of anxiety. All your symptoms may be a result of anxiety. But it is advisable to rule out any cardiac causes. I would advise you to get an EKG done to rule out arrhythmia. If your EKG is normal then you would be required to take some tranquilizers to reduce your anxiety. But these are prescription Chat Doctor. I hope I was able to answer your question. I f you have any other queries please feel free to write." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I got married before 6 months. Me and my husband are trying for a baby since then. before 2 months my periods was two and a half months late. so i took an ultrasound scan. doctor discovered that i have PCOD. she has suggested to take duphaston 10mg per day for 5 days. then i got my periods. later that she prescribed me to take glycomet 1000mg per day and duphaston 10 mg from 16th to 25th day. now i got my periods on 30th day. from 2nd day of periods, she asked to take serophene and she has prescribed to take follicular study from 8 th of my periods. will this follicular study work out to get pregnant soon?", "output": "POD is a disease where ovulation doesn't occur, so you have been prescribed aerophone from day 2 to day 6 of your period means for 5 days.it will help in ovum(egg) formation.folliculometry is an investigation to see gradual growth and number of ovum formation and to guide the day when we can give in Chat Doctor(5000 IU) for ovulation when ovum is at least 18 mm big. Second half of cycle should be supplemented with progesterone(unfasten) for support of implantation.thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor, I am 41 years old woman just my father expired 10 days back I am feeling very anxious and having anxiety attach for last few day very frequent. When these attachks happen I have to sit up or go out from the room have some fresh air and I can not sleep after that feeling very low start thinking about non sense things. Also feel suffocated and can not breath properly. I went to doctor yester day he precribed me Nexpro - L capsule one daily in morning empty stomach, Cilpar LA 20mg one in the morning and Trika .5mg, I took Trika yesterday night I slept but it was not very sound keep awaking and need to sleep on pile of pillow to make my head upwards and with light on, just checking if it is a temperory situation I am very scared have two very young kids. What should I do. Thanks a lot fro taking time for my question", "output": "Hello &, I had gone through the case and found that this is the case of Post traumatic stress disorder. Do not worry, it is curable. For proper sleep and lowering the anxiety level, start doing yoga and chakra meditation. It helps to reduce the anxiety level and feel you relax, balancing the brain chemical. So learn the yoga and meditation under guidance. By doing the exercise your medicine requirement will reduce. Hope my answer will be effective for you. For learning yoga and meditation, you can discuss further with me. Thanks, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I got bit by a mosquito last night. The bit has now doubled in size like the size of a softball. It practically surrounds my elbow. And I can t be certain however I feel as though front my elbow yo to my hand ( left ) that it s either numb or tensed up...???", "output": "Hello, Welcome to Chat Doctor, Mosquito bite can also do infection and irritation with the sting they can produce allergic reaction along with the saliva. Because of which you are having these feeling. I would suggest you to take antibiotics and anti-allergic like fexofenadine 120 mg OD. You can take Tab CPM in the night and apply anti-allergic mixed with antibiotic cream locally 3 times a day. It will take at least 3 weeks to come to normal. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,I had 2 UTI [symptoms- burning sensation while urinatiing and dizziness] and was diagnoised with EColi infection. I once went into emergency having fever, chills and vomitting. Drs told me that i might have mild kidney infection and gave me oral antibiotics. I was ok till I had antibiotics, once its over i got back my dizziness. Doctors did a culture again and found I have <50,000 rods/ml so no antibiotics is necessary. I am having mild dizziness/ slight headedness. What could be the remedy?", "output": "Hello and welcome to Chat Doctor. Thank you for your query. Let me first shed light on the rules of treating an infection, more specifically a urinary tract infection. As you experienced a return or relapse of symptoms as soon as you got off your antibiotics the reasons for the same could be the following:-Inadequate dosage used to treat the infection (a stronger dosage should have been advised)-Inadequate duration of use (should have been continued for a longer duration as infection was clearly still prevalent)-Inappropriate antibiotic used (the antibiotic used was not good enough to treat the infection)In such cases, a urine culture should be conducted (which was done) and one of the most effective antibiotics should be selected to treat the condition, for an adequate amount of time with an appropriate dosage. Now coming to the presence of a colony of 50,000. If you are not on the antibiotic, this colony count is only going to multiply and increase which would most certainly result in an infection again. If the antibiotic used was effective, the urine culture should have not reported any colonies or infection-causing organisms at all. I hope all this is clear. It is quite evident what has to be done. Please re-visit your doctor or another one, and select an antibiotic which is susceptible to your infection, and re-initiate a course of at least 7-10 days, and discontinue only once a repeat urine test has reported the absence of an infection. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: http://doctor.ChatDoctor .com/doctors/ Chat Doctor. I would gladly help you. Best wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dr, I am 30 yrs old and i am pregnant for the first time. since my pregnancy i am affe cted with lichen plasm. i have been prescribed with halovate ointment. now iam 5 monts pregnant and this infection is spreading all over my body. can u suggest what do i take for the cure now", "output": "Warm welcome! Thanks for visiting world's best online health forum. I was assigned to assist you today for the health query you have. Lichen plans is self limiting usually (means it goes at its own) but sometimes the symptoms may go worse and become bothersome. In that case I usually use to prescribe Cetirizine oral, Fluocinonide And Tacrolimus topical ointments for application to affected areas of skin. For oral Lichen lesions you need to keep good oral hygiene and diet improvements to have a good power to fight against infections. You may consult a Dermatologist too for better insight. I hope this was all you needed an answer for. I am at your disposal for extended explanation and medical help if you need more. Healthiest Regards!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 21 year old male and wondering what can be wrong with me. For the past two weeks as soon as I eat anything I feel really sick. Sometimes I start vomiting quite badly, I have also had a pain at the top of my rib cage for about a week. It starts off like a hunger pain and then gradually gets worse. I have been bend double with pain today.I am normally fit and healthy am 6ft 2\" tall and weigh 15stone. Any help appreciated. Thanks Sean", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Since your pain is associated with eating, and you are also having vomiting, so possibility of HERD (gastroesophageal reflux disease) related symptoms is more. HERD is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause symptoms of chest pain and vomiting. So follow these steps for better symptomatic relief in HERD. 1. Avoid hot and spicy food. Avoid junk food. 2. Avoid large meals, instead take frequent small meals. 3. Take pantoprazole and risperidone combination on empty stomach. 4. Quit smoking and Alcohol if you have these habits. 5. Avoid stress and tension, be relaxed and calm. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir,my BP count went up to 160/110 last month when i had a check up with my physician. He prescribed me Losar Beta tab. and taking daily one tab. Now my BP level is become normal. Do i require to continue this tablet for life long or can stop taking this.", "output": "DearWelcome to ChatDoctorWe understand your concerns went through your details. You have not mentioned your age. Blood pressure treatment is essential to safeguard your kidneys, eyes, heart and for many other organs and for general health. Your doctor prescribed you medicine because he felt you need it. You should visit your doctor again. Let him check your blood pressure and then if he feels so, you can stop the medicine. Please do not take self decisions. Take care. If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, i did unprotected sex in bankok on 21 july, 2010, then test at 4 months in bamrungrad hospital (result was negative) then in my country (bangladesh) test again at 5 months (result negative) but after 5 months i feel my two neck side lymph nodes are slightly increased with little pain and also feel pain in my armpit and groin and musels. then again test at 6 months elisa a(result negative) but at six months my wifes test was positive with elisa then go with same blood another hospital for retest but there result was negative. they collect my wifes blood again and 2nd result was negative then doctor said that first positive result was false positive. then i did test again at 7 months (result was negative) , then most of doctor said that i am hiv free. but for 10 days i feel bad pain in my leg musels and all joint and for 2 days i feel mild fever with slight cough. now i again worry. i donot understand anything. my hsv 1 & 2 (igg) positive and cytomegalo virus positive. here my doctor still say that i have no problem with hiv. please help me and i want ur opinion. is my 7 months negative test conclusive? Thank you.", "output": "Hi, dairy have gone through your question. I can understand your concern. You have history of unprotected sex. Your HIV tests at different times are negative. Your tests are negative at 7 months interval. So there is no need to worry. You are free from HIV. For confirmation, you can go with p24 antigen or PCR test. It gives confirm results. Your symptoms are not due to HIV. If you have enlarged lymph node with cough and mild fever then you should go for fine needle aspiration cytology of lymph node. It can be due to reactive hyperplasia or tuberculosis. FNAC will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir, I have severe dust elargy from child hood.that turned into bronchitis.two years back I had asthama attack.from them i am using montemec plus.if i stop using it with in two or three days i will suffer from allery.Is there any cure for it.Is it good to use nebulizer every now and then.", "output": "Hello. Thank you for asking at Chat Doctor. I went through your history and I think you are having allergic asthma. I would like to suggest you as follows:1. Monterey plus is a controlled medicine for allergic asthma. If you are able to remain symptom free by using it daily, I would suggest you to continue it for at least 3 months continuously.2. I would suggest you to consult an Allergist-Immunologist who will suggest you allergy testing. This will help you identify substances causing symptoms to you as well as precautions regarding how to avoid them. Also, an Allergist may suggest you specific allergen immunotherapy depending upon the results of allergy testing, which may improve your allergy symptoms.3. Please try to avoid exposure to smoke, dusts and air pollution as much as possible. Also, please do not smoke if you are a smoker.4. A nutritive diet rich in vitamins & minerals including anti-oxidants is very important to support immune system.5. I would also suggest you regular breathing exercises which help you in a long run.6. Regarding nebulizer, personally I would not recommend it beyond childhood, especially for young adults and middle-aged adults. In my opinion, metered dose inhalers (MDI) with or without spacer as well as Chat Doctor. Hope this will be helpful to you. Wish you the best of the health. Should you have any other queries, please feel free to ask at Chat Doctor. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son is 21 yrs old and wrestling at away at school. He keeps getting ringworm . What can we do? He is also has a nickel allergy . I believe this is now internal and flare ups will recur quickly. How do we treat and prevent it? I would prefer a more natural approach. He has tried creams and meds througChatDoctorpus and home doctors.", "output": "Hi, Thanks for posting your query. Ring worm is a fungal infection, and it is confined only up to the skin. There may be high chances of recurrent infection as it may spread by contact. You should consult with internal medicine specialist/ dermatologist and should get proper examination. Possibility of nickel allergy may be present and this can be distinguished only by clinical examination. Treatment depends on diagnosed disease. He has to apply steroids for nickel allergy. In case of ring worm infestations, he has to take antifungal medication both oral forms and topical ointment. Take care," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hii.. I m deepak from new bombay.. I have been masturbating since more than ten years. now my age is 25 yrs. I have a problem of premature ejaculation. I havnt had many physical relationships with anybody. I have girlfnd now and becuz of this early ejaculation problm, I hasitate to have sex with her. I have consulted two doctors about it, but havnt got any result yet.. can u please suggest me any proper medicine or treatment..??? Thank you..", "output": "Hi, Premature ejaculation is mostly due to performance anxiety and after few sexual experience, it will be resolved by its own. You can apply topical Lidocaine jelly over glans after erection to prolong ejaculation. You need to learn when to slow down stimulus while doing sex to delay ejaculation. Master and Johnson start and stop technique is also beneficial. Fluoxetine can be prescribed If excess anxiety is associated. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor I am arun I started sex by using my own hand( hand practice) when I was 15 years old now i am 25 . II do that think weakly 5 - 10 . but now I want stop. please tell I like do get marry . when I get sex emotion my sperm leak soon after 15 min after that I take more time for sexual contact with partner. pls doctor or mail me if I get married I can become dad ? I done that think due to misguide . take me as ur Brother reply me . YYYY@YYYY", "output": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. No, need to worry buddy. You will sure become father. Masturbation is not the bad habit. People have many disconcerts about it. It is in turn very beneficial in some ways. It receives your stress and makes you free to do other work with very good concentration.15 minutes of erection is good enough. You can become father with that. There is no need to take any more action over it. But to increase the duration you can take the sildenafile citrate tablet under your doctors' guidance. People can become father even after the 5 minutes period of erection, so don't worry about that you won't become father. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have ingrow toe nail that seem to have created inflammation and pain to the point I could not touch the sensitive area. When the pain eased it would slightly itch. The doc prescribed fucicort 15g cream Leo which definitely helped reduce the pain and inflammation, however it has created skin scab that s reddish and it itches a lot. Is this normal", "output": "Hello, Ingrowing toenail is a frustrating problem, and it can cause inflammation many times. So I would suggest you to take surgeon s opinion and remove this toenail because till then you will continue to have these scabs. If you are not willing for surgery then you need to avoid wearing shoes, do not keep this place wet and apply this cream. I hope you are not a Diabetic. I hope this answer will be useful for you. Let me know if there is any other followup questions. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello, 5 days ago i had an angioplasty procedure done, ive been recovering ok finding it hard to sleep on my side as this seems to bring on angina like chest pain which goes on its own within a minute of me laying on my back. yesturday i felt a tightness in my chest whilst at rest and found i had to use my angina spray on 4 occasions within 24hrs, is this a normal part of recovery or should i consult medical advise?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. No, this is not part of normal recovery and so you should definitely consult your cardiologist for this. Sometimes restenosis of Stent is the cause for such angina like pain. So get done ECG and 2d echo to rule out this. If both these are normal then no need to worry about any hear related pain. Sometimes, musculoskeletal pain can be the cause. So apply warm water pad on affected areas and take painkiller like ibuprofen. Avoid bad postures in sleep and movements causing pain. Don't worry, you will be alright but first rule out cardiac chest pain. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear DoctorI am a 60 year old woman who was diagnosed with type 2 diabetes 3 years ago! In May 2013 I started Urine therapy both ingesting my own urine and daily massage before I shower everyday. Two months ago, my right shoulder began to hurt! Movement is a bit restricted. I hope its not FROZEN shoulder. Will Urine therapy still help me? Or do i have to go through painful Pysiotherapy?Mrs. Barbara Ann John", "output": "Hi Barbara, Thanks for asking. Based on your query, my opinion is as follows.1. It appears to be frozen shoulder.2. It is commonly seen in elderly and more commonly with diabetes. Clinical examination of shoulder and MRI necessary to rule out any associated pathology.3. Yes, you will require physiotherapy along with mild exercises. 4. I am not sure about urine therapy, but not advisable. It is not sterile and contains chemicals which are supposed to be discarded. Risk of infection, especially with diabetes is present. Control blood sugar within normal range. Also, mild exercises, weight reduction, and multiple small meals will be helpful. Medication to be continued regularly. Hope it helps. Any further queries, happy to help again." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was diagnosed with aggressive prostate cancer (4th stage) over 3 years ago. It is outside the prostate, but at that time it was not in the bones. I have only done alternative health care since. No surgery or anything conventional. My question is during that time, I have lost about 2 inches from my penis and do not know what I can do or what has caused it? Do you have any suggestions? Thank you, Dan", "output": "Degree understand your concerns went through your details. Whatever could be the reason, losing the length of penis is impossible. Nobody organ grows lesser. Your penis must have shrunken due to the stress and physical problems. It will come back up again when you engage in trouble free sex. Don't worry. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I believe I strained my lower back. After a week or gardening and staining Decks I was sore but not limited. Saturday while cleaning the kitchen I was sitting o a chair and reached down for something when all of a sudden I had a sharp pain in my lower back and couldnt move. My husband managed to get me to the couch but I needed to lie flat so painstakingly we went upstairs. I started ibuprofen and had some flexoril so I took that too (10 mg). I can barely walk to the bathroom..it is painful to walk, bend...just cant do youThat. I have been in bed on a heating pad since yesterday morning. Took a hot tub this morning and tried some light stretching. All I can do is manage to the bathroom and back..weakness on my left side so I cant put a lot of pressure on it. Any other suggestions? I cant sit up in chair..cant manage walking much without terrible pain.", "output": "I read your question carefully, and I understand the pain you're in. In terms of medication I believe you have taken the right steps. NSAID Chat Doctor. Heat application and the use of a lumbar support may help as well. If the pain is not controlled through these meds another painkiller like Tramadol can be used. If despite these measures the symptoms persist in time or worsen then I suggest imaging studies are done to look for the exact cause, whether there is an issue like fracture or disc herniation for which surgery or local injections might be considered. I hope you will get better soon." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 20 year old female, non-smoker, non-drinking, college student, and am suffering from severe lower back pain that makes it hard to move. I have never had pain to this extent in my lower back, last day of my period was October 31st, 2011. I am also dealing with increased fatigue and urine that is very cloudy yet retains pale yellow/cream color, there is no change in odor of vaginal secretions. However, there has been uterine cramping, no history of cysts. I am sexually active in a long term committed relationship and we use birth control pills (Tri-sprintec) as the primary contraceptive and condoms as an irregular back up. Stress levels have not increased beyond normal, no weight loss, only weight gain of 23lbs, two home pregnancy tests and my period (I was on time) proved I am not pregnant. I suffer from Lyme disease, babesiosis, and arthritis. I am currently taking Singular, Quar, and Tri-sprintec. Any help would be appreciated.", "output": "This question pertains to 2011, hence it seems it has lost relevance. But since I have received it in my inbox, I'll answer it. It should have been ascertained that there's no intervertebral disc problem of spine which is often responsible for severe back pains. IVD problem or no, temporary relief is given by anti-inflammatory and analgesics use. Cloudy pale color urine can bean aged by lots of water Chat Doctor. Other things are having no relevance with backache or cloudy urination." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have iron deficiency anemia, so far in spite of all the tests there is no known cause. I m taking 2 over the counter Iron tablets w/meals daily, and have had an iron infusion, so far no good results. In the mean time the doctors have me off of anti-inflammatory drugs, so with my arthritis I am in lots of pain. Also I was recently discovered to have A-fib, so I m now on Xarelto, when I think it s all very confusing to me..", "output": "Hi, I am sorry for your symptoms but anemia along with chronic joint pain, I would prefer to consider this as anemia of chronic disease, and I am tilting towards the diagnosis of an autoimmune disorder, where in there could be a Combs positive anemia. If the autoimmune disorder is treated the anemia will get better by Itself. I suggest you consult with your physician with this glue and get yourself evaluated please. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi There I was wondering if you could answer a complex question for me . I was diagnosed with myasthenia gravis over two years ago. now lately the doctor who diagnosed me has been running test and my myasthenia levels are not going up or down. is this normal? Second part of my question if all possible can it be possible to be diagnosed with myasthenia gravis and cerebral palsy/ I have had the symptoms of cerebral palsy since birth. Thank You for your time in this matter. I currently use a wheelchair cause of falling.", "output": "Hi, Thank you for posting your query. Myasthenia graves can be diagnosed by repetitive nerve stimulation test, which shows a decremental response. In addition, acetylcholine receptor antibodies levels are elevated. In your case, which test we used to confirm the diagnosis? Cerebral palsy does not worsen over time, so, it is not common to misdiagnose cerebral palsy as myasthenia graves. Best wishes, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a bulging disk in my neck. It is bulging into my spinal cord and cutting off some of the fluid. The dr wants to do surgery. I am concerned and not sure I want to go through the surgery. What are the risks if I don t have the surgery? If I do have the surgery?", "output": "There are some serous problems from this problem such as paralysis, dead but It's very, very rare.(less than 1 the most common complication that may occur with you is1.dysphagia (30-40 %); and it will get better soon after your sugery2. Hoarseness(10%) ;usually form transient recurrent laryngeal nerve injury I think your doctor will do ACD operation for you, don't worry mostly its very safe and minimal invasive procedure, you can go hone 1-3 day after operation" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my mum 56 years old woman and kidney donor 5 years ago suffering with fever and body pains.not eating or showing intrest to eat anything as taste is not there i think.taking little fruit and may be drinking glucon d water.local doctor has given some medicines and she tells some kind of pressure pain in stomach.i am unable to understand what to do any suggestions please", "output": "HelloThanks for query. Your mother has donated her kidney 5 years back and now getting pain in abdomen fever etc. In view of she's having only one renal unit(Kidney) she needs to be investigated to rule out an infection(UTI) or stone formation. Please consult qualified Urologist for clinical assessment and get following basic test done to confirm the diagnosis .1) Urine Culture 2) Mammogram 3) Renal function tests 4) Ultrasound Scanning of abdomen and pelvis.In the meanwhile give her antibiotics like Ciprofloxacin along with H\u2082 receptor antagonist Pantoprazole twice daily. Ensure she Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doctor. I m worry my ct scan show the c5/6 there is a partially calcified disc protrusion which indent and compresses the theca with resultant mild central canal stenosis.and c6/7 level there is a calcified disc protrusion which slightly indent the theca.and somentime and can t moving my head and also taken my clothes from my head. thank you for help me. Carmen.", "output": "Hello! Read your question and understand your concern. I would say that the calcifications is indicator of a chronic process, so you have chronic degenerative changes of the cervical column. The spinal canal is not severely compressed, and that is a very good thing. I don't think that surgery is needed. I would recommend you to hold a cervical collar and do a lot of physiotherapy. For the pain I would recommend Gabapentin or amitriptyline, but these Chat Doctor. Hope to have been of help! Best wishes!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Yes, I seem to have chronic low grade fevers, fatigue, sore throat occasionally accompanied by body ache. I get through the work week but then need to rest most of the weekend. My energy is low and Im thinking there is something wrong. Could this be nutritionally related or something else?", "output": "Hello, Welcome to Chat Doctor, The history and symptoms suggests me that you may be having some viral infection affecting the upper respiratory system which has led to low grade fevers, fatigue, sore throat and occasionally body ache. You require chest examination and the chest X-ray to find out the reason for your symptoms. For the present symptoms I would suggest you to follow1. Oral antibiotics like Tab Autoclave, 625\u00a0mg, twice daily2. Gargling with chlorhexidiene mouth wash. 3. Syp Ambrosia S, thrice daily.4. Oral Least, once daily for 7 days aforementioned medicines will help to reduce your symptoms and improve your condition. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Iam 16 and i have acne in my face . I used Benzoyl Pereoxide Gel 5% without any prescription. But it didnt shows any changes", "output": "Hi Gang, Welcome to Chat Doctor forum, Acne should be properly taken care of, the cause for it is blockage of oil secreting glands leads to infection of it and acne emerges. First u have to cleans your face with good cleaner available in market.don't keep touching your acne, and don't press it to remove the pus, it will lead to mark and scar. Consult your dermatologist to start the treatment. Hope I have answered your question. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi i had severe pain in my tounge i was nt able to eat also i consulted a doctor nd they tld me that i had mouth ulsers nd they prescribed me with a gel nd few pills nd it healed withing 3 days. Nw recently 3 days back while havin lunch i bit my tongue nd it startex bleeding but at that time it was nt painin nd the followibg day i was nt able to speak or eat it hurts badly.even now itd the same. My mum is preparing delicious food for dinner and i so badly wanna eat but the pain is insane pls temme wat to do to take away the pain immediately?", "output": "Hi, Thanks for asking the query, Recurrent mouth ulcers occurs due to many reasons like immunologic defects, vitamin & iron deficiencies, traumatic self-inflicted bites, tooth brushing and dental trauma, hormonal imbalance, allergic factors. You have traumatized the tongue accidentally while eating, don't worry apply Colonel oral ointment topically over the affected area, Take multivitamin tablets daily. Apply cortisone acetate topically over the affected areas. Maintain a good oral hygiene, use saline water gargles, antiseptic mouthwash gargles. Avoid eating hot and spicy foods. Hope this helps out. Regards..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hey , Ive been experiencing stomach problems for about a year now and my doctor HAS NOT DONE ANYTHING about it so Im in the process of switching doctors. But anyways I feel a lump on my lower left hip internally and sharp pains on the left side of my stomach . Please help", "output": "Hello! Thank you for the query. Lump on lower left hip and abdominal pain sound like an inguinal hernia. Especially if the lump is in the groin area. It should be more visible when standing. The pain can be more intense when lifting or coughing. Lower abdominal pain can be also caused by many other reasons including urinary tract infection, ovaries cyst, diverticulitis and many more. I suggest you to consult another doctor, have an ultrasound of this lump as well as abdominal ultrasound, urinalysis and blood work. Hope this will help. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been experiencing pain in my wrist, the right side of my ring finger and also my little finger for quite a while now, I went to the doctors and was referred to a Consultant who carried out a nerve test and an MRI scan. Apprently nothibg untoward showed up but I am still experiencing this pain, sometimes at night it wakes me up and keeps me away, its like a stabbing pain in my fingers and in my wrist its like an irritation especially if I am using my mouse at work as it touches the desk. Also for the last 2 weeks I have also been experiencing sharp pains in my forefinger around my nail bed. I don t know what to do especially as the consultant said that it just showed normal wear and tear.", "output": "Hello, Looking at your details it looks that you may be suffering from affection of ulnar nerve. Your attending doctor is best judge to diagnose it. I shall advise following to have relief:- Discuss with your doctor about role of pregabalin in your case-There can be inflammation of nerve in your case. In that case you may have relief with use of steroid medicines. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, In January, I had root canal treatment on a premolar (number 25?). When I went back to have the crown fitted, my dentist decided she needed to do a root canal treatment on the adjacent molar (number 26), which had caused the problem in the first place (cavity spreading from that molar to the premolar). As I live abroad, and could only go back to have the crown fitted at the beginning of March, she put a heavy-duty temporary dressing on. Unfortunately, I was unable to go back in March. At the end of March, the dressing was beginning thinner, and one evening, the cap sealing the tooth moved: I had to yank it back on. Over the course of the next days, the gum above that tooth became tender and I eventually developed an abscess , the size of a molar. The lymph node under the same side of the jaw was also swollen and tender. I managed to see a dentist where I am (hard work!). She removed what was left of the dressing, cleaned the inside of the tooth, put a new dressing on, and, after some hesitation, lanced the abscess (not very easy as you had to press very hard to get something to come out, and then it was more blood than pus, yuk!). She gave me a prescription of amoxicillin 250mg, 3 times a day for 5 days, and told me to do mouthwashs with salt water, and to keep pressing the abscess to try and evacuate the pus if I could. I did as told, except for the abscess pressing which did not seem to work very well. The antibiotic worked like magic and the abscess had completely disappeared by the end of the 3rd day. It s now been 5 days since the end of the treatment, and I m wondering whether I could start going to the swimming pool again, before I see my dentist in 2 weeks time. When I had my wisdom teeth extracted, I was banned from swimming for 2 weeks when all went well, and a whole month when the wound for one of them didn t heal and became infected. I feel well now, the molar is no longer wobbly and the gum has healed where the dentist lanced it. Thanks in advance. Regards.", "output": "Hi, I am very happy to see your long and elaborated dental history. Swelling and mobility in the tooth appeared due to the acute exacerbation of chronic infection in the tooth. Once dentist puncture the abscess and put you on antibiotic that's why you got the relief. About swimming there is no contraindication but the precaution you have to take is get your treatment finished as soon as possible. So that such periapical infection will not occur again. Thanks," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I recently had an appendectomy , about 5 weeks ago. About 3 days ago I found a lump in my lower left abdomen . It is not painful and I m very coconcerned. I would think if I had something serious they would have caught when they did my ct scan . My surgery was laparoscopic and since then my abdomen around my belly button seems lumpy. Should I be concerned.", "output": "Dear sir, this is not something to be concerned about. Your symptoms can be due to procedure because of abdominal wall tissue swelling caused by trocar placement during the surgical procedure. If you had anything it would be seen on CT and during the laparoscopy. If you feel pain, have fever or fatigue you should go to hospital but if not then wait to see is this going to persist. If you have obstipation or nausea then you should think of intestinal obstruction which is complication of appendectomy caused by adhesions but I think that there is no need for medical treatment. Wish you good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was just in my car and all of a sudden my left arm down to my left fingers went numb. This lasted about 3 minutes. I took 2 anacins by chewing them and now there is no more numbness. I went to albertsons and took my blood pressure and it was 150/95. Normally its about 120/85. Im 53 yrs old caucasin male. should i go to the er.", "output": "Hi, thank you for Quarry. As you mentioned you have no medical history oh high blood pressure and feel numbness in the arm. Sudden onset any limb weakness and numbness along with slurring of speech and neurological signs are any focal deficit is the signs of stroke. If such patient came to me after proper history and clinical examination I suggest CT head to rule out any hemorrhage or blockage, ECG,lifestyle modification like exercise, reduce fat, sugar,salt and processed food. Regular BP monitoring to confirm HTN. So it's better to consult physician for proper work up to rule out any underlying disease. Hope the answer will help you. Wish you a good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my daughter is passing green color stool since two days ,also the bulk of her stool increase as well she is also complaining f pain in umblical region ,no fever, i send sample for d/r what investigation i required now .no history of taking iron or green leafy vegetable.plz reply", "output": "Hi....you need not worry. This seems just like viral diarrhea. It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im on the pill but forgot to take the pill on the saturday before my 7 day break starting on the Thursday. Usually in this circumstance I would back to back packs but I totally forgot to and then my partner and I had sex without a condom 2 days later on the Saturday. I then got my withdrawal bleed on the Sunday but it only last 3 days which is unusual. I am now worried I could be pregnant. This all happened two weeks ago so if I did a pregnancy test, would I get an accurate result?", "output": "Hi thanks for asking on Chat Doctor. As you already had with Chat Doctor. To be sure you can do pregnancy test now(better to go for serum beta Chat Doctor test, blood test) and it will clear your doubts. As it is already 2 weeks back, this test can be done now for accurate results. Good Luck Hope this information is helpful and informative. If you have further queries you can directly reach out to me on the following URL:http://doctor.ChatDoctor .com/doctors/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been getting intermittent pain in my upper left arm, in the back that comes and goes and almost has a \"balloon\" type sharp pain where it gets stronger and then goes away, but then comes back especially when I move it certain ways. I was sitting at my desk when it started though", "output": "Hi the one most important thing is posture so see for it if not correct then correct your sleeping siting posture and if you do a lot of sitting work on your desk then relax yourself after every 2 hrs and use hot water bag or moist heat use wet wash cloth make sure that not too hot so that you can burn yourself and back strengthening exercise and strengthening exercise for arm hand and shoulder and can take physical therapy wish you good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My tongue is bright red with white tiny sores on back of tongue. Burns like fire it i eat ketchup,salsa,sodas anything with spice. Toothpaste burns also. I have had this for a few months Dr gave me meditating to swish and swallow did not help fabled salt water and used hydrogen peroxide nothing works. Please help. I do have false teeth. Thanks and God Bless.", "output": "Hello, As per your query, you have ulcers on the tongue which seems to be authors ulcer also known as canker sore and could be from irritation from hot and spicy food, acidic food, minor trauma and due to deficiency of vitamins like vitamin B12 and folic acid. Usually, they go away in a few days without any treatment and if they persist for a longer period as in your case then consult oral pathologist for proper diagnosis and to find out the underlying cause. For now, do beta-dine rinses and take a diet rich in multivitamins. Chat Doctor. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my dad is 89 years old and has prostate cancer for 2 years , he is being treated with oxazocine his psa number has gone up to 60, he is feeling dizzy and weak and and is off his food a lot, he does not like eating !for the last 7 months his heart is pausing in between beats , doctors may fit a pacemaker in a few months time , what are his chances of survival , this is his son emailing", "output": "Thanks for your question on Chat Doctor. I can understand your fathers situation and problem. Since his PSA values are rising even with treatment, his prognosis is poor. And possibility of metastatic prostate cancer is high. Dizziness and weakness can be due to brain metastasis. Rhythm disturbance in heart can be due to metastatic lesions in heart. So better to consult oncologist and get done PET scan to rule out distal metastasis. Honestly speaking, chances of survival are very, very less. If metastases are there than life expectancy is less than 1 year. Hope I have solved your query. I will be happy to help you further. Wishing good health to your father. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 27 year old woman that has recently in the past week developed a rash on my chest. They look like little pimples with small whiteheads. I pop the whiteheads off and the bumps swell and about 20 to 30 mins later they have whiteheads again. Please help me figure out what this is.", "output": "Hello. Thanks for writing to us at Chat Doctor I will keep a possibility of Inflammatory acne. Apart from face, acne can also involve the chest, back and shoulder area because these areas are rich in sebaceous glands. If I was the treating doctor I would have certainly started you on Oral antibiotics e.g. either Doxycycline or Azithromycin. Oral antibiotics are indicated if the acne is inflammatory. Topically I usually ask my patients to apply benzoyl peroxide gel, twice daily. It is antibacterial as well as anti-inflammatory. These are prescription medicines, and therefore I suggest you to visit a dermatologist in your region for a confirmatory diagnosis as well as appropriate prescription. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "how would i write out how i feel? like i have lost my dad in October 13, 2013 and i have been dealing with my moms depression, hurt, and including my hurt and its just to much on me. i do go see a doctor for counsiling but id really like to know how i can write out my feelings on how i feel from the time of my dads passing til now. but also include the stuff i have been through with my mom. please help me", "output": "Hello and welcome to Chat Doctor. Thanks for your query.I'm sorry to hear about your loss and I understand that you must be going through a very difficult time. From the description of your symptoms it is likely that you are suffering from a prolonged grief reaction. It is good that you have opted to go for counselling. Like you have mentioned it is a useful thing to talk about your feelings and vent out your emotions, especially when you are going through ongoing stressors. One suggestion is to maintain a cognitive diary where you regularly record your thoughts and feelings. You can then reflect upon them or discuss them to your therapist. Wish you all the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello dr , my husband had spinal fusion 13 years ago and still gets some pain after working all day or sometimes just standing for to long can cause him pain , he is a large man 6.2 feet tall and aprox 140 kilos weight. my question is can he use an inversion table, without hurting himself further? he also has high blood pressure.", "output": "Hello, I have studied your case. I will advise you to do MRI spine to see for any disc bulge or spinal canal stenosis. And also check your it B12 and it D3 level. Medication like methylcobalamine and analgesic will reduce pain. You can continue yoga exercises and focus on spine extension exercises. I do not recommend inversion table and probably no doctor will recommend it. Some exercises which can be done include-Spine extension exercises, Lying on your stomach flat lift leg 6 inches from ground, do it for other leg. Now lift both hand and leg simultaneously, 6 inches off the ground and supposition for around 10 breathes. Core stabilizing spine exercises will help. You may consult physiotherapist for guidance. He may start TENS, or ultrasound which is helpful in your case. If not relieved you can take epidural injection. Hope this helps. Wish you a speedy recovery. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "from roxicodone 15 mg to fentanyl patch 50 mg my doctor recently put me on fentanyl patch 50 mcg/hr after taking roxicodone 15 mg for ablout a year but the patch is making me sick trwoing up,stomach pain,very sleepy,left arm felt asleep lots of tingling and dry pain is this safe??", "output": "Hello, Any opiate often causes stomach sickness: opiates affect gut motility and cause constipation. Opiates cause gall bladder spasm, opiates directly cause nausea, opiates cause sleepiness even to the point of fatal overdose, opiate with Chat Doctor. Cannot say in your particular case, and there are many reasons how opiates affect gastrointestinal action and/or nausea. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I recently went to the ER without insurance and was found to have had gastritis and symptoms of anxiety . I ve since received a letter in the mail indicating that I need a follow up due to lab work demonstrating elevated liver enzymes and calcium . There were red cells found in the urinalysis . My question is, what do you recommend I do to have these tests done and what possible problems might I be facing given these test results? I don t want to ignore my health but the bill I have from that ER visit is nearly $5,000 and I haven t a penny to spare. Thank you", "output": "Hello, Thanks for the query to Chat Doctor. Forum. If the level of serum A S T (S G O T) & A L T (S G P T) very high, i.e. > 50 I U then it is a cause of concern. If level is still very high get in ultrasound of liver for any evaluation of diagnosis. If urine contains 2-5 red cells in H P F, need not worry at all. If full field with blood or red cells then get in ultrasound of kidney and ureter. Now question is what to do? In my opinion wait & watch, if you feel any discomfort then consult a doctor. Good luck. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Okay I m asking this question for my girlfriend, please help I m a little worried tht this could be something. Well recently my girlfriend (17) and I were intimate, and while my finger was inside her vagina I felt something that I guess was a sort of lump to the left (her left) of the opening of her cervix . It was hard and the best way I can describe it, it felt almost like rigid like if I rub my throat that kind of feeling and it was hard and I don t think it moved. She has also said that she has been urinating more frequently but she does drink alot of water, and she has also said that she feels irritated down there alot recently. I ve looked up some things and I came across vaginal cancer . I really hope and pray that she doesn t have that and i don t know how to get her rested for it because we couldn t tell her parents how we found it or that we ve had sex. Please help me!!", "output": "Hi You need not worry as what you felt will be the part of cervix as it will be firm to hard in any girl who is yet to have a normal vaginal delivery. Sometimes what you felt may be the normal pelvic bone parts if your girlfriend is very lean. So no need to panic. The urinary irritation and vaginal irritation is because of vaginal infection because of handling. This can be treated with antibiotics and Chat Doctor. All the best. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi , i am vivek i had been suffering from jundice now my bilurbin is 8.0 and conj. bilurbin is 0.5 mg/dl ,my esr level has increased 103 before 2 months it was 0.8.biochemical report alk.phosphates 211 and normal value is 36 to 141sgpt 72 and normal value is 5 to 40sgot 59 and normal value is 5 to 40what is means in increase of ESR", "output": "Hi.noted history of elevated bilirubin and ESR level. It is possible that you have an underlying pathology somewhere in your hepaticopancreaticobiliary tree area. It may be an infection or an obstruction which lead to elevation of your bilirubin and ESR. It is best if you consult with a doctor, preferably a general surgeon or a gastroenterologist, for physical examination and clinical evaluation. Diagnostics (such as ultrasound, ct-scan, etc.) and management (medical and/or surgical if indications are found will be directed accordingly. Hope this helps. Good day!! ~ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have some questions about cancer..my brother was just diagnosed with squamous cell cancer of the tonsil and at least one lymph node that they can see from the ct scan. they say that is 90% curable. I was just reading on here some info. about it.. what do you say?", "output": "Hello;Squamous cell carcinoma of tonsil is staged according to size of lesion in tonsil and number and size of lymph nodes. Stage can be from 1 to 4. Since you said he has lymph node, he has at least stage 3 cancer. Regarding treatment, the best treatment modality for your brother is concurrent radio-chemotherapy in which radiation is given to tonsil and neck node along with chemotherapy. Radiation is usually administered 5 days a week for around seven weeks. Results are pretty good for this treatment however cure rates depend on exact stage of disease and response of disease to treatment." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am 30 yr old male having problem in erection from 2yrs . i am masturbating nearly daily 4 15yrs in this included sexual relationship with girl also now a days 4 four month my semen become watery and less in volume . i have also undesecended testis", "output": "ERECTILE DYSFUNCTION Regular and repeated Inability to developed or maintain the erection of penis. REASONS AND CAUSES-1.VASCULAR-Impaired blood flow through penis by any cause.e.g. varicocele.2.MUSCULAR -Muscular weakness e.g. Diabetes3.NEURONAL -Nerve Weakness e.g. Neuropathy paralysis 4.HARMONAL-An Chat Doctor. g. Low testosterone levels.5.PSYCHOLOGICAL-Stress Depression e.g.performance anxiety 6.ANATOMICAL -Caverns disorders e.g. Pyeronies disease bend penis.7." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ive had col rectal cancer chemo radiation then surgery then more chemo ports resections etc... now my eyes are very swollen so i had a T4 FREE 3.13 H TSH .01 L return. I dont feel good. is this Graves disease? Dr office not called me back yet so i picked up my lab report", "output": "Hi, dairy have gone through your question. I can understand your concern. Your TSH is low and T4 is high, so you have hyperthyroidism. You should take treatment of that. Propylthiouracil or carbimezole can be useful. It is prescription based medicine so consult your doctor and take treatment accordingly. Moreover, if you have any thyroid swelling then go for ultrasound neck to look for the cause. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My blood report shows ESR 48 mm at 1st hr ,RBC 5.2 million/cumm, MCH 25.0 pg and Peripheral Smear as Red blood cell are Normocytic Normocromic. White blood cells are normal. Platelets are Adequate. This was done when I was suffering from sever neck pain. Am I suffer from any kind of infection?", "output": "Dear Friend. Welcome to Chat Doctor. I am Chat Doctor. I have read your query in detail. Furthermore, I understand your concern. Raised ESR is a marker of inflammation. This can occur even in infection. If you have persistent Neck pain and other joint pain, I would advise you following as this high ESR requires evaluation:1. CRP2. R-Factor3. X-ray Cervical Spine4. Chest X rhythms is my best opinion for you based on available details. If you have any further query please ask me. Stay Healthy. ChatDoctor, MD" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "dr. my uncle is suffering from liver problem like ascites in abdomen his sgpt is 88,sgot 45,creatine 2.5,in ultra sound graph show portal hypertension. before 7 day he suffered from hepatic encepalopathy. treatment is given the dr is lactilose 15 ml per day.refagut 400mg tds.dytor plus 10mg .od zevit od", "output": "Hi I can understand your concern... Noted you gave portal hypertension with elevated liver enzymes... Here by liver problem your kidney is also affected as functional problem... For portal hypertension beta blocker can take. If feasible TIPS like shunt placement can be done to reduce pressure. For ascites take low salt diet. Diuretic can be taken. If still needed therapeutic paracentesis can be done... Ultimate treatment for cirrhosis is liver transplantation...Meanwhile, take low fat diet with more fruit. Crushed carrot and spinach leaves juice good for you.... If bleeding occur from varices immediate consult doc for banding.... Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 26 weeks pregnant have not gained more than I should all seems well except stabbing intermittent mid back pain started about 6 weeks ago. Chiropractor helped some but pain returns. OBGYN gave me muscle relaxers but they did not help. OBGYN says baby is fine but wants to do a sonogram of my kidneys - what is he looking for and what could be done.", "output": "DEAR SIR/MADAME CAUSES FOR STABBING AND INTERMITTENT BACK PAIN MIGHT BE FOR VARIOUS CAUSES.VAGUE LOW BACK PAIN MAY BE DUE TO PRESSURE ON THE SACROILIAC JOINT BUT IT DOES NOT Cause STABBING PAIN.THE STABBING INTERMITTENT MID BACK PAIN IS DUE TO1. GASTRITIS.2. GALL BLADDER STONES3. RENAL STONES WHICH IS VERY COMMON IN PREGNANCY.THE BEST WAY TO DIAGNOSE IS TO GET ULTRASONOGRAPHY OF KIDNEY URETER AND BLADDER.THANKS." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my wife is an SLE patient, which is under control with no apparent symptoms of the disease. she has problems of hair fall since long. her SLE doc says that her SLE is perfectly under control and her hair fall problem is not related to it. of late her hair fall has increased and her hair is thinning. what can be her problem.", "output": "My DearWelcome to Chat Doctor ! I have analyzed your wives details. SLE is an autoimmune disease which means that disease in which body mounts an attack against one of its normal components through the agency of immune system. Such diseases tend to behave unpredictably with more than one organ or type of tissue being affected simultaneously or in turns. I have every reason to conclude, based upon my experience with considerable number of not only SHE, but other autoimmune diseases as well, that hair fall is quite common an occurrence with any of those conditions. However, the future is full of hope and there is a lot that you can ask her to do to get relief.1 massaging should be gentle2 no harsh shampoos3 only Chat Doctor. I would prefer to give Biotin tablets to such patients as that helps most of them. Hopefully you will revert to use with positive news. Best wishes" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my father is 64 years old, he is suffering the leg vasoconstriction which will easily get muscle cramps while sleeping and easily tired while walking, feel quite week. And he is also suffering chronic leukemia for 2 years, but under good control by medicine. One year ago, he starts feel his legs week, and easily get muscle cramps, quite painful, probably due to the medicine s side effect, so would you please advise how to deal with it? is there any medicine to treat it? Please let me know, thanks very much for your help in advance.", "output": "Hi there, Im sorry to hear about the medical problems your father is having. When I hear the symptoms that your father is having, the first thing that comes to my mind is claudication. Claudication is pain while walking due to arterial insufficiency- basically, the muscles in the legs don't get enough blood flow when they are being used, and they start to ache. This is caused by peripheral vascular disease and is common in smokers, diabetics, and patients with high cholesterol levels. These patients will often have a history of coronary artery disease and sometimes renal problems as well. The first thing I would recommend is for your father to start a waking regiment and walk consistently every day. He should aim to walk for about 30 minutes a day. If he cants do 30 minutes, he should do as much as he can, and then try to do a little more each day. The most important thing is daily consistency - he has to do it every day, not just one or two times a week. I'd also recommend he check his cholesterol levels, and if they are high a statin such as Lipitor (atorvastatin) can help lower his levels and prevent further damage. Finally, if he continues to have problems with walking after 6 months of a dedicated walking problem, then he should see a vascular surgeon and have his arterial vessels looked at in his leg with ultrasound. I hope this is helpful. Please contact me with any questions." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have this feeling of pressure and bubbles up in my chest - I feel like their is something wrong with my heart but I have a normal pulse. The pressure and constant bubbly movement that feels very odd will not go away and it is scarying me. What do you think?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you are mostly having HERD(gastroesophageal reflux disease). HERD is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause chest pain, pressure, tightness, gaseous feeling (bubbles). So follow these steps for better symptomatic relief. 1. Avoid hot and spicy food. 2. Avoid stress and tension. 3. Avoid large meals, instead take frequent small meals. 4. Take pantoprazole tablet. 5. Keep 2-3 pillows under head in bed to rule out reflux. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a mild cough and I can feel some chest congestion, and last night I started to have hives on my joints (elbows, knees, ankles and hips). I believe I also had a fever yesterday. Oddly, I had this same affliction this time last year almost to the day (per my benadryl Rx bottle). I went to MDs last year and was met with puzzled expressions and Rxs for benadryl and prednisone. The hives lasted for almost 2 mos.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you should investigate thoroughly for allergic bronchitis. You might be allergic to something which is present in the environment. Points in favor of this are annual occurrence during the same period, skin lesions (rashes add hives), chest congestion, cough etc. So get done detailed allergy testing. Best treatment for allergic disease is identification of causative allergen and if possible complete avoidance of it. You should also take combination of antihistamine (levocetrizine or fexofenadine) and anti-allergic (montelukast). Don't take prednisone as it is oral steroid and can harm you. So consult allergist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dronis 20 is having what type of side effect? Patient is suffering from endometriotic cyst from 5 months. latest after operation our local doctor suggested for Dronis 20 for coming 6 months. Shall we can go ahead with same? YYYY@YYYY", "output": "Hi, Chat Doctor. Its common side effects include nausea, stomach pain, headache (migraine), breast pain, weight gain, irregular menstrual bleeding, clot in the veins of the leg, and high blood pressure. Yes, you can go ahead with the prescribed treatment and during the course of the treatment if you suffer from the troublesome side effects you may consult your treating doctor. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have an eleven year old son, who for the last nine days has had very little energy - complains about being very tired, has a headache that we treat with ibuprofin/tylenol - no fever really, recently says stomach hurts, some loose stools, dizzy when he walks around, but every now and then he gets up to play, then I find him laying down again. I thought it was a virus and would run it s course, but when do I need to do more?", "output": "Brief answer :Stomach infection. Detailed answer :Hi, welcome to Chat Doctor. Your 11-year child is feeling low, his stomach hurts and few loose stools, these are symptoms of stomach infection. In my opinion, You should give Oflox-ornidazole tablet two times a day for 3 days. However, since this is a prescription medicine, i advice you to meet the local doctor to confirm the diagnosis. I hope this has helped you. Take care. Regards - Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am 36 years old male, obese, with a renal stone in my right kidney. It is silent and I have not experienced pain for last two years. Recently my legs have started to swell at calves during the day and if I take rest and place my legs higher than my body while sleeping it becomes normal. I have a slight discomfort around my right kidney but no pain. I also have a fatty lever problem also. Kindly tell me what should I do to rduce the swelling and how can I normalize my fatty lever?", "output": "Hi, Thanks for writing in. The swelling in the calf regions during periods of activity can mean decreased venous return and pooling of blood. This is not related to your right kidney stone. There are arteries which supply blood to the different regions including limbs and veins which bring back the blood to the heart. The veins have valves at some places to prevent back flow and allow the blood to reach the heart. In some people which progressing and in those doing standing jobs there is malfunctioning of the venous valves and the blood gets pooled in the lower limbs. This opens up connecting channels between veins called perforators and that causes varicose veins which is tortuous superficial veins in the lower limbs. It is suggested that you consult a doctor and discuss the probability of varicose veins and if required get a venous Doppler of lower limbs done. For the right kidney discomfort please get the ultrasound scan done again to know of any dislodgement of the stone which can cause the discomfort. If the stone is not showing Andy increase in size and is in place then nothing needs to be done. There are many causes of liver showing fatty changes (i) Increased intake of fatty foods and alcohol(ii) Over weight and obese patients.(iii) Those who have fatty liver running in family members.(iv) Any liver condition that is changing appearance of liver.(v) Mild fatty liver can also be there in many normal people can get your liver function test and lipid profile done to know if the liver enzymes are raised and cholesterol numbers are increased. Please discuss results with your doctor and take required treatment if your tests results are higher than normal. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My mother in law has really been showing a lot of change. She is 44yrs and has been responding to situations inappropriately by crying, laughing, she has been very hostile, and has been hiding things like toilet paper and tissues. Do you have any recommendations she refuses to get hep.", "output": "Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. It could be a starting of dementia or any similar cognitive illness. She may require detailed assessment. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "After sex realised condom was broken,went to toilet and it felt uncomfortable peeing, not stinging or burning STIs are generally ment to take about two days to start showing symptoms if at all, Would you consider it a sign of STI or simply strain from sex - she said she got tested month ago and is in all clear sti wise", "output": "Hello. Uncomfortable urination immediately after sexual intercourse where condom break, simply signifies inflammation of your ureter. That is an immediate effect, and it should die down within 24 hours. Your case may be different. I suggest you consult a doctor for physical investigation. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. V. Anand, Psychologist" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My six year old son is complaining of dizziness when waking up....last month he had nosebleeds during the night almost every night for a week, could he be anemic? Also in October he had an accident where he was knocked unconscious is it possible these things are related?", "output": "Hi, If your son suffered a traumatic brain injury (and that is certainly what it sounds like with him being knocked out) then, the dizziness is more likely than not due to the aftermath of that blow to the head. He could be suffering from what we refer to as a postconcussive syn Chat Doctor. I don't know that the nosebleeds can necessarily be tied together with the TBI but certainly, if he has PROFUSE nosebleeds, and he is anemic as a result of the blood loss then, that can also be an explanation. He needs to get blood work which can easily detect the presence of anemia or not and if he's not been seen by a TBI specialist or at least a pediatric neurologist for the TBI you should take him to one for evaluation and interim review of his case. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Bleeding swollen gums , intergestion, swollen glads. Think I m gettin te flu for the swollen glads, just bought a new tooth brush that might be the issue with gums and I usually get intergestion but use quick eze which usually does the trick but it hasn t subsided for a few days. I hope they are individual cases and not all liked to be somethin serious. Kinda worried.. Should I be?", "output": "Hello Welcome to Chat Doctor I would like to tell you that all your symptoms indicate that you are having gingivitis. You need to go for oral prophylaxis in that case. Also follow certain instructions like:- 1. Floss first then brush your whole mouth including your gums, cheeks, roof of mouth, tongue and take a full 3 minutes brushing your teeth. 2. Sugar-free Chewing gum: Since Chat Doctor. Chewing may help particularly when the mouth is " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had mild asthma for 20+ yrs until the past couple years I haven t used medication other than an allergy tablet. The past 2 yrs I have tried inhaled steroids (lower resp. Infection occurs w/in 7-14 days each time so my Dr told me not to use them anymore ) I just moved out of state & the doctors here just want me on steroids with no other options. Using the albuterol inhaler has my blood pressure way up, I still feel short of breathe, My O2 levels are 100%, chest xrays clear. Tight heavy feeling in my chest (cardiac work up was clear) scratchy irritated feeling when I breathe, no mucus, dry cough. Hot steam from the shower helps a lot but I can t live in there so is there something else I can try.", "output": "Hello, Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for you as follows:1. As you are not comfortable with inhaled corticosteroids, I would first suggest you regular montelukast. If you have nose symptoms also, I would prescribe my such patients' levocetirizine + montelukast.2. I would also suggest you spirometry testing with post-bronchodilator reversibility, which helps to know your lung capacity, condition of airways and type of obstructions you could have. It also helps to decide whether you need regular medications/inhalers or using Albuterol inhaler on as-and-when-needed basis would be enough.3. If you require regular medications and you don't want to use inhaled corticosteroids, other options (apart from montelukast) are inhaled geotropism bromide, oral theophylline, etc. However, they can be less effective than inhaled corticosteroids and/or can have some side effects. Also, they are prescription Chat Doctor. 4. As you have " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was prescribed Ginet-84 for my acne and I understand that it is also effective as a contraceptive. Is the efficacy of Ginet-84 as a contraceptive lower than other oral contraceptives? And can you still be pregnant, on the pill and still get the monthly withdrawal bleeds and what are the chances? Thanks.", "output": "Hello, All combined oral contraceptive pills have similar protection rate against pregnancy. Unfortunately, there is a 5% risk of pregnancy in a year in women that use it as it is with other oral contraceptives. So, yes, it may happen to become pregnant even if you use it regularly, even though this is very rare the case. Sometimes, there is bleeding in the early pregnancy and the women may interpret this as the next period. If you are concerned you may be pregnant, please take a urinary pregnancy test. I hope this is helpful and answers your query. I remain at your disposal in case further assistance is needed." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a wisdom tooth pulled a week ago today and it is the only tooth i have ever had pulled. I went in yesterday to find out why it still hurt and why 4 of the teeth in front of it hurt too. I found out I had a dry socket so they packed it with some kind of iodine foam stuff, That one is feeling better but the other teeth are still tender. Is that normal? Plus I had a filing on the other side of my mouth done 2 days before the extraction which i found out yesterday was abscessed so I am on antibiotics.", "output": "Hello dear actually removal of wisdom tooth is normally associated witChatDoctorplications like Chat Doctor. While removal of wisdom teeth some of the force is transmitted to the adjacent teeth if not done correctly. So have patience you're this tenderness will subside within 6 to 7 days. Start doing warm saline rinses 4 to 5 times a day. Rest accessed tooth will be corrected by RCT, so you will have to consult you dentist. Best" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had an exray of my shoulder - it will be fine - but the doctor said they could see in my xray a part of my lung and it looked like i had - a nogel (or something like that) inside my lung. They told me it might not be anything important and could be something that has been there a long time. I have a follow up appoitment but this has depressed me and I am wondering what type of thing could there be? I had an xray a year ago and they didn t say anything about it then.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Nodule on chest x-ray is mostly an incidental finding. Usually it is a benign cyst only. But we need to rule out early lung cancer first. So first get done CT thorax with Contrast. CT thorax will give you much more idea about nodule size, margins, content, association with surrounding lung and mediastinal lymph nodes. On CT, if it is benign lesion then no need to worry much for this nodule. But if it is suspicious of malignancy then you need biopsy for confirmation. So at present, no need to worry. Get done CT thorax with Contrast and discuss all these with your doctor. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, i want to now if it is safe to take an injection to avoid pregnancy for over an year", "output": "HI, thanks for using Chat Doctor You may be referring to the demo proverb injection. Yes, this can be safely used for a year, some persons use it for longer. Many women who use this form of contraception would notice that they may experience reduced or no menstrual bleeding during this time. There may be some episodes of breakthrough bleeding which is occasional spotting, but this tends to resolve as the medication is continued. When you decide you wish to conceive you can discontinue the medications and your cycles would return. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a twenty-one year old female, smoker about 1-1.5 packs a day, do not consume alcohol. I do have Hashimotos Disease, and some dental issues such as abscess in the past. I developed a dark red circular patch on the roof of my mouth through the course of a week and after gargling salt water and possible trauma by touching it with my tongue , it has increased in size to slightly smaller than a dime. I am petrified that it may be oral cancer , as my dentist said he wants to refer me to an Oral Surgeon. There is no white present on the spot, and the dentist commented that the tissue (bone) on the roof of my mouth feels slightly softer. Does this signify cancer?", "output": "Madam, as per of your given history, there are very little (almost negligible) chances of this redness to be oral cancer. This redness may be attributed to heat and tobacco effects of smoking which may be at maximum an erythroplakia patch, it has nothing to do with Hashimoto disease. Erythroplakia is a reversible pre-cancerous condition, caused due to tobacco, having limited potential of turning into cancer, hat also, if it persists for more than 3 weeks period, increases in size or presents with numbness of that area. First you must quit or at least minimize smoking, second you maintain a good oral hygiene, and keep a watch for another 3/4 weeks related to all above sign. Lastly, you can see an oral surgeon who can do simple test like exfoliating cytology or biopsy to verify above findings. At such a young age, it is very rare to get Oral cancer. This red patch will definitely fade away within few weeks, IF YOU QUIT SMOKING" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I ve been having major discomfort and sharp pains in my upper left abdominal region. For the past week and a half. Also, I can seem to fart a lot but not poop as often and when I do its little 2 to four inch poops. There is somewhat of a bulge too but not extremely noticeable on my upper left abdominal region. Please can anyone explain what might be going on.", "output": "Hello and welcome to Chat Doctor, Sharp pain on left upper side of abdomen is suggestive of pleural pain. Pleura is a double layered covering that encloses the lungs. Infection, inflammation or any other disease process can involve pleura and thus cause pleural pain. Spleen is the other organ which is present in left upper qua Chat Doctor. Infection, inflammation or any other disease process can affect the spleen and thus cause t the pain, Thus, clinical assessment is compulsory. Thanks and take " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son 5 years old just finished a course of 10 day amoxicillin on Tuesday. On Wednesday he started having a raspy cough. The cough got worse and is loose and frequent. No sore throat, no sores in mouth, Wednesday evening he had a lie grade fever 99.9 to 100.5. Thursday evening had a temp of 100.5. Still coughing a lot. Woke up this morning with red non itchy raised red rash all over entire body. Fever 100.5-101. Mouth is dry red and swollen and so are ear lobes. Any thoughts? Amy", "output": "Your son could be suffering from a viral infection. In such a condition, amoxicillin could often cause rashes to appear. Certain viral infections could also cause mouth sores, cough and fever. I would suggest you to give your child steam inhalation. Gurgling with lukewarm water should help. Please take the child to a doctor and get him evaluated to rule out other more serious ailments like Kawasaki's disease." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doctor, my 20-month-old son is having cold and fever on and off for the last 2 months. Before this, he only had a fever and cold when he was 12 months old that got well in 2 days with the paracetamol. He had almost 3 fevers in the last 2 months. For the last fever and cold 2 weeks ago, he had Erythromycin Ethylsuccinate, ibuprofen, and some cough syrup. He has been having runny nose continuously for the last 2 months. I have tried Prospan for his cough last month. Again, yesterday, he started having cough, fever, and vomiting. I gave him some paracetamol and he slept well, got up normally and had his dinner and played well, but again yesterday night got fever. Is anything serious??? What is he having???? Is azithromycin helpful??", "output": "Hi... Thank you for consulting in Chat Doctor .THIS LOOKS LIKE RECURRENT VIRAL ILLNESS AND ANTIBIOTICS ARE NOT REQUIRED AT ALL. Cough and cold are viral 95% of the times in child Chat Doctor. For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15\u00a0mg/kg/dose (max ceiling dose 500\u00a0mg) every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. For cold, you can use Cetirizine at 0.25\u00a0mg/kg/dose every 12 hourly for 3 days. For nasal block, plain saline nasal " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i had recently done blood test of my son for jaundice,the result is as follows:- 1)SR BILIRUBIN(T) 5.5MG% 2)DIRECT 3.9MG% 3)INDIRECT 1.6MG% 4)SR S.G.P.T.(A.L.T.) 828 KA UNIT WHAT IS YOUR SUGGESTION THAT I SHOULD DO.", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have hepatitis A or B. Or you may have some other liver problems. You should go for complete liver function test. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. Don't forget to click, thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, i have rashes under my armpits n inner thighs for past 3 3.5 wks... my doctor had me on cephalexin but wasnt working.. so been using ketoconazole cream he prescribed but doesnt seem to be working.. any idea on what pther treatment or what the rash is?", "output": "Hello and welcome to Chat Doctor I would keep a possibility of fungal infection/Tina FEDIS. This is because closely opposing body folds e.g. finger webs, thighs and groin, maxilla, submammary folds etc. can trap sweat, heat and moisture, therefore making the area favorable for fungal proliferation. The black powder like thing that comes off on scratching is actually dead skin/ epidermis. If I was the treating doctor I would have asked you to use a topical antifungal like clotrimazole/ketoconazole/fluconazole cream, twice daily, regularly for 4 weeks. State AF cream contains topical terminating+mometasone. I would rather prefer a plain antifungal like clotrimazole/ketoconazole/fluconazole because mometasone if used for too long can cause side effects like skin atrophy and striaeSince you are already using an Oral antifungal e.g. oral terminating once daily. I would suggest you to continue with it for 4-6 weeks for a more complete urban OTC antihistamine e.g. cetirizine 10\u00a0mg once daily would help you in symptomatic itch relief. Keeping the folds Chat Doctor. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doctor,pls help me as my 67 year old mother is critical due to Tuberclosis and pneumonia .Her right lung is almost destroyed due to TB..This is a 3rd attack of the disease in last 14yrs.She is having difficulty breathing without oxygen and her oxygen levels are pretty low without support..they dropped to 50% at one time when she was off it.pls tell me if she is a candidate of lung transplant and what are her chances.urgently help..i live in dubai but right now i am in delhi to take care of it..i am told lung transplant isnt an option for her also it is not done in india..we r ready to come any where...pls helpdistressed daughter", "output": "Hello rearward welcome to Chat Doctor.come have evaluated your query in depth, I can understand your feelings for your mother.* She is in advanced stage of the disease, as it must be now Chat Doctor. * You have to accept the condition and give her symptomatic supportive treatment as per the narrations , she is not going to be cured totally from this stage of the systemic illness. Wishing her fine health ahead. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Yesterday, I slipped and hit my tailbone on a rock at the lake, then grew very weak and lost consciousness. I was unconscious for about a minute, then slowly came back unable to see for about 10 minutes. I had had a meal probably 5 hours prior to this, biscuits and gravy with a cup of coffee, then drank 2 beers roughly 2 hours prior to the incident. I didn t feel hungry, tired or thirsty at all when the incident occurred. What could cause something like this to happen?", "output": "Hi, I have gone through your question and understand your concerns. It was most probably caused by lowering of blood pressure as a response to pain, or a temporary vegetative nervous system dysfunction, it was most probably a syncope. I don't think you have to worry more than necessary about it. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I drank the equivalent of about a half of beer worth of alcohol.... right after, i feel my heart beat faster and a little pain... then it quickly gets very painful and I start to sweat a lot. Nothing helps but a little time for it to calm down. This happened twice on the same day.... What could it be? I am 22.... drinking has never done anything to me!", "output": "Alcohol intake and palpitation are common, alcohol causes Atrial fibrillation which are paroxysmal that means fast irregular heart beating and episodic. That develops suddenly and ends on its own without any Chat Doctor. sometimes it causes chest pain due to reduced blood supply to heart, giddiness due to poor supply to brain, blurring of vision. I would suggest you to quit alcohol, the reason is both alcohol and fast irregular heart beats causes enlargement in synergistic way which is dangerous to life and may be fatal. 2nd reason of faster heart beat in alcohol users may be hypoglycemia, try to take some carbs along with your " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "doctor my daughter is having fever but not continuously after four or five days for last three months. i shown her to our rural doctor and they given treatment for viral fever, Maleria , thpoid etc. but her fever which touch 101 degrre persit. all blood test and sonography have been done. she is 17 yrs old.", "output": "Dear Friend. Welcome to Chat Doctor. I am Chat Doctor. I have read your query in detail. Furthermore, I understand your concern. If you have fever of 101 degree in spite of taking treatment. You require proper evaluation. Get the following:1. Hologram with ESR2. LFT3. KFT4. X-ray Chest5. Ultrasound Abdomen6. Sputum For AFB7. Tidal teleview with reportsThis is my best advice for you based on available details. If you have any further query please ask me. Stay Healthy. ChatDoctor, MD" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello,wanted to ask that my baby is 3 months old n he has not passed stool from since last 3 days ,today hepassed little bit but with lots of force n blood also came old ,still some stool left,m very worried ca u pls suggest me that what can i do/??/", "output": "Welcome to the ChatDoctorI understand your concerns but don't worry. Infants can have wide variation in poops in terms of frequency, consistency and color. It's not recommended to treat an infant not passing stools up to a week unless and until he has any other associated symptoms such as refusal to feeds, vomiting, abdominal distension etc. But since your baby has hard stools and has marked difficulty in passing stools along with blood stains, I would recommend you to use per rectal glycerin suppository to help it. Glycerin works by osmotic effects. Do not use it more than once a day. Also, try to establish exclusive breastfeeding as it has fewer chances of constipation in baby. If on formula feeds, mix it in a proper proportion. Give regular feeds to avoid deny Chat Doctor. Hopefully this will help you. I would be happy to help you out in any future health related questions. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, Im 48 and have been running for years-33min in 10km and 15min in 21km when I was in my thirties and now over the last two years I find it difficult to breathe after two or three km, running at 3.30 345 etc and believe me my training is pretty good but theres something in competing which I cant fathom.", "output": "Hi thanks for contacting Chat Doctor... Here your physical examination necessary including auscultation also. ... First investigate with your CBC to rule out anemia .... If hemoglobin level is low .... In anemia tissue can't get enough oxygen when exertion done .... So correct it if present with tablet or injections.... Second measure your blood pressure and rule out cardiac causes by ECG or Echo. If needed treadmill test also done. . If heart failure or any other cardiac disease present treated accordingly ...... If still cause not clear chest x-ray done . Consult pulmonologist and discuss all these .... Take care...." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I think I have systemic scleroderma, symptoms are legs feel tight and hard up to below the knee, under the left rib cage feels hard and blocking, digestion is not so good.., queasy stomach, right side feels hard...constipation more than normal, I have systemic raynaulds turn purple head to toe since a toddler. Just found out the pcp has been not documenting my concerns for sometime. Pcp has been writing continue as usual. I need to find a rheumtaogist that will take me with poor documentation from pcp.", "output": "Dear Friend. Hi, I am Chat Doctor, I have read your query in detail, I understand your concern. Tightness cannot be treated as such, but symptomatic relief you can get by applying a lot of moisturizers locally. Also, a good systemic treatment you should take, that would slow the progression of the disease and skin tighteningThis is my personal opinion based on details available here. If you want to discuss your issues further, you may please ask stay Healthy. Chat Doctor, MD" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 6 yr old has been very thirsty and hungry lately. She also has been peeing alot more too. She has occasional complaints of headaches and stomach aches and she has had a decrease in energy. I took her to the doctor and he did a urine test and said she had some ketones in her urine. We went for bloodwork today and I am nervously awaiting results. Any thoughts? She is hot all the time too...", "output": "Hello. I just read through your question. Many times this turns out to be a harmless virus. However, what your doctor is investigating is the possibility of Diabetes. If the blood work confirms this diagnosis, treatment will begin immediately. Keep in mind that if this turns out to be the case, your daughters daily activities (i.e.: school, social life) will not change. This is treatable. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi , I have a skin allergic , doctor prescribed me dazit m at morning and emtek before dinner. For 3 weeks but I am not able to take tables regular . due to my travel .. I am still facing skin allergic these rashes come mainly in chest and upper hand , then go away with in 20 to 30 min.. Now I am afraid does this may be a symptoms of hiv. I had protected sex before .. Even I tested in June its negative . which I take after 2 months of sex . now I am having sex with only one that too protected ..", "output": "Hi. Welcome to Chat Doctor. I have gone through your query and can understand your concerns. As per your complaint rashes over the chest and hand that comes and goes seems to be due to allergic reaction and can be due to either any food or medicine or can be Contact DERMATITIS that can occur due to allergic reaction to some detergent or skin cosmetic while other causes can be allergic reaction to poison ivy, leather, latex etc. I would suggest you to consult an Allergist and get evaluated, and he can advise you allergic testing like Patch test, LAST test, Food challenge test to rule out the exact cause of allergic reaction and preventing exposure to allergen can help. In case if still you are exposed to allergen you need to take anti-allergics like Davit M that contains Montelukast and desloratidine. An Immunotherapy can also be instilled to reduce the severity of allergic reaction. Hope this information helps. Thanks and regards. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "A 74 y/o female presents 5 months after cancer treatment with swelling and pain in her left leg that makes it difficult for her to walk. She describes a feeling of heaviness and tightness in the leg and has had 2 infections in the leg in the past 3 months.", "output": "Dear Patient, at your age and with history of treatment of cancer, the first thing that I would like to rule out is DVT, i.e. deep vein thrombosis, in this condition, the veins get clogged with blood due to obstruction, and thus cause swelling of the limb. Get examined early, and get a color Doppler done to see the status of the vessels, and have a certain diagnosis. Take care and consult soonThanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a 2.5 year old daughter (12.5 kgs) who is having cough since last 3 weeks. It looks like dry cough. There is no chest congestion but she has runny nose which is sometimes clear and sometimes yellow. Cough is worst when she sleeps. She was on bricanyl for last 3 weeks with no respite. Now she is prescribed Relent syrup 7 ml twice a day for 5 days and nasal spray Nasivion three times a day for 5 days.Does this look ok ? why would she be coughing so badly for last 3 weeks ? Is it allergy or cold infection which would need antibiotics ?", "output": "Hello. Thank you for asking at Chat Doctor. I went through your daughters' history, its runny nose & cough without chest congestion for last 3 weeks. I guess fever is not a symptom here. Firstly, I would not suspect a serious condition here. I would think of either allergy or post-viral cough (it is common to continue coughing for some weeks, sometimes more than a month, after viral infection). Regarding treatment, I would suggest an antihistamines (such as cetirizine or levocetirizine) and montelukast daily for your daughter. This will take care of both nasal symptoms & cough. As nasal blockade is not a problem with your daughter, I would not suggest using Position for more than 3 days. Rather I would suggest nasal saline spray daily to irrigate nasal cavities. Antibiotics are not required for viral infections or allergies. However, if your daughter develops fever or fast breathing, I would suggest you to consult a pediatrician. Hope this will help you. Wish your daughter a fast recovery and the best of the health. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My father is having a small lymph node in his presacral region after CT Scan report doctor is suggested for biopsy test. His age is 51 with no medical history all the blood reports any sonography reports seems to be normal. Ho much chance is there that he may be infected from cancer", "output": "Hi, Thanks for writing in. Lymphnodes are present in most locations of the body and are a part of the immune system. These generate antibodies and increase host defenses during illness. Cancer also causes lymph nodes to enlarge and often a single lymph node requires to be evaluated by biopsy to make sure it is not a sign of cancer. Lymphnode can also be enlarged due to infections in the region. A sacral area lymph node might be seen due to bowel infection or any condition causing inflammation of adjacent structures. It is suggested that your father gets a cancer screening done with sacral lymph node biopsy as recommended by his doctor. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 45 year old female and had a gastric bypass 2 years ago. I lost 70 pounds and now am at a healthy weight. i exercise 2-4 times a week. for the last month my blood sugar levels have been drastically dropping down to 46. this is happening almost daily but i have never been a diabetic. i am trying to get into see an endocronologist but this is taking a lot of time. my doctor did some blood work and says my insulin levels are very elevated. I even had to go to the ER one night and he said all the initial labs that he could do in the ER came back fine so my issue was above his level. what do i do and what could be causing this? i heard a possibility could be insulinoma?", "output": "In your case, insulin is definitely a possibility. The symptoms that you have described plus the low sugar levels and high insulin levels, all point towards the possibility of insulin. It is a tumor arising from the pancreas from the cells that produce insulin in the body. The only definitive treatment is removal of the tumor surgically. For this, we have to locate the tumor first. For this, you should get a contrast enhance CT scan of the abdomen done. If it is normal, then an upper GI endoscopy with endoscopic ultrasound should help locate the tumor. Meanwhile, always keep something sweet like biscuits or sugar handy and eat it as soon as you feel the sugar going down. Don't miss any meals." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "ive been diagnosed with a couple of issues narrowing between c5 c6 disk in neck and myalgia also in between my shoulder blades the stabbing pain comes right around through rib cage to the front of ribs plus ive been having muscle spasms in upper back for years", "output": "Hello, As nothing is mentioned taking any medicine and physiotherapy I will advise undergoing both as a combination therapy works better. Firstly will advise you to use the cervical soft collar to stabilize the neck muscles and spinal column to improve the intervertebral joint space. Post this static neck exercises, shoulder stabilization exercises, gentle kneading massage of the Trapezius muscles and inter-scapular muscle strengthening exercises will help to regain the muscle property, improve joint spaces and reduce the joint inflammation, muscle inflammation and pain levels. In my clinical practice of over 12 years, most patients with cervical spine pathology have responded well to a combination of Chat Doctor. Hope I have answered your query. Let me know if I can assist you further. Jay In" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I was diagnosed with Graves disease 5 years ago. When I started taking carbimazole to treat it, I experienced tiredness and sore muscles/joints. The specialist said these were normal side-effects, but after stopping the treatment after 1.5 years, these symptoms did not go away. And I developed numbness and tingling in my left foot, which gradually spread up my left leg, and down my left arm, into my left hand. I ve seen various specialists, including a neurologist to rule out MS, and had 2 MRI scans over the past 4 years, and had a lumbar puncture done approx 3 years ago. All tests came back negative. I ve now been discharged from all specialists, and since my carbimazole treatment, I ve been in remission for Graves . The neurologist did say that it s possible (though unlikely) that I might develop MS at some stage, and to go back if my symptoms develop. I ve since been diagnosed with fibromyalgia, chronic fatigue syndrome, and have tried all treatments but to no avail. I m currently medication-free. The last few weeks, I ve been much more sensitive to sound, light and smell. Please advise. Thanks.", "output": "Hello! Thank you for asking on Chat Doctor! I carefully read your question and would explain that your symptoms don't seem to be related to MS. Your repeated MRI can confirm this. But, Graves is an autoimmune disease, and it is commonly associated to some autoimmune neurological disorders like MS or Myasthenia graves. Neuropathy from thyroid dysfunction can not be excluded either. So, I would recommend performing some other tests: - a nerve conduction study, including repetitive nerve stimulation to investigate for neuropathy or myasthenia syn Chat Doctor. - vitamin D plasma levels for possible deficiency-vitamin B 12 plasma levels for possible deficiency. If all the above tests result normal, you should consider chronic fatigue syn" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello i am a 21 year old female and am scared. I had unprotected intervoyrse 5 days after my period ended and im stressing over the fact that i thought it was one of my safe days but it was day 10 of my ovartion cycle . Should i take a pregnancy test and if so how soon can i take the one at home.", "output": "Please don't get scary about pregnancy. Otherwise you will develop anxiety, will cause further harm to your body and pregnancy too. Safe period vary from person to person as your cycles may not be regular or on same date. If you have overdue date you were expecting and its few days over your last menstrual period then you must get UPT, urinary pregnancy test done at home. That is single step method & quite efficient." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Since having the mirena coil fitted my tummy is so bloated. Im a size 10, but my tummy is so big none of my clothes now fit me. I do at least 5 hours cardio a week and try not to eat carbs on an evening. HELP as i suffered from eating disoerders 18 years ago and feel i may slip back into that syndrome again as i feel like my weight is out of my control. Shall i have the coil removed and have a straight forward copper one in, if nothing else but to stop my head from doing me in!!! Yiykes !!!kind regardsjoanna xxx", "output": "Hi welcome to Chat Doctor forum. Thanks for calling Chat Doctor. F. You are an intelligent girl, as you said most probable cause your body opacity is marina due to harmony in it. It is already late but even now consult your doctor for removal of marina and insertion of copper coil or for any other family welfare method. As you had water retention with the marina, you should better avoid harmony tablets as well. You should also control fats, calories, etc. to reduce the present body status. Wishing for a quick and continuous reduction of weight. Best regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "TODAY I FOUND SWOLLEN AREA RIGHT LOWER SIDE OF MY SCALP SENSITIVE TO TOUCH. WAS TOLD IT COULD BE OCCIPITAL LYMPHADENITIS (RT SIDED). WILL SEE MY PRIVATE M.D. MONDAY. DO YOU HAVE IN ANY MORE INFO THAT CAN BE ADDED TO THIS FINDING OF THE CAUSE. THANK YOU JULIA FOUST", "output": "Hi Julia, sudden swelling of scalp leading to occipital lymphadenitis could be a serious condition. It could be anything ranging from lymphadenitis due to Dan Chat Doctor. Kindly do not ignore it. Have it properly investigated & be treated. -Hope I have answered your question, If you have any further question, I will be happy to help.-Kindly rate the answer.-Wish you a quick recovery & good Health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello, So I got my wisdom teeth out almost 4 months ago. About a week ago I noticed puss from one extraction site so went to my oral surgeon to have him drain it. The next day I had an appointment to have it curretted but that dentist (a different one) said that was not necessary and that I should just continue to rinse with warm salt water. It is now 1 week after that appointment and I am still having puss ooze through the hole if i put pressure on my gums. I am not in pain and there is very minimal swelling . I also have not had a fever nor any swollen lymph nodes. I have a follow up appointment in 1 week to make sure the hole is healing nicely. However because I am concerned about this puss I called the dentist to see about an earlier appointment, they said that the puss is fine it just means the hole is draining. Should I continue to rinse with salt water religiously or insist on an earlier appoinment? I am afraid the hole will close with puss still inside and cause an infection. ll", "output": "Hi, THX for your query, extraction of any teeth must be done very carefully this depends on doctor and later maintain of proper oral hygiene and correct usage of tablets this depends on patient. Go to your oral surgeon and get an x-ray for that region so that we can come to know whether the tooth was completely extracted or not. Later he will prescribe you antibiotics, and please do use the complete course along with this maintain good oral hygiene. Hope this helps out." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 5 year old daughter is on her 4th day of Ritalin and clonidine prescribed by her paediatrician for ADHD... Today her resting heart rate is at 140 and she has a fever of 102. We are seeing her Paed tomorrow morning at 11... Just wondering if we are ok to wait it out for the night. I just gave her 2ml of infant Tylenol for her fever. She is 33 lbs.", "output": "Hi, Thank you for asking question on Chat Doctor .33 lbs is equal to 15 kg. Tylenol does is 15 mg/kg body weight. Tyelenol 5 ml contains 125 mg of paracetamol.Hence, you should give 10 mi/dose instead of 2 ml every 6 hourlyAlso tepid sponging along with Tylenol will help to reduce the temperature faster. You can see your pediatrician as usual the next day. Hope this answer will serve your purposeless feel free to ask any more queries if requiredTake care Chat Doctor. V. Subrahmanyam MD;Disassociate professor of pediatrics" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have a bubbly pain like right at the top of my ribs and by my chest on my left side and the more i breath it feels like it inflates more and the pain is worst. it has happened to me before and when i take a deep breath it hurts so bad until it feels like it pops and the pain goes away.", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. Bilateral chest pain, worsening by breathing is seen on lung infection and bronchitis. So better to consult pulmonologist and get done clinical examination of respiratory system, chest x-ray and PFT (Pulmonary Function Test). Chest x-ray is needed to rule out lung infection. PFT is needed to rule out bronchitis. If both are normal, then possibility of musculoskeletal pain is more. So start painkiller and muscle relaxant Chat Doctor. Apply warm water pad on affected areas. Avoid heavyweight lifting and strenuous exercise. Avoid movements causing pain. Don't worry, you will be alright. First rule out Pulmonary causes. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir my mom suffering from(may be uterine) cancer , problem 1. bleeding .(last 6 months) 2. urinal fail ( stomach pain) from 1 month after changing the tube from kidney doctor yashodha hospital hyderabad urine is ok now,3. too much itching and (pain in side stomach) OMEGA HOSPITAL DR told this is 4 th stage please suggest. I am from hyderabad my email id is YYYY@YYYY", "output": "Hi, Sorry to listen about your moms condition. The problems you have mentioned needs to be more specified. Bleeding site and amount to be mentioned. The disease is not mentioned also. It is difficult to comment on the management. Anyway, liver function test report should have been mentioned. Stage IV cancer can be managed, but that depends on the specific site and type of cancer. Supportive and symptomatic treatment can be continued. Do not lose hope. Follow your oncologists advise." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I woke up and my left lower gum area where my last tooth is, is swollen and hurts terribly. There seems to be a cut on the on the gum (I cant really see it), but I think its between the gum and the last tooth. I rinsing my mouth with mouthwash and today started with salt water and peroxide. I am 30 year old female. It cant be my wisdom teeth because I had them removed when I was 12. I cant bite down all of the way without felling the pain. My jaw is hurting a little as well as tender on bottom when I touch the bottom of my face.", "output": "Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have swollen gums in wisdom tooth area, tender on palpation also don't worry you should consult Dentist and get investigations done IOWA x-ray done to confirm the diagnosis, Swollen gums can be due to Periodontal problem may be due to Periodontal Access or due to Carious tooth, due to formation of Periapical Pathology, consult dentist get proper treatment done Hope this will help you. Wishing you good health " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 88 1/2 year old father was diagnosed about 3 weeks ago with a pulmonary embolism. He was on coumadin, (sp?), for about 3-4 years then went off of it in late January/early February, and, even with this diagnosis, does not want to return to it. He lives in a wonderful assisted living community, does not smoke and is not over weight at all. Fully aware that all situations are different, is there any kind of forecast you would be willing to share as far as what to expect as far as his quality of life and life expectancy? Thank you!", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Pulmonary embolism is common in old age due to atherosclerosis and stiffening of arteries. Severity, life expectancy, prognosis etc. depends on 1. Size of embolism (massive embolism can cause sudden death). 2. Involvement of pulmonary artery. If main Pulmonary artery is involved then prognosis is poor. But if distal, smaller arteries are involved then prognosis is good and hence life expectancy is more. 3. Severity of pulmonary hypertension. Pulmonary embolism (PE) almost always cause Pulmonary hypertension (PH). So if PH is severe then prognosis is poor. So please let me know these details, so that I can guide you more about life expectancy in your fathers case. Hope I have solved your query. I will be happy to help you further. Wishing good health to your father. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ive had a niggling cough for about 3 months now, Ive also had a virus in that time that lasted 2 weeks and an acute liver injury from some fluoxicillin that was proscribed for an infected cut which all happened about a month ago. Recently in the last 2 days my cough has developed into a chesty cough with mucus and a slight metallic taste in my mouth when I cough. I also have Asthma so have been taking inhalers to relieve my chest when it was tight.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. You're all symptoms are suggestive of post infectious bronchitis. It is common after viral upper respiratory tract infection. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT will also tell you about severity of the disease and treatment of bronchitis is based on severity only. You may need additional inhaled bronchodilators and inhaled corticosteroid (ICS) on the basis of severity. Oral anti-inflammatory Chat Doctor. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i how r u . currently im not fine . i usually masturbate but i stopped totally since last one year. the problem is maximum time diluted semen came out with urine . thats why im becoming and tired as well . could u please suggest me what should i do !", "output": "Degree understand your concerns went through your details. Please understand, masturbation is normal and natural. Masturbation cannot harm your health in any way directly. More over masturbation will not be the cause of your semen thickness. I suggest you to restart masturbation and read many articles about masturbation because you are anxious about the whole process and your knowledge is far too less. The color, volume, and thickness of semen may change due to so many factors. The standard mean ejaculate volume for testing is 3.7ml, and its considered normal even if its below 1.5ml. Stress, anxiety, low water intake, outside temperature etc. can make your semen less watery. Therefore, please stop worrying about this and concentrate on your education and career. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I haven t been to the dentist in a year and I know that I have cavities between several teeth because I can see them. 2 teeth are very slightly sensitive, but not to hot or cold. I have a dentist appointment in 5 weeks (due to insurance reasons) and I plan to get them filled then. I do brush and floss my teeth, but I also consume soft drinks regularly. I have stopped that habit recently though. What are the odds of me needing a root canal? Will my cavities be deep?", "output": "Thanks for your query, I have gone through your query. The chances of the spread of decay from dentin to pulp cannot be predicted. It can take months to years... If the decay is too deep or approximating pulp then it can involve pulp in 5\u00a0weeks. If you think of insurance and delay the treatment, you might end up to go for root canal treatment rather than normal fillings. So I advise you to go to some educational dental institutes and get it restored. You need to take radiographs like IOP AR to see the extent of decay. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "SHOULD I BE CONCERNED FOR MY 14 YEAR OLD SON WHO HAS BILATERAL L5 PARS DEFECTS WITH GRADE 1 ANTEROLOSTHESIS AND DEGENERATIVE DISC DISEASE AT L5-S1. SIGNIFICANT RIGHT FORAMINAL STENOSIS WITH SUSPECTED MASS EFFECT UPON EXITING L5 NERVE ROOT? MY SON CURRENTLY PLAYS FOOTBALL WITH HIS SCHOOL.", "output": "Hi, as you mentioned the anteriolisthesis and the disc degenerative disease at L5 - S1. First we need to see if he has any symptoms. Usually, MRI scan has to be correlated with the Clinical symptoms. Also, you can take him to physical therapy, for learning the exercises which will help stabilize the spine. Besides, this exercises he needs to follow in future to avoid recurrent back aches. Exercises like - core stability, spine Strengthening, pelvic floor Strengthening etc. Based on the weakness of the muscles the exercises will be guides.Also, the anteriolisthesis has to be controlled because the listless has only one direction - that is progression. Usually performing regular exercises will help to keep the muscles intact and stabilize the listless.Also, if ignore now may lead to recurrent back aches which may not allow him to perform well. Besides contact sports has to be avoided for time being. Since he plays football - the mobility of the spine is high and also the weight applied on the L5 - S1 level. Once the muscle is strong the load of the stress will be borne by muscles or else the joints. For more details you can ask me directly I will be happy to help you. Since your son is 14 years old I am a bit concerned.regards. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi , my 8 yr old has tubes & is complaining of ear pain @ base of ear lobe where it meets neck... It appears there is a crust around the tube. Should he wake up in night w pain should I do children s Tylenol or Advil? I plan on calling his ENT in am. Thc", "output": "Hi, Thank you for asking question on Chat Doctor. The pain i at the ear lobe may be due to wax in the external ear, celluliis of the external ear or mastitis. Better consult your doctor as it is difficult to say without seeing the patient. Hope this answer will serve your purposeless feel free to ask any more queries if requiredTake care Chat Doctor. V. Subrahmanyam MD;Disassociate professor of pediatrics" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been feeling tired about 2 yrs now. I m 56 & for about 6 weeks now I have been running a low grade temp, my body aches, head hurts & I can t hardly do anything without being so tired that it wipes me out for the rest of the day. I m to my witts end & don t know what to do. The Dr. gave me Celexa, but that doesn t help.", "output": "Thanks for your query at Chat Doctor!In my opinion you are possibly suffering from tuberculosis. You need to confirm it by culture & sensitivity of sputum and X-ray. You might need contrast enhanced CT to establish the diagnosis. IF positive you will require treatment with ATT for 6 months. You will recover from illness. If it is negative for TB you will need investigations to rule out malignancy, autoimmune disease, etc. Visit a physician for examination & investigations. Take care!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir, iam arjun and im suffering from sleeplessness and some mental worries from last 3 years. My Psychiartic doctor first suggested Zepam for 30 days in the beginning stage. afterthat i use to take it when i feel iam not getting inough sleep. As with fear that i may addict to it i stopped. My the problem of mental worry and sleepness is again effecting me now. So my doctor suggested Nexitoplus for 30 days. My fear is, is there is any side effects and eddictable problem with it. please give me solution to my mental problem.", "output": "HiT hanks for using Chat Doctor Team contains clonazepam and next plus contains Escitalopram with clonazepam. You can take it. It would help to control anxiety symptoms and help you to get sleep. Try to take Next rather than next plus. You could become addict of next plus due to clonazepam. Escitalopram does not have any major side effect. You can take it without any worry. You can also try relaxation exercise like JPMR or deep breathing exercise. In case, you need further help, you can ask. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My biirubin levels increased from 06 to 1.2 in 2 weeks time. I was not consuming alcohol during the period. There is also itching all over the body. What may be the reason?", "output": "HelloWelcome to Chat Doctor The increase in the serum bilirubin levels might be due to various reasons. Mainly in alcoholics Hepatitis. Severe itching may be seen due to increased direct bilirubin. Gall bladder related conditions mostly seen. Have a checkup for evaluation of liver function and treatment by physician. Abstinence from alcohol and perfect die tic management is necessary. Have a Healthful Day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I recently was diagnosed with Multifocal Artrial Trachcardia. I was put on Diltiazem 240mg er and Lisinipril 10 mg and Lipitor 10 mg. On 8-14-2013. I in the last month have had serious nausea and burning from my liver up to my chest. I was found to have 2 liver leisons on Catscan and MRI. Every time I eat even the smallest item it burns like fire. Its not heartburn , its right to middle just below my ribs. My gallbladder was fine and so was everything else. I am feeling its one of my medications. I have to get a liver biopsy nest. I am tired of the burning. Any answers?", "output": "HIT hank for asking to ChatDoctorBurning sensation near right coastal area indicates many pathologies, but you said that the MRI and CT has detected some lesions, the exact nature of these lesions not stated here, your symptoms and the suspicious pathologies does not correlate, other serology test are require to confirm the diagnosis, the problem must lies in stomach or in your stress area, functional condition,,, Multifocal Tachycardia needs further studies, it is not given anything here that on basis it is Multifocal Arterial tachycardia, have nice day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My sister recently lost her husband to bile duct cancer. She is having nightmares because shortly before he died he had a pudding like discharge from his nose. No one prepared her for this. Her doctor emitted he had never seen anyone died. Their must be a medical explanation for this. I think it be helpful in her healing if this could be explained.", "output": "Hi and welcome to Chat Doctor Thank you for your query. I don't see why is this bothering you so much. Patients who die from cancer always die from some particular reason. Usually this is cardiorespiratory failure and in these cases fluid accumulates in respiratory tract including nose and mouth. There is nothing strange in it. Your sister need psychological help and I understand your concerns, and I am sure she'll feel better after sometime. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "iI have never had problems with my teeth or mouth but a couple of weeks ago I started noticing my wisdom tootChatDoctoring through, I have been in crippling pain in my jaw and left side bottom gum And my tooth is inflamed well the gum is like iv got an infection can you tell me if this is normal Thanks :)", "output": "HelloWelcome to ChatDoctorDuring the eruption of wisdom tooth all these things happen. You should gt your OPG X-ray done and visit dentist. If eruption path and space is available then it will peritonitis which will be treated by tropical application but if space and path is not available then you have to go for extraction. Meanwhile, for relieve you should do warm saline gargles 3-4 times a day with painkiller. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter is 22month old. For about 3 months she have been snoring very loud followed with foam from saliva. Her brething is very erratic. When she exhales its like puff. Even her lips pop with the foam too. She wakes up afew times a night. Any position she lays in the samething occurs????", "output": "Hello, Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for your daughter as follows:1. Common cause of snoring at this age is nose obstruction or obstruction somewhere in upper respiratory airway.2. If she has repeated cough-colds, I would think of nose obstruction due to long-standing allergic rhinitis and would prescribe him combination of levocetirizine and montelukast. In that case, I would also suggest allergy testing.3. However, if she does not have repeated cough-colds, I would first suggest her to get examined by an ENT specialist who will examine her nose passages from inside (if necessary) and would identify the cause of snoring.4. As her sleep is disturbed due to snoring, it is suggestive of obstructive sleep apnea and hence should be evaluated to identify the cause. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish your daughter the best of the health ahead. Thank you & Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im 32 women who had a baby Sept 2012 followed by tubal ligation. I have experienced insomnia, upset stomach, low blood pressure, puffy veins arms, headache, tingling in hands. I work out 4 days a week for an hour. I drink one latte early in morning but never experienced this. I feel stressed and lack of oxygen and dont know why. I only work 3 hours a day. I have had mild depression on and off with little hair loss. ??? I have been tested for my thyroid already.", "output": "Hi, Thanks for the query. You once consult physician, go for physical examination and go for complete blood picture. If everything is normal, the symptoms can be possibly due to depression. You once consult your regular psychiatrist and discuss related to this. Try to spend more time with your family members and baby that can elevate the mood and can decrease the symptoms. For more details you can ask me through: http://www.ChatDoctor .com/doctors/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "A month ago I had four wisdom teeth removed. upper left, upper right, lower left, lower right. A few days ago, my cheek started to swell up and I felt slight pain associated with swelling. Now I feel a lump. When that lower-left tooth (where the swelling is in my cheek) was extracted the surgeon noted that I bled the most from that spot. What could be wrong?", "output": "Hello, Thanks for consulting ChatDoctorRead your query, as you have undergone extraction of wisdom tooth now you feel swelling lump in cheek don't worry after wisdom tooth removal swelling is normally seen for two to three days after that it start reducing if your socket is painful, and it bleeds then you should consult your dentist for oral examination of socket. In meantime do gently warm saline rinses, follow post-operative instructions and take proper course of antibiotics prescribed by your dentist. Hope this will help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had taken pelvis scan on 31st March (My Period is started that day). The report is Rt ovary is normal in size and appears polycystic. and Lt ovary shows a small cyst (3.46 * 2.78 cm). first 5 days i took clomid 50mg . daily i take vifolin .(3 months). after that i went to follicular study from 10 th. ovlation is not occur. than doctor prescribed injection choriomon 5000 i.u (two times 10th and 12th). ovlation was not occur. i took ovitrelle 250 MCG injection .Ovlation occured and i took duphastone 10mg for 10days. Again My period is started at May 1st. Than doctor prescribed FERTAB 50 mg For 5 days. (from may 10 th - i go for folicular study ). When will i get pregnant ? how many cycle it takes to get pregnant ?", "output": "HIFI band, Good morning to Chat Doctor. You are currently suffering from Primary Infertility due to Poly cystic ovary. You will get pregnant only if ovulation and sexual intercourse occur in correct timing. You have cystic ovary. So ovulation time alters and take time to be pregnant. So regularize your cycle and monitor your ovulation time regularly.Also, you may do a fresh semen analysis for husband to detect any abnormality. Consult with your gynecologist and keep under treatment. All the best. For more suggestion, you may mail....soumenmmch@gmail.com" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My Husband has pain and swelling in his knee. He also does not recall injuring it. He is 45, smokes, prone to High Blood Pressure, although it is under control. He is also prone to gout in his feet. He thinks it may be a \"Cold\" in his knee. Is that possible?", "output": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint pain and swelling in knee can be due to causes like Traumatic injury to knee, Arthritis, Bursitis, Gout, Pseudogout, Rheumatoid Arthritis, Bakers cyst etc. I would suggest you to consult an Orthopedic and get evaluated and a thorough clinical evaluation and investigations like x-ray, MRI Scan, blood tests etc. can help in diagnosis and treatment can be planned accordingly. You can be advised to take anti-inflammatory painkillers like Ibuprofen for pain relief and topical application of analgesic ointment like Veteran. You can be advised to follow the most common technique that is R.I.C.E that is REST which means refrain from workout, sports, vigorous walking, long hours standing etc.ICE: Do cool compresses over the joint for fifteen to twenty minutes as it will help in reducing swelling.COMPRESSION: Cover the knee using a knee cap or crape bandage as it provides support as well as reduce swelling.ELEVATION:Put pillows under your legs while lying down and raise it from the level of body. By these techniques the swelling will reduce in 3 to 4 days and in case if there is no improvement treatments like Arthrocentesis or surgery can be advised depending upon the cause. Hope this information helps. Thanks and regards. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I always feel horrible from the time i wake up till i sleep and its ruining everything in my life my friends, family and school. when I get to school I feel so horrible that I cant focus and when I get home and I try to do my homework I just stare at my book for hours... HELP!!", "output": "Hi dear I understand your concern. Stress and anxiety will lead to a depression. Depression has low mood with loss of interest. It can be treated with medicine like combination of SSRI and benzodiazepine. In SSRI sertraline / Escitalopram / paroxetine will help. Psychotherapy like cognitive behavior therapy is the choice. Counselling can help. Consult psychiatrist and get help. Still if you have a query then feel free to ask, Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my husband has atleast stage 3 possibly stage 4a pancreatic cancer ( I say it that way because I do not fully understand the staging and no one will tell us what stage he is) his tumor is located at the head of his pancreas with venous involvement of both the SMV and the portal vein. He has had his gall bladder and appendix taken out as well as having a bowel blockage bypassed and a j tube inserted. He is now experiencing pain every time he eats as well as more frequent bouts of constipation again accompanied by a lot of nausea after eating. I have him on resource 2.0 270 ML at 60ML/hr as well as a low fat, low fiber, low salt diet as tolerated by mouth. He takes Reglan to aid in digestion, as well as Nexium for Barrett s Esophagus and this is supplemented with Zantac once a day (nexium at night, zantac in the morning). He also takes Tramadol for pain, but if the pain gets to be too much he will exchange a dose or two for a dose or two of Oxycodone. What else can we do to ease his pain and constipation? Oh, I forgot... to help aid in the fluid absorbtion in his bowels we use 60 ML 3x a day of water to flush his j tube.", "output": "Hi, Welcome to Chat Doctor forum. I am sorry to know his health history. Every step of the treatment is going on good according to the situation. I may suggest some Chat Doctor. So I advise you to stop the intact, and if necessary you can give him the medium for the second time. You can give him raglan for 2 or 3 times a day to prevent, the constipation, and for sleep. If there is frequency of stools, you can give it twice, or once only. Wishing him a pain less, recovery. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I went to the dentist last week and had x rays and a thorough cleaning/check up. My jaw has been sore ever since and I came down with a terrible cold/sinus infection. Could these be related to having my mouth open for so long or to the bacteria that was released during the cleaning?", "output": "Hello and thanks for consulting Chat Doctor.I have read your query. Sometimes a dental infection from a decayed tooth can lead to sinus infection. Opening the mouth for long can not be the cause for this. But during cleaning sometimes bacteria can enter the sinus and cause sinusitis, but this is also not very common. You can get your teeth checked for any decay. For sinusitis antibiotic like amoxicillin plus clavulanic acid can be taken. Hope this and your query. Take disregards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I often experience chest pain. Usually comes from doing normal everyday things..walking up stairs, getting dressed. I also experience a fluttering feeling under my left breast.Lasts for about a second then again then again. I am a 22 yr old otherwise healthy female. I have spent the weekend wearing a heart monitor and I am awaiting results but I am just really curious as to what it could be.", "output": "Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. I will try to explain something and give you my opinion. This fluttering sensation has to do with some electrical issues in the heart. The electrical issues might be different. It might be a simple sinus tachycardia meaning that your heart is beating over 100 beats for minute, and you feel your heart fluttering. It might be a different arrhythmia, like atrial fibrillation when your heart runs in a chaotic way. I don't think it is your case. Or the fluttering sensation might be what we call an extra-sistolik beat, that is a premature heart contraction during its normal rhythm.These is quite normal in young people with normal hearts. All these rhythm issues might give flutter sensation, chest discomfort or pain, anxiety, difficulties in breathing deeply. The cause might be different from simple emotional stress to excessive coffee consumption, alcohol. It is important to avoid them during this time. The other cause might be pathologies like anemia, hyperthyroidism, cardiac anomalies. So, if I was your treating doctor I would do the same that your doctors has already done, a rhythm holder monitoring. It will give a fool view of your rhythm tendency and show what are these fluttering sensations. I will also recommend a blood check up and your thyroid hormones. After this we can better judge what to do. Hope I was helpful. Best regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a crainatomy in December due to a fall that caused a frontal subdural hematoma and a fracture in my skull . I was also diagnosed with a Pseudotumor in July 2011 and am on Diamox to mitigate the symtoms. I jsut banged my head at work and I am currently experiencing arm tingling and tongue numbness. The tingle and weird feeling in my arm has been off and on for over two weeks. My CT as of 2 weeks ago was clean. I am also feeling like my field of vision has narrowed just after hitting my head and I feel weak. Is there any need for concern ?", "output": "HIT hank for asking to ChatDoctorI can understand this your CT head show no abnormality, and you have symptoms of central nervous system related, but this is not due to any pathological changes in brain either, but your psychological condition might be the reason for this, your vision problem is nothing to tale with your head injury on my opinion for that you have to consult the ophthalmologist, for the rest of the symptom control your thoughts away from the anxiety and depression, hope this information helps you have nice day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m a healthy 60yr old woman, & actually just had a recent checkup, but this is the 2nd time I ve experienced this symptom: both arms, especially elbows down, suddenly felt all tingly, & started to shake! Totally unnerved me! I just got home from grocery shopping,& chalked up the feeling to carrying heavy bags! Then I thought-maybe it s low blood sugar (sometimes I get shaky ), so I just had some orange juice & feel better. But my hands still feel strange. I m a real estate salesperson. Circulation problem? Please advise, thanks.", "output": "I am a neurologist from the Cleveland, Ohio region of the world. This is not an infrequent problem among people of all ages and most likely represents overexertion of your upper limb muscles in carrying heavy grocery bags. This is not likely to be a vascular problem mainly based on the fact that you are feeling the symptoms in both upper extremities at the same time and with the same relative intensity. There is no vascular disease that would acutely come on in this way in an otherwise healthy woman. If you would like to discuss this problem at greater length then, you may write to me at:bit.ly/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, i had a miscarriage in Aug 2010, and before that i mean in pregnancy i want to sex again and again, i had orgasam and after that i had a miscarriage, but know my days are above but i did not have a urine test for preganancy. i am scared but again i am feeling my clitorous is active and i want to do sex. what should i do know? is it dangerous to have an orgasam in pregnancy?", "output": "Dear Madam, With bad history about the pregnancy, particularly loss of baby after intercourse, you have to take care. It is better you avoid intercourse till you complete 14 weeks of pregnancy. After that, depending upon the stability of the pregnancy, you may have sexual intercourse. However, please take care to avoid full insertion of penis. It is not the orgasm which is responsible for the abortion; if at all, it could be physical disturbance or infection. To avoid full insertion of the penis, the best positions are either sex in the side position or penile insertion from back side in side position. You may get details of safe positions for intercourse during pregnancy in an Epic named Kama Sutra by Vatsyayan. If at all with all these precautions you find any discomfort during or after the intercourse, it is better to observe sexual abstinence. Otherwise, sex is not contraindicated during pregnancy. I hope this helps you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I had two spermograms with enterococus faecalis. took levofloxacin and in the third one it didnt appear any longer, but there was E coli. Is it normal? What are the effects of that? I still need a few days to have the appointment with my uro. thanks", "output": "Hi, Welcome to Chat Doctor. Enterococcus fecal is is becoming an emerging pathogen causing multi Chat Doctor. E.cold is a normal communal lining the genitalia and intestinal tract. Significant growth of E. Coli in semen culture should be seen to consider it to be a pathogen. If culture report mentions significant growth, then it is worrisome. Otherwise, can be considered as isolation of normal microbial flora. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi. I was rear ended but on the right, by a land rover 6 weeks ago, I m having physiotherapy as i had a lot of pain in the middle of my back also low down and going down my buttocks and leg to my heel, all on the left side. The pain in my left buttock is driving me mad but the physiotherapist said its a tight hamstring not nerve damage. I have been stretching my hamstring but doesn t seem to be helping. or maybe I just need to be patient. please help. Marie", "output": "Hellowelcome to ChatDoctorim afraid that your physiotherapist has failed to make the correct diagnosis....it's not due to hamstrings and stretching your hamstrings will INCREASE THE PAIN RATHER Than RECEIVING IT....this pain is actually due to a condition called as SCIATICA i.e. due to stretching of the SCIATIC NERVE....you should visit an orthopedic who will perform a physical examination n certain physical tests like STRAIGHT LEG RAISE TEST (SLR) to evaluate your clinical condition n will prescribe you the required appropriate treatment and will also guide you with which exercise to perform n which to avoid during physiotherapy...regardsChatDoctor" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I Have overactive bladder problems with urgency. I have used Vesicare, but it now too expensive for me. Veriscare did work however. Now I am using the patch with mild to moderate relief. What other things to I need to do or know about urinary health", "output": "Hi, I had gone through your question and understand your concerns. There are several medicament options for over reactive bladder, and you need to find one that fits you most. There is potent Chat Doctor. It works by relaxing the smooth muscle in the walls of your bladder. This effect helps your bladder hold more urine. Other such as, oxybutynin (Nitrogen XL, Control), tolterodine (Petrol, Petrol LA) andtrospium (Sanctuary) have similar acting mechanism but more or less significant side effects which are present in some people, in some not You should try some of these for 4 weeks and see if there will be improvement. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I was lifting heavy, performing the deadlift as I lifted the bar off the floor I heard and felt a pop in my right forearm so I had to set the bar down without completely performing the lift. My forearm and wrist area was affected by the movement as I try to lift anything or any slight arm movement at all I feel pain. It feels as though it is sprained. When I move my hand as the wrist acts like a pivot I feel pain and discomfort in wrist/forearm. I was lifting the weight in a supinated position with left arm firmly grasping the bar, palm facing in and with my right arm I had my palm facing out. Could you elaborate on what you may think happened? Thanks", "output": "This is not a big issue, you ask your physio to do mulligan tapping on your wrist at distal radio ulnar joint.it seems that your radio ulnar ligament of distal radioulanar joint has been strained. So tape them and perform the lift see if it helps you if yes then ask physio to do ultrasound or laser at tender point and continue the rerehabilitation process along with mulligan tapping. I wish this will definitely keep you pain free and rehab can be done without stopping your practice session." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m having lower right back pain, I m on my period, ever since I started my period and inserted a tampon and took it out cuz it hurt and put another one in I ve been having what feels like a cramp but its been going on for three hours now. I m wondering if I should be concerned and go get checked out?", "output": "Hi, In my opinion I don't think you have to worry. It is common with pregnancy. I suggest some hot fomentation and topical gels and muscle relaxants will be helpful for now if not you may ask your gynecologist about it. Please click THANK YOU and consider a 5-star rating with some positive feedback if the information was helpful. Hope the above information helps you. Any further clarifications feel free to ask." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doctor, Can I take erythromycin and metronidazole together? I have a very severe tooth infection and have been prescribed metronidazole and a couple of days later erythromycin and advised to continue with both courses. However I have started to suffer with nausea and vomiting, is this due to the 2 sets of antibiotics?", "output": "Thanks for your query, I have gone through your query. The combination of these two antibiotic works well against the tooth infection. The reason for the vomiting and nausea can be because of the gastric irritation caused by these Chat Doctor. Nothing to be panic, You can take an antacid like sanitizing 150\u00a0mg BID and Risperidone BID before food and later take the antibiotics after food. If the vomiting does not stop after these medicines, then immediately consult a general physician. Consume a lot of liquid. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I cant really handle elevators or closed spaces unless my husband is with me calming me down i also cant handle large crowds i feel as though they are always laughing at me or judging me and it makes me dizzy and feels like sometimes i cant breathe is there any other diagnosis for this or is this claustrophobia or is more than thatthank youamanda", "output": "Hello Amanda, I went through your query and can understand your distress. From what you have mentioned, you seem to be having Agoraphobia which included fear of closed spaces (claustrophobia), fear of crowds, fear of being alone. You seem to be having panic attacks if faced with these situations. In addition, the symptoms pf feeling that everyone else is laughing at you or judging you can also e due to social phobia. I would suggest that you consult a psychiatrist for complete evaluation. You can get rid of your anxiety and fears with treatment with selective serotonin reuptake inhibitors like sertraline or paroxetine. In addition, you can also opt for behavior therapy which will help you in relaxing and gradually remove fears regarding the mentioned situations. I do hope that I was able to answer your query. Wish you all the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi!! I am male,22 and have a hairline crack in tibia-PCL. I have been advised 1 week rest by my doctor. I have my exams, so i need to walk. Also i have not been given any cast or support. Does this will prolong my injury? What should i do to recuperate asap.", "output": "Hello, As you have been advised to rest due to hairline fracture I will say please avoid the walking more at high speeds. Slow walking is still possible with less weight over the injured limb. As doing speed walking with full weight-bearing will lead to pain in the muscles more and damage to the ligaments and bone as well. Once the bone heals exercise should begin with proper guidance to help improve the overall condition. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im constantly blocked up and congested. I havent been right since developing Sinusitis back in February, I have had antibiotics and did get a bit of a respite for a while but then the problem came back. Could this be a long term infection or an allergy?", "output": "Hello. Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions as follows:1. Sinusitis can be caused by allergies, infection as well as sometimes structural abnormalities in nose cavity.2. Were I treating you, I would prescribe you intranasal corticosteroids, montelukast and steam inhalation for at least 4 weeks.3. If no improvement, I would suggest you to consult an ENT surgeon who will examine the nose cavity from inside to find out any possible structural defect which may require surgery.4. If improved, I would suggest you to reduce medications with improvement of symptoms and go for allergy testing which will help you to identify the substances to avoid.5. I would also suggest you plenty of warm fluids during day as well as a healthy diet rich in vitamins & minerals (adequate green leafy vegetables, fruits, sprouts, etc.)Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you a great recovery and the best of the health ahead. Thank you & Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi im urvashi,i have abcess in my broken tooth (right lower jaw) .My dentist prescribed me cefpodexime proxetiland pot.clavulanate 200 mg tab bd and lorsef for pain.as im not able to sleep in nights for 3 days he also wrote etody 90 to be taken at bedtime.. im still in pain and am sleepless.. kindly suggest..", "output": "Thanks for your query, I have gone through your query, the pain could be not subsided because of the fractured tooth fragment mobility or root fracture. If I am your treating doctor I would have removed the broke niece of tooth if OT OS present or else if complete tooth structure is there open the access cavity and Chat Doctor. Then start with antibiotics. Do saline gargling. Treat the tooth with RCT if there is no root fracture. I hope my answer will help you. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have bi lateral scapular winging, have had bi lateral superior pole scapular excisions w/ reattchment of levator serratus and levator scap. On the right side I have very little range of motion. I have been dealing with this for 9 years. I am on 150 of Fentanyl, Vistaril, Ativan, Zanaflex, 8 mg of dilaudid for breakthrough pain, which is needed 3 times a day. I have never been seen by my doctors to have an issue with pain meds, I do not doctor shop, but even though the pain meds are the lesser of 2 evils, I need to find someone in the Minneapolis area who can treat me. I have been all over the country, they are either doubtful of surgical success, or afraid I will want them to take on my pain management, which is not true. I am 34 yrs old, female happily married, was a Medical Lab Tech, but havent worked since 03. I need to get my life back. How do I do that?", "output": "Hi, You hadn't mentioned the cause for the winging, whether it progresses gradually or develops suddenly. Anyway, scapular winging is usually congenital or traumatic. Winging that occurs as a result of nerve injury will recover in two years and in these two years extensive physiotherapy will be done. Since your case is 7 years old, there are no chances of recovery anymore. Only surgical options are left now, surgery for scapular winging carries poor prognosis and high chances of recurrence. Surgical procedures involved are dynamic procedures like nerve transfers or static procedures like scapulothoracic fusion which procedures are best for you can be decided only after a thorough clinical examination. Take care. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a spot on my face that looks like ring worm, I am already taking anti funcal medication for what doctors thought was a regular fungal infection. I have taken the pills for about a month and nothing has improved, is there somthing else I can be suffering from? Excema has already been treated and nothing works", "output": "Hello, If you have taken antifungal pills for a month and it's not better than It's probably not a fungal infection like ring worm. Eczema would have been another thought but if you have tried a mild steroid cream and moisturizer then it may not be that like you said. I would search for pictures of something called granuloma annular. This can sometimes look like ring worm, but it is not the same thing. If this looks like what you have then you could see a dermatologist for treatment advice which could be steroid treatment, etc. You may want to try putting nothing on it but Vaseline to keep it moisturized for a week or two and see if it goes away. Good luck, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,I have just had an endoscopy for stomach pains and although the hospital said the result was normal,in the advice/comments on the report they have given me it says...... There is a mucosal prolapse trough lax cardia otherwise normal endoscopy to the second part of the duodenum . (Not sure if the word trough is a misspelling on their part).The hospital didnt explain this to me and I would be grateful if you could.Thankyou in advance. Michael", "output": "Hi Michael thanks for your question. Your upper G I endoscopy report is normal, that is good news. Stomach has different part and part of stomach which joins with lower end of esophagus that is food pipe is called cardiac end commonly called as cardiac, The lower end of esophagus has a splinter which prevent gastric content and mucosa of stomach passing from stomach in esophagus and when this splinter is loose content of stomach and/or its mucosa pass into esophagus producing symptoms of pain and burning. There are ways to increase tone of this splinter which you can discuss with your physician. This is benign treatable condition, so nothing to worry. Hope this answers your question." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "this is john, I am from ohio. can I ask you a question when I have sex with my wife when I cum Inside her I do see all my sprem come out why is that, but I am 9 incher long with my penis. what is a health color for sprem.? I am sorry about a stupid question...", "output": "Degree understand your concerns went through your details. I do not get the first part of question. You mean come out of her vagina? That is nothing to worry and that is the way it is. As it is a liquid, it follows the gravity path. That is all. The healthy color of your sperm should be off-white with around 40 % viscosity. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My dad is suffering frm Chronic Kidney Disease(CKD), He is on Hemodialysis twice a week from july 2011. His S.Creatinine is between 5.1 and 5.8. Heamoglobin level 9.2. He is diabetic and High blood presure for past 10yrs. Also now he is not getting sign of motions, it happens in pants frequently. Last month he was operated for Hip bone implant surgery n recovering. Vomitings are frequent . From Last 2 days he is suffering from watery looose motion which are continues. and pain near his heart. Suggest some home remedies for loose motions.", "output": "Hi and thanks for the query, Diarrhea and vomiting are frequent conditions seen in chronic kidney disease. They actually constitute part of what is called the uremic syn Chat Doctor. Management of this condition is dependent on an appropriate management of the chronic kidney disease. First, a kidney function test ascertaining whether you deserve dialysis, and the particular frequency is mandatory. An appropriate control of kidney function and follow up will lead to regaining of normal gastrointestinal function on its own. A complete reevaluation to examine kidney function, and tailor appropriate management for kidney disease is the mainstay of the treatment now. I suggest you consult your nephrologist, or while waiting, get to the emergency room for reevaluation and renal function tests. Poorly controlled diabetes with raised blood glucose levels could also present as abdominal pain and nausea. Poorly managed diarrhea also lead to neurotics that could affect the gastrointestinal tract and predispose to diarrhea. Your hemoglobin level is low, and it might necessary to great appropriate treatments like erythropoietin. I suggest you consult your internist or nephrologist for an appropriate review and management. Thanks once again and best regards, Bain LE, MD." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My friend had tuberculosis few months ago and underwent for medical treatment, what happened was I accidentally drink in his water container thinking that was mine since were having the same container. Is there any chance that I may get the disease???", "output": "Thanks for your query at Chat Doctor! I am Infectious Disease Specialist! I went through your query! You don't need to worry as your friend has taken treatment. Get the infection from one instance is unlikely too. You must make sure your friend has completed her treatment and in follow-up tests there were no acid fast bacilli seen and that she was declared cured of the disease. Happy to take more queries! You can also write a review for me. If you would like some more information, I will be happy to provide. You can take a follow-up query. Take care!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "cist in the breast that are painful can be cancer? I have 4 cist in my left breast and one in my right breast. Eleven years ago I had endometrial and cervical cancer that was removed fallow by radiation treatment I also have pain under my arm and my groin in the same side", "output": "Hi and welcome to Chat Doctor, thanks for the query. Well, pain is not specific sign and most cysts in breaks are painful on touch, especially if this is inflammation cyst. So to determine malignancy you need to do some tests such as ultrasound or biopsy. If you have these cysts for long time then it is not likely to be malignant. But frequent follow up is definitely recommended. Wish you good health. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello sir my name is shadab,iam 32 yrs old marreid man.i have some problems for a week. my test says,BLOOD TEST.HB...11.60TLC..10400NEUTROPHIL..57LYMPHOCYTE..31EOSINOPHIL...12ECG....NORMALULTRASOUND.....NORMAL but says kindly correlate for acid pepsin disoder.ECHOCARDIOGRAPHY.....NORMALC.T. NORMALPROBLEMS ARE... high blood pressor,breath problem,and my hand and legs were not in working.high hartbeet. plz help me.", "output": "Hello! Welcome on Chat Doctor! I carefully reviewed all your test lab test reports and would explain that your symptoms could be related to an infection (your total while blood cell count is a little elevated). A cardiac arrhythmia can not be excluded either. I recommend performing further tests to investigate for the possible cause underlying your symptoms: - thyroid hormone levels for possible thyroid dysfunction- a urinalysis for infection- a chest X-ray study- an ambulatory 24-48 hours ECG monitoring to examine your heart rhythm trends during the day and exclude possible cardiac arrhythmia. - inflammation tests (PCR, sedimentation rate) for an inflammation or an infection. You should discuss with your doctor on the above issues. Best wishes, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my names Aimee, I was diagnosed with fibermyalga, now I read a recent x-ray and it says spina bifida occult a s1. I kinda knew that I didnt have fibermyalga Because the pain is always in my back and hips. Is bad back and hip pain normal with sbo?, and learning disabilities? And mood disorders? Is all that normal with sbo?", "output": "Hello and welcome to Chat Doctor, Spinal bighead is a congenital condition in which the posterior parts of some vertebrae do not close completely. There are various types of spina bifida depending on the degree of non-closure of the vertebrae. When the defect is large enough the spinal cord can protrude from the gap. Spina bifida occult is a condition in which the gap is very small, and it does not allow the spinal cord to protrude. It is asymptomatic in the majority of cases however, it can be associated with back pain not responding to conventional treatment for backache. Surgical closure of the defect is possible however, the functional abnormalities (if present) cannot be corrected. However, functional abnormalities are rare with spina bifida occult. Thanks and take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Looking to bring my 85yr old mom to traditional med ms for dx and poss tx. She has only seen a naturopath in the last 20 yrs she is very paranoid and has hallucinations. Takes multiple supplements for lupus Rx by naturopath. Not wandering as yet. At no awake and belligerent at times. She lives with my sister in an addition attached to the house all one level. Thinks the public comes in and steals her toilet paper so she hoards it in her closets and under the kitchen table. I am concerned because in the event of her death that she will be recusitated despite the fact that she does not want this she does not have a portable DNR order at her house. Any suggestions.? Thanks so much for your time.", "output": "Hello, I hope I can help you with your problem. The rules surrounding your question may vary state by state, but the essential idea behind these laws is the same. That is, if a person has a DNR order, and a hospital is aware of it (they have the document), then the patient cannot be intubated. Now, that is not to say that it does not happen, and usually people will err on the side of caution by intubating everyone. As such, you need to do all you can to make sure that you take care of this situation before it becomes a problem. Usually you can speak with a doctor about the appropriate steps to take. Usually this means that one of the other family members will need to be legally responsible for your mother if she is not able to make her own decisions. The issue of medical competence is not something for a doctor to decide, but a court, and that is where your issue becomes tricky, and it really depends on state law. If she has Chat Doctor. If not, you may need to talk to an attorney as well. I hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am 54 years old and haven t had a menstral period in years since I went on meds for RA.. Today I feel a little lighted headed and a bit nauseated and right in the top of my stomach it seems every now and then like something is moving a little.. I checked my sugars and blood pressure and it was ok.. What could it be?", "output": "Welcome, Dizziness, nausea lightheadedness, or balance problems are dangerous. Common causes include medications, such as Humor (golimumab), Enbrel (evanescent)Aspirin or other NSAIDs, and low red blood cell counts (anemia). Ringing in the ears (tinnitus) is a frequent side effect of aspirin and NSAIDs. The doctor must be notified should any of these symptoms be noticed. You can take Comparison, P I (pantoprazole), ant acids, enzymes,Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "When I was 3 years old I was stung by a bee in the back of my right thigh. What kind of bee I do not know. That afternoon I was taken to hospital with a temp of 106 and subsequently diagnosed after some time with osteomyleitis. They were stumped for awhile. This was in the mid 1950 s. They always said the bee sting had nothing to do with the osteomyleitis. I almost died several times and was in hostilal for over a month and a half,developing pneumonia after I had been stable. Since,I have had terrible trouble with the leg the sting occurred,we think from damage to the illiac vein when dealing with the bone. I had developed vercosities,had a vein stripping at 19years old,a clot in the illiac in 1984 and again in 1996 that caused the vein to collapse. Since,I have become seriously disabled from the neuropathy,poor circulation and many other domino effects of the illiac vein having collapsed and no longer doing its job in my circulatory system. I am now 60 years old. I guess it s moot at this point,but I avoid bees and have never been stung since! I can t imagine that the two are not connected. I don t blame the problems with the vein,since the doctors saved my life. It was possibly nicked at some point,causing scare tissue and resulting clots. Problems with continuity because of insurance changes,even though I was employed consistently as a social worker full time and always had insurance,contributed to having several differant doctors during the time between clots etc... Since,nobody wants to deal with why,or says we don t know??? I have always been curious if anyone has seen osteomyleitis after a sting,since I ve been told it wasn t the cause. Never had a break etc... The resulting lose of the illiac is the current concern,but I m told nothing can be done about it. I have trouble walking, sitting,standing,lying, and am in terrible pain and discomfort ,but I have gotten use to it,as much a s one can,since the initial diagnosis in 1996,when a cat scan found the collapsed iliac vein. It took awhile for the debilitation to show up. But any ideas for that problem will be met with open ears...lol. But seriously it has ruined any chance for a normal life since I was in my early 40 s. I wrote about the curious origin of the osteomyleitis since it was never discovered and I m told it doesn t appear for no reason.", "output": "Hi welcome to Chat Doctor I have gone through your query and can understand your concern. Dear, Your case seems to be spoiled due to extremely mishandling. Osteomyelitis is an infection of the bone, a rare but serious condition. Bones can become infected in a number of ways: Infection in one part of the body may spread through the bloodstream into the bone, or an open fracture or surgery may expose the bone to infection. In most cases, bacteria called Staphylococcus aureus, a type of staph bacteria, causes osteomyelitis. It seems that your problem may be due to your inactive lifestyle and faulty food habits. For your info Every day, we are bombarded with toxins in our environment and in our food which is why detoxification is such a critical process in your body & weakened immunity. If the detox process is hindered, toxins will build up in your body eventually causing acidity and toxemia. These are the root causes of nearly all diseases, requiring modification of lifestyle and food habits. Gulping on only medicines will not help if you don't modify your lifestyle and food habits. Modification in your lifestyle, food habits -include healthy diet as fiber, vitamins minerals, cheese, milk, supplements full of antioxidants, in natural form --fruit, green veges, lemon juice with water and salt and pepper before meals, ginger, garlic, Aloe vera 30 ml, AMLA, Turmeric powder a level spoon + almond oil a Spoon with hot milk, at bedtime, all will help boost your Immune system & alley your pains gradually with required work out ---- To detoxify your system do slowly, regular walk, can do with support and gradually increase your activity level. Back bending Exercises & Yoga postures, Dhanurassan, Bhujjangassan, Vajjarassan deep breathing, from left to right stretching, while standing & lying on the ground, or any posture which gives you relief. Regular walking in a supervised claudication exercise program can be expected to result in an increase in the speed, distance, and duration walked, with decreased claudication symptoms at each workload or distanceAvoid processed foods carbs, sugar, fried, fast foods, Tea, coffee, alcohol and smoking, stress, sleeplessness and Constipation all will produce biochemical and metabolic conditions in your body that will decrease your immunity, so avoiding is definitely the first step in the right direction to detoxing the body, boosting the immune system. Slow motion action is permitted till the problem persists. There is no better option than physical exercise. Walking is the best exercise to begin with also gives you well shaped body. Take Homeopathic Lachesis 30 1 does in the evening and Chamomile 30 / 1 dose at bedtime. Rhus to 30 / 3 doses / 4 hourly 3 days Repeat the sequence if required Always remember, if pain is severe or incapacitating, please see your doctor / professional The surgical and medical treatment suggested by your doctor can be complemented using a variety of alternative therapies. Most of these therapies or home remedies focus on strengthening your immune system so that you may overcome the infection quicker. Hope this helps solves your query. Take care. All the best. Get well London hesitate to come back in case of any further query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a daughter, 9 years old. Red blood is coming with stool from 2 days. She does not like green vegetables. She always like to eat chicken. She is taken histacin from 4 month due to allarge promlem. Pl give your valuable suggesstion to the blood.Thanks", "output": "Hello dear. I would like to have mire details regarding the history. Is it painful defecation?does the blood come with hard stool and It's painful to pass?if yes then its probably anal fissure due to constipation as you have told she doesn't like vegetables, so she is lacking fiber in her diet. Give her plenty of fluids and fiber containing diet like fresh fruits with skin and vegetables along with whole wheat bread. If she has fever also and blood comes with loose stools and abdominal pain then it might be infection, and she should see a pediatrician for medications. Hope it will help. Wishing your child good health :-)" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi...is this real? I have had two surgeries for kidney stones in a month and each.time the surgeon performing surgery have not provided me.with adequate pain. medication . so each.time.I had to.go to the er cause they wouldn t see me!!! I m in so much pain I can t function and need help but my dr wont help me and the er helps at moment but tells me to c my physician next day!! So.who will.help.me??? Plz help.me or tell.me who will!!! Plz!", "output": "Hi, many thanks for the query! Pain can be due to several causes more commonly due to stones, infection of the urinary tract. You need to do- CBC, FT, Urine (Culture & Sensitivity), Random blood sugar level, USG PUB. Start appropriate antibiotic as per report, take antispasmodics, painkillers, diuretics with your Urologists opinion. Chat Doctor. If diabetic, blood sugar levels must be in good control. Wish you a good health. Take care. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello I am a male 24 years old. I have a swelling under my left chest which is soft and doesnt hurt at touch.I dont have a fever,just a pain and pressure sensation which happens just few times a day and usually last only for few minutes or even seconds.I noticed the swelling 3-4 days ago.I also started some training for abdominal muscels recently,so I am not sure if it has to do something with the exercise.Thank you for your help", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Since you have recently started exercise for abdominal muscles, this left chest swelling is mostly due to musculoskeletal cause. Apply warm water pad on affected areas. Avoid exercise for few days. Take anti-inflammatory Chat Doctor. Avoid movements like bending forward. Do all these for 4-5 days. You will mostly improve. If not improving then get done chest x-ray and ultrasound examination of local part to rule identify the cause for this. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello. Sometimes my husband wakes up scared and stands up hyperventilating. It s usually triggered by a light touch, such as my hair landing on his arm, etc. Once he realizes he is safe, he goes right back to sleep. Could this be a sign of ptsd? He s never had an anxiety attack, that I m aware of.", "output": "Degree understand your concerns went through your details. First I wish to know why are you Asking \"Could the sudden wake up from sleep be a sign of PTSD?\" without any other additional symptoms in itself proves the problem is not PTSD. PTSD comes after a traumatic experience or event. It could gild, moderate or severe. Just startling is not a significant symptom in the case of PTSD. The significant symptoms include Feelings of intense distress when reminded of the trauma, Intense physical reactions to reminders of the event (e.g. pounding heart, rapid breathing, nausea, muscle tension, sweating), Avoiding activities, places, thoughts, or feelings that remind you of the trauma, Increased anxiety and emotional arousal etc. Does your husband experienced any traumatic events in the past? If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, My 19 months old daughter is suffering from loose motions for last three days...mucus is there,white in color and very much bad smell...15 days before also she had same problem, however doctor gave her OFLOMAC and VISYLAC. That time she cured completely, but with 15 days she has again the same problem.", "output": "Most often loose motions in child Chat Doctor. Recurrence could be due to reinfection or due to retention of the previous infection. Maintenance of proper hygiene can prevent reinfection. In case the problem recurs, I would insist you to get a routine microscopy of stool done. If the results indicate increased pus cell count, it could indicate a bacterial infection and could require to be treated with antibiotics like Ottoman. But in case pus cell count is normal, there is no need to give antibiotics. Rather giving ORS (oral rely" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 49 year old female,4 ft 7 98 lbs.For the past week or 2,, I have had a dry cough no fever,no sore throat and sometimes my chest feels heavy. Sometimes I am able to cough up phlegm but not often.I also have been getting headaches when I cough and I have been sleeping more than usual .I have borderline diabetes and suffer with some mental health issues and epilepsy, so I am hesitant on taking anything over the counter as it might affect my sugar levels or will not react well with the prescriptions I am on now.Any suggestions would be most appreciated..", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion we need to rule out lower respiratory tract infection (LETI - pneumonia) in your case. Because your symptoms like constant cough, chest heaviness and phlegm etc. are seen in pneumonia. Epilepsy and diabetes are risk factor for lung infection. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Chest x-ray. Chest x-ray is must rule out lung infection. You may need antibiotics and antihistamines Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I came to europe last month and all of a sudden i had stiffness and severe pain in neck, shoulder, both hand and finger joints, mild fever and flat reddish rashes in under arms and thighs. As per doctor advise, I took aspirine, caltrate vitamine D3 and voltarene L.P.75mg for few days. I had noticed blood in the stool and stopped the medicine. After 15 days the pain subsided in the neck and hands but slight pain persist in finger joints. kindly advise", "output": "Hi, thank-you for providing the brief history of you. As you have pain in the joints a thorough clinical examination is advised. Also, such sudden pains can be probably due to either of the factors like - Rheumatoid arthritis or Viral arthritis. As both contains similar symptoms and needs a clinical examination and also the blood routine for RA and Viral arthritis. Based on the clinical findings and laboratory finding the diagnosis will be easy to make and Chat Doctor. Also, physical therapy will help to reduce the pain and aches along with Strengthening of the muscles. In my clinical practice most cases with RA and Viral arthritis respond well to a combination of " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a daughter who is 24 yrs old with a 18 month old son . Shes on 100 mg of Zoloft a day shes slightly mentally slow. She use to be fantastic with her son. Now shes become very low energy, she acts like she just dont care about nothing. She use to be very neat! Was very attentive with him and now I dont know whats wrong with her. Help concerned grandmother !!!! Does this cost anything ? Im helping raise my grandson I just need some guidance please !", "output": "Degree understand your concerns went through your problem description. For how many days your daughter is using the Zoloft 100 mg. It is an anti depressant. One of its side effects include becoming more depressed and talk about suicide. In that case, consult your psychiatrist for a change in medication. If these symptoms are not available, then your daughter needs constant motivation and needs to understand what is her illness. Awareness along with the urge to live better gives energy. Hope this answers your query. Available for further clarification. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have a five and a half year old child i had an eptopic pregnancy about two years ago the baby dissolved into my tubes. i have been trying to get pregnant for the past seven months and it not happening. i did an untrasould and it came back with a normal study reading. What could possible be the problem.", "output": "Hi, What is your age and BMI? Of the young couple trying for pregnancy about 80% of them conceive in a years time. So don't get stressed. To increase your chances of conception maintain normal BMI, quit smoking (if you're a smoker) and have intercourse at least three times in a week. Since you had an ectopic earlier there is a small possibility that the fallopian tubes may not be doing their job as they should be. If I were your doctor, I would wait for 4-5 months. If you don't conceive by then I would suggest a diagnostic laparoscopy. This helps to assess tubal patency and at the same time we can know whether the tubes are healthy. If there are any adhesions around the tube they can be released too. If you have any further concerns do contact me through Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Last night I suffered what I would classify as a major panic attack. I have suffered with clinical depression for years but this was totally out of the blue and totally different than anything Ive experienced. The doctors have been changing my medications constantly, trying to find something that would work properly - the last change being adding amitriptyline (25 mg.) just a week ago and discontinuing Viibryd and Quitiapine. Today, Ive still been showing symptoms of panic. Any suggestions.", "output": "Degree understand your concerns went through your details. Please understand that depression and anxiety are treated with a combination of Chat Doctor. If you had a panic attack, it is due to an underlying anxiety disorder. You must be having a host of anxiety problems associated with your depression. You need to manage them with the help of psychotherapy and meditation. Please consult a clinical psychologist with the permission from your psychiatrist. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello dr samuel what iis indeterminate activity im diagnoised ptb 2 years ago and go for treatment for 6 months. but 2 years i go for my medical exam applying work in abroad and the result is right upper lobe ill defined opacities.this may represent pulmonary tuberculosis of indeterminate activity what does it means?", "output": "Thanks for your question on Chat Doctor. You are having old tb scar in right upper lobe most probably. If you had tb and took the treatment, healing has to occur. And in lungs healing occur by 1. Fibrosis2. Calcification3. Bronchiectasis4. Rarely complete resolution. Fibrosis and calcification are seen more commonly. And on chest x-ray it gives appearance of fibrotic scar tissue. So one can not comment on these x-ray lesions whether they are active or inactive. So report has been mentioned like undetermined activity. You need sputum examination and bronchoscopy with BAD (BronchoAlveolar Lavage) analysis for TB for confirmation about your lesion whether it is active or inactive. If both are negative than it is clear that your c ray lesions are inactive fibrotic scar." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Yes I have a MRI 8 months old showing a hemangioma on my L-4, but none of my doctors have talk to me about it. I have fallen 3 time when I had a sharp pain in back and lost my legs this has happen 2 time while driving, I have lose 25 lbs in 2 months, no attpite, very weak, no sleep because I am unable to sleep because of the pain, I sleep in right poation and with pillow in legs, leggs not working good and having pain shooting down both legs, sharp, burning then numbing going now down past knees. I also have the othorartistie in knees. lls, ddd in back. Have bllder problems going about 7 times, not being able to walk and had time breathing", "output": "Hello, It looks that your main problem is pain behind and below your knee. This can be due to various reasons like: -Compression of nerves at back-Thyroid problems-Anaemia-Deficiency of vitaminB1,2,6,12-Anxiety If you are continued to feel such problems then you should have complete blood investigations including CBC, THYROID FUNCTION TESTS, VITAMIN B12 LEVELS, etc. At present, you may have a mild analgesic like Advil for relief. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, When i was in High school i got typhiod and lost my hair, i used to have very thick hair until then, later i moved to a very hot place and hostel, hence lost even more, now i dont have even 30% of thickness of what i had before. its been years now,. is there a possibilty of regrowth?", "output": "Hi, As per your query you have symptoms of hair loss which seems to be due to compromised immunity of body, stress, systemic conditions, fungal infection, hormonal changes and improper hygiene. Need not worry. I would suggest you to - Do massage of hair scalp with olive oil on daily basis.- Take biotin capsules and eventually start with Finasteride preparations.- Take diet rich in supplements like vitamin A, Omega-3 and vitamin E.- Take protein rich diet and healthy food intake. If symptoms keep on persisting visit dermatologist once and get it examined and start treatment with antifungal medication. Go for blood tests to check any underlying systemic pathology. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My brothers mental condition is not alright since last ten years. He is now 34 years old. Weather it is depression or any other complex. It started all of a sudden before 10 years is is continued till now.But now he is very serious. He is throwing away things,burning clothes, does not want to stay at home, doesnt talk to us properly. Pls help me in this matter. I need ur kind and prompt advice and help. Waiting for ur suggestion.", "output": "He has a psychotic illness. A detailed assessment and evaluation is needed to plan a proper management. There are many treatment available for his help. He needs a detailed consultation and thereafter a long term treatment. Don't loose hope. Give me more details- Is it continuous illness for last 10 hearsay history of any other medical problems, addiction of alcohol or other Chat Doctor. His sleep. Interaction patternsDoes he suspect others. Does he talk to himself" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my mother has been in nursing home since 2004 with alzheimers. Has been on a feeding tube since late 2007 and now feeding tube isnt effective any more and steadly loosing weight. Hospice said today may be time to discontinue feedings. Does this seem towards the final stage?", "output": "Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. Unfortunately, the course of dementia is not very encouraging. It can be considered as a last stage. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had a burning sensation in my right upper chest and my right arm also feels slight numb. The pain started about a week ago and the arm started yesterday. Cant get in to the doctor until next week. The burning pain is really bothering me it is above my breast and goes towards my arm pit. I am a healthy 34 year old female.", "output": "Respected madam, hi I evaluated your query thoroughly. Clinically it's looking as of nonspecific neuralgia associated symptoms. Right now don't get stressed out or freaked and follow some very simple steps till you meet your doctor.* do regular deep breathing exercises and YOGA for 20-30 min daily which will help you improve your tissue oxygenation and symptomatic relief.* avoid stress* avoid smoking / tobacco consumption / alcohol beverages if at all consuming.* avoid much oily, spicy, nonveg stuffs temporarily.* take adequate sleep of 8 hours daily.* can take analgesic tablet after meals if more pain for and evening.* avoid heavy weight lifting with that hand and avoid pressurization under that shoulder while sleeping. Thanks for using Chat Doctor. Regards. Bye, take care. Wishing you a fast and speedy recovery from the same." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am experiencing lack of strength and soreness of my forearms from elbow to hands. very weak grip strength and pain in hands also. I have not had any injury and normally have very good strength. It just started about 3 months ago and is not going away", "output": "Answer: Hello, I have studied your case. I will advise MRI spine with nerve conduction studies to see for any nerve compression leading to weakness. Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain; you can take them consulting your treating doctor. You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case. I will advise checking your it B12 and it D3 level. If MRI shows disc compressing on nerve root then surgical decompression is permanent solution. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am experiencing acute chronic upper back pain in muscles from spine and around the ribs to under my arm. i have some arthritis in the area but normal everyday activity can trigger off pain . I have pain medication from doctor tramadol but it takes 4 hours to work. I may be pain free for ten minutes or hours or for days. the last 5 days seem be needing Medication every 4 hours but its not giving much relief. I don t know how much more of this pain my body can take. please advise on some stronger long term relief. R osalind", "output": "Hi, Tramadol is an opioid analgesic used to treat pain in rheumatoid arthritis. It can be used for long term, but there are higher chances of its physical dependence. In acute cases for immediate relief you can take NSAIDs. But for the long term relief other measures should be taken too like:Heat or ice to reduce pain and stiffness. Exercise to stretch and strengthen the muscles of your back, shoulders, and stomach. Physical therapy to help increase your flexibility, strength, and balance. Your physical therapist may teach you an exercise program, so you can do it at home. Massage to help reduce muscle tension and pain and improve blood flow. Steroid shots to help reduce swelling and relieve pressure on nerves and nerve roots. But there is little evidence showing that these shots can help control back pain. Do consider positive feedback as a credit to my work Let me know if you have any further questions." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 22 years old and I have a knot on my chest next to my left breast. I have had it for well over a year but sometimes when I do certain things it hurts. At first I thought it may be a calcuim deposit but then I wasnt sure if they form there. I am lactose in tolerate so I dont drink and eat milk products as I should. Also a little over a year ago I started drinking pop again. I drink way too much mountain dew and plan to stop drinking pop after the new year. I wasnt sure if this could have something to do with it or not.", "output": "Hi, Dear,Thanks for your query to Chat Doctor. Dear I read your query and reviewed it with context to your query facts. I understood your health concerns and feel Concerned about them. Based on the facts of your query, you seem to suffer from-? Fibrocystic Adenoid in axillary breast. Mostly from Mountain Dew, high content bromine intake. Some reports confirm correlation in these 2 and hence I would suggest you to stop pop which leads to Mountain Dew in your case. Hope this reply would help you to plan further treatment with your family and specialist doctors there. Take care and get healthy and avoid bad food to live long. Welcome for any further query in this regard. Good Day!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi , I have had a heart attack 3 weeks ago and 2 stents inserted and I am medicated with blood thinners and blood pressure to mention a few I am a 54 year old male , I still have one more stent to be inserted in a months time in the LAD which is approx. 90% blocked I am feeling quiet well and Mobil ,apart from the occasional chest pain whicChatDoctores and goes. My main concern is waiting that month, what would suggest.", "output": "From your history it is clear that you had a heart attack and stenting was done in infarct related artery, usually in setting of acute heart attack staging of procedure is done to reduce chances of complication and to give time to heart to get stabilized. So in your case second procedure of stenting in LAD is planned with such intention. However if you have chest pain though light in intensity but similar to heart attack pain, then you should go back to your cardiologist for early intervention, no need to wait.my best wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i suffer from copd since 3 years, a lot of calcification is observed in my lungs and i suffer from extreme breathlessness, i have been taking wysolone 30mg per day since 2months however i am becomimg more breathless everyday and my face is swelling can u please advise thank you", "output": "Thanks for your question on Chat Doctor. I can understand your concern. You are taking very high dose if oral steroid (cyclone) since long time (2 months). Oral steroids can cause facial edema. They can also damage kidneys and decrease urine output. So breathlessness and facial swelling are seen. End stage COPD can also cause similar symptoms by severe Pulmonary hypertension. So in my opinion, you should immediately consult pulmonologist and get done clinical examination of respiratory system, PUT (for severe of COPD), 2d echo (for severity of Pulmonary hypertension) and kidney function test. If possible, avoid oral steroids and increase the dose of inhaled corticosteroid (ICS). Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "About 10 days ago I went to the doctor because I was itching all over my body and developing a rash; they prescribed some anti-histamines. I still wake up with a rash and have just started getting itchy hands and feet at random times, sometimes with white bumps on my wrists. I also have smelly urine . What do you think I should do?", "output": "Hello, Your urticaria may have been triggered by a urinary tract infection, but if the symptoms of smelly urine has happened after the urticaria eruption it is generally due to either long acting antihistamines or steroids (occasionally given for bad urticaria) that tends to concentrate urine. Have plenty of water, get a urine dipstick or c/s studies and if there is evidence of an UTI, get antibiotics but continue the antihistamines until 4 weeks or at least a week after the infection has cleared as well as the itchy rash. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "im latha n 25 years old. n i hav regular periods. im trying 2 conceiving .doctor advisd me take 3 tablets of siphene 50mg for five days from the 5th day of my period. but i missed one day n continued on d next day. is it cause any problem? im so afraiding.plz advice.........?", "output": "Hi, it is okay. Just track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles. Be in contact with your husband for next 2 to 3 days after injection. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. You can try like that for 3 to 6 months. Hope I have answered your question. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 55 yo son has end-stage liver failure . He recently completed the medication regimen to eradicate his Hep-C, and last couple of lab results show no discernible trace of Hep C . He has an appointment at UAB on Tuesday for his three-day workup prior to being placed on the liver transplant list. He has continued to decline, suffers almost daily with nausea , lack of appetite , wasting. Today his thigh-high edematous legs began to weep. I have cleaned them well and wrapped them with absorbant gauze , and elevated them above the level of his heart. I will try in the morning to put on compression stockings after - hopefully - some of the swelling decreases. If I am unable to do so, should I wrap them with ACE bandages, and if so, what pattern, fig 8 or circle up? The trip to UAB is about 4 hrs. What precautions should I take when driving him there? Thanks so much - this is the hardest thing I ve had to do in my 76 years!", "output": "If compression bandage is not possible then you may use ACE bandage by lightly wrapping it to cover maximum area in circle. While travelling antisemitic may be given in advance. Liver transplant waiting sometimes very long and patients some times cannot wait so long. Mesenchymal Stem cell therapy may be used as a tool to pass time till liver transplant as this delays the progression of complete liver failure and improves quality of life." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello sir,this ram... actually i am suffering with nose problem since 15 days onwards by the cause of one day i used bud to remove dust. then after i am suffering with some problem in nose but actually i am using neospirin-h drop which is prescibed by one of the doctor... so let me inform some good hospitals for ent those are proving low cost service or free service....Thanks & Regardsram", "output": "Hello Ram, Thank you for asking at Chat Doctor. I went through your query and would like to make suggestions as follows:1. Were I treating you, I would suggest you regular montelukast and levocetirizine for at least 1 month.2. I would also suggest you allergy testing which will help you identify the substances you may be allergic to and also to know the measures to avoid them.3. In general, I would suggest you to avoid exposure to dusts, smokes and air pollution. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you best of the health. Thank you & Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doc. My son was bitten by our dog last november. He is vaccinated by 5 dose of anti rabies. His last vaccination was just this year january. And he is bitten again yesterday. Do he really need to be vaccinated again? By the way, our dog is also vaccinated for anti rabies. Thanks", "output": "Hello Dear. To be on safer side I would advise you to get your son vaccinated again. But it depends on the severity of wound. If it is just minor abrasions then just 2 booster doses on 0 and 3rd day is enough. If the wound is severe or in sites like head, face, neck etc. then the entire course should be repeated. Some doctors may suggest just a Tetanus injection, and ask you to watch the dog for ten days. If there are any signs of madness in the dog in the course of ten days then report immediately and get vaccinated. Otherwise, just a tetanus is enough. This may be the view of some doctors in case you are very sure that the pet dog doe snot have symptoms of rabies and its vaccinated. But still there is a minor chance of risk. Why to take even the slightest risk? Because once if a person contracts rabies then mortality is 100%.Hence, you can contact a physician and let him assess the severity of wound and in case it is a minor wound just ask your son to take 2 booster doses on 0 and 3rd day. Though the immunity lasts for 2 to 10 years but still it is advisable to take booster dose of rabies irrespective of the interval between the previous full course of vaccination, because we don't want to take risk with rabies. Hope I have answered your question. Feel free to contact me if you have any more questions. I'll be glad to help you. All the besting warm regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im 52 year old last period was 12/6 was thinking possibly beginning of menopause did urine for pregnancy positive then ran quanitative ChatDoctor 45343 (I am a nurse did it at the lab in the hospital I work at) I have some cramping and spotting (brown) for the past 2 to 3", "output": "Hi there, I have understood your concern. I will suggest you the best possible treatment options. As your have mentioned that beta Chat Doctor is in higher range, I will suggest you to get USG done. This will confirm the gestational age and viability of pregnancy. If you are keen on to continue with the pregnancy then please discuss the risks involved with your treating gynecologist. You can also opt for termination of pregnancy with medicines safely till 9 weeks of pregnancy under medical supervision. I hope this answer helps you. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have fitted merina hormonal coil in jan 2011 but i never feel the coil and initially had periods twice a months, then slowly turns to a very lightre periods but i am feeling very feverish a week before my every monthly periods. since I have inserted merina coil I have big tummy and swings moods. I decided to remove the coil as i feel may be it is not suitable to my body, but i was surprised when the head nurse at Gp surgery told me today she cant fint the string and that why she arrange a scan for me in the hospital. my question is these days i have periods like sympoms but its just spotting/very lighter. the nurse told me may be the coil drop in the toilet, but how is it possible if there is no coil and I am not pregnant as I cant assume I had sex only in the safe nights or days. so if i am not feeling sick or spotting every month, what are the chances of pregnancy", "output": "HelloThanks for your query. It is not necessary to get pregnant every time with unprotected sex. So even in the coil fell out, getting pregnant is not the norm. Secondly the coil might just have moved upwards in the uterine cavity, and that is why the string might not be visible or palpable. If you are not having irregular periods or symptoms, chances of pregnancy are very low. Only a scan will tell you if the coil is actually in position. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a black eye starting on the upper eyelid in the corner by my nose. There is no trauma, no apparent reason. I do have allergies but other medical problems. The area is a little sore and eye seems to be watering but vision is fine. Should I have it looked at by a doctor?", "output": "Hello, Welcome to ChatDoctorBlack eyes usually is the result of blunt trauma that causes bleeding beneath the thin eyelid skin, producing the characteristic blue-black discoloration. A fracture deep inside the skull can also cause black eyes to both eyes. People with sinusitis from allergies sometimes get \"allergic shiners\", darkening under the eyes caused by inflamed and engorged blood vessels. Since you have history of allergies. You might have got this black eye, probably. But I would still suggest you to consult your physician and undergo physical examination for confirmation of diagnosis. Hope you are happy with the answer. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 9yr old son was experiencing slight chest pains while in class. We brought him to the emergency room and the Dr. asked about a heart murmur. He sees his pediatrician regularly and has never said anything about a murmur. We are trying to get an appointment with a Cardiologist right now to see what is going on. Should he be experiencing chest pains? The ER DR. didn t seem very concerned about it, but should we be?", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion, it seems nothing serious for your sons' chest pain. But better to rule out congenital heart disease as a cause for his chest pain. So consult pediatric cardiologist and get done1. ECG2. 2d photo rule out congenital heart disease. If both of the above tests are normal then no need to worry much for cardiac cause. Do don't worry much for his chest pain. But better to rule out cardiac cause." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello I used to suffer from panic attacks in the past and was prescribed Fluoxitine. That sorted the problem out :Its now a couple of years later and I have since emigrated to another country and life is quite tricky and hard and I feel I am getting bogged down with stress daily again. I wonder if I could order myself some more Fluoxitine online and start taking it again ? Cheers", "output": "Hello and welcome to Chat Doctor. Thanks for your query. I understand that you are going through a difficult time due to your stress-related problems. Now, stress is well known to trigger anxiety / panic attacks and this is probably the reason for the re-emergence of your symptoms. Panic attacks can be treated with medication (like SSRIs) as well as psychological therapy like CBT. I would advise you to consult a psychiatrist in your place for detailed evaluation and to decide on the type of treatment that would be best suited for you. Wish you all the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my daughter age 15 had swelling in pancreas and later we found that she had sludge in gall . we admitted her to hospital the discharge her after giving some anti biotic and some pain killer injection, and they said after swelling is gone we will remove gall by surgery. Now she feel pain almost 24 hours sometime it reduces with painkiller sometime it is very high. she dont feel like eating and cant digest also. now she started talking other medicine of gastro doctor but no releif yet. what we should do.", "output": "Hello It seems your daughter is suffering from gall bladder stone induced pancreatitis. Though surgery is indicated for this condition as the cause for pancreatitis are gall stones, one needs to investigate properly as gallbladder stones are not very common in teenagers. In pancreatitis, it gets difficult for the body to digest food and the patient suffers from pain. You need to avoid giving anything oily or rich in fat to your daughter. Encourage her to take non-spicy food and lots of fluids. Avoid keeping her hungry for long, encourage her to take small frequent meals like 5 times a day. After proper blood investigations to rule out any other cause for gallbladder stones you should opt for surgery. Wishing her a speedy recoveryRegards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have headaches that are very painful. I have had an MRA & the doctors have said all is normal. I m on high blood pressure medicine & the doctor added another medication Metropolol for the headaches which seemed to help some, but I still get them sometimes out of the blue but especially when I cough, sneeze or laugh hard. When I feel a cough or a sneeze coming on I get very apprehensive cause I know it will hurt. I ve also had my neck scanned & been told 4 years ago that I needed to have vertebraes removed and/or fused together due to my spinal cord is not totally protected with spinal fluid as it should be & if I have an accident I could become paralyzed. my question is can too much or lack of seritonin or cerebral fluid cause headaches?", "output": "Hi, Thanks for writing in. The attacks of e during laughing or sneezing is due to the problem with cervical spine vertebrae. There is probably a pressure over the cerebellar tonsils region or spinal cord and this needs to be discussed in detail with your neurosurgeon. Pressure in the brain is called intracranial pressure. This pressure is different from blood pressure but complications due to high blood pressure can cause raised intracranial pressure. The intracranial pressure depends on the flow of cerebrospinal fluid which is surrounding the brain and spinal cord from every side. Increase in intracranial pressure can be due to brain swelling, bleeding within the brain, tumors inside the head and infections causing block of cerebrospinal fluid flow. Metoprolol need not necessarily cause increased intracranial pressure. Please discuss with your neurologist." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello there, my son is 7 and has a long history of food intolerances and allergies. He is anaphylactic to cashew nuts, but is also allergic to other tree nuts. He has allergies to eggs, dairy and wheat as well. He has had severe and ongoing tummy pain for about 3 months now. We have had many investigations. we found that he had giardia which was treated with antibiotic, but there was no improvement. He then had other tests and ultrasound scans of tummy and pelvis which did not show up anything. He then had an x-ray which showed that his entire colon was impacted and he was severely constipated. Our paediatrician told us to give him osmolax 2 scoops, 3 times a day until he had diarrhoea for 4 days and then have a repeat x-ray which we did. He was still impacted. He has just spent 4 days in hospital last week having a bowel washout. He has had another x-ray and is now clear, however he is still sick. There has been no improvement and he is still suffering from the same tummy pain. What should we do next? Concerned Mum", "output": "Hi....the pain due to constipation can be chronic and take a very long time to settle. I do not think you should do anything more regarding investigation as the cause for this chronic pain abdomen is already known. The best way to deal with constipation is prevention rather than treatment. In future, I suggest restricting total milk intake to 300ml per day, eat a full cup of fruits daily especially more of papaya, to Chat Doctor. This is the natural and best way to prevent constipation. Regarding paint may take 2-3 weeks to completely settle and the recurrence of pain can be prevented only by preventing constipation. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,I had laproscopic surgery to remove left fallopian tube and two cyst right and tube. I still have lower back pain it has been two months since surgery. I thought having the cysts out will give me relieve still have sharp and dull pain in my lower back and hip. Is this normal? Will I get better soon cant stand too long or sit or laydown for a long time?I thought it was because I was lithotomy positon for long time during surgery?", "output": "HelloThanks for writing to us with your health concern. Yes, prolonged lithotomy position can cause back pain later. However, laparoscopic surgery has lesser incidence of post-operative back pain, because spinal anesthesia is not given for the same. Please consult an Orthopedic surgeon. You might be taught physiotherapy and postural stretching exercises to alleviate back pain.Also, mild painkillers might be temporarily taken. Imaging should be done to rule out any actual lesions - prolapsed disc, disc swelling etc. Get your calcium and vitamin D levels checked - deficiency can cause back pain. Do not delay investigation and treatment for long, Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, my name is Meagan and I m not sure if this site is real legit or not. This is my first time on here and I was wondering if you could help me figure out whats going on with my hand. I have this very painful, swollen and weird lump on my knuckle. my middle finger and ring finger can barely move without my whole hand hurting. This has been going on about three days now and it is getting worse and more painful. So i was wondering if you knew what this might be? Please and thank you!", "output": "Hi Meagan, Thanks for your query. This site is indeed legit and meant to serve all your health queries. Now coming to your question, you could be suffering from Webspace infection. You need to take analgesic, antibiotics (penicillin group) and hot fomentation. Please check your blood for fasting sugar level and total WBC count. If your condition improves by this, then please continue the treatment for 7 days. In case, if the swelling persists, then you would require an incision and Chat Doctor. Use arm sling while sitting/standing for the effected arm, and do try to avoid free hanging of the effected limb. Take care and wishing you a rapid recovery" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Ive been on Nebido injections for the past 6 months as I was put on them by my consultant as he said Id never gone through puberty properly because of low testosterone. So basically my question is how long will all the changes take? Its just Ive met somebody recently but Ive always been very reluctant to get into a relationship as I wouldnt be able to have sex/get an errection. So I was wondering how long does it take till I can start getting erections and engaging in intercourse", "output": "Hi greetings. I understand your concern. Since your consultant told you that without testosterone injection you will not reach puberty meaning, either your testis is not producing enough testosterone or there is inadequate stimulus from your pituitary gland to the testis. Now I have no idea of your age, present hormonal status and your body stature.(I mean your hair pattern and size of the Penis etc.).IF TESTOSTERONE IS NOT PRODUCED IN YOUR BODY YOU WILL NEED THIS FOR A LONG TIME TILL YOU HAVE TO BE ACTIVE IN SEX. It depends up on the dose, and it is calculated as per your hormonal levels. It is safe, and you will be able to have normal sex. So don't worry about it and to know about your present stage discuss with your doctor as I have no access to examine you. Hope my answer helps you. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I did my kidney transplant a month back. I hd leg edema and scrtal swelling from day one to two weeks post op day .In the last one week i have noticed a painless,non hot non tender sweelling of the rt testis. i have no problem in micturation .What will be the cause and how can i get treated?I am 50 yrs old, 1.67cm in hight. dibetic for the last 15 yrs on insulin,hypertensive for 4 years controlled after transplant. I am taking cyclosporin,cellcept,predinsolone", "output": "HelloThanks for query.swelling of the testicle that you have after renal transplant surgery is due to retrograde secondary infection of the Testis (Orchids) due to catheterization, Get urine culture done to trace out causative organisms and take appropriate antibiotics as per culture report. You need to continue antibiotics and anti-inflammatory medications like Serropeptidase twice daily for 2-3 weeks. Ensure to Chat Doctor. This will get resolved soon." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My father age 60 was hit by a massive brain haemorrhage on 31-12-2012. Since then he has been in paralyzed state.he is unable to move his right side.we have tried many medicines but nothing worked.which amway product or any other medicine should be given to him?", "output": "Hello! I read your question carefully and understand your concern. I am sorry for your father. Unfortunately there is no effective medication in this situation. The best treatment would be physiotherapy which helps move his paralyzed limbs and relieve the stiffness. Another treatment I would recommend is a good anti hypertension therapy, in order to obtain a normal blood pressure. This would prevent a second hemorrhage which would be devastating. A low salt diet is necessary to maintain a normal blood pressure. For the speech problems looped is very helpful. Thank you for using Chat Doctor! Best wishes!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter is suffering from fever since 25th June. She is 6 years old and 20 kg in weight. I am Pharmacy post graduate and initially I start administering Paracetamol + Ibuprofen suspension along with Cefixim tab [100mg] Fever was continuing throught day and night and every 4 hrs I am administered Para + Ibu. suspension. Since there was no improvement I have taken her to my family pediatrician [M.D-Pediatrics-with 30 years of service] He diagnosed it to be the viral fever and changed the antibiotics to ROXITHROMICIN [100 mg-morning 1 and night 1 tab] + Paracetamol tab. -375 mg once 6 hourly. But fever keep coming [with rare cougChatDoctorplain of headache -no vomiting/diarrhea/rashes/running nose] and every 6 hourly I was administering Para. tab. Even after 3 days [Fever started on 25th; continued till 29th] once again we consulted the same paediatrician and he said to continue for 2 more days. Today[30-6-2011] early morning fever came[100 F] on 2.15 am we administered paracetamol 375 mg and after 10 hours of gap again fever came on 12.15pm [99.8 F] again we administered one more dose of paracetamol. Till now fever didn t turn up [Apart from paracetamol we also administering ROXITHROMICIN [100 mg-morning 1 and night 1 tab] my daughter is active except during fever time and she took bit less food than her regular amount. Is it is viral fever? What should I do? Pls. through some light Sincerely Dr. N.Anbalagan M. Pharm., Ph.D", "output": "His if the child is well in interfebrile period, if so most likely it is viral fever. Then you will need to give symptomatic treatment in form of paracetamol, and tepid sponging with tap water. Tepid sponging: sponge whole body including tummy and back with tap water. Sponging just before giving paracetamol helps in keeping temperature down for a longer duration. Keep him well HY Chat Doctor. Give him warm liquid to " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Sir,My husband is recovering from Hepatitis A or E infection. It has been almost 4 weeks now since the symptoms started with fever and body ache etc. He is much better now. Can he have boiled eggs ? He is away in Hong Kong for now, and getting other non spicy non oily food is not easy. Thanks.", "output": "Dear Friend. Hi, I am Chat Doctor, I have read your query in detail, I understand your concern. Yes, he can eat boiled eggs provided consciousness level is normal. If there is Hepatitis a person can be in hepatic encephalopathy where high protein diet is not recommended. If sensorial is fine, there is no problem in eating boiled eggs. This is my personal opinion based on details available here. If you still have any query you may please ask me. Stay Healthy. Chat Doctor, MD" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi My Mum, aged 76, has cancer of the oesophagus. She was diagnosed in August and has since received chemotherapy, radiotherapy and had a stent fitted in November because she couldn t swallow food anymore. The Consultant told us in february that the cancer had not spread and that it had not grown but Mum was still very weak - nowhere near as good as the Consultant expected. She has spent 5 weeks in hospital and now 2 weekes in a hospice as an interim towards going home again - during most of this time she has had a chest infection and activity and talking have caused her to cough - very exhausting. She has improved but now she is coughing up and being sick with clear phlegm - often in bubbles. This happens when she eats and sometimes even when she isn t eating. She is now drinking special drinks for energy / protein etc. We have seen Mum do this being sick with phlegm before - just before she had the stent fitted. I wondered if the stent had become blocked or moved but the doctor says that if Mum is able to drink then the stent must still be ok. Do you know what could be causing this for Mum? The hospice are talking about sending her home soon and I don t see how she s going to manage if this continues. Thank you very much.", "output": "Hello rearward welcome to Chat Doctor.come have evaluated your query for mother in details .* There are multiple reasons for this condition as - low immunity predisposing to recurrent respiratory infection - infection in stent itself - bronchitis or other lung issue - spread of malignancy - radiation induced residual effects * Needs work up with x-ray , necessary lab test of sputum, blood for precise cause evaluation and management accordingly. Wishing her fine recovery. Feel free to ask any further doubts. Regards ." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, Im dealing with Hemoroid problems, and was dealing with the pain for at least 4-5 months, and was wondering what steps is needed because I changed my diet to more fiber, was told to take Miralax, and Prepotaion H ....so I surgery or lancing it needed???", "output": "HAI. Surgery is the last resort, but still u had to be specific with many precautions, reoccurrence and other problems. Diet control, high fibrous diet, avoiding spicy foods&constipation. U can continue with Malakand other too. Meet your surgeon for regular follow-ups, with your blood check also. If bleeding is recurrent and too much, then u can opt for surgery. Control your weight, nonveg diet, distress ourself, change your lifestyle. Don't worry.God luck" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am taking pcod treatment for last 3 months, but i want to ealy pregnancy it is possible. how long i have to take this treatment. taking Metformin folic acid tablets. my period due also 6 days over but i take ChatDoctor test it will come nega result. when can i take this test again pls help me", "output": "Hi, I think you should repeat a test after a week. If still negative, you can take some medicines for inducing periods. If positive consult a doctor. If your periods are irregular, you may need some medicines for ovulation. You can track your ovulation by ultrasound or by ovulation detection kits. Be in contact with your husband every 2 to 3 days after your periods stop. Hope I have answered your question. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Help...I am concerned with the quantity of prescribed drugs my 48 year old daughter is taking. If I list those drugs (10) several for the same thing, will you give me your opinion ? She has become confused, sleeping too much, dizzy, loses her balance, memory loss.....thank you, a very concerned mom...I didnt realize I had to pay for an answer...I dont have the money..I am on social security..sorry, I wasted your time..", "output": "Hi.First, you won't have to pay Chat Doctor for asking questions at the public forum, so rest assured. You have not mentioned the names of the medicines your daughter is on. If they are psychiatric medicines, a number of them might cause Chat Doctor. More severe side effects might also occur. Please consult the psychiatrist (in case she is on psychiatric medicines) regarding these side effects and consider the possibility of dose adjustment with him/her. Hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, my grandfather was diagnosed with stage IV-b pancreatic cancer with 9 confirmed cancer spots on his liver about 3 weeks ago. He started a combination of chemotheropies today (not sure which ones exactly) and is apart of a clinical trial using BBI608. He has also been to be upgraded to morphine for the pain as other drugs were not helping. My main concern is I feel his current doctor is misleading them into believing this can be sent into remission and beat. From all the research I have done it seems he is in a worst case possible scenario. I know the best thing any of us can do for him right now is stay possitive and I understand that, but I also think a patient should be fully informed of their situation. My question is basically how long would you give a person to live given this information? Most of my family thinks he can still make it another 5-15 years but I know thats highly unlikely and I don t want my family to be blindsided by him passing in the next 3-6 months. Any information would be greatly appreciated, I just want to know if I m misunderstanding something or if this doctors possitive attitude has unintentionally given my family a sense of false hope. Thank you for your time. Randall", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. Stage 4B pancreatic cancer is very notorious in spread as well as prognosis. Life expectancy is less than 2 years. With hepatic metastases it will further decline to less than 1 year. And treating doctor is giving him palliative care, which is right thing. But you have to ask prognosis in detail. And by no means life expectancy is 10-15 years." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi dr, my husband has several gall stones ranging 12mm and liver is in normal size, pancreas and major abdominal vessels, spleen and both kidneys appear unremarkable. doctor is saying gall bladder has to be removed as soon as possible.. Just wondering is there any other alternative to flush out the stones naturally???", "output": "HI, and thank you for asking us on Chat Doctor! I read carefully the concerns and your husbands medical history. There are different opinions between doctors about how to be treated gallbladder stones. If they don't cause any problem, might not be necessary to be removed, and they can be followed by ultrasound regularly. But if they cause symptoms like pain, fever, vomits etc., which indicate for gallbladder infection, than the best choice is the surgery for removing the stones or the gallbladder too. I suggest you to do routine check-up to your treating doctor. Best regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had an upper resp. infection a few weeks ago which seems to have improved. Now I have a deep cough (meaning that I have to keep coughing and pretty hard for the sensation to stop) that gets really bad when I lie down. Now my head is beginning to hurt when I cough as well. I dont have any more congestion or a runny nose. I do still cough up gunk though.", "output": "Hello rearward welcome to Chat Doctor.come have evaluated your query thoroughly.* This is in relation with respiratory congestion from bacterial or viral infection.* Suggestions for better recovery.- Chat Doctor. - Gargles with salted lukewarm water and added peppermint oil 3 times a day.- Avoid exposure to pollen or dusty environment.- Use face mask liberally when needed.- Lesson pearls, tab. Tylenol (500) mg for symptomatic relief.- Avoid smoking in any form. Hope this will help you for sure. Welcome for further queries. Regards dear take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I recently had a lft alt level of 77 and serum gt level of 68. Since these are in excess of normal ranges, how high do they represent a problem with liver. Eg are there various upper ranges such as 45-100 = mild fatty liver etc. I am also insulin resistant have pcos and may be pre diabetic. All the signs of fatty liver disease.", "output": "HelloFindings suggest raised ALT and GGT level. Increased ALT and GGT may indicate liver injury. It may be due to many reasons like hepatitis, alcohol intake, altered lipid profile, medicines,autoimmune causes etc. You may need few more investigations like routine hologram, random blood sugar, lipid profile, urine RE/ME. I suggest tablet ursodeoxycholic acid 300 mg twice daily for three months to my patients. It helps in regeneration of liver cells. You should avoid saturated fat and go for brisk walk regularly. Avoid alcohol if you take it. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, My problem is that I feel distracted, and I cannot focus on one thing, especially studying even though I used to study 5 hours a day. Sometimes, even though there is nothing in my mind, I feel there is like a wall that keeps me from focusing studying. I was diagnosed with ADD last year. I also was diagnosed with depression and anxiety . I started by taking Adderall , Klonopin , and a medication for anxiety that causes sleepiness. I felt much better, and I could concntrate easily at that time. However, I started sleeping 14 hours a day, so my psychiatrist stopped both Adderall and decreased the dosage ofthe other medication that I don t know its name. She then gave me Concerta and abilify in addition to Klonopin. I felt as good as I was, and could easily concentrate. However, the same problem with sleeping came again. At that time, she stopped the medication that I don t remember its name and Concerta. She gave me wellbutrin and strattera . She gave me a low dose of strattera, and was planning to increase it later. After a month, I moved to a new city, and I told my psychiatrist that since I started using strattera, I didn t feel any improvement, so she stopped it. Since that time, about six month ago, my new psychiatrist has changed the dosage of each medication except wellbutrin. She said that I might not have ADD, but anxiety and depression are causing it, so she haven t gave me any ADD medication. She also says that medications conflict with each other. My concentration has not improved since that time, and sometimes, it decreased. I actually think that what I have is ADD and it makes me worried becuase I cannot study. I feel like I don t have anxiety or depression. How can I know if I have ADD or not? Do I need to find a new psychiatrist ? since my current psychiatrist has not helped me for 6 months. Please, help me. I am having hard time studying, and I am worried about my future. Thanks", "output": "Hello asab92ADD or in simple Hyperkinetic disorder is a constellation of symptoms of Inattention, hyperactivity and impulsivity. ADD is a childhood psychiatric disorder. Usually in simple terms it is said that child with ADD is said to be on foot only, he can't sit still and usually can't wait for turn. But as you have mentioned that you were able to study even continuously for 5 hrs, and you are complaining of inattention so as per my opinion we can think of other possibility as-- as inattention may be a manifestation of depression, in depression individual fails to focus on one thing and usually have other features like decreased interest, energy and low mood.- as a part of anxiety disorder, in severe anxiety states there may be inattention. So try to consult with doctor about this possibility also. Hope I cleared your doubt. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi My blood pressure has been really high this week 153/109 I m not feeling well, have a headache and like a Charly horse in my right upper side of my chest area I feel exhausted like I should be in bed, but then can t sleep Should I go to the er? I have a primary care appt next week", "output": "Hello! Welcome and thank you for asking on Chat Doctor! I read carefully your question and understand your concern. It is important performing a complete check-up to find out the possible cause of your symptomatology. As your clinical situation has been like this for a week, and you are still with the same symptoms, I think that you should wait for an appointment with your doctor until the next week. But if your clinical situation worsens (especially with chest pain or shortness of breath) you should go to the ER to perform a resting ECG and cardiac enzymes to exclude possible acute coronary syn Chat Doctor. It is important performing also other tests by your GP to find out the possible cause of this clinical scenario: - chest X-ray study- a cardiac ultrasound-blood lab tests (complete blood count, PCR, sedimentation rate, thyroid hormone levels, fasting glucose, kidney and liver function tests). You should closely monitor your blood pressure several times during the day and refer those values to your attending physician. An antihypertensive therapy should be started if your blood pressure stays most of the time at these levels. Meanwhile, I would recommend avoiding salt and caffeine intake with food and straining physical activity. Hope to have been helpful! Best wishes!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Doc, I was diagnosed with a cycst in my right ovary and also endometeriosis , I was prescribed a birth control pill border e for 2 months , my ovary cyst was gone in right one but again developed in the left , finally I was prescibed Diane 35and chrominac A my three month course is completed , What are my chances of conceiving now , I am trying for a second child my elder one is 10 and I am 35 years of age", "output": "Hi, Cysts in the ovary do not pose a very big problem for conception unless they are multiple or large; cysts due to endometriosis and polycystic ovarian disease may cause infertility. Your chances of conception depend on the ability to ovulate, normal tubal function and uterine response. If everything is normal, you stand pretty good chances of getting pregnant. You should get instructions from your doctor as to the need for induction and further follow up and follow the treatment carefully and with patience. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter has had a fever that has gone up and down all day. It was high a bit ago, and as it started to go down, she is laughing. For no reason. She woke up half laughing, half crying, and now it s just laughing on and off. Is this caused by the fever? Can I wait til morning to see a dr?", "output": "Hello, If this is the first episode of laughing and crying spell, altered consciousness, etc., triggered by high fever then you need to consult your pediatrician as early as possible. If your child has repeated bouts of laughing or crying for no apparent reason going on over weeks then there might be possibility of autism or other behavioral disorder. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have a bad cold which aggravated my asthma. i have taken a lot of prednisolone and inhalers and still feel bad. i have a lot of pain across my abdomen now and it is swolen - i need to cough but its so painful that erverytim i cry. i dont know what else to do", "output": "HI, thanks for using Chat Doctor Persistent coughing can cause chest or abdominal discomfort. If the coughing is persisting despite the use of your inhalers, it is possible that you need to see your doctor because you may need to be nebulized. This would be more effective than the use of your inhalers, sometimes these are not enough to resolve acute asthmatic event. You should consider visiting your doctor as soon as possible for an evaluation. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "dr.mam we have no childern yet after 6th year of our marriage, we have already advise by our specialists & many tests are made , there is noting complicacy in our body, we are now continueing medicines like, Ebxid, B long F, Lutozole & HMG injs. kindly advise us for further step.Deepak MohantyBonaikela, JodaDist: Keonjhar, Orissa-758038Mob-0000", "output": "Dear Deepak, I can understand your apprehension on the infertility issue. In fact, you should have asked this question as a premier question where you could have uploaded all your reports for our review before advice. Even now I will urge you to ask a direct question to me or premium question ad Chat Doctor. Currently, since you have mentioned that there is nothing abnormal in both of you, and you fulfil the required criteria for fertilization, I would advise you to follow the following ordeal: 1. Please subject your wife routinely for ovulation monitoring to locate the day of egg formation (ovulation).2. Usually the ovulation takes place after the follicle has attained the size of 18+ mm.3. Base on the size of the ovulation, plan your intercourse around this day. Try to have it at least on alternate days. Give such a trial for 3-6 cycles. 4. If this does not work, you may require Chat Doctor support. Please consult your Gynecologist for that.5. If still this does not work, you may go for intrauterine semen instillation (with advice of your Gynecologist only).6. Otherwise, you may have to think of Artificial Reproduction Technique. I know I have given you a broad general outline of the plan. If you share with me you're all the reports and then answer my some questions based on the reports and your history, I can specify the advice to a narrow options. Wishing you a success and happy parenthood." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son was at a wrestling match yesterday and got hit in the penis. We saw him holding it during the rest of his matches but said he was fine. Today he is complaining of pain and keeps trying to pee but barely any urine comes out. He also said he has pain in his shaft but no bruising or swelling. Shaft is a little red but he is also grabbing if a lot. Any idea what could be wrong?Thank you,Courtney", "output": "Hi and thank you so much for this query. I am so sorry to hear about this problem your son has. Most likely, there has been inflammation of the penis that has obstructed the opening of the urethra. This has certainly caused obstruction that prevents him for being able to urinate freely. The urethra is a very sensitive organ that needs t be ad Chat Doctor. I will like that you seek for medical consultation. Also, if he had just any blood " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi! i had 2-3 IUIs in last 6 months. but didnt conceive. So my doctor asked me to break for 3-4 months. So i stopped taking medicines also. The just after i stopped taking medicine, i didnt get periods in the next month. its almost 7-8 days above the actual date. So, is there any problem?", "output": "Hi, Thanks for writing to Chat Doctor. After ovulation induction for 3 to 4 times your ovulation problem might have solved, and you could have ovulated normally. There are likely chance you could have conceived. So I suggest you to do urine pregnancy test now and after one week. If it is positive well and good. Otherwise, take tablets for with Chat Doctor. It is better to have regular menstrual cycle.Sometimes with so many hormonal intake cycles may be delayed. Don't worry. Hope I have been helpful. Regards " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am a 51 year old lady, who has heirnated disc, I have started physio at the hospital and my back pain seems to have subsided so is not as painful, but now I have pain on the bottom of my heel/ arch, hobbling around like some old women! (Been told by physio it neves and got excises to do). Just wondered if I can get any pain relief, shouldn t take ibuprofen as I also have Crohn!My other issue is about three years ago I had my carpool tunnelling done on my right hand and at the time I had a bit of a trigger finger, last year was re referred back to consultan, long story cut short eventually gave me an injection which was great, he left a appointment for me three months later, which I cancelled because everything was ok, which was last September! Then it came back with a vengeance! I went back to Gp in December and he has now sent me to a Rumatologis but the first appointment is not till the 27th February, and I don t know what to do with the pain! Worse in the mornings as I can t even bend mid knuckle to joint knuckle doses get a bit better during day, but opening and closing hand u can see that their is something stopping it opening smoothly like the others or how it should be! Any advise would be appreciated as both issues are affect my every day life! If don t work I don t get paid! Thanks you Sara", "output": "Dear patient you have got two conditions 1. Trigger finger 2. Plantar fasciitis. For trigger finger you need to take tab paracetamol 500 mg thrice a day for pain relief. Do hot water fomenting with water bag. If not relieved local steroid injection is very helpful. For plantar fasciitis Do ankle stretching exercises, wear soft cushion heel both sides, do hot water fomenting. If not relieved Local steroid injection gives complete relief in almost all cases. Tablet paracetamol also works for plantar fasciitis. If both conditions are significantly hampering with work please consult your orthopedic surgeon as soon as possible." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was sitting here watching tv and i felt my heart beating irregular i felt my pulse and it was as if my heart would beat twice then pause then twice and pause. It has since then returned to normal I just recently saw my doctor for palpatations that have been lasting for weeks the attempted to put me on beta blockers and told me my heart was fine after the ekg i am 24 years old quit smoking and drinking overweight am i going to have a heart attack?", "output": "Hello, Likely, these are PCs (Ventricular Premature Complexes). Most the times, these are benign and not dangerous. However, you should get one Holder to confirm the diagnosis. You should also get echo done to rule out the possibility of cardiac illness. You are unlikely to get heart attack. These are increased by smoking, excessive alcohol intake, excessive thyroid hormone levels, caffeine et cetera. So, overall, likelihood of serious issues is less but needs to be evaluated. The treatment for this is beta blockers like tablet Metoprolol XR once a day, dose to be increased gradually. So, you should get this prescribed. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my son is 7 1/2 year old. He frequently gets cold and cough so our doctor told us to go for adenoidectomy since it is affecting his tonsils. His adenoids are enlarged. whenever he gets cold, he breaths thrgh his mouth and cough disturbs his sleep. pls advice", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query your son has symptoms of cold and cough which is due to allergic reaction or due to repeated viral respiratory tract infections due to enlarged adenoids. Need not worry. I would suggest you to take combination of antihistamine and antibiotic Chat Doctor. Use vaporizers rub. Use room humidifiers as well to prevent any allergic reaction to child. You should take antihistamine such as Ben" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hey, I have really bad shooting back pains now and then throughout the day, and a very bad chesty cough that hurts quite badly. I coughed up a little bit of blood this morning. I am very worried and have been looking on the internet. The symptoms sound like phenomia or bronchitus?", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have symptoms of coughing up of blood which seems to be due to upper respiratory tract infection leading to bronchitis/ granular pharyngitis. Need not worry. I would suggest you to do warm saline gargles and take steam twice a day. Avoid use of sharp and spicy food substances. Avoid cold carbonated beverages. Your symptoms will resolve in 1 week. If symptoms keep son persisting you should consult ENT specialist and take proper treatment. You should get X-ray chest done along with pulmonary function tests. Doctor may prescribe antibiotics amoxicillin for at least for 5 days along with decongestant. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "been sick for last 8 days, severe chest pains at night, flu like symptoms for example throat feels swollen making it seem harder to breathe, fatigued, loss of appetite, feeling dehydrated, left wrist is extremely sore, muscular aches and pain and lack of energy, severe headaches and a cough but that more seems as a result of breathing difficulties. I have constant high blood pressure and a first degree heart blockage, not sure if that has anything to do with it. I have a family history of heart disease and heart attacks strokes on early thirties and Im 39 years old and 165cm tall and 86 kilos", "output": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of viral upper respiratory tract infection (URI) is more. And chest pain is mostly due to musculoskeletal pain. But since you are having strong family history of heart attacks and stroke, better to first rule out heart diseases for your chest pain. So get done ECG and 2d echo. If both these are normal then no need to worry about heart diseases. Take antihistamine and anti-inflammatory Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been experiecing pain on my left hip and buttocks that extends down my leg and had steroid injections in August that helped until Janurar now I am having pain in my lower back and up to my mid back. this pain is extreamly worse at night when trying to sleep and now when I have been on my feet all day. Any clue whats going on?", "output": "Hi and thanks for your questions, what you are describing is classical polyarthritis. This could mist of the time be of hematologic origin. Autoimmune diseases like rheumatoid arthritis, systemic lupus erythematous are generally implicated. Conditions like polymyalgia rheumatic must also be excluded. Laboratory exams including the rheumatoid factor, erythrocyte sedimentation rate, C reactive protein, Anti-Nuclear Antibody measure, CANCA and panda are usually of diagnostic importance. X-rays at times could be important too. Consult a rheumatologist for a comprehensive and appropriate care. Thanks and best regards, Luchuo, MD." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Am 20 years old and am having night blindness . I have checked with many doctors but they said there is no prevention for this. what to do? can you pls tel me is there any way to correct this problem or to reduce eye sight with medicine or by doing surgeries?", "output": "Hello Fairbanks for your query. There are multiple causes of night blindness like -- Retinitis pigmentosa Gucci disease pathological myopia peripheral cortical cataract refractive surgery (LAST, photorefractive keratectomy, radial keratome) Sorry funds dystrophy vitamin A deficiency You must get a check-up from a good ophthalmologist and identify the underlying cause. Have It A supplements because It A deficiency is a common cause of night blindness. Hope this helps. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doctor I m suffering from acne on my nose from last 12 yrs . i am applying clindamycin gel and metrogyl but it doesn t help me . May be it is rosacea on my nose but i.m too much fed up. my nose become red with bumps on it. someone suggest me erytop a .and i have also gone thru laser treatment. pls suggest me what to do.", "output": "Hi, Welcome to Chat Doctor, Following Lifestyle changes will be helpful:- Take nutritious & balanced fiber rich diet, sleep for 8 hours daily and Chat Doctor. Never pick or squeeze pimples. Acne treatment is focused on (1) to unclog pores, (2) to kill bacteria, and (3) to minimize oil. Wash your face twice daily with a mild cleansing soap or liquid. It will keep your skin clean and minimize sensitivity and irritation or cleanse twice daily with a 5% benzoyl peroxide wash. An alternative for those who are allergic to benzoyl peroxide is 2% salicylic acid. A variety of mild peeling agents (scrubs, exfoliants, and masks) can be used. These products remove the outer layer of the skin and thus open pores. Retinol (derivative of vitamin A) can help promote skin peeling. To get rid of oil on your face and reduce the embarrassing shine, use a gentle astringent/toner to wipe away oil. Masks containing sulfur and other ingredients " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello I have two porcelain crowns on my front teeth which were placed on in jan 2007 one had to be replaced in 2011 because it cracked the remaining one was fine until nov 2013 I began having tightness in the tooth when I lay down either on my back or sides and when i wake up the tooth takes 2 hours to adjust to a normal feel it sort of pops back into place and i hear it popping It seems as when im sitting up and position my head to the side the tooth moves. I have some sensitivity in the tooth and noticed a small bump on the gumline in nov 2013 that used to hurt to the touch for 2 weeks then the pain disappeared but i still have the bump but no pain when i touch it. Several dentists have stated \"it doesnt look like an absess\" or \"i dont see any inflamation\"....can u help? right now the symptons are mild and more of a discomfort but paranoid it will blossom into something serious if i dont take care of it now", "output": "Hello, thank you for consulting with Chat Doctor. As you are mentioning that you first experienced pressure in the tooth while lying down it proves that there was some infection started in the tooth. And when you noticed some swelling on the gums the infection should have been turned into pus and spread to the apical region. The dentist must not have noticed it as in the starting, x-ray does not show any changes. You should visit your dentist and get the crown removed with root canal treatment of the tooth. Hope it will help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Tonight, I started to get aching of the back jaw. It started aching after I brushed my teeth . After feeling the aches, I immediately Scoped and flossed. Most of the aching is on the bottom. I feel little aches on top too. I am thinking that they may be symptoms of growing of the wisdom teeth, but don t they grow in their later teenage years? I am a 14 year old female. There reason also might be the three filled cavities in each corner in my mouth at my molars. I am thinking of calling an appointment to the dentists soon, but I desperately want to know ASAP.", "output": "HelloWelcome to ChatDoctorYour pain might be due to some faulty restoration & you need to get all your restored teeth diagnosed. There can also be secondary caries associated with restored teeth. Pain can also be due to toothbrush injury because of hard brushing habit. For sure it's not because of wisdom teeth because you are younger for that case. Consult your dentist for proper check-up. Maintain proper oral hygiene. RegardsTake Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "A month after laparoscopy procedure, my wife is suffering from pains on her lower right abdomen side, right underneath her rib cage. She describes it as a pressure pain, that coincidentally, she claims before the surgery this very same pressure pain was located lower, almost to where her appendix would be. What could be causing this pains? To give you more info: The procedure was to correct a cyst, that was missed by her gynecologist, but spotted by her gastroenterologyst, due to the fact that it was located outside her uterus.", "output": "Hi. Thanks for your query and an elucidated history. The typical pains in abdomen as pressure pains, could have been due to a problem with colon or so. This is so as the pain has persisted even after removal of the cyst. I would advise you the following. CT scan of the abdomen and colonoscopy.to get to the root of the problem. Enterocolitis if required. The final diagnosis for the pressure pains will lead to a proper treatment." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am pregnant and it is 9th week running.I am suffering from cold,cough,running nose,sneezing and throat pain. Can you please suggest homeopatChatDoctoredicine and dosage to treat it. Thanking you in advance -- Tanima(30 yrs)", "output": "Hi Sour av, In pregnancy medication should be avoided as far as possible, especially in the early pregnancy when the chance of causing harm to the baby inside your womb is very higChatDoctormon cold is caused by Virus, and does not require any treatment. It will go off by itself. Cough is not welcome in pregnancy as it causes increased intra-abdominal pressure, so you may take some cough syrup under direction of your obstetrician, to get some relief from cough.Don't forget to cover your mouth when coughing, otherwise it will spread to all the members of your household." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I recently had a weird experience, like an allergic reaction, to my lip that swelled up overnight for no apparent reason.I am 69 and healthy. I have been traveling to visit friends and then once again I had a swollen lip that moved from side to side??? Then I took a benadryl and then I had itchy welts on my head.....today better, but still swollen in my face. Teeth are fine?", "output": "Hello, Thanks for posting your query. Swollen lips as well as face can usually occur due to any infected tooth underlying. The swelling may not be associated with allergic reaction of the Chat Doctor. Get a thorough evaluation by a dentist. Infected tooth has to be root canal treated or extracted depending on the severity of infection. Usually antibiotics/antihistamines has to be administered. Discontinue use of Ben" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi sir Alcohol) ? If your answer to all these questions are No Also your It B12 level is normal Then Probably it is Pseudo dementia due to underlying Depression Do not get panic ! Meet your nearest Psychiatrist discuss your Life events, stress at various domains in your life. He may prescribe you Antidepressant & advise psychotherapy. Then you will be alright. Best wishes" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi sir i am mohammed i am working in dubai this year i am going to marry i have some sex problem my penies is very small 4.5\" only not hard also please advice me can i take musli power extra and sheelajit gold capsule and i am using Tigar power enlarging men spray.", "output": "Hello dear, The size of penis is genetically determined, and it does not increase after a certain limit. But one thing should be known that the size of penis does not determine the potency of an individual. So, do not get influenced by any over the counter medication which claim to increase the size of penis or improve performance...it may be harmful. Though medications like Calls & Viagra increase blood flow to penis & maintains erection, it can be improved by having a diet rich in fruits, vegetables, fish, nuts & honey. Avoid stress...practice meditation.this helps in improving concentration & builds up the confidence level. Avoid smoking & alcohol. You can also do oil massage of the penis...it increases blood flow & maintains the erection. Wishing you a Healthy Life. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my friend s spleen is still tender and warm to the touch after a motorcycle accident on May 18. CT scan shows it is size of a baseball; dr. says watch it, no aspirin, and be careful. Is there anything we can do to treat it and make it quit hurting? It is annoyingly tender. Ice packs? How long should it take to heal?", "output": "Thanks! The spleen is one of the most commonly injured abdominal organ. A blunt splenic injury causes a lot of morbidity. But if the patient survives the initial injury there is no reason for it hurting for such a long time as is your case. Do you have fever? You need fresh ultrasound to look for any unresolved or resolving infected hematoma or development of any abscess in your spleen. A CT scan of your abdomen may also be needed if the ultrasound be unhelpful. Get blood tests like total leukocyte count and ESR. I would like to suggest you to walk to a local general surgeon. Get well soon & share!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have 2 red painful patches on the roof of my mouth on one side towards the bavk of my throat with pain swallowing, swollen gland, ear pain and itching and a headache that started before this. Throat became suddenly sore after two day heafache then noticed a painful bump on sife of my tongue. What is all this", "output": "Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have sore throat, bumps on tongue, swollen gland ear each don't worry it can be due to Viral dermatitis or allergic dermatitis You do is take one tablet Civil twice daily by consulting 2ith your dentist. You can apply ointment Civil on to m GUE and roof of mouth. You can so Tatum mouthwash twice daily for one week Take one capsule vitamin B complex once daily for one week Consult dentist and go for oral examination. Hope this will help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i had a pap smear about 3 mths ago and it came back with an unusal reading. ive also has a tiny bit of blood in my urine at times just recently. i was admitted to hospital in nov last year with severe back pains, a uti and bad fevers. they did a cat scan and everything seemed to be fine at the time. They kept me in hospital for a week because i had such low blood pressure and the infection pretty much taken over my entire body. Ive been making trips to the doctor ever since for kidney pain and utis. i am on my ninth course of antibiotics. When i am on the antibiotics i feel better but all the sysmptons come back usually within a week or two at the most. no one can tell me whats going on yet. i am on antibiotics now, taking cranberry juice etc and cannot sleep for the pain in my lower back on one side (kidney) have a bad feeling that i may well have cervical cancer? would this have shown up on the cat scan? whats your opininion?", "output": "Hi, dairy have gone through your question. I can understand your concern. Your back pain is due to urinary tract infection. You should go for culture and sensitivity test and take antibiotics accordingly. It will help you to eradicate infection. Your pap result is unusual, so you should go for cervical biopsy. Ct scan can not detect early stage of cervical cancer. However, your symptoms has no relation with that. Consult your doctor and plan accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my wife is a renal transplantee for 8 years and is on immuno suppressants and bp controls. Lately she has developed recurrent sensations of electric current lasting from 1 minute to 5 minutes throughout her body. Usually from arms then down the side of the body sometimes with flushes and numbness or cramping in the feet . She is a lacto vegetarian for 35 years but has never had such symptoms before. She feared it may be an early precursor to MS or a reaction to her drugs. He blood picture is good.", "output": "Hi, Thank you for posting your query. It is very unlikely for a patient on immunosuppressants to develop multiple sclerosis (MS). This is because MS is an autoimmune disease, where immunosuppressants are used for treating it. However, her symptoms need attention and further evaluation is necessary. Common reasons are lack of serum vitamin B12 and ischemia (lack of blood flow) of brain. Please consult a neurologist for evaluation. Best wishes, Chat Doctor. Ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son is 14 and plays football. I asked my family doctor to do a EKG and physical before the football season commences. The doctor complied and I was called this morning to say that the EKG results came back showing some abnormalities. The doctor has booked an echocardiogram with a cardiologist and a 24 hour heart monitoring test. Should I be concerned and what might be some potential issues that they could be looking for?", "output": "Hi, If your son plays football and gave no complaint, it is already a good sign. But if your doctor called you for echocardiography and holder monitoring, it means he noticed something abnormal, most probably some arrhythmia. Sometimes there are slight abnormalities or arrhythmias on ECG without any disease and are not dangerous at all. Anyway if we notice something abnormal, we should go further and have some additional examinations done to be sure that there is nothing serious and dangerous. So, you shouldn't worry, just wait for your appointment and results. Most probably everything will be take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "66 yrs old ,and sometimes have pain in my lower back or shoulder I have always had pain sometimes for years, maybe muscles spasms ? I use to take muscle relaxers or use a tents machine, now I use Lidocaine patches 5% I don t lift heavy things. my body is very flexible. the pain last about three days and then I feel sore. what is your opinion ? Thanks", "output": "Hi, fromj history it seems that there might be having some degenerative changes in spines giving pinched nerve pressure giving this problem. There might be having some osteoporosis contributing this back pain. Go for x-ray spines for osteoporosis and spondylitis changes. Go for physiotherapy like back extension exercises. Take calcium, vitamin A and D supplements. Go for slow walking exercise. Ok, and take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "A recent MRI of my brain showed a prominence of adenoidal tonsils and several subcentimeter foci of increased T2 and Flair signal within the subcortical white matter . When I asked my primary care ,who ordered the test, about the results, I was told everything was fine. When I obtained my own copy of the report, I was unable to make any sense of these findings. The report states that correlation with physical exam is strongly advised .. Should I seek a nuerologist on my own, or is that even the specialty practice I should be looking to help me?", "output": "Hi, Based on the reports adenoidal tonsils are prominent, that can be accidental finding. It has to be intervened based on the clinical symptoms you have.Similarly, the subcortical white matter changes which indicates minor ischemic changes. One can assess the cause based on clinical symptoms, and risk factors (diabetes, hypertension, Smoker, alcoholic and other)I would suggest you to consult neurologist for further plan and managementRegards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I have a bunch of lumps on my scalp and they are very sore and my hair is falling out, I was just wourdering if you could help me by telling me what it might be and if I should go see my doctor. Thank You. I m sorry I thought this search was free. I really am sorry.", "output": "Hi. Thanks for your query. Noted the history and understood your concerns. Multiple lumps on scalp with hairless can be due to the following reasons:Multiple sebaceous cysts of scalp is a known problem. Scalp is not wet. Seborrhoic dermatitis with super added infection cause wet scalp also. Both the conditions cause reduction in effective blood supply to the scalp and hence there is patchy hair loss. Consult a Dermatologist and a General Surgeon for clinical evaluation, medical management if dermatitis and surgery if cysts are confirmed. Local skin care and multivitamin therapy helps further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been having abdominal pain and nausea for 6 to 12 months. I was tested and I have blood and protein in my urine. My mother has tested positive for Alport Syndome but when I asked my doctor about it he was not familiar with the syndrome. How can I get tested for it", "output": "Dear Patient, Alport disease may be diagnosed in two ways: 1) renal biopsy, with adequate IF for alpha 3 and alpha 5 subunits of collagen type 4 and electron microscope; 2) genetic analysis; 3) skin biopsy. However, you are very likely to have apports. As Center policy, we perform renal biopsy in patients like you since numerous disease may be associated withAlport, as Iran, that may increase the progression to renal failure. Let me know." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir, My brother is 62 years of age and suddendly on April 18, the food was not going down in stomach and it started blocked. After that no water, and no fluid was to enter into the food pipe and when the CT Scan was done, it was found that there the food pipe was blocked and there was cancer . After that 5 days RT were done on June 10 to June 15. After one month doctors advised to operate the food pipe. But when they took him for operation and started operated , after one hour the doctors told us that the operation can not be done because it is disbursed and started going upward. Now the patient is on death bed and doctors are doing nothing and nothing is going inside him. Yes they operated a tube on side of the stomach and only a small quantity of milk they had given to patient. As there any doctor can help us by giving some medicine. We are helpless before GOD. Can anybody help me without any payment or fee. Promila Kapoor", "output": "By your description, your brother is suffering from last stage of cancer of the food pipe. Technically whatever has been done so far seems to be scientifically correct. At this point, it is not a matter of money or fees, but there is not much that can be done for him except to provide him whatever comfort is medically possible with painkillers and the like. Your brother presented at an advanced stage and that is the main reason for his present state. It is nobody's fault. If there is any other advice you need, then please let me know." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My friend is 38 years old and has no history of cancer in her family She was diagnosed with stage four colon cancer The tumor was removed from the colon and there are twp spots on the liver After surgery to remove the spots on the liver she will do chemotherapy What is the typical life expectancy for this situation", "output": "Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. It is hard to predict, but generally prognosis is 6-12 months. It all depends on chemotherapy efficiency and general health of the patient. If this was removed with surgery than prognosis is favorable and may reach 1 or even more than 1 year. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just found out that my pets have tapeworms. Ive given them medicine for it. But now I think I might have them. I have kept diarrhea, light headed ness, constantly hungry and tired, and Ive gotten random bruising around my stomach. Is it a tapeworm?", "output": "Hello there, I am Chat Doctor. Symptoms of tape worm is ranging from mild abdominal discomfort to unconsciousness. But in your case it of you want to know you have tape worm infection or not find out anything like, itching, redness, pimple etc. around anal area, increase in hunger, not able to bear without meal only once, abdominal pain, pallor, light color tongue, distention of abdomen and many more according to system involvement. Now I suggest you to go for stool microscopic examination by a reliable microbiology lab and by a qualified microbiologist along with your blood differential count. You can also investigate your dog also. Tape worm is large worm, so naked eye sometimes parts of the worm is visible in the stool. IF tapeworm is diagnosed than it need long term treatment for complete eradication. Also ask for your family member for any above symptoms too. Just go for this investigation and then follow the instruction of your treating physician. Hope I have given appropriate guidance to you. If you have any query you can consult me anytime. Give me star rating according to your satisfactory level. Thanking you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "For the past few months i have indentations and bumps that are appearing on my head/skull. You can easily feel them, they are not cyst or acne type. my background: 47 female, failed back surgery 7 years ago for stenosis at l5,l4 and r5. Chronic severe back, pelvic and leg pain. Muscle atrophy and weekness of left leg. Neck pain. Costochridtis first on left side then on right side within last three months. Depression, fatigue, anxiety. Pernicous anemia. For last 3 years (worsening) mental fog , forgetfulness", "output": "Hello! Welcome on Chat Doctor ! Your symptoms could be related to osteoporosis or vitamin D deficiency. For this reason, I recommend consulting with your doctor and performing some tests: - a brain CT scan to examine the scull and the brain-complete blood count-blood electrolytes, including calcium and phosphorus-vitamin D levels-cortisol plasma levels, for a possible a Chat Doctor. You should discuss with your GP on the above tests. Hope you will find this answer helpful! Best wishes, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my Gamma GT level is 50. I take less than 60 ml alcohol almost daily. Occasionally, i.e. once in a month or so, it goes up to 120 ml. This habit is there for almost 20 years. I have also been diagnosed for fatty (mild) liver. What is the remedy?Raghunathan", "output": "Hi thanks for contacting Chat Doctor. Noted you have positive fatty liver. Close follow-up necessary... Here are suggestion..... Take low fatty diet.... Trans fat avoided Like in cheese, butter, meat, baked pastry etc... Avoid refined food. Perform regular exercise. Use very less oil in diet. Udilive tablet can be taken... Papaiya like fruit useful. One tsp cumin seed with milk good herbal remedy..... Maximum safe limit of alcohol is 20 gm per day... Avoid excess alcohol. Hope your concern solved. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a MVA in 4/2010. The ER report says possible fracture of C5 by CT scan. I finally had an MRI this march and there is a dark line that lloks like a break in the vertabrae on the MR image. Could that be a fracture that cas seen on the CT scan in ER??", "output": "Hello, As you had a past history of C5 fracture. What are the symptoms you are having is the first thing to be noted. Based on that we can help assist what can be the measures taken. Usually, the fracture would have healed by now and there might be some healed scar present which might have been noted in the CT scan and that is common. If you have any symptoms like pain which is radiating in nature then using cervical collar will be advised. Simple neck exercise too to strengthen the muscles of the neck. The dark line seen in the CT will be the line of the healed bone. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I went to see my chiropractor today for some stiffness in my neck. After a few exercises of moving my neck side to side and up and downiI got very dizzy and nauseated. He has referred me to my cardiologist to have the arteries checked in my neck. He said my eyes were not acting right when he moved my head. He did not adjust me in any way.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Sudden neck movements can cause vestibular reflex and this causes giddiness, dizziness, nausea etc. So possibility of over neck movements by chiropractor is more for your symptoms. But better to rule out carotid artery thrombosis. Some neck movements can dislodge thrombosis from coronary arteries into the brain and this can cause dizziness and nausea. So better to rule out this possibility first. So get done bilateral carotid artery Doppler. If this is normal then no need to worry much. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi i just recently had surgery for a pilonidal cyst removal. its been 5 weeks since my surgery and now i think the wound might be infected. i went to urgent care last weekend and they provided me with antibiotics but the infection seems to have worsened. Also i have just gotten sick this weekend with a head cold. Is it urgent that I go to the doctor right now or is it okay if i wait until tommorow afternoon?", "output": "Hi thanks for asking question. You have mentioned infected wound. Do your CBC to see for actual severity of infection. If necrophilia along with high total count then antibiotic has to be taken that you're already taking. But if fever is above 101.5f and total count if markedly increased then consultation of doctor is needed.Meanwhile, Chat Doctor. Avoid excess spicy food. Stool softener can be taken. Avoid smoking for few days. If that area severely affected and discharging pus then consult doctor and regular " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi my daughter is 5yr old .forlast 10 to 12 days she is passing very hard motion.and when i wipe i find blood in the paper.but today the stool is soft but that was bloody.i m very scared what it is.she drinks very less waterannd its very tough to feed her fruits and vegetable", "output": "Hi, She basically had severe constipation, and the hard pellets of stools caused mucosal wound in anal area, leading to bleeding. Now even if stool is soft, some bleeding can be there until the wound is healed. In such cases, after reloading rectum with suppositories like bisacodyl, I used to give oral laxatives for 5 days and reassess. Some kids need laxatives to be increased / continued for few weeks if no adequate response. Meanwhile, let her Chat Doctor. Also give paracetamol/ibuprofen for pain relief to avoid voluntary bowel holding fearing pain, which can further aggravate the situation. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello.. I am 27 years old and my husband is 37 years old, married for 2 years, we are trying to have a baby, which is not happening as both of us have problem. I have been diagnosed as PCOD and my husband had motility problem, now recently tested his problem was solved to some extent and we were undergoing treatmetn for past 1 year. Please suggest me for faster conception?", "output": "Howell come to ChatDoctorI really appreciate your concern, let me tell you something that pregnancy is natural phenomenon than the physiological one this depends upon certain compatibility like presence of sperm and ovum at the time of coitus, with the perfect hormone balance without this conception may not be possible, no medicine would be helpful may exert the placebo effect, take care and best luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am not sure what I am even asking. I do not feel healthy. I haven t for quite some time. I went to a doc and held some things back from him because I don t want to feel stupid or look like some kind of crazy hypochondriac. Is there any way to know what is relevant and what is not? I have a laundry list of symptoms, some of whicChatDoctore and go. Is this anxiety normal?", "output": "HelloWelcome here. I understand your concerns. I think you should not have hidden your feelings from your doctor. No doctor will be and should be offended on hearing the complaints of the patient. What you find stupid may be important for your doctor to understand your problem. Every one has some anxiety. But when the anxiety starts affecting your normal life, then it becomes a disorder. So, kindly discuss all your complaints with your doctor, or you can list them here so that we can help you. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I get extremely nervous when a doorway, aisle, or hallway is blocked. This happens especially in public places lile restaurants or stores. Basically anytime I feel like I would not be able to get out easily if I needed to. Do i have a phobia, and if so, what is it called?", "output": "Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. Agoraphobia is the phobia that you are having. More specifically it is claustrophobia. This needs treatment with paroxetine and benzodiazepines. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter (she is 6)has been saying her butt hole hurts (about a month) and just recently complaining when she farts it hurts and burns. She says her tummy has been hurting. She is complaining to her teacher. Is she constipated? Should I take her to the dr? My other daughter (11 months) has been on miralax for 3 months becuase she wasn t pooping as when she did it would cause her a lot of pain. Could my oldest be experiencing the same thing?", "output": "Hi...by what you quote your kid is having a habitual constipation. I have certain questions and suggestions for you. Questions:1. Did your kid pass motion or meconium on day one of life?2. Since how long is the kid constipated?3. Does the kid have any bleeding along with hard stools?4. How much milk does the kid consume per day?5. Does the kid eat fruits and vegetables (fiber diet) appropriately? Suggestions:1. Natural methods are the best to relieve constipation.2. Constipation is a risk factor for UTI3. Maximum milk consumption per day should not exceed 300-400ml4. Minimum 3-4 cups of fruits and vegetables to be consumed per day5. Toilet training - that is - sitting in Indian type of lavatory daily at the same time will help a lot. To answer the questions and guidance - You can approach me at the following link. Please find the link below - www.ChatDoctor .com/doctors/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor, i want to conceive again, lost my baby in January. had my periods on October 8, my last periods was on 26 of June and i had bleeding till 26 of july. then my next periods was on October 8 and over within a week. can i know when will be my ovulation date? and also some do s and dont s after ovulation, because i want to conceive for sure this time. please do help me out doctor.", "output": "Hi, As per your history, you seem to be having irregular cycles recently. If you were having regular cycles previously, the cause of this irregularity should be found out first. For this, you need to see a gynecologist and get examined and investigated. You may need hormonal profile and pelvic sonogram. If you are not ovulating naturally now, you may need induction. The period for conception will be around the day of ovulation as the ovum remains viable for one day after ovulation. So, in a 28-35 day cycle, the period for conception will range from 11-20 days. Please get further advice from your doctor. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "This is going on to the third day of my throat feeling clogged with mucus and hacking cough. No hystory of allergies. Did have each eyes a little a few days ago. But this really started after a heavy workout in the gym on Friday. I ve been resting since Friday morning and drinking lots of fluids, resting, etc. took mucinnex once and some homeopathic decongestant and cough drops. Cough is worst when I lay down. Any suggestions?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of viral infection is more. Viral infection can sometimes cause bronchitis (inflammation of airways) and this in turn causes breathlessness. So consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment is based on severity only. You will mostly improve with inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).Don't worry, you will be alright with all these Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir my G.F has taken Unwanted 72 two days ago , no vomitting happened she felt pain in lower abdominal and some headche whole night . but from last one day she is not feeling good , she is feeling headache and there are dark circles under her eyes . today morning she was feeling to vomit . Please tell me shall we go for one more PILL or she is already pregnant !! how to confirm !! please help", "output": "Welcome to ChatDoctorGreetings of the day she has taken the unwanted 72 within 72 hours of unprotected sex, its unlikely that she is pregnant. Her symptoms could possibly explain by hormonal pill induced migraine, which causes headache and vomiting. As the vomiting occurred days after intake of pill, it will not affect the efficacy of it preventing pregnancy. Good rest, analgesic like Ibuprofen+ Paracetamol, antiemetic like Metoclopromide will help to relieve her symptoms. In case you need any further assistance, will be glad to assist you. Wishing you happy and healthy lifetime Care Best Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi , My 10 year old has been having asthma like symptoms - nasal congestion, shortness of breath, chest tightness, tingling of feet and fingers. His symptoms get worse during weather change from Summer to Fall. He is ok going from Winter to Spring and to Summer. He thought it was a panic attack and went to the ER and they gave him asthma treatment but it did not help. What helps is him relaxing and calming his mind down when we gets the breathlessness. Dr says it is not asthma. Allergist thinks it is non-allergic rhinitis so he is taking flonase. Otherwise he is is just inhaling steam w vicks. It is hard to figure out if it is a panic/anxiety reaction or he has a real physiological issue. Pls advise.", "output": "HIT hank for asking to Chat Doctor I really appreciate your concern, looking to age of kid panic attack is less likely even if it there then this kind of panic attack induces asthmatic attack which very typical, but the nasal congestion and other upper respiratory elements is impossible, it may be a kind of allergic constitution and need to be treated accordingly, encourage the kid for Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,I was detected with diskitis in MAy and have been taking treatment since then. It was M. tuberculosis infection. All parameters are now OK. Can I resume all of physical activities like going to gym etc? How do I confirm that my activities are hurting my spine?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Yes, you can take definitely start exercise and gaming as it is already 5 months of starting anti-tubercular Chat Doctor. But better to start with mild and easy exercise and then go towards heavy-duty exercise. If you are not developing any symptoms like pain after exercise means exercise is not hurting spine. If you develop pain after exercising better not to do it again and consult your doctor. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor.. i have acne bursts on my face,.. i notice it specially when i take eggs or chicken.. it it possible or only my thoughts.. also once a dermatologist had suggested me to take azee 500 mg for to supress acne.. and it worked.. but i stopped after sometime.. again today i found some outbursts, so i took azee 500.. is it really gonnna help me??", "output": "Hi, As far as acne is concerned, taking oral azithromycin would help. If the lesions are less in number, it can also be managed with topical medicines like Darlene or clindamycin gel. Use a salicylic acid based face wash and water based moisturizer to keep skin well HY Chat Doctor. As far as diet and acne is concerned, the association is debatable. Dairy products and food with high glycemic index seem to have some link with acne. However, if you feel that you develop acne after having eggs or chicken, you might be allergic to them. So try stopping them for few days. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My name is Debbie I had bunionocotmy June 20 2012 pain is increasing where the plate was place I have sharp pain and it feels like it is locking, when I walk there is pain at the base of my big toe, and there is still swelling 3 weeks ago my surgery said I had synovitis inflammation of my 2nd toe I am discourage as pain is increasing each day, what is you expert opinion I would appreciate any feedback to understand what is going on", "output": "Hello, Thank you for your question. I think first thing is to exclude a postoperative infection or inflammation. For that purpose you can do blood test, PCR, ESR, total blood count. Overseeing the foot if you have swelling until 12 months after the surgery, I consider it normal. If your skin on the surgery site is red and warm that is not normal after 4 weeks postoperative.Also, another rare cause of pain may be nerve pain or as we call Sundecks atrophy (or RSDS Reflex Sympathetic Dystrophy Syn Chat Doctor. If that is the case it needs longer and complex treatment stroller pain medicine doctors.Also, an X-ray of the foot would clarify the status of hardware (plate, screw, pins) position in the bone, in case of migration or failure of metal hardware. I hope I helped you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I either need a psychiatrist or a medical doctor, you tell me. I have lumps of powder in the skin of my penis. There also seems to be foreign matter under the skin with wires that hook into the skin as it moves and sometimes gets caught. There is also a flat wire of some sort that moves around in between the layers of skin that hooks into the foreign matter and pulls on it. the flat wire has a mind of its own. I have a penile implant, and wonder if pieces are coming off. I am concerned, as I want the invasive pieces gone including the wire. As sometimes it cuts my skin. Should I go to the psychiatrist?", "output": "Respected user, HiT hanks for using Chat Doctor.come have evaluated your query thoroughly.* This is Sega collection underneath the penile skin.* Suggestions to get cured early-Retract the foreskin regularly while bathing, clean the whole area thoroughly with antiseptic liquids.- Keep genital clean, Chat Doctor. - Dusting powder Clotrimazole (1%) will help a lot. Hope this clears your query. Welcome for further doubts. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "rapid heart beat, slightly elevated blood pressure, abdominal bloating, fatigue. This has occured off and on for years. Age 49, 5 2 , 119 pounds. Medical history--environmental allergies, hypothyroid, migraines caused by allergies, IBS. Surgeries all minor--tonsilectomy, wisdom teeth, LASIK, PRK to enhance LASIK.", "output": "Hello, How much is maximum heart rate and blood pressure. Mostly it's a gastritis and acidity problem. Do you upper abdominal pain, nausea, burping, increase in pain on food, sour water feeling in throat or chest burning, if yes it further supports the diagnosis? You should avoid fatty, oily and high calorie diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Lots of green leafy vegetables, fruits. Avoid smoking and alcohol if any. You can get prescribed tab Pantoprazole 40 mg before breakfast once a day for 2 weeks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Male, 24 yrs old, Relative lymphocytosis , RBCs show hypochromia and microcytosis , relative monocytosis , mild leucopenia , absolute neutropenia , Follow up is recommended This is result of blood test what do u think am suffer from what..??? Thnx alot", "output": "Hi! Thanks for sharing your health concerns! As per your blood report, you have possibly iron deficiency anemia, less number of neutrophils, and relatively larger number of lymphocytes! No comment about platelets! To summarize, blood components are overall reduced in your body; could be due to some toxicity, infections (like, viral infection) or some micro-nutrient deficiency or just idiopathic or normal pattern etc... If this continues, you have to perform a bone marrow examination. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am a female of 39 yrs height 160 and 56 kg. i have lower back pain since last 2+ months, taken a X-ray , found normal. Pain is not so severe, but it is continue,. it increases, when i change any position, left -right, front - back bending, even continuous sitting or walking. please advise.", "output": "Hi, Welcome to Chat Doctor. After going through your query I think you are suffering from chronic backache. Treatment of back pain is exercises and analgesics (diclofenac). Sometimes vitamin D deficiency is the cause so get your vitamin D checked. If it is low then vitamin D supplementation (weekly with milk) can be taken. Avoid long continuous standing. Sit in a straight posture. Eat milk and milk product, fruits and green leafy vegetables daily. To further investigate MRI of the region is advised. I think your query answered. Welcome to any follow-up query" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am having two calluses on the ball of both my feet and callus beneath the big thumb on both feet. I am having this for the past 8 years or so. This is causing pain while standing for long time and walking. Recently I have developed a spur or painful callus on the heel corner of my right foot which causes a lot of pain and the surrounding region is swollen", "output": "Hi, Thanks for posting in Chat Doctor. I understand your concern. A callus is a toughened area of skin which has become relatively thick and hard in response to repeated friction, pressure, or other irritation. They can be dissolved by using keratolytic agents containing salicylic acid. Calcaneal sour (Heel spur) is a calcium deposit causing a bony protrusion on the underside of the heel bone. You would require X-ray of the foot to diagnose weather the condition is callus or calcaneal spur. Conservative treatments to overcome calcaneal spur include exercise, custom-made orthotics, anti-inflammatory medications, and corticosteroid injections. Surgical excision may be necessary if conservative treatment fails. Kindly consult Orthopedic Surgeon in this regard for appropriate evaluation and management. Hope the information provided would be helpful. All the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Dr., I am suffering back pain problem in last 3 years . I hereby writing down in my mri scan report. 1.Left paracentral disc extrusion seen at L4 - 5 causing indentation of thecal sac and ipsilateral neural foraminal narrowing. Impingement of left L5 nerve root seen. 2.Mild diffuse disc bulge seen at L3-4 causing indentation of thecal sac and bilateral neural foraminal narrowing. 3.Schmoral s nodes seen involving D11 - L3 endplate. kindly suggest me how solve this problem.", "output": "Thanks for the query. These are age related changes in the spine. The back pain is usually due to disc degeneration, facet joint arthritis. You also have L5 nerve root impingement which may cause leg pain. Do you have any leg pain? Treatment is decided depending on your symptoms. Initially we always treat back pain conservatively with medicine and physical therapy. Sometimes facet injections also considered treating back pain, however for persistent back pain affecting your daily routine may need to be treated with surgical intervention (spinal fusion surgery). I would suggest consulting a spine specialist and pinpoint your problem, which can be treated accordingly. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "The patient is 66 years old female, not very dynamic, not a BP patient, no sugar complaint. This test was discontinued in the I stage it self as she reached maximum level. Can I know what that indicates? She was taken for this test because she complained of chest pain, not lowered by isosorbitrate, but better by antacids. She is not a know cardiac patient", "output": "Hi, This is Chat Doctor. Person who does not exercise regularly or has poor exercise tolerance can't walk on TMT for long & their heart rate increase to the target heart rate range in the first stage only & than the test has to be stopped. I don't think it's good for a >60yr old for a TMT. I'll recommend for a better test called Dobutamine Stress Echo where heart rate is increased by medicine. I hope I answered your queryThanksTake care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have a mallet fx in the first joint of my pinky finger, I had a pin in for 4 weeks and a splint part time for 2 weeks and it does not seem to be improving. what next? It is still very red and sore at the joint. should i be moving it more or splinting it more?", "output": "Hello, Welcome to Chat Doctor. Thank you for providing the brief history. Any surgery of upper limb will ask the immobilization for up to 3-4 weeks. Post which based on the healing you may be asked to take Physical therapy sessions, so the movement is regained. Also, nothing much to worry. You can start slow and gradual physical therapy which will help you regain full function of the finger. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good Morning Doctor, My father is heart patient. Last week check the angiogram Test. In the report 1. LMCA - Normal, 2.LAD- Mid Segment 90% long segment stenosis, Distal another tight lesion graftable.3.LCX- Proximal 70% stenosis, Mid Segment 70% stenosis after OM1. 4. RCA-Dominet, Osteal 90% stenosis, Mid Segment 100% occlusion, NO antegrade flow, good retrograde. This is the report, what is your suggesion sir,", "output": "Hello, Thanks for posting your query on Chat Doctor ...* Brief Answer:it seems that your father needs to do CABG(coronary artery bypass grafting).*Explanation: My opinion is that multiple coronary vessel disease is an indication to do coronary bypass grafting, percutaneous coronary intervention in your father condition is debatable and may be non-beneficial to his condition, on the other hand, CABG would improve morbidity and mortality. I suggest my patients the following : consult a cardiothoracic surgeon about your fathers condition and adhere to antiischemic medications information provided by you is not sufficient to provide a good opinion. If someone comes to me with this condition I would ask them about other comorbidities and results of any other investigations you have done to your father.*Conclusion: I suggest you consult a cardiothoracic surgeon and stick to your medications low salt in diet and If you have any further questions I will be happy to help, If not, you can close the discussion and rate the answer. Wish your father good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have high blood pressure and waiting for my health insurance what can I do to keep my pressure down? Yesterday I had to drink vinegar straight without anything to bring it down. My pressure was 215/117 and my leg and eye was hurting. I have a kidney problem because of my high pressure. My pressure damaged my kidney not to the point were I need dialysis just enough to know that it has been harmed.", "output": "Hi, Thanks for writing in. High blood pressure is one of the commonest causes of kidney disease and this should be detected early and treated on time. Chronic hypertension leads to kidney damage known as hypertensive nephropathy or hypertensive nephrosclerosis. Presently, this is a condition which is commonly seen in patients of kidney disease and diagnosis should be made promptly to avoid delay in treatment. Initial kidney function tests like blood urea and serum creatinine must be evaluated. If tests results are abnormal then glomerular filtration rate must be done and if that also shows reduced function then a kidney biopsy might be required. Renal biopsy and pathological examination is the gold standard of diagnosis. If your kidney functions are compromised then your doctor will suggest a biopsy to know the exact nature of kidney disease probably due to hypertension. The best way to control kidney complications arising out of hypertension is to take regular treatment for high blood pressure and have a good diet and fitness plan." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been changed from Microgynon 30 to Loestrin 30, i was given my new pill during my 7day break and i was told that i could carry on taking my new pill after 7 days as normal ... Will I be protected against pregnancy straight away? On the leaflet it said I should have carried on taking my new pill without a break but doesnt say whether I need a second contraceptive if i did not do this ... any information would be great full", "output": "Hello, and I hope I can help you today. Microgynon 30 and Holstein 30 are two brands of the exact same kind of pill, meaning that the active ingredients are the same. It is equivalent to changing from store-brand Ibuprofen tablets to Advil brand... which means that your body is getting the same dose of the hormones of the pill when you start your new pack regardless of which brand you use. Therefore, your new pill is effective immediately as birth control, and you do not need to use a backup method if you start the new brand after a 7-day placebo week. If more than a week has gone by since you finished your old pack, you should start the new pack immediately and use a backup method of birth control for the first 7-10 days if you accidentally ovulated. I hope I was able to adequately answer your question today and that this information was helpful. Best wishes, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was diagnosed with pneumonia starting to develop in my lower left lung yesterday, I have been running fevers on and off but today I have an extremely stuffy nose and if I barley move it exerts me and I have to catch my breath. Should I go back to the doctor or should I give it some time?", "output": "Hello, Thanks for trusting Chat Doctor ! I have gone through your query and I can understand your concerns. Based on my clinical experience I can tell you that it is better to avoid self treatment in condition like pneumonia. Delay in treatment can lead to the development of unwanted complications. I suggest you to consult a general physician and get the following things done:-1. Start a short course of antibiotics like \"levofloxacin\" for up to ten days.2. Make a temperature chart to assess the prognosis and can take paracetamol if you have fever.3. Do a repeat X-ray to look for any improvement by treatment.4. You can take antihistamines and nasal decongestants if signs of nasal obstruction is present. Most cases resolve with prompt antibiotic therapy, In case of persistent symptoms you might need intravenous antibiotics as prescribed by your physician. Hope this information helps. Wishing you good health. Regards. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been having moderate chest pain or half an hour and it has been getting worse. I have a hard time breathing. It is not a heart attack, and I am 14 and not over weight. I do not believe this is an allergic reaction - what could be wrong with me?", "output": "Hi Thereafter going through your query I understand your concern. I would like to tell you that chest pain with shortness of breathing can be because of underlying heart disease or anxiety disorder. Predominantly your symptoms are suggestive of anxiety disorder but as you are young so kindly get one ECG and echocardiography done to evaluate any congenital heart disease. Hope to have been helpful. Kind Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have enlarged papillae and the front 1/3 of my tongue and it burns as does the roof of my mouth with everything I eat and drink. This is ongoing for over a month, my local dentist has had me rinsing with Nystatin Oral Suspension for 2 weeks and it hasnt changed anything on my tongue, but my gums are better (ish). Waiting another week and then perhaps a biopsy. I am also now on a Vit B-Complex once a day. Suggestions please!", "output": "Thanks for your query, I have gone through your query. The burning sensation over the tongue could be because of the candida infection over the tongue or papilla infection. On constant contact of the infected tongue with the palate can cause lesion over the palate called kissing lesions. This lesion can produce burning sensation. Complete the course of antifungal agents and maintain oral hygiene by proper tongue cleaning or brushing. You can continue the vitamin supplements. If the lesion doesn't heal then get a biopsy done to rule out any other pathology. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i need to speak with a hematologist. i have thrombocetpenia and want to know what i should consider taking for it. i have already been on a round of predisone and it did nothing to correct my platelet count. there seems to be lots of different drugs but they all seem to be dexamthasone which i understand is very expensive. how do i get it covered by insurance or hospital care. i have a medicare advantage plan", "output": "Hi, dear. I have gone through your question. I can understand your concern. You may have ITP. It is idiopathic thrombocytopenic purpura. In that immune mediated destruction of platelets occur. So your platelets is destroyed and that's why you have low platelet count. You should take immunosuppressive Chat Doctor. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor I am swapna i have irregular periods ,.now marriage finished 2 years ,once I became pregnant with clomid tablet but so sad that one aborted 10 weeks.after 6months of abortion I went to ob gynec doctor she said may be pcos she said to do hormonal profile and she advised to take duphastone 10mg tablet for 21 days ,can I conceive with this tablet ,because I cant track ovulation period,please give to me good advise", "output": "Hello dairy understand your concerned have PCs. It causes hormonal imbalance, menstrual irregularity, insulin resistance and weight gain. I would suggest consulting experienced gynecologist and undergo reproductive hormone analysis, USG scan and ovarian follicle study for better management. Duphastone for 21 days will help you to regularize period. Once your period will regularize you can take it in luteal phase of period. Other Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "wisdom tooth hs broken for a while. have terrible pain, and some spots in the cheek on the side of rotten wisdom tooth. Are spots normal for a rotten tooth - it doesnt seem swallen, but it the jaw and the side of it hurts. any answer would be much appreciated", "output": "Thanks for using Chat Doctor. Read your query. Pain and broken tooth suggests the presence of acute abscess in relation to the wisdom tooth. The spots in the cheek which you have mentions suggests cheek bite, and it should not be worrisome. I would suggest you take Ibuprofen tab for pain (if you are not allergic to any medicine). Do warm saline gargling and avoid applying hot bag externally. Keep the area clean to avoid further infection. Visit your oral and maxillofacial surgeon and have a radiograph and get the wisdom tooth removed. You may need a course of antibiotic like Amoxicillin thrice daily on prescription by the dentist. Hope this was useful. Thanks and regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi! I have been smoking weed for the last 3 years and smoking too. Up until recently , everything was fine. Some 4 months back, one day, suddenly i felt this sharp pain on the left hand side of my chest after smoking weed. I had a complete check of heart and found everyhting to be ok. Even the X-ray was completely fine. This pain occurs only when i smoke weed and not when i smoke.Is it some allergy ? Thanks!", "output": "FROM YOUR HISTORY IT IS CLEAR THAT YOU ARE ALLERGIC TO WEEDBECAUSE IT ONLY OCCURS WHEN YOU SMOKE WEE DIF YOU WANT TO GET CONFIRMED YOU CAN GET SKIN TOUCH TESTS FOR PARTICULAR WEED YOU ARE SMOKING ANSWER WILL BE TO ELIMINATE IT AS THIS WILL CAUSE INCREASE OF SYMPTOMS WHEN YOU CONTINUE WITH THIS THE ALLERGY CAN AFFECT ANY ORGAN OR SYSTEM BUT ALL OTHERS TESTS ARE NORMAL SO AFFECTING ONLY THE NERVE SUPPLYING THE RT HAND SIDE OF THE CHEST" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i had a ct scan done and my report says there is a 4mm non-obstructing left upper pole renal calculus.there are two sub centimeter accessory spleens in the left upper quadrant . please explain me that cause my doctor just said that i have a stone and nothing to worry about but she did not tell me where.please help", "output": "Hello, according to your report you have a non obstructing kidney stone in left kidney. That means the stone is in such a position that isms not causing any obstruction to the outflow of the urine and hence is not a reason to be worried about. But in future if you get left flank side pain radiating towards back you should show to a doctor as it means the stone might have been obstructing the flow. So for now don't worry, just have lots of fluids and water which might just flush out the stone from its place. And if you he pain in left side show to doctor. I hope I have helped your question. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Doctor, Right Now im taking warfarin for the DVT which i have since 5 months. since last 2 months i cant eat and drink i feel sensitive pain and no problem in my teeth . but gums of the mouth all become reddish. could you please give me solution for that how can i get remedy for that and the same time i have to continue warfarin. Regards, KENNEDY", "output": "Hi, I read your problem. According to you problem, warfarin is an anticoagulant an and has side effect also. Reddish gums, bleeding from gums due to warfarin. don't eat spicy food. Use topical anesthetics that contain endocrine, lidocaine, tetracaine will help to relief. Use antiseptic mouthwash also. I would advise you to visit your dentist to identify the problem and treat it accordingly. Have a nice time... take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am having blood in sputum from last certain days and is on medication for bronchial asthma .the problems started 2yrs back.only one week since blood in sputum. MY CBC test results.please interpret and advice. WBC:12.4 LYM%:28.2% MID%:4.1% GRAN%:67.7% LYM#:3.5 MID#:0.5 GRAN#:8.4 RBC:8.4 HGB:14.7 HCT:39.9% MCV:88.6fL MCH:32.5pg MCHC:36.8g/dL RDW-SD:47fL RDW-CV:15.7% PLT:300 MPV:9.9fL PDW:13.3% PCT:0.29% P-LCR:17.5% ESR:35mm/hr", "output": "HI mailsreena. THANKS FOR YOUR QUESTION. YOUR RESULT ONLY SHOW YOU HAVE ANEMIA (REDUCED HBO).BUT OTHER TEST RESULT DIDN OT SHOW ANY GROSS ABNORMALITY.BUT YOU HAVE HEMOPTYSIS SO PLEASE DO A CHEST X-ray AND SPUTUM FOR AFB AS EARLY AS POSSIBLE TO EXCLUDE TUBERCULOSIS THE COMMONEST CAUSES OF HEMOPTYSIS AND ATTEND A PULMONOLOGIST WITH REPORTS. I AM SURE HE WILL GUIDE YOU AND IF YOUR SPUTUM AND CHEST X-ray ARE NORMAL THEN YOU MAY HAVE TO DO A CT SCAN OF CHEST AND A BRONCHOSCOPY TO REACH THE CORRECT DIAGNOSIS. BEST WISHES. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I recently went to a buffet and ate crabs with butter. Later that night my top lip was itching, and the next day I had tiny bumps on my lip. That later turned into dryness, so my top lil has been dry. (I ve never had any problems in the past when I ve eaten crabs.) Yesterday, I was eating chips and my lip started to itch again. Today my top lip is dry and looks like I have a carpet burn. It s also slightly bigger than the bottom. I ve tried Vaseline and lip gloss which soothes the dryness but you can still see that it is dry. I don t know what is wrong.", "output": "Hello, I can understand your concern. The symptoms you have described indicate that you have allergy to some substance. It might be something else that you have had during dinner or from the environment that may have caused the reaction. Sometimes it also happens that body develops allergy to a substance that you have been safely exposed to before. I advise you to take antihistamine such as Levocetrizine 5 mg (Exocet) or Loratadine 10 mg (Forfeits) once a day for about 5-7 days. If it is an allergic reaction, it should come under control with this medication. In addition, if you develop this reaction repeatedly in the future, it is necessary to find out what substance is acting as allergen to you and then avoid exposure to it. In that case, you should go for a blood test for allergy. However, if the reaction does not come under control or increases in severity, you should visit a dentist or physician to get the lip examined physically and further investigations and treatment. I hope this answer helps you. Thank you for choosing Chat Doctor. I wish you feel better soon. Best," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband is 33 and right now now in the best of health. He has had a weird coughing chocking thing going on where he starts to cough and ends up chocking on nothing like his wind pipe closes up. And then the tingling in left arm and leg and a pain in the middle of his chest. Why should I do?", "output": "HelloYour husbands symptoms may be due to many causes like lung problem, cardiac causes, acid reflux etc. He may need clinical examination and investigations like routine hologram, random blood sugar, liver function test, renal function test, lipid profile, chest X-ray (PA view), ECG in all leads, TMT,upper GI endoscopy, ultrasound of abdomen. Further requirement of investigations depends on above basic investigations. Proper treatment depend upon findings. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was travelling for 3 days last week and could not find space for bath. After that (Four days before) I started itching on some parts of my body chest area perhaps and unknowingly I scratched, upon which I found the next day it s like a ringworm, round shape rashes. It spreads also first just like a pimple that itches and then becomes bigger and round. I was using itchguard for last 4 days and I can t make out it s better or not. Is it okay to use quadriderm RF. Kindly suggest me.", "output": "Hi, Itchy rashes on chest could be due to Tina corporal or tricolor(a type of ringworm), candidiasis,contact dermatitis or psoriasis etc. Treatment is mainly depended on the underlying cause and for that these rashes must be seen by dermatologist to get diagnosed first. You may require oral and topical corticosteroids (beclomethasome, clobetasol propionate, mometasone)in combination topical antifungal cream like fluconazole or itraconazole along with antihistamines and strict hygiene. So, better you go to dermatologist. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a male baby 7 yrs old .scnd was a miscarriage which was one yr bfor now we r trying to a baby its almost 9 months and not sccful.dr prscrbd aiphene tab as my prds interval is 32days and come for follicle study.i have no other prblm.test wl b conducted to check any block in tube.have i had intercourse during this period?", "output": "Hi, I think you can be in contact with your husband every 2 to 3 days. Sphere is given to increase the size of the follicles. Track your follicles' growth by repeated ultrasound and when your follicles is more than 17 mm, take injection for rupturing the follicles. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. You can go for your tubes test. It is generally done between 7 to 11th day of your period. You can try this cycle also. Hope I have answered your question. If you have any other query I will be happy to help. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I wasnt thinking, and I cleaned my toilet bowl with a cleaner that had bleach, flushed it twic then cleaned the outside Scrubbing Bubbles that has ammonium in it. Some was sprayed into the toilet water. As soon as I realized what I had done, I ran the fan and opened a nearby door to the outside. When is it safe to re enter the room? How can I tell if Im poisoned? I cant find my phone, or I would call poison control...", "output": "Thanks for your question on Chat Doctor. I can understand your concern. First no need to panic. This kind of exposure don't cause poisoning. So just relax. Just inhale fresh air. Keep that room open. You can re-enter that room after 6-8 hours. Possibility of aluminum poisoning is extremely less. But you should look for vomiting, cough, nausea, breathlessness, chest pain, tightness. If you are not having any of these symptoms for 1-2 days then no need to worry. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a red rash under my arm. Last time I had it, I was pregnant with my daughter & gestationaly diabetic. I am now neither diabetic nor pregnant. A doctor said then that the rash was related to kidney function - or the lack thereof... Just wanted some insight?", "output": "Hello, Thanks for the query, Red rash under arms can be a fungal infection. The area of skin folds is very moist and is prone to develop these infections. Treatment can be with oral antifungals as well as with topical antifungals. Various antifungal powders like candid are available. These can help reduce the moisture as well as control the infection. Please meet a dermatologist for exact diagnosis. Let me know if you have any other doublethink you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just had a kidney stone surgery but was left an stent inside until today, am having lots of pain and now am seeing white things in my urine, could that be particles of the stone? I know i had a 7 mm stone and was blasted, how do i know am passing stone?", "output": "Yes, your concern is very true. In my hospital, after authority i.e. stone blasting, I always ask my patients to collect urine in a container & send it for stone analysis. Also, to all my patients who want to advise preventing stone formation in the future, I advise doing metabolic work-up & 24 hours urinalysis. You can discuss this with your doctor. Hope this information is useful to you. Thank you. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my mother has been suffering from low HB level for past 2 yrs. A week back she got some tests done which indicate kidney disease. She also got and X ray of skull done which says sella is widened anterioposteriorly with thinning of posterior clinoid processes . We are awaiting few more test results, after which Doctor will prescribe medicine. MEanwhile her urea , creatinine level are v high. 24 hr urine test has shown v high protein level. She is suffering from UTI as well. What do u think can be diagnisis? What does all this indicate? I understand stages of CKD , what stage wud this be? Is Skull test related to CKD? How can we establish what is causing what?", "output": "Dear friend, welcome to Chat Doctor. How old is your mother?diabetic? Recurrent Otis?yes, the picture looks like that of CKD, probably a UTI related AKA (acute kidney injury). This could be stage L or E of RIFLE criteria. Pl. let me know the results of all the tests to comment meaningfully. Enlarge sell is not typical in CKD. Could be unrelated or calcium metabolism related .pl. follow your nephrologists advice and keep me posted on the progress. Detailed evaluation including, USG, urine culture, probably kidney biopsy in due course will be done. Hope I have answered you satisfactorily. Good luck!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 14 years old and I think I m depressed, when I look at myself I wonder why i even bother because life doesn t feel worth getting up in the morning for and I would rather be dead than carry on. I look at the future and instead of seeing a way out, I just see a load of closed doors. I can t handle my life anymore, the slightest thing makes me want to cry and never get up again, and I feel stressed all the time and speak to people in ways that normally I wouldn t. I kind of distance myself from people because I think they won t understand. I don t feel any motivation anymore to do anything constructive or worthwhile, because it all seems so pointless.", "output": "Hi Joseph, Welcome to Chat Doctor, and thanks for your question... I can understand how difficult and distressing it must be to going through such feelings. From the picture you have given, I think you are definitely in the midst of a depression. Feeling low, lack of motivation, social with Chat Doctor. Are all symptoms of depression. Often, when we are depressed, our thoughts and attitudes can get clouded due to the depression and we don't feel like even seeking help, as everything seems pointless and a mere waste. It is a positive thing that you have a good insight about your feelings and are able to recognize that you may be going through depression. Now, it is very important to seek help for this, without hesitating or postponing. I would suggest that you first talk to someone close to you... may be your parents or relatives ...and let them know what you are going through. You will also need professional help from a psychiatrist who would be able to assess you in detail and treat you appropriately. There are various options available - talking therapies, medication, etc. and you will be able to come out of this soon. Wish you all the best. - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi , I am 25 year old unmarried woman and I m really nervous about taking birth control pills yet I need one. Im really confused with the choices as the chemists keep saying theyre safe just to sell it off.I bled badly for 4 days sometime last year after I was assured it was safe.I would be very grateful to you if you could suggest safe birth control pills in India . Thank You", "output": "Hi, You have several choices to make from the wide variety of oral contraceptives available and the side effects experienced vary from combination to combination and from individual to individual, but, essentially, they are hormone-related. It depends on what medication you had, and I cannot comment further on why you bled in the past. To be on the safe side, you can choose one of the micro-pills or progesterone-only pills and after a gynecologist assesses you in person for your fitness to consume them. Please do not self-medicate. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear doctorMy brother is admitted in hospital for portal hypertension. His body is very weak. Now doctor say he is also having prostate problem. The kidney is now working only 50%. they had conducted three dialysis and not doing it now. Is it possible for the replacement of liver", "output": "Hi thanks for asking question. Noted you have kidney function less with liver problems also. You probably might have portal hypertension secondary to cirrhosis. In such high risk condition surgery is not advisable. First try to correct these conditions. Consult doctor for treating portal hypertension by beta blocker. If ascites present diuretic given. If varietal bleeding occurs from esophagus then endoscopic management done. Meanwhile -take low salt diet-Green leafy veg useful-Avoid smoking-Maintain HY Chat Doctor. Wish you good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello My daughter is 7 months n 3 weeks her weight is 14 pounds is that way too less for her age,she was not very good with gaining weight. And secondly we were in India for 6 weeks for first 2 weeks she used frequently vomit either her solids or milk.. then I guess she got some what adjusted n even gained some weight.. its been 2 weeks we came back to US.. for first week she was fine but now almost for last 2 weeks she is vomiting daily.. her solids as well as her milk... milk only when she cries... for example I give her n put her to sleep if she wakes n starts crying within a minute she coughs a little n vomit.For solids at times I used to feel may be I am overfeeding her,but for last couple of days she shows signs as if she will vomit only after eating couple of spoons.She coughs a little n at times seem to clear her throat.. I am very worried that she ll start loosing weight or will not gain properly.. Plz help", "output": "Hi, thank you for posting on Chat Doctor, I understand your concern as a mother. I feel that your kid might be having severe Castro esophageal reflux disease (GOOD) which explains her vomiting and poor weight gain. Has she undergone any pH studies? Upper GI Barium studies or any other with related to above condition? Her vomiting is unlikely due to over feeding as in that case she should have gained weight even though she vomits. Changes of her living areas can't be considered as a cause for her symptoms too. Anyway if you can submit any of above investigations I would have explained more. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor, For the past years i have been have a nasal allergy . I use to get this Allergy in my Nose once in a week. I use to get continuous sneezing and my nose will be very heavy. itz happens mostly when i drink cold water. i can t bear a sip of cold water also. sneezing go on for whole day but when i use Cetrizine and i will get released. PLZ suggest mi any permanent solution.", "output": "Hello, You are having allergic rhinitis which will always re-occur ones the allergens (cold, dust, pollen) are present. You need to adjust your lifestyle and avoid allergens even though it is difficult to do, at least you will reduce the chances of you getting some allergy episodes. Then you can use antihistamines such as cetirizine or a nasal steroid spray to relief the symptoms when they present. I don't think there is any permanent cure for your allergy as it is already encrypted in your DNA and that can not be corrected by any known medical therapy. Wish you the best and hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "yes, my son is 10 years old, was diagnosed with pheumonia after having a chest xray in emergency room friday night, what they had him on was nt working, amoxicillan and prednisone so they gave him a shot yesterday at dr s office and started him on a z-pak last night and continued the prednisone, he took 2 zpak pills last night and supposed to take 1 a day for 4 more days, i gave him the 1 tonight about 8pm, he is now itching bad on his hands, chest and back, a few red welps on all. Is there anything i can give him to offset this if he is having an allergic reaction to the zpak until i can call the dr back in the morning?? Thanks, dana", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion, your son is having allergic reaction due to either of the following. 1. Immediate allergic reaction to azithromycin (z pack). 2. Delayed time of allergic reaction to amoxicillin. He is having allergic reaction for sure. Allergic reactions are of two kinds. 1. Immediate type of reaction occurs within minutes to hours. 2. Late (delayed) type of reaction occurs after 2-3 days. So better to consult dermatologist and start appropriate treatment. Treatment of allergic Chat Doctor. Stop the suspected " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter is 5 and is having green mucousy foul smelling stools afebrile no ABD pain its formed however Im hoping its not c diff she is a poor eater at times we struggle with her. Im not sure what else it could really be she doesnt wipe properly either we struggled with this as well.", "output": "Hi... Thank you for consulting in Chat Doctor. It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi im 20 yrs old and i have been diagnosed with SLE nearly a year now. for a while now i have always had a small lump under my right armpit that would be sore. just recently ive realised it had grown abit an more painful if i dont even touch it. what could this be from im worried???", "output": "Hi, dear I have gone through your question. I can understand your concern. You may have enlarged axillary lymph node. It can be due to reactive hyperplasia, tuberculosis, lymphoma or metastatic carcinoma. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir , what is need for mecofol pluse tablet?........ my father is diabetes patient .he take s lots of tablets whether it take in normal water (or) hot water..and his leg some time become s so big and i want the reason for that ..please sir", "output": "Hi, Mecofol plus contains vitamins nicotinamide and vitamin B-12 and commonly used in the treatment of nutritional deficiencies as well as peripheral neuritis associated with diabetes. The swelling of the limbs could be due some problems with kidneys, heart or liver for which he should be clinically examined to find out the underlying cause and its treatment. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son of 15 years old caught viral fever since Sunday night. Doctor has given medicine and advised to be indoors for next three days. Attended school for test on Thursday. Today again he is feeling very weak and is not able to standup also. please advise", "output": "Hi, welcome to ChatDoctorViral fever is generally associated with generalized weakness, body aches, malaise, etc. Therefore, feeling of weak during or post infections, esp. of viral origin is common. Adequate nutrition with enough calories, proteins and fluids will help the body to fight organisms and restore the strength quickly. A judicious and as required use of analgesics like diclofenac Chat Doctor. In case, the condition of your child appears to be critical a consultation of a local general physician is always helpful and safe. With a good supportive care the symptoms should recover by a week. Welcome for further suggestions." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my names Kaitlin. I m suffering with sore pain at the lower part of my ribs and which hurts my stomach I dont no what it is. But I have it the last few days. My stomach and lower part of my back is swollen. And it s painful. When I try sleep. Walk and I can t Really eat with it. I m just wondering can you tell me what it is.", "output": "Hi Hope this message finds you in good health. I have gone through your query in detail and understand your concern. This may be due to pleuritic or some neck nerve being pinched causing the symptoms. Take analgesics, local hot fomentation, apply rib belt. Get chest X-ray done Hope your query has been answeredNothing to worry about, You should eventually get back to normal. Get back to me for any FOLLOW-UP QUERIES anytime. Kind Chat Doctor. .(MBBS, MS,MCH)" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI I have all four wisdom teeth partially erupted and are almost straight except for the lower left which is growing forwards and to the left pressing against the side of my cheek. I never even noticed the upper ones coming through except for a little pain when they broke the gums but the lower ones have hurt on / off for about 5 years. The right one has been OK for months but the left (that is growing abnormally) is causing problems. I got an oral surgeon to look at it 3 years ago and he recommended leaving it as the nerve is too near its roots and will probably be damaged. Overnight the pain has got worse and my face is swollen like a gold ball and there is a rancid smell from the tooth and a bad taste. I cant see the dentist for a few days. Can I wait or should I go to hospital?", "output": "Hi...thanks for the query...well. The only option for lower left wisdom tooth is extraction... for time being do warm saline rinses 6-7 times per day... take proper course of antibiotics and anti-inflammatory Chat Doctor. . If possible visit dentist to get the affected area irrigated and cleaned up... before going for extraction, go for proper clinical and radiographic examination of all impacted teeth... consult any oral surgeon...if sufficient space seems to be available for teeth to erupt... then allow them to do so... operculectomy can be performed over them... if space doesn't seems to be available, go for its extraction...hope it will help you...take care..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. My lower tooth near my wisdom tooth on my left side is hurting alot. it stoped alittle now. but my jaw or like side of my left neck is feeling numb. should i be concerened? i red on the internet that food can get into a tooth that isnt right, mine has like a crack, and some black stuff in the middle. it can cause to death. im very scared, but im also very scared of getting a root canal or going to the dentist. please help.", "output": "Hello, Infection-related to dental issues can definitely spread and cause a severe infection. Please take anti-inflammatory medication to control your symptoms and reduce your discomfort until you can schedule a dental exam for a complete diagnosis. If possible, I suggest taking two extra-strength Tylenol and two Advil at regular intervals. Please try to keep the area clean and avoid chewing there. You may require prescription antibiotics. Your tooth description indicates a large amount of decay. Decay will enter the nerve chamber of the tooth and infection will spread if left untreated. Usual treatment choices are a root canal or extraction. Your dentist will need an x-ray and explain your options to help you make a treatment decision. Do not ignore your symptoms. Infections can flare up and calm down, but left untreated will turn into a more complicated situation. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Question, I ve been getting a cold sensation in my scrotum area, like the way icy hot feels when you put a small amount on your skin and it comes and goes from time to time. I ve had this feeling over a couple years but doctors have said it wasn t an STD, but couldn t find a diagnosis either. I haven t had any lumps in my testicles either and I ve had an oncologist take a look. My family has a history of prostate cancer, could this be a symptom or am I over thinking it?", "output": "Degree understand your concerns went through your details. The \"cold sensation in my scrotum area, like the way icy hot feels\" is an unusual occurrence but not that unusual for psychologist / psychiatrists across the world. The lack of knowledge about sex and sexual organs could be your problem. The lack of knowledge triggers anxiety whenever you think or obsess about those. Such an obsession could trigger \"feeling\" of pain, whereas the pain never exists. That is called, in psychology, psycho-somatic disorder. You should stop thinking and obsessing about the \"feeling\" you are mentioning here. Obsessing worsens the symptoms. You should believe your doctors and that is it. I suggest you to consult a psychiatrist / psychologist for treatment, if need be. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello I am trying to conceive from last 1 year but unsuccessful can you guide me with problems that can cause me getting conceive,myself had blood test its normal,my husband sperm tests are normal,what is the intake of food i can take,and I know best ovulation date is between 10 -14 days after my periods.Please can you guide me in brief.", "output": "Hello dear I understand your concerns would suggest consulting infertility specialist and undergo reproductive hormones and thyroid hormone analysis, USG scan, Ovarian follicle study and HSG test to detect any cause. Normal hormones, adequate ovarian maturation and rupture, patent fallopian tubes and normal semen analysis are required to become pregnant. You can take following advises and discuss with infertility specialist:Tablet ova care plus: to support pregnancy and maintain reproductive health. Tablet clonidine and metformin : if problem in maturation and ruptureProgesterone pill to support implantation and support early pregnancy. ChatDoctor and FSH injection can be used daily or alternative day intercourse from day 8th to 18th of your cycled regular exercise and maintain your weight according to normal Avoid stress, Chat Doctor. Hope this may help you Best regards " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Thanks. I was recently diagnose of hepatitis B for which i tested positive.I went ahead annd did the Viral load test with the following resultsPCR Hep.B Quantitative 3707 copies/ml637 IU/ml3.57 log.The profile also indicated the followingB surface Antigen :reactive (Positive)B Surface Antibody: 2 u/LB core IgG: Reactive( Positive)B core IgM: Non reactive (Negative)B e antigen: Non reactive ( Negative)B e antibody: Reactive (positive) This has been interperated by my doctor to mean than am chronic. and that i should not worry.However the lab test indicated that i should still go for full vaccination since my b surface antibody was only 2...what do u think.i also do experience some weekness in my leggs and arms sometimes. and also some mild pain and tiredness in my joints sometimes", "output": "Hi.thanks for posting query. HepB can not be eradicated completely in patients infected with it. Your gave the details of antigens and antibody but I could not find the PCR results. You need to test for HBV DNA count via PCR. Complications can be prevented with proper care and treatment. Treatment is advised if AST and ALT are > two times the URN (upper limit normal) and HBV DNA count on PCR is very high. Liver enzymes and Bag status and HBV DNA PCR maybe done regularly every 6 to 12 months, Visit hepatologist for proper interpretation of results. Hope to answer concern regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have got breast cancer, my lymph nodes are clear from the armpit as this was checked when I had the lumpectomy, I have this aching pain in back of my knee, although the sports injury man said it is pulled hamstrings, and I have no lump or swelling, could it have spread to the knee if my lymph nodes are clear in armpit", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. I also think that your knee pain is mostly due to muscular injury. No need to worry much for cancer spread. Breast cancer tend Mohave bone metastases. So bones are common site for breast cancer spread. Most commonly involved bone is vertebrae and long bones like femur. Joint involvement is very uncommon. So no need to worry. But better to rule out this fear by doing ultrasound examination of joint. If this is normal than your pain is mostly due to muscular cause. So take good painkiller and muscle relaxant." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have 2 sores on the roof of my mouth, it is swollen and red surounding this area. The rest of the roof is tinges yellow. Throat is very sore and red. Symptoms have last mildly for a few days but got extremly painful yesterday. Now my 6yr is complaining of a sore throat, only sign in yellow tinge on roof of her mouth.", "output": "Hello, Possibilities include strep throat or a virus. Strep throat needs treatment with a prescription antibiotic and diagnosis can be confirmed with a tissue swab by your doctor. Viruses need time to clear your body. There are medications that can speed up healing if the virus is diagnosed early on. Keep well HY Chat Doctor. Anti-inflammatory medication such as Tylenol or Advil may help. Avoid irritants, acidic and spicy foods. Take balanced vitamins especially vitamin B12. Sometimes an oral yeast infection can develop in your mouth. Taking acidophilus can help prevent this occurrence. Treatment with the prescription antifungal, Statin, may be required. There are combination rinses available by prescription that can help to heal and reduce discomfort. Viruses and step are contagious as well. Thank you for your inquiry. I hope that you feel better soon." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI, I have a kid of 7 yrs and she was admitted in hospital last month as she was suffering from Rhinosinusitis and hay fever with stomach pain and liver enlargement and also she was having referred pain.Docs says that it cud be due to allergy but they were not sure wat kind of allergy and wat was the allergen.She was treated and she was fine but now again she is facing similar problem lik stomach ache and pain in right side of her chest and aslo she has cold.Im worried so can you please advice me how to proceed for her prpoer treatment.", "output": "Hi, thank you for posting on Chat Doctor, I understand your concern, In hay fever It's difficult to find the exact allergen even after sophisticated allergen tests. However, this is a very common chronic recurrent condition which can be controlled by antihistamine and anti allergies' treatment. But if your kid gets very frequent attacks which disturb her usual life it's better to consult an immunologist who can assess the severity of symptoms and to start a long term prophylaxis treatment; also in the meantime he might do some important tests to find exact identifiable allergens for your kid. Her abdominal pain can be due to allergy induced enlarged lymph nodes in the tummy. Hope the answer is helpful. All the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have tremors on left sie,shoulder,arm,hand,leg and toes,up all nite.neuroti 100mg. does not help.dr.scheduled an mri and eeg.....he is taking ln enough to call and said he would...ay ideas what this could be.i am 55 years old ad was very active doing everything about 6 weeks ago.now i cannot even sit without feeling like i am ging to pass ut.srry but i cannot afford to pay,if u cannot answer this,i will have to look elsewher.thank yu", "output": "Hello Chat Doctor. A few more queries in my mind. Are tremors worst at rest of while you are doing something? Are they also affecting your right side? Or if none at all on right side. Do you feel any heat or cold intolerance as compared to other people? one-sided tremors usually indicate start of Parkinsonism. If they are present only when you use your hand they are secondary to cerebellar problems. Have you experienced other features of Parkinsonism like slowness of your gait, difficult starting a walk, any rigidity in your muscles. And unbalanced posture ?so it's better to follow the neurologist advise of doing MRI and EEG. Hope I have answered your query. Let me know if I can assist you further. Take Disregards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am a 33 year old male standing at 6 foot. My weight is 90kilos. I suffer with psoriasis. I was out in the sun for a long period yeaterday. I did use sun protection however I cound not have used a sufficient amount on my scalp which caused some burning. I dont feel any pain although it is sensitive to touch. The worry for me is it has been intermitantly seeping a clear fluid for a 4/5 hour period.Thank you for your help", "output": "Hello, Welcome to Chat Doctor, From your description it sounds like sunburn alright. In severe sunburn seeping of fluid (oozing) is commonly seen. It will be beneficial if you could apply a cream containing a combination of steroid and antibiotic twice daily. Cold compresses will be beneficial. You should strictly avoid further sun exposure of the sunburned skin till it heals. I recommend you to get this cream prescribed by your general practitioner. Hope this helped, Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I recently have been bloating severly, sometimes even looking up to 9 months pregnant, after eating anything. I went to my dr. and they ran blood tests and they all came back normal. I have tried gluton free eating and am having sharp pains 1/3-1 inch above my belly button on my right side. The bloating lasts 12-24 hours and when I wake up in the morning I have a flat stomach. I am going to the bathroom regularly and seeing slime in my stool, stool is always soft. What is going on with me?", "output": "Dear Mummy, During pregnancy, the levels of hormones Estrogen and Progesterone are raised. Progesterone is known to cause sluggishness of the intestinal motility leading to constipation and/or bloating. Since you are not having constipation, it is likely that you are having either worm infestation or amoebic dysentery. Please get your stools examined after an overnight purge. The worms will require deforming while the amoebas can be dealt with Metronidazole. Please make it a habit to walk for about an hour after each meal before lying down. This will help you. Gases tablets, plain soda, carminative mixtures will help you get relief from gaseous bloating. I hope this helps you. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "by mistake i dropped some drops of sperms on my partners vagina. i was in undergarmnets, whereas she was without clothes. Though she has taken Unwanted 72 within 20 hours, is there still a risk of getting pregnant? how would she be confirmed after consuming the pill that she wont get pregnant .We never had sex.", "output": "Hi, When did your partner have her last census. The first seven days and the last seven days of menstrual cycle are considered safe. If you have had sex during this period you need not worry. If you have sex on days other than safe period then there is possibility of pregnancy. Even one sperm is enough to cause pregnancy. So it is good that she took unwanted 72. Unwanted 72 is very effective in preventing pregnancy. If taken within 24 hrs of unprotected sex it is 95% effective. So there is a small possibility of method failure resulting in pregnancy. If her period is delayed for more than a week from her due date she must do pregnancy test. To avoid such unnecessary stress I advise your partner to consult her doctor and start regular contraception like hormonal contraception or intrauterine devise as they are very effective in preventing pregnancy. I also advise you to use barrier method of contraception like condom to protect yourself from STDs. I hope I have answered to your satisfaction. If you have any further queries do contact me through Chat Doctor " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i am maria carmen. am 30, 53 and weigh 120lbs.i experienced lock jaw for three times. i didnt suffer any pain. its just that my jaw as if fallout of the socket. my lower and upper teeth didnot meet.so i went to the dr. he just pull down my jaw and just like in a cabinet push it back. im so scared to i want to see another dr. who shall i visit to? should i visit a dentist?", "output": "Thanks for your query, I have gone through your query. The dislocation of the Condole could be because of the chronic subluxation of the joint. You have to consult an oral maxillofacial surgeon and get it treated. Surgery is the last option to get it treated. Either laminectomy or capsulorraphy. Initial conditions can be managed by the conservative management by following instructions like not opening mouth too wide, support your jaw while yawning, do not bite hard things. The jaws can be stabilized by splinting with a bandage. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im 64 yeas old on home peritoneal dialysis. Im on the kidney transplant list. Because of my age Im getting older kidney, which i will get the kidney faster. At the moment my energy is low and the faster i get it the better for me i was told. The kidney will be from a dead person. Is there any chance that this people died from censer. Should I go on the internet and ask if anyone is interested donating a kidney. I heard some people have done this. Is this wise to do. Thanks", "output": "Hello, Thanks for choosing Chat Doctor. Don't worry about that of course you can have a cadaver kidney of old age person. If there is anything that wrong about the patient then even doctors won't transplant that kidney they will have the complete history of the dead person so rather going for other option you please carrion with the cadaver kidney and mostly you won't have any other issues except the acceptance of your body to take that kidney. Thanks Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My mothers creatinine is 15(fifteen). She is luMy mothers creatinine level is 15. Yes, fifteen. Her WBC is 1. She has what appears to be lyric lesions on multiple bones. They doing bone biopsy to check for multiple myloma. Cant they also check M protein for multiple myloma?", "output": "Hi, dairy have gone through your question. I can understand your concern. Your mother has lytic bone lesion and very high creatinine. SO she has high chance of multiple myeloma. She should go for protein electrophoresis so check level of M protein. It will give you confirm diagnosis. Then She should take treatment accordingly. Thalidomide plus dexamethasone is the treatment of choice for multiple myeloma. Bortezomib can be used. Stem cell transplantation is the best option. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Black specks much like pepper are coming out of my entire body. I have lyme and bartonella as well as babesia...What is this please/ I am 60 and have had lyme for several years, have a picc line and am on Clindamycin until Monday when I being Flagyl as well.", "output": "HI, Skin rash you see in all three diseases are different from what you described here. But sometimes black specks like pepper are coming out of in Lyme disease. I have doubts regarding the sensitivity of antibiotics you are given for Lyme disease. We usually prescribe doxycycline, cefuroxime or amoxicillin. If there are other complications also choice of antibiotics changes. So it is better you meet your doctor and ask him about antibiotics choice. Hope this helps. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my name is christina, i am 34 yrs old. i have a 3 yr old and 17 yrs old. i am still wanting to have one more child but still nothing is happening. I have my monthly periods every month. I dont us pertection, no birth cert,no condoms. I have only one partner for 5 yrs which is my 3yr child father. So what am i doing wrong. Im getting older not younger.", "output": "Hi Christina, Thanks for the query. As you conceived previously there may not be any major problem related to fertility. You once consult gynecologist, get examined and go for ultrasound. If no abnormality is detected you track your ovulation and plan unprotected intercourse around that period. Refer:http://srsree.blogspot.in/2013/07/infertility-1_8.htmlThis will increase the possibility of pregnancy. If needed you can go for ovulation induction with your doctors' advice. For more details you can ask me through: http://www.ChatDoctor .com/doctors/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son has hydronephrosis of his right kidney and has had two surgeries when he was 1 year old. He is now 8 and had a renal scan and the results state that he ha significant pelvicalyceal retention on the right which clears following lasix administration. Should we be concerned with the findings?", "output": "Hi, Thanks for writing in. Your son might have had congenital HY Chat Doctor. The present renal scan at 8 years shows that the kidney is bulging out due to urine in the collecting system, but this becomes normal when there is increased force in the kidney after giving lasix which is a diuretic. Las ix administration is a method to study real and apparent swelling of the renal collecting system. Since the swelling in pelvicalyceal system disappears after taking lasix, it is conclusive that he does not have any real obstruction in the kidney collecting system and the swelling that is apparent on the scan is temporary in nature. It will be good to do blood tests for kidney functions regularly as advised by his doctors to make sure the kidneys are working fine and serum creatinine and blood urea values are in the normal range." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Dr. I was having stomuch pains and took the hyospamol pills and planning to fall pregnant I m on my ovulation days can this affect my chances of becoming pregnant as I have been trying for almost 2 Years to fall pregnant after my 1st child.. Thanks", "output": "Hi, As you already had a successful pregnancy, you have a very good chance to get pregnant again. It is always better to avoid painkiller if trying for pregnancy. It may stop the egg from coming out of the follicle.I would advise you to have a tubal patency test done. Tube is the bridge between uterus & ovaries, where the egg & sperm meet & form the baby. Its very thin, size of a hair. It cannot be seen on scans. You never know if it is clogged or blocked. Have a HSG (X-ray with dye) or SSG (Scan with dye) or laparoscopy. These tests can also open a blocked tube. Also have husbands semen tested. If all fine you should be pregnant within a month or wall the best Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband was hospitalized for five days to recieve IV antibiotics do to MSSA infection in his leg. We are home now and he is on his fourth day of oral antibiotics. Tonight his skin started peeling off in big sheets around the original abscess spot. Is this something to be concerned about?", "output": "Thanks for posting you query to Chat Doctor. If skin peeling is only limited to your original lesion you don't need to worry as it happen after resolution of swelling at abscess site. After complete removal of dead skin layer regeneration of new layer will be taken place. But if peeling is generalized to hole body and associated with some other feature you should contact to clinician because it may be due to some infection .hope you are satisfied with my answer. Feel free to communicate if any query.regards, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir,2yr long marry but i am not able to concieve a baby since 11/2yr taking folvite continue have krimson last year 8months back for 21day and before and after i took letroz for 5 days for 7/8 time ,last year from nov 9 to jan25, 2011i took glyphage tdsthn istop .i did iui once no success last two month back thn endometrial biopsy report is endometritis ,tb pcr negative ceffixim+ornidazole bd 7days +one vaginal sopossitory which is clindamycin something. in dis month i check blood test all virology it was negative.but haemoglobin electrophoresis A WAS LOWER SIDE 6.7 something,HBA2 IS HIGHER 26.4 SOMETHING. DR SAIT IT MAY BE THALLASEMIA.AND DID USG TVS PCOD BOTH ,WHAT TO IDONT KNOW still i am not showing report to my consult dr.she ask to come 1st week of march.its posible to concieve a baby?my husband is healthy now he also tired to have sex due to prolong not conceive.please suggest me .my consult dr advise me to plan for laproscopy again biopsy sent culture ,pcr ,pathology. iam very eager to have baby my too.since 4-5 month hair loss too.", "output": "Hi dear, I have gone through your question and understand your concerns. Infertility can be due to many causes. However, thalassemia is not a cause for infertility. You should get a laparoscopic examination done to rule out endometriosis and check for the patency of the fallopian tubes, before going for further treatment. Further, you can go for GUI or resort to IVF directly. Hope you found the answer helpful. Wishing you good health. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i have been feeling unwell for 10 days but before i was totally healthy i have dypsnea lightheadness and pulse of 90bpm my blpr was at first 140/85 then it returned to be 110/75 over the next few days i feel tired exhausted very depressed i m 32 years old my hb is 10 and i m taking ferroglobin caps for that i also take procoralan for tachycardia but still have taht light head and headache and mild dypsnea my doctor says i m stressed that s it and that this is anxiety but i really doubt that pls help me i m very afraid", "output": "HiI understand your concern. Yes it may due to stress and anxiety. Tachycardia, palpitation, difficulty in breathing etc. might indicate anxiety. Anxiety is unconcerned fear which produce physical symptoms. This condition can be treated with SSRI like sertraline and paroxetine. Anxiolytic can be beneficial like Mizoram and clonazepam. Do take doctors advise before taking medicines. Regular exercise, yoga, meditations, relaxation exercise will help. Take proper sleep and food regularly. I hope I have answered your query. Happy to help you. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "we were just in a car accident and we suffer from a pretty bad whiplash we were given novalgin from sanofi aventis and it doesnt seem to be strong enough to take the pain away! we were told that 3 a day should be enoungh but I would like to know if we can take more", "output": "Hello, As there was an accident there is always a chance of Whiplash Injury. This injury occurs due to sudden thrust to the head and leading to an impression of damage to the spinal cord at the cervical region. I will advise the first foremost thing to do is taking up an MRI. Because that will provide more light to the injury by revealing the internal structures of the cervical spine and spinal cord. It's good that you have not developed any major injury. Because in whiplash injury things can go otherwise. Thank god that you are all fine and there is only pain. Once MRI is done you will be able to notice the extent of soft tissue involved in whiplash injury. Based on the soft tissue injury, painkillers along with physical therapy will be advised. As with physical therapy like Ultrasound therapy and TENS therapy the pain will reduce, and muscle spasm will be reduced too leading to less pain. Any muscles which have gone wasting during the resting phase may need to regain some strength. Please use the cervical collar for time being to avoid more compression of the soft tissue. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I jammed my pinky finger in a door on april 7th and its swollen, and hurts to bend very bad. Ive made a splint out of sticks and wrapped it to my ring finger. when I take splint off it hurts to bend so then I just wrap it back up. do u think its fractured", "output": ". I'm sorry for your situation. If I understood it well, you injured your finger more than two months ago. Usually, this type of injury are very painful, but tend to heal fully within a couple of weeks. Since you are still experiencing pain and lack of functionality it means that there is still some damaged inflamed tissue. I suspect that the injury was more severe than you thought. In order to prevent chronic issues with your finger, I recommend to not ignore anymore this problem. First you should do an x-ray to rule out any possible fracture or healing in the wrong position. One other possibility is ligament injury. You could take NSAID to reduce inflammation and for pain, but this is just symptomatic relief. I recommend scheduling an appointment with a hand specialist in order to examine you more objectively. I hope my answer helped you and I wish you a fast recovery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 17 son has hand tremors that we just noticed. They are worse when extending his arms, not so bad if he is holding something. He has a great uncle who had parkinsons. Is parkinsons genetic? I will make an appointment for him tomorrow, but it seems very odd for an otherwise very healthy kid.", "output": "Hi, Thank you for posting your query. I have noted your sons symptoms. It is unusual to have symptoms of Parkinson's disease (PD) at a young age of 17. Also, the other features of PD such as slowness of activities and rigidity of arms/legs are not there, so, I do not think that your son has PD.PD can be genetic in about 10% of cases. Neurological examination would sort out the diagnosis. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, Chat Doctor. Ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir,i m from india. I suffering with itching in internal part of penis and foul, rotten like smell in penis since 1 year. penis has gone pink color and remains moist. when open to air , its surface became dry and lossened immediately and . i consulted with doctor who prescribed antibiotic which got worse and more itchy and inflammed with red spot on surface of penis. Also feel inflammed in urinal tract and tip of penis. Is it fungal infection, dermatitis or thrush? I had scalp dermatitis for 5 years which now cured when i applied Halobetasol propionate and salicylic acid cream. Is this infected in penis during bath??? Kindly suggest me what medicine should be taken??", "output": "HelloThanks for query. Based on the facts that you posted about the symptoms I think you have fungal infection of genitals (Much Cutaneous Genital Candidiasis. Considering the long-standing symptoms I suspect it to be due Diabetes Type II In majority of cases this is one of the first presenting symptom of type II diabetes. Get your blood sugar tests doe non empty stomach and 2 hours after lunch to confirm or rule out the same. Take antifungal medication like Fluconazole and antibiotic like Augmenting twice daily along with topical antifungal cream like Candid cream for local application. Ensure to keep your sugar levels under control (If proved to be diabetes). Ensure to wash your genitals with warm water twice daily. Ensure to avoid sexual encounters till it heals up completely. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Thank you. I had uterine cancer two years ago. I have had chronic pain , very sharp at times bilaterally, where my ovaries used to be. I often feel bloated, and have started to feel lightheaded and nauseous lately. I told my surgical oncologist when I saw him in December; however, he did not seem concerned. I am very concerned. This pain and nausea is not going away.", "output": "The medical treatment will come in bundle/package, not in singles. It means most post surgical problems, which you mentioned, will be relieved by simple medications. But remember one point: severe pain in the abdomen, severe vomiting, constipation and not able to pass even gas, abdominal distension - these symptoms show Intestinal Obstruction - can be relieved by medication and simple surgical procedure, if neglected, otherwise can lead to threatening problem. At any time if you face all these problems together, my sincere advise is, to consult the doctor immediately." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I was scratched by a monkey s nail 3 days on my chest. There are 3 small wounds which are superficial and appear to be healing well. I am not experiencing any other symptoms. I am traveling abroad in Bali and just became aware of the rabies outbreak in 2010. Should I get the rabies vaccine or is it too late? Thank you. Any advise much appreciated.", "output": "Hello, Thank you for your contact to Chat Doctor. I understand your concern. If I am your doctor I suggest you that there is nothing worry at this point of time to take the rabies injection. Secondly chances of rabies during this period is nil as there is no outbreak recently. But it is safe at this period to get vaccinated for you. I will be happy to answer your further concerned can contact me. Chat Doctor. Infectious disease specialist. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband is 36 years old. he is suffering from varicose veins since last 2 years. His scrotum is swollen & is very discomfort to sit & stand. It also pains. He underwent sperm count test. The doctor advised him fertiflax & paternia tablets. Can u pls suggest how his varicose problem can be solved.", "output": "Thanks for asking in Chat Doctor forum In short: you can go for surgery of varicose veins if problem is severeExplanation: Varicose veins are dilated and tortuous veins in the scrotum(laciniform plexus). So, this causes swelling and bag of worm feeling of scrotum when touched. This may increase the temperature of the testicular environment and cause infertility. So, your husband has been advice medications for this. If the problem is mild and Chat Doctor. If it is causing severe problem and infertility you can consult your doctor for surgery. Good luck" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Last night i was working at wal-mart, when i started feeling lightheaded, and weak. So i thought it was dehydration. So i went to get a drink of water. after i had my drink of water, i felt like i was going to puke. So i ran to the bathroom, where i proceeded to vomit projectically... i felt something pop in my chest and i started coming up with blood and nothing else. The rest of the night ive had a really sharp pain in my chest that hurts whenever i drink anything.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you should immediately consult gastroenterologist and get done clinical examination and upper GI (gastrointestinal) copy to rule out bleeding from stomach or esophagus. You are having hematemesis (vomiting with blood). And gastric ulcer is the likely cause for this. You're all symptoms' chest pain, vomiting etc. are also suggestive of gastritis and gastric ulcer. So better to consult gastroenterologist and get done endoscopic examination of stomach. It is therapeutic also in stopping blood. Endoscopic measures like glue, banding etc. are helpful in stoppage of blood. Also do following things for better symptomatic relief. Avoid hot and spicy food. Avoid stress and tension. Take pantoprazole tablet on empty stomach. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I went to the doctors last week and was told i had slight infection in my urine. I have been taking my antibiotics but i am having headaches, lower backache and also now my thigh feels like i have a huge bruise but there is nothing there. Please help!", "output": "During UTI It's common to have fever due to infection in body. When ever there is infection the bodies immune system fights against them, and it responds as increased in body temperature. But along with this due to fever patient will have generalised body weakness and will have more pain for the muscles which are already weak. In your case it may be spinal muscle which are week and so that patient is having back pain. Along with this pain if patient also have disc related issue at lumbar spine then he will also have symptoms at thigh level with radiating pain or increased sensitivity in thigh muscles. Here I suggest you nothing to worry just finish your antibiotic medication course for UTI and then check, most probably all symptoms will go away, and later you should do spinal strengthening exercises. But if still back pain and increased sensitivity at thigh level continue then consult orthopedic and take MRI of your back to rule out issues with lumbar level. Here based on report orthopedic will guide you for further treatment planning. You can also check with physio for physio treatment, postural correction and spinal exercises for early recovery. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have developed this rash where every time I go out side doesn t matter what weather after being out in it for 10 min I get a rash appear on my neck and face . I go bright red and very warm my neck gets very itchy. As soon as I come back in doors It disappears after 20 mins. Yesterday was worse as ur was windy and pretty cold . Please help its driving my mad and it s very embarrassing x", "output": "HI, Welcome to Chat Doctor. Based on the description given, you might b suffering from Solar Urticaria. It is a type of physical Urticaria occurs commonly due to exposure to UV rays and sometimes even visible sunlight (Photoallergens). UV radiation can be present in all kinds of weathers. It depends on the area where you reside. If you are living in an area with less ozone layer covering or an area of high altitude, then the chances of UV radiation is high. Apart from the environmental factors some people have skin sensitive to UV rays. The rash develops with in a matter of minutes and would disappear once you are indoor (it might take 10 mins too few hrs). Rash is commonly seen on exposed parts that is why you are experiencing rashes on face and neck. There are various modalities of treatments like antihistamines, desensitization, immune suppression etc., Please see a dermatologist and take his advice on the type of treatment that suits you. Wish you a healthy life Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi i was talking tylenol for 4 days due to a small surgery i did a blood test on the last day of the treatment on the 16/07/2012 my ALT was 88.i retook it again on the 23/07/2012 the ALT was 72.my question is that i am pretty sure that it is due to the Tylenol but when should i retake the test to have it normal", "output": "Hi thanks for contacting Chat Doctor. Here you have mild liver enzymes' elevation. Usually after stopping Chat Doctor. ... So repeat after month.... If It still elevated then USG with LFT profile done.... If needed viral marker study done ... If you have history of cardiac problem and muscular problems then it can be elevated .so it is ruled out....Finally, if no above causes present then rule out celiac disease like condition which is malabsorption syn" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi.i am 29 years old ,scopy had choclate cyst , fr which i had laproscopy but after that operation i cudnt concieve , iwaited fr four months, than gain i consulted dr in which i came to know i m infected with TB in my uterus... my treatment is started but i m very tensed and depressed as will i get pregnant or nor....wat r my chances of concieving..?", "output": "Hi, you can get pregnant after the treatment of tuberculosis. There is no need to worry about. You can try once your treatment is complete. You can take some medicines like camphene for the growth of your follicles and track your follicles' growth by repeated ultrasound. When follicles reach a size more than 17 to 18 mm, take injection for rupturing the follicles. Be in contact with your husband for next 2 to 3 days. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. You can try like that for 3 to 6 months. Hope I have answered your question. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Having difficulty taking a deep breath or yawning but have frequent urge to take deep breaths, chest feels tight for past two days. Toda having light headed ness, tingly in extremities, dizziness. What could the problem be? I am 26 year old female no Health hx on no medications.", "output": "Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion you are having anxiety related symptoms. But better to rule out pulmonary causes for your symptoms. So get done chest x-ray and PFT (pulmonary function test). If both are normal then no need to worry much. You are having mostly anxiety. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. Avoid stress and tension. Be relax and calm. You may need anxiolytic Chat Doctor. Don't worry, you will be alright." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had lithotripsy done this past Tuesday (Aug. 24th) on my right kidney. This is the second time in 4 years for this procedure. My pain has been way worse this time around. I woke up this morning with severe flank pain on both sides this morning which has subsided with pain meds. I dont have a fever or any other symptoms....is this normal?", "output": "Good day, and thank you for being with Chat Doctor !!! There is pain and discomfort that is to be expected after lithography. It is good that pain medications are helping. You may observe for one to two days and gradually the pain would be gone. The pain could be the stone fragments that are going down the ureter after lithography. If you developed severe pain not controlled by pain medications, fever, or intractable vomiting then you should go to the emergency room to be properly assessed. I hope I have answered your question satisfactorily." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Just looking up hip pain (feels bruised but isn t) and trouble walking sometimes. Short rest (sitting) makes it possible to continue. 58, male Oh forget it. Of course you ll tell me to see my doctor. I was looking online to get available info first...", "output": "Hi, thank-you for providing the brief history of you. A thorough neuromuscular and musculoskeletal assessment is advised. As the pain is in the hip area, it can be related to either of the pathologies. Either a hip joint pathology or a lumbar spine pathology. Based on the thorough Clinical neuromuscular assessment and musculoskeletal assessment the MRI may be advised. Usually there is difference between the ache and the pain. Ache is muscular and pain is neuropathic. Now you should be able to differentiate both individually and based on that the treatment is planned. Following which with simple physical therapy exercises you should regain the strength in muscle. Also, your age is 58, so after a thorough assessment the treatment planning will be performed. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband who has been treated for asbestosis and terminal lung disease as well as itching over his body for the last four years, now has developed excessive mucuus that builds up in his mouth continuously, enough that makes him ill, especially if he swallows. the other concern I have about him is that he can t even eat Just drinks his ensure and maybe a few shakes. He went from 170 down to 128. We go to the VA in Mpls and have seen many doctors regarding each item of sickness but they can t seem to come up with any answers. It is disheartening to see him suffer so much. Do you have any suggestions for the build up of mucuus which seems to be disturbing him the most. Thank you", "output": "Hello dear, thanks for your question on Chat Doctor. I can understand your husbands situation and problem. Asbestos induced end stage lung disease can lead to1. Chronic lung infection like tuberculosis and fungal infection)2. Chronic bronchitis. 3. Lung cancer. And in all these patients, loss of weight, weakness and excessive mucus production are seen. So we need to rule out above-mentioned conditions. So get done1. Clinical examination of respiratory system. 2. Chest x-ray. 3. PUT (pulmonary function test). So consult pulmonologist and first diagnose himself and then start appropriate treatment." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my four year old is getting out of control and iam at loss for words in what to do. she is gets angery easily, she is very defiant, balk talks and when i punish her she just laughs at me. i am tired of her running me over and doing what she wants. what do you recommend i do?", "output": "DearWelcome to ChatDoctorWe understand your concerns went through your details. I can understand. Your 4-year-old is seeking attention. She has learned a lesson that, you could be easily made angry and yelling when she makes face, becomes defiant and back talking. Therefore, she does it again and again to irritate you. Just stop becoming angry on her. Just ignore her negative behavior patterns. Within days, she will be normal. Trust me. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here...I have a 10 month old and for the past three weeks when she has a thick yellow nasal discharge. Mostly in the morning on waking. No fever, cough or chest involvement. Any suggestions?", "output": "Hi... Thank you for consulting in Chat Doctor. Cough and cold are viral 95% of the times in child Chat Doctor. For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15\u00a0mg/kg/dose (max ceiling dose 500\u00a0mg) every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. For cold, you can use Cetirizine at 0.25\u00a0mg/kg/dose every 12 hourly for 3 days. For nasal block, plain saline nasal " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, within the last month and a half or so, I have been getting this random rash as various parts of my body. Never my arms/Head/face. Started as just my leg, on the outsides of my calves and then the backs of my thighs, Randomly I will get it between my legs/buttock area, backs of my calves and generally only on the lower half of my body. Have tried everything I can thing of and cremes dont seem to help much. I have cleaned by house and dont know what to do. For example. Today, I have been wearing the same pair of pants that were washed yesterday. I have been fine all day long until about 30 min ago. Rougly midnight when the tops of my thighs started to itch like anything, removing my pants I found bumps of various sizes, all flesh colored and itchy. Help!", "output": "Hi, You seem to have lichen ultimatum.also called popular urticaria. It is hypertensive reaction to insects bite. It may be flea, bed bug, mosquito or other. There may be itchy popular rash occurring anywhere in body. It may be relapsing. You consult dermatologist for firm diagnosis. You may take oral steroid in tampering doses along with antihistamines like levocetirizine. Apply mild steroid cream. Avoid soap at bath. Detail liq. May be used. I hope you got my answer. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,my mom is 55 yr old, suffering from right side chest pain since a month... she is on antibiotics n AKT... recent chest x-ray showed right side basal zone inhomogenous opacities, what could be cause of it and how long hospitalisation needs to be continued?", "output": "Hello. From your description looks like she had got pneumonia most probably due to tuberculosis and added infection with bacteria- that's why she is on both antibiotics and AKT. Right basal inhomogeneous opacities is just to describe a pneumonia patch. She would be required to stay in the hospital to the time her vital parameters like blood oxygen saturations, pulse, BP temperature oxygen requirement all are near normal ranges. AKT is to be taken for a long term duration and there is no need to stay in the hospital to complete that treatment. Right sided chest pain may be due to involvement of the pleura (outer covering of the lungs) being involved by the infection. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI my husband complained a couple of days ago about his ear, finding it hard to swallow and intense pain around the nape of his neck. he has now developed a rash which seems to spreading from his neck to his shoulder and face .......any ideas ?????? many thanks", "output": "Hello. Thank you for writing to Spain and rash, localized to a part of body on just one side suggests a possibility of Herpes Zoster/ Shingles. Zoster or Shingles usually presents with grouped, discrete, fluid filled lesions/ vesicles arranged in a stripe like pattern on just one side of the body. The lesions are painful. They rupture to form erosion/ raw areas which heal in about a week or ten days, on oral antivirals. Diagnosis is clinically obvious. Treatment is with oral antivirals like either acyclovir Or val acyclovir for a week. These are prescription Chat Doctor. Topically he may use an OTC topical antibacterial e.g. 2% mupirocin twice disregards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 32 year old female in relatively good shape and health. I have common allergies (mold, dust, ragweed, animal dander) that I receive shots for every week. I live in the southeastern United States where the pollen count is high right now. No health issues, including current illness or diseases. I quit smoking 3 months ago after smoking for 17 years. I have been a runner for the past 4 years, but now when I run I have a difficult time breathing. Even 24 hours after running, it is difficult to breathe. What is going on with my lungs? Why was it easier to breathe when I was a smoker?", "output": "Hello, Allergies are known to increase in intensity overtime if exposure to the allergen continues. Smoking is also an irritant and decreases the capacity of the lung over time. If you quit smoking, it is always helpful. It not only prevents further damage to your lungs and heart, but slowly they recover as well, but the absolute amount of recovery depends on the amount of initial damage. In your case, in my opinion, you shouldn't link your cessation of smoking with breathlessness; it's always the opposite. Focusing back on your allergy, If I was your physician, I would like to get you examine the status of your lungs as well as test your allergies to make sure you haven't developed a new one or that the other ones are in check. It would also be advisable to start an anti-allergic like Desloratidine 10 mg daily and Montelukast sodium 10\u00a0mg daily in this season, until pollen counts are below safe levels. I hope it's helpful. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi! I just got a blood test back and it says (again) that I have hypochromia, but that my iron levels are relatively high (135). I dont understand how this can be, since what my doctor told me that the hypochromia was caused by low iron levels. Any ideas?", "output": "Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Yes, hypothermia is caused by low iron levels. 2. The hypothermia at present could be due to early iron deficiency. Also, it can be seen in chronic diseases or thalassemia.3. Need to know whether it is microcytic hypodermic or normocytic hypodermic. Also, hemoglobin levels, red cell distribution width and reticulocyte count necessary.4. If reticulocycte count is high, thalassemia requires evaluation. If it is low, and after 15 days of iron therapy, if it improves to 3-4%, it is iron deficiency and correction is necessary. Hope it helps. Any further queries, happy to help again" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am getting heavy giddiness suddenly irrespective time and positions if it cool of within 10 min it s OK if it is more than 10 min i am getting vomiting. Doctors says that you have high BP and not proper heart beating (rythm). They gave me cardarone injection. and stugeron tablets. After one week i got same problem. this time they took MRI BRAIN they found small old clot but there is no problem because of that you are get this problem.They gave me acitrom 2mg tablets and vertin8mg tablets.Some one told me you have only hear in balancing that is why you are getting the problem simply you use vertin tablets and vitmin tablets are you able to tell me what is my actual problem my treatment way is right are wrong??", "output": "Hi... If patient is having giddiness associated with vomiting. The source of the problem could be either peripheral(inner ear) or central(brain) In your case doctors have taken MRI OF BRAIN to rule out clots. Since your MRI showed clots in brain they have started citron which is a blood thinner. Secondly they have started vermin which is a commonly used antihistamine for giddiness due to any pathology in inner ear such as BPPV. It will be advisable to continue citron and have regular followup with your neurologist since you have clots in brain, and you should consult a ENT specialist to rule out ear pathology." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My heart was beating erratically in my chest that it was moving my chest on its own and my throat started to feel like it was tightening. This lasted about fifteen minutes. Id like to Know what that is. Im fourteen and I have high blood pressure as well.", "output": "Hello and thanks for writing. I can understand your concern and would try to help you in the best possible way. Palpitation in your case could be due to elevated blood pressure or anxiety or any cardiac rhythm abnormality. I advise you to consult a physician and get yourself worked up for these conditions. You may need few tests like BP measurement, ECG, 2d Echo, holder study or any other tests to rule out these conditions.In the meanwhile I suggest you not to take any stress and avoid situations that cause your symptoms." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello - in an attempt to pick me up and throw me over his shoulder like a jokester barbarian, my husband accidentally put too much pressure directly in the center of my chest and it now is very tender. I don t have any bruising or swelling, but I can t lie down flat, cough or do certain movements, like push down the trunk of my car, without pain. I ve looked up common symptoms for bruised/broken ribs/sternum but everything says I would have swelling and/or bruising, but I don t. It s extremely sensitive in the center of my chest and outward to the left. I can breathe deeply with some sensitivity, but not unbearable, but it does hurt when I put my shoulders back to sit up straight. Any thoughts?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. You are having blunt chest trauma. And because of this, you are facing musculoskeletal injury. No need to worry much for this as it will gradually improve over the time of 1-2 weeks. Follow these steps for better symptomatic relief in musculoskeletal pain. 1. Avoid movements causing pain. 2. Avoid bad postures in sleep. 3. Avoid heavyweight lifting and strenuous exercise. 4. Apply warm water pad on affected areas. 5. Take painkiller and anti-inflammatory Chat Doctor. Don't worry, you will be fine with all these. If not improving after 1-2 weeks then consult doctor and get done chest x-ray to rule out internal lung injury. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been taking Cetalopram 20 mg a day for almost two years. At the moment I am living in a country where this kind of medicine is not regularly available. It will also not be possible for me to legally receive it from another country. What shall I do ? May any damage occur due to cancellation of its intake ?", "output": "Hi Vadim, Citalopram belongs to SSRI group of antidepressants. If you have tolerated and benefitted from it for two years and now are unable to get it, then first evaluate the need to continue it. If your psychiatrist feels you still need an antidepressant two years after being well, then ask him if he could change it to any other available SSRI type antidepressants. This may help as all of them act in the same way. If stopping it is thought to be the best option to take, DO NOT STOP SUDDENLY. You will have to keep reducing some fixed dose of medication periodically and then stop. Yes, if you stop suddenly, it will cause something called as with Chat Doctor. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my sister gave birth to a premature baby with1.6kg weight .the baby was healthy,earlier,but faced afits probem on her fifth day,later she was suffering from jerks continously,the EEG REPORT was normal,THE MRI SCAN report stated that her brain size is small,and needs to develop,.....she is now in 10th month,taking gordinal of 15mg daily and she doesnot seem to respond great deal for sounds,doesnot crawl,and just stays calm and we consulted a homeopathy doctor,who is well known for curing seizures....he gives his dosage now and also alopathy too.....he says it may take 2-5 years.....?can this be really curable .......?plz reply me ?", "output": "Dear Parthia, Brain damage due to prematurity along with the defective development of her brain may have jointly produced fits in your niece. In the given circumstances, I would strongly advise you to see a pediatric neurologist instead of going to homeopaths. She needs expert clinical assessment before a plan is tailor-made to fit her problems. I am sorry to say this, but I am not so confident that she will be cured after 2-5 years, since she also seems to have other neurological problems and developmental delay. -" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my 10yr old (11 this year) daughter has been complaining of abdominal cramping, lower back pain, headaches, nausea, tiredness and muscle weakness for the past 2 to 3 weeks. It is standard for the females in our family to develop early ( I got my first period just after turning 11 and by that time I had full size breasts) my daughter has been developing breasts for around 6 - 8 months now and is starting to notice a slight size difference between them already. We have spoken to local woman s health doctors who suspect she is about to start menstruating which makes perfect sense given the family history but since I didn t have cramping or any other warning signs when I got mine ( or at least none that I can recall ), We would like to know how long it normally takes from when the symptoms start to when the periods start. Does it take weeks? Months? and is there anything I can do for her or get for her to make this transition as comfortable for her as possible? She keeps pads and spare underwear with her at all times (discretely of course) and I am going to get her a hot water bottle this week along with anything else you think would be helpful. I have made sure she knows everything she could possibly want or need to know so she has no shortage of information, love and support. Thank you for taking the time to read this and we appreciate any advice you may have for us.", "output": "HelloAccording to the given family history, yes she is about to menstruate, and these symptoms are perfectly normal.it's a normal physiology. Dnt get tense over minor issues. This abdominal cramping is very much normal and pain intensity varies from person to person. At times it's different for a daughter from her mother, at times the schedule and the pattern differs in all daughters of the same mother, its physiological variation that defines a persons' individuality. Pain threshold is also different among different person. What you can do to relieve the pain is by warm water bottle to place on tummy where it hurts. It causes decrease in spasm of the uterus and relieves the pain and 1 tablespoon honey in warm water to Chat Doctor. It has soothing effect and relieves the pain too. I DNT want to recommend painkillers like Ibuprofen as medicines have their own side effects. Hope it will help" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello,Im an uncircumsized man and i have these little red bumps on the head of my penis not painful or itchy at all and I have no burning when i pee. What could this be? I have done alot of research online and came to the determination it was a yeast infection. I started putting monistat cream on the rash/head of my penis and now it seems my penis skin in peeling off. the red bumps are all but gone now but my penis is peeling. Please help im not sure what to do?", "output": "Hello, These symptoms and signs are suggestive of STD especially if there is associated pain, fever, urethral discharge and recent sexual intercourse. So this is the first thing to rule out by doing STD testing. Second, it may be signed of reinfection or urinary stones and some other genital infection, but this is less common. In every case, antibiotic therapy may be required, so test should be done as soon as possible so that appropriate treatment can be started. Till that try to Chat Doctor. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have brownish slightly reddish spots on my inner elbows about a few millimeters diamater, not perfectly round and some may have possibly merged into larger shapes, i may have similar sort of marks along my body, however less pronounce and the colour is more even on my skin, with a heavy amount merged on my back, i also have red streaks on my inner biceps from the shoulder only continuing for about 5cm towards my elbow which im not sure wether their related or stretch marks.", "output": "Hello, Thanks for the query, Brown streaks can be a presentation of stretch marks, Even plane warts can present in same form. There are certain genetic disorders which present in this way. Let me know you have any other doubts. Please meet a dermatologist for final diagnosis. You can ask a direct question to me on this forum, following the below link.https://urldefense.com/v3/__http://www.ChatDoctor .com/doctors/ Chat Doctor. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Whilist Studying today My left calf started hurting and when i looked at it i saw a lump move down and the area from which it moved started twitching it hurt alot and i don t have a lump so something in my calf moved down it moved back for the most part but now whenever i extend my leg it hurts", "output": "Hi, Dear,Welcome to Chat Doctor. Based on the facts of your query, You seem to suffer from-Muscle Cramps which moves up and down with twitching. These charlie horses indicate the low potassium / calcium/ magnesium electrolytes, due to over exertion / or from stagnated Venus flow from incompetent venous valves of the calf / or could be from reduced intake and increased losses from exertion and muscle stress. Remedy -Extending /Flexing the legs would reduce these cramps. Second opinion from Surgeon / Vascular Surgeon with Doppler Study to detect Varicose Veins of the Calf muscles is suggested. Veno-Stockings /Rest -Elevation /increased intake of boiled potato/or banana milk or butter shakes would relieve them.Hope this reply would help you to plan further treatment with your doctors. Contact with a Followup Premium question to ME. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. Good Day!! Chat Doctor. S. Genl-CVTS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter has schizophernia .She is a biology masters degrre holder and submitted her papers for doctoral degree.though she takes medicines only for the last one year though she had her first attack seven years back but avoided medicine.now the symtoms are little severe .we feel she may harm herself .Is out patient treatment Ok or req a inpatient treatmentpl advice me", "output": "Hi. I understand your concern. Schizophrenia need extensive treatment. If she is not responding with Chat Doctor. Indoor treatment set up will give alternative therapy like injection or ECT. Combination of medicines with different group can also help. But before that proper evaluation of diagnosis is must.Consult the best psychiatrist and get help. Still if you have a query then feel free to ask. Thank you. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear All, I m taking Qlaira now for 3 months but I recently read that I can t take them if I have over 90 kg. Before I started taking them, my gynekologist sent me to make blood examines and everything was ok. Can I keep on taking them or? Thank you in advance, best regards, V", "output": "Hi, It may be taken for a short duration. Area is a combined oral contraceptive pill may cause small amount of weight gain as its one of the common side effects. There may be an increased risk of thromboembolic disease in obese women on prolonged use. So, I suggest you to use progesterone-only pills or depot me Chat Doctor. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had lithotripsy for my 14mm kidney stone. Prior to surgery. I had an upper UTI that led to a kidney and sepsis infection. How long will my recovery be from this surgery with the prior setback in my health...and how much debris should I be seeing after 3 days form surgery?", "output": "Hi, Thanks for writing in. A 14 mm stone is fragmented into small parts after lithography. A double J stent is usually put during the procedure to allow the small fragments to come out. After 3 days you might find few grains of crushed stones in your urine and this can cause slight pain in the process of expulsion. It will not be continuous and at times can only be a fragment or two. If you are on medications like alpha blockers which cause smooth muscle contractions and forward movement of the stone fragments then it is possible for the pain to be less and more fragments to be expelled earlier. Recovery from surgery can take time as you had sepsis and infection of kidney, however you should be normal in 4 to 6 weeks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doctor, i use to have cough usually and it use to get healed when i take a dose of NISE and dexona. Rescenty i had a full blood test & found that the SGPT count is 38.76 where the maximum is 40. I didnt had alcohol till now. I had all other readings below the max limit. The heart beat count was 92 per minute. Also I use to have a shivering on my hands when i does something carefully. Are these any symptoms of any disease? Please advise me which type of specialist to meet if i have to or are thre any medicins which can be used ?", "output": "Hi jibing.georgeThanks for coming to ChatDoctorDont worry your SGPT is normal and also heart rate normal range is 60-100. Now regarding your chronic cough for which you usually take nice and demon....chronic cough can be due to allergic rhinitis which can have concomitant asthma in 50%, eosinophilic bronchitis, acid reflux, taking ACE inhibitor class of antihypertensive etc.... I think you must consult a chest specialist...get a chest X-ray done....accordingly he may advise for spirometry....get a thyroid function test done also. Best wishes" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I went to the gyno today for 2nd opinion. Have had chronic pelvic pain. He said it was urology issue and urologist cleared me and said it was gyno issue. New gyno said it could be interstitial cystitis. I do not have bladder problems (beside occasion infections). No urgency or accidents. Any thoughts?", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have chronic pelvic pain. Well there can be many reasons for symptoms you mention in query like endometriosis, muscle spasms, inflammatory disease, sexually transmitted, fibroid, irritable bowel syn Chat Doctor. I would suggest you to consult gastroenterologist for proper examination. Doctor may order ultrasound, endoscopy along with stool test. Doctor may prescribe " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a dull ache in my kidney area. Usually it is on one side or the other. I also have a fast pulse and a minor ache below my stomach on the right side. Ive been drinking lots of fluids (water, grapefruit juice, and cranberry juice) which seems to help a bit. The symptoms have persisted for about three months now. im forty-one years old. Thanks!", "output": "Hello, Thanks for the query to Chat Doctor. Forum. Pain is on both side on the back over kidney area. Pain is also in stomach according to you. Seems to be a muscular pain since you are taking plenty of fluid and passing of urine is common thing. If female 41 years age than we will consider a premenopausal symptoms as, there is also complaint of palpitation (fast heart beat). Duration of pain is three months. Consult a physician and get in blood examination for sugar and lipid profile. Diabetes is the most common cause, beside heart disease in this age group. Hope I have answered your question. If further any question I will help. Good luck. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor, I am vijaylaxmi 29 yrs old. this s my 2nd yr of marriage life. still we dont have a baby. my weight is 70 and im 5 4 in height. i went to doctor they found that i have a no any problem i dont have any problem in my mensuration. im ovulating monthly.. but im not conceieved yet. doctors scanned my utres for the past three months regularly to check wheather i ovulate or not? ovary formation has no problem for me. in this fourth month of my medication doctors asked me to go for sonosalphigography.i went for it and report is normal.please suggest me.what i do?", "output": "Hello Ms. Vijayalaxmi, Your gynecological report is normal, but you are overweight. Your husband should also be evaluated for infertility and then if he is also normal, you should be checked for incompatibility of blood groups, semen and antibodies. There is a condition called unexplained infertility when everything seems normal but conception fails. In such cases IVF or GUI is advised. All these should be done under the guidance of an infertility specialist. So please see such a doctor. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I drain my own blood generally using veins in my arms nearly everyday. i have contemplated my own death so many times. i have had CBT, psychotherapy and councelling and was on citilopram 40mg for 9 months. i am a sports woman tho and due to drug testing i cannot use this medication which helped. what can i do", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. You definitely are suffering from schizophrenia with suicidal ideation, if the description given you is true. Your version is not acceptably because CBT is a proven way in the cure of so many mental problems. You seem to be taken things very lightly and did not pursue the treatment pattern. There are so many factors in the treatment. Determining the depth and breadth of the problem and proper diagnosis is the key. Then your psychiatrist, who know you better than anyone here, prescribes your medicines. If one medicine does not suit you, please make your psychiatrist aware, and he shall prescribe another one. Self diagnosis and medication is dangerous. We, here cannot prescribe any medications just based on the information provided by your here. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, i am suffering from fever since last 40 days...initially i thoght it was viral...but then i had gone for typhoid test(typhi-dot) this was negetive on the 12th day of my fever. then again20th day i went for a Widal test . the report was as H as 1/160 and O as 1/160. doctor confirmed it as typhoid. Since that very day i was given 2g intravenous mocef twice a day for 8 days. now i am taking oral medicine as ceftum 500mg. and i have taken it for 7 days. my doctos has asked me to continue it for three days. I am feeling weak. and the fever persists if i get up from bed an do a little work. The fever is between 99 and 100 now on the 40th day. I am on soft diet and consuming a lot of juices n fruits.I also had widal test on 27th day the result was as O and H both 1/60. please tell me when will i get well and weather i am going through right treatment.", "output": "Thanks for posting you query to Chat Doctor.first you should be investigated for1. Blood culture and sensitivity test 2.urine routine and microscopic examination 3.complete blood count 4 Liver function test .also give me if there is cough associated with fever if it is there sputum examination for Acid fast bacilli to rule out tuberculosis should be done. As your tidal test do not go in favor of typhoid as title goes down, so there may be some other ineffective cause. Antibiotic you are taking is not effective so take treatment after sensitivity report. Review me after investigation report. Hope you are satisfied with my answer. Feel free to communicate if any query.regards, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "asthma question I hav most of the symptoms of asthma but have not taken any medication or been looked at for it I have shortness of breath and sometimes it feels like im holding my breath but I cant breath in or out at all but it doesnt happen while im asleep at least I dont think it does should I get it looked at or is it something I shouldnt worry about", "output": "Thanks for your query. Brief answer:You do not need to be worried much, but you should not neglect the symptoms. Detailed answer:Asthma is variable disease and the patterns of symptoms often vary from person to person. Cough, wheeze or tightness of chest and breathlessness are the typical symptoms of asthma. Your pattern of breathlessness is suggestive of asthma, but we can not confirm it without objective test(Spirometry). Again you have to identify whether any triggers(dust, cold,emotion etc.) cause breathing difficulty or not. If found, please try to avoid trigger so far it is possible. So my suggestion is :please meet your local doctor to confirm the diagnosis that causes your breathing problem and get treated if required. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have an acute pain about one inch down and one inch to the left of my belly button it doesn t hurt when I push on it but when I cough and sometimes when I lean back it hurts in an area about the size of a dollar coin I am a male 43 years old no surgeries. It came on suddenly and I have been experiencing this for about a week now. No pain unless I cough", "output": "Hi, thank you for your query. Abdominal pain in the left lower qua Chat Doctor. Inguinal hernia2.diverticulitis3.muscle pull4.gas your complains point towards Inguinal hernia. This condition usually entails part of the intestine protruding through a tear in the lower abdominal wall. Severe pain in the lower left side of the abdomen generally occurs when coughing, lifting, or bending over. A bulge is generally noticeable near the pubic bone where the protrusion is, and there may be a heavy sensation in the groin. Men sometimes experience swelling or pain in the scrotum as well. Kindly contact your doctor for a physical check up for precise treatment of the pain. Thank you, wishing you good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son had his wisdom teeth removed this morning and was under general anesthesia. Upon waking he began having difficulty. He was hallucinating, and began having what was compared to a panic attack. This continued and the dentist then gave him Valium. He was transported to the ER where he was kept until he woke up on his own and did not have any other issues. We brought him home and he slept for several hours. Upon waking, he took some pain meds, had a small snack and went back to sleep. He woke up about an hour later and when he got up to use the restroom, began having a full blown attack, with hyperventilation, and incoherent. The question that I have is, is this common? Why does this keep happening and what should we do?", "output": "Thank you for asking query in this forum. Recovery period from general anesthesia (GA)varies from person to person. Till 12 hours after waking from GA there could be some symptoms like hypoxia (low oxygen- breathlessness), Hypo or hypertension, Hypercarbia - also symptoms like breathlessness, restlessness, anxiety (which you may describe as panic attack) etc. are not uncommon. If antisemitic is given, symptoms like dissociation or disorientation can also be seen. But everything should wear off within 12 hours. Let him take enough rest. You can give one more dose of Valium tab 10\u00a0mg after 12 hours of first dose and let him have a good sleep. He will be well soon." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 10 year old son all of a sudden startedd complaining of headache, upset rumbling in stomach, he has shivers with teeth rattling, he is weak eyed and crying that he does not feel good. fever of 99.7 and says and complaining that he does not feel like himself. what could be going on? this was out of the blue last night and he has a fever again and feeling same way again.", "output": "Dear Sir/ Madam, Thank you for posting your query at Chat Doctor.comic looks like normal viral fever, nothing to worry. Give you child paracetamol, which will take care of fever. The headache, uneasiness, teeth rattling is mainly due to fever. Give food and plenty of fluids when temperature Chat Doctor. Engage your child in activity if he wishes or of his interest to keep him occupy. If fever does not subside, consult pediatrician and get the blood test does to rule out any underlying cause. If you have any further query please revert to me. I will be happy to assist you. With best wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My UA report and I have severe back pain. I ve already gone through 1 round of antibiotics. My current UA: sg:1.020 Ph:6 LEU:25/ul NIT:neg Pro: neg Glu:norm KET: neg UBG: norm BIL: neg BLD: 150/ul WBC:3-10 RBC:3:10 Bact: Moderate Epithilial Cells: Moderate Color Yellow/Hazy I have no clue what to do at this point.. So much lower right/middle back pain", "output": "Hi, Welcome to Chat Doctor forum. It appears to be due to the urinary tract infection, or a stone in the ureter. I advise you to consult a urologist for diagnosis and treatment. I usually prescribe to my patient with such symptoms lifetime, fanatic acid, dicyclomine HY Chat Doctor. S.scaling. Take more of green leafy vegetables, pulses, sprouts, and protein rich foods for early recovery. Wishing for a quick and complete recovery. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 3 yr old has had diharrea fro 13 days, the first 8 days he was going anywhere from 10-12 times a day. And the last 5 days have not been as frequent but has a mucus look to it. Should i be worried? Took him to ped doctor and they say it is a virus. Not sure if i should do stool sample and bring it to a lab?", "output": "Hi... Thank you for consulting in Chat Doctor. It seems your kid is having viral diarrhea - WHICH IS ALREADY ON THE RECOVERY PATH. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 3 year old daughter has a large (bigger than an egg) cyst like object on her neck that is hard as a rock. She has been acting normal and the hard item only hurts when you touch it. The peditrician doesnt think it is broncial cyst. Any ideas on what else it could be? Im concerned it may be hodgkins lymphoma. Thank you, Chad", "output": "Hi Chad, welcome to Chat Doctor. I have read your question in detail and I know that you are very concerned about your daughter. Large cyst like object in a 3-year-old child could be due to lymphoma, lymphadenitis or a bronchial cyst. Lymphadenitis is painful while other two conditions are painless. To rule out lymphoma, you should do complete blood count, and FNAC of the swelling which will confirm the diagnosis. Review back with all available reports to make clearer diagnosis. I hope this will help you. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i m a lab technician...i m in work from 3years and a patient came to our hospital regularly and from day1 to till now after 2 year her widal is positive..and titre is 1:320 1:320 1:20 1:20i cant find reason why her titre not getting down..she is taking treatment regurlarly......", "output": "Hi I did review your concern.Tidal test is done for typhoid infection. The ideal treatment is lifetime or lifetime tablets for 7-14 days or ciprofloxacin BD for 10-14 days. There are few resistant strains that require higher antibiotics. But that requires stool or blood culture and antibiotic sensitivity testing which can be done after a failed course of these antibiotics. Also remember that the serum antibody counts go slowly over 1st week so the patient might be treated, but the antibody might remain and hence it can cause a false positive in such a way. I Hope this helps. Wish you all the Bethany you for choosing Chat Doctor " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "While operating my crane at work I was rear ended by another piece of equipment. I was at a complete stop and bending down to the left over my armrest to pick up my hard hat when I was struck. I was very stiff but not too bad. This was on a Friday but by Monday I was in so much pain it hurt to take deep breaths. My neck and middle of my back were killing me. Plus I had a big lump in the middle of my back that lasted for a couple of months before going away. Since then I ve had my hips pelvis and knees start to hurt. I can t get up off of floor easily, can t sleep, can t bend over too much or sit for long periods of time. Plus a couple if times my shoulder blades felt like they were on fire and that pain traveled down my arms to my hands and caused shooting pain in both of my thumbs and pointer fingers. My accident was in November and I m not only still in pain but its worse. I ve tried physical therapy but its not helped. Other than that they have me on a muscle relaxant which makes me sick and they won t give me any kind of scans. I just want to know if this is serious. Please if you can give me a little insight. Thank you for your time.", "output": "Hi I am Chat Doctor. . In my opinion your past accident may have caused a perineal cyst which is commonly asymptomatic unless increases in size and thus the cyst or the lump itself wouldn't cause so much pain but the compression done by its mass on your spinal nerves is the main reason for your symptoms. For my patients I may suggest X-ray and MRI to exclude cervical disc compression. For now I recommend you avoid heavy lifting, bad sleeping postures, and vigorous movements. You may use painkillers like Advil 400 mg twice daily, hot massages with topical gels, muscle relaxants and spinal straightening exercises will be fine. Otherwise visit your neurologist for proper evaluation and management. Please click THANK YOU and consider a 5-star rating with some positive feedback if the information was helpful. Hope the above information helps you, Any further clarifications feel free to ask." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi there I m a 38 year old male with durcums disease and have had 43 lumps cut out , I m awaiting surgery from a plastic surgeon because one of my lumps has attached itself to a nerv in my arm , I can t take the pain any more , im on 5 different pain killers but no let up on the pain. Is there any thing I can do to help out with the pain , YYYY@YYYY", "output": "Hi, Dear,Welcome to Chat Doctor. Based on the facts of your query, You seem to suffer from-NeuroLipoma of the Drums disease with Nerve Involved with this Drums painful Lipomatous. Being a familial Multiple Lipomatosis-A Benign Tumor, Those causing pressure complaints by nerve involvement, needs to be excised with biopsy, to know the cause of the severe nerve involvement pain, which could be from locally invasive fibro-Lipoma of Drums Disease.Hope this reply would help you to plan further treatment with your doctors. Contact with a Followup Premium question to ME. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. Good Day!! Chat Doctor. S. Genl-CVTS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 32 years mother of 3 children. I had normal deliveries for all my children, but the first one with 4 degree tear, the second one with Elective Episotomy and third one with 2 degree tear. I am having Umbilical Hernia soon after my third delivery which was on 8th march,2007, i don t feel any pain during my normal life. I have checked with a surgeon, he said that there is no need of correction as of now as it is small and advised for weight reduction as i am weighing around 85 kgs and my height is 151 cm. we are thinking to have 4th pregnancy after reducing some weight like 10 kgs, it may be after 10 more months. Will this hernia create complication to pregnancy and normal delivery. Should there be only c-section and hernia correction. please advise us.", "output": "No, an uncomplicated umbilical hernia should not necessarily create problems with your next pregnancy and delivery. Your history of 4th degree tear is much more concerning than the hernia, and you have already overcome that issue. If your umbilical hernia becomes more problematic (stuck out or painful), you could potentially require surgery. Hernia surgery in pregnancy is generally low risk and most patients tolerate it well. Overall, I wouldn't worry about your umbilical hernia until it becomes an issue. Many women have uncomplicated pregnancies and deliveries with these. The only time I would be potentially worried about your hernia is during pushing. The abdominal pressure could force intestines or other tissues out through the hernia, which would make your hernia more concerning. Good luck!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 45 female two children one 23 and one 4, had a complete hysterectomy in 2011. my problem started in 2010 after c section with my 2nd child.i had to have an emergency c section with her and had a epidural. I have severe lower back pain can hardly walk when first get up and I have problems with abdominal pain and back pain with bowel movements horrible pain can hardly stand it break out in sweat get lightheaded while sitting almost to point of passing out. throughout my day my back feels like I been punched just sore and have to be careful when bending or reaching for high objects on shelf .", "output": "Hello.....(1) I'm afraid to tell you that the problem started because the EPIDURAL Anesthesia given went wrong, its a complication of that because it was not given correctly n injured the nerves (2) what got injured is gone, i mean it can't be reversed but yes, with proper care you can definitely control all the pain n discomfort you are suffering (3) avoid Chat Doctor. R. I of lumbosacral spine to see how much region of your spine is injured (4) do exercises to strengthen your lower back muscles, any good physiotherapist can guide you to do which exercises n which 1 to avoid (5) use a LUMBAR BELT while " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Resp. Sir, my father aged 76 yrs was advised bone scan & MRI following some urinal infections and PSA test.A biopsy was also done. CARCINOMA PROSTATE MR FINDINGS SHOWS : PROSTATOMEGALY WITH ENHANCING LESION IN PERIPHERAL ZONE OF PROSTATE GLAND INVOLVING LEFT SIDE NEUROVASCULAR BUNDLE AND LEFT SEMINAL VESICLE . ONCOLOGIST SURGEON HAS REFERRED THE CASE TO RADIATION ONCOLOGIST . RT SURGEON HAS ADVISED RT + HARMONE THREAPY FOR 35 DAYS IN 7 WEEKS. IS THIS THE RIGHT TREATMENT OR OTHER OPTIONS AVAILABLE.. OTHER DETAILS- GLEASON S GRADING : - PREDOMINANT TUMOR PATTERN-3/5 NEXT MOST COMMON PATTERN 2/5 PSA : 38% Regards, K.K.Sehgal", "output": "You have not mentioned the report of the bone scan as that will determine whether the treatment offered to you is correct. If the bone scan is normal, then you have been offered the correct treatment, although there is another option which we, at our center have found to have better results. In this, we first give hormone therapy in the form of a surgery called bilateral orchidectomy (removal of both testis) and then follow it up with RT. If the bone scan is not normal, which means that the cancer has spread to the bones, then there is no role for radiation therapy, and he should be treated only with hormone therapy." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was at the gym today doing legs; weighted squats, calf raises, lungee s leg press etc and then tonight after work went and done some back like dead-lifts which involve some leg. However when I ve came home I ve discovered a bruise like image on my thigh, however it isn t sore and the dots are scattered in a small area. What is this?", "output": "Hihope this msg finds u in good health. I have gone through your complaints and understand your concern. U seem to have strained some sort of soft tissues in that region causing bruising. If it isn't warm and painful. .apply ice packs. Take rest anti-inflammatory tablets nothing to worry about. Hope your question has been answered. If u have any follow-up queries, feel free to consult me anytime.thanks Take care god bless" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": ", i am 27 years old.i have one daughter.she has 5 years old now.my daughter has severe hearing loss.in that result my daughter and me and my husband also affected by rubella virus and CMV virus.is it possible if i go for next baby to affect the virus.what should i do before getting pregnant?shall i need any vaccination?is it possible shall i get a next baby without any problems?pls guide me", "output": "Hi, Yes Rubella infection in pregnancy can cause hearing loss. By affected do you mean that you have Antibodies to rubella, which was checked by a blood test. Usually if you have already had an infection /vaccination of rubella it is very unlikely for you to get it again. And so you can safely go for the next pregnancy. I would like to know if your 1 child has any other developmental problems or delayed milestones. As that could change the diagnosis and cause of hearing loss. As, if it is an inherited or a genetic cause and not rubella which caused the hearing loss, there could be a recurrence. It would be best to get yourself and kid seen by a fetal medicine specialist to know the cause of hearing loss. Hope this helps. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Dr. Rangadhar, This is regarding my daughter who is 5 yrs old. It has been said that she had SHL problem in both the ears and has been advised to use hearing aids which she is not very comfortable with. I would like to know if there is any Homeopathy treatment for this problem?. She also gets cold very often and her nose gets blocked most of the nights and sneezes a lot in the morning after getting up from bed. Can I get some advice from you?Thankyou,Rezi", "output": "Hello friend, Thank you for posting your query through Chat Doctor. Sudden hearing loss (SHL) is a name given by conventional medicine to those patients whose nervous system involved in hearing is damaged by past suppressive treatments given for complaints of cold. Getting frequent cold is a genetic and constitutional disease, which should have been treated with Homeopathy. There are very good remedies like Tuberculinum, Bart carb, Silica, Cascara carb etc. for preventing frequent cold and other connected diseases. With this sort of remedies, the constitutional tendency to get cold is rapidly and permanently treated successfully in Homeopathy. Such child Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had an MRI these was my diagnosis I was told cervical disc degeneration, mid-cervical region. M43.16- spondylolisthesis, lumbar region, M50.22- other cervical disc displacement, mid- cervical region M53.2x6 spinal instabilities, Lumbar region M43.16 spondylolisthesis, lumbar region, with these do I need surgery.", "output": "Hi, You can have compressive symptoms due to a spinal problem. For that you need a surgical management for cure. Until then, you can be prescribed non-steroid anti-inflammatory Chat Doctor. Physiotherapy also beneficial in such case. Avoid strenuous activities and heavy weight lifting. I suggest you consult an orthopedic surgeon for examination and further management. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I gave birth 2wks ago then suddenly my hemoglobin drops which needs me to have blood transfusion of 2 units. Now I have very itchy skin rashes on my both lower limb, now it is starting on my both hands. HOW will i address this itchy skin rashes.,? Whats the best thing to do?", "output": "Hi, I understand your concern. You gave birth 2 weeks ago while suddenly your hemoglobin Chat Doctor. Did your doctors say WHY? We should focus on the reason because it will solve many other problems in the future. Next, you are now starting itchy skin rash. That sounds like an allergic reaction to blood donor to me. Immediate consultation with dermatologist and hematologist is highly recommended. For the moment, I can only advise to take anti-histamines for itching. Wish fast recovery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, My wife was pregnant. Today the doctor told her the baby vanished. The only thing i could find on line about this was vanishing twin syndrome. We were not told before this that she had twins. So how can vanishing hapeen with only one fetus. Thank you.", "output": "Hallow Dear, I can empathize your feelings. Had you mentioned the period of gestation, it would have been much clearer. Sometimes, the pregnancy has a typical variety wherein the gestational sac is present without embryo (baby) in it. This is called as Blighted ovum. Such pregnancies do not grow and terminate by themselves; if not, termination of pregnancy is indicated. Your wife seems to have this type of pregnancy. You have no option than terminating the pregnancy. If you want to discuss the case in details with more precise history, you may ask me Direct question. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I am 27. I had one normal pregnancy. Baby was born via c-section. I got pregnant second time in a year but when for vacuum abortion. In three years i had a planed pregnancy that ended by misscar. And again doctor did me vacuum abortion. Now i am planning for a baby. My cycle now became 33 days and i was recommended to take duphaston once per day from eleventh day till twenty fifth. Can i get pregnant while i consume duphaston and how can i calculate my ovulation which such a long cycle. Thanks in advance", "output": "Hi, Duphaston contain progesterone. It makes uterine environment favorable for implantation and support early pregnancy by correcting luteal phase abnormality. It also helps to regularize period. So you can become pregnant after consuming phaeton. But I generally prescribed after ovulation for 10 days, form day 15th to 25th. You have 33 days cycle, so ovulation will occur at around 16th to 18th day of cycle. So take proper treatment under advise of gynecologist. Meanwhile, avoid stress, take healthy diet, Chat Doctor. Hope this may help you. Contact further if follow up needed. Best regards," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear sir, i am debashis , age 28, heomangeoma is detected when i was 18, position is in inside the vein of right thigh. outside only you can see the swelliing. doctor told not to do operation, be always with crap bandage. now i am feeling some less blood flow to my lower parts of the feet. please suggest what to do??", "output": "HI THANKS FOR YOUR QUERY.... I WOULD LIKE TO SUGGEST YOU TO APPLY THE RIGHT KIND OF PRESSURE NEEDED WHILE ROLLING THE Cr\u00eape BANDAGE AROUND THE THIGH.BLOOD FLOW DISTURBANCES TO YOUR FEET CAN ARISE IF THE BANDAGE IS TIED TOO TIGHT.GENERALLY THERE IS NO SUCH DICTUM THAT A HEMATOMA NEED NOT BE OPERATED. IT VARIES FROM CASE TO CASE.ONLY \"STRAWBERRY ANGORAS\" DISAPPEAR WITH AGE AND REST ALL NEED SURGICAL INTERVENTION AT ONE TIME OR THE OTHER.YOU NEED TO GET A \"VENOUS DOPPLER ULTRASOUND\" OF RIGHT THIGH TO GET THE EXACT DETAILS OF THE Tumor AND ITS DEEPER CONNECTIONS IF ANY AND ASSESSMENT OF ITS SIZE.CONTINUE HAVING REGULAR VISITS TO YOUR DOCTOR.THANK YOU." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "what is hypokinesis of the inferolateral area? i just had an echocardiogram in follow up to chemo therapy (with 2 drugs that may be cardio toxic - herception and adriamycin). that finished 1.5 years ago. i am being followed as part of a clinical study. this is the first time we have had hypokinesis. i am supposed to fly on sunday. is there some kind of risk?", "output": "Hello. Thank you for your question and welcome to Chat Doctor. I understand your concern. A hypokinesis of a certain area of the heart muscle is indicative of ischemia of that are. It means that this certain part of heart does not move the same (it is \"lazy\") in comparison with the rest of the heart muscle, throughout the cardiac cycle. I would suggest you run a blood test for Troponin and crating phospholipase - MB (CK-MB), and lactate deny Chat Doctor. I am assuming that there is a blockage somewhere in your left anterior descendant (LAD) coronary artery or a great diagonal branch of this artery. Furthermore, I would recommend you to undergo a coronary angiogram for further investigation and, eventually, treatment. I hope I was helpful with my answer. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have a small hard red bump on my lower front tooth and it hurts. Ive had it for a while and its bigger now. My teeth hurt and it hurts to touch my chin. Can u please help. Im worried its a tumor or something. Im only a teenager. Please helpThank youAshley", "output": "Thanks for your query, I have gone through your query, the red bump could be an infection from the tooth resulting in periapical abscess or granuloma or cyst formation. Consult an oral physician and take radiographs like IOP AR and rule out the above said pathologies. If it is a tooth infection you can go for RCT Or if it is gum infection get your teeth cleaned. If it is a cyst, the cyst has to be enucleated. I hope my answer will help you. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi my pet poodle bit me or nipped me when i was giving him his medicine small bite but did break the skin (last nite)now it seems to be red and inflamed put alcohol on it and polysporin its so small feel silly going to er because its saturday and drs is closed", "output": "Hello, Welcome to Chat Doctor, Rabies is a disease which is transmitted by the dog, which is 100% fatal, but it is 100% preventable by proper and adequate treatment. As you have been bitten by your pet poodle. As there was a bleeding from the site of bite it is categorized into Cat III bite according to WHO categories, and it is necessary to take both the active and passive immunization with Antirabies vaccine and Antirabies serum respectively. You have to take both antirabies vaccine and antirabies serum, You have to receive all the doses of antirabies vaccine on days 0, 3, 7, 14 and 28 (If your pet poodle is healthy after three doses of vaccine, you can discontinue the antirabies vaccine) and antirabies serum (Rabies immunoglobulin) on day 0 in and around the wound. In addition to this you should take In TT and antibiotic like tab Augmenting for 5 days. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was using baking soda last night to brush my teeth and was scared i accidently swallowed a little.Sure enough right before i fall asleep dead tired my stomach starts hurting intensely, this continued for a long time and i couldnt bear the pain any more so i took an activated charcoal tablet, I finally fell asleep last night but today, by insides hurt alot my stomach, maybe my intestines I dont know.Is there any way i can make myself feel better,i am worried i have damaged the intestinal/stomach lining. I heard this can cause serious stomach damage taken undisolved baking soda.I try to avoid antiacids to drink and am worried this could mess me up, how long until I feel better and anything i can do to help.", "output": "HIT hank for asking to ChatDoctorAny chemical agent is harmful to our body the antiquity of that chemical agent is matter and all chemical agent has its fix lethal dose, if the quantity of backing soda is up to the lethal dose then it is medical emergency if not then conservative treatment would be enough and will make no harm baking soda does not cause any corrosive or inflammation to inner lining of stomach if taken in small quantity but of course will disturb the acid base balance, if ingested in large quantity, have nice day" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son has just been put on lexapro for anxiety/depression. He is dealing with issues regarding his mother leaving him when he was about 12 or 13. He will be 24 in a couple of months. He is also seeing a counselor. Will this medication make him numb and possibly hide his inner feelings that should come out during his counseling sessions? I wish you would have said that this cost money at the beginning. No thanks.", "output": "Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. There is no need to worry about this. Learn will help in treating depression and the counselling sessions also help in treating depression and both will augment each other. There is no risk in taking both the therapies together. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my grand daughter is 6 yrs old ,a few months ago she developed bumps on her face,they are round and small about 2-3 cm and they are in the deadly triangle ,there is about 20 in all and they are raise up on the skin and does not look like they are spreading,also they do not have fluid in them.", "output": "Hi... Thank you for consulting in Chat Doctor. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have severe lower back pain and lower abdominal pain. It throbs I feel like my heartbeat is there. It is very hard to walk without pain and can not stand straight without a lot of pain. I had lower lumbar surgery in 2008. do you have any ideas for help?", "output": "Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. Problem : I have severe lower back pain and lower abdominal pain. It throbs I feel like my heartbeat is there. It is very hard to walk without pain and can not stand straight without a lot of pain. I had lower lumbar surgery in 2008. Solution : This is likely to be a failed back Please consult a Neurosurgeon in person for detailed clinical examination and evaluation. This condition needs clinical examination and cannot be managed over internet Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in Chat Doctor at http://bit.ly/ask" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi have broken blood vessels on the back of my hand. They appear as small red dots. My hand was purple at first but that cleared up leaving my hand darker than the other one. Went to dermatologist , he had blood work done but no answer from him yet.", "output": "Hi, Based on the information that you have given I would say that the first test we would look at is your platelet count. One of the causes for such red spots is a low platelet count. If your platelet count is OK the other possibility is a fragile or weakened blood vessel. Weakened blood vessels may show up as spots or discoloration etc. Medically this condition is called vasculitis. The possibility of autoimmune disease should also be ruled out. Tests such as ANA are used for this along with clinical findings. Certain medications may also produce such symptoms. Sometimes there is no cause. Please post your complete blood count, ESR, peripheral smear, LFT, ANA lab test reports here for further assistance in providing more information regarding your condition. Best regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im 17 and I have not been waking up with erections in the morning for the past few months ( as far as I can remember at least). I also have not been getting them during the day. When I try to stimulate myself, my penis stays flaccid. This has been very depressing the past couple days. I have also been a diabetic since the 5th grade and have had decent blood sugars over the years. What is wrong with me?", "output": "Hello, Your testosterone level is at its highest in the morning after you wake up. It is highest immediately after waking up from rapid eye movement (REM) sleep stage. The increase in this hormone alone may be enough to cause an erection, even in the absence of any physical stimulation. But not getting enough erections during daytime is contradictory. Presence of sexual stimulants creates erection behavior and further erection. Your worry may not allow your body to accept sexual stimulation, so no erection during the daytime. Stop worrying about both. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. V. Anand, Psychologist" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor. I have a question regarding occasional skull pain with sharp shooting pains that make me stop doing what I am doing, then it goes away as fast as it comes up. today I have had five while in the grocery store and continue to have them now that I am home.", "output": "There are different kinds of stabbing headaches, but the first I can think of corresponding to your description is cluster headache (HA), which is a primary HA which is rare, and happens more often in adult male smokers. Cluster HA is commonly one-sided. The HA happens in clusters every day for a number of days or even weeks. It disappears for months then, but can happen again. To abort a HA you can use oxygen 100% by mask, or trip tans (like sumatriptan) subcutaneous or ketamines intravenous. The prophylactic treatment consists of calciblockers (verapamil) more often and corticosteroids." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My hormonal blood results show estrodial over 500; I had triple negative breat cancer 8 years ago and prior to that I was a fitness figure competitor. What do you recommend I do to reduce my estrogen to get it back inline. ( low testerone; progestrone in line but not compared to the estrodial) Hum", "output": "Hello dear....(1) Such high levels of estrogen can lead to following health hazards - (a) increased body weight i.e. obesity (b) severe headaches (c) irregular menstrual cycles (d) breast cancer (e) liver failure (2) Ways to reduce estrogen levels - (a) STOP ALCOHOL COMPLETELY (b) eat fresh ORGANIC FOODS and avoid processed foods/meat/dairy products specially cow milk (c) eat lots of apples/celery/berries/nuts/beans/oatmeal (d) eat FLAX SEEDS as it has anti-estrogen properties (e) take high sulfur content foods like egg yolk/onions/green vegetables/garlic....follow all this n it will do magic to your health.....take care.... Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Started having anterior cervical pain on the right. fever, headaches and abdominal pain. taking Tylenol and tums and this helps. how long should I wait before seeing a Dr. symptoms present for approx. 7 days. 53yo female. No past medical history other than hysterectomy at age 40", "output": "Hello, I have studied your case. Due to compression of nerve root there can be pain in your cervical area. I will advise you to do MRI spinor these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi so i just had a septoplasty , rhinoplasty , and turbinate plasty surgery this past friday. I still have the nose cast and my nose is still packed; however, the cast is falling off i think because most of the swelling has gone down, and today i started sneezing a lot, i made sure to only sneeze out of my mouth which really hurts, but this has caused a buildup of mucus which is pushing out the packing. I am technically not supposed to get the cast and packing off until thursday, but i might call my doc tomorrow to ask if i can get it off tomorrow. what do you think? thanks!", "output": "Thank you for your query. The cast is there for two reasons, first it maintains the shape of your nose, second it has a protection function. It is best to keep the cast, you may find that without it, you accidentally bump your nose even during your sleep, which will be highly uncomfortable. Also, if your septum grows back skew it might been repeat surgery. I realize that any cast is uncomfortable but well worth biding your time. Only one more week to go! Persevere. Kind regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My niece is 13 and has been in the hospital for 8 days now. She was diagnosed with pancreatitis after her levels went from 600 to 700 to 1575. Her levels dropped to 1525 on day 6 and back up to 1610 on day 7. Today is day 8 and they have gone down to 1400. My question is. Can a menstrual cycle cause your lipase levels to go up? She was on her cycle for the 1st 6 days of her hospitalization. She was done with it on day 7 when they went back up though. She has had stomach pains for 3 months now and been in & out of the ER. Is it pancreatitis, or just menstrual cramping?", "output": "Hi and welcome to Chat Doctor. What about amylase test? It is not common that such lipase level elevation is related to menstruation or any other organ but pancreas or bowels. You should focus on these to and rule out any serious disease. In pancreatitis lipase level varies during the day and this is nothing strange. Some abdominal partial or temporary bowel obstruction or gallbladder problems can cause lipase level elevation as well. I would do further test, imaging and lab to find is there any particular cause of it. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am 34 yrs old and i am trying for second baby from past 3 months. i underwent scanning on 12th day of my period and the scanning showed that the egg ruptured with endo. thickness of 0.9cm with minimal POD-Fluid . my right ovarian follicle measures 2.1 * 1.8 CM and we had sex from 8th of my period till 21st day. what are the chances of getting pregnant. when can i go for pregnancy test.", "output": "Hallow Dear, Your scan report is showing all the favorable findings for the conception. The follicle of 18 mm to 21 mm size release healthy egg which has very good chances of fertilization. Your follicles seem to be within that range. Endometrial thickness of 9\u00a0mm to 13 mm is very conducive for implantation. You had 9 mm thick endometrium. And finally you had regular unprotected intercourses from day 9 to day 21 of your cycle. This includes the fertile period of the cycle. Egg is released 14 days prior to the next expected menses. Egg lives for 24 hours while the sperms are active for 72 hours. Hence, a period of about 8-10 days around ovulation is fertile period. If with such favorable findings about the ovulation and endometrial thickness you are failing to conceive, you may please get yourself investigated for:1. Patency of the tubes and the genital tact with its normalcy : This can be done by Laparoscopy and Hysteroscopy.2. Semen examination for assessing the quantity and quality of sperms. However, I would like to inform you that even in absolutely normal couple, 10% of the months do not conceive, there is 90% possibility of pregnancy in normal couples. I hope this helps you. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, My 8 months baby girl had fever, difficult to breath from 10 days, i took her to the doctor, after blood test(CBC, CRP) (CRP=14,, and xray, they diagnosed it as Pnuemonia, he gave her Augmantin and coughing medication. the fever went in one day, and she became very good in five days, but we continued her medication as the doctor prescription for total 10 days, on the 10th day, she start having rash in her buttocks, face, then hands, legs even now under her feet. we took her to the doctor again, he did CBC and urine analysis, still WBC 24, HCT 29, he diagonsed this time with HSP, purpura, and gave her predisone. Please i need your advice on this.", "output": "Hi, Welcome to Chat Doctor, Your child is having 2 different problems. But good thing is it seems that your doctor is doing exactly right with your baby. Pneumonia being treated with augmenting is perfect, and your child seems to have recovered completely from that. Regarding HSP, hard to comment on without having a look at it. Most HSP doesn't warrant starting of steroids in this case prednisolone and it's a self limiting illness especially with WBC being so high. But I am sure your doctor has a reason to do so. Its better be discussed with him. I am sure you child will recover very soon. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi my daughter complained over the summer wih itchy feet. she hd little white spots on the sole of her feet. they to me loked like little sweat spots and I wdvised her to stop wearing socks in bed aand let air at them. however she has come down from bed tnight complaining her feet aare sore and she cant sleep. ive checked them gain and these soft stops that were previously there remain however they are hard to touch and plain white in colour. any advise would b great. louise", "output": "Hi... Thank you for consulting in Chat Doctor. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Yes. What do you think of Calcium and D3 versus Boniva. Recently diagnosed with osteo (whatever) and was told to take Bonive by my Dr. She also said to research this drug at Mayo clinic.com. Can t seem to find that exactly. Hear bad thing from my customers about Boniva. Very glad to have a Dr s opinion", "output": "Hi, thanks for the brief history of you.it seems to appear you have been suffering from osteoporosis.that's where you have mentioned the calcium and vitamin D3.well as the aging falls human body tend to become weak as the metabolism is slowed down. Since you already took a dose of vitamin d3 and calcium I will advise you to continue the advice of the physician and also discuss about weight-bearing exercises which will add on to your improvements. Also to understand that calcium needs deposition which can happen with the help of weight-bearing exercise. Kindly try to take regular sun baths which will help you to improve the vitamin D levels in your cells exercise also will help you boost your metabolism and immune system. It will even improve your muscle strength and reduce any pain and aches you facing. With the grace of God I wish you a good health and speedy recovery" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a copper coil fitted just over two weeks ago and I have had consistent blood loss since, its not spotting like i was told its bright red and heavy, it also gets worse when I have sexual intercourse.. Just for extra info I also had a early termination at the beginning of August and I really havent stopped bleeding since then, I have also had 2 heavy periods since then. Because of this I have become very tired and lethargic.", "output": "Hi, welcome to Chat Doctor. I have reviewed your case and there are two possible explanations.1. You have had an early termination of pregnancy and have still not stopped bleeding. This may be due to an incomplete abortion where a few bits remain inside the uterine cavity, and they need to be removed. For this you will need to undergo an ultrasound examination. 2. Bleeding after insertion of copper t is not unusual and women usually have slight bleeding and the next few periods may be heavy. Since you have continuous heavy bleeding a misplaced copper t is another possibility. For this you must try to feel the thread. If you are able to feel it then it probably is in place. Another rare possibility of chorionic tumors is there. All of these can be easily confirmed by an ultrasound examination. When patients with similar history walk into my practice I usually do a urine pregnancy test as it may come positive in cases with incomplete abortions and get an ultrasound examination done for further evaluation. Hope this was helpful. Feel free to ask me whenever you need help. Have a good day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi My Self Is AYAN. From last few days i found whenever I am doing intercourse with my wife,just after intercourse My penis heads come up with a redish circle which itch and burn for upto 1 hours max then gets normal.pls do the needful reply. With Best Regards Ayan", "output": "Hello, Thank You for consulting Chat Doctor ! May be due to trauma, because of the act itself, or it can also be due to infections like viral or bacterial, or may be due to allergy if you are using any condoms or lubricants. Stay healthy, and thank you for consulting! You can contact me again anytime, if you need clarifications or further assistance in the future. Kindly rate the answer if you are satisfied." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have orange discharge and have had it for a couple months now and ive been to the doctors and they keep telling me that it is an infection....and they have treated me for different infections and nothing seems to help. Im scared that something is seriously wrong!", "output": "Hello dear, Do not worry. You are suffering from bacterial vaginosis or trachomas vaginosisTake following advice.1. Wash your vagina with this water twice a day for two to three days with warm water2. Apply Apple cider vinegar: it has excellent antibacterial and antifungal properties3. Salt Bath-Wash your vagina with concentrated salt water whenever you feel the itch. This will give you great relief instantly and prevent further multiplication of bacteria. 4. Antibacterial/fungal talks: apply candid powder5. Keeping The Vagina Chat Doctor. Wear Loose Clothing7. Also take antibiotic You should use following single dose treatment:1. AEE 1000 mg (AZITHROMYCIN) 2. MINI 1 G (TINIDAZOLE) 3. ZO CON 150 mg (FLUCONAZOLE) or you can take tablet metronidazole 400 mg three times a day for three avoid sex and avoid douching till you get better. Hope this may help you. Take care and stay healthy." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "The gland in my neck is painful, my body is worm to the touch, i have night sweats sometimes and i suffer from aches and pains. The tips of my fingers and toes also get painful. I also got a metalic taste in the back of my tongue the other day, for the first time. The other symptoms have being going on for a year", "output": "Hi, thank you so much for your question. I got that you have been suffering from painful neck gland, associated with night sweat and body and limb aches and pain. There are many reasons for neck gland enlargement, depending on your geographical residence, ethnics and dietary habits. Diagnosis also depends on the detail description about the lump, especially, accurate site, shape, painful or not, movable or fixed, and ulceration or inflammation present or not, on the underlying skin. Also, you should look for any constitutional symptoms such as fever, weight loss, fatigue, AMD so on. Let me also know your past medical, surgical and Chat Doctor. Thank you. Best of luck, and have a nice day!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi.. i had septorhinoplasty some time ago but still expeience breathing difficulty thru my left nostril. i can do heavy weights as a result of this. at night i need to sleep on my left side so that i can breath better.. the GP said it could be a result of underlying allergies before surgery that are causing a proplase?", "output": "Hello, Welcome to Chat Doctor, Allergy is condition where our body immune system hyper react to the substances which are not tolerated by the body. The procedure which you have undergone is to make your airway clear. Allergy as such cannot completely eliminate from the body, but its effect can be brought down by immunotherapy either by sublingual immunotherapy or subcutaneous immunotherapy. Present symptoms may be due to the existing allergies in your body. Identify the allergen by undergoing skin prick test. Then you can take proper treatment. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have faint feelings in the left side of my chest and left arm. has been going on for months. comes and goes. took an x-ray last month and heart sanogram last year, both normal. blood work checked out fine but last month blood pressure was 160/97. what am i really experiencing right now?", "output": "HelloThanks for posting at Chat Doctor. Your symptoms seem non-specific. Since your chest X-ray and heart sonogram are normal, and since you have these symptoms since months, its very low probability that it is of heart or lung origin. Your BP reading was high. So you have to monitor your blood pressure regularly for three weeks and if it is persistently higher, then you must be started on BP medications. You have not mentioned your age above. If you are above 40, I would also recommend a Treadmill test which requires you to walk on a treadmill while your ECG is continuously being monitored. This will rule out cardiac origin of chest feeling you have. You should also do your vitamin D levels because low vitamin D levels make the bones weak, and you may experience chest discomfort. Your symptoms may also be related to hyperacidity, so please try antacids. Wishing you good healthRegards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello my name is Bertice and I want to share my experience. I was asleep on afternoon when suddenly I jumped up out my sleep screaming because it felt like the right side of my stomach was being burned. When I looked at it it was red the following day it began to scab and peel and soon became raw as if I was really burnt. I don t know what could have caused the huge burn mark. I don t think it was spontaneous combustion.", "output": "Hi. Thanks for your query and an elucidated history. Suddenly getting up from the bed with a feeling of right side of stomach being burnt and then really becoming red and burnt followed by scabbing and peeling may be due to an insect bite. Some insects are so poisonous that this can be caused. In such a case, you need to consult a Physician and get a proper treatment with antihistamine and steroids and excision of the scab, daily Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi - my 39 year old son was diagnosed with macular edema about 6 months ago. They tried to treat it with lasers, but it didn t help. He had an MRI and the tech said there was a shadow that could have been from a mass or mini stroke. He never got to follow up with the doctor because he lost his health insurance. I don t think it was ethical for the tech to tell him anything and I m hoping if it was serious, the doctor would have called him. He has migraine or migraine-like headaches a lot, but he s also under tremendous stress from an ugly divorce. He said his eye gets worse when his stress gets worse. He said everything is wavy and when he looks at a person s face, he see black. Is this something that will go away in time and are headaches normal with macular edema? Thank you for your help.", "output": "If your Eye makes a macular edema diagnosis due to diabetes or retinal vein occlusion, focal laser treatment is often used to reduce swelling of the macular. With this form of laser surgery, your Eye M.D. applies many tiny laser pulses to areas of fluid leakage around the macular. The main goal of treatment is to stabilize vision by sealing off leaking blood vessels that interfere with the proper function of the macular. In some cases, vision loss may be improved with laser treatment. A patient may need focal laser surgery more than once to control the leaking fluid. If you have macular edema in both eyes and require laser surgery, generally only one eye will be treated at a time, usually several weeks apart. Medication injection therapy is also being used to treat macular edema. Two Chat Doctor. Anti-bug " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Sir, My name is xxxxx female, and 31 years old from Pakistan, i got married from last 3 months, I have a problem that I have higher ESR up to 70, I don t want to eat any thing or less my diet day by day due to less hungry, less amount of fever 98-99C every night from last 01 month, getting weak day by day, Coughing from last 1 and half month ago, Pain in my breast, I got my blood test for MTB, which is negative (as prescribed by local physician). Kindly tell me what sort of Problem i Have, and how can i reduce my ESR level up to normal, Waiting for your soonest reply, thanks.", "output": "Hi, dairy have gone through your question. I can understand your concern. There are many causes of high ESR. Tuberculosis, infection, anemia, autoimmune disease, paraprotienemia, malignancies all can lead to high ESR. You should search the cause first. You should go for complete blood count, x-ray chest and ANA test. It will give you idea regarding cause. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "stomich hurts with mucus like exc feels like it might be some type of ulser light burn discomfort but not much acid burn had 12mm kidney stone lazered out 1 1/2 years ago was told i have 2 small ones left in me shood pass eazy but stomich has hurt eversense feels like light burn dull pain eating does not hurt me could it be the stones left in me or could it be a ulser", "output": "HelloThanks for your query. Based on the facts that you have posted it appears that you had Kidney stones and bigger was removed by endoscopic procedure. You have two more small stones left in your kidney. The pain and discomfort that you have now is due to these stones and not due to gastric ulcer. Please consult qualified Urologist and get your Ultrasound scan repeated to determine the present status of the stones that you have in your kidney. Please take broad spectrum antibiotics like Ciprofloxacin along with anti-spasmodic like Spam Procyon twice daily. Get the prescription of medicines from your family Physician. Ensure to Chat Doctor. To keep your urine dilute This will help to control dysuria." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I noticed a circular rash on my calf on he right leg four days ago., however, it has expanded and changed appearance. It has reddened center, then a ring of normal color and another reddened outer rink. the rash does not hurt but my knees hurt and I have a temperature of 104degress and a headache. please can you tell me what I could possibly have?", "output": "Hi, The rash could be a due to a Cordelia infection or any figure erythema. There are multiple differential diagnoses for a figure erythema. As you also have a fever, you could possibly be suffering from an infectious condition. So, I request you to kindly consult your dermatologist for confirming the diagnosis and to initiate the treatment. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was hit on the right side of the head just off the eyebrow a month ago I had a huge lump and black eye it was really sore after a few days the lump went down but I was bruised all down the side of my face the bruising has only gone but there is still a small lump and is still very tender", "output": "Hi, This lump is normal. It is collected blood or a hematoma. If there is pain, redness or fever then it could be mean that it is getting infected. In that case, you should see your Doctor who can examine you and advice you the right course of medicines most likely antibiotics and anti-inflammatory medications. Also, put warm compresses over the swelling it will soothe the pain but done massage it. Take care, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello sir, I am 27 Male, recovering from jaundice , before 1 month my bilirubin level was 12 and i lost weight, but now it come down to 1 and recovered 50% weight. my digestion is good, i am on a low fat diet taking lots of liquid but the bilirubin level is not going down below 1. i had started to going for work. i am not having problems just my bilirubin level is not going down below 1, and my eye and urine are still very light yellow. thanks", "output": "Dear Gambler, Thanks for contacting Chat Doctor. You probably had acute hepatitis which is now recovering. Your bilirubin has come down to 1 mg, and this normal level of bilirubin. So you really don't need to worry. You have already recovered. The color of eyes takes little more time than bilirubin to become normal. Don't worry it will also get better. Normally also urine color may be light yellow, also this may vary according to the amount of water and fluids you are taking. Best Wishes, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 19 year old female. A little on the heavy side. Early this morning at about 4:30, I woke up with severe pain in the right side of my chest. I also had a very hard time breathing. I could not sit or lay down because it felt as if the right side of my lung would collapse in. I spent two hours standing up against a wall with my arms above my head trying to breathe and withstand the pain. We called my mom and I could barely get a few words out at a time. I think this was caused because I slept on the floor at a friends. This has happened before at a friends house when the air first got really humid and hot. I had the same symptoms and could not breathe with chest pain on the right side. My mom had me put ice on it and stay close to a freezer or ac unit to breathe in cold air. That episode lasted about 2.5 hours. I also have mild asthma and have had it since I was born. I tried my inhaler, but it did not help.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you should first consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Chest x-ray 3. PUT (pulmonary function test). Chest x-ray is needed to rule out lung collapse or lung infection. PFT is needed to rule out worsening of asthma as all of them can cause similar kind of symptoms. If all these are normal then possibility of pulled muscle due to sleeping on floor at your friends home. So apply ice packs on right chest. Take painkiller like ibuprofen. Avoid movements causing pain. Don't worry, you will be alright but first consult pulmonologist to rule out lung diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir, my child is suffering from high fever 103 from last 10 hrs .he is 12 yrs old and weighs 51kg and is strong, one month back he had dengue and now i feel its the same again.he is no other rashes or joint pain except pain in one ear. we are giving him fluids and sponging and geting d fever down as we did this earlier also.can we give him meftal forte which has mefenamic acid 500mg and paracetamol 450 mg to get his fever down as regular 650 paracetamol is not able to get his fever down.", "output": "Dear FriendWelcome to Chat Doctor. I am Chat Doctor. I understand your concern. Pain in ear is not a symptom of dengue. He might be suffering from:1. Acute Tonsillitis/ Pharyngitis2. Ear Infection- Otis Media. I would advise you to get it evaluated by a doctor, if required antibiotic like Augmenting would be started. Till then continue cold sponging and Paracetamol as on when required basis. This is my personal opinion for you based on available details. If you have any further query please ask me. Stay HealthyChatDoctor, MD" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am suffering from hair loss from the past six years. Before that I dont know what it is, but now I am suffering a lot. I have lost 50% of my hair. Even I used to take head bath daily. I have tried some oils like indulekha etc. But nothing works out. Now I am using Vatika hair oil and I will use olive oil once a week and I wash it with herbal Shigakai in nearby herbal shop. I need some well work out answers/remedies. Thanks in advance.", "output": "Hi, I do not know your gender. You seem to have halogen effluvium. The causes may be multiple.like thyroid dysfunction, vitamin and mineral deficiencies, anemia, stress,tension, worries,Dan Chat Doctor. .kindly consult the dermatologist for the perfect diagnosis and proper treatment. I would suggest...-treatment of the disease-biotin 10 mg daily-vitamins and minerals -mild steroid lotion-almond oil-herbal shampoo I hope this would help you. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my friend has contacted the nhs he has lower abdominal pain below the naval if he presses on it the pain eases he has a strong pain threshold and he says the pain is excrutiating he ate today out but his friend who also ate is fine he has also been sick twice any suggestions if he raises his legs the pain eases", "output": "Hi. Thanks for your query. If the pain is easing on local pressure or raises the legs and increases on eating indicates that the pain below the naval may be due to :Lymph node mass or diverticulitis. It is also possible that it may be of he is sensory nervous system, the nerves in the back being pressed by the compressing inter-vertebral discs. I would advise your friend to do the following:First get a clinical evaluation and physical examination done by a general Surgeon as the history is not going with any of the settled diagnostic character, in fact is contradictory It is possible that he is malingering, telling the lies for whatever the reasons may be. TO get the CT scan of the abdomen, colonoscopy and Endoscopy and MRI of the spine to confirm or rule out any probable diagnosis. Symptomatic treatment may be required." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,my 2years 7months old baby is having watery stool that is greenish in colour .there is a slight increase in his temperature but he still plays and jumps around the house.i have stopped his intake of diary foods today .please what medicine can i give him as well.", "output": "Hi, welcome to Chat Doctor. Your child has greenish watery loose stools and low grade fever, the child is probably suffering from stomach infection. In stomach infection, there are loose stools, fever, pain abdomen and deny Chat Doctor. If I was your treating doctor, I would have given syrup definite (5 ml =50 mg) 5 ml three times a day for 3 days with enterogermina ampule once a day for 3 days and ORS solution 100 ml each stool to prevent deny" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my husband had part of his tongue removed with a flap placed in 2007 due to squamous cell cancer of the tongue. He has followed up with his ENT MD every six months.....but on his last visit they decided to biopsy a small area close to the original site...due to small \"white\" growths. The biopsy revealed keratosis with moderate dysplagia. Is this cause for concern?", "output": "Thanks for your question on Chat Doctor. Tongue cancer is very notorious for local recurrence. The biopsy report you have mentioned is suggestive of malignant recurrence. The cells in histopathology terms as dysplasia when they are malignant. When morphology of cells is not normal, they have high nuclei cytoplasmic ratio with irregular borders and granules in cytoplasm than they are termed as dysplasia cells. So keratitis is not cancer, but keratitis with dysplasia is cancer." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "LAST SATERDAY I HAD SAVIRE PAIN LOWER STOMACH , ON MY RIGHT HAND SIDE, I DECIDED IT WAS THAT BAD, THAT I WOULD NEED TO GO TO HOSPITAL, I DECIDED TO HAVE A QUICK SHOWER FIRST, WHICH I DID, I GOT MY CLOTHS ON, BUT THE STARTED TO FEEL SICK AND NAUSEUS, I DECIDED TO LIE DOWN, AS I DID IT GOT WORSE, I LAY DOWN FOR ABOUT 5 SECONDS, I GOT BACK UP AND STARTED WALKING AROUND THE FLAT, EVENTUALY IT SLOWLY WENT, THE DAY AFTER WHEN I WAS SAT DOWN I HAD A PULSATING FEELING IN THE SAME AREA FOR ABOUT 15 MINS, AS THOUGH SOME ONE WAS POCKING ME QUICKLY IN AREA OF SAY 3 INCHES DIAMETER, 15 MINS IT WENT, I HAHE HAD PROBLEMS FOR THE LAST 2 YEARS AFTER I FELL IN FRONT OF A TAXI, OVER LAST 2 YEARS I HAVE BEEN TO A&E SEVEREL TIMES AND SEEN MY DOCTOR EVEN MORE TIMES AND HAD APROX 6 MONTHS OFF WORK OVER LAST 2 YEARS, WHAT DO YOU RECON?", "output": "Hi welcome to Chat Doctor forum. Thanks for sending a question to Chat Doctor. Forum. You had severe pain abdomen on right lower side. It repeated several times, you became week, and of the work for 6 months during 2 years of time. No doctors could find the cause. I advise you to consult a surgeon for diagnosis and treatment. You may need to have M.R.I. besides other routine tests for confirmation. As it appears it may be tuberculosis of iliocaecal junction, renal colic due to U.T.I. or stones in the urinary tract. . If it is not detected laparotomy should be done to find the actual fault in the abdomen. The part suspected should be operated and sent for biopsy for confirmation of the disease. You may need to use anxiolytic still you get treated for it, to eliminate anxiety. Wishing for a quick and complete recovery. Best regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I live in michigan and just got back from a trip to Montana and every since I ve been back I ve had shortness of breath, aches in my left arm dizziness and like a stabbing pain that shoots up and down my left thigh was just wondering I it could be from the altitude change or the plan ride because I almost went to the hospital last night", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion, you should consult doctor and rule out cardiac diseases and Pulmonary embolism. Pulmonary embolism is common after recent flight travel and high altitude visit. Cardiac diseases can also cause similar symptoms. So consult doctor and get done 1. ECG 2. 2d echo 3. CT Pulmonary Angiography if needed. So, first diagnose yourself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "child 4 years old with swollen neck glands and swollen throat but not red. Dr. said no strep no mono from test but want have results back on blood work for few days running fever of 103.5 when spiked complaining of head and neck hurting when fever up.", "output": "Hi...this could be viral illness as the doctor has ruled the other two closest differential diagnoses. Headache and neck pain during viral illness is quite common. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15\u00a0mg/kg/dose (maximum ceiling dose of 500\u00a0mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a spot above my penis in my pubic area. Its only 1 spot and 15 months ago i had unprotected sex and i think its herpes or genital warts . But i dont know how long it takes as its been over a year and i just got 1 spot now? It might just be a spot its small and its red around the outside and has a small white pimple bit in the middle.", "output": "HelloThanks for your query, based on the facts that you have posted it appears that you have what is termed as Sebaceous Cyst over pubic area. The skin around the genitals and scrotum is rich in sebaceous glands and hence prone to get more sebaceous cyst due to accumulation of sebum beneath the skin. Normally they fade away without treatment however they need to be treated if increase in size or get infected. Please consult qualified General Surgeon for clinical evaluation and further treatment. If needed some of them which are bigger may need to get excised in Toto (Completely along with the sac). Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I had been diagnosed with liver cirrhosis last 2010 and underwent blood transfussion and band ligation at that time. 2 years after I got diagnosed I lived a normal life being able to do my job. But starting April of 2013 I had been going in and out of the hospital for bleeding episodes causing a very low results on my cbc especially my hemoglobin at only 71. Wbc is at 1.56, hematocrit .20, platelet at 102. This results were from my last confinement- Oct 3, 2014. But last may I had a profuse bleeding and after 1 unit blood transfussion went out of the hospital at 79 hemoglobin, i was then again confined last Aug 16 but inspite of the bleeding my hb increased to 86, and last Sept 22 during my routine check up it has already increased to 112 and platelet to almost 200. What do these results indicate? And what may have caused the bleeding which I had recently when my blood work is improving. By the way I am taking moringa juice and 1,050 mg of milk thistle capsule daily. Does this have something to do with the increased hemoglobin", "output": "Hello,1) You have liver cirrhosis for 6 years. Cirrhosis since long duration may develop portal hypertension due to which rate of blood cells breakdown into spleen would increase (so size of spleen would increase).2) Portal hypertension cause dilatation of vessels at lower part of esophagus as a natural process in effort to normalize portal pressure. Sometimes these esophageal vessels dilate such extent that it rupture during swallowing of hard food and cause blood containing vomiting.3) Increased Hemoglobin level, platelet count suggest maintained turn-over rate (production vs breakdown) of blood cells.4) Maring\u00e1 has anti-oxidant and anti-inflammatory property mainly, but it does not have any role in increasing value of hemoglobin." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I have a little lump I can feel in my lower abdomen on the right side that is a little tender when I push on it. I have not noticed this before. Could it be a swollen lymph node? I am on my period, would that make a difference? Is this something to be concerned about?", "output": "Hello! Thank you for the query. This can be a lymph node only if this is located in the groin. Otherwise, you are unable to palpate abdominal lymph nodes. Painful lump is usually a benign skin lesion which has gotten infection. Very common is sebaceous cyst. Infection usually results with swelling and redness. If this lump is soft and located in the groin, inguinal hernia can be the case. Period has rather nothing to do with the lump. This lump should not be the reason to concern. However, you should consult your doctor. Soft tissues' ultrasound can answer about its nature. Hope this will help. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a sporadic pain, lower left side about belt-level. Passing gas relieves it for a while. I should point out that we are in the process of moving, and that I did strain myself several days ago. I am 57, male and had a diverticulitis several years ago. This pain is nowhere near as bad, much lower and toward the front.", "output": "Hi. With a history of diverticulitis and pain that is relieved by passing gas, I suspect the pain originates from your bowel - it can be some obstruction with gaseous distension of the bowel, and passing wind will make it feel better. My advice is gone for a checkup and X-rays will be able to pick up distension, fecal loading or a mass in the abdomen. Your doctor will be able to manage further. Hope that helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Doctor, I am a 45 years old Diabetic patient. Last 10 years I am suffering the diabetic. Last few month I found my FF is not controlled. It vary from 120 - 140 where as PP is 135-145. I am taking Glipizide 5mg at morning before breakfast and Metformin SR 500mg at Night. Please advice how to control my FF Sugar. Thanks Aloke Debnath", "output": "His am Chat Doctor. I have read your message. I think I can help you. The fact remains that FBS of 120-140, and PPBS of 135-145 is usually considered a fine control. Too tight a control may actually predispose one to hypoglycemia and thereby may cause severe problems. However, if you do want to lower the sugars, you need to alter and watch your diet. And control your weight. Make sure that you are not an any other medicines (like some BP and cholesterol medicines) that can raise the sugars. If all this does not help, the dose of medicine will need to be adjusted further. A small dose of metformin in the afternoon may help you get a better control on the sugars. However, please make sure that the dose should not be changed on the basis of just one set of readings. And if you do change the dose, please inform your local dietician as soon as possible. I have tried to make this as simple as possible. Please feel free to ask a follow-up query on any point that you feel needs clarification. Best of luck, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "actually my child got a fever 5days back,and vomiting once,with constipattion,and later after 3days it became diarrhoea with yellowish urine and quantity of urine is also less,now i noticed 2 black spots inside her right eye(white Part of eye)wht can be the diagnosis", "output": "Hi... this looks like a viral illness which recovering. I can decide on the black spots on the eye white part only after seeing them.... Eye conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have a girl baby. she is 3 yr 9 months, 13.4 kgs weight. She is getting fever very frequently in a period of 18-20 days for last 3 months. before that she got fever every month from her 11 month. we did blood test twice and urine test most fo the times and all were normal. by august 10th also we did blood test and urine test and the results were normal. From last sunday she is having fever again. have given p250 and meftal p alternatively for first 3 days. from wednesday am giving only p250 every 6 hrs. still the fever persist. please help what can be the cuase. she is very active if no fever.", "output": "Hi, It is not clear that what type of blood tests were carried out. Seeing the history it seems that further evaluation of the case is necessary. In such type of case I would prefer following investigations,1, X-ray chest,2, complete blood test like TC, DC, ESR, MP, He,3,Contour test. In this case primary complex and chronic malaria are to be ruled out. Consult pediatrician and discuss this. Ok and take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello I am a 45 year old woman with type diabetes, high cholesterol and a slightly elevated high blood pressure. For the past month and a half every time I go up stairs or go up a hill or force after something heavy my heart feels like its going to pop out of my chest giving me extreme pain and tightens my throat. I sweat alot and my blood pressure gets higher than it usually is. Also, my heart tends to skip a beat (which ordinarily happens in all) but I get chest pain on the left side and out of breath. Today, I drank a slush (which gives brain freeze) but my chest hurt sooo badly I had to stop drinking and eating for a few minutes and the pain was strong and constant until it went away after maybe 5 to 7 minutes. What is happening? I went to see a doctor 3 weeks ago and has given me a blood test for thyroid problems but I have no results yet. Should I be concerned?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Your chest pain after Chat Doctor. But your chest pain and breathing difficulty on exertion (climbing stairs), popping of heart etc. are more suggestive of heart diseases. So better to consult cardiologist and get done 1. Blood pressure monitoring 2. ECG 3. 2d echo 4. Stress test. Possibility of heart failure or coronary artery disease (CAD) is more in your case. You will need cardiac supportive " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i have been having really abdominal pain and headaches lately and sometimes ictchy breast. my period is not due for about 5days and i want to know can i be pregnant? i test about 3 times 2 weeks ago but it turned out negative. I mite have done the pregnacy test early", "output": "Hi! Good morning. I am Chat Doctor answering your query. Yes, it was too early for a urine PT to be positive, which as such might not be positive at times till late. If I were your doctor, I would advise you for a serum HGC test which is more specific, and an ultrasound of abdomen if need be to rule out any other intro pelvic pathology in addition. Further management would depend on the result of a clinical assessment and investigation reports. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have gaps inbetween all my top teeth that I would like to all be closed, my teeth need cleaning, I have a wisdom tootChatDoctoring through that is causing pain to my gums (have already had 2 wisdom teeth pulled in the past) and I also have an overbite that I would like to get rid of or pushed back abit. what would be the best option for this?", "output": "Hi. Thanks for the query. As you have gaps between all your teeth, and also you have overbite that is indication of an indication that you need braces to close the gap and also to correct your bite. So my suggestion is to consult an Orthodontist and get a clinical examination done followed by appropriate x-rays and impressions of your teeth to make casts to plan your treatment. Fixed orthodontic braces will help in appropriate alignment of teeth. As you also have inflammation of the gum flap over the wisdom tooth, so my advice to you is to first get the wisdom tooth removed and once the extraction site heals proceed with the orthodontic treatment. For now do warm saline gargles and antiseptic mouthwash gargles. Take anti-inflammatory painkillers like Ibuprofen to reduce pain in the gum. Hope this helps. Regards. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "now i am in 47 and my wife is 39.we do not have children till now.we had visited many doctors all over kerala.but till now ,there is no improvement.now i am working in Saudi Arabia.Doctor,could you please suggest me any proper diagonastic centre near by calicut?", "output": "Hello, First, to rule out male infertility, you have to do your semen analysis for sperm count, sperm motility and morphology. Rule out diabetes by doing fasting blood sugar. Do your testes' examination for varicocele. For rule out, female infertility, do her hemoglobin level, thyroid profile, ultrasound abdomen for detecting ovulation at fourteen the day of the menstrual cycle. Then if cause not clear do hysteroscopy or diagnostic laparoscopy. Still prolactin level, and FSH, LH level should be ruled out. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 8 week old baby fell off the bed and landed on his back. I immediately picked him up and he cried for a little bit. I checked his head for redness or swelling and he shows no physical symptoms from what I can see. He also ate just fine afterwards. I m being sure to keep him awake. What can I do/what should I be on the look out for? Please help!", "output": "Welcome to the ChatDoctorI completely understand your concerns. Usually falls from height less than 3 feet are innocuous and do not cause any major problems. But it's always better to be careful to avoid any such incidence. I would recommend you to check for following to be sure that your baby is fine:- Breathing pattern whether normal or is there any difficulty in breathing.- check his pulses. If they are less than 160/ min, then don't worry. - any restriction of movement or any bruise on second examination.-any significant change in his behavior In case you find anything wrong after above examination, the take him to pediatrician for expert clinical evaluation and management if required. Hopefully this will help you. I would be happy to help you in any further questions. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor, Im a 16 year old boy (Im about 1,80 meters and I have no medical history concerning medicins or whatsoever) and recently had sex for the very first time. It felt great, and my girlfriend enjoyed it too, but I didnt have an orgasm and/or ejaculation. After this first time I havent had an erection just by thinking about sex and before my first time this was very easy. I do masturbate once a day and I move my penis pretty fast and hard when I masturbate. Also I do smoke 1 maybe 2 cigarettes a day. Hope you can help me,A normal boy", "output": "Hello, You are very young aged boy and at this age, there is usually no any erectile dysfunction occurs. One time failure of ejaculation or achieving orgasm cannot be considered abnormal. The achievement of orgasm is learned after few sexual attempts usually. I suggest you stop smoking because it has multiple bad effect in body along with affection of sperm count also. You should also focus on study at this young age. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I believe that I have enlarded circumvallate papillae and I wanted to know what could be some possible causes, if this is normal or should I be concerned. I have also noticed since they have been in larged it hurts when I swallow. Thanks for your time", "output": "Thanks for using Chat Doctor. Read your query. Enlarged circumvallate papillae usually occurs due to few factors including hot and spicy food, gastro esophageal reflux and some infection, excessive smoking and canker sores. You should not worry as it is a not a condition which is dangerous. Maintain a good oral hygiene, reduce hot and spicy food. If you smoke excessively reduce smoking. Use saline water gargling. If still worried consult an oral surgeon and have it checked. Hope this was helpful. Thanks and regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "what does it means if any woman have got high sgpt around 60? (even two weeks before her HCV antibodies detected active and after PCR test and lever other test and levers ultrasound results Dr said no virus detected and other all results are ok) is this a worrysome condition??", "output": "Hi welcome to Chat Doctor .... Hepatitis c infection have tendency to be converted into chronic infection.... So first get confirmed about negative report ... Check whether it is PCR testing method or ELISA method.... Both are good but molecular PCR is the best one.... By hepatitis c infection your liver get damage .so liver enzymes slight high... Gradually it will recover.....Meanwhile, take low fat diet... More fruits .... Green leafy vegetables.... Avoid alcohol Chat Doctor. .... Junk food and non veg limited... Carrot, spinach, Indian gooseberry, papaya, avocados are some good food for liver. The immunity play major role in resolving hepatitis infection. Consult gastroenterologist with keeping this in mind... Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "21months old infant having fever since a week.. Controlled by fever medicines but appears if medicine not given 6 hourly. No cough or cold. submandibular swelling since day second of fever. Heamogram normal. Typhoid negative. Pls suggest what it could be...Urine routine and blood culture is under testing... What else needed for diagnosis??", "output": "Hi, Thanks for the query. I understand your concern. Fever medicine would bring down fever. But complete freedom from the problem need removal of basic cause. (like suitable antibiotic added to fever medicine in case of infection) Fever with submandibular swelling could be a lymph swelling due to infection of the area Chat Doctor. . Accompanied by swelling of lymph nodes at other sites. You have started with many investigations. But in my view a detailed physical examination by a pediatrician would be important in order to make primary impression of the cause & then advise specific investigations to confirm the diagnosis followed by cause specific treatment. Please consult her pediatrician for guidance. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My girlfriend is not getting her period for the last 4 months. Her weight is increasing and she is getting all the symptoms of pregnancy. But still we didnt go for any test or check up, as she is on vacation with their parents. As we are student we cannot tell anyone and she is scared to go to doctor. Can you please suggest me any possible ways for getting abortion. How long does it takes and how much is the cost. Further suggest the best abortion clinic in bangalore where it can be done confidentially.", "output": "Hallow Dear, Four months pregnancy is a second trimester pregnancy. Though WHO advocates the termination of such advance pregnancy by Mifepristone and Bisoprolol, it has to be done under expert supervision of an Obstetrician & Gynecologist. Otherwise, the assured way is surgical method like intrauterine use of acridine lactate. The cost and hospitalization will depend upon the country where you are, and the method used for terminating the pregnancy. One thing is sure, at this stage of pregnancy, please do not attempt termination of pregnancy at home by any unscientific methods. I hope you got the message." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I recently had a minor operation for a cyst in my groin. The stitches were disolving but there is a stitch at the end which is outside the skin which wont go away. How do I remove this? it is really annoying. I cannot see a Doctor for a month as I am offshore in Kazakhstan.", "output": "Good day, and thank you for being with Chat Doctor ! There are two ways to do it. One is to wait for it to dissolve and fall on its own and he is other way is to get a clean tweezers or forceps and pull out the stitch. You may need to cut the knot to remove it. You can only remove the suture if your wound is completely cogitated. I hope I have answered your question satisfactorily, and please consider a 5-Star rating for me." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 1 year old was born 1 month premature, stayed in the NICU 1 month, and literally has been sick over 70% of his life with either rev, other respiratory symptoms symptoms, or the flu. Could he have a condition with low immunity? He is also failing to thrive and can t get over 15 lbs even though he is now 14 mos old. What would you test for?", "output": "Hi, Premature babies have low immunity and also current weight is less, so he will be more prone to get easy infections. You should do full blood count to see the basic blood parameters at the moment. If any parameter like WBC or Hemoglobin is less than after advise proceed in that direction to rule out any cause. But in general keep tight hygienic condition for you baby. Good luck and wishing him healthy life! Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a IVF patient. Embryo transfer happened on 22nd Nov. For the past 3 days plus today, I am having fluctuation in the body temparature. Today afternoon, it is 102. What is the reason. Having Dolo 650 - half from today - morning, afternoon based on my Drs advice.", "output": "Hello, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. No, body temperature never rises after IVF, but it can be monitored during the IVF procedure. Once the IVF is success there won't be any fluctuation in temperature. I advise you should look for the other causes of the temperature. Some other infection can cause rise in temperature. You can take paracetamol for the fever under your doctors' guidance. But please consult once to doctor for this fluctuation in temperature. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 7 month old baby accidentally hit my nose with his head. It was hard, but nothing crazy. The pain was disproportionately bad, considering the injury. I have been lightheaded since and have a headache. (happened about 2 hours ago). Is there something about the nose or sinus area that is particularly sensitive? I am just so surpassed how bad I feel over something that seemed small. Thanks", "output": "Hello, Thanks for consulting Chat Doctor, I have read your query as far as severe pain and lightheadedness in nose is concerned this can be due to trauma. For this I will suggest you to consult good orthopedic surgeon for clinical examination and evaluation. In meantime for pain you can take medicine like Diploma SP or Eugenic plus by consulting with local doctor. On nose, you can apply ointment like Diclofenac gel or Relay gel. Hope this will help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, I was just taking a shower and noticed a sore spot on my penis . I looked at it further its a small red bump that has like a scab on the top almost like i robbed it raw on something. But i dont know how that would be possible i havnt done anything that would rub it raw. I have never had unprotected sex so i know theres no way it could be something like a sexually transmitted disease . Im just a little concerned so any input would be great thank you so much. Daniel", "output": "Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. It still could be an STD as STD spreads in other ways as well along with the unprotected sex. Even kissing can lead to STD and hence it would be wise to get an STD check done. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. You just need to contact me on this below-mentioned link:bit.ly/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, i checked my HB and got 13.4 my weight is 115KG and hight is 18130yr old Male frm india am now to reduse my weight so doing the exersise and reduse my cunsumption of foodalso quit my Smocking & Drinking Habbitsis this level dangourous for me ?Please advice me ......", "output": "Hello, this hemoglobin is not abnormal for a man. It's rather low but normal. If you had a higher value in the past then you should worry about the reason it Chat Doctor. This level is not dangerous in itself though. Just check an older blood count and make the comparison. If your hematocrit or hemoglobin is similar then there is absolutely no need to worry about it. I hope I've helped! If you need more information, please ask and I'll be glad to provide it. Kind Regards!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I have been suffering from hayfever for a few years. This time I have all the usual systems as before but I have been having quite painful teeth and gums which I have not had before. I go to my dentist regularly. I was wondering if this could be caused by hayfever.", "output": "Hello, Thanks for consulting Chat Doctor, Read your query, as you have fever, so pain in gums can be due to Viral dermatitis, carious tooth, gingival or Periodontal problem it can be due to periodontal pocket formation or inflamed gingival don't worry consult your dentist and go for examination of gums and teeth to rule out the cause of pain. In meantime, you can apply ointment like stolen gum paint on gums and do Luke warm saline gargle two - three times a day. Hope this will help you. Wishing you good health. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi- I went for a mammogram and an ultra sound today because I found a large hard lump in my right breast on Monday. They did the mammogram and ultrasound and then decided to do a biopsy today. The lump found was 4.5cm and was described as a rubber golf ball. They had a very difficult time getting the biopsy because the lump was so hard and they couldn t get into it. I am very worried that this is cancerous and I am worried about how long I have had it since it is so large. Any input would be appreciated.", "output": "Thanks for your question on Chat Doctor. There are many causes for lump in the breast. But the description you provided points towards either fibroadenoma or malignancy. Hardness you described seen most commonly in malignancy. But biopsy is the gold standard for diagnosis of breast lump. And no need to worry much even if this turns out to be malignant, as breast cancer treatment is very effective and life expectancy is very high. Newer surgical techniques and improved chemotherapy and radiotherapy make breast cancer a treatable cancer. So no need to worry much. Just get done biopsy." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir, i grown up in a very depressive familiar atmosphere, so sometimes i feel that i have suffering from depression. I have poor concentration,lack of decision making capacity. Agilent, irritability ,instability etc. pls suggest me some medicine as well as some home remedy so that I got rid of this problem.", "output": "The best ways to treat depression are with counseling, medications and exercise. The more of these you do the better your chances are to get relief from the depression. Your doctor can prescribe a generic antidepressant like citalopram that could help. Talking to a counselor can better help you deal with stress that makes depression worse. Taking a 30 minute or more walk each day will also help relieve stress and depression. Good luck and I hope you feel better soon." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My left lower leg, just under my calf started out really tight and the tightness stayed for a week. Then it started to hurt, now it hurts so bad and my calf is tight. It hurts to stand and sit with my leg on the floor. When I walk the calf tightens making it hard to walk. I walk with a limp. It hurts the worst in the middle of the night I am 10 weeks pregnant tomorrow. I went to the doctor and they said it is a superficial blood clot. Is it supposed to hurt this bad? What can I do being pregnant. The doctor said to put heat on it and elevate it. Nothing seems to be improving after 3-4 days!", "output": "Hello, It is necessary taking blood thinners, considering the presence of a blood clot. From the other hand, it is necessary holding compression socks and try to have some rest. I would also recommend checking coagulation tests in order to find the possible cause underlying the blood clot. You should discuss with your doctor on the above tests. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "The kidney transplantation operation is going to take place to my brother(age 26) soon.My mother(age 46) is the donor for him. What will be his routine after the operation for both. How long they could take the rejection tablet ,or any other alternatives for the tablet.", "output": "Hi, .....first congrats to you and your brother for getting a kidney transplant soon...well, as far as anti rejection tablets or as they are better known as immunosuppressive therapy has to be taken life long...initially they have to be taken at a higher dose which can probably be decreased a bit as time goes and only if the transplanted kidney works well...don't ever think of stopping it or even not taking them for a single dose too....or else you might end up losing your transplanted kidneys." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I stepped on a twig/ kind like a cat tail hard pokey stick like thing and it punctured the bottom of my foot. I cleaned it, nothing seemed like it was stuck. It hurts to walk on it( which is probably normal) but my question is should I walk a lot or rest and walk just enough so it does not tense up?", "output": "Hello, I understand your concern. I am Chat Doctor, infectious diseases specialist, answering your query. In my opinion you should walk only which ever essential to maintain your routine workup. More walking causes more tense tissue, and it is naturally hampered the healing. Maintaining the cleanliness is very important aspect it will help you in healing fast. I will be happy to answer your further concern, you can ask me on bit.ly/ Chat Doctor. Thank you. ChatDoctorInfectious diseases specialist." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Had single mastectomy 2 weeks ago for Pagets disease with an underlying tumor that was also removed. It was 1.3cx0.9x0.8 cm. and sentinel node biopsy showed one benign. The cancer is Stage 0a and is Triple Negative. How should this be treated// I am currently undergoing tissue expansion for reconstruction!", "output": "Thanks for your question on Chat Doctor. Stage 0a cancer of breast needs surgical resection of tumor nodule and dissection of involved lymph nodes. So you had absolutely right treatment. So no need to worry much. Pagets disease of breast has high incidence of recurrence. So in future if you find any nodule or swelling in breast (opposite or same) than you have to get done biopsy of it. No harm in reconstruction surgery. Eat healthy and stay feet for prevention of malignancy." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am 45 years old and had a partial hysterectomy 18 years ago. I started bleeding clots 2 weeks ago and pain increased significantly in lower left pelvis that comes and goes. I have difficulty voiding sometimes not always. So I went to the dr. this week thinking I had a UTI infection. My tests said no UTI or bladder infection. CT scan showed no kidney stones left ovary significantly larger than right and cysts on lower left pelvis. My ob-gyne said my ovaries were OK? I have family history of mother & sister ovarian ca and sister of bladder ca?", "output": "Hi, dairy have gone through your question. I can understand your concern. You have family history of ovarian cancer. Symptoms of ovarian cancer are abdominal pain, mass in abdomen and other non-specific symptoms. You should go for CA125 test. It is marker of ovarian cancer. So if it is high you should go for further investigation. If it is normal then no need to worry. Just be relaxed. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my grand father is not taking alcohol,drugs and other poisonous things but he is suffering from liver cirrhosis why? and how it can be treated", "output": "Hi, welcome to Chat Doctor. What you need to know is that Cirrhosis is most commonly caused by alcoholism, hepatitis B and C, and fatty liver disease, but theses are not the only causes, there is a multitude of causes. Some cases are idiopathic, i.e., of unknown cause. You can look into these other causes, if he fits in any : *Fat that accumulates in the liver (nonalcoholic fatty liver disease)- in fat people* Iron buildup in the body (hemochromatosis)*Too much copper accumulated in the liver (Wilson's disease)*Liver disease caused by his bodies immune system (autoimmune hepatitis)*Heart problems-Repeated episodes of heart failure with liver congestion can lead to cirrhosis.*Parasite [in developing countries (schistosomiasis)] Now the treatment will depend on the cause for the cirrhosis, also the complications of cirrhosis must be treated." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my brother(23 yrs old) is attacked by polio during his childhood. His left leg is thin than the right one. We tried many Ayurveda method, but no effect. He is losing self confidence due to this. So is it possible to cure through surgery. If so let me know the best hospital and place", "output": "Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you.Poliovirus attacks the Motor neurons and hence there is weakness. The weakness of the muscle cannot be cured butte can do muscle transfer surgeries or resection of contracturesNIMS Hyderabad is a good center, and it is a govt organisationHope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in Chat Doctor at http://bit.ly/ask" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was taking a shower and as I was washing up down below by my vagina on my left leg I feel a lump inside my. Area should I be concerned is hard and its insideI was taking a shower and as I was watching up down below obama vagina on my left leg I feel a lot inside my dot area should I be concerned is hard and inside", "output": "Hi, Dear,Thanks for the query to Chat Doctor. I studied your problem in depth and I understood your concerns. Cause and plan of Treatment-In my opinion on the given data, you seem to have Vaginal Cyst which are benign Retention Cysts.don't worry. Treatment if it grows and pains and is - by anti-inflammatory Chat Doctor. Don't guess more. I would advise ER Gynec-Surgeon Consultation to avoid further complications with it. Hope this would resolve your issues. Act fast. So keep cool and Consult your ER Gynec-Surgeon, if need be, who would treat it accordingly. So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you, but just ask a query to Chat Doctor and be comfortable to resolve your health issues. Welcome for any more query in this regard to Chat Doctor. Write good reviews and Click thanks if you feel satisfied with my advice. Have a Good Day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doctor my grantmother is suffering from juindce.doctor advised for lft .reports are given below bilirubin 8.69mg/dl, aspartate amino ast/ sgot 138mg/dl, alanine aminotranferese 68u/l alkaline phosphatase 1857u/l total protiens 8.20g/dl , albumin alb 4.00g/dl. is my grandmother ok or having chronic lft dieases. tell me solution .plz thanks", "output": "Hello, Thanks for using Chat Doctor platform for medical advice. According to blood reports, it seems that your grandmother is suffering from obstructive jaundice. Normally liver from the bile (juice for food digestion), it flows via tube (bile duct) to intestine and there it's mixed with food and help in digestion of food. In obstructive jaundice, there may be blockage anywhere from liver to intestine in bile duct (bile flow tube). Ultrasonography is helpful to know about obstructive jaundice, and it also tells about cause of obstruction. Consult your gastroenterologist for further investigation to know more about the disease and treatment. Depending upon underlying cause, it can be treated with either Endoscopy or Surgery or by both. If this remains untreated, then it may progress to complications like high grade fever, liver damage, yellow coloration of whole body, severe itching, loss of desire to eat...Meanwhile, ask her to take plenty of water and high carboy Chat Doctor. I wish for speedy recovery of your grandmother. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have 2 stents fitted in the heart circumvex artery. Medications (CLOPIDOGREL AND ASPRIN) are causing me to have stomach pain in the left side /middle under the bottom of ribcage. My doctor is sending me for a scan canyou please advise will it be a mri or ct scan", "output": "Howell come to ChatDoctorI really appreciate your concern, if this is the abdomen pain, and it is being suspected due to the medicine, so it could be gastritis, beside this or if it needs to be differentiated with second cause then it has to be taken for USG else it is depends upon the clinical examination because of that physician can best decide for MRI or CT scan, it all depends upon the provisional clinical diagnosis, but just for the routine test Ultrasonography is preferable hope this information helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "please provide help to assist a family member who is a diabetic with myositis and itchy and scaly skin patches. Also, she has some issues at times with muscle leg/feet cramping; and swallowing and thick saliva. What type doctor needs to be seen for best treatment", "output": "Dearthanks for writing to ChatDoctoras per the description given the myositis might be the cause of the muscle pain and also difficulty in deglutition.(swallowing)We must review with a neurologist to look after the neuromuscular problem. Hope the sugar levels are within normal level. Mostly the skin scaling, darkening are due to the chronic elevated sugar levels, we must start a multivitamin with anti oxidants like Antonio. Hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My doctor informed me roughly 6 months ago that my liver enzyme levels were elevated. Weve discussed alcohol consumption, but my drinking pattern hasnt changed much in the last few years so I dont know why my enzyme levels would suddenly spike. I take Vyvanse for ADHD (60mg/daily) and I know it is processed through the liver. Could this be part of the problem?", "output": "Hello, Liver enzyme level elevated in your case may be due to some other cause other than Vyvanse. Because hepatitis is a very less common and also elevated liver enzymes. Thus recheck liver enzymes level. Check for hepatitis viral infection. Do ultrasound abdomen to find any increase in size of liver. Then review with a physician. Hope this helps. Please reply for further queries. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have severe burning in my spine, an MRI shows spinal stenosis, the burning will stop if i sit and do nothing, it starts when i use my arms and or dishes, weedeat etc, i have to take pain medications just to be able to do these tasks, if i have alot of work to do i have to take more pain meds, the burning is so severe that without pain meds i feel like falling on the floor and crying, sometimes its that way even with pain meds? can a herniated disk cause all that. my rom is fine, sensation fine, just severe burning like lave it that spinal cord region. laser surgey was an option but unatainable due to 10K upfront cost, what else may i consider? I tired of having to take 6 norco10/325 pills a day just to work. i do not want to be disabled and need options to get back in life? Thank You", "output": "Hi, Thank you for posting your query. It is unfortunate that you have severe pain and burning and need to take a lot of painkiller tablets. The most likely cause for your pain could be herniated discs, and this can be confirmed by doing MRI scan of spine. Treatment options include medications such as pregabalin or gabapentin capsules. Physiotherapy including IT, ultrasound and traction would also help. In severe cases, epidural injections may be given for pain relief. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, Chat Doctor. Ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had a constant flutter in my right lower abdomen for the past week, it happens every 10 minutes or so and lasts for about 3 to 10 seconds...Its not painful, just feel weird...It wakes me up at night...Ive been having regular bowel movements...Im on my cycle now since 3 days ok, it seems a little heavier than usual, my last cycle was 27 days prior to this one and it was pretty light....My boyfrined and I used protection 5 weeks ago and prior to that it had been 2 months...He lives out of town...Do you know what it could be?", "output": "Hi. Thanks for your query. The fluttering in right lower abdomen for 1 week. Not much painful but is waking you up at night indicates that it is painful. You have regular bowel movements, used protection during the last intercourse. We have to think about: appendicitis, colitis, right ureteric colitis and so on. This can be diagnosed by an ultrasonography of the abdomen and the tests of the blood, urine and stool tests. You will need a treatment with an antibiotic and metronidazole, probiotic, symptomatic and supportive." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am having pain numbness and tingling down both arms, hands feet and legs, mostly left side. My vision goes blurry periodically throughout the day, I have headaches with pressure in ears, and severe fatigue. Every time I eat, which I don t have much of an appetite, I have diarrhea and have a lot of heart burn.", "output": "Here there are a couple of possibilities with your symptoms, You have symptoms of numbness and tingling in your hand, arm and feet more on left side of body, also headache, and heart burn after you eat, severe fatigue, as well sometimes blurry vision for entire day. As per this you need to take following steps.1. Check your eyesight and no. It can also cause headache if there is weak eye sight.2. Check your blood pressure and blood sugar. This can be region for headache as well fatigue.3. Visit a euro physician for proper examination for headache issue. If needed to go ahead for MRI scan.4. Visit an orthopedic in case if numbness is also associated with pain in neck and back spine. Orthopedic will do certain physical test and may ask for some more scaling or x-ray and will give you treatment as per that.5. If you always get tired withblittle walk, and it used to be along with breathing difficulty then you need to do ECG and treadmill test for checking out heart health. If there is any issue then visit cardiologist.6. If nothing wrong with heart then heart burn could be just due to acidity and have anti acid tablet as or your physician suggestion. You can also improve your lifestyle by having food at right time and changing food preference ti healthy and balance diet. Also do regular walking exercise. I am sure you will feel better when you follow all above things with proper evaluation and treatment. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello. Six months ago I had a 3in1 operation: -varicocele -Epididymal Cyst -Testicular Appendix 3 weeks after the operation I visited my doctor and he told me that I m healing well and because of all the interventions it might take longer to heal. Now, six months later, there is still something going on in there. The testicle is still not on his usual place, I feel pain (just when I touch it, not all the time), and there are still veins around it. Also, it s consistency does not feel like the other one. I know that you will probably advice me to see my doctor and I will, as soon as possible, but I m abroad till january, so I m unable to do it right now. Your opinion will be highly appreciated. Thanks in advance. Regards.", "output": "Howell come to ChatDoctorAnd thank for ChatDoctorLooking to the history given here I could say that the position of testis goes on changing because organ is temperature sensitive and according to environment temperature its changes position like in winter this comes close to abdomen and in summer it looks pendulous, so this is not matter of worry, this is very tender organ may pain if touch little hard, if the pain is there without touching it then this would be matter of concern, because this could be sign of swelling or infection, and this need to be ruled out, hope this information helps, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my granddaughter is having severe pain on her right side starting at her waist and going up.the doctor took an exray and it showed ablockage in her colon on the right side , he said it would probably take care of itself. her pain has gotten worse over the last few days. her urine also showed that there might be an infection, they are doing further testing on that. what can I do to help her pain ?", "output": "Thanks for keeping faith .as your granddaughter has been diagnosed with obstruction of gut with pain with suspected urine infection, just relax things will be all right ...just give her liquid diets ....plenty of fluid. .for urine infection u can start an antibiotic like Aeroflot and with an antispasmodic like metal spas BD... It will really help. . If symptoms get worse u should consult your fashion. ..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ok about a year ago I was stretching and heard my spine pop and crack like 30 times it is right around my bra strap now I have a little spli in my spine fall owed with a lump that causes me to be in pain everyday it does feel better when my boyfriend takes the tips of his fingers and rubs each side of it but not for long what is the problem please help", "output": "Hello, Thanks for writing to from description, it seems you might develop muscular or ligamentous strain or sprain over back. Now after one year if it persists, I would suggest getting this evaluated by an orthopedic for an accurate diagnosis and appropriate management. You may get the MRI of the area affected under his/her guidance. I do hope that you have found something helpful, and I will be glad to answer any further query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "had ct scan i am not over weight was given results yesterday but nothing was said why i got this fatty lump and no offers of any treatment i am really worried ive gone off my food and when i eat i feel fully bloated it looks like i am pregnant ive also got gall stones can you help me please from mags age 58", "output": "Hi, dairy have gone through your question. I can understand your concern. Your fatty lumps can be due to lipomatous. There is no need of any treatment for that. For gall stone you should go for ultrasound abdomen. If you have obstruction or infection in gall bladder then you should go for cholecystectomy. Otherwise, medical treatment can be taken. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "when typing at my desk I felt a warm feeling on my left wrist and when I looked down a lump was forming. A few minutes later a lump formed (smaller) on my right wrist in the exact same spot. The lump is located right pass my wrist bone on my thumb side. The lumps has gone down but my arms and hands are soar.", "output": "Hi! Thanks for your health queries. After going through your description, I could get that these are actually kind of degenerative or chronic inflammatory pathology related to excessive minor works / loads! And as per our clinical experience the possibilities are as follows:1. A ganglion cyst 40 % cases2. A bursa 40 % cases3. Arthritis 15 % cases4. Chronic inflammatory or allergic pathology 5% cases. Only x-ray and a needle biopsy is all that are required for a confirmation.Therefore, don't worry but see a surgeon for an examination and open discussion. Regards," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "A little while ago I found my husband unresponsive and slumped over the toilet with his eyes wide open and making a really weird noise. I was calling his name and trying to move him into a lying down position so his head wouldnt fall in the toilet bowl when he seemed to I guess wake up and start moving. I am really worried about him can anyone help?", "output": "Hi, Thank you for your query on Chat Doctor. This episode of unresponsiveness with staring look is suggestive of a fit episode. During fit episode, you have to make your husband in lying position on left lateral side with head in slight low down position. He needs evaluation with Neurophysician. Investigations like EEG, and CT Scan brain are required to investigate for the cause of seizure episode. Hope I have answered your query. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have itchy skin problem which becomes red . I was on iron supplements ( orofer XT ) for one & half months & used to take 2 tablets daily as advised by Doctor for having daigonosed with iron defiency anemia. Now I have this problem of bumps on skin, which are itchy & occur any ewhere on the body. I am 35 & weigh 68 kgs.", "output": "Hi, dear. I have gone through your question. I can understand your concern. You ate taking treatment for your iron deficiency anemia. Your Chat Doctor. Or may be due to some skin problems. So consult your doctor and inform your condition. If needed you can take injectable iron. Consult a dermatologist also for your skin rashes. Take iron reach diet like beggary, dates, green leafy vegetables and " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good evening. I was diagnosed with NSCLC in March of this year, had surgery in April (pneumonectomy) and underwent 4 courses of chemo therapy. Now my blood sugars (glucose) levels are high, and the primary care physician says Im in danger of becoming diabetic. Any thoughts? I excercise daily, I eat the right foods, and Im losing weight (finally) i gained about 15lbs during therapy", "output": "Hi, Thanks for writing in. Cancer treatment involves giving many chemotherapeutic medicines in high doses. These Chat Doctor. This might be considered as a stress on your system in response to the disease and the treatment. It is suggested that you please get HbA1c test done and if the report shows more than 6.2 percent then you should try any limit the sugars. As a part of your recovery you should take a 2200 kcal diet containing good amount of proteins. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my wife took the birth contole tri-spentec for almost a year and stoped taking it nearly 3 months ago and we have been trying to concieve for 2 months now our first child concieved on the first try is this a sign of infertility or is it normal after coming off berth controle", "output": "Hi, Thanks for writing to Chat Doctor. After stopping of birth control pills it takes average 6 months for body to adjust and become normal. Some may take more and some less. Because whole one year body is getting signal not to become pregnant.It's not a sign of infertility. I suggest you to try for 6 months if didn't conceive then consult sync. If your wife cycles are not regular then you may consult doctor now itself. But even cycles take time to become regular. Hope I have been helpful. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "lower back pain with back of legs and and back of knees feel weak and have pins and needles. also pins needles bottom of feet. back pain is above buttocks and on or near waistline. pain in back is moderate but feel unstable on feet and legs feel unstable also with pins and needles. connected pain legs to back.", "output": "Hi, I understand your concern regarding the tingling sensation and low back pain. Since you have mentioned that you have low backache and tingling sensation in your legs it has to be related with nerve compression or due to diabetic neuropathy or lack of nutrients like calamine. This occurs mostly due to our lifestyle habits like usage of computers, watching a lot of TV, bending while reading.1) Do keep a watchful eye about other symptoms like numbness spreading to other parts, blurry vision, loss of sensations over body parts.2) Get your blood sugar tests done and refer the same to your planetologist for further follow through. Mention him about your present problem. 3) You need to keep an erect straight posture of your back and neck.4) Do stretching exercises, when you wake up lie on your chest then using two hand lift yourself up, in an arc like position and then lie down slowly. Repeat his at least ten times daily. This will surely relieve back pain. You can watch online videos for such exercises.5) Take Tablet Neurons once daily, analgesics only if you have severe pain.6) If your problem aggravates you need to get yourself physically examined and investigated through radiological methods like x-ray followed by MRI only if suggested by an orthopedic. Hope these suggestions help you. Contact for further follow up. Thanks with best regards," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am having running nose, cough and cold. yesterday I had some fever too. I have had such symptom on earlier occasions too. My doctor prescribed me montek lc and cough syrop on earlier occasions. I have started montek lc this time also. should I take some anti biotic course too?", "output": "Hello, Welcome to Chat Doctor, As you are getting these symptoms frequently they are suggesting me that you're having some allergic manifestations. Your symptoms will be exacerbated when you are exposed to the allergens like dust, mite, food and the pollen. As your doctor has prescribed the tab Monte LC, it will reduce the symptoms and improve your condition. Antibiotics is not required now, you have to identify the allergen causing these symptoms and try to avoid them. For the cough you can take syrup like Pricier which will reduce the cough. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband slipped and fell hard on a wood floor landing on his but. He can walk slowly but that leg is stiff. He is using a walker to get around. No bruises at all. He is 87 years old in fairly good health. He is a computer geek and does not exercise. Can he have fractured a hip?", "output": "Hello, At his age chances of fracture are high due to osteoporosis and even minor injury may lead to fracture. I would like to advise X-ray of pelvis with both hips anteroposterior and frog leg views to rule out fracture. Please get it done from radiology center nearby you. Meanwhile, Advise strict bed rest and tab Attract twice a day can be taken for pain relief. Visit to orthopedic surgeon for detailed clinical Examination is recommended. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a piece of skin like flap hanging from the inside of my upper left cheek. i thought i just bit it eating but its a little higher up the cheek to have come from a bite. i can wiggle the little flap with my tongue, what is this? will it go way on its on?", "output": "Thanks for your query, I have gone through your query. The skin like flap over the cheek is nothing but an inflamed salivary gland duct which is present at the level of upper second molar. Nothing to be panic, consult an oral physician and get it evaluated. Meanwhile you can take a course of antibiotics like amoxicillin. Do saline gargling and Chat Doctor. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "The day before yesterday as i was getting in the shower, my toe (the one beside my baby toe) started to contort and felt like it was breaking all by itself. Then it hurt all night and the next morning it was swollen and black and blue..i limped for a few hours then it stopped hurting and seems fine now except for it being bruised..what happened?", "output": "Hello, It looks from your details that most probably you had a bad cramp at your toe. This did lead to injury to your soft tissue so that it did swell and bruised. I shall advise you following to have relief in this:- Do cold fomentation over it- Take a mild analgesic like Advil or alive for relief from pain Probably problem goes away in 5-7 days. If problem continue to exist then consult to your doctor and get an X-ray. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am 22 years old girl from Sri Lanka.today i had wheeze for the first time in my life.my doctor said it is not good to have wheeze for the first time in this age,but he didnt explain me the reasons.Can you please explain me the reason for that?thank you very much", "output": "Hello rearward welcome to Chat Doctor.come have evaluated your query in details .* Wheezing is the respiratory sound where there is partial obstruction in the airway either in form of infection, inflammation or other issue.* You get so many conditions with this wheezing, the treatment of basic cause revert to the normal respiration. Hope this will help to clear your doubt . Wishing you fine recovery. Always welcome for any further assistance anytime. Regards ." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been having chest tightness with numbness in left arm, back pain, and lots of other symptoms that something is going on with my heart, circulatino, etc. Doctors ran blood test, did an EKG, but nothing showed up. Doctor put me on betablocker, which is helping, but still having pain/tightness and other symptoms. Doctors are dismissing me because of age (33) and normal blood tests. They say it is stress. The tightness I feel usually comes on with activity or stimulation (smoking, caffeine) and is more like angina. My doctor hasnt given me a stress test yet, is making me wait two months, and gave me a prescription for anxiety meds. Two months ago I was healthy. I was able to run four miles a few times a week. Now I can barely walk across the room without chest pain and other pains. Im worries there is something more to my pain, possible heart problem, circulation problem. And Im frustrtated my doctor wont take me seriously.", "output": "Hello rearward welcome to Chat Doctor.come have evaluated your query thoroughly.* This amount of agony of symptoms does not sound to be stress related there must be underlying organic cause which has to be evaluated thoroughly as possible - valvular issue of heart chambers - respiratory insufficiency - low hemoglobin - deficiency of certain vitamins, trace elements - others. Hope this clears your doubt . Wishing you fine recovery. Welcome for any further assistance. Regards take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have acute bronchitis and heard my dr mention lung spur. What is this? I smoke (not since bronchitis though) 10 a day for 30 years. Now I m coughing up blood mixed with phlegm and very loud wheezing that is so severe it keeps me from sleeping. I have been given prednisolone and clarithromycin, a clenil modulite 100mcg inhaler and a ventolin inhaler.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Honestly speaking, there is no term like lung spur. You might have heard wrongly. You are having hemoptysis (blood in sputum) and wheezing. Furthermore, you also an active smoker. So following are the possible causes in your case. 1. Lung infection like pneumonia or tuberculosis 2. Chronic Bronchitis 3. Lung cancer. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Chest x-ray to rule out lung infection. 3. PUT (pulmonary function test) for the diagnosis of bronchitis. 4. CT thorax for confirmation of lung cancer. You will need antibiotics, inhaled bronchodilator and inhaled corticosteroids (ICS) on the basis of these reports. In any case, you have told quit smoking as soon as possible. So consult pulmonologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here...Post heart cat my mother was put on lipitor80mg. In therapy while ambulating had left calf pain. Doppler was neg. Thought maybe the lipitor but has been off for three weeks still has tight muscle and calf pain post walking 100 feet . Is there a know calf pain associated with the cat. The cath was in the opposite", "output": "It is unlikely that the calf pain is related to the catheterization especially since it is in the opposite leg. High dose of statins (Lipitor) could cause muscle pain in some people. The other possibility is peripheral vascular disease given that the pain comes after walking for some time. (in medical terms known as claudication distance)I would advise you to get her ankle/brachial index to begin with. Also get a thyroid panel if not done previously." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "For the past two days I have been experiencing a fluttering/intense pulsing in my lower left back underneath my rib cage. Today I experienced two extremely intense shocks of pain in the exact same spot but they each only lasted for around 30 seconds. Any ideas?", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have fluttering pulses in back /rib cage. Well there can be many reasons for symptoms you mention in query like disc problem, muscle spasm, vitamin B 12 deficiencies, cardiac arrhythmia or angina. I would suggest you to consult cardiologist to rule out more serious condition. Doctor may order ECG, TMT, complete blood profile. Doctor may prescribe isosorbide nitrate, aspirin, beta blockers along with diuretics. Doctor may also refer you to orthopedic surgeon for disc or muscle problem. For now do not panic, take proper rest and apply warm compresses to back. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Dr...., My son, 25 years old, non-vegetarian by choice has been suffering poor liver health, always susceptible to pancreatitis etc. Of late he has been diagnosed with lymph node tuberculosis. Should he turn vegetarian or does a non-veg diet help him in his recovery with medicines for tuberculosis? Please advise...Thanks...", "output": "Respected user, hi I evaluated your query thoroughly.* Certain ingredients of non-vegetarian food are known to damage liver, pancreas, stomach, intestines & general body systems in immunocompromised persons.* I will recommend vegetarian diet with high protein intake (if Liver function are under control) for better recovery with TB.- also adequate content of iron, vitamins, minerals, trace elements, anti-oxidants, carboy Chat Doctor. - total abstinence from alcohol / smoking / any abuse substances are cornerstone of the management along with any diet & medicines. Hope this helps you. Welcome for any further queries. Thanks for using Chat Doctor & giving me an opportunity to assist you. Wishing him fine recovery. Regards dear take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My father is diagnosed with Hepatic Carcinoma with Portal vein thrombosis. He was diagnosed with Hepatitis C and undergone Interferon therapy, but unfirtunately relapsed. He has got edema in both legs. Can any one suggest is there any procedure which can extend his life expectancy and alleviate the symptoms. Currently he is prescribed with Soranib", "output": "-Hi and welcome to Chat Doctor. Thank you for your quarry. Considering your description this is 4,stage of liver carcinoma and prognosis is generally very poor, unfortunately. There is no possibly for surgical resection of course and all other treatments are palliative measures. These include chemotherapy, ethanol injections, RACE and others but all these may carry some risk for complications and may prolong life only for few weeks or few months, not more. Hope I have answered your query. If you have any further questions I will be happy to help" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello . My husband had hallutination problem . 5 yrs back . Treatment was going on in mumbai. Again started the same problem . But my husband is not in mumbai now and he is not ready to come out of that place bcoz of afraid. As somebody wants slap him and etc etc . He is not eating and sleeping . Could you please suggest what to do", "output": "Dear serve understand your concerns went through your details. Hallucinations are where someone sees, hears, smells, tastes or feels things that don't exist outside their mind. They're common in people with schizophrenia, and are usually experienced as hearing voices. In your husbands' case you should consult a psychiatrist near your home at the earliest. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Yes please I have infantigo and I was prescribed antibiotics and was told to treat infected area with a antibiotic cream but I have some Nystat.Triam ointment from a previous infection and was wondering if that should or could be used also as it has now spread to my female outside parts", "output": "Hi I do care for your concern. Impetigo is skin disease caused by bacterial infection. Usually by strep bacteria, and treating this is a little hard task. First to say, yes statin cream that you have can be used for this infection. If I were your treating doctor then I would advise taking antibiotics such as Amos and metro for one week duration and along with that application of topical antibiotic creams. Using antiseptic soap for bathing, keeping the infected regions Chat Doctor. Hope I have answered your question, If you have more doubts feel free to ask. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello DoctorThis is Mohit here. I am suffering from Non-obstructive Azoospermia (Sertoli Cell only Syndrome), Germ Cell Hypoplasia. I wish if it would be curable with your advice and guidance. I have undergone FNAC twice. First, few years back, and the result were \"Maturation Arrest\" and second has been done now and the result is \"SCO, Germ Cell Hypoplasia\". Please suggest if it is curable. Currently my attending doctor suggested that it is not curable. Other details are:Here is the outcome of reportsLH: 9.8FSH: 16.7Testosterone: 192FNAC:-Specimen: Bilateral Testis-Gross: Thread Like-Microscopic Exam: FNA smears from both testis predominantly show clusters as well as single scattered sertoli cells. In addition, right side shows few germ cells with occasional spermatidThe features are of germ cell hypoplasia.Please suggest if it is curable or not. If yes, kindly suggest how should we proceed and where can we consult to get the desired result.-RegardsMohit YYYY@YYYY", "output": "Hi, Unfortunately it's NOT curable. However, there is 30-40% chance of having sperms from the testicles if we do THESE testicular sperm extraction) by which we make small cut in the testes under anesthesia and see under the microscope. These sperms can be used for CSI (intracytoplasmic sperm injection) during which the sperms are injected inside the wives eggs (collected after stimulating the ovaries by injections). The embryo is then transferred inside her womb. In this way, you can become the biological father of your baby. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My.appendix was removed 20 years ago and now Ive been having a slight pain and burning sensation in that area I ate sunflower seeds and it made it worse and also when I drink beer it hurts also ive had ultrasounds and they found nothing but its getting worse", "output": "Hello and welcome to Chat Doctor. The human appendix is a vestigial organ that it is just an evolutionary remnant in the human body and so when inflamed and removed the body does not suffer from any repercussions generally. Twenty years is a long time and had you had any post-operative complications you would have felt them within 24 hours of the surgery. Since the ultrasound is inconclusive it is best for you to get an abdominal CT scan done to rule out any other organic change. If it is not associated with any other change in the stool you need not worry. The red flag signs where you should rush to an emergency room are-pain associated with fever, abdominal rigidity, projectile vomiting, visible peristalsis, blood in stool and nausea. Possible causes can be ilaecocaecal valve pathology, Irritable bowel syn Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Recently I visited doctor,they said I have lung infection. I need seroflo inhaler rarely, during weather change in gap of 3 or 4days,and I am using it after gap of 6mnths or a year. I am taking Montec lc every night. Is it symptoms of asthma? I am having allergy problem from past 3 or 4 years. Nose get blocked. Allergy due to dust and weather change and cold", "output": "Hello, Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for you as follows:1. Asthma is a very broad diagnosis. As you have repeated breathing difficulties (maybe seasonal), associated with allergies, I would think of asthma. To confirm the diagnosis, a test known as \"spirometry with post-bronchodilator reversibility testing\" is necessary.2. I would like to mention here that Aeroflot inhaler is a \"controller\" type of inhaler, it is not be used irregularly/intermittently. If it is used in a gap of 3-4 days, it will not be as effective as it should be. So please use inhalers as suggested by you doctor.3. I would agree for daily Monteagle (montelukast + levocetirizine).4. I would suggest you allergy testing for common allergens like - house dust mites, insect proteins, indoor molds, regional pollen and pet dander (if you have pet). This will help you identify the substances causing allergies to you and also to know the measures to avoid them.5. Based on allergy testing, an Allergist-Immunologist may prescribe you allergen specific immunotherapy which gradually improves allergy symptoms by working on immune system.6. Regular breathing exercises and a healthy diet rich in vitamins & minerals will also help you in a long run by improving your lung capacity and immunity respectively. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you the best of the health ahead. Thank you & Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i am 25 yr female i am having burning after urination in morning...in my urine c/s it shows e.coli significant......i took nitrofurontoine 100mg last night and after 6 hours of taking that i feel slight pain at kidney ....there was no burning in urine passage but stil i have slight pain in kidneys", "output": "Hi, Thanks for writing in. You might be having urinary infection and this is confirmed by presence of E cold bacteria in your urine sample. You have done the right thing by getting urine culture and sensitivity test done and started taking nitrofurantoin since yesterday. This medication acts on the bacteria and should be taken for a short course without breaks for 5 days to kill the bacteria. The medication requires at least 2 days for you to start feeling better which happens when the bacterial count starts reducing after taking the medication. The slight kidney pain might be due to urinary infection itself. You can continue taking medications as prescribed and also Chat Doctor. Please do not hold urine and visit washrooms regularly. Also, you should be careful in toilet seats in public toilets before using it. If your pain increases in severity in the next few days and gets more localized near the kidney area then getting an ultrasound scan is suggested." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "How many Aleve can a person take in a 24 hour period. I have L4&L5 problems with my back. I have an appointment with a back specialist in 2 weeks, but the pain is severe. I have had 3 injections and none have relieved the pain for more than 3 days! I have Tylenol with codeine, Ultram and Naproxen. Nothing seems to work as fast or as well as the Aleve. Unfortunately, the Aleve wears off also.", "output": "Hello, I have studied your case. You can take maximum 4 alive in 24 hours. Ideally 2 or 3 times is recommended dosage. Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain; you can take them consulting your treating doctor. You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case. I will advise checking your it B12 and it D3 level. If MRI shows disc compressing on nerve root then surgical decompression is permanent solution. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi My name is satya, I have had clonic tonic seizure thrice in my life, one in 2003,then in 2006 and a month back. I took medications as directed by doctor but it has still not cured. Initially i took eptoin/epicent 100mg. Now i have switched over to a new doctor and he has suggested me Encorte Chrono 500mg. I just want to know one thing. Is there end for this problem or will it exist till my death. regards, Satya", "output": "Hi Satya... Thank u for choosing Chat Doctor.... Seizure will be due to many reasons... Will it continue in the future, for how many years everything depends on the diagnosis they have made... For some conditions like infection, due to low sugar level, intracranial lesion etc. seizures will stop occurring once underlying cause is treated. For Epilepsy ideally the patient is put on anticonvulsant therapy and followed up for 3 years. If seizures doesn't appear for 3\u00a0years even once then he is less likely to get in the future. Then gradually they taper the dose and finally discontinue it. If seizures doe snot stop they will readjust the dose or change the treatment. If still no improvement they will try to find out the cause and treat it.Don't change your doctor again and again because your doctor will be knowing about you better than a new doctor..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good evening, I am suffering from a sore throat and burning in my chest, especially after I eat. I also have a bad case of halitosis. I went to two different dentist who told me that there is nothing wrong with my teeth nor gums to be causing this condition and that I should see my general doctor to find out what is going on internally that would cause these conditions. I went to my doctor and she told me to go to the dentist. Are you able to help?", "output": "Hello, Bad breath is also known as halitosis can occur due to a number of causes like poor oral hygiene, oral and dental infections, postnasal Chat Doctor. As you have an acid reflux problem, it can be a cause for bad breath. For this, you can take antacids like Milk of Magnesia and proton pump inhibitors like Omeprazole. As of now, you should start gargling with a flavored mouthwash twice a day. You should chew flavored sugar-free chewing gum. Do warm saline gargles twice a day. Limit the intake of high aroma foods like onion and garlic. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been diagnosed with Stage 1a type 3 (clear cell) endometria cancer. I have had a complete hysterectomy (there was only one polyp containing the clear cell cancer and it was removed. Now I am having radiation (irredeum seed) for sessions) Next they are recommending some chemo. As a preventative. Should I follow thru with chemo?? will lemon juice therapy help??", "output": "Hi, Thanks for writing in. Many times' cancer cannot be completely treated by surgery alone. That is when a patient is recommended to have chemotherapy and radiation therapy. During surgery, microscopic invasion of the cancer to the surrounding areas might persist and this can cause seeding of the cancer. As a result the patient can have recurrence even though she has got hysterectomy done. It is best to suppress the cancer cells with the help of radiation and then giving chemotherapy. There might be small lymph nodes with disease spread and invisible at the moment. Treatment with chemotherapy eradicates the disease completely in early stages. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here... hi, I am 37 years old and for two days I am feeling some heaviness in my upper left chest that is not going away. I am light headed a little bit in the mornings but then it is going away. I have never had any heart problems or my family does not have history of heart disease so I am not sure about it. Would you advise me if it is something serious?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, we should definitely rule out heart diseases in your case. So get done ECG, 2d echo and stress test. If all these are normal then no need to worry about heart diseases. Sometimes undiagnosed stress and anxiety can also cause similar symptoms. So avoid stress and tension, be relaxed and calm. Don't worry, you will be alright but first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been sweating a lot lately , even when not exerting myself , today I had my blood pressure taken and it was 150/100 I normally have low blood pressure should I make an appointment with my doctor or just keep taking my blood pressure for a few days first ?", "output": "Hello! Welcome and thank you for asking on Chat Doctor! I would explain that increased sweating is not a common sign of high blood pressure. But it may be related to inflammation or an infection. From the other hand, high blood pressure could also be caused by inflammation or infection. I recommend consulting with your GP for a careful physical exam and some tests:- resting ECG - chest X-ray study - blood tests (complete blood count, inflammation tests, thyroid hormone levels, blood electrolytes, kidney and liver function tests, fasting glucose). Further tests may be necessary to determine the cause of this symptomatology. Hope to have been of help! Kind regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi Dr., my mom gets regular uti and has knee pain and has mild fewer too, she used to take zinnat and lately she has been hving itching problems because of it. her pus cells-1-2/hpf, her RBC 35-40/hpf n epithelial cells 8-10/hpf, blood +++,no nitrites, no sugar n bacteria + and culture test was clean, pl advice medication", "output": "HelloBlood in urine (hematuria) may be due to UTI, genito-urinary calculus, tumour etc. It is important to exclude tumor etc. due to her age. Up to 5 pus cells in urine is acceptable. She may need clinical evaluation and few investigations. Investigations include routine hologram, random blood sugar, renal function test and ultrasound of PUB. Ultrasound of PUB region is very important, and it can exclude many causes. CT scan of abdomen can be done after evaluation. Proper treatment depend upon findings. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I mentioned having pain in left rib cage area at dr visit in January. They said get chest xray I had the xray and was told to get CT with contrast of left ribs. We were gone one week between chest xray and being told to get CT scan. I was not in much pain on the trip but when I went to bed at home on 5/3, I felt a pulling in rib area and have been in pain. Problems walking. The report from chest xray said left rib abnormality.", "output": "Hello dear, thanks for your question on Chat Doctor. You are having muscular cause for your chest pain. Since you are having left rib abnormality, this cause muscle pull and muscle damage in certain postures. So try to follow these steps for better symptomatic relief. 1. Avoid heavy weight lifting and strenuous exercise. 2. Avoid bad postures in sleep. 3. Take good painkiller and muscle relaxant. 4. Apply warm water pad on affected site. 5. Wear chest belt to avoid mobilization of affected area." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I would like your opinion on the most basic way to explain what a Hemoglobin A1c level and how it relates to decreased kidney function in a patient would be. I need to explain this to someone (excuse me for not knowing the most PC term) who isnt the sharpest.", "output": "HelloThanks for query. I would try to explain importance of HBA1 c in relation to kidney function. HbA1c is a Glycocelated hemoglobin which is an important tool to measure level of average sugar in blood in last 2 months and is considered to be very important tool to decide whether diabetes is well controlled or not. In a patient with long-standing uncontrolled diabetes or ill-treated diabetes there is gradual involvement of kidneys what is called as Diabetic Nephropathy which damages the kidney and leads to reduction of kidney function which is reflected as raised HbA1c in blood. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doc. Thank you for your service here. Please my name is Eunice and have been wearing lenses for the past 10yrs now because of shortsightedness. i have not seen any improvement whatsoever in my eyes even with my regular visits to the ophthalmologist. Could i be allergic to something? It may also interest you to know that i have been suffering from chronic eczema too for sometime. Could it be any allergies? Thank you so much. Eunice", "output": "YES WHEN YOU ARE SUFFERING FROM ECZEMA AND ON MEDICINES AFTER SOME YEARS THE SAME MEDICINES LOSE CONTROL ON DISEASE AND IT STARTS AFFECTING OTHER SYSTEM YOUR MEDICINES OF ALLERGY LIKE STEROIDS ALSO HAVE SIDE EFFECTS ALONG WITH DISEASE HAVE TREATED 5 PATIENTS LIKE THIS I TESTED THE ALLERGIES AND STARTED WITH IMMUNOTHERAPY FOR AEROALLERGENS AND ELIMINATION FOR FOODS AND IT WORKED AND PATIENT ARE FREE FROM DISEASE FOR LAST 7 YEARS AFTER FOLLOW YOU CAN ALSO CONSULT ALLERGY SPECIALIST TO GET ALLERGIES DETECTED WHICH WILL CURE YOUR BOTH SYSTEMS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 27y old guy and am getting pain for the past 2 days when I open my jaw completely or chew something. I went to a dental clinic yesterday. The doc, after some testing and taking Xray confirmed that wisdom teeth is growing sidewards instead of straight direction and hence I need to remove it. So I want to know whether there is another option or is it the only way? If so, How much time medication is required?Suggest some good hospitals where this can be done in Bangalore(preferably in Marathahalli, Old Airport road), if u have some good information. Thanks in advance.", "output": "Hi, your condition is due to an impacted third molar. There is no other option for the condition except surgical removal as it may lead to formation of a cyst, thinning of the jaw bone leading to fractures and a lot of other problems. It is a minor chair side procedure done under local anesthesia, So please do not worry. A good Oral surgeon must be consulted, and the procedure may be finished in half to one hour duration." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have been suffering from random symptoms, my doctor said it was narcolepsy , but they say its genetic , no one on my family has ever had that disorder. and there are other symptoms my symptoms are: -night terrors -to fall asleep randomly -lose feeling in my limbs like they are sleeping -gets those catatonic attacks where I don t move or speak or even blink -to fall asleep its within minutes sometimes seconds, when I finally does get to sleep its very deep or not deep at all but no matter which I wakes up after all my dreams -coughing Blood -fating -can t breath -my vision blur -pressure on my chest", "output": "Hi there, Thanks for your query. Firstly, coughing out blood should be investigated at the earliest : it can be due to either a lung infection, such as tuberculosis, lung abscess etc.; recurrent pulmonary embolisms; or, due to heart failure during sleep (called nocturnal dyspnea) as part of impending heart failure. Hence, get a thorough cardiac and lungs evaluation done AT THE EARLIEST. The possible causes of sudden sleep, night terrors, transient numbness of limbs and catatonic attacks are:- either a type of epilepsy (called Absence seizures in Adults) or; constant anxiety with acute Panic reactions. An MRI of brain + EEG should be done at the earliest. If both : MRI and EEG reports are normal, a regular course of antianxiety+ anti-depressant Chat Doctor. Consult your doctor and apprise him of my opinion. I am certain that he will agree with me, order required tests, and-based on the reports-will prescribe suitable/modified treatment as advised. In case of any further queries, revert to me THROUGH DIRECT PREMIUM QUERY (Paid), ad" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi iam 25 years old girl i had a unprocted sex on the 4th day of my mensuration yesterday , how can I avoid being pregnant with out using pills is their any home medicine , does it got pregnant having sex on 4th day of mensuration or not ?plz let me know and throw away my tension thank you ?", "output": "Hallow Dear, The egg is released 14 days prior to the next expected day of menstruation. Hence, considering your menstrual cycle to be of 28 days, it would be day 14 of the cycle (you can adjust the day according to your cycle periodicity). The egg has life of 24 hours while the sperms are active for 72 hours. Hence, the fertile period is about a week around the day of egg release, which would then be day 10 to day 18 of the cycle. Your had a sex on day 4 of your menstrual cycle which is far away room the fertile period. Hence, practically there is no possibility of egg being present on that day to cause pregnancy. For post-coital contraception, there are two scientific methods:1. Post-coital emergency contraceptive pill to be consumed ideally within 24 hours of but not later than 72 hours of unprotected intercourse. 2. Intrauterine device to be inserted within 5 days of the unprotected intercourse. There is no home remedy to avoid pregnancy after unprotected intercourse. I hope this helps you. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My hair has started falling out. Since September of 2012 I have developed asthma . I am 62 yo. I am taking Spirivia inhaler , Singulair. and Dulera inhaler. All my other medications I have taken for years. In Sept I was in the hospital and coded. All together I was in the hospital for a month. I was on 60mg of Prednisone but have tappered off of it. Its been about 2 mos. since I got off of it.", "output": "Hi welcome to Chat Doctor forum. Thanks for choosing Chat Doctor. F. Your father is of age of 62 years, at this age is obvious to have hair fall due to low levels of testosterone harmony. Of course there is possibility of involvement of Chat Doctor. Anemia also may one of the causes of anemia. Lack of lipids ant proteins also expected to be there in that age group which can cause hair loss. Of course, it not wise to search for the causes of hair loss, we go for ways to stop hair loss and improve hair growth. If it is a masculine bald less type of hair loss there is a " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 49 and having period problems and for the past four days have experienced not a pain but a persistent abdonable ache which has disrupted my sleep, tonight I examined myself and realised a tampax was high up , I have removed it but must ad that others have been fitted and removed,I think it has been there four days ,it smelt strong,although cramps are easing a little I still feel discomfort,do you think I should seek medical help?.", "output": "Hi welcome to the Chat Doctor Looking at your history it seems that you might be suffering from inflammation or infection of the genital tractPorlong and high up tampons may produce an inflammation in vagina or cervix, infection can set in such a case that can ascend to urinary system also visit your for detailed examination and tests like urine test or an ultrasound to the confirmation the diagnosis Hope this helps you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good evening Sir, I have a pain on the back and upper side of my scrotum. The pain though isnt acute but is lingering. It started around 4 days ago, after I had been on a bus ride for 18 hrs and prior to that and still have itching on my groin area. Please advise.", "output": "Hello, Yes you can have back pain and testicular pain with numbness of the area after prolong ride because of compression of spinal nerves. You can take OTC analgesics for pain relief, and also you can use cold therapy to reduce inflammation and hot compression to increase blood flow of the affected area. If it's not settling go and see your doctor. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, i am 33 yrs. old married woman, i have a 5 yrs. girl. After my first pregnancy i had hypothyroidism & i am taking Eltroxin 100mg daily. Now i am planning for my second baby, i want to know Eltroxin dose adjustment during pregnancy.", "output": "Hi;welcome to Chat Doctor Elton is used in hypothyroid, so the dosage is according to the level of thyroid hormones. If you are planning for a baby then also you will require to take the same dosage to maintain proper hormonal levels. The dose adjustment should be done if there is any problem, or you have abnormal levels of thyroid hormones. The best thing you can do is consult your doctor and get the Thyroid test done. After seeing the result your doctor will adjust the dosage if required or he/she may advise you to take the same dosage of Elton. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My sister in-law is 11 days away from her due date. Today she was admitted to the hospital and put in the labor and delivery room because she was puking up blood. Not too long ago (a week maybe) she fell down and didn t want to go to the hospital because she said she felt fine. Is there anything wrong with the baby and is there anyway that those two could be tied together?", "output": "Nasal bleeding is common during pregnancy due to its related vascular changes and vasodilation of the blood vessels of the nose. Since this does not seem to be the case we should consider that blood is coming from the stomach or lower respiratory system (lungs). It is never NORMAL to puke or cough blood during pregnancy. TBC and gastroesophageal causes of bleeding should be sought. She now is in the hospital and MDs there should be taking care of that" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i was doing masturbeating for 2 years than i stopped it for 4 months now i have nightfalls(wetdreams after every seven days now i am tired plz tell me measures to prevent it also tell me is there any effect of this on brain and memory i am reading in 10th class right now .plz help no one is able to give a right answer i tried everything", "output": "HelloThanks for your query, based on the facts that you have posted it appears that you have problem of night emission. It is normal to get night emission at the age of adolescence, and it does not have any negative effect on brain or memory. Following general measures will help you to boost up your confidence and improve your performance .1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc3)Take anti oxidants like Almonds 5-6 every day.4) Avoid alcohol and smoking. There are no medications to prevent night emission. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i just stood up and went really dizzy. i couldnt see anything and stood against the wall so i didnt fall. all of a sudden my whole body started shaking and i could feel my legs giving up on me and were shaking until i managed to slide down the wall and sit down. i dont know what just happened to me", "output": "Hi, I had gone through your question and understand your concerns. In my opinion you were experiencing a faint like episode which is basically a lower extremities venous incontinence which cause decreased cerebral perfusion pressure (which is less blood in your head). Make sure you get enough liquids, if you are hypertensive under treatment you should check the therapy with your cardiologist and at last if this happens again you should do a Doppler Ultrasound of your lower extremities. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sister will not go back to doctor for fear of results. Here is what I know from her MRI: scattered areas of demyleination bilateral and periventricular white matter. Multiple differential ideologies. Shes approximately 5 and weighs approximately 195 lbs. She has other numerous health issues as well.", "output": "Hello, That description refers to multiple small areas of damage in the white matter due to damage to the myelin sheath surrounding the nerve cell axons. Most commonly that finding is in the setting of multiple sclerosis that is the first diagnosis to be considered. However, further tests such as spinal tap, evoked potentials etcetera, are needed to confirm the diagnosis (alongside history and physical exam naturally). Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI,I AM A HISPANIC MALE 61 YEARS OLD AND MEDICATED FOR HYPERTENSION SINCE A TURN 35,I TAKE TWO PILLS A DAY(HYDROCHLOROTHIAZIDE 25 MG ANDAMLODIPINE BESYLATE 5MG)UNDER MY DR PRESCIPTION,JUST WENT TO MY ANNUAL CHECKOUT LAST TUESDAY AND THE READING WAS GREAT,122/80,WHICH A NEVER HAVE EVEN WITH THE THE PILLS(130/90)TODAY Y CHECK IN THE SHOPPERS FOOD STORE MACHINE IN IT WAS PRETTY HIGH;172/102,166/100 AND 170/98,I DO NOT SMOKE OR DRINK NO OVERWAY EVER ( I AM 5,4 AND 149) I EAT LITTLE OF EVERYTHING AND WALK OR RUN WENT I FEEL LIKE,BUT I AM ALSO CRONICALLY DEPRESED(RUN IN MY ENTIRE FAMILY,MOTHER,FATHER,BROTHERS,SISTER,SON AND DAUGTHERS )AND I AM NOT MEDICATED,ANY EXPLANATION FOR THE HIGH NUMBERS FOR MY HYPERTENSION?I DO NOT FEEL ANY DIFERENT TODAY JUST A LIGHT HEADACHE,WHICH IS KIND NORMAL IN ME,THANKS", "output": "Hi, Welcome to Chat Doctor forum. You have hypertension, and relieved, by medicine, and it is normal, every time you get checked. Only in the mall, when you get checked, you got a reading of 172/102,still fluctuating. It means it may not be correct, and you will be under exertion in the mall, so there is possibility of having a high reading. If you sit down for some time and to observe, you can have normal reading. It is a physiological variation. Take more of green leafy vegetables, pulses, sprouts, and protein rich foods to have a good health, and resistance. Wishing for a quick and complete recovery. Thank you. ." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been having abdominal pain for awhile now and recently noticed a lump a lump on my lower right side of my stomach followed by a big bruise. The bruise had gone away but not the lump nor the pain and now a few weeks later, another bruise is appearing. What could that be?", "output": "Hi I am Good evening. I am Chat Doctor answering your query. From the history of recurrent pain followed by formation of a lump on the lower right side of abdomen which is also painful points to the possibility of an undetected attack of appendicitis resulting in formation of an appendicular lump. Another possibility is the formation of a chronic ectopic lump in case of females which might cause bruising of the abdominal layers along with pain. If I were your doctor, I would advise you for an ultrasound of whole abdomen to know the site of origin of the lump along with some investigations like CBC, serum Chat Doctor estimation for arriving at a diagnosis for appropriate planned management. Till then, you could go for an anti-spasmodic and a proton pump inhibitor for a symptomatic relief. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello, my question is this every time i shave my underarms i always get bumps and after i put on my deodorant i get this really bad foul smell, and every time i take a shower i scrub really hard to try to eliminate the smell but it just doesnt work? what can i do?", "output": "Welcome to Chat Doctor .1. Carbuncle/fur uncles are generally seen in these areas. They are what you are calling bumps with discharge and foul smell.2. An advice for that is stopped shaving for a while and trim instead until complete healing, avoid sprays as well - as they do cause irritant character for the underlying cause.3. Use room instead, at least for some time.4. If you think there is pus discharge then let your doctor examine and gives you a cycle of antibiotic treatment and followup.5. Try to maintain hygiene and do not scrub - just a gentle wash is enough. Anything to ask ? Do not hesitate. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son is 6 years old. During the course of the day ,like every 10 minutes he blinks his eyes very fast ,involuntary, when I tell him not to do that he says ok , but then it happens again . I had him check by an eye doctor and his eyes are ok , he does not need glasses. Please advise .Thank you", "output": "Hi...by what you quote this seems like a habit disorder. Usually kids see others doing this and try to imitate and try it out, and sometimes it becomes a habit. If you keep telling him, not to do it, then it will be like reminding him about the act. So try to ignore it and if he forgets it fair enough and if not ask him if he doesn't do it there will be toffee for him, and it is positive reinforcement. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My gum in between my upper molars (the last two molars) hurt sooo bad its always painful and throbbing. As if the gums is squeezed in between. It is so painful and I think its swollen because everytime I try to put floss, the floss doesnt even completely insert because the gums will start to throb so bad. Please help???", "output": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concern... As per your complaint it seems that there is localized deeper infection in the gums in that area leading to swelling and pain in gums as well as there may also be pocket formation that is loss of attachment of the gums from the bones due to infection leading to space [pocket] formation which further flourishes bacteria and causes deepening of the infection. Nothing to worry consult a dentist and get evaluated, and he can take an x-ray along with clinical evaluation to confirm the diagnosis and in case of gum infection deep scaling and curettage followed by antibiotics and painkillers will relieve. He/she will also check for cavities in any of the molar on the wall that lies in contact with the wall of the other tooth and such cavities at times are visible only in x-ray and not clinically and infection in tooth can also cause infection in the gums and cause swelling and pain in gums, and it can be treated by treating the tooth and filling it with a dental filling material followed by scaling and antibiotics and painkillers. Hope this information helps. Thanks and regards. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I has bye pass surgery few months ago. after surgery I notice that place where tubes were attched to my penis , has devloped some etching. I was not able to pull back my foreskin. dr advised me to spply Betnovate , Tightness and etching still persisted. there was no permanant cure. Now some crack have developed on skin. Please suggest some ointment", "output": "Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. It seems you have developed some allergic reaction to the tubes and chemicals sued for bypass. Betnovate is still a good option for you, but you need to take it for long and persistently. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, or want to know further about the same query, you can use the below-mentioned link:bit.ly/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "39 years old. Fit. Not overweight . Non smoker. Avid cyclist. Diagaonsed with late onset asthma a year ago, use albuterol twice a day, only symptom though is bad chest pain , mainly all the time, but especially in the morning. Not tight, no wheezing never really out of breath Chest x rays clear, no heart issues. Does astma sometimes mean just chest pain?", "output": "Ask your doctor if sodium cromoglycate puffs every morning would be preferable to albuterol for prevention of attacks? Lung function tests should be carried out to assess Status. Sometimes Chronic airway obstruction or alveolar function may be the cause not sometimes visible on X-ray chest. In your case, chest pain is unexplained, sometimes in heavy exercisers, muscle fatigue could be a cause for which get serum CPK level assessed which is raised in muscle trauma in which event you would have to cut on too much cycling-alternatively just cut cycling and wait for 15 days if it is a contributory cause-the pain might go" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, Im a 17 yr old male. Does masturbating affect my fitness? I read somewhere that semen contains protein that could have been used to build muscles. But orgasm/ejaculation makes my heart race, so will it not improve my overall fitness? Must I rather not masturbate on days that I play sport (like squash) or doesnt it matter much?", "output": "Hello and welcome to Chat Doctor. Thanks for your query. Masturbation will not affect your physical fitness. It does not cause any bad effects on physical or sexual health. Masturbation is a part of normal human sexual behavior and is very common in males of your age group. So, you need not have any necessary worries like this. As you have mentioned, semen contains a small about of protein, but this amount is negligible and will not affect the overall protein content in your body or your muscle bulk. It is also normal to have a temporary increased heart rate during orgasm. This is harmless and does not have any effect on the bodies physiological balance. So, masturbating is neither bad nor good for your physical health. You can continue to play your sport as usual irrespective of masturbatory habit. Wish you all the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 13yr old daughter has had a fever of 104 for 3 days now. We have been giving here Motrin every 6 hours and Tyenol every 4 hours. Her temp goes down to 100.5 but does not stay down for very long. She started vomiting this morning, she now has a stuffy nose and cough on top of the fever and vomiting. Is it time to take her to the Dr. Most times I take her in they tell me to wait longer to see if it goes away so I waited this time but getting worried now on Day 3 of fever", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query your daughter is having fever, nausea along with cough and stuffy noise is because your child is suffering from viral infection. It could be due to bacterial infection / upper respiratory tract infection as well. I would suggest you to visit pediatrician once and get complete examination done. You should go for blood and sputum tests. You should give antipyretic to your daughter for fever relief such as cal pol, paracetamol or Adolf suppositories acetaminophen. Gargle with saline water. Give steam inhalation to child. Use mist humidifiers in room. If fever increases do tepid sponging as well with cold water. Give throat lozenges as well. I would suggest you to consult ENT specialist as well if symptoms keep son persisting. Doctor may prescribe antibiotics along with decongestants. Give child multivitamin tablets. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a 4 year old who has had a decrease in appetite over the past couple of weeks. He is very picky to begin with, but now won t eat hardly anything. Over the past week he has been falling asleep at random times - very unlike him. He has no other symptoms and has not been ill.", "output": "Hi... Thank you for consulting in Chat Doctor. I take this opportunity to tell you certain scientific facts and relieve your distress - 1. An active is a well kid even if she/ he is not eating well. 2. Development of a kid is as important as, or I would say even more important than growth alone.3. As the kids grow their interest in food decreases and interest in play activities increases so that they eat small quantity and run away to play. As parents, we need to be more patient and feed than less quantity but more liquors per day.4. This age rather than the quantity of the food I suggest you concentrate more on the number of times you feed her and also make whatever you feed her calorie dense by adding good amount of ghee to it.5. I suggest you not to use appetite stimulants on long run as they may cause Chat Doctor. PLEASE DO NOT GIVE ANY SO-CALLED APPETITE STIMULANTS AS THEY ARE NOT VERY SCIENTIFICALLY PROVEN AND THEY HAVE THE SIDE EFFECT OF EXCESSIVE " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Zit on upper lip popped 6 months ago ( it was not a cold sore). It then bled a little... Then scanned over..... Then a perfectly circular white bump appeared . I just cut part of it off .. No puss...barely bled.... I will go to a doctor I promise. But, have you heard of this . The part I cut off ( millimeters) was rubbery. ??????? Ps. The entire event is no bigger than 1/8 or even 1/16th of an inch.", "output": "Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have small swelling on lip it can be due to trauma also swelling is there or formation of Fibrous or Muscle. You don't worry you consult Dentist and go for Oral examination if your doctor advise you excision then go for it. Treatment removal is very simple procedure under anesthesia no pain is there. Hope this will help you. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I fell off of my longboard on the 12th of last month which was a Tuesday. I got knocked unconscious for only a few seconds. Since then I ve been having panic attacks. I just had my fourth one as they have only gotten longer and worse. The pain starts in the front of my forehead above my left eye and then my muscles start to tense up so bad it causes me pain. Mostly in my lower left back. Ive been back to the doctor 2 or 3 times since this has happened and I dont know if I should go back and tell them about these episodes ive been having. They are at least 3-5 days apart.", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. From your description, I am to believe that you are having panic attacks and not nerve related problems. You should also understand that panic attack often show palpitation, sweating, restlessness and general uneasiness. If this is panic attack, you need not worry. The accident happened just a few days back. Means if you are treated properly, you can be cleared. Treatment starts with basic psychological counseling and then mild psychotherapy techniques. Psychiatry intervention may not be necessary at this point. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 2 year old has had a slight fever (99-100ish) for about 5 days. Then today she had white splotches show up on her tongue. She has been pretty normal except in the morning and evening she has been a little extra sluggish, but not too bad. Any ideas?", "output": "Hi welcome to Chat Doctor, I understand your query and concern. Your symptoms are suggestive of Acute bacterial infection. I advise giving him Syrup.Orin o, tab.domestic for 5 days. Avoid spicy foods. Give ORS sachets, buttermilk,coconut water regularly. Maintain adequate hygiene. Consult your pediatrician for expert management. Hope I have answered your query at the moment, Post your further queries if any, Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have tried to get a doctors appointment today but been unsuccessful. I have been sick and nauseous over the last couple week or so, i have had lower back pain for around a month now, my breast have been discharging milk and a green substance, i have a brown discharge and havent came on my period., I have a headache everyday, low appetite. I have a coil fitted and currently take 40mg of my antidepressant. I am also an alcholic, but i havent been able to drink my normal amount over the last few days due to sickness", "output": "Hello, welcome to Chat Doctor.You're having multiple complaints, which is probably due to combined result of following issues:-Depression: Specially mood symptoms, feeling sick-Side effects of medicine: Specially milk discharge-Alcohol: lead to exacerbation of depression, poor treatment response, acidity, nausea. It is better to stop alcohol slowly. Get reevaluated by psychiatrist for poor treatment response and treatment side effects. Wish you good health and all the best. Chat Doctor. 99doctor.com" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Should I take plan b if I am on the birth control pill and I had sex without a condom? I am worried because I usually use both and the condom fell off. This was 24 hours ago, is it too late? Also I was on the week of my pack where I don t take any pills", "output": "Hallow Dear, Plan B contraceptives are quite effective provided they are taken in time. Ideally, this emergency contraceptive pill is to be consumed within 24 hours, however not later than 72 hours after unprotected sexual intercourse, to prevent the pregnancy. They have good success rate. If you had sex without condom or if the condom has fallen off in the vagina, Plan B is the most ideal way for you. It is just over 24 hours; i.e. less than 72 hours. So please take the pill at the earliest to have the protection against the pregnancy. If you are on regular pack of contraceptive pills, you have to be absolutely adherent to the pills. Not carrying them on tour will not give you protection at all. Either take them regularly or switch over to some other reliable method like condom or intrauterine device. I hope this helps you. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My blood group is o positive, is that means that i have RH positive cells in my blood. I am conceived now and carrying 5 weeks baby. My husbands blood group is o negatice, is that means that he is having RH negative cells in his blood. In what way this will affect our baby. And please guide us with the precautionary measures.", "output": "Hi there,Since your blood group is Rh positive you have absolutely no worries. It is worrisome only if the mothers blood is Rh negative. If the mothers blood group is Rh positive it does not cause any problems to the baby, the fathers blood group is not important to check, if mothers is Rh positive. Only when the mothers blood group is Rh positive we want to see what is the fathers blood group, and if both are Rh negative there is no concern for the baby. Only when the mother is Rh negative and father is Rh positive are there chances of problems to the unborn baby in which case we give anti D injection to prevent the baby from complications. Since you are Rh positive you do not need the same. Hope this helps. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I just underwent a Frozen embryo transfer on the 10 of December.My doc advised me Susten Vaginal Tablets 400 mg 4 times a day.I dont recollect if I have taken the 3rd dose today or not. Will that be a problem? I did day 3 transfer.Pls help as I am really worried.thanks,Hema", "output": "Hi Hemp, Thanks for writing to Chat Doctor. It is ok if you have missed one or two doses of Austen. Ideally you shouldn't miss but in circumstances it is ok. No need to worry. Normally body start secreting progesterone once conception occurs. Austen is progesterone given to help in maintenance of early pregnancy. It increases local progesterone level. Also, it prevents early abortions. So if you miss one dose your body will cover up. Just don't miss again and again. Be stress-free. Hope I have been helpful. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello my wife is 6 weeks pregnant. her ChatDoctor level was a bit low. but everything was fine. suddenly around 3 days ago spotting appeared .. but we took it lightly and she was on a complete bed rest. today we had an intercourse. but very gently. and suddenly sort of a bleeding started.. light pinkish.. but was fluidy not viscous. please recommend something", "output": "Hello dear, I understand your concern. In my opinion the cause of spotting in pregnancy can be due to hormonal abnormalities like thyroid, progesterone insufficiency, bleeding from cervix, any abnormal pregnancy etc. Usually intercourse is avoided in first 3 months of pregnancy to prevent bleeding from cervix as the cervix is soft and highly vascular. I suggest you to get in ultrasound done to know the pregnancy status and get hormonal evaluation done. Avoid physical strain and intercourse. Take rest.Don't worry it will subside. Best regards..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "this couple of days i woke up late. and when i woke up i was about to pee and then my lower abdominal hurts and my back hurts. is this because i didnt pee at night and my lower abdominal are full of water and i didnt pee immediately while im asleep.??? and also i notice when im sitting my lower abdominal hurts but when im standing or walking its not hurts.", "output": "Hi welcome to Chat Doctor forum. Thanks for choosing Chat Doctor. Forum. You are getting lower abdominal and back pain when you are about to pee. When you sit lower abdomen hurts. It appears that you had Urinary tract infection, or stone in the bladder, or in the urethra. I advise you to consult a urologist for diagnosis and treatment. You may need to have M.R.I.besides other routine tests for confirmation. Wishing for a quick and complete recovery. Best regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. Im a 54 year old female with a surgical wound that is not healing. I have had 3 surgeries in the last 9 months. the last one was to remove mesh and replace with bio. It is trying to close and has new skin but I have tunneling in 2 spots, one is 2.6cm and the other is 5.2cm deep. I also have pale green, thick drainage, moderate with no odor. Should I be concerned about this? My surgery was May 19 and I continue to see my doctor and he says its ok and wait and see.", "output": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Usually any wound with surgery will close in a week or two. Any wound longer than that should be thoroughly investigated. I advise you to do Grams staining, culture and sensitivity from the green discharge. If it says organisms than you can take the Chat Doctor. Please take the " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here...Hello DoctorI have gone through CABG on 6th Jan 2011 but there is pain on the left side of the stitches and i feel there is slight swelling on the right side of the breast. Do i need to see a cardiologist", "output": "Hello, It could be a localized pus collection near the stitches site resulting in abscess formation. A chest x-ray PA view could be helpful before visit a doctor for an opinion. I would advise you to take the opinion of a general surgeon as he would examine both the stitches site and right breast swelling and advice tests and medications accordingly. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor,My brother new born child with white forelock hair on forehead area.We consulted the local doctor , he say it is due to polyosis.I would like to know what are the treatments available ? Whether there will any problem in growth of the child ? We have to undergo any thyroid test.Please advise!", "output": "Did you mean polypoid? Or polyols? In fact, polyols is the same as polypoid and refers to the development of hanging benign tumors in the lining of the large intestine of a person. This can be an inherited condition. Occasionally, such tumors (called polyps) can turn into cancerous tumors. On the other hand, white-forelock can be independently inherited from the fathers side and has no direct relationship with polyols. Sometimes, a white forelock is part of a genetic syn Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am 44 yr old female, 130 lbs, dont smoke drink occasionally, eat fairly healthy, not enough excersise, and have been on 40mg lisinipril for 1 1/2 yrs. my head feels like its going to blow up when my blood pressure gets too high. i have had a headache for 12 days now, nothing cures it. took blood pressure today 144/100. any suggestions?", "output": "Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. I will try to explain and give you my opinion. You should know that when we treat hypertension our goal is to keep mean blood pressure values below 140 / 90 mmHg. A person might have high value during emotional and physicals trees so It's mandatory to judge on mean values. If you have mean values that exceeds 140 / 90 mmHg than we should arrange your medical treatment. If I was your treating doctor I would ask some examination to evaluate your actual situation like a cardiac echo, a full blood analyze to check renal function and maybe a holder pressure monitoring. After these we can better judge what we could do. My opinion would be to add another class of medication like blocker, calcium blocker, but you should discuss this with your doctor after the examinations I mention before. Hope I was helpful. Best regards, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had double jaw surgery last year in dec 2011. Within three months of the surgery, I had to have two subsequent surgeries to remove all titanium metal due to infection and complications. Now more than a year later, I have begun having chronic pain in lower right jaw which at times radiates through my teeth and gums. The source appears to be the jaw bone incision site. How can that be? I am experiencing inflammation in that area and also joint and muscle soreness too.", "output": "Hello. You probably had a jaw surgery for correction of your jaw defect. The surgery is known as Orthographic surgery. Usually in some patients the titanium plates get infected, and it has to be removed in later surgeries. Now there are resolvable plates which resort away. You should get an OPG x-ray taken to determine if there is any problem in the site of surgery. Consult your Oral and Maxillofacial surgeon at the earliest. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "On Thursday i had a fever and was very week with chills and fever. My abdominal area was hurting a lot. I slept most of the day and felt better Friday, but I still felt weak then and now. My stomach is bloated and I haven t had a good bowel movement in a couple of days.", "output": "Hi, Thanks for the query. I understand your concern. * Your stomach bloating/ weakness could be because of lack of appetite, staying in bed (no movements) & constipation due to fever/ any antibiotics taken may add to the symptoms. - Habitual constipation can have all the symptoms together along with fever. - A stomach flue can have all the symptoms too. - Fever due to typhoid does show these symptoms. * solution consists of taking rest/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a five year old girl.. this morning she wakes up sick to her stomack then vomits then vomits again later then get diarear... she gets better later in the day but still has diarear... but this has been goin on for the past two months... sometimes it everyother day and some times it a week in between...but she only sick in the mornings then has diaerear the rest of the day... i have took her to the hospital and they cant find anything??", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query your daughter have symptoms of vomiting and diarrhea in a child which is due to food poisoning, bacterial and parasitic infections and due to electrolyte imbalance in body. Need not worry. Most of the time it will go away by its own in 3-5 days if we manage it properly. Major complication of diarrhea is deny Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a dentist apt today and he indicated that I might need to have root canal surgery in a molar that has extended a bit beyond the other teeth and I am scheduled to have cataract surgery Jan 20th. Can I have an infection in my molar without pain? And should my cataract surgery be postponed?", "output": "Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as your dentist has advised you root canal treatment, so there may be your tooth is carious or attrition or there may be presence of periapical pathology. Don't postpone your surgery go for treatment of cataract then go for root canal treatment if you can manage your tooth problem. Hope this will help you. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear sir recently i hav complited my MBA bt still looking for gud job.nd my problem is that i m thinkig very much negative before doing any works....never think positive...nd always take tenson though i never want to take.bt due to some family issues i am not abble to overcome my problems.i always think that everyone is talking against me and i react it very badly nd also be upset all the time nd everytime get emotional ....alwyz suffering form headache. sir please give me some suggestion so that i can handle all this kind of problem. daizy", "output": "Hi dear, as you described that you always have negative thoughts in your mind like every one is talking against you and then you react badly with every one. But this kind of behavior affects your relationship and work up to what extent?whether anyone of your family member thinks that you are suspicious?any other features associated like easy irritability, hearing of voice, not able to concentrate, felling low, loss of interest, sleep and appetite disturbance etc.consult psychiatrist for detail history and mental status examination. Not to worry much all will be good. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my mother has been very sick for the past month she has a kidney stint on her left kidney for the kidney infection her wbc stays elevated and now has low platlet count and a low hematocrit count she is running a low grade fever with chills and is having bad back pain what should we do", "output": "Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Low platelet count and low hemoglobin indicates bone marrow reduced response. Get a reticulocyte count done to check for bone marrow activity.2. Bone marrow biopsy will confirm overall activity and any infection of the marrow.3. Increased WBC count, particularly neutrophils indicate acute infection. Once the kidney infection comes under control, your platelet and hemoglobin should improve. Nutrition particularly proteins, iron and it b12 is essential. Hope it helps. Any further queries, happy to help again." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "three year old daughter, had fever at 9:30pm of 100.9f, so I gave her combiflam suspension. also had a bout of coughing so I gave her nebulization. at 5 am she started shivering so I again gave her 5ml combiflam. she is sleeping now. do I need to seek medical help immediately? its 5:47am now. please help", "output": "Hi Welcome to ChatDoctorI have gone through your query and can understand your concern. Dear I would like to suggest you to restrict yourself from self-medication, specially in case of children as the wrong or strong medicine can harm the child. In such a situation, when fever is around 100. , don't panic. You should give warm water frequently to the child in sips. In case of cough A spoon of ginger with a spoon of honey mixed in cup of warm water or milk, administered frequently in spoon doses, will give relief from cough and to lower temperature. It is important to seek medical attention if situation persists and get thorough check up. Hope this helps solves your query. Take care. All the Westmont hesitate to get back if you have any further query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im a nail tech and a new client came in. She said she had been going through chemo I noticed her big toes are black and Im concerned if its a fungal infection and I dont want to chance spreading anything to my other clients. Is that a normal side effect?", "output": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Chemotherapy can cause immunosuppression. Immunosuppression is the major cause of the fungal infection in the cancer patient. Fungal infection can cause blackening of the infected part. So if the toe is infected than you should avoid the procedure. Fungus is usually present in all of our surrounding. But we are not infecting with it because we have good immunity. In the same way if your client is neat and clean with good immunity they will not have any fungal infection. It occurs only in immunocompromised patients. So you can do procedure in them, with good hygienic condition. With good aseptic procedure it will not spread to others. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have been on vespids allergy shots every 6 weeks for several months (after being on them weekly for several years and then montlhy for severl more years - (they had to start me off on a baby does as i had gone into anaphylactic shot when stung and was in intensive care for 3 days). My doctor says I can never stop the shots - EVER! is this true?", "output": "Hello. Thank you for asking at Chat Doctor. I went through your history and understand your concern about lifelong immunotherapy. Decision regarding duration of immunotherapy (shots) is very much individualized. Were I treating you, I would like to discuss a few important concerns with you before planning discontinuation.1. The most important thing - you had a life-threatening reaction to vested, so this is a matter of life and death. Lifelong continuation of immunotherapy is the safest approach.2. I would suggest you to have allergy skin testing to vested venom as well as serum specific IGE to vested venom after 5 years of starting shots. If both these have turned negative, I would consider it safe to discontinue shots at that time provided your environment, lifestyle and occupation does not put you at a high-risk of having vested sting. Hope this will be helpful to you. Wish you the best of the health. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I had a partial thyroidectomy 3 weeks ago. I visited my pcp today who examined the scar area (it s obviously healed and scarred by now) and she noticed a knot at the front of my neck. She told me I should get it checked out by my surgical team. A few days after surgery is when I initially noticed the knot myself because I felt a ton of pressure in my neck and it felt like there was a ball inside my neck. So I went to the ER and they did a ct scan and these are the results. They sent me on my way with no treatment. Should I be worried? This is my ct result: Postsurgical changes are noted from right thyroid lobectomy with soft tissue swelling and mild edematous changes in the surgical bed as well as subcutaneous fat stranding noted in the anterior neck likely consistent with postsurgical change and/or cellulitis. Foci of air are noted within the right thyroid surgical bed, the largest focal air pocket measuring about 16 x 12 x 22 mm. Small foci of air noted anterior to the isthmus as well as left lobe of thyroid as described above. No evidence of focal fluid collection or abscess. Other additional incidental and ancillary findings as detailed in the body of the report.", "output": "Welcome at Chat Doctor I have gone through your query and being your physician I completely understand your health concerns. Is it painful? Is the scar is red and hot? If these are absent then you should not be worried about it. It's just an edema secondary to surgery. You should stay calm and use painkillers and other Chat Doctor. Meanwhile, stay calm and use acetaminophen to relieve pain Get well soon Hope your query is adequately ad" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had braces for nearly 2 years, I wore my retainers for a year and a half but stopped wearing it. My bottom teeth have now gone squint again (no gaps) and my top teeth have gone slightly squint. Is there anything I can have except braces with the brackets?", "output": "Hello thanks for the consult at Chat Doctor. You are having relapse of your treatment. You will need permanent retainer which can be placed lingual.either ways your treating orthodontist has to reexamine you and then take a call. Meantime keep your oral hygiene clean, by brushing the teeth twice daily, do gum massage with the pulp of your fingers,use chlorhexidine mouth wash if you are not allergic to it. Please consult your orthodontist asap for further treatment. Do not meddle with it. Hope it helps,take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here...I m an SLP and I have a student with a deviated uvula towards the right side. He is also hoarse and I m seeing him for sh, ch and J(judge) sounds. Should I have him investigate further?", "output": "Thanks for your query, I have gone through your query. The deviated uvula can occur as a developmental defect or a complication of oral sub mucous fibrosis. It has nothing to do with speech. So consult an oral physician and get his oral cavity completely examined to rule out tongue tie, where the tongue will be partially or completely fused with the floor of the mouth. In this situation patients will have difficulty in pronouncing sh, ch.j sounds. If it is a tongue tie then it can be released with surgery. So you need to consult an oral physician and get it examine completely. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here...mmy problem that my wife suffering from psoriasis in hill of leg.what is solution of it?itch, sometime water and blood, with acne of hill of leg due to psoriasis. Scaly and pain due to walking, plz give me solution for this problem.???????", "output": "Hello, Welcome to Chat Doctor. I understand from your query that your wife is having scaly patches suggestive of psoriasis on her legs. She could apply a cream containing Dexamethasone propionate twice a day on the patches for 2 weeks. Once the patches subside, she could apply a moisturizer in the morning and a cream containing Calcitriol at bedtime to prevent them from recurring. Please do consult a dermatologist as psoriasis is a chronic problem and needs regular follow up. Pain while walking could suggest psoriasis joint involvement. Dexamethasone is a steroid and should not be used for more than 2 weeks without a doctors' supervision. Hope this helps you. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have confirmed with blood test report as Typhoid. I was having fever between last saturday to monday morning. but now i dont have fever and still have diarrhea. doctor advised to use ciplox tz, dolo 650, zinetac. Now i did not feel fever, less body pain but having diarrhea. when the diarrhea will stop?", "output": "Hello, Thank you for your contact to Chat Doctor. I understand your concern. If I am your doctor I suggest you that it is suspected to be antibiotic associated diarrhea. You should continue with treatment. I advise you can add lactic acid bacillus spore capsule to help in your diarrhea. Once you complete your treatment your diarrhea will be away. I will be happy to answer your further concerned can contact me. Chat Doctor. Infectious disease specialist. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, i am 14 and i go to an Psychiatrist and i have depression what does this mean? i think it has something to do when i was 6 months and i lost my mother, when i was 6 months old my mother left me because she claimed that she wasn t ready to take care of me. this really had me thinking and i even cry just to think about it. My dad and my grandmother on my dad side raised me, i am 14 years old. and my mother had this mental illness because when i was born i had this internal henrage or something like that. and my dad told me a long story about it. Does this has any effect on people to have depression?", "output": "Many people who have depression in fact do not have family history of mental illness Depression is treatable, these days, and is not a very life-threatening illness But, you may need constant guidance from your father and a professional I am proud of your father and grandfather for raising you focus on your career and keep doing effort You can do all what any other child can do, but be in regular touch with your doctor You are most welcome for any such discussion at any time Good luck, my dear" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I currently have a torn acl and miniscus along with a fractured knee, my dr has given me 2 cortisone shots and a symvisc one shot, still no relief and swelling will not decrease. I am icing my leg 20 min. Every hour. I am currently taking 1 Ibuprofen and a half of a oxycodone acetaminophen 5.325. What do you recommend for swelling relief?", "output": "I recommend if you have a torn ACL and menisci with fracture you need to follow the guidelines of the Orthopedic specialist. You can surely keep your leg elevated above the level of the heart. Re next step is to perform ankle toe movements, static qua Chat Doctor. All things should be done with less strain and slow movements. If you are unhappy with your current orthopedic physician you can surely take a cross consultation which will help you. Take advice from a physical therapist as well. He might be of help to you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am usually light-headed in the morning and during the day but it goes away in the early evening until the next morning. This will happen for a while and then it will go away for a few weeks. Any suggestions? I am not overweight and exercise daily.", "output": "Hello and thank you for asking Chat Doctor, I understand your concern. You are probably experiencing low blood pressure when you stand up, called orthostatic hypotension. As a result, not enough blood reaches your brain, and you feel lightheaded or dizzy. Here are some advices: move gradually from lying down to sitting to a standing position, wiggle your toes and flex your feet before you stand up. This causes the muscles in your legs to squeeze more blood back up into your heart and to slightly raise blood pressure. Try to sleep with your head higher than your feet keeps blood pressure higher. Chat Doctor. Unless you have high blood pressure already, this is a good idea." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my son is a month and one week old and he has colic and griping pain,i started giving him infacol but it was not helping him so i changed the medicine to bonnison i give him 1 teaspoon as instructed and it helps him.my question is how long is it safe to use it for?", "output": "Congratulations with baby. He is small, he has infantile colic. Bosnian relieves smooth muscle spasms associated with colic, protects the GI mucosa, expels gas from the GI tract and combats acute and chronic infections. Bosnian helps restore the normal physiological functions of the digestive tract which maintains overall health and well-being in infants and child Chat Doctor. It is safe, because its natural, you can give this 1 month, if it will not help you can also try colicaid-simeticon 5-10 " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am from India, my Kid is 22 months old boy not taking any food properly from last few months, when we consult the doctor He always says don t worry, he also not increasing in weight from last four months. Now he is little sick with fever and motions in greenish color from last night, my pediatrician is also not in today. Can some Doctor help on this now? Thanks in advance Suresh", "output": "Hi... greetings from Chennai. Hi... Thank you for consulting in Chat Doctor. It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hey i was snowboarding today and i landed pretty hard on my back it did not hurt to bad as i kept ridding for another 2 hours. but now that I m home I m having a very hard time swallowing , breathing or eating anything. even drinking water hurts. the pain feels very minimal in my back, as my neck and throat hurt much more", "output": "Hello, Thanks for writing to us. It seems to be soft tissue injury or muscles strain. To get relief from the pain and for quick healing:1. Do hot fomentation at the site.2. Apply local anti-inflammatory gel 2-3 times a day.3. Take anti-inflammatory Chat Doctor. 4. Do not try to do exercise that involve painful muscles. I do hope that you have found something helpful, and I will be glad to answer any further query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a female, 78, and have just developed problems with my gallbladder...... very uncomfortable. After eatting fried fish friday night and attack came on. Next day I had a rich filled doughnut and shortly after another attack! What foods should I avoid ? Ive been eatting Greek yogurt for the probiotics which has helped emmensly, also taking probiotic OTC meds. That problem has been corrected. I have been drinking 3 cans of Ensure a day for the health benefits. What is causing these very uncomfortable attacks?", "output": "Hi, thanks for using Chat Doctor In gallbladder disease you should avoid foods high in refined carboy Chat Doctor. This would include:fried foods, high processed foods such as the donut, fatty red meat and whole milk dairy products. The use of these foods likely provoked the attacks you experienced. There are certain foods that are considered best to use in persons with gall bladder disease. This includes fresh fruits and vegetables, whole grains, lean meat, low fat foods. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter is 12yrs old & a healthy thin, her spine has always stuck out as well as her shoulder blades. I thought as she got older this would maybe go away, but if anything her spine sticks out more...especially if she s slouched forward, should I be concerned?", "output": "Hi, I deeply regard your concern towards your daughter.1) You have mentioned that she is thin, this is the most probable reason why her spine is sticking out. This would go away only if she gains weight. However, you should take care that she does not bend forward too much while reading or watching TV, phones, using laptop etc. This will cause posture related back problems.2) If her posture is good and straight, you have not much to worry about. Make sure she gains weight and have a BMI around 21 to 22. Make her do regular exercises for her age. Yoga too is recommended with proven benefits. And you do not worry you are a loving parent. Hope I have answered your query. Let me know if I can assist you further. With best regards," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have a rough covering on the inside of my mouth, dont really know how to explain, the inside of mylips and along the gum lines doesnt look red but i can feel the roughness with my tongue and also on the insides of my cheeks, its really irritating, should i see a dr.", "output": "Thanks for your query, I have gone through your query. There are many conditions which makes the mucosa appear rough. The most common conditions are, force spots(normal variant), frictional keratitis, lichen plans(plaque type), leukoplakia etc. So consult an oral physician and get it evaluated once. Based on your description it is difficult to give an exact diagnosis, so a thorough clinical examination is required to give a final diagnosis and treatment plan. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir my relatives both kidneys are failed. His father is donating him kidneys so they will go through this transfer process His blood grup is B+ and his fathers blood grup is A+ so can his father donate kidney to him and also i would like to know about what other tests we should do during this process ? And how much will it cost ??", "output": "helloThanks for query. Your relative has Chronic Parenchymal kidney disease and has been advised kidney transplant ;Primary requirement for kidney transplant is that the donor and recipient should be of the same blood group. Since fathers blood group is different from the patient he can not donate his kidney to his son. You will need to search for matching donor having same blood group before other tests are being carried out. The cost of the procedure differ from hospital to hospital, but it should be roughly 2 -2.5 lakhs Indian Rupees. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter is 23 and has been in Israel for 2months- she had an episode yesterday that caused her tongue to swell up and the insides of her lips to get blotchy. It was very scary and today she says the tip of her tongue is numb and the lips are still looking blotchy. She went to a doctor and he wrote a script for tests but they will run 1500 and the results will take 2 weeks. She is due home in 3 weeks. It sounds like allergy to me but she said she did not eat anything unusual. Any ideas?", "output": "Hello, By the very history it looks like angioneurotic edema which a form of allergic reaction. This type of allergic reaction is a cause for concern.Most of the time this type of reaction is related to food allergy. It is strongly advised to avoid any allergen which is suspected to cause the allergy. Due to edema of the tongue it may fall back and obstruct the airway. Keep her under constant observation. Sleep on her sides to avoid tongue falling back and obstructing the airway." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doc, I am a 24 yr old female. I have always had a very clear skin. Since a month ago - I have this profuse surge of pimples on my cheek and forehead . They come and go, leaving marks - and do not seem to wane. I consulted a doctor (general specialist) who prescribed Minoz 50 mg (2 tablets a day) for 5 days + Cetaphil Soap. He also asked me to not use anything on my face - i.e creams / powder for the duration of this course. I had some initial relief that there were no new pimples coming up while I was carrying out the prescribed medication . But after the course - and cessation of the Minoz tablets... the pimples have come back again. What should I do? is this an infection? Should I be continuing my Minoz medication? Should I get this screened by a dermatologist? Please help.", "output": "Hellowelcome to Chat Doctor visit the best dermatologist near you. Here are few tips or home remedy for this: 1. Mix a teaspoon of lemon juice with a teaspoon of powdered fuller earth and apply the mixture on the affected area 2. Rub on the pimples fresh garlic. 3. Every night wash the afflicted area with fresh mint juice 4. Grated raw potato applied overnight on the red pimples on head Chat Doctor. Try some good ayurvedic blood purifier. Mail me at payalrawatchauhan16@gmail.comtake care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a titanium wire mesh in my abdomen. My biggest discomfort is my backache which had been bugging me for years. I do jot find ladting relief with any treatment including massage. I heard about Ceragem. Is it safe for me to use? I am diabetic on oral meds.", "output": "CERTAM works on spinal manipulation acupressure concept. I can not assure you that it will be good for you or not because I have not seen any x-ray report or MRI report of your spine. But yes its good for muscular spinal pain. That means pain only at back and not radiating to legs or buttocks. Along with this you can also use hot pack and apply some pain relieving ointment regularly which will also give you some more relief. Along with this as a physio I suggest doing spinal exercise for strengthening of spinal males as well to improve stamina of spinal muscles. But at any time if you feel pain is increasing in intensity and starts radiating to your legs or starts getting numbness in legs then do consult or tho doctor immediately. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello First off, thank you for taking the time to read my message. I am 18 years old and lately, my heart feels like its being poked constantly. I am also very short of breathe and walking up a set of stairs feels like a marathon.The location of the pain originates on the left breast, just above the nipple. The pain is interior and throbs from time to time.I am really concerned and am not sure what to do. I cant go to the doctor anytime soon due to work, but I want to get checked out immediately. What do you think it could be and who would you advise seeing first? A family doctor, or go straight to ER?", "output": "Hello, Your all symptoms, poking of heart, left-sided chest pain and breathlessness on exertion (climbing stairs) are suggestive of heart diseases more. So immediately consult a cardiologist and get done blood pressure monitoring, ECG, 2D Echo and stress test (trade mill test). If all these are normal, then no need to worry about heart diseases. Sometimes undiagnosed stress and anxiety can also cause similar symptoms especially in young individuals (teenagers). To avoid stress and tension, be relaxed and calm. Don't worry, you will be alright with all these, but the first rule out heart diseases. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, , please I have this right side abdominal inflammation and fullness without pain, but suddenly I started realizing some kind of sharp pain at the right side of my abdomen below my rib cage, tjebpain gets triggered when I bend down or laying down, or even wearing my skirts on the abdomen, I feel the pain the pain doesn t last longer it comes and go", "output": "Hi. Thanks for your query. There are many reasons one can get pain like this. The most probable causes are::Gall bladder stone sliver abscess kidney problem on the same side large bowel on the same side having a problem of stricture or so. I would advise in such a patient the following::Ultrasonography- this can diagnose most of the things I mentioned. Related blood and urine and stool tests. Colonoscopy if the above tests are negative. The treatment will essentially depend upon the proper diagnosis." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hii need to know causes of small ischemic focus in right pons and left basal gangliaMy grand pas thyroid is also high tsh 6.83due to this small hypodense area that is seen in CT sacn of brain....how intense it is for brain functioning and health.His age is 72 years", "output": "Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. Please share the Scan Images and all Reports for us to help you further Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in Chat Doctor at http://yyy.ly/uyyyyyyyyBest Wishes for Speedy Recovery Let me know if I can assist you further. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir, Recently when performing my routine health checkup, i found that my blood platelet count have been reduced to 90,000 (report date 31.3.2010). My WBC count is also close to the lower normal limit of 4.7 X 10^3. Last test was performed on 17.11.2008 and my platelet count at that time on Peripheral Blood Flim was \"low normal\" and the WBC count was 5.2X10^3. All the other test like blood glucose, thyroid, lipid profile etc are totally normal. I am aged 39 yrs and my weight is 75 kgs with BP of 120/80 mm Hg. This decease in platelet count and the gradual decrease in WBC count have put me in a very tense situation. The Doctor advised me to follow up for a complete blood count after 1 month and if there is further fall in platelet, then a bone marrow test is needed to be done. I am also suffering from lots of stress and anxiety since many years owing to my profession and home and is a regular taker of alprazolam/drugs. I would therefore request you to let me know how can i get rid of this problems since this situation have further aggravated my mental condition and made my life worse. With regards Somit Das", "output": "Hi, Omit Dash have gone through your question. I can understand your concern. Your WBC count and platelets count are slightly low. Even simple viral infection can lead to this. So no need to worry at this stage. You should go for follow up complete blood count at monthly intervals. If it goes very low then bone marrow examination is needed to search the cause. No, any treatment is required right now. Just be relaxed. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello!last year in october i got scratched by a cat and got 5 antirabies injections!now i got scratched again ,a superficial wound,just a little blood!am i still safe?what is the valability of the vaccin?i am on vacation and is expensive to take the antirabies shot again!is it neccessary?thank you a lot", "output": "Hello, Thank you for your contact to Chat Doctor. I understand your concern. If I am your doctor I suggest you that each rabies vaccine has its period of action. And it all depends on the type of vaccine use and manufacturing company which has provided you. But usually a rabies whole cell virus vaccine lasts for long duration approximately a year. Thereafter it is necessary to take shot again. I will be happy to answer your further concerned can contact me. Chat Doctor. Infectious disease specialist. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, My 86 year old mother has had a fall 4 days ago and has been on oxycodone 5mg morning and lunch and oxycontin 5mg in evenings. She is very sensitive to medication and cannot take panadol. Previous fractures she has been put on Fentanyl patches 12 mcg/h and had this at one stage increased. It is Sunday and I cannot see her normal doctor till tomorrow but her pain has not abated and I think it would be better for her to be on the patches. I have not had her Xrayed, she is osteoperotic and from many fractures has a bent over posture. The pain may indicate a fractured rib in her back below her left scapular.", "output": "Welcome to Chat Doctor I have gone through your query and understand your concern. She is in severe pain, so she may have fracture which can be excluded by x-ray of chest. She can be started with fentanyl patch to relieve pain. Vitamin B and C help in recovery. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I recked a four-wheel a month ago and it hit my legs really heard they git really swollen and right above my knew the swollen is still there but had went down. Today I wad just trying something I put a pieceof ice on the swollen part and about 5min later still don t fill the cold, what do I need to do.", "output": "Hello, Since you met an accident which was having a direct impact on the knee I will request you to get it examined by an orthopedist. As injury to the knee and leg should not be ignored since they are major weight-bearing joints and bones. I would even advice you to keep the knee immobilized and meet up the orthopedist at the earliest. Having done with X-ray should help reveal the bone status where it has any effects with the accident. Please visit orthopedist. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I get a tightening of the lower leg muscle below the knee at night that wakes me up. It doesn t occur every night but most nights. It s not limited to just one leg, but both. Fortunatey,ithe tightening of the muscle doesn t occur in both legs on the same night. Sometimes it feels like the muscle above the ankle is twisted , or I get the classic charley horse in the back of the leg. What is this?", "output": "Hi.... The tightness what you experience is called as muscle cramps. These can occur to you if you are sweating too much and not replacing enough water...working in a bit hot and humid condition... If your didn't have enough strength in your muscles...and you keep pushing them to their limit... I recommend you to do. Lot of stretching for your legs... Swimming whenever possible... Chat Doctor. .ORS. Do endurance training for your muscles... Avoid working in extreme weather conditions... Take necessary precautions if happen to work in those conditions... Hope this is helpful for you... Kindly revert in case you need any further help in this regard." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have developed an eating disorder along with excessive alcohol consumption that I feel is a result from a very emotionally abusive relationship. I feel my self esteem has never been so low as it is now and I am constantly fighting depression. I have recently ended things with this person but in the past I always go back to him eventually. I would like to know strengh training excercises or methods that I can use in order to build up my sense of self worth and avoid running back to the abuse and also to avoid toxic relationships like this again. I do not wish to seek counseling, I want to recover on my own.", "output": "Hi dear. I understand your concern. Many a times' depression can present with low self-esteem/hopelessness/helplessness/worthlessness. But prime features are must diagnose depression. Those are low or sad mood and loss of interest in daily activities. You can consult psychiatrist for more evaluation. It can be treated with medicine like anti depressant. SSRI is the choice. But take considerations and take medicine acc. To doctors advise. Still if you have a query then feel free to ask. Thank you. Happy to help you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I went through surgery on Tuesday to get all four of my wisdom teeth out. I ve felt nauseous and dizzy. Yesterday I vomited twice and my stomach is feeling that queezy feeling again. I am now off all my pain medication except an IB pro every 4 hours. I ve been eating each time I swallow the pill . What am I doing wrong and how can I stop the nauseous feeling?", "output": "Hello, After extraction of wisdom teeth, it takes 7 to 10 days usually for the extraction socket to heal and close completely provided if there is no infection. During the healing process you there is increased salivary secretion and due to stimulation of antibiotics and analgesics you may experience the feeling on nausea and vomiting. Few antibiotics increase acid Redux in the body which leads to dizziness so don't worry as it is a secondary reaction. To get rid of nausea and vomiting start with antacid tablets twice daily before meals. Use antiseptic mouthwash like chlorhexidine for mouth rinsing which prevents infection, refuses salivation and gives soothing effect. I hope this helps, Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello .Since birth, my son is allergic rhinitis has every season of September to end of February often presented urticaria and white and yellow spots occasionally it has been treated with any anti allergic syrups like Cetrizine but gives her a lot of other side effects .So I d like to consult a specialist doctor to treat a pondicherry Thank you for helping me .", "output": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concern. As per your complaint it seems that your son has a severe allergic reaction reading to Rhinitis and Urticaria along with bumps, and it can be relieved with anti-allergic medications. It is true that anti allergic scan cause side effects and the commonest one are Chat Doctor. . I would suggest you to consult an Allergist or Allergic Medicine Specialist and get him evaluated, and he can advise you allergic tests like Patch test, LAST test etc. to rule out the exact cause of allergic reaction and treat him accordingly. Avoiding exposure to allergen can help in preventing allergic attack. He can also instill an Immunotherapy to reduce the severity of allergic reaction and also reduce the frequency of allergic attack. Hope this information helps. Thanks and regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I recently have had an MRI of my brain because I was diagnosed with central sleep apnea. I was told that I have a lot of white matter on my brain, everything else was ok except of some age related issues. I am very fatigued always, hard to stay awake. I m a nurse, working full time. I have been on antidepressants for 3 years (Effexor) and also aderall for depression (loss of daughter, Son with TBI after Iraq deployment). My question is, about this MRI white matter disease, could this be caused by antidepressants, should I see a neurologist? I do not have hi BP or diabetes but my family has had autoimmune issues. Carol Chiesa So surprised that I have to pay for an answer! Not told of this before. Web MD is not being honest about this service, therefore I will go to a neurologist, in person, to answer my questions.", "output": "Most likely you have been told finding \"white matter changes\" in your MRI Brain report. White matter and gray matter are normal parts of the brain. Few CNS diseases involve specifically white matter like desalinating daises (e.g. Acute disseminating encephalomyelitis, Multiple sclerosis, Leukoencephalopathy). Also, white matter ischemic changes can be found in patients suffering from Hypertension, DM)You must go to neurologist to decide nature of your white matter lesions and to correlate clinically too." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, my toddler has red small raised bumps in clusters on her leg starting to spread to her other leg with a little spot and a tiny one on her belly now. No other symptoms that I know of or that she is displaying. What could this be? She also had bad eczema when she was a baby but has not had it since and it is raised like that but looks alot different.", "output": "Hi... I feel by what you quote he should be having a - Hand Foot Mouth disease. This is one viral illness among all other anthems which can cause fever followed by rash over palms and soles. It is a self-limiting disorder and itching can be really worrisome. I suggest you use any over the counter antihistamine if you have one with you now. You can use HY Chat Doctor. This can even cause some peeling of skin in the next 4-6 weeks and do not worry about it. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have very bad back pain, i now have gastroenteritis diagnosed by my gp. my gp gave me trichazole i am scared is going to make my stomach even more upset. my doctor also told me not to take my pain medication - stilpane - for a while but i am in lot of backpain. the gastro has made the pain in my back worse, please help m, i am desperate", "output": "Dear friend,first thank you for your consultation.it seems that you are really suffering from acute gastroenteritis.I sincerely believe trichome is not going to do any harm your body.u can definitely take this medicine. As far as your back pain is concerned, from my day to day clinical experience, I am saying there are many causes of back pain. Most commonly people get affected by muscle spasm in the lower back region. For that you should go for a regular home regimen of physiotherapy like vertebral flexion exercise. Also take note of not bending forwards, avoid lifting heavy weight or burden. If the pain becomes unbearable you can take pain medication like Sailplane. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have been having heavy period for 2 or 3 months and have fibroids have been advised to take novez ds for the past 2 months had excessive bleeding in this month so have been advised to take etosys is this ok and will i have a proper cycle and regular flow from my next cycle. for how long can novex ds and etosys be taken", "output": "Fibroid can cause excess bleeding. Medications for uterine fibroid target hormones that regulate your menstrual cycle, treating symptoms such as heavy menstrual bleeding and pelvic pressure. They do not eliminate, but may shrink the fibroid. Etosys is a nonhormonal medication taken to ease heavy menstrual periods. It can also reduce clots in the bleeding. This Chat Doctor. Novel DS can be taken for 2 to 3 cycles for regularization of blood flow. Hope I have answered your query. Let me know if I can assist you further. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Had routine \"old\" cavities replaced in late April. Very tender/sore gum near one tooth. Had it re-check a few weeks later. Dentist performed xray on affected tooth and found nothing. Said my bit was off and did some routine filing of the tooth and said it would be better in a few days. This week my gum is sore, tooth is sore, cheek is swollen and slightly bruised and I woke up with a small white head on a bubble atop the affected tooth", "output": "Hi, Welcome To Chat Doctor. I had gone through your question and understand it. Sore of gums and tooth can occur due to many reasons such as use of certain medications, poor nutrition, presence of bacteria /virus, use of citrus food and cheek biting. As you are saying you had gone through the treatment of cavities, so soreness can occur due to allergic reaction to medication which was used in the treatment of your cavity. Your cheek has become bruised might be because of cheek -biting. If I was your treating doctor, I would definitely advise you the following things which are very helpful to relieve from sore gums.1) Avoid hot beverages and food as well as salty, spicy and citrus food.2) Use pain relievers like ibuprofen (if no allergy) 600 mg, at the interval of 7-8 hours 3 times in a day for 3 to 5 days.3) Gargle with cold water and suck ice cubes.4) Chat Doctor. 5) Use a topical corticosteroid preparation such as Triamcinolone dental paste, which protects the sore inside the lip and on the gums. I wish this information will resolve your query and other questions are also welcome. Wish you good health. Take Care, Thank From:- " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I ve been to nearly 10 different doctors, and I m at my wit s end! Nobody seems to know what the problem is!! About 3 weeks ago I began to have a dull but constant pain in my left side, right underneath the rib cage. It started on the same day as my period, so I thought it was related. Everything was normal with my period, but the pain didn t go away when the period ended. By that time, the pain was starting to radiate to my lower left pelvis , right near where my ovary is. I also started to feel the frequent need to urinate. I visited the GP and they did an ultrasound and found a small (4mm) stone in my left kidney. They told me it was a kidney stone that possibly caused a UTI . They gave me antobiotics, but the symptoms just got worse. A few days later, the pain in my lower left abdomen spread to my flank. It was now a stabbing/twisting pain. I went back to the doctor again, and they did a CT scan . Everything came back normal, and my kidneys tested normal as well. They found a small cyst on my ovary, but it proved to be a functioning cyst and cleared up after a couple of days. All of my blood tests and urine tests are normal and show no sign of infection. One doctor said it could be strained abdominal muscles, but it feels deeper than a muscular pain, and it definitely feels internal. Also, I feel like if it was a muscle sprain , I would be able to feel it if I moved/twisted certain muscles, but I don t. In the last few days, I ve started to feel a sharp pressure-like pain in my upper left abdomen, right underneath the rib cage, more toward the front (where the stomach would be). Also, sometimes when I press there, the pain shoots outward to the other pain spots in my body. Also, at times it feels almost like a burning pain. One doctor says it seems to be stress-related, since I ve been under a lot of stress at work. All of my bowel movements are normal, but I have been noticing small white spots in my stool, no mucus, no blood. No diarrhea, no constipation...no more gas than usual, no noticeable indigestion. I have noticed a bit of fatigue, but that could also be stress related. No weight loss, not vomiting, but I do think it may be intestinal. Again, all of the pain is in the left side. Nothing seems abnormal on the right side. All of my doctors think I m crazy but I know something is wrong that nobody has been able to figure out yet!! The CT scans are normal, blood/urine/vaginal swab tests are normal, which is adding to the fact that they think I m crazy!! Please help :)", "output": "Hello, Thanks for the query to Chat Doctor. Forum. Yes, you right and pain is there, it is 100 % correct, you are not crazy. Kidney, ureter, urinary bladder (just behind symphysis pubis) than urethra. All these are organs of urinary tract system. If there is pain anywhere in this system, you will feel pain virtually all these organs i.e. kidney to urethra. Stone is in the left kidney and when it moves from its site it develops pain all over in the urinary system hence, you feel pain from back onward to front of abdomen and then lower part and at last behind pubis and in urethra. As the exact position of kidney is on the back side near lumbar spine, so this pain refers from onward to lower level. Internal parts of urinary system are very delicate and soft hence any foreign body as stone causes intense pain, even it makes a patient to roll. Now treatment point, Chat Doctor. In my patients I m use this treatment, and they get relief. Alkalizer solution will give you relief. Few ayurvedic " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a total radical hysterectomy in February. I had a radical nephrectomy in July. I thought I was getting to normal but recently had an apicoectomy and removal of abscess in the jaw. Since then I feel totally whipped and get exhausted with a simple trip to the store. I take walks every day but my legs feel weak often. Is any of this normal?", "output": "Hi, thank you for providing the brief history of yours you have undergone radical neurectomy and also apicoectomey along with removal of abscess in the jaw you have undergone a surgical procedure which will have its effect on overall health functions As post surgery there is always advice on the ethical way to deal with weakness and other symptoms. Like undergoing physical therapy for the general body conditioning is a must since you had radical neurectomy. As due to the surgical procedure there will be weakness in the abdominal muscles which are also the muscles of the respiration. As weakness comes the cardio respiratory endurance falls. Regaining the cardio respiratory endurance is a must to have a functionally active lifestyle. In my clinical practice, once the patient undergoes surgery, we advise them to undergo physical therapy doe general body conditioning and also cardio respiratory endurance training. Which had helped the majority of them to be functionally active. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am a 27 years old female .. I am married since 1.5 years .. I was using protections like condoms .. I didnt take any medicine .. But before almost 2 months we were deciding to make a baby .. My period was supposed to come on september,20th .. But it has been 3 weeks, the period signs are clear like my breast got bigger and i have a stomachache but there is no period .. After 5 days of the due date i tried the pregnenacy test at home (negative) after 2 weeks from the due date i did a blood test (negative) i went to a doctor and she told me to take Primolut -Nor but i didnt take it cuz i am not sure yet .. So is there is a possibility of being pregnant ! Should I wait ! Or do the test again .. Please help", "output": "Hi dear, I have gone through your question and understand your concerns. Delayed periods can be due to pregnancy, stress or hormonal disturbances like hypothyroidism, hyperprolactemia or polycystic ovarian disease. I will suggest you to repeat the urine pregnancy test, if still negative, then you should get your hormonal profile and ultrasound done to confirm the diagnosis and get appropriate treatment. Hope you found the answer helpful. Wishing you good health. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, i am 22 years old and i am suffering from constant nasal blockage and constant allergic cough. I had consulted a lot of doctors and taken their medicine prescribed by them but my condition is same as ever. Mostly i have an allergy of dust, as soon i came inti contact with dust i started sneezing and my nose starts running, a severe head ache,and blockage of nose . Kindly help me and tell me the cure of it.", "output": "Hello. Thank you for asking at Chat Doctor. I went through your history and first I will think of allergic rhinosinusitis. Were I treating you, I would suggest you intranasal corticosteroids for 2 weeks. Once your symptoms improve significantly, I would stop intranasal steroids and start daily montelukast and levocetirizine. During the treatment, I would also suggest daily nasal cavity irrigation with saline spray 3-4 times a day and steam inhalation at least twice a day. If you have throat irritation, I would additionally suggest you warm saline gargles upon awakening and before going to sleep. All above measures will work towards your relief of symptoms. For allergy, the basic cause of your symptoms, I would suggest you to consult an ALlergist-Immunologist who will perform allergy testing and help you identify the substances you are allergic to. Avoidance measures for the substances you are allergic to and sometimes allergen immunotherapy will help to manage your long-standing allergy. Hope this will be helpful to you. Wish you a fast recovery and the best of the health. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "son was kicked quite hard in stomach last evening during his kickboxing training...with 3mins he was sparing again.........today i noticed a light purple/red type of colour in his urine..he is not complaining about this..........should he go to hospital straight away or will a sample be ok to take tomorrow..thank you", "output": "Hi. Thanks for your query. History of blood in urine with the history of kick in the abdomen in spite of any symptoms has to be taken seriously. You should take him to the ER or the Hospital to get a confirmed diagnosis. I would suggest you the following ::Admit investigations of blood, urine. Ultrasonography and CT scan to confirm if there is anything of concern. He may not any active treatment at the moment but has to be under observations" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I think that I have ADD or ADHD because I have a very difficult time focusing on what Im reading and when I study for exams I have a difficult time remember what Ive read the day before. I seem to have a very difficult time starting tasks that have many components to them or that seem like a lot of work. How do I know if I have ADD/ADHD?", "output": "Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through.It's a very common feeling among the exam goers that their memory is not adequate and that they have difficulty in remembering the things. For ADHD to be present in the adulthood, its essential for that to be present since childhood. Your parents may agree to the finding of ADHD since adulthood, if at you were having an ADHD. The best way to get diagnosed as ADHD is to visit a psychiatrist who will take a detailed history and mental status examination and get the diagnosis confirmed using the diagnostic and statistical manual of mental health disorder (5th ed). It has a specific criterion. Even Utah has proposed a criterion for adult ADHD which can be used. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello...I just finished charting my first cycle yesterday. My husband and I are trying to get pregnant. I am 30 years old and my cycles tend to be 31 days long. In looking at my chart, it looks like we missed my fertile time this past month. My question is how do I track cervical fluid when having sex regularly. I think I am confusing cervical mucus with semen on the day following intercourse. How should I address this? Thanks!Diane", "output": "Hello DianeThanks for writing to us. Cervical mucus would be long and stringy during the ovulation period, as you obviously know. It would coincide with rise in body temperature. Semen would liquefy minutes after intercourse, so it would not be stringy and would not elongate like a thread between your fingers, but would be runny like water. The smell also is distinctive As you are eagerly trying to conceive, I would advise the use of ovulation detection kits or follicular monitoring by ultrasound. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I m a 19 year old male, and last night I jumped out of a 2 story window and messed up my back. I landed on grass, but the ground was slippery and I slipped. I didn t hit my head. But when I fell, I felt a pop in the middle of my back, and moderate pain as I was walking off. This morning I woke up and I was extremely sore. All in my back & neck. I can t really move my head without moving my whole body. I have received a massage, and I ve been taking ibuprofen, eating protein, and using ice & also taking warm baths to help. But is there anything else I can do? It s very uncomfortable. It doesn t hurt much when I m lying down, but if I m up walking around it s painful and hard to move my neck and back. Please help, thank you.", "output": "Dead patient You have got significant trauma to your back and neck and this needs to be investigated to rule out possibility of fracture. I would advise X-ray of 1. Cervical spine anteroposterior and lateral views 2. Dorsolumbar spine anteroposterior and lateral views to rule out fracture. Visit radiology center nearby you and get it done. If X-ray report is normal you need not worry. Take rest for 3 days and start tab diclofenac plus thiocolchicoside combination twice a day for 7 days. Apply ice packs and diclofenac gel locally at the site of pain. If X-ray is abnormal you need to consult expert spine surgeon with report. All the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi. this is Mrs Khan. My husband has oligoaesthenospermia with the following figures:total sperm count 10 million per mlactively motile sperms 10sluggishly motile sperms 15dead non motile sperms 75spermatozoa showing abnormal morphology 30-40pus cells 3-4can this be cured any how? can i conceive normally or should we go for IUI or something ?", "output": "Hello and, The normal semen analysis is as follows:1. Volume: 2ml/ejaculate2. Sperm concentration: 20 million/ml3. Motility: > 50% sperms should have forward progressive motion4. Morphology: > 50% sperms should have normal morphology In your husbands' case all the parameters-sperm count, motility of sperms and morphology of sperms-all have sub-normal values. Presence of pus cells suggests presence of infection in the urogenital tract. A repeat semen analysis is required after treatment of infection. A repeat semen analysis should be carried after an abstinence of at least 3 days. Correct diagnosis can only be given only when infection is controlled. Management can only be done after treatment of infection. Thanks and take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 58 year old female and weigh 130 pounds and I am 5 3 and pretty good health. I always seem to have a mucus buildup in my throat and have a hard time getting it out. Lately I have also had a burning pain in my upper right chest area which seems connected. I take an allergy pill and use a nose spray at night. There have been some times lately that I have acid reflux also. What can I do to alleviate the chest pain and get rid of the mucus. I also use a neti pot every other day.", "output": "Hello Colleen, It is likely that you are suffering from chronic rhinosinusitis with post nasal Chat Doctor. e., the mucus buildup in your throat) that causes cough at most times and a continuous sensation of needing to clear the throat. Allergy testing must be done to exclude aeroallergen sensitivity such as house dust mite, mold allergens, animal dander etc. by skin prick or specific IGE blood test. Gastroesophageal reflux disease does not help with the allergies, causing more throat problems and heart burn. You definitely need an upper GI endoscopy if this is going on for some time. Please STOP smoking if you do. Chest X-Ray, paranasal sinus CT will be helpful in knowing the extent of disease. Long acting antihistamines and nasal sprays are required for long duration than only a few weeks. If the allergens are found and the rest of the investigations are normal, oral or s/c immunotherapy will help and that is the long term solution. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor, Now I am suffering from female patter baldness because from last one year I am having too much hair fall problem. I have seen a dermatologist & he suggests to have Follihair tallets 10 days , alpecin lotion & shampoo to use and also tsh blood test. Is there any side effects all in those medicines? Will it actually help to hair regrowth?", "output": "Hello, Thanks for writing here. Medicines which have been prescribed to you are correct. Only thing is to remember is that it will take time for responding these Chat Doctor. Thyroid disorder is a very common cause for hair fall in females, and it will be better to do this test. You can take collinear tablets for a month or more than it as per your doctors advise. Hope this will help you. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello,I have been having dull right upper quadrant pain for three months. The pain is intermittant and falls right under my right rib cage. I finally went to see a Dr. because I am concered as I am a otherwise healthy 33 year old woman. They ran some various bloodwork on me and did a U/A. They called to tell me that my bloodwork was all wnl. Being a curious type ( I am a nurse) I asked them to send my results to me. Upon reviewing them I see my Lipase is 259 with a Amylase of 91. This particular lab considered my lipase of 259 normal. Their range is 23-300. I know this is high, especially for me who has no history of illness. I am concerned and will be making another appointment on Monday. I am freaking out because all I can think of is Pancreatic cancer. Please offer me some advice or suggestions. Thanks, J", "output": "Hi and thanks for using this panel for your questions. I am sorry about what you are experiencing right now. Thinking of the worst possible diagnosis is most common among health professionals. I am not surprised you are thinking of pancreatic cancer. I am not exactly sure why you have this pain but I will tell you why Pancreatic cancer is not anywhere near the top on my list. Pancreatic cancer occurs in older individuals who have a significant smoking and alcohol consumption history... They present with wasting, jaundice, and this really constant annoying pains at diagnosis.... You are no where there. Also, high lipase levels are more common with inflammation of the pancreas and not cancer of the pancreas. If the lab says this falls in the normal range, though close to the upper limit, please it is normal, and you should consider it so unless otherwise. I will strongly suggest that you get this thought of cancer out of your head. The mere thought of this is enough to make this pain very real which in reality may not really be the case. Tell yourself I am okay and say that as many times as possible until you get the feeling of having cancer of the pancreas out of your head. If you need the services of a psychiatrist to do this, then please consult one. I hope it does not turn to be a case of Hyperion Chat Doctor. .getting increasingly worried about having a dangerous illness despite prove to the contrary. I hope this helps. I wish you good health. If need be, I am more than happy to talk more with you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My psychiatrist stopped lithium because he said I was too flat. I am also on 12 mg Ensam for depression and trazadone to sleep. Also 5 mg abilify/day for resistant depression, I felt worse 1 week after stopping the lithium so restarted again. In about 2 days I felt better. Is this possible or am I fooling myself about the power of this drug?", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. Lithium is known to work good in depression cases along with other SSRIs. But your psychiatrist is supposed to decide whether you need lithium or not. Secondly, lithium is known to produce mild with Chat Doctor. But very mild. Maybe you are experiencing those. There is another view. Obsession. You might be obsessed with lithium. Naturally happens and nothing to worry. You should go for psychotherapy to have a streamlined lifestyle and relaxation techniques for streamlined thinking. I can help you if you post a direct question to me. Include as many details as you can. I shall prescribe some psychotherapy techniques which should be of immense help to you. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello,i am 25 yrs old and a mother of 3 yr old daughter now me and my husband are planning for 2nd baby but i am diagonised by pcod both overies doctor have putted me on chromiNAC-A and letroz 2.5 today is my 5 dat of period i m taking medicines what should i do n when can i conceive i want to get pregnant is it possible i a overweight i had cesarean first but i dont have any problem like sugar high, b.p thyroid etc", "output": "Hi, I think you can take the metro which helps in growth of follicles and track your follicles' growth by repeated ultrasound. When follicles reach a size more than 17 to 18 mm, take injection for rupturing the follicles. Be in contact with your husband for 2 to 3 days after injection. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. You can try like that for 3 to 6 months. Hope I have answered your question. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m 15 and I m a freshman in high school .my sister is 17 and she s a senior everyday people tell me your sisters pretty or she has a nice body etc. this really upsets me because I feel ugly and that no one likes me. All the freshman boys always tell me how pretty she is and I don t know what to say. Also my confidents is low and idk what to do anymore. I also hate how they Check her out right in front of me please help me.", "output": "Thanks for your query. Firstly, you have to be happy with the way you look, you have to tell yourself that if someone don't like you then that is there problem and not yours. Once you are happy and satisfied with your looks, and you feel happy about that, what others say about you wouldn't matter to you. Also, you need to set a limit with your friends what they talk to you about your sister, you need to ignore them if they don't adhere to the limits that you set. If they cross a limit in relation to their behavior towards your sister then you need to approach appropriate authorities." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doc,this is ann im 30 years old.i had a kidney infection 9 years ago but it cured.i sometimes felt not comfortable with my lower back and its always pain.please give me an advise coz i took dong quai a chines herb syrup but after a week of take i suffer a very very pain in my lower back.i took this herb coz it says it will make a women more fertile.i want to get pregnant so i take this.please HELP! thank you...have a good day doc.", "output": "HelloChronic low backache may be due to many reasons like inter-vertebral disc prolapse, arthritis,hypocalcemia, posture related, pelvic pathology, genito-urinary causes etc. Besides clinical assessment you may need investigations like routine hologram, random blood sugar, liver function test, urine RE/ME, renal function test, TSH level, serum calcium and vitamin D level etc. X-ray of L/S spine should also be taken. MRI of L/S spine can be done if needed. Proper treatment depend upon findings. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My dog scratched me with his tooth this morning.He broke the skin a little and there was a little blood,but as soon as i washed the speck of blood off,there was no further bleeding.I put some Antiseptic healing cream on it and put a plaster over it.Is there anything else I can do?", "output": "HI, thanks for using Chat Doctor IF your dog has been immunized against rabies, then you may just need to keep the area clean, watch for any signs of infection and make sure that your tetanus immunization is up-to-date. Signs of infection include-swelling, increased warmth, tenderness, redness and discharge. If infection occurs then antibiotics would be needed. If he is not immunized, then rabies vaccination would also need to be considered. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctors,Good evening.About a year back, I was diagonised to be suffering from COPD with severe sinusitis. I am mostly living on the following inhalers:1. Livosalbutamol sulphate with ibratropium bromide2. Salmetrol & Fruticasone proproniate Is there any stem cell therapy available in Bangalore by which I may be completely cured for this dreaded disease.Asoke Kumar Ghosh", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Sorry to say but stem cell therapy has no role in COPD. And COPD is chronic progressive disease. It can be controlled with a Chat Doctor. Along with inhaled treatment, You should follow1. Adult pulmonary vaccines like influenza and pneumococcal vaccines.2. Deep breathing exercises, incentive spirometry.3. Smoking cessation. All these come under pulmonary rehabilitation. So enroll yourself in rehab center for better symptomatic relief. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I have spinal stenosis in C5 and C6, impacting the nerves, according to MRI. While I know the hand, shoulder and back tingling and pain I m having are related to this, I wonder if there could also be effects on my left eye. All the nerve issues in the hand and back are on my left side, and now I ve been having bouts of uveitis and high pressure in the left eye. I ve been tested for Ankylosing Spondylitis, RA, Lupus, MS, you name it, all negative. Help?", "output": "Hi there, welcome to Chat Doctor. Thanks for your question. Be rest assured that spinal stenosis is definitely not directly related to uveitis and high pressure in the eyes, thats is there is no 1 to 1 cause and effect relationship between them. Rheumatological conditions like Ankylosing Spondylitis are associated with a spectrum of disorder which include uveitis and back pain related to sacroiliac joint related inflammation. These are only associations and definitely there is a no cause and effect relationship between they. The association is due to the fact that the conditions affects certain soft tissue structures which form part of our eyes and some parts of our spine(the tests you have undergone have hopefully ruled out such conditions). It would be best to follow up with an ophthalmologist for your eye related issues. The spinal stenosis seen in your neck has no casual association with your eye related issues and would require follow up with a spinal surgeon. Hope this answers your question. All the best . With best regards. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I took alot of cocaine starting early Saturday, till early hours of Sunday. My heart feels like it s going so fast. Then something stresses me out on the Sunday, and I had a panic attack, my worst one ever because I was so scared, I couldn t breath, and felt like I was going to die from the panic attack. I m still not calm yet I ve been taking valium as I m prescribed them, but they don t really help. My whole body aches, my head hurts, my heart is going really fast, I never want to leave my bedroom again. I havn t eaten since friday. I can t concentrate. I just really feel quite strange, and fearful, I ve felt fearful since the stress that brought on the panic attack, I was so freightened that I had a panic and broke out a sweat, to the point where my clothes were damp. I need advice as I don t wat to speak to anyone, I feel I can t.", "output": "Hello and thanks for your query. I understand that you are going through a very distressing time. From the description of your symptoms, it appears that you have had a severe panic attack. It is likely that the excess of Cocaine you had taken had triggered the episode. Now, you have mentioned that you are still going through very distressing symptoms and that despite taking Valium your symptoms have not subsided. In this case, the best option is to see a doctor for further treatment. You need to go to the ER and report your persisting symptoms. In such severe cases of panic, a parenteral (injectable) medication may be required. You also need to be checked to see if your symptoms are not due to any other serious medical condition because it is unusual for a panic attack to last this long. If you can't go alone, please ask a friend or a relative to take you to the ER. In the meantime, you can try practicing relaxation techniques like deep breathing, progressive muscle relaxation, yoga, etc. to try and calm yourself down." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 29,54, 145 lbs. I have been experiencing left lower back pain I believe to be my kidney area very uncomfortable a lot of discomfort but not . I have been drinking alcohol and a fewa little more than usual lately and a little stressed. Not drinking enough water as well. I also passed blood in my stool yesterdat", "output": "Hi, thanks for posting your concern in the Chat Doctor. I think you should immediately stop Chat Doctor. Lower back pain may be due to numerous reasons including urogenital infection, spinal abnormalities, colonic pathology, anxiety disorder, mechanical back pain etc. A detailed history is needed also along with clinical examination. If you are having bright red blood in stool, it may be due to hemorrhoid or diverticular disease or inflammatory bowel disease or GI infection. The later three may be associated with back pain. If the blood is dark or altered, peptic ulcer disease must be ruled out, particularly because you have become alcoholic. You should consult a specialist in internal medicine at the earliest for further evaluation. You may also need to have the following tests done-Complete blood count, urea, creatinine, electrolytesUrine for routine examinationStool for routine examination and OBT. Xray LS Spine- app/lat view USG lower abdomen should have plenty of oral fluid for the time being. You may also try relaxation session every day to beat stress. Please also avoid prolonged sitting to avoid worsening of back pain. For any further questions, please write back." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here... Dear doctor,I need your help very urgently.My mother has got a cancer & i want to get it cured as soon as possible. We did check up @ tata memorial hospital mumbai, they have written in their report that she has heptacellular lives cancer. They removed one tumor kind of thing from her liver & they told us to take her to any doctor & she will be ok.then she was feeling good for two months but suddenly she has started to become thinner. Her liver got swelled thats why her stomach has increased. So now as per tatas instruction we are treating her in one local cancer specialist. Now he says that theres no chance of her survival.Please advise what to do now. Can her liver be transplanted?How much it can cost. Please advise other treatment if theres any. Please give me contact details of some hospitals.", "output": "Hi, Thanks for writing in. I suppose your mother had a hepatocellular cancer in the liver and the doctors at TMH did a liver resection procedure. Liver resection is done for small tumors that can be managed operative. However, cancers of liver might reappear within months. A close watch is to be kept with post-operative screening done for her. It will help to take her to the Tata doctors and get an opinion after doing required testing on the present state of disease. You have written about the liver swelling up. This needs to be evaluated in detail and alternate treatments keeping in mind the survival of the patient must be started. Liver transplant is still in early stages in India, and it is not easy to find a transplant liver and this must be done only if the patient is fit to accept another liver. There are criteria for liver transplantation and cancer patients in advanced stage might not be physically fit to withstand and accept a new liver. The cost is around 20 lakhs rupees and even after surgery there is requirement of lifelong medicine and regular monitoring." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doctor my name is kusum. i have epilepsy . it is complex partial seizurewith automatism. is it a psycharatric disorder. reports me reason ka pata nahi lag paya h.i have problem in dealing with people.i have also a problem in making eye contact with people . please help me. my age is 23.", "output": "Hello Museum, Thank you for trusting Chat Doctor. No partial seizures or epilepsy are not psychiatric illnesses. They are neurological in origin. Most accepted opinion on why seizures happen is increased in brain electrical activity. Dealing with the epileptic patient should cover the psychological aspect also, key is to understand the and explain the etiology of the disease to the patient, and I hope now you know more about it from my answer. Don't feel ashamed by your disease, it's like any organic disease it happened to be in the brain, believe in yourself and don't let this affect your life still young and your disease will get better under proper supervision. Stay well." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have discharge that smells like urine leaking and today it is cloudy.. i have a kidney stone 3mm big and a little pain on my right side today the cloudy urine is alarming me and the leaking discharge that smell like urine.. thats not new cloudy urine is", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have some urinary tract infection. It's common in presence of kidney stone. You should go for urine routine and microscopic test and if you have urinary tract infection then you should take antibiotic treatment accordingly. Levofloxacin or norfloxacin are commonly used Chat Doctor. It is prescription based medicine so consult your doctor and take treatment accordingly. Your kidney stone is very small so " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi im 19 next month and i havent had my wisdom teeth removed yet and id just like to ask you why my mouth is sore around the back of my gums on the left hand side only I ve noticed that my left cheek is swollen and my gums too and just behind my last molar my gum is really tender and there s a little gap between my molar and my gum and it s really sore and food and decay get caught in there after each meal I eat and my jaw feels sort of stiff as well and hurts when I chew......what could be the cause of this? Could it be that I need my wisdom teeth extracted? Please help I don t know what to do and I d be very greatful if you could give me an answer to my question and help me out", "output": "Hello and welcome to Chat Doctor forum, i would be glad to answer your query, according to the dental history provided by you, I would like you to know that the gap between your tooth and the gums is due to inflammation of the gum tissue that surrounds the tooth, this is either a case of localized periodontitis, where a pocket is formed where all the food gets impacted causing pain and swelling. Also, as you mentioned that your wisdom teeth have not yet erupted, I would like to inform you that wisdom teeth may or may not erupt, wisdom teeth are not always present. I advise you to follow a few instructions in order to relief pain and swelling;1. Kindly see a dentist,2. Full mouth scaling is required,3. Warm saline rinses(3-4 times/day),4. Use a Betadine mouthwash once/day.I hope I answered your query, i wish you good health, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 13 year old has had a cough for almost 3 weeks. He has chest congestion and coughs so hard he gets red in the face and ends up almost vomiting. Can coughing that hard be harmful? Should he see a doctor? I had called in but was told without a cough or wheezing i was probably wasting my time and the cough wouldnjust have to run its course. Just worried if coughing that hard can cause damage? Thank you", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Yes, you should definitely take him to the pediatrician and get done 1. Clinical examination of respiratory system 2. Chest x-ray. Cough for more than 2 weeks, chest congestion, wheezing etc. are commonly seen with lung infection (pneumonia) and bronchitis. So chest x-ray is needed to rule out infection. He may need higher antibiotic, inhaled bronchodilator and inhaled corticosteroids (ICS) and other supportive Chat Doctor. So don't wait at home and consult pediatrician. Hope I have solved your query. I will be happy to help you further. Wishing good health to your son. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am 6 weeks and 2 days pregnant. Last night i went to the er with bleeding and was told the baby looked good but the heartbeat was only 82 which they said was not good. I have been really sick, coughing A LOT hard and feeling terrible. Can the coughing cause the bleeding and the lower heart rate?", "output": "Hello, I have gone through the query and understood your concern. Cough can cause stress and pressure on the uterus and this exertion can lead to a possible hemophobia separation which may present as external bleeding. If this happens, and if this does not stop, the pregnancy is at risk. The lowered fetal heart rate is suggestive of a possible threat to the fetal blood supply. In the current scenario, you should take absolute bed rest, avoid all stressful activity, get immediate relief from the cough through medication or natural remedies and follow up regularly to assess the pregnancy status. Serial sonograms of the pelvis and serial beta-ChatDoctor titles help a lot. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My age is 22, I am healthy and weigh around 70 kgs.In the last few weeks , i have a pain at the right side of my chest. I cant feel the pain during early morning, But will be feeling the pain as the day progresses at least thrice a day. Any reason why there is pain?Thanks :)", "output": "Hi Dear !! Thanks for your query to Chat Doctor. Read and reviewed your query and health concerns. My opinion-In the given situation-You seem to suffer frogger with Acid reflux, the cause of which needs to be verified. For this you need Consults with Physician and Surgeons doctor team. With dietary intake over a day, the pain in the right Chest seems to increase from acid reflux. This could be from accompanied Gastritis or IBS with piles/fissure in ANO. Treatment of the cause of HERD, from Physician and / or Surgeon, would fix the problem of right chest pain as the day progresses-3 times-mostly after each intake over the day, when the acid reflux with each intake increases chest pain. Further suggestions in this regard would need ore information /investigations after getting more details from You. This brief reply is given on facts submitted, which needs to be verified from your attending doctors, with whom you can check before starting further changes in the treatment. Hope this would help you to plan further of this complex illness of yours. If need be, update any health issue 24 x 7 by a direct question to ME, at following Chat Doctor link-http://doctor.Chat Doctor .com/Funnel?page=askDoctorDirectly&docId=70229 Dear, if satisfied, Dont forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at Chat Doctor services. If you want to update more details and ask more update queries, You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!! Chat Doctor. N. Senior Surgical Specialist M.S. Genl-CVTS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have been having pain in my right side (liver area) I had a blood test last week and now have a letter from my GP to get another test. This test has a LFT again, also Gamma gt and all phos. Would like to know what this means and should I have concern at this stage. Many thanksSteve", "output": "Hi.noted history of abdominal pain and liver concerns. It is best if you consult with a doctor, preferably a gastroenterologist or a general surgeon, for physical examination and clinical evaluation. It may be of hepaticopancreaticobiliary tree problem, such as liver cysts, gallstones or other gallbladder disease. Diagnostica (such as ultrasound, complete blood count, etc.) and management (medical and/or surgical if indications are found) will be directed accordingly. Hope this helps. Good day!!~ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi there, im a 26 year old male and i am getting sharp pains in the left hand side of my chest (the centrepoint of the pain is between my nipple and shoulder) the pain isnt constant but is sore when it happens, it started 14 hours ago and am looking for advise on what to do as i dont want to be going to A & E if it doesnt need be. thanks Stephen", "output": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of musculoskeletal pain is more likely. So follow these steps for better symptomatic relief. 1. Apply warm water pad on affected areas of chest. 2. Take painkiller and muscle relaxant Chat Doctor. 3. Avoid movements causing pain. Avoid sudden jerky movements of chest.4. Avoid heavyweight lifting and strenuous exercise.Don't worry, you will be alright with all these in 1-2 days. If not improving then consult doctor and get done ECG to rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, so I m 39 weeks as of tomorrow, I m crying for no reason, can t sleep, and would like to know if it would be better or worse for me to try and put myself into labor? I should also mention as horrible as I feel about it I smoke about 1/2 pack a day (which is cut from over full pack) and last OB appointment baby weighed in at 5 lbs 15 oz.", "output": "Degree understand your concerns went through your details. First I should request you to stop the smoking because it is going to harm your child, your body as well as your psychological problems like depression and anxiety. You are already stressed. From the given symptoms, you are suffering from pre-natal depression. It can interfere with a women ability to care for herself during her pregnancy. You may be less able to follow medical recommendations, as well as sleep and eat properly. The condition can also put you at risk for greater use of tobacco, alcohol, and illegal Chat Doctor. Evidence suggests that many antidepressant medicines are safe for treating depression during pregnancy, and will not harm your growing baby, at least according to the results from short-term studies. You should discuss the possible risks and benefits of antidepressants with your doctor. If necessary, he or she should also be able to refer you to a mental health specialist. Don't worry. You will be able to face the delivery as scheduled. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query. Further clarifications are welcome. Good luck. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have undifferentiated connective tissue disease. I am experiencing a good bit of lower back and flank pain. I was treated for UTI and kidney infection that have since cleared but the pain is continuing. My urologist said it is difficult to determine what is from arthritis and what is from my kidney area. Is lower back and flank pain common with UCTD?", "output": "Welcome to Chat Doctor. People with undifferentiated connective tissue disease are often misdiagnosed or are diagnosed late. I will try to help you as much as possible here. There is a chance that this pain is related to ECTD, but it is pertinent that we rule our other causes of back/flank pain. If the back pain is because of kidney infection, it would present with fever. If the flank pain is severe and episodic, it could be because of a stone in the ureter. The first investigations that we do are urinalysis and ultrasound. If they show nothing, then CT scan is done as ultrasound can miss about 40% of ureteric stones, even when done by a very competent professional. If there are no findings on the CT scan, then we can begin to entertain the idea that it is because of ECTD. I would recommend that you visit your physician regarding this problem and schedule an appointment with a urologist and a rheumatologist. Thank you for giving us the opportunity to help you. Please feel free to ask if you have any other questions. Have a nice day. Sincerely," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ive been taking Lithium for 20 years and have developed hand tremmors. I cannot take any other medication for my condition. Can I stop the tremors with acupressure?I take Seroquel when I go to bed. Is there anything I can do with acupressure to stop the stream-of-consciousness thinking to go to sleep?", "output": "Hello, Thanks for asking to Chat Doctor. I had gone through the case and found that acupressure is for nerve stimulation. You can take acupressure, it is not harmful. But for thinking process and insomnia go for psychological counseling and meditation with chakra chanting. It will really be helpful for you. It stimulates all the plexus and balance the hormone and enzymes. I had treated a lot of patients like you and definitely your medicine requirement will reduce. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 31 with three children. My youngest is 7 years old. When they were babies i only breastfeed for a short time due to pain cracking and how painful it was. two years ago i was diagnosed with mastitis. took the meds and it seemed to go away for awhile. a few months ago i went to urgent care and was again diagnosed with mastitis and a heart murmur. they gave me oral meds but the infection came right back and now i have a white head on my nipple that leaks puss every now and then as well as the nipple seems to be a brighter red then the other which looks pink in color. i have tenderness and pain in my armpit.", "output": "Dear Miami understand we have a painful breast with discharge. Rightly as we see it is mastitis, but I am afraid the infection has not reduced yet during the treatment. It can be linked to shallow breastfeeding sometimes. Now in such cases we advise for blood test to ascertain raised total counts and ESR, more over let us go for injectable antibiotics with a bit of aggressive treatment. Are we having fever? Plz do also consult your physician for the necessity of a pus culture in case of resistance.Meanwhile please take good care of your diet and personal hygiene. Hope this helps most welcome for further queries." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My urine tested positive for Staph. I was seen for Nausea, Vomiting and Diarrhea with Dehydration. I had an elevated WBC. Should I be concerned? I left the hospital a few days ago and they just called to tell me my urine came back positive for Staph. I have been feeling extremely weak. Does any of this sound like something I need to see the Dr about right away or can I wait.", "output": "Hello and welcome to Chat Doctor, Presence of bacteria in urine (Staphylococcus) and a raised WBC count suggests urinary tract infection. I guess you have had urine examination. A culture sensitivity of the urine sample can be done. This test will identify the antibiotic most effective against the bacteria. Symptoms of nausea, vomiting and diarrhea can be due to sepsis. Sepsis can occur secondary to urinary tract infection. You need to consult your doctor for clinical examination, and prompt management of deny Chat Doctor. Fluid replacement has to be instituted for deny" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "srinivas chakravarthy:::HI, I am a male, 37 year old, married and working. I have had issues on and off with my work pver the last 11 years. After some analysis, I feel that I am suffering from Passive Aggressive behaviour. Childhood Had an over protective mother (adopted) who ensured that there is no dialogue regarding any issue at home. She (was later developed with some disorders herself) would brush me away loudly without an opportunity to negotiate my case. I developed my defense mechanism as not arguing (negotiating) and sulking as the only option to get my way. Education I have done my engineering and MBA from premier institutes in the country though was never very good at acads (in terms of academic performance during the course of my education). Work I have changed 5 jobs over the last 11 years. I perform very well when I have sufficient freedom to do my work. I am driven by opportunities to display cerativity in problem solving and organization. My performance is very poor under aggressive supervisors or situations where I have less freedom (micro managed, being told what needs to be done). I also develop a deep sense of anger that lingers on in these circumstances. This adversely impacts my productivity as well as leads me to take emotional decisions. Personal life I have also faced anxiety attack and went through a phase of extremely low self confidence for a period of 4 to 5 years. This was preceded by sustained stress over a period of about 2 to 3 years due to unhappy job and strained family situation. During this phase, I had doubts regarding my ability to manage a job and take up normal assignments (even meetings with clients etc.). I have been able to come out of it partly due to the easing out of stress situation at home and my ability to push the limits of my fear. While I went through a rough marriage which led to my stress fatigue situation mentioned above, I srinivas chakravarthy::: currently have a very supportive spouse and lead a very happy family life(2 children). I currently have comfortable financial situation. Issue I am unable to work under aggressive authority figures. Under such circumstances, I develop thoughts that I am being victimised and under appreciated (though on closer scrutiny, my performance levels are poor). With aggressive people, I usually am not able to defend myself effectively and apologise frequently (even if I am not at a fault). In such circumstances, I have a sense of anger at being wronged which clouds my objectivity of the situation. Solution Will wait for you suggestion though my perception is that I need help with my passive aggressive nature and support to improve upon my assertiveness skills.", "output": "Yes you are right in identifying your problem to some extent. To be accurate, I would call it problem with authority rather than passive-aggressive behavior. In passive aggression, to show aggression towards object of aggression which may be your boss, you actually do your work extensively. You are right in saying that you need to be assertive. Start saying no and defending yourself when you are right. A psychiatrist or a psychologist could help you with some sessions." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here I suffer with indigestion and this is pretty much all the time. I get a really stabbing pain in my back across my left shoulder blade and in the left side of the chest. This is particularly acute if I am propped up in bed. If I lie flat the problem lessens. I don t take any remedies as I feel they only mask the problem. I eat a healthy diet hardly any alcohol, don t smoke and am not overweight. If I eat or drink milk it seems to go away for a while and then comes on as my stomach empties.", "output": "Dear- I reviewed your question in detail and will give you my medical opinion. Indigestion could have multiples causes including slow digestion, gluten nephropathy, celiac disease or just related to the food that we eat. I understand that you eat healthy, but sometimes vegetables like broccoli and cauliflower can make your digestion slow, produce a lot of gas and give you indigestion. Try to watch what you eat and when you have your symptoms. Back and shoulder pain can be reflex from the gas. I hope my advice has been helpful. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I take warfarin due to changed out mitral valve It has always been 13mg/day since 14 years ago when operated on. I have bruising side of my left breast with smallish lump that is little painfull. I had no impact, just played some golf. Mr Barry Any ideas ?", "output": "This could potentially be muscle strain with associated inflammation from overuse and or repetitive movement. Alternatively, Warfarin necrosis of the breast is a rare complication yielding similar symptoms (though not identical) however these symptoms usually present days after Warfarin beginning. A white lump sounds to me as if it could be cyst-like; Cysts being a very common manifestation of the female Breast in general as individuals age and or reach certain age checkpoints. I would have a physical exam performed by ORGAN and or Primary Care Physician, explaining to them your symptoms and how the lump has come and changed in size and or consistency. From there they can pinpoint to you the likely diagnosis. I will also say that slightly painful is more often than not a good sign, if you are worried about cancerous potentialities. Nonetheless, a checkup would be the best recommendation. Many cysts come and go according to dietary and or hormonal causes; so really getting to the bottom of your habits with a physician will further help reach a diagnosis." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Cardiologist,I have pain in ly chest. The pain comes suddenly. It can come back after a couple of days. A couple of days ago I went to see a doctor, he said that there seems nothing wrong with my heart. What does it mean if the chest pain continues?ps: there is also nothing with my longues.Regards,Zourab", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Since you have been to the doctor, and he said that your lungs and heart are normal, no need to worry about major diseases. Sometimes stress and anxiety related HERD (gastroesophageal reflux disease) can also cause similar kind of left sided chest pain. So better to avoid stress and tension. Be relax and calm. Consult psychiatrist and get done counseling sessions, try to identify stressor in your life and start working on its solution. Take proton pump inhibitors for HERD. Avoid hot and spicy food. Quit smoking and alcohol if you have these habits. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my daughter is now 10 she has ADHD and ODD and is on Ritalin and dex. my problem is she constantly steals food from the pantry, fridge, or most recently the freezer not to eat but then hides it through out the house and then denies it. just an hour ago I could smell this god awful rotten food scent and had to tear the room apart to find it. it was a packet of what was frozen sausages not eaten just taken and dumped this is driving me nuts not to mention the health issues. what do you suggest", "output": "DearWelcome to ChatDoctorWe understand your concerns went through your details. ADHD and OCD usually comes with impulsive disorders and that is the diagnosis of your child. They don't need to steal, and they seldom use the stolen things, but they do it out of impulse. That is part of Obsessive behavior pattern. If your daughter is being treated for her OCD and ADHD, just intimate this matter too to the psychiatrist, and he will take care of it. Secondly, a combination of psychiatric Chat Doctor. Please ask for your psychiatrists' opinion about the combination. If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a small hard lump about about 1.5cm above my ankle bone. It is not painful, I do not think it is a ganglion cyst, What can it be ?I am 52yrs old, 1.55m tall, weigh 60kg, have Thal B Minor and Hashimotos Disease. I take the thyroxine and Lipitor daily", "output": "Thanks for your question on Chat Doctor. Hard lump above ankle can be due to 1. Desmond cyst 2. Fibroid 3. Asteroid Osceola 4. Lipoma 5. Xanthelesma (cholesterol deposits in skin). Etc. So better to get done 1. Clinical examination of swelling 2. X-ray of affected leg 3. Ultrasound examination of leg. 4. Cholesterol level to rule out hypercholesterolemia because you are taking lipid lowering Chat Doctor. So first diagnose this swelling and then decide future treatment plan." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, i am 30 and usually masturbate, i think i was weak for having full erection but now i am suffering from acute liver failure, yellow eyes and some how yellow skin and itching all ovr the body specially on feets. I ejacuate yellowish semen today and it consists of some sticky particals. Do such semen has motile sperm and what do i do for my liver failure,?", "output": "For liver failure, probably some exaggeration is embedded in your mind. Masturbation is not connected with your liver problem.Maybe some LFT (liver function test) will determine the presence of excessive bilirubin in your blood due to hepatitis or bile duct obstruction because of other reasons etc. That causes low morale and interruption method. Normal, safe herbs in Ayurveda and Liv 52 medicine is well searched in connection with such problems. To my patients in such condition, I recommend meeting Ayurveda doctors preferably. Hope it gives you answer." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor, afew days about 10 days back ihad pain in my abdomen. Suspecting gastric problem i visited a gastroeterologist. After endoscopy and ultrasound scan of the abdomen were found normal, he suggested a LFTs. My total bilirubin came 2.88 mg/dl. My other para meters were also found to be high. I also had light fever with chill and body aches the night before. My eyes were light yellow and urine was very yellow with orange tint. Stools were very pale. However the doctor did not prescribe any medicine but asked me to avoid fatty foods and achohol. However I followed a moderate jaundice diet for a week. Got LFTs done again. Total bilrubin is 1.09 and all other parameters just on the upper limit of normal ranges. My urine and stools are normal colour except that iam passing stools once in 3 days. Visited doctor again. He said there is no problem and ican get on normally. No diet restriction or even on alchohol aslong asit is moderate. Now did i suffer from jaundice? If so what type? Was it serious? Can i follow the advice of Dr and eat and drink normally from right now? Will appreciate your advice. I live in India and am economically well settled and live and eat hygienically.", "output": "Hi and welcome to Chat Doctor. Of course, it was jaundice. Jaundice is symptom when you have elevated bilirubin levels and your skin and eyes turn yellowish. Now, question is what was the cause of it. Well, good sign is that this is only transitory jaundice and obviously caused by temporary biliary duct obstruction. This is most commonly caused by gallbladder stone, and now it passed through, and you have no symptoms. Other causes of elevated LFT and bilirubin are hepatitis, cirrhosis or metabolic disorders but if your ultrasound was normal u have no reason to worry about I only suggest avoiding alcohol for next 2 months. Everything else I agree with your doctor.Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my son is 7 years old. he is complaining of a headache, sore body, throat pain and he has glassy eyes. He did have a pretty bad fall yesterday. he has a good appetite. his eyes seem sunken or swollen. could this be from the fall or is just a bug?", "output": "Thanks for asking. I have gone through your question and I understand your concern. Your son is having headache sore, throat pain, this is due to some infection most probably due to viral infection. So give spy Paracetamol 15 MG per kg per dose. It that can be given for 4 times a day. Give him plenty of fluids and rest. If fever no settle down in 72 hours then consult your pediatrician hope I answer your question thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have what I believe to be a ringworm since the beginning of July. Its a circle but its huge...a little bigger then a silver dollar. It use to itch and was red...it is no longer red. I started using Lotrim beginning of August and its already September. It is very very dry but doesnt itch anymore....but I wanted to know when will the color come back? Its on my arm...a huuuuuge white circle...very noticeable. It actually is very dry OUTSIDE of the area as well (I think because I used the Lotrim in that area as well to be on the safe side). I just want my complection back =(. Also, (how embarrasing), how do you prevent getting pimples on your butt? I am pretty - 27 yrs old - but scared to be intimate because I get 3-4 new pimples everytime the other ones FINALLY disappear. It takes FOREVER FOR THEM TO HEAL when you mess with them (I JUST WANT A CLEAR REAR ! ! ! !) HEEEELLLPPP please!", "output": "HiT hank you for asking ChatDoctorI have gone through your query. Your problem is most likely Fungal infection Tania corporal (ring worm). It is better to rule out that by showing a dermatologist. If you send a picture of it I can comment on it more. For such cases I advise ointments witChatDoctorbination of antifungal fluconazole, antibacterial gentamicin and corticosteroid clobetasol. Clotrimazole is resistant in some, but fluconazole is more effective. I also give fluconazole tab weekly once for oral intake to stop recurrence. Getting pimples on butt can be due to constant accumulation of sweat and dirt for long time. You should clean properly and use Chat Doctor. Using vitamin C also will be helpful in preventing such pimples on butt. Hope this may help you. Let me know if anything is not clear. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "About two weeks ago in baseball practice, I overran a really fast grounder so the ball bounced and smack my lower shin(slightly above my ankle). It swelled alright but died down though there is still a small bump. It feels hard like its part of my bone. Ive been able to walk just fine but when I run I feel slight discomfort from where the bump is(no pain at all). I dont know if I fractured it, I just dont feel pain unless I poke the hard lump. Should I consider an x-ray? What to do about it?", "output": "Hi, Good Evening. Thanks for the query to Chat Doctor. I studied it in depth and I understood your health concerns.-Treatment-1-I would advise orthopedic surgeon consultation before starting any treatment.2-As you are anxious and as you had the tender hard bump on the shin.3-But by the facts told by you, I don't think that you would have fracture of the shin -Tibial bone.4-Still as you are worried get the X-ray of the shin done and show it to ortho-surgeon.5-This bump is mostly due to the Money Contusion with cellulitis with resolved fibrosis hematoma and traumatic periosteal cellulitis and induration.6-I would treat it as follows-a-Cold compresses and b-Rest and Elevation, c-Tb-NSAIDs for 5 days to expedite the recovery.7-Dont get scared and uneasy, but be cautious and act fast. Hope this would help you a lot to relieve you. Wish you fast recovery-and healthy life. Wellcome to Chat Doctor with more queries till you are satisfied. Have a Good Day...!! Chat Doctor. N.M.S.GENL-CVTS, Super specialist and Senior Consultant-and Expert in Non-Curable-Disease therapy for Cancer, Asthma,etc., Rejuvenation therapy and Tissue failure -reversal therapies.a" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi!recently I applied for uk student visa,they required to go through a tb test before arrival. So I went to medical center first they took a chest X-ray but there was a shadow in center of my chest but not on lungs so they asked me to go through a sputum culturing test,but im worrying about that although I have no any symptom no cough no sputum no fever nothing, I never smoke,and never did any thing that can cause tb,but I heard that culturing can find even a very miner bacteria,so is there any chance of positive report?and is there any other test where I can examine myself with detail about tb bcoz I dont wanna waste my 42 days,", "output": "Hi Dear !! Thanks for your query to Chat Doctor. I reviewed facts of your query in context to your health issues and feel concerned about them. My Opinion-In My opinion, in the given situation you seem to suffer from-? Undetected Shadow in lung, which could be due to fungal infection / or could be from old TB /or could be From tumor mass. Other causes need to be ruled out, after getting more details from you. If you want to go immediately for TB tests-IGRA would give you fast confirmation of any old / past TB infection. Besides these Consults with Chest Physician would resolve your issues fast. Next appointment-Asap to review and plan the treatment for existing problem. If you update more information/ details upon these suggestions, I would give further suggestions on medicines to correct your health issues. If need be, update any health issue 24 x 7 by a direct question to ME, at following Chat Doctor link-http://doctor.Chat Doctor .com/Funnel?page=askDoctorDirectly&docId=70229 Dear, if you don't have any further query in this regard, Do close this query with YOUR pleasing and feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at Chat Doctor services. If you want to update more details and ask more update queries, You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!! Chat Doctor. N. Senior Surgical Specialist M.S. Genl-CVTS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello! I woke up this morning to find a lump on the tip of my neck under my chin (almost like and Adams apple) it seemed tender and a bit painful if touched or messed with. It almost seemed like I slept wrong. To give some info, I do smoke. But Im young 23yrs old and never had any severe illness. I sometimes would get tiny swollen glands on the side of my neck which would go away. So Im a little shocked to have woken up to a decent sized lump. Of course my main worry is cancer or tumor.. But it wouldnt pop up overnight ? So my question is what should I do?", "output": "Hello this is Chat Doctor. Thanks for the opportunity to help you. The swelling you have described at the tip of the neck which has come overnight can be an abscess cavity due to some boil or fur uncle, or even it can be due to enlarged sub mental group of lymph nodes due to some infection. As you told that you are a smoker, so this can also happen during chronic throat infections as chronic cough or chronic bronchitis. The things which you should have elaborated are:1.are you presently suffering from any current throat infection2.is the lump painful and associated with fever?3.can u send me a photo of the lump. That will be invaluable.?4.how is your oral cavity and oral hygiene. Any gum infection, tongue ulcer, ulcers over the palate?5.any tonsillitis or throat infection currently?first take a course of antibiotics and anti-inflammatory and analgesic course for 7 days as given below.1.tab Moxikind-cv 625mg1-1-1x7days2.tab ransack 150\u00a0mg 1-0-1x5days3.tab zerodol-sp 1-1-1x5 days4.tab choral forte 1-1-1x7days. If the abscess localized a simple incision and " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I wish to employ a cook but his pre employment screen showed a positive widal count for typhoid and negative stool culture. He has had antibiotics for 10days and his repeat widal test is now normal. Can I be assured that he is clear and employ him as a cook or does he need further tests?", "output": "Hello, Thank you for your contact to Chat Doctor. I understand your concern. If I am your doctor I suggest you that tidal test is not a confirmatory test there are chances of false positive and negative result. Ty phi dot is very reliable test than tidal you can think for it. Salmonella type bacteria can remain hidden in the gall bladder and can cause relapse. If possible you should do a gall bladder culture. Once a gallbladder culture is negative you can recruit cook as confirm negative person. I will be happy to answer your further concerned can contact me. Chat Doctor. Infectious disease specialist. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I hit the top of my knee very hard today. Now the top part of the bone on the knee cap is very sore to the touch. I also have a hard time lifting or bending my knee without a very sharp pain on the knee cap? I ve been icing it but there is no swelling. Any thoughts", "output": "Hi, thank you for providing the brief history of you. As you had a direct hit on top of the knee cap which is the patella bone, you need a thorough musculoskeletal assessment and an x-ray on a safer side. As the pain is sharp in nature it could be either a hairline fracture or the patella tendon injury which needs a thorough clinical Musculoskeletal assessment for coming close to diagnosis. As you are applying ice this can only act for time being. But as you are icing it kindly take an x-ray by which it can help to understand any major issues. In any of the case with proper care and attention if examination is done then help can be initiated by medical .in my clinical practice such cases undergo x-ray and proper line of treatment by which recovery is expected sooner. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been diagnosed with PTSD and major depressive disorder by the VA. I don t get to see my doctor as much but the psychologist. I have frequent episodes of sleep disturbances and to much sleep. Lack of interest in things and no desire to do things. I really try to handle stressful things in life but cant. I sit at home and am trying to go to church. But the church says it the devil and don t really address the issue or shys away from it. Have episodes of extreme sadness and thoughts run through my head.", "output": "Hello, Your symptoms suggest depressive disorder and PTSD. May be PTSD has finally led to depression (when not managed). You should ideally see a psychiatrist and start an antidepressant as psychologist cannot write or donor know right meds. Your doctor should give you sertraline or venlafaxine in daily dose. With the Chat Doctor. You can continue with therapy sessions. The meds are required to be continued for some 6-9months and then gradually tapered and stopped. Wish you good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a complete hysterectomy in October.....I am 59.....since January, I have muscle /joint pain in many body parts....sudden pain in my knee lead to a dx of 2 torn menisci.......and surgery in March....as I recover from that my fingers, wrists, hips lower back are aching and I m told arthritis. I have been very depressed over hurting all the time and feeling like I am 89. I had an angioplasty a few years back, so doctors don t recommend anti-inflammatories/advil, or hormones......I ve been at a loss. I came across an article today menopausal arthralgia for the first time today, and I am now wondering if this is what is going on with me, as the last six months I feel like I aged 20 years.", "output": "Hifor joint pains, tylenol can be taken without harm for angioplasty. Do hot fomentation of joints, and you may apply anti-inflammatory gels easily on the joints two three times daily, rubbing it gently. Hysterectomy has nothing to do with this arthralgia, however if ovaries are removed, there can be some hormonal imbalance. Get serum calcium and vitamin D levels checked also, besides CRP, ESR, TLC, DLC blood counts. Best wishes" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "MY WIFE S ELDER SISTER IS PSHYCATRIST PATIENT MORE OR LESS SIX YEARS. STILL THE TREATMENT IS GOING ON BUT SHE IS NOT NORMAL. PROBLEM IS AFTER HER FATHER S DEATH. SHE IS TELLING & SHOUTING SOMEBODY IS CALL ME. SOMEBODY IS CRAB ME. BEFORE THREE YEARS SHE WAS SHOUTED LIKE THIS. BUT NOWADAYS SHE DIDN T TAKE HER FOOD PROPERLY AND NOT WALKING, NOT TALKING. WITHOUT OTHERS HELP SHE CANNOT ABLE TO DO SOMETHING. EVEN GOING TO TOILET, BRUSHING TEETH , EATING FOOD. SHE LIKE A STATUE. BUT SOUL IS THERE. HER NAME IS AAAAAAA 23 YEARS OLD. STAYING IN METTUKUPPAM, CHENNAI. WOULD U CLEAR HER PROBLEM? BECAUSE SO MUCH OF DOCTORS SAID THE SAME WORD THIS ONLY. THAT IS THERE IS NO MEDICINE IN MEDICAL WORLD. MY EMAIL ID: YYYY@YYYY . I AM WAITING FOR UR EXCELLENT ANSWER. THANKYOU SIR.", "output": "As you said she is suffering from a mental disorder of chronic nature (6 Years or more) with initial symptoms of Irrelevant talks (Shouting), Auditory hallucination (Hearing voices) and Paranoid ideation (Somebody will crab me). Her condition deteriorated despite psychotropic treatment for last 6 years. Now she is having Poor self-care with Resistivity & Emotional blunting. Well, the case description fits into the mental illness called schizophrenia (?). Schizophrenia with prominent negative sign & symptoms is very difficult to manage but once her symptoms comes under control she will remain well-adjusted to her social condition for long duration of time, off course with continuing Chat Doctor. Available options for her include ....[1] Second generation anti-psychotic (like quetiapine, risperidone, clozapine, piperidine etc.) either alone or in combination with other first/ second generation anti-psychotics targeting specifically her negativity & resistivity[2] Electron convulsive therapy (ECT)[3] Hospitalization for short duration of time (If needed)[4] Behavioral Therapy[5] RehabilitationSchizophrenia does not have so much gloomier picture as you have developed perception about this illness. As I said, once the symptoms are under control by the use of appropriate psycho-pharmacological intervention, she will remain well for long duration of time. What is needed is a dedicated & comprehensive effort from treating psychiatrist & care taker. Thank You (Viewer rating for my Answer is Awaited)" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Please write your question here Hi doc i have misscarried twice before now am pregnant again n my guns has prescribed susten 200 mg. sent my hubby to buy from a pharmacy they changed it to Duphastone. should I take it or return it n insist on susten? pliz help", "output": "Hello,First, do not panic. Sorry to hear about your previous pregnancy losses. The hormone progesterone is a pregnancy-supporting hormone. Austen contains natural micronized progesterone hormone. Your treating doctor has rightly suggested you to use it to support the early pregnancy. Tablet Duphastone contains Dy Chat Doctor. It is also effective in supporting early pregnancy. You can use any of the preparation. Both are safe and effective in supporting the early pregnancy. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi! I am a 44 year old male who weighs 140lbs and measures 5 feet two inches.My urine is smelling really strong like ammonia and my teeth are hurting when i take a bite. i wonder if these symptoms added to low grade fever for three night in a row may be related to one bigger problem. Thanks!", "output": "Hi, I had gone through your question and understand your concerns. After looking at your symptoms which you wrote I can give you the possible causes of strong smelling urine like ammonia. Urine usually have no smell but if it is having strong smell then these are the possibilities:1. Urinary tract infection as you have added low grade fever as your symptom. It must be treated with antibiotics after doing a urine culture.2. Urinary stones will also have the similar symptoms, and it needs to be ruled out with XRAY-KUB.3. Not the least is the deny Chat Doctor. If you were my patient I'll ask you to " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi my name tomy sometime I feel dizziness . when I start dizziness im feel slow and confuse want to go bed and sleep relax when I sleep wake up I feel better but every day I feel and start the same . im cant remember much i meant like i understand people say short cut and can talk to someone that can you give me example im the one who slow talk cant remember much so can you help me ? every day i suppose to drink medicine but just help me control little bit i meant like my illness start i just know that i suppose to go bed but i embarres to hang out with friend cuz i know my illness easy to start anytime how can you help me stop this illness 100%", "output": "Hi thank you for a brief history of you. As you mentioned with dizziness and medicine part. let's come to the last line you mentioned - 100% cure of the illness. Well, there is a saying as you know - prevention is better than cure. So let's begin. It looks like your dizziness is troubling you a lot. For which I will advise you to meet a neurologist and get self checked. As neurologist will go through examination and come to a closer provisional diagnosis on basis of which the symptomatic treatment can be initiated. Also you may be asked to take MRI of neck and brain which will even get closer to diagnosis and accuracy of treatment will still improve. Along with this, I want you to try doing regular physical exercises. As EXERCISES improve the metabolism and the brain tissue becomes healthier. Exercises will even boost your cardiorespiratory endurance. You will also have a sound sleep and energetic mornings. With the grace of God I wish you a good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was bit by a dog on my R thigh; it immediately bruised, and swelled; there was a very slight abrasion and minimal puncture; but it is warm, slightly red. I came home and washed it immediately. The owner of the dog says all shots are current; and my tetanus is current. Do I need to see a MD?", "output": "Hello, Welcome to Chat Doctor, As you were bitten by a dog which has led to wound over the thigh, dog is known to transmit rabies, which is 100 % fatal, but it is 100% preventable by proper and adequate treatment. As there is bruise and minimal bleeding from the site, according WHO categorization it is categorized into Cat 3, Which requires following treatment.1. Wash the wound thoroughly with soap and water to wash out the rabies virus if it is present in and around the wound.2. Active immunization with anti rabies vaccine on days 0,3,7,14 and 28.3. Passive immunization with rabies immunoglobulin around the wound3. Inj TT, if you have not received in last five years.4. Topical application of TB act ointment. The aforementioned measures will help to prevent development of rabies. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir i have a problem my mother have an operation of gall bladder about 1 month ago on 22 sep as she has stones in it . sir the problem is before operation she had some weakness and head roaming problem after operation all ok but now adays she is suffering from head roaming problem as if sumbody has put sum burden on it sir will u suggest me sumthing about it ?", "output": "Hello and welcome to Chat Doctor The headache and dizziness are not associated with the gall stones or the surgery done for gall stones. It is an isolated problem. What is your mothers age and is she taking any medicine? There are various reasons for headache and dizziness or light headdress. Some of them are as follows:1. Changes in blood pressure-low or high bp2. Heart ailments like arrhythmias, cardiomyopathy3. Brain diseases like migraine, dementia, brain tumor, stroke4. Marines: Antihypertensives, diuretics, anti-depressants, certain antibiotics5. Metabolic disorders: Deny Chat Doctor. Hypoxia, low blood sugar7. Neuropathy8. Anemia, hyperventilation, infections You need to consult your doctor to find out the cause of dizziness and light headdress as there are various reasons for such symptoms. Thank you and take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi and good morning, My Friend is in severe condition at the moment, and what frustrates me is that the doctors who are attending her in ICU cannot give us any final diagnosis about her illness, the 3 doctors have different opinions each time we visit the patient, she is now in the ICU for 12 days...her condition as follows; - Female - 23 yrs. old - No History of Alcoholism and No Drug Abuse usage - She was admitted to the Emergency Area for Avute Pacreatitis - then the doctors have admitted her to ICU because of a very high lipid presence in her blood - she had received a Plasma Exchange (about 6 times or more) - she is undergoing a slow Dialysis everyday as (the doctor claims) she had rhenal failure and the dialysis will help her recover her kidneys - she is under a ventilator or an oxygen and this is helping her breath - what we cannot understand is why now she is under going blood transfussion (the doctor said that her hemoglobin is very low and the transfussion is needed) - her other vital organs are normal ( liver and hearth is stable) What confusses us is that the doctors in Macao still cannot determine the cause of her illness and we are afraid that she is being treated as a guinea pig... I hope that you can help me with my problems and any advice is deeply appreciated. Thank you for hearing me out and may god bless you all.", "output": "Just an update... she is now breathing on her own but still with a help of oxygen support. The doctor said the is still producing a very alarming level of lipids of cholesterol and the plasma exchange will continue, she is also still undergoing a slow process of dialysis to help her kidneys, and her pancreas is still not cured. But her Liver and hearth condition is still normal her BP is 156/97 and sometimes 168/79 or /89 the doctor still at the moment is at lost of the origin of her illness. I hope that anyone of you good doctors out there can give me a fair opinion on her case... Again thank you for your kind attention and looking forward to hearing from you soon God Bless" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "For the last day or so I am experiencing pain on the left upper part of my chestand back just above my breast level, have had a persistent cough for the last 3 weeks without a cold but coughing up heavy mucous, since yesterday the pain has become increasingly severe and have difficulty breathing, and movement in the left arm", "output": "Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. Left sided chest pain should be evaluated for cardiac cause first. So get done ECG and 2d echo. If both are normal then no need to worry about cardiac cause. You are also having coughing with phlegm and breathing difficulty, so pulmonary causes like pneumonia, bronchitis etc. can be there. So better to get done chest x-ray and PFT (pulmonary function test) to rule out pneumonia and bronchitis, respectively. Better to first diagnose yourself and then start appropriate treatment." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "MY LEGS HAVE GONE INTO ACHING SPASMS WITH NO POSITION BEING COMFORTABLE. i AM NOT OVERWEIGHT BUT WORE HIGH SHOES YESTERDAY WHICH WERE COMFORTABLE BUT NEVERTHELESS THE STRAPS ROUND MY FEET WERE TIGHT AS THE AFTERNOON PROGRESSED. i SLEPT WITH MY FEET RAISED BUT HAVENT TAKEN ANY PAIN RELIEF SO FAR, AND THEY FEEL A LITTLE EASIER BUT STILL ACHE. i HAD PHLEBITIS MANY YEARS AGO, AND THERE ARE MANY VEINS PROMINENT BUT I AM TOLD NOT DANGEROUS. I AM FLYING ON THURSDAY. IS IT SAFE AND WHAT SHOULD I DO?", "output": "Hi, Thanks for your query. After going through your suffering, it seems you have developed muscle spasm (cramp). The cramps are caused by hyper excitability of the nerves that stimulate the muscles. Chat Doctor. A simple way to prevent cramp is-1. Warm up and stretch your calf muscles before running stretch your calf muscle before going to field 3-4 times and each time holding for 10-15 seconds. 2. Talk to qualified trainer for proper running form and footwear.3. You may run in a heel-toe pattern and avoid letting the balls of your feet hit the ground first.4. Stay properly HY" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "h,i have ulcerative colitiies.since 4 years.& i used 2 take Pentasa & solupred 20 mg.i m planning 2 get pregnant .s it safe 2 continue wz corisone or not? & my body have retention water & salt due 2 the treatmant of cortisone .s it safe 2 continue taking hydrochlorothiazide in pregency,plz answer me.thnx.", "output": "Hello, I would be happy to help you with your question. It is safe to be pregnant in the setting of a history of ulcerative colitis, but the steroids and HY Chat Doctor. Given that you are not pregnant yet, you absolutely need a pre-conception visit with a high-risk OB or a GI specialist to discuss the proper medications to be on before you get pregnant. I hope that this helps. If you have more questions, please click on \"ASK ME A QUESTION\" link above to directly ask me a question!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am currently on amoxicillan for Lymes disease and was also diagnosed with hypothyroidism. I exercise regularly and run, but I had to take a couple weeks off due to the symptoms of the lymes. I have been getting back into the working out again the last couple of weeks and tonight I noticed a lump above my belly button that is sort of squishy and is visible when I am standing up. It does not hurt. Is it possible that there are lymph nodes around my belly button that can get swollen since my body is fighting off the lymes?", "output": "Welcome to Chat Doctor .1. No it is not a lymph node, lymph nodes will not be felt in that area in the way you are describing.2. Most likely cause is umbilical hernia, which is bulging out when there is an intro abdominal pressure increased.3. If you are my patient, after examination I would have asked for an ultrasound abdomen sitting/lying/with cough reflux to identify the defect, and depending on the finding refer for a surgical correction.4. So suggest you to see your GP and get needful investigations and treatment done. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My fiance has prostate cancer . We just ran his b/w again today and his PSA is down from .77 to .55 in 2 months but his CEA is up to 13.9. The highest it has ever been is when first diagnosed 2 and half years ago; 6.9. After prostatecomy and radiation , it has hovered around 1.9. The last time CEA was run was 13 months ago so it jumped from 1.9 to 13.9 in a year. Is this a sign of new cancer; colorectal?", "output": "Hi and welcome to Chat Doctor. Thank you for the query. CEA is a marker for colorectal carcinoma, but also some other conditions can cause its elevation, this is not very specific and this is usually used in following patients with confirmed colorectal carcinoma. This is just slight elevation and i don't think you should be worried, but I suggest doing colonoscopy just to rule this out. Wish you good health. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello sir. recently ive had a heart problem.in ecg report,there are some blockage in heart. write now i m taking alopatChatDoctoredicine. not having pain in heart but while sleeping in night my body specially legs pain too much. m blood pressure z also low. please suggest", "output": "Hello. Thank you for your question and welcome to Chat Doctor. I understand your concern. Besides the obvious origins of leg pain, such as bad position or trauma or impact, I would suggest you to explore the vascular side of the problem, to find out whether there is one or not. Do you suffer from various veins (swollen calf veins)? I recommend you to do an echo Doppler study of the lower extremities, also an Anglo computed tomography with contrast agent, of this region. It is because of the blockages in your coronary arteries, no matter what percentage they are, which is an indicator that the atherosclerotic process is present in your body. Therefore, we have to search also for atherosclerotic peripheral artery disease. When you have your results back, I recommend a consult with a vascular surgeon. I hope I was helpful. Take care. Best regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a abscess in the gum on my lower right wisdom tooth. The dentist percribed me with both amoxicillin and metronidazole. I am taking them as stated and taking pail killers regularly, yet the pain is getting worse and my gum is getting more swollen and getting reder. My neck is also stiff and I get tingles running down my neck when I lie flat in bed also find it difficult to swallow when lying down. What should I do?", "output": "Hello, thank you for consulting with Chat Doctor. When the tooth is infected it leads to formation of abscess in the apical region in the tooth, and when an abscess is seen in the tooth medicines are the temporary treatment first you get this infection removed whether from root canal treatment or from extraction of the tooth. This will lead to Chat Doctor. Yes antibiotics are prescribed but just a supportive treatment to remove the remaining infection. So I think that it will be better that you should visit your dentist again and tell him about your problem." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "what is elevated c r p noted .ferritin is not good index or iron stores in presence from inflammation illnessiron transferrinsaturation ferritin looking for simple ans", "output": "Hi, dairy have gone through your question. I can understand your concern. High CRP level is suggestive of inflammation. In case of inflammation s ferritin is not a good indicator of iron store. You should go for serum iron level. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I took a hard fall from 185lb bar that landed on my thigh just above the knee. 1 week later a hard lump has formed and it is numb to touch and itchy at times. I have not iced it like I should. Is there difference between an hematoma or a blood clot? Not sure what it is.", "output": "Hi and welcome to Chat Doctor. Hematoma is collection of blood outside the blood vessels, clot usually refers to blood clot inside vine or artery. Symptoms of hematomas depend upon their location and whether adjacent structures are affected by the inflammation and swelling associated with the bleeding. You may be having traumatic hematoma. Hematomas of the skin and soft tissues are often treated with RICE (rest, ice, compression, elevation). The pain of a hematoma is usually due to the inflammation surrounding the blood and may be treated with over-the-counter pain medications (Tab higher 1-0-1 or Tab solo 650 1-0-1). The choice of medication depends upon the underlying health of the patient. I suggest you to consult a local doctor for proper diagnosis and treatment. All the Beauregard Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doctor im priyanka and had been diagnosed with PCOD and i was under medication for it i go my periods on 7th of October and on 18th i had done the follicular study in which my right side of the ovary was 10 mm and my gynecologist asked to do a follicular study again on 24th of October what should be done next????? will i become pregnant are they any chances in this month??????? plz help me thank you.", "output": "Hi Priyanka, Thank you for choosing Chat Doctor. Chances of pregnancy cannot be predicted right now, you need to have follow-up scans, if the follicle grows well and reaches the dominant size, then injection Chat Doctor can be given for the ovulation to occur. Please ask if you have more questions. If you are satisfied, please make sure that your ACCEPT my answer so that I receive credit. Good luck!!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had Dengue about 5 months back. During the period I had severe myalgia. Now I played cricket after about 5 months and I had similar kind of pain in the muscles which has lasted for about 7 days now. The pain reminded me of Dengue muscle pain. Does it happen like that", "output": "Hello and welcome to ChatDoctorI have read and understood your query hope this will help you. Dengue fever is caused by DENGUE VIRUS transmitted through bite of mosquito ANDES EGYPT. July to Oct are the months in which the disease has peak incidence. The virus has got 3 subtypes. Once affected by a typical subtype of the virus causes lifelong immunity in our bodies.but infection with a second strain causes most severe form of the disease called dengue hemorrhagic fever.as you previously had the disease you will be knowing that disease accompanies high grade fever. At the moment from the history provided by you, I don't think that's the case. I think you should consult your local doctor. As any febrile illness can cause muscular pains especially viral illnesses. I don't think that you are having a second attack of dengue fever. I would advise you to have a temperature record of yourself and meanwhile consult your GP get a full blood count investigation advised and proceed accordingly.Meanwhile tab paracetamol 1 tab 3 times day will be helpful for you. I hope I answered your query can contact me any time for more questions. Thanks Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i get a rapid heart beat that i can feel pulsating throughout my body. it is such a hard beating that it feels like it is actually moving me with each beat. i begin to get dizzy and think that i might faint. it started with my first pregnancy, which i think put extra strain on my heart- that caused me to become symptomatic. it happens at completely random times; therefore, I do not believe that it is associated with anxiety or panic. When I get tachycardic, I know that I should count my pulse- but once it starts, I generally feel like I just need to lay down- Quickly! I find a dark room to decrease all stimulation and lie on my left side for better circulation, still it takes usually 15-25 min for the episode to resolve. any idea what could be causing this?", "output": "Hello! Welcome and thank you for asking on Chat Doctor! I carefully passed through your question and would explain that your symptoms are not related to any cardiac disorder. Anxiety or high blood pressure could be the cause of this symptomatology. Have you measured your blood pressure during these episodes? I would also recommend performing a complete blood count for anemia and thyroid hormone levels for possible thyroid dysfunction which can mimic this symptomatology. If the above tests result normal, and your blood pressure is normal too, you should consider anxiety as the main cause of your symptoms. In such case, I would advise consulting with a specialist of this field, in order to help you manage better your anxiety. Psychotherapy and an antidepressant could be helpful! Hope you will find this answer helpful! Best wishes, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My partner and I are trying to conceive. We started 2 months ago. My periods are always regular, and the first month we tried, my period came 10 days early, negative PT. After that period we were trying again, we have sex regularly 3-4 times per week, and did this unprotected all last month, however my period has arrived again, spot on to the new date from last month. How can I have 4 weeks unprotected sex and not be pregnant? I know its only been two months, but I m 25, regular with periods, and this is the first time I m having unprotected sex. My partner has already fathered a 2 year old from a previous relationship? Is my fertility in question, or is this normal?", "output": "Hello, You have to do unprotected sex around ovulation time for highest possibility of pregnancy in regular period and not the whole month. Use ovulation prediction kit (OVP) for timing of ovulation and prepare for those days. Actually ovulation occurs approx 14 days prior to due date of period and have to sex 3-5 days in that time.Also, you may undergo for some investigation to rule out causes of early period like stress, hormonal imbalance, thyroid disorder, wt gain/loss etc. So consult with your gynecologist and take suggestive measures. Avoid stress, take healthy diet with Vitae & Folic acid supplements, control body wt and proper sleep. Be well." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "per my MRI s that have been taken within the last 1 year, from my tail bone to the base of my skull there is not (ONE)vertibray that isn,t affectived by something in my back that is degenerting in my back. In the insurance I have to take through my former employer, (GENERAL MOTORS) our planted closed in 2008. It is a wish of my to not weake up in the a.m. I m 54 years old, and by somehow dieing (to Get ride of the pain I experence all day everyday and have all documentrs. I m seeing a nerosurgon, tomorrow, the second time I,ve him. I have lived a life with monderate pain, as the doctor treated me with NARRICTS plus sent me through all", "output": "I read your question carefully, and I understand your concern. These widespread changes are degenerative chronic changes which have happened over many years. So reversing them is unfortunately not possible. What is aimed is pain control and physical therapy to stop progression. Pain control is achieved through over the counter anti-inflammatory Chat Doctor. If that doesn't work then medication for chronic pain such as anticonvulsant (Gabapentin, Pregabalin) or antidepressants (Amitriptyline, Duloxetine) are used. Narcotics are used only as a very last resort. Local steroid injections or surgery may be done only when there is one particular site which is the source of the symptoms, like a bulging disc or bony spur compressing a nerve root or the cord. I hope to have been of help." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi can u pls tell me 12 year old high wbc Wbc 15.9 Neut 11.4 Mono 2.1 Looking at these results would u think bad infection or glandular fever or something more like cancer. He is being sent for more tests to check for glandular fever but he was born with immune problem and had a BMT for 11 years ago. Thanks", "output": "Hi welcome to ChatDoctorI have gone through regarding high WBC count in blood in a child. I can understand your concern. Dear, your doctor is right to send your son for more tests to check for glandular fever , as he already has history of immune problem & had BMT. It is a usual thing to be done to just repeat the blood work in a few weeks to make sure that the count is under control. For your info, There are a few different causes of an elevated white blood cell count. Since the white blood cell are involved in fighting off infections in the body. Doctor orders routine checkup blood work that comes back with a high white blood cell count, this typically just means that your son has just gotten over some viral infection (like a common cold) In rare cases, a high white blood cell count can be a sign of a serious problem, most typically a blood cancer like a leukemia or a lymphoma. Even though this is not at all common, this is the reason that your pediatrician is being cautious and checking additional blood work. It will be important to followup closely with them to make sure that everything turns out normal and, if not, the right treatment can be given at right time. So you need not worry, cooperate with your doctor. And If you feel any doubt instantly consult another doctor for second opinion. A balanced diet containing essential nutrients - fiber, vitamins, minerals, antioxidants as, curd , Omega-3, flax seed, oranges, coconut water, Aloe era juice +AMLA juice and regular physical activity and Deep Breathing-Inhale- Hold -Exhale - Hold 10 -20 times, all help to strengthen immune system and assure healthy life. Hope this helps solve your query. Take care, All the best.Don't hesitate to get back if you have any further query" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, im a 27 year old male and i was lifting some heavy concrete and swinging a sledgehammer at my job...i felt a lil back pain that day just really tired......i woke in the morning and and my upper butt tailbone area hurt so bad i could barely get outta bed... its been 4 days now and its still hurting..its when i hit a 145 degree angle the pain is so bad that my legs buckle and when i sit down, even on soft objects, my tailbone area and upper butts area still hurt...can you please help me...im really hurting...from a sitting position i walk with my back hunch over cause i get jolting pains when i try to stand up straight...can you help???", "output": "Dear Sir, Thank you for posting your query at Chat Doctor.come advice you to take hot water fermentation with proper rest. You can take anti-inflammatory dose which will take down your pain. If still the pain is more than consult an orthopedics doctor who is advice you to get x-ray done to rule out any underlying problem. Once you pain resolved start some mild stretches and strengthening exercises for your back which will prevent reoccurrence of pain. If you need any further information, kindly revert to me, I will be glad to assist you. If you find this answer informative, kindly reply vote of thanks. Much appreciated! With best wishes, Tehzib sailed" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi! I just had a dental filling, a root canal and an extraction 5 days ago. My problem was, the dimple on my left cheek (where the dental procedures was done) is no longer visible. Is it because of the anesthesia or nerve damage? My cheek has a little swelling as of now and i am still taking an antibiotic . Is it still possible for my dimple to come back? I m really worried. Please advise. Thanks!", "output": "HelloYour dental history says you had a dental filling, root canal and extraction. It is very common to have swelling after extraction and sometimes after root canal treatment. The swelling will gradually reduce. The dimple is not visible because of swelling, (there would be fluid filled within the spaces in cheek which would have obscured the dimple). As and when the swelling reduces you would see your dimple re-appearing. If it was a simple extraction the chances of nerve damage is very less. In your case it is most likely because of swelling the dimple has obscured, which will reappear once the swelling reduces. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was a girl friend with whom relation broke up in the inception of 2011 which gave me intolerable pain and later in May 2012 suddenly my father died so i can not bear this mental stress so i need a suggestion to forget those painful events. on the other hand i am so emotional although i am 26 years old despite i have full of emotion so i would like to reduce emotion that could be helpful for any other pains. Again i am going to make a relation with a girl but thinking if she betrays then i will face mental stress because of my emotion so plz help me by giving valuable information. thanks", "output": "Hall Thanks for your query. You have broken your relation with your girlfriend and lost your father. These things have hurt you much and have landed you in depression. Please do not neglect your illness just thinking it to be an emotional factor. Pl consult some psychiatrist and start the medicines. If neglected it may turn up in to schizophrenia. Pl remember these things are natural in human life, and you have to accept the realities and face them boldly." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am on day number five of recovering from (Stomach Flu), I have had the runs really bad, and now it has stopped with meds from the Dr, but I have only drank water and ate crackers, what can I now eat, im scared, and my heart is fluttering a little, I type slow sorry. ro", "output": "Dear Friend. Welcome to Chat Doctor. Hi, I am Chat Doctor, I have read your query in detail, I understand your concern. We suggest following diet in case of Acute Gastroenteritis (Stomach Flu):1. Soft bland diet2. More of liquids3. Curd4. Soup and Khichidi5. Pulses. More important here is to see if stomach flu is infective, then antibiotics are required. This is my personal opinion based on details available here. If you still have any other query, you may please ask me. Stay Healthy. Chat Doctor, MD" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I m 30 yrs old lady, trying to conceive...I went thru ovulation study..Result is :- endometrium 11mm..left ovary 33mm and right ovary 36 mm was the last measurement. Doctor told me its turned into cyst n i hv to take medicine for 10 days after that my mensus will start like regular one..medicine of 10 tablets is Dubagest-200. My monthly cycle is of 28 days n regular.I am taking Ovacare each day..but from 2-3 days i m feeling stomach pain...Doctor told to do again ovulation study on the next mensus..As well as sonography on the 2nd day of mensus to chk the cyst has been removed or not...Please suggest me some natural way to conceive...", "output": "Hi, If you have natural ovulation and patent tubes with no male factor defect, you can try for natural conception provided you follow certain precautions like having intercourse on at least alternate days during the fertile period and not washing soon after, lying flat for at least half-an-hour if you have an anteverted uterus and in prone position if you have a introverted uterus. If you fail to conceive even after 6 months- one year, you should take medical assistance. Hope your query is answered. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi,I am age 51 , nonsmoker, with hypothyroidism.exercise 4x/week, I found a 2cm mass under my right clavicle. Had MRI- undetermined if its a lipoma. ..so i am having an ultrasound on Friday. Already saw my endo last week and he thought lipoma. Interestingly, my cholesterol last year was 190 and now its 298! Doctor put me on prevastatin 20mg daily. Mass is not painful, soft and moveable. endocrinologist.thinks it a lipoma too. If it is a lipoma and I get it removed will it grow back? Do lipomas leak?.....", "output": "Hi dear thanks for query on ChatDoctorLIPOMA IS A UNIVERSAL TUMOR. It can grow anywhere in the body. Firstly get an FNAC of the swelling done. Based on report if it comes as lipoma and with your ultrasound and MRI report you can know the extension of the lipoma and get it removed after consultation with the surgeon. Lipomas donor leak. They can develop anywhere in the body. Hope your query is ad Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here... i am 5 weeks prengant and just got results my bloods came back abnormal from the liver test i had a stillborn baby 2 years ago in January could this happen again and can my bloods return to normal again", "output": "Most likely you had obstetric homeostasis in previous pregnancy. It is notorious for causing damage to the baby and is characterized by maternal severe itching and abnormal liver tests. In few cases, it can recur in next pregnancy. But usually it happens in late pregnancy. SO, you need to have observation on symptoms like itching, do regular liver function tests and keep watch on fetal movement in late pregnancy." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi iam Rupali , plz suggest me sunscreen lotion, mou...er & cream , bcoz my complextion become very much dark. my skin is very senci. in all weather i am not cofortable & my skin is mix like just oily & just dry , so plz suggest me which sunscreen lotion, mou...er & cream i can use in summer, rains & winter . .", "output": "My DearWelcome to Chat Doctor ! I have noted your details and concerns and hope that following measures will prove very useful to you as most of the patients that I see with similar complaints:1 Your details indicate that your skin is sensitive to sunlight.2 Physical protection from sunlight is considered to be the best course followed by the use of sunscreens containing Titanium Oxide or Zinc oxide which block all kinds of sun rays3 Due to cosmetic considerations, some people do not opt for the ones that I just mentioned but go for the ones containing Oxybenzone.4 The sunscreen should have an SPF of at least 30 or so to be effective5 always apply 20 minutes before going out6 Use sunscreen daily irrespective of weather7 Use sunscreen for 3 hours and then repaint so that it gives protection from 1030 to 1600 horsehair are no separate sunscreens according to weather. Therefore, you try different brands one by one and then stick to the one that matches your needsIdeally sunscreen should not be mixed with moisturizers Best wishes" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My mom has been sick for months. She started losing weight and at Dr found her blood oxygen was 88% while up and walking. She then developed SEVERE abdominal pain only at night, then food (meat) would make her vomit. The Dr finally removed gallbladder a week ago. The problem has not gone away. She has no appetite, she feels off balance, and hands tremor. Her abdominal pain is still SEVERE at night.", "output": "Hi. The only diseases where there is pain in the abdomen can be a few::Acid Malaria-called so for abdominal presentation of malaria. There is severe pain in abdomen mainly at night. Please discuss this with Her treating Doctor, go for tests of blood particularly for malaria by slide method and by antigen tests. Empirical treatment with anti-malarial may help her a lot. On the safer side to rule out other problems- it is better to go for CT scan of the abdomen. I hope this will help your Mother." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been experiencing some of the same symptoms as Benign Rolandic Epilepsy. I think thats what it was called. Can adults have this? It says it usually only appears in children. For the past year to year and a half, I keep waking up with a severe pain in my tongue. My tongue will also be stiff and hard to move. I nearly always bite my tongue as well and create deep words along one of both sides. It only lasts for a brief time then its over. Recently I have discovered i dont have to be completely asleep now do I have to bite my tongue. The pain has also seemed to move into the back of my throat a little and I sometimes have difficulty speaking in the morning because my tongue is stiff feeling. I have also started finding that I am drooling afterwards and sometimes around my mouth and lower cheek will be tingly. It usually is on my left side but can happen on the right. I cant figure out what is going on except maybe an epileptic seizure but it only seems to happen when Im asleep. Kim matthews", "output": "Hello, Your symptoms looks like a seizure only, and it can cause biting of tongue along with stiffness and pain. As the symptoms are recurring frequently, therefore you should consult a Euro physician and get evaluated. You can be advised an MRI Scan to rule out the exact cause of the symptoms. Further, investigations and management can be planned according. You should take care of it as it can cause fatal outcomes if treatment is not done soon, so you should consult a Euro physician soon. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 41 male, my weight is almost 125 kg. I am using blood pressure medicine. recently i saw my SGPT levels increased but other liver enzimes like bilurubin are normal but on high side. I repeated the same test 8 months ago, where Doc suggested to do Hepatisis test. All Hep tests were also clear.Please tell me wheather elevated SGPT level of 135 are dangerous?? or represent some other liver disease??.RegardsMansoor", "output": "Hi and welcome to Chat Doctor. This is moderately elevated SGPT. It can mean nothing but also can be due to liver disorder. Its elevation is common found in many disorders must most usually is alcoholic, viral, autoimmune or toxic liver damage. The most common liver disorders are fatty liver which can be found in healthy people, but usually is resulting from elevated blood lipids, overweight and elevated blood sugar. If ultrasounds didn't find anything and viral markers are negative then you have no reason to be concerned. You should treat it by changing dietary and lifestyle habits. Do exercise, avoid alcohol, smoking, fats, fast food and carbonated Chat Doctor. Eat more fruit and vegetables, boiled meat and follow some of hepatoprotective diets. Findings usually improves on such measures. If not, then some medicines can be prescribed, but I suggest going step by step. If you don't have any symptoms then this is just slight and reversible liver damage. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have numbness on left side of face and fingers that comes and goes. No pain. This started when I returned home from Disney world. Could there be some nerve trauma from a couple of the wild rides? I did feel a bit beat up! Sometimes it comes on we I sense a bowel movement coming.", "output": "Hello! Welcome on Chat Doctor ! Your symptoms could be related to anxiety. TIA (transient ischemic attacks) ore seizures can not be excluded either. I would like to know your age and past medical history. Do you suffer from high blood pressure or diabetes? What about the thyroid gland? Coming to this point, I would recommend consulting with your GP for a physical exam and some tests: - a brain MRI - an EEG - thyroid hormone levels-fasting glucose-complete blood count-blood electrolytes- a resting ECG-Doppler ultrasound of the cervical arteries. Hope you will find this answer helpful! Kind regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i have genital warts and i just got this cream called imiquimod 5% cream. Well i put it on some warts on the back of my penis and it rubbed against my balls. Well now my balls feel all irritated. Its really red and looks like its oozy. What should i do?", "output": "Hello, As you are already diagnosed as genital warts, I will advise you to continue use of Imoquimod 5% cream. Keep it at that place for 6 to 8 hours and after that wash properly. If scrotal area is involved, then I will advise you to use cotton gauze pieces after consultation. You have to use continuously this cream until it completely Heals or going to off. Keep that area clean, wear loose undergarments, and maintain proper hygiene. I will suggest you to review here with detailed history or consult with the dermatologist. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband is 59 years old and yesterday while working outside on a project, he had an overwhelming feeling of wellness. He said it felt like a rush, a little dizzy and almost like he was young again. He had no head ache or pain. Then later when I came home we came inside and his chest was tight he said but soon it went away. He took his blood pressure and it was normal. I wanted to take him in to ER or call our Dr. but being the man that he is, he refused. Is this something that is concerning or not. The feeling left after he was in the house for about 30 minutes but it seemed to have lasted a few hours. He said it was hard to explain how he felt. But that s as close as I can explain it.", "output": "Hello! Thank you for asking on Chat Doctor! I understand your concern and would explain that his symptoms don't seem to be cardiac related. I would recommend consulting with a neurologist for a careful physical examination, some lab blood tests (complete blood count, PCR, sedimentation rate, thyroid hormone levels, fasting glucose, kidney and liver function tests, blood electrolytes, etc.). A brain EEG is needed to rule in/out possible partial seizures, which could mimic this symptomatology. (Although the duration of the symptoms is not very typical for seizures). If the EEG results normal, it should be followed by a brain CT scan or MRI, to exclude a possible intracranial lesion. Hope to have been helpful! Feel free to ask any other questions, whenever you need! Greetings!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I swallowed about a teaspoon of Natural Dentist Berry Blast mouthwash and now my stomach and head hurt. I have problems with anxiety so when I m anxious it also makes my stomach and head hurt. I also feel dizzy, which anxiety does to me. Do you think the effects are from my anxiety or from the mouthwash?", "output": "Hi. Thanks for your query and an elucidated history. You have a pre-existing history of headache and stomach ache which increases on anxiety. A teaspoonful of mouth wash will not cause any problems as they are diluted and safe enough, even though one accidentally Chat Doctor. So stop worrying. Your problems are due to anxiety only. Keep calm and quiet and take the medicines for anxiety. Your problems will be over." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a cut on my frenulum and there s like a greeny white sort of substance coming from my penis. It s been about a week and it s starting to sting when I pee, I m getting a little worried now can you please give me advice on how to heal it or if this is even normal? Thank you", "output": "Thanks for asking in Chat Doctor forum In short: This is not normal, you have an infectionExplanation: Frenulum can tear following rough sex/masturbation or by other reasons. Greenish white discharge suggest infection. It takes time to heal especially frenulum tear. So, I would like to suggest you to visit a doctor, and you can ask your doctor to prescribe antibiotics local/systemic with anti-inflammatory Chat Doctor. Do not hesitate, visit a doctor. Good luck" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Since I was 15, I have been in a dreamlike state, which I feared to be Depersonalisation disorder. I am 29 now and this feeling has not gone away, even for a moment, in the last 14 years. I have done more searching and found this thing called Oneirophrenia. I am aware that I have sugar problems and need to get it under control, but do not know exactly what to get tested for. Can Oneirophrenia last this long without any relief?Which tests would determine this diagnosis?", "output": "Oneirophrenia is a clinical diagnosis that your doctor makes after reviewing your history. It is a diagnosis that is now RARELY made. You should consult a psychiatrist who will evaluate you in detail. Chat Doctor. Depending on your complaints and history, the doctor may or may not order some tests. You say that you have sugar problem. If you are diabetic, then follow guidance of your doctor regarding medicines, diet and exercise. I hope this answers your question." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "For the last 4 weeks I have been suffering with abdominal pain. It is aggravated by eating pretty much all food so I am not eating a lot which is very draining and making me very tired. I feel very bloated and the inside of my stomach feels bruised. The pain is generally in my upper stomach but spreads to the sides and up my back. I have had blood tests and my bile level came back a little high. I also had an ultrasound to check my gallbladder but it turned out to be fine.", "output": "Hello, I have gone through your query and understood your concern. In my opinion, the symptoms you mentioned above indicative of peptic ulcer disease and area could be near lower one third of your stomach. If you were my patient, I would suggest you to take Tablet Nero 40 mg for 2 weeks, and it should be effective. But also confirm the diagnosis by consulting a gastroenterologist. Hope this helped you. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am used to have opium. Unfortunately, I am short of it resulting acute body ache. Alternatively, I am looking for Kamini Vridawan Ras either from Multani or Baidwan phrarmas. Could you please advise if there might be any side effects by using these tablets", "output": "*1. Since it too contains opium, thus although is an alternative to regular opium but is habit-forming and expensive too and since from this year Government has banned giving required quota to Adityanath/Multan thus is officially unavailable in market, but can be found with some other company mainly Rex of U.P. Pharma but since it doesn't come under government scanner thus can't say about its authenticity." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "few clacific shadow seen in right apex sir i was infected in TB few years ago dr had been to take medicine for 9 months but i had taken only for one month and than left in current two months i have fever on and off mostly in evening so give me suggestion i am very anxious about my health", "output": "Welcome at Chat Doctor I have gone through your query and being your physician I completely understand your health concerns. For how long you're suffering from it? Any other associated problem? Like diabetes or hypertension? Any history of TB in past or exposure to TB? Are u having fever? Any other lymph node swelling in your body? Is swelling on both sides of neck or not? All u need is to start the treatment, I strongly urge you that you should initiate the treatment so that TB get heal with minimum scarring. The shadows which you're talking about is due to active TB. A STITCH IN TIME SAVES NINE. Meet your doctor and initiate the treatment as soon a possible.Meanwhile, stay calm and use acetaminophen to relieve painted well soon Hope your query is adequately ad Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had my gallbladder out on June 30th of this year, I still have the same pain from right under my rib cage to my hip area over to my belly button, along with feeling nauesea. I had a ultrasound done a couple days ago and they found a cyst that they say is a simple cyst. Will this cause the pain that I m having or should my Dr be looking for something else going on? I m tired of hurting please help me in the right direction.", "output": "Hi.noted history of cholecystectomy, current experience of abdominal pain and cystic findings on ultrasound. May I ask where specifically is the cyst located? Is it in the liver area? Post-operative pain/discomfort usually occurs, even after several years of surgery, but the pain is tolerable and spontaneously resolving. If your symptom is persistent and getting more frequent, it is best if you consult with a doctor, preferably a gastroenterologist or a general surgeon, for physical examination and clinical evaluation. It may be coming from the cyst if it is located in your liver (especially if it is increasing in size). Diagnostics (such as ct-scan, tumor markers, liver function tests, etc.) and management (medical and/or surgical if indications are found) will be directed accordingly. Hope this helps. Good day!!~ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I wanna know if I can take hydrocodone and Imodium together. I believe my doctor said I could but Im just double checking. I have pain from my surgery two weeks ago so I need to take those pills but at the same time I have really bad diarrhea as well. Please let me know", "output": "Hi and thank you so much for this query. I am so sorry to hear about this pain and diarrhea that you have reported. The reason why it is not advised to take these too Chat Doctor. However, because you are having diarrhea, it will be okay to take Imodium to stop the frequent stools. What is the cause of this diarrhea? If it has not lasted more than 14\u00a0days and the cause has been shown to be non-infectious, I will discourage any use of Imodium for it may rather be more harmful than helpful. Remember to " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HiI have auto immune hepatitis , Ive had it for a few years now and I was wondering does it cause mouth ulcers ? I seems to get them quite a lot and always in the same place my bottom and top lips I brush my teeth after every meal especially if Ive eaten something sugary and I always use listerine mouth wash. But they keep coming back. Or is it due to me being constantly tired and run down ?", "output": "Hello, thank you for consulting with Chat Doctor. As you are mentioning that you are infected with hepatitis, then it can be possible that ulcers which you are mentioning can be caused because of this only as hepatitis causes ulcers on the lip which is called as herpes labials, and this is recurrent also. It will be better for you that you should take proper precautions to avoid it as avoid trauma and long sun exposures. And also you can start with some antivirals as soon as the lesion starts, but you should consult with a dentist before starting the medications. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was bitten by a black widow about 2 weeks ago on my forarm. The bite swelled up and I have a bruise about 3 inch radius around th bite. The bruise is still pretty big and the spot where the spider bit me is sore and has a hard lump. But the bump area did not bruise. How long does it take to heal? Is this normal for a spider bit? I was put on anitbiotics for 10 days, which was up yesterday.", "output": "Hi, In general, the bruise you're mentioning is a localized reaction to the toxins of the bite. It should be resolved itself in a few days time.However, be a little cautious about it, sometimes secondary localized infection can occur at the site. If you feel something like the bruise is containing pus or is leaking liquid, should consult your GP for incision and Chat Doctor. In most probability, it should heal by itself. Get well soon." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my daughter she is having nodules in her neck for the past 3 weeks consulted doctor gave her antibiotic but still not reduced but meanwhile another one appeared near the earlier one today we are going for the blood test will it be cured with medicine or i should go for a surgery", "output": "Hi, Whether these nodules will require surgery or will go off with medical treatment depends on the diagnosis. Lymph nodes enlargement may be primary (with the disease involving the nodes itself) or secondary (reactive in response to disease somewhere else). Symptoms you mentioned here points towards reactive cause, though your description is very insufficient. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I felt strange and weak,my left leg went numb, and I knew I was going down so I sat on the floor. I got up off the floor after 10mins and saw ble spots so sat down for another 5mins. I have had vertigo attracks but my legs have never gone numb. I have a heart blockage, had a by pass when I was 42, I am now 58. I missed my b lood pressure pill yesterday but took today. What is going on?", "output": "Hello, Your symptoms could be related to low blood pressure or peripheral arthropathy. For this reason, I recommend to closely monitor your blood pressure values and performing a Doppler ultrasound of your leg vessels. In the meantime, I would recommend having some rest and taking plenty of water to stay well HY Chat Doctor. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my 6 years old daughter just recovered from a fever, flu. She was alright in the morning and having her porridge as per normal. But after a milk feed in the night, she suddenly vomit 7-8 times until yellowish liquid is vomited out. Recently, she has been complaining of tummyache and soon after it will be followed by a fever. I am worried what can be the cause of these.", "output": "The symptoms you had mentioned are mostly due to some sort of viral infection. For treatment, you can give your daughter some antibiotic like syrup IFIC or syrup oflox-oz after expert advice along with syrup Cyclops or nimol-plus for fever, lethargy and stomach ache. You can give her syrup vomiting or syrup onset for nausea and vomiting with zirconia syrup or Chat Doctor. Do cold sponging to reduce the temperature of her body." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 3 month old just had a grayish coloured clay like poop is this normal? She was breastfed but has been on a Hypoallergenic formula for 1.5 weeks and the poos at first were more greeny yellow but seedy and large amounts..this was a smaller poo but looked like playdough", "output": "It can be normal, but please get her stool examined to check if she is passing stercobilin or not. This is a by-product of bile that is secreted by the liver into the gut. Presence of stercobilin in stool means that she is fine and there is no blockage in her bile system. I said this because pale stools and presence of jaundice in a small baby (which is not the case with her) can mean a serious blockage or underdevelopment of her bile system. See her pediatrician urgently if the stool test is reported as having no stercobilin." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I m a 36 year old woman. I ve had episodes of dizziness for over a year. When ever I get one of these episodes I also get rapid heart palpatations; feels like someone is squeezing my heart. I workout every day and even teach indoor cycling so as far as staying active; I feel I m good about that. For the past few months though I m lacking energy and in the past 2 days all I want to do is sleep. I m sleeping all through the night and yet I m up for about half an hour and feel like I can sleep again. The last thing is that I ve been bloated for 3 days now. My stomach hurts so much and it doesn t matter what I try to eat or if I take an antiacid...it s not helping. OH, I almost forgot; last week my left eye felt numb and would shift downwards. My eye isn t shifting anymore but it still feels numb a times.", "output": "The palpitation is worth pursuing. An EKG in the office rarely catches the problem. I usually recommend a long term monitor to try and catch the abnormal rhythm and tie it to the symptoms that you feel. There are also tools that allow you to record your rhythm with the telephone. If a monitor finds nothing, you may want to look into one of these apps. If your symptoms only occur every few months, It's great to try and catch it with the electronic device that goes everywhere that you go. If you can catch the rhythm, you can define it, see if it's a worry and know how to treat it." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 35yr old female. recently I went in for a scope to see why I have acid reflux, I ended up getting a second scope and a colonoscopy. They found a 2 inch polyp that was not cancer, but said it couldnt be any closer. It was also sent off to get a second opinion that I am waiting on. I also have had a tumor on my ovaries from endometriosis and had them removed 2 years ago. I was advised to get a mammogram asap. Im really starting to freak out. I want to know if I can get chemo treatments to just get rid of everything even though I dont have cancer", "output": "Hi, Thanks for writing in. Chemotherapy is given only in the presence of existing or pre-existent cancer in the body. It cannot be used as a general treatment to eradicate all cancer cells even before they occur. These chemotherapy medicines are strong and focused to work against rapidly multiplying and proliferating cancer cells containing altered cell nuclear material. As you have a 2-inch polyp, it will be best to get it operated and sent for biopsy. This will pick up even the slightest abnormal cells and then a chemotherapy might be recommended. In the absence of such features, giving a chemotherapy is not justified. You can also get serum cancer markers to know if you still have risk of any specific group of cancers and then become vigilant and get detailed testing done. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Trying to find what could be wrong with my eight year old son. These are his symptoms: 6+month symptoms Recurring nose infection/bleeds goes away only with topical antibiotics Acid reflux (was on prescription 6mo prior now infrequent 2-3x mo treated tums) 3+ month symptoms Headache- usually @evenings 3-4x wk Audio hallucinations 1x wk (not threatening) Visual hallucinations 1-2x day 4-7x wk (shadow people only) Light headed spells last under 1 min 2-4x day (Usually when sitting down. Not occurring in a transaction from sitting to standing etc) he says spinning and he looks pale History: South Carolina east coast No travel out of country He is fit muscle/tone not overweight but bad diet with take-out and sweets Hit head 2 bad occasion- diagnosed concussion age 3 (bunkbed) / nothing found age 8 (trampoline) hallucinations seem to begin after this incident? Hand and foot disease Nov 2017-antibiotics Feb 2018 Lost all lunula s (half moons were just holes in nailbeds) @ all 20 fingernails and toenails half moons were all holes where lunula should be. had blood work done to rule out iron deficiency. Test results iron good Just had MRI was clear (rule out tumor @ hallucinations/injury from trampoline) Doctor sends him to psychologist. psychologist thinks I should continue to seek medical advice to rule out other medical conditions. Sorry to muddy the waters but want to show all history in case one has to do something with the other.", "output": "Hi, If MRI brain turned out to be normal then medical cause is unlikely, a metabolic profile can be done for degenerative brain disease and Wilson disease, but it still has findings on MRI. Psychiatric consultation is also a good option because it will help in both ways. Recurrent nose infection and bleed are recent symptoms that should be investigated with full blood count and coagulation profile. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have a 17 month old baby girl and has amoebaisis, i was the one who took her stool to the laboratory and found out that she has amoeba. her pedia gave her metronidazole and nifuroxazide to be taken for 5days. id like to know what else i can do to help her.", "output": "Welcome to the ChatDoctorSince your daughter is already getting treated well for amoebas, I would recommend you the measures to prevent any further such episodes. Screen other members of your family for carriers of amoebas because any carriers in family can be constant source of reinfections. Amebiasis is prevented by eradicating fecal contamination of food and water through improved sanitation, hygiene, and water treatment. Amoebic cysts are not killed by soap or low concentrations of chlorine or iodine; therefore, water (if you live in endemic area) should be boiled for more than 1 minute and vegetables should be washed with a detergent soap and soaked in acetic acid or vinegar for 10-15 minutes before consumption. In humans, natural E histologic infection does not seem to result in long-term immunity: individuals with a previous amoebic liver abscess are as susceptible to a new infection as other members of the population are. Hopefully this will help you. I would be happy to help you in any further questions. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my brother had a echo test 6 months ago and it was 40%, this morning he had the same test and it was between 15 and 20 %. he is to have his right foot removed tomorrow. He is diabetic and does have heart problems. What are is risk facture for this operation?", "output": "Hi, thanks for your question. Amputations in diabetics are quite commonly performed, mainly for limbs that are dangerous (severely infected), or functionless. Regarding your concern about the risk of the operation, the risks can be divided into short and long term complications. Short term:1. Bleeding, which can be avoided with careful dissection and ligation2. Anaesthetic risks - this is relevant to your information regarding his ECHO, I'm assuming his ejection fraction is around 15-20% which indicates that his heart reserves is quite limited, and he can suffer from low blood pressure leading to a heart attack or a stroke during the operation. These risks are avoided by staying away from blood pressure lowering Chat Doctor. I'm sure the anesthesiologist will inform him about their plan of attack to avoid sucChatDoctorplications. Long term complications:1. Wound breakdown - diabetic have a higher risk of non-healing wounds, I advise for strict control of his blood sugars in the immediate days following the operation2. Phantom pain - a known risk for amputees, having sensation or even pain at the amputated limbs. However, we generally recommend amputation as a last resort and only if the benefits of surgery outweigh the risks. If an infected foot is left alone, the infection can harbor and ascend up, affecting more than just the foot." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi recently I have been having severe headaches only when I m tense and particularly when masturbating, could this be caused by my recent poor sleeping habits, I do have one side of head bigger than other on the back and am worried of a tumour or something like that, I have no history of cancer in the family", "output": "Hello dear, Masturbation is a normal phenomenon, and does not have any side effect on body or mind, unless you get addicted to it. Since you are feeling that masturbation is interfering with your normal functioning, you can try out the following measures:1. Improve your social life by spending more time with friends and relatives.2. Keep your mind active and busy at all times either through curricular or extracurricular activities.3. Have a diet rich in fruits, vegetables, fish, nuts & honey.4. Avoid fast foods & lipid containing diet.5. Avoid smoking & alcohol.6. Keep away stress, think positive.7. Exercise regularly & practice meditation. These measures will be helpful in improving your health & build up the confidence level. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 6 weeks pregnant. I followed the directions for stouffers lasagna to keep the plastic film on until the last 10 minutes, but after the first 10 minutes I realized the smell of plastic in the apartment. I took off the film and put foil over it instead and opened the doors/window. Does this type of plastic cause birth defects if inhaled. Will my baby be okay?", "output": "Hello, and I hope I can help you today. A general guideline that is useful about pregnancy is to think of it as if regarding certain products fumes and other accidental exposures, if it doesn't harm you, it will not harm the baby. If you ventilated the area, and you did not have any symptoms of headache dizziness or blurry vision is most likely that these fumes did not get inhaled by you significantly, and therefore they cannot do damage either to you or to the baby. There is also no evidence that exposure to fumes from plastics, aerosol cleaning products, or similar items causes birth defects. So certainly your exposure to burning plastic in that context is nothing to worry about regarding your pregnancy. I hope that the information was reassuring, and that my advice was helpful. Best wishes, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Dr. Rakesh, I use to masturbate from long time. I got married 2 years back. How ever I found that when I ejaculate it is not coming by pressure if I masturbate regularly. But I I masturbate after 4 to 5 days, my semen ejaculate by pressure . Please suggest me how can I increase my pressure of my ejaculation of my semen. I want to get my wife conceive for a child. Thanks a Lot !!!", "output": "HiT hank you for asking Chat Doctor. I have gone through your query. It is usual to have less volume in ejaculation if you frequently masturbate. For increasing it you should take more water and proteinaceous food. You should have proper exercise also. Weight exercises will be helpful for increasing testosterone and there by increase in semen production also. Hope this may help you. Let me know if you have any further queries." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,the last few weeks i hav been really tired ,weakness,even sometimes shortness of breath.i did a blood test and my doctor prescibe me with ferrous fumarate.i been diagnose in d past with rhematic fever too the last few weeks i feel my heart really beating like a heart race is it normal??", "output": "Hi There After going through your query I understand your concern. I would like to tell you that palpitation or rapid heart rate is the common symptoms of iron deficiency anemia for which you were prescribed with Ferrous Fumarate. But you are prone to develop Rheumatic Heart Disease as in the past you were diagnosed with Rheumatic fever. Kindly get an ECG and Electrocardiography done to evaluate any underlying heart disease. Hope to have been helpful. Kind Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi i have shooting pain in my lower buttocks right side..also moves to the top side of my right leg and down to feet at times and mostly to my knee caps..what to do to stop this pain i am a CNA and need to relieve this pain everyday constantily Thank You Dee Dee", "output": "Hello, As this sounds like a degenerative disc disease. Needs an MRI of the lumbar spine to check the soft tissue changes. Take up the McKenzie maneuver position and centralize the pain. Find this McKenzie maneuver online. Post which use hot water fermentation to reduce the muscle spasm. As the pain reduces with days to come do exercise which includes - core stability exercises, spinal muscle strengthening exercises, hip muscle strengthening exercises, lower limb as a whole strengthening exercise. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a root canal in February and my jaw hinge was sobad it cracks and pops feels like my jaw is got tmj I wen t to dentist twice both dentists said I grind gave me night guard pain is sort of gone now I have rash around my face and numbness around my chin and pain in gum line on that side still cant open mouth all the way what is wrong", "output": "Thanks for your query, you have multiple issues.basically you have TMJ disorder that can be treated by the night guard and proximal tablets.if the pain doesn't reduce then you have to take an MRI and can go for joint lavage with saline(amniocentesis)....the pain in the gum line could be because of the gum infection get yourself examined by your physician for deposits over the teeth and get it cleaned.the numbness could be because of pressure over the nerve by any tumor or cyst...consult your oral physician to rule out all these issues...I hope my answer will help you,take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My wife is suffering from Head Reeling for last couple of weeks. She has done an MRI Scan for head and everything seems to be perfect in the MRI. She has used the medicines precribed by the doctor but still not use. Because of Head reeling, she is becoming weak day by day. FYI: Last week she has undergone the laser treatment for the Kidney stone removal.", "output": "Hello, Thanks for the query to Chat Doctor. Forum. Since, you haven't mentioned the age of patient as this is very important. Since you mentioned in your query that head reeling from many weeks, it means she is suffering these symptoms before kidney stone removal surgery (laser). Now you are complaining that she is going weak day by day. In my opinion her age is around 50 years, if right then please get in blood examination for estrogen, F S H / L H hormones. Get in blood also for C B C (anemia, if any). When your doctor has prescribed Chat Doctor. Good luck. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good morning .I am a general practitioner and my wife is on sevista 60 mg twice a week for 1month followed by once per week for 3 months now for DUB at perimenopausal age of 53 yrs.Next weekly dose due on next thursday. Today she is having pain over left illiac fossa since last 1/2 hour. Should I advice her to continue and if so for how long.", "output": "Hi, thank-you for providing the brief history of your wife. As she is under medication and now having pain in the Iliad fossa, she needs a thorough clinical examination. Also stopping the medicine for time being will be good. Also post examination may be an x-ray or an ultrasonography may be needed to see the possible factors. I feel this could be muscle spasm and can be treated with rest, icing and physical therapy. Her age is 53 so understanding what can be the cause needs attention. If the ultrasound report shows some changes then the treatment will be according planned. Regards Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 2 year old son has been up all night crying about stomach pains. He started with them around midnight. At about 5 am he began vomiting a milky white watery fluid on and off. I have given him some child s paracetamol, but it s doesn t seems to have helped him. He also has a temperature and is lethargic + moaning in pain due to his stomach ache.", "output": "Hi...this could be stomach flu which is starting, and he might start to have diarrhea too. If there is vomiting you can use Syrup Ondansetron as prescribed by your pediatrician (It is a prescription Chat Doctor. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. If there is diarrhea - I suggest you use zinc supplements (Z&D " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a persistant cough that started over a week ago in India. We stayed in a musty/modly hotel room. I had a fever for 3 days. I am now back in the states, still coughing and congested. My mucus is brown, green and sometimes bloody - especially in the morning and evening. I get flashes of sweat and my sleep is not great.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Since you are having recent travel history, we should definitely rule out lung infection (pneumonia) and bronchitis for your symptoms (cough and hemoptysis - bloody sputum). So better to consult pulmonologist and get done clinical examination of respiratory system, chest x-ray and PFT (Pulmonary Function Test). Chest x-ray is needed to rule out lung infection. PFT is must for the diagnosis of bronchitis. You may need antibiotics and inhaled bronchodilators (formoterol or albuterol) on the basis of reports.Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "age-32 years,Height-5.8 inchesDear sir,Around 15 years ago, I inserted a thick long needle in my penis, After a certain point it stops, when I try to insert it more, suddenly blood is flowing of my penis continuously. when I hold penis tight for 15 minutes then it stops flowing. There is no problem for 2 years. After two yearswhenever I walk liquid come out from my penis. due to this I cant run. 24 hours I feel that ants are moving at the joining point of two legs below the penis.", "output": "Degree understand your concerns went through your details. Whatever the injury must have cause two years earlier, must have cured at that time itself. Now whatever you are feeling could be psychological issues. Regarding the liquid flow, you should consult a urologist, if you think it is really that way. Urinary incontinence needs to be treated. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 28 yrs old, married since 5 yrs. Recently me and my hubby planned to have baby. My first day of periods was on the 26th Jan 2010. We had sex on 9th - 14th every day. Now i have tenderness in the breast, heartburn, dizziness, tiredness, sudden sweating, a chill feeling, i feel like just sitting down, today i had loose motion, at times i feel nusea, no sleep in the night, lost apetite. Am i pregnant? Today is the 25 day of the cycle and i have a 28 day cycle. Can you suggest me the best date when i can take a pregnancy test, if you think i could be pregnancy.", "output": "Hallow Dear, Since your menstrual cycle is of 28 days, you had menses on 26th January, the period between 9th and 14th February is a highly fertile period for you. The egg release (ovulation) happens 14 days prior to next expected period. The egg has life of 24 hours while the sperms are active for 72 hours. Hence, your intercourse falls in the fertile period. It gives a good possibility of pregnancy. However, the first cardinal symptom of the pregnancy is missed period. You are yet to miss your period. All other cardinal symptoms; i.e. nausea & vomiting, frequent urination and breast symptoms like engorgement with tenderness, dark discoloration of nipples & areola with areolar widening, Montgomery's tubercles under areola and secretions from the nipples appear about 10-15 days after missed period. Home pregnancy test on urine should be performed on overnight first morning urine sample 8 days after missed period. Earlier, these tests may give false negative tests. You are yet to miss your period. So HPT done at this time may buy misguiding. Wait for your period. If you miss the period, then perform this test after a week. Alternatively, you may opt for Beta Chat Doctor test. These are very sensitive and specific tests and give reliable results even few days before missing a period. I wish you all the best luck for your motherhood. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m trying to get answers. I had surgery 10yrs ago for trigeminal neuralgia 3 days after discharge I developed menningingitis and was back in the hospital. I don t remember much of the experience, after the lumbar pucture, I passed out in the ct scanner with a temp of 106. I did recover And went back to work. I noticed ever since the experience, loss of memory , I would give a lecture at school, and if someone asked a question, I would be unable to answer it. Even thou I have answered the question many times in the past. Through the years I has increased to the point , that I don t teach any more. I ll give lectures , but I keep them simple. When I read I have a hard time concentrating, the woorse part is my retention ability is terrable.. Prior to the surgery, I could read something once and recall anything you wanted to ask.. I have had MRI , in th epast to find something, but mostly my primary told me that I have to learn to live with this , side effect of having severe menningitis with a high temp. What can I do?", "output": "Hello, welcome to Chat Doctor. Your current may occur due to following in given hierarchy:-Memory loss due to damage to brain/neurons-Organic anxiety/depressive disorder-Vitamin deficiency-Combination of above problemsExcept from the first possibility, you will get benefit from the treatment after evaluation by psychiatrist. For Memory loss due to damage to brain/neurons, some behavior intervention may be effective to manage routine social and occupational life. Wish you all the best. Chat Doctor. 99doctor.com" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor, im doing masturbation for the past 12 years (since my starting of my puberty), im unable to stop/distract myself even i handled various measures. Due to this, i started to bunk classes both in school as well as college time, and im unable to chat with the opposite gender, i get ego, misunderstanding among my friends. Say me a suggestion, i Should not Again do this in my Future.!", "output": "Hello welcome to Ask A Doctor service. I have reviewed your query and here is my advice. Masturbation is safe and pleasure giving procedure. In your case you are having excess masturbation habit and so you are not interested in study. Social anxiety, fatigue also can be because of over masturbation. I suggest you to stop watching porn videos and focus on study at this young age. Yoga and meditation beneficial in your case. Make short term and long term goals. I suggest you to consult psychiatrist for examination and counselling. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I started to workout for the first time in a while yesterday doing the elliptical machine and about 10 mins into my workout my bottom teeth started hurting. It got so bad that i had to stop my workout. The pain was a combination of sensitivity and throbbing pain. It has been 12 hours since then and they are still bothering me. I workout on and off again and have been for years and this is the first time anything like this has ever happened to me. I am concerned that it can be related to a heart issue. Can you please help?", "output": "Thanks for your query, I have gone through your query. The tooth pain and your work-out is not related to each other, it might be a co incidence that tooth pain has started while you are doing exercise. Nothing to be panic, consult an oral physician and get it evaluated. The pain can be because of the tooth infection, secondary to decay or abrasion or attrition. Till you consult your dental surgeon, if I am your treating doctor, I would have suggested you to take a course of antibiotics like, amoxicillin 500\u00a0mg and metronidazole 400\u00a0mg TID for 5 days (if you are not allergic). I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a distal radial breakage back in early 2014 and since then I have had ulnar pain and my wrist looks brown/purple in the area where it hurts. The pain is getting worse and I can no longer lift dumbbells in that hand because my wrist will not rotate to a full supine position and when I push it to rotate more, it kills", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have severe redness and pain in the wrist . Well there can be many reasons for symptoms you mention in query like disorder such as diabetes, arthritis, or an underactive thyroid, gout, rheumatoid arthritis, psoriasis arthritis. There is also chances or soft tissue injury lie tendon or ligament. I would suggest you to consult orthopedic surgeon for proper examination. Doctor may order x-ray, CT scan or physical examination. Doctor may tie cr\u00eape bandage and ask you to apply ice pack for first 48 hours and then warm compresses. Doctor may also prescribe lasered. For now do icing of wrist, avoid lifting any weight and give your wrist proper rest. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son was diagnosed with a single mastocytoma? I was told that it was not serious and would go away on it s own. Should I be concerned about allergies? He is not allergic to any foods that I know of and has had seafood and all types of nuts already. The only reactions he has had is to one of his vaccines which cleared up after a dose of Benadryl and he also tends to react to mosquito bites (more swelling than usual). He will be two at the end of January and we noticed his mastocytoma abotu 6 months ago.", "output": "Hello, I think you had meant solitary mastectomy (the correct terminology) but it means the same anyway. I am not sure of the location or the size. They can regress spontaneously and the one blood test that would be very helpful to know his risk of anaphylaxis is mast cell treatise levels. I am sure this test must have been done, as the diagnosis of mastectomy is difficult, unless a bone biopsy was done that showed sheets of mast cells. There is a theoretical risk of anaphylaxis in patients with mastocytosis, but is more patients with systemic mastrocytosis. Having an emergency pack of antihistamines, prednisolone, a Chat Doctor. Insect bite stings do cause problems particularly bee and wasp (including hornet, red fire ants etc.), so you have to ask him to be careful about these things. Best Wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have a pain in my chest area almost feels like a cracked rib. it hurts to sneeze or cough. i have dizzy spells and my anxiety is acting up more and recently i been getting a burning in my throat when i eat. what do you think about these symptoms, any idea what it could be?", "output": "Hello dear, The symptoms as mentioned by you suggest that you might be having Castro esophageal reflux disease, which is caused by the reflux of acid from stomach to esophagus due to relaxation of the sphincter at the lower part of esophagus. Management consists of:1. Lifestyle modification- like weight reduction, sleeping on the left side, or with upper body raised.2. Dietary modification- avoid consuming irritating substances such as acidic & rich foods, caffeine, nicotine, and alcohol.3. Medical management-Proton pump inhibitors like Omeprazole, Lansoprazole, etc. (which prevent acid formation in stomach)An endoscopy will be helpful to rule out any abnormality in the gastrointestinal tract. Based upon that, appropriate management steps could be taken. There is no need to worry, you will be fine. Wish you a good health & speedy recovery. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "As I have gotten older I have noticed people treating me like I am slow.I admit I have trouble understanding things and am clumbsy.I have suddenly realized this while at the dentist office the other day and the dentist asked me if I make big decisions by myself or is someone helps me.Things have been getting harder to do and I feel different or perhaps I have always been this way and never thought about it.Mabey because I am an adult and 38 years old now but it feels as if my brain has not grown with my body.I still have interests that a kid would have such as playing with toys and playing games and adult type activities do no interest me.I sometimes forget peoples names and what day or date it is.I have not had any head injuries..Some people have asked me if I had aspergers and I had to look up the word online.The description describes me a lot.In school I was labled as developmentally delayed.My IQ when tested in jr high was 141 yet I can t understand some simple things.My mobility is getting worse and it s harder to get around.More then one person has asked me about my tremors.These tremors cause me to spill whatever I am drinking in my hand or cause jerky sudden movements.I do not how to go about this.Should I go see my primary care doctor about this or see a psychiatrist about this?", "output": "Hi and thank you so much for this query. I am so sorry to hear about these troubling symptoms and difficulties that you have described. I will suggest that you see your primary doctor for a more detailed interrogation, review of medical records and a complete physical exam. Depending son findings, he may want to do some more test that would offer more information. With is supplemental information, he would be able to tell whether you need specialist attention if beyond his scope or not. If you do, he would coordinate you care and referral as you may often need more than one specialist to get your condition well evaluated and managed. For sure, you would most likely need to get consulted by a neurologist and a psychiatrist to help map out what is the problem. I hope you find this helpful and it ad Chat Doctor. Thank you so much for using our services and feel free to ask for more information and clarifications if need be. I wish you the best of health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a T4 spine fusion 8 weeks ago-I still cannot get out of bed or roll over with out pain-will it go soon?I take pain relief at night but not during the day. I rest alot, but am active around the house as I am on my own now and need to care for myself. I need a cane to get push to stand, and once up am pretty mobile.", "output": "Hi, Thank you for posting your query. It is unfortunate that you have not made a good recovery yet. Sometimes, the recovery does get delayed. I would request you to go for more aggressive physical therapy and pain relief, in discussion with your doctors. This would ensure that you recover faster. I hope it helps. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my cousin sister in 42years old and ultrasonography revealed a liver span of 186mm. She weighs 84 kg and height is 5 ft. It is mentioned in the report that no focal area of altered echogenicity is noted and intrahepatic tubular structures are normal. Her LFT blood report is fully normal. Does this show any kind of problem?", "output": "Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. This means that there are no suspicious lessons such as tumors, so this is good report and you don't need to be worried hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I started out being treated for TMJ mainly just wearing a splint to keep from grinding teeth ., over a year. Now I find I have jaw deterioation on the right side caused by arthritis . I am constantly aware of this because the teeth collide on that side almost like my jaw has dropped causing speech problems & stress. I have seen 3 oral surgeons & other doctors but they seem to think I don t have a problem & won t treat me. The last Doc was an orthodontist & really showed what was wrong but could not help. What kind of doctor do I need? I m so disgusted w the drs. I have seen & please don t suggest I see another TMJ Dr. Thank you & please help.", "output": "Hello Robinson, Thanks for posting your query. As per the details provided, you were wearing splint to prevent grinding of teeth. This has lead into jaw deterioration due to imbalanced occlusion or biting. I would suggest you to use either side of the jaws equally/simultaneously, without applying pressure on a single side. If required, the splint has to be removed. You can also try jaw movement exercises. Avoid too much of wide mouth opening. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear sir my Eosinophil count was 24. I started taking hetrazen 100 from last 25days in order to reduce my Eosinophil count. Then after a week it became 19 , and again after a week now it has increased to 27. i am feeling absolutely fine, i dont hav fever nor any allergies. I dont drink and i have stopped smoking. pls tell me how could i reduce it .", "output": "Hello, Thank you for your contact to Chat Doctor. I understand your health concern, if I am your doctor I suggest you that two most common cause of eosinophilic is parasitic infection and allergy. For the parasitic infection you are taking betrayal which is not responding. For the allergy you have not taken the treatment. I advise try to look out for allergen and try to stop it. I will be happy to answer all your future concern. Thank you, ChatDoctorInfectious disease specialist. Wish you the best health at Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have severe back pain in the left side.consulted the doctor and he asked to do a MRI.MRI report shows partial compression collapse D7 vertebra with slight anterior widging and evidence of mild marrow edema.mild dorsal disc herniation seen at D11 -12 causing ventral thecal sac impingement.Degenerative changes of spine showing variable disc dessication,marginal osteophytosis and small schmorls node in the D7 upper and lower D11 lower end-plate.while sleeping the pain increases...at times i wake up at night due to severe pain..wheareas in the morning i hv less pain while moving...the pain which i feel is in the muscles...please let me know what should i do and how do i get relief.D.C.Das70 years.maleAssam.India", "output": "HelloThanks for writing to Chat Doctor You have age related degenerative disease of spine in the form of osteophytes, disc prolapse etc. Disc prolapse is due to weakness of annulus fibrosis and disc prolapse is causing pain in your case. Treatment is physiotherapy and surgery. Long term benefits are same in both the modalities. Other modalities are ozone ablation and radiofrequency ablation. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Thanks. My 9 year old son has some medium sized lumps/bumps (not white) on his tongue (on the side and the top), mild cough, and a general soreness in his mouth (e.g. it hurts to eat certain things because they sting). No fever. No runny nose. His symptoms are rather mild but I want to make sure it isn t something serious. Also showed up at the same time (though probably not related) he has some new soars on his feet that made him uncomfortable today", "output": "Hello, Welcome to Chat Doctor. I understand your concern. Bump/lumps on side and top of tongue are quite common in child Chat Doctor. It may be due to infection, allergy or vitamin deficiencies. Upper respiratory tract infection may lead to bumps on back of tongue along with soreness in throat. Iron deficiency or vitamin B12 or folate deficiency may lead to such lesions. Sores on leg are not related to this. You need not worry in this condition. Just wait and be watchful. You may go for iron and folic acid supplement along with multivitamin supplement for your son. It will benefit by correcting deficiency and boost up the immunity. Hope this will be helpful. Do ask if any further question is there. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "last week i ate corn beef and then sudden my stomach is paining till now but no vomits and i went hospital the doctor said i got an acid will i used (NEXIUM ASTRAZENECA 40 MG ) which dotor been given but no works with that medicine ( it seems wanting to go to toilet for stool but i cant", "output": "Greetings from Chat Doctor. Thanks for posting your query. It seems like you have been diagnosed with Acute Gastritis and the doctor have given Medium for that. But what I feel is i addition to gastritis you have Indigestion because of which you are getting Intestinal spasm. Hence, you require Digestive medications (like Aristotle) and anti-spasmodic medications (like metal Spas). Kindly ask your doctor for these prescription. Also avoid non veg food, very oily food and eat more of fruits. Hope this information is useful to you. Any clarification feel free to ask." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I have been experiencing abdominal pain and soreness all over my abdomen. Some days my upper left side is sore and other days it mimics appendicitis with lower right side pain and pressure in my upper right thigh. I also have alot of bloating and gas. I have two CT scans and several blood and urine test done and the only thing found was constipation. I increased my fiber and have been havinv regular bowel movements but the pain and bloating continue. My last colonoscopy was 5 years ago and nothing was found then. I do take prilosec for acid reflux. I recently spent some time at wilderness school where we drank mountain water that we treated with iodine and also I even eaten a lot of sushi in the past. Could my problem be parasitic? Any advice?", "output": "Hi. Thanks for your query and an elucidated history. Your history of Chat Doctor. These are sites classically involved in pain when one gets colitis. This can be due to waterborne diseases. May not be parasite. Since all the tests are normal except the colonoscopy not yet done (last one was 5 years ago.). I would advise you to first take a course of an antibiotic, metronidazole, probiotic, activated charcoal tablets and anti-spasmodic whenever there is pain, continue Raniditidine. See the results, if you get well, nothing to be done further. If no relief you can go for colonoscopy and to see what exactly is the problem." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a head cold since 9 days and last night I used the nettie pot to clear my sinus and my head. When I blew my nose, I had a screech sound come out of it and now it is not allowing me to hear properly, it feels like I can hear my hearbeat in my head when I try to sleep and last night I almost felt dizzy when I was trying to sleep. Is there anything I can do until I get to see my family doctor on Monday?", "output": "Hello! Thank you for your question on Chat Doctor! Thy troubles you have are caused by occlusion of the Mustache tube which connects the nasal cavity with the inner ear, and helps maintain the pressure balanced in the inner ear. It can be blocked by inflammation during upper respiratory infections. It can lead to decrease of hearing or noise to the ears. There is nothing to worry about. I would recommend nasal decongestant Chat Doctor. Hope to have been of help! Best wishes!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello. I was punch in the jaw 2 days ago now i can t open my mouth wide. There was some swelling but a used a ice pack and it went down some. Didn t go to the ER. Does this mean my jaw is fractured?", "output": "Hi, Thanks for asking the query, Difficulty in mouth opening can be due to fracture of the mandible, as you mentioned you had a punch there are chances of condylar fracture. Due to swelling in the region there can be Erasmus causing difficulty in mouth opening. Visit to an Oral and Maxillofacial Surgeon and get the check-up done, see for occlusion, mouth opening, mobility, swelling, mobile segment or fracture line. Take an OPG x-ray to confirm the diagnosis. Start with the course of tab Amoxiclav 625 mg and tab broken TDS for 3-5 days. Use Betadine mouthwash gargles twice to prevent infection. Hope this helps out. Regards..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi my vitamin d was extremely low in a physical exam and my doctor said my blood counts were fine, but asked for a copy of my results and my wbc as 4.9 which seemed low to me. I am worried that something mybbe wrong with me, what could be the cause of this?", "output": "Thanks for contacting Chat Doctor. Dear patient please take calcium and it d supplements to correct it d deficiency along with diet rich in it d like milk and milk products, fish and fish liver oils etc., along with exposure to sun for at least 15 minutes a day, as low it d levels can lead to low WBC counts although as, yet you do not have a cause to worry as your WBC levels are within the normal range. There is nothing really much wrong with your body so just relax and chill. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have been taking Microgestin fe 1/20 for about a month and a half, I m aware that diarrhea is a side effect but does it make me less protected? I had unprotected sex this afternoon and this evening started having stomach cramps and diarrhea, I have taken the pill at exactly the same time everyday never missing one", "output": "HIT hank for asking to ChatDoctorI really appreciate your concern, let me tell you something taking medicine without the genuine reason like if there is no pathological condition or some systemic disease is not there then it is not advisable at all to have any medicine this could be harmful later or sooner, better stop such medicine then every thing would be alright soon, take care and have a nice day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have this chronic muscle pain in my upper back all the time, there are times Its ok. I was told its from stress . I need help. I ve been taking muscle relaxer at night and tremadol during the day. I job once a week to relieve stress, deep breather at least once a day, what can I do next to help me with the pain or how do I get rid of it.", "output": "Hello. Thanks for writing to us. The pain in your back seems to be due to a positional anomaly-commonly seen due to a bad posture during work. Taking muscle relaxants, doing hot fomentation and regular aerobics will help in decreasing the pain. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http://bit.ly/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Can a person be emotionally damaged to such an extent that help is not possible? I get tired of hearing that life will get better and suicide is never the answer but I disagree. I attempted suicide in college and 12years later, I am not grateful that I survived. I am so screwed up and know Im not worth saving. I hate myself and Im OK with that. Quick history: 31yr old divorced female. Sexual abuse, cutter, abusive ex husband, drug addict. Basically I graduated college as a people pleasing perfectionist that hid my depression from everyone except. My doctor and somehow turned into the disappointment I am today. I cant get better and dont deserve to be better. Am I correct that Im just too damaged?", "output": "His admire you for better outlook. I understand your concern that you have emotionally disturbed. You faced a lot of problems in your like and I appreciate that you have faced it and grow. This kind of condition can be treated by both Chat Doctor. In psychotherapy and counseling CBT is the best.CBT means cognitive behavior therapy in which active participation is must. It is multi session therapy to identify emotional and cognitive error and try to modify it. For which you have to consult psychiatrist and CBT specialist. In " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "What is the mean of darminant hbv? is it catagious to others or not?", "output": "Hi welcome to Chat Doctor , Dormant means the virus is present in your liver, but it is not causing any damage. Anytime it may become active, multiply and damage your liver. Yes you are contagious once you are positive for Hepatitis B, but the chances of spreading infection is low, when the virus is dormant. When the virus is active your chances of infecting others is very high. Hope I answered your question." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my 11 year old son has been complaining about upper abdominal pain. Overall I would say it is moderate, but at times he says it gets worse and then subsides He s had it for about 24 hours. I took his temperature and he has a low grade fever (99.6). His diet today consisted of sausage and milk for breakfast, tator tots, milk and about a half of a cheesburger for lunch, and chicken soup for supper (not a great diet today, I know). He s been drinking water as well. There is no vomiting, constipation or loose stools. I believe he just has a mild case of indigestion or something similar. However, he just started 6th grade and has never missed a day of school (including pre-school and kindergarten). My point is that he rarely, if ever, gets sick, so he is very concerned about not feeling well.", "output": "Hi! Good evening. I am Chat Doctor answering your query. From the history, it seems like he has got some kind of intestinal infection specially if he had food from outside. If I were your doctor, after a general physical examination of his abdomen, I would advise him for a routine stool test for ova and cyst and treat it if positive. This should relieve him of his problem. If the pain abdomen increases or vomiting or loose motions start, you would have to consider taking him to the ER of your nearest hospital for a check-up. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband had what could be called a Charlie horse last night in his sleep, left lower leg calf. He is over weight, diabetes and smokes, today the leg is very painful, has a problem walking. Hurts to touch, he is on a lot of heart medicine as has had stents placed several years ago. I am concerned about a DVT? .", "output": "Lower limb swelling has many causes such as heart failure, varicose veins, vasculitis as complication of diabetes. Lab investigations should be done like serum uric acid, CBC, echocardiogram and lipid profile and coagulation profile. DVT is common risk factor of heart failure and diabetes. Taking acetyl salicylic acid 75 mg once daily as prophylaxis and Marian tablets as warfarin anticoagulant is effective for your case at now." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, i have been having a heartbeat of 93 beats per minute. I felt like i was going to pass out earlier today, Had a severe head ache and and at one point felt like I was going to throw up. Not to mention my mouth became very dry. I ve been having a sharp pain in the left side of my chest on and off for the past week mostly when I breath. Today it was much worse I almost felt like I could not breath.", "output": "Hello! Thank you for asking on Chat Doctor! I understand your concern and would explain that a careful differential diagnosis between different disorders that can cause this clinical scenario should be done. Regarding the chest pain, the fact that it is induced by the respiratory movements, is a fact in favor of musculoskeletal pain (maybe Costco Chat Doctor. A cardiac related cause can be excluded by this symptomatology. From the other hand tachycardia and " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my husband had a test run to check his sperm and i am not sure how to read it correctly it states viscostity is normand ph semen is 8.0 volume is 2.0 and sperm cnt is 45.60 and sperm nor/100.... 19 (>30) it does state he is showing signs of morphology but i am not sure what else it is showing on the test and what is normal or not?", "output": "Hi welcome to Chat Doctor. I have gone through your question. In your semen analysis all parameters you mention are normal, but you didn't mention sperm motility. As motility is also a matter of concern regarding fertility. If motility is low then I would suggest ultrasound color Doppler to rule out varicocele, and to see vascularity of testes. Hope I answered your question. Would be happy to help you further. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir, Im from kerala working as a cath lab scrub nurse last night we had a pt. with MI and his screening result was negative but unfortunatly his repeat result is possitive my Question is there have any anti-dot for HBSAg and what all precautions should be taken for future", "output": "Hi thanks for contacting Chat Doctor... You are mentioning patient is Bag positive .... If exposure is within 72 hours then anti gamma globulin antibody against Bag can be taken which neutralize antigen... But after that preformed antibody not helpful.... No other antidote available... It is our immunity that eliminate virus.... To prevent infection from Bag positive patient care taken not to come into contact with secretions from patient....Bag positive patients' utensil clean with bleach solution.... Avoid sharing of objects with positive patent to prevent infection.... Take care. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 49 year old male. for the past four month, I have noticed that I am becoming weaker and losing strength. I am finding difficult doing the usual work i did at my job for the past ten years due to this. What can I do to gain my strenth? any medicines? or maybe food choices?", "output": "Dear, We understand your concerns went through your details. If you experience weakness and loosing strength, the best measure will be to consult a doctor for possible wasting diseases like anemia or diabetics. Do not assume medical conclusions yourself and search for help. You need to consult a doctor, get yourself investigated pathologically and then act according to the advice of your doctor. Please do not delay. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query. Further clarifications are welcome. Good luck. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "An ultrasound indicated that I have a highly likelihood of popliteal artery entrapment syndrome and have been referred to a vascular surgeon. Will they do any further testing? If a surgery is needed, will I be on crutches? How long does it take for the knee to heal? How many days will they keep me in the hospital?", "output": "Hello, As mentioned in the history that you have been diagnosed with a rare condition of popliteal artery entrapment syn Chat Doctor. The surgery is small, and it will help release the muscle and tendons creating pressure over the popliteal artery. Hospital stay will 2-3 days maximum depending upon your vitals post surgery. After discharge, you may be advised to undergo physical therapy session for the regaining back the confidence of the limb. Rest assured, you should do well. Hope I have answered your query. Let me know if I can assist you further. Jay In" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 59 year old otherwise healthy non-smoking female. I have 20 % Stenosis of Right Coronary 20% left main artery and my cholesterol is 178. I had a mitral valve repair 10 years ago and continue on Warfarin for continuous A-flutter. I am on Digoxin and atenolol also. Echo s confirm no changes in the valve repair or heart function. My dr wants to treat the coronary stenosis with statins to keep cholesterol levels below 80. I don t want more meds. Do I need to go that route just yet? Thanks!", "output": "Hi, For coronary stenosis of 20%, there is no sense to treat it with stent at all. In this case stent and native vessel will have the same percentage of re stenosis and blockage. And in case of stent you should take extra medications. I would advise you to follow healthy lifestyle, to eat diet less in animal fat, rich in fish oil, eat more fresh fruits and vegetables, exercise much. And everything will be OK. Hope I could help nourishing you good health In case of further questions don't hesitate to ask" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "thank you,,, i had a cbc done and i can not find what all of these abb. mean. can you help me with these abb? the test was cbc with platelet and differential,, here is a list...MCV, MCH,MCHC, RDW, MPV, PLT, ALSO MONOCYTES, EOSINOPHILS, BASOPHILS, NEUTROPHILS, LYMPHOCYTES, MONOCYTES, ALSO THESE SAME ONES BUT IN FRONT OF THEM HAS ABS. WHAT DOES ALL THIS MEAN? THANK YOU SO MUCH", "output": "Hi, dear. I have gone through your question. I can understand your concern. These all values are of RBC and platelets parameters. MCV is mean corpuscles' volume means average size of RBC. Same way MPV is mean platelet volume means average size of platelets. MCH is mean corpuscles hemoglobin and Chris mean corpuscles' hemoglobin concentration. RDW is the red cell distribution width means variation in size of RBC and same is for PD. Neutrophil, lymphocytes, eosinophils, monocytes, basophils are the type of ABCs in differential count. Hope I have answered your question. If you have any further questions then you can ask me. I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a cyst removed from the bottom of my foot 4 weeks ago after having the stiches removed it busted back open and doctor had to wash blood clots out now it is closed up but still sore could there be more blood clots...I am not able to walk on foot still...", "output": "Hello, As your cyst was removed and again the Chat Doctor. There won't be clots as per me. I will recommend you to keep the leg elevated and try icing the lower back. Icing the lower back will desensitize the nerve and the sensory system will be having an anesthetic effect due to which the pain will be felt less. If the wound is healed then you can apply close to the wound to desensitize and the pain will reduce. Usually, it takes some time for the healing to occur. But as per me, there shouldn't be any clots now. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor, I had kept a maid to take care of my daughter who is 1 and a half years old.She was with her for three months taking care of her.One day the maid fell sick and coughed up blood once.After that I discontinued her services immediately.This episode is now two months old.I got the maid s sputum test done for tuberculosis which was negative.However on questioning her she told me that her father had died of tuberculosis 14 years ago.Other members in her family include two sisters,mother and one brother.I also got a digital xray done and a helical CT CHEST,both of which were normal.I want to ask of there is a chance that she may be suffering from active tuberculosis given her symptoms and family history of tuberculosis. Thanks", "output": "Thanks for your question on Chat Doctor. I can understand your concern. No, tuberculosis is not hereditary disease. It is infectious disease caused by bacteria, mycobacterium tuberculosis. It spread by Chat Doctor. Since your maid had negative sputum test and HRCT thorax, no need to worry about active tuberculosis in her. So your daughter is also not at risk of tuberculosis. Hope I have solved your query. I will be happy to help you further. Wishing good health to your daughter. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir,i am 48,male,i am affected smell either good or bad smell allergy by last 10 years,i consult ent ,other doctors,they give citrazin,levo citracin,i dinot like to the medicine,i wooried about the side effect,i want to get cure,daily i am sneezing two or three curchief in the morning upto 10 am,some time full day also ,kindly direct me", "output": "Hello, Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for you as follows:1. I would suggest you allergy testing for common air-borne allergens like house dust mites, molds, pollen, insect proteins, animal dander (if you have pet), etc. As you have morning symptoms more often, I would first think of indoor allergens like house dust mites, molds and insect proteins. This will help you identify the substance causing allergies to you as well as to know the measures to avoid them.2. Based on allergy testing, an Allergist-Immunologist may prescribe you allergen specific immunotherapy which works on immune system to gradually improve allergy symptoms over a long duration. Please note that Immunotherapy takes time to become most effective. It gradually reduces your requirement of medications.3. For symptom relief, I would suggest you combination of montelukast and levocetirizine which will reduce your allergy symptoms.4. In general, please avoid exposure to dusts, smokes and air pollution as much as possible. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you the best of the health ahead. Thank you & Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been experiencing muscle spasms in my arms for several months. An ultrasound revealed bursitis in both arms and shoulders, which I thought was the result of over-stretching muscles on a staff health and safety training day (ironic, huh?). However, the symptoms have persisted despite two cortisone shots by my GP, and I have started to recall (as one does) odd health episodes like blurry vision, tiredness and tingling fingers. Actually, the tingling fingers occur on a daily basis.", "output": "Hi, Thank you for providing the brief history of you. A thorough neuromuscular assessment is advised. As for bursitis, the simple treatment is physical therapy - therapeutic ultrasound therapy and slow graded hold relax technique. For the tingling of fingers, - I will recommend getting the NCV or the MRI of cervical spine done to check the soft tissue injury, as due to the pinching of the nerve these symptoms arise - physical therapy like, TENS therapy, will help improve the overall condition and also with simple neck strengthening exercises. As you have blurry of vision, you should get the ophthalmic assessment done, to see if any optic issues, post which may be a neurologist is needed to check the same. Maybe an MRI will be advised to check any issues with the neurological system. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "1-i make abdominal ultrasound result is increased hepatic echopattern ,free otherwise what does it mean? 2- And i make liver function tests its all normal value (alt,ast,alk phosphatase,albumin,bilirubin direct and total ,total protein ) all within normal value 3-i make pcr taqman the result is 900.000 iu/ml question is what is increased hepatic echo pattern mean? What is the dangerous from this hcv number? Thank you!", "output": "Hello Increased hepatic echo pattern means fatty changes in liver. Fat appears bright in ultrasoundFatty liver is a reversible stage. It is due to excessive deposition of fat within the liver cells. It is good that liver function test is normal. It is important to exclude altered lipid profile. You should increase your physical activity and avoid fried and fatty food. You may need few medicines after full investigations. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi just recently my heart started to beat very fast and hard for probably about 5 min. while it was happening i felt lightheaded. it stopped but now my heart has been skipping a beat every 6 to 10 beats i would guess. this has happened many times in the past but it doesnt happen often at all.", "output": "Hello! Thank you for asking on Chat Doctor! I understand your concern and would like to explain that your symptoms may be related to a cardiac arrhythmia or anxiety. I recommend going to the ER for a careful physical examination and a resting ECG. An ambulatory ECG monitoring and some blood lab tests (complete blood count, thyroid hormone levels, fasting glucose, blood electrolytes, kidney and liver function tests) are necessary to establish the diagnosis. Hope to have been helpful! Best regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello, i have been taking Cerazette contraceptive pill for 3 years and decided i would like to have a baby, i stopped taking my pill one week and one day but i havent yet had a period, i have been sexually active in this time so is there a chance i could be pregnant? Thankyou pregnancy, am i or not", "output": "Hello dairy understand your concern week are on cigarette pill since last three year and stop last from 8 days. But you do not get your period. You are sexually active during this 8 days and I think it is your safe period of cycle. Once your next 2-3 period will come, there is high chance of pregnancy. You can start ova care tablet. It supports reproductive health and efficiently help to become pregnant. Avoid stress, take healthy diet, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 28 and my wife is 30 and we are trying to have baby since last one and half yr I got my semen tests which showed 25% motility and count of 60 millions 2% abnormal forms seen, 4-5/hpf pus, positive fructose do we have chances of having a normal baby naturally?", "output": "Hello and welcome to Chat Doctor! I read very carefully about your situation. Apparently, your semen parameters show that it might be the problem you are not achieving pregnancy. Especially the motility is very low (only 25%). Generally, if the semen motility is under 50%, then the chances of conceiving naturally are extremely reduced as the semen can not pass the natural barriers of the female reproductive tract. Moreover, the presence of pus cells might indicate an active infection of your genital tract. However, the motility of the semen could be affected by some infections. Therefore, try to diagnose the infection and treat it and then examine your sperm motility again. If it is still low, then your chances of achieving a natural conception are very low, and maybe you should go for artificial conceiving techniques. Hope it helps! Best regards!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My name is Delores and I am an adult with add. I am a 65 year old retired African American . I was diagnosed in 1997. I take concerta meds. I still have difficult with focus, completing a task , listening and organizing thoughts (verbal) skills. My strong areas are art, interior design, fashion, color and texture. My goal is to get certified in interior design because I come alive and I enjoy rearranging things.", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. At your age getting certified as interior designer is an easy task. You shall be able to pass what ever examinations because of your experience shall help you immensely. Please do not worry about ADD because if your ADD is to be counted as one disturbing, then the ability you have now, may not be existing. Trust me. Your ADD is a non-starter. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor, I stopped smoking 6 months ago, since then I have not visited the club till 2weeks ago when I went twice and stayed for hours in an airtight place covered with smoke, after then I started feeling sick, firstly I had stuffy nose and blocked nose to fever, now I can t breathe properly, I m still awake cos I find it difficult to breathe and can t sleep, what can I do.", "output": "Hi welcome to Chat Doctor Dear solution is the main cause of falling sick and difficulty in breathing . By now you must have realized this fact ? Adopt Exercise to Breathe Easier. Weak muscles need more oxygen, so you can become short of breath just inhaling or just moving. Exercise changes that. When your muscles are stronger, daily activities are easier. Yoga & Panama - Deep Breathing Inhale - Hold - Exhale - Hold, for 2 seconds each , repeat 15 times. Always breath through nose. Anglo Film - close your right nostril with your thumb, inhale from left nostril, Hold for 2 seconds, Exhale from right nostril, close your left nostril with your thumb, Hold for 2 seconds and Inhale from right nostril . This Repeat 10 times. Kapalbhatti - Exhale with slow force, only throw out your breath, all doing regularly will further strengthen your muscles. If you haven't been active lately, check with your doctor before starting an exercise. A balanced diet which include all essential nutrients is equally important. Peanut butter can pump up your intake of both calories and protein. Protein is important at every meal for people with breathing problem. Good sources include eggs, lean meat, fish, poultry, legumes, and nuts. Crushed Garlic, ginger with honey, lemon juice with warm water with a pinch of salt and black pepper Vitamin B6 and Vitamin B12 are very important nutrients to treat asthma decreasing the inflammation in the lungs. Vitamin C Is needed to fight infection, increase the amount of oxygen and reduce inflammation. Lemon juice and AMLA are the best source of it C. And also a level spoon of turmeric powder with milk at bedtime help boosting immune system. Avoid milk and milk products, substituting other calcium sources. Avoid processed foods carbs, sugar, fried, fast foods, Tea, coffee, alcohol and smoking, stress, sleeplessness and Constipation all will produce biochemical and metabolic conditions in your body that will decrease your immunity. So avoiding is definitely the first step in the right direction to detoxing the body, boosting the immune system. Always Chat Doctor. Medical treatment suggested by your doctor can be complemented using a variety of alternative therapies. Most of these therapies or home remedies focus on strengthening your immune system so that you can overcome your problem. Regular check-ups from your professional are recommended. Hope this helps solves your query. Take care. All the best. Get well soon.Don't hesitate to come back in case of any further query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i had an ectopic preganancy and now i am taking treatment like my follicules havescan in 11 th day and what is the next step i am continuing in taking folxt tablet ,bigamet so that i should concieve . doctor also given me the fertiniod for an ovvulation.plz suggest me that what precaution should i take to get preganant.", "output": "Hi, I think you can have contact with your husband every 2 to 3 days. When follicles reach a size more than 17 to 18 mm, take injection for rupturing the follicles. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. As soon as you get pregnant, go for a scan within 1 week to confirm the site of pregnancy. Recurrence of ectopic is 4 percent. Hope it helps. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doc...just from yesterday evening I am experiencing a lower back pain....I thought its due to fatigue and will go away in the morning...but its agravated in the morning....even to breathe I am having pain...while lying down in bed its paining....its paining the most when I am beding my back and trying to pick something from the ground....when I am standing I am the most comfortable...what should I do...and what doctor should I consult....Dipanjan,M/30", "output": "Howell come ChatDoctorThis could be due to spinal disease, better to get done the x-ray of dorsal spine to rule out the disk degenerative disease, if this comes normal then pain may be due to poor posture, till then you can have the following medicines 1) Tab Diclofenac 50 mg once in day 2) Tab Acetaminophen 500 mg once in Darin case of some spinal disease you have to see the orthopedic surgeon, have a nice day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am expecting bad news from my boss. he stopped by and set up a meeting for couple of hours. my heart has been pounding every since. what can i do to control it. i have tried drinking water. before the meeting i might just need some medication? is this called an anxiety attack?", "output": "Hello. Thanks for asking on Chat Doctor. Yes you are right. You are having an anxiety attack. You might need antianxiety medications and might need to consult a psychologist for the same. It is important to modify your lifestyle. Do some relaxation techniques like yoga or meditation and keep stress at bay. Always keep one thing in mind that pondering over the situation and getting tensed over what will happen will not change the future. On the other hand such a stress about your future will hamper you mentally and impair your strength to deal with the after effects of what happens. Instead, accept all that happens with a smile and divert your energies to find solutions to whatever happens and turn the tables in your favor. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been taking full courses of maleria since 4 years but in every 3 months p.vivex Is ditected in antibody and my platelates goes down v badly..I have taken QST 600, also injections now I am taking lumerax -80, nimsade-p, monticope, pantop-DSR, MACPOD 200..itz been 2 days but I am feeling v weak.please suggest me I wanna get rid of dis parasite.", "output": "Hello Due to prolong period and injudicious the malaria (plasmodium viva) has developed resistance. So numeral and QST will not work at all. Numeral is acting against only falciparum form. When such resistant case visit my clinic I prescribe as following treatment .1ST day Chloroquine 600 mg followed by 300 mg after 6 hour.300 mg on day 2 & 3. Prophylaxis 300 mg once weekly starting first week before exposure, continuing throughout on a weekly basis & for at least 4 weeks after exposure. Concomitantly TABLET \"PRIMARYING 15 mg daily for 14 days. But in your case you can increase the dosage of primarying 30 mg daily for 14 days. This is a complicated treatment and should be taken under strict medical supervision, so consult a physician and get his opinion. As plenty of intravenous fluid required during this period. Hope this will help you. Also get in ultrasound of spleen for enlargement." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have had chest pain for several months. at emerg they determined it was not cardiac (ekg and blood work). could it just be anxiety? or could it be a blockage? i have shortness of breath with walking up a flight of stairs, feel lathargic and have a tight feeling in my arms", "output": "Thanks for your question on Chat Doctor. Since your ECG and blood workup is normal, there is very less possibility of cardiac cause for your chest pain. And yes anxiety can cause the similar symptoms. So anxiety can be the cause in your case. But I advise you to consult pulmonologist and get done chest x-ray and PFT (pulmonary function test) to rule out bronchitis. As all your symptoms can be seen in bronchitis. You should also get done stress test to rule out cardiac cause. So if Chest x-ray, PFT and stress test, all are Normal then anxiety must be the cause in your case." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am wanting to get pregnant. I habe been trying for about a year. I have a 30 day cycle and my period is always on time. I know I ovulated before i started trying to concieve, but now I see no signs of ovulation. Can you have a period but not ovulate or is it that im not having any symptoms or that I am now infertile?? Help me!", "output": "Hi and welcome to Chat Doctor. Ovulation generally occurs between day 10 and day 19 of the menstrual cycle, or 12 to 16 days. It is difficult for a woman to know exact date of ovulation and signs of ovulation are not experienced by many women. Here are few signs of ovulation1. During ovulation, the cervical mucus increases in volume and becomes thicker due to increased estrogen levels. It is often said that the cervical mucus resembles egg whites at a women most fertile point.2. Ovulation may also lead to a 0.4 to 1.0 degree increase in basal body temperature, but difficult to determine this rise3. Finally, ovulation predictor kits are available from Chat Doctor. Most of the women who have regular cycles ovulate, but if you think that you are going through cycles without ovulation then it's better to consult a gynecologist and she/he may suggest you a scan.A woman said to be Infertile if she fails to become pregnant after 1 year of unprotected sexual intercourse, I suggest you to eat nutritious diet, Take Tab ova care 0-1-0 for 3 months (it contains nutrients which helps in ovulation) and observe for 3 months, if you fail to conceive it's time to consult an expert. All the Beauregard" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "had some pain in lower back(traveling with loaded bike in south ecuador)and after 3hr on horseback in the mountains it got worse.had some treatment with chiropractor and felt much better.after traveling 30km and bit higher(2000m asl) experienced some dizziness .went to medical center to check blood pressure(84/120) and temperature(36.5).i m 58 years young.any thoughts", "output": "Hello. Thanks for writing to us. The pain in the lower back is likely to be due to the stress of traveling on a horseback. The feeling of dizziness could be due to change in the environment, motion sickness or vertigo due to cervical spondylitic changes. You can get appropriate medicines from your physician. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http://bit.ly/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 8 year old daughter has just recently started feeling like she can t breathe while doing her team sparring class in karate. It happened Sunday and again today. We have never had breathing issues with her before. She runs cross country and competes in martial arts. She is in top notch shape.", "output": "Hi! Thank you for consulting with Chat Doctor. Is she only having difficulty of breathing during activities or even at rest? Does she have asthma that could have been triggered by the exercise? It is best to bring her to your doctor to have her thoroughly examined. Difficulty in breathing can be sign of problems in her airway, lungs or heart. This should not be ignored. For now, I advise that she refrains from physical activities until cleared by your doctor. I hope I was able to help you. Have a good day! Sincerely, Handle Dulay-See, M.D. Pediatrician" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Yesterday afternoon, I think I had food poisoning. I started getting cramps/pain in the lower abdomen. I wasn t able to defecate. I began sweating. I threw up once and continued to have pains. In the evening, when I was finally able to deficate, I started bleeding from the rectum. The blood was light red and watery. Today I am still bleeding. The bleeding only occurs when I try to deficate. What should I do? What should I eat? Do I need to be concerned?", "output": "Hi. You need to be concerned as this is a cause of concern. The probable cause of your symptoms is gastroenteritis, colitis being severe enough to cause the bleeding you have. I would suggest you the following :Get a clinical examination. Get started with a course of an antibiotic, metronidazole, probiotic and symptomatic. Take the course of 5 days, and you may be fine. Please see that you are not diabetic Further investigations may not be needed if you get well. If not, then get your blood, urine, stool and colonoscopy done." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have irregular cycles 21-25 days . I have been ttc for 6 months. I think I ovulated on CD12 (had follicle tracking) So my period is due today or tomorrow. Really feels like it is due , have cramps and pressure in my abdomen. No bleeding yet but after a bm this morning did have a creamy pink discharge . My question is really how long after spotting / CM like that would should bleeding start? Also if there is no further bleeding, could I be pregnant even though I feel like Im having the ususal pre-menstrual cramps?", "output": "Hello dear, I understand your concern. In my opinion the period might start spontaneously or within 1-2 days after spotting, but it might be variable. As the ovulation had occurred on 12th day the period might come on 26th day in case if there is no pregnancy. The presence or absence of pregnancy cannot be definitely predicted just basing on symptoms like cramps, spotting etc. I suggest you to do a urine pregnancy test a week after missed period for confirmation. Usually a urine pregnancy test done after a week of missed period gives accurate results. So relax and avoid stress. Nothing to worry. Hope this helps. Best regards..... Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im a 31 year old male and 2 days ago, when visiting the doc for a throat infection and conjunctivitis (woke up with it), the nurse told me my blood pressure is 163/108. The doctor didnt address my high blood pressure. I checked it again at the pharmacy the next day and it is the same. What are the first things I should do?", "output": "Hello, You being a young hypertensive you'll first evaluation for cause of blood pressure. You should undergo test like kidney function test, renal artery Doppler, Sr cortisol and 24 hr Urinary metanephrines. Also get lipid profile and sugars tested. You should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. If your blood pressure is persistently above 140/90 then you will need treatment like tab Telmisartan 40 mg or amlodipine 5 mg etc. Regular exercises like brisk walking, jogging according your capacity at least 30 min a day and 5 days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity. Get your lipid profile and sugars tested once." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am a 40 year old woman with a very long history of abnormal cells mainly pertaining to the HPV Virus, I have had numerous cryo-surgeries over the years, I have two children now and am all done with that part, my husband has had a vasoctomy. That was over 10 years ago. 2 years ago abnormal cells were again present and my doctor performed the LEEP procedure. The pathology report after that came back showing remaining cells, then I had I pap or two that would be normal, now back to having low grade abnormal cells. He has in talking mentioned performing a hysteroectomy and leaving the overies. I am meeting with my doctor tomorrow for another 3 month follow up Pap test, and I have really decided that I am ready to be done with all of this. I think it is time to get it over with. My hormonal history is another story it is a disaster, a battle with severe depression, cystic acne, horible PMS ever since my teens, mood swings that my family is just suffering from and I have been treated with medications for anger, irritability to the extreme. My point is this: Why should it be my doctors decision whether or not I have a hysterecotmy? I have been through over 20 years of this and am out of my child bearing years. I have already had a LEEP procedure that has not worked?? This has gone on long enough? Here is my other question: Why does he have the say so whether or not I keep my ovaries? He told me that I am young and that I need them. I want them gone! I have decided that they are fighting against me. I am already on Bio-identical hormones and we are having a hard time even getting those regulated, because of what my BODY is producing. I am still naturally extremely high estrogen, and it seems to me that with all of the other hormonal issues mentioned above that it may just be easier adjusting hormone supplementation going in from the OPPOSITE DIRECTION?? Without ovaries?? Isnt that my decision? If I am going to have a hysteroectomy? If anyone has any advice I would gladly appreciate it. I am just walking around with HPV and a hormonal disaster, I feel like I dont have the untimate say so. Thank You and I greatly appreciate your knowledge on this subject. emails are fine also!", "output": "Hi there ~I understand your concerns and I believe after reading your brief history that getting a hysterectomy would be a good choice for you. I am glad that you are consulting a psychiatrist for your mental health issues and I believe they will get better after the surgery, as that would be one big thing to worry about less. About the ovaries, it is up to you to keep them, since your estrogens and progesterone are produced by the ovaries, and you might experience premature menopausal symptoms if you decide to have them removed. However, you should consult your gynecologist who will perform your hysterectomy about this. Take care of yourself and have a lovely day!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "iam a heart patient having MI 2 years back. A few wweks ago i ave undergone stress test and the doctor opeined that ihave still block and recomended to take angeogram. my stress test shows that i have excellent exercise tolerance. I used to walk briskly for about 45 minutes daily and have no problem. please have your valuable advice", "output": "Hi, Thanks for writing to Chat Doctor, I am Chat Doctor. A block in the arteries supplying blood to the heart muscle usually manifests as having chest pain or ECG changes on exertion and heart attack as an occasional grave consequence your treating doctor saws one hangs in your ECG upon exercise or if you developed any chest pain, it may predict up to 75-80% accuracy the existence of a blockage in those vessels. If you get it looked at, as your doctor advised, and get it managed by placement of stents, it may prevent the development of another heart attack. So yes, you should absolutely get it done hope this answered your question, if you have more feel free to ask. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter (30 y/o) was recently diagnosed with lyme disease /w two co-infections. She has a multitude of symptoms, and just the last couple of days has been experiencing low blood pressure; 90/60 accompanied with her heart pounding in her chest, blurred vision, dizziness and lethargic. Is there anything I can do to help her feel better? I have her laying down with her feet elevated above her heart which seems to help a bit with the BP, but this is a scary situation and we arent able to reach her doctor today for answers.", "output": "Hi, dairy have gone through your question. I can understand your concern. She has Lyme disease with two coinfection. Hypotension is common in infection. Hypotension leads to blurring of vision and lethargy. She should take intravenous fluid and antibiotics. Take plenty of fluid orally. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I ve experienced swelling on the left side of my lower abdominal area / upper groin I noticed this about a month ago. It wasn t extremely noticeable but I felt it more so when lying down. I just started experiencing some pins and needles feeling in my left foot/ big toe area mainly when urinating but just when I just start urinating. Do you have any thoughts on what this might be? My mother seemed to think it is kidney stones.", "output": "Hi, dairy have gone through your question. I can understand your concern. You have pain in lower abdominal area with needle and pin like sensation. You may have some kidney stones or some other disease in kidney or urinary tract. Furthermore, you should go for urinalysis and ultrasound abdomen. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My head really hurts in the temple region and I cannot really focus, I haven t had any type of impact so I don t think it s a concussion but I get really dizzy when I stand up. I m also on a diet so it could be what I m eating but I just ate and apple and other fruits. I m not sure what s wrong.", "output": "Hi there. You could be having stress headache, migraine headache, disordered blood pressure or orthostatic hypotension. I suggest that you keep well HY Chat Doctor. Avoid junk or fatty food, colas, smoking or alcohol. Before you get up, kindly flex your ankles and feet up and down for about a minute. This will help bring the blood up to the head by the calf pump and prevent dizziness due to orthostatic hypotension. If this does not resolve the problem, kindly show to your Neurologist for proper diagnosis and treatment." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i m Nancy, i am 30years and have been married for four years.We have also been trying to get pregnant but all seems abortive .I also been missing my monthly periods some times but for the past 1and a half years it has been normal.I went to see a gynea he sent me for an ultrasound which showed i have bulky ovaries and partially located in the pouch of douglas and they are polysystic.i m scared because i really need to get pregnant and have my baby.my husband also has low sperm count of less than i million and the motility is low?pleas i need your advice.thanks email: YYYY@YYYY", "output": "Hello, Welcome to Chat Doctor, I am Chat Doctor look, you have to be treated meticulously. Here you mean both of you. Specially, you should be treated with metformin and oral contraceptive agents containing estrogen and progesterone analogues. Your husband should be investigated first with color Doppler study and ultrasonography of scrotum for search of any abnormality. After that he has to be treated with coenzyme q and vitamin E should be given. Lastly, consult with an infertility specialist for further management. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I fell today in the bath tub and landed on my left side, middle of the ribs. I am in pain, hurts when I take deep breath but just think I bruised my ribs. But now 9 hours later I have bright blue veins running across my chest and breasts. never had that before, can even see them under slight tan. Lots of heart problems on both sides of family. should I be worried?", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. You are having blunt chest trauma due to fall in Bath tub. By your history and description, possibility of musculoskeletal injury is more. And the things you are seeing, slight tanning, redness, veins etc. are due to inflammatory edema because of musculoskeletal injury. So no need to worry much for heart damage. Better to start painkiller, anti-inflammatory and muscle relaxant Chat Doctor. Apply warm water pad on affected areas. Avoid heavyweight lifting and strenuous exercise. Avoid movements causing pain. Don't worry, you will be alright in 1-2 weeks. If not improving after 1-2 weeks or worsening than get done chest x-ray to rule out internal damage. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,I am 40 year old guy. My MRI scan shows that my whole spine has almost degenerated( almost black vertebrae in the scan), I also have cericle spondilosis C7 bulge and lumber spondylosis L4-L5 and L5-L6. Dr Also said that the scan shows that its osteoporatic ( after explaning to me about the shape and size of the vertebrae). What can I do to keep my spine in good condition? Thanks in advance for your help.", "output": "Hi, thanks for writing to Chat Doctor. Your description suggests that you have DEGENERATIVE DISC DISEASE. The initial management of your problem will be as follows -* Quit smoking, as this will have a detrimental effect on disc degeneration* avoid lifting heavy weights * avoid forward bending activities * Use a lumbosacral back support * Intermittent pelvic traction * Maintain optimum body weight, if you are obese* Physiotherapy to strengthen your back muscles. Physiotherapy has to be done only after the acute pain has subsided.* Judicious use of analgesics and muscle relaxants.* Daily intake of calcium supplements to keep your vertebrae strong you do not find any relief, then consult an orthopedic surgeon and follow his advice. Hope this information is helpful. Good day" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor, recently i sat wrong or slept wrong and my right testicle was hurting and the last two times my semen was brownish with a little red in it the second time, it does not hurt or burn, feels normal and the pain is almost gone, is it reason to worry or will it go away once it heals", "output": "Hi, The seminal vesicle infection that is seminal vasculitis had to be ruled out by ultrasonography of testes, transrectal USG and semen culture. If the culture shows an organism than the need to be treated with an antibiotic course. If all report normal than you can neglect one episode of hematospermia. Hope I have answered your query. Let me know if I can assist you further. Part Goswami, General & Family Physician" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have small reddish bumps between my eyes and bridge of my nose, (closer to my eyes). They dont hurt unless I rub my eye, even then its not really a pain its more of an irritation. Ive had them before but shrugged it off, they go away after about a week, but come back, randomly. I thought it was my make up, however I have since quit using make up after the second time they appeared. They dont really look like blisters or warts or anything like that. They look more like irritation and swelling due to a clogged tear duct, and I dont think they are styles, as I have had those, however I have no idea thats why I am here. They dont have any fluid in them that I can see or am aware of. What are the most common possibilities of what it could be, what causes it to happen,and how to treat/prevent it?", "output": "Welcome to Chat Doctor, Nothing to worry about. These small reddish bumps may be due to some infections. The best thing for you to prevent such episodes is avoided using more creams in the face. And wash your face with Luke warm water regularly and have a massage starting from the place of the bump to the middle part of your nose both sides on regular basis. This will prevent further episodes. Hope this explains with regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my one year son had a fever for 4 days, when I took him to the doctor they said he had strep throat, he was given antibiotics for 2 days and now he has red spots all over his body and it seems to be getting worse, they are not blistery and dont seem to be itchy. What could that be from?", "output": "Hello, Fever with four days with rashes is usually a presentation of viral anthems measles. It is associated with acute respiratory infection (ARI), gastric upset. It has a course of one week, sometimes require antibiotic treatment. There is nothing to worry about rashes, it doesn't require any treatment, will resolve in a few days spontaneously. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI MY NAME IS GUSTAVO DE LA CRUZ .AND MY QUESTION IS ,MY 13 YEAR OLD GIRL IS BEEN GETTING DIZZY ALMOST LIKE SHE IS GOING TO FAINTH . I WAS JUST READING ABOUT WHAT CAUSES IT, AND I WAS WONDERING WHAT CAN I DO IN THE MEAn time to make her fell that its temporaly so she does not get scare she gets realy quiet and i think she is allways thinking about it.thank you it would realy help me to get an advice from a profesional like you guys.", "output": "Dear, Half knowledge about body functioning is like having no knowledge at all, It can create stress and anxiety now you are facing. If you want to clear your doubt, consult a physician first. No self conclusion. It can do more harm than good. You are not your doctor. There are people who are qualified. Consult them and get to a conclusion and worry if you have to. And definitely you will not be having to. Wish success." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Dr I am not proper English speaker I will try to explain my question . I had bladder infection 3 weeks ago now my period is delays 7 days But before I got bladder infection I had intercourse when my last period ends Do you think the infection is delay my period?", "output": "Hello,First many reasons for delayed periods like pregnancy, POD, Stress, thyroid dysfunction and maybe because of some birth control Chat Doctor. Urinary tract infection (UTI) can be due to restricted water intake, wiping your private parts from front to back will prevent the spread of infection from anal area to urethra, sustained use of napkins for long period is also a reason. So the chances of delayed periods due to UTI is very low. My suggestion is you can take a urine pregnancy test and consult an obstetrician or gynecologist for further steps. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "okay so i got this loette pill right its a really low dose and it says to start in the pink shaded area when u have ur period then they have the white tablets theres sevens they are sugar tablets ? it says after u take the 21 tablets which i have only taken 7 tablets coz i started half way threw the packet it says u take 7 white tablets and u get a with drawel bleed what is a withdrawel bless ?", "output": "Do you know how this pills act and how your menstrual cycle works? There are mainly 4 Hormones whicChatDoctores into act-1. Oestrogen2. Progesterone3. LH4. During a normal cycle this 4 maintain a perfect balance. First few days the Estrogen maintain the endometrium but during the mid-cycle there is sudden rise in FSH and LH which causes Ovulation. Then again estrogen takes the control and progesterone also play a role. Then the level decreases and endometrium can not maintain itself thus menstruation occurs. Now when you're using this throughout the cycle you are supplementing estrogen and progesterone from outside thus no LH & FSH surge-no ovulation. After 21st day the rest 7 tablets are nothing but iron tablets, so during this time no hormonal support from outside so similar situation arises like menstruation endometrium can not maintain itself. This occurs due to with Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Dr. Samuel, My name is Jamkt and I have this rash, it started on my hands, it s not itchy like scabies, but it seems like I detect tiny little eggs coming out of my skin, it s on my hands and now it on my face. I tried anti biotic ointment and wash it with salt. But it seems it s getting worse and worse. Please can you help.", "output": "Hi, As per your query you have rashes on my hands and face which seem to be that fact that you are being exposed and re-exposed to the allergen and this is the reason that they are persisting. Need not worry. I would suggest you to take proper course of antihistamine Chat Doctor. Wash faces with face wash containing salicylic acid twice a day and apply cream containing atelier acid. Exfoliate your skin once in a week to remove the dead skin. If condition doesn't get better in a month then consult dermatologist again for proper diagnosis and to rule out any underlying condition. The doctor may prescribe isotretinoin, steroid ointment or antibiotics course. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi iam andy taking pamvax the pain is just under my rib cage . when having sex itslike a build up and then when it releases the pain has gone . its so weired . there 1 miniiut gone in the next also feels like i need the toilet really bad when i go its just trickles out . but it feels like theres loads in there.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Sexual activity is considered as heavy exertion. So you are having chest pain with such heavy exertion. Your pain subside with once sexual activity is over. So we should definitely rule out heart diseases in your case because heart diseases commonly cause chest pain on exertion. So get done blood pressure monitoring, ECG and 2d echo. You may need cardiac supportive Chat Doctor. If all these are normal then no need to worry about heart diseases. Sometimes musculoskeletal pain can also cause similar symptoms. So apply warm water pad on affected areas. Take painkiller like ibuprofen. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i am 33 yr i have this problem 1 month ..my right testical is swelling and lowerabdominal is burning all the area is burning ..i went to a doc 10 days before he take urine and never unswer ,i had back pain 4 months. the doc give antibiotic but i did not use good anough.", "output": "Hi ! Good evening. I am Chat Doctor answering your query. With all probabilities, you have got a urinary tract infection with spread of the infection to the testicles. If I were your doctor, I would go for a urine routine, microscopic and culture sensitivity test and depending on the report, I would prescribe an antibiotic, which you might have to consume at least for 10-14 days for eradication of the infection. Apart from this, I would advise you a Bag and HIV test as a routine. If you are sexually active with multiple partners, then I would advise you to avoid it till you are cured, and then take appropriate precautions for the same. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hii am 30 years old, height 6 ft, weight 80 kg. sometimes when i finish passing urine, i get few drops of urine. As i am muslim and we need to be neat and clean all the time. i dont want that a single drop of urine will come out after i finish passing urine.", "output": "HIT hank for asking to ChatDoctorI really appreciate your concern looking to the history given here I would like to say you that if you are a male person then the chances of prostate enlargement is likely and for that you need to confirm this, as such you have not mentioned your gender here, so if you are female person then urinary tract infection and other gynecological problem need to be differentiated, hope this information helps you, take care and have a nice day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello how are you Dr.? My son is ten years old 138 pounds and about 63 , the doctor told us he has high cholesterol. I stopped giving him potato chips, cookies,cakes and fried foods. He also exercise sometimes ,he s very lazy can I give him green tea to help with his cholesterol.", "output": "DearWelcome to ChatDoctorWe understand your concerns went through your details. High cholesterol in child Chat Doctor. Sedentary lifestyle is the key. There is no necessity of you getting alarmed. The high cholesterol level in your child is not going to affect his health adversely. But it is a warning sign for his later life. Green tea could be helping a bit. But you must compel your child to play outside. Physical activities is the best method to burn the extra cholesterol. Another aspect is improving the HDL level. You can improve the HDL level with the help of pomegranate and nuts. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query. Further clarifications are welcome. Good luck. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello my son is having some trouble thinking clear and rational thoughts. He asked me if I was his real mother and if I loved him. He tells me that he experiences attacks where he feels like he is in hell and can feel the fire. He says it scares him he usually is in tears with accelerated heart beats. This has been going on since Friday with bouts everyday that lasts for an hour or two, which during that time he is unresponsive to an extent just seemingly somewhere else in his brain and looks of distrust what do you suggest, does he need hospitalization tonight or can I wait to make an appointment tomorrow?", "output": "Hello, Your sons' symptom need further test to clarify if it is only psychological or neurological. You should get his EEG and an MRI brain to see if there is any problem. Also, if the symptoms of auspiciousness is only for that one hour in whole day, and he is almost unresponsive to relevant communication during that time-this to suggest neurological cause. Only if the above two investigation turns to be normal, I would suggest that you take him to a psychiatrist for thorough interview. Only after personal detailed interview one may say if it is psychosis only. I hope you understand that tests are must and without them, it is inappropriate to proceed further. So, you take him to doctor at earliest. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Dr I dont know if you can help. This morning after cleaning my teeth, I notice it looks blue across just below and upper my lips of mouth not in a straight line . This was not their before. All I had was just soreness even some foods apples, hot drinks and toothpaste using realyl burn and hurts.", "output": "HelloThanks for consulting ChatDoctorRead your query as you have soreness in your lip this soreness can be due to allergy to any antiseptic solutions if used in cleaning of teeth, or it can be due to thermal burn, or lichen plans, Chat Doctor. In meantime do warm saline gargle two - three times a day, you can apply ointment like McCoppin or mugel of sore lip and consult oral surgeon for examination of lip. Hope this will help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Just recently yesterday morning i noticed a slight bump on my penis close to my pelvis and was concerned that it was something serious. i first noticed it when it bled slightly, but after that it just remained a little swollen and had a small entrance mark resembling a cut. Up until now the swelling has gone down a little, i wasnt sure if it was a bug bite or maybe something more serious, what are your thoughts on this?", "output": "Hi, it sounds strange. Did you suffer any trauma to the area or any sexual encounter in the recent past? These things could explain why it happened. Other than that it would be difficult for me to say, specially without examining you. You could observe it or better would be to show it to a Surgeon who can examine you and suggest accordingly. It is probably nothing serious, but it would be better to be sure and get it out of your mind by seeing a Professional. Take care, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am married, on 30 jan 2011.me and my husband decided that we dont use any precautions. my husband come with me around 15 days in a month.but now in july we lives in same place and in these days we did sex about daiy. but till i don;t concieve a baby.so we concienerned a doctor. and i have a mildly bulky uterus. is this reson for me not getting concieving. i am very sad .please help me what can i do for concieving a baby.", "output": "HIIT would have been nice if you had provided me some more information like your age, BMI, regularity of menstrual cycles, and whether you have had basic infertility investigations (hormone tests and fallopian tube patency test for you and semen analysis for your husband)What treatment have you taken so far?Don't worry. Mild bulky uterus does not cause infertility. If you have not done the basic investigations mentioned above, first do them. Further treatment depends on the results of those investigations. To increase your chances of conception maintain normal BMI, quit smoking (if you're a smoker) and have intercourse at least three times in a week. If you have any further concerns do contact me through Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi , I have swollen gum and I am not a good teeth caretaker and I have realised in a big way .now the issue is that I have swollen gum or you can say a lump ( medium).I am maintaing the cleanness and taking a medicine and applying some ointment on swollen gum .please help and suggest what can be done or what type of antibiotics can taken to reduce swelling or lumpness on gum .thanks shashank", "output": "Hi Welcome to Chat Doctor . I have gone through your query and can understand your concern. Swollen gums can be due to many reasons. 1. If you have a localized swelling on gum, the most common reason might be a dental abscess as a result of dental decay. 2. Other common reason of localized swelling on gum is periodontal abscess (collection of pus inside gum tissue).3. Next is localized gingivitis or infection of mistreatment depends upon the cause. In case of periodontal abscess/ gingivitis scaling & curettage is required. In case of dental decay root canal treatment/ extraction of tooth may be required. You should visit a dentist, he would make diagnosis and treat accordingly. In meanwhile, you could take metronidazole 400 mg thrice a day. Hope this information helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a 15 month old daughter she fell off a chair she did have a toy in her hand but as soon as I picked her up I noticed her mouth and nose was bleeding she stopped crying and started playing just fine, she fell on the back of her head should I take her to the doctor or be concerned?", "output": "It is never wrong to have a doctor look! Statistics show that if a child hits her head but never loses consciousness, never throws up, cries right away or returns to play right away, and doesn't seem sleepy or unusually out of it after a head bump, then the chances of a serious injury being present are extremely low. Most likely the nose/mouth got hit somehow on the way down or right when she hit, and that lead to the bleed. If it stopped right away, it is usually no cause for alarm. Again, if anything at all seems off, it is always right to have the doctor take a look." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi i was just wondering if some 1 could help? im 21 & have been with my partner for 5 years he is older than me & has a child from a previous relationship, weve been trying for a child for 3 years & previous 2 that i was having unprotected sex with my ex, could this mean i cant have children? & what sort of tests would i have 2 under go 2 find this information out for deffinate? thanks", "output": "HelloWelcome here. I can understand your concerns. I think you should visit an infertility specialist. The following tests would be useful to detect the cause:Hysterosalpingogram to know the status of uterus and fallopian tubes. Hormonal assays like FSH, LH, Progesterone and an Chat Doctor. History of irregular menses is also important. This will help to know the ovulation status. The treatment would depend on the cause. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good Afternoon,Since last few day... i am having skin allergies... this is first time i am having such troublei am 32 years old female... kindly give some remedy... I took avil tab.. but only for time being it is stop... again it is occuring... Rgds Sushmita", "output": "Hi,first go for total and differential of white blood cells and if eosinophilic is found then meet a physician to detect its cause, you can go for routine stool examination for egg and cyst of worms as they are one of the common cause of eosinophilic, if found then go for deforming therapy, you can also go for blood smear examination for micro larvae and its subsequent treatment. Till then keep on taking antiallergic like cetirizine, loratadine, or mortar L. you can even consult a dermatologist or even an immunologist for further management if required. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i m having irregular periods and i m suffering from pcod. my age is 21. i m using glyciphase tablets from 5 months. now iam getting periods for every 30 to 35 days. i m using fertyl 50 from the 5th day of my period from 3 months, but i m not pregnant. pls tell me when will i ovulate and which day me and my husband should intercourse. almost everyday we are in sex but i am not getting pregnancy. please help me", "output": "Hi, you should be in contact with your husband every 2 to 3 days, not every day. You can track your follicles' growth by repeated ultrasound and when your follicles is more than 17 mm, take injection for rupturing the follicles. It will make sure that you ovulate. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. Hope I have answered your question. If you have any other query I will be happy to help. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have numbness on my hands and sometimes my leg usually when I m asleep but i m not sleeping on them. My left leg seems to be numb when I m not sleeping. I have had a pinched nerve in my neck that I haven t gone to the doctor for yet. Could that be the cause of this problem?", "output": "Hello dear, In your post, you have mentioned regarding pinched nerve in neck. Under such circumstances, the symptoms can be attributed to entrapment of nerve fibers at the spinal region. Other causes can be:1. Para-spinal muscle spasm due to improper sleeping posture.2. Inadequate HY Chat Doctor. 3. Dietary deficiencies of certain nutrients like Iron, Calcium, vitamin D, Vitamin B12, Folic acid, etc. which help in blood formation & nerve conduction.4. Peripheral neuropathy caused due to any fluctuation in blood pressure or blood sugar level. Symptomatic relief can be obtained by intake of cervicogenic agents (like Vitamin B6, Vitamin B12, Folic acid) as well as multivitamin & multimineral supplements including iron, calcium & vitamin D needs to be added in your diet. Physiotherapy & postural exercise will also be helpful. If symptoms still persist, kindly consult a Neurologist & get a complete Neurological examination done. Certain investigations like complete blood count, serum electrolyte estimation, fresh estimation of blood pressure & blood sugar levels & nerve conduction studies will be helpful to rule out any pathological cause for the symptoms.X-ray & MRI of whole spine can also be carried out to detect any nerve entrapment. Wishing you a Good Health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 31 yrs old and I have one daughter of 7 yrs,now as I want second baby,I am trying since 5 months to get pregnant , but no results. My periods are pretty regular.But I think the sperm fully comes out of my vagina after we work. Should I wait some more or see doctor?", "output": "Hi, thanks for query. As you had pregnancy earlier major causes of infertility are ruled out. Sperms coming out after relation has not impact on chances of pregnancy. You should visit a gynecologist and go for ovulation study to see whether it is normal or not. There are bright chances of you getting pregnant again. Just visit a doctor and look for any abnormality that you may have. Wishing you all the best for pregnancy." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hii There , Age - 29 Yrs , MArried , Height 54 , Weight - 65 My Query: I had diagonized typhoid one month back, i took proper medication of the same , Now i dont have fever from last 20 days. But i m feeling unbearable weekness in my arms and legs .. I am taking vitamins , Liv 52 regularly from last 20 days , but i dont feel any relaxation .. Kindly suggest . what shud i do...", "output": "HiT hanks for your query at Chat Doctor. It is common that after typhoid fever patients complain of weakness. I would suggest you to eat protein rich healthy diet with multivitamins and calcium supplement. Chat Doctor. You can also get a mammogram done to see present counts. Take rest at intervals while at work. I would suggest that taking proper diet will be beneficial. Kindly take an antibodies test for chikungunya as it causes muscle and joint pain. Hope I answered your query" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi! Were trying to have a baby and had my follicular monitoring today. My result says i have 3endometrial polyps, one antero-fundal, another posterofundal and the third attached posteriorly. I have a dominant follicle on my left ovary measuring 2.5 by 1.6 cm. My tvs result also indicates i have minimal fluid in the cul de sac. My endometrium is 1.2 cm thick. Could you let me know the results could be favorable for me to conceive? Thanks!", "output": "Hello, your endometrium thickness and the follicular size is favorable for conceiving, but size of endometrial polyps is of concern. If they are of very small size then they might regress themselves, and you can go for follicular study and then have sex regularly for 3 days after your ovulation has occurred for successful pregnancy. But if the endometrial polyps are of larger size, constant or increasing in size then you need to meet your gynecologist for the treatment. In my opinion if endometrial polyp are increasing in size then proper treatment should be done for them first and then go for follicular study and pregnancy. Endometrial polyps may be a malignant condition for endometrium cancer if it shows hyperplasia with atypical. If on biopsy tissue is of normal histology then there is no problem polyp itself is a benign condition with both medical and surgical options of treatment." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 25 year old female and I have a hard painful bump on my tailbone, I can hardly sit comfortably, for a while I ve had a little bump but it never really bothered me now last night I noticed that I had a lot of pain in my tailbone and I felt it and noticed the bump had doubled in size it s about the size of a loonie now, what could it be? It is not visible from the outside", "output": "Hi! Good evening. I am Chat Doctor answering your query. Although it needs a physical examination of the lesion to arrive at a diagnosis, from the history it seems to me to be an infected lesion forming an abscess either de Nova, or by a super added infection in a pre-existing benign cyst or lump like a colonial abscess or an infected sebaceous cyst or Desmond. If I were your doctor, I would examine if it was a frank abscess both clinically and also by a FNAC. In this case, I would evacuate the abscess by incision and Chat Doctor. Once it was healed, I would go for an elective surgery of removing the lesion by an excision biopsy and sending the same for histopathological diagnosis. Till then, you could go for an anti-inflammatory " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello,i ve diagnosed with SGPT( ALT ) 97 and SGOT(AST) 251,am a 21 year old male about 75kg,my doctor said that is really high and need to stop drinking,i believe i dont drink too much,i asked for second opinion and the other doctor told me that SGPT and SGOT doesnt effect the liver so its okay.what is your opinion on this? thank you in advance", "output": "Dear Sir, SGP and GOT are liver enzymes, and it is not usual to call it a \"diagnosis\". Simply said, these enzymes are elevated when you have liver damage of any kind. So its elevation is a consequence of some liver disorder which you need ti find out. At your age the most common cause is alcohol Chat Doctor. You should do liver ultrasound and biopsy to evaluate the degree of liver damage and depending on it, you can plan further diagnostic tests and therapy. And of course, stop " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello my 1 and 4month daughter has had mild fevers , bleeding gums , blisters and her teeth.look dirty with yellow stuff & is teething at the same time . With bad breath . What can this be .? Ive.taken her with a pediatrician but he says is teething. But the bleeding and sores doesnt stop and now she has blisters in her tongue..", "output": "Thanks for your query, the blisters and ulcers could be because of herpetic virus infection causing herpetic gingivostomatitis... the bleeding gums could be because of the deposits. The bad breath is because of the deposits infected gum and ulcers. Consult an oral physician to completely examine and confirm the diagnosis. If I am your treating doctor I would put you on systemic antipyretic and topical anesthetic and analgesic. I hope my answer will help you. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My partner has been experiencing low back pain for many years on and off. However recently for the last week or so he is complaining over lower back pain and the feeling of his lower back bones rubbing together and the pain is not going away. Please advise what the cause of this may be.", "output": "Cellophane you for writing to us on Chat Doctor. Based on your history the response to your question is as follows.1. It appears to be related to lumbar disc prolapse or compression.2. X-ray of the vertebrae or MRI would effectively demonstrate the amount of compression damage.3. Also, he needs to improve posture, strengthen back muscles through regular back exercises.4. For short period, he will need lumbar support too. For pain at present he can NSAIDs like celecoxib. Need to get the tests done at the earliest. Meet your doctor for tests. Hope this is helpful to you. Do write back to me for further questions. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, I am 51 yr old female w recent mri Jan 2014 showing collapsed disc. My orthropedic stated something about going through stomache like c section and build cage. I have never heard of cage . Can you explain? I have deg.disc. disease. Inherited from family. Thanks a lot !", "output": "HiT hank you for asking ChatDoctorI have gone through your query. The cage your doctor said should be most likely Rib Cage. In case of degenerative disc disease can be managed with analgesics muscle relaxants and physiotherapy. Most of the people get improvement on these. If all these not helping then a surgical correction can be preferred. Hope this may help outlet me know if you have any further query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good Evening Sir, Kindly help me out with this problem. We are planning for pregnancy since last one year. Our Gynecology had suggested Male Infertility Related tests, in which The Scrotol Color Doppler Test is showing complications. The result shows Bilateral Mild to Moderate Varicocele Note. Doctors are suggesting for Operations. But we don t want to go with Operation as there are no 100 % results and chance of conceiving are also not good enough. I would need your help in this regards. If their is a Medicine which could help in increasing sperm count then i would be thankful to you. Me & My Husband are of same age 32 Years. My all reports and test show normal. Kindly help me in this regards, Need your guidance. Thanks for your time", "output": "HalloThanks for your query. Your husband has BIL mild to moderate HY Chat Doctor. You have not mentioned anything as regards sperm analysis for e.g. sperm count, sperm motility etc. If sperm count is less than normal you have to take some measures like doing some moderate exercise daily, avoid alcohol, smoking , and take anti oxidants medication and Tab Ferry once daily for three months Repeat your semen analysis after three months. Though surgery for correcting varicocele does not guaranty 100% positive results you have to undergo it as there are 50% chances of improving the sperm count after the surgery which is minor in nature." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been experiencing numbness of my hand for a week now concentrated on my middle finger, I also have lesser grip on objects, I m on my 33 weeks of pregnancy. What will I do, is it a dangerous sign of pregnancy? your reply will be greatly appreciated. Thanks", "output": "I welcome you to Chat Doctor, the worlds well renowned online medical service. I have reviewed your detailed query. It is just a mild symptom that needs nothing to do at on emergent priority if there is no other association of disease symptoms. This is just nothing to worry about, and it may be due to simple compression of the arm or hand while sleeping or may be a mild nutrients/vitamin deficiency that can be covered with appropriate healthy diet as directed by your gynecologist.If am hope this was all you needed an answer for. Please let me know if I can be of some more help. Healthiest Regards!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 15 year old daughter just found a lump on her neck about 1/2 -1 behind her ear. It is about the size of dime and protruding out quite a bit. It hurts to turn her head and touch it. It almost looks like a cyst or something but its not red or any sign of a bite or zit of sort.", "output": "Hi. Thanks for your query. Noted the history and understood your concerns. The commonest reason for such a swelling behind ear is an enlarged lymph node. The others ones are cyst. This can be confirmed by the following:Clinical evaluation by a Doctor. Ultrasound and FNAC if required. Once diagnosed, the treatment will depend upon the cause thus found. If cyst is found, get this operated. If lymph node, get a course of an antibiotic and anti-inflammatory medication. Watch for the primary cause like Dan Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "WHAT IS YOUR OPINION OF PROTON THERAPY FOR PROSTATE CANCER. MY BIOPSY REVEALED 5 SPECIMANS WITH CANCER CELLS OUT OF 12 TAKEN. THE MOST CONCENTRATED SPECIMAN WAS 80%. THE OTHER 4 WERE 5%. THE AGGRESIVENESS OF THE CANCER WAS LOW TO AVERAGE. I AM CURRENTLY TAKING HORMONE THERAPY WHICH TOOK MY PSA LEVEL FROM 10 TO 0.5. THANK YOU", "output": "Brief Answer yes proton therapy can cure prostate cancerDetailed answerhelloGreetingsthanks for placing your query on Chat Doctor, I read your Question. I think I would be able to help you proton therapy also known as bloodless surgery, it has a surgical precision does not affect vital organs and healthy tissue in close vicinity. There are very fewer chances of recurrence.it has proven in various studies that it's better than the traditional radiation therapy (photon therapy)if you can afford it nothing could be a better alternative of proton therapy. Hope I have answered your question. If you have any further questions I will be happy to help wish you good healthRegards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I fell on top of my left foot about 10 days ago. The doctor said I tore small legaments, Xrays did not show any broken bones. However at the top of the arch on the inside of my foot there is a hard bump that hurts to touch. Wondering what it could do and what I can do further than RICE to help it heal.", "output": "Hello, Thanks for writing to us, I have studied your case with diligence. It can be due to soft tissue injury or ligament injury around foot. Strictly follow limb elevation, so that foot swelling gets reduced. For these symptoms enzyme chymotrypsin and anti-inflammatory can be started. Till time take medication and apply cr\u00eape bandage over foot or use supportive splint. Do ice fomentation and rest to foot. If pain persists you may need MRI, you can consult your doctor and do require investigation. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doc...from very first onwards I was feeding my 2 month baby with formula due to low breastmilk,infact my baby is exclusievly depending on formula.First month he was similac 1 and he had 2or 3 bowel movements on daily basis with slight hard yellow poop,but he graunted too much.so switced to lactogen 1 and now per day he has single bowel mvt with green poop but he seems to be comfortable and happpy ,the only problem that I could point out with him is that he graunts with a reddish face all the time.Is there any solution for graunting ?Will the poop change from green to yellow ?", "output": "Hi, There is a condition known as grunting baby syn Chat Doctor. Baby passes soft, normal stools. This requires no immediate treatment and usually resolves by itself in a few weeks. It is felt that the infant is grunting because he has not yet learned to coordinate contraction of his abdominal muscles with the relaxation of his anus. You may want to confirm with his pediatrician that his grunting is normal. If your baby is grunting with every breath, in distress, or has a fever, he must be checked by his doctor right away. It is normal for the stools of a bottle-fed infant to be green. The stools of a breastfed baby are yellow. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had these symptoms of intermitent stomach ache, nausea, vomiting, severe headache hot flashes and cold chills on and off for months. Ive seen 2 physicians, one thought it was my thyroid gland, the other thought heart disease. They were both ruled out. I hope you can help. Respectfully, Natalia Zylich", "output": "Hi Natalia Zurich. Thanks for your query. The symptoms complex of intermittent stomach pains, nausea, vomiting, headache, hot and cold flashes and cold chills for months may be indicative of the following:Hormonal imbalance either due to your suffering from within or taking some hormonal preparations. Other probable cause can be - carcinoid syn Chat Doctor. I would advise you the following ::CT scan of the abdomen, Blood : routine and Hormonal studies. Urine; Routine, microscopy and culture and sensitivity. Blood 5 ETTA and related tests. ColonoscopyAll these tests and the additional tests as may be advised by your Doctor, after taking a Third opinion. Till then, you can have a symptomatic treatment. Antibiotic, metronidazole, probiotics, PPI like Pantoprazole, Risperidone for nausea and vomiting; and any symptomatic and supportive treatment as may be required. Once the diagnosis is made the treatment will be easy." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am suffering from BPH-enlarge prostate ...two year back passing out of urine has stopped suddenly..went to Dr prem kr,an urologist ..he put cathedral in my penis foe a week..after taking out cathedral. i started passing out my urine..then Dr prescribed me a combopack of FLOTRAL D medicine..he told me to intake 1 &1/2 litre of water in a day..,he also told me to continue the medicine for 2 to 3 years//after that he will examine the size of my proSTATE. THE SIZE OF MY PROSTATE WAE 77 GMS IN OCTOBER 2010.I AM AFRAID OF OPERATION..PLEASE TELL ME..CAN I GET CURED FULLY WITHOUT OPERATION SIR..?", "output": "HelloThanks for your query, based on the facts that you have posted it appears that you had acute retention of urine due to enlarged Prostate and further investigations have revels that the size of your prostate is 77 gm which is significantly high. Though you have been taking Floral D and has satisfactory urine flow it can be permanent solution for your problem. Since you already had retention of urine once and the size of the prostate being large You need to undergo surgery of endoscopic resection of prostate (TURN). This is a gold standard method of resecting prostate and practiced worldwide and gives satisfactory result that will help you to resolve your urinary symptoms and improve quality of life for rest of your life. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi during the past months i have been noticing that every while i suffer from these types of attacks, where i swet alot, anxiety, heart beating faster and breath control . But from around a month ago these attacks have been happening more often for example i had one on sunday were i even lost conusiness for a few seconds and one this morning. what do you think it might be?", "output": "Hello, Your symptoms could be related to a panic disorder. Anyway, I would recommend performing some tests before coming to this conclusion:- An ambulatory 24-48 hours ECG monitoring in order to exclude cardiac arrhythmia-Blood electrolytes for possible imbalance-Thyroid hormone levels for thyroid gland dysfunction- Complete blood count for anemia. If all the above tests result normal, you should consider anxiety as the main cause of your complaints. Hope you will find this answer helpful. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I think I have allergies that are flaring up right now since it is going into fall!! My eye has been twitching which could be the computer since i do online school i am on computer all day and then my throat hurts really bad and nose stuffed up well anyways my thraot has big red bumps on the back i have no fever what could it be", "output": "HI, thanks for using Chat Doctor Your symptoms are likely due to allergic rhinosinusitis. This is inflammation of the nasal passages and sinuses. Nasal congestion with post nasal Chat Doctor. It can also cause cough in some personsFever is not commonly present in allergic rhinosinusitis. You may want to consider the use of topical nasal steroid and oral anti histamines to help relieve your symptoms. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have tried all method to stop bad smell coming from within, especially coming from inside the throat ,each time i sit close to people they always close their nose . i have use salt water, all type of recommended mouthwash , brush three times a day,and also avoid food that causes bad breath. i floss everyday.scrap the tongue and yet there is no improvement.please what else should i do", "output": "Hello, Thanks for writing in. I read your problem, i would like to inform you that there are so many causes of bad breath like-1. Poor oral hygiene.2. Decayed teeth.3.Gastroesophageal reflux4. Tonsillitis.5. Bacterial infection.6. Medication and medical conditions.etc........ As you said you maintain good oral hygiene, it is possible that other factors may be involved. So I will suggest you please visit a dentist in your area once and rule out the cause. After diagnosis, you can take a proper treatment. Nothing to get worried you will definitely get rid of this problem. Take Care. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my problem is my penis.. its small size 4.5inch full erection, curved shape , tight foreskin i tried so much too push back but fail and sleepfall. i think my body has not been growing since i started menstrubation at the age of 14. and i have only 28 teeths in my mouth", "output": "Degree understand your concerns went through your details. Penis size of 4.5 inches is more than enough to satisfy any girl across the globe and to have sexual satisfaction. The curved shape is good because it will give you more pleasure than a straight penis because of the extra friction it makes within vagina. You have to use some lubricants or soap liquid to practice movement of the foreskin for some days, or you should circumcise your penis foreskin. Masturbation is a healthy practice and can't slow down your growth or cause problems to your health if practiced moderately. 28 teeth also is normal. Now stop worrying and get to business and your career. Unnecessary thoughts could trigger anxiety. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am type 2 daibetic and not on medicin.i was ok but nowadays my sugar levels getting high like 179 after 2 hours of the meal and in the morning less than 130 before the breakfast suggest me what I can do now I should go to doctor and start medicine tell me", "output": "Hi, i can understand your concern, my patients come with similar problem. What I suggest them is regular exercise for 45 minutes in a day and diet control i.e. avoiding oily foods, reducing carboy Chat Doctor. If the sugar doesn't come down then I will put them on medicine. So consult your physician for further management Hope I have answered your question. If you have any further questions I will be happy to help thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My wife has had a lump on the back of her head that hurta to touch. It is hard and right at the back of her skull not low near her neck. She recently has had two more develope. She s had frequent migranes apnd has high blood pressure. What could cause these lumps?", "output": "Hi! Good evening. As per your history, these lumps seem to be benign swellings like sebaceous cysts, which might not be related to the migraine and high blood pressure problem of your wife. I would advise you to get it clinically examined by a general surgeon who might suggest her for a FNAC (fine needle aspiration cytology) or an excision biopsy for a cytological diagnosis and possibly a cure. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Patient name : Sucheta Raina Age : 29 Gender : female _______________________________________________________________________ Treatment history since 1995 : NIPCED , delhi : Dr. Dutta Safdurjung Hospital delhi : Dr. Rajesh rastogi RML hospital,delhi : Dr. Neena vohra Batra, delhi : Dr. Avdesh sharma Vimhans, delhi : Dr. J. nagpal and : Dr. Prema chawlA Diagonosis as per doctors: Psychosis Medicine taken : hexidol , respidon ,chlorpromazine, parkin , pecitane , oxetol ,olimelt ,sizidon , trika etc. _______________________________________________________________________ HISTORY: she Did schooling upto 7th standard as a below average child & Was always a shy, calm and introvert child. Ailing since : 1995 It started gradually with restlessness, sleeplessness ,and was unable to continue her studies and other routine day today tasks. Later on symptoms got increased to weeping , loud cryng, sreaming. and disinterestness , non responding , impatient behavior. likes to sit alone n get ittrtated without any reason. Some of the medicines showed slight betterment bUt some resulted in sidedefects like tremmors, thirstiness,non appetite but non of them showed any visible improvement. _________________________________________________________________________ At present the Main issue is her unnessary weeping ,loud cryng,loud sreaming problem. which sometimes continues for hours and make her restless, shiver.due to which she remain irritated, doesnot intract and respond to day today things. current medicine (intake): Respidon 2mg (2 times) with parkin. so, kindly help and suggest us for her betterment and improvement. yours faithfully Rajni raina( M/O Sucheta raina) 0000 delhi", "output": "His had gone through your query. I appreciate your positive outcome. On this history it seems like psychotic illness but as you mentioned she did not show any improvement. Tremor is extrapyramidal symptoms of anti-psychotic medications and can be treated with parking. If she is not responding then my personal advise is review a diagnosis. re-evaluation of her mental status and thought processes can be give more idea. If you are in Delhi then you can go for help in AIMS. Treatment only can be possible if proper diagnosis and evaluation has been made. There are various modalities of treatment. So consult and get help. Thank you. Best wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctar. I am two and half months pregnant. Actually i am having sevear pain in my left abdomen from first month and my doctor advised me pain killer. last month i gone through sonography and my reports are...... single intrauterine gestational sac with single embryo is seen- another approx 0.47 size suspicious echogenic area is seen in dependeny portion of gestational sac.....please tell me what problem i m going through..", "output": "Hi, Single intrauterine gestational sac with single embryo means that you have a normally situated pregnancy with one baby in it. This is a good sign. As when a patient has one side abdominal pain in pregnancy we want to confirm if the pregnancy is in the womb or in tubes. For you, it is in the womb, so you can be reassured. Also regarding the small echogenic area, it could a BS a small collection of blood behind the placenta which gets absorbed on its own as the pregnancy advances. Hope this helps. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband is stage4 metasatic prostate cancer . Has COPD , high blood pressure. He has exhausted treatments for cancer. He has trouble breathing and can barely walk, because of this. He got pnuemonia in April that lasted thru June and was told by one doctor last week he had it again. He lost 25 lbs the last time. Can t afford to lose any more. weight. Does this sound like pnuemonia to you? He has had shortness of breath from COPD but this is worse and sudden. We were told to get oxygen in house but why?", "output": "The condition that you describe could easily be explained by the combination of COPD and superimposed infection (commonly called pneumonia). Presence of metastatic disease in the lungs is also possible which can compound the problem. Either way, the treatment remains the same. Preferably the treatment should be in a hospital, but if you need to treat him at home, then you should start him on antibiotics (Tab Coamoxiclav 625\u00a0mg twice daily + Tab Ninefold 600\u00a0mg twice daily), nebulization with albuterol and decor thrice daily (nebulizer is a small easily available instrument at any pharmacist and is easy to use). He should eat anything he wants (home cooked only). Oxygen requirement depends on if he is breathless at rest, or develops bluish tongue or extremities in which case you should give him oxygen." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My girlfriend got into a car wreck and was diagnosed early Tuesday May 29th with 2 broken ribs - I believe it was the 6th and 7th rib and the doc said she was lucky because one is located by the heart . the next day she noticed some swelling in her abdominal region and it has been that way since. It doesnt hurt but I was wondering if this is normal considering the injury or if it may be something more serious.", "output": "Hello dear appearance of swelling anywhere in the body (including abdomen) after rival trauma is usually a result of clotted blood (hematoma). Simple ultrasound examination will diagnose it. If it is small without any symptoms no further treatment is required. If it is big and also causing pressure symptoms requires either aspiration or evacuation along with antibiotics and analgesics. Take care of your girlfriend" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been worked up for autoimmune dz....by previous physicians one who was internal med and one family practice....both friends. IM was thinking RA with elevated levels except Rfactor, family practice pinpoint touch and diagnosed casually with fibromyalgia...am new to wisconsin and am unsure which type of md I should see. Pain and mobility have decreased significantly in 6 months...previous docs aware....thought lupus would be final diagnosis...new info to me this week.", "output": "Good evening. It seems that you are improving. Is it due to medications? Fibromyalgia is a very close mimic of autoimmune diseases. It is rather a diagnosis of exclusion when everything else is negative. You should consult a rheumatologist there to get to the exact diagnosis. If your autoimmune markers are negative, it is less likely that it is Lupus. Factor can be positive in 5 % normal population without causing any symptoms. I hope you don't have symptoms of Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I went to the dentist to get a very minor filling on Friday afternoon. Sunday, I noticed my mouth, throat, lymph nodes on that side of my neck, left side of my jaw were swollen and crazy sore. I went pack to the dentist yesterday, the first appointment that I could get, and he told me that I had inflamation from the novacaine injection and told me to take motrin. I think I need antibiotics. I feel terrible, like I have the flu. My face hurts. The tooth with the filling feels fine though. How can I get this to get better?", "output": "Hello there, The symptoms you have mentioned like swelling, pain, enlarged lymph nodes can be associated with the allergic reactions of anesthetic solution injected during dental procedures. These symptoms will subside with time as the effect of the anesthetic solution will minimize. I would suggest you to go for symptomatic treatment at home like gargling with lukewarm saline water or antiseptic mouthwash like chlorhexidine or Betadine which will give soothing effect for sores. Continue with the course of antibiotic Augmenting 625\u00a0mg along with analgesics like diclofenac two times daily for 3 to 5 days. I hope this helps, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I observed a lump in the left back of my husband It is below the left rib cage and near the left kidney . My husband suffered from a sharp pain due to stone in the left kidney a few months before. The stone passed away later and doctor suggested to intake more citrus food diet. I am worried now is this lump related to some kidney problem or just a cyst . Can you please suggest something.", "output": "Hello and welcome to ChatDoctorA lump on the left back can be due to enlargement of the structures/ organs in that region, which are:Kidney, ureter, soft tissue growth, lymph nodes etc. You should get an ultrasound done soon. As you have mentioned that your husband had had a stone in the same kidney, there can be a recurrence of the stone.a large stone can obstruct the passage of urine from the kidney and cause its enlargement, which can be palpable. Development of cysts in kidney, however this is not very common after kidney stones. A kidney tumor can also form a palpable mass. Other soft tissues in the region like fat, muscle, fibrous tissue can also form a palpable mass. Lymph nodes in the region can get enlarged due to inflammation or due to malignancy. An ultrasound of pelvis along with urine examination is needed as soon as possible/ Thanks and take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my father is unconscious he had a operation in march of brain hematoma.. but now last week he had attacked of epilepsy and MRI shows that there is a neoplastic lesion in right posterior parietal region.. so i have to ask that what should have to do now?? is neurosurgery is risky again or there would be another option of treatment ? his age is about 60 years", "output": "Hi, Thanks for writing in. It is important to review his earlier report and then proceed with current diagnosis. A brain hematoma is an area of bleed for which he had a surgery. It is important to know if the epilepsy and neoplastic lesion on MRI are in the same area as the hematoma or at a different location. Neoplasm is a general term used to describe a tumor. Complete review of his MRI is essential and that will tell the exact size of the tumor, location (?right posterior parietal region) and the pressure effect it is causing on the brain. An electroencephalogram can also be done to know what exactly caused his epilepsy. That way we can assess if going for surgery is the best treatment or if other choices can be made. Doing another surgery is not a big risk, but it is important to know the probable nature of what is seen in the MRI and if it is related to the earlier surgery he had last year." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i went to the doctors because i had flu 2wks ago bit chest pain got better then stars up again my pulse was 73 and blood presure was 145 cant remember rest he checked my feet they were swollen im waitinf for knee opp so thought it was that he said no some thing else what could it be please", "output": "Hi, Dear,Thanks for your query to Chat Doctor. Dear I read facts of your query and reviewed it in context to your query health issues. I understood your health concerns and feel Concerned about them. Based on the facts of your query the reply of your query is-You seem to suffer from Viral Bronchitis-resolving. As the pulse is normal and there is no fever-the leg swelling needs to be assessed by proper physical checks from Physician. This is a must - as you are waiting for knee operation. And before that you need to be fit with your lung condition, or else it could be postponed. Dos-Consult Physician and assess the cause of this Chest pain with recurring chest pain. Plenty of fluids / proper bland diet / Rest /Would recoup your leg swelling. Rule out any Varicose leg Veins for this leg / feet edema. Other causes of such allergic bronchitis/ sinusitis with URTI-Upper Respiratory Tract Infection, needs to be ruled out by Consulting Physician.Don't be callous to get examined with your doctor. Just don't worry and be patient and co-operate with your doctors, till you verify with your attending doctors. Need to Check with Physician, if things don't recover.-Other causes need to be verified with your Specialist doctors, as the facts may be different what you submitted.-For this Second opinion from Consulting Physician-is needed who would do proper investigation after proper physical assessment to resolve your health issues.-for early recovery-please follow above dos which would resolve your complex health issues. Hope this would help you to treat your health issues in the best way possible. Welcome for any further query in this regard. Good Day!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am a 38 yr old female. I have been having chest pain for a yr. if i drank alcohol, it would feel like my heart was jumping out of my chest and there would be a lot of pressure in chest. havent drank in a long time but chest pain has been more frequent the past 3-4 months, sharp pain in heart area and shortness of breath and palpitations. Had irregular ekg, normal cardio echo, and abnormal stress test which led to a cardio cath, which was normal. had esophagus spasms a couple yrs ago but change in diet and no more alcohol stopped that and this feels nothing like that. I am also overweight and always extremely tired and have no energy at all. What could this be?", "output": "Hello and thank you for asking understand your concerns. It is very important that you have already done cardiac check-up, esophagus, you have stopped the Chat Doctor. My opinion is that it would be better to check the thyroid gland too because sometimes it might be a thyroid problem and for this you should do some blood tests TSH, FT4, and a thyroid ultrasound. If these are negative you can do a chest X-ray for lung problems and if this is negative too it will be better for you to lose weight and probably your complaints will disappear. Wish you good healthThank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor I am 59 yr old male.I had a Stroke problem 5 year back due to which I had started few regular medicines. Few days back,I got a minor Fit attack which was due to high BP . My family doctor has advised me to continue with Ecosprin 150AV,but i feel drowsi, headache and sleepy after having it.So is it advisable to continue this medicine in long run Kindly advise.", "output": "Hi Lucy.yes you should continue esprit as it helps in thinning of your blood to prevent similar catastrophe events which u suffered...since you've not told all the medicines which you are taking.so i advice you to get a CT scan brain which might point out to some subdural bleeds.get a brain angiography, EEG study too plus complete cardio pulmonary work out(ECHO chest X-ray ECG) to rule out...the CT scan will also tell any residual clots in the affected area of your brain. Hope u get well soon" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 85yrs. Was diagnosed as BIPOLAR at the VA when I was in my early 30s. No physical given at any time. Have endured this stigma to this day. After receiving information?? about the cchr.org Citizens Commission on Human Rights I realized that psychiatry may be nothing but a fraud and scam. I complained frequently that some of the meds I took were actually increasing my negative emotions, to no avail. The meds. were either increased or changed. Until this day after an M.D. lowered me to no psych. meds. and put me on some OTC for muscle and joint discomfort and relaxers, did I realize so much relief and less stress for my age.", "output": "Dear serve understand your concerns went through your details. Bi-Polar disorder can be treated with medicines and with the help of Cognitive Behavior Therapy and continuous counseling. Treatment is usually lifelong and often involves a combination of medications and psychotherapy. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my brother aged 51yrs has frequent sever pain at any part of the body may be cervical, shoulder,arm ,hands.foot or knee.pain is so much that he feels as if the joint is dislocated.it will be o.k. automaticaly after 24hrs.this is since 1yr.he was alright for about 4months in between.his blood pactuer is normal.", "output": "To relief pain use moist heat wet wash cloth and make sure that It's not too hot that you can burn yourself and can do strengthening exercises to relief pain and stretching to relief pain you can use hot water bag to relief pain and ice pack don't use it directly wrap it in towel and can do ankle toe movement static quads and pulley exercises all these help to relief pain can also take physiotherapy that will be helpful to you wish you good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "For a really long time now Ive had very dry flaky skin in between my eyebrows with lots of skin colored bumps there also. It seems to make that area very prone to extra acne also (which I dont have a lot of on the rest of my face). I want to know what it is and how to treat/prevent it.", "output": "Hello. Thanks for writing to us at Chat Doctor I will keep a possibility of facial seborrhea dermatitis. Seborrheic dermatitis classically presents with scaly patches on the scalp and on face. The patches are dull red. Areas that may be involved on face are glabella, eyebrows, eyelashes, sides of nose, upper lip and chin. These patches on face are usually dull red, itchy and scaly. Seborrheic dermatitis is a steroid responsive dermatitis. I usually treat my patients of facial seborrhea dermatitis with a moderately potent topical steroid e.g. fluticasone propionate 0.05% cream, twice daily. This usually brings about remarkable improvement in about 2 weeks. Topical steroids are prescription products, and therefore I suggest that you talk to your dermatologist for the needful. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have extreme thirst and extreme fatigue. Headaches and neck/back aches. Just recently fever is associated as well. Mind cloudiness....like I cant keep things straight. Blood work showed very low iron levels, but all else comes back ok. Blood pressure ok, sugar ok, oxygen levels ok.... Im 38 F and have always been genually healthy.", "output": "Hi and welcome to Chat Doctor.You should do more detailed blood work and check your urine and hormonal levels. It can also be any kind of respiratory or urinary infection. Sometimes even the exact infection site can't be found. It sounds to me now like viral infection which can cause headache and neck pain, bones pain, fever etc. You should Chat Doctor. If symptoms persist you should visit infectiologist for further testing. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have hep c. I have had abdominal pain on the right side. I am nauseated and had diarrhea. My bowel sounds are always hyperactive and loud. I usually get full after taking a few bites and then I have diarrhea with in thirty minutes of eating. I was in the hospital recently and had a ct done with oral contrast. Everything came back good except one of the test for liver function was slightly abnormal. The doctor said my appendix was on the larger side of normal. I have t followup with my gastroenterologist. Its frustrating because I still have jpain and diarrhea. What does it mean to have an appendix that is large size of normal?", "output": "Hi. Thanks for your query and an elucidated history. Rad and re-read your history, and clinically I am of the opinion that this may be appendicitis, that is causing the problems you have. Larger than normal is a radiological finding, this means the y have found an appendix which is larger than the one we find in normal appendix, - may be the diameter is more than 6 mm. please confirm with reading the report. The best way for you is to undergo diagnostic laparoscopy and actually see the appendix and all other organs of the abdomen. If there are old and/or mew signs of appendicitis, remove the appendix and get the sample of suspected tissue for histology. I have a feeling you have appendicitis and Appendectomy will cure your problems." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Age:75. HBP diagnozed 190-90 yestrday. No blood pressure taken since the age of 34 when it was as high as now. Cosntant vertigo sitting on computer 12 hours a day, doing research on Magement Sciences; spondiltis, black spots on left eye and weak eye sight (left eye) diagnosed; vertigo persists despite hbp treatment (one doze of medicine under tongue - lasting 24 hrs.); Loprin 75mg. prescirbed, generally beneficial but vertigo pesists. Going to change the power glasses today. Perhaps this is the correct treatment. Generally heathy, regular half hour exerise since 20, still cotinues, food mainly vegetables and fruit, no meat, plenty of fresh water. Would Loprin be enough? Other medication stopped until results are determined about spondiltis. Your opinion? Am going to change my spectacles today. Would bringing bph be beneficial? Mahmud. Magagement Consultant to Cantt,Hospital, Rawalpindi.", "output": "Hi, Welcome. This is Chat Doctor. Joplin is a NSAID which is an anti-inflammatory medication for joint pain & joint inflammation. It has nothing to do with BP & vertigo. You have a pretty high BP & that needs treatment. I would recommend you to start with 5\u00a0mg of Amlodipine once daily & get your Kidney Function tests done so that medication could be changed to a better one. For vertigo, I will recommend starting a " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "while numbing my mouth for tooth extraction, the dentist hit the nerve 3 times. I experienced 3 electrical shocks. This occured at 12 pm today. My pain medication has worn off and my mouth hurts bad at the back of the mouth at the bottom jaw where the numbing injection sites where the dentist hit my nerve- help", "output": "Thanks for using Chat Doctor. Read your query. For the pain you can take Ibuprofen (if you are not allergic to any medicine). Do salt water gargling. Relax and the pain should settle down gradually. If the pain increases or there is swelling, or other symptoms please visit your dentist office and have it evaluated. Follow the post extraction instructions. Gently massage the area externally and application of cold compress intermittently will provide relief. Hope this was helpful. Thanks and regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hai i am 30 year old man. recently i found backpain and sometimes swelling on the both sides of back. so i consult a doctor and he recommended a US scanning of abdomen.i felt acute pain during night.the result is mildly enlarged fatty liver and gallbladder is replaced by soft tissue masses.and i felt blurred vision in my left eye.so i want to know what is my disease ? and what is the better treatment?", "output": "Hi and welcome to Chat Doctor. Thanks for the query. You should find the exact cause of liver changes. This can be confirmed only by liver biopsy and then right treatment can be planned. Also you should check your hepatitis markers to rule out hepatitis infections. Till you do these tests you should avoid alcohol completely, eat hepatoprotective diet and regulate blood sugar and lipids. Wish you good health. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hey my name is Tyler, a few days ago I got really hot from being outside all day, the. The few nights since then I have been getting a low fever 100.4 has been the highest, but it has only been at night, I have no other symptoms besides the fever what could it be?", "output": "Howell come to ChatDoctorSuch raised in body temperature could be possible in many physiologic conditions if no obvious cause of fever is there, and this is somewhat common in female, if the fever subside without medicine then no need to treat this, you need to wait some days, if fever still not subsides then condition need to be investigated, for underlying cause, sometimes the condition comes around on its own, hope this information helps, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Have copd ,and for a month have had bronchitis . My dr. gave the cocktail shot and cefdinir ,also using albutrol in nebulizer every 4 hours and Adair 2x a day. 2weeks later extreme soreness in chest underarms and upper back,very congested , hurts to breathe. Having trouble recling from the soreness, feels like bones are broke in chest and back. Went back to dr. Got rohcefrin shot and prescribed budesonide also to use in nebulizer. How often should I use the budesonide?", "output": "Thanks for your question on Chat Doctor. By your history and description, you are having acute exacerbation of COPD (chronic obstructive Pulmonary disease). And infection is the most common cause for COPD exacerbation. Your symptoms like cough, chest congestion etc. favors lung infection more. Control of infection should be priority to treat exacerbation. So consult pulmonologist and get done sputum culture and sensitivity report. Culture will isolate the organism and sensitivity report will guide you about effective antibiotic therapy. Budesonide is inhaled steroid and should be taken twice daily. Along with budesonide, you should also take nebulization of LAB (long acting beta 2 agonist). This will give you more symptomatic relief. Also start chest physiotherapy, Multics, expectorant and anti-inflammatory Chat Doctor. So consult pulmonologist and discuss all these." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "helo dr. my son has completed 4th months just few days back....my query is that i couldn t feed him my milk since his birth...n due to this i hv been feeding him cow milk during daytime and lactogen at nights (if required) ... so please suggest me hw much milk dose is enough for him without mother;s milk....because i feel he is not satisfied with the amount i am feeding him which i think its enough for him...n pls suggest wht is the right age 2 start feeding cerelac or other substitutes....", "output": "DearWelcome to ChatDoctorWe understand your concerns went through your details. For child Chat Doctor. More over you cannot force them to take more than what they need. Just fill the bottle up with boiled cows milk. When the child asks, feed. Automatically, when the child is satisfied, the child itself pushes it away. Feed the child as and when it asks. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello: I am having pain in my stomach mostly on the right side right under my breast and it feels like a fluttering feeling (like bubbles ) and the area is sensitive to touch but when I push it in the pain goes away. Can that be a ulcer and if so it doesn t matter what I eat or drink it is there it only feels better when I am laying down.", "output": "Hi Donna, Thanks for writing your query. Your symptoms can be due to increased acidity and gas production. You should get following investigations done :-1. Liver Function Test.2. Ultrasound upper abdomen.3. Test for H.pylori.4. Endoscopy. You can take antacid like Omeprazole 20 mg along with Risperidone 10 mg once a day for relief from your symptoms. Following precautions will be helpful :-1. Avoid spicy/oily foods.2. Donor miss a meal.3. Avoid mental/emotional stress.4. Avoid cigarette/alcohol, if any.5. Chat Doctor. I hope this is helpful to you. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "23 yrs old, male , i cannot use any of the cosmetic face wash or even a cream on my face as i usually end up getting pimples with them and skin gets kind of \"dirty\" with them ( i don\"t know how to explain it better) , the only thing which seems working is salicylic acid facewash but it seems it cannot completly clean the skin. the best thing which works is when i used to be on anti allergic medicine( cetrizine) but since i stopped it skin reverted to being pimple prone.i also have raised liver enzymes but heptologist have ruled it as \"insignificant\"", "output": "Hi, your skin is oily, so you get acne frequently. You feel face dirty, as the skin is seborrhea, i.e. excessively oily. Salicylic acid and glycolic acid containing face wash will work better. All dirty remnants and oil will be removed. And chances of acne development will be reduced. Avoid stress, anxiety, excessive exercise. Take good sleep. Avoid milk, ghee and excessive oily food. Avoid exposure to sun. Be calm and cool. Along with this, take cap minocycline 50 mg once a day on empty stomach in morning for about three months. Apply clindamycin gel at night on lesions... Ok. You will be alright" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello. Here is my concern. This has only been occuring for a few days, but I am starting to worry. I have had what feelis like a gas bubble in my upper abdomanial region on the right side of my stomach . It is especially painfull during intercourse. I am just curious as to what could cause this kind of pain and is it serious? Any advice would be greatly appreciated.", "output": "Hi welcome to Chat Doctor forum. Thanks for choosing Chat Doctor. Forum. You are feeling like a gas bubble in your right upper abdominal region. Painful during intercourse. Pain in the right upper abdomen is suggestive of infection in the kidney, stones in the kidney, or upper ureter, infection of upper part of ascending colon. Liver infection, or gall bladder stones. I advise you to consult a surgeon for diagnosis and treatment. You may need to have M.R.I. besides other routine tests for confirmation. Wishing for a quick and complete recovery. Best regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have a molar 18# pulled or cut out on Monday 5th and now I have a hard lump right unger the area of the pull tooth. The lump is also where #19 would be. 19# was pulled a long time ago but the lump is only where there is no teeth. It stop and drops off suddenly at the wisdom and goes all the way to my canine and drops off again. It dosent hurt with light pressure but if a bump it against something it hurts like hell. Its on the outside of my gum line. I went back to my dentist and they did an xray and found no tooth left. Also the xray didnt show the lump at all. The dentist thinks it an infection and gave a astronger antibodic. Does and one know what might be the name of whats going on?", "output": "Dear friend. Thanks for sharing your concern. It appears from your history that you have developed an abscess in the region of extraction.Also, the extended swelling could be due to abscess only. As you are already taking antibiotics and analgesics please do not worry, complete the course, it should regress. If the lesion still persists then you can go for oral surgeon s advice after taking a biopsy the exact cause can be diagnosed. So far so good, lets wait and watch. With the change of antibiotics the abscess should resolve.Meanwhile, do warm saline rinses too and maintain good hygiene as speedy recovery measures. Hope it helps. Thanks. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I stopped smoking 2 weeks ago and my hypertension has dropped dramatically from 150/95 to 110/75. (Im 60 years old.) I have been taking a cocktail of anti-hypertensive drugs for the past 5 years. Im now experiencing symptoms of postural hypotension. Do you think the drug regime should be reviewed since the probable cause of the hypertension (smoking) is now absent?", "output": "Hi thanks for asking question. You might have hypertension mostly because of smoking. Now you have left smoking and your BP is ideal by 110/75. So here no need of taking antihypertensive Chat Doctor. You have to regularly measure your blood pressure ... You can take electrical BP instrument at home. So continue with good habit of avoid smoking and taking regular diet with more green leafy vegetables. If you feel dizziness and if your blood pressure very low, salty substance can take immediately. Take care..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im currently trying to figure out what is wrong, i am now 6-7 days late for my period, past 3 days i have woken up to a really bad headache that last 5 minutes, constantly tired &now have the flu, also got diagnosed with asthma just last year can you help me", "output": "HelloHeadache, tiredness, flu like symptoms, so for this just take Tylenol or paracetamol 650 mg according to severity of symptoms (but not more than 3 tablets in a day) . You mentioned that last year you diagnosed as an asthmatic case (ASTHMA) . When such type of patient visit my clinic (known case of asthma) I advise my patient to take MONTELUKAST+ALBUTEROL (10 mg each) one or two tablets according to severity of symptoms. My patient usually don't require any treatment except this tablet. Avoidance : mite, fine dusting powder, pollen, hay, fodder, pests (cockroaches) sudden rise and fall of temperature. Hot coffee and steam inhalation also provide relief. Hope this will help you. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have been feeling a tightness and a little pain in my left chest area for approx the last 18hrs. i also feel pain in my left shoulder and left side of my back when a stretch or work the arm. the pain is not constant it comes and goes. these are symptoms of a heart attack, but im hoping its gas.", "output": "Yellowest pain with tightness need proper evaluation. It may be due to coronary heart disease, reflux etc. You need proper clinical examination and investigations. Investigations include routine hologram, random blood sugar, liver function test, renal function test, lipid profile, urine RE/ME, ultrasound of abdomen, TMT,ECG in all leads, ECHO. Angiography can be done after evaluation. Proper treatment depend upon findings. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 23 year old son in law is found to have a heart that is 3 times the normal sizw. He does not smoke or drink, and has had no other symptoms besides an ache in his mid right back. (Which I do not know if is a symptom)He has been a swimmer all of his life, and has a normal wight for his height. Will his life be shortened?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Yes, heart bigger by 3 times is a matter of concern. At his age of 33 years, hypertrophic cardiomyopathy (HOC) and dilated cardiomyopathy (DCM) can be the cause for his huge cardiomegaly. So better to consult cardiologist and get done 1. Blood pressure monitoring 2. 2d echo 3. Cardiac scan for functional ability of heart muscles. If all these are normal then no need to worry about his heart condition. But if he is having any of these diseases then he needs treatment. Hope I have solved your query. I will be happy to help you further. Wishing good health to your son-in-law. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "okay i have had my gallbladder removed and a yr ago i had 20 % of my right kidney removed to cancer and i keep getting this really pad pain in my liver area and it will move into the chest and into my shoulder and then my kidney will start to hurt i will get the urge to get sick and when i lay down or ant kind of movement and the pain will become very bad.. it will go away for a little while but here the last few months it has been bothering me alot and the last two weeks it has been almost every day", "output": "Hello Dear. Welcome here on Chat Doctor Dot Com.I am very much concern of your problem. I think I will certainly able to help you out of this condition. In my viewpoint is a defensive symptom of the body to alert you be cautious and take care of yourself in time. So I will suggest youth visit your GP sand get evaluated this problem until a diagnosis is formed, and you are given correct treatment. Good luck. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i would like to know what is wrong with me.I felt a small lump in the left side of my neck,i think this is a cervical node.I had this evaluated by an EENT she said its indeed a node but it was a flat node. i dont know if this has a relation but i have episodes of terrible headache specially when my period is coming. And i have persistent numbness in my left arm down to my hand,and sometimes pain in my left leg and toes, also i have pain in my left shoulder and chest which are also persistent. I am so afraid my father died of lung cancer 3yrs.ago., I have GERD and anxiety thats is why i dont know if im just being anxious for nothing but i cannot the fact that i feel the pain. my x-ray in dec.2009 also showed that my cervical spine is straightened, but it be due to spasm or my position during the x-ray. I am a female, 28yrs.old and a mother of 20mos.old baby girl. I delivered through ceasarian operation in nov.2008", "output": "Welcome to Chat Doctor. 1. Paniless lumps on the neck with mild discomfort - possible cause could be lymph nodal enlargement.2. Lymph nodal enlargement is seen in infections and inflammations which can be localized or systemic and lump nodal pathology itself.3. If you are concerned and want to be in peace of mind - request your doctor for an ultrasound neck.4. Ultrasound will evaluate the nature of the lump. Its source and extensions, An FNAC to rule out any malignancy / cancer cells within.5. An abdomen pelvis ultrasound to assess any possible causes and abdominal lymphadenopathy.6. Treat any illness you are aware of that will heal the nodes automatically. Good luck. Hope I have answered your query.Anything to ask do not hesitatehttp://doctor. ChatDoctor .com/doctors/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Last two out of the last three nights i have woken from my sleep in a huge sweat with my body feeling really cold and breathing really heavy, my heart thumping quickly and loud enough for me to hear or maybe just feel comfortably, each time this has been followed by my heart seeming to stop for a good 5 or 6 seconds making me feel how i can only really describe as numb, then it seems to kick back into a fast beat and slowly settles back to normal once ive got up. This has happened each time a total of five times over the two nights. Ive also started having heart papiltations whenever im lying lying down, i smoke about 10-12 cigarettes a day and dont drink much caffeine, and have had no problems like this in the past and take no medication.", "output": "Your problems may be related to abnormality in sleep, particularly rhythm disturbance. The concern is sleep apnea. It is often present in people who are overweight, particularly those who snore. If you are very tired in the morning, sleep easily during the day and snore loudly, you may have sleep apnea. Sleep apnea may cause or worsen high blood pressure and is a common cause of abnormal heart rhythm requiring treatment. This is a great excuse to stop smoking. Call your doctor to discuss these symptoms and report on any of the above if present. If you can skip cigarettes until the appointment, you're on track." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "66yr old male diagnosed 2 yrs ago with asthma . my pulmonologist said in the last 2 yrs i lost 18 pct of lung capacity when i had breathing tests chest x ray is normal. he wants to send for ct scan of chest and ige panel 25 hydroxy vit. d alpha anthtrpsin test ne allergy panel and aspergillius precipitins test i am a non smoker . what other scenarios due you think he might be looking for", "output": "Thanks for your inquiries if your diagnosis of asthma is right it's very unusual to be diagnosed of having asthma at 64 years of age, if it really happened then it is a adult onset asthma the prognosis of which is worse than the childhood onset variety. Above all u have lost 18 pct of lung capacity. in this regard we have to search something in association...may be an underlying diffuse parenchymal lung diseases.in this regard an HRCT scan thorax should have to be done. Ur physician also suspected of allergic bronchopulmonary aspergilli that's why he is asking for those tests. It is a good approach. Let the test be done and consult with your doctors after reports are getting available.need not worry" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband is a sex addict. he disclosed his sex addiction about 6 weeks ago. He is going to SA groups, counseling and reading SA material. He is very moody and at times will say he can t do this , its to hard, its easier to just be an addict, then after anywhere from 10 min to 1day he is back to a normal self and says he wants to control the addiction and not be controlled by the addiction. I m so confused..I m not sure what is normal...any info out there that I can read to learn what his early recovery looks like?", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. Sex addiction in a sense is not an addiction at all. Sex in itself is a natural process and excess may cause momentary physical weakness. Mental disorders such as anxiety is due to over thinking / over worrying about the habit. A habit is a habit, your husband knows that. Worrying about any habit causes anxiety. The more people are involved in work, the less they get time to be in sexual activities. That is the proper solution. Motivate your husband to concentrate on his career. If you need more of my help in this regard, Please post a direct question to me on this port with every possible details. I shall provide you with Cognitive Behavior Therapy steps which should clear the problems. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "a lump found on the bottom side of shaft of penis, young age still basically a virgin. larger lump, bigger then average pimple. researched some STD s, do not seem to feel any symptoms or differences in body. quite embarrassed and do not see ingrown hair", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have folliculitis or skin infection or dome other lump. You need examination. Consult your general surgeon and go for examination. Or send me the image do that I can help you further. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello.. My 3 month old was born with a red spot on the back of her head. I just noticed today that it looks irritated and flaky. I noticed as I was washing her hair because she started to cry. I am using California baby eczema wash as she has eczema. What can I do ? I put moisturizer but I m not sure that will help", "output": "Hi, Thank you for asking question on Chat Doctor. It is difficult to say without seeing it. But I think it may be catch infected or a hematoma. Hemangioma is not painful and wanes after applying pressure. Local application of antibiotic ointment may be tried for a few days. Consult dermatologist if it does nor subside. Hope this answer will serve your purposeless feel free to ask any more queries if requiredTake care Chat Doctor. V. Subrahmanyam MD;Disassociate professor of pediatrics" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i had poleo 62 years before::100% disability in both lower limbs.now for 3 years i have faced sevior dm ,ht, hepatitis[2] nonalcoholic cirrhosis.earlier i lived normal life. no strain sustainable due to low haemoglobin[9]i have stopped using callipers.health is getting deteriorated i feel daily activities tiresome.your advice to make routine life sustainable is solicited YYYY@YYYY", "output": "Hello! Thanks for putting your query in Chat Doctor. I am a Gastroenterologist (DM). I will advise you to visit a Gastroenterologist who will evaluate you and manage accordingly. You should undergo some blood tests like complete mammogram, liver function tests, Kidney function tests, ultrasound abdomen. From what all information you have given I will advise you to take high protein, salt restricted and diabetic diet. Blood sugar and HT should be strictly controlled. Take tablet ursodeoxycholic acid, multivitamins and Iron and calcium supplements hope I have answered your query and this will help you. If you have any further query I will be happy to answer that too. Remain in touch and get-well soon." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "A few years ago I popped my jaw out of place while chewing some gum. Since then I have been experiencing moments of locked-jaw and jaw popping while eating gummy candy or very hard foods, only on the left side of my jaw. Most recently I experienced a painful ripping sensation. Should I get my jaw checked out?", "output": "Hello, Thank you for consulting with Chat Doctor. It looks that you are having temporomandibular disorder means disorder of joints of jaw, it occurs because of exertion of jaw joint while chewing hard food and even because of stress. You should visit a good dentist and get an x-ray of the joint done, which will show the changes of joint. The treatment will depend on the condition of the joint, as either medicinal or surgical. Hope it will help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "is SGOT 63 U/L Up dangerous im repeating my question. im attaching the bloos suger and liver test report of a 47 year old man. BILIRUBIN DIRECT 0.39 mg/dl SGOT 63 U/L SGPT 32 U/L ALKALINE PHOSPHATASE , SERUM 67 U/L GLOBULIN , SERUM 2.2 gm/dl UREA, SERUM 19 mg/dL CREATININE, SERUM 1.3 mg/dl URIC ACID, SERUM 8.1 mg/dl 3..4 - 7.0 mg/dl Page", "output": "Hi, Thank you for posting your query. SGPT of 63 is high, but is not in dangerous level. It indicates a problem with liver. The most common causes of elevated SGPT are alcohol intake and medicine-related (such as analgesics). As of now, avoid alcohol or any analgesics (painkiller tablets). The blood test (Liver function test-LFT) may be repeated after two weeks. If SGPT is still high, you may consult a gastroenterologist. I hope it helps. Best wishes, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My nephew is in the hospital with Hepatitis C. His conditioning is worsening each day. I know there is a medication that is on the market now, but the cost is $1000 per pill. His most recent symptom is that his testicles have swollen to grapefruit size. Is this one of the symptoms of the infection spreading in his organs?", "output": "Greetings from Chat Doctor. P No I don't think it is a symptom of Hepatitis C spreading to testes. Due to severe hepatitis it damages the liver and because of the liver damage the protein production gets reduced. If the protein concentration in the blood reduces then it can cause swellings in legs or face or in testes. I would recommend him to get Serum Albumin levels which will confirm that protein levels are low If at all it is in normal range then an ultrasound Scan of scrotum has to be done. Hope this information was useful to you. Any clarification feel free to ask. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have degenerative disc at L2,L3,L4L5,S1 i have also had a pain across my back for the past 4 weeks and it is bad. seems like it in the scapula area from left to right. and on the right side some pain goes down the right bicep. Also keep in mind that I have both shoulders totally replaced.", "output": "It looks to me that apart from disc protrusion at your back you are also having cervical disc protrusion. This leads to nerve compression, and it causes pain in shoulder, biceps and in scapular region. My advice to you is to get cervical spine MRI. Treatment for this will be intermittent cervical traction exercises and neck muscle strengthening exercises. Chat Doctor. Also, you should take Pregabalin and Methylcobal." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband has CLL and has been in remission for 2 years after 6 months of chemo. Now it is slowly elevating again. Can a person predict how fast it will increase after remission. My husband was diagnose in 2008 and he was 53 years of age. The doctor had said at the beginning he would have 6 to 8 years to live .Is that true with his cancer and his age when he was diagnosed.", "output": "HIT hank for asking to ChatDoctorI really appreciate your concern for your husband, look Mam, the pathological process in malignant disease is very unpredictable, it some time progresses very rapidly some time slows down and seize also, if your husband had a remission phase then now onward the next pathological process would be slow with minimal damages, take care of your husband, it will be alright had good day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Last 3 nights I have been having a spinning sensation, like a drunk feeling when I lay down. Today I had it occur while I was sitting and in the shower I had to grab the wall. Also when I squatted down to get something I literally fell back or to my side but caught myself. I have had an increase in anxiety so should I be treating that ? Or should I see a neurologist?", "output": "Hi, Thanks for using Chat Doctor. Dizziness you need to get your BP monitoring done, your symptoms could be due to high blood pressure. You need to be treated for it. Get your lipid profile test done, could be due to inner ear problem also. Better to get your basic blood investigations done and consult a physician. Hope I answered your question. Feel free to ask me if you have any further queries. Wish you good health. Take care. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "3 year old has very strong urine when he sometimes wets bed at night....doesn t seem to be so strong during the day....not overly thirsty. His father is type 1 diabetic..not from heredity...it was a virus that attacked his pancreas...so we don t think child inheritednit", "output": "Thank you for posting your question. The strong urine that you sense your child has, is likely to be concentrated urine. Such concentration of urine is likely to occur due to prolonged periods without water intake. In normal circumstances such urine is found in all individuals towards early morning. Thus, this finding of yours is most likely to be normal. Diabetes mellitus would present with increased urine frequency, increased thirst, increased hunger, loss of weight etc. If none of these are seen in your child, it is very unlikely that he would have the disease. Still in order to be sure you may get a urine sugar or a random blood sugar done.Also, if you notice any associated symptoms like burning or pain while urination, fever etc. a medical consultation would be needed. If you have any more doubts, do write back." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i got bartonella in 06 and still sick was in hospital 42 days its the after math that is so bad i have care givers 4 hrs a day pain is so bad on alot of things so i can walk and not cry husband left me over this need support group finiallypeople are talking about it on tv i was on dallas tx news in o6 dateline at one time wanted to get me on it is worse than they cdc saids i am in denver now alone cant work lost business and my life", "output": "Hi, Welcome to Chat Doctor. I have gone through your query and I understand your concern regarding the effects Antonella infection has had on your life. I empathize with you and I suggest you make some lifestyle changes to make things easier for you. You have not mentioned the treatment details you have received for this infection. Bartonellosis can be very debilitating and may cause severe fatigue in many individuals. Such individuals need counselling, and you need to practice some relaxation techniques to decrease your anxiety. A regular low intensity exercise regime can be inculcated in your lifestyle slowly to elevate your mood and also make you stronger and fit. Get in touch with a nutritionist and plan a high protein diet. These tips will help gain your health and aide faster recovery. Wishing you fast recovery. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i rolled my left foot playing softball. stopped suddenly and ducked to my right to avoid a double play throw. i immediately thought i sprained my ankle but soon realized all the pain was on the top of my foot. i am able to walk but i feel pain most of the time.", "output": "Hi, Painful walking after Outdoor sports injury- I would never take it lightly and will get it examined by an orthopedic surgeon and get X-rays. It could be an ankle sprain anteriorly or could be a small fracture in foot. Sometimes, with same injury you may get Fracture talus - which is a major disabling injury. Get Your X-rays ASAP. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi v r trying for baby since two yrs . V married in 2007. And started to plan since two yrs Took clomid 6 cycles.. no use And took sisten and estrogen with ChatDoctor trigger and failed again Now doc adviced me to take deviry to get my period. My husband sperm count is 25mil. Could u pl suggeste me any solution", "output": "Hi welcome to Chat Doctor. I have gone through your query. All medicines you have taken is either for increase follicle size or to make uterine wall favorable for implantation. Your husband is count is near normal. But it should have normal motility and morphology. I would suggest continue with devilry for 3/4 months and wait to conceive. If couldn't get success then go for GUI intrauterine insemination, is good option for you. Hope I answered your question. Would be happy to help you further. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "When I run, I have a pain on my upper back part of right leg (hamstring). I am 55, male, and try to run regularly. From recently i got this problem. I avoided running for 2 weeks but problem is still there. No pain when I walk or ride a bike. Could you help me explaining me cause of my problem and what I should to mitigate it? Thank you...Alex", "output": "Hello, I have studied your case and I think you need to see a neurologist or a spine surgeon. Such numbness is suggestive of nerve compression in the back or vitamin B 12 deficiencies. In such cases you need to take blood serum level of B 12 and MRI of the spine. It will tell use if there is disc herniating or not. If yes then it should be taken care of. I hope this answer will be useful for you. Let me know if there is any other followup questions. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 26 years old. It is going to be two months with out menstrual period. I feel a drastic change in my body. I feel tired, dizzy with inconsistent light headaches, breasts are sensative and my appetite has increased. Also, I have cravings for sweet and spicy food. 3 weeks ago I saw my doctor. I had a urine and blood test. Both tests were negative. However, 3 days before visiting the doctor, I took a home pregnancy test. The results were one defined line and one faded line. I am very confused and concerned. What should I do at this point.", "output": "Hallow Dear, By completion of two months after missed period, urine pregnancy test does give reliable results. If your test is faint (weak) positive, there is a chance that your pregnancy may be growing outside the uterus, may be in the tubes (Ectopic pregnancy). Ectopic pregnancy is a very serious condition which when ruptured leads to alarming bleeding and requires surgical intervention with blood transfusions. Please report to the Obstetrician without any delay to get the condition diagnosed/ruled out. If ectopic pregnancy, get it treated before you land into any emergency. Wish you the best," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello. About a month ago my doctor discovered I have gall bladder polyps size of 0.5 cm and said to wait until Aug/Sept. so see for any changes. A week ago I went for my annual gyno check up and discovered I have 3 cysts on y right ovary. Are the two related? A year ago I was fine, and now all this. Can I take birth control pill to help reduce the ovarian cyst? But then I read that birth control pill may have something to do with formation of gall bladder polyps.", "output": "Hi thanks for contacting Chat Doctor... You have gall bladder polyp... So yes strategy is right by your treating doctor.... Watch up is done with follow up report needed then removal considered... For ovarian cyst if small wait for its automatic resolution.Most cyst are resolve by itself as mostly simple follicular cyst. Yes OC pills can give for its treatment ... But you have associated gall bladder disease, so you have to consult your treating doctor before starting it. If ovarian cyst increasing in size then laparoscopic removal needed. Take care. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband and I are trying to become pregnant. My period came on Dec.27th but we had sex 4 days prior. And also Dec.28th, no Dec Dec.30th but we did have sex Jan.1st till Jan. 5th. According to charts my fertile days was the 5th & 6th and I started ovulating the 10th. Today makes the 4th day past ovulation and I have been receiving white milky discharge . I was wondering what are my chances and when should we have sex to conceive.", "output": "Hi, In a normal 28-30 day cycle, ovulation occurs around 14-16 days. Since the ovum remains viable for 24 hours after ovulation and sperms have a relatively better viability, intercourse around this period stands a very good chance of conception. The fertile period, as this is called falls around the 11-18 days of the cycle. Milky white discharge is often seen in the post-ovulatory phase of the cycle as well as in early conception period. Please get further instructions from your doctor. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "The area on both side of the middle finger knuckle is swollen from falling and catching myself with my fingers and palm down. I heard the cracks like a crack sound when a person cracks their knuckles. my hand is sore and weak. should I be concerned and see a Dr. to get xrays or will this heal with time?", "output": "Hithank-you for providing the brief history of you. A thorough musculoskeletal assessment is advised. As you have pain in the middle finger knuckles, it will be just a ligament sprain. Doing hot water fermentation and slow hand exercises should improve your pain and swellingIncase there is increase in pain and swelling after hot water fermentation than an x-ray will be advised. Usually, patient respond well to physical therapy and recovers in 2-3 weeks of time with good strength. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a strange sensation as if a ping pong ball is lodged between my buddocks. There is no pain just this discomfort and strange sensation.....when I am walking a feeling of a pin pong ball ...not. Heavy sensation I have been moving heavy furniture which for a female is not a good idea. But now I am concerned about bowel cancer", "output": "Hi.here are the usual signs and symptoms of bowel problem (i.e. in cancer): changes in bowel and bladder habits (change in color, size, frequency), presence of blood (old or fresh) in the stool, abdominal pain or discomfort, abdominal enlargement, constitutional signs and symptoms such as fever (usually of unknown origin), significant weight loss. These are the most common signs and symptomatologic. Presence or absence of one doesn't necessarily rule in or out a cancer pathology. A consult with a physician is best for complete medical and physical examination. Diagnostic examinations and management (medical or surgical) will be done accordingly. Hope this helps. Good day!!~ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband had emergency gallbladder surgery last June however they could not retrieve completely he had continued complications and had to have another emergency surgery in Sept since then he cant stay out of the bathroom and has stomach distention that is pretty severe and is extremely hard.And now 2 days ago some kind of really soft fluid filled looking blister has come up on his belly button should we be very concerned about this? Thank you", "output": "Hi and welcome to Chat Doctor. Thanks for the query. If there is no pain and redness around it then you don't have to be worried.l usually through belly button we place laparoscope and there could be small wound infection or wound complications. But it should subside soon. If there is plus secretion or redness with pain you may need antibiotics and wound revision so consult your surgeon in this case. Wish you good health. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, i was just informed that my friend is in the hospital because she couldn t breath. I was also told that prior to the breathing problems, she took 220mg of Vyvanse within a 24-hour period.She s been prescribed 30mg once or twice a day for a couple months, though hasn t been taking it consistently. She s about 5 5 , and between 200 and 215 pounds. I need to know how likely it is that the 220mg of Vyvanse that she took lead to an overdose causing her breathing problems.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Vyvanse is central nervous system (CNS - brain) stimulant, not suppressor. So her breathing difficulty is not due to this Chat Doctor. She is very obese. So possibility of sleep apnea is more likely in her case. And this (sleep apnea) can cause breathing problems. So get done sleep study to rule out sleep apnea. Hope I have solved your query. I will be happy to help you further. Wishing good health to your friend. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I shaved couple of months ago of my head and noticed that back of my head on left side is bone is big. I been to doctor he said its normal, nothing to worry,but its better to get second openion ,so i been to my family doctor he said the same thing ,no need to worry, but today i noticed that behind my left year bone is a little bigger than the left, What to do.", "output": "Hello! Thank you for your question on Chat Doctor! I understand your concern. I agree with your GP in the fact that there is really nothing you should worry about. These are normal physiological variations of bone structures. I would say that nobody is perfectly symmetric. Some it is normal to have some bigger bones, some asymmetric bumps etc. If you have any other symptoms like aggravating headache or nausea I would recommend a brain CT scan to rule out any meningioma(tumors of the brain surface layers), which can cause modifications of the head bones. Hope to have been of help! Greetings!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My last blood test a few months ago indicated I had a slight fatty liver and my gamma gt was approx 140, ive had same bloods again and my ggt is 138, i dont drink,am female height 5ft 5 and weigh approx 12st, smoke quite heavily and suffer from depression and take 20mg citalopram, what could this indicate?", "output": "Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. This is not serious condition at this point but if there will be progression of liver damage and Get then it may be problematic, so it would be good to do check liver markers frequently, do ultrasound and avoid alcohol and hematologic medications, however Citalopram is not one of these if taken in recommended dosage. Kindly regards. Wish you a good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have significant shoulder pain radiating from blade to elbow with some tingling. It especially hurts when I try to lay down at night. My wife noticed that this shoulder is lower that the other when i stand up and the blade sticks out a little. i have no insurance. What might this be and what can i do to alleviate the pain and reduce further injury.", "output": "Hello, I read carefully your query and understand your concern. The symptoms seem to be related to a pinched nerve in the shoulder. I suggest using anti-inflammatory medications such as Acetaminophen to relieve the symptoms. I also suggest maintaining the area immobilized to prevent further damage. If the symptoms continue, I suggest seeing a neurologist. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards! Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My Daughter was diagnosed with SVT at 4 years of age. Since then she has had only a few episodes that I know of and she is now 9. When she was 7 she had an extreme episode where her heart rate was 170 bpm 1 hour after running the mile at school. She saw a pediatric cardiologist and they also found a small hole between the upper chambers. Last weekend two nights in a row she woke up saying her heart hurts her heart rate was 130 bpm for an extended period of time. Her heart rate never went below 100 bpm till Tuesday and in the AM it was 69 bpm. She has an appointment on August 4 with a pediatric cardiologist, but my question is will this just continue to get worse the older and more involved she gets in her sports?", "output": "As per your description what I find is that she has an Atrial Septal Defect - ASD(size not mentioned). Its seen that ASD patient have increased chances of having arrhythmias like SVT. But SVT are harmless phenomenon and if persists for long periods require some prophylactic medications. I don't think there is anything to worry about future right now except giving some beta blocker medication to her." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am feeling fatigue, low temps, 96.5 to 97.2 I can lay down and sleep for about 1 hour and feel better, I have sugar diabetes.... bad thyroid, (blood tests say I am ok with taking drugs.copd, asthma. High blood pressure (controlled) But Generally not feeling good at all, I am usually very active and hard going, but in the last 3 months something seems to be drawing my energy down and it is getting worse each week that goes by. I dont feel like doing anything, I am beginning to be very depressed to a point I dont care about living. Not sure I want to go on if I keep feeling this way, Stress free life, 64 years old.", "output": "Hithanks for your query can feel your concerns you seems to have a depressive illness advise you to consul your doctor and take antidepressants after consulting your doctor you may need a few sessions of psychotherapy have some healthy physical activity have a morning walk and keep yourself busy also advise you to have a complete blood profile since low hemoglobin can also cause lethargy, weakness and low energy hope I have answered your query wishing you a speedy recovery am available for your help regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I find myself paranoid all the time when my girlfriend goes out without me. It s not that I worry that she s cheating, I worry about if she s ok. To a ridiculous level. She says she feels like I keep her on a leash, but I m just worried. What can I do?", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. In the initial stages of love and belonging such obsessive thought processes are normal. Give it some time. This obsession should come down when you get experienced with those events. You cannot control your girlfriend as she is entirely another personality. It is not possible even if you marry her. Understanding this bare fact, should cure your problem, and it might take some time. Just enjoy the obsession. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi we are now in a foreign country, Colombia on vacation and about 2 days ago my sister got a fever, she was throwing up and her fever was getting worse, we took her to a doctor and they gave her an IV with aspirin for her fever, and a shot in her butt, which they assumed was an infection. Now 2 days later, she has a fever only, and a fast heart beat, we dont know if we should take her to the hospital or not? She is 12 years old and her heart rate is 140 bpm. Help us please", "output": "Hello and thank you for using Chat Doctor. I carefully read your question and i totally understand your concern bur don't worry, it is nothing serious. I will try to explain you something. The heart is the major organ that supplies our body for all its necessities. Let me explain what happen during an infection. Our total body is in war with the microorganism that coursed the infection. All our immunity system in mobilized wining this war. All our body needs more energies to win this battle, so our heart needs to fulfill the body necessity for more energies, more blood. Through a compensatory mechanism our heart increases the frequency beating faster to fulfill these needs. So during an infection, during a high fever it is quite normal for the heart to beat faster. We expect that the maximal rate of our heart might go up to 220 minus the age of the body. So for a little girl it is quite normal this frequency since the organism is beating an infection. When she will start to recover, every thing will go to normal values. So you should not take her to the hospital for this reason, only if she doesn't recover with her fever or other symptoms of infection. Wish I was helpful. Don't worry, she will be all right soon. Best regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Done semen analysis. Trying to have a baby. Help Hi Doctors I am 30 year old got married on april 2012 and i am trying to make wife pregnant since 6 months i know her ovluation period it 12th o 18th day from menstrual period. I have arthritis since 10 years and i m taking 25 mg diclofenac sodium t.i.d. .. Even while having sex you put pillow below the buttocks and have correct in ovulation period. and My Semen analysis report is Vol : 1.5 ; Appearance : Turbid ; Reaction : Alkline ; Fructose Test: Positive ; Sperm count : 32 ml; Liquefaction time 30 mins Motility Actively Motile : 30% Sluggishly Motile 20% non motile 50 % Morphology 45 % and my Semen impression says : Normal Sperm count with decreased Motility and abnormal forms But according semen normal analysis report the active motile should be above 50% but mine are only 30% and even normal sperm count is 40 ml and mine is 32 ml and also morphology is 45% Is this is causing infertility. Please help RJ I have done my wife follicular test on 14th day of menses it shows normal and folic are present.This is my 10th month i have tried in ovulation time ie. 10-22 and also i do have daily intercourse.Is daily intercourse cause problemHaving 25 mg of diclofenac sodium trice a day ie 75 mg is not causing problem.", "output": "Hi, According to the latest WHO criteria, your semen analysis is normal. (WHO 2010). For conception to occur, apart from your semen & her eggs(ovulation), normal open tubes are required. Also, after 6 months of trying, chance of pregnancy is around 70% (85-90% after 12 months). So you have not tried enough & also tubes are not yet checked. If you are very anxious for pregnancy, you can consult infertility specialist, who will investigate & guide you; otherwise you can wait for another 6 months. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear doctor, My scrotum size is right testicles 4.2*2*2.2cm(volume 9.2cc).and left testicle is 3.8*2.5*2cm(volume 9.8cc). Is it normal? And this is my semen analysis Volume is 2.5ml,MOTILITY Is Active:40%,sluggish:05%,Dead:55%, total sperm count is 130million/cc..... Is it normal......pls rpy me", "output": "Hello Your report suggest mildly decreased testis size and decreased sperm motility. Normal volume of testis is 12.5-19 cc. Motility should be at least 55 %. Reports suggests sperm count and volume of semen are normal. You need proper clinical examination and further investigations. Besides clinical examination you may need hormone assay. You should take nutritious food and do exercise. If low motility persists then you may need assisted fertilization techniques like GUI. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "39 yrs old, in good heatlh. Was eating popcorn balls over the weekend and Monday noticed that teeth were sore and the roof of my mouth was a little swollen. Today I woke up and the roof of my mouth is swollen more but the teeth do not hurt as bad? Got any ideals?", "output": "HI, THANKS FOR POSTING THE QUERY, The swelling could be in relation to the infection tooth, the infection in the tooth might have spread to the periapical area leading to swelling. I would suggest you to get an x-ray done of the region. A root canal treatment has to be performed. Take a course of antibiotics and analgesics. Chat Doctor. At home take lukewarm saline and antiseptic mouthwash rinses. Take care!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi.....I have not had my period in almost 2 years. It came a couple of days ago very lightly for 2 day and I usually get it for 5 days. I thought I was pregnant so I took a pergnancy test and it came back positive, but I have the bloating, running back and forth to the bathroom, and also eat alot what can be wrong with me.", "output": "Hallow Dear, At the outset let me congratulate you on your pregnancy. Let me solve your queries one by one:1. Frequent urination is one of the cardinal symptoms of pregnancy. This is due to the pressure of growing uterus on the urinary bladder. Therefore, if you do not have any other urinary problems, you may ignore this issue. 2. You are eating very frequently and that too sumptuous amount of food. This is naturally leading to bloating due to gaseous distension. Please modify your eating habits. Have small feeds 6 times a day at the interval of 3-4 hours. As far as possible have bland diet. Avoid spicy food. This should take care of your gaseous distension. Moreover, for immediate relief, you may take some carminative like plain Soda or Gases tablets. During first three months, I would not press you for any specific diet or any medicines. Eat what you like and what you can digest. If you can tolerate take Folic acid tablets. After 3 months, you will be advised about the diet and medicines when your nausea and vomiting will go away. I hope this helps you. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a very hard lump just above my left temple. It is the size and shape of an almond. I noticed it a couple weeks ago. I did not bump my head. Does not hurt to touch. Might cause headaches. 35 yo female. No previous head injuries. Any ideas? Thank you", "output": "Hello! Welcome to Chat Doctor. This can be an asteroid Osceola most likely as you said It's very hard in consistency. This is a benign lump.Also, it can be very tense cystic swelling perceived as hard, a Desmond or sebaceous cyst. Clinical examination is necessary for diagnosis, also FNAC - fine needle aspiration cytology is advisable for diagnosis. Treatment is done accordingly. Hope this helps. Wish you healthy life. Thanks. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doc. im jhel, age 27, last 2007 i was diagnosed for ptb minimal on my left lungs i took medecine for 6 mos. i was cured it was successful, when i took another xray the results is ok but theres a small spot seen on my xray my doc said its a lifetime...is it true? can be please help me how to clear the spot is there any operation for this problem?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Yes, this spot will remain as its life long. You had tuberculosis which was healed by six months treatment. TB lesions heal by either fibrosis or calcification. These lesions are scar tissue which is inactive. So they will remain as it is throughout the life and will be seen in all future x-rays. These lesions are inactive. They are not carrying any bacteria so not infectious. Hence, no Chat Doctor. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had a very swollen stomach for about a week now. It s more uncomfortable than painful, but there are sudden pains that come in my sides and under my breastbone. I ve been to the doctor and he told me it was acid reflux so gave me medication for it. I have been taking it, but the pain has now spread to the middle sides of my back. It may be that I haven t been taking the tablets for long enough, but I just would like an opinion.", "output": "Hi. Thanks for your query. Your history of distension - swollen abdomen with discomfort and sudden pains and now backache is suggestive of an intestinal obstruction with the intestines trying to push up the things in it causing sudden pains also called as spams. I would advise you the following:X-ray of the abdomen in standing position. Ultrasonography of the abdomen. If there is intestinal obstruction, you have to get admitted for investigations and treatment of keeping you nil orally, intravenous fluids to supplement, investigations of the blood including electrolytes. This is not the case of acid reflux. You may need a surgical intervention if you do not get relief within 3 days. Be prepared for surgery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi thanks for your time my question is what is best for breakthrough pain i am taking 145mg methadone in two daily split oses it does help but i get bad electric shocks down back and front of my right leg and my knee is real sore too as is my big toe and on thge outside of my foot it is sort of pins and needles and my bum goes to sleep but atm its the burning and the shocks that are killing me i believe i dislocated l4,l5 facet joints and think i may also have nerve root involvement i am miserable", "output": "Hi, Welcome to Chat Doctor forum. As you describe it appears to be the neuralgia, may be secondary to the hypertension, diabetes, anemia, deficiency of vitamins, or calcium. The other cause may be the pressure on the nerves of the leg. I advise you to consult a neurologist for diagnosis and treatment. I usually prescribe to my patient with such symptoms neurotrophic injections for 10 consecutive days, and then periodically. Calcium supplements, and painkillers. Avoid taking potato, other tubers, tomato, egg, chicken, and seafoods. Wishing for a quick and complete recovery. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "well i feel very tired and some days shakey and feel that its never gona go away, and over the past twelve months iv had kidney stones needles in my knees for arthristis lost our home husband just got job after been made redundant over a year ago, and was in bad health too for a while and i was off with aniexty but had gone back to work with reduced hours, but off at moment feeling shattered again, will this go", "output": "Hi, Thanks for your question. Your problems seem to be multitude! My sympathies for all the financial trouble you have been through. Hope the worst is over for you. In regard to your tiredness, kindly make sure your GP has checked your kidney function and hemoglobin recently. You probably will be under followup for your kidney stones under a urologist, else ask your GP to refer you to one. As long as your kidney function is good, you need to Chat Doctor. Best wishes" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son hit his side, lower abdomen on his camping chair with the medal rod while runing with it. He cried but didnt complain of pain said it hurt a little. I rubbed the area his right lower abdomen on his side. I was wondering if i should take him to the e.r for check up of internal bleeding? I asked google and now Im worried. please help", "output": "Hi thanks for your question your son was hit by a metallic rod on right lower abdomen and didn't complain of any pain. I would suggest getting him examined by a physician and get ultrasound of his abdomen done to rule out internal bleeding. Clinical examination and ultrasound will rule out internal bleeding. If internal bleeding is ruled out by these 2 means, then there is no need to go to E R. Hope this answer your question" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have been suffering fro recurrent attacks of ac.bronchitis since one year presenting with repeated harassing cough with expectoration and am being treated with bricarex,amoxycillin and broncodilator without much relief. i shall be thankful if you kindly suggest. thank you.rekhae.mail add. YYYY@YYYY", "output": "Thanks for your question on Chat Doctor. Bronchitis is inflammation of airways. Following are the possible causes for recurrent bronchitis. 1. Cigarette smoking 2. Recurrent upper respiratory tract infection (URI) 3. Allergy. So if you are smoker then quit smoking as soon as possible. Take adult Pulmonary vaccines like pneumococcal and Influenza vaccines to prevent recurrent respiratory tract infection. You should also avoid dust, pollen, animal fur to avoid possible allergy. So consult pulmonologist and discuss all these." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been taking tuberculosis drugs (Neck lump) for 4 months. I didn t feel pain in lump when I press it before, but nowadays after 3 months, I feel pain and the lump seems like moving. Does that mean during drug taking, is there any chance that the size of lump changes or is it the adverse effect of medicine or is it the new lump? Please help. thank you", "output": "HI. Thanks for your query. This is a very good questions you asked as there are many reasoning:The Lymph nodes in the neck due to tuberculosis may respond differently in all the patients. In some patients they may not be noticeable after a proper treatment. In some patients they may regress, become small and remain so. In other patients it can show variation as in your case that they become mobile and tender: The reason of tenderness can be secondary infection spread from the oral cavity or hypopharynx and nothing to worry about if you have increases weight gain, better appetite and so on. Moving means a good sign, that they are responding to Anti-tubercular treatment. This is not an adverse effect of the medicines you are taking. Please continue the medicines. You may need an additional routine antibiotic for a week or so," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello my daughter is 7 years old she has red dots All over her back her chest and I m not sure where else she says they itch... I was thinking it might be chicken pox but they don t look big enough to be chicken pox they re a bunch of smaller tiny red dots all over for stomach Oliver back chest and I m not sure where else what might it be", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query your child have symptoms of red spots on chest which could be due to allergic reactions to substances causing irritation of the skin, excessive exposure to sunlight, contact dermatitis, such as when you come in contact with poison ivy or cold sores, dermatitis, or eczema. Need not worry. I would suggest you to apply cold compresses on them, take antihistamine like Ben Chat Doctor. You can apply combination of topical Darlene + nadifloxacin gel at night. If condition doesn't get better than consult dermatologist for proper examination and rule out cause like chicken pox and bulbous pemphigoid. Doctor may prescribe corticosteroid or antibiotics course. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "recently my brother has sore type under his tongue after preliminary investigation doctors conclusion was that is due to bacterial infection and he started antibiotics for weeks it totally disappeared .After fortnight it again appeared what might be the reason and what is the treatment to be taken .", "output": "Hello and Welcome to Ask A Doctor service. I have reviewed your query and here is my advice. A sore under tongue can be a canker sore or yes, it can be bacterial infection as it went away completely after treatment with antibiotics. There is a possibility that the infection was not completely resolved, and it is the cause of the recurrence. So it is better to take another course of antibiotics. Along with it do warm saline gargles, antiseptic mouthwash gargles and take vitamin B complex for a week. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, a few weeks ago i sprained my back in a boating incident, 4 days after the sprain i began getting stomach pains and then i started to pee blood it is painful too, i dont know what to do or what it is i would like you to help me i am of female gander.", "output": "Hi. Thanks for your query. Read the history and understood your problem. The history of an injury to the back in a boat and starting of hematuria (blood in urine) after 4 days is indicative of trauma to the kidney. I would advise you the following :- Admission to the hospital.-Urgent ultrasonography of the while abdomen.-Tests of blood: Blood group as you may need blood anytime, CBC, kidney function tests.-Urine: routine, microscopy, culture and sensitivity.-CT Scan and intravenous Paleography to see the status of the kidney.-Rest of the treatment under the guidance of the Urologist." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir ,i am an 14 year boy at the of 4 year imet with an accident and there was an injury on my head and my bone swallow ,i ask a doctor the doctor said that it is nothing and they said that there is swallowing on the bone and now i am of 14 year the swallowing is the same but some time the swallowing become big some time small help", "output": "Thanks for your query, I have gone through your query. As far as the swelling over the bone is concerned, it can be an inflammatory response of the bone to trauma. Since you are giving history of repeated swelling, and it can be a garret osteomyelitis. Nothing to be panic, consult a general physician and get it evaluated. You might have to take radiographs to confirm the diagnosis. I hope I have answered your query, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a bunch of bruises on my legs and arms, which I can t totally account for. I took a pretty good fall and the pool last weekend where I twisted my ankle when they all started showing up. I only twisted my ankle. My ankle is only mildly bruised. Following this by a 3 or 4 days later I got a severe cramp in my calf muscle in the middle of the night and for the past two days my calf has been hurting. Is this something I should follow up with my MD?", "output": "Hi, Bruising and calf pain following injury may be due to calf muscle strain with bruising. Bruising may be due to blood vessels injury lead to blood leakage lead to hematoma formation. Avoid exertion, use compression, take rest. Elevate the limb. Use NSAIDs if necessary. If symptoms not improved please consult your physician he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "SIR, i am suffering with dust allergic problems. dr. sujjested MONTEMAC-L. But the problem is when i stop taking the tablet again my nose irritates, it flows and congesses.i m having bussiness on main road, so,there is allways dust problem.I am also suffering frequently head ache(parcial).So, please kindly suggest me that can i use MONTEMAC-L daily i.e.,contenuously or change the drug .The dosage priscribed by my Dr. is only one tablet at night by bed time.", "output": "Hello popular autoskim, allergy to dust, with headache may be due to rhinitis or sinusitis, contuse same medication once daily X-RAY PNS if sinusitis need antibiotic & needle puncture of sinus, advice to protect your self by, avoid dust exposure, use mask put over mouth & nose, try immunotherapy -by intravenous injection or sub lingual avoid alcohol & smoking, YOGA, deep breathing, & relaxing exercise. Hope you will enjoy positive health, thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a high ESR-112 I was diagnosed as having Pneumonia-chest xray had glitches-but no cough. Antibiotic injection Ceftriaxone-10 times taken-nebulizer also given. The doctor has tole me that investigation is needed to find out the reasons of high ESR and chance of TB+remedial action", "output": "Hello ... I understood your question... the reason for increase in ESR is due to infections or any autoimmune diseases... here doctor diagnosed your pneumonia. Still you are having higher ESR, so he would like to further investigate you weather you are having any other indolent infection..... it's not so problematic so you don't need to worry about it. You will get cured with proper diagnosis a proper treatment for you disease. Hoping you to recover soon...." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HiI just finished 6 chemotherapy treatments ( 3 weeks apart) for fallopian tub cancer. The treatment is the same as is for ovarian SGOT is 48 and my SGPT is 94. Could the elevated numbers be due to the chemotherapy? Whats your opinion on this?Valerie", "output": "Hi, dairy have gone through your question. I can understand your concern. Your liver enzymes level are slightly increased. It may be due to chemotherapy OT may be due to some other cause like alcohol, viral infection or toxins. No need to worry. No, any treatment is required right now. Just repeat your liver enzymes level after a month. Mostly it will come back to normal. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Sir/Madame, I have a question for you. Namely, a week after I had unprotected sex, I started having pregnancy symptoms . First it started with headache, lower backpain , abdominal cramps (slightly similar to menstrual cramps), and very sore breasts (something I have never had before). After few days, I started having extreme fatique, lightheaded, dizziness , urinating more frequently, white creamy discharge, occassional pinching on my lower abdominal area, and acne all over my cheeks. I got my menstrual period exactly after 4 weeks, but it was much lighter than usual and I had normal bleeding for one night, where as the rest was coming and going through out the day and much lighter. After exactly 4 weeks I again got my period with the same pattern (I never get my period exactly 28 days apart two times in a row). I did quantative analysis of Beta ChatDoctor in what would have been 6th week gestatonial age (if I were pregnant ), and my B ChatDoctor was less than 1. In the meanwhile, my lower abdomen keeps getting bigger (I am very slender, and never have I had such bloated lower abdomen--my friends keep asking me if I am pregnant, since my lower abdomen is shaped in such a way that it looks as if I am pregnant; it is mainly bloated in the area where the uterus is located). Thus, my question (after such a long story) is: Is there any way I could be pregnant, given my B ChatDoctor results? And finally, I forgot to mention, I also did blood chemical analysis and the results showed that I have iron deficiency, but my red blood cells and hemoglobin were perfectly fine, and I had slight decrease in tryglicerides. Thank you for your answer! Kind Regards, Heather", "output": "Hello. Thanks for writing to us. Since the quantitative analysis for Chat Doctor has shown a negative result, and you are having regular periods, pregnancy is ruled out. The lesser than usual amount of bleeding that you are having can be due to iron deficiency. Your symptoms are non-specific and do not conclusively indicate pregnancy. I hope this information has been both informative and helpful for you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a history of orthostatic hypotension, shortness of breath, and dizziness. I had a echo stress test done yesterday. I was told my heart was lazy and very slow. He said my normal doctor is out of town and will get back with me next week. He said he is not familiar with my history but it looks like I could be in the beginning stages of heart failure. I am a very active 45 female. I am not over weight, do yoga 4 times a week and eat well. What could this mean and what will be the next steps?", "output": "If you are doing yoga and deep breathing exercise, please add one herbal support to your treatment. My three decades standing in Ayurveda says that you should add ARJUNA i.e. Terminal Arjuna powder. You can get capsule of Arjuna from Himalaya pure herb series 1 bid for 8 weeks and assess yourself. Purely SAFE. No side effects. It is known to increase the efficiency of heart. Cardiac Asthma and hypotension are also widely treated by it. If you can, please additionally take Liquid Arjunarishta 15 ml bid after meals by adding water to it.If you do not feel benefit, you may stop it. But I know you won't stop it. No side effects, no counteraction with other medicine. Do it now please. Hope it helps you. Yes it will. Wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been suffering fm backpain for last two years which is so severe during my menstural time. Sometimes it prolongs after that also. Did gynaec check ups and everything normal. Recently pain starts towards the centre of hip and spreads to lower abdominal side(left). Also I feel pain on my left leg. For the last 3 weeks much restriction in bending etc..one day I felt some sort of numbness under the feet and it disappeared. Now under medication. Doctor said swelling on back joint. Another Dr said some sort of gap near the lower disc. Could you pls tell me what my actual pblm is?", "output": "Hello, I have studied your case. Due to compression of this nerve root there can be pain in your back. I will advise you to do MRI spinor these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doctor,now-a-dayas im lossing my temper very fast...cant control it...though im short-tempered frm childhood.Cant sleep properly...a bad headech occureddurring this time....i lose my confidence level...i cant make my mom happy...all the problems happened in my moms life, just bcoz of me...she was a divorcee...but my father(step) is not behave properly with us...frm Class-V, i grown up,watching their qurrale everyday...Now im an Animator--was working in mumbai,but as my mother fall ill i cant continue there anymore,so back to kolkata...got a job here also...but for some financial cause that office closed for last few months... so im in home now...but my mom force me to join the course,which help me to get a govt.job....but im not interest in that..she cant undertand that. Whatever goes wrong to her life,she blemed me for that. Recently,one of my pet lost,when going towards my cats yearly checkup to animal hospital....this time i suggest to go their(cat) hospital,instead of calling the doctor home,as we did earlier...Now,as the pet is lost,she make me guilty...all the times she cry n tell everybody that she lost her(the cat) for my fault...and as i cant cry and cant say anything ,she think that i do it intentionaly....i feel very bad. Though my family is a broken family, its very few to look that,we are talking with each other. But now -a-days its become horrible...ive a boyfriend,may be we get married next year...our family know each other...but as these thinks happen, I dont want to marry him...bcoz,in future if something goes wrong,then everyone bleamed me...i loss my confidence...sometime i think suicide is the way go get rid of dis things...sometimes think that escaped frm home will be better....what to do...am i going mad???plz help me...", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. Anger always comes due to frustrations in life. Frustrations are normal with everyone. People learn to ignore frustrations when they get experienced. Do you get angry to circumstances outside your home as you get angry at your house? Your office, bus stand, railway station, neighbors etc. If yes, you might need to get evaluated for anger issues. If NO, just understand and compare the two situations, and you can be better yourself. I sincerely suggest that you are victim of your own negative thinking. You cannot term your current state of mind as clinical depression. Rather, this is just disappointment. Disappointment which arises out of unforeseen life events do bring such symptoms like sadness, irritation, anger, lethargy, lack of interest, lack of appetite etc. Please understand this fact and make sure to introspect. Talking to your friends, outdoor activities and being creative should give you relief. Find the reason for your disappointment and consult a psychologist if need be. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor. Im 19 yrs old, female, weight 75kgs, height 160cms. Ive been having staph infections regularly for the past two months wwhich started off as an eye stye, ive had 7 of them in two months time. I visited an opthamologist who prescribed antibiotics n opthalmic solutions, which helped me get back to normanl but lately ive had a swelling near my abdomen similar to the stye. It started as a pimple and later becam big like the size of a coin or much bigger filled with pus. The doctor again prescribed me anti inflammatory medicined to heal but of no use. Last night, blood clotted and started too ooze out blood and pus, but still it didnt come out fully, and the area where the infection is, has big red swellings. Is it normal for a staph infection or is it something else?", "output": "Hi, welcome to Chat Doctor. Staphylococcal infection usually subside by medicines in initial stages but if pus has formed adequate incision and Chat Doctor. Also, please get the culture and sensitivity done for the same because a resistant species called MRSA is there which does not gets eradicated by conventional antibiotics and require ninefold and rifampicin for 15\u00a0days. So, just see if your pus culture grows MRSA. Hope you get well soon." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor from so many days I have pain in my finger bones actually I have a bad habit to press my fingers like (patakha nikalna) from my fingers n now by this habit my bones are damaged so please. Give me some medicine for this pain I had so much pain in my bones of fingers", "output": "Hello There is possibility of injury to ligament of metacarpal or flange joint. There can arthritis of hand joint in future de to such habit. Use ice packs to reduce swelling, inflammation and pain. Physiotherapy with ultrasound and Tens will help you, For early healing you can take Tab Colin [it C] and antioxidant with anti-inflammatory [Tab enzymic plus]. If there is no relief them you may need to do MRI. When such patients come to our hospital I advise them blood test like RA factor, CCP, ESR, complete blood count, HLA B27 to rule out polyarthritis. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i feel tired all the time and my eyes feel heavy even if i jst wake up..i am gaining weight and always feel hatred and angry and a burden feeling..I have lost interest in everything and i dont like talking to any one anymore.i keep forgetting things even if someone said somthing a minute ago.i always bent on negative point of view..i m also having sleep paralysis some times i dont know what to do", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. The description you AFE giving here do correspond to mental distress or disorder. But you must also understand these symptoms also happen due to disappointment in life. Disappointment happen when something negative happens and catch us unaware. Imagine, suddenly you are fired from your current job position. Disappointment triggers stress, anxiety, apprehension, lethargy, irritation, anger and all these emotions do trigger tiredness. Therefore, do not conclude yourself. Please consult a psychologist or If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had stage 3 lung cancer 1 year ago May. I had 33 days of radiation and 2 rounds of chemo consisting of 6 days each round. In November I had the upper lobe of my right lung removed....there was still 10% live cancer at time of surgery. I had 2 more rounds of chemo one in December and one in January. I had a ctscan in July which was clear. I have had a dry cough again for about a month, now have a cold. I went for a chest X-ray Wednesday. Results..I ll defined density. Can you tell me what that could mean? I am waiting to see if my oncologist wants to see me. Thanks, Jenny", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. Since you are lung cancer survival, ill-defined opacities can be due to 1. Relapse of lung cancer2. Malignant nodules3. Infection4. Fibrosis. So better to consult pulmonologist and get done1. CT thorax2. Bronchoscopy and BAD (Bronchoalveolar lavage) analysis to rule out above-mentioned causes. Possibility of relapse of cancer is more. So consult pulmonologist and get done above tests to diagnose your densities." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello! Over the past week or so, I have experience an increased need to urinate and increased thirst. I have read online (bad, I know) that those are symptoms of type 2 diabetes. I had my fasting glucose checked back in June and it was 95. Can it increase that fast? No other symptoms. Thanks!Stacy", "output": "Hi, Thanks for your question. Noted your concern. Yes increased frequency of urination, thirst, weight loss despite increased apatite are symptoms of hyperglycemia (Diabetes). In such a case I may suggest following evaluation-- Complete Blood Count.- Fasting and postprandial blood sugar level.- HbA1c.- Urea, creatinine, electrolytes. If blood sugar level normal in that case possibility of compulsive late Chat Doctor. For which further evaluation like urine and serum osmolality maybe considered." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Last night before bed I started getting waves of stomach pain. Everything 5 to 10 minutes. Feels like I am getting the wind knocked out of me. The pain is very strong and has caused me to vomit. I have not been able to eat, no appetite last night or this morning. 40 years old, female, weight 142", "output": "Hi ! Good morning. I am Chat Doctor answering your query. If you had any food from outside, that could have brought in some intestinal infection, and accordingly you would have to go for an anti-emetic, and an antibiotic suitable for intestinal infections after consultation and a physical examination of your abdomen by your family physician. If no such history is there, I would advise you for an ultrasound abdomen to rule out stone disease of gall bladder or a calculus in the urinary tract, a urine test(routine, microscopic, and culture sensitivity) to rule out a UTI (urinary tract infection), and a routine blood test like CBC and blood sugar. Further management would depend on the findings of physical examination and related investigations. Till then, you could go for a proton pump inhibitor, a probiotic, an anti-emetic, and an anti-spasmodic for a symptomatic relief. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "should I go to hospital? I have for the past eight hours had a pain in the right side of my chest, I am finding it hard to take a deap breath without feeling pain in the right lower side of my chest at the rib cage. The pain has spread to the top of my right arm and up the back of my neck. Feeling slightly dizzy at times ..... soudl I sleep on this and see how I am in the morning or shoud I go to a hospital?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Possibility of musculoskeletal pain is more likely. So apply warm water pad on affected areas of chest. Take painkiller like ibuprofen or acetaminophen. Avoid movements causing pain. Sleep on right side. You will mostly improve with all these. If don't improve and have similar pain in the morning then consult doctor. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello i was just wondering if there is anychance i could be pregnant. Basically me and my oh had unprotected foreplay and he had quiet abit of precum when he was rubbing his penis around my vigina. Then we had protected sex. I have been having some signs of early pregnancy. Sore breasts, brown spotting, bloating and extreme tiredness. So is there a chance i could be? Thank you. Very confused.", "output": "Hi dear, I have gone through your question and understand your concerns. Pregnancy is possible only when there is entry of sperms in the vagina. Sore breasts, brownish discharge are symptoms of early pregnancy, however the pregnancy can be confirmed only when the periods are delayed and the urine pregnancy test is positive. I will suggest you to wait for the periods, if delayed then do get a urine pregnancy test done to confirm the diagnosis and get treated accordingly. Hope you found the answer helpful. Wishing you good health. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "healthy 3 week old baby boy, becomes sob, not eating is taken to hospital. baby is put on oxygen and is doing better, but continues to need oxygen. after blood tests, chest xray are normal, they do an ekg and discover ablood clot between the heart artery and the lung. what can cause this and what is the treatment. the baby weighed 9lb 15 oz at birth, was delivered by c-section when being induce wasnt working, the baby was born completely normal was being breast fed,", "output": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, your son is having pulmonary embolism. It is blood clot in pulmonary artery. Since his age is only 3 weeks, possibility of congenital coagulation defect is more. Coagulation system is there in the body. There are two kinds of chemicals, coagulants and anti coagulants in the body. Coagulants will form blood clots while anti coagulants will prevent clot formation. So in your children case there must be higher coagulants and absent anti coagulants. Such diseases are as follows. 1. Protein C deficiency 2. Protein S deficiency 3. Homocysteinuria4. Hypervitaminosis K etc. So better to consult hematologist and get done blood levels of these chemicals. Hope I have solved your query. I will be happy to help you further. Wishing good health to your son. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello im am 32 yrs old and have had multiple abdominal surgeries recently resulting in a total colectomy and internal pouch formed. Following my surgery I had a pretty serious spinal infection which was treated with iv antibiotics. Since this trestment the infection was cleared however for the past 6 months I had been really suffering with back and pelvis pain. I have attended physio but have not found it very beneficial. I have been refered to an osteopath and am taking many pain killers and anti inflammatory drigs. Do you have any thoughts as to treatment to help as I am going out of my mind now with this pain and restrictions with movement. Could the infection have come bsck after 6 months? Thsnk you", "output": "Hi welcome to Chat Doctor forum. Thanks for calling Chat Doctor. Forum. You had multiple surgeries on abdomen. Now you are getting Pelvic pain and back pain. Not getting relief with any medicines. It may be of lumbar spondylosis, or arthritis of the hip. I advise you to consult an orthopedic surgeon for diagnosis and treatment. You may need to take M.R.I.besides other routine tests for confirmation. Wishing for a quick and complete recovery. Best regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello sir. i am 28 yrs old, male i have lungs scar on my upper left lobe almost 8 years. i never suffer from tb. now i want to god UAE. by GMAC rule of dubai i cant get visa from the scar of my lungs. now im consulting with docter. he ask me to do sputum, PCR, PPD test. then he will be start further treatment. he told me that he will give me tb medicine of 6 months after reading my reports. sir can you tell me that is it possible that i can clear the scar from my lungs with medicine?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Almost all lung insults whether tuberculosis, pneumonia or lung injury can cause lung scars after treatment. All of them heal with fibrosis and this fibrosis gives scar lesions on chest x-ray for lifelong. So your current scars on x-ray are mostly due to previous lung infection. Since these are inactive, noninfectious lesions, no treatment is needed. These lesions will not go away with any treatment. So to get medical fitness for visa clearance, you should consult pulmonologist and get done 1. CT thorax 2. Bronchoscopy and BAD (bronchoalveolar lavage) analysis. If both of these are normal then you can argue with visa authority that your lesions on chest x-ray are old, healed, fibrotic, noninfectious. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor. From past few days i am having motions with acute abdominal pain and continuous headache at night. Shortly i discovered myself with fever, chills and body ache while the earlier problems still continues. Can you suggest me which disease it is pointing? Thank you", "output": "Hi thanks for asking question. First to rule out different causes do your stool examination and CBC. Here mostly you have infective enteritis. The stool might show parasites egg like that of amoebic dysentery or guardians trophozoites. The stool also having pus cells if having dysentery like infection. In the CBC if high total count with necrophilia then infective enteritis suspected. Do your Tidal test from serum to rule out typhoid. In between maintain your health with taking semisolid diet with more water and fruits. Avoid excess spicy food. Maintain your HY Chat Doctor. Mostly infective etiology is there, so you have to take definite like antibiotic to treat it for 6 days. I hope this will help you. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "mty friend has had the same fever for 6 days and the doc saw him at home, said it was a viral infection. He has been given Migraleve but his fever is returning during the day and the bad headache at night - should we call the doc back in? He is soaking through all his sheets and bedclothes two and three times a day.", "output": "Hello, Thank you for asking your query on ChatDoctorI appreciate your concern for your friend. A fever with no relief over 6 days cannot be taken for granted as viral fever. It requires to be investigated with blood tests and/or urine examination. If there is cough, X-ray of the chest also may be indicated. I think your friend should see the doctor again and he/she will decide what is best for him. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was just told by my cardiologist that the right side of my heart is enlarged and the pressure is too high. How serious is this? I come from a family with terrible heart history. My father died at 40, my mother at 56, and my brother at 36 and our son has had two heart attacks, one at 26 and the other at 42. He has had stents in between the two heart attacks. I am 69. Not overweight at all, exercise at our wellness center we try for five times a week but at least 3. I have been getting short of breath on steps. We also walk a lot. I had quadruple bypass 13 years ago. I am just wondering how serious this is. I guess it kind of surprised me and I didnt ask any questions. They did a test this week to see if I have any blood clots in my lungs, but dont have results of that yet.", "output": "Hi, welcome to Chat Doctor. Thanks for posting your question on this forum. I understand your query and concern. Yes probably enlarged heart in the setting of past history of heart disease with a qua Chat Doctor. This can predispose to blood clot or thrombus formation in the lung. This will further worsen the heart enlargement. Such events are more likely to occur considering your age and family history. I advise you to have a baseline ECG and 2 dimensional echo on the follow-up to have a recent quick review of your cardiac functional reserve. I strongly recommend the use of " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am on Day 7 of Verorab due to a cat bite 7 days ago. It s an inside cat who s still fine as of this day so I m not much worried but to be safe, I had anti-tetanus and anti-rabies shots administered within 10 hours after it happened. So today, a few hours after my 3rd shot, I was trying to shoo away an outside cat in our garage who was in danger of being run over by our car and the cat bit me. The wounds aren t deep but there s still little blood which I immediately washed with soap and water, then alcohol and then applied Betadine.My question is, since I m currently in between doses of Verorab (2 more left), should I be taking new shots?", "output": "You are already taking Verona which is basically an antigen which sensitizes your immune system against rabies virus. You do not need any more precaution for the repeat cat bite as ongoing vaccination is enough to prevent rabies. Furthermore, you don't even need a tetanus toxic also for same reason. However, you might need a course of antibiotic to prevent local infection. You can consult your GP for further details." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i m bakht i m doing DPT the problem is that my father is sufering from posterior osteophyte complex at c6 /c7 can you tel what is this osteophyte complex n what its treatment? in his MRI report degentrative changes in vertebrae and disc is also found n at the levet of c5/c6 there is board base posterior disc protrusion n spondylitic ridging can u guide about this all that basicaly what is that n what i do ? i have no money ri8 now", "output": "Hello. I have been through your question and understand your concern. The osteophytes are quite common findings in the MRI and generally cause pain in the neck and treated witChatDoctormon NSAIDs. They become problematic if they compress the spinal cord, which can be clearly seen in the MRI. In that case they need surgery to prevent worsening of the situation. Otherwise, they are not problematic Hope this helps. Please feel free using MHC again" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 7 year old son had been on montek lc kid for about 6 months till about a month back. Now since he,s been off it the symptoms have all come back...the persistent cough and cold. He throws up also often due to the persistent coughing. Should I start montek lc kid again? I am wary of the side effects that the drug may have. Kindly help.", "output": "Hello, Welcome to Chat Doctor, As your son was given Tab Monte LC for the symptoms of cough and cold which has reduced the symptoms, but the symptoms has come again. He should be evaluated for any allergic reactions. He may be having some allergic manifestations. I would suggest your son to undergo lab investigations like absolute eosinophil count, chest X-ray and routine blood examination. For his symptoms I would suggest him to take1. Tab Monte LC2. Syp Pricier, three times day.3. Duolin nasal spray4. Course of antibiotics like Spy Autoclave. If the symptoms are not coming down he requires skin prick test to find out the allergen causing these symptoms. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I carried my 2 year daughter and shes pretty heavy to me. She weighs 26lbs and shes pretty solid. when I picked her up my lower stomach started hurting real bad. Felt like harsh cramping I could hardly walk nor sit comfortably. After awhile pain went away but comes back off and on and at times when my bladder gets really full. What can it be???", "output": "Hi. Thanks for your query. Lifting and carrying a heavy baby of 26 lbs can cause the lower abdominal muscles to go into spam, sprain and strain. This is the reason when your bladder is full there is pressure from within onto the muscles that cause pain in you. Yet, to confirm that there is no other problem like Hernia or any pelvic pathology I would advise you to consult a General Surgeon for clinical evaluation, physical examination, ultrasonography and necessary tests, and also to get a proper prescription for anti-inflammatory and necessary medicines." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Sir,My 48 year father got paralysis stroke 4 months back. He got hole in his throght due to infection during ventilator. He is recovering now but he still cant able to speak. He is having only liquid foods through pipes now.How much more time will take to full recovery?Can you please brief me as we are clueless about this?", "output": "Hi, Thank you for posting your query. The hole you are referring to in the throat is called tracheostomy, which is made to give ventilator an opening into trachea-the wind pipe. This is necessary in patients who require long term ventilator. The recovery depends on the location of stroke as well as the size of brain infarct (blood clot). If you let me know the MRI brain findings, I can help you more. The tracheostomy hole would close on its own, when the tube is removed. It takes about 7 days. I hope it helps. Best wishes, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hai Doctor, I am having 48 days old girl baby. She is suffering from constipation. I am also having the difficulty. I am giving her only breast milk. She vomits frequently after breast feeding. Now she is 4.5 Kg, at the time of birth she was 2.75 kg. I am taking some ayurvedic medicine as its surgery. Kindly advice me what can be done for her constipation. Waiting for a favorable reply. Thanks & Regards, Navya", "output": "The steady gain in weight indicates that the baby is getting adequate feeds. The vomiting could be due to overfeeding at times. It could also be due to regurgitation. Burp the baby after each feed. Take the baby on your lap with the baby facing you and with the head end raised. Maintain the position like this comfortably for 20 mins after each feed for proper burping and things should be fine. For a breastfed baby if stool is not hard, passing stool once in 10 days is equally acceptable as passing stool 10 times a day. You need not worry in any of these. It is not likely to be constipation is the baby is exclusively breastfeed and no medicines are required. No surgery required as well." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just went to the dentist yesterday and i have an infection in my tooth well last night pus started pouring out of it and its still oozing so i have to keep a gauze in my mouth. my mother & mother in law are telling me to go the ER Because this is dangerous.. now my question is.. is it really that bad for stuff to be oozing out of your mouth like this is?", "output": "Hello, Oozing pus from tooth infection is an excellent opportunity to clear the infection from pus. That's great. The large amount of pus is indicating very bad infection. Great it is not residing inside the tooth (and that is dangerous). But, in your case pus is oozing outside, so, meaning it is clearing out. I do not see anything to go to ER, but observe your overall health condition. If you experience fever, then, should go to ER. Otherwise, wait for your dentists next appointment and follow his recommendations rigorously. Do rinse your mouth with antiseptic mouth rinse or with warm water and salt. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 30yr old male 5ft 7in 175 and I had gotten up earlier to use the restroom. My knee gave out so that was fun to grab the toilet in time. But I went ok, by then I was hungry so I had cherrios some milk and went back to bed. (I also took 2mg Niravam for anxiety) I then had a dream I was on a toilet in a hotel and wet the bed, it was like a start and stop then it clicked I was at home and I jumped out of bed to see I had wet the bed. Is this normal? Should I be concerned? or is it one of those things that just happens at times?", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. When we are in a sober state of sleep and when we have urge to urinate, it is normal that we see related Chat Doctor. But sometimes, when we are too tired, bed-wetting also is possible. You need to worry only when you do it often. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I HAVE A LUMP ON THE OUTER ASPECT OF MY LEFT LEG/ KNEE AREA, SIZE ABOUT 3 CM, ITS HARD TO TOUCH, UNDER THE SKIN AND DOES NOT HURT. I SHOWED TO MY FAMILY DR 3 YRS AGO AND EACH TIME I GO FOR A CHECK UP. HE SAID NOTHING TO WORRY ABOUT, PROB HAD BLUNT TRAUMA TO THIS AREA OR BEGNIN CYST / I AM JUST CONCERNED ??", "output": "Hi, happy to help you on your health concern on part of Chat Doctor! In the present case of below-knee swelling or lump, if I were your consulting physician, I would just say you, nothing to worry! Just like your family doctor said, again! Just avoid rubbing or hitting over it as that might invite infection... As per your description, it is a benign harmless lesion like an old hematoma, a lipoma or a sebaceous cyst! If you are still worried, please get an FNAC / alike cytological examination and revert to us. Hope you got your answer. Please feel free to write to us if any more queries. Wishing you the best health!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir i am 34 years old i had got married before 02 years when i test my semen analisis my count and motility was low and varicocele after the 06 months treatment like proxceed,clomid,vitamin E,,reparil,padutin now i had repeat test my count is 28 milion/ml motility 30% fast,progressive 10%,morphology 26%.please advice me to improve motility and other parameters.thanking of you", "output": "Hello, The sperm count and Morphology seems to be improved with medicines as they are within the normal range. But motility is still little low. You can take multivitamin tablet and hey Forte like tablet for that. You can discuss with your treating doctor and such medicines can be prescribed. Don't take the stress and avoid excessive heat exposure. Smoking and alcohol should be strictly restricted as it can affect motility. I suggest you get checked your testosterone level as well. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir my PTCA was done in Dec.2010.since then I am taken monit 20 at 8am& 3pm,seloken xl25,clopigrel75 at 9am,nikoran5 and ecosprin150 after lunch, rosuvas20at 6pm and nicoran5 after dinner.Should i continue these medicines ? I dont feel any cheast pain,splz advise me.", "output": "Sir, Thank you for the question. But unfortunately It is difficult to make a decision about all this medication without knowing your Anglo report and PTC report, your age, risk factors status, past hospitalization history. If I were treating a situation like this I would consider stopping Nikolai and moderate if chest pain has totally ceased. I would certainly continue results and esprit. These medicines are great in preventing further heart attacks. Spoken and clopidogrel may be required depending on your reports. I am afraid I am unable to say beyond this with the little information I have received from you. Discuss with your treating physician in your next visit. Good day!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Clinical history - Epigastric and right sided abdominal pain. Reduced appetite. Raised ALT I recently had an US scan and the report says that the liver is slightly enlarged echogenic consistent with fatty infiltration. There is a 2.1 cm hypo echoic area of liver parenchyma adjacent to the gallbladder, appearances are likely to represent focal fatty sparing. Normal direction portal vein flow. Normal appearance of the right kidney. The left Kidney demonstrates mild fullness of the pelvicaliceal system. No renal calculi demonstrated. Normal appearance of the gall bladder, biliary tree, spleen and abdominal aorta. Normal appearance of the pancreas head and body, the pancreas tail was obscured by overlying bowel gas.Comment - Mild fullness of the pelvicaliceal system in the left kidney - whilst unrelated to the presenting symptoms and may be nothing, suggest this cannot be ignored and referral for CT KUB is advised.", "output": "Hi, dairy have gone through your question. I can understand your concern. You have fatty liver. It leads to increase in liver enzymes level. You should go for regular exercise. Avoid fatty food, alcohol and smoking. Ad\u00edlio like Chat Doctor. Your ultrasound study also suggests fullness inlet kidney area. There can be some pathology, and you should go for ct scan of kidney, ureter and bladder. Your rest of the reports like gall bladder, aorta, pancreas all are normal. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Skin cancer runs in my family. I am also a type one diabetic. I had a lesion on the underside of my breast, it has now turned dark brown and keeps growing. Also, I had a red itchy mole on my back that has now turned brown and starting to grow. Could this be skin cancer or should I not worry?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Yes, these skin lesions cancer be due to skin cancer. But better to first consult dermatologist and get done clinical examination of these lesions. Since you are having type 1 diabetes, skin infections are very common due to lower immunity in diabetics. So we need to rule out skin infection first. You may need skin biopsy and histopathological examination for the diagnosis of cancer. So consult dermatologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor, My dad is suffering with Spine tuberculosis .... we just came to know a week ago . it initially started with low back pain . Now after all the tests are doen like MRI, bone scan, CT guided biopsy it was discovered that he is having spine TB.. Now he is suffering with pain which is un bearable. i Need to know is their a surgery needed. what medication needs to be taken. As of now he is taking AKT4 along with Benadon. please guide me.", "output": "Hi Anusha, Thank you for writing about your dads' problem. Generally, spine TB does not require surgery. Surgery is indicated if there is pressure over spinal cord (which can be seen on the MRI) with impending paralysis of hands and feet. Also, if there is an abscess (collection of pus), it needs to be Chat Doctor. However, in other cases of spine TB, 18 months of Anti-TB treatment will be enough. Best wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doctors! I had unprotected sex 4 days after my period at about 11:30pm. I took 4 white pills of Nordette Pfizer 8 hours after the deed and 4 white pills again after 12 hours. Then I took another 4 more pills in the next days and took again after 12 hours. So in all, i have taken 16 pill of nordette.is that ok? Will i get pregnant consume too much pills? What are the chances. Thanks.", "output": "Hi, Welcome to Chat Doctor forum. Actually the tablets Corvette should be taken in 2 doses, of 12 hours gap. If excess of the pills are taken, there may be no use, but they may interfere with the effect of the first 2 doses. When pills are taken out of the schedule, the effect may be indefinite, and may depend upon so many factors. Still the possibility if getting pregnant in your case are very less. The day of the sex is in the safe period. The first 10\u00a0days after the period are safe, because there won't be the release of the ovum to become pregnant. 11th to 20th day from the day of the period are unsafe, as during these days Ovum may be released on any day and ready for conception for 24 hours. 21st to 30th day again safe, because ovum is not available. If period is late by anxiety or something have a home pregnancy test. Wishing a good time. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was hit in the face by accident with an elbow. Right on my cheek bone near my eye. My face swelled up loads. An ambulance was called and I have been to hospital. I have had x-rays and nothing was broken. It s now 6 days later, the bruising is down the whole side of my face. It s still swollen where the actual impact was. My question is why do i still feel so tired. I could sleep all day, my legs feel weak. Why do I feel like this?", "output": "Hello, hit on cheek bone, swelling of eye and face, xray normal. No pain, rues out there is no extensive injury. Weekness or fatigue could be due to some other cause like your not taking enough food due to pain, or it could be due to anemia or vitamin deficiency or something else. Kindly evaluate by doing blood tests and general and physical examination. Sometimes X-ray will not reveal heamosinus and hairline fractures, evaluate by ct pans. All d best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 9 year old weighs 110 pounds and now has stretch marks on her hips and breast area. We ve been to the doctor and were only told cut back . We do not allow her to eat a lot of goodies; make sure she exercises every day, but nothging seems to work", "output": "Hi... Thank you for consulting in Chat Doctor. I understand your concern. Your kid is definitely overweight. There could be two reasons for this.1. Endogenous obesity - due to genetic and family predisposition.2. Exogenous obesity - due to lack of exercise and over eating. I have a few questions for you - 1. What is her height now?2. What was her birth weight?3. From when did she start gaining weight like this (form what age)?4. How are her daily activities and exercising pattern?5. Are there any complaints from school about her academic performance?6. Is there any family history of obesity?7. Can you get back to be me with a chart of whatever she eats from morning till going to bed - on any average day?8. Does she eat a lot of snacks?9. How many hours does she watch TV per day? Hope my answer was helpful for you. I am happy to help any time. You can approach me at the following link. Please find the link below.www.ChatDoctor .com/doctors/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doctorI am 26th years old i have a problem like i am getting married within 2 months but due to hyperpigmentation skin between my legs got dark and brown spots it looks dirty i consulted with dermatologist she suggested me to use depiwhite and candid B cream so using this would it remove or lighten dark skin please suggest me some solution", "output": "Hi, From prescription of dermatologist it appears that you have got fungal infection. I think if it is fungal infection then go for antifungal tablets for one month which will give you relief earlier. You ask your dermatologist and take advise. You can also apply antifungal powder. Do not wear undergarment during night and use cotton garments and undergarment. Use glycerin soap to keep your that part smooth." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a lump above my uvula that I can feel with my tounge by making it go behind my uvula, I ve been sick for about 4 days with a fever of 100-102, I thought it was a normal cold but I ve only gotten worse, however I ll suddenly feel fine at random times", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have lump on uvula along with fever is because of bacterial or viral infection of oral cavity. Probably you have developed Canker sores which is causing you high grade fever as well as uvula acts as a barrier to swallow food and prevents bacteria and infections from entering the throat and digestive tract. I would suggest you to Chat Doctor. Do warm saline gargles. If the underlying cause of the condition is a viral or bacterial infection, the appropriate medication should be taken. Antibiotics will help get rid of a bacterial infection and over-the-counter painkillers or anti-inflammatory " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am experiencing a tremor on the left foot between my ankle bone and bottom of my foot. the tremor has been occurring every 1 to 1 and half minutes. It is like being shocked without the pain. What would cause this. this has been happening for the last 10 hours.", "output": "Hi, thank you for providing the brief history of you. A thorough neuromuscular assessment is advised. As mentioned by you, that you face tremor in the feet, I will advise firstly Roget a Neuromuscular assessment, by which we come to know what factors to consider and what to rule out. The first line will be MRI of lumbar spine to see any soft tissue pathology, later NCV of the lower limbs, and lastly the MRI of the brain is the Neurologist feels so. Usually Tremor of the feet muscles can be due to the pathology of the spine. And very rarely with the brain but still an examination will guide us better. Also, this tremor can be due to any nerve weakness or vitamin deficiency, which can be corrected by medication as well. I will advise further to undergo physical therapy for tremor as it will help to regain the strength and correction of muscular imbalances.regards Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my child is 5 yrs old.But his growth is so bad. he has no interest in feeding. recently he was suffering in typhoid.As pathological report,some time he suffered in dengu fever. Day by day he is going to be weak & tired. Pl.give me a suggession what can i do for my child", "output": "Brief answer:Do a complete blood count, stool routine microscopy and start multivitamin syrup. Detailed answer:Hi, welcome to Chat Doctor. I know that you are very much concerned about your child. If your child has recurrent infections and is very thin, then you should do complete blood count and stool routine microscopy. Also, a multivitamin syrup should be started for 2 months. Further treatment will depend on above reports. I hope this will help you. Wishing your child good health. Take care. Regards: Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Every evening, around 5pm, I become a little drowsy with a sinking feeling, I go to lay down, and I start with extreme chilling, lasts for about 1/2 hour when my heart is beating fast, I am bundled up with the heat on high under a blanket, I fall asleep briefly, then wake up with a ringed out extremely weak feeling.", "output": "HIT hank for asking to ChatDoctorThis could be due to the infection, and the most likely due to the malarial infection, (If you have recently visited the malarial endemic area, or residing in such area) the best way to get done blood test, this will clear the doubt, meanwhile you can have symptomatic medicine, if required, if you are not taking enough of sleep during night then you could feel like this in evening time next day, hope this information helps you have nice time." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "ihv got all the 4 ov my wisdom tooth pulled out 2 days ago...pain has lessened but my face has swelled up like a pumpkin and i do feel penetrating pain along the right side of my head moving upwards.and i am told not to eat hot and solid food.what should i do?", "output": "Thanks for using Chat Doctor. Read your query. The pain and the swelling will gradually subside. I would advise you to continue the medicine painkillers and antibiotic prescribed by the surgeon correctly. Do not apply hot bag externally, though you can apply cold compress intermittently. Do saline gargling, but not vigorously. Keep good oral hygiene and stop smoking if you do by any chance. If the swelling increases or pain is out of control, please report back to your dentist office so that he will have a look at it. Hope this was of help for you and wish you a speedy recovery. Thanks and regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am currently on 75mg of Effexor XR and have been for the past 7 weeks. I am still anxious and have a sick stomach and cant sleep. Im also taking 0.5 of Ativan in the morning and at night. I am thinking about switching to Celexa. How should I switch over? Should I taper off of Effexor slowly?", "output": "Hithanks for using Chat Doctor if u want to switch over to Elena, then first start both Chat Doctor. 5 mg a day and Elena 10 mg a day. Then after one week, stop effector and increase dose of Elena and maintain on same dose for two weeks. If still u do not get sufficient improvement, then gradually increase the dose 10\u00a0mg every two weeks maximum up to 40 mg/day. U can also consult a psychiatrist. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have a large lump on my lower left side of my back... about 4 years ago i toppled over a chair and pulled something in my back and i figured it was just swelling that would come down but i have asked my doctor about it lately because its becoming a problem... it dosnt hurt its just not too pretty to look at", "output": "Hi ! Good evening. I am Chat Doctor answering your query. Although a personal physical examination of the lump would be helpful in reaching a nearby diagnosis, most probably with a history of trauma, it could be an organized hematoma on the left side of your back. To confirm the diagnosis, if I were your doctor, I would go for an FNAC (fine needle aspiration cytology) followed possibly by an excision biopsy depending on the report of the FNAC. Considering the duration of more than 4 years, clinically it might be a benign lesion not to worry about. However, for cosmetic reasons it might be required to be taken out. Therefore, I would advise you to consult a general surgeon and get your self assessed for the same. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "good evening sir/mamI am 24 year old female. and my ESR level is 46mm ,i also suffer from fever ,back pain and coughing .. I am worried about high ESR.. please suggest me what are possible actions to overcome this problem and please tell me the reason of this problem.", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. ESR (erythrocyte sedimentation rate) is marker of infection and inflammation. So possibility of infection is more in your case because of high ESR. You are also having cough, fever and back pain. All these favor possibility of lung Infection (pneumonia) more. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Chest x-ray. Chest x-ray is must for the diagnosis of lung Infection. You may need antibiotics, antihistamines and anti-inflammatory Chat Doctor. Once your infection is controlled, your symptoms will go away and ESR will also come to normal. So get done chest x-ray to rule out lung infection. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my baby is 3years old and has been complaining of a sore upper soft palate for the past 3days. i have noticed upon viewing her mouth that it has a yellowish colour as well as her inner cheeks. she has no fever and is eating but complains about the the pain periodically and cries. please help", "output": "Hi dear, I understand your concern. Soreness, yelowish cheeks suggest dermatitis. If baby would like she should since mouth with soda water and Chlorhexidine or you can wash her mouth with cotton. Then you should apply Pastoral, it is very helpful antiviral, antibacterial and antifungal medicine, use it 3-4 times a day. For healing of inner surface of cheeks you can apply vitamin E. For boosting immunity of baby I usually advice Zirconia 5 ml daily for prophylaxis of any diseases. Hope I answered your question. If you have any further questions, please. don't hesitate to contact us, I am always happy to help. Wishing your baby good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am constantly out of breath. Just getting into bed makes me out of breath. I cant do anything without feeling this way. I also have no motivation. I was diagnosed with two blocked arteries while I was in the service but they said two veins took their place, or something like that. I am 44 yrs old and that happened about 6 yrs ago.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. You are having breathlessness in night (supine position). This is known as orthopnea. And it is characteristic feature of congestive heart failure (CHF). You are also having two blocked coronary arteries. So possibility of CHF is high in your case. So better to consult cardiologist and get done 1. Blood pressure monitoring 2. ECG 3. 2d echo 4. Stress test (trade mill test) 5. Repeat coronary angiography (if required). You will need diuretics and other cardiac supportive Chat Doctor. So don't wait at home, consult cardiologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have some unusual pain in lower back. I think from kidney. Recently I took cholesterol medicine after years of break. I remember that a few years ago I had same problem , same discomfort. I thought is something not right about my kidney. I felt that I am allergic to statin Recently, My urin test showed some blood Shall I be very concern ? Please advice. Thank you very much", "output": "Dear patient statins are known to cause muscle damage in few patients. That may lead to increase protein levels in blood which in turn goes to kidney for excretion and hence may affect your kidney. Chances are few but since your urine test showed blood this needs to be ruled out. I would advise visit to your physician for further examination and investigation like Ultrasound of PUB. Meanwhile stop taking statin if it is possible." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My femur fracture happened Jan. 2014. I had dynamization 10 days ago d/t delayed union. I am having a great deal of pain from the dynamization. Before the surgery I was walking with a cane and had minimal pain as long as I used the cane. I cannot understand why I am having so much pain. Thank you for your time.", "output": "Hello healthcare user, dynamisation is done in cases of delayed union.it helps in increasing the speed of union of fracture. After dynamization pain increases in initial few days.it's been only 10 days since your dynamization procedure so don't worry....but if pain persists for longer duration, or it increases then I will advise you to consult your orthopaedician.I can guide you better on this if you can share your X-ray reports.thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a scan as I have pain around the 12th right rib. The scan showed adenomyomatosis of the gall bladder. and also 2 subcentimeter echogenic foci of the left kidney in keeping with angiomyolipomas. I really don t know what these two things mean. do I have kidney stones. What treatment do I need.", "output": "Hi, To help you understand better, gallbladder adenomyomatosis is a term used when the inflamed gallbladder wall thickens. Usually, it is asymptomatic, but as in your condition, you have right upper qua Chat Doctor. In view of the 2 cm echogenic loci in the left kidney, it could be a lipoma (aggregation of fat), hemorrhagic cyst or benign tumor. A CT scan of the abdomen will help you a lot in understanding the extension of the contrast of the lesions and also relate to the lymph node status. Be strong, and it can be treated by surgery or medications. Visiting a nearby physician as soon as possible to do what is necessary would be of great help. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi...I ve become a little concerned with how some parts of my face seem to be losing pigment, or other parts have become darker possibly. It is primarily around my eyes and my forehead . I have no moles , or anything else, and have been spending an inordinate amount of time indoors lately as a result of school, so I m no longer outside in the sun like I used to be for most of my life up until about two years ago.", "output": "Hi, Thanks for writing in. The problem can be vitiligo, IGH, polymorhic light eruption etc. Without actual visualization of the skin it is not possible to comment on nature of pigmentation. Sun protection is most important for any cosmetic treatment. Use good quality sunscreen. Avoid sun exposure. Use brevity face wash. Apply Bolivia cream at night over dark spots. Take a lot of vitamin C in diet. Visit a dermatologist for proper examination and diagnosis who can also provide you some clinic based procedure like surgery and laser. Visit a dermatologist for some clinic based procedure like chemical peeling and laser. Hope this helps. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had genital warts removed 17 years ago and way before the hpv shots were given out...I have never had them since...I have had 5 children since...my husband has never had them and we have been together for 16 years...should I worry?how would I know if I have hpv", "output": "Thanks for contacting Chat Doctor. I am sorry to hear that you had genital warts as a young adult. Genital warts are by definition an HPV infection. You have been symptom free for over 16-17 years, so you have produced your own antibodies. If you no longer have warts and your husband has not had any outbreaks then the chance for him getting the is very low. I feel I can reassure you that you do not need to worry. Hope this answers your question. Please contact us again for any of your medical questions." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had pain that the doctor called epidymitis. I was prescribed Cipro and the pain moved from behind my testicles up my right side where my leg and pelvis connects. I have no other issues than the continual pain in that area. I dont have frequent urination.", "output": "Hello and. As a Urologist, i can understand your anxiety. Epididymitis pain gives rise to same symptoms, that you describe. Complete the course of Ciprofloxacin, with anti-inflammatory analgesics. Keep your scrotum elevated during daytime, with a scrotal support. If pain persists after one week of treatment, then you need to do a scan. Its called a scrotal, Doppler ultrasound scan, which gives an idea of course. If you've any doubts, send the reports to me, as a direct question. Chat Doctor. Manga." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi my son is 2.5 year old and he started having blisters looking stuff on his tongue but his appetite was fine then starting sunday he had fever and today no appetite so i was concerned .can you please tell me what should i do and how long this takes to be over.thanks alot", "output": "Hi, As per your query your child has blister on tongue and fever. Well this is very common problem in babies. The probable reasons for symptoms your mention in query is viral infection or cold sore caused by herpes simplex virus. Infection can occur due to kissing and other ways. I would suggest you to consult pediatrician for proper examination and treatment. Doctor may order laboratory test to confirm the examination. Doctor may prescribe antiviral Chat Doctor. For now maintain proper oral hygiene, keep your child HY" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir my 11 years old daughter has grown MUMS and she is on antibiotics and analgesic medicine as directed by a doctor. She is complaining about pain in neck and her MUMS are seems to be enlarged What shall I do? Please advice.. I would appreciate an early respond.. Thanks. See you..", "output": "Hello, I can understand your concern. Mumps is a viral infection of the parotid gland. Usually, viral infections are not treated with medications and only supportive therapy such as with analgesics is given. The infection resolves itself in 7-10 days as bodies immunity takes over. Thus, I would advise you to continue with the treatment given and give it some time to heal as it will heal on its own. I hope this information helps you. Thank you for choosing Chat Doctor. I wish your daughter feels better soon. Best," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am expeirencing what seems to be anemia. my blood shows low hemoglobin. my entire chest, feet, and hands have been numb for about 2 weeks now. about once a week i have terrible episodes where i become confused, all my senses go numb, i have closed eye hallucinations and my vision goes a little off. i just go some sort of whacko. i cant seem to find and answers anywhere, and its important thati note that im a very very heavy electronic cigarrette user. is there any link to cigs and my symptoms? any other advice?", "output": "Hello! Thank you for asking on Chat Doctor! Regarding your concern, I would explain that anemia is not related to electronic cigarette use. From the other hand all your symptoms could be related to chronic anemia or a chronic pulmonary disease. I recommend consulting with your attending physician and performing some tests: - a chest X-ray study and respiratory function tests- an arterial blood gas analysis-iron and vitamin B12 levels to investigate for the possible cause of anemia. Meanwhile, I recommend stopping smoking and take plenty of water to remain wealthy Chat Doctor. Hope to have been helpful! Best wishes, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 16 year old son has fever (39.8 degree celsius) this afternoon around 5:45 PM so 1 tab Paracetamol 500 mg was given to him per orem. Fever was monitored and went down to 38.2. By 8pm, his fever went up to 39.4 so another tablet of Paracetamol was given. Its 9:30 PM but his fever has not subsided. Should I bring him to the ER already?", "output": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Yes, if the facility of immediate treatment is available than you can go for the treatment immediately. You can do the laboratory testing of blood for the malaria, typhoid, dengue. Also get tested for urine microscopic examination. This will give you catch about the possible pathogen. Till that time I advise you to take the paracetamol to cover the fever. Please Chat Doctor. Please check for any serious sign like high fever, unconscious less and hemorrhage. If this happens than you can immediately transfer to the hospital. I will be happy to answer your further concern on bit.ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my daughter had typhoid in this feb with igm positive and was treated with antibiotic. now she again having fever and igm positivr again. i heard that igm remain positive fot atleast 6 months in blood after the infection....is i true or she again having typhoid God forbid?", "output": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. No it is wrong belief. Once the active infection is gone IGM will gradually disappear. As your daughter is having IGM band again than you are having the infection again. Typhoid is notorious for its recurrences. I advise you to take the blood and stool culture for the Salmonella type. Taking the Chat Doctor. Please eat small and frequent diet of high protein and carboy" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my Mother has been pretty depressed off and on for the past couple of years. Nearly two years ago, she lost her job at an advertising firm due to the economy. She found a new job as a hostess for a restaurant. She clearly is unhappy with her new job and feels a sense of worthlessness from this. Unfortunately, this also comes with major mood swings and extreme agitation over the smallest of issues. The only way to get someone help is to make them understand that they do need help. How do I get my mother to understand that she needs to seek help?", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. Mood swings and depression are words which are supposed to be used clinically. Here the words are denoting just irritable mood / altering mood and disappointment which resulted in general irritable feeling. These common scenarios are easy to tackle. Your mother knows how to deal with those. Just tell her that her behavior is a bit weird. Also ask her friends to tell her the same. Once she realizes that her behavior is not correct, she will correct. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Please sir ,am having. Something like gas in my chest region and it makes me uncomfortable and causes a kind of pressure in that region and I have met the doctor he gave me gestid and I don t have an ulcer please what do u think is wrong becos I don t seem to understand dis awful experience", "output": "Hello dear, thanks for your question on Chat Doctor. In my opinion you are having HERD (Castro Esophageal Reflux Disease) mostly. But we need to rule out cardiac cause first as many times this can also give feeling of gas and bloating in chest. So get done ECG and 2D Echo to rule out this. If both are normal than mostly you are having HERD only. It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms. Try to follow these steps for better symptomatic relief. 1. Avoid hot and spicy food. 2. Avoid large meals, instead take frequent small meals. 3. Avoid stress and anxiety. 4. Start proton pump inhibitor. 5. Go for walk after meals. 6. Keep 2 - 3 pillows under head in the bed. 7. Avoid smoking and alcohol if you have. 8. Lose weight if you are obese." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 34 year male. Since I am child till now I go for loose motion at least for 5-6 times in a day, nothing stays in my stomach for than 2-3 hrs, I have observed other people of my age going for loose motion for only 1 time in day, I request your advice & medicine to stop this.", "output": "Welcome to Chat Doctor You could be having irritable bowel. Do you experience bloating and abdominal pain after eating food followed by diarrhea? You should avoid spicy, sweet food. Eat more fresh fruits and green leafy vegetables. Chat Doctor. Exercise daily. Get 6-8 hours of sleep daily. Do Yoga, Panama to relax, Consult your Doctor regarding this especially if you feel weak, pale skin and difficulty concentrating, get blood tests done to rule out anemia as well." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My head hurts, and my body feels very weak as if it is a viris or something and stomach hurts right at the bottem under my bellybutton area. i dont know if its stomach flu or something but its very weird and im also wearing a sweater because im cold but its not cold here and i have a bad taste in my mouth too as if i was sick.", "output": "Hi welcome to Chat Doctor forum. Thanks for choosing Chat Doctor. Forum. You had body pains, weakness, stomach pain under the bellybutton, bad taste, and I am getting rigors, All these are collectively called fever, and pain under the belly button is due to urinary tract infection, totally it is a fever due to urinary tract infection. I advise you to consult a physician for diagnosis and treatment. You may have to undergo blood work and urine examination for confirmation. Wishing for a quick and complete recovery. Best regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good afternoon doctor. we are trying for a baby since 8 months. i have mild pcos and my husband less count. i.e. 43millions . doctor suggested him to take fertisure and me glycomet, cabergoline. again we consulted one more doctor who just gave medications for me . i.e folinine and berocin . do we have chances this time? is my husband can improve his count? since its affecting our phy relation? thanks in advance", "output": "Dear member, Thanks for writing to Chat Doctor. I am Chat Doctor. Consultant organ specialist. I can understand your anxiety as infertility treatment requires lots of patience. If pics is mild it can be treated with weight loss and tab Ginette 35. The glycogen has to be taken regularly, and a diet has to be followed according to BMI. The husbands count of 43 millions is ok if motility is good. The treatment for you will be ovulation induction. In my clinical practice I have noticed that mild PCs can be treated easily if you have patience and show discipline in diet. Please call back with reports to " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 11 year old daughter and I have been fighting a stomach bug since last week. Mine took about 5-6 days to completely go away. She is on day 4 and last night about an hour and a half after she went to bed she woke up shaking/shivering. She got up and put flannel PJs on and went back to bed but started sweating and still shaking. She came and woke me up and told me what was going on. I asked if she had any cramps and she said yes and that she felt a little neauseated but could not throw up or use the bathroom. I told her that sometimes my stomach would cramp and the pain would be so bad that I would shake/shiver even though I was not cold. Does this sound like a typical stimach bug or should i get her to the doctor for a check up?", "output": "Hi welcome to Chat Doctor forum. Thanks for choosing Chat Doctor. Forum. Your 11 years daughter and your self got stomach bug, since 1 weak. You are all right now, your daughter still having nausea, cramps. Your daughter is sick and suffering, and small to bear the pains. So I advise you to consult a doctor for diagnosis and treatment. Give her like food like bread, soups, milk, coconut water etc. Wishing for a quick and complete recovery. Best regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I think my last request did not go through so I will try again:I am a 52yr old female. Generally I am in good health and quite fit and active. Over the last week I have fallen over 3 times. I put this down to just slipping. But today I have had problems when standing up, especially walking, feeling wobbly and unstable on my fit. My head is not clear at times and feels light headed. I generally feel unwell. Many thanks.", "output": "Hi jswarren2.... Hope you would continue to be in good health and fit and active. As far as your question is concerned, it is not be ignored. For two reasons it has presented acutely, and it is recurring. You need to find out whether it is associated with some special position (Like while looking upwards, downwards etc.)...in which case it could be vascular insufficiency. In any case from I get information from you this looks like more of a vascular insufficiency which could be fixed or embolic in nature. The problem could also be related to middle ear infection in which case you may need to see the ENT expert. Your problem can range from your middle ear to right up to your vestibular nuclei (the nucleus related to maintaining posture), or any of the blood vessels supplying theses or anything inside these blood vessels. Please give more details so that I can further help..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "A month or so my right calf kind of hardened and strain behind back of knee, like a pulling,what is it? I have been putting a water and aspirin solution and sometimes muscle ointment.helps back kind of sticking around. It seems like it wants to get bette, what s wrong? Thank you Ronnie", "output": "Hello, As the history is too brief to comment with the diagnosis but still what I suspect it to be ligament injury in the knee leading to calf muscle spasm and over contracted in a way it appears harder. I will advise for a knee MRI. As this is really going to play a key role to understand the knee soft tissue position. Use knee brace, do hot water fermentation for the knee and also the calf muscles. Post this does strengthening exercises for the knee muscles and the leg muscles. Also, try doing balance board training which has found to be very effective in the majority of the cases. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Please can you give me some advice for my father. He is a 63-year old male with several health issues. He has COPD, Diabeties Type 2, Fibromyalgia in his legs due to diabetic neuropathy, Herniated disks in his back, Stomach aneurym which has been monitored, Has had several mini heart attacks with heart failure ( at this points was hospitalized due to lack of oxygen), Heart blood flow is only working 25% and that lead to a cardiac pacemaker defib put in at Hershey Medical Center about 2 weeks ago and now is experiening heaviness in chest, Shortness of breath while moving around or even sweeping a small amount of the floor, I m very concernd most of all about what he just told me tonight and that was that he stopped taking his Lyrica due to feeling uncomfortable when the medication would start to wear off. He stopped this 2 weeks ago and did not tell his doctor because he is very stubborn. He will not go to the emergency room, I know this. Im very concerned due to his creatine levels being 4.5 to 5.0 for the last 4 to 5 years. He will not get a kidney transplant for several years to be at the top of the list. I need help on what I should do? Just not feeling himself at this point and I see this in him and he has explained some of his symptoms to me. Is he going into kidney failure due to not taking his Lyrica? And should have slowly decreased this medication? He does not want to be on it anymore. Please help, he is everything to me.", "output": "Hello first thanks for writing to us, your dad is a COPD patient as mentioned by u.therefore you have to understand that lifestyle of such patients are very difficult. And in winter and spring season it worsens. There is no remedy as such except symptomatic treatment. If your father is not willing to visit hospital no problem built a small hospital in your own house what I mean is get the oxygen cylinders and saline bottles and all such required medicines. These days you get well-trained nurse for home care. As per creatine level though it's higher than normal level still it can be controllable with proper diet and restrictions. Hope I have answered your queries properly" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My partner and I have been TTC. I took a pregnancy test yesterday, negative. My period was due today. This morning I had light red blood followed by a brownish discharge.. Then nothing for the rest of the day. Should I re-test tomorrow morning? What is the blood, implantation bleeding?", "output": "Welcome to Chat Doctor, The best time to take your pregnancy test is one week after your missed periods. If your period due is today you have to do the test after one week. Otherwise you can get a false negative result. Implantation bleeding occurs at 4- 5 weeks of your pregnancy. So this is hopefully not implantation bleeding check your prey card test after a week to confirm. Hope this explains Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i broke my back 2yrs ago and as a result of the surgery i now have drop foot on my right side im in incredble pain everyday esp my left hip and lower back ive been on fentanyl but it stoppedworking and so has the tramodol im creently taking i despratley need to try something new but my gp says he cant only prescribe the 1s ive already been on an i have to wait fora speacilist appointment 2 months away i cant eep going with this amount of pain everyday im 22 with a 3 yr old son i need some releif any advice you could give me id appreciate it so much. amber", "output": "Dear patient First I would like to know which vertebral level was fractured and what surgery was done? Is back pain started recently, or it was there right after surgery? If you are getting pain for last two years why you waited for so long ? You need to be investigated to find the cause for 1. Left hip pain 2. Right foot Chat Doctor. I would like to advise 1. Radiograph of lumbosacral spine anteroposterior and lateral views to look for status of vertebra and implants 2. EMG NCV of right lower limb to look for reason of foot " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have a large lump on my left temple near my hairline. It s painful to touch,feels almost like a bruise. I also have a headache and a hard moveable lump where my ear meets my jaw. I m wondering if it s a swollen lymph node. These both have appeared within the last few days. Any idea what I m dealing with?", "output": "Hello, These do in fact sound more like swollen lymph glands than anything else. Can you either give more description such as whether there is redness of the bumps, heat, redness, or swelling that is blanchable or is it just very hard and immovable totally? I think that an appointment with a doctor as soon as possible is the next step for you to see whether a quick ULTRASOUND or another imaging study would be worthwhile. Certainly, I would also order blood work looking for infectious or other causes for swelling. I would definitely NOT LANCE anything at this point unless the doctor themselves. Also, if you have pets (especially cats, hamsters, or birds) make sure the doctor is aware of that as well. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Yesterday I ate a cought drop at work, and when I had swallowed some of the broken pieces i felt a sharp part of the candy in the back of my throat. I tried to cough it out and drink some fluids to make it go down and it worked. But now I have a lump on my right side of my neck just below my ear and its the right side of where the candy was stuck at. Is it serious??", "output": "Hi, Dear,Welcome to Chat Doctor. Based on the facts of your query, You seem to suffer from-reactivated J-D-(jugulo-diagastric Lymphadenitis) on the right side mostly from the late throat infections, for which You took cough Chat Doctor. No, theses lumps are not due to the stuck up cough candy. Treatment-Gargles with Listerine, Tab Motrin and Tab CetrizineTab Amoxycilline-for antibiotics x 5 days time. Glands would reduce over a time of 3-5 weeks.Thus, if not treated it could be serious. Hope this reply would help you to plan further treatment with your doctors. Contact with a Followup Premium question to ME. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. Good Day!! " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "yes one morning I work up and had pain in my left calve and then noticed swelling in my inside lower leg but not all the way around went to doctor first he said kidney disease then I did a urin sample and that wasn t the case then went for a ultra sound for blood clot it came back negative...the ultrasound woman said she believed it was cellulitis but I took antibiotics it didn t help...my problem is that it almost goes away except small amount of fluid and some hardness under the skin. it still swells up time to time. but never completely goes away. always I can push on my shin area and there is little fluid in which when I push in it leaves a dent...what could this be", "output": "Welcome to Chat Doctor I have gone through your query and understand your concern. You have rule out kidney disease, blood clot and cellulitis. You are advised to rule out congestive cardiac failure as a cause of this swelling as it is pitting (dent appear on pressure). Furthermore, you can get echocardiogram for this and advise consulting cardiac physician for it. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi ! I am a 40 year old lady with a history of lymphedemea {sp?) and cellulitis in my feet and legs, I have rexcntly been treated at a local vein and vascular clinic. They have been wrapping my legs in compressions until I can get compression stockings, On my right leg I am having pain with burning and stinging sensations. The area this is occurring in has been red and dark colored for sometime, I was wondering what is causing the pain and burning sensations", "output": "Hi, I value your concern regarding the symptoms. I have gone through your symptoms, and in my opinion swelling causes pressure on nerves leading to pain and numbness. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. Special note-Any medication prescribed needs to be taken after consultation with your personal doctor only." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My sgpt fluctuate. When it was 156 I use to take UDILIV 300 3 times a day. After 2 months report shows 74. Reduce drugs from 3 time to 2 times a day. After 2 months again it comes 154. What to do.Pls advice. I stopped chelostorel drugs for last 4 months from 1st may due to higher sgpt level but still it fluctuate.", "output": "Hello, Why have you been taking AD\u00cdLIO? You need to get to the exact cause of your high Sept levels. This may be the higher cholesterol, higher fat contents in your liver or anything which gives a mild chronic injury to liver like hepatitis B or C. One the cause is clear then it to be treated accordingly will automatically bring your Sept to normal. Cholesterol Chat Doctor. (You need to check upper limit of your lab). Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello! Im 18 years old and recently I just had a Chest PA. The findings were: hazy and streaky infiltrates seen in the left upper lung field. The rest of the lung fields are clear. The impression was: Left upper lung TB, activity undetermined. Im somewhat confused since I dont have a known history of TB and during and prior to the test I dont manifest any of the common signs and symptoms of TB such as cough for more than 2 weeks. Please clarify me with my condition if I really have TB now. If I do have, what should I do? Thanks.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Your x-ray findings are more in favor of tuberculosis. Tb infection is most commonly seen in upper lobes. Actually tb bacilli grow more in upper lobes due to high oxygen in upper lobes. So any infiltration in the upper lobes must be first investigated for tuberculosis. So possibility of tb is high in your case. So consult pulmonologist and get done clinical examination of respiratory system, sputum examination for AFB (acid fast bacilli-bacteria causing tuberculosis), CT thorax and bronchoscopy if needed. You may need anti-tubercular Chat Doctor. Minimum duration of 6 months is required. So better to first confirm tuberculosis by above-mentioned investigations and then start appropriate anti-tubercular " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been diagnosed with aspergillosis from culture a year ago but recent culture shows nothing after 4 weeks. Cat scan in Denver shows ground glass looking things in lower left lung. Could this be the fungas lying dormant? I have been off steroids for asthma for a year now using only albuterol due to them contributing to the aspergillosis but wonder if recent tests accurate? I m also infusing IGG to keep my immune system up.", "output": "Hello, Welcome to Chat Doctor, The diagnosis of Aspergilli depends on the clinical symptoms of the patient like fever, cough, chest pain, skin test for A fumigates, level of IGE and Egg, chest X-ray and CT-scan findings. Culture of saliva or pulmonary aspirates for Aspergillus pneumonia also help to confirm the diagnosis.In regard to the treatment, systemic antifungal therapy is prescribed depending on the severity of the symptoms. You can take Tab Intraconazole, twice daily for 14 days. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 35 weeks pregnant and my age is 26.This is my first pregnancy.My height is 160 cm and weight is 77 kgs now(before prgenancy it was 65 kg).My baby weight at 35 weeks is 2.365 kgs.In my previous scan it was told that my amniotic fluid index was 8 cm at 31 weeks and i was prescribed deodavlin tablet to maintain the fluid content and advised to take lots of fluids and to take bed rest.And i went for a scan at 35 weeks and now my fluid content is 7 cm and the cord is suspected to be around the babys neck in scan in single loop.My doctor has prescribed me now ecospirin 75 (aspirin delayed release )tablets for 20 days.Is it safe to take ecospirin 75 in 35,36,37,38th weeks of pregnancy as prescribed.??I could see the instruction citing that the medicine should not be taken in last three months of pregnancy unless prescribed by physician.Will taking Ecospirin 75 be of any harm to foetus and cause any bleeding or any side effects now..I don t have any Pressure ,sugar,bleeding complaints so far...currently i don t have any weezing problem but i used to get weezing trouble when i catch cough and cold..and i had weezing issue in my 6 th month of pregnancy and have taken treatment for that and got cured then.", "output": "H there, thank you for writing in. Aspirin (conspiring) 75 mg in pregnancy is considered safe during pregnancy and is indicated in many situations like growth restricted baby, decreased fluid around baby, when mother has hypertension because of which at times blood supply to the baby may be reduced, autoimmune conditions like APA syn Chat Doctor. But as your pregnancy is uncomplicated you may not require aspirin as long as baby is doing well (growth profiles and Doppler being normal). Aspirin needs to be discontinued 7 to 10 days prior to expected delivery (when delivery is planned) or by 36 to 37 weeks of gestation. Such a small dose of aspirin is unlikely to cause bleeding problems during delivery when it is discontinued a week well in advance of delivery. A single loop of cord around baby s neck is not an indication for starting conspiring or even cesarean section as long as baby can withstand the stress of labor well and labor proceeds smoothly. (no baby heart beat pattern abnormalities on cardiotocogram and labor is not unduly prolonged). Hope this information helped. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi I just wanted some advice as to what to do as I feel very depressed and i am terrified to go out by myself and when i do go out my partner gos everywhere with me im scared of the dark and being in the house on my own and sometimes when i painc bad i start to sweat , feel very hot and shaky , am also afraid of answering the door or picking up my phone when i dont know who it is. i rely on my partner for everything i cannot go out anywhere without him", "output": "Hi there ~The cause of most panic attacks is not clear, so treatment may be different for each person. Medication is used for prevention and/or immediate alleviation of symptoms and is usually the main line of treatment. In addition, psychotherapy, cognitive-behavioral therapy, relaxation, and/or meditation are often used to help relax the body and relieve anxiety. If you're in the middle of a panic attack, immediate relief of anxiety symptoms can come from sedative type antianxiety medications such as Xanax, Klonopin, and Asian. These Chat Doctor. Antidepressants often help prevent anxiety and reduce the frequency and severity of panic attacks, but are not used for immediate relief during an attack. Frequently used antidepressants are the selective serotonin reuptake inhibitors (SSRIs, such as Prozac, Pail, Elena, Learn, and Zoloft). This group of medications is often considered the first line of treatment for panic disorders. For preventive or maintenance care, psychotherapy offers support and helps minimize fear. In some cases, psychotherapy alone can clear up the disorder. Cognitive-behavioral therapy helps people learn to deal with panic symptoms, using techniques like muscle and breathing relaxation. Patients also gain reassurance that panic will not lead to the catastrophic events they fear, since many people fear they are having a heart attack or going crazy. I hope this helps. Take care and have a lovely day!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had 3 different bouts with a sore (always in the same spot) on the side of my head above my ear, that starts out with pain, swollen Lymp glandes, then oozing liquid, that forms a thick scab. the entire area surrounding the sore can get the size about 2 to 3 inches around. My ear will hurt as well as my neck and the entire area around the sore", "output": "Thanks to Chat Doctor I can understand your concern don't worry it is the inflammation due to infection in that area, so I would like to suggest once do the culture of the oozing liquid .we will come to know the sensitivity of infecting organism along with please undergo CBP. ESR, CUE once ok that scab can be controlled by taking proper antibiotic like augmenting 625 for 5 days along with anti-inflammatory Chat Doctor. Ok please keep that area clean and " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have little red bumps that itch and are painful to touch in my cleavage. What might that be? What should i do? When i first noticed i was in the shower and i just itched and it started to hurt. I waited two days and it turned into a bunch of little red bumps that hurt.", "output": "Hi, It may be shingles also called herpes zoster most probably. It is a viral skin disease caused by VZV virus. Consult the dermatologist for the perfect diagnosis and proper treatment. I would recommend antihistamines, antiviral and steroid tablets in proper doses. And also advise applying silver sulfadiazine cream on the lesions. The disease may take two weeks to two months for the recovery. Take rest for few weeks. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here...In my late teens I suffered from scarlet fever and glandular fever in quite short succession of each other, I was quite ill with both of them. Now Im in my late 20s and have finally been diagnosed with a hearing problem which my specialist thinks was probably caused by this. Ive never thought about any long term side effects before, but Im aware that whenever I get a cold or the flu I get really ill with them and it takes me a lot longer than most to recover whenever Im ill with anything. Could this also be related to having these 2 fevers when I was younger? Or just a coincidence?", "output": "Hiwelcome to ChatDoctorI read your history n can understand your concern. Scarlet fever is streptococcal bacterial infection and glandular fever is a viral flue. Both the disease takes its own time to resolve, it depends on each individual immune system. And your hearing problem is not because of these two. But whenever u get cold, there will be slight decrease in hearing because of E tube blockage. Don't worry. Better meet ENT doctor. Thank you take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor, My blood count is 7.3 and the Peripheral Smear examination report says - RBCs : Show a mild to moderate degree of anisopoikilocytosis. The cells are normocytic hypochromic in nature. Many target cells, few microcytes, ocassional thin elongated cells are seen. W.B.Cs: Normal in number with a mild increase in lymphocytes. Not sure what kind of anemia is this and how serious is the same", "output": "Hello, Welcome to Chat Doctor, I am Chat Doctor. Firstly, you should ask a question with all the parameters like MCV, MCH, MHC, PCV. Because, they are important. From this report, it can be said that there is high chance of iron deficiency anemia. There may also be a chance of abnormal hemoglobin variant. So, firstly, you have to do a HPLC test and then a bone marrow aspiration should be considered depending on the HPLC finding." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m 20 I weight 175 5 8 I returned home from Afghanistan last year with army an since being back home I have had trouble with my left wrist it hurts to move it up an down an it cramps up I cant put any pressure up agaist I have had x-rays an no breaks", "output": "Apart from fractures, muscle strain, tendon inflammation or nerve compression, naturopathies can cause wrist pain or cramps. Fine motor actions such as writing can also be affected. These changes may not be visible in x-rays. Rest to the hand,painkillers and hot compress can reduce the discomfort. Any vitamin D deficiency or diabetes should be ruled out. Splints or braces may be required to immobilize the wrist and ensure early recovery. Hope I have answered your query. Let me know if I can assist you further. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, My father aged 72y has recently diagnosed Adenosquamous Carcinoma on Primary lung origin i need to know the treatment process and more information about the approach we should take (Surgery, Chemo or radiations). What are key parameters we should focus on. RegardsRizwan", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Adenosquamous carcinoma of lung I'd not that common. Treatment depends on staging of cancer. Staging depends on size of tumor, part of lung involved, distal metastasis present or not, lymph nodes involved or not etc. So better to consult oncologist and get done bone scan, CT brain and abdomen to rule out distal metastasis. According to this stage is decided. Initial stages (stage 1-2) are treated with surgery and chemotherapy. While later stages (stage 3-4) are treated with palliative chemotherapy and radiotherapy. So better to consult oncologist and first determine stage of his cancer. On the basis of staging treatment should be done. Hope I have solved your query. I will be happy to help you further. Wishing good health to your father. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am suffering from very large area of skin ulcers covering the entire stomach region. The skin Biopsy has identified as severe infection which is possibly fungal infection. Intially suspected Leushmaniasis. I have bn a patient of Micosis Fungoides, detected since 2007, and treated continuously with Azathioprine and Methotrexate, with Tenovate M, Momate F etc for local application. Pls guide me to the most experienced Infection expert and Dermatologist in Mumbai who can be of immediate help.", "output": "Hello. Welcome to Chat Doctor. I am Chat Doctor. I understand your concern and will try to help you out for this. It seems that you have been suffering from severe infection, possibly fungal. In my view you should immediately consult the nearest infectious disease specialist. If I was your doctor then I would have immediately gone for culture and sensitivity both of fungal and bacterial. This will help in deciding the mode of treatment especially in your case where you have other co morbid conditions. So it is equally important to avoid " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, Ive had a kind of pea sized lump on the skin of my upper back on the right side. It has never been painful, it is colorless and hasnt seemed to change at all. A year and a half ago, If i remember correctly it used to be a pimpled with puss that was popped, and it seems like it has healed into what I have at the moment. Thank you for you reponse.", "output": "Hi, Thanks for the Query to Chat Doctor. I reviewed your query.It's a dormant fibrous-chronic folliculitis -which is dormant now. If it is still worrying you, You could get rid of it, with any of the local surgical doctor in your area. I think you don't need any medicines now.ALERT-Keep a watch if it itches / or increases in size- as it could be dangerous condition then...!! Thanks for taking Chat Doctor help. Wellcome again." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have severe back pain that started two years ago and has gotten worse in the last year. I had a surfing accident last year where I face planted in the water and my legs went backwards over my head (like a scorpion) The pain has gone from just lower back to now all over nearly and sometimes il get very sharp stabbing pains that will stop me from walking for a few minutes. It s hurts a lot to bend backwards, even slightly It s uncomfortable to stand, lay down and walk . I ve had x rays and it s shown nothing Please help me, I m only young and I want to solve this problem", "output": "Hellowelcome to ChatDoctorthe pain you are suffering from is certainly from a condition called as PIED i.e. PROLAPSE OF THE PROTECTIVE DISC FROM IN BETWEEN THE 2 VERTEBRAL BONES, these discs works as a protective cushion and their prolapse from their place causes compression of spinal nerves and spasm of the surrounding muscles which in turn lead to pain n at times numbness in that region your X-ray was normal but its common not being able to diagnose this condition from a X-ray, so you should get a much more specific investigation to diagnose your condition i.e. MRI OF LOWER SPINE n than you can consult an orthopedic with your MRI REPORT who will prescribe you the appropriate treatment for your conditionregardsChatDoctor" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a bus driver and have had three physicals in three weeks for certification. All required a urine test for drug screening. On the third physical, they said that I had a trace of blood in my urine. The other two physicals previously showed no symptoms. What could cause this, is this cause for concern and how soon should I get rechecked? My last physical was two weeks ago.", "output": "HelloThanks for writing to ChatDoctorTraces of blood in urine may be due to many reasons. It may be due to infection, calculus,trauma, tumour etc. You need proper clinical examination and investigations. You need routine hologram, RBS,Ultrasound of abdomen. Further investigation like CT Scan can be done if needed. Treatment depends upon clinical findings and investigation reports. Hope I have answered your query. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 55, female, no kids (by choice), was recently diagnosed at the ER w/severe diverticulitis, and the abdominal stabbing pains led to an MRI which also showed an exploding absess (hence, the stabbing pain) and a polyp (smaller than a grape, but bigger than a pea). 5 days in the hospital and my bloodwork finally came through Ok w/reduced white blood cells b/c of the absess. A colonoscopy is forthcoming. Meantime, my bowel movemements have a major amount of Vaseline type discharge. This is my major question. Sometimes, all that comes out is the Vaseline consistency discharge. I don t mean to be too graphic ... HELP", "output": "HI. The possible reasons for Vaseline type discharge per anus are:Intestinal infection as you are already diagnosed to have diverticulitis with abscess formation. Once the infection is settled, it is better to undergo a corrective surgery to get alleviation of your problem. Colonoscopy will certainly give further clue and a tissue-history to plan further management, either medical or surgical to get the diseases are removed." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello i am 27 yr old female,married....actually i have sme problem...i cant forget memories 4rm the past....actually after getting married...i saw my hsband ex affairs dairy and video...though he is a good person now..but still....how can i cope over my problem...please help me", "output": "Hello, Your situation is difficult & I can understand your Delia. But you have to move on. Everyone has a past in one or the other way.but what is important is how he takes care of his present. How does he behave with you, how is he emotionally with you? If these things are good and he doesn't give you any reason to complaint, then you must forgive him. I know that you cannot forget all what you saw and neither I'm telling you to forget it...it is waste to try such a thing...but at the same time tell yourself that it was his past, when you were not there in his life. He had emotions and did few things under emotions...and so do many people. Let this thing stay there somewhere in your heart and try to move ahead with him. Donot do injustice to him like this, he doesn't deserve to be handled in this way .(provided he is good with you now). The best way to get out of misery is to make fun of that issue...may be laugh out loud about that thing with him.or may be teased him .and just try to accept and let it go. This is what is right and this needs to be done now. I hope you understand May God give you courage to have a big heart." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "A patient was admitted to the hospital with chronic obstructive pulmonary disease. His PO2 was 55 and PCO2 was 65. A new resident orders 54% oxygen via the venturi mask. One hour later, after the oxygen was placed, the nurse finds the patient with no respiration or pulse. She calls for a Code Blue and begins cardiopulmonary resuscitation (CPR). Explain why the patient stopped breathing.", "output": "Hello, We all have a respiratory center in our brain. This center regulates out breathing. This center works under the influence of oxygen and carbon dioxide percentage of the body. In COPD patients, this center works under low oxygen percentage. Actually low oxygen (hypoxia) is helping the brain to send messages regarding breathing. When COPD patients receive high flow oxygen, this hypoxic central Chat Doctor. So never give high flow oxygen to COPD patients. Try to maintain their oxygen saturation around 88-90%. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have shingles. During one of the break out that occurred My Lower tail bone where the shingles attack began feeling like a heavy pressure. I took 600 ibuprofen for 2weeks and gradually most Of the stiffness has subside, However somewhat minor stiffing still existing. Would it be possible that my nerves in that area is affected. If ,so what would you Recommend Dr. Samuel?", "output": "Welcome to Chat Doctor I have gone through your query and understand your concern. You have recovered from shingles. But some after effects are still there in the form of pain and heaviness. For pain relief you can take analgesic such as ibuprofen for pain relief. Mecobalamin is helpful in neuralgic pain. Vitamin B and C help in recovery. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good aftrnoon sir, My grand son aged about 20 months he is suffering with gum motions since 1 month . we visit to pedetric doctor and the same quare temporarily. Last the same was again appear we visit the doctor the doctor adice to check motion test, we are done the above test, the doctor see and more infections in stomech henc he wrote medicines continue the medicines 5 days, then the motions fall down. then last night agagin come the gum motions lightly, but the boy was healthy. we are worry about this again we met the doctor but no suitable response for the same. kindly advice waht remedies we taken to stop the gum motions by my grand son.", "output": "As you said stool examination has revealed infection and your doctor has prescribed medication for that, the diarrhea does not appear to be due to teething. Infact teething itself does not cause diarrhea but causes few loose stools which are due to excessive salivation reaching gut due to gum tenderness and swelling of teething. This also results in baby putting unhygienic tethers, objects etc. in their mouth resulting in infection. For few loose motions which are not causing child deny Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m lazy. Never like going out much because of the weight i ve gained [130 in 2 years]. I don t like going to work. I really love school and learning but think twice about having to get out of bed. I would get dressed for school but once I see how i look I take off my clothes get comfy and don t go. I don t know what is going on PLEASE HELP ME! =[ *tears* i over eat. i over sleep", "output": "Dear Link, Please don't blame your self for your condition. Our body constitution is genetically determined, even before we are born and there is limitation to what we can do to alter it. We have a center in the brain called satiety center, which determines when we should be feeling hungry. In kids like you, this center does not know when to stop and this makes us constantly hungry and this in turn adds to our weight. There are millions of kids like you all over the world, and you are not the only one having this problem. What makes a difference is the STRONG WILL to limit food intake specially the ones we like most such as ice-creams, chocolates, deep-fried items etc. It would be healthy if you could replace these things with fruits and vegetables and make special effort to move out and play and interact with your friends and if possible go for regular swimming. Even if you cannot follow all or some of these advice don't worry, but kindly do not skip classes in the school as they are extremely important in our life. Wishing you all the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my wife suneeta diagonosed overy cancer in the month of noe 2009, it was 3rd stage, However after 3rd chemo with paclitaxal& carboplatinum,her CA-125 was 100,the doctor who gave her chemo suggested to go ahead with 4th chemo but surgeon said we will operate her ,after operation, following chemo did not work & her CA-125 went to 11000u/ml.My quetion to all surgeon & physition in this world is, when she was respondind well to chemo was operation necessary! After operation she developed Adhesions& metastatics, Now we are helpless WHAT DO I DO, PLEASE SUGGEST ME.", "output": "Hello! Good Day! I've read your concerns and feel sorry for your wife. The surgery might be necessary to get all remaining tumors and decrease the tumor load of your wife. Ovarian cancer metastasis is really known to be messy and produce a lot of adhesions and metastasis. Adhesions/metastasis can only be treated with surgery. If I was the treating surgeon, tumor debunking, peritoniectomy, plus intro operative peritoneal chemotherapy (HI PEC) will ad Chat Doctor. However, if the adhesions/metastasis are unresectable, palliative treatments will be the last option (colostomy for obstruction, tubes for feeding)." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a mri dr told me I have a cracked disc and a piece has broken off an floating around also I have a large tare that is leaking fluid he said I need a disc replaced as well as 2 bars put in an fuse the lower back? is this a common thing to repair the problem an how major is the surgery?", "output": "Dear patient Spine surgery is considered major surgery and as per your description you have got sequestered disc that needs to be excised to get relief from back pain and lower limb sensory symptoms. Since you have opted for disc replacement fusion is not required of your vertebra. Nowadays with minimally invasive spine surgery fusion is not required. You need to consult expert spine surgeon with report. All the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have started taking Mirtazapine about 3 weeks ago on a low dose of 15mg, after 8-9 days I had to go on 30mg and since I have NOT slept well at all It seems like I have to readjust myself constantly in the night, leaving me feeling like I haven t slept at all, this is making me stress out and I have a Horrible Tension headache in the lower right side of my head behind my ear that hasn t gone away for three days... Anyone else dealing with that? I am calling the DR tomorrow to make an appointment..", "output": "Hello sarah11976 Mirtazapine is a good antidepressant, it has a unique effect on sleep. Also called as paradoxical effect, it causes increased sleep at low doses like at 15 mg but at higher doses it has no effect on sleep. So increase in dose from 15 to 30 resulted in paradoxical insomnia. Kindly visit your psychiatrist and ask for addition of some hypnotic like Benzodiazepine as clonazepam, or collided for some time. Thanks, take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi I am 18 years old and my doctor prescribed azithral 500 for 30 days along with rabeprazole sodium for acne vulgaris does it have any side effects ?", "output": "Hi, Welcome to Chat Doctor Forum. No medicine comes without side effects. The Side effects of these medicines include, nausea, vomiting, abdominal pain, dyspepsia, flatulence, diarrhea, cramping, dizziness, headache, vertigo, sleepiness. Kindly don't worry, as they may or may not occur. Just take it as directed by your Doctor and go for regular follow up. Chat Doctor. Exercise regularly. Wish you Good Health, Take Care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, Im writing an article on the truth behind mononucleosis for my school paper. I was wondering if you could give me some causes, symptoms and treatment methods...that would be great. Also I need to cite who Im interviewing so if you could tell me your title that would be great!", "output": "Hi thanks for contacting Chat Doctor... At such a young age you are searching for mononucleosis for article is good thing. I appreciate you.... Infectious mononucleosis also called glandular fever. It is acute febrile disease. Etiological agent - Epstein Barr virus Himself limited illnessTransmission through saliva by close contact like kiss, sharing eating utensil, and sometime spread through blood. Symptoms..... Fever, pharyngitis, lymphadenopathy ... Anorexia, headache, fatigue like symptom present... Sometime rash and jaundice can occur. Treatment with bed rest. For secondary infection antibiotic taken. If severe pharyngitis, air way blockage or purpura present steroid might be used. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "About 5 months ago i broke my thumb play footy (AFL) and the bone came through my nail now it is all repaired but now it is very weak and sore when weight is put on it, whenever I bend my thumb it always seems to crack sometimes a small crack and sometimes a large sore crack. Do you have any ideas of what I could do preventing this reducing the crack?", "output": "Hi... The reason for the crack in your thumb is bone on bone friction and rubbing due to muscle imbalance around the joint... So I suggest you to Reduce tightness in the forearm and their muscles by stretching them frequently... Apply a lot of ice to reduce soreness and inflammation caused due to excessive compressive forces placed in the joint due to imbalance. Strengthen your forearm muscles ... Strengthening your trip and thumb extension will help you to recover faster...Don't keep checking the pain and pooping sensation... Hope this is helpful for you... Kindly revert in case you need any further help in this regard ." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello...i take beta blockers for my hypertension. when my blood pressure goes high(146/95) i feel dizzy, but at resting my blood pressure goes as low as 101/48 50pulse...i do cardio training 5 times a week mostly jogging but not a hardcore trainer...i m concerned about the diastolic, is it normal? Thanx", "output": "Hi, dairy have gone through your question. I can understand your concern. You have hypertension but with beta blockers your diastolic blood pressure becomes very low. You need to change the Chat Doctor. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "In the past 2 days I have had a high fever, It burns a little when i move my eyes, my head hurts when i cough. Yesterday when i was walking home in the sun i felt like i was going to pass out. This morning i took my shirt off and i noticed that I was breaking out all over my chest and no where else. What does this mean?", "output": "HIT hanks for posting your query to Chat Doctor. It seems like you are having infection of your throat. Infection could be due to Virus or bacteria. Treatment is different for both, so differentiating infection from Virus and bacteria. I advise you to consult your doctor, ask for Throat swab Culture sensitivity test. Till you get reports you can take Paracetamol 2-3 times a day, Do salt water gargling, Chat Doctor. Avoid Citrus Fruits. Hope you find this information useful. Any clarifications or Queries feel free to ask." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had a cough for 2 months...it started with what seemed to be a common cold. But I cant get rid of this cough...it comes in spells...It can be triggered by just speaking. The doctor gave me a scrip for cough syrup in the beginning....it hasnt worked....help", "output": "Thanks for your question on Chat Doctor. I can understand your concern. You are having chronic cough (cough for more than 2 weeks). So we should definitely rule out lung infection and bronchitis in your case. So better to consult pulmonologist and get done clinical examination of respiratory system, chest x-ray and PFT (Pulmonary Function Test). Chest x-ray is needed to rule out lung infection. PFT is must for the diagnosis of bronchitis. You may need antibiotics, inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I recently learned that you can have a PCR test to determine if you have a molecular complete response when being treated for multiple myeloma. I just achieved a stringent complete response as determined by immunifixation. When should a PCR test be done and how difficult a test is it?", "output": "Hi! Thanks for your question on molecular diagnostics. Well, immunization studies confirm that the neoplastic plasma cells that secrete abnormal proteins are absent in your body, but it cannot exclude those plasma cells that have the potential to proliferate and secrete abnormal proteins in future! Only PCR and some gene-rearrangement tests, FISH etc. can detect that.PCR targets some specific sequence of the neoplastic plasma cells gene and grow the clone with help of polymerase enzyme; it is a simple and very easy automated test takes 30-60 minutes, but the sample needs to be contamination-free! Hope you got the answer; regards," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Today and on Wednesday while at school, my 11 year old daughter developed a sudden rash. It is on the back of her hands and on her arms up to her elbow. It looks like leopard print pattern. It was itchy at first but when she washed with soap it stopped itching but stayed red. It has faded a lot but is still slightly red now. Perhaps never completely went away since yesterday but was worse while she was at school. No known allergies and she says she was just sitting at her desk when the rash started yesterday and when it came back today. No other symptoms. She has an albuterol inhaler she hasnt needed to use in several weeks, no other medications.", "output": "Hi, Thanks for writing to Chat Doctor. From that description given by you, it seems like skin allergy. Her usage of inhaler also provides an evidence for the same. But there could be other causes as well. Please consult your doctor for a physical examination. He will order certain investigations depending on the physical examination findings. Further treatment depends on the diagnosis made. If a diagnosis of skin allergy is made then your doctor may advise antihistamines. Continue to ask further queries as required. Hope this helps. Take care. Chat Doctor. D.(Pediatrics)Associate Professor, Pediatrics." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had someone I know die recently. Circumstances were very unusual. He began to breathe so hard, all body and hands began to shake, and his lips were green. He took some medicine and it subsided, but a few minutes later, it started again. The ambulance was called, but the person died. Judging from that, what would you say it was that could cause death so sudden?", "output": "Hi, I am sorry for the lost of your friend. There are various causes to his death; further details on his medical history are needed for a more specific opinion:- what chronic/acute illness he suffered?- was he on any meds? As he has taken some medicine and symptoms subsided, it means that he was taking those medicines on regular basisBreathing hard might be a sign of possible cardio-vascular event, which is commonly occurring in chronic patients taking antihypertensive medications. He was already having signs of being in difficulties, however, a complete judgement will be based on the requested data. All the best! Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I injured my foot and ankle at work today. Injury involved sudden twisting. Now quite painful to move big toe and second toe; swelling and pain in instep and low and mid ankle, and cannot bear weight on foot. Pain does not diminish with elevation and ice. Pain has also increased during last 6 hours since injury.", "output": "Hello, Thanks for writing to us, I have studied your case with diligence. Persistent foot pain may not be normal. I will advise you to use splint support for ankle and foot for 2 weeks. Physiotherapy like ultrasound and TENS will help in early healing of torn ligament. I will advise doing MRI foot for soft tissue involvement if pain remains persistent. Till time, you can continue physiotherapy and also use supportive splint or brace. You can start tab tender for early healing of ligament consulting your doctor. Wishing you good health. Take carhop I have answered your query. I will be available to answer followup queries. If you are satisfied with the answer, please give your review at the end of the discussion." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I ve been married 3 years back and till now we don t have a baby and she never got pregnant ,i ve got my sperm test a year back it , all counts seems to ok except the rapid linear progression which is 5 %, doctor giving me some kind of zinc supplement , can you plz guide me about how do i increase this what treatment should i do ??? cuz i m really getting upset now.....", "output": "HelloThanks for your query, based on the facts that you have posted it appears that you have what is called as Asthenosprmia meaning there by that the percentage of active motile sperms is 5 %. Normally as per WHO standards and accepted by infertility centers worldwide the percentage of active grade one sperm required to fertilize female eggs should be 12-15 %. Truly speaking there are no medications that can increase the sperm motility however following measure will help you to increase motility of sperms.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc3)Take anti oxidants like Almonds 5-6 every day.4) Avoid alcohol and smoking. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hii doctors ,greetings, i am a patient of systemic sclerosis since last 7 years . Recently my doctor have advised me ganaton total OD before breakfast. This was told as i have having problem in swallowing food . now when i searched the web for this medicine it shows this is for Gastric problems ,kindly suggest is it ok for me .", "output": "Hello, You have systemic sclerosis. Treatment depends on your symptoms. Calcium channel blockers and tadalafil are useful in the Maynard phenomenon. Patients with kidney involvement ACE inhibitors are useful. Patients with gastric involvement omeprazole should be given. For lung involvement calcium channel blocker is useful. Please tell me about your symptoms so that I can help you further to select the Chat Doctor. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor,I am Deepak from pune, India. Its regarding my father as we get his endoscopy done. And impresion on report says that he got an infiltrating and ulcerated growth in the entire body and the antrum of the stomach. And biopsy report says --- Moderately differentiated adenocarcinoma. Sections shows gastric mucosa, with three of the biopsies showing tumor cells in nests and a typical grandular structures infiltrating the submucosa, with surrounding desmoplasia. Fragments of necrotic slough colonised by bacteria and fungal pseudohyphae with exudate are also included. Want to know the best doctors in Pune. And what treatment we should go for? And whether its curable at this stage?", "output": "Hi Welcome to Chat Doctor I have gone through your query and concerned about his condition. But dear don't get disheartened . Where there is a will there is a way. Strengthen his will power by giving him hope of recovery , It is a great thing that helps a person to recover. Meanwhile, you can administer him course of antioxidants as below -Mixture of extract of Lemon, Ginger, Garlic, Manager of coconut water, Bark of Maring\u00e1 (Saharan) tree, Honey all in equal quantity in a dose of 25 ml, twice a day, before meals for 31 or 41 days as per requirement. Is good healer and also preventive. Give a level t spoon of turmeric powder twice a day, in a cup of hot milk after meals, Meals should be simple nourishing and easily digestible. Take care he doesn't have constipation. Let him do Panama - Deep breathing exercises & Walk for resistance against diseases and to strengthen the vital part of the body. And many heart and cancer patients have been benefited from this mixture above regimen is to be carried on even side by side of his treatment I suggest you to Find out a good renowned hospital and show his reports ASAP, which will refer the case to specialist, who after studying the case will start treatment. I suggest you should not delay now . Hope this gives reply to your query Take care. All the best & good healthiest hesitate to get back if you have any further query" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My father is having sudden memory loss. Two days ago he had outpatient surgery to remove hemorrhoids. For pain medication he was given Percocet. He was unable to urinate since the surgery so we brought him to the emergency room where they placed a catheter. It helped evacuate his bladder. Could the memory loss be related to his current situation?", "output": "Hi, dear. I have gone through your question. I can understand your concern. Surgery for hemorrhoids generally doesn't leads to memory loss. It is not related to your current illness. He may have some other problems. You should consult psychiatrist for that. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, i have a friend who has cancer (stage4).. she had series of chemo already and her last treatment of chemo was for her liver. however, when the cancer cells became active again, she went to a much even stronger chemo and after her 1st strong chemo treatment, she got sores all over her mouth, barely eats, has edema in her feet and hands and now experiencing diarrhea, all her labs were not good. shes currently confined in a hospital but are these signs that she might be the end of her battle.", "output": "All the symptoms that your friend is experiencing are due to the side effects of the strong chemotherapy. It is not due to her disease per se. All known chemo therapies are known to produce these side effects in varying degrees. She will need to step down on her chemotherapy in terms of the number of Chat Doctor. Meanwhile you have to wait for her to recover from the effects before commencing again with the next cycle." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ihad a total knee replacement now I have a Morganella infection.My total knee was done November 18 2016 I spent 3 days in the hospital then from November 21 until New Year s Eve I came home infection was present within 1 month with my surgeon started me on clindamycin infection continued and was diagnosed as Morganella by home health since then I had a i & d with wound vac how and when when will this clear up I ve been really sick the past few days.Tell me what you know about Morganella", "output": "I'm so sad that happened to you, M organic strains are naturally resistant to penicillin, ampicillin, ampicillin/sulbactam, oxacillin, first-generation and second-generation cephalosporins, erythromycin, minocycline, holistic, and polymeric B. Most strains are naturally susceptible to piperacillin, ticarcillin, methicillin, third-generation and fourth-generation cephalosporins, carbapenems, aztreonam, fluoroquinolones, aminoglycosides, and chloramphenicol. The widespread use of third-generation cephalosporins has been associated with the emergence of highly resistant M organic" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,I am 34 weeks gestation last week I broke out in a rash and bumps all over my body. My OBGYN tested me for salts as well as treted me with benadryl cream. Ever since i went into preterm labor. This morning I found bed bugs in my bed which would explain my bumps. Is this in anyway affecting my pregnancy.", "output": "Thanks for contacting Chat Doctor with your medical question you are concerned that you have come in contact with bed bugs and their bites have affected your pregnancy. Bed bugs are more of a nuisance and are not associated with any known disease. To get rid of the infestation you may need to have a professional exterminator. The bed bugs live not only in the mattress but also among the bed frame and carpeting around the frame. You can treat your areas with calamine lotion and will resolve over time Hope this answers your question. Please contact us again with your medical concerns and questions" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a girl do oral on my penis and there was a clear build up of smegma under the forskin and ridge of the head. I dont think it was from phimosis I retracted it late just id never been taught it could retract and that i should be washing it ( I blame the parents :p)since i have kept it clean and dry. But i have always had almost like red lips around the uretheral opening and a very red frenulum. When I am erect the forskin goes back over the head okay but sort of bunches up a bit behind the head. i can stretch it a bit further but then it can be a bit sore. I have a redness next to the frenelum. What should i do about all this ?", "output": "HelloThanks for your query, based on the facts that you have posted it appears that you have developed inflammation of terminal part of urethra and external urinary meats due to Aral sex that you had from your girlfriend. As oral cavity is full of bacterial flora it is the prime cause of getting infection of glans, and meats. You need to take broad spectrum antibiotic like \u010ceferin along with anti-inflammatory Chat Doctor. Along with topical antibiotic ointment like Newsprint twice daily. Ensure to wash your genitals with warm water twice dailyEnsure to avoid sexual encounters till it heals up completely." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have multipul little white soars along the lower part of the inside of my mouth, and I have tiny soare bumps all along the side and underneith of my tongue. It stings to eat most anything, brushing and using mouthwash. They are not bleeding, but they are very soar. I recently had my tongue pierced and a friend who also had hers done, said the soares on my tongue were similar to the ones she got durring the healing process of her piercing, but the white soars inside my cheeks and under my tongue were not. Any advice?", "output": "Thanks for your query, I have gone through your query. The white sores or patches over the oral mucosa can be secondary to the tongue piercing. This cause a allergic reaction kind of condition called licensed reaction. This is due to the metal used as a ring or ornament in the tongue. This will produce white spots over the mucosa with burning sensation. Nothing to be panic, consult an oral physician and get it evaluated. You need to stop using that ornament over the tongue, otherwise it will not heal.Meanwhile I would suggest you to use, topical anesthetic and analgesics like 2%lignocaine and choline salicylate gel (Anabel gel) apply 3-4 times daily before food and topical steroid like triamcinolone acetone 0.1% 4-5times daily after food. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 12 yr old raised my 8 week old up in the air somewhat quickly and hit her head on the heavy glass shade to the light on the cieling fan. she cried a cry i havent yet heard from her.she has a lump on her head and a red spot butseems ok. but she wants to sleep. should i let her?", "output": "Hi dear, I had gone through your question and understand your concern. You should be worried, but not too much. After stress kids usually sleep, let her. Apply Pile ointment or Tomophobe on her lump three times a day with light massage Hope I answered your question. If you have any following questions, please don't hesitate to contact us. I am always happy to help. Wishing you and your daughter good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have just turn 55 this pain started more than 18 months ago, constant pain in my right lower abdomen, blood test, CT scan of abdominal/pelvic, hysteroscopy and abdominal biosy, colorectal and the last is MRI where I drank liquid and the they gave IM die during the MRI session awaiting the result I am feed up. I can not afford to pay any money that is why i am trying to find out through the internet if my GP or the team have over look or missed any thing out and I live in England", "output": "Hi. Thanks for your query and faith in Chat Doctor. The commonest causes of pain in right lower abdomen in a female patient of 55 years are:AppendicitisEnteritis of a chronic nature like tuberculosis, CrohnsColitis of chronic nature. Swelling or a mass on the right side of the fallopian tubes and / or ovary. This will be helped by the investigation you have undergone, and you will get a proper treatment." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good evening my son contracted encephalitis in Nov 2000 and is severely disabled. Irionically my best friend s parent collapsed last week at work and to this moment they do not know what is wrong with him. His memory has gone and is experiencing severe dizziness. Anti viral was stopped today as they found no trace of a virus from the results of the lumbar puncture. Due to have an MRI tomorrow. They also reckon from tests that he has been having seizures. Can you help?", "output": "Hello, First, seizure and collapsing can result from a brain disease, a cardiac disease, an inner ear disease and other general conditions. So, your friend should do some investigations such as: fasting blood glucose, Liver and Kidney function tests, ECG, Echo on the heart, and he should go a specialist in ear, nose, and throat to check the inner ear functions. The psychological causes should not be ignored even if there is a somatic disease. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had my Lymph Node in my Neck REmoved, and it contained TB.My Sputum Tests were Negative, and i am going to have a chest xray done the end of March.What are my chances of recovery?I already have Lupus Disease.The Last Chest xray was done last November, and it was negative.", "output": "Hi, dairy have gone through your question. I can understand your concern. You have tuberculous lymphadenitis. It has no relation with your chest x-ray and sputum examination. You have extra pulmonary tuberculosis. You should take anti-tuberculous treatment (AKT) for 6 months. Furthermore, you will be cured by that. Baseline liver function test should be done and then start treatment. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had my gallbladder removed laparoscopicly on Thursday. 4 days later I have a small irritation in my throat causing me to cough. When I cough some phlegm comes up with a small amt id red blood mixed (bright red). The breathing tube was left in longer than usual due to shallow breaths, causing a panic attack. Should I be concerned?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Yes, you should definitely consult doctor and get done chest x-ray. You are having hemoptysis (blood in sputum). And it is common in pneumonia, tracheal injury, lung injury etc. You are also having history of endotracheal tube (breathing tube) insertion. So possibility of pneumonia and tracheal injury is more. So get done chest x-ray to rule out pneumonia. If chest x-ray is normal, no need to worry much. But if hemoptysis is continuous than you may need bronchoscopy to rule out tracheal injury. So consult doctor and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son is 15 months. He was suggested augmentin dds and nutrolin B for 5 days, when he had ear infection [fluid in the ear] after cold n cough. But my bad, i missed to give him nutrolin B alongwith augmentin for 3 days. So he developed rashes in his bums and areas around. Now I started giving nutrolin B with augmentin dds. Is it ok, or would he have anyother side effects? Pl advice.", "output": "Hi...the rash around the anus could be due to the loose stools he might be having due to the antibiotic which is quite expected. This is not because you have not used Nutrolin-B concurrently. You need not feel bad about it. For the perianal excoriation and rash you can use - emollient ointment which should settle the issue. I prefer and prescribe Silver ointment as external application around the anal region. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi im nancy from australia im 43 single no children Ive been on marvelon for 20 years Ive stopped taking it approx 1 year ago n my stomach feels bloated n gained weight around abdomen n mid section I experience sharp pain in my lower abdomen as well.I always feel tired n being a small framed woman never been over 54kg now im 62kg!! Im thinking to get back on marvelon and get thyroid tested ??????", "output": "Hi Nancy! Good morning. I am Chat Doctor answering your query. Getting back to Marvel on might not solve your problem of gaining weight and feeling tired. If I were your doctor, I would advise you for a thyroid function test along with a serum lipid profile, a blood sugar, and a complete blood count followed by an ultrasound of the abdomen to see the state of your pelvic organs specially the ovaries. I would decide on starting any medications only after the investigations reports were ready. At the same time, I would advise you to go for a routine aerobic exercise program depending on your medical fitness. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had high bp for 14yrs but on meds for last 3yrs recently had a lot of migraines and headaches caused by hypertension also painful eyeballs and sockets, my bp is 180/100 today but now i have slightly sore lumps below the chin (2) either side , i have had a very painful left leg running from the hip to knee , a painful left arm and chest pain on same side, i have been breathless for a few years although iam not overweight.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you should immediately consult doctor to rule out coronary artery disease (CAD) and heart failure. You're all symptoms like left arm pain, left chest pain, breathlessness etc. are commonly seen with CAD. And CAD is common in hypertensive patient. So consult doctor and get done 1. ECG 2. 2d echo3. Stress test (trade mill test) 4. Coronary angiography (if required). Strict control of hypertension is needed. Avoid excessive salt in diet. You will also need other cardiac supportive Chat Doctor. Don't worry, you will be alright, but first diagnose yourself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a small hard lump under my right ear. Had u/s that showed small nodule next to lymph node. Had CT that did not show that nodule, but only showed lymph node. Went to ENT specialist in April and he said we would just watch and see what it did. Just went back and now scheduled for needle biopsy. No other symptoms. Lump does not appear to have grown.", "output": "Hello and welcome to Chat Doctor, The hard lump can be due to lymph node enlargement. The needle biopsy is an office procedure wherein cells are aspirated using a needle, cells are spread on slide, stained with appropriate stains and examined microscopically. This investigation will determine the origin and nature of the lesion. Treatment will be planned after getting results of the investigation. Thanks and take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had stomach problem and pain towords right side. i was advised usg for stone in gall bladder . after sonography no stone was found and all blood,urine tests were also correct. Doctor prescribed me Rebonik plus empty stomach for 15 days and said to continue for another 15 days along with that he gave me pankerflat and cerom for 5 days. after 5 days Al 5 zyme for 10 days. Aftertaking this still some times midnight i have acidity problem.I would like to ask for how long should i continue rebonik plus and can i take pain killer along with this because sometimes isuffer from tooth ache problem.", "output": "Hi thanks for contacting Chat Doctor. Noted you have stomach discomfort ... Gall stone not present in USG.... So you mostly will have ulcer or inflammation of stomach.... Continue for using omeprazole... Yes simple analgesic so scan be taken... But not excess use done.....Meanwhile, avoid excess spicy food. Blueberries rich in vitamin C.so can be taken.... Red beetroots rich in potassium and magnesium good for gastric health.... If still pain continue USG abdomen done... Chat Doctor. ... Take care...." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have like a rash of 10 bumps in the middle of my back in a circle shape. There itch and are easily irritated by hot and old. My doc thought shingles but said no bc its n the middle of back. So he thinks a reaction to sum thing....it looks worse now and its been a week...he gave me atorax....wat do u think it could b?", "output": "Hi, thanks for your query. From the information provided, I can think of the following possibilities:-Fungal infection characterized by itchy round lesions with central clearing and peripheral pa pules. -insect bite can present like this.-Boils or follicles A picture would have helped. You may contact a dermatologist for exact diagnosis and treatment. You may continue Atari for itching. Hope this solves your query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 91, have copd, emphsema, kidney disease and starting about a week ago I get this pain on and off inside the rib cage at the bra line.I seem to be always cold w/ low temp. Is it possible I am allergic to the parakeets I just got about 2 weeks ago. Years ago I had Cockatiels but had to give them away because they were so dusty. I was hoping I could haandle the keets????????", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Yes, it is quite possible that you are allergic to Parakeets. Better to get done allergy testing and if it shows that you have parakeet allergy then you need to keep them away from you. Start montelukast (anti-allergic) and levocetrizine (antihistamine). Take your COPD treatment regularly. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My MRI shows Diffuse posterior buldge with posterior protrusion of L5-S1 disc, indenting thecal sac. Sir, Can I walk about 15 minutes per day. How can I do yoga. Is this is a SIATICIA. My problen is in back but I cant bend my knees. Why sir. Please answer my questions sir", "output": "Hello, This MRI finding is not indicative of sciatica. Sciatica usually causes back pain irradiating in one or both legs, which is triggered by walking or sitting position. For this reason, I would recommend performing regular physiotherapy and checking your knees too (an X-ray study of both knee joints, coupled with inflammation tests). Take care. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi iam 23 years old, 54 height 108lbs iam taking my medical 4 working abroad then i notice that i had phenomia vs ptb i want 2 ask if possible that after tretment 4 (6months) taking medication my x-ray will be clear so i can proceed to continue applying working abroad. what should i do step to make my x-ray is clear? i never get cough@ fever, i just feel that my back was hurt when the wheather is cold @ sometimes when iam carrying heavy stuff. pls help me! i really appreciate your help.", "output": "Hi thanks for contacting Chat Doctor... You are having some congestive symptom. In your description you have not mentioned exact cause and chest x-ray finding.... First to rule out pneumonia do chest x-ray. It will show consolidation in x-ray... For that 2 week antibiotic like definite given....X-ray consolidation gradually resolve within month depending on severity..... Second if you have weight loss and fever then tuberculosis suspected, sputum examination needed. For that at least 6 month therapy needed. Here your respiratory physical examination with auscultation first needed to do proper work up... If no significant cause found then it could be simply viral bronchitis like infection. Symptomatic management needed. Decongestive tablet like antihistamines needed. Take care. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "last month we came close to each odr for da first time....we kissed...i helped him to ejaculate with ma hand...nothing more than that...we didnt had sex that time...but from that day i m not havin ma periods...it z near about to get two months now... but last night i had anal sex with my boyfriend...it is for the first time in my life that i had done dis activity...he used condom. but at da time of ejaculation....i wasnt aware he ejaculated sperms on my back...i m so tensed...will i get pregnant...i have brought empill from da shop...will it help me to regulate ma periods", "output": "Hello Mam, I just read your query. Only vaginal sex can lead to pregnancy. Kissing, anal sex and other activities can not lead to pregnancy.* As far as absence of your periods are concerned it may have other causes like hormonal imbalance, stress etc.* I suggest you to don't take any medication on your own because it may further increase your problem. Consult a nearby gynecologist at least once so that she can do the clinical examination and prescribe you the proper medicine. Once you will take the proper treatment the problem will be sorted out.* I hope you find my answer helpful. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, Dr Grief, I have been on wellbutrin xl 300mg for about 8years and it has served me well until these last months .I have noticed I am becoming tearful 3 to 4 days a week once or twice on these days . Also noted times when I feel listless and overwhelmed with household tasks . Do you think an increase in my med would do the trick or do l need a addition to my present med or new drug altogether. ? Thanks", "output": "HI, thanks for using Chat Doctor Depression that is not responding to current therapy can be treated by the different means that you mentioned: (1) increasing the dose of the current medication (2)augmenting the medication with another (3) changing to a different medicationYour doctor will likely first consider increasing the dose of your current medication then monitoring for 3 to 4 weeks to see if there is any clinical response. If there is still no improvement then alternative treatment would be needed. You should not alter the medication without consulting your doctor. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was diagnosed a couple of years ago with bronchiectasis. I have noticed lately an increase in shortness of breath. I use a pro-air inhaler and it helps, temporarily. I am not coughing up anything. My coughs tend to be dry. Wondering what could be causing the shortness of breath I am noticing. No change in lifestyle or diet. When I inhale, it is like sucking air through a straw with a hole in it. Best way I can describe it.", "output": "HI, thanks for using Chat Doctor Bronchiectasis refers to a condition where damage to the airways causes widening. It is likely that this is contributing to your shortness of breath. It would be best to visit your doctor for a review. In addition to reviewing your symptoms to determine if it is a flare up, your doctor will also be able to rule out other possible causes such as heart related causes of shortness of breath. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a liver cyst adjacent to my gallbladder. The cyst was deroofed and the gallbladder removed. I have 5 small incisions. My surgery was 9/15/2017. I am having a pinching and painful pulling when I move in certain ways and a pain in my right side that is getting worse with time", "output": "Hi, This looks to me like so-called postcholecystectomy syn Chat Doctor. Symptoms include systemic symptoms such as sweating and heat sense but also dyspepsia, nausea, and vomiting, flatulence, bloating, and diarrhea, Persistent pain in the upper right abdomen. Some individuals may benefit from diet modification, such as a reduced-fat diet, following cholecystectomy since it may be more difficult for digestion of fatty foods. Postcholecystectomy syn" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i had recently got myself in a bad car accident. nothing serious,alot of bruising. this was 15 days ago. well now i seem to be having problems with left leg. very sore,still bruised,i have a large knot and indention in upper thigh area,my ankles are very tender with bruising and swelling around my left foot also has swelling. my whole left leg is very tender to touch. is this something i should be concerned about", "output": "HelloThanks for writing to us, I have studied your case with diligence. You may need x-ray or MRI of ankle and foot which can be advised after clinical examination consult your doctor and do require investigation. Till time take medication like analgesic and apply cr\u00eape bandage over foot or use supportive splint. Physiotherapy will help to reduce symptoms. Some nutrients which are important for recovery after injury include vitamin C, folic acid, calcium, vitamin D, IT B12.so supplements of these nutrients will lead to early recovery. Regular physiotherapy and exercises are very important for early rehabilitation as my patients find much relief by these therapies. Hematoma will be there on lower limb due to injury which is painful. This will subside after 3 weeks. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. If you are satisfied with the answer, please give your review at the end of the discussion. Wishing you good health. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "NAMASTE SIR MY HUSBAND TAKING EPELEPSY MEDICINES SINCE 30 YEARS AS PER MY KNOWLEDGE JUST SIX YEARS BACK HE FELLDOWN AND HE GOT PERALASIS TO HIS LEFT SIDE AND HE GOT FRACTURED HIS RIGHT HAND AND HE IS HAVING PSYCHOLOGICAL PROBLEM, WE MET SO MANY DOCTORS AND THEY HAVE GIVEN SO MANY DRUGS TO CURE HIS HEALTH PROBLEMS. BUT NOW HE IS TALKING TOOMUCH AND SHOUTING TOOMUCH AND TALKING WULGER LANGUAGE TO HIS CHILDREN AND SERVENTS. HE WILL BEHAVE VERY NICE WITH GUESTS AND TALKING NICELY . NOBODY KNOWS HE WILL DO MISBEHAVE WITH FAMILY. NOW TELL WHAT TO DO AS EASY AS TO RECOVER. HE CANT MOVE.", "output": "Hello and welcome to Chat Doctor. Thanks for your query. Your husbands symptoms could be indicative of an underlying mood disorder. However, he needs a detailed psychological assessment to make a definitive diagnosis. I would advise you to take him to a psychiatrist for a detailed evaluation and further treatment. If he does have a psychiatric disorder, then there are effective treatment options available - in the form of medication or counselling / psychotherapy which will help him overcome these problems. Wish you all the best. - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have a pain in the centre of may back between my shoulde blades. it could be related to riding my road bike with drop handle bars ie posture. I have taken lots of tablets but it has not gone and now i have restricted head movement. what should i do ?", "output": "Hello, Thanks for your query. It seems that your wrong body posture; inadequate exercise and reduced muscle tone is taking a toll on your back. During the day don't sit in one position for more than an hour and take frequent stretch breaks. Do not bend forward to lift things up, bend the knees and hips for that. Also discontinue any strenuous activity or exercises for some time. I suggest you to try back strengthening exercises by extension of the back muscles which can be taught by your Physiotherapist. This will help to relieve the possible muscle spasm which causes the pain. You may go for a physical examination by your Orthopedic to rule out any spine related pathology. You may be prescribed painkillers and/or muscle relaxants which should give you relief. Physiotherapy may also be advised if necessary. I would suggest you to try swimming as this will help most in back conditions. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my 14 month old daughter is constantly vomiting often. I notice if she is eating a meal and maybe an hour or 2 later if I give her a cup of water,juice,cracker etc she would vomit all over .I do not understand that.Im very concerned about this.I have mentioned this to her pediatrician and she stated taht she will grow out of it eventually.But this is not normal.", "output": "Hello, Your kid will need -1. Antireflux therapy - Proton pump inhibitors plus anti-emetics2. Always make the kid lie down in a propped up position - as in the car seat. The kid should not be sleeping completely flatly.3. Avoid heavy feeding and feeding more times and in small liquors. But if your kids' growth, weight, and length are normal, then you need not worry about it as your pediatrician has told. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son-in-law is having difficulty breathing....feels like he cant get enough air. Its worse when hes standing, so he is now laying down. Difficult to speak. He has no history of asthma, but had the same thing happen a couple of weeks ago, but not quite as bad.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you should definitely consult pulmonologist for your son-in-law. He is having recurrent breathing difficulty. So we should definitely rule out asthma and bronchitis. So get done chest x-ray and PFT (Pulmonary Function Test).PFT will not only diagnose bronchitis or asthma, but it will also tell you about severity of the disease and treatment is based on severity only. He may need inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).Don't worry, he will be alright. First diagnose him and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wishing good health to your son-in-law. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I had sex when I was ovulating and used the pull out method. I was supposed to start my period 5 days ago. I took a test the day after I was supposed to start but it was negative. Could I still be pregnant? I also threw up a few days before my start due date but I think it was due to a headache?", "output": "Hi and welcome to ChatDoctorPull out method or also called coitus interrupts method is a crude method, and it has high failure rate. It's usually not recommended by doctors as a method of contraception. The fluid which is secreted by male partner before ejaculation may also contain sperms which can lead to pregnancy. Take a pregnancy test once again and if it is still negative and periods are not happening then please consult a local doctor. If test is positive and you don't wish to continue pregnancy, please consult a good obstetrician to terminate safely. Some safe methods of contraception are condoms, oral contraceptive pills, copper T (if u have one child). I advise you to communicate this your partner and ask him to use condoms. All the best Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello! im starting to get worry because last week when I finished washing my motorcycle, I was playing with my puppy (Siberian Husky) and later on I noticed some scratch on my finger,. i really dont an idea if I got that scratch from my pet or during motorcycle wash, my question is: is it safe to have an anti-rabies shot without being bitten or infected ? please send me some information on my email,. YYYY@YYYY", "output": "Hello, Unless your dog is sick you do not need to worry about a rabies shot. Rabies vaccines are a series of injection, and you really do not want to take them unless you have to. It would be good in general for you to have a tetanus shot and for your dog to get the rabies vaccine. Rabies is usually transmitted through the bite of a rabid (very sick) dog, not through scratches from a puppy. K. Robinson MD" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have since 1985 had problem with then they throughts mitral prolaspe. They put me on inderal and cause side effects lt started out with severer head hurting, vomiting and they admitted me.Two days later they took me to surger6 for a cyst on my ovarie.I came out with difficulty breathing and chest pains.They said I was to young for heart problem and the pain got worse up my left arm and shortness of breath.They end up calling more doctores and did a echo and I heard him tell the nurse he hadn t seen anything like that before my heart was zooming and I was quiet and lying still. That when they put me on inderal and if I done something strenuou s it got worse.Now I am 58 and it s not a dam thing wrong with you.But I keep praying someone knows what this iscausing it has wrecked my lit and family I went to a new cardiolgist today.l and. He says she appears to have primarily inappropriate sinus tachycardia.although there does seem to be some element of Pitts. She has multiple symptoms not sure they re. all related to a cardiac cause however she does have", "output": "By your history it is difficult to know whether you have mitral valve prolapse or no, so will discuss both probabilities. Now if your diagnosis was mitral valve prolapse which h the echo substantiated, a beta blocker is a good Chat Doctor. Federal has many systemic side effects the spectrum includes what you described. Replacing it with a small dose of metoprolol (another beta blocker), which is cardiac specific will nullify the side effects you face. Now if you have inappropriate sinus tachycardia, metoprolol is still one of the " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My wife Supriya (60 ) is suffering from severe back pain which is coming down to her left leg down to toe. She is taking for last 5 days Fibrogesic, Cartigen 1500 and Bone K2 and UltraUT ,giving dry warm compress. Please guide. P.K.Dutta Mail YYYY@YYYY", "output": "Hi Mr. Outta, thanks for posting your concern in the Chat Doctor. The pain your wife has been having is a articular pain which radiates from the back. It may be due to lumbar spondylosis or degenerative lumbar disease or a prolapsed intervertebral disc in the lumbar region. It may also be due to sciatica. An MRI of the Lumbosacral spine can better elicit the underlying reason, and it may also guide the treatment management part. However, the medications she is having are correct. Fibrogenic would help in neuropathic or articular pain, whereas the other medicines would help in degenerative disease condition. However, till date there is no medicine for absolute cure for this problem. Fibrogenic does help, but to a limited extent, and also it takes some time to act. If the pain is severe, she should have bed rest. Traction is an old but very effective methods. Physiotherapy and local heat therapy are also effective, and they can also interrupt disease progression. After subsidence of pain, if possible ask your wife to avoid prolonged sitting, carrying heavy weight and advocate to continue with abdominal muscle strengthening exercise if possible. She may also need a lumbar brace. If the pain still remains intractable you should consult a spine surgeon with your MRI report. Surgical treatment may be needed at that point of time. For any further questions, please write back to me directly." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Normally i have blood pressure of 130/80 , yesterday morning after climbing stairs more rapidly than usual i felt some pain in left part of upper chest and that pain has continued. Today morning i got my blood pressure checked and it is 118/ 80.Is it ok", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Chest pain on left side after exertion (climbing stairs) is commonly seen in heart diseases. So you should definitely consult doctor and get done ECG and 2d echo to rule out heart diseases. If both are normal then no need to worry about heart diseases. Musculoskeletal pain can also cause similar symptoms. So avoid heavyweight lifting and strenuous exercise. Avoid movements causing pain. Avoid bad postures in sleep. Apply warm water pad on affected areas. Take painkiller and muscle relaxant Chat Doctor. Don't worry, you will be alright. But better to first rule out cardiac diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have bleeding in my teeths", "output": "Hi although you haven't provided with much information, but still it can be due to various reasons. It can be due to pyorrhea, gingivitis or periodontitis, vitamin C deficiency, traumatic brushing method, blood disorders like thrombocytopenia or leukemia etc. so to be sure, visit your nearby dentist for complete oral examination. In the meanwhile do warm saline rinses along with proper brushing twice a day. Wishing you speedy recovery with regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am archana. i am 28. i am working as an assistant professor in india. I have a relationship with a married man for more than 8 years. He is taking control of my all activities and finance but i am not even given a right to question him on any of his activities. he neither marries me nor leave me. My family is unaware of all this. Some time i feel like quitting the relationship but he dont want to break it. All this years i anyhow balanced it to survive, but its depressing me - he start to torture me i dont know what to do?", "output": "His understand your concern. It is adjustment issue rather than depression. Stress arises from relationship.1st to be very frank that you are deeply involve in this in spite of you know that he is married, and further legal relationship is very difficult. You have to do mutual communication and leave him as early as possible because there is no future of this relationship. It will affect your future and your life. From today, you will start discussing with him and if you require then take help of your friends. Only you have to do this.There are no medicines help to break these medicines only help to reduce your stress. This kind of stress can be treated with anxiolytic like Mizoram. So take help of common friends and family members and come out from this. Start your new life and concentrate over carrier and life. If needed then go for relationship counseling to psychiatrist. Best luck for it. Still have a query then feel free to ask. Thank you. Happy to help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Yes my question is my right upper arm has been causing me Extreme Pain. I wan that on the outer side do my ran the muscle is so sore that the pain is like sharp pain and I can only lift my arm half way up. I had an ultra sound done today and there are no blood clots there My doctor had blood work drawn and the test showed a positive for high risk for clots the test was negative.He also drew blood for my thyroid those results will not be ready until Monday. I am in so much pain do have any idea what is causing me this pain.", "output": "Hi, as mentioned by you what I can understand is the pain is radiating in nature from the shoulder to the elbow. This nature of pain is due to the nerve getting pinch in the cervical spine. As the nature of the pain is sharp shooting this is what I can understand.Also, for differential diagnosis - it can be trapeziums or bicep ital tendonitis. But by performing specialist test it will be easy to come close to the root cause. Taking an MRI of the cervical spine will help visualize the soft tissues and also the extent of injury to the soft tissues. Also take a hot water fermentation to the neck region and upper back. Followed by this apply the same at the shoulder and upper arm region back side. Taking therapeutic ultrasound therapy and TENS therapy will help reduce pain for this you may need to visit a physical therapist. Also, after the pain comes down performing neck strengthening and upper limb strengthening exercises will help improve the strength in the muscles and avoid future pains. Usually 99% of patients with similar symptoms recover with physical therapy .with the grace of God I wish you a good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have a question about emergency contraception. I am currently on the birth control pill Junel Fe and take it fairly consistently (between 12-4) everyday. Unfortunately I was sick this weekend with a stomach bug and threw up once on Friday and once on Saturday. Although I threw up more than a few hours after taking the pill I am worried about the pills effectiveness because while having intercourse last night the condom broke. I am reluctant to take an emergency contraceptive but was wondering if one would be necessary.", "output": "Hi, thanks for posting your concern in the Chat Doctor. My understanding is if you have vomited out your pill within 2 hours of intake, you should have taken another at that time. If it is more than 2 hrs, that need not be done. However, as you are on regular birth control pills and the condom ruptured, I need to know what day of your cycle it was (the first day of your current menstrual cycle should be considered as day1). I also need to know whether you have regular cycles and what the duration is for a cycle. If you are in the unsafe period, or you have irregular cycles, and you had vomited out the pill within 2 hours of intake you need to opt emergency contraception. More so, because, women on contraceptive pills are more prone to have ectopic pregnancy, if they at all become pregnant and that ectopic pregnancy is an emergency and can be fatal as well. Hope you are satisfied with my answer. If you think I have satisfactorily resolved your query, please rate my answer. In case you have any further query, you can directly ask me questions @ http://www.ChatDoctor .com/doctors/ Chat Doctor. I will try my level best to help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi , I am 24 yrs old and my BMI is normal.Myself and my husband are planning for a baby.I had my period on 11th of this month.We had intercourse on 24th (twice),27 th and 28th.After that i lie on bed for atleast an hour.is there of chance of getting pregnant for me at the earliest now..and some say that we shouldnot have intercouse every day.is that true?", "output": "Hello. There are a number of variables that can influence a couples chances of conceiving in any given month. If both you and your husband are fertile and in good health, there's a 15 to 25% chance of getting pregnant in each ovulatory cycle. If you look at things from a strictly statistical point of view, roughly 40% of couples conceive within the first three months of trying (which means having frequent, unprotected sex during the four or five days surrounding your ovulation date). 75% of couples will have conceived during the first six months of trying, and 85 to 90% of couples will have conceived within one year. Couples who cannot conceive within one year should consider a fertility workup. (Many couples seek help at six to nine months, though, which is fine if you're getting anxious about your failure to conceive.) Having sex every day does not decrease your chances of getting pregnant. I hope that helps, and good luck!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Well I havent been feeling to good for a long time now, Id probably say five months now. What I have been experiencing is random pains and uncomfortable feelings in my stomach. I have been to the doctors for it and they said it was caused by my sinuses leaking down into my stomach. So I thought everything was fine. But I was still feeling a discomforting feeling. The same feeling as before. And now its mostly down in my pelvic area? I am sexually active I use protection everytime. And now Im paranoid about being pregnant only because the pain is in that area and I am a few days late for my period. Please help I want to know whats wrong? Feel free to ask for more information... Thank you very much.", "output": "Hi. Thanks for your query and elucidate history. After reading it I think of the following causes and investigations to be done accordingly. This can be due to the stress and anxiety you have about something for which you should not really bother about, like getting paranoid over getting pregnant. Random pains and uncomfortable feeling in abdomen over 5 months needs to be investigated:*Routine blood investigations like Complete blood picture, blood sugar, urea, creatinine, liver function tests, thyroid function tests.*Urine -routine and microscopy*Stool: routine, microscopy, occult blood, culture and sensitivity.*Ultrasonography of abdomen, *Colonoscopy All these investigations should be within normal limits for one to say you have IBS which is a more possibility in your case. Get an opinion of a gastroenterologist. The pelvic pain can be related to the same thing if the reports are within normal limits." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Most of my adult life I have had sensitivity to environmental allergies, and food allergies, Recently I have had three reactions.. that may deal with food and latex allergies ... I feel the redness and burning are causing more and more intense pain. I take Benadryl immediately after exposure. Is there anything else besides an epi pin I can use to decrease the pain level. The intensity of pain to the top layer of skin is very off the chart pains. Do I need to take a precaution ...often I do not know if food eaten or environment is the culprit. I firmly believe it is due to latex. I want to keep from anaphylaxis... what preventative measures do I need to have in place?", "output": "Hello, I can understand your concern. It seems that you have allergies to more than one substance, and you do not exactly know what substances are acting as allergens for you. Thus, firstly, I would recommend you to go for a blood test for allergy. It will show in results what food and environmental substances are acting as allergen for you and so you can be alert in your day-to-day routine regarding exposure to these substances and avoid yourself from exposure. This is the best precaution you can take. In addition, you can also keep antihistamine such as Loratadine 10 mg (Forfeits) or Cetirizine 5 mg (Exocet) all the time with you so that as soon as the reaction starts, you can take the medicine immediately and control the reaction. Also, if you are allergic to more than one substance that you can be exposed to routinely, you can talk with your physician about taking an antihistamine regularly as hypertension patients take antihypertensives. Always take care to try new medicines and food items. I hope this information helps. Thank you for choosing Chat Doctor. Take care. Best," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have a boil in my upper eye lid....its been over 10 days..i thought it will go away but it hasnt...during the first few days there was a little pain...now its painless..now i think it could be a chalazion...is there any way i can get rid of this without surgical treatment??", "output": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concern. As per your complaint a boil over the upper eyelid can be a style or a champion. In case if it is present just at the margin of eyelid it can be a style while if it is present slightly away from eyelid it can be a champion. I would suggest you to do warm compresses over the eyelid and also put steroid eye Chat Doctor. . Do it at least for a week and in case if it still does not resolve consult an Ophthalmologist and get evaluated, and he can put steroid injections over the lump directly to shrink it. In case if it still does not resolve surgery is the only option left. Hope this information helps. Thanks and regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a typical problem for my child - for almost 3 years she is getting +++ blood with all other parameters in range. She is treated with amicasin and monocyte for 5 days and she then becomes alright. However, it reoccurs once every month with high fever in range of 104 to 103? any observations. she had liver absus about 4 months back and a UTI infection 6 months back. the size of absus is reduced and SGOT (AST) value is 37.0. However, an area of ocncern is high CRP -59.10, Leucocyte count 15,100 and neutrophils 79%", "output": "Hi, Welcome to Chat Doctor, I understand your concern and poor child is suffering a lot. She has gone through so much already, but good thing is she seems to have recovered well from most of it. CRP being high with many neutrophils suggests some infection still going on in your child or may be recovering. If I were your pediatrician, I would get blood cultures done in your child, at least 3 cultures half hour apart from different sites, firstly to look for any infection within the blood that can be cultured and also see if any possibility of infective endocarditis. For a completion of workup, better to consult a cardiologist and get a heart evaluation done as well. Hope that answers your query. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I developed a roudish, small lump on top if my hand, after doing nothing to injure it. The lump sort of rolls around but is either atop a vein...or, in it. This happened over a10-min period...suddenly, lump appeared and became purplish in colorish and stingy. Im worried about developing a blood clotting disorder.", "output": "Hi! Good morning. I am Chat Doctor answering your query. Although it needs a clinical assessment, from your history, it seems to be a hematoma and if there is no history of any injury, and if it increases in size, you have to get it assessed by your family physician or the treating physician to rule out your suspicion of a clotting disorder with related investigations. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had to reduce the amount of Levemir that I take because I have to wait for the Low Income clinic to send me my prescription and I wont have any insulin until Wednesday afternoon. I need to know what will happen while I wait for my insulin. I used to be able to get it at the pharmacy in town but Humana never told me that they will only allow a certain number of times to refill and now my cost is $161.00 for it. It used to be $47.00. I was told to eat only things that had no or very low carbs, no sweets whatsoever and cut down more than half of my dose of insulin which I used twice a day.", "output": "Well come to ChatDoctorThank for asking I really appreciate your concern, if you are missing the dose of insulin no matter what is the cause for that you are not taking the medicine or insulin dose, then the level of glucose will go increasing in system the plasma glucose level will be too high some time it may cause the ketoacidosis, (Diabetic coma) but it takes few days, and it may not happen at once, or it is not the sudden onset of diabetic emergency, if it is not the type one diabetes then you can try oral hypoglycemic agent, hope this information helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im having SGOT 44 and SGPT 67 and trigliceride at 400. Im on 10 mg Atorvastatin. I used to take 160 mg of Lipitor also along with Atorvastatin. Ive stopped Lipitor for last 2 months. I have been on these drugs for last 5 years. The SGPT and SGOT have been steadily over the last 5 year. Please advise.", "output": "Hello! Thanks for putting your query in Chat Doctor. I am a Gastroenterologist. Increase in GOT and SGPT has many cause like Hepatitis B, C, Metabolic disorders, NAFLD, alcohol intake etc. So I will suggest you to visit a Hepatologist for evaluation who will advise tests and then manage accordingly. Meanwhile, there are few medicines which I found very useful in my patients are ursodeoxycholic acid and vitamin E. Do regular exercise and reduce your weight if you are overweight, avoid alcohol if you Chat Doctor. I hope I have answered your query and this will help you. Wish you a good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello, i am enquiring about a small white lump on my scrotum, its been there for about 2 years now and i dont think it has grown any in that time that i can think of, ita about 3 mm in diameter and flattish, maybe slightly raised from the skin, it is not attatched to the testicle but on the scrotum itself, any ideas?", "output": "I studied your query in full details updated from you. I understood your health concernsBased on your query data, In my opinion, Dear You seem to suffer from Sebaceous Cyst, as it is there for 2 yrs and not attached to testes.ALERTS-should check with your Surgeon and treat it by Surgical Excision before it complicates with size increase. Hope this would resolve your query and worry and Anxiety accompanied by it. Welcome for any further query in this regard to ME. I would love to help you out.Awaiting any further query. Wish you fast recovery from this intriguing health problem. Have a Good Day. Chat Doctor. N.M.S. Genl-CVTS -Senior Surgical Consultant" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,I am in desperate need of some expert advice. My mother was diagnosed with an ILD( Interstitial Lung Disease ) in Jan 2011 but the doctors did not prescribe any medicines as my mother had no symptoms. Recently we had to admit her to the hospital because of a high fever(103) and low bp, this was 10days back. After this the bp has stabalised but she is having recurring chills and fever. She continues to be in the hospital for this. The hospital has done all the blood/urine tests, blood/urine cultures, x-rays, ct scan , broncoscopy. All her tests came normal except for the WBC count(it is 17000 currently) and the ct scan shows significant right lung damage.She is not having any other symptoms except for the recurring chills and fever. Despite all the tests done the doctors are not able to figure out as to what exactly is wrong so they are not in a position to prescribe any specific medicines. My mother is still in the hospital(in Bangalore). Please help. She used to take meds for high bp for 10years and also has an elevated level of creatinine .", "output": "1. Interstitial Lung Disease with high fever and unable to diagnose: could be possible Idiopathic Interstitial Pneumonia that have no known cause and effect lungs Primarily.2. Blood test usually don't confirm the diagnosis but are done to search for possible secondary infection. (high WBC count)3. In hospital, a TEAM of doctors is/are looking after her, so sooner or later they will come up with a Provisional or Final diagnosis.4. You haven't mentioned her BP range and neither about the elevated creatinine level.5. Any h/o of Autoimmune disease, lupus,scleroderma?6. Presently in hospital antibiotics and corticosteroids are the main stay of treatment." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have high blood pressure : norm 155/96, . I ve been taking metoprolol and like it except for weight gain and high anxiety. Now, recently tried to to have a stress test , during which my hbp was 170/120, so I could not get it done. They switched me to Lisinopril which is not good for me, headaches and bitchness. I was wondering if Clonidine may be an option to help with HPB and high anxiety???", "output": "Hello, Yes, Clonidine will certainly bring your BP down but we usually don't prefer it as a first line Chat Doctor. Before, going to Clonidine, we usually give Tab Cilnidipine (10 mg) once a day and may be increased to 20 mg which is calcium channel blockers. Also, we have other options like Tab Chlorthalidone 12.5 or 25 mg depending upon the BP. So you get these prescribed first and then move to Clonidine. Hope this helps you and get back if you have any doubts. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Sir, I have 3-4 small & big lumps or muscles bolt in my stomach area, waist area, 1 on thigh & 1 on arm. When I am pressing them, its paining in that lump/ bolt only. I do not have any kind of other problems. I do not take any kind of tobaco items except rare beer montlhly may be once but not evrymonth , sometime. I am gym guy & do regular exercise. My height is 181cm & weight 78kgs & 32yrs old. I would greatly appreciate if you could suggest me what kinds of step i should take. Can I go for x-ray, what kind of xray.. Kindly suggest me on this.. Thank you!! Sincerely, Kailash", "output": "Hi Baileys. Thanks for your query. From the nice history you have provided of the multiple non-symptomatic lumps over abdomen and thigh, arm and waist, these look to be multiple Lipomas. Nice to know that you do not take tobacco and are a Gym guy. Kind of steps you should take ::-Consult a General Surgeon, get a clinical evaluation and physical examination to get a diagnosis.-Only FNAC is required.-The best way is to get all of them removed for 2 reasons 1. You get all the lumps out of the body before they get slowly enlarged.2. You get a certain diagnosis. Do not worry-the other ways is to get the following lumps out of the body:-Enlarging suddenly-Become painful-On joints-In muscles.Otherwise, get a confirmed diagnosis and relax. Remember there are no medicines for such a condition, hence do not try anything." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 15 month old son was sitting on a barstool earlier this evening and fell off, landing on the floor and hitting his head, I think. I say that because we cant find a bump or swelling. He cried for a while, but later on seemed OK. He didnt close his eyes or stop breathing or anything. It has now been 2 hours or so, and he has fallen asleep. I am checking on him every little bit, I am just worried because I thought Ive heard somewhere that if someone has a head injury you are supposed to keep them awake. I need some advice, please.", "output": "Hello. I just read through your question. This is a very common occurrence. The most important part to the story is that your son did not lose consciousness at the time of the fall and that he cried. That essentially clears him of any brain injury. The only other sign to look for is vomiting within the first 24 hours after the fall. As long as this doesn't happen, there is nothing to be concerned about. In the meantime, he may continue with regular activity. If he wants to sleep, he may sleep. It is not dangerous." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have nasal drainage and congestion at times, the drainage is clear for the most part. I also have a cough, which is deep at times. Can you please tell me what it might be? I was thinking sinus infection or just a cold. I am 14 weeks pregnant, so I am unsure of what I can take, or if the doctor can prescribe me anything that can help.Thank you! Amanda", "output": "Hi, Thanks for the query. I understand your concern. Nasal congestion & flow is mostly due to exposure to cold, allergens(dust, fumes,mold, fabric,fragrances, scents,cosmetics), low resistance viral or bacterial infection. You should try to avoid exposure to allergens, improve nutrition to gain resistance. Vapor inhalation helps. When the secretions are thick. Antibiotics are needed.you have already passed first three months. So now you can consult your doctor take pregnancy friendly medicines for treatment. Consultation of ENT specialist if needed. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "A frontal chest radiograph demonstrates patchy and linear left lower lung opacity, representing atelectasis or fibrosis. There is blunting of the right costophrenic angle, either due to minimal pleural thickening or fluid. What does this mean and should I be concerned?", "output": "Hello and welcome to ask a doctor service. I read your query and here is my answer. What symptoms do you have? Yes it is a matter of concern. As left is patchy, so it needs to have blunting of left side as well. Do you have any previous history of chest disease? It could be infection if you have fever, cough or shortness of breath. If you do not have any previous history of heart or lung disease, then it is moat likely you have got infection. You need to consult a pulmonologist for that. Hope I answered your question. Feel free to ask more if you need further assistance. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i have having serious problem i went to doctors and urologist and found out i have blood in my urine and its a result of two kidney stone ultra sound show a cist the blood in my urine is clear up but i am having serious irritation and pain been to another doctor same problem i am seeking if anyone might have and answer to my question of what could be the problem", "output": "Hello there, and thanks for the Quertle pain and irritation you are getting are due to the Stones and possible Urinal track infection. Get your routine urine examination done and if needed urine culture can be done. If done before please let me know the report. To get rid of the pain and irritation please follow steps:1. Chat Doctor. 2. Take Urine alkalizer and proper antibiotic if needed by consulting your treating doctor.3. Take antispasmodic and analgesic " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am a non- smoker 36 Yr old male,5 ft 8in, 82 kgs .I have been experiencing sudden shortness of breath like I have skipped a beat for split second.Frequency was like thrice a month.Of late I also feel as if I am inhaling less air than normal, not that I am gasping. Had a scary episode last week wherein I couldnt fall asleep as I felt I couldnt breathe and felt slight nausea and giddiness/weakness.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of stress and anxiety related symptoms is more. But better to rule out heart diseases like arrhythmia (rhythm disturbances in heart) because you are having skipped beats and sudden onset breathlessness. So consult doctor and get done ECG, 2d echo and Holder monitoring (24 hours continuous recording of ECG). If all these are normal then no need to worry about heart diseases. Sometimes uncontrolled stress and anxiety can also cause similar symptoms. So avoid stress and tension, be relaxed and calm. Consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Don't worry, you will be alright but first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doc,My brother has been detected with miliari TB. The doc has prescribed Tab Combunex 800/300 once a day, Tab Pyzina 750 one and half a day, Tab levoflox 750 once a day and Tab Wysolone 20 once a day. All to be taken after meal. I wanted to know how much time is it going to take him to get cured completely? What are the side effects of the medicines? He is not admitted so how much is the chance of others getting infected at home?", "output": "Dear Friend. Welcome to Chat Doctor. Hi, I am Chat Doctor, I have read your query in detail, I understand your concern. This would require treatment for at least 9-12 months. If it is military we should also find out other organs affected by TB. If he is an open case chances of getting infection from him are there. Share his Chest X-ray And All reports with me. This is my personal opinion based on details available here. If you still have any other query, you may please ask me. Stay Healthy. Chat Doctor, MD" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I ve had a sore throat for only about 4 days now.. I woke up and hacked up a little mucus in the sink and realized it was bloody. So I took a flashlight and looked at my throat in the mirror. I was pretty shocked actually, to see what looked like a big lump of blood or some sort of sore behind my uvula? I went to my nearest insta-care and they sent me away telling me it was just a virus.. But I ve had strep, negative for TB, and everything s fine but my throat.. Was my health care provider right?", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. By your history and description, in my opinion you are having severe upper respiratory tract infection. The most common cause for this is viral infection. So health care provider is right about viral infection. Viral infection causes severe inflammation of throat. This inflammation causes edema and redness in throat, specifically franc and tonsils. So the swelling you are seeing is edematous tonsils and franc. And this cause coughing and blood in cough due to friction. So better to start treatment for URI, you will be alright in 1 week." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "siri checked my PP is 225 all my age male 56 i am healthy as on date no bp since my gums are week one by one my tooth is falling my dentist says remove rest put artificial but he says it will take 15 days to attach i cannot be without tooth for such a long time?", "output": "With your query, situation what you have us called a periodontitis which is nothing but inflammation and destruction of tooth supporting structures and with this you are also medically compromised. Depending on the remaining teeth and condition your dentist will decide the best treatment because sometimes to maintain the causal harmony and integrity t would be good to extract the remaining teeth go for complete dentures or with good support of bone even implants can also be done. Hope this helps you. After extraction healing Jul take 7 to10 days." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "what are the possible reasons to explain why I experienced dizziness and fell to the floor injuring myself because I was unable to stand up or maintain consciousnessf after getting out of the bathtub? Did I faint and/or lose consciousness? what should I do to prevent this from happening again?", "output": "Hi, Thanks for writing in. Moments of dizziness can happen due to decreased blood flow from heart to brain. When it happens, the blood flowing through the vessels from heart to brain might have a reduced flow. These are by the carotid and vertebral arteries on either sides. This is more significant when you are standing upright and doing any moderate to heavy physical activity. You might require a CT scan or MRI scan of the brain. The best way to analyze if the reduced blood flow to the brain is causing your dizziness is by doing a carotid and vertebral arteries Doppler ultrasound. It will show the flow of blood from the heart to the brain and if it is adequate. Clinical examination of inner ear and vestibular system in the ear is also required. It might help to do an Electronystagmography (ENG) or videonystagmography (VNG) done to record abnormal eye movements while the head is placed in different positions or your balance organs are stimulated with water or air. For this you might have to consult the ENT specialist. Dizziness can also occur due to stress related anxiety or overflow of emotions." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear sir,i am 34 yrs old male.i am suffering from azoospermia with varicocele.but i do not feel sensation or pain in testis,plz advice me....Semen analysis reportamount-1.5 mlcoloura and appearance-whitish transluscentviscosity-normalliquefaction time-10 minph-8.5 fructose-presenttotal sperm count-no mature sperms seen..occasional precursors forms seenpus ceels-6-8/hpfWBC-NILRBC-NIL...2 REPORT-Occasionalepithelial cells-5-6/hpfcandida trichomonas-absentHORMONAL REPORT;LH-6.39 MLU/MLFSH-4.39 MLU/MLSERUM TESTOSTERONE-4.41 ng/mlSERUM PROLACTIN-10.95 ng/mlU/S SCROTUM:IMPRESSSION-BILATERAL VARICOCOELES GRADE 1-2 ON RIGHT AND GRADE 2 ON LEFT...", "output": "Dear Sir, Sorry to hear about your problem. Your azoospermia could be because of two reasons. One is the presence of pus cells in your semen, which indicates the presence of infection and that needs to be treated with a prolonged course of antibiotics. The other cause of azoospermia could be the presence of bilateral varicocele, which is a known cause of infertility. It is best that you consult a urologist immediately for the management of these problems. Hoping for the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my name is Deborah,i have a golf ball lump under my right armpit,it not painful or anything its been over a year now i went to the doctor he told me he didnt feel anything he told me its not a mass he said he didn;t think it was anything serious he set me a appoimtment for a mamagram an ultrasound do u think it could be cancer", "output": "Hi, dairy have gone through your question. I can understand your concern. You have enlarged lump in axillary. It can be enlarged axillary lymph node or soft tissue tumor like lipoma or some metastatic carcinoma. You should go for ultrasound study first. If it shows lump then you should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 29 year son was diagnosed 3 years ago with add....the doctor had him on Adderall which he abused with drinking and smoking pot.....he quit smoking 2 months ago....and quit drinking a month ago....Doctor has him on focalin now for a year and Im being told that it isnt working...My son is upping the dose on his own thus running out of pills....what is the difference between add and adhd....does adhd meds help with add? He has also been diagnosed with ocd...clinical depression and anxiety...He is on klonopin and clamepramine as well....he has a drs apt on the 9th and wants to switch the focalin for Dexedrine...what do I do?", "output": "Hello and welcome to Chat Doctor. Thanks for your query. I understand that you are concerned about your sons diagnosis and his Chat Doctor. Now, regarding your question about his diagnosis, ADD and ADHD refer to the same condition. They are just different terminology used in different classification systems. ADD stands for Attention Deficit Disorder and is a diagnosis under the WHO diagnosis classification system (ICD-10). ADHD stands for Attention Deficit Hyperactivity Disorder and this is a diagnosis under the American classification system (DSM-IV TR). Both diagnoses share common characteristics and the treatment is almost the same. Regarding his medication, I would not be in a position to say which medication would be appropriate for him without knowing a detailed history and a proper psychological assessment. So, I would advise you to discuss his medication with his treating doctor. Wish you all the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My family has been told that my mom has dementia and shes only 65 yrs old. She very heavy and did not control her diabetes level, thyroid , and blood pressure. She has being hospitalized and treated for six/seven weeks now and all diseases are now under controlled at a descent levels besides her mind is very much stuck 30-35 years ago. Plus she doesnt walk and get around well. So, my question is; in your opinion; what do you feel would be her survival rate?", "output": "Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. The survival of dementia patients depends on the stage of illness. Ones severe dementia sets in, the survival period is anywhere between 3-8 years. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a male friend. He had a hernia a few years ago, had surgery. He has lately been complaining about frequent urinating too often thru the day. Also he says he wakes often to urinate. He said he s urine is a dark yellow. Otherwise seems healthy. We are friends & do not have a sexual relationship.", "output": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Frequent urination is not the problem. Its even not the disease symptoms. In fact its good thing. More Chat Doctor. It will flush out the urine and waste from the body. Yellow urine post surgery may be because of the antibiotic your friend is taking. It will gradually go of with storage of antibiotics. If it's associated with burning pain and fever than you should think of urinary tract infection. And treatment of it is necessary. Advice him to take plenty of water. This help flush bacteria from the system and helps in UTI. I will be happy to answer your further concern on bit.ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Why is the medical disorder of epilepsy frequently misdiagnosed as a psuedoseizure requiring the care of a psychiatrist, as well as psychotropic drugs? Do they not realize that by blocking the seratonin and dopamine receptors, which are natural anticonvulsants, and increasing an amino acid which will induce seizure activity-and that is precisely what psychotropic drugs do, the potential harm that they may be causing the patient?", "output": "Hello! Welcome on Chat Doctor! Regarding your concern, I would explain that often there is comorbidity between epilepsy and pseudoseizures, because epilepsy patients tend to have psychiatric troubles (like depression or anxiety too). From the other hand the presence of abnormal EEG activity may be both in pseudoseizures and seizures. And sometimes epilepsy patients have a normal EEG. That is why the seizure description and even video registration of the patients during the seizures is necessary to distinguish between seizures and pseudoseizures. Anyway, it is true that antidepressants and anti-psychotics lower the seizures' threshold, but when psychiatric problems are present in epileptic patients, they are given concomitantly with anti-epilepsy Chat Doctor. Hope you will find this answer helpful! Kind regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "whenever I lie on my back through the night I cant get up. I have to used my hands and upper body to pull myself over onto my side to then fall to the floor, before I can slowly stand up. The pain in my lower back and hips is very sore. when I am up and about it is better, if I lie on my side in bed with a pillow between my legs its okay too but I can never stay that way.. I always end up waking on my back. having more and more sleepless nights now due to the pain getting worse. and Im only 33. Any ideas what this could be?", "output": "HiT hank you for asking ChatDoctorI have gone through your query. Your problem is most likely osteocyte Chat Doctor. A physical examination with an Orthopedic will give clue for that and an X-ray followed by MRI might be needed to confirm it. For such conditions I treat with muscle relaxants like thiocolchicoside and NSAIDs like Diclofenac. I also advise muscle strengthening exercises and Physiotherapy along with this. In case of no improvement a surgical correction can be considered. Hope this may help you. Let me know if you have any further query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Sir, Im Ali Raza, I undergone a Medical test in UAE, and my Lungs Show a TB Scar, I never ever have TB even i have not any symptoms of TB During my Life, But UAE Government deported me and put me a life time ban, Please tell me the medication of this problem.", "output": "Hello, You might be having previous lung infection like tuberculosis or pneumonia in the past which is showing lung Scar at present. So, for your visa related query, we need to confirm that this Scar is not active, infectious. Consult a Pulmonologist and get done CT thorax and bronchoscopy. If both these are negative for active infections, you can definitely argue with visa authorities. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I currently have an infected wisdom tooth that I am on antibiotics for. I saw my dentist today. Im getting all four of them out on Friday, but by the one that is Infected there is a fluid filled bump on my gum. The entire area is in a TON of pain, and Ive been using a salt water rinse after I eat anything. Would I be relieved of some pain if this thing burst?", "output": "Thanks for your query, I have gone through your query. The pain is because of the pus secondary to the gum infection over the wisdom tooth, Once it is Chat Doctor. If I am your treating doctor, I would have suggested you to take a course of antibiotics particularly, amoxicillin and metronidazole combination. Along with this, you can take an analgesic like diclofenac. Get the tooth removed after completing the course of antibiotics. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor ,I want to know which medicine is very effective to enlarge & regid the penis, without any side effect. I have another question As doctor says that even 3 to 5 inch long penis also can satisfied women then why 70 to 80% women dont experience sexual satisfaction?", "output": "Degree understand your concerns went through your details. Please do not fall prey to quacks. There are no such medicines of creams which can increase the length of penis. Penis length should be natural. Even a two-inch erect penis will be able to satisfy 100% women. Because, female vagina sensory endings are available within the first two inches from their vagina opening. Sexual satisfaction in women is not purely dependent on penis length. It depends mainly on cuddling and affectionate sex. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here...My two month old puppy is very playful and active. He scratches and bites while playing. He was bought from a nice family having a male and female dog and the puppy parents have been vaccinated. I have a small scratch mark in my hand with little bit of bleeding. Would like to know whether i would have to take anti rabies injection. Should i take the vaccine everytime he bites. I have a 12 yr old son who loves the puppy and iam very worried about him being bitten/scratched by the puppy", "output": "Hi, Welcome to Chat Doctor. I understand your concern about you and your son getting scratched by your newly acquired pet. It is not necessary to get rabies vaccine if the vaccinations of the puppy are complete. However, make sure you clean the wound thoroughly with soap and running water. Also make sure that your pet gets vaccinated regularly. Training of the pet is also necessary to avoid accidents at home especially with young child Chat Doctor. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Dear Dr Am 48 years old and pure vegetarian and no smoking and alchohol habits. I have pain in centre of the Chest and some time i feel something struck just below my neck. I have under gone ECG , ECO AND TMT Tests. Also Blood Test of Tripolin I and report is Normal. Am really un-easy and my productivity has come down as am afraid. Kindly help and suggest me some good medicine and how to overcome this problem. Thank You Sir.", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. Since your extensive cardiac work up is normal, no need to worry about major heart diseases. Possibility of HERD (gastroesophageal reflux disease) is more in your case. It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms of Central chest pain and something struck in the throat. So avoid stress and tension. Avoid hot and spicy food. Avoid junk food. Start proton pump inhibitors and prokinetic Chat Doctor. Don't worry, you will mostly improve with all these measures. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m 12 weeks pregnant. I used to take amitriptyline 25 mg /day for chronic back pain (sciatic nerve pain) before the pregnancy. I was OK until the pain started to be worst few days ago. Can I keep taking amitriptyline during the pregnancy? Is it safe the the baby ? thanks", "output": "Hi dear, I have gone through your question and understand your concerns. Amitriptyline is known to cause limb defects and developmental delay in the fetus, if the mother takes it during the pregnancy. I suggest you to avoid using it during pregnancy and consult your doctor for an alternative medicine, which is safer in pregnancy. Hope you found the answer helpful. Wishing you good health. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a heart attack a few months back and had an echogram taken which measures your valves and muscles and other parts of your heart. The results I received was that my heart is funcitoning at 25 percent at this time and my muscles are dead. I had 36 sessions of cardiac rehab also and if I walk a short distance I get shortness of breath also. Can I live a normal life with my heart at 25 percent and am I a high risk of living a short life. Thank you", "output": "Hello, This is a serious heart problem, and you need to take more care of yourself by taking regularly your treatment regularly consulting with your cardiologist. Should not force yourself with physical activity a special diet with low salt, so you need to be the doctor of yourself too, and there is a hard job, so it is not like a normal life, because you have so many new rules now. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my daughter has a sprained ankle (lateral) she did it 5days age. it is still quite swollen but i am concerned it is very cold to touch. We iced for 72 hours and elevation and crutches. Is the cold normal or should i get it checked by a doctor?thanks", "output": "Hi, If the swelling is severe and especially if the area is tender when you put pressure on it, she should be checked and take an x-ray to rule out any small fracture zone. Also, please remember that ankle strains should be treated very good, otherwise they will recur sometimes because if we allow the strained or ruptured ligaments to be healed by themselves, they will become loose and cannot protect the ankle completely in the future. So, I recommend that you refer to a doctor, ask for an x-ray. Also, an anti-inflammatory medication can help to reduce the swelling (such as Ibuprofen, diclofenac). Another thing that you can do is to gently massage the ankle in warm water with a small amount of salt in it (1-2 times a day). Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a Dentist appointment and i had a tooth filling this was around 12pm and its 4:04pm now... so i got anestithia (however you spell that) on my right side of my mouth and my jaw was hurting really bad and it still is... but... about one hour ago i took a nap and i think that i bit my tounge (which has anesthisia) and its really swollen and im having this sharp pain whenever i swallow in the right side of my throat... please help me. im scared that when i bit my tounge i did something to myself and its gonna stay swollen :/", "output": "Hello, Please do not worry. Biting your tongue or lip is always a risk until the anesthesia wears off. Don't eat or have any extreme temperature liquids until you have a normal sensation and control. Take some anti-inflammatory medication and rinse with warm salt water. Call your dentist and make the office aware of your amount of discomfort. Have your dentist take a look if anything worsens, or you do not feel better with the anti-inflammatory medication such as Tylenol or Motrin. Just make sure that you do not think there is any allergic reaction that may be occurring. Been Chat Doctor. There is an injection that can reverse the local anesthesia affects. Ask if your dental office offers this in the future. I hope you will feel better quickly. Thank you for your inquiry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have pcos problem, I m have been prescribed by doctor to take ovacare 2tymes a day along with lycomin at night .For 3 month. I want to consive ,I was not getting my periods regularly,bt after taking medicine I don t see any result my period is still irregular and very light bleeding occurs during period .. what to do", "output": "Hi there, I will suggest you the best possible treatment options.First do not panic. At the outset I will suggest you to get USG done to rule out PCs- Polycystic ovaries as a cause of your irregular periods. Thsi is a lifestyle disorder and can be tackled by healthy lifestyle changes. Secondly, get post menstrual HSG- Hysterosalpingography done. This helps to know about the patency of the Fallopian tubes. Also, partners semen analysis with 4 days abstinence should be done, this will help to know about the quality and quantity of the sperms. If these reports are normal, you can seek prescription support from your treating doctor for ovulation induction medicines. Follicle study from day 10 of the cycle will help to know exact date of ovulation. You can opt for GUI- Intrauterine insemination on the day of ovulation or opt for natural unprotected sex activity on and around the day of ovulation. Please start on Folic acid and vitamin B 12 supplements regularly. Think positive. Meditate regularly. May God bless you with a bundle of joy. I hope this answer helps you. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a rash in the corners of my mouth on the outside. I was going to see the dermatologist and then it went away, but now is back. This time of year I lick my lips more and was using blistex, but forgot it one day and bought Bee balm with peppermint oil. Quit using all of them and used vaseline. Now it is back and I was using the bee balm again. I also had hot chocolate with peppermint. Could this be the culprit or could it be psoriasis? I have never had it on my face??", "output": "Hello, The rash in the corners of your mouth could be caused by several things: Psoriasis is not the first one. The possibilities I would explore first are:- Vitamin B12-deficiency- Iron deficiency-Candida albicans-Infection of the mouth- If it is itchy a food allergy could be the culprit would order a complete blood count (CBC) and a Ferritin level as well as do a swab to see if there are yeast cells growing. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "age 23, weight 59i had disc slip 3months back in the L4/L5section. There was back pain and pain in my legs too and i adopted ayurvedic treatment. now the pain is cured and now i am able to do my daily activities with out any pain. there is only a mild pain at the back when i am sitting for a long time without back support. i used to play badminton before this disc slip. now can i start playing again???", "output": "Hello, as your mild pain is persisting, and you are confirmed about the prolapse then you should start back and trunk strengthening exercises first along with hamstring stretching. Slowly after your pain resolves, start placing using a lumber support first and slowly wean off but mind you as the disc has prolapsed it can strike back again because the disc never goes back into its original space. All we have to do is certain lifestyle modifications. How much you can play will be decided upon the magnitude of problem you have. Just go as per the protocol, and you will be fit to resume your daily play. Thank you. Feel free to contact at Chat Doctor. Com for further review." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have COPD and emphasema. Lately I ve had very fatigued legs from morning and all day long making it difficult to exercise or to walk to lose extra weight that I have gained in the last few years. Does this fatigue have to do with my condition? or is it something else? I have yearly blood work and checkups with my dr.", "output": "Thanks for your question on Chat Doctor. Since you are having COPD, your present symptoms of leg pain and fatigue can be due to COPD.Long-standing COPD can have complications like1. Generalized muscle weakness2. Osteoporosis both of these can contribute to your present symptoms. Obesity can be the other cause for this. So better control of COPD with calcium and vitamin supplement is needed. And lose some weight too." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am a 20 year old female. I am always getting kidney infections several times a year. At the minute it burns when I pee, sore back pains. Running to the toilet alot. I am always thirsty, tired and wanting to sleep. I never have energy and just want to sleep all the time. It s starting to get me down. What is wrong with me?", "output": "Hi,first relax as you appear to be very anxious & stressed. The symptoms you have described appear most commonly either in Anemia or Anxiety. Maintain a healthy lifestyle, have proper night sleep, have adequate intake of fluids, manage constipation if present. Do not wear tight undergarments. Do not use sleeping pills. Get your urine investigated for infection, blood sugar, complete hologram, thyroid profile. All the best" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Secondary to a automobile accident on 08/03/12, I sustained a Stage 3-4 liver laceration as well as other injuries. Fx (R) ribs 3-8, (L) tib fib fx. My question is...what should I expect regarding the liver lac? Im tired all the time, have considerable constant (R) side pain", "output": "Hi.it is best if you consult with a doctor, preferably a general surgeon, for physical examination and clinical evaluation. It has been years since your initial problem. Your current condition may or may not be related to it. Imaging, such as CT-scan, will be requested for further evaluation of your complaint. Management (medical and surgical - repair of the laceration if needed), depending on the extent of the injury will be directed accordingly. Hope this helps. Good day!!~ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my brother in law is unhappy coz he is single. he considers his family as his enemy .he bottles up hes feelings .and now with wrong friends, he never concentrates in the present moment.he thinks of something and laughs unnessecceryly,wachs porn films even in the working hours at his office .how can we help him.?", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. I sincerely suggest that you should take him to a psychologist / psychiatrist. For long, your brother-in-law was in this state of mind which must have made him a bit borderline. Sexual feelings normally come out of frustration. Frustration towards life and they find solace in matters which provide them pleasure like porn, addiction etc. Please get professional help. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi this is visu male 29 india i had tumors on around trunk means around stomach and some r on hand and legs they r small but i want to remove them here consulted doctor but they said that there is no treatment for that if in case they r big then only they will remove them by surgery is it true or any other solution is there", "output": "Hi, Welcome.you mostly seem to have -Lipomatous. Your doctor is right, as these small tumors are benign and non-Cancerous. If you have any complaints by size/by site/or if they are painful/growing big/causing disfigurement, you can remove them with homeopath study to rule out any risk of cancer in it. Hope this reply would answer you query and would help you to take care of it. Contact with a Followup Premium question to ME. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. Welcome with any other further query in this regard. Good Day!! Chat Doctor. S. Genl-CVTS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello! I am a 25 year old woman with asthma and a few allergies (house dust and some types of pollen), but otherwise in good order. However, about two years ago I have started to feel a sharp, oscillating pain that lasts for 15-20 minutes and comes on after a few sips of alcohol. It happens under no other circumstances, but it doesnt happen every time I have a drink. The temperature or type of drink seems to have no effect. I thought it might have something to do with my liver, but I recently had my liver tested during a general check-up, and it was fine. I dont binge drink, nor do I get drunk. However, I have a very high tolerance of alcohol so when I do go out drinking (which is perhaps twice or three times a month) I may drink on average more than others. What should I look into?", "output": "Hi. The probable cause of oscillating pain in abdomen after consuming alcohol is suggestive of few things:This can be due to Gastritis, which is increased after an instigating dose of an alcohol. In some cases IBS - Irritable Bowel Syn Chat Doctor. I would advise you to undergo upper GI endoscopy to get a diagnosis. IF required you can opt for further investigations as suggested by your Surgeon on clinical examination." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, Savita this side I got to know that my father has detected elevated microalbumin in Kidney due to Diabetis, pleaze tell me some precuation. According to the net, range should be 20 n my father report has detected 32.5 pleaze advise something asap.", "output": "Hi, Thanks for writing in. By definition, it corresponds to an albumin excretion rate of 20 to 200 micro/min (30 to 300 mg/day) or an albumin to creatinine ratio (mg/MML) of 2.5 to 25 in males and 3.5 to 35 in females. Microalbuminuria is an important clinical finding because it is not only associated with an increased risk of progression to overt proteinuria (macroalbuminuria) and renal failure, but also cardiovascular events. A stricter control of diabetes and any heart disease is required, and please follow up regularly with your doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I am 28 weeks pregnant and was taking aciphex for heartburn (rx d by my OB). I had screening labs done for my visit, ALT elevated, TBili normal, I had a few episodes of clay colored stools. I have no other symptoms whatsoever, no abd pain, fever, nothing. All other labs normal, incl platelets. I emailed my OB, but do you think I have/had drug induced hepatitis? I m concerned about preeclampsia. This is my first pregnancy. Thank you.", "output": "Hello! Thanks for putting your query in Chat Doctor. I am a Gastroenterologist. You should have mentioned the exact value of increase in ALT levels, since if it is more than Food times normal then it may be due to acute viral hepatitis, or Chat Doctor. If they are slightly elevated it may be due to fatty liver only. Preeclampsia is different situation in which there is high blood pressure. I hope I have answered your query and this will help you. Wish you a good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am currently 35 weeks pregnant with my second child. My daughter was a completely different pregnancy right from the start to this one. I live nearly and hour and a half away from the hospital so am a little nervous. I have been having a clear jelly like discharge for the last few weeks and have being needing to urinate nearly every 30 minutes during the day and today passed 5 stools when I have been having difficulty with regular stools through out this pregnancy. For the last 3 - 4 days I have also been experiencing medium - strong cramping irregularly in my lower back and lower abdominal area. I have also been having pain in my pelvic region when I go to stand from a sitting or laying down position and sometimes even walking. He feels extremely low and has become a little more active also for the last few days. I feel a little silly asking because I feel I should already know but are these signs of pre-labour and should I be contacting my midwife?", "output": "Hello dear, I understand your concern. In my opinion the frequency of urination might suggest urinary tract infection(UTI). And UTI along with pain abdomen might need to rule out the preterm pains. So you might need consultation with doctor to rule out the cervical changes and preterm pains.Also, vaginal infection should be ruled out as there is vaginal discharge.Also, the complete urine examination helps in ruling out UTI. Take adequate fluids up to 3 liters to prevent.UTI are routinely seen in pregnancy. So the pain abdomen might be due to UTI or preterm pains or any stomach infection. Take electrolyte powder and Lactobacillus tablets for loose motions. Nothing to worry as all the above said causes are treatable once they are diagnosed. So relax and avoid stress. Consult your doctor. Hope this helps. Best regards..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, i have been taking belara for a couple of months now but i moved to another country where they only have yasmine as contraceptive pills so i have no choice! i just got my period and i have to start taking the pill on the 5th day as normal. my question is if it is ok to switch from belara to yasmine and if it will have any side effect? and if it is not possible what is another sollution?", "output": "Hayes, It is okay to switch from Bear to Yasmin. There is no problem or harm with shifting to Yasmin. Both are combined estrogen and progesterone containing contraceptive pills. Yasmin has similar side effects as Bear. Start taking the Yasmin pill from today itself for better protection. If it is more than seven days since you completed Bear use back up contraceptive method (like condoms) for one week. Your body may take some time to adjust to the medicines in the different brand. So don't be alarmed if you develop spotting in between. I hope I have answered to your satisfaction" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor, I am facing hair loss problem since last 3 years...i have consulted 2-3 doctors but result is not picking up...one of the doctor diagonosed me with ferric deficiency for which i am constantly cosuming iron tablets(Conviron Forte) with vitamin supplement (Extra Glow) even i have also appplied Tugain-5 but it counter acted with allergy on my hair scalp and facial skin. Kindly suggest me something that really helps me out.", "output": "Hi, You seem to suffer from halogen effluvium. Consult the expert dermatologist for the perfect diagnosis and proper treatment. I would suggest.- blood tests to detect internal diseases .like serum vitamin B 12, folate, iron,vitamin D3, liver function tests, thyroid function tests - treatment of internal diseases- supplements of vitamins and minerals - biotin 10 mg tablet thrice daily-iron and vitamins in the form of injection or tablets if needed-vitamin E 400 mg once a day-apply steroid lotion on the scalp daily at night-anti Dan Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Yesterday I went in for a colonoscopy but the Doctor had to stop as he could not get the scope thru. He said I have a twisted colon. A few years ago I had my postrate removed due to cancer and had radiation. He said it could be from the radiation or from being so thin. He then sent me down to have a c-scan with air to see if I had any polopys. If I do have polopys how would they be removed.. Is this twisted colon something I should be worried about. The Doctor didnt seemed concerened.", "output": "HIT hank for choosing ChatDoctorI am in need of exact medical term of this twisted colon, in fact it is not the proper term, so I can give you right advise more over you did not describe the chief complain of yours for what the doctor advised you for colonoscopy, (Most of the patients on this form does not describe the main complains which very, very important, so we can correlate the clinical condition with investigation done)please be in touch with Chat Doctor Have nice day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I went to \"pamper-me party\" and recieved a bikini wax, and pedicure. shortly after, I noticed a bump in the bikini area, that just peeled skin, (dark colored), along with hairloss to that area. The toe area began to swell, also. I began using fugi-cure, with relief of symyoms. I also began using fungi cure to the bikini area, only to watch the hair return. how do i know if i have a staff infection?", "output": "The only way to identify a staph infection is to take a culture from the affected area and see if the bacteria grow out. Staph infection on the skin can present in many ways, so you can't tell by just looking at it. You could get an abscess or a pimple-like lesion, or redness and tenderness of the skin, or a sore. Such lesions could be caused by other bacteria besides staph. If you suspect you might have a bacterial infection, be sure to keep it clean, and you can try antibiotic ointment. If it is becoming an obvious abscess, or a cellulitis where the skin gets red, inflamed, and hot to touch, that could indicate an infection that needs treatment. In that case you should see your doctor for the appropriate treatment. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi i am 31 yr old male , i was diagnosed with Miliary TB some time back and i am under medication. my last X ray did not show signs of the disease, but wanted to ask if still TB can spread if i have sexual intercourse with my spouse as i plan to start a family.", "output": "Hi & Welcome. I can understand your concern regarding the mode of transmission of TB infection. Tuberculosis DOES NOT spread through sexual intercourse. Tuberculosis is a disease caused by bacteria that spread through the air Chat Doctor. Although tuberculosis is contagious, it generally takes a few weeks of treatment with TB medications before you're not contagious anymore. Following preventive measures are recommended to prevent the spread of infection to household contacts (family members):1. Ventilate the room. Tuberculosis germs spread more easily in small closed spaces where air doesn't move. If It's not too cold outdoors, open the windows and use a fan to blow indoor air outside.2. Cover your mouth. Use a tissue to cover your mouth anytime you laugh, sneeze or cough. Put the dirty tissue in a bag, seal it and throw it away.3. Wear a mask. Wearing a surgical mask when you're around other people during the first 3 weeks of treatment may help lessen the risk of transmission.4. And all the family members should be given the medication Isoniazid (INH) daily for 3 months if the Manitou test shows POSITIVE reaction. Hope the suggestions given above could be useful." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Doctor,My kid suffers from headache once in a while. We have seen this happening may be twice in a month. Her age is just 2yrs 6months. We have seen the following symtoms-1. she says head is aching near the forehead.2. she swets a lot3. vomiting sensation4. feels very tired.Thanks,", "output": "Hi... Thank you for consulting in Chat Doctor. Headache in kids need to be considered serious only when the below symptoms are there - 1. Vomiting continuously2. Seizures/ Fits3. Watery of bloody discharge from ears and nose4. Unconsciousness5. Altered sensorial or behavior. Without the above red flag symptoms, just feeling low energy levels points out towards Migraine and other sorts of tension headaches which are on the rise in current scenario due to excessive academic and peer stress the kids are experiencing. I have a few questions for you -1. How long has the headache been there?2. Does it always occur on forehead or keeps changing?3. Is it associated with blurring of eyes or double vision or giddiness?4. Is there any family history of migraine or single side headache?5. Is she very angry when she gets headache and does the ache get better after a good sleep?6. Does she vomit when there is headache? Kindly get back to me with the answers to above questions and also mention her weight so that I can suggest you the formulations which are good. You can approach me at the following link. Please find the link below - www.ChatDoctor .com/doctors/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doctor v hav a small 2 month harryshetter dog. it scratched my leg but no blood come out. though i had bitten by dog 7 years before tht tym had taken full dosage. now should take or not again the same dosage but tis tym the dog scratched only but no bleeding at all appearing redish only. wht do u suggest doctor", "output": "Hello, Welcome to Chat Doctor. Thanks for writing. I am Chat Doctor. I have read your question completely, I understand your concern and will try to help you in the best way possible. The post Exposure Prophylaxis of rabies depend upon the degree of exposure, and the prophylactic measures may vary from simple antirabies vaccines to the use of passive immunity, in the form of anti-rabies serum or immunoglobulins, but since rabies is a potentially fatal disease and its post exposure vaccination have shown to be having almost 99.9% efficacy, so normally doctors don't recommend taking chances, so even for trivial scratches the vaccinations are suggested quite often. So even that you have been vaccinated once in the past, but since you haven't received any booster in last 5 years, if I were your treating physician, I would have suggested you 4 doses of rabies vaccine, at day 0,3,7 and 21. It would have been more appreciable if we had known the vaccination status of the dog and whether it can be quarantined or monitored for any symptoms of rabies, by a vet or by some doctor. If dog has not shown any symptoms in 10 days then vaccination schedule may be discontinued after that. I would also suggest you to get your pet vaccinated, as it seems that you have been quite fond of keeping them, referring to the same sort of incidence 7 years ago. I hope this answered your question. If you have more queries I am happy to answer.Otherwise, rate before closing the discussionRegrads." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "The roof of my mouth is sore and swollen in some areas specially on the left side behind upper front teeth . I have a sinus allergy due to dust / weather because of which my nose remains perpetually closed and 80-90% of the time I am breathing through my mouth (consciously and unconsciously) including at night when sleeping This has caused multiple problems in the past, as esp. when weather is changing and my nose is worse, breathing from my mouth causes dry and parched lips , sore throat, and the sore/swollen mouth roof. However, the mouth roof problem is fairly recent, and this is only the second time it is happening now (earlier it was mostly sore throat followed by a flu/fever) The first time it happened, it went away in a couple of days as I applied oral gel. This time around its been four days and its going from bad to worse. Am not skipping meals, so no malnutrition , eating healthy, and no dehydration as I drink lots of water (except after a night s sleep when my mouth is parched due to breathing from mouth and dryness in air). I have taken Folic Acid as advised by some family/friends and also taking more water/milk and have applied oral gel before going to bed each night. Since the start of this mouth roof problem now, since past four days, I have also been feeling fever/fatigue and internal body pain. I have taken Paracetamol for that. Can you help treat this?", "output": "THE NEGLECTED SINUSES CAN CAUSE THISYOUR SINUS ALLERGY HAS DEVELOPED INTO THIS CONDITION YOU GET EXAMINED FOR SINUSES AND SEND THE PROPER INVESTIGATION REPORT OF SINUSESINITIALLY TO SOLVE YOU CAN TAKE ANTIBIOTICS TO CLEAR INFECTION CAN ADD STEROIDS FOR SOME TIME TO OPEN YOUR NOMINAL SPRAYS ALSO HELP IN OPENING MOUTH AND TAKE ANTIALLERGUCS ALSO TO GET RELIEF ALONG WITH FOLIC ACID CAN TAKE DIGESTIVE ENZYMES" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Pain in middle of spine feeling of water running down spine. Numbness in left thigh above knee. Pain when pressure is put on spine been going on for months but has gotten worse throughout the time.it started out as a burning pain now its constantFemale 27yrs old no major health problemsGastric bypass 18 months ago lost 197 lbs", "output": "Hi, Thank you for posting your query. Based on your symptoms, we need to exclude an impingement of nerve in the lower back region due to disc bulges. This can be confirmed with MRI scan of spine. In addition, a vitamin B12 deficiency should also be excluded. For relief of symptoms, you could take pregabalin capsules. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my mom was having a severe pain in her back and when we went to the doctor yesterday he said x-ray of the back. After the x-ray he came to a conclusion that there is a gap in tbhe disc. So can u tell whats there with ChatDoctor to cure this asap.? Regards Nitesh Arora 0000", "output": "Hello, I have studied your case. Due to compression of nerve root there is pain in your back. I will advise you to do MRI spinor these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. You can send her MRI report directly on my profile.http://doctor.ChatDoctor .com/doctors/ Chat Doctor. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am just trying to see if there is a cause for my step mothers pottassium to drop. She is undergoing the process of finding out where her cancer has originated but they cannot do any surgerys, etc. until her potassium is in normal range. I t will come up with medication, but then drop again. I was just looking for what might be the cause.", "output": "Thanks for your question on Chat Doctor. There are many causes for potassium loss in cancer patients. But the most common ones are.1. Poor oral intake.2. Excess loss in urine.3. Excess loss in stool (diarrhea). Cancer patients tend to have poor appetite. So their oral intake is low. If cancer has spread in kidney than this can alter the function of kidney and cause excessive loss in urine. Cancers patients are prone to gastrointestinal infection as their body defense is weakened. So diarrhea can be the cause. Better to start potassium supplements." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my son is 10 months old and is suffering from constipation. His pediatrician prescribed 10mL of lactulose daily. He has been taking the recommended amount for two weeks, and has not become regular with his bowel movements. Would you recommend increasing the dosage?", "output": "Hi... Thank you for consulting in Chat Doctor. I think your kid is having habitual constipation. I have certain questions and suggestions for you. Questions:1. Did your kid pass motion or meconium on day one of life?2. Since how long is the kid constipated?3. Does the kid have any bleeding along with hard stools?4. How much milk does the kid consume per day?5. Does the kid eat fruits and vegetables (fiber diet) appropriately? You can get back with answers at the following link -www.ChatDoctor .com/doctors/ Chat Doctor. Natural methods are the best to relieve constipation.2. Constipation is a risk factor for UTI3. Maximum milk consumption per day should not exceed 300-400ml4. Minimum 3-4 cups of fruits and vegetables to be consumed per day5. Toilet training - that is - sitting in Indian type of lavatory daily at the same time will help a lot. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Yes, my husband and I are trying to conceive. We conceived in 2008 & lost the baby at 14 weeks with a miscarriage. Since then, we have tried to get pregnant and learned April this year, I have premature ovarian failure with very little egg reserve left. Also, I just turned 40. All those factors are working against us. Ive been on clomid for 3 cyles, and the last 2 months had mature follicles. Both times did not get pregnant. We decided to have my husband do a seamen analysis to see if things were ok in that area. He took 2 tests one month apart. There are 2 factors less than the desired level. My question is, could these 2 things be contributing to us not getting pregnant. His concentration was 6.2 out of desired 15 , and the motility was 33 out of desired 40.", "output": "Hallow Dear, At the age past 40, the fertility does go down; however, with proper monitoring and scientific approach, pregnancy is not impossible. Now let us start from the end of your query. Though a couple of parameters in your husbands' semen report are somewhat substandard, they do not rule out the possibility of conception. You may have to go for some assisted reproduction technology like intrauterine insemination of so. I am more concerned about your ovarian reserve. On what basis you have been declared a case of premature ovarian failure; and if so how is it that are responding to camphene citrate by ovulation? Anyway, your ovarian reserve seems to be very poor. Hence, I would advise you to monitor ovulation by ultrasonography. This will help to assess the endometrial growth also. Ovulation from the follicle between 18 mm to 21 mm gives best results. The endometrial thickness between 9\u00a0mm to 14 mm at the time of ovulation (thus indirectly conception and implantation) is very conducive for successful implantation and pregnancy. So at the time of ovulation with such conditions, you may get intrauterine insemination done to increase the possibility of pregnancy. You may try this for 3 months (considering your age and ovarian condition) after which you might seriously think of in vitro fertilization and embryo transfer. In this advice, I am presuming that you have tested the patency of your tubes, and they are patent. If you have not tested, please get Hysterosalpingography and/or Laparoscopy done for the tubal assessment before you take any active intervention step. I hope this clarifies your doubts. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "How I can reduce SGPT & SGOT level ? I used to drink & smoke which I stopped since last four months , however I am not able to see any improvement ? I am suffering from Hepatitis B since more than 10 years , but i those ten years , I have not find any complication in my daily routine or health. Can you advise how can I be sure that it will not affect my personal life /", "output": "Hello, nuts_on_line, You have been diagnosed with Hepatitis-B for ten years now. You continue to show abnormal liver enzymes eventhoughyou say that you are functioning normally. The problem with chronic hepatitis is, it can gradually progress to advanced liver disease including cirrhosis and lead to liver cancer. You have not been on any treatment for the condition. You don't want to wait till it is too late. I advise you to see a gastroenterologist or an infectious disease specialist who takes care of hepatitis patient sand has a large group of them. You need someone with experience on how to handle the complications or side effects from the good medications that are now available. The sooner you get the treatment, chances for cure are better. Hope you do this soon for your own sake. I wish you well." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am 31 years old,height 177cm, &weight 70 kg,i have a pain on my left foot(its paining between my two fingers & my toh).my uric acid is 6.9 i am felling a pain in my vains but its only in my lower part of foot,none of my other body parts is paining.after 3-4 days its automatically stop & then their is no pain but whenever their is a change in temperature its start again.I am taking a medicine(zyloric) for it. is it paining due to uric is it paining due to uric acid,or something ales please help me.", "output": "Hello, If you are having gout then such pain can be there due to alternation in levels of serum uric acid. Serum uric acid levels in blood changes with change in temperature. It can precipitate in cold in joints and increase the pain. You may take a good effective analgesic in such case. The indomethacin in Chat Doctor. Take care. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi ,..im 20yrs old .today when i urinate sperm out with my urine ..this is happen many times bt i notice dis today ..before 1 month acording to my report a stone is observed in my left kidney ..is dis happen bcoz of my stone or any other reason..i feel dull n very weakness i always feel sleepy .n headache pain in legs hands n in backbone..wat should i do plzz reply me", "output": "Hi AparT he problem from which you are suffering is regarded as spermatozoa and let it be very clear that it is not due to the presence of stone in your kidney. Renal calculus can cause acute pain, but this is not generalized but mostly restricted to renal angle region. This colic can be associated with vomits also. The pains you are having apparently are linked to debility. I believe you are not in habit of regular exercise and as per Ayurveda this leads to excess of oaf in body which is responsible for lethargy and sleepy feeling. To get rid of stone tab. Sheet Prabhat is good. For spermatozoa tab. Neo and for generalized pains have tab. Triodashang GGUL. God willing you will be fine in very short time." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "After having felt a kind of pinch in my right side of the upper thorax which I expected to disappear as it had done in previous years, I felt a lump growing at that place which has started to be felt. I had an x-ray and ecography made but nothing malicious revealed. I am curious to know when and how this lump can go off. Can you help me please on this score. Thank you. Victor 23.Feb.2011", "output": "HI, Welcome with your query to Chat Doctor. Based on the facts of your query, the cause of the recurring pinch with lump lately needs further clinical evaluation from your Surgeon by a Second Opinion, who would physically testify the cause of the lump in your case, as X-ray and USG is inconclusive. In my opinion you seem to be having -Costo-chon Chat Doctor. Hope you got the answer for your query. Hope this would help you. Welcome for any further query in this regard Will appreciate writing your feedback review comments, to help the needy patients like you at Chat Doctor. Good Day!!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a ct scan done in Sept. and it showed several prominent peripancreatic/periportal lymph nodes. My doctor set me up with a gastro doctor and I went to see him on the 9th. He said I should have a EUS so they could check the lymph nodes with ultra sound. I have also had bright yellow loose bowels, abdominal pain, nausea and over all tired. What could these lymph nodes be a sign of?", "output": "HI. Thanks for your query and an elucidated history. Multiple lymph nodes in the peri-pancreatic and periodontal area are to be taken as secondary nodes to Cancer unless proved otherwise. I would advise you to tell your Doctors to get an ultrasonography guided FNAC or a direct biopsy, MRI study to see if there is a primary cancer and get operated if indicated. Get a reference for an Oncologist so that you do not waste much of an important time and get the diagnosis fast and treatment as early as possible" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I used bleach cream on my face last night. Today, I woke up with some scars on face and my skin is irritated. I keep on wanting to itch but then stop because I don t want any permanent scarring on my face. I have been using Vaseline to calm my skin. Will my face be permanently scarred? Am I doing it right? Any other suggestions? How long will it be till my face goes back to normal?", "output": "Hellothanks for posting your query. Whaat you might be having following the bleach cream are not scars but maybe pigmentation. Your skin has reacted to the bleach cream. Make sure you wash it off thoroughly. Also application of cortisone cream twice a day for a week will calm the skin down.it may take up to 2 weeks to recover, in case the pigmentation is excessive you may need to be started on oral medications for which you will have to visit your doctor. If you take proper treatment in time, permeant effects can be avoided. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi this is juher pathan looking for answer the treatment duration for my abnormal seminal report", "output": "Hello her;welcome to Chat Doctor Please write the full semen analysis report or at least what is abnormal. If the motility of sperms is a problem then you need to get treated. The best person to guide and treat you will be a Urologist. So please consult a urologist with the report of semen, and he will see it and advise treatment accordingly and depending on your response to the treatment he will tell you about the duration of treatment. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband 55 years old had an ischemic stroke of the left thalamus 6 months ago. He is unable to regulate his sleep. Sleeps up to 16 hours a day, and can t wake himself though he tries in the morning with alarm clocks and phone calls he requests from his sons. He s getting frustrated with it, and knows he ll need to be able to wake himself if he is ever to return to work. His memory and motor skills are functional - the sleep is the biggest issue now. Any ideas?", "output": "Hello ! I read your question and understand your concern. In my opinion he is suffering for hypersomnia. It is more common in thalami stroke. Unfortunately there is not a curable therapy to this problem. I would give some advises to try to regulate his sleep cycle: -Sleep a few hours longer at night to avoid excessive sleepiness during the day.-Exercise daily in the morning or early afternoon, if possible.-Engage in enjoyable activities that require your full attention, such as spending time with friends, writing letters, or playing with a pet.-Try to go to sleep and wake up at the same time every day.-Get out of bed and stay out of bed until bedtime.-Avoid foods that make you sleepy and heavy meals during the day.-Avoid alcohol and caffeine. I would also try Modafinil, which is a Chat Doctor. This " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "how will i know when i am getting a stroke ihave been coughing alot and my body is feel numb recently i went ot the doctor office with a pain in my left shoulder center run partly down my arm yesterday i felt some pain in my hand didn|t stayl this morning my body feel numb i also been coughing alot of muscous about four days i am taking medicine i also have have asthma the prognois mypain as siatic nerve", "output": "Hi, You have two problems one is coughing with expectoration and left shoulder pain with numbness of body. Do not worry, just coughing or shoulder pain or numbness are not a sign of stroke. Your coughing could be due to upper respiratory infection or infective bronchitis. You will require antibiotics (quinolones or accolades or cephalosporins)with expectorants and decongestants and other symptomatic treatment. For your shoulder pain and numbness, you must consult your physician for ECG and other cardiac blood markers to rule out any heart problem. Continue asthma treatment what you take." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi i have been getting sick spells for months now a nausea felling lightheaded some dizziness almost have blacked out i have been doctoring for 6-7 weeks and they have ran test bloodwork heart monitor ekgs my bloodpressure was up and my vitamin d was low i am now on pills but all the test came back fine and i am still getting this spells could you suggest anything that it might be", "output": "Hi. I did review your concern. Since your heart and blood work are fine, the next logical step would be to rule out cerebellar, inner ear and peripheral problems. I would advise you to consult a neurologist and get tested for any inner ear and cerebellar problems. Also, orthostatic hypotension may be a cause. For that I would advise you to wear compression stockings that increase blood flow up towards your brain when you suddenly get up from bed or stand UPI hope this yellowish you all the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi i have been given the tablets such as Nitrofuranton 100mg , Thyroxine sodium TA & Clomisd which i need to take from the 4th day of the cycle as i m going through a treatment and havent conceived for the last 9 years though i conecievd once after marriage which i terminated just yesterday thyroxine tabs ws given does this help in conceving. Many Thanks Arti Kumar Mob # 679 999 6056", "output": "Cellophane you for your query. Firstly, if you are anxious for conceiving, I fail to understand why you terminated your pregnancy. Kindly provide the details for me to understand better.THyroxine is given to patients with hypothyroidism, if your TSH is elevated, in order to normalize thyroid function, as hypothyroidism can lead to infertility and abortions. Nitrofurantoin is an antibiotic given for urinary tract infections. Clomid is camphene which is given to induce ovulation in case you have difficulty in ovulating. However, it cannot be started immediately, as you mention that you terminated a pregnancy yesterday. Please provide complete and detailed history. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 33 year old female. I have had constant pain, swelling, instability, numbness, loss of grip and achyness in my right hand and wrist. I had an MRI done w/O contrast and this is what some of it says: There are degenerative changes of the lunate that are likely the result of lunate impaction and there is positive ulnar variance. No triangular fibrocaetilage meniscus tear is seen. Dorsal soft tissue swelling, which can be seen with recent rupture of ganglion cyst. No dorsal ganglion identified. Small volar ganglion Osseous structures: there is chondromalacia of the proximal ulnar aspect of the lunate with subcortical cyst formation. The findings are likely chronic ulnar lunate impaction. There is a slight positive ulnar variance. There is no evidence for fracture or avn. Triangular fibrocaetilagecomplex: Mild fraying of the meniscus but no tear seen. I fell 20 feet from a roof 11 years ago and broke both wrists. You can see that my wrists are offset. I have been a typist for the last 13 years typing 90% of the time. What does all of this mean. The ortho I was seeing received the MRI and then referred me to a hand specialist. No one has explained anything to me.", "output": "Hi Therefrom what your MRI report, this is what I can tell your ulna head(at the wrist level your forearm ends with 2 bones, one larger: radius and the other one smaller, ulna head) is slightly longer than normal and during movement it abuts against another smaller bone in your wrist(late) and this phenomenon is called ulna late impaction syn Chat Doctor. In your case the MRI says that your late is quite badly damaged but still surviving. If the pain is so bad and nothing else helps your hand surgeon will need to shorten your ulna to alleviate pressure on the late. I hope this helps you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 34 year old female for the past month i have been having sever pain in my back right under my rib cage then it began to come around to the front i have also ran a fever of 102 and 103 on 3 seperate occasions i recently had a CT scan done that showed a significant ammount of fluid in the space where my gallbladder use to be and also the cystic duct was dialated the doctors arent doing anything for this and havent really explained what is causing this what could be causing this fluid build up in there and could this be what is causing the pain and fever", "output": "Hi welcome to Chat Doctor forum. Fluid can indicate some serious conditions such as abscess or diploma, but also in many cases this is just sign of cholecystectomy and isn't indication for surgical procedure. It can also be percutaneous Chat Doctor. But only after this is a reason for your difficulties. Also, laparoscopy may reveal gallbladder bed pathology too. So consult your surgeon about further treatment options. Wish you good health. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello dr,i have done color doppler scanning the report says that the are no evidence of the presence of varicocele,but a neurologist says that the scanning report itself is wrong as i have pain in right scortum often,is there any other disease other than varicocele or if you can suggest me have any other scanning and my age is 50yrs i had the same problem in my 20th and 30th year also", "output": "Hello! Thank you for the query. Yes, there are few more issues which can give pain in the scrotum apart from varicocele. It may be epididymis or testis inflammation, inguinal hernia (can be invisible if the ultrasound were done on the lying position) or even urinary tract infection/stones. Too tight underwear can compress the nerve in groin area and give numbness and pain in the scrotum. I suggest you to start your diagnostics from urinalysis and urologist consultation. Antibiotic might be beneficial at your case. Hope this will help. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have been having belly button pain for about 3 days now. its started off slow, but got much worse since. it hurts to bend stretch, and sometimes when my stomach contracts. i do have my bely button pierced , but this pain seems to be deeper in the belly button. right now theres also a pain more so to the right , and underneather the belly button. any ideas ?", "output": "Hi Thanks for using Chat Doctor Forum, Food poisoning can cause belly button pain when you eat contaminated food, usually resulting in some sort of bacteria invading your body. The vast majority of food poisoning cases are of this type, and it occurs a lot more often than it is diagnosed. If you think you have food poisoning, which can cause a lot of different symptoms in addition to belly button pain such as nausea, vomiting, diarrhea, etc. If you are not suffering from food poison then I advise you to do an Ultrasound abdomen to rule out appendicular inflammation which can be at starting stage. I Hope I Provided Useful Information. Do ask Further Questions to help You get well soon. Regards Chat Doctor. Kingston John David" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "As of yesterday, I am having sharp stabbing pain in the side of my left foot between the heal and the little toe. A few years back I had a problem with siatica, could this be related to that? Usually I get alot of numbness in that same spot but the pain started yesterday and continues today. Thanks for your input.", "output": "Dear patient thank you for question. Let me start off my saying that you are absolutely right. This pain could most certainly be related to sciatica in which case you should go and see your doctor again.However, certain other possibilities are present which u can rule out with the help of your doctor.1) Ingrown toenail: They are near the toenail will be red and swollen and extremely tender to touch2) spinal stenosis: Positional pain is a hallmark. That is if the pain increases on moving your foot in different directions. An MRI of L5-S1 is recommended3) Trauma: U may have knocked your foot somewhere, and it may have hit a Nerve. It seems unlikely because I'm sure you would have mentioned it, but we are covering all bases4) Vascular damage: Common in heavy smokers or people with a history or known case of atherosclerosis the pain worsens on walking a few meters. If the symptoms match the description go see your GP and get a Doppler I would like to summarize by saying that my best guess is that your sciatica has come back, and please take the same precautions u did when u had the condition earlier the pain I suggest ibuprofen 800\u00a0mg twice a day with pantoprazole 40\u00a0mg if u have a history of heartburn or ulcers. I hope this helped and all the best" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, My mom is 84 and has persistent dry cough for about 2 months. Earlier she had it for 2 years and somehow it went away. Now it has returned. The Doctor is giving her Montek 5 mg twice a day. Another Doctor suggested that we give Montek 10 mg once a day as 5 mg does not cross the threshold to be effetive. The first Doctor says that 10mg could be addictive and refuses to change over. We have checked once for Eosinophyles and seems to be ruled out. Vipin", "output": "Respected Vi pin hi I evaluated your query thoroughly.*This is in relation with her weakened immune reactions of the lungs to fight against any minor bacterial viral infiltrations.*Any molecules are just supportive, main stay of her betterment is to boost-up her lungs' immunity by certain ways as I recommend here :- very regularly deep breathing exercises, YOGA - regular walk in fresh air for 30 min. to rejuvenate her lungs with fresh Oxygen.- avoid smoking / alcohol if consuming-avoid exposure to noxious substances - pollen in air / vehicular pollution-maintain HY Chat Doctor. - avoid excess of cooler / air conditioners detrimental for her lungs-avoid stress / anxiety-have regular sound sleep of 6-8 hours-avoid painkillers if taking-regular Spirometry exercises at home for lungs which is curative as well as assessment to see the progress of improvement in lung capacity. Hope this clears your doubts. Thanks for using Chat Doctor & reviewing my answer thoroughly. Welcome for any further queries. Wishing her happy healthy life ahead, after all she deserves it, she has very good care takers like you. Regards dear take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have anemia and I am iron depleted. I had infususions last year but am now depleted again. I am having shortness of breath this time even while sitting. I am suppose to see the hemotologist wed but i am concerned about the breathing. Is this normal?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. No this is not normal. This indicates severe anemia. Anemia can cause breathlessness if it is very severe (hemoglobin of less than 7). Anaemia when severe, actually causes tachycardia (high pulse rate) and heart failure. And this can cause Pulmonary edema and breathlessness. So in your case, possibility of anemic heart failure is more. Best treatment is blood transfusion. So consult your doctor as soon as possible and get done hemoglobin estimation and blood transfusion. With transfusion, your symptoms will improve. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hui,f fmay I aswer your health queries right now ? Please type your query here... i have been suffering from complete loss of appetite for the past one month. my DR. advised me to go for a thyroid test. the reports are awaited today. i also have breathlessness while walking and climbing stairs and slow speech.. what is your opinion?", "output": "Respected user, Warm welcome to Chat Doctor.come have evaluated your query thoroughly.* There are different possibilities as - deficiency of iron, vitamins, minerals, anti oxidants, trace elements - lung conditions as infection, effusion, tumor or else - systemic illness as diabetes, thyroid level imbalance, enteric fever or else.* Needs detailed case evaluation with necessary tests depending upon the clinician concern. Hope this makes it clear. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am recovering from knee arthroscopy surgery...it s been 7 months and I have terrible pain in my calf and thigh with a popping noise (awful) when I bend my knee to walk....it seems to be popping not only in my knee, but also in the back of my calf. What in this world could this be? I have pain pills, but it s been 7 months?", "output": "Hello, I am assuming that either you had surgery for your ligament injury or for meniscal problem. Sometimes such pain occurs due to extravasation of some amount of fluid in calf area. But this pain and fluid absorb in with in one or two months. It looks from your details that pain is very much disturbing you such pain should not be there after 4-6 month. I hope adequate physiotherapy have been given to you. I will advise you to discuss these concerns with your doctor and if such pain still persists then you should have an MRI scan to rule out the pathology. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doctor i am 7 weeks pregnant . I see brown discharge from last tuesday .. My doctor said its normal and they did ultrasound and said baby is 5weeks 5days. How long will i have this brown discharge?? Is my baby safe ??This is my first pregnancy. I also have tight motion and i see slight blood .what needs to be done to avoid these and is this normal during pregnancy ??", "output": "Hello dear, I understand your concern. In my opinion there are various causes for bleeding or spotting or brown discharge during pregnancy like :-1)Thyroid abnormalities .2)Progesterone insufficiency.3)Abnormal pregnancy like miscarriage or ectopic pregnancy.4)Bleeding from cervix.etc. So all the above causes should be ruled out by physical examination and necessary investigations. The brown discharge is due to blood admixed with mucus. Iam happy to know that the ultrasound is normal and all the possible causes have ruled out.Don't worry in some cases even though with the presence of brown discharge everything will be normal and pregnancy continues till term and have good outcome. Relax. Avoid physical stress and intercourse. Take folic acid and progesterone supplements. It might not be able to tell definitely for how much time the bleeding might persist. But as such nothing to worry. It will subside spontaneously. Passing of blood with hard stools might be due to anal fissure or piles. So prevent constipation by taking 3 liters of fluids per day, high fiber diet and laxatives if needed. Once the constipation is treated the bleeding in motion decreases. Constipation is a common complaint seen in pregnancy. So avoid stress and relax. Hope this helps. Best regards..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am a 23 year old female healthy for the most part. I was Dx with HPV when I was 18 years old, I have only had one sexual partner and have two babies, my first at age 21 and my second at age 23. Both vaginal births no complications, born at 36 wks and 4 days cause by doctors inducing me. My concern is that about a week in half ago I notice I had gotten a bump in my right thigh (in the front) that moved lower and is kind of on my buttocks but still on my thigh (so the back of the thigh) it had gotten really big and swollen but now it has decreased when I feel it, it feels like two hard tiny balls and if I squeeze it feels like something is coming out like when you pop a pimple but nothing comes out. I went to my obgyn and he said it was razor pimples (without looking) but i do not believe that it is that because it is still there. Major surgeries: appendectomy April/1988(when I was 2)", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have soft tissue tumor like lipoma, neurofibroma or dermatofibroma or sarcoma. Or you may have pimples or other mass. You should go for examination. Then if needed to go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi iam a40 years old married man from last month I am sufferig from penis erection diorder during sex with my wife and now iam unable to full fill her desire I have the excitement of doing sex with her she ecourages me but i fail plz guide me with proper treat ment.", "output": "Hello misunderstand your concerns think you have erectile dysfunction. Three are various causes of it, so you have to find out the cause of it. Causes are: excessive stress, smoking, alcohol, diabetes, obesity, prostate pathology hormonal imbalance (decreased testosterone), psychological stress, anxiety, hypertension. For better diagnosis please consult the urologist and get the proper investigation like: blood sugar, CBC, ESR, PSA, Color Doppler, health check up, hormonal profile, seminal test after evaluation.Meanwhile, take following advice: start relaxation exercise, healthy diet and fresh fruits that rich in antioxidant (vitamin A, C, E and Co Q), more involvement in foreplay, use more than two condoms, pelvic exercise, you can use sildenafil and paroxetine 30 minutes before sex after proper evaluation. Hope this may help you Best regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doc.. Im 24. We got married 2yrs ago. Its beeing 1.5 yrs tat we are trying for a baby.. I had regular periods..Im staying in Middle East.. Soon after 2 month when I reached here my periods went irregular.. I consulted with the doc and found Im having pcod.. I was 77kg at time. Now I lost my weight and Im 65.5kg now. (5.7 inch height). Still ma periods are irregular.. Im having metformin (thrice a day) and folicacid.. Last 2 month I had duphaston and clomid respectively as per docs direction. But didt had luck.. Through ultra sound scan its found that my eggs are growing but it not coming out from the overy even after 15th day after my periods.. What happend to me docter....? I lost all my hopes.. Pls help me.. What I have to do further...", "output": "Hi, POD is the condition where the rupture of mature ovum is disturbed. Actually it takes along & patient efforts to get over the problem. Please try to reduce your weight by low Malory, high protein, high fiber diet. Regular exercises for complete body with special stress on abdominal exercises should be done. A daily brisk walk for 45 minutes/ jogging/aerobics are helpful. Metformin is helpful weight reduction. Take the medicines regularly as advised. When every thing else is favorable, many a times Ovulation can be induced by Chat Doctor injection. If medicinal treatment fails, there is surgical procedure. The decision of surgery is to be taken by your doctor. But don't loose hopes. Be positive. There are many other ways to help you. No couple can remain childless, Such are the blessings of modern techniques. Thanks Many a time" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "it s has been more then about 2 years since i had tummy tuck follow by liposuction of my back and my stomach since i had a bump in my lower back it keeps moving from one side to another and sometime it is hard to move and it;s hurts alot sometime i feel like my back going to stop working and now im about to have a tumor cancer surgery do you think that will make my back pain worst", "output": "Dear patient There is no direct relation between lung cancer surgery and back pain. But before going for lung cancer surgery metastasis to spine should be ruled out. Also prolonged rest that might be required post surgery may aggravate your back pain. Besides impaired nutrition post surgery also affects muscle strength. So by many indirect ways' lung surgery may lead to aggravation of back pain. You should be prepared to face all this and jeep steps to prevent all these consequences. All the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had pain in lower back since January. I asked for xray, showed swelling so DR. prescribed prednisone for 10 days. Swelling went down but pain, burning and annoying is constant. Went to chiropractor and had 5 sessions. Still hurts no relief. My husband found a lump, close to spine and Chiro also felt it said possible lymphoma. Had ultrasound that shows no solid mass or fluid. Dr. knows it is constant pain for me and now said lets do MRI. Any idea if a lump can cause this much pain across lower back?", "output": "Hi, Dear,Thanks for the query to Chat Doctor. I studied your problem in depth and I understood your concerns. Treatment for the painful lump on the lower back-In my opinion your-pain in lower back-was fixed by your doctor as Swelling? Which is mostly due to the prolapsed inter-vertebral disc. And not due to any obvious swelling as thought by your husband or by your chiropractor.Don't waste time on wrong treatments.MRI-now done would resolve the issue.Hence, you should investigate it with your ER Ortho-Surgeon, who would treat it according to its cause. From your facts of the query-In my opinion-your constant pain is due to the improper treatment of the ?-Spinal Canal Stenosis, which you seem to suffer from. This could be confirmed by MRI and would also remove any doubts of lump in the lower-back you and your doctor has. This stenosis if present could be decompressed by endoscopic laminectomy or mastectomy instead of the open laminectomies and could be done with almost no post-surgical instability and morbidity post-decompressions. So take treatment from your ER Ortho-Surgeon, who would treat it after due investigations and treat it accordingly. This advice is based on the facts from the history you give and needs further clinical check.Hence, I would advise you to check with ER Or tho- Surgeon. So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you. Hope this would relieve your problem. Welcome for any more query in this regard to Chat Doctor. Write good resume and Click thanks if you feel satisfied with my advice. Have a Good Day. Chat Doctor. N." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor, my son age is 8 years, he has abdonal pain from last 6 years. last 28th janurary he got sufferd from typhoid high grade fever for 10 days, now the abdomen pain having much. his stool test showing PUS CELLS- PRESENT (STRAY) and also CANDIDA BODIES - PRESENT(+), his CT SCAN of lower abdomen has done on 02/03/2014 and the said test is normal. so whats is the cause of pain ?", "output": "Hello said that pain abdomen is for last 6 years. I want to know the character of pain1) Is it severe enough to disturb his daily activities or sleep2) Is it associated with vomitting3)What is the frequency of pain abdomen4) Is it occurs in morning hours only(at the time when he gets ready to go to school5) Is there any association with food6) Is he growing with normal Pacino pain abdomen for last 6 years without associated symptoms(as you have not mentioned the other symptoms I assume it to be not there)is very unlikely. Stool positive for pus cells may be due to present infection. But this does not explain such long history. Normal CT scan rules out any intra-abdominal lymphadenopathy or anatomical abnormalities. I would suggest you to give him some antibiotic after consulting your doctor and to get the answers of the question mentioned above. If it is, there then discuss it with your physicianRegards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband has a continous bile drip due to a botched galbladder surgery five yrs. ago. Has had episodes of matalic belching and then diareah. This process occurs about every three weeks. It first started 3 yrs. ago after eating steamed clams at a house party in Fla. No testing found any reason and finally had a bareium contrasted that pritty much stoped it. This past Feb. we had shrimp coctail at a high end restaurent and it started again. We are at a loss for why and how to stop control it. Any thoughts??? When all this happened he went through an extra colon check and discussion with that doc. Sorry I did not know this was going to cost me money. forget it.", "output": "Hi, I had gone through your question and understand your concerns. This looks to me like so called postcholecystectomy syn Chat Doctor. Symptoms include systemic symptoms such as sweating and heat sense but also dyspepsia, nausea, and vomiting, flatulence, bloating, and diarrhea, Persistent pain in the upper right abdomen. Some individuals may benefit from diet modification, such as a reduced fat diet, following cholecystectomy since it may be more difficult for digestion of fatty foods. Postcholecystectomy syn" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 18 year old has a lump on his spine just below the middle. I ve noticed it for the last few months, but recently it seemed to be going down. He does a lot of weight lifting. Today after doing a work-out and sit-ups on the floor it looks like it is protruding again and reddish. You can only see it if he bends over. What could this be? It does not hurt and is kind of solid, but soft to the touch.", "output": "Hi, dairy have gone through your question. I can understand your concern. He has some soft tissue tumor like lipoma or neurofibroma. He should go for fine needle aspiration cytology. It will give perfect idea about cause Then he should take treatment accordingly. Most of the soft tissue tumor require excision. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my mt test is strongly positive but chest is clear.my afb test of urine serum is negative.my dr. suggest me to have akt-3 kit once in a day with benadon of 40 mg half tablet daily.how can i know the position of tuberculosis in my body?and am i a patient of tuberculosis?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Treatment of tuberculosis should not be started only on the basis of MT (manitou test). MT is not very sensitive or specific test. It is not 100% confirmatory about active tuberculosis disease. It is false positive in person with previous history of tuberculosis, taken BCG vaccine in past etc. Positive MT result must be correlated with symptoms and sign of the patient. Since your other reports are negative for tuberculosis, no need to start anti-tubercular Chat Doctor. Consult pulmonologist before starting this " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i have a problem my esr is so high its 94 and i did my all test like vdrl hiv1,2 hsv1,2 ca 125 uric acid ra factor whole blood count thyroid blood sugar random x-ray full abdoumen scan but nobody knows whats the reason.my e-mail is YYYY@YYYY", "output": "The Erythrocyte Sedimentation Rate (ESR) is a blood test that measures inflammation or abnormal proteins in the body. While the ESR is not an indication of any one disease, it commonly increases with any condition that causes inflammation, such as infection, arthritis, or cancer. However, up to 10% of normal, healthy people have a mildly elevated ESR, and it tends to increase with age. The higher the level of ESR, the more likely the person is to have a condition known to be associated with it. Of the arthritic diseases, an elevated ESR is most closely associated with polymyalgia rheumatic (PMR) and giant cell arthritis (GCA). If disease is active, rheumatoid arthritis, systemic lupus erythematous, vasculitic disease and almost any other inflammatory condition may be associated with an elevated ESR. Other well-established causes included subacute bacterial endocarditis (BE), myeloma, abscess, pelvic inflammatory disease (PID), inflammatory bowel disease (IBD) and osteomyelitis. However, almost any condition that causes sudden or significant inflammation in the body can be associated with an elevated ESR. An elevated ESR cannot establish any diagnosis by itself. Similarly, a normal ESR does not rule out an arthritic condition since many people with arthritis have a normal or only mildly elevated ESR. A normal ESR does reduce the likelihood of GCA, PMR and BE. Thus, the ability of this test to predict presence or absence of disease is far from perfect. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have taken antibiotics and steroid medication for post nasal drip. I m ill for 5 weeks. The constant dripping in back if throat did not stop for 5 months. I m steaming and used the nebulizer. I now got an inhaler. The issue now is I have terrible pain on tue right rib and going towards the back. I went for xray and it indicates there is coarse bronchovascular pattern noted I both lung fields. I m told nothing wrong and the pain could be from coughing. I did not receive any medication at all? Please help I don t feel right internally.. .", "output": "Hello As per your history it suggests your respiratory system is weak, so you need extra care to maintain it. I will advise you bronchoscopy and HRCT chest to see for origin of symptoms. I will advise you to improve your immunity by herbs exercises and healthy diet.Also, you can improve your lung capacity by yoga and Panama. If you are having congestive heart failure due to hypertension then respiratory system can be involved. For tubercular infection you can do manitou test, sputum culture, ESR and PCR all non-invasive. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was in a car crash recently and my leg has bruced and swollen from my thigh to food the the brusing is from my thigh to my shin and on my shin i have big blisters which leak yellow stuff ,,, i went to the hostpital but all they said it was not broken", "output": "Hello, It appears that there is no fracture as if it was a fracture of the lower limb you would not be able to even stand or walk around with support as well. It is a muscular injury which happens during an accident. Following the rest of the injured limb and using hot water fermentation will help soothe the muscles to reduce the pain. Keeping the injured limb over the pillow will help reduce the swelling. Rest assured, you should be fine in a week or so. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Ive had back pain for the last year and a half. I tried physical therapy for 8 weeks with no relief. I had an MRI after that which showed I have 2 bulging discs L4 & L5 and one thats degenerating. Ive had 3 Epiderol Steroid Injections which helped tremendously at first but arent helping as much anymore. I cant get anymore shots this year and they suggest I get a medial branch block. This makes me nervouse because Im 90% sure it has gotten worse in the past year and Im afraid it wont fix all of my conditions. Is this something I should try, or is surgery my next step? Im only 26 and I cant imagine being in pain like this for the rest of my life please help.", "output": "Hi, You are having back pain due to disc bulge as suggested in MRI.pain got better with the epidural steroid, now nerve block is advice. I think you are just treating pain not the cause. You should see the spine surgeon. Take multiple opinion if most of them says surgery then go for it meanwhile you can go for block which will cover the pain, but the cause will be still there. When ever where ever you get convicted there only you take treatment. You shouldn't decide the treatment let specialist do their job you just decide the specialist." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I started prednisone 20 mg two days ago. And Hydroxyzine Pamdate 50mg..The indigestion is so bad I can t stand it. I am on omeprazole for heart burn and I ve already increased it. They even gave me Rantitine HCL 150 mg. It s not working .. Can I stop the Hydroxyzine??? I don t itch and the hives are gone??", "output": "Hello, Since you are experiencing side effects & discomfort after taking HY Chat Doctor. Chronic hives need to be treated with Corticosteroids, do continue to take Prednisone. You can take other histamines like Cetirizine(Zyrtec), etc which suit you better. For indigestion & gastritis, take antacids & PPI's, Pantoprazole-40 or Aripiprazole, one so when required. In the meantime, avoid scratching, wear loose cotton clothing, apply calamine or aloe vera based moisturizer before going outdoors. Apply cool compress. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello i have just found out that i am pregnant 3 days ago. My period was due yesterday and today i have started experiencing some cramping in the lower left side of my stomach. Is this normal? Also I have been told that i should go and see my gp and have my proestogen levels checked, is this right? If so what test do they do?Thanks", "output": "Hi, You should get B-ChatDoctor levels in blood checked and repeated after 48 hours to see if there is a doubling in their levels. Pain on one side, with a positive pregnancy, could mean ectopic pregnancy, which needs to be ruled out. Progesterone levels can tell if the pregnancy is viable or likely to fail, depending on their levels, with 25 micrograms taken as a cut off. Do see a Gynecologist and get Chat Doctor checked. Hope this Helps. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi i am a female in the early twenties and I suddenly have this acute pain in my lower back near the spinal area at waist just above the tail bone area. I have not had any history for back problems so this is very sudden. I can t actually walk with the pain and it feels like whenever I actively apply any pressure or squeeze the muscles in the area especially when walking,the pain gets really bad.", "output": "Hello! Thanks for being with Chat Doctor. Sudden Onset of back pain In 20 years female could be due to1- Coccydynia2- Just a muscular back pain3- Mechanical back pain4- Cited deficiency 5- Prolapse intervertebral disc (less like in your case) in that generally patient has radiating pain in lower limb/due you have any sudden jerky movement while jimmying or have suddenly lifted any heavy things? I would suggest taking an opinion of an Orthopedic for better clinical correlation and to get an X-ray sacrococcyx region and Cited levels. For pain relief you can apply hot fomentation and nice gel locally and mild anti-inflammatory like Diclofenac and paracetamol. For more queries you can write to us. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been suffering from heel heel and ankle pains with swelling for the last one month. For the last ten days multiple joint pains developed, without any swelling, but swelling at ankle continuing and suffering from fever and chillness in the evenings. For the last one month, I have been using Dolokind & Pentakind tablets. For fever I am taking Lenol as prescribed by Doctor. Now, on 29 th I have consulted Rheumotologist in one of the famous Hospitals in Mumbai. They have prescribed HLA B27 test(reort yet to come) and medicines of :T.Etoshine90,T.Omnacortil5,T.Saaz,T.Folvite,T.Pan. I need ur sincere opinion. I was diagnosed for Reactive Artheritis ( without HLA B27 test).", "output": "Hi, thank you for providing the brief history of you thorough musculoskeletal assessment is advised. As you have been diagnosed with reactive arthritis a little knowledge about it is required Chat Doctor. It occurs in reaction to an infection by certain bacteria. Most often, these bacteria are in the genitals (Chlamydia trachomas) or the bowel (Campylobacter, Salmonella, Shell and Yersinia). Now, as you have multiple join pain and aches along with swelling at the ankle, I will advise you further to visit a physiotherapist who can help you with your pain and aches. Since the pain and aches are possibly due to the infection I am sure the physician will guide you with antibiotics for the same. Undergoing a thorough urine examination is advised as to check the possible bacterial infection present also. For the pain and swelling management the physiotherapy will help you with therapeutic ultrasound therapy and TENS therapy by which the inflammation and pain will subside. Also, performing regular exercises are guided here to understand that the bodies metabolism and immune system are slowed down which lead the bacterial infection to go higher and lead to reactivate arthritis. Exercise will help improve the metabolism, immune system and strength in the muscles as in the reactive arthritis the bacterial infection directly attacks the soft tissues of the joint. So exercises will play an important role. Also while performing the Strengthening of the core and pelvic floor along with special exercise will help improve the bladder to empty completely and avoid any bacterial infection to persist due to Union my clinical practice I recommend patients with similar complaints to physical therapy as it will help them to recover better and avoid future complications. RegardsJay In" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my son is 10 years old and had 2 knots come up one on the side of his face close to the bottom of his ear and the other one at thebottom of his face close to his throat. What could this be and do we need to be concerned. They both are sore to the touch.", "output": "Hello! Welcome to Chat Doctor. These are most likely enlarged lymph nodes. Commonly due to some infection in oral cavity, these nodes enlarge. Inflammatory process in them causes pain. In my clinic, I look for source of infection & if found, removed. Antibiotics are prescribed and if there is no obvious source, FNAC - fine needle aspiration cytology of the lump is done. Treatment is done accordingly. Hope this helps. Wish you healthy life. Thanks. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 25 years old and over the past few months have been extremely tired all the time. I had a baby in June of 2010, so she is almost 8 months. She sleeps through the night, so its not that I am being kept awake at all hours. I find myself to be so tired, even after 7 to 8 hours of sleep I cant drag myself out of bed. I am litterally so tired when I am trying to get up, my eyes seem like they close on their own and I fall back asleep without even knowing it - until I wake up again.....I have trouble eating during the day as I feel too tired to even bother. My body feels exhausted and I feel like I have to lug myself around the house, and feel like I get nothing done that I need to. Although this has been happening for a few months, I find it to be much worse when I am about to get my period and then for the whole timme I have it - like extreme tiredness. I just want to enjoy my last few months at home with my baby and make the most of it but I feel too tired to even play with her most times. My doctor suggested depression when I talked to him a few months ago but didnt give me anything for it....I dont agree that it could be depression as I dont show any other symptoms...I dont cry all the time, Im not overly moody besides being very tired and its not that I have a lack of interest in things, I just find myself too tired to do anything....please help I really want to make the most of my last few months at home with my baby", "output": "His understand you concernDepression can be presented with somatic complain. Weakness and lethargy is the most common among them. Tiredness is also part of chronic fatigue syn Chat Doctor. So need to consideration. Sometimes you do not have classical symptoms of depression but antidepressant will helpful in such cases. This kind of condition can be treated with sertraline or Escitalopram. Mood alert like modafinil sometimes helpful. Boost of vitamins and minerals are beneficial. Eat healthy food and take proper sleep. Get well soon. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "after i ejaculate it feels like theres semen still in the vas deferens i still ejaculate and thats normal but it seems like some semen stays in the vas deferens it feels like small lumps but if i ejaculate again the lumps are gone could some semen not be ejaculated", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. I suggest that it is just a feeling. don't mind that. Semen is a body fluid and is a waste product for body. Body need to expel it, and it will do so whatever may happen. Therefore, don't worry about that and let the body do its job. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter is 8 years old. She has developed breathing problem for the last two years during the months of April till June. Doctor has advised Livolin and Budecort to inhale through nebuliser thrice a day. Are these drugs safe and can be taken for a long time.", "output": "HelloWelcome in Chat Doctor. I have gone through your query regarding breathlessness of your daughter, and she had been advice Violin and Decor for inhalation through nebulizer by your doctor. Your medical history, season (April to June) and medicines which releases the symptoms it appears as your daughter is having allergic bronchitis or asthmatic bronchitis. This is an allergic disease and till now there is no treatment to cure it, but the important thing is that with some precautions one may save from attack of dyspnea.1- Avoid sudden exposure to cold and hot.2- Try to avoid dusty atmosphere.3- Avoid pet in house.4- Avoid carpet in house and mainly in bedroom.5- Humidity is also harmful. If possible you may consult Allergy specialist for skin test for identification of suspected allergen and that may be manage by desensitization. The Chat Doctor. Probably above answers your query. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I have started wheezing at night , it started while i went to lay down for bed and it has now continued when i sit up in bed or lye down. It has been going on for about a month and a half. I have a hyatial hyrnia also. It was told that it might go up into my lungs.", "output": "Hi, Yes,it could be possible that your hiatus hernia is causing this wheezing because in this hernia, the protruding part might cause compression over diaphragm leading to irritation of pleural tissue. This mechanism might be the reason of your wheezing, and it can also cause shortness of breath and dull chest pain occasionally. Usually it is not serious but consult your doctor if it troubles you more." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my stomach has been painful since this morning. I felt hungry this morning first, because of the pain, then I ate some food, but the pain continues. Then I felt full. I took the medicine called soothe compare to pepto-bismol. 2 doses, but didn t seem help.", "output": "HI. Your history is saying you had pain in the morning, and you got hungry due to it. This suggests the possibility of an Acid Peptic Disease, which can be gastritis or duodenitis or so. The non-response to the food and the medicines you took indicate a possibility of a Gastric or Duodenal ulcer or pancreatitis or cholecystitis. I would advise you to be nil orally-meaning do not take anything orally as you need to undergo ultrasonography of the abdomen, Upper GI Endoscopy and other blood examination including Liver functions and Lipase, Amylase enzymes, sugar, kidney functions and so on. Get admitted in the hospital." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi sir,i was diagnosed with rheumatic fever when i was 16. my doctor had asked me to take penidure 1.2 LA injection till the age of 40. i used to take this injection but for the last 4-5 years, i have stopped taking it. right now, i have fever (varying from 100 to 102 F), cough, cold, slightly bad throat, and am also experiencing mild chest pains and breathlessness. what do you make of these symptoms. Should i resume the injection? till what age should i take this injection. I am 30 now.", "output": "Hellos you stated in you query that your doctor advised Benzedrine penicillin or endure 12 lac unit at the age of 16 years till 40 years. Now you are only 30 years and stopped the injection. In my opinion, you should take these injections for up to 40 years age as this injection are most suitable for streptococcus infection, which is the main cause of rheumatic disease. Now about these symptoms as you mention may be due to some bronchoconstriction caused by some allergy or due to other infection . So take some montelukast+albuterol tablet, once in day. Also take some cough syrup like dextromethorphan + ammonium chloride+chlorpheniramine. Since these are prescription Chat Doctor. Once again for endure, consult your treating physician and get his opinion regarding stopping of " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was bit by a medium sized dog about 12 days ago. There was a little tooth mark, but the dog did not break the skin and I didn t bleed. However, I had a black & blue the size of my fist. As the black & blue is now disappearing, I noticed a golf ball size lump, which is changing shape and is now like a large man s thumb under my skin. I am on Warfarin and am concerned even though I went to the doctor and got a tetnis (T-Dap) shot. What can I do to get rid of the lump?", "output": "Thanks for consulting. I have carefully worked through your case, and I can realize your health worries. Being your physician, I assure you not to worry as I will take care all of your medical concerns.it is a category 1 dog bite as there is no bleeding and if the dog is a pet dog no need to take anti rabbis' antiserum. But it is advisable to take anti rabbis' vaccination. Do not worry about the swelling it will disappear. It may be due to bleeding withing the skin. Try compression with ice pack. Hope it helps. If you need further, detailed and quick assistance related to any health issues in the future, feel free to ask me a question directly from my profile. Have a wonderful time ahead. Best Regards!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been been stung by something on my back three days ago, I have a lump about 3inches round and its very tender to touch and red and feel like its burning.The lump is around 2cm raised from my skin.can you please advise what to do as I dont know what stung me and at the time I was sitting at my desk.", "output": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. The possible swelling is because of the other infection or may be because of the allergic reaction to the sting. I advise you should take the cetirizine for the allergic reaction, diclofenac and serratopeptidase for pain control and healing enhancer, ciprofloxacin tablet for infection control. Please take the above medication under your doctors' guidance. Local application of the antibiotic ointment can help, you can use polypoid ointment. Please maintain good local hygiene. This is equally helped full in treating infection as do antibiotics. Avoid excessive sweating, wear cotton undergarments. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my two year old has been complaining of her vagina and anus itching, I began to noticed discharge that went from white to greenish yellowish, which I know generally is a sign of infection, then a few days later I noticed redness around the anus and vulva, and just last night there were blisters apprearing around the anus, any idea what this could be?", "output": "Hi, From history it seems that she might be having worm infestation. Worms coming out during nighttime and migrate to vagina producing itching and irritation on anal region and vagina. It is also possible when local hygiene is not maintained proper. Apply triple action cream. Keeplocal hygiene clean and Chat Doctor. Go for stool test for ova and cyst. After report go for anti-worm treatment after consulting your doctor. Ok and take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am 29 years old, 65 kg ,married (no child) and have PCOD. I had two missed abortions (First Trimester) in last 3 years. SAC was always smaller by 1-2 weeks. My Lupus Anticoagulant and Toxplasma IGM has come positive. Last conception was done while i was on Letroz 2.5 and Glycomet Sr 500 , for a year for my PCOD. Periods are always delayed by a month. Want to conceive but am quite apprehensive whetehr this time also i will miss it. Suggest treatment and the way forward", "output": "Hi, I think you can conceive by metro tablets. The chance to get pregnant in one cycle of timed intercourse is 7 to 10 percent only. So, try at least 3 to 6 months. Track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles. Be in contact with your husband every 2 to 3 days after your periods stop. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. If it doesn't work, then you can go for GUI. When you conceive, you need to take aspirin also and may be infections of heparin daily. Discuss with your doctor regarding this. Hope I have answered your question. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was playing indoor soccer and was kicked right in the front of my big toe on my right foot. Its been about a week. It did bruise and is slowing regaining color. I played indoor again last night and got it stepped on. Its super sore and still very brusied. And Now it has a fluid oozing out that is sticky and is causing my toe to stick to my other toe any sock. Is there anything I can do to help my toe or is it anything concerning?", "output": "Cellophane You for contacting Chat Doctor. Welcome to Chat Doctor. My name is Chat Doctor. I have gone through your query and would try to help you in the best possible way.Oh, you shouldn't have got it hit again any ways take care if it now is infection forms pus, and it accumulates in compartment sometimes nail has also to be removed and that's what you won't like so take good careSUGGESTIONS:1- Augmenting 1G twice daily 7 days2- Tab broken 400\u00a0mg twice a day 5 days3- tab citizen 10\u00a0mg in night3- Polyphase bandage daily, if puss is there as " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 18 month old daughter has had a fever on and off for the past few days and now has a spotty rash all over stomach, chest, and back. She wont eat properly and is crying constantly. She wont take any kind of medicine. She will throw it up. What do I do? I have been vomiting all day?", "output": "Hi... Thank you for consulting in Chat Doctor. It could be any viral erythematous illness. But as you quote them as itchy blisters - the possibilities are Hand Foot Mouth disease/ Chicken pox/ any other trivial viral exanthem. I suggest you use calamine lotion as its giving results along with oral antiallergic like HY Chat Doctor. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my daughter is 16 yrs of age and is 5 months post op of having her gallbladder removed. Her recent labs show low WBC 4.1, Neutrophils Segmented low 34.0, Lymphocyte High 52.0. Morphology is Anisocytosis Slight AB, Atypical Lymphocytes Few AB. What could this be from?", "output": "Hi, dear. I have gone through your question. I can understand your concern. You have low normal WBC count. Your lymphocytes count is slightly increased. It suggests that you have some viral infection. Atypical lymphocytes are also due to this. Consult your doctor and take treatment accordingly. Chat Doctor. Go for repeat CBC count. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am expecting twins and scheduled for a possibly c section on sept 1st (original was sept 27th). My OB is worried because my platlets have been low in the 85 s however with my first pregnancy it was like that too My question is now she seems to be more worried and I did more testing today She said she spoke with a hematologist and if they are not in the 100 s she wants me on pretizone (steriods) and was wondering why and what are the effects to me and the babies", "output": "Hello, I have gone through your query and understood your concern. Use of corticosteroids during first trimester of pregnancy has been shown to be associated with an increased incidence of oral clefts. There is no reported rise in major malformations. Since you are term, there is no need to worry about malformations. Since you are being posted for an elective cesarean section, it is essential that your coagulation profiles are normal. A lowered platelet count carries with it the risk of increased tendency to bleed during surgery and this is why, your doctor wants the levels to be maintained in normal limits. Please go ahead with the suggested management. Wish you safe motherhood." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Sir, This is janrdhan,iam 38 yrs old my hight 5f 2 in i am suffering dust allergy, it would come when i roaming in dust and i sleep under hi speed fans, it affects me, now iam using by doctors suggestion medicine like allegra,nurokind,, but still idid nt relif so plz kindly suggest the best way..by days itself i got dry coughplz suggest medicine thanking you, YYYY@YYYY", "output": "Hello Canadian, Thank you for asking at Chat Doctor. I went through your history and would like to make following suggestions for you:1. I usually suggest my such patients' combination of montelukast and levocetirizine of fexofenadine for minimum 4 weeks regularly. It will control your symptoms but will not \"cure\" allergy.2. For allergy, I would suggest you allergy testing for common allergy causing substances like - house dust mites, insect proteins, indoor molds, common pollen in your area, pet dander (if you have pets), etc. This will help you identify the substances causing allergy symptoms to you and also to know the measures to avoid them. (As you say you are allergic to dust, the dust usually contain above-mentioned particles within them).3. Based on allergy testing, an Allergist-Immunologist may prescribe you allergen specific immunotherapy which works on immune system to gradually improve allergy symptoms.4. In general, I would suggest you to avoid exposure to dusts, smokes and air pollution.5. A healthy diet and regular breathing exercise will help you in a long run by improving your immunity and lung capacity. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you the best of the health ahead. Thank you & Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, i am 26 and my height id 165 cm and wt:59. I had been suffering form hirsutism and now i m fine. However my skin has excess of hair and i want to reduce them . i had tried laser treatment before but that affected my skin texture and also resulted in acnes. I am not sure if bleach or any other thing any help. Is there any natural way of reducing facial hair?", "output": "Hi Natural way of losing facial hairs which is being traditionally followed by our ancestors mainly include Turmeric. Turmeric can be alone applied on the skin, keep it for half an hour and wash it with pain water. Turmeric can be also mixed with equal amount of began (gram flour) with or without milk cream. This gives good results. If this doesn't help simple threading or bleaching skin in tone with your skin color shall really work. Do let me know for any additional information anytime. Take care. Best regards " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, doc! Last night I had the fever 99.9F, during the night I decided to take Ibuprofen and felt on the kitchen floor unconscious for 5 min. , then puked up for 15 min. This morning I still feel very week... Is this the food poisoning symptoms or some kind of nasty virus? Thanks.", "output": "Hello, Welcome to Chat Doctor, I suppose you are suffering from Viral fever, Viral Fever is usually a self limiting condition, which usually takes 5 days for recovery. We can catch a virus from other person who is suffering from Viral fever through coughing, Sneezing. There is no indication for antibiotic therapy in Viral Infection, but our bodies immunity gets lower during a viral infection, and we can catch secondary bacterial infection, so if a doctor finds any signs or symptoms of secondary bacterial infection he/she adds antibiotics. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a piercing at the top of my ear, which I put a ring in instead of the stud. Its been perfect for months on end and then the last few weeks it started developing a pimple-like bump at the back. I left it alone, cleaning it daily with surgical spirits. It is now so swollen that the clasp at the back where I could have taken it out has pretty much been swallowed by swollen skin. Its very red and this morning I woke up to it pussing. Im on my third day of anti-biotics called Biotech Ciprofloxacin and still cleaning it with surgical spirits. I also cleaned it with salt water earlier today. I need advice on how to make it better without removing it, because that is pretty much impossible. Please help me!", "output": "Hi, Dear,Thanks for the query to Chat Doctor. I studied your problem in depth and I understood your concerns. Treatment -In my opinion your lump on ear at piercing site is due to the cellulitis with infection at the piercing site. The ring you put is causing a metal reaction. So you need to take treatment under cover of an ER Surgeon and don't self-medicate, as your case has become complicated and would damage your ear Penna permanently. So act fast and get ER Surgeons consultation and intervention Ugly. If you don't want to remove as you are afraid of its pain, then Show to ER surgeon if it grows and worries more. Ideal solution is to remove the metal causing contact dermatitis, leading to perpetual infection at piercing site. So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you, but just ask a query to Chat Doctor and be comfortable to resolve your health issues. Welcome for any more query in this regard to Chat Doctor. Write good resume and Click thanks if you feel satisfied with my advice. Have a Good Day. Chat Doctor. N." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My platelet count is 80,000 and has decreased from 160,000 in the past year. Hemotologist just wants to monitor every two months. I had a bone barrow test one year ago. No findings although he said he did not get a good sample. Did not want to repeat. Should I be concerned and seek a second opinion? Recently have had more difficulty with small cuts bleeding more than usual. Thank you.", "output": "Hi, This condition of decreased platelets is called thrombocytopenia in medical terms. Decreased platelet count may have several causes such as Chat Doctor. From the description that you have given your condition appears to be adult ITP (IMMUNE THROMBOCYTOPENIA). It occurs due to molecules called autoantibodies on the platelets surface which destroys the platelets. Autoantibodies in simple terms is like an army that attacks the people of its own country. I would suggest that you get a peripheral smear evaluated along with your complete blood count by a hematopathologist. You may also get a Combs test done to find out if there are other immunological problems that are getting your platelet count down. I presume that your initial work up would have also included HIV testing as HIV can also cause low platelet count. However, in your case this does not appear to be the cause. The most important advice I would give is to monitor your platelet count regularly. Repeating the bone marrow test is not necessary for ITP as the problem is not in the marrow. If the platelet count falls below 50, 000/ cu. Mm then your doctor should be notified. Platelet counts below 20,000 have a risk for causing bleeding within the brain. Adults with platelet counts >50,000/mm3 do not require treatment. Treatment is indicated for adults with counts < 50,000/mm3 with significant mucous membrane bleeding. Treatment also is indicated for those adults with risk factors for bleeding (e.g., hypertension, peptic ulcer disease, vigorous lifestyle) and in patients with a platelet count < 20,000-30,000/mm3. If your platelet count falls to a very critical range your hematologist may treat you with medication such as glucocorticoids, IVG immunoglobulin or newer " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor,My mother is an asthamatic and diabetic and has been suffering from pneumonis and being treated an MAdam Mohan MAlviya hospital in Malviya Nagar Delhi. The doctors there have recomended for a HRCT test done for her chest. Cld u recomend the hospital where we shld go for this test?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. HRCT thorax is done at radiology center. So ask your doctor about nearby CT scan centers. Usually CT scan is not required for diagnosis of pneumonia. But in some cases if diagnosis is not confirmed or patient is not improving, or we suspect TB or OLD (interstitial lung disease) then HRCT thorax is advised. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, My mother is 50 years old and has asthma from around 7,8 yrs now. These days her asthma is not that bad but she used to get cough in almost 1 month or so. Maybe sometimes she gets a little cold (even in summers) and then she gets cough, which then gets worse and worse. One doctor previously suggested some steroids like derifylin and dexona. But then using them in 2 months or 3 months is i believe dangerous (she has already taken them 5,6 times in the past). We then consultant a new doctor and he has now suggested some medicines like: brophyle, advent 625mg, enzocort, tussin ,reswas syrup and montair lc. My main question is why this cough occurs again & again and what could be done to avoid this. The medicines are not that effective as the days are passing. What is the best way to avoid such occurances of cough and what all to eat and care.. I would really appreciate any help in this regard. Thanks, Ashish", "output": "The cough is occurring again and again because her asthma is not adequately controlled. She can be given a short course of steroids along with inhalers like sere tide or Aeroflot or forecourt. Once breathlessness and cough are controlled, oral steroids should be tapered off and inhaler medicines continued as these have hardly any side effects. She can continue deriphyllin and montage LC. Before all this, have a chest x-ray taken to rule out any other pathology." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i do kick boxing and took a hard blow to the left side of my upper chest just below the clavicle bone 3 weeks ago, it hurts when i take a deep breath in the left side of my chest or if i apply pressure on the area. Please can you advise me on what to do. Thanks", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. You are having blunt chest trauma 3 weeks back. Musculoskeletal pain is common after blunt chest trauma. So better to avoid movements causing pain. Avoid bad postures in sleep. Avoid strenuous exercise and heavyweight lifting. Avoid pressing chest. Start painkiller and muscle relaxant Chat Doctor. Apply warm water pad on affected areas. All these will give you symptomatic relief. If after 1-2 weeks, you still have pain than get done chest x-ray to rule out internal damage. Don't worry, you will mostly improve with above-mentioned things. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good evening Sir. My father (59) was mild brain stroke 2 month before. Now he is recovering after treatment without operation only by medicine. doctor advice him to continue Tab Torleva 500. May I know how long continue ? he is doses is OD. Is this right ?", "output": "Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. Torleva or Leviteracetam has to be continued as long as the EEG is abnormal Please repeat the EEG every six months When it is normal, you can taper the dose and gradually reduce it and stop it Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in Chat Doctor at http://bit.ly/ask" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been having a bad pain just under the edge of my middle left rib cage. It is slightly burning sensation that seems worse when I lay down. I also seem to have a lot of inner twitching for lack of a better term, on the right side just under my rib cage. I have no history of reflux, andhave only had heartburn during pregnancy. I am currently without insurance and would hate to go to the ER for gas or something relatively normal.", "output": "Thanks for contacting Chat Doctor. You gave problem of heartburn at lying down position that may because of gastroesophageal reflux disease. Gastritis may cause burning pain in stomach. More gas or acidity may cause pain under rib cage area. Proper physical examination and history give exact idea. Consent a physician for further diagnosis. Avoid spicy food and citrus foods. Avoid alcohol Chat Doctor. Avoid stress. Elevate your head during sleeping. Eat small amount of meal and chew properly. Avoid immediate sleeping after meal. I hope my guidance is helpful to you. Take care. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im 39 years ol and i have so my erction is not long time in the same i have made love just one time for 2 monthes and i have made masterbation for 4 years so i feel afraid as i am going to get a girl freind and we will marrry after 5 mo nthes so what is the longest erction it should contiue", "output": "Hi ... According to history you are talking about premature ejaculation... But as it was first time mostly performance anxiety will be the cause. .... If after marriage you have same continued problem like ejaculation before reaching orgasm then you have to consult psychiatrist... Following are some suggestion for such case.... Double condom can be used.... Stop start techniques and squeezing technique useful.... Do masturbation before sex found useful... Do sex in comfortable position... Kegel exercise for making pelvic floor muscle strong ... Local topical anesthetic application in form of gel found useful.... Regular exercise and balanced diet... Avoid stress is the main measure .... Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, This is Praveen (32 ys), my recent blood test and LP test gave shocking results, Cholesterol - 244 and SGPT - 127. My Ultra sound test indicates Fatty Liver (17.2 cm), I used to be a Alcoholic, but since 8 months i have socially (i,e so far i would have had 4-5 times). i even stopped smoking since 2months. Very frequently i bleed along with my stool. I get bad stomach ache before, when ever i bleed. I keep on getting pain at the bottom of my rib position towards the right side, ie near the liver. Can you please provide me of what i should do further, and take care offf...", "output": "Hi Praveen, Thanks for your query. All the problems which you develop are due to alcohol and smoking. Stomach ache before bleed in stool is due to gastric or esophageal varices. All your symptoms are suggestive of Alcoholic fatty liver suggest you to stop Alcohol immediately not even socially. Have a balance diet rich in green leafy vegetables & fruits. Have a complete medical checkup with a Medical Gastroenterologist. Hope this will help you. I will be available for follow up. Wish you a good health. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my husband is suffering from neurocystisiscois since 1996 .He is having convulsion and they r pretty bad .He has been put on zenretard 200mg.He is taking 700mg perday.I wanted to know that is this disease curable or shall we leave it to god.When will it be completely cured", "output": "Hi, Thank you for posting your query. I have noted your husbands symptoms. Neurocysticercosis refers to the tapeworm infection of the brain, and it is the commonest causes of seizures/epilepsy in India. Neurocysticercosis (NCC) can be easily treated with albendazole or praziquantel tablets. The improvement of infection can be seen and followed up with regular brain scans. NCC gets fully cured in a few months, however, it may take a few years in some cases. So, in your husbands case, the NCC infection would have got cured by now. In some people, after healing, NCC leaves a scar or calcification. These can also lead to seizures. Therefore, the anti-epileptic medications need to be continued for long. If you can send the MRI report of your husband, I can guide regarding his treatment. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, Chat Doctor. Ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello ,I have had afib for going on 4 yrs . I have been on many meds ,did a cardioversion that lasted 8 mo . I feel the same as I did when this all started and don t know how much longer I can take being this tired ... I bought a new camera a yr ago to start a new bus . but didn t even open it . why bother im to tired . ive been on metoprolol er 100 2x day now im on diltiazem er 240 2x day . nothing changes my pulse is in the 90s and my blood pressure is within normal range .my afib is fast but the meds don t realy help. im 61", "output": "Hi welcome to Chat Doctor. I understand your query and concern. Atrial fibrillation is known to cause Rapid heart rate and fluctuations in blood pressure. I advise you to have a baseline 2 dimensional echocardiography, ECG and lipid profile to assess the basic cardiac reserve of your heart. Restrict the intake of salt to less than 6g/day. Regular physical exercise in the form of brisk walk for 20 min a daily is useful. Chat Doctor. Reduce the intake of fatty and fried food. Electrophysiological study with or without Radiofrequency ablation is the procedure of choice in your case. You may also need Coronary angiogram to look for any co-existent blocks in the heart. Consult a Cardiologist and discuss for further expert management. Post your further queries if any. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am married since 10 months . I am 35 years old. I had miscarriage ( 6 weeks ) . Doctor advised me not to take chance before three months. Now from march i am trying for conceiving but still not conceived. I was taking folic acid from last two months . Now i started fertyl 50 mg from yesterday ie 3rd day of period .Can i take folic acid with this ? Is there any side effect ? Will i able to conceive again ?", "output": "Hi welcome to Chat Doctor. Forum. The causes of miscarriage may be in the female or male. When there are repeated abortions then only you have to worry. Both the partners should go to the gynecologist or infertility clinic. Besides you make it clear that you didn't have anemia & other general causes. I advise you to take green leafy vegetables, cereals, fruits, and juices to become fit to conceive. You have conceived & had abortion, so there is ovulation. don't worry you will have a beautiful child soon." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was told last friday that my spleen is enlarged. Since friday, it has become very painful. It feel a lot of pressure on my left side under my ribs. My Dr. (pulmonary) wants to see me in 3 weeks to re-evaluate. They found the spleen after a ct scan was taken of my lungs. Lungs are normal.", "output": "Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. Enlarged spleen is called splenomegaly and there are various causes possibly leading to this. In first case these are infections such as mononucleosis Parasitic infections, such as toxoplasmosis or Bacterial infections. It means that any infection in your body may lead to spleen enlargement. Second most common causes include autoimmune diseases such as thrombocytopenia. If this is ruled out by specific tests then some other causes may be considered and some are more or less serious such as Leukemia Lymphoma, or noninflammatory diseases such as acidosis, lupus, and rheumatoid arthritis. In every case, infectious causes are treated with antibiotics and other causes may require surgical removal of spleen. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "warfarin (5 years)for couple of DV thrombosis..recently discontinued neurophen cos of sore stomach...past history of ... colitis/diverticulitis....recent very small amount of red mucous on toilet paper.and occasional v small blood traces ... does warfarin cause Large bowel thinning...?", "output": "Hi, Warfarin is unlikely to cause large bowel thinning. Warfarin is an oral anticoagulant (blood thinner) commonly prescribed to treat and prevent clot formation such as in deep vein thrombosis. Its common side effects include bleeding, necrosis of the subcutaneous fat, and a number of Chat Doctor. Based on the history you seem to have bleeding from the large bowel apparently caused by warfarin. I advise you to consult your treating to adjust the dose of warfarin to prevent bleeding from the bowel. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir, i m 23 years old and from past 2-3 years i am being troubled by my thoughts. They are out of control of my mind at many times. I fear for my family every time . I dont know how can i tell you but let me try: If i am doing any work and some thoughts like fictitious problem (which has no meaning) regarding my family comes to my mind then i repeat the work which i was doing...be it opening the fridge or climbing the stairs or writing in a page. I tear away a number of pages while doing work just because of this problem. This may be anything from putting a glass down to opening or closing a gate or opening my tv. 3-4 years ago in there were some arguments with someone and there was a fight but even after 4 years if his thoughts come to then if i am writing something i tear that page and write it again. Sir, i want to tell you that approx 3 years ago for some months i was indulged in smoking and drinking too but i quit after some months totally and from past 3 years i am not doing any kind of such activity but i have developed this fear problem. I am not relaxed at any time even at the time of masturbation i am in continuous resistance from my mind and it is my mindset that just after ejaculation i have to think good and if just after ejaculation i have bad thoughts then again i try to masturbate and if i cant then i leave it for another time to do it correctly. actually just after doing a work my mind wonders to think something fearful or horrorful so that i have to do the work again. I also want to tell you that after quitting alcohol and cigarettes i started a fascination towards masturbation and a fantasy for other s aunts etc. It was a bad thing though but i think this also may be one of the cause for my problems. Some times i am really frustrated with this world and just want to leave it as people are just going after money and leisure and the same time it is fearful also to leave everything. Sir, please help me out currently i am studying and have to do much study to achieve. Please help me out.I want you to help me whether it is medicine or exercise or whatever but currently i want to study and live like a normal person.", "output": "Degree understand your concerns went through your details. The duty of your mind is to think. You cannot stop it from thinking except when you are deep in sleep. Instead, you learn to divert thinking towards more creative and productive tasks. You are 23. You must be having other duties like education or career. Divert your thoughts towards these tasks. Obsessive talks cannot be controlled, but can be managed through diversion and creativity. You need to struggle initially, but then it will be automatic. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am not sure if I injured my hand at some point or if something is going on with it, because it was extremely sensitive on the outside of the pinky finger and would hurt if someone would shake my hand. Now, it is not as sensitive, but I can still feel a burning sensation (painful) occassionally", "output": "Hello, I have studied your case. Due to compression of this nerve root there can be burning sensation in your finger. I will advise you to MRI cervical spine for better diagnosis. You can take reserve forte consulting your doctor then it will be more helpful. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi. my daughter is 4 n half yrs.she is suffering from red itchy patches on her hips back side i have consulted skin expert n child specialist , its goes but within a week comes back.currently using hydramost lotion n atarax syrup. please suggest something by which it can be cured completely.", "output": "Hi... I sympathize with the kid and understand your concern. As a matter of fact even my kid had this when young. The trick of the management is keeping the skin moist and never allowing it to be Chat Doctor. For this oil massage and lotions like Hiatus will help. Regarding cure options - eczema is a sort of allergy...allergies can only be controlled and can never be cured. But usually kids grow out of it...that is as the age progresses, they become better. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am experiencing back pain above my waist left side and in my abdomain just below my breasts. This has been going on for 6 days. At times it wakes me up from sleep and I have to get up from lying down. The pain comes and goes but when it hits me it is severe. My urine is clear and not experiencing any burning or any discomfort in that area. So I possible pulled muscle in my back. Would a pulled muscle cause abdominal pain also?", "output": "Hi. Thanks for your query. Read and understood your history of pain on one side only above the waist line and below the breast indicates that the pain may be due to :- Herpes under eruption.- slipped disc at that particular level. This can be diagnosed by a clinical evaluation, actual physical examination and investigations such as MRI of the spine and as indicated on clinical examination. The correct diagnosis will give a perfect plan for treatment." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I had a vascular problem with my arm. The surgeon removed a veian from my leg and did a branchail to ulner bypass to try to savethe arm, ehich later had to be amputated. Now I have quite a bit of pain in the hip and knee joint of that leg, especially when walking. Is there anything that I can do to alleviate the pain and help me with walking?", "output": "Hi Hope this message finds you in good health. I have gone through your complaints and understand your concern. The pain you are having right now may be due to straining of some sort of soft tissues, nerves. Avoid strenuous work, take adequate rest. Physiotherapy, analgesics,anti-inflammatory Chat Doctor. Get a X-ray to find out what's wrong. Nothing to worry about. I hope your question has been answered. If you have any follow-up queries, feel free to consult me anytime. Thanks, Take care, God bless." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good Morning. I start Clomiphene 50mg on October 11 which was 3 days after my period stated for 5 days and waited 5 more days testing for ovulation. I started testing positive and had inter course every day after. My period is was due on November the 8th and it came down on the 5th for 4 days light. I still feel bloated and light sore nipples but preganacy test was negative yesterday please help.", "output": "Hallow Dear, It is but natural that you are suspecting missed period as the bleeding was light. However, if the urine pregnancy test has given you negative result, you have to have another confirmation, as urine pregnancy tests may give false negative results in the first week after missed period. I would advise you to go for Beta Chat Doctor test which is highly sensitive and very specific test for diagnosing pregnancy. This test can give reliable results as early as 2-3 days after missed period, even before that also. I am surprised to note that you took Camphene tablets just for 3 days. Usual course is for 5 days. After completing the Camphene tablets, it is advisable to monitor the ovulation by ultrasonography. The sexual intercourse is to be adjusted on and around the day of ovulation. Usually the egg is matured when the follicle has attained the size of 18 mm. If the ovulation takes place after the follicular size of 21 mm, the results in terms of pregnancy are not good. If the follicle does not rupture naturally, In. Chat Doctor is given to induce the ovulation. From the day of the injection, you should have at least alternate day sexual relations. I hope this helps you, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been diagonised for rectal polyps a year before and not yet removed.now I have pain in belly right amd center part may that be because of the poly? I have no fever,no vomiting amd the pain starts usially in the afternoon and comtonoue till midnight for more than 2 months . How about the baloon mattres does it may be acaise? Tthank you Lo", "output": "Hi, You have already been diagnosed for rectal polyp. Plenty of times these conditions are symptomatic and goes unnoticed but once it becomes symptomatic it requires treatment. In few cases they have also showed malignant potential. Balloon mattress have no role in its formation. Mostly they are idiopathic, genetic sometimes, ..... So as you are symptomatic to it, you should undergo surgical excision biopsy for it. Thanks n regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have hepatitis c virus Genotype 4b infection for last seven years. I have undergone Interfiron cum Ribavarin treatment of 48 weeks twice. One and half months ago I again started Hepcvir and Ribaverin treatment. Now the level of SGPT (ALT) is 71. Bilirubin, Cholesterol Sgot etc are normal. Is this high level Sgpt dangerous.", "output": "Hello patient You are having hepatitis C. In all hepatic viral infections the level of Sept is high. This is very common finding, but you should go for ultrasonogram to rule out cirrhosis of liver. The medicines you are taking for hepatitis C & the disease itself increases SGPT .you should regularly monitor SGPT, Bilirubin regularly.Also, the sonogram at regular interval with the guidance of gastroenterologist. Wish you good healthy life! Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi My mother is allergic to food. initially it was for few food habits now it has increased a lot and she is allergic to any food item and she is facing th eproblem daily, please suggest me what kind of treatment and where can be available in hyderabad", "output": "Hello, Thank you for posting your query on Chat Doctor. I appreciate your concern for your mother. Food allergy is an immune system reaction that occurs soon after eating a certain food. Even a tiny amount of the allergy-causing food can trigger signs and symptoms. The most common food allergy signs and symptoms include:Tingling or itching in the motives, itching or eczemaSwelling of the lips, face, tongue and throat or other parts of the bodyWheezing, nasal congestion or trouble breathingAbdominal pain, diarrhea, nausea or vomitingDizziness, lightheadedness or fainting In some people, a food allergy can trigger a severe allergic reaction called anaphylaxis. This can cause life-threatening signs and symptoms, including:Constriction and tightening of airways swollen throat or the sensation of a lump in your throat that makes it difficult to breatheShock with a severe Chat Doctor. This is a medical emergency, and she should go to the nearest hospital if she gets a symptom suggestive of anaphylaxis. Food allergy should not be confused with food intolerance which is much more common and is a less serious condition that does not involve the immune system. In food intolerance one may be able to eat small amounts of problem foods without a reaction. By contrast, in a true food allergy, even a tiny amount of food may trigger an allergic reaction. Because a food intolerance may involve some of the same signs and symptoms as a food allergy does like nausea, vomiting, cramping and diarrhea, people may confuse the two. There are skin tests and blood tests to detect the foods your mother may be allergic to. A specialist in Internal Medicine or an allergy specialist will be able to arrange that. If you have further queried, I am available. Best wishes for your mothers good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 3 year old was running today and fell and hit his head on the edge on the concrete. He has a pretty good size knot on his head along with some bruising! I didn t take him to the doc just kept an eye on him for signs on concussion! And after about 20 mins he was fine. But now he is asleep I felt the knot and it s squishy and not hard. Should I be concerned?", "output": "HI...coming to your queries.you need not be concerned. Usually a soft tissue swelling like this will take sometimes 2-3 weeks also to go off completely. First be reassured that your kid is normal. I will suggest you danger signs of head injury -1. Vomiting continuously2. Seizures3. Watery of bloody discharge from ears and nose4. Unconsciousness5. Altered sensorial or behavior. If none of them are present, I don't think you should worry about his trivial head injury. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Are there any alternatives to dialysis. i was recently diagnosed with 5.7 creatine and told ai have in stage 4 kidney failure... i am scared and very concerned. i have read many things about dialysis and see that pd is good, but learned that you walk around with sugar in your belly... please let me know is there is something else i can try to lower my creatine.thank", "output": "Hey. Welcome to Chat Doctor. As you said that you have stage 4 kidney failure, then in such cases Dialysis is must. Do not worry, please go ahead and consult a good Nephrologist near you so that Dialysis can be precisely done to you without any adverse effects. If still you are not willing for Dialysis, then the last thing would be kidney transplantation. Hope I have answered your question. If you have any other questions, then I will be happy to answer it. Wish you good health. Take good care. Warm Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had congestion, very frequent sneezing, runny nose for 5 weeks now. I got put on Amoxicillian for 7 days and that did not help. The last few days I developed a cough and a very smelly odor when I do. I also have bouts of wheezing and crackling sometimes throughout the day and night.", "output": "Hi, I think that your problems is between a flu by viral infections or a upper airway allergy. In both the antibiotic is not effective. In other hand wheezing is everywhere a sign of constrictions airway in low level of respiratory tract, and both with cough maybe speak for a before asthma situation. Bad odor is by some microbial flora in your tract that activate during inflammatory process and go on after medications. By me, you need a Specific IGE (ALLERGY TEST) in order to be clear is allergy or not. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have pain like when you have eaten something too hot and the area just behind my front teeth is very sore amd tender and slightly swollen. I have had pain in my nasal pasages also prior to the mouth pain, for about a week. It fell just like I have been punched on the nose?", "output": "Thanks for your query, I have gone through your query. The pain on the palate could be because of authors dermatitis that occurs most often secondary to stress. The other possible cause could be secondary to trauma like tooth brush injury or from food particles. It can also be from the herpes virus infection. If it is a traumatic ulcer or herpetic ulcer, you can take topical anesthetic and analgesics like Anabel gel. Apply 3-4 times daily before food. If it is authors ulcer you can take topical anesthetic and analgesics like Anabel gel. Apply 3-4 times daily before food and topical steroid like triamcinolone acetone 0.1% 4-5times daily after food. Do saline gargling. If the lesion does not heal in 5-7 days then consult an oral physician and get it examined. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I thought I passed a kidney stone. My lower back and kidneys hurt very badly and later in the day the pain went away. Now everytime I eat or dring, my kidneys get sore and I get cramping in my lower abdomin. Am I just slowly passing a stone or could it be something else?", "output": "Hello need proper clinical examination and investigations. Investigations include routine hologram, random blood sugar, urine RE/ME, renal function test, X-ray PUB and ultrasound of abdomen. CT scan of abdomen can be done if needed. Ultrasound of abdomen is most important in your case. It can diagnose many conditions, and it is very helpful in diagnosing renal calculus. Proper treatment depend upon findings. You should Chat Doctor. Get well soon. Take Care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,My name is Deepak. My AST/ALT level is 52/79 and ALP is 137. I feel little vomit when i burp after meal. What does the elevated AST/ALT/ALP indicates? Is it dangerous? can you suggest me diet/work-out routine and what precautions/medications should I take to make my liver normal.Thanks and regards,Deepak", "output": "Hello! Thanks for putting your query in Chat Doctor. I am Chat Doctor. Elevated liver enzymes has many causes like alcohol intake, viral hepatitis, autoimmune hepatitis, metabolic disorder for which you require evaluation. So I will advise you to visit to your doctor for evaluation and management accordingly I hope I have answered your query. If you have any further query I will be happy to answer that too. Wish you a good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i pulled a muscle in my back a few months ago and when i get home from work it bothers me and its hard for me to get sleep at night sometimes. i dont have insurance and i cant afford to go to doctor tylenol and ibuprofen doesnt help anymore hot pads and creams dont help either", "output": "Hi, Thanks for using ChatDoctorIn my opinion you should stop worrying. For immediate relief have tramadol and serratiopeptidase. Do not lie down on soft mattress use hard one instead. When getting up from bed always take a lateral position first then hang your legs down first and then get up. DO not strain your self or over exert. Take complete bed rest for 2 weeks, just walk in room and come and lie down. After 2 weeks start with some back strengthening exercises. Do some hot fermentation if pain is unbearable. You will be fine in 2 weeks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, my 8yr old daughter tested pus cells (60-80) and some epithelial cells in urine. what does it mean? Also, she has an allergy like reaction allover her body. She is always often coughing, she gets treatment, gets ok, but it never really goes aways. What could it be?", "output": "Hi, This means there are two possibilities. 1. Allergy or inflammation-induced sterile Syria where there will not be any urinary infection, but there will be plenty of pus cells in the urine.2. Urinary tract infection. If there is no fever or stomach pain with chills and rigors you can wait. But if there is fever she will require urine culture and butter to start on antibiotics, please. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Am 19 years old i performed an echo an it showa everything normal but with mild(benign) mitral valve prolapse with no MR but i have some palpitations that increases after exercise and it becomes annoying so is dangerous and what may be the complications and is there any medications although my doctor prescriped B blockers but am not persuaded....any help?", "output": "Hello thanks for writing, MVP is not a serious condition, it is not life-threatening as such but in some people it may cause tachycardia, in those patients doctor prescribes medications like beta blockers, I would suggest you not to panic, if you have frequent episodes of palpitations you can use the blocker regularly if you do not have regular palpitations you can just use the medication when ever you have the problem of palpitation. Everything seems to be fine. Best regards. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter (4.5 YRS) got her collar bone fractured from middle portion. Orthopedician suggested 8 figure sling. 15 d post injury, when it was reexamined by X-ray, no rejoining by then and broken portions were a bit more apart, in comparison to the time of injury. How much time it may take to heal properly and bone rejoining ?", "output": "Hi, Collar bone fracture unites gradually even if it is displaced. It needs surgery almost never. Any delay or misalignment of union will not cause any functional issues to shoulder. Figure of 8 helps initial immobilization and pain relief. Healing usually occur by 4-6 weeks. Your orthopedist will discuss in details. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had a root canal done couple weeks ago , the first part of the treament was fine, got relief from having it cleaned, filed etc.. it was under a bridge towards back teeth. Anyway , when I went back for second part dentist had to build core with a platinum post, I guess he used sealers too, right at that moment I felt my sinuses swelling up and I have been sick since then with headaches etc.. I am very chemically sensitive as I have fibromyagia. Should I have the tooth extracted? Then I will lose my bridge..any solutions to this problem?", "output": "Hello, Have you had a follow-up visit with your dentist and discussed your symptoms? I suggest an evaluation with a root canal specialist before considering an extraction. There may have been some sinus reaction to your infection, and you need time for this to heal completely. Antibiotics may help improve your ability to heal. There are surgical endodontist procedures that can treat resistant infections. Removal of the post and core is possible if you have a reaction to the material, but this should all be contained inside the tooth and canal system. There is something wrong if the post is outside the tooth or root. Look into all possibilities for treatment before disturbing your bridge. Any loss of a tooth under a bridge can cause removal of the bridge or weaken it. Make sure your periodontal condition is sound, and you do not have an unrelated sinus infection. I hope this helps, and you are able to retain your tooth witChatDoctorfort. Thank you for your inquiry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Help! I have urticaria on my buttocks and thighs - humidity and tight pants might be a factor. I first noticed the red irregular bumps on my buttocks about 4 years ago in the summer after returning from the beach/ pool. I continued to get it every summer since after sunbathing; it lasts for 2 to 3 weeks and then it goes away. This year however, I got it in February (I was pregnant at the time) and its been coming back on and off in small bumps since then. I finally saw a dermatologist who did a biopsy; the diagnosis- papular urticaria. In hope for an answer, I saw an allergist as well - turns out im allergic to dust mites and cockroach (not known to cause hives). Yesterday I went to a hot yoga class; the room was warmer than usual and i sweated profusely. I got home and my right thigh was covered in red bumps of different sizes, some even expended into a massive red area overnight - they are somewhat itchy and my skin feels as sensitive as when I get sunburn. My left thigh is not as affected - just a few red bumps. I take Allegra on a regular basis and I used anti - itch lotion for the first time today (Itch Fix, i believe). I do not have any other medical condition aside from Thalassemia minor. The rash seems to have gotten worse since it first started 4 years ago, it really worries me. What else should i look into? What steps should i take?", "output": "Hello friend, I am a Homeopath and so my answer will be different from what you have already heard about allergy. Yes you are allergic to several things like heat of summer, dust, mites, cockroach etc. This hypersensitivity is inborn or genetic. But the time of developing hypersensitivity is related usually to a psychological conflict you had at the time of onset of the problem. If you started getting it 4 years back, exactly before that you must have had some shocking conflict which remain unresolved. But your brain associated the urticaria to the external environments like heat of sun, dust etc. instead of associating with the conflict. Now your brain has made a program associated with these factors and whenever you get exposed to such environments you get the symptoms of urticaria. First if you can recollect the conflict, then you can resolve it at the mental level. How you reacted to that is important because that is your genetic, constitutional individuality that made you to react in that manner. This will help the Homeopathic physician to select the constitutional remedy for you. Therefore, my advice to you is to approach an expert Homeopath at the earliest. You should stop taking any anti- Chat Doctor. Once you are cured, then your urticaria will go away. With best wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I just want to ask regarding on my problem. When I make a deep inhale, I can feel something is aching near on my liver . Its on upper right and upper left part of my belly about 2 inch below my nipples. It just started 2 days ago. I don t feel anything if I will breath normally. I can feel it if I make a deep breath. Is something wrong on my liver or just a muscle pulled right behind my ribcage?", "output": "Hello! Thank you for the query. Strained muscle theory is possible. But your pain can be caused by some other reasons like broken rib, lung disorders or gall stones. It is advisable for you to have at least the chest X-ray and ribs X-ray, abdominal ultrasound. Fool blood work with liver and pancreas enzymes should be performed as well. Always when chest pain appears, heart condition should be checked with ECG. If this tests will all came negative, strained muscle can be the reason of your pain. Hope this will help. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "SIR, Im masturbating from the age of 16 and inmid of my 20s i started to masturbate daily and little regularly. and when i hang out with my girlfriend romancing, my balls gets heavy pain and i just cant walk normally. and now im 23yrs old, still im masturbating regularly now and then. will their be any sexual problems in my future or after marriage? or should i need to take any treatment or any prevention methods or diet? please help me with this doctor.", "output": "Thanks for asking in Chat Doctor forum I understand your concern. But there is no need to worry as masturbation is harmless and will not cause any problem in your future married life/to beget child Chat Doctor. Balanced diet with regular exercise will definitely help you gain confidence and boost your immune system. If you get pain again while romancing with your girlfriend then please visit a doctor for examination at that time. All the best. Hope I have answered your query, please let me know." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband had his prostrate removed a year ago. They watched the level on PSA. It was always over 1.6 and 1.9. Now it is outside the wall, they did not get it all in surgery. We are going to radiation for 39 treatments. Mon. thru Friday , everyday for 10 minutes. Does this mean they will get rid of it. The Dr said is was small micro cells. Do you personally think this will get rid of it?", "output": "Hi, Welcome to Chat Doctor forum. It appears that there are metastases, in the nearby tissues.Hence, the report of the PSA is high. The radiation possibly clear all the metastasis, so you may get the normal values. Give him more of green leafy vegetables, pulses, sprouts, and protein rich foods to have blood, good health and resistance against the infections. Tese may improve the recovery well. If the values are still high, of course it may not happen, he may need to have chemotherapy. Wishing for a quick and complete recovery. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello, I was bitten by my puppy while rescuing him from the attack another dog and my puppy was not vaccinated so i started to take rabipur as 0,3,7,14 & 21 or 28. after taking my first dose i missed the second one for day 3rd so please tel me what to do, my puppy is fine can i resume my dose or i have to make new schedule please tel me.", "output": "Hello, Welcome to Chat Doctor, Rabies is 100% fatal, but it is 100% preventable by proper and adequate treatment. As you were bitten by an unvaccinated pet dog, treatment should be taken as per the schedule. You require active immunization with antirabies vaccine on days 0,3,7,14 and 28. If you have missed the second dose of antirabies vaccine take as early as possible. Observe the dog for 10 days, if the dog is healthy you can discontinue the remaining two doses of vaccine on days 14 and 28. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a massage therapist and during a session afew days ago I felt and heard 2 loud pops in my wrist. Now I have pain in my forearm whenever I move it and a deep bruised feeling in the center on the inside of my forearm. Could it be a serious injury and should I go to the doctors?", "output": "Hi, You seemed to have sprained your wrist by possibly by a heavy massage session. Please ice it. Use a compression bandage and take pain medications when necessary. It will be better to elevate your hand above the heart level to avoid swelling. Mild to moderate sprains respond to this method, and you will get well soon after some wrist exercises. If not better even after a week then there could be tear of the wrist ligaments which need an MRI and treatment according to the situation. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am having seizures my Aunt and her daughter and her daughter had seizures also are they genetic? I am also having trouble with weakness in my arms and legs, I sleep more than I should I cannot wake up. I also have brain tumor would this cause part of the trouble?", "output": "Hi, Thank you for posting your query. Seizures in your case are probably genetic, also known as idiopathic epilepsy. A brain tumor on the other hand, can also cause seizures. It is important to know the location and size of brain tumor. If possible, please upload a copy of the MRI brain report. There are good medications to prevent seizures, so, there is no need to worry. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, Chat Doctor. Ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doc,i have a simple question, my wife is pregnant and she is about week 20+4 days, the baby and the mother are in a very healthy shape, but the doctor asked her to come back after 2.5 weeks for an internal test! and ive heard that this kind of tests take place during the final stages, so is that normal or not?", "output": "Hi dear, I have gone through your question and understand your concerns. Internal examination or pelvic examination is not done before37 weeks of pregnancy in an uncomplicated pregnancy. However, in certain conditions, like preterm labor, vaginal infection, it may be required a bit early. I will suggest you to discuss with your doctor the need and reason of this test. Hope you found the answer helpful. Wishing you good health. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my one year old has ear infection. wont eat but takes liquid sip at a time..throwes up everything his fever is bout a 100..first visit to hospital was subscribed amoxicillian he got worst then subcribed clarithhromycin but doesnt take it cuz the tatse n makes him vomit..so made personal choice back to amocillian..holds it down but vomits later..not sure if its working at all", "output": "Ear infection is usually due to certain bacteria and can usually be treated effectively with either amoxicillin or azithromycin. If the child is accepting amoxicillin, giving it should be fine. The fever or the ear discharge may last for a few days. No need to worry about it. Also give paracetamol and tepid sponging to reduce the temperature. Alongside, if ear discharge is present, I would prefer administration of some antibiotic ear Chat Doctor. Talk to your doctor about it." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had low hemoglobin since last June in Oct 2011 my rheumotolist suggested I go see a GI doctor because my hemoglobin had dropped to 8.9 and it was appearing on the blood work thayt I was having internal bleeding . I had an endoscope and colotosopy. They were normal. I then has a capusle endoscope that was normal. I had blood work done in Feb. my hemoglobin had dropped to 7.9 still indicating internal blleding. On May 12th I went to the Er with rapid heartbeat , vomiting , and shortness of breath, My hemaglobin had dropped to 7.1 and rock bottom iron. I was admitted and given blood transfusions and iron. The doctors have now ordered a constant CT can of my adoman. I have been going to the hemotologist and getting feronine infusions weekly. My iron is still low and my hemoglobin has dropped from 10.3 in the hospital(after transfusions) to 8.3. They did do another endoscope in the hospital and that was fine. My family doctor, the GI and Hemotologist all seem to think i am having some type of GI bleed. What could it be.", "output": "Hello and thanks for the query. This is an excellent question. It does appear that you have a significant anemia. I am not sure that your doctors can conclude that you have actual bleeding going on. It is possible that your body is somehow destroying the red blood cells. This can sometimes happen through an autoimmune process. I am, sure you're hematologist has considered this. He may have requested some special laboratory studies to rule this out. It is important that you continue to receive your iron supplementation. As long as the other blood cells in your body, including platelets and white blood cells are within normal limits. It is most likely, your bone marrow is functioning normally and that some type of processes going on whether it is some type of bleeding that has yet to be discovered or whether your body is actively breaking red blood cells apart somehow through this immune process. Thanks again for sending your question. I can appreciate, that you're dealing with a very stressful and frustrating situation. Please let me know if you have any additional specific concerns." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had hernia surgery 2 times; I ve since gained a significant amount of weight so I think maybe the work is coming undone,it seems as if I never had the corrective surgery because it is just as (if not more) painful; after work I was changing my clothes ( my pants were a little tight in the waist ) and I noticed bruising in my lower abs but not where the waistband would be. I had a relatively large bruise on the lower right side and on the left side and around to the center i had two or three smaller bruises. None of the bruises hurt to touch or even to push on, the only pain was the pain of the hernia feeling as if it were pulling apart (or tearing ) and in my lower abdomen it feels as if I have minor menstral cramps; I have no insurance so avoiding an unneccesary trip to the doctor is ideal for me, if there is anything that one might suggest as to what may be going onandif I can take care of it myself or if it is abso;utely neccessary to seek out a doctor s help", "output": "In cases of unexplained bruises without any trauma one needs to investigate the coagulation status of the blood. Usually this kind of bruises occur due to subcutaneous tiny hemorrhages. There can be various causes which can cause such hemorrhages. I think you should see a physician to get clinical examination done. The doctor may initially want to check your platelet count, bleeding and clotting time. There is always risk of internal bleeding such cases, which can be serious. There is nothing one can do at home. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a lump on my back that feels like a bubble of gas or water, about the size a baseball. It moves around a bit when I put presure on it, or when I lie down. It does not hurt much and it is under my left shoulder blade...What is it. I am 50 years old in general good health.", "output": "Hello and welcome to Chat Doctor, A mobile lump which feels like gas, or fluid filled like can be a cyst. However, certain investigations are required before management can be planned. Imaging preferably an ultrasound of the back is required to assess the site and origin of the lesion. After assessing the site and origin, an aspiration cytology can be planned. In this investigation, cells are aspirated using a needle, stained and examined microscopically. Management/ treatment can be planned after investigations. Thanks and take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m 19 and I had a kidney stone that blocked my kidney and caused pyelonephritis and then lead to sepsis, which almost killed me. Could the kidney stone that blocked one of my kidneys have caused the cortical thinning of both of my kidneys?", "output": "Welcome to Chat Doctor, one stone blocking a single kidney can cause pyelonephritis and sepsis so severe that it can kill you. However, it shall be not cortical thinning of other kidney. You shall have different etiology for kidney thinning such as vesicoureteric reflux. You should see a urologist and sort out your stone problem and also find out the cause of your bilateral cortical thinning. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My five year old daughter has had a fever since yesterday around 7 pm. It goes up to 105 but I can bring it down with a cold bath and some Motrin. She also has a cough that sounds wet but not coughing anything up. She complains her head hurts. She has a white tongue with red spots", "output": "Thank you for following up. She has mixed infection. I suggest1. For fever, you can use Paracetamol suppositories 10-15 mg/kg/dose, in addition-Tulsi juice, physical methods(cold bath)2. Lozenges-Sualin, Strepsils 1 tablet 4 times for resolve.3. Kuka syrup(1/2 teaspoon 2 times) will work for inflammation and cough.4. Antihistamines (Cetirizine syrup)5. Vitamin C 1 tablet one for 10 days.6. For boosting immunity-Zincovit 5 ml once a day for 1 month.7. For white tongue-clean with soda water, apply Candid 5 Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had some anatomy/physiology. I have been experiencing some pain in my right thigh in the area of what I believe is the adductus longus muscle. When I sit down, the pain recedes as if to open up and pinched nerve (?). If I stand or walk for a few minutes, the pain returns. I thought it could be the sartorius muscle but I don t think so. Could it be varicose veins? Could it be something involving the sacroiliac nerve? I have had a diagnostic test to see how the circulation is in the area, results negative. Any clues?", "output": "Hi, thank you for providing the brief history of you. As you have pain in the adductor region it could be a spasm of the muscle for which a thorough clinical assessment is advised.Also, the test for venous insufficiency is performed and is negative then nothing to look into the worry factor with venous hemodynamics. Also, this kind of pain can be due to pinched nerve in the lumbar spine as due to which the symptoms can arise. An MRI of lumbar spine will help assist further the soft tissue statues and help us to plan the treatment. Also undergoing physical therapy will help to Improve the strength in the muscles and also will improve the flexibility. In my clinical practice such cases respond well to physical therapy. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i went to my dentist for a cleaning and I also had him look at my tongue . I have this white growth on my tongue that is flixible and small. It looks like a small projection from my tongue. My dentist told me not to be concerned that it was just a soft tissue tag. Is this possible. I pulled at it and it broke off but then grew back to the same size. I have had it for several weeks and it is not any bigger and has no pain.", "output": "Hi ! Good afternoon. I am Chat Doctor, a general surgeon answering your query. From your history it appears to me that it probably is a benign papilloma of the tongue. Because it possibly is concerning you too much, I would go for an excisional biopsy of this soft tissue tag, and my further management will depend on the report from the laboratory. Wishing you an early recovery. Thank you for using Chat Doctor for your health query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 6 yr old son starting itching around his private area so I started A & D ointment. I looked behind his ears and saw that his skin looked a litttle irritated and applied it there as well. After about a week, I called his dr because they both seemed to not clear or dry up. She prescribed him nystatin, she said that it might be a yeast infection. Its been a week or more now and it is worse. It seems as if it has spread a lot in both areas. Is it the Nystatin thats making it worse, should I ask her to prescribe another product, or is it a simple fix that I am overlooking? Please help me. Also, not sure if this can help the answer but she had to do a blood culture on him and she said she has to retest because his white blood cell count is really low. She said his iron is a little low as well and he has a sickle cell trait.", "output": "Hello and welcome, This sounds like a frustrating situation. The first thing that I thought of when reading your question is that your son needs to be seen in the doctor's office to truly evaluate that rash. While it is quite reasonable to have a medication such as statin prescribed over the phone, given the failure of it to clear up the rash, and that it is getting worse, and that you've tried for a week - it is time to take him in so the doctor can look at it and see what that rash truly is. Regarding whether Statin can make a rash worse (or cause one): the worsening of the rash may either be due to that statin is not the right medication to treat this rash, OR that your son is sensitive or allergic to it. At this visit the doctor can explain the significance of his low white blood count and whether this might be related to the persistence or worsening of his rash. She will be able to tell what specific cell types of the white blood count are low. I hope this helps you. Best wishes to you and your son." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a lump inside my tongue that started as a mild soreness last night and now is taking up about a quarter of my tongue. It s not visible but my tongue feels swollen and has a hard lump inside on the right side. I had severe tonsilitis a few weeks ago and have had a sore throat ever since, but no tongue problems before this.", "output": "YOU HAVE NOT GIVEN YOUR AGE, HOWEVER THE MOST COMMON SWELLING IN INNER 1/3RD OF LOUNGE IN YOUNG PEOPLE IS EITHER A LINGUAL THYROID OR A CYSTIC SWELLING CALLED GRANULOMA SINCE MORONICALLY BOTH START FROM LOUNGE. IN THYROID CASE THE EMBRYONIC CELLS MIGRATE FROM INNER ASPECT OF LOUNGE TO REACH ITS PROPER PLACE BELOW THE ADAMS APPLE. YOU ARE ADVISED TO REPORT FOR A CLINICAL EXAMINATION BY ENT SPECIALIST WHO WILL BE OF HELP AND HE MAY ASK FOR RELEVANT INVESTIGATIONS." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i had came out of school and i was single. i have started working for a company and had devoted myself to them. Through out the first few months working for this company. I had began to noticed that i have a skin disorder called Vitiligo. This has impacted me as i had went into a depression for awhile. I was my own coach and although my father has it i knew it was genetic. Through the years i had seek help for vitiligo, but came to terms that there is nothing else that can be done but wear makeup. However the field i m in is stressful, and there are many demands on workers like myself. Nonetheless i had met someone outside of my work who has a child and since then we now have 2 other boys of which the older and youngest ones have disabilities. The other thing is my preevious employer, i m sure had feeliings for me and was jealous of my spouse. I felt harrassed many times as my employer was personally picking on me. This employer even made up a lie about my spouse which tried to get me into trouble about breaking confientiality. I had felt stressed to go to work. I had expressed my stress/anxiety by gagging before i arrived at work. About a year ago i had went to one of my sons, touraments, where there was lots of people and when he was presented a certificate, i was happy but i had expressed that by gagging 2 or 3 times. I had embarrassed him and my family and myself. That year, had expierence gagging fits @ my sons soccer games, i did not gag at all of them, i had tried to calm myself or even walk away. That did work sometimes. However the interesting thing is, when i had finished my gagging, (it could be 2 or 5 times) i felt relief or a sense normallity. Since then i work indirectly to my previous employer. I know there are some possible stressors. I am forty years old and I have thought about a possible career change. That alone is stressful in itself. But, now after being out of shape and overweight for about a year. I know my health is also taking a toll. I had went to see a naturalpath who prescribed me (ignatia amara 30 ch), i have yet taken them despite knowing the side effects may be horrible. I know this when i went online and it said that when the person feels horrible feeling the medication is working. However , my girlfriend is on medication and she at the beginning felt horrible and the withdrawwals were bad too. However she continues to be on them. Anyway, I still have anxiety, and i still gag. It seems like i get anxiety when there are lots of people around me, i feel a lump in my throat, it feels then that my shirt is too tight or coat. My gagging seems to be impulsive, i sometimes never know when it may happen. My girlfriend is embarrassed when i gag and gets upset with me and will walk away. Sometimes i don t mind because i might vomit. She did say that i need to get help as it is affectiing my home and possible work life. I have even thought about not being here. But, that is not an option, i have too much too loose, my family needs me and i am a role modle. I know that ending my life is no escapegoat and i have the ability to change my life. I have always been a very optimistic person and centered and believed in people. However, sometimes i don t care, and feel angry and alone. I am thinking about seeing my naturalpath again or even my doctor. Any info you can give me will be greatly appreciated. Sam", "output": "Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. This illness is called agoraphobia and this is treated with relaxation therapy. Further paroxetine is also a good Chat Doctor. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i am about 31 weeks pregnant, i felt the baby move around a couple of hours ago and after that i felt a sharp stomachpain that worsened with in 10 mins now. its been about 3 hours now and it has not gone away. for a while my stomach was so tight and in pain that i could change positions from where i was layng. are these contractions? shpuld i be worried?", "output": "Hallow Dear, The fetal movements seem to be normal; however if your uterus is becoming tight, it means your uterus is contracting strongly. Please note the frequency of such contractions and whether you can indent the uterus with your finger during contractions. Also note whether it is uterus which is becoming firm or whole of the abdomen is getting tight. If it is uterus which is causing painful contractions, you will have to report to the Obstetrician ASAP since this is indicating premature labor contractions. You will be given some injections to relax your uterus; however at the same time you will be given steroid injections to make the lungs of the baby mature so that they will function well after the premature delivery. Please do not waste time and rush to the emergency room ASAP. Till that restrict yourself to the bed. Hope this gives you message. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 5 year old woke up this morning saying that his head hurt (right behind his ear). I asked him if his ear hurt and he said it did not. That pain went away after a few mins but then he started complaining of his chest hurting (up high close to his neck) He has a fever of 100.3 and I put my hand on his chest and could feel his heart pounding hard. I felt his radial pulse, it didn t feel extremely fast for a child.", "output": "Hi, By what you say I feel that this is a viral illness with non-specific symptoms which is starting. I will explain to you how are viral illness behaves so that you can be more confident. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I was just recently treated in the hospital for testicle and groin pain, and the doctors determined that the cause was epiditymidis (spelling), and I was also tested for chlymida and gonorrhea, both of whicChatDoctore back negative. Since then, I have been having a dark yellow, almost brown ejaculate, I was just wondering what could be causing this?", "output": "HelloThanks for query. You were hospitalized for Epididymitis and treated with antibiotics very recently and noticed your ejaculate (Semen) to be brown . This is due to residual infection of the epididymis where sperms are being stored before they are ejaculated . You need to continue appropriate antibiotics at least for 3-4 weeks along with anti-inflammatory Chat Doctor. . Ensure to avoid sex till it gets cured completely." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 35. healthy. I have had anxiety in the past and was told i have pvcs. everthing has been calm the past few years. Last week i started to get chest pain, rapid heart rate, and i feel like i have bubbles in my chest that make me want to cough, what could this be", "output": "Hi. I can understand your concern. If the chest pain is disturbing your routine activity then get a chest x-ray done to rule out any lung infection. Ideally ECG and 2d echo should be done first in your case. If both are normal than no need to worry about heart diseases. HERD (gastroesophageal reflux disease) can cause similar kind of chest pain. You can take proton pump inhibitors. But along with Chat Doctor. Avoid stress and tension. Avoid hot and spicy food. Avoid junk food. Avoid large meals, instead take frequent small meals. Quit smoking and alcohol if you have these habits. Go for walk after meals. Keep 2-3 pillows under head in the bed to prevent reflux. Lose weight if you are obeseDont worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had sex with my boyfriend a little over a week ago and ever since then I have had some pain in my abdomen and my side, I also started my period about 4 or 5 days after( I have irregular periods so I never know when they may come) anyways the pain has lessened. I have felt slightly gassy. I haven t had any change in eating or such. I feel active and all, just curious as to what might be wrong. It was my first time and I didn t bleed during or after, he didn t ejaculate inside of me or even before hand . Not sure how long I should wait for the pain to go away or what. Any answers would be greatly appreciated!", "output": "Hi welcome to Chat Doctor forum. Thanks for calling Chat Doctor. F. As you describe you had sex for the first time, and you had pain in abdomen and side. Lasted for few days. It is due to 1st experience you had pain, it is optional, as you had pain it is suggestive of having tear. Of course, it may be cured by its own, but it is better to have treatment by a doctor. Simply by a non-invasive treatment it will, you will be fine. Though no pain it is wise to have treatment for complete healing. Wishing for complete recovery. Best regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "If you have anal sex then wait 15 minutes and start cleaning your butt then accidentally swiped a rice size portion of sperm across your vagina can you be pregnant even if you cleaned inside and outside and left everything completely dry (meaning inside the vagina too)?", "output": "Hello dear, I understand your concern. In my opinion there is no chance of pregnancy with accidental touching of minute amount of semen as in your case. So relax. There is chance of pregnancy when semen is ejaculated inside or around the vagina during the fertile period. As nothing such happened there is no chance of pregnancy. Avoid stress regarding the thought of pregnancy as it causes hormonal imbalance and might delay the period and confusing the situation. Hope this satisfies your query. Feel free to discuss further. Best regards..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My friend fell down from a flight of stairs in mid 2010. She has a spine injury and now since is pain in her back is getting severe, she went to the doctor. Her mantoux test is positive. What does that mean?? Does it necessarily means that she has TB?? Whatever the case, is it cureable?? It has been a year since she had the accident and her checkup was on July 2011. Please help me out.", "output": "Hi thanks for contacting Chat Doctor... Tuberculosis is curable through AKT course of antibiotics.... So don't worry about that.... But positive manitou test not always means TB positive .... It could be latent TB infection.... If BCG vaccine given then also test can be positive .... Atypical mycobacteria also gives positive reaction.... Tuberculin skin test also affected by few factors like....../age/immunity/chronic illness etc... So for tuberculosis confirmation other tests done like chest x-ray, sputum examination etc.... Consult physician for examination ... Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hey When I am standing, my right knee cap points slight inwards. I had a fall on the ice a year or so ago and it popped, and now it swells up, mostly when it gets really cold. Is this a strained ligament that may require surgery or would quad strength training be effective?", "output": "Hello, I have studied your case, and It can be MPFL ligament injury. In this there is break in the ligament which keep patella in central position. To treat this you need to get MRI test to confirm if there is any ligament tear and if yes then what is the extent of the tear. If it is grade 3 or more, and you are having symptoms and cartilage damaged due to that then you will need surgery to repair this ligament. If there is no ligament tear then it can be treated with knee brace and physiotherapy. I hope this answer will be useful for you. Let me know if there is any other followup questions. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had ligament stretch one yr back on inner side of the left knee. I have pain in my calf muscles and aaaaaaaankle. My lowr leg starts aching after half an hr standing. Dr has suggested taking nurokind for 1 month. Will that improve the nerve comditions?", "output": "Hi, As per your query, yes the medicine you are taking neurons will be helpful is there pain is assessed by the physician as the neuropathic pain. Coming to the history that you had a medial ligament injury, you need to use the knee brace for walking and standing for long duration. Also, not doing proper strengthening of exercises post the ligament injury can lead to future pains. Usually people get misguided by other diagnosis and gets missed with the understanding that the muscles are not strong enough to provide the optimum output. I will advise to get it examined by an orthopedist and later a physiotherapist may come into role to help you get maximum outcome score. In my clinical practice most patient come for similar symptoms have ignored their ligament injury rehabilitation plan. And later with physiotherapy guided exercises they respond well. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "DEAR DOCTOR, I AM HEART PATIENT WITH DIABETES, I GOT CABG IN THE YEAR 1996 FROM APOLLO HOSPITAL CHENNAI INDIA, I AM TAKING THESE MEDICINES - 1. IMDUR 60 ONCE A DAY, 2. PINOM A20 TWICE IN A DAY, 3. RANOZEX 500 TWICE IN A DAY, 4. STARPRESS XL50 AT NOON, 5. ROSUVAS 40 AT NIGHT, 6. CLOPITAB A 150 AT NIGHT7. AMARYL M2 AT BEFORE MEAL, 7. VOLIX 0.3 MG BEFORE MEAL. MY BLOOD SUGAR FASTING - 110 PP 180 . SOME TIME PARTICULARLY AT THE TIME OF BRISK MORNING WALK I FEEL HEAVINESS IN THE CHEST, ALSO AT THE TIME OF UP STAIRS. PLEASE LET ME KNOW SHOULD I CONTINUE THESE MEDICINES OR MAKE ANY CHANGE ? MY MAIL ID IS YYYY@YYYY . PLEASE ADVISE ME ACCORDINGLY. THANKS.", "output": "Hi, thank you for providing the brief history of you. A thorough systemic assessment is advised. As due to diabetes the body is little slower than expected. The medication taken by you are to control the blood glucose levels in the blood there will be slowness in the metabolism. Which may lead to make you feel such heaviness. Usually there is nothing wrong with you except the slow metabolism. As time passes everything will be fine. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have a 5month daughter, when she was two weeks i found out she had a lump on her upper lip. I thought some insect had bitten her anyways i observed that the big she gets the bigger the lump get so i take her to a pediatrician, she examine her and told me it was a development cyst so she refer me to the out patient clinic at the hospital, they gave me an appointment for then to cut it.. my question is Doc.....are there any other way they can remove this cyst.", "output": "Hi. Thanks for the query. As per your complaint as your daughter is having a cyst n her upper lip that is present since 2 weeks of birth and is still present and getting bigger than it can be probably due to cause like sebaceous cyst, Desmond/epidermis cyst etc. Although all these conditions are harmless and will not turn into anything malignant but at times they are aesthetically unpleasant and needs removal. As it is increasing in size, therefore it has to be removed surgically as it can not be resolved by conservative means. So it is better to consult a Pediatric surgeon and get evaluated and can proceed for the surgery. Hope this helps. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am retaining a lot of fluid. One side of my face was swollen today and have had a headache for two days..my heart specialest prescribed fluid pills..I had coxsachie virus in 2012. Also have a pain in my chest area..blood work and chest xrays are normal..I dont know who else to see or what I can do.", "output": "Thanks for your question on Chat Doctor. Since you are having chest pain with fluid retention, in my opinion possibility of cardiac cause is more. Congestive cardiac failure (CCF) can cause chest pain and fluid retention due to poor pumping of heart. So better to consult cardiologist and get done1. ECG2. 2d echo3. Stress test rule out CCF. If pumping function of heart is decreased than along with fluid pill, you will require cardiac isotropic Chat Doctor. This " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have two straines of glandular fever, over weight and get tired easily. Found out I have a high level of allergy to certain grasses. Also found out the cancer runs in the family. My mum mum died with pancrease cancer, my dad died of aggressive cancer which started as a turmour in the bial duct, an uncle with pancrease cancer and an uncle with prostate cancer. Unable to loose weight, I eat right and exercise and hour per day and my house has 14 steps.", "output": "Hi, Welcome to Chat Doctor. I understand your concern regarding losing weight and staying healthy. Glandular fever is caused by a virus which usually is self limiting, but this virus has the tendency to stay dormant in the body and can get reactivated when the persons' immunity is low. You should target at keeping stress levels to minimum and take healthy diet to maintain a strong immune system. Exercise definitely will help. You have to calculate the number of calories you can eat per day and start a regular exercise which can be done every day. Please do not expect to lose weight suddenly, slow weight loss is easier to maintain later. Weight loss of half a kg per week is ideal. Predisposition to cancer in the family may increase the risk of cancer for you. Routine health check-ups will help you to deal with that. Allergy triggers have to be identified and avoided. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a pretty much, painless, mobile, rubbery feeling lump on my left shoulder blade. I am a bread baker and have been for 13 years and definitely can say that I put a lot of wear and tear on my uper back and shoulders. What could this be, should I be concerned about cancer? I m 33 and don t feel like I m sick at all.", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have some soft tissue tumor like lipoma or neurofibroma. Chances of cancer is very low. Still for the safe side you should go for fine needle aspiration cytology of that lump. It will give you idea whether it is simple tumor or cancer. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I HAVE AN INFECTION ON MY RIGHT BIG TOE WHICH MY PHYSICIAN HAS SUGGESTED I SOAK IT IN BETADINE MIXED WITH WARM WATER UNTIL I SEE A PODIATRIST. I HAVE TYPE 2 DIABETES. ANY CONCERNS ABOUT THIS? i TAKE AMLODIPINE, REPAGLINIDE, clindamycin, CYSTEX, SIMVASTATIN, FLOWMAX. THANKS. YYYY@YYYY", "output": "Hello, Thanks for the query. Foot or toe infection in a diabetic person is definitely a cause for concern. Mainly due to affection to peripheral blood vessels and neuropathy. Healing of wounds is invariably a problem.Therefore, first thing is had strict blood glucose control with FBG <100 mg, PP 150 to 160 mg & HbA1c%<6.8. Since you are already on pregabalin, means there is neuropathy, therefore you need to see a diabetic foot specialist early. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HelloMy sister(13yrs old) is suffering from severe abdomianl pain since last 4-5 days. She is not vomiting, but yes feels nauseated sometimes..we consulted our family doctor and said this is happening due to a swelling on her intestine she is on medications right now. But the pain is persistent.She doesnt feel the urge to eat anything, we are scared she might become weak if this continues..kindly provide me some suggestions, specially related to her diet.Thank you", "output": "Hi. Thanks for your query and an elucidated history.You're mentioning the names of the medicines prescribed to your sister would have helped me to help you more. Well, the causes of abdominal pain without vomiting can be due to intestinal infection / swelling and even the best medicines can take few days to show the results. This is the reason for nausea and loss of appetite. I would advise the following for you sister:Soft and bland diet, more and small frequent feeds. Continue the medicines as advised by your Doctor. You can add Risperidone and antacid, probiotic, Get the blood tests for typhoid, the commonest cause of swelling of the intestine. If required or if you feel that she has become weak, get her admitted to the hospital" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, Now am 27 years unmarried male,up to 22yrs, i was short, no physical maturation,small penis, no mustache & beard. I consulted a Endocrinologist & instructed to take testosterone 250mg inj monthly. Still am taking not regular but once or twice in 3 months. If i stop taking inj...my penis size goes little,Fat increases around my belly,thighs pain & Ejaculation happens in dreams also i have masturbation habit, Please help to find a permanent solution.", "output": "Hi, If you have taken CT brain can rule out pituitary issues. Regular exercise with testosterone can prevent you from gaining weight and you and build up muscles too easily since you are getting medical prescription of testosterone (Chat Doctor. Night fall / nocturnal emission can also be prevented by doing regular exercise and yoga. Maintain proper diet - meet a professional nutrition person (not online free stuff) and get started practicing proper diet. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my father is 87 and has congestive heart failure disease. He also has copd and had a stroke in 2001 and was diagnosed with prostrate cancer 4 years ago which was treated with radiation treatment. Can you tell me how many years he may have left in his life considering all of his current health issues.", "output": "It is almost impossible to predict longevity, but I will have to assume that he made a reasonable recovery from stroke and his prostate cancer is under control with treatment.it will then be the COPD and heart failure that will determine outcome. Please try to ensure that he does not smoke anymore (if he did in the past). Avoiding / treating chest infection will be crucial to prevent heart failure worsening.in good specialist hands and a good GP, if HF and COPD well managed he will have several good years ahead." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my mother is suffering from Multiple Myeloma for last three years now the disease is again progressive after first remission the doctors have prescribed lenilidomide +dexamethasone which is not appearing effective as the same dose has already been given to her for initial treatment what are the other options in India", "output": "Hi, dairy have gone through your question. I can understand your concern. Your mother is suffering from multiple myeloma. Initial treatment is realized plus dexamethasone. If relapse occur or patient does not respond to treatment then other option like bortezomib is useful. In refractory cases bone marrow transplantation is helpful. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Doctor, Plz note I am suffered three time for Jaundice in 3 year and recently I am suffering since one month as very mild the same ( having 2.29 bilirubin ) , I want to know that why frequently I got Jaundice and need your advice how to get relief from it since now my health is spoiled like any thing , Plz note my age is 46 and pure vegetarian no other problems ( sugar and blood pressure )", "output": "Hi, Thanks for your question. I would like to ask you certain questions before coming to the diagnosis. Does any family member of yours have similar illness? What is the color of your urine, stool? Do you have fever, weakness,itching over body, abdominal pain? Do you smoke or Chat Doctor? Liver Function Test. Ultrasound Abdomen.Also, I will advise you to take Liver Supportive enzyme syrup. Wish to see you soon and in the best of health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been put on pristatins for high colestral but last night I had a very fast heartbeat and I stayed up untill 02:20 worrying about it. It sudenly increased and was beating like a machine gun for about 2 minutes then went back to just being fast. I managed to get off to sleep at about 03:00 and this morning my pulse was 84bpm will I be alright now or will it happen again?", "output": "Hello and thank you for using Chat Doctor. I carefully read you question, and I understand your concern. I will try to explain you something. There are different reasons that might cause increased or faster heart beats. The faster heart beats have to do with rhythm issues. If the beats are fast and regular it might be just a simple sinus tachycardia meaning that your heart rhythm is ok but just beating over 100 for minute. If the rhythm is chaotic it might be a different arrhythmia like atrial fibrillation. The cause of this rhythm issues might be different. Physical or emotional stress, caffeine products might cause increased heart frequency so It's mandatory to avoid them. All sow, there are different pathologies like anemia, thyroid gland problems like hyperthyroidism that might be the cause of fast heart beats. In very rare cases the usage of stains for high cholesterol might give rhythm problems, but I'm not sure if this is your case. It might be just an episode related to a stressed day, or it might happen again. If it happens again, If I was your treating doctor I will recommend some simple examinations. I will recommend an electrocardiogram, a cardiac echocardiography and of course a rhythm holder monitoring for 24 h. This is necessary to have a full view of your mean frequencies during day and night. After these, a full blood check up to exclude anemia or thyroid problems. Doing these examinations helps us understand if it is necessary to treat this high frequencies or not. Hope I was helpful. Wish you good health. Best regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": ". Rashes appears on my body sometimes of its own and sometimes by scratching as there is lot itching also. I was not able to sleep .this problem started in May ,11 . I consulted dermatologist , he recommended Vozet to be taken daily at night without missing it . I started the course from July,11 . I am not satisfied as rashes still appear . According to the doctor this problem ll take long time , is its safe to take this medicine it don t have any side effects,", "output": "Thanks for asking via Chat Doctor, you might be suffering from scabies as it aggravates in night. Scabies is an itchy, highly contagious skin disease caused by an infestation by the itch mite Scopes scabies. Symptoms of scabies include a skin rasChatDoctorposed of small red bumps and blisters and affects specific areas of the body. Other symptoms can include tiny red burrows on the skin and relentless itching. The itch leads to frequent scratching, which may predispose the skin to secondary infections. Consult your dermatologist for proper diagnosis. Vozet is a safe Chat Doctor. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "having abdominal cramping..lower back pain ..if i had to describe it i would say feels like a contrcation and comes in waves..i am 48 period comes ang goes been irregular for about a year now and tubes are tied..", "output": "Hi Thanks for posting your query Your history is suggestive of painful periods and inflammation in the pelvis This is common when you are approaching menopause You should consult your Gynecologist for a proper hormonal assay and get an ultrasound to rule out any fibroid like lesion in the uterus Hope this helps Am available for any followup queries there are no further doubts, do accept my reply and rate it Get Well Soon" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i slipped on a rock and sprained my wrist two weeks ago. while the wrist improves daily, it is still swollen and stiff and sore. my elbow is fine and fingers are a bit swollen and stiff, but they move. the veiny side of mye wrist is most swollen and hard. ive been using various herbal treatments and ice, and wrapping it to ptotect it. i want an md to tell me this is normal and wonder how long til its better? thanks and happy new year.", "output": "Hi I am Chat Doctor. . In my opinion sprained wrists can cause tenosynovitis with stiffness it may take up to 2 to 3 weeks if it had no fissures or fractures. If swelling persists for more than 2 weeks I suggest X-rays and MRI to exclude bone injuries. For now stay massaging it, wear wrist supports or an arm sling, avoid heavy lifting and vigorous movements will help. If not visit your physician. Please click THANK YOU and consider a 5-star rating with some positive feedback if the information was helpful. Hope the above information helps you, Any further clarifications feel free to ask." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "a friend has a now softball-size bulge coming through his stomach. he is overweight with a big stomach, but is not flabby, he is fairly solid. i also learned today he is hospitalized with a heart problem of some kind. not sure what. can the hernia cause congestive heart failure? can it rupture and bleed out? can the stomach muscle tear to the point his insides start coming out?.", "output": "Hi, Noted the history about your friend who is obese but solid and not flabby, developed a softball sized lump in abdomen and is now hospitalized for some heart problem. To answer your specific answers:Hernia cannot cause congestive heart failure. Hernia is necessarily a bulge that increases on straining and is reducible. Since your friend is obese he may need assistance of Ultrasonography or CT scan for the conformation about the diagnosis. If there is a large hernia he needs surgery, but this is possible only he becomes fit and fine from his medical conditions which you are not sure about. There is another condition called variation of recto that develops between the two rectus abdominal muscles as there is weakness of the connective tissues between both. This is not a true hernia and does not need any surgery but needs strengthening exercises for abdominal muscles if the Cardiologist allows. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband and I have been trying to conceive for the past 2 months. Whenever we havde sex which is about 3 - 4 times a week occassionally. Whenever we do he ejaculates in me. Is it safe to ejaculate in a woman so often? How much is too much? Why am I not getting pregnant?", "output": "Hi, I had gone through your question and understand your concerns. There is no too much since there are no negative effects of ejaculation unless there is STD or unwanted pregnancy. But as I see, you want to become pregnant, so you should just continue with frequent intercourses, and it should be especially around your ovulation days. If there is no success after 1 years then we consider this as conceiving problem, and it should be treated in specialized clinic, so gynecologist consultation would be required. Since you try it just for 2 months then this cant considered as pathological and wait for several more months and I am sure that it will be worth. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my husband had a kidney stone removed (through uretha) two days ago - but has not had a bowel movement since (or before the removal for three days) - he used a laxative suppository (doctor said to ) 2 hours ago - but has still not had bowel movement - he is bloated and in pain on side where kidney stone removed - should we go to emergency room?", "output": "HelloThanks for query. Based on your statement it seems that your husband has undergone endoscopic surgery (URS) for removal of stone in left ureter and since then has not passed stools and has boated abdomen. This is mostly due to what is called as post-operative Paralytic Illus which happens once in a while after doing pelvic surgery. Please admit him in hospital and take following treatment 1) No fluids or food till he passes flatus or stools 2) I. V fluids to maintain fluid and electrolyte balance 3) Antibiotics It may take two or three days to recover completely. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Yes, recently I have had pains on my side and back. I am 54 years old, have high blood presure under control and diagnosed with chronic Kidney disease. Recently from time to time I have had almost all liquid diahreah, especially when stressed. What should I do?I will see my Doctor on this...thanks anyway.", "output": "Hello and welcome to Chat Doctor. Your concern is understandable. As a Urologist, let me advise you, that with CKD(Chronic Kidney Disease), you're prone to electrolyte (salt and potassium), changes with diarrhea. The kidney function tests, like blood creatinine, and urea with electrolytes need to be checked, and corrected according to changes seen. An Ultrasound scan of the abdomen may be advised, if needed. You may need admission after an examination. You should be careful to avoid potassium rich diets, like fresh fruits, coconut water, and adding table salt. Take fluid intake slightly more than urine output. You may contact me by name, with reports, for expert opinion." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doctor, Im prince, 23 years old, non alcoholic, not taking medicines/maintaining meds. I am really concerned with my labortory results GGT: 955, FBS: 83.5, UREA:28, CREA: 0.71, Uric Acid: 7.86, CHol: 255, TRIG: 159, Total Prot: 7.88, Albumin: 4.80, SGPT: 135.7, SGOT: 86.7, ALP: 131 obviously, my liver enzymes are so high and dont feel anything as of the moment. I am a laboratory technologist and tried to seek explanations about this but non of those fits my case. Hope you could enlighten me with regrds to this. I took an ultrasound 11 months and everything was normal", "output": "Thank you for posting your query at Chat Doctor. Hepatitis presentation. what's your height?weight?are you obese?further evaluation advised if not done yet. Have you been vaccinated for Herb?increase in the level of liver enzymes(AST, ALT) reflect an INJURY to the Liver. Medically, the condition is known as \"Hepatitis\". Your non-alcoholic and not on medications, so it maybe caused by:1. Virus (A, B, C, D, E)2. Gall bladder or common bile duct pathology 3.\" Fat excess\" 4. Other causes further evaluation needed1. Viral serology (HEPA, B and C) anti HAD, Bag, antiphon, anti HCV2. Lipid profile3. Ultrasound abdomen advice:-abstinence from \"Alcohol\" - LOW fat diet should be followed-NO red meat-vegetables should be ingested daily-Moreover, less activity should be carried out (no sports). Rest MORE.- use lemon juice (lemonade) once in a day-\"recheck liver enzymes after 6 to 8 weeks\".further queries are welcomed. Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .wish you good health. Regards, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello, i m from india my father has been daigonised with muscle biopsy and other tests like emg , blood tests etc and the cause was polymyositis with vasculitis ..after that medicines were given but no changes or progress has been seen.i can send you his biopsy report and other test reports which are required to you .kindly tell me email adress.assist me what to be done for treatment.", "output": "Hello, Thank you for your contact to Chat Doctor. I understand your health concern, if I am your doctor I suggest you that such conditions are very chronic conditions. It requires a continuous follow-up with report so being in touch with me helps you. You can take low dose prednisolone, it will improve the condition immediately, but you can send me a report and treatment taken to help you out more. Ask me as a specialist question in Chat Doctor website. I am Chat Doctor, Infectious diseases specialist. Kindly come up with the problem of yours. I will be happy to answer all your future concern. Thank you, ChatDoctorInfectious disease specialist. Wish you the best health at Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am seven months pregnant and I was just diagnosed with Glioblastoma Multiforme Brain Cancer Stage 4 a week ago What should I do?? The doctor is suggesting that I get an abortion done but I dont want to as it took me and my husband six years of trying to get a baby. He says if I undergo the surgery, I may miscarry or if I go through the pregnancy, it will be too late for any treatment. Apparently without treatment of this cancer, the survival time is about three months. He also said that the stress of child-birth could have serious effects on me. I am so confused. Please help.", "output": "Hi, dairy have gone through your question. I can understand your concern. You have nuroblastoma multiform. It is WHO stage 4 brain cancer. You should take treatment of cancer as early as possible. You can not go through pregnancy. Because prognosis is very poor if cancer is not treated. If you get proper treatment in time then there can be chances of survival. You can get pregnant if you survive. SO take treatment as early as possible and terminate the pregnancy. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello can overmasterbation cause perminite damage,i have a fatty liver and a scared liver,i dont drink but i have had a really bad masterbation problem for years.i also have high uric acid.can you get high uric acid from overmasterbation,and ,i have pain wear my liver is,can i fix this.", "output": "Hi dear thanks for asking question. Overmasturbation can not affect liver or kidney. Your liver problem and high uric acid is not because of masturbation. In fact masturbation can give pleasure. If you masturbate 3 times a day then some problem can occur by over masturbation like chronic fatigue, anxiety, groin discomfort feeling etc.... But it cannot affect your liver and kidney. I hope your concern is solved. Take care. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have a doubt. If a girl had sex n she took this i-pill next day only.how long will this pill act.i mean if she again had sex on the day after taking pill is there any chance of being pregnant ? Since these pills changes the hormone level so it shiuld stay for long.", "output": "Hello, and I hope I can help you today. The effectiveness of the morning after pill has not been studied specifically regarding its success rates in preventing pregnancy with multiple episodes of intercourse. However, sperm remain in the female genital tract for up to 72 hours, which is why the pill is most effective within that window of time. The overall success rate for preventing pregnancy with the I-pill for one episode of intercourse is 90 percent, meaning 10 percent of the time the woman can conceive anyway. So I would recommend that in this situation that a second dose of the I-Pill be taken, even if the second episode of intercourse was within 72 hours, because live sperm could remain after the first pill has worn off. I hope I was able to adequately answer your question today and that this information was helpful. Best wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "A couple weeks ago I had forgotten to take my birth control pills for 4 days. I herd that after 2 days you should not finish the pack and just wait until that pack would have been completed to start a new one. When I forgot to take my pills i started my period that week. It has been about 2 weeks since then. Me original pack would have ended today and I would have started a new one tomorrow. Should I go ahead and start a new one tomorrow or should I wait until after I have my next period and start the new pack the day i finish?", "output": "Hello, and I hope I can help you today. You are correct in the fact that after missing your birth control pill for four days you do need to start over with another pack. However, you are supposed to start that pack as soon as your next \"period\" begins, not ends, even if it came at the wrong time. So you really should have started a new pack a while ago, and you should have used a backup method to prevent pregnancy in the meantime. It sounds like it has been about three weeks in total since you took your last active birth control pill. So if your menstrual cycle off the pill is regular, you should be expecting a normal menstrual cycle in about a week. If you decide to wait until your next period starts, you should start the pill in the same way you did when you first started taking it in general-either starting on the first day of your period or the Sunday after your period begins (if you get your period on Sunday you should start that day). Ideally you should be bleeding when you start the pack, this will ensure that you get your menstrual period during the pill free week and also protect you most effectively against pregnancy. What will get you back on effective birth control the fastest is to just start taking the new pack immediately and use a backup method of birth control during this first pack. You may not menstruate at the correct time this month, but it will get back to normal once you have gotten back to taking the pill every day and not missing any. If you do not get your period at the end of the new pack, I recommend performing a pregnancy test just in case if you had unprotected sex in the time period between your last menstrual cycle and now. So in summary, you will be protected against pregnancy fastest if you start your new pack right away. In the future, please remember if you miss more than two days of your birth control pills, the best thing to do is to immediately start a new pack of pills and throw out the old one. Your menstrual cycle should come at the end of the pack that you took correctly and completely. I hope that I was able to adequately answer your question today, and that my advice was helpful. Best wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was startled and got up very fast, when I took my first step I landed on the side of my foot; not my ankle. It automatically showed a bump and it s bruised. It hurts but its not too dramatic, when my footage resting the pain is gone. When will the bump and bruise go away?", "output": "Hi, thank-you for providing the brief history of you. As mentioned in the history by you, you landed on the side of the foot, then getting a musculoskeletal assessment will be good on a safer note. Usually, at this position there is a sprain of the ligaments. Which takes about 2-3 weeks to recover. Also, the pain will come down in 2-3 days, but the ligament healing will take some time. Besides, if the foot gets swollen or painful after 72 hours of injury then an x-ray is advised. Usually, by doing hot eater fermentation and slow ankle toe movements the feet is better. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI, I took postinor 2 double dose on the 31 march at 8:15p.m and the other 01 April at 8:15 a.m. Howevr, I had unprotected sex on the 4th April, so i would like to know if i take another postinor how harmful will it be. I know its not for contraception. Thanks", "output": "Hi, Postinor-2 is an effective form of emergency contraception. Its common side effects include vomiting, headache, breast pain and bloating. You should use positnor-2 only in emergencies and not as a regular method of contraception. If it is used more than once in a menstrual cycle it is more likely to upset your menstrual cycle causing irregular or heavy bleeding. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI, I am newly married and my wife has become pregnant. we had the intercourse session before 2 weeks.hipati She used a pregnancy tester to confirm and it says yes. We actually planned to have kids after a year. Now, can we stop this pregnancy without any side effects in future. do we have any medicine that stops her from being pregnant.", "output": "Hello dear. Understand your concern.first you should confirm the pregnancy by blood Chat Doctor test because its more reliable method.than you should do USG for confirmation of intrauterine pregnancy, because Chat Doctor. You can abort fetus by medicine up to 9 weeks of pregnancy. You should do it under supervision of doctor, its more safe. You can take ragout kit, which contain 5 tablets. Take 1 tablet of mifepristone 600 mg orally, after 36-48 hours of it take another 4 tablets of bisoprolol 200 mcg placed in vagina one by one.at that period take proper rest, food,maintain hygiene, take tab.meftalsaps for pain. Hope this will guide you. Best regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband who is 43 years old has told me for the last 3 days his blood pressure has be in the range of 158/108. He is also complaining that his eyes feel as if they are bulging out like there is alot of pressure behind them. Is this something we should wait to see if it will go away? What could be causing this to happen? He is not over weight and seems to be in good health.", "output": "Hello, I would explain that his symptoms could be related to high blood pressure or glaucoma (increased pressure in the eyes). For this reason, I would recommend consulting with an ophthalmologist for a physical exam in order to exclude possible glaucoma. If the eye pressure is normal, further tests may be needed, including: - complete blood count-thyroid hormone levels-kidney and liver function tests-blood electrolytes. Starting antihypertensive therapy may be needed if these high blood pressure values persist. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doc, I am 34 years old and have two children age 13 yrs old (BOY) - Normal birth , 9 yrs old (GIRL) - C-section and nine days (BABY GIRL - PASS AWAY due to dilated cardiomyopathy ) also C-section. I just want to know how many C-section can we go thru and how long should I wait for another baby ? Any suggestion for medicine to take before getting pregnant again due to my last pregnancy I have diabetes with control diet and without taking any insulin injection. ?", "output": "Dear welcome to Chat Doctor Actually With each cesarean, the risks go up, due to adhesions (scar tissue created from the surgery) sticking to the organs in your abdomen. It really depends on the amount of adhesions and other damage done by the earlier surgeries, and also the practice of the doctor, So no of C section depend on each individual. As per the condition doctor decide for C section Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor, we had family trip about a month back and following that I had contact hepatitis A infection. How is hepatitis A infection caused? How is it treated?", "output": "Hepatitis A is spread by people with an active infection, even though they may not have symptoms. The virus commonly spreads from the stool of one person to the mouth of another. This can occur when an infected person uses the bathroom, does not wash his or her hands, and then handles food that others will eat. Or the virus can be waterborne, meaning it is picked up from contaminated water or by eating contaminated raw shellfish. The virus can also be spread through the saliva, blood, and other bodily fluids of a person with the infection, such as through anal sex. Hepatitis A is contagious for two to three weeks before symptoms appear, then for two to three weeks afterward. Treatment includes bed rest, a balanced diet, and avoidance of alcohol and certain medications that could affect the liver for at least 6 months. Hospitalization is only necessary for more serious cases, or for severe deny Chat Doctor. Persons known to have been exposed to hepatitis A are recommended an injection of a substance called immune globulin, which can reduce the symptoms of hepatitis A. There is also a vaccine available that may provide years of protection against hepatitis A. The vaccine is usually given to people who will be traveling in areas where there is a high risk of contracting hepatitis A, or work in high risk areas, such as healthcare." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Dr Sahib Last week i had severe cough I had continued Megamantin for 5 days besides Zerodol, Zyncet n recovered as well Meanwhile attended 3 family marriage functions till Sunday, no probs Day b4 yesterday in d evening i had half of Cream Roll which looked stale, next morning yesterday i had some upset stomach with occasional pain irritation in d belly part only In d afternoon yesterday l developed fever also 100+ All fever symptoms viz body ache, heavy head n not d least sour mouth may be due 2 muccus falling sometimes deep in throat which i spit there n then Appetite is not upto d level, no shivering Doctor has advised Norflox TZ besides Crocin in case of fever Pl advice Thanx n Regards", "output": "Short answer : all these symptoms are due to infection (probably viral, bacterial or typhoid) and the problem in the stomach is due to your bad food habits.needed father investigation before proper treatment detailed answer: if I were your treating physician with sore throat, fever and body ache for more than 5 days I will advise you take X-ray chest, he complete blood count ESR, tidal smear for malarial parasite and filariasis. Meanwhile for your stomach pain take syrup Socratic and throat pain start Caroline antibiotics hope this explains" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctors,Last week I noticed a slight pain in my left testicle- top part- a day after a sexual encounter where there was no oral sex only masturbation with another person.. I thought I caught an std and thought it would swell but it never did. The strange thing is the discomfort disappeared with more intake of water- know strange. The strange thing is my ejaculation have not been the same since. I have masturbated 3 times this week and noticed a significant change. I am a major shooter with lots of semen and now it is the complete opposite, more like a big squirt. I have no idea in the cause for this drastic change but my libido has decreased because of it. The sensation and excitement is not the same. I was wondering if perhaps the cause for this change was an std or a clogged vein.Thanks", "output": "Hello, Testicular pain can have causes that aren't due to underlying disease. Examples include trauma, tight pants or underwear, jogging, cycling or decreased blood flow to the testicles from prolonged sexual arousal. Still, you should consult a doctor for physical investigation. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. V. Anand, Psychologist" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have several questions actually. what do these lab test results mean :absolute neutrophil count 9.2, erythrocyte sedimentation rate 37, c-reactive protein 2.6, urine epithelial cells 10-15, lupus anticoagulant screen, drvvt with reflex to confirmation 51, prothrombin time 30.0, act. ptt 84??", "output": "Hello and welcome to Chat Doctor, Absolute neutrophil count of 9.2 is high value. Neutrophils are elevated in cases of bacterial infections. ESR of 37 and CRP of 2.6 suggests an inflammatory condition. Presence of 10-15 epithelial cells in urine is a non-specific finding. It is normal finding in females. Prothrombin time of 30 sec, activated partial thromboplastin time of 84 sec and DVVT of 51 sec suggest disorder of coagulation pathway. Thus, there is evidence of infection and chronic inflammatory condition. In addition, there is abnormality of the coagulation pathway also. Thus, you need to consult your primary healthcare provider for clinical assessment. You need to consult hematologist for abnormal coagulation tests. Thanks and take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir my wife has psychiotric problem since 2002 and had undergone medication. Now she has been priscribed for taking RISDON PLUS. But she does not want take any medicine. Once she stopped the medicine she behave unusually and coral with all our family members. Should i feed the medicine without her knowledge? What are the side effect due to irregular consuption of medicine?", "output": "Hi, I appreciate your caring towards your wife. Duration of use of the medicines will be told to you by the psychiatrist, and usually it is for 5 years after she is living without any psychotic problems. Stopping medicines before that increases chances of relapse of symptoms. Added will be risk of complications like aggression, suicide and so on. Taking irregularly leads to development of resistance to medicines and need to go for medicines with higher cost and/or side effects. Laws of certain countries ban giving medicines without patients knowledge. It is always better to take her to confidence. Discuss the problems she has taking medicines. If she has any side effects that can be tackled. If she has any apprehension that can be resolved. If she was problem taking tablets, She can opt for alternative methods like syrup or depot. With depot injections she can have injections once in 2-4 weeks and gradually her oral medicine can be stopped. So my advice is to decide on the path by considering her wishes too." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my 8 year old daughter is suffering from klebsiella infection in tonsil for two years now. on past few months, the infection occur every three weeks. She is taking many kinds of antibiotics given by her doctor according to the result of her throat swab test. What can you advise to us?", "output": "HIT hanks for posting your query. Tonsil infection if recurrent can be troublesome to treat as the antibiotics used may not clear all the bacteria. I would recommend using one more course of Antibiotic as per the Throat swab test and use it for 3 weeks and before stopping the antibiotic, a repeat Throat swab culture has to be done, and it should show that the infection has cleared. But if the repeat swab test shows a persisting infection then antibiotic has to be continued for few more weeks. If even after doing this her tonsil infection recurs then she should be considered for surgical removal of tonsils. Hope this information was useful to you. Any clarifications feel free to ask." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I had sex with my boyfriend this evening and later that night took the postinor 2 pill and the following morning, my boyfriend and i had another sexual encounter. do you think the pill will still cover for the two days of my sexual intercourse. Thank you", "output": "Hello dear understand your ConcernPostinor 2 is effectiveness only for one sexual intercourse. It will be not effective for the sexual intercourse done on later. So it will not cover the two days of your sexual intercourse. I would suggest taking another posting to prevent the pregnancy. It will cause menstrual irregularity as a side effect. Use safe sex practice in future and do not use posting 2 frequently Hope this may help noncontact Chat Doctor for further health query Best regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i m sfeering from fever from last 24 days. firt it start with dengue.ns1 test posetive 3 to 4 time at deferent laboretory.platelate monitoring daily it low as 45ooo on 5th day then it start incresing in same patern as it decresing.but there is fever with rigger daily.following investigation i have cbc-6700 hb-13.5 platelate-16500 sgpt-1050 u/i sgot-650 sbilirubin-3.5 widal-negetive p/s for mp-negetive xray chest-normal u.s.g. ab-dilated gall blader with hepatomegaly and minimal astis fluid. after 5 day i repete all investigation as follow hb-13.5 tc-8000 platelate count-350000 sgpt-85 sgot-57 bilirubin-1.0 s creatinine-0.9 widal-negetive ps for maleria-negetive esr-23 crp-53 ana-negetive xray-chest-normal usg ab-distended gall blader still fever is there now it came three spike and each time with rigger and now during fever periferal cynosis develop.spo2-98 please advice me what to do .and what is diagnosis and tratment", "output": "Hi, I had gone through your question and understand your concerns.It's typically of Dengue fever of what you have described above. Now you are in recovery phase you can take Tab Paracetamol for fever. As your Liver function tests and platelet count is coming to normal you should not worry more. Important thing in your above given description is that you have minimal ascites it can be seen in patients with dengue leak syn Chat Doctor. Other way to monitor is Hematocrit count as when patient is recovering ascites will get reabsorb and hematocrit fall. I suggest you to have close contact with your treating physician for close monitoring. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I had a hemithyroidectomy on my right side because of a 6 cm nudule and a biopsy done on the left side which was 2 cm. lab showed neg. Lab results on the right side showed papillary cancer. What should I expect next. Also I have a growth in side my throat that the biopsy showed neg.", "output": "Hi there, If the cancer was removed entirely with no invasion and the margins were negative, then you won't need any further treatment. If there was some disease left, or you had some positive margins, then it might be a good idea to be treated with radioactive iodine. It sounds like the 2\u00a0cm mass was negative, but I would get a repeat US in 6 months to make sure it isn't getting any bigger. It sounds like you've been adequately treated so far, but that is without your pathology report. I hope I have answered your question. Please feel free to contact me if you have any further questions." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i fell 3 days ago and my foot is painful, i have no swelling or bruising. my little toe and outside of my foot feels really numb. underneath my foot is tender. the outside of my foot is painful to touch.im not sure how to help myself. dont really want to go to the hospital if i can help it.", "output": "Hello, X-ray of the foot should be done to rule out fracture which may because for pain. X-ray do the foot anteroposterior and oblique views should be done from radiology center nearby you. Meanwhile, tab Diclofenac twice a day can be taken for pain relief. Visit orthopedic surgeon is recommended if X-ray report is abnormal. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 40 year old female. I am 5 3 and 115lbs.I have been gradually trying to quit smoking marijuana over the past week. It has been SO helpful for nausea, urgent bowels, cramping, etc. (I am diagnosed with gastritis and IBS) It also helped with severe anxiety and insomnia. BUT, it is not legal at all in my state so I cannot risk continued use.I am down to 1 hit per day the past 4 days. I am doing this because other attempts to quit cold turkey were horrible.I am taking prozac 80mg qd and klonipin 1mg BID for major depression, severe anxiety (GAD + social anxiety + panic attacks)My new psychiatrist just added wellbutrin sr to my regimen. Starting at a low dose of 100mg qd for the first week. He is my ONLY Doctor or therapist who is unaware of my marijuana use. I just cannot trust him quite yet.My question...Will wellbutrin sr help with stopping the marijuana or does that only work for cigarettes? thank you so much", "output": "Hi, Thanks for writing to Chat Doctor. It will work for cigarette only and It's also only when your motivation is good for quitting cigarettes. Marijuana is illegal in most of the states, and it will worsen your illness and specifically will interfere in treatment of major depression. From your history it seems that you have some kind of specific personality traits on axis 2 of DSM-IV TR diagnostic system for psychiatric disorder. Tell your all details to your psychiatrist. If it is personality problem than whole line of treatment going to change. Hope I have answered your query," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i had bilateral hernia surgery last Tuesday and now my testicles are not only swollen but almost black with bruising. My testicular pain and discomfort is much worse than from the incisions. Is the bruising so serious that I should go to an emergency room?", "output": "HelloThanks for your query. You have bruising and swelling of both the testicles after surgery of Bilateral Inguinal Hernia. The swelling of the testicles is common after hernia surgery, but the bruising needs to be taken seriously. It could be due to hematoma in scrotal sac, Please consult your operating surgeon and get ultrasound scanning of the scrotum done to rule out presence of blood clots in scrotum. If turns out to be positive you may need to Chat Doctor. You need to take broad spectrum antibiotic like \u010ceferin along with anti-inflammatory " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have arthritis inallchambers of left knee. I fell and completely tore my ACL. I have one on one. I am 50 years old. Told only a knee replacement will help. I never was give other options and would like to try something else. Knee replacement is scary. What else or what doctor can I see?", "output": "Alternatively Ayurveda Panchakarma and physiotherapy combined has the potential of healing Anterior Crucial Ligament injury according to stage of damage. Associated injuries of knee joints, soft tissue infections and other associate problems also go with Panchakarma which alleviates pain, improves function, decrease disability and strengthen joints. Internal medicines, external applications, Anushastra i.e. Rasta Roshan (leech therapy), Agni karma (heat/ cauterization treatment as described by Sushmita - an originator of Surgery. In preface of Belly and Loves Surgery book, tribute is given to Sushmita) also have the full potential to cure it without modern surgical invasion. Agni karma is a para surgical procedure. But for this you have to find a good Ayurveda hospital with all the facilities. In India there are many Ayurveda hospitals fully equipped to treat such cases. Indoor stay will not be more than TKR surgery and even if it exceeds, you haven't gone through the trauma, fear of failure and vast expenses of modern surgery full of risks in such cases. I would definitely recommend Ayurveda treatment at a good Ayurveda Hospital in India if you want to avoid surgery. Hope it helps you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I ve been feeling nauseous lately, my blood pressure has been going up and down a lot recently. I have hypertension, but my blood pressure was too low the other day when I felt sick and took it. I just took it, and it said 144/101 and my heart rate was in the 90 s. I just recently had a baby, I had to be induced around 33 weeks due to preeclampsia. Even when I am calm, my blood pressure runs high. I am 21 years old. Should I be too concerned, or no since this is normal for me? Could my blood pressure be the cause of me feeling sick to my stomach?", "output": "Hi welcome to Chat Doctor. I understand your query and concern. High blood pressure uncontrolled leads to Left ventricular hypertrophy in ECG and should be evaluated for Dilated cardiomyopathy or ischemic stroke of brain or heart. Best treatment for elevated blood pressure is through Chat Doctor. Before that adequate management and work up is needed. So I advise you to have a baseline 2 dimensional echocardiography, ECG and lipid profile to assess the basic cardiac reserve of your heart. Restrict the intake of salt to less than 6g/day. Regular physical exercise in the form of brisk walk for 20 min a day for 5 days a week is pretty useful." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just found out yesterday that my best friend (38 yr old female with 2 kids 10 and 8) has a 7 inch Adrenal gland tumor...that is sarcoma. she is scheduled for 5 wks radiation therapy starting the 14th and then surgery. The little I find about this is NOT good -is it true even if everything goes amazing with radiation and surgery that she might only have 5 more years???", "output": "Hi, dairy have gone through your question. I can understand your concern. She has a Chat Doctor. Prognosis depends on many factors like type, location, stage, spread and treatment. She should go for radiation and surgery. If everything goes well then chances of survival is good. It's not like that she has only 5 years. So don't worry much about that. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have gums pain please help me i have remove upper two teethes when i was 10 yeas old now my age 27 the one teeth left side another one right side both wear removed last 15 years ago i have visit many doctors but no use please help me i used to take ponastan 500mg /amoxiln / 500mg. to relief pain please help me what to do", "output": "Hi, Thanks for asking the query, According to your symptoms I suspect that you have developed severe gum infections. I would suggest you to visit to a Dentist and get checkup done, take an OPG radiograph. Go for complete mouth scaling and polishing, curettage and gum planing. At home take lukewarm saline and antiseptic mouthwash rinses. Take a course of antibiotics and analgesics. Maintain a good oral hygiene. Hope this helps out. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Had pressure in perineum, burning upon urination, scotum ache. Put me on Cipro and the side effects worse than the other problem. Off Cipro. Have yeast infection. Will yest infection cause feeling that you could urinate, even though you just did? Still have some pressure in perineum. Should I be worried?", "output": "Thanks for contacting Chat Doctor with your health care questions. I am sorry to hear that you are having burning on urination and pain in the perineum area. From your description it sounds like you have a prostate infection. The prostate is a gland at the base of the penis that produces mucus in semen and gets infected frequently in sexually active men. The treatment is a long course of antibiotics up to 1 month. The usual Chat Doctor. Your other question is if a yeast infection can cause the burning and pressure, The answer is not really. Yeast is rarely an offending infection that causes urinary or bladder infections. In summary, I think you have a prostate infection and I recommend that you seek medical attention for full treatment of your infection. I hope this answers your question. Please contact Chat Doctor again with any of your health care concerns" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "The women in my family for at least three or four generations (plus in laws) have had issues with bleeding during pregnancy. I m worried that I might be one to two months pregnant. I m getting a pregnancy test asap, but I didn t think I was pregnanct until I started recently showing the signs of an early pregnancy. The problem is, I m still bleeding. Even more of a problem, the blood has an orange-ish tent to it. What s going on if I m pregnant? If I m not? (BTW- I haven t been to an OGBYN or whatever it s called and I m 18. I don t like doctors.)", "output": "Hello, Thanks for writing to us. Followings are my comments:1) Mild bleeding or spotting may be normal in early weeks of pregnancy. However, we need to rule out miscarriage in this context.2) I suggest her to undergo one Trans Vaginal Ultrasound scan (TVS) and blood test for beta-ChatDoctor to check nature, viability and prognosis of the current pregnancy.3) You should avoid heavy work, take complete bed rest, micronized progesterone to be taken, maintain genital hygiene and consult with your ORGAN for periodic check up with test reports. Hope, I have answered your query. Good luck and take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello I am 33 year old female and i weight about 160. I fequently get yeast infections and nothing showed up on my labs. I started taking Fungal Defense and use Olive oil for topical treatment. Whenever yeast infection occurs my white blood count goes down. How can I treat this?", "output": "Hi, dairy have gone through your question. I can understand your concern. If you have frequent yeast infection then you should take antifungal Chat Doctor. You should also go for HIV testing because repeat infection is common in immune compromised people and low WBC count is also common. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI, Confused if am pregnant or not.One week after ovulation I had a pregnancy test, and it was positive.A week after another test was done and it was negative i.e after a week. Am confuse if I lost the baby or it was not there.Two weeks after the first test I had this bleeding.Please tell what to do.Thank you sandra", "output": "Hi dear, I have gone through your question and understand your concerns. It is not possible to get a positive urine pregnancy test after one week of ovulation. It would have been a false positive test due to error in the kit. Thebleeding you have got 2 weeks after ovulation is most likely to be the periods, and pregnancy is not a possibility in this cycle. Hope you found the answer helpful. Wishing you good health. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello I am a 52 year old female with hasamotios disease and had blood work done not fasting and had a hemoglobin of 5.9 could this cause this to be high and i have also had anemia in the past and by t4 is 2.0 and tsh is 0.050 and I still feel tired all the time.", "output": "Hihaemoglobin 5.9 at any age is suggestive of anemia. Now low count can be due to1) low production of He due to multiple cause -nutrition deficiency(most common iron and or it. B12), hormonal (hypothyroidism common), or defect at bone marrow level where He production happens. Complete blood count with RBC MORPHOLOGY will suggest the exact cause.2)rapid destruction of RBC due to hemolytic tendency in infectious and autoimmune cause. Serum level bilirubin (specially indirect) will increase in hemolytic anemic condition.3)internal or external hemorrhage(like hemorrhagic) also falls the He level.in short, low He, is the just sign of many disorders.it has to be found out with proper investigations" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband has a broken leg and we would like a little more information. The Dr. said he had a vague linear lucency involving the posterior lateral aspect of the tibial metaphysis. We would like to know what this means in layman terms and what is the best way to treat this injury?", "output": "Hello, Although you have not mentioned your husbands age and how he got the injury, what I can infer from your description is that he may have an insufficiency fracture of tibial metaphysics. Now, in plain laymen words, it means a fracture which occurs spontaneously or with little injury when the bone has become weak due to aging, osteoporosis or other disease. So the bone does not have the normal strength which is required to absorb the normal stress and strain of daily movements. The fracture will heal by itself in most of the cases, however a work up is required to know the cause of lucency or weakening of the bone. Is it related to old age, osteoporosis or some other condition? The best way to treat this injury is to be off loading, that is to avoid weight-bearing in that leg and depending upon the severity a plaster may be put. Usually recovers in 6 weeks to 3 months. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I recently had a routine chest xray that showed \"indeterminate density in upper chest (right lung base)\" I have smoked in the past, but never a heavy smoker. I have no symptoms. The xray was part of a normal physical. I am 48 years old and female.No lung cancer in the family, although Dad had prostrate cancer at 55 (he is 85 now) and Mom died of breat cancer at 79.Doctor order a CT scan with contrast. I have to get blood work for contrast, and then the CT scan.What are the chances of cancer? What could be other causes of the density?", "output": "Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. Upper lobe indeterminate opacities can be due to following causes.1. Tuberculosis (fresh lesions)2. Old healed scar3. Pneumonia4. Sarcoidosis5. Lung cancerSince you were smoker, possibility of infection and lung cancer is high. So better to consult pulmonologist and get done1. CT thorax2. Bronchoscopy and BAD (Bronchoalveolar lavage) analysis. Treatment of these diseases are different, so better to first diagnose yourself and then start appropriate treatment. So consult pulmonologist and discuss all these possible causes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. My mom had knee surgery last week. She has been feeling fine. Today we noticed her leg below the knee is slightly red and warm to the touch. But she has no pain anywhere or numbess in her feet. I left a message with the doc but i haven t heard from them. Should I be concerned?", "output": "Dear Patient, Welcome, and thanks for sharing your concern I went through your query, and I feel, it would have been better if you had described what knee surgery she had and what medication is she on. It seems there is infection, but you need to see the operating surgeon for confirmation, it's a thing to be concerned with, so do not waste time and consult early. I hope my advice would have been useful, in decision-making regarding your treatment, still if you have any clarifications or doubts feel free to contact back. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My eyes look and feel soooo tired..my head in the eye area feels heavy or pressure and im just tired all the time blood work mentioned thyroid and very low vitamin d. Feeling hazy..it started about 1 month ago..currently monitoring heart palpitations and have anxiety since last year...seeing endocrinologist, rheumatologist, had stress test and echocardio done, waiting for results, vitamin d showed up 12.5 so now taking high dosage every week...what is causing this...i feel and look like I have not slept in months!", "output": "Hello, What thyroid problem do you have? Well, tiredness, palpitation, anxiety can be due to thyroid problem. Vitamin D deficiency is very common in all over world, so you can take supplement for this. I would like to know your age, sex and your job. I would also like to know that are you taking any medicine presently? I think correction of your thyroid disease can solve all of your problem. But I would like to know more about above questions." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "5mths girl, post running nose followed by nasal congestion which was treated with normal saline nasal drops twice a day for 2days. Nasal congestion cleared but today acute state of distress/ not able to breast feed or sleep, cries out loud on putting down but quiet on carrying upright. What may be the problem?", "output": "Hello and welcome to Chat Doctor. Feeding is problematic in babies with blocked nose because breathing is interrupted with engaged mouth and blocked nose. Similary while lying down in horizontal position mucus and sputum is collected at back of throat. Nasal blockage can be removed by saline nasal Chat Doctor. Nasal bulb sucker can remove impacted mucus. Vicks air humidifier can help remove the blockage. Home remedies like honey and ginger tea can help your baby get rid of runny and blocked nose. Hope you find this answer helpful. Good luck!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a MRi done and they are saying there is subtle lobulation ti the lateral margin of the right kidney. this is uncertain, if any clinical significance and ultrasound correlation is recommended. What are they saying that I have a problelm with my right kidney? I had a ultrasound and they wanted to know why just the right kidney and not both.", "output": "Hello and welcome to Chat Doctor, Presence of a small population on the lateral margin of right kidney seems to a developmental problem. Lobulation is due to small overgrowth of the renal tissue. This kind of population should not be of any consequence of the functioning of the kidney. However, you can get renal functions done to know the status of the renal functions. The population can be left in place, but if it causes any symptoms of pressure, you can go for surgical excision. Consult your doctor for further management. Thanks and take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 43 years old ( male ) i am allergic to dust i am doing my best to avoid, i have taken all treatment but no use, once in a 3 months i am suffering from cough and converting into flum and suffering for 15 days,i have no Astma no suger over all no other problem, i have this problem from my birth, i am suffering a lot please give me a solution and lifetime releafe. Dinesh 0000", "output": "Hello Dinesh, Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for you as follows:1. I usually prescribe my such patients regular montelukast & levocetirizine for 30 days minimum.2. Furthermore, I would suggest you allergy testing, especially for air-borne allergens like house dust mites, common molds and pollen. This will help you identify the substances you may be allergic to and also to know the measures to avoid them.3. Based on allergy testing, an Allergist-Immunologist may prescribe you allergen specific immunotherapy which gradually improves allergy symptoms by working on immune system. This can be considered as long term solution of allergic rhinitis.4. In general, I would suggest you to avoid exposure to dusts, smokes and air pollution.5. A healthy diet rich in vitamins and minerals will also help you in a long run by improving your immunity. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you the best of the health ahead. Thank you & Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband has severe knee,foot, and muscle pains. His doctor recommended for blood test to find the vitamin D3 levels. The reports showed levels as 5.5. His doctor suggested to take SHELCAL 500 -1 Tab / day. Now he started taking this SHELCAL 500 from last 2 weeks. But the muscle pain has not yet gone.Can you please kindly suggest how many days after taking this tablet, we can expect the pain relief.", "output": "Hello, In my opinion you are doing a good job by following the doctors instructions, however there is no specific number of days that he can feel better as it depends on many factors, but you can do things better by giving him more vitamin D from sun exposure for 20 to 30 minutes daily. Also increase food intake of vitamin D, Chat Doctor. Walking also can help within tolerance of pain. Hope I have answered your query. Let me know if I can assist you further. Take care Amman Darragh" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "last night i retracted foreskin of my penis for the first time , it retraced easily but got stuck ,then i had to pull it back manually with the help of ice and applying pressure on the head of penis.is it normal for the foreskin of penis to get stuck like that.I am 27 year old male.", "output": "Hi, As a Urologist, I can understand your anxiety. The foreskin should be retracted daily to maintain penile hygiene. It should be pulled back up without getting stuck at any level. If you're experiencing this problem daily, see a Urologist or a surgeon. You'll be shown the right way to retract the foreskin completely. You may even use some Vaseline to lubricate the inner foreskin. If you've any doubts, send me a direct question. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "end stage renal failure, dyalisis 3xs a week, female 76yrs old.....2nd day of loose bowls, potent smell, just started vomiting, appears to be bile....bp was taken this morning and bsugar...levels normal....concerned that she might dehydrate....what can be given for loose bowls.....", "output": "Hello, Thanks for posting in Chat Doctor. Loose stools with potent odor points toward gastrointestinal infection. Probably amoebic type which produces the strong odor. It will be highly advisable to get a stool routine and microscopic study done to find out the exact causative agent. Because she will need antibiotics and anti protozoa agents to get treated. And do not give lots of fluids for fear of deny Chat Doctor. Kindly consult your nephrologist about both the queries. Hope it helps. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have developed a very sore gum,on my left lower jaw on the place where my wisdom tooth is to come.I m 20 and never had this much swelling before.There have been days when i developed swelling there but it was not too painful.But this time it is too much and i cant eat anything,even swallowing pains and the left side o my throat has started to pain now.I smoked weed the previous night an when i woke up i had this sore gum.Are these two things related?How can i get well asap?", "output": "Thanks for your query, I have gone through your query. The soreness in the gums could be because of the peritonitis or periodontal abscess secondary to infection of the gums around the wisdom tooth. Consult your oral physician and get radiograph done. If the space is sufficient for the tooth to erupt then we can remove the flap around the tooth. If space is not there for the tooth to erupt then you have to get it removed. You can take a course of antibiotics. Do saline gargling. I hope my answer will help you. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "am having an apicolordotic view x-ray and the results says: apicolordotic view confirms the presence of fibarhazed at the right upper lobe probably koch s etiology. what does it mean?", "output": "Hi Susan, Thanks for posting your query. I understand your concern. Epic organic view is an X-ray that will allow the radiologist to see the lung spices. A very top of the lung which may not be seen in the normal front view. Your doctor is just trying to rule out tuberculosis of lung. It is also called as Koch disease. SO don't worry your doctor is just using a safe procedure. I hope I answered your query. I will be available for your follow-up query, if any. Wishing you a good health. Take care. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I feel strange, achiness in my throat (pressure) in throat and down the center chest, the pressure gets worse when I bend over, it kinda hurts when I breathe it hurts when I touch my jaw underneath on left, I also had a fall off a motorcycle and might have a broken rib on left side front and back", "output": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of musculoskeletal pain due to motorcycle accident is more. But better to rule internal lung injury because you had fall also. So get done chest x-ray first. If chest x-ray is normal then no need to worry about much. You're all symptoms are mostly due to musculoskeletal pain. So apply warm water pad on affected areas. Take painkiller like ibuprofen. Avoid movements causing pain. Avoid bad postures in sleep. Avoid heavyweight lifting and strenuous exercise. Don't worry, you will be alright with all these in 5 - 7 days. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I hit my front tooth in an upward motion four days ago,, painful you bet but rather than just subside it got worse and my lip, cheek and under nose swollen,,,then it continued to get worse despite antibiotics for three days out of the gum is a dime size blood blister and I am in agony will it go away if it popsor is this something serious", "output": "Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have injury, and now you have swelling and blood blister, for this you should visit dentist for OPG X-ray for confirmation of Alveolar bone injury or Fracture as it is Dangerous area of face. Consult dentist for investigations as early as possible, and it will not go away you have to go for proper treatment. Hope this will help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I take paroxetine for depression and take lisinopril for high blood pressure but, I wanted to take something to help give me some energy.. What can I take?My age is 35, Im female, Im 54 and weigh about 212lbs", "output": "Thank you and very pleased to answer you. Your body mass index or BMI is 36.126 kg/m2 Normal weight BMI IS under 25 Class II Obesity BMI is equal or more than 35 and under 40. You are a Class II Obesity and you suffer from hypertension and depression. Obesity is a risk factor in high blood pressure, especially an Chat Doctor. e. an excess of abdominal adipose tissue). Weight gain in adulthood, particularly in the abdomen, is the consequence of several factors: age, hyperactivity of the sympathetic system, a change in energy yields, a bad reaction to stress, relative hyperplasia that can be caused by " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 5 year old son is very healthy, we eat unprossessed foods, he plays outside alot. We live in the Tropics of Australia. He was diognaised with an innocent heart murmur at 2 years old. In the last few weeks he has been very tired, had pale stools & had dark rings under his eyes. He is a really good eater, having sugar free cereal each morning, snacks on fresh & dried fruit during the day & pasta, rice or meat & salad/vegies for dinner. He sleeps 11-12 hours each night. Am very concerned. Please help xoxo", "output": "Good Evening, Let me start by saying I am very sorry to hear about these symptoms your son is experiencing. Having said that, from personal experience these symptoms may or may not be separate from the heart murmur itself. Most diagnosed innocent heart murmurs are as their title suggests \"innocent.\" They can and most will often go on throughout an individuals' life without causing any issue, except for that of a unique sound heard on physical exam. As for the symptoms you describe, these sound separate but nevertheless certainly more serious. Very tired, pale stools, dark rings? It sounds to me like a systemic illness that requires complete workup with at a Complete Blood Count and Basic Metabolic Panel. These will let us know if he has an infection, if his blood is healthy and strong and sufficient, if there are any electrolytes and or nutrients out of balance, and or if particular organs and or tissues in the body are ill. Based on his symptoms, and age, I must admit there are a variety of potential causes; Viruses and infections such as Mono or the Flu typically can cause gastrointestinal and generalized effects such as those you describe. Nonetheless, as it can indeed just be a virus, even more benign than the Flu or Mono, it can also be a completely different entity entirely, and thus a formal test really needs to be done to hone in on exactly what that is. My suggestion is to make sure your son HY Chat Doctor. I would not rush him to the Emergency room unless a primary care physician could not be reached in an adequate period of time, or if your son starts to appear toxic and or the symptoms you are describing start to worsen. I truly hope for the best and believe you and your son will come out of this strong and well cared for. Warm Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i have been married for 4 years but not blissed with kid. we have checked with docters i am fine but my husand sperm count is very low. sperm count is 12million and 30% motality.he is taking ayurvedic medicine himalaya spemen for last 7 months but nothing frutiful result have been achieved. plz docter help me.", "output": "Hello and. As a Urologist, i assure you, sperm count has increased by timely treatment all reports of tests done so far, must be available. These include :1. Two semen tests reports, checked after 2 days abstinence.2. Blood male hormones tested like, FSH, LH,PRL, testosterone and sugar.3. Scrotal Doppler scan, with a THUS(trans rectal ultrasound scan).4. Medication tried so far, with duration of, course of treatment. Once this information is available, I can give you give an expert opinion. You can send reports as a direct question to me. Chat Doctor. Manga." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My little brother says when he drinks water he can feel a sharp pain on the right side of his chest. Is this something serious such as heart problems or it is something that just takes time to get over and in that case will it occur again in the future. He says its been happening for a while since he last ate which was about 10 hours ago. Please let me know what you think and what I should do to help him. Thank you.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. I would like to know how little your brother is. Also, probably he will require a detailed examination for the same. If he has difficulty swallowing liquids or solids then it is a problem with the food pipe. If not then it could be gastritis. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dry socket after absessed lower molar, rt.side. Pain is a 10.Dentist put a clove paste packing. Had it done twice. Pain subsiding (now an 8) How long is this going to continue. Am 5 days post-op. Pain, pain go away. Probably should have had an oral surgeon instead of my general dentist extract. Had to have tooth removed in 3 pieces. Need more. How do I tell my dentist I want next done by oeal surgeon without him possibly flipping out? Off my anti-coag for 7 days prior to surgery. Please help!", "output": "Hello, Thanks for your query. Take painkillers as prescribed. Apply an ice bag to the affected area immediately after the procedure to keep down swelling. Apply ice for 10 minutes at a time. Relax for at least 24 hours after the extraction. Limit activity for the next day or two. Avoid rinsing or spitting forcefully for 24 hours after the extraction to avoid dislodging the clot that forms in the socket. After 24 hours, rinse with your mouth with a solution made of 1/2 teaspoon salt and 8 ounces of warm water. Do not Chat Doctor. Do not smoke, which can inhibit healing. Eat soft foods, such as soup, pudding, yogurt, or applesauce the day after the extractionContinue to brush and floss your teeth, and brush your tongue, but be sure to avoid the extraction site. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doctor, i am a 41 year old female, i weigh 9stone which is about right for my height.I live in Greece and i get a yeast infection atleast once a month. I am taking a 200mg capsule of lomexin...fenticonazole nitrate and i use verdal cream...my husband uses the verdal cream too", "output": "Hi, Welcome to Chat Doctor! I understand your query. Well there are several causes of recurrent infections. Primarily, your immune status may not be up to mark i.e. you might be having some immune deficiency. Ensure a proper balanced diet with good eggs and non-veg intake if you are a non-vegetarian, as they are a rich source of proteins. Soybean is also a rich source of proteins. You might want to get investigated to find out the cause of this immune deficiency. Another common cause of recurrent infections is Diabetes. I'd strongly advice you to get a fasting and post radial blood glucose test done to find out your diabetes status. Thirdly, are you sure it's a yeast infection? I'd suggest you to visit a gynecologist and get it examined to rule out any other condition. Hope this information helps. Feel free to ask if to have any doubt. Wishing you a speedy recovery. With warm regards," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, my husband has been suffering from high fever and a bad headache since thursday morning. A local doctor thought it could be due to dehydration (since we had a long drive) and administered IV fluids and discharged him. The fever did not come down and then the next day another doctor gave a shot of voveran and cefixime. the fever vanished but recurred the following day. Sunday evening he was given another antibiotic and the blood owrk done on Monday morning (5th day) showed a platelet count of 1.12L/cumm and a WBC count of 3100. It was negative for widal, malarial parasite, Urinary tract infections etc. The fever had resolved since Monday. He got admitted to the hospital because of the platelet count and has been given IV fluids. On 6th day morning the platelet count was 78,000 and the rapid Dengue test (IgG and IgM and NS1) were negative. the 6th day evening value was 75,000 and on the 7th day it was 66,000. he is on IV fluids and some antibiotics. The fever has resolved. What do you think could be the case and when would it start rising again? The doctor thinks it could be viral fever. Kindly advise", "output": "Yes they scenario points towards the viral infection. There are many other viral infection other than dengue can lead to the thrombocytopenia i.e. low platelet counts. As the dengue NS1 and IGM and EGG are negative the dengue as a cause is ruled out. As said earlier in many other viral infections other than dengue there can be thrombocytopenia & platelet count begin to rise usually after 7-10 days and will be normal in coming few days. The important thing in above-mentioned case is persistent diminution of the platelet count which should be monitored, close observation regarding the bleeding tenancies should be kept & if required patient should be started upon Dexamethasone as needed by doctors opinion.Otherwise, the treatment received is excellent it will definitely help to tide over the situation." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Baby has recently climbed out of her cot, resulting in a fall, since then she has a mouth full of ulcers, we have seen the GP who said it was Tonsillitis. However, she is sleeping more than normal and the last few days her gums have began to bleed when she rubs her eyes, or bangs her head. Is this something serious, or the cumulative of teething, a bang to the head and the Tonsillitis? Thanks.", "output": "Thanks for your query. I have gone through your query. The ulcers could be an authors ulcer which occurs secondary to trauma or stress. The bleeding gums can be because of the gum infection or a cut wound. Nothing to be panic, consult an oral physician and get it evaluated.Meanwhile you can use topical anesthetic and analgesic like lidocaine and choline salicylate respectively. I hope I have answered your query. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am 27yrs lady trying for baby for 7 months with no success. I have asked by my doctor to take the hormone test. My periods are regular.I have taken the hormone test at 2nd day of my periods.LH = 5.80mIu/mlFSH = 5.20 mIu/mlProlactne = 6.98 ng/mlIs my hormone levels are normal? My doctor said there is no dependence between LH and FSH.But i heard LH should be less than FSH. Please help", "output": "Hi there, Welcome to Chat Doctor, Do not worry. Usually the FSH values are almost twice that of LH, if not, so then we suspect the women to have a condition called PCs and do additional hormonal tests and pelvic ultrasound. But in your case what really matters is if you have any other health concerns or not. You should be getting regular period, if your period are not regular then it is more likely that you have PCs, also having PCs will make childbearing more difficult. But with just one FSH, LH value you need not worry.Moreover, all factors of infertility need to be evaluated after 1 year of trying, but since you have started the evaluation in 7 months you need to do all the tests including your pelvic ultrasound, blood tests including thyroid and prolactin levels. Your partner semen analysis is also essential. Only after complete analysis can a cause for infertility if at all any can be ascertained. Take Folic acid 5 mg while you are trying to conceive. Hope this helps. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my daughter has had repeated canker sores in her mouth and red spots on the back of her throat for about three weeks now. we thought it was hand , foot and mouth but now think different. she now has them on her tongue and roof of mouth. has no fever or has not felt sick at all., however she s trying to get off affrin nose spray and is on half saline and about half affrin now.", "output": "Hello, as per location of sores- it seemed to be some viral infection, but all viral infections mostly heals within 2weeks. But since your daughter is still facing them, I would suggest you to consult an oral medicine specialist as by clinical examination he can diagnose it whether-infective/allergic origin/side effects origin. Afrin Side EffectsThese include but are not limited to: High blood pressure (hypertension), Heart palpitations, Difficulty passing urine, Signs of an allergic reaction, such as:An unexplained rash or hives, Itching,Unexplained swelling, especially of the mouth, lips, or throat, Wheezing or difficulty breathing. I would also suggest you to consult an ENT surgeon for nasal congestion .and get proper treatment at earliest.multivitamins containing Disband C, Lycopene will help in healing of sores in all cases.if sore are painful then apply local anesthetic gels. Prior to meals for comfort during chewing.after consult from ENT surgeon/Oral medicine specialist take medicines/gels-antiviral/antibacterial/antifungal (infection) or antihistamines/steroids (allergic/side effect)please try to get her off from Affair at earliest.take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a voice teacher and have one student (an older man in his 60 s) with a wonderful voice, but is plagued by constant phlegm. He is always clearing his voice and this malady has plagued him all his life. He takes antihistamines and this seems to help (Singulair 10 mg). I took this med and it helped me when I was having allergies. This gentleman is a bit better, but not completey. Is there something he could do to get rid of this? His vocal chords are fine according to his doctor.", "output": "Hello, Thank you for asking at Chat Doctor. I went through your query and would like to make suggestions for him as follows:1. It would be best if he is examined by an ENT specialist because common causes of sucChatDoctorplaints are allergic rhinitis, sinusitis, chronic pharyngitis, etc. 2. Singular (Montelukast) is not an antihistamine. I would suggest him to add an antihistamine (like fexofenadine, cetirizine, levocetirizine, etc.) to montelukast, which might work better.3. Regular care of nose and throat like regular steam inhalation (for nose symptoms) and regular warm saline gargles (for throat symptoms) will be helpful to him.4. In general, I would suggest him to avoid exposure to dusts, smokes and air pollution as much as possible.5. I would also suggest him to take adequate fluids during day to maintain HY Chat Doctor. Hope above suggestions will be helpful to him. Should you have any further query, please feel free to ask at Chat Doctor. Wish him the best of the health ahead. I appreciate your concern for your student and asking on his behalf. Thank you & Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I found a mass on my right mid to upper rib area that is not attached and floats when moved! I saw my Doctor today and he said I had lymphoma--- non determined which type at this time. He said that he was wanting to be in the watch and see phase at this time, I guess praying his diagnosis is wrong. Do yo feel I need a biopsy of mass done now, or wait as he suggested?", "output": "Hi, dairy have gone through your question. I can understand your concern. You have mass in the rib area. SO if your doctor suspect lymphoma then you should go for biopsy. It will clear all doubts and give exact diagnosis. Then you can start the treatment of lymphoma at early stage. And if it is not lymphoma then no need to worry. But biopsy should be done to clear the picture. Consult your doctor and plan accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I was just told I have Acinetobater Lwoffii. I went in for a biopsy, it never started healing and a rash formed and it was itching really bad, went back into the dermotoligist office and they did a culture and it came back as MRSA. Started on Tetracycline right away for 14 days. Went in to my family doctor to get checked to have a all clear through a nose swab and another culture of the area, now this. I have requested another culture to be done before a start another series of antibiotics. I don t know what to do ??", "output": "Hi, According to me, you can go for the second culture testing. Because, the report will show whether the infection is still present or not. I also request you not to stop the antibiotic prematurely, which could lead to antibiotic resistance. Please do follow your doctors instructions and follow up the same doctor whom you are consulting. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I fell down half a flight of stairs about a week ago. Bruised my right buttcheek and thigh really significantly, and my right ankle was also pretty tender. However, I could bear weight without difficulty and went about my day. The ankle never did end up bruising, although i thought it would. Fast forward to today. Bruises are healing up nicely, but ankle area is still extremely tender. I also now notice that it is a lump about half an inch above the ankle that hurts, not the ankle bone itself. What could it be? do I need to go see my doctor? Or will this heal up on it s own in time?", "output": "Hi, This lump on the ankle seems to be due to Tendinitis with bruise due to bony stress at its attachment. It would take 3 weeks to heal up. If not get the X-ray and consult ortho-surgeon. Consult ER Ortho-Surgeon who would treat it accordingly. Hope this would resolve your query. Welcome for any further query in this regard to Chat Doctor. Write good review and hit thanks if this reply is helpful to you. Have a Good Day. Chat Doctor. N. Senior Surgical Consultant. M.S. Genl-CVTS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "The past 3 days my son who is 9 has complained of abdominal pain. No fever, no constipation, no diarrhea. Hes been ok most of the day and now back to hurting. I have gave him chewable peptones tabs and he seems to feel better when he passes gas, but then hes hurting again but hes going to the restroom fine. What can b wrong?", "output": "NamastheWelcome to ChatDoctorGreetings of the Dayton most common cause for pain in child Chat Doctor. Constipation2. Worm infestationGiving him Bisacodyl suppository and deforming him with albendazole will give him much needed relief. Hyoscine Butyl bromide which is antispasmodic will also provide him much needed relief. In case you need any further assistance, will be glad to assist you. Wishing you happy and healthy lifetime Care Best Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I need help. I feel really low and depressed. I over think things and that causes rows with my partner. I get irritated and angry easily so scream and shout and i feel so bad because that isnt the real me. He finally had enough and left last week. My job is getting me down. It is only a house keeping job in a care home but i used to love it but now i wake up every morning dreading to go in. I am very emotional and cant stop crying. Even have tears now as i never thought i would be like this. I want to be the happy and bubbly girl that i used to be but i dont know how. please help me", "output": "Hi Madeline, Welcome to Chat Doctor, and thanks for your question... I understand how distressing it can be to go through such difficult times. Firstly, it is a good thing that you are able to have an insight about your problems and your current emotional state. I would appreciate you for gathering the initiative to seek help despite feeling low and dejected. From the description that you have given me, you seem to be going through a depression. The depression also seems to be causing you significant social and occupational disturbances. Hence, it is quite important that you seek professional help at the earliest. I would suggest that you have a consultation with a psychiatrist who would be able to assess you in detail and advice you the appropriate management plan. There are various treatment options available - medication, psychological / talking therapies, etc. Personally, I feel that since you seem to be having significant interpersonal difficulties also, you may benefit from psychological therapy, in addition to medication. It is also important to keep talking to and sharing your feelings with someone close to you, so that, in times when you are unable to think clearly or lack motivation or initiative, they will be able to guide you. Wish you all the best.- " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi im 20 year old girl.. and i have been suffering from severe headaches, dizziness, increased heart rate and sweating when ever i miss a meal even by just an hour.. i have been going through this since childhood.. it gets better after i eat but the headache still remains for the rest of the day.. and i dislike taking sugar in my food.. i prefer food with less sugar.. is my diet of less sugar causing me these symptoms??", "output": "Hello, Mostly it's a gastritis and acidity problem. Do you upper abdominal pain, nausea, bloating, burping, increase in pain on food, sour water feeling in throat or chest burning, if yes it further supports the diagnosis? You should avoid fatty, oily and high calorie diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Lots of green leafy vegetables, fruits. Avoid smoking and alcohol if any. You can get prescribed tab Pantoprazole 40 mg before breakfast once a day for 2 weeks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor ,form last week i was traveling villages and and now having cold and cough ,i have taken cough syrup now days i am having strange feeling heaviness in my body and dizziness ,plz reply//before that i have taken escilatent plus tab for 100 days as advice by doctor before ,can this tablets has reaction", "output": "HelloWelcome to Chat Doctor, Your history and symptoms are suggestive of upper respiratory tract infection. As you are a frequent traveler that has made you more vulnerable for the infection. I would suggest you to follow1. Take adequate rest.2. Chat Doctor. 3. Tab Monte LC, once daily for at least 15 days.4. A course of antibiotics like Tab Autoclave 625 mg, twice daily for 5 days.5. Multi vitamins to boost up the immunity. The aforementioned measures will help to reduce the symptoms and improve your condition. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was diagnosed with bronchitis today. They have me a nebulizer treatment and a Rx for prednisone . Before I left that I gave me a shot of it to jump start it before I start the pills. Since late this afternoon, I have had bad lower back pain . The nurse said it could cause a charlie horse, but didn t mention back pain.", "output": "HiT hanks for your overlook this first dose of steroid cannot cause low back pain. Long term use of high dose systemic prednisone can cause low back pain due to osteoporosis. I think in your case there is other cause of low back pain. So I advise you to go for at least a digital x-ray of pelvis and lower lumbar vertebrae to exclude causes of low back pain. This low back pain may also be due to para-spinal muscle spasm. You may take analgesics with muscle relaxants for pain relief. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "every morning i wake up to a very painful upper back and chest i have been to the Dr twice but she thought it could be just an infection is there a scan or test i could do to check if my inside is ok. I dont smoke or drink i am a bit over weight.", "output": "Hello, I want to know your anxiety history if present as a panic attack sometimes can because for chest pain. Your workup was done as follows. -Auscultation -Chest x-ray -Antistreptolysin O (AS) tier if throat congestion present -Electrocardiogram (EKG)-Complete blood count (CBC) If all these reports normal, then no further workup needed. Consult pulmonologist for examination if needed. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "This morning when I woke up I noticed a lump on the left side of my neck when I turn my head to the right. I was at the gym last night lifting weights and was wondering if this is something from straining or if its something with my lymph system or possibly something else?", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have some muscle pooled. You need examination. It needs muscle relaxant only. If you have any lump then you should go for fine needle aspiration cytology. It could be enlarged lymph node due to reactive hyperplasia or some soft tissue tumor. Fine needle aspiration cytology or biopsy will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doctor, I have this small dark colored depression on the right side of my forehead, just above the eyebrow. It developed when I was 20 years old, I didn t have it before that, I m 24 years old now. It hasnt gone away nor it has become darker. Please advice something. Thanks & Regards.", "output": "Here you have symptoms like dark depression just above your eyebrow on right side of your forehead. And as per your explanation I understand it is not increasing in terms of color or the area where it is. Here I suggest if there is no pain and inflammation (redness of surrounding skin) then nothing to worry. You can visit a good dermatologist for proper examination and treatment for the dark depression. You may need to go for some skins test to rule out there is nothing major problem with skin and then doctor will suggest you either conservative management with ointment and medication or it can be surgical to correct the depression and color of skin. Here I have given you generalize guideline since the physical examination is not possible, and I am not able to check the depth of depression. As well cause of depression is also unknown. I suggest visiting a dermatologist and cosmetic surgeon for further discussion and planing of treatment. I am sure this must be useful for you. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, Please help me. For the past year and a half ive been experienceing pain in my abdomen, which is now in a definate area ie: from the mid abdomen to just under my right rib cage. I have no appetite, sometimes wake up with chills and a fever and feel very bloated. I have had a hida scan and CT Scan done with no abdormalities detected. My homeopath picked up something wrong with my caecum bowel placing pressure on my appendix and liver. I am feel extremely tired and lethargic and i have a constant aching pain in my right abdomen area whether i eat or not. My back and neck get very sore when the stomach ache begins..does this sound like a colon problem?", "output": "Hi. Thanks for your query. This may be a colon problem as you have a persistent pain on the right side of the abdomen. This is one and half year that your pain is persistent, CT and HIDE scan normal. The area of the pain in the right upper qua Chat Doctor. I would advise you the following:::Get an ERCP done for - knowing the architecture of the bile and pancreatic duct system, sphincter of odd function, probably to put in a stent and most important is to get the sample of the bile for gram staining, culture and sensitivity. Upper GI Endoscopy and barium meal may also be required. Another reason of cecum inflammation causing this problem is a possible diagnosis Nephritis. Get a course of an antibiotic, metronidazole and probiotic to see the results. I would advise you the following\"Colonoscopy as the first investigations. Tests of blood, urine and stool. CT scan of the abdomen. All these investigations will help us to get a perfect diagnosis to get a proper treatment plan as you have been suffering for the last one and half year." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a baby with a diaper rash or that is what it is being called by our doctor but we have been treating it for 2 weeks with Nystatin and it is not getting better it has blisters that are pus filled and it has spread from the diaper area up toward his waist", "output": "Hello, Welcome to Chat Doctor. I understand from your query that your baby has been diagnosed with a diaper rash which is not resolving. You have not mentioned the age of your child. However, with your history and description, I would consider the possibility of Candidiasis. However, it is also important to rule out other rashes which occur in the diaper area like contact dermatitis to diaper itself and an entity called acrodermatitis enteropathica. Candidiasis is a fungal infection commonly occurring in babies in the diaper area. It can be treated with an antifungal like 2% ketoconazole cream applied twice a day. It is very important to keep the area as Chat Doctor. Contact dermatitis to diaper is an allergy to the diaper material. It is mainly confined to the round (convex) areas of the groin where diaper is in close contact with the skin. Use a barrier cream containing zinc oxide every time you change the diaper. Apply generously on the areas where diaper touches the skin. Acrodermatitis enteropathica is a condition which is seen at the period of weaning and is due to zinc deficiency. Zinc levels should be checked in the blood for confirmation. The alternate option is to ask me a direct query by clicking on this short URL https://urldefense.com/v3/__http://bit.ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doc,My baby is 5 1/2 months old. i need to go to work from next month. till now i have given her breast milk, little juice every day as well as nestum rice (with water).instead of mothers milk, can i give her cow or buffalo milk, or what do u suggest. i understand that there is no replacement for mothers milk, but still kindly suggest the second best.Sue", "output": "Exclusive breastfeeding is recommended up to 6 months of age in our country and that means nothing other than breast milk. However, sometimes weaning can be done from 5 months of age. Mothers milk is best. If not possible you can give a formula. I will not endorse any particular brand on this forum. Only try to find an economical one. They are more or less same. Maybe some formula with pro bionics, nucleotides and DHA is better if money is not an issue. Cow milk, buffalo milk or any other animal milk should not be given before 1 yr of age." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, my husband has been experiencing for the first time in his life an allergic reaction or so we think this is an allergic reaction. It s primarily in his face and it s always random. It s been happening in the last couple of months and seems to happen only on the weekends, but again random, not all the time and it vasilates between the left side and the right side and usually his mouth area where he experiences swelling to the point of it hurting. We think either a food allergy or maybe spider bite, but we ve tried to narrow down the food items, laundry items, soaps, etc. and it s still happening. Could this be another way of his body telling him something else is wrong? When administering an allergy medicine to him, it will usually go away by the late afternoon or the next day and he always wakes up with it. Help!", "output": "HI, thanks for using Chat Doctor The symptoms are possibly due to : (1) allergies (2) sinus congestion (3) infection with herpes simplex 1 (cold sores)Sinus congestion can cause one-sided pain and swelling as could the other conditions mentioned. It would be best to consider visiting a doctor for an assessment which would include physical examination and possibly bloods. Blood tests can be done to check for allergies though if it is an allergy, it would have to be something coming into contact with this area specifically hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here...Hi, My son is 3 years old and has been having fever of 38-39deg. Celsius for the past 3-4 days. He only has a slightly blocked nose otherwise no other symptoms. I need to give him paracetamol or nurofen every 5-6 hours to help control his fever. Should I be worried?", "output": "Every illness even in the mildest form can progress or can take any shape, so answering that nothing to worry is not right, upper respiratory infection is the commonest illness however they can progress to lower respiratory tract or chest over few days, but most of the upper respiratory infections healed by themselves with help of supportive treatment so a check or monitoring on a child has to be done during even simple cough Cory. You can keep watch on his breathing rate, chest in Chat Doctor. If the symptoms of fever and congestion of nose not improves by day 6 then antibiotics be needed to start, but please ensure to get your child checked if it not resolves, persist or worsen." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "irritation feels like my skin is crawling, angry lost my temper three times today already, started tidying with music on and then just turn it off stopped cleaning n layed down shoutin at my cats they are annoying me. want people to leave me alone? i keep feelng like this im not going to my doctor because he is not nice. my whole body is itching or tingling.", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. Even though your symptoms do correspond to anxiety disorder in one look, you should also understand that these symptoms can also come fore because of disappointment. I sincerely suggest that you could be a victim of your own negative thinking. Disappointment which arises out of unforeseen life events do bring such symptoms like sadness, irritation, anger, lethargy, lack of interest, lack of appetite etc. Please understand this fact and make sure to introspect. Talking to your friends, outdoor activities and being creative should give you relief. Find the reason for your disappointment and consult a psychologist if need be. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband is suffering from relapsed multiple myeloma. his blood counts are very low.He is being given blood transfusion4 times so far and once and platlet transfusion. Now his platlet counts are 18000. Is it so bad and how to increase platlets without transfusion because he developed reaction like breathlessness and tremors lasttime.", "output": "Hello and welcome to Chat Doctor, Low platelets are caused by increased destruction of platelets, decreased production of platelets and loss of platelets. Multiple myeloma is a condition wherein there is reduced production of platelets due to replacement of bone marrow by cancerous cells. The treatment of multiple myeloma either by medicine or bone marrow transplant will treat the condition and improve the platelets. However, any mode of treatment will take time so in the meanwhile platelets have to be transfused to improve the platelet counts. Transfusion of platelet concentrate is safe and improves the platelet counts. Thanks and take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,i have a sore wrist i cant move it up realy sore dont no wot caused it could you plesse help me and tell me what it is.my health center is closed today please tell me if i can get anything from my local chemist.i have tried a wrist bandage.not worked", "output": "Hello, I read carefully your query and understand your concern. Your symptoms seem to be related to a twisted wrist. I suggest using anti-inflammatory medications such as Acetaminophen to relieve the symptoms. I also suggest using cold compresses for local application. Furthermore, I recommend using a bandage to prevent movement that can trigger the symptoms. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards! Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello sir this is Arvind Yadav from indore (mp).i dont know very much about it but i am having something like allergy, i m having cold kind of disease since 1997. and i am very depressed because i have consulted with so many specialist but there is no solution by them.symptoms ;- 1. sneezing more then 100-150.2. flowing liquid from nose continually. (BRIDGING)3. flowing tears from my eyes continually.", "output": "HI, thanks for using Chat Doctor Watery eyes and persistent nasal discharge implies that you may have allergies. In your case it may be severe. You may want to consider allergy testing. If you can determine what is causing your allergic reaction then you can eliminate your exposure to it and reduce your allergies. Oral antihistamines would help both the eye and nasal symptoms. Montelukast may also be very helpful to you. There are allergy eye Chat Doctor. The use of topical steroid nasal spray would help control the nasal symptoms. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have lower back pain that comes and goes and it sometimes radiates to my leg and flank areas. Today I experienced floating stool in addition to my back pain being a bit uncomfortable. Also, I had intense gas and bloating toward the end of the week last week. My back pain started, off and on, in late December.", "output": "Welcome to Chat Doctor I have gone through your query and understand your concern. You are suffering from chronic backache. This may be related to muscles and bone weakness. There may be deficiency of vitamins and trace elements. You can take supplements of vitamins and trace elements. Back exercises are helpful in muscle strengthening. Analgesic such as ibuprofen is helpful in pain relief. You can get vitamin D and vitaminB12 levels and if found low you can take its supplements (vitaminD3 and mecobalamin). You can further investigate it by MRI of lumbar spine. Your floating stool and gas and bloating may be unrelated to backache for this you can take omeprazole empty stomach. It may be amoebas, and you can get stool examination or take antiamoebiasis treatment for five days. You can discuss with your treating Doctor about it. Hope I have answered your query. If you have any further questions then don't hesitate to writing to us. I will be happy to help you. Wishing you good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i keep having stabbing pains in my chest and it radiates to my back left shoulder between shoulder blade and spine and also feels like some mild muscle strain in my left shoulder...i belch gas with this at times but do not feel any burning like indegestion...was just wondering could this be causecad by the gas build up", "output": "Hi thanks for asking question.... Yes by gas and acid reflux or gastritis like condition can lead to referred chest pain... Treat it with omeprazole.... But you have stabbing chest pain and referred to shoulder so better to do ECG or echo for rule out ischemic heart disease.... Muscular strain also lead pain... Rest and analgesic needed for it.... I hope your concern solved... Take care... Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir.There are several persons here, who are saying that they can cure renal failure with herbs, is this possible my father is suffering from kidney failure,can u help me for right treatment. he is above 66 years doctors says they cant take a risk of transplant.what should i do, can u please help me!", "output": "Hello and welcome to Chat Doctor. As a Urologist, I cant recommend herbal treatment for kidney failure. However, if you can send the last reports of his kidney function, with present medication being taken, I can give you an expert opinion. Send them to me as a direct question, and I shall give you a professional advice, regarding further course of treatment. Wishing your father good health. Chat Doctor. Manga." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "For the last two days Ive had a pain that I thought was a tooth ache, however its actually on the side of the gum behind the last tooth on the right side where the tongue rubs against that bit of the back of the mouth. Looking at it with a flash light it appears redder than the left side. Is this anything to be concerned about?", "output": "Hello and Welcome to Chat Doctor, Thanks for writing to us. The type of history you are presenting here directly indicate to your wisdom tooth infection known as peritonitis. Immediately start up with warm saline rinses & Betadine rinses, along with antibiotic course including amoxicillin 500\u00a0mg TDS & ibuprofen 400 mg TDS.Then visit to your dentist for check Iowa x-ray and treatment plan according to that. Hope this helps you. Wishing you good health... Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have had hashimotos since 3005, ive also had slapingo-oophorectomy. back then i had probloms with low hemoglobin, but my platelet count was normal. in 209 my platelet count had drooped to 101,000. then Nov of last year i had unexplained high temp when CBC was done my platelet count had dropped to 81,000, the physichian told me to take Ferli_6 one tab per day-that didnt seem to help coz it dropped to 71,000 within 2 weeks. then it seemed to get better. in jan my family doctor told me to take 2 Ferli per day n bt the 23rd the platelet count had increasd to 82,000. then on the 16th i had another bout with high temp another cbc was taken n it showed a drop of platelet to 65,000(all in 20 days). should i worry?", "output": "Hi, dairy have gone through your question. I can understand your concern. You have low platelet count with fever. You may have viral fever like dengue or other type. Furthermore, you should test for dengue and malaria and then take treatment accordingly. It has no relation with your Hashimoto thyroiditis or your surgery. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi - I weaned my 7 month old baby off breast milk a few weeks ago. I understand it can take some time for menstruation to return but, considering my history of PCOS and need for Clomid to conceive the first time around, how long should I wait before seeing my Doctor for help to restart my ovulation in order to conceive again?", "output": "Hi there, I have understood your concern. I will suggest you the best possible treatment options. As you have delivered only 7 months ago, I will suggest you to think about the next pregnancy once your child is one year old. This will help you to look after and nurse this baby properly, at the same time you will get time for your bodies recovery. Please do opt for a healthy diet and regular exercise regimen. Include more portions of fruits, salads and vegetables in daily diet. This will help to ease out ovulation considering the history of PCs. Also, start on Folic acid, vitamin B 12 and Omega-3 supplements at least 3 months before you plan to get pregnant. This helps to prevent many problems during pregnancy and delivery. Since child is one year old, you can consult your treating doctor for getting the medicines for ovulation. I hope this answer helps you. Thanks. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my gf has regular period on 20 to 26 but we had sex on 21st of august...and next day i gave her unwanted 72....so she got her period on 28 to 2 September...and in the next month now it s 6 oct sgedidn t get her next cycle what could be the reason???help me out", "output": "Hello, and I hope I can help you todayUnwanted 72, when taken correctly, reduces a women chance of pregnancy from an unprotected encounter to less than 10%. However, unfortunately that means that one in 10 women still can conceive even if they take the medication correctly. Furthermore, in the cycle that she takes it the medication can delay or affect her cycle. So just to be safe, I would recommend that your girlfriend do a urine pregnancy test. It does not need to be done in the doctor's office you can purchase one over-the-counter. However, she did have a normal menstrual cycle since she took the unwanted, which is a good sign that she is not pregnant. Women can have irregular menstrual cycles from hormonal changes due to stress, weight or schedule changes, and other medical hormonal problems. If her pregnancy test is negative, and your girlfriend is not menstruate for three months, she should see a GUN doctor for an evaluation to figure out why. I hope I was able to adequately answer your question today, and that my advice was helpful. Best wishes, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI SIR ,I HAVE VERY STRONG PAIN IN MY LEFT SIDE OF ABDOMEN . ITS COMES VOCATIONALLY AND AFTER INTER COURSE ALSO ITS COMING WITH BIG PAIN AND A SENSATION TO GO TO TOILET.WHAT CAN I DO SIR ITS BECAUSE OF VARICOSE WAIN OR ANY THING ELSE .AND I HAVE KIDNEY STONE ALSO IN MY LEFT KIDNEY", "output": "Hi ! Good afternoon. I am Chat Doctor answering your query. Even though it could be due to the movement or slipping of the kidney stone into the ureter, if I were your doctor, I would have advised you for a routine/microscopic and culture/sensitivity test of the urine to rule out a urinary tract infection, and treat it if positive. This kind of pain is less likely be due simply to varicose veins. Till the tests are ready, I would prescribe you with an anti-spasmodic Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my Name is Dharti Jani, 17 years of age, 5ft5 i weigh 40kg and have no medical history. recently have overdosed myself but have survived this trauma, I cant seem to forget the past and move on and would like some tips in order to be a more happier person", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. From the description, I understood that you tried to commit suicide. Am I right? Happiness is something you cannot purchase from anybody or borrow. You have to find it. I am sorry if I sound like a sadhu. But that is right. To find happiness know you. Past is. Forget it. Future is uncertain. Forget it. What is certain is NOW. Enjoy the NOW. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello DRi dont know if you are right Dr that i chosen or not I wish to help me If i do laser hair removal in any where in my body like underarm ,arms ... is there any danger to my body specialist in underarm there are a lot of glands on it thanks for helping", "output": "Hello and welcome to Chat Doctor Laser hair reduction (LHR) is a very safe and reliable way for hair reduction. Apart from mild redness after the sitting which usually resolves in 1-2 hours, there are really no side effects at all, if done by a well-trained/experienced expert.LHR can be done on any part of the body like face, underarms, arms, legs, bikini area normally 6-8 sittings will give you a good hair reduction. It is US FDA approved for hair reduction and gives long-lasting results. I would suggest that go ahead with it. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a painful swollen gland under my right armpit last thursday... It lessened in size to about the size of a pea. I thought it was Allergies. I am getting really bad headaches, Hot at night, fatigue during the day...I am just really afraid of being sick...can you help me?", "output": "Welcome to Chat Doctor. 1. Its hair follicular infection - infective etiology with collection of pus within.2. If you are my patient, I would ace examined and ask for ultrasound if required, but for size you have mentioned not necessary.3. Treatment in this case will be a course of antibiotic with symptomatic treatment will help.4. As a remedy - do not press, scratch or disturb the lesion / lump it will help in early healing, avoid shaving until it heals, meanwhile use trimmer to remove hair.5. Maintain local hygiene, clean the area with antiseptic liquid, that will help. Good luck. Hope I have answered your query.Anything to ask do not hesitate. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello I am 45 yrs old, the other day I notice I have a pea size, pus filled lump around my areola. I tried to squeeze it, much to painful, tried everything to get the fluid out with no success. I think it maybe a hair follicle or something along those lines but I can t help to feel a lil concerned. could this be something more?", "output": "Hello and welcome to Chat Doctor, A painful pus filled lump around the areola could be a boil, folliculitis or inflammation of hair follicle. If you are lactating, then this could be related to lactation. However, a clinical assessment of the lesion is required. In case the pus filled lesion is small, it will respond to antibiotics. If the lesion is large enough, incision and Chat Doctor. Thanks and take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my sister is having swollen left leg, swollen left hand and today she compalined that she cant see from one of her eye. this is going on from 2-3 days.....15 days ago her lipid profile said 252 cloresterol. mean while she had menses when she had over bleeding she took Pause tablet for it. please guide", "output": "Hi, thank you for providing a brief history of your sister. It is sad to hear all these symptoms arose all of a sudden. Since she was under a medical special and taking medication the physician must have taken proper assessment. Getting menus in between must have disrupted things as per me. Kindly meet an internal medicine specialist and get self assessed. He might prescribe some diagnostic blood sample to undergo. Kindly go through all. Get checked with the ophthalmologist as well once on a safer note if anything is wrong with the pupil anatomy & physiological. Once the clearance comes from an ophthalmologist you should meet up a neurologist, and may advise to an MRI of the brain. Which will give the clear picture of the vision problem. Since you started the history with the swelling and vision problem. I am here more concerned about the vision that it is more important as per me. Meeting up a physician will even guide you to undergo Doppler scan to check if any issue with the veins and arteries. As the diagnostic reports will one by one done will be helpful to rule out certain doubts of the physician and coming close to the problem will be possible your sister shouldn't have taken a pill to stop the menus. As menstrual cycle is a normal physiological process and stopping it with the chemicals if not advised as it will lead to a terror in the body. I am still unsure if the pill what she consumed to stop the census has lead to this., but please go to physician and get self checked. it's not harmful to take experts advise. As without doing a proper examination and observation it will be difficult to just give some statement. I hope you will understand. With the grace of God I wish your sister a good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have recently got infected by jaundice and my marraige is due next week. i am taking regular medicine for last 3 days and follow a stick diet by excluding oil and fat. how much time will it take to come out of jaundice and what further precautions to be taken after marraige. please advise.", "output": "Hi. Thanks for posting query at Chat Doctor. It may take few weeks for the jaundice to come down provided your \"not\" suffering from fatty liver disease or HBV; CV. Though you mentioned jaundice but did not mention liver enzyme values. Usually ALT or AST values higher than \"two times the upper normal limit\", is considered abnormal (in some countries, ALT or AST values of more than 100 are considered abnormal). Value of AST or ALT greater than 85 or above maybe investigated further. HAV, HBO, CV, Alcohol ingestion and obesity are common causes of liver disease. Advice :- abstinence from \"Alcohol\" - LOW fat diet should be followed, AVOID junk food and beverages-decreased oil consumption (oily food)- NO red meat-green vegetables should be ingested daily-use lemon juice (lemonade) once in a day-reduce weight if overweight/obese-\"recheck liver enzymes after 6 to 8 weeks\"any further questions are welcomed. Hope to answer your concern. Wish you good health. Regards, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have cronic neck pain from fusion of4 and 5th cerfical disk over a year ago. I take alive250m and tizanidine pain doc. wants to do facet joint shots and burn out nerve connection if one is found. I need pain relieve now. I am getting weak and shaky and am becoming debilitated by the pain. I am a75 year old female and ilive by myself", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have chronic nerve pain in neck. Well there can be many reasons for symptoms you mention in query like injury, arthritis, osteoporosis, fibromyalgia spondylosis or meningitis. I would suggest you to consult orthopedic surgeon again for proper examination and treatment. Doctor may order CT scan, MRI or physical examination. Doctor may prescribe muscle relaxant, anti-inflammatory along with nerve supplement. Doctor may recommend physical therapy and stretching exercises which will help a lot. Doctor may also refer you to neurologist for nerve problem. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Age 60 yo female. I have terrible varicose veins and a couple of days ago, I noticed my ankle was very itchy. Today very red area and sensitive to touch, almost like a burn. Wondering what I can do or just leave it alone. This is on the outside of my ankle where I have a lot of superficial blue, purple veins.", "output": "Hi, I understand your concern. 1. Itchy ankle is due to non circulating blood in the lower legs as you have noticed varicose veins. 2. Anthologist to consult as soon as possible and to run Doppler ultrasound of legs blood vessels to locate the blockage and treat adequately. 3. For the moment, I advise to:- keep your legs elevated as much as you can-when sleeping, elevate you legs more than head direction to help blood move-apply heparin cream locally-take divine to shrink the blood vessels Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My child is 6 Years Old. He has a cross fusion ectopic. Both of kidneys are on right side.He has a issue of swelling when he caught by cold or cough.Doctors are recommended omnacortail 20 mg twice a day. is it safe to give them? Any side effects are there..? Kindly reply.", "output": "Hi, Thanks for writing in. These malformations may be associated with symptoms related to infection (pyelonephritis), obstruction (HY Chat Doctor. Vesicoureteral reflux is also commonly associated this may be responsible for the high incidence of pyelonephritis. Omnacortil is prednisolone and should be given only after discussing with senior doctors. There are many side effects of omnacortil and the benefit must clearly be understood when giving 20 mg dose to a child. I would suggest you please consult a pediatrician and then discuss the need for taking omnacortil after clinical examination. The soft tissue swelling in not clearly understood and might need detailed clinical investigations to confirm diagnosis." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a dermatofibroma on my left shoulder blade and my bra strap irritates it daily. It is 1/4 inch, perfectly round, and purplish in color. Do you think I should be concerned about the possibility of it being cancerous? Had a similar one removed from my abdomen a year ago that looked the same as this one and came back as a dermatofibroma.", "output": "Hi, dairy have gone through your question. You may have dermatofibroma protuberance, benign fibrous histiocytoma or malignant fibrous histiocytoma. You should go for biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Excision biopsy is the treatment of choice. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello!There was a smoke coming out from burning towels. I inhaled a lot during my effort to put it out. I had problems breathing, red eyes and then some headache and a little pain in the chest. Is there something that I should do now and probably check ?Many thanks!", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Any form of smoke is irritant to the lungs and cause bronchitis (inflammation of airways). This is the cause for chest pain and breathing difficulty. Smoke will also cause irritation in eyes and cause reddening of eyes. So wash your eyes thoroughly with cold water 5-6 times a day. You will also need anti-inflammatory eye Chat Doctor. For breathing difficulty, better to consult pulmonologist and get done clinical examination of respiratory system. You will need inhaled treatment in the form of inhaled bronchodilator and inhaled corticosteroids (ICS). Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 32 year old female, s/p roux-en-y gastric bypass in Dec 2013. In August, my potassium became very low (2.9). I was started on klor-con 20mEq and initially took 1 tab daily. I have since had that increased to 60mEq daily because my body is not maintaining potassium levels (3.3 and under on 40mEq). I have seen my pcp and an endocrinologist and we have so far been unable to find the cause of potassium dumping. The endo believes it might be related to the RNY. I ran out of my Rx and had difficulty getting it refilled because of provider vacations, etc. I have been very symptomatic. I resumed taking it today but I was wondering how long it takes for the klor-con to start taking effect? I know it is different for everyone, and it s hard to guess because of the dosage I have to take + my history, but I am just looking for a more typical timeline.", "output": "HI IN YOUR CASE IT LOOKS QUITE CLEAR THAT LOW POTASSIUM IS RELATED TO MALABSORPTION SECONDARY TO ANY. BUT YOU MAY UNDERGO 24 HR URINE POTASSIUM TEST TO SEE IF You're LOSING POTASSIUM FROM KIDNEY WHICH NEEDS DETAILED EVALUATION.IF IT IS JUST RELATED TO DECREASED ABSORPTION I WILL ADVISE U TO INCREASE DIETARY INTAKE OF POTASSIUM LIKE TENDER COCONUT WATER, CITRUS FRUITS, BANANAS, APPLES ETC.HOPE NY ANSWER HAS MADE SOME DIFFERENCETHANKS Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello i have been taking 5mg of folic acid for about 2 months now. I just learned I am pregnantz. Then I read somewhere that the normal Supplement should only be 400-800 mcg. I did Not know this. Is there a risk to me and my baby as it seems to be quite an excessive dose. Tnx", "output": "Hello dear, I UND your concern. In my opinion even if the higher doses of folic acid are taken it will not result in toxicity as maximum part of it is excreted in urine. So nothing to worry. Many of the folic acid preparation supplements are of 5 mg. Though the requirement is 500mcg we usually prescribe 5 mg for the initial 3 months of pregnancy and in a few indicated patients it is started 1 month before conception and continued for 3 months of pregnancy. So relax. Avoid stress. It doesn't harm the baby. Best regards..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Dr. I am planing to ivf and having pregnancy 123 tablet and Does 25 mg in the morning and elicit and afternoon primrose in the afternoon. Am I having too much medication? If so Pl tell me what medicines good and better time for them. Thank you", "output": "Hi, How are you doing? I don't understand use of these medications before pregnancy or IVF. If you want to try for IVF pregnancy, All you need a 1. Folic acid tab & maybe an antioxidant like Multivitamins tab-both once a day till third month of pregnancyYour husband also needs an antioxidant tab - once a day till Infix you have any other condition like Thyroid or diabetes or any infections, have specific medications for those. Hope I have cleared your overall the best Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "which Foods are avoid during jaundice ?", "output": "Hi Anger, Welcome to Chat Doctor. In case of Jaundice the most important thing to do is to first identify the cause for jaundice. Depending on the cause, jaundice is managed accordingly. If jaundice is due to Gall stones obstructing the bile duct, surgery may be required to remove the stones. In all cases of obstructive jaundice, cause of obstruction has to be detected and treated. In case of infective or cirrhotic jaundice, Fat restricted diet is advisable, including restriction of milk and milk products. Alcoholic Chat Doctor. Wish you all the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Painful nodule above my clavicle on the left side near my throat. It s also very tender under the clavicle bone in the chest area, sore on both sides under my armpits and both shoulders very fatigued. I am scheduled for a massage tomorrow, but after reading all of this I may need to see my primary care Physician as well. My shoulders have always been where I carry stress had fatigue, but this is the first time it s been accompanied by the clavicle and pain and chest muscle pain. Any insight would be greatly appreciated.", "output": "Hi, Thanks for your query. Well, without a clinical evaluation it would be difficult to determine the cause of the lump. Possibilities that may need to be considered include enlarged lymph node, lipomas, cysts, growths from underlying connective tissue etc. I would suggest getting this evaluated by an orthopedic for an accurate diagnosis and appropriate management. You may get the X-ray of the area affected and FNAC (fine needle aspiration cytology) of lump under his/her guidance. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I started with my body was feeling hot but I was cold inside and hard for me to get warm 2 days ago now I keep snezzing and my nose keeps running like a tap and I can t seem to stop it and my nose is really sore and my body feels so week like I ain t got no srenth in me how long do u think this will last for please as its driving me mad thank", "output": "Hi dear, this may be mild viral infection of the nose, throat, sinuses and upper airway. It can lead to exactly the same symptoms describe by you. You can prevent the spread of cold by washing your hands regularly and particularly after touching your nose or mouth and before handling the food. Always sneeze into tissue .most case are self resolving, still you must get plenty of rest, steam inhalation, gargling, vapor rub, menthol lozenges, nasal Stalin Chat Doctor. Over the counter " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, we have a premie baby 30 weeks. she is now 3 months old [from birth]. From last one month[ after she is home]. she is only gaining an average of 10 grams per day. Should we be concerned. We talked to pediatrician and he mentioned not to worry as long as she is gaining some weight.", "output": "Hi... a premature baby has to be given some leverage for weight gain and should not be compared with the normal birth weight babies. Your pediatrician is very much right. As long as the baby is gaining some weight and most importantly developmentally normal, you need not worry. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had unprotected sex three days ago (Saturday morning), I forgot to take my Tri Sprintec pill on my regularly scheduled time, 9pm. I woke up @ 3 am Sunday and took Saturday s dose and then at 9pm for Sunday dose. Should I take an ECP now just to be on the safe side to prevent getting pregnant? I already took my Monday s dose four hours ago, which is the last of the active pills. I will start placebo pills tomorrow.", "output": "Hello ma'am. A slight delay should not be a problem, and as you reinitiated your next dose at the right time, I do not think there should be a problem. Moreover, it has been over 72 hours (approximately) since you had the unprotected intercourse, there is no point in taking an ECP now as it would not be as effective. You will have to wait and watch, and hope for the best. Hope this helps. Best wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my baby(4 months 15 days) having a loose stool for 5 to 6 times a day and some times the stool was very greenish and also there is a rashes near her pooty area.Baby is completely on breast feed.what could be the cause that every time she is fed she goes for a stool and starts crying may some one answer why is it so.", "output": "Hi...this is gastronomic reflux. You need not worry about it. For the rash you can use any over the counter emollient cream which is licensed in your country, or you can use Silver which I usually suggest. It is quite common for babies of this age group t pass small amount of diarrhea or loose stools soon after feeds. This need not be treated as diarrhea and especially antibiotics are not indicated. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I continue to suffer with anxiety, depression, an insomnia to varying degrees on any given day. At the moment, not feeling too bad but on other days, the feelings are almost overwhelming. My initial concern was that the problem could due to a sensitivity to salicylates. You, however, assured me that this was not the case. For my edification, could you please elaborate as to why you do not think that my problems are due to salicylates or some other unknown food sensitivity. The most bothersome problem is the inability to achieve a deep and restful night s sleep. In the mornings I awaken feeling frightened and as if I am having an allergic reaction to something, ie, I feel as though there is mucous in my throat and that my tongue is swelling. No doctor that I have discussed this has offered a helpful solution. I realize that this is a lot, but is all very troublesome and frightening and constantly wonder if all of the symptoms are related, ie, the seeming allergic reactions, anxiety, and depression. Any further insight that you could provide would be greatly appreciated and thank you so much for your follow-up contact.", "output": "We understand your concerns went through your details. You are giving symptoms of anxiety disorder, depression and insomnia etc. here. At the same time you are refusing to accept that these three are interred dependent and never will be alone. So you do not have all of these, but you have a single disorder. We need to find out what is that single disorder. From the given description it seems that the single disorder could be depression came out of the basic education issue. If you provide more information and if you can arrange a counseling session with me through telephone, I can assess your case and provide the cure method. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, My Son is three years old and diagnosed jaundice last Sunday 15th Sept ,we have given ample rest and put on diet from start. His Total Bilurbin count was about 4 at that time.After few days of diet and rest he feels good. He is now active but his urine colour is still pale yellow from dark yellow. Does normal urine takes its time or should we have to take some treatment.", "output": "Hi and welcome to Chat Doctor thanks for the query. Urine color is darker several days after bilirubin levels stabilize so you don't have to be worried. Wait for at least 5-7 days and then repeat LFT to see is there improvement or not. Most causes of jaundice in his age is benign, and usually it is some congenital liver enzyme defect or systemic infection. He should continue with hepatic diet and rest for 2 more weeks. Wish you good health. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am 26 years old, a few months ago I found a lump in my breast, I went to the doctor, got a sonogram because my breasts are really dense, and I was diagnosed with fibrocystic breast disease. I have 3 cysts, 1 fibroaendonoma, and 2 suggestive fibroaendonomas. I was looking in the mirror, and I noticed an indent in my breast where one of the lumps are. It is also slightly painful---more uncomfortable. How likely is it that I have breast cancer?", "output": "Hello there... Breast cancer is not very common at the age of 26. The lump you are feeling would also be a part of your fibrotic disease... The kind of lump usually changes there size during menstruation and with age.... They are usually benign in nature and there are very minimal chance of cancer within it... If at all this lumps causing discomfort to you.surgical excision can be done as last resort." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello.. I have this swollen line that is itchy but hurts. It feels like a lump. Its a bit red I believe and Ive had this weird thing where ive had pain in the same exact spot before. The same pain that Im feeling now but now there is a swollen lump feeling spot... Should I go to my doctor?", "output": "Hi ! Good evening. I am Chat Doctor answering your query. From your description it seems to be an inflammatory swelling, which could be anything from cellulitis to a frank abscess. This needs a clinical examination, and so I would suggest you to report in the ER of the nearest hospital for appropriate management. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Dr, I am 23 years old and I have been married for 1 year now. Since from November last year in 2013 up to date I have been trying for a baby with no success. After making love with my partner 2-3 weeks later I would have some cramps and always feeling tired, feeling like vomiting and painful breast. I always have a hope that I am pregnant but few weeks later I would see my period. What should I do to increase my chances of getting pregnant?", "output": "Hello, thank you for posting your query to Chat Doctor. Have you been continuously trying since past ten moths or did u give breaks in between? If you tried continuously since all these months, then I'd suggest you to get your scan done for POD, ovarian and uterine physiology along with a detailed checkup for thyroid and other hormones, And blood tests. Your husband also needs to be investigated in details at the same time. You could come back with all the reports to us, or you can see a doctor, with those reports. Meanwhile, do not lose hope and keep trying, as there is no hard and fast rule for the ratio of success rate to the no. of attempts in this matter. Some couples are first time lucky, and many others take much longer to get that positive on their pregnancy test. Also, don't stress over it, as it hampers one's chances of conceiving. Both you and your husband must follow a healthy lifestyle, that includes a combination of healthy mind, body and soul (exercises, healthy diet and peace of mind). With this, you should also keep in mind the basic pointers like keeping your waist slightly elevated with a pillow after intercourse, and not immediately visiting the toilet etc. All the best!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor , I am a 31yrs old male....i had an ultra sound scan recently which showed a gall stone of 6.8mm.....Is there any alternate option to remove the stones rather than surgery ...If not whether there exists any surgery which removes gall stones without removing the gall bladder?Is the gall bladder removal affects a person s health in anyway causing post surgical problems?is there any method to dissolve the gall stone?pls reply me doctor.....", "output": "Hi. Please read the answer on assuming that the gall stone you have mentioned is in the gall bladder; in other words we are discussing gallbladder stone.1. If you do not have symptoms referable to the gallbladder stone which is of ~ 7 mm diameter, you need not hurriedly go in for surgery. You can monitor the course of the stone by serial ultrasound scans (once every 6 months for initial 2 years, followed by once a year). Decision to operate can be taken anytime if the need arises (e.g. continued dyspeptic symptoms like indigestion in the absence of acid reflux (proven on endoscopy) / attacks of acute infection / jaundice etc.).2. If indication for surgery is clear-cut, then removal of the gall bladder is the operation of choice in today's time. 3. Only stones can't be removed leaving behind the gall bladder to avoid the recurrence of stone formation.4. If the operation has gone well without complications, then usually there are no post-operative problems. 5. Medicines are available even in modern medical field to dissolve stones. However, these medicines can't be prescribed life-long due to their potential side effects. Moreover, +ve effect if any, reverts after the medicine is discontinued. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I broke my ankle in Sep 2013. I had 2 screws and a device similar to a sling put in it. I began walking on it in Dec and had no pain until I started Cardiac rehab in Apr 2014. A recent xray says On the present examination metallic screws noted at the medial malleolus and the Union is incomplete at the medial malleolar fracture. Degenerative changes of right ankle noted with overlying soft tissue swelling . What can be done to help this ankle heal?", "output": "If you have no pain in your ankle, I would leave things alone. If you have pain in your ankle, things are a bit complicated. Normally for a nonunion that the fracture fragments are in proximity, I'd use an electrical bone stimulator to help the fragments unite. If you have a pacemaker, the device would be a big mistake as it creates an electrical field which a pacemaker can misinterpret. Given the length of time since the fracture, there may not be enough bone activity/ blood flow across the fracture to have the stimulator work. An MRI or bone scan can help decide that. If there is no bone healing activity at the site, the screw would need to be removed, fracture sites curetted out to bring new blood flow, then reset with internal fixation. A bone graft may be needed at that time, and use of bone marrow aspirate or PRP injections may help assist the new union." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear doctor,My mother has heart problem, we have consulted in hospital, they told that, heart is bulged with water and blood content is less in body, ...she is using the medicine and has to use every time, please suggest the parmanent remedy for this problem, we are ready to show any where.", "output": "From the symptoms which you have provided your mother appears to be suffering from congestive heart failure with pump failure .she may be having low ejection fraction .the treatment depended on the cause which caused this condition .some factors as anemia or hypertension or ischemic heart disease are treatable others are not ...majority such patients are treatable with Chat Doctor. .so please wait for a while ...give some time for " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have gotten ingrown hairs on my penis in the past and just let them be. Recently I noticed a large pea sized bump on my penis and am worried if it is herpes or not. I have had the same girlfriend for the better part of two years and havent had sex with anybody and she hasnt either. I went to the doctor and he said he wasnt sure what it was and could be an std but Im confused how I would have contracted that. I did some research online and think it is a sebaceous cyst, but Im still concerned it might be something else. It grew to the size of a pea and didnt really hurt or itch but started to be pretty sensitive when it got larger. It ruptured or popped last night by itself when I looked at it before bed and it was just a little blood. I am going in to get it checked out again in a couple of days but am worried it could be something. Any advice would be great thanks!!", "output": "Thanks for contacting ChatDoctorFrom your description I do agree with you that this maybe a sebaceous cyst. These are glands that are blocked and build up material under the skin. These is completely benign and do not have any long term effects. Since the cyst has already ruptured I recommend that you keep the area clean with soap and water. You may also try small amount of newsprint or other topical antibiotic ointment. This will heal within the next 1-2 weeks. It may reappear at some time if the blocked gland becomes blocked again. Hope this answers your question. Please contact us again with your health care concerns and questions" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had acne since the 6th grade . I am now going into the 10th grade and it still hasn t cleared . I ve used every single face wash before from drugstores . When that didn t work , i started using Proactiv which didn t really help since it dried out my skin . Ive tried at home masks and everything . I don t pop or pick my face either . I have combination skin . When i m out , it would be really disgusting and oily . I have now been using skin id for a year now . It has worked the first few months but now , it just seems the same . I have a few bumps but you can see a lot of red spots on my face . I also have it on my back and now i m getting it on my chest as well .", "output": "Already you are suffering from acne for 4 years. Three regions of your body already has acne. So it calls for strong treatment. Simple measures may not give you good and long-lasting results. There is GOOD NEWS for you. Some tablets are available which when taken for about 6 months will reduce the acne permanently. But you need to meet a nearby dermatologist for that, as the doctor should personally assess the severity of acne and your general health. Any form of treatment for acne will make your skin Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi my name is tanya and i have a baby of 11 weeks, from when he was about 2 weeks old hes always seems distressed with hes tummy escpelly after hes feeds. he is constantly straining as if he needs to open hes bowels but he dont go for at least 3 days iv tryed lactolse and gavascone for babys. hes always suffering from wind they say he was constepated but hes poo is always soft iv tryed so many things and nothing helping can you help?", "output": "Hello. Thanks for your query. If you are breastfeeding your baby it is normal for babies to not have a bowel movement even for 10 days. If his tummy feel soft and if he is not cranky or fussy then you should not worry. Anyway you can try some pear or plum juice. If you are breastfeeding your baby consider putting some plums, kiwis or Zucchinis. These foods are natural laxative and will pas through your breast milk to baby. Also, tummy massages are known to help with this condition." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter is 7 months old, since 10 days we are observing while patche on her head,and on that patch dandruff kind of stuff is there,even though we are clearing/cleaning dandruff kind of stuff daily,but still we are seeing dandruff kind of stuff daily on that patch.", "output": "Hi, I had gone through your question and understand your concerns. There is not much reason to worry at this moment. Patch Dan Chat Doctor. If such a patient comes to me in my clinic I would suggest:1. Washing your babies scalp daily with mild shampoo to remove the scales.2. Apply oil and comb her hair with thin scallop. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you and your baby good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a rash on my hands which is red, itchy, scaly and cracking to be raw and is causing the skin to thicken giving an odd touch sensation. The skin around my nail on the affected fingers is swollen. I have tried antifungal creams and nothing is working", "output": "Hello, It seems to be hand eczema. I would recommend you to apply topical steroid antibiotic cream on the affected area twice daily along with frequent and regular application of a moisturizing cream containing white soft paraffin on the entire hands 3-4 times in a day. Also take antihistamines like tablet cetirizine 10 mg once or twice daily depending on the intensity of itching. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Sir, I am Abhay before we have two child now we dont have any lossed i accident my age is 39 and wife is 35 we trying for another issue but cannot concive from last 6 months , before two months we did HYCOSY and after that wife mansus is delay from 26 to 38 days, it is due to hycosy ? last month she taken tablet clomid 100mg for 5 day but ovulation is not seen proerly we tested progestron hormon on 24 day it was only 19.4 can you suggest.", "output": "Hi, I think you should get yourself evaluated first. Do a thyroid profile and prolactin levels and an ultrasound for your wives uterus and ovaries. Also, a semen analysis of yours should be done. If everything is fine, you can take medicines for growth of the follicles and track the follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles. Be in contact with your wife for 2 to 3 days after injection. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. You can try like that for 3 cycles. If it doesn't work then you can go for GUI. Periods can get delayed due to stress sometimes. Hope I have answered your question. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My sister had a hysterectomy last Monday for a large fast growing complex cyst. They took her ovaries, uterous, cervix and appendix. They said it went well 3 hours and that it looked good. Frozen section was inconclusive. Her final pathology is expect 10-14 days after surgery (last Monday). How often do inconclusives like this turn out cancerous and why do the final results take so long?", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have complex endometrial hyperplasia. With atypical chances of cancer are 64%. If no atypical then chances of cancer are lower. Histopathological report on specimen is the final report. It takes time because of long processing time. Moreover, if they want IOC study then it will take extra time. On an average it takes 6 to 8 days Food report. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 6 month old has a rash around his eyes. He seems to be his normal self, feeding well, smiling, laughing, playing, etc. Not acting out of the ordinary. He does, however, have a cough that he s had for a couple of months now that does not seem to want to go away, but we ve been to our pediatrician to have it looked at and they say he s perfectly healthy. What could this rash be and should I take him to the doc to have it looked at right away?", "output": "Hello, So right off the bat, has your child had a head injury of some sort? There are times when child Chat Doctor. It looks more like bruising around the eyes. The second cause could be due to the constant cough. Any straining that happens such as cough or vomiting can break the capillaries that are just under the surface of the skin. So if he has had this cough for a couple of months, the rash could be from the straining. Do you happen to have a picture of the rash?" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am in excellent shape i move furniture for a living i run up and down stairs constantly carrying heavy stuff all the time.. in addition to that i go to the gym every single day. however i have asthma and im 1000 percent positive i have mold in my house.. sometimes when i bend over it feels like my heart is being squeezed and i have to catch my breath", "output": "Hello, Allergy to molds can be a big problem especially for people who have asthma. Suggest you get either blood tests (specific IGE) against fungal allergens/mold mix or see an Allergist for skin prick testing against molds and fungal allergens. Deepending on where you live, it will be important to get the right mix of molds and fungal allergens tested. The Environment Agency can then also do a home air sample to see if there is a high concentration of molds in your home. Mind you all homes will have fungal allergens but should not be high levels and as you are asthmatic it becomes even more important to exclude this." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I assume it is diabetic amyotrophy, or proximial diabetic neuopathy. My right leg would hurt when trying to get out of bed and laying flat usually makes my leg muscles hurt over time. At the same time, though very much better, my right foot would feel numb (now the bottom of my toes only, but that s all). The muscle pain would go from my right rear-end, rear right thigh, behind the knee, and right calf. I ve been keeping my blood sugar between 130 and 180, but after learning 120 was the main number to avoid, I rarely go over 130 when I check it, sometimes just under 120 when waking up, rarely using my 1000mg metformin (afraid of my sugar dropping TOO low). Coughing and laughing would also hurt the leg I have this pain in. Is this really diabetic amyotrophy, or could it be something else?", "output": "Dear Sir/Madam have gone through your query and read your symptoms. In my opinion, your symptoms suggest a compression of disc in the lumbar region of your spine and is not due to diabetes, it would be better judged if you can get an MRI of your LS spine done, second thing is that numbness in whole foot, the stocking pattern is due to neuropathy, but numbness in any anatomical distribution like sole could be due to compression of nerve in the vertebra. I hope that answers your query. If you want any more clarification, contact me back." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my daughter is 7 yrs old and she is suffering from short breath ...it all starts with dry cough and ends in weezzing and breathing problem . she becomes very week when the attck is there ....she is not able to speak also ....breathing very fast makes her week ...i am not able to shee her in this state.. plz suggest", "output": "Hi, Thank you for asking question on Chat Doctor. Your history suggests she may be suffering from asthma. Use of Stalin and decor inhalers as per requirement and as per advice of your doctor is essential. Montair LC kid daily will prevent shortness of breath. Avoid cold and treat URI without delay. Hope this answer will serve your purposeless feel free to ask any more queries if requiredTake care Chat Doctor. V. Subrahmanyam MD;Disassociate professor of pediatrics" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was attacked on Valentines day this year by a pitbull and sufferedpuncture wounds that have been carefully treated. Yet this week I have developed a rash. Why? And what amount of time allows for true lightening from these types of puncture wounds?I am so worried because the doctor fears my healing is not well.But my physical therapists agreed it was. Just feeling unsure and wishto be educated on why this is happening?Thank you,Shelley G", "output": "Hello, Thanks for the query. Deep wounds generally take time to heal. As it was a bite injury there is high possibility of infection. You require treatment with proper antibiotic. If possible get a culture of material from wound, to see what is the infective organism. Let me know if you have any other doubt. You can ask a direct question to me on this forum, following the below link.https://urldefense.com/v3/__http://www.ChatDoctor .com/doctors/ Chat Doctor. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, i had my mirena removed on wednesday and then i did an ovulation test on friday it was positive, we had sex friday evening i had a period on saturday morning for three days, i did an ovulation test on tuesday it wa spositive, what does this means for me whos trying to fall preganant?", "output": "Hi, I think it is showing a false positive test of ovulation. You can't ovulate just after your periods. It takes at least 10 to 14 days for ovulation to happen after your first day of periods. I think it's better to go for an ultrasound to confirm the ovulation. You can track your follicles' growth by repeated ultrasound and can find out the day of ovulation. Be in contact with your husband every 2 to 3 days after your periods stop. It will increase chances of your pregnancy. Hope I have answered your question. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My name is Ellen and I have an enlarged liver. I am going to get blood tests today and next week or so will have an ultrasound done. My question is, is there something I can use to bind my side u?. I can sit back in a recliner or lay in bed and I am given great relief but I cant live this way.", "output": "Hi thanks for contacting Chat Doctor... You are having enlarged liver .... You have to take care about avoiding direct pressure over liver area .... Rest done and strenuous work avoided to decrease morbidity ... Investigate with following .....-Peripheral smear blood examination -relic count -GOT and SCOTUS -Serum bilirubin -Urine urobilinogen and bilirubin etc....Then if needed Bag and anti HCV done if history suggestive ...... According to cause treatment guided. ... Above investigation will help in rule out hemolytic anemia , hepatocellular or obstructive jaundice like causes .... In your case as history not classic I suggested above investigation otherwise you can minimize above test according to history and your physical examination... Hope your concern solved. ...." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have 8month old baby boby and i am worried about my child he is suffering each month with same problem has coughing anf throat problem 2nd month the doctor advice us to ventoline nabulize after 4 hour but there were no effect after 2 days he suggest us a coughing syrup brytnal this was also not affected then he decided to take antibiotic (clathromycin) after 3 days my child is recover well and we took that dose for 1 week then after 15 days same probelm again occur started with throat then coughing start my baby has a history of pnemonia in 5th month then we took into hospital for 2 days and thay suggested 5 inj TRIAX 750mg after 24 hour and also klaracid syrup for 1 week but every month we are facing same issue plz advice us we are worried about our son.", "output": "Dear Parent, Sorry that your child is going through so much. From what you have reported, your baby is having recurrent respiratory infections which is a sign of concern. It can result from problems of lungs, stomach, heart and immune system of the body. You child needs to be completely evaluated to rule out any major health issues. I suggest that you consult a pediatrician as soon as possible who can examine your child and order appropriate tests to come to a diagnosis as well as monitor your children growth." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a disk shaped lump in the middle of my back next to my spine. It hurts to touch it and its only on one side. I have also been very tired lately and get winded going up the stairs. I have also been have my veins show up more all over my legs and boobs. Do you know what is wrong with me? Could it be cancer?", "output": "Hi. Thanks for your query and suspicion of a cancer. The site of back you noted as not the site of any cancer as such. This can be a lipoma, sebaceous cyst or so. Get an examination done by a General Surgeon, FNAC or removal for getting rid of the swelling and to get a histopathology diagnosis. The causes of your losing weight, showing up of the veins on the body and the boobs, getting tired easily can be due to a general problem like anemia, Athenian, or some medical condition like diabetes or so. I would advise you to visit a Physician to get an appropriate diagnosis and get treated accordingly after investigations." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son is 5 .2 years old. He use to suffer from Wheezing frequently. He has been taking L Montus Kid for 1.5 years and now he has been switched to Montair tab 5 mg (to taper down the medicine). Also he is on inhalation - Foracort 100 for the same time, which is also in the tapering phase. Since the tapering has started since last week, he is feeling uneasy, sweats profusely and is also having a little cough. Could that be an effect of tapering? Is such long use of these drugs advisable? I continued as it did help him in his cough.", "output": "Hello. Increased wheezing & cough while tapering the controller medications (such as Montage & Forecourt) may suggest either 1. it's not time for tapering or 2. Tapering has been too rapid. Or 3. There may be an intercurrent infection/trigger factor responsible for causing recurrence of cough & wheeze. So I would suggest you to discuss these factors with your pediatrician and modify the speed of tapering controller medications. Regarding your 2nd question, childhood asthma is a chronic condition and frequently requires such long term use. Every Chat Doctor. One more important aspect of childhood asthma, please try to identify asthma triggers (such as smoke, dusts, cold temperatures etc.) for your child and try to avoid them. I would also suggest encouraging him for breathing exercises which might be helpful in long run. Hope this solved your queries. Wish your sun the best of the health. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "MY MOTHER IS 52 YEARS OLD WITH SEVER OSTEOPROSIS. SHE IS ON STEROIDS FOR ABOUT 5 YEARS FOR ASTHMA . HER ASTHMA IS SEVERE. A MONTH AGO SHE FELL AND HAVE SEVERE PAIN DUE TO DISC COMPRESSION. SHE HAVE CONSTANT BURNING SENSATION IN BOTH HER FEET AND SHE IS ON HEAVY PAIN MEDICATION. NEURO SURGEONS WE HAVE CONSULTED SAY THAT SHE IS UNFIT FOR SURGERY AND ONLY PHYSIO THERAPY AND TIME WILL HELP HER RECOVER. THE MRI REPORT SAYS MULTILEVEL DEGENERATIVE DISC DISEASE INVOLVING L3-L4 AND L4-L5 LEVEL. AT L3-L4 LEVEL, RIGHT PARACENTRAL DISC PROTRUSION NOTED CAUSING RIGHT LATERAL RECESS NARROWING. AT L4-L5 LEVEL, RIGHT LATERAL DISC PROTRUSION NOTED CAUSING RIGHT LATERAL RECESS NARROWING AND RIGHT RADICULAR COMPRESSION. ON THE LEFT SIDE, THERE IS ENCROACHMENT OF LEFT NEURAL FORAMINA WITHOUT ANY RADICULAR COMPRESSION. IMPORTANT. I AM I PAKISTAN SO CONSIDERING THAT A NEURO SURGEON MIGHT SEE 20 TO 30 PATIENTS IN THE 2 HOURS CONSULTING I AM NOT SURE IF THEY ARE TAKING THEIR TIME TO EVALUATE MY MOTHERS CONDITION PROPERLY. SHE IS TAKING MULTIPLE PAIN MANAGEMENT MEDICATION INCLUDING OPIOIDS AND STILL CANT WALK MORE THEN A FEW STEPS AT A TIME AND CANT SIT. THE BURNING SENSATION IS CONSTANT AND I AM WORRIED THAT MIGHT LEAD TO SOMETHING WORSE IN THE FUTURE. I NEED SOME ADVICE AND HELP. THANKYOU", "output": "Hi Woman, Your Mother seems to be suffering from complications of degenerative disc disease. Since she in on steroids do make sure she is taking Calcium and Vitamin D3 supplements to help prevent progression of Osteoporosis at her age. The pain she experiences is due to nerve getting pressed by the degenerated and herniated discs from her spine. She can try using a Lumbosacral corset belt to attain better posture while walking and reduce her symptoms. Usually, the main exercise you will be asked to do is that of extension which is leaning backwards by propping yourself up on your elbows when lying on your front. This mobilizes the joints but more importantly closes the area of the prolapse and reduces the disc prolapse. If the disc prolapse is reduced the tear in the disc can heal." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "What is avascular necrosis and how is it treated? I recently has an X-ray of my rt. hip that only showed minor arthritis change in my hip. I am 60 yrs old female. I also have rt thigh pain and rt. abdomen pain/soreness heat does provide relief. with increased activity my thigh and rt. hip pain increase causing me to limp. My doctor recently treated me with methylpredisolone tablets 4 mg. for a week that really helps with the pain and soreness, After the medications was gone the pain and soreness started to come back. I hope that you can help me to understand what is going on. Thank you.", "output": "avascular necrosis is revascularization of femoral head (loss in blood supply), this causes bone part to become necroses (dead) and becomes susceptible to fracture collapse eventually, when partially necroses, it is very painful on weight-bearing or walking. X-ray shows it as denser area than surrounding or adjacent bone. Once the blood supply is impaired, complete necrosis follows in 6 months to 2 years. So salvage operations are done with prosthetic implants or weight shifting surgery. I hope your doctor has confirmed if it is indeed avascular necrosis. Arthritis is different, in hip, it doesn't lead to avascular necrosis but destruction of joint surfaces and reshaping of joint in later stages. We must be clear whether it is arthritis only or avascular necrosis as treatment varies.It's best to leave it to your orthopedic or hip surgeon to decide diagnosis and treatment. Yes, as you are advised physical therapy it maybe just arthritis, which is more readily manageable conservatively, unlike avascular necrosis which requires surgery more frequently best wishes" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have heart palpitations, i have numbness on my face and neck portion, i get dizzy on several occassions. Per my stress test, i do not have a heart problem, my ECG and cbc results show no problem. WHAT COULD BE MY AILMENT? We do not have cancer, diabetic or allergey history in the family", "output": "Hello Thanks for posting at Chat Doctor. Palpitations and dizziness can be caused by many disturbed in the body functions. As you say the heart has been excluded as a cause. And also since the CBC is normal, anemia can also be excluded. I recommend you to check your thyroid function tests. Thyroid abnormalities can cause symptoms like palpitations and occasional light headdress which you may term as dizziness. Also, please check your it D and it B 12 levels which also can cause dizziness, fatigue. An X-ray of cervical spine is suggested. In cervical spondylosis, the nerve is entrapped between the vertebrae, which again can cause dizziness, Numbness in face and neck. Please do the above and revert. Wishing you good healthRegards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have high aec its 790 when checked and i was taking medications for 1 month till now i didnt find any relief my fingers gets swollen and itiching at times some rashes red of colour and if i eat non veg immidiately it creates a problem what is the best remedy to overcome this problem", "output": "Hi, dear. I have gone through your question. I can understand your concern. You are suffering from eosinophilic. There are many causes like allergy, hypersensitivity, asthma, parasitic infection etc. You should find the cause and take treatment accordingly. Overall DEC and steroids are helpful in eosinophilic. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a long semi firm lump on my inner thigh. I justwent to the doctor to see if she thought it was a lymph node, she said no, maybe scar tissue not sure. I so subq injections everyday2-3 days and use that same spot, could it be causing scar tissue to build up>", "output": "Hi, dairy have gone through your question. I can understand your concern. Repeated injury on the same spot due to injections may lead to abscess or scarring. No need to worry. If it increases in size then you should go for biopsy. No, any treatment is required right now. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI, my name is sathish, male 27 years old , i have a severe hair loss problem for the past six months or so, please suggest me some tips to regain my hair with density, and also i have a general doubt, is it difficult for a male person to regrow his hair in frontal(forehead) portion of the head?", "output": "Hello Salish, Thank you for posting on Chat Doctor. I appreciate your concern regarding hair fall. Hair fall is usually ascribed to multiple factors like diet and nutrition, hormones, stress, cosmetic products etc. From your description, it seems you might be having Male pattern hair loss or An Chat Doctor. If I were your dermatologist/trichologist, I would like to take through history including family history, history of recent major trauma/illness/stress/medications etc., and recommend some basic investigations like CBC, blood sugar, Thyroid function test. I would suggest you a course of oral tablets containing biotin and other essential vitamins and minerals for minimum 3-6 months. Also, would put you on solution containing 10% minoxidil once a day and a hair serum containing peptides for hair growth at night.(Q era etc.). Finasteride can be used in selected patients after thorough counselling and checking your liver function. Finasteride, inhibits metabolism of testosterone at hair root level. It sometime leads to embarrassing side effects like impotency, decrease in semen volume but which are totally reversible on stopping the " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "MRI BRAINMRI of the brain was performed using T1 & T2 weighted sequences in multiple planes.There is no signal abnormality detected in the cerebral parenchyma.The brainstem and cerebellum are normal.The ventricles, cisterns and sulci are normal.Intracranial vessels display expected flow void.Both the 7th-8th nerve complexes appear normal. No abnormal thickening or mass lesion is seenalong their course on this unenhanced scan. The visualised vestibulo-cochlear apparatus appearnormal.Polyp / retention cyst is seen in the left maxillary antrum.", "output": "Hi, Your MRI reveal retention cyst in left maxillary sinus. Retention cysts of the maxillary sinus are an incidental finding on radiographs. These cysts usually appear as rounded, dome-shaped, soft tissue masses, most often on the floor of the maxillary sinus. Most retention cysts of the maxillary sinus spontaneously regressed or showed no significant change in size over the long term. , in the absence of associated complications, \"wait and see\" may be the appropriate management strategy for these retention cysts." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my son is two years and 5 months old. I live in Mumbai India. He has been complaining of tummy ache and he has been going potty three or more times a day since past three days.stools are formed but weird. Can I give him nor met or taximo?and what dosage.thank you..", "output": "Hello, It seems your kid having viral diarrhea. Once it starts, it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting. You need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic-associated diarrhea. I suggest you use zinc supplements (Z and D Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi my baby is 5 months and 3 weeks...she is been pooping a lot since yday....yday morning it was hard n dark green....as if she was constipated but had no problem passing it except had to push lil harder....then as day went by the poop became pastelike n then a lil runny and yellow in color....i have started her on solids n gave her mashed peas for 2-3 times...guess was wrong bout it....now her poop is a lil mucus like n sticky....and very less in quantity but frequent....should i worry a lot? or wait before i call doctors?", "output": "Hi, This is likely from a gastroenteritis, which is common when we start weaning. If she don't have fever and the stool is not bloody, just give her zinc suspension 10\u00a0mg once daily for two weeks, and ORS solution in sips after each stool. If she is not getting better in 3 days, develops fever/repeated vomiting / stool becomes bloody-please take her to your doctor as she may need antibiotics too. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I dont have psoriasis on my arms, elbows, knees or scalp or anywhere else but about four months ago i started getting a vaginal itching and i have been to two doctors and have been treated for a bacterial infection and a yeast infection although it was not a yeast infection. one doctor did give me an anti fungal cream that did work really well sometimes i only had to use it once a day but then i ran out. She said if it doesnt work i might have psoriasis. now i think i have vaginal psoriasis now after reading this info...could i?", "output": "Hi, You seem to have pruritic vulvae. There may be some cause. Infections like bacterial vaginosis, candidal vulvovaginitis, parasitic like scabies, pinworm, trichomoniasis, Chat Doctor. .you consult dermatologist for firm diagnosis. After thorough examination and investigations, he might come to some conclusion. Antihistaminics like levocetirizine may be taken to relieve itch. And the cause of the disease may be treated. If it is psoriasis, there may be lesions of psoriasis elsewhere. The lesions may be silvery scaly plaques. If not then it may not be psoriasis. Biopsy may be done to have firm diagnosis. I hope you got my answer. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I can not stop coughing. For the past five years I have always had a cough. Lately, I have been coughing more often and it is only getting worse. I have been to the mds office and even though I am prescribed medicine it is not working.my body aches from coughing so much. I cough up clear phlem and sometimes it is stained with blood.", "output": "Hello, welcome to Chat Doctor ideally cough should subside with the medication but if it is not subsiding, some investigations need to be done which are-chest x Reinhardt lungsbronchoscopy(to look for foreign body)also sputum smear for tuberculosis you need to undergo an antibiotic course if you have not taken. Further management will be planned after findings in the investigations. Hope this helps thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 23 weeks pregnant and my due date is 6th April 2011. Before i got pregnant I was not having a monthly period. I had the coil inserted approx August 2009 and had it taken out due to problems in October 2009 and after this my period did not return. I am therefore not sure of when i concieved?", "output": "Hello, Thanks for the query. I have gone through your query and I can understand your concerns. You can make rough idea about your fertilization date by looking at your first trimester scan. The approximate gestational age is written in the scan, you can subtract the age in weeks from the scan date, and thus you will get the conceiving date. Keep in mind this not 100 percent accurate, a five to seven days correction is expected. Hope I have answered your query. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi..i have a SGPT level of 70.0 and my doc consider it high..i don t drink nor smoke , i don t take any drugs like to lower cholesterol for i have a normal level on that test.. i am a gym fanatic but that was 7 months ago. Since i stop doing my regular work out, i gain almost 20 lbs from then.. My doc told me to shape up in a month, go back to the gym again as i used to ..then we will do a lab test again..is there any way i can lower it to normal range ? what food do i need to eat or not to put on my diet? tnx", "output": "Hi, Welcome to ChatDoctorIf you have only mildly raised SGPT no other health issues, it is a right way to repeat it after 3 to 4 weeks to see if it is normal or not. It is good to do regular exercises but not fanatic please do regular gym not very heavy one start from cardio exercises. As you have gained weight there may be some fatty liver which can cause SGPT rise there are many other causes of such rise but take care of diet also take less fats and avoid high calories in diet. Which also depends on your age. You may take 3 to 4 months to lose weight, but it is more important to maintain that. Take care. Remember prevention is better than cure. Good Luck" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 43 yr old female with history of cysts (breast, ovarian, spinal). I have small nodules under the skin on my upper and lower arms, near my elbow, also on my upper thigh and upper left side of abdomen. These nodules appear like a bruise or \"black-and-blue\" and there is discomfort when pressure is applied to these nodules. Are these blood clots or what are they? What type of treatment would be beneficial? Thank you for your time.", "output": "These may be neurofibromatosis with nodules formation around the nerves which appear as blue-black in color, cystic and tender on applying pressure. Nothing is to be done until it disturbs your daily routine because they are recurrent and can happen at all the site where there is presence of nerves. If it disturbs your daily activity, excision is required otherwise any anti-inflammatory or painkillers will suffice the need." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i m a 27 year old white male. I ve been having diharrhea with small amounts of blood in it, i ve felt nauseous but have not vomitted. I went to the doctor they told me i had a parasite and put me on antibiotics . I ve been taking the antibiotics for about 5 days now and today i passed, along with diharrhea a small thin red/maroon colored tube. about 1 inch long and hollow. I have been taking cipro for the parasite, but could this be something worse?", "output": "Hi, Thank you for posting your question here, I will try to answer it to the best of my abilities. The tube you passed was the parasite, it means that the medication is working, the parasites are dying and it's the dead parasites that are coming out with your stools. There will be more of them coming out in the following week, so don't panic. This is the way it is supposed to happen. I hope this answered your question." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, My father s right side of brain got hurt badly around 3 months ago. After 3 months of 2 major brain surgerys .... now his left side brain is bulging (soft spot it seems) ... its soft when we are touching........ it..... 2 surgerys are : 1. Emergency Bilateral Fronto Temporo Parietal Decompressive Craniectomy ND Evacuation of right fronto parietal SDH (on 13th feb 2012) 2. Left Ventriculo Peritoneal Shunt(Codman Medium Pressure ) with Bilateral FrontoParietal Autologous Cranioplasty (on 27th march 2012) We discharged him last week ....... now he is having fever along with this swelling? what should we do now? My father means a lot to me..... any help could be appreciated. thanks swathi", "output": "Hi Ms Swath, Thank you for posting your query. I have noted your fathers medical details. I am glad to note that he has withstood two brain surgeries well. The recent fever may or may not be related to the surgery. Please get him examined by the neurosurgeon to look for any infection at the operation site. If that is ruled out, then, we should look for other sources of infection such as pneumonia or urinary tract infection. I am sure he would improve with physiotherapy and appropriate medical treatment. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, Chat Doctor. Ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have problems breathing and it had been happening to me for the past couple weeks, i cant get my breath all the way dwn, and for the past ccouple of days i have been getting lots of little red spots all over my cheeks and neck and it dnt go until morning time then comes back during night", "output": "Thanks for your question on Chat Doctor. I can understand your concern. You probably do have an allergic tendency. DO think over if you have had anything not in your regular meal like nuts etc. or medications. It is mostly an allergic reaction. It would be advisable to consult an allergist at the earliest as the cause needs to be identified and avoided. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I need to find a neurologist, who is also a psychiatrist specializing in the side effects of a number of medications. I currently take medications Hwith the approval of a psychiatrist and a primary physician. My location is Northwest Chicago. City or suburbs of Chicago on the near Northwest side are a good commute.", "output": "Welcome to Chat Doctor Have you tried contacting the Rush Medical Center at 8883527874? I did a search for \"psychiatric neurologists in northwest Chicago Ill\" and came up with a list of names. It is unfortunate that many psychiatrists s do not place neurology in their listings, but many psychiatrists s are also neurologists. One thing you can do is to contact Rush and if this place is not a good fit for you, ask them for names of NW psychiatrist neurologists. Other options are Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had upper right abdominal pain for about a year now. I ve had a ct scan and ultrasound and nothing was found. It started out hurting every now and again but now it hurts continuously. Also now when I eat a regular size meal, I end up feeling intoxicated. Also when I have a bowel movement all of them are very thin. Do you have any idea what could be going on? Thanks so much.", "output": "Hi. Thanks for your query. Pain in right upper abdomen with normal CT scan and ultrasonography and loose stools is indicative that there may be a problem related to the intestines. I would advise you the following:First of a to get a course of an antibiotic for 5 days, along with probiotic, metronidazole and supportive medicines. If there is a complete relief, nothing more needs to do. If there is not much of a relief, please consult a Gastroenterologist to get a clinical diagnosis and further tests like colonoscopy and so. A proper further treatment can help you the maximum. I hope this answer helps you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi,i had a oral sex with my girlfriend as we did not take out our undergarments but very soon her undergarment got wet n it also touches to mine making it bit wet.i.e i ejected in my shorts,but when i went to wash it i found the is the little cut on my penis head a skin just touching to it n moving down.do you think i need to worry and see the doctor?", "output": "Hello and thanks for posting your query. Welcome to Chat Doctor. I read your question completely and have understood it well. I being a surgeon, have come across many such cases. And I can assure you that you are safe. Absolutely not to worry. There is almost 100% no chance of pregnancy if the situation is what you have described. Generally, various articles say human beings are the least fertile mammals. And if are sure that semen did not enter vagina, then you can be tension free.There's no problem. Hope this helps you and in case you need any further help, please let me know. Take care and God bless." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i fell last night and hit my left leg below knee and it instantly puffed up. applied ice and some swelling went down. expected to see black and blue this am. not colored only small red mark and still swelled some. kept me awake during night with a stinging/burning sensation.", "output": "HiT hanks for your thereafter going through your query I came to know that you had injury below knee last night. It seems to me soft tissue injury (sprain). X-ray may be done to exclude fracture. Putting ice is OK. You should not use it till it pains. Splint can be used to rest it. Leg should be keep elevated on pillow to reduce swelling. Analgesic such as diclofenac will be of use for pain. You can take vitamin B-complex and C to promote healing. You can discuss with your treating Doctor about it. Hope your query get answered. If you have any further questions then don't hesitate to writing to us. I will be happy to help you. You can also write to me directly on below link:https://www.bit.ly/ask Chat Doctor. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir,last two weeks I need uti. docter priscribe urine culture.e-coli org-r seen.10-7cfu. I take amikacin-10 inj,cefixime-oflaxacin-10days,urikind,alkasol.but ihave burning sensation. why it happens ? iam verymuch worried.pls help.", "output": "Hi, Your age is not mentioned. ECOL bacteria cause the majority of Otis, but many other bacteria, fungi, and parasites may also cause of UTI. Females have a higher risk for Otis than most males. Probably because of their anatomy, other risk factors for Otis, include any condition that may impede urine flow, [e.g.enlarged prostate, congenital urinary tract abnormalities, and inflammation] Symptoms and signs of UTI vary somewhat depending on sex, age, and the area of the urinary tract that is infected. My advice is, Both during or after a UTI, you need plenty of fluids to flush out the infection and to keep you HY Chat Doctor. Avoid caffeine and sugary " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "helo sir i am i m suffering from acnes and black marks . 3 months back i used erytop clindamycin gel that time my face was clear normaly. And my friend told that use panderm+ cream for rid acnes, black marks and to britness. So i using panderm+ since 25 days but this period more acnes pimples ocurd. . Plz help me how to get my original skin back . .", "output": "Hi Rajesh, Self medication at times can be harmful! Using pander plus cream for acne and marks was a big mistake on your part. It has aggravated your acne problem. So kindly stop using it. Now as your acne has flared, you might need a course of oral as well as topical anti acne medicines. Once your acne subsides with therapy, you can apply topical medicines specifically meant to reduce pigmentation. You can also take Glycol or salicylic acid peels to reduce acne flares as well pigmentation spots. You need to consult a dermatologist to get your skin analyzed for starting a proper treatment schedule. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I ahd a molar tooth extraction last night, it required 2 stitches. After the loca anesthesia wore off it there was pin, I took one aleve and have eben pain free since. I was prescribed Clidamycin as a precaution. Now I am highly allergic to most antibitices, I have 3 difrent vertigo issus due to deafness (oscillopsia, Meniere s and PPV). I also have a snsitive stomach and digetive system. After reading he possibe side effects, I am too scared tot ake them. I also read that Clidamycinis only prescribed fo severe bacterial infections. I had several toothe xtractons inthe past and never had an nfection. I am vegan thus my immune system is very good. Is there anyay to keep mymouht extra cleana nd avoid taking the antibiotics? Thank you, Cheyenne", "output": "Hi, Welcome to Chat Doctor, Molar tooth extraction is surgical and I'm mouth anaerobic organisms are commonly present, so your doctor has given good antibiotic please continue to take if you have any reaction always can report to doctor. There is usually swelling and reactionary muscle spasm along with pain hence you need to take analgesic, anti-inflammatory and if required muscle relaxants. You can do medicine mouth wash after consulting dentist. Antibiotic are also required to prevent any infection going to heart and cause infective endocarditis. Please do not stop medicine by yourself, If acidity and stomach upset is problem take Chat Doctor. Take care Good Luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, doctor my daughter is 11yrs old, seeking typhoid fever since 15 days, he, s culture report during giving antibiotics is NoGrowth found . cBc is good, but the ESR report is 77 kindly give suggestions, I was giving cefixme 250 in one time in last 10days", "output": "Hello Dear I evaluated your concern in depth.@ ESR gets raised in many clinical conditions one of which is inflammatory response of the body due to various infections @ As she is suffering from typhoid fever, it is likely that her ESR will remain high still for some time period, it will gradually settle down once the systemic issue is getting fixed with proper care.@ So don't get panic, relax, take good care of her as per doctor's advise for diet & medications. Hope this will definitely help you. Feel free to ask any further doubt in future anytime. Thanks for using Chat Doctor . Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a frequent fluttering center-to-left ribcage, happening dozens of times a day over past 2 weeks. No pain, actually tickles. Seems as though a heart palpitation would feel different, this is low in the ribcage and when pressing hand to ribcage is more evident just below the left rib.", "output": "Hello Thanks for writing to us, I have studied your case with diligence. As per your history there is possibility of rib contusion or Costco Chat Doctor. Rib contusion is visible on X-ray. I will advise consulting to orthopedic surgeon. Medication like muscle relaxant and analgesic will reduce pain along with it use rib support belt. You may consult physiotherapist for pain management. He may start TENS, or ultrasound which is helpful in your case. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. If you find this answer helpful do not forget to give rating at end of discussion. Wishing you good health. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor my son is one year and nine month now before two days he have a high fever and i took him to hospital and his doctor says every thing is normal in blood test and general test and he told me to give fever reducer medecin and i give him but when the time pass his fever is coming back so what shall i do?", "output": "Hi, Thank you for asking question on Chat Doctor. Paracetamol 15 mg/kg/dose every 4-6 hourly depending on the requirement along with tepid sponging will keep the fever under control. If you follow your doctors advice and after control of infection the fever subsides. Hope this answer will serve your purposeless feel free to ask any more queries if requiredTake care Chat Doctor. V. Subrahmanyam MD;Disassociate professor of pediatrics" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been very light-headed and dizzy all weak with some mild nausea, and woke up this morning with an abscessed tooth swollen jaw and chin and under my tongue is swollen, could this be the reason for the vertigo? I am unemployed and have not received check in 5 weeks and no dental or health insurance and I see I would have to pay for this so never mind. Look up tooth abscess and no dental insurance on google and see what pops up.", "output": "Hello, Initial treatment for an active dental infection often requires antibiotics. Consider visiting a dentist or hospital emergency room for a prescription. This will help control the spread of the infection and most likely temporarily help control the spread of the infection. Take some anti-inflammatory medication such as Tylenol or Motrin. Keep well HY Chat Doctor. You will need to determine the source of the infection. Additional treatment will be required. Dental x-rays can help determine if a tooth can be treated with a root canal or require an extraction. Please seek emergency treatment and then plan to see your dentist. Or visit a clinic. There may be some reduced fee dental treatment available in your area. This condition will worsen. Thank you for your inquiry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi i am a 23 yrs old woman, I am going to get married. The person, who i am going to get married, is currently suffering from stomach pain and blood leak when passing urine. My question is: will any problem come between me and my husband during sex? Can u give any good solution?", "output": "Greetings from Chat Doctor. Thanks for posting your query See first we need to diagnose what is causing his problem. It could be due to kidney stones or Stones in Urinary bladder or infection in the genital region. One thing what I can tell is it won't cause any problem while having sex but if it is a genital infection you may also contact it if you have unprotected sex. My advice to you is got a Urine Routine examination, Ultrasound Abdomen Pelvis and examination of his genital. This will tell us what problem he is having and what can be done for that. Hope this information is useful to you. Any clarification feel free to ask." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my son is a freshman in college and is having a hard time focusing. he didn t have to study in high school but is having really hard time now bad grades. he finds his self not paying attention and then has no clue what has been said in class. in high school he got away with it. he called me very concerned about this and wants to see a dr. asap he is in Abilene Tx what type of dr should he see. he wants to go to one out there. He is also a Basketball player for the college.", "output": "It would be better to meet a behavioral therapist first instead of meeting a doctor right away. Personally I think he is still getting adapted to college and its different way of life. The new place and methods can disorient the best of us. There may also be other distractions that come with the life in college. I think a behavioral therapist would be better. The person can teach him how to adapt to the college life, and modify his routine to it best of luck Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a small lump on the left side of my scrotom sack that is just under the skin. It is stuck to the skin, and not free flowing so while I was hoping it was just a sebaceous cyst, Im not so sure any more. I dont think this is TC, but hoping for some guidance.Thank you", "output": "HelloThanks for query. Based on the fact that you have posted a small lump that you have on scrotal sac is Sebaceous Cyst as you have rightly thought for. The scrotal skin is rich in sebaceous glands and hence prone to get more sebaceous cyst due to accumulation of sebum beneath the skin. Normally they fade away without treatment however they need to be treated if increase in size or get infected. Consult qualified General Surgeon for clinical examination to confirm the diagnosis evaluation and further treatment. If needed he may suggest getting it excised in Toto (Completely along with the sac). Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Should someone go ahead and start the first session of chemotherapy to treat hodgkins lymphoma if one has caught a cold?My brother-in-law is 63 years old and he is supposed to start his chemotherapy this coming Tuesday. I was informed yesterday that he has been diagnosed with Hodgkins disease 10 days ago. We are all shocked. I do not know his weight. He is tall. I do not know his medical history. I live in Europe and he lives in South Africa. It is winter out there and he has caught a cold. Should he postpone or go ahead with the chemotherapy given that he has caught a cold?I am sorry this is all I know at the moment. I do not know what stage of the disease he is in nor if the lymphoma has spread from his lymph nodes to and organs or to his blood system. I also do not know what type of Hodgkins Disease he has. I know there are at least 4 or 5 different types. I would be most grateful if you couls advise whether the treatment should be postponed until after he has fully recovered from the cold. Many thanks in advice for your reply.", "output": "Hi, Thanks for writing in. It is suggested that he gets a complete blood count done, and then it will be known if his cold infection is of a severe grade. If there is severe infection then it will be wise to provide treatment and then allow him to recover over a week or 10 days before initiating chemotherapy. A week of wait is acceptable, and the chemotherapy might be planned such that he is physically fit at the time of commencement of treatment. Please note that every patient will feel weak after chemotherapy and his health will go down. He requires good care and support. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I get severe shortness of breath, dizziness, and shaky during showering and I don t know if it s related to blood pressure changes or heart issues. I just showered and had to sit down in the middle of washing my hair because i felt as if i would faint otherwise. I had a history of sinus tachycardia that i was on atenolol for three years ago that was caused by anorexia nervosa but i spent a year in eating disorder treatment, gained weight, and it got better on its own so my cardiologist took me off the meds and said i no longer need to see him. I checked my heart rate as i was just sitting on the floor of my shower and my heart was racing faster than i could count. Could sinus tachycardia be coming back even though I m much healthier and medically stable now? My bp is always normal when i get it checked now and my average resting heart rate can generally range anywhere from 70-100bpm. I m 30 years old.", "output": "Hello and thanks for writing. I can understand your concern and would try to help you in the best possible way. Your problem could be related to PSVT, a condition in which the heart beats too fast leading to improper filling of heart which owes the BP transiently leading to fainting or near fainting episodes. I suggest you consult a doctor and get yourself evaluated for the condition. A simple ECG with two minute rhythm lead would be a good initial investigation. You may also get a 24-hour ambulatory hotter recording of you ECG that may detect any episode that may otherwise not occur at time of your visit. Once a diagnosis is confirmed then there are treatment that improve the condition. Firstly one is started on medications which are quite effective. However, if medications fail to control it then Radio frequency ablation may be planned." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi i had 2 embryo s transferd on wednesday 14th november after 3 days, on the sunday i had quite bad cramping pains, and have had sore breast the last few days ive been feeling quite light headed and sicky on a couple of occasions i have been sick. I took a test on wednesday 21st which was 7 days after transfer which was negative (i know this was early) should i ignore that test?", "output": "HELLO THERE. THANKS FOR WRITING. YES YOU COULD BE PREGNANT IF YOU HAVE MISSED YOUR PERIODS. URINE TEST TURNS POSITIVE GENERALLY AFTER THE FIRST DAY OF MISSED PERIOD OR MAY TAKE UNTO A WEEK TO BE POSITIVE WHEN PREGNANCY HORMONES ARE HIGH ENOUGH FOR THE KITS TO DETECT. YOU MAY REPEAT THE TEST IN A WEEKS TIME. ALSO CRAMPING IS A COMMON SIDE EFFECT OF EMBRYO TRANSFER. THIS OCCURS DUE TO MANIPULATION OF THE CERVIX TO INSERT THE EMBRYOS. SORE BREASTS COULD BE DUE TO THE PROGESTERONE TABLETS WHICH ARE PRESCRIBED FOR LAST 14\u00a0DAYS AFTER EMBRYO TRANSFER. HOWEVER, IF YOUR PAIN GETS SEVERE OR YOU DO NOT MENSTRUATE, YOU NEED TO CONSULT YOUR GYNECOLOGIST. TAKE CARE." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,Iam a 35 Yrs old Iraqi female. I have hear electrical problem, diabetic, and blood pressure. I need to remove my gallbladder and also another surgery. Our Iraqi doctor says that It is very risky to go for any surgery with the problem I have. Please advice. Thanks.", "output": "Hi welcome to Chat Doctor .... Yes your doctor is absolutely right.... In hypertension and diabetes operation is very risky. ... Chance of bleeding and other complication high. First control both this with suitable antihypertensive and insulin... Then only operation done.... If your underlying disease life-threatening then only operation done.... For gall stone until then analgesic and Ad\u00edlio taken... Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was watching your video on a fib and realized that I have three of the symptoms of a fib. However, I explained these three conditions to my primary care physician and my heart doctor, but they don,t think that I have a fib. What do I need to do to convince them?", "output": "Hello, Thanks for posting your query of ChatDoctorAtrial fibrillation produces a rapid and irregular heart beat. It may be asymptomatic or may produce Palpitations, which are sensations of a racing, uncomfortable, irregular heartbeat or a flip-flopping in your chestWeaknessReduced ability to exerciseFatigueLightheadednessDizzinessConfusionShortness of breathiest pain doctor who examines you can easily diagnose it, if it is present at the time of examination, and it can be confirmed by an EKG. If the AF is intermittent or paroxysmal, then one has to be examined at the time of its occurrence. Another method is to have a continuous recording of the hearts electrical activity with a Holder monitoring. If any episode of AF occurs during the monitoring it would be picked up. During Holder monitoring you can also mark the record if any symptom occurs and that will also help decide whether your symptom is due to AF or not. Best wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, i recently had sex with my wife.for the first time and during that my penis somehow got blood. It pained a lot at then, but i was desperate to have more sex and continued after keeping it in cool water for some time. from then on while passing urine my penis is having a very unbearable burning sensation and pain. can you please suggest me with a solution please?", "output": "Hi, Thanks for writing in. It might be that you have done rough sex with your wife as it is the first time. There can be injury to the soft tissues of penis and urethra. This can cause small lacerations in the wall of urethra. When more force is exerted due to continued sex, this will cause burning and pain during passing urine as the soft tissues are engorged with blood and blood vessels are dilated and the lining or urethra might have suffered small amount of damage. Please avoid sex for 3 to 4 days and use lubrication while doing it gently. Apply enough lubrication jelly on your penis before penetration. Have a relaxed sex session with long foreplay and create a good emotional bond with your wife. This will also help in avoiding friction injury to your penis during intercourse." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi This is my semen Analysis report My age is 30 quantity : 2.5ml pH : 8.0 Total Sperm Count/ml : 34.4million Sperm Vitality at 30 min.% : 80 Actively Motile Sperms at 30 min.% : 30 Sluggishly Motile Sperms at 30 min.% : 20 Actively Motile Sperms at 2 Hrs.% : 30 Sluggishly Motile Sperms at 2 Hrs.% : 15 Abnormal Forms % : 38 We are planning from 8to10 months but no success. Is this report ok? Thanks in advance.", "output": "Hello, Welcome to Chat Doctor, I am Chat Doctor Look, your semen analysis report indicates normal sperm count (normal is > 15 ml as per WHO 2010). The motility is within normal limit (as per WHO 2010, grade a should be >25% or all total >50%). The Normal sperm count is also within normal limit (as per WHO 2010, normal sperm should be > 04%). The pus cells, RBC's are within normal limit.(as per WHO 2010, normal semen should not contain any pus cells or RBC's). So, overall, your report indicates no abnormality. You do not need anything to do. You are absolutely normal. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have AF which has been treated successfully for 18months, over the last few weeks it has returned, many nights after dinner and a glass of wine. Tonight I skipped the wine but still went into AF. Could it be a reaction to some insect bites that I have been getting?", "output": "Hi Heath AF which returns after getting successfully treated once is known as PAROXYSMAL AF. AF is commonly associated with advanced age, hypertension, valvular heart disease, CAD, CCF, but it has no proven or documented relation with alcohol Chat Doctor. So it cants be the reason in your case. But what you need to do now is to visit your cardiologist, get an ECG done to confirm, and you need to be started on ANTICOAGULANTS as AF is a risk factor for clot formation in heart chambers which can later lead to Stroke or other devastating complications. Good Luck" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My father is 78 years old.He had unstable angina and was put on anti platelet drug.He suffered a stroke about seven years back but recovered.Presently he suffers from unbearable pai on the affected side.He takes Flavedon MR and Losartan and deriphylline.Kindly suggest how he can get releif from pain?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. His pain is mostly due to neuritic and neuropathic pain. It is common in stroke patients. It is actually due to regeneration of nerves in paralyzed parts of body. Furthermore, it is positive sign for recovery. His pain will improve with pregabalin or gabapentin. Both are having excellent effect in neuritic pain. Vitamin b 12, folic acid and pyridoxine supplements along with pregabalin are also beneficial. So consult doctor and discuss starting these Chat Doctor. Don't worry, he will be alright. Hope I have solved your query. I will be happy to help you further. Wishing good health to your father. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir i am having dark spot on my face ,it is because of burning ,and it is not going can you suggest me any cream to remove that spot, burning was due to garnier fairness facial , i have kapt it for long time & due to that whole part burn and turn red . please help me for this doctor?", "output": "Hi sim, Thanks for writing in. You seem to have postinflammatory hyperpigmentation. For pigmentation as a general rule-Avoid sun exposure Use a good sunscreen of SPF 30 and repeat application every 3 to 4 hours Take antioxidant and vitamin C supplements. You can apply Costco cream at nighttime over the affected area. You need to consult a dermatologist as dermatology being a visual field, the cause for your pigmentation and the treatment required can only be suggested after proper skin examination. Take care. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My left hip has been hurting. The best way to describe the pain is that it feels like the muscle is being pulled away from my left hip bone. I ve had no injury, no bruising. Every time I move it feels like the bone itself hurts. Not the joint but the out bone area.", "output": "Hi, thank you for providing the brief history of you. A thorough clinical Musculoskeletal assessment is advised. As you are having pain in the hip region and this occurs during any kind of Mobility I suspect it to be a lumbar spine pathology. As due to lumbar spine pathology the pain may be referred to the hip and give pain on mobility. Performing a clinical examination and post which with some simple exercises your problem can be solved Regards Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I believe I have tonsillitis having symptoms of sore throat , sore neck glands, swollen tonsils with the puss, difficulty and painful swallowing and body ache. I am aware I will need antibiotics for this but unfortunately I am allergic to almost all antibiotics except sulphur ones. I have veeb using natural antibiotics such as lemon, salt and honey . I have been doing some reading about how strep bacteria can spread and cause rheumatic disease. About a week and half prior to having this sore throat, I have felt my heart palpitating and beats at abnormal rate everyday. I queried if it was my asthma but it s definitely not my lungs but my chest/heart that felt odd. Five days on and the sore throat feels worse, and also I started feeling something stuck down the trachea everytime I swallow. I woke up the next day and it feels it has gone down again to mid chest as I find it tight and painful to swallow and bring my food down. Because it is the Christmas/New Year Holiday I am hesitatant to go to the hospital Emergency Depatment kowing I will be there all day. I was thinking of waiting until the endof the week when my regular general practitioner s clinic will be open. But with the chest tightness symptom, I am getting a bit worried. Is this normal with tonsillitis? Regards.", "output": "Hello, Sorry to note that you are having a rough time. It is most likely oxidative tonsillitis (on examination, there is white pus covering the tonsils) and streptococcal bacteria, diphtheria are main causes. Penicillin V, erythromycin, azithromycin (for penicillin allergy) are first line treatment options and also noted that you are allergic to almost all antibiotics except sulfur ones. The secretions (or exudates) from the infected tonsils go down the throat (causing sore throat) and then to the chest causing feeling of tightness. If you have asthma, then you feel this coming on quicker. Epiglottis is an indication for hospitalization. Conservative treatment involves: staying at home to prevent social contact, and you may catch other organisms; throat gargles may help; ibuprofen or paracetamol syrup to lower the pain and temperature. Usually symptoms subside in 3-5 days. I hope that was useful. Best Wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have a 6yrs old baby im trying to get conceive since 7 months im using folvite 5mg tablets daily once but still im not pregnant i have irregular periods also please help me .", "output": "Hiii mam, Very good morning to Chat Doctor forum. I am Chat Doctor. You have a 6yr old baby, and presently you are not able to conceive. So you are suffering from \"SECONDARY INFERTILITY\" You also have irregular period.Let's start a wide discussion on \"IRREGULAR PERIOD & PREGNANCY\" **Irregular periods refers to a change in regular menstrual periods or menses. Mostly it ranges anywhere from 21 to 35 days. Every woman usually has a certain cycle length that is rather constant but sometimes varies 1-2 days per month. Remember that the onset of menses for every 35 days (regularly) is not considered as irregular menstrual cycle. However, irregular periods can be either of short term or long-term irregularity. **CAUSES: The irregular cycle is mostly related to stresses, tension, ingested medications and caffeine, a substance that disrupt corpus luteum function or even act as anticoagulant blood thinner. Cigarette smoking is another reason for abnormal cycles because it shortens the follicular phase. It also shortens the luteal phase if smoking is heavy. However, extreme alcohol intake is also a reason. **OTHER CAUSES: significant weight gain or loss, over-exercise, breastfeeding, PCs/estrogen dominance, malnutrition, medications, chemotherapy, eating disorders, hormonal imbalance, recent childbirth, miscarriage or uterine abnormalities (fibroid/cysts/polyps/endometriosis). The occasional skipped menses cycle is not the only symptom of this problem. However, continued abnormality in period is also an indication of irregular ovulation and irregular menstruation cycle. **TREATMENT: As irregular menstrual cycle is treated according to the cause, it is determined with a blood test, ultrasound and biopsy. Often hormonal imbalance will be the major cause for irregular periods, which can be treated with appropriate " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just got home from having a colonoscopy. I was given propofol as a sedative. After waking up, I had bronchospasm and laryngospasm, with coughing. I have asthma and I advised the anesthesiologist that I had laryngospasm before when a breathing tube was used during surgery. He indicated we would not be using a a tube unless I had trouble breathing during the procedure but advised me to use my ventolin inhaler, 2 puffs before the sedation. Were enough precautions taken considering that bronchospasm is a side effect of propofol?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Yes, precautions had been taken (Ventolin Nebulization before procedure) in your case to prevent propofol induced bronchospasm. But sometimes, propofol can cause delayed and prolonged bronchospasm especially in asthma patients. So take Ventolin Nebulization 2 hourly to treat laryngospasm and bronchospasm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my 7 and a half year old daughter has just been sick and appeared to have bits of fresh blood in it, only little bits like membrain when u sometimes blow your nose. But i am concerned as she has been under a paediatrician and had blood tests done over the past few years. She had some supper an hour before bed and a drop of milk just before she went up,but hasnt eaten anything with red in it. Can you please let me know if this is cause for concern. Thanks", "output": "HI, thanks for using Chat Doctor It may not necessarily indicate that there is any serious condition present. Gastritis, inflammation of the stomach, may be due to infection, due to medication or use of irritating foods. Blood can be seen if the stomach is inflamed or irritated. She needs to see her doctor if: (A) it was a lot of blood(B)repeated episodes of vomiting with blood(C)persistent vomiting even if no blood is seen(d)dizziness, excess Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my ex husband has been to hospital to have a scan because he has noticed blood in his mucus. Very unlikely that he would have told them that he is an alcoholic. Hospital have told him there is no problem after he had CT scan but if he hasnt told them about his drinking I suspect that they did not consider this. Is it likely that the blood could be because he is a heavy drinker?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Your husband is having hemoptysis (blood in sputum). Yes, smoking can cause hemoptysis. Alcohol habit can worsen smoking induced lung damage. Alcohol decreases lung immunity and makes it prone for infection and inflammation. So smoking and alcohol both can cause hemoptysis. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello SirGood eveningMy mother is diagnised with CERIVEX Cancer . She is undergoing treatment like radiotherapy and chemotherapy. She is admitted to hospital. But for last 10 days treatment has been stopped, because blood count like platelates and total count less than 100000 and 4000 respectivelyDoctors giving injection like NEUPOGEN to recover from thisis it right? and Dr Saying she is in 3rd stage of Cancer and they dont want operate her.Is the cancer curable? what is the survival rate?", "output": "Thanks for your question on Chat Doctor. I can understand your mothers situation and problem. Stage 3 cervical cancer is incurable. And chemotherapy with radiotherapy is the only treatment available. Your mother is facing side effect of chemo and radiotherapy. Both these cause bone marrow suppression. So blood cells like platelets, white blood cells (ABCs) are reduced. This is known as pancytopenia. So in this situation, we need to stop all chemotherapy and radiotherapy. So, your doctor is doing the right thing. Survival rate in stage 3 cervical cancer is less than 2 years. Hope I have solved your query. Wishing good health to your mother. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was diagnosed with a heniated disc and a tare l4 l5 s1 I m thinking meth is what happened to my back. I don t plan on using anymore. My question is will my back heal now or will I still need surgery? I already had 2 epidurals they have not helped. Oh and I am do not have any money left. I can t work again until I get my back fixed. Sorry pro bono please!!", "output": "Hi, I saw your history sheet in which you mentioned your MRI finding, but we want to treat you not your MRI because this finding may be found in even a non-symptomatic person who lives his life without discomfort. Now if you have only moderate to severe back pain which is less than 8-10 week -DON'T think of surgery. If mild to moderate back pain >10 weeks-no need for surgery if back pain with reticular leg pain >10 weeks and nontolerable LEG pain then only think of surgery. Disc surgery primarily meant for leg pain and only for very severe back pain. Now you can try one more epidural injection from different surgeon. Main treatment is Physiotherapy. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my nine year old daughter had a renal ultrasound that showed she had bilateral pelviectasis. what is then and what can be done about it my nine year old daughter had a renal ultrasound that showed she had bilateral pelviectasis. what is this and what can be done about it", "output": "Welcome to Chat Doctor you please take immediate consultation with neurosurgeon and get your baby examined and other tests done he will be the best person to guide you regarding your daughters management the condition is dilation of the pelvis of kidney with its ill effects on the kidney renal functions should be evaluated and treatment procedures determined hoping your daughter gets the best treatment and be cured" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son was playing at a friends house and was pushed hard into to corner of a laundry basket. He is five. The basket hit him right between his ribs. He seemed ok and there was no bruising but now at bed time he said that it hurts to breathe. Could he have cracked his sternum?", "output": "Hello, Your son is having blunt chest trauma. It can cause rib, sternum fractures, lung contusion, pneumothorax etcetera. All these can cause breathing difficulty and painful breathing. So better to get done chest x-ray to rule out internal lung pathology and fractures. If the chest x-ray is normal, then no need to worry much. Apply warm water pad on affected areas. Give him simple painkillers like paracetamol or ibuprofen. Don't worry, he will be alright but first, get done a chest x-ray. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My two year old has a red, itchy rash with little white bumps that are elevated. It is spreading from legs, feet and shoulders to her back. She had a fever this morning. She has also been coughing more frequent in the last few days and is complaining of her back hurting.", "output": "Fever is likely to be due to some sort or infection. Fever with rashes and cough are frequently due to certain viral infections. The rashes could be due to an allergic reaction which is often seen in a viral infection. Although some antiallergic like cetirizine syrup and application of some emollient like aloe vera lotion should provide relief, I insist you to get the child evaluated by a pediatrician or dermatologist to find out the cause. Giving paracetamol should help in relieving both the fever and the backache." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor, I am very sad now becos for the last 2 years i hav been trying to be a father but last time exactly on 3rd Nov 2011 my semen analysis was done and the result showed as below Motility- Rapid progrssive-00%, Slow progressive-40%, Non Progressive 20% Immotile-40% and Normal forms 2% Is there any case of infertility? Can I improve the motility? If Yes, How? Please help me giving an answer. I m 31 years old and was very much tensed over the last five years cause of stress from job. But the last 3 three years it is fine.(that means not that much tensed I am) thank you", "output": "Hellowelcome to Chat Doctor the semen parameters suggest - low motility and normal count 2% only There are medications which you can try like coenzyme Q, vitamin E and other antioxidants for a period of 3 months and recheck you sperm test it will be worthwhile meeting a urologist and getting a check done to look for any other problem present and getting a treatment for the same Hope to have answered your query Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had a gas bubble near my groin for almost 2 years now. It hasnt gotten any larger, and is not painful. It comes and goes, and I am able to push it back in when it protrudes. It typically protrudes when I push, for instance when I am going to the bathroom. What is it, and what can I do about it?", "output": "Hello, Thank you for your query. Your description is suggestive of an Inguinal Hernia. When there is a defect in the abdominal muscle wall, the internal organs can push through it and can be felt & seen on the body. The intestine is usually involved but can include other structures too. A hernia can be asymptomatic as yours but can become complicated if a too much of an organ is pushed out and is strangulated by the opening defect in your abdominal wall. This is a life-threatening complication. I strongly recommend you see a general surgeon who could assess the size of the defect and advise a proper plan of action. I would do a physical exam, assess your medical /personal history and risk factors. Furthermore, I would also request an Ultrasound or a CT scan of the Abdomen. Depending on the findings, a treatment plan will be advised. Surgery is the only definitive treatment. A wait and watch plan may be an option if defect is very small. Avoid pushing or straining. don't lift heavy objects or do any activity that makes the hernia appear. This can enlarge the defect and cause strangulation as mentioned above you develop abdominal pain, blood in the stools, fever, see your doctor right away or go to the emergency. Hope this helps. Please get back to us if you need further clarification. Wish you good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "44 yr old male with a hernia began having diarrhea 1 week ago complains of abdominal pain in lower portion of stomach and groin area. relief is found with sitting down last night pain as intense with every bowel movement any ideas if this is from the hernia ?doc appt is sched for thurs original thought was IBS", "output": "HelloThanks for query. You have been known to have Inguinal Hernia. The severe bouts of pain that you are getting repeatedly is most likely to be due to hernia getting obstructed in inguinal canal (Obstructed Inguinal Hernia)There is no medicine that can can cure Hernia. The only treatment option for hernia is surgery of Sternotomy and Herniorhaphy. Consult qualified General surgeon for clinical assessment and get operated at earliest to avoid facing an emergency situation. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 26years old(turning 27 in june) I am 5feet 11 inches tall and 240 pounds. In the past 6 months my heart has been beating really fast and i get headaches sometimes. I have been lifting weights as well what can you advice you to do as far as gym workouts are concerned.?", "output": "Hi, Gym workouts can lean to elevated heart rate only during exercise. If your heart rate is fast during the hole day, then another reason should be considered. I would advise you to regulate your sleep, try to sit in front of computer and TV as little as it is possible, be much in fresh air, avoid stress, try to lose some weight (no strict diet). If you still experience elevated heart rate in 2 months, I would advise you to see your doctor to undergo some tests, such as ECG, blood electrolytes etc. Wishing you good health In case of further questions don't hesitate to ask" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "What is the treatment for LCL Spain? And how can we know that how far damage happened to ligament. How long does it takes time to come to normal situation. What are precautions we have to take during the heeling time. How to get ride of quickly from LCL sprains?", "output": "Hello, The LCL grade 1 or 2 type strains are not a serious sprain. They generally heal with rest. For this, you should wear a long knee supports for at least 3-4 weeks. Avoid walking for at least 2 weeks. After that a supervised exercise under a physiotherapist will be helpful in complete recovery. This may take about 2-3 months in complete recovery. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "MY DAUGHTER RECENTLY HAD THE OPENING TO HER BLADDER STRETCHED AND NOW HAS TO HAVE HER GALL BLADDER REMOVED. WEVE ALSO RECENTLY LEARNED THAT SHE HAS SO FREE FLOATING FLUID BEHIND HER RIGHT OVARY . WHAT COULD POSSIBLY CAUSE THIS AND IS IT MAJOR? THERE WERE SO MANY PROBLEMS FOUND OUT AT ONCE THAT THIS WAS SAVED FOR LAST SO I JUST WANTED TO MAKE SURE AS I DONT KNOW MUCH ABOUT IT YET", "output": "Hi and welcome to Chat Doctor. Thanks for the query. This is nothing serious. Some amount of fee fluid is normally fine while if there is significant amount then it usually indicates some benign ovarian cyst, ovulation or other ovary related issues but most of them are not serious. Gallbladder removal is relatively routine procedure today, and you should not be afraid of it. Wish you good health. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, My mother(age=55) is high BP pateint and taking BP medicines since last 6.5 yrs, recently she had LFT test, she had Gamma GT =192 & alkaline phosphate =143, rest all results are in rages.she also had hepataitis test and that test is also clear Please guide me what could be the reason fort high gamma Gt & alkaline phosphate?", "output": "Hello Bush, Nice to see that you are concerned about your mothers' health. The common cause for a high level of gamma GT is related to alcohol intake. But other causes related to increase levels could be due to medications (reason why her BP medicines should be checked again by her prescribing doctor, hepatitis/liver diseases such as cirrhosis (which must not be necessarily of viral origin; so wish to know what hepatitis tests were done and if an abdominal/ liver scan was done. Biopsy could be helpful) and also some cardiovascular diseases such as myocardial infarction (of course she would have presented with a heart attack, so this is ruled out). Nonetheless it is better you get to an internist for further review (so he can relate the cause of the elevated enzymes). Above causes can also raise the alkaline phosphatase and also bone diseases need to be ruled out.First if your mother is a heavy or moderate alcohol consumer it is high time she quits, if she is not, then other causes could be investigated. Cheers and wish your mother a better health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, just been advised that a family member of 76yrs weighing 48kgs who has high blood pressure and has been on dialysis for the last year 3 times a week has now been told she has a torn aorta. She has been in hospital for the past week firstly to drain fluid from her lungs and now on dialysis 4hours a day and on oxygen. Can you advise prognosis?", "output": "Hello, The torn aorta is mostly due to hypertension. Fluid in the lungs is mostly due to worsening chronic renal failure (CRF). Since he is on oxygen and his dialysis frequency has been increased, his prognosis is definitely not good. Dialysis itself can cause complications. The torn aorta is a surgical emergency. But surgery is very risky when a patient is on dialysis. So prognosis in his case is very poor. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had constant back pain since the middle of last year. It first started in the center of my lower back but has now spread up into my spine. My spine hurts now when pressure is exerted on it. It also hurts when I bend forward and backwards. I also get a lot of muscle movements in my back. They started in the center of my back on either side of my spine, now I feel them in my stomach and on the sides of my body. My muscles on both sides of my spine are tight and get really sore especially when sitting. Sometimes my back muscles feel tingly. I have had an X-ray but doctors said they couldnt see anything so they advised me to have physio. I have been having physio for 9 weeks now and my spine and its surrounding muscles still hurt. The pain has spread to other areas of the back since I first started physio. What is wrong with my back?", "output": "Welcome to Chat Doctor .1. Your x-ray findings are normal, you may try to get MRI lumbar spine done.2. It will help to analyze the status of your disc and nerve and chord. Depending on the findings you can do what is necessary things.3. The back pain exercise you keep doing on the daily basis.4. A back support / belt is needed in some patients depending on the disc condition.5. Find out the cause and then do accordingly. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have a blister in my gum and was swollen it mad my upper lip hurt with a simple touch my mom told me to rub a cotton with hydrogen peroxide and it just made it whiter and bigger she said it was just the infection but I m worried its something worse now my tooth hurts and it also hurts to talk and open my mouth help please!!!!...", "output": "Hi, Thanks for asking the query, Your clinical symptoms and history suggest that you probably are having periodontal abscess formation arising from the infected tooth. Blisters in the mouth are due to some trauma due to biting , as a result of fever, cold some type of blisters are caused by herpes simplex, allergies due to some foods, vitamin deficiencies. Get clinical evaluation of the tooth , take an x-ray of the concerned tooth. Take multivitamin supplements. If it is due to abscess get it Chat Doctor. Avoid eating hot , spicy , aerated , carbonated foodstuffs. Use saline water gargles 3-4 times a day, use antiseptic mouthwash gargles twice daily keep the area clean. Take complete balanced diet. Hope this helps out. Regards...." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I\"m a 72 year old woman in generally good health. Im on several meds for my heart: amlodipe (5 mg), 81 mg aspirin, hydrochlorothiazide (12.5 mg), metoprolof (100 mg).About 18 months ago had a stent placed in my heart and am now off the specific meds for that operation. I am visiting OKlahoma at the present and for the last two weeks have had a tightness in my chest. Will not go away.", "output": "Hello, Tightness in the chest may be due to acid reflux or cardiac pain or infection of lung or bronchial asthma or anemia etc. Until the examination is done it is difficult to say what it is. Please get it done ECG, chest X-ray, echocardiography and spirometry. Please consult your physician/Cardiologist they will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, Im a 21 year old male, and my nipple has being extremley sore and itchy for a long time, my doctors have been perscrbing hydrocortisone cream, which works fine until the tube runs out, then it comes right back, just as severe. It also leaks white liquid, that solidifes to an orangy substance.", "output": "Hello, If I would be your physician, then I will do through examination for any lump palpable, any cyst, breast skin condition, warm, or not. In those cases, I would suggest warm compressions along with that tablet Amos clan, tablet Sumo. In this case, I will advise for regular follow up. As these are prescription medicines, so consult with surgeon and wear loose Chat Doctor. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was recently flossing my teeth and the secondmost back molar chipped on the left front side! Thinking this was simply debris between my teeth I gently pressed my nail into it and it snapped in half! I can feel the rough edge of the tooth now, and its not bleeding or anything... will it sand down on its own? What could have caused this? Could the fact I have crowded teeth have done this?", "output": "Thanks for your query, I have gone through your query. The chipped part can be a hard calculus or fractured tooth piece. This can occur when you apply more pressure on the tooth surface, it can dislodge the calculus or any food debris or if the tooth is decayed and has become weak, at that time it can break. Nothing to be panic, consult a dentist and get it evaluated. If it is a fractured tooth, then get it restored. It will not grow or repair by its own. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor, my nurse said my doctor is sending me to a specialist that is semi urgent, due to finding a sub mucosal fibroid that is 3 cms wide roughly. I have had checks about 5 - years ago and a scan revealed I have a benign growth on my liver. When I meet with the specialist this week, I would like to request a MRI/ LDH Blood test do you think he will give me one I have insurance.?symptomsUrinating all the time, back pain that comes and goes andheavy bleeding with period pain.", "output": "Hi and thank you so much for this query. I am so sorry to hear about what you are experiencing now. Your symptoms and the finding of a fibroid need treatment. The best option is getting the fibroid out. I wonder why the symptoms are this severe despite the small size. Because symptoms of frequent urination and pain often result for huge fibroid and not minor 3\u00a0cm one. However, the heavy bleeding is typical of submucosal fibroid. As for the LDH/MRI, your doctor will find out if there are any indications for you to have benefit from these tests. He will not and should not request for the simply because you have insurance. He will be the only person to determine whether to ask or not. You may insist on getting them done too per your request if he cannot justify why he needs them. I hope this answers your query. I wish you a speedy recovery as you meet the specialist next week. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I was diagnosed with a posterior annular tear superimposed and a mild diffuse disc bulge causing minimal thecal sac indentation at L5/S1. Can u help me to gain better understanding in the diagnoses . Thank you", "output": "You should always write your physical complaints along with reports ..... see thecal sac carries spinal cord in if there is indentation it means the is some pressure over spinal cord depending on the degree .in your case MINIMAL... if you are having heaviness of legs and foot its worrying then ..... else wear a lumbar belt and some analgesic s ...and follow your neurologists advice. You can contact me at: luxman02@gmail.com with all your details including medicines .your test reports, your other illnesses" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Dr,Im a 29 yo rather active mail who the last week have sensed an increasing chest pain on the left side of my chest. Its at a point where I now have trouble moving at certain angles. It might be related to an exercise I tried at the gym a week ago but unlikely. I went on a flight yesterday after a weekend in Spain with lots of alcohol etc. I just want to know if you think this is a muscle Ive stretched or if people who suffer eg. sudden cardiac death often sense symptoms a while before. Ps My lifestyle is as said active; I jog, go to the gym but also drink alcohol at weekends and smoke cigarettes at times. I work as a sales manager of a smaller team but dont feel overloaded at work. Thank you for your answer", "output": "Hello dear, thanks for posting your query here. Most likely your pain seems musculoskeletal for which you should not worry much. But still you must see your doctor and get an ECG done and take some muscle relaxants. Now coming to your lifestyle, you are having good active lifestyle but your alcohol binges are not at all good, so you try to cut down it as binge Chat Doctor. And of course, smoking is the worst part of your lifestyle which you should completely quit without any delay even if you smoke only occasionally. Hope this would help you and all the best for your more healthy lifestyle." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, we went camping on the North Shore of Oahu this past weekend. My daughter, who is 9, started out with one bump/sore in her mouth(may be unrelated) and then broke out in a rash on the third and last day of camping. She did have a slight headache on our first day of camping and seemed a little tired, but I just thought that was because we were camping. She has allergies and had a stuffy nose and we stayed up late. No fever, or other symptoms. She is eating well and no longer has the head ache. She is just itchy on her stomach and back, where he rash is.", "output": "Hi there,,,welcome to Chat Doctor- The symptoms you mentioned points towards a viral exanthem...it is quite common in child Chat Doctor. It presents as rash which is usually widespread and may be more extensive on the trunk than the extremities.- Malaise, Fever,Headache, Loss of appetite, Abdominal pain, Irritability,Muscular aches and pains may be associated depending on the severity.-Most of the viral exanthem are self limited and remit in a week or two.-Only symptomatic treatment is required... Maintain a good HY" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a nuclear stress test last week as part of a company physical to work overseas. I got a message from the medical facility saying that my stress test was Abnormal and they want to do an ultrasound. I had a angiogram done about 5 years ago and there was no blockage...can you please tell me what all this means", "output": "Hi, Abnormal nuclear stress test means that there could be a possible underlying blockage in the heart. I can understand that you had done an Angiography 5 years ago which was normal, but 5 yrs is a long time and as the stress test has revealed abnormality you have to get a 2Echo and Angiography done again. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, I have been having recurring chest pain for the last twenty four hours it it is not always there. but i do get a sharp stab in the chest everytime i bend forward. I also feel i should note that i am under a little stress .as the mother of ten within the last month and a half I celebrated the birth of my first grandchild \"Its a boy, my youngest sons first communion, my middle sons confirmation , my oldest daughters one years annaversary , my grandsons Baptism, my other middles sons high school graduation,am i the middle of planning my second sons wedding. my husband and i are hosting the party at our home this comming saturday.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of musculoskeletal pain is more because your chest pain is associated with specific movement (bending). So follow these steps for better symptomatic relief in musculoskeletal pain. 1. Avoid movements causing pain. 2. Avoid bad postures in sleep. 3. Avoid heavyweight lifting and strenuous exercise. 4. Apply warm water pad on affected areas. 5. Sit with proper back and chest support. 6. Take painkiller and muscle relaxant Chat Doctor. Don't worry, you will be alright with all these. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am 16 years old girl suffering with low grade fever upto 99.9 F since last one month. sometimes having abdominal pain. most of the check ups like bloood test,urine test etc were found normal. what extra should be done. please suggest. my height is 52. now my weight is 47 kg. one month back it was 55kg.", "output": "Hi. Thanks for your query. I hope you have also done blood tests for Thyroid function. Increased thyroid hormones can give such symptoms. Another reason can be abdominal tuberculosis, typhoid, chronic enteritis or colitis. You have to undergo the following tests::CT scan of the abdomenX-ray chest Upper and lower GI endoscopies. Blood tests = CBC, ESR, blood sugar, kidney functions, liver functions and other tests as per the clinical examination. Quantifier gold test for TB. The treatment will obviously be according to reports of the tests. The response to the treatment has to be continuously monitored." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my son age is 2yrs 1month from past 2months i am giving nido milk powder & he was fine but today morning if he eat meals r snack he will b fine if he drink milk with mintues he do losemotion it seems in that losemotion looks kuff(bulgum) also coming mwith bad smell what should i do", "output": "Hello dear!I would recommend to change milk of the child. Give him soil or enamel instead of Dido. Give him fluids like low solar ORS and homemade juices of fruits. Avoid sugars for sometimes. Use boiled water and give natural probiotic that is homemade yogurt mixed with some rice and lentil cereal(chichi). Also start zinc (spy zinc 5 ml once daily for 10 days). If the condition improves after 24-48 hours continue the same, of not, start spy. Metronidazole 200 mg/5ml (3ml thrice a day for 7 days) along with zinc. Hope it will help. Be blessed :-)" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 24 month old has head pains that last for no more than 30 seconds at a time. I was told by my family doctor to take her to the ER. They then admitted her into their peds dept and scheduled an EEG and an MRI for the following morning and afternoon. Everything came back normal as far as the EEG and her brain itself but they diagnosed her with Bilateral automastoiditis. They want her on this antibiotic for 6weeks to 3months and then do another MRI to see if its gone, if not surgery to drain it... Im completely oblivious to anything he said. He used large words and didnt dumb it down to my level at all! please help explain what this is and whats the worst that could happen? :( Im scared for my little angel", "output": "The mastoid bone is the bony thing just above the angle of the jaw and behind the ear. The MRI has diagnosed infection of the middle ear and the mastoid bone (oto-mastoiditis). This is a long-seated infection and will need long-term antibiotics, after which they will repeat the MRI to see how much of the infection has already got cured. In some cases, they need to operate and remove the infected material from inside the bone by opening up the mastoid from outside. I am confident that your daughter will recover soon. You will need to directly ask the doctor to explain the whole thing again with pictures and so on and so forth. Before surgery, I am sure it will be really important for you to understand every little thing about the problem as they will need you to give consent for the operation, if it is needed. (It may not be.)" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have undergone 3 follicular studies without any medication. I didnt conceive and my dr has asked me to take siphene which has resulted in 2 to 3 folliculaes n each ovary. One ovary is about 21.5 and the others are smaller. Now my dr says that I have to take fertigyn injection otherwise the follicles will keep becoming bigger and form into cysts. My question is that I am on day 11 and at 21.5 is it necessary to take the injection ? Why have I not ovulated with siphene even though I did ovulate naturally last 3 cycles?", "output": "Hi, Thanks for writing to Chat Doctor. Size of 21.5 mm on day 11 is more than normal. This indicates that your ovary is hyperstimulated by sphere. Presence of 2 to 3 follicles also suggest the same. So only you are advice to take injection to rupture it. As there are more chances that this may grow further and may not rupture by itself. Don't worry hyperstimulation is common with fertility Chat Doctor. Your condition is not exactly of hyperstimulation but some features of it. Hope I have been helpful. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have 4 kids tubes were tied 2 years ago nursed my son until up to around Oct 2010 My cycle started in August 2010 I have been having flutters in stomach now for about 2 months strong. I have just now experienced a stomach cramp that lasted about 8 minutes while the cramp was releasing there were alot of big movements. Felt like something flipping or rolling.", "output": "Hi. Thanks for your query and an elucidated history. You have a history of abdominal surgery of tying of tubes. Now the most probable reason for the pains you have explained looks to be due to an intestinal obstruction... I would advise you the following::Stop taking anything orally till X-ray of the abdomen is done in standing position, This is the simplest of the investigation giving the maximum information. Also go for routine blood, urine and stool tests and an ultrasonography to rule out Salpingitis, appendicitis, ovarian problems and so on. Once the diagnosis is made, you can start oral fluids only till the Doctor advises you otherwise. If required get admitted, once you are alright you may then go for further investigations:Enterocolitis and so on." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i m a housewife, i have taken 1 tablet of mifepristone yesterday and i forget how to take further dose which my doctor told something like after 48 hours take misoprostol 4 tablet. please guide should i take all 4 tablets together after 48 hours of taking 1st tablet of mifepristone.", "output": "Hello dear. Understand your concern. You take abortion kit which contain 5 tablets after confirming intrauterine pregnancy by USG scan. It should be used under the advice and observation of gynecologist.1 tab of mifepristone 600\u00a0mg which taken orally. After 48 hours, you he to take another 4 tab. Of misprision 200mcg each. Place 4 tablets of misprision in vagina one by one under the observation gynecologist. Do not take as self-medication at home as it cause serious complication like excessive bleeding, incomplete abortion, and abnormal development of pregnancy in case of failure. Follow up at 7th day and USG should be done to confirm the compete process of medical termination of pregnancy. After this take some healthy diet, Chat Doctor. Meftalspas for pain etc. This kit is only applicable for 9 week intrauterine pregnancy, so do it under observation of your doctor, its more safe. Hope this will guide you. Best regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My body has been feeling very cold and sensitive for a few days now. I have no appetite, but am very hungry. I have a bad cough that sends my body into pulsing pain (especially my head around the temples), and yesterday I took a bath but got out quickly because it made me feel worse and my body went numb and tingly and I passed out in my hallway seconds after getting out.", "output": "Hi thanks for contacting Chat Doctor... Noted you have excess cough.... So first respiratory causes needs to be investigated. Here it might be bronchitis or chronic obstructive pulmonary disease or any restrictive disease.... It could be allergic condition like asthma also So investigate with following......-respiratory physical examination-auscultation-chest x-ray - pulmonary function testify you have acid reflux or gastritis then also irritation cough can occur. If still cause not identifiable cardiac causes ruled out by ECG or echo. Avoid smoking..... Keeping these in mind consult physician. Take care. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I was diagnosed by my family doctor as having CKD , he did urine and blood work-he said a ratio between creatin (sp?) and I think it was potassium-it was abnormal. I was given potassium tablets when in the hospital 24 hours prior in hospital when they did my blood work because of chest pain and a convulsion because it was low...My family doctor said my potassium is now normal range 4.5 He said this has been ongoing as I had protienurea with my pregnancy 11 years ago and I ve been told numerous times I m fighting something because my potassium has always been low. My face is also always tingling numb-like a tightning when you have had too much sun. I have an ultrasound booked in a months time, and am being referred to a kidney specialist...a month is a long time, is there a chance he could be wrong? I m sorry for the spelling errors and I hope I was clear. Thank you for your time. Jenny", "output": "Hi Jenny, Welcome to Chat Doctor. From what you have mentioned in the question, you have longstanding low potassium, proteinuria and have recently been diagnosed as CKD. There are various stages in CKD, and it would be nice to know which stage you are in and what the latest actual EFR reading is? Low potassium in blood could be due to various reasons and will need investigation especially if you are having symptoms. The tingling/ numbness may be due to another problem (Calcium and Magnesium levels). It is appropriate to see a kidney specialist for your problems, and you will need quite a little blood and urine tests to clarify the reasons for your symptoms. BY. RB" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i had gallstones in 2010 also pancritites in 2011 jue to stones stuck in billducks my liver readings were not good i was itchin a lot round my neck and face and feeling hot every thing carmed down but the iching as started up again could this be billiyrubin i had the stones removed in 2011 i also have a hernia thank you k rigby", "output": "Hello, krigby37,You say that you had gallstone pancreatitis in 2011 and had surveyor removal of gallbladder. You state that you had retained stone in your common bile duct and that was taken care of. I don't think your hernia is responsible for the symptoms of itching. I have a feeling that you may have developed scar tissue around the end of the bile duct, called stricture due to inflammation. It impossible you may have another small stone stuck in the duct that was not removed or reformed. If you start having fever, chills, passing dark urine (Orange) that is a sign of problem with the duct. You may need hospitalization, intravenous antibiotics and perhaps procedure called ERCP where TH specialist will introduce a scope through the stomach into the duodenum and inject dye to look at the bile duct and also pancreatic duct. If the is stricture, they can dilate or stretch stand sometimes placing a stent to keep it open and relieve blockage. You need to have additional blood tests including complete liver tests, complete blood count etc. Hope this answers your concerns, and you can contact your doctor to discuss these and get the tests done." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My dad is 72 and had a heart transplant 13 years ago, the anti rejection drugs have destroyed his kidneys, he now suffers with cronic kidney failure his kidneys are only working at 8%. he is due to start dialyse in a couple of weeks, he has and a fiscula set up. at the moment he has a urine infection and is in a lot of pain. he has had this for 3 weeks. is this the normal for people with kidney failure?", "output": "HelloThanks for the query It looks like you father is suffering from a urinary tract infection which is common in elderly men and not particularly in people with kidney failure. He needs to be treated with anti bionics like levofloxacin for a period of 7 days, or he can also be treated if the urine culture has grown an organism based on the anti biog ram picture. General condition tends to improve after one goes on dialysis as the uremic toxins are removed from the system during dialysis wish you dad good health and a speedy recoveryRegards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Dr, I have been having this sharp piercing pain around my lower abdomen just close to my navel, which seems to radiate down to d point around my genital. This comes and goes away but can be felt when ever I sit down and sometimes when I stand. The confusion is I had an appendicetomy when I was barely 17 yes and 17yrs later I begin to have these pains. What could possibly be wrong with me?", "output": "Hi Thanks for asking Chat Doctor. What ever symptoms you have written may not be related to your previous operation. But you should get your ultrasound done to confirm the diagnosis. Though till then you should take plenty of oral fluids' fiber rich small and frequent fiber rich diet. You can take antacids SOS and add mild laxatives if constipated. Consult your doctor with reports if not benefited." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 34 year old son has a lump on his left thigh between his scrotum and leg. It has a burning sensation, and is painful to walk or move. He thought is was an ingrown hair and tried to squeeze it, then swelled and turned to 3 lumps. as of now the swelling has gone down. The lump appeared yesterday, today he is sick, with body aches, goes from chills to hot, and feels sick to his stomach. Is this viral, maybe an infected lymph node? The only thing he has taken is a cold & flu tablet thinking he had the flu. YOur thoughts?", "output": "Hi, Dear,Good evening. Thanks for your query to Chat Doctor. I studied your query in-depth. In my opinion the painful lump on the thigh, mostly-is due to the -fungal skin-infection with multiple boils(Jock itch)-as it increased in number after squeezing./ or it could be -Boils-with spreading infection due to squeezing/ or could be infectious mono / or could be LGV. The clear history of squeezing lead to 3 lumps from one-leads to -fungal infected boils with secondary infection leading to chills and fever-due to aggressive spreading bacterial infection in the groin skin. Treatment-A-Good groin-skin hygien-with dilute detail /betadine-would go a long way in controlling these lumps in the future.b-Tb-anti-fungal for chronic infection-, antifungal creams / and appropriate-Antibiotic cover to control infection-under cover of ER-Skin doctor, would fix your lump treatment. This would require consultation of ER-skin doctor / ER-physician / and or ER-Surgeon in the treating team. Hope this would clarify the worry you had. Would love to Welcome your queries to Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dr i have fundal erosion diagnosed today. Stools were dark after rihaxmine color has improved but i do get unformed stools. i have lost about 2 kg wt in a month. I am 68yrs, diabetic since last 20 yrs, under control. I have been taking metformin for last 20 yrs, I am a bit fed up with this. present wt is 71 kgs.", "output": "Hello, Thanks for the query. I have gone through the details and understand your feelings. Unfortunately diabetes is such difficult and lifelong problem, that one has to live with it. To remain fit and healthy strict blood glucose control is a must. In some people in spite of fairly controlled blood glucose retinal problems do develop. In such a situation it is essential to achieve a stricter blood glucose control. You are only 68 years, so please work towards achieving a stricter glucose control. That will help in having a healthier life. Since no glucose levels & HbA1c% are mentioned, it is difficult to how good is the control. Ideally FBG should be <100 mg, PP 160 to 180 mg & HbA1c%<7. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, am having frequent (recurring every half hour) pain in abdomen which subsides when I try to pass stools but recurrs again. Has been happening for the last 4 hours. Unable to walk around due to pain. Will enzoflam help for temporary reduction of pain till I see a doctor. Had this from earlier prescription from 1 year back. Pls help", "output": "Hello and welcome to Chat Doctor. Thanks for your query. Enzoflam is an NSAID painkiller medication, and NSAIDs can cause gastric irritation. Your symptoms appear to be indicative of a gastroenteritis (probably due to guardians or amoebas), and hence I feel that taking Enzoflam could probably worsen the gastritis. There are other pain-relieving medication which are more gastric-friendly and would be more appropriate in this situation. Even if you would like to take Enzoflam, it's better to take it along with an anti-ulcer medication like Sanitizing (Santa) - available over-the-counter. Also, avoid spicy and oily foods and take a bland diet. Chat Doctor. Best wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "im haveing alot of abdominal pain below my belly on both sidim haveing alot of abdominal pain below my belly on both sides its buring blowed stabbing feeling worsens when i move ive had slight fever and ive had nausea for awhile now what could it be and what should i do?", "output": "Hi! Good evening. I am Chat Doctor answering your query. If I were your doctor, I would advise you for a urine routine, microscopic and culture sensitivity test to rule out a UTI. In addition, I would go for some routine blood tests like a CBC, blood sugar, and also an ultrasound of the abdomen if thought necessary after a clinical examination of your abdomen to rule out any kind of other intro abdominal pathology, like inflammation/infection of the organ therein. In case of a female patient, would also think of a gynecologist consultation to rule out a PID. Further management would depend on the clinical findings and reports of the investigations noted. Till then, you could go for an anti-spasmodic Chat Doctor. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have small white spots on my inner cheek following a molar extraction 5 days ago....... Is this infection or allergic reaction..... I was using table salt to rinse not realizing Im allergic to Iodine and the salt contained a LOT of that..... I switched to sea salt yesterday but the spots are remaining, they are SORE", "output": "Thanks for your query, I have gone through your query. The white spots on the cheek could be because of the biting over the cheek when the cheek was numb that has resulted in frictional keratitis. Or the possible cause could be because of the allergic reaction to salt resulting in licensed reaction. Consult an oral physician and get it ruled out. If it is because of allergic reaction then you have to take topical steroids like triamcinolone acetone (0.1%) 4-5times daily for 1 week. You can also take topical anesthetic and analgesics like Anabel gel for the pain. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "A student at my sons school has been diagnosed with whooping cough. he has had an ongoing cough for one week, and it is persistently getting worse. He hasnt ran a fever, but his left tonsil is at least double in size as the right one. no other symptoms, except that 4/4/2011 was given amox for a sinus infection. What are the chances of this being whooping cough?", "output": "Hello dear, Thank you for your question. Whooping cough is highly contagious, especially in the first couple of weeks after the onset of cough. Schools are among the most common places where child Chat Doctor. I would suspect whooping cough, if your child had had cough for at least 14 days, especially if the cough is accompanied by a suffocation sensation or vomiting. A PCR testing of a nasal swab may help the diagnosis of whooping cough. The tonsil enlargement is not typical of whooping cough, but is a possible finding. I usually treat my patients with Erythromycin or Azithromycin. Since these are prescription based " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have tingling sensations in my hands/legs/feet & face. The tingling sensation is constant in my legs and feet which when severe can cause burning in my feet and toes. The tingling in my face is more common than my hands. The tingling in the face used to just be in the chin, it has now spread to the nose and forehead. When severe it leads to burning in the lips. I have spinal stenosis and had cervical fusion surgery on c3/c7, the tingling in the hands still persists but not as often as it used to. I also have stenosis and bulging at L2/L5 and L5/S1. I had an MRI of the brain that came back normal. What causes the tingling?", "output": "Hi, I am Chat Doctor. I have read your question and understand your concerns. Let me try to help you Question : What causes the tingling? Answer : The Tingling Most Probably is due to peripheral neuritis. There are many causes for peripheral neuritis, but the most common cause is diabetes. Please check your blood sugar levels Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. Let me know if I can assist you further. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "about 2 weeks ago i got a non painfull squishy lump just below the neecap on my leg the next day brusing started to appear on my knee and shin it has slowley moved around my shin and started in the left side of my foot it is now on the right side of my foot an on the top of my foot near the toes and on my toes", "output": "Hi, Dear,Thanks for the query to Chat Doctor. I studied your problem in depth and I understood your concerns. Causes for the painful cyst un Chat Doctor. This has developed due to the possible blood infection of the existing cyst or due to re-activation of the chronic died out cystic swelling below the knee. This advice is based on the facts from the history you give and needs further clinical check. So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you. Hope this would relieve your problem. Welcome for any more query in this regard to Chat Doctor. Write good resume and Click thanks if you feel satisfied with my advice. Have a Good Day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am on nexxium 40mg after being diagnosed with non erosive reflux disease. Endoscopy was done 6 months ago and was normal except for some gastritis. I have recently (last week) started to see blood in my saliva esp in morning - usually rust coloured. Sometimes after eating something i spit and see blood that is fresh. ENT specialist has done endoscopy for nose and throad which was normal. I am 39 yo male. Never smoked or drank alcohol. Worried about esophageal cancer", "output": "Thanks for your question on Chat Doctor. I can understand your concern. No need to worry about esophageal cancer. Since you are not smoker or not taking alcohol and having age less than 50 years, possibility of esophageal cancer is very, very less. Possibility of bleeding from stomach ulcer is more. You are having gastritis. So if this is worsened than it can cause bleeding. So better to get done repeat upper GIs copy to rule out this. Also get done chest x-ray to rule out lung related causes because this can also cause blood in saliva. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My grandfather was diagnosed with parkingson s in india 3 years ago and he has been taking syndopa which is causing more harm than help, and whenever we forget to give it he seems to be back to his old self, and is less rigid and has fewer hallucinations. is it dangerous to take him off the medicine for three days to see if he improves without it?", "output": "Hi, Hallucinations are common side effects of Syn dopa. If however, you are sure that his motor symptoms like gait and shaking are better after stopping Syn dopa, it can be stopped. However, I would recommend meeting a neurologist. Suddenly stopping Syn dopa can be dangerous. It has to be tapered off gradually. I would also recommend that you meet a neurologist in a center where they do DBS. If his symptoms are not that serious I think that may be an option. I have tried to make it as simple as possible. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I keep getting an electric shock type pain in my left shoulder radiates up to my neck and down to my elbow sometimes. I have Osteo arthritis generally could this be the cause. It isn;t constant but when it happens it is excruciating for about 2 seconds ( I am guessing)", "output": "Hello, I read carefully your query and understand your concern. Yes, the symptoms can be related to osteoarthritis. I suggest using anti-inflammatory medications such as Acetaminophen to relieve the symptoms. I also suggest using Voltaren gel for local application and ice compresses for relieve. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards! Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doctor,am having unbearable pain in my legs after masturbation and also having pain in my chest and hands.are these due to increase in masturbation or sumthing else ?also having sharp pain at upper left chest which vanishes after flashing 5,8 times.", "output": "Dear, We understand your concerns went through your details. I assure you, the present symptoms, pain in your legs and the chest pain, are not associated with the current masturbation. Masturbation consumes a good amount of energy. If you masturbate in an already tired condition, it is quite natural that your body will show the fatigue and pain. Due to frequent masturbation, your energy will be used much more without replenishing energy. This could cause fatigue, tiredness and thereby depression and anxiety. Depression, stress and anxiety are known to produce physical symptoms such as pain. Still, as the chest pain is involved here, I suggest you to consult a physician for investigation. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query. Further clarifications are welcome. Good luck. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "iam having hands with right palm size but short fingers, even fingers are not straight .my grand mother,father,brother and now my son is having the same .i want to know medicall reasons and also my son is diagonsed with cvt foot ... iwant to know treatment for my son and if he is gone have normal growth .he is 3 year old.", "output": "Hi, For CVT treatment depends on age and the degree of abnormalities. From birth exercise can be started to take care. With time various mechanical procedure can completely help CVT. Last resort is surgery which is done at a later stage. Consult an orthopedic doctor to learn about the same. Treatment should be initiated as early as possible. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i am 33 weeks pregnant and 23 years old.i was admitted to hospital and kept in over night with a heart beat of 205bpm.they managed to slow it down and is still 100 plus.im scared of it happening again.could you help as to why it happened and what i should be doing now.thank you. Nikkita.", "output": "Hi, Chat Doctor. I welcome you to Chat Doctor VIRTUAL CLINIC. I have gone through your question, and II will suggest you the best possible treatment options. 1) First do not panic. 2) It is really necessary to ensure all the care for your medical problems. I will suggest getting Holder test done. A good 2 D echo and color Doppler will be of help. 3) it is utmost important to find out the cause. As you must be aware that in pregnancy there are limitations on the use of various medicines, considering safety of the baby. It will be better to have opinion of an expert cardiologist. 4) Labetalol is one of the safe beta blocker that can be used. But still expert cardiologist opinion is must. I hope this answer helps you. Thanks " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was driving earlier today when my eyes rolled, and then I got very dizzy and couldnt hold my head up. I managed to pull into the middle lane and parked there for about ten min. My head was spinning, I got really hot and started sweating, and instant diarrhea , and felt like I was going to throw up. i drove home and laid down for a coupl hours. I have a wierd feeling in the back of my head, and just dont feel very good. I am wondering what happened, and what caused it", "output": "Hi, Thank you for posting your query. Based on your symptoms, it could be a case of peripheral vertigo, the most common cause being benign paroxysmal positional vertigo (BPPV). An ENT evaluation would be helpful. However, if you have risk factors such as high BP, sugar or cholesterol, then, a posterior circulation TIA should be excluded. An evaluation by a neurologist would help. Please get back if you require any additional information. Best wishes, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 4 year old son had a fever for 3 days with stomach pain. Went to MD who said it was viral. Hes feels well now, but developed a rash one day after being afebrile, on his stomach, cheats, and back. Im assuming this is normal after having viral infection. Thank you.", "output": "Hello, Welcome to Chat Doctor, The history and symptoms of your son are suggesting me that he may be having Oral Erythematous disease. The majority of childhood exanthems are caused by viruses, and less often by bacteria. Most common conditions are infectious diseases of childhood which includes the viral infections like measles, chicken pox, German measles, and other viral infections that produce skin eruptions. Prompt recognition and diagnosis of exanthems is very important and examinations be performed to assess for systemic associations. Many a times' identification of the exact infectious agent is not always practically possible. The prompt physical examination and history of the patient is very important in making the diagnosis. Don't was time in diagnosis, treatment of the patient at the earliest is very important. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am facing problem of depression since 4 months.i feel to much tired to do any work. but sometimes i feel very active. when i am sad i feel that i am very weak and cant even do simple activities. i dont have the capability to make decisions.my brain is never free of thoughts.i feel that i cant interact with people.i try to avoid people.i feel difficulty in retaining things.but before that i was very confident.i am the topper of my school.i dont know the reason why i am facing this problem. i tried to find out solutions but they dont work,my weight is also increased,i had also tried to commit suicide.i am not able to control my feelings.i also have the problem of not having a proper menopause", "output": "Hi, I read your query in detail and can understand the distress you are currently going through. The symptoms that you have mentioned is suggestive of depressive disorder which is causing negative thinking. Since you have already attempted to harm yourself, it seems the situation is very severe. At this stage I would suggest you talk to a family member regarding your situation and seek psychiatric consultation at the earliest. You will be needing treatment with anti-depressants like sertraline or venlafaxine. You also should start exercising on a daily basis which will help you relax. Talking to someone about your problems regularly will also help in de-stressing yourself. Hope this information was helpful. Wish you speedy recovery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi there. I m a male and I had a kidney stone removed two days ago. I really don t wish to go through all that again, so the doctor s advised me to drink lots of water. Does the pH level or amount of sodium in my bottled water matter or will any tap or bottle water do? Any other advice would be appreciated. Thank you.", "output": "Hi thanks for your question. Neither the bottled water, tap water, sodium content or pH of bottled water is going to form stone again. Kidney stones are usually calcium stones and rarely phosphates and low urinary pH facilitates stone formation. That is why your Doctor has advised you to take plenty of water to raise urinary pH. Food containing high content of calcium should be avoided. Hope this answers your question." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have 4 bulging discs in my neck and over the summer, my chiropractor attributed weakness in my hands to this. Nothing had changed until yesterday when I started feeling tingling in my fingers and I had the feeling as though my hands are locking up. I am also having muscle spasms in my arms starting yesterday night. Does this sound like a serious condition?", "output": "Hello.this can be due to the bulging discs.they actually press upon the nerves coming out of spinal cord and cause symptoms like pains tingling numbness burning lack of strength/grip etc.I advise you to visit a neurosurgeon for proper clinical evaluation and MRI scan if spine.if the problem is very severe it has t be operated.for symptomatic relief you can take lyrics at bedtime and MySpace for muscle spams(if you have any)hope my answer helps you if you have any more queries I would be happy to answer." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My wife had a generalised seizure few weeks back and it was diagnosed with meningioma. She got operated successfully. The meningioma was grade 1. Now Doctor has advised livipil for 1-2 year. Kindly let me know how the doses will be reduced. Any other things i need to take care?", "output": "Hi, seizures after meningioma surgery can be due to brain handling .when there is damage to the brain (from the surgery or the original tumor) the brain will always try and repair itself. This is where the seizures come from, the brain is misfiring and not repairing properly. These seizures will probably never go away, and You will always have to be on medication. You will have to take antiepileptics for long times. In addition, avoid the precipitating factors. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been on alysena 28 for exactly a month now and I had been spotting for 2 weeks before I started the inactive pills. When I started them I had my normal period but for only 4 day which I usually have it for 8 days. After it stop I had more spotting show up a few days later. Is this normal for the birth control to cause this random on and off spotting? I have also been having unprotected sex so I dont know if that contributes to anything. I was having it before I went on birth control and I never got pregnant so Im not sure if its just the hormonal changes going on due to the birth control", "output": "Hi, If you are young, it is possible to get a few irregular periods. It takes time for periods to become regular. If you are facing some sort of stress at home, this can also cause you to get late periods. Thus, what you can do is wait and see if the pills are causing problems. Also, some females have mid-cycle bleeding. This is known as mittlschmerz reaction. This happens during ovulation. The ovulation then causes you to bleed every 16 days. Thus you will have 24 \"periods\" per year instead of 12. I hope this helps you. If bleeding is getting severe, then do consult a gynecologist. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had been using candid b lotion about 2 weeks for my nail and and found my nail not improved but further to side of white from most of red part? It is a normal effect? What happen if normal nail used the candid b? If you have details of candid b lotion pls send me know too. Thank you", "output": "**1. You must be using the lotion for some fungal problem of the nail, or it could be due to anemia or vitamin deficiency, so it is better to consult dermatologist. 2. Candid B is a local skin application that contains Clotrimazole 1% [antifungal] and Beclomethasone propionate 0.025% [steroid.]PS. It is not effective in widespread fungal infections, for widespread fungal infections one need to take oral antifungal treatments. In addition, it is not very effective in fungal infection of the nails. [so could be the reason of no improvement even after 2 weeks]3. Some fungal infections can be complicated with secondary bacterial infections. Steroids in Candid B can complicate lesions caused by bacterial infection. Therefore, a doctor should examine the lesion before Candid B is prescribed4. Eat healthy diet rich in protein and calcium 5. Keep your nail clean and Chat Doctor. 6. Increase intake of biotin and use an application of moisturizer.PS. Biotin is helpful in making nails somewhat strong and thick: apart from biotin supplement you can also take natural source of biotin like: boiled eggs, cauliflower, avocado, whole grains." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been ill since the end of December, firstly with sinusitis, which did not clear, then a chest infection, which still have. I have taken three courses of antibiotics. My tongue has a very thick coating, in spite of brushing it and most food and drink taste awful. What can I do about it?", "output": "Hello, Welcome to Chat Doctor, The symptoms and your treatment history suggests me that you may be having some remote infection which is causing all these symptoms. As your symptoms are persisting even after taking three courses of antibiotics, I would suggest you to undergo chest X-ray, complete blood picture and the blood culture and sputum culture. The aforementioned investigations help us find out the reason for your symptoms, and then we can proceed with the treatment. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter age 32 got mirena IUD inserted less than 1 week ago. She said she thinks her skin is yellowing (jaundice) appearing. Of course has cramps and bleeding which she expected but had bad headache yesterday and noticed this change in skin color. What can this be caused from in the body and y.this IUD?", "output": "Hallow Dear, Mirena is an intrauterine device that contains Progestational medicine. Both Estrogen and Progesterone are metabolized and intoxicated in Liver. Hence, these medicines do increase the load on the liver function. Therefore, the women with recent history of Jaundice are not prescribed hormonal contraceptives. Please get Liver function test of your daughter performed on her blood. With suspicion of Jaundice with hormonal contraception, you should report to your Gynecologist ASAP. Meanwhile, she should consume plenty of honey and juice of tender castor leaves. I hope this helps you. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Is it possible to see small worms come out of your head? My sister has shaved her head and wears a stocking on her head before she wears her wig. She says she can see and hear them Bakersfield California think she is crazy and keeps giving her pills for illusions", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. It is possible to see small worms coming out of a persons head even though actually it is not the case. This type of behavior originates from psychoses. Illusions and hallucinations are normally their companion. Because of numerous such illusions, they settle to one illusion which they think they can overcome with their own trick. And they live with it. Treatment with the help of psychotropic Chat Doctor. The treatment can also be augmented with psychotherapy techniques like Cognitive Behavioral Therapy (CBT). For more psychotherapy techniques, You can post a direct question to me in this website. Include every detail as much as you can. I shall prescribe some psychotherapy techniques to control your condition. I am sure that the techniques should be a success. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my aunt has stage IV lung cancer with the tumor wrapped around the aorta. She went through Chemo and Radiation from last July to January. The tumor shrunk then but now without any chemo it has grown back pressing on the main artery. She now is on hospice. Would she be a canditate for a new heart?", "output": "Hi, dairy have gone through your question. I can understand your concern. She has lung cancer stage 4. So surgery will not help. Chemotherapy and radiotherapy remains treatment options. But despite treatment prognosis is not good. Life expectancy is not good. Sorry to say but it is fact. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi i am experiencing semens coming out during urine for two days. I do not masterbate and for two weeks i didnt have wet dreams. Is this normal? i am currently 25 and i am not married. i experience fluid coming out in little quantity from bladder during stool. Is this normal?", "output": "Hello, How do you know whether it is semen or pre-cum? Nocturnal emissions are common, but continuous leakage is not common. Please get it done urine examination for sperm cells. Few people with not doing masturbation or sexual activity may can cause leaking. But once again consult your physician he will examine and treat you accordingly. Take care. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "for the past two days I have had a dull pain in my chest straight through to my back. It hurts when I cough, take a deep breathe and last night when I was swallowing. It is hard for me to sleep on my right side, I feel like I can t breathe well turned that way. I had swelling and pain in my leg on Thursday but since then it has gone down.", "output": "Thanks for your question on Chat Doctor. In my opinion you should first rule out cardiac cause for your chest pain and chest heaviness. So get done ECG to rule out cardiac cause. If ECG is normal than no need to worry much for cardiac cause. Since you are having more pain on right side and worsening on lying down on same side, pleurisy can be the cause. So get done chest x-ray to rule out possible causes of pleurisy like pneumonia, pleural effusion, tuberculosis etc. So if chest x-ray is normal than musculoskeletal pain can be the cause. So take good painkiller and muscle relaxant. Apply warm water pad in affected site. Avoid strenuous exercise and heavyweight lifting." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I forgot to take the last two active pills on yaz and Now I am on my last white pill (inactive) I thought I took the last two but When I actually checked it, it was still there. Im suppose to get my period since im on my last white pill before my new pack... Do I still take my new pack as ususally? what will happen with my period?", "output": "Hi, Since you have missed the last two active pills, the pill free interval is more than 7 days. So there is a possibility of ovulation occurring, and you will not be completely protected by the pills. As you are already on the last white pill (inactive), start the new pack tomorrow. In addition, you should use an additional method of contraception like condom for the first seven days of the new pack, if you have intercourse. The other alternative will be not to have sex during the first 7 days of the new pack. In all probability you should be starting your periods in a day or two. I hope this helps hop" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Three days ago my cousin picked me up from behind to pop my back. He weighs about 250 pounds and I weigh 120 pounds. My back popped loudly in several places. Now The middle of my back feels very bruised and the pain radiates down to my upper buttocks. I mainly feel this pain when I stretch my back or when Im sitting down. I am an active 29 year old female. Please help!", "output": "Oops... Popping could go dangerous if not down properly. Pain radiation might be due to disc. Thrust could cause the spine to go hyperextension which can put the impact on disc. Well, apply ice to the low back area and run down the ice to the buttock too. Sleep on the side or lay down in the floor with the legs resting on a chair. Apply ice for 15-20mins for 2-3 days. You would feel better. Cheers." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here... my dad age 79 had angioplasty 6 months back good health drives 2 wheeler walks does things independently taked med for BP. fell down was conscious ct report changes of cerebral atrophy lacunar infarcts both basal ganglia in both MCA and both thalami in both pca territory both periventricular white mater infarcts in both mca territory. what it means pl", "output": "Hello, After going through the medical details, provided by you, I understand your concern for your fathers' health. I would like to tell you that CT brain report of your father is not good as it is saying about multiple infarcts in the brain due to which his brain cells are damaged, and neurons are losing the connection between them, which is causing all his symptoms of falling. You should immediately consult a neurologist or brain specialist for physical evaluation and some required test. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HELLO..!!I had pain in one of my lower jaw tooth..and it was found that there is slight PAI in both apices but no bony loss.. should I get that tooth removed or get that tooth dressed...for now I have been prescribed with ACILEX-P and AMCLAID-625 ...Previously i.e 3 days back I had been taking the medicines BLUMOX-CA, ACILEX-P , SERRALEX 10 mg... presently am also having a blister near to my upper jaw ...and along with that this tooth pain is something really horrible", "output": "Hello, thank you for consulting with Chat Doctor. It is good that you have started with antibiotics and painkiller medication for the infection, as you have mentioned that your lower tooth is having periapical infection. But only taking medication snot the solution better you should go for root canal treatment, as once an opening of the tooth is done for the treatment the pain will start improving. Hope it will help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have very slight swelling, or puffiness, on my upper left chest, between my collarbone and shoulder. It is not painful, although I do have some pain closer to the center of my chest. I also have sinus and ear congestion, and have been undergoing a series of chiropractic sessions to realign my upper back and shoulders. Could this swelling be a side effect of these treatments, or a lymph node issue from the congestion?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Possibility of musculoskeletal swelling is more likely. So follow these steps to make reduce swelling. 1. Avoid movements involving left upper chest. 2. Avoid heavyweight lifting and strenuous exercise.3. Take painkiller and muscle relaxant Chat Doctor. 4. Apply warm water pad on affected areas.Don't worry, you will be alright with all these. If not improving in 2-3 days then consult doctor and get done chest x-ray to rule out lung pathology. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. Im a 19 year old female about 5ft 6inches and about 11 stone 7lbs. I have had a history of low self-esteem and did see a Psychologist for a period of time. This was a few years ago though. Recently, I have started to develop erratic mood swings, going from happy to fed up, angry or sad in a second. Im constantly tired and lack energy and sometimes develop bad headaches and some sickness during the afternoon or evening.", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. The problem is your age, and I think, there is no psychological illnesses. You are dissatisfied or disappointed with life situations. Not depressed. At your age, your brain is vibrant and active. If you are unable to give tasks which are creative and vibrant, it becomes lazy. Lazy becomes lethargic. Tiredness follows. Also, you have old confusion. All these symptoms are typical for a teenager. Don't worry. You shall learn soon. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctors... Am XXX from XXXX... Am suffering from white patches on my body.. I am nt confirm abt tat is it vitiligo? Its appeared in my body around 12- 13 years ago... Bt @ very small parts.. Bt recently its starts to spread and am very affraid abt it.. Bt sme patches of my body automatically disappeared recently.. Is it completely treatable...? Which type of medical treatment is best for this? Homeo? Or ayurvedic? Plz answer me", "output": "Advise you to stop mid and diary products no ILS mustard coconut walnut groundnut almonds soda apply olive cook in olive no milk and nut contains soap oils creams and ointments take oil free and Greece free diet tab digital 100 MGM BD for 10 days apply clinic a gel morning and evening calamine in after noon afternoon toy apply placenta ointment on spots and exposed to sun for 15 mistake methotrexate 2.5 MGM once weekly do 3 months and post" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am a patient of jaundice. I am 16. I got bilirubin as high as 6 but now its 3 something.( shukar-al-hamdulillha) . I wanna ask few questions.Please answer my questions bellow.1 . As I m in the growing age,will jaundice affect my growth?2. Is jaundice is fully treatable? 3.when I can join gym? Will i ever be able to join :/ ?4.i am very very skinny. I m 16 but looks 12 whyyyyyy? Everyones makes fun of me. Is there any restrictions in calories intake? I want to gain some weight.Thank you!", "output": "Hi, there are many types of jaundice, some are curable completely, and some don't go away, hepatitis B is one among them. But you can be fit to attend your work, and extracurricular. anyhow consult a gastroenterologist for diagnosis and treatment. Regarding the thin built it may be genetic, but you can have some improvement, by consulting the same doctor. Have food rich in fats and proteins. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have lower tummy pains hard to go the bathroom but I do alittle bit I have diverticulitis before it also come with sharp pains under the belly button is amoxicillin good to take for this. wow just a ? where s the justice in charging somebody money to get an answer", "output": "Hi. Thanks for your query. Read and understood your concerns. Noted your history of pain in the abdomen, inability to evacuate the bowel and are a known case of diverticulitis. Amoxicillin is not the Chat Doctor. You may need an antibiotic active against intestinal pathogens like Ofloxacin or definite, metronidazole and pro and prebiotics. I would advise you the following in such a situation:Get a clinical evaluation and examination by a general surgeon to have a clinical diagnosis. To undergo the tests like CT scan, of blood, urine and stool. And then only to proceed for proper treatment. I hope this answers your query. Consultation needs charges and the set-up cost money hence the charges." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, My father has been diagnosed with liver cirhossis and HCC. The doctors were to perform a liver transplant but intra-operation we were told that the operation cannot be done as the tumours are more than anticipated. Please advise what to do next.", "output": "Hi and welcome to Chat Doctor. Thank you for your query. I understand your concerns and I will try to help you as much as I can. This is serious disease if cirrhosis is present and quitting alcohol is the most important thing that should be done. Also, medications which are hematologic should be avoided. This is necessary to prevent disease progression which is lethal in most cases. At early stages it can be treated with these measures but in case of progression. Diet should be balanced and healthy and get regular exercise. Limit high-carb foods such as bread, grits, rice, potatoes, and corn. And cut down on Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have what feels like a muscle pain near my left kidney. Yesterday it was around the right kidney and raidiate around to right side. It feels a bit like a side stitch tryout would get when running It is a sharp pain. Thank you. XXXX", "output": "Hi, If the pain is in loin area urinary tract infection or kidney stones should be ruled out. Urine routine investigation and ultrasound examination will be needed to rule out that. If that is clear then it can be due to back muscle spasm or lumbar spine issue. A short course of muscle relaxants like thiocolchicoside and NSAIDs like Diclofenac will be helpful. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor,i was taking terbinafine for fungal infection. after 5 weeks i checked my LFT which showed bil-1.9, with little increase in ot & pt levels, & within range alp levels. i need to know about what diet should i take. do i need any medication for this. it seems to be drug-induced.regards,i hussain", "output": "Hello. Thanks for putting your query in Chat Doctor. I can understand your concerns. Elevation of liver enzymes suggest liver cell injury. And there are many causes for the elevation of liver enzymes like alcohol intake, hepatitis, infection, Chat Doctor. Terminating itself can lead to increase in liver enzymes. So I will advise you to stop terminating and monitor your LFT once in a week. If they don't normalize may be after 2 months then visit a Gastroenterologist for evaluation hope I have answered your query and this will help you. If you have any further query I will be happy to answer that too. Remain in touch and get-well soon." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 13 weeks pregnant. And every morning I vomit bike with lots of bubbles. I also have constant burping and nausea(with no vomiting) whole day. Why is this so? From what I read and from what people tell me I am suppose to feel better by 14 weeks. Is this normal? And how can I feel better?", "output": "Hi there, I have understood your concern and I will suggest you the best possible treatment options. Please understand that early pregnancy symptoms can last till 14 to 16 weeks of pregnancy. I will suggest you to use Dopamine containing preparation twice a day for a couple of weeks. Also, preparation containing Pantoprazole will be of help. Please seek prescription support from your treating doctor for the same. I will suggest you to opt for a healthy diet and regular exercise regimen. Please avoid refined sugars, deep-fried foods and bakery products. Include more portions of fruits, vegetables and salads in daily diet. Have small frequent feeds. The things will be fine in the due course of time. I hope this answer helps you. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Is amoeba hyst. Dangerous to the fetus? I am 34+3 weeks pregnant. I recently had some loose poops 3 times during the day but I thought it was due to lots of yogurt. Today I had mucous and blood in my stool. I am going to my OB next week but I am already worried. Should I treat it now or wait after delivery? Should I delivered naturally or by cesarian?Is it very dangerous to the fetus? Please answer in details last 3 auesrions. Thank you.", "output": "Hello, Thanks for trusting us with your health concern. In the current scenario, you may have to be treated for the disease since you seem to have dysentery. Else, it may lead to a threatened preterm labor. Let your health care provider decide after a clinical assessment. Though the infection as such is not very dangerous to the fetus, as mentioned earlier associated symptoms may lead to interventions. It is not necessary that you be delivered through the abdominal route; the decision is taken by your attending obstetrician. Take adequate rest and maintain proper HY Chat Doctor. Wish you safe motherhood." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m concerned about my 14 year old daughter, she couldnt see the back of a soccer field goal, and it s made of very thick metal, she ran into in and there was a very large bump on her head yesterday and now it s hard around and soft in the middle, I m worried if she broke her skull?", "output": "Thanks for your query, I have gone through your query. The hard bump on the head can be secondary to inflammatory response to the trauma. The other possible cause can be a fractured frontal bone. Nothing to be panic, consult an oral and maxillofacial surgeon and get it evaluated. You need to get radiographs like PA view and CT scan done, done to confirm the diagnosis. Once the diagnosis is confirmed, we can manage accordingly. Meanwhile you can take an anti-inflammatory Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 4 year old daughter just got over a cold. She now has a lot of goop in her eyes, she has been very tired, emotional, and moody. She keeps saying she is thirsty, but doesn t drink much more than normal. She isn t sleeping well, and when she wakes up at night she will complain about her feet, hands, or arms hurting, but I can t see anything physically wrong. I am going to call her doctor tomorrow but don t know how to help her. What could be wrong?", "output": "Hi...she seems to be going through a viral illness and conjunctivitis. This pain she's complaining could be a part of the generalized malaise which is very much expected in any viral illness. If she's in too much pain you can administer her Paracetamol at 15\u00a0mg/kg/dose every 4-6th hourly or if temperature is more than 100F. Regarding her eye discharge you need to clean with fresh clean water as much as required. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have chronic kidney illness....not past stage one...recently went to the beach and began a fever. took Tylenol fever went away...had dinner and a glass of wine...sudden internal chill without fever. finally went away, but today after returning from the beach I have fever again...urine is cloudy....my renal doctor called me in a script for a bladder infection...question...could a bladder infection cause this chill or would it be my kidneys causing the problem", "output": "HelloThanks for query. Based on your symptoms you have UTI, and it is insignificant whether it is kidney infection or bladder infection. Please get your routine urine test and urine culture done to find out the organisms causing this infection and antibiotics to which they are sensitive to. Please take broad spectrum antibiotics like Definite along with urinary antiseptic like Nitrofurantoin twice daily and urine alkalizer thrice daily. Later on switch on to appropriate antibiotics as per culture report. Get the prescription of medicines from your family Physician. Ensure to Chat Doctor. To keep your urine dilute." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a very much hair fall problem... i have been taken vitamin tables for two months and applying kerotex herbal oil from past 4 months.. but hair fall has not reduced each hair fall from root and in the end of the root white seeds has been noticed which is in the form of white heads ... my hairs has been reduced thrice of my before... i have the hair fall problem from past 8 months last year i hv been under gone for appendices surgery.. and i had a problem of cyst in right oveares in stomach now it has been solved.. i heared if cyst is present in stomach hair fall will be ther.. but now it has been solved.... still the hair fall problem has not solved.. i have dandruff problem not much.. please let me know the solution for it..", "output": "Hello, Thank you for posting on Chat Doctor. I appreciate your concern regarding hair fall. Hair fall is usually ascribed to multiple factors like diet and nutrition, hormones, stress, acute or chronic medical conditions, Chat Doctor. From your description, it seems you might be having Halogen Effluvium, which is hairball secondary to stress. If I were your dermatologist/trichologist, I would like to take through history including family history, history of recent major trauma/illness/stress/medications etc. and recommend some basic investigations like CBC, blood sugar, Thyroid function test. Some other special investigations like pictogram and endoscopy and further aid in diagnosis and prognosis. I would suggest you a course of oral tablets containing biotin and other essential vitamins and minerals for minimum 3 months. Also, would put you on solution containing 5%/10% minoxidil once a day and a hair serum containing peptides for hair growth at night.(Q era etc.). I would advise use of gentle shampoo and conditioner on regular basis and use of coconut oil twice a week. Also inquire from your dermatologist about upcoming treatment options like monotherapy and platelet-rich plasma. Avoid combing in wet hair and let them " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my name is Camarin. On November 7th me and my boyfriend broke a condom, about 2 hours after that I got plan B and took it. I had a period/bleeding on the 12th to the 15th and I was suppose to get my on schedule period on the 16th, and didnt get it. On the 19th, we had sex again and he pulled out but Im not sure that nothing went inside; because I remember being told that sperm can escape before ejaculation. Its November 25th now. Ive been having slight constant cramps, and my appetite is sort of messed up, as well as having the feeling I might throw up but never do. I know its only been 6 days since the possible conception, but Im worried. I know I could be getting some implantation bleeding today or within the next 3 more days, but I just need some new imput as to whether or not I could be pregnant, or the chances thereof.", "output": "Hi, Thanks for writing in. Taking plan B protects you from a single act of probable unprotected sex and not repeat acts on subsequent days. So there is a little possibility that the sex you had on 19th was not protected. Bleeding can occur early or late after taking Plan B because of high dose of hormones in most women and there can be irregular periods for next two cycles. Possibility of being pregnant is less likely but cannot be ruled out. Please do home pregnancy test at least 15 days after 19th November to confirm pregnancy. Hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, several weeks ago I had bad abdominal pain, I had been through some stress and my doctor said as a result the lining of my stomach had been stripped away. I took nexium for 6 days. I have had dirrohea a couple of times in the last two weeks but yesterday got really bad pains again the same as initially when he said about the lining on my stomach. I also had 4 bowel movements yesterday and when I wiped there was some blood, not in the stool just on the paper. Is this in relation to the same problem or could it be something else?", "output": "Hi! Good afternoon. I am Chat Doctor answering your query. If I were your doctor, I would advise you to stop eating from outside if you do. Outside food might cause intestinal infections specially meiosis in some regions which might give rise to gaseous distension and pain abdomen on the right side due to colitis. For this I would advise you for a routine stool test for ova and cyst, and treat it if positive. Please carry on taking Medium as before. In case some kind of infection comes out in the stool test, then further appropriate management could be done. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 29 years old woman. Im Italian but I have been living in Australia since February 2010. I weight 70 kg and I have broncho pneumonia for three times in my life (when I was 3, 8 and 18). Three months ago I got a bad inflammation in both eyes. Now its better but it still hasnt gone. Ive been taking steroid drops since then. They dont know the cause but they think it might have something to do with lungs. Last Friday I had fever, that lasted for 2 days and half. Then, Monday I woke up with very sore knees and in the space of 1 hour my legs up to the buttocks were covered with red lumps, very sore. I couldnt sleep until I had some paracetamol for the pain. I also sweat all night, and this has been happening even the night when I didnt have fever. What is happening? I read something about sarcoidosis, and seeing the many matching symptoms I am afraid I have it. Is that possible? The doctor doesnt have a clue about the lumps, he thinks it might be part of the flu, but he really doesnt know.", "output": "Hi, Dear,Good Morning. Thanks for the query to my Chat Doctor Clinic. I studied your query in depth. I am concerned about the worries you have being in Australia, where the Acidosis prevalence is more. In my opinion, You should calm down as your doctor their thinks of -as after effect connected with the recent last Friday fever ? Flu as diagnosed by your doctor their. By the facts told by you, it appears to me that -your doctor is right, and you should not be panicky of ACIDOSIS. The painful knee and the sore red lumps currently-are mostly due to the Urticaria-initiated by the recent ? Flue as thought by your Doctor. If you still worry, MRI of Chest and consultation from a Physician would fix your worry. So don't worry and things will settle with-following treatment-a-Tb Cetirizine-, Tb-NSAIDs, Bland-non-spicy diet for a week, CBC-raised ESR, CXR-lymh nodes, and CT guided mediastinal node Biopsy would fix your worries of the ACIDOSIS. If still You are worried, I would advise you to consult ER Surgeon, Physician who as team would treat it with Antibiotics and Tb NSAIDs, Tb Steroids and needful. Hope with this you would be relieved of your worrisome query. Wellcome again to Chat Doctor. Have a good Day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Dr. Malpani, I m Mr. Dorji, 29 years old. I have been trying for a baby past 2 years. I have a problem with ED from the very young age. The first time I tried to have sex with my girlfriend, i could not get erection . I then learned about viagra and tried next time. With the help of viagra, I am able to perform and have good sex with my partner. But no matter what and how best i tried, my girlfriend is never getting pregnant. I even tried with my second girlfriend, it never worked. Please help!", "output": "Hi I think u should get your semen analysis done and see the amount of sperms and see the motility of sperms. Amount should be at least 40-60 million per CCMM. If it is less we can increase the sperms by taking restore tablet twice daily for 6 months, if it is zero go for ultrasound see for any structural changes in the passage of sperms. If motility is fewer means actively motile sperms are less treat it with Evian LC tablet daily once" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Just had cystoscopy, ureteroscopy, urethral dialation, retrograde pyleogram?, and a right stent in kidney inserted. They found that I have 3 kidneys also. 2 on my right side. what does this mean? what are the affects of this? Also, is this the reason for my complicaations and pain over the years? Am I more prone to kidney cancer now?", "output": "Hello carry;welcome to Chat Doctor The third kidney is discovered accidentally during investigation for your other problem. The third kidney may have been in your body since birth, so it is fine at the most there could have been pain in abdomen on exertion which you can relate to it.Also, it is important to see whether it is fully functional or has different ureter or is attached to the same. Any way the complications may not have been due to the third kidney, and you are surely not more prone to kidney cancer in fact you are more safe so that if 2 get spoiled you have third, so you are lucky. Please discuss with your urologist. Take care. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Dr., I had two seizure during sleep in 2012 and I lost my passenger service licence. Neurologist said that it is due to sleep deprivation as I was driving cab at nights and sleep only 3 or 4 hours during day time. He done my EEG and CT and found nothing. Dr. prescribed me epilim 200 ec two times in a day. I am worried about what is this? Is it epilepsy or something else? Should I take this medication as this is anti-psychotic and has huge side effects. Can I get back my passenger service licence?", "output": "Hi, Thank you for posting your query. I have noted your symptoms, investigation reports and current medications. Most probably, you are suffering from epilepsy. In many cases of epilepsy, CT scan of brain and EEG may come out as normal. It may be worthwhile doing an MRI brain-epilepsy protocol to find out more details. Epilim is also an anti-epileptic Chat Doctor. You should continue it as per your doctors' advice. Regarding the license, you need to check the local laws. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "3 year old female, vomiting now for 9 days straight, went to 3 different doctors, blood test are negative,urine test also negative, alot of flem at first then after about a week nothing stays down. Gave her a shot at Dr. office today to stop vomiting but it didn t work. She has no fever but now can t sleep or rest without vomiting like every 5 to 10 min. Going to see a specialist in Columbus but not until Thursday. What can we do to keep her from dehydrating if nothing stays down? Im so worried and won t get any answers until Thursday Doctors here in Lima are baffled as to what to do? Any suggestions?", "output": "Thanks for putting your query up at Chat Doctor. Your child has acute gastroenteritis. Most often it is caused by a virus called rotavirus. In case of a viral diarrhea the blood and urine tests come out normal. Normally these are self-correcting, and you would need to wait awhile before it subsides on its own. Give her ondansetron syrup (available in brand names like gofer, ODEM etc.) to control her vomiting. Had I known her body weight, I could have given you the dose required for her. Meanwhile, give her ORS so that the water and salt balance of her body remains proper. ORS will help in correcting deny Chat Doctor. Give it to her frequently in sips. If she passes urine adequately and her thirst is back to normal, you would know that there is no deny" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my husband had phnemiua and his oxygen level in the blood was 66% his right lung was full and it was going into his left lung he was hospitalized could you tell me all about the seriousness of it all the hospital doesnt explain it to me. thank you", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Normal oxygen saturation of body is more than 95%. So 66% saturation is considered as very low. Pneumonia is common cause for low oxygen saturation. Pneumonia if uncontrolled and extensive can cause collapse, consolidation and pleural effusion. All these causes non-functioning of involved lung. So oxygenation (main function of lungs) is hampered. This is having poor prognosis. Body can not sustain for long time with this much low oxygen level. After sometimes kidney, heart and brain start loosing their functions due to low oxygen saturation. So his condition is extremely serious. Prognosis in such cases is very poor. So discuss with your doctor and start vigorous treatment to control pneumonia. Hope I have solved your query. Wishing good health to your husband. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My wife has 3-4 cysts on her head. 2 of them are big like peas and other 2 are small. She did Dr Batras treatment couple of years ago and as a result of which these cysts pop up. Onc has been removed in India 4 yrs ago. That time all other were small. Not 2 have grown big. It pains I she press them", "output": "Hi, Thank you for posting your query. I have noted your wives clinical details. Based on the description, your wife seems to be suffering from sebaceous cysts. These are benign and harmless conditions and can be easily treated. The best treatment is surgical excision of these cysts, which can be done under local anesthesia as a minor procedure. The surgery is safe, and no complications are expected. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, Chat Doctor. Ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My bilirubin was 7.4 has never been elevated, I do have fatty liver , high cholesterol and sugar is borderline at 111 , I recently started exercising due to needing to lose weight and having a sedentary job- the provider says we will recheck it again in two weeks but I am so worried and reading things on the internet that have me in a panic. My bilirubin has never been elevated before but LFT s were slightly.", "output": "Hi, High bilirubin could be due to liver involvement in fatty liver. But before labeling it due to fatty liver you need to investigate as follows. -Bag Elisa-Anti-HCV ELISA Test-Anti-HAV antibodies-Anti-HEV antibody-Peripheral smear examination report and CBC All these investigations is to rule out hepatitis and hemolytic anemia. If already done this report than Kindly attach it. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have shortness of breath and heaviness in both of my lungs. Recent CAT scan showed fibrotic changes in the small lymph nodes in my lungs. I have been an asthmatic for over 35 years and in the last few months my lungs feel very different. At times, it is difficult to speak without shortness of breath and slight coughing. Not sure if this is related... but my fingers and hands turn blue when I exercise. Any ideas?", "output": "HI, thanks for using Chat Doctor Fibrosis can occur in persons with history of severe or in those with uncontrolled asthma. It means that normal lung tissue has been replaced by scar tissue. The reduced ability of your lungs to transfer oxygen to the blood would cause the shortness of breath and also the blue nail discoloration on exercise. It would be best to discuss these change of symptoms with your pulmonologist. Your medication may need to be altered. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am suffering from Sneezing, sore throat and severe headache from last 3 yrs. I thought I have sinus and allergy because I get sneezing with dust and old cloths and weather change. But recently in diwali vacation in my home town, I went to one shoes shop and when he kept Agarbatti and switch on fan, I started coughing and was feeling so much disturbance in my chest and it was not stopping even I came out from tht shop. So I went to pathelogy and met with consultant docotr, he asked me to take cetrizine so I took Allegra which was with me tht time. After 10 mins I felt comfortable and I gave my blood for allergy test and after tht we went to lungs specialist doctor. he did some my test using mouth air and he said tht u have allergy induced Asthma and he has given Montair-fx mediicne one time in a day, Forecort inhaler twice in a day 2 puff and one nasal drop.He asked me to take these medicine one month and after tht meet any lungs specialist in Pune. After second day when my allery test report came, it was normal so we asked doctor so he said tht u have asthma. I am taking this montair-fx medicine from last 24 days and I can say I didnt face any trouble, I got 100% relieve. now i dont scare with cold waves and cold things. I have stop taking nasal drop after 10 days and for puff I m not regular but medicine I m taking regularly. So now again I have to consult with one doctor. I stay in Pune, please suggest me one good doctor in Pune. But I m worried becuase I m not able to understand which disese i have now if my allergy test is normal and after taking this medicine even I didnt face any sinus kind of headache.", "output": "Hello, thanks for your query.1.from your history it is clear that you do have allergy induced asthma.2. You have been taking antiallergic(Allegra), and steroid +bronchodilator puff. This opens the air passages (narrowed by body reaction to allergy) and you can then breathe easily.3.season change, dust,perfumes etc. will worsen breathing problems.sinusitis will worsen by exposure to cold.avoid such situations 4.keep up a regular routine of mild exercise(yogasanas) to improve lung capacity .5.ask your doctor to shift you from steroid to long term nonsteroid prep for asthma to reduce steroid related side effects .6. Visit a chest physician(M.D.chest) WH can guide you better .stay healthy, happy to help" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am suffering from psoriasis. Am on MTX currently. When my psoriasis clears off, i am left with black marks all over my body. I was told it would fade off overtime, but been years and am still having the marks.Is there any way to have the marks removed????", "output": "Welcome to Chat Doctor Forum You have many pigmented scars over the body. Topical medications can definitely be of help to you in reducing the pigmentation to some extent, although only after proper treatment, we can know the results Since these are dark scars, I would advise that you should use a lightening agent like comic acid and vitamin C combination over the scars. This is a simple, harmless lightening agent which can be used for as long the blackish pigmentation is there. Also, try not to touch the area too much Use proper sunscreen (SPF>26) before going out in the sun so that the lesion doesn't darken any further Take a diet rich in vitamin C and antioxidants like Citrus fruits and lots of salads If after all the above measures, the scars tend to persist, then I would advise that you should see a dermatologist as there are various other measures for the treatment of pigmented scars like the use of chemical peels, dermabrasion etc. which a dermatologist can decide according to the type of scars. Hope it helps To wish you speedy recovery Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, recently I noticed 3 round skin colored bumps on my thigh. On accident I scratched one and it got larger and turned a dark purple. It is now painful the touch. The other one rubs on my pants and is red but not as painful. The third one is still skin colored and not painful and the smallest. I am curious if I should worry about these or let them work themselves out", "output": "Hi, happy to help you on your health concern! In the present case of skin-colored thigh bumps, if I were your consulting physician, I would just like to say, nothing to worry! As per your description, it is some benign harmless lesion like skin tag or common papilloma or some fibroepithelial polyp or in worse case these could be sebaceous cuts, neurofibroma or even a hematoma also! Take caution not to get injured there as this might invite infection. If you are still worried, please get an FNAC test for confirmation and thereafter get examined by a surgeon or revert to us. Hope you got your answer. Please feel free to write to us if any more queries. Wishing you the best health!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 20 y.o. female. I weigh 114 lbs and am 5 foot 3 inches. I have had chest pain now consistently for about 12 hours. Well, I wouldn t exactly call it pain, but definitely severe pressure with intermittent pain. It does seem to have gotten a little better since it started, but earlier today I was very short of breath and it felt like there was air or something in my lower throat. It also felt like something was pushing against my trachea. I have been slightly tachycardic and my BP was 139/92. I can also feel pressure, maybe almost tingling in my upper left back muscle, like it s been pulled or something. I m worried because I know unrelieved chest pain is a problem. I m also worried because I ve been on Adderall XR 40mg for about 4 years now, and I know there are a lot of heart conditions associated with that. I plan on going to the Dr. tomorrow morning if it hasn t subsided but I m honestly a little worried to go to sleep if it s something more serious.", "output": "Hi dear though you are just 20 but as you are on amphetamines for 4 years a probable cardiac causes to be ruled out, amphetamines can cause ischemia, cardiac ischemia(less blood supply) is a very common side effect of using amphetaminesThey can also cause lung condition like pneumothorax which also presents with the same symptoms amphetamines can also cause severe gastritis and heart burn which also can present with the same symptoms would suggest you to go forEcg2d echo chest X-ray PA view this will help you to reach a diagnosis that what is the exact cause of pain and medication can be taken according to diagnosis thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am pregnant and craving paper - and eating it. A few sheets of notebook paper a day. I m sure the ink isn t good, but I m wondering if there is any real harm to it? I know that I m anemic and it s most likely Pica, and I am being treated for anemia. But I m wondering how harmful it could be to me or the baby if I keep eating as much paper as I am now.", "output": "Hallow Dear, Eating the paper per se is not harmful to you neither for your baby. However, it all depends up on which paper you are eating. Any newspaper, postal envelops, advertisement bills, etc. are handled by many people, are lying at any place and hence are not hygienic to eat. Moreover, as you have mentioned, some inks contain heavy metals and is not good for the brain development of the fetus. Otherwise, plain clean paper is not harmful; in fact some ice-creams do contain blotting paper in it. Moreover, you have to go to the root cause of this craving. Anemia and calcium deficiencies do cause such cravings which should not be labeled as pica. The cause of resistant anemia could be worms which can cause such weird liking towards the items. Please get your stools examined from the laboratory and if indicated take anti-worm treatment with the advice of your Obstetrician. Please keep in mind, though the paper per se may not be harmful to either of you, the cause for such craving could be serious. Do not neglect it. I hope you got the message. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am 75 years old and have been breaking out with red rashes all over my body and the skin underneath the rash is very hard. The rashes come and go, ive had it on my neck, arms, chest, leg etc. Dont know what i should do, i havent changed anything in my diet, im diabetic.", "output": "Hi, After reading your query it appears that you are suffering form urticaria or allergic rash. Urticaria is a common condition where due to release of histamine from the white blood cells; especially mast cells causes all breaking out with red rashes all over body. It remains transiently for few hours and then disappears its own. You please check out for any recent change in your daily routine where some allergen producing the same is coming in contact. It can be in the food, environmental or sometimes in your clothes to such as some dyes and fibers. You can take tablet loratadine or leeocetrizine or any good antihistamine tablet by mouth for one to two times per day. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "2 years ago I had my middle lobe of my lung removed. I had an incapciled nodule on the lung that didnt need chemo or radiation. Today the pain in the right side of my lung and directly in the back is becoming unbearable. Is this natural or could I have another nodule? Thank you", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Lung nodule is usually accidental finding and does not cause any symptoms. But if nodule is large enough to obstruct bronchi than collapse, consolidation can cause similar kind of pain. So better to get done chest x-ray and CT thorax (if needed) to rule out nodule and its complications. If chest x-ray is normal then no need to worry about nodule. You might be having musculoskeletal pain only. So apply warm water pad on affected site and start painkiller and muscle relaxant Chat Doctor. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Is there a connection to high cholesterol and hives? I have both. A blood test for allergies shows a reaction to dogs, but I have had then my entire life w/o a problem. Just wondering if there is another cause for the recent and sudden outbreak in hives with a sore throat besides allergies.", "output": "Hi, Hives also called urticaria may be multifactorial. Kindly consult the dermatologist for the perfect diagnosis and proper treatment. Investigations including allergy tests may be done. Dog dander may be responsible. Besides that many allergens... dietary, contactants and inhalants may be the triggers of urticaria and sore throat. I would suggest...- elimination and avoidance of food, contactant and inhalant allergens- antihistamines like fexofenadine- domain - if needed short course of steroid - subcutaneous injection of Histaglob at regular intervals I hope this would help you. Thanks. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Why ovary follicle becomes cyst?Any precautions for preventing cyst?", "output": "Hi! Thnaks for choosing Chat Doctor. Ovary at the time of ovulation release follicle and degenerates into athletic follicle.In case of non rupture it persists as cyst wherein it is called simple /follicular cyst. Another is after rupture it becomes filled with blood and is called corpus luteum cyst. There is no way of preventing ovarian cyst, You can diagnose it yearly by pelvic exam and also ultrasound check-ups. Take Care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 10 year old son was diagnosed to be suffering from primary complex, he just started his medication yesterday per instruction of his doctor..my fear is whenever afternoon comes he has always fever..how long will such fever subside since he already started his medications?", "output": "Welcome to the Chat Doctor I completely understand your concerns but don't worry. Once you start the proper course for primary complex tuberculosis, symptoms including fever and anorexia improve within 10 days in most cases. In rare instances when the fever persists, then visit your doctor for re-examination to rule out any pus collection and review of treatment. Hopefully this will help you. I would be glad to help you in any further questions. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello i have a question about pain in my upper stomic like just below my ribs on the right side and i also have been having pain in my testicals mostly the left one its like a sharp pain that last a few mins then goes away for a while (hrs) then comes back .. the pain in my chest hurts more when i breath in fast , my lower back also hurts but i think that is just from work but it could be related please help if you know anything about the testicals n the pain in my chest ?", "output": "Hello! Upper right abdomen pain radiating to back is characteristic for gallbladder stones, gallbladder inflammation and pancreas diseases. It likes to come and go. It appears mostly right after a meal. Pain in ribs area can be also caused by neuralgia of ribs nerves. Both, gallbladder diseases and neuralgia aches more when breathing. Pain in testicles area and back pain on the same side are mostly caused by urinary tract infection or kidney stones especially when associated with burning when urinating. Pain in testicle/groin area can be caused by testicles and epididymis infections, testicles tumors, inguinal hernia and prostate gland infection. It is possible that pain in your chest and testicles pain has nothing in common as diseases can be concomitant. You should have abdomen ultrasound, groins ultrasound and testicles ultrasound. Blood tests for infection markers, hepatic tests, pancreatic tests and urine tests. Hope this will help" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Can a herniated disk in the lumbar 4,5 cause problem with the gallbladder not releasing bile and having a sluggish colon and ICV symptoms...or would/could an enlarged prostrate be the cause ?Would too much coffee, deplete the zinc reserves nd cause this domino effect ?", "output": "Hi, dairy have gone through your question. I can understand your concern. Herniated disk or enlarged prostate does not cause stasis of bile in gall bladder. IT can be due to some obstruction by stone or mass or stricture in bile pathway. So you should go for further investigation to search the cause. Then plan accordingly. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My Baby who is seven montrh old, has a fever 101. He has passed soft and watery stool more than 11 times since morning. He has fever from 48 hours now, but it comes and goes. I showed him to Dr yesterday and she said wait for 2-3 days. His head and chest is more warmer and legs and hands are cold as usual.", "output": "Hi thanks for posting on Chat Doctor. I understand your worry. According to your description its likely that your baby has developed an acute infection probably viral gastroenteritis as he passes watery loose stool. Fever is due to the infection. In infants its usually head and trunk become warmer as their surface area to body ratio is high than adults. In other words more heat is passing out from larger surface areas like head and neck. However, if the baby continues to have loose stool he might get deny Chat Doctor. So if you feel his hands and feet unusually cold it's better to admit him to hospital soon. If he can take orally (oral rely" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello sir , What are the recovery chance for the electrolude brain hypoxic ( brain cells dead ) but still he is chewing food , no tycosmy , no food pipe but his bosy is stiffed he is nt able to sit , standup , own eating food , urine : please give me a best way to save his life ( 20 yrs old )", "output": "As per your description, the patient seem to be in vegetative state. He might be doing some reflex activities but not doing any purposeful or cognitive action. If hypoxic injury happened recently, there are chances of some recovery. Available options of management are:1. Oxygen supplementation2. Maintaining hypothermia in body3. Tab Paracetamol has some controversial beneficial role in hypoxic brain injury. The prognosis is depended on duration of hypoxia and extent of brain tissue damage." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi.kindly pls help with the result of my urinalysis: appearance:yellow,hazy..pH 6.0, sP gravity 1.030biochemical -all negativeWBC - 0-2 RBC 1-3 sqaumous cells 0-1 urothelial cells 0 no organisms seen no casts seen..amorphous deposits +..pls tell me whats wrong cause ive been experiencing abdominal pain", "output": "Hello! Thank you for the query. Your urinalysis does not confirm urinary tract infection. However, it does not rule it out either. To make sure, urine culture test needs to be done. Abdominal pain can be caused by many issues, not only UTI. As you have not mention pain location, it is hard to guess what is the reason. For sure, you need abdominal ultrasound and blood work to diagnose abdominal pain. Please also consult gynecologist if you are female. Hope this will help.regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my father has been diagnosed with a infarct in his right side of his brain on 30 april was getting treatment and was feeling better but fron last 20 days he is started hving problems severe headache, nosia, uneasyness , numbness in left arm, left leg and ribbs.", "output": "I think you will need to get him to the hospital againThere is a strong chance that he has developed another complication in the brained this can be tested by an Prior course there are other possibilities. One of the main ones being a low sodium level. This can have all the symptoms that he has, and may in fact feel like he is having another stroke. So testing that would be as important. And can be done in a hospital Best of luck Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI , I recently had a miscarriage at 7th week. .i want to know when i can try to concieve again.this is my first preganacy .i stay in UK and doctors here say you can try when you both are ok abut it.back in india they suggest to wait for three months.can you pls advice me.My periods are always regular", "output": "Hi, How are you doing ? It is a belief that, there will be some reason for these miscarriages & will stay on in the body. So it may also affect the next pregnancy. We may not be able to diagnose the cause for each & every miscarriage.Also, the hormones of previous pregnancy, which are supposed to support pregnancy may not disappear from body before 3 months. If there is no other reason to be in a hurry to get pregnant, I too will advise you to try for next pregnancy after 3 months Hope I have clarified your query, do write back if anymore queries the best Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I can not find a Dr who is experienced in a large retroperitoneal lymphocele (or possibly a lymphangioma or psuedo cyst) measuring 25cm by 10cm by 5cm which is insinuated around the aorta and vasulature as well as into to the pelvis and rectum. I have been to the University Medical Center in Tucson, Az, Banner MD Anderson Cancer Center in Glendale, Az and the Mayo Clinic in Phoenix, Az. I have done a lot of my own research on line and it is very rare. Can you help me?", "output": "HI. AS YOU RIGHTLY SAY-this is a very rare case-so how can one get an experienced surgeon ? I hope this has been well investigated with MRI / CT and may a study like lymphangiogram or so. I would advise visiting a senior Cardio-thoracic Surgeon, who with some innovating ideas like shunting or putting in a venous bypass graft or so can help you.... All the best. Please let us know more so that we can help and guide you more. I'd this causing you any symptoms ? Was there any causative reason like an accident, trauma or so. I hope you have been well investigated to rule out cancer/ any obstructing pathology in the thorax or neck area." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a torn ligament in left foot. My foot swells and my toes are bruised , now I have swelling on the bottom of my foot, and a knot behind my heal. I m wearing a boot, I apply ice behind my knee as directed by the ear drums. But I m getting no relief", "output": "Hello, As the ligament is torn I think it's good to approach an orthopedist for the physical examination and MRI, so we can comment, is it torn completely or partially. Based on which the team of the orthopedist will come together which even includes the physiotherapist to help you with the ankle rehabilitation program which is of utmost importance for the ankle injury, as the ankle is the weight-bearing joint and a proper rehabilitation should help you better. Using ice, wearing boots are symptomatic relief, but we need to plan a broad way of helping the ankle joint to get the maximum outcome score. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Is it possible to get condyloma in the eyes. have recently had a small patch removed on lower abdomin with laser surgery, but now have a tiny brown spot with what looks like a blister on top on it inside the lower eye lid. Eye runs and seems irritated all of the time for the past two months. Thanks", "output": "Hello. Welcome to Chat Doctor. I am Chat Doctor. I will be answering your query. You must be aware that condyloid is a skin lesion caused by HPV. As it is transmitted by sexual route its lesions are found mostly around the genital areas. But there are rare cases which have been reported to have condylomata lesion in conjunctiva. In your it can't be denied, so you should go to a specialist doctor and get the diagnosis done by PCR method. Further management will be done only after diagnosis. I hope I have justified answered. Do let me know once it is confirmed. Wish you a healthy life ahead. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello my son was sick and running a fever, then he ended up with a rash. I thought it was a fever rash at first but my sons buttocks was really bad that he had open sores. I took him to the ER and the doctor wasnt able to tell me what the rash was exactly. Of course by that night it was irritating my son and hard for him to sleep. I have been use Balmex, he has been doing naked time, and Ive been changing his diaper constantly. My concern is should I get a second opinion regarding this rash and should I take him back to daycare with this rash. The Doctor stated to give him 1 day but Im not sure if thats enough time", "output": "Hello, Thanks for the query, Probably he has developed chicken pox. It is better to avoid day care till the time the rashes Chat Doctor. Please apply an antibacterial cream on the rashes. This will prevent secondary bacterial infection. Also give him an antihistamine syrup. This will give him some relief. Please meet a dermatologist for exact diagnosis. Let me know if you have any other doubt. You can ask a direct question to me on this forum, following the below link.https://urldefense.com/v3/__http://www.ChatDoctor .com/doctors/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am a 29 yr old female with trouble breathing. Specifically, it is painful to take deep breaths, and its not satisfying when I do. I also experience heart palpitations occasionally, but went to a heart specialist and they determined I have no heart problems. I was prescribed Prilosec by my doctor and it helped for a while, but now the chest pain is back again. I am not sure at this point if this is a gastrointestinal issue, or a lung problem. What do you think?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you are mostly having HERD (gastroesophageal reflux disease) related symptoms. You are improved with Prilosec (pantoprazole). This also favors HERD more. HERD is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause symptoms of chest pain, palpitations, burping, belching, chest tightness etc. So follow these steps for better symptomatic relief in HERD. 1. Avoid stress and tension, be relaxed and calm. 2. Avoid hot and spicy food. Avoid junk food. Avoid large meals, instead take frequent small meals. 3. Take Prilosec (pantoprazole) twice daily on empty stomach. 4. Go for walking after meals. 5. Quit smoking and Alcohol if you have these habits. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have like hives or red allergy bumps in-between inner upper thigh..had high fevers.elevated. liver enzymes.bladder infection.vaginal infection.I used to take seroquel 300mg,reduced gluthatione500mg,grapeseed extract 200mg,vitamin c 500 mg alpha lopoic acid 100mg..can this affect me.", "output": "Thank you very much for contacting Chat Doctor. Most commonly vaginal infection is candidiasis. Yeast like growth more in vaginal infection case. In Diabetes more changes of infection is more. Check your blood sugar level. Hormonal imbalance may cause vaginal infection. Poor care during menstruation cycle cause vaginal infection. Low immunity may cause vaginal infection. Culture test helpful for diagnosis. Wish you a good health. Take care. Thank you very much." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi i dont know ,what is this there is a hard bump just appear below the ass hole.It is almost 3 months .I dont know what is this.It is on the joint between the two legs.I face problem when i piss A doctor said to me that my urine pipe line get swelled. Please let me knnow what is this?", "output": "Hi, Dear,Welcome with your query to Chat Doctor. Studied your query in full depth of its details. Reviewed it in context of your health concerns. Based On the facts, You mostly seem to suffer from-Bulbar Urethritis with peri-urethral abscess? Or cellulitis- as it causes pain while peeing.Also, your doctor has confirmed it that the hard lump at the base of the urethra just anterior to anus is due to urethritis.USG or Contrast Arthrography would fix the extent and cause of such lump. Other causes for such a complaint could be ruled by Second opinion from a Surgeon or Dermatologists who would physically assess various causes for such a hard lump near the anal hole. Hope that, This reply would help you to plan further treatment soon with your treating doctors. Best of Luck and early recovery. Welcome any further query in this regard, which would be replied in next session. Good Day!! Chat Doctor. N. Senior Surgical Specialist" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi there my name mary I have been with h.pylori for years.i had triple tablet three time but nothing change,but I do have this symtoms upper abdomen sharp pains and bloated everytimes,iam on nexium tablet for seven months but not improving.is there anything to help me please.thanks", "output": "Hi. H Pylori is not the sole cause of upper abdominal pain. As the medium is not helping you, we should go for finding other causes of pain in upper abdomen and bloating. I would suggest in such a patient the following:Investigations:*Routine blood investigations like Complete blood picture, blood sugar, urea, creatinine, liver function tests, thyroid function tests.*Urine -routine and microscopy*Stool: routine, microscopy, occult blood, culture and sensitivity.*Ultrasonography of abdomen, *Colonoscopy All these investigations should be within normal limits for one to say you have IBS. Further treatment will be easy and fruitful if we find the correct reason of your symptoms." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have a scar on the back of my thigh that has been there for about one year. If I remember correctly, it developed after I picked out an ingrown hair from that area. I am now a little worried about whether the scar is from the ingrown hair or something else because of how it looks. It is white in the middle with a red ring, almost like broken blood vessels, but in a circle. My skin is not raised in the area, and it doesn t itch or cause pain. Thank you for your advice. Tamara", "output": "Hi, It may be atrophied scar .so, it is white in the middle and reddish brown surrounding area. Do not worry as it does not increase in size and there is no other complaints. You need not take any treatment. Take it easy. If you have any complaints or tension regarding this... consult the dermatologist immediately to have perfect diagnosis. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My Mother has cuts and sores all over the inside of her mouth. She has not sense of taste. She tested with a 1 titer fo sjogres syndrome but her doctor says that she does not have Sjogrens yet has not other answer for her. She has had this symptom for 5 months. Any ideas?", "output": "Hi. Thanks for the query. Sores in mouth can be due to a number of causes like canker sores, cold sores caused by viral infection, allergic reaction etc. But they commonly heal within a period of 1-2 weeks. If the sores are present since 5 months and are not showing any signs of healing then you should immediately consult an Oral Physician and get evaluated. A biopsy can be done for confirmation of the exact nature of lesions. For now take vitamin B complex and lysine supplements and do warm saline gargles. Gargle with soda bicarb solution in water. Avoid spicy and irritant foods. Hope this helps. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Doctor Ashish, Greetings of the Day. I loosing my confidence and concentration due to loss of job of school principal. Long back Acidity is another problem. How can I manage both to live active and peaceful? Kindly advice and oblige me. Regards,Dr.U.K.Dubey", "output": "Hi, I think u have currently in grief phase of acute stress reaction due to job loss. If it's more than 6 months than it will depression. If less than 6 months than in grief reaction, start yoga in which kindly do deep breath in and out and try to concentrate on it at least 15 min which calm down your brain and u think new things for other job option. If it will not help than consult psychiatrist nearby u." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was termed lupus anticoagulant after 1st miscarriage.Now iv conceived and have been advised to take ecosprin150+daily clexane 0.4mg+susten25 mg twice weekly + lobet 100mg daily+ thyronorm100mg because I have thyroid and I was a high BP patient too. Currently the BP stays Normal. Current test of lupus is also negative but doc still keeping me on these medicines. Is it safe in first trimester.i am more worried of Aspirin dose.", "output": "Hi, The four medications you are taking is absolutely safe during pregnancy. Esprit and Clean will prevent the formation of blood clots which is very important in individuals diagnosed with lupus anticoagulant. Formation of micro-thrombus (small blood clots) in the placenta will lead to miscarriage. So please be advised to continue the medications. Austen is a progesterone which helps maintain pregnancy. Thermoform is thyroid hormone, and it is very important to continue taking it as prescribed. Normal thyroid hormone levels are very important for healthy pregnancy outcomes. Please ad Chat Doctor. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had all four of my wisdom teeth removed in late December of 2013. I have been sick for the majority of the time after the surgery, with a constant runny nose among the most annoying symptoms. I was wondering why this is, and if there is a corrective surgery to make it stop or if I will be like this forever.", "output": "Hello, Thank you for consulting with Chat Doctor. As you are mentioning that after removal of your wisdom tooth you are experiencing this kind of symptoms, it looks that you are having some sinusitis problem. Actually this wisdom tooth are associated closely to the sinus, in case of surgery there can be accidental trauma to the sinus. Better once you should visit an ENT specialist to get complete examination of the sinus done with x-rays, as it will confirm the condition. Hope it will help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. My 7 month old son woke up this morning and was throwing up his formula. I have been giving him Pedialyte and he has been able to keep it down but will not keep down his formula. He doesn t have a fever but he does seen to have diarrhea. Do I continue to give him the pedialyte or should I take him to a doctor?", "output": "Hi... Thank you for consulting in Chat Doctor. It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I m a 44 year-old psychiatrist and have had severe headaches in the temporal and frontal areas for 5 days, along with an increased pressure of around 140/85 every morning which becomes normal in the afternoon and then increased to around 135/80 in the evenings. I had an EKG done in the office which was NSR with pulse of 58.I have a strong family history of HTN with all 3 siblings taking meds now (all 40 years old). How often do you see HTN to be the cause of headaches? Or do believe it to be the other way round? I started Bystolic 5 mg today and see no change in the rate or pressure. How long do you reckon this will take to help? My headache is unchanged.Thanks", "output": "Hello doctor! Thank you for asking on Chat Doctor! I would not recommend a beta-blocker for controlling HTN at your young age NAD regarding your heart rate; you can try a calcium Chanel blocker (like Amlodipine or Lercanidipine), or an ACE/ARB (whichever is available). In fact your BP values are in the upper limit of normal, so nothing to worry so much. That severe pain you are experiencing for 4 days, may not be related to your mildly elevated BP. Probably a tensile type of headache. Nevertheless, a visit to a neurologist college would be necessary for a differential diagnosis of your headache. Greetings! " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I suffered a Tibia/fibula break in a skiing accident 4 weeks ago. To do or not to do surgery was right on the line I elected no surgery and have been in a recliner for all this time with no weight bearing. I return to the orthopedic doctor in 2 more weeks. Recently I have been experiencing the nerves jumping in my legs for most of the night, resulting in lack of sleep and discomfort. Is there anything I can do to help this situation? I am normally an upbeat person but am beginning to feel a little anxious.", "output": "Hi, If only the leg with fracture is affected, symptoms are related to the local damage (swelling, changes in blood circulation, etc.). If both legs are affected, you should be checked about spinal injuries, since you had a skiing accident. At least, an x-ray of your spine may give valuable information, even to exclude any traumatic damage to your spine. Discuss with your Doctor about these issues. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had a small, pea sized lump under the skin in the jaw area where my upper and lower jaw bones meet. It is a little tender to the touch. My concern is that I have a long history of basal/squamous cell cancers on my face. I probably should just go see my family doctor. What might this be?", "output": "Hi, Dear,thanks for the query to Chat Doctor. The cause of the lump under the jaw, is mostly a lymph node enlargement. The cause of it needs to be studied by FNAC, as your have ?cancer tumor history for long time. I would advise you to consult ER Surgeon, who would take all due care to investigate and treat it accordingly. Hope this would help your query to satisfaction. Write excellent review and hit thanks if this reply helps you out. Welcome for any further query to Chat Doctor and to me in this regard. Have a Good Day. Chat Doctor. N." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am a 28 year old female, I dont smoke or drink alcohol to excess and my height and weight are in the recommended BMI index. I have nearly completly lost my voice and I have a tight burning pain in the middle of my chest, along with a headache and cough should I go to my GP or would I be wasting their time. Thanks.", "output": "Hi thanks for contacting Chat Doctor. According to your complaint you have lost your voice. So you should examine your larynx by direct or indirect laryngoscopy... It could be laryngitis if inflammation... If growth seen biopsy needed... But mostly you will have laryngitis. Steam inhalation useful.... Decongestent can be taken... If needed short term steroid course given for inflammation relief... Suitable antibiotic like amoxicillin neededTake care......." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hey there I m trying to help my cousin she had sex with this guy 2weeks ago she told me she had a feeling that she could be pregnant but she ate edibles a week ago and a couple days ago she smoked weed, drank beer, and snorted a line of crystal meth is it possible when she takes the pregnancy test the results could come out false ?and, could all that still affect the baby if she ends up pregnant? what would you suggest me to do to help her? sorry I m asking so much but I m really worried for her she don t want to go to the doctors and i really wonna have a talk with her about this topic but need to know these answers so i could know what to tell her.", "output": "Hi and welcome to the site. For the entire first 7 days after conception, there is ZERO connection of the mothers blood with the babies. So no chance that anything she took by way of Chat Doctor. During the next 7 days after that, the embryo is just starting to implant into the wall of the uterus. SO only during this time slowly is there a connection to the mothers blood stream. So it isn't until 14 days after conception that there is a meaningful connection between the mothers blood stream and the baby. I hope this is reassuring." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "This is for my mom whose is 59. Since last 5 weeks or more she is getting nausea . She has become very sensitive to the smell of certain products like cooking oil and she nauseates on eating fried foods. But she does not vomit or show any other symptoms. She has her upper endoscopy done and ultrasound too. Everything looks ok. What could be the reason for such symptoms and whom to approach for? Worried!!!", "output": "Hello Welcome to ChatDoctorYou didn't mention her complete medical history like was she suffering from any chronic infection? Has she got some problem with gall bladder like stone?? Is she on some medication?? I would suggest you to give her green leafy vegetables & fruits. Ask her to take more salad. Avoid spicy & oily foodstuff. Increase appetite. Take oranges as theyConcern general physician for further opinion. Take Disregards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have a hard knot like bump that is under my skin( and not seen at all from just looking at my leg) it s under my in thigh. I have a smaller one on the other leg and is in the same area. I m 15 years old and have been at football practice for four weeks now. My leg hurts real bad when i pull it up or rotate it. It s hard for me to run. Could it be a hernia? Or just like a muscle cramp? Please help me as soon as possible!!!", "output": "Dear Sir/Madam have gone through your query and read your symptoms. In my opinion, hernias are normally not hard, so the possibility is less, you need to see what it is coming from and for that you will need investigation, muscular tear, or any benign growth is a possibility, but growths are usually not symmetrical in occurrence.It's essential to examine it to come to a conclusion. I hope that answers your query. If your want any more clarification, contact me back. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "respected sir, I have a baby boy who is 2 years and 8 months old.He tells of pain in his both legs since past 1 month. Ours is a small house on 3rd floor and my baby is in front of my eyes 24 hours , I know there is no overactivity that my child does; instead I can say he cant get enough place to play. Then why he complains so.Pain is in daytime as well as in the evening. Doctor please help me . I d be grateful to you.", "output": "First let's try to locate the pain is it in his knees ? Lower legs ? Calf muscles ? Or is everywhere ? Does this pain prevent him from playing ? Does it awake him in the night ? If you press against his legs, does it hearts ? OK, if this pain is discrete and can't be located, and doesn't prevent him from activities, and no tenderness is felt when pressing on legs, and mostly pain is afternoon or the night, then there is nothing to worry about, it's called the non-specific lower limb pain of childhood, or some like to call it growing pains, anything else besides what I mentioned here is worrisome and needs to be investigated by his pediatrician I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My name is Muhammad Naeem and I belong to Pakistan. I am almost 40 years. Now a days I am feeling lot of dizziness and I did not find myself active. However, when a take some exercise then body became active otherwise I am not feeling alert. I have swelling on my eyes for which I got all the medical test including MIR. The eye specialist three months age advised me for the use of Predneslone of 05 mg, firstly 05 day and night afterwards decrease the same one a day. After the use of said medicine my eyes swelling for a time being finished but later on same started to appear.", "output": "Hi dear. I understand your concern. Prednisolone is steroid, and it usually not indicated in dizziness. Eye swelling is due to inflammation and Prednisolone can reduce it, but one should use it for shorter period. So take your doctors advise continuing it or not. But it is not advisable to take it for a long time. Still if you have a query then feel free to ask. Happy to help you further. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have an AAA that is now 5.2 cm & stenting surgery is scheduled for early on 3/27. The vascular surgeon called me today and told me he discovered that I have two renal arteries going to each kidney when looking at the cat scan to estimate stent size. One of these arteries originates from the aneurism and will be completely and permanently blocked by the stent with some kidney damage as a result. He is not sure of how much damage or of how to estimate the risk, although the only option seems to be open stomach. I do not know whether to go forward or postpone until I can get a second opinion and if I do, should it be from a vascular or a renal specialist?", "output": "Hi ! Good afternoon. I am Chat Doctor answering your query. I am of the opinion that your first physician is right in admitting that it is difficult to predict the outcome pre procedure. In case you want to go for a second opinion, I am of the opinion that both the vascular and the renal specialist should together take a decision after jointly evaluating you clinically along with all the investigation reports. Thanks and good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Dr. I am a 64 y.o. Female taking Zithromax antibiotics on day 4 - one pill left. The growth seen in my mouth and throat have decreased (kind of like the round distance colonies spread to cover upper mouth and Individual colonies we significantly reduced -- until this morning. There are now new individual colonies forming ( to a lesser extend) in the mouth mostly toward the tonsils with some closer to the mouth.I am also taking Nortriotyline for a concussion (headaches daily) 3/30/2017. ( from a headache specialist in SF). I still have many symptoms seemingly related more to the infection - very sore throat. red throat, tired Headache ( feels like sinus area). It always feels like something is stuck just below my throat- Should I wait til tomorrow Sunday & got to urgent care?", "output": "Hello dearWelcome to Chat Doctor family. I have gone through your concern in depth.@ This is most probably adenoid enlargement following upper respiratory infection.@ Recommendations for better recovery $ Continue your current dose of antibiotic as per guidance. $ Additional intake of ibuprofen will help to relieve faster. $ Gargles with salted lukewarm water added peppermint oil 3 times a day will help for sure. $ Avoid oily, spicy, chilled beverages, cold Chat Doctor. $ Refrain from smoking or alcohol if using. Hope this will help you. Always feel free to ask further doubts. Thanks for kind evaluation of my answer. Regards dear take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HELLO SIR, DOCTOR HAD SUGGESTED ME YOUR CREAM FOR USING IT ON DARK CIRCLES i.e(depiwhite under eye gel) BUT DUE TO CERTAIN MISTAKE CHEMIST HAD GIVEN ME DEPIWHITE CREAM..I HAD APPILIED IT ON MY DARK CIRCLES FOR DAYS REGULARLY WHICH HAD CAUSED A REACTION (REDNESS ON DARK CIRCLES,IRRITATION )AND WHEN I HAD SHOWN IT TO MY DOCTOR HE SAID TO USE DEPIWHITE UNDER EYE GEL .. BUT THERE ARE SOME FOLLOWING QUERIES WHICH ARE AS FOLLOWS 1 IS IT A REACTION ? 2 IF IT IS A REACTION HOW MUCH TIME IT WILL TAKE IT TO OVERCOME ? 3 FROM WHEN TO APPLY DEPIWHITE UNDER EYE GEL AFTER REACTION IS TREATED OR I CAN APPLY IT ON THAT REDNESS PART OF DARK CIRCLES.", "output": "Hello, It appears you may have a chemical hypersensitivity to one of the recipients of the cream, and it is important that you see a dermatologist with interest in chemical sensitivity to get a patch test done to exclude this. You can apply a local antihistamine cream or take an antihistamine tablet for a few days to treat the present reaction. It normally takes a few days (less than a week typically) to overcome this reaction." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have pain in my left leg starting at the ankle. The pain is especially there at night. I had ankle surgery 7 years ago on the ankle. I still have screws in the footy. The pain seems to originate where the screws are located. Could I have developed a blood clot there? there is a continuous swelling.", "output": "Dear patient Past history of surgery on ankle with implant in situ and pain now may be due to recent infection or screw breakage. Since swelling is also there infection is more likely. I would like to advise X-ray of involved ankle anteroposterior and lateral views to confirm diagnosis. Visit radiology center nearby you and get it done. If X-ray is showing changes of osteomyelitis you need to consult expert orthopedic surgeon nearby you and get yourself examined. Complete blood counts also needs to be done and of there is increased total leukocyte count it also corroborates infection. All the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 2 yr son is having fever since 5 days. Dr said its a throat infection. Started with clamp kid forte suspension. Also given Tylenol or Advil in between. It s been 4 days since the medication. His fever isn t coming down. Can the antibiotic itself cause fever.? Fever ranges from 38.5-39.6", "output": "Hello, Antibiotic itself doesn't give fever, so I don't think antibiotic is the reason. Infection sometimes continues giving temp, although you have begun you antibiotic. I will suggest to wait for 2-3 other days and then to see your doctor. In case the temperature lasts more than 6-7 days when we are using antibiotic-therapy then we may have an antibiotic resistance and need to change treatment. During that time use plenty of water, healthy diet, fruits, vitamins to help him get better. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Small swollen knot on the middle of my tongue has developed,I have been having allergy problems lately,thought it could b from all the draiage, but it is causing some difficulty swallowing food lately,just wondering if I should go to a doctor and what kind of doctor,been to an ear nose and throat doctor and she did not see anything but that was before the sore came up ,should I got back to see her again?", "output": "Hello, A knot on tongue can be due to infection or swelling of the tongue papillae. It can also be a benign muscle tumor. So my suggestion is to consult an Oral Physician or a Dentist and get it checked. You should do warm saline gargles and take soft meals. Suck ice pops and Chat Doctor. You should also do antiseptic mouthwash gargles. It should probably improve in a week. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am hurting very badly after my knee arthroscopy done on 6/03/14. The pain is now worse 2 days post-op; its not feeling like its improving, it feels exactly the opposite. I hurt much more right now; and one of the incisions/stiches on lower right portion of knee has begun to steadily ooze blood. GM", "output": "You need to check out with a close by specialist for your lower limb muscle strength. Improve your muscle strength in your gluteus, qua Chat Doctor. It will help support the knee better. Focus on regular slow rhythmic exercises. Operation is not always a remedy but a help for the joint. Kindly visit a good physical therapist to make an exercise plan, or you can contact me through this forum to help u better" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi docmy name z ayesha. my b.p z most of the time z low n m feelng low after meal. i have read abt this,its postprandial hypotension.....plz give me advice to cope up with my problemi eat regularly n my weight is increasing now a days...m 27 and my weight is 67.", "output": "Hello! Welcome and thank you for asking on Chat Doctor! Regarding your concern, I would explain that there are not many pharmacological treatments for postprandial hypotension. First, it is necessary to have the right diagnosis. How much does your blood pressure decrease after each meal? Does it decrease during standing up position too? I recommend consulting with your GP for a careful physical examination, a resting ECG, a head up tilt test (for orthostatic intolerance) and some blood lab tests : -complete blood count (for chronic anemia)-kidney and liver function tests-blood electrolytes-fasting glucose-glucose tolerance test (for possible glucose intolerance). You should closely monitor your blood pressure different times during the day and refer those values to your doctor. If the diagnosis of post radial hypotension is established, I would recommend some tips to help you improve this situation: - eat many small meals during the day and avoid large meals. - avoid fast absorbed sugar in food-avoid sugar and soda Chat Doctor. Hope to have been helpful! Best regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am suffering from abdominal pain from past 3 months", "output": "Hello and welcome to Chat Doctor, Abdominal pain can occur due to enlargement, inflammation or any other disease process of any abdominal organ. An ultrasound of the abdomen is required to look for status of the organs in the abdomen. Further investigations will be decided by the result of ultrasound. Consult a surgeon for clinical assessment and relevant investigations. Thanks and take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a horseshoe kidney. Since 2005 I ve had numerous kidney stones , weight gain of 50 pounds In 4 months. Most recent last few years have had hydronephrosis , swelling I. Abdomen pain and swelling, swelling of legs and hands, weakness and tiredness. I have back, side pain, and abdomen, recent tests showed I have 33% on right kidney and 60% on left. Right kidney is small, weaker and were all my problems are. Constant blood in urine . My doctors aren t doing what they can do. Also right kidney is delayed in function overall so I ve been told. 2 years ago I had 45% percent in right kidney. My urologist said I might need reconstruction with possible separation, but no one can give me names doctors who specialize in this and surgeon names. My life has become so affected my this and I m so tired of not feeling good. I m tempted to go to mayo clinic. I m scared and worried. What should I do? Does anyone know doctors who Are top rated in this? Help", "output": "HelloThanks for your query. Based on the facts that you have posted it appears that you have Horseshoe Kidney with stones in both the kidneysYour scan report are suggesting gradual loss of kidney function on both the sides resulting you going in to chronic renal failure which is manifested by swelling of the face, hand and legs. Since kidney damage is due to obstruction to the flow of urine due to angulation of both the ureters due to crossing of both the ureters over isthmus of the kidney(portion which connects to both the kidneys)there are chances of recovery of kidney function on excision of this portion of kidney and releasing the obstruction of both the ureters. Which will restore the kidney function to near normal. Please consult urologist for further treatment. This surgery can be carried out by any experienced Urologist. Chat Doctor. Cr" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,My 2 yr old son is having mucus seen in his stool. 15 days back he was having cough, cold and fever and then he had medicine for it after that he had his motion....and now cough cold is gone and even there is no motion...but he is having mucus in his stool...can u plz answer me...", "output": "Hi, There are many causes of excess mucous generation in child Chat Doctor. You need to be alert if the child is having any other symptoms like fever, blood in motion, decreased food intake etc. In your case it might be normal unless the stool is smelling very bad which indicates some undigested food and some infection. See for a few days about any change in the nature of the stool and then reach out to a pediatrician if the problem persists." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 28, currently pregnant, my blood sugar levels were slightly elevated, i have high blood pressure, only during pregnancy. My dr. said he found cancerous cells on my cervix. I have to do a biopsy soon, but nothing can be done until after i have my baby, i am not due until February. I am also having a lot of pain where my gallbladder is located. I get sharp pains, and it hurts alot and is really tender. I am really scared, and i do not know what to do.", "output": "Hi, Thanks for writing in. Cervix biopsy is a slightly invasive procedure and best reserved after you have given birth to your baby. During the biopsy, a part of the tissue from the cervix will be sampled and looked under the microscope for cancer cells. This is better avoided now as you are having a pregnancy. Even though cervix biopsy rarely causes complications, it is not recommended that you should take chances. The pain in the gall bladder region can be evaluated by doing an ultrasound scan of your abdomen. This will show any pain causing condition in your gall bladder and abdomen. Please discuss this with your gynecologist, and she will arrange for you to have the ultrasound scan at the earliest and discuss the report findings with her. If required depending on the ultrasound report, you might require an opinion from the surgeon. Treatment is based on the cause of pain. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear doctor, my SGOT is 53.2 & my SGPT is 65.9 ..I had chicken pox a month ago it was all ok in two weeks as I took Zovirax 800 mg for 5 days .. After two weeks I developed a fever for no resin and my Dr told me to take avalox 1 tablet for 5 days .. I did a liver profile and my SGOT and my SGPT were slightly high .. But after avelox I did another test and my SGOT & my SGPT went up to over 120 ... I did another test after two weeks (I had some wine though)and thiis is my report says today .. What should I do now ??", "output": "Hello! Thank you for the query.You're all GOT and SGPT tests are only slightly elevated. When there is a serious liver damage, these tests are around 1000. Viral and Avalon are both digested by liver and both can make some damage to it. And so is alcohol. But as liver has great ability to regenerate, you should not be worried about it. Please try to improve your diet, avoid fatty foods, spicy foods and alcohol. You should also avoid medicines especially painkillers. Next liver tests should be checked after a month (as it takes about a month for liver cells to regenerate). Hope this will help. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a single tiny pimple-like bump on my hard palate , it seems to go away after eating tough food which tends to scratch it and burst it, then in a day or two it reappears. it feels like there is fluid in it like a pimple. Been happening for about 2 months now. any ideas, solution? Thanks!", "output": "Hi Mr justcoolhard palate has multiple tiny minor salivary glands that keeps it moist. They release their contents i.e. much through small dot like openings on the palate. If the glandular opening is obstructed much collects in the gland and appears like a translucent tiny raised blew or mucoidal.bursting and releasing the contents to reappear again is a natural phenomenon. Hard palate is also a location for minor salivary gland tumors so u must see a dentist to rule out the possibility if the size is significant, it gets ulcerated or fails to heal or regress over time." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am opipronol 50 mg two times a day and clozepam at night and i am have constant upper abdominal pain which is not yet releived, where as all blood work is normal expcept Blood amylase which marginal up other investion i.e ct , mri , mrcp and ultrasound are normal as well", "output": "Hi. Thanks for your query and history. The pain in abdomen with raised amylase is definitely suspicious of pancreatitis irrespective of normal USG. Ct or MRI. This indicates that these investigations need to be repeated after 48 hours. This is the condition in which one needs upper GI endoscopy and endorse to get a proper diagnosis. Other conditions which mimic such a pain are sphincter of odd dysfunction, bile duct stone and sludge and so on. Get second opinion of another General Surgeon for clinical evaluation and investigation." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just started a new job and my feet become so painful after a couple of hours I can hardly walk. I got some orthodics for my shoes which seem to help. The problem now is that my knee hurts so bad that I can hardly walk on it. It feels like I have hyper-extended it and it hurts to straighten it out. Now the pain is moving into the calf and ankle.", "output": "Hi, thank-you for providing the brief history of you. As you have pain in the calf and ankle, you need a thorough clinical examination. As most pains are activity and stress induced. Which is like the fatigue in the muscles occurs due to a long-standing and excess speed walking. If your knee is hurting you need a thorough knee assessment as sudden onset of pain can be due to any ligament sprain. Also, performing some regular exercises should help you fight against slow metabolism and fatigue. Also, in my clinical practice such cases respond well to general exercises. But if the pain still persist then keeping the age, work profile etc. into consideration they are recommended to physical therapy. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sometimes I have to wake up in the middle of the night because I can t breathe. When I sit up it gets better. Other times, it s when I am in crowded room that I get short breath and when I walk out I m all fine. It feels as though there is something blocking my throat and I can t breath properly. My family have history of asthma, and I m just wondering what I have problem breathing?", "output": "Thanks for your question on Chat Doctor. Your symptoms like nighttime sudden breathlessness and relieved on sitting (orthopnea) is typically seen in congestive cardiac failure and asthma. So get done1. ECG2. 2d echo to rule out cardiac cause. If both are normal than no need to worry much for cardiac cause. Get done chest x-ray and PFT (pulmonary function test) to rule out asthma. If all of the above investigations are normal than no need to worry much. You are having anxiety mostly. As anxiety can cause similar symptoms. So avoid stress and tension. Be relax and calm.Don't worry, you will be alright." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have suffered from severe agoraphobia since I was 17. I am adhd and take adderall. I have PTSD which caused the agoraphobia to go out of remission and return , now I take 8 mg klonopin, 60 mg adderall, 600 mg seroquel. I am physically extremely healthy, my blood pressure is low, it s now 100/80. I was having severe panic to the point of things looking unreal, I was terrified to get off my bed, my brain was going a mile a minute. Out of desperation I took an extra 20 mg adderall, it worked so well I forgot my 4 mg nightly klonopin, and only needed half my dose of seroquel, I tried it the next day with same results, I m afraid to tell my psychiastrists, what do you think I should do", "output": "Hello and thanks for writing in. Taking an extra dose of Adderall is definitely not advisable when you have panic attacks. Adderall is a stimulant medication and can worsen anxiety symptoms. Moreover, taking a double dose of Adderall can lead to toxicity and result in harmful or dangerous consequences. So, I would advise you to refrain from taking any extra medication on your own. If your panic attacks are still persisting, then I suggest that you discuss with your psychiatrist about further treatment options." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My age is 27yrs. My full abdominal USG report says that \"Prostate is mildly enlarged in size. Echotexture appears within normal limits. No focal alteration of its echogenecity could be detectable. Its measure: 39.7mm x 35.0mm x 44.6mm. Approximate weight could be around = 32.46gms. Is any special care or medical treatment needed?", "output": "Hi Are you having any symptoms like urine hesitancy or urine Chat Doctor. If you donor have any complaints and it's just an ultrasound report. I would advise if you were my patient you don't need any treatment. Patients with mild symptoms or moderate-to-severe symptoms of benign prostatic hyperplasia (BPH) who are not bothered by their symptoms and are not experiencing complications of BPH should be managed with a strategy of watchful waiting. In these situations, medical therapy is not likely to improve their symptoms and/or quality of life. In addition, the risks of treatment may outweigh any benefits. Patients managed expectantly with watchful waiting are usually re-examined annually. I hope I have clarified your doubt. Wish you a good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son since september of 2009, gets a dry cough almost like clearing his throat. It continues till about July he is 5 yrs old. We have had him on asthma medications, gerd medications, allergy medications, and no one can figure out what it is, also took him to an ent because his tonsils are a bit large, and that punching bag looking thing (forget the name of it) is always touching the right tonsil, but ent doesnt believe that is the problem. Can you help me?", "output": "HI, thanks for using Chat Doctor The most common cause of chronic cough is post nasal Chat Doctor. This is more likely since you state he is persistently clearing his throat. A topical nasal spray and decongestant may help. Asthma, reflux, eosinophilic bronchitis are also causes. The eosinophilic bronchitis would be diagnosed by a sputum sample and treated with a short course of steroids. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello.... My boyfriend has had an amputation of the big toe on the left foot. The first one was about 2 months ago.... He was out sof work almost four straight weeks. The doctor finally cut him lose and he went back to work when he went back to work , he worked like 3 or 4 days and he got all kinds of pain, swelling and discharge the pain was unbearable. So, we went back to hospital and they admitted and went back in for a 2nd surgery and more infected tissue was amputated as well. He has worked one week and now he has lots of pain but no high blood pressure, some swelling but no heat in/around where the stitches were . By the way he is not diabetic either. He is 56 years old and had ostiomalytis a few years back and the third toe on the right foot. He never had all this much trouble with the first amputation. My real ? IS right now is he is off from work and it is swollen like I said no fever or hotness no discharge...... Is there anything he can to get some of this swelling out.... he has an appointment tomorrow so he does not want to go today.... the wait time in this particular office is horrendous. And of course if any of the other symptoms are present or he gets worse I will get him to the ER. thank you if you could just give me an answer about the swelling.", "output": "Hiosteomyelitis or bone infection is a very tiring thing for patient and doctor alike as it takes very long to control this infection. Repeated pus culture and sensitivity to anti bionics is required, and if some more dead tissue is produces has to be excised by surgery. Your doctor is best judge how many toes and forefoot he can save. Do not worry about amputations, though it is terrible, but nowadays, prostheses are available for after care fitting, inquire with the surgeon if it will be possible best wishes" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hey I noticed a lump on my 5 year old son on the back of his leg last week. He said he fell at school the day before so I took him to the doctor and said it was a hematoma, but I talked to my friend and she said she noticed it on him about a week and half ago when I saw her. Should I take him back to the doctor again?", "output": "Hello dear, warm welcome to Chat Doctor.come have evaluated your query thoroughly.* This is in relation with trauma giving rise to accumulation of blood in the subcutaneous space of the area and hematoma formation.* Get recovered with ice application, necessary antibiotics and anti-inflammatory molecules for its resolution ; surgical intervention in some cases. Hope this will help you for sure. Wishing him fine recovery. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor,I have a friend who was in the Gulf War. He came back with Gulf War Syndrome. He keeps breaking out in a rash on his face and behind his ears He says it very painfully and at times when its real bad, his skin will peel and then it becomes raw. We have gone to the VA several times and they dont know what to do. At times the acid in mhis blood spicks and spicks bad. I dont know if its related or not Can you please tell me how to get rid of the resh? Thank you so much. This soldier of mine has suffered enough.Kelly Logsdon", "output": "Hello Welcome! I would be pleased to answer your question. Persistent photosensitivity or seborrhea dermatitis are other causes of facial redness. It might be worthwhile trying 1% cortisone cream mixed with 1% clotrimazole cream on the red areas - twice a day for 14 days - to see if this helps. If it does then seborrhea dermatitis is the most likely diagnosis. It will be worthwhile seeing a dermatologist about this. Please feel free to ask if you have any queries. Lastly it will also be worthwhile getting your blood ANA levels done to rule out Lupus. This is not likely form your clinical picture but must be ruled out. Thanks and take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My mouth and throat swelled up and the Dr. gave me presadone shot, My mouth became very dry and my tongue felt like it was chemical burned, and I have a white coating on the center of my tongue and the roof of my mouth. The shot was given 5 days ago. Is this thrush?", "output": "Hello dear, Thank your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Yes, it is looking like thrush. It is not advised at all to take prednisolone shot for fungal infection. Though initially it is dumb down but after action is very serious. Steroid can bring down the infection, but infection can be increased thereafter. I advise you should first investigate your self for diabetes and HIV. As this are the common cause of candida infection. You can take he fluconazole tablet under your doctors' guidance. Please take the Chat Doctor. I will be happy to answer your further concern on bit.ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello!! I had minor mouth surgery about a week ago, and I really have trouble speaking and swollowing, so I m taking disprin, placing it on the wound in my mouth to numb it. It seems like that s the only way I can eat and speak normally. I just want to know what will happen if I drink too many following one another? Does it hold any real danger?", "output": "Hi, Thank you for posting your question here, I will try to answer it to the best of my abilities. Well a common side effect of disdain (aspirin) is that leads to bleeding, as such yes, you can take some for the pain but don't overdo it, stay within the normal dosage, which is usually considered to be 300\u00a0mg. Try not to take more than that a day and if possible don't take it every day. You should also consider calling up your doctor and ask him to prescribe you a painkiller. I am surprised he didn't prescribe you with any painkillers after the procedure. I hope this answered your question." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been having anxiety and depression symptoms over the last couple of months. I feel that it has been triggered by a psysical condition or issue. I feel that my body is partially number in temperature and feeling, not completely but in part and also have been light headed, having headaches and nervous systems issues for a while. I have never had any issues with anxiety or depression before. I have always been an optimistic excitable lady who just wants to find out whats wrong with me...any idea what it could be? Should I get an MRI to double check?", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. I hope you are not having any medicines for the anxiety and depression issues. If you don't, there is nothing to worry. Such health related anxiety do take time to get cured, even if you take medicines. Therefore, don't worry about it. Live your normal life, ignore the symptoms, don't obsess with it. You will be clear within some 3 or 4 months. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I woke up too fast about three mornings ago and I felt dizzy for the rest of that day. I thought it would go away, but it did not. Now I still have the dizzy feeling, but only when I turn my head too fast. Is there something wrong or will it go away with time?", "output": "You probably have postural hypotension added with BPPV which is harmless and usually self limiting. Advised to practice \"3 1/2 minutes,\" which are:1. When waking from sleep, lie in bed for the 1st 1/2 minute;2. Sit in bed for the next 1/2 minute;3. Lower your legs, sitting on the edge of the bed for the last half-minute. After 3 x 1/2 minutes, you will not have anemic brain and heart will not fail, reducing the possibility of a fall and sudden death. If you still have vertigo you need to be tested and given medicines." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My two year olds palms are red and blotchy and seem to be bothering him. He also had a stomach virus last week with vomiting lasting 2 days and diarrhea lasting 4 days. All has subsided except the red palms. Bottoms of his feet are not red, neither do I notice sores in his mouth.", "output": "HI...this seems to be a viral illness form which he is recovering. Sometimes it can cause this sort of skin allergy like symptoms. As you say there are no mouth ulcers this could not be Hand Foot Mouth disease. But, skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "TB attack in BACK BONE & little CRACK in back bone HI doctor my dads age are55 yrs old ,when my dad fall down in a tub ,that time to now he is facing problem is tb attack in back bone & little crack also there please give me a advice .", "output": "Hi Kumar, Does he have any bend in his spinal column? It is called Potts Disease which is the Infection of Spinal Vertebrae with the Mycobacterium Tuberculosis Bacteria which may be secondary to an extraspinal source of infection. It is a combination of osteomyelitis and arthritis that usually involves more than one vertebra. Get him examined by an Orthopedist so that he can examine him and rule out the exact cause by running few tests on him. Once confirmed he will be required to take anti TB medications for 3 months to 6 months to 1 year depending upon the severity of the infection. He has to complete the full course as there will be chances of relapse with much more severity causing neurological complications, which may require surgery then. He needs to go for regular follow up. Let him get adequate rest and eat healthy nutritious balanced diet which should include fresh fruits and green leafy vegetables. And avoid stress. I Wish him Good Health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 43 year old Female, around 95 kgs, never under any medical treatment. Please kindly advise if the Lab report says this: Peripheral Blood SmearDTL: Smears show hypochromic red blood cells with anisopoikilocytosis in the forms of acanthocytes and echinocytes. White blood cells seen are mostly neutrophils and lymphocytes. No blast seen.Platelet number and morphology within normal limits. What might be the probable causes? Is it serious? What might be the suggested treatment? Thank you so much!", "output": "Hello & thank you for submitting the question. Hypochromic red blood cells means that the red cells don't demonstrate their normal degree of red color, and usually correlates with a low hemoglobin level. Anisopoikilocytosis, which means variation in red cell size and shape, can be seen in many conditions. The particular changes noted on your smear are nonspecific and may indicate a variety of things such as Iron deficiency anemia, high levels of urea containing protein in the blood, or other abnormalities of proteins or metabolites. The results of this smear should be interpreted in the context of your clinical symptoms." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "you have been paid 9/8/15 for answers I requested for pain in my right leg and never got the answer. The doctor was working on the answer but when 28 % was done the program went off and I could not get it back unless I start all over and made another payment.", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have severe pain in the leg. Well there can be many reasons for symptoms you mention in query like muscle strains m tendonitis, deep vein thrombosis, arthritis, gout, nerve damage or slipped disk. I would suggest you to consult orthopedic surgeon for proper examination. Doctor may order certain tests like blood test, CT scan, physical examination and take history. Doctor may recommend physical therapy, which will be very helpful, muscle relaxant, nerve supplement along with stretching exercises. Doctor may also refer you to endocrinologist for diabetes problem or to neurologist for nerve problem. For now put your legs in hot water tub with Epsom salt for 15 minutes daily and take ibuprofen or acetaminophen for pain. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I have been diagnosed with gall bladder cancer. doctors here in mumbai say it is affecting my gall bladder, part of liver, and some lymph nodes. they say it is a marginal case.. surgery is possible but there are risks. i am 56 years old. i have jaundice. my hepatic ducts are dilated... the tumor has constricted my bile duct just below the confluence. i will need ERCP. I need advice on what to do.", "output": "Welcome to Chat Doctor. I am Chat Doctor. Your doctor is right that surgery is possible, but there are risks. Oncologist in Mumbai are good usually Tata Memorial Hospital. You can believe on them for best management. In such cases surgery also depend on patient internal condition and cancer spread seen during surgery on surgery label. Go for ERCP as your doctor suggested for further planning. All the very best. Than for query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My grandfather had the hiccups for 3 days before he had heart attack and passed away. My 92 year old father has heart disease, and was recently released from the hospital. He has had the hiccups for 2 days. Is there a connection between hiccups and heart attacks?", "output": "Hello, Yes, of recent there have been a few case reports of Hiccups presenting as a sign of Myocardial Infarction (Heart Attack)Now for your Understanding let me tell you that hiccups are generally benign and can be broadly categorized as Recurrent Hiccups which last up-to 48 hours, Persistent Hiccups that Last for more than 48 hours but less than a month, Intractable Hiccups which last for more than 2 months.However, the exact mechanism of the correlation between hiccups and heart attack is still not well established. But patients having persistent hiccups should not be overlooked and should be screened for signs of myocardial ischemia." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My feet are cramping. This is not normal. Both at the same time. Pain subsides or stops at the same time in the same areas. Calves also. Toe joint freezes upwards and I am unable to walk. Last as long as 5 minutes. Rubbing does not help. Started last night, been happening all day every few hours. Very scary. I m a truck driver for 10 years. Never had foot cramps, till now or leg cramps in the day either. Would really like to hear something.", "output": "Hello For foot cramp, Take plenty of water, fluid intake will dilute toxins. Physiotherapy with ultrasound and Tens will help you, Yes you can do exercises like swimming, riding stationary bicycle, but do not overexert yourself. Take potassium rich diet. Hot and cold fomentation to leg. You need to continue you medication for a couple of month to see effects. Add tab methycobal 1500 once day. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take carhop I have answered your query. I will be available to answer followup queries. If you are satisfied with the answer, please give your review at the end of the discussion." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Woman 74yrs old still has severe pain after full knee replacement. Is on Cortizone Injections and painkillers without relief. Only had one Physio session since operation one and a half years ago as Hospital forgot about her. She lives in Dublin Ireland Can you help please Many thanks Margaret", "output": "Hello, As she had undergone TKR I would recommend that she has to undergo physiotherapy till she receives a good strength of the muscles. In case if she fails to do then it will be difficult for her to walk and also this TKR done will become waste. Start exercising with basic ones, static Qua Chat Doctor. Active or active assisted SLR. Active knee bending. This is some basic ones which she has to do. Also, the knee range of motion of 100-120 should be good for functional needs. In my clinical practice of over 12 years, most patients receive physiotherapy as soon as after the operation and most of them achieved an expected recovery. I will request to start physiotherapy as soon as possible to avoid the " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor, My name is aslam and i have dry skin by birth, since iam using Moisturex cream from the age of 10, now iam 28. As my age increases the price of moisturex also increases from 100gms-15Rupees to 50gms 135Rupees. For me it is best suited cream for my skin among all available moisturisers in the market.Kindly suggest is there a cure for dry skin, or any alternate for Moisturex cream", "output": "Hi Islam The price should not be the only reason to change - specially because - it is best suited as you say and you're having been using for a long time. There is no obvious cure for the Chat Doctor. There are a few similar creams or lotions - the basic constituent is propylene glycol... EacChatDoctorpany adds some component like lactic acid, liquid paraffin and so on. Your dermatologist - at times any pharmacy - may offer alternatives / they can be similar - not the same / it will be a trail and error stating a new application In SHA Allah, let your income increase to meet your demands! Good luck" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have a problem with all food suddenly tasting horrible. Even when I breathe through my mouth, the air tastes weird, a bit metallic, and yesterday I could not eat a mildly peppered clear soup because to me it tasted extremely spicy. I had a salmon burger the night before that tasted like mold. That was the first thing I noticed, but I ignored it then. Milk tastes like chemicals. Water tastes strange too. Tried to eat some fried vegetables, those did not taste right either. Bread and butter is tolerable, but I can t keep eating just that. I heard that this can be related to dental problems. My gums have been bleeding a LOT worse than usual lately.", "output": "Hello, Thank you for consulting with Chat Doctor. This kind of taste alterations are observed when there is some kind of disease in the mouth for example Red or White lesion, which might occur because of some immune problem or habit of smoking or tobacco chewing. So better that once you should visit a dentist for proper examination of oral cavity and get it treated. The bleeding of gums can occur because of infection of gums called as gingivitis for which you have to get complete cleaning of tooth and gums done with dentist. Hope it will help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had IUI on Friday and was a little sore after but no problems. Then starting on Sunday I was to use progesterone suppository twice a day since I started that I have had pain bilaterally in the groin area and in lower back. Is this normal or a side effect of prostrgrone?", "output": "Progesterone can cause abdominal cramps or pain as a side effect. It usually subsides in most patients in the next following days. Any history of fever, burning urination or renal stones should be ruled out. Antispasmodics can be taken to reduce the discomfort. In case of persistent pain, it is essential to visit your gynecologist and a pelvic ultrasound may be essential. Hope I have answered your query. Let me know if I can assist you further. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my wife is suffering from some urine and blood infection her ESR is 1st hr 80 and 2nd hr 120, she is having dust allergy problem also. and also having fever for every 2-3 daysnow she is using faa20, starmune gold 100, telekast 10, oleaz 5mg medicines since last 2 months. plz advise", "output": "Hello. Thank you for asking at Chat Doctor. Dust allergy usually does not increase ESR to 80. There are many causes of increase ESR levels, like infections, especially chronic infections, chronic inflammatory conditions, etc. I would suggest you to consult your physician as she is having fever for every 2-3 days also which suggests either infective or inflammatory disease. Hope this will be helpful to you. Wish your wife the best of the health. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Thank you. I ve been nauseous and occasionally gagging with slight cough. Last night temp went to 100.2 then back down this morning and all day to approx 98.5. My normal is 97 Went to dr. Full exam. Bloodwork no results yet. Also had been to dentist a couple of weeks ago was told I have gingivitis and need root canal . Kept asking if I have an abscess after X-rays and the answer was I don t know. So I m worried that this present malaise could be from infection in mouth even though dentist wasn t sure. Or is it not. Don t know where to turn.", "output": "Hello there, Inflammation of the gums is called as GINGIVITIS. It presents with symptoms like bleeding gums, pain, redness, swelling, recession and sensitivity. It is caused due poor oral hygiene, accumulation of bacterial plaque and calculus deep in the gum pockets and root surfaces of the teeth. Swelling of the gums is also caused by gingival abscess or tooth related periodontal abscess. This can be confirmed by clinical examination, so please visit a dentist and get the evaluation done. Thorough deep scaling and root planing this will help in resolving your problem followed by a course of antibiotic and analgesics. I hope this helps, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have Afib along with CAD & today I exercised for about 45 minutes. I try to exercise on a regualer basis, but aftertodays work-out. I could tell I messed up because I felt & feel like I may have over done it because my heart is just straining to beat, thats the last time I exercise like that,is this normal or is it this possible cause ?I know I need towork-out but now this scares me ???", "output": "Hello! Welcome and thank you for asking on Chat Doctor! I carefully passed through your question and would explain that your symptoms seem to be related to coronary artery disease. I would recommend consulting with your attending physician for a careful physical exam and some tests: - a resting ECG- a cardiac ultrasound to examine your cardiac function and structure- a cardiac stress tests-some blood lab tests (complete blood count, fasting glucose, blood electrolytes). A coronary angiography would be the test of choice to examine better the blood flow in the coronary arteries and determine the grade of arterial stenosis. Hope to have been helpful! Kind regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I recently lost my carelink due to not being able to afford the monthly cost of 65.00, I had one more 3 month prescription of zoloft to fill, which I have been on for 20 yrs, but they refused to give me the medication. I had to stop taking zoloft cold turkey, and am not feeling well. Can you explain the symptoms of withdrawl, and if it is dangerous for me to be in this situation.", "output": "Hi there ~It is unlikely that stopping the Zoloft cold turkey led you to be unwell. However, I believe that the with Chat Doctor. I also think that you can pay for your own medications if you are no longer covered by the insurance or switch your provider to let them know of the fact that you are not doing well without Zoloft, which would make them prescribe Zoloft. I hope this helps. Take care and have a lovely day!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi..my name is mohana..im a staff nurse and im 25 years old..im married..in year 2011 i had a miscarriege and i went through d & c..i was given ocp pil for 1 month to regulate my period..after that i started to gain weight in february 2012..and it gradually increased from 60kg to 72kg currently..in year 2012 my menses started to come irregularly..my menses will come a month and next month it wont come..last october i transfered to another place far from home..i was emotionaly stressed..that month my menses lasted nearly for 3 weeks..and following month there were no menses..again menses came on 19 december 2012 and lasted until 2 february..my Hb level was normal..i saw my doctor to consult..and follow to scan..the findings was normal..since my mother had history of hyperthyroidism..i done tsh test..and it was normal...im still waiting for my hormone test result..i have done my routine health screening..and mu LFT result came out as followed..direct bilirubin 4.0umol/L, cholesterol 6.76mmol/L, SGPT 51.2U/L, SGOT 31.3U/L, LDL 5.0979mmol/L,GLOB 33.4g/L..I didnt have menses since last 2nd of february..i was given metformin to help reduce my weight gain..im planning to have children of my own this year..please help me..", "output": "HelloThanks for your query. You seem to be suffering from Polycystic Ovarian Syn Chat Doctor. In this condition, there is hormonal imbalance due to which there is irregular menstruation and erratic ovulation. Ovaries are studded with multiple follicles none of which succeed in maturing on time. Please consult a Gynecologist and go for a transvaginal pelvic ultrasound, along with hormonal and biochemical assay to confirm PCs. All the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi there my mother has a hard long white/pink mass growing under her lower left teeth on the outside between her teeth and her cheek, it goes from her front pointed tooth to behind her last molar tooth on her left side, what is the chances of cancer and what is the proceedure at this point to find out what exactly it is? keep in mind she is scared to death early this week she was loosing her eye sight hearing and numbness to left side of her face", "output": "Hello and thanks for consulting Chat Doctor. Without seeing the lump to learn its exact location, color, x-ray films, only general observation can be listed. This means your case may be completely different from some other case of pink hard mass. With that being said, many lumps--hard or soft--are often signs of infection. The tooth may be infected with cavity bacteria, or rotting of dead nerve if the tooth has been dead. The hard mass can be:an abscess cyst an Elisa granuloma irritation (denture) hyperplasia mucocoelea haemangiomato know the exact diagnosis proper clinical examination and a biopsy or FNAC (if needed) can be done.I would advise you to visit a dentist. Hope this and helps. Take disregards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Thanks for taking my question. A person I am very close to suffers from post-polio syndrome. When he was aged 8 he was diagnosed with poliomyelitis. He is now aged 82. For the first time yesterday did he developed a hardening of his leg muscles, especially the right leg (not so much a stiffening), which made him very unsteady and worried that he would fall. Is this perhaps another symptom of worsening post-polio syndrome? If so, can you offer any remedy, mindful that this man s health otherwise is very good, according to his personal physician?", "output": "Hi, Thank you for providing the brief history of you. As the PPS is such where the symptoms are automatic in nature and lead to discomfort in the normal anatomy of the spine. This may lead to abnormal signs and symptoms. I will advise to undergo physical therapy as it will be helpful to maintain the functional ability. In my clinical practice I am seeing PPS patients and with physical therapy we are able to maintain the symptoms and functions to normal. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a acute viral chest infection in Jan 20011. When i was coughing & bringing up mucus i thught some had stuck in my throat. Now when swallow I can still feel something - as if there something there. Day to day swallowing is not a problem but when I take a gulp I really feel it. Doc has refered me to hos so I will have a long wait . Could this be a tear something more sinister?", "output": "Respected user, HiT hanks for using Chat Doctor.come have evaluated your query thoroughly.* This is in relation with adenoid enlargement post viral infection.* Subsides once the infection is controlled totally.* Suggestions for early recovery - Chat Doctor. - Gargles with salted lukewarm water added peppermint oil 3 times a day - Dietary precautions also help as avoidance of chilled items, excess sugar spicy, non veg, ghee, dairy fat.- Avoid exposure to excess cold or pollen, dusty environments.- Refrain from smoking, alcohol. Hope this clears your query. Welcome for further guidance. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a small hard lump just above my Adam s apple, it s been there for 3 weeks at first I taught it might be a spot so I tried to squeeze it, I put a lot of pressure on it, only a tiny amount of clear liquid came out, it s about 15mm wide, what could it be please?", "output": "Welcome to ChatDoctorYou have not told your age. Mostly such small lump at that location are lymph node which is not much of concern if you are a young chap. In older age group this requires fine needle aspiration cytology test to confirm that it is not malignant/cancer. Also do one ultrasound neck to look for thyroid gland. Other possibility is hypoglossal cyst which needs surgery. So kindly show it once to the surgeon because unless examined it, the exact cause cannot be diagnosed. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im on birthcontrol . Ive been on it for an entire packet & already on my 2 week on the 2nd packet I had sex on Saturday and this morning I used the bathroom red pink was on the toilet paper . Im wondering if its still regulating my cycle or something is wrong also my left leg has been numb for a couple days do you think the pills have something to do with that ?", "output": "Hi and thank you so much for this query. Congrats for adopting and using a birth control method. Nothing puts you more in control of your reproductive life than this. The above symptoms are very non-specific and cannot be attributed to birth control pills. They are often transient and never really represent any real underlying disease. My advice will be that you continue the pills and monitor whether the numbness and red pink discharge is continuing. If it should continue for more than a week or becoming even more worsening, then you will need to seek expertise advice. For now, stay calm and monitor. Hope you find this helpful and provides guidance on how to approach this worry. If you should have more questions, please return to us, and we shall provide answers. I wish you well and hope this gets sorted out soon." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I started with pressure and slight pain in the lower part of stomach, that would move into my back. I laid down for an hour and the pain and pressure eased off, however when I used the bathroom I noticed that I was lightly spotting. I am 2 months pregnant and will be seeing my local OB/GYN in a week.", "output": "Hi! Good evening. I am Chat Doctor answering your query. If I were your doctor, I would go for an ultrasound of the abdomen to see the well-being of the fetus. Till then, I would advise you to take absolute bed rest and would if need be prescribed you with some uterine relaxant Chat Doctor. Further management would depend on the ultrasound report. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answemmr your health queries right now ? Please type your query here...I m 25year old married girl.i had pain in lower abdomen side from nov.2009. Emy mx& elisha for kochs was positive.i had medication from 8.1.10-26.11.10. Again i had pain after 2 month during period. Some mesentric nodes found in uterus in u.s.g report.again tb drug taken 2 month till march 2011.again dr. told to take drug next 3 month.then i visited another dr.,my pcr in menstrual blood is positive.can i concieve?(tb drug taken 13 month).thank u.", "output": "Hi, dairy have gone through your question. I can understand your concern. You have tuberculosis. Your tb PCR is positive. You have already taken 13 months treatment. You may have multiple Chat Doctor. Furthermore, you should go for culture and sensitivity test. It will give you exact diagnosis. Then you should take treatment accordingly. You can conceive, but chances are low. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just got a sudden burning headache that within minutes had burning pain radiating down the left neck, shoulder, and arm and then jaw pain all on the left side. Im a 24 year old female. I don t want to go to the emergency room and don t know if I should.", "output": "Hi, As this sounds to me like a cervicogenic headache and due to which the symptoms. If you are a computer worker or having job which demands to sit continuously and work in abnormal position than there might be spasm of the cervical para spinal muscles leading to the headache along with the radiating symptoms. I will advise to take a cervical collar, and apply over the neck. Doing hot water fermentation will help reduce the spasm and also the radiating symptoms. If the pain doesn't come down then an MRI cervical spine might be advised by the local orthopedist to rule out any nerve root entrapment. With conservative management your symptoms can be controlled. Medication and Physiotherapy will be of use with posture correction. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir I am 22+ boy from Bangladesh. Last 6th April 2014 my both hands and legs are became very weak. I can t move them then I hospitalized by a neurologist. Then they say suspected (GBS). By the doctor s advice I have given by IVIG for 5 dose. now what should do I do?", "output": "Hi, thank-you for providing the brief history of you. As you been diagnosed with GBS and already under medical treatment I will advise to add on physical therapy on Routine basis as physical therapy will help you regain the strength in muscles and also research supports and clinical practice also supports the physical therapy for patients with GBS In my clinical practice such cases are referred to physical therapy at home for regaining motor functions. Regards Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my daughters friend had fever with cough and cold .suddenly she developed body pains from back of neck to the tip of vertebral column,knees and joints.initially after recovering from fever she had severe breathing problem.but now s he has only s evere back and knee and joint pains.unable to sit n sleep.her esr values and HB count are normal doctors say she has post viral arthalgia and ruled out SLE .please suggest any other tests or treatment-ritu", "output": "Hi, there! Joint pain is common when virus is in the blood flow, it's called viral intoxication possible to get rheumatism diseases after flu/bacterial tonsillitis. To figure it out You need blood tests - C-Reactive protein (CRP), Rheumatoid Factor (RF), Anti-cyclic citrullinated peptide antibody (anti-CCP), Protein biomarker 14-3-3eta.It's possible to have co-disseases that arise or relapse don't want to frighten You, hope this helps!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here...Hi I am having problems with my potassium which is at 5.7 .and my wbc is 12.5 Monocytes (absolute ) 1.1 I have seen my doctor and now trying to get may potassium down.How ever I also am having problems with my bowls.Can I do anything different than eating a low potassium diet ?", "output": "Hi, dairy have gone through your question. I can understand your concern. High potassium can cause life-threatening arrhythmia. You should take low potassium diet. You can take insulin and glucose to control your potassium level. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I m 30 yr old lady, height 5 foot 5 inch, wt. 57 Kg with no medical or surgical comorbid state with second gravida at POG 20 weeks. Suffering from pericoronitis with marked pain since 2 days. I have started taking Amoxycillin and paracetamol but still pain is marked. Do I need to add metronodazole? What is the next step as I want early relief. I visited Dental surgeon also n advised conservative management. Shani", "output": "Hello madamThanks for the query. As it is not safe to take many medications during pregnancy due to effects on growth of fetus. It's better to follow conservative treatment for few days. Start warm salt water mouth wash 3-4 times daily for few days it helps a lot in relieving the symptoms and removes the food particles stuck beneath the periodontal flap which may cause irritation and help in reducing inflammation. You can also go for minimal scaling of that area by your dentist. If things worsen after these steps can go for operculectomy in the mid of your second trimester, with minimal trauma, after a consent from your GAEC. Take carhop tried to clarify your doubt." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "about a month and a half ago my 1 year old fell and hit her forehead on a really sharp edge of a stair, and she got a really deep dent on her forehead, which is still visible, and it still feels like theres a little lump or swelling under the skin. will this ever go away?", "output": "Hi, Dear thanks for the query to Chat Doctor Virtual Clinic. I studied your query in all the details given by you. I reviewed all the data and in my opinion I would advise you to Please check up with your doctor and get the X-ray skull done to confirm if there is any fracture. As your daughter is not having any head injury complaints like omitting / convulsions/ Chat Doctor. For the questionable lump at the site, I would advise you to check with Your ER surgeon, as by this time any dent or lump would have come to normal and hence is cause of worry to you. Er surgeon would treat it accordingly by anti-inflammatory medicines and or with neurosurgical reference for any correction, if need be. Hope this would satisfy your query. Write excellent reviews if you like this reply and find it helpful to you, as your comments and reviews would improve my rating for the visitors of the Chat Doctor clinic. Welcome for any further query in this regard to Me. I would love you to help out of this intricate problem of lump. Wishing you fast recovery. Have a good day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband may be dx with Melanoma he had a biopsy done last Tuesday and the early report from pathology states that he may have melonoma. He had his right ingunial lump node removed and we so know more this Monday or Tuesday. He for the most part dont feel sick he has a lot of back pain but nothing beside some burning in the abdomen area. But the pathologist states that cancer did not orginate in the lymph node it started some where else in the body. What is your feeling", "output": "Hi, Thanks for writing in. Malignant melanoma is a type of skin cancer with origin from melanocytes which are pigment containing cells in the skin. These cells proliferate and become cancerous. When cancer is formed, it is aggressive in nature and even if the primary tumor is removed through surgery, the cells remain and spread to different parts of the body through blood flow and lymph nodes. When the cells reach the lymph node then it starts to proliferate once again and then the cancer spreads. Therefore, your doctor is right in saying that the cancer is elsewhere and has spread to lymph node. This requires to be treated at the earliest. Please follow up with his doctor regularly even if he does not have any symptoms. It will help to do a complete head to toe clinical examination and then look carefully for any suspicious skin cancer. They can be of many types and colors, and he must consult the oncosurgeon. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Age - 7 years, weight - 17 kg , name - vansh (male)fever for past 11 days now , max upto 102 deg, TLC - 16700 & so DLC also not good. WIDAL OK, MP- negative. Pain in chest , sometimes seems like vomiting.Pls suggest medicine , doctor given OFLOMAC + Crocin but more fever after 2 doses of it.", "output": "Hello welcome to the Chat Doctor according to history provided you are having higher leukocyte count and your WBC differential count also not within limit so kindly let me know your differential WBC count for giving comment on that. You can be prescribed antibiotic course and complete the course of prescribe antibiotics to you. I need to check your platelet count also and investigate with Sept and got as well. After seeing report I can comment for the and let me know if I can guide you further hope this will help you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m 32 year old i Have both kidneys problem for 3 years my body produce oxalate stone in one day after use of some medicine stone passed throw urine then again produce How i can stop the produce oxalate kidney stone in my body plz help me i m so worried about", "output": "Good Day, and thank you for being with Chat Doctor ! I would suggest avoiding coffee, strong tea, colas, sardines, herring etc. You may search low oxalate diet, and you may base your diet plan. It is also important to take in 2-2.5 liters of water per day. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: http://www.ChatDoctor .com/doctors/ Chat Doctor. Best wishes. Manuel C. See IV, M.D. DBU FPGA" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor!I am on my 29th day of my 30 day cycle. I have been married since 3 years and we are trying for a baby. I have the habit of masturbating by rubbing my upper portion of genital with hand. Does this affect the chances of conceiving? If so on which of the days of my regular cycle I should not do this. Or is it that harmful I should get rid of this completely. Please help me out.Thanks.", "output": "Hi, Thanks for the query. Usually masturbation won't affect the chances of fertility. To get pregnancy you have to plan unprotected intercourse around the time of ovulation. If you are having regular cycles, track your ovulation and plan intercourse around that period. If you do not get success by this, consult gynecologist once get examined and go for ovulation induction. Seminal analysis of your husband has to be done once. For more details you can ask me directly through the premium forum. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a swollen lump under my right earlobe about the sizes of a quarter and it hurts.. the pain is radiating to my ear and it feels like it is poking my ear cannal. Is that serious? I am 47, 52 and 200 lbs. I have been weight gaining for the last two months. I have a history of phyllodes tumor in my breast.", "output": "Welcome to Chat Doctor .1. Lump in that location are usually lymph nodal if there is any underlying causes (primary or infective etiology)2. Parotid gland mass lesions seen in this region.3. Salivary ductal dilatation, and can be mass arising from underlying bone.4. It can be confirmed by getting an ultrasound scan done to know where it is arising from and what it consists of and how it's involving adjacent anatomical structures.5. Hope it helps you. Anything to ask ? Do not hesitate. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am wondering If I need to see a Doctor in referance to a sharp pain that only happens when Iam extremely panicky or nevuos... It runs from my chest straight down in to my lower abdomen and it sits there untill my nerves are fully calm... but it seems that since I almost was in an accident a few days ago there been a sharp pain in my abdomen every since. Can you help me please... It doesnt hurt when I go to the bathroom and my bowels are normal, so is my urine.. its just this pulsating like sharp pain that moves to my abdomen when nervous or in panic.", "output": "Hello, I understand your concern and would explain that your symptoms could be related to a panic attack. Nevertheless, I would recommend consulting with your attending physician for a physical exam and an abdominal ultrasound. Some other tests (a resting ECG, an exercise cardiac stress test, blood electrolytes, complete blood count, PCR, ESR) may be needed. You should discuss with your doctor on the above tests. If all these tests result normal, you should consider anxiety as the main cause of your complaints. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here...Hello Doctor,I am suffering from depression and anxiety neurosis for about eight years.I am taking the following medicinces1.escitalopram-10mg2.clonazepam3.oleanz -2.5 mgIs there better medication . please tell me sir,", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. The medicines you are taking are should be apt for your condition. Psychiatrists prescribe medicines taking so many things into consideration. They know you better before prescribing medicines. Work with your psychiatrist for good results and cure. Many researches and researchers confirm that medicines alone cannot cure mental disorders. Lifestyle changes, change in thinking pattern, relaxation etc. are as essential as medicines. Psychotherapy can help you to change your lifestyle and thinking patterns. Yoga and meditation help you to streamline your metabolism and neurological balance. Please consult a psychologist for further information. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello my name is Angeli., and I contracted viral encephalitis in 1989,fro A mosquito bite.was hospitalized 17 days in Oklahoma I noticed changes in my personality.i have dealt with depression,severe anxiety.have ADHD,and am very socially introverted since the illness.I would like to know if this is usuall,and can anything be done to help me. thank you,Angeli", "output": "Hello, Welcome to Chat Doctor, Encephalitis is irritation and inflammation of the brain often due to infections. Encephalitis is most often caused by a viral infection. Many types of viruses may cause it. Most of the encephalitis usually begins with flu-like symptoms such Ashish feverHeadache. Nausea and vomiting. Joint pain. It is mainly diagnosed by using tests that includesMRICT scan of the headCulture of cerebrospinal fluid (CSF)Electroencephalogram (EEG)Lumbar puncture and CSF examinationThank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my sister has been battling an infection since august 2010...after many cultures taken clavanate was always prescribed as an antibiotic until today when we finally spoke with an infectious disease specialist to find out that the infection is not treatable using clavanate ...should this not be common knowledge among the health care pratitioners??? The cultures grew klebsiella oxytocawhat kills it????", "output": "Hello dear!I've gone through your query and understood your concerns!I'm sorry your sister has gone through This disturbs all this time. After one of two cures if no improvement the doctors should ask their selves why this treatment is not working. So now you have found what is the cause of that infection it would be easier to cure. Klebsiella may be treated with antibiotics like Lifetime, or Levofloxacine, but I would recommend you to do an analysis called antibiogramma. That indicates what antibiotic is most effective to treat Klebsiella. Only in this way your sister will be healed quicker and will not suffer all this time as she did before. Take care and I wish you a good health! Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Had all 4 wisdom teeth removed 3wls ago and 2 were impacted. Half my tongue is still numb and I still have a lot of pain where one of the impacted teeth were. Also within the last 2 days my tonsils are now huge especially on that side. I dont know what is going on", "output": "Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have numbness in your tongue don't worry it happens in cases where needle stuck the nerve during anesthesia. It is known as paresthesia of tongue. You do is warm saline gargle two - three times a day. Take one tablet vitamin supplements once daily for one month. If still your problem continues then consult your dentist again and go for examination. Hope this will help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor, i masturbate everyday since 3 years and most of the time 2 times in a day. and i had sex many times but sometimes my penis i not hard because of which i cannot have sex but after that when i go to washroom and masturbates at that time my penis is erected i dont know why..is this because of masturbating? does masturbating results in soft penis at time of sex...? is it harmful?", "output": "Hi thanks for contacting Chat Doctor.... According to history you doesn't seems to have any organic causes..... Two times per day masturbation is excessive.... Over masturbation can lead anxiety, stress, groin discomfort and penis shrinkage according to few articles... So avoid over masturbation.... Three to four time in week is OK to perform.Meanwhile, while doing sex make habit of foreplay more.... Be relax during sex.... Do sex in comfortable position... Regular exercise done. Smoking and alcohol avoided. Healthy diet taken.... If still having problem consult sexologist or psychiatrist for it. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "In 2013 I had an endoscopy due to my complaints of difficult swallowing with sharp pain, I was told that I had a ulcer at the esophagus stomach area, due to reflux and I was to take Omeprazole 40 mg in the mornings. In 2011 I had a bone density that showed only some pineaporosis (sp) In 2013 my bone density results were more than moderate osteoporosis . I had taken actonel for several years, maybe nine or more, but it was to be stopped for two years. In 2009 had non-Hodgkins lymphoma, and was treated with Moderate chemical therapy, COHR that might not be the correct initials. My lab work remained normal, all of it. I take Trazodone 50 mg., Cymbalta 60. Oh, yes I am taking Prolia twice yearly. Zectec 10 mg, , Asa 81 grs, omeprazole 40 mg. multi vitamins, calcium, vitamin D, vit B12. I am 72, and I am in good health, eat right, Exercise , . My question is this: my gastroenterologist wants me to take on the Omeprazole 40 mg., and actually I have been on this medication off and on a good bit, years. I am blaming Vytorin as a failure to me, and the anti acid drug, promoting osteoporosis in me. Can you think of anything I can do? I see my oncologist in five days, so your advise might prove helpful. Also, my daughter is a Family Doctor.", "output": "After going through your medical history, given your age Osteoporosis is inevitable. However, I would suggest you to continue with the medication prescribed by your doctors. If you have problem with any specific medication kindly discuss the same with the prescribing doctor. Also, would suggest you to expose yourself to sun in the early hours of the day, daily walking on level ground, usage of any walking aids if you have decreased visual acuity, extra precaution while you walk on slippery surfaces like bathroom floors etc., to avoid falls." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my mom is 46 year old, suffers from chronic migraine from past 4 years, has been under constant alopatChatDoctoredications but of no use, 15 days back she started experiencing sever bouts of headace, almost continuous, along witChatDoctorplaint of movement of pain on the left side, after MRI SCAN of brain, she was detected with foci of ischemia, white matter, in temple region , report also says that low blood circulation in brain, kindly advice what does this mean , and wot treatment would be the best for her", "output": "Hello, The small white matter loci could be related to migraine headaches. It is also important to closely monitor her blood pressure values. In the meantime, I would recommend discussing with her doctor on the possibility of starting daily baby aspirin to prevent future strokes. It is also important starting preventive therapy for migraine (topiramate, valproate, verapamil, etc.). Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, i am 22 &; i havent gotten my period since november. I have irregular periods, i just started my birth control on may 13th. What are the chances of me getting pregnant this month cause i accidently had unprotected sex &; my doctor told me to use condoms the first month no matter what.", "output": "Hi, Welcome to Chat Doctor. I am Chat Doctor. I will be answering your concerns today. From your notes it appears that you started contraceptive pills without your periods. I hope that you have done pregnancy test and ruled out pregnancy before starting contraceptive pills. Contraceptive pills are effective in preventing pregnancy from day 8 of starting the pills when you start them at any time in a period cycle. So if you have had unprotected sex after a week of starting the pill, you are protected. The chances of pregnancy are almost nil. If you have had sex within a week of starting the pill, then there is a possibility of pregnancy. The chances of pregnancy are about 20% (one in five). I hope this is helpful." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My sister has been fighting bile duct cancer for 3+ years. She has been retaining fluid in her abdomen, which I believe is called ascites. She has been to the doctor and has had her abdomen drained twice, 5.1 liters and 6 liters respectively. She has lost a lot of weight, is fatigued, and seems very uncomfortable. She has recently had a home health nurse drain 1.0 liter (twice) from a drain in her abdomen and is on schedule to have it drained every other day. I m sure she is nearing the end, and was wondering how much longer she may have considering the fluid can not be drained fast enough. Thank you", "output": "Thanks for your question on Chat Doctor. Bile duct cancer most commonly involves liver. Almost 90% bile duct cancer metastasize to liver by the time of diagnosis. And it starts deteriorating liver function. So synthetic functions of liver like albumin production decreased Chat Doctor. This is the main reason for ascites in this kind of patients. Another possibility is malignant spread in peritoneum. So in both ways' ascites can develop. And both carries the worst prognosis. Life expectancy with ascites in bile duct cancer patients is less than 1 year." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good Afternoon Sir, I am a female aged about 38 years. I am suffering with Mild Hepatomegaly (liver measuring 15.4 cm) and no other problem found in the whole abdomen scan. I am a vegetarian and taking only the simple food without spices. Not using any alcohal or any other like substance or medicine. One thing I want to bring to your notice that my my mother in law generally adds some poisnous substance (some times in very low quantity and sometimes in high quantity) in my food despite of every care I take. I think this is due to that reason only. It is happening since 7.6 years. My 3.6 years baby also takes this food and whenever that substance is added we both suffer from loose motion or severe constipation and pain in abdomen. Swelling in the vegina and other areas. Kindly suggest how to cure this increase in size of liver. My child has also gone through the scan and it shows normal report. Whenever we both suffer, I generally give him home made fruit juices but taking the same myself once in a while. The substance she uses is the lakshman rekha chowk for killing cocroaches or other insects. Kindly advice for both of us. Thanks n Regards,", "output": "Hi, Usually, liver enlargement may indicate some types of hepatitis or fatty liver diseases and in most cases, it doesn't require any specific treatment. If this is caused by diet, obesity, and diabetes then dietary and lifestyle changes will be beneficial in every case. Alcohol and viral hepatitis are the most common causes and in this case, medical evaluation is required. Also, if there is infectious disease or biliary duct disorders then you need to do some tests to rule out more serious issues which require specific medical treatment. You need to check your viral markers and do a liver biopsy if necessary. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. Rammstein, General Surgeon" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Can wisdom teeth affect your tonsils? My tonsils have been swollen for the past three days very similar to the feeling of strep throat; however, there are no other symptoms such as fever or feeling run down. I have all four of my wisdom teeth, three of which are impacted, and this happens about 4-5 times a year.", "output": "Hi. Thanks for the query. As per your complaint swollen tonsils can be due to throat infection that can be strep throat also and not necessarily due to impacted wisdom tooth.BUT in case if you have impacted wisdom tooth and the gum flap over it gets inflamed due to insufficient cleaning leading to infection can cause radiating pain in throat as well as some level of infection to neck glands leading to their enlargement and swelling. If any of the wisdom tooth is decayed and painful it can also lead to pain and swelling of lymph nodes as well as to some extent tonsils, but it is not always necessary. I would suggest you to see an ENT specialist as you have recurrent episodes of consular swelling and get evaluated for the exact cause of it. If it is Strep complete antibiotic course will cure the problem and if it is due to wisdom tooth an appointment with the dentist will be required to find out whether the tooth needs extraction. Doing warm saline gargles can help you in both conditions whether related to wisdom tooth or tonsils. Hope your query is solved. Thanks and regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello sir, my father Dr. PRAVINCHANDRA RAO is suffeing from PORTAL HEPATOPATHY.ON 9 TH FEB HE HAD BLOOD OMITTING 1ST TIME. THEN HE HAD BLOOD OMITTING ON 20TH APRIL AND 6TH JUNE. HE HAVE UNDERGONE 3 ENDOSCOPY S AND DOCTORS HAVE FITTED IN ALL NOW 7 CILESTIC BANDS ON HIS VEINS NEAR LIVER. THEY SAY THAT VEINS HAVE SWELLING.CAN YOU PLEASE SUGGEST ME SOME TREATMENT . PLS SIR REPLY FAST WE ALL ARE LIVING IN PANIC. IS PORTAL HEPATOPATHY CURABLE????", "output": "Hi, The condition from which you are suffering is called Congestive nephropathy. Due to chronic passive congestion of the liver, there is venous congestion, usually and most of the time its secondary to congestive heart failure. Please send to me the reports of your endoscopy, your 2d echo reports and other tests reports. Treatment is directed largely to removing the cause, or, where that is impossible, to modifying its effects. Treatment options are very limited, and usually the primary cause needs to be treated. Message me all detailed reports. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I had first time felt weakness in the evening and than severe fever at night with full of body pain four days ago than next hall day fever and at night again even can t control with paracetamol and diclo till 4 to 5 hrs. Even after taking same drug at midnight I was not able to sleep.than I had done blood and urine analysis next day all reports normal expect 4-5 pus cells. As my family members are pediatric surgeons they suggest me it s viral fever just take nimesulide and rantac. But after 4 hole day I am suffering from high fever at night and now it s yellow colored stool and too much weakness. Should I admit in hospital today?", "output": "Hello, I understand your concern. I am Chat Doctor, infectious diseases specialist, answering your query. In my opinion you should admit to hospital. The cause must be investigated thoroughly. Common causes of fever must be investigated first. I suspect malaria, dengue, chikunguniya, yellow fever. Cause of fever must be one from the above list. Till you got admitted, I advise you to take paracetamol for fever. Please take plenty of water, as much as you can. Take high fiber diet to prevent constipation and increase absorption of digestive bilirubin products. I will be happy to answer your further concern, you can ask me on bit.ly/ Chat Doctor. Thank you. ChatDoctorInfectious diseases specialist." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m only 13 and I was scratching my hip when I came across a lump just below / next to my hip . There is no pain and it feels like it s moving when I press on it . When I do touch it I get a sharp pain in my stomach and then the lump hurts for about 1 minute . Please could you tell me what it is or if I should not worry .", "output": "Hi! Good afternoon. I am Chat Doctor answering your query. The lump in the location stated by you could be an inguinal hernia which could go inside the abdomen on pressure and on lying down, and might come back again on increasing the intro abdominal pressure. You have to verify by your self if both your testes are in position or not. Sometimes, one of the testes might not descend normally down the scrotum, and it might be felt in the area located by you known as inguinal region. Both the above condition might give rise to pain in the abdomen on pressure. The third possibility could just be an enlarged lymph node which would also move, but might not cause pain n the abdomen/stomach. All these could be diagnosed and managed only after a personal physical examination and related investigations, and so I would advise you not to worry, but to get in touch with your family physician/ a surgeon in your area with your parents/guardian for an appropriate opinion and management. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have a lump in between my buttocks at the top iv had it for some time its red around the area and has maybe got slightly bigger over time, there is no drainage or anything from it though, not even much pain really just maybe slight discormfort, is this a pilonidial cyst ?", "output": "Hi, thanks for the query to Chat Doctor. Dear, I understood your health concerns. Based on the facts of your query, your red, sore lump seems to be an early stage indicated perifolliculitis of Hair follicle(Boil), or it could be Colonial Sinus, or it could be Sebaceous Cyst with mild re-infection. Treat-Rule out diabetes by Fasting/and Post-meal Blood Sugar studiesContact Surgeon and treat it with antibiotics / antipyretic/ and anti-inflammatory, with a long term followup. Surgical planned Excision of the Sebaceous Cyst or of the Chronic Boil or of the Colonial Sinus would be needed.US / CT study would fix the extent of the cause and its depth. Treatment could be planned according to the causes as suggested above. Hope this reply would help you to plan further treatment in your case. Good Day!! Chat Doctor. S. Genl-CVTS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi ! My mother was on the intensive phase of TB treatment with Rifampicin+Iz+Py+Eb from 3.3.2013 to 1.5.2013. Although the drugs have been discontinued since then she still continues to have anorexia, nausea and vomitting and showing symptoms of jaundice doc says its DLI. Her liver profile shows very high >1000 ALT and AST and 3.4 total bilirubin. Is the problem serious? When will she get back to normal. What is the treatment for jaundice now? Presently she is taking combutol and Levofloxacin in the second phase of treatment. She frequently gets fever. Urine tests indicated high Pus cells (30-40) at first (around 24.5.13) and within two weeks of antibiotic administration for urine infection, her pus cells reduced but now (4.5.13) the RBC is high (30-40)? She still continues to avoid smell and flavour. How long will such symptoms last?", "output": "Hi there ~I understand your concerns for your mother. It is not uncommon to have symptoms of anorexia with a long term illness currently under treatment with strong antibiotics. I am sure your mother will regain the weight once she starts to have appetite for food. Digestive enzymes may be helpful in this scenario. I also believe that there is a lot of help out there if she does have eating disorders or symptoms of the same prior to having TB. A visit with a psychiatrist will clear any doubts you may have regarding her eating patterns. It is always advisable to eat in small amounts at regular intervals if mealtimes do not work. However, it is best to see a nutritionist in case of her not gaining weight despite the best of your efforts. I hope this helps. Take care and have a lovely day!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "A friend of mine went to the ER 4 days ago with a cough, sore throat, and elevated blood pressure. After the first day her WBC count was over 34,000. They determined she was septic and started treating her w/antibiotics intravenously and improved her CBC to just over 11,000. She was discharged pretty quickly and is home and still isn t feeling good. Her BP when she left was 150/108 and she is c/o the same symptoms. They said the sepsis came from her tonsils where she had an abscess. She has 5 small children and I m concerned it wasn t cleared. She is on Clindamycin now but I m nervous she will have to go back. Any advice and is this the right treatment?", "output": "HiT hanks for posting on ChatDoctorClindamycin is a bacterium well indicated in the treatment of bacteria infections. While on treatment for sepsis, healing is a progressive process. I will advise she continues with her Chat Doctor. With a High BP, an antihypertensive may be prescribed. However, high BP could have been due to her infection. I will suggest her BP be controlled again and if still high, an antihypertensive will then be indicated. I will advise the following:-Continue with your " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hii.... am of 17 yrs old my height is 55 & weight is aproximately 58. I have severe stomach pain & vomiting sensation from last 10-12 days.. Am quite worried about dis coz no medicine is working on me.. I have under gone urine & LFT tests but d reports are normal, it only shows that i have pus cells in urine.....Can u plz help me out...??", "output": "Hi, Thanks for writing your query. After reading your post, it seems that you might be having Urinary Tract Infection(UTI). I would advise that you should get culture and sensitivity test of your urine sample. It will help in knowing the causative organism and the appropriate antibiotic for it. You can take an antacid like Omeprazole 40 mg once a day before meals along with Risperidone 30 mg for relief. You should Chat Doctor. Further medical management can be planned after knowing the reports of the investigation. I hope this is helpful to you. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "its been 13-14 months of dealing with my period.i moved 6 months ago and FINALLY my Dr. here started to do something about it. she put me on birth control (marvalon) and it seemed to be working then it was changed to apri 28. my last period was 3-4 days and had stopped on its own then i started the apri 28 and i had missed 3 days the first week and now im bleeding AGAIN. im 24 and this has never been a problem until it started june 2011. me and my bf want to get pregnant also.. WILL THIS EVER STOP? Please HELP!", "output": "Hi, Thanks for the query. I understand your concern. Pregnancy test of urine phone after 8 days late period. Shows +e result to confirmed pregnancy. Here both the lines are similar. One faint line suggests--late conception,- tubal pregnancy,- blighted ovum or chemical pregnancy with no embryo growth. I would suggest repeated test after 2 weeks if that too is not confirming pregnancy . Consult a gynecologist for fuehrer investigations & specific treatment. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 25 y.o., 6 feet, about 200 lbs and a smoker with a history of pnuemonia and bronchitis. I have body aches, fells like I have a fever but thermometer says I am just at 99 degrees, weakness, runny/stuffy nose with green/yellow discharge and sneezing. I dont know if I have a flu or a cold or pnuemonia.", "output": "HiT hank you for asking Chat Doctor. I have gone through your query. Pneumonia is characterized by high temperature dyspnea cough and chest pain. Your problem can be most likely due to upper respiratory infection. As it is greenish mucus bacterial infection will be present. So better approach your GP for antibiotic therapy. I usually give antibiotic Co-amoxiclav for such case. Take warm fluids like tea with lemon and chicken soup with pepper. Taking chewable vitamin C also will be helpful for early recovery. Hope this may help you. Let me know if anything is not clear. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am having lower back pain in area of the kidneys, pelvis discomfort and a small amount of blood when having a bowel movement, I have made an appt with a gastroenterologist, but could not get me in until Nov. 2, do I need to go to another doctor sooner. I m 58 yr old female. symptoms have only been since Monday", "output": "Fellow back pain and pelvic discomfort may be due to many reasons like pelvic organ pathology, genitourinary problem, musculoskeletal cause etc. You may need clinical correction and few blood tests. Blood tests include routine hologram, random blood sugar, liver and renal function test, urine and stool RE/ME, ultrasound of abdomen, serum calcium, thyroid profile etc. Ultrasound of abdomen can exclude many causes. Colonoscopy and CT scan may be needed after evaluation. It is due to history of bleeding. Proper treatment depend upon clinical findings and investigation reports. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi i was diagnosed with one calcified gallstone of 5.5 mm with multiple polyps 15 days back. I was having pain for quite a few months. I have also frothy white sputum from my mouth. Also i do have urinary frequency and some times enuresis (no passage of urine). My stomach also is bulged most of the time. I had also a kidney stone in the left lower pole of the left kidney (5.4 mm). both at the same time. Now i am in constant pain, pins and needle sensation below my right ribcage. Please anybody help me. I have a lot of leg edema also. All tests turned out normal and the doc says everything is fine. I am unable to sleep also. Almost all nights i am awake. Please anybody help me.", "output": "HelloThanks for query. Your Ultrasound scanning has revealed gallbladder stone with multiple polyps and a non obstructing stone in left kidney. In a given situation the stone in the gall bladder and polyps in gall bladder has to be dealt with first by doing Laparoscopic surgery of Cholecystectomy. The stone in the left kidney being small can be expected to pass down spontaneously. Ensure to Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have high blood pressure and since yesterday I ve been experiencing this severe dizziness where the entire room is spinning. Whenever I try to get up straight I feel really dizzy and I can t stand up.. Dizzy to the point where I feel like I m about to pass out. I measured my blood pressure already and it s high but out of the ordinary.", "output": "Hi welcome to Chat Doctor. Elevated blood pressure presenting with symptoms like dizziness should be promptly treated and reduced. A baseline EKG and a screening 2 dimensional echo of the heart can provide vital clues to the overall management. Treatment consists of reduced intake of salt less than 5gm/day. Chat Doctor. Regular physical activity can control the blood pressure. Consult your cardiologist for further queries. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am trying to lose weight and maintain a healthy weight . I am on prednisone and will continue for at least 3 years. I am on a 2000 calorie a day intake. I just recovered from a double mascetomay and I am now at the point that I can start a daily exercise routine. I have stage 3 liver condition so I struggle with severe fatigue. However I am determined to lose this weight and maintain it. I have gained 30 pounds over a period of 6 months.I am discouraged because of the FAT the prednisone has cause . Please reassure me that I can overcome this with proper diet and exercise. Suggestions welcomed.", "output": "Hello, Is it stage 3 cirrhosis or stage 3 fatty liver? Yes, in case of fatty liver sure you will recover with diet and regular exercise. But cirrhosis of liver may need medical support with necessary liver transplantation. Please post your scan reports depending upon that will see what condition you're suffering from. Take care. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had a cough now for 12 weeks it starts with a tickle that starts me coughing followed by sneezing and a runny nose I also can feel mucus down my throat I have had 4lots of antibiotics a chest x Ray that was clear a course of steroids a nasel spray I have asthma and thyroid this couch is so annoying that it does my head in oh and the doctor also gave me some medicine to break up the phlegm I don t know what else to do can you help please", "output": "Hello. Thank you for asking at Chat Doctor. I went through your history, I feel you are having cough due to what will call post-nasal Chat Doctor. If you have not had a course of oral corticosteroids (sorry for I am not able to get whether you had oral steroids or steroid nasal spray), I would suggest it for 1 or 2 weeks depending upon response. I would suggest you to take regularly montelukast and levocetirizine and also nasal saline spray. Daily steam inhalation will also help. I would also suggest you to avoid dust, cold air, smoke & air pollution as much as possible. Please have plenty of fluids to ensure proper HY" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was moving furniture yesterday afternoon and later in the evening had to shovel snow. Just after I d moved the furniture I felt a dull pain that made me feel intense pressure in my lower abdomen (in the area where the pubic area meets the belly. The pain became intolerable after I shoveled and I was not able to sit, walk, move, shift or stand without debilitating pain. Moving my right leg creates an unbearable pull in the groin area and the pain is so incredibly painful that I am walking hunched over and with a cane. Sitting creates a piercing pain in my groin and when bathing I noticed that even softly cleansing hurts. I am scared. And the pain seems to be growing worse. What could it be?", "output": "Hello, Perez, Lifting heavy objects and adding other strenuous activity like shoveling snow, can bring on a \"Hernia\" or a rupture. If you heyday inguinal hernia (Small or incomplete), heavy lifting made it worse and you probably have a strangulated hernia. What that means is, there will be a defect in the lining of the lower abdominal muscle and a portion of your intestine protrudes through the defect and gets caught giving you intense pain, nausea, vomiting etc. If you see or feel bulge in the area near the groin, you definitely have this. I recommend that you see your doctor as soon as possible or go to the nearest medical facility for an accurate assessment and treatment. You may need surgical repair of the hernia. Wish you well." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am 33 year old male with 5feet 10 inch and i am overweight 135 kg i have blood pressure i take amlovas at for thti want to know wht type of tests shld i take dute to obesity and ageshld i take heart checkup like tmt or only lipid profile will do the needfuli want to know wh", "output": "Hello, You may get it done ECG, CBP, fasting lipid profile, thyroid profile and blood sugar levels etc. Do regular exercise and yoga. Avoid alcohol consumption and smoking. Use green leafy vegetables and fruits. Check your blood pressure regularly. If no improvement please consult your physician he will examine and treat you accordingly. Take care. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My copper t is getting expired this february. I am 37 yrs old. I want to get myself operated or my hubby. Which is a better option. I hv certain queries.1) Do our stomach get bloated if we put cooper t. as i do regular exercise but stomach is a problem. 2) Do pen looses erection after 50 if they get operated as i saw my dad and my fil having this prob as my mil n mother had discussed that with me. 3) I am type 2 diabetic i take Amryl M 2mg everyday will i have a problem if I get operated.", "output": "Hallow Dear, It is a nice option for a husband to get vasectomized. Throughout the reproduction life of a couple, woman is all the time taking the brunt of bearing a child, bearing pains during delivery, breastfeeding the child, raring a child and so on. What man does is only impregnates her. Now this is only one scope for him where he can cooperate with the wife and get vasectomized. Now coming to your questions:1. Copper T is fitted in the uterine cavity. It has gone no connection whatsoever with digestive system. Hence, there is no possibility for stomach bloating after inserting Copper T.2. In vasectomy, the tubes carrying the sperms from the testis are cut and ligated near the testis. It has got no relation with erection of the penis. Erection of penis is governed by a hormone Testosterone which is produced in the testes and is directly poured in the blood. Since you are type 2 Diabetic, it is likely that your father also is diabetic. Erectile dysfunction is one of the complications of Diabetes.3. So long as your blood sugar is within normal limits, you should not have any problem in undergoing any surgery. However, as I have mentioned in the beginning, vasectomy of man should always be a good option of preference. The sperm carrying tube is cut and ligated near the testes. Hence, the part of the tube distal to the site of surgery do contain sperms which can cause pregnancy. Hence, it is advised that after vasectomy for 3 months of for 15 intercourses, condom should be used to avoid embarrassing situation. I hope this helps you. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ive had a mirena iud in place for 5 years. The doctor try to take it out but couldnt grasps the strings. I had went to the doc originally thinking i was preg. My belly looked 2 mths preg. Neg test. He ordered a ultrasound to see where the iud is situated. Been nausea ous for 2 mths. Took laxatives. Belly went away but im still sick. Whats your advice. Ultrasound on the 15 of this mth.", "output": "Hallow Dear, Since the threads of IRENA are neither visible nor palpable, it is likely that it has migrated outside the uterine cavity - may be in the peritoneal cavity by perforating the uterine walls. Perforation of intrauterine device, particularly in the abdominal cavity can cause nausea, vomiting, abdominal distension, etc. You are having these symptoms for about 2 months. Therefore, it is likely that IRENA has perforated since that date. Your doctor therefore has advised you Ultrasonography. It will locate the position of IRENA. If it has perforated the uterine wall - partially or completely, you will need surgical intervention for removing the device. Please follow your doctors religiously. You need Gynecologists care. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i was painting for 2 days straight in an atic type area...weird angles. my lower back has now been sore for a week. had a therapy massage & there is swelling near my tail bone (upper right side) & a knot the size of a quarter there. hurts to bend down...cant support my weight & feels like I will collapse i I dont hold on to somthing. feels like i want to pop it by stretching on the floor, but it just wont give. want to see a chiro, but insurance doesnt cover that. any advice? heating pad helps, but its not going away.", "output": "Hi, Have gone through your complaints. The back pain is most probably from muscle strain due to non-ergonomic position. The knot sized swelling is mostly a hair follicular infection. The pain from muscular strain can be dealt with by applying hot water packs in the affected area. You should also take complete be Chat Doctor. Once the pain decreases it should help to do back-muscle strengthening exercises. This should prevent further episodes. The best person to see for the pain now would be a physical therapist instead of chiropractitioner. In all probability it will be covered by your insurance. You can also take over-the-counter medications too provided there are no contraindications." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Respected sir r madem! Gud morning. I am a house wife. My age is 28, i have i kid his age 3 years 3 months old. my last delivery is surgery . 2 missed operation. now i would like to another child. but my weight is 65 my heait is 4ft.5in only. 10 kg inrease.i think this is my problem to pragent r any please give ans.", "output": "Hi Welcome to Chat Doctor Obesity causes problems in getting pregnant and once you are pregnant, problems in pregnancy. Physical activity and reduction of weight will improve your chances. Even reduction of 5 kg will be helpful. Consult a dietitian who ll prepare a diet chart for you. Cause of missed abortions should be identified. Congenital abnormalities are common causes leading to abortion. You can start taking tablet folic acid which will reduce chances of anomalies. Consult your doctor for further management. All the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My wife 50 years old wakes up with stiffens entire back pain lower back right and left throbbing and occasionally lower left back sharp pain. The only thing that relieves pain is heat spray.stretching , yoga , heating pad chiropractor just seems to make it worse.", "output": "Hi Hope this message finds you in good health. I have gone through your query in detail and understand your concern. She may be suffering from lumbar spondylosis. Considering her age, she must be having osteoporosis, leading to degenerative disc disease of the lumbar spine. Get her MRI of the lumbar spine done. Physiotherapy, yoga and using a lumbar brace would be helpful. Consult an orthopedist. I hope the answer was useful. Get back to me for any FOLLOW-UP QUERIES anytime. Best wishes" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My entire spine causes sugnfinice pain, my joints feel like achy raw flesh. I hurt 24 7 and ready to give up. I am a burden on my family and Christmas will be much merrier without me, I sit in tears most of the time begging for the strength to end it all, am very dipressed, my doctors just go with the flow they don t get it. If I die I will no longer be in pain-that is my thought process, my wife could be happy with someone who isn t riddled with pain. She deserves better!", "output": "Hello,first you are not feeling well physically, it doesn't mean that it's the end.It's common to feel depressed when you are fighting with the pain.it takes time for doctors to diagnose and understand the illness sometimes.It's the hope and inner positive energy that helps in recovery along with the medical treatment. I would like to know since when you are having the pain in spine and joints?any history of accidental injury? Any family history of same symptoms? Any tests done with specific results? It will be good if you visit one more doctor who is specialist in immunity related disease or a rheumatologist. After your proper examination in person it will be easy to give an opinion as looking at the signs and symptoms. As the symptoms you have said are seen in many illnesses. So do not lose hope, I am sure your family cares for you as much you do. And also I advise you to visit a psychiatrist and a psychotherapist as well for the depression and stress. Few counselling sessions might help you to fight back and feel better.It's very common to feel like that when you are not well." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi my grandson has had a throat infection a week ago an last Monday developed an ear and eye infection,seems like a conjunctivitis.This morning he has some small red spots on his face and two tiny watery ones in his ear.yesterday he was running a temperature,not too high though.Is it linked to chickenpox please/", "output": "Thank you for your queries it could be chicken pox. Chicken pox is a viral (varicella Zoster) disease characterized by flu-like symptoms progressing to development of small itchy, fluid filled vesicles with a reddish base (that start on the face or chest and can be present anywhere on the body including the eye, ear mouth etc.). This then breaks, crusts and heals over a period of 3-4 weeks. Fever is usually mild and the number of vesicles depends on the viral load (severity). The diagnosis is made on clinical findings. There are other infections that can present similarly and may need treatment. I urge you to consult his physician/ pediatrician to confirm the diagnosis. If it is chicken pox, it is usually self limiting and may require only symptomatic relief (fever, itch). HY Chat Doctor. Avoid anything that increases body heat (fatty food, animal fat, oily and spicy food, caffeine to name a few.) Cool " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir My brother aged 48 years has L-4-5 diffuse disc bulge with Left paracentral-left intra foraminal protrusion of disc along with ligamantum flavum hypertrophy causing mild compression on the cal sac and mild narrowing of left lateral foramina with left lateral recsess stenosis . Please advise if any therapy other than surgery is possible for treatment and pain management . Please inform by return mail and oblige.", "output": "Hello, Thanks for the query, Please note that the decision regarding the surgical treatment in patients with disc disease depends upon the clinical data., NOT ON MRI DATA. If there are no signs of neurological deficits pertaining to a nerve root, conservative treatment is sufficient. I am sorry that i donor know your clinical status. Conservative treatment for this problem will be to take medications like Gabapentin, pregabalin etc. along with physiotherapy. If this fails, please get evaluated by a neurologist and if there are signs of nerve root compression, you may opt for surgery later Hope this helps Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Okay so this morning when I went to use the restroom I urinated; it also hurt badly. Not only that when I wiped myself there was light colored blood. This was the only time that this happend to me. Yesterday I did drink heavily. I am female. I also am sexually active. I smoke cigarettes and marijuana every now and then. So that isnt normal. What does it mean?", "output": "Hello. The most common cause of hematuria in young women is the urinary tract infection(UTI). If besides hematuria you have discomfort during urination and increased urinary frequency, UTI is likely diagnosis. Go to your doctor. He can confirm the diagnosis with a sample of your urine or request additional tests if UTI is discarded. I wish you good health.(If the answer has helped you, please indicate this)" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am looking for a good gastroenterologist in Hyderabad for my wife who is having incessant pain in the lower abdomen and after consulting and changing few doctors apart from doing multiple tests I am still unable to decide what to do next. Some say there is lot of water in the small intestine, some say there is intestinal obstruction and some say that the small intestine is entangled. She has lost lot of weight in the due course, has become weak and is not physically and mental doing good. Looking for some good suggestion to help my wife get rid of this problem. Appreciate a quick response. Thank you.", "output": "Hi ! Your wife is possibly having some kind of chronic problem of the intestines. Does she have any low grade fever specially in the evenings ? Does any of her family members or with whom they are friendly received any long term treatment of a few months for chronic cough or any other chronic problem ? I would suggest you to talk to your family physician to investigate her in the lines of tuberculosis of intestines which is a common extra pulmonary tubercular infection in India. Even though all the investigations may look to be normal, intestinal tuberculosis may exist, and only a therapeutic trial may prove it to be the case. However, you must take the advice of your family physician before deciding on any such treatment. A barium meal follows through or a CENT abdomen may also be done to know the status of intestines and other organs of the abdomen. Your family physician can suggest you name of a gastroenterologist at Hyderabad. Hope this will help you out in dealing with your wives condition. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I am a 44 yr old female who is experiencng periodic chest pain, numbness in both hands, pain in back between shoulders, swelling of feet , hands ans ankles. I also experience pain near the sternum area. Im always suffering with nausea and lately ive been vomitting up clear stuff.", "output": "Hi, thank you for asking Chat Doctor I understand your concernsWith this presentation, I think you need proper assessment. The periodic chest pain you are experiencing may be from gastritis or peptic ulcer disease. An antacid and omeprazole could be of help. Concerning the swelling of feet, ankle and hand, I think your heart may be failing and not working proper (right ventricular failure). The numbness can be from a long term complication of high blood pressure, diabetes or electrolyte imbalance. You need clinical assessment and some tests like ECG, ultrasound of the heart, blood electrolyte panel, fasting blood sugar and kidney function tests. I would suggest you see a doctor for proper assessment and management. I hope that helps wish you well" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi I have ingrown hair deep under my skin and out . I have very coarse hair and been taking different medation . I was trying to put the hairs but also founding holes under my skin and white heads and infected all on one side on my face. so tired dealing with it . I neeed the best way to get rid of it", "output": "Hello, Infected whiteheads are treated with antibiotics to reduce inflammation & infection. Medicated creams, ointments & gels (Benzoyl Peroxide, salicylic acid) also work well. Keep your skin clean, avoid excessive sun exposure, remove makeup before going to bed, refrain from squeezing or scratching the whiteheads. Neglected whiteheads can become acne. Acne can cause emotional distress. Get examined by a dermatologist & get treated. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 53 year old woman, for some months now I have had itching around my anus, now I have some moles. I have shown them to the Doctor who says they are OK, but the itching has increased and as far as I can tell another mole has started to grow. What are they? Should I ask for another opinion?", "output": "HiT hanks for your query at Chat Doctor. I understand your concern and situation. Firstly I suggest that you must get your stool test done for routine microscopy to rule parasitic infections. Yeasts (thrush, candida), bacteria and viruses such as the genital wart virus (HPV) can cause skin infections. Yes I suggest that you must get thorough evaluation done again. Keep hygiene maintained and do not irritate the lesion by frequent touching. Do not apply any irritants. You need to go to a surgeon for proper evaluation. Take care Best of health Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had thyroid cancer in 2003 I have been doing good and am cancer free I have been on synthroid from then till now at this time I am taking 137mcg synthroid for A while now of and on I have been having tingling feeling in my face and the top of my head and feel tired and sometimes slow and foggy feeling - could this be a side affect from synthroid after this long", "output": "Hi and welcome to Chat Doctor, thank you for your query. Yes it can be one of the side effects of Synthroid, but also it can be signed of hyper-hypothiroidism so check your hormonal levels as soon as you can. Other possible causes are some neuralgia or psychosomatic diseases and serious diagnoses are rare. So if symptoms persist consult neurologist or consider to change Synthroid dosage in consultation with your doctor. Wish you good health. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I wanted to ask I am a 33yr old female and have been experiencing a strange squeezing heart sensation should i be worried its lasted about 10 days so far and the last time i went to my aerobics class afterward i felt a strange pressure in my chest ?Can you advise?Had a cardiogram was normal but of course heart rate was normal at the time", "output": "At 33, as long as you have no major risk like diabetes, smoking or cocaine use, the chance of heart as a source of symptoms is low. Low is not zero. I will usually review symptoms of reflux (burning, sometimes meal related, often lasting longer than 30 minutes or occurring at rest) and musculoskeletal pain (positional and localized with a finger) and recommend a trial of over the counter heartburn aid. If the symptoms fail to improve, I will usually reassess and consider testing." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir, I have been diagnosed as lumbar spondylosis. Problem is with L-5 and I had severe pain in the lower bottom for two days. Immediately consulted a Sr.Ortho and was hospitalised for pelvic treatment. I did undergo physiotherapy and traction for six days. Now the pain is considerably subsided. I have some queries regarding the dos and donts. 1. Is two wheeler riding considered a total ban in my case. I am wearing a belt on doctors recommendation.2.Is climbing steps a ban in my case. I am working as Administrative Officer in an organisation. I used to carry my office bag in the shoulder. Is it allowed in my case. 3. I used to walk for about three miles in a day. For the last one month I am not going for a walk fearing that the pain may get aggravated. Can I walk. SATHISH KUMAR", "output": "two-wheeler is considerably banned in your case reason is simple in bike we are always trunk forward and potholes or speed breaker can increase your pain and nerve compression climbing steps is ok but considering you lookout your posture. Too much stooping while climbing can cause pain would not suggest 3 miles a day... you can walk a mile or so if you want above all first get yourself relieved from pain via exercises with physiotherapist. Then this precautions will help for sure. For further queries you can contact anytime" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my name is fausto and I been having bad back pain in my back I took an MRI and xrays so wed I got to go for results this all happened when I try to take a bolt of my tire a couple of weeks ago then I heard a crank in my back then I was in bad pain what do you think it is do you think the eperderal will help me because I m in so much pain.", "output": "Hello, I have studied your case and reports these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. Epidural steroid may help. If there is no relief with all conservative measures then decompression with fusion or disc replacement can be done. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been dealing with low platelets for a year now usually running in the 80s, but they have fallen in the 40s and my liver enyzmes or up. My b12 is right at the border of low, low magnesuim etc. I just want to know should I be concerned, they was saying itp but with the low b12 and liver they are sending me back to hemotologist.", "output": "Hello and welcome to Chat Doctor, Low level of vitamin B 12 indicates deficiency of vitamin B 12. Vitamin B 12 deficiencies leads to anemia. Increase in liver enzymes is caused due to damage to the liver cells. This damage can be caused due to infection, inflammation, etc. Low magnesium levels indicate deficiency of magnesium. It seems you that you are suffering from multiple deficiencies. You need to consult your doctor for nutritional supplements and prescription of health supplements- vitamin B 12, folic acid, vitamins and minerals, etc. Low level of platelets can be due to idiopathic thrombocytopenic purpura (ITP). A history of low platelets for more than six months, suggests chronic ITP. This condition are commonly treated with steroids. Consult your doctor for the prescription of the Chat Doctor. Thanks and take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a male age 23. I have been diagnosed with hypertension. The reading I was diagnosed with was around 160/80 when I was 21 years old. I was run through a series of tests which found nothing abnormal with me aside from elevated triglycerides which I was able to control after I took up exercise and reduced my weight by 16 lbs. I was put on Inderal 40mg b.i.d. This medication brought my bp down to 130/80 with a pulse of 72. However I suffered many side effects. Being a student I found it difficult to concentrate or sleep well, I also had nightmares,insomnia and memory loss. So I was switched to Atenolol 50mg which also caused me insomnia and memory loss but was not as bad as Inderal. Over a period of a few months of weight loss and exercise I came to 25mg of Atenolol at which time my Bp was 132/76. But due to the side effects I was switched to Diltiazem CD 120mg. This medication caused no side effects at first but over a period of a few weeks I developed negative moods, a severe headache similar to a migraine 24 by 7, rashes on my forehead, weakness and lethargy, flushing and feeling warm and a warm sensation in the chest area. So I switched back to 12.5mg atenolol. I have tried four drugs till now (propranolol, atenolol, amlodipine and diltiazem), all of which caused adverse effects in me. My doctor insists that these drugs are correct for me and I should make a choice between diltiazem or atenolol. So I stuck with Atenolol 12.5mg which still causes me embarrassing memory lapses and has reduced my academic performance greatly. My question is that since my diastolic bp has always remained normal and only my systolic Bp is elevated, does this mean I have the arteries of an old person? Is it absolutely necessary for a person my age to take medications and if so are there no alternatives with lesser side effects?", "output": "Since you are young, your BP can be well under control with diet weight loss and exercises. But since your doctor has started you on BP medications there must be some indications. You can try telmisartan 20 to 40 mg depending on your blood pressure. But still I would encourage you to concentrate on diet, lifestyle and weight loss. Also have u done a renal artery Doppler or CT abdomen for a Chat Doctor. . Or get urine tested for VMA." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Me and my spouse have been trying to get pregnant again. I have followed all of my OB advice on timing our intercourse. Due to our work schedule we have intercourse early in the morning around 8am every other morning. We seem to be missing the mark still. I have had an ultrasound, and I have great blood flow to both of my ovaries. My spouse is 23 years of age. We have intercourse staring from day 8 of my cycle to day 20 every other day. Should we change it to every morning instead of every other morning?", "output": "DearWelcome to ChatDoctorWe understand your concerns went through your details. I suggest you not to worry much. You are doing everything right as advised by your OB. Good to learn that. Internal factors contribute to conceive than External factors. State of mind, love, affection, intimacy etc. do count. All these emotions do have positive impact on the conceiving. We know about some hormones, but we do not know about so many other hormones., The above said emotion trigger those unknown but effective hormones which can make you conceive. Your timing is right. You are doing well in all other things. But don't just focus your attention towards getting pregnant. But be attentive towards affectionate, lovable and intimate sexual relationship. Enjoy each seconds of sex and conception should happen its own. Remember it is gods gift. Treat it as one. Hope this answers your query. Available for further clarifications. Good luck. God bless you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I ve had implanon for 2 yrs now. When I first got it I bleed for about 6 months .. I have had may 3 periods since then .. maybe! I just recently started being more sexually active and started bleeding again I thought it was related to that but now I have been bleeding for about 3 months now and I m starting to think something is wrong", "output": "Hello, Thanks for posting your query. I have gone through it and understood your concern. Persistent bleeding after settling down with the contraception should call for further evaluation by an expert. You need a proper clinical examination, a sonogram of the pelvis preferably in the trans-vaginal route, blood counts, coagulation and liver profile and urinalysis. Pregnancy should be excluded. Local causes like erosion, polyps and infections should also be excluded. Weight disturbances, stress, infections and use of certain medications create hormone disturbances and can cause such bleeding. Hope you find this information useful. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 30 years old unmarried guy. I had good semen ejaculation up to my 25 yrs age. Since past few years there is problem w.r. to erection , i m not getting excitement for masturbation and i rarely find semen during masturbation. Further i do slight urination in bed in sleep & when i wake up i find semen with urine. Pls help.", "output": "Degree understand your problem. I went through your details. I suggest you not to worry much. The problem of erectile dysfunction could mostly due to psychological causes than organic causes. You talked about masturbation habit. Masturbation is no sin and is pretty normal and natural. Even animals masturbate. Ill concepts about masturbation might have lead towards negative thinking about masturbation and resultant erectile dysfunction. Finding semen in the urine is common. In your case it is because you are not masturbating or having sex. You need to have sexological counseling and sex therapy. Do post a direct query in this website and I shall prescribe some techniques to overcome erectile dysfunction. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have severe lower back pain. It radiates down sciatic in right leg making leg weak non stop pain. 10 yrs ago had radio frequency to kill nerves coming out of facet joints it worked. It s back. Could Celebrex help? I walk 5 miles a day try to keep weight down eat healthy diet low carb no sugar etc had performis syndrome Nuerosurgeon removed performis it was pancaked with sciatic nerve. Pain in buttock area on right side constant", "output": "Dear patient it seems you are suffering from articular pain in the right lower limb most likely due to nerve Compression in the bar spine. Diagnosis needs to be confirmed by doing MRI of the lumbosacral spine with screening of whole spine. Please get it done from radiology center nearby you. Meanwhile, start tab regain x 75 mg one at bedtime. You need to consult spine surgeon with report. Avoid forward bending and weight lifting." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi my name is kellie im 50 years old . i have been have trouble with my elbow and both of my hands go numb. when iam sleeping . it hurts so bad when the felling startsw comeing back. and i also been getting very very bad cramps in my legs i have been takeing leg cramp pills but sometimes they dont work", "output": "Hello, I have studied your case. Due to compression of nerve root there can be tingling numbness in your arm and pain. I will advise you to MRI cervical spine for better diagnosis. You can take reserve forte consulting your doctor then it will be more helpful. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have the implanon in arm for 2 years and keep experiencing excessive bleeding. It starts, lasts for 3 weeks at a time now for atleast seven months. I might break one day to a week and then it is back. I had something different this past 2 months. I had 2 week period and stopped 6-3 and last tues I had some bleeding and stopped before morning. Then yesterday, I started back up and not only this, it has this dead bad smell to it and extreme flow and clotting. I have also severe cramping especially left side, severe sleeping, depressed, and lack of energy. Is all this usual for anyone on implanom?", "output": "Hi, Thanks for the query. Implanon can present with menstrual irregularities. And usually they will get corrected in few months. But as you had excessive bleeding with clots, pain abdomen etc. better to consult gynecologist once and get examined to rule out the possibilities like ectopic pregnancy. You may need one ultrasound. If no abnormality is noted, then the bleeding could be due to hormonal effect only, and you can take additional dose of hormones to control the bleeding. For more details you can ask me through: http://www.ChatDoctor .com/doctors/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "1 during pregant period shall we do sex?2.from which month onwards shall i do sex?3.from which month i want to stop sex during pregant?4we want to put condom during sex when my wife pregantplease i have doubt please clear my doubtplease doctor reply soon...", "output": "Hello dear, I understand your concern. Here are the answers for your queries:-1)Yes you can participate in intercourse during the pregnancy. But it is avoided during the first 3 months and last 2-3 months of pregnancy.2)Condom is not necessary during intercourse as there is no risk of pregnancy.3)In case of complications like spotting or pain abdomen or any vaginal infection better to avoid intercourse during the pregnancy. Have a happy pregnancy and delivery. Hope this helps. Best regards..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My father is 63yrs old and he had his first epilepsy( fits ) in october this year.Then the doctors prescribed him to use Eptoin 100mg twice daily for longtime.I want to know will the epilepsy repeat again and will there be any side effects for prolonged use of these tablets. We are oberving memory loss these days. He is forgetting the the normal daily routine things. please advice.", "output": "Hi USA, Eptoin has been prescribed with a view to preventing further seizures. More importantly, a careful look needs to be made to rule out any underlying cause for the seizures. If indicated, an MRI scan of the brain will be useful as will some blood tests. When a patient is on anticonvulsant medications, there is a risk of seizures recurring especially if there is an underlying cause. A scan will also be helpful in evaluation of the possible causes of the memory loss." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had abdominal pain and a high fever for 2 days. I went to my doctor, and he had me get a CT scan to rule out appendicitis . When I got the scan today, the doctor there said that it is likely that I have Inflamitory Bowel Disease, but that we would need some tests to rule out amoeba (I just got back from traveling Japan). My question is Could an inflamed colon be caused by inserting a finger lubed with anti-bacterial soap in your anus?", "output": "Hello, Jenkins, Sudden onset of fever, abdominal pain and history of recent travel maybe indicative of some form of intestinal infection. I do not believe that cleansing your anus with antibacterial soap had anything to do with this. Your doctor is right in suggesting stool tests to rule out parasites etc. I am not sure if you are also having diarrhea or bloody stools. In general, Inflammatory bowel diseases include ulcerative colitis, crohnsdisease. Bacterial and parasitic conditions can also cause this type of change on a CT-scan. Follow your doctors advise. Wish you well," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I got a problem for the past 2 weeks I it something under my testicles close to my but hole I can t see what it is but a couple times I had blood coming out It feels like the end of my testicle is a little swollen I don t under stand where the blood is coming from what should I do", "output": "Welcome to Chat Doctor I am Chat Doctor and I will help you with your problem have gone through your question, need answers to the following questions for better understanding of your problem-was there any pain or swelling 2wks back in perianal area?- is it bloody discharge or sometimes serous/watery or pus?- what treatment have you tried?Anyhow, with available information it appears to be perianal fistula, which is the most common pathology of this area. It is diagnosed by Digital rectal examination and photocopy. Fistulous Tract is evaluated by MRI Pelvis. Its treatment is surgical removal of the tract under spinal anesthesia. Its relatively simple operation with good result, however outcome is dependent on extent of the tract and its relation to external sphincters. You need to see a general surgeon, who after examination will guide you regarding further evaluation and subsequent treatment. I hope my answer will help you. Do rate it if you like it. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a hysterectomy on 7/29/13 for endometrium cancer, grade 2. The invasion was 6 mm with the thickness of the myometrium of 8 mm, The pathology report was negative for any metastasis and the lymph nodes were all negative. I had a PET/CT Scan on 10/17/13 which was negative for and recurrent or metastatic endometrial carcinoma. I am wondering if I should have radiation to the pelvis as my doctor suggest or not. I am 75 years old, still working and have been healthy until now.", "output": "Hi and thanks for the query, I do not think this is a moment you should bother about having radiation for this cancer. I think the negativity of early examinations to check for invasion of other nearby organs, and also early intervention with the surgery is a high guarantee not to bother. I think for now, you just remain watchful, continue doing the regular check-ups and report any unusual symptoms to your doctor if you notice any. At this point, I do not think you really need radiation therapy. Kind regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was just prescribed Ondansetron for nausea caused by gastro intestinal issues, but I got concerned when I saw it has an effect on brain chemistry like serotonin HT5 something. Does this effect brain chemistry? If so, are these temporary and resume to normal when stopping the medication?", "output": "Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. Question : Does this effect brain chemistry? Answer : Yes. It prevents vomiting by affecting brain chemistry. Without affecting brain chemistry, vomiting cannot be stoppedQuestion : If so, are these temporary and resume to normal when stopping the medication? Answer : When the " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Have a nine month old that was exposed to walking pneumonia for about an hour. He now has a green cruddy nose and hard to breath, some chest congestion, cough at night. No temp today, but slept very poorly last night, up 4 times. Could this be pneumonia? What are the symptoms for an ear infection? Thank you", "output": "Hi, Thank you for asking question on Chat Doctor. To confirm the diagnosis of pneumonia, an x-ray chest is required. It is not possible to diagnose without clinically examining the patient and looking at the x-ray chest. Ear pain, temperature,sometimes discharge from the ears usually exaggerated by upper respiratory tract infection. Hope this answer will serve your purposeless feel free to ask any more queries if requiredTake care Chat Doctor. V. Subrahmanyam MD;Disassociate professor of pediatrics" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have a history of concussions 5yr old inadvertently walked under a swing not knowing that the swing had bin repaired and back in working order. Struggled though school had another when I broke my neck in a trampoline accident . Joined the army suffered another concussion 1962. 2010 fist seizure not diagnosed until later. Late 2011 a fall on ice another concussion. Early 2012 another fall backwards onto concrete caused by a seizure diagnosed as seizure disorder and brain damaged. Fallowing each concussion starting with the trampoline incident I noticed a tremor increase until now I can t even print legibly. My Dr. Doesn t think the concussions have any real baring on my hand tremors sighting my age 72 . Your opinion please. Frustrated Ted", "output": "Only a neurologist who has examined you and seen your MRI could make this call. There are many kinds of tremors with many causes but in the end they are all treated in the same manner generally speaking. So in most cases whether it is related to some distant part of your history or a current one doesn't matter. You should try to figure out what is frustrating you about your situation and speak to him or her about it. That seems like a good starting point" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my baby is 7 months old , last 20 days we give biscuts idly and ceralac last one week daily 10 times loose stools and now some time his stools is green color, what is the reason behind that and doctor says dont feeel he is active and normal urine out put", "output": "Hi... Thank you for consulting in Chat Doctor. It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have recently been diagnosed with pcos and while i know all about the symptoms reatent etc and am currently on treatment, i have a question about its effects on sexuality. im 27 and a virgin. and while ive always had healthy curiosity toward sex, even engaging in cyber when iwas much younger,and knowing about certain aspects of it i shouldnt, seeing things etc, which i know are all ok, ever since i started on the medication, my drive has gone thru the roof. im an intelligent level headed person and alwasy the one hwo thinks ahead etc but lately, maybe im just frustrated after 27 years but lately ive been indulging in webcam sex ona site, sometimes with strangers but i also have 2 people im in regular touch with. while thsoe fun and we know eachother on other levels now, the others makeme feel so awful, yet i cant seem t stop. i used yahoo and the site. i dont go too fra, just top half, and no face ever. but the guilt is eatog me alive. am i normal??? what wrong with me? at first it amde me feel good, more confident, now i just feel perverted. no relationships ever and now these, i feel sad and depressed (not that iwasnt before). so while iv always ahd a noral curiosity, this only started sicne the emdication did. does it have any connection??? how do is stop???? ive already stopped as much, not on the site anymore btu somehow i did once last week. please help. its embarasiing talking to someone , all my friends r married and they wudnt understand. no parenst definitely. what can i do??? whay am i thinking of it constantly???? all the time. at work i work hard, i concentrate but when im not doing that or socialzing with colleagues, im thinking of sex and strange fantasies. please help. a friend once told me last yr that im crany becaise ve never been laid, i need to get laid and ill be in beter mood. i dont know please what can i do?", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. The description of your behavior and cognition is directed towards Obsessive Compulsive Disorder. The more you try to get away from it, the more it will trouble you. Enjoy the fantasies and enjoy the visions. The best method to treat OCD is to be engaged, creative and that helps you ignore obsessive behavior. Give it some time and just enjoy and slowly the problem vanish. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doc im spha i have recently recovered from having dry cough which started when i had flue a few weeks ago which i assume it was caused by stubborn phlegm, i took some cough syrup, phlegm tablets, and venteze teblets and i got better for a few weeks, the problem im currently expiriencing is that my chest is always tight when i wake up every morning, and also feeling cold in my chest, and a few minutes pain on my left side of my chest, what could be the problem doc and what advice would u give me please help cause im really getting worried now", "output": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of post infectious bronchitis is more. Bronchitis (inflammation of airways) is common after viral upper respiratory tract infection (URI - flu). And this can cause chest tightness, congestion etc. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. PUT (pulmonary function test). PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment is based on severity only. You may need inhaled bronchodilator and inhaled corticosteroids (ICS) for Complete relief. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have several pea sized white bumps under my skin, like really small one on palm of my hand an one in between my ring finger and pinky it s almost pea sized hard movable no pain...I m sure it s a cyst of some kind my local Dr. Said they were nothing to worry about an that was 6-7 years ago any thoughts", "output": "Hello, Thank you for contacting us. The chances are that these are completely benign lumps - that is to say that they are nothing serious. There are lots of different benign lumps in the skin. Examples would include lipomas, sebaceous cysts, fibrosis etc. Most of the time we advise to leave them alone. If they start to cause symptoms (e.g. pain, numbness, increasing in size etc.) then we advise surgical removal. I hope this helps. Best wishes, A Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My dog ran into the inner part of my left knee. Has been very sore since, especially when going down the stairs. I made the mistake of trying to run a few days after the injury and now, even several days later I am in excruciating pain. I have mild swelling, which ice is not alleviating.", "output": "Well, obviously, an anti-inflammatory. Aspire or naproxen are anti-inflammatories, Tylenol or ibuprofen at over the counter doses are not. BUT warm compresses may help. Certainly trying to elevate the leg and staying off it will help. BUT, it seems a lot of swelling and injury and duration of problem. There might be more occurring like damage to cartilage or tendons. IF persisting a week, an orthopedist is generally needed for evaluation." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "well i have been having pain it started on my back shoulder blade on the left side.well this morning it has came around the front of my chest and down my left arm i have weakness and pressure in my chest on the top part of my chest it even hurts when i breath deep", "output": "Thanks for your question on Chat Doctor. In my opinion you should consult cardiologist and rule out cardiac cause first.You're all symptoms like chest pressure, tightness, left sided shoulder and chest pain and arm pain, are suggestive of cardiac cause. So get done1. ECG2. 2D Echoed if something comes positiver than go for coronary angiography to rule out coronary obstruction. So better to consult cardiologist and discuss all these." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a lump at the top of my calf muscle in one leg. It is sore like a bruise. Ive been working out but do not recall any pain at any point indicating I pulled or strained it. Its not floating like a nodule and is about the size of a large shooter marble or small golf ball.", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have some soft tissue tumor like lipoma, neurofibroma or dermatofibroma. You should go for biopsy. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have suffering from asthma for 20 yrs from childhood. now i have to take montekulast 10 mg everyday but i get my attacks of asthma daily so i have to use inhaler(salbutamol+beclomethasone). please guide me the right medicine . will this disease severity be reduced in future?i am really in tension about my disease.", "output": "Hi, I had gone through your query and understand your concern. Brief answer:Please do not be so tensed. Yes the disease severity will be reduced in future even you may remain symptoms free if you follow physicians advise and take medicines properly. Detail answer:Your present condition requires stepping up of treatment according to step care guideline. If I were the treating physician, I would first check inhaler technique and triggers like dust, cold,exercise, emotions etc. Then I would advise as follows after objective test:>Try to avoid triggers so far it is possible>Bronchodilator inhaler(e.g. Albuterol) as required.>Increase the dose of steroid inhaler(e.g. Beclomethasone/fluticasone etc.) depending on asthma control>May add other Chat Doctor. Since you require prescribed medicine, so my suggestion is:please consult with a respiratory medicine specialist to confirm the diagnosis by objective test and get proper step care management. Hope this helps you. If you any further query, please feel easy to write us. Wish you have good asthma control. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "After I had neck surgery on herniated disk in my neck that were fused, I developed continuous leg pain down the caf of my leg that sometimes is burning pain ND SOMETIMES THAT A SHARP CONTINUOUS PAIN THAT IS UNBEARABLE. wHILE MY NECK SEEMS OK THIS NEW DEVELOPMENT IS WORSE THAN THE NECK PAIN WAS. COULD BE CAUSING THIS NEW DEVELOPMENT?", "output": "Hi here, welcome to Chat Doctor. Thanks for your question. The leg pain is probably unrelated to your neck pain. Since this pain, is a new development, it should be given due consideration. Pain radiating down the calf of your leg is related to pressure on the S1 nerve in your back, which can be associated with disc degeneration at L5/S1 disc level. Narrowing of blood vessels can also result In similar pain. In either scenarios, it would be prudent to be personally seen and examined by a physician. The initial management will include rest, physiotherapy(like ultrasonic massage or short wave diathermy), analgesics(painkillers) and postural modification. Early investigations like MRI would be indicated if pain is unrelenting with appropriate medicines, any weakness in your leg, foot or toes, new onset numbness or any issues related to passing urine or motions. Since you have mentioned continuous unbearable pain, I would suggest you to get yourselves seen and evaluated by your treating surgeon. Hope this answers your questions. Thank you with best regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi there, I noticed about 2-3 months ago that my right testicle was a little larger than my left (maybe about 7mm or so). It also hangs higher than the left. I have never noticed this before but I never really payed much attention. Now I cannot get it off my mind! It worries me constantly to the point of losing sleep like some sort of quasi-hypochondriac. I have no pain or anything either. Any help would be unbelievably appreciated. D", "output": "Thanks for asking in Chat Doctor forum In short: It is completely normal to the testis to be higher or lower than other. Explanation: Stop thinking about this. Usually one testis is situated always lower than the other. And regarding size please do not measure, if your testicular sensation is normal then be happy and enjoy. (to test testicular sensation, when you press your testis slightly, if it hurts then that testis is completely normal)" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi.I had a biopsy on my lip on Monday of this week. The doc had stitched it with self dissolving stitches. How long will they take to dissolve and is it ok that I put Polysporin ointment on it as it is cracking and is hard to eat/talk.Thank you :)Kathleen", "output": "Hi and thank you so much for this query. These stitches take a while to get absorbed and this should not hinder healing. The problem is not the stitch but rather the infection that seems to be complicating healing. See your doctors for evaluation and treatment as this may require some special wound care. I will not encourage you to put this ointment without a prior wound evaluation. I hope this helps. Furthermore, I wish you well. Thank you so much for using our services and feel free to ask for more information and clarifications if need be." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have swelling of my left eye as well as rashes on my arms, elbows, back of knee, and face. My lips swell periodically and my lips are covered in tiny little dots (feels like sandpaper all the time). I want to know if the fact that I use an e-cigarette with propylene glycol in the juice if I have developed a potential allergy and how do I make this go away. It is becoming very dry, but the rashes are still present. I have not used my e-cig since last night. I stopped all day.", "output": "Hall the symptoms are in favor of Allergy. For diagnosis, you have to find out of allergy in your house, work place. Consult your doctor he would perform some tests for allergy. Blood test for BC Total Eosinophil County G EUrinalysisStool examinations for ova & cystAllergy may be due to food. First stop taking milk for few days. Then egg. One by one every Food items. Avoid cosmetics, fumes,perfumes. Consult your doctor for complete examination.Don't worry you shall BR write. Give you feed back. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "For the past few weeks I have been suffering from a rash type thing that s like small little pimple like bumps that starts in my head and goes into my neck, back and my ears it gets so bad that I scratch till it bleeds. Haven t used anything different than I ve been using before. I have swollen lymph nodes in my neck that swell and then go down, and I also get reoccurring abcesses. Have had tests for thyroid all normal. I have noticed I ve had a lower anger threshold (not sure if it s related ) please help.", "output": "Hi, You seem to suffer from purity simplex most probably. Irritants and allergens may be responsible. Even psychological upsets might exacerbate the disease. Your immunity may be poor, so secondary bacterial infection occurs leading to lymphadenopathy. Consult the dermatologist for the perfect diagnosis and proper treatment. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 3 year old son is having a fever for last 3 days yesterday the doc gave a vaccination for fever to reduce also for cough to come down ... also suffering from sever chest conjestion and cough now he has started passing frothy motion is it because of the mucus or something more serious", "output": "Hi Dear, Understanding your concern. As per your query your child have fever and cough which is due to chest infection due to poor immunity of child. I would suggest you to consult pediatrician once for proper examination as infection has already spread. You should get throat swab test and complete blood profile to find out extent of infection. You should start with antibiotic such as augmenting along with decongestants and anti-inflammatory such as Levocetirizine. Take diet rich in multivitamins. Mantra and leveling syrup is a safe combination for child. For now do warm saline gargles. Take steam inhalation. Take proper rest and keep yourself HY Chat Doctor. Maintain hygiene. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi Goodmorning. We live in south africa (western province) My adopted son is african and has been tired for the past weeks. He is losing some weight,night sweats,nose bleeds and joint pain. We have been incontact with a active TB person and all the red lights started to flicker in this regard. He was tested negative for Hiv when he was 4mnths old. now looking as the whole family each one has a type of symptom, either sore chest,a cough that lingers. We thought it might just be a flu thats lingering in our family. My son is 10yrs old ( healthy in every other regard) TB??", "output": "Thanks for your question on Chat Doctor. In my opinion, it is too early to say tuberculosis only on symptoms. I advise you to consult pediatrician and get done1. CBC (complete blood count)2. Chest x ray3. Ultrasound examination of abdomen.4. X-ray of PNS (para nasal sinuses). All This is needed to diagnose tuberculosis. If all are normal then mostly he is having viral fever (flu). So consult pediatrician and discuss all these." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello, im not sure if its too inappropriate, but its a sexual health question. Me and my girlfriend were fooling around and i stimulated her organ with my hand a few times in previous weeks. yesterday and today she felt nauseated for certain periods of time and she had increased apatite. I m just afraid i did something to her. i never ejaculated inside her because we haven t done any kind of intercourse yet. What i am afraid of is this. I may have ejaculated in my pants and i m afraid i got it on my finger before i inserted it inside her organ. I m really worried. What do i do?", "output": "Hi. I think I have understood your concern. As such chances of pregnancy are very remote with non-penetrative sex act, as you are saying. Semen needs to be spilled in and around vagina to get pregnancy; that too during fertile days of the period-which is between day 10 to 20 of the cycle. In case you are not sure, she can take PLAN B pill within 72 hours of unprotected sex. If she crosses her dates then, get mornings first sample of urine tested for pregnancy. Even if she is pregnant, she can opt for termination with pills safely till 9 weeks. I hope this answer helps you. Thanks Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been feeling a fluttering sensation on the right side of my head at least 2-6 times a month since I can remember. I often have dizzy spells where I will be walking and my vision will go black from the outside. Then I usually sit down to avoid falling, but if I do that, I start seizing slightly. I usually can t feel direction, Gravity, sound or my body movements. After a few seconds, it passes, I get up and go on. But it happens several times a day. I have had an MRI done and nothing is out of the ordinary. No doctors have ever been alarmed at hearing any of this, or maybe they respond, Eat better. What is going on?", "output": "Hi, thank-you for providing the brief history of you. As you mentioned that you have certain symptoms like dizziness, weakness and uncontrolled body movements. Since you have even undergone an MRI which has not revealed anything than it should not be a worry. Because most of the time MRI scan comes normal when there are no symptoms associated at that particular movement. Since you have tried with the physician I will recommend you to try physical therapy. Certain times when there are abnormal neural activity happening in brain tissue, it may lead to abnormal symptoms like dizziness, disturbance in vision, uncontrolled bodily movements etc. which can be controlled by the doing motor exercises. Motor exercises will help to have an active conscious control onto the muscles, and also it will help improve the metabolism and motor functions. I have met certain cases where the symptoms are same, and they got control of their symptoms by regular exercises. As the metabolism is improved it will also help to function of the motor centers of the brain better. Also, the dizziness will reduce. You can discuss the same with your physician. With the grace of God I wish you a speedy recovery regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been having dull pain in lower abdominal/pelvic area. I have an appointment to see my Dr. next week, but it is really bothering me today. This has been going on for about 2 weeks. This past week, I did some yoga and played tennis and it seemed to be a bit better. No so today. Played tennis and it really hurt. I nearly went to urgent care. There are no changes in my urinary or bowell habits and I am generally healthy. Historectomy years ago. No fever or nausia. Any ideas?", "output": "Hi. Thanks for your query. The cause of the dull pain in the pelvis / lower abdominal are can be due to low grade inflammation of the small and / or large intestine. This can be without the obvious symptoms of loose motions or so. Since you have already undergone Hysterectomy, uterus can not be the reason. It is but possible that the ovaries if not removed could have been having cysts or so.Another possibility of the appendicitis and Nephritis (inflammation of the beginning of the colon can be the cause. I would advise you:Actual physical examination by a Doctor, A course of an antibiotic and metronidazole on an empirical ground. Ultrasonography and other tests of blood, urine and stool will all help to get the proper diagnosis and treatment." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been having sharp pains in my chest, not to the left or the right but in the middle. I have put this down to stress or my bra being too tight but this is something that occurs sporadically and does not last a long time. I have noticed that this happens when I breath in.I am a 25 year old woman who does not smoke and have not injured my chest/ribs recently.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Chest pain on breathing can be due to pleurisy (inflammation of pleura) and musculoskeletal pain. So get done chest x-ray first. If this is normal then no need to worry about pleurisy. Musculoskeletal pain is more likely. So apply warm water pad on affected areas. Avoid movements causing pain. Take simple painkiller like paracetamol or ibuprofen.Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, a few days ago I noticed a hard, sore, immobile lump on the back of my head.. on the right side, right where the normal bumps of your skull are. My family says they cannot feel it aside from the normal skull bumps, but I know its not just the normal bump. It seemed to have appeared overnight and is very tender and sore. What could this be?", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have some Desmond cyst or skin adnexal tumor or some other mass. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I HAVE RASHES AND ICHING AROUND MY SCROTUM.THE PROBLEM PERSISTS FOR LAST 15 DAYS.DOCTOR PRESCRIBED ME AN ANTIFUGAL CREAM WHICH I AM USING BUT THE RASHES HAVE NOT VANISHED COMPLETELY.PLZ ADVICE. I AM 30 YEAR MARRIED MALE WITH HEIGHT 5 FEET 3 INCHE AND WEIGHT IS 60 KG", "output": "Hello dear, The symptoms as mentioned in your post suggest that you might be having fungal infection (Tina) in the groin region. Management includes:1. Keeping the area Chat Doctor. 2. Antihistamine preparations like cetirizine to reduce the itching sensation & provide symptomatic relief.3. Application of topical antifungal cream like Clotrimazole to tackle the causative organism. If symptoms still persist or aggravate further, then it will be better to consult a Dermatologist & get a proper examination done to find out the actual cause. So that appropriate management steps could be taken. Also avoid wearing tight undergarments & trousers...as it will cause sweating & predispose to fungal infections. Wishing you a Good Health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi. 3 years ago i went on a night out with mates and took cocaine. the day after i got chest discomfort, nausea lightheaded i went to the hospital who done a ecg, blood test water sample and chest x-ray of which all come back normal. i have been in and out the hospital the past 3years they have never kept me in over night. my chest discomfort is not as bad as what it was i had it constanly when it first started now it comes and goes. i also get pain in left arm and jaw pain in both legs headaches dizziness do you think its heart related or anxiety", "output": "Hello, I understand your concern and would explain that your symptoms seem to be related to anxiety. Nevertheless, I would recommend consulting with your attending physician and performing some tests in order to exclude other possible causes: - an exercise cardiac stress test-complete blood count, PCR, ESR for inflammation- blood electrolytes for possible imbalance-thyroid hormone levels for thyroid gland dysfunction. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a friend who is going thru a stressful time. His best friend was in an accident & may die. He has been visiting the hospital & spending time with the friend s parents. He says hes trying to be strong for them but that he is a mess & will go to therapy next week. What im curious about is that he says he cant talk without wanting to vomit . I have had anxiety attacks etc & I have never experienced this nore ever heard of it. Any idea what could cause it? He has told me that he used to be very anal. (His words) he has also said he has OCD .", "output": "Hello and welcome to Chat Doctor. Thanks for your query. I'm sorry to hear about your friends difficult situation. I hope his therapy helps him to manage his stress. Now, regarding your question, anxiety can manifest itself as psychological as well as physical symptoms. The physical manifestations of anxiety can vary widely and can literally present with symptoms of any system in the body. Moreover, when the mind is anxious / in a state of arousal, there can be a heightened perception of sensations and stimuli, which would otherwise be ignored by a non-anxious person. So, it does make sense that your friends' nausea sensation could be anxiety -related. Please encourage him to see a psychiatrist for a detailed evaluation and management. Wish you all the best. - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor, I am Ragaven 52 years old from Chennai, India.i have an issueFor a very long time, i have a fear of God, thoughts go beyond my control and I fear for thatThough i know i am unduly worried, but my mind doesnt accept fullyDue to that i am unable to concentrate on my work, i am now 52, i have this problem since when i was 17 years oldTo console my mind it takes a long timeEven if someone ask that have i done that to a temple or something if i have not done, i feel i have done a great mistake .", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. I appreciate your belief and faith. That is what every person should have. The problem is your understanding of faith and god. Who is god? Is he your friend or enemy? If he is your enemy why should you worship him? If he is your friend, why do you fear him? We fear enemies and demons. Friend is supposed to help you even if you make mistakes. If god cannot forgive you for your mistakes, how can you worship him? How god can be called god? Ask yourself these questions. You should get the answer for your queries. Still, if you want more clarifications and treatment, please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi there. its about 4 month that Im coughing, its getting worst. phlegm, sometimes yellow,sometimes green ,sometimes white with thin black traces,it looks more like dust,nothing like blood. it makes me go short of breath, sometimes its so bad i cant even finish a sentence, Ive done chest ray and they said its fine. ct scan says chronic sinosite plus other medical terms that i dont understand. i have stopped using perfume, but no changes.In three different countries and climate same caugh,getting worst by day.any clue?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you are mostly having bronchitis. It is inflammation of airways which causes cough, mucus expectoration, breathing difficulty etc. It is not diagnosed by chest x-ray or CT scan. PUT (Pulmonary Function Test) is must for the diagnosis of bronchitis. It will also tell you about severity of the disease and treatment of bronchitis is based on severity only. You will improve with inhaled bronchodilators and inhaled corticosteroid (ICS). Oral combination of antihistamine and anti-inflammatory Chat Doctor. Don't worry, you will be alright. First diagnose yourself and then start appropriate treatment Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was diagnosed with acute pancreatitis in August and was sent for a HIDA Scan. Result was an ejection fraction of 9% at 30 minutes post sincalide, consistent with dysfunctional gallbladder and chronic cholecystitis. I was referred to a surgeon for removal of gallbladder. The surgeon ordered an ultrasound and found distended gallbladder with no stones. He advised against removal of gallbladder and ordered an endoscopic ultrasound which was performed two days ago. The results were normal, but now they want to follow-up with an MRI in 3 months. I am absolutely a non-drinker , but my diet is not great. Also, I have iron deficiency anemia and my blood glucose level is somewhat elevated. I am on the brink of type 2 diabetes. My primary care doc feels very strongly that the gallbladder should be removed, and I am very confused. The surgeon doesnt respect the HIDA Scan. He claims the test is unreliable because it can change on a daily basis. Is this true? Two of my three daughters have had their gallbladders removed. The oldest daughter had acute pancreatitis and had several ultrasounds, none of which showed stones, but did suggest sludge. She became very ill during her pregnancy and had to have gallbladder removed at 18 weeks pregnant. The second daughter had a somewhat different situation, and was found to have a non-functioning gallbladder, which was removed. Both daughters were seen by Cleveland Clinic surgeons, as was I. I truly dont know who to believe, and the surgeon I consulted does not like to be questioned about his decisions. He has an excellent reputation, so I should probably follow his advice, but I dont want pancreatitis again. It was very painful and I was very sick for four days before I went to the ER. Couldnt take a deep breath or swallow without pain in the right upper abdomen and left lower back. Also had fever. Apparently the pancreatitis was in the tail of the pancreas. Help?", "output": "HIT hank for asking to ChatDoctorI think you are more concerned about pancreatitis than cholecystitis, now these are the lesions of pancreas and gallbladder, if the sign and symptoms are server and chances of recurrent of infection is there then you really need surgery, both organ can be treated surgically in one session, discuss it with your surgeon, HIDE is nuclear scan the over all imaging study report entirely depend upon the expert nuclear radiologist or nuclear physicist (Medicine branch) else the reports are highly changeable in comparison with conventional imaging, have nice day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, 5months old couple, my husband having a problem of azoospermia. His medical history: Undescended testis operated at the age of 26yrs. Left testis is at the root of the scrotum, right testis is at the ingunial canal. Is it possible for him to produce a fertile sperm naturally to beacome a father? His FSH-81.", "output": "Howell come to ChatDoctorI really appreciate your concern, if this is the surgical history of descended testes then chances of producing sperm depends upon the presence of cell that produces the sperm and for this better to get done the biopsy and semen analysis, some time sperm can be taken directly from the cell (Semnifirous tubules) if ever presence there, for reproductive purpose, hope this information helps, take care and have a nice day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "what is edema??wether its curable?", "output": "Hi. Welcome to Chat Doctor Edema is leaking of the fluid from blood vessels. The sites of edema vary. It could be legs and feet. It could be on abdomen or face. Why fluids leaks from Blood vessels:1. Increases HY Chat Doctor. Decreases osmotic pressure/decreased protein sex. Protein energy malnutrition The treatment depends on the cause of the edema. The medical science is far advanced to treat edema of any cause. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am trying to determine in laymans terms what the following results from a recent abdominal ultrasound might be indicative of: Both kidneys demonstrate cortical thinning possibly on the basis of renal medical disease. On the left side there is a 14mm long axis exophytic cortical cyst. The left kidney is slightly smaller in overall size when compared to the right with a long axis measurement of 8.4 cm compared to 11.2 on the right. This suggest atrophy.", "output": "Hi, thank you for your query. The renal cortex is the outer portion of the kidney between the renal capsule and the renal medulla. It forms a continuous smooth outer zone in the adult which extends down between the pyramids. It contains the renal corpuscles and the renal tubules except for parts of the loop of Hence which descend into the renal medulla. Furthermore, it also contains blood vessels and cortical collecting ducts. The renal cortex is the part of the kidney where ultrafiltration occurs. Now the thinning of renal cortex as in your case in the left kidney is due to a cyst(fluid filled swelling) which is exophytic (from outside).measuring 14\u00a0mm it is a big cyst which is causing compression of the cortex (outer zone) this leads to atrophy (loss of tissue). Hence the size of the left kidney is smaller than the right one. Hope the explanation answered all of your questions, thank you, wishing you good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello I just anally masterbated and I am now bleeding if I wipe my anus there is no more blood comming out, but I m worried I m bleeding internally , would it come put easy? Or just stay in my rectum at first it was dark red then light red now last I checked dark and striggy. Basically how do I know if I need to go to the ER?", "output": "Hi, Thanks for writing in. Anal masturbation can cause small rupture to the rectal wall and lead to bleeding. If the bleeding has stopped then there is no need to worry. If there is continuous bleeding only then you should go to ER. If their in no more bleeding than please wait for your next bowel movement and observe it carefully for the presence of blood. It may be dark red or black if there was bleeding. Also have soft foods for some days and avoid spices. This will prevent discomfort and allow healing. Anal masturbation must be done by covering the object with a well lubricated condom and deep penetration should be avoided." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My baby is 4 months old he is passing loose stool since for more than 15 days. we consulted doctor and stool R/E was done on 23.07.2014 and the following result was found: PUS Cells - numerous, RBCs 4-6, macrophages (+), Parasites : Nil. Doctors prescribed CEFIXIME 100mg/5ml and folic acid 5mg tablet. Medicines are being taken 2 times daily since 23.07.2014 but still loose motion is continuing, what do we do?", "output": "Thank you for the question. It seems the child is suffering from intestinal infection. Its almost five days since antibiotic was started. Needs to visit the doctor again and get investigated for the causative organism. If he is breastfed add half sachet of Lactobacillus (sporran) in expressed milk and give him. Repeat three times a day. This will help to establish intestinal flora back to normalcy. If top fed then check if cleansing and sterilization of utensils and personal hygiene of the feeding person is up to the mark." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, In June this year my spleen got badly ruptered and I had to undergo emergency surgery to have it removed. I now have a huge scar down the centre of my stomach and have to take penicillen for life. I am 26 years old. I was just wondering will I now have any complications getting pregnant and also how will this effect my scar? What is the recommended time I have to wait following surgery to try for a baby? I ask this as I may be healed on the outside but it obviously takes much longer for the scar tissue and muscle to heal inside.Hope you will kindly answer my questions.Thanks.Jodie", "output": "Hallow Dear, Absence of spleen per se should not affect the course of pregnancy neither should it cause any problem in becoming pregnant. However, after the surgery, if you have developed lots of adhesions inside the abdominal cavity, it may cause problem in the tubes which will affect the transport of the egg to the uterus. Then, it may lead to infertility. This can be assessed by Hysterosalpingography/Laparoscopy. The scar on the abdomen should not cause any problem in the progress of pregnancy and delivery, provided the abdominal muscles have been well approximated, and the scar has healed good in its full thickness. Your scar is on the abdominal wall and not on the uterus. So it should not create any problem in the progress of pregnancy nor labor. You may go for pregnancy anytime after 6 months of the surgery. However, since it was an emergency surgery, you should get your blood examined for its normal values. Usually splenic rupture leads to a lot of bleeding. Please see that you have regained all your blood parameters to normalcy before you become pregnant. You should get your health checked up from an Obstetrician and get green signal for becoming pregnant. As it is, pregnancy is a condition which dilutes the blood. Pregnancy is an additional burden the body. Meanwhile, right from today, start consuming high protein diet with lots of minerals and micronutrients with special attention to iron and Folic acid. This will help improve your general health which is absolute requirement of pregnancy and motherhood. If you are tolerating Penicillin, it should sot create any issue during pregnancy, labor or breastfeeding. I hope this helps you today. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. MY boyfriend had an abcessed tooth and he had a hole on his jaw/check where puss was coming out. The problem is its been about a year and a half and the hole (with a bump on the jaw) and the puss is still there .Could you help? -worried", "output": "Hello, Thanks for consulting ChatDoctorRead your query as your friend had abscess in tooth this pus formation can be due to carious tooth or due to poor periodontal condition. If pus formation is due to carious tooth then treatment can be done is root canal treatment and if pus formation is due to periodontal problem then go for scaling and curettage. I will suggest you to do warm saline rinses 2 -3 time a day, brush your teeth twice daily and consult dentist for oral examination and treatment. Hope this will help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I feel nauseous, tired, light headed somewhat in a weird way, my stomach hurts, I have green poop, my lower abdomen aches and I have a slight headache. I try to sleep but I cant! I somehow feel as tho Ive done this to myself by overthinking my situation, I have a slight toothache but thats unrelated I think. Any idea as to what I should do or is this just my mind playing tricks on me? I have a crazy fear of puking for some reason it panics me when I feel this way.", "output": "Hi. Thanks for your query. The probable cause for all your symptoms of nausea, tiredness, pain in abdomen, headache and green poop is a severe Intestinal Infection called Gastroenteritis due to Waterborne infection with bacteremia. I would advise you the following:Get the tests:Blood-CBC for infection, blood culture and routine. Urine RoutineS tool- routine, culture and sensitivity. Visit a Doctor to see for vital and get an appropriate treatment in the form of antibiotic, metronidazole, activated charcoal, probiotics and intravenous fluids if there is deny Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here... hi my name is emmaly and I was wondering about my niece and that she has a runny nose sinus congestion green snot and a cough and I dont know what to do. She is so congested that it sounds like she is having trouble breathing. Could u help cause from the look of it, its looks like a sinus infection and allergies togther", "output": "Hi, I understand your query. Sinus infection is due to blockage of sinus outlet by allergic inflammation/ thick mucus plug... collected secretions in sinuses get infected to form sinusitis. The origin of all the symptoms being similar (allergy,-congestion- infection)& there being anatomical connection between Throat-nose- sinus, common cold, sinusitis, throat & lung involvements tend to follow each other/ seen all together. The breathing trouble can be due to congestion & blocked nostrils Or allergic bronchitis A sufficient course of suitable antibiotic/ anti-inflammatory & anti-allergic Chat Doctor. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been having moderate to severe upper and mid-section abdominal pain, bloating, nausea and vomiting for 3 days. The pain worsens when I eat or drink anything. No diarrhea but I do feel lighty feverish. I get light sharp pains in the upper right quadrant every once in a while and my chest feels tight and a light burning sensation. Does this warrant a trip to the ER?", "output": "Hi dear, It will be better to discuss with a gastroenterologist. Abdominal pain have different etiology. You have to give us some more details to differentiate them. Your pain is from upper mid-section means it is related to lower esophagus, stomach,parts of small intestine, pancreas,transverse colon, abdominal aorta. Burning sensation indicates it has some relation to stomach and esophagus. Nausea and vomiting ; projectile vomiting from obstruction or toxicity. Others may be appendicitis, pancreatitis, hepatitis. If you are vomiting soon after food intake it may be from gastric ulcer or upper gastrointestinal obstruction. You had just mentioned that you have no diarrhea, but is there a satisfactory bowel? If not indicates chances of obstruction. Fever suggests infection. These all are the possibilities. Hence, there are several factors to consider before final diagnosis I suggest discussing with a gastroenterologist if symptoms persist. In my opinion your symptoms may be from gastric ulcer or appendicitis as it is epigastric, increase with eating or Chat Doctor. With thanks, take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "well ive been coughing up blood for past 3-5 months. I have been to doctors to have blood test and x-ray but they came back clear and the doctor says nothings wrong with me but its still going on and its got alot worse as the blood is dark red and its happend about 5times a day its alot of blood as well as well with the blood ive been feeling dizzy and weak. I have also got pain on left side of my stomach and back and im loseing my apitit to eat and been loseing weight.", "output": "Hi Dear, Welcome to Chat Doctor. Understamding your concern. As per your query you have blood in sputum while coughing which is known as hemoptysis could be due to inflammation of any vessel in lungs, due to throat irritation because of acid reflux. Need not worry about it. You should visit pulmonologist once and get CT scan chest done. You should go for bronchoscopy as well. Furthermore, you should start medication after proper diagnosis. Sputum test and smear culture should be done. Till then take antibiotic along with anti-inflammatory Chat Doctor. Avoid use of cold liquid substances. Avoid spicy, sharp and oily food. You should take steam inhalation. Take diet rich in multivitamins. You should gargle daily. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ok, I have had an abcess in the lower part of my mouth (gum) for three weeks...I have had three different types of antibiotics for 10 days each....And nothing seems to dry up the abcess...but I notice as I chew food on the oppositie side of my mouth...the abcess seems to swell and become larger..What could this possible be?", "output": "Hello, As abscess over the gum can be due to causes like either gum boil or a gum abscess or can be due to decay in the tooth over the gum due to pus formation below the root tips of the tooth. So, first consult an Oral Physician and get evaluated so that the exact cause can be ruled out. An x-ray can also be done for confirmation. If it is a gum boil, localized cleaning or scaling of the gum followed by a course of antibiotics like Metronidazole can help in resolution. If it is a tooth abscess, then Root canal treatment can be done followed by a course of antibiotics like Augmenting and painkillers to resolve the infection faster. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i m female of 30 years. before two days i done my liposuction from butuk and theighs. yesterday night i got 102 fever and today again fever is 100. feel much pain and sweeling treated area. kindly write me the best treatment for relief pain in full body and half head. and what i take for fever.", "output": "Hello, I understand your concern. I am Chat Doctor, infectious disease specialist, answering your concern. You should continue with the antibiotic prescribed after surgery. For pain and fever you can take the combination of the Tab Diclofenac and paracetamol. Please maintain hygiene by means of regular cleaning and Chat Doctor. This simple measure can help you a lot in healing. Please apply Betadine and polypoid on the site at the time " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 7 year old son woke up in the morning with a swollen face. I rushed him to the ER and they diagnosed with viral parotitis and ruled out mumps due to the fact he has had both immunizations (MMR). No blood test was done. I followed up with primary care doc the following day and they too agreed with the viral parotitis diagnostic. No tests were done. The following day he woke up with a rash all over body. Their are bumps spiratic all over his body (not a lot but bumps but all over here and there) some are small with a whitehead and some are just red. Under both of his armpits are covered in large red bumps under the skin (dime or nickel sized). I m taking him to the doctor again tomorrow. Do you agree with the viral parotitis diagnostic even considering the rash? Why aren t they doing a blood test or virus test? I m concerned about something more serious like meningitis etc.) He is healthy, no allergies, and hasnt been sick much in his life (other than 2 ear tubes surgeries from repeat ear infections). Thank you, Concerned Mother", "output": "Hello, I can understand your concern. The body rashes that have suddenly appeared seem to be viral in origin. Thus, the presence of rashes in fact confirms the diagnosis of the doctor of your son suffering from viral parotitis. Meningitis symptoms include more severe central nervous system related symptoms, so please do not worry about it as your son is not presenting any symptoms of meningitis. The diagnosis of parotitis is very easy due to its specific swelling location and the age of the child. So it does not require tests to be done every time for diagnosis. In addition, it resolves in about 7-10 days without any specific treatment and providing only symptomatic treatment as and when needed. I hope this information clears your doubts. Thank you for choosing Chat Doctor. I wish your son feels better soon. Best," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor and thank you ! I just Of recent came down with a slight case of shingles diagnosed about 4 days rash started on left arm and back of neck and one rash bump on right toe and ne rash shingle pimple on top of outside right ear ! Just was severity of itching and some uncontrollable scratching on my part but no pain at all --from additionally as the suffer chronic bab mirgraines and back pain ! I was given antibiotic levaquin and The aclovir stuff ! I have been taking medicine regularly and went back to doctor with healed up where the other blisters were almost completely:) That was over the weekend had doc visit , now the rash has seem to be re-surfacing on my right arm ; do you know why it is returning after healing and appeared to be light case to begin witChatDoctorpared to others?", "output": "HI, thanks for using Chat Doctor This rash can sometimes occur in stages, some areas are appearing when others are healing. It is the same as the original infection with chicken pox which would have been years prior. You would need to speak to your doctor and continue your antiviral as prescribed. Would also need to consider the shingles' vaccine if you qualify to prevent future breakouts. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am a 30 years old guy.i am suffering from fungus infections on my fingers of my legs from last 10 years.i have taken lots of treatment regarding this but no benifit is there.from last 1-2 year i am also suffering from little bit headche always n my all physic are tired always.not getting proper sleep too.have problem in taking breaths also when on bed", "output": "Hello there. I m Chat Doctor. Before going for any antifungal treatment we need to know which type of fungal agent is responsible for yr complain. So you need to go for culture identification report from a realize microbiological laboratory and by microbiologist doctor. Causative agent may be any of Tania or any superficial or subcutaneous type of fungus infection. So first go for culture identification as suggested and after that u need to go for examination by a doctor. So please do as suggested. Hope you are satisfied by my answer. Plz rate my answer according to yr satisfactory level. Thanking you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 4 year old grandson was diagnosed with Legg Perthes(?) today. The ball of the hip joint is completely gone. He woke up in pain weekend before last, could not walk all that day. Symptoms disappeared by next day. Was seen by his Dr. and referred to specialist. The diagnosis was given today. What does this mean and how could this happen so quickly? Parents are very vigilant and careful, little one is very active.", "output": "Legg-Calve-Perthes disease (LCPD) is idiopathic avascular necrosis (osteoporosis) of the capital epiphysis of the femoral head. Etiology is unclear, but it is likely caused by an interruption of the blood supply to the capital femoral epiphysis. There may be an associated hypercoagulability state (factor V Leiden).LCPD commonly presents in patients 3 to 12 years of age, with a mean age of 7 years. It is four to five times more common in boys. Usually LCPD is a self limiting disease, followed through a pediatric orthopedist. Treatment is basically for pain and restoration of the hip movement. Containment is important in treatment. non-surgical containment include casts and orthoses. Whereas surgical containment is accomplished with osteotomies of the proximal femur and pelvis. E short-term prognosis is determined by the magnitude of the femoral head deformity an her healing has completed. It is improved by early diagnosis, good follow-up, and compliance with the treatment plan" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor my friends dad has been advised to under go angiogram because his tmt test should a little positive is there any alternative to regular angiogram done by inserting a tube from the thigh his age is 60 years height is 5.4 having sugar hbc of 7.2 and bp of 130/90 on losacar,for sugar he is not taking any tablets", "output": "Hello! Welcome and thank you for asking on Chat Doctor! A TMT positive tests indicates possible coronary artery disease. In such case coronary angiogram would be the golden standard test to examine the blood flow in the coronary arteries and also possibly treat coronary artery disease (with stent implantation). Anyway, if your friend does not want to take the risks of this miniinvasive procedure, he can perform a nuclear stress test or coronary Anglo CT scan, which are not as exact as coronary angiogram, but are less invasive. But, you should know that if these tests result abnormal, the next step would be coronary angiogram. Hope you will find this answer helpful! Kind regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im 37, 220lbs, male, on blood pressure medicinei went to the Dr for a checkup and they did normal blood work. Came back with elevated liver enzymes. So they tested me for hepatitis and it came back negative. Went back a month later and tested again, still elevated so they sent me for an ultrasound, whicChatDoctore back normal. Now he wants me to go to a gastroenterologist. Was wondering what to expect and what could be the problem. I feel fine but now am wondering if Ive got something serious going on.", "output": "Hi and welcome to Chat Doctor. It would be easier if you've posted the exact liver enzymes findings. Its elevation is common found in many disorders must most usually is alcoholic, viral, autoimmune or toxic liver damage. The most common liver disorders are fatty liver which can be found in healthy people, but usually is resulting from elevated blood lipids, overweight and elevated blood sugar. If ultrasounds didn't find anything and viral markers are negative then you have no reason to be concerned. You should treat it by changing dietary and lifestyle habits. Do exercise, avoid alcohol, smoking, fats, fast food and carbonated Chat Doctor. Eat more fruit and vegetables, boiled meat and follow some of hepatoprotective diets. Findings usually improves on such measures. If not, then some medicines can be prescribed, but I suggest going step by step. If you don't have any symptoms then this is just slight and reversible liver damage. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My name is Curtis and I was diagnosed with diverticulitis in 2008. I had to have 8 inches of my colon removed 10 days age. The surgeon removed the bad section of colon, put it back together and stapled my abdomen back up...the incision appears to be healing well. The problem is that while my surgery was 10 days ago...I still cannot stand to eat food. All foods taste horrible to me and sometimes getting a small amount of food and just looking at it makes me a little sick. Things like bread and such are the worst, it tastes awful when I eat it. It seems the sweeter something is though, the easier it is for me to choke it down real fast so that I dont die of starvation. How long should food taste so awful and when should I be back to eating normally again?", "output": "Hi Curtis welcome to Chat Doctor forum. Thanks for asking a question to Chat Doctor. Forum. You got 8 inches of the colon removed 10 days ago. Healing is fine, you have got change in taste, and anorexia. As it is the 10th day of post operated period, it will take time for the G, I.system to get accommodated, and get digestion takes place normally. During this period there will be some stagnation of the remaining colon and some adhesions around the sutures will be there. Once all these are adjusted you will have a normal appetite, and taste. I advise you to consult you doctor for menu and diet program. I also advise you to take more of water and liquids and semi solids as for as possible. Wishing for a quick and complete recovery. Best regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doc, my Mom was diagnosed with Klebsiella pneumonia. She is a 73 year old lady, and we are really worried about this, she seems to have major anxiety issues, to a point where where we think she may be considering doing something harmful to herself. Is it possible that this infection can be causing these symptoms?", "output": "! I have read the query, and it says that the patients had developed anxiety issues after having an attack of klebsiella pneumonia. I want to tell you that it is a common finding that even an otherwise normal person can develop anxiety / depression after an attack of flu/ viral/ pneumonia. Furthermore, I have seen it many times in my clinical practice. However, the way you have written in the question (that she might harm herself), I would definitely like to confirm the diagnosis - I suspect that the patients may be having psychosis and not just anxiety. It is commonly seen that -at this old age, after a bout of serious illness, the patient develops psychosis more commonly compared to anxiety. However, this cannot be confirmed - if it is an anxiety or psychosis, without a detailed mentioning of symptoms. So, you should meet a psychiatrist in person and discuss her symptoms, only then exact medicine can be started. I can assure you that with right medicine, even a very old patient gets well safely. So, please donor worry.## it will help to get her serum electrolytes and kidney function test done before going for any medicine at her age.###Hope there reply is usefulness free to ask more questions" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a swallen throat. Its not sore. It is painfull it hurts to swallow and yawn and even just turning or touching my neck. It is towards the bottem part of my throat and feels like a lump or something might be stuck but there isnt anything stuck. Please help", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have granular pharyngitis. You should take c course of antibiotics like azithromycin. Furthermore, you should also take antihistamines and saline water gargles. Furthermore, you will get benefit. Consult your doctor and start treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Dr, This is manjeet kumar from new Delhi. Since last 2 days I am having headache and little fever. Also feeling weakness. Last year in the month of June I got affected with Typhoid. And I am thinking that it could be the same this time also. Please suggest me some first add.", "output": "HelloTyphoid fever (enteric fever) is a systemic disease characterized by fever, & abdominal pain caused by SALMONELLA TY PHI & PARATYPHOID for which humans are the only hosts. Symptoms are prolonged fever, headache, chills, anorexia, and abdominal pain are the common symptoms. Other symptoms include:sweating, cough, malaise, arthralgia. Nausea, vomiting & diarrhea. Diagnosis Positive culture of BLOOD, STOOL & OTHER SPECIMENS required for diagnosis. Treatment :Ciprofloxacin 500 mg twice in day for 2-4 weeks is the Chat Doctor. Others are ceftriaxone 1 gm twice in day for 7-14 days OR azathioprim 500 mg once in day for 14 days. So deal as mentioned above. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My cousin tyler was in a train accident and he s in terrible shape, he has been in the hospital for 2 months but now he s a nursing home.He can t talk, can t move,can t even tell you what he s thinking. He dosent understand what your saying he can look at you and hear it and he can t eat there having to feed him with a feeding and he s lost so much weight that it don t even look like tyler anymore.. After 2 months he just now found out he had a brain injury and that were trying to get him better, his hands are bent in to wear there unreversable and he can t move is body its just mostly the muscles moving his body.So please help tyler he needs some type of better therapy to help him to make him better and there saying he s not gonna get much better i know that he can we jut=st have to believe. we need to know if theres a surgery to help him.", "output": "Hello, Tyler has a brain injury which has lead all his system controls especially his movements and swallowing compromised. He may recover slowly if he is relatively young (age?). His recovery is expected slowly over the passage of time (maximum 2 years). What you need to do a moment is to make him do physiotherapy daily of whole body to avoid contractures. Feed him regularly and daily via tube to ensure he meets his feeding requirements. Keep his skin especially his genital area skin washed and cleaned or moped thrice a day. He needs to do a postural change (assisted) every 2 hours to avoid bed sores. His recovery is slow and meanwhile needs maintenance therapy, the one I mentioned. Surgery can't bring a change but yes, if there is something more correctable problem like a blocked water flow (post-traumatic HY Chat Doctor. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my child aged about 3 and halfgot high fever and mild seizure for 4to minutes. stool test revealed ocult blood positive pus cell 6to7 and rbc 4to6 nilova and nilcyst...that is after 2days mdeication for for reducing fever with antibiotics and seizure prevention.what could be the reason for high fever,and rbc presence", "output": "Hi...febrile seizures are seizures which occur during high fever in some kids. They usually occur from 6 months to 6 years of age and usually are self limiting after 6 years of age. They usually do not leave any focal neurological deficits also. Rather than the height of the temperature the rapidity of rise of temperature is more important. In general, antiepileptic therapy, continuous or intermittent, is not recommended for child Chat Doctor. Parents should be counseled about the relative risks of recurrence of febrile seizures and recurrence of epilepsy, educated on how to handle a seizure acutely, and given emotional support. Viral illness can cause RBC presence in the urine and also high grade fever like this. But most importantly in-between 2 fever episodes the kid will be active. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am having some strange symptoms in what I think is my urethra (male). Symptoms started after sex but I have been tested for Chlamydia and a general infection, both negative. Its impossible for it to be an STD. I didnt ejaculate during sex but did so when I masturbated the following day, which is when the symptoms started. It felt as though the ejaculate had to force its way out of a specific part of my urethra (just above halfway in shaft). Since then the symptoms have been: constant scratchy/itchy/tight sensation in the urethra, in addition to slight burning on urination and a feeling of needing to urinate more, although this is partly from concentrating on the issue. I have not had any sexual activity, including masturbation, for the past week and a half to see if the problem goes away. It has improved but the symptoms are still noticeable and dont give the impression of totally going. Like I said, an infection has been ruled out so I am worrying if there is some form of urethral damage.", "output": "HelloThanks for query. Based on the facts that you have posted I think you have developed Stricture of the urethra (Narrowing of Urethra). It needs to be confirmed by radiological test called Cystourethrogram. Consult qualified Urologist and get this test done under his guidance, If turns out to be positive he may advise you to undergo endoscopic surgery called V. I U (Visual Internal Ureterotomy) to widen the structured segment of urethra. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have a 4months old baby. last night i had sex with my husband and the condom got busted. i expect my period on the 23rd of january (which is in a few days). however i just purchased gynaecosid tablets, do i go ahead and take them? what are the side effects?", "output": "Hi.I've gone through your query and I can understand your anxiety. If there is history of unprotected sex during the period of breastfeeding, there are high chances of pregnancy. To avoid it, you can safely go ahead with hormonal methods of contraception either as birth control pills or implants or IRENA. As you have taken gynaecosid pill, It's safe to use during breastfeeding & it won't cause any harm to the baby. But can expect common side effects of birth control pills like Nausea, vomiting, headache, breast tenderness, abdominal bloating, swelling of the ankles, weight gain, irregular periods etc. Hope I have answered your query. Let me know if I can assist you further. Take care. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello 49 years old, not overweight and exercising quite a lot. Lots of stress at work, and somewhat highish cholesterol level, low blood pressure Q- some times (once a month to once a week) I have an accelerated heart beat for about 5 beats and then it goes away until the next time. Is that a problem, should I seek medical attention?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Uncontrolled stress can also cause palpitations and similar symptoms. But since you are having high cholesterol levels, we should rule out heart diseases like arrhythmia first. So first get done ECG, 2d echo and Holder monitoring (24 hours continuous recording of ECG). If all these are normal then no need to worry about arrhythmia or other heart diseases. Start lipid lowering Chat Doctor. Continue exercise and avoid oily and fatty food. Consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 13 month baby boy has been diagnosed with glue ear doctor gave me handy tips like drops and cotton wool in ears at bath time to help him along until his actual hearing test however my baby cries alot and we dont think its just the pain and frustration of his ears but a little spoiled any advice?", "output": "Glue ear or medically speaking : Otis media with effusion causes discomfort and serious delay in language or speak if it causes conductive hearing loss, so the discomfort is real and crying episodes are due to this illness however, there are new guidelines for the treatment of such conditions published by the American Academy of Pediatrics , one of them is performing a hearing test if the has been more than 3 months of the problem, and if the child shows any abnormality then becomes a candidate for tympanostomy, which is a simple procedure which involves making a hole of ear Chat Doctor. Antibiotic therapy is of a little benefit here, the usage of it has special circumstances. You can ease the nights by paracetamol suppositories waiting for the hearing test I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My hair is falling out. I am eating pretty healthy, exercising frequently and taking multi vitamin supplements. Recently after washing my hair I ve discovered that along with lots of hair on my hands I had a lot of white hair roots on my head. I m really concerned about it. Should I consult a doctor and take a blood test?", "output": "Hi there.1. Your concern is halogen effluvium along with premature cavities.2. it's a temporary hair loss.3. We can further prevent grain of hair and control the hair fall.4. You can try beloved forte, hair supplements daily one after breakfast for 4 weeks, along with coliseum serum, once daily bedtime. Gently massage the serum into the roots.5. Wash your scalp with soft water. This will help you, don't worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I gag every morning and evening. I have to spit brown thick snot out every few minuets. Lately my throat is sore. I have a cough that is so bad I have blacked out once. I get dizzy all the time from coughing. I only sleep a few minuets at time before coughing wakes me up. Sometimes the coughing and sore throat goes away.The gaging to the lesser degree I had for 30 years. Lately the gaging is more often with some vomting", "output": "Hi thanks for contacting Chat Doctor . Noted you have severe productive cough with sore throat.... Here respiratory cause has to be ruled out... You could have bronchitis like infection or if purulent sputum there bronchiectasis also has to be ruled out... Chest x-ray first done in your case to rule out cause... Your physical resp examination needs to be done with auscultation... You might have given amoxiclav like antibiotic... For cough expectoration bucolic Chat Doctor. ..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "One of my close friend recently tested his blood. His SGPT (ALT) reads 77 and SGOT 40. Certainly they are above the desired levels. What precautions should he start to take now. He is a regular drinker 90-100 ml, he keeps this habit in order to get good sleep. Are his SGPT and SGOT levels too alarming / too high that he should immediately stop alchohol. Or can he control it using some medicines to reduce the level?", "output": "Hello Thanks for writing to ChatDoctorIncreased SGPT indicates liver injury. Increase in SGPT may be due to many reasons like hepatitis, alcohol intake, altered lipid profile, medicines,autoimmune causes etc. In your friends case, increased SGPT is due to alcohol intake. He needs few more investigations like random blood sugar(RBS), renal function test(RFT), Lipid profile, GGT level, viral markers, complete liver function test, urine RE/ME. He should avoid fried and junk food and avoid alcohol completely. Medicines should be prescribed after complete investigations. I suggest my patients to take tablet ursodeoxycholic acid 300 mg twice daily after food for three months. This help in regeneration of liver cells. Get well soon. Hope I have answered your question. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Dr, I was on antibiotics and two other medicines to treat tummy bugs last week and had a bad reaction to those medicines, afterwards told by GP that my liver is overfunctioning after a blood test. I am worried, what will happen now, what does it mean ?PratibhaSorry, I thought it was free, I can not pay.", "output": "Hi thanks for asking question. You have not mentioned which antibiotic you are using?? There is no terminology like over functioning of liver. Your liver profile might be altered with high value of Sept or got....USG done for fatty liver. For rule out viral hepatitis viral marker done. If you have malabsorption like because of celiac disease then also enzymes value can be high. If you are using Chat Doctor. For your gastric problem if you provide detail history of pain, diarrhea or any other complain then further guidance to you van given. Take care....." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "SIR I AM IN A GREAT PROMBLEM MY NANNY IS SICK FROM NEARLY 3 MONTHS . SHE EVEN DOESNT LIKE TO EAT ANY THING. AND FOR THAT HER HAEMOGLOBIN% BLOOD HAS LOWERED. IN ULTRASONOGRAPHY OF UPPER ABDOMEN THERE IS A NEGATIVE RESULT ON LIVER SO I WANT TO KNOW THAT HOW CAN I GET OUT OF THIS PROBLEM", "output": "Hello and thanks you for your query. I am Chat Doctor and I will try to help you as much as I can with my answer. You should consider some.other causes of her symptoms, in first case, stomach and bowel, so she should do endoscopy or ct scan to verify these organs. Liver is just one possible cause. I hope I have answered you query. If you have any further questions you can contact us. Kindly regards. Wish you a good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a friend who developed typhoid fever from a swimmimg pool in india when he was a child. He was quite weak for some years following. He is now suffering from a series of mental disorders. could the side of having typhoid fever cause neurological damage such as narcissism or paranoia/schizophrenia?", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. I sincerely suggest that typhoid fever alone may not cause the given mental disorders. But the complications associated with typhoid fever / medicines used to treat typhoid fever could be the cause. Please work with your physician to know the correct reason and diagnosis. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have anxiety and the past few says have had anxiety all day and a nauseous detached feeling..a feeling of my familiar spaces feeling different to me..I have been on Zoloft for about 10 years and haven t has this feeling for a really long time..what could cause this..is it anxiety?", "output": "Anxiety may cause this feeling of detachment from surrounding. Such feelings of unfamiliarity with surroundings are also seen in other conditions (such as migraine, with use of recreational Chat Doctor. In my practice, I often see these in patients of panic disorder and sometimes in migraines; treatment of these conditions gives relief from this symptom too. Zoloft is not likely to be the cause for this feeling. In my opinion, you should continue Zoloft and report the symptom, along with any other complaints you may have, to your doctor during your next appointment. I hope this answers your question." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello: about 45 mins ago I was in the bathroom with my toddlers and I went to throw something away. when I went to turn around, I smacked my head into a wall. There was a bump the size of a quarter on my forehead. I hit my head just to the right of the middle. I put ice on the bump and it has gone down. However, I feel sleepy right now. I took some advil too. I am not throwing up, no fever. I just feel a bit sleepy and out of it. is this normal?", "output": "Hello and welcomed not worry you will be fine. These bumps are produced as a result an immune mechanism to the injury by a process called Inflammation it is characterized by redness, pain,swelling, hotness. Alarming symptoms in head injury are severe headache, vomiting, vision changes and disorientation. And you do not have these symptoms.You'd done food to apply the ice packs. For pain, you can use ibuprofen 400 mg three times a day. You will be ok in a week. Hope you understand. ThanksBye" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "12 year old boy has mid to upper left abdomen pain and lower body temp of 95s, yet he feels hot all the time. was told to take acetaminophen and should pass. has not passed, although periodically better. is it possible to have gallstones this young?", "output": "Dear Friend, greetings from Chat Doctor... I understand your concern . Gal bladder is on right upper qua Chat Doctor. . Very unlikely young people getting gal stone s . Gal stones are more commonly seen in so commonly said \"FAT, FERTILE, FEMALES, FORTY,\" unless some rare congenital causes. Do not worry. Wait for 2 / 3 days .later Rule out malaria/ typhoid/ dengue . Sometimes spleen enlargement is seen in malaria too . .thank you and do contact us for more queries" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My sister has been unable to function for a month now.. We thought it was vertigo. But I m concerned it is more serious. She is very dizzy.. Can t walk at times without help. Acts as if she is drunk. Slurred speech.. Gets confused.. Can t watch TV.. Any lights make her nauseous. She can wake up and feel ok.. A little dizzy.. But by 6 at night she is vomiting.. Very dizzy.. And can t walk without help. Don t know what to do.", "output": "Hi there, thank you for writing. I would recommend that your sister seek immediate medical attention in an emergency room. If she is having slurred speech, confusion, and dizziness, along with persistent vomiting and an inability to walk without help, her symptoms are very concerning to me because they could be caused by an intracranial process, like a brain tumor or stroke. Since she has not gotten any better in the past month, and is not acting like her usual self, or able to participate in any of her normal activities, let alone walk, I think she needs emergent medical attention. I hope this answer has been helpful to you, wish you the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 41 yo. I have had 2 pe in less than a year. I have no factors that can dictate why. I am also not a smoker, never used birth control, and never had blood cflots in legs or arms. With the last blood clot I had a very high sensitivity to coumadin and ended up in the hospital 3 times getting a blood plasma fusion my hematlogist stated that the coumadin would kill me befor the clot. Three months later I find my self with another blood clot same lung back on coumadin. I am scared. Should I be concerned?", "output": "Although you state you have no risk factors for pulmonary embolism, still getting recurrent clots, so you must be tested for few blood defects like Protein C & S deficiencies also. anticoagulation therapies are required for prolonged periods in recurrent Pulmonary embolisms. If the clots in lungs are coming somewhere from the leg veins known as Deep veins thrombosis, then installing Inferior vent naval filters may prevent such clots reaching to the heart and then to the lungs" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I felt headache on one side,above my eyebrow.also internally I feel.that my body is getting warm. I had a tablet of paracetamol and d cold.during the sleep I was feeling very hot and was perspiring. After being awake, I am not feeling well. Please suggest", "output": "HI, thanks for using Chat Doctor It is possible that you are experiencing early symptoms of a viral infection. This would cause fever and headache. The emergence of additional symptoms would help to determine the type of infection present. You can continue to take the paracetamol. Additional treatment would include rest, fluids. If your symptoms continue or worsen then you can consider visiting your doctor for an assessment and treatment. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello! I have just noticed that I have some bumps on thebackof my tongue on both sides leading towards my throught (like two diagonal lines) . I have caught myself breathing deeper recently but I also have sports induced asthma and some anxiety... Are these normal?", "output": "Welcome to Chat Doctor I went through the history you have posted. It seems from the history that you are having bumps on the back of the tongue. These are not normal, and they require evaluation and treatment. The common causes like dermatitis, oral ulcers needs to be ruled out. Do consult your doctor for further evaluation and treatment. Do write back to me for further questions. Thank you for writing to Chat Doctor. With regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter in college just went to doctor and has UTI. She has let the pain drag on for two months and finally went to doctor. Doctor said if she wasnt better in 24 hours she will have to get kidney drained. Im worried. Will she be okay. Is draining kidney serious?", "output": "Hello and welcome to Chat Doctor. Your concern is understandable. As a Urologist, I wonder why your daughter was reluctant to consult a doctor for 2 months.UTI can cause serious complications of the kidneys. Initially, a trial of antibiotics is tried, with close monitoring of the kidney function and ultrasound scanning. After 24-48 hours, if improvement is not seen and fluid Chat Doctor. You can contact me by name, if needed. Hope your daughter has a speedy recovery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "about 3:00am this morning i began to have some severe pain in my pelvic area.,then I went back to sleep until 10:00 am &woke up still in pain&its been hurting really bad all the way til right now and its 10:30 pm.not pregnant,just finished my period a week ago....never felt these kind of pains before....Its almost like sharp shooting pains more on the right side,hurts to walk,sit,drive,cough,sneeze,laugh,etc. what should i do,what could this be? thank you gina", "output": "Hithank you for providing the brief history of you. A thorough clinical examination is advised. As you have pain on right side from hip to the feet I feel it will be a pinched nerve pain as this is the classical symptoms or the pinched nerve. Getting a clinical assessment and an MRI of lumbar spine should help understand the soft tissue within the lumbar spine. Also post the clinical examination physical therapy can be Advised for further management. In my clinical practice most cases respond well to physical therapy. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i feel dizzy and foggy and confused and havent had my period in 2 months. i took a pregnancy test and it said negative. some days i feel the need to pee almost every 5mins even if nothing comes out. other days its perfectly ok. i have period cramping and head aches. i feel fat weak", "output": "Hi, Thank you for posting your query. I have noted your complaints, and they seem to be related to gynecological issues. If you have not had periods for two months, and you are not pregnant, there could be underlying hormonal imbalances. You need to consult a gynecologist to exclude problems such as polycystic ovary disease. Also, in view of frequent ruination, we need to exclude a urinary tract infection. This can be done by doing a urine examination test. I hope it helps. Best wishes, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi i m mehak i m 18 years old i speak little bit english but i hope u understand i ask you a questions about me i m very engry n i m fitting too much without any reason that have no sence n i do sucide many times n i m very tence every time without any reason my father or aunty says that i go to physican n check it so kindly give me advice plz n i speak urdu i wiat for u r answer kindly give me adive i m very tence think about me plz", "output": "Hello Merak, Mental tension at your age is very common, due to change in hormone levels in blood !!! You have to be strong enough to deal with it dear. Regarding your suicidal tendencies, this question itself says you are too worried about it and want a proper advice, it's good that at least you are brave enough to ask a question to a physician ! I would rather advise you to get connected with nearby physician/psychiatrist to get yourself advised certain antianxiety and antidepressant Chat Doctor. You can also discuss your problem with your parents, they will also help you out !!hope my info helped you regards," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "The doctor said my Aunt has stage 3 Cancer. To quote him \"I would favor a primary Duodenal tumor due to the recent finding of tuulovillous Adenoma on Mucosal Biopsy during her endoscopy. It also said the took 5 biopsies yet did not find 1 cancer cell and they said it is around a main artery so they can not operate. What are the survival statistics with this ?", "output": "Thanks for your question on Chat Doctor. I can understand your aunts situation and problem. Any tumor which is around major arteries is inoperable. At the same time chances of homogenous spread is also high and hence chances of metastases are also high. So prognosis in her case is poor. Five year survival rate is 40-50 %. Usual life expectancy is less than 3 years. Treatment options are palliative chemotherapy, radiotherapy, nutritional support and pain management. Hope I have solved your query. I will be happy to help you further. Wishing good health to your aunt. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "For the past few weeks I have been having abdominal pains and been having yellow feces that burn. For days I have been having a fluctuating fever, my normal temp. is usually 97.9 but for the past few weeks it has been switching from normal to 99.8. In the past I have been to the ER multiple times on account of severe stomach pains/aches, twice a doctor told me that I could ve died if I had not gotten to the ER because my stomach was about to explode.", "output": "Hi. Your symptoms are suggestive of an intestinal infection or may be typhoid or other specific infections. I would advise such a patient to take a complete course of an antibiotic most suitable to treat infection of intestines like ofloxacine or definite and metronidazole as per your Doctors directions. See the results, May is within 5 days the burning and motion will become normal and fever will be subsided. Many times a subclinical infection can cause such troubles. I would also advise you to go for tests of stool and blood including that for typhoid. Please let me know the followup." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a MRI and the results are saying - there is a posterior broad-based bulging disc extending into the neural foramina bilaterally. This flattens the ventral thecal sac. There are severe facet degenerative changes with facet hypertrophy. Moderate to severe bilateral neural foraminal narrowing is notes. Can you please help me understand? Thanks!", "output": "Hello! Thank you for the question on Chat Doctor! The result of your MRI is indicative for chronic degenerative disc and vertebral changes. These changes can cause chronic back pain. I would recommend you to consult with the neurosurgeon if surgery is helpful. If you have chronic pain I would recommend a lot of physiotherapy. Gabapentine or Amitriptyline for some months can cause pain relief. Hope to have been helpful! Best wishes!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My mom has cold since yestaurday. Eventhough, she wears two or three blankets. But still, she feels cold. Luckyily she doesnt cough. She doesnt eat anything except drinking boiled water. And she vomits too. She said that her upper part of body aches specially the end of bones like her elbow, shoulder and her chest too. She feels heavy too. So, what can I do to help her feel better.", "output": "Respected user, HiT hanks for using Chat Doctor.come have evaluated your query thoroughly.* This seems in relation with underlying inflammatory process in form of Pyrex development.* Recommendations for better recovery-Allow liquids at sessions .- In our clinic we recommend providing anti-emetic medicine on empty stomach with sips of water 1 hr. Prior to snacks.- Tab. Tylenol (500) mg after some green tea or coffee for primary relief-Requires blood test for the diagnosis .hope this clears your query. Welcome for further guidance. Regards dear take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here...Our ten year old son complains of burning after he urinates. He says it does not burn during and it subsides after 15 minutes. We took him to the doctor and they tested his urine for a UTI and they did not find evidence of one, however he continues to complain and was brought to tears this evening.", "output": "Hi, As the urinary infection has been ruled out the only other option existing should be concentrated urine because of decreased water intake. I suggest you give plenty of water and even then if the same problem is persistent then the kid might require an ultrasound abdomen to see if there is any bladder wall inflammation or renal stones. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doctor, I am a post renal transplant patient, my differential count states that RBC : predominantly normochromic normocytic, leucocyte count: 7900, neutrophils:51%, lymphocytes:42%, Monocytes:5%, Eosinophils:2%, Basophils:0%, Platelets: Adequate.My previous test till the last invesigation shows RBC:normochromic normocytic.Does this RBC : predominantly normochromic normocytic is any serious kind of thing for which I need to worry about and consult physician immediatly.Thank you", "output": "Hi, don't worry just be relaxed. RBC predominantly normochromic normocytic snot a ca cause of concern. It means most of your RBC are normal size and color. Few may be micro cystic or microcytic. So its normally happen. It's not a cause of concern or urgently call doctor. Don't worry about that. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i had sex 2 days after my period but my partner did not ejaculate inside of me it was just the pre ejaculation fluid i took the postinor 2 the same night which is march 1and my period came 8 days after which is the 9th and stopped on the 13th so when should the next period come im kind of worrying?", "output": "Hi, Firstly, if you have regular 28-30 day cycles, you were in the safe period when you had the intercourse and so did not need the emergency contraception. The bleeding you saw after ingesting the pill is due to the with Chat Doctor. Your next natural period may get delayed by a week or two as there is hormonal imbalance after pill intake. Please seek help if you are overdue by ten days for your next cycle. Hope you find this information useful. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doctors out there I want to know if you been trying to get pregnant for 9yrs and didn t and you been taking birth control pills then stop then you start taking prenatal vitamins 3 months after taking birth control pills then stop taking those to and then have unprotected sex wit your man 2 days after stop taking prenatal pills and 3 days later you see a dark brown spot in your panites way after you had cramps wat does this means because I have doubts im pregnant because ive been trying for a long time but got no luck so can you tell me wat this means please im concern", "output": "Hi, Prenatal vitamin pills usually won't affect menstrual cycle. After stopping the birth control pills it will take some time for regularization of hormonal levels. The possible causes for spotting are:-Hormonal imbalance leading to menstrual irregularity. -Sometimes in early pregnancy spotting can be seen. -Local causes like cervical erosion, polyps etc. So, once consult gynecologist, get examined and go for ultrasound. If she recommends go for investigations like thyroid profile, hormonal profile including estrogen, progesterone, LH, FSH etc. Possibly with this workup the cause for your problem can be identified and treated. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. A lump suddenly appeared under my left breast. It was the size of a pea but it grew overnight and is quite sore and itchy. I also have felt very sleepy recently and have had a hard time getting over an illness. I have an appointment tomorrow but do malignant tumor typically hurt and itch?", "output": "Hi, Dear thanks for the query to Chat Doctor virtual clinic. I studied your query in all the details you gave. Treatment-Malignant Tumor don't pain and itch and hence don't worry. Cause of the lump under the left breast seems to be boiled/bug bite.Don't be anxious. I would advise you to consult with ER primary doctor who would give anti-inflammatory and antibiotics Chat Doctor. If not relieved, consult an ER Surgeon, who would investigate and treat it according to its cause. Welcome for any more query to Chat Doctor in this regard. Write Excellent review and hit thanks if this reply Helps you out. Have a Good Day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doc, My brother-in-law was bitten by a stray dog on 18 September, 2014. There were three teeth incisions on his leg. He has taken a tetanus injection the following day. On going to the hospital, he was informed that the anti-rabies injection was not available. It would be available after the 25 September. Is it okay to wait for so many days or should we proceed for private medical assistance??? Please advise asap. Thanks.", "output": "Hello, Thank you for your contact to Chat Doctor. I understand your health concern, if I am your doctor I suggest you that rabies vaccine should be taken as early as possible. Or in other case you have to wait for 10 days for observation of stray dog. If the dog is normal and there is nothing abnormal you allay worry of rabies. But if during this 10-day period dog shows symptoms of rabies than you should immediately start the rabies treatment. Local wound care is also an important aspect apply Betadine and clean with detail regularly will heal the wound early. I will be happy to answer all your future concern. Thank you, ChatDoctorInfectious disease specialist. Wish you the best health at Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My chin,lip, gums, and teeth on the right side of my face are numb feeling, I recently had a lot of pain from the bottom wisdom tooth that is broken, could this be the cause of my numbness? I haven t had pain in about a week but the numbness is still there.", "output": "Thanks for your query, I have gone through your query. The numbness in the face, cheek, lip and teeth can be because of the pressure over the inferior alveolar nerve canal by the wisdom tooth or any cystic lesion arising from the wisdom tooth. Consult an oral physician and get a radiograph or CBCT to rule out the pathology. If there is a wisdom tooth with a cyst, then get the cyst enucleated with removal of the wisdom tooth. Consult an oral maxillofacial surgeon and get it removed. If I am your treating doctor, Meanwhile I would have suggested you to take nerve regenerating Chat Doctor. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "For years now I ve been experiencing sharp stabbing pains on lower and upper part of my lungs. On several occasions the pain was so immense it caused me to cringe and I experimced a light headed sensation that was quite scary. I know lungs don t have pain receptors but I feel it might be something quite serious. Please help", "output": "Thanks for asking your question completely understand your problem you need to consult a pulmonologist who can request a chest X-ray and rule out organic disease because this kind of pain can be in variety of disease like pleural effusions, lung mass, sarcoma, and it can be just neurogenic need to panic just get a chest X-ray done and consult a pulmonologist for the time being you can take some analgesics thanks/ regards feel free to ask more questions may god bless you with good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my 13 mo old has had a small black spot on his gum just below one of his front middle teeth. It has been there for about a week and I have tried brushing and flossing but it seems to be on the gum rather than underneath. I have read this is from teething but he has had these 2 teeth for 5 mos. Can you tell me if this is normal?", "output": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint a black spot over the gums over the gum of middle tooth seems to be most probably due to the traumatic injury to the gum caused by any hard food or tooth brush bristle that might have caused a bruise over the gums. Many a time it is due to impinge of food particles into the gum crevice and needs to be removed. So watch for few days, if it fades off it is fine and if it does not, get it removed by a dentist. As of now brush his teeth using a soft tooth brush. Hope this information helps. Thanks and regards. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir, i am sanjay Age 27M at delhi,i have pain in spin L/S so doctor advice me that MRI test L/S spin than tested my MRI so report is Lumbar lordosis is straightened with a transitional vertebra at S1 vertebral bodies are normal in height, intensity and alignment. Early schmorl s nodes are seen at multiple levels. mild disc bulge is seen at L3/4 level indenting the thecal sac with no significant neural compression. diffuse posterior disc bulge is seen and L4/5 level indenting the thecal sac and bilateral descending L5 nerves. Mild disc bulge is seen at L5/S1 level indenting the thecal sac with no significant neural compression. Bony canal is capacious at all levels with no obviious primary canal stenosis . Distal cord, conus medullaris and filu terminale are normal in MR morphology. pre and paravertebral soft tissuse are normal.", "output": "Hai Mr Sanjay, may I first know your occupation pls? You mentioned u have pain in spine, but which region?cervical/thoracic/lumbar?Don't get biased by MRI reports. How significant is your pain? Is it occurring after a days work most of the time in the evenings due to sitting long hours before the computer? Then u first need to change your work atmosphere like sitting properly with back well-supported in the chair, taking regular break of talent 5\u00a0min after an hour of work, wearing a lumbar belt when u sit or stand n remove it when u r about Togo to bed, doing regular physiotherapy for back strengthening exercises, n take analgesics if u have severe pain for 3-5 days along with be Chat Doctor. Are u getting pain during night ? Dontworry about the schools nodes n mild disc bulges on MRI which have no neural compression. U mentioned that at l4/l5 there is a disc bulge with thecal sac indentation .this should be of concern. First follow the treatment which I mentioned before for 5 days n if u don't get relief kindly consult a neurosurgeon once." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have a lump above and to the right of my clitoris. The lump isn t really visible but you can feel it when you apply pressure to it. It is about the size of a pea. It is constantly hurting and it just started today. There is no drainage at all. It is very sore. J have no idea what it is!!", "output": "Hi, This is most likely to be a Catholics cyst that has become inflamed. Apply a warm compress to the area or take a warm bath to relieve the pain. Your may benefit from antibiotics, so I suggest you see your doctor. If it does not improve with antibiotics, then it can be removed by a small surgical procedure. This is not a serious problem and is quite common. I hope this has reassured you. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a single blister on the shaft of my penis. It has been there for about 2 weeks now. It doesn t cause any pain or anything, I m just worried about it. More recently I have started getting some ulcers on my tounge (possibly stress?) I have had sex a couple of times in the last couple of weeks. Usually protected except for once when I was not. I also received oral without a condom so I am worrie. I can upload a picture of that helps. But what do you think?", "output": "HelloThanks for query. A blister on the shaft of the penis can be due to infection transmitted through unprotected oral sex or vaginal sex and needs to be investigated . Possibility of genital herpes has to be ruled out. Consult qualified Urologist for clinical examination and get following basic test done 1) Swab test and culture of a fluid from blister 2) Basic screening test for STD. Take antibiotic like Alt-rock twice daily along with anti-viral Chat Doctor. Ensure to wash your genitals with warm water twice daily. Ensure to avoid sexual encounters till it heals up completely." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have a pain in my left groin area where the pain travels to my left rib (lung) my left ball Olso is sensitive and I can feel something like a vain but much thicker and painfull just above my groin but I don t feel anything on the other side. Could this be testicular cancer where it s spread to my lung?", "output": "Hello, According to age gender and location of pain, diagnosis will be changed or need to confirm by observation and palpation and examination, so what information you have given is limited, which will not give any particular reason for pain. If you have pain in ribs, for few days then ice pack application will be good, if It's for a 1-month then take a warm application, do regular Asians and Yoga Panama will be best for rib cage pain. For groin pain, ultrasound therapy and IT therapy will be the best treatment by Physiotherapists. Hope I have answered your query. Let me know if I can assist you further. Take care Hem ang S Jane, Physical Therapist or Physiotherapist" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i have a child with gray matter heterotopia what can u advice me to do? is there any surgery or medication or whatever ?", "output": "Hi Nova!welcome to Chat Doctor .com.gray matter heterosocial is a developmental anomaly in which gray matter of the brain is situated wrongly. Treatment is aimed at reducing the seizures associated with the abnormality.n general, gray matter heterosocial is fixed in both its occurrence and symptoms; that is, once symptoms occur, it does not tend to progress. Varying results from surgical resection of the affected area have been reported. Although such surgery cannot reverse developmental disabilities, it may provide full or partial relief from seizures. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i m having a weird chill sensation at my knee at times, and i don t really know why. normally it occurs like after an hour of sitting. then when i stood up i can feel this weird chillness at my knees. almost like something cold is poking my knee. what does it imply?", "output": "Hello, As what I feel that you need to get an x-ray or an MRI of the knee joint. As this may happen due to any tissue involvement which is damaged. But the usual feeling complained by many is hot and cold is something very much rare. If we knew your age and any other past medical history it would have allowed us to provide some diagnosis. But as its missing we need to get the knee assessed for some soft tissue involvement and later may be an MRI will be of help to understand the extent of the involvement. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "MY BABY IS 2 YEARS OLD,HE HAVING VEEZING TROUBLE,& ON SEP HE HAVE VEEZING WENT TO DOCTOR,ON THAT TIME HEGOT PNEMONIA &HE SUFFER WITH FEVER FOR 1 WEEK &DUE TO HEVY FEVER HE GOT FICKS ALSO .NOWHE HAVING MILG FEVER WITH MILD VEEZING WE ARE GIVING ASTHALIN.PLS ADVICE US ANY UPDATE", "output": "Hi, Please continue the same medication, and you can give the fever medicine also an appropriate dose. Fever of a few days without any localizing signs could as well a viral illness. Usually, rather than fever, what is more, important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably a viral illness and it doesn't require antibiotics at all. Once the viral fever comes it will there for 4-7 days. So do not worry about the duration if the kid is active. He may also be having simple febrile seizures, from which he will gradually grow out of by 5 to 6 years of age. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Dr. Goyal, thank you very much for offering your service. I was born with asthma, it would be mostly seasonal when I was younger. I didnt have to treat it all the time, but when I had the occasional asthma attack it would be pretty serious, almost to the point of hospitalization. As I grew older, the asthma became less and less apparent. Up until about 2 months ago, I had not had any asthma symptoms for several years. Then, I did. It went away for a week, so I thought it was ok. Then, it came back, and it was very scary trying to breathe at night. I went to a doctor and they said I had pneumonia. The antibiotics they gave me didnt seem very effective, and a few days later they also started me on a regiment of steroids. The steroids helped, as did a nebulizer. I was resting and feeling very ill for about a week and a half of that period, then I started to feel better. Well, that only lasted a few days, and now for the past few days it has been getting worse again, necessitating several nebulizer treatments yesterday, and (after much effort and wheezing) coughing up mucus with a strange bittersweet taste (perhaps the albuterol from the inhaler and nebulizer?)I am concerned because the illness has already been exposed to a full cycle of both steroids and antibiotics, and yet it persists. What might a doctor be able to do for me? Does this require immediate medical attention, or might it subside? Whooping cough is going around my area, and I do have a persistent cough. Thank you.", "output": "Hi, This could be acute bronchitis with your asthma as you are having persistent cough with expectoration. It can be diagnosed clinically, but you must undergo routine blood investigation with septum R/ M and C/S, chest x-ray to rule out any other pathology of lungs. You might require long course of antibiotics (amaryllis with chavulanic acid or cephalosporins) with other supportive treatment like bronchodilators (steroids, beta agonists, anticholinergics) inhalers or nebulizers with steam inhalation frequently. Consult pulmonologist immediately and take advise. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had fainting like , light headedness , flushing of the head, heart palpitations off and on for the past 3-4 months. a dr ran some tests told me my tsh level was slightly elevated, however my t3 and t4 was normal. does that rule out any thyroid , pituitary problem?", "output": "Hello! Welcome and thank you for asking on Chat Doctor! Regarding your concern, I would explain that a thyroid gland dysfunction can not be excluded, considering your symptoms and performed tests. For this reason, I would recommend performing further tests to examine better your thyroid gland function: - a thyroid gland ultrasound- a thyroid gland centigram- anti-TPO levels. You should discuss with an endocrinologist on the above issues. Hope you will find this answer helpful! Kind regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a prickly, itching feeling in my urethra after I ejaculate. This irritation only occurs afterwards, and doesnt start when I urinate. I dont have health insurance, so going to a doctor is kindve out of the picture. Any ideas what it could be?", "output": "HelloThanks for your query, based on the facts that you have posted it appears that you have irritation in Urethra after ejaculation. This is due to congestion of urethra. During sexual activities when penis is erected there is increased blood flow to entire penis and urethra to the extent of 20 times more than normal blood flow to penis, This results in increase congestion of entire penis including urethra that gives you pain and itching after ejaculation Chat Doctor. . This is normal and nothing to be worried about." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had an ALP test with elevated levels of 202 and a liver isoenzyme level of 17. Could these results be related to the simvastatin that I take? This is a second ALP taken with two days; the first resulted in a value of 195. This lead to taking the second ALP isoenzyme test, as stated above.", "output": "Hi, Elevated ALP level in simvastatin treated patient are not so common but may occur in someone due to toxic intermediate of Chat Doctor. This has a self limiting coarse & Idiosyncratic in nature and persistent liver injury indicate failure of adaptation process. Medication only be stopped when there is 10-fold increase in value then normal/ persistent 5-fold increase/ appearance of symptoms related to liver injury. You should take further step according to your treating physician. Get well soon." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Had spinal fusion with bone graft 9 yrs ago l5 S1 , having chronic pain also on my whole spine , also have grade 1 anterooms thesis , C4 till C6, is it normal for me to feel right leg pain but not sciatica , also feeling tight on my calf and right middle toe has no sensation, numb", "output": "Hello. Thanks for asking from Chat Doctor. I can understand your concern. The tightness in calf can not be due to L5-S1 nerve as nerve damage here will cause soft, flaccid calf. However, cord damage at cervical region (C4-C6) can cause tightness in calf. The pain in right leg and sensory loss in middle toe can be due to both or either. To differentiate between two conditions, check whether : you are having tightness in all limbs, it suggests cervical cord compression: you are having pain in lower back till foot, it suggests L5-S1 nerve damage: Involvement of other extremities suggest cervical involvement.Also, if you are doing too much exertion of lower limbs, this pain could be due to exertion. I think you can now reach up to some conclusion. Meanwhile, at home you can follow few tips :: Take rest: Take Diclofenac sodium for pain relief after proper prescription: You can apply warm compresses over calf to relieve pain and tightness.: You can stretch your calf. Thanks. Hope it will you. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Dr, My baby is 10 months old now and we are feeding her ceralac & lactogen from 2 months. Going througb all news on nestle products amd nan i am curious to know if those products are safe for my baby. Apart from this my baby also takes mother s milk as while. Pls suggest. Thanks.", "output": "Hi... Other home-made food options will be - 1. Deal and rice well cooked and made into a oatmeal along with ghee2. Boiled apple or banana and mashed into a paste.3. Any made cereal oatmeal preparation with additional ghee added. Remember certain principles like -1. Add one food material / cereal or fruit per week. This will be useful because if he develops vomiting or diarrhea, we will know what to avoid.2. Add vegetables and fruits made into a paste surely to avoid constipation.3. Do not add too much sugar as it may cause diarrhea. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hii.. I am Praveen from India.... In the month of Jan or Feb 2012 my wife got attached with White jaundices, now she is losing her blood count... Last month her hemoglobin count was 8.5 and now it got reduced to 6.2%. Wht further actions need to take up?Pl suggest me....", "output": "Hi, there are many causes for low hemoglobin level. They are iron deficiency, it b12 deficiency or may be due to some other cause like decrease production or destruction. You should go for investigation first. You can go with CBC, PS examination. Then according to results you can go with iron or b12 level or other investigation. Consult your doctor and investigate and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am 23 and I had an emergency appendix operation a bit over 2months ago. I have almost no belly fat, but there is a lump above my scar like a lump of fat or tissue swelling, it kind of hangs over the scar or the scar is sunk like its stitched to my stomach muscle or something, so from my left I have a flat stomach and from the right I have this wierd lumpish thing,I cant wear tight shirts. The lump is a bit tender and the scar has a bit of a rash that is quite itchy.Will the lump and the rash go away? Will I ever have my flat stomach back again?", "output": "HI, Dear, Thanks for the query from you.1-In my opinion this abdominal lump is due to post-operative chronic cellulitis with low-infected hematoma, as it is tender and hearts you, wearing tight shirts.2-A rash on the scar with thing -is a normal healing process and nothing to worry about, as it would go off in another 1-2 was time.3-I would advise going to surgeon and take needful treatment for the cellulitis by antibiotics +NSAID or by SOS- Chat Doctor. Hope this would solve your query.4-Wellcome to Chat Doctor for any more query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear sir, I am having some married life related problems and need concelling from you. My wife is basically very intrivert and many time times does not share things easily or say, does not vent out her emotions so easily. This results into many different problems. I request your help on this.", "output": "His understand your concern. But without interviewing her how can I suggest you what to do. Introvert nature is kind of nature that she can not able to expose everything that you want. Nature can not be changed, but level of understanding will change. Proper assessment of her and your nature will give some conclusion. Sometimes mutual understanding will solve the problem. For that you have to consult relationship expert or psychiatrist who is doing relationship concealing. Active participation of both of you is must. It is not possible if you only take participation. So consult and get further assistance. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello sir/madam,i am sravanthi 27years old we are trying to get pregnency from 3 years. i have take follicular study by trans abdomen ultrasound. following the report information.ulters measures 66*25*29mm.uterus is normal in size and echotexture.no focal lesion seen.myometrial and endometrial echoes are well seen and appear normalendometrial thicknness 6 mm.right ovary measures 25*16mm, left ovary measures 26*18mmboth ovaries are normal in size and echotexturethere is no evidence of free fluid seen in pelvisright ovary follicle - noleft ovary follice - noendometrium - 6mmfluid in POD - nilplease clarify is there any problem. following the reports of my husbandsemen analysis reportphysical examinationquantity - 2.5mlcolour - g. whitishviscosity - viscousreaction - alkalineliquifation time - 30 minmicroscopic examinationtotal sperm count - 25 millions/ mlactive motile - 30%sluggshly motile - 30%non motile - 40%morphology normal forms - 60%abnormal forms - 40 % others pus cells - 5-6 / h.p.fepithelial cells - 1-2/ h.p.fplease clarify the problem and give a replay what is the next procedures.please do the neeful.thankyouregards,sravanthi", "output": "Hello SravanthiThanks for your query. Your husbands' semen analysis is borderline normal. I would ask you to consult an Infertility Specialist and for your husband to consult an Pro an Chat Doctor. Have your ovulation status documented via follicular monitoring and have complete hormonal profile done. Have patency of the fallopian tubes assessed through laparoscopy or HSG. With your husbands report, better results can be achieved through GUI (intrauterine insemination) if your tubes are open. All the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My father is suffering from pain in abdomen. He is also a Gr-I prostate patient. After urination of 2-3 times, the pain is reducing. He is feeling relaxed (reduced pain) only during the time of sleeping. The treating physician advised for testing of Urea & Crentenine. Now after test the Urea is 80 and crentenine is 2.3. Whats the problem with my father please advise.", "output": "HAI, Thanks for consulting Chat Doctor. As enlarged prostrate will compress the urinary pathway and lead to incontinence in urination. Pain in abdomen should be ruled out by physical examination. Because abdomen is vast area. As your father urea and creatinine show high value as compared to normal. It indicates decrease in kidney function. Because urea and creatinine is the accurate marker to know about the kidney function.I advise you to do urine routine and glomerular filtration rate to assess the kidney function. Kindly consult a nephrologist to rule out the cause behind the increased level of urea and creatinine. Thank you hope I answered your query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doc,For the past several months I have noticed a sore inside my mouth that resurfaces every so often without any consistency. It will then just go away on its own after several days. This last time it resurfaced again but this time it actually looked more like a blister. It went away again on its own just about a day ago. I have taken a few pics for your review. What could be going on?Sincerely,Jose", "output": "Hello, Read your query, as you have sore inside mouth don't worry this can be due to some factors it can be due to poor oral hygiene, stress related, vitamin B and C deficiency, National deficiency, lack of sleep, hormonal influence, or due to viral infection also. For this you should consult dentist and go for proper investigations and oral examination, in meantime you can do is take proper n nutritious healthy diet, Chat Doctor. Hope this will help you. Regards " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was just prescribed apo-cefprozil 500mg and the next day I have swelling of ankles and hands,I was given this for extraction of top molar and bottom molar on right side ea. and the bottomgum did not heal properly and is squishy some puss after 14 days. Is the swelling normal and will itgo away after the 10 days I am taking this drug?", "output": "Swelling occurs more commonly in case of wisdom tooth extraction or in case of surgical tooth extraction. Swelling is comparatively less in case of simple or closed tooth extraction procedures. Laceration of soft tissue, trauma to the bone, careless retraction of the flaps and irritation by fragmented bone are common causes of excessive swelling. After 2\u00a0days of tooth extraction procedure, the swelling reaches maximum. The post-operative instructions of the dentist explain about the ways to reduce the swelling after tooth extraction." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a massive toothache the week of nov 11th so I went to the dentist so I was told that I had an infection in my right lower wisdom tooth and that it was on the nerve I was given antibodics and pain meds. So I was referred to oral surgery so when I went on Nov. 17th my neck was swollen and I could barely open my mouth the dentist numbed me up and pulled all four of my wisdom teeth out now the pain is manageable but on the right side where the infection was at still hurts my ear and my throat and I still cant barely open my mouth. What can I do about my throat cause I finished all my medication and it feels better after I spit", "output": "Hello, Thanks for consulting ChatDoctorRead your query as you have toothache and infection in wisdom tooth and undergone extraction of wisdom tooth pain and reduced mouth opening is seen in some patients after wisdom tooth extraction. I will suggest you to consult your dentist for follow up and follow post extraction instructions, maintain proper oral hygiene. Do warm saline gargle two - three times a day. Don't do gargle or rinse vigorously. Hope this will help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "For many years I have had a sharp pain where my appendix were removed. My doctor said it is from the operation. I guess after 50 years I can t understand this? Can you help me understand this logic? I am trying to keep myself very healthy with good food and exercise. My husband died from pancreatic cancer and I don t want to assume anything. Thank you, Mrs. Lanes", "output": "Scar tissue left over from the operation can sometimes cause recurrent pain. Is this pain any different from what you've always felt? In it is, something else might be going on. You are at an age where new symptoms need to be taken seriously. If this pain seems different to you, or other symptoms are occurring with it, you should be seen by your doctor. Ask him or her to do some investigation to figure out what it is." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had my wisdom teeth removed five days ago now. My upper left and lower left stitches have dissolved and fallen out, however; my lower left wisdom was removed, along with my second molar. Now, I have noticed there is a decent gap there, and it looks like the stitch is through the gap, just..not holding the gap shut. Im planning on calling my dentist in the morning, but I dont what when theyll be able to get me in. Is this a major concern?", "output": "Hello Fairbanks for your query. First be relaxed, I will be most happy if I could help you out so no need to worry much. According to your description, it seems that the suture (stitch) of the lower left side has broken. But since the extraction was done 5 days back. There should not be much problem from this if you are otherwise healthy. But I advise you to get an appointment with your dentist so that he can check the healing of the extraction socket. Hope this would help you. If there is any more query or question regarding this in your mind, you are free to ask any time. Hoping for your best healthThank you Take disregards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Dr.,my son is 3 year old and last 3 months whenever he have cold and cough he is having weasing problem and the doctor advice to use duolin inhaler everyday.I want to know my son is only 3 year old and continuosly using this inhaler will create any problems for my son...plaese advice...arun..kerala", "output": "Hi Welcome to the ChatDoctorI understand your concerns. You child seems to be suffering from recurrent pulmonary wheeze. It occurs commonly due to hypersensitivity and hyper responsiveness of airways to certain allergens in the surroundings. You may try following measures to help him:1. Identify and avoid any allergens in the environment such as dust, smoke, cockroaches, etc. if possible.2. If he needs less than twice per week Dublin inhaler, then you can definitely consider it. Only thing is that you should use a spacer along with it and in case of any tachycardia or tremors, hold it.3. If the requirement is more than twice a week, then a step-up therapy to forecourt inhaler is advisable. You may talk to your pediatrician about it. Hopefully this will help you. In case of any further questions, you may contact me. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a large mole on my stomach and also one on my belly button I have had since i was born. I have noticed the past few months a dark spot has toughened on the large mole on my stomach. I am experiencing unexplained vomiting, stomach pains and headaches. I am not sexually active. Should i get this checked?", "output": "HI, thanks for using Chat Doctor If you have noticed changes in the mole then it would be best to have it assessed. It may not be anything significant, but your dermatologist would be the best person to determine this. In terms of the vomiting, abdominal pain and headaches, these are not likely related to the changes in the mole. Persistent vomiting and abdominal pain may be due to different causes such as: (1)HERD- reflux disease(2)obstruction in the bowel(3)gall bladder disease(4)infection(5)side effect of medication(6)alcohol use(7)kidney disease(8)high calcium levels(9)vertigo(10)mass in brain(11)food intoleranceYour doctor can assess you and determine the most likely cause. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I kept on feeling ike somethings goin on and i just reently had sex..i havent had morning sickness for like 4 weeks now but everytime before i go to bed, i kept getting weird feeling inside my stomach. I couldnt get home pregancy test or go to any doctors for it, what can i do and how do i know if im pregnant or not?", "output": "Hallow Dear, I would have appreciated knowing when did you have your last menses and whether you have missed your period. Missing a period is the first cardinal symptom of pregnancy. The other symptoms like nausea & vomiting, frequent urination and breast changes like engorgement and tenderness, dark discoloration of nipples & areola with increase in the size of areola and secretions through the nipples appear later - may be about 8-15 days after missing a period. From your history, I could not get the information about whether you are having any of these symptoms. Only weird feeling in the abdomen cannot be attributed to pregnancy. Nausea and weird feeling in the abdomen without missing a period could be due to the stress of (?unwanted) pregnancy! Well, if you have missed your period, 8-10 days after that, please do pregnancy test on your overnight first morning urine examined; earlier, these tests may give false negative results. Alternatively you may get Beta Chat Doctor test done which is reliable even few days before the missed period. If you do not have facility of undergoing either of this test, you can go for ultrasonography about 10-15 days after missing a period which will give you direct visual evidence of your pregnancy status. Clinical examination from Obstetrician about 10 days after missing period also can give you clue about your pregnancy status. Somehow, you have to opt for one of the diagnostic measures mentioned above for diagnosing your pregnancy. Of course, if you have not missed your period as yet, please wait for the period to appear. If you get the period, no dilemma about pregnancy. I hope this helps you. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,m I am 53 (female), weigh app. 125. Was extremely ill last spring due to stress (deaths of loved ones, including taking care of dad with Alzheimer s until death), which included colon issues, some heart pain (I have MVP), and loss of weight. Doctor put me on meds. I felt better, then was diagnosed with Vestibular Inflammation (had 3 months of therapy at a Balance Center. Got through that. Now for two weeks I ve experienced my arms feeling pain from the top of my shoulder to below my elbow (not to the wrist ). I can hardly pull the covers up or turn over or lift things. My body is shaky, I m very weak and occasionally I m having heart palpitations with some heart pain. I m not nauseaus, not dizzy. Do you have any suggestions? I was thinking of an iron deficiency or vitamin deficiency. My bloodwork in October 2012 was good. Thank you sooo much, Tamara", "output": "Hithank you for query in ChatDoctormadamconsidering your history of not able to pull the covers and lifting things and pain in shoulder radiating to elbow.I can say that it could be due to nerve compression secondary to cervical spondylosis an age related degenerative change of spine.... I would like to suggest you to get an MRI cervical spine and lumbar spine as well to rule out any disc prolapse and coming to palpitations and heart pain it could be due to dermatome distribution of spinal nerves .an ECG will rule out the cardiac problems if any thank you hope I have answered your query regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just noticed that I have a bone like lump in my middle finger/bottom joint. It doesn t hurt(unless I put lots of pressure on it then is stings a little) and I cant think of anything I did to hurt it. its farely large. should I be concerned? maybe a bone spur?", "output": "Hi, Dear Good Evening, I went through your query and understood your concern. I my opinion--Cause and Treatment-on the data given from you is as follows-a-Mostly it could be - RA of the MCP joint of middle finger. I would need the X-ray/Uric Acid levels /RA factor and anti-CCP antibodies/ESR to fix the diagnosis along with Clinical data to decide on the treatment for it. Still without this You have to be concerned as RA is joint disfiguring disease if not treated aggressively in initial stages -a-Tb anti-inflammatory to take care of the local pain.b-Consult a Rheumatologist and or/ or tho Surgeon- As RA is most common in 3rd MCP joint ASAP.c-I would advise first confirmation of RA diagnosis and would ask you to consult Rheumatologist for further treatment regimes to avoid further joint damage in small joints. This would help you to plan treatment with your Rheumatologist who would treat it accordingly. Hope this resolves your query. Wish you fast recovery. Wellcome for more further queries in this regard." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I had a temperature of 39.1 a few days ago, and felt achey all over, had a bad stomach, and for some reason my scalp felt really tight , I felt awful. The next day I felt bettter then the day after I felt as bad again. Yesterday I felt fine apart from a sore thoat, and today I now have light red small spots all over my body, but feel fine. Do you have any idea what this is? I m also 6 weeks pregant so quite worried.", "output": "Hello, and I hope I can help you today. High fever and a rash in an adult, pregnant or not, needs to be investigated. There are diseases also, such as Rubella, that can also affect the pregnancy. In your case specifically, I am concerned that you may have scarlet fever. Scarlet fever is a reaction to a strep bacterial invention of the throat. Without antibiotic treatment, the bacteria can spread through your blood and cause infection of your heart valves. The disease Rubella (German measles) can cause birth defects if the baby is exposed, and it also causes fever and rash. I strongly advise you to see a doctor even though you are feeling a bit better. You will need some tests to get an accurate diagnosis, and you may still need antibiotics for treatment. I hope everything works out for you and the rest of your pregnancy. Best wishes, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 18-years-old. I weigh 125lbs. I accidentally hurt my finger about 30 minutes ago. Due to the amount of pain I was in, I took 4 Ibuprofen pills. I have a headache and I am still in pain. I do not want to accidentally overdose. I have a class at 9 tomorrow. What should I do?", "output": "You have taken enough of painkiller and still if it's paining then you need to consult a doctor. Do an x-ray and check there is no internal damage or hair line fracture. If there is then get treated with orthopedic doctor and give rest to affected hand. And if there is no fracture then orthopedic will guide you what to do next. But ibuprofen you have taken enough, so I will not suggest taking further since it also have many side effects too. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I fell 3 days ago and have severe back pain and my abdoman area seems to be bloated. I had an exray at my chiropractors office he said I broke one rib and fractured another. the pain is very sharp when I rise from a sitting position or sit down from a standing position. I know doctors dont treat ribs just let them heal. What should I do?", "output": "Hello Thanks for writing to us, I have studied your case with diligence. You may need to do MRI or HRCT to see details of injury and to see for any lung puncture. If there is lung injury then there will be increasing pain with every breath. I will advise consulting to orthopedic surgeon. Medication like muscle relaxant and analgesic will reduce pain along with it use rib support belt. You may consult physiotherapist for pain management. He may start TENS, or ultrasound which is helpful in your case. You may need to take rest for early healing. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. If you find this answer helpful do not forget to give rating at end of discussion. Wishing you good health. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,I seem to have a combination of two issues which I am hoping are connected.I am a 44 year old male who is in good shape. Over the last 6 months I have noticed a continuous need to go to the bathroom during the night. I also feel that after I do finish urinating I need to go again.On top of this I am also suffering from erectile issue which often result in me not being able to achieve a full erection.Can you please confirm what you recommend my next steps should be", "output": "HelloThanks for the query to Chat Doctor. Forum. Yes you are right, two issues are related to each other. Frequent urination is due to. Enlarged prostate is the one of the most important reason of urgency of urine. Urinary tract infection is 2nd reason.Don't getting full erection is due to. Age factor. Tension and anxiety. Get in ultrasound of prostate and urine culture for diagnostic confirmation. For erection problem you must consult a psychiatrist. As age will advance both problems will worse. So take treatment for these problems. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My Mother aged 48+ has suffered in anemia, and he take iron capsules but still she did not any recovery. Doctor prescribed for exam of the details and found normal but, the problem is same and hemoglobin is apprx. 9.2 .. andher symptoms are - she feels tension, two legs are soaling, brain tension, and very important thing is blood pressure is 90/60 every time.and please help me ....and another thing is he operation of Gall Bladder stone before 1 year.Doctor advice for exam of the details are as follows - Kidney Test - OKThiroid Test (TSH)- OKCortisol Test - OKFerritin Test - OkECG Test - Okfinnaly doctor said due to old age happen this ...Help me sir... Please...", "output": "Hi, dairy have gone through your question. I can understand your concern. Your mother is suffering from anemia. But it's not due to iron deficiency. She should go for peripheral smear examination and anemia profile. Find out the cause first and then take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. For the past couple of weeks, Ive been having bad pains in my heart and chest area. It hurts the majority of the time, and especially when I laugh. It feels like its burning, and sometimes it feels like something is popping. Im 13, female. It hurts a lot, any idea of what may be going on? Thanks!", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Left sided chest pain is commonly due to heart diseases but at your age of 13 years, heart diseases are very uncommon. But better to get done ECG and 2d echo first to rule out heart related diseases. If both are normal then possibility acute gastritis is more as a cause for your chest pain. Stress and anxiety are the risk factors at your age. So if you have stress and tension then avoid them, be relaxed and calm. Avoid hot and spicy food. Avoid large meals, instead take frequent small meals. Take proton pump inhibitors and prokinetic Chat Doctor. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a tumor in my backand I have 3 disc bulge. I also have peripheral neuropathy. I went to the er and that s what they found. Now my legs can,t move and I,m in severe pain. They told me to see my doctor in a week but his on vacation. What can I do to help my self?", "output": "Thanks for your question on Chat Doctor. In my opinion you should consult spine surgeon. Your disc bulging is causing compression of nerves, coming out from disc space. And this compression, when severe, can cause loss of power (paralysis) of lower limb and neuritic type of pain. So at present you can take painkiller but for permanent solution you need surgical procedure to reduce compression. Also start vitamin B 12 as it is helpful in nerve repair and its function. So consult spine surgeon and discuss all these." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m 22 years old, married, and have not been taking any steps to prevent pregnancy. My last period was on Sept. 19. I typically have a period every 4-5 weeks. I took a pregancy test on Oct. 30 and it was negative, but still no period. I don t have any signs of morning sickness, cravings, or the typical pregnancy indicators. The only chronic condition I have is ulcerative colitis. Could I have taken the test too early, therefore getting a false negative? I plan on taking another test on Nov. 7. If I still haven t started my period and I still get a negative pregnancy reading, should I make an appointment with a doctor?", "output": "Hello, I have gone through your query. In the current scenario, I would recommend a proper clinical evaluation by an expert along with an estimation of the serum beta-ChatDoctor titles and a trans-vaginal sonogram to know the status of the pelvic organs. This will help to definitely conclude on the status of your possible pregnancy. If negative, you need to think of hormonal imbalances and a possible flare up of your ulcerative colitis causing disrupted cycles. If this is so, specific management is necessary to correct the situation. Maintenance of a healthy weight is very important. Hope your query has been clarified. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello dr. i was informed that my 4 year old daughter has mild case of pneunmonia and i have a son who is being tested and monitored for Cystic Fibroisis.. how can i keep my dtr from getting my son sick. what can i do to help my dtr get better faster ( she is currently on antibotics)", "output": "Hi, From what you said, I got your daughter is having pneumonia-the main treatment is antibiotics-which your doctor had already given. She will be fine in few days. You can hasten her recovery by allowing some bed rest, frequent oral fluids and a soft diet rich in fruits and vegetables the second part-how to keep your son safe:Pneumonia is mainly spread through Chat Doctor. 1) Let both of them sleep in separate rooms and avoid close contact until she stops coughing2) Avoid direct contact with her famines and nasal secretions3) If possible let her wear a surgical mask, this will prevent " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was recently diagnosed (at Cleveland Clinic) with mild diffuse encephalopathy... I haven t received a treatment plan yet. Can you shed some light on this? (I don t drink alcohol more than a few times/year; I have never smoked; and I have not had a head trauma.)", "output": "Hi, Thank you for posting your query. I would like to know a few additional details regarding your diagnosis. On what basis, were you diagnosed with mild diffuse encephalopathy? Was it based on clinical neurologic examination by a neurologist, or was it based on electroencephalography (EEG) test? Encephalopathy refers to brain dysfunction, such as Chat Doctor. If you had these findings, then, one can make a diagnosis of encephalopathy. Please get back with more details. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Our four year old daughter has started to loose her finger nails,the complete nail lifts and gradually becomes loose and falls off.This started about two months ago and now we are seeing nail\"no.4\" start to do the same.Any suggestions or reasons?thank you.", "output": "Hi...it could be a psoriasis or a fungal infection of the nails. Nails are scientifically called skin appendages. Usually, skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Does it cost moneyLike lawyer .com. .Im wondering if my son is schizophrenic or bi polar or what. He has mild Tourettes and all the signs of schitzophrenia and maybe bipolar and since he smoked pot. The psychiatrists dont want to see him .so I dont know what to do", "output": "Degree understand your concerns went through your details. I suggest you not to worry much in this regard. You should take your son to a psychiatrist if you are sure about the symptoms. Distinguishing between Schizophrenia and Bi-polar disorder is a typical task and a trained psychiatrist or clinical psychologist can do it. There are so many symptoms which are common but uncommon. You can search internet to find the symptoms, and you can do some diagnosis. In any case, you need expert assessment and advice. You might need psychological counseling and or psychotherapy. Please visit http://psychocure.webs.com for behavior modification, mental health assistance, Cognitive Behavior Therapy and other psychotherapies, etc. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Recent MRI of brain states there are multifocal patchy areas of T1 Flair and hyperintesity in the periventricular white matter, a few of which appear pericallosal, for example series 3, images 6 & 7. There is a moderate burden of these lesions. Abnormal high signal is also noted in in a band like pattern about the 6th general capsule of the basal ganglia on the left. Also states there is a prominent T2/Flair signal change in the right perialtrial region... right periatrial region. Mile to moderate burden patchy perventricular white matter disease, nonspecific. Some of the lesions arepericallosal...possibiltiy of ms/demyelating diseas not excluded. I don t think the neurologist I went to thought that I was smart enough to ask the front desk a copy of my MRI rept....He didn t discuss any of this with me....He told me there were no changes, but then said he had nothing to compare the MRI to. Please note in 1992 it was noted that I had lesions....I was only 41 then, so I am thinking I probably even had lesions before I was 40...so it should not have been an age related situation...my email address: YYYY@YYYY . Thank you Regards Lori Langton", "output": "Hi, Thank you for posting your query. I have noted your MRI brain findings. The most likely cause for your lesions in brain could be ischemia (lack of blood flow to brain). This is more likely if you have risk factors such as high BP, sugar or cholesterol. The other common cause is migraine, and multiple small hyperintense lesions are common in patients with chronic migraine. Multiple sclerosis could be also be considered, however, it needs to be correlated to your symptoms. We also need to know if there are any contrast-enhancing lesions or any spinal cord lesions. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, Chat Doctor. Ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am on MetforminER 500mg,Metoprolol 25mg,HCTZ 12.5mg,levothyroxine 50mcg,Lotril 5/10,Lipitor 10mg...all once a day. Also, I am on K Citrate 10meq every 12 hours AM & PM to prevent kidney stones. Question is when is the best times to take these meds? Right now the Lotril,Metformin and Metoprolol and HCTZ are taken in the AM. Different opinions say Lotril should be taken at bedtime Thanks", "output": "HI, It is always better to stick to the advice of the doctor who has examined you. Still I would inform about ideal usage of the Chat Doctor. HCTZ- Ideally taken in morning, with a cup of tea. Metoprolol & Lot rel- both are pills for blood pressure-They can be taken either together or single BUT at fixed time, with or without food. Not to be skipped without doctors advice. Levothyroxine- Best taken on empty stomach half hour before food. Lipitor-With or without food at same time in a day Metformin- to be taken with food at fixed time. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I was on the depo shot for about 12 years and loved it. I didn t have a period the whole time. I went off of it about 7 months ago and felt awful. Not myself, terrible side effects, weight gain, etc... I decided to go back on it about a month and half ago and immediately felt great. About 10 days ago I started spotting-brown gunk. Not really a period but it s still here. Should Icall my doctor?", "output": "Hello, and I hope I can help you today. Because of the time you were off the Demo, when you restart it your body requires an adjustment period. Typically, women experience irregular bleeding for even 3-6 months before their menstrual cycles stop. The color or amount of the blood really is not relevant, but typically after not menstruating for so long the blood is very dark and even can look black. So I would not worry at this point, and I am sure the bleeding will stop, and you will feel like you used to once your body re-adjusts to the medication. I hope I was able to adequately answer your question today and that my advice was helpful. Best wishes, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I recently took a part time one time job for a week where I sat a lot and the job was out of town and so I was driving in the car a lot. Ever since I was driving back home, I was feeling twitching and tightness in my arms. I thought it was a lack of mobility. It s been a few days since I have been back to normal but when I woke up this morning, I felt a bruise on my right arm but could see no bruise. It was around my elbow area. It has since moved to my forearm. My arms still feel tight but especially my right arm. I am a 31 year old female.", "output": "Hello I have studied your case There is possibility of cellulitis due to soft tissue infection leading to bruise. I will advise you to do ultrasound of arm, and you may need to investigate in form of complete blood count, ESR, Cross I will advise you to consult a specialist and do require investigation. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am working as Mechanical design engineer at bangalore for 5 months. I am 32 male , height 158 cm, married and having a kid. working before in ernakulam.good company , only salary was low. But the present company is small , and i am being cornered. I am feeling heavy tension, not able to take food, and would like to come baack home . i am taking sertraline based on my doctor uncle who is psychiatrist in london. i cannot continue in present company. if pressurized by my parents and family, i will try suiciding. I was treated before thrice for severe anxiety and tension .pls give me a solution", "output": "Hi dear,first why you are not adjusted in company ?it is salary issue or other issue?and you have such feelings only at your work place or at home also?sometimes due to adjust at your work place also cause such problem. Sertraline is a good molecule to overcome depression and anxiety so took it in an adequate dose. As you are having past history of similar complain so take medication regularly and also go for counselling. Consult psychiatrist face to face. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have lower back pain which make my legs around my knees ache. I cant set still very long either. I have had shots in my back with nerves burnt. Mr Doctor wants to send me to a spine specialists. Please help I cant sleep at night without my legs kicking. i take medicine for restless leg. But nothing is working.", "output": "I think you may be having nerve compression at spine, so it would be better if you see a spine specialist. He may ask you to get MRI of your spine to check whether you are having nerve compression or not. If report come positiver than you may to need to take gabapentin and methylcobal tablets. I still consider if nothing comes on MRI than you need to get x-ray of knee if there is some proven with knee that is causing all these issues." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doc: Do you know much about Paso-Arthritis? I am 63, have had the disease since I was 21. Tried many natural (Dead Sea) and medical ( Methotrexate) before going on Otezla 2 and a half years ago. It was miraculous! I returned to Mountain Biking, Tennis and other sports. About 6 months ago lesions started RE-appearing. Then pain and stiffness. I need some relief other then Ibuprofen. I am scared to go on Biologics. Any suggestions?", "output": "Hi, Psoriasis arthritis affects Large joints. Joints disease worsens with skin lesions. Treatment is two-way:1. Treatment of skin lesions2. Treatment of joint disease. Joint involvement usually decreases as skin lesions are controlled. Primary line of joint treatment is disease modifying agents Like Sulfasalazine and Methotrexate which you have taken. If they are not giving relief next line of treatment is biological agents. They are very effective to control disease visit to rheumatologist is recommended. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have upper back pain on both sides, chest tightness both sides and underarm pain. I had full heart work up and it was cleared. I had an upper endoscopy, lower abdominal ct scan, and gall bladder ultrasound. All were fine. I have some gastritis everyday. I am wondering if I should have my lungs or spine checked. I dont have any trouble breathing or pain when breathing, but have read early lung cancer can cause this pain. Any ideas what could cause this?", "output": "Hello Thanks for posting your query. Upper back pain and chest tightness seems to be due to muscle spasm. As your heart workup, lower ABD ct, ultrasound are fine, do not worry. Also, it is not sign of early lung cancer. Back stretching exercises will be helpful to relieve the spasm. Doing hot fomentation and applying muscle relaxant gel will be also helpful. Hope this will help regards. Chat Doctor. Orthopedic Surgeon." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter was taken by ambulance to hospital on Thursday morning with suspected appendicitis, they did a scan and could not make out a clear picture because some fluid in the area. They thought maybe a ruptured cyst also. The surgeon that seen her that night said if pain was still there in the morning they would do a laposcopy to see inside and most probably remove the appendix. We had a different surgeon yesterday morning who just kept giving her morphine up until yesterday afternoon and sent her home with endone tablets. They would not rule out appendicitis or ruptured cyst. The pain is quite severe on the lower right side when the endone wears off. She has now developed a slight temp of 37.6 and it hurts when she eats. Come home from the hospital dishartened and very confused and worried. What should I do?", "output": "Namaste Welcome to Chat Doctor Greetings of the day Still persisting pain, loss of appetite and fever points towards clinical diagnosis of ongoing infection in the abdomen and most likely appendicitis. Appendicitis is usually a clinical diagnosis and collaborated by laboratory finding of raised white blood cell count, CRP. What does the scan report mention the status of right ovary? Is the right ovary normal in vascularity and size? I would advise you to see your primary physician once again and discuss with him/her the possibility of appendicitis or Ovarian torsion /cyst rupture. Wishing her a fast recovery. Kindly get back to me if you have any further questions or concerns. Take care Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a pacemaker put in in July and have had no energy and breathing problem. I have had a chest stay blood work up everything is okay. I did find out today my hormone patches were to much, so I will be using a lower patch .could my hormones be making me tired.", "output": "Thanks for your question on Chat Doctor. Yes, hormonal imbalance can cause mood swings, tiredness, low energy etc. So get done hormonal study and consult your doctor. Another possibility in your case is problem with pacemaker device. If pacemaker function is not proper, heart pumping will be affected. So blood circulation is deranged and can cause low energy and tiredness. So also consult your cardiologist and get checked pacemaker function." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir i have done my MRI here is the report: Disc dessicatory change,diffuse posterior disc bulge,thickening of ligamenta flava,facetal hypertrophy ,mild thecal sac compression.bilateral mild neural foraminal stenosis bilateral mild nerve root compression at L4/5. straighteing of lumber lordotic curvature curvature is seen suggestive of back muscle spasm. what can i do now? any advice ??", "output": "Hi Zofran, As doctors, we treat the patient and his symptoms. Looks like you have an MRI report showing some features of degeneration (wear and tear), but the MRI scan requires no treatment! Please let me know what symptoms you have, how long you have it, what medicines you have taken and for how long and whether it has given you any relief. That will let me know if the MRI report correlates with your symptoms which will help in giving you appropriate advice. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I;m having troubles with the odor that are airborne , I smell everyone of them !! some idiot was cooking meth behind my house about 5 yrs. ago . I would go home and get sick everytime, I left my house of 12 yrs. left everything , made me sick. been getting sick since then .. smell things in the air, my head starts to hurt in the back , my stomach hurt , my chest cavity hurts like I work out with some heavy weights . I cannot move again , I feel good went i:m away from the smells , what did this person do to me ?I m basically living in my van now , I dont do any drugs at all , 20 yrs since having even a beer . I take baby aspirin for pain that it.. 55 yrs. old , play tennis for last 20 yrs, run 3 miles aday , 6 ft 195 w ath. my whole life. drink beer went I was younger . other people around me dont get sick, or even smell the things I do , I guess I;m special now , whats going on with my body .????", "output": "Hi, Thanks for the query; have you ever suffered from head injury with loss of consciousness, bleeding from head, ear, nose or mouth? Having extreme sensitivity to smells & having ability to smell certain odors which others can't smell can occur after a head injury or in case of certain types of seizure disorders known as complex partial seizures. Your other symptoms of periodic pain in stomach, chest, back along with this super sensitivity to smells can very well be AURA of this complex partial seizure. Hence, first go for MRI Brain along with a special investigation known as EEG which maps activity of brain waves & can detect a seizure. Followed by that either get back to me or consult a Neurologist about use of antiepileptic medications to control these symptoms. Good Luck" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband, age 72, just had rotator cuff surgery. Since then he has been very lethargic and has had shortness of breath. He has an X-ray which showed nodules on both upper are of his lungs and the doctor thinks it might be blood clots. He has an appointment for a CATscan on Friday. Should I be concerned about cancer? If it is blood clots, anything he should do between now and his appointment?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Nodules on both upper lobes are mostly seen in infection like tuberculosis, blood clots, Pulmonary infarction and lung cancer. So better to get done CT thorax with Contrast. This will give you the correct diagnosis. If he is smoker than possibility of lung cancer and infection is more. And no treatment is required at present. First diagnose himself and then start appropriate treatment because all these conditions require different treatment. Hope I have solved your query. Wishing good health to your husband. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have asthma. I have a cold that is aggravating my asthma. Would it be help-full in controlling my asthma to take predisolone? I have done this in the past and used the tapering off procedure. Do I have to use the tapered procedure when taking predisolone?", "output": "Hello dear, Prednisolone being a corticosteroid should be taken only under the guidance of your Doctor and follow a tapering off procedure before stopping it. The symptoms as mentioned in your post can be attributed to Acute exacerbation of asthma, secondary to the respiratory tract infection. Management consists of:1. A course of antibiotics based on culture & sensitivity reports.2. Stalin+ Aeroflot inhaler-provide symptomatic relief by causing bronchodilator (dilating the smaller airway passages, relieving the obstruction & increasing airflow to lungs). So, it can be used during an acute attack.3. Montelukast preparations- used as a maintenance therapy to relieve symptoms of asthma.4. Antihistamines like Cetirizine can also be used to provide symptomatic relief.5. Also make sure that you are well protected from exposure to cold, dust or other allergens. If symptoms still persist, kindly consult a Pulmonologist for proper clinical evaluation. Wishing a good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 16 and half weeks pregnant And was told yesterday at the Dr that my baby might have Trisomy 18 but they dont know for sure yet. because i havent had a amnio.But the dr I seen was not my actual dr. It was at a different hospital . But they said we where gonna lose our baby just from looking at the ultrasound. But ever since I have been pregnant i have had brown vaginal discharge which my dr says is normal and fine. But ever since yesterday after i went to the dr I have had the same light brown discharge but its now a light pink with clumps or chunks in it. When they said i was gonna lose the baby they said they didnt know when or how.But yesterday our baby was moving around like crazy on the screen and the heart rate was 153 and its been around that since ive been pregnant. But I was just worried after having the light pink discharge with clump or chunks. what that might be???? I havent had any cramps or pains or anything tho. But yesterday when they did the ultrasound they did a vaginal ultrasound. And I didnt know if maybe the light pink chunks where maybe the lining of my uterus or maybe dead skin cells or something and when they did the vagnial ultrasound it maybe knocked some of the dead skin cells or lining lose or something. Any info for me????", "output": "Hi there,Please do not be so tensed, having been told that you are going to lose your baby must be a devastating experience. But nothing is confirmed till a definitive test such as an amniocentesis is done. A transvaginal ultrasound does not cause any damage to the lining of the uterus or to the pregnancy, do not be very concerned about it causing harm. If some defects were identified on the ultrasound we will need to rule if they are isolated or associated with a genetic cause such as a trisomy. The amniocentesis will take some fluid from around the baby and analyze it for the DNA. But if the baby does have a genetic defect it is also more likely to miscarry itself, which could be a cause of the constant mild spotting you have already had through this pregnancy. If the amniocentesis comes out with a normal finding and there are still defects observed on the ultrasound, you will need to get detailed scans at 20 weeks and a cardiac ECHO of the baby at 22-24 weeks to rule out other problems if any. Hope this helps. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am 21, 51, 61kg . My SGPT is 37.8 u/l and SGOT is 33.1 u/l as indicated in my blood test to be elevated while my LDL cholesterol is low. Do they have anything in common? and am i suppose to worry ? i lately have been experience stomach pains which i was connecting to my irregular period and sudden feeling of wanting to vomit. May you please inform me if i need to go to a doctor.", "output": "Hi. Thanks for your query. You need to go to a Doctor for a physical / clinical examination to correlate the laboratory findings with your symptoms and the signs that the Doctor finds. The GOT and SGPT are normal/ just elevated (as you have not mentioned the normal range that particular laboratory has). The is no relation between the liver enzymes and the LDL Cholesterol. Now that you have stomach pains, late periods and sudden feeling of vomiting, I would advise you the following ::Get an opinion and examination done by a Gynecologist. Ultrasonography and urine pregnancy test to see whether there is intrauterine or tubal pregnancy. If it is so, you may need an urgent surgery;if not so to find out other reasons and get treated." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I Have a swollen lump on the inside of my left butt cheek next to my anus. It is internal, no surfsce penatration. If I apply pressure or squeeze it, clear redish liquid comes out. Not sure what to do at this point. Have been taking Amoxicillin that I had left over.", "output": "Welcome to Chat Doctor .1. It seems like a bacterial infection causing abscess formation with sinus / external opening.2. They are colonial sinus whicChatDoctores from the hair follicle and make a communication to rectum / bowel and externally opening. 3. I would suggest getting an ultrasound scan of the lesion done to see the nature and content of the lesion, and its extension.4. A course of antibiotic or incision and Chat Doctor. 5. Get an appointment meant and see your doctor as soon as you can, as there are complications in this issue. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, i am taking alaxan for 4-5months already coz before i have a abdominal pain so every time i take alaxan the pain is gone...then i was just diagnosed that i have ovarian cancer so i still continue taking the alaxan for my pain, i am taking 3x a day..is it bad for me? is it true that it will affect my liver or kidney?d", "output": "Hi, Thanks for the query. Alahan contains two Chat Doctor. Potentially they can lead to kidney damage if used for prolonged periods in high doses. Pain of malignancies is severe and there is a need for painkillers. Are you on any chemotherapy? As chemo usually kills the cancer cells and decreases the pain so the need for painkillers decreases. Try to decrease the dose of Alahan from 3x to 2x and then 1x. There are other groups of " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hii hello doctor ... i did all my scans i took i too clomid 2day of my preiod and im taking folicacid for tree month ... i did all my folicalarscans for times .. my doctor gave me a duphaston for 12day my preriod day will be om 28th of dec if i dont get my period doctor ask me to visit her ....pls i need to get pregnet im wishing is it posible to get pregnet give me a good ans im dieing to be pregnent after 12years", "output": "Hi, I think you should go for evaluation first. Do a thyroid profile and prolactin levels. Also do a semen analysis of your husband. You can try closed for 3 to 6 months. Track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles. Be in contact with your husband for 2 to 3 days after injection. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. If it doesn't work, you can go for GUI. Hope I have answered your question. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been suffering from cough for the past 20 years. No allopatChatDoctoredicine works out. Only some home medicine cures the cough that too only once. The same remedy does not have any effect the second time. All tests have shown everything normal. Once I get cold, immediately cough starts, and continues for four five months though cold gets over in a week. Please tell me what I should do to get rid of this problem permanently.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you are mostly having asthma or bronchitis. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).PFT will not only diagnose bronchitis or asthma, but it will also tell you about severity of the disease and treatment is based on severity only. You will mostly improve with inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a large smooth symmetrical lump about the size of a gum ball on the right side of my inner meatus. there is no pain when palpated and it is immobile. it is subcutaneous and not inflamed. what could I be dealing with? I was just tested for STDs and HIV", "output": "Hi ! Good morning. I am Chat Doctor answering your query. The investigations which you got done possibly had normal reports which you have not commented on. Any growth anywhere has first to be assessed by a clinical examination followed by other relevant investigations if any. Therefore, I would suggest you to consult a general surgeon nearby your area, and get your self assessed clinically first before getting other tests done. It might not be possible to opine on this over net without a clinical examination. I hope this information would help you in discussing with your family physician/treating doctor in planning your treatment. Thanks for using the Chat Doctor forum for your query on health. Wishing you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 39 years old and have been out on my roller boots exercising. I am 9 stone 5ft 5 non smoker. I experienced some chest pain which felt localised to my chest wall just left of my sternum. After I stopped the pain resolved. Never experienced this before. Pain did not radiate elsewhere.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. You are having left sided chest pain during exercise (exertional chest pain). So we need to first rule out cardiac cause for this. So get done ECG and 2d echo. If both are normal then no need to worry about cardiac diseases. Sometimes musculoskeletal pain due to exercise can cause similar pain. So take painkiller and muscle relaxant Chat Doctor. Avoid exercise for few days. Apply warm water pad on affected areas. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor the case is about My wife , she has asthma from time to time , but that happens only if her nose nasal passage are blocked , some time both passages some time only one . And her asthma gets worse and worse if it is both . She used a lot of sprays but no great affect until lately she used ... , and it made a different by reducing the mucus in her nose and thus breathing normally most of the time. I read a lot lately about deviated spetrum surgerys and turbinates (i guess ) so we made a ct scan please see below the pictures and tell me if it requires a surgery. http://nextechno.com/Sinus/UpView.JPG http://nextechno.com/Sinus/f1.JPG http://nextechno.com/Sinus/f2.JPG http://nextechno.com/Sinus/f3.JPG", "output": "Hello, Welcome to Chat Doctor ! Your wife is probably suffering from chronic sinusitis with DNS. Well there can be hyperplastic mucosa in sinuses due to sinusitis also. Contrary to views expressed, an allergy can only be avoided, not cured. Modern sinus surgeries like FESS are safe & effective in expert hands. Please take second ENT opinion but go for surgery. Donor fear of a repeat surgery because any disease can occur again. So will you not treat due to this reason (i.e. recurrence). Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have a ? my daughter is lactose intarent sorry i cant spell um i dont no what i can do about food choices at the store that doesent have diry in them im so lost i dont wanna give up hope what do i do shes in pain in her stomach every time she has any food tht has any hidden dairy dont no what to do", "output": "Thanks for putting up your query at Chat Doctor. I understand the cause of your concern, but you have not mentioned the age of the child and that would have been important. The dietary changes for lactose intolerance should initially include the exclusion of those foods rich in lactose. If the symptoms resolve then small amounts of lactose containing foods may be reintroduced, and symptoms monitored. Most people will be able to determine their tolerance level for lactose. Very rarely people may be so sensitive that they will need to exclude foods with lower levels of lactose including biscuits, cakes and other processed foods. It is important to find a suitable replacement if important foods are excluded from the diet. The lactose content of dairy foods varies widely, as do the serving sizes consumed. Breastfeeding need not be stopped unless the baby has severe problems with it. Being lactose intolerant is not the same as having milk allergy, which is a more serious problem affecting a much smaller portion of the population. Had I known the age of the child, I could have commented better, but the following food can be given if age appropriate:* Spinach* Canned salmon or sardines with bones* Calcium-fortified orange juice* Raw broccoli* Canned white tuna* Calcium-fortified soy milk* Dark green leafy vegetables* Almonds guide to a healthy lactose free/low lactose eating planBreakfast:A bowl of high fiber cereal such as Weetabix or oatmeal with fresh fruit and soy or low lactose milk (if tolerated) and/or wholemeal or grain toast with milk free margarine e.g. Sundew and honey or Vegemite. Tea or coffee with soy or low lactose milk. Lunch:Sandwiches made with wholemeal bread with lean beef, tinned fish such as salmon (include the bones for calcium) and salad. Milk free margarine if necessary. Tinned or fresh fruit. Water, tea, diluted juice or cappuccino made with soy milk. Main Meal:Water with lemon juice. Chicken and vegetable stir-fry served with steamed rice. Fruit and Ferruccio dairy free ice cream, or custard made on soy or low lactose milk. Snacks:Fresh fruit, crackers or microwaved poppadoms with salsa, popcorn. Toasted fruit loaf with milk free margarine and. Water, juice, tea, coffee or hot chocolate made from cocoa and soy milk. I hope that helps. Feel free to revert with further queries if any." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 50 yrs old diabetic male. From last so many years I have recurrent problem of runny nose and sneezing. These days this problem have become very serious. I have tried levocetrizine and many more anti-histamine drugs without any long lasting remedy. Pl help.", "output": "Hi., sir., From your given history, everything points towards allergic rhinitis.Typically, allergic rhinitis would present with watery discharge which is clear and sneezes which are multiple, and it usually makes your nostrils tender and makes breathing uncomfortable due to the sore feeling in the nostrils. Basically what I mean is if you feel you need to do two things:1-find the allergen(could be dust mites, pollen,aerosols such a deodorants' room freshener etc., strong odors and so on)There are tests which can tell you which allergen you are allergic to, but much simpler way is to maintain a log book for a month, and you can review the same to figure out.2-I see that you are diabetic, so by default diabetics are commonly more susceptible to respiratory viruses, these are self relapsing, but then an episode can give u flu like symptoms too, so to maintain proper hygiene is ideal. I would recommend you to stay away from unhygienic water and places. All said and done, you are advised to prevent an episode by the above methods, and in case of an episode the best combination would be montelukast and levocetrizine tablets twice daily if its bad(optimally once before bedtime) and with steam inhalation(should not be very hot as too hot can also cause irritation to the nasal mucosa)Last but not least, the diet-avoid poultry and stored yogurt. Every day morning have Luke warm water with a half lemon and honey. Hope this solves for any doubts please feel free to contact me." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 45yrs old & had a heart surgery 5 years back. I had my LFT & LIPID Profile done recently. My SGOT(AST) is 46.70 U/L & SGPT(ALT) 76.60 U/L. Colesterol 163 mg/dL, triglycerides 165 mg/dL, HDL Cholesterol 39 mg/dL, LDL Cholesterol 110 mg/dL, VLDL Cholesterol 14 mg/dL, Non HDL Cholesterol 124 mg/dL Pl suggest the course of action.", "output": "Hi. Thanks for posting query at Chat Doctor. Usually ALT or AST values higher than \"two times the upper normal limit\", is considered abnormal (in some countries, ALT or AST values of more than 100 are considered abnormal). Value of AST or ALT greater than 85 or above maybe investigated further. Alcohol ingestion and obesity are common causes of fatty liver disease. Advice :- abstinence from \"Alcohol\" - AVOID junk food and beverages-\"recheck liver enzymes after 3 to 6 months\" and/or ultrasound. Any further questions are welcomed. Hope to answer your concern. Wish you good health. Regards, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my mom just got diagnosed with secondary bone cancer , she has a one large tumor on her skull and three small ones on her skull, the large one is pushing on her brain and causing double vision, they think she may also have a tumor on her pelvis which she is getting a bone scan for early next week to see if its anywhere else, what is the honest prognosis for such a case ( i work for hospice so i am pretty familier with end of life care but we usually get the patients after they stop treatments so i am curious as to the prognosis with treatment", "output": "HiT hanks for writing in. Secondary bone cancer in a female is mostly from breast, lung, kidney or thyroid. Pelvic tumors spreading to bone is rare. The pelvic tumor may itself be a secondary. She needs CT scan thorax and abdomen, mammography and thyroid ultrasound to locate the primary. A few special tests (immune) on the biopsy can also tell something about possible primary. The prognosis depends on the primary site. For example, it is better in breast or thyroid. She also needs radiation to the larger skull deposit. Best wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "iam having clot in brain 7 months back. Im taking acitrom 1 mg & 2 mg alternative days. , at the same time im taking eptoin 10 mg., Lobazam 10mg since 6 months. Whether i should take MRI to check whether clot is cleared or not. Still how many days I have to use these medicines.", "output": "It depends on the size of clot it is assessed by ct/MRI scan. MRI being less harmful is preferred. Actually the ischemic area can be calcified on ct scan, it can give rise to seizures hence option Obama must be continued even after resolution. Blood test of pt INR gives us the status of coagulation in body as dose is adjusted accordingly, roughly saying your clot status present and future, Mostly it could have resolved by now, but ct confirms it. Also u must take anti-epileptic treatment life long" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. Ever since I was about 8 years old I ve had a chronic cough. I was diagnosed with nonallergic asthma at 10 years old, but stopped having asthma attacks when I went into high school two years later and no longer had to run laps in PE. Today I m 21 and I still cough, but only in cold and/or humid weather. I m fine on dry summer days, even wet summer days as long as the temperature doesn t dip, but as soon as it gets cold or cold and wet, the cougChatDoctores back. Everything I find seems to say humidity prevents cough, not causes it. Help?", "output": "Hi, actually in your case cold weather and even changing season IC causing the symptoms, in sudden change of weather our body is not able to produce adequate amount of antibodies to combat bacteria and viruses and thus get infected, also in some weather pollen grains remain suspended in air which causes allergic symptoms. For its prevention you should avoid exposure to cold, should do regular gargling with glycoseptol syrup in lukewarm water, should avoid sweet dishes and ice creams specially in changing weather conditions. Can take levocetrizine in the initial stage if required, and you should go for panel test for allergy also. Wish you all the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ive had an ingrown toe nail on my rt big toe for over a month now. I went to the e.r. 10/31/11, to seek help. Before removing the nail completely, the doctor did 3 attempts of anesthesia. There were complications with the anesthesia. They finally removed the nail and applied ointment (Triple-antibiotic cream). Since the procedure, my toe has gotten worse and so has the pain. I apply the cream twice a day. There is fluid flushing out of everywhere and where the anesthesia was injected, looks like 2nd degree burns. It looks like its spreading throughout the entire toe and foot. I am also soaking it in epsom salt and warm water. How ever, this still doesnt make it any better. What else should I do? Please help!!", "output": "Thank you for posting your query in Chat Doctor .com....well probably you had parochial and secondary infection following which the nail had to be removed.....but the infection persisted in spite of antibiotics and there had been further abscess formation.....I would suggest you to visit a GENERAL SURGEON as soon as possible for inspection of the area and also for further management...an examination is needed before giving you further advice.... hope this was helpful....regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello night before last my throat felt like it had a lump stuck in it when I woke the next morning I had a mild tummy ache as the morning went on it turned into severe cramps from my lower abdomen to under my breasts it hurt all day and worse everytime I ate or drank anything went to bed last night wiped out and woke today feeling better but sore all over like if I push gently on my lower side like where an ovary might be it hurts in my upper abdomen just below my breasts Got any ideas???", "output": "Hello, Pain in the stomach associated with food or liquid intake associated with some lump like sensation in the throat could be (either HERD, Esophagitis, Gastritis due to some bacterial infection) or any other local causes, please kindly consult your doctor, get examined, get a USG abdomen or UPPER GI endoscopy, so the cause can be evaluated and hence treatment planned. Hope I could help you. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 70 year old female. Approx. 3 months ago I was doing some heavy gardening....cutting, lifting, pulling, dragging many bags of heavy garbage. I have achy pain in my right arm whicChatDoctores and goes. It sometimes wakes me up at night. Whenever I reach to a high cupboard I get pain. My research is suggesting that it is tendonitis. It isn t getting better by itself. 200 mg Ibuprofen seems to help. I am just taking it randomly. Can you help?", "output": "Hi, thank you for providing the brief history of you a thorough clinical examination is advised. As you have this sudden pain in the arm. You need a thorough clinical examination. Post which an MRI may be suggested based on the examination of the shoulder or the cervical spine. Post which treatment will be initiated by physical therapy to help reduce pain and improve muscle strength. Regards Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My mother is 54 yrs old and was diagonised of Achalasia Cardia and was operated twice (May 2009 and November 2009) for the same. On and Off she gets a sever pain n her Chest. There is no time specific of the pain. ECG was done bcoz of that and everytime it was declared that the pain has nothing to do with attack or anything else and that it would be a part of Achalasia. Recently the pain was absent for 50 days and now the pain is ocuring very frequently. It leaves her completely tired and the pain lasts for about 40-45 minutes. Kindly advise how to treat this pain and whom to consult!", "output": "Hi Their have read the medical details of your mother and I understand the discomfort what she is going through. The first line of treatment is often oral medications. Nitrates or calcium channel blockers can help relax the sphincter, so food can pass through it more easily and relieve the pain. Botox injection can also be used by the treating doctor to relax the sphincter. To treat Andalusia more permanently, the esophageal sphincter can be dilated or altered. You need to consult a Gastroenterologist for opinion. I Wish Your Mom Good Health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a virgin and last night i masturbated about three times with shampoo as my lubricant. Now, my penis and ball sack sting, it seems like irritation.But now they have developed yellow like puss balls on my testicles. My penis also has yellow like substance on swollen foreskin. Please help!", "output": "Thank you for writing to Chat Doctor. I have gone through your question and I feel that you have an infection of the testes which is causing the problem in you. The yellow color pus is the remnant of an infection which is causing the death of the white blood cells which is causing the yellow colored pus to appear. I think that you need to see a Doctor as soon as possible to get the pus tested. This will allow you to find out which infection you have. After the diagnosis of which bacterial infection you have, your Doctor will start you on antibiotics. Please see a Doctor as soon as possible because you have a serious infection. All the best and wish you a speedy recovery. Hope this helps you. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doctor, my dad(52) and sis (28)have bipolar disorder. for the past ten years,they have been swinging their mood regularly.they are better now. my sis is undergoing treatment but shes not getting cured completely.After few months , she will get again.is there any permanent cure for this?The problem is due to this my gfs family is saying they wont let her marry me as its hereditary. Could you advice what are the chances that if i have a baby with my wife, what are the chances? I dont know what to reply to her family as i am answer less.please advice", "output": "Hello and welcome to Chat Doctor. Thanks for your query. I understand that you are worried about the genetic risk of Bipolar disorder for your Child Chat Doctor. Bipolar disorder does have a genetic component, but this is just one of the causative factors. According to scientific evidence, if one parent or if one sibling has Bipolar disorder, the chances for the relative to get Bipolar disorder is approximately 10 - 25 %. Since you don't have Bipolar disorder, the chances are mush lesser, but still there is a small risk. Unfortunately, there is no permanent cure for this illness and patients have to be on medication on a long term basis. Wish you all the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was hit with a twister firecracker during 4th of July when the 19 candle rocket titled over spewing the fireworls to the side insteads in the air. It hit me directly in the scrotum. Iam very blue and swollen, using ice as directed and taking pain Rx. It has been one week and I am not alot better. My family Dr. had me get an ultrasound which did not show any hemmorging. I was told I only had sever brusing. Should i seek help from my urologist even after 1 week in case there might be some other problem? I really am not alot better.", "output": "Hi and. As a Urologist, i can understand your anxiety. If the scrotal swelling is persisting, definitely you need to see a Urologist. The following tests need to be done as well :1. Urine routine and culture.2. Blood routine, creatinine, RBS,LFT, and platelets.3. Ultrasound-KUB, with a scrotal Doppler scan. According to the reports, an expert opinion can be given. You should be on an anti-inflammatory Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor, I have a fatty liver and distended bladder - my doc asked me to reduce weight immediately. I have the urge to reduce but how do I? Iam urinating every 10 mins and how would i go for a walk? Will I have hair loss problems at this time>? please tell me I have excess of sweat forming etc.", "output": "Hi thanks for asking question. Noted you have fatty liver with distended bladder.... Stress is avoided as it is related to over urination... Still for distended bladder consultation to urologist is necessary... It might be sphincter or neurological problem or prostate problem.... To lose weight you have to burn calories. Calorie intake restricted. Fruits more. Junk food, fried food taken less... Regular 1 hour active exercise done. Use only good oil in diet like sunflower oil. Alcohol avoid Chat Doctor. ... Hope your concern solved.... Take care....." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doctor. I am 29 years old, male. Now this is my blood report Renal profile:(mmol/l) 1.Plasma urea 3.3 2.Plasma Sodium 133 3.Plasma Potassium 3.3 4.Plasma Chloride 98 5.Plasma Creatinine 122 Liver Function Test:(g/l) Plasma total protein 67 Plasma Albumin 35 Globulin 32.0 A/G ratio 1.1 Plasma Alkaline Phosphatase 959(U/l) PLasma Alanine Transaminase 97(U/l) Plasma Total Bilirubin 46 (umol/l) what should i do to reduce the ALT level. Currently i didnt take any medication.", "output": "Hi, dear. I have gone through your question. I can understand your concern. Your ALT level is high. It is a liver enzyme. Its level increase in liver damage. It may be due to some viral infection, alcoholism, Chat Doctor. You should go for ultrasound abdomen. You should take low fat diet & high protein diet. Liv 52 tablet is also helpful. Consult your doctor, search for the cause first and then take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my husband recently had gall bladder removed and a spot was discovered on his pancreas. He is jaundice with following symptoms: itchy skin, yellow eye whites, dark urine & white stool. We are waiting for a date for oncologist consultation. How long can he wait with these jaundice conditions? Can anything be done to alleviate the itchy skin?", "output": "Hi, I am so sorry for your husband situation. From what you are saying, it seems he has been suffering from mechanic inter and the reason is a spot in the pancreas. High levels of bilirubin are toxic for the brain, so I recommend you going to ER and the doctors will evaluate the situation of your husband accordingly. Please bear in mind that you can't create him in your home. I wish the best for him and you all." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI im 18 and recently i had intercourse unprotected with a \"friend\" (the friend tends to sleep around abit) a few days later i noticed small red spots on the head of my penis,they was itching alot but didnt hurt, then they went away and it was like a little bit of dead skin, and now i have a build up of smegma and when i cleaned it there was little red spots again on the head of the penis? can you please help im really worried!! :(", "output": "HelloThanks for query. Based on the fact that you have developed red spots and lesion on glans penis after having unprotected sex is mostly due to infection of glans penis (Atlantis). You need to take broad spectrum antibiotic like Cefuroxime along with anti-inflammatory Chat Doctor. In view of it being an unprotected sex the possibility of acquiring STD has to be ruled out by doing basic screening test for STD and HIV done to be rest assure about acquiring the same. Ensure to wash your genitals with warm water twice dailyEnsure to avoid sexual encounters till it heals up completely." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My ex husband has gotten and completed radiation and chemotherapy for cancer found on his tonsil and lymph node. He is now loosing weight and his body is not processing proteins. Is this fatal? Can it be corrected? What are the options and/or prognoses in cases like this. We have children together and I am wondering if their father is going to be here for them.", "output": "Hi, Thanks for writing in. Cancer usually requires long term treatment and followup. Treatment depends on stage of disease and tonsil cancer is one of the less common cancers. Treatment of cancers (chemotherapy and radiation) decreases the normal function in some patients and can make them weak. If he is unable to process proteins, then his liver and kidney functions need to be assessed. You may discuss the liver function and kidney function tests with his doctor. If he develops jaundice his liver might be affected. Options in these cases lies in evaluating post treatment outcomes and subsequent aggressive treatment if necessary. If his liver and kidneys are not doing well, chemotherapy alternatives need to be given. At the moment he needs willpower, good nutrition and response to treatment to work for him. Hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Over the last few weeks i have been experiencing pain (not headache) mostly on the right side of my head. Sometimes the left. These are quite sharp pains and often causes me to be a bit dizzy and a little cloudy. Could you please shed some light on this as i am getting a little worried.", "output": "Hi, Thanks for writing in. Dizziness on one side of the body can be due to decreased blood supply reaching that part of your brain. It can be a pre stroke symptom, and you should consult your doctor and get completely examined. The blood supply to the brain from the heart is through the carotid and vertebral arteries. It is important to study the blood flow at the neck level and look for any narrowing or stenosis in the carotids and vertebral arteries on both sides. This is done by doing a Doppler study. You might also require a brain scan like CT scan or MRI scan to know if there is any condition inside the head causing your symptoms. It is important that you also tell your doctor of any heart conditions and medications you are taking for it. This is because there are many heart conditions which lead to symptoms in the brain like dizziness as a complication." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi! I am an 18 year old woman and I was misdiagnosed with asthma (because of a mere cold) when I was a child as asthma is sometimes misdiagnosed. I was prescribed inhalers that I did not need. At the time, I didnt know what the symptoms of asthma were. Now, after doing a bit a research, I realize that Id never had any chest tightness, difficulty breathing, or any symptoms related to asthma. My doctor wont listen to me so Im planning to go to a different doctor. How can I prove that I was misdiagnosed? Height: 55, weight: 122 lb. Thanks in advance!", "output": "Hi, first there is no need to prove that u had no asthma in childhood, if u don't have any asthma related symptoms right now don't take inhalers unnecessarily despite your family physician is saying.it sometimes happens that a doctor can over diagnose a condition like breathing difficulty into asthma and prescribes inhalers. So it won't be required that u prove your misdiagnosis. If You're planning to sue on doctor, then I would say there is no need of it. Just leave it as it is." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 18 month old son has a little blister on his lip and it s white, looks like there s pus. the other day, that part of his lip was swollen when he hit a door, but it went down already until today it was a bit swollen again with a white skin on top. what should i do?", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have symptoms of pus filled blister on lip which are pointing towards to condition an allergic reaction or infection. The allergic reaction can occur due to various reasons like food allergy, allergy from toothpaste or other dental product or excessive exposure to sun. Infection can be bacterial or viral. Need not worry. I would suggest you to take over the counter antihistamine Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just ended my period last week on Friday & i heard a squirt/pop noise, ran to the restroom and there was blood. I ve been avoiding the doctor because for the past month I ve had a lump under my armpit close to my breast. Could these 2 things be connected in any way?", "output": "Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Possible urinary tract infection could have caused blood in urine. Get a urine examination for confirmation. Later culture and sensitivity would be needed for appropriate treatment.2. Lump under armpit would be usually a lymph node swelling or a glandular swelling of sweat glands. FNAC is necessary for confirmation.3. Both are not related. Make sure your breast examination is normal. Meet your doctor for clinical examination of breast, and urine, FNAC tests and antibiotics. Not to worry. Hope it helps. Any further queries, happy to help again." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i have had a swollen pea size supraclavicular lymph nodes that feels rubbery for about 2 months and its not going away my doctor send me to a surgeon he wants to remove it and take it for biopsy i had no xrays done or any ultrasounds done for it what do u think should i get a xray done before i go under surgery ..", "output": "Hi, Lymphnode enlargement suggests an infection in the Chat Doctor. In India, tuberculosis is one of the commonest cause of supraclavicular lymphadenitis and is usually multiple forming together a small mass. As your node is present in two months and is not reducing, a fine needle aspiration cytology (FNAC) can be done first. X-ray could have been done if there were other symptoms related to the respiratory system. FNAC is an outdoor procedure, where they put a needle (normal injection size) into the lesion to remove cells and help in diagnosis.FNAC, if not diagnostic, you can then go for biopsy. The feel of rubbery lymph node or an enlarged lymph node for a longer time without any infection does not feel good. Get an FNAC done, it should help you. Removal can be done at a later date, if necessary. Hope I have answered your query. If you have any further queries, happy to help" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello dear doc. its 14 years i feel im gay but i cant tell any one , now im 26 realy every night im cry coz i cant tell any one about that im afred they not accept me like gay person coz my family are muslims and im afred of them .now i thinking too much its 3 week ihave burn in my stomach and ihave somuch heartburn ,i have somuch pain in my stoamch i cant sleep in night day by day i feel im worse , i feel i have Node psychological some time im shoking wheni tolk with may family im afred , pless help me i dont know what to do ,", "output": "Hello. I can tell you that your physical symptoms are secondary to your stress about your orientation and inability to disclose it. You need to consult a psychiatrist regarding your feeling for two reasonsFirstly, it will relieve your tension by disclosing about it in a confidential and accepting environment. Secondly he can tell you the mean of calming ourselves by therapy and if required medication. Along with that he can assess your level of conviction about your orientation. Once its become clear and you are calm you can deal it more confidently and can divulge it to others. Before disclosing about it, you should be prepared to deal with the expected consequences and to continue in the direction you feel appropriate for you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My father is suffering from a) mild fever, body ache - first fever 10 days back but had disappeared and have again started last 4 days, b) blood count was all normal 10 days back when fever started, but platelet counts has declined to 85 (last 10 days) from 125 but has inched up to 95 last 24 hrs, c) ESR is ~32. Dengue Serology test was indeterminate. Doc suspected dengue but now starting to think it could be some thing else. Any suggestions/ possibility?", "output": "HelloYour father is having fever from 15 days with a gap of 4 days. Serology test for dengue is negative (indeterminate) . The counts of platelets is not a parameter for dengue. However, you didn't mention the other symptoms and type of fever, but may be due to these possibilities, these include:1 Typhoid fever, diagnosis can be confirmed by Tidal test, serology and stool test .2 Tuberculosis, is another most common cause of such fever (long-standing fever, low grade) . ESR is further an indication of tuberculosis or any other chronic infection.3 Jaundice, this is the most common cause beside above-mentioned reasons for fever. Get in blood for HBase for hepatitis. However, there are so many other reasons of such fever, like UTI, bronchitis, sore throat. But in my opinion consult a physician and get his opinion. Good luck" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor, One of my friend is 27 yrs old. She is having small boil like thing on her labia. They are reddish in colour. She tried Candid-B cream after consultation with doctor. There are no itichings and burning sensations. And her periods are normal. After applying of the cream also no improvements. Any suggestiond from your side", "output": "Hello, from what you have describes it seems like your friend has furunculosis which is an infection of the hair follicle due to a bacterial infection. My suggestion is for her to apply mupirocin ointment twice daily for a week. It is important that she washes her labia well and keep it clean. If she develops more red boils or a high fever, she should be seen by a physician. Hope this answers your question !" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ok this is embarrassing, but i have this somewhat huge dark colored.pimple on my.butt cheeck, so i popped it, and blood was just flowing out. And i put tissue on it, ran and.got my first aid kit, put peroxide and alcohol on it. But its still a big soft pimple and.if i mess with it, blood comes.out!", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have perianal abscess formation. You should go for incision and Chat Doctor. Then you should take a course of antibiotics. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have oily skin and suffer from blackheads.. It s a struggle for me as a gay man.. I m 21 years old and I m wanting to have perfect skin. My skin always has a greasy look to it.. I would like my pores to appear smaller and my face to appear smooth with an even color skin tone. I fear i will always have this issue as long as i struggle with oily skin. It effects not only my appearance but my emotional health as well would insurance possibly pay for this surgery/ or therapy i need to fix this issue? And what operations could possibly fix this issue? I m looking for something more long term or permanent it s something I m so tired of struggling with.", "output": "Hi, To treat your skin concerns, these suggestions might be helpful a salicylic acid based face wash twice in a target your blackheads removed regularlyApply Darlene gel or retina a cream over face for two hours. This would reduce recurrence of blackheads and decrease oiliness too. Apply in very small amounts and do not rub the medicine as it might cause redness may also consult a dermatologist and take oral isotretinoin for few weeks. This would reduce oiliness, blackheads and shrink pore size too. Sessions of chemical peels too would take care of your concerns You can see there are multiple options but a personalized treatment plan according to your skin analysis can only be suggested when you take a consultation with dermatologist. Hope that answers your query. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. my baby has developed small pin-prick like red dots under her right eye. i thought it was an allergic reaction and stopped giving the food i had started recently. more than a week now and i can still see the dots. they seem okay when i apply any cream. she also has very small dry patches in some areas of her body. am worried. what is this?", "output": "Hi... Thank you for consulting in Chat Doctor. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have the flu virus now for 5 days . The day before i finished an antibiotic for chest infection . i suffer from allergies and when i get a chest cold i get asthma . i take plumicort turbo inhaler 200 micrograms 2 puff twice a day and when i need too i take salamol 100 micrograms , 2 puffs 3 times a day . i dont always have to take the salomol . on day 3 of the flu i started to cough up mucous which had traces of blood for the day .proior to this i hab been coughing up green mucous after finishing the antibiotoc. by late evening day 3 i started wheezing very badly snd couldnt breath very well so i took the salomol but after taking the 3 doses to no avail i decided to try my sons symbicort turbo inhaler 100 micrograms 4 puffs which helped a lot . is it ok to continue to use this as my gp is not availabe", "output": "Hi, I think your chest infection must have cleared by now, sometimes traces of blood do come in mucus when there is severe infection, if you get again you can visit your doctor for check up. If it has stopped after your infection is cured then you can stop worrying about it. Now about your asthma, Pulmicort 200 which you take is budesonide, which is steroid. And Symbicort which your son uses is budesonide plus a long acting bronchi dilator. Ideally when inhalers are given it is adjusted to minimum dose at which patient is comfortable. Since you where comfortable on Pulmicort 200 you should continue the same thing. But for now until you get medical attention you can take Symbicort 100, 4 puffs 2 times, if you have heart problem, or you are old you should go to your doctor before starting your sons' inhaler. Your symptoms of asthma increased due to your lung infection after 2-3 days you will be fine like before, and you will be comfortable on your inhalers itself thank you Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had endometriosis and have been hysterolaparoscopy in the month of Sep 12 and was on zoladex in sep, oct and nov 10ths. I was asked to stop zoladex injection in Nov. I did not get my periods till Jan 11th, 2013. First cycle, i was not any medication , i ovulated on 12th day with ET at 7.5mm and i did get my periods on Feb 12th. My Doc suggested me to take Letoval 2.5 from 3rd day till 8th day and today is 10th day, when i went for scanning, my follicles are 14x12 but then ET is only 2.5? why did my ET is not growing? what should i do now? shall i continue with Letoval or is there any alternaltive for letoval? I was also asked to take Duphaston from 18th day? please suggest as i am confused?", "output": "HelloThanks for your query. Your ET is quite less. It could be due to various reasons. Poor endometrial perfusion is the leading cause. Tuberculosis and endometrial pathologies should be ruled out. You can try taking sildanefil or estrogen tablets after consultation with your doctor. Letoval is not to be continued after the 8th day. Duphaston is routinely given as luteal phase support. For your next cycle, you can switchover to another ovulation inducing agent, provided patency of your tubes has been demonstrated. All the best" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Yesterday my son stopped breathing for a few times and when I flipped him over and tapped on his back he finally spit up the entire bottle. Forcefully. These episodes occured 4-6 times last night, and each time he stopped breathing and started to turn pale and blueish. This was almost a half hour after feeding. He had no gas bubble, he simply stoppped breathing. I took him to my pediatrician today and the doctor did absolutely NO tests. he diagnosed him as having reflux. I am wondering what you think of this, and also should I go get a second opinion. For some background information: I, his mother, had pyloric stenosis as an infant and required surgery. Not sure if that is important.", "output": "Hi, By what you quote I feel that your kid is having a breath holding spell. The best way is to break the spell. You can achieve this by pinching the kid so that it, the pinching will cause the baby to cry and to cry the baby has to take a breath first and so the breath holding spell will be broken. But to prevent the spell, you need to be clear in not bending to all the whims and fancies of the kid because, kids usually develop this sort of tendency when they are adamant and the adults start accepting their requests when they cry inconsolably. This sort of behavior might in future lead on to adamant behavior. So please curtail it now itself. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, my mom is suffering from cervical problem for last 2-3 years. she has been treated by all kind of medications . now she has switched to Ayurveda . she is taking ayurvedic treatment from last 3 months, but now she is facing a problem of burning feet sole. She is not able to take a sleep or even a nap at night. Please suggest some home remedies or medicine for the same.", "output": "1. what type of cervical problem is there: cervical spondylitis, cervical radiculopathy?2. Burning feet sole is there, (blood pressure and blood sugar levels)?3. Any complaint of numbness or tingling sensation?4. Problem arose due to Occupational strain, Lifestyle, body type, bad posture.5. RA factor test been done or not.6. Neurological Examination is carried out or not?7. Avoid curd, milk, urad DAL, Jagger, food hard to digest.8. Avoid late nights and afternoon naps.9. Do not control natural urges, avoid strain on neck/back." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I woke up smelling this odd soft (not eye burning) chemical smell. I thought it was a new body scrub, but I reshowered, rewashed my hair with different shampoo, threw out the new bar of soap and finally discovered whatever is closest to my nose has that smell. I just had my second spinal cortisone injection for a pinched nerve, is it possible that is leaking into my olfactory", "output": "His am Chat Doctor. I have read your message. I think I can help you. The symptom that you have mentioned in the query is called parasomnia. Or abnormal smell. Parasomnia is found among people who take Cortisone, especially elderly females with hypertension. So there is a strong possibility that you are had a side effect of the injection-do not think that it is getting secreted in your nose-nothing like that. It is just a side effect. Usually it lasts a few days. And doesn't need to be stopped or changed unless you cannot tolerate the smell. I have tried to make it as simple as possible. Feel free to ask me a follow-up query on any aspect of the problem. I will be happy to help you. Thank you for giving us an opportunity to be of help, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi , my one side of face is smaller than the other side.it is from child wood. and now i am 37. the right side jaw s bone is smaller than the left jaw bone. i think it may be because of flu affected the bones are veins in brain which does not supply blood with required quantity or what is your believe and experience. and have no pain in effected area.", "output": "Hi, Since problem is from childhood and you don't have any complications like pain or difficulty in seeing or chewing there is nothing to worry much about. However, to cosmetically correct asymmetry following options are available like filler injections, implants, and bone reshaping. For this you need to see a cosmetic surgeon who will evaluate you for the possible changes that can be made. Hope this stands helpful to you. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "For the last 3-4 weeks I ve had sporatic outbreaks of Hives. Also cold symtopms and some minor chest pain. I ve been to my PCP, and Allergist and a Dermatoligist. Blood test were negative as was Urine sample! Most of the time the Hives appear when I wake up. After a shower and getting ready for work they subside.", "output": "Hello, Welcome to Chat Doctor, The symptoms suggests me that you are having allergic reaction, but you need to identify the allergen causing these symptoms. You need to test your blood sample for absolute eosinophil count (AEC) to confirm the presence of allergic reactions. Then you need to undergo skin prick test (SPT) for most prevalent allergens like food, dust, mite and pollen, this will help us find the allergen causing these symptoms. After identifying the allergen causing these symptoms, and you can avoid these allergens, if it is not possible to avoid you need to take immunotherapy. You can choose either subcutaneous immunotherapy (SUIT) or sublingual immunotherapy (SLIT). This mode of treatment will help you to control the infection. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello sir i am suffering from stomach pain from last three months.doctor told me that i am suffering from stomach infection.after taking the prescribed medicine for fifteen days my loose motion is now under control but from last two days i had 102 f fever in the evening .please give your opinion", "output": "Hi, Welcome to Chat Doctor. I have read your query and understand your concern. It seems that your infection is going out of control. You need to see a surgeon for a clinical examination and get your total blood counts and urine examination done, along with an ultrasound of your abdomen, to help reach a diagnosis and subsequent management. It could be either appendicitis or diverticulitis or tuberculosis of abdomen. Hope I have been helpful." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I cannot get my blood pressure from my right arm, the fingertips are white and I have a feeling of heavyness when Ii use the arm for normal actions like drying dishes or wiping down shower stall . I am female 74years old I had an undiagnosed heart attack 4 maby 5 years ago which left me with 30/40% heart function , close to 42% with the help of medication. This condition in the right arm started about 1-2 weeks ago. I am to see my GP to-morrow but I am curious and would like to know if taking an extra aspirin would help ot maby a nitro spray.Thank you.", "output": "Hello, Thanks for writing to Chat Doctor, I am Chat Doctor. The condition you might be having or getting concerned about is called PAD (peripheral arterial disease). This is quite common in patients which heart issues specially those who have atherosclerosis(narrowing of arteries due to fat deposits) as predisposing factor. If you can not feel your pulse then PAD is the top most diagnosis among the list of differentials. Your physician will have to examine you in detail and if he finds cold right hand with absent or weak pulse he might get an arterial Doppler and later arterial angiography to see what the reason is and where the blockage is. Here I would suggest you not to panic, this problem has treatments ranging for meds to stenting and surgery depending upon severity of the problem. Taking extra aspirin won't help much. Nitro spray is expected to help you though if you actually have Padded. Next most important step is to visit you doctor and discuss in detail about the problem. I hope this answered your question, If you have more queries I am happy to answer you. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am waking up with a sharp pain in my calf and/or ankle (it s like a cramp) and then I shake violently. I am totally conscious and alert so I know it s not a seizure..No doctor can dx it because I cannot reproduce it. My health dxs are kidney failure stage 4, diabetes, hypothyroidism, anemia....Any ideas?", "output": "Hithank you for providing the brief history of you. A thorough musculoskeletal assessment and neuromuscular assessment is advised. As you have the medical history of kidney failure stage 4, diabetes and hypothyroidism the reaction of tremor you are facing is because of the combination of the above. Due to the above contions there is a disruption in the neuromuscular channelling and leading to tremor, twitching, fatigue, cramps etc. The pathology is deep to understand, and the nerve gets disruption in the signalling leading to the symptoms. Undergoing physical therapy for the same will help you correct the neuromuscular imbalance. In my clinical practice I see cases with sucChatDoctorplains, and they all respond well to physical therapy. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor, My baby is 15 months old. he was suffering from 102.5 fever. his pus cells is 0-1 /HPF and epithelial cells are 2-3 /HPF and in chemical examination Reaction comes Acidic. So would you please explain is everything ok. his urine colour is red", "output": "Hi...this urine routine analysis is normal. But red colored urine can occur in high fever or can occur in a kidney condition called glomerulonephritis. I suggest you get her evaluated with her blood pressure and also a serum C3 levels and urine for blood in it or myoglobin in it. If it is myoglobin you need not worry, but if it is RBC or blood. She needs evaluation by a pediatric nephrologist. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "can cilacar 10 is appropriate medicine for treating isolated systolic hypertension without reducing the dyastolic hp and heart rate. I am aged 72 YEARS - A DIABETIC PATIENT TAKING INSULINE 30 UNITS AND UNDERGONE BYPASS SURGERY 11 YEARS BACK IN 2004?", "output": "Hello. Thank you for your question. I read your query. Clinidipine and other calcium channel blockers that do not act on slowing the heart rate may be effective as a single- Chat Doctor. However, every measure that is made to decrease the workload of the heart, helps it maintain its function better. The aim for blood pressure levels in a diabetic patient is to keep it less than 130 mmHg systolic and 80 mmHg diastolic. Depending on your blood pressure levels, I would recommend adding a " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I recently had a partial tear on the short head of my bicep. My orthopedic surgeon read the Mir and said I wouldn t benefit from surgery. I m 45 years old my I love to bodybuild. Will it heal overtime or will I never be where I used to be? It s been almost a month now since it happened. What is your advise? I m getting depressed.", "output": "Thank you for asking on Chat Doctor. Biceps tendonitis and median nerve compression may be common following this injury. Loss of strength will be 30-50% in the injured arm. Loss of supination strength is more significant than loss of flexion strength. Since your orthopedic surgeon said you wouldn't benefit from surgery, I will recommend for you: immobilization of injured arm, applying ice and Advil 400\u00a0mg gel capsules three times daily. Hope you will recover ASAP!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "When lifting heavy items or climbing stairs, I get short of breath. I am a 37 year old female. This started a year ago. At the onset of this problem, I had test ran on my heart and everything came back fine. The allergy doctor tested my lung function and everything was fine. What could be the problem?", "output": "Hello. Thank you for asking at Chat Doctor. Feeling short of breath with lifting heavy weight or climbing stairs may be due to many reasons. As your cardiac evaluation and lung function are normal, I would suggest you to get blood hemoglobin done. If it is low, you could take iron tablets along with folic acid & vitamin B12 tablets for a few months. Also, if you are not accustomed to lifting heavy weights or climbing stairs since long and if you have started these activities recently, that may also be the cause. Even obesity/overweight may be the cause. In these cases, I would suggest you to consult a good physio trainer who will advise you're regarding diet and exercise. Hope this will be helpful to you. Wish you best of the health. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "shocking in hands yesterday my hands started shocking themselves. It was not normal but I thought it may have been my socks. It has continued today and I am concerned it may be serious and I m wondering what is the cause od reason... it is like if you brub you feet on the carpet and shock someone with the static electricity, but it s happening within my own hand.", "output": "Hello, What I understand with the history is that there may be 3 possibilities of injury for the reason of this shocking pain. First, you have to differentiate that is it a shock kind pain or tingling pain. Based on that we can come to some provisional diagnosis. If there is compression of the nerve beneath the flexor retinaculum at the wrist level then you may face one. The second is if the nerve is getting compressed in the elbow region due to muscle weakness or the third one is the nerve entrapment in the spinal column. We need to definitely assess this as this doesn't sound of the higher motor function issue at all. But a peripheral issue. Until we come to a conclusion giving you a diagnosis will be just like making you panic for no reason. I recommend you to meet up an orthopedic to rule out the possible cause and the proper diagnosis as some diagnosis are made only when we have a physical hands on. But in all the above-mentioned provisional diagnosis I feel that with exercise and care you should perform well. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my father is 71, has parkinsons and diabetes, and a massive heart attack 4 years ago ,he has been passing out and his neurosurgeon says its part of the parkinsons but his blood pressure readings are now 165/99 yesterday and 173/108 today. im concerned. should i take him in to see his dr?", "output": "Hi Their wonder why your father is not taking any antihypertensive medicine even after having a massive heart attack. Yes definitely he needs to be started on BP lowering medicines as persistently high BP can later on lead to Stroke and other cardiac issues. I would also like to get an ECHOCARDIOGRAPHY done on your father and then plan other medicines as required after assessing his LV Function. Good Luck" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter, aged 26 is suffering from Sinus problem for more than 2 years. She has done surgery for deviation of nasal septum. during sleep in night; phlegm secretes inside the nose, causing blockage and much sneezing. In the morning she has to blow and clear her nose several times. Please give your valuable advise.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. There are two possibilities in your daughter s case. 1. Allergic rhinitis and sinusitis 2. Partial correction of DNS (deviated nasal septum). So better to consult ENT doctor and get done clinical examination of nose to rule out partial correction of DNS. If it is there then she will need revision surgery for DNS. If DNS is not there then possibility of allergic rhinitis and sinusitis is more. So give her nasal spray containing steroids (fluticasone) one puff in each nostril twice daily. Oral combination of antihistamine (levocetrizine or fexofenadine) and anti-allergic (montelukast) is also beneficial in her case. So consult ENT doctor and discuss all these. Hope I have solved your query. I will be happy to help you further. Wishing good health to your daughter. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "3 days ago, my blood pressure was 93 74. it may have been for few days because i have been feeling very dizzy for the past few days but checked 3 days ago. i am 38 years old 5ft 6\" weight 165 lbs, very healthy otherwise. it happened to me first time. i have increased salt intake since then and it was 117 83 5 minutes ago, i am breething harder than normal.what should i do?", "output": "Definitely go see your doctor. The dizziness sounds like it correlates with having a blood pressure of 93/74, which is lower than the average blood pressure. There are some people who normally walk around with that blood pressure, and they are fine. It depends on what your typical, usual blood pressure is when you feel healthy. Dizziness and low blood pressure is usually treated by increasing the salt and fluid intake. However, if this improved your blood pressure and dizziness but caused you breathing discomfort, that is not normal, and could represent a problem. Your doctor needs to listen to your lungs, and evaluate whether there is a heart or lung abnormality that caused a little extra salt to cause fluid to build up in your lungs. Please get that checked out, and let us know what happens." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Over 40 with mult spont abortions (one healthy 5yo) with new pregnancy (~5wks now). Initial ChatDoctor 138. 48hrs 244. 8 days later 1260. Rise seems too slow unless possibly doubling every 72hrs. Not many symptoms except perhaps intermittent fatigue (though had minimal symptoms with one successful pregnancy). Your thoughts re: rate of rise and absolute ChatDoctor values? Depending on your reply, any role for progesterone measurement (never did previously)? Other miscarriages occurred 6-12 weeks.", "output": "Hello dear, I understand your concern. In my opinion the Chat Doctor value is increasing but at a slower rate. But Chat Doctor values cannot be taken as standard, and they are highly variable in two different people and for the same women in two pregnancies. So don't worry about TGE Chat Doctor levels. And coming to symptoms of pregnancy like nausea, vomitings, sore breasts, increased urination they might be not be seen in a few people. So the status of pregnancy cannot be said just by basing on symptoms and Chat Doctor levels. But due to past history of miscarriages and slow rising Chat Doctor care should be taken. The causes of abortion during the first trimester are genetic anomalies, hormonal insufficiency like progesterone insufficiency, thyroid abnormalities, diabetes, uterine anomalies etc. should be ruled out. Yes the progesterone level might be helpful. Ultrasound confirms the well-being of pregnancy. Avoid stress and physical strain and intercourse. I would like you to get an ultrasound done to know the pregnancy status. Nothing to worry. Hope this helps. Best regards..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi my husband has been having ongoing symptoms for about 4 weeks. we ve been to 2 doctors, the 1st prescribed ciproflaxin, the 2nd Motrin 800mg. but both stated that they didn t know what was wrong with him. they both felt further test weren t necessary and sent him home. it s been a week since the last doctors visit and the symptoms are still there.the symptoms are: fever(between 100-103), aversion to food(he gets hungry, sees food becomes nauseous and cant eat)eats 2 bites and has an overwhelming full feeling a lower back pain accompanied by a front abdomen left side under the ribs pain darker urine for about two days in week 2 has since dissipated unable to produce a normal bowel movement (tried laxatives)chills nausea mild joint ache fatigue he has lost almost 20lbs in the past 4 weeks. so something is clearly wrong. his usual weight is 165. he s 5 6 , 28 years old. he is allergic to diphenhydramine and shellfish.has no prior illnesses, a generally healthy person. he is a smoker. we re just at a loss for what could be wrong with him.", "output": "Hello! I read your concerns and will try to break it down all your problems systematically. Fever is commonly caused by an infection, the antibiotics (ciprofloxacin) he took may be not sensitive to the infection he presently has, that is why his symptoms persisted. Aversion to food is common in patients who are ill, in your husbands case, it could narrow down the where the cause of his infection is coming from-- gut, kidneys, and liver. The lower back pain in your husbands' case is one of the clues where his infection is coming from-- kidneys, bladder, pancreas, liver. The dark urine could be due to deny Chat Doctor. If I was your treating physician, I will request the following-- complete blood count, urinalysis, blood culture, kidney and liver function tests, a whole abdomen ultrasound or CT scan. I also suggest he gets admitted during all these test in order for him to get HY" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 52 years old, good health running daily 5K, at regular PSA at one point i got reading 4.1 . I was very scared and ask for biopsy since my readings were in range 1.9-2.2 from 2006. My wife (she is MD) ask me to do just one more test to prof that reading is accurate. After week I agree (one day before biopsy) and test come back 2.4, I was very happy until I learn that even with cancer PSA can go down, maybe not that significantly in only a week. I am scared and she thinks that everything should be OK since I have no history of cancer in family, no symptoms and two DRE from two different doctors in last month were \"normal\" and she insist that there is no possibility for such significant drop from 4.1 to 2.4 (\"my normal\") in week if the cancer is present. She said it my be some infection or my physical activity to spike it. She also do not excludes lab mistake for high reading. My only concern is that this is not cancer", "output": "Hi, dairy have gone through your question. I can understand your concern. You should not worry about prostatic cancer. Your PSA level is not much higher. Slightly increase in PSA level is common in prostatitis or many other reasons. So you have no chance of cancer. No need to worry. Just be relaxed. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter is 3 yrs old. She had traumatic injury of the ear with ear swab 12 days before. i.e.,on 20/7/11. There was little bleeding of the ear on the 1st day. then on the 3rd day mucoidal discharge was present. So visited ENT doctor(on 23/7/11) on whose advice -- (A)cephalexin syrup was given 250mg bd and (B)sofracort ear drops( which is framcetin + dexamethasone + gramicfin combination)2 drops bd. He put Ichthamol glycerine pack for the ear. Visited the doctor after one day gap. The mucus discharge was still there. (C)Ambroxol Hydrochloride syrup was prescribed 2.5ml bd. (started on 26/7/11). (D)Levocetirizine dihydrochloride syrup 2.5 ml once daily in the night was started on 27/7/11 as she was scratching in the night putting her finger inside the ear while sleeping. On 30/7/11 the discharge has reduced ,but still present. Doctor said the antibiotic should be changed as well as the ear drops. but to continue with Drugs (C)ambroxol and (D)levocetirizine syrups and he started with (E)Augmentin syrup bd and (F)Betnasol-N ear drops 2drops twice daily. My query is --Is my child undergoing the right treatment and will the medicines affect her adversely. or is there any alternative treatment for her condition.", "output": "Hello, welcome to the forum, From your history I understand that your baby had a traumatic ear injury which seems to have secondarily infected. The treatment going on seems to be perfect as regards to choice of antibiotic, (though some doses you have not mentioned specifically augmenting). I would only like to add one piece of advice. The Chat Doctor. E every 4-6 hours, with clean cotton bud, just the external ear canal. Also in future please take care to prevent such incidence by not keeping things in easy reach for firsthand you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my son will be 3 in april. he went to the doctor today with swollen tonsils. His speech is effected with words beginning with c,k,g and his snoring is aweful. the doctor wants to give him a steroid shot in 1 week if they don t go down-doctor said it was virally induced-but did say there were side effects. What exactly are the side effects? He also has asthma and has had the swollen tonsils for 3 weeks.", "output": "Hi, Steroids reduce inflammation and pain due to any cause. They suppress all the immunity response of the body by inhibiting all the chemicals causing inflammation. Steroids are very useful in bronchial asthma. A short term use of steroid shots for 3 to 4 days may not cause severe side effects. Long term use of steroids for months can cause peptic ulcer, hypertension, diabetes and osteoporosis. Inhaled steroids can cause sore throat and oro-pharyngeal candidiasis. Hence, gargling of the mouth should be done regularly after using inhalers. Take care. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my periods are regular and last for 5 days. I was due to start my period on the 15th march, ut didn t start bleeding until 23rd and it only lasted 2 days. then I had a browny discharge on the third day. I took a hpt on the 21st before the bleeding and it came out negative, I haven t took one since. could I be pregnant?", "output": "Hello, I have gone through the query and understood your concern. Home pregnancy tests read well when performed 3-7 days after the missed period with a fresh early morning sample of urine. This means that if at all you were pregnant, the result of the test would have been positive if performed properly. Your symptoms are more likely due to some hormone imbalance. Please see a specialist for a proper appraisal of the situation and plan further management. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a woman who recently turned 60 years old. I fell on ice several years ago going into work and hurt my right shoulder. It occasionally will ache however last night it has started a chronic pain. Raising the arm seems to help and I am taking Advil for the pain. Can you advise me what other options I can use to alleviate the pain?", "output": "Hi, Thank you for providing the brief history of you. A thorough musculoskeletal assessment is advised. As you have turned 60, there will be an aging factor to increase the pain as muscles become weak due to degenerative changes happening. Also in my clinical practice many patients come up for similar issues with past history of injury and chronic pain. Physical therapy is recommended and by strengthening the muscles of the shoulder girdle the mobility is regained. Also, for pain management, therapeutic ultrasound therapy and TENS therapy is used which performs well. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My girlfriend had a duplicate kidney removed about 2 years ago. She frequently gets utis and has recently in the last month had 3. She gets antibiotics and issue goes way. Ten about 10-15 days later it occurs again. She notes this by noticing a tingling sensation beginning in her vagina wich quickly leads to pain and overall discomfort. Her URologist has thought it at be due to her ureter from the dupulcate kidney was not properly closed and has caused a breeding ground for bacteria.- thus evading to her uti. The problem is she does not always test positive for a uti. She will be following up with her urologist again soon but I was wondering if there might be some additional tests se shod ask to be done?", "output": "Hello, Your urologist is right in suspecting infection arising in the ureter. Usually any kind of abnormalities in renal physiology can cause frequent and recurrent urinary tract infection. Urine test may be negative for microorganism since there is a minimum required level of bacteria are needed for a positive result. Urine results may not be correlated with the level of symptoms experienced and this is particularly true for women. So she needs to take antibiotics when there are signs of UTI. Also consult your urologist for further course of action. Bye" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my husband who is 56 yrs young is suffering most nights with leg cramps and arm cramps they are so bad that sometimes he cant even walk. He legs are also purple. He is in end stage liver disease and is a diabetic. But his sugars have been good. They only happen at night. We have tried everything from magsisum, tonic water, posseuim more calium ( dont know the spelling of the vitamins ) exercise and so on. He just suffers so bad from these cramps. Any suggestion", "output": "Hello! Thanks for putting your query in Chat Doctor. I am a Gastroenterologist (DM). Cramps in cirrhosis may be due to Magnesium, Calcium, Zinc, vitamin E and Potassium deficiency. Get these levels in serum and see if there is any deficiency then supplement it. Especially zinc these levels are normal then the other cause is reduction of effective circulating volume and transfusion of injection albumin once in a week may also help hope he is not smoker, if he is please ask him to avoid smoking. Also see for the peripheral pulses or may be got color Doppler to see arterial and venous flow in blood vessels of legs as they are purple hope I have answered your query and this will help you. Remain in touch and get-well soon." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I think I have ADHD I am eleven, but my parents won t listen because I have high grades. Everyone thinks I have it. My dad has it and he almost got 100% on his state tests when he was a kid, so what does that have to do with anything? I guess I have just used what I know because I get numbers. I fidget almost all the time to help me focus, I am SUPER disorganized, I forget things constantly, and my grades are slipping. Believe me, there is much more. I also have synesthesia and most websites say that increases the chance of ADHD. I just moved, so I don t have a doctor to ask and I REALLY want to get into the Gifted and Talented program in my school. WHAT DO I DO?!?!?!?!?!", "output": "Thanks for the query dear. His level of awareness at your age is really commendable. As per your description it seems you have almost decided that you are suffering from ADHD. You have not mentioned what your doctors said regarding your condition, that is before you shifted to a new place. You may be quite simply a disorganized adolescent so to speak, then you will need support of a psychologist. But again it is best to find a good doctor in your new place, take your parents in confidence and take help from the doctor. He shall be able to guide you or prescribe medication if needed, in better way.Don't suffer unnecessarily by obsessing over something that has not been diagnosed as yet (you have not mentioned that it's a confirmed diagnosis). Take professional help, and you shall be better and improve on your grades." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have pleural effusion from 20 days and i am taking akt medicince and other prescribed by my doctor.fever tends to be volatile.and cough has decreased.but i am still on bedrest.i have become restless..my energy has gone.i am not liking it.what to do.how many more days will it take to cure completely.i have taken out 1l of fluid as suggested by doctor.thanks.please reply.", "output": "Respected user, Warm welcome to Chat Doctor.come have gone through your concern in depth.* The prognosis and recovery time depends upon the response of medicines, host immune response, virulence of the causative organism supportive care, dietary supplements, moral of the patient & other factors.* So the case requires multiple factors evaluation from different angles still if you give follow-up x-ray and reports with all investigations of the starting phase, more insight can be provided in your case. Hope this will help you for sure. Wishing you fine recovery. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "For the past 3 weeks I have had excrutiating pain in the left hip/inner thigh. I am unable to walk without a cane & not very far with it without sharp unbearable pain. I went to ER, did X-rays & said Bursitis of the hip. Saw Ortho & scheduled for MRI. He saw no OA. What can I expect?", "output": "Hello, As due to bursitis there will be pain leading to weakness of the muscles of the hip. Taking anti-inflammatory medications prescribed under the orthopedist should be helpful to reduce the pain and inflammation. Doing hot water fermentation and simple hip range of motion exercises should help achieve the muscle property to be maintained and get maximum output. Post the pain comes down and after the low-intensity exercise for 2-3 weeks strengthening exercises will be advised to restore the hip joint complete motion. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had my iui on 18 th July. Today I went to doctor for pregnancy test but it was negative......I took duphaston10mg,nucell and folvite5mg for 15 days .....my doctor told me to stop medicine now and wait for more 2-3 days ..were these medicines right? Shud I go for pregnancy test again after 2-3 days?", "output": "Hi, Welcome to Chat Doctor. I am Chat Doctor. I will be answering your concerns today. Usually after GUI if one conceives, pregnancy test is positive after 15 days. The medicines you were taking are right. One of them is vitamin and the other medicine is to support pregnancy if it occurs. Did you do the blood pregnancy test today? It is a reliable test. There is no need to repeat it. Stop all the medicines. You will start your period in 3-4 days time. I wish you get pregnant next time. If you have done urine pregnancy test, then there is a possibility that sometimes it does not detect pregnancy. In that case I advise you to repeat the pregnancy test after 2-3 days. I hope this is helpful. If you have further concerns, I will be happy to answer. Best wishes, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor, i m young girl of 21 in age. i have a silky straight hair. till the age of 19 i had heavy, bouncy, thick lustrous hair. suddenly i m suffering from a great hair loss. i took may cures like homemade remedies but nothing is working out. pls help", "output": "Hairball has multifactorial causes...First maintain a good nutrition rich in protein, vitamin and minerals...if you can't maintain such a diet you can take hair vitamin supplement like cap collinear available in the market. Get your hemoglobin checked and make sure you are not anemic which may lead to hairball for a thyroid profile which at times lead to hairless you are noticing thinning of your hair then it could be patterned hair loss for which you should use minoxidil 2% lotion twice a day over the scalp for 4-6 months. Also keep your hairs clean and Dan Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just wrote about my 87 year old mom given 2 shots of lasciks after sher was already so swelled her shin looked like it would burst open. Why would they give her so much. She was so swelled up when she died, it looked like she was stuffed in her casket. She was on oxygen and they took her off of it to just let her die. She wa in icu in greenwood, miss. Hospital. They said they need her room for someone else, like my mom was nothing.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. It seems that your mother was having heart and lung failure. She was on oxygen, this suggests lung failure. She was having edema in lower limbs, this suggests heart failure. And at the age of 87 years, heart and lung failure is having very poor prognosis. Chances of survival are very, very less. In hospital, there is always a triage policy. This means priority given to those patients whose survival chances are more and who are young, so that their life expectancy can be increased. Honestly speaking, 87 years old, heart and lung failure patient is having the least chances of survival. So no point in keeping that patient. It is beneficial for the society to give that bed to other young patient. Hope I have solved your query. I will be happy to help you further. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doc,i dont know what i m suffering from but whenever i think of sexual desires i literally ejaculate . i m 23 keep ejaculating during sleep as well and after discharge feeling very weak and sick .I dont know which medicine which exercise plz suggest . Very low for doing sex with anyone.", "output": "Hello share your concernLooking at your history you should immediately consult your doctor for a battery of tests like hemoglobin CBC liver function test or thyroid test and a hormonal assessment it could be related to low hormone level or anxiety and stressful life this can be corrected you need not to worry avoid alcohol and smoking have multivitamin supplements go for exercise daily remain cheerful and stress free thanks for your query please feel free to write back to us for more information best wishes" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi! I am 51 and 115 pounds...I am 28 years old and a mother of three. Besides my kids keeping me crazy busy, I also highly active/high paced job where I am on my feet straight for at least six hours a night. I do high intensity workouts about five days a week consistantly. My blood pressure has always been normal but these last few months it has been low. My last check up it was 92/70...my doc said it was ok...but im wondering if there are maybe other things i should be watching out for. My heart rate always seems to be fast, even when imaying down??", "output": "Hello! Welcome and thank you for asking on Chat Doctor! I understand your concern and would explain that low blood pressure could be related to different causes: - chronic anemia- deny Chat Doctor. . I would recommend performing some tests to investigate for the possible cause: - a resting ECG (as you refer to have a fast heart rate)- blood lab tests (complete blood count, blood electrolytes, kidney and liver function tests)A head up tilt test would be necessary to exclude possible orthostatic hypotension. If all these tests result normal there is nothing to worry about. Meanwhile, I would recommend avoiding prolonged standing up position and take plenty of fluids (water, juices) to stay well HY" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "SIR i am vinoth20 years old...i started masturbating frm past 4 years...as i am suffering frm alopecia frm past 6 years...i am undergoing treatment with mintop 10 and some multivitamin tablets like nector plus and fine steroid...nw my hair seems to be good...is ther any chances for me to loss HAIR due to over masturbation...i saw in websites that ther s formation of DHT due to masturbation wich causes hair loss....but i am using MINTOP 10 twice a day...and masturbating thrice a week....pls justify ur answer....does it affect hair???", "output": "Hi, It seems that most probably you might have male pattern baldness. Your query about effect of masturbation on hair growth. Remember, masturbation has no effect on hair. So do not worry. Masturbation is safe and do not harm to health. For hairless, you are taking finasteride, biotin and multivitamin... continue it for long time. And also continue to apply minoxidil 10 % solution. I hope you got my answer. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my son is 7month and he has had a fever for days up to 101.2 but now his okay but concern about his body temperature taken on his armpit. Temp is between 96-97 during the day and drops at during the night to 94-96. Im concern do i need to take him to the doctor? He s all bundle up at night but his temperture is still low.", "output": "Hi... Thank you for consulting in Chat Doctor. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My mother in law has stage four cancer and has been on Tarceva. The problem is that she is losing weight and has not appedite. We as a family have tried everything. She is on 150 mg. What can we do to help her put on weight if she has not appedite?? Her weight is 144 and she in her 70 s.", "output": "Hi, Thanks for writing in. Sorry to hear about the progress of cancer in your mother-in-law. A stage 4 cancer can have a survival from 6 months to 2 years. She must fight the battle with cancer till the end. As it is not clear from your query regarding the area of cancer involvement, Marcela is given for many cancers including those of lung, pancreas and I think she is having one of these. While a lung cancer patient might have a longer survival and unfortunately a pancreas cancer person does not survive much. For her appetite, it is important to give her frequent small feeds containing good amounts of proteins. You can try giving her foods that she likes and reduce the time gap between meals. Occasionally you can also give her protein Chat Doctor. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 2yr old started of with 2 cold sores in her mouth, 3 days ago. Now she has a runny nose, sneezing, coughing and a mild fever. Are all these cold related? What can she take to make things easier on her? Ive already start salt water gargling & giving her baby Tylenol.", "output": "Hello, Welcome to Chat Doctor, The history and the symptoms of your child suggest me that she is having upper respiratory tract infection, because of which your daughter is having all these symptoms. As you are giving her the paracetamol spy it will reduce the symptoms. For you daughter I would suggest her to give1. Syp Autoclave, 375 mg, twice daily for five days2. Syp Bricarex3. Give Plenty of fluid to her4. Syp Zirconia. These medications will improve the condition of your daughter, I would suggest you to take your daughter to a pediatrician for the above-mentioned Chat Doctor. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, im a 46 female. yesterday i had pressure in the left side of my chest and it it feels like a pulling kinda in my throat. that has lasted all day and i took 2 aleve thinking i may have used musels i have not used .the pain woke me up @ 2:00am this morning.I took a 81mg asp. and layed back down thinking well maybe. But it really hurts when i lay back down. what do you think i need to do? i dont want to go to emer.rm.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you should definitely go tomorrow emergency room and rule out cardiac chest pain. You are having left sided chest pain which is not relieved by muscle relaxant Chat Doctor. Your chest pain is recurring in the midnight (2am). All these favor heart diseases and related pain. So immediately go to ER and get done ECG and 2d echo to rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a really bad chest cold about a month and half ago I am better but now I feel as if I am brathing cold air and my chest feel a little heavy.......I don t really have a cough every once in a while I get a tickle...my dr put my on allergy medicine but I am going in to have a chest xray tomorrow to be safe? Any ideas?", "output": "Thanks for your question on Chat Doctor. In my opinion you should consult pulmonologist and get done1. Chest x ray2. PUT (Pulmonary Function Test)I think you are having bronchitis due to viral infection. It is very common in winters and cold climate. PFT is needed to diagnose bronchitis. This will also tell you about severity of the disease. And treatment is based on severity only. So consult pulmonologist and rule out bronchitis first." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a car accident some 20 months ago and suffered whip lash and a seat belt burn to my neck. for some time i have had a numb feeling in my right thigh and this has got progressively worse, pins and needles and a burning sensation.. could this be due to the accident.. have a gp appointment next week", "output": "Yes, there is a chance of nerve compression. It's good to show a GP. But it would be better if you go to an orthopedic clinic. X-ray spine would be required, and you may need to have a MRI done, that depends on how does the clinical examination presents. You may need some medication to strengthen your nerves. And you may need a belt to immobilize your affected area of spine that assist healing and protects from worsening" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I snapped my frenulum whilst having sex with my girlfriend on Halloween of all nights. There was a lot of blood everywhere. Two days later My frenulum is clearly not attached anymore but I feel fine and have had sex pain free and with no bleeding. Is that fine now or should I consult a doctor?", "output": "Hi, Thanks for writing in. The tear in your penis may get better without treatment. Avoid sexual activity until the tear has healed. Once it has healed, you can try using a lubricant during sex to prevent the problem from happening again. It is not a serious issue and might take 2 weeks to heal. Right now you are required to keep your genital clean and Chat Doctor. Please wash with warm water twice a day to avoid any infection. You may apply newsprint ointment over the torn frenulum. Since the bleeding seems to have stopped, you do not need to consult a doctor. It may happen that a scar might form in the area, if this happens then there is shortening of frenulum and might be released by minor surgery. This cannot be known now and will be obvious only after one month." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "im a 55yr old male with black rash on my arms and legs, had it for a few years. it began first like a normal, abit like eczema. i itched it and it began to bleed, when it started to heal it scabbed up and went black and lumpy. when i itch it now it dont bleed as much. please help bacause i dont know what to use on it to make it better.", "output": "Hi Dear, Understanding your concern. As per your query you have symptoms of rashes on arms and legs which is very common as dirt and moisture get trapped by your clothing and the friction that comes from sitting can cause pimple. Need not worry. I would suggest you to keep this area clean and Chat Doctor. You should apply warm compresses with soaked towel and apply vitamin C serum at night. Wear loose clothes. If condition doesn't get better than consult dermatologist for proper examination. Doctor will examine physically along with blood test and sample for lab test and start treatment accordingly. Hope your concern has been resolved. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have a black lump that looks kind of like a spot on my inner thigh, recently it popped and this whit liquid came out, it looked like pus but i dont know. i dont know what to do shall i go to the doctors? by the way i am a bit overweight and i do were tight jeans etc.", "output": "Hi! Good evening. I am Chat Doctor answering your query. From the history of yours, it seems that you have got a sebaceous cyst on your thigh which oozed white liquid. I would advise you to see a general surgeon in your area for a proper clinical diagnosis, and a possible excisional biopsy of the same to confirm the same. Till then, please avoid fiddling with the lump to prevent an infection and abscess formation. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hey sorry about my english,i am from greece,i started before 2 weeks with fever about 37,6 C afternoon and morning about 37,4 with flu like symptoms:blurred vision,burn on throat....after 5-6 days symptoms dissapear but a persistent low grade fever still exists until yesterday afternoon 36,9 and today morning 36,4 but late afternoon today i had again 37,6C and after an hour or so 37,3.but i dont feel to have fever,i have big appetite,no weight loss,during theese 2 weeks when i was seek i smokes a lot and drink beers.is it serious?is maybe responsible smoke for fever?", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have symptoms of persistent low grade fever along with burns on throat which seems to be due to viral infection. Low grade fever is because your immunity is lower down because of infection. Need not worry much as antibiotics will not give much relief to you as yours symptoms are more like viral infection. You should take paracetamol to prevent fever and combination of decongestants and multivitamin tablet. Yes smoke and Chat Doctor. You should quit that completely. Your symptoms will resolve in 5-7 days. Avoid touching eyes, nose again and again as it will spread infection. If your symptoms keeps on persisting the visit general physician and get blood tests alone and start treatment accordingly. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am 23 years old i was diagnoised with cerviacl cancer at 16 can i recommend a hysterctomy to my doctor? i am over the pelvic pain the feeling full after two bites not being able to eat, and the heavy bleeding every cycle i have. Just in general its taking over my life and daily functions.", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have cervical cancer. But at age of 16 cervical cancer is very unlikely. So you should review your reports. If needed to go four qua Chat Doctor. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi...thank you. Well, I think I have impetigo ... 2 friend dr s ...one a podiatrist and one a plastic surgeon...both dear friends...told me that s what they think it is....but that they are not dermatologist I went to the zoo on a very hot august day and many children were there. I was leaning up on rails and fences a lot to see the great animals. Upon leaving I had a very bad red itchy rash on my arms (mostly wrists) hands and really bad on chest Well, After a month, I cleared up. I also had a chest cold with it all. My foot dr friend prescribed Keflex and Bactroband (not sure of spelling) and it cleared it up. The last week I have been under incredible stress and I have a a bad sore on the left side of my nose, nostrils, and around my mouth...and the skin is very red, like raw...and oozing stuff.. So he prescribed me a refill of the Keflex and ointment. but the ointment is making it burn really bad. it looks like my face was in a fire and I got burned. its very painful. I have no health insurance and do not know what to do. :-( My email address is :", "output": "Dear friend . Thanks for your query to Chat Doctor ... I read your concern and your symptoms are more favor for impetigo, I would suggest you to gently clean the surface with warm water (do not apply soap / lotion) , remove crusts if any, and applying the prescription-strength antibiotic ointment mupirocin (Bactrian) which is highly effective as prescribed by your Doctor. Augmenting and Reflex has shown improvement if taken for a week, I would like you to take Clindamycin to speed up your recovery from infections. You can ask me father if you have any more doubts ..., Regards Chat Doctor. Kingston John David" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i noticed lumps in my both breast..and have pain also...i went to doctor and he suggested for fine needle aspiration cytology..i did FNAC and it detected fibroadenosis..now i am so worry .what should i do? is this any tumor? or is there any risk of cancer?plz give me some suggestion?", "output": "Hi ! Good morning. I am Chat Doctor answering your query. These are one kind of benign breast disease due to hormonal effects with no potential for becoming malignant. However, a malignancy might co-exist with this normal hormonal changes, and it should be reviewed periodically as per your doctors' advice, especially in those with a family history of breast cancer or any other gynecological cancer. This is not to frighten you, but to provide you with necessary information so that you could be more vigilant. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im 39 yrs old, I smoke,6 1 , 180 lbs...once this happened, I dont have enough sleep, ate too much rice or stresses,I feel some pain in my nape ,numbness on my 2 arms and head .Today, I ate a salty food and feeling same things. Are this signs of hypertension ?", "output": "Hello, General heaviness in head and mild tingling sensations in arm after improper sleep is very common. These are signs of inadequate rest to body. But if all these occurred again and again and without any reasons then this may be due to high blood pressure. There are easy methods to check blood pressure. You may order by online for blood pressure checking machines, or you may consult to your family doctor to check blood pressure. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Thankyou for this service! I worked as a decorator for many years, a lot of physical activity, and now at the age of 57 i`m experiencing pain in the groin. I thought I had contracted a sexual disease form oral sex, and took a course of Levofloxin, and then followed it up with treatment for the prostate! What can you suggest? Is it a matter of exercises, like Pilates, and supplements for joint pains? I go to a health centre at the moment, swim and lie in a hot tub and it seems to help a bit. What a shame if I can`t get up to those mountains this spring for a walk! All the best and thankyou. Michael B. (I am six foot, 85 kilograms, and no medical problems. I have had problems like this before and usually sorted it out with a session at the osteopaths to crack the back into place after working hard. I am now not working. Thanks.)", "output": "Hello, Based on your description there could be a number of causes for the groin/leg pain on the left side. A small stone in the ureter that has passed on above from the kidney which is lodged in ureter, can be responsible for this pain. Urinalysis, X-ray PUB/ Ultrasound abdomen pelvis should be done. If none are found then neuromuscular disorders should be worked up. A physical exam would indicate whether it's a leg/groin/hip joint issue or a back/spine problem. An MRI of lumbosacral spine can be advised, based on the physical exam. In the meanwhile, antispasmodic medication can be added to the Advil or Tylenol. Hope I have answered your query. Let me know if I can assist you further. Wishing you all the best. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My father died a sudden death due to bleeding from upper GI tract while on hemodialysis . He had a hemodialysis about 3 days earlier- then he had a bleeding episode- a hemorrhage and then he was admitted to critical care unit. He was kept on medicines and then one more dialysis was conducted on him just 2 days before he died. After this dialysis, he was kept in the CCU only for two more days. On the third day he had breathing problems. He was given oxygen through a mask. After about 15 hours, the docs said he has to be put into mechanical ventilation support. However, he did not survive in the ventilation. He died in about 1 and a half hours time. Could you please let me know if this death was timely or was it caused by some wrong medicines during his last dialysis.", "output": "Hi, Thanks for posting your query. Were your father was suffering from chronic kidney disease? Were there any defect in clotting time/ bleeding time/ prothrombin time? Had your father derangement of liver function test or any abdominal symptoms? Those patients who had already deranged liver and renal function may have deranged platelet function & prothrombin time with defect in coagulation. All these factors predisposes patient to bleeding with decreased clotting ability. Although heparin is given during dialysis but all these are applied by trained staff by measurement. So there is the least likely possibility of wrong medicines. You can also understand that when dialysis was not started, he got hemorrhagic episodes. So I think medicines are not the likely cause. Once bleeding is started, then a vicious cycle starts in body and if not controlled within time then It's very difficult to save life whether all medicines have been given by expert doctors. So doctors are also helpful at few places, and we have to accept the judgment of god. Thanks," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been diagnosed with Bronchitis, started on amoxicillan, and cough syrup. It got worse, I I got a fever and very lethargic, went to dr who sent me to er with possible pneumonia. Xray said no pneumonia, sent me home with stronger antibiotics. Still not feeling well running a low grade fever. 41 years old with rheumatoid arthritis. Im severely plugged up and my Tylenol severe OTC meds are NOT working at all for the congestion. I still have a low grade fever, been out of work for seven days. Im not feeling better what do I do?", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion, you should consult pulmonologist and get done PFT (Pulmonary Function Test). It must for the diagnosis of bronchitis. It will also tell you about severity of the disease. And treatment of bronchitis is based on severity only. Main treatment of bronchitis is inhaled treatment So you may need inhaled bronchodilators and inhaled corticosteroid (ICS). Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi am kenyan 24yrs, 57hgt and weighing 59kgs, i have been trying to conceive for the past two and a half years. two months ago i was put on primolut to stop bleeding and hypnidd together with letrozole to boost fertility but nothing came out of it. now am on Ovacare,letrozole and duphaston am i on the right track. am a PCOS patient.", "output": "Hello dairy understand your concerns is complex disease and treatment response is variables. It causes hormonal imbalance, menstrual irregularity, ovulation problem and problem in become pregnant. You are on right tract and take it under supervision of gynecologist. Reproductive hormone analysis, USG scan, ovarian follicle study help in management. Ovacre: it helps to maintain reproductive health, decrease weight and insulin resistanceLetrozole: it corrects hormonal imbalance and help to become pregnantDuphaston in second half of period increase implantation and support early pregnancy. You can also ask for Chat Doctor and FSH injection medicine will not respond then you can go for in vitro fertilization, intrauterine inseminationAvoid stress, take healthy diet, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello my friend hip tossed me and my rib feels bulged out a little on my lowwer right side. It s bin about 2 weeks there isn t much pain at this point in till I lay on a hard surface then it gets a little hard to breath and there s quit the bit of pain. I ve bin able to work the whole time and be active.", "output": "Thanks for your question on Healthcare. I can understand your concern. You are having blunt chest trauma. And this can lead to rib fracture, pulmonary contusion, pleural effusion pneumothorax, musculoskeletal injury etc. Amongst these complications, pleural effusion and pneumothorax can cause bulging of ribs and localized pain on lying down. So in my opinion, you should definitely get done chest x-ray to rule out these complications. If chest x-ray is normal then no need to worry about lung complications. Simple musculoskeletal pain can be the cause. So apply warm water pad on affected areas. Take painkiller like ibuprofen. Avoid movements causing pain. Don't worry, you will be alright. But get done chest x-ray to rule out internal lung pathology. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, recently I have been having a strange fluttery feeling in my upper right chest and upper arm area. It only occurs when i laugh usually. It lasts a second and goes away. It almost feels like that specific are of an artery is expanding or swelling momentarily. Its not painful but feels strange. I have been smoking a pack of cigarettes every two-three days for about two or three months.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Since you are a active smoker, we should definitely rule out heart diseases (arrhythmia - rhythm disturbances in heart) for your symptoms. So get done ECG, 2d echo, stress test and Holder monitoring (24 hours continuous recording of ECG). If all these are normal then no need to worry about heart diseases. Sometimes undiagnosed stress and anxiety can also cause similar symptoms. So avoid stress and tension, be relaxed and calm. Quit smoking as soon as possible because it is not good habit. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Doctor, my boyfriend was bitten by a dog a month ago. Upon the accident, I took him to the clinic where the wound was disinfected and he was give the rabbies injection. I do not have the name of the injection. The doctor also prescribed antibiotic which he took correctly and finished it. We are wondering, does he need supplementary injections to avoid rabbies? Are there follow up treatments that we should follow. Thank you for your answer.", "output": "Hello, thank you for sharing you problem with us. It is good that you visited the doctor immediately where the wound was disinfected this is the first thing that should be done post exposure of the bite. After this there are 4 doses of vaccine-First on the same day-Second on the 3rd day-Third on the 7th day-Fourth on the 14 day think it will be better that you should visit that doctor and get confirmed with the doses." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "what can happen and how bad is it to have blood pressure 158 over 104. I did have preclamcia when I delivered twins 8 1/2 months ago was on bo medicine foe a few months but got back on track past few weeks up again y could this be? I am 34 5 feet tall and 110lbs", "output": "DEAR OVERTHINKS FOR CONSULTING AT ChatDoctorI UNDERSTAND YOUR CONCERN.BUT FROM YOUR HISTORY IT SEEMS AS IF YOU HAVE STOPPED THE MEDICATION FOR BLOOD PRESSURE PAST HISTORY OF PREECLAMPSIA DURING YOUR PREGNANCY WAS BECAUSE OF UNDERLYING HYPERTENSION THINK YOU NEED TO CONTINUE WITH YOUR MEDICATION AND NOT TO STOP THEM UNLESS TOLD BY YOUR PHYSICIANHIGH BLOOD PRESSURE HAS MANY COMPLICATIONS IN LONG TERM LIKEMYOCARDIAL INFARCTIONNEPHROPATHYRETINOPATHY THENCE PREVENTING THIS HIGH BP BY MEDICATION IS TO BE SORRY ALSO REQUIRE CERTAIN Lifestyle MODIFICATION LIKELY SALT DETAILS BRISK WALKING FOR 20\u00a0MIN PER WALGREEN LEAFY VEGETABLESAVOID JUNK FOODSTHESE MEASURES WILL HELP YOU REDUCE YOUR HOPE I HAVE ANSWERED YOUR QUESTION. YOU CAN MESSAGE ME FOR ANY FURTHER CONCERNS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my lower abdomi hurts really bad it is radiating into my lower back and in short bursts down my leg... I have no period anymore since I had the Novosure ablasion done haven t had cramping in months and months why does it hurt so bad", "output": "Hello! Thank you for the query. Lower abdominal pain, back pain and leg pain can be caused by urinary tract infection or urinary tract stones. Due to these conditions you may also suffer from frequent urinating, burning while urinating, blood in the urine, fever. If the pain starts suddenly, stones are more probable. Gradually starting pain is rather caused by an infection. Ovarian issues like cyst or inflammation can be also the reason. Spine disc herniation can give such symptoms as well. I suggest you to visit your doctor and have urinalysis, blood work and abdominal ultrasound. Gynecologist consult and trans vaginal ultrasound should be done as well. In case of urinary tract issues, you should Chat Doctor. Hot bath can help with the pain. Hope this will help. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband occasionally bleeds from penis after sex. There is no pain and blood appears to be fresh. Hes been told in the past it is some type of prostate infection. Recently his right testicle has been tender and swollen. What could be the cause of this.", "output": "HelloThanks for query. Based on the symptoms of bleeding from penis with tenderness and swelling of testicles that your husband has, I would state that he has developed infection of Testicle (Orchids) secondary to Prostatitis. He needs to consult qualified Urologist for clinical and digital rectal examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture.2) Ultrasound scanning of abdomen and pelvis3) Ultrasound Scanning of Scrotum.4) Serum PSA. He needs to take You need to take broad spectrum antibiotic like Definite along with anti-inflammatory Chat Doctor. Further treatment will depend upon result of these tests and final diagnosis." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my mom has a swallen gums and white stuff covering her (like a white cheese) gum. the dentists took out five of her lower front teeth prior to the illness. I also would like to mention as well that she starts to complain from her upper side of her mouth, ears, throat . could it be kind of cancer or ....?? I would really appreciate it if you can address my concern. I am looking forward to hearing from you.....", "output": "The swelling would be a healing reaction to the removal of teeth. If Antibiotic coverage is not being given this is quite possible. If the extractions are done in heavy infection and trauma it might lead to carcinoma. It is best you rule out infection first by using antibiotics. This could also be Chat Doctor. Also understand that these reactions are mostly seen in medically compromised individuals with Diabetes etc. Kindly Check it up" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I happen to look under my tongues and the veins look very purple. The reason I was looking was thatI also found a small raised bump on the lower gum of my front teeth. I am going to the dentis in 2 daysbut I am concerned about both expecially the very purple looking veins under my tongue", "output": "Hello, Thank you for consulting with Chat Doctor. Actually the type of veins you are describing below the tongue, it looks that it is a normal appearance of the tongue, there is no need to worry about this. But if it is painful then you need to take care of it and consult a dentist. The raised bump you are mentioning on the lower gums can be because of infection in the lower tooth, as it might be an abscess. Better you visit the dentist and get an x-ray done of the tooth to get it confirmed. Thank regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. My friend was using a weed eater to clear cudzu from our yard. She was not burning anything. She got into some poison ivy. She has several places on her body where she has a rash. We asked the pharmacist & she recommended which over the counter topical medicine to use. However, in the past day or so, her lungs have begun to burn. Could she have inhaled some of the poison ivy & could it be growing in her lungs? If so, what should she do about it? Is this life threatening? Will it go away on its own?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Possibility of inhalation of poison ivy is very less. But since she is having burning in lungs, possibility of post inhalation bronchitis is more. It is inflammatory reaction in airways due to irritation caused by inhaled substance. It is usually self limiting and heals by its own. She needs to take fresh air, fluids orally etc. But if burning sensation worsens, or she develops cough or breathlessness then better to consult pulmonologist and start inhaled bronchodilators and inhaled corticosteroid (ICS). At present, no need to worry much. She will mostly improve by its own. Hope I have solved your query. Wishing good health to your friend. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 2-year-old has a small mole on her foot. it s solid-colored, dark, oval, and appears to have a slightly irregular border, although it s hard to tell because it s only a few mm in size. She has had it for about 1 year and it has been growing proportionately with her size. Should I be concerned? I just noticed the slightly irregular border because it is now large enough for that to be seen and I m wondering if I should rush her to a dermatologist or wait to talk to her doctor at her next appointment in november.", "output": "Hi! Thank you for choosing Chat Doctor ! Moles have various appearances. It can vary in color from light brown to black, or it can be flat or raised. Most of the moles are harmless, but there are a few which can be cancerous. We usually observe the changes in the color and the texture as well as the irregular borders. We ask if it bleeds when touched or itch or if it's painful. It is best to have this scene by a dermatologist so she or he can have a baseline. She will measure the mole, take pictures so on your next visit, she has a point of comparison to check for changes. I hope I was able to help you. Sincerely, Handle Dulay-See, M.D. Pediatrics" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 16-year-old female. In March 2014, I noticed a swollen lymph node in the right side of my neck. I didn t think much of it. This lymph node is still swollen, and I can still feel it. However, recently, I started having pain in my right groin area. I haven t been able to feel a swollen lymph node in the groin area, but I am worried that I may have a form of lymphoma. Is it abnormal for a lymph node in the neck to stay swollen, and is it just a coincidence that I have pain in my right groin area (where there are also lymph nodes?", "output": "Hi, dairy have gone through your question. I can understand your concern. You have enlarged lymph nodes in neck and groin. There are many reasons of enlarged lymph nodes. Simple viral infection or other infection causes reactive hyperplasia of lymph node. Tuberculosis or lymphoma can also cause multiple enlarged lymph nodes. You should go for fine needle aspiration or biopsy of your enlarged lymph node. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Fell on left knee on feb 23, 2014. Fell on escalator. Punctured a small hole in knee that oozed for about 4 days. Had large knot on knee. I could barely walk the next few days. Pain lessened but stairs where almost impossible to manage for about a mouth after fall. Seemed to not be able to hold my weight. Now three months later, knee at times feels weak and aches. Hard knot is still on knee and now I have noticed that I have a pain in my thigh when I sit for too long. Should I break down and see a doctor or just suck it up ?", "output": "Hi, dairy have gone through your question. I can understand your concern. You have history of trauma. So you have high chance of hematoma development. It causes lump or knot. You may have some ligament tear or meniscus injury. You should go for MRI of knee. It will give you exact idea regarding your injury. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am 26yr old female. i had gastric bypass in 2007. i went from 320lbs to 180lbs. i am 59. since 2007 i started experiencing chronic back pain. i have seen countless doctors and nothing ever shows up on MRIs or CT Scans to explain the pain. i had lab work done and my sedimentaion rate is 46. could my pain be auto immune and a clue to that is the high sed. rate?.", "output": "Hi, thanks for posting your concern in the Chat Doctor. I think back pain after gastric bypass needs further investigation particularly when you have an elevated ESR. Depending upon the location, back pain can be considered due to numerous reasons. If the pain is in lower back, spinal abnormalities, mechanical back pain due to faulty posture, urogenital infection including PID, colonic pathology should be ruled out. As your doctors have already performed imaging I think any obvious spinal abnormality has been ruled out. If you have not yet done a routine urine examination, you should have it done at the earliest. Your should also have a stool test done for routine examination and OBT. These are important because you have a high ESR which suggests some infection or inflammation. Mechanical back pain may not display any obvious abnormalities in these test. It is due to faulty posture or prolonged sitting etc. It may be relieved by correction of posture and abdominal muscle strengthening exercise. I will particularly emphasize this because you have a history of abdominal surgery in past which might have caused lax abdominal muscles resulting in overload on para spinal muscles. In case of pain in mid or upper back, a serum amylase and lipase test and liver function test should be done to ruled out any liver or pancreas problem. Last but not the least, anxiety disorder and functional problems like regional pain syn Chat Doctor. You should also start daily relaxation session for at least 30 min just before going to bed. For any further information please write back." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am 32 yrs old diagnosed with PCOS the doctor advised to take Dianne 35 for 3 months and then after the pills i took clomid for the first 2 months and then shift to ovamit this month... but i am still afraid that it may not be successful. may period after taking the pills usually starts at the the 31st of the month or 2nd of the month... when will be the possible time to conceive,", "output": "Hello, you have high chances of conceiving within 6\u00a0months of ova mid treatment. It boosts your ovulation. Ovulation takes place using 14\u00a0days prior to the start of next menstruation. Your menstrual cycle seems to be regular. If your try to conceive from 4\u00a0days before to 4 days after ovulation then you have high chances of getting pregnant. Additionally ova mid words best with healthy weight. You should not be overweight or underweight. Plan healthy diet accordingly." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "A friend of mine has after 1 1/2 yr has now been diagnoised with breast cancer in her lung. She had breast cancer back in 2011 and had chemotherapy for it at the time. She is now back on chemo and has had just two sessions to date. on Weds she met with her oncologist who said her cancer was aggressive. Needless to say this is very worrrying for her. What are her chances of surviving this?", "output": "Thanks for posting on ChatDoctorI presume that your friend had initially been diagnosed with breast cancer & now the lung cancer is possibly a secondary. Chances of survival is a very difficult question to answer as it all depends on what type of primary breast cancer it was at the time of diagnosis - also depends on how she responded to chemo at the time. If the lung cancer is secondary from breast & is aggressive - it will still depend on how she responds to chemo +/- radiotherapy. I wish all the best to your friend thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Mom just had appendicitis surgery and has been recovering for last one week. But since last evening she has been having terrible lower back ache she claims is deeper than just muscles. She can t even move to change position in bed. Can I give her something for temp relief so that she can be taken to hospital at least.", "output": "Dear friend it just seems muscular pain and generalized weakness also be there that occurs after surgery. You can give muscle relaxant medicine like combination of diclofenac+paracetamol+chlorzoxazon or diclofenac+paracetamol+serratiopeptidase or analgesic like ibuprofen for temporary pain relief. For generalized weakness of post surgery you can give multivitamin combination for 20-30 days one per day. Hope this answer will be helpful to you. For more queries please don't hesitate to ask." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I noticed a pus filled spot on the inside gum of one of my bottom back teeth. It disappeared after brushing my teeth - so I imagine I must have popped it. It reappeared this afternoon, and has just disappeared again! I think it is just bursting very easily. I am in no pain. I have about a month before my insurance can cover dental work - should I pay for immediate treatment? Thank you for your help.", "output": "Dear friend. Thanks for sharing your concern. Gum swelling could be due infection in your gums.it requires professional cleaning of teeth.Also, maintenance of very good oral hygiene is very important in this case. Gentle brushing after each meal will dislodge food debris and prevent further infection. Please do frequent warm saline rinses. This will reduce gum infection, also use antiseptic mouth rinses twice daily for fifteen days. Local application of gum paint will help minimize the infection. Following the above said measures can minimize your gum problems. But please ensure that it requires professional attention for complete recovery. Hope it helps. Thanks. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi i ve been 2 months monitored by my doctor i had irregular cycle too. Now I m 31 and want to become pregnant,He told me to take gonazi injection 5000 x3 days and duphaston x3pills a day for 16 days i also take x2 metformin tablets i took x1 clomid for 5 days on the 3rd day of my period, he got my cycle normally now as i had my last 2periods exact on the 29th day , me and my husband had tests to see if we are fertile and everything was perfect with the both of us . What are the chances of getting pregnant?", "output": "Hi, If the entire fertility work up has been done and both of you are not shown to have any difficulties in conceiving, you stand a pretty good chance of conception with the medication prescribed. 40%-45% success rate has been reported at the end of 6 months with Camphene alone. 80% women ovulate in the first cycle itself and 30% conceive in the first cycle itself. The treatment will benefit you more if you can correct any related thyroid problems and also maintain a healthy body weight. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my mother in Law is undergoing Chemotherapy for small cell cancer. THe Dr. have recommended that she drinks Insure plus. It appears to us that when she has ensure plus dark chocalote that she becomes confussed, similar to a strock victim. is there any way the ensure can be causing this?", "output": "Thanks for your question on Chat Doctor. In my opinion it is something else other than ensure plus powder, which causes dizziness. Ensure plus powder is commercially available protein preparation. So it is safe and usually no side effects are noted. So I don't think dizziness is due to ensure plus protein powder. Small cell cancers are prone to speed in brain. And due to malignant involvement she may have dizziness. So better to get done MRI brain to rule out metastases to brain." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My aunt went to the emergency room last night around 9, she was hot and freezing and her side was hurting her. Her blood pressure was 202 on the top when we first got there and then if came down to 192 and a little bit later it was 185 and then back to 192 - too high. what may be causing it", "output": "DEAR OVERTHINKS FOR CONSULTING AT ChatDoctorI UNDERSTAND YOUR CONCERN. BUT PROBABLY YOUR AUNT IS AN HYPERTENSIVE AND SHE IS NOT TAKING ANY MEDICATION ON THE DAY SHE WENT TO THE EMERGENCY A PRECIPITATING STRESS FACTOR MUST HAVE CAUSED A SHOOT UP OF BP THAT GRADUALLY DECREASED BUT STILL REMAINED HIGH AS SHE IS HYPERTENSIVESLIGHT FLUCTUATION CAN BE DUE TO AUTOMATED MACHINES, INTEROBSERVER VARIABILITY ETC . YOU NEED NOT WORRY ABOUT THE FLUCTUATION BUT YOU NEED TO START YOUR AUNT WITH A ANTIHYPERTENSIVE AFTER CONSULTING A CARDIOLOGIST... I ALSO ADVISE YOU TO GET A ECG AND CARDIO CHECK UP DONE . To RULE OUT ANY UNDERLYING PATHOLOGY.HOPE I HAVE ANSWERED YOUR QUESTION. YOU CAN MESSAGE ME FOR ANY FURTHER CONCERNS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI, DOCTERI AM HENAL PANCHAL FROM AHMEDABAD.ACTUALLY I AM FACING THIS PROBLEM SINCE MANY YEARS. I AM FACING NEGATIVE THOUGHTS IN MY MIND ALWAYS. IF I AM STARTING SOME ACTIVITY, I DO IT SEVERAL TIME TILL GOOD STATE OF MIND CONSTIST.THATS WHY I CANNOT DO MY WORK PERFECTLY OR IN TIME.PLEASE DOCTER,SUGGEST ME CAN MY PROBLEM SOLVED OUT?", "output": "Dear Heal, I went through your query and can understand what you must be going through. From what you have mentioned, you seem to be suffering from obsessive compulsive disorder (OCD). Obsession are repeated thoughts whicChatDoctore to ones mid despite trying to resist them and in your case wanting to have a good thought in your mind is the obsession. Compulsion is the repeated performing of a particular activity in response to the obsession. OCD is amenable to treatment. You should consult a psychiatrist and initiate treatment. Medications like fluoxetine or sertraline are effective treatment options for OCD. In addition, you can also opt for cognitive behavior therapy with exposure and response prevention as a treatment option for OCD. With adequate treatment, you will soon be better. I do hope that I was able to help you. Best wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir,my father&law have a cycatric or mental problem in which , they are very hyper any time , they beat anyone at that time . and after some time they realaised there mistake. this process is repeated many time in a day . this problem is almost 10 years old but now a days it is in regularity. so please suggest a treatment or best doctor for this.", "output": "Hi, Thanks for using Chat Doctor. I have gone through your history. Your father-in-law has impulse control disorder. Stores, depression or bipolar mood disorder should be ruled out. I hope he is not having addiction. You should take him to psychiatrist for detailed evaluation and management. Doctor may advise for some investigations including CAT scan if needed. He might be benefited with Chat Doctor. He also requires anger management. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I have a white patch just inside my mouth. I went to see a doctor and he thinks it is probably a fibroma that is probably benign. But I just read where the fibromas in the mouth are usually pink in color and they are usually firm. Mine is white in color and is not soft and really firm. I also just read that HIV and AIDS are possible diagnoses and that concerned me. I am making an appointment tomorrow to see a dentist, but I am just trying to do some research in the meantime.", "output": "Hello, Thank you for your contact to Chat Doctor. I understand your concern. If I am your doctor I suggest you that fibrous in mouth are pink. The most common cause of white patch oral mucosa is Candida infection. You can go for simple Grams Staining from the lesion if it shoes Gram positive yeast cells it is candida otherwise you have to rule out other condition. I will be happy to answer your further concerned can contact me. Chat Doctor. Infectious disease specialist. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have numbness on the left side of face, tongue and throat and roaring in my ears. Metallica taste in mouth. Feel like I just went to the dentist and the numbness hasn t worn off and the taste is like the medicine from Novocain shots. Any idea what s going on?", "output": "Hi, I had gone through your question and understand your concerns. The symptoms you're saying to have, might come from intracerebral masses that are on contact and press a part of your cranial nerves, so I suggests you to see a Neurologist, to discuss your symptoms and the possibility of imaging study of your brain (MR scan). Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am suffering from waist pain which goes down the leg particularly on right leg. I wake up each night from sleep because of pain on the right side of waist & leg when I sleep by turning on right side.It is difficult to walk because of pain. I cannot tolerate Gabapentine because of my hyperacidity & swelling of feet. I am on pacemaker. Please advise. B Basak Kolkata, India", "output": "Dear patient your symptoms indicate diagnosis of nerve compression at the level of lumbar spine with articular pain in the right lower limb. Reason may be disc prolapse. Diagnosis can be confirmed by doing MRI of the lumbosacral spine with screening of whole spine. Please get it done from radiology center nearby you. Gabapentin is Chat Doctor. If you are getting hyperacidity please take tab antacid 40 mg twice a day before meals along with gabapentin. You need to consult spine surgeon with report." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Dr I am suffering with severe muscle spasms in neck from 2006. I have been to doctors with no success. My neck can become very stiff an some stages I can t be in a certain position for too long. I have it really bad and with lots of pain. I did get a inflammatory tablet celebrex 200mg to take but I only tried it once. After 30 tablets and no cure I thought to stop seeing it doesn t take away pain. I am just like that... Why keep drinking things that doesn t make a difference. I don t believe in going to doctors anymore because nobody could help yet - from 2006 and it s a waste. I did read up about magnesium deficiency and am not sure about what to choose when I see all the negatives in the tablets. I also did see that it should contain Vit b6 and Vit D + selenium to be properly absorb if I remember correctly but find it hard to find in one supplement. Any advice please would be appreciated.", "output": "Hi, Thanks for your query. Neck pain and severe muscle spasm that you are having are suggestive of degenerative -spondylitic changes of the cervical spine. X-ray of neck in lateral view or MRI will help in the diagnosis. Treatment includes 1. Use of cervical collar helps in immobilization and brings relief. 2. Medical Chat Doctor. 3. Cervical isometric exercises are beneficial to maintain the strength of the neck muscles. Neck and upper back stretching exercises, as well as light aerobic activities, also are recommended under the guidance of a physical therapist. 4. Hot fomentation helps in relieving acute symptoms.5. You can avoid using a pillow. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have been facing pigmentation around my cheek towards my eyes very obvious ! I started consuming cremes which vanished but has left me with severe acne !! I need to get rid of acne now. My skin was really good and complexion was bright, but now I see I am getting tanned so soon and never get rid of it at all... I want to go in for a proper treatment but KAYA S damn expensive but too good ! Kindly advise something reasonable and affordable.. Regards", "output": "Hi , Thanks for writing in. Pigmentation is treatable now. With correct treatment all your scars and dark spots can be treated. To start with you have to apply Brevity cream twice daily. Also, you can use anti acne face wash like Brevity face wash. For dark spots you can apply GLYCOL A 12 cream over the face. With all these medications sun protection is very important. You should use good quality sunscreen like photoban aqua gel. Apply it every 3-4 hourly starting 9 AM in morning. Regular sunscreen use will lighten the spots early. Cryotherapy and chemical peeling can give you fast and long-lasting results. They are available at dermatology clinics. Discuss the option of peeling with your dermatologist. It will have rapid effect. Will reduce the oil secretion and pimples effectively. Hope this helps. Regards. Chat Doctor. MD dermatology." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "SIr i am 24 years old unmarried boy. my problem is, when i over do some thing like pushing a car of my neighbour using my force and running . then after some distance my heart rate increases but beside it my down teeths feel tension , my body loses strength , i feel colapsed . i just laid down to calm my self , i recover when laid down. but i feel there is something wrong , it is a very bad feeling . it is not usual heart beat . I do heavy work with no problem but . when running and pushing work comes i fail. plz help.", "output": "Hello! Welcome and thank you for asking on Chat Doctor! I understand your concern and would explain that your symptoms may be related to a low blood pressure or a metabolic disorder (thyroid dysfunction, a Chat Doctor. ). The fact that this occurs only in a certain position or a certain physical activity is indicative that it is not a serious medical condition. It doesn't seem to be related to any cardiac disorders (based on the symptomatology). Have you measured your blood pressure during these episodes? Orthostatic hypotension, could also explain this clinical scenario. I recommend consulting with a GP for a careful physical examination, a resting ECG, a chest x-ray and some blood lab tests: - complete blood count-kidney and liver function tests-thyroid hormone levels-cortisol plasma levels-fasting glucose-blood electrolytes, etc. A head up tilt tests is needed to rule in/out a possible orthostatic hypotension. Meanwhile, I recommend performing a lot of physical activity (walking, aerobics, sports), to help you maintain a good physical performance and prevent any possible similar episodes. Hope to have been helpful! Best wishes, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, my 83 year old aunt who is a dibetic, has a metallic taste in her mouth. is has disrupted her life to the point she has stopped eating and now drinks only orange juice. my 79 year old mother my aunts youngest sister is very worried about her and asked for some sort of reason for this. My aunt heas not gone to the hospital yet but will go if it become much more serious. thank you. ..........I should have known there was some kind of hook hidden in your website. i understand that a doctor cant work for free but couldnt you be upfront enough tonote on the first line of you ad that there is a fee, albeit a small one but to receive your answer you will have to pay. some of us less paid individuals dont have the exrta $15 or $30 dollars to pay out when our family members are ill. our medical system here in canada is set up so that we can be treated for anything at a minimal cost or in other cases for free. i am sorry that i wasted both your time as well as mine to have a question answered that may be completely different from the actual problem. i feel i have been misled by your site. Please be considerate of lower income people who would feel somewhat better to be able to ask a medical question and be treated as a human not a dollar sign. Gordon Harper, YYYY@YYYY", "output": "Thanks for using Chat Doctor. Read your query. Metallic taste in the mouth can be due to many etiological factors. Since your aunt is a diabetic, the medicines used for diabetic can itself induce the metallic taste in the mouth as an adverse effect. * Sometimes common cold, nasal infection or sinusitis are associated with this problem. *Poor oral hygiene, periodontitis often case the metallic taste in mouth. If I had a patient with the similar complaint I would have recommended them to have citrus fruits for next couple of days and maintenance of good oral hygiene. Also maintaining the sugar levels is very important. If the problem still persists, please consult your local doctor for further evaluation and treatment. Hope this was useful. Thanks and regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I m 30 years old and for the past 2-3 months I have been having A lot of abdominal pain while on my menstrual cycle. This is different from the mild unnoticeable cramps I m used to. It mainly occurs when I get gas or have to use the restroom during both urination and a bowel movement. The pain was so severe last month I couldnt even move out the bed, when it subsided, i went to the bathroom which was painful. today it was so bad I got nauseated. Now, I m not constipated, in fact the stool is soft, the pain seems to be like uterine contractions but honestly my labor was a lot less painful than this. Do you have any ideas what this could be? I have two children, 7 and 9 and I am in groom health with the exception of my cycles.", "output": "HI. The most probable reasons for such pains in the lower abdomen which increase during urination and bowel movements can be due to :Severe PID-Pelvic inflammatory disorder. The congestion in the pelvis is increased by the process of menstruation. There can be associated Ovarian cyst with torsion or so or severe for of enteritis, appendicitis. I would advise you the following. O get investigated and examined during an attack to get the correct diagnosis so that the treatment will be fruitful. Ultrasonography of the abdomen. X-ray of the abdomen in standing position for intestinal obstruction. Blood, urine and stool tests. Proper diagnosis alone can lead to successful treatment" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "for several years have suffered with these symptoms, and they are becoming more frequent. I get terrible cramping pains in my upper right stomach area. Sometimes i vomit just bile. It feels like i have gas but a bowel movement offers no relief. I havent noticed any blood in my stools. The cramps occur about three times a week, while the vommiting about once a month. I am 59 and have been through menopause", "output": "Hi, it can be because of cholelithiasis(stone in gallbladder, a sac like organ)but this cant be concluded without proper investigations.I advise you to visit a general surgeon and get a scan of abdomen as required.if cholelithiasis is the case you will have two options one is temporary pain relieving medical treatment and a permanent surgical method.visit the doctor as soon as possible as there are chances for this to complicate.if you have any more queries I would be happy to help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello I have had panic disorder for over 4 years and i got cbt to treat it. i now believe i have developed hocd and as soon as im able to calm down i go crazy in thinking i have excepted who i am. but im not that person. could the fact i have had cbt before be the reason why i am able to calm myself easier than others?", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. You are right. CBT makes people relaxed. People feel relaxed even in stressful situations. But there is nothing negative in that. It cannot alter your reflex system. Reflex works as fine as before. Only change takes place is to the thinking and perception process in anxiety situations. The production of stress hormones during peace time reduces and thereby the body reacts relatedly the stress. You can do energetic and agile activities like games to increase body reflexes. Post a direct question to me and I shall prescribe psychotherapy to you to help you. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "im 32 weeks pregnant and have a known non-obstructive 7mm x 5mm kidney stone. Went to the hospital because of increasing pain that has changed location and type. Fetal Monitor showed uterine irritability but no distress. UA showed urobilinogen of 1.0 and trace protein, nothing else. Sent home. Currently pain has increased again, and is now accompanied by nausea. Suggestions?", "output": "HelloThanks for query. You are 32 weeks pregnant and have been detected to have non obstructing stone of a size of 7 mm in your kidney. Taking in to consideration that it is non obstructing stone, and you are in 32 weeks of pregnancy it is advisable to wait till you get delivered following which you can go either for Extracorporeal shock wave lithography or endoscopic removal of stone depending upon the site and size of the stone at that particular time. Till then, you can take painkillers in mild dosage as and when necessary under the guidance of your Gynecologist. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi! I have been experiencing progressive numbness of both of my feet, beginning with the right foot, over approximately 5 year period and now it seemes to have progressed to my right hand. I have also been experiencing vertigo, imbalance, and memory loss. About 3 months ago I had severe pain from my right hand, up my right arm and then over the shoulder and down to the end of the scapula area. An MRI of the cervical area showed herniations of the cervical discs and a rupture at c6-7. A recent Mri of the brain, for diagnosis for the above symptoms of vertigo, imbalance, memory loss, some ataxia, changing vision condition, showed an increased T2 and FLAIR signal present in the supratentorial white matter that likely represents mild chronic microvascular ischemia. I also have several symptoms that correlate with autoimmune diseases such as lupus, sclerderma, MS, and multiple connective disease. I have raynauds syndrome, and a history of thyrotoxocosis. Im having a really difficult time trying to find doctors that want to help me because of the multiple areas of my medical problems. The neurologist that ordered the MRI of my brain wont even call me back. Can someone please help me?", "output": "Hi, Thanks for writing in. Your neck, shoulder and arm problems are due to the cervical nerve roots being pinched at multiple levels as seen on cervical spine disc herniation. The C 6 - C 7 disc rupture is significant and might cause limitation of neck movements. The MRI brain shows areas of T 2 hyperintensity in the supratentorial white matter. Since you have not mentioned your age and the images are not attached, it is a bit difficult to confirm if the findings can be acceptable at your age. Microvascular ischemia is a term for loss of blood flow through the small blood vessels in brain leading to decreased oxygenation and tissue damage, these changes can also occur in people with diabetes and hypertension. Autoimmune conditions can also show certain features, but your MRI does not fit in to a single category. MS will show a definite pattern on MRI and I think your doctor has ruled out this condition by clinical features and MRI scan findings." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my son is 2 yr. old. Since he was 1 yr. he had been suffering from constipation. by consulting with a doctor he prescribed laxopeg syrup. but he totally depends on that medicine. he is very well when takes it otherwise not. pl. help me to cure it permanently .thanks.", "output": "The cause of constipation needs to be evaluated. The bowel movements are responsible for moving the food down through the gastrointestinal tract, as it gets digested, and eventually leads to the expulsion of stool. When there is stagnation due to some reason, constipation occurs. Formation of bulk, gets the stool going. The primary mode of action of Lahore (polyethylene glycol) is through the osmotic effect by absorbing more water into the intestines and forming bulk. This bulk is essential. In normal circumstances, absorbed dietary fibers form this bulk. So the permanent solution would be to give plenty of fiber rich foodstuff like green leafy vegetables, unless some other underlying problem is diagnosed." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 88 year old mother in late stages of alzheimers and unable to verbally communicate most of the time has arthritis in her hands and right shoulder. I give her a tylenol every other day and she is more relaxed in those areas and not squeezing her hands so tightly. Would it be better to give her asprin or tylenol arthritis?", "output": "Hi, thank you for providing a brief history of your mother. Well as you mentioned she is 88 we need to see her as more of an ageing degenerative change in her body. I will always recommend to not undergo self-medication as it might not be safe, so for medication take an experts' advice. Now talking to her Alzheimer's disease and pain you need to look for a physical therapist who will use some therapeutic ultrasound therapy and some gradual slow passive movements which will help muscle move and will get ease of the pain." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I m 24 years old, located in Texas, and I work as a vet tech.. I have a few questions to ask. My first is about infertility.. I ve been trying to have a baby and I keep up with my cycle and all but every month I keep getting my period. But my periods have been odd lately. My periods will always start out very very light and the next day will be light to medium then the third day I just kind of spot throughout the day but then I keep spotting for about 5 days after my period ends. My last recent period the very first day the blood was dark brown almost black then the next day it turned into red brown but with my normal flow then the third day I spotted red lightly throughout the day. Then spotted for about 4 or 5 days after. Is something wrong or am I just not fertile.. An also I don t have a lot a money to be spending for expensive doctors", "output": "Hello. Thanks for the query to Chat Doctor Forum. As your age is 24 years and menses history mentioned is an indication of scanty menstruation or also irregular bleeding, so the cause may be .1 Hormonal imbalance so get in blood for estrogen, FSH /LH ratio and an Chat Doctor. 2 Poly Cystic Ovarian Disease is the second most common causes of infertility and such type of bleeding, so get in ultrasound of both ovaries .3 Fibroid in uterus may be the another reason of such bleeding, get in ultrasound of uterus for confirmation.4 Semen analysis play an important role in conception so get in semen analysis of your partner. Still you feel problem then get ovulation study for ovulation. If further any query I will reply. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, please help! I am suffering tooth abcesses which has caused me to have 2 teeth extracted. Though the pain I am in, is still horrendous! My jaw is constantly aching and throbbing (burning sensations and sharp shooting pains on my left jaw) I don t know what else I can do. At a dead end with the dentist . Is there anything a doctor can do. (I have had to visit the doctors for a sick note, due to do much time off work) I am only 27 and frightened that nothing is going to help. I have been on 4 lots of antibiodics and constantly taking pain killers.", "output": "Hello and welcome to Chat Doctor forum, I would like to inform you that pain in jaw following extraction needs a thorough examination y your dentist, I would advise you to see an oral surgeon for the same. Until you visit a dentist, kindly perform warm saline rinses(3-4 times/day), antibacterial mouth wash(twice/day), Do not worry, your dentist will take an ,x-ray to make sure no other tooth is causing these symptoms.I hope I answered your query, i wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Physical Colour: Brown Consistency: Soft Mucous: Absent Blood: Nil Parasite: Nil Chemical Reaction: Acidic Microscopical Pus cells: + Macrophages: + Fat cells: + Veg. cells: +++ All other microscopical parameter reported NIL. My son is 10 years old, and this is the report of his stool examination done today. What does it indicate? He defaecates two to four times a day.", "output": "Hi, Welcome to Chat Doctor, This report is not suggesting me any specific abnormality. The problem for your child seems to be due to incomplete evacuation of bowel every time he passes. From your part, you need to encourage him to take as much of green leafy vegetable and fiber rich diet. He needs to take as Many fluids in a day as he can. Fruit juices also be of good help. You can wait for a week after these dietary modifications. If his bowel still doesn't get better, I would suggest you consult a pediatric Gastroenterologist for further evaluation. Hope these measures would benefit him. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 33 yr old female in overweight range. I have had episodes of mid sternal chest pain. One episode was while eating. Another was hours after eating. It can be discribes as a spasm and pressure. The day after my mid stomach has a dull pain remaining most of day and night. Zantac, Tums, and Gas X did not help. Any thoughts?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Possibility of HERD (gastroesophageal reflux disease) related chest pain is more because your pain is associated with eating. HERD is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause symptoms of chest tightness, chest pain, burning, burping etc. Excess of body weight is the main cause for laxity of gastroesophageal sphincter. Only Chat Doctor. You need to follow below-mentioned lifestyle modifications for better symptomatic relief. 1. Avoid hot and spicy food. Avoid junk food. 2. Avoid stress and tension, be relaxed and calm. 3. Avoid large meals, instead take frequent small meals. 4. Go for walking after meals. 5. Lose weight and stay fit and healthy. 6. Quit smoking and Alcohol if you have these habits. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my father has had a painful lump on the side of his neck for a week which he has had antibiotics for, the swelling has reduced but is still there and still painful. Today his laft arm just above and around his elbow has swollen up. Do you know what could be causing these swellings?", "output": "Welcome to Chat Doctor. 1. The history suggest me the possible cause of lymph nodal enlargement.2. Lymph nodal enlargement is seen in any systemic cause or underlying medical condition.3. The lump along the elbow joint gives a suspicion about the vascular pathology - venous dilatation / curiosities.4. In this cad ultrasound will help to evaluate the nature of the lump and its source and extension. If mass lesion - an FNAC - fine needle aspiration cytology would help.5. Depending on finding the treatment will be, and at the same time make sure the other medical conditions are with in limits. Good luck. Hope I have answered your query.Anything to ask do not hesitate. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi..Im three days late for my period, I was supposed to get it friday it is now monday. Yesterday I started having light brownish spotting and discharge. The spotting and discharge continued today along with the kind of cramps I get when Im on my period. I have taken 4 pregnancy tests and three came up negative and the other was negative but I looked at it again after an hour and there was an evaporation line on it. I have also started phentermine on saturday(one day after I was supposed to start). So my question is..should I be worried that Im pregnant?", "output": "Hi, Thanks for the query. I understand your concern. Three days delay in periods with scanty brownish discharge ....without any contraception ... can be early pregnancy the bleeding can be implantation bleeding. Pregnancy can be confirmed by home pregnancy test after 8-10 days of the expected date of menstruation. Please repeat the test after a week. Fir confirmation/exclusion of pregnancy. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "have hypertension, bystolic, diabetic insulin pump, had tia in dec 09 on plavix, bp has been good since jan. feeling shaky last couple of days, checked at home and bp was 120/78 tues night, last night 117/76. today having really bad headache really shaky, not glucose, checked bp ( i work at a surgery center) 136/120, waited 10 min took again on same machine 137/94, went to different machine, 135/87 sitting, standing 143/98. should i be concerned about the 1st one?", "output": "Hello, You have a history of hypertension & diabetes. It looks like your blood pressure is fluctuating, BP should always remain stable. Fluctuating BP should be monitored & managed else it may cause symptoms like headache, trigger developing heart disease, nosebleed, dizziness, make you feel weak & fatigued. 1. Hypoglycemia, hyperthyroidism, alcohol intake, Chat Doctor. 2. Sometimes Neurological problems may cause tremor. 3. You are suggested to get physically examined & get proper treatment of hypertension at the earliest. In the meantime, get CBC, Blood sugar (R & PP) Urinalysis, lipid profile, X-Ray, ECG, Echocardiography, Stress tests done to rule out any developing coronary artery disease.4. Diabetes triggers the symptoms, maintain your blood sugar levels. 5. You can get Nerve Conduction tests done at the earliest to rule out any developing Peripheral Neuropathy. In the meantime avoid stress, stay away from alcohol & " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "So today I squeezed my breast and a clear fluid came out. I have no idea why. I just got my period yesterday AND I took a pregnancy test that came up negative. Im also taking birth control pills and I am wondering if it is just a strange side effect from the hormones in the pills. The birth control brand is called Myzilra. Any help you can offer is much appreciated.", "output": "Hi, Welcome to Chat Doctor forum. It appears that you had common side effect of the pills Mozilla. It has swollen, inflamed and tender breasts as a side effect. That might be the cause of the clear discharge. You had the period a day before, and pregnancy test is negative. So don't worry about the pregnancy. If the problem is continuing you consult your doctor for a change of the pill. Or you can opt for intrauterine devise. Take more of green leafy vegetables, pulses, sprouts, and protein rich foods to have good health resistance against the infections. Wishing for a quick and complete recovery. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi there. Today I was hearing a clicking in my head. I got an ear ache and my nose started bleeding and now I feel completely wiped. Searching my symptoms didnt help my anxiety much because a symptom analyzer said it could either be a Nasal Polyp or Leukemia!", "output": "Thanks for your question on Chat Doctor. Nasal bleed can be seen in a lot of conditions. And leukemia is not that common. So no need to worry much for leukemia. Common causes for nasal bleed are1. Nasal polyps2. Local trauma3. Chronic rhinitis4. Hypertension (uncontrolled)5. Foreign body in nose6. Rarely leukemia. So no need to worry about leukemia. Other sign, symptoms of leukemia are1. Weight loss2. Decrease appetite3. Abdominal pain4. Heat splenomegaly.5. Anaemia6. Cervical lymphadenopathy. Etc." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My period normally comes every 34 days. My period was due yesterday and it still hasnt come. I have also had a yeast infection the past week. My boobs are sore I have been having slight headaches and stomach aches. Can the yeast infection cause a delay in my period or is it more likely I could be pregnant?", "output": "Hello, Welcome to ChatDoctorAny infection in the body for that matter can delay the periods. Stress associated with infection, intake of medication for the infection would have altered the hormonal levels in your body that may have altered your periods. You can't expect pregnancy if there is delay for only one day. I would suggest you to do urine pregnancy test after one week and confirm your pregnancy. Hope you are happy with the answer. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My liver enzyme result came back 129 I ve been told this is quite high but my dr didn t explain what it could mean. I do not drink any alcohol and haven t taken Tylenol in 15 years. I am currently only on ibuprofen every 6 hours for jaw pain. Should I be worried about this result and what can it mean? Also I am 24 years old.", "output": "Hi, you are 24 yrs old and the painkiller what you are using might be for just few days that will not cause so much damage to liver, you said that enzymes are high but you didn't say that what enzyme is high because diagnosis changes. But even though I will try to help you, if you are obese and on ultrasound there may be fat accumulation in liver that might have damaged some hepatocytes and there is derangement of enzymes, if so try to reduce weight, avoid fatty and oily food, regular physical activity. And recheck the enzymes if still they are high considering your age you need to be rules out Wilson disease and other autoimmune causes. Hope this information helps you thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi m 30 years old from pakistan nd having 3 years old daughter.now i want a baby my gynecologist said that u have polycystic ovaries but my radiologist said that these are not significant but egg size is 12 mm on 14 day of period m very much disturbed nd up set wat should i do", "output": "Hi, thanks for writing. Get a follicular study from day 11 on alternate day till follicle size reaches 20\u00a0mm which is the time ovulation occurs. Have intercourse at this time. Repeat scan after 2 days to see the signs of ovulation. Take progesterone in the post ovulatory period for luteal phase support. If there is no ovulation, take camphene for ovulation induction after consulting your doctor. Hope I have answered your query. Good day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "3 weeks ago i fell down on the steps igo to the hospital and doctor gave me medicicines after 3 days my pain reduse,half ,gradually it came little pain but i have still pain when i get up from bed for 2 minutes on sides of my lower back when i walk the pain will go can you recomment any tablet for pain and swelling ortho doctor check and he said not broken,i tookketorol zerodol th 4 and omesec for 3 days in the biggining", "output": "Hi, thank you for providing the brief history of you. A thorough clinical examination is advised. As after any fall there should be a thorough clinical examination done and also the x-ray but since it is not done I am really unhappy by the approach. Well, as per your symptoms what you mentioned I feel there is some Sacroiliac joint issue or may be spondylolisthesis. Only taking an MRI scan we can come closer to the diagnosis. As you mentioned that post walking a couple of distance your pain is eased I feel this should be case of spondylolisthesis which gets diagnosed pretty late many of the times. In my clinical practice, as soon as I receive sucChatDoctorplaints I advise straight for an MRI as having a proper diagnosis and patient satisfaction to the health management is my first priority. I will advise you the same to take an MRI.treatment can be simpler with physical therapy and some specific exercises. Regards Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "For the past few months, I have had a lump on my inner thigh in the bikini area. It is hard, and about the size of a dime. I never had any pain, tenderness, or discoloration of the skin associated with the lump. It s never become inflamed or hurt. You can t even really tell it is there unless you actually touch it. However, when squeezed, it does secrete either a white/pale yellow pus that is thin and watery, pus mixed with blood, or straight dark blood. There is no odor associated with it, and it has not gotten bigger or smaller. I just noticed it one day and started keeping an eye on it. Is this a cyst, or could it be something more serious?", "output": "Hi, It sounds like a sebaceous cyst which can secrete whitish material maybe foul smelling also when punctured. But these swellings are usually painless and cause no problems unless infected or disturbed by handling or puncturing. If it seems to be a problem you should seek opinion of a Surgeon and get it removed if it bothers you. But, do not worry it does not seem anything serious or cancerous. However, the best person to say that would be the Doctor who can examine you. Take care, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m 20 years old. For the past 8 months i have had a sharp stabbing pain in my abdomen whenever i have sex. Recently (in the past two months) It occurs when i sit up, lift heavy objects, etc. I have seen an OB/GYN and got an ultrasound where they discovered cysts all along the inside endometrial tissue and an additional cyst on my right ovary. I was put on antibiotics for a month and have 0 STDS and have a normal pap smear . However they referred me to a general surgeon who issued a CT scan . There were no hernias etc. It was a normal CT scan. They are recommending a laparoscopy to diagnose the problem....what are the possibilities for diagnosis before i decide to have surgery? Could it be endometriosis? could i still get pregnant with endometriosis when the times comes?", "output": "Hi, The problem may be endometriosis and the best way to decide is to have a diagnostic laparoscopy where the inside of abdomen is visualized it shows the extent of endometriosis and any involvement of the surrounding tissues. There are good medications available to treat endometriosis once diagnosed. It is definitely possible to conceive with this problem, but it is better to conceive earlier rather than delaying the pregnancy. Wishing you a good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have low back pain on left side. Also am experiencing urgency to use the restroom, my urine is brown in color, with maybe a pink tint... I have had some sweats and chills, but not all the time.. Now I have dry mouth, this has been going on for a few days, but the dry mouth is new.", "output": "Hello! This is Chat Doctor. Thank you for posting your concern to Chat Doctor. From the symptoms you are describing looks like you have a urinary tract infection, and you may need antibiotics to prevent it from getting worse. If I was your caring doctor I would suggest the following:1) Sweats and chills are sign of probable fever. Check it and if its higher than 98,6 F (37oC), you may take Paracetamol 500\u00a0mg or Ibuprofen 400 mg as needed, max 4 times/day, with food.2) " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi can i take jack3d while trying to conceive? i have been trying to conceive for over 7 months now and its very frustrating when it doesnt happen. i have plotted my cycles, temperature on graphs, taken ovulation test etc etc.. i m trying not to think about it now and hope one day it will just happen, so therefore getting on with things i most enjoy....keeping fit so my original question is how safe is jack3d while trying to conceive?", "output": "Welcome to Chat Doctor. I can understand what you are going through. As you have figured it out, the best way is to let it happen when nature decides. Coming to your question, Jack has Maltodextrin, caffeine, Magnesium as crucial components that can affect you. These components can effect the growth of the baby, though definite actions and studies are not established about this. I advise you not to take a caffeine supplement like Jack, rather go for non caffeine supplement like proteinex. Hope I answered your question. If you need more information feel free to mail me. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a sore on my gums the occasionally swells with blood and puss. It is above the farthest molar on the left side. Above that where the gum and the cheek meet there seems to be a solid mass that is white underneath the skin. My neck and back have been stiff and sore with a lump underneath the muscle just where my neck meets the shoulder. Something does not seem right. I went to the ER a month ago and was diagnosed as having a salivary gland stone. I went to an ENT who did a procedure with wires to open up the gland, but there was no stone. The mass that I was trying to explain is still there. Is this very serious?", "output": "Hello, I can understand your concern. The swelling you are describing can be a result of abscess formed due to infection of the lat molar tooth. As it is on the gum just above the tooth, this can be the possibility. In that case, if you go to the dentist, he/she can examine your oral cavity for such infectious tooth and can Chat Doctor. Other possibility can be presence of cyst or tumor. In that case, the swelling or part of it needs to be excised and sent to the laboratory for the diagnosis of the tumor or cyst. This process is called biopsy. It also evaluates whether the cells of the swelling are harmless (benign) or cancerous (malignant). You should consult an oral & maxillofacial surgeon for such procedure. Treatment can be advised after the results of biopsy come. I hope this information helps you. Thank you for choosing Chat Doctor. I wish you recover soon. Best," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had an hsg 3 days ago. The cramping was tough during the procedure but very mild once it was over. However, the last 2 days I have been terribly bloated, to the point I cant sleep and my abdomen is so distended. It looks like I swallowed a basketball. I am so uncomfortable. Any thoughts?", "output": "Hi. Thanks for your query.SG- (hysterosalpingography) is a procedure in which the dye is pushed into the uterus through a canola put into the uterus. The possible cause for distension can be a reaction to the dye or perforation of the uterus and trauma to the intestines. -You need to visit ER/ get admitted -Be nil orally - do not take anything orally.-get investigated by :Standing X-ray abdomen, ultrasonography, Ct scan.-Follow the advice of the Doctors. The treatment will depend upon the findings on investigation." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,This is related to Dental problem. I am 32 yrs old and some of my teeths have started decaying, would like to know what are some natural treatments available to remove the decay without dentist working on the teeths with tools.I am worries after the treatment, more cavities will form, as the process involves drilling and filling.Thanks for your help.Regards,Rajesh Swarnkar", "output": "Welcome to Chat Doctor forum. Sorry Mr Rajesh, there is no other way to prevent dental decay once it started forming. It is better for you to contact a dentist as soon as possible and get your decayed teeth filled. Otherwise, It will go on increasing and will soon destroy your tooth. Chat Doctor. Maintain your oral hygiene. Brush your teeth twice a day with fluoridated toothpaste, avoid sticky sugars, and visit your dentist for review every 6 months." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have tooth that as been dead for well over a year. My children come first so they get their heath benifits first and I have not see a dentist in about 7 months and the tooth has been dead for about three years min years (Black in color) this disgusts me as I went religiously for the the first 39 years. I feel of a roof a few years ago and destroyed several teeth. This one is the upper rear molar and when I walk I suffer from a dizzy tingling feeling coming directly from that area going up to the left temple area. I have no insurance so it has been left. I have drained it twice once a whitish color , light green and a fair amount drained of it. My largest concer is the modert to severe pain, drainage and dixxines.", "output": "Hello, I can understand your concern. As your tooth is dead, it has not created an infection and abscess which is Chat Doctor. Tingling feeling and dizziness are usually not related with the tooth pain. However, if you are experiencing severe pain from the tooth, it may be the case. I would recommend you to visit a dentist to get the treatment of the infected tooth. You might have to get root canal treatment or extraction of the tooth depending on the extent of the infection and destruction of the tooth. However, first I would advise you to visit a physician for tingling and dizziness you are experiencing as such problem might create complications during treatment of the infected tooth. If you are in severe pain right now, you can take Ibuprofen 400 mg or Motorola 10 mg up to three times a day. I hope this information helps you. Thank you for choosing Chat Doctor. I wish you feel better soon. Best," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my doctor told me that i have kidney stones but now i have new symptons when i use the bathroom it dosent burn but when i wipe myself it hirts down there and when i look at my urine it haves little balls of blood nd i feel like is i have fever in the inside of my body nd imy back hurts a little bit not as bad as before is that normal doctor??", "output": "Hi, many thanks for the query! You need to do- USG (PUB), X-ray PUB, CBC, Sr. creatinine, Sr. Uric acid, Urine (Routine & Microscopy). Per Rectal examination & Photocopy (if possible) by your doctor is important to know if there is any fissure(more likely) or hemorrhoids (less likely). Chat Doctor. Eat High Fiber Diet, green leafy vegetables. Take stool softness, antispasmodics, antibiotics, antacids, diuretics & local application of lidocaine with your doctors' opinion. Wish you a good health. Take care. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "What is the best pain medication for a 75 year old female who has finished chemo for non Hodgkins lymphoma and now has pain all over her body. She does not tolerate codeine well and extra strength Tylenol is simply not enough? We are going to our doctor and would like to have some ideas beforehand. Thanks for your help.", "output": "HIT hank for asking to ChatDoctorPost radiotherapy pain is very common and disturbing, most of the painkiller fails to respond particularly common NSAID, and I think opioid is the best choice for this, different brands are available on counter you can have nay one of it or better to have words with her oncologist, one thing I would like to mention here and that is such pain does not cause any harm to the patient accept disturbances but if it is being tolerated by patient then it won't be troublesome, have nice day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "gd mor sir, sir my husband sperm count is 40mill, motility; progessive motility 60%, non progessive 20%, immotile20%,morphology:normal forms 75%, abnormal forms 25%,other findings: pus cells 2-3/hpf, epithelial cells:1-2/hpf, spermatogenic cells :1-2/hpf is there any problem ,husband is using paterina tablets , can i get pregnant ?please reply sir", "output": "HI, thanks for using Chat Doctor Semen analysis provides a general idea of male fertility. The sperm count is normal at 40 million, it should be at least 20 million. The motility or movement of the sperm would also be considered acceptable at 60%. It should be at least 50%. Morphology refers to the appearance of the sperm, this should be at least 50%. Your husband morphology is within normal range. In essence, this result is normal. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I recent started using a powder called Gold Bond, Medicated it was suppose to help control the uneasy smell that occurred sometimes. But within weeks I noticed it feeling painful on my thighs, right next to me gentials (I m a male by the way) and the skin is very raw and sometimes painful to touch. Also the skin is like...peeling off..like I can pintch it off and roll it in a ball, sorry if that sounds disgusting. It is.", "output": "Greetings. I think you are allergic to that powder. Scrotal skin is very sensitive and some disinfectants or powder might cause this problem. Now having had this peeling it is better to use some moisturizing cream along with some antibiotic ointment if you feel infected. About the bad odor ...are you having any skin infections espy fungal ? That can cause this sort of odor. If so then you will need to take antifungal treatment and your bad odor will disappear. Hope you are convinced. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I just started the depo shot on September 8th. I had a period on the 1st of august and I I was on birth control up until the 10th of august and started another period on the 14th of august. So I got on the depo on the 8th dof september which I took a preg test that day and it was negative. At the end of august nad beginning if sept I had unprotected sex. Is there a possibility that I may be pregnant?", "output": "Hiii, Welcome to Chat Doctor. Your last period was on 1st August and took pill up to the 10th august after that you got another period on 14th August. It was with Chat Doctor. You did unprotected sex at the end of August & beginning of Sept and started Depot Shot on 8th Sept after getting negative pregnancy test. Depot shot contains MPA and is very effective birth control method. Effectiveness is up to 3 months. Chance of pregnancy is very low more likely less than 1% per year. You may confirm your pregnancy by doing blood test for Chat Doctor after 7 days of your missed period date.Also, you have to concern about several side effects like irregular vaginal bleeding for first 6 to 12 months, sore breasts, change in appetite or wt gain etc. Always consult with your doctor if serious problem persists. Be well." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have allergies and asthma. Back in September my doctor said she thought dizziness due to allergies. Gave me meclizine. It seems to be everyday not as severe as when I went to see her. Slight swaying sensation mild pressure headache across forehead. I was also started on a birth control pill at end of August to replace medicine to control my endometriosis. I don t want to have to go to another doctor, but this is annoying as I teach school.", "output": "Hello, Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for you as follows:1. As there are many causes for dizziness, I would like to know more about your complaints, medications, overall health, investigations, etc. etc.2. As you have headache and allergies also, I would first think of dizziness related to problem in middle ear which occurs due to long-standing nose obstruction/sinusitis, etc. I usually suggest my such patients regular treatment of allergic rhinitis with levocetirizine + montelukast OR intranasal corticosteroids along with regular steam inhalation which improves nose congestion and relieves sinuses. However, an ENT consultation is necessary for confirming the diagnosis. More details about your nose and ear symptoms would have helped better.3. Dizziness could be some simple reasons, unrelated to allergies, such as nutrition deficiencies, low hemoglobin, stress, anxiety, inadequate HY Chat Doctor. Depending upon cause, nutritional supplements (for nutrient deficiencies), iron-folic acidic B12 (for low hemoglobin), relaxation & meditation (for stress/anxiety), ensuring adequate liquids during day, etc. would help. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you the best of the health ahead. Thank you & Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a question.. over the past year ive been getting these like dark purple lumps under my skin on my inner thigh near the groin and sometimes i get these big bumps under my skin near the groin area on the inner thigh that if i squeeze them then it pecome hard and like there is a point on top that looks like its going to pop but it doesnt.. and yesterday i noticed a purple bump ontop of my skin on the inner thigh and today it was open and like half a centimeter deep.. i didnt pop it and i dont know what they r or what to do.. do you have any suggestions?", "output": "Hi.it is best if you consult with a doctor, preferably a general surgeon, for medical and physical examination. Based from your description, it could be a cyst (a sebaceous or a gelatinous type). These lesions can occur anywhere in the body and have the tendency to recur. The one near your groin area might be lymphadenopathies secondary to an infection or other pathology. Management (medical and surgical) will be directed accordingly. Hope this helps. Good day!!~ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a dental hygienist and a patient of mine has had chronic blistering open lesions on her lower lip since april. She has been tested for herpes, and cancer- botChatDoctore up negative. They are checking her for lupus. Any ideas? It looks very painful and is crusty with bleeding. This pt does have a history ofhypertension.", "output": "Thanks for your query, I have gone through your query. The crusty bleeding blisters over the lip can be because of the Memphis or bulbous emphasis or mucous membrane pemphigoid. If I am your treating doctor, I would suggest you to get an immunofluorescence test(direct or indirect). This test confirms the diagnosis. In this also you can go for indirect method where they will Chat Doctor. Meanwhile, you can be topical anesthetic and analgesics like 2% lidocaine and choline salicylate Ga (Anabel gel) apply 3-4 times daily before food and topical steroid like triamcinolone acetone 0.1% 4-5times daily after food. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor.... Im having the problem in mestrual.. i have irregular period since 4 months and happened to be only a spotted only.. now me and my husband trying to conceive but because of the irregular period we are not succeeded.. please what can we do to cure this problem???", "output": "Hi, You are correct in trying for regular periods before trying to conceive. A regular period, along with ovulation is essential for conception. Treatment for getting your periods regular is first thing you should go for. Usually a detailed check-up by a gynecologist, few routine blood counts, hormonal assay, pelvic ultrasound are done to pinpoint the cause. Treatment depending on causative factor responds ell to treatment. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I feel weak when I wake up in the morning and experience low temperature- around 97 degree F.I get pangs of hunger. I had a blood test done recently. Diabetes and Thyroid are ruled out. My haemoglobin is 11.9. Lympocytes is 44%, Neutrophil (stab) is 0% Neutrophil (segm) is 52% Platelet count 2,20,000 Total R.B.C is 4.4 milliom/cumm P.C.V is 35% I have been suffering from Cervical Spinal Stenosis for the past 3 months and was under medication of pain killers and muscle relaxants. I was advised surgery but Osteopathy treatment improved my condition.", "output": "Hi, Sometimes screening blood work for thyroid disease is not entirely accurate since most primary doctors will only check a TSH to detect an abnormal state. In your case, since it appears as if low metabolic function may be to blame for your symptoms I would recommend expanding the blood work a bit to include several other thyroid tests such as a FREE T4, Total T3 and Free T3. I might even check a random cortisol and also look at your vitamin D, B12, and folate levels due to the very mild anemia which may or may not be relevant to the rest of your symptoms. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have Addison disease . Some of the Endo doc s I have seen believe the Addison s or Addrenal failfure (last Cort test 0 AM...0 PM) was caused from the depromedral injections I get in my spine about every 90 days. I can not take Hydrodcort, dexamythesone, prednisone . My doctor and I have even tried depromedral (may be spelled incorrectly) muscles injections. I have seen 4 Endo docs all tell me the same thing. There are only these three drugs for this disease. For 5 years I have suffered from takning the drugs and may possible die without them. I have searched, asked, prayed. I truly have no life. The engery level is low a shower is almost impossible. I went from a high entergetic person, owned my own business, worked out almost every day, my life revolved around giving and helping people. Now I can t help myself. If you know another drug (which is doubtful) do you know of some kind for experimental drug. I will try anything that might help. This is not someone playing a joke to see what will happen. My story is very true. If you can help in anyway please do so, but I have already tried the herbal treatments too. Thank you for taking the time to read this. AAAAA", "output": "Hello. Thanks for writing to us. Since you already have a hormonal imbalance, it is best not to take any oral or systemic steroids. The other alternative is local steroid injections at the site of pain to reduce the inflammation with mild painkillers. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http://bit.ly/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor, Im 43 years old and I noticed that before my mentruation, I have this heck pain..if not, I experienced headache. My blood pressure awhile ago is 160/100. The last few days, the ringing of my left ear is loud than before. Sometimes, my arm is also aching. I already take paracetamol awhile ago and massage the back of the neck with ointment. What do you think., is being 43 already means I need to have doctors checkup at least twice a year?", "output": "Hello! Welcome and thank you for asking on Chat Doctor! Regarding your concern, I would explain that at your age you should start having periodically scheduled check-ups every 6 months. Your headache seems to be related to high blood pressure. You should know that it is one of the most common symptoms of high blood pressure. Regarding back and shoulder pain, it may be related to a cervical disk problem or to chronic degenerative changes to your backbone. I recommend you to closely monitor your blood pressure, different times during the day at home (in sitting position, after 15 minutes of total relax) and refer these values to your GP. It is necessary to perform a complete check-up by your GP including: a careful physical examination, a resting ECG, a chest x-ray study, a service -thoracic spine x-ray study and some blood lab tests (complete blood count, fasting glucose, kidney and liver function tests, blood electrolytes, inflammation tests, etc.). If your blood pressure is above 130/90 mm Hg most of the time (and non-episodic), you should discuss with your doctor the possibility of starting an antihypertensive therapy. Meanwhile, some modifications to your lifestyle would help reduce your blood pressure: - a balanced diet (low salt intake, avoid caffeine)- physical activity (walking, aerobics, recreational activity)- weight loss. Hope to have been helpful! Greetings!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My mom is taking Glipizide and Metformin. She is having really painful side effects which make her veins in her legs hurt so much she has trouble walking. They were not controlling her blood sugar levels either; she got to 500. I started giving her Humulin N, 15 ml day and night. This morning she finally got to 147 on her blood sugar reading. Her doctor has finally started her on Lantus 15 mg one time at night.. My mom wants to stop taking the other medications because of the terrible side effects, will she be able to do this and be able to take the Lantus alone? She is 71, weighs 185 and is 5 ft tall. Has high blood pressure and lipidemia.", "output": "Hello, Thanks for the query to Chat Doctor. Forum. Weight 185 lbs, height 5, age 71 years, diabetic, epidemic, All are sufficient to develops pain in calf muscles(leg cramps). Since, how many days, she is having diabetes, mention it. Blood pressure is high ? Lower or upper (systolic or diastolic). In my opinion oral hypoglycemic with parental hypoglycemic will act together. Consult a Planetologist and get his opinion. Hope I have answered your question. If further any question I will help. Good luck. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "we were at a campground on the coast of Maine. There are published reports of this being a problem with local wells. and a lot of people started to get sick. 4 in our party of 6, 7 in a party of 10, and a lot of singles, mostly adults. Could it have been caused by Thiobacillus bacteria? Symtoms are stomach aches, throwing up, diarrhea, sore throat, What is best treatment for us? What i best treatment for campground? thanks Joe", "output": "Hello, I understand your concern. I am Chat Doctor, infectious diseases specialist, answering your query. In my opinion you should go for culture and sensitivity testing for stool. The symptoms resemble those of thiobacillus infection, but further confirmation can be done by microscopic examination, culture and sensitivity. You can take Tab Doxycycline with Lactobacillus spores. It will help clear up residual infections. Take much of curd in diet. Do not eat irritant food so not to cause diarrhea. I will be happy to answer your further concern, you can ask me on bit.ly/ Chat Doctor. Thank you. ChatDoctorInfectious diseases specialist." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi. my blood pressure continues to fluxuate reaching as high as 168 over 100 like right now, 4 am. I have been on 3 BP meds and none of them kept m BP down below 140-150 over 90 s. The Dr. was going to prescribe beta blockers, but I choose not to continue that route. I am currently seeing a naturopath who is helping me with a natural med: carditone. I am also going to have a sleep study done next week. I have become less active as I have to have hip surgery, bone on bone in my right hip, so I cannot even walk around a block. I have intense stress at my live-in job and am not sleeping, thus the sleep study idea. My main concern is waking with these very high #s and this persisting. I mean how long can you keep having these #s?", "output": "Hello, After going through your medical query I understand your concern and would like to tell you that to undergo hip surgery you should have good control on your blood pretend I think you should take allopatry medicine till you don't get the surgery done. After recovery, you can get back to your natural antihypertensive meds. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Dr. I feel like something has been tore in the chest. I cant do any exercise due to this. finding very very difficult to work. Its affecting the quality of life. The chest physicans, thoracic surgeons, general physicians are diverting to sychiatrist. Need your help. (Ayub)", "output": "Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. We, doctors always try to find out organic cause for patients symptoms. So in your case we need to rule out cardiac and pulmonary causes for your symptoms. You already consulted various doctors and none of them find cause for your symptoms. So psychiatric illness is the last possible cause. This is the reason why they all are sending you to the psychiatrist. So better to consult psychiatrist and find out solution for your symptoms." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 12-year old has been out of school for 5 weeks... can t figure out what s wrong, Lower Abdominal pain extending into her back. CT showed wedge-shaped abnormality or her right Kidney, Doctors didn t seem worried. Had her in for an Ultrasound this morning & the tech took about 35 pics of that Kidney & her Gall Bladder. While taking pics of her Gall Bladder she typed in CMD, what does that mean? Also, any thought or suggestions? She is in the most pain in the morning & night... Thanks!", "output": "Hello, There are a lot of different diseases called CMD. I doubt congenital myasthenia disease is involved. Cytomegalovirus is quite common in childhood, indeed most of us get this common mononucleosis, and it can cause a variety of problems and lymph node swelling is the most common sign of it. If it were a lymph node on the scan, this would explain things and there isn't much to be done. Cannot say in your case and there's a wide variety of reasons for wedged shape growths. There are probably signs of it NOT being cancer if doctors are ignoring it. The main sign of NOT cancer is it not changing or getting less when looked at 3 to 6 months later, but I cannot say in this particular case. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "years ago i was told i had very small urethra an anal tubes they were wanting to put tubes in them another one of my doctors said do not do it now today i have found that in the last 3 yrs my creatine levels have slowly gone up i am 48yrs old my doctor is concerned about my kidneys could the small urethra tube have anything to do with this", "output": "Hithanks for posting in ChatDoctorI have understood your concern small urethra leads to incomplete urination, that leads to collection of urine in bladder, there by back pressure on kidneys, HY Chat Doctor. I can suggest you1.serum creatinine2.urine routine and culture3.USG PUB - pre- and post-void, if it shows significant post void urine volume in the bladder, you need to be scented(tube placement).hope this helps you any further questions please let me know thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am a 21 year old female. i have multiple lumps in my breast, armpit and viginal area, along with vomiting and rapid weight loss ( 10 lb in the last 48 hrs). i have been shaking and feel dizzy along with trouble focusing my eyes on things.", "output": "Welcome to Chat Doctor. 1. Multiple lumps along the breast in a 21 years female can be inflammatory cause along with the lymph nodal enlargement in the armpit / axillary region.2. The lumpiness could be glandular pattern what you feel.3. But inguinal / vaginal area lumps are also possibly lymph nodal enlargement. 4. Only suspicion is of weight loss, in this case the possible cause could be systemic disease causing all the above symptoms.5. Suggest to get an ultrasound breast to assess the lumps if they are there - the nature of lumps, its source and extensions. An FNAC - of nodes to evaluate the nature of cells involving.6. An abdomen pelvis ultrasound to evaluate any internal organs causing the above symptoms.7. Please seek medical help and evaluate as soon as possible. Good luck. Hope I have answered your query.Anything to ask do not hesitatehttp://doctor. ChatDoctor .com/doctors/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Age: 22, Weight: 127 Height: 5 8.5 history: MTHFR genetic defect, asthma family history: grandparents with breast cancer and prostate cancer , dad: high blood pressure. I have always had an irregular period, and cannot use hormones for birth control. Because I am getting married in two weeks, I got a copper IUD inserted two weeks ago, and I am bleeding like crazy. The heavy bleeding started two days ago. I put in a super tampon, and within an hour I had bled through my pants and I am passing larger than quarter sized blood clots, sometimes two at a time. I am afraid that I might be losing too much blood. I am also bloated and cramping, but I know these are regular symptoms. I don t want to have to take out the IUD and find another method of birth control that isn t a hormone in just two weeks because I don t want anything to go wrong with negative side effects on the honeymoon. Is there something I can do?", "output": "Hi, Thanks for the query. While being on IUD, some amount of menstrual irregularity is common. But as you are having excessive bleeding, better to consult gynecologist once. With her advice take anti - fibrinolytic Chat Doctor. Then you can go for additional hormonal pills for few days, to regularize the cycles. No need to remove IUD during this period. After stopping the pills you can continue with IUD. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, im 25 years old and a male. I was just outside shoveling snow when i noticed my legs felt a little bit weak and shaky. I was almost finished so i got done and came inside to take a shower. While in the shower i noticed my heart rate seemed a little bit fast, and my head seems a wee bit foggy. Im overweight, 6 foot 1 and 250 pounds but i am scared that this is something very serious and i should consult an ER because i do not want anything crazy to happen. Please let me know what you think.", "output": "Hi, Actually I don't think you have to be worried unless it happens constantly, or repeatedly it may happen due to stress, effort, cardiac, respiratory causes it even happens with large amounts of caffeine in tea, coffee and chocolates. If so, you have to ask your physician for ECG and don't hesitate. Please consider positive feedback if the information is helpful. Hope I have answered your query. Any further clarifications feel free to ask." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello sir i am very upset for my habit that is masterbating i cannot overcome by masterbating. i feel that my memory power is getting low n low & lack of concentration in my studies can u help me with homemade tips bcoz i m unable to buy some medicine i want to recover my whole body effected by masterbating sir pls help me", "output": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Masturbation never causes you weak in any way. It will never harm you in any way. I advise you should do it. When you do not do it you won't be able to concentrate. Once you do it your mind become free, and you can do it whatever you want to do it which includes study also. It is also a false belief that your body becomes weak. It won't affect the body in any way. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been experiancing SEVERE BUTTERFLYS AND very scary feeling for about a month I am unable to perform normal task due to the overwhelming difficulty it puts my mind to, I was unable to eat and woke up every morning with this feeling that last all day and night the Mental health put me on Prozac and wellbutrin cause I have bipolar 2 and obsessive compulsive disorder and add, but it did not take it away then a regular dr. put me on hydroxazine which only helped about 30 percent but now i went back and he put me on zanax and lexapro which since then it has helped since 2 days ago but my modivation level is not back I cannot seem to ever clean my house it is severly overwhelming to me is this some form of phobia there are many more symtoms I live with daily to long to go into but have got to figure out how to get my motivation back and become social again also since lexapro works on the dopamine in the brain and prozac works on the seratonin balance can i take some of each I have mother and brothers and grandfather with schitzophrinia and have at least 20 phobias thanks lucy", "output": "Hello and welcome to Chat Doctor. Thanks for your query. I understand that you are going through a difficult time due to your multiple psychiatric problems. The medication which you have been started on recently is a combination of an SSRI anti-depressant (Learn) and antianxiety medication (Xanax). It is important to take the medication as advised by your doctor strictly and not make your own treatment decisions. (By the way, Learn does not work on dopamine - now, this is why it is important to follow the advice of qualified specialists, rather than make such wrong assumptions and try to make your own decisions) SSRI anti-depressants like Learn may take about 2 weeks to bring about their beneficial effect and so, you will have to wait for some more time till you see significant improvement. Wish you all the best. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i had a treadmill test last week, the dr said it showed no signs of blockage but my heart was weak sounding and i have to go get another test done, ive been feeling weak and tired, im a overweight 50 year old woman, i live alone, kinda nervous, just wondering about a heart attack with no blockage, if i should be scared to stay alone", "output": "Hi, Weakening of muscles of heart could be because of lots of causes like:1) Blockage in the arteries of heart2) After viral illnesses3) Some connective tissue disorders4) Diabetes5) Chronic Kidney disease6) Cause not known (idiopathic) which is one of the most common causes it is not only blockage which can cause weak heart, there are in fact a number of causes. But we always rule out blockage in arteries of heart. In your case if you don't have blockage then you won't have a heart attack but keep taking your medicines to improve the heart function. Hope I have answered your query. Let me know if I can assist you further. Thanks, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had bronchitis in end of May 2017, it went away for a week or so and then came back, I am still suffering with shortness of breath, I have had multiple tests with my Pulmonary doctor and a cardiologist , all tests with heart and lungs were clear and strong, they both agree it is residual bronchitis and it may take some time to go away completely, do you agree.?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Yes, both doctors are right. Bronchitis may take several months for complete cure. It may be lifelong if provoking agent (dust, pollution, chemical fumes) is exposed continuously. So better to take Chat Doctor. Avoid dust and pollution, wear face mask. Do warm water gargles and steam inhalation 4-5 times a day. Don't worry, you will be alright with all these. Refrain from any form of smoking. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi! i was wondering about the cysts on my 26 year old daughter kidneys and why she has them. She was found the has some in her uterus about 1 1/2 years ago. What is causing this condition for her. She has had extreme abdominal pain and disconfort. She is undergoing numerous tests at this time but the doctors don t seem to want or be able to answer my questions. I reallly would like to have an idea of what questions to ask them. thanks", "output": "Hi, we need to do ct scan of abdomen to know whether it is a simple cyst or multiple cyst of kidney. If it is a simple cyst do not worry. If it is a multiple cyst than we have to check whether it is polycystic kidney disease this can be inherited. Investigations needed are Sr creatinine,24hr urine protein, urine routine. Ultrasound of siblings & yours. With these investigations you will get answer don't worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "have had testicle pain, focus problems, nausea . Doctor says creatine score is slightly high and had passed 1 cm stone on left ureter still after 10 months the ureter kick and spasm. did 3 rounds of antibiotics and on veggie and fruit diet, symptoms are better but will this improve more very scary and hard to live with", "output": "Hello and welcome to Chat Doctor. As a Urologist, i can understand your anxiety. Your symptoms are those of a stone causing a block to the kidney. If your symptoms are persisting, its best to repeat ultrasound scandium. That will show if a stone is present and its effect on the kidneys. If your creatinine is high, you should avoid fresh fruits and repeat creatinine. You should take anti-inflammatory tablets for pain, as advised by doctor. If you've any doubts, send the reports to me, as a direct question. Chat Doctor. Manga." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have been dealing with a tight foreskin recently...and it was working well for 2 months...then all of suden i developed an itch with my foreskin,crusty ring around it,and when i pee it burns and it goes everywhere...and my foreskin doesnt go back anmore..tight or flaccid...what can this be..how can i solve this", "output": "HelloThanks for query.based on your statement I would state that you have developed Mitosis secondary to infection of glans penis and foreskin (Ba llano Prostatitis) In majority of cases it is due to fungal infection of genitals and is common in individuals with uncontrolled diabetes . Get your blood sugar levels on empty stomach and 2 hours after lunch done to rule out diabetes Take antibiotics like Augmenting with antifungal medication like Fluconazole twice daily wit topical antifungal cream like Candid for local application.If it does not get cured with this treatment you will need to consult qualified General surgeon for clinical examination and get Circumcised. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doc. Is sex can delay period? Because until now I dont have. And i stop taking pills and were not using any contraceptives and my husband dont do withdrawal. Last month It was on 24th. Im 3days late now. Is there a possibility that Im pregnant? Should I wait for more days? What should I do doc?", "output": "Hi, If you have always had regular 28-30 day cycles even without the pills, you can suspect pregnancy now; if this is the first month after stopping pills, you may expect some menstrual irregularity as ovulation can get delayed. So, please wait for 3-4 days before you take a home pregnancy test with a fresh early morning sample of urine. If you wish for an earlier and better confirmation, you can get the serum beta-ChatDoctor levels assessed coupled with a trans-vaginal sonogram. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my wife has a chronic cough, she has been to the ER four times in the last two weeks, The next to last visit the prescribed her three different medications, Acetaminophen-codeine 300,Ventolin HFA 90 inhaler, methylpresdnisolone 4mg. She took these medications one day before I took her back to the hospital. she is now itching everywhere, swollen face and neck area, and has lost all of her mental thoughts. The doctors tell me that this is not a side effect to the medication but because she has pneumonia. she also has kidney failure, and missed treatment twice. They say it is nothing to worry about. She does not know who she is, where, when, or can hold a conversation with you.", "output": "Hello! Thank you for asking on Chat Doctor! I read carefully your question and would explain that her symptoms seem related to an allergic reaction. From the other hand kidney dysfunction coupled with pneumonia could mimic her troubles. The memory troubles could be related to a temporary dysfunction of her brain due to her clinical situation (pneumonia and low oxygen saturation, kidney failure). For this reason, I recommend bringing her to the ER for an advanced treatment of all her problems. Dialysis may be necessary for her kidney function. She may need to stay on Oxygen therapy, besides antibiotics for her pneumonia. You should discuss with her doctor on these issues. Kind regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I went to the dentist last week and now a week later there is a black dot very small like a need sized black dot it feels discomforting I keep looking at it in the mirror when I open my mouth at first I can see it then for some reason it disappears like it goes in the skin further no idea what I should do its been a week should I call my dentist or my doctor?", "output": "Hello, how often do you visit your dentist?have you got your teeth checked for decay or calculus deposits?the black dot may be either due to plaque and food debris accumulation. This will result in a heavy band of black calcific deposits called calculus. Or it can be stains too. Deep scaling and polishing will remove this. If there is dental caries, which can be felt by probing, then it should be restored using suitable filling materials .if the decay is deep, apply ducal and then glass monomer or composite resin. Always brush your teeth twice daily using soft toothbrush and dental floss. Wash your mouth after every meal. Get a check-up in every 6 months. Use chlorhexidine gluconate containing mouthwash to prevent accumulation of microorganisms. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been taking Niaspan er 1000mg for a few years. Last summer I came down with a terrible rash (redness on my face and neck) Went to dermatologist who gave me meds and it subsided (cleared.) Also went to allergist for tests and info at the same time. Now, this condition has returned with a vengeance. My face is red/swollen somewhat and burning. The skin flakes on my face and this rash has moved to include my right arm and hand. Before I go for my next doctor(s) visits: could this possibly be a reaction of taking Niaspan in such a high dose and for so long? I do take an aspirin as prescribed for the \"flushing\" but this is an unusual rash. Thank you.Pauline Witriol (age 77)", "output": "Hi, After reading your query the closest possibility of your problem appears to be \"allergic dermatitis\". This is a condition caused by bursting of allergy producing cells known as \"mast cells\" due to contact of certain allergens. As the chemical inside them is released causes the kind of rash which you mentioned. There are many factors inducing the increased number and activity of these cells. Kindly follow the suggestions below:-Apply fluticasone cream 2 times a day.-You can do cold water compresses to reduce the intensity of itching.-Do not scratch or rub the skin as it can lead to further aggravation. You can take oral anti histamine like loratadine or levocetrizine under medial advise. Despite above measures if the problem is not getting better than it is better to consult a dermatologist for best guidance. Hope these information will help." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a left side back pain, having trouble sitting straight, also having problem with eating and if I touch below my rib cage in the front and the back pain seem to be at the same point. Feeling weak and nausea, especially when eating, back pain is strong, does not go away with tylenol.What could it be assoicated to? What should I do?", "output": "Hi, Thanks for your question at ChatDoctorI understood your problem and from the ways symptoms are described there are two things that bothers you1. Back pain2. Pain below the rib cage in the front. Firstly, I think you are having gastritis which can cause nausea and also pain when you press below your rib cage in the front. Secondly, back pain on the left side can be caused by either wrong position while sleeping or sitting or could be a cause of any problem in your neck bones. To know exactly what is the reason for the back pain better show to orthopedic surgeon. For your gastritis you could take Pastoral 40 mg tab, 1 tab 1 hr before food on empty stomach and avoid taking spicy foods. Hope this answers your question" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir/mam, I m of 22 , 5 7 76kg and I suffer hair fall daily. Even I m experiencing loss of memory, like I forget things very fast. I used to forget name of places. Its take a while to recoil what I m up to or where I m. It hamper my studies. Things get hard for me to remember. I get distracted very fast and forget what I was doing before that. Sir/mam, my masterbation frequency is very high.Is it Causing due to masterbation. Will it stop once I low down the frequency , or I have some serious health issues.", "output": "Hello, Welcome to Chat Doctor You have many health issues like hair fall, symptoms of anxiety, abnormal beliefs related to masturbation. The loss of memory, distraction could be due to significant anxiety or poor concentration due to depression. I would advise you to consult a Psychiatrist for help. Antianxiety Chat Doctor. Masturbation is not related to these symptoms. It is a healthy and safe practice. No need to fear due to that, but excessive masturbation can result in loss of important time and this may hamper productivity. For hair fall start taking supplements containing biotin. Thanks, Hope this helps you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi there, i have really bad hemmroids for the past couple of years recently they have been getting worse everytime i poop it hurts and they swell up , i have blood on my poos and get very bad gas and bloating/cramps. I am currently on the waiting list for a colonoscopy but this is taking soo long , should i go back to my dotcor?", "output": "Hi, dear. I have gone through your question. I can understand your concern. You have hemorrhoids. You should take high fiber diet. Chat Doctor. Avoid spicy and oily food. You can apply lignin jelly at local part. This symptomatic treatment gives you relief. Ultimate treatment is surgery. Consult your doctor and plan accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "dr. cristy 7 dr. mcgarity from emory did a 10 year study on my having kidney stones. now a dr. put me on 50,000mm of vitamin D 3. take two twice a week. now there is something in kidneys R& L .the right is worse. Can taking these vitamins help cause me to have calicum deposit stones?", "output": "Hi, Since your doctors have studied your case in great detail before prescribing you treatment, so I will not like to comment on this without having details about test reports specially blood Vito levels, iPTH, calcium & phosphorus levels. Yes,vitD3 definitely has a potential for calcium deposition if not deficient or is in excess in the blood. You should increase daily water intake to 3.5- 4 litres.Also, can start Kit 3tsf twice daily." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 18 year old grandson, a junior college basketball player, is experiencing sharp pain starts behind his knees on both legs. His legs tingle like they are asleep. Has been going on all day, but getting worse. They lifted weights the past couple of days.... chest and back. Should he go to an ER?", "output": "Hi, Pain in both legs with numbness indicates disc pathology with nerve compression, and it may have happened due to weight lifting. Tell him to stop weight lifting. Take rest on hard bed. Tablet Regain x75 mg one at bedtime helps in relieving pain and numbness. Visit to orthopedic surgeon for detailed clinical examination is recommended. MRI of the lumbosacral spine needs to bed done. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I would like to know in laymans term what the following means: L3-L4; left lateral disc bulge causing nueral foraminal narrowing. Central disc protrusion is identified. Some of the disc material is seen to extend to the posterior superior aspect of L4.L4-L5: Central disc protrusion involving the left lateral recess. There is ligamentum flavum hypertrophy and fact hypertrophy.L5-S1: Facet hypertrophyI have been having lower back pain since October of 2009 which radiates down my right leg...on the outside of my leg. I have been seeing a chiropractor who has told me that I have some serious issues going on but it is possible to get this under control. I also have RA. I am taking anti-inflammatory meds twice a day, Methotrexate weekly and Enbrel injection weekly. But this back thing is not getting any better. I work on a computer all day so I sit for 8 hours. The pain has really changed my life...it seems to be constant now and hinders me from doing things I would enjoy. I was wondering if I should see a specialist and perhaps consider a nerve block.", "output": "HI, thanks for using Chat Doctor Between the vertebra there are discs called intervertebral discs. These discs are composed of 2 main areas, the inner aspect is called the nucleus pulposus and an outer aspect called the fibrosis which surrounds it. The disc is gel like, as person age, it loses some of its water content and small tears can occur. Your results state that there is protrusion of the disc between lumbar vertebra 3 and 4. This protruded disc (pushed out) is narrowing the neural fora min (this is a passage way for spinal nerves). There is also protrusion between L 4 and L5. The facet joints are where the vertebra meet. Facet joint hypertrophy means increased size of this area. One cause is arthritis. These changes would definitely contribute to your back pain. You should consider a specialist, physiotherapy may also help. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi My partner has thalassemia trait, and i was wondering if i am anemic or thalassemia. can i just ask my doctor or do i have to do a blood test. Because i am worried that if we get married and have a child our child may have to have a blood transfusion.", "output": "Hi, first you should go for blood test for thalassemia. Go for HE chromatography. If you are normal then there is no harm to marry a girl with thalassemia trait. But if you are also thalassemia trait then you should not marry that girl. Because if both parents are thalassemia trait then there is chance of having baby with thalassemia major and required repeated blood transfusion. So go for he chromatography and take decision accordingly. Thanks for using Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i am 28 yrs feel changes in my behaviour coze of my family problems please tell me how to overcome from the stress", "output": "Hello.welcome. Never resort to Chat Doctor. You have to tackle this stress with the positive mind. Mind it this stress is not going to be there forever but if this stress brings some physical ailment like diabetes or high BP then it is going to be there with you forever. Do two things seriously.1st start a regime of vigorous exercise and 2nd go for regular yoga. You will see the change yourself. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My six year old son has a very red penis with yellowish discharge. He saw the pediatrician two days ago and was told it was irritated from rubbing. He now has the yellow discharge and it seems to be worse not better. I dont know if they are related but he has Hodgkins lymphoma and there is a case of impetigo in his class.", "output": "Hi and thank you so much for this query. I am so sorry to hear about this problem that your son has. It could have well been caused by irritation from rubbing when you saw his pediatrician but, the information to have provided is ore concerning for a possible bacterial infection. Also, with a case of impetigo in his class and probably a weakened immune system from Hodgkin's lymphoma, it makes an infection more likely. I will suggest that you get him back to the hospital for re-evaluation. He would most likely need antibiotics local wound care and some pain medications to tackle his condition. I hope this helps, and I wish him a speedy recovery. Thanks for using our services and feel free to ask more questions if need be." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 5 yr old son was fine all morning then this afyernoon started looking really tired and fell asleep I assumed he was just tired. He woke up about 2 hrs later with a 103.4 temp complaining his forehead hurt and his legs hurt when he tries to walk. Do you think there is any major concern? I had him touch his chin to his chest and he said that there was no pain and insist no tummy aches or pains.", "output": "Hi... appreciate you for testing and making it clear that it is not meningitis (by asking the chin to be touched). I feel that this could be a viral illness and in viral fevers it is quite common to have symptoms like this. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness. Once viral fever comes it will there for 4-7 days. There is nor major concern here. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I accidentally stuck my finger with a needle I had just used to give my dog fluids this morning as I was trying to take it off the line. It did draw blood and is a small spot. Should I worry about getting anything from my dog. He is getting fluids for kidney disease.", "output": "Hi, happy to help you on your health concern on part of Chat Doctor! In the present case of needle prick injury I would say that yes, you have to take this injury as any other contaminated wound! As per your description, it is more contaminated by the specific fluid you mentioned; there must be some Chat Doctor. .but the amount is negligible therefore not to worry about that. Now you have to think of possible infection and tetanus! Therefore, take antiseptic wash, a toxic and local adhesive for 2/3 days and if this looks unhealthy to you take antibiotics also for 5 - 7 days! Take caution not to get injured again there by rubbing it! Hope you got your answer. Please feel free to write to us if any more queries. Wishing you the best health!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My niece is one month old and her doctor has prescribed colimex 5 drops 3 times a day. She is normal in the day but by evening 5 she gets very cranky and keeps on crying for 2 hrs and sometimes even 5 hrs. At times she even refuses to feed while crying. Should colimex be given to such a small baby ??", "output": "Occasionally the child ingests air along with feed. This air can distend the stomach giving rise to discomfort and the child may cry or become cranky. Proper burping and giving Climax Chat Doctor. Climax helps in expelling the excess gas and is safe to be given to a baby of this age, and you need not worry about it. If the child is active and fine, you need not worry but if the child grows lethargic, you would have to seek medical assistance without delay." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hellowe are a couple trying for one year now to get pregnant and invainmy husband has asthenoteratospermiahe had varicocelectomy done 3 months agothe count improved alittle but the motility and abnormal forms improved he is on selenium and L carnitineas for me i have be diagnosed to have an endometrioma on the left sidethe ovulation follow up revealed good ovulation the HSG was good toomy question is:is there any chance that we have a baby without IVF", "output": "Hi, Getting pregnant is possible a sperm gets to meet with the ova with fertilization. Once your husbands' sperm count and quality is good following his treatment, there is a high chance with your good ovulation and uterine tract. There still stand a chance to get pregnant. Infertility needs a strict definition, some schools say if everything is fine, you need 1 year with sexual intercourse aleatory at least 3 times per week." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a pain under my bottom right rib. It s a dull pain. It hurts worse when I push on it. I ve felt some pain there for a few weeks, but it s significantly worse today. Could this be the pancreas? If not does it sound worrisome? I hate going to the doctor, just to find it s nothing series.", "output": "Hi, Thanks for your query. The pain at the bottom center of the rib cage on the right side could be due to a renal infection or a stone if the pain does not seem to be muscular in nature. This can be ruled out after getting an ultrasound scan done. If the pain is aggravated with deep breathing or coughing then a rib injury or a muscular sprain is likely. The other causes that need to be ruled out include lung infections like pleuritic. Stopping smoking might help in reducing the symptoms do hope that you have found something helpful, and I will be glad to answer any further query. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 52 years old and type2 diabatic since12 years.At present,taking trivolib-2 tablets 3 times a day. But my average blood glucose level is found 258 mg/dl and H.P.L.C value is beyond 10% which incidates the sugar levels are in uncontrooled stage.Kindly suggest the change of tabltes and diet.", "output": "Lifestyle changes are very important to fight diabetes. Diet low in sugar and carboy Chat Doctor. Examples include berries, whole grain, proteins, etc. Avoid potatoes, rice, sweets, certain fruits like grapes and Chimu that have high sugar content. Exercise and weight control is another very important thing. If your blood sugar levels still are continuously on the higher side you may have to switch over from medicines to insulin injection like Atari insulin or human insulin. The dose of insulin injection should depend on your blood glucose levels." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hai i am chinnu can u suggest me unpregenenacy pills available in India", "output": "Hi chin nu;welcome to Chat Doctor Forum. There are many types of birth control pills ;some are high dose & some low dose. Secondly there is a proper method to be followed while taking pills & the precaution when you forget to take pills. For all these queries & suggestions please consult a Gynecologist. She will be the best person to guide you which pill in what dosage will be better for you. Take care thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i have multiple gall stone 3-5mm in size and gall bladder obstruction and bladder is distended has edematous walls plz help as i dont want to do any surgery or removal is thr any medicine which can dilute or melt the stone and pls sugest any doctor", "output": "Hi thanks for contacting Chat Doctor... As far as consulting doctor, gastroenterologist can be consulted for it... For gall stone ursodeoxycholic acid can be taken which dissolve cholesterol in bile... But here stones are multiple and lead obstruction, so chances of complications can be there..... So your gall bladder needs removal in the future... Take low far diet meanwhile.... Regular exercise useful. Take care. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, My wife was complaining of feverishness about a couple of month back, doctor said there is some infection in stomach and gave antibiotics . She recovered but similar problem reoccured after about a month and then again after a month or so. Now after taking antibiotics she is OK eccept that when pressed on the upper abdomen she feels pain. The pain is felt even in lower abdomen also when pressed slightly. We are worried that may be the problem will reoccur again. When the problem starts she doesnt feel hungry and feeld extreme weakness. What should we do??", "output": "Hello, emailtogupta, I am not sure how young your wife is. Since different conditions cause different symptoms depending on the age and sex, it shard to guess. However, based on the information you have provided, I think the doctor may be treating her for H.pylori infection that can affect the stomach and cause ulcer involving the duodenum.(Beginning portion of the small intestine). Usually, three antibiotics along with a PPI (Such as Omeprazole)are used for at least ten days to cure this bug. If this is not treated properly, the infection will come back. The other possibility is some kind of gastroenteritis or infection caused by eating some contaminated food or Chat Doctor. I think you should discuss this with her doctor and have her get some blood tests and also stool examination. There is a stool antigen test for H.pylori, if positive will indicate active infection that needs treatment. Lower abdominal pain, fever, diarrhea, can indicate Diverticulitis, inflammation of one of the pockets or pouches on the large bowel. This is more common after the age of 55-60. Hope this information helps your wife. Wish her well." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband just had Esophageal cancer stage III. T3 N1 - He underwent the esophectomy (sp). While in there they found stage IV peritoneal cancers. He has opted not to take Chemo. and would like palliative care at this point. How long will he live without undergoing further treatment?", "output": "Hello dear. Iam very sorry to know about your husband illness. He has now developed stag 4 disease because of peritoneal disease. Only definite treatment is with chemotherapy. Because he don't want to take chemotherapy, he can take palliative supportive consisting of pain relief, nutrition care, religious and spiritual support etc. Average survival in such a case is difficult to predict, but it can be anything between 2 and 6 months. Hope, I have answered your problem. Take Care. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have pain in my ribs and back on my right side. I have had this for about a week. If I take pain relief it dull the pain for a short while . Then it starts again. My right side is very tender to the touch. And I can t lay on that side without it becoming very painful.", "output": "Your symptoms suggest that you have soft tissue injury over right side of chest may be due to an unnoticed trauma. These injury takes at least 15-20 days to heal. Rest, icing, local application of non-irritant analgesic gel and anti-inflammatory analgesics such as ibuprofen will decrease pain and swelling. Deep breathing exercise will also be helpful. Hope this helps. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter is 37yo. Healthy.drinks IPA beer at times, quite a lot.tonite I thought she was choking but I realized she had a frozen macabre look on her face, unable to talk, mouth open and drooling. Her left arm was at a 90 degrees fingers drawn in and paralyzed as her face was. Lasted a few minutes. Then okay.", "output": "I read your question carefully, and I think you are wise not to underestimate this episode and write here to ask for this panels' opinion. Judging from your description the episode might well have been an epileptic seizure. The cause of the seizure must be sought after with a clinical exam followed by blood tests, head CT or MRI and EEG. Afterwards it will be proceeded according to the findings of those exams and if a cause is found receive appropriate treatment if necessary. The list of possible causes is a long one, can be related to her Chat Doctor. I hope everything will work out for the best, feel free to ask further questions." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am currently in XXXX but to get my visa i has to have a medical which included a blood test . When i got the results i noticed my neutrophil count was 87% normal range 40-70% and my lymphocyte count was only 8%. these i realise are along way outside normal range. The day of the test i did not feel well, id had a tooth extracted the week before and had been feeling a little unwell for a few days. That was 8 months ago and ive felt fine since however im still slightly worried about the results. I would like some advice.", "output": "Dear patient, Have you ever heard 110 percent in real life. Usually your normal neutrophil will be between 55 and 65 percentage The rest will be your lymphocyte plus other blood cells white. So do the math 87 plus 30 will be virtually too unrealistic right. Your current blood work shows you have bacterial infection so your blood contain 87 percentage of total number of white cells i.e. in numbers they outmatch your lymphocyte by very high margins, so it is less in just percentages, but count will be same or little less for lymphocyte.thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "mine is a problem of hair loss. i pirmed my hairs about 8-9 months ago. and now i am facing hair fall. dont know why is it happening.. i recently also shifted from india to singapore. is it change of water or wat else. i never had this type of problem before..need your expert guidance...pls help..age:22height:5,1weight:43 kgsmedical history:all fine,just migraine pain sometimes", "output": "Hello, Thank you for posting on Chat Doctor. I appreciate your concern regarding hair fall. Hair fall is usually ascribed to multiple factors like diet and nutrition, hormones, stress, acute or chronic medical conditions, Chat Doctor. Since you have not mentioned relevant history and description like pattern of hair loss(patchy/diffuse), family history etc., It's difficult to put a definitive diagnosis. Still, it seems you are suffering from either An" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband is suffering with liver cirrhosis with moderate ascites.At the same time he has creatinine level at 3.5 and urea at 62.He vomits frequently and has been too weak to walk.Hb level is 6.75 Will you please let me know cure about possibility ??", "output": "Howell come to ChatDoctorI really appreciate your concern, looking to the history given here, underlying cause of the cirrhosis is important here, because this could be due to viral infection, or could be due to alcoholic cirrhosis, here serum creatinine is high and this need to be taken in consideration, (Renal function might be affecting) such case of curse need intensive medical care, some time may need some surgical minor procedures, better to have words with medical team, hope this information helps, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "an operation was done by a gynecologist on 20.06.2010 i.e. Hysterectomy. Soon after the operation the problem of cough was started and still she is unable to recover from this problem after so many treatment in Silchar, ASSAM. She is my mother of 42 years age. So. for that what should we do? Please suggest us. 1) problem is cough 2) Dr. Samuel.N.Grief.", "output": "HelloThanks for posting here. I have gone through your description. Since she had an abdominal surgery, sometimes, the lung bases tend to collapse after surgery. This is called post-operative atelectasis. This may lead to cough. Treatment for atelectasis is breathing exercises and incentive spirometry which requires you to blow in and out on a spirometer for 3-4 times a day for 10\u00a0mins duration. Other infective causes of cough should also be ruled out. Please get a chest X-ray done to see if there is any pneumonia patch. If despite these symptoms persist, a HRCT chest should be done, which will definitely give an answer to her issues. Wishing her good healthRegards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 9 year old daughter has a consistent low wbc (3.4), GR (33.6), GR# (1.1), MPV (7.4), MCH (32.6), and LY (62.1). She bruises easily, and scars tend to heal slowly.Can you please tell me what this could be? She is 54 inches tall and weighs approx 64 lbs. She also has had a significant amount of hair loss over the past year.", "output": "Hi I have gone through the detail. Low total leukocyte count with relative lymphocytes can be there in viral infection. But you have mentioned that it is consistent.Also, there is history of delayed healing of would. So I would like to get an immune profile done to rule out the possibility of immunodeficiency. The height and weight of child is appropriate for age which is against immunodeficiency. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a smoker, smoke arround 4-5 sigarets a day, not a hard smokerThe last few days i get a burn sensation in my lungs when smokingMy history, smoking arrouns 6 year now, my mother has lung issues as well, can this be serious, as i think it is ???", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Yes, this can cause serious lung disease like COPD (chronic obstructive Pulmonary disease) or lung cancer. Burning sensation is lungs is suggestive of inflammation. And cigarette smoke is the most common factor for this. If you continue smoking, this will definitely injure your lungs and can cause COPD or lung cancer in the future. So better to quit smoking as soon as possible because this not good habit. Also consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test) to detect any decrement in lung functions. So quit smoking immediately, this will help you a lot. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My aunt rescues cats and at a time has a minimum of 100 cats in her basement, well my uncle has been extremely ill for about a year now. He, however, has always been overweight and a smoker. He has been to doctor after doctor and no one can tell him what is wrong, but he also leaves out the fact that he lives with so many cats. Since he was first hospitalized for difficulty breathing I have said he needs to move out of that house and I bet a million dollars he would start to feel better. He now has water around his heart, he cannot get his blood sugar under control, and they have diagnosed him with COPD. I know breathing in cat urine is harmful especially in such high concentrations cause of the amonia within it, but what are some other possible diseases from cats, their urine and feces, and the kitty litter? Maybe with some facts that the cats could be making him ill he will actually speak to the doctor about it.", "output": "Thanks for asking your question I completely understand your problem COPD is a common disease nowadays due to increase in smoking habit first u need to quit smoking according to the stage of disease inhaled Chat Doctor. U need to visit a pulmonologist who can guide you was and when to start. About diseases caused by cats, actually cats dander can cause some type of interstitial lung disease which can also be diagnosed by spirometry, still the best option ll be consulting a pulmonologist who can request for a ct scan to accurately diagnose IDs don't panic all these diseases are treatable thanks/ regards feel free to ask more questions may god bless your family with good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Just a few days ago i had my gallbladder removed and during surgery my surgeon diagnosed me with fitz hugh curtis sydrome. He removed the adhesions during my surgery and told me that i had nothing to worry about. I read further and seen that it could cause infertility. I have never been pregnant and now i am thinking this may be why. Is it possible for me still to have a child??", "output": "Hi, Fitz Hugh Curtis syn Chat Doctor. Chlamydia can affect fallopian tubes and if you have evidence of infection/adhesion on surgery, you need to confirm the patency of the tubes. This can be done by HSG (hysterosallphingo graph) or laparoscopically by dye, the added advantage of laparoscopy is adhesiolysis and if the tubes are blocked cannulation can be attempted simultaneously. But if blockage of both tubes is identified then IVF could be a better option Hope this helps. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had 2 lower back surgeries, the first was a laminectomy in 1987, the second was a fusion of l/4-5 in 2002. I never really recovered from the 2nd one. I have an 8 in scar with a plate, 4 screws, 2 rods and a cage packed with bone. I am 51 yrs old. I have had progressive weakness in my legs and back ever since. I recently developed numbness in the saddle area. I had ab showing a slight bulge a c3-4 a herniation at l3-4 and another at l5-s1. they said their isn t anything showing that would cause the saddle numbness. What should I do next? I know this isn t normal and I shouldn t have to live this way.", "output": "Hello Thank you for trusting Chat Doctor common reason for saddle paresthesia to occur is group compression of the lumbar and sacral nerve roots in the lower back, due to some structural abnormality, such as a herniated disc, osteoarthritic process, vertebral slippage condition, atypical spinal curvature or congenitally-narrowed central vertebral canal space. Similar symptoms result in other possible causerie spinal canal stenosis in neck and thoracic region, psychogenic ischemia of nerve roots in lumbar region. Sometimes local nerve compression by tumors, and cysts cause these symptoms. Saddle numbness is non neglectable symptom once again consult your doctor. Till that time take tab. Pregame m twice a day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband s penis burns during and after intercourse. He claims he can feel my ID on the tip of his penis and it s sharp. We use KY jelly and other lubricants sometimes, but it seems to happen 9 out of 10 times wether we use anything or not. I also seem to have a bad oder when I get aroused and become wet. He also claims that I have a bad taste sometimes when he s performing oral sex on me. After intercourse, he has to take a shower to wash off my fluids because they continue to burn him. This has been happening on and off for the past several years. He is 47 and I m 43.", "output": "HelloThanks for query. Burning of penis during sex and after intercourse that your husband is getting is mostly due to infection transmitted from you during intercourse . It is most likely that you have vaginal infection (Vaginitis). Please consult qualified Gynecologist for clinical and vaginal examination and get following basic tests done to confirm the diagnosis 1) Swab test and culture of vaginal discharge or fluid from vagina. Both of you need to take appropriate antibiotic as per culture report for a week or two . Ensure you clean up your vagina with Betadine vaginal solution twice daily. Ensure to avoid sexual encounters till it heals up completely. Chat Doctor. ." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have lipomass spreading in my arms legs and belly. At night if my arms are pressed under the head or my chest the whole arm gets numb and I cannot sleep. Also, my shortest fingers of both hand feel numb all the time because of these lipomass. I am really worried.", "output": "Hi, Thanks for writing in. It is important to know if you are having multiple lipomas or neurofibromas. Lipomas are pure fat containing tumors and are soft to touch. On clinical examination they slip under the skin. Neurofibromas are nerve related tumors and appear at many placers all over the body. Since they are related to nerves, these tumors can get painful. It will help to do ultrasound scan on the swellings which have now become painful and to know their nature. Please consult a surgeon and get clinically examined to make diagnosis. A needle testing called FNAC might be required to study the cells in the swelling. Some neurofibromas trap the nerves and then this causes pain. Severe pain requires the neurofibroma to be removed and the pressure over the nerve released by doing a surgery. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am female 70 years of age. I have no children . I started menopause at 56. I weigh 100 kgs and althought I try to lose weight I have a lot of fat around my waist. My question is after I eat even a small meal I feel bloated, I have leg pains in my upper thighs (a burning sensation) I was wondering if there is a chance I have ovarian cancer. What would my doctor do to diagnose this problem. (ie an internal examination)", "output": "Hi, dairy have gone through your question. I can understand your concern. Symptoms of ovarian cancer are abdominal pain and mass. You may have some other problem, but you should go for ultrasound abdomen once. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have red bumps all over my legs and hip area... Basically from the waist down and it started with just a few around my knees and has spread over the past four days. I had my bed/room checked for bugs and the pest control said there was nothing here. I also have a three month old baby who sleeps right next to my bed in a bassinet and he has nothing on him at all. I haven t changed my soap or detergent or done anything different in the time since the bumps have appeared. They are different sizes, they itch only when they first appear and then again only if I scratch or touch them. It seems similar to a chigger bite but why would I be getting those at night inside my own home while I m sleeping? The bumps are raised, red and vary in size.", "output": "HiT hanks for posting on ChatDoctorThe symptoms you describe sound like a skin infection of bacteria origin. Fungal skin infections are also possible. Other causes of such symptoms like local skin irritation are less likely given the evolution. I will suggest you try the following:-Take an anti-histamine like loratadine-A steroidal anti-inflammatory like Dexamethasone-Bath with an antiseptic soap or solution like Calif the symptoms persist, you see the Doctor for evaluation. I will also recommend good hygiene and advise your separate your things from the babies as most of these skin problems may be contagious. Always iron the babies Chat Doctor. Hope my answer will help you Best reads" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 7month old son is not using his right hand he moves it around and sometimes opens it but he won t grab anything with it and mostly keeps it shut. However I also was told by my family doctor that my sin also has a lazy right eye. He says it s common in babies and can be fixed. I m am now worried that they are both related and want some advice on what might be wrong or how serious it is.", "output": "Good afternoon.!! Lazy eye is common in babies up to one year of age. So you can wait and watch. Not usage of only right hand in a 7-month child raises a suspicion of paresis or weakness of that limb due to some problem in the brain sometimes. Stimulate your baby by using bright colored objects. So if persisting, it's better to visit pediatric ophthalmologist and a pediatric neurologist for further evaluation and management. Thank you, have a nice day.!!!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "im 14 and i havent been able to take deep breaths or breath right for a while now. I have no alergies. When i do breath i feel like my lungs are constricted, my dad is a smoker and when i go to his house i kinda feel it getting worse but when i come back from being there i feel like i can breath a little better. I blamed it on the winter weather but now its getting into spring and still cant breath! I have to work and try alot to take that big deep breath we always take sometimes, i also cough alot and im not sick. Though i did have strep a month back. Whats wrong with me, im very worried about what might be wrong because my parents med insurence is fighting about who should take care of my older sister and me and when i brought up i could breath right to my mom she didnt say anything. I finally asked my great aunt to take me to the doctor but i dont know when she will or if she will.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. You are exposed to secondary hand smoke via your father. So we should first rule out asthma and bronchitis in your case. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).PFT will not only diagnose disease, but it will also tell you about severity of the disease and treatment is based on severity only. You may need inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).Don't worry, you will be alright. First diagnose and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband and I have been trying to conceive since Sept 2012. My past period started on 1/2/13. We had sex once a day from 1/8-1/16. On 1/17 I had severe cramping-which I don t recall ever experienced in the middle of my cycle (only during my period). Then today (21st) I noticed a puddle of slightly white/clear discharge on my underwear. I thought maybe this discharge was a sign that I am currently ovulating...took ovulation predictor test-came back negative. What do you think this discharge is?", "output": "HelloThanks for writing to us with your health concern. See, the ovulation predictor kit is not always 100 % reliable. Also, the discharge increases AFTER ovulation. It is at its peak just before your period is due. That could be one reason you got a negative test. You had ALREADY ovulated. However, you are still in the clear since you were sexually active during the requisite time. Being sexually active well past your expected ovulatory dates will also increase chances of pregnancy. Another possibility is conditions like POD which are keeping you from normal ovulationTake care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i m 13 and everytime i stand my left knee pops and its sore all the time and is embarrising please help, i m 5 7 or 5 8 and 160 pounds and i ve had two hip surgerys about a year ago....because i had a s.c.f.e slipped capitol femoral eppyfisis because i fell directly on my knee cap", "output": "Hello, As this sounds to me the weakness of the muscles of the hip and the knee. Usually, due to the weakness of the muscles, the joints become little unstable leading to popping sounds etc. Doing simple static exercises for the hip and thigh muscles will help have recovery from the same. Exercise includes - static gluteus, static adductors, static abductors, static qua Chat Doctor. Will provide benefit. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i am having problem getting a eraction i didnt have this problem just start a few weeks ago i have taken vigra herbal tablet but i get a rock hard eraction and i was planning to have babys with my wife if i take the tablets can my wife still get pregnant", "output": "Dear, We understand your concerns went through your details. First you should be able to justify why you are having Viagra tablets. Is it due to your erection problems and are you taking those tablets with prescription. To maintain erection, usually, you don't need Viagra tablets before the age of 50. Yes. Your wife can still conceive even if you use Viagra as an erection booster. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query. Further clarifications are welcome. Good luck. Happy New Year. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I too am begining to show orange blood whenever I have a scratch or have a pro-time finger stick. I am 71 and this has never happened before. What could be the causes? Anemia?? Leukemia? I have what is called \"thrombophilia\" and I have taken coumadin for 47 years after suffering a massive thrombophlebitis in my leg after 2 months of birth control pills. This was in 1964. It went into a Pulmanary Emboli, but I survived. Now what??", "output": "Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Orange blood is due to mixing of Red blood cells with excessive amount of serum/plasma.2. No, it is not either anemia or leukemia.3. Thrombophilia is increased incidence of clot formation. When it is more, it will increase incidence of clot. Due to your previous risk of having a clot formation, you need to be on Coumadin to avoid future risk. 4. If doubtful, you can get a hologram and peripheral smear to evaluate for anemia or leukemia. Hope it helps. Any further queries, happy to help again." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "God bless,im 41 hispanic female w a heart disease ,i also suffer depression ,and ulcers,when servir classic migrains my question is i been having bloating of corse w my menstrual ,but now as if im 4,5 months pregnant,everythng i eat everythng gves me a stomachach ach w goosbumps or chills now i hve diaharea, WHAT CAN I DO AND WHY,I ALSO FIND MYSELF PURGEN 5-6 TIMES A DAY I THNK I WEIGH 145 BUT I SEE MY SELF LIKE 200LBS....SOMETIMES I GET REALY DIZZY AS WHN I WLK THE FLOOR MOVES ....HELP! god bless thnk u", "output": "Welcome to Chat Doctor .1. If its just Vomiting and loose stools are general seen on and off in case of pregnancy, which will goes by time (less than 5 days)2. There are many underlying causes you are mentioning.3. Keeping mind your pregnancy I would recommend seeing your treating doctor first to confirm the fetal wellbeing, after that other symptoms can be taken care.4. About your weight, if you are concern, you can workup on it after the pregnancy, mean wile avoid thinking of your weight and the feelings. Anything to ask ? Do not hesitate. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor, I am 18 years old and a sportif kind of person. From the last 4 years, I ve experienced several eating problems. If I don t eat every 4 hours I would feel extremely weak, mood changes, no energy and would pass out after a period of time. My eyes and mouth started also to get dry recently this year. This is affecting a lot my lifestyle and I can t carry this way anymore. The food I eat is healthy. I have made several tests and everything appeared very positive. Except that I have the Gilbert syndrom causing jaundice . No doctor been able to figure the true cause of the problem. I hope you can help me! Thank you for your time.", "output": "Hi I would like to investigate your for pathology of pancreas. Our pancreas contains beta cells which are responsible for secretion of insulin. Work of insulin hormone is to lower the level of glucose in blood. Tests suggested is Ultra sound abdomen to rule out pathology of pancreas or islet cell tumor. Or anything which is causing hypersecretion of insulin. Most likely i don't feel it's related to Gilbert. Next time when you have the symptoms just check your blood sugar level by home kit machine. In case you don't have it at home take one glass of glucose water immediately and see if symptoms settles down or not, Investigations are required to rule out pancreatic pathology." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Doctor, My two daughters aged 6(they are triplets0 are having fever since last 3 days. The temp noted last time was 99.0 Deg F. Fever only noticed only evening & night. They have difficult to swallow & red tongue with sort of small boils. I consulted Dr. yesterday and he told to take just paracetamol250 as it could be a viral one. Morning they are active, though with difficulty they are taking food also. Do I need to take a second opinion?", "output": "Thanks for your query, I have gone through your query. The fever and the boils over the tongue can be secondary to viral infection like herpetic gingivostomatitis. Nothing to be panic, it is self limiting condition. For the fever you can take paracetamol and for the pain in the tongue you can take topical analgesic like choline salicylate. Do saline gargling. I hope I have answered your query, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 25 year old female. I recently got done with chemotherapy and radiation treatments for hodgkins lymphoma located in my neck. I have what appears to be a blood blister in between my inner thigh and groin. Ever since cancer, I am now on the very cautious side of everything. What could it be?", "output": "Hi, dear. I have gone through your question. I can understand your concern. You may have low platelet count which leads to blister. Or some other cause. You should go for complete blood count and coagulation profile. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 9 yr old son has what appears to be a oral gum tag on his upper left molars. His incisor is growing in and inbetween the incisor and molar, theres a small round piece of his gum getting caught between the two teeth, it is defiananlty attached to the gum and the same color as the gum. There is not much space in his mouth. Is there anything I can do at home to treat this?", "output": "Hello, The gum tissue can go through changes as teeth erupt. Keep up good oral hygiene. Flossing is very important to clean the tissue in between teeth. Gentle, stimulating brushing on the gum can increase blood flow to reduce inflammation. Vigorous rinsing with warm salt water is also recommended. The tissue may shrink and become firmer between the teeth. Be sure to use a soft or extra soft toothbrush. The teeth are moving, and your jaw continues to grow. This may resolve on its own. If you notice any changes to the tissue, or it increases in size, be sure to contact your dentist for an evaluation and rule out infection. Crowding has an effect on the tissue. You may wish to consult an orthodontist to increase spacing between the teeth. This would require braces. Occasionally, part of a baby tooth root gets caught under the gum and can cause an irritation. Some excess gum tissue can also raise concerns of a systemic disease or be an effect of a medication. If the situation does not improve, schedule a dental exam with your dentist. Your dentist can reshape or remove excess tissue if necessary. I hope you find my recommendations useful, and thank you for your inquiry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir i have a problem with my stomach and its going on for about 3 years it happens suddenly after two or three months that i suddenly start feeling vomiting for three or four days and doctord dignose it as a very low billirubin attack as low as 1.3 percent but iam having jaundice every two months what should i do?", "output": "Hi.noted history of jaundice associated with gastrointestinal disturbances. It is best if you consult with a doctor, preferably a gastroenterologist or a general surgeon, for physical examination and clinical evaluation. Hepato-pancreaticobiliary pathologic concerns (gallstone disease, pancreatic tumors, malignancy, etc.) must be ruled-in/out. Diagnostics, such as ultrasound, CT-scan, blood examinations, and management (medical and/or surgical if indications are found) will be directed accordingly. Hope this helps. Good day!!~ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i thought i had a cold originally but what i have started when i was at my parents house where everyone was smoking with the house locked up. I am a non smoker and have asthma. Since i was there i have had alot of flem in my throat coughing continuesly to the point where i haven eaten in three days because the coughing makes me spew everything up. I was feeling very cold to the point where i had three layers of clothes on but my temp was 38.69. how do i get rid of wat i have? it has been over a week now and nothing is working.", "output": "Hello, Thank you for asking at Chat Doctor. I went through your history and would like to suggest you as follows:1. I usually treat such my patients with levocetirizine, montelukast and regular albuterol inhaler for at least 5-7 days.2. As you have asthma, I would like to know whether you need to take any inhaler regularly. If so, please continue to take them.3. Daily steam inhalation and warm saline gargles twice a day will also help you a lot.4. Please avoid exposure to cold air, dusts and smokes as much as possible.5. Please take rest and have plenty of fluids, especially warm fluids to maintain HY Chat Doctor. This will also help you in early recovery. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you the best of the health ahead. Thank you & Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "doctors i am 42 years old lady my name is mary thomas. since 1 year i am having pain in my joints, since 2 weeks the pain has increased now i am having pain in my finger joints also. i am not able to walk more. the pain is increasing in my lower limbs and also in my fingers. i want to fix the appointment with dr padhmanabha shenoy of amrutha hospital", "output": "Hello, It looks that you may be suffering from polyarthralgia. There are various reason for this:-Rheumatoid arthritis-Anemia-Hypothyroidism-Gout-Osteoarthritis-FibromyalgiaLooking at your details I shall advise you to have blood examination including CBC, ESR, RA factor, thyroid function test, Serum uric acid etc. Till then, you may have an anti-inflammatory analgesic like indomethacin or diclofenac on prescription. Take care. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi i have a question; i dont think i have a cold i think i have a allergy cold? You see i have been home all week from snow days and one night i ate a lemon, so when i woke up after that my throat hurt really bad like scratchy bad and its been 4 days my throat hurts way less but still hurts ! I went to school and had watery eyes could it be allergies with dust? Also when i got home the mucus started to taste bad ! Now its making me cough! Also im itchy! Like on my arms and legs? And that day i went to school when i got there it made me have a runny nose cause when i got home it stopped so is that dust? And is it a cold allergy cold or the lemon! Need help argh! And what should i do about it li,e cough drops of what? I need help!", "output": "Hello dear... The symptoms suggest that you might be having Allergic rhinitis. Management include:1. Antihistamine preparations like Fexofenadine to provide symptomatic relief.2. Antimissile preparations to take care of the cough.3. Gargle with warm salt water to relieve throat pain. Montelukast preparations may be used as a maintenance therapy to relieve symptoms of seasonal allergies. If symptoms still persist...it will be better to consult an ENT specialist. Also make sure that you are well protected from cold, dust & other allergens. Wishing you a good health. Thanks & take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My grandma is 77 yrs. old she has cancer all over. She weighs 76lbs. she has no appetite. The radiologist said her liver looks like swiss cheese. She is just skin and bones. Her short term memory is gone. Approx. how long can she live before her body gives out?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. You have not mentioned the primary site for cancer. But as you said that cancer has spread to all organs, she is having stage 4 cancer. It is terminal stage cancer. Memory loss suggest brain involvement. This carries even worse prognosis. In my opinion, her life expectancy is less than 6 months. Hope I have solved your query. Wishing good health to your grandmother. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello I have different problems first of all Obesity, and pain in my lower back and lags, bad stomach, general weakness, feeling tired every time, when im trying to do work which i studied and know very well i am feeling that my brain is stuck and i didn t know any thing, feeling sleepy a lot of time", "output": "Dear-thanks for using our service and I understand your concern. First, obesity can explain most of the symptoms. Back pain is probably from the weight, it can be herniated disc or spinal stenosis. However, you should have a thyroid checked, because that causes overweight and fatigue. You are too worried and anxious, that is why is hard to concentrate. But again, thyroid checkup is very important and can be the reason for sleepiness. I hope that my advice has been helpful Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am 48 yrs female 75kg.Hav 2 children 16 yrs and 15 yrs.Had problem with my 1st baby- I had blood transfusion-doctors almost lost me.2nd delivery no problem. I have fat accumulation at bottom of my left buttock-cant sit for long.Took 4 yrs to have it noticed-since has slow growth.No problems at the moment but doctor says need surgery as it may affect my renal area.What is the cause of this? and will it affect me if I get pregnant again before I get it removed?", "output": "Hello and welcome to Chat Doctor, Ultrasound of the left buttock is required to know the type of lesion and its extent to surrounding structures. A growth in the left buttock region can involve the surrounding structures and thus have deleterious effect on surrounding structures. A fine needle aspiration cytology and/ or biopsy of the lesion may be required to know exact nature of the lesion. If the lesion turns out to be neoplastic, surgical excision of the mass may be done. Thanks and take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My brain scan says this: There is patchy abnormal signal within the deep and subcortical white matter of both cerebral hemispheres especially within both frontal lobes in the anterior watershed distribution. The appearances are in keeping with chronic small vessel disease. the abnormal white matter lesions do not have the morphology of inflammatory lesions. Mild generalised cerebral and cerebellar volume loss with sulcal prominence at the vertex of both cerebral hemispheres. What does this mean please.", "output": "Hi, Thank you for posting your query. I have noted your MRI brain findings. First, I would like to reassure you that these findings do not represent any serious brain disease. I need to know your age and clinical symptoms to explain to you the significance of your MRI findings. Chronic small vessel disease suggests lack of blood supply to certain parts of brain. The underlying risk factors could be high blood pressure, sugar or cholesterol. Volume loss refers decrease in size of brain. Both these findings are common in older people and tend to worsen with age. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, Chat Doctor. Ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husbands heart rate is 145 with a blood pressure of 120/102 he is an avid runner and has a heart murmur-- he is in excellent shape 6 3 180 lbs--- he thinks he can run today to get his heart rate back in rythym -- I don t think it is a good idea... any advice", "output": "Hello! Welcome to Ask a Doctor service! I understand your concern and would explain that his symptoms could be related to a metabolic disorder or cardiac arrhythmia. Besides, his diastolic blood pressure values are high, which indicates arterial hypertension, even though his systolic blood pressure values are within the normal ranges. For this reason, I would recommend performing some tests: - a resting ECG and cardiac ultrasound-thyroid hormone levels for thyroid gland dysfunction- blood electrolytes for possible imbalance-kidney and liver function tests. An ambulatory 24-48 hours ECG monitoring may be needed in order to investigate for possible cardiac arrhythmia. In the meantime, I would recommend avoiding straining physical activity with this heart rate and blood pressure value. Hope to have been helpful! Kind regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hallo sir,i am jatin sejpal a major thalassemic from pune on regular blood tranfusion and iron chelation thearpy.my age is 35 years male and unmarraiged.my father has diabetic for last 15 years,I am on cap. kelfer 500 mg taking 4- 3-3 .my hba1c is 8.4.my Bsl fasting is 104 and my Bsl pp is 143.i am presently is on tab.voligbose 0.2 BD.FROM LAST 1 MONTH.pls tell me is this a right medicine.thanks", "output": "Hello, since you have thalassemia there is a strong suspicion that your pancreas has been damaged by chronic iron overload. The cheating therapy surely helps but not always (and not completely). If this is your case, then Foliose might help with postprandial blood glucose but it won't target the source of your problems which is (presumably) insulin deficiency due to pancreatic destruction. If insulin is really missing you should take it regardless of the blood glucose levels to prevent serious complications like ketoacidosis. Foliose is usually given to type 2 patients who have an almost adequate insulin production. Your doctor is the right person to investigate (by evaluating your history and laboratory tests) whether your diabetes is type 1 or type 2 and modify your treatment accordingly. I hope I've helped!I'll be glad to ask any further questions you may have. You can contact me again if you'd like! Kind Regards!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am having severe abdominal pain into left side. And in my lower left back. So bad that sometimes Im doubled over. Sometimes in comes in like spasms and feels like someone just poked a knife in me. What is it? I had a cystoscopy done on Tuesday, would that have any affect on me?", "output": "Hello! Thank you for the query. Abdominal pain (lower left or right) and back pain can be caused by urinary tract infection. Such infection can appear after a cystoscopy. You may also have frequent urinating, burning while urinating or blood in urine with an infection. Lower left abdominal pain can be also caused by diverticulitis of the large intestine. This condition is caused by constipation. Other reasons like ovarian cyst or even pregnancy should be also considered. I suggest you to visit your doctor and start with urinalysis and abdominal ultrasound. Hope this will help. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have excess mucus draining down into my throat. It is very thick while sticky stuff that I have to wipe out of my mouth. I have had sinus surgery; been check for allergies; use netty pot; use nasal sprays; had my house checked for mold and nothing seems to help. It is really bad and I have fought this for three years and have had no help. I have taken several sinus medicines.", "output": "Sinusies are always affected by allergy even if you get operated they flare again because you have not treated allergies if you want to cure you consult with allergeologist who will be able to fine allergy and that by desensitization therapy till you get treatment you can use Allegra 120 mg morning and spy portion 1/2 SF night with warm water apply Aureomycin h eye ointment in nose band seawater Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I have been coughing profusely since 3 months. I am asthmatic since birth n take meds for anxiety n thyroid too. I take budamate 400 transcaps inhaler twice daily. Where i live, its v humid n rainy now. (mumbai city in India). I have been having LOT of coughing (some cold n breahtlessness) since a month constantly. Took meds like montek 10, milixim n syrups.. but didnt help. yest doc put me on singulair, antacid, wysolone, inhaler n nasal spray. Will my coughing ever stop? (i get sputum mostly wen i cough n i cough too profusely)", "output": "Hello. Thank you for asking at Chat Doctor. I went through your history and would like to make following suggestions to you:1. Were I treating you, first I would like to review your technique of using inhaler. If it is not perfect, there is possibility that enough Chat Doctor. 2. I would suggest you tests like chest X-ray, spirometry with post-bronchodilator reversibility and allergy testing. These tests will help confirm the diagnosis. As you are already taking right medications for asthma and still not better, I would like to confirm the cause of cough. Depending upon reports of allergy testing, an allergist-immunologist may prescribe you allergen specific immunotherapy which works on your immune system and will help allergy symptoms gradually.3. I would like to know whether you smoke, if yes, please stop smoking. Please make sure that you are not exposed to second-hand smoke at home/office also.4. I would like to know whether you have any symptoms of sinusitis - nasal congestion, headache, facial heaviness, etc. In that case, cough can be due to sinusitis and an otorhinolaryngologist consultation will be helpful to you. He will examine your nasal cavity from inside and may identify the cause.5. In general, please avoid exposure to dusts, smokes and air pollution.6. Regular breathing exercises (like Panama & Yoga) and a healthy diet rich in vitamins & minerals (adequate amounts of green leafy vegetables, fruits, sprouts, etc.) will also improve your lung capacity and immunity respectively and will help you in a long run. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you the best of the health. Thank you & Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My Aunt diagnosed as having 8.11 TSH, was prescribed 100 mg dose for 5 long years. She has now developed severe swelling all over her body, could this be side effects of overdose of medicine? I also had same value of TSH and got treated by our simple home remedy - Haldi.", "output": "Hello, hyperthyroidism (too much thyroxine) does not usually cause swelling. It causes a fast heart rate, sweating, irritability, weight loss, increased appetite, etc. Her TSH was not so extreme to justify any symptoms at all. Checking the TSH and free T4 again would help to clarify this issue. Swelling is a serious disorder that requires investigation. She has to visit her primary care physician for the necessary work-up. Your case is probably different from hers. I can't comment on it without knowing the facts. I hope I've answered your question. Please let me know if you need further assistance. Kind Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "ascending aorta, I was diagnosed with enlarged aorta. its dilated at 4cm. should I consider surgery now or wait to see if it gets bigger in 6 months time! Thank you I am a 51 year old man, with high blood pressure, controlled. three months ago, I underwent back surgery.", "output": "Hello, Thanks for writing to Chat Doctor, I am Chat Doctor. Dilation of aorta is irreversible, and it can only be treated by surgery. A vascular surgeon considers many merits and de merits while deciding for surgery, he looks at patients age, co forbids, dilation of aorta, prognosis, facilities available and local practices, so by just knowing the measurement if dilation it can not be safely advised, when exactly should you get the surgery. I would suggest you to follow what your doctor suggests you to do, yes you always have option to take second opinion but always get it after meeting the doctor in person with all your records, only after a complete examination a doctor can correctly evaluate you for surgery. In general At 4\u00a0cm we can ask a patient to wait but if symptoms are getting worse, dilation is getting worse, patient ha other co morbid which might make his condition worse, we ask for surgery sooner. I hope this answered your question, If you have more queries I am happy to answer you. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 8 yr old son had a high fever for 4 days along with a sore throat, swollen lymph nodes and tonsils. He was seen at a Minute Clinic and was treated with Amoxil for a strep although the rapid test was negative. He has been fever free today so far but has a severe headache and leg pain. Where do we go from here?", "output": "Thanks for asking I have gone through your question, and understand your concern, your 8-year-old son have fever for 4 days, and he is free from fever today, sore throat., swollen lymph nodes and tonsils. He is having severe headache and leg pain today. He was treated with Mobil. His rapid test was negative. Most of the fever are caused by virus. Viral illness cured in 5-7days times. I think the cause of headache and leg pain is same viral illness that caused fever. You can give some painkiller like paracetamol 15 mg per kg per dose, up to 4 times per days and wait for 2 days. Hope i able to answer your query" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have very pale skin, no appetite, small twisting pains in the left side of my abdomen reguarly, sleep for 14+ hrs a day and still feel fatigued, and occasionally wake up with small bruises on my stomach that usually fade throughout the day. I am not sure whether there is cause for concern and to visit a GP but thought I should check online first. Thanks in Advance", "output": "Hi. Thanks for your query and an elucidated history. Pale skin indicated that you have severe anemia and be due to a serious problem in the abdomen. Loss of appetite with abdominal pain and excessive sleep yet feeling fatigues indicates that you need a proper clinical examination and investigations. I would suggest in such a patient the following:A detailed history, proper clinical / physical examination and investigations: Blood-complete blood picture, kidney functions tests, blood sugar fasting and post-lunch, Urine-routine, microscopy, culture and sensitivity (before start of antibiotic)Ultrasonography of abdomen. CT scan and enterocolitis if required. Diagnostic Laparoscopy has a big role to play in undiagnosed cases and can help to diagnose diseases like tuberculosis and so on." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear sir, my name is arjun actually my problem is some water drops is coming from my back as the water or waste smelledi very bad i want get permanenet cure for this as i m having this from long back but due to dear i never attend to any doctor because i don t have much of guts to face what doctor will say please i m very very sacred about surgery i don t want to go for a surgery if any plead suggest some medicines that will cure this problem now i m facing the problem is very please help me to stop that thanks.", "output": "Thanks for asking in Chat Doctor forum In short: Please mention from where exactly the discharge is. Explanation: Discharge can come from a swelling over back called sinus or can also come from anus if there is any infection(Parotitis). So, it is very difficult to answer with your minimal details. Please provide further information like place, color of discharge, associated swelling, etc. for proper suggestion." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Dr,I am 23 year old. I have a problem in chest heaviness ,sometime breath very difficult and rapid heart beat. I have consult cardiology and physician.my ECho,ECg,TMT and PFT is normal. but i could not understand the above problem still continue from 2-3 month. Dr. say there is not any problem and write 7-8 tab for allergi.please help for the my problem.", "output": "Respected user, hi I evaluated your query thoroughly.*As per all reports are normal there is no pathological reason for the same.*Now coming to the solution, I don't agree or nobody will agree with 7-8 tab for allergies ? For chest heaviness & rapid heart beat.*In my opinion this is Psychosomatic issue, needs intensive lifestyle changes & no medications at all dear. Follow certain simple basic rules & see the difference on your own :- prepare your mind thoroughly that you are not suffering from any major / minor medical ailment-BE POSITIVE altitude in life should be your prime concern in every matter-avoid stress / anxiety-have adequate sound sleep of 8 hours-avoid smoking / alcohol / abuse substances use if any-avoid oily / spicy / nonveg stuffs-maintain proper diet intake adequate in all carboy Chat Doctor. - maintain HY" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello,I just began taking birth control pills on last Sunday after having a pap smear. Since then I have had sex 3 times. The first time was normal. The last two times I bled during intercourse. Could this have anything to do with the birth control?", "output": "Hi, I have gone through your question. Birth control pills do not lead to bleeding or spotting after the intercourse(post-coital bleeding). Local lesions in cervix or vagina including cervical cancer are the causes of post-coital bleeding. Since you had your pap smear, cervical neoplasm will be ruled out. I would further suggest you to consult an ORGAN specialist to get properly examined, investigated and treated accordingly. Hope you found the answer helpful. Wishing you good health. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter just showed me an indentation on the lower part of her bsck side near her hip. It looks a little like a vessel in the cemter with a vein running away from the center of it. It feels a little like the tissue is missing under the spot. She said it had been there for about a month. She is 21 years old. Thank you.", "output": "Welcome to Chat Doctor I have gone through your query and understand your concern. It seems that it is normal and nothing serious. But because you are worrying you can get examination of her by general surgeon. If she has pain she can take analgesic such as ibuprofen for pain relief. MRI of the region may be more useful. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I just noticed that i have what seems to look like bruising and swelling in the lower back the V area above the buttocks and also swelling on my left side of my back...I noticed this as i was just standing and felt one side of back much larger then the right. Also when I cough i feel lots of pain in lower back area....what can this be?", "output": "Hi, Thank you for posting your query. There are two likely possibilities for your symptoms: 1. Infection- it can lead to bruising, pain and swelling over the back. In addition, there may be fever and increased warmth over the affected area. 2. Small hematoma-blood collection in the soft tissue. This is more likely, if there is any injury of the affected area, or if you are taking any blood thinner medications. An examination by a doctor can clarify the issue and help in planning treatment. Wishing you good health, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "A friend has been on antibiotics for over 2 months now since she had an infection in her calf and foot. She is to stop the oral medication tomorrow but the urine result test showed today that she has weak kidneys. Would this be a side effect of the length of taking antibiotics?", "output": "Hi, Thanks for writing in to us. It is important to have complete details of antibiotics intake and its dosage to discuss the possible side effects of the antibiotics on kidneys. Most antibiotics are metabolized by the liver and only some like from the aminoglycosides family of Chat Doctor. In most cases the medications do not affect kidneys if the kidney functions were normal before taking antibiotics. Since the kidney function tests show weak kidneys, please consult your doctor immediately and discuss if she needs to continue the antibiotics due to higher benefit than risk associated." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I think i have a spider bite. From what I have read it seems as though its a brown recluse. I noticed some type of bite on the back of my knee 2 days ago. looked like a pimple. Today it started to spread and now its burning and blistering. what can I take for it? I have two young children sleeping and I am home alone with them. Can I take Orapred ODT to stop the pain and inflimation? or should I take motrin? I have been icing it for the past 30min. Thank you,Sally", "output": "Hello Sally, Thanks for writing in Chat Doctor. It is unfortunate that you got bit by spider. It is good that you have kept icing the area, which would reduce pain and inflammation. You need to clean the bite site with mild soap and water. If the bite is on an arm or leg, keep it elevated. You can take Motrin to get relief from pain and inflammation. A tetanus booster shot is indicated if you haven't had one in the last five years. Observe the area for infection. Antibiotics may be required if the bite becomes infected. If it is coming down on its own with above measures, then you need not worry much. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good day, i had chicken pox about three weeks ago and in one week, it was clear for me to start my duty at my place of work as directed by my doctor. but this week am surprise that i have itching, headache and body pain. does it mean i have chicken pox again, or is it shingle?", "output": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. No, it can't be chicken pox. It can be shingles. Chickenpox never recurs in a week period. I think it is some different thing that is causing itching. Shingles occurs with blister and burning pain as it is absent in your case it is not shingling also. You can take the visit to the dermatologist as skin disease can't be diagnosed by description only. You can take the cetirizine for itching and paracetamol for fever. Please take the above medication under your doctors' guidance. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello, im 22 years old and last year i was dignosed with kidney stones. The CT scan showed a slight fracture in my lumbar of my lower back. I thought nothing of this for awhile, when a couple months back I started waking up with real bad pain in my back every morning and at random times during the day do you think it has gotten worse? and what should I do?", "output": "Hello and welcome to Chat Doctor. As a Urologist, i can understand your anxiety. More than the kidney stones, its your lumbar fracture giving you the pain. You will need to do an MRI scan of the lumbosacral region. See an orthopedic or a spinal surgeon and he'll decide on treatment. The stones can be treated later or a stenting can be done simultaneously, with the spinal surgery. If you've any doubts, you may send a direct question to me. Chat Doctor. Manga." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi there. My 22 month old son has a lump on the left side of his head at the base of the skull. The lump is slightly movable and can only be appreciated when his head is in certain positions. Can t tell if it hurts or not as he can t tell me :-) but he does not seem to be in pain when I touch it. Should I show it to the doctor? Last illness was one month ago when he had bronchitis/pneumonia", "output": "These are lymph nodes which you are able to palpate. Lymph nodes are present in whole body. Lymhoidb tissue expansion is present in child Chat Doctor. There is a specific cutoff for size of these swellings as per there location in body. If it is more than 1\u00a0cm size in neck area then it may be secondary to some problem. If it is large or rapidly increasing in size or becomes fixed to overlying skin or overlying skin becomes red, then consult pediatrician" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear sir,my 12 years old daughter was given three shots of rabipur vaccine in march 2014 for pet dog s bite whose anti rabies vaccine was due in april end 2014.Since the dog has been vaccinated and again bit my daughter s hand,punctured her skin to her blood vessels,should i get her vaccinated again ?The pet dog does not come in contact with the stray dogs and generally kept in confinement.Thank you !", "output": "Hi, I understand that your daughter took 3 anti rabies vaccine shots in March. This is a standard dose schedule and is recommended. The dog is healthy and vaccinated so there in no immediate risk from rabies. You have also mentioned that the dog is at home and never comes in contact with strays. With the above information, it is best to give your daughter a single shot of the same vaccine. This will act as a booster dose and since 6 months are over since the last vaccine dose, this will be beneficial for her. Please be sure you are giving her the same vaccine and its only single time." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 6 y.o daughter has really skinny arms and legs, but a big distended belly. We went to the doctor a while back and he gave her fiber. But its coming back again. Should I just get more fiber in her diet again or could there be another reason why this keeps happening? She is also small for her age.", "output": "Hi... Thank you for consulting in Chat Doctor. I understand your concern. I have a few questions and will suggest few possibilities. Questions:1. What was the birth weight and what is the current weight?2. How is the attaining of developmental milestones?3. Is the stool oily and floats in the pan?4. Is there any color change in the hair or skin?5. Is there any history of recurrent serious infections? You can approach me at the following link. Please find the link below - www.ChatDoctor .com/doctors/ Chat Doctor. Chronic constipation or Fat malabsorption2. Micro Nutrient deficiency3. Immunodeficiency either primary or acquired. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have sensitive teeth normally and after having a cavity filled a year ago I became a frequent flosser. I had a bad pain on the left side of my mouth in my gums, but I am abroad and can not see a dentist for another few weeks, so I have been taking a pain reliever since then. About 4 days ago, I woke up and the gums inbetween and just behind my two front teeth are swollen, sensitive and bleed when I brush my teeth. I have tried flossing but it is very painful. What is this from? Is there a way to make it go away or reduce the swelling?", "output": "Hello, Thanks for posting your query. It is good to know that you floss regularly. Regular flossing helps a lot in maintaining oral hygiene. Coming to your query, pain, swelling and bleeding in the gums could be due to inflammation of gums which can happen due to forceful lodgment of food in between two teeth because of a cavity or due to accumulation of tartar [calculus]. I would advise you not to floss now as you may injure the already traumatized gums. You need to see a dentist who will assess the cause of your agony. Taking painkillers for a prolonged time is not advised. You may do lukewarm saline rinses. But visit to a dentist is must. Hope that answers your query. Let me know if you have any more questions on this. Wishing you a quick recovery. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My wife has just had an upper wisdom tooth removed by her dentist in Whitehaven this morning. Unfortunately the top of the tooth shattered and she has now been left with the roots still in her jaw. She is obviously still in pain but her dentist suggested that the referal to the West Cumberland Hospital for surgery to remove the remnants of the tooth may be up to 2 months away. What could be the consequenses of this delay?RegardsRae Patterson", "output": "Thanks for using Chat Doctor. Read your query. It is a quite difficult situation you are into, sometimes it happens during the wisdom tooth removal. Breaking of crown usually happen when there is an inappropriate judgement done before removal. I would suggest you to get the roots removed as early as possible to avoid any infection by taking an early appointment with oral and maxillofacial surgeon. Have a radiograph done before the surgery. Do continue medications which has been prescribed by the dentist. Hope this was helpful. Thanks and regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My kid is 4 days old and he is suffering from loose stools from yesterday night and was taken to hospital.Tests done and he is having jaundice of 14.6%. Doctor given these medicines netilmicin sulphate injection ntn-10 colistop suspenion. Please let me know what are these medicines for ?", "output": "Hi...a 4 days old newborn baby cannot be administered antibiotics like this without proper evaluation and proper blood and urine cultures. 4 days old baby having a jaundice of 14.6% could as we be physiological jaundice. But it needs follow up with at least 24 hours once checking of bilirubin levels. Netilmicin is an antibiotic of the class of Aminoglycosides. Clinton is a medicine which will temporarily relieve pain abdomen. But it is not routinely indicated. The diarrhea you kid is having could as well be a gastronomic reflex. This need not be treated as diarrhea and especially antibiotics are not indicated. When the baby takes milk, the stomach expands - then when it is contracting it sets off a wave form which moves down the intestines and when that wave reaches the lower down rectum, a small quantity of the stool is evacuated out. This is the basis for gastronomic reflex. Do not worry. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Dr. Vasudevan Sir, I am R Venkataraman working in DOEACC Centre, NIT Campus Post, Calicut. I am a psycho patient and was admitted at your clinic on Oct 5 2009. I am having the same problem even now. I was dischrged on 15/10/2009 and the very next day early morning i had to go to my native place were my parents are staying. i came back after one month. The counselling was not done. i am unable to concentrate on my work. please advice me what to do. My problem is very worse. I Feel like to commit suicide. (Though i have not attempted so far) RegadsVenkataraman", "output": "His had gone through your query. Lack of concentration and suicidal thought may indicate underlying depression. Low mood with loss of interest in activities are other features to diagnose depression. Stress and anxiety can lead to such emotional upset and can affect your daily routines. You have to go for proper consultation and evaluation about your mood/thought process. It can be treated with multi modality approach like medicines, psychotherapy, counseling and behavior therapy. Medicines like SSRI and other antidepressant will be useful. So consult psychiatrist and get better assistance. Still have query then feel free to ask. You can ask me directly on http://doctor.ChatDoctor .com/doctors/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "if u have been diagnosed with bone cancer and have been taking the chemo pills because of age been elderly; and the elderly person has no appetite and now has a infection and is on antibiotics and now the white blood cells are to low and the doctor said it was nothing medical that can be done. what would you suggest? But the doctor want the patient to come back to the doctor because the patient is still taking the chemo pills, they want to see if the pills are still working. the doctor said the patient was malnourished because of loss of appetite and that the white blood cells was to low and there was nothing else he could do although the cancer has not spreaded in the bones. Its only in 3 areas, hip bone lower back and upper back.", "output": "Hi, Thanks for writing in. Loss of appetite can be due to many causes. In a patient diagnosed with bone cancer who is taking chemotherapy, the loss of weight is usually due to a side effect of chemotherapy itself or can be a psychological response to the disease condition. Please get a diet plan based on what the patient likes and dislikes. This diet plan should include 1800 to 2000 kcal per day in divided meals. The patient might not like to have large meals and this can be solved by giving small servings of meal every 3 to 4 hours in the daytime. Adding fresh juices and fluids will also help. You can also add cereals and energy foods and fruits. Avoid giving artificially flavored and processed foods." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have what I think is a cyst under my left butt cheek it comes and goes and occasionally gets a tiny white head on it, it is very irritated and has a slight purplish color should I seek a doctor or could I take care of this myself because I don t have any medical care..", "output": "Welcome to Chat Doctor. 1. The most possible cause of a cyst / lump / lesion on the gluteal region / butt could be hair follicular infection.2. In case of follicle infection / inflammation there will be a cystic structure with collection within, which gives pain on touch and leak when you press the lesion.3. In this case you need to maintain local hygiene, with regular cleaning with antiseptic liquid to avoid the infections.4. If you have multiple and symptomatic, you may need to seek medical help as they do need an antibiotic course to heal completely.5.IF symptomatic get it treated with a course of antibiotics, if required a small incision and Chat Doctor. Good luck. Hope I have answered your query,anything to ask ? Do not hesitate to ask.http://doctor.ChatDoctor .com/doctors/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello sir,This is SOURAV GOYAL from east delhi.Sir i dont know what is happening with me these days.But Im not happy, feeling very up set all the time. Professionally Im a student, but not able to pay attention towards my goal. Sir i dont know what to do but also cant share about all these to anyone. Sir i really want a relief, want to live like others do. I just want to come out by depression in which Im now. I dont know what it is but i want to keep it secret. Thanku sir", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. I sincerely suggest that you are victim of your own negative thinking. You cannot term your current state of mind as clinical depression. Rather, this is just disappointment. Disappointment which arises out of unforeseen life events do bring such symptoms like sadness, irritation, anger, lethargy, lack of interest, lack of appetite etc. Please understand this fact and make sure to introspect. Talking to your friends, outdoor activities and being creative should give you relief. Find the reason for your disappointment and consult a psychologist if need be. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Back in December, I had a blood and urine test performed which showed an elevated liver enzyme level. A couple of months later I began to notice swelling on both of lower legs, ankles, and tops of my feet, accompanied by a heated red rash, tightness, and limited mobility. I went to see my general practitioner who requested another blood & urine test. Elevated liver enzymes count came back again. He referred me to a gastrointestinal and a kidney specialist. The gastroinstestinal specialist requested more blood tests, an ultra sound of the liver and intestinal organs, and I also had a liver biopsy. The ultra sound came back clear. I also had a colonscopy whicChatDoctore back clear. The liver biopsy showed sign of an infection but the pathologist was unsure what it could be. The gastrointestinal dr asked for another blood test and the markers for hepititis all came back negative except one - ana. The kidney specialist ruled out anything on his part because the lab erroroneously entered 100 to my age when determining the blood work results. However he referred me to a vein specialist to do an ultra sound on my legs. The ultra sound came back normal. The gastrointestinal dr is saying that it is possibly a form of autoimmune hepititus though is not sure and would like to see me to begin a prescription for it. My question is this: I have to two moles - one on each lower leg in the general inflamed areas are. Could melanoma cause all the symptoms and test results seen thus far? inflamation, redness, soreness of both legs, swelling, ANA positive marker, and an elevated liver enzyme count? Thank you in advance. Jeanette", "output": "Thanks for your consultation at Chat Doctor I have gone through your case and being your physician i completely understand your health concerns. Based upon the history u have provided, you have got AUTOIMMUNE HEPATITIS, It's a type of hepatitis in which body own antibodies start targeting liver and causing inflammation and derangement in liver function.... All you need is to consult a hepatologist and get you hepatitis treatment done MELANOMA about which, you are concerned i don't think so, so stop thinking about it anymore and meet your HEPATOLOGIST. Hope your query is adequately answered if u still have any feel free to ask Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had high fever,eye bleeding at night,slimy cought,one stage I couldnt even talk,and the sniffles,and my fever wont disappear even I took two weeks Burana 400mg. But the temperature started go down,the point is,I still have fever,and it wont go away.", "output": "Hi, as per your symptoms, tab. Ibuprofen won't be able to help alone, bleeding from eye may be due to various reasons like severe cough, hypertension, roughly rubbing of eyes, blood thinners Chat Doctor. As you're having high grade of fever u should first get investigated simply CBC mainly for total count if there is any bacterial infection and chest x-ray. The most probable cause can be upper respiratory tract infection clinically but u can start with Tab. Levofloxacin 500 mg once a day, Tab.paracetamol 650 twice a day, Tab.levocetrizine 5 mg twice a day after your total leukocyte count. Nothing to do with bleeding from eye, as fever will reduce it will subside automatically." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here...my 5yr old daughter is having bleeding stool.sometimes it takes 2 days before she discharges.lab results are pus cells 20-25,and ameoba cysts..is it what you call liver abcess?", "output": "Hi, welcome to Chat Doctor. Your child has bleeding in stools and lab report suggests 20 to 25 pus cells and amoeba cysts, this signifies that your child has probably got amoebic dysentery. This is not liver abscess, it's an infection of gut. In my opinion, you should give metronidazole tablet to the child. However, since this is a prescription medicine, i advice you to meet the local doctor. I hope this will help you. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i always have paing in the left side of my throat and chest, my bloods were clear, i am on the waiting list for ent, is there a chance it could be cancer or am i ok in that area as my bloods are 100% normal, i am very worried about this. i have a little lump on the left side of the back of my neck too, could this be related. when i swallow something hot, it hurts going down as well and bits of food come back up in my mouth when i swallow, please advise me. thank you", "output": "Hello, You had pain in left side of throat while swallowing and no swelling in mouth or throat u feels. Thus, it might be just tonsillitis and no need to worry about cancer and all. The swelling over the back of neck might be now were related to the this. You have not mentioned your age and your habits, if your tobacco chewer, alcoholic and age > 40 yrs, just consult your doctor as soon as possible because it might turn out to something hard because pain while swallowing and swelling in back of neck might turn into cancer. Consult your doctor soon" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor iam from india..............my aunt is diagnosed of gallbladder cancer. we took her to very renowned hospital in india.....where doctors told us .......nothing can be done .............cancer has spreaded all over the liver .........we are going throgh trauma.......... i want to know is anty thing possible ......can we stop her death .....please help us.", "output": "Hi, dairy have gone through your question. I can understand your concern. She has gall bladder cancer with widespread liver metastasis. It is stage 4 cancer. No curative treatment is available. Surgery is not helpful at this stage. Chemotherapy and radiotherapy is the treatment of choice. It is palliative care only. It will not cure the disease. Despite any treatment prognosis remains poor. Life expectancy is not good. Sorry to say but it is fact. Moreover, chemotherapy has its own side effects so its better not to take any treatment. Consult your doctor and plan accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my name is Malini and im 25yrs old.my hgt is 150cm and wt is 70kgs.Im married for 3 yrs.but ive not conceived yet.im not getting my periods regularly.me and my hus is undergoing infertility treatement.he is also having a problem of low count and motility.after a period of 3 months,today(24/11/11),i got my periods.so my doctor advised me to take progynova 2mg tablets for 3 days.he is telling that im not ovulating.i ve undeergone a detailed hormone test,hsg and 2 iui.all the tests shows a normal condition.and the two iuis were unsuccessful.now my doubt is ,is there any problem of consuming the tablet i early prescribed?and how many of them to be consumed daily?and when?is it helpful for ovulation.if you suggest any report to be attached,i ll attach the required one.", "output": "Hi, I have gone through your question and understand your concerns. Progynova is estrogen which is given in infertility to make the uterine endometrium grow in order to prepare for conception. It does not cause ovulation to occur and is not given for ovulation induction. Yes, you can take it for 20-21 days continuously. It can be taken at any time of the day. I would suggest you and your partner to consult an infertility specialist to get properly examined, investigated and treated. For ovulation induction, you can be prescribed camphene. Hope you found the answer helpful. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here...Yes my mom has two big red bumps on the back of her head. They are two different sizes and they are very tender to the touch and they hurt, can you tell me what they might be.", "output": "Hello hope the answer helps you. As your mother has at the back of head red tender lumps that could be abscessed or boil as this area is prone to cutaneous abscess or soft tissue swelling post trauma after itching as myogenic granuloma. You donor have to worry needs a regular dose of Tylenol tablet 8hourly with antibiotic as Amaryllis plus clavulanic acid FLAVOR 1gm twice daily for 05 days hope it works in initial phase." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my daughter is 5 years old and suffering from fever since 7 day s. The temperature goes to 103 F. I showed her a doctor and giver her medicines. But till date there is no relief from fever. Fever goes high in the night or you can say after sleeping she got high fever. She also not eating properly. We have done malaria test and the report is -ve. Doctor is saying wait for another 2 days and after that they will test for Typhoid. My daughter has history of meningites at the age of 6 months. We were on the process to give her booster at the age of five but before this she caught fever. Kindly suggest.", "output": "Hi... Thank you for consulting in Chat Doctor. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15\u00a0mg/kg/dose (maximum ceiling dose of 500\u00a0mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ive been told I have I.c.s., I had a minor prodedure where my bladder was inflated so that my urilogist can examine and confirm diagnosis of I.c.s., he said I had 2 minor cracks in the wall of my bladder. Its been 6 months since and no more utis (I was getting 1 monthly). I have noticed however when I wake up I have abdominal pain, light cramping from holding in urine while asleep. After the procedure my dr tried to put me on 5 meds, but I couldnt afford them at the time and felt I was doing fine w/o them. Here I am 6 mos later with occasional abdominal pain from holding in urination thru the night. Is this the I.c.s. and what causes the abdominal pain. Btw it does usually go away after I urinate, I just feel soreness for a lil while. 29yr old female, havent had to see urilogist in 6 mos.", "output": "HI. Thanks for your query and an elucidated history. This can be ICS, I would advise going for another cystoscopy examination as the perfect diagnosis is very important. I proper treatment of you and your sex partner on simultaneous basis may help you to get a permanent relief as your frequency of symptoms and severity have reduced. Another important point is never to hold urine as this will again increase your problem. Intraveous paleography and ultrasonography will again help to confirm or rule out other effects the problem has caused." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Is herpes commonly misdiagnosed? I was examined for a collection of 3 red bumps outside of my vaginal opening ...after a 5 second look at it the Dr said it was herpes and proceeded to prescribe me meds... my culture results have not yet come in...what are other possibilities and what advice do u have on herbal cures?", "output": "Hi, Thanks for posting in Chat Doctor. I understand your concern. Genital herpes is one of the most common sexually transmitted diseases. Most cases of genital herpes are caused by infection by the herpes simplex virus type 2 (HSV-2). You may wait for the culture results to add any other medication, if necessary. You need to take the prescribed medications by your doctor. However, here is no cure for genital herpes. But the symptoms can be lessened and prevented with treatment. Treatment can also reduce the risk of infecting others. Treatment recommended would be with antiviral medications, which will help to prevent or reduce the pain and discomfort from an outbreak of symptoms. Medication taken on a daily basis to suppress the virus can reduce the number of outbreaks and reduce the risk of infecting others. You may try home remedies by using Aloe Vera Gel, Bathing with Epsom salt water, Natural oils and ice pack to soothe the skin and reduce the pain associated with it. Hope the information provided would be helpful. All the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear ", "output": " I work with cleaning products once a week for a couple of hours and as you know cleaning products contain many corrosive chemicals that can affect lung and other respiratory issues. My question though, deals with the brain. Can working with such chemicals affect the brain in terms of function? I am a pre-med student and absolutely don't want this to affect my studies, I can stop working there, but do you think there could have been already an effect taken place? Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello. my son was diagnosed of amoebiasis just yesterday after having routine and concentrated fecalysis. He was given diloxanide furoate last night and after 7 hours, he had poop that is all green. everything is green. This worries me. He is 22.8 kg. The only liquids he has taken aside from the medicine is hydrite, water and gatorade.", "output": "Hello there, I am Chat Doctor. Yes this can happen, green stool because when amoebas is there is cause some pus formation and along with some dietary fat it produces green color stool. Just make sure that You have been diagnosed by a reliable Microbiology lab and by a qualified doctor Microbiologist. Because to diagnose amoebas is a somewhat difficult by pathologist nowadays. I suggest you to complete the course of " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im a 16 year old girl, over the last few days Ive been very tired and week. Ive also experienced constant nausea and light-headedness. It worsens when loud noises are made. I went to the obgyn for an annual visit yesterday, she said my blood pressure was 90/50. I was wondering if this could have anything to do with low/high blood pressure? Should I seek medical attention?", "output": "Hi, Thanks for asking. Based on your query, my opinion is as follows.1. At present, you seem to have low blood pressure.2. The blood pressure, at present is very low which could cause light headdress. This could be secondary to deny Chat Doctor. 3. Also get a complete hologram done to evaluate for anemia. More fluids and salt intake necessary to improve blood pressure. Concentrate on nutrition. Hope it helps. Any further queries, happy to help again." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear sir, I have been taking peel treatment for my pimples and afrer 2nd seating mybskin was seemed to be lightly red and burnt. Is it normal?? Or i have got side effect of peel?.if this is side effect upto how many days it will last.? Wheb my skin become normal like before? Pls help me", "output": "Hello, Thank you for posting on Chat Doctor. Chemical peeling is a simple procedure which causes controlled burning of skin leading to exfoliation superficial skin layers, decreases acne and pigmentation and gives you a rejuvenated skin. Usually post peel, redness and crusting is common and usually moisturizer and sunscreen is enough to take care the post procedure sequela. Sometimes, chemical peels may cause excessive redness/crusting due to deeper penetration of peel, but It's difficult to rule out without proper clinical examination or pictures. Anyway, start applying a cream containing demonize (Disown cream) twice a day gently over red/irritated skin followed by good quality moisturizer like Detail DAM. Always make sure you use your sunscreen before going out in sun and repeat application after every 3 hours and use proper clothing to cover face. Avoid pricking/scratching/peeling of skin. Use gentle cleanser like Detail cleanser for sensitive skin for regular face wash. Take some antihistamines like Exocet if excessive itching is there. Hope this will take care of your query, Thank you Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "yesterday on my left hand my finger next to my thumb locked up and would not move. my hand swelled and it hurt so bad. after about five minutes my finger was able to me but i was still in some pain. i took ibrofen. this is the second time this is happend. I am 42.", "output": "Hello, I read carefully your query and understand your concern. The symptoms seem to be related to tendonitis which is an inflammation of the tendon in the finger. I suggest using anti-inflammatory medications such as Ibuprofen to relieve the symptoms. I also suggest using cold compresses for local application. I recommend using a splint to maintain the finger immobilized. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards! Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my uncle has been diagnosed with oesophegus cancer just this morning. there was alump on his neck which we got checked out and they said somethng about cancerious cells. he does not feel any discomfort when eating and no vimitting nothing! he feels normal so i mguess it is inthe initial stages. he is about 55 years of age and no health problem. quite fit in fact! i wanted to know about the survial rate and everything in general! =(", "output": "Thanks for your question on Chat Doctor. Treatment, prognosis and life expectancy of any cancer is depended on its staging. And this goes true with esophageal malignancy. So to determine staging in his case following investigation s are needed.1. CT scan of neck to see for local extent of disease.2. PET scan to see for distal spread of disease. If distal spread is present then it is known as stage 4 cancer, and it carries poor prognosis. Life expectancy is less than 1 year. Only palliative chemotherapy and radiotherapy is given. In the absence of distal spread surgical removal of esophagus with clear margin is the treatment of choice. Post-operative chemotherapy and radiotherapy is given to prevent local as well as distal spread. In these cases life expectancy is less than 5 years. Overall esophageal malignancy is not having good prognosis because of poor feeding issues after surgery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have an underactive thyroid - for many years I get a really dry chocking cough. I have to get water and stop talking to rest the throat. It then produces lots of mucus. This can happen at any time out the blue, never when I am eating - maybe talking or even when I am driving. I did ask my GP many years about it and he thought it was an allegy but I disagree. When I have one of these coughing fits now it is getting worse.", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query Chat Doctor. You may have lung infection or bronchitis. I would suggest you to consult ENT specialist and get it examined. You should get an x-ray of the chest as well. Doctor may order blood test, throat swab test or virus culture test. Doctor may prescribe antibiotics such as Penicillin at least for 10 days along with decongestants and bucolic agents. For now do warm saline rinses, take rest. . Do warm saline gargles with pinch of salt water. Mast cell stabilizers such as sodium cromoglycate is effective to prevent infection. You should avoid hot, sharp and spicy foods. . Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i think i am pregnant i dont have the money to go to the doctor or get a test. but my period is 10 days late and im havin crampin and instead of a period white an clear discharge yesterday i had a little liight brown discharge my boobs are sore and i am exhausted!", "output": "Hallow Dear, Since you have missed period for 10 days and your breasts are tender, the chances of pregnancy are very high. Apart from the missed period, the other symptoms of pregnancy are:1. Nausea & vomiting with pica2. Frequent urination3. Breast symptoms: Engorgement & tenderness, dark discoloration of nipples & areola with areolar widening, Montgomery's tubercles under areola and secretions from the nipples. These all symptoms start appearing about 10 days after missed period. You are having a few of them. Dear madam, the pregnancy is never diagnosed only on symptoms in early stage as these symptoms can be due to some other underlying cause also. So please get your pregnancy test done on overnight first early morning urine sample. This will confirm your pregnancy. Moreover, brown bleeding during any stage of pregnancy is not a good sign and indicates risk to the baby. So please report to Emergency Room where you will be subjected to ultrasonography to assess the safety and health of the baby. You are probably underfeeding yourself because of nausea. Please force-feed yourself to feel more energetic. Banana in cold milk is very good to overcome nausea. This nauseating feeling lasts for first three months. Then gradually you will feel better. I hope this helps you. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Greetings Dr. And thank you.I am a very fit 70 yr male. just recovering from double Arthrodesis big toes. Enduring very awkward shuffle since discarding walking frame ,again awkward and stressful to normal body actions.! Into third week now post op but experiencing unusual pain in my right side chest approx stern ham ? not panicking self or wife at this moment but will be having foot dressing changed tomorrow and wonder if I should be concerned,or is it possibly just reaction to the stress of recent op? thank you FB.", "output": "Hi, If this is the only unusual symptom you are experiencing then it is most likely to be due to a mild muscle strain related to the awkward shuffle you are having to make. It is likely to subside as your mobility improves. I suggest you continue to mobilize as this is good for your recovery. Take paracetamol if needed. You could consider using walking sticks for the short-term to aid mobility which may take some effort and strain out of moving. I wish you a speedy recovery. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m running a fever of 102.5F. I have a dry cough and a headache.I m in a wheelchair due to spinal cord injuries. I self cath.I m currently on vacation in Ireland and have brought Cipro, Bactrim (2 courses) and Nitrofurantoin.Clearly, I have an infection but am am unsure which antibiotic to take.", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have symptoms of fever, Chat Doctor. I would suggest you to consult pulmonologist and get blood test, throat swab test done. You should get an x-ray of the chest and pulmonary function tests done as well. You should take antibiotics along with decongestants and bucolic agents. Furthermore, you should avoid hot, sharp and spicy foods. Furthermore, you should take expectorants. Steam inhalation is very effective for you. You should use throat lozenges and go rinses with warm saline water. Take diet rich in vitamin B12. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had what was dxd as a stye on my left upper eye lid. I was given antibiotic ointment and told to put hot compresses on it 4 times a day and the ointment. I have been doing so but yesterday I was just sitting here and it started to bleed and ooze pus. It feels as if there is an eyelash sticking in it. After I cleaned it up, naturally it scabbed up but I have a hole in my eyelid now and it still continues to bleed on occassion. Is this normal for a stye?", "output": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Yes, such reaction is common in severe reaction. The whole occurs in the eyelid is because of infection focus on the eyelid. Once the bleeding has occurred and pus has come out this space remains vacant. You can continue with the regimen provided by your doctor. You can add ciprofloxacin eye Chat Doctor. It will help prevent infection in eyelid whole. Please maintain good hygiene as it is equally important in prevention of infection. I will be happy to answer your further concern on bit.ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have what I feel sure to be fissure tongue. My mouth is sensitive to heated foods. This painful tongue that I have, whether it is fissure or not, came about AFTER I began taking a new medication called zenzedi. Help me please get some relief from the painful tongue. The zenzedi is what will with me except for the painful tongue. Please help.", "output": "Thanks for your query, I have gone through your query. The exact cause of fissure tongue is unknown, But it can occur in association with Wilkerson Rosenthal syn Chat Doctor. It can occur at any age(both healthy and non-healthy conditions). The burning sensation can be because of the super added fungal infection like candidiasis. So consult an oral physician and get yourself examined to rule out the above said conditions. The burning sensation can be solved by maintaining the tongue hygiene, using topical antifungal like clotrimazole 1% ointment 3-4times daily for a week, and topical anesthetic and analgesic like 2%lignocaine gel, apply 3-4times daily for a week. Do saline gargling. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 6 year old son has been unwell with a chest infection and nasty cough, this seems to happen at least one week out of every month. i took him to the dr to have him examined as i also was concerned that my son was complaining of a sore lower abdomen when coughing, (not urinating) and a sore to touch upper back (lung area). the dr did a urine test which showed positive for blood, no infection present, he ordered a blood test and second urine test for FBE; ESR;E/LFTS - M/C/S; ANA; CRP;. i have also noticed his inguinal lymph nodes, Retroauricular lymph nodes, and Retroauricular lymph nodes appear inflamed. what in your opinion are the concerning factors regarding the information i have provided.", "output": "HI, thanks for using Chat Doctor Lymph nodes respond to infection or inflammation in the area where they are responsible for Chat Doctor. The enlargement of the cervical nodes (retroauricular) is common with an upper respiratory tract infection (common cold or flu). They should return to normal size by 4 to 6 weeks after the infection provided he does not become unwell again during this period. The enlarged inguinal lymph nodes may indicate an infection in the thigh or groin area e.g. even a small cut. They can be monitored for any changes. The FBC would likely show an increase in WBC since he currently has an infection. It may help to repeat when he is well to see if it is in normal range. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband has a large, circular red ring under one of his armpits. The ring is approximately the size of an orange. We are using Cortisone cream at present. What could be the cause of this condition? Would you suggest I take him to a doctor immediately?", "output": "Hello and welcome to Chat Doctor I would keep a possibility of fungal infection. These is because of closely apposing body folds e.g. thighs and groin, maxilla, submammary folds etc. can trap sweat, heat and moisture, therefore making the area favorable for fungal proliferation. If I was the treating doctor I would have asked you to use a topical antifungal like clotrimazole cream, twice daily, regularly for 4 weeks. An Oral antifungal e.g. fluconazole once weekly for4 -6 weeks OR oral terminating once daily for 2-4 weeks, is also advisable for a more complete urban OTC antihistamine e.g. cetirizine 10\u00a0mg once daily would help you in symptomatic itch relief. Keeping the folds Chat Doctor. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "It is painful in my back and hip area when straightening up after bending down. This has been getting progressively worse for at least a month. I have no difficulty walking, running or doing moderate exercises and in fact these activities seem to alleviate any pain temporarily (an hour or so). I also feel better for a few hours after rising from a nights sleep. What could be the cause and what can I do to ease or eliminate it?", "output": "Hi, Welcome to Chat Doctor. After going through your query I think You are suffering from osteoarthritis of both hip joints as pain is relieved by rest. You need further investigation by x-ray of both hip joints with pelvis. You need to exclude lumbar spondylosis by x-ray of lumbar spine. Analgesics (DICLOFENAC 100 MG SLOW RELEASE TABLETS) whenever pain is helpful in pain relief. Diapering and glucosamine sulfate protect cartilage from breakdown and help in cartilage regeneration. Sometimes vitamin D deficiency can aggravate this so serum vitamin D test is advised (if it is lower than vitamin D supplementation will be required). You can discuss with your treating doctor. I think your query answered. Welcome to any follow-up query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi. My vit B12 levels are 122pg/ml. I am a 48 yr old female. I have been advised inj eldervit I.M in foll way- 1 inj daily for 7 days, then 1 inj once a wk for 12 wks, then 1 inj once a mth for 1 yr.Will dose be sufficient to raise my B12 levels? Also, i hv taken 3 injections , but there is not much relief frm the breathlessness and calk muscle pains.", "output": "Hi, Thanks for asking. Based on your clinical history and query, my opinion is as follows:1. Hi, depending on your anemia, it would take a minimum of 2-3 weeks for response and improvement symptomatically for breathlessness and calf muscle pains.2. Additionally, eggs and dairy products can also be used to improve B12 levels.3. Check with reticulocyte count after 15 days of treatment to identify improvement. Hope it helps. Any further queries, happy to help again." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was just released from hospital diagnosed with Pericarditis and WPW I am not a user of Tobacco nor alcohol I use marrijuanna at least 3 times a day do you think that the marijuanna is causing complications I told the doctors I m a heavy user but not one doctor told me to stop the marijuanna", "output": "Hi, I did review your concern, Marijuana can cause a lot of complications when used in excess amount, can cause lung problems including chronic obstructive lung disease like illness and also increases chances of lung cancer according to recent studies. Your WPW and pericarditis may not be related to marijuana use but I would advise you to cut down on your marijuana and eventually quit it. It is advisable to join a cessation program as they help in overcoming with Chat Doctor. I hope this help swish you a very healthy life ahead." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Due to some problem I was abortion two times 4 yrs ago, Now I am 33 years but failed to pregnant. But HSG eport is normal and doctor suggest to serial follicular study. Is it painful ? Please tell me about the follicular study and possibilty of pregnancy.", "output": "H\u2088, follicular study is not painful. It is done by ultrasound. You have to go through repeated ultrasound. It will tell you if your follicles are growing or not. When follicles reach a size more than 17 to 18 mm, injection will be given to rupture the follicles, or it may rupture on its own. It can be confirmed on ultrasound. So, if rupture is happening it means you can try naturally. Be in contact with your husband every 2 to 3 days after your periods stop. Hope I have answered your question. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I m 42 years old/ femail. I got a pain in abdomin followed by the urge to vomit - but I didn t vomit- then diarrhea came- then by night I got chills then high fever. I was diagnosed by a doctor in Egypt, took medication (sterptoquin- nifuroxazide 200mg- protozole )& antibiotic (cipro floxacin 500), for a 7days, in the middle pain was localized at upper right abdomin, ultrasonic didn t show any ubnormality except a mild urinarry bladder thickening which suggests inflammation.... I got better but not 100% normal.. Then after stopping my medication, 5 days later, I got another pain and diarrhea repeated!!! Stool & urin analyses are normal except 10-12 pus in stool! What shall I do? Doctors in egypt just want me to repeat antibiotic. Any lab investigations required ? Or any guide lines? Shall I take same medicine again???? Why? Also is (flagil) important in my case? Another note: I started to have a mild bearable pain in both kidnies- doctor said we can wait & watch. Thanks Sahar", "output": "Hello Sahara and thanks for the query have pus cells in your stool which indicates that infection still persist that's why you are getting symptoms back. Your doctor is right, you need more antibiotic for getting rid of it. But which one so that you won't get it again? In my opinion you must go for stool and urine culture examination as you are getting pain in kidney also. Start your antibiotic according to the culture report so that you get the antibiotic which is effective on that bacteria. Take high fiber diet and keep yourself HY Chat Doctor. Take paracetamol in case of fever. Hope this will help you. Best Wishes" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been suffering from pain for about three years now. I sometimes have to resort to taking pain killers to manage it. The pain is located around the lower right side of my neck, down my shoulder and under my right shoulder blade. I have seen two doctors about it, one is an internist. They dont seem to know what is causing it and seem to be reluctant to think it is anything but psycological. The internist, after looking at me for ten minutes, suggested it was localised fibromyalgia. They also keep thinking I am somehow addicted to the pain killers when I only take half the dosage prescribed 2-3 times a week. I am very confused, frustrated and I dont know what to do. I have tried physical therapy, message therapy, hot or cold pads, resting, exercising. It seemed to make the paid worse when I attempted them. If you have any suggestions I would be extremely greatful.", "output": "Hi, Thank you for asking Chat Doctor. I have gone through your query. Cervical spondylosis should be ruled out in your condition. Nerve compression from that can give such type of pain. X-ray cervical spine followed by an MRI if needed can rule out that. For such cases I treat with NSAIDs like diclofenac, muscle relaxants like cyclobenzaprine and neurotrophic Chat Doctor. I also send them for physiotherapy along with this. Cervical traction and collar will be helpful also. But if that is clear and there is no local findings then it can be treated as fibromyalgia. I usually treat with amitriptyline or other anti depressants. Hope this may help you. Let me know if you have any further queries." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My wife has had her picc line in for three months now and every thing has been pretty normal with it until last week. She was vacuuming and felt an odd pain in her chest that has happened about once a day ever since. Is this something we should be concerned with?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, we should first rule out cardiac cause for her chest pain. So better to get done 1. ECG 2. 2d echo. If both are normal then no need to worry about cardiac chest pain. Musculoskeletal pain can be the cause for her pain due to exertion with vacuum. So avoid heavyweight lifting and strenuous exercise. Avoid movements causing pain. Apply warm water pad on affected site. Hope I have solved your query. Wishing good health to your wife. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have an ache in my shoulder. It goes at an angle across and down the back of my arm . It is an annoying ache. It has been two months and I ve gone to the chiropractor a few times and it has improved some. I wonder if it is bursitis. I have been taking ibuprofen almost everyday since Can you give some suggestions. It bothers me most at night when I ve been in bed for a couple of hrs.", "output": "Hello there. I have read through your question and would like to tell you that the pain you are having may be caused due to bursitis or cervical spondylosis. A blood investigation like ESR and CRP along with an X-Ray of the cervical spine will help to make the diagnoses. Meanwhile, you should rest the affected area. Apply ice packs. Take an anti-inflammatory like diclofenac to relieve inflammation. Continue with the physiotherapy. I hope that answers your question. If you have any further questions please feel free to write. Thank you for choosing Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My sister and I have the same oddity. We both have discovered we have 3 small holds starting at the top of our buttocks crack and spaced about 1/4 of an inch apart. The largest hole could fit a round toothpick in it. And from time to time it brings on the most incredible RIGHT NOW ITCH! And then drains with the consistance of runny yougrt. In a tanish color with the most putrid stench! I try to drain it daily as I shower. I can feel a small pocket inside about the size of my pinky tip ( 1st joint ). Once while draining it, it flipped over my tail bone and LITERALLY dropped me to my knees in the shower! My sister s Doctor told her it was her Anel Gland. And that her s drains outside her body. Is this possible? Do we indeed have anel glands like animals? What the heck is this? Do you have any idea? Please help? Embrassed.", "output": "Welcome to ChatDoctorI appreciate your concerns for the itchy holes with puss. I have gone through your problems described in your query. I am of the opinion that both of you might be having fistulas in ANO. A fistula-in-ano is a hollow tract lined with granulation tissue, connecting a primary opening inside the anal canal to a secondary opening in the perianal skin. Most fistulas are thought to arise as a result of infection of the anal glands with resultant abscess which is recurrent in nature. You are therefore advised to consult a surgeon for proper examination and relevant investigations like histogram which is done to find out the extent of the tract between the two openings. The fistulas have to be removed surgically with total excision of the tracts to prevent recurrent infection. Surgical removal can only be attempted after the infection has been controlled with a course of appropriate antibiotics. Hope this answers your query. A feedback is appreciated." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "In 2011 I had a blood clot in my upper left arm that resulted in an direct hospital admission. I walked around for 10 days before the clot was diagnosed despite me telling doctors something was wrong. My health went downhill since the clot. I have left side weakness & tingling all the time, left side stays sore, & just recently I had to have my lymph nodes removed from my left armpit. Ive never had any injury or infection to my arm (one of the questions the surgeon asked). Could the blood clot have cause this much damage to my body?", "output": "Hi, A blood clot in the arm would normally not cause such problems. The lymph node enlargement might be due to some other reason and the fact that it has been removed and will be examined under the microscope tells us that there is a good chance of finding out what is the cause of the lymph node enlargement. If there is tingling and weakness of your left side then you might want to tell this to the Physician who is taking care of you. He/she might suggest brain scans to rule out blood clots. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Doctor,I am 25years old male.I have hairfall problem since last few years and I have consulted a dermotologist for the same. He prescribed me with finepecia(propecia) 1mg daily and Minoxidil 5% topical solution twice daily. But, I heard that propecia has lot of side effects including sexual disorder. Please suggest me whether Its safe to continue with the prescription. I am really confusedRegards,suresh", "output": "Hi, I can understand your concern for side effect of finasteride related to sexual performance. Finasteride is wonderful Chat Doctor. Any medicine is likely to have one or more side effects. So, take it easy. I use finasteride in many patients from many years. Not a single patient has complained until now any side effect of finasteride. So, do not be confused. Take it without fear for few years or till the good result. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Why did gargling with salt water make the roof of my mouth bleed? When I spit the water out I noticed blood...I got a flashlight to look in a mirrorr and the roof of my mouth was bleeding...the reason I gargles was because I had white bumps in the back of my throat. Why did it bleed?", "output": "Thanks for your query, I have gone through your query. The bleeding from the mouth could be because of the gum infection which causes bleeding from gums. The other causes could be any break or cut in the mucosa or any bleeding disorders like thrombocytopenia. Consult your oral physician and get your teeth cleaned and get complete hologram done including BT, CT, INR to rule out bleeding disorder. I hope my answer will help you. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, me & my husband is 32 & we both are trying for baby since 14 months......... complete hormonal profile is done, Ovulation studies and follicular monitoring is done, my husbands semen analysis is done &Also HSG, Hysteroscopy and laparoscopy is done.........and doctor said everything is absolutly normal..........try on every alternate day from 8 day to 26 day...........can we take Fertisure F for me & Fertisure M for my husband.", "output": "Hi, Welcome to Chat Doctor. As all of your investigations are normal, your case fits into the definition of unexplained infertility. Most effective treatment for it is super ovulation (stimulating multiple follicles with tablets/injections) with GUI. Feature tablets may help in conception but how much they will, is unknown. Better option as I told is super ovulation with GUI. Wish you good health. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I can t seem to get adrenaline based excitement from movies or games anymore. Which according to google means I could have anything from hypoadrenalism to ADHD to borderline personality disorder. However, I have actually been diagnosed with autism. How do I treat this?", "output": "Degree understand your concerns went through your description. I suggest you not to worry much. From the given details, I can surely suggest that You should not over read google. You are not getting you a Chat Doctor. Please do not over read into these simple symptoms. Concentrate on your studies or career. These symptoms are not connected with autism. If you still require my services on this aspect, you may post a direct query to me on this portal. Please include as many details as possible. I shall provide psychotherapy treatment tailor made for you which should help you good. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hii, i had my large fibroid surgery on 20th oct but it is now postponed due to high sgot and sgpt levels on 18th oct. i had been prepapring for dis surgery since last 5 months, i ve also taken 3 doses of zoladex 3.6 mg. how do i reduce dese levels so that my surgery can happen in next week?? i am a 27 yr old unmarried female.", "output": "Hello Miss. Ankita, I have gone through your problem. You have mentioned that your GOT and SGPT levels are high. You didn't mention any of your complaints like fever, abdominal pain or vomiting. GOT and SGPT are liver enzymes present in the liver cells (Hepatocytes). When there is destruction of the liver cells, these enzymes are released into the blood circulation. These high levels can be seen when we get a Liver function test done to the patient. Now you need to know the reasons for liver cell destruction. Some common causes are1. Viral hepatitis2. Cirrhosis of liver3. Alcoholic hepatitis Usually in viral hepatitis the liver enzymes will come back to normal after few days of conservative treatment. But in Alcoholic hepatitis and cirrhosis of liver there will be continuing liver cell damage and so these enzymes may be persistently elevated. You need to consult your physician or Gastroenterologist and get his advice. You need further evaluation with an Ultrasound scan of the abdomen to look for the status of Liver and gall bladder. It's always safe to avoid surgery till the liver enzymes revert to normal levels. Wish you good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had a persistent cough for over two months with drenching night sweats for about a month and a half. Within the past few days I have noticed a small lump in my armpit. It doesn t bother me other than itching constantly! I ve had two clear chest X-rays, negative ppd test and been on two rounds of antibiotics and a steroid ... What could possibly be the cause of these symptoms???", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have tuberculosis of lymph node or reactive lymph node enlargement. You should go for fine needle aspiration cytology or biopsy. It will give you perfect diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I recently had Scabies, and think I ve gotten rid of it, however, when my mucus drains into the back of my throat, it gets stuck, not matter if i drink something afterwards. when i try to spit it up, it s simply clear mucus with pieces of white stuff. I ve lost my appetite, and have a headache. I m nauseous and slightly dizzy as well. What is going on? could is be the Scabies still?", "output": "Hello, THX to contact us. If I am your treating doctor I would like to advice you that scabies is antiparasitic infection. It is common in people living in dense atmosphere like hostels, military houses. You should think of permethrin for the treatment. All the candidates of the house should be treated simultaneously. Apply permethrin from below head up to toe. All the clothing of the home should be treated at all combine. I think the symptoms you have mentioned is because of eosinophilic which has resulted because of scabies. Even if you have treated by scabies eosinophilic may persist for some time. I advise you once take the DEC Chat Doctor. Also take small dose prednisolone for a week period. I think all your problem will be solved. If you have anything else to ask please contact me. Than. Chat Doctor" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am having vitiligo disease in my body parts. I am 55 years old man had under gone operation for pitutiory macro adenoma during 2002 and taking madecins like Eletroxin 1.5 mg daily and wyslone 5 mg on altranate days. I want treatment for my vitiligo disease.", "output": "Hi, Vitiligo is an autoimmune and partly genetic skin disease. It is a harmless condition. Patient does not have any debility except cosmetic look. If you do not feel bad with this pigmentation, you may avoid treatment. If you want to take treatment, you consult dermatologist. He may examine you thoroughly, and then he might decide the strategy of treatment according to the severity of the disease. Trimethoxsalen, levamisole, bavchi.etc. may be given to you by your doctor in proper dose. Psoralenoint or lotion, decapeptidelotion, tacrolimus point or pimecrolimus cream...etc. may be applied on the patches. Recovery takes long duration, so you should keep patience. I hope you got my answer. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "As a diabetic with mildly high sugar (usually in the range of 99-105 before meals, 110 two hours after meal) I have discouvered that AFTER eating a candy bar, or some other sugar laden product like cake or pie, that my sugar lever actually goes DOWN, to around 80 - 90, and will remain so until my next meal. Why is that???", "output": "Dear Friend, greeting s from Chat Doctor . I think it is due to excess secretion of insulin .... at a time over loading glucose is not good you are straining beta cell s for more insulin . You need to consume those foodstuff which will maintain glucose slow and in a constant rate . Like proteins and low glycemic index d foodstuff . Take more of fiber rich food like green leafy vegetables, fruits (not juices with sugar) sweets if u need to take . Those which are made up of artificial sweeteners or ask for sugar-free sweet s . Do exercise at least walk for an hour a day . Take the medications in time. All the best . And do contact for more queries . Thank s" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my husband is in the hospital with a collapsed lung secondary to stage IV non small cell squamous carcinoma. The doctors told us he also had a \"mild\" heart attack during the lung episode. It showed up in blood work. What would that be and what is the number I should be concerned about. Thank you!", "output": "Hi, Thanks for writing in. A patient having a cancer can also have a heart problem and the two being unrelated if that was there from before or can be a recent development after the cancer. The heart is a biological pump and helps in pumping blood to other parts of the body. It might happen that he previously had a coronary heart disease which led to decreased blood supply to the heart and when he had a collapsed lung, this problem aggravated, and he suffered a mild heart attack. The heart gets weaker with age and since your husband is having cancer and has been getting chemotherapy, some medications can also cause side effects on the heart. You should discuss his echocardiography findings and cardiac enzyme test report with the treating doctor. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Knee is sore when touched, pain is in the middle below the knee cap. I experience a severe sharp pain when i bend my knee while standing up. I first experienced it this morning when i got out of bed. It does not hurt when i walk straight legged or when sitting down.", "output": "Hi I am Chat Doctor. Anyway for now you may start icing it for the first 48 hrs, topical gel, Advil tab twice per day after meals, acetaminophen tab three times per day is helpful, elevating the leg and the avoidance of vigorous actions and trypsins or diclofenac is effective with the swelling and will free the joint mobility. Hope the above information helps you, Thanks for writing into Chat Doctor. Any further clarifications feel free to ask." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am having this sever neck pain, back pain,pain in my inner thighs...also I feel like my head is spinning and I might fall if I dnt get the support of something.also I fail to hold even a cup of tea and plates irrespective of the temp and weight and it feels it will fall down from my hand. my age is 26 I am male and my weight is 58kgs and blood group is O+. I dont have Migrane problem only", "output": "Hello, Medical conditions causing such symptoms are commonly slipped disc, cervical spondylitis & vertigo. Get physically examined by a GP. Get blood & Imaging tests done to detect the pathology causing you such discomfort. You are suggested to get Blood tests, X-Ray & MRI done to rule out arthritis, inflammations, ligaments, tendons & blood vessels, tumors, degenerative disc disease, slipped disc, spinal stenosis, cervical spondylitis, etc. Your treatment will depend upon the pathology detected. In the meantime take NSAIDs for pain relieve. Since you are having dizziness do not Chat Doctor. Get your ears clinically examined. Get audiometry test done, if pathology is detected you will be treated with medicines or surgery. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, im 37 male, 5,11\", , i had sarcoid in my lungs feb 2009, was on prenisalone steroids for 2 years, since off them i have been ok, but in the last year i have been breathless and tightening in my chest, i also find it very hard to breath after and dureing sex, i am very frusterated and worried. can you help me", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Possibility of either inertial lung disease (OLD) or bronchitis is more in your case. Both are common in acidosis patients and both cause breathlessness on exertion. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. HRC (high resolution CT) thorax. 3. PUT (Pulmonary Function Test). HRCT is must for the diagnosis of OLD. PFT is must for the diagnosis of bronchitis. You may need inhaled bronchodilators and inhaled corticosteroid (ICS) and anti-fibrotic Chat Doctor. So better to first diagnose yourself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, my name is LaShan Lewis, I have been a customer service representative for over 12 years and I am finding it harder and harder to take calls all day long. I have been looking for some other form of work but haven t found anything that can support my family, like my current job. I am struggling mentally at work and looking for help. What would you suggest?", "output": "Hi LaSh an Lewis! Welcome to Chat Doctor ! I have gone through your query and understand your concern towards stress at your workplace. I can suggest you to try to find some solution that can help in the present job. Furthermore, I can help you to get relief from stress through some stress relief techniques like Chat Doctor. In the meanwhile, you can start on medication i.e. antidepressants like Escitalopram, which would help in dealing with your current situation. Hope this information is helpful. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 3 yr old daughter took amoxicillin for 7 days and then broke out into a rash. She saw the doctor and she advised that she needed to take benadryl. This has helped her upper half but her legs are now turning black. Can you please assist on why this would happen?", "output": "Hi, Welcome To Chat Doctor & Thanks For Asking Your Query Here Some children are allergic to amoxicillin and Most probably it is allergic reaction to amoxicillin However rashes will take some time to go completely but as you said that legs are turning black so either the allergic reaction is still undergoing or there are some other medical conditions which may causing bruising (some times low platelets count due to some underlying medical conditions leads to bruise under skin and needs medical attention)so I would strongly suggest you to see Your Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am having severe pain in my ankle area. it is on the medial side of my foot and happens to both feet on occasion. today it is my left. When I touch the area, it feels like tendon or ligament and it HURTS severely to touch it. This all started after I had Knee surgery a couple years back and then had a back injury (slipped disk) lumbar 4, 5. The pain and discomfort will hang around for a day or longer and then disappear just as quickly as it showed up. Any ideas what is causing this?", "output": "Hi Thanks for your query and Welcome to Chat Doctor. I am Chat Doctor. Your symptoms could be due to certain causes :- Tibialis posterior dysfunction- Entrapment neuropathy-Pain from spine etc a proper examination is required. If you can send me a clinical pic of the affected site, then maybe I can see and then advise you accordingly.Also, kindly send me your latest blood test reports and any radiological investigations done by you.Meanwhile, if there is only pain with no other s/s of inflammation or infection, then you can start with a gentle anti-inflammatory medication as per your bodies suitability, physical therapy initially in presence of a physical therapist, Ice packs if your pain is acute and severe, and come BAC to me with details so that I can see and then advise you on this. Do not hesitate to contact me if you need any further assistance. You can also discuss your case and treatment plans with me in a greater detail in a private consultation. Thanks & Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Why do I always end up with a horrible gagging cough with a chest cold? I dont just mean coughing but literally I start gagging before I start coughing and then it becomes a coughing fit with several violent dry heaves and trouble catching my breath. How can I prevent this from happening? I also become asthmatic due to my colds.I am 41, non-smoker with no cardiopulmonary issues other than Orthostatic Intolerance.", "output": "Hello dear, The symptoms can be attributed to bronchoconstriction (obstruction of smaller airway passages) which is indicative of Hyper-responsiveness of air passages (seasonal allergy or asthma)Management consists of:1. Stalin inhaler-provide symptomatic relief by causing bronchodilator (dilating the smaller airway passages, relieving the obstruction & increasing airflow to lungs)So, you can use it whenever you are having an acute attack.2. Montelukast preparations- used as a maintenance therapy to relieve symptoms of seasonal allergies & asthma.3. Antihistamines can also be used to provide symptomatic relief.4. Protect yourself from exposure to cold, dust or other allergens. Wishing you a good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a reaction to a bite (not sure what kind) that caused me to break out in a rash. One place blistered and looked burned. I went to the doctor and received a steroid shot, an antibiotic shot and a tetanus shot.I was prescribed a steroid pack and an anitbiotic. Today would have been my last day to take the antibiotic (10th day). A couple of days ago I started breaking out in a rash on my back, around my breast, my armpits, and around my stomach area. I am itching like crazy. Is this a reaction to the medicines or should I go back to the doctor to get this checked out? Thanks.", "output": "Hi there, thanks for writing in. I think that your reaction is most likely related to the medications (and very possibly either the antibiotic or the steroid), but it is difficult to tell without seeing it in person or knowing what the antibiotic was. Steroid induced rash is a common side effect, as is a delayed hypersensitivity after a course of antibiotics. I recommend that you do return to your doctor and have it looked at, so that you can hopefully identify what caused it, so you can avoid it in the future. I wish you the best and hope my answer was helpful to you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Dr. Keerthi. My husband had a traumatic head injury 20 years ago and was in a coma for 20 days. The injury left him with a limp in his walk and memory problems. Four years ago he had a stroke whicChatDoctorplicated his recovery. He is now unable to walk and has severe aphasia. The doctors are saying he has advance volumn loss in his brain. Could it be that this advance volumn loss and age related neuronal attrition is what is complicating his recovery. Thank you for any answer you may have.", "output": "Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. Question : Could it be that this advance column loss and age related neuronal attrition is what is complicating his recovery. Answer : Yes. The Volume Loss and Age Related Neuronal Attrition are the cause of slow and delayed recovery Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in Chat Doctor at http://bit.ly/ask" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello, I am inquiring on behalf of my dad you just had a biopsy today... told there is a tumor on his 3rd rib, right side. he has lost almost 20lbs, is on pain killers, loss of appetite in a very short period of time, maybe 2 months, what could this mean?", "output": "Thanks for your question on Chat Doctor. In my opinion he should get done PET SCAN to identify the rib lesion and distal spread if occurred. Also get done biopsy from the lesion. Biopsy will be the diagnostic test to confirm cancer. His all symptoms like weightless, pain and mass all are suggestive of cancer only. So we need to get done biopsy to confirm the malignancy. Mostly it is Chen Chat Doctor. Treatment is based on staging and for staging PET scan is must. So better to consult oncologist and discuss all these." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hey I m 20 years old and 29 weeks pregnant. I suffer from severe anxiety and it has become a lot worse since my cousin passed away on the 19th of last month. I have been having pain on the left side of my chest just under my breast and I m not sure if it s my heart or just my ribs also it feels like my stomach is rumbling but near my heart I also have palpitations where my heart all of a sudden has one big beat and feels like its going to beat out of my chest sometimes they are so bad it makes me jump out of my seat also when I listen to my pulse sometimes it sounds like it stops for a second (skips a beat) and then beats as normal. I went to the hospital last week and had an ECG which was fine. Do you know what this could be? Is it possible there is something wrong that the ECG didn t find? I am quite worried about this. Because of my anxiety I have lots of strange thoughts. I think I m always going to die and I find it extremely hard to sleep at night as I think if I go to sleep I won t wake up. I don t feel myself because of my anxiety. I feel light headed all the time and I find it hard to feel normal I always feel like there is something wrong with me.", "output": "Hello! Thank you for the query. According to your description, you probably suffer from heart arrhythmia. This is a condition when heart spontaneously beats irregularly. This is a very common heart condition. In most cases hearts gives an extra beat from time to time and after that beat, there is while for the heart to come back to normal rhythm. This is what you find a lack of pulse for a while. Such condition in most cases is harmless however it should be diagnosed, and it is necessary to find what kind of arrhythmia it is. Moreover, pregnancy is very often associated with heart arrhythmia, and so is anxiety. So we can find pregnancy, anxiety, and ions shortage (especially magnesium and calcium) as an often reasons of such condition. Short ECG can not find it, you should have Holders 24 hours ECG, it should tell if and what type of arrhythmia you suffer from. To ease your symptoms it is advisable to have magnesium supplementation and visit psychiatrist if you can not deal with your anxiety. Hope this will helpRegards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband has an infection in his left foot which was being treated with sulfamethoxazole/trimethoprim tablets 800/160mg. It appeared to have cleared up and medication finished when it came back. Between his big toe and next toe it is filling up and oozing. My husband is a diabetic so he does not heal well. He couldn t get into the VA today nor tomorrow so I was wondering if my amoxicillin 875mg tabs would help him til he can be seen by his DR.", "output": "HelloWelcome to ChatDoctorThanks for posting your query. I understand your concerns. As your husband is a diabetic patient, his wound healing gets delayed due to decreased due to various factors like impaired microvascular circulation, which limits the access of phagocyte cells to the infected area and results in a poor concentration of antibiotics in the infected tissue. You can give him amoxicillin capsules for 7 days along with the regular Chat Doctor. You should keep the wound " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i ve been having what seem like skipped heart beats... They happen as much as 3 or 4 times a day sometimes. i m only 28, but i haven t always been the healthiest... I m not over weight but i did drink alot in the past. Could I have damaged my heart?", "output": "Hello, Your symptoms could be related to anxiety. Anyway, I would recommend performing some tests (a resting ECG, a complete blood count for anemia, thyroid hormone levels for thyroid gland dysfunction and blood electrolytes for possible imbalance). An ambulatory 24-48 hours ECG monitoring would help examine your heart rhythm trends for a prolonged time and exclude possible cardiac arrhythmia. If all the above tests result normal, you should consider anxiety as the main cause of your skipped heart beats. In the meantime, I would recommend reducing caffeine and alcohol intake. Hope to have been helpful. Let me know if I can assist you further. Wishing you good health. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My frenulum ripped during intercourse and after a short time, I pulled out and noticed a lot of blood. My wife is concerned about my blood inside of her. I do not know my blood type, but hers is O positive and she s scared that my blood can t mix with her.", "output": "Hello,It is possible for the frenulum of the penis to get injured or tear during sexual activity. The bleeding is not much significant unless there is injury to the regular artery. Healing usually occurs within two weeks. But if there is no evidence of healing, then you need to consult your Doctor. Also make sure that during intercourse in near future, you are using lubricant & being gentle, then injury can be avoided. I would suggest you to take some antibiotics like Augmenting twice daily and apply topical antibiotic ointment locally. Avoid any sexual encounter till it heals completely which may take 1-2 weeks. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI,,My friends fiancee showed very abnormal behaviour three days before her wedding.She stopped talking or interacting.On the day of her wedding she was in a trance, failing to say her wedding vows or recognicing the groom or acting normally to any of the guests.After the ceremony her parents told she had this problem once 3 years ago and it is ony a panic attack.She was medicated on the wedding day and had taken respiredone.My friend has decided for marriage anullment,Its been 3 months, Now the girl is normal, asking to take her back. Is this a erious problem? is this heriditary?", "output": "HiT hanks for using Chat Doctor I think, she has either acute stress reaction or acute psychosis. Acute stress reaction improves with benzodiazepine only and could happen anytime due to stress. There is nothing to worry about in that case. In psychosis, patient needs continuous antipsychotic Chat Doctor. That could be hereditary. In that case, you need proper consultation of a psychiatrist. Rest, you can consult a psychiatrist and in case, you need further help, you can ask. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir, i m anupam verma , i have typhoid fever repeate again again ,we use medicine pan 40,paracetamol,oflaxin for this treatment , widel test 3 time positive but typhhoid not gone ,wat i done?????????????/ now this time i have fever my mail id YYYY@YYYY", "output": "Hello ANPAA Versa, Welcome to Chat Doctor. I understand your concern. Every fever after an episode of Typhoid is not a typhoid relapse. Tidal will not help in diagnosing a relapse because in tidal you are only checking the antibody levels which will remain high (especially H) for some time. You require having cultures done to detect the bacteria t say it is typhoid. You may contact me with full details of treatment and I shall be happy to guide you to treatment to eradicate and prevent relapse. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im on citalopram 20mg and have been for about 2 months (2nd time of being on it) recently ive been forgetting to take it only every couple of days ill possibly forget 1. ive been feeling worse than ever these past few days despite things going well with friends and work i was wondering if the missed doses being the issue or if i needed to up the dose? i know i probably dont need to up the dose but i just want/need something to sort me out and get me back to normal as soon as possibly as im just exhausted with feeling so down.", "output": "His admire your concern. Citalopram is antidepressant and use to treat mood disorder. It has short half like of 21 hours. So it can be possible that if you do not take it for one or two days then it produces with Chat Doctor. Though it is not common but yes occur in some patients. For this you have to take it daily or add low dose benzodiazepine to prevent such feeling if you forget to take it. The dose is appropriate and no need to up the dose. So continue to take same medicines and get well soon. If needed then consult psychiatrist for further assistance. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, i have enlarged lymph node on my neck, noticed one month ago , it s not painful, the latest blood test i have an elevated uric acid level, i have made CT scan last month and it came back that i had a gland over 1.4 cm in my left part of my neck and other smaller lymph nodes in yhe right. do they have a relation ? what are the steps for diagnosis & treating this type of swelling ? & what are the consequences or complication that may happen ? Shall i have to make an operation?", "output": "Welcome to Chat Doctor .1. No you don't have to undergo any operation at the moment.2. Enlarged lymph nodes generally have an underlying medical reason, chronic illness, infections / inflammations.3. First thing you have to get them in control and then the lymph nodal enlargement will go on its own. (first rectify your uric acid level)4. The criteria for enlarged lymph node is more than 2\u00a0cm AP (anterior-posterior) measurement. 5. So now take an appointment with your GP and get the underlying problems treated. Good luck. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Iam a 55 year old male just had cervical fusion from c3 to c7 before surgery took a fall stepping out of shower hitting back on side of tub in worst pain I ever had even more than triple bypass in 7/2010 went to emergency Room the gave me 325/5 codeine they are useless gives me hiccups have compression fracture at t11 am having leg weakness bowel problems lost about 25lbs of lean muscle now weigh 214lb 6ft tall told surgeon b4 neck could catch my breath abb pain and doubling over back pain they want to send me to pain management don t want to mask problems with drugs what should I do had mri cat scan it a fracture they said mild of superior end plate how can mild cause so much pain", "output": "Hellomild compression fracture needs no surgery and can be treated with a spinal Taylor brace wearing for 2-3 months during daytime, removing at bedtime to prevent forward bending, it will heal If you continue walking power in lower limbs will remain better and bowel movements shall also be better. For pain management your doctor may prescribe required medicines like tramadol or oxycodone or HY Chat Doctor. There is nothing to worry, displaced T11 fracture has virtual little chance for complications. Have faith and consults pie doctor best wishes" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hai i used nordette for the 1st time. and i followed the taking of 4 pills after unprotected sex then another 4 pills and just continuing the usage of nordette. im already 1 week delayed from my period. i have taken a preganancy test 14-15 days after my unprotected sex. and i just took another pregnancy test yesterday which was my 1 week of delayed. please help me what to do.", "output": "Hi there, and thanks for using this forum to pose your worry there are some chances of getting pregnant even after taking an emergency contraception. However, your pregnancy test result (which you didn't mention), should tell if you are pregnant or not. Also, hormones are able to disregulate your cycle sometimes. So if your test is negative, just be a little patient..., then if to no avail, see a gynecologist. Thanks for understanding" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, i have a thickened anterior mitral valve leaflet.i just want to ask if this can cause of my dizziness and palpitation? It s really hard for me to travel because of my dizziness. Even when im riding in a motorcycle i still feel dizzy and most of the time i vomit during travel.. I feel chest pain, palpitation. Before i vomit, i observed that i hiccup many times before i actually vomit. I also have menniere s disease. I really dont know what are tha causes of this. Pls explain it doc. Tjank you", "output": "Hello Welcome to Ask a Doctor service I have reviewed your query and here is my advice. Dizziness may have several reasons, but most common is vestibular dysfunction and Deniers disease, but it may not be due to mitral leaf let stiffness, only if the disease is in severe conditions, as a dizziness have many causes it has to be looked for another causes and for that certain tests are there that needs to be done, last is functional elements that also plays the great role in dizziness so try to come out of this. Hope I have answered your query, let me know for further assistance." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear sir ,I am 22 years old male height-5 6 , 55 kg from punjab (india) i have planned to take deca durabolin steroid plzz suggest me some important things which should i knw about this injection What amount of dose is sufficient for my body and what are its effects ?", "output": "Hi, Side effects of steroids include severe acne, hair loss, heart disease, such as heart attack and stroke, altered mood, irritability, increased aggression, depression or suicidal tendencies, blurred vision, early cataracts or glaucoma, papery thin skin with easy bruising, insomnia, decreased immunity, secondary infections, raised blood pressure, fluid retention, weight gain and increased growth of body hair. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my father is 83 years old and he was having pains in the lower back region since last so many decades. now that he has undergone oil therapy and also consumed many alopatChatDoctoredecines. but the pain persists. X-ray has bee taken and orthopedician has informed that there is spondalities in the region and advised to take a costlier injection. Can you Sir, please give the latest treatments for the ailment ?", "output": "Howell come to ChatDoctorI really appreciate your concern for your father if this is degenerative disease of the spine then such pain would be very likely some time this could be surgical condition and this need to be treated accordingly, if the NSAID is not giving much relief, so opioid can be tried but prior to initiate this patine need to be qualified for this, looking to age of your father there could be some functional elements that might be responsible for chronic pain, take care, have a nice day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "60 yrs old hardworking diabetic, started tribet 2 since 3 months. contracted hiv thru blood transfusion.diagnosed in may 2011.on Viraday since then. CD4 increased above 200 about 2 months back. wife passed away in may 2011 and also lost grandchild 2 days later during delivery. I suffered a shock (may be a stroke) and was not able to focus properly and admitted to hospital for 2 days in may 2011. Since then diagonosed with small clots in brain (right occipital lobe) thru brain mri since feeling numbness in left half of body. now taking ceruvin A, rozat f. 25% improvement. but after starting ceruvin A and rozat F for 2 weeks i am now suddenly suffering from high blood pressure 190/100,180/100 etc. I did not have high bp.taking staml 5 and losar h once in morning. What could have caused high BP? (Ceruvin A , Rozat f ????) Whats your advice please?", "output": "Hi, Certain A and Road f that you use for preventing further blood clot and stroke does not increase your blood pressure. In fact many studies show that they reduce blood pressure. There are 3 possibilities to your recent rise in blood pressure1. A new onset renal failure either due to HIV or blood clots in your renal artery or vein. You will need to do bloods for creatinine and urinalysis and also Doppler of renal artery and vein.2. There could be a new valvular heart problem that comes with age called aortic stenosis, so you will need to evaluated by physician for the same. He/She may want to do Echocardiography for the same.3. There is also a possibility that your blood vessels have become stiff with age called arteriosclerosis and thus causing hypertension. While you will need to continue your medications you will also need evaluation to find the cause for the same. Will be happy to review further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my mother-in-law is 84 with 2nd or 3rd stage dementia. she is complaining of heaviness in her chest like a weight is on it. doctor examined her but cannot find any congestive heart failure or related condtions. could this be due to GERD at the time she is complaining about this \"weight?\" we think she has \"burned\" her esophogus,", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Yes, possibility of HERD (gastroesophageal reflux disease) related symptoms is more. No need to worry about heart diseases as doctors have examined her for heart failure. HERD is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause symptoms of chest tightness, heaviness, pressure etc. So tell her to follow these steps for better symptomatic relief. 1. Avoid hot and spicy food. Avoid junk food. 2. Avoid stress and tension, be relaxed and calm. 3. Give pantoprazole tablet on empty stomach. She will mostly improve with all these. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother-in-law. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i dont know if you can help. i am pregnant and my last period was end of november witch would put me at around 6 weeks i went for a scan on 14th jan and they could only see the pregnancy sack and yoke but not the baby the lady said im probably 4 to 5 weeks should i be worried", "output": "Hi, I understand your concern. Absence of fetal pole at 6 week gestation of pregnancy indicates it's a chemical pregnancy/ blighted ovum. Where fetus is not formed, but only hormonal response like pregnancy occurs. This eventually is terminated automatically or by evacuation surgery. But before going to a conclusion, it's better to cross-check by a follow-up scan after a week at another USG center. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 5 year old daughter accidentally brushed her teeth with clearasil ultra acne cream. She spit it out right away and then brushed her teeth with the right tooth paste. The cream has long expired, as well. She is showing no sign of anything wrong. However, it is late and she is now in bed sleeping. I have checked on her once already and she is fine. Should I be concerned? What would the side effects be or signs that something is wrong? Thank you for your help! Nicole", "output": "Hi...as of now you need not worry. Nothing serious will happen. At the most she might throw up once or twice and might have some diarrhea too. But if she is waking up with tummy pain or incessantly vomiting then get her to the nearest emergency room. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. i have a breast mass which i discovered more than a year ago. Im afraid of surgery so i drink mx3 capsule. would it help remove the lump? last year i got pregnant and gave birth 2 months ago so i stop drinking mx3 but after i gave birth i found out that there are already 2 lumps in my breast, a new small mass was formed. would it possibly lead to cancer? is there any pill that will dissolve those lumps formed? what are the symptoms of breast cancer?", "output": "Hi, dairy have gone through your question. I can understand your concern. You have breast lump. It may be some benign lump, or it may be cancer. Chat Doctor. Symptoms of cancer are growing lump, weaknesses, weight loss mild fever etc. You should go for fine needle aspiration cytology or core biopsy of lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am 29 n married for 10 months. my cycle is 5-6/30 days n regular.according to my last medical report my doctor gave opinion as: non-grand normal size ovaries. both ovaries show multiple growing follical not more than 0.7 on either side. largest follical measuring 1.4 into 0.7cm.:i had taken inj.hmg massone inj IVF. c 5000 tab. Mc levo tab. Follic acid my doctor said that i am fine but why i am not getting pregnant? please help me my husbands report is also normal.", "output": "Hi welcome to Chat Doctor. I have gone through your question. Your both reports are normal is suggesting \"UN explained infertility\", I would advise doing follicular scan for next 3 cycles starting from 9/10 day of your cycle and see whether clicked are developing or not. If not then take some follicular stimulating medicines after discussion with your gynecologist. Hope I answered your question. Would be happy to help you further. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi there i have been diagnosed with viral myalgia and i also had an endoscopy that revealed helicobactor pylori. i had eradication therapy and after a stool test was negative, mild gastritis was also present. i keep getting spells of light headedness,dizzyness,and feelling really weak is this a syptom of the myalgia or the stomach problem for which im taking omeprazole 20mg", "output": "Hi, omeprazole doesn't cause dizziness.don't worry about that.continue the medication. H.pylori after a negative test is less likely to cause these symptoms.yes viral infection causes fevers, malaise , body aches headaches etc it is generally self limiting.you can take paracetamol for the symptoms to reduce.if there is severe body aches associated with weakness and change of urine color.you need to approach a doctor immediately. Hope my answer helps you if you have any more queries I would be happy to help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor, In 2011 ,October I had back pain and my doctor (ortho) diagonised it as IVDP 3487 (???)..I had taken bed rest for few days and he showed some excersices,which I did n practice once the pain had gone.(my mistake) Now again this pain came to me,with a needle pain in toe ,numbness feeling on legs,joints and back pain.. I had consulted with another ortho dr and he had prescribed a pain killer for 10 dys and told me to see him after 10 days.. just want to know what is my exact helth issue,is this curable..i am 35...and drives a lot..today i could nt apply accelarator properly after a long drive... I have uric acid issue also in blood and this fluctuates from 6-9 some times.Taking now medicine to control tht as well Need help/advice Thanks Rajesh Ram", "output": "Dear Mr. Rajesh, As your orthopedic doctor has probably rightly diagnosed you with a PIED (prolapse intervertebral disc), your symptoms are very typical. In simple words, it is called slip disc. Your long Chat Doctor. Just wanted to know if an MRI was performed or this was just a clinical diagnosis. Initial treatment is pain medicines and rest. If symptoms are not subsiding in 2-3 weeks, an MRI should be done (if not done already). Depending on the severity of the disc prolapse on MRI and your symptoms, further treatment could be an epidural injection or a microscopic Discectomy. This condition is very much treatable, safely. Recovery is almost immediate, and you can resume back to your normal life in 2-3 days, barring heavy activities. Hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi.. My father has been diagnosed with schwannoma tumor in left vestibule nerve. Neurosurgeon at Kolkata has referred to Dr.Shashank Kale, AIIMS, Delhi, for Gamma knife therapy. We want to book an appointment for Gamma knife therapy. What are the procedures?", "output": "Thanks for your question on Chat Doctor. Gamma knife therapy is newer kind of surgery. In which gamma rays are used to cut the tumor tissue. It is highly specific and less injurious to surrounding tissue. The cut made by gamma knife are very precise in dimension so over cutting of tissue and damage to surrounding vital structures are prevented. And this is the recent advance in brain surgery. So no need to worry much about this. It is safer than other techniques of brain surgery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "We had a home made chicken and dumplings lastnight at a friends, my daughter complained (three year old) of a stomach ache. Had a low fever, threw up at 2:30, and at 3 I was ablt to get some tylenol in her, still working on pedialyte. Should I be concerned as that there were also small chicken bones that I myself had to pull out?", "output": "Hello, It is likely that your child is suffering from viral gastroenteritis due to consumption of contaminated food, or water. There is nothing to be concerned about at this stage as she is accepting fluids orally, and minute chicken bones are less likely to cause any harm. I would suggest you keep your child well HY Chat Doctor. The use of medication for stomach cramps and vomiting is not necessary as most viral enteritis is self-limiting. However, use of mediate is an excellent way to keep your daughter HY" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had a sharp pain in my heel when I get out of bed in the morning, or when I stand up after sitting a while. It started 10 days ago, but got much worse today. Yesterday I walked the circumference of the mall 8 times, not wearing walking shoes (i.e. sneakers). I need a cane to walk. Is that the cause for the flare up. How can I relieve the pain?", "output": "Your symptoms sound typical of plantar fasciitis. it's a common condition related to footwear and aging. Basically the culprit is tight ankle flexors, i.e. the Achilles tendon. This leads to microtears in the plantar fascia especially where it attaches to the heel. The inflammation and further microtears from a tight Achilles tendon make the symptoms worse and worse.I would recommend:1. Anti-inflammatories to reduce the inflammation2. Regular Achilles tendon stretching. This can be either done by pulling with a towel (while sitting) or using your body weight to extend the ankle against the floor (standing, leaning forwards with straight hip and knees). Regular stretching exercises will relax the muscle and fascia, allowing it to heal properly.3. For very acute debilitating pain, an injection can be performed to numb the area and also reduce the inflammation. However it is the proper exercises are not performed after the injection, the symptoms will recur." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "excess mein means (hafte mein 2 ya 3 bar hasthmaithun) karne se kya aadmi sexually weak pad jata hai..,,,, iska hamari future mein sexual life par kya asar padta hai,,,,ise hafte ya month mein kitni baar karein taaaki insan ka future related to sex safe rahe, please clear my doubt,,........", "output": "Hi, Nothing to worry, masturbation is usual habit like thirst, hunger. So nothing to worry. Masturbation has not any adverse effect on your health or having bad effect in your future martial life. If you do not masturbate, semen and sperms are not deposited in your system. At regular interval it will be thrown in blood stream and will be excreted through urine. But I always tell keep your this habit in control. Ok and take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have my blood tested, it showed CRP positive (8.1) I am suffering from stiffness during night, migrating joints pain, jaw pain and throat pain continuously since 4 months. what should i do. I am 32 yrs, 65 kg of weight and 5 ft 3 inch height. I am taking medicine of arthiritis for a week. before that i took Neprosyn 250mg for 10 days along with meftal 500mg for 6 days, codilone 5mg for 10 days", "output": "Hi, dear. I have gone through your question. I can understand your concern. You have migrating joint pain with high CRP. High CRP suggestive of some inflammation in your body. So you may have some inflammatory arthritis. You need to take anti-inflammatory and analgesic Chat Doctor. Consult rheumatologist and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, for some time now I am experiencing abdomenal pain. Since then I have done abdomeba ultrasound twice, and both of those where ok. Now in past few days I am experiencing (comes and goes) sharp pain to the right of my belly button going all the way to the toes of my right foot. This is exactly same pain at the same time. I am also experiencing numb pain in my right leg. Hope I can get some feed back. thanks in advance", "output": "Hello, I am pleased to be able to help you with your health query and hope you will get some reasonable answer(s) from this forum. Abdominal pain especially on the right side of your abdomen could be as a result of one of a good number of causes notably appendicitis, nephritic colic (which may be due to a kidney infection, stone etc.), diverticulitis, IBS, colitis etc. You will need to see your primary care doctor to examine you, run some few laboratory tests and perhaps determine the cause. As for the pain radiating to the lower extremities, it is simply due to the pain from the abdomen, which is probably so intense that you feel it at your lower leg. You might require some analgesia and maybe antispasmodic Chat Doctor. Sincerely" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im a 14 year old male I found this lump under my scrotum but think its from chafing. What should I do? Oh and I also urinate every hour, I think its an anxiety disorder. Ive seen a Dr about it and take medicine but it doesnt seem to be helping What would u reccomend? Im not gonna pay to ask questions but if u have a solution please email me", "output": "Hi ! Good evening. I am Chat Doctor answering your query. The frequency of urination could well be due to anxiety disorder, but as a routine I would advise you to get your urine routine/microscopic test and a blood sugar test done to rule out any pathology. The lump could be a cyst (sebaceous cyst) if it persisted for a longer duration. However, it could be diagnosed only by a clinical examination, and so I would suggest you to visit either your family physician or a general surgeon to have a physical examination so that further management could be planned accordingly. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, Im 25yr old female, suffer from ulcerative colitis since 2007, last flare up April 2011, currently taking 4grams pentasa daily and probiotics. Recently experiencing lower back pain, feels almost like my bones aching. Could this be due to my colitis?", "output": "Hi, Welcome to Chat Doctor. After going through your query I think you are suffering from chronic backache. Treatment of back pain is exercises and analgesics (diclofenac SR). Sometimes strong analgesic(such as attract three times a day after meals) is required. Consulting with treating doctor is advised. Sometimes vitamin D deficiency is the cause so get your vitamin D checked. If it is low then vitamin D supplementation(weekly with milk) can be taken. Avoid long continuous standing. Sit in a straight posture. Eat milk, fruits and green leafy vegetables daily. This could be due to your colitis as colitis can cause nutrition deficiency. You need to do MRI TO RULE OUT other causes. I think your query answered" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I m a 43 year old male. I have an elevated ganglionic neuronal antibody. I was told by my neurologist not to worry about it. Should I be worried? What is normal procedure upon this finding? The antibody is .05 I have had unusual symptoms. Slight dizziness, low vitamin d2,low testosterone, arm weakness, anxiety, low libido. Are any of these conditions related to this antibody?", "output": "Hello. I understand your concern. The antibodies you have been found can cause a disorder called autonomic neuropathy. This is a rare condition, difficult to be diagnosed. The anybody level is not too high, but it is The dizziness, sexual dysfunction may be related to this disorder. The weakness too. But the level of testosterone and vitamins D2 are not related. Anxiety is not a common symptom but it fan be explained by autonomic dysfunction. I would like to know if you have had any problems with your blood pressure and heart rhythm lately. Or bowel dysfunction. These are common symptoms of this disorder. I agree with your doctor. You shouldn't worry about the moment. The treatment with imunosupressor is not worth, because you have light symptoms. And the side effects of this therapy are severe. Hope to have been helpful. Thank you for using Chat Doctor. Best wishes Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my name is nancy I have a server pain top of my shoulder left one geart doctor says heart is good it like the pain sets on my shoulder a little towards my neck tried muscle rub heat pack andbicebpack no pain down my arm pain stay right at the top of my arm sitting in the area where my bra strip go cross can you tell me what u t u think is the problem could be sometime hard to lie on that side or roll over thank you", "output": "Hi, thank-you for providing the brief history. As per the history I don't think this is a cardiac issue. It is more of muscular pain. I will advise you get thorough tho clinical examination done along with MRI of the cervical spine. This looks to me more of a nerve impingement and trapeziums. As most females suffer the similar symptoms of trapeziums and due to which top of the shoulder pains. With the help of physical therapy - like therapeutic ultrasound therapy and TENS therapy the pain and inflammation can be reduced. Using a myofascial release technique will release the spasm of the muscles as well. Exercises on a later stage will help improve the muscle strength and avoid nerve impingement to have better functionality of the Shoulder. In my clinical practice most patients respond well to physical therapy and full functionality is achieved. Regards Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I took vitcofal 2cc injection yesterday on my buttocks and have also been advised by my Dr.to take Cap.RejunexOD once a day for four months.Injection is to be taken once a week for five weeks.This was due to my B12 recording 138.Pain in the buttock still exists and there is a fear of taking the medicines. Pl. advise.", "output": "Dear patient Post injection pain in your buttocks is common and is due to mild inflammation. It subsides within two to three days. You should apply ice packs at local site of pain. You can take tab ibuprofen 400 mg thrice a day for pain relief. But if there is redness at buttock with fever infection is possibility and In that case visit to you physician is recommended. If you don't want to take injection oral medications are also available. Only it takes longer time to correct vitamin b12 deficiency. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Daughter has akathesia caused by reglan and compozine. This has been on going for one month. it has caused disassociation, anxiety, memory loss, tremors, out bursts of anger. looking for help on how to treat her. quality of life poor, never had issues until those meds were given.", "output": "Hi, Thanks for choosing Chat Doctor. I have read your query carefully and understood that your daughter had taken Raglan (Metoclopramide) and Comparing (Prochlorperazine) (?? Dose and duration) and now she is having symptoms suggestive of akathisia since last one month. I would like to let you know that both the Chat Doctor. And akathisia is a rare side effect of both of them. It can be treated with B-blockers (like propranolol 20-40\u00a0mg/day) and a benzodiazepine (like clonazepam 0.5-1\u00a0mg/day). But the patient needs to be evaluated by a psychiatrist before starting those medications to identify the cause for its onset in the patient and the cause for its prolonged duration of side effect. Hope I answered your query, let me know if you need any further information. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I woke up this morning with knee pain. I haven t knocked, banged or twisted it and found it painful to get out of bed and weight bear. It was sore to touch and got more swollen throughout the day. Little bit warm to touch. Do you think it could be gout or bursitis?", "output": "Hi, I appreciate your concern. Painful and swollen knee, without any injury or twist, appears strongly a case of GOUT, or its variants.I always investigate my such patients for blood test, joint fluid aspiration and testing, to confirm the desease.in the meantime, immobilization of knee in splint, ice therapy, and safe painkiller may make u comfortable, as per advice of your family doctor.thanks. Iwill be happy to answer any further quarry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "A concussion? My four year old fell an hit her forehead yesterday afternoon. We took her into see her pediatrician and was told she was okay. Today she has a fever of 103. She has had a cold for a couple of days, so initially I assumed that was it, but now I am worried. Should we take her back in to see a doctor?", "output": "Hi... Thank you for consulting in Chat Doctor. I understand your concern. First be reassured that your kid is normal. I will suggest you danger signs of head injury -1. Vomiting continuously2. Seizures3. Watery of bloody discharge from ears and nose4. Unconsciousness5. Altered sensorial or behavior. If none of them are present, I don't think you should worry about his trivial head injury. For pain or fever you can give oral Paracetamol in the dose of 15\u00a0mg/kg/dose(max ceiling dose 500\u00a0mg) every 4-6th hourly. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, my wife is 15 weeks pregnant. Today she saw some blood. Actually not blood. Its like black color. It was for some 2-3min. then it was vanished. Doctor prescribed her mirogest 200.I want to know more how to make her and baby safe. By the way, we got twin. So please assist.", "output": "Hi, Thanks for the query. Black spotting at 15 weeks suggests Chat Doctor. Doctor has given mirages pills to prevent fresh bleeding (mostly its due to hormone deficiency. Replacement helps) I would suggest USG pelvis . To exclude any fresh lesion./low-lying placenta./ high blood pressure Bed rest till fresh bleeding is excluded/ avoiding physical or psychological stress. Avoiding sex. Once the cause is found doctor would give fresh instructions. Till then take care. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have had thrush for close to 6 months and have been told by my doctor to take an anti thrush tablet and pessaries and also to apply cream. nothing has been able to get rid of the thrush for good so far. can you advise anything? can i change something in my diet?", "output": "Welcome to ChatDoctorI have read and understand your query hope this will be useful would prescribe my patients who have such chronic persistent vaginal thrush, an oral antifungal once weekly for at least 6 months to completely cure the thrush. As in your case you are having the thrush for 6 months which has not relieved with bouts of antifungal pessaries and tablets.I would suggest you take a fluconazole 150 mg once weekly for at least 6 months. You will be good in no time hope this would help you. You can reach me anytime with any other queryRegards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have an abcess on a tooth but have noticed a lump on either side of my mouth on the top of the inner cheek. the lumps are flesh coloured soft and don t hurt. should I be worried. I only noticed them this evening. there is also a tender part of the gum/cheek at the back between the top and bottom layer of teeth although I m not sure if this is related as it is not near the lumps.", "output": "Hello and welcome to Chat Doctor forum, according to the dental history presented by you, it seems that you have a dental abscess which causes pain, swelling and pus discharge in some cases.I would advise you to see your dentist and get the tooth treated to avoid the infection from spreading to the surrounding tissues. Also, for the flesh colored painless lumps, it is better to see your dentist as he/she will check clinically and rule out the diagnosis, it may or may not require treatment.I recommend you to maintain proper oral hygiene, use a soft bristle tooth brush with any toothpaste of your choice, use interdental brush or a dental floss to clean areas between the teeth. Brush your teeth twice/daily and floss once/day, kindly follow these steps to prevent plaque formation, which in turn will keep your mouth free of oral problems.I hope I answered your query, i wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have a couple of hard lumps growing deep in my penis, one is the size of a BB higher up but deep in the flesh, the other is much larger and I think it is partially blocking me from being able to pee. Thank you for any help, I can t find anything on line", "output": "Hi, Possibly that can be a.lymphocyte. He has a hard swelling that suddenly appears on the shaft of the penis. It happens when the lymph channels in your penis are temporarily blocked. The swelling should soon subside and won't cause any permanent problems. Kindly visit your physician for a further investigation like ultrasound to rule out the pathology behind the lump. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "g.evening, i am a live in carer for a 100 yr lady. i have to lift her in and out of bed, for she refuses to use a hoist. i am experiencing terrible back ache and developed painful varicose veins around my ankles and legs. is tere any treatment or exercise to relieve this?", "output": "Hi there. First and foremost I would advise you to stop lifting the patient like the way you do. That is the most dangerous thing you can do to your back. Stopping this will relieve most of your pain. Take some time off and get ample of rest for back pain recovery. An anti-inflammatory and muscle relaxant like Etoricoxib-MR will aid. As for your curiosities.....start wearing Venous Stockings at all times. Calf pumping exercises are the best. In extreme cases if all remedies fail then surgical stripping of veins if the only resort. I hope my advice has helped Good luck" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am 64 yrs old having two stones in my right and let kidney around 7mm and 5 mm stone in my right and left kidney and both are silent stone I have been using the stonvil tablets since last 7 months along with other Aurvedic medicines for prostrate, fatty liver and sugar. The stonvil tab has not shown any improvement in reducing the size of the stonvil tablets. Can you advice me on this", "output": "Hi welcome to Chat Doctor, and thanks for your query. Ultrasound measurement of stones is not the best method. If you are worried, it is better to get a CT SCAN done to check the location of the stones. If it is confirmed as kidney stones, the sizes you have mentioned, then plenty of oral fluids is sufficient. It is better ti take reduced red meat and alcohol if you happen to do so. Wishing you good healthRegards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my ultrasound says prominence of the pelvicalyceal system is seen at right kidney .what does it mean & what is the risk factor for my kidney.is there any serious abnormality.bilateral nephrolithiasis since 2008.eswl done twice.but multiple stones were noted in both the kidney at all the poles on 02.10.2012 by ultrasound. serum urea-20,serum creatinine-0.8, urine microscopy-leucosites-1 to 2,epith cells-1 to 2.but the pelvicalyceal system is normal in left kidney but the same is seen in right YYYY@YYYY -e mail id", "output": "Hi Mr/ms shanty, you have multiple small kidney stones on both sides, and mild fullness of PCS on right side. It may be a normal finding, it may also be due to small stone on its way out in right kidney tube, or a recent passage of stone from right kidney. If you have no pain, maybe a repeat sonography can be done after 7 days. A X-ray pub (morning, fasting stomach) will give exact size of kidney stones and if any stone is stuck in ureter. Usually stones smaller than 6 mm will pass. Take lots of fluids. I suggest you get a stone metabolic workup done to know why you are forming multiple stones. Follow up with your urologist regularly." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son had to have 12 biopsies of his prostate to check for any cancer. He is 47 yrs. old. This was done about one month ago. Now he says his semen is watery and would like to know the reason. He was found benign. What is causing the watery semen?", "output": "Hello, Watery semen may be due to low sperm count or due to block in spermatic cord or due to frequent ejaculation etc. Until examination is done it is difficult to say what it is. Get it done semen analysis, get done ultrasound scrotum to know the block. If symptoms not improved please consult with your physician he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I am 52 y.o. white female. Recent lab results show my Creatinine level at .93 mg/dl. My Dr. is saying I have renal insufficiency; my a1c is 5.4 and fasting blood sugar was 100, he says I am pre-diabetic, I feel he is being a little too aggressive with diagnoses?", "output": "Hi, If blood sugar level goes above 100 and below 126 than it is called pre-diabetic. I am not in favor to label your case as pre-diabetic. However, you need to get checked your fasting and post radial blood sugar again after few weeks to check control in sugar. Meanwhile, take low fat and low sugar diet with active exercise. Your creatinine is within limit. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello sir, i feel pain in my heart everytime i smoke, even i have tried to decrease it to once a week but it still happens after smoking. can you please tell me the possible reasons for this? and yeah for a a little background check i have started smoking 4 months back and smoke one cigarette a day which as i said i reduced to once a week. is it necessary to consult a physician immediately and do ECG or quitting smoking will help solve the problem?please help.. and yeah i am 21 years old.", "output": "Hello! Thank your for asking on Chat Doctor! Regarding your concern, your symptoms do not seem to be related to the heart. You are too young and with a short experience as a smoker, to have symptoms related to chronic smoking like angina or coronary artery syn Chat Doctor. I think that your symptoms may be related to other causes like anxiety or musculoskeletal issues. I recommend you to perform a resting ECG and routine blood test, kidney and liver function tests, blood electrolytes, and a chest x-ray to exclude other causes. Meanwhile, I recommend you to avoid smoking, if this is the only triggering factor of your symptoms. Hope to have been helpful! Greetings! " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a cole sore develop a week ago and then started to get flu like symptoms, sore throat shooting aches and pains, extreme headache and fever, recently the gums surrounding my two front teeth have become swollen, what does this mean? I have never had a cold sore before but Im assuming it is one, my lips have also swollen dramatically and I m in a considerable amount of pain.", "output": "HELLO AND WELCOME, The cold sore and swelling may be associated with-Herpes labials Deep dental caries progressed into abscess formation Progressive periodontal infection resulting in abscess formation. Authors ulcers. I would suggest you to visit a dentist and get thorough clinical examination. Get deep scaling and root planning done. Curettage and Chat Doctor. Antibiotics-analgesics has to be taken. Avoid spicy/sour hard foods. Frequent warm saline gargle may help. Anesthetic gel has to be applied to relieve pain. TAKE CARE." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband has a tooth abscess. We have been to the doctor today and he received an injected antibiotic as well as a prescription antibiotic to take for the next several days. He has really bad swelling in his cheek from the infection. When should we expect to see the swelling go down?", "output": "Thanks for using Chat Doctor. Read your query. Antibiotics usually take a24 -48 hours to properly have a complete effect on the body, which may vary from many conditions and what kind of antibiotic is prescribed. I would advise you to just continue the medication properly as prescribed. Do not apply hot bag externally. Do salt water gargling. Once the treatment of the tooth is started, swelling will also reduce. Hope this was useful. Thanks and regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, My 10 Months old son is suffering from cold from past 2 days. I am giving him steam in the closed room for 10 mins ( twice a day) and the medicines Clamp( 3 ml), combiflame( 2.5 ml)( for 2days); Nozuka(3.5ml) twice a day. He has vomtings and had given Ondam(3.5 ml). I am giving him nossil drops 4 times a day. Please let me know if I need to take care of anything more to make him comfort. Thanks, Sudha", "output": "Cellophane You for contacting Chat Doctor. It takes around 3-4 days to get improvement after start of medication. I would suggest you following things:> Give medicine regularly at prescribed time.> make sure that room temperature is appropriate for him. If It's cold outside then make sure you keep him warm by wrapping in warm clothes.> Give steam regularly as it gives soothing effect and helps in curing early.> Keep him away from dust. Report to hospital if:> Condition remain same after 5-6 days> Any unusual symptom appears> Condition deteriorates.> There is difficulty in breathing. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 32 years and i am married for 6 years and having a child of 4 years. we are trying for a second baby since 1 year, but no results still, recently i have done my semen test and i am having 21 million counts with 62% active sperms, please suggest me some food so that i can increase my counts, . I am 98 kgs and my height is 5 11.", "output": "HelloThanks for your query, based on the facts that you have posted it appears that you have done your semen analysis which revealed low Sperm count (Oligospermia). Following general measure will help you to increase sperm count 1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc3)Take anti oxidants like Almonds 5-6 every day.4) Avoid alcohol and smoking. You can try Chat Doctor. That may also help to increase sperm count " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been told that my right kidney has a large complex cyst over 7cm arising from my superior pole with thin internal septations and low level internal echoes with no color flow within. Unfortunately my only healthcare is through the VA so my appointment with the urologist isn t for another month. Is this something to be concerned about as far as cancer ?", "output": "Hello and welcome to Chat Doctor. As a Urologist, I can understand your concern. Basically, you should know, therere two types of cyst, simple and complex. Simple cysts are filled with clear fluid and are well-defined on a CT scan. A complex cyst is irregular, inhomogenous, has septations or calcified, etc. A simple cyst needs only observation, unless symptomatic. A complex cyst, needs surgery and biopsy, after surgery. If you've severe pain, blood in urine, fever,breathlessness, etc, report to ER. You may send your reports to me as a direct question, for an expert opinion. Chat Doctor. Manga." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 23 years old and have been doing 4 sports (Hockey, Cricket, Basketball & Baseball since my child hood until I turn 21. Then I did some of these time to time while I was doing my higher studies. When I did a sudden check up including lipid profile I got quite high rates for SGOT and SGPT (both 68) and slight raise in VLDL (just a unit ). my weight is 85Kg and I am 185.42 cm tall. What should I do to get recover?? Please help", "output": "Hello are overweight by few kg only. Most likely explanation for your high liver enzymes could be lack of exercise, junk food, colas or alcohol. Ad Chat Doctor. Get your liver enzymes tested after 6 to 8 weeks of your lifestyle change. Ideally you should be all right with these measures. However, if there is no improvement, then you should consult a Gastroenterologist and get tested for ultrasound abdomen, CT abdomen and blood tests including tests for various hepatitis markers. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was having pain in my lower back on the left side and it would radiate down to my left hip joint and into my land after left testicle. I woke up one morning with no pain, and went through the day without any pain. I was feeling great and eating ruby red grapefruit slices durning the day. Later that night I had to have a bowel movement after I finished when I stood up all of the pain was back. I went to a clinic and was told it was a kidney stone even though the urninalsis came back normal. I was put on cipro, anti-inflam, and given a pain med. I dont understand the connection between the two. The Cipro removed the pain about two hours after taking the first tablet", "output": "Hi, Kidney stone pain or renal colic can aggregate any time, its classically present as pain in lower back right/left radiating to groin on respective side, commonly associated with nausea and vomiting, Pain get relieved by antispasmodics and analgesics, Its not necessary it will always be associated with urinary infection or abnormalities, urine reports .at be normal ultrasound abdomen pelvis is essential to confirm the diagnosis, Get your ultrasound abdomen pelvis done, And consult a urologist. Hope this information helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 64 years old and in the last 7 months had gallbladder surgery the old fashoned way - not laproscopically. I also had severe jaundice as there was a stone stuck in the bile duct. I was released from the doctor in May. Had a physical this month and my psa was elevate to 5.3 would the surgery have caused this to go up?", "output": "Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. No, surgery should not be related to this, and you should evaluate your prostate and do ultrasound and check if there is hypertrophy or tumor signs in prostate. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Weakness like sexual weakness. Feel weak all the times. Testicular ultrasound with Doppler came normal. But still feel weak after ejaculation . Free testesterone level in range 127.4. I m male 39 years old.", "output": "HIT hank for asking to ChatDoctorI can understand your problem what ever test you go for that all will come unremarkable because you do not have any disease all you have to do is control your negative thoughts, keep your stress level low there is nothing wrong with you just take it easy your weird ideas, otherwise you will have to see the psychiatrist, hope this information helps you have a good day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a lump on the outside of my left knee, it almost feels like the head of fibula but it s been like it to different extents for years, I did break the fibula playing rugby 8 years ago an inch lower down, there is no real pain but recently it seems worse ( doing more training) and has started to hurt in the night. Do u think I may have a partial dislocation or would I be in constant pain?", "output": "Hi, Dear,Thanks for the query to Chat Doctor. I studied your problem in depth and I understood your concerns. Cause for painful lump on left knee-In my opinion your lump could be a mismatched fibula post-healed fracture of fibula 8 yrs back. Due to increased training strain, it is hurting you and indicates arthritic changes at the fibulo-tibular joint of the left knee. But it could be a fibular lump ? Locally-malignant and hence needs ER Ortho-Surgeon check up and needful treatment. If not treated it could increase your leg pains constantly. So do check it up from ER Or tho- Surgeon. For Final Diagnosis and treatment needs clinical data from a Doctor. And Hence for further treatment I would advise you to Consult ER Ortho-Surgeon, who would treat it accordingly. This advice is based on the facts from the history you give and needs further clinical check.Hence, I would advise you to check with ER Or tho- Surgeon. So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you. Hope this would relieve your problem. Welcome for any more query in this regard to Chat Doctor. Write good resume and Click thanks if you feel satisfied with my advice. Have a Good Day. Chat Doctor. N." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hellow my father is 68years old and had a major stroke brain bleed on the right side he is 19 days in a coma and only sometimes in the morning open his eyes and moves his hand and legs other than that no movement at all his doctor wants to do a feeding tube in the stomach and a trek in the neck to remove the ventalator from his throat should we continue the medical care or is there a chance for him to come out of the coma", "output": "Hi, Thank you for posting your query. It is unfortunate that your father is still in coma even after three weeks after major brain hemorrhage. To answer your query, I would need the CT scan and EEG reports. I request you to upload them. Tracheostomy and PEG (percutaneous endoscopic gastrostomy) are routinely performed in similar cases and are safe procedures. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have been getting what I thought at first was something biting me cause it itches and swells up like a bite. In a day it it going away. But I notice it is happening every week or two I get one. I have noticed nothing in my house like a spider or anything that would bite me to cause this. What could it be?", "output": "HiT hank you for asking Chat Doctor. I have gone through your query. For normal spiders only symptomatic treatment will be enough. You can wash the area with soap and water and apply ice pack of pain relief. Over the counter analgesics can be used in case of more pain. Tetanus toxic should be taken for prophylaxis. You should also check your BP and pulse rate. In case of any discomfort approach ER. Clotting time and bleeding time should be measured. Spiders like black widow can cause adverse reactions. In such case there will change vital signs and antivenom should be administered. Hope this may help you. Let me know if anything is not clear. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have lichen planuspilaris in my scalp. I am losing my hair daily. I have tried emuaid. and herbals stuff like stinging nettle, horsetails. omega 3,6,9, plus creams given by dermatologists.. I am stressing out over losing my hair and I don t know what to do.", "output": "Hello. Thanks for writing to us at Chat Doctor Lichen Plano Polaris (LPP) is one of the causes of Cicatrices Alopecia (irreversible loss of hair) of the scalp.LPP is characterized clinically by follicular lesions, scaling and loss of hair leaving behind smooth atrophic patches and hyperpigmentation. The disease tends to spread at the periphery. The therapies that you have tried are not specific to LPP. Specific treatment of LPP is with Oral steroids which would arrest further progression as well as reverse early damage. Oral steroids are usually given in pulse doses and may be required to be continued for 4-6 months. Topical treatment is with potent topical steroid lotions with or without salicylic acid. I would suggest that you seek another appointment with your dermatologist. Your dermatologist will assess the condition and prescribe accordingly. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi A week back salmonella o typhi count was 1:80 n salmonella h typhi count was -ve Doctor advised to take taxim o 200 mg. (antibiotic) I got the widal test redone. Surprisingly, salmonella o typhi count is the same but salmonella h typhi count has also become positive 1:80.. no fever as of now.. pl advise", "output": "Hello, THX to contact us. If I am your treating doctor I would like to advice you that Tidal results may be high if you are a chronic carrier of the salmonella infection. If you had been previously infected and treated, it may be possible that you become a carrier for salmonella, so you are having high tidal result. If you have anything else to ask please contact me. Than. Chat Doctor; Infectious Disease Specialist" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Thank you. I got a call from my mom because she has been experiencing pain behind her knee. When I went to assess, there was swelling and hardness that covered about 3 x2 behind the knee. (Hard upon pulsation) It did not feel like the hardness had an exact shape or form, (like a bakers cyst) Now, there was about a half inch line of what resembled a bruise. Almost reminded me of varicose vein, but this just appeared 3 days ago. She was hoping it would go away, but there is a bit of redness around the bruised line area. She was feeling like something had bitten her, but its hard to tell. Any suggestions that could explain the sudden hardness, and pain? I assessed for DVT by having her flex foot and checking for pain in calf, but I m not sure at all what it could be. She was diagnosed with diabetes 1 year ago, and is diet controlled.", "output": "Hello have read your query. There is possibility of DVT. I will advise you color Doppler of calf. Till time take neurotrophic medication like methylcobalamine. Another possibility of knee osteoarthritis. Physiotherapy like ultrasound and Tens may give you relief. Bruising can be due to associated skin involvement. I hope I have answered your questions. If you have further questions please feel free to contact us. I will be happy to answer. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello my name is derya i am 35 yrs old I ve been having vague symptoms i can t understand chest pain but not persistent sometime the pain hits me from my upper back and sometimes the left side of my chest. my left arm has been aching on and off for some time . I ve also been experiencing jaw pain as well mostly my left side but my right as well . sometimes i have extreme fatigue. lightheadedness . only yesterday as i was walking at a regular pace i started sweating a lot and very short of breath accompanied by a very uncomfortable feeling in my chest like heaviness . sometimes its almost like having a cold and your chest hurts as when you breath cold air. i also feel like my heart keeps skipping a beat but at least 3 times a day and sometimes i feel lightheaded afterwards. these symptoms have been going on for about 2-3 weeks now . i don t have insurance so you can understand why I m not going to the er. i really don t know what to make of all this", "output": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of heart related diseases like arrhythmia is more. You are skipping your beats, having chest pain, left arm pain etc. All these are commonly seen with arrhythmia (rhythm disturbances in heart). If not treated promptly, arrhythmia can be life-threatening. I can understand that you are not having insurance, but it is essential to rule out arrhythmia in your case. So despite financial crisis, I still insist you to consult doctor and get done ECG, 2d echo and Holder monitoring (24 hours continuous recording of ECG). You may need anti arrhythmia Chat Doctor. Don't worry, with appropriate treatment, you will be alright. First diagnose yourself and then start proper " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My sister who is 69 years old has been diagnosed by an ER doctor with Cerebellum Neuropathy. She has seen many, many specialists over the past six years and no one has been able to diagnose or help her. She is in constant severe pain and is about to give up. Is there a treatment center or who should she see for help with this? Thanks", "output": "Hello, Cannot say in her particular case especially because cerebellum ataxia is quite variable in what it produces, but it seems like they found the diagnosis. In this disorder part of the brain goes away. That is not going to be fixable. There's a lot of nerve pain Chat Doctor. There's Cymbal ta which is a bit of a long shot. There is anti-epileptics that damp down all brain activity starting with the most excited and annoying parts of the brain and spine. These probably were tried. Removal of a small part of the brain is an extreme option that is not always available. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Unexplained swelling in lower legs and ankles. Have changed blood pressure med to one that has a dieuritic but it has has no effect. Am a 2-time breast cancer survivor (1987 and 1996, two mastectomies, no chemo or radiation) and a minor stroke in 2000.", "output": "Hi, Swelling in lower limbs can be a side effect of some antihypertensive medications like Calcium Channel Blockers which include Amlodipine, Cilnidipine. So check if you are taking any of these. Also get your echo done to see for any heart dysfunction which can also cause swelling in lower limbs. Other abnormalities that can cause it include gout for which you have to test your uric acid. Cancer breast and post mastectomy won't cause lower limb swelling. Hope I have answered your query. Let me know if I can assist you further. Thanks," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "evening, my 3 year old daughters vagina has closed. there appears to be skin growing over what was once the labia. the clitoris and a tiny gap that allows urine out are still visible. she has been referred to gynae but i am a little confused as to why this has happened. do hormones have a significant role to play in this or could it be something more sinister. thank you. worried parent.", "output": "Hi.... By what you say I understand that this could be a simple case of vaginal synechiae, which are very, very common in this age group in girl child Chat Doctor. A very simple remedy like usage of remain cream there with pressure for 4 weeks twice a day will solve the problem and open up the vagina. You need not worry about this. I suggest you get in touch with your pediatrician regarding this, as this is a prescription " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Thanks I have had gum problems, all this year my dentist said I had a Teeth that need pulling but when i went for appt I only recieved filling, Now we have new contract for our facility and have a mobile van. They pulled 2 teeth (1 wisdom) SAID TEEH HAD DECAYED AND SHOULD HAVE BEEN PULLED LONG TIME AG0. i. CONTINUED TO HAVE PROBLEMS BAD TASTE MEMORY,PROBLEM DIABETIC. WENT BACK AND WAS PUT ON ANTIBIOTIC FRIDAY, WORRYR=ED ABOUT PYRIA, GENTIVITIS ANY SUGGESTIONS IF ANTIOBIOTI DOES NOT WORK R WORRY,", "output": "Thanks for using Chat Doctor. Read your query. Chronic gingivitis is usually associated with bad taste, bleeding from gums and many other symptoms. Controlling the sugar levels is very important in a diabetic to prevent the gum disease. If I were your treating dentist I would advise you to continue with the antibiotics, maintain your sugar level for proper healing of the socket and to prevent more infection. Salt water gargling will be helpful. Once the socket is healed, have your teeth cleaned from the dentist. Oral hygiene is very important to prevent the recurrence of symptoms. Hope this was helpful. Thanks and regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HiAfter taking antibiotics for almost a week (cipro 500mg) i have been having this slight but very bothersome pain in my abdomen mainly in my left and right side. my stool became loose and notice pieces of red stuff. I have ben like this for about a week. I had a colonoscopy and result was hemorroids easy to read. I prescribed my self the antibiotics so probably took it for nothing. At somepoint my stool was green but is getting less green. can this antibiotics cause all this. Thanks for any help", "output": "Hi welcome to Chat Doctor forum. Thanks for calling Chat Doctor. Forum. After using antibiotics for one week, (Cipro) you had abdominal pain on both sides, stools became loose and with red stuff, since one week, colonoscopy show hemorrhoids, In some areas due to hardness of water some antibiotics show such changes like gastritis, and intestinal irritation, and may cause blood motions. Most probably your problem is due to this only. This needs to be treated with antibiotics which don't cause such changes, P.P.I. if necessary with anti spasmodic. I advise you to consult a gastroenterologist for diagnosis and treatment. I advise you to avoid spices, junk foods, and oily foods. Wishing for a quick and complete recovery. Best regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I took my daughter to the doctor today and they tested her for strep. The test didnt come back either negative or positive( iguess borderline positive) the doctor prescribed penn for her in hopes that if that is what she has that it will kick it in the butt. I know she has only had 2 doses of it but she is still very fatigue( has only been awake about 4 hours off and on in the last 24 hours),fever, headache, bodyaches, sore throat, abdominal pain and severe weakness. My concern is that it may be more then strep.She has had strep in the fast and it has not effected her like this. I also worry that she may become dehydrated because of the fever and she isnt awake long enough to get much in her.", "output": "Thanks for consulting me at Chat Doctor. I have carefully worked through your case, and can well realize your health worries. Being your physician, I want to assure, I will take care all of your medical concerns according to the latest medical guidelines. You need to give her the antibiotics for a full course as prescribed by the doctor. It will help her get relief. For fever, you also need to give her Tylenol every 4-6 hourly and do cold sponging. Add Mediate to help her rely Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my 12 week old baby has been having on average 6 very loose bowel movements a day for the last 5 days, this is much more than usual for her. She also seems to have a decreased apetite and is fighting the botle during feeds. She often only takes 2-3oz. She is very happy in herself but I m wondering what is wrong?", "output": "Hello, The symptoms are typical of gastroenteritis probably viral in origin. Indigestion is also a possibility. In most cases it will resolve by itself without any complications. Continue breastfeeding to prevent deny Chat Doctor. If there are symptoms like fever or decreased activity, consult a pediatrician at the earliest. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am a 38 year old female with blood pressure at 170/89. This is my second reading in one week. My first reading was 162/90 and the nurse recommended i stop taking some cold medication with decongestion. I was told to come back in one week to retake.. which i did and the reading was higher, what could be the cause?", "output": "Hello dear, and thanks for posting your query here. The most common cause of high BP is idiopathic, that means where the cause is not known and is mainly related to genetics. This is called Primary Hypertension. It's not curable and needs to be treated to keep the BP under control. Then there are certain other causes of high BP called secondary causes. Many of these are curable. So it is very important for you to see your doctor and get yourself evaluated for these secondary causes of high BP. If a cause is found then it can be treated accordingly. But if no secondary cause is found then you just need to take optimal medicines to keep your BP below 140/90 as per the latest guidelines unless you develop other illnesses. I hope this information would be of help to you. Thanks and all the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been having fever and chills since yesterday. I am taking Ibuprofen 800, vicodin and flexerill. I didnt have a fever when I was at the dr yesterday morning. The chills that I am getting are body racking chills. I have been on the ibuprofen 800 for sometime now. Could I be having some sort of reaction to it?", "output": "Dear Friend. Welcome to Chat Doctor. I am Chat Doctor. I have read your query in detail. Furthermore, I understand your concern. Fever with chills can be due to:1. Malaria2. Urinary tract infection.3. HemogramTill then don't take Ibuprofen. Take Paracetamol 650 mg thrice a day and do cold sponging. This is my best opinion for you based on available details. If you have any further query please. Stay Healthy. ChatDoctor, MD" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Sir,Sometimes I masturbate before I go to sleep at night. Usually nothing is wrong, but sometimes (and this always occurs at night, Ive found) after I masturbate, a few minutes later I have to urinate. And when I do, it is usually very painful. The feeling doesnt pass either. My scrotum usually gets very tightened up, and there is painful feeling above my crotch and i also feel to bathroom.. Do you have any idea about it.. please can you help me for this", "output": "Degree understand your concerns went through your description. I suggest you not to worry much. People do masturbate, before going to sleep. Most of them feel the urge of urination because of the sensory elements of your urethra. Quite normal. Occasional pain and tightness is also normal. But if the pain is recurring again and again, you should consult a physician. But I think, the pain and tightness is in your thoughts. Better to ignore it for the time being, and concentrate in priority activities. You might need psychological counseling., I am more than happy to provide telephone psychological counseling through Chat Doctor. Contact me through customer care, www.ChatDoctor .com. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had high blood pressure since I was 14, and now im 18. I am not fat, I eat healthy for the most part. I do not smoke or drink at all or take any illegal drugs. I am on Lisinipril 20mg and hydrochlorithyzide 25mg. My doctors are baffled because they have checked my heart, my kydneys, and continious blood work. My blood pressure on a calm day is 150/95 they keep doubling my medicine, but i do not lose any points what could possibly be the secondary cause, and if it is hereditary why can the levels not go down. My second problem is I am suspected to have internal bleeding. Once a week I get these crippling feelings in my lower abdomin. I have to go to the bathroom immediately and the stool is almost pure liquid filled with dark red blood. After I go to the bathroom my pain is gone.", "output": "Hi, At a young age, hypertension is usually secondary hypertension-commonest endovascular cause renal artery stenosis due to neuromuscular dysplasia. You might also be having gastrointestinal vascular malformations (VM) or vascular ecstasies, hemangiolymphangiomas (HLA) or small-bowel varices which are some common causes of obscure GIB (gastrointestinal bleeding). VMs were more frequently associated with gastrointestinal bleeding-could be related to surge of high BP. Hope I have answered your query. Let me know if I can assist you further. Thank you. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I have chronic cough and mucus only in the morning and evening. Ive been hacking for more than a month now. I have taken cough syrup and antibiotics but the phlegm is still there, i feel like it is only coming from my throat and not from my lungs.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. You are having chronic cough (cough for more than 2 weeks). Common causes for chronic cough with expectoration are 1. Bronchitis 2. Lung infection. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Chest x-ray is needed to rule out lung infection. 3. PFT is must for the diagnosis of bronchitis. You may need inhaled bronchodilator and inhaled corticosteroids (ICS). Don't worry, you will be alright. Better to first diagnose yourself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello. I am a 19 year old female. I have been experienceing alot of discomfort in my lower left abdomen for the past few months or so. I have been to the doctors numerous times and I am being told that it s due to constipation/Lack of bowel movement, however I have been able to open my bowels quite easily and I still suffer from the pain. When it s the time of the month, I use both tampons and pads which have never been a problem, but this month I am experienceing discomfort and sharp pains in my lower abdomen when I have inserted a tampon and when I have taken it out. Please could you give me some advice?", "output": "Hi. Thanks for your query. Read about your history of pain in the lower abdomen for months and visits to May Doctor, who say this is due to constipation, which you do not have. Noe your problem is pain even on inserting or removing the tampon during the menstrual cycle. The probable causes are. Colitis and IBS.PID, pelvic inflammatory diseaseEndometriosis as a rare possibility would advise you the following :Ultrasonography of the abdomen Colonoscopy CT scan of the abdomen if needed. Diagnostic laparoscopy if other investigations are normal." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, my dad is 69 years old and just called and said he is very lightheaded esp. when he stands and his girlfriends said he started crying for no reason and when i talked to him i could tell he had been crying. what could be going on with his?", "output": "Hello He is 69 years old, and he is having complaints of crying without any reason. Crying at this age without any significant reason can occur due to following reasons-- One possible reason is old age depression. Depression at this age can present with symptoms of crying. - Dementia at this age is other possibility. Dementia can cause intense crying and mood fluctuations. Even individual fails to find reason of crying. He starts to lose interest in day to day routine and this cause significant burden to caregiver. I would advise you to consult a good Psychiatrist and get him evaluated. In old age even low dose of anti-depressants like Escitalopram, Sertraline helps to improve clinical picture. Provide him warm supportive care. If he is taking alcohol ask him to decrease the intake or stop completely. Hope this helps you, thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 75 years old with high blood pressure which is under control with Norvasc, Coversill and Lozide. For the past 48 hours, I have had a light headed/dizzy feeling when getting out of bed. Other than that, I am fine. Any ideas? Could it be a drop in blood pressure (which seems unusual to me given my history) or perhaps an ear infection??", "output": "Hello, It can be low BP, or even high BP can also cause these symptoms. So need to buy one electronic BP apparatus and have home measurements of the BP. Otherwise, you should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. If BP is low, then you can ask a doctor to reduce the dose, and you can have salt and sugar water for it. Also, blood pressure should not be persistently more than 140/90. Regular exercises like brisk walking, jogging according your capacity at least 30 min a day and 5 days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity. Get your lipid profile and sugars tested once." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Dr, my daughter is 2years 9 months old she is taking EPIVAL for the last 7 months as per the Doctor advice , last week she is suffering from fever given Crocin DX 7ml every 5 hours for 3 days . now she is feeling very tired for the last 2days so we have taken to our doctor as per his advice we have tested the sgot and sGPT level it showing S.G.O.T - 42.9 S.G.P.T -21.7 last report taken 4 months earlier S.G.O.T - 33.3 S.G.P.T - 13.2 the rise in the S.G.O.T and S.G.P.T is due to continous medicine give or because of the fever ? is new level of S.G.O.T and S.G.P.T is indication of any liver problem ?if so how to control it and get things normal ? Please help me . thanking you in advance.", "output": "Hi...coming to your queries directly - 1. GOT and SGPT levels of your kid are not alarming - do not worry.2. The raise could be either due to fever or due to paracetamol which was given to control temperature.3. It could also be due to the Rival which is being administered.4. But whatever is the cause - as the levels are not alarmingly high - you need not worry about them.5. They will come down automatically. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i had a distectomy and laminectomy 2 years ago discs L 1and 2 , it has now got so bad that i cant walk, the last few day i have had really bad pain in my lower back, i cant walk now and pins and needles in both legs front and back, im in cosntant pain even though i have taken my oxycontin and gabapentin and diclofenic, i also have really bad wind and tummy pains like a dull ache, im really concerned, what do you think this could be?", "output": "Hello, I hope that I can better help you understand your situation. From your symptoms it may be that you may have another disc herniation. While discectomy/laminectomy can help with articular pain, you are more likely to re-herniate because the disc is disrupted at this level. If rest, anti-inflammatory meds, and pain medication are not working, you need to be evaluated by your physician and possibly be treated with steroids and get some current imaging of your spine. I hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my semen analysis report shows color greyish white,volume 3ml,reaction alkaline ,viscosity normal, PUS cells- 6-8 RBCs -2-3 , spermatogenic cells 2-3 Active motile 50% sluggish motile 25% non motile -25% normal forms 70%abnormal forms 30% total sperm count 62 million.what is your opinion on this.please answer me i am facing infertility for last 7 years", "output": "Hello, Welcome to Chat Doctor, I am Chat Doctor Look, your semen analysis report indicates normal sperm count (normal is > 15 ml as per WHO 2010). The motility is within normal limit (as per WHO 2010, grade a should be >25% or all total >50%). The Normal sperm count is also within normal limit (as per WHO 2010, normal sperm should be > 04%). The pus cells and RBC's, are above normal limit.(as per WHO 2010, normal semen should not contain any pus cells or RBC's). So, overall, your report indicates genitourinary tract infection due to presence of pus cells in semen. For this you have to take ciprofloxacin group of Chat Doctor. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, after I urinate the tip of my penis burns and it burns alittle after I defficate. I was checked for all STDs last month and was negative. Last fall I was treated with antibotics. The MD was leaning towards a Prostate infection. Does it sound like I might have another infection? Im 43 years old. The symptoms above have lasted for about three weeks. Thanks", "output": "Hello, Welcome to Chat Doctor, The symptoms are suggestive of urinary tract infection, the burning micturition is a classical sign of UTI. I would like to know whether there is any history of high grade fever, chills and rigor which will suffice the UTI. You may be required lab investigation like urine examination for pus cells which helps to confirm our diagnosis of UTI, as you are getting frequent UTI you should be completely evaluated. For the present symptoms you can take oral antibiotics like of lox and metro, which will improve your condition. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,My daughter has had a cough for a few weeks now. She has been to a dr a couple of times and given antibiotics. She woke up yesterday with red spots (some raised, some not) covering her entire body. I took her to the ER and they said she was misdiagnosed and has bronchitis and an infected bronchile tube which had brought out the bronchitis causing the red spotsThey prescribed her medicine and today when she woke up, the spots were worse and are now itchy whereas yesterday they were not itchy. Is this normal?", "output": "Hello dear, Thank you for your question. In my opinion, the nature of the red spots may suggest an allergic reaction from the antibiotics. In order to create the right idea, I would like to ask you a few questions:-What type of antibiotic has your daughter taken? -Did the ER doctors prescribe a different antibiotic or the same one?-Can you describe the shape, dimensions and location of the red spots? Do they disappear if you press them shortly? For the moment I would suggest considering discontinuing the antibiotics and consult a doctor. I hope this helped. Best wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, my son just turned 4 yrs old and has down syndrome. After some routine blood work, his doc called saying that his levels have changed and she suspects hypothyroidism. This was almost 2 months ago and he has an appointment to see an endrocronologist next month. About a month ago my son began sleeping A LOT15-17 hours a day. The other day he saw his doctor again and I explained how tired he has been. He has also dropped some weight. She told me not to worry he may be going through a growth spurt. She checked his hemoglobin while we were there and said it was low. Shortly after we returned home the doctor called and wanted more blood test done. I recieved a call today saying that he is not anemic, it was the doctors secretary that called and could not answer the questions i had. I am wondering if that means there is no problem of if that means there is another cause. I know that children with ds have a 10-15% higher chance of suffering from lukemia. Should I worry, get a second opinion, or just wait to see the endrocronologist next month. Thank you for any help you coould provide.", "output": "Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Further blood reports details necessary to make any possible leukemia diagnosis. Risk is definitely present.2. Hypothyroidism is also common in Downs syn Chat Doctor. A thyroid hormone profile will confirm the diagnosis.3. Anemia if present, will require multiple tests to identify the type of anemia. Do not worry about leukemia as there is no bleeding episodes either in gums or elsewhere. Not to worry. Hope it helps. Any further queries, happy to help again." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i am 22 years old. i just got sick the begining of january. ever since then i am feeling faint, dizzy i cant stand very long and i feel something is sitting on my chest. a couple weeks ago i had a very rapid heart beat it felt like a mini heart attack. my heart was pounding i got light headed, dizzy, was shaking, got hot and cold flashes. ever since then ive been having heart or chest problems, what is wrong with me? oh and the sick thing i got was only coughing and a very sore throat with a fever. my doc wasnt sure what it was, gave me pills that didnt work.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, we should first rule out heart diseases for your symptoms. So get done blood pressure monitoring, ECG, 2d echo and Holder monitoring (24 hours continuous recording of ECG). If all these are normal then no need to worry about heart diseases. Sometimes, stress and anxiety can also cause similar symptoms. So avoid stress and tension, be relaxed and calm. Consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, for the past couple days i have had really bad pains in my lower abdomen, (feels like menstral pains but worse). tonight i was pushing against it, & felt a little bump . so i pinched it & it feels like a little ball , a little smaller than a marble. i was wondering if this has something to do with the pain or if im just over looking it.", "output": "Hi, Dear thanks for the query to Chat Doctor virtual clinic. I studied your query in full details updated from you. I understood your health concerns. Based on your query data, In my opinion, You seem to suffer from amenorrhea with incidental finding of ? Lump on abdomen, which seems to be fatty globular tissue of the abdomen, which felt like a ball. There is no connection of this Lump with the lower abdominal pain. It could mean due to lump in lower abdomen, if the size and depth of the lump indicates it as the lump coming from the abdomen and connected with lower abdominal pain.-In that case it could be TO(Tubo-ovarian) mass, or could buy Ovarian Cyst(Benign/ Malignant) or a Fibroid uterus, which needs to be ruled out by Second Opinion from Gone Surgeon and after USG abdomen and /Ct study of abdomen if need be. Thus Second opinion form Gyne-Surgeon and USG of the lump would resolve this issue. Hope this would resolve your query and worry. Welcome for any further query in this regard to ME. I would love to help you out.Awaiting any further query. Wish you fast recovery from this intriguing health problem. Have a Good Day. Chat Doctor. N.M.S. Genl-CVTS -Senior Surgical Consultant" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 53 years old, and today had a glass of alcohol, rum and coke this was not a high content of alcohol I usually i ask for it to be filled more with coke, but occasionally over the past 5 or so years, when there have been celebrations - christmas, or have been out and had a drink (I am a low alcohol drinker - way lower than what is acceptable for women) I have got a tight feeling in the chest, and I have to relax for a few minutes or lay down for it to go. My mother has had angina since her 40s, and is now 87. Also I have recently ( a year ago ) been dignosed with clinical Hypothyroidism for which i am on 100 mg of Thyroxine, and feel much better for taking it. I had put these tight feelings down to indigestion originally, but alarm bells are ringing, should i go see my dr. as even if i had a ecg unless it was happening at the time how would this be diagnosed?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Yes, you should definitely consult your doctor and get done ECG, 2d echo and stress test to rule out heart diseases. You are taking alcohol and have positive family history of heart disease, so we should first rule out heart diseases. If all these are normal then no need to worry about heart diseases. Possibility of HERD is also there. Alcohol ingestion can cause laxity in lower esophageal sphincter. And this causes reflux and Chest tightness. So better to quit alcohol and take proton pump inhibitors and prokinetic Chat Doctor. Don't worry, you will be alright. But first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am beggining to be concerned as the following symptoms have been going on for about a week now.- Blacking out almost every single time I stand up, nausea, vomited once, severe body shaking- (like when your blood glucose is low) except, I have it even after I eat and/or eat something sweet, just feeling off.", "output": "Hello, Welcome to ask a doctor services. I have read your query. Such symptoms commonly occur due to stress, anxiety disorder, panic attacks, deny Chat Doctor. You are suggested to visit ER, get a thorough medical check up. Get blood tests, Urinalysis, Imaging tests done. Get assessed get treated at the earliest. Your treatment will depend on the pathology detected. Take homemade food, avoid oil spicy food, stay away from addictions if any. Sta well HY" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter is 4.5 yrs old..she is being catching up with cold cough almost every month.my ped has given montair lc kid 5 ml and now its been more than a month I m giving her montair lc kid.how safe is it to give on regular basis and till what time I can give her.thanks", "output": "Hi... Thank you for consulting in Chat Doctor. Greetings from Chennai. By what you quote I feel what your kid could be having viral associated wheeze or multi triggered wheeze. I have a few questions for you -Questions:1. How many days per month does she cough or feel breathless?2. How many nights per month does her sleep get disturbed due to above symptoms?3. Does she feel breathless when she runs around or plays with other kids?4. Are the symptoms when there are seasonal changes?5. Is there any family history of asthma or any other sort of allergies like skin allergy etc.?6. Is the cough always associated with fever? If your answer is yes for any of the above questions, your kid might be having viral associated wheezing or multi triggered wheezing, and I suggest you meet a pediatric pulmonologist who is near your place. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 60 yr old male 5 10 205lbs. During a dental procedure, I moved my tongue and my dentist caught it with his drill. He put in dissolvable stitches (under my tongue, close to a vein . It has been 48 hrs and some stitches have come out. There is no bleeding, but there is some pus and I feel like I can see my vein through the open slit. what should I do?", "output": "Hi Shadow, this is unfortunate that your tongue got into the Chat Doctor. It is good that he sutured it immediately. See normally we use non nylon MERRILL suture in such situation, which we remove in 6-7 days time period. As 48 hrs have passed, the primary healing of the area is finished. But, you had written that some pus is there, please don't ignore it as it is a danger area, infection from here can spread very fast to the neck region and take a shape of Ludwig angina, which can be fatal. I don't want to scare you but I want you should visit to your dentist immediately and take proper treatment for it. Thanks," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have problem from 2 days before... there very small pimples on cover skin of glans penis & also on glance, coronal ridge, inner foreskin. My wife were have fungal infection she dont know when we have intercourse. And the other day she realized and told me.... she got treatment and now she is ok... but i think i have the infection on my penis... please suggest me any medication for it.", "output": "Hello, Welcome to Chat Doctor, The history and symptoms are suggesting me that you may be having Balanoposthitis. This type of infection are more common in patients with reduced immunity like diabetes. If you are uncircumcised you may have fibrosis which is a discharge from a fungal infection under the foreskin. This can be treated with good cleaning of the penis with a gentle soap and water as well as an antifungal powder. I would suggest you to follow1. Proper hygiene and regular washing of prepuce is useful for the prevention of balanoposthitis.2. Topical antibiotics like metronidazole cream and antifungals clotrimazole cream.3. Circumcision is helpful in recurrent cases like you. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I can t stop thinking about some people I knew about 22 years ago. Those people did something bad to me and my mother. I rarely ever thought about them untill recently. In the last 6 months I cannot stop thinking about them. They don t live in my town. I never kept contact with them. One day 6 mos. ago they popt into my head and I cannot get them out of my mind. What is wrong with me?", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. There is nothing wrong with you. These are obsessive thoughts about your past. When you try to take these as serious problem and try to evade the thoughts, they repeat. The more you try to avoid them or try to escape from them, the more they disturb you. They come back again and again. Instead, you need to simplify the wrong doing you are terming here as their way of reaction. Pardon those people from the bottom of your heart. Be in their shoes and justify their doing as natural one in their circumstances. (These are for your wellness. If you have any revenge mentality, it can be ad Chat Doctor. Once you simplify these obsessive thoughts and once you never try to escape from them, they stop. Do try this easy method. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi this is thilak, my age is 25 yrs iam undergoing a treatment for getting pregnancy. from my 2nd day of period dr gave me a tab elome for 5 days. 6th day she started me a folicule scan. on 10th day she suggested me an injection ovamax 5000 IU i.e today. please suggest when i can have a sex to get pregnancy.", "output": "Dear Think, Since you are under ultrasonography ovulation monitoring, it is very easy and simple for you to plan sexual relations. The egg is usually released when the follicle is between 18 mm to 21 mm size. In fact this sized follicles release the best quality eggs. Probably, your follicle has reached that size, hence your doctor has given you injection Ova max which will bring about ovulation and also help the pregnancy to stabilize if conception takes place. Attention should be paid to thickness of the uterine lining (endometrium). Endometrial thickness between 9 mm to 13 mm is most conducive for implantation of fertilized ovum. When you are given injection for ovulation, you will release egg(s) within 24 hours. So utilize this and next two days at the best for sexual relations which may help fertilization of the egg. I hope this helps you. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I fallen down a flight of stairs and four days later; I had to go to the ER for treatment and the doctor said I have a contusion of the shoulder from the fall and gave me some pain pills. My shoulder has not stop hurting after taking the pain pills and I am also a cancer patient it started as breast cancer and then the doctor said it went to my bones and that why I am so worried about the fall and my shoulder hurting so badly even with taking the pain medicine. Thersea", "output": "Dear patient Since you have fall with injury to your shoulder and pain is not relieved by medication possibility of fracture cannot be ruled out. I would like to advise X-ray of involved shoulder anteroposterior and lateral views to confirm diagnosis. Visit radiology center nearby you and get it done. Meanwhile, apply shoulder immobilizer brace on your shoulder to prevent pain ND mobility of involved shoulder. You need to consult expert orthopedic surgeon with report. All the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "for the second time in 6 months my belly button has become tender and a little red. the last time it happened it only lasted a few days and went away. Im without insurance and have no money to see a Doc and havent for years now. Im a 42 year old male carrying about 25 too many pounds on my gut. I have a long line of cancer history in my family... any diagnosis that are relatively beniegn with that little info?", "output": "Hello, Yeast infection can occur between skin folds, such as in your groin area and under your arms. Yeast can also take up residence in your belly button, especially if you don't keep it clean and Chat Doctor. Candidiasis in your belly button causes a red, itchy rash on your navel and may also cause a thick, white discharge. Therefore, I suggest consulting a skin specialist for physical examination, diagnosis and treatment. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My sister is suffering from lymph nodes TB. She had taken all the course of tablets for 6 months but now she is feels the same symtoms of it. will it contaminate others. pls let me know. Read more at: WWW.WWWW.WW", "output": "Thanks for your question on Chat Doctor. I can understand your concern. No, lymph node tuberculosis is not contagious and can not spread to others. Usual duration treatment for lymph node tb is 6-8 months. So she has taken appropriate duration of treatment. Since she is having recurrence of symptoms, we should rule out Chat Doctor. For this, she needs ultrasound examination neck to see for lymph node size. Excision biopsy of the lymph node is needed to rule out " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi My sister was rushed to the ER vomiting blood and melena. She is a 30 yr Hep C survivor without interferon . She decided to go the holistic route. MRI yesterday indicated nodules on her liver without concern for mets. She is scheduled for liver biopsy of nodules tomorrow. How concerning is this for liver cancer? She is presently asymptomatic from original ER symptoms. Also having CT scan tomorrow. Thanks", "output": "Hello, HCV induces chronic infection in 50 to 80% of cases. In rare cases infection can clear without treatment. Most of the infected cases show minimal or no symptoms during the initial few decades of infection. About 10 to 30 % of cases develop liver cirrhosis over 30 years of infection and those who develop cirrhosis have 20 times chances of developing liver cancer and this becomes 100 times more if a person Chat Doctor. Since your sister is suffering from hepatitis C for past 30 years and has not taken any treatment, the chances of hepatocellular carcinoma are very high. This can however be confirmed only by liver biopsy. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my wife has gotten lately black and blue bumps in the corners of her mouth only on the lower lip. she has a top denture and a lower partical which are loose but she takes them out at night to sleep.She has no pain with these but they just look ugly. Could this be the start of something we need to seek help with.thank you,Bill from Ill.", "output": "Hi, Thanks for writing to us. Blue bumps appeared on the corners of mouth may be due to-allergic reactions from ill-fitting dentures. Either the material of denture or sharp edges of denture can also cause such bumps. Please do visit your dentist and get the loose dentures replaced. Make sure that you are cleaning the surfaces of dentures properly. Also be conscious to chew using both the sides of denture equally. Apply McCoppin gel on the affected area. Use warm saline to gargle frequently. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i keep geting excrutiating pain in my right calf it burns it hurts and it makes me not want to talk to people when i have it i have had this or along time have been to docs several times had x rays on my hips and scan on my leg nothing there so she just gives me pain killers which dont make any difference have been on computer before and the only thing i can find is the mischief maker pain is this what ive got and what can i do about it", "output": "Hi... The pain what you complaining if it is due to some trigger in calf muscle itself...which could be tight calf muscles.trigger points in calf muscles. The causative factor could be load placed on calf muscle due to faulty foot alignment issues Luke hyperpronation... habituated walking in toes...etc. If I were your treating doctor then. I would like to remove the causative factor first to reduce the load on calf muscles. Keep icing your calf muscles frequently... Examine the foot to suggest you to have an arch support done... Glute rehab to improve glute stability...like clamshell...bridging ...side lying lifting one leg up... squats...spine extension...exercises. Gentle kneading over both calf muscles... Hope this is helpful for you. Kindly revert in case you need further clarification..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello sir, i have little holes on my cheeks due to acne and pimples . so what can i do to get rid from that.write now im taking homeopathick medicine plz kindly suggest me .", "output": "Hi welcome to Chat Doctor. There are some homemade medicine like1) cucumber + lemon juice whicChatDoctorbine lighten the face marks. 2)sandalwood +gram powder in water and apply on face for 1 holy.3)gen tally massage with olive or almond oil.4)rubbing face with lemon juice. Also you continue homeopathy which give you good result for your acne. Our preparation like Chinese Q 10 Chat Doctor. Avoid spicy food plus " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. My 9 1/2 month old baby occasionally (and in the last few weeks) gets very hot red arms. We haven t changed detergents or food recently. Do you have any suggestions as to what it might be? He s fine otherwise, in good form & feeding as normal. Thank you.", "output": "He i in probably too allergic to something from home if there are no other symptoms. You could observe if he touches anything and wash all clothes and bedsheets in hot water and Chat Doctor. Do you mean red color arms and is here any feeding problem ? DO not bottle-feed ONLY breast milk and homemade foods with cup and spoon. Regards and get back. With the info you gave this is the best I can say and suggest you show to your doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI..my 55 yr old husband, tennis coach for 30yrs, who has had some lower right back pain at times that usually goes away in a few days is suddenly having acute pain in the right hip joint with some pain all around the hip? Intense pain when walking even after Ibuprofin, massage, heating pad?.. A sneeze just sent him over the edge!!! What do you all think is mostly likely his problem? He is trying to wait it out a few more days to see if he gets any relief but I hate seeing hi suffer!!!! thanks so much!! :)", "output": "Hello, Thanks for your query. Your husband might be suffering from sciatica. He should do bed rest. Other treatment options for sciatica include ad Chat Doctor. A variety of low back conditioning and stretching exercises are employed to help people recover from sciatica. I do hope that you have found something helpful, and I will be glad to answer any further query. For future query, you can directly approach me through my profile http://www.ChatDoctor .com/doctors/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband is experiencing bruising in his ankles after standing for long periods of time recently. He is 2 years post op from TKR of his left knee, which I have also noticed some bruising. He is currently on Asa for stenting due to 90% blockage discovered after heart attack in 2008. His cardiologist recently took him off Plavix. We have just moved from Florida to Virginia and his initial appointment with a new cardiologist is August 5th. Should we be concerned?", "output": "If a patient with sucChatDoctorplains comes to my clinic I would ask him few things 1. Does he have swell on veins in his calves which disappears after rest and reappears after prolonged standing 2? Recent blood reports of blood coagulation profile 3.blood platelets level If these initial reports are with in normal limits then u can wait up to 5 august and if not then u should consult to your cardiologist urgently. Hope this answers your query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "May 2-3 bleeding due to early miscarriage,, yhen we had sex right after bleeding stop,, and had period on may 28-30 but watery,,,and then the following month o june had period but not heavy as normal,after 1 week i had a small amount of spotting brown and pinkish but and then this july i don get myvperiod only brownish and pinkish spotting,,and i had dull lower abdominalnpain,, am i pregnant or something is wrong,, hope to et reply,thanks,,,", "output": "Hi there, After going through your question, I am of the opinion that:1) Sometimes, brown spotting could be due to retained products of conception. Also, after a miscarriage, sometimes there could be chances of a molar pregnancy too. There are chances of you having a normal pregnancy too if there is history of unprotected sexual intercourse.2) My suggestion is that you get a pelvic ultrasound done just to rule out any pathology in the uterus.3) If you cannot go for it right now, you can get a urine pregnancy test or a blood test called serum beta Chat Doctor. 4) It is better to get the blood test done as it could help in further management too. I hope this was helpful." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello,>This is Vijay here.>I have came across the Cyberknife technology through internet.>My father is 69 years old and was done ileal conduit last year in May 2009>for Bladder Ca in Hinduja Hospital, Mumbai from Dr. srininvasan and>was treated with chemotherapy from Dr. Asha kapadia.>He has undergone total 5 rounds of chemo with different medicine.>Last week we had his CT scan and bone scan which showed lesion in lower part>of spine from L1 to L5 and near lung as well.>Now we are consulting Dr. Suresh advani, who has advised radiation for next>10 days to him.>*Can cyberknife with your hospital be an option for him?( After radfiation)*>*Kindly suggest and if possible can we have telecon?*>>Hope to get a positive response from you side.>Thanks and regards,", "output": "Hello, Cyberknife is a precision technology using various refined forms of radiation. Particular criteria might be treated with cybercafe. The radiation is a concentration of gamma rays or protons. The radiation in which he is getting also a less intense treatment than cybercafe but the objective of treating the cancer is the same. Since he is having a spread of bladder to the lumbar spine therefore it is not possible to treat by cybercafe under given circumstances however it recommended that he continues with radiation therapy which he is getting. The cause for the inability to recommend cybercafe is the large area of spread of cancer and the cybercafe will not be able to treat the entire area. Chemotherapy and pain relief might be continued. Please do not worry. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doctor, why does fertility declines with age? Any reason.", "output": "Aging of the ovaries is the most prominent factor and is part of the normal aging changes that affect all organs and tissues. Most women have about 300,000 eggs in their ovaries at puberty. For each egg that matures and is released during the menstrual cycle, at least 500 eggs do not mature and are absorbed by the body. By the time the woman reaches menopause which usually occurs between 50-55 years, there are only several thousands of eggs remaining. As the woman ages, the remaining eggs in her ovaries also age, making them less capable of fertilization and their embryos less capable of implanting. Fertilization is associated with a higher risk of genetic abnormalities like Down syn Chat Doctor. The risk of a chromosomal abnormality in a woman age 20 years is 1/500 while the risk in woman age 45 is 1/20. Gynecological problems such as pelvic infection, tubal damage, endometriosis, fibroid, ovulation problems etc. tends also to increase with age. As the woman gets older, she has more time to develop these conditions, which will adversely affect her fertility. Sexual function is also decreased with aging. The effect of aging ability of the endometrium to receive the embryo is controversial. There is increasing evidence that the receptivity decreases with age. Aging does not just affect women, but also men to a much lesser degree. It affects sperm and coital frequency. There is no maximum age at which men are not capable of conceiving a child. Advanced maternal age increases the risk of autosomal dominant diseases such as Mar fans syn" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi there. Im super close to going to the ER where someone will actually examine me. Ive had these weird movements in my foot and my skin has thin clear worm like things coming out of my hands, arms and face. What could it be. Ive been to my general practice doctor who told me there was nothing wrong as well as a dermatologist who said the same and to up my zyprexa medication with my psychiatrist. Im not hallucinating, i swear!", "output": "Hi Gisellpark, Forum, I can understand how shocked you must have felt after knowing that nothing wrong as dermatological. Its important that if you feel that chances that doctor might miss finding you can have another doctors' opinion. If after another consultation same findings comes out then there is possibility that you might be suffering Mono delusional disorder (characterized by having sensation which are true and real one for you but not collaborated with other people finding. This happens because of some neurochemical changes in brain which alters yours perception -sensations)In such condition antipsychotic medicine will help - which corrects mentioned neurotransmitter changes. Medicine takes prolonged time to control your problem - that might create doubt again that it's not getting cured - remember u will require treatments for many years. So then continue regular follow up and treatment as advised by your psychiatrist. Hope it helps. Best regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I get short of breathe just walking or carrying things around or even just getting into my car. Can you help.I also have not been sleeping very well lately as I wake out of breath and need to sit up. Then I am not to keen to ly down again cause of this.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. You are having orthopnea (breathing difficulty in lying down during sleep). You are also having breathlessness on minimal exertion. So possibility of congestive heart failure (CHF) is more in your case. So consult cardiologist and get done blood pressure monitoring, ECG, 2d echo and stress test (trade mill test).You may need diuretics and other cardiac supportive Chat Doctor. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my son has been complaining about pain in his foot that comes and goes. His doctor said he should wear tighter socks but I think it s more because he cries. He is 7 years old. I just looked up the bones in a foot and it seems to be the medial cuneiform that he complains about.", "output": "Hello, Since you have a doubt about the medical cuneiform, I will advise for an x-ray to provide us assistance for confirming it. As from outside look, it is difficult to give an accurate diagnosis. Also, in most kids below age 15, there are complaints about pains in the legs and foot at many times. This is due to vitamin D3 deficiency and calcium as the kids of today's generation are less prone the play outside in the sun. Having vitamin D3 and calcium medicines under the guided physician should provide pain relief. Also, I will request to look out for flat foot symptoms, as most kids in their development stages may have some minor symptoms which cannot be noticed easily. Make him play in the ground more and this will help in vitamin D supplement directly via the sun. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son is 21 years old and autistic. He has been taking prozac for 4 months. He has been suffering from a cough for approximately 3 weeks. The Dr. perscribed anti-biotics for 10 days and said if they did not solve the cough he has allergies. He finished his course of anit-biotics and then the symptoms got worse. He has nearly passed out from wheezing and shortness of breath. He says he cannot get the air out of his lungs. He has wet coughs with clear or pink sputum. The episodes last for approximately 10 minutes once per every 1-2 days for the last week. They have occured twice while sleeping and 3 times while active, both in doors and out dooors.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of bronchitis is more in your sons case. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Chest x-ray to rule out lung infection. 3. PUT (Pulmonary Function Test) for the diagnosis of bronchitis. PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment is based on severity only. He will mostly need inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone). Don't worry, he will be alright with inhaled treatment. Hope I have solved your query. I will be happy to help you further. Wishing good health to your son. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Samuel. I am due to travel from Scotland to Tunisia tomorrow, however, I have had problems with my hemoglobin levels . Approx. 3 weeks ago a routine blood test discovered my level was 57. I was admitted to hospital and received blood transfusions. The results have since decreased fro 80, 79 & 79. I have an appointment for investigations on 15th May as it is believed I am suffering internal bleeding. I would be greatful for your advice as to if I should travel tomorrow or not. Many thanks. Lorraine PLEASE NOTE IF THIS SERVICE HAS A FEE UNDER NO CIRCUMSTANCES SHOULD YOU PROCEED WITH MY ENQUIRY.", "output": "Hi, Thanks for using Chat Doctor, You have low hemoglobin level that is anemia, because it was very low you have received transfusion. We need to know the cause of anemia and blood loss causes iron deficiency anemia which requires source by stool for occult blood and endoscopy to search for cause and would need serum iron, Ferritin level with TBC. Common cause for blood loss is hemorrhoids, but other causes could be there. If necessary bone marrow examination may be required. You should be able to travel but take care to investigate and treat the cause as suggested by treating doctor. Peripheral smear could be useful in typing anemia and then relevant investigations for hemolysis or B12 deficiency may be done. Take care. Good Luck Chat Doctor. D." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter had got very drunk two weeks ago. She fell down the steeps and hit her head. I took her to the hospital. The following week she had convulsion or seizure. She is on antidepressant medicine and anxiety medice. Would the seizure happen a week lader", "output": "Hello thanks for asking from ChatDoctorA lot of patients with head injury develop seizures. Injury to brain structures, hematoma in brain, scarring in brain etc. are common reasons for seizures. She has developed seizures after head injury and in such case she should be evaluated thoroughly. A CT scan will find out any injury to brain and any hematoma. For seizures developing post head trauma anti seizures Chat Doctor. Sodium Valproate, Phenytoin are commonly used " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Person with chronic lymphocytic leukemia (in remission - months since last chemo tx), positive EBV PCR, currently have genital herpes outbreak with headache and fever 102, would like to take something to reduce pain and fever, is ibuprofen contraindicated?", "output": "Hi, dear. I have gone through your question. I can understand your. You have CLL. So your fever may be due to that reasons or may be due to some other infection also. So you should investigate for your fever. For symptomatic relief of your headache and fever you can use Chat Doctor. Both of them are not contraindicated. You can take it according to doctors advice. Hope I have answered your question, if you have any doubts you can ask me further. I will be happy to answer you. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband has been ill since Christmas when he started with a cold. He still has a cough, but is so achey that I have to put his socks on. He has accumulated alot of fatty tissue around his neck, has very little range of motion and is in pain. His doctor sent him for a chest x-ray and his nurse called to say he did not have pneumonia. He is 64, retired and has always been healthy. He fishes and I worry about lymes - any thoughts?", "output": "Respected user, hi I evaluated your query thoroughly.* Simply persistent cough & fat around neck is not indicative of Lyme.* X-ray is not showing pneumonia is fine but what about the diagnosis of the patient.* Many conditions may be present which require precise evaluations as Left ventricular failure - Bronchitis - Thyroid disorders - many more. * Your husband requires - hospitalization - detailed work up including Laboratory data, 2 D echo & further reports as per clinical judgments. Hope this clears your doubts. Welcome for any further assistance. Thanks for using Chat Doctor .com & giving me an opportunity to assist you. Wishing him fine recovery from the same. Regards dear take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Doctor, I am married 11/2 year back and wish to have children.But couldn t succed in our attempts.Formally,i have checked for RBS & SEMEN Aanlysis. My semen test analysis is like this: Physical examination: Abstinance : 3 days Quanity: 0.5ml Color : Whitish Viscocity: Normal Odour: SEMINAL Reaction :Alkaline Liquification time: 30 min Microscopic Examination : Sperm count : 190mill/ml Motility a) Active Motile : 35% b) Sluggish Motile: 10% c) Non Motile: 55% Morphology : Norml forms: 40% Abnormal Forms: 60% Pus cells: 12-14/HPF EPITHELIAL CELLS: 2-3/HPF RBC : 10-12/HPF In RBS Test, Random Glucose level : 119 It s being a big impact on my lifestyle.Hence,Can u plz suggest the detailed information & problems based on my report.Is there any abnormality? what could be the medication and treatment. Thanks. Rithwik", "output": "Hollowed this carefully and you will get the answer. Normal fertility is associated with sperm counts of> 48 million/mL (in your case it is 190 million/mL, but volume is only 0.5 ml (while normal quantity is 3-6-8 ml ),with a motility of >63 %(in your case total motility active and sluggish is 45 %)with >12 % exhibiting normal morphology (normal in your case). Normal pus cells are 2-5 (in your case it 12- 14) and RBC's 1-2 (in your case 10-12) . Glucose random is normal but upper limit, so for this I advise you get in blood for HBA 1 C examination and also repeat the blood sugar level for 3 consecutive day to rule out diabetes. Get in blood for sugar level first, thereafter consult infertility specialist. So in my opinion consult an INFERTILITY SPECIALIST and get his opinion. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello,i need a medical assistance.I am 30 years old and i have a problem in my fingerswhich gets swollen and turns into black color specially at the joint area near the nail of my hand fingers. i got acute pain and i need an assistance online and ready to make visit to mumbai if required.", "output": "Hello and thank you for your question. It does sound like you need to see a doctor. You could have a form of arthritis causing your joints to swell. The swelling could cause the discoloration of the skin. It is important to find out the cause of this swelling since it could be serious and there may be a treatment available to you. Please try to see a doctor as soon as possible for exam and blood tests." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, could you please give me right direction. my father got sudden brainstroke, his left side leg and hand got paralysis .Also he is not able to speak.still 15days left, he take food through pipe and also urinal pipe connected.he iz 76yrs old.As per doctors advise more than 6to 8 months urinal pipe and feeing pipe required for my father. As per Doctor L D Padhi, Doctor- Kalinga Hospital, BBSR: 1/4th part of leftsite brain got blood clots.he cant give me right duration when my father got well( means he can take food through mouth, for urine urinal pipe not required) please suggest me for my fathers well treatment.", "output": "Dear Mr Petra, Usually after an ischemic stroke, the part of the brain that has been completely destroyed because of lack of blood supply does not recover its function. It is the surrounding areas of the brain which will need to take over the function of the affected part. This will take time and especially in an elderly gentleman like your father, it may not happen completely. Therefore, it is possible that he will be left with some extent of permanent paralysis. Once he has come out successfully from the acute hospitalization he will definitely improve, but the improvement will be gradual and most likely incomplete. Eventually, the doctors will attempt to remove his feeding tube and urinary catheter, UT when it may happen is difficult to predict. I would assume that the side of paralysis is Left sided arms and legs? This is because his left brain is affected and this controls the opposite side arm and leg function and the speech in right-handed individuals. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 3 year old daughter has had a fever ranging from 101-103.9F for 4 days. I took her to the doctor yesterday and he checked her throat, chest and ears and saw no infection. They also checked her for the flu and it came back negative. Tonight she developed a blotchy, thread like rash on her extremities. Should I take her to the ER? I ve been keeping her fever down by alternating between acetaminophen and ibuprofen. It is now 102.5F with medication.", "output": "Hi, Thank you for asking question on Chat Doctor. Tepid sponging along with paracetamol 15 mg/kg body weight every 4-6 hourly depending on the necessity for control of fever. The rash on the legs may be due to capillary dilatation. Please feel free to ask any more queries if required hope this answer will serve your purpose. Take care Chat Doctor. V. Subrahmanyam MD;Disassociate professor of pediatrics" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, Sir My Self Ronak Patel From Ahmedabad.i have a one girlfriend.but 1 month ago we was a unprotected sex but she was take a 1 i-pill tablet within 1 hours after unprotected sex and then 1 tablet take after 7 hours after unprotected sex.and overall 2 tablet take a same day of unprotected sex.and after 3 day i was check by doctor with testing tube so result is negative but today is 29th day from unprotected sex and right now she have a vomiting after take a dinner and lightly pain in her pet.so please help me what is the region of that please reply me sir. thank you", "output": "Hi ! With the history of pain abdomen following dinner points more towards a food poisoning than anything else. You may get vomiting and loose motions shortly. In that case a course of specific antibiotics might relieve you of your symptoms. However, one must know that an i-pill is not a 100% guarantee against a pregnancy. To know this exactly, you have also to get a serum Chat Doctor test followed by an ultrasound of abdomen if need be and advised by your treating doctor. Thanks and take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ive had a 3cm x 3cm core biopsy confirmed fibroadenoma for 7 years. Unchanged in size up until the last two years, in which Ive noticed it getting slowly but considerably larger. , during the last two years Ive had a baby, and suffered an extraordinarily large amount of emotional stress in particular inThe last six months, when I noticed the fibroadenoma getting larger. I stopped taking birth control pills just before I fell pregnant. Can severe stress and a pregnancy make a fibroadenoma grow. Can it turn into phyllodes tumour. Is core biopsy ever wrong??", "output": "Hi, As the lump is growing in size some other possibility should be kept in mind. Anyway, followed tumor and fibroadenoma both can be diagnosed by histopathology report. Clinical examination also can help to find out the diagnosis. Generally interpretation of core biopsy is done by experienced pathologist and chance of getting a wrong report is minimal. Whether the swelling is associated with pain or not, is there any color changes over the swelling also to be noted. Consult a general surgeon. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a prolonged chest conjestion issue right from my childhood. It normally start troubling during winters. A doc suggested me montek lc which I found very effective but when I miss a dose for more than 2 days the problem rises again. What should I do to cure this permanently?", "output": "Hello dear, thanks for your question on Chat Doctor. In my opinion you are having allergic bronchitis at related symptoms. Your history of seasonal variation with improvement after Monte LC suggest more of allergic bronchitis. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system. 2. Chest x-ray. 3. PUT (pulmonary function test). Chest x-ray is needed to rule out lung infection. PFT is needed for the diagnosis of allergic bronchitis. It will also tell you about severity of the disease. You may need inhaled bronchodilators." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir i am suffering from some unknown disease (it may or may not be) which can be described as the skin problem in my forearms some itching occurs on the several places which have the rashes like the one which occurs during ringworm..but there is no significant ring formation rather it appears here and there on the forearms..please suggest me any prescription sir.", "output": "Hello, Thank you for your contact to Chat Doctor. I understand your concern. If I am your doctor I suggest you skin disease can only be diagnosed by visual inspection. Only itching can be helped by cetirizine tablet. You can take renovate cream as and when required, do not use it too frequently. Try to find out if you have allergy with something or not. Keeping allergy away will help you. I will be happy to answer your further concerned can contact me. Chat Doctor. Infectious disease specialist. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have used smokeless tobacco for several years off and on and have formed pockets along the inside of my bottom lip. Since I ve realized this I ve quit! Is there any way to reverse the pockets or at least the size? Saliva tends to build-up in these pockets and I have to consciously control the flow as I speak to people. I ve also noticed a slight issue with pronouncing words with R s, F s, W s and the like.", "output": "Hi, Thanks for asking the query, According to your clinical symptoms I suppose that you have developed localized periodontitis in your lower front teeth region. Its is very nice to hear that you have quit with the habit. Go for complete mouth scaling and polishing and curettage. Take lukewarm saline and antiseptic mouthwash rinses. Maintain a good oral hygiene brush twice daily with a soft bristle toothbrush. Take a course of multivitamin supplements. Hope you fins this as helpful, Regards..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi , this is chintu shrma... i m suffring erectile problem...meanwile sex on bed..i errection not cums...so me and my wife get tension...i m 34 year old...normal,having no disises...pls help me...pls gv me any vigra type medicine...i m losing my confidence...my merrigre is only 2 month old...and we enjoyed sex only 3-4 times...pls help us...", "output": "Degree understand your concerns went through your details. I can understand. Erectile dysfunction could be due to physical as well as psychological reasons. Psychological reasons include anxiety regarding sexual performance, stress and anxiety related thereon, wrong knowledge related etc. You are just married. It is quite natural to have apprehension regarding sexual performance. Over and above you are 34. Late marriage adds to the mysteries. I suggest you not to involve in sex for another week. Completely forget about sex at all. After a week, if you try, you will succeed. If not, you may consult a urologist for complete investigation and treatment. For the time being, don't worry, don't be anxious and do not indulge in sex for a week at least. If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail. Hope this answers your query. Please feel free to post follow-up queries. Available for further clarifications. Good luck. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi there ... Lately I ve been feeling like I m going to throw up but I don t I ve been getting mild headaches off and on sometime a coulpe of days in a row I pee alot and my bowl movement feels horrible like I need to go to the toilet .. My partner and I are trying to get pregnant been trying for over a year now .. My last period was a week ago so I know I m not pregnant and my period is irregular ... Over feeling like this hoping you maybe able to help", "output": "Hi, Thanks for using the Chat Doctor. Your symptom of increased frequency of urination could be due to urinary infection. Get your urine routine & microscopy test done, check your blood sugar values also, could be variation in that also.AS your saying, you are trying to get pregnant since a year, you need to consult an obstetrician for evaluation of your condition. As your periods are irregular there are chances of hormonal disturbances, that needs to be corrected to conceive. Hope I have answered your query. If you have any further questions I will be happy to help. Thanks get well soon...." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I ve had this cough that has been getting worse the last few days. I also have a slight temp. Today the inside of my chest started to hurt and itch. It s very uncomfortable and very scary since I m not sure what s going on. My blood pressure and pulse rate are ok. Can you help me and tell me what could be wrong?", "output": "Thanks for your question on Chat Doctor. Fever, chest pain, cough etc. are seen in lung infection (pneumonia) and bronchitis. So better to consult pulmonologist and get done chest x-ray and PFT (Pulmonary Function Test). Chest x-ray is needed to rule out infection.PFT is needed to rule out bronchitis. If all the above are normal than no need to worry. It will be upper respiratory tract infection only. So Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir, i am haveing twins which are born on 02/10/2014 who are premature babies of 27 weaks and boy : 1.2kg and girl 1.3 kg and till now their are haveing repetaed infections for Boy: mainly mouth infections where are using vitamin c and for girl : repeted cold and cough and fever , this cold and cough are coming for boy at a frequncy of every 30 days and for girl for every 20 days its being very defficalt for us to look after can u give me better solution to get rid after this", "output": "Preterm low birth weight babies are very much prone to infections as there immune system is very poor. They are also very prone of getting cold as they cannot maintain their body temperature... First thing you have to do is always monitor their body temperature. An easy technique is to see whether the temp of hands, feet are same as over abdomen. If not your babies eye suffering from cold stress. Keep them well wrapped and feed them frequently. Once weight of the babies crosses 2.5 kg all these problems will come down." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi i have a reacurring lump on my left shoulder that has blood,and pusc,smells like vinegar,its invected,and hurts,tryyedn hot showers to open and drain it no luck,have a hydroculator but didnt get it hot enough,do i need to go the doctor,and get it drained/antibiotic,really cant afford thatn please what do i do.", "output": "Hi.based from your description, it could be an infected sebaceous cyst or an abscess formation from a previous infection. A consult with a doctor, preferably a general surgeon, is best for physical examination and clinical evaluation. Diagnostics (such as ultrasound) and medical (proper antibiotic regimen) and surgical (excision and/or incision and Chat Doctor. Proper hygiene and daily wound care will also be recommended. Hope this helps. Good day!!~" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good morning Doc..for the past 2 months I am having this lower abdomen pain 3 to 4 days after my mestruation, its pain is similar with that of mestrual pains that includes the back & pelvis. I feel like my placenta is going down espcially when I move and even just walk, this usually for 1 to days..please educate me on this..thank you so much", "output": "Hi. It would have been a better idea if you had given a proper history about your age, marital status, status of child Chat Doctor. . Anyway, The pains you described are suggestive of resistance to free flow to the blood. This can be due to narrowed cervix, a development of a polyp in cervix, or a fibroid causing a blockage. I would advise you to have a consultation and internal examination by a Gynecologist and an ultrasonography to define the problem and further management." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I space out a lot, and when I do its like im brain dead and i just stair at a random point and after a while my eyes will start to go blurry. I snap out of it when someone says my name or I hear a loud noise that scares me, but sometime someone will have to say my name 3 times before I snap out of it. Is there something wrong with me?", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. From the description, I do not think there is anything wrong with you. Such scenario happens with every one. When we are preoccupied in some thoughts, we cannot notice what is happening around us. That is not a mental disorder, but just what we are made of. I also can see you are exaggerating your symptoms. Forget it. Don't even think that these are abnormal. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a bump on my foot which has been there for a while. My doctor said that it may be a cysts, but it had not been bothering me. I have been putting a triple antibiotic cream on it for about 3 years. Now, it is beginning to have sharp pains and the cream is not helping.......Should I see a podiatrist (foot doctor, sorry about spelling) or a Dermatologist?", "output": "Hi, dear. I have gone through your question. I can understand your concern. You may have some wart like lesion like verruca plantar is. Or may have corn. You should consult for specialist and go for excision biopsy. Then go for histopathological examination and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ive been experiencing pain in my upper and lower abdomen. Lower back pain, frequent urination, dizziness, nausea, and very tired lately. I havent missed a period and ive taken 3 pregnancy tests in the last 2 months and they have all been negative. Could i still be pregnant? Or is there something else going on?", "output": "Hello, thanks for writing in to Chat Doctor. If you are having your normal regular menstrual cycles every month without missing a period, it is unlikely that you are pregnant. The best time to take a home pregnancy test is in the week after you miss your period. Hormonal fluctuations can give rise to pregnancy-like symptoms at times. However, I would suggest you get a routine blood and urine test-rule out anemia or an infection. Hope this is helpful. Do write in again if you have any doubts. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i im facing problem regarding abdominal pain from last 2 month,at first visit of doctor he said me after blood and stool report that it is instestin infection.and given tretment regarding the same but till abdominal pain and acidity problem is continue... so pls lets me suggest about the same", "output": "Please give me some details - your sex and age and whether you have had any other treatment for any ailment earlier. Also where is the pain exactly and does it radiate to other places in the abdomen? Do you have associated vomiting or diarrhea or constipation or bleeding in stools? If no specific diagnosis is reached then you might need to undergo a Colonoscopy. You should try some laxatives like Useful at night. Please let me know these details and would like to solve your problem. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have beeen taking Ecosprin AV 75 for the last 5 years. I am 48 years old. Last year cholestrol was 137. I stopped taking ecosprin for the last one and half months and now the cholestrol is 217. should I start taking ecosprin av 75?what are the side effects and prevention to be taken? and benefits of ecosprin av75.", "output": "Hi, Ecosprin AV 75 contains ASPIRIN 75 mg and Atorvastatin 10 mg. I noticed that you are having dyslipidemia as your cholesterol 217. Indication of aspirin mainly secondary prevention of cardiovascular risk (means you had angina, coronary artery disease, minor stroke). Three is a limited role for primary prevention (for those who had risk factors for CVD such as smoking, dyslipidemia, diabetes, hypertension, etc.).if you have started for secondary prevention then you should continue taking aspirin and statin. For primary prevention, you can reassess your risk factors and then decide whether to take aspirin. The side effect of low dose aspirin is very few. Peptic ulcer gastritis is one of them. To avoid that you can take aspirin after a meal. You make consider taking PPI such as Pantoprazole 40 mg once a day if you have symptoms. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "l had a small cold sore and I used Abreva and it worked. But now I have a few red spots inside my mouth between my front teeth and my bottom lip. Besides the red spots (about three of them) there are little minute spots with a little white center and my lips (all around the outside) are constantly feeling \"gooey\" and I have to keep using tissues to remove the soft white substance. Other wise, I feel fine!", "output": "Hello! Welcome to Chat Doctor ! The bumps or sores inside mouth can also be due to viral infection causing cold sores as in few cases cold sores can appear inside mouth too. Also, the sores can be canker sores. So my suggestion to you is to consult an Oral Physician and get evaluated. An oral swab culture can be done if the infection is suspected and then treatment can be planned accordingly. In case if it is due to viral infection only then you can be advised anti-viral medication like Acyclovir, Val acyclovir etc. Topical antiviral gels like Value can be advised. In case if it is due to canker sores then doing warm saline gargles and applying antiseptic oral gels like those containing Chlorohexidine can help. Doing antiseptic mouthwash gargles is also helpful. Take vitamin B complex daily till they heal. Hope this helps Take Care!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had the implanon on for about 6 to 7 months I had it inserted on December and the beginning of this year I noticed I had really bad arm pit odor. I have tried almost anything to get rid of this embarrassing problem. Anyway my question is can the implanon cause arm pit odor??? I need help please!!! & thank you", "output": "Hallow Dear, Implant is a birth control devise which contains Progesterone preparation as an active ingredient. Progesterone gets mainly metabolized in the liver and gets excreted through urine and feces. However, some part also does get excreted through the sweat. Offensive odor to the sweat due to Implant is not a commonly reported problem. In the armpit, the amount of sweat is rather excessive. It gets stagnated there due to hair. You may try keeping the armpit cleanly shaved and apply good fragrance talcum powder. Still if the odor persists, you have the following options:1. Use underarm deodorants which will mask the odor of the sweat. 2. Switch over to some other method of contraception. However, if you switch over to any other hormonal contraception, it will cause the same problem, since they contain progestational products. Therefore, if at all you are switching over, you have options like condom (male or female) or intrauterine (non-hormonal) contraceptive device like Copper T. I hope this provides you the valid and useful options. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my daughter is 10 years old and her right kidney removed when she was nine month. She has been suffering frequent URT infection. She is now showing a signs of maturity breasts have started growing. I take her urine for test, result shows that she has got many epithelial cells of 10-12HPF . What does it indicate. I need your helpJoan", "output": "Hi. The particular urine routine report which you are mentioning is a normal report. You need not worry about it. I will suggest you the symptoms of urinary tract infection so that you can be on the Alert and as of now be reassured. The symptoms of urinary tract infection include - high grade fever with chills and rigors/ pain or burning sensation while passing urine/ increased frequency of urination with passage of small quantities of urine every time/ vomiting/ pain abdomen. If these are not there you need not be concerned about urinary tract infection. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my husband had a lamenecktomy? years back and he fell in december since then he has been on pain medicines , he has not been on medicine for a week now and he has clicking when he moves his neck , now he can hardly move the neck and grabs both sides of head and neck screaming in pain", "output": "Hi, thank you for providing the brief history of your husband. As he had a previous laminectomy, after which he was all okay, and the recent incident have increased the pain in the neck region, I will advise to undergo an MRI of cervical spine, since due to the past history, there will be something to see inside the spine. As when he has undergone the surgery is unknown in the history it is better to get an MRI done and see any possible slipping of the disc in the canal. As due to the slipping of the disc in the canal there will be symptoms like severe pain and needs an attention. Till the time you undergo an MRI using a neck brace is advised to allow the minimal mobility of the spine. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have a question, I have lower abdomen pain, also, have upper right abdomen pain, weak, fatigue , headache . Went to the E.R., they told me that I had pain and my liver enzymes are elevated. I have a doctor appt. this week to recheck my liver and so my doctor can find out what is wrong with me. But now my pain is getting worse and my abdomen is swollen. I need to know what is going on? If you can help me with some information regarding this, because doctors don t know what is going on?", "output": "Hi. Thanks for your queenlier will be beneath the Right rib cage in the upper abdomen. So, pain there may be due to some abnormality in the Liver. It may be simple enlargement, infection,abscess, lesion etc. As your liver enzymes are elevated, you should be further investigated like Blood tests for Hepatitis A/B/C, Ultrasound abdomen, Repeat Liver function tests and even CT scan of the abdomen. Swollen abdomen indicates that there may be some collection in the abdominal cavity. It may be simple fluid or pus. You can ask your doctor to aspirate fluid from abdomen and send it for biochemical analysis. Nothing to worry. There is treatment for the majority of liver disorders. Wish you good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi there I have recently be told by my gp I have gallstones from a ultra sound results I have terrible pain all on my right side right round to my back I can also feel lump through my skin when i touch like a ball .i am up at moment cannot sleep from pain under neath my chest I just wonder of what s to happen next is this normal that I can feel lump s with my hands Thank you Kind regards", "output": "Hi, You are having painful gall stone. For that you need to be given anti-inflammatory medication and antibiotic first to treat gall bladder inflammation that is called cholecystitis. I could not found cause for your lump feeling. For that USG scan of local part done and revert with reports once done. The symptomatic gall stone with pain need surgical removal of gall bladder. You can Consult surgeon for that. Hope I have answered your question. Let me know if I can assist you further. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m having severe hip and lower back pain, that radiates down the side of my leg by my knee. I can t sleep on it, and I can t walk when I get out of bed. I have had a fusion on L4, L5 and S1 about 7 years ago, but I did not have the severe pain in my hip. It is only on my left side", "output": "Dear patient your symptoms are pointing towards diagnosis of nerve root compression with articular pain. Since you are operated on lumbar spine this possibility should be ruled out first. I would like to advise digital X-ray of lumbosacral spine anteroposterior and lateral views. This gives insight to alignment of spine and disc spaces. I would also like to advise MRI of lumbosacral spine if possible and not contraindicated due to spinal surgery and implants in back. Meanwhile, take strict bed rest on hard surface and keep hip and knee flexed with pillow underneath. Start tab regain x 75 one at bedtime for pain relief along with tab moral 4 mg twice a day. Avoid forward bending and weight lifting. If not relieved within 5 days you need to consult spine surgeon nearby you. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, i am aged 42. I had to abort the foetus 3 months back due to chromosomal abnormality. since then i am trying to conceive but no good. this month i am adviced by doctor to take tablet fertyl (5 mg) from 3rd day to 7th day and duphaston 10 mg from 16th day to 25th day. my period are due on 29th of this month will this work kindly suggest.", "output": "Hi, At your age natural hormonal levels will be slightly on the lower side and so you will need supplements. You should get hormonal evaluation and also follicular study before planning for pregnancy. If you are ovulating naturally, Camphene is not needed; also hyper-stimulation of the ovary should be carefully watched for when one is on this Chat Doctor. If natural ovulation is not so good, then this is perhaps the first choice and is usually effective. But you may have to wait for up to 3-4 cycles to see the result. Follow your doctors instructions regarding timing of intercourse preferably after follicular study follow up to know time of ovulation to get better results. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have pain in the lower portion of my right back extending to my right side a little bit. I did a urine test and there are no infections. I also do not recall doing any activity that could have caused a strained muscle. The pain is really bad when I lay down in bed and try to turn over.", "output": "Hi, Thanks for your query and Welcome to Chat Doctor. I am Chat Doctor. You have mentioned pain in your lower back region with radiation of pain to the Right side, I guess your lower limb. Anyways since you are certain that there was no injury which could have actually caused a muscle strain etc., then we will have to work up in your case to actually rule out a fiscal prolapse or a degeneration etc. Before I can give you some advice I would like you to send me the following details:- What was the cause of onset of this pain if you can recall it?- Duration of the back pain and if present, your leg pain?- Apart from your back pain do you also have any associated numbness, weakness in limbs, paresthesia etc. as well?- Any aggravating or relieving factors of your symptoms?- How much distance can you walk, and what are your analgesic requirements on a daily basis?- What investigations and management has been done till now for your existing problems? I can tell you that lower back pain could be due to many reasons but at your age it is mainly postural and sometimes Fiscal in nature in which the Inter vertebral disc has lost height as a result of which there can be a mechanical back pain which is very discomforting for the patient. Rarely there can be a bony instability like pars defect or something which can lead to pain while doing work or activity involving movements at spine region. But the majority of these conditions actually can be managed conservatively with Posture maintenance, physical therapy and medications. Although I am sure you have tried a lot of medications and alternate form of treatments, but till the time I can see your details, If you have localized back pain with no other neurological symptoms like numbness, weakness, paresthesia etc., then you can start with following recommendations for initial period of 2-3 weeks:- To maintain proper posture of your back while working and sleeping, try maintaining an erect posture as much as possible- If pain is more than you can take a short course of an anti-inflammatory medications which suits you-Physical therapy initially under supervision of a trained physiotherapist, initially concentrating on SWD/IT or LASER therapy for back pain and TENS for your radiating leg pain-Adequate calcium & vitamin D intake if levels are low in body-Hot fomentation can be done at home 3-4 times in a day, if possible-Analgesic spray or ointment for local application can be used after fomentation- Avoid lifting heavyweight/ acute forward bending in mornings and take adequate precautions till pain completely subsides.etc will observe you for next 2-3 weeks how you respond to this conservative management protocol. If there is no clinical improvement, then we will plan for your investigations including blood tests, X-Rays and if your back pain is a long-standing one, then MRI of lower back region. Do not hesitate to contact me if you need any further assistance/SOS with more clinical details and test reportsThanks & Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am 58 year old female. i have examined as a mild MR and inducible ischaemia patient. i am under treatment for 6 months under a heart specialist. but till now i have no effect of medicines. there is swelling in my legs every time. my b.p. remains on slightly higher side 150/90 mmhg.what to do?", "output": "Dear Mrs, You should seriously talk with your doctor to revise your treatment. There is a need to increase blood pressure medications doses or change the treatment. Usually when a patient has inducible ischemia we perform coronary angiography to see how many heart arteries are affected and how is the percentage of the blockage, and the further tactic of treatment of inducible ischemia depends on the results of coronary angiography. So you should also discuss the possibility of coronary angiography with your doctor. About the swelling legs, it can be caused either by heart problems or by medications or leg vessels problems. Your doctor should examine you thoroughly to find out the cause, as the treatment depends on the cause. Take fearsome back if you have any further questions" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been having chest pain/tightness since last night and when I went to my doctor my blook pressure was 149/100, I felt dizzy and nausious (sp?). My doctor was more concerned with my prior surgery than how I was currently feeling. Rather than helping me, he basically interigated me to the point where I started crying, In the end I walked out but I still dont feel well. My left arm is still weak, I feel sick and Im light headed. Should I be concerned???", "output": "Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. I will try to explain and give you my opinion. You should know that typical heart pains have some characteristics. They are usually retro-sternal pains likes quizzing, tightness or heaviness. They may irradiate to both arms, neck and jaw and last from 5-20 minutes. It is possible to feel tachycardia, difficulties in breathing deeply, dizziness, nausea. Pains that last all day long are not typical heart pains. Sometimes stress might give a little high blood pressure and a chest discomfort. Even though, if I was your treating doctor I would recommend some examination to feel sure that every thing is all right. I will recommend an electrocardiogram, a cardiac echo to evaluate heart function and walls, a full blood analyze with cardiac enzymes and if it is possible a stress test and a holder pressure monitoring. After all this we can be sure for everything. So I will advise you to stay calm, it doesn't seem to be something to worry about but just make an appointment to do what I mention above. Hope I was helpful. Best regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I play tennis everyday after school for about two hours. Recently I have been getting muscle aches on my back, and today there is a lump on the back right side of my head. It does not hurt, and decreases in size when back/neck are massaged. Is the lump from muscle tightness in back or neck?", "output": "HI. These are spasm lumps of the muscles. These appear due to localized muscle spam as a result of chronic repetitive stress injury. You have to stop playing the tennis for some time till your muscles are normalized, take a muscle relaxant and anti-inflammatory medicines. Before you start playing again take an opinion of an Orthopedic Surgeon / Physiotherapist associated with sports-injury and when they declare you fit then only you can play again. You also need a very proper trainer who can train you considering your problem of muscles." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter was diagnosed with klierkoors two days ago, she keeps on complaining that she is very hot, but her skin is cold, she hardly eats anything and also do not drink a lot. she is also nausea and her stomach aches, which causes her to refuse to drink her medicine, is this normal?", "output": "Scarlet FeverScarlet fever is caused by certain types of bacteria diestreptokokkus. It usually occurs in child Chat Doctor. The child usually complains suddenly have a sore throat, headache enmaagpyn and a high fever. A rash appears after two to three days, until the armholes groin, on the body and limbs. The skin folds are a darker red. The cheeks are red and isbleekheid the mouth. The tongue first with white and later lagiebedek strawberry. The glands in the neck is tender and enlarged. Without treatment the temperature after about ten days. The face, body and especially the hands and feet peeling. \"NAntibiotikum is necessary to eradicate the infection, and the first choice is still penicillin - by injection, orally, and in severe cases intravenously. A child who is allergic to penicillin should eritromisienontvang. Paracetamol relieves sore throat and reduce daiquiri. Scarlet fever can be dangerous, though ditdeesdae considered less serious. Possible komplikasiessluit in tonsil abscess, sinusitis and ear infections, rheumatic fever nierontstekingen. The child from the other child" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi I have pain and swelling over my belly button and it hurts almost everytime I eat and drink, it always makes me look pregnant. when the pain starts I have to put a warm pillow on it and it also churns like gas, please tell me what you think it could be besides gas.", "output": "Hi. This is not just a gas. This is indicative of an obstruction somewhere in the GI tract, or may be a pseudocyst of pancreas, stomach outlet obstruction and so on. The best diagnosis is made by the following:-Upper GI Endoscopy-Ultrasonography to start with.-Confirmation by contrast enhanced CT scan of the whole abdomen.-Enterocolitis if required. Once the diagnosis is made, treatment can be decided according to the findings and patient be prepared well in advance for a better outcome of the surgery. This is done by getting the hemoglobin and serum proteins, multivitamins corrected as such patients will have multiple deficiencies." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m concerned that I have appendicitis. My symptoms are excruciating cramps in the middle of my lower abdomen. The pain is in my lower back as well. I have nausea that comes and goes, I have not thrown up, but I feel as though i could. I m on the fourth day of my period with an extremely light flow, and my periods usually last no more than 5 days. I have never had cramps this late in my period. I took Aleve about an hour ago. The pain has subsided now for the first time in 3 hours. Can you advise on whether or not emergency care is necessary?", "output": "HI, thanks for using Chat Doctor Appendicitis would normally present with pain in the right lower abdomen. It would be associated with fever, loss of appetite, vomiting. The diagnosis of appendicitis would require examination of your abdomen looking for certain signs of this infection. The fact your pains are in the middle of your local abdomen, and you are present having your period would more likely point to this being a cause of your pain. If you remain unsure, you can visit your doctor for an evaluation. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I m 24 years old and I have a chronic mycrocitic anemia for over 7 years. Results are usually consistent. White cells are normal, iron and iron-binding normal, results for g6pd normal, results for an auto-immune test negative, folic acid and b12 didn t improve anything, and there are multiple abnormalities (polychromasia, acantocytes, microcytosis, ovalocites, hypochromia, poikilocytosis, codocytes), what kind of anemia could this be? I also have chronic bronchitis and sometimes pain in the lungs region, but even on months I m fine with the bronchitis (no symptoms) the anemia is still very consistent. Should I worry that the number of abnormalities have increased over the years?", "output": "Hi, dearI have gone through your question. I can understand your concern. You have chronic microcytic anemia. It can be due to iron deficiency, thalassemia minor or some chronic infection or inflammation. You should check your ferritin level to rule out iron deficiency. Go for GB chromatography to rule out thalassemia minor. If both are normal then it can be due to chronic disease. Then we need to plan accordingly. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 62 yrs young, 5ft 4 inches tall & weigh approx. 240 I have very painful Bursitis in my hip. What causes bursitis? It feels like where the hip bone meets the leg bone down deep inside there is a sharp constant pain. I cannot sit on anything hard, I usually sit on a pillow, it hurst when I walk & go up stairs. The pain goes half way down the back of my leg to my knee. In August it will be 2 years. I have been to therapy and had & had something called needeling, & laser therapy, It helped the very 1st time but noit after that. I have had massage therapy & that made it hurt worse. I have seen a rhuemotologist & she said I do not have RA. I went to the chiropractor and he is the one who told me it was bursitis. Then I went to the Dr. & had it xrayed, he said he did not see anything on the xrays. It was so bad I could barely walk. The Dr. gave me a cortisone shot and I was already on anti-inflamatories. The shots only last about 3 to 4 months and I have had 2 of them and now it is hurting pretty bad so it is time for another shot. The shots do not make the pain go completely away but at least it is bareable. This just came on al of a sudden. I did not injure my hip. The cortisone shot is a steroid so that causes weight gain, sleeplessness and messess with my blood sugars although I am not diabetic that I know of. I hope you can help me.", "output": "Hello, Wear and tear on the area causes irritation. Mostly, the lining wears out and there is bone rubbing on bone in the hip joint. If the lining is gone we don't have a good fix for it yet. We likely will in a few years. And the injection of lubricant (SLAVIC) anti-inflammatories, building up the surroundings and learning to ease off on pressure on the area (physical therapy) are the usual treatments. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, my husband is reacting soo seriously for silly things and he wants me to tell everything. i think he has inferiority complex. I am feeling its better to die than to live with him. for silly reasons he is torchering me like anything. Plz help me in this.", "output": "Hello and welcome to Chat Doctor. Thanks for your query. I understand that you are distressed due to the problems with your husband. Now, with the limited information that you have provided, it is not possible to figure out the cause for your husbands' behavior. Since these problems seem to be affecting your relationship and stressing you out badly, I would advise that you both consult a psychiatrist for a detailed evaluation. Further management of this problem will depend on the possible causes identified. Help is available in the form of counselling or sometimes, even medication. So, please don't hesitate to seek help. Wish you all the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was given Metoprolol for a heart condition that sounds like cylic or cysilic? A type of arrhythmia. Basically i get an extra pounding beat instead of two beats (frequently) and its hard to breath and it feels like my circulation washes out of me. Cant explain it better than that. Im trying to find the proper medical term... Thankyou", "output": "Hello and thank you for using Chat Doctor. I carefully read your question and I will try to explain you something. As you explain, your symptoms has to do with a rhythm issue that we call extra systolic beats. These is electrical impulses that generates from different parts of the heart different from normal sinus rhythm. They cause a premature heart contraction that it is followed by a pause and then a normal heart contraction. In these cases you experience a palpitation, a skipped beat, anxiety, difficulties in breathing deeply. They might have different causes to simple emotional stress, coffee and alcohol consumption. Also, pathologies like anemia, hyperthyroidism or ischemic heart disease might be other causes. If this extrasistoles are frequent they are treated with medications like beta blocker. Metoprolol is one of them. They help to reduce the frequency of extra systolic beats. Along with your medications you should avoid caffeine products, energy Chat Doctor. Hope I was helpful. Wish you good healthiest regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was diagnosed with a yeast infection about 3 months ago and it s gotten worse. I ve scratched a lot. My scrotum is swollen, red, itchy and oozes some sort of yellow-like substance that hardens over the top. My penis is also swollen and the most itchy part down there. It s hard not to scratch. I would like to know how to really get rid of this. It s tearing my life apart.", "output": "Hi, It seems that there might be having super-added bacterial infection over the part due to severe itching caused by yeast infection. You might require one antibiotic medicine course for 5-7 days to clear bacterial infection. Clean local part with warm water or antiseptic lotion and apply antibiotic cream. After cure go for treatment of yeast infection oral and local treatment. Keep local hygiene clean, Chat Doctor. Ok and take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Sir, I am Nikhil Gandhi, age 49 years, Male from mumbai. My HDL chol. is 30.3 and LDL chol. is 110.3. My 2d echo is normal and stress test of 7.15mts. is also okay. my cardiologist has suggested to do CTangio of heart. Is it necessary? He has prescribed me Ecosprin AV 75mg. also. Pl. advise. Thank you.", "output": "Hello! Welcome and thank you for asking on Chat Doctor! I carefully passed through your question and would explain that it is important correlating your tests with your clinical symptomatology. If you have typical chest pain which raises high suspicions of coronary artery disease, or changes in your cardiac enzymes, or well-known coronary risk factors (smoking, hypertension, diabetes, obesity, etc.) Further tests like coronary Anglo CT scan or coronary angiography may be needed. Otherwise, considering your normal cardiac tests, no further tests are needed. Hope you will find this answer helpful! Kind regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am on thorazine and am suffering from weakness, no appetite and lack of interests. Should I try going without the thorazine for a while?", "output": "Hi, Thorazine is first generation antipsychotic Chat Doctor. It is not commonly used nowadays. Its cognitive side effects can where well explain all of your side effects. Fortunately there are so many newer antipsychotics available today with minimal or no side effects. You can switch to other atypical antipsychotic. For that consult some good psychiatrist.I am also a psychiatrist you can visit to me also." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello:After eating almonds, raw, I have a sore, irritated throat which lasts only about 15 to 20 minutes but I cough and hack the entire time as if it was some kind of common cold irritation. Short lasting, but fairly sever. What is happening? Do I give up almonds! (Say No)Thank you.", "output": "Hello. Thank you for asking at Chat Doctor. I went through your history. I would like to ask you more questions about your symptoms after ingestion of almonds. However, at present I assume you are having only sore, irritated throat, and you never have had any nose symptoms, eye symptoms, skin rash, edema, gut symptoms as well as wheezing/breathlessness after ingestion of almonds. With these assumptions, I would like to make following suggestions to you:1. You can try almonds after thoroughly washing them in water. This may remove some chemicals/substances which may be irritating.2. You can try almonds after removing their peel. This may remove some proteins/substances in peel which may be the cause.3. You can change the source of almonds you are getting from. This also may help.4. If above measures do not help, an allergy testing for almonds will help to know whether this is a true allergy or something else. If any time, should you develop other symptoms mentioned above, I would suggest you to consult an Allergist-Immunologist. Hope this will be helpful to you. Wish you the best of the health. Should you have any further query, please feel free to ask at Chat Doctor. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have recently had a chest xray following being rather breathless over the last few months. I have now been asked to go for a ct scan as the xray showed a shadow that the gp wants to look at further. I am going out of mind with worry - assuming the worst! Does this necessarily indicate anything serious, or could there be a harmless reason for this shadow? Many thanks.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Honestly speaking, possibility of some serious lung disease is more in your case. Your symptoms (breathlessness) has worsened. So shadow on chest x-ray can be due to pneumonia or lung cancer. So CT scan is needed to confirm the diagnosis. If you are smoker, possibility of lung cancer is more likely. Better to consult pulmonologist for this. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I started feeling really dizzy today whilst walking my dog - and it hasn t stopped, when i tilt my head back, when i lie down, when i stand up, when i walk. It s really frustrating! When i was walking it felt like i d spun in circles and tried to run ... the gravity of earth pulling me sideways. But when i lay down it s a whole room spinning feeling that you get after you ve drunk copious amounts of alcohol ... please help.", "output": "Hi Jessie, there are 3 semicircular chambers in side our ears which are filled up by fluid which would balance our head position and our body posture. If there is some problem with those semicircular chambers it would lead to imbalance of the body posture, it seems you are having this problem, and you need a consult a ENT surgeon and needs to undergo some head tilt tests and might need medications as soon as possible" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m taking Vyvance, I started today, I took a 20 mg, nothing really, so I took a 30 mg 2-3 hours later, basically i m up to 130 mg, and still dont feel much, I m 5 11 and weigh 257 pounds, does that have something to do with the low affects. FYI: I took two 50 mg of Vyvanse about six months ago. I took one at work and felt great, no side effects, the second one I took early in the morning around 9 am, and then at about 1:00 pm I felt like I could fly to the moon, and I felt a little weird, but nothing serious Basically my question is am I going to be alright on 130 mg of Vyvanse, i feel fine, and I don t plan on taking anymore, Today!", "output": "His had gone through your query. Vyvanse is psycho stimulant. It contains dextroamphetamine. Higher dose can be fatal and very dangerous for life. It has high addictive potential and there are reviews that suggest it is associated with psychiatric illness, or it may worsen it. So better to avoid it. Psychological evaluation is must and if require it would be better to decrease dose gradually for better future. Motivational and supportive psychotherapy can help. Consult psychiatrist and get help. Happy to help you further. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have swelling under my arm about 3 to 3 1/2 inches around, this is the second time in approx 6 months, I had a mammogram which showed nothing - however this time is it painful and sore to the touch and movement -when I move my arm there is a pulling sensation and pain - the first lump was there for apppox a month = this one has now been there for 3 weeks..... there is no redness or \"warmth/heat\", but the pain is the difference, should I be concerned...I have no fever or other specific symptoms, I am tired but is more likely to be attributed to lack of sleep and my hours.......", "output": "Hi. The swelling under the arm which is not hot is called a cold abscess, meaning lymph node mas due to tuberculosis. I would advise you to get an ultrasonography and guided FNAC - fine needle aspiration cytology to confirm the diagnosis, as also blood tests like Gold Quantifier test for TB, X-ray chest PA view. If this is diagnosed as Tb, get started with proper treatment to get a cure with preliminary liver function tests. You will be fine. IF the FNAC shows cancer so the treatment will be as per the guidance of oncosurgeon and oncologist." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I fell down my porch stairs the other day. I get sharp pains in my lower left back side if I move the wrong way or walk the wrong way. I have a cold and when I cough I get a shooting pain. There is no bruising on my back. I have been hesitant to go to the doctors because I am in the process of having an IUI to get pregnant and am on Gonal F. Any idea what the sharp pain could be from? And if I go to the doctors any meds they can give me that won t interrupt my process of getting pregnant? Thank you so much!", "output": "Dear patient Sharp shooting pain which is aggravated on coughing and sneezing indicates disc prolapse with nerve root compression. This might have occurred due to trauma. This needs to be investigated with MRI of lumbosacral spine anteroposterior and lateral views to confirm diagnosis. Since you are taking treatment for infertility much Chat Doctor. You need to consult expert orthopedic surgeon nearby you and get yourself examined. Meanwhile, take rest for few days. Do hot water fomentation and take tab paracetamol 500 mg thrice a day. All the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am in remission from hodgkins disease last 3 days I keep getting a funny feeling in my chest, as though my heart is sinking. Like when you are on a roller coaster.whilst working i am fine but when i relax i feel it then.i am 33 years old, female and weigh 75 kg", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Hodgkin's lymphoma can spread to lungs and heart and can cause pleural effusion and pericardial effusion respectively. Both of these can cause similar symptoms like sinking of heart. So better to get done chest x-ray and 2d echo. Chest x-ray is needed to rule out pleural effusion. 2d echo is needed for pericardial effusion. If both these are normal then no need to worry about any major heart or lung related diseases. Sometimes, stress and anxiety can also cause similar symptoms. So avoid stress and tension, be relaxed and calm. Don't worry, you will be alright but first rule out heart and lung diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, My name is Belinda and my son has had a stomach ache for 8 days now. He was given an ultra sound and they could not locate the appendix however, Lymph nodes were found in two regions. The pain is central, not on the side and last night he had a fever with numbness down his legs. I am in an isolated town and our surgery is closed today. Can you give me some advice please?", "output": "Hi Belinda. Thanks for your query. Read the history of your son having pain in center of abdomen for 7 days - appendix not located on USG - lymph nodes in two regions - Surgery in town is closed - wants to know the reasons. The commonest reasons for pain in the center of the abdomen of a child are-Lymph node inflammation. Get a CT scan done to get a confirmed diagnosis as early as possible as it is already 7 days. Get started a course of an antibiotic and anti-inflammatory like Ibuprofen and probiotic. This may settle and CT scan will the final diagnosis. If there is no cure even after 5 days a Diagnostic Laparoscopy to know and treat the problem can solve the problem." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im a 58 year old male in good health, but my hemaglobin is 12.6 and my MCV is 77. My doctor thinks the levels are low and wants me to have a colonoscopy, even though I had one 5 years ago and everything was fine. I take a daily baby aspirin and ibuprofen when I have a headache, which my doctor said may contribute to the low readings. Should I go ahead with the colonoscopy or should I cut out the aspirin and ibuprofen and have another blood test in a couple weeks to compare the readings?", "output": "Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Your hemoglobin is mildly reduced. Along with hemoglobin, MCV is also reduced indicating possible iron deficiency.2. Colonoscopy is essentially every five years and needs to be done to evaluate for any polyps or cancer. This can cause bleeding.3. Ibuprofen can cause gastritis and bleeding. Stool examination can confirm any bleeding in gut. Take iron supplements and get colonoscopy and stool examination done. Hope it helps. Any further queries, happy to help again." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor ,My wife has hyperthyroid and PCOS and she is already taking metformin along with the thyroid tablet. We are planning to conceive now. So one of the doctor prescribed All 9 tablet which has to taken two months before she comes to dubai ( I am in dubai).Is ther any relationship between this tablet and ovulation? Why is this tablet prescribed? is ther any other tablet you prescribe which helps her in ovulation?", "output": "HIT hank for asking to ChatDoctorI really understand your concern, as I always being said that the pregnancy is more natural phenomenon, and it happens in that way only no medicine will make it happen, so let it be happened to it own, taking the medicine before pregnancy does not affect the ovulation, but once the conception happens then it needs be taken into account, I hope my answer would help you in taking decision have nice day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I just had my wisdom teeth removed (all 4 of them) 4 days ago. I am having a strange sore& painful throat and right tonsil only, hurts as well. I also have this painful burning sensation in the middle of my chest , feels like my lungs are on fire. I ve been taking Pen VK after the surgery in order to avoid an infection, also took motrin for about a week 2x per day to help with the pain I was having BEFORE the surgery (cavity in wisdom tooth ). What is this burning in my chest and painful tonsil?? Thank you..", "output": "Hi, Thanks for posting your query, Fever , sore throat , dizziness , tiredness, nausea, feeling of tiredness are common side effects after extraction of wisdom tooth , as this procedure is traumatic and time-consuming. Burning sensation in your chest is due to the antibiotics taken. Don't panic consult the doctor and change the antibiotic. You can take tab rant ac TDS for hyperacidity. Take complete course of antibiotic and analgesic . Use saline water gargles 3-4 times a day for soothing effect . Maintain good oral hygiene, use chlorhexidine mouthwash gargles twice daily. Take complete rest , avoid stressful jobs. Hope this helps out. Regards....." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My Aunt is 76 had breast cancer 12 years ago and was diagnosed with secondaries in the spine 2 years ago and about 4 months ago was told it has spread to the liver. She is in a lot of pain and is not keeping much food or fluids down .... how long can this go on?", "output": "Hi, dairy have gone through your question. I can understand your concern. She has breast cancer with liver and spine metastasis. It is stage 4 cancer. Surgery is not useful in this stage. So treatment options are chemotherapy and radiotherapy. But it will not cure the disease. It just works as palliative therapy. Despite all treatment prognosis remains poor. Life expectancy is not good. Sorry to say but it is fact. Consult your oncologist and plan accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have secoundary progressive ns around 10 years or so/ I find lately my balance is getting worse and my memory is possible getting a lot worse.l saw my neuro said it was caused by deep lesion in my brain and normal.i would like to know what causes these lessions", "output": "Hello! Welcome on Chat Doctor ! You should know that your symptoms are quite normal at this stage of the disease. They are caused by chronic progressive damage to the brain. The main cause of the disease is very complex, and it is not just one cause. It is related to chronic inflammation and an autoimmune response of your body, triggered by a possible infection, leading to progressive declination and cell loss in the brain. In the advanced stages there is more prominent brain cell loss. That is why your situation is worsening in a progressive way. Anyway, the Chat Doctor. A lot of physiotherapy and a balanced diet are the main treatment to reduce the progression speed of the disease. Hope you will find this answer helpful! Best wishes, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im a 28 y/o female, given birth to four children, my fiance and I are trying to conceive a child. He has no children and we would really like to have a baby together, we have been trying for 2 years to get pregnant and havent been able to, what can we do? Should we be worried? What could be the problem?", "output": "Thanks for the query. As you had already four child Chat Doctor. And now you are having trouble in conceiving with a new partner then you should first do investigations for him.1 semen analysis is the basic report to rule out male infertility. 2 ultrasound of scrotum to rule out varicocele, testes conditions, vascularity. And you should consult a gynecologist for you too to know about ovulation profile." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have these little red dots on the tip of my tongue. I ve had them before, this is the second time and last time it lasted a week or so. It doesn t hurt when I eat or anything but it stinks when I brush my teeth. Also, I ve had fever blisters since I was two years old. Could this be oral herpes on the tongue?", "output": "Hello, Welcome to Chat Doctor, The herpes simplex 1 is known to affect the area around the mouth, and it will not affect the mucosa, and it is confined to area between moth margin and the skin. The symptoms which you are giving are more in favor of authors ulcer which is red and painful, and it is mainly due to deficiency of vitamins. The sharp teeth, spicy food and the Chat Doctor. It can be prevented by avoiding these risks. I would suggest you to apply Angel cream on the lesion and consuming daily vitamin B complex. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Two months back, detected for type 2 diabetes.i am taking Glycomet 500 after Break fast and dinner. My sugar levels are now 190 fasting and 300 pp.weather it is necessary to continue the dose as it is or should it be increased? Secondly Can I take Glycomet 500 SR in place of Glycomet 500", "output": "Hello, Welcome to Chat Doctor. I have read your question completely and understand your concerns. Your Fasting blood glucose and post radial blood glucose are still high. For good control of diabetes, your fasting blood glucose should be less than 110 and your post radial blood glucose should be less than 160. I would advise you to get your HbA1C levels also checked. This is a blood test which tells you your average blood glucose over the last 3 months. For good diabetes control, it should be less than 6.5% provided you are below 60 years of age and without any other health problems like recent heart attack, stroke etc. For better control of your blood glucose levels, I would advise you to increase your Glycogen dose. Take Glycogen 1000 mg twice a day, at breakfast and dinner time. you could take Glycogen SR 1000 mg as well. SR means Slow Release tablets, the side effects with SR medication are lesser than with conventional tablets. Kindly check your fasting and post radial blood glucose levels in 2 weeks. I would advise you to follow a healthy diet with plenty of vegetables, reduce the quantity of carboy Chat Doctor. Avoid high fatty, high sugary and high calorie food. Exercise for at least 45 minutes every day. I hope this answer has helped you. Thank regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello , sir i had unprotectedsex with my gf on 1st september ..nd after one hour i gave her ipill ,we did strip test on 14th september nd it was _ve.. nd her periods came on 15th september/but now she is having periods pain but there is a brownish bleeding (oct17) ..can i know whats the reson behind this?", "output": "Hi there,Since she has had a period after the I-pill on the expected date (i.e.,15 SEP) it means that none of these symptoms are related to the I-pill or chance of pregnancy. You need not worry, menstrual pattern can change and there could be a few days of brownish discharge before she gets her regular period flow. I would like to know her age, if she has any PAP smears taken before and their results? Hope this helps. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello this morning I had really bad shakes I felt sick and dizzy. Managed to get strength to go to work and they made me eat chocolate to bring up sugar levels. Nearer the end of the day I got pins and needles down my left arm . I spoke to my dr before the pins and needles and he said to have a blood test which ive booked for monday! This scares me incase its diabetes or anemia. My mum s mum is diabetic and so is my dads dads? Im 18 by the way", "output": "Pins and needle sensation is paresthesia .it is caused by many causes. Mostly occurs due to decreased blood supply transiently .it may be due to compression of the blood vessel, or metabolic. If u have had a good mattress/sleep than compression is ruled out. So it can be metabolic, it can be type 1 diabetes, at your age, but it manifests early in childhood. Mody can occur at your age given history. But, simple blood test can rule out this disease. The possibility of other metabolic conditions is more likely given acute onset. It can be hyperkalemia, or hypokalemia where paresthesia is common.Also, it could be any pathology in cervical vertebral region. So an MRI can rule it out. Metabolic conditions can be diagnosed by blood testing." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "after having a stent placed in an artery and medication for another artery that was 30% blocked, I feel like I cant take a complete breath (not short of air) and Im very tired all the time. No history of HTN or hyperlipidemia. I stopped smoking over a year ago", "output": "Hi, You should see your doctor for full evaluation as 30% blocked artery cant caused such symptoms, and the other artery is already treated with stent, which shouldn't cause any complaints. There are three possibilities1. You have problems with inserted stent, for exclusion you will need ECG and/or stress test2. Your complaints are caused by the medications you take3. There is another problem, which is not related to the heart. So you need to see your doctor to find out the cause. Take fearsome back if you have any further questions" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "im not sure what i have wrong i have adhd ocd odd and asperges but im worried about everything i feel like theres hidden cameras in my room feel like no one likes me if i see people laughing i think there laughing at me if i see a person when im on my own i feel like there a perv or going to kidnap me or kill me i feel like im being followed everywhere i go i feel like my parents are putting stuff in my food or something and i feel like everyone trys to annoy me on purpose if i do something i would do it without thinking about the consequence untill later on i think about suicide everyday i even plan it now what is wrong with me?", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. You already have a lot of mental and physical problems. I hate to tell you that the hallucinations and delusions could be due to schizophrenia. Please work with your psychiatrist for correct diagnostic services and an imminent change in medications. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "have a chronic sinus problem & cannot do without taking one sinarest tablet daily at night. what are the side effects & how to avoid. ramesh age: 48 year height 5/10 & weight 70 kgs", "output": "Hi, thanks for query. Please go for a proper check up with ENT surgeon. After confirmation of diagnosis you may be advised sinus wash or surgery as per the need to get rid of this. There is no need to suffer, please take proper treatment. Any medicines taken over period of time without advised can definitely lead to problem. This tablet contains affine which has got addictive potential and which may cause Chat Doctor. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi There! I am in bali and a few days ago notcies some red smallish bites on my arm . It was after i applied sunblock but i have never had an allergic reaction to this brand before. Three days later they are now down both arms and a little on my legs. Not to be seen on my torso or feet at all. They have become itchy and sore. I also have bumps under my skin on both my arms now too. They are redish but the bumps are more colourless and white. I don t usually suffer from skin reactions and have used dermaid ( a cortisone cream) as well as ice but neither have helped. Thanks for any info you can give me!", "output": "Hi, You may be having purity simplex. There are itchy erythematous popular lesions on extremities. It may be caused by some irritants or allergens.cosmetics,sunscreen, dust, insects, pollens, fume,deodorant, soap.avoid soap during bath, you can use detail liquid. Avoid stress and worried, which can exacerbate the disease. Antihistaminics like levocetirizine might improve the disease. Antibiotics may be taken, if there is infection. Steroids in tampering dose may be taken, if it is severe. Application of mild steroids might help in curing the disease. I hope you got my answer. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had chest congestion and mucus in my nose for over 6 months. Ive been through 3 rounds of antibiotics with no cessation. I used a nebulizer and inhalator which got rid of the congestion in my chest but the condition still persists with thick white mucus in nose and back of nasal/throat area. My breathing doesnt seem to be challenged, I dont cough much although every now and them (once every two hours) I can feel a hinderance in my airways in the upper chest area that doesnt cause a cough. Havent had a chest xray yet but theres no fluid in lungs revealed by a stethoscope diagnosis.", "output": "Hi thanks for asking question. Get your chest x-ray done because symptoms are still not fully recovered. X-ray might suggest whether it could be pneumonia like condition or COPD like changes. Pulmonary function test also helpful in distinguish between restrictive and obstructive cause.Meanwhile, Chat Doctor. Take regular steam inhalation with eucalyptus oil. Avoid smoking strictly. Green leaf veg helpful. Elecampane like Ayurvedic " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I pierced my belly button and its a bit infected so ive been cleaning it with hydrogen peroxide, but when i used it just now, everywhere it touched made my skin a little whiter in all those areas. Whats wrong and how do i get rid of the patches and the infection?", "output": "Hi, If I were your treating doctor, then I would advise 1) first get the infection treated.2) A full course of antibiotics, and cleaning the region with antiseptic lotion would be of great help.3) regarding patches, first get infection treated, then applying cream containing coconut oil will be of great help. Hope I have answered your question. If you have any further questions I will be happy to help." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello im a 45 yr white male 65 285 lbs type 2 diabetic with hypertension. 3 days ago im sitting at my friends house smoking meth as usual. i felt fine every thing was normal, but later in the night i started having a sensation of phlem build up in my lungs. i still had not coughed it out but started to notice a slight bloody taste in my mouth, so i coughed to clear my throat and I spit up a dark red bloody chunk of phlem, never had blood in my phlem before so i wonder why all of a sudden i do now? it has - thank you", "output": "Hi welcome to the Chat Doctor Blood in phlegm cam have lots of causes Sometime blood from gingival bleeding can lead confusion with bleeding from sputum Bronchitis, pneumonic consolidation, lung mass, mitral stenosis, bleeding disorder etc. might be the cause Work up done as follows... -Auscultation-CBC -Chest x-ray -Spirometry if needed -EKG According to cause further specific treatment given For bronchitis suitable antibiotic course given Take care With keeping these in mind consult pulmonologist for examination and further work up accordingly" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my boy is 6yrs and 5months and he has what is called shark teeth on the lower jaw, but he is been telling me that his upper front tooth is hurting and when I looked there seems to be a bump kind of redish in color on his upper gront gum. is that another tootChatDoctoring or or what?", "output": "Hello, Thanks for consulting Chat Doctor, Read your query, as your son has reddish bump on upper front gum and upper front gum is hurting don't worry it can be due to eruption of permanent tooth may be there is eruption bulge is there, I will suggest you to consult periodontist and go for examination of reddish bump on gum and irregular eruption of teeth. Advise him to do warm saline rinses that will help him. Hope this will help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello, my sister did the pregnancy test and was found to be pregnant 3 days after she missed her period. a few days later she started seeing some blood so asked her doctor and he asked her to do the ChatDoctor test then repeat it after 48 hours. she did that, it was 700 something and after three (not two) days it was 900 something. he told her it is a weak pregnancy so she wil lose the baby in a few days. she is still seeing some brownish fluid from time to time but no blood i.e hasn t lost it yet. should she take some enhancers of pregnancy to help keep it or not?", "output": "Hello, I have gone through your query and understood the concern. If the pregnancy is viable and progressing well, serial serum beta-ChatDoctor titles should show doubling every 2-3 days. Since, unfortunately, this is not so, the viability of the pregnancy is questionable. In such an instance, there is no use in giving external Chat Doctor to maintain the pregnancy. Progesterone supplements can do more harm than help in such situations. Yet, you can wait for a few more days while following up with serial serum beta-ChatDoctor titles and sonograms to see if anything positive happens. Meanwhile, ask her to take absolute bed rest and avoid stress. Hope you find this information useful. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband has a rash on his inner arms. It is small and round but varies in size up to a pea. It started on his inner bicep on one arm and has gone away but appeared on his inner forearm on the same side. Now it s also on his other arm, same places. It doesn t itch , it s not wide spread, just a couple small patches or a single circular dry, raised rash. What could it be?", "output": "Hi, Your husband is having small mild scaly lesions without any complaints like itching or pain.right? It seems that it would be either Tina tricolor (TV)or erythema. In both condition, patient does not itch. Tinea versicicolor is fungal infection caused by melessezia fur fur and erythema is mild bacterial disease caused by corynebacterium minutissimum. You consult dermatologist, he will really differentiate and diagnose. Both are treatable condition. In T V, antifungal tablets like ketoconazole and cream like ketoconazole cream may be used. In erythema, antibiotics like azithromycin and clindamycin gel may be used. I hope the answer would be helpful to alleviate your condition. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have suffering from back shoulder pain including upper portion of right hand for last 3 week, doctors digonisis is spondelysis. I have been prescribe the medicines named PREGABID NT(75 mg) and REJUVATE OD.What are the use of these medicines. Is the treatment is going in write direction?", "output": "Hi, Thank you for providing the brief history of you. A thorough clinical examination is advised followed by an x-ray of the upper back, cervical spine and shoulder joint. As the pain is in the back of the shoulder which is including the upper portion of the right hand, I feel you need a thorough clinical examination. As most pain and aches need to be differentiated as pain is most of the time the nerve related issue and the ache is most of the time related to the muscular issue. Also, if your doctor has diagnosed you with spondylosis, then you have cervical spine pathology for which I will advise you to undergo the MRI of the cervical spine. As by understanding the soft tissues and the nerve pinching in the cervical spine we can later plan a proper treatment for better outcome score. Also, spondylosis is a ageing related issue and the medicine prescribed to you are symptomatic relief, and should continue for time framed by the doctor. Also, undergoing the physical therapy post the clinical examination and MRI will help you regain the maximum functional ability and reduce the pain as well. In my clinical practice most patients with such issues are referred to physical therapy, and they respond well with 100% functional abilities. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I recently have been experiecing some discomfort in my heel on the side and on my achilles tendon, mainly on top of the heel bone. The pain or discomfort is more intense in the morning and if I put my feet up and try standing again. What could this be?", "output": "Hello, As pain at the heel and the tendoachillies can be related to the plantar fasciitis. Doing hot water fermentation, the range of motion exercise, foot muscle strengthening exercises, ankle toe movements, stretching the tendoachillies, using heel silicone pad in shoe should help relief from the symptoms. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir i m 28 years old married man,,, my sperm analysis report is as follows,,,liquefication time 30 min,,volume 1 ml ph ,sperm count 92million/ml,active motile 25%sluggish motile 35%non motile 40% pus cel 1-2/hpf normal forms 96%abnormal forms 04 sir is it normal?,,,at that time when i took the sperm , i was worried and and i ejaculated without erection", "output": "HelloThanks for your query, based on the report of your semen analysis I would state that your semen parameters like sperm count, sperm motility and morphology of the sperms are well within normal range of WHO standards except presence of pus cells which indicates infection either in seminal vesicle or prostate. Please take antibiotics like Doxycycline for 4 weeks and repeat semen analysis after four weeks. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my kid(3 years) got Viral stomach infection , it started from vomiting and than loose motions . she told to give sporlac for 2-3 days , now 3 days are over but she still passing stool 4-5 times in a day and not eating much do i need to continue with sparolac?", "output": "Thanks for your query at Chat Doctor. I understand your concern and situation as a mother. Most of the cases of diarrhea are due to viruses like rotavirus, adenovirus, etc. These are self limiting and resolve in week time. Till that you just need to keep your child HY Chat Doctor. Feed child properly with light diets no spicy or too oily whatever she likes. Don't give beverages and sweet juices. Sporadic can be given. As prophylactic measure get stool routine microscopy examination done and culture sensitivity test for aerobic and anaerobic bacteria. If child look deny" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Dr.I have undergone extraction procedure of my upper molar tooth and took antibiotics (Ampiclox and trinidazole) for a week, I have come to realize some small particle (portion of one root) remained. so far no serious pain felt, however am worrying if there any complication might come later. pls help me what to do", "output": "Hello there... Root fracture occurs for various reasons. It depends on the root morphology and the way it is removed.... The dental surgeon has to remove the tootChatDoctorpletely. A maxillary molar (upper molar) usually has three roots. Morphology at times can be different. There are situations where in you can retain the fractured roots. It is a fact that any root piece measuring less than 4 mm (few consider it 2-3\u00a0mm) can be retained as it gets resorted. Molar teeth are usually close to the maxillary sinus. Improper attempt to remove the root stump would displace it into the sinus resulting in unnecessary complications. So for the benefit of the patient we inform them and leave the root stump for resorption. It resources most of the time or it stays dormant. Any root fragment measuring more than 4\u00a0mm should not be retained as it would lead to complications in the future in terms of cyst or interfere with healing or with your replaced teeth." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, m 25 years old n married for 5 years i had first normal pregnancy bt unfortunately my baby didnt survived, after again i had ectopic pregnancey due to which my right fellopin tube is removed & my periods are also not regular. please advice for solution we are desperate to have our own baby", "output": "Welcome to Chat Doctor there are a lot of issues which u need to take up seriously.first the cause for ectopic pregnancy needs to be given importance cos there are more chances of getting ectopic in subsequent pregnancy.since u have only one fallopian tube u need to examined thoroughly to rule out any congenital defects in the tube and the uterus.I would advise u to go to an infertility clinic and take their advice.u can very much conceive and have your own baby.all the best" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband is a 45 years old fireman in very good shape and within weight limits for his height. He has been on vacation for this past 3 weeks. He developed a hard lump on the inside of his right knee right around the meniscus area just two days ago. He had been in the water for several days prior sitting on a pool saddle watching a boat race. I am sure some beer was involved. Before that, he put a new floor in our house and changed out our kitchen counter tops. Should he been concerned?", "output": "Hi! Thanks for sharing your husbands' health concerns with Chat Doctor! After going through your description of a hard lump on the inside of his right knee right around the meniscus area following kind of heavy exercises, I would like to comment that this is a benign and possibly degenerative or age-related condition and there is nothing to worry really! This is a fairly common clinical situation in my clinic and I would like to consider following possibilities as per my knowledge of needle biopsies:1. Bursa or BAKERS cyst which is a degenerative or inflammatory pseudocyst-like condition; possibility 90%2. Throbmosed or dilated veins possibility 5%3. Loose bodies, synovial herniation or benign tumor-like conditions; possibility 5%Therefore you need not be worried, but please see a general surgeon or orthopedic surgeon for a physical examination and the further needful.... Wishing your husband good health; " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i have had stomach pain for a couple days and it got alot worse today and i think i may have apendicites because i have diharea and if i push on my stomach it hurts and also i feel like if i pass gas or stool i will feel better but i just cant do it. can you help me find out if i have apendicites? please.", "output": "Hi ! Good afternoon. I am Chat Doctor answering your query. Any pain abdomen is not necessarily be an attack of appendicitis. As you have got this pain for quite some time which got worse now, I would suggest you to get it assessed clinically by a general surgeon, who might advise you for some routine blood tests, urine test, a stool test for ova and cyst and an ultrasound abdomen if considered necessary. Further management would depend on the results of clinical finding and investigation reports. Till then, you could take some mild anti-spasmodic Chat Doctor. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi,my daughter is 6 years old,and she has a trouth infection,we want to the hospital and the doctor gave to as CALVEPEN 250mg/5ml powder for oral suspen.But i think that this antibaiotic is to strong,because after few days of taiking she started to be more nervos,she can waik up in the midle of the night and start to cry ,i am just afraid that this antibaiot.to don t afect her nervos sistem", "output": "Hi, Thanks for posting the query, Tooth infection needs to be treated antibiotics and analgesics will give a temporary relief, I would suggest you to take your Daughter to a Periodontics and get it thoroughly checked, get an x-ray done and see what can be done, lumpectomy, pulpotomy, or just a filling. Since the given medications are not suiting her you can give her tab almost 250\u00a0mg BD, tab eugenic junior BD. At home give her lukewarm saline NAD antiseptic mouthwash rinses. Hope you find this as helpful, Take care!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 43 years old, 511, 60 pounds, no serious medical health problem. I have completed 5 days anti-cough medicine but my dry cough has not improved a bit. Can I take antibiotics alone for my cough and no anti-coughs since I have taken completed them already?", "output": "Hi thanks for contacting Chat Doctor... Noted you have only 5 days cough... Cause has to be searched for and accordingly treated ...Don't directly jump over antibiotic.... First if you have associated headache, mild fever and congestive symptom then cause could be viral flu or allergic cough.... For that CBC can be done which might show lymphocytes in viral and eosinophilic in allergic causes..... Bena Chat Doctor. If you have acid reflux disease then also " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have read online that h pylori is transmitted through direct contact with saliva, vomit or fecal matter. Yet nobody states whether or not it is transmitted through direct contact with urine or blood. I know its dna is in urine and blood, but am unable to determine if it is infectious through those routes?", "output": "HI, thanks for using Chat Doctor The transmission of any infectious agents is also influenced by their survival in a particular medium. This means if the bacteria, e.g. H pylori, cannot survive in urine or blood then it cannot be transmitted in this way. The survival in the medium and in that aspect of the body is also important e.g. the urinary tract. H pylori is not normally transmitted via the urine or blood. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have a 8 yr 8 month old daughter. Last year she was diagnosed with myopia and it was 1.5 this year when we went for yearly checkup it has increased to 2.5. She does not watch tv for more than 30 mins a day and is not even too much on electronic gadgets. I am really worried.", "output": "First thing to note in recent studies it is found that watching TV or studying don't cause myopia... But incidence of myopia is less in patient involving in outdoor games... As myopia is less than -3 not to worry. And myopia is likely to increase with increasing high... High myopia more than -6 is more likely to be associated with retinal degeneration... So using lenses till age 18 to 21, may be contact lenses when patient is able to take proper care of it is recommended... LAST surgery for myopia is suggested after age 18... Just visit ophthalmologist yearly to get eye examination done and to monitor changes in retina by ophthalmology is recommended... Plus point is, some studies have shown myopic have high IQ than control population..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, iam 27yrs old, completed our 4th yr of marriage. iam diagnosed with PCOS , ihv been taking treatment for almost 2 yrs. its been 1 1/2yrs of consultation with my present doc who is treating me. I along with my husband have got all the test done. my husband is completely fit, touchwood. we had tried alot for concieving but till now no luck. i dont get menses without taking medicine. in my 1st stage of treatment i was taking TARANA then in the 2nd stage i took laterol , pregnistar, premosa, duphaston , folic acid . and for ovulation i was prescribed pregnyl 5000. can anyone of u plss advice me was this the best treatment or what is the reason for me not concieving. thank you", "output": "Hi welcome to ChatDoctorForum. forces many people are getting treatment and getting pregnancy. It is not successful means there must be some other factors inhibiting ovulation like anemia hypothyroidism diabetes or some other causes. I advise you both partners to consult a fertility clinic for tests including semen analysis. Besides, I advise both of you some diet recommendations as eat more of green leafy vegetables pulses sprouts fruits and juices to build up blood picture and for general wellbeing. Wishing for a beautiful baby soon." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I have extreme pain in right lower jaw. I had an x-ray two weeks ago at my dentist and it was normal. My primary care physician was wondering about TN and ordered lab work to check on infection or inflammation.The pain is constant and sharp. thank you", "output": "Thanks for your query, I have gone through your query. The pain in the lower jaw could be because of many reasons, since you are telling radiographs revealed nothing. The other possible cause of pain could be arising from the temporomandibular joint disorders or mastectomy muscle disorder, or it can be neurological disorders(trigeminal neuralgia). We have to rule out these causes, and then we can treat accordingly. Consult a good oral physician and get it evaluated. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Had a metal plate put in on my wrist on July 17th, 2012. cannot move my thumb, my little finger is numb. just want to know, what can i do to help reduce the cramps in my hand and arm? I put ice every 15 mns. Dr is setting me up for physical therapy 3x a week.", "output": "Hello, As what I understand by history is that, the cramps are the dude to lack of sodium in the muscles of the flexor group. Also, this can occur due to lack of usage of the hand to its efficiency. You mentioned the plate in the wrist, that means you had a displaced fracture which may have disturbed the normal muscle tissue which has now been giving a lot of cramps. Thumb movement is restricted, means it's a radial bone fracture to be assumed. And the plate is restricting the thumb joint to be flexible. Of course, physiotherapy will be advised to achieve the maximum outcome of the thumb joint, because of mobility to its close to normal physiological movements can lead to muscle cramps. Undergo physiotherapy for regaining the maximum possible thumb mobility, so the muscle can achieve the normal physiological functions which can help the sodium channels to work better and avoid cramps. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "last year the doctor found 8 kidney stones and sent me hope., i also have severe hip buttocks pain., i have been dealing with discomfort since then..but the last few days it feels like i have a knife stabbing me in my left side and it s becoming worse and worse", "output": "Hello, I have studied your case, Due to compression of nerve root there can be sensation in hip and butt pain will advise you to do MRI lifeblood work up and EMG-NCV [nerve conduction] study will help. For these symptoms methylcobalamine and neurotrophic medication like amitriptyline can be started consulting your doctor. I will advise checking your it B12 and it D3 level. Epidural steroid shot can help if no relief with medication. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Dr sahib my daughter is about 7 years old and from 3 years she has epilepsy and we done so much tests of CT Scan , EEG and another blood tests after the test result was that she has Brain Atrophy . Now we start the medican 1: Hydergin drops (Co-dergocrine-mesylate) (4 drops two times daily) 2: Syp Epival (2 times daily) 3: Tab Limectal 25mg (one tablet two times daily) 4: syp B complex 5: syp calcium sandoz ,,,,, now she is not good.Dr sahib what can we do and what is your advise.", "output": "Welcome on magic.compare, continue the same medication, for fruitful result can be added alternative treatment. Some complementary treatments may help some people in their efforts to deal with brain atrophy. These treatments, sometimes referred to as alternative therapies, are used in conjunction with traditional medical treatments. Complementary treatments are not meant to substitute for full medical care. Complementary treatments may include:AcupunctureMassage therapyCupping therapy take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband has kidney disease. He had the start of kidney failure just before xmas and spent a few days in hospital. He has been placed on the injection Eprex 4000 1 weekly but has very swollen legs and feet. We live in rural Victoria and have quite a distance to travel for specialist attention. Hope you can answer the question re severe swelling.", "output": "Hi, dairy have gone through your question. I can understand your concern. Your husband has kidney disease. Due to that his erythropoietin secretion is reduced and it leads to anemia. Prey 4000 contain erythropoietin which stimulate the RBC production and increased hemoglobin. Your swelling in leg and feet has no relation with prey 4000. It is due to kidney disease. He should check his creatinine level and take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my question is I went to my doctor he find out that i have rectal herpes but i would like to know how can i treat that at home first i don t know how i got that i don t have a husband i don t have sex but i have Hemorrhoidal i have surgery last year please help me tell me what to do", "output": "Hi, Thanks for the query. I understand your concern, The transmission of Herpes during hemorrhoid surgery seems not to be possible because-strict aseptic precautions are taken during surgery. The possibility of getting it through some person who was infected (while nursing) OR Operation stress has triggered acute exacerbation already existing infection of is the possibility (. Actually hemorrhoid surgery removes a source of viral abide in body) Please know that Herpes infection can not be completely cured. It can take one out of acute exacerbation of symptoms. So only keeping control on disease symptoms with expert advise & regular check up/avoiding acute exacerbation/ & prevent transmission to others is all we can do. Home care for herpes lesion- - Maintain good health & resistance by healthy lifestyle, Keep a cold / lukewarm cloth on the lesion, Take bath with lukewarm water, keep the lesion Chat Doctor. -Over the counter NSAID like Ibuprofen would help in managing the pain/ discomfort - An experts advise for prescribing anti viral " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "At 1:30 AM today I woke up feeling very hot with abdominal pains. On the toilet I soon felt faint. Experienced a mild need to puke but didn t. I had a normal (solid) bowel movement. Stayed up and soon felt fine. Returned to bed about 4AM. At 5:30 AM woke up with abdominal pain again. Not hot this time. On the toilet I felt mild light-headedness. No puking feeling this time. Had a generous solid bowel movement. At 6:05 had abdominal pain again. Third solid bowel movement. Very mild fainting feeling and mild feeling I was going to puke. The abdominal pain felt just like it does when I am very gassy. On those occasions I pass lots of gas and fell better right away. This day I did not pass any gas. I feel okay the rest of this morning. However, I m concerned.", "output": "Hi. Thanks for your query. With the history of pain in abdomen and passing motion every time but without gas this time indicates that it was just loaded colon may be a with a mild amount of colitis of whatsoever cause. Since you are concerned and with the past history of gases trouble it is better to undergo a few tests under the guidance of a Gastroenterologist: Viz. Colonoscopy and CT scan of the abdomen. Other tests of blood, urine and stool, particularly to rule out diabetes and intestinal infection." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Had pain in lower left abdomen which would come and go for a few weeks. Then a week ago it was so painful I couldnt talk through pain inassumed it was another ovarian cyst. I went to the ER and they did amCT scan, blood work, internal ultrasound and all came back normal. Pain since, comes and goes and is very sharp. Any ideas?", "output": "Hi! As you have had severe bout of pain, and the pain is recurrent, it can not be overlooked as normal. Many times, ultrasound or x-ray may not be able to detect few of the pathology which have not attained detectable size by ultrasound. I would suggest either to go for a repeat CENT scan of your abdomen which is non-invasive. If this is also inconclusive, then you have to consult a laparoscopic surgeon in your area for a diagnostic laparoscopy, which can conclusively detect the problem, and possibly it could be therapeutic also depending on the pathology detected. Wish you an early recovery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, sometimes i bend over it feels like i m drowning or forgot to hold my breathe and inhaled a bug gulp of water, and then u cannot breathe or it becomes very hard to breathe and i get very dizzy. i am also have sinus issues and was diagnosed Friday that it was a sinus infection. i am afraid that i might have water i m my lungs this happens sometimes when i inhale deeply or i bend over to pick something up, also water or mucus has started to leak from my nostrils.", "output": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint dizziness on bending down along with sinus infection can be due to middle ear infection or Deniers disease. Other common causes that can cause similar symptoms can be Benign Paroxysmal Paroxysmal Vertigo, stress etc. I would suggest you to consult an Otolaryngologies and get evaluated and a thorough clinical evaluation and investigations like Endoscopy, x-ray, MRI scan, blood pressure monitoring, Posturography etc. can help in diagnosis and treatment can be planned accordingly. You can be advised to take antibiotics, anti-inflammatory painkillers, decongestants, anti allergic like Meclizine, benzodiazepines like Diazepam etc. Limit salt intake in diet. Avoid sudden movements of head. Avoid Chat Doctor. . Take sufficient rest and a nutritious diet. Hope this information helps. Thanks and regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 27 year old male. I have had blood in urine, a lump on right testicle and lower back discomfort. I had an ultrasound which reveals a thickening on part of the bladder wall and a bit of a clot. I am having a cystoscopy today. Any idea what this could be ?", "output": "HelloThanks for query. Hematuria with lump in testicle and discomfort in lower back is mostly due to one of the two following reasons 1) UTI (Cystitis) 2) Infection of the Epididymis secondary to UTI. You need to do following tests to confirm the diagnosis 1)Routine urine test and culture Cystoscope examination planned for will help to confirm the diagnosis. Taking antibiotics and urine alkalizer for 10 days will help to resolve the problem. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im a female and Im almost 18.(165 cm and 55 kg) Ive been having stomach pain for more than a year, it comes and goes. its mostly in the morning.. ive had many tests like blood test and colons-copy and other things and theres nothing wrong with my body so my doctor gave me medications for stomach nerves and stress but it didnt help me. could this pain be related to something else i need to test?", "output": "Hi ! Goode veining. I am Chat Doctor answering your query. I would first advise you not to eat from outside if you do, which might be inducing intestinal infection by ingestion of food made in not a very hygienic condition. If I were your doctor, I would go for a routine stool test for ova and cyst and a culture sensitivity test, and prescribe you with an appropriate anti-biotic/antiparasitic Chat Doctor. I would also like to go for a urine routine/microscopic/culture sensitivity test to rule out a silent unsuspecting UTI (urinary tract infection) and treat it accordingly. You have not mentioned anything about your sexual status, that is if you are active in sex. In that case you might have to be assessed by a gynecologist for a possible unsuspected pelvic infection. I am not aware if an ultrasound of abdomen was done for you or not. If not, this test might prove to be helpful in treating your pain abdomen. Till then, you could take some anti-spasmodic " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m a UK resident and our online healthcare symptom checker isn t brilliant. I ve tried calling my doctor to no answer several times. I m thinking I will head to the hospital but wanted a medical opinion first as my daughter has chicken pox and we holding up quarantined!! Sudden onset of dizziness and feeling weak, quite irritable, headachy It moved to sudden temperature rise and sweating through clothes, I couldn t move my arms properly. I think it was mental block out tiredness rather than an inability (when I needed to move hair of face I did it automatically it without thinking). Felt very lightheaded and my heart was racing. Then in a split second it shifted to more headachy and extreme shivers. My skin became very sensitive and hurts to touch. I am female, 29 and no medical conditions. This has happened once before, a month or so ago.", "output": "Hi, I had gone through your question and understand your concerns. You should be worried but not too much. Adults usually have severe for of chickenpox. Your dizziness and weakness is symptoms of intoxication. Herpes always cause headache. You take acyclovir in case of any Herpes infection to stop replication of virus. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Doctors, My name is Medo, iam 28 years old, male , single with no any medical history. I suffered from white patches on both sides of my tongue since one year ago. From two months ago i found some big Taste papillae if we can say, on the back of my tongue, on both side on the edge. So i have white patches on both sides of my tongue since one year and enlarge papillae on the both side in the back of my tongue. Can you told me if this is a symptoms of cancer. Note : HIV test is Negative.", "output": "Thanks for your question on Chat Doctor. There are few causes for white patches on tongue. The common causes are1. Fungal infection due to improper hygiene.2. Vitamin b12 deficiency3. Riboflavin, pyridoxine and niacin deficiency. 4. Leukoplakia due to tobacco use or dental problems. In my opinion you are having vitamins deficiency. So get done vitamin B 12 level. If deficient, start supplements. Also give multi vitamin tablets containing folic acid, niacin and pyridoxine. Do take proper care of oral hygiene. So very less likely due to cancer in your case." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My friends daughter has a blood clot in her arm and the drs can t dissolve it. She is being sent to a pulmonary specialist in Boston. They are also are checking her for cancer. What happens if they can t dissolve it? Are there any cancers this could be. She is only 30 years old. I am not paying for an answer. I will keep researching. Thank you", "output": "Hi, dairy have gone through your question. I can understand your concern. She may have some clotting disorder or clotting tendency. So there is blood clot. It may be due to cancer or other disorder. So she should search the cause. For blood clot she should take heparin injection. Later on she should take warfarin for long time. These all are prescription based medicine so consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "andromatisis and overy cyst removed befor one year and 3 month zoladex 3.6mg given ,(in lapraspoy surgery huge utras and critical andromatisis seen), after this surgery fartility treatment started in jan2011 month first time both overy creat eggs but traped. after this some cyst seen than pills or other medician taken, in month of april2011 both overy creat 2 big eggs, but these not properly rptchered , than doctor refer this case for IVF. pls suggest for ivf of alternative treatment. thanks.chitra vyas w/o mahendra kumar vyas, bikaner(rajanthan) andromatisis and overy cyst removed befor one year and 3 month zoladex 3.6mg given ,(in lapraspoy surgery huge utras and critical andromatisis seen), after this surgery fartility treatment started in jan2011 month first time both overy creat eggs but traped. after this some cyst seen than pills or other medician taken, in month of april2011 both overy creat 2 big eggs, but these not properly rptchered , than doctor refer this case for IVF. pls suggest for ivf of alternative treatment. thanks.chitra vyas w/o mahendra kumar vyas, bikaner(rajanthan)", "output": "Welcome to Chat Doctor Your doctors have tried surgery (laparoscopy). Even after surgery ovulation is not occurring properly, so they have suggested IVF to bypass that event by doing ovum pickup. Actually at this stage when surgery fails IVF is the treatment preferred by infertility specialists. If you want to get a second or third opinion before proceeding for IVF to be sure that treatment you are undergoing is best for your situation. Age is important factor, so if you are <30 you have some time otherwise IVF success rate also decrease with increasing age. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have autoimmune system R/A and Lupus I get soar like pimples inside one ear and last a couple of weeks and then before it s over I have it in the next ear. What is this why do I get these and how to prevent it! What medicine would be good? I get ear infection frequent along with the soars in them,I get sores in my mouth and inside my nose is this just another symptom of the Lupus?", "output": "Hello dear, brief answer, yes these are symptoms of lupus. Detailed answer, as you know in autoimmune disease, our body s immune system reacts against the normal cells of the body, which leads to the different organ damage and in skin it presents as rash or sores, We can definitely control the disease, sunlight, any source of infection in the body, some specific Chat Doctor. So avoid the sun totally. Use cap or hat, sunblock and avoid unnecessary outing, in treatment, I think you have localized disease at present, you can try topical steroid cream, for ear as well as for mouth and nose, tacrolimus cream can also be helpful. Oral HY" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My health question is as per the details provided by me on the subject pls let me know whether i shud go for concurrent chemotherapies along with my radio therapy. are they actually required at my stage of epiglottic carcinoma. I m already in the mid of radiotherapy sessions?", "output": "The standard treatment for epiglottis carcinoma is radiotherapy with concurrent chemotherapy. This applies to all stages except the earliest (stage 1 where only radiotherapy suffices), and the locally advanced cancer where surgery is required. This chemotherapy is low dose and is given only to enhance the effect of radiotherapy and so has minimal side effects. Only in patients who cannot tolerate even this low dose like very old patients with several comorbidities, is chemotherapy omitted." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i HAVE A PATIENT WHO IS 81YRS OLD, FAIRLY HEALTH AND ACTIVE, DIABETIC, WHO IS EXPERIENCING EXTREME INTERNAL COLD/FREEZING SPELLS. SHE HAD A HEAD CT SHOWING POSSIBLE STROKE , MRI RESULTS LEAN TOWARD POSSIBLE SEIZURE ACTIVITY. AN EEG WAS JUST DONE BUT NO RESULTS YET. WHEN SHE IS HAVING AN EPISODE SHE WILL BECOME TACHICARDIC, CONFUSED AND THEN DROWSY. SHE DENIES PAIN OR SOB. IS THIS AN UNUSUAL EXAMPLE OF SEIZURE ACTIVITY OR DO YOU HAVE ANY OTHER DIFFERENCIAL DIAGNOSIS?", "output": "Dear friend, welcome to Chat Doctor.a well asked query indeed !it looks like a seizure with sympathetic overactivity, and post octal state like Chat Doctor. Does she periodically get better?does the MRI show an infarct/ diffusion restriction?how long back was the onset of episode?any paresis?you can give iv midazolam under preparedness, under competent medical supervision and see if it aborts the episodes, confirming the seizure. EEG may / may not show it.pl. take a euro consult, if you are not able to decide further. Pl. post the results and greater details of the entire illness and would be glad to revert. She should be in an ICU. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Last night I started twitching really bad. And today it s just gotten worse. I ve never twitched like this before. It s like every minute or so I twitch. Whether its a small one or like my body is being jerked. It JUST started last night. What s wrong with me?..", "output": "Hi, Thanks for your query. It seems that you have muscle twitches or articulations. These are small, local, involuntary muscle contraction and relaxation visible under the skin arising from the spontaneous discharge of a bundle of skeletal muscle fibers. You might consult your doctor who can order 1. A few blood tests including thyroid function tests, 2. Serum electrolytes including Serum calcium and potassium levels. 3. Serum B12 levels In case the above tests are normal further testing can be done including - nerve conduction studies, Electromyography, etc. These tests might help to diagnose any underlying neurological issues. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I noticed a small, slightly painful, pimple-like spot on my labia majora yesterday. I had shaved off the pubic hair almost completely (I found out that I m not supposed to shave the hair completely or wax it). I left the boil, thinking it must be because I shaved. I ve had small, painless boils before, but they were always only on the mons pubis. And today it s become larger. I also feel slight discomfort on my genital area, like a burning sensation. What do I do?", "output": "Hello, I understand your concern. I am Chat Doctor, infectious diseases specialist, answering your query. In my opinion you should get your self examined by doctors and start the antibiotic Doxycycline under your doctors' guidance. You can also apply polypoid ointment over the wound area. Maintaining hygiene by frequent cleanliness and Chat Doctor. Avoid sexual intercourse during this period as it can worsen the condition, and it can be spread to partner also. Please use cotton undergarments as they prevent reaction with infection. Please wash the garments under antiseptic solution like detail. I will be happy to answer your further concern, you can ask me on bit.ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor,I am a 34 year old male suffering from severe spine,shoulder and hand pain. I have taken a MRI spine today and the report is as follows.1)Broad based disc protrusion of C6/7 with peropheral annular tear witChatDoctorpression of thecal sac and compromise of exiting neural foramina with disc bulges at C4/5 and C7/D1 with no canal compromise.2) C5 and C6 vertebral bodies suggest block with narrow waist /no marrow oedema with rest of the study normal - congenital blocked bodies with no post elemental involvement is possible.3) Loss of bright signal on T2 WI suggest diffuse degenerative disc disease at all the cervical levels.4) All the rest of vertebral bodies suggest heterogenous fatty marrow changes.5) Pedicles,laminae,spinous processes,facet joints,craniovertebral junction,spinal cord is normal.6) Screening of dorsal spine,lumbar spine as seen in the whole spine scout normal.Please tell me what this means and what treatment should I be taking now.I am very nervous.Please help.", "output": "I read your question and I understand your concern. The MRI shows degenerative changes of your spine which are to be expected to a certain extent in an old age but are fairly premature for a 34-year-old, I don't know your medical history, you should be investigated for some chronic joint inflammatory condition. What specifically causes your pain spreading to the limb though, is the herniated disc between C6 and C7 vertebrae compressing the nerve root. The first options are anti-inflammatory over the counter Chat Doctor. If those measures don't work then local injections with steroids and anesthetics near the nerve root are the second option. The last option if symptoms persist is surgery. I hope things work out for the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Throbbing pain base of skull and back of head ,feel some relief with moving head and neck. Also pressure and twitching of eyes. mostly right eye . pain is about 8 or 9 on scale of 10. But responds to aspirin. Also have had some strange sensations near left ear.", "output": "Hello! Welcome on Chat Doctor ! Your symptoms could be related to different possible causes: migraine, hypertension or an inflammatory disorder. The fact that the pain is relieved by head and neck movements could indicate a tension type headache. Anyway, I would first recommend measuring your blood pressure values. If your blood pressure values are normal, I would recommend consulting with your GP for a physical check up and some tests: -a cervical spine X-ray study-complete blood count, sedimentation rate and PCR for inflammation. If these tests result normal, you should consider tension type headache as the main cause of your complaints. In such case, painkillers and physical activity (Yoga, recreational sports) would help improve your situation. Hope you will find this answer helpful! Best wishes, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "knuckle on middle finger is bruised and swollen, what should i do? i was playing soccer and the ball bounced up and hit the finger straight on. i could move it for a min or two before it became swollen and stiff. its been almost a day and it s still swollen around middle knuckle and its plainful to move.", "output": "Hello, I have studied your case and I think that you should get x-ray of the hand to make sure if there is any hairline fracture or bony injury is present. It is very common to have such fracture during gaming with very trivial injury. If there is any fracture than you will need splinting and analgesics like broken. Splinting is helpful even if there is no fracture and only soft tissue injury. I hope this answer will be helpful for you. Let me know if there is any other followup questions. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, I saw this add I thought I might try it out. Me and my husband have been trying to conceive for about two years now. I have had a regular menstration, but last month after I had my period (exactly) a week later I bled in the morning, (light pink when wiping) After an hour it was gone, Ive been feeling tired and always hungry, it might just be me thinking im pregnant when im not..but why would this happen. Im suppose to start in 8 days. Can you please help me? Thank You Natasha", "output": "Hello are feeling tiredness, having hunger (in excess) and also bleeding spot, why? You are having a very regular menstruation (regular date) . This time exactly after 7 days of regular period, you had bleeding just like a spot. According to you this spotting was on the 8th day of period. Now note down this thing. The size of dominant (which carries ovum) follicle should be 19 to 20 mm on the day 14 -15 at least to rupture and endometrium thickness must be around 11 mm to conceive. It means ovulation occurs on day 14-15 after 1st day of period (bleeding day) and in your case bleeding spot was on day 8th, in my opinion no chance of any pregnancy. However, felling of tiredness, hungriness may be due to anxiety, tension, because you are so eager for conception, these symptoms may be fake symptoms. So in my opinion consult an INFERTILITY specialist and get his opinion regarding pregnancy. Hope this will help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 14 month old has possible flies or eoe or eoe and ec based on allergist and gi suspicions. We pulled apples after allergist had stool concerns. Went 4weeks, started probiotics and have just re introduced apples. She hs had two middle of the night crying spells (lasting about 20 minutes each) in which cry sounded as though she was in pain, some shorter crying spells during the day, one diaper with mucous, and inreased cough now followed by congestion and steady nasal disharge (seems to be starting a cold today). This evening I noticed her nose is bleeding though it is runny not dried out. So my question is, could this be related to one of her possible conitions and the re introduction of apples or am I just on way too high alert? Currently her only safe food is Elecate jr unless we can get a pass with apples.", "output": "Your child is 14 months old and can only express pain and discomfort by crying.Moreover, she does have allergic status severe enough to cause nose bleeds. My suggestion is to continue elevate, stop apples, even if not directly related, supplement with good multivitamins and a hypoallergenic plain rice cereals, instead fruits for the time being. Go slow and steady one, at a time and stop with the slights expression of pain or discomfort" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My uterus was removed years back from aedonomosis.....iguess a form of endo...now i am scheduled for lapro to investigate endo,My abdomen stays swollen like i am pregnant, and have cyclic pain and mood s.What can you tell me to exoect in my sugery coming up.?How much endometriosis can i expect the dr to find? i have been diagnosed with ibs, can this b an endometrial attack on my bowels?How bad can endo spread in a matter of years to other organs in the abdomen?Thank you,Confused, conserened, medically challenged patient :-)", "output": "Hi, Welcome to ChatDoctorif Uterus was removed, years back, then I do not think that On laparoscopy, there would be any active lesion of Endometriosis. Your Doctor wants to rule out any ovarian, tubal or peritoneal pathology. This pathology could be due to chronic Pelvic inflammatory disease, or due to scar formation after rupture of any endometriosis cysts, or as a long term complication of hysterectomy itself. After removal of uterus, ovaries stops functioning gradually. Your cyclic pains and mood swings could be due to changes in hormonal level.IBS is a diagnosis of exclusion. Intestinal symptoms can happen due to scar adhesions on intestine or over momentum. There can be thousands of problems, and it is highly possible that your doctor do not find anything wrong. So I would advise you to not worry too much. Once you know your specific diagnosis then you can explore it in depth. Best Wishes Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. My mother s EKG report says antral infarct, probably old, abnormal . And she has had chest pains previously. What does old antral infarct indicate? Can the damage be reversed? Its possible cause and line of treatment? Is she in immediate danger as I cant get an immediate cardiologist consult due to the country I am in.", "output": "Hi Welcome to Chat Doctor Old infarct means that she had an in fact in past which was minor or was undiagnosed and missed. She is having cardiac disease. After all infarction the cardiac muscle gets scarred and there is no treatment available to revive the tissue. She must undergo angiography and stress echocardiography to know level of disease and further stent placement or bypass surgery. The best approach is to avoid future attack. Ask your mother to keep her BP, sugar level and lipid profile under control. She should avoid undue physical and mental stress and practice meditation. She may take baby aspirin 150 mg daily. If you have any further query then you can come back to Chat Doctor , I will definitely help. With Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 7 year old (good health, average height and weight) has had a fever of up to 103.6 for the past 5 days. no other symptoms, I have been treating the fever when it gets up to 101-102 otherwise letting the body do it s thing with plenty of fluids and rest. Went to dr today, they did lab work and determined its not bacterial, its a virus. Fever still, controlled with motrin and tylenol, and now he developed a welt under his left eye. Started as a pea size and grew to a quarter in an hr or so, it looked full of fluid. Now the welt (hive) has dissipated to puffiness around the eye. Should I be concerned about this new development and take him to ER or is it likely the virus and not something to worry about?", "output": "HI... I have just read through your query. What started as a viral illness might have been getting secondarily infected and the puffiness around a single eye and with fever cannot be just ruled out as allergy or welt. I feel she might be developing a periorbital cellulitis or soft tissue infection around the region. I suggest you get back to your pediatrician or nearest emergency room immediately as this will require antibiotic therapy. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctors,16 months back I shifted to bangalore. Since then i have had nasal blockage nad very recurrent cold. But last 2-3 months, i am having severe breathing trouble. Have cosulted a pulmonologis and ENT as well. Was given some steroid inhalation. Breathing is normal while medication is on, but within a gap of a day or two, it comes back. Kindly suggest some solution.", "output": "Hello. Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for you as follows:1. Were I treating you, I would prescribe you regular montelukast and levocetirizine for nose symptoms. I would also suggest you albuterol inhaler to be used on as-and-when-needed basis for asthma symptoms/wheezing/breathing difficulty.2. For treatment of allergy, I would suggest you allergy testing which will help you identify the substances you may be allergic to and to know the measures to avoid them. Based on allergy testing, an Allergist-Immunologist may prescribe you allergen specific immunotherapy which works on immune system to improve allergy symptom on long term basis.3. In general, I would suggest you to avoid exposure to dusts, smokes and air pollution. (Air pollution is a big concern in Bangalore, I know).4. Regular breathing exercises and balanced healthy diet will help you to improve your lung capacity and immunity respectively gradually. Hope above suggestions will be helpful to you. Should you have any other concern, please feel free to ask at Chat Doctor. Wish you the best of the health. Thank you & Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, i just noticed my daughter (23 mo) has a pimple on her tummy and a few on her back. I know it isnt that KP this is like a pimple on an adults face looking type pimple. Its red around the outside dont think its itching her...any ideas? My email is YYYY@YYYY", "output": ". Hi... Thank you for consulting in Chat Doctor. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi ...I am 4 week pregnant,my doctor has prescribed me duphaston 10 mg, Macfolate, doxinate, Ecosprin 75 and zincovit. I had 2 abortion history in last 2 year in 7th week of pregnancy.as there was no cardio activity in fetus. Please let me know is these all medicine is safe in early pregnancy as per my pregnancy history.", "output": "Hi dear, I have understood your concern and I will suggest you the best possible treatment options.First do not panic about the medicines. Yes, these medications are safe for use in pregnancy. Tab. Dominate, is commonly used as anti-emetic and anti nausea tic. Macfolate and Zirconia are multi vitamins and multi mineral supplement. Duphastone is a progesterone hormone tablet. It is helpful for support and growth of early pregnancy. Aspirin is mainly used in low dose as medicine to prevent clogging of blood vessels due to platelet aggregation. This helps to maintain the blood supply from mother to baby. In some patients, there is formation of antibodies that promote platelet aggregation, leading to blocking of blood supply to the developing pregnancy. Please have full trust in your treating doctor. Follow up regularly and also take medication as suggested. May God bless you with the bundle of joy. I hope this answer helps you. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am 34weeks pregnant and about a week ago I started getting excruciating pain at the top of my abdomen on the left hand side, the pain is in an area about 2 cms long- it feels very much like a hernia , which I have had in the past. I have been reading online about inflamed rib cartlidges, is this something common in pregnancy? The pain is so bad I cannot lay downor touch the skin within that small area", "output": "Hi welcome to Chat Doctor forum. Thanks for choosing Chat Doctor. F. You are a pregnant of 34 weeks, Last week you got pain at the top of abdomen and to the left side. It might be hernia or gastric pain, or pain of funds of uterus. I advise you to consult a surgeon for diagnosis and treatment. You may have to undergo gastrostomy, and M.R.I. for confirmation. Wishing for a quick recovery. Best regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "this is about my son hes 19yrs old about 170lbs. on 4/21/2011 he was diagnose with acute necrotizing appendicitis at the er and his appendix was removed and now my insurance doesnt want to cover the bill because they said it wasnt medically necessary.is this true?", "output": "Hello, Good to hear you. If your son had acute necrotizing appendicitis than it is an absolute indication for appendectomy. So there is no question about not covering the Medicaid. As an advising doctor I suggest you to visit nearby surgeon and describe them a complete situation. He will guide you further, because there are many other parameters also which can not be covered into the Medicaid. Than" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, i have been feeling ill for the past 10 months, having had ct scans done on my heart also ecg & x-ray & nuclear scan plus stress test, they were all fine, ct on head, ct on abdomen, an endoscopy , all were fine. Still i suffer daily from attack feelings like, waking up feeling hung-over, Nausea, dizziness/ vertigo feeling, pressure in my head then that on-sets aniety feeling", "output": "Hello and welcome to Chat Doctor. Thanks for your query. It is possible that the episodic symptoms which you are experiencing could be indicative of panic attacks. Panic attacks can manifest with a variety of physical symptoms like dizziness, vertigo, nausea, heaviness of the head, chest discomfort, etc. Anxiety can manifest itself with not only psychological symptoms, but with physical symptoms also. Since all medical tests have been negative and since these symptoms seem to be quite distressing to you, I would advise you consult a psychiatrist for a detailed psychological assessment and further treatment. There are effective treatment options - in the form of medication or counselling / psychotherapy which will help you overcome your problems. Wish you all the best. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my grand daughter was premature, born at 7 and a half mnths gestational age. She was drinking milk well but from 8 mnths of age she started vomiting her food and she s taking lanzol junior, but even today at 10 mnths of age she doesnt eat semi solid food without liquifying it.", "output": "Hi welcome to Chat Doctor, I understand you concern and sure its very disturbing. It seems like a chronic problem and sounds to me like gastroesophageal reflux. It's a very disturbing problem for the child and parents also. However, the problem needs to be diagnosed for sure by doing barium swallow study. Once confirmed it is totally controllable. For this you need to see a Castro entomologist and be on strict follow up. Remedies like keeping children head in an elevated position while sleeping and continue Landon junior to a long duration on 4 weeks is what I would advise apart from this. Hope your child improves soon. Happy to clear any further queries. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My name is Ashim Nayek residing at Durgapur and I have twochildren and my elder son aged 17 year who is very absentminded and can not concentrate in his academic studies normally. His patience is very little and erratic in nature. He did very worse in his recent school final exam ( Class X exam.) due to his unmindful nature and he also involve himself in smoking cigarette seperately. He frequently behave very eratic with his perents. So please advice me how I tackle my son in coming days.thaking you,ASHIM NAYEKVILLAGE AND POST.- GOPINATHPURDURGAPUR - 713211DIST.- BURDWANWEST BENGALMOBILE : 0000.", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. Your son is adolescent. Adolescent nature is always like what you described. This happens due to hormonal and body changes. They feel that they are matured and indulge in risk taking behavior. They ignore and behave erratically with parents and elders when they are advised because they never want to listen to advises. But you should not worry. Within some tow or three years, his behavior shall be good. For the time being, be his friend. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello,I am concerned about little lumps (i would call it spots inside the skin) in my right labium, I found one earlier this week that sarted swelling up quite a lot and hurt terribly, it was difficult to find a way of sitting down comfortably. Now I found a second one in the same labium further down, a bit smaller, also tender to touch, if that starts swelling like the other one I wont be able to sit at all. Then i started looking for more, and found one that is where my leg starts already, so away from the genital region at the start of the pubic hair area (loin/lumbar area). I am now really worried and would like to know what that could be, before I go to a doc as it is quite embarrassing. Thanks for your help", "output": "Hi, Dear Thanks for the query to Chat Doctor virtual Clinic. I studied your query with available details given in your query. I understood your health concerns. Cause of the painful and swollen lumps on labium-From the facts given in your query, you seem to have-infected hair follicles/Boils, as your story goes by. The lump on the pubic area nearby confirms it being boiled. The chances of it being Carolina Cyst are less in your case because of the weeks' history when the first lump in right labium got bigger and was tender, not allowing you to sit even. So Don't worry.It's not cancerous but is infective lump. This would help you to plan treatment with your doctor, whom you should plan your visit urgently, before it complicates anymore.Don't Self-treat or medicate in your case as the case may go in to further complications. Hope this reply would resolve your query and would help you to plan treatment with your doctor. Hope this would relieve of your health concerns. Welcome for any further query in this regard before final suggestions are given in your query. Wishing you fast recovery. Have a good day. Chat Doctor. N. Senior Surgical Specialist." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "lmp march 12/13. 8 positive pregnancy tests. u/s on tuesday showed 4.5 weeks 3mm gestational sac. ChatDoctor tuesday 1529, repeat on thursday 3060. I hae fibroids, endmetriosis and adenomyoisis with an adenomyoma on uterine wall. they are waiting now until may 7th for another ultrasound. is this a viable pregnancy at t his point. I do have queezyness all day which I didnt have with my son at all. when I was pregnant with him I was taking tests at 18/20 weeks because I felt nothing and only gained 7 pounds. I am also newly diagnosed with CVID and get ivig infusions monthly. I know I am still high risk just very nerous", "output": "Yes you are definitely high risk. This pregnancy is too early to be viable yet. You need another ultrasound,2 weeks later as you have scheduled, to determine whether the pregnancy is viable. By 6-7 weeks, the fetal heart beat should be present. I suggest that just wait for the ultrasound you have scheduled. The symptoms you have are common in pregnancy. Be careful though since you are at high risk for early pregnancy loss due to the fibroid, adenomyomas. If monitored carefully I'm sure you will have a successful pregnancy." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a relatively healthy, but obese (230lbs) 61 year old with a long standing history of sinusitis. I just began the NutriSystems diet plan and am eating and drinking more dairy than I have since I was a kid. My sinusitis has become almost unbearable and my ENT says I do not have a sinus infection. I am suspecting a dairy intolerance or allergy. Could this be?", "output": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Yes, it can be dairy food allergy. Some people can't tolerate the dairy food, they are allergic to the dairy food. I advise not to take the dairy food, as it can cause further allergy. You can take the cetirizine and prednisolone tablet for allergy under your doctors' guidance. Please maintain good hygiene in oral cavity and nasal cavity it will prevent the future secondary infection superimposed to the allergy. The treatment of the allergy is to avoid the allergen, so if you avoid allergen you are away from the allergy. There is no better treatment than it. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "This past Tuesday I was driving to the clinic thinking I had a kidney infection. While driving I got this tingling sensation from head to toe and shortly there after got horrible cramping of my arm, hands, and feet. Then slowly lost my speech. I thought I was having a stroke. I went to ER where they said my potassium and magnesium levels were dangerously low. I also was told I had a bladder, kidney, and gallbladder infection and a small kidney stone. Its been four days and I dont feel much better. Im still getting occasional tingling in my face and feel very sluggish. Is this normal?", "output": "Hello dear, The kidney helps in maintaining the acid-base balance in the body. And any pathology to it in the form of infection or stone can result in imbalance resulting in increased sensitivity of nerve endings at the Neuromuscular junctions. So, the tingling sensation in the face can be attributed to increased sensitivity of the nerves which supply those muscle groups. Other causes can be:1. Electrolyte imbalance- as reported in the ER2. Hypocalcemia- calcium is essential for nerve conduction & decreased level of calcium can cause such symptoms.3. Dietary deficiency of nutrients like It B6, It B12 & Folic acid, etc.,4. Stress & hyperventilation5. Peripheral neuropathy due to metabolic reasonsSymptomatic relief can be obtained by intake of multi vitamins & mineral supplements. However, if symptoms still persist, kindly consult your Physician for a proper clinical examination. Investigations like complete blood count & nerve conduction studies will be helpful. There is no need to worry...you will be fine. Wishing you a good health. Thanks & take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Dr., Good Afternoon... Since last 4 days I am having severe pain in my right arm, which started like a muscles cramp. After applying volini, i felt better on my lower neck, but the pain is getting severly painful on my upper arm. Earlier I had done a X-ray on my LS spine due to lower waist pain which causes pain on my left leg. kindly suggest some medicine it get rid of the pain.", "output": "Dear Sir/Madam, I thank you for having faith in Chat Doctor and for seeking help on your issue; I have gone through your symptoms, and in my opinion, do not worry, take some rest, Take Tab Paracetamol 500 mg three times a day with water, if pain is not controlled you can take Tab Tramadol 100 mg one SOS. Wait for 5 to 7 days on these Chat Doctor. Special note-Any medication prescribed needs to be taken after consultation with your personal doctor only. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 4 year old son keeps telling me that his stomach hurts and when I touch it he screams. it feels very hard or swollen almost like he is pregnant. This just started lastnight. Now he is telling me that he wants to go to the dr. and get a shot and he hates shots. What could this be?", "output": "IIN my opinion, the visit to a pediatrician is a must for diagnosis and management of your children illness. Sudden abdominal pains with severe tenderness can be an episode of bowel obstruction, complicated appendicitis, pancreatitis, peritonitis, comics due to stones etc. All these conditions need immediate doctors interventions. They may ask for some blood and urine examination, X-ray abdomen and ultrasound abdomen to come to a definitive diagnosis. You can give your child dicyclomine and acetaminophen for immediate pain relief before you visit ER. Take career further questions, do contact us." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "For about 7 or 8 days now , I ve been feeling completely empty and just pure emotional numbness , I can t seem to get excited or passionate about anything anymore and haven t felt myself for over a week , it s very frustrating and I really don t want to feel like this anymore , I miss having feelings and being able to think about things and go out and socialize with my friends and my natural excitement and enthusiasm about things. I went to the hospital , because the first few days I had really bad feverish symptoms and felt horrible and nauseous and a really rapid heartbeat, they said they found blood and a weird type of protein in my urine that spread and may of possibly caused an infection, so they put me on a drip and injected an anti sickness drug into my body and then gave me a course of anti biotics. But I ve been taking these anti biotics and I still have the complete same emptiness and feeling disconnected.", "output": "Degree understand your concerns went through your description. I suggest you not to worry too much. I don't understand why thinks negatively where such thinking is not at all advisable. Everyone goes through periods of illness. Everyone feels as you. Emotional numbness or some sort of uneasy feelings. Body and mind is related. If body is ill mind also feels the brunt, and it is applicable in reverse also. Thinking also needs energy and body wants to conserve energy to have more effective work inside the body. Understand the body chemistry and it answers your questions. Worrying increases the worry itself. You will be cured for sure. Your doctors are doing their best. Also, god is with you. God cannot leave you. Be happy. You might need psychological counseling., I am more than happy to provide telephone psychological counseling through Chat Doctor. Contact me through customer care, www.ChatDoctor .com. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Yes I am a 67 y/o female who has kyphoscoliosis and have had spinal fusions from C3 to C7 and T1 to sacrum. Have had two revisions on my back and have alot of instruments in the spine. I am having alot of sweating and then chilling and feel like I have the flu. Has been going on for months and is getting worse. Could I have an infection where the instrumentation is in my back?", "output": "Hi dear...my wishes for you to have healthy life...your question about instrumentation in the back can cause infection.the answer is yes ...any foreign body penetrate the skin or implantable object even it is sterile high risky to get infection...you must be followed always for any signs of infection such as fever or discharge or pain or tenderness...to avoid any complication early diagnosis and early treatment is very helpful.... sometimes we need investigation such as culture specimen to assure of infection ...but clinical symptoms is warning sign....so your case need to follow up...simple investigation test and simple treatment, and you need not to carry.....god blessing you...wish you happy life." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello. I have a sharp, stabbing pain in the center of my chest that come and goes. I also feel a dull pain in the center of my shoulder blades in my back, I have a resting heartrate of 104. im a 38 year old black female weighing 179 a 5 1 . I have also been have weakness and a pain I cannot really describe in my left arm from arpit to thumb, iwas thinking pericarditis and planned to go so my dr but I didn t get to call in bwfore they closed. can you enlighten me as to what may possibly be going on? I live 45 min away from nearest hospital.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of ischemic heart disease(coronary artery disease-CAD) is more. Paricarditis is unlikely cause for chest pain. But you should consult emergency room an Chat Doctor. These will rule out both pericarditis and CAD. If both are normal then no need to worry much. Your symptoms are mostly due to stress and anxiety. So avoid stress and tension. Be relax and calm. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have shingles. I ve had it for about 10 days and the original rash is clearing up...it s getting brown, as I was told it would. I had a lot of pain on my left side from under my breast to my waist. I thought my rib was broken. it was very painful. I got medicine (valacycloir) on Saturday1/20/18 from quick-care. I went to my GP yesterday and my shoulder blade was very sore, like it needed a chiropractic adjustment. It even hurts under my arm. It is on the RIGHT SIDE. My GP said it couldn t be shingles because it stays to one side of the body. But, today I went to the Chiro to adjust it and it continued to hurt. He said it WAS SHINGLES. AND EVEN IF IT IS ON THE OTHER SIDE...he has seen it plenty of times....it can come out on both sides. What do you think? What an illness. It s very painful and unpredictable!!", "output": "Hello, Thanks for your query on Chat Doctor\"As\"per your clinical history is concerned please follow like this -1)If confirmed clinically then discuss with your Doctor about [Capsaicin cream, codeine, lidocaine spray]for relief of pain.2)Do complete your course of antiviral [val acyclovir]as prescribed by your Doctor with oral [corticosteroids]. For prevention discuss with your Doctor about shingles vaccine and in future it will protect against complications. Hope that helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Dr. Nandita , Iam trying to concieve for last 5 years with various treatments like 6 failed IUIs/Laproscopy. Iam 5.9 ft and 84 kgs. I know iam obese and had various weight reduction and not able to. Iam fed up with and cannot affrod IVF since it is expensive in Chennai. Kindly advise.", "output": "Howell come to ChatDoctorAs I always say to all my patients those asks such question that pregnancy is more natural phenomenon and this completely depends upon the compatibility, and that is presence of ovum and sperm with normal parameters at the time of coitus, but even after this pregnancy may not be possible on other hand I have seen many cases that even after the abnormal reports couple got the pregnancy and gave birth to healthy child, so just keep trying, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have a sore very lumpy area around +my right nipple area. It feels very hard + just under the skin. I am 46 and have small breasts. I have recently fin3 weeks of steroids for asthma - 4 week ago + have had hormone probs since. Please advise - thanks", "output": "Hello, Thanks for the concern. You have lump in the right breast near nipple beneath the skin. For lump in breast you have to watch it for few days give hot compresses twice daily. If still it persists than you have to do mammography, ultrasound and Fine needle aspiration. At present, you can take painkillers for symptomatic relief. So immediately consult your treating surgeon, get investigated and start treatment accordingly. Hope this might help you. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I need some help and info on the drug mkat because unfortunatley iv taken more than i should have in the past few weeks and im trying my hardest to not take it anymore. Id also like to get info on the effects the drug can have and can it stop you getting pregnant even if its not taken on a day to day basis", "output": "Hi, No matter how much you take it, if it hasn't caused side effects like hormonal imbalance or other vascular side effects, on fertility no long term effects occur and after certain time these medications get washed away due to limit half life. Once you had stopped it, and you get pregnant these will not have any side effects on the baby or on your fertility. Wishing you a speedy recovery. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, ever since I took Paxil for panic disorder my mood has changed. I have been really angry to really sad, to really suicidal, and have a bad form of anxiety and be depressed, however, I also take Concentra for ADD. My counsolor thinks that I may have something along the lines of Borderline Personality Disorder but I don t believe it. Another question, is taking Concentra with Paxil a bad thing? Help?", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. You are having medicines usually prescribed for ADD and moderate depression. They are known not to create such side effects as you experienced. Your counselor may be right. But you should ensure that with the help of an experienced psychologist. You should attempt different psychometric tests to assess your disorder condition. Do not conclude anything for now. Let the experts do the diagnosis. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Iam not conciving properly so that i consult a gyna..she did .fs. Scaning on 11 day at that time my egg size was 21.1 dr gave me ChatDoctor 5000 injection but my egg has not reduse on 12 th day my egg size was 22.5 again dr gave me lupride injection again egg was not redused on 16 day dr did scan and my egg size became 31.4 and it turned into cyst dr sujested me to take modus tablet fr 10 day 20 tab if i take this tab i can b a pregnent", "output": "Hillocks is there, whether it is due to egg or due to any other reason. Ultrasound finding, of athletic follicles with increased ovarian stoma is known as ovarian cyst. Modus is me Chat Doctor. In your case over ripen follicle is the cause of concern. As over ripen follicle don't rupture, hence no ovulation and no conception. Modus in my opinion will not help in conception in your case.First, consult another infertility specialist and get his opinion about the size of dominant follicle after next period. Also get in blood examination for hormonal levels as for FSH/LH. Hope this will help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i did 100 squats for my thigh muscles in a hurry,,,,& know its been 4 days i cannot fold my legs i thing the muscles are not yet relaxed,,its paining when i try to fold my legs i had 1 voveron painkiller yesterday & 1 hifenac mr day b4 yesterday wat medicine do u prescribe?plzz plzz help", "output": "Hello, Pain may be due to qua Chat Doctor. Over-exercise will lead to muscle fatigue and accumulation Of waste products of metabolism responsible for pain. Take rest and avoid squats for a week. Take tab Ibuprofen thrice a day. Local application of ice packs and limb elevation will help. If a not relieved visit to orthopedic surgeon is recommended. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Dr. my daughter is 2 yrs old n she is suffering from cold n allergi cough last few months. Dr advice her defcort syrup, agithral200 and asthalin she get well but just for 7 or 8 day n again she is suffered badly.Sometime dr also nebullised her , dr adviced her for blood test . Blood test report is all right. Now dr advice her to take alex syrup twice daily. I can t understand what is her main problem. Pls suggest what will i do for her .", "output": "Frequent colds and coughs are common in a 2\u00a0year old child, especially if going to a daycare center. These are mostly viral infections. But you also need to keep other things in mind like childhood wheezing and allergic rhinitis which is frequently seen these days. Does the child have wheezing and running/blocked nose with these episodes then you need to consult an allergist. Frequent use of cough syrups and antibiotics is not advisable. Also try to build the children immunity by giving nutritional supplements with consultation of your pediatrician." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 46 years old male. I am 5 6 and 154 lbs ( always around that) 2 years ago I went to the doctor to get a blood test and the results were my total cholesterol was high 7,33 mmol/L and GGT 338 UI/L. At that time, Lipitor was my only medication for almost one year. One month ago, I got new bad results about my cholesterol 7,82 and the new parameter ALT shows 95 U/L. I have changed my lifestyle ,eating better and going swimming in order to go down the cholesterol ratio , but i really concern about my liver . These both values (GGT and ALT) are expected because of the high cholesterol? thanks for any comments", "output": "Hi, Thanks for posting your query. High cholesterol can cause fatty liver. Fatty liver is the most common cause of raised ALT. An ultrasound scan of the abdomen may be done to look for fatty liver. Lipitor which is used to treat high cholesterol can also damage liver and cause elevated ALT. High GGT alone may indicate alcohol intake. Along with other raised liver enzymes, it may indicate obstruction to bile flow which is not a feature of high cholesterol. I hope that answers your question. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi docter My baby is one month old and she is doing gr een motion since morning with fever .our docter advice us for the ofloxacin and metronidazole suspension and crocin drop.we are given her three dose .now fever is alright but motion still as it is.what should we do", "output": "Hi... Thank you for consulting in Chat Doctor. Green watery diarrhea could be of viral origin. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am 37 weeks and 1 day pregnant and I was masturbating using only one finger. I was also laying on my back. All of a sudden I felt fluid run down in two pulses and didn t feel like it qas coming out of the pee hole. It was maybe the volume of about 1/2 cup total. When I smelled it, it was hard to tell if it smelled like urine or not. I have no had any contractions yet. Do you think this was waters breaking?? Should I wait and see if more comes out or if contractions start?", "output": "Hello, Thanks for writing to us. It doesn't suggestive of water breaking. If your bladder is entirely empty during masturbation, then chances are that the sensation of having to urinate has more to do with pressure on your bladder, or potentially a precursor to ejaculation. Also, if your bladder is empty, then you know that if any fluid does come out of your urethra during masturbation or orgasm is not urine. It is similar to male type ejaculation, seen among women during orgasm. Urinating after masturbation is also a good idea, because it flushes out any bacteria from your urethra and can help prevent urinary tract infections. Hope, it helps for your information. Good luck and take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 20% disabled veteran and qualify for VA health. My PSA is over 18, no lumps on prostate but biopsy reviewed I have cancer. I have chosen to have a prostatectomy that is scheduled for removal August 20th.I have left the message via phone and not gotten a response: My one niece is getting married September 21 in California & I live in Colorado. Would it be reasonable to fly out, staying for several days to attend her wedding?", "output": "Hello and welcome to Chat Doctor, Prostate cancer is known to metastasize to the bones especially the vertebral column. The PSA level above 18 NG/ml is a high value. The amount of PSA per unit weight of prostate, rate of increase in PSA levels (PSA velocity) are more important than absolute PSA value. Get these parameters done besides total PSA levels. It is advisable to get cancer prostate as soon as possible since the cancer may spread to distant sites like vertebrae. A high PSA density and rising PSA velocity suggests possibility to early metastasis. So, get operated for cancer prostate. Thanks and take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I started getting dizzy a few days ago and didn t think anything of it, until today. I just went to the store, next thing I know I started shaking really bad and the right side of my face became numb. I took my medicine for the shaking which took over 30 minuete s or so but the numbness on the right side of my face is still there.", "output": "Hi, Your symptoms seem to be related to a partial seizure. I would like to know if you have been diagnosed with Epilepsy. What kind of therapy are you taking for shaking? You should know that the numbness may persist up to 24 hours after a seizure. It is quite normal. Anyway, you need to review your actual therapy with your doctor, as it seems that it is not very effective in controlling seizures. Hope to have been helpful. Let me know if I can assist you furthering regards," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my elderly mother has lung cancer in the past with removal of half her lung and one third of the other lung. She thought she had a cold and was treating it as such and today she started wheezing and having hallucinations. Should we take her to the emergency room at our hospital.", "output": "Hi, dairy have gone through your question. I can understand your concern. She should go for emergency treatment. Vshe may have severe lower respiratory tract infection like pneumonia or other. Her respiratory capacity is also not good because of surgery. So she may need external respiratory support. Consult your doctor and start treatment urgently. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "We are looking for a heart specialist who has placed pacemakers in patients with Dextrocardia. My husband had a Boston Scientific Pacemaker in 2012. The pacemaker checks out as working perfectly but he is very short of breath, weak legs. We would like to be able to consult with a physician who has placed pacemakers in persons with Dextrocardia. His seems to be a difficult case, as we have consulted weth Cardiologists in Salt Lake City, Pocatello Idaho, and Mayo Clinic in Phoenix. We really need some help, as these physicians do not know what to do. It seems if they adjust the pacemaker he feels normal for several weeks -= he is definately NOT a textbook case. Thank you for any recommendation that you might be able to make.", "output": "Hello I have gone through your question. Thanks for using Chat Doctor. I agree that pacemaker implantation in setting of dextrocardia is difficult. But after proper implantation if he has shortness of breath we need to establish the cause of it. Malfunction of pacemaker and lead maladjustment usually result in rhythm disturbance with syncope or giddiness. Shortness of breath may not be related to pacemaker. Deciding the cause of shortness of breath can be established by any good physician. So I would request you to consult any good physician. He would evaluate him with EKG and Echo. Subsequently he will guide you further. My best wishes Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am of age 38 and my wife age is 36. We are married since 2003. We still dont have any child. My medical tests are found OK, and my wifes medical test has also been found OK except cyst was found. This test is done in June 2009. Please suggest the way forward for treatment.", "output": "Hello, Welcome to Chat Doctor. Thanks for writing. I am Chat Doctor. I have read you question completely, I understand your concern and will try to help you in the best way possible. If your tests were done before and every thing was ok than it must be god will, but there is always a silver lining to every cloud and medical science is advance NW sting which was NT possible in 2009 is possible NW so i will advise you to take all the tests again and find out what's the cause and treat the cause and you will have child" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have to have two root canals but since Im still in the wait zone with my dental insurance I have to live with this terrible pain for at least another six or so months. Ive asked for pain medicine and was given one prescription that lasted ten days, no refills, and was told that their rules say they cant prescribe more until I have the surgery. What do I do about the pain? At first 800 mg ibuprofen helped a little, but its gotten worse and nothing is helping. Im allergic to tramadol which was their only alternative for me so thats out. Please help", "output": "Hi if you are having severe pain with a due act, it is due to the pressure exerted by the pus formed, which should be immediately treated upon because it has a direct risk of spreading towards your bony underlying tissues if not treated soon. It shouldn't be delayed for the time you have mentioned. Antibiotics and painkillers are taken for a while but even their usage cannot be extended for a prolonged period of time. Besides they have their own side effects. I ADVICE YOU TO GET THE ACT DONE AS SOON AS POSSIBLE and not to wait for so long for the dental insurance. Remember health is wealth !!take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Doctor, Date:15 11 2012 My son is a medical doctor specialized in Social and Preventive medicine MD(SPM) He is frustrated as he says he cannot treat patients and being called as a doctor. Now he wants to appear for competitive entrance exam and do MD or DNB in clinical subject. But moment he opens his medical books he feels that all diseases are with him or his family memebres. He says he is not able to concentrate on studies. He always feels depressed and prefers loneliness If some stranger comes home he will avoid them .may be he subconsciously feels some one will notice him as a doctor . but cannot treat patients .He suffers from inferiority complex He is very good at Public Health and even can write original research papers in his subject. It appears when in 1st year MD ( SPM ) a professor introduced the subject saying that the students who choose Public Health are near to suicide in medical career . He is now 38 years old , highly intelligent and hard working . He complains of panic attacks if hears any loud noise or some thing wrong in health to his family members., or any phone call comes to him when is on work . He is introvert and does not share his worries with any one . He feels he is over burdened by his parents health matters and he has to handle all the responsibilities of aging parents and he cannot treat them . May I seek your guidance to make my son shine in medical field.Does he need a short course of psychiatric medication to make him regain confidence and interest in life., concentrate in studies again. regards SKKChalla EMAIL ID : YYYY@YYYY", "output": "Hi...currently your son is having both depressive and anxiety symptoms.his depressive symptoms are secondary to his anxiety symptoms. If initially the cause of anxiety is that you are unable to treat the patient as a medical doctor, if you are having job as an MD-PSM in govt. then I think you are free after 5 or 6 pm, so you can improve your clinical skill to join any good senior physician during evening hrs and by doing this you can improve your clinical skill within 5-6 month so no need for preparation of any exam like DNB.... and preparing for DNB or other exam is not a better option at the age of 38, as even after doing DNB you have waiting period in private practice one good aspect of non-clinical side is that you are free after 5pm, you can spend your extra time in other creative activities.....and before any thought about DNB, one advise is to visit few freshly pass out clinical doctors, also to ask them about their working hrs, no of patients they are treating, about their practicing style, about their satisfaction, about their earning.... to reduce anxiety-do routine well, handle day to day issue as much as possible from your side, not blew yourself for everytimegive time to your self to think about carrier decision, what should be possible currently take opinion of senior of both clinical and non-clinical side." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I woke up early this morning itching all over. Soon after that, I noticed my middle finger swelling and ballooning out. Shortly after that, my right foot started swelling too. Then my knees. Then the middle finger on my other hand. Then my wrists. Then my elbows. In short, all joints are swelling. Ive taken 2 doses of Benadryl, and the itching stopped, but the swelling has barely gone down. Are there any other potential home remedies I could use to make the swelling go down? Its not painful, its just really annoying. Any advice you can give apart from going to see a doctor in person would be much appreciated. Thank you!", "output": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint it seems like you have got a severe allergic reaction to some unknown allergen, and it is leading to severe itching and swelling all over the body. It is an emergency condition and needs immediate medical attention. You should consult an Allergist and get evaluated, and he can do a thorough clinical evaluation and also advise allergic tests like Patch test, LAST test and food challenge test to rule out the exact cause of allergic reaction and treatment can be planned accordingly. As of now to relieve the allergic symptoms he can advise you injectable anti allergic and steroids. Oral anti allergic and steroids can also be continued. Cool compresses over the body and application of calamine lotion can also help. Hope this information helps. Thanks and regards. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "DEAR Dr.I have been operated on 6th of Sept.at St.Johan Hospital ,Bangalore(india) after the fallowing diagnosis.Benign prostatic Hypertrophy+ B/L inguinal hernia+ Paraumbilical hernia with hypertention.Operative Procedure:TURP+B/L Inguinal+PUH mesh repair on 6/9/11.Finding:PUH-Content is omentum,defect 4-4cm,B/Linguinal hernia-direct,B/L Lipoma of card(+),no indirect component,cord structers normal,meautas and uretra-normal,Prostate-GradeII inlargmentwith median lobe,urinary blader-GradeIII trabeculations.Discussion: Paraumbilical hernia,Benign Prostatic Hypertrophy andB/L inguinal hernia and was operated for the same.Initally few drops of blood was passing with urine and feeling of burning while urinating was their.I was advised to take Nifran(100mg)capsule(t.d.s).Today is the 6th day and now the urologist have prescribed DUTOS.though the burning is minimised and since today morning blood is not coming with urine.However feeling of burning still exists and ihave to urinate almost every hour.I would like to know that whether ishall lead normal life & what precaution needs to be taken", "output": "HelloThanks for query. You have undergone endoscopic surgery for resection of enlarged prostate and repair of Bilateral Inguinal Hernia and Para Umbilical Hernia very recently and getting burning while passing urine /Burning while passing urine after TURN is common due to following factors 1) Trauma to urethral passage caused by equipments used for resection 2) Irritation of a raw area created after removal of prostate 3) Infection due to organisms being liberated from interior of after resection of prostate. Normally it takes 3 weeks for complete healing and to subside infection and inflammation Till then continue taking antibiotics Ensure to Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son is 6 years old and has been starting to do some odd habits (as he calls them). My husband and I are not sure what is wrong with him. They change every few weeks. Right now he is doing head bobbing and opening and closing his mouth. We are reminding him to be careful to not do that and give himself a headache (or get made fun of in kindergarden), but he seems to not be able to stop it. When I rub his back/head, he stops, but I want to find out what is wrong and how we can help him. Is he overly tired/stressed, or is this a type of disability? Thank you!", "output": "Hi...usually kids of this age develop such mannerisms after observing someone doing this either at home or at the school or day care. I suggest you do the contact tracing and I assure you this type of behavioral mannerism will calm down as time progresses as he forgets it. The only you can do is ignoring it and not making him remember it by repeatedly telling not to do. But I suggest you get a clinical psychologist opinion if this is getting aggravated. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi My Nephew had typhoid ,while looking after him my sister did not care about her own health,She s hypertensive & has thyroid ,had ear infection as well.Later even she fell ill and had fever and was under treatment for ear & throat ,she started talking abnormally ,later after ct scan doctor is telling that she has got a hairline clot in brain ,Kindly let me know whether it is curable and whiuch is the best doctor in Bangalore ?", "output": "Hi, Your sister should see a neurologist to further evaluate what the CT scan image may have shown. An MRI of the brain would be a much better scan to obtain and if she is still having trouble speaking then, a speech therapist may be a good type of person to get your sister involved with since what you're describing may have been a stroke that affected speech and language. If she is hypertensive and has a thyroid disorder then, she should be very careful to take her medications as directed and to check her blood pressures frequently to know whether the medicine is actually controlling her well or not. If she also has a thyroid problem this could also contribute to some of her pictures so may wish to get some laboratory studies such as a free T4 and a TSH to check on the status of that particular problem. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor, I took Siphene and APCOD sachet for 5days and 60 Sachets respectivly from the 2nd day of last period on 13/03/2014. I got my next period on 13/04/2014. Then I took Siphene (5days) from 2nd day. I felt mild cramps on 26/04/2014 (ovulation time i guess). Will it help me to conceive? I don t have baby yet married since Mar 2012, had miscarraige in Oct2013.", "output": "Hi, Thanks for the query. I have read it understand your concern. With a history of miscarriage before lack of conception... I feel you need to get fully investigated before you take treatment for conception for abortion with infection can cause difficulty in next conception.... like hormonal imbalance/tubal blockage./general weakness.Similarly, husbands semen analysis should also be done. It can reduce due to psychological stress. Please consult a gynecologist for this. Treatment of any abnormality found may lead to natural conception... or then the sterility treatment would respond fast. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My name is Eddy Somerville. I had a grapefruit size hernia that was operated on Dec.6th. The operation went well, but my scrotum was swollen and it still is. I was told a doctor to elevate the scrotum, but I don t know how. Can you pleaser give some suggestions? Mt email is below. I m on google.", "output": "Good Day, and thank you for being with Chat Doctor ! To elevate the scrotum you need to wear tight-fitting underwear to support it. When lying down and sleeping, put a rolled towel under the scrotum, so it will be raised. We do this to prevent edema and fluid from accumulating in the scrotum. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: http://www.ChatDoctor .com/doctors/ Chat Doctor. Best wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My mother is suffering from asymptomatic hypertension (159/80) for the last two months . She has been prescribed Tolol XR 25 which she is taking from the last one month. How long she will have to take the medicine? She is 70 years old and her X Ray report detail that she has aortic Knuckle calcification too. But she has not been given any medicine to tackle the same.", "output": "Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. I will try to explain and give you my opinion. We talk about hypertension if we have mean values that exceeds 140/90 mmHg. Hypertension is divided in two groups: essential or idiopathic hypertension without an identifiable cause and secondary hypertension, usually in young ages, meaning that is a secondary cause of it. This cause might be a renal disease, an endocrine problem, a cardiovascular pathology. As you explain, in your mother case we are dealing with essential hypertension. It is a chronic disease. It has not a definite cure, but it should be treated life long. If she has stable blood pressure value on toll 25 mg, meaning values below 140/90 mmHg, than he has to continue with the same dosage. If she stops taking the medications her blood pressure will rise again. So, if I was your treating doctor I will recommend a holder pressure monitoring for 24 h, to know her mean values and decide the dosage ff medications. All sow I will recommend her a cardiac echo to evaluate the situation of her aortic valve as you explain. It is just a calcification or a stenosis there. The X-ray is not Enoch to evaluate the heart valve. It is very important because if it is a valve problem she has to change her medications. Hope I was helpful. Wish your mother good health. Best regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My father is 66 years old.He was diagnoised with prostate cancer in 1998 and has undegone surgery for the removal of testicles.For the past 12 years he is on medication i.e calutide-50 tablet once a day.Is there any need for change in medication.should he consult an urologist on an oncologist??", "output": "Hi, dairy have gone through your question. I can understand your concern. He has prostate cancer. Treatment depends on Gleason score and spread of cancer. He has surgery in the past. Now you should check his PSA level. If it remains in normal range then no need to worry. If his PSA level is high then you should consult your oncologist. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my daughter is 18 after e fainting episode she had a strong deadache on both side next to the eyes.Than she seemed confused and asked me I told her the day but after acouple of minutes she asked me again.She could remember her DOB but she couldn t rememer what she did the day before.After she slept for acouple of hours she was ok, but the headache went on for a couple of more days.My concern is that, was it just a faiting or could it be a brain episode?This hapened on Wednesday.She looks fine now.Thank you for your hep?", "output": "Hello thanks for choosing Chat Doctor It seems like a hypoglycemic attack which means a fainting attack when the sugar levels have gone very low due to starvation. I have a few questions Did she hit her head against anything when she fainted ? Did she have abnormal movement of her limbs when she fainted Another possibility being a seizure So I suggest if there is a recurrence then you need to get her evaluated. She will need a complete thorough evaluation to find out the exact cause in case of a recurrence she will need an EEG to find out if it could be seizure activity" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "On Dec. 18th (on a Thursday) I had 2 teeth capped (front bottom teeth). The following day my bottom lip was so swollen it looked as though I had a dip of tobacco. I called my dentist on Mon. to say something was very wrong. My mouth now looked as though I had a stroke. My dentist put me on penicillin & said it appeared to be an ulcer that may have become infected. There is a deep hole at the lower base of my gum line. My chin is sore all the way to the bottom. The lesion does not appear to be as angry looking however my lip is still distorted & the pain is almost unbearable at times especially after I have tried to eat. My dentist has done some research but he is still puzzled at what happened. My fear is that my lip is never going to look normal again. My family members notice the change. Can you give me any insight?? Thanking you in advance.", "output": "Hello, There can be trauma to surrounding tissue that will just need time to heal. Follow instructions provided by your dentist. You indicate improvement. As long as this continues, do not worry. Gentle care and cleansing with warm salt water should be helpful. Anti-inflammatory medication such as Tylenol or Advil may assist healing by reducing your symptoms. Your dentist can prescribe a rinse known as magic mouth which may help reduce your symptoms if you need additional immediate relief with a combination of analgesic and anti-inflammatory medications. Consult with an oral surgeon for a second opinion if you continue to have concerns. Monitor with follow-up visits with your dentist. Look for changes that include swelling, redness and heat that would indicate an increasing infection. There are changes that can occur such as an infection or tooth abscess, periodontal conditions or allergic reactions. Please do not panic with only two days gone by. Expect two weeks for a large ulcerated area to heal. Avoid irritants. This can be a sensitive area for injections in the mouth. Perhaps you had local anesthetic here that can contribute to some post visit discomfort as well. Thank you for your inquiry. I hope you continue to feel better and that my suggestions offer more relief." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband has Parkinsons Disease--is 86---he has red spots on his arms and face --more like red splotches--some darker in color than others. He now has some on his face. Syphilis has been ruled out. And the red spots are getting progressively worse. These splotches started slowly approximately 18 months ago and have not had any treatment or diagnosis.", "output": "As you mentioning, such red patches over skin/face are not a feature if Parkinson's disease. For that you need to consult a dermatologist. And for Parkinson disease, consult a neurologist. Medication of parkinsonism will be decided by taking full history and examination. Though Parkinson disease is a degenerative progressive disease, but now medicine are available to keep patient day-to-day life such easier ad better and in some cases surgery is also required" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have been having heart palpitations for several weeks now. they are not constant and seem to occur later in the day. i can feel my heart fluttering, skipping and feel it beating in my throat. it makes me feel short of breath and gives me a headache instantly.", "output": "Hello, Thanks for posting your query on Chat Doctor ...* Brief Answer: heart palpitations need more investigations.*Explanation: My opinion is that feeling heart beats and irregularities is a bit of concern, causes include stress, exertion, excess caffeinated Chat Doctor. Other pathological causes like atrial fibrillation, heart failure etc., I suggest my patients the following do ECG, may need a holder for 48 hrs, some labs may be needed. The information provided by you is not sufficient to provide a good opinion. If someone comes to me with this condition I would ask them about medical history.*Conclusion: I suggest you check with your physician to do the work ups. If you have any further questions I will be happy to help, If not, you can close the discussion and rate the answer. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a lump on the thyroid cartilage left side I believe it has been there for several years however if became sore to touch and swallow the soreness was gone in 2-3 days lump is still there and may be somewhat increased in size what is the likely cause", "output": "Hi, derive gone through your question. I can understand your concern. You may have some thyroid swelling like colloid nodule, cystic nodule, anomalous goiter or malignancy. You should go for fine needle aspiration cytology of that lump. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi Can i am able to make my wife pregnent. this is my semen test report abstinence :3days Amount :3.0 ml Appearance : opaque white Viscosity : Normal liquification time : 30min Reaction : Alkaline Sperm Count :33 Active 30% Sluggish 10% dead 60% Abnormal forms 2-3% Pus cells 4-5 I have only left piens working one is damaged in childhood", "output": "Hello, Welcome to Chat Doctor, I am Chat Doctor Look, your semen analysis report indicates presence of normal sperm count (normal is >15 millions / ml as per WHO 2010). Sperm motility is within normal limit (Normal is >40% as per WHO 2010). Number of sperms of normal morphology is also within normal limit (normal is >04% as per WHO 2010). But pus cells are increased. So, you should consult with your treating doctor for prescribing broad spectrum antibiotic. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "helo....i got my TSH value 8.8 with normal t3 t4.im not symptomatic as such......so do i really need to take hormone therapy??can i go for homeopathic treatment??also in the coming future i am planning for a baby.and one important information.i recently shifted from bangalore to delhi after which i was very much stressed out...so lifestyle change could be a cause??i am very confused.please help.i dont want any side effects", "output": "Hi, Hypothyroidism can lead to excessive perceived stress or anxiety and difficulty in pregnancy. Thyroid Hormone preparations are safe and can be taken under physician supervision. They do not have side effects if taken in optimum doses. If stress problem is prolonged or severe (even after correction of thyroid imbalance) and leading to frequent interpersonal problems, then for assessment and treatment, you can visit specialist like psychiatrist or psychologist. I hope this information has been both informative and helpful for you. Wish you Good Health. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello good pm . . . I m lucelle buhisan from Philippines . . I just want to ask ,I got xray last week and diagnose me that I have granoluma left lower lobe.what does it mean ?is it scary for my health condition?last August 2015 . . .and diagnose me a right lateral hemothorax . . . . . pls help me . .. what will I do . . .", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Granuloma is usually suggestive of chronic infection like tuberculosis or fungal infection. When these chronic microorganisms enter the lungs, they are entrapped by inflammatory cells surrounded. And this intern form rounded she'll like structure known as granuloma. You are having hemithorax in the past. So possibility of tuberculosis is more in your case. So better to consult pulmonologist and get done CT thorax with Contrast, Bronchoscopy with BAD (bronchoalveolar lavage) and biopsy to rule out tuberculosis or other chronic infection. Don't worry, you may need anti-tubercular Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I take 400mg wellbutrin and 60 mg prozac daily. I also take yaz. Today I had a large coffee and took A vivarin tablet that was 200mg. I felt okay most of the day but now I am lying in bed and I feel my heart rhythm is abnormal. Whats going on? How bad is this and should I do anything about it?", "output": "Hello and thank you for using Chat Doctor. I carefully read your question and I totally understand your concern. But you should not worry. I will try to explain you something. This abnormal heart rhythm has to do with some electrical issues in the heart. Some electrical impulses that generate in a part of the heart different from normal sinus rhythm cause premature heart contraction that you feel like skipped beats, abnormal rhythm. This might be just ekstra-sistolic beats or other different arrhythmia. The extra-sistolik beats generally are followed by a pause till the next normal heart contraction. If these are not frequent, in Young and normal heart, it is nothing to worry about. There are different factors that might cause this skipped beats or arrhythmias like emotional stress, excessive coffee consumption, coca-cola or energy Chat Doctor. As you explain, you are under Prozac, an antidepressant medication. It is quite known in medicine that stress disorders might cause high frequencies, exra-sistolic beats. All sow pathology like anemia or hyperthyroidism might be other causes of this rhythm issues. So, if I was your treating doctor I would say that you have nothing to worry if this happens once a wile, its normal because of stress or coffee usage. But if they begin to bother you and interfere in your live we can decide to do some examinations like a blood analyze, your thyroid hormones, an electrocardiogram, echocardiography and of course a holder rhythm monitoring to have a full view of your rhythm. Only than we can decide what we should do. Hope I was helpful. Best regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i have high prolactin level.can i get pregnant after marriage with high prolactin level?", "output": "Hello welcome to Chat Doctor In your query you have told that you are suffering from high prolactin(hyper prolactinemia). High prolactin levels causes ovulatory cycles and irregularities in menstruation.so becoming pregnant after marriage is troublesome. Prolactin levels increased in conditions like pituitary adenoids secreting prolactin,or due to usage of some anti-psychotic Chat Doctor. . First you need to confirm the cause and the treatment lies according to the cause. Normally prolactin levels are elevated during breast feeding of baby after pregnancy. Consult gynecologist, and she will tell the way to reduce the levels. Hope you understand my suggestion. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 27 yo male with no signifIcan medical history and I have had an ingrown hair on the shaft of my penis. What should I do? When should I seek surgical drainage. I am very certain that I do not have an STD because I trust my partner for the last eight months?", "output": "Degree understand your concerns went through your details. You could go and see a dermatologist for an antibiotic and antibiotic ointment. It is the most likely an ingrown hair, and they usually find their way out, but it may take some time. It is probably still infected, and the sebum had accumulated. Picking and squeezing are of no use as you have probably seen it already. There may not be any more inflammation because it is not painful and sensitive, but a course of antibiotics could take care of the bump. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I tend to get respiratory problems after flu in the winter but seems to have developed into rhinitis all through the year. I hate taking a spray which includes steroids, how can I resolve this problem naturally? Please keep this confidential not showing my name. Thank you", "output": "Hello, Rhinitis is a very common problem nowadays. There are many reasons for it. It may be caused due to some specific allergens, for example, dust, smoke, pollen grains etcetera or some specific food or medicine. So keep an eye on your symptoms and avoid the causative allergens. Secondly, it may be due to poor immunity. Next, it may be due to narrow nasal passage occurred due to DNS or polyp. So get examined by your doctor and get confirmed. Keep yourself HY Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "female 20 when i stopped having sex with my boyfriend our puppy was some how on our bed and bite my labia minora it bleed for a few minutes but then stopped it has been one day now it still hurts and bleeds a little where the two teeth marks from the puppy would be looks like two little bubbles and one is lose like a cut i am just wondering if i should go to the doctor just make sure everything is ok and as well because it was a puppy please i could use any advice at this point", "output": "Hello, THX to contact us. If I am your treating doctor I would like to advice you that the bite at labia minor could be treated as bites from the other place. I advise you to take the complete anti rabies shots. Take broad spectrum antibiotic under your doctors' guidance like doxycycline, analgesic creams for pain, apply Betadine ointment over the wound without getting it in the mucosa. Maintain local cleanliness and Chat Doctor. If you have anything else to ask please contact me. Than. Chat Doctor; Infectious Disease Specialist" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi - i have just dropped my daugher off at nursery and on my way back got a painful twinge in my back now i cant stand up straight as its too painful - i suffer mildly from sacaitica and this happened to be about 6 years ago- my mobile is not working its in the shop to be repaired so i cant even call a doctor - any advice please", "output": "Usually back pain is managed with painkillers till 1-month period. If it persists beyond 1 month, then further investigations are done. Since you have a bad pain I will suggest the following: - Back pain can be due to many reasons. You should get x-ray lumbosacral spine done in AP and Lateral done send us report or discuss it with your doctor. Only then further management can be advised. - Avoid heavy weight lifting pushing and pulling heavy objects, because it will further increase back pain. - You can take medicine like painkillers + muscle relaxants by discussing it with your doctor. You may need stronger painkillers which are available on prescription only. You can try ibuprofen or naproxen till you see your doctor. - Apply hot packs for 30 min in morning and evening. I hope it helps. You are welcome to ask further health related queries. Thanks. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am Archana from Mumbai, I had a missed abortion three months back. Thyroid level was high - 9.6. Now I want to plan. My gynec has advised me to do follicular study and take fertomid 50mg (2 tab daily for 5 days). My periods are regular. thyroid is also within range. Is follicle study required in my case?", "output": "Hi Mrs Archaea, Welcome to Chat Doctor. I am Chat Doctor. I will be answering your concerns. Since you had a pregnancy recently, it is clear that you do not have any problem in getting pregnant. Happy to know that your thyroid hormones are in the normal range. I am of the opinion that there is no need to take Fatimid or have follicular study now. Give yourself time. You will conceive. To increase your chances of conception maintain normal BMI, quit smoking (if you're a smoker) and have intercourse at least three to four times in a week. Do take a tablet of folic acid daily. I hope this is helpful. If you have any further concerns do contact me through Chat Doctor. Best wishes Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi..I am 30 years old Male and I have been having pain in the left side of my Groin. Its not very chronic but when I press in that area or stretch my thigh or lift my leg it starts paining. Also past couple of weeks I was having a back ache for which I consulted an Orthopedic and he showed me some exercise to do which relieved me a lot. But now I am getting this pain which is not very severe but would like to be cautious. Could you please help?", "output": "Hello, Looking at your details it primarily looks to be a groin strain. I shall advise you to avoid any type of stretching of legs and heavy exercises for few days. You may have a good analgesic like Advil for relief from pain. Even after all this problem does not resolves in 5-7 days then you should consult to your doctor and have an X-ray to rule out problem. Take care. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had un protected sex and used 2 marvelon tablets 4 hours later and another 2 six hours later. This was the first time i used contraceptive pills as an emergency pill. Will this help to avoid me being pregnanat?", "output": "Hi, Marvel on is an oral contraceptive pill which is to be taken regularly for at least one month before it will give protection against pregnancy. It will not give protection against pregnancy if used only after unprotected sexual intercourse. Marvel on will not help to avoid pregnancy in your case. You need a prescription for an emergency contraceptive pill which needs to be taken within 72 hours of unprotected sexual intercourse. Do consult your doctor for the same." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Morning, my partner went to the toilet this morning and stood up to wipe, and instantly felt a popping in his right back, he fell to the floor and couldn t move. He managed to walk upstairs to bed where he is now Do you think he has slipped a disc and if so what should he do? He has taken 2 x 250mg naproxen", "output": "Dear patient Your partners' history suggests towards diagnosis of acute lumbar sprain with articular pain in lower limbs. He may have got slipped disc. Ask him to go for X-ray of lumbosacral spine anteroposterior and lateral views to rule of vertebra minor fracture. Strict bed rest is needed for 2 to 3 days. Start tab regain x 75 twice a day with tab attract p twice a day for pain relief. Bed rest in semi fowler position will be more comfortable means keeping hip and knee flexed with two pillows underneath. If no reef of pain in 3 days please consult spine surgeon nearby your area." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, since a month i am having severe back ache in the upper part on both the sides of my spine , i have hyperacidity so i feel burning sensation in my esophagus , and now since a week i have chest pain , i am all these problems of mine are interconnected, so please assist me, and let me know the causes for this problem of mune.. thank u..", "output": "Hi, if you have taken painkillers for your back pain then this can lead to gastritis and hyperacidity, water brash-leading to burning in esophagus and chest pain. So this way your symptoms could be interconnected. My advice is you first visit a Physician/Cardiologist and get evaluated and rule out first cardiac cause of your chest pain. Once these tests are normal, you can ask your Physician to give you antacids medications to relieve your acidity. Later you consult an Orthopedic and thoroughly get evaluated for your back pain and get it treated. Hope this information is useful to you and help you. Take care. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have been having chest cramps on left side.feels like my heart muscles are twisted and need to be massaged. and also sharp needle like pains in heart area. and pressure . i often have to take deep breaths and stretch my left arm out and massage my heart area. also my hands and feet are tingling and numb alot lately. and my hands swell and have no color. what is going on?", "output": "Hello, I would like to tell you that your symptoms do not look like cardiac but can be associated with lymph node or muscular tenderness. But to exclude underlying heart disease, you need basic cardiac checkup which includes ECG, Echocardiography and Treadmill Test. For hand swelling, kindly consult your physician personally for physical evaluation and treatment. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im on implanon , have been since febuary. My period was kind of irregular but I would still get it. Within the last 2 months my period was lighter, brown spotting with only 2 or 3 days of regular bleeding . This month my period was very late ( it came yesterday) and was a consistant pinkish color, mixed with a white discharge . I frequently get yeast infections now that I have implanon. Today I feel kind of queezy, I had been feeling this way on and off since last saturday. Since most of it, if not all, involved me running back and forth to the bathroom I rigured it was food poisioning or a bug that had been going around. My appetite is extremely small, I dont really want to eat anything only drink stuff. I feel like I could throw up, but its no where near a urge/need. My boyfriend and I had unprotected sex about 2weeks ago, one day it was on a day my period tracker said I was fertile. He hadnt ejaculated in my to our knowledge, we keep stopping from being scared. That same week I took a at home pregnacy test and it came back negative. Should I be worried????", "output": "Hi, In the current situation, you need to clarify if you are suffering from a gastric problem or are really pregnant. You should get a blood test done to exclude/confirm pregnancy as urine test cannot be relied up on under these circumstances. Once clarified, further management can be accordingly planned. Please check whether the implant has been displaced in which event it can malfunction and failures do happen. Please see a specialist for further suggestions. Hope you find this information useful. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My brother was cleaning a backyard and he picked up a plastic bag and shook liquid off of it. A little splashed on his face and lips. He said it smelled like urine and left a bad taste on his lip. Now he is having needle like pain on both sides of the top of his neck and spine. Lungs feel like they are on fire and coughing a little. This happened a week ago. Could this be TB or Plersacy?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. No, this can not be due to tb or pleurisy. TB is not caused by this. It is caused by tubercular bacteria. Same way pleurisy is caused by lung infection and this can not cause lung infection. In my opinion, he is having allergic reaction to that liquid which is causing all the symptoms. So better to give him combination of anti-allergic (montelukast) and anti histamine (levocetrizine or fexofenadine) once a day fir 7 days. He will mostly recover with these. He is definitely not having tuberculosis or pleurisy. Hope I have solved your query. I will be happy to help you further. Wishing good health to your brother. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My baby is two n half month old..my breast feed is very low and I have to give formula milk to fulfill her requirement.bt I dont know how much quantity should be given to my baby in each feed and its preparation bcoz as direction on pronan ...feed seems concentrated", "output": "Let me emphasize on the fact that the breast milk is the best possible feed for your baby. As the production of breast milk depends on the sucking of the baby which in turn depends on the babies hunger, if you give top feeds, the hunger comes down and so does the amount of breast milk produced. If you give NAN Pro 1, it is to be given as per the demand of the baby. Typically, babies of this age take around 4 ounces of feed 6-8 times a day, but the amount can vary from baby to baby. It is to be prepared by mixing one scoopful of formula in one ounce of lukewarm water to reach proper concentration." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my husband is 42 years old and has excess water detention going 20 lbs just lately. he is a heavy heavy drinker and also takes loratabs daily. cant eat,but drinks or eats fruit all day because he is so thirsty. has trouble holding his bowel movements at least 4 times a day. please let me know what to do he wont listen but has nightmares nightly mostly about the bed shaking so gets up in the middle of the night and starts all over", "output": "In such problems you should play safe bet by giving Ayurveda medicine like Punarnavarishta liquid and Punarnavarishta Man door to release retention of fluids. Triphala capsules and Mahashankh Vat and Ashwagandharishta and Ashwagandharishta capsules - pure natural - will bring satisfaction at mental level too. He'll start behaving and eating normally in about 8 weeks time. Good sleep will be experienced by him. May seek help of Ayurveda doctor near you or may consult any on net/ Chat Doctor. This doesn't require physical presence of patient if you can detail broadly. Hope it helps you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, i m a 58 yr old female caucasian, thin, tending to joint pain, use mostly holistic medicine, whole foods diet, last year or two too MUCH stress. recenlty begun having little blood blisters form near finger joints on bottom, not painful but feel weird. then today after a short workout at gym, wearing good supportive shoes, i came home, eating lunch & another blood blister popped out under big toe. Hurt as it came out, then subsided, but is painful to walk on. SHowed an allopathic doc the fingers, she said it was nothing, not to worry. the finger clots don t seem to go away at all. Seem to have a stress inflammatory response also showing up on face in new way, she said it was a kind of harmless dermatitis, similar to dandruff. it too comes & goes, never quite leaving. are these inflammatory responses? do you know what the blood blisters are? thanks, JS", "output": "Hi, Thanks for your question. I do understand your pain and discomfort. I have seen many cases with similar complaints. As per your history, Please find my advice below-:1)It is herpes zoster viral infection 2)Get a detailed clinical examination3)Do Full blood count with differential hope I was able to ad Chat Doctor. If you have any further questions, please do not hesitate to write to me. Wishing you all the best. Thanks," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was attacked by two dogs.I have 16 puncture wounds on my right leg, my upper buttock, and my left breast.i have been off my feet for two days and got medical treatment directly after the incident.Today, I went to work and now there is very dark bruising around the bites that was not there before.Should I be worried?", "output": "Hello dear, Welcome to Chat Doctor. I have read your query and understood your concern. As per details, it seems that the bruises after the dog bite are the sequel of the trauma that happened to you at the site of bite. Actually there are small blood vessels In our skin which when rupture due to trauma as dog bite in your case results in blood accumulation underneath skin. This subsequently heals and leave discoloration which appear as bruise on the skin. If you have taken antirabies injections and washed the area timely, you need not to worry about the same. I hope I am able to solve your query. Stay healthy." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i male 42 yr old. i have l4 l5 problem. i do exercise regularly. past one week i have feel light burning sensation in my urine passage. not all the time. last week i did my blood and urine test. all are ok. but in urine muscus thread abnormal. doctor said, noting.", "output": "Degree understand your concerns went through your details. If your doctor said there is nothing to worry about, your duty is to believe him and stop worrying about it. Because, if you don't believe your doctor, obsession and anxiety results. For the problem, Chat Doctor. Even after one week, if you do not find any differences, please consult the same doctor. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir I had a sex with my girl friend one month ago and I had some red spot in my penis I was scared so when to the doctor after one month .did the test for vdrl and made my girl test for hiv and vdrl both result was negative I took a course of 30 days medican and now its ok .doctor told its some type of fungnal infection now as its ok is it possible I might suffer again should I use condom everytime while having sex please advice me", "output": "HiT hank you for asking ChatDoctorI have gone through your query. The problem you had could be most likely fungal infection. Local antifungal ointments like clotrimazole or terminating and oral fluconazole will clear that. As you have taken 30 days there is no need to worry. If your partner have infections/STD or you want to prevent pregnancy then better use condom. But for STDs condom is not 100 percent protection. For preventing pregnancy if you use abstinence along with condom it is a very effective contraception. Hope this may help you. Let me know if anything is not clear. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 45. Female. 6 1.5 . 155 lbs. Been checking my blood sugar because it ran high at a health screening. Always over 240 when fasting at least 10 hours. 247 this morning. Just ate dinner, and it s 463. Always overly thirsty. Getting up 4-5 times a night to urinate. VERY sleepy feeling a lot. Am I ok to make a doctor s appointment and wait for that, or is this something I should rush finding out about?", "output": "Hello, Thanks for the query. I have gone through the details given. Your blood glucose levels are high, both fasting (247 mg) & after food (463 mg). This definitely is a serious concern. You have diabetes, which needs immediate initiation of treatment. Because of high glucose level after dinner, you are bound get more urine at night, disturbing your sleep. Feeling excessively thirsty, more hungry and going to toilet more often are clear signs of diabetes, plus tired feeling. Ideally there has to be immediate treatment initiation to control blood glucose, plus diet control like avoiding sweets, deep-fried foods, high fat products (cheese), junk foods, pastries and other bakery items. Your weight and height seem to be fine. Plus avoid sweet corn syrup containing products and colas. If possible please seek immediate advise from the doctor. Waiting is not good. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,This gopi i am facing few years expectoration(flum) in my chest and Having flum heavily and i want to split every time it is different to normal flum it look in white color and when i take treatment it giving temporary relief not permanently. please advise to my problem.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. We need to first find out the cause for your symptoms. So that appropriate treatment can be started. Bronchitis, chronic lung infection like tuberculosis, fungal infection etc. and bronchiectasis can cause similar symptoms. So better to get done 1. Clinical examination of respiratory system 2. Chest x-ray and CT scan of thorax to rule out pneumonia and bronchiectasis. 3. Sputum examination for AFB for tuberculosis. 4. PUT (Pulmonary Function Test) for the diagnosis of bronchitis. Treatment of all these conditions are different, so we need to first diagnose and then start appropriate, effective treatment. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi i have been suffering with back pain since the age of 11 and am now 20 my mum had to get me out of bed i couldnt move recently i kept collasping as my legs just went numb and the pain in my back was so bad i get pins and needles in the right side of my neck and down my right arm it then goes numb this is near enough constant. i also have a bulging disk that just seems to be getting worse i have a numb right leg near enough all the time and unable to walk long distances what can be done to relieve the pain", "output": "Hello, I have studied your case, You may need MRI spine. If MRI shows mild to moderate disc bulge with canal stenosis. Due to compression of this nerve root there can be leg pain associated with it. For these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. Epidural steroid may help. If there is no relief with all conservative measures then decompression with fusion or disc replacement can be done. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I was suffering from PCOS for some years. I was taking tablets ans during my marriage time it got sured and i am perfectly alright. After my marriage i dint take any tablet. I got my periods regularly for the first three months then, i dint get for two months.Again i started taking tablet for three months to make it regular as per my doctors consuldation. Now, my in-laws taken me to one unani doctor medicine. The doctor given me medicine with one tonic called masturin and he s also sure that i will get pregnant in one month and it will definitly be cured. Now i took it for one month i am yet to get my periods now. As he told now all are expecting some good news from me. But, inside me i am very scared... in many articles i read that PCOS has got not cure.... Is unani completely sure it....", "output": "Hi welcome to heath care magic. See first pod may conceive and become pregnant. See for that if you are over weighted then reduce your weight, remove all worries because tension may affect on your health. You have to go towards certain blood test like thyroid, rbc, fsh, LH, progesterone and estrogen, prolactin.and concern any gone for that which can give u proper medicine .don't loose hope. Do regular exercise and yoga. Thanks Chat Doctor. shah84@yahoo.in" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "scoliosis? since i was really young my mom and dad have noticed my hip bone and rib cage on my left side sticks out alot its so noticeable that people worry its gotten worse since i hit 16 i have bad stomace pains and my legs hurt when i walk touch an alpt more, every time i search for answers scoliosis is brought up my dad has the same bone dis form and he has problems to but even worse, im worried.cause mine is getting worse, can you help me?", "output": "Hello, Scoliosis is a spine condition where one part of the spine is curved to the other side of the body because of the spine deformity. Hips take care of the alterations in gait and hence the prominence of hips while walking with increasing age the angle of scoliosis increases. If the angle is more than a certain extent, it needs surgical correction. If it is below a certain extent, braces can be used to correct the deformity to some extent. You need to be evaluated with the help of X-rays and Cobb's angle measured over X-rays. Kindly consult an orthopedic for further evaluation. Hope I have answered your query. Let me know if I can assist you further. I wish you the best. Thank you. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I woke up this morning with my right side tongue tip numb. The veins underneath appear slightly swollen. I am on Lasix 20 mg daily and use a c-pap at night. What would cause my tongue to go numb? It s like I have a thread caught on my tongue and the bit of sensation radiates from under my tongue, over the yip and towards the back of my mouth on my tongue top.", "output": "Thank you for contacting Chat Doctor. First thing which I Think in this scenario is a condition called Bells palsy where facial nerve is involved. Mostly this is result of some kind of viral infections. We have 12 pairs of cranial nerves. Facial nerve is one of them which carries taste sensation from the tongue. Each Half of the tongue is carried by one facial nerve. This nerve travels from the brain and supplies the face. When it is involved close to the face we see something like this. Please watch for eye closing issues, Chat Doctor. I would suggest you to see a doctor and in case if they can't come up with the diagnosis please remind them of this. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have multiple fractures in left leg and multiple fractures in left arm. what is the best medication to take to control my harsh pain? I m really sorry I can t work with my harsh pain I have. I real need help for pain to be control. I have ibuprofen and tyonlal.", "output": "You will really want to see a doctor about this. Fractures have to be aligned in the normal way the bones fit together. Bones heal together BUT only if they are touching and not if the pieces are far apart. Second, the pieces have to be healthy and in some situations some pieces do not get blood and die off and these hurts and Most importantly, in that situation and whenever the bones are not in the proper places, they will not heal together right and someone will have permanent loss of function of the limb. If it doesn't heal right, it won't work right." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "ive had a rash that came on one night, intense, it started on the inside of my thighs, outside of my biceps then progress up one side of my torso, it was excrusiating and final was determined to be folliculius and treated with pencilliian, it got a better but returned. I think its an allergy so I wash in hypoallergenic products but its comeing back in the sam area. any thoughts. I do drink a lot of beer but this has been for many years. I also get mild gout three times in the last 3 years, last one coninsided witht the dermatitus.", "output": "Allergy can develop at any time at any age and with any substance most common cause are medicines if taking for other disease like paracetamol ibuprofen vitamins multivitamins calcium diet supplimentspils shampoo soaps cooking oil Lena dye sand other body application materials cloth, food or pollen and pets you have to correlate accordingly till then can take basting 10 mg dialyapply antiallergic ointment locally liquid antacid and no toxic application on body" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "good morning doctor rao,i am raju 54 years old having diabetes and high bp for last 13years.i am under weight with 45kgs.from my child hood.i am using the following medication for the above as per the doctors advice.1. tozar 50 (losartan potasium)one TAB DAILY2.glycyphase(metaformin)1 TAB DAILY3.VIZYLAC(MULTIVITAMIN)I AM A SMOKER 5 TO 10CIG ADAY2 I TAKE ALCHOHOL 180 ML DAILY.DURING MY RECENT HEALTH CHECKUP,THE RESULTS OF LFT AS FOLLOWS:S.TOTAL PROTEIN 6.9 G/DLS.ALBUMIN 4.1S.GLOBULIN 2.8S A/G RATIO 1.5SGOT 57SGPT 67 ALKALINE PHOSPATASE 235SGGTP 340TOTAL BILIRUBIN 0.9DIRECT BILIRUBIN 0.49MCV 103.5 FLOTHER LIPID PROFILE TEST RESULTS ARE NORMAL.KINDLY ADVICE AND EXPLAIN STATUS OF MY LEVER PROBLEM AND TREATMENT FOR WHICH I SHALL BE GREATFUL TO YOU.WITH REGARDS, RAJU", "output": "Hello, I hope you are well, even though you are not overweight or obese, you have metabolic risk factors such as diabetes mellitus and long-term hypertension, factors that can condition a fatty liver, in addition to the consumption of alcohol that May be contributing to your problem. You present a very slight enzyme elevation, less than double for your gender, however, you need to perform an image study as a liver ultrasound to study the characteristics of the organ. There are several types of noninvasive studies to determine the degree of stenosis / fibrosis that you present for the purpose of performing an early detection and implementing actions for the prevention of disease progression." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi 2 days ago my father in law underwent ultrasound scanning and the results are as follows:1. Urinary Bladder-- Mildly thickening urinary bladder wall measuring upto 6mm. Prevoid- 220cc, Postvoid-170cc, significant postvoid residue2. Prostate- Measuring 3.8 x 2.9 x 3.0 ( volume 18cc) Mild cyst measuring 1.3 x 0.8 cms noted parenchymal calcification notedWe are really worried about this. As i have surfed about this it was written it might be stone or cancer...This is worriyng us a lot. The appoint with our family doctor is on 30th dec. So, could you please let us know about this soon so that we can get some relief.Thanks", "output": "HelloParenchymal calcification in kidney is different from renal calculus. It is not calculus or cancerous. Parenchymal calcification may be due to many causes like vascular etc. It is not a serious finding, and it is generally an age related finding. Main findings are thickened urinary bladder wall and significant post void residual urine. Thickened urinary bladder wall may be due to changes of cystitis(chronic infection in urinary bladder). As size of prostate is normal, significant post void residual urine may be related to neural component. Findings also suggest a small cyst in kidney, it is generally age related developmental finding. In short, findings doesn't indicate cancer or calculus. You need proper evaluation by a urologist. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,I had a papilloma on the left site of the uvula . This papilloma developed two months ago . Today i saw another papilloma is forming in the front of the uvula . I m taking Tecta ( pantoprazole magnesium ) for one month . At my place of work there is too much dust . Yesterday my uvula was swollen , today got shrunk and after that i saw new papilloma which is the second I m so worried what s going on .", "output": "Hello, welcome to Chat Doctor, Your history and the clinical symptoms are suggestive of human papilloma virus infection. This is a type of sexual transmitted disease. This can cause a wart which is painless and itching are the classical of Wart or Condyloid Alumina, which is caused by Human Papillomavirus (HPV). Human Papillomavirus (HPV) infection can be transmitted to the partner as this is a sexually transmitted disease. This should be diagnosed by physical examination and PAP smear of the scrapping of the wart and confirmed by Polymerase Chain Reaction (PCR). The treatment for this condition includes Cryotherapy, Local application of 0.5% solution of podophyllin, which should be applied twice daily for 3 days and nothing should be applied for next 4 days (7 days cycle). This cycle should be continued for 4 weeks. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doctor im 25 of age and married 2 years me and my husband try getting preg but no luck the doctors sent me for al test and everything is normal and my husband sperm is okay aswell he put me on fertomid 50g from day 3-7 actually from day 2 but he said if smotting is few i should start on day 3 when bleeding normal i finished my last pil yesterday at 12 morning time and me and my husband had sex last night is ther a possibility we can get preg i have light cramps aswell thinking it could be fertomid 50 .wendy", "output": "Hello WendyThanks for writing to us with your health concern. After taking Fatimid from day 3 - 7, you can start having sex anytime once you bleeding stops. You should be sexually active, particularly at the time of your ovulation. This would be day 14 in a regular 28-day cycle. You would be undergoing follicular monitoring throughout the cycle. Once ovulation is neared or confirmed, have intercourse daily or on every alternate day. If 3 - 6 cycles of stimulation with follicular monitoring fail, then go for a laparoscopy to confirm patency of your fallopian tubes. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi...i had a severe bout of fatigue accompanied by severe joint an muscular pains..i am having a running nose with congestion..eyes are red and having continuous fever of 102 degree since yesterday..am i having viral fever and what medecine should i take to get cured", "output": "Hello, What I understand is that due to viral infection the temperature is continuously rising. You need to consult a physician before taking any medicine. Because you have a running nose and congestion in chest. A nebulizer will be of great help to improve the lung and reduce congestion by which you will have good purity in blood which will help to heal faster. Next allow body to cool down more. As due to high grade fever you are getting fatigue faster. Following a proper guideline from a physician can help you recover faster and better. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am 29, married guy with two daughter. I am a social smoker. Since kids i always has sinus problem. I will easily sneeze especially in the morning. But for the past half years, i found out my sneeze has strong smell, it like blood smell. After i sneeze, the room full the smell and my family member cant stand on it. Yesterday when i sneeze hardly, i saw some blood clot come together with the mucus . I am worry.. For your info, my dad is a nasopharynl cancer patient and passed away after struggle with cancer for about 2 years.", "output": "Dear Concerned., Thanks for writing to us. You may be having exacerbations and remissions of Chronic sinusitis due to repeated infections and also aggravated by your smoking habit. Do you also have loss of weight/ loss of weight and evening rise in temperature? Pls investigate with routine Blood counts/blood chemistry/urinalysis/sputum for microscopy and routine/AFB Test for Sputum /PAP Smear test of Sputum sample. In addition, Radiological Tests for Paranasal Sinuses such as X-Ray PNS and CT as required. Consult an ENT Surgeon for endoscopic lavage of the sample and analysis for its pathology for a definitive diagnosis and institution of therapy. Taking empirical treatment without proper investigations will only lead to postponement of definitive diagnosis. So please follow the above protocol. Wishing you a quick recovery., Best Regards., Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had uterine cancer about 2012 had complete hysterectomy and chemo and radiation. My blood work Never showed any signs of cancer. Now when I go back for my six month check ups the doc has me get my blood drawn and says it looks good see u in six months! How do I know that cancer is not back? YYYY@YYYY", "output": "Hi, dairy have gone through your question. I can understand your concern. It depends on the type of uterine cancer. Few type of cancer has blood markers. So this blood marker level are helpful to detect cancer. Moreover, ultrasound abdomen or ct scan abdomen are helpful to detect growth. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,I woke in pain on sunday morning. I have a pain in my buttocks and lower back and some tingling down my legs. I have also had pain in my elbow joint but on sunday experienced tingling sensation and pain in the whole of my arm. Could this be sciatica in both and what is the best action to take? Im better when I keep moving than when I tey to rest and sleep.", "output": "Sciatica is a condition of lower back and lower limbs. Arm pain tingling is due to nerves of neck or in shoulder region, elbow or wrist. Anyway, both require to be treated simultaneously by anti-inflammatory meds, and methycobalamin, lyrics etc.consult an orthopedic or neurologist. X-rays or MRI of back and neck may be required, also physical examination to check for nerves, muscles implicated. Both conditions are treatable" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My mom is 85, had Lap cholecystectomy done Monday the15th, and was admitted to ICU from Post OP due to Tachy, Hypertensive, then became hypotensive and is now presenting slurred speech, hallucinations, and very confused. She is in a rural hospital I would like her transferred to a bigger facility where there are specialist to evaluate her current status. What do you thing is happening.", "output": "HelloThanks for writing to ChatDoctorYour mother is probably suffering from postoperative delirium which is very common among old age patients. She needs psychiatric consultation. Anti psychotics like haloperidol and chlorpromazine as well as the second-generation antipsychotics olanzapine and risperidone are equally effective.However, other causes like hypoxia should also be evaluated. CT Scan of brain should also be done to confirm other possibilities. Hope I have answered your query. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello,about 1 hr ago my husband really felt sick,he was shivering uncontrollably,and he was light headed.He did complain about a headache earlier.He couldn t get warm,and he looked washed out,very grey in color,he also said it was hard for him to breath.He does have a history of asthma .Sadly he refuses to go to the emergency room,I am worried. Thank you", "output": "Dear Concerned., Thanks for writing to us. You will have to immediately rush him to ER to any of the nearest Primary Centers. The grayish discoloration could be due to Cyanosis. Get his Vital parameters checked--Pulse/Temperature/BP/Oxygen Saturation by using Pulse Oximeter and also Capillary Blood glucose /ECG in 12 leads. And administer him Oxygen as per requirement as decided by the MD. In addition to admission and Oxygen, the MD will start Nebulization with Bronchodilators/Life saving Steroids /Dextrose IV/paracetamol to control fever as decided by CBG levels. After the acute condition subsides, other investigations such as Chest X-Ray/Pulmonary functions /Baseline blood and urine tests/ all will be done. Consult a Pulmonologist and institute an antibiotic course and follow-up action. Wishing you a quick recovery., Best regards, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "In a patient suffering with Cirrohsis, who has came a very long way in the past 5 months i.e. all blood counts seem to be going in the right direction except for the bilirubin which was near 200 when first admitted to hospital the lowest it has dropped to is 47 but for the past few weeks it is slowly rising again. Why would the bilirubin be rsing if everything else seems to be getting better? Your help would be much aprreciated. Thank you", "output": "Hi, dairy have gone through your question. I can understand your concern. You have cirrhosis. It leads liver damage, and it will increase the bilirubin level. So don't worry it's just a part of cirrhosis. Take treatment of cirrhosis. Nothing to worry much about bilirubin level. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have had what i believe are enlarged papillae on the sides of my tongue for about a month now, they come and go and switch sides often. it feels like i have a popcorn kernel stuck to that particular place each time it happens. ive looked inside my mouth several times and found nothing but a slightly swollen papillae (always on the sides, never in the center of my tongue). i am a 25 year old female and i do smoke , but the bumps did not start appearing until i began to try to quit smoking about a month ago. i also have hypertension and take metoprolol tartrate 50mg 2x daily to control my blood pressure which has been good. i try to stay hydrated but i also drink a lot of sodas. any ideas? i have had the current bump for 5 days, it isn t painful, just bothersome.", "output": "Hello, You are most probably suffering from geographic tongue. Geographic tongue is more commonly found in people who are affected by environmental sensitivity, such as allergies, eczema, asthma. It may be linked to stress or diets high in sugar or processed foods. Females are affected three times more than males. Causes vary, but may include zinc or vitamin B deficiencies, allergies, and hormonal changes. Geographic tongue is said to occur more often in women, especially during high hormonal times, such as during ovulation or pregnancy, and while taking birth control. There is no known cure or commonly prescribed treatment for geographic tongue, there are several ways to suppress the condition, including avoiding foods that exacerbate the problem. Some get relief chewing mint leaves or sucking on a mint candy or gum during a flareup. Zinc supplements have resulted in a Chat Doctor. Vitamin B supplements with antioxidants need to be taken by you. Soda might be a causative factor as overdose or may be metoprolol. Hope this helps. Get well soon. With " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I wake up very anxious from time to time... I often feel that I can t swallow properly or I m not getting enough air... I m reluctant to go back to sleep incase something bad happens... Today I woke in the middle of the night with painful pins and needles in my hand and extremely dehydrated", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. Waking up anxiously is not a singular cause. Such incident happen because you slept with anxiety. Stress, worries, anxiety etc. carries on with the sleep during the sleep and surface with waking up. Sometimes we never sleep consciously. Unconscious mind is awake, worrying, anxious, stressed. Then we get up worried, stressed and anxious. You should learn to relax before sleeping. Meditation before going to sleep shall be of great help. Relaxation and breathing exercises should help you feel good. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m having a pain in my left testicle. It started off as a dull ache last wednesday and is still here. But has kind of turned into a occasional piching pain. Not severe. Just very annoying. Anyways, several months ago I had a case of shingles (I m only 21) I had it for a week or so, the meds the doctor gave me cleared it up nicely. Just a couple weeks ago I had a canker sore on the inside of my cheek. Very annoying. I read online they clear up on their own and it shouls go away in a week or so, and it did. Then just days after is when my testicle began to ache. My question is could their be an underlying cause to all of these problems? Or am I just being paranoid? I m going to see a urologist soon if the problem persists. Should I also ask for an std test? Does a urologist do that?", "output": "Hi. I had gone through your query. I understand your concern. Pain in testis has many causes.1. Orchids. 2. Vericocele3. Trauma or infection. Proper examination is needed to reach on conclusion. Scrotum ultrasound or color Doppler will give more confirmation. Pain can be relieved by analgesic like paracetamol/diclofenac etc. Consult surgeon for better assistance. Still if you have a query then feel free to ask. Happy to help you. Thank you. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Yes. My wife and I have been trying to have a child and it has been difficult. I m concerned about my private although she s had ovarian surgery. I have errections all the time and I m constantly leaking during sleep and anytime I get excited over my wife. Is this negative? Is it an idication of low sperm count? Please help.", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. Your worries are uncalled-for. Leaking during sleep is a healthy sign as it clarifies sperm production. But why? Such things happen only when you do not masturbate or engage in sex for a week or so and you are constantly aroused. Semen is produced whenever you are sexually aroused, and it leaks if you do not masturbate or engage in sex for a week or so. For not getting pregnant, you should consult a gynecologist as soon as possible and get yourself and your wife checked for any problems. It is a better option than worrying self without any known reason. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "No serious pain when swollowing, but since about April I have had little like, red vein looking things (1 or 2 purple) in my throat as well as the skin around my tonsils. I do have allergies and drainage at night. Also found was quite sick at the beginning of the year, and later found that my issues were from an undiagnosed case of mono. Not knowing I had mono, I continued to drink alcohol at the time. Im a normally healthy 28 year old female, before all this only got sick maybe twice a year", "output": "Hello, Welcome to Chat Doctor, Infectious mononucleosis (mono) is a contagious illness caused by the Epstein-Barr virus (ABV). The infection can be spread by saliva. Treatment is directed toward the relief of symptoms.1. Antiviral Chat Doctor. 2.Most of the time strep throat occurs in conjunction with mono and is best treated with penicillin or erythromycin.3. Acetaminophen can be given for fever and any headache or body aches. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Dr. Oana I am a throat cancer survivor and 2 weeks ago I started out with a swollen neck fever feeling like the flu symptoms I now have a rash on chest and back that started spreading to my face and can barely swallow. I am 60 year old male and been cancer free for 20 months so far. I am in the hospital and the doctors are baffled.", "output": "Hello;Your symptoms suggest that you have some acute problem rather than recurrence. Have you undergone blood test, chest x-ray and cultures to see if you have any infection or not. A endoscopic examination of head & neck and/or CT scan of neck can tell whether you have recurrence or not. In patient who have recurrence in neck they usually have swollen lymph node in neck. But getting fever and rash at recurrence is not common. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi! My symptoms arent that bad. This only happens like once every 4 months. No pain with it, or hard to breath feelings no rythmn problems with it. It usually happens when I lay down to sleep. It is in my left side of my chest. I get a strong beat like feeling, for 5 to 6 moments, and it stops. I move my position and might get 3 more , and then it stops. No pain during it or after, or before, and lasts for maybe 5 seconds. What is it lol ,,,,,,,,,, ty", "output": "DearWelcome to ChatDoctorWe understand your concerns went through your details. You were able to find a pattern and generality to your problem. That is heartening and shows your thirst for research. But in fact, there is no necessity. Rapid heart beat could happen due to many reasons but the given rapid heart beat could happen only due to obsession with own heart beat. Purely psychological. Don't worry and don't be anxious about it anymore. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, two of my teeth hurt every time I bite down on food. Its a sharp pain and doesnt last long. I examined them in a mirror and I found a hole in the top, the hole isnt black it looks empty almost and is just open. Theres just a small hole. Is it a cavity?", "output": "Thanks for your query, I have gone through your query. The sharp pain in the tooth could be secondary to tooth infection. Consult an oral physician and take a radiograph to rule out the infection. If it is tooth infection You can take a course of antibiotics and analgesics like amoxicillin 500\u00a0mg and metronidazole 400\u00a0mg TID for 5 days(if you are not allergic). After taking antibiotics you can get the tooth treated with RCT(if bone support is fine) for tooth infection. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am 19 years old female.. i have wheatish skin tone.. oily skin.. can you please tell me how to get fair skin? i heard that some creams help in making skin fairer.. please suggest some cream and help", "output": "Hi welcome to Chat Doctor complexion is genetic to be frank it cannot be changed completely to fair skin by any cream as such, but it can be made to look brighter or radiant .some creams that are available in market include HY Chat Doctor. You can try using creams containing comic acid, it c etc. use of proper cleansers as you have oily skin is very important that itself will give a brighter look thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I stepped on a rusty nail that only went through my shoe enough to give me a pin prick hole on the meat part of the ball of my foot below my big toe. There was just a pin spot of blood noticeable below the skin. Nothing drizzled out. I poured peroxide over it. Then when I got home a couple hours later. I washed jmy foot good in the shower and dried it. Then dabbed more peroxide over the spot, which I couldnt see anymore, but could sense the slight nag pain where the nail touched. Then dried and applied neosporin and covered with a bandaid. I had a tetanus shot 4 1/2 years ago I believe. I am waiting for my doctors nurse to call me back as she is looking for my file to make sure that I actually did get one at the time I think I did. Do you think I should get another tetanus shot anyway or what should I do and look out for?", "output": "Hi... Tetanus has no cure. Even a small wound over the body due to rusty nail, soil have relatively high chance of tetanus.it is advisable to take a tetanus injection, it is a prophylactic Chat Doctor. For the fresh wound take tetanus immunoglobulin injection which may prevent the current wound injection. But in your scenario it may not be required take a Teflon injection. The primary wound care which u have given is adequate and do take in. Tetanus toxic." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doc.my age is 31and here is my examination result, volume 1ml, color pearly white,reaction alkaline,viscosity viscous,liquefaction time 30mnts..total spearm count:65 million/mlmortilityactively motile 60%,sluggishly motile:20%,non motile :20% morpho;ogynormal forms :90%, abnormal forms :10%other featurespus cell :2-3/hpf,epithelial cells :occasional,rbcs :nill,others :nill........... do you think these are healthy statistics for a healthy sperm", "output": "Sperm count Shows about the differential status of your sperm as per the condition of sperms and the contents present in semen. Your sperm count is normal and good. Epithelial cells are the surface layer cells which may get into the semen during ejaculation during infection this number may increase with the increase in pus cells etc. Hope the answer is satisfactory ... For more queries please donor hesitate to write!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir,I got done Synus Sergery some 15 years back. That time I was some 20 years old. Recently I got detected by local ENT Surgion that little whole is left in between the two nostrils and now a days it is disturbing me. I want to get filled up this. pl. advise me. Thanking you, A patient from Assam", "output": "Hi, Welcome to Chat Doctor. I had gone through your question. I can understand your concern. The open irritated and raw surface must be continuously covered with a cream using a cotton applicator. This will prevent this area from Chat Doctor. If the symptoms persist, closure of the septal perforations could be performed either non surgically by using plastic septal button or surgically using various grafts. Hope I have answered your question. If you have any questions, I am happy to help you. Wish you a good health and speedy recovery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hlo I am 21 year old and I am suffering from a pain that is on my left side of my chest . When I first got that pain I feel like burning like sensation on my left side of chest and also a pain that sometimes was on right side of chest (little), and also the pain on the back, one day I feel that my left arm was also involved then I concerned a doctor he gave me some medicine and I feel that I am recovering but after few days I feel that when I strech my neck i feel the same pain on my left side of chest and in the arm pit I searched on net what causes this type of pain and that came to many results and the most dangerous result which was also the cause of chest pain was cancer now I thought all the day about this and pray to god that it should not be cancer so I am in tension I also had ECG whicChatDoctore normal so plz tell me is it cancer or something", "output": "Thanks for your question on Chat Doctor. I can understand your concern. No need to worry about cancer as cancer is extremely uncommon at your age of 21 years. Your ECG is also normal, so no need to worry about cardiac disease as well. In my opinion, you are mostly having stress and anxiety related symptoms. So better to consult psychiatrist and get done counseling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. So avoid stress and tension, be relaxed and calm. You are not having cancer or cardiac diseases. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have 5 day old tattoo. It is covering a large section of my upper and lower arm. The tattoo is quite dense so there is allot of scabbing. It seems to be healing well and there is no sign of infection, however, there is a very odd odour. It does not smell foul, just unpleasant, almost like a squished insect, as bizarre as that may sound. What could be causing this, also, is is cause for concern?", "output": "Hello, I understand your concern. I am Chat Doctor, infectious disease specialist, answering your concern. It is likely to be an allergy. Some persons have allergy to the tattoos paint. If you have allergy, body is trying to react on paint and try to remove the paint. I advise you to maintain the hygiene. Frequent cleaning can help improve the condition. Avoid direct sunlight to the skin. This can cause allergic reaction more prominent. Please wear cotton clothes only. Polyester clothes can cause more allergic reaction. I will be happy to answer your further concern you can contact me here, or you can contact me on bit.ly/ Chat Doctor. Thank you, ChatDoctorIf you are satisfied with my answer rate me as five star and close the answer" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 97 year old mother has been suffering with feeling flushed, but has a below normal temperature-she has had below normal temps all her life. But this hot flushed feeling in her face has been going on for about 5 days. We treat it with cold packs on her head and Tylenol, but it persists. Any help would be appreciated.", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have hot flush. Well there can be many reasons for symptoms you mention in query like The exact cause of hot flashes is likely related to several factors. These include changes in reproductive hormones and in your bodies thermostat (hypothalamus), which becomes more sensitive to slight changes in body temperature. Hot flashes may be a side effect of some prescription medications like Tamoxifen or tamoxifen. You may also feel flushed after taking tramadol, a prescription pain reliever. I would suggest you to consult general practitioner for proper examination. Doctor will take history, check vitals and treat it accordingly. Doctor may refer you to endocrinologist for hormonal problem. For now avoid spicy food and also avoid caffeinated products. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here...Dr My mother in law suffered from Heart attach on Thursday and she was admitted in hos. Thereafter she was given an injection to release the block she had in her heart. For further investigation we need to consult a good doctor in Borivili or in Mira road", "output": "Hello, Heart attack occurs due to blockage in arteries, so in emergency, injection is given which dissolves the clot in arteries. This injection only partially opens the artery. So after this, one should under angiography and followed angioplasty to open the block completely Also, multiple medicines are given like blood thinners, like aspirin clopidogrel statin like atorvastatin, beta blocker like Metoprolol. One should have healthy lifestyle. Hope this helps you and get back if you have any doubts." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good Evening, I had a few concerns about some recent symptoms I have been experiencing for the last 4 to 6 weeks. I am 30 years of age, 5 2 and 119 pounds. I have a higher then normal cholesterol level of 193. When researching I have read that anything under 200 is considered normal although the docs do consider it to be a bit high. I have also experienced low blood sugar in the past off and on for about 5 years. I seemed to have low blood sugar issues since I caught the virus mononucleosis in 2007. Honestly, my body has never been the same. I have been waking up at night about an hour after falling asleep with rapid heart rate, higher then normal BP of usually 130 to 145 over 93 and heart rate can get up to 110 to 113 at times. I start shaking all over and become weak all over and lightheaded. I feel cold in my hands and feet. I also have a lot of numbness in my hands and feet while lying down and while sleeping at night. this symptom has been going on over a year. I have been to the ER and was told I had a heart arrhythmia but nothing serious whatsoever. I also had a low Rdw of 12.2 blood test and low phosphorus of 2.1. I also have a drop in blood pressure when lying down. sometimes is goes as low as 87/44 but heart rate is within normal range. These recent blood tests were the only tests that were low. I did have an ekg which was normal and chest x-ray which was normal as well. I was recently thinking maybe I had a thyroid issue or endocrine issue. I have had basic thyroid tests done and they were in normal range but my direct T4 seemed to me to be on the lower end of normal. When I told a Nurse from the ER my recent thyroid test results, He said it was on the low normal side. Do I seem to have some kind of heart issue and why do I have these episodes at night? Sometimes the episodes are so severe I have to get into the shower just to shock my body. It can be very scary. Any suggestions or input you can provided me with would be greatly appreciated.", "output": "Hi, This is Chat Doctor. Increased heart rate & palpitations can have a lot of causes. It can be normal sinus tachycardia due to anxiety or stress, or it could be abnormal supra ventricular tachycardia. For the diagnosis, you need to do ECG at the time of palpitation & tachycardia. If the duration of palpitations are short enough to reach a nearby hospital, we put a 24hr ECG monitoring (Holder Monitor). You also need to do a 2D Echo & thyroid function test to see for any associated abnormality if any. As you have already done a thyroid profile which seem to be normal, I'll recommend you for an echo & holder study to see if there is really some heart abnormality. Your cholesterol is normal & you don't have to worry about that. Normally when we sleep, our body tend to get relaxed & thus our BP falls. This is also a normal phenomenon. But if the BP is falling significantly on changing posture than it sometimes mean fluid deficiency in body & you need to take more of fluids. Rest be stress-free, live a healthy life & you Will be absolutely fine. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor,I would like to explain to you about a situation and know chances are there that an ECG report can detect incorrect conditions. I have a friend who is a non smoker, non alcoholic and follows a realy healthy lifestyle. And he took a medical test two days back which reported left atrium expansion, from the ECG reports. we were so shocked and startled. for someone being so good at health, why would this occur.and here goes, my idea if the ecg cud have been a misinterpretation. He does a lot of strength training and aerobics. he did not get continuous 2 hours sleep too 24 hours before the medical test. I thought this would have increased the blood pressure and for an aerobics person heart muscles get thickend as per my knowledge. Due to this, the combinations of the report would have given such a result. Is it? and he had taken such test 8-12 months back and found perfectly fit. All I want to know now, how serious condition it is and is there a cure. Im really worried.I would be grateful for you response. Thanks,Suchitra", "output": "Hey Wichita, you are very true when you say that. Left atrial enlargement is of no relevance in isolation on the ECG. Also, it must be the self interpreting machine which many rather most of the time misinterpret. Also, an athlete massive physiological left atrial enlarged and left ventricular hypertrophic. It's to accommodate more blood for endurance exercise. Its healthy heart. Tell your friend to continue his good life and not to worry. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello there actually i been feeling sick and dizzy and cold when am sad or hurt idont know if isit normal also its come with madness and strong feeling make want to cry so bad or hurt my self but am not i keep it inside my self and felt after that my heart gonna stop !!! please help me with your advice many thanks", "output": "Hi, I read your query and can understand what you might be going through. The symptoms that you are having are manifestation of anxiety and stress. More details will be needed for a definitive diagnosis like duration of symptoms, sleep and appetite pattern. Currently, it seems you might be suffering from depressive disorder. You should consult a psychiatrist for detailed evaluation. Treatment with anti-depressants will help you overcome your problems. Hope this information was helpful. Best wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hiii doctor...i m 21yrs old with oily skin ...and due to hot climate my complexion is becoming too dark so i started avoiding going out...i intake saffron and follow some home remedies like rubbing tomatoes and use of multani mitti with rose water...so could you plz suggest me..what am doing right now would be helpfull to lighten my skin tone ,or any other home remedies to be followed to overcome dark skin tone...???pls help me out...", "output": "Hello, I can help you with the creams. The home remedies are a slow process and It's not sure how much would they help. first, the most important thing to prevent darkening of skin is to prevent constant sun exposure by using a sunscreen of SPF more than 50 if possible. This has to be applied on all exposed parts half an hour before going out to sun and reapplied every 4 hours. A daily regimen of cleansing your face thrice a day, moisturizing and using sunscreen is very effective. There are creams like glycolic acid 6 % cream which are available which have to be applied at night. This helps in skin color lightening. There are methods like glycolic acid chemical peels which help in getting rid of the pigmentation, also microdermabrasion or photofacials will help you in getting a glow to your face and will also help with pigmentation. I suggest you visit a dermatologist who can chart out a plan for you according to the facilities he provides. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "dear sir recently i have tested my semen the result is liquefaction 45 minutes ph alkaline, appearance normal, consistency normal, sperm count 10 million, Volume 2ml, actively motile 5%, sluggish motile 70%, non motile 25%, morphology normal forms 90% abnormal forms 10%, wbc 1 -2 hpf, please give your valuable suggestion, sir can i increase the count, what i want to do sir,", "output": "Hi, You need to decrease stress in your life and in the testicles. Avoiding hot showers wearing boxer shorts or no underwear eating vegetables and exercise and a healthy lifestyle will go a long way to improve your semen. We also need to do an urinalysis rule out infection and scrotal ultrasound with Doppler to check if you have varicocele. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "im recovering from flu, ive had it for 2/3 days now but i have really swollen gums, but i have to wear retainers at night. but only on the 3rd day i have discovered that my retainers cant fit around my teeth, i have to really force them in and it draws blood, what should i do? i dont want to have crowded teeth again", "output": "Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have mentioned that you have retainers placed as you are under Orthodontic treatment what happened is when patient is under orthodontic treatment there is difficulty in maintain of oral hygiene, so there is bleeding gums now and as you said that you feel like retainer doesn't fits, for this you should consult dentist again and go for Examination, Do warm saline gargle two - three times a day Do chlorhexidine mouthwash 2 times daily Hope this will help you. Wish you good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, my right knee is very painful, swollen and cracking after a loud crack the other day while walking. The pain is getting much worse. I don t have insurance until Nov 1st and was wondering if I should go to the emergency room or give it a few more days, It s getting to the point where it s near impossible to walk.", "output": "Hello, Your symptoms could be related to a ligament rupture or Monique damage (part of the knee joint). For this reason, immobilization may be needed. I recommend avoiding walking and putting some ice on the knee, have some rest and taking ibuprofen for the pain. If your situation does not improve, consulting with an orthopedist and performing a knee MRI may be needed. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi on the same day I started microgynon 30 at night I had to start clarithomycin 500mg every 12 hours for a UTI, usually 7/8am and pm. I have vomited every night. This is my third day in both. Which is making me sick? Should I keep taking both. Many thanks in advance.", "output": "Hi, Vomiting is a common side effect of both. Moreover, azithromycin may reduce the efficacy of microgynon. If you are using microgynon for birth control, you may be at increased risk for pregnancy or breakthrough bleeding. So you should use an alternative or additional form of birth control during or after treatment with azithromycin. Vomiting can be minimized by taking these Chat Doctor. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Yes, Im having a big issue involving my stomache area and becoming concerned. Im NOT pregnant at all as Ive had my period last month and havnt been sexually active. I get pains on the lower left side of my stomach here and there. My stomach has recently kind of bloated big and Ive tried doing abdomen exercises also. I just need to know what can help the issue: Medications or tricks please.", "output": "The bloating of abdomen may be caused due to gastric problems like mucosal irritation, hyper acidity, peptic ulcer etc. this is mainly caused due to improper food habit, untimely food, long gap between diets, spicy food or fast food. This can be cured by proper intake of food and also some ayurvedic medications. Shank plasma 2 pinches with honey thrice a day before food, and Leigh footwear RAS 1-1-1 after food for a period of 14 days. Increase the use of buttermilk which is not sour. And take non-spicy food." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello. I am 33 and never took Apri21. I wanted to know if it s ok to take this medication when I just found out that I have gallstone. Also, since I had my son three years ago I been having problem with my period. ..heavy flow, cramps and pain, and It last for 7 days..After that I start feeling that I m ovulating and the discomfort continue until my period start again.", "output": "Hi.what is the generic name of Apri21, and is it FDA approved? Personally, I am not against but I do not recommend taking in of supplements/medications if they are not FDA approved or hasn't passed the clinical trials recommended for approval. Majority of the medications/supplements we are taking in, whether with medical indications or none, will pass through our liver for metabolism, and kidneys for clearance. This may cause problems, maybe not now, but in the future. It is best if you consult with a doctor for physical examination and clinical evaluation first. Diagnostics and management (medical and surgical) will be directed accordingly. For gallstones, definitive treatment is cholecystectomy or surgical removal of the gallbladder. It could be done laparoscopically (gold standard) or through open technique. Low fat diet is also recommended. Hope this helps. Good day!!~ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I got root canal done on my right second molar 16 years back . I have also got extracted my first molar . Doc had implanted permanent tooth with help of second molar . Now there is swelling in gum of second molar . It is not going . There is no problem in tooth as i had done opg.doc has removed that permanent tooth . I have taken ceftum 250 for five days . I am allergic to norflox tz . My dentist is not able to give that medicine to me . Now he is trying to built second molar as it comletely destroyed because of bridge. There is no pain in gum & tooth . Only swelling is there . Can u pl suggest me how to reduce swelling . Thanks !", "output": "Hello and welcome to Chat Doctor forum, I would like to inform you that persistent swelling in the gum is either from consistent pressure from the newly implanted tooth or from infection which is still present in the root canal treated tooth. First line of treatment is antibiotics, as you are already taking them, therefore I will advise performing warm saline rinses, as many times a day as you can. This will resolve the infection as well pain. Do not apply any hot compresses on the cheek of the affected side. I hope this answer was useful, I wish you good health, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my husband has low blood platelets and its 121. He did some blood test back in January 2012 and it was 136 but the doctor failed to inform us. This time aroud they told him he needs to retest in one month. Should we worry and go sooner? I know the range is between 150-450. It just worries me that its going to be almost a year and we just found out.Thanks for your help,Lara", "output": "Hi, dear. I have gone through your question. I can understand your concern regarding your platelets count. Your platelets count is low, but it is just slightly below the normal range. So no need to worry at all. Just be relaxed. Many people have this count without any problems. Even simple viral infection can lead to slightly low platelet count. So as par as you don't have bleeding you should not worry. If you have any signs of bleeding then urgently consult your doctor. Just go for repeat examination after a month. Mostly it will come back to the normal. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I did the salt and ice challenge about a week ago and my skin has turned a black/brown color. Now my skin has started to peel. I was wondering if i should peel the rest of the skin off. Some of it is already off and its white/pinkish under (looks like fresh skin recovering).", "output": "Hello, I understand our concern for the peeling of the skin all over the body. After reading your query it appears that you have got \"Keratolysis\" of the skin after the salt and ice challenge. It is quite common to find such kind of peeling of the skin due to acute damage to the skin by the salt and cold water. There is formation of dead skin on the superficial part of the skin which causes the skin to look black and brown and start to peel off. In my patients of your kind of situation I suggest applying plenty of moisturizing cream containing good amount moisturizing factors and humectant. Apply bland coconut oil over the skin. Do not try to peel the rest of the skin as can cause premature falling and pigmentation. Use a broad spectrum sunscreen on face to prevent any pigmentation on face. All the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My dad has gone through a major brain hammerage.. there was a big blood clot on the right side of the brain.. neurosurgeon removed the clot and the operation took 6 hours long.. its been around 72 hours past after the operation and still hes in unconsciouss state.. hes in ICU and is on life support system.. ECG was done 12 hours back and it doesn t show any activity in the brain.. are there any further treatment that can be followed to make the brain go active again? Or what is to be done next?", "output": "Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras, and I am here to help you. I have read your question with care and understand your concerns. The Big Blood Clot is the cause of the Unconsciousness. Even though it has been removed, it would have exerted pressure on the brain till it was removed. Till the brain recovers from that pressure, the person will be in Coma Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. Best Wishes for Speedy Recovery Let me know if I can assist you further. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a baby back in Sept that was born at 17 weeks due to preterm labor and incompetent cervix. Since then I have been tracking my cycles which range from the lowest (last cycle) of 28 days to the longest of 38 days. The average is 35. Today is day 46 and still no sign of a period. I have taken several pregnancy tests all with negative results. I haven t had any hard core symptoms of pregnancy but I didn t with my first either. Is there still a chance that I could be pregnant or if all the tests have been negative this far is it most likely something else?", "output": "Hallow Dear, Gradually your menses are becoming irregular. It is likely that you have developed hormonal imbalance. If several pregnancy tests are negative, you are not pregnant. Still for further confirmation you may get Beta Chat Doctor test done on your blood and also get ultrasonography done. Both these tests will provide you evidences of your pregnancy status. If it is confirmed that you are not pregnant, you may take some Progesterone preparation like Devilry for 5 days (with advice from your Gynecologist). After discontinuing the pills, you should get with Chat Doctor. After you get the menses, please report to your Gynecologist and get investigated for the irregular menses. You could be having Polycystic Ovarian Syn" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My boyfriend and I have been togother for ten years. Rescently he went away for 4 momths where there were only guys. Upon arriving home he has this excess skin around his butthole and insists that it s from doing exercises to tighten his ass. But it kinda looks like the skin that woman have in their vaginas. It s NOT a skin tag. Please tell me what this could be. Is he getting screwed by another guy/s?", "output": "Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. Yes, it is possible that your boyfriend has been having some gay relations. But unless he accepts it himself, it cannot be confirmed. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, or want to further details about your query, you can use the below-mentioned link:bit.ly/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir,i am of 20yrs... even am controlling its not posible fr me... relesing sperm 4 times in a week.... actual problem is here:- am concentrating on my physical growth(body development) and i guess this sperm release is wekening my body.... is this true sir...?! -waiting fr ur full pledge reply", "output": "Hi. That is true partially. If you continue masturbation more than once a day or more than 4 to 5 times a week it may affect your energy levels as well as affect your sexual potency and libido in the future. My advice would be to reduce it to every alternate day, and you will feel better and more full of energy. Also, you will be preserving yourself for your life partner of future. Take care. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i took postinor2 about 2yrs ago as directed on the packet and i got pregnant. After that episode I took both pills together and after a couple of days my cycle starts again. Recently I used the pills and experience alot of cramps on the right side in my pelvic area and my right leg. Even contractional pains in my uterus. What can be the cause of this....", "output": "Hi, Postinor can cause nausea, vomiting or abdominal cramps as a side effect. These symptoms will subside in a few days as Chat Doctor. In case of persisting symptoms, pelvic ultrasound should be done to rule out uterine or ovarian causes of abdominal pain. Ibuprofen or antispasmodics can provide relief of symptoms. Take care. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband is flushed and warm to the touch and has been feeling like crap all day. He did throw up this morning, but not since. Not much to eat all day...did have some toast and rice for dinner and has kept it in. Weve checked his temperature with a digital thermomter as well as a glass one and they both say he has a normal temperature. Is it possible for him to have a fever without it showing on the thermometer?", "output": "Hi, thanks for using Chat Doctor If the temperature is normal on the thermometers then it this means that he does not have a fever. It is possible to have a flushed appearance with the absence of a fever. He may have a slight case of gastroenteritis (inflammation/infection) of the gastrointestinal tract which resulted in his vomiting and flushed feeling. The use of liquids to treat or prevent deny Chat Doctor. Probiotics may help. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sharp pain on the left side of my chest . hurts to breath, bend over, lie down, and when there is any kind of force big or small against it. Its been on and of for several months but lately for the past 3weeks its been constant non stop pain all day everyday. why is this happening?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Left sided chest pain, breathing difficulty worsening over time are mostly seen with heart diseases. So better to consult cardiologist and get done blood pressure monitoring, ECG, 2d echo and stress test (trade mill test). You may need antihypertensive, diuretics and other cardiac supportive Chat Doctor. Don't worry, you will be alright. First diagnose and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Had a wisdom removed Monday. Wound up atrocities on Tuesday die to excessive swelling on neck down to collar bone. Given shots of steroid and antibiotic. Swelling went down quickly. But still really swollen in one area. Had a fever 101. Dentist doesnt know why. Should I still have all this swelling and cant Portsmouth except a little bit.", "output": "Thanks for your query, I have gone through your question, the swelling can be expected if some amount of bone has been removed and any damage to the lymphatics during removal of the tooth.usually it comes after 24 hrs of extraction and subsides in 2-3days...nothing to worry....complete the course of antibiotics along with analgesic containing serratiopeptidase, which reduces the swelling.take soft diet.don't apply pressure over the swelling...continue saline gargling...I hope my answer will help you. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 11 year old daughter was diagnosed via mri with a thornwald cyst down her throat/neck 2 years ago. She complained of chronic neck pain and headaches. She has had 2 surgeries to remove cyst and once again has grown back in less than 3 months. The cyst sits close to the tissue connecting her vertebra. She had a ct scan with contrast today . Any suggestions on regrowth of a thornwald cyst?", "output": "Hi, Thank you for posting your query. It is unfortunate that the cyst has re-grown in your daughters case, even after two surgeries. I am afraid the solution in her case is a good surgery, even if it is the third time. Please discuss with her surgeon regarding the future treatment options. I hope my answer helps. Please get back if you require any additional information. Wishing you good health, Chat Doctor. Ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi my mother fell unconscious just getting up from the bedshe is 60 years old, no health problem as suchthese was head reeling for few minutes and then she fell downher face was distorted (drropled) for half a minutethen she got back her consciousness and got upbut she does not remember anything about the even afterwards", "output": "Hi, Thank you for posting your query. The most likely cause for brief loss of consciousness in your mother is syncope. In this condition, the blood supply to the brain reduces for a short period, leading to fainting. The underlying causes can be hunger, tiredness, infection, diarrhea, etc. Please get her examined by a physician to exclude any underlying cause. The other cause can be a seizure (fits), but it less likely. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Can a sore palate be a result of post nasal drip. pseudophed helps.", "output": "I have an extremely sore palate at the roof of my mouth. It is irritated & aggravated by hot food and salt. I've had two teeth extracted this week and have been told to use hot salty water to aid the healing process, I cant do this as the pain is excruciating and salt aggregates even more. I also have a cold sore on my lip. What do you think is the cause of the sore palate at the roof of my mouth & are there any home remedies or cures or something I can buy over the counter?" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "what is the treatment for people with a small hole in the heart, a friend discovered it after diving which caused a lot of pain in the leg and had to spend some tine in a decompression chamber because of Decompresiion sickeness which turened out be caused due to a small in the heart", "output": "Hi Their understand your concern. I would like to tell you that your friend had an air embolism in his heart & is commonly found after scuba diving followed by some symptoms like Difficult breathing, chest pain, muscle or joint pains, low blood pressure etc. Hyperbaric Oxygen Therapy(Decompression Chamber) is the best treatment that can be given to treat Air Embolism. Hope this has answered your query. Kind Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I tripped and landed on my chin it was scraped a bit from the carpet and bruised within 8 hours. there is a hard lump on the tip of my chin now and was wondering if the bump is just tissue or possibly a chip it is moveable but not a tone of pain unless i press on it what do u think", "output": "Hi Dear, welcome to Chat Doctor. Understanding your concern. Thanks for your query. The lump after injury is a common thing. The most probable reason for the lump is soft tissue injury and formation of hematoma. It is the collection of blood under the soft tissue due to rupture of blood vessels. I would suggest you to give cold compresses to your chin to relieve the selling, elevate you head above your heart while sleeping and take ibuprofen (if not allergic) or paracetamol for pain and swelling. Also get a tetanus injection. If condition doesn't start getting better than consult doctor or surgeon for proper examination and treatment. Doctor may perform physical examination or order X-ray to rule out cause like fracture or infection and treat it accordingly. Doctor may prescribe antibiotics or fix the fracture if it is there. Hope your concern has been resolved. Get Well Soon. Best wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi shumaila here.....my 7yrs old son haseeb is not well he used to b very healthy active nd intelligent kid n3 months back his brains was effected due to which now he cant talk .cant run.cant walk withyout ny support he loss hos memory like forgot every thing he is in class 2 but dont even remember ABC or anyhthing", "output": "Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. You have mentioned that his brain was effected, but you have not mentioned how his brain was effected. Effect due to fever or head injury or psychological trauma can have different treatments and different prognosis. I would suggest you to get back to us with further details regarding what actually happened. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi sir i am 34yrs of age and have 4 chidrens i have used steroids like testesterone decca and decca duroblin for bodybuilding purpose my pens flaccid size has becomealmost inch as well has my testes has shrunk is there Eny treatment to become normal plz advise", "output": "Hello, Steroids may cause many sides effects. Taking supplement of testosterone may cause negative feed back on pituitary lead to decreed size of testis. Steroid supplement may cause peptic ulcer disease, cushing syn Chat Doctor. Until examination is done it is difficult to say what it is. Please get it done ultrasound scrotum, semen analysis, serum testosterone levels and testicular biopsy. Please consult with your physician/endocrinologist he will examine with above reports and treat you accordingly. Take care. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My mother has cardiac problems. Her Angiogram report says \" LAD -Type III, good size vessel having 40-50% stenosis at its proximal & 70-80% stenosis at its mid segment. D1 has got 95% stenosis at its proximal segment. D2 has got 30% stenosis at its proximal segment.LCX: Dominant, good size vessel having 95-98% stenosis at its mid segment.RCA: Non dominant vessel having 60-70% stenosis at its proximal segment. What does it mean?", "output": "Hello. Thank you for your question and welcome to Chat Doctor. I understand your concern. This angiogram report indicates that this is a three-vessel + secondary vessels, coronary artery disease. As it happens only in 8% of people worldwide, the left circumflex (LCD) artery is the dominant artery. This is only statistics, and it is a normal variable. Now, usually, the treatment recommendations vary from one clinic to another and from one country to another. If she was my patient, and if there was acute ischemia, I would treat only the culprit artery of the heart attack in the first time, with an angioplasty and stent placement. In a second moment, i.e. two weeks later, I would treat the two remaining blockages, the one in the mid-LAD and the one in D1 with stents, if suitable and if in a favorable position. If there was no acute myocardial infarction, and the three arteries would be suitable targets for stents, I would treat them with stents all at once. Even with all these said, there is no invasive cardiologist in the world that would be sure without seeing the angiogram film. There are detailed things that should be best discussed with the operator that carried out the procedure. There is one sure thing: the recommendation is that something should be done about this three-vessel coronary artery disease, whether it is angioplasty+stenting, or coronary artery bypass grafting. I hope I was helpful. Take care. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, myself and my boyfriend had sex last week, some of it we used condom for some we didn t. He didn t come, would there be a chance I d be pregnant? Last 2/3 days getting very light period? Not due until next week. Don t know this guy too long..as in couple mths... ? Roisin", "output": "Dear Rosin, Since during some sexual contacts, he did not use condom, the probability of pregnancy does exist. Though he had not ejaculated inside your vagina, deposition of pre-seminal fluid (pre-cum) cannot be excluded. Pre-cum does contain some sperms which are capable of fertilizing an ovum. Pre-cum gets deposited without any sensation to a man. Please find out the evidence of your pregnant status by:1. Perform Beta Chat Doctor test on your blood 10 days after the last unprotected sex. 2. Alternatively, wait for your menses to appear. Light bleeding may not be a true menstruation. If you get good menses, you are not pregnant. If they are delayed for more than a week, perform pregnancy test on overnight morning first urine sample; earlier the test may report false negative results. If you are not sure whether you have missed period or not due to scanty bleeding, you may perform the test 3 weeks after the last unprotected sexual intercourse. I hope this will resolve your dilemma. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My dad was admitted to hospital with severe stomach pain. Once cts and all of that was done, it seemed as though it was a stomach ulcer was found. They also found that his liver was enlarged and had some lesions on it. Upon doing a full body scan, they found further lesions on his spleen and lungs (he was a smoker for 30 years, but quit about 15 years ago). They have done a liver biopsy and we are waiting for the results now. He doesnt appear yellow or sickly at all and the ulcer medicine is helping his stomach. My question is what the chances are that he has cancer - he is 58 years old and a bit over - weight. If it IS cancer, what is the prognises - eg how long would he be expected to have left and what would we have to expect ?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Possibility of cancer is high in your fathers' case because he is smoker and having multiple lesions in liver, lungs and spleen. So possibility of metastatic disease is more. Biopsy is must for the confirmation of cancer. So if biopsy is positive for cancer, he will be having stage 4 disease. And stage for cancer is inoperable and incurable. Palliative treatment in the form of chemotherapy, radiotherapy, pain management and nutritional support is needed. Life expectancy in such cancer is usually less than 2 years. So better to first collect biopsy report and then start appropriate treatment. Hope I have solved your query. Wishing good health to your father. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Ive just been told by my neurosurgeon that I need a Lumbar Laminectomy to remove a badly bulging disc. I have had a year of leg and back pain. But, on top of this I have diastasis recti.... Im now worried about whether I should be focusing on getting the problem with my abdomen fixed before having the back surgery or, would having my abdomen repaired alleviate the problem with my disc? Im confused as to where I should turn first.", "output": "HiT hank you for asking ChatDoctorI have gone through your query. The treatment options for Lumbar bulging disc depend upon degree of bulge and associated complications. In mild to moderate cases' muscle relaxants, NSAIDs and physiotherapy will benefit. But that is not giving improvement then you can consider minimal invasive surgeries like Microdiscectomy or laminectomy. If you send your MRI and further details then I can comment on it more. Hope this may help you. Let me know if anything is not clear. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have been sick with chronic lyme for about four years now. Im still having symptoms of chest pain, nightmares, fatigue, joint pain, heavy limbs, anxiety, depression, SOB. I have been on many doses of abx. I just dont know where to go from here...", "output": "Hello, Welcome to Chat Doctor, Lyme disease is a bacterial infection transmitted by a tick, and it is caused by a bacteria Cordelia burgdorferiLyme disease can be effectively treated with antibiotics. Antibiotics, such as doxycycline or amoxicillin should be taken orally for 14 to 21 day. Intravenous (IV) antibiotics may be used for more serious cases and for someone whose nervous system has been affected. The IV antibiotics should be taken for 2- 3 weeks. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am experiencing a burning sensation from my spine across my waist to my belly button on my right side only. Major bloating, major discomfort laying down. This burning is inside my skin. No evidence of rash or sores. This has been going on for aprox. one week.ricksmiss", "output": "Hello! Welcome on Chat Doctor! Regarding your concern, I would explain that your symptoms could be related to a nerve pain or a spinal cord disorder (including inflammation or myelitis). For this reason, I would recommend consulting with a neurologist for a careful physical exam. A spinal cord MRI may be needed to exclude the above-mentioned possible causes. Hope you will find this answer helpful! Kind regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 10 month old has had a fever for 8 days. He also has a cough. He went to the ER sat. for dehydration. They gave him zithromax for an ear infection,but today his fever is much higher (103) and he is not getting better.Should I take him to the Children s hospital this time or wait?", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query your child has symptoms of fever and cough which is mainly because of lower respiratory tract infection known as wheeze associated lower respiratory tract infections. It is mainly due to poor immunity and increased susceptibility of getting infected. Need not worry about it. Symptoms resembling flu and normally takes 3 days for viral fever to go. Visit pediatrician once and get it examined. If cough is exaggerating go for chest X-ray, blood and sputum test of child. If it is bacterial infection start with proper course of antibiotics. Till then give Cronin 4 holy. Acetaminophen is also effective, and you can give that as well. Give child proper rest without any discomfort. Give water after every few mins. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I was just driving my car when i experience this thing of my whole body burning, it went from my toes right up to my face, it lasted about 5 mins. It went away again but left me feeling sick and shaken also i pain in my stomach. Could you help please. 42 yrs, 5ft1, 10st 4. Depression,anixety,panic attacks, spams in back, stomach problem, ibs.", "output": "Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. From what you have stated it is quite clear that you are having a depressive episode. Depression can occur with regular stress, and it can also occur biologically without any stress as well. You need proper treatment for the same. There are various effective therapies for depression like fluoxetine, venlafaxine, bupropion, mirtazapine or Escitalopram, and they are all very effective and mostly safe. You may also require some benzodiazepines like clonazepam or lorazepam for a short period like 2-3 weeks to reduce the anxiety and help with your sleep. If you are averse to the Chat Doctor. This therapy is taken by either a psychologist or a psychiatrist in which the therapist identifies impaired cognitions (Thoughts) and try to correct them. They are 15-20 min weekly session and there should be around 8-10 sessions to help you with your illness. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor.......... I have been married for 7 months and want to become pregnant but my problems are before marriage itself i had irregular periods . i did not take it so seriously to consult a doctor but now i really want to become a mother....... can i become pregnant????? plz help me .....", "output": "Hi, Thanks for asking. I understand your concern. * The first line treatment is giving three cycles of oral contraceptives. Which in turn correct menstrual cycle take the courses. This most of the time helps in conception within few months. *In case there is no improvement conception you need more specific investigations treatment. Please contact a gynecologist. Please don't worry. Your periods would be normal ovulating soon... you will conceive too! Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I think I might have either gonorrhea or a UTI, but I can t tell. I am honestly really scared and embarrassed so I can t tell anyone. The only symptom I seem to have is burning during urination which appeared the week of Christmas. It s not very severe, something a slight tingle then sometimes an uncomfortable burn but it s not really painful. I have no discharge, swelling, or redness in or around my area. I am a male who has only had sex with one woman twice, about a month before the symptom appeared.", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. From the details you have given, Most doctors can only conclude that there is something wrong. You have to go for a detailed investigation with a physician. Burning could be due to simple urinary tract infection or inflammation. Such a condition can be cured with the help of simple antibiotic treatment with plenty of water. But you must visit a physician first. Do it as early possible for early cure. You might need psychological counseling and or psychotherapy. Please visit http://psychocure.webs.com for behavior modification, mental health assistance, Cognitive Behavior Therapy and other psychotherapies. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My boyfriend and I have a 15 month old and my boyfriend finally got a job at a hookah bar which opens tomorrow. Tonight is the friends and family night and we are both invited. Well my question is, will it be safe for our son to be there with us? If not, what is the risk?", "output": "Brief answer:It is not safe to go for party with 15 months child. Detailed answer:Hi, welcome to Chat Doctor. A 15 months child is totally dependent on the caretaker for everything. If you take the child along with you at the party, then you have to take care of the child at every moment. Child Chat Doctor. In my opinion, it's not safe to take the child to the party. I hope this has helped you. Wishing your child good health. If you have any more questions, I will be very happy to help. Take care. Regards:" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "At L-5 - L-1, small focal right posterolateral protusion with an underlying high intensity zone (bright annular fissure). No neural compression. Moderate bilateral facet arthropathy unchanged.My wife is 53 y.o and was given this diagnosis. What does it mean?", "output": "Hello, The MRI finding as The disc between L5 and S1 vertebrae have protruded on the right outer side(anterolateral:It's close to spinal cord) with some cracks on the ring surrounding the disc(annular fissure)However there is no compression of nerve roots I.e. she will have back pain but no radiating pain down her right legacy arthropathy: degenerative (osteophytes) changes on the facet(joint between the two vertebrae is called facet). To conclude your wives condition is not serious, she can do her daily activities, but some precautions like avoiding forward bending, lifting heavy weights, standing for long time no sudden jerky movement sand with some exercise like walking, swimming and physical therapy treatment she will find relief in back pain. Hope this helps you thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 9 year old daughter had her tonsills out last fall due to all of her strep infections. Less than a month after the surgery she was diagnosed with strep again. She complains almost all the time that her stomach, throat and head hurt, same symptoms as when she had strep. We have been to the doctor and they have said it s allergies. We have not had any luck with any allergy medicines. What is causing her stomach, throat and head to hurt?", "output": "Hello dear. The symptoms you have described are all due to infection. Sorethroat or strep pharyngitis is associates with fever that causes headache and also is associated with abdominal pain. But the cause of repeated strep. Infections could be variable. As your doctor said it can be allergy or your children weak immune system.I would recommend to use anti-histamines like cetirizine spy. 1 tablespoon full at night for about a month and montelukast tablet 5\u00a0mg at night for about 2 months. Give plenty of fluids (Luke warm, not cold) when in active state of infection along with home remedies like 1 teaspoon of honey in Luke warm water, gargles with warm water having a pinch of salt in the morning and evening. Avoid cold Chat Doctor. I hope it will help :-)stay blesses" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I visited my GP on Monday as I have chronic intense pain in my shoulder And neck. I have been advised that it to do with the Trapezius muscle spasms. I have been taking diazepam and verious Other pain killers parcetomol etc but I still have no Relief. It is worse shfn standing/ walking but sitting isn t Good either.", "output": "Hello, As you have shoulder and neck pain, I will advise looking for an MRI of the cervical spine. As there will be a sign of cord compression but at which level is need to be understood by use of MRI. For now, use the soft cervical collar and do hot water fermentation. Wait for a week or so. See how it works. If pain reduces with Attract and soft cervical collar than start slow exercise for the neck and shoulder. By 4 weeks of time, you should have no pain. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My friend kicked me on the chest recently and my chest has been hurting. Ever since that happened, I have a hard time trying to eat and when I do, I would feel like I puking. However, I ended up puking the food that I ate today and in addition to small blood.", "output": "Hello dear, thanks for your question on Chat Doctor. You are having blunt chest and abdominal trauma due to kick.This blunt trauma can damage internal organs and cause blood in vomiting. Following are the possible complications of blunt trauma. 1. Rib fracture2. Pulmonary contusions3. Pneumothorax4. Muscular injury. 5. Spleen or liver tear.6. Stomach injury etc. So get done chest x-ray and ultrasound examination of abdomen to rule out internal damage. Consult doctor if and discuss all these." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "off late i have observed that whenever i have lemon and honey with water ( which is usually the first thing i do in the morning) or banana i end up coughing for 1 or two hours which later slowly vanishes.Also when i have curd which i first microwave for few minutes , makes me end up sneezing later that day.have i developed some sort of allergy . should i get myself checked from a ENT SPECIALIST", "output": "HI, thanks for using Chat Doctor It is possible that it is an allergic reaction but an ENT specialist is not needed at this stage unless you have additional symptoms, or you have been previously treated by your GP with no improvement. You can be assessed by your general doctor. Avoiding any known allergens would be important. The use of oral antihistamines if an allergic reaction occurs, would be important. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have four tooth inmy lower jaw. All four tooth are loose. I have getting tchewing problem.Thease tooth root also loose. I want implant in lower jaw. I want remove all four tooth and replace with new implant inlower jaw. Can you advice to me what should i DO?", "output": "Hello, Read your query as you have mobile tooth in lower jaw see mobility in tooth can be due to poor oral hygiene causing poor periodontal health causing periodontitis, as you are asking for implant yes it is good option to replace missing teeth but for this treatment bone support should be good. For this I will suggest you to consult dentist and go for examination of oral cavity and bone support by investigations by OPG X-ray. If possible go for implant. Hope this will help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "On Saturday I woke up with a fever of 102 and an overall flu-like feeling. It lasted for 2 days and I was taking tylenol to bring my fever down. On Monday the fever was still there but it was accompanied by very swollen red gums and sore lymph nodes in my armpits. I started taking some leftover antibiotics that I had. I finally started getting some relief from the fever. Today I woke up with what i believe to be two large canker sores on my lower lip and a sore bottom jaw close to my chin. I dont think its related...but Im also a nursing mother and about 2 weeks ago I had sores appear on my nipples. My baby is 14 months old and I never had a problem before. But it could just be because shes teething.", "output": "Thanks for using Chat Doctor. Read your query. I can understand your predicament. The canker sores can be exaggerated by the fever. I would advise you to apply McCoppin/denote on the lesions two or three times daily till it heals.healing time will be around a week. Over the counter antibiotics are not to be taken. Please consult your GP for the fever and flu symptoms and then take the antibiotics. Avoid stress and have a nutritious diet. Multi-vitamin supplement can be taken. If still persistent, consult an oral surgeon. Use an antiseptic mouth wash for a while and avoid spicy food. Hope this was helpful. Thanks and regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my penis has a slightly lighter spot at the base(just the color, nothing else about it) and I have had it for a few years, even before I had sexual interc for the first time(so I know it isnt an STD)...should I worry about it or is it just some sort of birth mark that appeared once puberty hit?", "output": "Hello, Skin color changes, discoloration etc. are due to melanin problems and that is quite normal throughout your body. In your case, you are experiencing the lighter spot for many years and there are no other symptoms. You should worry if the lighter spot itches or burns. Please consult a doctor for physical investigation. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi My Father is 66 years old. He was used to drink liquor . Now his lever got shrunken. Also while testing his creatine level is 2.9. Now the doctors are telling that we are going to wait for a day. And they injected one medicine. If he got improved then no need to worry about anything. Otherwise we should take dialysis . Is it correct way? Please here we can not get the understandable information... Also What about my father condition, tell frankly...", "output": "Dear Ram, From your description it looks like he is suffering from hepatomegaly syn Chat Doctor. (Although there can be other causes for renal failure such as infection)If it is HRS, then the kidneys are unlikely to recover till the liver improves or if a liver transplant happens. Most likely he is receiving terlipressin injections, if he fails to respond to it, dialysis will be needed as supportive care. He may improve his kidney function if it is due to some other cause rather than the liver. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am suffering from kidney stones and I am a pro bodybuider, therefore high protien intake is must for me and also i am taking creatine monohydrate (5 gram per day), so as to cope with the competition. I am having about 4-5 stones sizing from 5.5 mm to 9 mm in each kidnmey. please advice...", "output": "Hi thanks for posting your query on Chat Doctor .as per your clinical history it seems quite prudent that the stones you Carr harboring are significant and number. Since you are pro builder, high intake of protein in form of creatine can contribute to stone formation...excess calcium intake in he forms of milk can also precipitate stone formation in your case. These stones are chemically composed of calcium monody Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I went to immediate med last Friday, the medicine for my bronchitis is not working. I CALLED MY DOCTORS OFFICE AND CAN T EVEN GET A CALL BACK. Went to the emergency room and waited 4 hours and never got seen so I left. Called my doctors office today and she won t be back until Monday, in the meantime how am I ppose to treat the asthma bronchitis symtons.", "output": "Hi, if u have diagnosed correctly that asthmatic bronchitis and you're suffering severe symptoms then one should not wait for that doctor who will come after few days, see It's not big deal to treat asthmatic bronchitis as many good medicines available in market in different formulations, u go to another pulmonary physician and get prescribed, take it on an urgent basis but don't bother.u will be alright." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i had one (1) SI Injection for lower back stiffness and pain 6 days ago. it is one of series of three. the next one is to be injected on August 20th. my question is about the drug piroxicam, i was taken it up to four days before the injection then i had to stop for the injection. my i now resume the medication until four days before the next injection.", "output": "Hello, I have studied your case. You can hold proximal and start after taking injection. Physiotherapist will help you better to learn more exercises in proper protocol. If required intra-articular injection can be given. Diet rich in calcium and protein will help. Osteoporosis can be associated, so you may need to take calcium supplement. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my wife has been experiencing sudden weakness on her right arm and right leg. This had happened 4 times during the last two years. Every time she would just all of a sudden feel dizzy and just faint. She would then wake up about half an hour or so later. What s wrong with her?", "output": "Hello, As in females, it's become off late common to faint and lead to tension in the home. But this is totally related to lower hemoglobin and low iron levels. Having a blood routine to check the HE will be good as an oral supplement of iron and calcium medicines or through diet can be helpful. Indulging into physical activity will be on a positive note. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a very poor attention span, i cant concentrate on a tv show, or even when someone is talking to me my concentration lasts a stupidly small time. I was considering asking my GP if he could prescribe me ritalin. I am not sure whether i would need any further testing or anything before hand. I do not want the drug for any form of recreational useage and in fact i would actully prefer one that increases concentraion without those side effects. I am not a fan of drugs that can have uses other than what i need them for eg when i have asked for sleeping pills or painkillers before i have specified i do not want opiates, benzos etc.I was wondering if you think it would be a good idea to ask my dr for them, or if there is an alternitive to them that you think would be betterAdditional info, i am 21, male. I was been diagnosed with bpd a few years ago. I am not on any medication. I used to drink alcohol too much but i cut down a few months ago to a fraction of the amount i used to drink. Smoker - around 10/15 per day that i roll myself from tobacco.", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. You are supposed to refer to concentration and attention as two. Attention span for any adult is maximum 30 minutes. Sometimes, a person can be attentive to an interesting thing for more than 30 minutes, such as movies or games. Concentration is attention plus understanding. For this too, span of below 30 minutes. If you are able to make your studies interesting and based on variable principle, your concentration level can be increased. Concentration comes only when you are interested in what you do. So please be passionate towards what you are doing or do only those things which you are interested in. It is also possible to improve your concentration level with the help of yoga, meditation and breathing exercises. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good evening, Mum 78 had sudden shivers on saturday night by sunday morning she was well, unfortunately on monday while watching the tv a bee bit her on the arm and in 10 minutes she started vomitting and her eyes were turned white, I called the ambulance and she was given antihistemic injection together with the drip and by mid day she was better and was discharged by 3pm from the hospital and was very weak could hardly walk, on wednesday she seemed better but still in bed and was feeling dizzy with bad `spinning of the head`. Today she started vomitting (not much) and I called our GP to see whats going on, he gave her an injection of Stemedil and told me she will be ok in couple of hours, at lunch time I gave her light meal and she vomitted all out! She feels very weak, cant walk, and needs to sleep! Shes diabeticon insuline, on anti caugulant pills, had a stroke 9 years ago but all was well affecting her speach...........dont have a clue what to do! Very worried! Her sugar level is normal, her pulse is ok, her blood preasure is normal!", "output": "Hello, Welcome to Chat Doctor, When bees sting a person they will inject venom through their stinger into the skin of the victim. People stung by bees will have an allergic reaction to the sting and in severe cases it will cause anaphylaxis. For any Bee sting, following measures should be followed1. If the stinger is present remove it immediately. 2. Apply ice or cold packs to the area to reduce the bodies inflammatory reaction.3. Wash the area with soap and water4. Take antihistamine such as Ben Chat Doctor. 5. Pain relievers such as ibuprofen or acetaminophen can also provide relief of symptom. Aforementioned measures should follow whenever there is a bee sting. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter stepped on something about 5 days ago that we assumed was a some type of bee sting. She had a little swelling, very mild, and some pain and itching. Yesterday it looked fine but today she has about a 2 inch purple area around where she was stung/bitten. Is this a normal reaction or should this be looked at?", "output": "Hello, Welcome to Chat Doctor, As your daughter was stung by something which has lead to very mild swelling, some pain and itching. You have to find out what exactly has stung your daughter and find out that. If it is a bee sting nothing to worry if she has developed purple area after 5 days. If she was bitten by any other reptiles it should be treated vigorously and adequately. I would suggest you to consult your doctor regarding these issues and confirm what has bitten her. If it is bee sting this response are the normal responses and nothing to worry. Thank You." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi... my face has become dark due to pigmentation... and its not turning back to its original colour.... my friend suggested me to use COSMELITE cream... but there r no good comments about that cream online.... so can u please direct me if its safe to use this cream? or is there any other cream which might help me?", "output": "Hello, Thank you for posting on ChatDoctorComplexion of any person is having two components; constitutive, one which is predetermined by genetics and racial factors and usually cannot be changed with any treatment. The other component is due to external agents like environmental exposure, sunlight, use of any cosmetics etc. and is amenable to treatment. You should avoid use of Carmelite cream as it contains steroid and other ingredients which harms the skin if used without medical advice. You can get a series of chemical peels, which actually remove the upper dead layers of skin and stimulate regeneration of collagen and thus newer layers of skin. Many options are available in chemical peels depending on the requirement and skin type. (Glycol peel, retinol peel, cocktail peel etc.)Also, chemical peeling can be preceded by a simple procedure called microdermabrasion or commonly known as skin polishing to augment the results. Also, at home you can try using cream containing comic acid, betray Chat Doctor. Always use broad spectrum sunscreen before going out in sun. Use a plain moisturizer like detail DAM on daily basis for healthy and HY" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my name Is Carlie. Im a 25 year old female and ive been having these symptoms for about 5 months now. All my blood tests came back fine and so did my stool sample. I have been sent a referal to a neurologist but I am starting to feel im losing my mind. Ive lost weight going from 65kg to 56kg in 3 months without change to my diet. Although I am not feeling hungry as much as usual im making sure im eating. I did have diarrhea for about 6 weeks where I was going to the toilet 20+ times a day with no found medical reason. Having no recolection of important things people have told me. Trouble concentrating on things. Unable to go with the flow of conversation and forgetting what im saying halfway through. Hot flushes like someone has poured a bucket of warm/hot water on my head and it flows down my whole body. Fainting spells where I feel like im shaking. Zoning out when talking to people. Friends and family have commented on how I constantly repeat myself during one conversation or telling then the same thing multiple times because I didnt remember telling them or stand there staring. Nausea and vomitting (not always together). Some severe headaches (about 8 in this time frame) I feel like its hard to focus my eyes and am seeing white spots and lines sometimes very bright white. Hot feet at night. Sweating even though I feel cold to touch. I have suffered from anxiety before but do not believe this is because of that. Ive never felt more in control of my mental health. I feel like im living in another world and its starting to effect my everyday life. I do not drink any alcohol or do drugs. I am no longer on any medication but did take anti psychotics to help me sleep for about 2 months in this time frame but it started before and continued after use. Thank you in advance for your time :)", "output": "Hello ! I went through your question carefully. I understand your concern. There are many points in your situation that need to pay attention. The lost weight and frequent diarrheas can cause nutritional deficiency, causing your memory problems. There are some main disorders that may be the cause of your problems. A hyperthyroidism can cause this clinical situation, so I would strongly recommend thyroid hormones' analysis to rule this out. This would explain also the hot flashes. A rare disorder, called pheocromocytoma, which is a tumor of the renal gland can cause similar troubles. I would like to know if you have measured your blood pressure during your troubles. If these episodes are associated with high blood pressure and tachycardia I would recommend the analysis of metanephrines in your urine, to exclude this disorder. Another point would be a food intolerance like gluten intolerance, so you should also be checked for anti-gliadine antibody. But this would be exceptional at this age, as it begins since childhood. If all the above tests result normal, a neurological evaluation and a head MRI would be necessary. Hope to have been of help! Thank you for using Chat Doctor! Greetings, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have backache on the right side of lower back. It comes and goes. Had it Saturday for awhile and it returned today. I m 73 and for the last week I m also craving dill pickles and the juice and no I am not pregnant. Could there be any connection?", "output": "Hi, I understand your concern. Backache on right side of lower back could be associated with kidney problems. Urinalysis, kidney function test and abdominal ultrasound are further recommended to determine the right diagnosis. Stomach hyperacidity issues like gastritis should be further investigated. Craving dill pickles and the juice could be related to both stomach and kidney issues at your age (73). So, better check first. All the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doc i have pain in my upper abdomen, nausea and heavy head. i have done endoscopy,ct scan abdomen,brain mra scan,got my eye test, went to ENT, but everything is normal. i have used nexium tab twice a day, then razo D,then nexpro 40 and now pantosec. out of four medicine pantosec 40 is little effective . could u help me with the dosage?", "output": "Hi. Pain in upper abdomen, nausea and heavy head with all the relevant investigations normal and only Panto sac helping a bit. It looks you have got a problem related to stress or anxiety or a spinal cord problem. I would suggest you to take a second opinion of another Gastrointestinal Surgeon and a Neurologist as a last chance get MRI of the spine and treatment for the stress done, I hope this may help to get a diagnosis as well as treatment Also go for test of blood - Tidal for typhoid, Malaria and X-ray chest to rule out a lung problem which can give referred pain in upper abdomen." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello. I just had a vasectomy completed this last Friday. I feel that I am healing rather well, I have minimal bruising, no pain in the scrotum/testicles, and my sutures are healing nicely (no sign of infection). However I do have a pain in one side of my groin muscle. Can this be normal?", "output": "Thanks for contacting ChatDoctorI am sorry to hear that you are having groin pain after vasectomy. This is a normal aspect of vasectomy. During the procedure the surgeon pulls on the vas deferens and this can cause pain felt in the groin. I recommend taking Tylenol or Naproxen for the pain. It may also help to wear tight underwear. If this does not help then I recommend seeing your doctor again for follow up Hope I answered you question. Please contact us again with your medical questions and concerns." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had treatment on my gums on Tuesday as I used to have hyperplasia. Yesterday, (Wednesday) I had aching legs and arms and a temperature (alternating between being hot and freezing) I still don t feel good today. Could this be anything to do with the dental treatment?", "output": "Cellophane you for sending your question. I think that your situation may be related with the recent dental work. This is an anti-inflammatory response of your organism toward any virus or bacteria that was introduced to you maybe from the dental work. I recommend you to check your temperature and if you have fever for more than 3 or 4 days than consider a consult with your primary doctor.Meanwhile, use Tylenol or Motrin for the fever. Hope my answer will help you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hI i AM 47 YEARS OLD. A MONTH AGO I STARTED HAVING A VERY BAD HEADACHE AND A STIFF NECK WITH DIZZY SPELLS WHEN I STOOD UP AND WALKED. I PASSED OUT SEVEREL TIMES. I WENT TO THE HOSPITAL AND SPENT SEVERLA NIGHTS AFTER BEING DIAGNISED WITH VIRAL MENEGITIS. AFTER BEING SENT HOME STILL WITH THE MAJOR HEADACHES AND STIFF NECKS AND DIZZY SPELLS CONTINUED. IT HAS BEEN A MONTH NOW AND THEY ARE STILL CONTINUING. I PASS OUT ALMOST DAILY, MY DOCTER SAYS TO BE PATIENT. I HAVE A APPOINTMNET WITH A NEUROLOGIST BUT NOT FOR ANOTHER 2 WEEKS. IS THIS NORMAL? WHAT CAN I DO. THIS IS AFFECTING MY LIFE, AND MY JOB. I AM GETTING SCARED AND I FEEL HORRIBLE ALL THE TIME ANY MORE.", "output": "Hi, Thank you for posting your query. I have noted your symptoms. Based on that, we need to exclude seizures. Seizures could occur following an episode of viral meningitis. Viral meningitis refers to infection of brain covering (meninges) by a virus. How was it confirmed for you? Was a lumbar puncture done? Please upload the results. Also, we need to see your MRI brain scan. Swelling in the brain could cause headaches. You would get better with treatment. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, Chat Doctor. Ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was prescribed 500mg every 8 hrs of Amoxicillin for a root canal. I am on day 5 of a 10 day dose. My face has been getting very red and hot. My blood pressure was up to 138/98 and feeling tired. I need to call the dentist in the AM but I am traveling. No pain, no sign of any issues other than ones described above. I know you shouldnt stop a 10 day dose midstream, but what options do i have. I am a 43 yr old male who just had a full physical a month ago.", "output": "Dear friend. Thanks for sharing your concern. The rise in blood pressure, and the face getting red-hot cannot be related to antibiotics dosage or reaction as you have been taking this for past few days. Even then if you suspect, it to be because of antibiotics you can discontinue it as you have already taken it for five days. Further I would suggest you to visit your physician as well in addition to dentist. The sudden rise in blood pressure and associated symptoms should be well diagnosed for the underlying cause.Meanwhile, please maintain good oral hygiene, till you visit your dentist. Hope it helps. Thanks. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have tooth extracted almost 12 days . but still sometime i feel soreness and feel pain in that area . its not untolerable pain but it pains . i see small whole in that area and found that food get stuck there and when i clean then feel relief from the pain . is it normal to have pain after 12 days .", "output": "Hello, thank you for consulting with Chat Doctor. No it is not normal to have pain in an extracted tooth after 12 days, as primary healing takes places in 7 to 10 days, and subsides. It can be possible that because of food lodgment in that area there is some infection had started. Better once you should visit your dentist and get the area cleaned with the help of irrigation. Hope it will help you. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been having pain in my lower right abdomen for years but it is increasingly getting worse. I feel bloated and at times have had major gas. I have been to the dr, have had CTs, xrays and ultrasounds and they have seen nothing. it is worse when I am sitting down. It feels okay in the morning and gets progressively worse.", "output": "HI. The cause of your symptoms of pain in lower abdomen can be due to the following reasons considering your history of these symptoms for so many years::- Irritable bowel syn Chat Doctor. -Intolerance to a particular type of foods and beverages.-Stress and anxiety.-Organic causes like Tuberculosis, Crowns have been rule by the tests you have undergone like - CTs, X-rays and ultrasounds As you problem is increasing with the day passing by, it is thought to be due to IBS. I would advise you the following ::-Colonoscopy and biopsy-Diagnostic Laparoscopy -Avoid all good and beverages that enhance your problems.-Stay away from stress and anxiety at any cost. And take medicines for this under a Doctors prescription. Change of life-style will definitely help you the most." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 8 year old has been complaining of pain in the upper right side of the stomach since this afternoon. he is 24 kgs and a very poor eater. I have given him an anti-acid tablet before dinner.. but he is still complaining of pain.. agter dinner. pls help... JW", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query your child have symptoms of upper right side stomach pain which seems to be due to improper digestion and incomplete metabolism of child. It could be due to food intolerance. Need not worry. I would suggest you to give your child plenty of fluids. Give diet rich in multivitamins. Avoid intake of sharp, spicy and oily food. Visit pediatrician once and get complete examination done. You can start with proper course of antacids and proton pump inhibitors as well. Avoid giving any outside food to child. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I believe I was bit by a spider about 3 weeks ago I had 3 bites under my arm with visible grey fang marks surronded by red. and it started pussing after a few days. I couldnt put my arm down it hurt so bad. a week after it healed My eyes were blood shot for a few weeks. i took some eye drops and now a week later i went to The ER due to my hands, feet and arms being unbaribly itchy, swollen and red. My arms look like they have rug burn and my finger tips have an extreme tingleing in them such as pins and needles. I dont know what type of spider it was. But in the ER they gave me predisone and benidryl and perscribed it to me for the next 3 days.", "output": "THE ALLERGIES BEHAVE LIKE THIS MUST HAVE BEEN HAVING PROBLEMS OF SLIGHT ALLERGIES WHICH GOT The WORST BY SPIDER ATTACK ONCE YOU TREAT ONE PROBLEM IT WILL SHIFT TO NEXT ORGAN LIKE SKIN EYES AND OTHER PARTS IN YOUR CASEY TAKE ALLEGRA 120 MGM BDT AB ZINE TAC 150 MGM MORNING EMPTY STOMACHS YP PRISON 1/2 SF NIGHTLY CALAMINE MIXED WITH MOMETASONE OINTMENT MORNING EVENING IN AFFECTED AREACHROMAL FORTE Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi im noela im 34 yr old marred and having 2 boys one is 5 yr and auther is 2 yr. Im leading good happylife, my problem is i imagen thinks like if we alla go out in car i thinkthat what willhappen if we met an accident or if we go in flite i thing whwt will happen if the filt is crashed and we go under water and what will 2 sons do under the water. i imagen how will thy hug me and cryetc.. i dont know what to doplease help me.", "output": "Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. From what you have stated it is quite clear that you are having a depressive episode. Depression can occur with regular stress, and it can also occur biologically without any stress as well. You need proper treatment for the same. There are various effective therapies for depression like fluoxetine, venlafaxine, bupropion, mirtazapine or Escitalopram, and they are all very effective and mostly safe. You may also require some benzodiazepines like clonazepam or lorazepam for a short period like 2-3 weeks to reduce the anxiety and help with your sleep. If you are averse to the Chat Doctor. This therapy is taken by either a psychologist or a psychiatrist in which the therapist identifies impaired cognitions (Thoughts) and try to correct them. They are 15-20 min weekly session and there should be around 8-10 sessions to help you with your illness. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor Rynne,The area on my right hand below my thumb near the area where my palm meets my wrist has been a dull ache for at least a week but just about ten minutes ago I have started getting sharp pains. I m wondering if the achiness and now the pains are from not drinking enough water each day? I m a 54 year old postmenapausal woman, if that helps to know.", "output": "Hello, I have studied your case. Due to compression of this nerve root there is pain your thumb, I will advise you to MRI cervical spine for better diagnosis. For these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Can using a knee brace that is too tight on my left knee which I had a meniscus repair on two months ago cause swelling on my left ankle I put it on tight and bowled 5 games there is no pain but definitely edema of. The right side of the ankle and slight swelling above the ankle.", "output": "His there, Yes the knee brace that you are using might be too tight that is causing this pressure symptoms at ankle as swelling which is due to disturbance in circulation. Kindly get another brace with one size bigger. And you need to remove the brace at nighttime As you underwent meniscal repair i advice you to take rest and avoid sports and serious activity. Hope this will solve your problem. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have done my Semen Analysis in a famous hospital and the result is as follows...Color :greyish whiteRaction AlkakineVOlume : 2.0 mlliquification time : After 45 minutesCount 5 millionMotility (1 hr)Motile 20%Sluggish 20%Immotile 60%Pus cells 1-2 Hpf 1-2MorphologyNormal 40%Abnormal Head 20%Defective Neck 20%Defective tail :20%Is there ways to increase the sperm quality to the required level ?Will Intrauterine Insemination (IUI) work in my case?Kindly reply", "output": "HelloThanks for query. Based on the report of your semen analysis that you have posted I would like to make comments as under The macroscopic characters like volume, viscosity. Ph and liquefaction time are well within normal limits as per WHO standards.However, the sperm count is very low (5 million /ml) as compared to normal value of 30 -40 millions /ml) suggesting you to have what is called as Oligospermia other parameters like motility and morphology of the sperms being normal. With given values it is unlikely that you can impregnate your wife by natural means. As regards your query about the possibility of pregnancy with Intro Uterine Insemination the chances of pregnancy with such a low sperm count can not be opined with certainty. I would advise you to follow general measures for 6 months which could help you to increase sperm count 1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning. 2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc 3)Take anti oxidants like Almonds 5-6 everyday4) Avoid alcohol and smoking. Consult qualified Infertility specialist for evaluation and to explore possibility of pregnancy with the help of newly assisted reproductive techniques like IVF or CSI. Chat Doctor. . Truly speaking" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i am 17+ My problem is i have epilepsy since 2 years.. i dont take any medicine .. ifi take medicine i feel dizzyy ..i wanted to ask that does it recover permanently?? cause for this disease i have to hear many taunt .. i dont wanna be the burden.. i just wanna get rid of this.. and if there isnt any way i might take my life away :( umm very much upset .. please reply me as soon as possible thank you", "output": "Hi Dear This is not fair to yourself leaving at the peril of luck at this age. I need to know what type of epilepsy you have, but it is dangerous to roam around without fixing it (you may be Chat Doctor. ). In general up to 80% of epilepsy can be treated with the medicine alone. When you start any of this medicine you may feel a bit dopey to start with but over a period of a couple of weeks you will become alright. Best wishes" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 4 year old daughter developed 2 cancor sores in her mouth. I gave her OTC meds to try to lesson the pain. Knowing it takes a few days to heal, she still complains it hurts and will not let us brush her teeth on the side the sores are AT ALL! Though we understand these sores are very painful, we are concerned that her teeth are not clean in that area and that it could cause other more severe issues. This has gone on for about a week now. Called her pediatric dentist and they suggested a cancor rinse but we can t get her to use it. They said that s about all we can do. We are ready to call her pediatrician to have her mouth looked at. She just had 4 cavities filled so she is proned to them.", "output": "Hello, Thanks for your query. I read your problem,first I would like to inform you that authors ulcer take a time period of 10-12 days to heal completely, so nothing to get worried and continue a proper treatment with patience. The treatment options for authors ulcer are-1. Vitamin B complex.2. Topical application of gels like-mucopain, dologel, quq Chat Doctor. ....3. Maintain oral hygiene.etc........ As you said that she if having 4 filled teeth at this age, it is not a good sign, you must be more careful. Please follow following-1. Maintain oral hygiene.2.brush twice daily.3. Regular dental visits after every 6 months.4. Topical fluoride application5. Pit & fissure sealants, if needed.6. Use of fluoride containing toothpaste.etc........ nothing to get worried. Take Care. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My name is suman,my weight is 56kg and height is 5\"2. i am suffering from allergy n bronchitic asthma from 15 years.now my asthma is under control,i use combitide inhaler 125 mg but i feel every time cold and my allergy is not under control. i always upset with allergy problem.for this what can i do? how can i live better life?", "output": "Dear Human, Asthma is caused due to bronchoconstriction (obstruction of smaller airway passages) which is indicative of Hyper-responsiveness of air passages. Management consists of:1. Combative inhaler-provide symptomatic relief by causing bronchodilator (dilating the smaller airway passages, relieving the obstruction & increasing airflow to lungs)So, you can use it whenever you are having an acute attack.2. Montelukast preparations- used as a maintenance therapy to relieve symptoms of asthma. This will also give protection from recurrent allergy.3. Antihistamines like Cetirizine can also be used to provide symptomatic relief.4. Need for anti bionics can arise if there is a secondary infection. But this should be taken only under the guidance of your Physician.5. Also protect yourself from exposure to cold, dust or other allergens. Wish you a good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My earholes begin to swell up when I wear earrings, and they form pus when I touch them. Is this because Im not wearing gold earrings or is it because Ive developed an infection?This has happened twice.I usually wear gold earrings and have been for 16 years.I wear plastic ear sticks too.", "output": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your question if you do not have swelling of ear holes and pus discharge while wearing gold and plastic earrings then the cause for swelling and pus discharge is due to allergic reaction with other metals which causes reaction when comes in contact with air and water and cause the symptoms that you are experiencing. As gold and plastic are inert materials they do not cause this reaction... I would suggest you to gently remove the earrings and clean the airholes with Betadine [provide iodine] solution and try to discharge pus as much as possible. After cleaning properly apply Triple Antibiotic Ointment over it. Repeat it at least twice a day. If it improves in 3 to 4 days its fine otherwise consult a physician, and he can advise you oral intake of antibiotics. Once the healing takes place it will be better to avoid wearing metallic earrings and wear only gold earrings and plastic if you wish to. Hope this information helps. Thanks and regards. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi there, Im 23 years old in good shape work out 6 days a week. I quit drinking alcohol about a month ago, where I would usually drink and pass out on the weekends. I did however drink a bit last night (relapsed) and did a pretty tough cardiovascular workout today, and now my heart feels sore. Am I ok? I have an irregular heartbeat I should add that I got checked out, but it seemed to check out fine. Thanks for the help!", "output": "HIT hank for asking to ChatDoctorYour query really appreciated, as long as heart disease are concern it is less likely in this age unless it is the congenital kind of disease and for that I would advise getting done the cardiac evaluation that includes EKG, ECHO and with that the doubt of irregular heart beat and others, in your case dizziness could be due to hypoglycemia, or anxiety, else it may not be due to any illness, if such symptoms of pass out goes on happening on and often then better to get done the CT of brain, hope this information helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am having rerstless night with attacks of itching numbness an burning pain of both my legs. The curious thing is that it does not happen during the day,. but about half an hour from going to bed t night. Recent MRI indicates that arthritis might be the cause. I know arthritis pain what it is like because I have it in my both hands. The sensation in my legs is more a burning pain. Thanks if you can give me some advioce.", "output": "Hello, I have studied your case. I think you are having neurology problems in your body. It can be due to these reasons.1. Low serum B 12 estimation.2. Nerve compression in the spine. I would recommend you to get your serum B 12 estimation and MRI of the spine. If there is low serum B 12 than you should start taking Pregabalin M one daily. Also take calcium and vitamin D 3 daily. I hope this answer will be useful for you. Let me know if there is any other followup questions. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have what I think is the flu but it seems worse than usual. I visited a malaria risk country in November and didnt take my malaria tablets due to them not going down my throat properly. Should I visit the GP whenever I feel ill due to me not taking my malaria tables?", "output": "HI, thanks for using Chat Doctor You can visit if you have symptoms in keeping with malaria, but you can experience other illnesses such as the flu or common cold that have nothing to do with malaria. You may have symptoms that clearly point away from malaria e.g. cough, nasal congestion etc.Also, important is the time frame, malaria would normally occur 7 to 18 days after exposure. IF you have symptoms outside this time frame, not likely malariaMalaria would cause chills, headaches, vomiting hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my mom is 82 and had a bile bag for a week and then now they put a stint into the bile duct that had a couple of strictures. they have taken some cells from the bile duct and we will get the results tomorrow. my question is her hip bone; lower part of the hip; kind of the side of her leg on the opposite side of the incision made between ribs is really sore. Do you know why that would be?", "output": "Here It's difficult to answer without physical examination of patient, but I can give you in general guideline. Since there is incision and inflammation at one side of her abdomen along with pain there will be muscle weakness also and due to that she might be sleeping on the other side with side lying as well while walking also there will be more weight on her normal side. Even when she will sit also she will give more weight on her normal side and due to that (due to overuse of normal side) as per her age it is common to have pain in normal side also with soreness in bones and soft tissues. I suggest correcting her posture and give her enough pillows to support her position in such a way where she Don't get constant weight at one particular part of body. You can also practice this by changing her position frequently. As of now you can give her hot and cold pack alternately as per her tolerance limit to give some more relaxing effect on inflamed and sore areas of normal side. I am sure this will be useful for her so just follow it and see. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir I had unprotected intercourse for three days but took an emergency contraceptive pill before 72hours...the last day I had coitus was a high fertility day...but my partner responsibly practiced coitus interuptus all the time...yet m worried of conceiving..further more I had spotting lately...but no proper periods yet...does it confirm Im not pregnant", "output": "HelloThanks for your query. Please do not worry about the spottingAfter taking emergency contraceptive pill, most women experience some form of spotting / bleeding within a few days, due to with Chat Doctor. Along with coitus interrupts, if you took the pill within 72 hours, you have done the best you could. If ovulation had already occurred, the pill won't work. However, you have done all you could, now please wait for your normal period. If missed, take a pregnancy test. Remember that this pill can delay your period by a week. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am female, 49 years old with Dandy-Walker and VP shunt, PSVT and strange symptoms. Some are listed below: tingling in feet, hands pain in wrists and ankles itching at stomach area w/no rash red fingers in cold weather stiffness upon standing balance issues funny internal trembling white halo type flash of light in eyes w/no eye problem language issues (cannot find words) all of my teeth hurt at times (nothing wrong w/teeth) peeling nails abnormal ANA, twice extreme fatigue difficulty with walking at speed and balance that I used to not long ago My PCP passed me off to a Rheumatologist. He dismissed me as perfectly normal. My neuro passed me back to my PCP, and after an MRI told me that it was basically the same Am I just a hypochondriac? I do not visit any doctor often to complain. I am truly frustrated and concerned that I might need help. I have an appointment with a new rheumatologist in a couple of weeks, but I am worried that I will again be passed off or dismissed.", "output": "Hello! Welcome on Chat Doctor! I carefully passed through your question and would explain that your symptoms seem to be related to a hematological disorder. I agree with your attending physician on the need of consulting a rheumatologist. The presence of positive ANA is another argument, besides your clinical symptoms in favor of a hematological disorder. I would also recommend performing a nerve conduction study to exclude possible neuropathy, which could explain some of your symptoms. Further tests may be needed (prescribed by the rheumatologist) to investigate for the possible cause of all this clinical scenario and determine the true diagnosis and help find the proper treatment options. Hope you will find this answer helpful! Best wishes, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I had a tooth extraction 2 weeks ago. It was second from the back lower molar. It was a surgical extraction. I have been back to the dentist twice for dry socket, and now noticed my pain is generated from a lump on the jawline directly below the extraction site. Is this normal? What is the lump? I have to take tylenol or motrin all day, just to get through the day. Please help.", "output": "Hi, Thanks for posting the query, I would suggest you to get the extraction site examined by the concerned Dentist, take an IOWA x-ray of the region, take the complete course of antibiotics and analgesics, take lukewarm saline rinses and antiseptic mouthwash gargles, see if there is any broken root particle left in the socket if so it can be removed easily, maintain a good oral hygiene. Hope you find this as helpful, Take care!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, this is my 22nd day of Shingles - I am having a pretty tough time and the last week or so I have been having to deal with nausea as well - thought tonight I would google nausea and shingles - happy to read that nausea is connected with shingles so in a way that is a relief! and its not something else I have to research - I dont as a rule go to doctors but the pain etc etc is really getting me down, I have acute pain in my left knee the same side as my shingles outbreak - located at C3-5 across my back and under left arm - the knee problem came first probably about 4 weeks prior to the shingles - I was wondering if the 2 problems could be related? I am as a rule an extremely health and active 62yo woman. Both the nausea and knee problem are causing me much unpleasantness, I would appreciate some advice. Judy from Australia - hesitant about giving credit card details - will seek advice from local doctor tomorrow - sorry.", "output": "Hello Judy, Welcome to Chat Doctor. The main cause of shingles is Herpes zoster, that's why I suggest-1. Start antiviral therapy, you can take acyclovir 500 mg 1 tablet 2 times 5 days/2. For nausea, you can use comparison 1 tablet 3 time after 1 hour before meal till relief.3. Use pain killers-nonsteroid analgesics and antiinflammated -diclofenac potassium 1 tablet twice a day during 5 days. Do not crush, chew, or break tablet. Swallow it whole, better after meal.4. Fexofenadin(Allegra) 1 tablet 1 time in bedtime for 10 days.5. Apply diclofenac gel to affected area, rub gently with massage. If it does not work then start to Chat Doctor. Thanks, recovery soon. Best regards " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am a 73 yr. old female with OA in both knees. However I had a total left knee last year . I had the right knee injected when I was under and it has controlled the pain until I went for my usual walk this afternoon. I experienced sudden pain in the right knee and it was hard to weight bear. Have I torn something and should I be weight bearing? I have put a soft brace on it to try and stabilize the joint. Email YYYY@YYYY", "output": "Hi, thank you for providing the brief history of you. As you are having OA knee bilaterally, I will advise you to undergo an X-ray or an MRI of both the knees to see the level of the degeneration in the joint and also the soft tissue status. Also, you have TKR for left knee last year, now by default the body will apply whole weight on the right side and the joint will lead to pain. Maybe a meniscus tear would have occurred leading to a lot of pain. This is the common complains in most of the patients with unilateral TKR. I will advise you to undergo physical therapy and get treated as to safeguard the natural joint is of utmost importance. In my clinical practice most patients respond to physical therapy and never needed surgery at all. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I ve been under treatment for infertility related problem. I ve had IUI twice. But unsuccessful. My doctor has advised me for IVF . I m preparing for that too. But in the mean while I missed my period last month. Urine test suggest Negative. So, I m presently going through the course of Orgamed for the last 8 days. 2 doses are remaining, as per my physicians prescriptions. But from yesterday late evening I m experiencing a mild fever but huge body aches specially in my lower body. Please suggest which drug should I take to control this ache which is unbearable. I ve already taken paracetamol but almost no effect.", "output": "Hello. Thanks for writing to us. Since your periods are overdue and pregnancy test is negative, you need to have hormonal treatment for with Chat Doctor. The symptoms you are having are likely to be pre menstrual symptoms and these will subside once the periods start. Meanwhile, you can take mild painkiller like ibuprofen every 6t hourly. I hope this information has been both informative and helpful for you. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am a 62 year old female, 165 pound that had breast cancer with chemo/radiation/masectomy. 2 years later a stem cell transplant for MDS. My doctor tells me today that my kidneys are functioning 45-50% and my kidneys are equivalent to an 80 year old. What am I to do? I am on Crestor, Paxil, Xalatan and Vitamin D3 and Caltrate 600.", "output": "Hello and welcome to Chat Doctor. As a Urologist, i can understand your anxiety.You've not written how long back you had the stem cell transplant. Also, which report showed the kidney function at 50%. An isotope scan or a contrast CT scan (CENT),should've have been done. Your blood creatinine, urea,electrolytes, RBS,LFT and platelets are tested. This change doesn't occur over a few days. It's gradually progressive. If needed, a kidney biopsy is done to find out cause for decreased function. Send the reports to me, as a direct question, for an expert opinion. Chat Doctor. Manga." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 33 yr old female in otherwise good health. Have low ferretin count (7?). Arms and hands fall asleep at night, even when I m not sleeping on them. It wakes me up and I have the pins and needles feeling. Could thins be due to low iron? Anxiety? Something worse?", "output": "Hello, As you have this numbness and tingling I think this won't be due to low ferritin count. This could be never entrapment in the cervical spine and need a clinical examination and a diagnostic test of MRI be done. Using a soft cervical collar and hot water fermentation should help reduce the pain. Doing static neck exercises and upper limb exercises once pain reduces will help regain good outcome score. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m a healthy 35 years old woman, Christmas Eve I fell on my rib (under my right breast) and heard a pop. Next day i was fine, no pain, nothing but 2 day later i woke up with a stabbing pain at this same spot and still have it . I feel relieve when i sleep on that side, it seems to relieve my pain. But if i touch a single point it hurts like crazy. What could it be? I have no bruise, i don t see any bump and it feels all in place when i touch.", "output": "His would suggest you to take an x-ray chest to rule out any rib fractures. Broken rib can be present even without a bruise or swelling. Painkillers should be taken to reduce the discomfort. You can also apply an ice pack to the area to reduce pain and decrease swelling. Just make sure you wrap it in a thin towel first. Hope that was helpful. Let me know if I can assist you further. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I took a fall last night, backwards.put my hands back to try breaking the fall.The right one hit the ground bending it back when I hit it was like a jamming. My head felt like I was hit by a cast iron skillet. Pressure, but didn t last long. Every joint from my wrist to my neck is hurting.what scares me is that my lips are numb. I had a cervical fusion 23 years ago. I have severe spondylitis and have been disabled for 10 years now.Tomorrow is my appt.with my PT. Was hoping you could give me some information about the numbness. Ty.", "output": "Hi, It is possible that you had injury to your muscles, ligaments and soft tissues leading to pains in the region. It is always better to get a cervical spine X-ray done to know if you are having any abnormality due to injury and pre-existing spine fusion surgery. As you have the appointment tomorrow, right now you can reduce your pains by applying an ointment containing a painkiller preparation with muscle relaxant. This needs to be applied gently over the painful areas and not to be massaged. Wishing you a quick recovery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Built up an allergic reaction to hair dye and broke out into hives. On prednisone and benydril for two weeks and still have hives breaking out. In addition I have a sinus infection and put onAvelox and have more hives. Does this mean Im allergic to avelox also.", "output": "Hello, Welcome to Chat Doctor, As you developed allergic reactions following dyeing of hair, it will take some time to reduce the symptoms. As your doctor has advised medications for treating generalized hives, you need to take treatment for some more days to control the symptoms. In addition to the Chat Doctor. If your symptoms are not coming down you can1. Apply Ice packs on the areas of hives2. Avoid exposure to hair dyes3. Oral Monte LC.4. Steam inhalation with VapocapsWith the medicines and the above remedies, your symptoms will improve. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I want to know about the treatment for food pipe cancer, my mother age 70 weight 43, earlier 25 years back suffered from lungs infection( left lung 75% collapsed), pataient of hyper acidity and high blood pressure, having difficulty in eating food(swallow prob),", "output": "Thanks for your question on Chat Doctor. Treatment of any cancer is based on its staging. And this stands true for esophageal cancer. So please get done CT neck with thorax to see exact size of tumor and local spread. Also get done PET SCAN to see for distal metastases. By all these staging can be determined. If distal metastases are present than it is considered as stage 4 cancer. It is inoperable, and only treatment option is palliative chemotherapy and radiotherapy. But if stage 1, 2 or 3 is there than surgical options are available along with chemotherapy and radiotherapy. So better to consult oncologist first and discuss all these." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hI,I WAS TOLD I HAVE CHRONIC KIDNEY DIEASE,AN THAT MY KIDNEY FUNCTION IS ONLY 22%,BUT I AM ONLY EXPREIMENTING ABOUT 3 OF THE 7 SYMPTOMS,I HAVE SICKLE CELL DIEASE, AN WAS TOLD THAT BY THE END OF THIS YEAR BEGINNING OF NEXT YEAR I WILL BE ON DIALIYIAS, THAT IS NOT A GOOD COMBINATION,SO I WAS WONDERIN IS IT SOMETHING I COULD DO MYSELF TO IMPROVE MY KIDNEY FUNCTION", "output": "Dear patient, The best way to protect your kidney, with the limited things you can do because of the serious underlying disease, is to avoid medications or conditions that cause deterioration of kidney function; the 2 most common and easy to ignore are deny Chat Doctor. Sickle cell patients indeed can get end stage renal disease, and if you get to that stage, then dialysis, either intravascular or peritoneal, could be indicated to replace the functions of the kidneys. Yours truly," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 13 yo daughter has an enlarged lymph node in her neck, left side. She has had ultrasound and a CT scan that was read out as lymphadenopathy. The Dr. she was seeing told us there was nothing to worry about and that it should go away. It did go away but it recently came back. Hasn t gotten any bigger and she hasn t had any other symptoms. All labs also came back negative. What are some thoughts and opinions? Thank You!", "output": "Hi. Thanks for your query and an elucidated history. Your daughter is just 13 years old and is a candidate for recurrent throat, nose and scalp infections. This is the major reasons for recurrent lymph node enlargement in child Chat Doctor. I would advise you the following:-ENT Examination by an ENT Surgeon to find out any focus of infection and to get it treated properly.-FNAC or biopsy of one of the most accessible and large node where the scar will be the least visible to rule out Lymphoma and such " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, the X-ray of my girlfriend done in November 2014 revealed suspicious densities in the right parahilar area of her lungs. She told me about that only recently so I suggested to her to have X-ray done in June 2015 again which turned out with the same result. The apicolordotic view done on the following day concluded unremarkable . However, Im very worried cause in November she experienced cough which continues from time to time; she suffers from back pain, she does not have taste for food and she lost much of her body weight. Im suspicious about TBC cause she lived in the same boarding house with a couple who both had cough and her problems began shortly after she had moved there. Moreover, she comes from the Philippines. Thank you.", "output": "Thanks for asking your question I completely understand your question cough of long duration that is more than two weeks can be tuberculosis.u need to get a fresh chest X-ray and consult a pulmonologist .he'll request for a sputum smear examination for AFB for confirming the diagnosisbackpain in tuberculosis can be due to tb spine also that is Potts spine, and she needs to be evaluated for that also by a X-ray ls or DL spine.pulmonologist ll fully examine her and tell you the investigations which needs to be done to diagnosed panic, but these things needs to be done early, because if she'll be diagnosed as tb early treatment will cure her and ll decrease the spread of infection also thanks/ regards feel free to ask more questions may god bless you with good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My recent blood test for my annual physical had AST at 91 and ALT at 96. Last year they were AST 41 and ALT 60. A couple week prior to the blood test I threw out my back and was given several different pain medications, muscle relaxers and steroids for inflammation. Could that medication have spiked the test results. Regardless, are those levels I should be worried about?", "output": "HelloSign ALT and AST may indicate liver injury. It may be due to many reasons like hepatitis, alcohol intake, altered lipid profile, medicines,autoimmune causes etc. It may be due to medicines side effects in your case. You may need clinical evaluation and investigations like routine hologram, random blood sugar, lipid profile, ultrasound of abdomen. I suggest tablet ursodeoxycholic acid 300 mg tablet twice daily for three months. It helps in regeneration of liver cells. You may need dose adjustment of medicines. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had unprotected sex on Monday. I purchased Next Choice at the store and took one pill yesterday as instructed at 10:00pm. I went to work and forgot to take the pill at 10:00am (12 hrs after I took the first one) so I ended up taking it around 12:00pm instead. Is there a chance that since I took the second pill two hrs late I can get pregnant?", "output": "Hi there, I have understood your concern. I will suggest you the best possible treatment options. As you might be aware that when emergency contraceptive pills are taken within 72 hours of unprotected sex act, it works to prevent pregnancy in most of the cases. As you have consumed the pills within 24 to 72 hours, you need not worry about the pregnancy. Delay of 2 hours in taking the second pill will not cause failure to prevent the pregnancy. You need to wait patiently for the with Chat Doctor. Once you get with" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "About 18 months ago I was doing a ballet \"plie\" (deep bend with knees going out to the side) in an exercise class. I felt the ligaments in my left hip just go crazy. I was able to walk .. just sore. I now have a lump directly at the top of the thigh (the part that bends when you sit). All my physicians have said it is a tension lump. I am concerned. It never goes away no matter how much a message it. Matter of fact it hurts more when I message it and it just gets irritated. I also have lumps in my low back that I believe are episacral lipoma. I am wondering might this lump in my hip be a lipoma or some type of hernia. I have suffered many years with disc herniation. My back, thought not the best, is doing ok. I just have chronic pain in the front of my hip and also several lumps on the side of my hip. I now also have some numbness in the hip. I have suffered with sciatica before so I am very familiar with this sensation. This is different.", "output": "Hi.it is best if you consult with a doctor, preferably a general surgeon, for medical and physical examination. Based from your description, it could be a lipoma, a cyst (a sebaceous or a gelatinous type) or a fibrous. These lesions can occur anywhere in the body and have the tendency to recur. Management (medical and surgical) will be directed accordingly. Hope this helps. Good day!!~ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had knee replacement in May 2013 and had so much trouble. Then after being in ER found out the dr may have made a mistake and went for 2nd opinion and found out the 1st doctor oversized the implant in the right knee. Now that doctor dismissed me via a letter. Is there a way I can find out if the 2nd dr made a mistake. Am still having a lot of pain.", "output": "Hi you had a knee replacement in 2013 and are having severe pain in the knee joint. In Your 2nd opinion, you were told that oversized implant was used. In my opinion, oversize implant generally is not the cause of severe knee pain. There might be some other cause of pain like referred pain from hip or spine, local pathology like minor fracture, or misalignment or some other pathology. I would suggest visiting the operating surgeon again." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "age:30years, height:5.3feet, weight:56kgmedical history: mild jondouce, hypertension, current bio chemical values: hb 10.8, mcv 74, mch 20, mchc 28, ESR 35, LFT: T.billi 1.99, T.pro 8.4, Globulin 3.7, Hcv -ve, Hbsag -ve,LIPID PROFILE: NORMALclinical signs: pale eyes, skin rash, acne from 2 to 3 years.", "output": "Hi welcome to Chat Doctor... Here you have microcytic hypochronic picture according to indices... Jaundice is also present.... So here strong possibilities is presence of hemolytic anemia.... There are various causes for it like thalassemia, sickle cell, phagocytosis, g6 PD deficiency, PNH etc..... For that peripheral blood smear examination done... Retic count also done... According to PS finding specific test needed like electrophoresis for hemoglobinopathy.... Consult gastroenterologist for examination and subsequent investigation... Take care. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m having cyanotic spells where I m shivering uncontrollably but I don t feel like I m freezing cold. My feet tend to feel the coldest but my fingernails have turned blue almost completely and where it wasn t blue it was purple and the outline of my lips were blue to where it looked like I had a lip liner on. Also having shaking, no heart problems I know of.", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. Are they actually chaotic spells or are you obsessing it? From the given symptoms, paranoia can be diagnosed. But that is not all. These symptoms also could manifest if you are stressed, hugely disappointed or obsessing these thoughts. Therefore, differential diagnosis is required which can only be provided by a trained psychologist / psychiatrist. Researches prove that medicines alone cannot cure anxiety disorder. Along with medicine you should practice psychotherapy techniques to streamline your lifestyle and meditation and yoga techniques to calm your mind, body, streamline your metabolism and thinking style. Please consult a psychologist. If the symptoms are genuinely cynic, you should consult a physician immediately. If you still need my help, please describe the whole problem in detail and post a direct question to me. I shall definitely help you with psychotherapy techniques to overcome your problems. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have pain in my neck on left side, my ear feels a little painful, and my eye on the left twitches. I also feel some numbness in my left nostril and the left side of my lip on top and bottom. Two months ago I went to the Dr she gave me antibiotic and steroids for Belles Palsy. What do you think is going on. It wont go away =(", "output": "Hi, Thank you for posting your query. You need to get examined by a neurologist to confirm the Bells palsy (or facial palsy). If possible, please send a photograph of the face. Sometimes, the recovery of facial palsy can produce symptoms of pain and twitching. If symptoms do not improve, you may require an MRI of the brain to confirm the diagnosis. At present there is no need to worry. I hope it helps. Please get back if you require any further information. Best wishes, Chat Doctor. Ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doctor i am suffering with a calcified granuloma in the frontal lobe for the past two years. i am on t. eptoin 100mg bid. getting recurrent attacks of headache and seizure. do i need to change the anti epileptic drug or to manage. what drug would you suggest?", "output": "Hello, You are not under good control for your seizures, so I would agree that a change in management would likely be in your best interest. If you are not being followed by at least a NEUROLOGIST (better yet, EPIDEMIOLOGIST) then, I would make the request of your PMD. Phenytoin (generic for EPT OIN) at 100\u00a0mg. Is clearly not therapeutic for you since you continue having seizures. If you've not had blood levels checked recently then, that would be the 1st step. Second step: if you ARE therapeutic then, consideration to raising your dose to at least 3X daily should be given as this is a more convenient way for someone to take this medication. Your continuous seizures may also be contributing to your headaches so by better seizure control may reduce headaches. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 26 year old male who had my ALT drawn 4 days after binge drinking. I hardly ever drink, but the week prior to my test had friends visiting and was drinkin 2 beers a day and 4 days prior to my test I had 5 beers in one night. ALT was 101. I then had my test repeated 4 days later, and my ALT was 43. The rest of my enzymes were normal. Hep A,B,C negative. Suffered a needle stick 6 months ago in the OR, and have been following up for HIV tests and Hep C tests including antibody test and PCR. All negative. Could one binge 4 days prior to my test cause an ALT of 101?", "output": "Thank you for posting your query. Increase in the level of liver enzymes reflect an INJURY to the Liver. Medically, the condition is known as \"Hepatitis\". As all viral serology tests are negative, its most likely due to alcohol.- abstinence from \"Alcohol and Chat Doctor. - use lemon juice (lemonade) once in a day-recheck liver enzymes and Lipid profile after 4 weeks. Wish you good health. Further queries are welcomed. Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .wish you good health. Regards," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have 2 soft lumps (one bigger then the other) on side of my left shin. The bigger of the two aches when standing or sitting for periods if time. They are not ball shapped but more like 1/2 of a boiled egg. I was a bartender for most of my life (20+yrs) so standing for ling periods if time was common. I am currently 48 yrs old and female. Cancer does run in my family,mainly intestinal and breast. Do you think I should be concerned?", "output": "Hi...thanks for sharing your problem here in this forum.... As you said that there are two lumps each of size 1/2 of egg size...to give you most probable diagnosis I need to know some history like duration, pain,increase or decrease in size, any tenderness, mobility,...all these points are important... Even then the history you provided it seems like these are non cancerous lesions may be lipoma\u2019s, or they may be venous dilatation... I will advise you to consult your surgeon to give you proper diagnosis and treatment option...thanks Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 23 month old son has tiny red bumps that look a little like pimples on his butt and a little on the back of his left thigh. Theyre not getting better or worse. They started about 3 days ago and havent gone away. We thought the cause was that we changed the brand of diaper he was wearing, so we switched it back. I havent been using baby wipes when he needs to be changed. Instead I have been using water and a cloth, and soapy water when he poops. I cant seem to find anything anywhere online that can tell me what these little red bumps are.", "output": "H Dear, Understanding your concern. Condition seems to be mainly infection of follicles leading to folliculitis, and it could be due to wetness in that area. I would suggest you to keep area clean and apply antibacterial powder to avoid red bumps. Apply mupirocin ointment topically twice a day. If symptoms still persist, visit dermatologist once and get it examined and start treatment accordingly. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My sister is hospitalized with internal bleeding. Her h&h was 5.9 on admit, 12 hrs later it was 5.2. She refuses blood product because of her religion. She is passing bright red blood via rectum. Symptoms - pain and bloating after meals, dizzy,pain, fast heart rate. Could it be cancer?", "output": "Hello, Thank you for your contact to Chat Doctor. I understand your health concern, if I am your doctor I suggest you that fresh blood passing from anus won't be cancer. It must be something different thing. Without examination, it will be hard to diagnose the condition. Having such a low hemoglobin and refusing the blood product makes her life endangered. I advise you must give her blood product with any cost. I will be happy to answer all your future concern. Thank you, ChatDoctorInfectious disease specialist. Wish you the best health at Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I fell in January and peel the skin on my leg about 6 inches down to the white meat. It didn t bleed at all. Cleaned it out antibiotic on it and it healed ( no scab) after 5 weeks. But now I m having sharps pain in that leg near the scar. Sometimes I feel heat in that area. It only last 2 or 3 second. Every other day or every two days. What can I do about that. Thanks", "output": "Thanks for posting your query to Chat Doctor.Pain and irritation ion old injury site may be due to infection or inflammation. If you are having continuous pain, redness, heating with fever think about infection and consult immediately to your surgeon. If only occasional pain and heat may be due to some local inflammation .in such case you may take 1. Aceclophenac 100\u00a0mg two times a day .2. Serratiopeptidase 10\u00a0mg two times a day . Rabeprazole 20 mg two times a day .if symptom do not received contact to your surgeon for local examination .take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I found out over a week ago that I had a blood infection. I had a uti and they said that it caused the blood infection.. I am on vancocin 250mg 3x a day for 10 days.. I just went on the 9th of Sept. to get more blood work done.. But I am tired all the time.. Just want to sleep and I feel real sluggish all the time.. What do you think the problem is.. Thank you... Theresa C", "output": "Hello and welcome to Chat Doctor, Urinary tract infection (UTI) is accompanied by fever and other symptoms like lethargy, tiredness, weakness etc. I suggest you to complete the antibiotic regime as suggested by your doctor and take adequate rest. The constitutional symptoms will slowly clear away and thus recovery will occur. A repeat urine examination should be after completion of antibiotic regime. Thanks and take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "47 yrs female 78 kgs muscle pain in back right upper side. was having difficulty raising arms above head. been to physio.had muscle pain there before. he didnt seem to find anything. now have difficulty catching breath. I suspect lung infection. high acidity indigestion. temporarily fixed with food or water. Have had problem for 10 days. Im generally healthy with no allergies. I eat healthily although am slightly overweight.", "output": "Hello, Thanks for your query. The fact that your pain is occurring with movements indicates a muscle strain. Any strained muscle when stretched gives severe pain. I advise you to follow the below-mentioned guidelines -* Give adequate rest to the involved muscle group and avoid any movement that causes pain* Ice packing once in every 2 hours over the affected area* Moist heat application to relax the muscles* Local application of muscle relaxant gel* Analgesic medications as needed do hope that you have found something helpful, and I will be glad to answer any further query. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i had unprotected sex with my boyfriend on the 4th day of my cycle. He did not ejaculate in me. But i was worried and took unwanted 72 on the 5th day of my cycle, and within 24 hours of unprotected sex. I had a bleeding 6 days after taking the pill. My periods was due on 1st may but i still have not had my periods. What could have happened? Because i do think i could be pregnant.", "output": "Hello welcome to Chat Doctor Generally in a regular cycle ovulation occurs on 14th day of menstrual cycle.sperms cal have their in vagina up to 3-4 days,You have no chances of being pregnant,that too he didn't ejaculate in you. If you are still worrying about pregnancy go for pregnancy conformation test.it will tell you. Regarding your delayed cycle this month,this is because you have taken the unwanted 72,it contains progestins which alter the cycle. Hope you understand my answer. Thank you Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a small marble sized lump on the top right gums of my mouth where it meets the cheek. Its very sore to touch on the outside and on the inside. Its making it hard for me to chew anything on that side. Do you have any idea of what it may be or what I could do to ease the pain associated with it?", "output": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint it seems more like a dental abscess in case if the tooth is decayed over which the lump is present. It can occur due to infection reaching below the root tips of the tooth leading to pus formation. In case of tooth is not infected other causes can be gum infection leading to gum or Periodontal abscess. I would suggest you to consult an Oral Physician and get evaluated, and he can do a thorough clinical evaluation and investigations like X-ray if needed. On case of Dental Abscess either Root Canal Treatment or extraction of tooth can help. In case of Periodontal abscess or gum abscess Scaling, curettage and antibiotics will relieve. As of now you can take anti-inflammatory painkillers like Ibuprofen and apply a numbing gel over it for relief. Do warm saline gargles. Thanks and regards. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Sir, My 11 month son is weighing only 7.5kg adn is very thin. Height wise he is fine he is 66 inches. He is good in eating too. He loves his food and eats properly. I am giving him Cow s milk as it suited him. Other milk he was not able to digest and vomit so I changed to cow s milk after he was 6 months old. I wonder why he is not gaining much weight so I did a stool test and belwo is the result. color-Brownish Yellow,Reaction-Acidic,Consistency,Pasty,Mucus-Present(++), Microscopic Examination Helminths:nill Protozoa-Nill Callular Exudates- RBC-Nill Pus Cells:Occasional Macrophase:Nill Undigested food: + veg cells: + Fat Globule: Nill Starch:nill GStaphylococcus aureus - Wikipedia, the free encyclopediaeneral: Bacteria Flora:Moderate Yeast : Absebt I am very much worried for him as he is not gaining much weight. Please suggest.", "output": "Hi welcome to forum, I would like to ask few questions. 1. what is the children birth weight? 2. what is his diet chart like? Since he is 11\u00a0months I suppose he must have been already deformed. If I were your pediatrician, I would deform this child, start on Iron Folic acid supplement and few multivitamins along with proper diet chart, and follow children growth. Any child would triple his birth weight by 1 year. So if your child has tripled his weight since birth and is developmentally well please do not worry, and give stress in healthy feeding with high calorie intakeThank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "good morning. my names james i have been diagnosed with a 53mm cerebral cyst wich they think is arachnoid 2 yrs ago. i didnt do any follow up when i found out because i was in perfect health besides the fall that required the ct scan . about 6 months ago i had a massive headache wich i couldnt move talk or do anything becuase the pain would increase. i vomited and passed out for 30 hours. then about 2 months ago i randomly collapsed and again vomited and passed out. so i went to the doctors after that an got a mri. they confirmed my cyst grew to 7cm and they also found a venous angioma and hemosiderin from early cavernoma. i just want to know how worried i should be and if i should tell my family. also a little medical backround about family history- 2 of my sisters had surgery to remove cancer cells in there ovaries, my farther and my brother are epileptic my brother was for 10 yrs and stopped taking meds and has been perfect since(10+yrs). can someone give me and idear of what i could be dealing with or some ideas of things i should do.", "output": "Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. You need to consult your neurosurgeon at the earliestPlease do not delay Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in Chat Doctor at http://bit.ly/ask" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a friend who is currently out of town on business who has just called complaining of an issue. Apparently over the last few days he s had tenderness in the gum line on the right interior of his jaw near where his wisdom tooth used to be. He says over the last 24 hours, he thinks he s scratched the sore gum area and now has swollen lymph nodes underneath it. I told him he s probably managed to infect the scratch, but he says it feels like there may be a small bone or tooth fragment poking through because there s a spot on the gums that s a little pointy. He s not slated to be back until Tuesday and at the moment is in Canada (he lives in Las Vegas). What can I tell him to do to alleviate the pain until he s home and can see someone?", "output": "Hello there, Wisdom tooth is the last tooth to erupt in the oral cavity and often its eruption is associated with symptoms like pain and discomfort in eating, difficulty in opening mouth, fever, lymph node enlargement. Wisdom teeth are often tilted in position and impacted in the bone, gums overlying the tooth is usually undergoing inflammation known as peritonitis. I would suggest you to go for symptomatic treatment at home like gargling with lukewarm saline water or antiseptic mouthwash like chlorhexidine or Betadine. You can have any analgesics to relieve the pain. I hope this helps, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my five yr old daughter has a rash in her pubic area. It started with a pimple and has spread over the whole outer area. Took to pediatrician and he recommended neosporin and A&D ointment. It hasnt helped, only worsened and shees complaining that it is VERY itchy. Today we 1% hydrocortisone, I dont know what else to do.", "output": "Hi, Welcome to Chat Doctor, Its too difficult to suggest without having a lot at the rash. The possibilities are a severe diaper rash if she is using one which is not commonly done in this age and other more likely possibility Is a fungal infection. I would suggest you use plain clotrimazole cream TD's and you can see the response in 2 days time. Steroid is not recommended now. However, the best would be to consult a dermatologist and then consider trying this therapy because I'm just assuming the possibilities not confirming it which can be done by only seeing the lesion. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 72yrs old and have Prostate cancer which is in my bones also. I have a 3 monthly injection of depot and recently completed 6 treatments of Chemo. My Oncologist now is suggesting I try Aberaterone which is very expensive and again is not a cure. My PSA is climbing again after chemo stopped and is around 250 if my memory serves me correctly. My question is about Aberaterone and it s effect on people who have used it for their cancers. I have had a bypass op about 12 yrs ago which you should know about I think. I have an appointment in 2 days time with the Oncologist to advise him of my decision. I need to know how others have found it and has it improved their life or not. I look forward to your reply whatever it may be. Sincerely Gary", "output": "Hi. Aberaterone is an option after failure of chemotherapy in advanced prostate cancer. Once the cancer has gone to bones it can not be cured. Aberaterone can not cure as do hormone therapy with depot and chemotherapy. It will lower your PSA, help Control cancer for some time, ultimately PSA starts rising again. It's a good option in your case. Price is of course an issue, it's costly. My patients usually tolerate it well and are happy on it. Its most common side effects are weakness and fatigue. It also has bad effects on heart and liver. If I am your treating doctor, I would like to assess your heart function by doing ECG and Echocardiography as well as blood Liver function test, Urea, Creatinine and electrolytes. Hope I have answered your query. If you have any further questions, I will be happy help." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been prescribed Cilacar 10mg for BP after dinner 1 tab. . I have excessive urination in the night. - whether this drug is safe for longer continuation ? - As i am over wight by 10 kg, and if I reduce weight , what would be effect on medication ? Thanks.", "output": "Hi, Yes, it may cause excessive urination. Clear (cilnidipine) is a calcium channel blocker commonly prescribed for the management of high blood pressure. Its common side effects include low blood pressure, fast heart beats, palpitations, headache, flushing, swelling of the ankles/feet, and constipation. It may also decrease the contraction of urinary bladder causing urinary retention and that can lead to overflow incontinence. However, other causes of excessive urination like urinary tract infection or diabetes must be ruled out. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my daughter is guilt - She is 13 years oldridden and can t stop her thoughts and fanticies.She tells me everything,even when she remembers something she did months or years before. she is in tears 10 times a day, she feels so sad and bad . I have reassured her and tried to lift her up, but have so far been unable to break through. Help! She is 13 years old, plays basketball, and is on the honor roll at her Catholic school.", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. From the given symptoms, it is difficult to diagnose. It may feel like depression. But the age of your daughter is also factor. She has attained the puberty age period and depression related to that age group and developmental pattern is normal. Recalling all those past events and crying is pointing towards that possibility. Thoughts and fantasies are also part of adolescent age group. In all it seems to be a developmental problem coupled with age of adolescent. Don't worry. You may talk to her in details and if need be, consult a psychologist. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my wife has a history of 1 miscarriage and one abortion she is just 22 years. now she has diagnosed with abdominal tuberculosis, and now she is getting fail to conceive , she is taking forcox tab. for last one month is it right. what should we do for a baby ,", "output": "Hi Treatment for Tuberculosis is long term and does come with some residual effects but with today's advancement in medicine getting pregnant Post Tuberculosis is very much possible. Your wife will have to take Tab. For cox for about 9 months. After the entire course is complete she can visit a gynecologist who can help her get some scans and blood work up to make sure everything is alright. Planning for a baby after the treatment has been completed will be the best thing to do for both mother and baby. In the meantime It's important to take care of your wives nutrition. She can take some vitamin supplements. I wish your wife a speedy recovery and good luck :)" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a small lump between the base and middle of my neck on the left side. ENT said no need for biopsy and watch to make sure it doesnt change size. Is that okay? It moves around and doesnt hurt when you touch it but sometimes has pain around it. Just want to be assured, not in denial.", "output": "Welcome to Chat Doctor .1. Most possible cause is lipomatous lesion (fat containing) according to your description.2. But second possible cause will be infective etiology - thinking in terms of pain.3. In this case I would have done in this way - examine first, then ask for an ultrasound neck which will help me to know the nature of the lesion, its source and extensions.4. As it can be from thyroid, vascular and so on.5. Yes biopsy not needed but get the ultrasound done and depending on the nature of the lesion / lump keep followup. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "why do i crave blood i want to cut myself and others just to get the blood i want (but i dont) i want blood so much when i have my period i drink the blood and when i get cut i drink the blood when my family gets cut i drink from it.( i also have every 2 months)", "output": "Hello and welcome to Chat Doctor. Thanks for your query. I understand that you are concerned about the problem that you have mentioned. However, this problem seems to be an unusual problem and needs a detailed evaluation. From the limited information you have provided it is not possible to arrive at diagnosis. A detailed history and a proper psychological assessment is necessary to arrive at a definitive diagnosis and initiate appropriate treatment. So, I would advise you to consult a psychiatrist for a detailed evaluation and further treatment. Wish you all the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello! I m a 24 year old female with a pea size lump in my belly button that is slowly leaking a clear fluid. The lump is a little sore and red but the fluid has no color or smell. I cleaned it with a q-tip and peroxide yesterday when I first noticed it and again today but it didn t seem to help it any. Should I see a physician or just wait to see if it goes away?", "output": "Hi! Good evening. I am Chat Doctor answering your query. It seems to be an infected granuloma in the belly button which is not very uncommon. I would advise you to clean it regularly with alcohol swab along with an anti-inflammatory Chat Doctor. If it persists after a week to ten days, I would advise you to consult a general surgeon in your area for a proper diagnosis and appropriate treatment. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello!thank you for answering my questions!my boy friend is sufering a bad abdomenal pain,it happens when he gets cold thing(like cold weather,cold dring during the pain....)he never gets medical exam.some doctors told him it is an acidic refilex but it is not in my guss.what shall i do please help me?", "output": "Hi ! Good evening. I am Chat Doctor answering your query. Even though it might not be possible to arrive at a definite diagnosis without a physical examination of your boyfriend, you might like to note the following points for him :1) Go for a morning walk and regular exercise within your tolerance limits.2) Take a high roughage diet and plenty of liquids.3) It is best to have home cooked food or carry the same with him if he does eat from outside.4) Try to exclude any component of the food which might be causing allergy to his GI tract causing this discomfort. Till then, he could go for a proton pump inhibitor, and an anti-spasmodic. I hope this information would help you in discussing with your family physician/treating doctor in further management of your boyfriends problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have what appears to be stretch marks on one of my breasts, which is also significantly larger than the other in size. I sometimes also experience instances of shooting pains in my chest, although they dont last for more than a few minutes. I am 19 and have never been pregnant. What might the cause of this?", "output": "Usually the stretch marks occur when 1. The size of the body organ beneath the skin enlarges rapidly or 2. Suddenly looses size after being large for some time. As you correctly thought of, these things commonly occur in or after pregnancy. But in your case as you already said you've never been pregnant, but one breast is larger than other there must be some tissue or mass under the skin need to get the breast examination done by a surgeon or a gynecologist" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I recently had some blood work done because of visit to the ER for chest pain, heaviness. My platelet count was low, it was 90, 2 weeks later I had another blood test and it was 50. My WBC and RBC is normal. who should I see for this, my family doctor or a blood specialist? What are the most important things I should tell my doctor about my lifestyle and symptoms?", "output": "Thanks for your question on Chat Doctor. In my opinion you should consult blood specialist (hematologist). As your platelets are decreasing. Causes of these are1. Viral infection like dengue2. Hemolysis3. Liver disorder4. Disorder of platelets itself 5. Malignancies consult hematologist. About your chest pain and heaviness in chest, I advise you to get done ECG and 2D Echo to rule out cardiac causes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have seven years old daughter.last one week she is suffering cough and take vomeit at night time only.morning she is normal.day before yesterday i went to peadiatrician.he said she is normal only but she have wheez.so u give salbutamol syrup only.i am giving still she is suffering this problem.pl give me a suggestion", "output": "Hi... Thank you for consulting in Chat Doctor. Greetings from Chennai. By what you quote I feel what your kid could be having viral associated wheeze or multi triggered wheeze. I have a few questions for you -Questions:1. How many days per month does she cough or feel breathless?2. How many nights per month does her sleep get disturbed due to above symptoms?3. Does she feel breathless when she runs around or plays with other kids?4. Are the symptoms when there are seasonal changes?5. Is there any family history of asthma or any other sort of allergies like skin allergy etc.?6. Is the cough always associated with fever? If your answer is yes for any of the above questions, your kid might be having viral associated wheezing or multi triggered wheezing, and I suggest you meet a pediatric pulmonologist who is near your place. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have used proctosedyl ointment for many years non stop. I am now very frightened because I have discovered that I should not have done this despite my doctor supplying it. I don t know what to do now as I am afraid I have damaged myself irreparably and that I will not be able to get off the ointment because of the effects.", "output": "Hi, Based on the history you have shared, it has steroids that's why the long term isn't recommended. Though if you had used it with significant cure and no apparent side effects related to it, hopefully, there will not be any in the future, if you have stopped it already. If the problem for which it was prescribed is still persistent a surgical review and local examination is recommended to see if any other alternative is required or not. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 23 year old male PT grad student, sorta poor diet, 511 160lbs. I recently discovered a pimple-like ordeal bump under i my gooch area. I had popped it and then as days passed by it has just gotten bigger. It is now the size of a walnut. My father died of cancer and my mother is a breast cancer survivor. For the past few years one of my testicles( smaller than the other, but not by much) has become noticeably more sensitive as well. I have seen a doctor about the testicle pain but he had told me previously that it is nothing to worry about. However this pimple like infection is new (4 days) and has just gotten bigger and i have noticed not only more swelling but another one is coming up. I do not shave so I do not believe that it is an ingrown hair infection.", "output": "Hi and welcome to Chat Doctor. Thank you for your query. It doesn't need to be ingrown hair, but it can be bacterial skin infection with no obvious cause. If you are afraid of cancerous you shouldn't be, it doesn't manifest on this way. You should just not to rough it scratch it and apply some antibacterial cream. If this grows you might need antibiotic treatment so consult your GP about it. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I seem to have a strange non itchy rash on my hands, arms and neck .. Have used Benadryl at night and reactin during the day but seem to be the same.. No improvement. I did stay in a hotel the night before noticing these odd bumps. A little paranoid that I have now possibly brought home bed bugs???", "output": "HiT hank you for asking ChatDoctorAs you have the rash on sunlight exposing parts like hands arms and neck, it is most likely a Photodermatitis. Anyhow, it's better to show a dermatologist and confirm it. For photodermatitis I usually treat with steroid creams, short course oral steroid tablets and advise patient to avoid direct sun exposure. Do limit the amount of limes, celery, carrots, and figs in your diet, because these contain natural Morales (sun sensitizers). Hope this may help you. Let me know if you have any further query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor, my friend is 16 years old suffering underdeveloped kidney(there is no corticomedully diffentiation).Here serum creatine level was 16.She has undergone dialysis for 6times.Now creatine level has got down to 7and she is anemic .Her hb levels are 7. I request you sugest a proper tratment available in India or in abroad.I request you to reply as early as possible.", "output": "Hello and welcome to Chat Doctor. As a Urologist, i can fully understand and share your concern. Your friend is having a kidney failure, which needs dialysis treatment, till the kidney function is stabilized. Anemia is part of this kidney failure, which needs correction with oral tablets and Erythropoietin injections.She'll need to be on regular check-up, with her Nephrologist, and check :1. Blood routine, creatinine,uric acid, sugar,and electrolytes.2. Ultrasound scan of -PUB. 3. Follow strict diet as advised. If you've any doubts, send the reports to me as a direct question. Chat Doctor. Manga." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello I went to the doctor the other day for heart palpitations. I have been having them for about a year now but recently i have been having 10 to 20 of them a day. It feels like a flip flop type of feeling in my chest when i have them. The doctor said i have an S2 physiological split. and ordered a halter monitor. Is this bad? what do i expect after the halter monitopr is done?", "output": "helloWelcome to Chat Doctor. S2 split is as described is physiologic meaning a normal response of the body. It may increase during inspiration. It does not imply anything significant in your case. Furthermore, it is also found in people with high BP. Holter monitoring is procedure where they attach you with a small machine and some wires and send you home. This machine records your ECG as you go about your daily activities. This will show the toe of missed beats you have, their character and if they can cause you problems. Once your readings are out, they will guide you with the treatment. Most of the missed beats rewrite either no treatment or medical management. If the arrhythmias are found to be threatening then you may require a pacer device or a defibrillator. But since you have had no symptoms with the palpitations I suppose they are benign arrhythmias and do not require treatment. Wishing you good health. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Suddenly yesterday afternoon my lower back starting hurting and I couldnt sleep last night. I do stand and walk alot at my job and I am also riding on a school bus for about an hour bouncing around on the seat. I also have a small ranch and have chores to do where I have to bend down and over. I havent experienced this kind of pain before, what do you think could have caused this. I am 5 ft tall and about 110 lbs.Never mind, I didnt know I had to pay to ask a question, cannot afford this. Thank you anyway.", "output": "HiT hank you for asking ChatDoctorI have gone through your query. Your problem is most likely a strain of back muscles. It can happen while assuming into an award posture or lifting something or while climbing stairs. It is better to have an orthopedic examination to rule out other conditions effecting spine like disc herniation. For back strain I advise my patients with a short course of NSAIDs like Diclofenac and Muscle relaxant like thiocolchicoside. For some I give Gels with NSAIDs like diclofenac and capsaicin for local application. Hope this may help you. Let me know if you have any further query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My name is mark and have had back pain now for 20 years. Got hurt on the job and the co. never took responsibility for it. Take some parifon forty and naperson then go back to work. Every body thought I was faking, because I kept working. Any way fast foreward till now, forced into retirement 2012 oct. Have found a doc. that got rid of the pain,methadone, been on it since late 1997. Will be on it for the rest of my life. Now I have a hernia in my scrodem, had it for over a year. My dr. told me to take care of it He diagnosed it a over a year ago. Last april or may went to the hospital ST. Marys in reno,Nv. and told dr. I have a hernia to please fix it. He came back to tell me I have a hernia and that I have to get it fixed. Im afraid to go to hospital again with no ins. just to be told what I have and another bill telling me something I already know. But I didnt know was you want a credit card just to tell me I have a hernia and back pain thanks", "output": "Hernia will have to be reduced by surgery and closure of opening that is letting bowel or its sac to protrude through. Since you have waited one year you may wait for finances and get it done as early as possible to avoid complications like strangulation and pain. For back pain wear a spinal brace during daytime and do back strengthening exercises under physiotherapist. Switch over to excel Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I randomly woke up at three in the morning and spit up twice with two clumps of blood each. After I was able to get back to sleep for an 1 1/2 hours I woke up and spit up another blood clot. What could cause this? I few nighs before that I woke up thinking I had pleurisy, due to the pain in one of my lungs.", "output": "Thanks for asking your question I completely understand your question hemoptysis is an alarming symptom, and you need to visit an emergency to get control on hemoptysis. Coughing out blood or hemoptysis can be due to variety if reasons and common causes are tuberculosis, parasitic infections, pneumonia and malignancy.pulmonary tb is one of the common causes in developing countries you need to visit a pulmonologist and get a chest X-ray and sputum for AFB smear done to evaluate the certain cause which lead to hemoptysisthanksfeel free to ask more questions may god bless you with good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I went to the doctor the day before yesterday. My blood pressure was 160/104. He put me on BP meds and would not let me leave until My BP was below 100. I have been on BP before but ran out and forgot about it. Now my BP is 176/122, I have taken 3 10mg lisprinsoral. Is this dangerous?", "output": "Hi There I understand your concern and I would like to tell you that LISINOPRIL belongs to ACE INHIBITOR family of antihypertensives and is a good medicine to control blood pressure. But it's not advisable to take any medicine at any dose as per your choice. Taking a dose more than required of Lisinopril can make your BP fall to below normal levels due to which you can go unconscious. Take your meds as advised by your doctor wish you good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor,I am 29 years old and am into my 32 week of pregnancy.I feel difficult to breathe and has light pain in the lower abdomen. I am also having lower back pain, once I sit down on the bed or sofa, and when I move or try to get up,my lower back pains severely. I also feel baby movements continously without any break, and also have contractions.please help me", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. Some degree of breathlessness is common in later stage of pregnancy. It is due to pressure effect of gravid (enlarged) uterus on lungs and diaphragm. Another causes are bronchitis and anemia. So better to consult doctor and get done clinical examination of respiratory system and hemoglobin estimation. Lower abdominal and back pain can be due to urine infection. So get done Urinary microscopic examination. Better to first diagnose yourself and then start appropriate treatment. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My mother has bipolar disorder .she had taken last Effexor x r in July .she is hyperactive that month and now so aggressive ,than doctor told discontinuethat medicine .than he has given neoris,neurolith ,top ax and keMaro .he said these medicine have to give to patient till calm down and observe .is this right medicine for her", "output": "Hi. I had gone through your query.Maybe it is manic switch due to anti-depressant therapy. Effector is anti-depressant and aggression, a be part of manic switch. Manic phase is a part of bipolar disorder. Neurolith is mood stabilizer and can help to reduce Her aggression. It contains lithium, and can help in bipolar disorder. Other medication like neurosis remark also can be useful. Psychological support and compliance to medicines are necessary for better recovery. Take continuous follow up and advise from your treating doctor. Glad to help you further. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ok my 10month old daughter fell and busted her moth open earlier today and it was her top lip on the inside now the little flap of skin that goes through the middle of her top lip is stuck between her 2 top teeth....it doesn t seen to bother her but I m a worried mom please help", "output": "Hi. Thanks for the query. It looks like her labial Frenulum is severed during injury, and it is struck between her teeth. If it is not released it will continuously get irritated and can become painful later on. So my suggestion is to consult a Dentist or a Periodontist and get evaluated. The Frenulum can be released from the teeth after applying Lidocaine gel to avoid pain and if needed it can be stitched back in place. If it is not torn completely it can be left in its place but should be removed from the teeth. Hope this helps. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a hard lump on the bottom of my scrotum. It feels itchy, but scratching does not seem to relieve the itching at all. Is there a way to tell if this is cancerous without a doctor? How would that be determined with a doctor? (I don t have a doctor currently, and am hesitant to spend the money for a checkup.)", "output": "Thanks for asking in Chat Doctor forum In short: Lump can be anything from cyst to Cancer, If you diagnose a rare disease you are rarely correctExplanation: Do not straight away go to cancer. Most common lump in the scrotum is sebaceous cyst which is benign. So, please visit a doctor and get yourself examined for your solution. Being hesitant will not help you, can harm you further. So, good luck" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doc I might have a slight venous leak in my penis I have been taking cialis daily 2mg the problem is the penis head does noalston 100% hard the other day I had an erection from the cialis my penis chambers on the left and right were very hard & I sneezed very hard and my penis hurt very much for that split second on both chambers like alot if pressure from the sneez could this make my venous leak alot worse ?? From all the pressure that build up when I sneezed on cialis ??", "output": "HelloThanks for your query, based on the facts that you have posted it appears that you are suspecting to have venous leak as a cause of your weak erection. Venous leak can not be suspected or confirmed without a test called Duplex Ultrasound Scanning of penis. Please consult qualified Urologist for evaluation and do not take medications like Calls without his consultation. The pain that you get on sneezing is likely to be due to congestion of the penis during erection and nothing to be worried about it. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 3 yr old has fever for the past 1 week which is around 101-102F.Also she would have one or two night coughs ending in throwing up then she sleeps well.last night she slept with her mouth open resulting in occassional coughs.disturbing her sleep. No cold as such no day cough.please help", "output": "Hi... Thank you for consulting in Chat Doctor. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15\u00a0mg/kg/dose (maximum ceiling dose of 500\u00a0mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "What are symptoms of stomach cancer? Every morning within 30 minutes of waking up I get severe pressure in my stomach. It causes nausea and headaches. I can usually get rid of it by eating something or making myself burp. This happens 3-4 times a day and has been happening for a couple years. Some days are worse then others. Most of the time I can get rid of the symptoms.", "output": "Hi, I had gone through your question and understand your concerns. These are not indicating cancer especially if this lasts for so long. You have typical signs of gastritis which may be accompanied with herd or hiatal hernia. So you should do gastrostomy to evaluate it more accurately. This is caused by irritation of stomach mucosa by certain food or medications, stress and smoking. You need to avoid fried food, carbonated Chat Doctor. You should eat more milk products, vegetables and boiled food. Also, certain antacid medications may be required by diagnosis should be established first. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, I have a lump on the right side of my head/neck area, and a very sore neck on the left side, the lump is the size of a coin, I had my thyroid removed 12mnths ago, but have found another lump where my thyroid use to be. can you help with some answers please", "output": "Hi.I suggest you follow-up with your surgeon for consult and clinical evaluation. Based from your description, it could be cervical lymphadenopathy, or a recurrence of your previous lesion especially if malignancy was considered. Diagnostics such as neck ultrasound or ct-scan and tissue biopsy will be recommended as needed. Management (medical and/or surgical) will be directed accordingly. Hope this helps. Good day!!~ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter seems not to coordinate breathing and nursing whether the flow of the milk is not enough or too much, she grasps her breath while feeding and swallows air that makes her tummy filled with gas... this makes her feeding shorter becaUse it makes her tired and face red after feeding for a while. Is this a medical condition? or will she ovecome this?", "output": "Hi, These symptoms could be due to two reasons:1. Maybe she has cold and a blocked nose, which prevents her from breathing while nursing. Make sure to hold the breast with your fingers to avoid blocking of the nasal passage. In case there is blocked nose due to cold, saline nasal spray on sos' basis will help. 2. The flow of the milk is more than what she can swallow, and therefore she stops sucking to swallow the milk before starting to suck again. This may happen in the beginning of the feed when the baby is hungry and sucks vigorously. Looks like a benign problem but if it persists it will be a good idea to see a doctor. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my mother 85 has suddenly had imbalance issues and feels like her eyes are crossed . she has had the cat scan, blood work and now an mri . Doctor said all is clear! no sinus , no inner ear , noe eyes, not tia no tumors..but he noticed a change in the size of her pituitary glad from the mri of 5 years ago. Now he want a contrast mri and blood work to check the pitutary. He said an endocrinologist would be the next route and would probably give her some pill to take down what may be sudden swelling causing her walking like a drunk and seeing double, What do you think?", "output": "Hi, Thank you for posting your query. Based on the symptoms, I would think of a posterior circulation stroke as the first diagnosis. In this condition, there may be lack of blood flow in brain stem and/or cerebellum. Regarding the normal MRI, it happens in some cases. However, a repeat MRI later would show the infarct (blood clot). Regarding pituitary swelling, it is likely to be a small adenoid (benign tumor), which can be confirmed with contrast scan. In any case, her symptoms are not related to the pituitary swelling. Best wishes, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 19 years old male. Just recently got over the flu, however my legs are numb and the numbness has not gone away for two weeks now. When i stand up for to long my legs feel weak and i get dizzy. Could you please help? Is it just flu symptoms or should i go to see a doctor?", "output": "Dear friend, I have gone through your case history very carefully.it seems that you have not yet recovered fully from flu. So if fever comes then just take Paracetamol 500 mg .and now all other symptoms like numbness of leg, dizziness are because of weakness that you have now because of side effects of Flu. So take rest, eat nutritious food and if the condition does not improve in another week then please see a doctor for a clinical check-up. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hey I had sex nearly a year ago first time with my girlfriends but it wasn t planned so it was unprotected and now a weird yellowish/ clear liquid comes out my pinis like once every two weeks not really sure what it is ? Should I just drink lots of water", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. Semen is a waste product. Semen is produced within the body whenever you are sexually aroused and accumulates. Body has to throw it out at any cost. Masturbation and sexual intercourse helps to throw out the accumulated semen. If these are not done, body has its own mechanism to remove the waste product. Body usually removes the accumulated semen through urine and nocturnal emissions. Nothing to worry. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, im currently 32 weeks pregnant, i had a tooth extracted on monday, very safely and im healing well but I still have 2 at the bottom with big holesin them where my ffillings popped out 3 months ago! Now dentist 1 said to keep the teeth and do root canal when baby is born I went for a second opinion and doc said to try and keep them but also after baby is born! But now today I am in alot of pain not only is it the pregnancy butits very expensive and we can only afford it in 2/3 months anyway..should I just have it removed aswell? Im scared of infections exc", "output": "Hi, Thanks for asking the query, Since you are in the third trimester of pregnancy it is better to postpone the dental procedures till delivery unless it is an emergency. Take antibiotics and analgesics consulting to your ORGAN. Superficial caries can be excavated, and temporary filling can be given. Avoid use of x-rays. Take lukewarm saline rinses and antiseptic mouthwash gargles. Maintain a good oral hygiene. Hope this helps out. Regards...." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have an extremely painful tooth and no clove oil or anbesol in the house, nor any whiskey or vodka. Out one running car is out of commission until for another 5 days. The pain is so bad i may take the plier to it before then. Oh, and be the way, no i do not have dental insurance.", "output": "Thanks for using Chat Doctor. Read your query. For the painful tooth you can take an ibuprofen (if you are not allergic to any medicine). Pain in the tooth can be due to variety of reasons like the decay in the tooth which is causing severe sensitivity, or it can be acute abscess relating to the decay in the tooth. If the pain is very persistent, please visit the emergency, so that they can work out a plan for you since you have mentioned that there is no dental insurance. A dentist evaluation and treatment including radiograph and root canal treatment is essential in a case like yours. A course of antibiotics like amoxicillin thrice daily will be needed after prescription. Do salt water gargling. Hope this was helpful, and you have a speedy recovery. Thanks and regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was diagnosed in august with autoimmune hepatitis. I just had the blood tests redone and Gamma Gonulin, Ast and alt were unchanged but the Gamma GT has gone up significantly. I have no symptoms. What does it mean that the Gamma GT has risen so quickly?", "output": "Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can.GGT indicators of liver damage or injury from alcohol and some other diseases. The next step is to look for certain liver damage and most common cause is fatty liver disease. It should be confirmed by ultrasound. Other causes are viral hepatitis, cirrhosis, medications, alcohol intake or autoimmune diseases. To verify exact cause, US, bilirubin levels and tumor markers should be additionally done Then appropriate treatment can be started. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Last winter I fell and hit my head on concrete. I now have a flat spot about 3 inches round on the back part of my head. I suffered from Vertigo a while later and required medication and now a year later having episodes of Vertigo again. Is this from the fall?", "output": "Hello! Thank you for asking on Chat Doctor! Regarding your concern, I would explain that your symptoms do not seem to be related to the bump on your head. They could be explained by an inner ear disorder like Benign Paroxysmal Positional Vertigo. For this reason, I would recommend consulting with an ENT specialist for a careful physical exam and labyrinthine tests. If an inner ear disorder is excluded the next step would be performing a brain MRI. Hope to have been helpful! Kind regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I haven t been feeling well for a couple of weeks. I went to doctor 5 days ago and got Zpack for sinus infection. However, I suspect I have flu, too. My heart has been feeling like it is heavy or working hard to get rid of whatever I have. I feel like I have had too much caffeine. ( no jitters,though) Is this normal with the flu?", "output": "Hello, I understand your concern. I am Chat Doctor, infectious diseases specialist, answering your query. In my opinion it is not flu. It is because of over amount of caffeine. Caffeine causes heart to work more vigorously. Flu never affect heart in early stages. It only affects lungs. Flu causes fever of high degree, body ache, difficulty in breathing. This all symptoms are absent in you, so you are not having flu. You can go and check the blood pressure of yours. If it is higher or you are feeling chest tightness there is need to visit to ER immediately. I will be happy to answer your further concern, you can ask me on bit.ly/ Chat Doctor. Thank you. ChatDoctorInfectious diseases specialist." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I ve have seen a lot of similar posts about this. I noticed the other day when I brushed up against something that I have this lump thing on my left side on or around my ribs. It felt like a bruise when I bumped the area and is tender to the touch if I apply just a little pressure. I don t know how long it s been there since I just noticed it. I am tired all the time and my family does have a very long history of many different types of cancer. My mom and my brother both passed away from different types of cancer. Any idea what it may be. I ve made an appointment with my doctor already to check it out. Several weeks ago my husband noticed a huge bruise on the back of my leg. It didn t hurt but looked weird. Not sure where it came from. It s almost as if it just appeared overnight.", "output": "Hi,REply-ADv-1-Its a post-traumatic lump-,2- Mail-Blood clotting Test and PT -test report-, 3-Mail LFT-reports, No definitive treats reports are studied.4-Tb-Diclofenac-1x 2 times a day-after meals.5-Mail your CBC report-along with any medical reports you have-.6-Act fast as you have serious family history. Many things need to be studied in next 2-3 sessions -while treating the current complaints simultaneously.7-Continued f/up queries and replies need to fix the cause of it. Thnks. Wellcome." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "have a lump in my right side of my neck which has been there a year (my gp told me to keep an eye on this and see if it grows) however my brother had teh same lumps and kept being told to wait and see if they grown eventually last year he was diagnosed with Hodgkins Lympona , now i am worried that the same will happen to me . i have also discoveerd a new lump growing in the left side. should i seek a second opinion or go private to get some results?", "output": "Welcome to Chat Doctor .1. Yes, you can go for second opinion - keeping mind your family history and enlarged lymph nodes with no obvious underlying medical conditions.2. If you are my patient, after examination I would ask for an ultrasound to assess the nature of the lymph nodes, and its extensions.3. If they are small, a guided FNAC - fine needle aspiration cytology will be ordered.4. So get an appointment and do what is necessary things done - Good luck. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am three days late on my period. I always start on the 26th day, but today is the 29th day of my cycle. I took a prenancy test last night and it was negative. We have been trying for a year now and I just don t want to get my hopes up. What could this be? I have never missed or been late on a period unless I was pregnant.", "output": "Hello, Home pregnancy tests should be done 3-7 days after the missed period with a fresh early morning sample of urine. You did not perform the test in the proper way and hence, please repeat it as suggested after a couple of days. You can also get an assessment of the serum beta-ChatDoctor titles for an earlier and better clarification. A trans-vaginal sonogram can be done one week after the missed period to know the status of the pelvic organs. Based on your history of perfectly regular cycles, your chances of pregnancy are high. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have had achiness like i am coming down with the flu for a couple of weeks. Motrin helps, but when it wears off i have to take more. yesterday i began having major sweating episodes and have developed a rash over my entire body. what could this be", "output": "Hello, I read carefully your query and understand your concern. The symptoms seem to be related to a viral infection. I suggest doing a complete blood count for further evaluation. The rash is probably due to sweat rash. I recommend using breathable clothes and calamine lotion for local application. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards! Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "So is it true that if im taking coumadin then i am at risk of a heart attack or possible blood clots. You see i was diagnosd with congestive heart failure as well as kidney failure. Somehow I didnt die. Also I have poor circulation in both of my legs, again will the ChatDoctor be helpfull in my weight loss rejamond.", "output": "Hello, Coumadin is given if there is already a blood clot, or you have high probability of blood clot formation due to slow circulation, poor heart function or change in heart rhythm. As for your answer. NO by no means does your risk for heart attack increases with Coumadin, rather there will be benefit in preventing future heart related issues in your case. The only increased incidence is of bleeding. But than also the risk benefit ratio is towards benefit. Regards " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have a throbbing sensation in my left calf, it s been there sometimes now. It doesn t hurt, it s more annoying than anything but I can actually see the vein throb when it happens, and guess I m just concerned it s got something to do with DVT, Any help would be greatly appreciated. Thanks.", "output": "Hello, As mentioned in history about throbbing pain in veins, I will ask you to check out a few things - your blood pressure, blood glucose levels and also Doppler scan. In DVT, the throbbing pain is common, but one should check for skin discoloration and also have the use of Doppler scan to rule out the symptoms. Once done you will get a clear picture of the same. Even patients with high blood glucose levels may also complain about similar symptoms, but it may not be related to DVT but neuropathy. Having a proper clinical examination and assessment should help us know what is the diagnosis and what measures can be taken. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i have had a lump on the right side of my neck, where you can feel your heartbeat, for about three years now, and have been to several different ENT doctors, including the MAYO clinic. It is extremely painful and shrinks and grows depending on certain things such as when i take my adderall it hurts it more and also any kind of smoke makes it inflammed. i have had a cat scan and mri done to the area but it showed nothing expect that my lymph node was slightly swollen. None of the ENT doctors have been able to find anything wrong, but after doing research on my own I am beginning to think that this could be a sign that something is wrong with my heart? I have never had a chest xray done but i think that is the next thing i should have done. I am starting to get very worried that something is seriously wrong because the left gland where you can feel the heartbeat is also now swollen.", "output": "Hi, dairy have gone through your question. I can understand your concern. You have enlarged cervical lymph node. It can be due to reactive hyperplasia, tuberculosis or lymphoma. Ct scan, MRI will not help. It has nothing to do with your heart. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor, I am 43yr Caucasian female and 84kg, badly anemic and generally feeling tired - otherwise health is ok.My dad died of stomach cancer at 52 (other organs were effected and he died within 3months of diagnosis) and now my mum has colon cancer (stage-3), - am i a high risk? Thankyou for your time", "output": "Hi, dairy have gone through your question. I can understand your concern. Colon cancer has proved genetic cause, and it is hereditary. In stomach cancer few are hereditary. So overall you have chance of GI cancer. You should go for regular colonoscopy and CEA level to rule out possibility of cancer. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 95 years old, and I get bruises quite frequently and all over my body. Recently I had them on my legs, and before the bruises appeared, I had this terrible itcht on the bottom of my legs. The following day my carer pointed out the bruises to me. I think it is important to let you know that I do have Kidney problems, for that I go two times a week for dialysis . I am physically well, what do you think is causing the buises to appear and then later go away. Thanking you", "output": "In patients suffering from chronic renal failure, the platelets usually develop a dysfunction. They are responsible for preventing small bleeds. But if they cease to function then the patient develops a propensity for small hemorrhages which usually develop spontaneously. As soon as the dialysis session is completed the platelets will function optimally for some time. If the problem goes beyond control then a particular medication is given which is a synthetic analogue of desmopressin. You should consult your nephrologist who will guide you in this respect." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi yesterday i found out my mum has cervical lymph nodes - malignant tumour my partner first noticed it at christmas. a few weeks ago my mum had an op they took a sample of the lump yesterday they told us what it was.. i just want to know what chance she has of surviving, shes 61 years old", "output": "Hi, dairy have gone through your question. I can understand your concern. It depends on type of malignant cervical lymph node. It may be Hodgkin or non Hodgkin lymphoma, or it is metastatic carcinoma. Treatment and survival depends on type and stage of cancer. Chemotherapy is treatment for lymphoma. For carcinoma primary cancer should be searched and take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Harrington rod placed 30 years ago...never ever had problem s and it might have nothing to do with the rod...but my upper right side under the shoulder blade to my neck is killing me. I ve been running for years and also gardening...muscles maybe, it s been a week with this and it hurts to stretch.", "output": "Hello, I have studied your case. Due to compression of nerve root there can be pain in your neck and shoulder I will advise you to do MRI spinor these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Actuallu my mamma aged 65 recently took ESR test . Doctor told that it isincreased and there is some infection nd gave some medicines .After that she had a severe stomech pain.Actually what type of food she can take to balance the ESR level in blood?", "output": "Hi, Looking at the clinical history, I expect the ESR to return to normal after treatment. ESR is not diagnostic of any condition and is only prognostic. So, if you want to reduce ESR, you need to find the cause of increased ESR. If it gas reduced, then it signifies, infection was cause. Diet cannot help. ESR is a marker for inflammation. If more clinical and laboratory data are available, I can help you further. Any further queries, happy to help again" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had a fluttering in my kidney region on the left side for the past day. It is not painful. I drink a lot of water throughout the day, work out five days a week, eat an extremely well-balanced meal, do not smoke or drink. I have noticed the urge to urinate frequently which I thought was due to the large amounts of water I drink. Please shed some light on what this fluttering can mean? The more it continues, it has made me more worried and concerned. Thanks.", "output": "Hi, I can understand your concerns. Kidney conditions are not always very painful. Since an ultrasonogram is a very non-invasive, cheap but good diagnostic modality, I advise you to get an ultrasonogram of abdomen and check your urine microscopy. Any mild infection or mild obstruction in kidneys can cause your symptoms. Both these can be ruled out using the above said tests. I hope I have answered your query. Please feel free to get back to me if you need any further clarification or assistance. Wish you good health, Warm regards," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor, Recently that is on 2nd of this month i went for a routine health checkup.Surprisingly i found that my SGOT/ SGPT values are elivated to 82/139 and platelet count is 1.28 lakh. I repeated the test after 3 days the values came douwn to 78/83 and platelet count 1.30 laks my doc also suggested me to do PT and even this PT came to be 18.5 and INR as 1.35. Note that when i had my liver function test 6 months back everything was normal. Not sure what wrong now. I tested for HepB and C both are non reactive My doctor suggested me to take hepa merz,ursocol,pantoid and a-z and he is also suggesting for liver ultrasound though i have done it as a part of my health checkup and which shows normal liver studies. He s also asking for endoscopy and liver biopsy . Please help me in this regard not sure i am on right path with this? Thanks in advance!", "output": "Hello. Thanks for writing to us. The minor elevation in the liver enzymes that you are having is not worrisome if the hepatitis B and C are negative. This happens most commonly due to mild fatty infiltration of the liver that can be detected on ultrasound scan. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http://bit.ly/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Every once in a while I get sever chest pain that literally drops me to the ground.my heart starts to pound,I have a hard time breathing, my muscles tighten up, fingers go numb, get dry mouth and my vision gets blurry n I get really weak. What do you think it could be. It last anywhere from 5-10 minutes and happens in spirts. Usually 2 or 3 times.", "output": "Cellophane you for writing to us on Chat Doctor. Based on your history the response to your question is as follows.1. Possible anxiety or anginal attack.2. Get a stress ECG test. If its normal anxiety attack requires evaluation.3. All the symptoms appears to be due to extensive vascular constriction, which needs to be evaluated. Hopefully, it is not allergic exposure. Get a complete hologram along with total eosinophil count.4. More details necessary for evolution of anxiety attacks. Hope this is helpful to you. Do write back to me for further questions. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi ,,im 25 yrs old girl,,i hv saggaing breasts with darker nipples also i hv hormonal prblm i hv PCOS since 4 yrs. so i wnt to kno about any cream or oinment which makes my nipples color pink or lite then darker color. please suggest me any halmless cream for my nipples,, and also suggest me some medicine for tightning / firming my breasts.", "output": "Hi, Sorry to say that sagging of breasts and firming is not possible by medicines. As far as the skin darkening problem is concerned it is an offshoot of your PCs problem. You will have to visit your gynecologist and start PCs treatment which will help with the skin darkening. And once that is started you can meet a dermatologist or plastic surgeon for some skin lightening creams for the dark areas. But without treatment of your PCs the darkening will come Bacall the best Chat Doctor. Cosmesisindia.com" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi DrI am having severe pains tinling in my hands and fingers finding it hard to bend and starighten my toes and fingers. My fingers are is swollen, sensitive and painful to touch my limbs, hips, and feet painful swollen joints and water retention in my knees and ankles. Pain killers are not working.", "output": "Hello, Your symptoms do not seem to be related to any neurological disorders. A connective tissue disorder (inflammation, arthritis) or other causes of increased fluid retention seem to be the cause of your complaints. For this reason, I recommend consulting with a rheumatologist for a physical exam and some tests (complete blood count, PCR, sedimentation rate, blood electrolytes, kidney and liver function tests, Rheumatoid factor, etcetera.). Cardiac ultrasound is necessary to examine your heart and exclude heart failure. The tingling is related to the extension of the skin and nerves due to swelling. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello I have a black mark (big dot ) on both my big toe nails. I went online and it seems that I may be havingPseudomonas bacteria on my big toe nail. Im concerned . Is there any herbal medicine . It appears I have to wait till next week before my dermatologist can see me . Please advise", "output": "Hello, Welcome to Chat Doctor, Pseudomonas is bacterial infection which should be treated by proper antibiotics, herbal products cannot cure the disease. Herbal products only help to boost up the immunity, but it cannot cure bacterial infection like pseudocodes. You need to test the discharge coming out of the big toe to confirm the causative agent, and then you can take proper antibiotics for the treatment. If it is pseudocodes infection your doctor may prescribe antibiotics like beta-lactam antibiotic and aminoglycoside like gentamicin and niacin. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 35 years old and have been suffering from moderate to severe mid to lower back pai,n most of my adult life. Back in 2012 during an MRI they did find a pretty decent size Tarlov Cyst but they were unsure if that was the cause for my pain, and they also found a minimal bulging disc and facet degenerative change. I have my good days and bad but tonight the pain got to be pretty severe and I have this burning and tingling and numbness going down both legs all the way down to my feet. The pain seems to be better when I am standing but I have never had the feelings that I have going down my leg and I am very concerned, what should I do??", "output": "Hello welcome to ChatDoctorwell you are suffering from 2 problems(1) PIED i.e. PROLAPSE INTER VERTEBRAL DISC(2) SCIATICA take the following treatment(1) CAPSULE BRUFIN-MR 3 times a day(2) CAPSULE MEGANEWTON 1500 mcg once daily(3) use a LUMBAR BELT(4) HOT FOMENTATION 2 times a day(5) visit a physiotherapist n ask him to teach u SPINAL N BACK STRENGTHENING EXERCISES n do those regularly at home(6) avoid lifting heavy weights n bending down regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have a blue bruise line starting at the middle of my upper leg (quad) and ends just before my knee. The line is straight and about a quarter of an inch thick. i did not bang into anything etc but i did just go for a run. It hurts a little bit at the top when i press on it.", "output": "Hello, It may be a linear rash due to the impact due to the stitching point of your Chat Doctor. It may be cutaneous larva migraine or urticaria. But until the examination is done it is difficult to say what it is. Apply moisturizing cream. Please consult your physician he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 5 month old grandaughter is staying the weekend with me and started running a fever of 100. She started late yesterday afternoon not wanting to take her bottle - or seemed to have a hard time with it and will only eat a few bites of food with a spoon. She is little fussy but is still smiling and playing. she did take an unusual amount of naps yesterday and today but never slept more than 30 min. how do i know if she is teething or her throat is hurting?", "output": "Sore throat in a child occurs either due to certain viruses like Epstein Barr virus or due to certain bacteria like streptococcus. For breastfed babies, such problems generally do not occur. But for formula fed babies such things may occur. You need not assume the cause of fever to be sore throat however but some sort of viral infection is likely to be the cause. If the child is playful and otherwise ok, you need not get concerned but if you feel that the child is not feeding well or is lethargic, you will have to take the child to a doctor and get her blood counts and C-reactive protein checked. Give paracetamol to control fever. Teething is not associated with fever. Throat hurting is also quite unlikely. Your doctor can examine and say more." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Persistent left arm pain and numbness; barely relieved by nsaids; involved shoulder to hand; flares up while sleeping; no structural cervical damage or injury presented. Ongoing for 3wks. Sometimes shoulder is involved with the pain. No hx of heart issues.", "output": "Dear patient your symptoms indicate diagnosis of cervical canal stenosis reason may be disc prolapse. Disc herniation in cervical area leads to compression on upper limb nerves and tingling numbness in upper limb. Confirmation can be done by MRI of cervical spine. Get it done from radiology center nearby you. Meanwhile, start tab regain x 75 mg one at bedtime. Use soft pillow at night. If MRI is abnormal you need to consult neurosurgeon as soon as possible. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I had my 2nd skiing lesson on Sunday evening. I fell over a few times and when I had finished and got in the car to drive home my left shin was very sore, I looked at it and there was a reddish lump which has now developed into a large bruise. I am tending to bruise easily at the moment and they ache. I had varicose vein removal surgery last year. Should I worry about this?", "output": "Hello, Bruises or contusion aren't that uncommon. This type of usually minor injury happens when tiny blood vessels called capillaries are broken due to the fall. I suggest using cold compresses for local applications. I also suggest using anti-inflammatory medications such as Acetaminophen to relieve the pain. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter is 10 weeks pregnant and had been very sick the last 4 weeks, she is using Zofran, pheneragn, and a patch not sure of all the exact meds, I was very sick when I was pregnant until week about week 12 and then slowly I would start to feel better, using hospital ivs and Zofran, she started feeling better yesterday and seems to be doing fairly good today, i also had 3 miscarriages and was not sick with any of them. Im concerned that she started feeling so much better quickly that maybe the baby has died and her body has started making the hormones that were making her so sick. Very worried first time grandma", "output": "Hello, and I hope I can help you today. There is no reason to believe that your daughters' improvement is due to any harm coming to the fetus. It is normal for pregnancy hormone levels to peak between 8-10 weeks gestation so the relief she feels is just to the levels getting back to normal. Most women feel the best during pregnancy in the second trimester, so everything she has experienced is normal for the course of most hyperemesis patients. Furthermore, every pregnancy is different, and there is no reason to assume your daughters' pregnancy should mirror your own. Many healthy women with normal pregnancies have no nausea at all, so there is nothing to worry about if your daughter is finally feeling better. I hope I was able to adequately answer your question today and that my advice was reassuring. Best wishes for you and your daughter," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I went to sleep feeling unwell last night and have woken this morn with the right side of my upper chest and shoulder area feeling very tight & uncomortable. The tightening and pain feels worse if i turn my head to the right and the futher i turn it the tighter my upper chest feel on the right, what could this be?", "output": "Hello, Based on your description of your complaints you may be suffering from a cervical strain or commonly called a neck strain. Although you have not mentioned your age, this commonly occurs after adapting a bad posture, usually after sleeping or reading or also after travelling. I would suggest you take some muscle relaxant medication and apply pain relieving gel or balm and give hot fomentation. Usually this subsides within 4 to 5 days. If the pain and discomfort persists after a week or increases, please consult your doctor so that after proper clinical examination, he can further guide you. Wish you a speedy recovery. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am going in for an IUI cycle . My FSH and LH as 4.95 and 4.41 mIU/ML in the follicular phase , still do I need Humog 75 injections along with COQ10(30) , hope this might not be an overdose of stimulating hormones when these are anyways normal.My cycles and ovulation timings are anyways regular. Hv read about over stimulation as a risk factor for the fertility drugs.", "output": "Hi! It's important to know the indication for GUI and ovarian stimulation before deciding if its required or not. In cases of unexplained infertility, for instance, even with regular ovulation, ovarian stimulation with Humor can be indicated to cause super ovulation i.e. development of 2-3 follicles to increase chances of success per cycle. A small risk of over stimulation would always be there, the exact risk differs on a case to case basis." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was playing with my sister s boyfriend s brother and I swung to hit him like I said we were playing around and I my wrist hit his elbow really hard when it happened my hand got really numb and my vein was hurting really bad and it s 6 hours later and my vein still hurts what should I do", "output": "Hello, Thank you for contacting me at \"Ask a Doctor\". I will try to answer your question to the best of my ability. This sounds as though you have a severe contusion to the area. However, if the pain is increasing you might want to think about getting an x-ray to rule out a fracture. In the interim, I would apply ice and take some ibuprofen. Rest the area, and you might want to think about wrapping it in a simple Ace bandage. You can afford to treat this for about 24 hours before you think about seeing a doctor or getting an x-ray. There is no need to go to the emergency room at this time. Just monitor your symptoms over the next 24 hours and hopefully if it is a simple contusion then it should improve spontaneously. I hope this information is useful for you. Please do not hesitate to message us back if you have any further questions. Best wishes, A Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Had sex on 4th and 5th day and on regular dose of contraceptive pills -Will I get pregnant Hi, I am on regular dosage of contraceptive pills (Overall L). My periods begun this month on 17th March. Now I had an unprotected sex on 20th and 21st (I.e. my 4th and 5th day). The periods ended by end of the 5th day. On 7th day, I.e. 23rd March, I started consuming my regular dose of contraceptive pills. What is the chance of getting pregnant. Please reply.", "output": "HelloThanks for your query. If you have used the birth control pills as prescribed, regularly, without missing a single dose, they offer you almost 95 % chances of protection against a pregnancy. Also, having sex on the 4th and 5th day of the period itself has very fewer chances of resulting in a pregnancy. However, to be absolutely sure, continue taking your birth control pills as prescribed, and be very sincere with them In the rare event that you DO miss a period, please take a home urine pregnancy test at the earliest. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My girlfriend is still a very few days away from her period, supposely between the 20th or 21st of this month. We had unprotected sex on friday, i tried not to ejaculate inside of her, and 99% sure i didnt do so. Today, she took a pregnancy blood test and the result is positive. I read all the time, and have read that there may be a chance of a false positive result. Could she really be pregnant?", "output": "Hello, I have gone through the query and understood your concern. Blood test for pregnancy can read positive as early as one week after ovulation if conception occurs. If she was ovulating at the time of the intercourse, conception chances are high and if the test is done at least a week away, the result would be mostly positive. The blood test moreover, is very sensitive and specific and chances of error are very less. You can further confirm with a trans-vaginal sonogram done a few days after the expected period. Please remember that ejaculation is not necessary to cause conception; the pre-ejaculate is enough. Hope you find this information useful. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Dr Samuel,My Girlfriends heart is beating really hard and every time it beats hard, it makes her really tired. What may be the cause? She has no record of any heart diseases, but she have had really little hours of sleep recently.Thank you.Best RegardsKoo", "output": "Hello. Thank you for your question and welcome to Chat Doctor. I understand your concern. Well, if this hard heart beat is also associated sometimes with a shortness of breath, combining with the lack of sleep and/or with the usage of energetic Chat Doctor. In young ages and when they are not usual phenomenons within a day, there is nothing to worry about. Stressful moments in life, physical or psychological, can be associated with extrasystoles. If this is a worrisome event to her and to you, I recommend her to be put on a 24-hour Holder rhythm monitor, to determine exactly what are these phenomenons, and if they are present, are there enough episodes a day to warrant treatment (because there is a cut-off line in the number of extrasystoles that can be tolerated). Instead, there is the option of the episode rhythm monitor - a machine who can be turned on and off by user, when he/she experiences the symptom. When the readings are ready, I suggest you to consult a cardiologist or feel free to ask me again. I hope I was helpful. Take care. Best regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have a small pea size lump in my side above left kidney area, its generating a soreness type pain and aches. I have had it for 5 wks and when first appeared I didnt feel lump my first thoughts were I had probably pulled a muscle, but now I am a little worried, I have also had bladder cancer and had treatment in left tube to kidney, last check up by cystoscope was January and clear as it has been for the last 6 years.", "output": "Hi and welcome to Chat Doctor, thank you for your query. If you can feel it under the skin then this is not originating from kidney probably and this would be only benign subcutaneous lesion. It can be surgically removed under local anesthesia and then sent to histologic analysis. Also, you can do ultrasound and needle biopsy to evaluate this lump. In every case i don't think this is related to your malignant previous disease. Wish you good health. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my wife has been in end stage renal failure for almost 2 years now with 13% kidney function. I am the donorfor her upcoming transplant. She had 5 by[ass heart surgery January 20th. She is about to undergo igiv plasma pheresis to rid her body of an antibody introduced thru a transfusion during the surgery. she has developed over the last week 4 or 5 bruises, some slighly raised - those raised slightly painful. the question is, can we assume that these might be due to the progression of the kidney fauilure rather than another horrific holdup of the transplant?", "output": "Dear D Keener, Bruises can occur in someone on dialysis due to Heparin used during dialysis. She also is likely to be on aspirin and/ or clopidogrel (most heart patients would be on this) which would again contribute to bruising. Her doctors would check her platelets and blood coagulation parameters, if bruising continues to occur and modify therapy accordingly. It is unlikely to hold up the transplant. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "While lifting something heavy friday evening I hurt my back I have almost unbearable pain on left side of my back just above the buttock. When I move or try to walk the pain travels down my left leg as far as back of my knee. I have never felt pain like it before.", "output": "Hello, I have studied your case. Due to compression of this nerve root there is pain in your leg. Another possibility of acute muscle sprain will advise you to do MRI spinor these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello my son is 4 Yr old and was down with chest infection which caused him to hv high fever....fever has subsided but cough and cold is still there I have been giving him a concoction of tulsi,Ginger,pepper and honey 3 times a day and not any medicine....should I continue the same and also today while he was sneezing to remove mucus from nose I saw little blood...pls advise...", "output": "Welcome to the Chat Doctor I understand your concerns but don't worry. It takes 2-3 weeks for cough to completely improve after chest infections. I would recommend you to start him on antihistamine such as Chlorpheniramine or fexofenadine for cough and cold. Continue the herbs you are giving. Also, use nasal saline Chat Doctor. Avoid nose picking by your child. Use room humidifier while sleeping if the weather is " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Im having an issue with tightening under my right side rib cage feels like a rubber band pulling. It will end up n pain thru to my back and I cant take n a breath with out hurting it used to happen on occasion now its numerous times daily. I cant lay on my back or it will automatically trigger.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description possibility of musculoskeletal pain due to pulled muscle is more. But better to rule out internal lung pathology first. So get done clinical examination of respiratory system, chest x-ray and PFT (Pulmonary Function Test). If all these are normal then no need to worry about major lung diseases. Musculoskeletal pain is more likely in your case. So avoid heavyweight lifting and strenuous exercise. Avoid movements causing pain. Avoid bad postures in sleep. Start painkiller and muscle relaxant Chat Doctor. Apply warm water pad on affected areas. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Doctor About 6 months ago I have started feeling a massive pressure and pain in my chest which goes away if I move my shoulders backwards and then it cracks. That gives me a relief for a short while and then all over again. I was surprised how many people have the same issues but nobody seems to have an answer on this one. I am 31 years old, never been seriously injured and I do go to the gym, swim a lot, do football etc. I spend quite a lot time in front of computer as it is my job. The most common what I have noticed with most of us is that we use to lean towards computer screen. But there is not real explanation so far what the real problem is. I look forward to hear from you. Kind regards Tom", "output": "Hello rearward welcome to Chat Doctor.come have evaluated your query in details .* This seems in relation with different possible issues as - muscular ache - inadequate oxygenation at times due to shallow breaths - psychosomatic manifestation of underlying stress, anxiety - others.* The case requires detailed evaluations of many physiological parameters and necessary tests to be carried out. Hope this may help you to understand the query. Wishing you fine recovery. Feel free to ask any further doubts. Regards ." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Sir/Madam, I have visited Manipal for running nose and eye irritation week back. they suggested 3 days medicine. Still no improvemnt after taking medicine. I feeling bad. Please let me know whom i need to consult for General Medicine good experienced docotor", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Your symptoms suggest you probably have allergic rhinitis. If this has lasted for more than 2 weeks then it is due to allergy. Consult an allergist or pulmonologist for the same. If it is of lesser duration then it is viral infection requiring antihistamines and analgesics.Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my husband has moderate varying to severe pain in lower right abdomen that moves to his back and then back to front. His guts have made gurgling noises a few times, but still has the pain. The pain also seem to make him nauseated. I took blood pressure 3 times: 2.75hrs ago 170/85 p=78 2hrs ago 173/112 p=66 then 1.25hrs ago 170/119 p=67", "output": "The pain that moves from right lower abdomen to back to abdomen again is suggestive of an:::Impacted stone in the ureter or a kidney Retro-cecal Appendicitis nausea and gurgling can be a reflex mechanism. Blood pressure can be increased due to pain alone and not to worry about if there is no past history of Hypertension. Ultrasonography with the clinical examination can give a diagnosis and a plan for further management." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi , my husband is 36 years old. He recently went for TMT and ECO test.the ECo test was normal , but the TMT test showed slight variation. he is currently being treated for High BP The doctor has advised for an Angio. Pls advisej is it necessary. His Cholestrol levels are being checked The report is not out yet. Thanks & RegardsVM", "output": "Hi There After reading the medical details provided by you of your husband I understand your concern and I would like to tell you that your doctor has advised him to go for Angiography due to the variations in his TMT results not due to high BP. Yes It's important to go for Angiography to make sure there is no blockage developing inside the heart vessels because the variations in the TMT results are suggestive of that. I wish him good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am on the birthcontrol implanton (sp) the rod in the arm for 6 months. An I have been having to pee alot, tired, moody just not feeling well all around. So I took a pregnancy test yesterday and it came back with a smear and a crooked positive line all in one. What is going on with me? An what does the smear crooked positive mean?!", "output": "Good afternoon Don not worry those are symptoms of side effects of implant. The result you got is most likely false positive, I would advise you to repeat the test in nearby health facility. Its also necessary for you to see doctor so that other tests like blood pressure, random blood sugar are done to rule out other diseases like pressure. Hope I have answered your question, if you have any more questions I will be happy to help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Can you get sinus infection fron cataract surgery?I had surgery in my left eye and still feel a pressure when bending over. At times I feel pressure in my forehead and the bridge of my nose and right eye. I have Asthma and sleep apeanea so have a history of sinus infections", "output": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. No cataract has nothing to do with sinus infection. It may be a coincidence that both condition like cataract and sinus infection emerged as such. You should take albuterol and inhaled steroid as per your situation and under your doctors' guidance. This will cure your problem with chest. For sinus infection you should take paracetamol for pain and antibiotics to prevent secondary infection. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My brother have pain in whole back with little bit pain in legs also he has heavy pain in left side as compare to right side.he is can t able to sit and lying.. What is the problem and how to diagnosis.the x-ray report is showing back is in good condition", "output": "HelloYour brother need proper clinical evaluation and investigations. Pain may be due to many reasons like visceral pathology, disc prolapse, arthritis,hypocalcemia etc. Investigations include routine hologram, random blood sugar, liver function test, renal function test, urine RE/ME, serum calcium level, MRI L/S spine. MRI can exclude disc prolapse which may the reason for pain. He also needs proper evaluation for arthritis. Proper treatment depend upon findings. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was diagnosed with genital herpes and the doctor gave me an antviral antibiotic augmentin 625 and zinase d, but he also game me fucidin cream to apply directly on the sores. I saw that fucidin is not for viral diseases only for bacterial ones..so why did he give me fucidin?Please help i am in great pain and the swelling doesn t seem to go away.", "output": "Hi, I am sorry for the health problems you are going through. Genital herpes is associated with pain, and blisters. Your doctor prescribed Kinase d for the pain, while applying funding cream on the blisters. Perhaps they seem to be coinfected with bacterial infection. Please send a photo to evaluate the changes myself. Sometimes, due to scratching or if the blisters open up, they can become coinfected with bacterial infection explaining also why he prescribed augmenting to you. I advise coming back to your doctor and gently ask to also prescribe an anti-viral cream (acyclovir cream) to apply locally. Wish fast recovery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I discovered I have two stress fractures in my lower back. Today I had a MRI to confirm this. I am 78 and my doctor suggested medical cement. I have already had two lower back surgeries. I have lost about two inches in height. I am wondering if the cement will help with my height. I have been in severe pain. It hurts so bad getting out of bed. I have to hold on to the bed and walls to get downstairs. Will the cement help relieve the pain? I am unable to work around the house since this happened.", "output": "Hello, At which level you have got stress fractures in your back? Is at dorsal spine or lumbar spine? Medical cement you asked about is, we refer to as Vertebroplasty. This is effective measure to relieve pain and to maintain height of vertebra. You also had two back surgeries for which purpose? Please share details of surgeries and MRI report, so I will be able to guide you through definitive treatment. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i had an L3-4 disectomy and decompression in july and have been ok, but recently i have had pain in my upper back just below my shoulder blades and it is making it difficult to breathe properly, was just wondering if you could give me some advice because its really getting me down again", "output": "This sounds like muscle spasms of the upper back muscles. Topical ice, anti-inflammatory medications (Advil/allele), or massage could help greatly. Sometimes muscle spasms from one region (low back) can communicate with the muscles of a neighboring region (upper back), so this is common and not likely worrisome. If these measures don't work, see your doctor, and they can prescribe physical therapy/chiropractic." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My wife aged 36 years is suffering from fever for the last 3 days. Her temp has been fluctuating from 100 - 104. After consulting a physician she has been advised to take the below medicine: Dicloran-A (Twice daily); Timo-O (Twice Daily), Cetrizine (Twice Daily) and Pantraz-D (Twice daily). Her state has not improved much excepting that the fever now comes down to normal and after 10 hours again reaches 100/ 101. Please advise.", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have high fever since 3 days, and it is regressive down a DIF regress comes back again which could be due to viral infection. Need not worry much. I would suggest you to visit general physician once and get it examined. You should get blood tests done to find out exact level of infection in your body. Till now keep going with the course which your physician already prescribed you as it will take 7-10 days for viral fever to come back to normal. Take anti-inflammatory and NSAIDs combination. Chat Doctor. You should take proper rest. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi,there was pain in my teeth, so I went to dentist.he gave some medicine and said u need to remove three teeth beccause those three teeth got infected.I m 58 yrs old.I have already removed few teeth earlier.now I dont want to remove any of my teeth.can my infected teeth can be corrected by medicine?", "output": "Hi! Welcome to Chat Doctor. I read your query. As you have infection in your teeth, it results in bone loss and pus formation. This is detected with the help of x-ray and examination of affected teeth by a dentist. If the bone loss or pus is more, extraction of teeth is best suggested as the infection may recur again and again. Taking medicine reduce infection and may give you relief for some time, but permanent treatment is decided by dentist based on your examination. If you have been advised extraction, I suggest you go ahead with it and get fixed or removable denture for missing teeth. Delaying extraction may lead to spread of pus and further bone loss thereby resulting in less stability of artificial denture in the future. Hope the answer helps you. Thank you!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "yesterday i was sitting reading my mail went I all of a sudden started getting light headed, dizzy, my heart rate rapidly increased, when I took my bp it was 99/61 and my pulse was up to 162 which. I literally thought I was going to die, that was the most scary thing that has ever happened to me. ............ I was on my way to hospital but on my way there I started to feel better and came back home to rest. I am still not feeling quite myself yet today. Should I be concerned?", "output": "Hello! Thank you for asking on Chat Doctor! I carefully passed through your question and would explain that your symptoms could be related to a cardiac arrhythmia. This is why, I would recommend performing further tests to investigate for the possible underlying causes: - a cardiac ultrasound and a resting ECG to examine your cardiac function and structure- an ambulatory 24-48 hours ECG monitoring to examine your heart rhythm trends during the day and exclude possible arrhythmia-complete blood count for anemia-blood electrolytes for possible imbalance-thyroid hormone levels for possible thyroid imbalance, which can trigger this symptomatology. You should discuss with your doctor on the above issues. Hope you will find this answer helpful! Best wishes, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a recurring rash (usually twice a year for the past three years) that starts in my groin and goes to my underarms, waistband, buttocks, and somewhat on my legs. Small red bumps that are very itchy and uncomfortable. Trying cortisone cream and jock itch spray with minimal results.", "output": "Hi. Thanks for the query. Recurring rash over the body with red bumps and itching can be most probably due to allergic reaction. There can be a number of allergens like any food or medication, soaps, detergents, leather, latex, poison ivy etc. For confirmation of the cause you should consult an Allergist and get evaluated and a thorough clinical evaluation and investigations like allergic tests like Patch test, LAST test, food challenge test etc. can help in diagnosis and treatment can be done accordingly. As of now you can take anti-allergics like Levocetrizine, Allegra to control the itching spread of rash. Do cool compresses. Application of calamine lotion or Call Chat Doctor. . Topical steroid ointments can be applied but for a short duration, like for a week to 10 days and then discontinued or can be continued only under expert supervision. In extreme cases a Steroid injection can help in faster relief. Hope this information helps. Thanks and regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Well I have a long history of depression. And I have a lot of years when I have been stable and happy and seeing my doctor regularly. I have moved and do see him as often. My lows are related to my beautiful 20 year old daughter that is living with a looser. She went NAU Fall of 2012 and her GPA was 4.0. She passed the Kaplan and should have started Nursing school by now. Her looser boyfriend is a nice boy that loves to play video games and hang out with his friends. My daughter pays for all the groceries, works, and is taking online classes to become a MTS. Her room were they live with the boyfriends father and father s girlfriend is a mess. My daughter is also expected to clean and cook and take care all responsibilities. My husband and I want to know what we did wrong. We have a beautiful, clean, and a home where she is welcomed. Why would a young woman want to support a looser? I feel that she has been brain washed, manipulated, and because of her Aspergers s Syndrome she is unable to see that she does not have to put up with this. As parents how can we get our 20 year old daughter back on track to get a education.", "output": "Your daughter seems to be very emotionally attached to your boyfriend. So even though he does not have many positive characteristics, she puts up with him and his family. I understand your concerns of being a mother. It's difficult to see your child make a mistake. Rather than bluntly asking her to come and stay with you, try to understand why she's staying with him despite all the work she is made to do. Be her support and not her critique. She's an adult and the more you'll try to impose your ideas on her, she'll deviate from you. Even though, she would know its wrong and unstable. A mother-daughter relationship can be made stronger by spending time and giving each other time. You can probably try this by meeting her weekly and then gradually almost daily. I hope this was helpful. Do let me know about your progress. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 74 year-old very healthy male (eat healthily, work out regularly). I just noticed that the rim of the head of my penis is red..almost bright red. If it had always been like that I think I would have noticed. I m cicrumsized. I m single and masturbate three or four times a week. When I have sex it s always with a condom; I haven t had unprotected sex in years, in my last steady relationship. The rim isn t sore but it sure is red. Is this something to be conerned about?", "output": "Hello, Welcome to Chat Doctor.comedies around the rim of penis, is definitely a matter of concern. Redness is the sign of localized inflammation, which may arise as a result of infection, trauma. Check for any other sign of inflammation such as localized pain, any discharge from penis, burning sensation in and around penis. Advice for you is to consult a meteorologist as soon as possible. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir I have inferiority complex, unable to adapt new environment nd feel unconfident with new people social phobia because of which mera kisi ese kam mein jaha public dealing hoti hai mein kam nai kar pati aur weight gain , concentrate bi nai hota kya , and jab mein galti se afternoon mein so ke uthti hu to headache, mouth sukh jata hai , I remain uncofident with loss of energy..I am 19 year old girl , with weight is 42,", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. Self-confidence never comes suddenly. Every experience in your life gives you experience. Self-confidence level differs at different capacities. I sincerely suggest that you are victim of your own negative thinking. You cannot term your current state of mind as clinical depression. Rather, this is just disappointment. Disappointment which arises out of unforeseen life events do bring such symptoms like sadness, irritation, anger, lethargy, lack of interest, lack of appetite etc. Please understand this fact and make sure to introspect. Talking to your friends, outdoor activities and being creative should give you relief. Find the reason for your disappointment and consult a psychologist if need be. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dec 2009 i had a stroke after a stent could not be completed due to calcsification- I had a heart attack and 2 stents placed in my heart sept 2010- feb 2011 i had acute angina then they place 3 more stents in my heart- since february i am more tired than ever and my limbs feel heavy and sometimes when it is very hot i feel a tugging in my heart- all my blood work came back good. I am 47 years old and last week I had 3 infected teeth pulled and I am now on antibiotics si it norma to feel this tired and have this pulling in my heart", "output": "Hipost stenting patient is given high doses of statins, the most common side effect of statin is severe myopathy, Myopathy is a muscular disease in which the muscle fibers do not function for any one of many reasons, resulting in muscular weakness. Most likely your symptoms are attributed to statin induced myopathy, you can consult your primary cardiologist to reduce the doses of statin or switch over to other statin for few days. Serum CPU creatine phospholipase levels should be measured, as they are often activated in case of myopathy. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had endometrial cancer diagnosed in december2010 and have undergone radiotherapy for 4 weeks,cisplatin chemotherapy for each of those 4weeks and I am now half way through taxol and carboplatin chemotherapy due to finish on 3rd May.I had grade 2 cancer that had gone into the cervix but nowhere else save that in the wash prior to my full hysterectomy they found a few cancer cells.I seem tto have developed low back pain going down my right leg when I am active.Could this be cancer or have I just twisted my back.I have had some similar back trouble in years past.", "output": "Hi, dairy have gone through your question. I can understand your concern. You have history of endometrial cancer, and it also involves cervix. You may have back pain due to cancer or some spinal problem. Furthermore, you should go for MRI spine once. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I got pregnant on my first ivf treatment only to lose my baby at 35 weeks. Yesterday I got my blood test results for my AMH and it has dropped quite a bit in 1 year to 7 is this normal? and will it be hard to get pregnant the second time round? I will be turning 34 in September.", "output": "Hello welcome to Chat Doctor. I have gone through your question. Antimullerian hormone AMH reflects size of remaining eggs supply. Amh normal value is 1.5- 4.0 NG/ml, you described 7 is above normal means high value. Seen often in polycystic ovarian disease POD. You can go for IVF with this AMH level. No problem regarding that. Hope I have answered your question. Would be happy to help you further. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Due to elevated cholesterol of 6.58, LDL of 4.64, SGPT of 33.59, I was put on simvastatin 20mg (vidastat) for 2 months. However, after 2 months, the simvastatin did not seem to work, my cholesterol and LDL further increased to 7.52 and 5.12. But SGPT was down to 28.97. I was shifted to Lipitor 20mg. After 2 and 1/2 months of taking it, cholesterol (4.69) and LDL (2.77) became normal. BUT FBS now elevated to 5.72 and SGPT soared to 45.33! I am so worried that liver may have been damaged. Do I need a liver ultrasound? Should I start taking Essentialle Forte or Silymarin? Should i also start Metformin Glucophage XR 750mg, at leat for a month, to arrest any liver or sugar level problems. I am currently on maintenance meds for hypertension (micardis 40mg in the morning, and norvasc 5mg in the evening). I am also overweight by 25-30 lbs. I am 44 years old, female. If i stop the lipitor, will my SGPT go back to normal? Thank you very much.", "output": "Hello,First, your Sept elevation is not that worrisome. It's not even the double of the highest normal value. Sept values lower than three times the highest normal value are considered acceptable. Since you're overweight you should do a liver ultrasound which may reveal fatty liver changes. Fatty liver itself may cause liver tests elevation particularly if you had gained weight recently. If your doctor considers Lipitor as the cause of thereof Sept then you should do a repeat measurement after a week or so to make sure it won't get any higher, and you can continue to take it afterwards. There is no need to take anything. You can try to lose some weight which will help you with a potential fatty liver and with the cholesterol as well. I hope I've helped! You can contact me again if you'd like any clarification or further information. Kind regards!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "good day, my name is alexi hernan, i have been seeing changes around my genital area mainly at the intersection where my thigh is and it itches sometimes and when i bathe it burns like when you have a bruise on your elbow. could you help me with knowing what is happening to me?", "output": "Hello, Welcome to Chat Doctor, The history and symptoms suggests me that you are having a fungal infection, but it should be confirmed by physical examination. Don't be embarrassed to show and confirm the diagnosis. The fungus is the normal commensalism of this area which will be kept under control by the helpful organisms, whenever there is a change in environment because of multiple reason this fungus will multiply and produces the symptoms. I would suggest you to follow1. Keep the area Chat Doctor. 2. Topical antifungal cream should be applied.3. Tab Rifleman, 150 mg single dose will help to control the symptoms. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, for a long time now have said to people that juice makes me ill. I dont drink fizzy drinks much but when I do drink them I just feel terrible. It starts off with slight pain in the stomach area them overactive bowel movements, itching all over and even more everytime I pass urine. And also just the colour of my complection changes to very pale. I am also prone to ear infections, coughing fits. I used to think it was a caffine intolrance but I am now thinking it has something to do with sweeteners?", "output": "Hi. Thanks for your query and an elucidated history. The first treatment of such problems is to stop taking / consuming any food or a beverage that causes such problems. Why should you try to consume, as it can cause severe allergic problems. Now is just an intolerance. As this is giving you paleness with such a severe problem, I would suggest you to undergo angiography of the abdomen just in case to rule out any vascular problems to the blood supply of the intestines and the stomach." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hiya, I have a problem I m not sure what it could be. I ve been experiencing some pain on my tailbone, and yesterday a lump on the left side next to my bum (sort of on the crease) came up. It s very painful to sit, walk and do other things. If you could please help me or give me some idea of what it could be that would be great. Thank you", "output": "Hi ! Good evening. I am Chat Doctor answering your query. With your history, it seems you are developing a perianal abscess, and possibly it is a colonial sinus with developing abscess. This has to be physically examined to confirm the diagnosis for a proper management. Therefore, I would advise you to take appointment with a general surgeon in your area, and get your self assessed by him and go as per his advice. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my gums have been sore off and on the past two weeks. Now I have root pain. Also, having colonoscopy in two weeks for problems may have a fissure or fistula. Hoping not cancer. Not sure what to do about my teeth. My ear is now clogging. eye seems a little affected too. What is happening?", "output": "Hello, As in your message you have not mentioned that which side of the tooth you are feeling pain and sore gums, means I want to say that if your upper gum was sore and same tooth is having root pain with clogging of ears and infection of eyes of the same side, it means that you are having some infection of bone or sinus which is spreading, but it can only be confirmed by CT - scan or other examinations for which you should visit a good dentist. And if the problem of tooth and eyes and ears are not of same side then it will not be correlated you just visit a good General physician and dentist for tooth infection. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have low IgA and IgM. I have fibromyalgia, osteoarthritis, and had breast cancer 7 years ago. Would any of these diagnoses have anything to the low IgA and IgM test results? Igm was less than 28.0 with normal range 60-263 and IgA 56 with normal range 68-378.", "output": "Dear friend, Greetings from Chat Doctor.... I appreciate your concern ... But i don't see any relationship between the Immunoglobulin levels and the conditions mentioned above ... I think you need not relate to them . Infact low immunoglobulin levels indicate your poor nutritional status...you take good amount of proteins like egg, fish, sprouts, take more of green leafy vegetables, citrus fruits and Chat Doctor. . All these gives you micro/macro-nutrients required for the production of proteins ... zinc and vitamin C tablets could be taken if necessary ... take care and do contact us for more queries .... THANK YOU" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My MRI says there is a broad based 2cm left foraminal disc herniation at. L3 L4 contributes to asymmetric high grade left sided neural foraminal narrowing. At L4 L5 there is disc desiccation and diffuse disc bulging with a 5mm are of increase T2 signal in the posterior central disc that reflects annular tear. Disc bulge and ligamentum flavum hypertrophy contribute to moderate narrowing of the central canal and with facet change, bilateral high grade neural foraminal narrowing. What does this mean and what happens if untreated?", "output": "Hi, Thank you for contacting Chat Doctor. I have reviewed your MRI findings. These findings suggest that there is compression on the lumbar nerves (nerves originating from the spinal cord in lower back region, which travel to leg), due to bulging of discs and thickening of ligaments. This commonly causes pain in legs and lower back region. If left untreated, the severity of pain may increase. Pain may increase further on walking. In addition, there may be weakness or numbness in legs. In cases of severe compression of lumbar nerves, there may be problems with control of urination. I hope it clarifies. Best wishes, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "28 yo male Ski accident Feb 20. Mri reports acl complete midsubstance tear, and possible lateral meniscus tear. Will have acl reconstructive surgery in 2 months. In the meantime, extention of the knee is limited with about 5-6 degrees off from full extension and minor pain when walking downstairs. No signs of knee giving buckling. My question is when i try to extend the knee i feel a small lump forming on the later side of the knee. There is no swelling currently. Could this lump be the torn lateral meniscus that im feeling or could it be the acl stump? Thank you.", "output": "Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor and I will try to help you as much as I can. This is possible Bakers cyst or some other dilatation of tedious sheath or ligaments. It is not likely to be associated with meniscus. I suggest doing ultrasound and needle biopsy if necessary and then treatment can be planned. I hope I have answered you query. If you have any further questions you can contact us. Kindly regards. Wish you a good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a cough that is producing some phlegm and has been going on for about 3 days. I m just getting over a cold so thinking it s part of that. In addition, I m experiencing what I believe are called PVCs....my heart seems to skip a beat and it feels like it jumps into my throat a bit. Is this something I need to worry about?", "output": "Hello and thanks for writing. I can understand your concern and would try to help you in the best possible way. Sometimes due to a stress or illness the heart may skip a beat or two. It is most often inconsequential.However, if it is causing distress to you or symptoms like palpitations, dizziness, chest discomfort then it is better to get it checked up. A simple ECG goes a long way to detect them. If not detected by ECG then a 24-hour ECG recording with Holder may be required to catch these abnormal beats. I advise you not to think about is much and avoid any stress. Also consult a doctor to get yourself checked." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am having severe pain in my jaw. it hurts so bad when I try to eat or drink I cry out in pain. I caked my dr and he gave me meloxicam. I took it one hour and 6 mun ago and I still hurt as bad as I did before I took the med.you are ripoff just another scam artist", "output": "Hi Thanks for the query Pain in jaw can be due to a number of causes like:-It can be due to any decayed tooth-Due to jaw joint related problem-Due to wisdom tooth related problem etc. So my suggestion is to consult an Oral Physician and get evaluated exact cause needs to be ruled out to know the exact cause of pain as taking painkiller alone will help in temporary relief only now you should take painkiller and take soft and semi-solid meals. You should get an x-ray of the jaw that is Panoramic x-ray done to rule out the exact cause. Hope this helps! Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Diagnosed with muscle necrosis.diabetes 25 yrs..had a double transplant kidney & pancreas ..dialysis also..its in my left thigh..where do i go from here with this..what treatment for pain so i can work again im on disability leave..", "output": "Hello, Muscle necrosis needs urgent debridement and removal of dead muscle part. Otherwise, it may get infected and muscle proteins if they go into blood it may lead to kidney damage. Muscle protein myoglobin is excreted through kidney and since you have transplanted you need extra care for your kidney. Diabetes also increases risk for infection. Multi specialist care is needed for you, and please do not waste any time for reaching tertiary level hospital. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have degeneration of the neck in c3-c4 & c6-c7 causing pinched nerves and pain. I had a neck fusion 4 yrs ago & am 37 yrs old. my c-reactive protein is 1.5 and I have pain in my hands, feet, hips, knees etc when the weather is bad. my RA tests came back normal. my blood pressure has been good for the last year until recently when it has spiked again while on blood pressure meds. could any of this be linked? could their be a underlying cause to my neck degeneration? I do have RA in my family.", "output": "Hello Your narration seems to be Showing involvement of cervical spine and multiple joints. In background of family history of rheumatoid arthritis you need to investigate yourself. If RA factor is negative then anti CCP antibodies may be tested. Other cause may be degenerative disease. You need to test serum calcium, phosphate, SALE, vitamin D3. Neck exercises and physiotherapy may help you. You need to consult neurosurgeon or neurologist for proper examination and evaluation. Hope you recover early." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "need help! my son is 7 months..and has no teeth yet.. last week he pooped 5 times + in 24 hours.. our pedia adviced us to have him check. we did urinalysis and fecalysis..all results are normal.. is this a sign of teething or should we change his milk formula? by the way he is using gain plus advance...thanks! we ll wait for feedback..", "output": "Brief answer :Its normal. Detailed answer :A 7-month child may sometimes pass 5 to 6 stools in a day or may pass stools once in 3 to 4 days. This is a normal thing. Since, there is no fever, urine and stool reports are normal, there is no need to give antibiotics. Also, there is no need to change gain plus formula. In my opinion, you should give a prebiotic like enterogermina ampule once a day for 3 days to increase gut immunity. I hope this will help you. Take care. Regards - Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi im 30 years old and have been feeling very tired over the past few months. I have pains in my joints, abdominal pains that I cant explain and I also bruise very easily when I scratch my body. I have also been feeling dizzy. I have had blood tests done over a month ago and been told my vitamin d and iron is level is very very low. It is under 10 but I dont know how low that is. I have been put on vitamin d and iron tablets a month ago. I never had the symptoms I have described a month ago. Can u give me any advice please.", "output": "Hi ! You can continue to have the It D and iron supplements as advised by your doctor. Based on your history of tiredness over the past few months, if I had been your doctor, I would have advised you for a thyroid function test. Hypothyroidism which is very common does cause anemia and tiredness. It D deficiency has also become common due to dietary deficiency and lack of sunlight in closed flat culture. If the thyroid deficiency is proved, then it is easily treatable with thyroid supplements, and you will feel well. So get a thyroid function done and show the reports to your family physician for further treatment. Thanks and good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am a 27 year old female and Ive discovered a lump on my left septum. It doesnt hurt when I touched it but my left nostril is more sensitive and it get runny at times. I already had sinusitis since I was young but not severe. Just wondering that this could be. I will be seeing a doctor very soon. Thanks a lot.", "output": "HI, Dear,Thanks for the query to Chat Doctor.1-I have studied your query in depth.2-DEar,IN my opinion, this left septal nose-lump which doesn't hurt on touching but runs down when touched, could be hypertrophied inferior nasal turbinate/or Concha.3-history of sinusitis since childhood, confirms this diagnosis of the nasal lump with sensitive nostril.4-Consult Surgeon who would fix the diagnosis as above or other cause.5-Hope this would solve your query to your satisfaction.6-Wellcome for more queries to me On Chat Doctor.7-Thnks once again for your inquisitive query. Have a Good Day.!!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m having a rapid heartbeat, but no chest pain or heartburn. I just feel very jittery. My breasts are sore. 45 yr old male with no history of heart problems. Had EKG 1 month ago=normal. Taking Restoril, Wellbitrin, Percocet, Saphris, and Fentenol patch", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Since your ECG is normal, no need to worry about heart related diseases for your chest pain. Sometimes stress and anxiety can cause palpitations, chest tenderness (soreness) etc. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Don't worry, you will be alright. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor. I am currently on fertility treatment. And had my 1 cycle of serophene but at 11 dpo the test came negative. As I have irregular period, i have to take primolut before the 2nd cycle begins. I am taking primolut but do you think i may have tested too early during the first cycle?", "output": "Hi, Thanks for writing to Chat Doctor. Ya you have tested too early. After confirmed ovulation you should check after 14 days. In some it may take 3 to 4 was after ovulation for pregnancy test to come positive. I suggest next time take ovulation inducing Chat Doctor. Keep a track on follicle size. Once it ovulates then wait till your next cycle comes. If one week delay is there get pregnancy test done. If you ovulate then there will be no need to take any " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor, my son is 3yrs old , bt he has a problem of getting vomiting tendency while travelling in car, or bus which is a little bit clumpsy one, bt not in auto rickshaw, generally in long drive.. pl. suggest me what to do.. he feel uncomfortable in this type vehicle..", "output": "Hi I did review your concern. This problem is very common in many people. It is known as motion sickness. It is due to very sensitive vestibular system in our inner ear, and it causes vomiting with Chat Doctor. There are certain antiemetic patches available that can be applied on skin just 2 hours before the trip, and it helps prevent motion sickness like cosine patches and so on. Also light meals 1 hr before the trip are helpful and also are cheering peppermint or orange candies do help many people. I hope this yellowish you all the Bethany you for choosing Chat Doctor " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 90 year old father fell and fractured vertebrae in his neck. Otherwise in excellent health, hospital gave him Norco and things went downhill from there, including a frib, depressed breathing and heart rate, esophagus closed and lost ability to swallow and was disoriented. Could. Norco have precipited this?", "output": "Hello ! Thank you for the question. I understand your concern. In my opinion the troubles you describe are more related to the cervical spine trauma than to Nor co. You should know that the spine of the cervical region is very important for our body. It contains the main regions that control lour breathing and the cardiac function. Damage at these level can cause cardio-respiratory failure, and it is the main cause of death in persons with cervical trauma. Hope to have been helpful! Best wishes, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI,I am 28 years old. Last night doctor found 8mm of stone in my kidney durring the ultrasound of my liver as I am also HCV +ve & I also have about 1 year of partically hight uric acid history.Plz tell me that is operation (involves body cuts) needed to remove this stone or can be removed via other methods?", "output": "Hi8 mm stone in the kidney can be treated by one of three methods. 1) Surgery - this does not involve any cuts on skin -an instrument in inserted through your natural urine pipe and the stone broken with laser - all done internally.2) shock wave therapy - ESL- done as an outpatient by placing a machine over your kidney area and sending shock waves3) If the stone is made of pure uric acid then it can be dissolved by altering the acidity of urine by tablets- but this is rare." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My family physician has recommended metrogyl 400 for intestine infection caused by food or water three times a day for five days. I have taken this drug before and could tolerate without problem. But at that time the dose recommended was twice a day. Advice please.", "output": "Dear FriendWelcome to Chat Doctor. I am Chat Doctor. I understand your concern. The actual dose of Metro is 400 mg thrice a day for Gastroenteritis. You can take it 3 times a day. Just observe following:1. It can cause metallic taste in mouth.2. Don't consume alcohol with this medicine in case you take alcohol. This is my personal opinion for you based on available details. If you have any further query please ask me. Stay HealthyChatDoctor, MD" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im feeling really upset all the time, I think I may have depression, Im low all the time, Ive lost interest in my boyfriend and my friends, and I cant seem to concentrate in school. Do I go to my gp and tell him this, and will he give me anti-depressants? Im really nervous and I feel silly, but I cant go on feeling this upset", "output": "Hithanks for using Chat Doctor If u have depressive feeling, then u should consult a psychiatrist. All cases don't need antidepressants. In case of mild depression, u could improve with Cognitive behavioral therapy that would be done by psychologist. If u have moderate to severe depression, in that u need Chat Doctor. I think I should consult psychiatrist as soon as possible. In future if u need our help, u r here to help u. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been to doctors, therapists, and psychiatrists ever since I was 16 and battling depressive thoughts and feelings since I was in 6th grade. I am now 28 and even though I have learned how to not harm myself there are new issues that have happened. I feel as if all my medications I have tried ( which has been hardcore antidepressants and things for bipolar) I feel they always made me more suicidal or dead feeling. Now, for the last three years I have been hearing whispers. I cant make out what they are saying other than it sounds like moans. What can this be", "output": "Degree understand your concerns went through your details. You can clearly interpret your problem and take treatment accordingly. From the given symptoms you have schizophrenia. Hearing voices inside the brain or head is clearly an indication of this. Only psychiatric treatment can be of help to you in managing the mental illness. Please consult your psychiatrist and trust him fully and work with him. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello. I have Hashimoto s. I feel best on 3 grains of NDT. My TSH is .005 at this dose. My endo lowered my dose and now I am tired, and in more pain plus skin conditions that had resolved have returned and my BP is rising. I want to bump the dose back up.", "output": "Hello, Welcome to Chat Doctor, Hashimotos disease or thyroiditis is an inflammation of the thyroid as a result of an immune attack on the thyroid. Now usually in about 95% of the cases, Hashimoto results in an underactive thyroid or hypothyroidism. In a very small percentage of patients that have Hashimoto antibody the thyroid becomes overactive. But this is very rare, and I must say that we rarely see it. I can say that your symptoms (Pain, excessive tiredness, profuse sweating, palpitations,anxiety and irritability) are very indicative for Hyperthyroidism. It would be helpful if you send me a copy of your blood test report, so I can evaluate the results and to know which tests you have already done. A diagnosis of Hyperthyroidism Can be confirmed with blood tests that measure the levels of thyroxine and TSH in your blood. High levels of thyroxine and low or nonexistent amounts of TSH indicate an overactive thyroid. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir iam ram 22 i having lumps on the pubic hair which are red with puss and blood filled. this gets more when i eat some junk food but it is very hard to burst and this happens also when wear an underwear even though it is an lose one...iam suffering from this 2yrs back......please help me sir....", "output": "Thank you for query.it is not clear about age, sex, exact morphology, symptoms of rash. It may be due to bacterial infection. Clean the area with warm water twice daily. You can apply topical antibiotics like Funding or Tract, and take analgesic like broken. You wear loose cotton clothes. See that there is no friction or irritation. Do not cut the hairs too short. If it does not subside consult dermatologist else you can send the photo directly to me with the details I will be able to help you. Chat Doctor. Brief Answer:" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am 30yrs male. My problem is that after masturbation , I feel a dull numbing burnt out kind of sensation on the left side of my body..all the way from my toes, left leg , left hand , left side of mouth, eyes and head. It is extremely severe especially when I am trying to wake up in the morning, I feel dead and exhausted and its now affecting my daily life as I am not able to wake up on time.please advise are these burn out symptoms of masturbation or something else? Thanks", "output": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Masturbation never causes such a symptom. It has nothing to do with numbness and other nervous system related information. There are much misinformation for the masturbation in peoples mind. Actually masturbation has no deleterious health effect on body. But you should be examined by the good doctor, for the cause of the numbness and other symptoms. Masturbation actually clears ones mind from the stress. After masturbation one can be light from the mind and can work with very good concentration. You should do daily good exercise half hour daily. This will remove all your weak less. Initially when you start exercise it will be boring for you. But on long a go there is good health effect of exercise. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi!I am on the Buproprion xl 150 mg. I take it once in the morning. I still seem to have some anger issues once in awhile..but not as bad as before ever taking the medication by far! I diagnosted with post traumatic stress disorder...due to being raped by 4 men, almost being strangled to death by a man, and as a child my father being abusive....he was a Vietnam vet and probably could have benefited from this medication himself. My question is...should I be on a higher dose? What do you suggest?", "output": "Hello, Thanks for posting on Chat Doctor, Well your problem will require more intense psychotherapy order than medications dosage. You will need a psychiatrist to schedule some sessions, so you can go through a mental therapy that can help you out. Bupropion can be taken up to a dosage of maximum of 450 mg daily divided into two, but that will have to be done with supervision of your doctor. Post-traumatic stress disorder requires proper psychological therapy, so you will have to book an appointment with a psychiatrist. Hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m new to taking tri sprintec. I take it religiously and the first pack I had my period 3 days before placebo week. This month however I m on my second placebo pill and no period. Can I take a urinary pregnant test to ease my mind. And will it give me a true result or will the birth control force it to record positive because of the hormones in the tri sprintec?", "output": "Hi, Thanks for the query. It will take some time for menstrual rhythm to get adjusted while taking the pills. So you need not worry, possibly you will get periods soon. If you're still having doubt, better to go for blood test for pregnancy. Compared with urine pregnancy test blood test will give more accurate results in Earl pregnancy also. For more details:http://srsree.blogspot.in/2012/05/pregnancy-tests.htmlTake care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Age 20, had right orchiopexy surgery. After a month later I developed a rash on my scrotum which my doctor prescribed me rash cream. The cream worked to an extent and soon I ran out. Then a month later I had caught an bacteria infection which I got treated in time before it spread. It is out of my system but the rash remains. I started using calamine lotion on my rash and it healed it to some extent then I noticed I was developing pink bumps on my scrotum. Im calling my doctor first thing tomorrow morning but are these happenings common?", "output": "Hi. As per your case-history there are certain things which needs to be asked. Whether rash is itching? Whether it is filled with pus? Whether it started after using certain cream? As far as calamine lotion is concerned it will just provide symptomatic relief, it won't cure it. So its lesion is pustular use antibiotic cream or lesion is itching and non-pus filled use an antibiotic-steroid cream (Fusiderm-b)If relief not obtained than consult a dermatologistThanks. Chat Doctor. B.B.S, D.D.V.L" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Yesterday i had pain from my vagina and surrounding areas. I looked and found a dark spot. The spot feels like a lump and hurts to touch. It also bleeds slightly when wiping after going to the loo. The thing is I m only 16 and have never had sexual intercourse. I m on holiday and I m worried that it s cancer. I m scared.", "output": "Hi, dear. I have gone through your question. I can understand your concern. You may have benign cyst like lesion. Don't worry. Just be relaxed. Chance of cancer are very rare at your age. Consult your gynecologist and go for examination, if needed go for excision biopsy. Don't worry. You will be fine. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. Don't forget to click, thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son is only 26 he has suffered with abad back for 4 years but has been terrible for 2 years now he finaly got his gp to listen and had a mri scan and has seen specialist. He has a herniated l2 all they will offer is physio under the nhs which he is still waiting to be seen his appointment is not for another 4 weeks . He has been in terrible pain for a week hardly can walk his back is so arched stomache stuck out his antinflamatories do not seem to help and pain killers solpodol just knock him out . As a young person he has no quility of life his work is affected all the time as a self employed plasterer", "output": "Hello, Thank you for contact us, For back Pain you should follow instructions described below -Best medicine for Lower back pain is Rest. Resting for some days will heal the muscles which could be damage because of jerk. Muscles need some time to heal so give them time for the same. Another way is to take message with hot or cold water, Some people take cold water and some takes hot for massage. If pain is because of any accident or something big issue than you have to concern good doctor for the same. Other exercise should be done as doctors suggest after checking you physically. Hope it will work for your back pain. Good luck, Take care. Thanks & regards," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am have intermittent, very intensely hot sensations across my abdomen. They are painless. I have had hot flashes before while on fertility medication - they feel similar to that, but are concentrated in my abdomen only and as I said before, are painless. Could it be stress/anxiety related?", "output": "Hi. Thanks for an elucidated history and your query. You have rightly noticed such symptoms to be due to hormonal changes. The stress and anxiety too are directly related to the hormonal changes a woman gets from time to time. So please there is nothing much to worry about the hot sensation across the abdomen. Take a rest, change over to other situations like may be outing/ vacation or so and you would be fine." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 22 year old female. I was diagnosed with bipolar at 17 and just recently increased my dosage and i am experiencing some horrible side effects. i made the mistake of drinking moderately over the weekend.So that has to be the 1 REASON why im going through this. Symptoms In this order. decreased appetite, EXTREME lower back pain near ribs, intense sore muscles, 2 days with no bowel moments, dizziness, lack of sleep and breast soreness. I know that was a lot of information but im concerned. Please respond.", "output": "Hi! Welcome to Chat Doctor ! I have gone through your query and understand your concern towards your horrible side effects. Which could be due to sodium Valproate as it may result in loss of appetite due to hepatotoxicity. So, I would advise you to get your liver-function tests done. Lack of bowel movements could be due to any anticholinergic medication in your prescription like Pakistan, etc. So, I would advise you to discuss with your doctor regarding these effects and get your alteration of Chat Doctor. Hope this information is helpful. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im having severe pain at the end of my tail bone/buttocks. Theres a bump under the skin about 1/2 an inch down from the top of the crack. It also feels like theres a lot of pressure we here tge bump is. I googled it and it said it could be a pilonidal cyst or a pimple. I can barely walk or get comfortable in any position. Im on vacation and dont know what to do.", "output": "Welcome to Chat Doctor I have gone through your query and understand your concern. You are likely to be having pilonodal sinus or boil. You need to visit general surgeon for its diagnosis. Till then, you need antibiotics for infection control, analgesic such as ibuprofen for pain relief and be complex. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Had a discectomy at L5-S1 six weeks ago. They found calcium deposits while there were performing the procedure. I am a lot better but still have mild pain in buttocks and right leg. The other night I woke up and my right leg was almost numb. Had to sit up for about 30 min to get all the feeling back.", "output": "Hi there, thanks for your question at Chat Doctor. It is not uncommon to see mild pain and numbness persisting after a discectomy surgery. The calcium deposits at surgery only suggest it was a hard disc and that you have been having disc related problem for a long time. If the pain is manageable with medicines and there is no new pattern of pain and numb, it is worthwhile to wait for another 8 weeks. Also, it should n\u00e9 noted that an MRI done during the initial 3 months after a disc surgery usually shows changes related to the surgery, and it is not of much help. If your pain pattern is new you should see your surgeon, otherwise It's prudent to wait for 8 weeks. Hope this helms. All the best. Regards. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi i have been experiencing chest pain both on the right and left,back pain,shortness of breath constipation sometimes i get pain from the upper part of my stomach and pain in my throat,sometimes i feel as if something walking around my throat through my jaw and ear", "output": "Hi thanks for contacting Chat Doctor... You have wide range of symptoms ... So here your physical examination is necessary.... Sometime chronic constipation can lead referred chest pain and abdominal pain which seems most likely here... But as you have dyspnea also I would suggest doing chest x-ray for rule out respiratory causes.... If you are taking stress then anxiety induce panic attack can lead to dyspnea. . For constipation take more fiber foods, more fruits and more water with regular exercise. If needed stool softener can be taken... If needed USG done .... For sore throat pharynx examined for rule out pharyngitis ... For which salt water gargles done, and spicy food restricted....antibiotic if needed. Consult physician for examination with keeping this in mind.... Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son now 4 years he was preterm kid weighing 1 kg now he is only10 kg since last one and half year he is sufferi.g with barking coughdr told asthma b coz ige test is v high gs got 1000while normal is upto60 another dr told he has allergy bronchitis b coz he alwayd sneezes then gets cold and cpugh right now bufecoft and asrhlin inhalersand levocetrizine plzxx help will this b life long prob or is ther any cure", "output": "Hi YOUR KID BASED ON YOUR REPORTS AND SYMPTOMS HAD A STRONG ALLERGIC TENDENCY RESULTING IN PERENNIAL COUGH. As being preterm also is a risk factor. Please continue the medication advised to relieve the symptoms. Avoid and prevent the exposure of allergens to decrease the episodes. Usually, as he grows up, this problem will decrease, but time being been patient and can try swimming for him. Hope I answered your query and ready to help you further" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi , It is 7 months that I am suffering from lower back pain, Heap pain, knee pain which goes down all the way on my left leg. Sometimes it moves from one part to the other above areas that I mentioned. I am almost limping! I was very active person in walking, Zumba, etc. The doctor say it might be Osteoartheritis? Can you help?", "output": "Hi, Thanks for your query. Your pain is due to Arthritis. When bone is not able to take weight due to arthritis than it has to be shared by muscles. It causes pain in thigh and calf muscles.Also, some time it can be due to nerve compression. You can judge your self. If your pain increases on walking and relieved with rest, it is suggestive of nerve related pain. Arthritis pain is present even when you are taking rest. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi My father had TMT test done, exercise time was 3:25 min, Max HR attained was 155 bpm (95% of target 164) and maximum BP 200/100. Max workload attained :5 . All other tests done like ECG, Echo, Sugar, cholestrol, HB% are normal. What is your suggestion as the consulting doc is asking to do another test of angeogram.", "output": "Hi, Thanks for writing to Chat Doctor, I am Chat Doctor. ETT is done to rule out underlying ischemia, but it is only 77% specific n can give wrong result or either not show any thing even patient may have Hidden HD that may come as in form of heart attack later at any stage ... this report showed that your father had not good exercise capacity mean heart is not functioning good n as he might have other risk factor for coronary artery disease n along with this report he needs to undergo to angiography to make sure is isn't having serious underlying pathology . But if your father iOS hesitating to undergo intervention they. CT Anglo can be down to look for any CAD(stenosis) with doing intervention ... I suggest your father should go for further investigation as advice by your cardiologist, but u can choose the procedure that whether to do CT /coronary angiogram n then will TX accordingly after report ... I hope this answered your question, if you have more feel free to ask. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have been experiencing what i would describe as a ripping/tearing sensation in my lover abdomen with intense pain that seams to be triggered when i sneeze, the pain does linger but its intensity wears off and becomes more of an annoyance after a while.", "output": "Hi. Thanks for your query. There are known cases where there is pain i abdomen that was caused by a forceful coughing, sneezing or heavy weight lifting. The muscles of the lower abdominal wall get a trauma, tearing through. This causes the pain like you have suggested. Is there a local swelling? Bruising? Tenderness? It is also possible that the hernia has started to form. Get an examination done from the Surgeon for clinical evaluation. The treatment will depend upon what you have. If the muscular problem go for muscle relaxant, anti-inflammatory medicine with painkiller properties. If there is a Hernia, lease get this operated at an appropriate time" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Last night while resting on my left side I left constant fluttering every 2 - 3 minutes on the lower part of my back. I couldnt tell if the fluttering was coming from my lung,liver or kidney. It kept me awake and continued all night even though I repositioned myself to lie on my back. First thing this morning I felt the fluttering again and it continues. Upon further thought I think its happening in the lower part of my lung. For the last week or so, Ive been yawning and suddenly gasping for short but deep breaths. Sometimes when yawning I cant seem to yawn all the way and I continue to yawn consequetively for a period of time. Its exhausting. I suffer from asthma usually related to allergies since the age of twenty. I would appreciate some insight into the symptoms and problem.", "output": "Hi thanks for contacting Chat Doctor... Noted fluttering present in lower back... Let me know you kidney stone sometime can lead such symptom with some pain.USG done for it... Your respiratory examination esp. Auscultation must be done...as you have asthma... If rhonchi heard and complain of dyspnea then asthma. Should be controlled with using inhaler.... Second as you have fluttering to rule out arrhythmia like cardiac cause if chest pain associated then ECG or echo can be done. So get your physical examination with vitals and investigation done to approach your case. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello about one month ago I felt a lump in my left breast. I felt it about a week or so before my period so I thought maybe its because of my period. After my period it decreaed a little but its still there. I shoyld also let you know that about a year ago my right breast was hurting terrible and hurts whenever I m closed to my period. I visited my doctor and after doing various test he said that I had benign breast cancer but not to worry about it. I do drink a lot of green tead because I noticed whenever I drink it the pain in my right breast seem to disappear after a while. I will however like you to tell me what you think about the lump in my left breast. Added to that the partition where my left breast separates from my right hurts a litttle whever I pass my figures there. Can u please help me Thank you very much", "output": "Hi.1. What you are having (I would not use the term suffering from) is called benign modularity. This is a common problem having a hormonal basis and there is nothing to worry about. 2. Now I will tell you the way to feel your own breasts to confirm benign modularity. If you pick up the breast between the fingers, you will feel a big firm mass (even normally). And if you feel the breast with the flat surface of pulp of your fingers with gentle rotating movements, you will not feel that firm mass which you felt earlier; instead you will perceive a granular feel (similar to the feel of a gunny bag filled with grains like rice for example). The granular feel suggests benign modularity. 3. Remember while feeling the breast with the flat surface of pulp of your fingers if you feel a firm or a hard mass (irrespective of its size), then it is a cause for concern, and you must consult a surgeon at the earliest. 4. Regarding pain overlying the breast-bone, well, it has nothing to do with the breasts. Such pain is usually self-limiting though it may take some time (maybe months) to disappear. Try some simple symptomatic treatment like local application of a little Index (or any other similar ointment) followed by hot fomentation. In short, at present, you have nothing to worry about. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I slipped and fell on the ice last night. My left arm took the brunt of the fall, elbow and mid upper arm hitting two protruding brick steps. I had immediate pain in my shoulder, mid arm and elbow which turned into only moderate discomfort. However, there is pain in all three areas when I try to externally rotate my arm, try to pick up something as light as an iPad and lift my arm up,. Is there a possibility it could be broken? I dont see any bruising and only minimal swelling.", "output": "Hi, In my opinion i don't think you need to worry any minor fissures or fracture in the elbow will cause bruising and a recognizable kind of swelling with inability to flex or extend or Suriname or pronate your elbow joint some sort of movements will be extremely painful and sometimes can't be done. For my patients I recommend icing for the first 48 hrs, NSAIDs, arm sling, anti-edematous (swelling) Chat Doctor. I think your elbow joint mobility will increase as much as your swelling decreases thus the joint will have more space to freely mobile otherwise I recommend x-rays and MRI to exclude any bone injuries. Please consider a 5-star rating with some positive feedback if the information was helpful. Hope the above information helps you. Any further clarifications feel free to ask." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "After an exercise routine like running in a park for 30 min, my hands are generally cold rather than warm. Although a recent ECG taken indicated no harm to my heart, I always feel discomfort on the upper part of the chest which is mostly indicated to Stress by physicians. I continuous feel worried about my heart. For sometime now, I feel difficult getting sleep in the night and feel fatigue during the day? Do you think this has anything to do with a Cardio problem", "output": "Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. I will try to explain and give you my opinion. You should know that heart pains have some Characteristics. They are usually retro-sternal pains likes quizzing, tightness or Heaviness. They may irradiate to both arms, neck and jaw. Furthermore, they last from 5 to 20 minutes and may be associated with tachycardia, difficulties in breathing deeply, anxiety. Pains that last all day long are not typical and usually are not related to heart. Felling tired might be related with a lot of pathologies like problems with heart function, anemia, electrolyte imbalances, thyroid gland problems. In my opinion you should not worry about. Your symptoms are not related to heart problems. Even though, to definitely know what is the problem if I was your treating doctor I will recommend some examination like a cardiac echo to evaluate heart function and walls, a holder rhythm monitoring to evaluate heart rhythm, a street test to exclude ischemic heart disease. A full blood analyze to exclude anemia, thyroid problems or electrolyte imbalance. Only after this we can better understand what we are dealing with. Hope I was helpful. Best regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have several neurological symptoms and would like to know if there is a connection. I am a 58 yr old female. A lot of the symptoms started in my 20s; most are progressing at a markedly increased rate in the past few years, and affecting my work and life in general, to include: - Finger numbness/pain, since age 20 - worse in cold weather, wakes me up at night, makes typing, writing and carrying objects difficult; started dropping dishes lately. - Numbness/pain in feet, since age 30 - much worse now, cannot walk without shoes. - Right hip/leg giving way without warning, since age 56 - I stumble and/or fall. Some pain associated at top of leg. - Headaches, since age 12. - Migraines, since age 28 - several a month; can last hours to days; almost always starts in left temple. - Knee pain, since age 12 - severe pain when climbing/descending steps. Arthroscopic surgery on both knees in 20s and 30s. Can no longer play sports. - Tremor in right hand, since age 28; diagnosed as essential tremor - has progressed to both hands; more pronounced with movement, but has recently occurred during rest. - Head/neck tremor, since age 57 - recent onset. - Tourettes Syndrome, since age 9. Facial ticks and throat clearing. Not as pronounced since age 40. - Loss of balance and falling, since age 40 - much worse now at age 58. - Memory loss/fog, since age 55 - symptoms increasing. - Fatigue, since age 35 - symptoms increasing. Some days can hardly move for hours. - Depression, since age 35 - symptoms steady until age 55; decreasing. - Concussions with and without loss of consciousness, due to falls. - Leg cramps/charlie horse in calf and arch of feet, since age 12 - right and left. - 6 miscarriages, 3 live births, ages 24-31 - severe toxemia and per-eclampsia with all three pregnancies/births. - Sleep apnea, since age 50. - High blood pressure, since pregnancies.I have moved a lot across the US and overseas with my ob and it seems every new doctor with each move wants to start testing all over again (they wont use the results from another state/country) and I never get a definitive or continued diagnosis. I have been diagnosed with Lupus, Essential Tremor and most recently Parkinsons Disease. But then when I move, sometimes the new internal med or neurologist will disagree with a previous diagnosis. I am frustrated that the symptoms are increasing and want to know what is wrong.", "output": "Hi, Thank you for posting your query. I agree with you that a clear-cut diagnosis is difficult to make in your case, because you have multiple neurological symptoms, over a long period of time. In addition, neurological diagnosis is most often a clinical diagnosis. There is no \"test\" (blood test or scan) that can \"confirm\" the diagnosis. This is unlike say a kidney failure, which can be diagnosed by high creatinine or a heart failure that can be diagnosed by echocardiogram. This is one of the reasons because of which different neurologists would not agree on one diagnosis. Also, the neurological symptoms may not remain same at all times, they are different at different times. Symptoms also change with medications. However, the symptoms in your case are not due to one diagnosis, and multiple diagnoses would be made, which include carpal tunnel syn Chat Doctor. I hope my answer helps. Please get back if you require any additional information. Wishing you good health," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My father is 84 and last week went to see a doctor as he had blood in his urine . They wanted to do test for his bladder . His white cell count went up since he was told at 75 he had small trace luekimia. May be an infection but both the signs do not ring well with me. He has not had to be treated for his small trace as it was slow ...other than this he has and still is active and healthy. He told the doctor if it is a cancer he will let the course play out without treatment. Will they still call him with the results?", "output": "Hi and welcome to Chat Doctor, thank you for your query. They should call him of course, but I am not sure if this is leukemia if there is no evidence of blasts in blood. He should do more detailed work up by hematologist and then the right diagnosis can be established. It is questionable is there some treatment necessary at his age, but it would be good to know what kind of and is it leukemia at all. Blood in urine may be sign of kidney stone or reinfection, and he should see urologist for further treatments you good health. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have just discovered that I was born with smaller than usual heart arteries, no blockages thankfully but I have had angina for many years and high blood pressure, I am a 52 year old female, what can I do to improve my overall health. I am not over weight and work full time. Thank you.", "output": "Hello, I have gone through your query. Thanks for using Chat Doctor.First as there are no blocks in your heart arteries you should not worry about angina. Your pain may not be angina. Many a times uncontrolled hypertension may lead to angina. I suggest you to take Beta blockers to control your blood pressure which will take care of both Hypertension and angina. Your BP must remain below 140/90.you should follow healthy lifestyle. Salt and fat restricted diet, regular brisk walk for 30 min daily and stress life. Yoga and meditation too will help you best wishes Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a friend that just found out he has throat cancer.and has gone through 5 weeks of treatment.he has one week to go,but is at a stand still,cause the radiation has burnt him so bad from the inside out.his neck is burnt on the outside.is that Normal?", "output": "Hi, Thanks for writing in. Cancer of throat requires to be treated witChatDoctorbination of surgery, chemotherapy and radiation. In early cancer doctors suggest surgery followed by chemotherapy and radiation therapy. In later stage cancer there is radiation and chemotherapy treatment which works better. After radiation if the cancer is down staged then the patient might get surgery done. Radiation is a type of high energy treatment which kills the cancer cells. This is known to cause effects like skin and mucosal burns in the area of the target radiation. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am suspecting that I have anemia. I am always tired, I always crave ice and eat it, I have acne, I am very pale, my hands and feet are always cold and my head is always fuzzy when I get up/move rapidly after staying still, all of which I read could be caused by anemia. What do you think?", "output": "Tiredness and dizziness can be caused by low blood sugar/ low blood pressure/ or low Hemoglobin (anemia). Dizziness on waking up or sudden change in posture can be due to postural hypotension. Coming to your query, Nutritional deficiencies like iron/ VitaminB12/ folic acid. You can get a complete hologram to know if there is any problem with counts, also get your blood sugar and blood pressure checked to rule out the causes I have listed aboveRegards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI went for LSH & FSH test on 2 day of my periods. and result shows LSH -- 1.34 mlu/ml FSH - 0.81 mlu/ml Progesterone - 0.72 ng/ml Is everything fine with me i m really worried.Planning for a baby now after 3 months od D&C.", "output": "Hi, Welcome to Chat Doctor. You need other tests also, such as whether your tubes are patent, follicles are maturing properly and ovulation is occurring correctly, fibroid preventing conception etc. Your male partner also needs to be investigated including seminal analysis to see that every thing is alright. After the complete workup, if both you and your partner are Ok., then your gynecologist could try medicines to assist in conceiving." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was suffering from loose motions. Doctor prescribed Norment for 3 days. Motions have stopped but still the stools are liquidy and there is uneasy feeling in the stomach. How manny days one can continue to take Normet (Twice a day)? What are the side effects?", "output": "Hi, Nor met is commonly used to treat diarrhea, dysentery & gastroenteritis. It is usually given twice daily for 2 to 5 days. Generally it is well tolerated however its common side effects include abdominal cramps, metallic taste, heartburn, and flatulence. For stomach discomfort you may take an antacid and liquidity of the stools will subside over a period of time so continue taking it as prescribed. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 64 year old male who has been treated for high blood pressure for about 30 years. I am taking Labetalol, Ramipril, Hydrochlorothiazide, Amlopidene and Chlopodigrel. For the past year and a half I have been having the following symptoms - chest tightness, dizzyness, and nausea. These symptoms occur when I go from a condition of rest and begin to walk. They last 10-15 seconds and then disappear. Once they end I can walk for several miles seldom with a reoccurrence. I ve noticed them when I am on a treadmill and they usually begin almost immediately. While I am having them my heart rate increases rapidly, usually from low 70 s to around 95-100 in that 10-15 second period. My heart rate then begins to decline and at the same time the symptoms disappear. Usually I can continue a 2 mile walk without a reoccurance. The strange thing is I never have these symptoms when my stomach is empty but almost always will have them after eating. I have had 3 stress tests (all negative) and my doctor has me lined up for a heart catheterization next week. Since they only occur on a full or somewhat full stomach could they be caused by something like an ulcer or other stomach related cause? The feeling is very uncomfortable.", "output": "Hello, considering that age, hypertension are risk factors of a heart related issue and the Symptoms you describe can many a time referred as anginal pain, it's always wise to rule out underlying cardiac pathology. Also, treadmill stress test (TMT) is not the best test when the suspicion of heart issue is high. The sensitivity of TMT is around 75% meaning we may miss 1 in every 4 patients. However once the cardiac pathology is ruled out either by cardiac perfusion scan or catheterization, as you truly mentioned an underlying stomach pathology should be suspected particularly some reflux gastritis, the symptom favoring the same is that your pain subsides after the initial walk, and later you are able to walk for long time without any significant pain. A trial of it antacid like imperative 40 mg may be taken for 3 weeks before breakfast. However, as I would again say It's prudent to rule out underlying cardiac if any before considering alternative. Regards " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I dont know what is wrong. On Sept 11, 2014 I went to a clinic for what they said was just a cold. But they said something about high blood pressure and prescribed lisinopril. I had a follow up the next week and they said asthma. The Saturday after Christmas I went to another clinic they said pneumonia and prescribed a z-pak. I took it all and the cough seamed to be gone for 1 week then it was back. I went back to the clinic and the prescribed a stronger antibiotic. I finished the 7 day and a week later my cough is not gone. My insurance changed and my co-pay is too much.", "output": "Hello, Thank you for asking at Chat Doctor. I went through your history and would like to know more about you as follows: a. Your age & sex b. Did you have breathing difficulty for the first time or did you have such episodes in past? c. Do you have any known allergies, nose symptoms, etc.? d. What were all the symptoms during this episode? - nose congestion, fever, running nose, sneezing, cough, wheezing (whistling sounds from chest), breathing difficulty, etc.? e. Do you have any digestive complaints? f. Do you have any other medical conditions? g. Do you have to take any medicines on regular/frequent basis? h. What was the blood pressure when it was measured? What was your previous blood pressure? Above details would help me to know more about you and therefore to make more specific suggestions to you.2. At present, from your given history, it is not possible to decide whether it was an asthmatic episode or pneumonia, why you required antihypertensive Chat Doctor. 3. For patients with first time detected high blood pressure without evident reason, I usually ask them to get the blood pressure measured repeated at least twice in order to confirm that he/she is really hypertensive.4. To decide about asthma or pneumonia, more details are required as asked above.5. It is possible to have cough lasting for a few weeks after recovery from an infection, even after resolution of other symptoms such as fever, breathing difficulty, etc. For such cough, I usually suggest my patients regular warm saline gargles and avoidance of exposure to dusts, smokes and air pollution as much as possible. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you a quick recovery and the best of the health ahead. Thank you & Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor, I have a question thats been bothering me for quite a while. I exercise often, but during exercise and for a while after its hard for me to find my pulse on my wrist or neck, is this normal and caused simply by the highest blood flow or something like that? I have to go to the gym tomorrow and this just bothers me. Thank you in advance.", "output": "Hi Heather is nothing wrong with you just stop searching for your pulse, sometimes it's a matter of practice to localize the pulse. However, when we exercise the muscles swell up due to increased workload as well as due to increased amount of blood flowing through them due to which sometimes pulse cannot be felt. Just continue with your work-out and stop bothering about it till you don't feel any discomfort. Good Luck" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "A friend of mine has recently developed inner voices. This friend has said they are people they ve known deceased and present. My friend says the voices are people from our community and that they are plotting harm to my friends family. Also my friend thinks that they are a chosen one to be a shaman. Also my friend has developed this hearing every since started smoking meth.", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. These could be signs of meth addiction, rather substance abuse. Another angle is of paranoid type of schizophrenia. Correct diagnosis and perfect treatment should cure him. But you should advise him to visit a psychiatrist for better diagnosis as well as differential diagnosis and proper treatment. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband is 54 y/o. He has had symptoms of shortness of breath and headaches. We determined the source of his headaches were blood pressure related. He has since been put on Lisinipril 20 with a diuretic. He has problems staying hydrated due to his work. It is usual for him to have cramps at night in his legs but drinks alot of gator aid and water throughout the day. The last few nights his legs have cramped consistently resulting in no rest and he is using the bathroom constantly. He continues to have shortness of breath and at this time his bp was 102/73 and his heart rate is 119. He had a heart scan this morning whicChatDoctore back clear. He is re-hydrating today and the doctor has called in the same medication without a diuretic. He has shortness of breath and a headache. I have explained that these are symptoms of low blood pressure. Any thoughts about this.", "output": "Hi, Have you got him examined? If everything is fine from cardiology side then this could be related to lung or blood. Is his hemoglobin normal, have you got his chest x-ray done, does he have any wheezing, what are the factors which increases or decreases shortness of breath, does he smoke, have cough with sputum production, is having to exposure to particulate matter at work, these are the multiple questions I want to ask. We need to rule out, his lungs as a cause of shortness of breath. So get his x-ray and if needed CT scan done. Get back with the answers of the above questions and with exact reports if possible. Till then follow healthy lifestyle like exercises, yoga and avoid smoking if any. He should protect himself at work if there is any exposure. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was recently diagnosed with hepatitis C. Im trying to find a doctor who can treat me and hopefully start a Harvoni regimen . Im moving to Salem MO in two weeks from Birmingham AL. I have Medicare & Medicaid insurance . Christopher Michielsen . (573)705-0566 . YYYY@YYYY .", "output": "His m Sorry to hear about your diagnosis. First you should be Double sure that you are HCV antibody Positive and serum HCV RNA test Positive. Then The standard treatment according to BHS Guidelines is T. INTERFERON for 6 months (once daily) along with T. DASABUVIR for 6 Months (twice Daily)Every month you should check your Hemoglobin levels, and it should be not less than 13 g/DL. And I Don't know whether these Chat Doctor. Happy Recovery" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Long back I had fungal infection & still is. But because of very often fungal infection, I used condoms. But once I used cherry flavoured condoms & then my penis had infection, blisters on it. No pud formation it only watery liquid. Doctors treated for herpes . I changed doctors thrice. Finally I went to Government hospital, &. Nartated my experience & shown the earlier treatment. He told me it is not herpes but allergy of condom. He gave treatment & I was cured. Now I want to test if I am carrier of herpes. What test should I get done. Thanking you.Yours sincerely Mr Vijay Dawri.", "output": "Hi, I have read your question, and understand your concerns. Answer: Usually to detect herpes virus, swabs are taken from active lesions. In asymptomatic patients (like you) serological (blood serum) can be tested to look for herpes status. This may not provide valid information, and therefore it is not recommended by many guidelines. The serological testing is generally reserved for pregnant patients. Hope this helps. And please do not hesitate to contact me for further clarification." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been having rib pain on my right side for 4 months. It is better then ever but still hurts when taking a deep breath and is slightly tender to touch. Previously it was very painful when. Lying down or taking a deep breath. It came on after a bad cough, doctor suspected fractured rib but X-ray showed nothing. He said it could still be a fracture. Can it take this long to heal , thanks", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Four months are too long, if it was rib fracture it should have healed by now. If the chest pain is disturbing your routine activity then repeat a chest x-ray done to rule out any lung infection, or it could be just a muscle pull. Do not lift heavy weights. Also get an ECG done just to rule any cardiac cause.Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I HAVE HAD A REDNESS TO MY SKIN. I WAS TOLD I HAVE CELLULITIS,IT GETS ITCHY AND SOMETIMES I CANNOT STAND IT.I AM GOING TO SEE AN ALLERGIST ABOUT IT.I WAS ALSO TOLD IT WAS A BLOOD CONDITION.IS THIS TRUE AND CAN YOU HELP ME PLEASE?SINCERELY,ANNE-MARIE", "output": "Hello, Welcome to ChatDoctorCellulitis is a bacterial infection involving the skin which specifically affects the dermis and subcutaneous fat. It is commonly caused by streptococci and Staphylococcus aureus. Elderly people, immunodeficient people and diabetics are particularly vulnerable to this condition. Cellulitis is most often a clinical diagnosis. As in your case, doctor has told you that you have cellulitis, seeing an allergist won't help much. I would suggest you to take a full course of antibiotics after consulting your treating doctor. Hope you are happy with the answer. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I recently just had unprotected sex and I took plan B three days after. I ve been peeing a lot and I ve been unusually hungry and my stomach growls every hour. My breats are a little tender. My health teacher said that could be some side affects of it. But I haven t been cramping and I m supposed to get my period tomorrow are those signs of the pill?", "output": "Hallow Dear, Plan B pills contain Progestational medicine. Progesterone is known to cause smooth muscles relaxation. This may lead to relaxation of urinary tube resulting in frequent urination, relaxation of intestines leading to bloating, flatulence and constipation. Progesterone does cause engorgement and tenderness of breasts. Moreover, these pills has following after effects for which you need not be worried:1. Few days after the pills, some amount of bleeding for a couple of days. 2. Following immediate periods may get delayed by few days to a week or so. I hope this provides you the required information. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my dtr has had dizziness, confusion, says she feels like she is getting off a ride at the fair that spins her around. She went to neuro dr yesterday sp er visit, dr says her liver enzymes are very elevated. She went back and checked her past 2 years labs and her alt/ast were around 19. Has a hx of JME, POCOS, on synthroid and restarted yeaterday on Depakote. Any relation between liver elevation and dizziness? Says the worst thing is turning her head side to side.", "output": "Welcome at Chat Doctor I have gone through your query and being your physician I completely understand your health concerns. There is no significant relation between the liver enzymes and dizziness. For dizziness, she should be seen by the ENT surgeon along with the NEUROSURGEON, For raised liver enzymes there is need to do the workup so that cause can be found. Meet your physician. Meanwhile, stay calm Get well soon Hope your query is adequately ad Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I went to the doctors last week with what was diagnosed as an ear infection, I was given flucloxacillin antibiotics which I admit, I have not taken properly, this week the pain seems to have transferred to the other ear and today I have woken up with severe pain in my throat and I cant talk at all without pain. It hurts when I swallow and I have had to resort to sign language as the very act of talking pains in my ear and throat. I have an interview this morning but fear this will not be able to go ahead.", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have throat pain and ear infection which can occur due to bacterial as well as viral infection and there is other factor also that is acid reflux, which also give such symptoms. I would suggest you to consult ENT specialist if not getting relief with present medicine for proper diagnosis like swab test and viral culture test. Doctor may order stronger antibiotics, antiviral (acyclovir) along with decongestant and expectorant. For now do Betadine and warm saline gargles and apply Chat Doctor. Avoid taking cold carbonated beverages and avoid taking oily, fried and spicy food. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my blood pressure continues to be elevated and my doctor has increased my medications several times. the bottom number is in range but the top number will not come down. sometimes it is lower and sometimes not. I am 54 female 5 foot 7 and 200 pounds. Have taken blood pressure medicine for 20 years.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, in my opinion, you are mostly having systolic hypertension. Only antihypertensive Chat Doctor. You need to follow certain below-mentioned lifestyle modifications also. 1. Strict salt restrictions in diet. 2. Avoid oily and fatty food. 3. Start using sunflower oil in food preparation. 4. Do regular aerobic exercise like running, cycling, swimming etc. 5. Avoid stress and tension, if you are having stressful life. Don't worry, your blood pressure will control with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have these weird spots on my hands. They are small and starting to form like small clear heads. They itch a bit. At first it was only 3 or 4 bumps on one hand but now theres like 10 and its on both hands. tops and bottom.Theyre tender to the touch as well. I have been sick with a fever, nothing more than post nasal drip and sore throught. What could they be?", "output": "Hi, Welcome to Chat Doctor. Based on the description you have mentioned I am suspecting either an allergic reaction to some chemical or could be a condition called herpetic whit low. Try to correlate any incidences where you have come in contact with any particular chemical or Chat Doctor. If you have, you can take Tab Benzine 10 mg twice daily for three days. Herpetic whit low occurs due to exposure to a virus called herpes simplex 1 which usually causes oral lesions during fever. These are also called fever blisters. If you have had fever recently and if you have had fever blisters, then there is a chance of you getting herpes lesions on your hands due to direct contact. I suggest you get a confirmation of diagnosis by a skin specialist. If he confirms herpes you can take Tab Ocular 200 mg four times daily for a week. The lesions will heal within a week to 10 days. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my baby is 12 months old he is very happy and healthy, we are in tenerife at the moment and a rash has appeared on his torso. he does have quite sesitinve skin and im not concerned it is anything serious i would just like some suggestions on what it is? it looks a little like a heat rash or prickly heat?", "output": "Hi... Thank you for consulting in Chat Doctor. By what you quote it should be an urticaria or a simple skin allergy. You can use HY Chat Doctor. Most important thing to be remembered is that it has a propensity to recur (called as second crop) within 10-14 days. If this happens, you can start using the same medicine, but I suggest you get the kid evaluated with your pediatrician. But... Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doctor, I am a 23 yrs. old girl. I have wide gaps in my 4 front teeth of the upper jaw and small gaps in the teeth of the lower jaw. Kindly suggest me if I can opt for invisible braces to close my gaps and what s the estimated duration and cost for the same. Also let me know if teeth bands are safe enough to close the teeth gaps.", "output": "HelloWelcome to ChatDoctorI would like to tell you that duration of orthodontic treatment depends on the case & the age of patient. The correct time of treatment is teenage period because that time we get good results as that time bone is growing & tooth alignment is easy. Still it takes around 6 months to 2 years depending on the case. For further treatment you need to consult your orthodontist for proper diagnosis & treatment planing. Take Disregards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor, My Name is Vishal. Since three days my left jaw is paining a lot. I am not able to eat any food items even the biscuits/chewing gums. I dont know what might be the problem. Recently I was affected with cold, cough and fever. So I have been taking DayQuil and NyQuil pills for 2 days. All the three have been considerable reducing. Can this be a reason for my Jaw pain (left). what should be the immediate step I should follow. Please help me. Thank you for considering.", "output": "Helloo...Vishal ...read through your query....accordingly I must say it can be due to either cold and sinusitis or due to caries in the left teeth or if you have no wisdom tooth till now it might also cause pain...nothing to be worried...meet a dentist and get a X-ray get it relieved in the meantime you can do salt water gargle as many times as possible do steam inhalation morning and night take antibiotics(amoxicillin)as prescribed by your doctor...stay calm and cool...be happy and meet a dentist and based on clinical condition get it treated....hope your benefitted something from this reply.have a healthy day!!!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here...I am 25, and married for 3 yrs without an issues, but for now no menstruation,ovulation and pregnancy so i was advise to take clomiphene citrate pls will that makes me to conceived?", "output": "Hello dairy understand your concerns would suggest taking treatment under advise of gynecologist after proper investigations. I would suggest undergoing reproductive hormone analysis, USG scan, ovarian follicle study, HSG test for better management. Clomiphene increase chance of pregnancy by 50%. It increases FSH/LH level and cause maturation of follicle and rupture of follicle. Along with that you can also use metformin, ova care plus and Chat Doctor infection. After ovulation progesterone pill will help in implantation and early pregnancy. Avoid stress, take healthy diet, Chat Doctor. Hope this may help noncontact further if follow up needed Best regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was in the ER for an allergic reaction to shrimp. They released me with Prednisone & Benadryl get rid of the swelling in my tongue. It s 4 days later & my tongue is still swollen and now my lips are too. I don t think I should take the Prednisone.", "output": "Welcome in Chat Doctor. In reference to your query regarding allergic swelling of your tongue and lips, which is still persisting even after taking steroid (prednisone) and Ben Chat Doctor. Though you got relief but still swelling on tongue is there. As you said only 4 days have passed, so I think you may continue the treatment for three to four days with tapering dose of prednisone. At the same time you should avoid contact with shrimp. Thanks for consulting Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "DEAR DOC, SIR MY AGE IS 24,FROM 3 YEARS I HAVE PAIN IN MY PANIES AND WEAKNESS.BEFORE 3 YEARS I WAS OK BUT SEDDENLY I AM SUFFERIN FFROM THIS,I HAVE SHOWN TO MANY DOCTORS THEY ARRE TELLING THAT I HAVE SYCHOLOGICAL PROBLEM,BUT I DONT NO ...SIR I MARRIED LAST YEAR ,", "output": "Hello, Yes, it could be due to anxiety, but first I need to do simpler things like improve your eating habits, do regular strengthening exercises and take your daily vitamin supplements of D, E and C. Wear loosely fitted undergarments. If all these measures fail then I suggest you to visit your doctor and have some tests to see if your hormones are okay and how is your sperm count. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a infected tooth widom tooth and it hurts so much sometimes and I can feel a pulse below it in my gun an it makes my other tooth next to it hurt. I have been the dentist and they tried pulling it out but it was to painfull when they tried even after 5 or so needles I am just wondering if I can go to my GP an ask then to sent me to a specialist or a private dentist to be put under anesthetic because I wont go near any needles no more?", "output": "Hello, thank you for sharing your problem with us. When a tooth is infected, and it is painful, and it means there can be an abscess (collection of pus) below the tooth, and because of this abscess the anesthesia takes time to become effective, and also sometimes wisdom tooth are placed diagonally or obliquely which makes it difficult to be removed. It will be better for you that you should visit an oral surgeon as they are specialized for this kind of cases as he will first take x-ray, diagnose the position of tooth, and then he will manage to take out the tooth." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My FBS (Glucose, Serum) is 124; Glucose Post-Prandial Plasma is 192; and HbA1c (H.P.L.C technology) is 6.8%. Am I diabetic ? Should I take medication or can it be controlled by diet/lifestyle changes ? Thank you for your kind attention - A. Sen Gupta, Bangalore, India.", "output": "Hello Sir, Thank you for your query. I understand your concerns. Based on the reports, you do have diabetes. For good glucose control your HBA1C should be less than 6.5%, your fasting blood glucose should be less than 110 mg/do and your 2 post meal glucose should be less than 160-170 mg /DL (provided you are fit and fine and do not have any other debilitating illnesses). I am not sure of your age. As your sugar levels are borderline you could try 3 month trial of diet and exercise alone to control your glucose levels. After 3 months measure the blood tests again. If they have reduced then you can continue the same healthy lifestyle changes and keep checking your blood glucose levels every 3 months. If your blood glucose levels have not changed or have worsened after the 3-month trial of diet and exercise then you need to start medication along with your lifestyle changes. Healthy lifestyle tips:1) Exercise-moderate exercise like brisk walking, cycling, swimming etc. - for at least 45-60 min every day or at least 5 out of 7 days in a week.2) Diet: Avoid sugary food items and sweets, cookies, chocolates etc. take plenty of vegetables (restrict potatoes). Take whole grains products like wheat bread, oats, millets, brown rice etc. Avoid refined /plain flour items. You can take 2-3 servings of fruit(avoid mango, jack fruit, custard apple, chick). Take adequate protein (eggs, pulses, non veg- but restrict mutton). Can take 5-7 nuts like almonds, cashew nuts etc. Restrict saturated fats like butter, cheese, paneer etc. 3) Reduce weight if you are overweight. I wish you well. I hope this answer has been helpful to you. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here... I have a little black bump inside my lower lip, its raised, starting to change a little over the last two months in size. None of the photos I see online are close to what this is. Is it a type of cancer?", "output": "Hi Dear, The lump or swelling could be a mucocoele that is a cystic lesion arising from minor salivary glands...nothing to panic. As per your complaint the lump over the lower lip can be due to inflammation as well as HEMATOMA formation because of some minor injury. The hematoma is formed due to injury to the small blood vessels leading to spillage of blood into soft tissues as well as there is release of inflammatory exudate and overgrowth of fibrous tissue and appearance of inflammatory cells at the site of injury. You should do alternate hot and cold packs over the lump. Apply Thrombophob gel from outside as it helps in faster dissolution of clot. You can once consult an oral pathologist for evaluated to rule out the nature of lesion as in a few conditions surgical removal can be done. Avoid any cosmetic product for now, because lump can also form due to allergy to cosmetic products. Hope your concern has been resolved." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I went for my 24 week check up yesterday. The doctor said my baby girl s liver in enlarged. She said it is normal for the liver to be a bit bigger and that it will grow into size . We will just keep an eye on it as it is a bit larger than the norm. What causes this? What can I do, eat drink that can help? Is it of great concern? I m very worried!! Karin", "output": "Hi dear, I have gone through your question and understand your concerns. Enlarged liver in the fetus can be due to inborn errors of metabolism, viral infections like cytomegalovirus, toxoplasmosis, or can be due to any congenital anomalies in the liver. I will suggest you to consult a fetal medicine specialist to get a detailed anomaly ultrasound and amniocentesis, if required and get treated accordingly. Hope you found the answer helpful. Wishing you good health. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ok well I am always really nervous no matter what i do. even talking to my closest friends i get nervous. when im in big groups of people i lock up and cant talk. at parties, in class i can never do anything because i am always so nervous. i read alot of things about social anxiety disorder and all the symptoms seem like its what i have. im 19 now, but when i was 16-17 i used to throw up while on my way to see my girlfriend and even on the phone with her. i cant meet people now because usually i just stay home since i get so worked up and worried about going out. and i cant use public bathrooms. i need help but im not really sure what to do", "output": "Happens when you use the computer/internet too much. Are you a gamer/nerd? Try limiting your time on the computer, go spend some time outdoors and just hanging out with your friends. The problem is you think they expect something from you, when they really don't. They just want to be your friend and have someone to talk to - even if you aren't that smart and are nervous of saying something stupid, that's fine just realize no one is perfect.\"b\"I think I was like this too when I was younger. I played RuneScape all day and felt nervous when talking to people because of those awkward silences where I didn't know what to say. After a few years of college and a better education, small talk comes more easily. Also, make sure you stay up to date with news and shit, and you will have plenty to talk about. You just gotta get involved with something and do your best to enjoy it." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hai sir, my son 18 years old lives in India suffering with low back pain & right leg nerve and also foot. One of the doctor said that it was sciatica pain etc., medical terms. Please advice me what to do? if any one being a doctor of concern responds and give sound suggestions it will be good for my son. Thanking u sir.", "output": "You have explained very fewer symptoms and a diagnosis can not be reached on limited information. Let's consider it a sciatic nerve impingement in lower back as told by your doctor. The treatment will be:1. A course of Anti-inflammatory medications2. Hot water fomentation.3. Strengthening exercises (isometric) for lower back4. Some stretching exercises5. Rest, in case exercises are contraindicated.6. Epidural injections to relieve pressure on the inflamed sciatic nerve." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "on my foot suddent pain started after consulting doctor he told it is injury and there is blood clot which is to be remove, i have done but again after 8 day i develop same but other side of feet, again doctor remove blood clot.acording to you what is my problem.I am a nondiabetic,nosmoking,occasenally i drink.", "output": "Hi, dairy have gone through your question. I can understand your concern. You are thrombophilia person. You have high chance of blood clotting. Furthermore, you should go for thrombophilia profile. Also check for vitamin B12 and homocysteine. You should take prophylactic warfarin and regularly monitor your prothrombin time and INR. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, i am a female aged 54 and i am experiencing occasional and seemingly random pains in the middle of the left hand side of my back. this is followed by nausea, visible sweating and fatigue. when this passes i feel completely normal again. can you help?", "output": "Hi, Thanks for your query. After going through your query I came to know that you have left side back pain with sweating and fatigue. I will advise you to rule out heart related cause by visiting cardiologist because pain is with sweating, and you feel completely normal after period of pain. You are also advised to rule out abdominal cause by sonography of abdomen. During pain period you can take analgesic such as diclofenac. You can discuss with your treating Doctor about it. I do hope that you have found something helpful. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My LFT Test Results: deranged LFT: Bilirubin , total 9 ; Alkaline Phosphatase total 73; Alanine Aminotransferase 111 What does the report indicate ? What is the condition?", "output": "HelloYour findings suggests increased bilirubin and SGPT level. Increased SGPT may indicate liver injury. It may be due to many reasons like hepatitis, alcohol intake, altered lipid profile, medicines,autoimmune causes etc. It may be due to hepatitis in your case as bilirubin level is also raised. You may need few more investigations like routine hologram, random blood sugar, lipid profile, viral markers, urine RE/ME, ultrasound of abdomen. I suggest tablet ursodeoxycholic acid 300 mg twice daily for three months to my patients. It helps in regeneration of liver cells. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. My 15 year old has asthma. She is experiencing tightness in her chest, rising fever, and a cough with yellow phlegm. It started today. Should we treat her at home or wait until tomorrow to see if she improves? Didn t realize there was a charge for a response. Never mind. I will follow my instincts.", "output": "Hello, Thank you for asking at Chat Doctor. I went through your daughters history and would like to make suggestions for her as follows:1. As she has fever and yellow phlegm, I would suggest her to start antibiotics like amoxicillin or azithromycin.2. As she is a known asthmatic and has experiencing tightness in chest, I would suggest her to use albuterol inhaler as rescue inhaler, which will provide her relief. However, if her chest tightness or breathlessness does not improve with rescue inhaler, I would suggest you to get examined by a doctor immediately.3. Please continue regular medications for asthma, if any.4. If she has breathlessness any time, please contact your doctor immediately. Also, contact your doctor immediately if - fever does not respond to paracetamol, very high fever/rising fever, any another new symptom develops, etc.5. For relief of fever, I would suggest her to take paracetamol if temperature is more than 101 F.6. If she has additional nose symptoms like running nose, sneezing, nose congestion, etc., I would add levocetirizine + montelukast to above treatment.7. Please give her rest. Make sure she takes adequate amounts of liquids during day to maintain HY Chat Doctor. 8. Please avoid exposure to dusts, smokes and air pollution as much as possible for her. Hope above suggestions will be helpful to her. Should you have any further query, please feel free to ask at Chat Doctor. Wish your daughter a very good recovery and best of the health ahead. Thank you & Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi , my son is 3yrs old , one week before we went on vacation to kashmir, at the same time and later on coming back , he suffering from loose motion like mucous in motion, already shown to doctor, by not getting the good result.what to do ? pl. suggest.", "output": "Hi... Thank you for consulting in Chat Doctor. It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, 3 days back I develop very tiny small blisters in mouth , Today morning I saw them turned white in color, look like small patches like tip of pimple.They are not very painfull but they cause some in comofort.I am really worriedPlease adviceshould I meet my dentist or I should meet another specialist?", "output": "Hello, Do not worry and try to rinse the area with warm salt water. Avoid extreme temperatures, spicy and acidic foods. Take some anti-inflammatory medication and try a gel with endocrine to control discomfort. Keep the area clean and give a chance for healing to occur. See your dentist if continues or gets worse. Allow a week, but make sure to schedule a routine dental exam if you are not up-to-date on your dental visits and report all symptoms to your dentist. Possible causes include trauma such as biting your cheek, hot temperature burn, allergic reaction to food or change in products used. You may have a mouth ulcer. These can be viral, bacterial or fungal. Your dentist can best determine cause with a clinical exam. Thank you for your inquiry. I hope of feel better soon." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a bump on the back right side of my tongue. It has been there for about four weeks and from time to time seems to have a white head/center in it. It only hurts if I bump it or once in a while it will leak a fluid. Can you tell me what it might be?", "output": "Hi, thanks for sharing your health concerns with Chat Doctor! If I were your treating Doctor for this case of TONGUE bone lump, I would come up with only one and one possibility and that is a cyst with recurrent infections! I think not to worry much about this but get examined by a surgeon for confirmation and potential surgical removal! Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. Okay so I had strep throat back at the end of December and I got amoxicillin and I forgot to take like the last 2 days of it so it had come back in the beginning of January and I never went to the doctors the second time because we had no insurance. Then it came back AGAIN mid January and I went to med express and they diagnosed it as tonsillitis and gave me some pills & steroids for swelling. Well guess what its back AGAIN!!!! Ive had it another time between then too. Im miserable and it hurts to swallow and speak 24/7. Im weak and my ear hurts. I have no appetite and my tonsils look awful. Ive been taking cough drops, drinking tea, taking aspirin, resting, etc but nothing seems to work. And it keeps returning. Its a bacterial infection at this point. Am I going to have to get my tonsils out? Id rather not. What do I do? Is there anything else I CAN do??", "output": "Hello, First I want to know have you done an antibiotic-gram which shows which antibiotic is best to use. And then you should use the antibiotic for 10-14 days. After that re-control with another throat culture. About getting your tonsils out I will say that this is a solution when you have more than 6 episodes of tonsillitis a year. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Sir/Mam I am XXXX from delhi having Allopacia Areata on my face Doctor suggest me to take..Betnesol forte but i use Betnasol only,Tugain 2%,Momate creamand VB7 hair. These medicines are enough to beat Allopacia or not? How much time it will take to recover?", "output": "Hello, I have gone through your query and I can understand your concerns. Alopecia errata (AA)is a kind of spontaneous hair loss and its cause is unknown, Some researches suggest the possibility of autoimmunity as a cause. If the hair loss is patchy and affecting a small area, a spontaneous remission can be seen in about 80% of patients. But it takes more than a year for complete remission. So you can opt for a wait and see approach in case of small patches. I would explain briefly about various treatment options.(1) Topical steroid like Benson can be started as first line treatment.(2) Topical minoxidil (Tu gain) is less effective when compared to Benson.(3) topical retinoids like retinoid is effective in about 50% of patients. You are now on combination of steroid and minoxidil, and it will provide cosmetically acceptable results in few months. So we could say that you are now on best possible medicines and I suggest you to wait for few months. It takes around three months for satisfactory results. If this treatment does not show satisfactory results you can go for advanced methods like photochemo therapy and hair transplantation. Your dermatologist will guide you accordingly. Wishing you good health. Regards. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had a Percocet addiction for 35 years and have had many Dr.s in that time span. I was up to without exaggeration, eating 240 10mg p s, 98 30mg oxycodone pills, as well as an assortment of 5mg pills which were always at my disposal. I have cancer and have severe back injuries but along with the p s I also had monthly access to 240 2mg xannax pills which after awhile Ihad no problem eating all of the above each month and would look for some more. I died 4 times in a 6 year span due to double pneumonia which the Dr.s told me my medications were playing a large roll in this. When I was 16 I became an atheist due to my brother dying, he was my favorite and I became very drug dependent to kill the pain. This lead to my later addictions and no matter what I tried I could not escape their grip.The last time I was in the hospital I said Lord I do not know if you are real but if you are I am begging you to open my heart again to you and I need your help or this will probably be it for me when I leave the hospital, I have had enough, and this is only the drug portion of my life I would not wish the things and amount of death I have had to witness on anyone. I am the last of all my friends left alive and I am 53years old. Over 40 friends have passed on, 2 of which I grew up with from the age of 5, others just would not listen. I lost 2 older brothers, 1 my 1st year in highschool the other 8 years later of an overdose. Needless to say ptsd, depression and other problems haunted me until I did as many drugs as possible to bury the pain, but demons only stay buried so long which I found out the hard way. tiny2882@comcat,net", "output": "Respected user, hi I evaluated whole long query in total details thoroughly.* Now only options left for you is holistic healing with herbs & other things.* Current respiratory details & status are not mentioned with symptoms to figure out for the pneumonia, but for mental condition I can say that only & only thing which can help you to any extent is very deep meditation sessions on highly regular basis 2-3 hours of dedicated YOGA daily which will give your inner soul & subconscious mind the level of peace you are lacking at present. Hope this helps you. Welcome for any further assistance. Thanks for using Chat Doctor .com & giving me an opportunity to assistWishing you a healthy life ahead. Regards dear take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband was exposed to a large amount of mold cleaning a duct, now he is sick about a week after doing that. Dr s keep saying he has acute bronchitis. Now his liver and spleen are enlarged found out when they did a ct scan of his lungs and that showed no fluid in his lungs. Can t seem to get the doctors to explore this possibility but they can not give any other explanation.", "output": "Dear spleen is a reticula endothelial organ. And it has few important function one is synthesis of antibodies and removal of antibody coated bacteria from the circulation. So increase in these function that happens in sickness may result in splenomegaly same thing is with liver also has cells that act as part of reticula endothelial system, so there will be some enlargement of liver whenever there is any infection in body. And as the infection will resolve it will be become normal again in size.so we can say its bodies normal response against infection. No need to worry about that if they have mentioned only hepatosplenomegaly only. Hope this will help." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Everytime I use bar soaps, I break out in hives or cases of severe back-ne. It doesn t matter whether they are scented or not, I always have some sort of reaction. Liquid soaps, however, even if they are heavily coloured/scented, don t break me out at all. Could I be allergic to something in the solid soaps? Could it be lye, or is lye in liquid soaps too?", "output": "Hello friend, I am a Homeopath answering your question through Chat Doctor. Soaps including bar soaps are a common material we use in our daily life. When it started to be your enemy is not mentioned in your question. Surely there will be a point of time when it all started. Now your duty is to find out from which anecdote this allergic reaction started. Then you will also find that it was after a particular conflicting incident in your life that this allergic changes started. This must be related to some unexpected shock, a separation, death of some loved ones etc. prior to the onset. All allergies have usually similar connections with the mind also. Unless this is brought to light, your exact mental make up cannot be understood. In Homeopathy, we take into consideration you the mental, physical and general symptoms to find out your constitutional remedy. My advice is to approach an expert Homeopath at the earliest. In Homeopathy, we need not even avoid the material which causes allergy. While continuing contact with bar soap itself, the sensitivity is corrected. With best wishes for curing your problem through Homeopathy," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have gallstones and medicine for it. yesterday i took it and it did not stop the pain. i then drank some milk and emptied my stomach of all its contents then the pain went a away and i went to bed. now today after eating three spoon fills of my lunch and taking my medicine the pain came back and i threw up again.", "output": "Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. The only permanent solution is surgical procedure., in acute phase for symptoms relieve you need to take plasmolytic, avoid fatty food and rest. In case of progressive pain, go to ER. But generally there is no need for urgent surgery. You should do it electively and till that need to avoid fried food, carbonated Chat Doctor. You should eat more milk products, vegetables and boiled food. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am a 58 year old male, over the last couple days/weeks i feel nauseous all day long. its hard for me to eat and drink because i feel like im going to get sick all day long. i had recent blood work done and everything came ouut great, what do you think my problem is and what can i do to fix it?", "output": "HiT hanks for your query. Based on your query, my opinion is1. Nausea and loss of appetite are vague symptoms and difficult to point out at the exact cause as there are many conditions which can cause them.2. If your blood workup is fine, then get an ultrasound of abdomen done to find out for any gastrointestinal causes for your concern. It will help to rule out malignancy of git. 3. Sometimes gastritis and peptic ulcers can cause these symptoms. It's important to consider them as some of differential diagnosis.4. You can try taking one course of antacids with antiemetic after discussing with your consulting doctor and then Get an endoscopic examination to rule out peptic ulcer.5. Meanwhile, try to take short small feeds which might motivate you to eat. Take lifestyle changes too. Hope this helps. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m 59, female, had gallbladder removed 2 summers ago. My liver started with hep c now I have cirhosis of the liver. My edema of , lately left me swelling of my legs and feet more obvious on my left and continues. I had a home injury which is leading to a rotary cuff repair soon. Since my last visit about July 31 I have been swollen even a distending stomach. I don feel like eating much but I try. Is there any comfort I should try before the clinic opens? Done.", "output": "Hello, Thanks for posting on Chat Doctor, There is not much you can do at home if you are having complications of cirrhosis (swelling of legs and abdomen/ASCIIs) besides avoiding taking in too many fluids (there is need to reduce fluid intake) and also reduce salt intake. These are potential sources of fluids and since you are suffering from body fluid retention, it is best you avoid taking more until medical intervention can be done. Taking care of your liver cirrhosis can prove to be tough, and you will have to get through a lot of treatment sessions just for temporary relief. You will have to exercise patience and acceptance of your condition. If you are having poor urination, then you might also be having an associated kidney diseases. Hope you stay well until the clinics do open. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My GP doctor prescribed these meds for high blood pressure range average 153/78. I am healthy 75 years old. Your opinion on safety of all of these...Olmesartan 20mg,,amlodiline besylate 10mg,metoprolol tartrate 50mg,triamterene 37.5/HCTZ 25mg. I am concerned about tak g all these. Some are new prescriptions.", "output": "Hello!, Would agree with you on the fact that considering your blood pressure values, there is no need to start with a lot of Chat Doctor. For this reason, I would recommend starting just with Metoprolol and Losartan and see if your blood pressure will normalize after a week. If after a week your blood pressure values are still high, I would recommend adding amlodipine 5\u00a0mg to your therapy and increase the dose up to 10 mg after a week, if high blood pressure values still persist. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am Nurul Haque from Bangladesh, my wife Ms. Nasrina Haque is suffering for the following, pls give me a better suggestion:-Investigation : Anti-HCV Patient Value : 2.536 Cut-off Value : 0.155 Interpretation: Positive (23)Method: ELISA Treatment : Injection-Peginterferon alfa & Epoetin Beta", "output": "Hi welcome to Chat Doctor ... You are strongly positive for CV as per your ELISA report... For that you are given anti-viral medication to suppress viral load... Take more fruits and less fried food. Take rest.... Green leafy vegetables, sugar cane juice, apple, avocados are good for your condition. Avoid alcohol... You can take one tsp crushed carom and cumin seed with water daily... Regular follow up done in your case to look for chronic case... Take care Hope this will helpConsult gastroenterologist for examination..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband was diagnosed at Mayo Clinic, about twenty years ago, with Hereditary Spastic Paraparesis. He has been troubled with kidney stones for longer than that. I understand that there is a correlation between the two. I am looking for a doctor who can treat his condition. I live in Northern Indiana, and there are no doctors in this area who even knows anything about his disease. I am willing to travel. I just need some treatment options.", "output": "Hello and welcome to Chat Doctor, A long history of kidney stones along with hereditary spastic para paresis may be related to each other. The spastic para paresis can affect the smooth muscle of the bladder also. Retention of urine for long periods of time can cause infections of the urinary tract and recurrent stones. You need to undergo a couple of investigations. A urine examination is the first investigation. It will identify the type of stone in the urinary tract and presence/ absence of urinary tract infection. If there is any evidence of infection, a urine culture needs to be done. Appropriate antibiotics need to be given after getting the culture report. A pelvic ultrasound will help to identify any structural abnormality of the urinary tract. Some structural abnormalities cause recurrent stone formation. A histogram/ dynamic bladder study is next investigation. This investigation will pick up the cause of urinary retention (if present) and hence recurrent stone formation. After diagnosing the cause of recurrent stone formation, treatment has to be done. Treatment depends on the size and site of the stone. It may be through lithography, nephrology or open surgery. If the kidney is damaged to a large extent (HY Chat Doctor. Consult an neurosurgeon for further management. Thanks and take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Well I have been taking Welbrutrin 300 mg XL now for a year, I am a dental assistant but struggle because I have adult add not fun, I have taken Concerta and Strattera but did not handle that well at all. Welbrutrin works for me but its not enough for focus, attention, memory. I do well at my job but I internally struggle everyday. She just added Cipralex 5mg to Welbrutrin, what will this do for me inregards to my problem? Will it make me gain weight and affect my husband and I sexually? Your help is much appreciated, thank youDenise", "output": "Hello, Thank you for consulting with Chat Doctor. As you are mentioning that your doctor has prescribed you now Circle in combination with Wellbutrin, there is nothing to worry as She must be knowing your condition much better. Yes there are side effects of Circle like sexual dysfunction, but it is not necessary that each and every patient should encounter these side effects, it is very uncommon as only 1% of patients encounter them. You should be relaxed and start with the medications first. Hope it will help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir...... My uncle was suffering from Jaundice from the past 1 year and the failure in the treatment lead to a much serious problem......It resulted in Liver cirrhosis now.......... He is now seriously admitted to a hospital........ the doctors now reported that the diseases is much more complicated in this stage and he has developed pneumonia now.......They say that they are helpless and have nothing much to do.....Sir .......it would be helpful if I get to know ur opinion regarding the case.......", "output": "Hello, thanks for using Chat Doctor. I had gone through all the data posted. Kindly understand that cirrhosis is not just due to failure to treatment of jaundice. Jaundice is a manifestation of underlying liver problem, the cause of which needs to be evaluated and treated. So as the disease progresses from hepatitis phase to cirrhosis the prognosis deteriorates. From what you said now cirrhosis and pneumonia likely multiorgan involvement, the prognosis may not be good, but it depends upon investigations. Kindly update us with investigations so that we can advise more. nowadays, we can do liver transplantation if only problem is liver and other systems are normal." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor!My son is just 2.5 years old. He has an infection at the root of his tooth (upper, front right tooth). Dentist has advised Clamp Kid antibiotic to him for three days (1 tablet per day dissolving in water and serve). Im not sure if its safe, giving antibiotics to a kid at this age concerns me. What do you recommend.", "output": "Hello, As there is an infection in right upper front tooth which could be due to tooth abscess, infection of overlying gum, cyst around affected tooth and due to food lodgment over there sometimes build pressure and causes pain. As your dentist prescribed with antibiotic course, you should start with proper course of antibiotics as infection will be subsided only after that. You should do warm saline rinses. Once infection will be subsided get child evaluated and a thorough clinical evaluation and investigation like x-ray can help in diagnosis and treatment can be done accordingly. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i had an ablation for multifocal pathways psvt.After 11 months it started again and i have been to the er 4 times for cardioversion with adenosine.I w as on dilzem 180.Now the doctor has added cordarone 400mg .He feels another ablation will not help.I know how toxic cordarone can be.Can I have my av node ablated and be fitted with a permanent pacemaker? What are your suggestions? Thank you for hearing me out", "output": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you should first get done repeat EP (electron physiological) study to determine the accessory pathways. If this is same as previously as no need for ablation and pacemaker. Cordon is good Chat Doctor. And don't worry much about side effects. These side effects can be easily managed. If your EP study is worse than the previous study, you need AV node ablation and pacemaker. So first get done fresh EP study and then decide future plan of treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "The inside of my thighs, legs, buttocks, and lower part of my back have been itching for about 4 months. There seems to be a rash that correlates but it is not as blatant as a fungal rash would normally be. Could this attributed to eczema, or could it be a fungal infection?", "output": "Hello, Thank you for posting on Chat Doctor. It seems you are suffering from Tina courts and corporal, a kind of fungal infection. I would suggest you to consult your dermatologist for proper management of the condition. I usually recommend proper course of oral antifungal Chat Doctor. You can additionally use antifungal dusting powder containing ketoconazole during daytime and a soap containing ketoconazole for rinsing of affected areas. Take oral antihistamines for itching as required. Maintain hygiene over those areas and avoid wearing tight undergarments. Hope your queries are resolved and wish you best of health. Thank you and take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir i am suffering from amoebiasis . i have having abdominal pain and the problem is persistent. i have gone through various treatment the results last for a few days only. kindly suggest me the way out of this problem.", "output": "HI, Supposing the diagnosis of amoebas was the actual diagnosis, persistence of symptoms would imply maybe resistance to the antibiotics. It would be worthwhile to do a stool examination, a stool culture and sensitivity tests to detect the exact actual antibiotic needed and appropriate doses. It could also be that there is another cause bacterial or other, contributing to the pain and would be detected in the culture and sensitivity tests. Visiting a physician for appropriate examinations would be appropriate. Hope this helps. Luchuo, MD." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been on 15mg/week methotrexate for a year for atopic excema (which I have had since childhood) but my ALT test has come out at 59. I have not drunk any alcohol for two weeks so should this have fallen below the safe limit by now? I have been told to come off methotrexate until my ALT level has fallen and have stopped drinking completely since then.", "output": "Hi, Thanks for posting your query. Methotrexate over a period of time can damage liver and can case fibrosis. It can cause a raise in the liver enzymes. During methotrexate treatment, one should abstain from alcohol. Because it increases the risk of methotrexate induced liver injury. The liver enzymes would not have reached baseline within two weeks. The ideal thing to do is to get a liver biopsy done and proceed with methotrexate treatment only if the biopsy shows no changes or just grade I and II changes. I hope that answers your question. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "im suffering from mosquito bite allergy for about 5 years.. i even tried homeopathy medicnie.. daily im applyin mosquito repellent cream and caladryl lotion n aloe vera gel on hand n legs.. too many creams like EMODERM etc.. i even tried eatin many tablets for tat.. but i couldnt get rid of tat.. there are too many marks on my legs n hands and its itchin so much.. pls find a solution for me.. im 17 years old..", "output": "Cellophane You for contacting Chat Doctor.> levocetirizine one at night for 5 days.> Montelukast one daily for one month. Research has shown that it decreases the allergic symptoms considerably. I would also suggest you to undergo allergy testing at allergy clinic as you have chronic allergy problem. It will tell that you are allergic to what specific thing. The results will help an allergist to prescribe you immunotherapy to that specific allergen, and it will improve the problem. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, i have been having this pain in my right side of my chest as well as this pain in my right arm and also it feels very weak ...can you please tell what is it ..i have been to hospital and the doctor told me that my chest pain is due to hormones but i havnt seen them yet about my arm . thank you", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Yes, hormonal imbalance can cause chest pain and arm pain. So in my opinion, your right arm pain is also due to hormonal imbalance. So better to consult doctor and get done hormone levels. If imbalance is there then you will need hormone replacement therapy (HRT). Hormonal changes changes can also cause calcium and vitamin B12 deficiency and these can cause similar kind of chest and arm pain. So calcium and vitamin D3 supplements are also needed. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "The other day I experienced severe lower abdominal pain after using the restroom it started immediately and it was very crippling I even fainted once . The pain was sharp but lasted as long as an aching pain . While sharp shooting pains went to my anus and vagina . This has happened before and after the first time I didnt get my period for 3 to 4 months after . And sometimes it hurts to pee on a normal basis as as well as the sharp shooting pains to my bum . What is this ?", "output": "Hi, Welcome to Chat Doctor. I have read your query and understand your concern. You seem to be having urinary tract infection and stone. You need to get an ultrasound of your abdomen to look for the stone and a routine urine examination for the infection, and show to a surgeon along with these reports. Further management will depend upon the exact location, size and number of these stones and the severity of the infection. Hope I have been helpful." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a marble sized lump in my mid to lower left back muscle, I can physically feel it and see it, well my wife can see it. It doesnt seem to hurt, but recently I developed a lump in my right deltoid muscle about the size of a pea and it came on about 6 months ago and is not painful unless I push on it... related? possibley?", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have some soft tissue tumor like lipoma, neurofibroma or dermatofibroma. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Surgical excision is the treatment of choice for most of the benign tumor. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, i have developed since just last night a lump below my knee that is painless no matter what i do to it, and at first sight looks like it could be a bruise (red on the outside. white on inside) and sticks out more or less depending on which way i turn or the wieght i put on it. it feels like it s my bone sticking out and i have not injured myself anytime recently. please... tell me what i should do and what it could be...", "output": "Hello and welcome to Chat Doctor. I have gone through your query and I can understand your concerns. If I were your treating physician I would have palpated it to look for fluctuation and skin pinch in order to rule out bakers cyst which usually doesn't cause significant problems and can be excised by surgery. I would have examined its mobility in order to rule out lipoma which is a benign mass arising from fats and can be excised if it is causing problems. I would have auscultated with stethoscope to look for any bruit which is heard in popliteal artery aneurysm. I would have done Trendelenburg test to ascertain varicose veins.I would have done X-ray to look for any bony pathology arising from bone. I would suggest you to meet an orthopedic surgeon and a general surgeon for second opinion.in the meantime remain cool and brace that area lightly. Thanks. Hope the answer is helpful. Feel free to ask further questions. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son hit his left trapezoid area/collar bone area on the arm of our couch (the wooden part) this weekend, straight on. He is having a hard time moving the arm and there is a lump in the soft tissue area between his collarbone and his neck that is extremely sore to the touch. I am worried about a few possibilities: a clot, a piece of bone or hopefully a muscle knot. Hopefully I have described it in enough detail to have some peace of mind with some sort of answer. Thank you. Trish", "output": "Hi.it is best if you consult with a doctor, preferably a general or an ENT surgeon, for clinical evaluation. Based from your description, it could be cervical lymphadenopathies which may be secondary to a recent upper respiratory tract infection. Your neck lesion could also be of salivary or thyroid gland in origin. These tumor lesions are best evaluated clinically. Neck ultrasound, ct-scan or a tissue diagnosis through a biopsy may also be recommended. Management (medical and/or surgical) will be directed accordingly. Hope this helps. Good day!!~ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi .Ive been experiencing a weird feeling on the left side of my back. It feels as if something is ripping or tearing inside. It usually happens more often when Im in the shower for some reason but it happens randomly. Im very curious about what it could be. Please help!", "output": "Hi From the complaints you had described and elaborated I suspect it could be one of the problems1. It could be radiating pain sore muscles and ligaments of the lower back on the left side.2.secondly it could be related to kidney stones, but I suggest you to get an ultrasound and urologist opinion. I suggest you to visit first local orthopedic doctor who could further guide you for a X-ray and ultrasound of abdomen if necessary. I hope it could have helped to sort the query. If any doubt you are free to post follow-up queries. Wishing you a good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Im 14, and I just got my wisdom teeth out around 10 this morning. An hour ago around 5 my mom tried to give me a pill and I noticed that it hurts when I swallow so I decided not to eat or anything else till tomorrow, but I just wanted to know if thats bad that it hurts when I swallow, it feels like Im pulling on my stitches, Im kinda scared. OK well. Hope you can reply. Thankyou.", "output": "Hello, thank you for consulting with Chat Doctor. You are feeling pain and difficulty as the extraction has been done just one hour ago as the removal of wisdom teeth causes slight difficulty as it is the back most teeth, and may be possible some muscles were also exerted, 5hat is medications are prescribed by the doctor. Please do not take tension, just relax and have the medications timely so that you will be fine. It will take some days to be normal. If it doesn't get relieved within 5 days then you can go and see your doctor. Hope it will help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Thank you. My 62 year old boyfriend has been experiencing his penis becoming glued almost shut. A few times he had fever and night sweats with shaking, and after these episodes, (at times of more stress in his life, ) his penis will be completely clear and functioning normally, only to slowly close up with glue again. Can you explain possible causes?", "output": "Hi there, and thank you for your question. I appreciate your concern regarding this issue and I shall be glad to help. Thie issue of the recurrent discharge with swelling and closing up of the foreskin sounds like a recurrent infection of the head of the penis. This is usually caused by the fungus Candida albicans and is called a fungal Atlantis. The reason this happens is because of a weakened immune system and the causes of this can be numerous. The reason behind the recurrent fevers, sweating and rigors he gets needs to be worked up by his doctor. If this is due to an infective process then the cause needs to be determined and treated. It could be a reason why his immune status is struggling and thus the opportunistic infection of the penis. Diabetes is another major cause of fungal Atlantis due to its effect on the immune system and also needs to be excluded. Once all these issues have been dealt with, then the chances of the Atlantis recurring will decrease Chat Doctor. I hope this helps to steer you in the right direction and good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "A friend of mine has been developing a sort of bruising under her armpits, breasts, legs and on the palms of her hands. It is not really a rash and the doctor s have ruled out lupis or fungal infection. Her skin in those areas have turned to a purpleish/brownish colour and it burns to the touch. Her hands are even swelling a bit. It started about a month ago and has been progressively been getting worse in the order I listed above. Any ideas?", "output": "Hello, thank you for your contact to Chat Doctor. If I am your doctor I would like to see your friends lesion. In skin disease diagnosis is usually made by the visual inspection. But from your symptoms it appears more of lupus. Take the antibiotic cream for local application like tobramycin. Also use steroid like prednisolone tablet, and renovate cream for local application. But remember confirm diagnosis is necessary. If you have to ask anything else kindly contact me. Chat Doctor. Infectious disease specialist. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Me and my girlfriend are wanting a child. We have had sex 3 times in the past 2 weeks. Unprotected. She is also not on birth control. Her period should be coming up soon. Last time it was the 7th. It is now the 29th and the latest we are thinking her period should come is on the 7th of July. What are the chances that she will be pregnant?", "output": "Hallow Dear, It is not possible to predict the probability of pregnancy without knowing the exact days of your intercourse in relation to your menstrual cycle. However, please follow these instructions if she fails to conceive during this cycle:Get her ovulation monitoring done by ultrasonography. Try to plan the intercourse on and around the day of egg release. The egg has a life of 24 hours and sperms are active for 3 days. So intercourse near the day of ovulation will help her conceive. If this time she misses her period, please get her pregnancy test done on overnight morning first urine sample about a week after missed period; earlier these tests may report false negative. Alternatively, you may opt for Beta Chat Doctor test on her blood 10 days after the last unprotected intercourse. I hope this should provide a scientific answer to your query. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here..I had chest pain last night which then my blood pressure was 178 over 123 and I took a diuretic and cozzar now my bp is 88 over 50 and iom still having chest pain at rest..", "output": "Hello and thank you for asking in Chat Doctor I can understand your concern According to the history you explain the chest pain and high blood pressure are related. If you are still feeling pain I think you should go to ER. In this situation it would be better to exclude heart problems and do some further tests as follows :Cardiac enzymes Cardiac ultrasound Blood test for lipidsChest X-Ray After having the results the relevant doctor will give you the right advice for the treatment. I wish a good health Thank you " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Took my Husband to Dentist yesterday as he woke up with pain. He says he needs a apicoectomy on tooth 9 and 10. He gave him Amoxicillin 500 mg to take 3 times a day and Vicadin 5-300 mg 1 tab every 4-6 hours as needed. Today is Sunday and all offices closed. But he woke up this morning in a lot of pain and face is swollen in affected area. It is 9 am and he now has had 4 doses of the amoxicillin in him since yesterday and pain pills every 4 hours. I guess my question is what now? He is to have the surgery this week some time after we make arrangements for him to get off work. She we schedule it sooner than later or wait for the antibiotics to work longer. Can he take more than 1 pain pill if he has to? Just want to get thru this day. Ice?", "output": "Hello and welcome. Thanks for sharing your concern. Yes you can definitely do local ice application. He can take Coquitlam as a painkiller, if the prior does not work so well on him. But remember to take any one of them. Continue with antibiotics religiously. Do warm saline rinses. Visit your dentist and get the access opening done to let the pus out. This would help him overcome his pain. Hope it helps. Thanks. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Sir,some time i have feel samll intensity pain in middle chest(at centre).and this pain goes when i drink some water.but exact reason is not known, and nothing come in X ray also.I will be thankfull if you proide some suggestion.Thanks SCP", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Your chest pain is central in position and subside by Chat Doctor. HERD is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause symptoms of central chest pain. So follow these steps for better symptomatic relief. 1. Avoid hot and spicy food. 2. Avoid stress and tension. 3. Avoid large meals, instead take frequent small meals. 4. Take pantoprazole tablet on empty stomach. 5. Keep 2-3 pillows under head in bed to prevent reflux. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor...my dad undergone a blood clot surgury in head last week.Opertion went sucessful but there is still bleeding in the head,doctors are saying it ll go away after time.Is that true and also wat precautions we need to take further after surgery", "output": "Hi, Thank you for posting your query. I am glad to note that the operation for your father was successful. Yes, the residual blood in the brain would slowly go away. It may take a few weeks for that. Please continue the medications as per doctors advice. Also, continue regular physiotherapy and exercises. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, Chat Doctor. Ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ive had jaw pain for a couple of days, thought it was TMJ which was diagnosed about a year ago. However, I now have a sore tongue that feels thick and as though it was burned, with some small blisters on it, also some blisters around my mouth, and I also have a sore throat. Is this an infection, or could it be an allergy or an immune disorder?", "output": "Thanks for your query, I have gone through your query. The pain in the jaw could be because of the disc displacement in the TMJ. It can also occur secondary to impacted wisdom teeth or any infection from the other teeth. You need to consult an oral physician and take a radiograph to rule out the above-mentioned conditions. If it is TMJ disorder you can take proximal tablets, follow soft diet, do not open your jaw too wide. Give hot fomentation over the jaw joint. If it is tooth infection then you can take a course of antibiotics and analgesics like amoxicillin 500\u00a0mg and metronidazole 400\u00a0mg TID for 5 days (if you are not allergic). Then treat the tooth with root canal treatment or extraction of the tooth. The soreness and blisters over the tongue and mouth could be secondary to herpes virus infection. This is a self limiting conditions but for the pain you can take topical anesthetic and analgesics like Anabel gel. Do saline gargling. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been on two antibiotics for bronchitis recently. I finished both courses and I still have pain in my lungs. I had a chest x ray that came back clear. I am a little worried because my mother died at at 42 from lung cancer. The doctor prescribed two inhalers, but they dont help much. The pain comes and goes. I dont feel anxious or have any issues with anxiety. I am concerned about exercising again. Do you have any ideas of what it could be? Maybe the infection is still lingering?", "output": "There is a large list of conditions causing chest pain. The causes may belong to any of the systems such a respiratory, cardiovascular, gastrointestinal, Musculoskeletal. There for evaluation of reason for chest pain requires detailed assessment of symptoms, a thorough examination and then relevant investigations. If someone has normal Chest x-ray picture, it's possible that infection is not so much an issue to cause recurrent chest pain." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good evening Dr! My niece is 4 yrs old and has allergic asthma triggered by smoke and cold air. She has been prescribed wylosone 10 mg when the attack comes. She keeps coughing and is unable to sleep and even if she does sleep one can hear her breathing in the entire house- it is so loud. Recently there has been loss of hair also . Is it because of her medicine?", "output": "Hello, Long term use of Cyclone is definitely NOT recommended, and you must visit a Chest Physician for a complete asthma evaluation. A visit to the Allergist will also help in delineating the allergies and making sure avoidance strategies are in place. Asthalin or Leveling as required, Symbicort turbo haler and montelukast 4\u00a0mg at night is recommended as initial treatment, Regular peak flow diary, asthma evaluation with questionnaire is recommended every 3 months for now. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, i was taken to the ER earlier tonight after having three drinks. In the ambulance, I was hyperventilating, bp was down to 90/65 annd I had a rapid heart rate. Body temp went down to 35 degrees celcius, and i was shaking. I remember everything that happened in the ambulance and I was asking the nurses, keeping track of my bp and my temp, so i was not unconscious. The doc at the er said it was a panick attack, induced by alcohol....found that weird. Can this be true?", "output": "HiT hanks for using Chat Doctor Panic attack is a psychological disorder, and it could be triggered by alcohol. Usually at high dose, alcohol acts like suppressant, but in initial few doses, it leads to increase euphoric effect and that leads to anxiety symptoms. This could be the reason in your case. If you get panic attack, then you can try some benzodiazepine. That would help to control the symptoms. In case, you need further help, you can ask. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I m a 51 year old male - I m running 25+ week, lifting 5 days, yoga, etc. I consume maybe 6 beers a week. I take daily vitamins, but absolutely no Advil, Tylennol, aspirin, etc. I just had my Cholesterol testing, it came back OK, but my Liver enzyme AST was a 65. I just went back this morning for a follow-up blood test and will get the results back within a week. Any thoughts as to why the elevated level.", "output": "Hi, dairy have gone through your question. I can understand your concern. You have elevated liver enzyme SGPT. Elevation of liver enzymes level seen in liver damage. It may be due to some viral infection, alcohol, Chat Doctor. Your level is very slightly elevated so nothing to worry much about that. Just be relaxed. Just repeat liver enzymes level. Avoid alcohol and smoking. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been taking Losartin 50mg for 10 days now and feel awful every day with flu like symptoms and dizziness - I had put it down originaly to statins that I had and which gave me awful side effects but have not been on the statin for 2-3 weeks now and only took two and was asked to stop them after they gave me terrible side effects. However the flu like symptoms have continued and I can only ut it down tothe increased Losartin the GP gave me. I feel like stopping them just to see how I am (can t see the GP till after christmas) but don t want to go over the holiday feeling like I do either!", "output": "Hello, Losartan does not usually cause the problems you describe, though rarely they can cause flu-like symptoms. So I would say it would be reasonable to try stopping it or switching to another medication, but I would at least try to contact your GP about this before doing it, to make sure your blood pressure or whatever other reason you are taking it won't be out of control when you stop it. Hope I have answered your query. Let me know if I can assist you further. Take care. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have swelling and pain on my right arm about 2 inches above my wrist. Grasping, moving my fingers and turning my wrist is painful. This condition started after several days of shoveling and raking loam. I have tried Motrin and icing, but there has been no noticeable improvement.", "output": "Hello, I think this should be related to the cervical spine disc injury and the nerve is getting trapped leading to disturbance in the motor functions. Using the soft cervical collar and using icing at the cervical region/neck region should help reduce the symptoms. Once the pain level falls below 4-5 in visual analog pain scale of 0-10 then strengthening exercises will be advised. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I doing a masturbat 5 years.this is affect my memory .i forgot to what i am study during in exams.i take more time to study.its not easily stored in mind.Before the masturbat i can easily studied and easily stored ,after this take more time to study. is the masterbats affect the brain system.so please tell to avoid masturbats and how to get a good memory.my age is 19.i am male", "output": "Hi thanks for contacting Chat Doctor... You are masturbating since 5 year. But frequency per week is important.... Usually 3 to 4 times per week it can be OK. But daily compulsive masturbation should avoid. It can lead anxiety, stress, mood swing, concentration problem, chronic fatigue etc... That altogether creates problem in studying. So avoid over masturbation and give more time for study in such young age Also get check your vitamin B 12 level. If low then supplementation given... Rule out thyroid problem also. If still problem remain talk to family and consult neurologist. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 30 years old , 190 pounds and about 5 2. For 2 days now everytime i drink water i have this pain in my chest, its on the left side and seems to be right between my boobs. Sometimes even when i am not drinking anything i still get the pain, i dont have ins and need to know if this is something i should be worried about, thank you!!", "output": "Hi thanks for contacting Chat Doctor. Noted you have only complained of chest pain... Here most probability is off muscular strain that can lead pain... It will take some time to heal tear in muscle. Rest done and analgesic taken.... This strain can occur as by heavyweight lift or any unaccustomed activity.... If you have gastritis like abdominal condition then it can lead referred chest pain. If still pain continues then chest x-ray done for further work up with your physical examination esp.auscultation... Take care. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor, I am Kiran Bala and 49 years old. Right now I am on medication for Bone Tv Gastric problems. Using the following medicines. Macfolate Plus capsules daily @10 PM (course for around 18 months) R-Cinex daily before breakfast and PYRI-10 breakfast (course for 18 monthss). I was suffered with this problem continuously to Last year 19 june to this year 2014. I was helpless and there is no recovery so please Help me doc. Othere wise I am going to die.", "output": "Hi, thanks for the brief history of you. As you mentioned you are on medication and also having TB of bone. I will advise you something which will make some help to you. Doing regular meditation and breathing exercises will help you with a good energy to fight against the illness and improve your oxygen in blood. Improving the blood oxygen will help improve the cellular metabolism and also improve the Chat Doctor. Also, small exercises to keep the mobile active. As human body is like a river. Designed to move like water. Any stoppage of the human body will act like a stagnant water and will become the house of viruses and infections. To avoid such situation to occur the body to do some simple exercise as even the hemodynamics of the blood will be maintained and the blood oxygen reaching to the cells will improve. Also you need to keep a strong attitude and mind to keep fighting it. TB is the infection of something unwanted from the body. But by improving the mental strength, oxygen in blood and mobility of hemodynamics will help body fight as body is a medicine of its own. Also, the supplement provided to you are competitive enough to fight against the TB virus, but improving the " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 4 year old son has a swollen cheek and you can feel a bump at the jawline. It only hurts when you touch it. I took him to an urgent care today and the Dr. Looked inside his mouth and didnt see any decaying tooth. I took him to the dentist a month and he didnt have any cavities then. At the urgent care the took x-rays, but nithingcoul be seen. Could it be an inflamed nerve? Should I follow up with the pediatrician, or the dentist?", "output": "Hi, Thanks for asking the query, Cheek swelling can be a result of various reasons, it can be due to the underlying dental issue causing inflammation in mouth, growth such as tumors, cysts, trauma to the face, allergic reactions and infections, inflammation of the lymph node and parotid gland known as parotitis. If a person is exposed to a particular allergen then the cheek may swell in response. I would suggest you to get complete clinical examination by a Periodontitis by taking necessary test and x-rays.OPG radiograph may help in confirming the underlying cause. Hope this answers your query, Regards..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a 5 year old with a history of asthma for which she has puffers. Presently has a low grade temperature with mod to severe coughing. Dark circles around her eyes. She seems to have energy. When she is at rest I hear her whiz zing. . Please send to YYYY@YYYY .", "output": "Hello & welcome to Chat Doctor, I had gone through the case and found that there can be any cause of low grade fever with wheezing.1- Bronchitis.2- Allergic asthma.3- Common cold4- Flu5- Pneumonia but having high grade fever with chill. So go for chest X-ray to know the congestion of lungs and blood test for any infection. Consult to the pediatric doctor for adjustment of dose of medicine. Hope my answer will be effective for you. Thanks, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I feel after mopping my tile floor about a week ago was able to get up after about 20 min. Hurt really bad the next couple of days. Felt a little better over the week end but now I can t walk without pain trying to walk on the treadmill is excrutiating. Sitting is Ok but standing bending over is so painful I cry", "output": "Dear patient Back pain after fall must be investigated first to confirm diagnosis which can be muscle spasm or minor fracture or even disc prolapse with X-ray of involved spine region anteroposterior and lateral views. MRI of involved spine region is also required as X-ray gives information on bones only but MRI gives detail information about disc and nerves. So visit radiology center nearby you and get it done. If both reports are normal its muscle spasm. Take rest for 3 days at least. Start tab diclofenac plus thiocolchicoside combination twice a day with tab attract one at bedtime for 7 days. You we be fine in week. If reports are abnormal you need to take visit to expert spine surgeon." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just spent 24hrs in the hospital because of extreme chest pain . They tested everything and said my heart looks fine. I had low potassium and low CO2 and high chloride . I did get diagnosed with mono a couple of months ago and I am wondering if the chest pain can have anything to do with my mono? Also, I do have the sickle cell trait so I do always show up anemic. Is that a possibility? I didn t ask about my spleen . I have been throwing up for months off an on since before the mono was diagnosed through a blood test but I was in so much pain yesterday and I still have pressure in my chest but not too much pain. The pain came an went as far as intensity at the hospital but I did have a lot of vomiting. Let me know if it could have something to do with my spleen? YYYY@YYYY", "output": "Dear friend, welcome to Chat Doctor. Sickeling can sometime cause painful bony pain crises and sequestration crises. Could be spleen infarcts if there is massive sequestration. Should do blood smear exam to see for pickling, hemolysis, USG for spleen etc. well, there can be other differentials. Low chloride could be secondary to vomittings.pl. consult your doc to check out the same. Take care and pl. keep me posted on your progress." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have white coat syndrome. My current doctor doesn t believe me. My blood pressure at home averages 127/77. When I go into the doctor s office it goes sky high to 190/95 or more. I tried taking an ace inhibitor once that another doctor prescribed for me because of my high blood pressure in the office and bottomed out. I got the term bottomed out from my doctor when I described what happened after I took the drug. I happen to have a home blood pressure monitor and took my blood pressure after taking just one dose ( lowest dose of Altace) and my blood pressure went down to 55/46 and my pluse was very low also. I felt like all the life was drained out of me and I was so cold I shivered for hours (which is the only thing that was keeping me awake because I felt like blacking out) I was too weak to walk, dizzy if I tried to stand up, I was white in the face, and clammy....etc. I almost called for an ambulance. (maybe I should have) On another occassion I was given a nitro patch once in the hospital after going in for chest pain and had a really bad reaction to the nitro patch. In other words my heart stopped beating; but, they got me back by ripping off the nitro patch, turning me upside down and putting something in my IV. I was in the hospital for 10 days with them trying to find out why that happened. I know why it happened. It was the nitro patch. Nothing was wrong with my heart except for a mitral value click not even a prolapse. My current doctor did a heart ultra sound to see if my heart muscle was thick to prove to me I had high blood pressure. The results did come back with a certain degree of heart thickness (I m 62) ; but, he didn t stress taking blood pressure medication after that test was done. I don t know what to do with only having occassional high blood pressure when under stress like when I go to the doctor s, dentist....etc. and it s obvious I can t take blood pressure medication. Is this kind of blood pressure problem unhealthy and if it is what can I do about it. Would some kind of bio feedback training be helpful? In my earlier years I was under a lot of stress from major life events; but, now I m not except when I go to the doctor. I m afraid to try another blood pressure medication because of my sensitivity to them. Is it necessary to take blood pressure medication for this problem?", "output": "Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. Relaxation exercises are a good treatment option for white coat syn Chat Doctor. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i was diagnose with a yeast infection this week it was really bad i am taking the 3 course of difcun, it is getting btter however above on my cliterous the very tip is red and it looks like it has a cut and swollen can this happend sometimes or could it be something more serious", "output": "Hello, Welcome to Chat Doctor, The history and symptoms are evident of fungal infection of the genital area. This fungus is the normal comedians of the genital which will be kept under control by the helpful bacteria, whenever there is an imbalance in the environment this fungus will activate and produce their symptoms. As your having this infection for which you are taking antifungal medications, the symptoms will come down in 5-7 days. The appearance of red swollen like cut on the top of the clitoris is a sequel of the fungal infection. In addition to the Chat Doctor. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My baby had neonatal seizures and is in recovery now. The MRI report has this to say: Multiple small foci of of restricted diffusion in both hemispheres, Periventricular and probably in the paras a chital area including the genus of corpus callosum. The signal is abnormal in the bifrontal cortex. Basal ganglia is unaffected. Small amount of subarachnoid blood and small amount of blood in occipital horns. We are awaiting a formal meeting with the neurologist and neonatal radiologist. However, I d like to know more on this so that I am aware of what my child has gone through and what, if any, steps I need to take to help her out of this unfortunate juncture. Could you help me understand this a bit more and suggest a few questions to ask to gain more clarity? Many thanks. Arun", "output": "Neonatal seizures occur most commonly due to Hypoxic insult to brain(during delivery or post delivery if child does not immediately cry), or due to metabolic causes like low glucose, low calcium or low magnesium. Seizures can be due to infections acquired during or after delivery. Small blood in Subarachnoid space signifies trauma to head during delivery which can be normal. Periventricular involvement in the brain is serious. Seizures can be controlled as of now with AED like Phenobarbital but the effect of the condition on the neonatal brain can't be judged at present. What symptoms the child might develop in the future cant be judged right now." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My mom who is 86 has been on Warfarin now for 18 years. All of a sudden recently, her blood has been either way too thin or she is at the extreme opposite of being way to thick. I would like to know if grapes are a blood thickener because she craved grapes for about 2 weeks and ate them all day long.", "output": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. No, it's your belief that grapes can thicken your blood. Warfarin is usually given to thin the blood as in your mothers case. If excessive warfarin is taken on the blood than blood can be thinned out. If blood goes much thinner than vitamin K can be taken to revert the effect of the warfarin. Please take the above treatment under your doctors' guidance as its requirements constant monitoring of INR value of anticoagulant. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my baby is 6 months old. he got cold and cough since Tuesday. I referred a doctor on Wednesday who suggested to go for nubilization. I continued nubilization for 3 days that is Wednesday, Thursday and Friday but no improvement. today I went back again and doctor said that it looks like bronchitis infection and suggested Respinil syrup and wikoryl AF drops and nubilization with budecort and asthalin. is the good medication and can there be chance of further issues. And is nubilization important, can it lead to asthma etc in future", "output": "Hello mam, you have not mentioned if your baby has had fever ? If yes then please get his counts, CBC and a chest X-ray done. Of course nebulization is important in case your baby has chest congestion which can only be made out by examining him with a stethoscope. Nebulization does not lead to asthma and I suggest you to start medication only after investigations. Thanks, wish your baby a speedy recovery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Sir,My son has been born 4 days ago and after 2 days, he had jaundice and doctors are giving phototherapy for him. Actually it was 16 points and they said below 12 is normal, now after a days treatment it reduces to 13.5. Besides they have taken CRP test and it was positive, the risk factor is very high at 16 points. can you please advice me on this.?", "output": "Hi and welcome to Chat Doctor. This is common and there is no some risk of consequences. CRP is sign of any inflammation process in our body, so it may be even mild respiratory infection or urinary infection. This is slight CRP elevation, and it can go with newborn jaundice. If there is no other symptom then phototherapy will be enough and no further treatment is necessary. However if symptoms persist some medicines may be necessary but all in all this is not serious condition at all. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "morning dr iam AAAAAAA im having ipills reglarly after having sex bt this tym my my periods not cum , and i check also i am not pregnant so is this the side effect of ipills or what plz guide me", "output": "Hello dear pill should not be used as a regular contraception method as it contains progesterone which is a hormone and can cause irregularities in menstrual cycle and interfere with ovulation eventually. Wait for periods for another week and then repeat your pregnancy test which is negative visit your gynecologist. Opt for a suitable contraception method from next cycle onwards. Take care and all the best" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 14 month old grandson has an area under both eyes that are almost tear drop shaped with raised blotches that appear blistery. he woke up like this. my son thought because he threw such a fit wanting to be held and not wanting to eat his breakfast was what caused this. also, last night when I picked him up from daycare I noticed on his left forearm dark purple blotches that apper as though someone dotted him with a marker. he had a slight fever on sunday when I watched him and sudden diarrhea with immediate diaper rash. I cleared the diaper rash but he has not had much of an appetite for two days (sunday and monday).", "output": "Hi, Welcome to this forum. Can understand your concerns. Sudden appearance of fever, loose tools, and blistering under the eyes could be due to food poisoning, acute gastroenteritis. Food poisoning usually presents like this in which the child has fever, loose stools and may develop allergic Rash. In acute gastroenteritis, there is infection at the level of intestine which results in loose stools followed by fever. In my opinion, your child most probably needs antibiotic like ofloxacin for a period of 3 days. Child should also be given adequate liquid diet so that deny Chat Doctor. And examination by pediatrician is a must. Sims, it is usually seen that cases of food poisoning worsen over a short period of time. I hope this will help you. Take care. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have been having alot of chest infections lately to which I have been prescribed antibiotics and steroids. They do help. But my job involves lifting 9 gallon barrels and moving 22 gallon barrels. Doing this is making my chest tight, I get chesty coughs and wheezing. At the minute i have pains in my chest and acid reflux whicChatDoctores and goes. It hurts when i breath in and out. Should I get some more antibiotics and stop lifting heavy objects?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Recurrent chest infection and acid reflux cause bronchitis. And this can further worsen cough, breathlessness and wheezing. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. PUT (Pulmonary Function Test). PFT will tell you about severity of the disease and treatment of bronchitis is based on severity only. Along with antibiotics, inhaled bronchodilators and inhaled corticosteroid (ICS) are beneficial in bronchitis. At present stop lifting heavy objects. Start appropriate treatment fir bronchitis. Once you are feeling well, you can resume your work. For acid reflux take proton pump inhibitors, avoid hot and spicy food. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello I have been on the birth control pill for a year and am not getting ready to start IVF treatment. My FSH was 2.3 and my AMH was 1.1 what does this mean and are my levels low because of birth control pill. Also I turned 39 two months ago and never had a problem getting pregnant but I always miscarried because both my tubes Are blocked.", "output": "Hi, Thanks for your query. I have read your query & I understand your concerns. Your AMH levels are low & correspond to age. I have doubt about accuracy of FSH report. Please repeat FSH on Day 2 of cycle. Your age is more, and your with control pills have nothing to do with this. I suggest you hurry up with your IVF treatment. If you delay further, your eggs may exhaust, and you may have to go for donor oocytes. If you have repeated miscarriages, I suggest you go for donor oocytes as your oocytes might have some chromosomal ma;formations. I hope I answered your query. I will be available for any followup queries you have. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a complete hystroctomy in 2002. Over the past year I have lots of pressure in my lower abdomen and there feels like something hard is sticking out around my lower stomach. My GYN thought it might a hernia in Janaury and I had a sonogram. But it appeared to be a lot of bowel only - I am now having it again - any thoughts?", "output": "Hi. Thanks for your query. Read your history carefully. Only ultrasonography does not help in proper diagnosis. I would advise you to go for a contrast enhanced CT scan of abdomen with detailed study for the bowel. This will give the diagnosis whether you have intestinal obstruction or any other problem. If the medical treatment does not help you may need to go for exploratory laparoscopy or laparotomy- a Surgery for a diagnosis and treatment. Your Gynecologist also to make sure that you do not have enterocyte or reconcile or cysstocele popping out from the vaginal area. And if present whether surgery will help or not." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I have Psoriaz more then 6 years already. It became worse after born of my 2 children one after another with difference 1.5 years. Ive tried many ways to ged rid of this, even took a courses of UV lights but nothing helped. Now my Doctor prescribed me Neotigasone, 60 drugs which I should dring for 2 months...I wanted to ask if this could help me or make some harm? Thanks", "output": "Hello, Welcome to Chat Doctor, Neotigasone is accretion, and it is an approved medicine for Psoriasis. This will help you. If you are taking the medicine under supervision of your doctor and if you continue monitoring your blood parameters as advised it should ideally do no harm. When you are on the tablet you should not get pregnant, and I am sure your doctor would have counselled you in this regard. Your skin and lips can become Chat Doctor. Hope this helped, Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir, I am 30 years old I have married, I always feels that I will die but I went to the master check up but they advised that your health is fine but I could not change my mind it always struck in mind that i will die or i will become mental so please give suggestion for changing the minds and live happily.", "output": "Hello. It appears from your post that you get intrusive thoughts about dying or getting psychologically ill. What you need to do at this stage is to talk to someone about this. Also, you should consult a mental health professional (psychiatrist, psychologist) for a much detailed history and mental status evaluation. There might be underlying fears and anxieties which you need to explore and work upon. You might benefit from psychotherapy. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello. I have a son who is 18 years old. He has bipolar disorder and refuses to take medications. He is afraid of the side effect. He started to use medical marijuana every night before bed. According to him, medical marijuana is safer than medication. Is this correct?", "output": "Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. There are wonderful treatment options available for bipolar depression like valproate or carbamazepine etc. Medical marijuana is not a preferred treatment for bipolar depression. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 4 year old autistic grandson has a constant cough. His father has advised me that it is allergies and to give him 4ml of Childrens Benadryl. He has a dry cough with a clear runny nose. At times his cough is so bad that he acts like he may vomit. I took him to our small town and talked to the pharmicist and he also said 5ml of Mucinex Children which I have given both to him every 4 hours for the last 9 hours. Still no relief and sobbing because his throat most be raw from coughing so much.", "output": "Hi... Thank you for consulting in Chat Doctor. Cough and cold are viral 95% of the times in child Chat Doctor. For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. For cold and cough you can use Cetirizine at 0.25\u00a0mg/kg/dose every 12 hourly for 3 days. If cough is very severe you can give Promethazine syrup at 3.5ml twice a day dose for 3 days and see. For nasal block, plain saline nasal " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "20 year old female. I have been having abdominal pain, primarily in the left upper quadrant for a few days. Also pain, stiffness, and swelling of joints. Headaches, wierd smells, fatigue, nausea, and now sudden nipple and breast pain. I have never had nipple or breast pain before even as pms.(I usually do not expierience pms) My periods have been irregular since they started and i take bithcontrol. My main concerns are the breast/nipple pai. And the abdominal pain. Any ideas?", "output": "Hi! Good afternoon. I am Chat Doctor answering your query. The pain on the left side of your abdomen could be due to gastritis caused by the possible intake of any painkillers consumed by you for the headaches, etc. If not, it could be due to any intra-abdominal inflammation for which a physical examination along with blood test like a CBC, LFT, serum amylase and serum lipase would have to be done, specially if you consume alcoholic beverages. Till then, you could go for some anti-spasmodic and a proton pump inhibitor Chat Doctor. A word of caution on birth control pills: All the precautions including birth control pills are not 100% foolproof in protection against a pregnancy. If I were your doctor, I would also go for a serum Chat Doctor determination and an ultrasound abdomen to rule this out, and then consider your symptoms of breast pain, nausea and fatigue etc. not to be due to a pregnancy, if these tests were negative. If positive, the whole management plan would change accordingly. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, my wife s period started on 30th july 2014 and today the very 6th day we had sex unprotected, though i din ejaculate inside(took out at the time of ejaculation), i wanted to know what are the chances of having preganancy, should she take unwanted72, and , she is 23 years old, and have never taken any pills like that, pleasehelp", "output": "Hello dear. Understand your concern.I think, you don't have to worry about pregnancy(no need to take unwanted 72).you do unprotected sex in safe period of cycle so, no chance to be pregnant if your cycle is regular.I advised, do sex in safe period means 10 days after cycle & 10 days before cycle.in this period you have no chance to become pregnant. For more safety, you have to use condoms, it protects you from unwanted pregnancy & also from STDs. Hope this will help you. Best regards. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "As a kid I always had a hard time sticking to things .. everything, instruments, sports, projects etc.. I was never taken to see anyone about this issue. Im 28 now, f, have a steady job but find that this prob is staying with me. A friend of mine gave me some of her add pills, I know its not the best thing to do, but i took them and they helped. I would like to be prescribed legally.", "output": "Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. As Chat Doctor is an online forum, legally we are not supposed to prescribe medications without physically examining you. Such regulation are primarily meant for the safety of the patients as well as the Doctor. Further any prescription given in E-mail will not be honored by the pharmacy in your country. Sincere apologies for the same. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Over the past four years, Ive had a painless, flesh-colored growth on my uvula. It has continued to grow (now approx 6 cm long x 2 1/2 cm wide, but PCP & ENT arent concerned. Today I noticed a small, flat, round, black spot on the growth. What could this be? Im a former smoker. Thank you.", "output": "Hello.read through your query.Accordingly, I feel it can be a hypertrophy(excessive growth of the tissue there). It can be due to constant irritation or can be due to the smoking. Since it is painless and not disturbing you while swallowing it is not to be worried of. If it starts growing more in size(faster than before) and becomes painful causing difficulty in swallowing you should meet an ENT surgeon and get it treated.Also, if you want you can even get it excised by electrocautery done by an ENT surgeon(based on your clinical presentation). Be cool and calm till now it's not problematic in my view you can have a second opinion based on clinical presentation with an ENT surgeon or oral surgeon. Be cool and tension free. It will resolve your problem. Hope you are benefitted something from this reply. Have a healthy day!!!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am 25 years old femaleam married 3 yrs before and have a kidmy problem is that my hubby is seemed to be always tensed in his job matters and whenever i feel like having a goo time he doesnt feel like soso how can i solve it can u give me some tips i am 25 years old female,am married 3 yrs before and have a kid.my problem is that my hubby is seemed to be always tensed in his job matters and whenever i feel like having a goo time he doesnt feel like so.so how can i solve it can u give me some tips?", "output": "Hello Ash You both need to have a conversation with equal interest to resolve this issue. Try to understand and be part of his problem. Do share your feelings with your hubby. You might suggest him to do some deep breathing (Panama) exercises and relaxation techniques like music meditation for about 20\u00a0min a day to ease his tensions. You might want to approach a Wellness Specialist or a Family Counselor to ad Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I got stung by a wasp 4 days ago and had an allergic reaction. I was stung on the hand and my hand, arm and eye swelled up (no trouble breathing or swelling of tongue) also had some hives. Days 3 & 4 I have had a horrible headache and pain and stiffness in my neck. Is this an after reaction from the wasp sting?", "output": "Hello, Welcome to Chat Doctor, Wasp stings are common, especially during the summer months when people are outside for prolonged periods. Wasp stings can be uncomfortable, but most people recover quickly and without complications. The majority of people without sting allergies will show only minor symptoms during and after a wasp sting. The initial sensations can include sharp pain or burning at the sting site. Redness, minor swelling and itching can occur too. Only about three percent of the general population is allergic to wasps stings and Severe allergic reactions to wasp stings are referred to as anaphylaxis. During anaphylaxis patients will have severe swelling of the face, lips, throat hives, itching, breathing difficulties, wheezing,dizziness, sudden Chat Doctor. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a serious accident two years ago which involved traumatic brain injury , many injuries and my treatment required a tracheostomy for over 5 months. After removing tracheostomy tube I started having very strong cough and my throat is constantly itching. I was hoping that this condition will disappear after few months but it continues for over two years. The coughing and itching is very strong and it became stronger during the last few weeks. I would like to find out if this could be the side effect of the tracheostomy and what are available treatments. Also, what test I should perform to learn what causes the coughing and strong etching. I will be very grateful for any suggestions", "output": "Hi, Thank you for posting your query. Long term tracheostomy does cause certain adverse effects and minor complications. These may include traumatic (inflammation over the trachea) and narrowing of the trachea. Your symptoms could also be related to infections of the upper respiratory tracts, either by a bacteria or virus. Lastly, it could be allergic symptoms. You require a detailed evaluation by an ENT surgeon to establish the exact diagnosis, so that the appropriate treatment can be suggested. Wishing you good health, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good evening Sir,I am a 62 year old male. I had angioplasty around 7 years back. I have no problems now, except for BP 130/100. I am taking Telma 80 morning and Amlopress 5, Atorva 10 and Clavix AS 150 evening all once a day. My triglycerides are 222 and LDL is 80, HDL is 32. My doctor told me to add Embeta XR 50 and Stanlip 145 ; and replace Clavix AS 150 with Ecosprin 150. Kindly advise.", "output": "Hello, yes the medication you are taking is perfect, now going to the changes. 1) Plavix A contains two medication aspirin and clopidogrel. As only one of them is needed as blood thinner your doctor changes to esprit which contains only aspirin. JUSTIFIED2) Em beta. Since your pressure are on Bowland high (diastolic 100) am beta would be good addition as apart from controlled the blood pressure, it has ever all protective action on the heart. However, 25 mg to start with would suffice. 3) strip is for higher triglycerides. I would wait before starting as its just borderline high and Plain diet modification would help. Other components of lipid profile, LDL and everything is perfectly normal. Hoping that would resolve your doubts. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My Dad had quadruple bypass surgery with an aortic valve replacement 14 months ago. He is now dealing with pleural effusions in his left lung. First time the Dr. drained 1500ccs of fluid approximately two months ago. Today the Dr. tried to drain fluid again but the fluid has become a jell-like consistency and Dr. was only able to drain 50ccs. What are possible causes and treatment for this condition.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you should definitely send investigations of pleural fluid to get some diagnosis. So get done pleural fluid protein, sugar, routine, microscopy, culture and sensitivity report. He might be having tubercular effusion or emphysema (bacterial infection). He may need higher antibiotic or anti-tubercular Chat Doctor. So consult pulmonologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wishing good health to your father. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, 28 y/o Cucasian male. Married, Very Healthy, Loyal/Monogamous. Intercourse frequency with wife (of course) is average to 10 to 18 times monthly. Sometimes more. I ve recently experienced an ejaculation with absolutely no semen suspension. Instead, just very gelatinous, white sperm (similar to the texture of scrambled eggs .) No saline odor, and the sperm did not lose stiffness/viscosity, even after 10 minutes or so..... as if it was too dry. I never ejaculate much more than about 2 or 2 1/2 cc any way, but today, about 1 cc pure white gelatin. My diet is good, my stress level is a little higher lately, and my wife and I have no known STD or GI or Gyn problems. What do you think?", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. Water is the base of semen. About 90 percent of semen is water. Semen quantity decreases, and it becomes more viscous due to lack of water in the body, due to advance of age, due to frequent sexual practices, lack of affection and of course due to high stress levels. Such condition is not at all worry some and there will not be any change in the quality of sperm cells. Instead of worrying about such matters, be happy and concentrate on your career. Because that is not a problem at all. You might need psychological counseling. I can help you through telephone. Please do contact me through customer care of www.ChatDoctor .com for a telephonic consultation session. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I m a 27 y/o Caucasian male. I have trouble with memories creeping in, and if I m not fond of these memories even if its unwaranted I get the overwhelming urge to shake violently if I m alone. If I m around people they manifest with eye clinching and then rolling them up or to the side until the urge passes. As long as i m engaged in conversation or there is a lot of noise around these urges come maybe once an hour sometimes not for weeks. Everytime I think I m done with them they come back. However one constant is they are always accompanied by a memory of me doing something or saying something, typically very vivid almost as an unwanted day dream. They could be memories from 10 days ago or 10 minutes, and typically are as simple as me saying something to someone and it not coming out the way I wanted, and regardless of the response it got I get that urge to have a pseudo-seizure. My best guess is its psychological in nature and just a stress factor. Possibly, because they happen more frequently when I m alone and it is quiet enough for my mind to drift uninvited, they are just my mind keeping itself awake and getting my body involved by going through pathways that are associated with something other than pleasantries. Maybe its just that the memories were not formed properly and it causes me to remember them differently then I would have liked to which stresses my brain. Anywho I m no doctor so I m interested if anyone could tell me whats going on. I don t want this urge to have a pseudo-seizure to become too strong to control in a place like work. Good to note that the eye clinching did not start happening until recently, probably the last year or so, while the shaking in private has gone on for more than 10 years, so there is a trend that its growing harder to control.", "output": "Hello, welcome to Chat Doctor. Your repetitive movements and thought process appear to compulsive behavior to decrease anxiety related to obsession. Obsession and compulsion are seen in obsessive compulsive disorder (OCD). Pseudo seizure is not apparent from your history. OCD is a type of anxiety disorder and frequently associated with generalized anxiety disorder. If these disorders are not treated early they can lead to depression because of distress and dysfunction. You may need assessment and treatment with psychiatrist to treat your OCD. It is not clear if you received any treatment in the past. As you are having multiple symptoms then combined treatment in form cognitive behavior therapy and Chat Doctor. In " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i want in to this place witch is stupid of me, it was an abandoned place and had asbestos around as I found out by notices, I did where a dust mask that I found, it was in a packet so it was a new dust mask, I was there only about and hour, but I do feel a little un conforming pain in the bottom of my chest?", "output": "Thanks for your question on Chat Doctor. This much short exposure with asbestos does not cause any symptoms or damage. You need to have months and years of exposure for prolonged period to get damage. So no need to worry about this exposure. Your chest pain might be muscular only. But better to get done ECG and Chest x-ray to rule out cardiac and pulmonary causes. Take painkiller and muscle relaxant for your chest pain. Be relax and calm." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "For gall bladder surgery how much money is needed ........ Can anyone say this ...", "output": "Hello;Thanks for your query. The cost of surgery depends upon the city, hospital and the class in which you get admitted during the time of surgery. So the best person to give you the idea regarding the expenses will be the operating surgeon. First decide on the hospital and the doctor under whom you are going to get admitted, and he will tell you the cost of the treatment. Hope that answer is helpful. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have taken several different brands of at home pregnancy tests. All of the blue ones (EPT, Equate, Clearblue) keep coming back with a faint blue line. The pink ones (first response, dollar tree) keep coming back COMPLETELY blank. I even splurged and bought a digital test because it supposedly will give a pregnant or not pregnant response... I got a picture of a book - both times. I m so confused... am I pregnant or not?", "output": "Thanks for consulting us at the best healthcare portal. I am glad to assist you as your consultant today. It is all ambitious situation, and it sometimes happens with the home self testing kits. Added to this is the time elapsed for conception. My suggestion to you is to go for a Laboratory Pregnancy test. With that lab report go to your ORGAN for complete evaluation for further assistance. She will definitely go for an ultrasound to confirm the age of fetus (if any). I am hopeful that it will be helpful guide for you to proceed and come out of frustration. Let me know if you have any doubts. Healthiest Regards!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I think i have a sciatic nerve injury....i have a sharp pain that started off as only hurting when I would move my hips forward. The pain I felt started from the upper right buttox area down to the upper right calf. After a couple weeks, it was just pain in my calf. Now, I feel the pain back in my buttox area and calf and hamstring. I have been stretching lightly just till I feel pain, and trying to do body weight leg exercises to help it. Could you tell me what this could be and how to treat it? Thank you", "output": "Hello, This should not be a sciatic nerve injury. Sciatic nerve injury is generally felt as tingling or numbness in lower limb which is either continuous or appear with movement of leg. To me, it looks as hamstring strain, which occurred due to exercises. I will advise you following for relief:- If possible then take rest for 3-4 days-Do warm fomentation over back of thigh.- Take a good analgesic like paracetamol or diclofenac 100\u00a0mg after food. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my name I Zarina. For almost 2 weeks I have big rushes through out of my body, very itchy and same time is painfull. My lips an eyes were swollen.today I felt short of breath and itchy and pain on my head area. I feel anxious and nervous, and my menstrual ends 2 days ago but today I had blood again. I feel no energy and depressed.Thanks", "output": "Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. The rashes you are talking about seem to be allergic as they are itching and involving mucous membrane and almost whole of the body. You should be allergic to something. Do consult a dermatologist who would like to start you on cetirizine or Allegra to reduce your rashes. If required corticosteroids can also be considered. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have a little red bump looks like a regular bump ,but it has a lil white on the tip of it i also have a little scab on my arm &i do mean little from me bursting a bump i itch mainly at night my husband says its all in my mind doctor help me please ????", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have some sebaceous cyst, infected cystic lesion or abscess formation. You should go for examination. If needed go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. You should also take antibiotic like CEA Chat Doctor. It is prescription based medicine so consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "FOR ABOUT 5 YEARS I HAVE EXPERIENCED SEVERE DIZZINESS AND MINOR TREMBLING WHEN SUGAR INTAKE OF ABOUT 2-3 NORMAL CANDY BARS OR WSHEN CONSUMUNG ANY AMOUNT OF ALCOHOL FROM A HALF A SHOT ON UP. I HAVE PTSD FROM COMBAT AND HAD ONE GRAND MAL SEIZURE ABOUT 2002. SOME MEMORY PROBLEMS LATELY BUT AM 73 YEARS 4 MONTHS NOW. AND 1/4 APACHE BY BIRTH.", "output": "Hello! Welcome on Chat Doctor ! Your symptoms (dizziness and trembling) after sugar intake could be related to glucose intolerance. Anyway, PTSD could also influence in this clinical situation. Coming to this point, considering also your past seizures, I would recommend performing some test: - fasting glucose and HbA1C- glucose tolerance test-blood electrolytes- thyroid hormone levels. You should discuss with your doctor on these tests. Hope you will find this answer helpful! Kind regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I ve had problems with hemorrhoids for several years. This week I got a large external hemorrhoid that has been very painful. I have been using over the counter creams to treat it. Today It started bleeding, the bleeding its bad, but enough to leave spotting in my under wear. Is this normal or something that needs to be checked?", "output": "Hi, Usually all external hemorrhoids are painful because pain receptors are presented only outer part of anal canal while internal canal hemorrhoids are painless. In external hemorrhoids you can manage pain with local anesthetic cream and stool softer, but you have to maintain your stool soft. When your stool became hard because of strafing during defecation it leads to bleeding. If you are bleeding heavily only surgery is the option.use home remedies like banana, spinache and fiber rich foods can make your stool soft. Proteins make your stool hard. Get Well Soon. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was bitten by my dog on Friday in the back. 2 punctures and some scratches. I cleaned the wound out well with lots of soap and water for 5 minutes and bandaged it. Did not get it treated-our local ER is questionable at best. Anyway, today the skin surrounding the punctures is red in about a 4 mm radius from the wound and there is some pus. It is still painful but I cant tell if its pain from the bruising (which is extensive) or the actual infection. It only really hurts if I lean against it. I cleaned it out again today and it is just sore, ibuprofen easily handles the discomfort. At any rate I have today gotten a prescription for Augmentin 500 mgs TID. Do you think that this will be sufficient to take care of this? ETA: I am 30 F, healthy BMI and no chronic health problems", "output": "HI, I have read your query & understand your question. * Actually dog bite wound is likely to be infected fast considering dogs habitat/ habit of eating anything & every thing that is available & also lick all the objects on ground. So inspire of the good health, * Management of dog bite demands - immediate cleaning of wound with antiseptic liquid, spirit, cotton soaked (and squeezed)with warm water/ application of antibiotic ointment/ changing Chat Doctor. - Injection of Tetanus toxic is given within 24 hours of dog bite - Treatment/ prevention of infection by antibiotics (you are already taking Augmenting) addition of Anti-inflammatory " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my son is of 2.5 yrs. He is having high fever from night. It is currently 4 AM. Last time he ate was at 10pm. At home I have Crocin Oral Suspension. Also he his half sleep, so trying to give Crocin might annoy him and he can puke it. Can i give him crocin? Do I need to feed him something before giving Crocin as last time he ate was 10 pm? If feeding is reqd then what should be the time gap? Also can Crocin be given mixing with water, so that he don t puke it? Urgent help reqd.", "output": "Hi... Coming to your queries one by one - 1. You can safely give Cronin - 5ml. Paracetamol can be given in the dose of 15\u00a0mg/kg/dose every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol.2. You can give Cronin on empty stomach too.3. The minimum gap between 2 doses should be 4 hours. So You can give it safely now.4. Cronin can be mixed with water. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I recently had a spell the evening after I had a tooth extracted and did not eat much. I felt week, dizzy, was pale and sweaty. My wife says I lost consciousness. After some food I felt fine and the EMTs did not take me to the hospital. Was this low blood sugar? I am not diabetic.Thanks", "output": "Hello, As per your query, you have symptoms of dizziness and excessive sweating after tooth extraction which seems to be due to dental phobia and sudden lowering of blood pressure and sometimes sugar level as well. I would suggest you to stay relaxed as much as possible. Chat Doctor. Visit oral physician once if symptoms keeps on persisting and get blood tests done and start treatment accordingly. It could be due to medications you are taking which could leads to these symptoms, and you should take your medication properly before coming for extraction. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "well my mother in law has cancer and has under went several weeks of radiation everyday then chemo also once a week . her last chemo and radiation treatment ended last week , but she has had diarreah everyday since. she cant seem to keep anything in her stomache. she also has pain swallowing. i was wondering if u had any advice for us to give her.", "output": "Thanks for your question on Chat Doctor. Yes chemotherapy is known to cause diarrhea. The common reasons are1. Alteration of bacterial flora of gut.2. Gastrointestinal infection. Along with the cancerous cells, chemotherapeutic agents also damage normal bacterial flora in gut. This can cause diarrhea. Chemotherapy makes patient immunosuppressive, so infections are more common in them. So gastrointestinal infection may be the cause. Better to start following treatment. 1. Plenty of fluids. Keep herself HY Chat Doctor. 2. Start oral rely" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi .. Doctor! i am 19 years old guy . i am addicted to masterbation . I use to do this almost 3 times in a week. I am doing this from last four years of my life . Now i want to quit this because my health is being down day by day . I am so weak . I want my healthy life back . so please suggest me something to improve my health and fitness", "output": "HelloThanks for your query, based on the facts that you have posted it appears that you have been indulged in frequent masturbation since 4 years and now worried about your general health which you attribute it to be due to masturbation.First there is myth in a mind of common man that excessive masturbation is the reason of all sexual problems But I would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ or system in the body. All the problems that you are facing now are mind related and due to anxiety. Following measure will help you to boost up your confidence and improve your general health.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc3)Take anti oxidants like Almonds 5-6 every day.4) Avoid alcohol and smoking. Engage your self in some activities like sports, reading,listening to music so that you will not get free time to masturbate. This will gradually help to reduce the frequency of masturbation. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I need help with a problem, Im 16 years old but I suffer every night from terrible nightmares, and I shake with fear at night, and even some times during the day. I always feel like theres someone in my house watching me or waiting to harm me. This is all really confusing to me, I think I have paranoia, what would you say?", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. You are aware of paranoia, are you? If the description you are projecting here is true to the best of your knowledge, you definitely have paranoia. But, there is another way of seeing this. For a person who feels that he may have paranoia, could be obsessed with such a thought, and may feel paranoia like symptoms. You need to visit a psychologist / psychiatrist for clarification. Please don't guide the therapist. Just tell the symptoms and let them diagnose. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "there is a small blood clot on my foreskin (from 2 months). i met a skin doctor and he gave me fucidin H cream to apply. It has been 4 days and there is no change in the clot. What shall i do next? i believe i got this blood clot when i took treatments for Sinusitis and was on some antibiotics. I have discontinued the Sinusitis medication about 2 months ago kindly help", "output": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Small blood clot on the skin never requires any treatment. It will go away with its own. This fact was known to your doctor so they have given you fusion H cream. It is an antibiotic cream used to treat bacterial infection. Sinus medication never causes such blood clot. It has probably some different origin of infection. I advise you should examine yourself by nearby doctor to know the cause. Small blood clot requires no treatment it will go away with its own. You only have to make good hygiene to prevent infection. Avoid sexual intercourse until you are clear with all these things. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have acute pain In the back of my neck. My arm and shoulder also aches. I have been to the doctors and have ibuprofen 800 gm but I am still in pain. I went to a chiropractor yesterday ans she said I would be better in a couple of days. Now my mouth feels strange with my lips feeln slightly swollen. I have now had to come home from work. Even with the pain killers I am still aching?", "output": "Hithank you for providing the brief history of you. A thorough neuromuscular assessment is advised. As mentioned by your symptoms and the history, I can understand that you tried all, and it still pains. So I will recommend taking physical therapy. As it is non-invasive, and also it will help regain the strength in the muscles.Also, to understand here, that painkillers works only for symptomatic relief and also, chiropractor can help is there is any facet joint issues. What appears from your history is, there is obvious diagnosis made, also taking ortho advice is obvious, and an MRI will help insight of the soft tissues of the spine. Post which proper medication for symptomatic relief and also physical Therapy will be advised. In my clinical practice, I see patients similar symptoms. A combination of proper medication and physical therapy helps in my clinical practice. I will recommend you the same. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "good morning sir, I am suffering from lower abdomen pain for the last one year. Basically i am from andaman. Because of acute medical facilities here the problem was not so far identified. At my effort, knowing my condition, i started browsing the internet keeping in view of my symptoms. I suspect of endometriosis. My symptoms is chrnic pain in the lower abdomen for around ten days before the start of mentstrual period. Now we are planning to get treatment in chennai. Actually we are now confused where to get the proper treatment and how much it will cost, actual duration of the treatment. After visiting many website of the hospitals now I find somewhat genuine with malar hospital. Please reply thank u very much. with regards, siva mary, andaman email id-- YYYY@YYYY", "output": "Hi Siva Mary. Thanks for your query. Noted your history of lower abdominal pain for the last 1 year. I know Andaman has low facilities. Pain in the lower abdomen 10 days prior to menstrual periods and the chronic nature suggests you need the Following:Diagnostic Laparoscopy under the care of a Gynecologist and a Laparoscopic Surgeon would help you to get a proper diagnosis as well as the treatment by excision of the diseased parts help, help you permanently. Any big City in India will have this facility and your thought of Chennai is a good choice. Which hospital to go to is a matter of your search with friends, relatives and Family Doctors. Before gong to a hospital better to get investigated for routine blood, urine, stool, ultrasonography and if required CT scan of the whole abdomen including pelvis as this will save your lots of time." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i m 25 years old and got maried before one and half year before bt stil nt conciving and hav taken many ovulation coures my tubes test is fine and now taking cerophene in dis cycle wat r the reason and what should i do plz help me my weight is 55 kg and height is 5 2", "output": "Hi welcome to Chat Doctor. I have gone through your question. The prescribed medicine contains clomiphrne which simulate ovaries to produce follicles. I would advise doing your husband s report, semen analysis. As it also should be normal to conceive naturally. If both reports are normal and still not getting success then you can go for GUI intrauterine insemination, IVF invited fertilization. Hope I answered your question. Would be happy to help you further. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am 28 years old I really damage my penis and now I am very worry about it. Last year I did an exercise to enlarge my penis one day I hold my penis head tightly and pulled forcibly . I have still erection but my penis head is cold and when my penis is soft I pump like the end of peeing ,but I can t see any movement of my penis . I have lost the desire of sexual activity I can t get erection when I am emagening about sexual activities .I have to touch my penis and play with and then it will erect .I don t know what happend to me and I don t realize when I would be better and my penis will be back as before .", "output": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. There is nothing abnormal. You have not damaged the shaft. Damaged shaft never get erection. So if you are getting erection after manipulation. You will not have any problem with the tissues of the shaft. Once the tissue is affected you will not have any erection. So in my advice I suggest you not to worry. You can watch the good porn movie you will definitely receives the erection. In case of query you can do Doppler examination of the shaft. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was punched in my left cheek about 6 weeks ago. Most of the swelling has gone down except I have a bean sized lump in my cheek & the crease that use to go from my nose to outter lip now goes out more to a dimple on the outside of my cheek where the lump is. Will this go away in time? Is the lump a blood clot or muscle that has been tightened into the lump?", "output": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint it seems that due getting lunched on cheek there has been soft tissue injury leading to inflammation of the tissues well as ruptured blood vessels leading to Hematoma formation. Swelling is due to Hematoma formation as well as accumulation of inflammatory exudate in the soft tissues. The lump that is present seems to be Hematoma that atbtimesvgets becomes encapsulated and firm and can take for month to regress completely in size. You can do alternate warm and cool compresses. Apply Heparin gel as it helps in regression of the lump. You can take anti-inflammatory painkillers like Ibuprofen. In case of no improvement in a month consult a General Physician and get evaluated. Hope this information helps. Thanks and regards. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sometime time back I had a sensation in lowe abdomen both sides. After few days, I had left testicle mild pain later part of day. It was not severe but enough to get one disturbed and zeroing the concentration in the office. This pain stopped gradually after 2-3 days. The same started in right testicle and vanished in 3 days too. Doctor tested negative for vericole. General Surgeon said that it could be very early stage of inguinal hernia and nothing can be done except for wait and watch. Now I feel little discomfort if I walk more or sit at one place for long. CHange in position eases out. If I sleep, I am absolutely comfortable. Can you please analyze this and give me your expert advice?", "output": "Hello, It is good to know that you are tested negative for varicocele. But since you continue to have pain you should get Urinalysis(R/E & C/S), USG (for testicles & scrotal sacs), an examination for the secretions of the prostrate done. If you are sexually active & have/had multiple partners you should get STD tests done to stay on the safer side. These tests will help to detect epididymitis, inguinal hernia, damage to the nerves(DN), Orchids, Kidney stones, developing HY Chat Doctor. Your treatment will depend on the pathology detected & the severity of your clinical symptoms. You may be treated with medicines(antibiotics, pain medications) or surgery (in case of hernia, testicular torsion, etc). Get the tests done, get treated at the earliest. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a Renal Scan done which said that on my right kidney I have 35% Perfusion and 44% perfusion. mild Cortical thinning or scaring in the mid lateral kidney. Now I am just waiting to get another test done, a cystogram. I have been having pain for some time now. I also have stones that are hight up in my kidneys. But I know Im not passing them. I have passed stones before and this pain is different. This pain makes me feel week, it is more dull but at the same time it sometimes takes my breathe away. I have been a little short on breathe and my blood pressure use to be 115/77, last few months it has been 130 to 150 over 79 to 90, my heart rate has been from 110-143. I dont know if these symptoms are related to one problem. and how serious is the condition with my kidneys, what kind of treatment", "output": "You have not mentioned if you have an obstruction due to the stones. Most likely you are having it along with infection. What are the findings of urine routine and culture tests. The cortical thinning and scarring you mentioned is due to Chronic Pyelonephritis which is a result of persistent or recurrent infection of urinary tract and results in gradual damage to kidneys function. Along with the histogram get a urine culture done and decide further treatment accordingly." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 5 weeks and 2 days pregnant, apart from breast tenderness/ pain, urination (i generally drink lot of water), have no other symptoms. Had a miscarriage last year and very worried with no symptoms whether I am ok or not. I had a hard stool today but after an hour had a soft stool again, which hadnt happened since I got to know that I am pregnant.", "output": "Hello, I can understand your apprehension given your past history. It is always not necessary to feel all the symptoms of pregnancy. If the hormone levels are well maintained and the sonogram shows good fetal cardiac activity and fetal growth, you need not worry. You need to take adequate rest, healthy diet, avoid stress and have regular follow up. Passing frequent stool is not a symptom and increase in the dietary fiber or infection should be considered in addition to the possibility of prostaglandin effect. Please see your specialist for further help. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Before some day ago on Monday I have pain in my chaste than I go hospital and check to Dr. he say for ECG & Xray after found that report I will go and checked him. Dr. say I am all right, he say the reason of the pain is some tension taken by me. Now after that day I have realise little-little pain in my chaste since 2 or 3 days so what can I do?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. No need to worry about heart and lung diseases as your ECG and chest x-ray are normal. Sometimes undiagnosed stress, anxiety can also cause similar kind of chest pain. So avoid stress and tension, be relaxed and calm. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "When i wake of a morning my teeth and inside of my mouth are coated with plaque i am assuming. I floss and use a Sonicare toothbrush, go to the dentist every quarter and have no gum disease or cavities, I have porcelain fillings. What is causing this large amount of plaque? Does this mean my arteries could have plaque? My age is 67, 5 6 , weight 150. Good health. Take no prescriptions just vitamins.", "output": "Hi, Thanks for posting the query, No this does not mean that your arteries are having plague, I would like to tell you that plague is a sticky substance which is formed in our mouth due to food particles, saliva present in the mouth this substance gets tenaciously adherent to the tooth surface and fixed prosthesis, I would suggest you to brush your teeth at night before going to bed and get complete mouth scaling and polishing done once in every six months. Take care!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "This is Day 8 of running a fever ranges from 99.6-102.2. I have horrible body aches, my lymph nodes are sensitive to the touch and I am extremely exhuasted. I have chills multiple times throughout the day which causes even more discomfort in my body. When I take a deep breath I have horrible sharp pains that go through my chest or if I wake up and have to cough the same thing with sharp pains in my chest. I had a boil/abbsess honestly not sure what it was on my breast that drained three days ago. It has left a hole on my breast I clean and put gauze over it everyday and it is still oozing stuff out and the hole is still there. Could I have sepsis?", "output": "Hello, Fever has certain obvious reasons like infection, and it can be due to bacteria and virus, parasites. Here in your case you have given the history of some abscess, and it is being Chat Doctor. It means that some bacterial infection is there that might have caused the abscess and Staphylococcus can be the organism responsible for this. Treating bacterial infection like Staphylococcus is challenging. This type of bacteria is mostly resistant to some antibiotic, and pus culture sensitivity test is a must for complete eradication of infection. You can discuss this with surgeon, differential diagnosis for fever also is a matter of concern. Hope I have answered your query. Let me know for further assistance." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "We have a lovely daughter of the heart who is 40 and lives with us now. We are now partnering with her concerning her bipolar and schizophrenia disorders. We are learning to be a family together. We need to know more about this partnership. We are in our 60 s with a great deal of responsibility already. We need to know what to expect about expectations of daily personal maintenance in our home for her and our household. She has been on permanent disability for a long time and is on medication. We are still learning to recoqnize what her symptoms look like.", "output": "Hi, I had gone through your query. Schizophrenia is the most debilitating disorder in psychiatry. In most of the cases require lifelong medication. Only medication does not help. Social and family support is must. Compliance to treatment. Regular follow up to doctor. And most important rehabilitation. Rehabilitation/ vocational training/ assertive approach all are necessary to make patients to maintain there daily activities properly. There are many such centers are working for this type of patients. So consult with your psychiatrist and get further assistance. I hope I have answered your query. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I been having stomach problems for over 2 years now and nobody can find a reason. I have PCOS...and I think it is linked to that. The past month I been having Charlie Horse cramps on the bottom right side of my stomach. They only last a few minutes but Im worried.", "output": "Welcome to Chat Doctor. I have gone through your question. As pod polycystic ovarian disease does not cause stomach problem. Stomach problem or cramping on right side of abdomen happen to empty stomach or after meal?since How long it occurs? These clarification helps me better in diagnosing. AlthougChatDoctorplaints might be related to acid peptic disease. Avoid spicy, oily meal, take proton pump inhibitor like omeprazole or pantoprazole after consulting your family physician. Hope I answered our question. Would be happy to help you further. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just found out I have osteoporosis- is there any natural way to reverse this? I heard that Chinese people have less osteo than americans, and they don t eat dairy, per se- so I am hesitant to take calcium magnesium since it may be the other part of the bone making collegen that may need to be boosted. ?? Luce", "output": "Welcome to Chat Doctor I have gone through your query and understand your concern. Natural way to fight osteoporosis is regular physical exercises as stress given to bone is main deriving force to get physical strength. So you need to do regular physical exercises and need sufficient calcium and vitamin D3 to strengthen your bones. So regular physical exercises such as walking along with balanced diet is useful. You can discuss with your treating Doctor about it. Hope I have answered your query. If you have any further questions then don't hesitate to writing to us. I will be happy to help you. Wishing you good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello, i am a female 21 years old i have been having terrible back pain lately on the right side middle of my back. i hurts when i try to swallow food or drink any liquids. i havent lift anything heavy at all. what could this be?? im so confused, and it hurts so bad", "output": "Hello, Thanks for your query. I suggest you to follow the below-mentioned measures to reduce your back pain-- Usually 1-2 days of bed rest will calm severe back pain. Do not stay off your feet for longer, though.- Avoid lifting weights as it imparts more strain on your back-Change your daily activities so that you avoid movements that can cause further pain, especially bending forward and lifting as it will worsen the intervertebral disc problems. If you want to bend forwards, do it with your hips and knees flexed.- Use a lumbosacral back support to stabilize your spinal muscles and to provide support for your spinal column.- After the initial pain has subsided, remedial exercises to strengthen the spine are very important to restore normal spinal movements and muscle strength. The main aim of exercise is to encourage mobility, reduce muscle spasm, prevent further deterioration in the muscles and speed recovery.- You should maintain an optimum body weight to decrease the strain on your vertebral column causing more degeneration and arthritic changes.- At times, spinal steroid injections and Facet blocks will help in alleviating the lower back pain. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have flesh colored what look like swollen bumps on the head of my penis. They are not very big or terribly noticeable. I feel like i have to pee a lot. I have slight burning/discomfort only on the head area of my penis. It does not burn when I pee. I have no discharges. Other then that everything looks normal. Is this just a rash? Or could it be an STD? I m 33.", "output": "HiT hank you for asking ChatDoctorI have gone through your query. Your problem can be most likely due to yeast infection. But if you have unprotected sex with risky partner then you should run STD tests to rule out those. If you were my patient with yeast infection then I would suggest using fluconazole ointment for local application. Soaps and antiseptics should be avoided as it may increase irritation. You can use saline or warm water instead of that. Hope this may help you. Let me know if anything is not clear. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, my name is Vugar. I am suffering from bad breath over two years now and my doctor had told me that i have yeast infection and sinus infection. Now my girlfriend has started having bad breath. Do you think this could be a result of contagiousness or? Can candida be contagious? Please help. I also have mucus attack and constant need to swallow. There are swollen parts in my throat too. Thanks for reading ! I will be waiting for your respond!", "output": "Hello, THX to contact us. I understand your concern. If I am your doctor I advise you that, yes candida is contagious infection. But candida usually occurs in persons whose immune system is suffered like HIV, Diabetes, Prolonged antibiotic treatment. I advise that you and your girlfriend should test for HIV. You can take the fluconazole tablet for the yeast infection kindly take it under doctors guidance. I will be happy to answer more of your concerns, kindly know me, Wish you a very good health at Chat Doctor. Chat Doctor. Infectious Disease." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been masturbating since about the age of 14, I am now 24. For the last couple of years, I have felt various negative symptoms but hadnt started to relate them to masturbation until this past year or so. These include but arent necessarily limited to: constant fatigue, insomnia, hair loss, muscle soreness, ringing in the ears, lightheadedness upon standing, stress, pretty severe anxiety, frequent panic disorder / attacks, heart palpitations, irritability, etc. I used to masturbate daily and did so for years, it seems. And, even though it was just a handful of rare times, I remember doing it two times per day on a couple occasions (less than 10-15, Im sure). The past couple of months I have been trying to limit the frequency of this. I have done it 3-4 times per week. I even went about a month without ejaculating at one point recently but did still somehow always manage to stimulate myself so I didnt feel all that better. I have ejaculated about two times so far this new year and am now on day 4 of no masturbation. Id like to know if you believe my symptoms are due to this and what I can do to really start on the road to recovery. In February, I went to a local emergency department for heart palpitations. I had tests done: EKG, blood, urine, x-ray, etc. All came back normal gratefully.Thank you so much in advance for reading my inquiry. I look forward to your knowledgable response very soon.Bradley", "output": "Hi, Thanks for writing in.1. Masturbation is a safe sexual behavior when done in limit. The average man masturbates 2 to 3 times in a week. It should not be done more than once daily.2. Like any sexual activity some people might get addicted to masturbation. This leads to added stress and anxiety causing palpitation. Forceful masturbation can cause muscle soreness.3. It is good if you realize that come of the symptoms like anxiety, fatigue and insomnia can happen from too much masturbation, and you are taking measures to control it.4. Please continue for a week or longer without masturbation. If you feel uncomfortable then you can masturbate once a week to release stress.5. When you achieve control over your masturbation behavior then you can do it 2 to 3 times in a week.6. Please meet your friends, do study and keep your mind in work to avoid sexual thoughts.7. Try and avoid pornography and when you get sexual thoughts then read a book and listen to music or go for walks. Do not touch your penis except during urination. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "whiples operation on 1/3/11(findings: The distal stomach, bileduct, head of pancreas and proximal jejunum were removed. No obvious metastatsis in lymph node or liver were noted)Histopathology: (Periampullary) Adenocarcinoma, Moderately differentiatedwhat treatement now", "output": "Thanks for your question on Chat Doctor. You are having adenocarcinoma. You are not having lymphatic spread as lymph nodes are negative for malignancy. The best treatment is surgical removal (Whipple s operation) and post-operative chemotherapy. Since you already had Whipple s operation, better to undergo post-operative chemotherapy. The main reason for this is to prevent local recurrence and distal metastasis. During surgery, handling of mass can cause local site spillage of tumor cells. So these can cause local recurrence. So to prevent this, chemotherapy is needed. So consult oncologist and discuss all these." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I treat my feet all the time for athletes feet. The nails on both big toes are very weak and there is not much to them. This week I have been at the beach and the first day both big toe nails turned an orange color as well as 4 of the 8 other toes. What might his be related to?", "output": "Hello, Welcome to Chat Doctor, The history and the symptoms are suggesting me that you are having fungal infection of the toes, which is called as Tina fungus. Which requires vigorous treatment to prevent recurrence. For fungal infection of the toenails I would suggest you to follow1. Keep they are Chat Doctor. Oral Fluconazole tablet, once in a week for at least 12 weeks3. Topical antifungal cream and powderThese aforementioned measures helps to control the infection and improve your condition. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my dad has cancer of the blood his fbc is 7 he is been given 3 pints of blood and a bag of paltlets he also has a very bad water infection which he is having treatment for we have been told he is really ill but is there a chance he can pull through this or not", "output": "Hi, dairy have gone through your question. I can understand your concern. Life expectancy in blood cancer patient depends on type of blood cancer whether it is acute leukemia or chronic leukemia, stage of cancer and percentage of blast cell as well as treatment. Please send me his complete blood count report and peripheral smear examination report. If bone marrow examination report is available then send me that report also so that I can help you further. Moreover, he also has urine infection. For that he should go for urine routine examination test and culture sensitivity test and then take antibiotics accordingly. Levofloxacin or norfloxacin can be used. It is prescription based medicine so consult your doctor and take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had root canal treatment 3 weeks ago and since cannot eat without pain and aching in my jaw and also the side of my face is numb. I went to see the dentist a week ago and he said it was nothing to do with the root canal and if persists he will have to refer me???? I am going back to see him tomorrow but need to understand what can be done.", "output": "Which tooth was operated ? Was it the last molar in the lower jaw ? Though root canal doesn't have any effect on jaw, a variety of other factors may be causing your problem. Contact of needle to a nerve trunk may cause numbness. Relax, it will take time but is self-healing. For e.g. opening your jaw too wide, infection related to the third molar of the lower jaw. Treatment is symptomatic after ascertaining the cause." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My duaghter is 8 years old and her tongue is stuck to the bottom of her mouth. I think its refered to as tongue tied . She is batling to pronounce th an t sounds and she cant really stick her tongue far out. Is corective surgery possible and is it risky in any way?", "output": "Hello, I can understand your concern. Tongue tie is a condition present in many infants since birth. To correct the situation, surgery is advised and is necessary. She might also have to go for speech therapy after the surgery is complete. There are no big risks involved in the procedure and the procedure is done by either a plastic surgeon or an oral and maxillofacial surgeon. I would also advise you consult one of these specialists. I hope this information helps you. Thank you for choosing Chat Doctor. I wish your daughter feels better soon. Best," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband has just been diagnosed with prostate cancer within the last 3 weeks. He had Gleeson of 9, 45% of his biopsies came back cancerous, and he had a PSA of 18. He is scheduled for a prostectomy the first week in June. He is currently being treated with hormone therapy. He has been complaining recently of feeling tired, achy and flu-like. One of his legs swells. Now tonight he is running a low grade fever. Could this be indications the cancer has spread or maybe reaction to the hormone therapy?Otherwise he is in great shape. He works out and eats healthy. We were blind sided by his diagnosis. I guess most people are.", "output": "HelloWelcome to Chat Doctor ;Hormone therapies for prostate cancer can cause some side effects because they reduce the levels of male hormones in the body.Some problems seen in your husband can be attributed to hormonal therapy. It is very common to feel tired and body ache due to these Chat Doctor. Another common side effect is osteoporosis (thinning of bone) which can cause leg pain.However, fever may not be related to his disease or treatment. It may be due to urinary infection. You can consult your GP regarding this. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello sir I would like to ask you about my husband.he is 30 years old..he had tb two times and now he recovered after taking medicines but a scar has remained in his lungs..will that scar remain forever? Will that scar have effect on his life span? can he do exercise?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. No need to worry about this scar lesions in lungs. All lung infections including tuberculosis heal after treatment. They heal mostly by following three mechanism. 1. Fibrosis (most common) 2. Calcification. 3. Rarely Complete resolution. So this fibrosis look like scar lesions on chest x-ray. They are inactive, noninfectious lesions. So no treatment is required for them. They will remain as it is throughout the life. No need to worry as they are harmless. And these scar have no effect on his life span. Yes, he can definitely down exercise. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Did a panoramic, found I have to have oral surgery because I have a wisdom tooth that is infected and should come out. The dentist told me I have nodules on my jawbone behind my wisdom teeth. The bottom two. What is this and should I be concerned?Thank you,Michelle", "output": "Hi. Welcome to Chat Doctor. As per your complaint nodules over the jawbone can be due to overgrowth of jawbone leading to Mandibular Torus formation. They are generally harmless and does not cause and problems. But first you need to get it confirmed that what is the nature and cause of the nodule formation. In case if it is a Tori it can be surgically removed, but in case if it is due to some other cause, biopsy can be advised and can be treated accordingly. Hope this helps. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a rash which I have had for 2 years now first they said it was shingles, then I was hospitalized and they did some biospy and said I have klebsiella and I had a pic line and Invance tx for 2 weeks. This rash is relentless and itches to high heavens. I am taking Atarax which does nothing for it and I have such pain I want to die I am serious. What can I do because the quacks here want to put me under uv light for 50 bucks a pop and that seems like robbery to me? Help....", "output": "Hello, Thank you for your contact to Chat Doctor. I understand your concern. If I am your doctor I suggest you that you should do culture and sensitivity report from the lesion in renowned laboratory in your area. Take the report and then go to doctor, take treatment accordingly. If it is Klebsiella pneumonia it will be treated without need of UV light. I will be happy to answer your further concerned can contact me. Chat Doctor. Infectious disease specialist. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, Myself Boopathi, i am 25 years old. I have facial hair growth problem. I have mustache like single line and beard like spanish beard. But in my family my brother who is 3 years elder than me has good and Dark Mustache and beard also. kindly give me your suggestion to make my mustache and beard thicker. Thanks, C.Boopathi", "output": "Hi, Welcome to Chat Doctor forum. It appears that you might be having deficiency of vitamin A, hemoglobin, and proteins etc. which are most important for hair growth. I advise you to consult a dermatologist, for diagnosis and treatment. Take more of green leafy vegetables, pulses, sprouts, and protein rich foods to recover the deficiencies. Make a habit of shaving the beard and mustache regularly on alternate days. Wishing for a quick and complete recovery. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 40 yrs,my L F T Test result showing that my sgpt and sgot 107 and 130.2 or three pegs alcohol consuming twice in a week,I am consult a physician and he prescribe to take Levolin S capsules morning and night for three months.Is there any side effects for this", "output": "HelloIncreased SGPT indicate liver injury. It may be due to many reasons like hepatitis, alcohol intake, altered lipid profile, medicines,autoimmune causes etc. It may be due to alcohol intake in your case.GOT is non-specific, and it increases in many conditions. You may need few more investigations like lipid profile, viral markers and ultrasound of abdomen. I suggest tablet ursodeoxycholic acid 300 mg twice daily for three months to my patients. It helps in regeneration of liver cells. You should avoid alcohol completely.It must for your recovery. Levolin S contains Levosalbutamol, and it is usually prescribed as bronchodilator. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My mother has bile duct cancer distal . She is 79 and weak. She is 51 and 125 lbs. Blood thinner has left her weak. H and h ? Is low but no blood transfusion needed. Chemotherapy starts Wednesday but I want the doctor to let us know if its just not worth going through the process if she simply will get sick then pass eventually. What do you think?", "output": "Hi, Thanks for writing in. It is important to know the complete details of your mother and the staging of disease. Unfortunately a cancer of distal bile duct usually progresses and very rarely can a patient make a recovery. In most cases the survival can be extended for 2 years, and it is really difficult to predict complete response to treatment. Cancer is a challenging condition, and we must fight the battle against cancer till the end. In other words it is difficult to allow a patient to suffer without treatment. Pain relief is also important in every patient having cancer. It is a difficult phase for the patient and loved ones, but treatment must go on. Please provide her maximum pain relief and supportive care. Provide her with nutritious food and a lot of water and fresh juices to keep her HY Chat Doctor. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good evening doctor I have dark patches under my armpits and between my thighs specially during summer when I sweat. I ve been using Ketoderm gel and pevaryl emulsion from time to time. The patches diminish but they come back after a certain time. Someone advised me to take terbifin tablets. Can i take them because I have stomach upset (acidity). Can u please help me . Thank you. From Anne", "output": "Hi Anne.thanks for your query you suspect fungal infection happening repeatedly, it is important to do a scraping and culture to confirm the diagnosis and know the exact type of fungus. Terbinafine is not effective on all types. Although not common, it might cause diarrhea, stomach upset, or temporary change or loss of taste. Possibility is of :-T.tricolor, also a fungal infection. This is more common in hot, humid climates or in those who sweat heavily, so it may recur each summer.-Intertwine is a yeast infection of skin folds caused by Candida albicans. In areas of the body that have skin touching skin such as the armpits, groin and under breasts or fat folds the environment is warm and moist. Intertrigo is characterized by a red, macerated patch with scaling on the edges. Repeated infection might give rise to brownish post inflammatory hyperpigmentation. Hope this is helpful to you. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am almost 30 yrs old and weigh about 155. Where I live we are infested with buffalo gnats and have gotten many bites which are horrible to deal with. A couple days ago I had a pain in the back of my head at the bottom of the skull and thought I had received another bite but found that there was a small bump there. It hurt when you pressed on it and the pain has gotten worse. You do not even have to press on it anymore to feel the pain. What could this be?", "output": "HI, thanks for using Chat Doctor It is possible that area that was bitten has been infection. This can sometimes occur with areas with itchy bites, bacteria can be introduced into the skin. Infection can result in the formation of a painful lesion such as an abscess. It may be best to have the area looked at by your doctor. If it is an abscess, then it may need incision and Chat Doctor. Antibiotics may also be needed. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I don t know where to begin, it feels so overwhelming to be talking to someone about what I m going through. I know I need to make an appointment with a doctor, but fear and lack of finances hold me back. I experience extreme lows in regards to my mood and often find myself crying over the least little thing. On the flip side of that coin, so to speak, it seems to take nothing to set off my temper. At the end of the day I cannot seem to be able to rest and sleep, and yet when I am in bed I want nothing more than to stay there. Sleep is a most elusive thing and I find myself tired quite often. The thought of being around people, especially groups of any size, sends my mind buzzing and my heart racing. I am experiencing more often pain across my lower back, sometimes it is nothing more than a twinge and other times is sharp and breath stealing. I suffer from acute prolonged pain in my right arm where I broke when I was a child. My appetite leaves much to be desired, usually eating once a day, and not very well when I do. I have headaches that last for days that make me have a sick feeling in my stomach and even more sensitive to light than normal. I have to force myself to take Tylenol for any reason. I do not do drugs or drink and am feeling at the end of my rope. Any help would be greatly appreciated.", "output": "My friend, you just have described every typical symptoms of a person suffering from depression. Depression is a syn Chat Doctor. It results in decreased energy, increased navigability, lack of interest, decrease urge for social interaction. The person finds no pleasure in any activities that he used to enjoy much previously. Sleep may increase/decrease, there is serious lack in self-confidence, guilty feeling. Most of the time the person feels hopeless, helpless and worthless. Depression however is curable. There are numerous " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i have my very close relative who just got a report from the doctor saying that he has a shoulder cancer..i just wanted to know if it is very serious or its nothin to worry and also if u could give me some tips of how to take care of it while getting treatments...like what food to eat what not to eat kind of exercises to do and everything you know that could help..i am soo worried for him thanks", "output": "Hi, dairy have gone through your question. I can understand your concern. Any cancer is serious. Shoulder cancer is also serious condition, if not treated it will spread in other parts of body. Treatment depends on type and stage of shoulder cancer. Surgical removal followed by chemotherapy is the treatment of choice for most of the shoulder cancer. But it depends on many factors. Consult your oncologist and take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "what do you mean by mild parenchymal disease and what is the treatment. is it malignant or can be curei am 55 years of age and have diabetes. my father and mother died of old age i wonder where did i get this sickness. i have no child and i am a widow with no job and helpless", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Parenchymal infiltrates on chest x-ray are seen mostly with pneumonia (lung infection) and tuberculosis. Lung cancer is less likely to cause such parenchymal infiltrates. So no need to worry much for lung cancer. You are also having diabetes, so infective cause like bacterial pneumonia and tuberculosis is more likely. So consult pulmonologist and get done clinical examination of respiratory system and sputum examination for pneumonia and tuberculosis. You may need antibiotic or anti-tubercular Chat Doctor. Strict control of diabetes is needed. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 36 next month and had an ectopic in feb of this year ( surgery , but tube saved). I also miscarried at 5 weeks ( just a couple of days ago). I have a ten year old daughter from previous relationship. Is my body trying to tell me that I m too old for another pregnancy. Should I try ivf ?", "output": "Hello dear, I understand your concern. In my opinion the problem in your case is maintained of pregnancy but not formation of embryo. Usually IVF is suggested to those who are not able to conceive naturally. But in your case the pregnancy occurred naturally both of the times, but first one got terminated due to ectopic and 2nd one due to miscarriage. The cause for ectopic cannot be pinpointed, but the miscarriage might be due to genetic anomalies or hormonal insufficiency like thyroid abnormalities or progesterone insufficiency, diabetes etc. So I suggest you to rule out thyroid abnormalities, diabetes etc. Also give a gap of 3 months for next conception. And start taking folic acid tablet starting one month before planning the pregnancy. And as you are 36 years get screened for Down syn Chat Doctor. Nothing to worry. Untoward effects might not repeat in further pregnancy. Relax. Avoid stress. As stress also might hamper the normal hormonal balance in body leading to untoward effects. Hope this helps. Best regards..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, Regards. My son is 6 years old and radiologically diagnosed as mild enlarged Adenoid. Problem is that when he sleeps, suddenly he wakes up from sleep with coughing followed by sign of choking of saliva in his throat for a while. It is happening almost every night for last 2 weeks.I am very much worried about the problem. Please advice.Imrose Mohit from Dhaka,Bangladesh.", "output": "Hello, I can understand your concern. Adenoids are lymphoid tissues that all fetuses have but as soon as the child Chat Doctor. If it persists like it has in your son, it causes problems like sleep apnea, breathing problems, snoring, breathing from mouth, teeth development abnormalities etc. In such case, where adenoids are not disappeared on their own, a small surgical procedure is performed by ENT surgeon to remove them and manage all the associated problems. Thus, I would recommend you to visit an ENT specialist and go for further investigations and discussing procedures for management regarding enlarged adenoids. I hope this information helps you. Thank you for choosing Chat Doctor. I wish your son feels better soon. Best," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My right Butt cheek hurts after i sit for a period of time and then it s hard to get up and walk. It hurts down my right side of my leg, causing me to lip. I can t sleep on either of my sides because of pain, have to sleep on my back all night. Can you tell me what might be wrong?", "output": "Hi, Causes of pain in the buttocks range from temporary annoyances, such as bursitis, bruising, performs syn Chat Doctor. Until examination is done it is difficult to say what it is. Please get it done X-ray pelvic joint, MRI spine, nerve conduction study. Use cold and warm compression, physical therapy, NSAIDs treatment. If symptoms not improved please consult your neurophysician he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am 28 years old, 6.5m and 73kg. i have being diagonise on genital infections lately. i have a fleshy growth on the upper part of my anus, which normally appear and disappears on its own. sometimes i notice some sore around that area too. the growth and sore is cause me pains though not much. what is the cause of these and the solution?", "output": "Hi, Dear,Good Morning. Thanks for the query to my Chat Doctor Clinic. I studied your query in depth. I am concerned about the worries you have. In my opinion, you have LGV with anal fleshy recurring sore lump. Treatment-a-Hygienic care of the part, b-Treatment with ER surgeon-for anal fleshy lump, which recurs off and on. Normal Sexual practices should be followed. Stop any abnormal sex practices if on. A surgical excision by ER surgeon would Fix your worry of this lump. This is the remedy for your lump. Hope with this you would be relieved of your worrisome query. Wellcome again to Chat Doctor. Have a good Day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, Im having occasional chest pain (EKG normal), pain in my knees, a lump on the right side of my neck (not on a nymph but close the jugular), the lump does not have borders. Oh a slight rash on my lower extremeties. These symptoms come and go. Im 35, 106 lbs, and last physical blood work was normal.", "output": "Hi, dear. I have gone through your question. I can understand your concern. Your chest pain is of non-cardiac origin. It may be due to muscular pain or acidity. You should take analgesic and antacids accordingly. You lump may be due to lymph node or some cystic lesion. Furthermore, you should go for fine needle aspiration cytology. Take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m a bit concerned with me taking labetalol anti-hypertensive at an early age 39 due to hypertension. It s genetics. I try to eat healthy and exercise regularly but I guess i really need the medication to control it. My pressure goes up t0 145/75. I have no problem with my diastolic pressure. It s well-controlled. It s my systolic that bothers me. I wanna get pregnant again. Is it going to be a difficult pregnancy just in case? and also can my liver handle it for another 30 years of taking medication?", "output": "Hi, I did review your concern. Labetalol is a safe Chat Doctor. I would recommend you to consult your obstetrician if you are planning to get pregnant. There should not be any pressure related problems for conceiving apart from the risk of Pregnancy related Hypertension which can be nicely managed with great antihypertensives these days. However, your age puts you at risk of certain congenital problems in your child so a prenatal regular check up with serum markers and ultrasounds is mandatory for you. Forever, start taking folic acid after consultation with your gynecologist, it is always healthy for the fetus. Wish you all the best my friend Good luck" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I need to figure out the type of allergy Im having, started with rash all over the scalp, a few days later down behind the ears, again a few days later It go extended to the face so the face and ears were swelling and now it is still on the face, neck and chest. Im afraid its going to reach the chest and tighten up my breathing.", "output": "Hi, Thanks for using Chat Doctor. Since the rashes are spreading, and you have not mentioned its appearance and associated symptoms, it should be evaluated for the cause. Usually skin rashes does not affect systemic if it is due to dermal problem. If any systemic association or the rashes appeared due to systemic problem then there are chances of other organ involvement. It may be due to allergy or due to infection or due to any Chat Doctor. Kindly let us know about above-mentioned characteristics, investigations you have, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been under a lot of intense emotional stress for the past two years, and just lately Ive been having these unusual fluttery, chilling feeling in my chest that actually keep me from resting, or sleeping very much at all. There is no pain, what so ever, just a weird sensation. What could this possibly be from?", "output": "Hi, From what you have mentioned, you are under some form of stress and the symptoms that you are experiencing are highly likely to be due to anxiety. Anxiety often leads to weird sensations and this seems to be on of them. I would suggest that you consult a psychiatrist for complete evaluation of your problems. Treatment with selective serotonin reuptake inhibitors like paroxetine would be effective in controlling your anxiety. You should also start exercising daily as that that will help you relax and feel better. I do hope that I was able to answer your query. Wishing you a speedy recovery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am curious to know why after 2 years of not having sex...I had sex a week ago and it was protected....but why am I still bloated from a week ago and I did have a bad yeast infection earlier this year but I don t think it ever cleared up too well....could this be a bad sign and I don t think I would be pregnant. Please help!", "output": "Hi, Since I have gone through your history, but still I would like to know that how did you come to know that you have got yeast infection? , do you have white discharge coming from vagina? If yes, you may need proper antibiotic course (metro or azithromycin) and pessary and get checked by Gynecologist. As you had protective sex, it seems less likely that you are pregnant, but if you miss the period get pregnancy test done and sex does not cause bloating. Regards, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 6 weeks pregnant. Mild intermittent asthmatic. I have a cold for a week. Had coughed up some mucus the first 5 days. Last two days the cough is unproductive and somewhat persistent. i have a 99 fever and am having to use my inhaler every 4 hours round the clock. which is uncharacteristic with a cold.", "output": "Hello, You may be suffering from lower respiratory tract infection. You have to avoid cool Chat Doctor. Use water vapor inhalation and salt water gargling thrice a day for five days. If symptoms don't improve, it is better to consult your physician rather than prescribing medicine online. He will examine how severe it is then treated you accordingly. Hope I have answered your query. Let me know if I can assist you further. Take care. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My boyfriend began having stomach problems in 2007. The first time I took him to the emergency room they said it was a virus little did we know that 3 years later and countless visits to the ER would we still be getting the same diagnosis. He has had an endoscopy, XRays, CAT scans, blood tests all showing nothing yet every few weeks he gets sick to the point that he has to go to the ER for IV and whatever prescriptions they give. He is now on a diet of pretty much clear liquid stuff because he is afraid of his stomach acting up again, but that doesnt help anyway he will still get sick. What else could this be? Ive told him to have them look at his gall bladder, but no one (ER nor his PCM) does anything", "output": "Hi there, Its possible his symptoms could be due to his gallbladder, especially if he has pain after eating. Sometimes CT scan doesn't pick up on stones in the gallbladder. I'd recommend he have an ultrasound to look at his gallbladder, which is a quick and non-invasive test. Other rare causes of abdominal pain and how to diagnose them - median arcuate ligament syn Chat Doctor. MRI is the most accurate way to diagnose this. Hiatal hernia is usually seen on endoscopy, but not always. This is when the lower esophageal sphincter is in the wrong position, and causes food to reflux from the stomach to the esophagus. Usually people will complain of heartburn, but this sometimes can cause pain as well. I'd recommend he start taking an acid reducing medication like Prilosec (can be bought over the counter) and see if this helps. A good test to start looking for this is called an upper GI, which is a test where the patient " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, My husbands sperm count is around 12 million cells only (he is aged 37 years); Initially i have bicornuate uterus; Hystography done to me, now the stem is removed and more space available for my baby, if i am conceived; is there any possibility without going to IVF, can i get conceived;", "output": "Hi, I think you can try 3 cycles of GUI. In this, you will be given some medicines for growth of your follicles. Your follicles' growth will be monitored by repeated scan and when your follicles is more than 17 to 18 mm, injection will be given to rupture the follicles. GUI will be done the next day. In this, semen of your husband will be processed and count and motility will increase to a great extent. If it doesn't work then you can go for IVF. Hope I have answered your question." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had an mri in feb which showed at L3/4 mild flacet flaval hypertrophy with no traversing or exit root compression and at L4/5 moderate facet flaval hypertrophy with a shallow, broad based disc bulge anteriorly and little narrowing of the left lateral recess with slight displacement of the traversing L5 root but no convincing compression. My doctor sent me for MRI after having back pain for over 6 months. I am presently having physio and am being referred to a pain clinic but should I be seeing a specialist?Thanks", "output": "Hallo dear friend, thanks for writing to ChatDoctori have studied your case what is your age? This is you first episode or repeatedly having same problem is there any weakness in your lower limb or upper limb you need methylcobalamine, muscle relaxant with analgesic take rest,, hot or cold fomentation avoid lifting weights sit with taking support to your back continue spine extension exercises physiotherapy - SD, IF TWILL HELP if pain doesn't relieve then you need spinal decompression surgery for lumbar vertebrae, for further query contact Chat Doctor. Com" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I experience respiratory distress symptoms (SOB, decreased O2, voice changes) when I am exposed to perfumes and a few other strong oders and flying dust/dirt. What could this be a symptoms of?I am 37 years old, weigh 145, and have no hx of asthma or any other respiratory issues.", "output": "Hi thanks for contacting Chat Doctor... Noted when you exposed to particular substance like dust or perfume feeling some resp problems.... You might have allergic inflammation to that allergen.... Try to avoid contact with allergen like dust, perfume etc. .. Take antihistamines Chat Doctor. . If needed prophylactically fexofenedine and montelukast can be taken.... Get your CBC done ...to look for eosinophilic. You can investigate with pulmonary function test to rule out asthma.... Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 16 years old. I have recently gone through depression treatment. But for the past few months I have been craving human blood. My boyfriend is a skateboarding and he gets hurt. So when he bleeds he allows me to drink it. I dont want to stop. But I just dont know what is wrong with me.", "output": "Hello and welcome to Chat Doctor. Thanks for your query. I understand that you are concerned about your \"craving for human blood\". You have mentioned that you have recently undergone psychiatric treatment, and it is possible that your present symptoms could pep art of your previous psychiatric problem that is still unresolved. You will need a detailed evaluation including a proper psychological assessment, in order to determine the exact cause of your current symptom. So, I would advise you to report your symptom to your treating psychiatrist and have further evaluation. Wish you all the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor, My brother aged 57 had swelling over the chest wall since 4 months, no pain. CTscan chest;Soft tissue swelling over anterior chest. Biopsy diagnosis ;Diffuse Large Cell Lymphoma | Which is the best treatment for Lymphoma? Wheather Amway products like Perselienium-E[Tablets], Protein powder and Bio-C[tablets] are recomended for improving the cells and tissues. please tell me the stage of deases.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. First let me clear you about his disease. He is having diffuse large cell lymphoma. It is very rapidly growing and life-threatening cancer. For accurate staging, PET scan is needed. So first consult oncologist and get done PET scan and determine staging. Only treatment optional for lymphoma is chemotherapeutic Chat Doctor. Amway products are herbal products. They are supportive in nature, not curative. So better not to take give only Amway products. Consult oncologist and start chemotherapeutic " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I am a 27 year old female, and 7 weeks pregnant. Last Monday, I went for an ultra-sound to listen to my babys heartbeat; the Doctor could not hear it, so she asked me to go and get some blood work done to check my ChatDoctor levels. A nurse from her office called back today and said that my ChatDoctor went down from 67,000 to 45,000. What does this mean?", "output": "Hallow Dear, I do empathize your situation. Absence of heart sounds even at ultrasonography and Chat Doctor. Please repeat the ultrasonography for confirmation of the diagnosis. You will have to get admitted in the hospital for termination of the pregnancy if the intrauterine fetal death is confirmed. Please do not delay lest the risk of clotting disorders (DIC), infection and/or kidney failure. You may have to undergo additional blood test for estimation of :1. Bleeding time2. Clotting time3. Prothrombin time4. Fibrinogen degradation products These will suggest about the status of DIC. I hope you got the message." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,i am 28 yrs old, I am married,my wife has children,I was five yrs ago in a relationship i was 19 yrs old and we didnt use protection she was 18 yrs old and that relationship no baby it lasted 3 yrs after that i stayed single..I just months ago found out i have a nine yr old son. From some girl i had a sexual relationship in 2001,I been trying to get my wife preganic is there a reason why i havent got my wife preganic,i want so much to have a baby with my wife its been a stressfull ride,Can you help me, Angel", "output": "Hi, I have gone through your question and understand your concerns. Infertility can be due to many causes, like problems in semen, or disturbances in ovulation, tubal function or uterine environment. Both the partners need to undergo investigations to find out the reason for giving appropriate further management. I would suggest you to consult an infertility specialist to get properly examined, investigated and treated accordingly. Hope you found the answer helpful. Wishing you good health. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 10 month old baby has bright red inflamed gums. His top four teeth have broken through but are not completely out yet. It has been several weeks. He has had a fever of 101.3 the last few days with no other symptoms. Could it be in an infection in his gums?", "output": "Hello, I can understand your concern. When teeth erupt in an infants mouth, the gums appear sore and inflamed. Till the tootChatDoctorpletely erupts into the oral cavity, seeing the red inflamed gums is normal and should not be worried about. However, if it takes more than a week now on to erupt completely into the oral cavity, a dentist should be consulted. In addition, eruption process is not associated with infection. Thus, if the child is having fever, he might be suffering from other infection like viral infection. You should consult a pediatrician for fever and infection as it does not seem related to inflamed gums. I hope this information helps you. Thank you for choosing Chat Doctor. I wish your child feels better soon. Best," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I rolled my left foot playing basketball I jumped and landed on someones foot and rolled mine its been a couple of days the swelling has gone down alot but I still can t bend it the way I filled it I can walk on it but I can t make any cuts or moves on the foot there is a spot on the left foot that is buldging out it was bruised at first", "output": "Hello, As you have a foot injury and now difficulty in making any kind of normal movements like - plantar flexion, dorsiflexion, version and inversion I would advise you to take up an x-ray first or an MRI. MRI is far better than x-ray to rule out any ligament injury. Usually, ankle ligament injuries are common in sports and get unnoticed at times which may, later on, shows its reaction. Take up and MRI and following the ankle rehabilitation program - like balance board training should correct the muscle imbalance and improve the overall functions of the ankle joint. Balance board training have an effective outcome score for most sports injury of the ankle. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am diabetic. I have been having sever pain in my chest and under left ribs. I have seen a doctor. He has ruled out the heart. He has sent me to therapy for a dislocated sternum. It has not helped at all. He gave me pain meds and a neuropathy med. it does not seem to be getting better. This has been going on for 4 to 5 months. What is your thoughts on this.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Diabetic patients are at increased risk of lung Infection like pneumonia or pleural effusion or tuberculosis. And all these cause rib pain, chest pain etc. So better to get done chest x-ray to rule out all these causes. If chest x-ray is normal than no need to worry about lung related causes. Musculoskeletal pain is likely cause. So avoid heavyweight lifting and strenuous exercise. Avoid movements causing pain. Apply warm water pad on affected areas. Take good painkiller and muscle relaxant Chat Doctor. Also start vitamin b12 and pregabalin as diabetic patients have low vitamin b12 and nerve related pain. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I started taking Lo Loestrin Fe 2 weeks ago, I have canker sores and tooth pain and pains all over my mouth and tongue could this be a reaction to my birth control pills. My dentist put me on ammoxicillin but this is not getting better. I thought it was a tooth but the pain is just getting worse thru my whole mouth.", "output": "Hello, Additional bleeding and some inflammation may be a response to your new medication. Overall sensitivity may accompany this reaction. For this I recommend warm saltwater rinses and continue practicing good oral hygiene. Keep well HY Chat Doctor. Make your doctor aware of these symptoms. If improvement does not occur or the severity worsens, consider altering the medication. I place my patients on amoxicillin to help control infections usually related to an abscess from a single tooth. Amoxicillin can help control the spread of the infection which can give uncomfortable symptoms such as swelling, with pain. This will often occur near the site of the infected tooth for on the same side. What is the reason you were placed on amoxicillin? Do you have a respiratory, sinus, or ear infection? You may experience some throat and mouth discomfort with this condition while being treated. You may also experience a reaction to amoxicillin. This can be an allergic reaction or an oral yeast infection. Thrush may require an antifungal treatment to resolve your discomfort. Viral sores take time to heal and are also a possibility. I suggest taking some anti-inflammatory medication such as acetaminophen and ibuprofen. Ben" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i have been told that i have thyroid issues and lately my arms and hands fall asleep while I am sleeping...", "output": "Hi Rosemary, welcome to Chat Doctor, Please check your thyroid hormones levels... i.e.: blood tests for T3, T4, TSH. Also, please have an ultrasound scan of your thyroid. These are routine tests and can pinpoint any trouble with the thyroid. Please get back to me after these tests are done. Also consult a good endocrinologist in your area. See this site for more on thyroid diseases: http://www.ultrasound-images.com/thyroid.htmBye and take care, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am having spinal tb treatment. After having treatment my legs feel heavy and slowly my movement loss. My doctor told me there is pressure on spinal due to abcesses. It s 1 month but still I am in bed rest and my condition is my legs are not moving. Just want to ask why my legs are feeling heavy day by day and can t move anymore", "output": "Probably there is spinal cord compression due to tubercular pathology of the spine and early decompression may be indicated. Sometimes it takes almost 2-3 months for pathology to reduce and thus swelling near nerve tissues gradually subside with rest, immobilization, Chat Doctor. But in case, the muscle power goes on decreasing in the lower limbs, your doctor must evaluate neurological power grade and if found decreasing despite rest, immobilization, and " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i was pricked by lancet with a patient , i dont know if she is infected with hep c, but im worried, i got my serelogy test after 3 months and its negative repeated after e4 and half months and its still negative, should i still continue to be worried, after the incident happen i did washed my finger and try all my best to withdraw the blood, please help me , im still anxious thank u", "output": "Hello, Thank you for your contact to Chat Doctor. I understand your concern. If I am your doctor I suggest you that as you got tested for Hepatitis C at 3 and 4 month which is negative, and so there is no point of worry to you. Its good you have washed the hand and bad you have press the finger to wipe the blood. I will be happy to answer your further concerned can contact me. Chat Doctor. Infectious disease specialist. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Doctor My child 6.5 years oil had a fall in his school 40 hours ago and a bump on his forehead, after 6 hours later from hitting time, the swollen spread near to eyes and nose. He is normal, no vomiting or no no abnormality shows. Have any risk or have I need to consult a neurologist? Please answer.", "output": "Hello dear, welcome to Chat Doctor forum. As it is already 40 hours, and if no history of loss of consciousness/severe headache/nausea/vomiting/ Chat Doctor. But, as the swelling is spreading, this is to be treated with anti-inflammatory agents and antibiotics to prevent further progress and secondary infection. Your doctor will guide you. Meanwhile, you apply some ice packs and can take analgesics like ibuprofen for pain. Hope this answer will help. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had unprotected sex the day after my period stopped. I am on birth control but missed a pill this month so I took the morning after pill the morning after we had sex....The guy also claimed he did not cum inside me... What are the chances of me getting pregnant", "output": "Hi dear as you people had sex on first day of your periods then there are very, very fewer chances of becoming pregnant as it's the safest period.plus ejaculation has not gone inside that also points that no pregnancy.however if you miss the periods for 7-10 days get the Urinary pregnancy test done and check it.USG is also advisable at that time.hope this will help outranks and regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Last year a my doctor said I had lyme but was puzzled as I had lyme in previous years but the antibody did not show. That was the third time I had lyme. I am not feeling symptoms of extreme tirednes shortness of breath. This happened at the same time every year. What else could this be.", "output": "Thanks for your query at Chat Doctor! Lymes disease is caused by spirochete Cordelia burgdoferi by bite of ix odes tick. It can cause localized and systemic infection and serological and tests like PCR are needed to document its evidence. What is your title? Your recurrence may be repeated exposure to ticks or delayed or inadequate treatment. I suggest you follow up with repeat tests to advice you proper treatment with Chat Doctor. Kindly describe your symptoms. Take care!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Every now and then I get a moment of extreme pain that stops me in my tracks, like a major muscle spasm, sometimes in my upper body area, lasting maybe 30 seconds or more before disappearing completely. I am a 67 year old female who is overweight and out of shape. What are these mini attacks ?", "output": "Hi, thank you for providing the brief history of you. As per your age and history, it appears more of a sodium imbalance leading to sudden spasm of the muscles in the upper body all of a sudden. Doing regular light exercises for 30 minutes for upper body and lower body will help improve the electrolyte imbalance and reduce the spasm. In my clinical experience most patients in aging respond well to physical therapy and exerciseRegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Doctor, I have two more cases for my wifes parents and they are as follows:1. Mother in Law, she is around 53 years old. Last 3-4 months she is having problem in her mouth mainly in her tongue/front side of the tongue. She cant eat anything. When eating she feels like something burning effect on the end of her tongue, but cant see anything there. Some doctors even told her that it was due to broken teeth and she removed 2-3 teeth, but the problem is still there. Some doctors told that it is due to some vitamin problem and treated without any effect. She is taking local homeo treatment for around 1 month without any relief. Please give some advice/treatment/medicines for her.2. Father in law, he is around 62 years old and now he is having itching all over his body. Its now around 6 months and done treatment in all types. Now he is taking treatment with local homeo doctor but without any relief. in thighs it become dark colour and in night it feels too much itching. Please advise him a good treatment. Your urgent reply is awaited.", "output": "Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you are asking about mother-in-law, burning sensation on tongue don't worry, it can't Bede to inflammation on tongue or decapitation of papilla you do you can apply Ointment McCoppin or Colonel three times daily on tongue for one week Take one capsule of vitamin B complex twice daily for 5 days If she won't get relief then consult dentist for Local examination and investigations if necessary then Biopsy As you are asking for father-in-law for this you should consult dermatologist for that. Hope this will help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 16 year old girl. Doctors have examined me done LFT with two readings of alkaline phosphate as 98 & 130. done EUS, US & MRI. findings are multiple calculi in my gallbladder. largest one measuring 1.4*1.4 cm. what precautions can i take and what procedure can be carried out further. as such doctors have recommened another LFT and then if the alkaline phosphate level is increased then ERCP is the next step. i would like to know what according to you can be done further?", "output": "Hello there! Thank you for asking. If gallbladder has stones the things we need to worry about is if it involves nearby bile duct and dilates the common bile duct and adds to the yellowish discoloration of the skin(jaundice). Also, the pancreatic profiles Serum amylase lipases amylase to lipase ratios. Alkaline phosphatase and bilirubin levels hike means that the common Bile Duct CBD is involved. And yes in that case ERCP (Endoscopic retrograde cholangiopancreatography) is the next step as it would be both diagnostic and therapeutic. Then you will be prepared for simple laparoscopic cholecystectomy/ removal of gall bladder through minimal invasive procedures Providing the anesthesiologists and general surgeons give a green signal after ruling out all the contraindications for it. As you are 16 years old only. This young age with rest of it without gall bladder might advise a conservative approach. But what your doctors decide for you will be best for you and I am sure you are in safer hands. Hope I was of some help. Take care regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "COULD ST. JOHN S WORT CAUSE HIGH BLOOD PRESSURE AND BLOOD THINNING? I TAKE THE RECOMMENDED 300MG 2 TO 3 TIMES PER DAY. I BELIEVE I HAVE MINOR DEPRESSION AND FIND IT DIFFICULT NOT TO BE ON IT. NOW I AM WONDERING IF IT WOULD BE BETTER TO SWITCH TO A LOW DOSE OF PROZAC? WOULD THE SIDE EFFECTS AND INTERACTIONS OF PROZAC BE BETTER SUITED FOR ME? I have recently been diagnosed with high blood pressure and now take a water pill. I am 35 yrs old, and I am overweight. My doctor had thought that my ADD (dexedrine) medication or smoking might be causing this. I went off of the medication for several weeks, but there was no change in my blood pressure. I stopped smoking for 3 months, and still no change. I have lost a little weight, but I still have much further to go. Is it possible that the St. John s Wort herbal supplement I take faithfully 2-3x s everyday could actually be the culprit? Also, could it be thinning my blood ? Strange question I know but I also have acne and occasionally I unconsciously scratch my face. If this causes my blemish to bleed, it doesn t stop for up to an hour. I actually now have a septic stick that men use for nicks when shaving in order to get it to stop. It has been quite embarrasing as this happens a couple of times a week while I am at work and I have to hold a tissue to my face for an hour or longer. Last night I didn t realize that my face was bleeding as I do not recall scratching myself. I had a trail of dried blood down the side of my face.", "output": "Hello, What I will advise for now is please stop everything and meet up your cardiologist. First thing to understand that bleeding doesn't stop of happens when there is low platelet counts. And having such fatally worse situation its better not to try out anything without a proper guidance. Medical professionals are continually doing research and this is just to improve the lifestyle of the humans suffering from any conditions. Herbals, ayurvedic, homeopathic etc. needs to be assessed for something as the research is not that advanced and the number of sample they take is too less. Coming back to our case rather diverting it. First foremost thing, meet your cardiologist. Get blood routine checked. Next follow the medicines he gives you. Followed by this indulge yourself in physical exercise and diet plan. Try to do meditation. In my practice of 12 years I have received complaints of people at Early age having a high blood pressure. But with good prescription, they have recovered well. The prescription includes medicine, diet and exercise. We need to understand that there are a lot of marketing platforms to sell their products, but we should be even sensible to when to use what. In your case herbal medicine is contraindicated as your body is rejecting by providing by excessive symptoms. Please allow the medical professional to take care of the case for better lifestyle. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had clear penile discharge from my penis for 2 years in November. I had unprotected sex for about 15 sec. with a girl I had known for a whilel I didn t have discharge for amost 3 months after sex. It happens after I urinate and masterbate And sometimes just whenever. I ve been tested by my urine and swap test. Both times negative. Please help", "output": "Degree understand your concerns went through your description. I suggest you not to worry much. The problem you are mentioning is not a problem at all. The clear penile discharge is just mixture of semen and urine or pre-sex lubrication, and it happens to everyone. You might be observing it for the first time and that is why you are worried. Therefore, forget about it. You might need psychological counseling., I am more than happy to provide telephone psychological counseling through Chat Doctor. Contact me through customer care, www.ChatDoctor .com. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, My name is DHIRAJ SHETTY.I was diagnosed with adenocarcinoma of pancreas in july 2013.Since then I have undergone 9 sessions of chemotherapy.First 3 being gemcite + cisplatin Second set of 3 chemos being gemcite + oxyplatin + xeloda And the last 3 chemos of folferinox. I have handled my chemos very well. And over the period got my ct scans and blood tests done regularly. The tumor has remain stable through out and has not spread at all. But surprisingly my CA19.9 reports have suddenly shot up in the last reports. I feel confused, as the tumor has not spread but the CA19.9 levels are significantly elevated. Kindly advise and please let me know if it can be a case of NEUROENDOCRINE TUMOR (NET)", "output": "CA 19-9 levels are increased in pancreatic adenocarcinoma and not Nets. They may be elevated in a number of other conditions such as jaundice. But you don't have jaundice and the picture that you have mentioned, it definitely goes in favor of the cancer coming back. Sometimes, a small recurrence is not visible on a CT scan. Also, CT scan only scans a certain area of the body like the abdomen, while the disease can recur anywhere. It will be worthwhile to do a PET scan as that will show any small area of tumor recurrence anywhere in the whole body" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, My father is suffering from Stomach Cancer. We came to know about this a month ago. Doctors here are suggesting for the operation. As my fathers age is 67 and he have diabetes from last 10 years and recently BP is there. We are thinking whether to go for the surgery or not? Is there any better treatment for this cancer apart from surgery? Please help us to take the decesion. If you can provide us the email address, I can send you the scanned copy of the reports. Please give mthe phone no, so that I can better explai. Please help us sir...Thanks in advance...", "output": "Hello! Good Day! Primary treatment for Gastric/Stomach cancer is still resection/surgery, especially for early stage cancers. Tumor needs to be removed in order to control the source, in order for it not to go anywhere else in the body. However, for locally advanced Gastric cancer, in other words unresectable or bulky tumors, chemo and radiation therapy is will be the initial treatment, followed by a resection, if chemo/radiation will be able to decrease the tumor size and converted it to a respectable tumor. For more advanced cancers (Stage IV/ with distant metastasis), chemo/radiation plus other palliative treatments will suffice." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "How to get rid of balgam collected in nervse near ear? thank u", "output": "1. this is probably excess wax/phlegm/Kafka in the external ear which is in excess may cause ear congestion, reduced hearing and stuffiness.2. Increase your fluid intake (warm water with lemon juice and honey) and avoid cold and constipating food (dairy products, sugar,wheat3. Take diet rich in sulfur (garlic, onion) which helps in relieving congestion and increase intake of herbal tea (Lime, ginger,Fenugreek)4. Ayurveda JAL net is effective in such conditions.5. Vitamin C rich diet is beneficial to increase the immunity." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I fell asleep for a couple of hours earlier today and when I woke up the gum at the back bottom right of mouth was swollen and hurting and I want to know what is wrong ? Also I think it has something to do with wisdom teeth although I had 4 teeth pulled out so I could have braces so would I have enough room for them to come through Thank you for reading.", "output": "Hi...thanks for the query...it seems to be wisdom tooth trying to erupt and causing peritonitis...you visit your dentist for proper clinical and radiographic evaluation... get the area irrigated and cleaned... he will also grind the opposing tooth little to make the swollen gum out of occlusion... and I think you should go for its extraction after symptoms subsides... because it will occupy the room, created by your orthodontist by extracting 4 premolars... and moreover, third molar hardly play any role in our mouth... rather it can cause problems by applying undue forces on other teeth... so better go for its extraction...hope it will help you...take care..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "For almost 6 months now, I have been plagued with a runny nose, itchy eyes, and a red spotted rash that comes and goes. My rash tends to be small red dots, splotchy, and very itch. My nose runs clear, and runs at home and at work. I have been living in Beijing for 3 years now, and have been working at a small kindergarten for 2 years. The only thing that has changed in my lifestyle/life is the location(classroom) that I am teaching in. I believe it is dust mites, but I have been fighting them for months to no avail. I tend to only get the rash at work, and if on antihistamines the rash is weaker or does not appear at all. However my nose continues to run at home, at work, and everywhere else. I have had a cleaning crew clean my apartment, gotten two blueair filters, and a hepa12 vacuum. What can I do, try, etc? I am 28 male, and have never had this long of what many doctors have said is seasonal allergies. If it is dust mites, how to I beat them and continue to beat them? If it is another kind of mite, what should I do?", "output": "Hello. Thank you for asking at Chat Doctor. I went through your history. I would suggest you to take regular montelukast and levocetirizine. If this does not improve your nasal symptoms, I would suggest taking intranasal corticosteroid spray for 1-2 weeks. In addition, daily nasal cavity irrigation with saline nasal sprays 3-4 times a day will also help. Usually regular treatment of nasal symptoms will also take care of eye symptoms. I would also suggest washing your eyes with clean water 3-4 times a day, that will help in addition. Levocetirizine and montelukast will also work for skin symptoms. For identification of allergy causing allergens, I would suggest you to consult an Allergist-Immunologist who will advise you allergy testing and help to identify the allergen. Common allergens are apart from house dust mites, molds, pollen, animal dander, cockroach and other insects, etc. As general measures, I would suggest you to avoid dusts, smokes and air pollutants as much as possible. Please have a nutritious diet rich in vitamins, minerals and anti-oxidants. Hope this will be helpful to you. Wish you the best of the health. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "feels like my gums/lower teeth are tingly.. like when you breathe in from the air they are sensitive and they weird sensation. Also, I have been feeling dehydrated over last few days/week... i drink about 3/4 L water a day, eatc very clean and strict and exercise... I stil feel thirsty all the time, like i need water. I am worried perhaps my body isn t soaking up the water?", "output": "Hello and welcome, these are usual symptoms associated with abrasion, erosion and attrition. Visit your dentist to get the diagnosis. If it is attrition, there will be physiologic wearing away of a tooth as a result of tooth-to-tooth contact, as in mastication. Usually it occurs in elderly patients.in this case, enamel has been completely worn away, resulting in extrinsic yellow or brown staining of exposed dentin. This usually treated by artificial replacement of teeth. If it is abrasion, there is pathologic wearing away of tooth substance.it usually occurs on exposed root surfaces of teeth and also on incised or proximal surfaces. Improper brushing technique, habitual opening of bobby pins with teeth, habitual pipe smokers, improper use of dental floss and toothpicks are the usual causes of abrasion.it is usually treated by tooth colored restorations like glass monomer cement. Or by tissue grafting. If it is erosion, it is an irreversible loss of dental hard tissue by a chemical process that doe snot involve bacteria. Dissolution of mineralized tooth structure occurs upon contact with acids that are introduced into oral cavity from intrinsic-vomiting, or extrinsic sources-acidic beverages, citrus fruits.in this case, avoid intake of excessive acidic foods or beverages. Yours is more chance of erosion case-in case of Chat Doctor. The use of oral pilocarpine may also be beneficial. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my gums are really sore on both sides. I doesnt feel like a toothache but it hurts on both sides of my mouth. It changes sides all day long when I try to eat it hurts really bad. I have a headache also and once in a while I have some dizziness. Not that bad but once in a while", "output": "Hello, Welcome to Chat Doctor .com. I had gone through your question I can understand your concern about sore gums. As per your history, it seems to me that there is no swelling or inflammation or ulcer. It can be because of periodontitis or gingivitis. If you have associated bad breath, bleeding while brushing or urge scratching the area then it may be periodontitis. But your history is not suggestive of particular medical condition because of lack of details. If you could provide certain more details like how many days it is there, is there any bleeding, any white painful ulcer, intensity of pain etc. we can provide you a better opinion. During mean time you must do CHLORHEXIDINE mouthwash twice daily, replace your toothpaste because certain ingredients of toothpaste may be allergic to you, brush your teeth twice daily. Hope the answer to your query, write to us in case further clarification is needed. Also provide your feedback too. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I start getting chest pain When I Inhaleafter turning the Shower on / taking shower . It Normally takes at least a half hr after getting out of the Shower before I Can breath without pain. Any Idea what this is. Im not sure if this could be related but last Week I was prescribed an antibiotic for a couch which I no longer have.", "output": "Thanks for your question I completely understand your problem chest pain after shower has no relation and if it does not happen afterwards I mean after exertion or on deep inspiration or anytime else does not actually mean anything. Please get yourself checked by a pulmonologist to rule out any organic disease. He may get a chest X-ray and an ECG and ll guide you thanks/ regards feel free to ask questions may god bless you with good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I m a 20 y/o black guy and I have a concern about my body. Is it ok to do? I like to masturbate... Now of course I wouldn t tell anyone else that. But sometimes I kind of feel funny or uncomfortable about it (with the Christian community saying it s a sin. I personally don t know for sure). But what I want to know first of all, is it ok to do it, and with you being a doctor, would you encourage it? I ve seen many different yes and no answers online and I just want one sure answer from a doctor. Are there health benefits? Should I feel good about masturbation? Because I don t think I really want to stop doing it... Also, how much masturbation is enough or too much? Lately, I ve been doing it about once a day, but before Sunday of this week I didn t do it for about five days. So it s not excessive. I don t masturbate more than once a day (for probably no more than 7 days straight). And like I said before, sometimes more than others, I skip days, be it a day or more. Is this an ok amount? Now, I do have one last question/concern. I wasn t going ask this one, but I thought that I might as well since I have your attention. Forgive me, this may sound a little weird to you. I have a foot fetish. I love the feet of other guys . Guys feet are pretty much the only thing that gets me excited .... So, do you think that s weird for me to be like that. Is there something wrong with me? Please give me your thoughts. I ve shared with you some things that I would never share with anyone else. I really appreciate your professional and personal opinion and I m looking forward to your response. Thanks,", "output": "Thanks for asking in Chat Doctor forum Masturbation is not harmful until you do it when excited and under limits. Limit depends upon the ability of the organ. If you are feeling pain/difficulty in getting erection, probably it is in excess. So, coming to your fetish, until it is not harmful/problematic to others, you can continue having fetish to feet. All the best. You can consult psychiatrist for further help." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had three pre-cancerous polyps removed from my duodenum about 5 years ago. For the first year and 1/2 I went back every six months for endoscopy . Now it has been about 3 years and I am due to go get another in two months. For about the past 3 months I have started having bad heartburn after eating- anything. Even a small meal. I am trying to now worry, but I work in Hospice and see cancer every day. Do you think I should, 1. worry. 2. go in sooner than two months from now? Thanks!", "output": "You need not worry. Heartburn is commonly due to regurgitation of food from the stomach into food pipe, which is called gusto esophageal reflux disease. Other common causes are gastritis. Stress is a common cause of gastritis and reflux disease. You need to stop thinking of cancer and concentrate on your job. Since you are dealing with terminally ill patients, it is natural to get effected, but you should not let bad thoughts enter your brain. It is better you consult your gastroenterologist and check with him. If necessary you can go for repeats copy" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, Even i am very much addicted to chewing ice cubes and sometimes i get such a huge pain, still i feel my life is incomplete without chewing atleast 2 to 3 trays of ice cubes without fail, no matter what other say, and i am strongly addicted to drink thumbs up.", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. Addiction, in any form is bad for health. Understanding about addiction is the key. For you, chewing ice cube is not an addiction, but simply an obsession. In addiction, body and mind are involved. In obsession, mostly mind is involved. To remove obsession, you need to keep yourself engaged in activities which don't need your obsession. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a weird sensation inside my belly button. like something crawling under my skin. i did a pregnancy test,negative. However i still have this sensation like...putting something to far into the belly button...is what its most like. its annoying and seems more active during the night as i try to sleep.", "output": "Hello! Thank you for the query. What you feel is nothing more than regular intestinal movements. If an intestine is in the close neighborhood to the skin, you can feel the moving with your skin receptors. It is more common in thin persons. Sometimes due to umbilical hernia such sensations can be more noticeable. As long as there is no abdominal pain, nausea, vomiting, constipation, diarrhea, fever, no reason to be concerned. If there is a lump in the belly button area, hernia is possible. In such case you should consult a surgeon. Hope this will help. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "The felopio tampons to unblock fallopian tubes, have they been medically researched and are they worth a try. Do they have any negative response so far among those who have used them. Im 33yrs 5ft 4inched. I have been checked like 1 and half years ago an found with a one blocked tube and the other very normal. Have been trying to conceive for 4 years now but so far unsuccessful. I have 6 year old already.", "output": "Hi, Thanks for your query. I have read your query & I understand your concerns. Following is my reply: 1) These Felix tampons to don't work. There is no mechanism, of action of these Chat Doctor. Hence, it is not wise to believe them 2) There may not be negative response from people who used it but also no positive response as they can't open blocked tubes. 3) You can go for hysteroscopy guided tubal recanalization procedure. If not successful try for pregnancy when follicle grows on the ovary near open normal fallopian tube. I hope I answered your query. I will be available for any followup queries you have. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Sir,Iam facing regularly skin elargy due to food whreas Doctor suggested Alina Medicine Dr Reddys brand. Iam suffering from this problem past 5years . in this regard i approached so many Doctors but i am not getting proper treatment. So please suggest me good treatment.", "output": "Hello, Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for you as follows:1. I would like to know more about you like - a. what are your symptoms? b. how frequent are your symptoms? c. how long do the symptoms last? d. how they respond to treatment? e. what are your investigations? f. what other medical conditions do you have? g. what are the medicines that you take regularly/frequently? h. what are the triggers for your allergy symptoms? i. your age, etc. above details are necessary to think about possible diagnosis.2. For symptoms of itching, I usually suggest my patients antihistamines like cetirizine or levocetirizine or HY Chat Doctor. 3. If you have " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I recently b was on anti biotics, and wasnt eating my yogart. Well I got a yeast infection and treated it with monistate one day, its been a couple days since and today I noticed a creamy yellow discharge and wondering if its just the after effects of the monistat?", "output": "Hello, I read carefully your query and understand your concern. The yellow discharge is more likely to be relate dot the yeast infection. I suggest continuing using monist at cream for local application. I also suggest using Fluconazole 150 mg one tablet a day for three days. I recommend maintaining a good hygiene. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards! Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello sir my wife is 35 week 2 days pregnant, yesterday we have 2 shots of betnesol injection at an interval of 12 hours dose 12mg but after that we noticed that baby is not moving frequently as he is doing before??My question is is it due to betnesol injection or at 35 week less movement are observed???", "output": "Hi, Lesser fetal movements are observed when the baby grows bigger and starts settling in the uterus with the presenting part, usually the head, fixing in the pelvis. It can also happen when the baby is in distress. Since your wife has been advised steroids, it is likely that she is having a threatened preterm labor. In the scenario, fixation of the baby occurs earlier. The injection is not responsible for the situation. Instead, it helps to prevent respiratory complications should the baby be born preterm. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a hard lump under my chin seemingly attached to the right side of the chin bone. It is a very hard, immobile bump about the size of a marble. My chin does not appear swollen at all but my skin is noticeably lighter where the lump is and no hair grows on it. does this sound like something serious?", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have lump under chin which is immobile and hard could be due to enlargement of submandibular lymph node or due to inflammation of submandibular gland. It could be due to cystic lesion from thyroid gland as well. Need not worry much. You should go visit general physician once and get it examined. Get ultrasound done to find out exact cause and extent of etiology. You should go for fine needle aspiration cytology as well. You should take proper antibiotic course along with anti-inflammatory medications. Chat Doctor. Start treatment after proper diagnosis. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have pains in my chest and my stomache area i had a fever, head ache and a rash before all this happend i went to the hospital because i had a red bump on my back they said it was MRSA and they gave me antibiotics i didnt take all of them and i got those symptoms", "output": "Hi, Welcome to Chat Doctor. MRSA is methicillin resistant staphylococcus aureus which is a bacterium causing skin infection. I am suspecting an allergic reaction to the antibiotics prescribed for your infection. I suggest you take Tab Atari 25\u00a0mg twice daily. If your symptoms do not decrease within 6 hours, get in touch with your treating doctor as soon as possible. I suggest you stop taking the antibiotics prescribed. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a 4 year old. I noticed lumps under her skin on her stomach when she raised her arms and stretched the skin. When i felt the bumps they were on a vein and she said it hurt. When i noticed the raised skin it looked like something was just under the surface. Any ideas?", "output": "Hi, Dear,Thanks for the query to Chat Doctor. I studied your problem in depth and I understood your concerns. Causes for lump below nipples in abdomen-Cause is related with undisclosed supernumerary Polynesia in few cases and is a congenital anomaly. So they are undisclosed breast tissues. So please consult ER Surgeon and GAEC. This advice is based on the facts from the history you give and needs further clinical check. So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you, but just ask a query to Chat Doctor and be comfortable to resolve your health issues. Welcome for any more query in this regard to Chat Doctor. Write good resume and Click thanks if you feel satisfied with my advice. Have a Good Day. Chat Doctor. N." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Female, 26 years old, 5 4 tall, 125 lbs, I upper abdominal pain, in the middle and a little bit to the left, for 6 days now, it is constantly there, but it does not hurt when bend a little bit forward or lying flat on my back, it hurts when I sit up straight or lay on my left side. I have no other symptoms. I do not smoke or drink. And I am not pregnant.", "output": "HelloUpper abdominal pain may be due to many reasons like acidity, gall bladder calculus, liver pathology, renal calculus, musculoskeletal reasons etc. You need clinical correlation and investigations. Investigations include routine hologram, random blood sugar, liver function test, ultrasound of abdomen. Upper GI endoscopy can be done if needed. Ultrasound of abdomen can exclude many conditions. Treatment depend upon findings. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im 7.5 months pregnant, and about a 2 weeks ago started having burning after i went to the bathroom, i had a urine test and the quick test came back negative along with the growth on the urine was also negative, im still having the burning after i go to the bathroom, what else could it be?", "output": "Hallow Dear, Most of the time, burning urination during later half of pregnancy could be due to infection and/or passage of crystals in the urine. Strip test may not be useful to detect the cause. Better submit your urine for microscopic examination to the laboratory. Since your culture test is negative, the chances of crystals in the urine are high. After microscopic examination, you will realize which crystals are being passed and then accordingly, you will have to modify your diet. Whichever the crystal, please Chat Doctor. An Ayurvedic medicine named Cyst one may prove to be useful in such problems. Any vaginal infective discharge also is responsible for burning urination when the terminal urine " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, My aunt is nearly 56 years of age, suffering from fourth stage breast cancer . She was initially diagnosed on May 2010 but failed to get treatment at time. She did however visit a doctor in June 2011 and her surgeon advised to reduce the size of the tumor before she could be operated on. Her treatment started in June last year (2011) with 8 courses of AC. Regular checks were done but somehow the chemo did not have an affect. Her hormone receptor tests are negative by the way so the only likely treatment could have been chemo, radiation and surgery. Her oncologist then got her on 5FU which did not have any effect on the tumor as well. Now she has secondary liver cancer as well which has taken over two of the sections of her liver. Her chemo stopped a couple of months ago as she did not want to go through any more of it. She was on pain killers and trying out Reiki treatment to manage day to day aches. She would complain of stomach pains and sometimes had trouble passing stool. Then a few days ago her health deteriorated when she started shivering and was admitted in the hospital. The doctors explained that her sodium levels had gone down. Now over the last few days she has been suffering from what looks like ascites (stomach really blown up and hand and feet hard as wood) but the doctors are not draining her stomach of the fluids. She cries due to the severe stomach aches and her urine has turned almost black. Her eyes are yolky yellow and she is on constant pain killers and catheter for her urine. Her breast cancer is reeking blood and needs regular changing. Today they informed us that her platelet count has gone down to 28,000 but still havent informed us whether we should arrange for a blood transfusion. The hospital she is in is not a cancer hospital as this was the one closest at the time when she fell ill. I personally feel the doctors are not taking this case as an oncologist would as a- they have failed to address the ascites issue b- are treating her like a normal patient even when they have all her reports in front of them. They inserted a food pipe today as well so that they can give her food via that. I just feel that since she has been admitted her health is deteriorating even more. Do you think we should change hospitals. Or is this normal in her case to suffer so much. Concerned niece - El", "output": "Before I answer your question, let me inform you that I am an experienced oncologist and have been working at a dedicated cancer hospital for some time now. Let me make a few things clear to you before I move on to the specifics. Maybe you know them already, but nonetheless. Firstly, your aunt cannot be cured of her disease by any form of treatment. Secondly, the treatment that she has undergone so far before this admission seems to be largely correct from an oncological point of view. Finally, to your query. Treatment at this point is aimed only to provide her a good quality of life and to prolong whatever life we can. From what I gather she has gross ascites and her liver is failing as well due to the disease. So she would benefit in terms of pain by Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 1 year old grandaughter has an iron level of 17. She is breastfed and we only give her bottle water as we have well water and do not want to her to have that. Our water and her parents water was tested and turned out fine. But her levels are still rising", "output": "Thank you for consulting in Chat Doctor. The iron level in the water has nothing to do with the blood iron level. Iron is an element that is contained in hemoglobin which makes our blood-red. As the hemoglobin is metabolized, this iron is recycled, and it may show up in the blood. I cannot comment anything with the iron level alone. I need to know the hemoglobin level, cell morphology and counts, reticulocyte count and other parameters to be able to say whether she is suffering from a hemolytic condition where the blood is broken down at a higher rate and so the blood iron level becomes high. Further clarifications and consultations on Chat Doctor are welcome. Please post a direct question with the reports and mentioning the situation in further detail and I would try to help further. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i was recently diagnosed with fibromyalgia and have been in a lot of pain,but the last week i have been having severe headaches on the left side of my head also around my eye and jaw,i was beaten up by my ex husband 6 yrs ago wher he punched me repeatedly on the left side,my ear was black and blue inside and out and he smacked my head off a concrete pavement knocking me out briefly i went to my doctor but he never sent me for any scans but the pain is in the area he hit i feel at a loss as i am confused forgetful and i don t know if it is a result of that or the fibro,please help me i m feeling helpless and in agony...thank you Susan...", "output": "Hello! Welcome on Chat Doctor! Regarding your concern, I would explain that your symptoms could be related to an intracranial hemorrhage or a carotido-cavernous fistula. Temporal arthritis could also mimic this clinical situation (although it is not related to the trauma). Coming to this point, I would recommend consulting with a neurologist for a careful neurological exam and some tests: - a brain CT scan or MRI - inflammation tests (PCR, sedimentation rate)- complete blood count for anemia. It is also important to closely monitor your blood pressure values. If all the above tests result normal, you should consider post-traumatic headache as the main cause of these symptoms. You should discuss with your doctor on the above issues. Kind regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "yes i had a severe head trauma 3 days ago that required 3 staples on the top left side. yesterday i started expirencing severe pain behind my left eye accompanied by blurred vision and eye twitching, and followed by a severe headache above the eye. i am wondering if this is normal and can be adressed with my dr in 3 days at the follow up or if i should seek imediate medical attention. thanks sam plumley", "output": "Hi, Thanks for writing in. Sorry to hear about the severe head injury you have had and hope you are recovering fast. The headache can be due to the injury, but your blurred vision requires an immediate consultation with the ophthalmologist. The eyes are vital organs and have many connections in the brain. Eyes are made up of sensitive layers of tissues which help in image formation. An injury to the layers in the eye can cause blurred vision. It can also be caused by injury to nerves and muscles related to the eyes. I suggest you please take an opinion from an ophthalmologist immediately, if not taken earlier. Please explain your symptoms in detail and get your eyes examined and visual filed tests done." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi im on the microlite pill and hae been for about 2 years now, im with my boyfriend for a good few years now and for the first time he ejaculated in me, it happened 2 days ago and i have pains in my left hand side hip and lower back, but i usually have the pain in my back, so im wondering is there anyway i can be pregnant or is all the worry just in my head?", "output": "Hello, Welcome to this forum. You have pain following a sex in which your boyfriend ejaculated inside you. You may have a chance of getting pregnant through this act but as such there is no such scope of having pain or any other pregnancy symptoms so early. So, the pain may be due to other reasons. If at all pregnant, you may have symptoms which you could start feeling just before or after your missed cycle. Sincerely Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi i seem to be gaining weight and when I move a certain way I could feel like a ball in the lower left side of my abdomen, my stomach seems to be unusually big but I m very active and I do get my period every month but only for one or two days, so what do you think is going on?", "output": "Hi ! Good morning. I am Chat Doctor answering your query. If I were your doctor, after an initial personal clinical assessment of your abdomen, I would advise you for an ultrasound of the abdomen to rule out any pathology of the intra-abdominal/intro pelvic organs. I would also go for a thyroid function test as you are gaining weight. Further management would depend on the results of the investigations. Till then, you could add daily routine exercises like a morning walk or jogging depending on your medical fitness. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 3 month old baby boy going on 4 months on July 7th just passed a gray stool his formula was changed to similac expert care alimentum for food allergies and colic on june 20th because a pediatrician said that he has a milk allergy before that he was on enfamil gentle ease and his stool was green and hard", "output": "Symptoms of milk allergy are policy pain abdomen, poor weight gain and streaks of blood in stool. I think none of the symptoms were present in your case. Green and hard stool occurs in some babies on formula feed. So I would not have changed the formula. Now on new formula observe the stool for few more days and if It's still gray then there may be some digestive problems, inform it to your doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello,My Son is three months old, he s suffering from acute gastric and flatulence.. He was diagnosed with jaundice when he was 6 days old the level of bilirubin was 11.7, it took long 6-7 weeks to cure jaundice... After a few days he started having stomach aches n very acute gastric problem. He was first advised normal/general Colicaid n Gripe water... But the problem was severe that he was immediately prescribed Espumisan, Neopeptine and Drotin(SOS) it s been over a month with no relief... He farts like adults n that too with too much difficulty his stomach swells like a big HARD ball. Recently we got his stool test done the report is - PUS 5-6 with presence of mucus and Reaction RH is 6.3 also RBC - 1-2. Please Advice Regards Sourav Moudgil", "output": "Hi... Thank you for consulting in Chat Doctor. This is called evening colic and is quite common in this age group. This happens when the baby sucks at the breast very fast and in eagerness to Chat Doctor. Unless the air comes out like burping or flatus this discomfort will be there and next time check if she is sucking too fast and gulping in air too. You will be more convinced. Usually I don't advice any medicines for this as they give only temporary relief. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was cutting my pubic hair with scissors and i accidently cut my scrotum. I washed it with soap and put dettol on the cut both today and yesterday. The cut is very small and bleeds a little bit but it is a bit red around the area of the cut. Is it infected?", "output": "Hello, since you say that the cut is small, it will heal itself in 48hrs and form a small scar in 4 days, in the meantime clean your wound with antiseptic lotion and apply antibiotic ointment like tobramycin, don't forget to wash your hands before that. Also you should get tetanus and gas gangrene prophylaxis done. And if you are a smoker avoid smoke as smoking delays wound healing. The redness that you see is due to inflammation, which is a natural process of wound healing, so eat healthy and have a lot of fruits rich in vitamin C (it C helps in healing) do note that if you are a diabetic or taking steroids then you wound will heal slow, so It's advised to take antibiotic for prophylaxis" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Most times when I stand up I feel like my head is spinning and I cant see. I also get nosebleeds for no reason, I am usually the first one to get tired (extremely tired) after physical activity out of all my friends even though they do as much as I do. What is wrong with me?", "output": "HIT hank for asking to ChatDoctorI really appreciate your concern looking to the history given here I could say that you must be having two conditions one is orthostatic hypotension and second is epistaxis both the condition are not said to be danger for the orthostatic hypotension take care while you stand up do not stand up suddenly, for the epistaxis underlying cause need to be found out, take care and have a nice day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "good evening sir , i want to discuss about my brother, he is very short temper, acual some time for few movement his temper going high, at silly reasion and he cant control of speaking,, he speak of that time without think, this things he is doing with family member only and after that he realise that and he say soory.... but last month he get married and he doing the same .... so we r in tens pz tel us which type of treatment he requared... pz and where", "output": "HIFI understand you concern. I guess it is the features of borderline personality or mood dysregulation disorder. It needs proper evaluation. Consult psychiatrist. Proper evaluation make proper diagnosis then treatment will effective. Till that following can help to relax his mind and keep him down. Exercise MeditationDeep breathing and hyperventilation. Proper sempstress free activity pleasurable activityMusic and hobbiesDiscuss with Friendster all thing with different anglePositive outlookConfidence all this will help you to counter daily stress, There are much behavior therapy which will help a lot. So consult psychiatrist, and he will guide you furthered well shorthand you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I keep getting these very sharp acute stabbing pains in my head. They can last anywhere from a few seconds to minutes. The pain is almost crippling and I really can t concentrate on anything else when it happens. I never know when it will happen, all. Of a sudden I will be in agony. Do you know what that is?", "output": "Hi there, thanks for writing in. It would be helpful to know exactly where the pains are occurring (for example, on one side of the face, or the back of the head, side of the head, etc.). From what you describe, however, the symptoms of occasional crippling, sharp pains from time to time could potentially either be related to trigeminal neuralgia, or possibly cluster headaches. Both conditions can often be treated to satisfaction with medical management, so I would recommend you arrange to see a neurologist for additional workup and evaluation at this point. I hope my answer was helpful to you and wish you all the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My grandaughter is 3 years old & I noticed a severe rash on her legs & buttocks when she came to visit yesterday.....A raised pimply like rash on both of her buttocks..and raised patches on both of her legs..She said it does not itch so we ruled out poison.he She also has a severe raised path on one her her wristes which will not go away...Her father was treating the rash on her wrist as eczema with Aveeno cream as prescribed by her pediatrition, but only sees her every other weekend.....", "output": "Hello sir. Your description of the rash suggests it could be ID eruption or Henoch-scholein purpura (HSP). Both the conditions have got definitive treatment, and it would be advisable to establish the diagnosis after consulting a dermatologist as soon as possible. The raised patch on her wrist could be dermatitis (eczema tic) or fungal infection. The latter is known to precipitate ID eruption. If she has associated joint pain and abdominal pain, then she could be having HSP. The third possibility that I can think of is popular urticaria, but the rash in this condition is invariably itchy." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I got pain in my Lower abdomen . Lower back and it shoots straight up to my shoulders . I don t have fever or bleeding but the pain is just almost unbearable. It has been 24 hrs and the pain hasn,t gone away yet. Tried taking ibuprofen . Didn t really work, just helped with pain. I feel pressure in my rectal region and inside my vagina when I try to walk and I can t even sit up straight. I feel chills and hot inside my body. What s going on with me?", "output": "Hi welcome to Chat Doctor forum. You have got pain in the lower abdomen, and back, shooting up to the shoulders. No fever or bleeding, but chills are there. Most probably it is urinary tract infection, or meiosis. I advise you to consult a physician for diagnosis and treatment. You may have to take M.R.I. for confirmation, besides other routine tests for confirmation. Wishing for a quick and complete recovery, and thanks for choosing Chat Doctor. F. Best regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My heart is beating hard my chest is moving out I had the flu and then it turned into a cold and iamb wheezing terribly I don t know if it s pneumonia or not, what do you think I should do my nose is running I m nauseous head hurts bodyaches reason terribly I m 52 years old", "output": "Thanks for your question on Chat Doctor. Lung infections are very common after upper respiratory tract infection (URI). And in old age(age more than 59) chances are even high. So possibility of lung infection is there in your case. Lung infection can be either1. Bronchitis2. Pneumonia both cause rapid heart rate, coughing, wheezing, nausea etc. So better to consult pulmonologist and get done1. Chest x ray2. PUT (pulmonary function test). Chest x-ray is needed to rule out pneumonia.PFT is needed to rule out bronchitis. So consult pulmonologist first and get your self diagnosed, then start treatment accordingly." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have red itchy skin around my eyes mostly upper lid area and some swelling. I have seasonal allergies and have been having allergy injections in attempt to reduce symptoms but have not had injections for 3 weeks and my eyes continue with above symptoms. The ENT I am working with for allergy injections indicated perhaps next step is consult with opthamologist but I do no understand why as my eye themselves do not itch nor is my vision impacted so would really seeing an opthamologist be the next step?", "output": "Hello! Welcome on Chat Doctor ! I read carefully your question and understand your concern. Your symptoms seem to be related to an allergic reaction. I agree with you that it doesn't seem to be an eye disorder, but the eye algebra are also examined by an ophthalmologist. So, it would be advisable to consult with an ophthalmologist too. I would also recommend performing a sinus X-ray study as sinus infection or inflammation (related to allergies) could cause swelling in this area too. Hope you will find this answer helpful! Kind regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doc ....i have got a problem with memory..my memory is so bad .it is so difficult to remember the things what i had read in the book which i start reading...while talking i cant recall the past things happened to explain them in detail and in a clear manner....could you please tell me why is it so", "output": "Degree understand your concerns went through your descriptions. I suggest you not to worry much. I do not think you have such a problem with your memory. Forgetting is normal an is considered a bliss. But beyond a certain limit it is of course bad. You did not mention your age, other related illnesses etc. With the details you gave it is very difficult to diagnose your problem. But do not worry. Minor forgetting like lists of items in shopping, programs by busy people is normal and is actually considered healthy and stress buster. You can talk to a psychologist for details. You can use memory techniques and retention techniques which are used in psychotherapy. Post a direct question to me. Include every detail and I shall provide those memory techniques. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "When I ejaculate some dark red blood first appears then my semen which appears normal. I am a 66 year old male currently using Xarelto. My last PSA was around 1.0. The tip of my penis has a mild buring sensation after ejaculation. My urine is clear. I have a right side reducible inguinal hernia and will have surgery in the near future.", "output": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. There are two possible causes of the hemorrhage in you. First is the inguinal hernia which got obstructed, and the result is the hemorrhage. But this cause is associated with the severe pain. Which is absent on your complaint, so it can be excluded. Second cause is the anticoagulant Carlo. Anticoagulant helps to stop coagulate the blood. So I am afraid the coagulation procedure near vessels of the ejaculation duct is stop coagulating the blood the result is the bleeding. Other evidence in support is the absent of blood on the urine and present on the ejaculation. I advise you should change the Chat Doctor. I advise you should visit nearby doctor because they will guide you " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "What could be going on when my stomach gets very bloated before my cycles.I dont have any idea when my cycles will come.I usually start these symptoms about 2 weeks after I have a cycle.It can lastanywhere from 2-4 weeks until I have my next cycle.I also experience sharp pains in my lower abdomen during that time.", "output": "Hi. Thanks for your query and an elucidated history. The sharp pains along with bloating in the lower abdomen during the time you have mentioned, can be due to severe PID-Pelvic Inflammatory Disease or Endometriosis as this is related to the hormonal cycle. I would advise you the following-Get examined by a Gynecologist during an attack of pain.-Get blood, urine and stool tests during painful period.-Ultrasonography abdomen and pelvis and trans-vaginal USG too. Proper diagnosis will lead to a proper treatment. If required, a Diagnostic Laparoscopy and SOS Procedure can help you the maximum." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Started with Heartburn at night then burning and dull ache in Stomach and very mild dull ache in lower abdomen/groin.I am now on triple drugs for H pylori and now have no stomach issues or heartburn.Pain has now increased in lower abdomen and has been that way for about a month.please helpIan WilsonIab WilsonPlease help", "output": "Hi welcome to Chat Doctor forum. Thanks for calling Chat Doctor. Forum. You had heart burn at night, then burning and dull ache in stomach and very dull mild ache in lower abdomen and groin, It appears that you have gastric hyperacidity due to peptic ulcer, or irritant foods. Which then may be referred to the lower abdomen, or vice versa. I advise you to consult a gastroenterologist for diagnosis and treatment. You may need to have gastrostomy, besides other routine tests for confirmation. Wishing for a quick and complete recovery. Best regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor,I have asthma and I smoke 1-2 cigarettes daily and trying to quit permanently and often I get cold and chest heaviness and nowadays having shortness of breath and pain in the lower right chest and in the back. 2 months I did chest CT scan and pulmonologist said I also have mild bronchietasis . he suggested me to take mucinac.I live in Bangalore", "output": "Hello are an asthmatic patient, having chest heaviness, shortness of breath and PAIN IN THE LOWER RIGHT CHEST & also in BACK (according to query) . The most disturbing thing is that 2 months back, you got C T scan. Diagnosed as mild degree bronchiectasis, and you doctor advise you MUC INAC i.e. acetylcysteine, bucolic agent. All these symptoms are from last 2 months (pain in lower right rib, with back pain, shortness of breath) and also a smoker, these symptoms may be due to these possibilities these include:1 Pleural effusion, diagnosis can be confirmed by LATEST X-ray chest .2 Thickened pleura, again diagnosis can be confirmed by X-ray chest. Quit smoking at once, consult a pulmonologist and get his opinion as all these symptoms are a cause of CONCERN. Hope this will help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I m a 30 yr old physically fit woman. I m experiencing a lack of appetite , nausea , frequent urination (getting up several times through night), and headaches. I started birthcontrol a little over a month ago. I wasn t great about taking the pill everyday, and I believe it threw off my period because it only lasted one day. I took a pregancy test 2 days later (I used protection), and it said negative, so I don t believe it s that. Is it possible the pill is creating these symptoms?", "output": "Hello thanks for your query. The symptoms described by you are attributable to birth control. They would have been better had you taken the pill sincerely. However, as you are not good with maintaining the schedule, it is better to substitute a different method of birth control. If you fail to have your period within a week, consult a gone to rule out other reasons such as thyroid hormone disturbance, polycystic ovaries etc. All the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My Mother aged 60 years and suffering with Filariasis since 10 years effected with right leg heavily and due to this she is continuously getting wounds on her leg and getting fever also. Skin is became very ruff. Now we would like to take her for surgery. Will you please suggest any better treatment available in Agra?", "output": "HelloSign diagnosis is well known, so do as follows;Pts with active lymphatic filariasis (defined by microfilaremia, antigen positivity or adult worms on ultrasound) should be treated with diethylcarbamazine(DEC ;6 mg /kg daily for 12 days) . Albendazole(400 mg twice in day for 21 days), albendazole and DEC both given daily for 7 days, and doxycycline (100 mg twice in day for 4-6 weeks) are alternative regime. While if impacted lymph node surgical removal is only one method. So this is a prescription treatment, so far consult your physician and get his opinion. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i started with a toothache after a filling. Now I have pain in my big toe and under my foot and instep. a few of my toes feel numb like I have been sitting on them too long. The is a swollen gland just under the tooth. This gets big or small at different times. This has happened for years. The pain is on the same side as the toothache. It is worse at night", "output": "Hello & welcomes you complain of pain after filling & some gland enlargement, then its quite obvious that there is some infection under tooth. Because if there is some pupal involvement & filling is done over it than this will aggravate the infection. So visit to your dentist for further clinical; & radio graphical examination, only after that further comments can be added. As far as problem of your toe is related, i don't think there is any relation, so visit to your physician too. Thanks & take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "19 days post op with full abdominal hysterectomy and lymph node removal. Some staples were removed this past Friday, hopefully others this Friday the 25th. I have an infection along part of the incision line and have been on Keflex for about four days now with daily cleaning with 1/2 peroxide and 1/2 water but there is still redness and very sore spots along the line. Considering the length of time the staples have been there, could these be part of the problem. Also is there great sucess with RT & Chemo with Stage 1B Grade 3 (serous features) in preventing reoccurence.", "output": "Hello there, I am Chat Doctor. For your case what I feel you is you may have infection which is acquired during hospital stay. So now you need to go for culture examination from that wound area specimen. Though antibiotic is running so might be culture comes negative, but we should go once at least. And also that specimen is need to be screened for atypical mycobacteria & fungus. Because sometimes this type of organism is found in such a case. Then if any organism is found you can go with sensitivity pattern under guidance of your surgeon. For RT and chemotherapy opinion you need to follow guidance of your surgeon, it can be advised only after reviewing all the reports including radiological findings and local examination. Hope I have given appropriate guidance to you. If you have any query you can consult me anytime. Give me star rating according to your satisfactory level. Thanking you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, my name is Shonda. I have a lump that seems to be growing rapidly. Its on my tonsil...I sceduled a tonsilectomy for April 19 but I m concerned the growth pace is making that unlikely. I m nervous... what is the percentage that this could be cancer?", "output": "Hi, dairy have gone through your question. I can understand your concern. You have lump on tonsil. Your age, habits and many other factors are important to know the chance of cancer. You should go for biopsy of that lump on tonsil. It will give you exact diagnosis whether it is squamous cell carcinoma or something else. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a cyst on my Ovary, and I have a cyst on my kidney, I am in pain sometimes i cant lift my right leg without filling pain in the joint area, i also have a lot pain in back and lower and upper abdomen pain. is this associated with the cyst i have", "output": "HelloThanks for query. You have been diagnosed to have Ovarian Cyst and Cyst in the kidney and getting pain in abdomen, leg etc. The pain that you have is mostly due to Ovarian cyst and not due to cyst in the kidney. The cyst in the kidney are usually benign in nature and present since birth and do not require any treatment while tension in ovarian cyst during period of ovulation gives rise to pain n abdomen. You need to get Ovarian cyst punctured microscopically while the cyst in the kidney can be observed periodically. Consult laparoscopic surgeon for necessary treatment. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I ve not had allergies in childhood and it started in 2008 as hives which would come and after taking allergy medication would disappear in 30 min or so.. it happened like once/twice a year until 2011 andin 2011 I moved to US and it used to happen more often like 1-2 times every 2 months. Recently I had a severe attack which required emergency treatment.. While I am already consulting a Allergy Specialist and carry an EpiPen around.. I checked on the internet and read some articles around chronic dehydration being one of the causes for onset of Allergies.. is that true? could it just be that I didn t have sufficient water all these years?", "output": "WATER IS REQUIRED TO INCREASE THE PLATELETS AND WHITE CELLS OF BLOOD MINIMUM WATER IS REQUIRED DAILY IF YOU TAKE LESS WATER THE COUNTS DECREASE AND IMMUNITY DECREASESALLERGY CAN BE DEVELOPED BY ANYTHING AT ANY TIME AT ANY INITIALLY THEY ARE AFTER LONG TIME AND AS THE IMMUNITY DECREASES WITH EACH EPISODE THE FREQUENCY DURATION, MEDICINE POWER TO SUBSIDE THE DISEASE IF YOU CAN GO FOR BLOOD SERUM TESTS FOR VARIOUS ALLERGENS YOU CAN KNOW CAUSE AND DO IMMUNOTHERAPY TO INCREASE YOUR RESISTANCE" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 16th month old daugther has excessive coughing and runny nose. Last wednesday the docter said she had tonsilitis and prescribed tylenol and an antibiotic. I believe she has been getting better, her temperature has been down fr the most part, but i cant explain the excessive coughing. the runny nose i had assumed she gt from me because i am just recovering from the flu.", "output": "Hello rearward welcome to Chat Doctor.come have evaluated your query thoroughly.* This is due to respiratory tract infection through some bacteria or virus.* Suggestions for better recovery-Continue current antibiotics.- Maintain HY Chat Doctor. - Avoid excess sugar , oily, dairy fat, chocolates, ice cream or candies.- Take care of hygiene of the nose , mouth.- Balanced nutritious diet to combat the infection. Hope this will help you. Welcome for further assistance. Regards dear." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Just within the past few days I have been having this sharp pain over my left knee cap.It only happens when I am crossing my left leg.It happens when I am raising my left leg and it is beginning to bend and move up and over the right leg.Usually when putting sock on left foot.If I do it slow I can cross it with minimal pain.I am a 45 year old male muscular build.", "output": "Hello, You may be having a sprained knee or a knee joint tendinitis. I would suggest you to apply a local pain relieving balm or gel and give hot fomentation for a few days. This will relieve the pain. Also avoid squatting and climbing stairs for a few days. If these symptoms recur then consult a physiotherapist for knee muscle strengthening exercises. Wishing you a speedy recovery. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have gone to the ER twice now. Once the morning after I saved a duckling from a storm drain but fell on rocks I couldnt see and ingested the water and throwing up multiple times after. Both times my Blood and urine came back ok. Yesterday I became extremely dizzy, vomited multiple times and collapsed at work. I went back to the ER (this was the second time). Today I started with orange diarrhea (this is day 5 now with diarrhea). My shoes are stained orange from the drain I fell in. I am still extremely nauseous and get dizzy when I walk. Should I still be worried or should I find another doctor for more than urine and blood tests?", "output": "Hi there ~I am sorry that you had a fall and have been having dizziness and vomiting since then. I also believe that the blood and urine work were normal, and it is the least of your concern. I also think that the symptoms you are having are a result of the concussion your brain suffered with the fall. If you did not have loss of consciousness, you probably do not need a CT scan to rule out bleeding inside your head. I hope you visit with a doctor however if there is any other history that you should let them know. I hope this helps. Take care and have a lovely day!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Is it normal to always be sad and moping around? I always see the bad side of things, and I talk to myself at times. Ive made up almost like imaginary friends that I tell myself are there, but deep down I know that they are not. My mood will change sometimes without warning. Ill just start crying without warning and I emotionally attach myself to objects that have no value whatsoever. I also enjoy pain. When Im angry or sad or upset Ill pick at old scabs until they start bleeding. I like the pain that I feel when it starts to bleed and I dont know why.", "output": "Hi there, Thanks for your query. I fully understand the agony that you are passing through. From the information provided, you are suffering from severe depression and low self-esteem. Please don't worry : this is just a transient bad patch in your life. There is always light at the end of the tunnel. You will certainly begin to normalize again, provided you take regular, long-term anti-depressants. Consider your status as an emergency. I therefore suggest that you consult a well-qualified and reputed Psychiatrist, who knows what anti-depressant Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doctor, i had been diagnosed for TB last year and it has been 1 year since the medication. today i had my latest xray done, which shows fibrotic kochs in both upper, mid zone.. Also got my Haematology done, which shows Neutrophils 77.4 % and Lymhocytes 14.7 %. I wanted to know if i can discontinue my medication and is everything normal now", "output": "Normal treatment for tuberculosis is given for 6-9 myths depending on the resolution of the symptoms and the sputum finding. I would suggest you to consult your doctor and do not think of stopping the medication on your own. Inadequate treatment can lead to development of Chat Doctor. . Fibrotic lung shadows are remnant of damage caused by tuberculosis which will be there for lifetime and it does not mean that medicines should be continued. Decision to stop medicine will depend on your symptoms and sputum test for tuberculosis." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi i am trying to conceive and am wondering whats the best brand of multivitamin to take At the moment i take folic acid 5mg and vitamin C 1000mg and fish oil (need to restock my supply). are these enough? I was taking a multivitamin- Nature s Way, Alive! Once Daily Women s Ultra Potency Multi-Vitamin but my GP says to stop taking it as the amount of Vitamin A in it may be too much. Please advise Thank you -Sumitra", "output": "Hello, As a part of preconception care, it is advisable to take Folic acid, Vitamin B12 and Omega-3 fatty acids supplements, regularly at least 3 months before you plan to get pregnant. This helps to prevent various complications during conception, pregnancy and childbirth. Please opt for a healthy diet and regular exercise regimen. Include more portions of fruits and vegetables and salads in daily diet. Chat Doctor. Avoid refined sugars and deep-fried foods and bakery products in the diet. Meditate regularly and think positive. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I ve had chest congestion for about a week now and I have been very light headed no mucus comes up but the lightheadedness is really sending my anxiety into over drive I went to the doctor before the chest congestion and wheezing started he said I had sinusitis and gave me a week s worth of amoxicillin any help please guys", "output": "Hellothanks for choosing Chat Doctor for your query I were your treating doctor I would treat your problem as sinus infection, and certainly I would prescribe you a course of penicillin group of antibiotics like Amoxicillin plus clavulinic acid and cough remedies as the same was advised by your doctor.I would also suggest my patients for some lab investigation like complete blood count, X-ray PNS please do steam inhalation with deep breathing exercises 3 -4 times a day you can also start some antihistamines like tab levocetrizine or decongestant nasal spray hope this will help you regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have eaten an apple in which I found a blood clot and a injenctiin syringe mark. There are also rumors that Hepatitas A/B/C and HIV / AIDS infected people inject their blood into fruits. Can anybody acquire such diseases by eating such fruits. Help is highly appreciated. Thank you.", "output": "Hello, Only hepatitis A can be transmitted by food and this is an acute type of hepatitis that should soon cause symptoms with fever, abdominal pain, nausea, joint pains, jaundice, etc. It generally is self-limiting, which means it heals spontaneously within a few weeks. Hepatitis B and C do not generally get transmitted by food, so there is almost no chance to get them by eating an apple. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Every morning my baby will wake up with vertical nystagmus and sometimes he will have an upward gaze. It started 2 weeks ago when he was sick with a cold and ear infection. He had an EEG and the results were normal. We have an appointment to see a neurologist in two weeks. I am very concerned. What is the cause of this?", "output": "Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. Many times seizure disorders can get missed in the single EEG. What is required is multiple EGGS and if possible EEG's with photic stimulation. Seizure disorder is a most likely diagnosis but occulogyric crisis is also one of the possible etiologies and this can occur as a side effect of some Chat Doctor. Are you baby on any medications? That needs to be checked. Your neurologist visit is certainly warranted. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I have a pain in my tongue. I believe it is the tongue muscle, but cant be sure. When I press my tongue against the roof of my mouth, I feel the pain under my chin. Moving my tongue in general causes pain at the tongue. If I press my thumbs under my chin where the tongue muscle is, I can massage it a little to relieve the pain, but it is still there. It is a dull pain at this point. No swelling. Just hurts when I move my tongue to speak or swallow.Mikaela", "output": "Hi, Welcome to Chat Doctor .com. I had gone through your question I can understand your concern regarding muscle on the floor of mouth. It looks like mastectomy muscle spasm. You need to reduce you aggressive tongue movement for some time. Apply warm cotton for about 10 minutes two to three times daily. Hold your chin while yawning. If I had been your treatment doctor I would like advise. Take medication like Aerosol MR twice daily in case you are not allergic and also does not have any medical history associated with you for a week. Hope my answer will help you and visit us back if you have any questions further to be answered." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a 17 yr old that has ran a fever for 4 days no higher then 101 but runs about 99.9 most times has a cough and is sleeping alot . I have heard alot of viral and flu is going around and most are not running ot the doctor what would you suggest i do.", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you are suffering from fever and cough with a lot of sleeping. The symptoms you mention in query can occur due to May reason like Common cold, bronchitis, asthma, acute sinusitis, viral influenza and viral pharyngitis. In your case the symptoms seems to be occurred either due to bronchitis or viral influenza. I would suggest you to consult general practitioner for proper examination. Doctor may order blood test, chest x-ray and take history. Doctor may prescribe antitussives (dextromethorphan) and expectorants along with ANI viral Chat Doctor. For now do warm saline gargles, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ive had pain in my upper right side of chest, above & around my breast, for 5 days now. Its also in my back but no muscular, something else. Its worse when I lie down. Sometimes the intense pain will go away, but the tenderness never does. Usually when less intense I have pain in my lower left pelvic area or my upper right side just higher than belly button.", "output": "As you have mentioned in your narrative it is clear that you are suffering from some sort of chest infection. For this you have to take some antibiotic like tan augmenting 625 mg or tab appoint 500 mg three times daily after meals for at least 5 days along with tab kilos or tab attract twice daily after meals for pain relief with tab levocetrizine or tab fexofenadine twice daily after meals with cap Gomez or cap omeprazole twice daily before meals. Above all these you also have to take steam inhalation at least three to four daily as it is very helpful in relieving the congestion and tightness of your chest as well as intense pain." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My mom has recently been diagnosed with multiple stones or calculi in her gall bladder. Shes been taking udiliv300 now and the doctors have asked her to keep taking it for ten days or so and then maybe theyll go with laparoscopy. The largest size of the stone is 8mm. Will the medicine help? or will we have to go with the whole removal of the gall bladder?", "output": "Hello, Udiliv 300 works by reducing the cholesterol production and dissolving cholesterol, so it can not form any stones in the gallbladder. These tablets are very effective in dissolving gall stones especially the cholesterol gallstones. Usually, it needs two or three months to dissolve the gallstones. If your mother doesn't have any symptoms like pain in her right qua Chat Doctor. I suggest that your mother waits two or three months before doing the surgery (10-15 days won't dissolve the stones). After this time, she will need to do another ultrasound to check the walls of the gallbladder, the size of the stones, liver enzymes, etcetera. Meanwhile, she needs to have these changes in her diet, to prevent an infection of her gallbladder or symptoms like pain.-A low-fat diet (vegetables, potato, pasta and rice with oil-free sauces, grilled or steamed fish)-Plenty of water-Avoid alcohol-Avoid concentrated fats like oil, butter, margarine, fat on meat or avocado Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "So I have been tested for lupus and it came back negative I run fevers have swelling in my right hand and my right leg goes numb and gets very weak like it s gonna give out when I run I get a rash from the sun I have swelling in my legs and feet my aunt has lupus just wondering if my problems are blood flow or just lupus have been to multiple doctors and nobody has any answers so if I have it how long will it could it stay dormant", "output": "Hello, I have studied your case. There is possibility of compression of nerve root there can be tingling numbness in your leg and pain associated with it leading to walking difficulty. Medication like methylcobalamine with neurotrophic like pregabalin will reduce pain; you can take them consulting your treating doctor. You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case. I will advise checking your it B12 and it D3 level. MRI shows disc compressing on nerve root then surgical decompression is permanent solution. You can send your MRI films or report. So that I can help you better. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, I have rapid heart beat normal , high blood pressure but it s under the control by taking Lozar 25 mg , my cortisol level is low( 9) and dhea So4 very low (28), and I was taking prednisone but i stopped it abruptly 1 month ago , do i have a adrenal insufficiency?", "output": "Hypertension is all lifestyle diseases which require lifestyle solution and not a chemical cocktail of medicines. I can get rid of all your BP medications in a short time if you follow my instructions. It just involves dietary changes and lifestyle changes and I can even reverse the BP Send me the tests results done till now. Stop all dairy products Cut down animal prominent plant based diet cut down oil and salt reduce stress by meditation and yoga steroids should not be stopped abruptly. It should be tapered and stopped .you have to tell the symptoms you have and the lab test serum sodium, potassium. Patients will have low sodium and high potassium and hypotension and not hypertensionRemember you cannot fix your health without fixing your diet." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My problem is I suffer from cold/cough throught the year almost...due to that I face creathing issues as well...specially in the when sessionn changes....I took Rotocap Serflow 100 when this problem arrise..I am 30 year Old. Please help me to get out of these permanently..thanks", "output": "Hello and thanks for your question. It sounds more like you have allergies or asthma than a continuous cold. Asthma can present as a cough. Acid reflux can also cause a cough. If you have runny nose and cough then it is most likely allergies. Try taking an antihistamine like loratadine daily and ask your doctor to check you for asthma. If you have asthma then an inhaler used regularly may get rid of your cough. If you have acid reflux try adding a medication for blocking stomach acid like omeprazole. Thanks for using Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband was transferred from the ICU rehap hosp to the main hosp ER for hypoxia, hypercarbia, hypertension, suspecting from sepsis and chest pain with very slightly elevation of troponin, most likely related to demand ischemia due to sepsis, needing to evaluate for acute coronary artery syndrome & shock. What is the meaning for hypertension sepsis, troponin, demand ischemia due to sepsis and then leading to acute coronary artery syndrome & shock?", "output": "Hello! Thank you for asking on Chat Doctor! Regarding your concern I would like to explain that sepsis is only one step to a broad spectrum of body distress; ranging from high-energy consuming demands to multi-organs dysfunction and failure, and to the final high-lethal state of septic shock. So at the beginning is present a hyperdynamic dynamic state; and possibly hypertension. After that, as micro-circulatory and cellular dysfunction follow (as the result of the microbiological and toxins effects), appears tissue ischemia throughout the body, comprising even myocardial ischemia (even in the presence of insignificant coronary lesions, or in their absence). This mechanism explains demand ischemia. Metabolism turns highly to an anaerobic one, and tissue injury markers appear in the blood (one of them is troponin, etc.). When this vicious cycle is not interrupted during early stage, this is a lethal disorder. Frequently it is found septic shock heart pattern (with diffuse and patchy lesions in the absence of distinct coronary lesions). Hope to have answered your question. I wish a fast recovery to your husband! Greetings! " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "ive had a cold and a cough for the past week and a half however in the last 3 days its got worse today all i have wanted to do is sleep and my cough has got that bad that i can feel my stomach muscles pulling...i was bringing a dark greeny colour mucus up yeaterday but nothing seems to be coming up today...im breathless and have asthma but my inhaler isnt working, having minor chest pains which get worse when coughing and feel really lathargic and have no energy ...any ideas?", "output": "Hello dear, The symptoms as mentioned in your post can be attributed to Acute exacerbation of asthma, secondary to the respiratory tract infection. Management consists of:1. A course of antibiotics based on culture & sensitivity reports.2. Stalin+ Aeroflot inhaler-provide symptomatic relief by causing bronchodilator (dilating the smaller airway passages, relieving the obstruction & increasing airflow to lungs). So, it can be used during an acute attack.3. Montelukast preparations- used as a maintenance therapy to relieve symptoms of asthma.4. Antihistamines like Cetirizine and anti-tussive preparations can also be used to provide symptomatic relief from cough.5. Also make sure that you are well protected from exposure to cold, dust or other allergens. If symptoms still persist, kindly consult a Pulmonologist for proper clinical evaluation. Wishing a good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was on my phone and then I got up, but I felt light-headed and had static like vision and i think i started swaying. That was the last thing i remember. The next thing i remember was feeling pain in the back of my head and i realized i had fallen. My mom says my eyes were open but i dont remember anything, i dont really remember falling at all. I feel weird now i can t really explain it but i feel very weird and kind of sluggish, i feel like im lagging as i look around and i keep yawning, but im not really sure if i should go to sleep. There s still pain in my head of course, but i put some ice. This has never happened to me before though, and im really afraid.", "output": "As narrated by you, there are two most likely possibility one is syncope and other seizure. But syncopal attack is more plausible diagnosis as your loss of consciousness was postural and is associated with lightheadedness at onset. Seizure episode usually begins suddenly with abnormal jerky movements of limbs, neck deviation, tongue bite, incontinence and unrolling of eyes. Fortunately you don't have any sucChatDoctorplains. For investigation regarding syncope you need to get you blood pressure measured, ECG of heart. For treatment, you should increase your salt and water intake, move legs before arising from bed or sitting position, leg stockings also helps. If all this measures don't help then medications may help. Avoid crowded and humid places and tight collar Chat Doctor. Consult a doctor for further evaluation. Hoping for your good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I am a 15 year old female and I just gotmy period about two years ago. Since then however iI have had severe pains in my lower right abdomen lasting about 1-2 days. While I have this I have noticed that it is hard for me to use the bathroom because I cannot poop, only a little. When these pains are in action I often have to miss school because the pain is so severe that I can t stand up without it hurting. Any help/tips?", "output": "Hi ! Good afternoon. I am Chat Doctor answering your query. It is usual to have some pain during the periods in the initial years. However, if it is much in intensity as stated by you, I would advise you to get your self clinically assessed by a gynecologist, who might advise you with some anti-inflammatory and hormonal therapy for some time, and might advise for an ultrasound of abdomen if need be. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "At the age of nine i suffered from pneumonia and Tuberculosis , at the age of twenty-one i got operated for appendicitis and at the age of twenty-two i suffered from ovarian tuberculosis and now at the age of twenty-five i am having some problems i don t know what......i am suffering from back-pain, cramp in stomach, blood in stool , i got periods after three months and its continuing on from last one and half month... i dont know what to do now...i lost faith in life....pleses help me.....thank you", "output": "As you are aware tuberculosis has a tendency to emerge from latent infection. This can also speed from the lungs to other parts of the body as in your case. It is also possible that tb can spread to your intestines and uterus which can also cause some symptoms like you have described. It is important that you see a doctor, carry some investigations so that your current status of the tb infection can be determined. This may also result in some form of anti-tuberculous treatment being initiated. Or the investigations can reveal if tb is not the case here and if any other infection or condition is cause of your symptoms." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have 25% function in my left kidney and have passed many stones, the last stone blocked the Uretha and had to be blasted. Due to the condition of my kidney they say they can not blast the stone in the kidney, it is a staghorn 35mm. I have 75% function in the right kidney. I have renal scaring in both. Based on this what options other that kidney removal would you suggest I ask my specialist, he isn t a very easy dr to talk to but a good surgeon, so just looking for as much info as I can. Thank you", "output": "Hi, Thanks for writing in. Staghorn stones are big distorted stones and can cause significant adverse effects on the kidney function if not treated. That is the possible reason for your kidney functioning at 75 percent. A stone of size 35 mm is big and should be removed to maintain the remaining functioning of the kidney. There are surgical as well as minimally invasive ways to treat your condition. A percutaneous nephrolithotomy can be done. In this an incision is made in the kidney region and the staghorn calculus is removed surgically. Extracorporeal shockwaves can be used to break the stones. Otherwise, a double J stent can be kept in place to maintain the flow of urine while attempts can be made to allow the stone to be removed piecemeal. It is also possible that" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a middle aged male with an enlarged prostate who recently had a catheter in place for 10 days. I was taught how to put the catheter in myself and this caused a UTI. I am currently without a catheter in place and am wondering if it would be beneficial for me to put the catheter back in. I feel the need to urinate but can t that well due to the enlarged prostate and I am wondering if this backup of urine is bad for my UTI. Will this worsen my infection or help it?", "output": "Thanks for asking in Chat Doctor forum In short: catheter is a double-edged sword now Explanation: Enlarged prostate with difficulty in urination can increase infection and intern catheter may again insert infection. So, consult your doctor regarding this. He may put you on antibiotic prophylaxis whenever you are on catheter now onwards. For time being got urine tested for culture and sensitivity and get treated for UTI." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been reading about people who have taken the i131 treatment for thyroid cancer after a total thyroidectomy and noticed most people are experiencing muscle aches and pains.i too am having this problem.was wondering if any research is or has been done concerning this side affect? I am also tired and have trouble getting out of the bed", "output": "Hi, Actually it is very common and happens with many patient researches may show that Radioactive Iodine-131 is used in patients with papillary or follicular thyroid cancer for ablation of residual thyroid tissue after surgery and for the treatment of thyroid cancer. Patients with medullary, anaplastic, and most Hurtle cell cancers do not benefit from this therapy. External irradiation may be used when the cancer is unresectable, when it recurs after resection, or to relieve pain from bone metastasis. Sorafenib and uniting, approved for other indications show promise for thyroid cancer and are being used for some patients who do not qualify for clinical trials. Numerous agents are in phase II clinical trials and XL184 has started a phase III trial. Please consider a 5-star rating with some positive feedback if the information was helpful. Hope the above information helps you. Any further clarifications feel free to ask." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Dr. My AST and ALT are 311 and 215! WHY! My Dr. was concerned and wants me to stop all meds and take another Hepatic Panel Blood Workup in a few weeks. I have just take 50000 Units of Vitamin prescribed by my Gyno and I take a 500 mg of hydrocodone per day (some days only one or none) because of surgery for a Right Calcaneous Heel Fracture 8 months. I am 62, have Osteoporosis and am taking PremPro - that is it. Except for occasional valium for chest pains on my right breast/chest bone! Already had a chest xray and mammogrophy - both are normal. Thanks Petra", "output": "Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can.AST and ALT are sensitive indicators of liver damage or injury from different types of diseases or conditions and medications are possible cause of it as you have mentioned. . So the next step is to look for certain liver damage and most common cause is fatty liver disease. It should be confirmed by ultrasound. Other causes are viral hepatitis, cirrhosis, medications, alcohol intake or autoimmune diseases. To verify exact cause, US, bilirubin levels and tumor markers should be additional done and then appropriate treatment can be started. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I got my tooth extraction today after we went to the dentist I decided to eat some noodles after I ate the noodles I seen my tooth wasnt blood no more so I decided to wash my mouth and literally brush my teeth away from the extraction side. After I brush it I seen a doctor papers showing what to do and not to do i feel stupid coz I didnt read it first so I kinda panic now coz I wash my mouth today that it not supposed to my question is what is the side effect of washing my mouth after my tooth extraction? I still feel pain and numb around my tooth..", "output": "Thanks for using Health Care. Read your query. Vigorous gargling after extraction is usually advised to avoid to prevent the dislodgement of the clot formed. If there is dislodgement of the clot it can lead to Chat Doctor. Relax, if you have already done it. Continue with the proper medication prescribed by your dentist. Pain and numbness will gradually reduce. Salt water gargling is to be done though not vigorously. Hope this was helpful. Thanks and regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI, I am in serious need of a dentist. I have no insurance, I have 18 teeth that are broken, cracked, u name it. They all are going to come out and replaced with dentures. I could make payments, if they were not just unreal expensive. Please help if you can, Im in severe pain and eating is a terrible ordeal.", "output": "Hi. Welcome to Chat Doctor. I read your query. You did not mention your age. By broken teeth do you mean cavity or fracture? I suggest you to visit a dentist and get your teeth checked. After x-ray and examination only, the treatment can be planned. There may be few teeth which can be saved by RCT and crown. Get extraction of required teeth. Then depending upon remaining teeth you can go for removable or fixed denture. Nicely made and maintained dentures works really well. Hope the answer helps you. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just found a bump on the top of my head it s approx 2 inches long and it about where a part would be to seems to get bigger every few days I had my daughter look at it and there is no wound on either end and it isn t dis colored. Help my fathers family has a lot of cancer deaths in it.", "output": "Thanks for your question on Chat Doctor. In my opinion you should not worry much about cancer. As your lump seems benign mostly. But better to get done1. X-ray of skull to know the extent of the lump.2. Ultrasound examination of local part to know the content of the lump.3. Biopsy and histopathological examination to rule out cancer. Mostly it is either lipoma or sebaceous cyst. So get done all these to rule out cancer." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I am worried about a disease that I was diagnosed with 2 years ago. PAD. Just yesterday another vascular surgeon said that my arteries look fine. He thinks it all back problems that are making my legs swell and hurt. I was just wondering if theres one test better then another. Ive had an ankle block and ultrasound. I am gonna go for another opinion.", "output": "Hello, Thanks for the query to Chat Doctor. Forum. Since you mentioned that there is ankle block and swelling and pain in legs, these are not clear finding for us as physical examination reveal another thing. As you stated that you are a patient of Peripheral arterial disease (PAD), 2nd opinion is that your swelling may be due to back problem. However, it is very difficult to evaluate a diagnosis without complete examination & reports. In my opinion the most foremost reason may be, 1 Kidney involvement (edema i.e. swelling over legs and ankle), so consult a primary physician and get in blood for serum creatinine, urea, uric acid level. 2 Due to hypoproteinemia, so again blood and urine examination will find out the cause.3 Of course arteries or venous blockage may be the reason, but this is most uncommon reason as I have seen. So don't be in panic consultation with a primary care physician will yield good result for you. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi am in my 39th week of pregnancy.my edd is 16th nov 2012.since last night am feeling a slight pain in my lower abdomen ,had excessive white thick discharge and pain in my lower pain.there is also change in my walking style..i had a c -section earlier,my elder son is 4yrs old .so are these symptons of normal delivery..have no idea abt it as my elder son was a breach baby..kindly advice.", "output": "Hello there. Since you have a history of previous cesarean, and you have completed term (37 weeks), you should not ignore any kind of pain you perceive. Regular Pain of gradually increasing intensity in the abdomen associated with backache and hardening of the abdomen, mucoid discharge from the vagina are indications that you are starting your labor. The outcome of labor whether a cesarean or a normal delivery depends on the progress of your labor in terms of dilatation of cervix and contractions (pain) with descent of the baby. If everything goes normal, you can deliver vaginally even after a previous cesarean birth. You should visit your gynecologist for an internal examination to check if you are in labor. Also taking pains at home in previous cesarean is not good as at times the previous cesarean scar on uterus disrupts with pain. So monitoring by a doctor is a must. Wishing you all the best. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have burning during urination, it s been a week now. I cannot achieve an erection unless I really concentrate on it.. Today I came home, showered and went straight to bed and woke up 2 hours later with an erection associated with pain.. What s going on??", "output": "Degree understand your concerns went through your details. I think your problem is psychological rather physiological. You are being obsessive with the pain and erection problem. To be sure, please consult a physician and let him advise you on this regard. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "im a 35 hispanic male with darken skin around my inner tighs, rectum, and testicals, for the past few months it has been very itchy, to where i scratch it a lot how can i stop it, also seam to have lose skin down around the inner tights. what can or should i do", "output": "Hello I can understand your concern, the rashes you developed may be due to fungal infection, Tina courts and Tina corporis.in such case cleaning with disinfectant can cause much irritation.I would advise you to keep the area clean by normal water and more importantly keep it Chat Doctor. Application of antifungal 1% clotrimazole cream and powder twice or thrice a day can be helpful, for more serve condition you can have antifungal orally also. And for itching tab levocetrizine 5 mg (antihistamines) before sleeping can be helpful hope it would help. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hey m doin BDS now in 3rd year....my question is dat.....i got my cavity fiiled wid GIC few months ago cos i had experienced sharpshooting momentary pain on mastication .. the same is continued after gettin the tooth restored,,wat could be the possible causes for this???????", "output": "Hello, Common causes for post filling sensitivity:High bite - needs adjustment Close to nerve - hypersensitivity may decrease with time, reduce use and extreme temperatures, use toothpaste for sensitive teeth, fluoride rinses abscess - bacteria into nerve, requires root canal therapy cracked tooth or root - X-ray, observation, treatment options depend on extent of fractureLook for swelling, increased pressure and hot sensitivity for an indication of infection. Mobility can indicate a fracture or infection. Monitor and report your symptoms to your dentist. Take some anti-inflammatory medication such as Tylenol or Advil to reduce discomfort from the initial possible discomfort due to the dental procedure. Cold sensitivity is less of a concern and time may reduce sensitivity. Check that filling did not chip or crack. Thank you for your inquiry. I hope you will start to feel better soon." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hey doc I had my US yesterday and my gynecologisr said I have a mild thickening of endometrium and i am given metrozine and cefix 200 mg each for 14 day twice a day. I have to go for the serum progesterone test to see if I am ovulating. I always have regular periods always on time. never had complain if pain and anything. I am TTC . Could I conceive after my antibiotic corse? what If test are negative for progesterone?", "output": "Hi, I think you can conceive after the antibiotics course. Regarding the progesterone level, if you are not ovulating, medicines are available for the growth of your follicles. You can track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, injection will be given to rupture the follicles. Be in contact with your husband every 2 to 3 days after your periods stop. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. You can try like that for 3 to 6 cycles. Hope I have answered your question. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I masturbate into a sock. Before I had surgery to remove a cyst on the inside, I masturbated into socks, and the socks, after a few days, would stay \"crusty white\". Now, post surgery, when I masturbate into a sock, after a few days, it becomes \"crusty light-brownish\". Wtf is the problem?", "output": "Degree understand your concerns went through your details. Please understand, the sperm and semen liquid contains many proteins and starch, and it is quite natural for your sock to be crusty white. There is no significance of cyst surgery with the color or crustiness of your semen. You should also take the condition and color of age of your sock into consideration. Please do not obsess with these issues, or else it may lead to anxiety disorder. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "What would cause partial numbness on the right side of the scalp coupled with some on the right cheekbone. There are also two small masses one on the top portion of the scalp with the later being present on the left side of the neck. The other conundrum is an intensifying of migraine headaches. Any ideas on this perculiar array of symptoms? Thank you for your input and guidance.", "output": "Hi. Thanks for your query. Noted the history and understood your concerns. The complex of your symptoms that you have mentioned, seems to be due to the following problems:- The partial numbness on right side of scalp and face may be due to trigeminal neuralgia, the migraine may actually be a trigeminal neuralgia.- The lumps usually on the scalp are sebaceous cysts.- The lump on the neck on the other side is most probably due to lymph node enlargement. I would advise you the following:Get a clinical evaluation by a General Surgeon and get operated for the swelling on the scalp. MRI for the trigeminal nerve particularly for arterial loop. Once diagnosed, to get appropriated treatment." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello... i dont know what my mother is suffering from... its been more than a year now... she acts weird sometime... there was a time when used to be very simple and down to earth..but now she becomes very violent... she is always screaming n uses abusive words... she thinks everybody around her are theives.... including her children... we want to take her to a psychiatrist... but she doesnt want to and even acts violently... we are worried..", "output": "Hello and welcome to Chat Doctor. Thanks for your query. I understand that you are quite concerned about your mothers recent symptoms of auspiciousness, violent behavior, etc. From the description of her symptoms it appears that she may be suffering from a psychotic disorder. However, a detailed history and psychological assessment is necessary in order to arrive at a correct diagnosis. Since you have mentioned that she is having significant symptoms, it would be best if he has a proper evaluation of her problems, so that a correct diagnosis can be made, and he can be helped. So, I would advise you to get her to see a psychiatrist for a detailed evaluation and further help. If she is not willing, you can contact the community health team to arrange for a home visit. Wish you all the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I was wondering if i could get some help regarding the after death trauma of a husband. My question is is it normal for this person to stay silent for almost 2 months even thou she is in a hospital and all her sons and daughters are around her all the time. I wanted to know and make sure because someone i know is telling me that this is the case but i have doubts that its a lie Thank you,", "output": "Hi and thanks for questions. Trauma after death is grief reaction which occur in most person. It will take time to resolve minimum 1 month to maximum 6 months. So I will suggest wait up to 6 months. If pt is not taking food or in severe grief than required treatment and counselling.in treatment antidepressant like venlafaxine or Escitalopram or anxiolytic like tab. Clonazepam give. And kindly consult if more problematic. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my chest hurst and i cant go poop, i had this problem for 2 days now and i never experience anything like this, the pain on my chest feels like if something is swallen inside or like my food doesnt go down at all and it stays in the middle of my stomach", "output": "Hi constipation can cause all the symptoms that are experienced by you at present, you have to take some laxatives, laxatives will loosen your stools, once the stools are passed the heaviness which you are feeling will go away ! The heaviness of the chest which you are feeling is not related to your cardiac system, rather It's because if constipation and production of gases inside. Once this is relieved your symptoms will go away!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter , 6 years old, has run fever for 5 days, it is still not showing any signs of improvement, blood test showed it is vital infection. What should I do next? Does she need more test ? If the fever, 105 at one time, continues on, what kind of damage she will suffer", "output": "Hi... Thank you for consulting in Chat Doctor. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15\u00a0mg/kg/dose (maximum ceiling dose of 500\u00a0mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am suffering from intestine disorder from last four years I am taking IBS drugs like Rabeparazole and I am also taking thynorm, 25 mg before breakfast, Please suggest me what to do Now a days I am suffering from headache occasionally, undigested food material in stool, some times burning rectum", "output": "Dear Hamidwelcome to Chat Doctor Ayurveda has described IBS as Graham. And it has mention successful treatment for IBS related symptoms. Powder of four sours (Vrukshamla, Amlavetasa, Dada and Gadara) 640 gm, private 120 gm (Papal, Shunt hi, Black Pepper), and five salts 160gm added with sugar 320gm should be used with vegetables, pulses, cooked cereals etc. It is efficacious in colic, indigestion, anorexia etc.b. Panchakola is to be added in cereal soup, Radish soups with black pepper are recommended as diet.c. Buttermilk, sour gruel, and arista should be taken as post meal Chat Doctor. d. Buttermilk is specifically advised in this disease due to its appetizing nature, astringency and lightness in all ways. This aids recovery of disease. So take in profuse quantity.e. One passing undigested diarrhea stools due to deficient Agni should take adequate. Dose of fritz (ghee) mixed with appetizing " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My stomach has this horrible pain every 30 minutes... it started last night where it was real bad. Right now, its not as painful, but if i move, then it feels kind of like, if you hit your head on something and (not the touch feeling) but the feeling of \"its a knot\" ... i dont know if i am making any sence.....", "output": "Welcome to Chat Doctor .1. All above symptoms are seen in the acute gastroenteritis, after any food products caused infection.2. Take an anti-spasmodic Chat Doctor. 3. If the symptoms still persists, you need to get an appointment.4. If you are my patient, I would have start with examination and an ultrasound abdomen to narrow down the diagnosis. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello I have had a cough for a month and was wheezing pretty bad was prescribed prednisone for about three weeks and to use an inhaler. The cough went away and I felt fine. After finishing the prescription I am now coughing again and back to wheezing. I tried the inhaler again but it s not really helping. What should I do?", "output": "Thanks for your question on Chat Doctor. In my opinion you should consult pulmonologist and get done chest x-ray and PFT (Pulmonary Function Test) to rule out bronchitis. And no need to take oral steroids as in bronchitis only few indications need oral steroids. So avoid oral prednisolone. Start inhaler having long acting beta 2 agonists (LAB) and corticosteroids. It is having action for 12 hours so only twice daily given. And inhaled corticosteroids are far, far better and safe than oral steroids. You may also require anti-allergic, anti histamine and anti-inflammatory Chat Doctor. So consult pulmonologist and diagnose first." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i had radiation therapy in july and august of this year for vocal chord cancer 6 weeks after com pletion my voice was almost back to normal Since then it has been back downhill and sometimes it is almost impossible to speak My throat doctor has checked me out and says everything is fine no cancer and chords moving why would my voice get better and then steadily worse", "output": "HI THANKS FOR YOUR QUERY.THE ISSUE WHICH YOU ARE CURRENTLY EXPERIENCING IS SECONDARY EFFECTS DUE TO RADIATION THERAPY.RADIATION CAN DAMAGE THE NERVES SUPPLYING THE VOCAL CORDS AND OCCASIONALLY VOCAL CORDS TOO.THIS CAN IMPAIR THE QUALITY OF VOICE SERIOUSLY.AS YOUR DOCTOR HAS ASSURED YOU THAT NO NEW Tumor HAS DEVELOPED, THERE IS VERY LESS FOR YOU TO WORRY ABOUT.IT WILL TAKE MONTHS FOR THE VOICE TO RECOVER DEPENDING ON THE QUANTITY AND QUALITY OF RADIATION USED.HAVE REGULAR PERIODIC EXAMINATIONS OF THE THROAT.STAY IN TOUCH WITH YOUR DOCTOR.YOUR VOICE MAY IMPROVE BUT MAY NOT REACH ORIGINAL QUALITY AND TIMBER.THANK YOU" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i just had an laparacopic cholecystectomy this thursday today is my fourth day of recovery i feel dizzy and light headedness upon reading on some articles none of them seems to be the answer and still feel dizzy after months of recovery what seems to be the problem if your experiencing this post cholecystectomy? and i started to drink vitamin b-50 is it okey to drink this vit ? thank you", "output": "Hi, Welcome to Chat Doctor forum. The query is not clear, that you have dizziness on 4th day of the cholecystectomy. After months of recovery also you are still feeling dizzy. As it says you had surgery months back. It appears that the cause may be the thrombi embolism sometimes happens after surgery. Whether recent or long-lasting I advise you to consult a euro surgeon for diagnosis and treatment. Other cause may be infection of the middle ear, may happen at that time. Wishing for a quick and complete recovery. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir,My semen analysis report is as follows.Quantity - 2.0 ml, Colour- Perly white, Reaction- Alkaline, Total Sperm Count- 106 million / CCM, Motility- 8t0% after 1hr, 70% after 2hr, 60% after 3hr, 30% after 5hr, epithelial cel- 1-2 / phf, Pus Cell- a few, Normal- 90, Abnormal- 10.Whether the aforesaid report is normal or has any infertility issue?I am waiting for your kind reply.RegardsAbhijit Ranjan", "output": "Hellowelcome to Chat Doctor I have read your reports' volume count and motility is normal except that, presence of pus cells and alkaline reaction indicates some mild infection, .consult local physician and take appropriate antibiotics,don't get delay otherwise it may lead to infertility....for these reports these are normal no infertility problem. I will tell you some precautions,please follow that1.avoid bathing with too hot water(bath with Luke warm water)2.avoid wearing tight pants like jeans,wear only loose pants3.avoid smoking all these things decreases the testicular function.hope you will understand my suggestion thank you Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here... I feel a flutter movement on the upper left side of my stomach under the rib cage . I know I am not pregnant, even though it feels like babby movements What could this be?", "output": "Hi, Thanks for your query and an elucidated history. This is called a Psuesocyesis. Pseudocyesis : Means there is no actual pregnancy, but the patient gets all the signs and symptoms. This is confirmed by a negative ultrasonography. He is patient who has the extreme desire of having Motherhood again develops this sort of problem. No one really knows the reason and the exact mechanism by which this happens. Consult your Senior Gynecologist who has seen such more cases for counselling and further management." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have pain on my lower left side,it feels like heavy feeling and pain increases when I breathe in deep. I feel have some dull back pain or tightness as well. I had hysterectomy back in August of last year soo I dont have any baby making parts anymore. What could this be?", "output": "Hi! Good evening. I am Chat Doctor answering your query. If I were your family physician, I would get a routine/microscopic examination of your urine followed by a culture and sensitivity test if need be. Also, a review by your treating gynecologist would be worthwhile to rule out any other pathology. Till then, you could go for an anti-inflammatory along with a proton pump inhibitor Chat Doctor. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Recently I have been experiencing tingling in my hands and now my feet while lying in bed trying to sleep. I had a sharp pain in my left foot last night that woke me suddenly form my sleep. It was quite uncomfortable and painful. I first thought it may of been a pinched nerve but my symptoms subside during the day. any thoughts?", "output": "Hi, Thanks for writing in. It appears that there might be a condition involving the nervous system in your body. The above symptoms like numbness and tingling are associated with conditions of nerves affected in various regions. This can be due to an acute cause or due to chronic problems like neuropathy associated with diabetes or autoimmune disorders. History of any other medical conditions and medications that you are taking is important. Vitamin deficiency states can also appear as non-specific symptoms as described by you. Please consult a neurologist and get a complete neurological examination done. Investigations like MRI scan brain and spinal cord might also be required for you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I want to get pregnant but I have PCOS. My ob-gyne recommended metformin and duphaston to regulate my menstrual cycle and Ive been taking it for two months. HOwever, I am having breakthrough bleeding and my cycle is short (only 21 or 22 days since I started taking the medicines). Id like to know what are the chances of me getting pregnant and how long should I take treatments?", "output": "Hi, Let me start by saying PCs has a high chance of pregnancy. By using hormone pills you are treating the symptoms not the cause. That extra pad of fat around the midsegment of body is responsible for the hormonal imbalance & no ovulation. Your weight(Kg) should be Height in CMS -100. Have regular controlled diet, low calories diet, No junk food. NO FASTING. Have regular exercise, especially for the midsegment of body. Kindly check if Thyroid profile & Serum Prolactin levels are normal. Take Metformin, which helps in ovulation & also reduce weight. Not only the chances of pregnancy increase, also chances of abortions reduce after fat reduction. Some docs advise Laparoscopic ovary Chat Doctor. In the meantime confirm your tubes are patent - by HSG (X-ray with dye) or SSG(scan with dye) or laparoscopy. Husbands semen analysisAfter getting regular periods, try for 6-8 myths without medications. If still negative try Ovulation induction medicines as Tablets +/- injections the best, be patient, everything has a time " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "dear doctor, Weeks Ago on a hiking Trip, I Developed a red mark about 6 cm in Diameter, on my chest. It Looked exactly like a sunburn and felt somewhat Tender. It Developed several small Blisters that oozed. One Month later, the mark has to a milky Brown, splotchy looking mark. It does Not hurt and there are no corresponding lumps. Should I be worried? Thanks.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of herpes zoster infection is more. It is viral infection caused by herpes zoster virus. Chest region is most commonly involved. It causes painful rash, blisters etc. So better to consult dermatologist and get done clinical examination of the lesion. You may need antiviral Chat Doctor. Anti-inflammatory " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "may i ask u. I have some problem in urine. I checked urine test today. the results are rbc- numerous hpf, epithelial cells 01-02hpf, wbc 02-04hpf, blood +++, backside of left abdomen are pain. Please may I know my diseas. May be kidney cancer? I have a major operation in R kidney because uretic stone.", "output": "Hello. I understand your concern please. You said you had an operation done on your right kidney for ureteric stone. It's an important history. Can you please tell me why did you feel the need to get your urine tested? Pain in the back (loin) guides me to think that it could be a kidney stone. Does the pain go anywhere else, or it just remains at the back itself? Like whether it goes up to the testicle or inner side of your left thigh or something like that? I guess based on the fact that there are numerous RBC, the color of urine might be red.Ply let me know if you have fever now or had any sore throat in the recent times last week or like that. First get the basic investigation done which is Ultrasound abdomen and pelvis which could be a screening test for many kidney related conditions and also an X-ray PUB to know if there are any stones. Based on the reports we could further proceed. For time being, to relieve the pain do take Tab Diclofenac and stay HY Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir, The patient is suffering from Neuro Cystocercosis (NCC). Please find attached the copy of MRI Report dated 03-05-2012 and MRI report dated 25-09-2012. The copy of CT Scan report is also attached. The patient is having continous Vertigo and headache and is unable to get up since last 20-25 days. The patient also gets senseless by interlocking of teeth about 3 -4 times a day.Pleasently the following medicines are given: 1. Levipil 750 - 1 tab twice daily 2. Vertin 16 mg - 1 tab twice daily 3. Lonazep 0.5 - 1 tab thrice daily 4. Pexep CR 25 - - 1 tab once daily 5. Pantop 40 - 1 tab once daily So, please suggest if it will be benefecial for me to go or some other place and to which doctor should I consult and what to do.", "output": "Hello, Thanks for writing in. Complaints, investigations and treatment details have been noted. CT scan report not available to me. This is a case of recurrent epilepsy due to neurocysasticercosis. I suggest you keep a log of seizures and note down details like frequency, duration and movements during seizures. At the same time please continue your medication.For your information, it is not clear about number of lesions, location and stage of neurocysticercosis. As EEG may be useful keeping in mind the seizures. A neurologist or psychiatrist is best equipped to handle any emergency situation. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor, My sister has sudden stroke like symtoms, she is 35 years old. she can t lift right hand and difficulty in walking.. face is good. not distorted. our nuerosurgeon suggested a MRI scan . seems everything normal in MRI scan. I am suspecting that it may be some thing related to cervical spondylosis or stenosic. could you please suggest.", "output": "Hi welcome to Chat Doctor forum. Your 35 years old sister has difficulty in lifting the right hand, and difficulty in walking. Probably you haven't shown the MRI to the neurosurgeon. There will be so many things which are not shown in MRI. The doctor has to co relate the symptoms to the findings, If no findings he may ask to repeat in different planes. In cervical spondylosis, the restricted movement of the arm will be there, but no effect on the walking will be there. And there will be so many things which are not relevant INRI of brain, like arthritis of shoulder, and hip, or some other metabolic diseases. You follow your neurologists advise and let him treat her in a systematic manner. Besides I advise you some diet recommendations as avoid taking potato, other tubers, tomato, egg, chicken, and seafoods, till she gets relief. Wishing her a quick recovery, and thanks for calling." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ultrasound shows right kidney normal and left kidney pelvic fullness. What caused this? what is treatment? I am 4 yr cancer survivor (breast) and never had stones and US never showed stones either that they told me. So why is fullness happening? Doc says they will do another US in 6 months and compare the two to see if fullness went down. Appreciate response and the assistance. Should i be concerned?", "output": "Hai, it seems to some collection of urine in your left kidney collection tubules so that it indicates a fullness in the pelvic area of kidney. Kidney abnormality like HY Chat Doctor. Symptoms and should be consider edit should be rule out with help of a urologist. Treatment will medication or some procedure will depend upon the condition. As from your doctor suggestion go for repeat ultrasound after 1 month a mentioned period. Signs and Symptoms and should be considered.thank you hope I answered your query" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor, my eye went swollen last week after I had my lunch it was found out to be allergic to foods. Then the doctor gave me medicine to consume for few days. Few days later my allergy has gone but then my period still hasnt come. Does allergy delays period?", "output": "HI, thanks for using Chat Doctor Delayed or irregular periods can be due to different causes including physical illness or stress. It is possible that your recent allergy or illness may have caused a slight delay in your period. The other causes of delayed period are: (1) pregnancy(2)emotional stress or illness(3)inadequate diet(4)extreme physical activity(5)abnormal levels of thyroid hormone(6)high levels of prolactin hormone(7)polycystic ovarian syn Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "DEAR DOCTOR I HAVE CHEST PAIN RIGHT SIDE EVERY DAY AND SOME TIMES VERY FAST PAIN FROM LAST SOX MONTHS WHEN IT IS OUT OF CONTROL I USE MY HAND TO PRESS THE CHEST.SOME TIMES I ALSO FIND WEAKNESS..TWO DAYS AGO I GET MY HEMOGRAM TEST WHICH IS 12.9.AND SRUM URIC ACID TEST WHICH IS ALSO HIGH.WHAT I DO ?...........PLEASES REPLY..", "output": "Hello and thank you for asking in Chat Doctor. I can understand your concern. I will give you some information to help you. According to the type of pain that you have to press the chest it seems to me that it is a hematologic problem may Cochin Chat Doctor. The best thing to do is to consult a rheumatologist who will give You some other tests to do likeCRPESRRheumatoid Factories X-Ray AMD after having the results the treatment you need. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my daughter who is 12 now has had stomach ache/pain for at least 6 years and has had a blood test, and they did not find anything. I believe her. I also had this pain when I was little and still get it too. A lot of times its the food and drinks I might have and was wondering if that could be her problem too. Thank you.", "output": "Cellophane you for asking question. I am Chat Doctor. By stomach pain, I presume that you mean pain in epigastric region, that is center of the upper abdomen. Epigastric pain also has the number of causes. If I see a patient who has epigastric pain for such a long time. I would order baseline tests that is, blood CP, liver and renal function test and more importantly an upper GI endoscopy and abdominal ultrasound and will also look for H-pylori antibodies to completely rule out some common causes. The above-mentioned test should be done and the reports of these tests will aid in making a comment and final decision. I hope you have understood my point. You may ask me more questions anytime. If you have already done these tests, feel free to share their reports. Regards. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "its been almost 14years i m suffering from severe anxiety and severe panic attacks.i ve consulted many psychatrists and psychologist but result iz zero.they gave me antidepressants. i m still in severe depression and anxiety stage.all the time i m feeling shortness of breath and it seems like i m going to die.it happenes almost every day an d i m fedup from my disease now i had also left my job because i was unable to fullfil my responsiblities over there.everytime i am i thinking that i am going to die.i have fear of dying .please help me", "output": "Hello..... Thanks for your query. I can understand your concern with the panic attacks. I would like to clarify that panic attacks are not life-threatening and are self-resolving. Effective antianxiety agents are available in addition to psychotherapy (e.g. cognitive behavioral therapy) for management of panic attacks. You can request your psychiatrist for either an alternative medication or psychotherapy. In addition, you can practice meditation/yoga/breathing relaxation exercises. Hope you found the information useful. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My friend is in end of life stage with liver cancer. She was on diluadid in the hospital and she was good she dosed off but was coherent when she was awake. Now that we have brought her home they sent her with Oxycodone IR 80 mg and she immediately became a mental mess. She mumbles and is trying to pick up things that are not there and she can not answer anything. She is also on Morphine liquid and is to take a .25 on the syringe if she has pain in between the 4hr intervals of oxycodone. Anyway, I acted on my belief that she is over medicated or having a very bad reaction to oxycodone. Last night I did not give her the oxycodone but only gave her the morphine and gave it to her every 4 hrs. Before the 3rd dose would have been due it was like she woke up, she got out of bed went to the kitchen got something to drink and gave me very sensible intructions on what she wanted from the store. She has not been eating or drinking anything for a week and if she went to the bathroom it would take at least on hour just to get her down the hall because she would stop and try to pick up stuff that was not there. She made absolutely no sense at all. She couldn t hold a glass or eat. I asked her several times if she was in pain and she clearly replied no she was ok. So when her oxycodone was due again I gave it to her instead of morphine and she was once again out of her mind and not in this world. I do not want my friend in pain at all and I do understand that at this point, the point is to just make sure she is pain free. I want her pain free. I am aware that she will not be able to communicate before this is all over but I do not think this is the time. So, my question is what would cause her to have such a bad reaction to the oxycodone? Is it because her liver is not working right ? if that is it why don t the morphine mess her up like that? I just really believe she would not want to spend her last few months incapacitated if she didn t have to be. Please help me understand so maybe I can help her family to see she is not at that point yet.", "output": "Hi, dairy have gone through your question. I can understand your concern. She is in last stage of cancer. Morphine is the painkiller of choice in terminal stage cancer. Oxycodone is also a morphine derivative. No need to worry about side effects. Everything is fair in terminal stage illness. If she is better without oxycodone and pain is tolerable then you can stop it. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am currently taking zoloft 25 mg and occasional .25-5 mg xanex when needed for anxiety and depression .(2months total so far) Ambien at night for insomnia . I am feeling better but am so tired throughout the day. The sexual side effects are unpleasant as well. Do you think adding wellbutrin to my mix would be Ok/ beneficial? I am also an occasional smoker and would like to stop", "output": "Hello welcome to Chat Doctor public forum You are taking Zoloft 25\u00a0mg, Xanax 0.25 mg and Ambient for insomnia Symptoms experienced by you are -Feeling tired (probably due to sedatives)Sexual side effects (due to Zoloft) Since you are experiencing side effects of this medication.... you should consult your psychiatrist for re-adjustment of the dosage so that these effects wane off Regarding adding Wellbutrin (bupropion) to your schedule.... ..... its one of the Chat Doctor. ... but don't start it without proper consultation Good Luck thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ive been on suboxone for about 3+ years was down to 8mgs and decided to try cold turkey. Now Im regretting it because I feel horrible. The anxiety is through the roof, depressed, extreme back pain, cant sleep, racing negative thoughts, etc... what do you recommend? I dont know if going back on them is the smartest thing, since eventually Ill have to come off anyway, so why avoid the inevitable, but how can I alleviate some of the more difficult symptoms of withdrawl? Please help...Kathy K", "output": "Hi, thanks for the query. I would like to congratulate you for this brave decision to give up opioid addiction. Though NOT all authorities recommend cold turkey method as its very painful; but some schools of addiction medicine advocate cold turkey method. What you need to try is a combination of certain medications like Pregabalin (acts on alpha2 delta ligands) + Motorola (NSAID/painkiller Chat Doctor. These " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi there, I had an ultrasound scan as my GP thought that I had kidney stones. The radiologist told me that i had bilateral duplex kidneys. I experience pains around the kidney regions sporadically, and especially in the past few months. Calcium oxalate crystals were found in a urine sample hence why kidney stones were thought to be a possibility. Are the two conditions linked? What are the implications of bilateral duplex kidneys? Thanks, Jennifer", "output": "Hi, dairy have gone through your question. I can understand your concern. You have bilateral duplex kidney. It means you have duplication of kidney on each side, and you have 4 separate kidneys. They Chat Doctor. However, if you don't have any other problems then no treatment is required. If you have infection of vesicouereteral reflux then treatment is required. Calcium oxalate crystals can be seen normally or associated with kidney stones. So if you have stone on USG then only treatment is required. Consult your doctor and take treatment accordingly. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have an 20 month old granddaughter who walks very stiff legged -- especially in the mornings. Her dr. has put her on liquid naproxen which doesn t seem to help a lot -- it does somewhat but not a lot. Can children this age have rheumatoid arthritis?", "output": "Although juvenile rheumatoid arthritis is possible, it is not necessarily the case here. There can be a number of causes of stiff ruggedness in a child, and it needs to be examined by an orthopedic doctor or a pediatrician before further comments can be made. It could also be that the child is walking like this to deal with some other problem which is being overlooked. Naproxen was for pain and would not tame care of the cause." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi am kalpana and am of 25 and my face isun attractive because of large nose and un clear of upper lip.so i decided to have a surgery for both so could u tell me the details if the surgery and how much doesit cost for both of it.i want to look so beautifull so could you help me out from this problem.", "output": "Nose correction or rhino;last surgery is carried out by the plastic n cosmetic surgeon, it is a 2 hrs procedure but has to b done in proper hospital. The cost starts from 25k and may go up to 1 lac also, depending on the type of rhinoplasty. Lip can be corrected with filler, that is a45 mins procedure and can be done Ina clinic set up also. The cost starts from 18 k and goes up to 40 k.you can visit www.dacindia.com" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir I have been suffering from depression or bipolar(Confused) disease for 11-12yrs.This time I am taking Valance OD 500 mg.My Psychiatrist doctor is Dr.Smita N Despanday,Ram Manohar Lohia Hospital, New Delh but I am not satisfied with her.Plz guide me which medicine should be taken or not.Without DR advise I have left medicine for 3 months.In future any problem may be. Plz guide me...", "output": "Hello welcome to Chat Doctor public forum Valance OD contains divalproaex sodium which is a mood stabilizer used in bipolar disorder... however, there are various other Chat Doctor. ...... But start your medication in close work up with psychiatrist Secondly you are not taking any medication now.......... so in future there is a possibility of further episodes as your illness is chronic If you can tell your problem in detail then I can guide you in a better way Good luck thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my sister has ovarian cancer which has spread to her liver. She is in the care of a nursing home. what do you suggest to recommend to her dietian for foods to eat. I have read that sugar is the main fuel source for cancer. she is a fan of spaghetti, pancakes, etc...", "output": "Hello and thank you for submitting your question. I am sorry to hear about the health of your sister. It is true that sugar/glucose is the main source of fuel for cells, malignant or benign. Unfortunately, in the case of malignancies, the cells' growth is more influenced by other factors (mutations in growth genes, response to chemical signals). In your sisters case, she would very likely benefit the most from a consultation with a medical professional (nutritionist or physician) who can assess & balance her needs for carboy Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Sir. This is a question related to neurologist. my grandma had a brain hemorrhage as said by doctors. she also had an paralysis attack. now shes in Coma. but she is opening her eyes more than 4 times a day n her leg is moving when we removed her oxygen at home. as per our observation, her breathing is normal. water comes out vry often from her eyes when any one from the family speaks to her. now we are very much confused about this because doctors said there is no hope for her to recover. so its my humble request to you to show me and my family a right way to proceed further..... with regards.....", "output": "Hi, Thank you for posting your query. I have noted your grandmothers history and diagnosis. Brain hemorrhage refers to bleeding in the brain. The outcome after brain hemorrhage depends on the size and location of bleeding in the brain. If you can upload her CT scan of brain report here, it would help us answer your questions better regarding the chances of recovery. The condition you have described suggests that she is semi-conscious and is not able to communicate. However, she is able to recognize people and has emotional responses in the form of crying. Many people partially recover after brain hemorrhage. However, most are left with disabilities in the form of speech impairment, weakness of arm or leg, inability to take care of self, etc. You should continue supportive care, nursing care, feeding through the nasogastric tube, and control of blood pressure. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, Chat Doctor. Ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am 28yr old lady and i have been diagnosed with hidradenitis suppurativa in right axilla.consulted with a dermatologist and advised to take doxycycline for ten days.. then i am obese also.. will my weight loss alone help to reduce the recurrence of the disease? or should i undergo surgical excision? and after surgery wont it recur?", "output": "Hello, Welcome to Chat Doctor, It is believed that the inciting factor in Hi Chat Doctor. Antibiotics are often part of the treatment plan of HS. Antibiotics can fight infection, prevent HS from worsening, and stop new breakouts. You can use combination of clindamycin and rifampicin as part of treatment of HS. Lactobacilli spores can be taken prophylactically along with these antibiotics to prevent any possible gut disturbance. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have an \"air pocket\" in my chest, it has been there since last night (about 12 hours now) with heart burn but that is only at night. I have a history in my family of heart problems, a sister died at 43, an uncle at 45. It is a little scary but think I might be over reacting.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Possibility of heart burn related chest pain is more likely. But since you have strong family history of heart diseases, better to get done ECG and 2d echo first to rule out heart diseases. If both these are normal then no need to worry about heart diseases. Take pantoprazole tablet on empty stomach twice daily. Avoid hot and spicy food. Avoid junk food. Avoid stress and tension, be relaxed and calm. Keep 2-3 pillows under head in bed to prevent reflux.Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, A couple of nights ago i went to sleep just fine when I woke up my sides middle back and overall midsection was hurting. I thought maybe I slept wrong or something but it hasn t eased up. It s tender to touch and hurts when I twist or turn or even lean back.", "output": "You haven't mentioned if the pain radiates to leg or elsewhere. So it could be vertebral arthritis or intervertebral disc syn Chat Doctor. But not prolapse. Avoid bending, sleep supine, do not lift weight. May take anti-inflammatory/ analgesic tablet 1 SOS for 2-3 days, after meals. But don't make it habit. Ayurvedas excellent study on turmeric powder suggests that you additionally take 1/2 tsp in warm milk or water twice a day. This may be contd. Its natural anti-inflammatory analgesic. Healer also. If still problem, get x Ray of lumbosacral spine AP and Lateral view and lab tests done for uric acid, RA, ESR and report back. Hope it helps you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had done a blood test of my son he is just 7 years old the report says that Microcytic & Hypochromic Anisopoikilocytosis + mild Polychromasia what does this mean The report also mention that the normal range of w.b.c. count is 4000- 11000 / cu mm and his result mention 14800 / cu mm Kindly explain", "output": "Hi...please do not worry. If your son is normal clinically and is actively playing around, these results of high blood count doesn't mean anything. The lab report about polychromasia means that he might be having iron deficiency anemia. I suggest you get back to me with the actual hemoglobin value which would have been mentioned in the report, so that I will be able to suggest you a proper iron preparation. If as per countries laws iron is not an over the counter medication, please consult your pediatrician. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here...Hi i just discovered my 4 year old has chicken pox and we will be going away for a few days. Will he be able to swim in a swimming pool and be outdoors whilst he has the spots.", "output": "Hi & Welcome/I appreciate your concern about your 4-year-old son with chickenpox. It is not advisable for your son to go swimming during chickenpox infection. Chickenpox is highly contagious. If your child has contracted chickenpox, he/she should not go swimming or play contact sports unless all blisters have crusted over. This normally takes place a week after the first rash started. Try to avoid public places, as others may catch the virus, which may be dangerous, especially to those who are pregnant or have a weak immune system. Swimming may also soften the crusts, which may result in a more intense itch and the crusts may fall off early leaving scars. Hope to have answered your query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, i keep getting a spot in the inside of my mouth on the top.If i dont have pain killers i am in a lot of pain but as soon as i take painkillers the spot goes down after a couple of hours. This spot comes and goes in the same place regularly. Is it an infection and i just need to go doctors for antibiotics?", "output": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concern... As per your complaint and presentation of symptoms the sore spot on the roof of the mouth whicChatDoctores and goes can be commonly due to allergic reaction to any food product and every time you are exposed to it there is recurrence of a sore spot. In this case avoiding exposure to the allergy causing food and if there is an allergic attack taking Defense Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HELLO DOCTOR.....I HAVE BEEN PLANNING TO CONCEIVE FROM THE LAST 6 MONTHS AND CONSULTING A GYNACOLOGIST IN THIS MATTER, I HAVE DONE ULTRASONOGRAPHY AND FOLLICULAR TESTS ALSO ALONG WITH BLOOD SUGAR,TSH,BLOOD COUNT ETC.ALL MY REPORTS ARE NORMAL AND ALSO MY HUSBAND S SPERM TEST IS NORMAL,I AM STILL NOT ABLE TO CONCEIVE AND THE DOCTOR HAS ADVICED ME FOR HSG TEST. I AM VERY SCARED ABOUT THE TEST AS I WENT THROUGH THE BEGINNING OF THE PROCEDURE AND FOUND IT VERY PAINFUL AND COULD NOT CONTINUE, CAN IT BE DONE WITH ANASTHESIA? PLEASE SUGGEST ME. I AM ALSO WORRIED AS I DOUBT IF ANYTHING IS WRONG WITH THE FALLOPIAN TUBES?I ALWAYS HAD REGULAR PERIODS AND NEVER ANY OTHER PROBLEM BUT THIS PROBLEM IN CONCEIVING AND IF AT ALL I HAVE TO GO FOR IVF IS MAKING ME TENSE.", "output": "Hi I understand your concern. Your case is indicating that you might be suffering from unexplained infertility. I agree HSG is a bit painful test. Ya it can be tried in short sedation which is a kind of anesthesia, you would be able to tolerate it better. From your history tubal block is unlikely. I just wanna to confirm how many times you have taken ovulation induction. Have you tried timed intercourse. I do not think you should straight away jump to IVF.if you are not comfortable with HSG you can go for diagnostic laparoscopy and hysteroscopy with chromopertubation this is a day care procedure where your tubes can be very well checked for their patency. I hope I am able to solve your query, you can revert to me with the confirmations of history I asked from you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m 25 years old,my bow legs is from birth,my dad had it when he was younger and he is grown up the bow legs are no longer there.Right from when I was a baby my mum give me cod liver oil,calcuim and vitamin C till now that I m grown up but my bow legs are still there,I run,jump I do everything with it but if I walk or stand much I will start feeling pains on my knees.please I want to know if there is something I can do about it without being operated upon,I want my legs to straight,I m beautiful facially but my legs makes me uncomfortable and I don t think any man would like to get married to a girl with bow legs.please tell me what will be best for me to do. Thanks Rachel", "output": "Dear Sir/Madam have gone through your query and read your symptoms. In my opinion, if your age is 25, then the chances of growth correcting the deformity is not there, nowadays good surgical options in the form of monorail are available which can correct the deformity. It would have been useful if you had mentioned the amount in degree of the deformity, so consult an or tho surgeon, and get them corrected, this will also prevent early onset of arthritis in the joints hope that answers your query. If you want any more clarification, contact me back." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, mt 2 year old daughter has had a few red small pimple looking dots on her body for about a week now. We actually thought they might have been a mild case of chicked pox since now they are dried up. except now, the 3 that are on her arms have a red ring around them. i have no idea what the rings are...", "output": "Hi, Chicken pox usually has preceding systemic symptoms like fever, and causes multiple fluid filled vesicles starting around head and neck area and then spreads further to include other areas. Even when vesicles are few, they are usually not grouped together, but far apart. A closely placed group of pimples with red ring around is more likely to be a skin infection like boils/impetigo. Just try applying local antibiotics like mupirocin for 3-5 days to see the response. If it is not getting better by then, or fever appears, kindly see your pediatrician, as this may need antibiotic treatment. Take care. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here...sir, my 14 months daughter is not eating properly bcoz of some inconvinience in stomach. can u suggest some home remedy... last 2 days diet for her is pupkin, black beans, whole milk, lentils", "output": "What kind of discomfort is she having? Is she having colicky pain, cramps or bloating sensation. Does she have normal bowel movements? Sometimes child Chat Doctor. This can also be a possible cause for discomfort. Make sure not to give beans, onions, or any gas forming food. If she has pain in stomach soon after ingesting food, then it could be due to gas. You can give gripe water to the child to relieve discomfort and rub a small amount of asafoetida (hing in Hindi) after roasting it on gas flame. Cool down to a suitable temperature and rub it around the navel. You can dissolve asafoetida in mustard oil and rub it around the navel to relieve gas and strengthen babies abdominal muscles too. You can also give buttermilk with added carom seeds powder (again in Hindi) and black salt to relieve stomach discomfort. Hope this will be helpful in solving your problem." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter was at the doc today and suspected sinus infection. 102 fevers, vomiting, nausea when fever is up. Feels well while fever is below 100. I am having trouble keeping her fever below 101 even with Ibuprofen. She also has had recent pyelonephritis in June. neg. UA today but she acts just like when she had that in June. She is 6 yrs old weighs about 45lbs. They started her on Amox. today 800mg BID. She took Omnicef for the pyelo in June. She just presents so much like she did with the pyelo. I can keep her drinking if her temp stays 100 or below but right now with Ibuprofen 2 hrs ago, it is still 101. What else can I do? Should she have vomiting when her temp rises with a sinus infection?", "output": "Very high fever and vomiting is more in favor of pyelonephritis than a sinus infection. If the fever and vomiting continues or gets worse, please get her admitted to a hospital. Oral antibiotics will not be enough. She will most probably need IV Antibiotics and hospital care for the high fever. Very high fevers can be damaging to the body. Since she is only 6 years old, pyelonephritis can progress very fast and damage her kidneys too. Not saying this to alarm you, but I really think your daughter needs to be taken to a hospital and treated as an inpatient until her fever breaks. She will need additional blood and urine tests. Fevers, vomiting and headaches is also a presentation of meningitis, and you can never be too careful. Please take care. Good day to you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 5 year old daughter has been taking deep breaths every other minute it seems for the last 4 hours since she came home from school, she still is moving around normally and active as usual just takes deep breaths first time seeing her do that thoughjustworries me..", "output": "Hi welcome to Chat Doctor. Your child is making deep breathing movements for 4 hours after coming from school, one common reason could be that she is worried about something which might have happened in school. Other thing could be that she has some muscular pain at chest region. I advise you to take the child to doctor during the episode if she has it again so that proper check up should be done. I hope this has helped you. Take care. Regards - Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been having bad pains on my right side and stomach areas. I can only eat about 4 bites and it flares badly. I have lose about 25 lbs. I am being treatmented but my medicines change. I have had a colon check and stomach . They say I am losing blood. Help, please.", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have some peptic ulcer or some problems like mass lesion in colon. That leads to abdominal pain and blood loss. You should go for stool examination, ultrasound abdomen and colonoscopy. Please give me follow up with your reports. So that I can help you further. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi my baby is having loose motion for the last 1.5 week and he is getting very week, I went to the doctor , walk in centre and emergency three times but doctors are not suggesting anything apart from dyrolyte and calpol, could you please recommend me something which can help my baby to reduce motion", "output": "Hi, How old is your baby? The common cause in a small baby is a rotavirus infection which results in frequent watery diarrhea and subsequent deny Chat Doctor. This is a viral infection and can result in severe morbidity. The mainstay of management is the replacement of the water loss in stools with an electrolyte solution. The food given will depend on the age of the child. Your doctor may advise a stool test to rule out bacterial infections, lactose intolerance and cow milk allergy. More information regarding the age of your baby and recent changes in the diet if any will be useful for any further advice. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi - am a 56 year old male. The low figure on my blood pressure seems high. It varies between 130/93 (morning reading); 134/88 (6pm reading before meal). The lower figure seems to be consistently higher. Am fit and dont have salt, dont smoke, dont drink. Please could you advise?", "output": "Hello! Thank you for asking on Chat Doctor! Regarding your concern, I would explain that these values of diastolic blood pressure may indicate the beginning of high blood pressure. I recommend you to closely monitor your blood pressure and perform some tests to exclude other possible causes of secondary high blood pressure: - a chest X-ray study-complete blood count for anemia-kidney and liver function tests-thyroid hormone levels-fasting glucose-blood electrolytes- inflammation tests (PCR, ESR). You should discuss with your doctor on the above issues. For the moment there is no need to start antihypertensive therapy. I recommend continue on your healthy lifestyle. Hope you will find this answer helpful! Kind regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi I am a 14 year old female and I am worried I might have adhd. I always seem to be figeting, my hands are always moving when everyone else is still (like in photos). I alwqys struggle to do my prep on time because I get distracted by other things or people easily, I often forget what my homework was so I dont do it. I cant sleep at night but always wake up early. I seem to always be talking when im around people buyt not when im alone and I dont like silence! please tell me if I should see someone about this or if its just hormones or whatever!!!", "output": "Hi there ~ Thank you for your question, and I am glad that you ask this on a public forum. It may be that you actually do have ADHD, however it needs to be corroborated with a history from your parents, and you need to take yourself along with them to a psychiatrist who can help diagnose you and if needed treat you for the condition. I hope you do this as soon as you can. I hope this helps. Take care and have a lovely day!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have a small lump behind my 2 front teeth it is so veryc sore and stopping me from bitting into anything and closing my mouth properly, it is slowly pushing gum through a tiny gap on my two front teeth, it is soft but not to soft to touch. everytime my tounge or anything catches it it is very very painfull, i have not cut it with any food or anything. it has now been here for around 2 weeks and tried all sorts of pain relief but it is not working at all", "output": "Hello, Thanks for sharing your concern with us. The first thing you need to do is to stay away from any hot or spicy foodstuffs. Keep gargling with cool water if you have sores due to burns. Swishing milk in your mouth will help soothe the affected area, and prevent it from further damage. Intake of vitamin B-complex supplements can also help in healing the sore roof of the mouth faster. If you are having fever blisters, then take lysine tablets and apply ice to the affected area. You can perform yoga or meditation every day to control your stress level, and reduce the occurrence of sores in the mouth. Use a soft toothbrush for brushing. Replace your toothbrush every month for better dental hygiene. You can contact me again directly through my profile. Regards. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi There, my boyfriend has a history of back problems and his back went again on Monday, he is in severe agony and cannot walk, sit or do anything without any pain. He cannt straighten his posture and has been told that his disk could have gone its his 4th disc in his life that has caused him problems. Can you tell me how serious this can be? Will be become disabled?", "output": "After going through your query I think your friend is suffering from lumbar disc prolapse. There are two treatment options. First option is Rest in position of relief(generally lateral position with both knee bend), NUROKIND GOLD ONCE DAILY and analgesics (Diclofenac three times a day after meals is effective). Sometimes strong analgesic(such as attract three times a day after meals) is required. OMEPRAZOLE before meals prevent acidity caused by analgesics. This method needs patience as it take longer treatment times sometimes up to 6 months. Second option is go for surgical operation(Discectomy). You can discuss with his treating surgeon. Disc prolapse cause recurrent problems. He should avoid weight lifting and strenuous activity. These episodes settle down in a period of nearly two years. I think after that he will not have frequent problems. I think your query answered. Welcome to any follow-up query" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I have some discomfort in my urethra, specifically in the upper part (near head of penis). Discomfort manifests itself when urinating, and is most felt during the initial stream flow. It also feels like the flow of urine is scraping my urethra. The sensation is reduced if I reduce the rate of flow of the urine. Have been tested for bladder infection whicChatDoctore negative. Also tested for STDs like HSV1, HSV2, Cyclamida, and Gonnorea, but also negative. On rare occasions, I also noted that a blob of what looks like congealed dark blood is pushed out of the urethra (head of penis) as soon as the urine flow starts, but the rest of the urine flow looks normal, albeit lightly pink. This clears up after a few hours and plenty of water. I am not sure if the 2 are related. I ve also had a cystoscopy and everything was said to be normal. Prostate was also ok. Your advice would be greatly appreciated. Thanks. James", "output": "Hello! Thank you for the query.I'm not sure if after so many tests you will be able to find answer here. Your diagnostics seems to be done fine (so the bladder cancer has been ruled out). But the symptoms clearly indicate an infection. It can be urethra infection. In such case urinalysis will be negative. I suggest you to have urethra swab test and urine culture test. Please also start cranberries supplementation. Hope this will help.regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have been taking Alphamox for the last 4days my dentist prescribed me to take it for 5 days. I have been getting really bad headaches and my jaw has been really sore. as well as feeling a little nausious. can I stop the ALphamox before completing the 5th day . thanks susy .", "output": "Hello, Alpha is an antibiotic and stopping it without completing 5th day dose is not a good idea. I would suggest you complete all the Alpha tablets prescribed by your dentist. Stopping it would put you vulnerable to infections which could quickly spread. It might also lead to future resistant infection which might warrant more strong antibiotic to clear your infection. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "iam having a lot of pain at the top part of my stomach. It hurts to bend over. I pee a lot and I have been tired a lot. I also eat a lot too. I ve been having headaches and feeling dizzy like I m going to pass out. I ve had a ct scan and a stomach xray saying I have a cyst on my liver. Then I was told I don t. The lump is getting bigger and I m quite worried.", "output": "HelloSimple liver cysts are generally asymptomatic in nature, and usually it only requires follow-up ultrasound. You may need clinical evaluation. Cyst may cause pain if there is infection in cyst or rapid increase in size. You may need evaluation by a gastroenterologist. Upper abdominal pain may be due to reflux/acidity. You may need clinical correlation and upper GI endoscopy. You may need proton pump inhibitors. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hey i recently had a miscarriage on australia day (26/02/12) and had a d and c surgery and i got my period back on the 23rd of feb. Me and my boyfriend want to try again when would be the right time?", "output": "Hi, you didn't mention what was your gestational age at the time of miscarriage? What was the reason for your miscarriage? Whether genetic mapping of the fetus was done or not? Some causes will be repetitive, so if the cause is known better advice can be given. Anyhow, after having one miscarriage and undergoing D&C you have to wait at least for 3 months. In this period the endometrial cycle will become regular, and you can regain your hemoglobin status. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor, my 2 yr old daughter has runny nose , watery eyes and also she s been sneezing since yesterday. we went to a restuarant the night before where there was a old couple severly coughing with congestion even in hot summer. do you think she caught something from them since she also has congestion already or could it be just some allergy? Also what medication can i give her since the children s benadryl and all the other medicine bottles say ask a doctor for children under 6 yrs? thanks", "output": "Hi, Thanks for using the Chat Doctor. Your children symptom suggests either allergic condition or viral infection, if this type of symptoms are recurring again and again, its more suggestive of allergic condition. Start some first aid like, warm salt water gargling, steam inhalation, to prevent further bacterial infection, and she can be started with safe antihistamines, but dosage depends on her weight, she also needs mild anti-inflammatory agents. So consult/call your pediatrician for further management. No need to worry about present condition. Hope I have answered your query. If you have any further questions I will be happy to help. Thanks get well soon...." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m looking for a personal opinion although from a professional. I ve heard two sides as to what causes and composes a superiority complex. Some say it is caused by an underlining inferiority complex, some say the very nature of a superiority complex defies that logic.", "output": "Degree understand your concerns went through your details. In psychology, complex simply means feeling. When I am showing superior complex, in actuality, I am feeling superior to someone and am I showing it as my jewelry and behaves as if the other person is inferior to me. At the other hand, when I feel inferior, my feelings are that I am feeling inferior to the person in question. These complexes are purely feelings or emotional attributes. Person with inferiority complex with a person named A may not show the same complex with person named B. That also is true with superiority complex. Therefore, these complex / feeling are also based on perception and personal experience. If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi. I m 37year old female who had abdominal myomectomy 7months ago and removed 27 fibroids . 3months after based on the doctors advice tried exercising but kept having pain under the right upper part of my rib extending to my back just under my ribs, had an ultrasound found nothing,once i stopped working out the pain went away so i decided my body wasn t ready for any form of exercise and took things easy. Now 7months on I start doing low impact yoga stretches and aerobics which was fine until few weeks I ve started feeling some pain on the right side within my womb or something. whats that about is it hernia , adhesions or what? please help", "output": "Hi was the surgery done microscopically or open you having pain on exercising suggest that it is unlikely to be adhesions hernia is a possibility but to early, r u obese or noticing any bulge there I think with time and graded exercises it should settle down Hope this answers your query. I will be glad to answer the follow-up queries that you have. Please accept my answer in case you do not have further queries. Wishing you good health. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my husband has a hard mass in the jaw he is going for a biopsy this monday took a cat scan today showed the mass and no jaw bone of were it is as it has attached itself to the bone and ate its way through and is now spreading what could it be we are very scared", "output": "Hello, The biopsy will disclose the pathology and give you a diagnosis. You will have to meet with your surgeon to discuss options. Evidence of bone loss indicates a lesion such as a tumor or cyst. Usually a surgical removal will be required with additional treatment dependent on the pathology. It can be benign or malignant. You have taken the correct steps. Try to relax and wait for the reports. I do not have enough information to make a reasonable diagnosis. Thank you for your inquiry. I am sorry that you have to wait for more information on this condition and know it is difficult to know of a problem and not have an immediate diagnosis with a plan for treatment." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my baby is four months old she is suffering from loose motion 4 times a day i have already visited two doctors to get rid of loose motion but still it is not controllable she is having normal urination some people says due to gum formation i have given following medicines enterogermina, OF than azithral what to do doctor please suggest????", "output": "Hello, I just read your query. If baby is having mothers milk then usually 6 to 8 stools(whether solid or semi-solid) are considered normal as long as baby passes urine normally and feeds normally. Because loose motion causes deny Chat Doctor. * Gum formation has nothing to do with loose motions.* As your baby is 4 month old now, you can add foods like curd, banana, apple to the diet of your baby because they will help in making solid stool and curd is a good source of intestinal friendly bacteria which will help in maintaining normal intestinal movements. Start from small quantity. * If you give baby milk other than yours then do maintain hygiene. Boil bottle and nipple before use and change nipple every 7 to 10 days.* So do not worry about the number of stools baby passed a day and no need to give medication as long as he is not deny" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 27 yr guy. Recently I was in my girl frnd for 2 days. We both are virgins.we had a nice foreplay. At the time of insertion i lost my erection. I was using a quantum too. I felt so depressed. After that my confidence level came low and I was feared that if i could have sex with her.I used to masturbate regularly and I can hold my penis erected for long time. I dont knw wt happd.. Pls help me .", "output": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. It is psychologic problem dear. You have to make your mental status strong. Make a positive thinking that you can do the good sex. By this type of thinking you can achieve good sex. Even after that if you are not able to do the sex you can take the sildenafile citrate tablet. This is aphrodisiac tablet and can give you good reaction. It will take some time to achieve good reaction. So do not do overdose. Overdosing can be avoided otherwise it will damage the soft tissue of the shaft. Please wear condom while doing sex. It will prevent STDs and give contraceptive benefits. Safe sex is always advice. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I think I may have broke out in hives from the depo birth control shot. I got the shot on march 21st and a few days later starting seeing small red dots on my neck and back, a few days later it got worst and was all over my back mildly itchy, could be worst, my hands, arms, legs, chest, and now its been about ten days, I got over the counter benedryl and cream what should I do? it looks worst every day", "output": "Hi, Thanks for the query. You once consult gynecologist, get examined and go for complete hologram with coagulation profile. If any abnormality is detected in these factors, you have to get treated accordingly. After ruling out this possibility, if the doctor says it is just because of progesterone influence, you can go for symptomatic treatment. You can take supplements containing vitamin C, which will help in controlling the spots. Better to avoid using any medicines by your own without consulting the doctor. For more details you can ask me through: http://www.ChatDoctor .com/doctors/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here... Two years ago, my cardiologist gave me a (duplex) test that showed no plaque buildup in the left carotid & 20 % on the right. Recently, he gave me another that showed 60 - 79% on left and 40% on right. I am 64 years old, female, not overweight, with established heart disease. I am appalled at the pace at which this condition has changed. What is the typical pace at which plaque builds in the carotid and, at the rate Im going, can I expect the left carotid to be blocked significantly more in even a year?", "output": "Hereafter reading the medical details provided by you, I would like to tell you that atherosclerotic disease of the vessels has a high variability, the disease progression is variable for every patient. So it's not predictable to tell at what pace the disease will progress.However, in your case at least we know it progressing at a fast rate so It's advisable to take precautions as advised by your treating doctor. Also, you need to start STATINS to slow down the progression. I wish you good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My baby woke up with a very swollen left eye. He had a fever last night, runny nose and cough and I gave him some advil(has had Advil before), it doesnt seem to hurt him and there is no bruising, but its practically shut. Should i be taking him to the emergency room?", "output": "If one eye is swollen it can be simple inflammation due some infection of a layer of eyeball outer white--red eye , it can cause eyelids stick, child cannot open it until it is washed with warm water, however there are some other eyes diseases which need in time treatment I would recommend you .to consult doctor to examine his eye, suggest treatment, because some eye disease need urgent attention of specialist" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sometimes, in rare occassions, I feel a mild but sharp pointed pain in my left chest and immediately the same type of pain in my left thumb. It exists for a second, not very painful, but weird and make me afraid. I am male with 34 years, weight 75 kgs, height 170 cms, asian", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Left sided chest pain should always be first evaluated for heart diseases. So better to get done ECG and 2d echo. If both are normal then no need to worry about heart diseases. Sometimes anemia or vitamin B 12 deficiencies can cause similar kind of pain in chest and thumb. So get done hemoglobin estimation and vitamin B 12 level. If deficiency then you need supplements. If you are having stress than avoid stress and tension. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Burning sensation on the tip of my penis and frequent urination1.tab flagentyl(secnidazole) 4 at once.2.tab sparfloxacin 200 mg twice daily for 10days.3.cap fluconazole 50mg twice daily for 10days.I have taken the above drugs but I still feels a burning sensation in my penis", "output": "Hello appreciate yourconcernLooking at your description I would advise you following few tests done like Urine culture and sensitivity test and blood sugar fasting and postprandial This can be related to passage of concentrated urine so have plenty of fluids daily would like further information.to help you better libelous age and relevant medical history like diabetes or kidney disease If it doesn't improve with all these measures please consult a urologist for further examination and investigations like Ultrasound Maintain good hygiene Hope this answers your questions you good health regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear sir, Five years back I was tested Hbsag positive during medical check up while going in Gulf for job but later on being medicall unfit by employer they refused my visa. Then I visited a Agstro in Delhi and he recommended me some tests LFT, Ultrasound, HBV DNA and he told me that I am a carrier but in inactive state. Then I felt demoralised as he told me that there is no solution and he recommended me to go for screening of the same tests every 6 months/year. I continued for two years then left. Then I had some pain in my Calf muscles in my both legs and vissited a physcian and he discovered that my liver was fatty and LFt Enzymes were borderline and he gave me sily marine and evion etc. It did not get better then I visited an ayurvedic doc. and he gave me some preparations of homemade fresh for three weeks and told me that I would become HBSG negative. My pain was some better and I never got my blood tested for HBSAG but now after 6 years I had neck pain and visited the Ortho doc. he told me to go for the blood tests and incuding LFT, KFT and HBSAG. I was shocked to know that it was negative. Kindly suggest is it possible or I should go for retest. My age is 34 years.", "output": "Hello, Hepatitis B positive cases can get immune clearance of their own, but within 6 months. If your HEP B status is positive for more than 6 months, you become a carrier, as told you by your gastroenterologist.If you had HEP B + ve status for nearly two years, as suggested by you, it seems impossible. This report needs to be done again from a very good pathological lab. There is no medicine which can cure a chronic hepatitis B carrier and make him HEP B - ve. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my wife is 37yrs old, she had problem of sleeping means she gets up more then three time in the night plus she has lost interest in all activities like looking after kids, home etc...afraid of that nothing is possible from me -feels like incapable, incompetent -talks rarely, reply to no one unless told thrice....have taken to physctrist -advised medicine 1 etirest & etoflam", "output": "Hi, I do appreciate your concern regarding your wives condition. From what you have mentioned, she seems to be suffering from depressive episode. All her symptoms are understandable in that context. The treatment that you have mentioned includes a benzodiazepine (for decreasing anxiety) and a painkiller. I would suggest that you talk to your psychiatrist again regarding adding an anti-depressant medication. Medications like Escitalopram or venlafaxine would be effective in treating her depression. Hope that I was able to answer your query. Wishing your wife a speedy recovery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have symptoms of positional vertigo and tinnitus (dizziness, ears ringing, occasional headaches). Eating any high- sodium foods makes them worse, but ginger capsules and coffee help me feel better temporarily. I tried the Epley maneuver but it doesn t really help. I saw an ENT for initial screening who found nothing physically wrong with my ears and wants me to take an expensive balance test which I cannot afford. I don t know how much more of this I can take. What else can I do about this?", "output": "HelloYour problem has its origin in the malfunction of inner ear. Inner ear assists our body in keeping balance and is in proximity to our hearing apparatus. Your symptoms are suggestive of Deniers disease. Tests of hearing also are part of the work up. Unfortunately there are not many good tests of balance which definitely assist in the treatment. You can discuss with your ENT specialist regarding the utility of the tests that he wants to do. As for as treatment is concerned, avoid triggers which you already have realized. During periods of dizziness many medications can help. If problems persist in spite of that then there are surgical options available. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just got dental implants this Tuesday (yesterday) with stitches and stuff. I was wondering g if by next week on Tuesday I would feel okay/it would be safe to go on a roller coaster? The two spots have stopped bleeding but I was unsure bc of the pressure and stuff.", "output": "Hi, Welcome to Chat Doctor .com. I had gone through your question I can understand your concern. Yes, there are some concerns but if you handle it properly you can go for it. As your wound has not healed fully, you need to take care of it. If you have a ride you will have to avoid clinching of teeth too hard that is impossible in high stressed conditions. So you need to get a dental guard made by a lab (night guard) put it in your mouth while going for the ride. Hope my answer will help you. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a bottom molar extracted 6 days ago, and developed dry socket, I have just finished my antibiotics but still feel throbbing when I walk, my gum is still very swollen and I can feel something sharp at the side of my extracted gum.I have also developed a red blister in the gum on the top of the extraction. I am very worried, my dental surgery is closed this week.", "output": "Thanks for using Chat Doctor. Read your query. The signs and symptoms which you have described suggests that the socket is not healed yet and there is infection in it. You have to actually get the check-up done and if the dentist office is closed, do visit an emergency where they will Chat Doctor. Antibiotics like amoxicillin 500 mg and metro lag 200 mg thrice daily (if you are not allergic to these medicines) will be required. Ibuprofen for pain can be taken. Do continue making saline gargles. Avoid placing hot bag externally. Hope these suggestions helped you. Thanks and regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m a 21 Male about 140 lbs. I have varicocele in both testicles, After i sit in a chair in one position for a little while, My left testicle will turn sideways when I stand up. I then have to twist it back into place. why does this happen and how can I prevent it? I went in to see my GP and he examined my testicles, He suggested I go for an ultrasound just to be on the safe side. So I did, that s how they found the varicocele in both testes. The testicle only twists sideways when I sit for a long time. Does it have to do with my Varicocele?", "output": "Good Day, and thank you for being with Chat Doctor ! Varicocoele is dilation of the veins that Chat Doctor. Varicocele may or may not cause scrotal pain and discomfort. You may have a congenital condition called bell-clapper deformity where in your testis is not firmly attached to the scrotum. This may cause severe twisting of your testis leading to testicular torsion which is an emergency. I would suggest seeing a Urologist and the testis can be fixed to the scrotum to avoid torsion thereby avoiding emergency removal of the testis that usually happens after testicular torsion. Thank You. Manuel See IV, Neurologist" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor, Im a 39 year old female who has suffered from anxiety for over a year. For the last few months I have been having a feeling of not being able to get a full breath into my lungs and a tightness in my throat. Is this related to the anxiety or could it be something really bad?", "output": "Hi welcome to the Chat Doctor You are having history of anxiety problem... Hence, your symptoms most likely seems to be related to anxiety induced panic attack... Here before labelling it as anxiety induced rule out respiratory problem by chest x-ray and spirometry...... If this comes normal than treatment for anxiety started with alprazolam like Chat Doctor. . Yoga and meditation will be beneficial to Take care Consult pulmonologist for examination with keeping all this in mind Hope your concern solved" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter is 45 and has had Type 1 Diabetes for 28 years and she is really struggling and the only place that will see her is a clinic and they have no clue how to help her with her blood sugar. She has been in 2 comas in the last 4 days. We live in Pooler Georgia ( outside Savannah) and desperately need help finding an endocrinologist.", "output": "Thanks for asking on Chat Doctor. The preferred treatment of type 1 diabetes is injectable insulin, the dose of which is according to the levels of blood glucose. However, constant monitoring of blood glucose is important because a too high dose of insulin can lead to hypoglycemia and coma and a too low dose can lead to high blood sugar levels. So dose has to be carefully adjusted as per the blood glucose levels. In type 1 diabetes the pancreatic beta cells are unable to produce enough insulin to take care of the needs of the body. Oral hypoglycemic agents are not effective I type 1 diabetes because there is not enough beta cell function since Has act by increasing insulin action. You will need to monitor blood glucose at home with a glucometer and adjust insulin doses accordingly. Hope it helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi,i have a burning sensation on the tip of my penis,no discharge,no feaver,no constipation,and i pee a lot like every hour.i have been to the clinic they took a swab and they said there is a bacteria infections but they didn t tell me what exactly it is .NOW I HAVE TO WAIT FOR THE RESULTS", "output": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. It is good that you have done a swab test from the penis tip. Culture and sensitivity can give you idea regarding the possible pathogen and its sensitivity pattern. Once you start taking the Chat Doctor. Please take the completed treatment. Otherwise, infection will recur. Please " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here...hi I am 28 yrs old and have 3 children. When I use the bathroom and am sitting my legs and feet go numb. Sometimes I cant stand for a few minutes and I have to lay on the floor until the pain and numbness go away.", "output": "Hello dear, The symptoms as mentioned in your post can be attributed to:1. Para-spinal spasm and entrapment of nerve fibers at Lumbosacral region due to prolonged sitting posture.2. Inadequate HY Chat Doctor. Dietary deficiencies of certain nutrients like Iron, Calcium, vitamin D, Vitamin B12, Folic acid, etc. which help in blood formation & nerve conduction.4. Peripheral neuropathy caused due to any fluctuation in blood pressure or blood sugar level. Symptomatic relief can be obtained by intake of cervicogenic agents (like Vitamin B6, Vitamin B12, Folic acid) as well as multivitamin & multimineral supplements including iron, calcium & vitamin D needs to be added in your diet. Physiotherapy & postural exercise will also be helpful. If symptoms still persist, kindly consult a Neurologist & get a complete Neurological examination done. Certain investigations like complete blood count, serum electrolyte estimation, fresh estimation of blood pressure & blood sugar levels & nerve conduction studies will be helpful to rule out any pathological cause for the symptoms.X-ray & MRI of Lumbosacral spine can also be carried out to detect any nerve entrapment. Wishing you a Good Health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi , I am 22 and daily i use to travel 25 km in bus from my house to office.I feel very tensed because of the bus going very slow and having in my mind whether i can reach office early or not.When i feel tensed i will feel small pain in my back area.Please help me what is the reason which i willl get only when i am tensed.", "output": "Dear patient long distance travelling will always lead to worries about reaching office in time and undue tension In your mind. Mental tension will lead to many problems and one of them is back pain. Stress leads to release of multiple hormones in our body which leads to muscle weakness and back pain. So try to keep yourself stress-free and live healthy lifestyle. Leave early from home for office and avoid undue mental stress." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I ve been working out for about 4-5 weeks and i ve started to notice a lump right under my right rib cage. It s about 2-2 1/2 inches wide, I have a the lump on right under my left rib cage as well but its much smaller, could this be a hernia or just muscle?", "output": "Hello! Thank you for the query. Hernia in this location is very rare, unless you have had surgery in this area. Most commonly such lumps are lipomas. It's a benign lesion, which do not turn into a cancer. It is also possible that you have started noticing some muscles in this area. If you are very concerned, soft tissues' ultrasound should diagnose the problem. Lipoma can be removed due to cosmetic reasons. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have been having a burning itching feeling at the tip of my penis(just inside my urethra ,. I have been tested for all stds twice,, but the symptoms are still there. I have a very slight white bubble precum then it turns clear. my urologist says its in my head, but the discomfort and pain is real. it happens everytime i ejaculate and last for a day or 2.", "output": "Hello,The history and symptoms are suggesting me that you may be having fungal infection. The fungus is the normal comedians of the genitals which is kept under control by the helpful bacteria, whenever there is an imbalance between them, it will lead to multiplication of fungus and the produces the symptoms which you are having. The fungus tends to survive for longer period of time in a wet area. So you can be having fungal infection and I would suggest you to follow1. Topical Antifungal cream2. Keep the area Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have what feels like stones that rides up around the ribs and feels like it cutting up into my heart. I cant seem to get any help with Dr.s even acknowledging they can even exist under my ribs. I can run my finger down and press against ribs and even feel them.", "output": "Thanks for your question on Chat Doctor. In my opinion you should first get done1. Chest x ray2. Ultrasound examination of local part where you a re feeling hard lumps. If both of the above are normal then no need to worry much. There is nothing serious about it. The thing you are feeling may be junction of bony rib and cartilage. So get done above tests and if both ate normal then nothing to worry about what you are feeling. It is just in your mind. So stop worrying about it." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Many years of unexplained health problems and way to many symptoms to put together when it went on that long undiagnosed. I am a waitress by trade and gave it up a few years back because I was so weak and the headaches were that severe. I never fully understood how my health seemed to have improved the past few years some because now I tend bar and work in second hand smoke . I have had some down time but not like in the past. The past several months I have learned on my own not by a doctor that I severly reacted to anchovie paste that was used in a recipe made by a friend. I have eaten ceasar salad for as long as I can remember. I then had an experience with scollops more body pain and some thoat pain. But before the Christmas Holiday I had a few calamari and then I knew i was on track to all of my unexplained health. My throat closed so bad but I felt like someone had kick bocked my chest and could not expand it at all and get air. I have had this before but not this bad and never fully understanding why it happens. Five weeks back it was a haddock dinner at a local restaurant that had just opened. My throat felt like I had thyroiditis for weeks. I did loose my voice some etc.. I am afraid and will seek medical help eventually. At the moment I am just so mad that it took this long for me or anyone to put together. There is not a specialist I have not seen. I am 54 and it all started at age 39 which is the age I went back to work. Never did I see this connection until recently. When we started to sell Lobster and Steamers I went out of work and thought my symptoms getting much worse had to do with this. I went to an allergist who told me that I was developing a sensitivity but focused on celiac disease and that road ended when my GI doctor ruled it out. I now have seveve ischemic colitis and have been kept overnight in hospital for blood pressure dropping low and another time for intestnal bleeding. My questions are these. Will this heal. I cannot sit for any period of time because of my intestines and cannot lift much because of all that feels damaged inside most days. I have recently talked with a woman who watched what I went through recently and she explained she was in the Islands when she almost went into shock. She had seen prior the same allergist that I had gone to before. Can allergies to seafood and shellfish be trickey to catch??????? I was working long shifts just to keep moving because nothing in my body seems to function good if I stay idle. How much did my working in a restaurant have to do with this getting this bad. It all started many years back with a red face, neck and ears. Always around 3 in the afternoon. Then came the unexplained rash and they focused on detergent. Then I was rushed in and told my appendix but the hospital record shows them circuling they were normal. When I kept going back with the same repeated symptoms stating it is the same pain as before the appendix he yelled I only had one. I said I knew. He moved to Florida shortly after and I have lived years very sick. I had also moved at this time and four restaurants across the street that sold seafood. This is when I was originally sent to be tested for MS the first time. Major swelling, headaches, and no feflex response on left side. It was August and windows open and we thought heat being a trigger. Long road but faith. Will I heal?????? How much plays in to my health failing working and living near seafood restaurants?????????? Thanks and so sorry about the length.", "output": "Hi, Thanks for writing in. I would like to reassure you that ischemic colitis is something which can be taken care of to a very large extent. However, the exact course can be determined by actually assessing the severity of the disease. As far as your allergies are concerned, seafood and shellfish allergies are some of the most common ones. It is surprising you weren't diagnosed with this before. This can not only occur when you ingest seafood but can also occur when you inhale the protein when it is being cooked. I would suggest you stay away from the seafood restaurant, and you should be good. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Yesterday, my gynecologist did a base line scan and said that I have Poly cystic ovaries. My period was very regular [30 day dot] till April 2013 when I started my Eltroxin [25mcg] for Thyroid as my TSH was 8.9. After taking Eltroxin tab my period went on to 35-36 days in past 2 months. Unfortunately this month I have not got my period so went to the gyno who said I have PCO. she has given Ovacet for a month. Will that help doctor ? I want to conceive and have been trying completely from past 7 months. Please help.Thank you in advance !", "output": "Hello, You are already taking tab for hypothyroidism. For your TSH level the thyroxine dose may not be sufficient. Recently you have been diagnosed with PRO. Insulin resistant inhibitors like tab metformin can be given for PRO. You need complete thyroid and ovarian hormone analysis and hormonal treatment as per your need. First your cycle has to be regularized. Do a USG abdomen and assess the PRO - unilateral/bilateral and extend of PRO.PRO and Hypothyroidism are interlinked. Take proper treatment - There are every chance for you to get pregnant Only patience and proper treatment are important. Best wishes" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had abdominal herni surgery repair using a mesh in july , thne another umbilical hernia repair in oct now i have swollen abdomial and severe cramping every few minutes all bowel work fine i had fluid build up behind mesh told to me that with time would go away but no pain meds are helping with severe paing and cramping", "output": "HIIT can be due to nerve entrapment or inflammatory fluid collection around meshed ultrasound of abdominal wall surrounding mesh and also abdominal ultrasound to rule out any intra-abdominal pathology. Simple serous fluid collection needs no treatment. Nerve entrapment is initially treated conservatively but may require invasive methods in refractory cases.since your bowel habits are normal, so chances of intestinal obstruction are very less" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been diagnosed with SLE in October 2011. Since then, I am on a regular immunosuppressant medication with prednisone, HCQS, folitrax and folic acid. My ANA test and butterfly rash were considered as symptoms for the diagnosis. I did not have any complaint of joint or body pain. There were no other symptoms. But after having the prednisone, I was feeling more fatigued than usual.I recently read in an article that a positive ANA does not mean that one has SLE, although the butterfly rash was indeed a symptom. I wondering whether there is even a faint chance that I might not actually be suffering from SLE. Also, the year before that is from February 2010 to February 2011, I was taking a year-long course for homeopatChatDoctoredicine to improve my immunity against my allergy to cold and dust. I had chronic cough too, which got cured with the homeopathic treatment. Please advise me appropriately.", "output": "Most of the time it is SHE. However, it might be other autoimmune disorder in few cases. But butterfly rash is the symptom of SHE. There are many symptoms required for diagnosis. Total 4 out of 11 criteria is needed TK diagnosed as SHE. Malay rash, butterfly rash, photosensitivity, hematological, neurological, renal, autoimmune etc. are the criteria. If you have doubt then go for anti DS DNA and anti SM antibodies or immunofluorescence test." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am getting light headed and dizzy whenever I have to turnI am getting light headed and dizzy whenever I have to turn my head to look ove rmy left shoulder. It is not while I am in the act of turning my head but as I am sitting there, looking over my shoulder. It almost feels like the blood is being cut off to that side of my head.", "output": "Hello dear, The symptoms as mentioned in your post can be attributed to pathology in the Vestibular Apparatus in inner ear (it is associated with maintenance of body posture & balance) most probably Labyrinthine or Benign Paroxysmal Positional Vertigo. Symptomatic relief can be obtained with intake of Vestibular sedatives like Betahistine or Linearizing preparations (to be taken only under the guidance of a Physician). If it still persists, then you need to consult your Physician/ ENT Specialist & get a complete clinical examination done. Investigations like estimation of blood pressure, blood sugar levels, serum electrolytes & vestibular function tests will be required to rule out any pathological cause for the symptoms. There is no need to worry, you will be fine. Till then, maintain adequate HY Chat Doctor. And also take precautions of getting up from bed slowly & avoid sudden head movements. Wishing you a Good Health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have faced one bike road accident after that i am unstable by mental wise again some thing i forgt about my past not getting confidence with my daily activity. so I am worry about this mental condition .I am unable to get confidence and my mind is now not like the previous.pls help me.", "output": "Hi, I read your query and can understand your distress. You have mentioned that you met with an accident. I would have wanted to know if there was any head injury and did you lose consciousness. In that case, you would have suffered brain injury which can result in symptoms mentioned by you. In case there was no head injury, the cause of your symptoms might be completely psychological. I would suggest that you seek a psychiatric consultation for complete assessment and initiating appropriate treatment. Treatment with antidepressants like Escitalopram would be effective in your condition. Hope this information was helpful. Best wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "im 36 had surgery for pectus excavatum when i was around 5 yrs old. i am verry short winded. im concerned about my heart and lungs, i get worn out very fast. i cant even keep up with my children. i cant play with them and have to make excuses because i get winded so fast. i push my self to keep up, but im afraid my heart is gonna exploid. will my heart last?", "output": "Thanks for your question on Chat Doctor. By your history I think you are having uncorrected rectus excavated. It Is a kind of rib cage anomaly. With age this anomaly can cause restrictive lung disease. In these lungs are restricted to expand due to rib cage anomaly. So lungs become weak and it further damages heart. So right sided heart failure with cor pulmonale and pulmonary hypertension can be seen in these patients. Better to consult pulmonologist and get done PFT (Pulmonary Function Test) and 2D Echo to rule out all these. Start chest physiotherapy and deep breathing exercise." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello sir, I am 27 years old mail married, when i married that time my age is 18 years old, now i am 27, i do sex everyday, now my mustache & chin hairs are growing totally red & grey.I have done daily sex thats why this is the reason to growing red & grey hair? and having left knee pain , back pain & left shoulder and some sound is coming from left knee & elbow. please advise me how to black my chin & mustache hair...", "output": "Hi... Md. Muzammil., Thanks for choosing Chat Doctor., There is no relation between your sex and color of the Hairs., Colour and hairs distribution completely depend upon., Genetic involvement.depend on coding of genetic material on the ., Chromosomes only determine the color and texture of hairs., Your SEXUAL activity and desires totally depend on your., Hormonal levels and activity.ok. There is also no relation of knee pain, back pain sound in the left knee., It could be from ... Rheumatoid arthritis or Gout., So go for uric acid levels in the body and try to exclude it., The best way to black your chin and mustache hair...by dyeing and hennaing of your hairs...ok...good luck" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a bite on my leg that woke me up in the middle of the night on Wednesday night because it was so itchy. Thursday day, it got a little bit bigger and it started to hurt more than it itched. Thursday night it got really hard, and swollen, and it started oozing clear fluid. Today, it s much bigger, still swollen, and when you run your fingers over it it feels like it has goosebumps over it. What could this be?", "output": "Hello, Thanks for the query, You might have developed a muscular eczema. Your description matches with this. Apply a steroid lotion like fluticasone, Also take an antihistamine tablet. Try saline compress. This will give you some relief. Please meet a dermatologist for exact diagnosis. Let me know if you have any other doubt. You can ask a direct question to me on this forum, following the below link.https://urldefense.com/v3/__http://www.ChatDoctor .com/doctors/ Chat Doctor. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 29 year old daughter is having what she says is like shock or lighting waves in her head all the time. She is active in drugs. She will sometimes stand up and everything will go black and her legs with start shaking. I am very concerned because she has stated this is happening what could be wrong?", "output": "Sounds like this is a blood pressure problem called orthostatic. This can be diagnosed by taking a blood pressure reading laying down and then one after immediately standing. If the blood pressure Chat Doctor. The hard part is then figuring out what is causing it. There are good treatments for this condition, but she should see a doctor. In the meantime when she starts to feel dizzy tell her to do toe raises or cross her legs to increase blood flow to her heart. This should help temporarily. Hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, iwas suffering from pelvic tuberculosis .fr that my phelopenic tubes are being blocked. i did the 6 month course of medicine course fr tb.then there is no improvement of the tubes. doctor says if i ll go for ivf its just like taking a chance. no surity to conceive any more. should i go for an ivf? i had also a dhl .the report is like this; evidence of mild peritonities with b/l cornual block.", "output": "Hello, I would like to know, how this tubal block was diagnosed? Also, what you mean by DHL? If it was diagnosed on HSG, then I would suggest you to go for laparoscopy to confirm the status of the tubes. If the block is diagnosed by Laparoscopy and there is no improvement after taking TB medications, then the only hope remains is on IVF!your doctor has correctly said, it is like a chance, no Surat, as the success rate for conception after IVF can never be like 100%. Also, it depends on many factors including your age, functioning of ovaries, that is ovarian reserve, how you respond to the medications, husbands age, sperm count and quality, etc... So nobody can give you Surat, but in your case, it is the only hope for conception... Hope this information is helpful to you to decide whether to go for IVF or not... The other option remains is adoption." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband has had two recent episodes of rather violent vomiting preceded by some coughing. He says the coughing relievespressure in his stomach whichhurts. He did visit his doctor after the first episode and nothing was found but a mri was recommended which has yet to be done. Any ideas? He is 71 and in generally good health but with a history of ulcers and has had stomach surgery for them with the pyloric valve removed. This happened 30 yrs ago.", "output": "Hi. Thanks for your query. Considering the age of the patient of 71 and the history of vomiting and coughing which relieves the pain, I would think about Hiatus Hernia as the first cause. Get upper GI Endoscopy done before any other investigation. Additional X-ray of the chest in supine (lying down) position, barium studies for the esophagus, stomach and duodenum (history of gastric surgery notes). Coughing looks to be due to reflex due to pressure felt in the chest due to hernia. Both coughing and vomiting relieve the pressure means there is fullness which develops over time." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "your query here...hi doctor basically i am from punjab my sis is suffering from jaundice from last 8 years her normal bilurubin is 2.now a days the level reaches at 6 we are giving her treatment from last 10 days along with 25 bottles of glucose drips but still its increased by 1.kindly tell me the sollution we have done everything", "output": "Hi, How are you? My Name is Chat Doctor. I am a Liver specialist in Ludhiana, Punjab and I hope to answer your question today. I am sorry to hear that your sister is suffering from Jaundice. The treatment of jaundice will depend on what the cause of jaundice is. I understand that your sister is suffering from jaundice from the last 8\u00a0years which makes me think that it is a medical condition and not a surgical condition. But I do need a few more details regarding your sister before I can guide you further as there are different reasons including blood diseases which can lead to jaundice. Please contact me on XXXXX or on XXXXX for further clarifications. Hope this helped and looking forward to discussing this furthermore a great day" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, so I jad braces before when I was around 14. And when I got them taken off I felt that my left canine tooth would sometimes hurt a little and would hirt a little more durong the winter time. Today it started hurting out of nowhere and felt that theres a lump next to my nose that wheneverI touch makes my canine tioth hurt hhorribly, what can this be I am terrified because I do t want to get my tooth removed!", "output": "Hello, Thanks for writing to us. The pain associated with canine tooth after orthodontic treatment is due to dentin hypersensitivity. There is chance of wearing of enamel during orthodontic appliances are inserted. The lump may be arose due to abscess formed from periodontal infection. I would suggest you to get a thorough clinical evaluation by your dentist. Thorough scaling has to be done. Sensitive teeth have to be restored using tooth colored filling material. Use desensitizing toothpaste and interdental toothbrush to clean your teeth. Maintain good oral hygiene. The lump has to be curetted and Chat Doctor. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "One side of my tongue is swollen i have creamy lookin spots on the inside of my cheek my jaw constantly clicks and is quite sore,i broke my jaw 10yrs ago and was wired up for months,im not sure if its got another fracture in it.i also have lumps on one side as if ive been biting my cheek which i cant recall doin,i visited my doctor and he said it was with using cordosol mouthwash too much please help .", "output": "Hello and welcome. Thanks for sharing your concern. As you have mentioned in the history that you have creamy looking spot in your cheek, therefore can you please let me know since when do you have this lesion? Do you have tongue swelling on the same side? Have you noticed enlarged gland underneath your jaw on the affected side? Please let me know these details to answer better.Meanwhile, please discontinue usage of mouth wash temporarily. You can use warm saline water presently. Also start with vitamin Complex for 15 days and look for changes. Hope it helps. Thanks. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was diagnosed with very low RBC count of 5.8 and an iron level of 2. The docs in the ER were amazed I was even talking. I had felt ill for many months. I recieved 4 units of blood. Wow, do I feel better. Im not bleeding internally, so why did this happen to me?", "output": "Hello! Welcome and thank you for asking on Chat Doctor! Your symptoms seem to be related to chronic anemia, probably caused from an iron deficiency, considering your iron levels. You should know that chronic anemia is well tolerated and can lead to such levels of Hemoglobin, without any Chat Doctor. Anyway, I would like to directly review your complete blood count report for a more professional opinion. Hope you will find this answer helpful! Kind regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello, A 50 yr. old patient reported to the dental clinic with tingling sensation over the right cheek region for 2 months. No h/o trauma, dizziness , severe headache, paraesthesia, running nose , URTI, blurring of vision. No sign of inflammation, no tenderness over maxillary sinus region. NO intraoral pathology detected which could explain the symptom. please kindly give your opinion on the probable causes of the symptoms with treatment plan.", "output": "Hello according to the dental history pf patient it seems that patients nerves are affected.I would like to know about patients oral habits like smoking or tobacco chewing because ingredients present in it irritates the mucosacausing tingling sensation.I would advise to give European forte for relief and refer to neurologist. In case of smoking or any hazardous oral habits kindlydont continue. Avoid rubbing your cheeks.maintain oral hygiene. Rinse mouth with warm saline water twice daily. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a question? I left the nuva ring in for 2 months then i had a dr apt and she put a new one in well i took it out 3 days later cause im trying to have a baby. I have had very light spotting it was pinkish. I have taking a home test came back negative but im almost 3 weeks late.", "output": "Hello, and I hope I can help you today. The proper way to use the Nearing is to put it in, leave it in for 3 weeks, take it out, wait one week, and replace it. During the week you are not wearing the ring, you should have some bleeding that is considered a menstrual cycle. If you wore the ring continuously for two months and then had a new one replaced but only removed it 3 days later, the pinkish spotting was your \"period\", which is caused by not wearing the ring. The bleeding was very light because you had suppressed it by continuously wearing the ring for over 2 months. So you should expect your next period about 4-5 weeks after the episode of spotting that you had. If you do not have menses by then, I recommend repeating the pregnancy test at that time. If you did not have regular monthly cycles before you used the ring, your cycle will follow your regular pattern that you typically have when not using hormonal contraception. If you are trying to get pregnant, you should have intercourse about every other day and begin taking prenatal vitamins as it benefits the health of the baby for the vitamins to be present at conception. I hope I was able to adequately answer your question today and that my advice was helpful. Best wishes, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Today getting out of the pool I slipped and fell on the metal ladder landing on both my shins. My lefts shin immediately swelled up to walnut sized knot, my right one has a huge dent in it but didn t break the skin.its very painful on the right one.could there be serious injury?", "output": "Hi, Take the following measures at first-1. Cold compression over the wounded area2. Elevation of the limb above the level of heart and rest3. Get an X-ray done for-both the legs including knee and ankle joint4. You can take paracetamol 500 to reduce the pain and swelling A dent does not always mean serious injury. But get the X-ray done ASAP for confirmation. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I hit the dead center of my knee cap about as hard as you could imagine hitting it against the edge of a metal door frame at work. I can barely walk, my knee is swollen and hot to touch and pain is unbearable in my knee when I bend or unbend my leg.What could I have done?", "output": "Dear Friend. I am Chat Doctor. I understand your concern. I would advise you to follow :1. A painkiller with anti-inflammatory action like Tab Synapse D twice a day for 5 days.2. Voting gel locally 3-4 times a day3. Hot fomentation. I suppose you will get relief by this. But a X-ray / MRI is advisable to see for any fracture / ligament tear. If you have any further query, you may please ask me. Stay Healthy" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello.. I have been taking bisoprl/hctz 5/6.25 since 2000. I have been having some angina the past few weeks. Saw cardiologist 2 days ago. He told me to take Amlodipine 5mg. along with it. Then to drop the simvastatin after one week. I dont understand this. Can you help me. I am female. 72 yrs. old 5ft2 inches. About 135 lbs. Had stent (heart) about 8 months ago. Thank yu. Jackie Gaskin", "output": "Hi, how is your blood pressure is it controlled or not. Take electronic BP apparatus and try to monitor BP and pulse rate and make a chart. Considering your BP is normal and you are having angina, you should be started tab nitroglycerin 2.6 at 8 am and 4 pm. Also, if your pulse rate is higher than 70 then dose of bisoprolol can be increased. Simvastatin should not be stopped. First start nitroglycerin and review back. We can later modify other Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 21 yr old female and should have got my winsdom teeth out last year but im also a student and couldnt miss clinicals and now that it is summer i couldnt miss work with all the things i have to pay for school. So they became abcessed, they break even wen I am just chewing gum or eating a banana. Yesterday I started to feel pain under my right part of my jaw bone and today i can barely open my jaw it hurts so bad, It hurts to swallow and it feels like there is a lump under my jaw going into my throat. I feels like it got worse from the time i started work til the end of my shift. What can I do except for the obvious go to the dentist and get them pulled?", "output": "Hello, You need antibiotic treatment to stop the spread of the infection. I usually prescribe Amoxicillin 500\u00a0mg. Take some anti-inflammatory medicine such as acetaminophen or ibuprofen. Ben Chat Doctor. You will need to go to the emergency room if this continues. Your dentist can give you a prescription and also evaluate if you need a steroid to control rapid increasing swelling. As you state, you WI need to and the extractions, but you need antibiotics now. Some infections need to be " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi DOCTOR...i HAVE BEEN COUGHING NON-STOP, IT SEEMS FOR 3 DAYS...HAS ONLY LOOSENED IN THE LAST SIX HOURS ...i NEE TO KONOW HOW CLOSE TO PNEUMONIA i AM AND HOW TO FORSTALL OR AVOID IT ALTOGETHER. i AM NOT SURE i CAN EVEN GET UP TO SEE A DOCTOR TO LISTEN TO MY CHEST ANDLUNGS, i AM A WOMAN OF 81 AND HAVE ALWAYS BEEN A LITTLE BRONCHIAL...BUT OTHERWISE HAVE ENJOYED GOOD HEALTH ...ANY SUGGESTIONS?", "output": "Thanks for your question on Chat Doctor. Since you are old age person, sudden continuous cough can be due to cardiac and pulmonary causes. Cardiac causes like congestive cardiac failure (CCF), coronary artery disease (CAD) and pulmonary causes like bronchitis and fibrosis can be there. So better to consult doctor and get done1. ECG2. 2d Photo rule out cardiac causes. Get done chest x-ray and PFT (pulmonary function test) to rule out pulmonary causes. Since you are old aged, better to first diagnosed and then start treatment." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a female age 60. I am visiting my daughter in Guam. I was stung by the bonnie bee on my right hand. It is swollen and while it doesnt hurt like it did it really iches a lot and feels like it is spreading up my arm. I have been taking benedril and applying cortisone cream to the bite. Is there anything else I should do? Thanks so much. Cheryl Eggart I am on meds for high blood pressure and colestrol which both are well under control. I had a masectomy this year of my left breast and am taking preventive cancer meds. I am cancer free.", "output": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand. As per your complaint it seems that you have got an allergic reaction to the bee sting leading to swelling and itching at the sting site. The first thing that you should do is to take a close look at the sting site and in case if the stinger is still embedded under the skin you can get it removed. The medications that are Ben Chat Doctor. . You should also do cool compresses over the sting site and can also apply calamine lotion to soothe the area. In case if there is pain you can take Tylenol. Hope this information helps. Thanks and regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I was diagnosed with an ovarian cyst a little less than a month ago. I have my first OBGYN appt on Friday. I am 21 years old. I have been doing research and I am very nervous. Sometimes I have found to have no appetite, however not all of the time. I am not sure if this is because I am worried about the chance of cancer or related to the cyst. The pain is bearable and comes and goes, but is still there.", "output": "Thanks for your question on Chat Doctor. In my opinion you should not worry much about cancer. You are too young to have cancer. Not all ovarian cysts are cancerous. So no need to worry much. At your age due to hormonal imbalance, ovarian cysts can be seen. And no treatment is required as they are benign mostly. Only regular follow-ups with ultrasound every 6 monthly is needed. And if you still want to rule out malignancy, better to get done biopsy from cyst. Otherwise, no need to worry about cancer. This cyst will not harm you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a foot sprain about 2 weeks ago. I had xrays and it did not show anything. The swelling went away but I now have a hard lump where the swelling was. Doc says xray was fine did not show any masses and that its soft tissue swelling. Should I be worried about it and how long till it goes away?", "output": "Hi, dairy have gone through your question. I can understand your concern. You have soft tissue swelling. It may be due to inflammation and healing process. Your x-ray is clear so no need to worry about that. It will take few weeks to heal completely. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I take 100 mg of Atenolol daily and 20 MG OF Enalapril twice daily. My blood pressure spiked to 223/112 and I went to the ER. They gave me 2 tabs of clonidine to bring it down. Tonight my blood pressure is 134/74 after taking my last dose of Enalapril. The Dr I went today told me to take the clonidine 0.1 mg in addition to my nightly Enalapril before bed. Will the clonidine make my blood pressure too low?", "output": "Hello, I have gone through your query and understand your concern. The Blood pressure of 134/74 is normal. Nothing to worry about this. Your previous antihypertensives seem to be not sufficient to reduce your blood pressure to normal. That is why your treating doctor added Clonidine 0.1 mg with Enalapril every night.in ER, Clonidine is given to you to reduce the blood pressure to normal. Because high blood pressure can cause strokes and heart attacks. Check your blood pressure regularly. Have annual cardiac evaluation with electrocardiogram, echocardiogram and treadmill stress test. Continue the medicines prescribed by your treating doctor. Exercise regularly. Try to cut down the oily and deep-fried foods. Hope this helps. Please write back for further queries. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello...My mother in law had breathlessness last night and she lives in Parbhani...she had the tests...In her echocardiogram..the impression is CHRD, Mild mitral reguegitation, mitral stenosis and moderate AR. her haemoglobin is 9 and TSH is 7...what will be the treatment for her?", "output": "I have gone through case history of your mother-in-law. She has got Mild mitral regurgitation and mild mitral stenosis and moderate Aortic regurgitation. Any valvular which is severe in intensity needs surgery in the form of replacement or repair depending type of lesion.in her case mitral lesion is mild and aortic is moderate. So as on today she does not need surgery. Apart from this she has anemia and hypothyroidism. I suggest correcting anemia with haemetinics and start oral thyroxine 25mcg once a day every morning. It is possible that her symptoms will be relieved by this. For her valvular problem she should be evaluated every yearly if she has no symptoms and 6 monthly if she has symptoms of breathlessness or chest pain. She may need aortic valve replacement in the future." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been diagnosed with asthma at 32 years old. I had never been diagnosed with asthma before now. I went to the doctor with a severe cough & that is what he told me. I seem to cough more when I am tired or worn down. Is this normal with asthma? I try to use the inhaler but it makes my heart race & makes me feel even more exhausted than without it.", "output": "HI, thanks for using Chat Doctor The reliever inhaler can be associated with increased heart rate. To reduce your need for it, you may want to consider the preventer inhaler. This would prevent your symptoms from occurring at all. The triggers for asthma vary, but the more common ones are: infections particularly the common cold, allergic sinusitis, exercise, emotion, gastroesophageal reflux, dust and other allergens hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "what does it mean when a test comes back saying asymmetrically enlarged right choroid plexus which diffusely enhances? Differential includes a choroid papilloma or ependymoma. Lymphoma is a possibility as well as infectious or inflammatory etiologies?", "output": "Hi, Thanks for writing in. It appears that there is some suspicious growth involving the choroid plexus in the right lateral ventricle. There are fluid filled spaces in the brain called ventricles. They also contain tissue known as choroid plexus where generation of the fluid takes place. The ventricles are lined by ependymal cells. In your brain CT or MRI scan there is an unusual appearance of the choroid plexus in the right lateral ventricle. It is showing good blood supply and is enlarged to appear like a mass. In this situation the possibilities are that it is a benign growth from the choroid plexus (choroid papilloma) or a growth arising from the ependymal cells. Other conditions like mild brain infections and inflammation can also cause this appearance. Please consult your neurologist and have a detailed discussion with clinical examination. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello,Can Hifenac-MR, along with an antacid, be taken for pain in shoulder? Can it be taken continuously for few days when there is pain or should be avoided afap due to adverse side-effects?My mother is having shoulder pain and is undergoing physiotherapy since last few days.Thanks & Regards", "output": "If it is taken for time being then it is key, but should not be taken as treatment for shoulder pain. Shoulder pain has to be diagnosed properly and should be treated accordingly. I am sure the physiotherapy treatment what she is taking will be according to her diagnosis and will help her to get relief. You can also ask her to use hot and cold pack frequently to get some more soft tissue healing with relaxing soft tissue, increasing blood circulation, and reducing inflammation. Here just wanted to update you to check whether she has frozen shoulder or it's a soft issue damage (rotator cuff).because many times it is diagnosed wrong and treatment for both is different. For frozen shoulder more over as a physio I do treatment with shoulder manipulation. And for soft tissue injury the manipulation is not suggested and only the soft tissue relaxing and healing treatment only can be given. To check if your mother able to move her hand up standing against wall as well take hand on her back with little pain then it is related to soft tissue pain. And if she is not able to move hand up complete with range block feeling then it can be frozen shoulder. If still confuse then still can be diagnosed properly with MRI. Here my only advise is treat the cause of the pain and painkiller should be for time being. Hit the thanks if it is useful. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i had unwanted 72 on 8th day of my cycle but now m still pregnant will this medicine effect my pregnancy or cause any deformity in baby. please guide me m worried m 6 weeks pregnant, As per the TVS Scan report the baby is normal but we are worried about the side effects post birth, Please advise", "output": "Since the TVS scan is normal, kindly do not worry. Anomaly scan can also be taken by abdominal ultrasound between 18 and 22 weeks to confirm the health of the fetus. Maternal use of oral contraceptives just before pregnancy or during pregnancy does not appear to increase the risk for birth defects. The results suggest that women who have a breakthrough pregnancy during oral contraceptive use are unlikely to have a fetus with a major birth defect. Hope that was helpful. Let me know if I can assist you further. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have been feelng low and crying a lot as i live in turkey we have to pay for health care so went to the chemist for tablets which are cipram took for 6 months then came of them over 1 month gradually my friends have noticed i am muddled there words and think i should start tblets again not sure if i should stay on these tablets or change them", "output": "I appreciate your query on Chat Doctor. The medicine you mentioned is probably Escitalopram which is an antidepressant and a Selective serotonin reuptake inhibitor. Ideally they should be started in consultation with a psychiatrist. If you are having the symptoms of low mood, weeping spells, poor concentration, decreased interest in life and sleep/ appetite disturbances you can restart the medicines but continue for 6 months when you feel absolutely fine (not total 6 months) and then gradually off them. I hope you find this helpful." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "dear docotor, my child having swelling on fore head, when we press it it will goes arount two to there milli meter inside what is the reason for this, on the head top of fore head one bowl is there it comes out after that we found this what is the reason for this what is the remedy for this, whoom i have to consult doctors specelisation please thanking you sir d.s.sridhar", "output": "Hi, I understand your concern. From what you are describing, it seems like your child has a hematoma, which is a collection of blood that occurs after mild injury or fall, or a Desmond cyst which occurs in some child Chat Doctor. You can consult a pediatric surgeon if the swelling does not come down in a week. Meanwhile, if the swelling is rapidly increasing in size, or your child has pain/increased crying or pus discharge from the swelling, take her to the hospital to see a pediatric surgeon. Hope this helped you.!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello I am Alexis. I have went to my babies ultrasound at 20 week and it showed that my baby had a small cyst in or on his bladder. I went to his 26 week follow up ultrasound and was told that it is smaller. What is going on? Can a cyst get smaller? Is everything okay?", "output": "Hi, welcome to Chat Doctor. Cyst in or on the bladder is most probably an ureteroscope and may lead to block the passage of urine from the kidneys to the bladder leading to that side renal dysfunction. You can show the problem to a pediatric surgeon for either fetal intervention if possible or intervention just after birth. Also, to diagnose the lesion, you can go for a fetal MRI. Hope, the information helps you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have a question that may seem minor. My wisdom teeth have been swelling for the past 6 months and I have been taking antibiotics as prescribed by my dentist when they do, until I get them removed. 2 days ago, Ive noticed that my finger/ nail bed is slightly infected and have been treating it with hot water baths and local antibiotic ointment. Yesterday, I have noticed that one of my wisdom teeth has begun swelling slightly as well. Could they be related and should I be concerned?", "output": "Hi, No, the swelling of the finger nail and the wisdom tooth are not related and looks like a matter of coincidence. Swelling of the gum flap over wisdom tooth is a condition called peritonitis, and it is also due to infection, as well as swelling of the nail bed is due to infection, but one does not cause the other. For peritonitis, you need to get checked by a Dentist and get antibiotics and also do warm saline gargles. Keep the area clean. For nail bed infection, topical antibiotic ointment, oral antibiotics and anti-inflammatory can help in improvement. Take care. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a small bump near the bottom of my penile shaft. It is slightly darker than the rest of my skin and is firm but doesn t hurt or ooze anything. It doesn t seem to go away. About one 10 days ago I had some rough sexy and a long encounter of manual stimulation. Should I be worried about the bump.", "output": "HelloThanks for query. A small bump at the base of the penis is mostly due to staphylococcal infection of hair follicle (Boil) in a stage of induration. You need to take broad spectrum antibiotic like Definite along with anti-inflammatory Chat Doctor. Observe proper personal hygiene by washing your genitals with warm water twice daily. There is nothing to be worried about, With this treatment it will get cured within a week." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI i have been feeling unwell for a long time with extreme tiredness and difficulty concentrating. I have had problems sleeping and waking up constantly through the night. I have low IgA levels and high MCV and MCH. I suffer with constipation and bloating also esspecially after food.saran", "output": "Hi Saran, Thanks for asking. Based on your query, my opinion is as follows.1. High MCV and MCH is usually due to It B12 and folate deficiency. Your hemoglobin will also be mildly reduced.2. Vitamin deficiencies can cause low levels of antibodies, like low IGA levels. Associated protein deficiency can also be contributory.3. Improve your nutrition with protein rich diet and also take It B12 and folate supplements. Your diet can be enriched with fish, red meat, pulses to improve both. You can notice changes within two weeks. Hope it helps. Any further queries, happy to help again." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had my Mirena placed in January and since then, have been having extremely high blood pressure 165/110, depression and anxiety. Is there a chance this could have been caused by the Mirena? I am currently on 200mg of labetalol and 20mg of prozac. Neither of which seem to be helping much and my blood pressure spikes almost daily. Thanks.", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. IRENA (levonorgestrel-releasing intrauterine device) is a form of birth control that is indicated for intrauterine contraception for up to 5 years and for the treatment of heavy menstrual bleeding in women. IRENA is a hormone-releasing system placed in your uterus to prevent pregnancy for up to 5 years. The problems you are mentioning may not be the side effects of IRENA alone. I think it is due to anxiety and stress. May be PTSD. Associated with the stressful situations around January. Rewind and find out. Another possibility is (you did not give your age though, so assuming) menopause. Anxiety and depression are possible in that instance. The medicines should help you along with psychotherapy. I shall help you in that matter. Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "MY RIGHT LEG HEEL POTION WHILE WALKING,WHEN IT PRESSED GET SLIGHT PAIN, I TOOK THE XRAY CONSULTED ORTHOPATIC DOCTOR HE TOLD ME TO TAKE MUVERA TABLETS FOR 20 DAYS DAILY ONE TABLET.STILL I AM GETTING PAIN,CAN U SUGGEST SOME TABLET. I AM FROM INDIA,LAST MONTChatDoctorE TO USA FOR SIX MONTHS.", "output": "Hi, You may develop tendinitis or heel spur or osteoarthritis of ankle. Until examination is done it is difficult to say what it is. You may use little heel elevation candles. Use tablet Diclofenac. Need physiotherapy and avoid waking bare foot with hard surface. If symptoms not improved please consult your doctor he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor, My baby is 4 years old. She is allergic to dust and climate. She is having cold n cough since 3 weeks and after taking the antibiotics it had come down. but in the night and early mornig the cough is more and she not able to sleep. Please suggest a medicine. Thanks.Lo YYYY@YYYY", "output": "HI, thanks for using Chat Doctor The fact that the cough is worse in the night and early morning suggest that it is either coughing due to allergies with post nasal Chat Doctor. One of the most common symptoms of asthma is a nighttime or early morning cough. Because asthma is more serious, her doctor may want to consider treating for this condition first. This means that the use of a preventer inhaler may help to decrease these coughing episodes. You may want to consider speaking to her doctor. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have severe back pain .I have blood that has came to the skin on my lower spine permanent bruises on spine and tail bone is deformed into spine at L5S1 early degenerative disk disease at L5S1 and a bulging disk at L5S1. I have osteo perosis rhumetoid artherits as well as empyhsyma asthma and copd. I have 3 fingers that are deformed and don t straighten out all the way on both hands last 3 fingers both hands. I am in severe pain what do you suggest I do ?", "output": "Hello, I have gone through your question in detail and I can understand what you are going through. Its apparent from your description that you have got a degenerative disease of spine. RA has aggravated this generation. If the condition is treatable, l.Otherwise, the option that we have are to mitigate the pain. You can start pregame, a molecule which will reduce you pain. Even amitriptyline is a good medication which reduces such pain to a large extent. CONSULT YOUR Doctor consult a physiotherapist who would like to advise you some back exercises and do, do them regularly. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. If not, you may close the discussion and if possible you may rate the answer for me, so that I get good feedback. Wish you good health," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello! I wsa just woundering how long before you come in contact with the virus does a persone develope thrush? Ihave Oral thrush Now and am geting allworked up over the internet. last timeI had unprotected sex was a year and a half ago... Thank you sooo much", "output": "Hi. Can understand your concern... As per your complaint thrush is a fungal infection caused by fungus known as Candida Africans. Thrush is not a viral infection, and it is caused by fungus and not virus. Thrush usually develops suddenly that is within a day or two after exposure to fungus or when the fungal proliferation increases as fungal infection is an opportunist infection and can occur where ever body has deficient resistance to infection like due to some immune deficiency conditions or long term intake of some medication, Chat Doctor. . In case you had an unprotected sex one and a half year back then the fungal infection doesn't seems to be because of that ND it can be due to some other cause like taking long term steroids, antibiotics , birth control medicines. It can occur in case of HIV, uncontrolled diabetes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor I had a by pass four years ago and everything was fine I got over it very well, four tears on, and I now have an iregular heart beat. Last stress test I had was great. what I would like to ask you, is can an iregular heartbeat ever go back to normal, and if not does it shorten your life somewhat. Thanks Margrit Haas", "output": "Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. You should know that this palpitation has to do with a rhythm issue. There are some electrical impulses that generates from parts of the heart different from normal sinus rhythm. They cause premature heart contraction that it's not a normal one. You feel like a skipped beat, anxiety, difficulties in breathing deeply and palpitations. There are different causes of this rhythm issue like simple emotional stress, coffee and alcohol consumption or pathologies like anemia, hyperthyroidism, electrolyte imbalances or ischemic heart disease. The fact that you have already done a stress test, and it results ok than you have excluded active ischemic heart disease. If I was your treating doctor I will recommend a full blood analyze to exclude anemia, hyperthyroidism and a holder rhythm monitoring to evaluate your rhythm tendency and the frequency of this rhythm issue. Only after this we can better judge what we are dealing with and how to treat it. If we find a cause and treat it they might disappear. So don't worry just do what I mention before. Hope I was helpful. Best regards, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, i am 29 weeks pregnant and have been diagnosed with a kidney stone in my left kidney that is too big to pass. I am prescribed 2mg of hydromorphone every 6 hours. I am now experiencing a really bad pain in my lower left back that is radiating into my left leg. The pain medication is not helping. What could this be?", "output": "Hi, The pain may be due to kidney stone and since 2\u00a0mg of HY Chat Doctor. If the calculus does not pass, it may initiate premature labor, produce intractable pain, cause urosepsis in the setting of urinary tract infection, or interfere with the progression of normal labor. Since the size is too big to pass the best management will be surgical. There are many options in the surgical management (stent placement, ureteroscopy with stone manipulation, percutaneous nephrology) and hence discuss with your doctor about the same. They will be the right person to decide further management. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have what I think is eczema on my hands. It keeps flaring up and is sometimes okay, however right now there are oozing small white bumps and lots of cracked skin and redness. I was wondering if this could be anything to do with my diet? I m considering a water fast for 7 days to flush out my system and see if there are any changes. I also know of a product that clears it pretty well however I ve ran out at the moment. My questions are: are there any at home treatments I could use? Does exposure to the sun help? Does my diet affect my eczema? Thank you.", "output": "Hello and Welcome to Chat Doctor, Thanks for writing to us. Eczema and psoriasis are related by they both involve toxemia, thinning of intestinal wall, excess body acidity, diet and internal cleansing are the most important to alleviate outbreaks. Diet should be highly alkaline. Although sun is good for p tends to aggravate eczema. This diet has been very beneficial to people with eczema.gluten-free diet is very beneficial Chat Doctor. Omega 3 is a very important part of diet excellent anti-inflammatory help maintain proper ratio of good bacteria in your digestive system. Never use any home remedy or other self treatment without being advised to do so by a physician. Hope this helps you. Wishing you good health... Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi dctr I m 28 yrs old in 2012 I was suffering from stone in my left kidney and had a very bad pain.even I had an operation on that time laser lithotripsy.but again in 2014. I find the same problem and day by day its getting bigger.Im suffering from too much pain. Please need your suggestion and help.", "output": "Hi, I understand your concern. You are having recurrent stone formation giving rise to various complications including pain. You should start taking about 3.5- 4 litres water daily, Kcit 2tsf twice daily, stop consuming alcohol, tobacco,bakery products, soft Chat Doctor. Take Tab Tramadol 50 mg for pain. You also need to undergo detailed evaluation of urine and blood to find out the cause of stone formation" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been having problems at work and i was ill with anxiety/panic attacks. Last few days ive been so sleepy and my legs feel weak and shakey really infact all my body and i just cant sleep and if i do its for a few hours tops. Could this be anything serious like cancer or other related problems im really scared ive been to the doctors loads and they told me to do breathing techniques please help", "output": "Hi dear, according to your symptoms and signs you might have depression and anxiety. Whether you have severe chest pain or palpitation which leads to feeling of dying?any symptoms like low mood, loss of interest, irritability, fatigue, appetite disturbance etc....consult psychiatrist for detail history and mental status examination. Not to worry much there are many medications which helps you. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Respected madam, I want to ask some question abt fertility. right now my sperm count is 14 mil/ml and motility is on grade 3. (forward progressive), so plz. tell me such sperm count is good make pregnant. My age is 29 yrs.My name is suresh shinde (0000)", "output": "Hello, Your sperm count is slight low. However, at such borderline count also pregnancy is possible as motility not get affected. So you can try for conception by doing intercourse midway in your partners menstrual cycle. If not able to conception after six months to one year than assisted reproductive technique beneficial. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I am a 43 year old woman who had emergency surgery (caudai equina L5S1) six years ago and subsequent disc degeneration leading to further herniations of varying severity from L3-L4 through S1-S2. I was left with almost complete sensory loss in all areas innervated by L5-S1 and now am loosing sensation in other areas (primarily at the levels of L4 and S1-S2). I have cervical degeneration as well and compression at C2-C3 C4-C5 but C6-C7 shows central stenosis causing muscle weekness, sensory loss extreme pain etc. I have a neurostimulaor, morphine pump, oral meds etc. Is there any known link between petechiae in the lower extremities in areas where there is prolonged sensory loss? My feet and lower legs (both) are covered in petechiae. If I put my leg under my rear and apply pressure i.e. my body weight I get a cluster or red resembling a bruise that lasts for weeks despite only having applied moments of pressure. thank you for your time.", "output": "HelloI may suggest having serum prothrombin time (PT), bleeding time clotting time and platelets counts done for any abnormality there which could point to some other reasons or pathologies. Petichae in sensory loss areas may not be due to nerve sensation deficit, yes long duration sensory loss does make skin vulnerable to bruises and may make it brittle and easy petechial formation may occur secondarily. It is best if sensory loss is suspected as a cause, to massage skin daily with Clemens oil and limb exercises for improving or maintaining vascularity and skin tone to prevent bruising. Take multivitamins, calcium and vitamin D supplements, vitamin A etc. You may consult a physician for your symptoms. Physical therapy is the mainstay for lumbosacral issues, for cervical reasons too, using collar and isometric cervical exercises, unless your surgeon decides for discectomy and fusion surgery best wishes" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "as a non smoker i had radiation treatment for mouth cancer and part removal of tongue i am very active and eat well but have lost a lot of weight l was told i was cancer free now im told months later that i need surgery for cancer on lungs the doctors say it is small and treatable im 70 and scared what do i expect to happen", "output": "Hi, Thanks for writing in. A small cancer in the lungs needs to be confirmed and then treated. It is important to first get complete cancer work up done to be sure that the cancer in lung is small cell cancer if still not confirmed. Once it is confirmed then it is important to get it treated by surgery and then get chemotherapy and radiation therapy to kill the leftover cells in the lungs. Please do not worry about the surgery. Lung is an accessible part of the body and since your doctor has examined you in detail therefore a surgical decision must not be delayed. There is a good chance of complete recovery and normal survival. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear sir, I am 64 yrs old man from Tamilnadu, India with following symptom Stiffness, in the neck, shoulders, arms, hands, or legs. Balance and coordination problems, such as shuffling or tripping while walking. ... Loss of bowel or bladder control (incontinence). and MRI report as follows * cervical spondylosis with degenerative disc disease * Posterior disc osteophytes complex at c2-c3 IV disc level causing significant anterior thecal sac indentation witChatDoctorpression over the adjacent spinal cord segment with altered signal intensity of the spinal cord. S/o Myelomalacia. * Significant spinal canal stenosis noted at c2-c3 level and mild stenosis at c6-c7 level * Diffuse disc bulge with uncovertebral hypertrophy at c5- c6 and c6-c7 IV disc level causing anterior thecal sac indentation and mild bilateral neural foramen narrowing right left with possibility of nerve root compression on right side, more at c6-c7 level. Lumbar spine: Posterior disc bulge with annular tear at L4-L5 disc level causing anterior thecal sac indentation I consulted Spine surgeon They advised for surgery but I have fear for surgery. Is there any non surgical management for my condition kindly suggest me with regards selvaraju", "output": "Hi Mr. Selvaraj, thanks for your question. Balance problem, in coordination and incontinence are issues which need intervention as early as is possible. The MRI findings of C2C3 disc osteophyte with myelomalcia is a matter of concern. And can be directly related to your problems. But at your age many other neurological conditions can present similarly. It would be prudent to consult a neurologist and rule out other causes for your inc ordination and incontinence problems. If no other cause is found. The cervical spine findings are very significant and surgery is indicated. Modern spine surgery as become safe and effective. All the best. With regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I passed some kidney stoned two 5 days ago. I am on antibiotic and this is third time ive had a uti in a couple of months. I am having a pulling pain in lower back and side. It continously there no matter what position im in. Im on tramadol and paracetamol for the pain. I also keep feeling sick hit ans cold. Could I have more kidney stones?", "output": "Hi, welcome to Chat Doctor The pain can be as a result of more stones or due to the urinary tract infection. Urinary tract infection can be associated with pain in the lower abdomen as well as pain in the side of the abdomen if it has extended to the kidneys. To determine the exact cause you may need to have an ultrasound of the abdomen and pelvis to see if there are any other stones in the renal tract. You need to speak to your doctor to determine the chemical composition of the stone that was passed earlier because based on that you could change your diet to reduce the chances of reoccurrence. To prevent future stone formation you need to: Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a light colored rash on my chest and shoulders. Ive had it for four days now, and it does not seem to be getting any better. There is no explanation.... no new foods, lotions, etc.... and it doesnt itch. No cold symptoms either. At what point should I see a doctor?", "output": "Hello dear, Welcome to Chat Doctor. I have read your query and understood your concern. Such light colored asymptomatic rash can be due to many reasons like P. tricolor, P.Alba and many more. I will advise you to visit your dermatologist at the earliest so that condition can be controlled in its initial phase before it spreads and involve the other parts of body. Or if possible you may send pics of the lesions so that I can actually visualize them and come to a conclusion. Stay healthy." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I took the plan b pill within 14 hours after having sex, I then took the next dose today with my regular birth control. Last night the condom broke and have only been taking my tablet form of birth control for seven days now. Should I take another plan b? Or will their be severe long term affects?", "output": "Hello misunderstand your concerned you are on regular birth control pill already (without any missed pill) then no need of plan B pill as it cause high progesterone in the body and hormonal imbalance. Take the remaining birth control pill regular on same time without missing pill. So no need to take another plan B tablet as birth control pill is very effective in preventing the pregnancy(failure rate only 0.5-1 percent)Hope this may help you Best regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I m constipated and my side by breasts hurt, the back of my head hurts, neck, and shoulder pain as well as major bloating that is visable in the abdomin area, I have taken otc enema, laxatives, and had many diareha bm s last night that made me feel in the stomach bettr but still achey, I woke up this morning and it s happening all over again, what do I do? I did travel last weekend which usually causes constipation for me, also I started a new job this week, and was put on prednisone.. Please help!", "output": "Welcome to Chat Doctor Former what condition were you given prednisolone? Please mention your age and sex, medical history. Enema and laxative do cause loose motions. But the effects is short-lived. Take more fluids, small meals for now. For chronic constipation you can try homeopathy. Also see a physician, and do some test like abdominal ultrasonography, thyroid function tests, and ESR, to find what is causing all these symptoms. Takecare" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor, I have two small rock hard white spots on my eye lid. Like milk spots but very hard. How can I get rid of them, are they dangerous and is squeezing them harmful? I m sure they are nothing to worry about. it s just that my fathers girlfriend had a similar lump on her lower lid, where you would ear eye liner and it bled once, she had it removed and it turned out to be cancerous! I d appreciate your feedback. Thank you, Claudia", "output": "Hello, welcome to Chat Doctor, Firstly, to reach a definite diagnosis, you need to consult an ophthalmologist for clinical examination. But look, whatever it is, you have to remove it. Because, it is not possible to tell any lesion as benign or malignant on just microscopical examination. For, this, the tissue after removal must be sent for histological examination. Only this method can definitely tell you what it is. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good evening Doctor,I am feeling some kind of senselessness in top of my left hand fingers. This is like when somebody puts his hand in ice or when our blood circulation hindered due to folding in any of our legs. Shall be grateful for your suggestion.Regards.S.K.Roy. New Delhi", "output": "Hello, Thank you for using Chat Doctor. I read your question and understood your concern. There are many reasons for this symptoms. It might be carpal tunnel syn Chat Doctor. It could be cervical spine problems like spondyloarthrosis or fiscal hernia. You should see a neurologist to rule out this two diagnosis.Finally, It could be a heart problem and cardiology specialist can confirm or exclude it." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "stopped smoking about 2 weeks ago, had a stuffy nose and watery, itchy eyes that lasted for a few days that I took over the counter medicine to combat. after nose cleared I started wheezing and having a felling of not being able to take a deep breath. Went to quick care and got Albuterol inhaler and Methypredisilone. Walked and ran today for about 50 minutes but still felt as if I could not get a full deep breath .", "output": "Hi, Welcome to Chat Doctor forum. You have stopped smoking 2 weeks ago. Now you are having stuffy nose, itchy eyes, cleared with OTC medicines. Then started wheezing, and unable to take breath. All these are due to the allergy, or eosinophilic. I advise you to consult a chest physician for diagnosis and treatment. I usually prescribe to my patient with such symptoms lifetime, theophylline, theophylline, DI ethyl carbamazipine citrate, cetirizine containing cough syrup. Take more of green leafy vegetables, pulses, sprouts, and protein rich foods to have enough resistance against the infections. Wishing for a quick and complete recovery. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just find out I have Narcolepsy less then a year ago. I also have Bi-Polar and more. My worry is my oldest son. Its been like watching myself growing up. Back then, parents didnt know the things they know now. I was going to make sure I did what I could as a parent. He was said to be ADD NOT ADHD. Now he is 22 and still know peace for him. Are we over looking Narcolepsy?", "output": "Hi, Yes, narcolepsy and other sleep disorders can be misdiagnosed as ADHD, especially ADD. Simply explained, people who are not sleeping well at night are likely to be inattentive during the day. In my opinion, your son should be reassessed for any sleep disorder if he is not benefiting from treatment for ADD. Classical cases of narcolepsy with typical attacks of apoplexy are easier to diagnose but in most other people, a polysomnography has to be done. Please discuss this with his doctor. Hope this is of help. Best wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have a 77 yr old relative who has had a brain tumor removed. Prior to the surgery, she was on 2 blood pressure medicines. After the surgery, the oncologist has placed her on 6 blood pressure medicines and is supplementing her with 8 grams of salt per day. This seems to be counter productive and is very concerning to our entire family. Any thoughts on why this would be the protocol chosen?", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have high blood pressure. Taking salt and antihypertensive medicine both looks slightly controversial. But you may need some salt. You should check your blood pressure. Chat Doctor. Please send me your blood pressure reading and all antihypertensive medicine name. So that I can help you further. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 24 year old male and I feel many times really tired and have no energy and just want to lay down and I feel a heavy heartbeat and I just feel not myself and absolute no energy, I been feelin like this for 5 years on and off and I was 18 I got sick with mono and I feel like since then I havent been the same, I fear I have an illness because heart disease and cancer runs in my family, I also have a lot of anxiety. I also have a lump by my hip and a lump on my front left side of stomach and it hurts when I push the lump. I am really nervous I fear there is somthing really wrong with me because I get soo tired for no reason even with any amount of sleep. Can you please help meuery here...", "output": "Hi, based on your history, it seems most of your symptoms are due to anxiety. There are medications available to control anxiety and I usually prescribe beta blockers to young, anxious patients like you who visit my clinic. You should also visit your physician for a routine check up and get the investigations like CBC, ECG, and Echocardiography done. Now, coming on to the lump, you must visit a surgeon for further evaluation. You may be advised to get FNAC or biopsy done for the lump or as suggested by the surgeon. As far as fatigue is concerned, eat well and follow a good lifestyle. You can consult me after you get the test results or in case of any other query. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear sir, My father is suffering from unknown fever from the last 3 months. !st he had taken treatment at krishna hospital , cuddalore. No improvement for 11 days treatment. Also they told my fathers bood is infected and recommended to Vijaya health care, chennai. There also he had taken treament for 2 months. But they also unable to find how the fever is comming. Even though they dosed all types antibiotic and carried all types of test. But no use. They finally told is unable to find how the blood is infected. The fever is also will in control for just a few hours only. Also he is a diabiaties patient and had under gone bypass surgery 5 years ago. He is now 67 age. So we discharged him to our home town. Now also he is suffering from fever. is there any way to find a good solution to him. If you save him then we will thankfull to you forever. Please answer me", "output": "History to hear all you have gone through. Usually, when a person develops fever, it is always associated by other symptoms which can help trace the cause. In some cases however, no associated symptoms are found making it difficult to trace the exact cause. This is generally described as fever of unknown origin. In such cases, only an extensive work-up with a thorough physical examination by a Doctor can help identify the cause. I will advise you go for a blood culture/sensitivity test if it has not yet been done, a chest and abdominal CT scan and a work-up for systemic or autoimmune vascular diseases if the others reveal nothing. Possible causes of fever of unknown origin are : infections(viral, parasitic or viral), cancers, chronic inflammatory/autoimmune diseases, and at times some medications. All of these are possible with your father given his age and his diabetic status. I will suggest you don't get discouraged. You need just a health facility where all of these test can be done. Hope my answer will help squall the best" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter is 7 years old.She is constantly complaining of stomach pain at times.No vomiting,fever or lose motions.No fuss in eating as well.She feels better after giving gripe water. She has the habit of keeping things like cloth,pencil..in her mouth.Can it be due to this.Also she passes out gas quite often.Is there anything to worry? Should i get her treated? I have been to the doctor twice or thrice and every time they say its due to infection and suggest metrogyl suspension. Kindly let me know if it is common in children.", "output": "Hi. This sort of the pain in abdomen in child Chat Doctor. Does the pain increase on eating or the child wants to pass motion after 1 hour of food? A good ultrasonography can really help to diagnose tummy tonsils meaning enlarged lymph nodes, quite common in this age group. Appendicitis should always be ruled out. An understanding Pediatric Surgeon may be of help. An antibiotic cover along with metro is a must. Go for stool test at least 3 times consecutively- many times helps to get a proper diagnosis." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi... am 26yrs old,female past 3 years my nitesweats are getttin out of control changing my nite dress twice. also been gettin dizzy spells and i often need the toilet a lot.... sometimes cant seem to quench my thirst. i ahve swollen lymph nodes on my neck. more have come and there gettin bigger all the time.. i sleep loads too always tired.... starting to get me down... please can you help.... elizabeth", "output": "Hello, Your symptoms seem to be related to a possible infection. For this reason, I recommend consulting with your attending physician as soon as possible for a physical exam and some tests:- A chest X-ray study- An ultrasound of the cervical lymph nodes-Complete blood count, PCR, ESR for inflammation- Blood test for Mononucleosis. Further tests may be needed. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "During the night i feel difficulties in breathing and when i breath a sound comes from my chest.I feel some congestion in my lungs and also cough badly.I also feel sneezing and irritation in my nose most of the time here in bangalore.I am from rajasthan ,when i am there i do not see any problem at all.but when i come to Bangalore all the problems start.i came bangalore 4 years before,but previously i naver had breathing difficulties but now it is getting worse.Please provide suggestion to cure this problem.", "output": "Hi, thanks for your question. I read carefully your question and in my opinion runny nose, breathlessness,chest sound(probably wheezing), cough and the fact that all this respiratory symptoms are worse during the night and when you change city suggest for allergic bronchial asthma. I recommend going to your physician so he/she can order some necessary test like chest x-ray(to exclude a pulmonary infection), pulmonary function test and skin prick test(to find if there is something to which you are allergic) to confirm Bronchial asthma and start treatment. Hope I answered your question. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my daughter has a birthmark running all the way from her forehead to upper lip - red in colour. Very light on the forehead - but very intense on the upper lip. I have been told it is a mild version of nevus flammeus. However if I get it treated through laser, is there a chance of it reappearing?", "output": "Hello, I have gone through your question and understand your concern. The long term outcomes of laser used for treatment of nevus flames are still researched, and not known clearly. Moreover, the use of laser will not completely erase the port-wine stain, but will only lighten it to an extent that it is less obvious. Instead, you can conceal it with ease with cosmetics, and wait for further advances in modes of treatment. In addition, child Chat Doctor. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi am 30 years old my brother, whom i live with, discovered incidently that he is chronic carrier of hepatitis B, i didn;t get the vaccine, what is the percentage that im infected too?? and if i get the vaccine soon, will this protect me 100%?? what should i do ?? and what precautions should i take ?? help me please.. thank tou", "output": "Hi welcome to Chat Doctor .... Your brother having hepatitis b carrier... So yes certain precautions has to be taken to prevent you from infection. The best way is vaccination if you are not immunized. It is taken at 0, 1 and 6 month three dose schedule... If after vaccination title is above 10 then nearly 100% effective....Meanwhile, as this virus spread through secretions try to avoid contact with secretions of your brother. Avoid object sharing to your brother esp. Like razor and tooth brush... The utensil of him should clean by bleach solution.... Also educate your brother about it... Take care. Hope your concern solved... Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,My 4 year old has been seen by his paediatrician and is being sent for genetic screening as he has multiple birthmarks,my query is that the ones to be concerned about are called cafe au lait spots and his look more like freckles.Is he being thorough checking for neurofibramatosis,he had some speech delay and is awaiting an assessment to help with his fine motor skills. Regards, Anxious mum", "output": "Hi, Welcome to Chat Doctor, I understand your concern completely, and must appreciate that you are doing good work with evaluating him completely for the problem. Yes neurofibromatosis is possible here, and it can cause developmental delay. However, it's just a possibility and nothing is confirmed till complete evaluation Is done. So keep doing what's suppose to be done and hope for the best. Hope your child gets well soon. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a lump about the size of a quarter on the oside of my leg above the knee. Its hard and very painful. Its red and looks a little bruised. And some days its surrounded by a larger pink area and some days its not. I woke up today with a low grade fever. I have tried hot compresses to see if it would form a head thinking it might be a boil. Do you have any advice?", "output": "HI, Welcome with your query to Chat Doctor. Based on the facts of your query, you seem to have Unripe Boil on outer side of leg above the knee, as the larger pink areas around are suggestive of cellulitis with Boil. The low grade fever today confirms it being Boil with cellulitis and unripe still. Remedy-At this Stage I would advise Cold Compresses to restrict its spread and reduce your complications and pains. Tab Motrin and Opinion with your GP doctor would help you. Hope this reply would help you to plan treatment of your lump. Will appreciate writing your feedback review comments, to help the needy patients like you at Chat Doctor. Good Day!! Chat Doctor. S. Genl-CVTS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a hard lump on my tailbone that s been here for maybe a week. It s been causing me a lot of discomfort as far as walking, sitting, bending over and I don t know what to do. When I rub it it somewhat relieved the pain. But now it s woken me up at night,", "output": "HI, Thanks for the query to Chat Doctor. Treatment for painful lump in tailbone-In my opinion a boil in the cleft at the tailbone has aggressive infection causing cellulitis and waking up at night due to pain. Treatment -consult a surgeon and he would treat it accordingly with antibiotics / anti-inflammatory and So's Incision Chat Doctor. Hope this would help you to plan treatment with mammography and ER doctor. Welcome for any further query to Chat Doctor. Hit, thanks. Good Day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i am having a problem of fingal infaction out side of vagina, when my mensoue is done than that time i am facing this problem in every month, what should i do? at that time i use clean & dry than after 3-4 days infaction is clear but again when my mensous in come infaision is create.", "output": "Hello, Welcome to Chat Doctor, Yeast are the normal comedians of the female genitals which are kept under control by the helpful bacteria whenever there is an imbalance in the environment it will lead to multiplication and growth of the fungus and produces the symptoms. As you are getting this infection during the menstruation it will alter the vaginal PH and favors the growth of the fungus. For your symptoms I would suggest you to follow1. Keeping the good hygiene of the genitals2. Sanitary pads during the cycles3. Topical Antifungal cream over the lesions4. Oral antihistaminesThese measures will help you to improve your condition. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son has serious pooping issues where he strains ans screams on the top of his lungs and holds his breath and turns red and is pooping out peanut butter consistency and gets so many rashes and it s like every 5 min of pushing ans pooping little at a time. I have tried so many things and nothing seems to be helping with what the doctor says I believe there is somethin really wrong he is just miserable and waking up alot the night and through his naps so he is not getting enough sleep please help me I m so sick of seeing him like this and he is almost 8 months old", "output": "Hi.... Suggestions:1. Natural methods are the best to relieve constipation.2. Constipation is a risk factor for UTI3. Maximum milk consumption per day should not exceed 300-400ml4. Minimum 3-4 cups of fruits and vegetables to be consumed per day5. Toilet training - that is - sitting in Indian type of lavatory or potty or on the mothers legs at feet in sitting position daily at the same time will help a lot. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello there i would love you to help me as i am about out of my mind with stress over this . about 6 weeks ago i started with a sharp pain in my left pelvic area its there most of the day on and off dose not hurt if i work out at the gym or with movment ,it dose hurt a little if i open my bowels or push down ,hurts more when i am sitting also. i am so scared to get a scan done as i am sure its going to be ovarian cancer i cant think of anything else. i have had 2 days now were i feel the pain is a little better and just hurts more when i went to the toilet today.i have been told i may gave ibs i do have a lot of strange noise in my tummy a while after eating and i have to somtime run fast to the toilet more so on a morning. i am 33 mom of 2 children 1 i lost 11 years ago due to strep b,also in my pregnanct i have a very large ovarian cyst taken away also on the left side ,all was ok when that was taken away thanks so much mrs burlinson", "output": "Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor and I will try to help you as much as I can. I understand your concerns, but ovarian cancers is the last thing to think of. You have some nonspecific symptoms which may indicate various disorders or can be seen in anxious people. You should simply do some tests to verify possible pathology. It can always be gynecologist issue such as ovarian cyst, endometriosis or MoMA. For me, it sounds more like bowel issue, and you should do colonoscopy definitely for further evaluation. I hope I have answered you query. If you have any further questions you can contact us. Kindly regards. Wish you a good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "is a sinus infection, that causes green phlegm from nose and lungs, a sign of ARS symptoms? exposure was 15 seconds of unprotected oral sex given to me from a female. i am a male. these symptoms developed 2 weeks after exposure. 2 weeks post exposure i had a fever for one night and massive pressure on right side of face. assumed it was sinus infection. today, still coughing up light green phlegm in the mornings 4 weeks post exposure. Other than that. i feel normal. thanks.", "output": "HelloWelcome to Chat Doctor. I reviewed your history. It seems from the history that you are having sinus infection. The presence of green color phlegm indicates presence of supportive infection. This requires treatment by the use of appropriate antibiotics and anti-inflammatory Chat Doctor. Do consult your doctor for examination and treatment according to the severity of the condition. Thank you for writing to us." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Daughter 14 had temp of 102 yesterday, runny nose, coughing, we think flu, today this AM normal. laying down yesterday to rest, took Tylenol last night, before bed at 6:45 PM, this AM got up walked from one room to another distance maybe 15 stood in front off mirror and felt light headed and fainted, then walked back to bed, is thirsty, has not eaten much , never had any fainting before, we think it is just lack of eating that much since she is not feeling well maybe she is weak. first time in along time she has ever been sick, she plays soccer, basketball and is always in good health -- do you think we should be concerned", "output": "HelloYour daughter is having running nose, cough, fever took Tylenol and fainted next morning after she wakes up. Faintness may be due to these possibilities, these include : 1 Side effect of paracetamol, sometimes few patient feel such type of dizziness after Tylenol. This is very common and not a cause of concern.2 faintness may be due to fever or cold or sore throat, this is also common.3 Hypotension due to fever and sweating (deny Chat Doctor. Faintness is very common and not a cause of concern particularly when your daughter is a soccer player, so all these are common (faintness). But if fever or coughing remains after 3-4 days then consult a physician and get his opinion, at present not a cause of concern. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "After coming home from a normal lunch at a local restaurant , I was visiting outside with our neighbors on their patio. We visited for maybe 20 mins, and as I was walking across the yard, I began to shake uncontrollably all over including arms, legs, feet, head,; followed by extreme nausea and a feeling of drowsiness. My heart felt like it was jumping out of my chest and felt heavy. I felt extremely tired, and felt like my eyes could roll back into my head. It lasted 40 minutes, my BP was normal, 120/68. Afterwards I took a three hour nap. Is this a one time thing or should I be concerned??", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Yes, you should definitely consult doctor for this episode. Possibility of heart related event is more in your case. So consult doctor and get done 1. Blood pressure monitoring. 2. ECG 3. 2d echo If all these are normal then no need to worry about heart diseases. Sometimes acute gastritis can also cause similar symptoms. So avoid hot and spicy food. Avoid large meals, instead take frequent small meals. Start proton pump inhibitors. Avoid stress and tension if you are having these. Don't worry, you will be alright. But better to first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, i am a 25yr old female 75kg,1.75cm, noticed i started getting heart palpitations aprox 5mnths ago and over the last few weeks have been getting worse in the sense that they seem to be occuring more often e.g everyday or so and sometimes more than once a day, i get quite scared as if im gonna loose my breath perhaps bcos i get anxious when they come on as it is abnormal for me, since disscussing with my family my father told me he has the same thing has had it all his life his doctor said his heart just missing a beat (30-40yrs ago) so obviously could be hereditary, i asked him if he gets them everyday he said no,but your heart just missing a beat is not enough for me i smoke cigarettes and this past week have noticed i feel sick when smoking so have seemed to find myself cutting down due to it with no effort at all i have spells were i smoke weed regularly but have found myself not smoking last few weeks i take the occasional recreational drugs and in last few months have been working up to 15hrs a day a few days of the week but as of 2 weeks ago havnt been working not bcos of it..please help me..", "output": "Smoking is the sole risk factor to almost all sort of cardiac ailments,,,,keep all risk factors on one side and smoking on the other ...its more serious...smoke weed cannabis and all can cause arrhythmia palpitations as of now I would like to tell you that initially go for thyroid FLA ECG holder test(it will record any missed beat or false beats during 24 hours)treadmill test (to see your effort tolerance)palpitation can be because of underlying cardiac ailment it can be anything from sinus tachycardia(normal heart beats with fast [pacing) to any sort of dangerous arrhythmias or premature contraction or escape beats do not neglect it get these test done immediately" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 37 year old male who has had a rash since Christmas that has not gone away they look like pimples as some of them if I squezze them pop.... they are itchy and uncomfortable and have gotten worse even after trying medicinal soap the only changes I have made since then are my diet... though it has been allot healthier... i did stay in a old minors cottage house and in the morning i noticed it first i am going to seek medical advice though i am worried and its affecting my confidence i have not had chicken pox yet but my partner hasnt caught it from me, ive also noticed that ive been sweating allot more from this with any excertion that i do...", "output": "Hi, As per your query you have symptoms of red itchy pimple-like rash which occurs due to hair follicle infection and when pores of sebaceous gland filled with sebum, dead skin and bacteria get infected. I would suggest you start with the application of aloe vera gel and apply atelier acid containing cream twice a day as this is a safe and natural extract of cereals. You should apply topical antibacterial cream. Apply aloe vera gel to keep moist. I would suggest you consult dermatologist once and get it examined. You should go for antibiotics (Clindamycin), a corticosteroid ointment, and HY Chat Doctor. Do not scratch pimples as they will get infected. Avoid exposure to sunlight and keep areas clean and " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "have a sharp pain in the bottom of the heal on left foot. pain came on slowly at first. could not step on it after a coupe hours. feels better with heat then cold and elevated but pain is continuous. did no damage to foot, no jumps, stomps, ect. foot was fine all day till that moment.", "output": "Hi... Your heel pain due to irritated structure in the foot.could be a bursae or Plantar fascia... It usually occurs following a prolonged overuse...and bad footwear... I suggest you to continue Ice frequently on that painful heel area...once in every 2 hours for 15 mins... Gently knead on your calf muscle it's better if somebody else does this for you. Gently stretch your calf and foot. Look for footwear made of MCR and wear them as these give good cushion and support. If possible get your foot analyzed by a podiatrist or a physiotherapist and have an arch support done for you. I would like you to do rehab once the pain is relieved...like clawing the toes.moving ankle up and down in a bucket of water... Ankle stability and strength exercises... Hope this is helpful for you... Kindly revert in case you need any clarification...." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i got my first missed abortion in 2004 and letter i got pregnant again in 2004 and delivered a baby girl and after that i tried in 2010 i got missed abortion and in 2011 again i got missed abortion, ALL TOGETHER I HAD THREE MISSED ABORTION NOW IAM TRYING AGAIN, MY ALL THE REPORTS ARE NORMAL", "output": "Hi there, I have understood your concern. I will suggest you the best possible treatment options. 1) First do not panic. It is sad to hear about your previous pregnancy loss. 2) As such, there is 16 to 20% cases in which there is pregnancy loss. Most of the time, the reasons for it are not clearly understood. In the majority of the cases, genetic problems or some congenital defects are the causes behind miscarriages up to 14 weeks of pregnancy. Genetic screening and chromosomal analysis can be done for both partners, but is not routinely advisable. 3) As you have mentioned that you have one full term pregnancy, please do not worry. I will suggest you to opt for a healthy diet and regular exercise regimen. Include more portions of fruits, salads and vegetables in daily diet. Avoid deep-fried foods, bakery products and refined sugars. Use of vitamin B 12, Folic acid and Omega-3 supplements at least 3 months before you plan to get pregnant. This helps to prevent many problems during pregnancy and delivery. I hope this answer helps you. Thanks. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had dental surgery last Monday to remove 4 impacted wisdom teeth , I was put to sleep for the procedure. No pain killers have helped me with pain and I can t sleep as the lower left side of my jaw and molars are constantly throbbing, it has literally been nonstop. Should I still be in this much pain almost 7 days later?", "output": "Hi, Welcome to the forum. Pain after wisdom tooth extraction is common. This occurs as a result of inflammation caused by the extraction procedure itself. The intensity and duration of pain gradually reduce and disappears. However, if some amount of bone was removed then the post-operative pain or if there is some wound contamination the pain may persist. One can have some amount of swelling and fever with these conditions. You have not reported any swelling or fever. Let me know if you have some amount of swelling which is gradually increasing or if you develop fever. You may continue Diploma for two more days and hopefully your pain should subside. In addition, icing the part might give added benefits. If the pain persists or any of the aforementioned symptoms arises, it warrants attention by your doctor to rule out localized infection. I hope this is helpful to you. You can consult me again directly through my profile http://www.ChatDoctor .com/doctors/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband is diabetic, we have been controlling his diabetes with diet and exercise, but the last 3-4 months if he goes off his routine meals (goes on binge), it has become harder and harder to regulate his blood sugar...he doesn t believe in meds, how else can I help?", "output": "Hello, High blood glucose can be controlled with diet and exercise only when a person is the pre-diabetic stage. (Fasting :108 to 125 mg, PP 141 to 199 mg & HbA1c%<6.4). But if once diabetes sets in (Fasting: 126 mg and above, PP 200 mg and above & HbA1c%6.5 and above), then treatment with specific Chat Doctor. Selection of medication will depend upon the severity of blood glucose levels. Along with " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had 4 wisdom teeth removed on Friday. Shortly thereafter, the same day, I had excruciating pain in my lower back. I went to the ER and they said I did not have a kidney stone and that it was either muscular or a disc? But it happened like right after I woke up from anesthesia. Any thoughts about this? Does anyone else get similar symptoms?", "output": "Hi, Welcome to Chat Doctor. After going through your query I think You are suffering from acute backache after your wide teeth removal. Treatment of it is rest and analgesics. Diclofenac three times a day after meals is effective. Sometimes strong analgesic(such as attract three times a day after meals) is required. OMEPRAZOLE before meals prevent acidity caused by analgesics. You can discuss with your treating Doctor. There are two possibility, one is simple muscle pain, second is disc prolapse. I consider it to be muscular as this occurs after your four wisdom teeth removal, prolonged laying down on dental chair may have provoked it. To further investigate MRI of the region is advised. I think your query answered. Welcome to any follow-up query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just discovered a golf size (diameter) lump to the left of my boyfriends spine , right around L2. When I palpate it, he states that it s uncomfortable but that it does not hurt. He has no hx of back injury . What could this be? (I ve also noticed that his heart rate has been irregular lately. He skips beats and has short spurts of tachycardia . Could any of this be related?)", "output": "Hello, Thanks for the Quertle swelling close to the spine needs examination to exactly know its nature. There could be a possible link between this lump and tachycardia., if the lump is infective one for example an abscess. However, if the swelling is something else like a lipoma, neurofibroma etc. the link is unlikely, and we may have to investigate him separately for both these conditions. My advice will be to get examined by a physician and get an ECG which will help us guide you better. Other causes of tachycardia/irregular heart rate like thyroid dysfunction should be kept in mind. Best wishes" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "not wsure if you can help but here goes. My second son was born just befor eChristmas however since being 12 days old he has done NOTHING but cry. He is litterally never ever awake and content. Even when feeding he sometimes pulls off crying as if in pain. He cries and grizzles even when I hold him, rock him, sing to him etc. I am exhausted. He cant even nap in the day, he wakes every 10 mins or so and then continues to cry. He has been constipated although he has been prescribed lactalose to loosen his stools. His poos are very green, not sure what that means. ?Basically he is just a very unhappy unsettled little man. Any ideas what I can do or what the problem could be?", "output": "Hi... Thank you for consulting in Chat Doctor. This is called evening colic and is quite common in this age group. This happens when the baby sucks at the breast very fast and in eagerness to Chat Doctor. Unless the air comes out like burping or flatus this discomfort will be there and next time check if the baby is sucking too fast and gulping in air too. You will be more convinced. Usually I don't advice any medicines for this as they give only temporary relief. The two best ways to relieve this distress is - 1. Do not put the baby in lying position after feeding till the baby burps out the swallowed air.2. If still crying - put the baby in prone position and keep patting the back gently so that the baby passes off the flatus and gets relieved. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doc, I am having severe cold for more than eight days. my nose is running and cough is stuck in the chest and also sour throat. I took Nuhist tablet for three days, 3 tabs per day and Roxithromycin, 2 tabs per day for four days and also Ambrolite-s cough cyrup for the same time. But I didnt get positive result. The pharmacist changed it to CEFTAS CV 200 and Omnacortil-20 and Ambrolite Levo cough cyrup. Is is the right combination for my cure. Regards, Dinesh", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. No, this is not right combination of Chat Doctor. You have given omnacortil, which is oral steroid. And oral steroids are not indicated in cold. So better not to take omnacortil. Absolute syrup is having bucolic, expectorant. So it will worsen your coughing. So better not to take this. You should start antihistamines and anti-inflammatory " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have gone to an ob midwife and urgent care and all have treated me for yeast infection. Most recent is estrogen cream. I have white discharge and anal irritation. I do not know where to go from here...6 month old bsby and breastfeeding and have been dealing with these symptoms since may", "output": "Thank you for the query. I would like to know your age and whether you suffer from Diabetes mellitus. Since, you have a 6-month-old baby, I would also like to inquire whether it was a normal delivery or Caesarion section was required. Vaginal candidiasis (yeast) is a common condition. It can lead to severe irritation, itching and curry white discharge. Local vaginal creams for candidiasis like Clotrimazole cream must be applied. It is also necessary to maintain hygiene and keep your private parts clean and Chat Doctor. I would also advise you to go for Urine routine examination and culture, to rule out any other causes of Urinary Tract Infection. In that case oral course of antibiotics may be required (since you are lactating all classes of antibiotics cannot be used). If the problem is persistent, you should get a blood sugar profile checked and consult your gynecologist regarding the same. Hope this helps you out." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello, my mother is 88 years old and tested today with a 102 mcv level. The doctor said that was her norm for the last 4-5 years but ordered an spep test to be thorough. She is not very worried about it but then why order the test? Should I be concerned?", "output": "Hello, High MCV level is related to red blood cell indices, high MCV is called Macrocosms. It has so many causes. Most commonly Megaloblastoid anemia is caused by deficiency of vitamin B12 and or folic acid. What about those levels? Are there normal? There are so many causes for that. In the query you didn't mention other parameters, management or any intervention varies according to the context. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m 75 mg of Wellbutrin three times a day (I was taking it twice a day and the doctor increased it to 3xs a day. I don t have an appetite and have lost weight due to this; I m not complaining about the weight loss.I was overweight. The thing is that I don t feel that much better. I recently lost my brother (3 weeks ago) and that has affected me, I m sure. I don t like taking pills for depression, I don t like taking pills in general, but I do for high blood pressure which is under control My problem is taking the pills and not feeling that much better. I also noticed a slight memory problem.....I m frightened.", "output": "Hello, Wellbutrin is usually given for depression and anxiety disorder. Though it is not considered the first line of medicine for this condition. It is given when other medicines don't work. You have not mentioned if you were taking any other medicines before this. If not then I suggest you to consult your psychiatrist and get opinion on other antidepressants like Escitalopram or Mirtazapine. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I drank alot of alochol this weekend and also a huge amount of pasta before going to bed Sunday. The past two days I have had an ache/burning sensation in my upper chest. In addition, sometimes my left arm feels the same way. Should I be concerned? I had an EKG done a month ago and everything was normal.", "output": "Hi, Dear,Thanks for your query to Chat Doctor. Dear I read facts of your query and reviewed it in context to your query health issues. I understood your health concerns and feel Concerned about them. Based on the facts of your query, you seem to suffer frogger with Acid Reflux-post- Alcoholic and pasta excesses. But you need to be concerned to rule out the Cardiac accompanied causes in your case, which could be missed if not cared properly from Expert Checkup with Cardiologist. All these possibilities need to be verified in your case Remedy and Dos-Check with Cardiologist, who would reassess the cause of Chest burning in upper chest. He would plan needful treatment which is possible only with meticulous followup from YOU only.-Other causes need to be verified as the facts may be different what you submitted.-For this Second opinion from Cardiologist is needed who would do proper investigation after proper physical assessment to resolve your health issues.-for early recovery-please follow above dos which would resolve your issues. Hope this would help you to treat your health issues in the best way possible. Welcome for any further query in this regard. Good Day!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have just found a hard small lump just under my right clavicle about 3cms in from my shoulder. It moves when I touch it and when I can feel it is slightly sore when I squeeze it. What could it be and should I see my doctor. Im obviously quite worried as all websites pretty much say im going to die (I know I will one day but im only 30) please help.", "output": "Hi, Dear,This sore hard lump is not leading to your death. This lump seems to be boiled with infection and needs to be reviewed and consulted by your ER Surgeon. So consultation with ER Surgeon would fix solution to your intriguing lump problem at the site. This would resolve your query. Write excellent review if you feel that this reply has helped you a lot. Welcome for any further query in this regard to Chat Doctor and to ME. Have a good Day. Chat Doctor. N." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have two joints that have no cartilage. My left knee and my right ankle are both Bone on bone joints. I read an article that said there is a cell therapy that can be injected into the joint that will result in cartilage being developed in the joint by your body. Is this possible?", "output": "Dear Chat Doctor user. I understand your concern regarding loss of cartilage over your knee joint and ankle joint, and you are seeking treatment for regrowth of cartilage. You might have heard about autologous Chen Chat Doctor. Yes, with that technique it is possible to regrow cartilage. But whether it is ideal for you or not depends upon various factors like. How big is the defect. Which bone is involved. What is the reason behind it. What is your age. And many more. I suppose you have MRI which has diagnosed this problem... Consultation with specialist will be ideal for you to know details." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a Novasure ablation two weeks ago and have been feeling awful since. I have experienced lots of painful cramps and extreme tiredness and dizziness. I am also suffering from constipation, which is something I do not suffer with and am extremely uncomfortable.", "output": "Hello, It is sometimes possible to have some side effects of CO2 which is filled in the uterus as part of the procedure before integrity is tested. If you have completed shedding of the ablated endometrium, as evidenced by a follow-up trans-vaginal sonogram, you should look for any hints of pelvic infection. The tiredness and dizziness are likely to be part of the general weakness caused by the general malnutrition. Yet, it is imperative that you should have a physician visit to look for other possible sources. Constipation can be relieved by increasing the intake of fiber in the diet added by lactulose to facilitate easy passage. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My male partner, 62 years of age has blocked carotid arteries as a result of radiation therapy for throat cancer 15 years ago. On Friday, after a day of sitting, he was dizzy and feeling disoriented for about an hour at 4:00 pm. Everything seemed to return to normal after an hour or so. Today, Sunday, after Brunch, he had some memory loss, again last for about an hour. Is this something we need to worry about?", "output": "Hello and thanks for your query. I understand that you are concerned about your partners recent episodes. Of disorientation and memory disturbances. From your description, it appears that he may be having Transient Ischemic Attacks (TIA). Another possibility is a Temporal Lobe Epilepsy. TIA is a condition where a person has temporary neurological disturbances whicChatDoctorpletely resolve within a day. This is usually caused by blood flow problems in the brain. In your husbands case, this is very likely, and it could be related to the blocked carotid arteries. Since he has had two consecutive attacks, it is definitely worrying, and he needs urgent neurological evaluation and further management. So, please take him to the ER for immediate medical attention. Best wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 43 years old lady. when i sit down and get up I feel very difficult and pain in my knees. Even the same way while climbing stairs. I am 116 pound weigh 5.3 height. Not taking any medicine, no big health issues. recently I went to the doctor for not getting periods regularly. She said may be in menopause.", "output": "Hi, Welcome To Chat Doctor. I can understand your concern regarding your health. You can treat your knee pain by taking Tablet-Tynelol (if no allergy), 650 mg, 3 times in a day at the interval of 8 hours for 7 days, Tablet-Tramadol (if no allergy), 50 mg, twice in a day at the interval of 12 hours, after meal with cold milk for 7 days and Tablet-Osteocalcium Fort (if no allergy), 1 tablet daily after meal for 3 months. Apply Veteran Ointment (if no allergy) on the painful area twice in a day for 5 days and after only if needed. Just simply apply it. Do not rub it. Apply ice on the painful area 2 to 3 times in a day for 5 minutes. Eat diet which contains calcium, green vegetables and fresh fruits to maintain calcium and mineral levels. After doing all these I hope you will get well sooner and further queries are always welcome. I would like to answer them. Wish you good health. Take Care, Thank You. From:- " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doctor .. I am really facing difficulty regarding the skin of my face it s getting darker and darker , the color of the rest of my body is fair .. I have heard a lot about glutathione for whitening .. Is it save to use glutathione cream on my face or it s soap ?? Kindly suggest me some whitening cream which is free from steroids and murcury as we ll ,, waiting for your early response ! Thanks", "output": "Hello, Thank you for posting on Chat Doctor. Complexion of any person is having two components; constitutive, one which is predetermined by genetics and racial factors and usually cannot be changed with any treatment. The other component is due to external agents like environmental exposure, sunlight, use of any cosmetics etc. and is amenable to treatment. You can get a series of chemical peels, which actually remove the upper dead layers of skin and stimulate regeneration of collagen and thus newer layers of skin. Many options are available in chemical peels depending on the requirement and skin type. (Glycol peel, retinol peel, cocktail peel etc.)Also, chemical peeling can be preceded by a simple procedure called microdermabrasion or commonly known as skin polishing to augment the results. Also, at home you can try using cream containing comic acid, betray Chat Doctor. Always use broad spectrum sunscreen before going out in sun. Use a plain moisturizer like detail DAM on daily basis for healthy and HY" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. For the past several months, I have a toothache between first and second upper molar. It is only irritated when food is stuck between and this pain can sometimes be felt towards my right ear. Once, I floss, it still hurts until all food is gone. When I apply pressure on a particular gum area between the two teeth, it causes excruciating pain. What is this? Thanks.", "output": "Hello and welcome. Thanks for sharing your concern. After undergoing the complete history it appears that there is a pocket developed in your arch.It requires a clinical examination. Based upon the extent of damage treatment can be planned. In my view further delay would slowly aggravate the problem and might damage the adjacent teeth too.Therefore, please see your dentist soon in this regard. Hope it helps. Thanks. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been to the er and doctor multiple times for dehydration and severe stomach pain and my doctor said nothing is wrong with my stomach and have tested negative for strep flu and my blood work was fine and stool culture and i have been feeling very naseous all day for about 2 weeks and the medicine to help it doesn t work it just gives me a bad headache. I get the chills and my fever is off and on and the back of my mouth is constantly dry and I keep producing saliva instantly right after I spit or swallow it. The doctor told me I have a virus and nature will cure me and I don t feel myself getting better. I have no appetite and I have to sip my drink every 2-5 minutes to make sure I don t throw it back up. If anyone knows what I have and how it can be treated please respond.", "output": "Thank you for the question As there is a system in our body which handles these symptoms is called Parasympathetic system. This is actually a part of a Nervous system which automatically controls domestic chores of body e.g.slowing heart rate, digestion,excretion of urine feces and watering of mouth etc. If it gets disturbed, can cause changes in bowl habits like yours, indigestion,heart burn, thats why decreased appetite and so on. In my opinion you should evaluate yourself, if you are under any stressful condition. Because stress can be the main reason, causing disturbance in parasympathetic system. I would suggest you keep yourself relax and make sure of healthy living style, as this is an automatic system so automatically will be resolved if avoiding factors which trigger it. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 11 yr old daughter has Chiari 1 malformation and I have seen that canniboid oil has been helping kids with other conditions, my question is has there been any legitimate studies that show if it can help with the pain , insomnia and nausea that are the result of having Chiari and nerve damage ?", "output": "Dear friend, I did some basic research and discovered that there are only anecdotal studies on the various benefits of oil extracted from the marijuana plant but hardly any hard-core scientific data. The material on the net shows only relief with inflammatory conditions and some types of cancer. In your children case, neither of these situations apply. Rather, the symptoms of pain and insomnia are probably due to compression of nerve roots as they exit the brain. Hence, in my humble opinion, I doubt if the cannaBINOID oils can do much for the Chiara 1 malformation. It might still be possible for you to try it if any recognized institute is planning to conduct trials on this kind of treatment. Your child can then join such a trial after completing the requirements for joining it." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am not sure how to spell: tare-eye, but it is the area located at the bottom inside below your bottom front teeth. I was told by a Denrist I would need surgy to remove this st that theeth would fit properly. I was recently told with out having it removed my new dentures would always be painful. Yet I was not told any of this by another dentist that I had seen in Minnesota, not even that I needed this procedure. I am scheduled in early November to begin the denture procedure and am now uneasy to do so. Can you put any light on concerns here? Thank you, William Floodman", "output": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concern... As per your complaint it seems that you have a \"BONY TORI\" that occurs as a bony nodule like overgrowth over the jaw. Although it is harmless and painless, but it can cause problems with proper placement and fitting of the denture. It will interfere with denture placement and disturb its proper fit and also if placed as it is, it will cause trauma to the mucosa over it and cause inflammation and ulceration.Therefore, it is an appropriate advise to get the Tori removed and then only you should get the denture placed. Hope this information helps. Thanks and regards. Chat Doctor. ." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here...i am a 38 yr. Old female about 9 months ago I found a olive size lump under left clavicle its mobile its soft and painless I had a ct scan on my collar andmy lungs about 9 months ago lungs looked good (i am a smoker) and ct scan showed nothing on my collarbone what did dr. mean when he said nothing there when I feel it.by the way it hasnt changed in size. Also had a negativw mammogram that same day...thanks...ml", "output": "Hi, Dear I studied your query in all it details and I understood your concerns. Cause and Remedy - On whatever limited facts given from you about the lump under the clavicle, and with my experience My opinion is as follows-YOU seems to have undergone a breast check up with a negative mammogram. And your doctor seems to have opined on presences or absence of breast lump in axillary breast tissue.Hence, To reduce your worry Please consult for opinion from ER Surgeon about the olive size lump under the left clavicle, who would confirm if its Sebaceous Cyst or any other lump like lipoma and thereafter treat accordingly for the cause of the lump. Plz hit thanks and write excellent Reviews if this would resolve your query. Plz don't worry and do Welcome for any further query in this regard to me. Have a Good Day. Chat Doctor. N." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been diagnosed with low iron levels in my blood (20 UG where 59 UG is normal low level) and low overall iron at 8 NG/ML. This sounds serious for someone who has only donate blood (about 2 gallons) as a cause of this deficiency. What are some other causes?", "output": "Thank you for asking on Chat Doctor. Low iron reserves and low serum iron can be due to decreased intake in diet, reduced absorption from the gastrointestinal tract, or due to increased loss from the body via some occult bleeding. Include iron rich foods like green leafy vegetables in your diet. Jagger is a good source of iron which can be taken after food. Make sure you do not suffer from any kind of malabsorption which might be leading to reduced absorption. If yes then direct your approach to treating that malabsorption. And go in for tests like stool occult blood and urine microscopy to rule out any blood loss. If hemoglobin is also low then it is advisable to start using iron supplements in form of tablets. Kindly be informed that iron will not get absorbed well if taken along with calcium as they form ch elates. Hope this is helpful." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "good eve doc..im 26 yrs old 54kg,5\"3 in height..im irregular since before..i go to the doctor then they tell me i have polystic ovarian syndrome..do i have chance to get pregnant,,the doctor now is telling me to take duphaston..duphaston will help me to get pregnant?what the good time to have sex if i take duphaston,,i hope you can help me doc for my problem.im wating your answer,thank a lot..", "output": "Hi, if you have pod problem with irregular periods, then I think you should take some medicines like camphene for the growth of your follicles. Track your follicles' growth by repeated ultrasound. When follicles reach a size more than 17 mm, take injection for rupturing the follicles. Be in contact with your husband for next 2 to 3 days. Take progesterone for next 2 weeks. Do a urine pregnancy test after that. So, the phaeton which you have been told to take is the progesterone. It helps in supporting the pregnancy. But alone it will not help. Hope I have answered your question. If you have any other query I will be happy to help. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I been on the birth control shot since September. I haven t miss not one of appointment nor my period. I been having headaches for the past 3 weeks. Nauseous and sleepy. I also have pink pad that keeps record of my ovulation days and menstruation days. Is there a chance I can be pregnant? I had intercourse on the most affect days", "output": "Hi, Your symptoms could be due to the contraceptive. Though you had intercourse during your fertile period, since you were regular with your contraception, the chances of conception are minimal. Yet, you should exclude/confirm pregnancy. If you wish for an early confirmation, please get the serum beta-ChatDoctor test. Else, you can wait for your next cycle and if you miss it, test for pregnancy with a fresh early morning sample of urine 3-7 days later. Hope you find this information helpful. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi I have hepatitis A at the moment and I have lost a lot of weight. I have almost turned into a skeleton but I am starting to get better now. Fever is gone and my appetite is back( eyes are still yellow) . I want to ask that how can I restore my health? and I was working out before hepatitis A, can I start again?", "output": "Hello, Welcome to Chat Doctor. You can definitely work out but be careful in your diet. Hepatitis A spread through infected and polluted water or food. Please avoid all such type of food and water. Please Chat Doctor. Take healthy, fresh and hot food only. Start semisolid and liquid diet first and gradually increase your food. Take fresh fruits and green veg more. Take plenty of liquids and lemon or orange juice more. You had a low immunity now due to disease so eat protein rich diet more like eggs, beans, pulses etc. but gradually. Your eyes will be fine after sometimes, but please follow your doctors advises for medicines. Hope these will be helpful to you. Take care..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter hit the ground with her forehead 2 days ago. A huge lump formed above her eye and has since gone down but swelling has moved to over half her forehead, her nose, and one eye is somewhat swollen but both eyes are becoming bruised. No nausea or dizziness, just a bad headache and swollen face. Normal?", "output": "Hi, Dear,Thanks for the query to Chat Doctor. I studied your query in depth. I feel concerned about it. In my opinion, this symptom complex and indicates --Severe Head Injury-with bad bruising and headache. Your daughter certainly needs Observation in ER-under Surgeons care, for critical signs of head-injury needs control by specific medications-under close observation. The head injury is not too serious but certainly needs special care. Treatment would be-a-Observation with Liquids-By Mouth for 24-48 hrs more, b-Tb-NSAIDs,c-Tb-serropeptidase -for caring-extensive swelling of Headd-Observation for vomiting, nausea , pupillary signs, and others is needed for another 48 hrs-under Surgeons Care-in ER.d-Antibiotics if required. Investigations ugly required are-Skull X-ray in different angles, CAT-scan for the Skull Anatomy-as the facial look is distorted much. A opinion of the Neurosurgeon as per Surgeons need and advise. All this care would take care of your daughter and I hope she should come out without any Eventuality. Hope this would help you. But first thing you should do is to shift the patient to ER-and start the treatment Ugly. I pray fast recovery for your daughter. Wellcome to Chat Doctor for any more queries." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello sir, I am 30 years old. My legs, hips and legs paining after sex . Or mostly I suffer with burning or waist legs paining after sex. I mostly suffer with waist pain, lower side of my abdomen. We dont used to sex daily . We do sex once or twice a week or in two weeks. Tell me about safe period of sex? We dont want any baby now. Thats why I aborted a child 3years back.", "output": "Hi, Thank you for posting your question here, I will try to answer it to the best of my abilities. The days on which you ovulate are the danger days. So check when your last period was, add 14 days to that, the 4 days after that are the ones when you ovulate. As such these are the danger days when you can get pregnant, so avoid having sex around this time. You can also try using condoms or contraceptive pills. I hope this answered your question." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had what I thought was a cold but may have been allergies. it started with a sore throat, scratchy and tickleish cough, yellow mucus, runny nose. This has been going on for over two weeks and now Im developing hives, which I can control by taking Benedryl. It doesnt appear to be subsiding. Is there something else I should be taking?", "output": "Hello Thanks for posting here. Your symptoms like runny nose, sore throat, cough, hives all point out that you may have allergic rhinitis. The upper airways i.e. your nose, throat are reacting unusually to some substance which can be present in the air, in your surroundings. Usually most common allergens are smoke, dust, pollen, pet hairs and some food products also etc. So get your house vacuum cleaned, stay away from pets and gardens. It can also be worsened due to climatic conditions. There are blood allergen tests and skin prick allergen tests which can determine what are you allergic to, so that you can take necessary precautions. For your symptoms you can take tablet montelukast FX 10MG once in the night for about 14 days. This tablet is a combination of montelukast and fexofenadine which will definitely take care of your hives, runny nose and other symptoms. Also do a spirometry which shows functional capacity of the lungs. Allergies can also involve the lower airways causing asthma. It is a test in which you are required to blow into a machine to test your lungs functional capacity. If spirometry shows reversible obstruction then you must be started on inhalers also. Wishing you good healthRegards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had a tightness in my groin in the left testicle area and up. This has been going on for about five months. Now I m worried because a few days ago I noticed that when I m erect my penis has a different shape to it. It is starting to curve downwards a bit with a bit of an indent on the left. I m worried and should go to a doctor.", "output": "Degree understand your concerns went through your description. I suggest you not to worry much. You are growing up as a man, and it is quite normal to have tightness in your groin and testicles area. Bend penis also is normal, and it happens to almost everyone. To make a lady happy bend penis is more useful than straight penis. Am I right? Therefore, don't worry about unnecessary things. Concentrate on your studies. You might need psychological counseling., I am more than happy to provide telephone psychological counseling through Chat Doctor. Contact me through customer care, www.ChatDoctor .com. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "is it possible to have lupus and rheumatoid arthritis and fibromyalgia with symptoms of low grade fever for 2 months severe aches and pains throughout the whole body joint swelling and stiffness in areas that are red and warm to the touch that come and go?", "output": "His will suggest undergoing an arthritis profile test under a rheumatologist, like CRP, ASO, Rheumatoid factor, ESR,CBC, ANA,and Antioch to rule out or diagnose joint pains and swellings. Co-existence with fibromyalgia is possible, although lupus is rare and has presentation of redness of both cheeks and severe rash, so unlikely in your case, but rheumatoid or other forms of arthritis can be co-comitantAnyway, many medicines are there to treat, so no worry, consult a rheumatologistthanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my dad is 73yrs. old he has a growth in his esophagus, that growth has caused him to lose hearing in his right ear. The doctors have gone in and used a balloon to stretch the esophagus. Two days ago they tried to do this procedure again. My dad cannot keep anything down. This procedure was unsuccessful, is the next step a feeding tube?", "output": "Hello, Yes, feeding tube insertion should be the next step. Your father is not responding to balloon dilatation. So palliative treatment is a must for his esophageal growth. So for food intake, we need to insert the tube. A feeding tube can be inserted through the nose or through the abdomen (feeding jejunostomy). To discuss these options with his doctor and proceed accordingly. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor, i am 33 yr old female. i started getting tingling and numbness in my both hands since last year.i am having severe hairfall problem, bodyache, calf muscle pain, irritability and depression. at times i am confused and not able to take decision.( this was never before) i checked my b12 and vit d levels they are 155 and 16 respectively.i want to know the injections to be taken for the same , the detailed course with dose and tablets to be taken thereafter.i want to come to my normal course. i am a vegeterian.waiting for your reply.", "output": "Hi, Thanks for using Chat Doctor. I have gone through your history. There is no fixed dose schedule for vitamin injections. I usually follow vitamin B 12 injections initially on alternate day then gradually reducing its frequency to once a month. It also mainly depends on your symptoms, work, lifestyle factors and tolerability. You should consult tour doctor to decide exact dose requirement in your case. You may re check vitamin B 12 level after certain period of time as advised by your doctor to have further guidance regarding dose frequency. I hope It will help you. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I recently had a dobbler done on my groin and legs, they were searching for a blood clot, but the report came back stating that there was no clot, it is likely iliac vein involvement. I have back pain, leg pain, and a lot of groin pain. I am looking for a doctor who specializes in this field", "output": "Hi there. As per your symptoms it is my analysis that your pain is originating from the back and is being referred to the groin and leg. It is most probably a prolapsed intervertebral disc at multiple levels which is compressing on the adjoining nerve roots leading to the articular pain. It is usually accompanied by some tingling sensation. Kindly get an MRI of the spine done and get it evaluated by an orthopedic. For the time being taken analgesic like etoricoxib and pregablin-methycobalamine combination tablets. Spinal extension exercises taught by a physiotherapist will help. I hope my advice has helped Good luck" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor I am suffering from wisdom tooth growth problem. I have consult with one of the dentist and then x-ray reports and other diagnostics shows wisdom teeth is growing horizontal and that needs to be extracted to safe guard other teeth of 2nd molar, 2nd Molar teeth already infected more than 20 %, so wisdom teeth to be removed and Root Canal treatment has to be done for 2nd molar teeth and Ceramic CAP to be placed. This is the feedback I got it from him and need to understand after removing wisdom teeth , Really do i need to do RCL Treatment.", "output": "Hello. Yes your dental surgeon advice is perfect. The treatment plan suggested by him is correct. Horizontally erupting third molar/wisdom tooth should be extracted on diagnosis. As it may create trouble in the future.regarding 2nd molar...if pulp of your tooth is infected irreversibly or degenerated..... if your radiograph suggested periapical pathology/infection, or your clinical symptoms suggest pulp degeneration then its treatment is definitely RCT which is treatment of infected canals of the involved tooth. And since RCT treated tooth gets brittle after few years so to prevent its fracture we give it crown/cap. And both the tooth are different. Removal of wisdom tooth will not treat the pupal/periapical infection of second molar. So it has to be also done." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am late for my period and my body feels very hot. I also have a throbbing headache which has lasted for 1 week. I suffer from anxiety and am wondering if my anxious thoughts are creating these symptoms or the late period. I think it s unlikely that I am pregnant because I had sex about 11 days ago but we used a condom and he didn t ejaculate inside me. I took 4 pregnancy tests 2 days ago and were negative. I m very worried as I am too young to have a baby.", "output": "Hi dear, I have gone through your question and understand your concerns. Delay in the periods can be due to pregnancy, hormonal disturbances like hypothyroidism, hyperprolactemia or polycystic ovarian disease, or due to excessive stress. If the urine pregnancy test is negative, then the pregnancy is ruled out. I will suggest you to not take stress, and wait for the periods for next two weeks. If Periods do not occur, then you should get your self investigated for the cause of delayed periods. Hope you found the answer helpful. Wishing you good health. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "What are these bumps I have on and around my scrotum? The little ones have pus and pop easy. The bigger ones will not seem to pop unless pierced with a needle and are filled with blood and a small amount of pus. I have had them for quite a few months.", "output": "HelloThanks for query. Based on your statement I would state that you have multiple Sebaceous Cysts over scrotum since months. The scrotal skin is rich in sebaceous glands and hence prone to get more sebaceous cyst due to accumulation of sebum beneath the skin. Normally they fade away without treatment however they need to be treated if increase in size or get infected. Please consult qualified General Surgeon for clinical evaluation and further treatment. If needed some of them which are bigger may need to get excised in Toto (Completely along with the sac). Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "The doctor tells us that my husband has scared lungs. The only tests that have been done is a lung function test. He is on oxygen at night and whenever he s active. We are seeking a specialist for a second opinion. Are there other tests that can be done to give us more information? So far we have only been told that his breathing will continue to get worse.", "output": "Thanks for your question on Chat Doctor. O can understand your situation and problem. You should definitely consult pulmonologist for your husband. As PFT (pulmonary function test) can determine only lung functions and not the scarring of lungs. For the diagnosis of lung scarring, following investigations are available.1. Chest x ray2. CT thorax3. Ventilation perfusion scan (VS scan). So better to consult pulmonologist and get done above-mentioned investigations to know the scarring of his lungs." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My baby boy he just 40 days. I for one can not believe our. He has had a cough . I kept telling the doc he said nothing was wrong... there where a few other things like still having a running nose and cough and vomiting but anyways...Well finally 4 days ago he starts spitting up and vomiting with every feeding I called the doc and demanded a apt. We ended up seeing another doctor at the practice I tell him everything that has been going on down to his bowl movements... This doctor says he may not be taking to his similar advance and the cough should have been our first sign since it never went away after a month and half when all the newborn fluid should have been out of him... He switches us to Isomil....!! its gud for my baby, we tried nan 4 a week. because of tat he get motion problem. so pls tel me wat to do .", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query your child have symptoms of cough and diarrhea in an infant which seems to be due to disturbance of electrolytic balance of body. It could occur due to many reasons such as food intolerance, food allergy, bacterial or viral infection, parasitic infection or inflammatory bowel disease. Need not worry. You should take cough syrup along with this do warm saline gargles on daily basis. Take oral rely Chat Doctor. You should take small and frequent meals rather than large meals at a time. You should avoid taking cold carbonated beverages. I would suggest you to consult gastroenterologist for proper examination. Doctor may prescribe antibiotics like ornidazole, albendazole, omeprazole along with operative. You should eat light and non-spicy, eat fresh fruits and vegetables and eat fruits like banana. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my sister in law has been feeling fatigue and today she developed a high fever... my brother, her husband, is debating whether to wait the night to see how she feels or whether he should take her to the emergency center. We ve never had to deal with this kind of situation so I don t know what to tell him. I feel he should take her to the ER since all the urgent care centers are now closed. What is your suggestion?", "output": "Hi, see fatigue is not a big deal but as u said she is having high grade of fever then you are right u should take her to the emergency center where ICU facilities are available. Any case of high grade fever (above 103 F) should be taken seriously rather than doing self-medication or home remedies like sponging to reduce fever. Yes it will reduce fever but here we need to find out the cause I.e.diagnosis. So better to go to casualty." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a lump in th e top of my left foot. When I sit for awhile and get up to walk it is difficult for a bit but seems to loosen up. I work on my feet 8 hrs a night by the end of the night my shoes even bother the top of my foot. The lump seems to be getting bigger", "output": "Hi, Dear,Good evening. Thanks for the query to my Chat Doctor Clinic. I studied your query in depth. I am concerned about the worries you have. In my opinion, you have mostly-Ganglion ? Or a bursitis. I would advise you to consult an Epworth- Surgeon who would do-EXCISION BIOPSY if need be. It could regress after Antibiotics, Tb NSAIDs, Treatment for 5 days time. If it still grows and worries Surgical Excision is the treatment and would be done from ER Ortho-Surgeon. This would fix your lump worry. Hope with this you would be relieved of your worrisome query. Wellcome again to Chat Doctor. Have a good Day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hoping someone can help, i am suffering from right sided abdominal pain just below my ribcage for the last 4 days. there is a constant aching there but does increase to sharp pains every now and then, these do not seem to coincide with any activities. 10 years ago i contracted a severe case of tick bite fever whilst living in south africa, and heard there may be long term effect of this, that are agrivated by stress, that may cause problems, likewise i returned from holiday in a malaria zone 6 weeks ago, however i followed protocol with my anti-malarials. any ideas?", "output": "HI. The pain on the right side of the abdomen below the rib cage, for 4 days, which is constant aching but with periodic ups and downs is suggestive of Cholecystitis meaning inflammation of the gallbladder. Other probable causes can be abscessed of the liver or ulcers in the duodenum and so on. This may not be related to the tic bites you had. Malaria causing pain in abdomen is called acid malaria and the pain is all over and very severe. I would suggest you to undergo an ultrasonography first and then the other blood tests including liver function tests, CBC to know the infection and all relevant blood tests. Start the treatment with antibiotics and as per the findings on investigations." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "On upper back right side near where wisdom tooth would be coming in, my 14 year old has been c/o of pain for a few days that has now escalated to severe pain. She also just got her braces off. There is a white spot/ pimple with what looks like a fiber coming out of it. We had her apply ambesol to the area, but it didn t last long and she is in pain again. Is this considered an emergency that we should call her dentist or orthodontist on a Saturday?", "output": "HiT his white spot is indicative of pus due to infection in teeth. You need to have her calligraphical examination done so that it can be judged whether the infection is due to wisdom tooth or any adjacent tooth. If wisdom tooth would be the reason then irrigation of flap covering wisdom tooth has to be done. If any adjacent tooth is the reason then root canal is advisable. If she had any gum disease then scaling and polishing has to be done. Follow antibiotic prescription. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "On Friday I called 911 and went to emergency by ambulance. After an ECG, x-rays, blood tests, oxygen, and an IV, the attending doctor said that the chest pains, neck pain, tingling in my face and shortness of breath had been caused by elevated enzymes in my chest wall. She said it could have come from a strained muscle. BUT I didnt have any muscle strain. What could have caused those symtoms?", "output": "Respected user, hi I evaluated your query thoroughly.* All symptoms are related to acute body response to certain event / episode which may be obvious to conscious mind or may be not obvious but impacting subconscious mind.- relates to psychosomatic manifestation of body response towards any event. Hope this clears your doubtsThanks for using Chat Doctor & reviewing my answer thoroughly. Welcome for any further assistance. Wishing you happy healthy life ahead. Regards dear take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am trying to find out which Ionic Minerals (Trace Minerals)are reputable in the Market? The ones that I ma viewing is form Alpha Health Support. I want to try this out for my Sojgren s Symptoms as there is no cure for it. Also I would like to suggest this for for my Nephew who suffers from Colon Cancer", "output": "Hi, dairy have gone through your question. I can understand your concern. These minerals will not help you. Sjogrens syn Chat Doctor. Treatment of choice is steroids. You should take steroids according to your doctors' advice. For colon cancer treatment of choice is surgery and chemotherapy. Consult your doctor and plan accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have dry cough and it feels like a tingle or a tickle at the top of my sternum that causes me to cough but nothing is there. It would usually have gone away by now but its been a few weeks now. Im not sure it it wad from working and cutting blackberry bushes and inhaling the pollen or what.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of irritant cough is more. And it can be due to all the things you have mentioned like cutting and working blackberry bushes, inhaling pollen etc. These things are highly irritant in nature. When they inhaled, they cause inflammation in the trachea (center of chest-sternal area). And this gives you tingle or ticket sensations at the top of sternum. So better to avoid such things or wear face mask while doing those activities. At present take combination of antihistamine and anti-inflammatory Chat Doctor. Do warm water gargles 5-6 times a. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter, 43, came off Effexor and abiligy about 5 yrs ago with serious amts of stress and withAdrawal issues because her new husband wanted to have children and thought she should not take them. Now she is athe point of hearing voices and imaging things that people know a bout her or are going to sue her. Her MSW has recomened a phychiatric aprn who want to put her on Pristiq but her insurance will only pay for Lexipro or something like that. She is hesitant on taking anything but she knows she needs something. I thought she might try an ADD med so she could get her thoughts together and focus. We need help.", "output": "Degree understand your concerns went through your details. In your description You said your daughter is hearing voices and imagining things others tell about her. Those are clear symptoms of after depression and anxiety, delusions and paranoia. I think she is having delusional disorder. In that scenario, she cannot be treated for ADD, and therefore ADD medications are strictly a no no. Flexor is also NO. You should work with your psychiatrist for a better prescription for the diagnosis. Please donor indulge in self treatment. Also consult a psychologist for psychotherapy treatment. If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I keep getting palpitations in my left leg and can feel the blood flowing in it. I had it last year for about a month, then it went away. It came back a few weeks ago, and it is usually when I lie down or rest. There is also a slight cramplike feeling in the leg too.", "output": "Hello, Most probably it is due to peripheral vascular diseases where blood flow to the distal limbs get blocked and thus leads to symptoms like cramps and pain. However, we have to rule out other causes like peripheral neuropathy and varicose veins. As of now consult a general surgeon and plan for an arterial Doppler to make a diagnosis. You can take analgesics like tramadol for pain relief. Make sure that your blood sugar level is under control and avoid stopping because uncontrolled diabetes and smoking worsen the symptoms. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Someone is having major issues with SERVERE PAIN IN HIS GROIN area ... had a MRI done and was told he has a bad infection in his groin (HUGE BULGE KNOTT ) causing unbearable pain he said ... first thought it might be a hernia ... however was told INFECTION IN GROIN and was put on strong anitbotic.", "output": "Hello Since the MRI shows the presence of an infection in the groin area, so the right treatment is an antibiotherapy. For the hernia there are a number of symptoms which mainly is the existence of a bulge being more visible by effort and reduced by hand and it's not that painful unless if its strangulated, Unlike the infection, which is painful with redness of the skin and increasing of the skin temperature over the area and sometimes a fever. I suggest that you trust the doctors and continue the treatment to prevent any further complication. Hope I answered your question Best regards " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am trying to determine why my kidney function dropped to 45% from 49%, apparently in 3 months time. Also would like to know why, with intensive testing foir health problems over a two-year period, my function dropped to under 50% without it being noticed. Also trying to understand if this is normal with aging (I am 83), or if it signifies a more serious, possibly fatal, condition. I do not have the results of the blood testing that revealed the problem, but I can probably get them.", "output": "Hello and welcome to Chat Doctor. As a Urologist, let me advise you that, as age advances, GFR, (kidney function), slows down a bit. It can be checked also by blood creatinine. But, it doesn't Chat Doctor. Kindly get your blood urea, creatinine, sugar, and an ultrasound scan of the abdomen, and you're welcome to send a copy of all the reports here, in my name, for an expert opinion. There's nothing fatal in the reports you've sent." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Sir, Today when i rubbed the side of my stomach , just above my hips i found a small knot or lump kind of marble shaped tiny ball inside, when i tried to push it, there was some small pain. Im afraid it might be cancer or tumor . However if i dont touch it im not having problem, What should i do next, is it any cause of concern. God bless you. Best Regards", "output": "Hello! Thank you for the query. First you should know that usually cancer in such area does not cause acute pains for a long time. If this lump is near groin region it can be an inguinal hernia. It can get bigger while standing and coughing. If so, surgery can fix it. Such painful lump can be also sebaceous cyst. This is benign soft tissues lump which get painful if it gets inflamed. IT can be also removed with surgery. The best way to have it diagnosed is to perform ultrasound of this area. Hope this will help. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I ve been having a really sharp kinda burning feeling in my abdomen on and off every day for a couple months, it kinda resembles the feeling of bad gas, that sharp - feels like a knife is going through my intestines- kinda feeling. I also have recently found some blood in my #2 s and the pain is becoming more frequent and intense. I was thinking maybe its an ulcer? A few months ago i was drinking 3-6 redbulls a day along with caffine pills, averaged around 600-800 mg of caffine a day, i stopped after about 2 months. What do i do??", "output": "Hi. Thanks for your query. The history of pain in the abdomen for couple of months and blood in the stools along with sharp pains like knife cutting through is suggestive of an indication to have the following :Physical examination by a Surgeon. Ultrasonography and CT scan of the abdomen. Colonoscopy and biopsy. Once the diagnosis is known the treatment can be guided. IT is good that you have stopped taking Red bulls and Caffeine." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Thank you , my father suffering with CIDP , diagnosed in India in Medanta Hospital , He made Plasmaexchange & took IVIg treatments two times, but he didnot response to all these treatments , Iam asking why ? is there any probability it may be another type of Neuropathy. Iam living in Iraq", "output": "Hello, CDP stands for chronic inflammatory desalinating polyneuropathy. This is a neurological disorder characterized by progressive weakness and impaired sensory function in the legs and arms. Treatment consists of corticosteroids (e.g. prednisone) prescribed alone or in combination with immunosuppressant Chat Doctor. Your father already did plasmapheresis (plasma exchange) and intravenous treatment (immunoglobulin IVG). Although no good response, he needs to run physiotherapy. It will help improve strength, function and mobility, and minimize the muscle weakness. To rule out other types of neuropathy EMG (electromyography) and NCS (nerve conduction) studies are highly recommended. They will show declination. Discuss this further with his neurologist, and ask to hire physiotherapist. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, How long does it take for panic disorder to go away? im 21 yo, 70KG, 182CM height, i started suffering it from 1 month and 15 days ago, fortunetly lot of improvements, i couldnt do even normal walking, the first panic attack happend during my push-up exercise so basically i had phobia of exercise! couldnt walk up the stairs, do dumbles, no more pushups-pullups,completly loss of confidence, i talked to a doctor, he gave me citalopram which was somehow helpful and been using it for over 45 days now and each night only half a pill, so how long should i take these pills? will panic attacks come back later in life?", "output": "Hello, Its good that you have responded nicely to citalopram as it is a mild Chat Doctor. It's good to take it for 3-6months and then taper it and stop completely. Taking it for such long duration has been decided by- lot of research, and it is based - on the fact that the relapse rate is minimum after taking med for this much time. Stopping it before carries more chance of relapse compared to that witChatDoctorpleting the course. Wish you good luck. Taking the " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter has a hard immoveable lump on her thigh, she is 12 weeks post op from an internal fixation of her distal femur....the bump is not near a screw or the plate. The physical therapist says it is in the muscle....what could it be, should we be concerened?", "output": "Hi, If I were your treating Doctor for this case, I would consider only one possibility that is myositis ossifies... Myositis ossifies develops some time after a contusion or blow to a muscle usually in the thigh. Symptoms of Myositis ossifies include pain in the muscle particularly during exercise. An X-ray can confirm the diagnosis and show bone growth; sometimes biopsy needed! An X-ray of the muscle can be done to see when it is safe to start rehabilitation and strengthening exercises. In particularly severe cases surgery can be performed to remove the bone growth. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Doctor i m 5 months pregnent, its my 1st issue. I hv been asked for LFT test and report says :my Billi Rubine is 1.2,SGPT is 289, SGOT is 171 and Alklyene phos is 291. And in the USG i had a stone in GB of 13.7 mm.Plz suggest me the precautions and line of treatement.", "output": "HelloWelcome to Chat Doctor. Thanks for posting your query. I understand your concerns. Stone in the gallbladder doesn't require any surgical line of management until and unless it is causing severe pain. If you are having pain on the right side of you abdomen, you are expected to undergo cholecystectomy. As you are in your second trimester, it is safe to undergo surgery. If you are a symptomatic, you can undergo surgery after the delivery. Hope this helps you Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have intermitant sensation through both my arms that travels from the top of my shoulders to the tips of my fingers. I have had a heart attack in the past and stinting surgery but, my surgeon says there isnt any blockage. It has been more than a year since the surgery and I am still experiencing this sensation. I am 56 years old and weigh 200 lbs also, Female. Ex-smoker for over 2 yrs.", "output": "Hello, Are this sensation present through or any precipitating factor are there like exertion, neck movement. Is there a history of trauma to neck? Most likely this looks like cervical, occurs due to compression of nerves between the vertebrae. You need to get x-ray cervical spine app/lat view, and later you may need MRI. At present, you have tabbed erosion forte once a day which is a nerve vitamin. If doesn't respond you can get tab Pregabalin as prescribed from local doctor. Treatment is medical, physiotherapy and surgery. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Dr. I have suffer from fibromyalgia for many years, for which I have been taking Lyrica 150 mg. 3 times a day which it s the maximum dosage as I understand and also Cymbalta, 60 mlg. Now I was also diagnosed with Polimialgia Reumatica, my Dr. says the the only medicine that works . What do you say about this?", "output": "Hi, thank you for providing a brief history of you. As you should know that fibromyalgia is a condition of the pain in the muscle fibers. There is a limitation for the medicine to work behind this. Apart from this the other issues start up in a later stage as you got polymyalgia rheumatic. I can understand from this history as you have pain in many muscles and the pain keeps moving. Well, I can recommend you to look for an alternative medicine as an optional. Like doing meditation, breathing exercises, yoga and fitness training at a later stage. You can meet up a physical therapist and look forward for a proper guided exercise prescription which will surely help. I have myself seen many cases with the same and followed with a physical therapy later on. As taking too much medicine on high dosages will damage the kidneys and anything in excess is never good. Kindly see if you can meet up a physical therapist. You may find end number on forum on internet about fibromyalgia where many have got helped by meditation, yoga, breathing exercises and fitness training. I have actually summed all what I could to help you. Hope to see you cheerful soon." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I have white bumps on my penis and scrotum. And i notice at the end of the day, my genital area produces a sour smell. For about a week, one of the bumps swelled up to the size of the marble. It is starting to shrink but it has become the source of a powerful, almost stinging-like itch. Please help", "output": "It seems like you could be having sebaceous cysts in your scrotal and penile skin which is a fairly common complaint in men. One of them might have gotten swollen up or infected to give you problems. The only definitive treatment would be to get a small surgery done to remove them. If they are not bothersome much then you can keep them under observation as they will not give you much trouble. Let me know if I can be of any more help in this regard. Take care. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have hydrosalphinx in my right tube after losing a baby at 21and half weeks due to incompentent cervix!! The doctor has put me on antibiotics have been on them for a week now and still getting pain on my right side!! My hormones are all over the place and cannot take this any more can you tell me if the antibiotics should help or am I wasting my time and should just ask to have a laproscopy done thanks lisa", "output": "Hi, Well, often people are hospitalized and given IV antibiotics. Mostly the tube isn't going to be salvageable, and the tube is going to have to be surgically removed. BUT, I'm not there and do not know the physical and labs. An ultrasound would show a significant pile of infection most of the time if it were there and that would mean surgery was required. CT with contrast is another way to look or of course laparoscopy which could also do surgery to fix things at the same time. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i m a 33 yrs old boy. 5.4 ft. height and weigh 70 kg. Im not much into physical exercises and have unhealthy food habbits. My problem is that ive got a bad habbit of masturbation since childhood say for last 14 years, and since then im continously masturbating for around 2-3 times a day. Now im feeling following problems with me: 1. My penis looks dull and it does not easily gets erected (though it happens when i get anxious about it) and when i get erections it doesnt last much. 2. My penis shrinks to about 1.5 - 2 inches when it is flaccid and when erected it is max. upto 5 inches. 3. After masturbating the semen is also not much in quantity, its just about 1 teaspoon and after second masturbation in a day, it comes out very dilute and very little 4. Im having hairloss 5. My eye sight is weakening. The main problem is that, till few years back i never thought this will create a problem, but now im planning to get ahead for marriage and this is making me nervous. I have never done sex with any girl in my life. Which is making me very nervous.Is my penis short? am i getting impotent? Im feeling very anxious because of this. One more point is that while i was a teenager, i used to wear very tight underwears, could this be a reason for my short penis or is it masturbation. CAN I LEAD A HAPPY MARRIED LIFE OR NOT???Next month i have to decide for marriage , pls help me", "output": "Hello dear,First remove all myths & misconceptions from your mind about masturbation. In fact, Masturbation is completely normal & doesn't have any bad effect to the body and mind. The size of penis is genetically determined, and it does not increase after a certain limit. But one thing should be known that the size of penis does not determine the potency of an individual. Since you are getting married recently, it is very normal to be concerned whether you will be able to satisfy your partner or not. But the more you think about all this, the more you will stress yourself out. So, get rid of such thoughts from your mind and keep your mind relaxed. Get to know each other well, share your thoughts & feelings. Other than that, you need to make certain modifications in your diet & lifestyle:1. Have a diet rich in fruits, vegetables, fish, nuts & honey.2. Avoid fast foods & lipid containing diet.3. Avoid smoking & alcohol.4. Keep away stress, think positive.5. Exercise regularly & practice meditationThese measures will be helpful in building your confidence & enjoy life after marriage. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I went jogging last night and when I got back to the house I got a horrible pain in my hip and groin.. I just brushed it off and went inside and drank some water and showered. I went to bed and when I got up I couldnt lift my leg to get back into bed and I could barely walk. What is going on?", "output": "Your description of symptoms suggest a pain over a short period. This can typically happen if there was a pulled muscle/ligaments during running, the risk being greater if there was no warm-up and stretching done before jogging. Also, if you started jogging after a gap of few weeks, that may result in acute muscle strain. You need to take rest and avoid further jogging and take pain medicines like Diclofenac and paracetamol combination twice daily for 2-3 days." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my son was just born on March 9th, so he is almost 7 weeks old. He seemed to have a birth mark on his elbow. Today, my wife was putting a short sleeved shirt on him and noticed that under the mark there felt like what is a small lump. There is not a lump present on the other arm, under the other elbow. It does not seem to cause him discomfort. What could this be and what should the next course of action be?", "output": "Thank you for posting your question.birthmarks in child Chat Doctor. The mark under the elbow that you mentioned might have evolved to become thicker and hence palpable.However, it is important to know what kind of birthmark (hyperpigmented/pigmented/hairy etc.) that you are talking about, which could help us rule out any other cause. By and large it seems to be a benign occurrence and the only thing that needs to be done is keeping a watch for similar lumps on other parts of body or an increase in size of the existing lump. If so, a medical consultation would be advisable. Also rule out some trivial local injury that may have caused a temporary swelling under the elbow. If you need any more advice regarding this, do write back." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Plz plz plz help me and very very very upset..I have pains in left hand and arm and chest pain..am 47 years old..family history heart attack s...am overweight..my blood pressure is high.heart spray does not work..that I work was given...am very stressful..when I go to weight training.. the pain comes..or if I have arguments with the wife...", "output": "HI, Welcome with your query to Chat Doctor. Based on the facts of your query, after its review, In my opinion You should go to ER for treating your Angina with acute HD, which needs immediate treatment-By the time reach ER-Call GP and take following from your home kit-Take Devin 10 mg Tab Aspirin 325 MGM/Chewable 2 state Deep Breath till your reach ERTab Antihypertensive-if you are on any, to reduce the accompanying high BP attack. Hope this reply resolves your worry with your queries. Will appreciate writing your feedback review comments, to help the needy patients like you at Chat Doctor. Good Day!! Chat Doctor. S. Genl-CVTS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "In October I received oral from a girl thats never given oral before and has only had one partner and she was his first. About a week or two later Ive noticed the head of my penis is a little red and my urethra burns sometimes. Ive also noticed some itching on my testicles and my groin/upper thigh. Could this be herpes?! I was tested in December for gonorrhea syphillis and clamydia, thay all were negative. My doctor wants to test again for clamydia but Im convinced its not it. Im not sure though. This hasnt ever gone away its been happening since my encounter. Im still a virgin Ive only received oral. She had no signs of a cold sore and Ive never seen her with one. What is this? PLEASE HELP IM FREAKING OUT", "output": "Hi, Oral sex carries a very less risk for both HIV and STD. Herpes simplex infection will have the eruption of multiple tiny vesicles going into multiple tiny grouped ulceration. This is a self limiting disease and will heal even without specific treatment within two weeks in a normal immuno-competent individual. Uniform redness of penis and burning urethra are not symptoms and signs for Herpes. Gonorrhea, Chlamydia, and Syphilis through oral sex is extremely rare. Yeast infection is quite possible following an oral sex as yeast a common present in saliva or mouth cavity in many people. It can be easily confirmed with some investigations and can be treated with antifungal antibiotic creams and if necessary oral antifungal tablets. Chat Doctor. Simple urine examination will reveal if any pathology in urethra is there or not. Get well soon. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was affected ny typhoid from last month 15th..and i had fever till 8 days from that time...but iam feeling so tired and healthless now...Now i met a doct or and i told my problem..he has given me Riconia-g, Deanxit, Happi-20 and Birhyth-50.. for 10 days..Can u give me the reason why iam like this", "output": "WELCOME TO Chat Doctor AND THANKS FOR YOUR QUERY READ YOUR HISTORY, DON'T WORRY. USUALLY TYPHOID TAKES NEARLY 1 MONTH TIME TO GET BACK TO YOUR NORMAL STRENGTH.IN SOME CASES IT MAY TAKE LONGER TOO, IT TOTALLY DEPENDS ON YOUR PHYSICAL CONDITIONS YOU TOLD YOU HAVE ALREADY MET DOCTOR AND HAD TAKEN MEDICATION FOR 10 DAYS. YOU WERE ILL FOR ALMOST 20 DAYS SO IT TAKES TIME FOR BODY TO COME BACK TO ITS NORMAL.IF FEVER AND OTHER SYMPTOMS DIDNT REDUCE YOU CAN GO FAR IV CEFTRIAXONE HOPE I HAVE CLEARED YOUR QUERY TO N EXTENTTHANK YouTube CARE" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had gall bladder surgery a month ago due to infection and stones. Today I noticed puss coming from an incision. I also have intense pain where my gall bladder used to be. I saw the surgeon yesterday and my family practice doctor for the pain. What should I do?", "output": "Hi, dairy have gone through your question. I can understand your concern. You have gall stone, and you have gone through cholecystectomy. Now you have pain and pus in that area. You may have some complications of cholecystectomy. You should consult your operative surgeon and go for examination. Furthermore, you need broad spectrum antibiotic like taxi, gentamicin and metronidazole to control infection. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i,who is having cervical scoliosis & spodilosis with two hemivertebra & lardosis with spina bifida & disc prolapse atL4,L5 level with slight nerve commpresion & bifercated spinal cord. i dont want operation ,Will any other therapy can help me like acupressure.", "output": "Hi, Thank you for posting your query. I have noted the MRI spine findings. I would love to have detailed MRI report as well as the list of your symptoms. This would enable me to give a better answer to your query. Surgery is the best solution for your problem, if you are having neurological symptoms such as leg pain, weakness of legs, bladder and bowel symptoms. Surgery is safe and effective for your problem of spin IFID a. Acupressure is unlikely to be of benefit in this condition. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, Chat Doctor. Ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter, 8 years old, almost everytime has problem with pass motion. She always has constipation since she was 6 months old (since she had combining food and breast milk). An USG had been done and found nothing. She loves to eat veggie and fruits as well. But she often forget to drink much water. A peditrician was giving her a therapy with laxative syrup. Sometimes it helps, the other time not. For some times, if she really had bad constipation, she was having fever or even vomit, after 3-5 days had no pass motion. For note, she is a picky eater, but she always feel hungry at about 9-10 pm. And i would like to tell too that both me and my husband also having problem with constipation. But I need to tell that I have auto immune NMO, I take Imuran everyday and i dont like to eat veggies or fruits, but i do drink much water daily. I need your advance re my daughter condition. Thanks.", "output": "Constipation should be treated. One important thing is to understand that constipation in child Chat Doctor. The treatment is toilet training and an anti constipating agent like polyethylene glycol 3350(PEGGED 3350). This is in powder form and should be taken for at least 1 to 2 months depending on the response. Further, changes in diet like adding fibers eating adequate amount of water will also help to relieve constipation." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "why would doctor request LFT for a nine year old? LDH was eleveted on first blood test. His height is 134 cms and he weighs 31 kgs. For past 3 months has had heavy nose bleeds, complains of itching, joint pain, headache, nausea and loss of appetite.", "output": "Hi, dairy have gone through your question. I can understand your concern. His symptoms of itching, nausea, loss of appetite and high LDH suggest some liver pathology like viral hepatitis. You should go for complete liver function test and complete blood count. Then you should take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi there,i am starting to realize that i could possibly have Parinoid Skitz...i have been suffering 4 a few years now,also drink and drug abuse has been a problem on and off 4 about 15 years,i am 29 and find everyday tasks difficult,i can t communicate or express myself propperly sometimes and feel that others are always judging me as stupid or lazy,i have become very interested in human phycology as a result of trying to find out the cause and effect. Also i have taken a keen intrest in Buddhist philosophy and meditation practice. I go through very intense periods of straightness,no alcohol or intoxicants 4 days,weeks or months which do benifit amazingly,almost to a point of whethering mania and confidence only to come chrashing down into depression when i get bored,loose faith or get too intense and get smashed on a one night binge out with friends.and all that good work is wasted and onset of paranoid skitz.comes on. Drink and drugs trigger it off, where as when im straight,i still have deranged delusional thought patterns but i don t feed or respond to them,they are simply conditioned phenomina,coming and going,rising and falling,changing all the time.(i don t cling to them so much) Or my minds creation,if i believe the voice in my head,i can create my own heaven or hell creation and destruction. I generally believe that mental illness is just affliction with ones own ego and in Buddhist doctrine,the ego is not a real thing,it is a delusion, just ones own mental projection through ones perception of the 5 sense organs and as to how one inturprits and responds to that stimuli.", "output": "Hi, As you are already aware of your problem then schizophrenia become the least probable diagnosis in your case. In schizophrenia person do not insight for being ill. For me your problem is closely related to substance use. Simplest way to help yourself is by stopping substance. If after that some symptoms remain then for assessment and treatment, you can visit specialist like psychiatrist. I hope this information has been both informative and helpful for you. Wish you Good Health. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my father has been collapsing due to his irregular heart and after a mini stroke and heart attack they said they are putting him on morfrin (not sure how to spell) they also say he needs to change his diet- where can we get ideas of what to eat as told not to eat tomany greens and cereal which he loves", "output": "Hi . Thanks for choosing us for your health query. Your father recovering from minor stroke. But if you had mentioned the co morbid conditions it should have helped us to guide you more accurately. Any way with an assumption that he has diabetes, hypertension and stroke I will guide for a healthy diet and lifestyle. You need to calculate the calories in your father food limit his calorie intake to 1800 because is a sedentary male. Of the calories you need to give 800 calories in morning and 500 for noon and night. If his kidneys are fine we need not restrict on the protein give 1gm/ kg body weight. Control his oil intake to 4 teaspoons per day because he had stroke high lipids are basic cause. Take care of hidden fat also that present in groundnut, coconut etc. If kidneys are fine we do not need to cut his veggie intake. If he is a diabetic and is under control you can give two portions of cut fruits 100gm each. Hope our suggestion helps. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi Dr,My name is shikha soni , i have different types of fits problem .that fits is coming only on my face, in that fits some time from face to till hand body is moving and also that fits coming for 30 sec to 1 mint and for 10 sec, but that fit is coming one more that 100 time in one day , and speed is very high , now my age is 29 , that problem was started before one year in 2011 july, in staring time my face is moving only left direct after some time its moving both direct . please tell me the name of that disease and what i need to do for that i hv done EEG test and city-scan and MRI also but only brain cyst problem is showing in MRI report .", "output": "His have read your query will try to explain the things to you as I understand theme seizures usually happen when the brain has a plaque or a small lesion which is not acting normally. This becomes a source of seizures. The seizure usually develops from this focus. This focus can often be visualized on an MRI. Also, an EEG needs to be done. The seizures need medicinesWithout them they may not get controlled SO you need to meet a neurologist for the same Best of luck Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my baby is 7monts 3days old. I have stared giving her semisolid food in the form of rice puree, carrot, pumpkin, apple and mango puree( all cooked). Yester night she passed 7 episodes of yellow loose stool. today morning passed 2 episodes of blach loose ones.please advise.", "output": "Hi... Thank you for consulting in Chat Doctor. It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My sister just turned 22. She is 5ft 2inches 105lbs. She had PDA heart surgery at 11months. She is highly allergic to milk n smoke. She avoids both. She looks very healthy n leads a very active life. She has never had any other health problems, loves to workout n takes no meds. But for the past few months she gets shaky, dizzy, breathless n her heart races off n on. Could this be related to her heart?? Do others who have had PDA surgery as babies develop problems later?? I believed after her surgery as a baby they considered her cured. Thank you soo much for your time n help! :)", "output": "Yes it can be related to her heart PDA cause left to right shunt IIN initial stages but if remain uncorrected for a long time this left to right shunt converts into right to left shunt due to severe enlargement hypertrophy of muscles of right ventricle. 2 d echo of your sister should be done asap its a possibility that duct became open , or operation was a partial success .all answers to your question lies in 2D echo report" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 44 6 ft 5 and 260 lbs real good shape except a little over weight. never had any real medical issues exceot a fall which I cracked my tailbone and hurt my groin area about 2 years ago. I have been with the same woman faithfully for the last 10 years and am concerned because I have a mucus discharge from my penis when I have a bowel movement. This happens 3-4 times a week . It is not painful but just a strand of mucus. could it be an effect of my groin and ball injury", "output": "Dear service user, Thank you for writing to Chat Doctor. I understand your concern regarding mucus discharge while passing stool. This is absolutely normal, and it is not caused by your past groin injury. This is a fluid of sex organs and tiny glands in the way of urine tube come out from penis. This is not semen. The smell of the fluid and consistency may be like semen. This is not a disease and no need to seek medical treatment. Relax and don't worry about it. I suggest reading That Syn Chat Doctor. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HiI think I had hand foot and mouth from my sons nursery. My first symptoms were nearly a month ago but Im still getting blisters on my mouth which are really sore. Can I use anything to help the pain, its difficult to talk sometimes (Im breastfeeding)? Thanks.", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have painful blisters in mouth which can be because of many reasons like minor injury to mucosa due bite, hard food, acidic food or any dental appliances, poor oral hygiene and infection like thrush. In your case these probably is hand, foot and mouth infection. Usually they resolve by themselves in few days. I would suggest you to avoid spicy food and acidic Chat Doctor. Do warm saline rinses. You should use antiseptic mouthwash like chlorhexidine and brush your teeth twice a day. If the condition do not resolve in 4-5 days then consult dentist for proper examination and to rule out other conditions like canker sore. Doctor may perform scaling and prescribe oral antibiotics. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am female age 79.I am having burning sensation and slight pain in upper abdomen. If I take rentac I feel comfotable. I had undergone sonography but the report is absolutely normal.can I take rentac regularly daily once pr twice ? What can be the cause and what is remedy ?", "output": "Hello dear, The symptoms as mentioned in your post is attributed to Acid Peptic Disease, caused due to increased acid production in the stomach. Symptomatic relief can be obtained with intake of Sanitizing (150 mg to be taken twice a day before meals) & antacid gel (to be taken after meals). They prevent formation of excess acid in the stomach & provide symptomatic relief. And it is also needed that you take certain precautions regarding your diet & lifestyle, such as:1. Take soft, plain, non-spicy foods.2. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doctor, I am on this routine of eating food and friuts that suit my blood group - B positive. I learnt that Aloe vera is is a No No for my blood group. A friend said Aloe Vera is an adaptogen but when i take Forever living Aloe gel i feel slight ache in my stomach for 30mins - 1hr. Please does this mean Aloe does not suit my blood group? Frances", "output": "Hi, Aloe vera is a plant related to cactus. It produces two substances, Gel and Latex, which are used for medicines. Aloe gel is the clear, jelly-like substance found in the inner part of the aloe plant leaf. Aloe latex comes from just under the plants skin and is yellow. Some aloe products are made from the whole crushed leaf, so they contain both gel and latex. Aloe medications can be taken by mouth or applied to the skin. Aloe gel is taken by mouth for Often arthritis, Constipation including Stomach ulcers. It is also used as a general tonic. Because aloe gel contains, water, minerals, vitamins, amino acids and phytonutrients. Most people use aloe gel topically, as a remedy for skin conditions including burns, sunburn, psoriasis, cold sores and acne. Possible interactions, Taking aloe latex orally may cause severe intestinal cramps or diarrhea. Pregnant women and nursing mothers should not take aloe vera. Do not take aloe vera for 2 weeks period to any surgical procedure as it may cause increased bleeding during surgery. It is not possible to interact with the blood group. Aloe latex is not recommended for use internally for longer than 10 days, because it can cause laxative dependency. Aloe vera is not an Reactogenic herb." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I have a red lump on my face that is filled with fluid. It is very soft and is not painful or itchy and I don t know what it is. It is about 6mm in diameter and pokes out about 4mm. I am 32 years old, 168cm tall and 90 kilos. I am generally healthy and had a baby 2 months ago. The lump appeared while I was pregnant, about 8 months ago, and has recently started growing.", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. Brief answer - CarbuncleDetailed answer - As per your query you have symptoms of red lump on face filled with fluid which is mainly because of infection in that area and that infected mass gets filled with fluids, pus and dead cells. Infection occurs mainly because of hair follicle or oil gland gets blocked and started filling with cheesy material. I would suggest you to apply ice pack on it repeatedly to suppress swelling. Apply topical skin ointments and creams may contain salicylic acid or benzoyl peroxide, as these help reduce local infection and bacteria and acid help to decrease the amount of skin that has built up around a wart. Corticosteroid injections are the best treatment option to reduce red lump. Antibacterial ointments and medications such as Amoxicillin will prevent bacterial breakdown. Chat Doctor. Apply cotton dipped in tea tree oil and apply on face. Take probiotics such as yogurt in diet. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have pain in my left shoulder blade that radiates down the left side of my back followed by pain in my left breast with nipples getting hard. Pain also radiates to my shoulder , neck and down arm and in hand and elbow. I have seen the neurologist and have had MRI of cervical spine ,and EMG. What could it be??", "output": "Hi there. It could be a pinched nerve due to a slipped disc in the neck or degenerative cervical spine. Avoid bending neck forwards, lifting weight on the back. Apply hot water bottle to areas that hurt. Consume painkiller, muscle relaxant combination like Tablet Diclofenac + Thiocolchicoside to give relief. Even taking Tablet Pregabalin + Methylcobalamine will help in radiating pain. Get your MRI and EMG reports read by an Orthopedic surgeon pr Spine surgeon and then treatment will be decided accordingly." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, i am an ashtmatic and i have been having a thick nasal drip which seems to be affecting my lungs for a few months now and i have great difficulty breathing and it is geting wost with each passing day. my chest is also very tight but i am not wheezing, ( when using the peak flow meter i can only get to MAX) i have also noticed that i have been bringing down from my sinuses alot of mucus with black streaks in it. i am very concerned because my resporatory health has been greatly affected. it really scary not being able to breath properly 90% of the time. Can these black streaks in my mucus be the cause of my detriorating reporatory health? what is causing these black streaks? what is causing this? my doctor put me on symbicort and allegra D. but they have not been helping. PLEASE HELP. Ladystraw.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of worsening of asthma (exacerbation) is more in your case. Most likely cause for this is lung infection. You are also producing a lot of mucus with black streaks (likely blood). All these favor lung infection (pneumonia) more. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Chest x-ray 3. PUT (Pulmonary Function Test). Chest x-ray is needed to rule pneumonia. PFT will tell you about severity of the disease and treatment of asthma is based on severity only. You may need antibiotics, additional inhaled bronchodilators and inhaled corticosteroid (ICS). Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Could a BPH case cause a mass to appear in the posterior wall of the bladder? The CT scan report describes a an enlaged Prostate and mentions involvement of a mass on the posterior wall of the bladder, the report ends by: \"This mass is not seperable from the Prostate\". Does this sound alarming or its just an indentation purely caused by the BPH?", "output": "Good day, and thank you for being with Chat Doctor ! With the information that you have provided it looks like it might be the enlarged prostate. To be really sure if there is a mass or if the mass is just the extension of the enlarged prostate then a cystoscopy could be done to look inside the bladder. If he has gross blood in the urine and history of smoking then a cystoscopy is warranted to be sure a bladder mass is ruled out. I hope I have answered your question satisfactorily, and please consider a 5-Star rating for me." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been dealing with erythema nodosum for the past 3 months. I am currently taking 10 mg of Prednisone once daily, which is keeping the symptoms under control (still not completely resolved). I have a trip planned for Florida in May and Im interested in doing some indoor tanning prior to this but am concerned about possible complications w/the erythema as well as the steroid treatment.", "output": "Hi I did review your condition. Erythema nodosum is caused by inflammation of subcutaneous fat. The treatment includes steroids and if you are doing well to it, you should not worry. But I would not advise tanning as it is injurious to skin and causes malignancy. Also, steroids lower immunity to fight infections as well as developing cancer cells. So my advice would be to stay away from tanning. I hope this yellowish you all the Bethany you for choosing Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my husband operation in his legs to clear out plaque and insert stents in JaNUARY. PRIOR TO THE OPERATION HIS IRON LEVELS WERE SLIGHTLY LOW HOVEVER SINCE THE OPERATION T LEVELS ARE WORSE AND HE HAS BEEN REFERRED TO THE HAEMOTOLOGY UNIT IN HOSPITAL. COULD HE HAVE LOST TOO MUCH BLOOD", "output": "Hi, dairy have gone through your question. I can understand your concern. Causes of low iron are either nutritional deficiency or due to chronic blood loss. He should go for complete blood count, peripheral smear examination and anemia profile. Then start treatment accordingly. He should take iron rich food like dates, green leafy vegetables, Chat Doctor. Oral or injectable iron can also be taken. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi All, My Father is suffering from Lung Cancer Stage IV - Non small cell due to which the cancer cells are spread over the lungs to other parts of the body. Due to this, my Father is suffering from severe pain in body parts, weekness and start loosing weight. Please suggest us how to cure it?", "output": "Hello! I've read your concerns and feel sorry for your father. Lung Cancers commonly spreads to the bones -- which might be the cause of pain of your father. Stage IV lung cancers are treated by chemotherapy, to slow down and control the spread. Other symptoms such as pain will be relieved by analgesics. Weight loss and weakness is part and parcel of symptoms of cancer, your oncologist can give your prescription for dietary supplements." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a swollen lymph node on the right side and now the left is started. They have checked for glandular fever and inflammatories and it has come up negative. Ihave an underactive thyroid and they are now checking my t4 levels. I have very low energy and feel awful . I am on my second lot of antibiotics and on the third day and it doesnt seem to be shifting. I ve had this for at least 5 weeks now. I am on augmentin and also am having heaaches and fuzzyness.", "output": "Welcome at Chat Doctor I have gone through your query and being your physician I completely understand your health concerns. For how long you're suffering from it? Any other associated problem? Like diabetes or hypertension? Any history of TB in past or exposure to TB? Are u having fever? Any other lymph node swelling in your body? Which lymph nodes in your body are enlarged? What is your occupation? In my opinion you need a proper workup so that u can be diagnosed properly. If I am your attending physician I will do all your baselines starting from baselines FBC ESR CRP CHEST X-ray Lots Abdominal ultrasound Scan. It is very important to look for the focus. In my opinion you really should stop your antibiotics and after 48hrs your blood and urine should be sent for culture sensitivity. In the light of these reports' treatment should be started Do meet your physician so that your case can be ad Chat Doctor. Get well soon Hope your query is adequately ad" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a lump on my neck ive had it for couple of years and when you squeeze it stuff comes out in a wiggly line and it smells like feet is it a blocked sweat pore and how do I get rid for good? I am 42 female, my mum used to have an enormous one on her back", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have enlarged cervical lymph node. It can be due to tuberculosis or abscess formation or some inflammatory cyst. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "what shall I do when I wake up everytime my mouth taste is bitter and there is thick saliva sort of thing in the mouth. It goes off when I wash my mouth with water. After eating something it disappears. This happens everytime I wake up. I brush twice regularly and keep my tongue clean too. and I use gum paint also. But it doesnot help . So any suggetions for this problem?", "output": "Hello and welcome, the problem is due to poor oral hygiene maintenance. There is also foul odor in mouth called halitosis due to plaque accumulation. Always brush your teeth twice daily-morning and night in vertical direction. Please visit your dentist and get a thorough check-up. Get professional cleaning and root planning for your teeth. Use soft-interdental brush and mouthwash to clean your teeth. Thick saliva may be due to more mucous secretion in the saliva. Always clean your mouth after every food intake. Check for any decay in mouth as it can also cause bitter taste in mouth. If present, it has to be restored. Hope you get well soon." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am having dizziness for nearly 10 years can t sleep well at night there is a lot of fluid came out of my mouth when I sleep at night and I feel there is a lot of fluid at the back of my head and in my ears and mucos on my throat all the time and nausea .already have a MRI for my head an have a lot of test for nose and throat at ent hospital and everything seem to be normal.", "output": "Hello! Welcome on Chat Doctor! I carefully read your question and would explain that your symptoms could be related to sleep apnea. For this reason, I would recommend performing a Multi Sleep Latency test to help investigate for this possible disorder. I would also recommend performing thyroid hormone levels, as thyroid dysfunction could lead to similar troubles. Hope to have been helpful! Wishing all the best, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I hurt my back by falling a month ago. Went 3 times to a chiropractor. Then to GP & drank Arcoxia for 8 days. The pain is still there & I have diarrhea in the mornings. Should I go back to my GP or wait and see if the pain subsides. It is worst when I sit.", "output": "Hi, It is mostly due to a pinched nerve that you had after the fall. The best way to treat it now would be with first line over-the-counter pain medications like Tylenol 3 times a day. You can also go to a physical therapist. That would be more beneficial than chiropractor. For the pain to go away temporarily you can discuss interferential therapy with him. If the pain is still severe, better to discuss it with your physician and get started on Ultra tablets. If it hasn't subsided after two months too, consult a Spinal surgeon and get an MRI done of your lower back which would help to find the exact cause and level of pinched nerve." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have had a wisdom tooth removed but now the pain has transferred to the tooth which is situated in front of the removed wisdom toothI have pain under my jawn not on the bone but under the jaw - hope this makes senseI have an appointment to see my dentist and am on antibioticsJus a worry now knowing what the pain could be", "output": "Hi there thank you for writing in Chat Doctor .pain in maxillary (upper) and mandibular (lower)jaws, or alveolar bone or teeth ...just do not worry about the site because pain can be radiating types. Continue your antibiotics' regime. Explain your concern to your dentist as you are having an appointment soon. I would suggest you to go for full mouth radiograph, and clinical examination of temper mandibular joint too. Write us back if any doubt take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband is suffering from Diabetes since last 15 years along with hypertension..Although BP is controlled by medicine but his sugar levels have never been in control. He is taking lots of medicines and injection lanctous ..Since last 3 yrs he developed diabetic neuropathy..Right now he has some discomfort , itching and burning sensations in his tummy. What should I do now to help him", "output": "Hi there, the most effective treatment is got the blood sugar lever under control that can b achieved with following things 1. Walk daily for 45 mins. 2. Take in Insulin Regular S/C according to sliding scale to get the blood sugar under control. 3. Do some work up and exercise.4. Modified diabetic diet should be taken. And for tingling sensation take vitamin complex capsules one cap before going to sleep with milk. I hope it helps Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been to my doctor for swollen lymph nodes a few times. They are all small and mostly in my neck. Ive had many sinus infections and allergy issues. My doctor told me they are normal nodes. I recently found something on my collar bone and I dont know if its a lymph node or a tendon. It is near the throat end of the collar bone and I feel something similar on the other side. It moves around a lot and doesnt feel very hard. I always worry about my lymph nodes and having lymphoma", "output": "Hi, Thanks for using Chat Doctor. Since you are suffering from many sinus infections and allergy, these lymph nodes may be due to infection. Since you are telling many lymph nodes get done one USG neck to see if any significant lymph nodes present there and also one complete hologram to check or infection or other blood related problem. Lymph nodes are normal structures present as a barrier and if only significant enlargement is a problem. Consult your doctor for local and systemic examination once and management. Hope I answered your question. You can explain how it is, pain, mobility, size, number, place, consistency, associated disorder then we can discuss particularly on that. Feel free to ask me if you have any further queries. Wish you good health. Take care. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,my son is 3 years old weighing 14 kgs. He is having stomach pain after eating then rush to the toilet, his partly walterly stools are dark brown to blackish with mucus. He doesnt like food eversince, he just enjoy liquids ive been stragling to give him solids up to now!", "output": "Hi, the symptoms that your child have, suggest that most probably he has acute gastroenteritis. Acute gastroenteritis results from infection of stomach due to eating food from outside, or taking contaminated water. Give soft diet to child. Prebiotic like enterogermina ampule should be given once a day for 3 days to increase in intestinal immunity. If black stools persist then Stool for rooting microscopy test should be done and examination by doctor should be done so that we may not be Miss any important finding. If black stool persist than antibiotic needs to be started. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi I am feeling tingling and numbness in the tip of the toungh and my lower lip and and some areas of thighs and head. I was slapped by my spouse 4 days back on my face which turned copletely right when he did that and feel my left head was painful for a day or so. now the new symptoms started...what should i do how do i approch the doc and what should i say.", "output": "Hi Dear thanks for your question, your having numbness on your lower lip and tip of tongue following a slap by your spouse on face, Dear this numbness could be due to trauma to your facial nerve, the 7th cranial nerve, which supplies the face, and lies relatively superficial in front of ear. Pain to head and thigh is also due to trauma to these parts. Consult some ENT surgeon, and general surgeon for your symptoms and be honest in revealing you history, as 90% of diagnosis comes from history" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 50 years old, have a hiatus hernia (with few problems). Over the last 18 months, although my diet has not changed (it has been checked and I am not overeating), my weight has gone up from 11.5 stone to 15 st. My arms, legs, etc do not look fat - but I look 9 months pregnant. My stomach is quite hard, is painful like I am carrying a baby. I cannot do half the things I used to. I can only lie on my sides at night and it is a chore to turn over several times a night to get comfortable. Any ideas please? - Desperate", "output": "Dear mister. This is typical for hiatus hernia. Your stomach gets bloated, your intestines too, also legal nerve is irritated and gastric acid is irritating your stomach. Your weight is risk factor as well. You need to avoid food which aggravate symptoms especially alcohol, coffee and fast food; need to take antacid medicines and do gastrostomy to evaluate size of hernia and necessarily for surgical treatment. Hiatus hernia won't regress spontaneously. It is usually easier to sleep on your left side and with raised upper body. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 56 and have over the years developed mild to moderate scoliosis in lumbar region. Back surgeon told me little how to correct it; PT means well but they are not telling specific muscles to stretch or strengthen. They ve given some good general stretches but I want to aggressively and scientifically reverse this. Should I bring the dray to PT with me and ask for more specifics? Can scoliosis be reversed?", "output": "If scoliosis is mild, it might not require any treatment. Only if its moderate to severe degree or for cosmetic reasons, its need to be corrected. And the treatment of scoliosis is primarily surgical. Medicines are not effective. Physiotherapy can help in strengthening the back muscles and help in halting progression of scoliosis, but physiotherapy cant correct the scoliosis. Don't be aggressive on exercise because it can cause overstretching of ligaments and can be hazardous" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son is 5 years old and recently had preop blood work done for tonsilectomy and adnoids. His ptt was 38 with the limit being 34. His absolute neutrophil count was 3000 above and his lymphocytes are low. His MCH and MCV were slightly elevated as well. He is not currently sick. But I would say his energy level is low and has been for a few months now. His blood work 6 months ago was perfect. Should I be concerned? We are seeing a hematologist on Wednesday as suggested and his surgery was cancelled.", "output": "OK, lets start with PTT : 38 is not considered prolonged since PTT is highly dependent on blood sampling, any reading above 40 should be repeated before making any diagnosis, so I think 38 is acceptable and don't warrant cancel of the surgery .the neutrophil count is normal(above 1500) , I need to know the total leukocyte count and the number of lymphocytes, nymphomania or reduced absolute lymphocytes count sometimes can follow an infection, it's not a must to have an acute infection.I think repeating the CBC after 2 weeks is the next step, and I highly suspect it to be normal. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi i am vicky 23yrs old from jind. my whole body is itching from last 4 months it also get worst at night and small red rashes becomes if i scratch it and i have tried many types of medicines also ayurvedic but i still get no relief from this. but due to this my family also got effected please help me how to cure it.", "output": "Hello Vicky, Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for you as follows:1. As you have itching with rashes for last for months, I would first think of \"chronic urticaria\", which can be due to many possible causes.2. I usually suggest my such patients investigations like complete blood counts, blood sugar, serum SGPT, serum proteins, serum total IGE levels, thyroid testing, ESR, CRP, urine examination & stool investigations as basic investigations. These investigations may give clue towards cause of your problem.3. It is important to know more details about you like - any allergies, any digestive complaints, any use of medicines, nature of skin, factors aggravating and relieving itching, etc. These details would help better to identify possible cause and therefore to make suggestions more specifically.4. At present, I would suggest you antihistamine like cetirizine or levoceitirizine in morning and HY Chat Doctor. 5. I would also suggest you to regularly apply moisturizing lotion or cream, especially immediately after bathing to improve moisture content of the skin and reduce itching.6. Please avoid skin irritants like tight-fitting clothes, woolen clothes, extremes of temperatures, particular soaps/deodorants/cosmetics that may be aggravating itching.7. Usually loose-fitting cotton clothes are best for patients with itching in my opinion. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you a very quick recovery and the best of the health ahead. Thank you & Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello. I fee burning (warm) sensation in the left side of the brain with nick stiffness. Also Yesterday I walk up speaking jeberesh (sounds not words) not sure if there is an correlation. Could you please help me decide if there is something to be concerned about?", "output": "Hello. I have been through your question and understand your concern. According to my point of view you are experiencing some episodes of confusion state. It has many causes with most of them being benign, but you should see your GP to start at least with a complete blood count and have you have an objective exam. As I said these are generally benign situation, and you should not worry, but neither you should neglect this. Hope this helps. Please feel free using Chat Doctor again." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "dear sir i have chronic pain from a car wreck. my mri report says i have mild spondylosis with a small central protrusion at L5/S1. this has caused me some pain to moderate pain to severepain. i saw something on the internet about a drug called neurocet. is it now avaliable.", "output": "Hello, I have studied your case. You can take neuroses Chat Doctor. Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain; you can take them consulting your treating doctor. You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case. I will advise checking your it B12 and it D3 level. MRI shows disc compressing on nerve root then surgical decompression is permanent solution. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello All, My Wife is pregnent (32 weeks) and yesterday we went for her regular checkup. As per all reports and my wife s condition is perfectly all right, her blood group is B +ve. But doctor has writen to take 3 Amp of Betnesol Injections 2 days (with 24 hrs gap). My wife has taken Dose of injection for 2 days. Today i was reading the articles about this injuction and i am much worried. Could you please advice if there is any harm for my wife and baby in taking the Betnesol Injection.", "output": "Hi, Betnesol (dexamethasone) is a corticosteroid commonly prescribed to increase the surfactant levels to enhance the process of lung maturity in preterm babies thus to prevent complications involving the heart, lungs and brain in the newborn. Common side effects in the mother include high blood sugar, increase appetite and weight gain, heartburn, gastritis or stomach ulcer, muscle weakness, or high blood pressure. It may also cause mood changes, anxiety, confusion and sleep disturbances. Common side effects in the baby include temporarily slowing of the babies heart rate and body movements, and slowed growth. It may also cause the baby to make less of its own steroid hormones after birth, but this usually resolves on its own and rarely causes any problems. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi there, my 6 year old son has had back pain,stomach pain and vomited twice in the past 3 days. Today he is not able to walk on his own,his legs seem to be weak. The past 3 nights he has not slept very well due to the pain. What could this be and what should i do.", "output": "Dear friend your back pain can be due to various reason like simple muscular pain. So a rest can do good to him. As far as abdominal pain and omitting are concerned the most common cause at this age group is indigestion acidity. There is nothing serious about that. Sleep deprivation and indigestion has made him that weak that he is now unable to walk. You allow him to take rest and provide him easy to digest food .my best wishes for your little one. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hii have a 2.5 years daughter. My wife breastfeeds her.we want to use a contraceptive pill. i read about the mini pill. Under which brand names it is available in Delhi,india. We have not used any OC Pill since her birth. My wife is 25 years old and healthy but thin.", "output": "Hello, Thanks for trusting us with your health concern. The mini pill contains only progesterone and all the available brands contain the same preparation, north Chat Doctor. The pill may be started from day one of the cycle or on the nearest Sunday, whichever is convenient. Before starting the medication, your wife needs to be evaluated if she is fit to receive it and there are no allergies to the medication and the Thorazine content in the preparation. Periodic evaluation to check the hepatic, coagulation and cardiovascular profile is necessary. Any breast masses must be reported immediately. The brand names \"Camila\", \"Micron or\" or \"North" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello mam in my last cycle egg was not ruptured till 22nd day .its size was increased till 37 mm.in this cycle the size of eggs was not increased on 18th day it was 15.2but on 21 day they got smaller.pls tell me what should i do.", "output": "Hi, welcome to Chat Doctor. Forum. Did you have the scaling on 22nd day of last cycle, 18th day this month, and on 21st day of the period? If that is the case also your doubt might be correct. But egg can't be visualized in scaling also, as it is a single cell, and you need an electronic microscope topee it. anyhow don't worry. If it is for conceiving consult a gynecologist, and have a baby. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my husband was just prescribed Prednisone, 60mg, once daily for 3 days to help fight the fatigue he is experiencing. He is a 3 year Stage IV Lung Cancer survivor, and we are not sure if the fatigue is from the cancer, the Xalkori, the recent whole brain radiation, or just because he hasnt been active in a few months. How will the prednisone help the fatigue?", "output": "Hi, Prednisone is a corticosteroid Chat Doctor. It is converted into prednisolone in our body by the livers specific enzymes; thus, it can be active. Usually, corticosteroids mimic the cortisol, the natural corticosteroid produced in our body. Therefore, prednisone has many effects in our body. In cases of cancer (as your husband), prednisone is used to lower the bodies immune response and as a potent inflammation reducer. In regard to being fatigued, all the factors you mentioned (Xatori, brain radiation, being inactive for months) and especially cancer (with cancerous cells taking all the nutrients to your husband), all of them make him fell fatigued. To suppress his immune system (which is currently fighting against cancer with the help of Xatori and radiation), your doctors have prescribed prednisone. Hope it helped! All the best to your husband and all of you!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "SIR my dad is 73 yrs old. he is on haemodiyalysis since 7 yrs he is diabetic,hypertensive,and angioplasty since 14 yrs. he had liver problem HCV since 4 yrs. Now SGPT IS 83 and SGOT is 69 . he uses tyronorm 50 mg and velose .let me know what medication to follow for the liver problem?", "output": "Hello, Thanks for your query on Chat Doctor\"As\"per your clinical history is concerned your SGPT and GOT level is little high, so please check if you have signs like -Bruising easily, Itchy skin, Fluid accumulation in your abdomen, Swelling in your legs, Weight loss, Confusion, Chat Doctor. If anyone is present then it is a clinical sign of liver damage. So discuss with your [hepatologists] and he may also recommend a procedure to remove a small sample of liver tissue for laboratory testing. A liver biopsy can help determine the severity of the disease and guide treatment decisions. So talk with your doctor for antiviral medication combinations like [sofosbuvir 400\u00a0mg/velpatasvir 100 mg]for up to 12 weeks to clear virus from blood. Hope that helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m 25 in excellent health and newly married. After my bachelors weekend and my honeymoon I ve dealt with puffy ankles. I went to doctor and my alt is 145. Doctor said I have liver damage and should never drink again. Has anyone else had this problem?", "output": "Hello! Thanks for putting your query in Chat Doctor. I am a Gastroenterologist (DM). There are many causes for elevation of ALT like alcohol intake Hepatitis B and C virus, Wilson disease, autoimmune liver disease etc.. So I will suggest you to visit a gastroenterologist for evaluation and appropriate management. Meanwhile:1. Do reduce your weight by diet and exercise2. At least 30 minutes aerobic exercise per day3. Low fat diet4. Take tablet Ursodeoxycholic acid and Vitamin EI hope I have answered your query and this will help you. If you have any further query I will be happy to answer that too. Remain in touch and get-well soon." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "So my boyfriend had been waking up in the morning with brown stuff on his teeth and a little bit on the sides of his mouth. It doesnt smell, I asked him. He said it happens some morning. It he doesnt know what it is or anything of what could be causing it. It kinda worries me so Im looking around. What do you think could be happening,?", "output": "Helloi have gone through your query.How's his oral hygiene? Brush twice a day, flossing once a day? Mouthwash? How's his diet? Any brown stuff during the day as well? Smoking? Alcohol? Relevant medical history? Last time he had a checkup or dental cleaning?There's alot of factors to consider. Sometimes it can occur due to gingivitis.it can cause gums to swell and bleed and if mixed with your saliva at night the brown discoloration could stick to your teeth. It can be due to the salivas' viscosity also. Some people have thicker and discolored saliva which will stick to the teeth better. You may want to go to a dentist and get it checked out. Hope this ans helpsRegards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im 65yo female... I used to have asthma as a child (until about 11yo). Lately, Ive been taking cruises (in my retirement) and when there is a Norovirus epidemic, the ship sprays all over with stuff that I immediately start to cough and asthma sometimes has progressed to not being able to breath. May 5th Im on my way to a one month long cruise, and Im terrified that this may happen again (the most that Ive been in a cruise ship has been half of that....14 days.", "output": "Hi, thanks for using Chat Doctor It is understandable to be afraid. You can reduce your chances of an asthmatic attack by carrying your preventer medication with you. You should consider starting it before you leave and continuing it during the course of your trip. The preventer, if used appropriately would reduce the chances of an acute attack. You should consider speaking to your doctor, he or she may suggest increasing the dose of the preventer while you are away.Additionally, you should always walk with your reliever inhaler, remember it is sometimes difficult in an acute event to take the reliever properly, so you may want to have an bedchamber with you so you do not have to do the special breathing that is required when using the inhaler on its own. Consider taking a course of prednisolone with you in case you need it. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor, I am facing a problem. I masturbate daily. I wake up I masturbate. I come from ofc I masturbate. If I dont then there is some sensation in genitals which make me masturbate and then I feel good. Masturbation is not affecting my ofc work but it does affecting my work at home. I think it has affected my memory. I read some sexual stuff on net and this eats my 2 hrs daily. I almost daily watch porn pics though i have stopped watching videos. I tried stopping masturbation but i think i am low on will power. After 2 days i again start doing. I even tried to decrease frequency but again after some day i do it daily. I had a good memory once but now it takes a lot of effort to study anything. Even while studying I masturbate. Please tell me the solution for this.", "output": "HIT hank for asking to ChatDoctorI can understand your problem, this is real situation this is kind of addiction, but you can come out of this all you have to do is control your thoughts try to be with your best friend share the talk, read nice books, take interest in nature, if this does not help you then in my opinion you may need psychiatrist help, but you have to try it on your own first, hope this information helps you, take a good care and have nice day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been very worried lately as to whether I have cancer or not. I have Leukoplakia from smoking but I am noticing tiny bumps towards the back of my tongue leading into my throat. When I swallow, it almost feel like somethings back there, and every now and then it burns slightly as if the inside of my throat is being scraped. Does this sound like cancer?", "output": "Hi, dairy have gone through your question. I can understand your concern. You have leukoplakia. It can be simple keratitis or squamous cell carcinoma. You should go for biopsy of that area. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, i am 27 years old. i started having problems with my lower left and right abdominal pains, most of the time my lower right hurts bad. It all started in 2008 when i was 4 months and i had an abortion , after aborting i had sex after a week. I am having sharp pains and at times i think i have appendix. i went to see a gynocologist telling me that my pelvic is inffected..... my fiance and i have been together for 5 years now and i can t bear any children.... PLEASE HELP ME. um scared i dont know what to do.... what is really wrong with me??", "output": "Hi welcome to Chat Doctor forum. Thanks for calling Chat Doctor. F. Most probably you are suffering with pelvic inflammatory disease, because it is followed by an abortion. You must be having leucorrhoea, brown and smelling discharge, or dysmenorrhoea(pain during periods). After 5 years also you didn't have pregnancy, and you had an abortion, so you must be having P.O.C.D. and after abortion you must have developed infection. You never had appendicitis because the in that case the pain will be only on right lower side and the pain is acute, a requirements an immediate medical help. I advise you to consult a gynecologist for diagnosis and treatment. Wishing you an immediate and complete recovery. Best regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My grandfather of age 80 years weight 43.6 kg , recently dignosed as tuberculosis and under medice macox plus 450 01 tablet (empty stomach) nulev-500 01 at night randec-150 bd with richnim 1/2 tab bd since last four days . He is suffering frm gastic issue and not hungry . He is afraid that started avoiding the meal. On consult to physician he has given Digestozym syp for three time which also not appears to resolve his issue. Kindly recommend possible solution considering his age and problem. With thanks om ji", "output": "Hello, I understand your concern. I am Chat Doctor, infectious disease specialist, answering your concern. TB treatment can cause gastritis, it is very common phenomenon. In my advice your father should continue the medication, this treatment requires some time to get adapted. Once your father get adapted the treatment becomes very smooth. Prescribed medication was right and appropriate you can continue with it. Your father can take the medication with the cold milk, this can decrease the gastritis and helps in discomfort of stomach. Please do not discontinue treatment because once discontinued it will be very difficult to treat it once again. I will be happy to answer your further concern you can contact me here, or you can contact me on bit.ly/ Chat Doctor. Thank you, ChatDoctor" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m 35 weeks pregnant and for a time now have had throbbing pain off and on - both in my back and strangely, around my left clavicle . I broke the clavicle in a car accident 5 years ago and had it plated until it was healed, the plate was then removed. It doesn t normally give me any trouble but when I have this throbbing in my lower back, it seems as strong in the clavicle area. It s not even necessarily very painful - although its a very thin line between being painful or not, and it is a very strong, pulse . Could this be linked to blood pressure? When I had it checked 2 weeks ago, my bp was fine, as it has been throughout my pregnancy. I could understand the back pain , but particularly confused as to why my clavicle would be throbbing. Thanks.", "output": "Hi Haida. It is natural to have some off and on BCK pain at your stage of pregnancy. So no need to be worried about that unless its severe or persistently bothering. As the pregnancy progresses, the heart and lungs in the chest cavity are pushed upwards and also there are a lot of changes that take place in the circulation and blood volume. The throbbing the you feel in your left clavicle region may be due to the heart and big blood vessels moving upwards, which is normal for you. As you have been operated twice on left clavicle, there may be some hypersensitivity due to the scarring there. But nothing seriously seems wrong. Do get your regular checkups and mention this to your obstetrician. Wish you good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "The clinic has changed my pill frm oralcon (5mnths) , to nordette( 2) month this, im angry al da tym, weepy, light pain on lower abdominal side( ryt). Spotting,could this b a side effect, on oralcon i did have sum problems but they stoped aftr my 3rd cycle.", "output": "Degree understand your concerns went through your details. Most side effects of Corvette are not serious. The most common such effects are nausea, vomiting, bleeding between menstrual periods, weight gain, breast tenderness, and difficulty wearing contact lenses. These side effects, especially nausea and vomiting, may subside within the first three months of use. Anger and irritation are not commonly seen as side effects. You could be facing these problems because of your anxiety towards this Chat Doctor. Consult your doctor. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "49yr old female type2 diabetes for 7 yrs...having an bilateral great toe ulcer, non healing for last 1 year. Right:1/2cm left: 3/4 cm Margins irregular HbA1c:9.0% VPT: grossly impaired doppler: normal ABI: Right- 1.01 , Left 0.92 What are the plans regarding treatment of ulcer", "output": "Hi, dairy have gone through your question. I can understand your concern. Cause of your non-healing ulcer is diabetes. It impairs the vascular supply. Your HbA1c is very high. Which suggest poor control of your diabetes. So you should control your diabetes first. You can take insulin or oral anti-diabetic Chat Doctor. Once your sugar is under control your ulcer will heal faster. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor, I Am Male Of 19 Years, My Weight is Just 50 kg, My Height is 5 feet 9 Inches I want to put up some weight as if i am Very thin & want To Gain weight Faster i opted for supplement named Endura mass or Protinex . In Morning When I wake Up I Feel tiredness and drowsiness, 3 Years Back I also Suffered From A Serious Jaundice....Will It Be Good To Take These Health Supplement...Please SuggestThank You", "output": "Hello dear, I have gone through your post in which you have asked about Endure mass & Proteinex. Endura mass & Proline are products made of certain nutrients and proteins which are helpful for gaining weight. But these products are only dietary supplements & should not compromise on routine healthy food such as:1. Consume more of natural diet like fresh fruits, green vegetables, milk, eggs, wheat, etc.2. Avoid oily and junk food.3. Stay away from smoking & alcohol. Best is to stay active, exercise regularly, avoid stress, get good sleep, think positive and stay happy. Wish you a healthy life. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi. i was just diagnosed with a shatzki ring, small hiatal hernia and reflux after a barium swallow today. occasionally i will find myself just looking to take an extra breath only when lying down. doesnt last long and im not even sure you would consider it shortness of breath. but i forgot to ask the radiologist if this occasional symptom is normal with my diagnosis.", "output": "Thanks for your question on Chat Doctor. In my opinion you are having reflux disease. This is known as HERD (Castro Esophageal Reflux Disease). It is very common with hiatus hernia and shark ring. It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up and cause the symptoms. It may also cause cough and sens sensation of breathlessness. Try to follow these steps for Reflux Disease. 1. Avoid hot and spicy food. 2. Avoid large meals, instead take frequent small meals. 3. Avoid stress and anxiety. 4. Start proton pump inhibitor. 5. Go for walk after meals. 6. Keep 2 - 3 pillows under head in the bed." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ive had a problem with my neck poping for years. Im only 24 but have done hard physical labor all my life. Recently ive had a strong shock feeling down my right arm and sometimes so bad my arm involuntary moves. Not sure what it is or what kind of doc to go see about it", "output": "Hi, thank you for providing the brief history of you. A thorough neuromuscular assessment is advised. As mentioned you were a hard physical labor and also now having strong shock feeling down your right arm, I feel you need to consult an or tho and get clinical neuromuscular assessment done. By which the cause of injury can be understood. Also, your or tho may ask for an MRI of cervical spine to see the soft tissue injury, by which the next rehabilitation plan is prepared. As per me, due to hard physical labor, you may have now called as cervical spine degenerative disc disease, for which the disc is giving pinch on the nerve root/s where you are getting such symptoms, With the combination of medication and physical therapy, symptomatic pain can be relieved and also strengthening of the muscles can be performed. As in 99% of cases in my clinical experience the patients responds well to physical therapy and the normalcy is attained in 3-4 weeks. But in the later stages, you may have to perform exercises regularly at home to make sure the muscles of the neck are strong enough to hold the head. Regards. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doctOr ! I have been masturbating since i was 16 and now iam 19 so at the start i just did it for fun and it has become a addiction for me ... And now i feel like ive lost my energy and enthusiasm in doing something and also i feel like my eye sight has reduced .... Will too much masturbation bring problem ?", "output": "Hello much indulgence into masturbation in harmful to the health I would advise you to follow these guidelines to avoid any kind of. Stimulant like pornograpChatDoctoraterial, movie or visual stimulation Concentrate on your study Play some tapestry to be with family or Friends, try to avoid being alone. Develop good hobbies like reading or playing and enjoy you should take multivitamins and good food supplements to restore energy and vitality Hope this helps you Please feel free to ask for follow up question wish you good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My Auntie has emphesema and currently in the hospital for respiratory distress. she is currently on a respirator & they tried to take her off but she cannot breath on her own with the oxygen so theyare suggesting to put a trachea in. her lungs are very bad & low functioning. do you think the trachea will work?", "output": "What they are talking is to put an Endotracheal tube inside her lungs & she will be made to respire on artificial ventilator which will give & control the breathing of her from outside so no worries of her lungs being weak or anything. Secondly she may be weaned of the ventilator once she starts taking efficient breaths by herself. Secondly they may be putting her in ICU to observe & give her appropriate bronchodilators & antibiotics. Thanks to contact Chat Doctor. Hope I helped to clear your query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i am kundan age 32 weight 90 approx height 5.\"10\" suffering from anxiety attack were have the feeling that i will collapse since last 4 years but doing lots of ECG and other test but its normal only trychardia detected since last 15 days i develop the blood pressure of 130/100 doctors precribed me tazloc or telpres h 40mg and etizolam at bed time but while i take the bp medicine i feel like driziness,collapsing it will happen till 1 hrs then i get fine what s the prblem kindly suggest", "output": "Thanks for your question on Chat Doctor. I can understand your concern. No need to start antihypertensive Chat Doctor. Your slightly elevated blood pressure, tachycardia etc. are mostly due to uncontrolled stress and anxiety. So we should first treat this stress and anxiety. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. Counselling plays very important role along with anxiolytic " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was bitten by a horsefly about 36 hours ago on my forearm. My arm is very swollen and redness and inflammation is spreading. Its grown by at least an inch in each direction in the last six hours. The swelling reaches my wrist and my hand has a constant dull ache.", "output": "Hello, Welcome to Chat Doctor, As you were bitten by fly 36 hours ago and following which you have developed a swelling on your forearm over the bite site, it could be due to the toxins release by the fly. The fly which has bitten you should be identified to have a proper antidote against the fly bite. The swelling and the pain are the normal response of the body towards the fly bite. For your symptoms I would suggest you to follow1. Apply Ice packs over the bite site2. Parental antihistamines like In Avil3. Parental HY Chat Doctor. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Itching, followed by red rashes and stays forever. Using propygenta-NS cream stops further growth but marks remains.Got allergy test done and found allergies to tomato, house dust, mushroom...avoiding it totally but when in exposure, symptom increases.Question - can allergy develop at any age..?Is there any other medication, which could help check this problem", "output": "Hellos propylene_NS providing relief in local itching is a very good option. In your case, you know the causative factors which are responsible for allergy, so take care for avoidance. When such type of patient visit I advise them to take montelukast+ fexofandine 1 tablet twice in day for 1 month. After one tablet in the night for one month. Thereafter, one tablet on alternate day. Thereafter, one tablet twice in week for 6 months and in my patient results are very nice and encouraging. Hope this thing help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m a 38 year old female. I recently had a CT scan and abdominal ultrasound that showed my left ovary is 4.7 x 4.5 x 4.6 with a complex septated cyst which is 3.8 x 3.5 x 3.5 . I also have non specific fluid in my pelvis and pelvic phelobiths. Fatty infiltration of liver. 2 right kidney stones.bibasilar pleural thickening. I have protein, blood, hb/myoglobin, ketones, bilirubin and squamous epithelial cells in my urine along with mucus and a hazy appearance. There is also crystals. Specific gravity is elevated. What could thus be and I m most worried about ovarian cancer? Also had hpv in my early 20 s. Had hysterectomy in 2012 but still have both ovaries. Going back next week for another ultrasound and follow up appointment.", "output": "Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Multiple cysts in left ovary without involving the other areas is possibly benign.2. In the forties, the common lesion of ovary is usually serous cyst or mutinous cyst. As it is multicystic, it is possibly mutinous cyst. Judging by size, I could think of polycystic ovarian disease.3. The specific gravity in urine is elevated due to presence of protein, blood and myoglobin. Need a renal biopsy to identify abnormality in kidney.4. Its not malignant ovarian cancer. The size is also small, maybe mutinous cyst or polycystic ovarian disease. Hope it helps. Any further queries, happy to help again." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Skipping or delaying a dose of Temodar? I have a Glioblastoma stage 4, discovered 10 months ago Dr. operated 1 week later. Did standard 33 day radiation treatment with temodar for 45. am currently 49, on the 5/28 day plan, month 7 of 12. I have a once in a lifetime opportunity to work with a ministry school in Manila, Philippines for 4-5 weeks. What would be the ramifications of skipping a dose or delaying it for a week or two.", "output": "Hi. I would advise you not to skip a dose or delay it. You can take the medicine while working. Your medicine is to be taken by mouth. Many of my patients who are taking injectable chemotherapy come on short leave from office/job, get their chemotherapy and go back to work. You have to take capsules for 5 days in 28 days. Hope I have answered your query. If you have any further questions I will be happy to help. Wishing you best of luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have sciatica. I am ready for hydrocodone/ibuprof 7.5-200MG TB. Not help to much. So, i bay today motrin IB. I don t no how many pils used for may problem. Next week go back to doctor for visit. Thank you and sorry may English no to good! Maria Deak YYYY@YYYY", "output": "Hi Maria, Thank you for posting your query. I have noted that you have sciatica. I assume you meant you have back pain and radiating pain to thigh/legs. This is often caused by compression of nerves in the lower back. For symptom relief, you can take pregabalin or gabapentin capsules. The usual dose for pregabalin is 75-150 mg daily and gabapentin is started at a dose of 300 mg twice daily. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, Chat Doctor. Ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 53 F, I recently had a angina attack. My pressure was 167 over 105 after the incident. I was asked to keep my pressure. It changes from 160s over 100s to 80s over 50s, and this is when I am just sitting. I am having sweats. Is this something to be concerned about???", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Yes, this is matter of concern. You are having fluctuations in blood pressure with the sweating with the recent angina attack. So we should definitely rule out coronary artery disease (CAD) for your symptoms. So get done ECG, 2d echo, stress test and coronary angiography. You may need anti angina (nitrates and Nicolas) and other cardiac supportive Chat Doctor. Don't worry, you will be alright. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor, My wifes blood report saying WBC 25.2, Lymphocite 11 %, Granulocyte 77 %, RBC 4.41%. In remark it is said Neutrophillic Lecocytosis with mild shift to left seen. Is the report serious? Doctor has advised for Biopsy and aspiration of bone marrow. But she does not have any health issue? we are very much worried, pl advise", "output": "Hi, Does your wife have a fever or any other symptoms? What was the reason for this blood test? The interpretation of the blood test depends on the clinical symptoms and signs. Neutrophil leukocytosis could be just due to an infection, and then it resolves as the infection is cured. Sometimes this might be due to problems in the bone marrow. If your doctor has suggested a bone marrow examination then you might want to go ahead with it. This will help in finding out the cause for the anomaly in her blood." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "both of my ankles and calves are swollen daily, I sleep with my legs elevated and in the morning the swellings have reduced, but after being up a half hour the swellings return and on and off during the day I get sizzling sensations in different parts of my legs.", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have swollen ankles & calves. Well there can be many reasons for symptoms you mention in query like blood clot of the leg, infection in the leg area, venous insufficiency, organ failure like heart, liver, or kidney, lymphedema. I would suggest you to keep your legs elevated, lower your salt consumption and do light exercises like brisk walk for 15-20 minutes daily. If condition doesn't get better than consult general practitioner for proper examination. Doctor may order ECG, blood test, thumb pressure test along with physical examination. Doctor may refer you to cardiologist for heart failure or nephrologist for kidney problem. Doctor may prescribe beta blockers along with diuretic. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor! We are a marrier couple for last 15 months and have been trying for a child for last 5 -6 months seriously. Last month my wife had severe pain during the periods and also had some lumpy blod clots coming out. We seen a doctor who suggested some test and she detected a small cyst . Also suggested some medicines along with Lupigest 200 which was asked to be put through her Vagina . We follwed the same and have also had intercourse during the time span suggested by the doctor. My wife last month cycle was on 16.01.2012 (january) and was due around 14 - 16 th of this month (February 2012) but she did not had the period. We thought it could be a good news for us. As we planned to see a doctor this week, just today 29.02.2012 the period started. I am shattered to hear the same and dont know what is causing this. can you please advise? Thanks.", "output": "Hi there. I have read and understood your problem. It appears that your wife is suffering from heavy bleeding with irregular periods as well which can explain why she did not have her period on time as before. The Lupines is a hormone which should regularize her cycles in a few weeks so that her cycles will be back to normal and may attempt to get pregnant again. Do not lose hope and be distraught. There are many causes for the heavy bleeding, some of which are due to hormonal disturbances in which case Lupines should be of adequate benefit. Once the cycles are regular again, her Doctor will encourage both of you to conceive again. I hope I have answered your query. I will be available to answer your follow-up queries." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi... iam from Hyderabad... my age is 30yrs iam having rashes on my pennies, when iam trying to wash it its getting dam pain and showing red colour crack on front part of the skin and inside of skin are found... to avoid or to cure iam been using anti septic cream and white petroleum gelly... pls help me how i can get relief of my problem...", "output": "Hi Dear, Understanding your concern. As per your query rashes in penis seems to be due to yeast infection of skin. Need not worry. I would suggest you to wear keep area clean and Chat Doctor. Wear loose and cotton clothes. You should apply topical antifungal ointment i.e. Clotrimazole over the affected area as it will give immediate relief. If symptoms keep on persisting visit dermatologist once and get it examined completely and start treatment after thorough examination. Hope your concern has been resolved. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am a 42 yr old female... never had skin problems but the last 2 weeks i have been getting bumps on my arms and neck that look like mosquito bites.. very itchy,,, i scratch so bad that they bleed .. my hands are very itchy.. swelled up.. feel like they are on fire and there is no relief.. ive tried benadryl .. allergy meds... all types og anti itch creams and nothing is helping me... and now ive been running a fever.. any ideas??", "output": "Hello, The bumps on your neck and arms being very itchy suggests it may be cholinergic urticaria and high dose long acting antihistamines will help. Fever, joint pains, rash that does not disappear but looks like a bruise or leaves a scar needs further investigating to ensure that it is not a form of vasculitis (inflammation of blood vessels). However, just a fever is not suggestive of this condition, and a viral infection triggering the itchy rash is usually the most likely explanation. If the fever continues, do ensure an infection screen is done, and you are on the right antimicrobial but continue on the antihistamines until the rash is well gone for 2 weeks and then stop the antihistamine tablets. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "a friend of mine was admitted almost two wks ago w/a problem falling down. scans show lesions on brain and kidney . her heart is too weak to do a tissue sample of the brain...does this sound like cancer? She is still in hospital...a FNA of liver was done yesterday. Just a general answer would be nice. She has not been told what is wrong or suspected.", "output": "Hi, Simply based on this clinical history comment on diagnosis will be very difficult, But lesion on brain and kidney seems to be suspicious. Age of your friend also be useful information. Why FNA from liver was done is not clear for me, as you have mentioned lesions in kidney and brain. Anyway, if any malignancy is there can be suspected by the radiologist, You may better consult your radiologist." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had a kidney infection, this is the fourth day. The first three days I was drinking alot of extra fluids. I still had the urgency and frequency with little urine output. Today I havent been drinking extra and my frequency and volume has increased and my urine is completely clear. This is also the second day of my antibiotic. I havent been drinking extra but Ive still been drinking and I feel a little thirsty. Is it just because my antibiotic is starting to work or could it be something else?", "output": "Hello and welcome to ask a doctor service. I reviewed your query and here is my answer. As you said your urine output is increased and you also Chat Doctor. It is often advised in kidneys infection to take more fluids as it lowers burden on kidneys and make them work good. Besides this, as you mentioned that your urine is clear, so it means antibiotics are working, and you need to complete its course. Don't stop in the middle. And do take fluids more. Hope I answered your question. Feel free to ask if you need further assistance. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doc im 46 yrs old female fm,i hv had vitiligo patches since last 9 mnths on thighs ,hips and on feet .though they r abt 5 _6 only ,im on betnesol forte twice a week,melenocyl thrice a week followed by uva lamp expose.a tab of follivite twice daily ,melgain lotion at nite.but 4 months aftr betnesol forte i hv put on 2 kgs,my patches hv recovered 70%i want to knw how long will i hv to continue betnesol and if i leave can the patches reappear. xyz", "output": "Hi mads, Thanks for writing in. You are taking pulse therapy of steroid for vitiligo. You can take it maximum for 2 years. You can stop before 2 years if you have repigmentation more than 90%. Steroids can have serious side effects regular monitoring by dermatologist is essential for patient on pulse therapy. The pigmentation achieved is usually stable. It will not reappear on stopping. Consult your dermatologist for continuing the Benson tablets. Hope this helps. Regards. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, im 34 weeks pregnant with twins and have a really terrible cough. it feels tight and wheezy and is non productive but i keep coughing violently, sometimes until i am almost sick. my ribs ache and my stomach muscles have been strained. can i take anything other than honey and lemon syrups/hot drinks and paracetamol? its doing my head in and severely interrupting my sleep!", "output": "Hi, Please see a chest physician immediately. You can definitely take other medications which will be more helpful and help with the cough. At 34 weeks your babies are quite mature, and you need not worry about affecting them with the side effects of the medications. You will require a good anti-tussive cough syrup, and also probably antibiotics, especially if you have been having the cough for long. Do not worry about these affecting your baby, as maternal health is very important for babies health and development. Only if you are fit can the delivery of the babies be uneventful, if you don't recover well, then it may complicate delivery. Also, if at all the chest physician requests an X-ray, do not hesitate to get it done, with an abdominal shield. Proper diagnosis will help in recovery. Hope this helps. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Doctor,I have been diagonised with cyst in stool and stool report mentions: cyst in stool-E .Histoytica:1-2/HPFI have pain below the navel and on passing stool get some relief and also have a history of amoebasisPresently i have been advised to take Nizonide-O for 7 days and even after taking the doses for 6 days have not got much reliefKindly advise whether any other medication will help in clearing this problem and how do i know whether it is completely curedMy age is 45, Height is 58 feet and i weigh 77 kgsWould highly appreciate if you could mail me on my email address: YYYY@YYYY or YYYY@YYYY Many thanksRakesh", "output": "Hi & Welcome to Chat Doctor. I appreciate your concern for the treatment of cysts of E.histologic. Nizonide-O contains Nitazoxanide (effective only for the trophozoites of E.histologic responsible for diarrhea or dysentery) and Ofloxacin (antibiotic used to treat bacteria infection like E.cold, salmonella, etc.). This combination however is not effective to eradicate the cyst forms of E.histologic which are responsible for the recurrence of meiosis. Diloxanide furnace should be given (three times daily for 10 days) along with Nizonide-O for complete treatment of acute meiosis. Hope the suggestion given above could be useful in total eradication of E.histologic infection involving your intestines." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, i have had a very bad cough over the last 2 months that seems to get worse with the cold weather, i have been to my local gp who have done a breath test which was good, tried anti biotics, anti allergy tablets and inhaler nothing works.>im worried may be something worse than it seems.", "output": "Hello, I'm sorry to hear you've been struggling with this cough for 2 months. Another common cause of coughing is reflux or heartburn. Symptoms of this include experience a burning pain in the middle of the chest, sour taste in the mouth, and coughing especially when lying down flat. You could try an over the counter acid-suppressant like sanitizing or omeprazole. Some people find benefit from using a wedge pillow or elevating the head of their bed to reduce reflux of stomach acid into the airway. Asthma is also a common cause of cough that can be triggered by cold weather. Asthma may not cause any abnormalities on routine pulmonary function tests (breathing tests). A methacholine challenge test (or bronchoprovocative testing) is another test that may be more likely to diagnose asthma if your symptoms are caused by it. Asthma is treated with various inhalers depending on the severity of your symptoms. I hope you feel better soon." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I started loosing hair since from age of 13years, i am 33yrs male. Now i have lost most of the frontal hairs. i want to know the remedy. I would also like to know the effectiveness of hair transplantation, its result, side effect, time taken and about good hospitals offering this facility at bangalore or ranchi. presently i m using Mintop 5% solution for last 2years.", "output": "Hi Dear, Understanding your concern. As per your query you have symptoms of hair fall which can occur due to stress, improper hygiene, fungal infection and could be due to hormonal changes. I would suggest you to start with Minoxidil lotion first to get proper results Do mild head massage. Apply Indian gooseberries. You should consult dermatologist once for proper examination. The doctor may order skin patch test, blood test, allergic test and physical examination and may prescribe supplements like Omega-3 minoxidil spray, and vitamin E. Doctor can check your reports and only then can let you know about results and side effects if any as sensitivity varies from individual to individual. Hope your concern has been resolved. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here... i have a pea sized lump in between the top of my breasts on my sternum. it doesnt move. i noticed it around two years ago but forgot about it and then i noticed it the other day when i pushed a press-stud against it it hurt. is this anything to worry about? thanks emma", "output": "Welcome to Chat Doctor .1. The symptoms / history suggest a benign lesion in between the breasts at sternum - possible cause could be lipoma - fat containing lesion.2. If It's not obviously visible and no significant pain or disturbance then just followup - no action required other than followup.3. If any concern and want to get rid of the lesion - get an ultrasound scan to confirm the nature of the lump, where it is existing from and where all its spread.4. A FNAC - fine needle aspiration cytology will help to histological diagnosis of the lesion.5. In benign lesion if causing any discomfort - it can be excised. Good luck. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "What are the criteria used to determine abnormality and possible malignancy in an ultrasound of an axiliary lymph node? When a scan leads to a biopsy, what factors typically were observed in the scan to suggest further testing? Should a doctor consider how long the lymphadenopathy has occured when considering if a scan or biopsy should be done? For example, if a person has lived with frequent episodes swollen nodes for the last 17 years and has no health issues other than the node soreness, would this fact eliminate the suspicion that the current episode of inflammation is due to malignancy? Do doctors regard client reported information such as length of occurance as irrelevant hearsay? How can a normal node have an adjacent blood vessel or be vascular if these traits are indicitive of malignancy? What causes vascularity in a non cancerous node? Do do doctors err on the side of unnecessary biopsy to protect themselves against litigation? Can one tell from an ultrasound what type of cancer might be present in a lymph node? For example does metastasized cancer appear different from lymphoma, etc? Would breast implant related ALCL typically be present in nearby lymph nodes? Should a late onset seroma cause chronic (lasting 17 years)lymphadenopathy to be suspect for malignancy? If a person had a late onset seroma that resolved spontaneously after 4 weeks should a dr be less suspicious of ALCL in a subsequent seroma? Can sports activity related irritation in an implant capsule cause lymph node inflamation?", "output": "Lymphadenopathy is best evaluated with a biopsy when suspicious.it can be due malignancy, histiocytoses, granulators disorders, and storage diseases. Specific infections can be diagnosed if tissues are appropriately stained. Ultrasound features can be distinguishable for benign and malignant nodes but It's not always accurate. Vascularity can occur in benign and malignant nodes but the features and pattern of vascularity varies. Complex nodes like central necrosis or cystic regions are highly suspicious but again not 100% for malignant. Most chronic inflammatory condition increase the risk of malignancy. Breast implants and related irritation of tissues leads to lemonades. But again ruling out malignancy is essential as missing out on the suspicion can be life-threatening later on. Ultrasound cannot differentiate cancers lymphomas etc. they only guide the doctor for s biopsy or further imaging modalities. They help in making decisions." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I keep having a sharp pain in my lower abdomen (right side) when I cough or sneeze. I have also had horrible stomach cramps and almost every time I eat my stomach gets tore up. I got the paragard inserted at the end of Sept. and have been having these problems for about a month now. Could these be normal side effects of the paragard or should I be worried?", "output": "Hi. Thanks for your query, read your history and understood your problems. Sharp pains in the right lower abdomen on coughing and sneezing, cramps can be due to Regard insertion. This may not be directly related. There is an additional possibility of the Salpingitis or ovarian problem. Slight possibility of transmigration. I would advise you the following:Ultrasonography of the abdomen. X-ray abdomen in standing position. An opinion of a General Surgeon and a gynecologist..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a pain on my right side in my back like by my kidney but I also have this crazy fluttering on my right side below my rib cage is this possibly related? I m thinking kidney stone as I take topiamate twice a day and am on my 2nd week of high dose of vitamin d 0000 iu before it was 0000 iu every other week for the last 2 years but levels were still at 15", "output": "HI, you said you have pain on right of your back, some questions need to be answered. Is it associated with urinary symptoms? What is the severity of pain? Is pain radiating from back to front? Is it more on bending? Pain in the back could be due to muscular ache or could be due to stone. Answers to above questions will help determine the cause. You may have to get an imaging study to pinpoint the cause. There are reports to suggest that Topiramate on long term intake can cause renal stone formation. Even long term vitamin D intake can do that. Best is to see your physician, who can clear your doubt. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, i am 39 years old. i am getting treatment for myoclonic jerk for 5 months now. almost about year back my chest, jaw and shoulders used to shake occasionally, and that became a regular feature, but i got to see a neurologist only from march of this year at which point i was told i was suffering from myoclonic jerk. can you please tell me how long does a myoclonic jerk last?", "output": "Hi, I have gone through your question and understand your concerns. Myoclonic jerks duration depends on the underlying cause. If an underlying cause is diagnosed (toxic, any medication, metabolic disorder, autoimmune disease, kidney or liver disease) treating the cause should stop myoclonus. In some cases no underlying causes is found, and in such cases, myoclonus could lest indefinitely, or could stop at any time, we don't know for sure. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to ans" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir, i got my blood tested and in blood report it is typhoid o so i taken medicine for 7 days i got cured but after few days i started suffering from fever again i went for blood test in report now it is typhoid ah so how long it will take to be cured", "output": "Hello, I understand your concern. I am Chat Doctor, Infectious diseases specialists, responding to you.- Tidal test is the decision making test. If it is negative means the bacteria disappeared from the blood. If it is positive means they are present in the blood.- So if the tidal is again positive, means you are having recurrence of infection. There is probability of resistant in the organism which causes recurrence. - you can do antimicrobial susceptibility testing and can give you antibiotic accordingly. I will be glad to answer your further query. Thank you for your contact to Chat Doctor. Wish you the best health. Thank you, ChatDoctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Four years ago I had endometrial cancer stage 2B. Five weeks external beam and 3 weeks internal radioactive seed 9 weeks after hysterectomy was completed. I am now 56 years old always non smoker with normal weight. Now my ESR and CRP are elevated and I am having headaches and some joint pain. No other symptoms. Should I be concerned about c", "output": "Hithanks for your query can feel your concerns Actually ESR and CRP are nonspecific tests, and they are raised in various conditions like infections, inflammations and malignancy. They may be raised because of joint pains you are experiencing. I advise you to take calcium and vitamin D supplements after consulting your doctor. You should get your eyesight examined by your doctor. You can take painkillers like broken. If your symptoms persist, and you experience weightless, anorexia , sweating , or another unusual symptom, then have a complete checkup by your doctor to rule out any evidence of malignancy wishing you a speedy recovery am available for your help regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello dr. I have problem of hair loss from the past 1yr. I have consulted with dermatologist and the doctor have recomended to use follihair tabs .Ihave been using these tabs from the past 1.5 months and its working but still i want to ask is there any side effect with the follihair tablets. i am also uploding the top view of my scalp. kindly recomend me the proper prescription.", "output": "Hello and welcome to ChatDoctorYour image will not be visible on this forum. Regarding your query, Collinear is a supplement with necessary vitamins, minerals,etc. for hair growth. There are no side effects as such. Capsules and hair oil can be started to reduce hair fall and help new hair growth. But the cause of your hair fall must be treated first. Be sure to re check with a doctor regarding the improvement in few weeks, to advise regarding further treatment. Apply Tress Go hair serum at night to scalp. Use a good shampoo like Anaphase or Renoir. Oiling the hair may be done only before bath for about 30 mins and wash off. Eat a nutritious diet and get rest. Avoid stress. Change of climate, water, pollution may be a cause. Any other illnesses, medication, low iron, thyroid disorders etc. can also cause hair fall so check if necessary. So do try to find the cause of your hairball so that the right changes can give you best results. Do keep in mind that family history of hair loss can increase your chance of hair loss and balding. Hope this helps you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter is 13, 165cm 125 lbs for the past three days has been experiencing back pain from the middle of her shoulders down to the lower part. It hurts to touch, she has no fever, there is no discoloration and to her knowledge she has not injured it playing sport. The only medical problem she has ever had was Tonsillitis & Pharyngitis. She is on the first day of her menstrual cycle.", "output": "Hi, thanks for posting your concern in the Chat Doctor. A radiating pain in the upper back in an adolescent needs further evaluation to rule out any abnormality involving the spine. In the absence of spinal abnormality, a gastrointestinal and chest examination will be needed rule out any esophageal or lung or mediastinal pathology. My recommendation is to visit your local doctor. After taking a detailed history and doing clinical examination and related investigations she will be diagnosed and treated accordingly. For symptomatic relief, paracetamol tablet (500 mg SOS, min 6hr interval) may be taken, but that doesn't rule out the necessity of consulting your local doctor. For any further questions, please write back to us. Regards. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi just had an operation on my hand for broken bone had an iv put in the other hand had no problems for 10 days then today felt a pain where the iv had been the vein was sticking right up its gone down now but has left a bruise i also felt really dizzy and shaky.", "output": "Hello, As most patients do have this common complaint of shaking of the hand, pain at the needle insertion site, etc. As this is one of the common reaction of the needle puncture and most patients do suffer that. Using icing will help easy the pain and doing simple hand exercises will also reduce the shaky feeling. Its common and nothing to worry. Regarding dizziness, we need to check other things like HR, BP, Pulse, Etc. but I don't think it is anywhere connected to the IV insertion by any means. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here...okay so a few weeks back I was applying lotion to my torso and I felt this weird lump on the right side just under my ribcage. Kind of feels soild, moves a little like rubber and when I pushed on it I feel nausea. I do lay on this side a lot and I have no health conditions. I am a bit overweight and I have recently lost some weight about thirty pounds. I do also take adderall 20 xr for add. I made an appointment....just feeling scared and concerned....any suggestions as to what this may be or am I over thinking this. The lump isnt painful but like I said it causes nausea when touched or pressed on", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have some soft tissue tumor like lipoma, neurofibroma or dermatofibroma. Or you may have some liver disease. You should go for ultrasound study first. Twill give you some idea about lump. Then you should go for fine needle aspiration cytology or biopsy of that lump if needed. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello sir,i am suffering from head spinning and after doing x ray i was told by a doctor dat i m suffering from SPONDALITIES......what are the medicines for its cure....its in a starting stage...and also i took B12 injection after which my head spnning has stoped but head is always heavy...i had unprotected oral sex with lot of girls in the past one year or so...but i did not have sexually intercourse anytime.......can i have any STDS and is head spnning a symptom of STD....KINDLY HELP.....my id is YYYY@YYYY", "output": "Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. This condition cannot be cured by Medicines need to undergo Surgery Please consult your Neurosurgeon at the earliest Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in Chat Doctor at http://bit.ly/ask" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "when i was a child i had an operation on my kidneys i dont know what/why it was for and also how much it would have cost i have a 6/8 inch scar on my left side above my hip and two closed over holes in my back like a small crater the only information i had on the operation was my waste was leaking back up into my kidneys", "output": "HelloThanks for your query. Based on the information that you have posted I would state that you had what is called as Mexico Ureteric Reflux.(OUR). Normally when one passes urine during micturition urine does not go back upwards due to competent mechanism that prevents reverse flow of urinal to ureter. But in OUR disease this mechanism is deranged due to weakness in intramural portion of ureter causing urine to flow retrograde in ureter and kidney causing UTI and damage to kidney what is called as Reflex Nephropathy. Since you have been operated in childhood and based on the description I think you have undergone anti-reflux surgery. You can get present status of your kidney function by doing following radiological tests 1)MVP.2)MCU and DMS scan. Thanks and Regards. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "a friend had a melignant lump removed frm his neckthen a pet scan inwhich revealed progression, he has been told he needs his tonsils removed and 3 teeth, and then 6 weeks of radiation and chemo he would like to have combined therapy! meaning aso herbal, where can he get advice on this, thankyou", "output": "Hi, dairy have gone through your question. I can understand your concern. He has malignant lump in his neck. Treatment depends on type and stage of cancer. He needs to remove tonsils and teeth, so he must have widespread cancer. It needs surgery plus chemotherapy and radiation treatment. If he also wants to take herbal treatment then he can take it. There is no harm in that. But for that also we need details about type and stage of cancer. Please MD your SLL reports. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My dayghter was in bed with me nursing and i am very tired and we both fell Asleep i woke to a thud and her face down on the floor She cried cant see any marks but she wants to go back to Sleep ? Should i take her a&e but she will sleep in Car and cant stir her as she in back", "output": "Welcome to the ChatDoctorIf color and breathing are normal, and you don't sense a problem, let your child sleep. There's no need to keep a child awake. Trust your instincts. If you aren't comfortable with your children appearance, partly awaken your child by sitting him or her up. Your child should fuss a bit and attempt to resettle. If she still seems very Chat Doctor. If your child can't be awakened or shows any signs of internal injury, call the doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was scratched by a cat on my hand. It pulled the skin back and caused bleeding, but bleeding was easily stopped with pressure and a bandaid. It appears to be healing ok. The cat went on about his business with no change in behavior. I currently feel like I m getting flu like symtoms. Is there any correlation?", "output": "Hello, I understand your concern. I am Chat Doctor, infectious diseases specialist, answering your query. Flu like symptoms has nothing to so with cat scratch. Cat scratch can cause two things two you. It causes infection, which has very little possibility in you as your wound is healing good. Secondly it can cause rabies. Since the cat is alright there is nothing to worry. I advise you to take antibiotics under your doctors' guidance. Maintain cleanliness and hygiene locally. It helps clear infection readily. I will be happy to answer your further concern, you can ask me on bit.ly/ Chat Doctor. Thank you. ChatDoctorInfectious diseases specialist." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m a 45 year old woman with prior back surgery hip fusion and Rods the surgery was and a half ago I am maybe 20 pounds overweight which I m working on I m already down 25 pounds I m 5 foot 3 non-smokerand I have not ate anything high in sodium North Salt,,/also I am on 15 milligrams a percocet 4 times a day no Tylenol thank you", "output": "If there is a degenerative arthritis for your hip as well problem with degenerative disc issue at your back then over the period of time the cartilage in joint will be damaged for hip joint. In this kind of cases patient needs to get replaced with joint or if the joint is degenerated a lot and not in position to get replace you need to undergo for joint fusion too. Both this option depends on your doctor how he is willing to operate as per patient condition. And he might have taken option to fuse the joint. Now as per your back is concern may be due to degenerative disc problem at your back at multiple level as well due to loss of lumbar curve and may be due to multiple disc prolapse your doctor may have taken vision to stabilize it with rode and screws. Now here since your explanation was not clear I have given the general idea on this. I am sure this will be useful for you. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just started college in the south, and ever since I ve been here, once or twice a week I ll get a sudden itching sensation and about 20 little red bumps will be on my skin. I ve had two spots on my legs and two on my wrists. The bumps seem to come out of no where and itch very bad. Do you think this is a type of bug bite? or maybe a type of skin rash?", "output": "Hi, It may be lichen ultimatum also called popular urticaria. It is a hypersensitive reaction to insects like bed bug, flea or else. Kindly consult the dermatologist for the perfect diagnosis and proper treatment. Antihistaminics like levocetirizine and steroid in tapering dose would improve the condition. Apply mild steroid cream. Avoid contact with insects. Hope this would help you. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi During the last 3 yrs, I have had 4 angyograms.2 needed stents due to blockages in the main arteries. The last was back in October. However I am still having pain in the chest which seems to go to my neck and upper left arm. I have been perscribed Nicorandil (10mg). I dread having any more angiograms and dont want to appear neurotic. What should I do next? The tablet do seem to be helping with breathing and to a certain extent I am able to walk further without being out of breath. (I am 72yrs) Do I just have to know my limitations and learn to live with this?", "output": "Hello and thank you for using Chat Doctor. I carefully read your question and I totally understand your concern. As you are a person diagnosed with ischemic heart disease, meaning having problems with coronary arteries that supply the heart, we allay suspect heart problems when a chest pain appears. You haven't mention the result of the last angiography. I should inform you that there is a slow risk for your stents to be occluded. This risk to have stenosis or blockage in the stents that you have is bigger in the first 6 months. So, if you tell that you do have chest pain it is important to exclude a stent stenosis. Or you might have stenosis in arteries that should be treated just by medications. But only coronaro-graphy could tell this. There is not a limitation for angiogram number if the doctor has strong suspects that it is something wrong. To decide if you should do coronaro-graphy again or not we should do a balance. If I was your treating doctor I will judge your pain if it is typical or not, but you explain it as a typical one and if it is possible a stress test to see the electrocardiogram evolution. So, it is important to know the full result of your last angiogram and then decide what to do. Hope I was helpful. Wish you good health. Best regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "can you please tell me what lobulated means? multilevel for the most part spondylitic changes? I have just had an mri of my cervical spine...also what are craniocaudal or can you give me a definition please? these are located in the Pons part of the brain? sorry its hard to try to type all of these medical terms....", "output": "Craniofacial just refers to the direction of a scan. The cranium is your brain, the caudal equine is your rear, therefore cranial is from your head, caudal means to your butt! As for tabulated, this just means something that looks like a globule, or something that has lobes, such as a thyroid gland or a breast. Sometimes when things divide or accumulate in a small area they seem to look loculated, with a structured appearance such as population. It is not a negative nor positive finding, I would not be overwhelmingly concerned. I hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Three weeks ago, I went to the washroom and saw that my stool was pale colored (NOT white but like a pale-ish very light wood color). I became terrified because Ive read via the internet that it can be a variety of the things. The most popular reason is the possibility that my bile in my gall bladder duct is obstructed by a stone(s) or might a serious liver problem. I have been a drinker of alcohol for many years, have had a bad diet that has consisted of a lot of greasy fatty food, and have also been taking Prilosec for my acid reflux (for a very long time) due to this sedentary lifestyle. A year ago my doctor had found that my bilirubin levels had increased by a little, therefore, she was not concerned at all but that I should cut out my drinking, which I did but, only for 5 months. Fast forward to one year later and this happens; I immediately call my doctor to tell her what occured but she told me that she wasnt very concerned or worried because I didnt display any abdominal pain, black tarried stool or brown colored urine and no other accompanying symptoms, and she said that it was possible that my diets the culprit. She also said that if Im really concerned that I should set up an appointment for blood work but to not be worried. It is now the fourth week, and I have changed my entire diet for the better. So, far my stools are back to normal. No pale stools. No nothing. Can someone with experience shed some light as to what might have happened to me that day? I am still a bit nervous. Is this reversible? Why would my doc say she isnt worried about this? Why is it that I should be worried ONLY if I have abdominal pain, dark urine, or jaundice? Please help!", "output": "Hello, balls, Thank you for contacting Chat Doctor with your query. I am glad that you admit abusing alcohol and I hope you are completely staying away from it. If you already have signs of liver damage from alcohol, this is the first step. Alcohol can cause what is called fatty liver where liver cells are loaded with fat and they can't function properly. If a person continues to Chat Doctor. There are also lots of complications such as bleeding from ruptured enlarged veins in the esophagus and stomach, build up of fluid in the abdomen and swelling of the legs and feet etc. You mention pale stool and your internet search showed you what the causes are. Yes, bile duct obstruction or blockage from gallstone or stricture from inflammation can lead to this. Stool is usually chalky due to lack of bile. Sometimes, the blockage can be inside the liver, the smaller channels that bring the bile to the gallbladder. That can happen with liver disease. I would suggest that you get a complete set of blood tests, including blood count, liver panel, and also a sonogram of the liver and gallbladder. Eat a healthy meal with whole grain cereals, nuts, fresh fruits, vegetablesand plenty of fluids. Exercise regularly at least three times a week. I also want you to take a good super B-Complex tablet daily along with Vit-C1000 mg. daily. Hope this helps you. I wish you the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Sir, This is liton from Bangladesh. I am working at HR dept. in a multinational company. Now in our country present situation is hot. Our workers are becoming sick. In last week, 10 workers have taken leave for fever. Please advice to take precaution so that we can circulate to our peoples.", "output": "Hello Heat stroke is a common thing due to hot and humid environment. The best way is to avoid physical work. If necessary consume plenty of fluid, water (with proper salts and minerals in it). Physical cooling with sponging, fans, cooling blankets and even ice baths should be initiated immediately in conjunction with intravenous fluids. So order your employs cover their head with some cotton clothes, Chat Doctor. Avoidance for hot and humidity is the best way. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My dentures are loose and I keep biting my cheeks when I eat. My top denture was just relinefd but my front teeth seem to rub my bottom lip and it causes it to blister and hurt on the inside of my lip. It is painful,will get better for a few days and then starts again.", "output": "Hi. Thanks for the query. It seems that along with being lose your denture is also not having appropriate vertical height and angulation of teeth. Due to this there is rubbing of teeth to the lips there is ulceration of mucosa. So my suggestion to you to consult a Prosthodontist and get evaluated so that if possible to adjust the present denture then it can be done, otherwise a new denture needs to be fabricated with proper measurements and procedures. For the sore if it is painful you can apply Lidocaine gel to relieve pain and also do cool compresses.Also, you can wear the dentures presently only if necessary to avoid discomfort. Hope this helps. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I suffer from osteoarthritis in spine I have two knee replacement s and had hip replacement last January my right hip operation was a success but have suffered extremely bad pain in lower back groin and front. Muscle all in right side but presently and now my left foot swells as the day wares on it gets worse but have no pain in foot I. Am taking various pill s for back and hip pain but am concerned with left foot swelling what can I do to help it", "output": "Hellowelcome to Chat Doctor, i had gone through your history and I have treated many patients with similar history. When I found such type of patients, I was treating them with following treatment. Any activity that leaves your feet on the floor, such as sitting in a chair, standing or walking can lead to swelling.1. Swelling in the foot, ankle, knee and thigh are common after total joint replacement.2. To prevent swelling, recline or lie down with your feet higher than the level of your heart for 45 to 60 minutes. Do this 2 times each day. 3. Wear elastic stockings to reduce swelling. If so, wear the stockings during the day and remove them at night. Wash the stockings with soap and water and hang them to Chat Doctor. 4. Avoid long car trips. If you must travel, stop every 30 minutes. Get out of the car and move around. This will prevent blood clots, decrease swelling and help decrease joint stiffness. 5. Do ankle movement upward and downward direction every one hour. It will improve your circulation and lymphatic " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had a hard lump by the crease between my leg and my vagina and the area around it is blue and red, no hair has grown back in over a month, the lump has been there for a month too. I dont have health insurance so trying to figure out what it could be and what i need to do for it.", "output": "Hi! Good evening. I am Chat Doctor answering your query. Irrespective of your insurance status, with the history and clinical state of the lump what you have stated, I am afraid you might have to get it clinically examined with related investigations as advised to get into the nearest diagnosis so that proper management could be done. Without a clinical assessment, it might not be possible to comment on this lump. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my daughter donated blood at a camp. they sent her a note saying her HbSAg was reactive and her AST was 52 ( the normal level is 5 to 40) and her ALT was 77 (the normal range is 5 to 40) her T Bilirubin is 0.5 (0.2 to 1.3) and Anti-HbC is negative. D Bilirubin is 0.1 (0 to 0.4) T Protein is 7.2 (6 to 8) Albumin 4.4(3.5-5). what does it mean", "output": "Hello, the presence of Bag means that an individual has come into contact with hepatitis B virus. There are some rare exceptions to this rule. If the core antibody (antiphon) is negative then there are two possibilities. (1) there is an infection that has not yet led to increased antibodies against core antigens(2) there is no infection and Bag is reactive because of other antigens that cause cross-reactivity. The second is the most likely scenario unless your daughter had symptoms as well. In any case a repeat and more complete testing for hepatitis is warranted. So, besides Bag and antiphon, also, please include the tests:- Head- antique- antics- liver function testing them in a couple of weeks would be appropriate unless she has symptoms. If she does, then she'll need to contact an infectious diseases or hepatology specialist to receive treatment. I hope I've helped! If you'd like more information, you can contact me again. Kind Regards!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "im 18 weeks pregnant, and i have just started passing bowel movements about 4 days ago, from where ive been really constipated. So i went and thought i had to pass a bm and it was very little but when i wiped i had blood all over the toilet paper? im scared", "output": "Hello, and I hope I can help you today. Constipation is very common during pregnancy. It is caused both by the hormones of pregnancy and some ingredients and prenatal vitamins. When your stool is very hard, occasionally it can cause some bleeding around the anus if a particularly large stool is passed. In addition, hemorrhoids, which are common cause of rectal bleeding, can develop during pregnancy. These are not harmful and can be diagnosed by an examination by your obstetrician. I suggest that you make sure that you Chat Doctor. Applying petroleum jelly or HY" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 73 yr old diabetic (53 yrs diabetic, last A1C 7.4) in good condition (was walking 3 to 4 dogs about 2 miles twice a day but cannot now) prior to this problem and have had difficulty breathing for about a month. This came on suddenly (overnight) after a long day working in the sun. Due to a shortage of doctors (Butte, MT) I have not yet been able to see a pulmonologist (sp?). The problem is intermittent with some days being near normal and other days totally debilitating. Heart and MRI are normal. I recently move from sea level to 5500 ft but had 30+ days to acclimate before this happened. Any suggestions?", "output": "Thanks for your question on Chat Doctor. In my opinion you should definitely consult pulmonologist and get done chest x-ray and PFT (Pulmonary Function Test). In high altitude oxygen concentration is low as compare to sea level. So one has to inhale forcefully and rapidly to achieve proper oxygenation. If you are having underlying lung disease like bronchitis, then at high altitude your problem will be more. So in your case we need to rule out this first by chest x-ray and PFT. You can do deep breathing exercise to strengthen your lung functions." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a platelet count of 75000. Age = 48 yrs Height = 162cm , weight = 72 kg I have the following symptoms : Fever rashes on face , foot , leg constant headache since 6 days uneasiness unable to sleep Is it possible that I have dengue? What is the possible course of action?", "output": "Thanks for your query at Chat Doctor! I am Infectious Disease Specialist! I went through your query! Your symptoms suggest you are having acute viral infection could be dengue also. I suggest you to investigate yourself for NS1 antigen and Dengue IG M antibody, Malaria smear and rapid test (ICT) and Tidal test along with blood culture. Usually treatment of dengue is symptomatic. Take NSAID to relieve fever. Chat Doctor. Take adequate rest. Get your platelet counts monitored regularly daily once/twice. If counts " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 9 year old daughter is excessively hungry. She says that her stomach actually hurts. If given the chance, she would eat a whole box of crackers, and then be excited that dinner is almost ready. She constantly sneaks food and it is rare to find her without food in her hands. Could there be a problem causing this?", "output": "Thanks for the question. By your description it seems that the child does have some problem either gastric, other systemic(endocrine/ neuronal etc.) or some psychological issue. You have not mentioned her height and weight which would have indicated to at least some things. In this situation it seems visiting a pediatrician will be of great help as a doctor can see more than you tell. Earlier the better" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, in december 2011, I had a roux-en-y bypass. I have lost 12 stone since then (73% of my excess weight) and my BMI is now below the maximum stated by my OB/GYN for help with infertility. Is there anything I can do to further increase my weight loss, which has started to slow? Also, I have been reading about a supplement called Ovablend (formerly PCOS blend) - would this help? Would Soy Isoflavones help also? Thank you.", "output": "Hi, Thanks for your query. I read your query and I understand your concerns. Following is my reply:1) Your BMI should return to normal for successful conception and live birth.2) There is no evidence to suggest that these medicines you have mentioned are going to help.3) A healthy diet and consistent weight loss should help you. I hope I answered your query. I will be available for any follow-up query you have." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am 25 years old. My husband and I have been trying for over a year. I have PCOS , started metformin in Sept, 3rd cycle of Clomid and progesterone last month after positive ovulation. I just had an u/s that showed 4 follicles, 2 on each ovary. I was on day 9 of my cycle. The largest one was 11mm. Is this good? What are my chances of conceiving?", "output": "Hi, Thanks for the query. Your follicle development is good. Continue the tablets and follicular study. After one dominant follicle reaches sufficient size like around 1.8\u00a0cm to 2 cm, to can go for Chat Doctor injection with your doctors advise. Ovulation will occur around 36 hours after the injection. And plan intercourse around that period which will increase the chances of pregnancy. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "dear Sir,my uric acid levels is slioghtly elevated , came to know in the recenet preventive jhealth checkups.i am having neckpain and also heavy headness.. is this becoz of uric acid. i am having HTN also .is there any relation between HTN and elevated uric acid", "output": "Hello, uric acid has nothing to do with either of your symptoms. The same applies for hypertension. Hypertension and elevated uric acid levels are sometimes interconnected but not causally. That is hypertension is not caused by uric acid and uric acid elevation is not caused by hypertension. They just happen to exist in combination particularly in overweight or obese individuals along with increased triglycerides, blood glucose, waist perimeter, low HDL (high density cholesterol) levels Ethan isolated uric acid elevation (that is without the other findings that I mentioned, particularly when lower than 9-10\u00a0mg/DL) is nothing to worry about unless you've suffered gout attacks, have had uric acid renal stones or have had uric acid skin nodules. If you're overweight, keep in mind that weight loss will make uric acid levels decline. Alcohol consumption is detrimental regarding uric acid levels control. I hope you find my answer helpful! If you'd like further information, please contact me again. Kind Regards!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi sir some time feel pain in my belly.i am haveng this probalam last four years some time i feel this problam totaly finshed and i eating properly and this problem comes again after six or eight month thanks doctor for replay me .but i have not found any space below for the question", "output": "Hi ! Good afternoon. I am Chat Doctor answering your query. The chronic pain in your abdomen could be either be due to some kind of infection, or due to some kind of sensitivity of the intestinal mucosa to any component of the food you eat. If I were your doctor, I would advise you for some modification in your diet like more of roughage, enough liquids, avoidance of oily, fried, and fast food, and avoidance of alcoholic beverages and smoking if you do with a regular routine exercise program like morning walk depending on your medical fitness. Prescription of a proton pump inhibitor and a liquid antacid might help. If there was no relief or if the symptoms increase in intensity, I would advise you to go for a routine stool test for ova and cyst and treat it if positive. An ultrasound of whole abdomen to rule out any possibility of a gall stone disease or any other intro abdominal pathology might be helpful. Lastly, an appointment with a gastroenterologist in case of no relief or increasing severity of the disease, I would refer you to a gastroenterologist for a possible endoscopic evaluation of your intestines. Further management would depend on the reports of investigations and result of a physical examination. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i was on depro birth control shot for at least 7-9 years not consistenly though. I had two early abortions and i didn t need any d&c. i been of the shot for a year now and have been trying to concieve. do you think i will ever concieve a child ? Or should i wait a bit longer i am 33yrs old", "output": "Hello, and I hope I can help you today. Since you have been pregnant before, there is no reason to expect that you should not be able to conceive spontaneously after going off the Demo Proverb. The fact that you terminated your pregnancies does not have any long term effects on your ability to conceive, and Demo, once it is out of your system, does not have any bearing on your fertility or ability to have a healthy child. Certainly there is no reason to delay trying to get pregnant if that is what you and your partner desire. However, sometimes it can take 6 months to even a year after stopping Demo for your ovulation to return consistently, so if you do not conceive easily right away, there is no reason to be concerned. I hope I was able to adequately answer your question today and that this information was helpful. Best wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Having constant chest pains on my left side. I have had two EKGs one dr said that it was abnormal and possible infection of the fluid around my heart and the other Dr said nothing should up on there EKG and blood work came back normal. But I am still having constant chest pains. What is causing this?", "output": "Hi. I can understand your concern. Chest pain is commonly seen in bronchitis and lung infection. Get a chest x-ray done if it is normal, no need to worry about lung infection. Possibility of bronchitis is more in your case. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT is needed for the diagnosis of bronchitis. It will also tell you about severity of the disease and treatment of bronchitis is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS)Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I took a weeks worth or less of the sprintec birth control realize that i didnt want to take them any more for the simple fact i am trying to conceive and produce my bundle of joy. I am wanting to know the side affects i may have and also what will my body go through or will have to go through after not taking this medicine.?", "output": "Hi, Thanks for the query. As you took the contraceptive pills only for few weeks, there may not be any major change in the hormonal levels. But better to avoid the pregnancy in the month when you took the pills. Contraceptive pills can lead to irregularity in ovulation and menstrual cycles sometimes. Usually these will become regularize soon by their own. So better to wait one to two months for regularization of the cycles. Once your cycles become regularized, track your ovulation either with kit or with follicular study. And plan unprotected intercourse around that period. This will increase the possibility of pregnancy. Start taking folic acid supplementation from downwards. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a tickle/cough when I drink alcohol. my doctor told me its reflux and prescribed prilosec daily. this doesnt help. it stats from the first sip, whether it be wine beer or liquor. also, my lungs hurt like Ive been smoking on some morning.. what could this be? I am 33 female non smoker.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Yes, possibility of reflux induced bronchitis is more in your case. Actually alcohol causes laxity of gastroesophageal sphincter. So reflux is more in patients who take alcohol. This reflux causes micro aspiration in lungs. And this causes persistent inflammatory reaction in airways. So bronchitis is common in reflux patients. So your tickling cough, hurting in lungs etc. can be due to bronchitis. So consult pulmonologist and get done PFT. If PFT is suggestive of obstructive Pulmonary disease then you need inhaled bronchodilators and inhaled corticosteroid (ICS) for treatment. Avoidance of alcohol should be the priority. So consult pulmonologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My mother had a MRI and results said they saw a leison on the brian. She had a dramatic fall on both knees and hasnt been the same since. Her doctor referred her to a neuro, her symtoms are pain in the legs, cold to hot, pain on her left side, we thought she may have had a stroke. what does leison mean in a MRI to the brain", "output": "Hello dear thanks for your query at ChatDoctorBrain lesions are abnormal areas of tissue in your brain. On MRI images, for example, brain lesions appear as dark or light spots that don't look like normal brain tissue. If you've been diagnosed with something described as a brain lesion, it implies that the cause of the abnormal-appearing area cannot be diagnosed by the image alone, and further evaluation is necessary. A brain lesion may involve small to large areas of your brain, and the severity of the underlying condition may range from relatively minor to life-threatening. Causes for brain lesion: Brain aneurysm Brain AVM (arteriovenous malformation)Brain tumorEncephalitisHy Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HWith due respect I inform you that my father having psychological disorder from past one and half year. He is going through psychological treatment. Most of the time he is depressed and he dont show any enthusiasm in other activities. Will i send you his past medical reports and other details? Please reply and consult your advice. Thanks,Sumanta Das", "output": "If your father has not had similar episodes in the past, in my opinion, I would like to first check whether he has any medical condition such as hypothyroidism or nutritional deficiency that is the cause of his symptoms. I would also like to rule out dementia (impairment in recent memory and other cognitive functions) as such symptoms are often seen in the beginning of dementia. You have said that he is undergoing psychological treatment. If he is seeing a clinical psychologist (who is not a medical doctor and doesn't prescribe medicines), I would advise you to consult a psychiatrist (a medical doctor with an MD in psychiatry). Hope this answer helps you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor , I m having arm and shoulder pain for the last 9 months. I cant bend my hand behind and is affecting my daily activity and also my night sleep. I have problems to scrub my back during shower . I tried heat therapy and it doesn t help. Please help advise . Thank you ST", "output": "Hello, As this appears to be polyarthritis of the shoulder. Due to which internal rotation of the shoulder is blocked due to pain and also there will he pain in the arm muscles like the deltoid and biceps. I will advise contacting a physiotherapist who can help you with shoulder mobilization and help to regain the full range of motion of the shoulder. Also, he will be able to help you with strengthening the muscles of the shoulder girdle and the upper back scapular muscles. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 68 years young, 5 3 after Whipple surgery on Pancrease I lost 26 pounds (which I don t mind) After surgery one year ago in May I was 108 pounds....now after 6 months of chemo I m up to 112-114 which is fine. But I have IBS and continue to have sleep issues; and am having problems remember things. pancratic whipple surgery to remove cancer from opening of pancreas. Taking enzymes and photonics for the IBS. Having difficulty sleeping. Melitonan not working now. Sometimes Ambian takes quite a while before I get to sleep. How long will the chemo I was given for 6 months stay in my body? I m working with a trainer for Pilates but still feel tired and sleepless. Any recommendations?", "output": "Hello dear. I have gone through your case. The symptoms of IBS you are suffering from are due to pancreatic deficiency. You should take pancreatic enzymes' replacement therapy after consulting your doctor. The effect of chemotherapy vanishes quickly after 3 weeks of last chemo, so no need to worry. For sleep problem, there are many better Chat Doctor. You can meet a sleep physician who will help you in this matter. Hope I have made you understand. Thanks regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a young child who is 9 years old he constantily has a runny nose and gets boils he has been having these boils since the age of 2 years old. I am a very clean person therefore so is he I have brought him several times to pedicatrician each time an antibiotic is given and it takes forever to go away and then he develops another one. Currently he has two large ones on his leg that are black in the middle and he can barely walk...what do I do?", "output": "Thanks for the query. I can understand your concern. If the boils are coming regularly, then there might be either of 2 problems.1. Incomplete antibiotic course or2. Resistance to antibiotics used. So I would suggest you to do the complete course of antibiotics as advised by doctor. Also apply juridic cream on the boils along with nose and ear openings. You can do culture and sensitivity of fluid collected from boils so that organism causing such recurrence can be found out and treated. Hope I helped you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have diabetes and I m 57 , for years I have used everything possible for ED. My last resort was edex shots And does not work any more ( dead in the water ). My doctor said the only fix is penile implant Operation. Tried to go through the insurance and they denied it because they said it was not a necessary and I can not afford the operation. I have no idea what to do. Do you have any suggestions?", "output": "Hello, In case of diabetes and with the age of 57 years, the penile erection may not be as good as it should be. If the condition is associated with some functional elements, I would advise you to try some exercise, stop worrying, stay away from stress, anxiety and depression because erection taking place in brain. Have enough of sleep, alcohol, smoking should be avoided along with stress because these are the causative factors can cause the ED, do not go for anything like implantation and medicines. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,I experienced and was diagnose with Amenorrhea at the age of 21. My menses ceased and I experienced pre- mature menopause. I was put on estrogen and progesterone after hospitalization and many tests. In 1994 I had a complete hysterectomy at the age of 39. Then I was on the estrogen patch for a few years. I stopped using them and all other synthetic estrogen, due to the risks. I am 58 years old at this time will be 59 in July. Over the years I have experience hair loss. To date it is extreme and I am quite concern. My question is. Will taking natural hormones or scalp treatments stop the thinning? And will the follicles replenish to cause regrowth? What are your views about Bio identical hormones provided by a Body Logic MD", "output": "Hello, Thank you for posting on Chat Doctor. I appreciate your concern regarding hair fall. Hair fall is usually ascribed to multiple factors like diet and nutrition, hormones, stress, acute or chronic medical conditions, Chat Doctor. From your description, it seems you might be having Halogen Effluvium, which is hairball secondary to stress. If I were your dermatologist/trichologist, I would like to take through history including family history, history of recent major trauma/illness/stress/medications etc. and recommend some basic investigations like CBC, blood sugar, Thyroid function test. Some other special investigations like pictogram and endoscopy and further aid in diagnosis and prognosis. I would suggest you a course of oral tablets containing biotin and other essential vitamins and minerals for minimum 3 months. Also, would put you on solution containing 5% minoxidil once a day and a hair serum containing peptides for hair growth at night.(Q era etc.). I would advise use of gentle shampoo and conditioner on regular basis and use of coconut oil twice a week. Also inquire from your dermatologist about upcoming treatment options like monotherapy and platelet-rich plasma. Avoid combing in wet hair and let them " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was diagnosed with a cyst in the left breast 2 years ago. I have recently had a mammogram and ultrasound. the new radiologist does not think this is a cyst and wants me to have a needle aspiration biopsy to check for cancer. I am getting a second opinion and having another ultrasound done first. A cyst cannot turn cancerous right??", "output": "Thanks for your question on Chat Doctor. Breast cysts are usually benign in nature. But can turn into malignancy in the future. Though the chances are very less, but possibility can not be denied. That's why follow-up mammography is always indicated for early detection of cancer. So new radiologist might find something unusual in cyst appearance, so he orders needle aspiration to rule out early malignancy. So in my opinion you should get done Needle Aspiration to rule out malignancy." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, last night at a part I got a bit worse for wear and fell over, i awoke this morning to a lump on my inside bone in arm (close to my wrist)...it is painful to touch, but I can clench my fist and move my palm up and down, but its painful to move my hand side to side and to flex my fingers...any ideas? Is it just a bruise?", "output": "Hi, Susan. Dear, Good Afternoon. I am Chat Doctor. -I studied your query in-depth and Understood your health concerns.-To Start with-I would advise you NOT to worry about what you are suffering from. For every problem there is a solution with Me.-Treatment and Cause of lump close to wrist- -The painful lump you have is due to the Contused Wrist bones-with Wrist joint Contusion and painful lateral side way movements.-In my opinion-the inside bone lump of the arm above the wrist -is contused Ulna-with painful side-way movements.-This is because you could clench your fist.-Restricted sideways movements and restricted painful flexion of fingers-points to ?fracture without displacement or with little displacement.-I would hence advise Xray-Wrist joint with wrist bones-and to consult ER-Ortho-Surgeon if your ER-Surgeon advises. Treatment Advised--A bruise would be relieved - in 2-3 days time-with treatment by-Tb-NSAIDs/ice compresses and / Wrist Support bandages.-If no relief-Xray wrist and ER Ortho-surgeon consultation is advised to your.-Hope this elaborate advise on your most complex issue would help you to recover fast. Wish you recovery ASAP. Wellcome and ThanksWith Best of Regards " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi ...i am 23 years old .i have a problem that my penis is not standing at all from 4 to 5 days..whenever i want to stand to my penis i am unable to do that. Before that my penis did t get full erection and now it is not standing at all.. plz give me some suggestions that can help me..i am really worried about that", "output": "HelloThanks for your query, based on the facts that you have posted it appears that you have problem of erectile dysfunction since 4-5 days. This does sometimes happen due to stress or anxiety and nothing to be worried about. Following measure will help you to boost up your confidence and getting good erection.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc3)Take anti oxidants like Almonds 5-6 every day.4) Avoid alcohol and smoking. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Son is 9 years old. He has strep and is on amoxicilin. His fever is gone now, but he still doesnt feel good. Very tired and dark circles under the eyes. Very pale. He has been on the med for 3 full days and I think the antibiotic is not working. Could he also have pneumonia (no cough though).", "output": "Thanks for your question on Chat Doctor. I can understand your concern. No need to worry about pneumonia as he is not having coughing. Coughing is first symptom of pneumonia. So pneumonia is unlikely in the absence of coughing. And 3 days antibiotic duration is too early to decide about effectiveness. You should give full 7 days course of amoxicillin. Fever was subsided so amoxicillin Island definitely working. Along within amoxicillin, give him plenty of fluids orally, fruits, juices etc. for energy.Don't worry, he will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I think I have acute bronchitis. Nasty cough for a week now, tho no fever. Last year I had a very sever bout of bronchitis (lasted for one month in Nepal and one month after returning home). At home I treated it with Augmentin and inhaler. I suspect I might have stage II COPD (smoked 12 years, am now 61). I have a pain in my armpit, upon touch. I guess it is a swollen lymph node. Should I see a doc now, tho I have no fever?", "output": "Hello, In my opinion, you should definitely consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment is based on severity only. You will need antibiotic (azithromycin), inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone). Do not worry; you will be alright with all these. Do steam inhalation and warm water gargles 5 to 6 times a day. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor ,myself aditya..i cann t control shaking my penis..i want to stop all this..becoz i got to heard that excess of shaking will harm my sex life and i cannot get a baby? is it true ..another probs. is my wet dream..how can i cntrl my wet drm?its really irritatable.plz reply sir/mam.", "output": "HelloThanks for query. You have been habituated for frequent masturbation and worried about sexual potency in the future.First there is myth in a mind of common man that excessive masturbation is the reason of all sexual problems But I would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ or system in the body. All the problems that you are facing now are mind related and due to anxiety. Following measure will help you to boost up your confidence and improve general health .1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc3)Take anti oxidants like Almonds 5-6 every day.4) Avoid alcohol and smoking. Though it is harmless, excessive and frequent habitual masturbation does affect quality of erection and delays ejaculation. Please try to reduce the frequency of masturbation by keeping yourself busy in activities like sports, reading , social work etc. so that you will not get free time to masturbate. Chat Doctor. ." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir I am having thyroid problem. I am suffering from hair loss.daily I am loosing lot of hairs.I am taking thyronorm tablets 25 mg and i am using mintop 5% soln. but hair fall has not come down, its increasing day by day.do u have any treatment to stop hair fall in quick time..if u have please suggest me.", "output": "Hello. Thank you for writing to you seem to have halogen effluvium. Underlying thyroid is one of the causes of halogen shedding. Once the underlying cause is corrected hair fall would still take 1-3 months to recover. This is because hairs that are already in halogen phase will shed over the next 1-3 months and only then these hair follicles would re-enter growth phase (managed) and start producing new hair. Minoxidil helps in faster transition from halogen to managed. This may in fact manifest as further increased hair shedding once patient starts using minoxidil because of managed hair that is growing that pushes out halogen hair and may manifest as increased hair fall. This increased shedding in response to minoxidil is known as managed surge. This reaction to minoxidil is actually quite welcome because halogen hair that were going to be shed over a longer period of time are shed faster due to managed hair growing and pushing halogen hair out.Therefore, I suggest you to continue with the treatment for thyroid as well as topical minoxidil and hopefully your hair fall will recover soon. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My chest hurts or my heart I can t tell. I ve had EKGs done and X-rays and those came back normal . Mostly feels like a discomfort as if something is trying to push my heart out of my chest. At first it would last only a feel seconds now it s lasting longer.", "output": "Thanks for your question on Chat Doctor. Since your cardiac and pulmonary causes are ruled out by normal ECG and chest x-ray, I advise you some blood investigation s to rule out your chest discomfort.1. CBC (complete blood count)2. Thyroid levels. Anaemia and hyperthyroidism can cause similar complaints. So CBC is needed to rule out anemia. Thyroid levels are needed to rule out hyperthyroidism. If both are normal then mostly your symptoms are due to anxiety. So avoid stress and tension. Be relax and calm." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI, I GOT THIS LUMP IN THE MIDDLE OF MY CHEST(ABOVE MY BREAST) WHEN I WAS 16 AND I JUST THOUGHT IT WAS LIKE AN INGROWN HAIR OR SOMETHING BUT NOW ITS HUGE AND IT HURTS REALLY BAD 5YRS LATER. CAN XOT HELP I DONT HAVE HEALTH INSURANCE SO CANT REALLY GO TO THE DOCTOR :-/", "output": "HI, Dear,Thanks for the inquisitive query to Chat Doctor.1-I studied your query in depth.2-In my opinion, this lump above your breast and inter middle of the chest, is most probably-recurring chronic abscess, or it could be a cold abscess in the sternal lymph node.3-I would advise you to take antibiotics with NSAIDs for 5 days time.3-a-If it resolves its well and good.3-b-but if doesn't resolve-which is major possibility, then you would need Surgeons consultation, who would investigate and treat it as need be.4-Hope this would solve your query .5-Wellcome for more queries to me On Chat Doctor.6-Thnks once again for your inquisitive query. Have a Good Day.!!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a painful, movable lump under the skin on the mons pubis area of my body. I m also 37 weeks pregnant. It is a shooting pain and is causing a great deal of discomfort. It started the other day and lasted a few hours. Hasn t happened again since now.", "output": "Hi. Thanks for your query. Noted the history and understood your concerns. A painful lump on mons' pubis in a 37-week pregnant patient can be due to either of the following:Boil or fur uncle. Fat necrosis. This can be confirmed by the following:Clinical evaluation, examination preferably by a General Surgeon. High resolution ultrasound can help the best to get a correct diagnosis which is important as the treatment is limited by virtue of pregnancy as many medicines can not be given or best avoided for the safety of unborn baby. Safe antibiotics are given if boil is present. Fat necrosis does not need any specific treatment." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my child is mild asmatic....he do not use a pump....when he have runny or stuffy nose he may cough dry....when he was a kid he did nebulise a couple of times.......been here in ny for two months never sick but now he walks 40 mins in the early winter to work. so now he has cough what should i give him", "output": "Hi, if exposure to cold is unavoidable then he should try to protect hi ear and nose from the chill wind, to receive the symptom he can take some anti-histaminic like levocetrizine, some nasal decongestant like oxymetazoline nasal spray or normal saline nasal spray can be taken, it is good to take an antibiotic within also like ampi-cloxa or co-amoxi-clav or Rothko. He should meet a physician if symptom persists. Thanks and with regard." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 16 year old son hurt his knee in football a few weeks ago, it instantly swelled, there is a hard spot in the middle with fluid around it and feels mushy, he was able to rub the knot down a week ago, however, he came home this evening and its bigger and he cant put any pressure on it, any suggestions?", "output": "Hello, The most frequent and probable problem of the knee injury with a mechanism and signs like you are describing is anterior cruciate ligament tear. Anterior cruciate ligament is the ligament that links the tibia bone and femur bone in the knee. When it is torn, the knee swells up immediately, and you cannot continue the game. It causes the knee to \"give away\" often. If that is the case I would recommend doing an MRI of the knee and consult an orthopedic surgeon for possible treatment. The second option is a fracture of the bones around the knee that usually happen with a more high energy mechanism such as fall from height or car accident. Third option might be meniscus tear. Usually, the swelling of the knee here is not immediately like anterior cruciate ligament tear right away, but later in the evening or next morning. Again here an MRI of the knee would diagnose the problem and orthopedic consult is needed. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have mild chest pain, mild to moderate back pain in the middle of my shoulder blades. I also feel sick to my stomach and burp a lot after meals, the mornings are ok but as the day goes on it gets worse. I do sometimes get heart palpitations and my doctor says its probably MSG side effects. I have been really watching what I eat with no real help.", "output": "Hi Dear !! Thanks for your query to Chat Doctor. Read and reviewed your query and health concerns. You seem to suffer from -HERD or MSG intolerance-if you take more of Chinese food/or bakery products. The complaints suggest of HERD- with enterocolitis, which needs to be treated with PPI, Sporran Capsules/antibiotics if need be/ It Plex and It B12/Folic acid to stabilize gastric/esophageal and entero-colonic mucosa/ Avoiding of spicy-nonveg food/ Adding yogurt helpings in diet/Be on bland diet/ Avoid tea, coffee,tobacco, alcohol . Consults with ENT(Constrictor Pharynges globes) and General Surgeon-to rule out perinatal ailments like fissure in ANO, would fix other causes of HERD.EKG and review with Cardiologist / Physician would be needed in your case. Hope this reply would help you to resolve the health issues with help of doctors attending on you. If need be, update any health issue 24 x 7 by a direct question to ME, at following Chat Doctor link-Dear, if satisfied, Dont forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at Chat Doctor services. If you want to update more details and ask more update queries, You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a psychology trainee and was required to complete a PPD skin test to start working at my neuropsychology practicum site. I tested positive and I am worried that I will not be able to work at my practicum site. I have had an active respiratory infection, but the symptoms do not seem to be typical of TB from what I have read: (a) runny nose; (b) sneezing; (c) fatigue; (d) headache and other cold like symptoms. I recently had a stent at the hospital for occipital neuralgia and received 1,000 mg of IV steroids and I am worried that my immune system is compromised. I also have a spinal cord injury and CRPS II, so my body is taxed by pain and pharmacotherapies. Should I be worried?", "output": "Hello thanks for posting here. Stenting itself won't cause immune deficit, but high dose steroids can decrease immunity, and you may contract infections. PPD test is positive, so there is a suspicion of TB and not a confirmatory diagnosis. It can come false positive also in many cases. So you have to get evaluated. If you have no symptoms like cough, fever, weight loss the probability of TB is less likely. Since you have got symptoms of active respiratory infection, you must get yourselves checked up. Anyway please do a chest x-ray and give your sputum (if you are producing any) for testing. Wishing you good healthRegards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I had a piercing pain in the left side of my chest. Like a needle piercing my heart. I went all light headed and needed to sit down. I then experienced a hot flush where i actually had sweat beads on my forehead. I have had an ECG, all clear plus a heart scan and that was clear", "output": "Thanks for your question on Chat Doctor. I can understand your concern. No need to worry about heart diseases because your ECG and heart scan reports are normal. Sometimes, stress and anxiety can also cause similar kind of symptoms. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Don't worry, you will be alright. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "respected sir/madam my name is VENKATESAN i 32 years old i married before 6 months upto now 6 months is completed my marriage but there no pragnency coming to my wife. but iam strugulling in sex but there is no sathisfaction in sex why means while iam 13 years old i will satisfyed own through my hand regularly. i want take take musli extra power any side effect will come while take that.", "output": "Degree understand your concerns went through your details. Masturbation is never unhealthy if practiced moderately. Like you, the majority of youngsters indulge in masturbation and there is no evidence that masturbation causes infertility. Your problem could be the anxiety and apprehension and poor knowledge about the masturbation practice. That apprehension and anxiety could be reason for your poor sexual performance. You don't have to take Muslim power. Instead, you should consult a sexologist or psychologist for sexual counseling. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query. Further clarifications are welcome. Good luck. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 43 year old male. Last Saturday after exercising, my chest starts to feel very tight, dizzy and numbness on my fingers. The diziness went off after an hour however I continue experience tightness in my chest and numbness on my fingers for the next few hours.", "output": "Hello, These symptoms are very much suggestive of heart disease. You get your ECG and TMT done. You may need to echo as well. Also get lipid profile and sugars tested. Avoid heavy activities and fatty, oily And high calorie diet. Avoid smoking and alcohol if any. Use tab Arbitrate sublingual whenever you have chest heaviness. You should get yourself evaluated on urgent basis. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "In my ultrasound portal doppler scan, it shows that i have fatty infilteration of liver, In my endoscopy it shows that i have first degree esophogaus varices , what is it.", "output": "Hi, Gannesan, Thanks for query, You have fatty liver, and you have to change your lifestyle for food habit etc. otherwise as a complication liver cirrhosis may have.at present you do not have liver cirrhosis. But second problem of having esophageal varies this is also to be taken into immediate consideration. Consult gastroenterologist and start treatment as soon as possible. Quit alcohol if you take. Ok and bye." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im diagnosed with low Morphology of 2%. Everything else is normal, such as 65% mortility, good fertility potential of 14%. At the same time, Im diagnosed with Biteral Varicoceles. Could this actually be the cause of my low morphology? What is my chances of having a baby with my wife if I were to try for mid next year?", "output": "Hi there ~I understand your concerns. Bilateral varicocele should not hinder your chances of bearing progeny if your wives physiology is normal. I recommend that you find a good gynecologist who can get you an IVF treatment for the condition. Many people have the condition, and you should not be worried at this point with the kind of progress science has made in this realm. I hope this helped, and I wish you the very best. Take care!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Sir/Madam,My son has fever for the past 2 days and the doctor has diagnosed it to be viral fever an he has been on P125 for th epast 2 days.Yet the fever is not settled ........should we wait for one more day as the dr has adviced before proceeding?", "output": "Hello, Thank you for asking at Chat Doctor. I went through your sons history and would like to make suggestions for him as follows:1. Viral fever usually takes 3-7 days and then subsides by itself. There is no specific medicine for viral fever. So as long he as fever, I would suggest him paracetamol (P125).2. If he has not developed any new symptom after starting treatment, I would suggest you to wait and give him medicines a suggested by your doctor. If he has developed any new symptom or his symptoms have been worsened, I would suggest you to get him examined by his doctor. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish your son the best of the health ahead. Thank you & Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, i ve been having mild fever from past twodays especially in the afternoon, i was out station in these two days..after coming i felt i was normal....but nw suddenly after my lunch i caught fever.Now i have fever, m shivering, i ve numbness in both feet and palms, and my eyes have become red.Please let me know as soon as possible.thank you.", "output": "Hello there, Based on your symptoms you seem to be having fever with chills. You need to get an MPFT done at a nearby lab. Also, a blood test called CBC with platelet count. The time for doing these tests ideally should be when you actually have fever as this will lead to the test being more accurate. Once the test is done you can have tabbed Cronin 500 m.g thrice a day after food. When you get the test reports please get back to me, and we can discuss further treatment options, Hope this helps, Please feel free to ad Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Doctor,my daughter is 1 year old.she is passing yellow,watery,smelly stools for the past 4 days(about two times daily-once in the morning and again in the evening).Before this occurred she used to pass yellow , non watery stool once a day which was normal.but now she is not eating any thing and not passing urine as much as she used to. i gave \"Prezolac\"-pre and Prebiotic blended capsules as my doctor told me with youghurt. But she is still passing yellow ,watery and smelly stools.she has no appetite.what shall i do...pls help me.Thank You.", "output": "Welcome to the ChatDoctorDont worry. In my opinion it seems that your child is suffering from mild infection of gut, or she is probably taking a lot of sugars in her diet leading to toddlers diarrhea (not exactly even diarrhea as the frequency is perfectly within normal range). I would suggest, -maintain a good HY Chat Doctor. -Keep a check on sugar intakes and syrups.- continue probiotics-add antibiotic if fever or blood in stool" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i had a acute pancreatitas problem due to gall bladder stone, gall bladder has been removed and i am fine now, eating all the things as i used to eat before that problem, now i want to know that does pancreatitas active again it self, or i am fine now, should i care in eating foods, i had a very very bad pain and i don not want to face it again.", "output": "Pancreatitis causes severe pain as u said. Similarly gall bladder spasm or persistent contraction due to the presence of stones causes unpleasant severe pain. Outflow channel of liver, the common bile duct and the outflow channel of pancreas, the pancreatic duct joins together to enter the intestine. When gall bladder contain small, multiple stones, during contraction it slips in to the liver outflow track, the bile duct, and finally it reaches the common channel. These stones can slip in to the pancreatic duct. And it can block the pancreatic juice flowing through the duct and finally results in to gall stone induced acute pancreatitis once gall bladder is taken out this complication never occur due to a gall bladder disease.there are several other causes of pancreatitis like alcoholism, viral infections, etconce the gall bladder is taken out, you don't have to restrict your food. You can eat anything including oily food which is contraindicated in gall stone disease" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi...my 11 month old son has flea bites on his testicles and i have tried using anisthetic creams, fisan paste, germoline...you name it, nothing helps. Please i need help on how to get rid of the bites, it looks really sore and unconfortable and very itchy!! shame i cannot let my little man go through all that anymore!!! Please help urgently", "output": "Hi... Thank you for consulting in Chat Doctor. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, Please find below the details from reports of patient. Need help in understanding how far has cancer progressed and if there are any chances of surgical removal of infected tissues? 1. XRay was done and the report said some mass was noted in left lung (canon ball shaped mass) and CT Scan was recommended 2. CT Scan was done : CT confirmed about a foreign mass in lower lobe of left lung 3. CT Guided Biopsy ( FNAC ) was done: Report confirmed Non-Small Cell Carcinoma . Probably Squamous Cell Carcinoma 4. Whole Body Scan was done and below was the analysis: Physiologic traser distribution noted. Left lung shows increased uptake Left Interlobar node increased uptake Right Adrenal Shows increased uptake Rest scan unremarkable PETCT Scan findings consistent with left lung tumour Left Interlobar and lobar nodal metastases Hypermetabolic Right Adrenal", "output": "Dear friend, welcome to Chat Doctor. A well asked question !!all data indicates a cancer of left lung lower lobe, probably locally spread to nodes. A Chat Doctor. There are many factors including age, stage, cytology, metastasis etc. Which affect surgical decision. Better to see an onco-surgeon to get detailed evaluation with all reports. Or post all details to guide. Take care and keep me posted on the issue. Would be glad to help." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i just had a pacemaker put in because my pulse was at 40 for two days- then ecg showed a complete block. The doc is checking me for Lyme disease involvement. I also had elevated mercury in my blood at same time as benigh arythmic symptioms started (2000). Can mercury be involved in this blockage?", "output": "Hi dear Mercury collects in the heart muscle and valves and has been found at 22,000 times the levels found in the blood. Mercury is strongly associated with elevated levels of homocysteine and cholesterol and heart attacks and can precipitate various arrhythmias and can even cause third degree av block, all of these are documented side effect of mercury toxicity, all sorts of arrhythmias, palpitations etc. are caused by mercury toxicity answer to your question is yes" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi there, otherwise healthy 37 yo female. Normal BP/Cholesterol etc. Have been suffering from occasional palpitations (feels like skips in my chest which forces me to cough for the past 2 1/2 years. I only get them a couple of times a month and sometimes I can go months without getting them. I am on 20mg Celexa for anxiety which was caused by these palps which really freak me out. Ive also had two episodes of really fast heart beat which I think was due to dehydration and not eating properly those days, Ended up in the emergecy room the first time that happened, all check out o.k. Ive been to a cardiologist, had a holter twice, numerous ekgs and been told these skips are normal that everyone gets them and that I am more prone to feeling them. My GP suggests upping the dose of celexa to 40mg which may help. I also take magnesium which seems to soothe them, do not drink caffeine at all and avoid simple sugars with the exception of alcohol from time to time and I do notice the day after drinking wine I tend to get them. I am mainly after some reassurance that these will not kill me and your advice on how to live with them. Thank you!", "output": "DEAR USER, THANKS FOR CONSULTING WITH ChatDoctorI UNDERSTAND YOUR CONCERN.YES PALPITATION CAN BE CAUSED BY ANXIETY AND YOU CAN LIVE WITH THEM AND THEY WILL ALSO DECREASE WITH TIME.THEY Won't REALLY HARM YOU. DON'T WORRISOME ELENA TO 40 MG MAY ALSO HELP SUGGEST YO TO DO THE FOLLOWING1) IF YOU COULD MESSAGE ME WHY AND WHEN YOU BECOME ANXIOUS I COULD HELP YOU SOLVE IT2) 45 MINUTES OF MORNING YOGA WILL HELP YOU CALM YOUR MIND AND DECREASE YOUR ANXIETY3) TALK TO YOUR PARTNER OR CLOSED ONE ABOUT THE PROBLEMS YOU FACE4) AVOID STRESSORMESSAGE ME IF YOU HAVE ANY ISSUES WITH COPING YOUR ANXIETY I MAY HELP EUROPE I ANSWERED YOUR QUERY. YOU CAN MESSAGE ME FOR ANY FURTHER CONCERNS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your i am diabetic and on the normal i hav low blood pressure and fast paulse now i have a blood pressure of 145 over 90 and my husband keeps stressing out he doent think i will have a heart attack", "output": "Hi Thereafter going through your query I understand your concern. I would like to tell you that blood pressure more than 140/90 cones under hypertension and that needs to be treated either with medication or lifestyle modification. But being diabetic you have to be more careful if your BP is going above the normal range. It's recommended for you to check your BP when you are sitting calmly at least for 15 min, if still your BP comes high then consult with your Endocrinologist/Physician for further management. Hope this will Helping Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been having pain in my buttocks and thigh and down into the calf. It is mostly on the left side. I do have a rod in my left thigh from a femur fracture that occurred over 40 years. The pain does ease somewhat whe I walk.Most prominent after sitting or lying down", "output": "Hi, I am sorry about the pain. It appears from your description that you may have \"sciatica\"- pain caused by pressure on the sciatic nerve that travels along the buttock region down the back of your legs. It is usually caused by arthritis of the lower spine or of the hip joint. If I was seeing you in clinic, I would recommend getting a X-ray of the spine. For treatment of pain, I would, you could try Acetaminophen (Tylenol) 325-650 mg every 4-6 hours as needed. Do not take more than 3,000 mg of Acetaminophen over a 24-hour period. You can also try Ibuprofen (400-800 mg three times a day with food)- it has an anti-inflammatory effect. Do not take Ibuprofen if you have a history of chronic kidney disease, bleeding from your gut or severe reflux. Physical therapy is another treatment I would recommend. If pain is still not controlled, then options would be stronger pain medicines that are used to treat nerve pain (gabapentin, pregabalin, duloxetine), MRI of the spine to determine in more detail the cause of the nerve pain and referral to a neurosurgeon. While Acetaminophen (Tylenol/Paracetamol) and Ibuprofen are available over the counter, other medications and imaging studies need a doctor to prescribe and interpret. So, I recommend you see your primary care doctor/general practitioner to get treatment started. Please let me know if that was helpful. If it was, please take a moment to provide a rating. Thanks!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi..I have a sister. She is 13 years old but still wet the bed during sleep. We have refer her to doctor and get her urine examined but there is no infection. She is currently living in boarding school. Her condition is worsening. She wet the bed almost every night. Her friends knew about this. She is really depressed. Please help her", "output": "Hi, I can understand the cause of her depression because of regular bed-wetting at night. She is in a hostel with her friends who most likely must be teasing her worsening her condition further. This problem is called as Nocturnal Enuresis (since she is only wetting her bed at night). Many child Chat Doctor. Bed-wetting can be due to : - A urinary infection which is a common cause in females more so if the bed-wetting is of recent origin. However, in your sisters case, she was never " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. My 3 year old son has a cough, after having colds for 4days. The colds went away and he has coughs now. I am worried because its quite a hard cough and he doesnt know to spit it out of his mouth. I let him take ambroxol mucosolvan for peditrics. Is there any other medicines or cough syrup he can take? And can he take a bath, though he doesnt have a fever. Thanks.", "output": "HI WELCOME TO ChatDoctor-i had gone through your query and understand your concerns. I would come up with the possibility of ALLERGY may be the underlying cause, which prevent the prognosis of the son condition. Treatment option; I advise you taking HomeopatChatDoctoredicines gives safe and permanent cure for your allergic complaints along with management. Usually in such cases I will give treatment for my patients in the following manner give him IPECAC 30 potency TID and SENECA Q TID usually sufficient to cure. Consult your local homeopathic physician for correct diagnosis of the case and remedy to fit his complaints I hope this is helpful for you, thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a bad tooth on my left side that is really causing me severe pain. The surface of the tooth is gone and the tooth is slowing decaying, I believe. I had braces and my back tooth suffered. I believe it is causing my left side to become swallow. I am unable to concentrate on anything because it is that bad. What should I do. Should I wait to call my dentist on Monday?", "output": "Hi welcome to Chat Doctor forum. Thanks for calling Chat Doctor. Forum. You had a bad tooth on the left side, causing you so much pain and swelling on that side. This could be deep dental caries leading to per apical abscess. You should surely visit a dentist for this since your tooth is infected the infection should be controlled with medicine. The reason for having such a severe pain is pressure that built with in the tooth because of the inflammation. The infection control together with pressure relief will help you to get relieved of the pain. Based on condition of the tooth your dentist will decide if you can go with a root canal treatment, or you have to get it removed. Wishing u a good recovery. Have a nice day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My mother is 48 years old. She had undergone brain tumor operation on may 2010. After the operation her left side of the the body stopped moving but she can sense everything. After few months slight movement came in her left leg. She was able to walk slowly. But on Nov 10 she fell down while walking and her left heap got fractured. After this her left leg shorten by 2 cm. Present condition is that there is no movement in her left hand and very slight movement in her left leg. Please suggest me something so that i can take her for best treatment.", "output": "You mother underwent surgery for brain tumor in May 2010. But you did not mention hist pathology(biopsy) of the tumor. Since she is surviving more than 3 years with no increasing weakness it suggests it would have been benign tumor. For her present weakness probably vigorous physiotherapy may help. If you can meet a neurosurgeon and tell him the histopathology report he may direct you for further radio/chemo therapy if required. your mother had 2 cm shortening of the limb after hip fracture indicates it is fracture neck of femur which requires surgery. Kindly consult an orthopaediacian." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Sir/ Madam, I have faced a situation of suddenly fainting a couple of times. Generally it happened when i have just got up form sleep suddenly and then after a while feel a bit of breathlessness and then suddenly i find myself on the floor. I do not even remember how i had fallen and when did i fell. Just after a while i get back to normal. Please help me in diagnosing the right issue and is this a serious disorder?", "output": "Hello dear, The symptoms as mentioned in your post can be due to:1. Any pathology in the vestibular apparatus in inner ear (it is associated with maintenance of body posture & balance)2. Any fluctuation in blood pressure levels such as Hypotension.3. Decrease in blood sugar levels (Hypoglycemia)4. Deficiency of certain nutrients like Iron, vitamin B 12, Calcium, etc. which also interferes with blood formation & nerve conduction.5. Tension/stress & lack of adequate rest and sleep. Investigations like complete blood count, estimation of blood pressure and blood sugar levels will be helpful in clinching the diagnosis. A CT scan of brain might be required to rule out any pathology. So, it will be better to consult your General Physician & get a proper physical examination done. So that appropriate management steps could be taken. Meanwhile, you should maintain adequate HY Chat Doctor. There is no need to worry, you will be fine. Wishing you a good health. Thanks & take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir, My Face often had pimples/ acne . My Doctor told me to do several test.. In which it was found that my S.G.P.T & S.G.O.T was beyond normal range. So he prescribed me Udiliv-300. And To apply Gorgeous Gel as Facewash, Ultraguard-40 as Sunscreen lotion, Peroduo gel for Acne/Pimples & Curoglow for fairness. But one day I found dark patches along my nose , a layer of black tan was formed. My Doctor told that it was due to Peroduo Gel, So he told me to apply Momate Cream, for 2 days. But for better results I used it for several weeks. Now He prescribed me Benzac Ac 2.5% to apply & also to intake Q-A21-500 tablet. I told my Doctor I don t expose in sun so much,so help me out as I can t attend the school. So I requested him for immediate remedy. Sir I applied for one weak but no improvement with black layers. The pimples minimized and thus blackheads and spots are all in my face. He also told that it became black as the skin along my nose burned.. Due to Peroduo gel.. Please Prescribed me a Immediate Remedy. Please, I Begg You Sir. Thank You.", "output": "Hi Souravdas, Thanks for writing in. Acne is caused by hormonal imbalance. Blockage of sebaceous glands causes pa pules and pustules. White substance is secretion of sebaceous glands. Acne is treatable now. With correct treatment all your pimples, scars and dark spots can be treated. To start with you have to apply Aider cream twice daily on dark spots. Also, you can use anti acne face wash like acted face wash. Avoid any hair oil to hairs. Avoid any other moisturizers or cosmetics or home remedies. Use good quality sunscreen like SYNCOPE gel daily while going out. Salicylic acid and glycol peeling can help you to get rid of acne and pigmentation. Please visit qualified dermatologist for giving you specific advise. Regards. Chat Doctor. MD dermatology." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my dad has stage four cancer in his kidney which has spread to his spine. He s not doing as well he s unable to eat he has been vomiting. He is in a lot of pain barley can take his meds. Is there anything we can do to help him get better I dnt want to loose my dad please help. His doctor is saying we should stop his meds because he s not looking so well I dnt want to give up on him he wants to live he says he wants to live", "output": "Hi, dairy have gone through your question. I can understand your concern. Treatment of kidney cancer depends on stage. He has stage 4 kidney cancer with bone metastasis. So now It's very difficult to treat. Surgery has no role. Chemotherapy and radiotherapy is the only palliative treatment. It can not cure the disease. Moreover, side effects of these Chat Doctor. So in my opinion no medication should be given. Just let him enjoy the rest of the days. I am very sorry to say, but it is fact. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My WBC is 3.35; my RBC is 3.76; my HGB is 11.6; my HCT is 35.3. The Dr. wants to run an Anemia Panel and SPE in a month. I was diagnosed with Dermatomyositis a few years ago. Is there anything I could do to enhance my blood work for this next lab. I am a competitive athlete and need all the energy I can find. Thanks for any suggestions you are able to share.", "output": "Hello and welcome to Chat Doctor, The blood reports reveal that you are slightly anemic. The hemoglobin level is 11.6 GMT as compared to at least 12 GMT in healthy people. Thus, an anemia panel needs to be done to find out the type of anemia. The anemia panel included RBC indices like MCV, MCH, MHC, and RDW. These parameters will let your treating doctor know the type of anemia that you are suffering from. Depending on the type of anemia, treatment can be given accordingly. Anemia is commonly seen in connective tissue diseases and autoimmune diseases. Since, you are suffering from dermatomyositis (connective tissue disease and autoimmune disease), it is likely that the anemia is caused by this primary disease. Treatment of the underlying disease will help to treat the anemia. Go ahead with the anemia and let me know the results for further help. Thanks and take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have depression and anxiety and every time I ask for help my dad says that I m doing it for attention and it s a ware of money to pay for a local psychiatrist since I m doing it for attention I just wanted to know if there is anyway I can get depression and anxiety pills at a drug store without my dad finding out because I know I ll eat in trouble if I ask him.", "output": "Hi sir/ madamWelcome to Chat Doctor, I can certainly understand your concern towards your symptoms you are suffering with...First I want to find out how is your sleep pattern and your daily activity as these may get disturbed in anxiety and depression and the other symptoms that are bothering you like easy navigability, lack of interest in work..... Because if these are present, you would definitely need to be treated. I can suggest you some Chat Doctor. . As per my knowledge, you can get these medications only with prescription.... But you can try in some stores... Please let me know your place... So that I'll see if I can help doubt definitely there is necessity for you to be treated for at least 6-9 months, if You have any of the above symptoms... Please take carport your further questions if any, I will always be available to answer themThank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I got hit in the head, left side at hairline - huge goose egg. I immediately iced it. This was Sunday. On Tuesday, I started getting a black eye on left side. Went to the doctor, he stated everything seemed fine, but would take about a week to be gone. Woke up Wednesday, complete black eye, dark purple - looks awful. No dizziness, no impaired vision, no loss of consciousness - but still have a small lump at hairline.", "output": "Hi.the bump on your head is an inflammatory reaction secondary to the trauma you had. Swelling will subside in a few days to a weeks time depending on the severity of the injury. Observation will do, especially if you're not presenting any alarming signs or symptoms, such as loss of consciousness, decrease in mentation, nausea and vomiting. A cranial ct-scan may be of help in ruling out intracranial lesions. Other diagnostics and management will be directed accordingly. Hope this helps. Good day!!~ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 24 year old female. For the last 2 days I have been experiencing pain in my lungs while breathing, random dizziness/nausea, my entire body turned bright red, and I have been experiencing exhaustion when trying to climb stairs or do anything that involves physical activity.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Your symptoms, shortness of breath, chest pain, Redness of the body, nausea etc. are seen with asthma. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT will not only diagnose asthma but also tell you about severity of the disease and treatment is based on severity only. If PFT is normal then consult psychiatrist to rule out stress and anxiety. Don't worry, you will be alright with appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My heart has been beating oddly the last 3 days. It beats regular then it will beat really hard once then go back to normal. It does this atleast once every 5 minutes, sometimes more than that. What could this be? Yes I m a smoker, no I don t use any drugs or alcohol, I m 27, 230lbs 5ft 6in and 7 weeks pregnant with my 4th child.", "output": "Hi welcome to Chat Doctor. I understand your query and concern. Pregnancy induced palpitations needs invasive intracranial monitoring for fetal well being advise you to have a baseline 2 dimensional echocardiography, ECG and lipid profile to assess the basic cardiac reserve of your heart. Restrict the intake of salt to less than 6g/day. Regular physical exercise in the form of brisk walk for 20 min a day for 5 days a week is pretty useful. Chat Doctor. Fetal cardiac Doppler is important to look for fetal condition. Reduce the intake of fatty and fried food. One pomegranate a day will help to keep your heart at good pace without clot formation. Consult a Cardiologist and gynecologist for further expert management. Post your further queries if any. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am experiencing pain in the left pelvic area also directly across in the back. Pain radiates midway up the left back . Area on that side just above the hip bone is swollen and very painful if I sit too long. Sometimes unable to sleep on the left side, feels like I am lying on an uncomfortable lump. History of fibroids and retroverted uterus.", "output": "Hi, Thank you for providing the brief history of you. A thorough neuromuscular assessment is advised. Since the pain is radiating in nature, I suspect it to be a pinched nerve in the lumbar spine. An MRI will provide good insights for the soft tissues. Undergoing simple physical therapy like - therapeutic ultrasound therapy, TENS therapy and exercises, should help to minimize the symptoms and improve the stability of the spine. Most cases respond well to physical therapy in my clinical practice. I recommend you the same. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi!my LMP January 19, 2013 and i have a normal 28 cycle. me and my bf have sex January 27 and 28,2013 after we did it i took nordette by 28 4 pills and another 4 pills after 12 hours after 16 days i have this old brown discharges and its kinda heavy it like a menstruation period already.is it normal?or do i have to do a PT already?", "output": "Hi, welcome to Chat Doctor.I would suggest it good to get a pregnancy test done to be sure.Corvette is a hormone based pill so has an effect on your hormones causing you to have irregular menses. If pregnancy test is negative then it is normal to have irregular periods but if it persists then you need to see a gynecologist for further review and follow up. Hope to have helped to answer your query.take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband has been having high uric acid levels and has bilateral uric acid stones. He does not have gout. His creatinine levels increased in a week. He is in stage 3 Kidney disease. We haven t received any answers to what is going on. Do you have any information?", "output": "Hi, Thanks for writing in. Uric acid and creatinine are excretory products which are regularly filtered out of our system by the kidneys. If your husband is having grade 3 kidney disease it means that the ability of the kidneys to remove creatinine and uric acid from the blood is reduced. This is causing above normal uric acid and creatinine in the circulation and is seen when his blood sample is evaluated for these metabolic products. Gout is a different condition where there is primary hyperglycemia and deposition of uric acid crystals in joints. Uric acid is a product of purine metabolism which is a type of protein. When there is abnormality in purine metabolism then there is high levels of uric acid in blood, and it forms crystals which affect joints. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my prolactin level was 39. the doctor got an mri done to check for adenoma and he told me that was normal and i should repeat the mri after 3 months to see if there is a change. he has just asked me to keep trying to conceive as the level is not too high to warrant medication. please advice.", "output": "Hi, I think if your periods are regular then you can try naturally for 3 to 6 months even with deranged prolactin levels as you are already taking the medicine for that. If it doesn't work then you can take some medicines like camphene for the growth of your follicles. Track your follicles' growth by repeated ultrasound and when your follicles is more than 17 mm, take injection for rupturing the follicles. Be in contact with your husband for next 2 to 3 days after injection. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. You can try like that for 3 to 6 months. Hope I have answered your question. If you have any other query I will be happy to help. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am 28 years old. I had antibiotic for common cold , cough and fever , after that i had unprotected intercourse, (12 days after my periods) and within 2 hrs, i had I- Pill . Then after 2 days, i again had unprotected intercourse, and i was already on antibiotic, again after 3 hrs i had I-pill, but this time i mixed it with alcohol. ( i had I-pill for like only 2 or 3 times in my entire life.) Will the I-Pill still work? Am i Safe ? I am really worried and need to know about this asap. Also. if there is any side effects of it?", "output": "Welcome to Chat Doctor. There are chances of pregnancy you had intercourse during fertile period of cycle. But need not worry because you had taken I pill immediately. You can continue your antibiotic with I pill, it will definitely work. There are chances of gastritis if taking together or with short period. Go for urine pregnancy test if you miss the period. Avoid unprotected sex and stress to be of pregnant." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi.i am jknkjn mkl,33 years old.i have a son who is 7 years old.after him i didnt conceive.last year in june i had a surgery to remove endometriosis.after which i was given 3 zoladex injections.i am using prolifen for the last 4 months but still the same.n my periods are as painful as they were before my surgery.plus it makes me despondent too as my son often demands siblings.", "output": "Hi, I guess your concern about for painful menses plus conceiving for the next baby. Treatment information given by you seems correct. Endometriosis is a health problem in which pt will have painful menses and difficultly in conceiving. The surgery and medicines (Rolodex, Prolific as told by you) is usually given for endometriosis treatment. But, when the surgery was done and when the medicines were started, this information is not shared by you. The dosing of medicines is also not told by u.so I can't comment on the medicines. Don't worry, once the problem of endometriosis is solved you can conceive for next baby. My suggestions:1. Usually it takes some time for the medicines to have their effect. Sometimes the medicines start working early, and sometimes it takes little extra time. 2. So have patience. Wait for few more days. If still there is no improvement in painful menses, revisiting your treating doctor. Your other concern is to conceive for next baby. Endometriosis is one of the cause of infertility (infertility in medical term means unable to conceive). So a patient on treatment for endometriosis is usually having difficulty in conceiving till successful treatment of the problem. My advice:1. Revisit your treating doctor, to discuss conceiving for the next baby and presence of painful menses inspire of taking medicines.2. You may also consult a nearby infertility specialist. I hope the information is useful, informative and helpful. I wish and pray almighty that your son will be getting a cute sibling as soon as possible. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ive had a fever, as high as almost 102, with extreme fatigue, no appetite, and alternating sweats and feeling cold. Today is the 3rd day, and I am feeling a bit better. I called my doctor and she said its probably just a virus, but the fever means infection. My doctor just thinks Im too anxious, but since I havent had a fever in decades, I feel pretty worried. Are these just symptoms of some common virus thats going around? I have no respiratory symptoms at all.", "output": "Fever can indicate infection with either viruses or bacteria. Your other symptoms are nonspecific. Without any other specifics, such as a sore throat, productive cough, etc., the condition is most often ascribed to a virus. There are always lots of viruses going around and no way (or particular reason) to identify them. Most of these viral syn Chat Doctor. There is no need to be concerned unless the symptoms persist after that time frame or more specific symptoms start to manifest. You are already feeling better, so your doctor is most likely correct. It's just a virus and should resolve shortly. However, if you continue to have fevers past a week or so, or more specific symptoms develop, ask your doctor again about it. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was kneeling down on a concrete floor when I could sense a crunching effect on my right knee. The next morning I woke up witha swollen knee. Pain was localised to the front and mostly side of knee. When i walked on that leg no pain was noticeable only stiffness. A few days later the swelling went down abot half way but what looks like bruising on the right side of the knee and some pain was felt down the right side of the leg. Today five days into the injury i woke up with the right side of my foot swollen with what looks likes bruising.Possibley blood? What do you think. Thanks,Vince", "output": "Hi. While you kneel down you hurt your tendon and irritated a Bursa.a fluid filled sac located in the knee... This is the reason for your swelling and pain in the outer aspect of the knee. Since you had pain and other knee is also hurt while kneeling down...it got inflamed and bruised when you start loading it...Don't worry... I recommend you to dolor of icing in both knees... frequently. Gently massage over front thigh muscle...not on the knee... slightly above the knee.keep your knee wrapped witChatDoctorpression bandage... If you have any Anti-inflammatory tabs that were prescribed to you before have them... As far as possible don't load your knees too much...for a while. Hope this is helpful for you kindly revert in case you need any further clarification in this regard..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doctor, regards this is mukesh maanav -i have been daignosed prostate is mildely enlarged-in usg -found insize &outline -39x43x30mms.weight approx -28gms(prostate) -i am 50 years now leading normal life -is this risky please advise-your clinical reply will be highly appreciated tnx", "output": "Good Day, and thank you for being with Chat Doctor ! Having a 28 grams prostate gland is expected for your age of 50. I would recommend doing a serum PSA to screen for prostate cancer. Otherwise, if you are generally happy with how you urinate? Do you have urinary frequency (urinating within 2 hours or less) ? Urinary urgency ? Waking up more than twice per night to urinate? Having a weak stream or urine? Having interrupted urination and straining during urination? These are symptoms of prostate problems or BPH and fairly common among men above age 50. If you have one or more of these symptoms I would suggest consulting with a urologist, so he can do a digital rectal examination (Chat Doctor. g. tamsulosin, treason ...) If your urination is okay, and you are not suffering from any of the above-mentioned urinary symptoms then your enlarged prostate is not causing any clinical consequence to you. We see patient with big prostates with no symptoms, and we also see some patients with relatively smaller prostates that are symptomatic. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: http://www.ChatDoctor .com/doctors/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doctor im a girl i have 29 years old i have acne in my face and i would like to ask you if there is an effecient way to get rid of it by the way i have too much oil in my skin i suffer from a whiteheads and blackheads and large pores i use a neutrogena for about 3 months deep clean gel exfoliant and also gel i put it on the spot i would be really grateful doctor if you could help me to get rid of all these problems", "output": "Hi Tourney. Firstly are you married or single? Sexually active & on any oral contraceptives or any other medications? Any History of Polycystic ovaries or period irregularities? Once all these factors are taken into consideration & one does not envisage pregnancy in the next 6 myths or so & for 2 months after stoppage of medication, then going by your body weight & doing all the pre-treatment baseline tests as per protocol, I would recommend you start systemic isotretinoin therapy in a dose appropriate for your body weight after due consent & full comprehension of the side effects of the medication, This will help clear your acne & take care of the oily skin. You are most welcome to use the ask-a-doctor feature & get more detailed with yours truly or tell me where you are based & will recommend a dermatologist to visit in your area. Cheers & Good Luck! Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been silent sick for about a year or more now..I feel that I am dying. Ive felt this for awhile, and kept it a secret. but I believe ppl reallty do know when they are. I have no insurance. But I dont want to die. Im scared, and I have no idea what Im suppose to do. My family has no clue. but please, is there anyone who can help me? I know you need money. but im somebodys daughter, and one day shes going to be crying while she burries her daughter. I have an irregular heartbeat, rapid, I am short of breath, Ive had horrible dry heaves for the past 2 years. Now there to the point it makes my brain feel like its going to burst, and my heart. I have been forgetful and always tired. I never have energy and when i do, it runs out quick. Sometimes it feels like theres a water bubble or something that needs to pop in my chest. and when i lay on my left side it puts painful pressure on my heart. My heart will speed real fast up to 200+ at some times just by vacuuming a floor. I get wore out fast. im only 28 years old. Ive been urninating a lot more and my periods are horrible. When I dont have make up on, I look bad. My circles are dark and I just dont look well. my hair is thinning and falling out. My feet get swollen and hurt all the time sometimes they get red and my veins stick out real bad. I just know something is wrong. Oh, plus i have had ulcers for years...I just need help and dont know where to go. Im a good person. And never once has anyone ever just been there for me...I just dont know what to do. Im scared. I know that", "output": "Thanks for your question on Chat Doctor. I can understand your concern. I have gone through your all symptoms. All these symptoms are more suggestive of stress, anxiety, depression and panic disorder. So in my opinion, you should first consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic and antidepressant Chat Doctor. Counselling plays very important role along with " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have really bad back pain!! My low back and hips hurts bad. I do not know what to do!! I took 800mg of invprotin!! I am still hurts!! I cannot sleep because it hurts so bad!! Should go to ER or I just wait to see my chiropractor tomorrow afternoon!!", "output": "Hi, Thanks for your query. After going through your query I came to know that you have backache and hip pain. It has not improved by ibuprofen, so you can take strong analgesic such as Tramadol. Rest, analgesics and Mecobalamin will be of benefit. You can get x-ray pelvis with both hip and X-ray lumbar spine for further investigate it. You can discuss with your treating Doctor about it. I do hope that you have found something helpful. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I need help determining my babys father! My last menstrual period was August 20, 2010 I slept with my boyfriend August 13,14,15, & 26th. i slept with my ex sept 5 & 11th. i went to the doctor on october 8th and had an ultrasound & she said i was 7 weeks. i got to hear the heatbeat and everything. Im still confused though on who the father might be, please help!", "output": "Hi, Your ex is the father of your baby. First trimester ultrasounds are very accurate in estimating gestational age with an error of just 1 week. You would have had to have conceived 5 weeks before 8 October, to be 7 weeks on 8th October. This is because we always time the pregnancy not from day of conception but the last menstrual period. So the confusion of 2 weeks, as those two weeks represent the follicular phase of the cycle you conceived in. Hope this helps. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 21 year old female, 5 10, maybe 155lbs. I have noticed slight numbness in hands and feet that comes and goes, and just noticed swelling behind my knees it is not painful. In addition my arms and feet have become more prone to totally falling asleep. Medical history includes heart problems- I also just moved to china where it is difficult to eat well.", "output": "Hi, I think you should get your spo2 checked in both upper and lower limb very week. If it is below 90% you should consult vascular surgeon. Because if there is decrease in blood flow it may cause numbness in hand and feet. You have not mentioned parasthesia and pain. If you have that than should met MRI spine and vitamin B12 level check. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had my canine crowns redone twice now. After the first placement I noticed that I had alot of sensitivity around the gumline They were redone and a week later the sensitivity is still there in the exact same spot. New impressions were taken and new crowns were made so why is this happening and is the lab just not making them right or iis it my dentist s error?What needs to be done now?", "output": "Hi Amy, Sensitivity of teeth after crown preparation is a common occurrence but as you have mentioned that even after the placement of the new crowns (assuming that the margins are proper) it persists and is severe then the only option you have is a root canal. If there is an exposed area around the teeth not covered by the crown causing sensitivity and its not severe then placing a desensitizing agent may help. Pls consult your dentist on that. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am having pain in my left testicle and groin. I have been to emergency twice. I have had two ultra sounds done. One ultrasound found an iguinal hernia and another found a Varicocele. Also found inflamation in the Epididitmis. hence the antibiotic i think. i had a surgery done where they went in through my belly button with a camera and the uroloigist said that they felt neither was in need for sugery. I have been on antibiotics for 11 days already but the pain is still there. The pain is somewhat tolerable if i laydown and do nothing but never goes away.", "output": "Greetings. I understand your concern. Most probably your pain could have been because of hernia getting partly obstructed and ending up in casualty. I hope that was repaired, and you are free of hernia now. Coming to the second reason for pain is of epididymis infection. Even if you take antibiotics for 2 to 3 weeks the pain may not subside as the infection may not be corrected completely. There may be associated testis and prostatic involvement which might need prolonged antimicrobial treatment. A urology consultation will help you in confirming the pain and continuing antibiotics. So I suggest you to take an expert opinion. Hope my answer helps you. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi there, i am a bit worried. My symptoms are the following. I started having pain in my chest and upper back, for more than 3 months, I went to our famliy doctor and he eventually diagnosed Tietzes Syndrome. After almost 4 months of pain ( now also my lower back, jaw, and headaches, he reffered me to a internist for further tests. What could this be. I am slo itching all over my body 24/7. Thanks", "output": "Hi thanks for contacting Chat Doctor... Tietz syn Chat Doctor. ... As your symptom of chest pain and upper back pain stable since 3 month cardiac cause less like.... Here you might have muscle inflammation or myositis like condition... Sometime muscle tendon might tear and producing pain ... So history of trauma ruled out. For detail grading of muscle tear or tendon rupture CT scan helpful... Your detail history and examination needed and accordingly investigated . If history suggestive connective tissue disorder then ruled out by molecular diagnosis. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was diagnosed with Polymyalgia Rheumatica about 7 years ago and was given Predinsone as treatment. I have taken 3 mg. daily for 7 years and am trying to get off it. My body aches all over. Should I continue with my medication or continue to get off of it and hurt all over. I am an active 85 year old woman. rb", "output": "Prednisone is one of the anti-inflammatory Chat Doctor. One of them is Polyhymnia thematic where there will be autoimmune inflammation in your muscles. So this tablet is really needed for prevention of this. At the same time due to long term use there Are lot many side effects also like early osteoporosis, thin skin, visual problem, memory loss, body pain, nausea, weakness of muscles, increase sugar level.etc. Now to answer your question if you want to stop this then take suggestion from your euro and reduce dosage very gradually at the same time take any simple alternative tablet with good omega 3 diet. Here omega 3 also have anti-inflammatory effect so that it will protect you from Polyhymnia thematic. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 4 year old son falls on their head and hit hard to ground or floor and says its paining?During his 4 year he would have fallen for 20 times and a bump his head. He us to watch tv and play ps3 games.Two days before again he fell down on the ground but bump but it pain till yesterday. Heed help.", "output": "Hi... Thank you for consulting in Chat Doctor. I understand your concern. First be reassured that your kid is normal. I will suggest you danger signs of head injury -1. Vomiting continuously2. Seizures3. Watery of bloody discharge from ears and nose4. Unconsciousness5. Altered sensorial or behavior. If none of them are present, I don't think you should worry about his trivial head injury. For pain, you can give oral Paracetamol in the dose of 15\u00a0mg/kg/dose(max ceiling dose 500\u00a0mg) every 4-6th hourly. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a question pertaining to my god daughter. She is 5 years old and was seen in ER for what would appear to be urinary tract infection... Blood in urine, severe pain, constant inability to control blather (incontinence)... They completed a culture and it came back that she had blood in her urine and white blood cells but there were no signs of bacteria. They began her on antibiotics. This has been her fourth one in the course of about a year. Same symptoms, same diagnosis, same treatment. What other things should her mom be concerned with... She, we all, are very worried.", "output": "Greetings. See this is a condition to be very concerned of... Recurrent UTI in a child less than 5 years age is very concerning. You should check whether she has a habit of handling her private parts. If so guide her no to do that. Recurrent UTI occurs in child Chat Doctor. It is absolutely necessary to rule them out by doing an ultrasonography PUB which is abnormal then a DMS scan and MCU.the child should be on prophylactic antibiotics to prevent kidney damage." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "BP on 62 year oldmale jumping around from 172/122 with pulse of 54 all the way down to 87/46 with a 169 pulse. All of these readings done while lying down. Has been on flexeril time release for back injury prescribed by neurologist. He took that before bed last night along with 10 mg regular flexeril, melatonin an.d 2 Benadryl. Had a shot of vodka last evening and a small glass of wine at bedtime. About an hour ago started feeling light headed and took a BC powder in case having stroke. Had 2 cups of coffee around noon. Ate scrambled eggs then. When sitting up, he feels light headed. Omron wrist monitor used to determine bp and pulse. Currently on back on floor. He does not want me to call 911 at the moment and says feeling some better.", "output": "Hi welcome to Chat Doctor. I understand your query and concern. Fluctuations in blood pressure and light headdress could be related to Atrial fibrillation and heart failure. I advise you to have a baseline 2 dimensional echocardiography, ECG and lipid profile to assess the basic cardiac reserve of your heart. Restrict the intake of salt to less than 6g/day. Regular physical exercise in the form of brisk walk for 20 min a day for 5 days a week is pretty useful. Chat Doctor. Reduce the intake of fatty and fried food. One pomegranate, apple a day will be helpful. Avoid smoking and alcohol. Fruit juices, buttermilk will be better than coffee. Consult a Cardiologist for further expert management. Post your further queries if any." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been prescribed prometrium by my Lyme Dr. as I have chronic Lyme disease. While I was pregnant I did not have any of my usual joint pain. My question is should I begin to take this at the beginning or end of my menstrual cycle? I have a very regular cycle and want to continue that way. Do I have to be concerned about weight gain as a side effect?", "output": "Hello, Welcome to Chat Doctor, As you were diagnosed to have Lyme disease which is an infectious disease caused by Cordelia bacteria, and it is a tick borne disease transmitted to humans by the bite of infected ticks. The symptoms are suggestive of the Lyme disease for which you have taken different antibiotics. I would suggest oral doxycycline, if you have taken this and if there is resistant to this you can take either cefuroxime or azithromycin. These medications should be taken for at least one to four weeks. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello.i had gallbladder surgery 4 months ago. Had a lot Of pain after surgery. Still having pains in general area and trouble breathing with shortness of breath. I deliver mail and walk everyday but it occurs daily. What could be causing these problems and any recommendations. Thanks. Matt", "output": "Hi.post-operative pain or discomfort, resolving spontaneously, is normal in any person who underwent an operation, even years back from his/her time of surgery. You could take in analgesics as needed, and rest yourself if you observed that the symptom is aggravated by a specific activity. A follow-up consult with your surgeon is best for physical examination and clinical evaluation. Diagnostics and management will be directed accordingly. Hope this helps. Good day!!~ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have noticed more than usual mucous for a month now accompanied with bloating and more flatulance that is mostly mucous now. Now Im experiencing weeping redness in areas surrounding the anus but only seems to happen at night in morning. The area is now begining to sting and seems to be expanding. Can you please let me know what this might be? There is no odor to this and I feel flu like around the time it prepares to weep. Please help.....and thank you for your time!", "output": "Hi, thank you for your query. Your complaints point towards Lactose intolerance the symptoms of which include-BloatingPain or cramps in the lower belly. Gurgling or rumbling sounds in the lower belly. Gas. Loose stools or diarrhea. Mucous in stools what you are experiencing is the adult form of lactose intolerance due to lack of enzyme lactase. Symptoms of this often start during the teen or adult years and continue for life. These last as long as the small intestine does not make lactase. You can get specific tests done to confirm this. Till then I would advise conservative management consisting of avoidance of dietary lactose, substitution to maintain nutrient intake, regulation of calcium intake thank you, hope the information was helpful, you can contact me for any follow-up questions" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i m trying to concieve since last 4 years,could not suceed,all tests are normal,doctor says we me and my husband both are alright for giving birth to child,this time i m taking duphaston since 16 days from LMP,will i be pregnant this time,when shud i expect my periods if not pregnant", "output": "Hi, Duphaston contain progesterone, and it will help you in become pregnant. It makes uterine environment favorable for implantation and support pregnancy. You can ask for following medicine also:- camphene citrate: from 3rd to 8th day of cycle, it induces the ovulation and increase fertility- Acre tablet: it will again help to become pregnant by providing sufficient nutrient and mineral that require to become pregnant. Avoid stress, take healthy diet, Chat Doctor. If pregnancy does not occur then consult infertility specialist for detailed examination. Investigation like reproductive hormone analysis, USG scan, ovarian follicle study, SG, semen analysis will help you. Last option is in vitro fertilization, intrauterine insemination. Hope this may help you. Contact further if follow up needed. Best regards," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m 44yrs old I m a truck driver but haven t driven in a few weeks but the past few days I ve been having bad pains like someone picking me with a million pins in my right leg not much in my left leg but my right leg Lord have mercy. What is going on please help", "output": "Dear Patient, Welcome, and thanks for sharing your concern I went through your query, and I feel, the pain you are feeling has spinal origin, and probably you are suffering from slip disc problem which we call as prolapsed disc. What you need is a proper examination and an MRI scan to see if the compression of the disc is sever enough to go for surgery or measures like rest and medication can help. I hope my advice would have been useful, in decision-making regarding your treatment, still if you have any clarifications or doubts feel free to contact back. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i crashed a go kart backwards into a safety barrier at 50 mph strained my neck and hurt my sholder i have pain in upper tricep and cant lift my arm above my head without pain in sholder and tricep , have had several massages but its not any better ,any ideas guys .", "output": "Hello, it will be better if you also mention the day when this happened and for how long you are having this pain after the accident?considering the incident happened recently 1-2 days back, whether can be muscle spasm due to the accident that's causing pain and limitation to the movements.it should go away after few days on its own if you take enough rest. You can take muscle relaxant like (tab aerosol MR)for it which will give some relief. Or you can use some painkiller spray for it. Do visit a doctor and let him or her have a look at it, if its very serious and need more intensive treatment and if there is need of some clinical tests to be performed to see if any nerve injury is there, you might have to go for an MRI scan. Till you visit a doctor which you should be doing as soon as you can, do not try to put much pressure on the area by performing movements that are leading to increased pain. You tried massaging the area which is good but that's not going to improve your condition sole. You can take help from a physiotherapist for this. That will help in speedy recovery. Do these things as per your doctor would suggest after doing a physical examination. If any queries after this, feel free to contact. Stay healthy." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, I ate something an I developed rash on my body. Nothing serious, just really small red dots and bit itchy . I don t have any other food allergy or food poisoning symptoms...It happened before after I ate meat ( medium beef for ex ) . What can I use to apply on my skin? Thank you", "output": "Hello. Thank you for using Ask a Doctor service. I have gone through your query and here is my advice. You seem to have Hives. Hives present as itchy welts and redness/ flare. Allergic reaction to a food or food preservatives is a common cause of Hives. Other causes include infection, Chat Doctor. I suggest you to take an oral antihistamine e.g. Tab cetirizine 10\u00a0mg once a day for a few days. In addition, I suggest you to apply a soothing lotion e.g. calamine lotion to help reduce itching and flare. Hope I have answered your Quertle me know if you need any further assistance." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "What causes my abdominal pain while sleeping?I only experience this pain once in a while and only when sleeping. Ill wake up in the middle of the night and Ill be experiencing kinda sharp pain in my abdomen and when I breath out it makes it worse and all I have to do is sit up or get up and walk around and it will instantly disappear. As I mentioned it doesnt happen every night, its not a long lasting pain, and it only happens when Im sleeping. What could be the issue?", "output": "Hi ! Good evening. I am Chat Doctor answering your query. Even though it might not be possible to pinpoint the problem without a physical examination, if I were your treating doctor, I would after a physical examination possibly would go for some tests like a complete blood count, a serum amylase and lipase estimation, liver function test, and an ultrasound of abdomen if need be to rule out any intra-abdominal pathology. Till then, I would prescribe you with a proton pump inhibitor Chat Doctor. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have pain when I swallow, and unfortunately I seem to be generating a lot of saliva causing me to swallow. It is painful, as aforementioned, and my tonsils are in pain consistently; never-ending. I recently had a root canal and I took some Hydrocodone and Im not sure if its a side effect to the drug. I am also experiencing runny nose from time to time, seemingly when the temperature drops or i take some clothes off. My main concern is my pain when swallowing and my tonsil pain. Im a healthy 21 year old, or at least I was save for a few weeks ago.", "output": "Hello, Welcome and I hope to assist you. Having the need for a root canal indicates that you had an infection. Your body needs time to heal and can suffer from the effects of an infection spreading. Did you take a prescription antibiotic since you had a prescription for pain medication? The antibiotic is effective in controlling the spread of the infection and not just a few hours of relief. To be effective you must complete your antibiotic prescription. Pain medication only treats your uncomfortable situation for a specific time. You should not need the pain medication for a very long time if you have completed the root canal. Please check with your dentist concerning an antibiotic and update your concerns with your dentist. Make sure you have all your teeth checked and keep up with good routine dental care as well. I would not consider your reaction a side effect of your pain medication. Medications can irritate the stomach and throat. Chat Doctor. You describe symptoms of a sinus infection. You may have post nasal " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter is 11 years old and having a fecal problem. She doesn t even realize that the fecal matter is escaping out of her backside. She gets this crust on her underwear. We have been trying to deal with this on our own, but can t Any clue as to what to do? She is highly embarrased and doesn t want to talk to her doctor about it.", "output": "Hi...what you are quoting is exactly called encopresis. This occurs when the kid has hard stools, almost similar to constipation. But what happens here is the liquid stools will seep out on the sides of the hard stools and leak out. But, the main treatment of this is receiving of constipation. Suggestions:1. Natural methods are the best to relieve constipation.2. Constipation is a risk factor for UTI3. Maximum milk consumption per day should not exceed 300-400ml4. Minimum 3-4 cups of fruits and vegetables to be consumed per day5. Toilet training - that is - sitting in Indian type of lavatory daily at the same time will help a lot. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear I want to use a lactic acid 5% cream with urea on my scrotum and penis skin(on a thin skin under the head).In the past i was using strong steroids creams on the same skin for a problem of contact dermatitis .Now my skin has become more thin and i have a problem of nerve irritation there.So i have listen that a lactic acid based cream will reverse my skin back and will decrease the hypersensitivity of nerves.Would this cream will be best on genital area or not? Kindly give me your opinion.Thankyou. Regards,", "output": "Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. Lactic acid may not be a good option over genital areas. You should always show the lesion to a dermatologist before applying medical creams oversensitive areas. If needed you may consider applying lac to calamine lotion over the area. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 4 year old daughter has asthma,bronitisis,fluid around heart,inflammation in her gi trac,swollen lymph nodes,body pain,very pale everyday with dark circles under eyes and around mouth,and visible small blue veins now on chest.her bloodwork just showed her lymphs absolute and calcium high.should she have further testing?the hematologist said by exam ?do you have any suggestions on what this may be all caused from?WE HAVE BEEN DEALING WITH THIS FOR A LONG TIME,SINCE DECEMBER 2013 SHE HAD PNEMONIA TWICE.", "output": "Howell come to ChatDoctorSuch symptoms in pediatric age group is matter of concern and this can not be left like that only and this would be immediately brought to investigation, one more thing, if such symptoms let untreated even for a couple of weeks then this could turn into medical emergency may some time serious one, but nothing like that happened with thin this year's, so this may not be that much serious as it is described here, still better to get done certain tests, like x-ray chest, CT of thorax, ECHO, these would clear the diagnosis, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son gets a severe rash around his waistband. My husband used to get the same thing, stopped wearing underwear and it went away. I assumed it was the same for my son. Maybe an allergy to the elastic. He tried the no underwear but it did not work. I bought him special boxers with that don t have elastic exposed but it hasn t helped. A few years ago, he scratched so badly, it turned into MRSA and he has horrible scars. He doesn t have open sores right now, but he says it itches constantly and looks very irritated. Cortisone cream helps but he knows he can t use that for very long. Any suggestions?", "output": "Hello Sue, It is possible he is getting pressure-induced urticaria that is aggravated/triggered by the pressure of the elastic. As he tried the no underwear without help, it is likely he is getting urticaria (hives and bumps, red and itchy) at other times or places and scratching aggravates the problem and has got secondary bacterial infection. Fusidic acid cream is treatment for the local skin infection but occasionally may require IV antibiotics if he is getting fever etc Long acting antihistamines with calamine lotion as local suiting effect is recommended for at least 6 weeks. CBC, LFT, ANA, TSH fT3 fT4 are tests that are usually done in urticaria to see if there can be identifiable causes. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello... I was randomly attacked by a very aggressive dog at a park and was bit on the finger. It was extremely painful, but I saw no signs that the dog had punctured my skin so my friend and I left. Within 10 minutes I noticed the dog had severely punctured my finger down to the bone, but it wasnt bleeding at all. I though nothing of it, until later that night, thinking that the dog could possibly have rabies. There were two dogs that charged me and my friend, and both dogs were owned by people in the group at the park. Im not sure if the dogs had tags on their neck or not. Its been almost two weeks now. Ive picked up a pretty nasty cold, but that could be from anything really. Should I be concerned about rabies? Is there a way for humans to get tested without getting the vaccination?", "output": "Hi, wether the dogs are vaccinated or not is an important concern.if answer is no or don't know immediately start taking anti rabies vaccine and human rabies immunoglobulin, even if you have taken a prior antirabies vaccine course....it is available free of cost at some govt. hospitals, or you can approach a physician for that.infection can occur even if the wound bleeds.cold may not be because of that don't worry.get the treatment ASAP hope my answer helped you if you have any more queries I would be happy to help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hiii , i am a patient of ITP . suffering from low platlet problem . one thing i wana mention is this is by birth (ITP) . my recent blood test shows platlets 65000 and always remain near 60 to 90 thousand . in the meanwhile i am taking medication from hematologist and taking medicines methycobol , folic acid , imuran (1+1) . for platlets i am taking revolade ... not on regular basis .. plz suggest me now what to do to cure this disease .... my email is", "output": "Hi, dear. I have gone through your question. I can understand your concern. You have ITP. It is idiopathic thrombocytopenic purpura. In this there is immune mediated destruction of the platelets take place. So it will reduce your platelets count. Treatment is immunosuppressive Chat Doctor. It will help you to decrease destruction of platelets and platelets count is maintained. Continue with your vitamins and take steroids according to your doctors' advice. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "A few months ago I had a pain attack in my lower right abdomen, it was umbearable... drs couldnt even apply any pressure to the area without me screaming in pain, i went to hospital the got rushed to another hospital as the thought it was accute apendicitis. I was given morphine and after about 2 hours the pain went away completly. Ever since this attack i have had many small bouts of pain in the same are... no where near as bad but uncomfortable, along with the pain it also feels like there is some preasure in the area aswell. 2 GPs i have seen have just said to take pain releif and rest, without doing any tests... should I be concerned.?", "output": "Hello ! Welcome to Chat Doctor .1. You have not mentioned if you have ultrasound abdomen done o not? 2. If you have not gone through, then I would recommend as soon as possible. 3. Your pain looks like for me as kidney stones, They do give similar symptoms.4. Other thing like cholecystitis/cholelithiasis (Gallbladder infection/stones)5. Request your GP for above test if not done. Any questions ? Do not hesitate to ask. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi My daughters aged 4 about 2 days ago had a clear mucus (streaks of brownish red) bowel. It smelt awful like fish. It went away and now my 2 year old has the same. They are both happy and it doesnt seem to bother them. What can this be? please help :-)", "output": "Hi... Thank you for consulting in Chat Doctor. It seems your kids are having bacillary dysentery. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. They might require antibiotic therapy. UI suggest you see your pediatrician for this as they are prescription Chat Doctor. I suggest you use zinc supplements (Z&D " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear doc,Im a 27 years old female,163cm, 53 Kg. Rubella IG G Borderline Kons : 11CMV IgG Positive Kons : 64VDRL Reactive 1:32TPHA Reactive 1 : 2560Never have sex intercourse before. Is there any possibility getting infected other than sex? Is there any relation with the fever & flu Ive got during the blood check? Then again, is it save for me to get pregnant with the above history?Pls advise & thanks in advance.", "output": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. High TPA and high V Chat Doctor. Treponema Belgium is the causative agent of the syphilis.These organism are unique in its characteristic that it can pierce intact skin. So apart from sexual contact it can even pierce the skin with exposure of the infected person. Infected blood transfusion can also cause infection of the syphilis. No, if you are infected with the syphilis you should not plan the pregnancy.These bacteria can cause infection to the newborn and may cause some congenital malformation. So better is to avoid the pregnancy until you are infected. You can take the Benzedrine penicillin treatment under your doctors' guidance. This will cure the infection. Treatment response will be evident by the falling title of V" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i had an ultrasound for my liver and was told it was like an alcolic liver and was concerned how bad it was i dont drink or overeat i had a blood test the gamma function was 4.6 and had high against it if i eat a lot of carbs my liver seems to get sore so i am scared to take any more medication for depression and try to repair my liver no one has any concerns over this and is putting medication into drink and food i am so worried it will do more harm than good i was on resperidone for 20 years and think this is to blame but no one will lisen to me or explain things to me i have an appointment to see a phyciatrist but scared they will make me take medication or put me in hospital but no one has concerns over my liver please help", "output": "Hi, I had gone through your question and understand your concerns. If you have alcoholic liver disease, and you are a heavy Chat Doctor. Talk to your doctor about how to get help. If you don't stop you could get complications like alcoholic hepatitis or cirrhosis. If you are overweight or obese, do what you can to gradually lose weight -- no more than 1 or 2 pounds a week. Eat a balanced and healthy diet and get regular exercise. Limit high-carb foods such as bread, grits, rice, potatoes, and corn. And cut down on " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello,I have a small area slightly to the left of my belly button that is tender and sore, but only when pushed on. (I discovered it when I leaned over to reach for something and the counter put some pressure on my abdomen. No other symptoms but it is pretty tender.", "output": "Hello and thanks for your question. It is possibly a small hernia or a cyst. Hernias are separations in the abdominal muscles and a small piece of bowel can push through especially when you put pressure on the abdomen like when you bend over or cough. Cysts are small fluid filled structures that can turn up anywhere. Neither one of these are dangerous but if the pain becomes severe you would need to see a doctor right away. Best to see your doctor soon to confirm the diagnosis. Thanks for using Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i just had a small root extraction and a dissolve stich put in today. but was given nothing for the pain so i would like to toke up after 8hrs will this be okay? the doctor did not mention anything about getting a dry socket ... will i get one if i choose to smoke? the extraction was only of the root of my tooth cause it had broken and the gum had slightly grown over the tooths roots. it took less then 15 min for my appointment to be over with.", "output": "Hi! Welcome to Chat Doctor. I read your query. Since it was extraction of remaining root, but it required flap removal and suture. Since it was a small procedure, your dentist might not felt the requirement for painkillers. However, if you feel pain or discomfort, you can ask for a prescription. Also, though minor procedure, but it will be good to follow same instructions as after normal extraction. Take only cold things for first 24 hours. Start warm saline rinses after 24 hours. Do not smoke till wound is healed. Avoid spicy and acidic food and beverages. Hope the answer helps you. Thank you!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband recently noticed enlarged lymph nodes around his neck and ears, one of which is so large you can see it out of his neck. He was doing construction work in our basement this weekend and came in contact with a lot of sawdust...can that cause a reaction and make the lymph nodes go crazy?", "output": "Hi, Welcome to Chat Doctor, This swollen neck could be due to infection or allergy of the neck lymph nodes to this dust exposure. Lymph node swelling could be due to viral infection (EB virus, adenovirus) or bacterial infection or parasitic infestation (toxoplasmosis) or allergic etc. He must be evaluated for routine blood counts and lymph node biopsy with thoroughly ENT examination by specialist. Treatment is required like antibiotics (accolades, quinolones or cephalosporins) with analgesics, antiinflammatory and antihistamines with other supportive treatment. You must see an ENT specialist or surgeon for further advise. Thanks and regards," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was bitten by some type of spider during the night, its been just over 4 months since the bite, the first couple of months it didn t see to bad and actually looked like it was getting better , as they time went by it slowing started getting worse, now it is really red and around the bite and very painfully ,the bite it self has turned in to a sore that it looks like hole ,I also stepped on a nail in my sisters yard a couple months back and was wondering if by chance by stepping on the nail would have had anything to do with it getting worse?", "output": "Hello, Thank you for trusting ChatDoctorStepping on nails is not the likely cause for your symptoms. The spider bite could be possibly by a brown recluse spider which can cause the characteristic skin ulcer. Most cases heal by itself. However, complications like an infection of the wound can prevent healing. In such cases treatment with antibiotics and skin debridement. Please be advised to follow up with your primary care provider to confirm the diagnosis and appropriate management. Meanwhile, apply mupirocin antibiotic ointment and take Tylenol for pain. Hope this answers your questions me know if you need further clarifications Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi i am 40YEar old i feel to much pain in stomuch continue from one month the pain is horribe include back pain feeling hot constipation i have same pain before 5 month i did ct scan and barium found normal pain gone again pain i am worried my nature is very suspecius even if if i feel smal pain i think like i have cancer tel me what to do in 5 month i cant have deases or should i do scan remember i am indian origin i eaten spice food in my previous life", "output": "Hi. Thanks for your history. Is the pain all over abdomen or upper abdomen only? Does it increase on eating? What are the aggravating or relieving factors? How are the stools - black? Loose, sticky? All the associated symptoms would have helped me to get a diagnosis. From available history this looks more of due to gastritis or pancreatitis. I would advise you to undergo an Endoscopy for the stomach and colon; ultrasonography to start with and confirmatory CT scan. Till you get a diagnosis I would advise you the following : Go for a proper diet and medicines-you will be fine:::*Soft bland diet without oil and spices.*Sanitizing 150 twice daily.*Risperidone thrice daily.*Antacid gel 3 tea-spoon-full every 3 hours, the first dose on getting up. If you do not get relief within 1 week - go for upper GI Endoscopy and a consultation with Gastroenterologist." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi yes I have a concern, I keep having a sharp pain just under right shoulder blade when I inhale, just started this morning. I am 35 5ft tall and weight 110lbs. I currently have cold symptoms runny nose headace lack of energy? Any ideas? Thanks!", "output": "Hi, Dear,Thanks for your query to Chat Doctor. Dear I read your query and reviewed it with context to your query facts. I understood your health concerns and feel Concerned about them. Based on the facts of your query, you seem to suffer from-FibromMyalgia with Inspiratory Catch from Flue and Exertion. Tab Motrin x for 5 days would resolve this issue. Hope this would help you to solve your health issues in the best way possible. Welcome for any further query in this regard. Good Day!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have A lump on the lower part of my butt cheek, It was rather small for a couple years, and it has not been painful, but i just noticed that it is alot bigger now, and it doesnt hurt when I sit or anything. its not a real hard lump, and it feels more deeper in the tissue rather than just under the skin. ai am rather concerned", "output": "Hello! Thank you for the query. It this lump is attached to the verge of the rectum, hemorrhoid is the most probable reason. If this lump is higher in the butt cheek colonial cyst it is. Colonial cyst is a condition caused by ingrown hair. There should be visible tiny hole in the lump area. Colonial cyst can get infected and turn into painful abscess. That is why it should be removed by a surgeon. Hemorrhoids if not causing any symptoms can be left alone. Without surgery, you can not get rid of them however in case of inflammation you can make them smaller with hemorrhoids suppositories. Hope this will help. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I hurt my wrist by hitting it on the railing really hard when I ran into it. It s right under my thumb but lower by sort of on my wrist. It s bruised and there s swelling. It s also very tender and hurts to touch. It s on my left hand on the left side, not on the bone that sticks up. What should I do? Is it just bruised?", "output": "Dear patient You have got significant trauma to your left hand and possibility of fracture cannot be ruled out. I would advise X-ray of left hand anteroposterior and oblique views to rule out bony abnormalities. Visit radiology center nearby you and get it done. Meanwhile, start tab diclofenac plus serratiopeptodase combination twice a day for pain relief. Apply ice packs on bruise to reduce pain and swelling. You need to consult expert orthopedic surgeon with report. All the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my son is 3yrs old and had to have some blood work done for a viral infection in his mouth and his Dr. just told me that he has thalassemia, he did not say the level and that I shoul just make an appoiment for next week, but should I have my other children check too?", "output": "Hello, there are more than one sort of thalassemia. Since your boys got 3 years old before anybody noticed, he most likely has minor thalassemia which is usually a pretty mild condition that only means a somewhat lower hematocrit than normal. If this is the case with him then this means that one of the parents (or both) is carrying a defective gene. Thalassemia major causes characteristic appearance changes that should get noticed by doctors. Patients with Thalassemia major require transfusions every so often. Let me describe to you how these genes get from the parents to their kids. Each parent has two genes. Each kid inherits two genes, one from each parent. This means that two people with thalassemia minor (one defective gene each) may have a severely sick child with 2 defective genes (thalassemia major). If the kid has one defective gene then this is thalassemia minor. This procedure is a rather simple one, although it may sound confusing at first. So the answer is that your other kids may have the defective gene as well, and they should be tested. I hope I've been clear enough. If you need further clarifications, please ask and I'll be glad to help. Kind Regards!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Sir My daughter will be completing 3 months old daughter was given rotavirus first dose along with other regular injections on 14June this year..since then she had loose watery motions green in color we consulted doctor he asked to give walamycin 2.5ml thrice per dayalong with prowel for three days..the stool turned yellow with lot of white curd like things in it but not watery for one day..we stopped medicines.. next day she had watery stool again this time with little blood(like very thin wire in it)..we again asked doc he asked to give norfoxlin 1.5ml twice per day along with renifol thrice per day..even after 3 doses i could not find any improvement but theblood is still coming the stool is watery and she cries a lot before releasing it and sometimes very small quantity only color also changes from yellow to green to brown..with foam also some times please help", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query your daughter have symptoms of mucus and blood in stools which seems to be due to acute dysentery. It could be due to electrolyte imbalance in body. Need not worry. I would suggest you to take proper rest. You should have plenty of fluids to rely Chat Doctor. You should take diet rich in multivitamins. Furthermore, you should do tepid sponging as well. Furthermore, you should give child Ondansetron 0.15\u00a0mg/kg. Avoid intake of outside hot and spicy food substances. Visit pediatrician once and get it examined. You should get blood tests done to find out underlying cause of your condition whether bacterial or viral and start treatment accordingly. Your symptoms will resolve in 3-5 days. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im 17 and over the past week I have checked my blood pressure everyday at varying times and everytime it was between 135/80 and 145/83. I learned in class that average is 120/80, so should I see a doctor about ly blood pressure being elevated above average", "output": "Hello you are too young for such an event, The blood pressure is considered higher if resting BP is more than 140/90, so no need for a consult at present as blood pressure is a vital of our body and tends to change according to the need of our body. However, in view of healthy lifestyle and because you have reached upper borderline, restricting salt in diet is of utmost importance. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My hair is thinning all over the scalp, especially above the sideburns i.e.behind the eye(wherein i ve every bald person has hair on the sides except on the top) so i hope this is not androgenetic alopecia, i ve lost hairs from all over the scalp, the temple hairs have almost gone, my scalp can be seen through the hair, no history of hairloss runs in my family. My dermatoglogist prescribed hair bless tablets, he said that this is due to biotin deficiency. Can biotin deficiency cause hairloss on the entire scalp?", "output": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint it is very true that excess of deficiency of Biotin can cause thinning of hairs and can cause severe hairless. So in case if you are diagnosed with Biotin deficiency then hairless can occur. Hairbless tablets contains Biotin, Niacin amide, amino acids and minerals, and it is an appropriate composition for hairball. You can also apply 5% Minoxidil solution over the scalp. You can massage you scalp with coconut oil or olive oil or other appropriate mineral oils. Wash your scalp every alternate day. In case if there is no improvement you can consult a Trichologist and get evaluated, and he can advise hormonal assay as well, so investigations like Pictogram and Endoscopy to rule out the exact cause and treatment can be done accordingly. You can also discuss Platelet rich plasma, Monotherapy etc. Hope this information helps. Thanks and regards. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my husband is on hi bld presure med..he just grabbed his chest , fell over on the couch and was in great pain - i took his blood pressure is was 200/101 - then 200/ 98 then 198 over 97 .....after five minutes it has returned to 138 over 78....what do i need to do.", "output": "Hello, Firstly he should be on regular medicine like tab Amlodipine or telmisartan with monitoring of blood pressure. He should have ECG done and if normal then echo and TMT to look for presence of heart blockages. He should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week and BP should not be persistently more than 140/90 MMH. Regular exercises like brisk walking, jogging according your capacity at least 30 min a day and 5 days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity. Get your lipid profile and sugars tested once if not tested. Hope this helps you and get back if you have any doubts." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my mom died of lung cancer 3 years ago. She was on hospice here at home and at the end she was on morphine every two hours, not sure of the dosage (one tube). She lived a year longer than the prognosis amount of time, but could giving her this much morphine have caused her to die sooner, and would she have been in severe pain had we not done this?", "output": "Please don't be concerned over the usage of morphine in your mother. It is customary and justified to give morphine to terminally ill cancer patients as cancer related pain is generally not amenable to any other form of therapy. The most important thing to remember while treating these patients is that they should be as comfortable as possible in their last days and pain relief is an important part. You and the hospice did the right thing by giving her morphine else she would have been in agony" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My friend is suffering from koch s abdomen and the doctore has advised to take AKT 3 tablets but after taking the tablets he is complaining of pain in the stomach.Then other doctor has advised to take AKT 4 Tablets but then the same pain in the stomach is continuing.please give your suggestion", "output": "HI. It looks that your friend is a diagnosed case of abdominal tuberculosis. Since the dose of AKT3 or AKT4 is causing pain in abdomen, it is possible that a particular medicine in this combination. I usually advise my patient to take the Rifampicine, Isoniazid, Ethambutol and Pyrizinamide in a separate preparation at different timings, Rifampicine to be taken on empty stomach. Once all the ingredients are taken at different times, it becomes easy to know which medicines are causing the problems, and we can stop that particular component. If required that particular medicines is stopped and Streptomycin injection and / or Levofloaxacin. You're treating Doctor knows the best. I hope this will solve the problem and ATT has to be continues in whichever form it suits. He has to take 2 + 4 months treatment. High protein diet. Multivitamins," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi! So i recently got over a really bad kidney infection in which I started to get hemorrhoids afterwards. I sometimes will get a cut by my tailbone when my hemorrhoid bothers me and now I recently I have some bumps there. I got the bumps after I wore a thong for a week which i never wear thongs. So i am not sure if it is because of the hemorrhoids or just the rubbing of the thongs or could it be something else?", "output": "Hii am sorry about your long course of illnessfirstlet me clear this out kidney infections do not cause hemorrhoids they are two different conditions that probably were noticed at the same time got the impression that the bumps you are developing are perianal they could be hemorrhoids causing the trouble and so I would suggest you get yourself some stool softnerstake high fiber diet and plenty of fluids you could use site bath too don't think the trouble is because of the wearing of thongs however it would be a good idea to avoid it while your hemorrhoids settle once your hemorrhoids settle I suppose you can continue hope you find this information pertinent and helpful best of luck get well soon" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son is 9 and has had Alopecia universis for 3 years. It started with spots and elevated to 90% hair loss. He is vegan and have consulted 2 doctors. We have changed diet to remove most processed foods and 5 months ago removed gluten. his hair began to regrow and then stopped and now is thinning again. What is the next step?", "output": "Hi, It is alopecia errata... not alopecia universalism, as the some hairs are there on the scalp. Consult the expert dermatologist for the perfect diagnosis and proper treatment. I would recommend intradermal in triamcinolone 10 mg/ml at various spots on alopecia patch, trioxsalen lotion application and tab bit 10 mg per day, .after few months of treatment, I hope he may get good result. Thanks. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir, I have fatty lever stage -I , used Udibon for about six month. After leaving the medicine, I feel heaviness on lever side of abdomen. kindly advise me about whether medicinal cure is enough to cure the disease fully. How long I should take the medicine?", "output": "Hello Underlying cause of fatty liver should be investigated. It may be due to many reasons like altered lipid profile, sedentary lifestyle, obesity etc. Fatty liver is a reversible stage. It is due to excessive deposition of fat within the liver cells. Your condition need few more investigations lie routine hologram, random blood sugar, lipid profile, liver function test. You should increase your physical activity and avoid fried and fatty food. You may need few medicines after full investigations. It may take 6-8 months for complete reversal of fatty liver. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I want to be a pregnant and we are trying from 4 months but we are not getting success...My husband is 2 years smaller than me.. he is 24 n im 26 now..i had an abortion before 5 years..is it safe to use fertility tabltes for me...can u pls suggest me some fertility tablets", "output": "Hi, Thanks for writing to Chat Doctor. The age gap between you and your husband doesn't matter much. So don't worry. Yes you can use fertility tablets even after your previous abortion. First line of fertility Chat Doctor. Before that you should undergo follicular study to know egg maturation and ovulation timing. You can discuss this with your doctor. Under guidance, you should take. 2nd line of " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I dip tobacco and recently noticed part of my gumline has receded. Visually my gum line under my front bottom tooth has eroded and when I rub my finger along my gumline I can feel a clear recession only in that area. Also, when I push on it, a white substance (pus?) comes from the receded area as well as from under the tooth. How serious is this?", "output": "Hello, thanks for concern in Chat Doctor. Gum line recession generally occurs in hard brushing, poor oral hygiene, calculus deposition, crowded teeth, and in tobacco and barrel not chewing. Here you did not mention your oral hygiene status, brushing method. Visit a dentist nearby you because only by seeing your oral cavity he can diagnose. If you pus in your gums you may have pain, but you did not mention pain, if it is really pus you have to stop chewing tobacco and start medication (dosage depends on your body weight) and concern dentist for diagnosis and treatment." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i am snehal, a male, and i am married before 3 yrs an i did my sperm count from genuine laboratory , and dr says that u have a very low sperms, so i want to know that how much sperm count needed to get a child? my report is below. Sperm Count : 3.1million/ml & 4.3 million/ml Motality Grade: 0 : 25 % 1 : 10 % 2 : 15 % 3 : 25 % 4 : 25 % Total Motality : 75 % Progressive Motile : 50 % Non Progressive Motile : 25 % Non Motile: 25 % Sperm Morphology: Abnormality of Head : 10 % : Micro Head : 50 % : Abnormality Tail : 10 % now tell me how much sperm growth i needed?", "output": "Hi, Thanks for your query. I have read your query & I understand your concerns. From what you describe it appears to be a report of oligoastenospermia (low sperm count with decreased motility). Minimum sperm count needed is 20 million per ml. Your counts are far less. I advise you see an infertility specialist to get prescription for antioxidant medication to improve your sperm count. With the present count only modality of conception is CSI (Intro Cytoplasmic Sperm Injection). Please ask details from your infertility specialist about the CSI procedure and other forms of ART. All the best. I hope I answered your query. I will be available for any followup queries you have. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello sir i m 21 year old. i used to masturbate since 10 years. but i leave it now. but my sperm becomes viscous now.. in jellly form nw i want to knw will it affect in getting a child after getting married ?? sir plz give me suggestions what should i do ?? now?Thank you", "output": "HelloThanks for your query, based on the facts that you have posted it appears that you have been indulged in masturbation since many years and now worried about your fertility in the future. As regards your doubt about viscosity of semen I would like to state that normal consistency of semen is viscus, and it gets liquefied after 30 -40 minutes, There is nothing to be worried about. Masturbation does not affect fertility of a man. Following general measures will help to boost up your general health and sexual potency.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc3)Take anti oxidants like Almonds 5-6 every day.4) Avoid alcohol and smoking. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 4 year old has a small movable (pea sized) lump under her armpit. When I first noticed it about a month ago, her doctor said there was nothing to worry about. It is still here and it feels a little bigger and she now says it is sore. What could this be?", "output": "Hiding worry. Most common cause of movable lump under arm pit is lymph node, swelling due to hair follicle infection called fur uncle. There will be visible swelling with redness and pain if its due to auricle. It is usually of short duration. I feel it is lymph node as you are saying of 1 month duration.don't worry most of the times lymph node is inflamed. That maybe she complaining.still in doubt & no visible swelling advised high frequency scan to underlying cause. Thank Vasundhara" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "it s been 2-yrs now and finally got another MRI found L5-S1 5mm left central disc protusion with mass effect on the left sided nerves. There is underlying 3mm disc bulge and facet arthropathy causing moderate left and mild righ foraminal narrowing 2. mild bilateral foraminal narrowing at L3-L4 and L4-L5 3. mild levocurvature at L2-L3 4. Trace retrlisthesis at L4-L5 and L5-S1. What does this all mean????", "output": "Hello, I would have ideally preferred if you had added your symptoms prior to telling us the report. I think, having read the report, that you must be having pain and/or sensory symptoms (like tingling and numbness) and/or weakness in your leg, predominantly the left leg more than the right leg. The report suggests that you have a disc problem. The disc is coming out of its normal position and pressing the nerves that come out of the spine and causing the symptoms. I would ideally need to examine you and need more details about your symptom before I can suggest a complete treatment. However, I can tell you that a simple prescription of Pregabalin or gabapentin with physiotherapy may be able to afford you some relief from your symptoms. You may need to meet a neurologist or neurosurgeon (dealing in spinal surgery, in case of latter) for a prescription. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Doctor My youngest sister was diagnosed with metastatic myaloma cancer on 2 October 2010and had chemotheraphy and now has a tumor on the brain that is being treated with radiation. How successfull is this treatment. And what is the changes of recovery.", "output": "Hi, dairy have gone through your question. I can understand your concern. She has metastatic lesion in brain. Chemotherapy is not helpful in brain lesion. So she should require radiation treatment to control brain tumor. This treatment is palliative treatment only. It will not cure the disease. Ultimate prognosis is poor. Life expectancy is not good. Sorry to say but it is fact. Consult your oncologist and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "good evening sir, i am neha pathania and few days ago my heart beat was very fast and i was feeling fear . doctor gave me medicine and after that my heart beat was normal. but sir, i get nervous very fast and then due this nervousness my hands starts trembling. and i get nervous on every small things . sir i want to get rid of this problem. Because of this problem i am unable to face other people and i also started meditation for this. and now days i also feel some tightness and heavyness in my chest not regularly but sometimes.", "output": "Hello and welcome to Chat Doctor. Thanks for your query. I understand that you are going through a difficult time due to your recent problems. From the description of your symptoms, it appears that you are suffering from an anxiety disorder. Anxiety can present with not only psychological symptoms but also with physical symptoms such as rapid heart beat, breathing difficulty, trembling, etc. Howeever, you need a detailed evaluation to arrive at a definitive diagnosis and initiate appropriate treatment. So, I would advise you to consult a psychiatrist for a detailed evaluation and further treatment. Effective treatment is available in the form of medication or counselling. Wish you all the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My three yr old bleeds every so often when she poops and it hurts her so much. its a fiasco everytime we tell her to go sit and poop she fights us on it. Ive done the whole fiber thing so please dont tell me to do that. She just seems afraid to go and im tired of my drs not helping more. Could something be seriously wrong?", "output": "Dear Parent, Sorry that your child is having trouble passing stools. The fact that you have made modifications in her diet show that you will surely try to maintain the high fiber diet and not give up on it. Please make sure that you give her lots of water ~1-1.5 liter daily. In the meantime you can talk to your pediatrician about stool softeners which will give the chance for the wounds in her anal area to heal." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Lately been getting tingling sensation in left side of chest area and upper left arm area. No pain , just tingling Seems to come when I eat and sometimes stays around and other times goes right away. When I exercise I feel great and dont feel a thing.", "output": "Thanks for your question on Health Care. I can understand your concern. Left sided chest and arm tingling sensation can be due to heart related diseases. So better to first rule out cardiac cause. So get done 1. ECG 2. 2d echo 3. Stress test (trade mill test). If all these are normal then no need to worry about cardiac diseases. Sometimes stress and anxiety can cause similar tingling. So avoid stress and tension, be relaxed and calm. Don't worry, you will be alright. But first rule out cardiac cause for your symptoms. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Doctor I am engaged to a man that gets no errection after all he had 2 major back operations before. He told me about not getting any errection at all when we started dating and I thought then it is fine and that it is not important. But as I am now in my 40s I realise that I have this sexual desire and it is getting more. I do not want it to be a problem for us as I love him very much. But for me this desire is sometimes getting out of hand(control) And I do not want to loose him. What can I do to help him? As he will not go to a doctor to speak about it?", "output": "Hi thanks for contacting Chat Doctor.... You can give advice to your partner to consult surgeon for that... There are lots of medication also available. His case needs to be investigated with detail examination and accordingly investigation... He might have lower spinal cord injury operation as by history . So problem in erection... Also rule out diabetes, hypertension and obesity that can lead ED. Smoking and alcohol habit also a lead erectile dysfunction... Advise him also not to take stress For erection dysfunction sildenafil like Chat Doctor. . Self injection of alprostadil delivered through pellet option also there. Healthy diet taken. More fruits... Regular exercise.Foreplay done more. With keeping my answer in mind consult psychiatrist." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Wondering why after open hysterectomy surgery I was given a machine to practice taking deep breaths but after laparoscopic gall bladders removal no doctors seem to be worried that I can t take amdeeombreath without severe pain. Like and 8 to 9 on theain scale...as a result I m breathing very shallowly and am worried about this. I m a 45 year old woman with chronic pain from degenerative arthritis in my neck, sacrum and hips, herniated disk in lower back and hashimotos disease controlled with thyroid meds but with a goiter...", "output": "Hi, thank you for giving a brief history of you. As you mentioned you have an issue with the deep breathing, and also you have Arthritis issue. I request you to try doing simple neck exercises initially. Then proceed onto slow costal breathing exercises and pursed lip breathing exercises. Later on proceed onto abdominal breathing. Lastly try performing deep breathing as well. Respiratory system is of mere importance and shouldn't be avoided in any case by anyone. Also meeting a pulmonologist will be of utmost importance and help. He might ask for the MRI or CT of lungs which will help assess the status of the lung tissues. After the exercise of breathing, which is you don't find easier than meet up a physical therapist. For your pain in the arthritic regions a therapeutic ultrasound therapy and TENS therapy will be used which will help ease of pain. Now since you have Arthritis of neck, lower back, sacrum and hips. You need to focus on doing regular slow free exercises for all of these joints. Once the muscle starts adapting to movements and get strength, proceed onto the next level by core strengthening exercises. Any form of exercise performed will give an add-on to your strength in muscle, balance the oxygen saturation levels in blood, improve the cardio respiratory endurance, improve the metabolism and importantly boost your immune system. Balancing the metabolism in the body is important to control the fluctuations of the thyroid levels. For any further help always a physician and a physical therapist is a close by. A close visit and getting assessed again will help you get the maximum output. I have seen many cases of such, and out of that 90% have been helped with exercises. Patients under me who have performed for 12-24 weeks have got a big change and then regular modification and assessment have helped to plan the next level. Due to the shallow breathing you might consume more of your energy which will make you feel fatigue and tired soon. So rehabilitation of the Pulmonary system stays at utmost importance. With the grace of God I wish you a blessed health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Thanksgiving when reaching the top of my stairs in my bare feet, I felt and heard a loud crack in my ankle that sent a shock all the way up my leg to my knee. I fell to the floor. Xrays were taken of my knee and ankle that showed no fractures. I rested it and iced it as much as I could and it gradually got better but now two months later, I am having swelling of the ankle (inside on my right foot) and my whole right leg is swollen and bigger than the left. My calf is swollen and warm to the touch. Could I have just irritated it after a few days of a lot of walking or should go back to my Dr. and ask for more xrays or perhaps an mri?", "output": "Hi, If there is no redness or wound then there is no need to be concerned but if there is pus discharge, fever, redness then it may indicate inflammation, and you may need antibiotics. Also, if pain is progressive you should do X-rays to rule out bone fracture in injured area. Till this, you should rest, apply cold compresses, keep it elevated and take non-steroid painkillers such as Ibuprofen-um or Diclofenac. It is however expected that symptoms may persist even for up to two weeks but just watch for these signs that I have mentioned and be patient. I hope I have answered your query. Let me know if I can assist you further. Wish you a good health. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor,From last i year we are trying for a kid,but till nw no luck.According to doctors advise 4 times i have taken ChatDoctor injection.Allthe testing result is +ve(Seman analysis and my heath test result).what is the next procedure??please let me knw the answer.", "output": "Hi, Thanks for writing to Chat Doctor. If a patient comes to me with such problem then I usually advice them to start ovulation inducing Chat Doctor. This will help multiple follicles to mature and rupture. Along with that take Chat Doctor injection when follicle become more than 20\u00a0mm. In the same cycle I suggest going for GUI since follicle will rupture. It is intrauterine ingestion of sperms. Here sperms are washed and processed, and healthy sperms are placed in uterus. This increase chances of pregnancy. You can try 4 to 5 cycles of GUI before proceeding further. Hope I have been helpful. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my son is 7 years old , yesterday afternoon he started saying stomach ache and wanted aircon on, by the bed he had 37.3 tem, and i gave him panadol . didnt sleep well due to stomach pain. Early morning around 2.30am he vomited. Now he is sleeping feeling a bit feverish. Monday only we went outside for shopping and had food from out side (subway). Please let me know what is going on with him.", "output": "Hi, Fever of a few days without any localizing signs could as well a viral illness. Usually, rather than fever, what is more, important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably a viral illness and it doesn't require antibiotics at all. Once the viral fever comes it will there for 4-7 days. So do not worry about the duration if the kid is active. Paracetamol can be given in the dose of 15\u00a0mg/kg/dose (maximum ceiling dose of 500\u00a0mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my father is a kidney patient. his creatine level was maintaining consistently around 2.7. But from last two month, level increased to 3.5. he is taking nephrosave as medicine including medicines like amtas 50,moxovas. From one week his health condition has been detoriated drastically, he is not able to walk at his own. please suggest for improvement if possible. Age is 80 years approx.", "output": "Welcome to Chat Doctor. I am Chat Doctor. My pleasure to help you. Norma Cretonne value is 0.7 to 1.3 mg/DL. Your father creatinine level is high. Your treating doctor is giving correct medicine. But even after proper treatment Creatinine value can increase. You have to give him strictly renal diet. Strictly avoid fruits. Repeat creatinine level twice in a week and if not increases then once in a week. Because if persistently increases and condition deteriorated then dialysis all be required. Thanx. Keep in touch." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i broke out into hives yesterday. went to urgent care and they gave me two shots. one was benadryl and the other one was corticosteriod. I woke up fine but the hives came back and i have had hiccups all day. are the two related in some way? i am going to my PCP tomorrow to have an allergy test done.", "output": "Hello, It is my pleasure to help you, As you had generalized urticaria your doctor has prescribed the medicines to control your symptoms. The symptoms will improve witChatDoctorpleteness of the course prescribed your doctor. The hiccups what you are having will resolve by itself in a short period of time and are rarely a medical emergency. If the hiccups are disturbing your eating or sleeping habits then you have to approach your doctor. To control these hiccups you can follow some home remedies 1. Holding your breath2. Chat Doctor. Pulling hard on your tongue4. Biting on a lemon, gargling with water. A physician may prescribe medications such as chlorpromazine haloperidol and metoclopramide for severe, persistent hiccups. Hope your query is answered. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good afternoon my mom was diagnoses with the bird fungus last year and took strong antibiotics. They removed a slither of her lung. Her spleen was also very enlarged. That was in January of 2014. Today she is having a biopsy, they are thinking she has lymphoma. Her spleen is still enlarged, she has spots on her lungs and some nodes are also enlarged. They biopsied her liver, can you explain to me why they would biopsy the liver? She also continues to loose weight and she is not well.", "output": "Hello, The reason for the liver biopsy is to find out the homogenous (via blood) spread of the underlying pathological condition of fungi. It is the Chat Doctor. It is the immune compromise stage which makes the patient prone to various further anatomic insults, leukemia or lymphoma development as well. However, there can be complex issues concerning the same and I would love to assist further with the details of relevant information. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi I m a 22 year old male who is suffering with trapped chest wind and slow burping helps,I swallow air to try and relieve it but often it makes it worse,especially while training,I ve left coffee as well as smoking,nothing seems to be working,I had an endoscopy performed and everything was clear,every night I have these heart pressing pains,feeling like a heart attack a night,my gp performed a few tests to see if it was my heart,but saw my heart was strong,hours after eating it can strike and has no set time,although worse at bed time,doctor already gave me 3 sets of adco controment (10 in each pack 3 times a day before meals) with no success,I do body building so I am fit and active,I don t drink alcohol.I also get a pain under my breast bone as well but as the endoscopy proved I have no ulcer problems,I feel it could be trapped wind there too,earlier on while gyming I had a pain in the upper sternum(where the collar bone meets)with swelling,could it be an injury that caused the trapped wind saga,its been this way for over a month,first episode landed me in the er,for heart attack,the pains aren t that bad anymore,I used to have heart burn but after my omeprazole 20 use that went away,everything is fine except the winds!are there any suggestions from you!thanking you", "output": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of HERD (gastroesophageal reflux disease) is more. HERD is due to laxity of gastroesophageal sphincter. Because of this gas from the stomach tends to come up in the esophagus and cause the symptoms. And you need to follow these lifestyle modifications for better symptomatic relief. 1. Avoid stress and tension. Be relax and calm. 2. Avoid hot and spicy food. Avoid junk food. 3. Avoid large meals, instead take frequent small meals. 4. Start omeprazole. 5. Go for walk after meals. 6. Keep 2-3 pillows under head in the bed to prevent reflux. Don't worry, you will be alright with all these changes in lifestyle. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I always have regular periods & am not using birth control. This month I had no sign of period on due date. Then I had pinkish blood streaked clear discharge. This was intermittent for few days and now very light bleed that hardly needs any protection. I took a recent pregnancy test but this was negative. What could this be please?", "output": "Hallow Dear, Just a pinkish streak without considerable bleeding may be considered as missed period. The usual urine pregnancy tests are reliable after about a week of missed period, earlier they may give false negative results. However, Beta Chat Doctor tests are very specific and sensitive and may give reliable results within 2-3 days after missed period, or even earlier. You may opt for this test. Another possibility of unruptured ectopic pregnancy may be kept in mind. However, usually it gives faint positive result. If it is confirmed that you are not pregnant, you may take birth control pills for 5 days. Please do not take Devilry like Progesterone only pills since they minimize the bleeding. You should get normal bleeding 4-7 days after discontinuation of the pills. If still you do not get bleeding, please report to the Gynecologist for your hormonal evaluation. You may be developing Polycystic Ovarian Syn Chat Doctor. I hope this helps you. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Age: 23 yrs Height: 5.1Weight: 37 kgactually i have consulted skin specialist he gave me the ointment glyhakoj but complexion changed but temporarily means only upto that ointment is applied. So, what can be used for the fairness(face) which remains as natural and permanent life long?", "output": "Hello, I can understand your concern for fairness and that too for permanent basis. To tell you regarding the skin color-our skin color is determined by the activity of particular cell known as Melanocytes. These melanocytes are secreting color according to the genetic basis. It means if a person has more activity than we can not change it by any medications. SO for you also I suggest you to not get carried away by anything to get fairer. There is nothing in this world which can change our genetic capacity to secret color. Eat your best of nutritional diet and protect yourself form sunlight. All the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "good day, i am okoh Ambrose married for 3yrs and have being trying to make a baby. i went for a test analysis on Friday and this is was the result Volume-1.5ml, viscousity_ viscious, Colour- grey, PH- 8.0, Normal- 40% Abnormal _60% Active 30% sluggish- 10% nonotile- 60%. count- 19million. also shown moderate growth of staph aures spp isolated after 24hrs of incubation at 37c. pls what treatment can i use am very desperate. Thanks and Best Regards, Ambrose.", "output": "Hai, As your semen report seems to be moderately good. We cant conclude it as infertility. As active motile sperm should be 50 % and more than that.(yours 30 %)But your culture report shows some infection that will cause damage and dead to your sperm and quality of semen. Kindly visit an infertility specialist for proper antibiotic administration and further treatment to get quality sperm. Be hopeful. Thank you hope I answered your query" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My sister thinks she is being controlled by spirits. She sees snakes and sometimes tells me people pour chemicals on her. About an hour ago she told me her life on earth would come to an end soon, It can be today, tomorrow or days. I want to know if it is schizophrenia.", "output": "Hi, I do appreciate your concern for her sister. From what you have described, your sister seems to be having delusion of control, visual hallucinations and also somatic passivity phenomenon which are all highly suggestive of psychosis in form of Schizophrenia. However, such symptoms rarely can occur in other form of psychotic illnesses as well. I would suggest that you seek a psychiatric consultation for complete evaluation. In case, she is diagnosed with schizophrenia, anti-psychotic medications like olanzapine would be helpful in controlling her symptoms. I do hope that I was able to answer your query. Wishing your sister a speedy recovery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a very tender abdomen with the most tenderness in the lower right quadrant, just inside my hip bone . I am 64 years old. Of course, I have no insurance and am not yet ready for Medicare . At first I thought my appendix might be causing the problem, but I have no rebound pain and can lift my right leg up without pain (clues from the internet). A friend thought it might be diverticulitis . I did have a fever of about 101 for around 18 hours, but it s gone. I just feel like someone beat me up.", "output": "Hi Thanks for posting your query The signs you have mentioned as clues from internet are true for a retrocecal appendix, there are other positions of appendix where it can lie in abdomen and can have different symptoms For me diverticulitis is more concerning than appendicitis From your information I feel it is more related to appendix Under all circumstances do go for a complete blood count and an ultrasound before you stamp anything Hope this helps Am available for any followup queries there are no further doubts, do accept this reply and rate it Wishing You A Speedy Recovery" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, We are trying for concieving from the past 7 months but no result. My waife has undergone TSH,VDLR, Blood test, Ultrasound also but results are positive. I also went SEMEN Analysis test and mysperm count is 55million/cc. Plesae advice do we need to go for furthe tests or what medicines we need to take to get my wife concieved. She has a regular periods also..", "output": "Dear member, Thanks for writing. It is good that most of the tests are normal. You have not written complete semen analysis report. There are other factors like morphology and motility of sperms. Please upload your reports and wives reports. I will be able to guide better. If every thing is fine then ovulation induction to induce eggs can be given to your wife. Usually 60-70% couples with all normal tests conceive by 5-6 months of treatment. Please write back with reports. Thanks Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband cut his thumb down by where it meets the end, NOT tip. Went to dr today because his thumb is throbbing from the knuckle area to the tip. The dr said he probably hit a tendon/nerve and it will take time to heal. Does he not need usrgry to repair or how can they tell if the tendon was damaged", "output": "Dear patient Was he inured with sharp thing like knife or glass?if yes risk of tendon injury is there. Diagnosis is done by clinical Examination of your involved hand and thumb. Tendon injury leads to absence of certain movements. Please get examined by plastic surgeon nearby you. Suturing of wound may be required. Meanwhile, take tab diclofenac 50 mg twice a day for pain relief with tablet augmenting 625 mg twice a day to prevent infection. Hope this is useful." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a registered dental hygienist. The last week I have been suffering with an inflammation around the borders of my lips and it has spread to the commissures of my lips (especially the left side). Is there an over-the-counter treatment I could get for this? Or how could I treat it?", "output": "Thanks for your query, the features what you are telling looks like angular colitis means a fungal infection...it can be because of the decreased vertical dimension of it can be because of nutritional deficiency, or decreased immunity.you can take a symptomatic treatment by using topical anesthetics and do complete hologram to rule out anemia...consult a dentist to rule out occlusion...thanking you....I hope my answer will help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter 12 and I both got a stomach virus , vomiting I recovered in 2 days ,she is still lathargic and has a rash that keeps coming and going all over her torso face and limbs. I have given her allergy meds to help but it still keeps coming back stronger what can cause this? and how long should it persist?", "output": "Hi... Thank you for consulting in Chat Doctor. It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, my name is David and the doctors seem to think I have a small umbilical hernia . Today while inspecting inside my naval, a smelly brown looking discharge that also appeared somewhat bloody was in my naval. What could this be? Is it related to my hernia or do I have two problems, a yeast infection and a hernia. Also, pain that was persistent around my naval area seems to be a lot less since I was first told I may have a hernia.", "output": "Hi welcome to Chat Doctor forum. Thanks for choosing Chat Doctor. F. You have got pain at the naves, the doctor told you that you have a small umbilical hernia. You also got a smelly, brown, bloody discharge as well. Hernia is entirely different, and you are getting discharge due to some other infection, most probably a bacterial infection. Don't worry it will be cured soon with antibiotics and supporting medicines as you are already under treatment. Regarding hernia, you need not worry, if it is increasing or bothering you can go for operation. Wishing for a quick recovery. Best regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have anxiety and have irritability, my doctor has prescribed me Paroxephine but my symptoms have gotten worse. I have been herring voices of people I know wanting to kill me, I think people are talking about me Im getting paranoid all the time, can you please suggest something better I can take and preferably something with minimal side effects. My doctor is changing my script to Zoloft but my friend says they are just as bad. I would even consider something more natural, I do smoke pot a couple of times a fortnight but dont drink alcohol or take anything else.Thank you for your time to answer my question.", "output": "It is important that you consult a psychiatrist for your complaints and tell her about these symptoms of hearing threatening voices of people and that you fear that they may harm you. You may need a different set of medications than paroxetine or sertraline. You may need antipsychotics such as risperidone, haloperidol etc. in appropriate doses. Smoking pot is a double-edged sword. You may feel less anxious and relieved when you use pot. However, the pot can make these voices appear with even more intensity, and you will find yourself trapped in a vicious circle. Do discuss this issue with your psychiatrist too. Hope it helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have an underarm rash in both pits, as well as my stomach, belly overhang, cant get rid of it. have discontinued use of deoderants, wash twice daily, powder soothes it, but it does not heal. Its like mad at times. I live in hawaii, but from what i can tell its not heat rash. Do you have a suggestion?", "output": "Hello, Thanks for the query, You might have developed fungal infection. The area of folds is very moist and is prone to develop these infections. Treatment can be with oral antifungals as well as with topical antifungals. Various antifungal powders like candid are available. These can help reduce the moisture as well as control the infection. Please don't use any steroid, it can worsen your conditionPlease meet a dermatologist for exact diagnosis. Let me know if you have any other doubt. You can ask a direct question to me on this forum, following the below link.https://urldefense.com/v3/__http://www.ChatDoctor .com/doctors/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, It has been one year since my transplant and I am still having abdominal pain, along the scar line and where my liver is and down through the middle of my abdomen. My alk/phos is very high and we are sure the blie ducts are not blocked. Any ideas what is going on?", "output": "Hi, How are you? Congratulations on your liver transplant. I am so sorry to hear that you continue to have pain issues post transplant. This is not uncommon symptom among liver transplant patients. Since we make a huge incision on the belly for the transplant operation, and then sew the muscles back together, there will be pain along the incision. But one year post transplant, the pain should have subsided. I would make sure there is no infection or an incisional hernia in your scar. If those are ruled out, then mild stretching exercises have helped a lot of my patients overcome incisional pain. Make sure to do this only under close supervision of a doctor or a physiotherapist. Also, over the counter analgesics like paracetamol should also help. Regarding your raised ALK for, please provide details regarding your bilirubin levels also. And what was the indication for the transplant (autoimmune vs infection vs alcohol) ? And also what the last biopsy looked like? This will better help me discuss regarding the raised ALK for levels. Hope this helped, and please do not hesitate to contact me for any details required - rxsuresh@gmail.com" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "For years now I ve been having these chest pains that happen out of nowhere and I ve had 2 or 3 in the past 2 and a half weeks. Sometimes they go away for a long amount of time like a month but then they come back and it s like whenever I exhale, I get this sharp pain in the left side of my chest like my heart is being squeezed and it s hard to breathe because it really hurts and it usually lasts about 1-3 minutes. Should I start seeking medical attention as soon as possible? What could be wrong?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Yes, you should definitely get done few reports to rule out heart and lung related causes for your chest pain. You are having squeezing type of chest pain on exhalation. This is seen in heart diseases like coronary heart disease and lung diseases like pleurisy, pneumonia etc. So get done ECG, 2d echo, chest x-ray. If all these are normal then no need to worry about heart and lung related causes. Sometimes, musculoskeletal pain can cause similar symptoms. So avoid heavyweight lifting and strenuous exercise. Take painkiller and muscle relaxant Chat Doctor. Don't worry, you will be alright. First rule heart and lung related causes. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my age is 28,5 6 ,70kg.I am married for last ten years but not having children.i have gone through many treatments and medicines and my FSH level is very high.I am not having periods for last two years and the doctors said that u have gone into premature menopause and there r no eggs left in your ovaries because they stopped working and u are not in a postion to do IVF with your eggs.And they want to start HRT but i don t want.Do guide me either i should take some medicines or treatment to balance my harmones to start periods bcz i want to become pregnant as soon before i turned 35 as my husband reports are all fine.So plz help me.thanks", "output": "Welcome to Chat Doctor If you do not start HRT you will get hot flashes, more chance of osteoporosis. HRT is normal female hormones which will replace the loss of the same hormones. This HRT will make you feel like before, but you will not have regular periods, just occasional vaginal bleeding and also will not be able to conceive, but you should also be aware of side effects like increased chance of endometrial hyperplasia, more chance of ovarian tumors etc. Discuss the benefits and risks of HRT with your Gynecologist." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have started experiencing chills then fever, back to chills, back to fever etc., for the last two days with temps ranging from 96.6 to 101.0. Also have body aches throughout body, headache, and feel a constant need to urinate - when I do urinate I get a bit of a tingling sensation that goes down my arms to my hands - no pain though. I dont know if its all part of the same issue but all symptoms came on suddenly two days ago.", "output": "Hello! I have been through your question. Related your concern I think you have urinary tract infection (most probably pyelonephritis). Usually, a frequent urination, chills and fever are the symptoms of pyelonephritis. What I suggest for you is to do a physical examination by an infectious diseases specialist, urine test, urine culture, full blood count, academia/ creatine, abdominal echo (to exclude renal problems) in order to define better the diagnosis and to start the prompt adequate antibiotic (usually I prescribe ciprofloxacin or Bactrim). I hope my answer helps you. I wish you a quick recovery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Cover up tattoo on calf. A week ago today noticed greenish clear pus bump on it. Washed as usual with antibacterial soap, but piece of tattoo and skin came off. Switched from store brand lotion to aquaphor earlier and put bactine on raw patch. Curious how to home treat this.", "output": "Cellophane You for contacting Chat Doctor. You most probably are suffering from skin infection due to tattooing. If a patient with these symptoms come to my clinic then I would suggest the following:> Keep wound as clean as face.> Change Chat Doctor. > Use poly fax plus ointment and rub over the wound.> Use acetaminophen for pain & fever (if occurs)You need to visit nearby hospital for further treatment & antibiotic cover if:> Wound does not start improving in 3-4 days> Wound gets worst> Any other unusual symptom appears. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. If you do not have any clarifications, you can close the discussion and rate the answer. Wishing you good health!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Samuel, I pray you can help me. I went to the ER @ hospital. They did a catscan and my colon is all enflamed on the outside edge (a long strip of colon) And gallbladder is damaged from car accident in 1996 , pushed up higher than should be. DR in ER said it is a ticking time bomb, and is crunchy and crystalized. I had a colonoscopy a week ago. A polyp was removed, and biopsies were done. Still waiting for appt. for gallbladder, but for over a wekk my bowel movement is mostly just like slime, mucus, and a tiny bit of blood each time. And about 1/4 cup of just slime, some pinkish color, some looks like skin color. My Dad has colon cancer and stomach cancer right now & on chemo. I am afraid, because I have so much pain in colon and stomach, especially after I eat anything. Why do I have so much mucus & slimy stuff ? It actually looks like the inside lining of my colon, that shouldnt be coming out in such great quantities. Please ease my mind, before my appt. w/ the surgeon on Tues. she wants to talk about the biopsies with me. Thank you so much for your help, Martha Thomas, YYYY@YYYY", "output": "Hi, You have mentioned that you have a colonoscopy a week ago. Then what was the exact fining of colonoscopy? Polyp may be found but the important information to have is the number of polyp. Colon cancer can run in family. Proper colon cancer screening protocol is there and that should be offered to the individual having history of colon cancer in family. You should wait for the biopsy report. Nothing to worry right now. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband is 65 and over the last few years I have noticed a tremor in his fingers when he extends his hands. Recently he started to do a movement which I believe looks like pill rolling. He has been under extreme pressure over the last 3 years , but retired at christmas and is actively employed with life without work. Leaving work has not been a problem to him, but rather a relief. The reason that I am concerned is that he will not have any medical checks and will not talk of health issues.He is also drinking large tumblers of dilute coffee constantly during the day. His memory has failed considerably over the last year. He is losing things constantly, but is aggravated if I direct him. He has always had a positive nature and that hasn t changed except he won t allow any discussions of this nature. He has always been untidy in his personal areas and has never properly attended to health or teeth issues, although he encourages his family to do so. Contrary to what it may seem he has always been an intelligent man and has always had a responsible job.", "output": "Hello, Thanks for your query. There is no cure for most tremors. The appropriate treatment depends on accurate diagnosis of the cause. Some tremors respond to treatment of the underlying condition. Physical therapy may help to reduce tremor and improve coordination and muscle control for some individuals. A physical therapist will evaluate the individual for tremor positioning, muscle control, muscle strength, and functional skills. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor, Im sorry to bother you but I am in dire need. Im 18 and Im addicted to porn and all things relating to sex. I know its natural to be curious about sex and the body, but I ve taken it way out of hand.. Its very embarrassing, But I need to do something about it. Its preventing me to do what I want to do, and its a huge distraction. Its hard for me to get my college homework done because all I think about is sex. I can t control it. I know what it takes to stop this. but I just cant do it alone. Can I please get some advice?", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. You are just 18. At this age, most people are addicted to porn or masturbation. This happens due to understanding and feeling the sexual pleasure. For some this may continue till their 25. Most people are able to get out of this habit when they are done with it or when they find something more demanding than porn. Physical Exercises, games, education, career related engagements, etc. are the best alternatives. Don't become anxious about your habit. Try to focus yourself on more demanding tasks. Your addiction should go off slowly. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Not really sure. I have an upcoming appt with a nephrologist to help, but I am anxious. I had some type of nephritis as a teen. The last was combined with tonsilitis and saw me drop to 98 lbs from 165 in a few short weeks (35 the first 3 days). Now, more than 40 years later, my latest blood and urine tests are all alarming, with gfr at 40, microalbumin/creatinine at 69.6, creatinine at 1.72, creatinine, urine at 195.3 and microalbumin, ur, qn detection limit at 135.9. How serious is this and how concerned should I be? I also had an exploratory exam which shows some blood and urine will always be present because of thin bladder tissue walls.", "output": "Hello and welcome to Chat Doctor. As a Urologist, I can understand your concern. All the blood and urine reports, show abnormal levels of kidney function. But like last episode of nephritis, this also looks like the same. However, youll need to have an ultrasound scan of abdomen.You'll need to observe, restricted salt, protein and fluid intake. After check-up with your nephrologist, and seeing your reports, youll need to take a course of antibiotic, with repeat check of blood and urine tests. You may contact me with reports, as a direct question. Chat Doctor. Manga." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "first when urining if any water gets on my skin like my enter leg it,s itches me like crazy.later on my pubic hairs stared to itches too.shave them off now feeling much better .please help?", "output": "Hi, Welcome to Chat Doctor forum. As you describe, there appears to be some skin infection, or some lice of type which usually stay in pubic hair. I advise you to consult a dermatologist for diagnosis and treatment. I usually prescribe to my patient with such symptoms grisofulvin pyrimethamimine ointment, and ketoconazole soap. As well definite 200\u00a0mg. Wishing for a quick and complete recovery. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello - I need both hips replaced and have been trying to find a surgeon in B.C - hopefully Vancouver, thata uses the Anterior minimally invasive teechnique . after watching the operation on the net a few times , it jsut makes more sense to cut along the muscle instead of through it . thank you, gloria", "output": "The anterior total hip replacement has been developed with the goal of accelerating the rehabilitation time, decreasing the risk of dislocation and minimizing the possibility of a leg length discrepancy. The anterior approach to the hip is the only approach to the hip that does not require splitting or dividing muscles and tendons from the femur in order to obtain access to the hip joint. Postoperatively, patients are encouraged immediate full weight bearing, hip precautions are almost never required and patients are encouraged to assume unrestricted activities of daily living. There are advantages of anterior approach but i personally don't know about any surgeons doing anterior approach. I am more comfortable and experienced in posterior approach thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 21year, female, 2years before was found that i have calcium deposits in my liver and now a days i get pretty bad stomach ache during and after(occasionally) my periods... i have also undergone a ovary cyst operation 3years back. is it any kind of cancer initiation or anything serious???", "output": "Hi, Thanks for writing in. The chances of getting cancer is very less. The calcifications in liver might be due to old healed infections. You may get an ultrasound scan because it is two years since the last one. Please discuss your stomach pain with a gynecologist, and you can get the pelvis also evaluated in the same scan. It doesn't look like anything serious. It is important to know if you are getting fever and pain over liver area." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 7 year old complains about his stomach hurting most every night before bed - yet it doesnt hurt at all throughout the day? Once he goes to sleep, he sleeps through the entire night, every night? Is there something that would cause his stomach to hurt typically at that time of day?", "output": "HI... I have gone through the history points you have provided. I am putting forth certain possibilities - 1. Worm infestation - typically it occurs like this and moreover there can be teeth grinding at night and the kid will lose appetite too.2. He might have some hidden fears in sleeping alone and hence trying to avoid the situation by telling about stomach pain.3. But I can tell you certainly once thing - a stomach which is not bothering him at night is not something serious or pathological. Do not worry. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 6-yo daughter fell flat on her face on sat and have wounds on her forehead, side of her eyebrow and on the Sid elf her nose and nostril under. She seems fine and her paeditrician gave her ok to go ahead for school today. She came back 6 hours later with a slight swelling between her eyes and visible blue-black dark eye circle. Is this something to worry about and should I bring her to a & e?", "output": "Cellophane You for contacting Chat Doctor. After an injury blood accumulates under the skin. With the passage of time color of blood changes along with the overlying skin which is a normal process. I would suggest you not to worry. It will take some time to heal completely. Meanwhile, you should take extra care and keep her in front of your eyes.> take a cloth and warm it over flame and put it over the forehead. It will give soothing effect to her> Continue to give analgesics as advised by your doctor. Report to hospital if:> There is loss of consciousness> Blurred vision> She becomes lethargic> She Vomits> Bleeding from wound or nose> Any unusual symptom Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. Wishing her good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "ive been having slightly sharp pains in my left abdomen and im worried i might have damaged my liver the pain isnt sever and it only happens once or twice every couple weeks i had blood tests done three months ago for being dizzy but im not sure if a liver test was included in that should i be wooried?", "output": "Hi. Thanks for your query and an elucidated history. You have got a pain on the left side of the abdomen; for your information the liver is on the right side of the abdomen so a liver damage - Hepatitis can not cause pain on the left side. Since you have got pain on the left side occasionally, it is possibly due to colitis or impacted feces. Consult a Doctor whenever you get pain and since you have got a suspicion about liver problem get liver function tests done once at least so that the phobia will go away." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have an ulcer. I have been taking Cimetidine on and off for about three years. But lately i am coughing a bad cough. And i checked with a doctor and he said i have bronchites. The medicine(ciproflex) he gave me didnt help and it made my ulcer worse. I have a feeling the cough is because of the ulcer. I sometimes cough and i have blood in phelgem. What could it be?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. You are having hemoptysis (blood in sputum). Hemoptysis is mostly due to bronchitis or lung infection or lung cancer. So better to get done chest x-ray first. If chest x-ray is normal then no need to worry about lung infection or lung cancer. You are not taking appropriate treatment for bronchitis and this is the reason why you are not improving. Best treatment of bronchitis is inhaled bronchodilators and inhaled corticosteroid. And treatment guided by severity. So get done PFT (Pulmonary Function Test) to know the severity of bronchitis. On the basis of PFT report you will need inhaled treatment. Don't worry, you will be alright with all symptoms including hemoptysis after inhaled treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son had the pneumococcal IM (14 Serotype) Serology test. He didn t have the streptococcal pneumonia vaccination as a baby and is now 15. He was positive for ALL serologies. He was treated with Biaxin 500 mg daily for 20 days and two rounds of Suprax 400 mg daily for 20 days (two rounds). All serologies have dropped below positive except for pneumo Ab type 19 (19F) and Pneumo Ab Type 57 (19A). Those two have actually gone up.. Anytime he shows an increase in Igm number he triggers with psychotic symptoms. His immune system is somehow compromised. He has been diagnosed with PANDAS and PANS. His thyroid antibodies were 232 and 110 and have come down to 110 and 51 after the antibiotics. Can you help?", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion you should consult pulmonologist and get done pneumococcal vaccination. In newer pneumococcal vaccines, they provide benefit against 23 stereotypes. And it is very effective in preventive pneumococcal pneumonia. It should be given every 5 yearly. So your son will be protected for 5 years after vaccination. And it can be given in patients of PANDAS and PAN. So consult pulmonologist and discuss all these." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, i have irregular periods problem. now trying to conceive. my doctor suggested ovaa sheid ds, apcod, folic acid and ycst tablets. will there be any side effects due to this tablets. my last period is on 28th Dec 2012, please let me know when is the best time to have intercourse to increase pregnancy chances. thanks.", "output": "Hello thanks for your everywhere are many causes of irregular periods. You should be investigated thoroughly to rule out all of overexercise, stress, anxiety, fluctuations in weight and age around 40 are chief causes. Polycystic ovaries can cause irregular cycles for which various hormonal assays are necessary for diagnosis. Thyroid disorder, a Chat Doctor. Also, some disease within the uterus or ovaries can also lead to irregular cycles. The medications prescribed to you act empirically, and are not known to cause any side effects. However, you should consult a proper Infertility specialist, to get all investigations done, also your partners' semen testing and tests to know if both your tubes are open. As your cycles are irregular, it is extremely difficult to pinpoint the days of ovulation, around which, intercourse leads to maximum chances of pregnancy. Also with irregular periods, it is very likely that you might not be ovulating at all. Please consult an infertility specialist, who would perform follicular monitoring by ultrasound for you, and hence advise the best days for trying to conceive, as well as treatment for an ovulation. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I m a 48 yr old African American male. Over the last couple weeks I ve developed a small bulge just on the inside of my left heel. Its not very painful but painful enough if that males any sense. After resting, it takes time to warm up so to speak. And its also tender to a firm touch. Any ideas? Thanks", "output": "Dear sir/ madam would like to know do you have taken the first step in the morning after waking up, and as day progress does the pain gradually comes down?based on your description my differentials would be plantar fasciitis for which silicone rubber soles, Achilles strengthening exercises, contrast baths, and some analgesics is recommended. Or posterior tibial tendinitis for which I would examine for heel rise and recommend rest ice fomentation, ankle brace and ankle room exercises.calcaneal stress fracture for which radiograph of the ankle would help for diagnosis." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just had another ct scan, report say the liver show a punctate right lobe 5mm.ive also had a wedge removal of leuft lung in oct and it was stage 1 carcimoa at same time there was a 4mm mass in right lung.does this mean there is cancer in liver now.im also a big weight lose weight 100 pounds now.", "output": "Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. Ct scan may be nonspecific for lesions smaller than 5\u00a0mm and in this case, MRI scan should be done for better evaluation especially if there was history of other cancer. ALSO, PET scan would be better option. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "So I have been told I have bronchitis. And a sinus infection about a 10 days have gone by with taking levaquil once a day now gone and 60.mg of prednisone a day for 5 days. I even went to the er to have a chest xray done. everything checked out okay there they told me I have bronchitis. here I am 10 days later and still have burning in my throat and chest and still have a cough.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Best treatment for bronchitis is inhaled treatment in the form of inhaled bronchodilator and inhaled corticosteroids (ICS). Since you are not taking these inhaled Chat Doctor. So better to consult pulmonologist and get done PFT (pulmonary function test). PFT will tell you about severity of bronchitis and treatment is based on severity only. Your cough and burning will mostly improve with inhaled bronchodilator (formoterol or albuterol) and inhaled corticosteroids (budesonide or fluticasone). Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband works in landscaping and since it has gotten very warm he feet get extremely sweaty. It causes a rash on his feet that resembles diaper rash. It also causes some swelling. It is also very painful. Once he showers and it starts to dry up the rash is even more very painful. He has seen a physician but no one really knows what it is or what to do with it. He was told not to put anything on it. He has tried different shoes and socks but it doesn t help. If he is off a few days the rash will go away but leaves angry dark purple scars for a few weeks that eventually fade away. Do you have any suggestions of anything we could try to get him a little relief? Thank you for your time.", "output": "Hi, It can be either a heat rash or biting of any specific insects or bugs outdoors leading to a severe allergic reaction. So, it is advisable to consult an Allergist or Immunologist and get him evaluated. An allergy test or an antibody test can be done to rule out if it is due to allergic reaction. For now, you can do cool compresses over the rashes and apply Calamine lotion over it. He can take anti-allergics like Levocetirizine if there is itching. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been diagnosed with early stage invasive ductile carcinoma and invasive lobular carcinoma. All lymph nodes clear except for two lymph nodes in my breast under the lobular carcinoma. I have had a bi- lateral mastectomy and 23 lymph nodes from my left side. Tutors on the left breast. Right breast clear. What post operative treatment is recommended? Positive for estrogen and progesterone.", "output": "Hi, dairy have gone through your question. I can understand your concern. You have invasive ductal and lobular carcinoma. You should take chemotherapy according to stage. Your estrogen and progesterone receptor is positive. You should take treatment against them. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 36 yr old and my wife is 32 yr old, my weight is 77 kg and 6 feet height. I have one daughter and I want one another child, we are trying since 2 years, but we failed. My wife report is normal and My report is that I have problem in erection and very low sperm count and low sperm motility. So please advice me which medicine I have to take", "output": "Hi, what is your sperm count what percent of your sperms are motile? Please let me know the entire report. About the erection problem, you can try Tab Tadalafil at a low dose of 5 to 10\u00a0mg a little while before you need to perform. Also, time your performance according to her fertile period which starts on the 10th day after she gets her period. Meanwhile, get your Semen culture done to rule out any infection which can be a treatable cause of the problem. For the low count, you can try Ayurvedic medicines which have proven to increase the counts. Take care. Feel free to contact again. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My last period was Feb 24th. I had taken siphene 100mg from day 4 to day 8 with glycomet St 500 mg. I am undergoing follicular induction scan on day 15 right ovary was 2.1*2.0 endometrium was 9.2cm. My doctor advised me to take fertigyn injection 5000. Is there any possibility to get pregnant. When to get intercourse.", "output": "Dear member, Thanks for writing to Chat Doctor. Your treatment is on right path. You have responded well to sphere as scan shows a ripe follicle. In foreign 5000 i.u will cause rupture of the follicle in 36-40 hours after injection. Intercourse should happen on day of injection and next day. Also write back with ultrasound report done after injection foreign to check if ovulation has occurred. Thanks Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am a 56 year old female and will undergo a gastric sleeve bypass in two days. i am in good health with no major problems other than my weight. i have a slight cough that started yesterday with no production of sputum. what will happen if there is chest congestion and i receive general anesthesia?", "output": "Hi Dear !! Thanks for your query to Chat Doctor. Read and reviewed your query and health concerns. My opinion-IN the given situation, You seem to be having-GERD with acid reflux induced Cough from legal irritation. Possibility of Chest-Congestion with slight cough you have is very less than there is no sputum with it and as doctors have checked and cleared you for the Gastric Sleeve bypass-in 2 days. Dos Suggested-In case you happen to have chest congestion-your Surgery would be cancelled by anesthetist / surgical team, till its fixed and treated. X-ray chest after clinical lung check up by Physician would verify and would treat it, if it's there. Other causes of Cough with no sputum, needs to be verified and ruled out, before giving any treatment. Hope this would help you to plan further of this complex illness of yours. If need be, update any health issue 24 x 7 by a direct question to ME, at following Chat Doctor link-http://doctor.Chat Doctor .com/Funnel?page=askDoctorDirectly&docId=70229 Dear, if satisfied, Dont forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at Chat Doctor services. If you want to update more details and ask more update queries, You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!! Chat Doctor. N. Senior Surgical Specialist M.S. Genl-CVTS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have a cold right now and have taken phenylephrine hci chlorphenamine maleate paracetamol within the past 5 hours, can i still take norvette as an emergency contraception (4 pills within 150 hours from contact). I have never taken any kind of contraceptive before. I am also a smoker (average of 6 sticks a day) I would appreciate your advice. Thank you", "output": "Hello, and I hope I can help you today. I assume the pill you are mentioning is Corvette... which is a regular monthly cycle birth control pill. You can use regular birth control pills as emergency contraception, but you must take 4 pills twice- 12 hours apart. In short term dosing, this is not an issue with smoking nor will it be affected by any other medicines you are taking. However, emergency contraception really is only effective within 72 hours of unprotected sex. However, you may develop nausea and vomiting as a side effect from all the estrogen in the pills. Emergency contraception kits are available in pharmacies that have a different kind of hormone and fewer side effects. Depending on where you are in the world, you do not necessarily need a doctors prescription. These kits can work up to 5 days after intercourse (though most effective within 72 hours) so I recommend you use a store-bought kit rather than the Corvette. If you do use emergency contraception, it usually either delays your period or makes it come about 2-4 days after taking the medicine. So either way, if you miss your period, you should do a pregnancy test just in case. I hope I was able to answer your question and that my advice was helpful. Best wishes, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My teeth are suddenly breaking. Ive had 2 fillings break loose and just this evening I had tooth structure loss on a FRONT tooth at gum line almost in between 2 teeth - no previous repair to this tooth before. What in the world could be happening for my teeth to suddenly start deteriorating like they are doing??", "output": "Hello, There is no need to take tension, as the tooth structure you are mentioning at the gum line between two teeth, it can be calculus, which is similar to tooth structure but a debris which has become hard and situated at the same area. And the fillings which has become loose were not done properly. There is nothing to worry just visit your dentist and get complete scaling with re-filling done. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Well, I also have a dog that was just vaccinated last year. Last saturday a girl of 5 years old was bitten by my dog?She got one shot of vaccination for anti-rabbies and one shot of anti-tetanous. The doctor said if my dog live after the 14 days observation, she doesnt need to be vaccinated. Will she needs to continue the vaccination?", "output": "Hello. Welcome to Chat Doctor, As your pet dog which was fully immunized against the rabies, and now it has bitten a 5-year-old girl. Rabies is 100% fatal, but it is 100% preventable with proper and adequate treatment. She should be given at least three doses of Antirabies vaccine on days 0, 3 and 7. If the dog is healthy after 10 days of bite nothing is required after that. In addition to Antirabies vaccine In TT should be taken. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor,I have noticed several red dots or bumps on my genitals (glans and the sensitive skin just below) since couple of weeks. They are very small in size - about 1 to 2 mm. I tried applying \"Itch Guard\". After using Itch Guard the red dots go away or reduce in size and number but reappear after a couple of days. This has happened 3-4 times in the past 3 weeks. Is this Genital Psoriasis? What is the medicine for this?In addition to this, since 6-7 weeks I have been suffering from increased itching problem all over my body - especially arms, thighs, back, stomach and legs. I keep scratching by body several times a day. Is this also a sympton of Psoriasis?Some itching problem started", "output": "Hi, Thanks for posting in Chat Doctor. It appears that you are unnecessarily worried about the lesions as genital psoriasis. It appears to be a simple bacterial infection of the skin. Kindly do the following to overcome them. 1. Clean the area every day with warm water and mild antiseptic solution like Salon twice daily. 2. Take tablet Levocetrizine once a day for itching. 3. Apply Aureomycin cream twice daily after washing and Chat Doctor. Wear loose fitting cotton undergarments, especially at nighttime. Abstain from sexual activities till the lesions heal completely. Hope the information provided would be helpful. All the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Very good aftnoon dr. My baby is 1 year and 2 months old past 2 week she is suffering fromcold, cough, and 2 weeks before she has fell down form bike , we went to dr and he gave syp amrodil and moxcid and she had fever last week, dr please tell me the reason and also the diet", "output": "Hi... Thank you for consulting in Chat Doctor. Cough and cold are viral 95% of the times in child Chat Doctor. For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15\u00a0mg/kg/dose (max ceiling dose 500\u00a0mg) every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. For cold, you can use Cetirizine at 0.25\u00a0mg/kg/dose every 12 hourly for 3 days. For nasal block, plain saline nasal " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have been having trouble with my tonsils on and off for a few months now. I ve recently noticed I have some kind of piece of my right tonsil sticking out next to a hole. I do not have any pain and it doesn t look infected in any way, although it s quite uncomfortable to feel the little piece moving while I speak and eat food. What do you think is going on?", "output": "Hello, Thank you for your contact to Chat Doctor. I understand your health concern, if I am your doctor I suggest you that take the swab from the suspected infection site. Do Grams Staining, culture and sensitivity from that swab. If it is infection it will give a species of bacteria causing infection and also the effective antibiotic on it. I will be happy to answer all your future concern. Thank you, ChatDoctorInfectious disease specialist. Wish you the best health at Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir i am having vitiligo from last 14 years but it was very minimal....three years back i hv taken homeopathic treatment which made it bad and it increased,,,then i stopped that medication and started some other allopathic but not done seriously nd left that also....now my patches r inc slowly now i m little bit worried ..is this possible to get rid of it...kindly suggest", "output": "Hi, Vitiligo is an autoimmune disease causing white patches on the skin. White patches occur due to the loss of melanin in the skin. There is no complete cure for vitiligo. Do not worry. The progression of the disease can be retarded to a certain extent by local application of immunosuppressant ointment and UV treatment. I would suggest you to continue treatment. Please consult your Dermatologist for appropriate treatment. Reduce consumption of seafood and sour food such as curd, tomato and tamarind. Always use sunscreen before stepping out. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have just been diagnosed with mild dextroscoliosis in my thoracic spine and levoscoliosis. is it possible this could be the reason I hurt when I do sit-ups. I have pain in my right pelvic area, lower back pain especially on right side, groin pain, and my right leg goes numb.", "output": "Hello, Yes, due to scoliosis it is possible to have pain on one side, lower back, hip, groin, numbness etc. With proper exercise prescription under a competitive spine physiotherapist, you will at least avoid all these symptoms and may even do correction of scoliosis. In my clinical experience of 12 years, most cases seen till date have similar complaints of the additional symptoms, and they respond well with physiotherapy. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Can a soybean allergy cause blood in urine in a small child, he was diagnosed with a soybean allergy while he was on prosobee for a short time and it caused bloody stools, but we have never really paid much attention to what he eats with soy in it until lately when he complained of pain in groin area like a hernia pain but there is no hernia and no infection (UTI) culture was negative but he continues to have blood in his urine x 3 weeks now", "output": "Hello. Thank you for asking at Chat Doctor. My first and practical answer to your query will be - No, food allergy can't cause blood in urine. As a doctor, I must let you know that there have been rare cases of food allergy causing hematuria (blood in urine) recorded in medical literature. But they are very, very rare. So practically, I would not consider soybean allergy causing blood in urine in your child. There are many causes commonly causing blood in urine in child Chat Doctor. It is very important to diagnose and treat the cause. So personally I would suggest you to consult a Pediatrician who may suggest you some blood and urine investigations as well as ultrasonogram of genitourinary system which may help in diagnosis of the cause. Hope above answer solves your query. Wish your child a quick recovery and best of the health. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i was diagonosed with intestinal tb..however att medicines made my situation worst...so i stopped it and got recover from vomiting ...however my body odour is offensive..i cannot smell it but i can make out from other s expressions...i have sore butt crack and hole too...", "output": "Hello, I understand your concern. I am Chat Doctor, infectious disease specialist, answering your concern. ATT must not be stopped by you. There are many side effects of the ATT. But has positive side also, that is cure of TB. Incomplete treatment of the tuberculosis can cause multi Chat Doctor. Such bacilli now have less effect with antibiotics. I advise you to start the ATT again and never stop it until you are complete cured. TB can cause offensive smell. So if you take the treatment you are all clear up with the TB and smell to. Glad to answer your further concern contact me on bit.ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Denzel, a 46 year old man, is working with his physical therapist on a set of back exercises. Around four weeks ago, Denzel was helping a friend move and attempted to lift a heavy box. Since that incident, he has had severe pain in his lower back. His health care provider prescribed physical therapy three times per week to treat the condition.", "output": "Severe back pain need rest and medical treatment in the form of painkillers. After controlling severe pain slowly start physiotherapy. First you consult euro surgeon and take opinion then do accordingly. You may have disc prolapse. There are so many types of treatment modalities. Chat Doctor. Epidural steroid injection. Surgical intervention. When you are having severe back pain, and if you try to lift the heavy objects with one side it will further exaggerate disc prolapse. Kindly avoid those work." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Sir/ Madam, I have a friend who works for an IT company, She recently had gone into depression and doctors had advised her to take oleanz which she continued for almost three months. Later she got rid of the situation(May not be completely) and started to worry about side effects( dizziness and weight gain ). Hence she has stopped taking the medicines. We took her to the doctor again to make her realize how the medicine was so useful. She will agree to take the medicine in front of the doc and as soon as u reach home she repeats the same scenario that she will take up cos of the side effects.. could you pls suggest me any medicines to overcome the side effects of this medicine.", "output": "Hello!generally clean is prescribed as a single medicine for Psychotic problems For bipolar depression, it should be given with fluoxetine (as per FDA recommendations) Your description of the symptoms is not sufficient to make a proper diagnosis, so first step should be to revise the diagnosis she got rid of situation and has no symptoms, why does she need to take medicines in the first place? Appropriate counselling and observation should be enough to help her further and keep a watch for relapse of symptoms. Clean can cause weight gain, metabolic syn Chat Doctor. You have to take Genotropin for that Best Wishes" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am a 67 yr old male. Have stopped smoking and drinking as of Jan 01/12 (Cold Turkey). I am 6 and 206 lbs. Taking 10 mg lipitor, Inhibace plus 5/12.5 mg, bisoprolol fumarate 5 mg and hydrochlorothiazide 25 mg. Recently very short of breath, weak and fatigued. Upper arms, lats and upper back very tingley and sore. Any ideas of the problem?", "output": "Hello sir, I went through the information you have provided and after a thorough thought I would consider the cause of symptoms as. 1) rule out underlying cardiac disease. Considering you have fatigue on exertion to start with the risk factors as you have described, underlying heart disease is a very strong possibility. A stress test (treadmill) with echocardiography is the best test to rule things out. 2) even instance plus has 12.5 mg HY Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "What s the ultimate prognosis of Cervical Stenosis w/radiculopathy (hope I spelled that correctly) and Lumbar Stenosis, and does it raise your blood pressure higher? ( I take meds for blood pressure and it appears to be getting higher. I m already on an additional med to go along with the blood pressure meds I already have; it s still a bit high when my pain is high ).", "output": "tithe prognosis for untreated stenoses at cervical level is not a healthy one especially if with radiculopathy, It's not only painful but leads to constant stress mental and physical and hypertensive patients may get their BP raised further with incumbent mental stress and agony, although BP may not be directly raised with stenotic lesion, but indirect cause is always there. Lumbar stenoses may progress gradually and walking without pain may become impossible in long run, but one may still be able to with difficulty. Depending on severity surgery may be indicated, so consult a spine surgeon. Take muscle relaxant tabs and antianxiety medicines after prescription from doctor. Use of cervical collar and lumbosacral belt may be needed with physical therapy exercises in between. Best wishes" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am 27 weeks pregnant with my first pregnancy. I have got Cervical stitch in my 22nd week. I am facing loose motions since last 10 days...I have lost 2kgs since then... My doctor suggested me to take Vibact DS and STIBS but of no use... I am very much worried for my child. Please help.", "output": "Hello dear, I understand your concern. In my opinion persistence of loose motions since 10 days Inspire of taking medicines needs to be evaluated. Stool culture and sensitivity or microscopy might help in accurate diagnosis and treatment. They help in ruling out any infection. And if at all infection is there antibiotics might be needed. Avoid spicy and oily diet. Take bland diet. Take adequate fluids up to 3 liters per day, fruit juices, coconut water daily to combat deny Chat Doctor. Take electron powder and probiotics as suggested by your doctor. Nothing to worry. Avoid stress. Hope this helps. Best regards..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hey.. I had surgery of ethopic pregnancy on 28 may 2012. I stil have so much pain my neck and i feel the pain in cheast.. I went so many times to doctor they giving very time painkiller it dont help. Is it safe to take Primolut N to start the petiod hope you can help me..", "output": "Hello, Yes, IIS. Once you have finished taking a course of Primal N, you will usually have a menstrual bleed (period) 2-3 days after taking your last tablet. If you do not have a period, you must make sure that you are not pregnant before taking any more tablets. Do not take Primal N if you are pregnant or breast-feeding. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my name is Zuleyma Martinez . I m 25 years old ,and I have problem with staying focus in school I have heard about smart pills .what I know I think I have A.D.D. What should I do .you think my doctor could give me smart pill . Idk what should I do .", "output": "Hello Kusama! Welcome on Chat Doctor! Regarding your concern, I would explain that smart pills sometimes can exacerbate the situation, especially in ADHD patients. So, I would not agree in starting these pills without a medical consult. For this reason, I would recommend consulting with a psychiatrist for a careful mental examination, in order to find the right diagnosis and discuss the best treatment options. Hope to have been helpful! Best wishes, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 35 yr old female, I have a pacemaker, recently found out that i have a bad lead wire, my dr is doing some adjustments so that we dont have to go through the dangerous surgery, but since the last adjustment my bp is high and my pulse rate is high as well, I have bradycardia, sick sinus syndrome and rate drop. my heart rate has never benn this high before. is this something that i should be concerned about", "output": "Hello, First, high BP is most probably an age related change in you because pacemaker adjustment will not lead to this. Secondly, high pulse rate is most probably a part of sick sinus syn Chat Doctor. We need one ECG to confirm the type of high heart rate. If Normal we may need holder as well. Also, you should get one hemoglobin level and thyroid test done. You should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. If BP remains high more than 140/90 then you should be started on BP medicine. Regular exercises like brisk walking, jogging according your capacity at least 30 min a day and 5 days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity. Get your lipid profile and sugars tested once." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I quit smoking about a week ago by using electronic cigarettes. Ive smoked for 40 years until a week ago. Im still getting nicotine from the electronic cigarettes and I plan to switch cartridge strength every two weeks to taper off the nicotine, but no more real cigarettes. I had a real bad cold or mild pneumonia when I quit. The cold seems almost gone now, but the cough is bad and tastes awful. It a weird kind of chemical / metal / rotten kind of taste. Is there something wrong or is this normal for a heavy smoker stopping suddenly?", "output": "Thanks for your question on Chat Doctor . No this is not normal after quitting cigarettes. You might be having bronchitis. Bronchitis is inflammation of airways, and it is common in smokers. Cigarette smoke causes constant irritation and inflammation of airways. And it causes bronchitis and coughing. So better to get done PFT (Pulmonary Function Test) for the diagnosis of bronchitis. It will also tell you about severity of the disease and treatment of bronchitis is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid. So better to first diagnose yourself and then start appropriate treatment. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my daughter 2years and10 months is suffering from infection in the mouth from small tounge to throat. small mouth ulsers type bubbles are formed and also having fever. our doctor has prescribed antibiotic plus calpol syrup.but she has lot of throat painand not eable to swallow.Is ibugesic plus is safe to give for pain killing.", "output": "Hello, THX to contact us. If I am your treating doctor I would like to advice you that the symptoms you are mentioning is suggesting of some viral infection or autoimmune disease. The Chat Doctor. It requires a visual examination to check what is the disease, actually. I suggest you can think for consultation to dermatologist. Eugenic is ibuprofen it will be good if you do not take it. If you have anything else to ask please contact me. Than. Chat Doctor" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am using Omezol 20mg which contains Tartrazine for indigestion. The relief I have had is wonderful ..... but I want to know if there is a Natural alternative that I could try that would or could be just as effective, or another drug that does not have tartrazine in it.", "output": "Hello madam, thanks a lot for your query on Chat Doctor, nice to see you switching to natural therapy for your lifestyle,.there is no substitute for it...do follow a healthy lifestyle...do go for regular exercises with at least 30 minutes of brisk walking daily...stick to a regular timetable for food...eat adequately at adequate time.don't over burden or underheat at any time...eat good food and don't heed to fast food try to stick to these tips.do be positive...things will improve gradually..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 13 and in the past 2 days I have gotten a red painless rash all over my arms and on my thighs. Today I was laying down and suddenly I found it difficult to breath. That lasted for about two hours. now i feel my heartbeat in my palms. What is wrong with me?!?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Red rashes on body, sudden onset breathing difficulty, palpitations etc. are suggestive of allergic reaction more. So you will need antihistamine (levocetrizine or fexofenadine) and anti-allergic (montelukast) Chat Doctor. Inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone) are needed for breathing difficulty. So consult doctor and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello, im jem. 21 yrs old. I have an unsafe sex with my boyfriend 4 days ago without ejaculation, then he had ejaculated last 3 & 2 days.Last night I took one pill (Lady oral contraceptive pill manufactured by Ponds Chemical Thailand R.O.P.) and this morning another pill. Would this be effective to prevent pregnancy? Will I be harmed taking this pill im using?", "output": "Lady oral contraceptive pill are regular contraceptive pills. They have to be started ideally from second day of the menses and taken throughout the menses regularly. Random consumption of these pills does not give you protection against pregnancy. To use them as post-coital contraception pill, the dose would be much higher, which you have not taken. Now the best option for you is to wait for your menses. If you do not get them, then wait for further 8-10 days to get urine pregnancy test and/or ultrasonography to detect the pregnancy. These tests done earlier may not give reliable results. Beta-ChatDoctor tests are highly specific and sensitive. Their results are reliable even 2-3 days after missed period. If you are pregnant, and you do not want pregnancy, you may terminate your pregnancy by medicines also. They terminate pregnancy safely up to 9 weeks of gestation. Please remember these medicines have to be taken by Obstetricians advice and under his/her observation lest the risk of incomplete abortion and/or infection. Please do not take these medicines over the counter. I hope I have guided you fully." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "a friend tells me he has bilirubin levels at 3 times the limit (range 1-20? his was 63 or something). But a scan last year (when it was also high, about 50) didnt show any liver problems. He doesnt worry much, but I was curious. He seems very fit to me. Could it just be high naturally?", "output": "Hello! Thank you for the query. For sure his bilirubin is not around 50 or 60. Such limit would rather cause death. He may have elevated bilirubin level due liver diseases like liver cirrhosis, fatty liver, liver viral infection; alcohol intake, medicines overuse, bile ducts obstruction, pancreas cancer, hemolysis, Gilbert disease. As you can see there are a lot of possibilities. That is why It's really hard to give precise answer not knowing much about your friend. He should have some tests to find the reason including liver tests (AST, ALT,GTP, AP), direct and indirect bilirubin, Bag, Antioch, abdominal ultrasound, urinalysis. Hope this will help. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, four days ago I was masturbating quite rigorously, but did not realize it at the time. I developed a sore area the next day where the scrotum meets the base of the penis. Yesterday, I noticed a lump there. It is sore when touching it, but not really painful.Its roughly the size of a pea or smaller.Its located under the skin and not noticeable unless the skin is pushed toward the shaft and brought taught.What might be happening? Should I be concerned?", "output": "Hello course you need to be concerned, and please control your emotions during masturbating It's your own penis. Looking at present condition you might have injured your penis during the action if it was healthy previously. In my opinion you should keep it clean and apply any antiseptic ointmentApplication of hot packs will help in healing Be careful you do it next time it doesn't improve or gets worsen than you must see your doctor for physical check up and a course of antibiotics if need be. Hope this answers your question you have any more queries please feel free to write back to me, I will gladly answer you Best wishes" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a 17 year old daughter who has had fatigue, muscle pain and cold symptoms for 3 months. She also has symptoms of IBS. I had blood work done and she has a low AST and low Alkaline phosphatase. She seems to \"catch\" every little cold that goes around. The fatigue has worsened to the point that she misses school (she love school). In the past 2 years she has gone from a star althelete to barly able to drag herself to school. Any ideas? Also she test positive for past EBV she had mono 7 years ago.", "output": "Hi, dairy have gone through your question. I can understand your concern. Her alkaline phosphatase and AST levels are low. Low level does not indicate any significant pathology. No need to worry about low level. She should take treatment of her IBS. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "A friend greeted me with big hug and lifted me up . As he did that I heard crack in my L - rib . It was very painful , but I didn t do anything . Now after 2 weeks pain is getting uncomfortable upon breathing & coughing . At times I feel like gurgeling sound . Could it be cracked rib ??.", "output": "I think you should get checked with an or tho specialist and take a X-ray if any possible hairline fracture if any present. You should always keep a hand onto the affected area while sneezing and coughing. Try doing costal breathing exercises and deep breathing exercises by placing a hand over the top of the painful area. Once your muscles become strong I think you should be fine with the relief of pain." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Primosa and evon 400has been prescribed to me as a fibrodenomas was detected in my breast. It bein cancereous nt yet detected. Im 26 urs old lady, married, no kids. Do u think d tablets r rightly prescribed fr d dissolving of dat mass formed?? Thank u", "output": "Hi, Thanks for writing to Chat Doctor. There are 2 things which happens in breast one is fibroadenomas in which you have pain and diffuse modularity. There will be no formed swelling in breast. 2nd is fibroadenoma in which there will be well-formed swelling which moves freely in breast, and it will not be painful. For fibroadenomas primrose and Evian is useful to treat it. For well-formed fibroadenoma treatment is surgical removal. It won't reduce by you medication. At age of 26yrs it is very less likely to have cancer unless in your family you have many blood related females with breast cancer. Still if you have doubt you can get done FNAC. It is needle aspiration of swelling, and it is examined to know whether it is cancer or not. Hope I have been helpful. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a sever pain in my lower back (mainly on the left side) but also have feelings of nausea . I m I sure if I need to pass stools or be sick and the pain is becoming quite uncomfortable. I am drinking water to see if that will help but the pain originally started Wednesday then it dissipated and has since returned this evening rendering bedridden. Any advice would be welcomed. I also have moments of heartburn .", "output": "Hi Kristina, Thanks for writing your query. Heart burn is due to increased secretion of acid in the stomach. You should follow some precautions like :-1. Avoid spicy and oily foods2. Avoid mental stress3. Donor take cigarette and alcohol4. Donor miss a meal5. Donor self-medicate especially with painkillers and steroids Regarding your low back pain, it will be helpful if you tell more about it like -- Whether it increases on bending? - Any history of heavy weight lifting or trauma?- Whether any abnormality is noticed in urine like decrease in amount or pain or burning sensation while urinating? Though the pain can be muscular and can be relieved by giving rest to your body and applying local pain relieving gel after hot fomentation, still you should get yourself investigated for the function of the kidney. So get your blood tested for Renal Profile and your urine for Routine and Microscopic examination. Treatment can be planned according to the reports of the investigation. I hope this is helpful to you. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor i m srilu 28 years old ..my problem z i m not conceiving trying from one and half year...my thyroid, prolactin, fsh and lh levels are normal...i had a miscarriage in 2012 june and had a D and C at that time..i do not know what is my problem...pls answer my query", "output": "Hi Still, Thanks for the query. I understand hour concern. Please know few facts about conception. -Two plain needs for conception are. Ovulating menstrual cycles healthy sperms with optimum counts. -patent fallopian tubes... Need patency test if needed. -By ovulation, a mature ovum is expelled out through ovary. This ovum can get fertilized within 36 hours from ovulation. -Sperms deposited In female vagina during intercourse. Are viable for 3 days In these days they have to reach OSU lying in fallopian tube & unite with it (fertilization) -fetus needs optimal hormonal support for survival (sometimes hormone supplements are needed.) -home pregnancy test is reliably +ve after 8 days delay in periods. - It's safe to be under expert care throughout the pregnancy. I feel this will help you. Wish you all the best! Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Had a single small hard lump on my right outer vigina lip. Didn t notice til I shaved. It took a month or two before I got anything to come out of it. Only a little bit of white stuff came out, but after the lump hurt so bad that it hurt for me to even walk. I waited and squeezed it again, this time no white stuff just blood and fluid until I gave one last squeeze and the was a pop. When I went to see what came out there were insect legs.black and white. Thought it was a spider because of the legs but my mom says it could of been a tick? Is it possible for a insect to imbed itself into your skin? I have been sleeping a lot too.", "output": "Dear user, Thanks for the question. The lump you have described fits the description of a skin cyst, called Sebaceous Cyst. The first thing about them is they are non-cancerous. These happen because of ingrowing of hair with an excessive secretion of glands around it to raise the bump. So although they can occur on part of body, these are more likely to appear in the parts which are hairy and shaved. Other sites could be faced, neck, and torso. The contents whicChatDoctore out of it will be thickened and could have black in it because of the hair. It is less likely for an insect to embed in the skin, especially when there was no redness to suggest insect bite. Now that you have already emptied it, it might or might not collect again. If it does, you will need to get it removed. As if this cyst is recurrent or stays for long, there are chances that it gets infected. In the case of infection, you will need a course of antibiotics plus minus require Chat Doctor. Hope I answered the question and related concerns. Plaese write back if you need further information. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, my boyfriend is 70 and we thought he ran into bedbugs at a hotel stay. We treated him but they returned a few days ago and so we retreated him, the house and clothes for a second time. however, this time around the bite like looks almost as a burn and the reddness and swelling are not clearing up. and it seems as if the affected areas are only from his clothes neckline, down. he also has agent orange, i am wondering if that could be it too", "output": "Hi I do care for your concern. Swelling and redness is produced due to inflammation caused by insect bite. If I were your treating doctor then I would suggest application of ointment such as Betadine and a tablet of cetirizine would suffice. If you suspect bed bugs then all the linens should be washed with permethrin compounds to get rid of them completely. Hope I have answered your question, If you have more doubts feel free to contact." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Thank you for your kindness advise.My english quite is limit but I hope you can understand.My son 8 years old 22 kgs.He got nose allergies.He cant sleep at night for long term.He doesnt look like kids but sleepy all the time like an old man.He has ardenoid face.But someone suggest me to try probiotics but I also found probiotics cause some worm so how can I do? I am confused and scare of worms too.", "output": "HI, thanks for using Chat Doctor Probiotics help with the immune system response and would help build up his immune system and reduce infections and allergies. In addition, if he can have allergy tests to find out what causes his allergic reaction then this would also help because you can then reduce his exposure. The use of topical steroid nasal sprays would also help to relieve his symptoms. Examples are alone, escort, Flonase, I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor,few days before My uncle felt that some critinias and some pain in heart.he checked with the doctor..He told that some cholestarl content is in the heart..chances are there to affect the heart and he gave medicine.in between my uncle is feeling some pain in neck. what are the test we need to take...Why this neck pain is coming..is it related with heart...pls advise us.", "output": "HAI.chest pain or angina can present with pains like left or right sided chest pain, shoulder pain, neck pain, jaw pain, pain in the hand, pain mimicking gastritis. If cholesterol levels are high please get evaluated totally for the cardiac problems. U can go for an ECG, echocardiography, Sr creatinine, fasting cholesterol and sugar levels, TMT, Based on the TMT test u can go for angiogram. If the neck pain is still persistent pls go for a X-ray neck or MRI neck (cervical spine).goo luck take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctors,My daughter, age 26, is suffering from \"depression\" for the past 6 years. She goes violent sometimes. She was taking sulpitac at a reduced dose of 50 mg recently. However, she was having delayed periods (more than 50 days) and this often deteriorated her condition. Her blood report confirmed that her periods problem was due to an excessive level of hormon created by sulpitac. So, her doctor prescribed alternative medicine \"Arip\",but, it did not have any effect on her. After starting this medicine, her behavior deteriorated with violence. Now she is taking another medicine \"Qutipin 100\". Now her symptoms are mostly under control, but, at times she shows temporary behavioral problems. Doctor, can she overcome from this illness? Can she lead a married life? She had undergone a surgery for her \"VSD\" when she was 4 months old. Thereafter she perfectly in good health, except this behavioral problem.Awaiting your reply, thanking you. Menon", "output": "HIT hank for asking to ChatDoctorI really understand your worry, take it easy every thing will be fine, the anti depressants and the menses bleeding are nothing to do with each other, I advise you to just forget about the menses, right now it is not the big deal our main goal is to pull her out from the depression and anxiety, you can do it, you first take her under your confidence, have good relation with her if you do not have such relation then try to form such relation that she could consider you as her best friend, try to spend more time with her, share the talk with her, listen her properly, do not try to avoid her or oppose her, she is in need of mortal support and homely environment that only you can provide it, you can discuss this with her psychiatrist, have nice day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m a 23 year old female. Recently I ve been having my fingers go numb or tingle along with the left arm feeling heavy or cramping. Also horrible neck stiffness and sharp pains and my whole body being sore. My period was also late and not normal. Any idea what could be going on?", "output": "Hi, thank you for providing the brief history of you. A Thorough neuromuscular assessment is advised followed by MRI of the cervical spine. As you have stiff neck, neck pain, numbness of hand and fingers it appears to me a more of the pinched nerve symptoms. An MRI should help understand the level of pinching well. Also, undergoing physical therapy like therapeutic ultrasound therapy and TENS therapy should help reduce the inflammation and pain. Besides exercises on later stages to improve the strength in the muscles for better stability.in my clinical practice such cases are recommended for physical therapy, and they respond well. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been diagnosed with pernicious anemia due to my Crohn s I had to have a total colectomy 5 years ago. I now have absolutely no energy and feel lethargic. I just purchased iron liquid supplement with all the B s and other important vitamins . How do I get more energy and does this progress into a more serious problem if my body isn t producing the proficient amount of RBC s to give oxygen to my blood. What else can I do to help with getting more energy", "output": "Welcome to ChatDoctorAs you have pernicious anemia, you are already taking supplements. So no need to take more pills. You should get few investigations- Serum Fe, B12 and folate levels; as sometimes the supplements are not reabsorbed properly by body. In that case you can get injectables. Moreover, you should take healthy food for more vitamins, minerals and proteins for more energy and also should do some exercise. If your body isn't producing efficient about of RBC's, anemia can progress and can lead to symptoms like pallor, breathlessness etc. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 6 year old son has had stomach cramps for about 5 days off and on day 4 he started diareah, now loss of appetite and the cramps are happening more often, besides tyelnol what can i do or give him. The cramps seem to only be in the pelvis area he says he doesn t feel it anywhere else.", "output": "Common causes of abdominal pain and diarrhea are infections, food allergies, food poisoning etc. Serious causes of sucChatDoctorplaints may be Appendicitis, Intussusception, inflammatory bowel disease etc. Probably your son is suffering from bacterial infection. You may ask your doctor to add dicyclomine with paracetamol for abdominal cramps, ORS solution for preventing deny Chat Doctor. For any further query you may consult me at Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "MY HUSBAND HAS USED ANABOLIC STEROIDS IN THE PAST AND FEARS IT HAS AFFECTED HIS ABILITY TO HAVE CHILDREN, WE HAVE BEEN MARRIED FOR 4 MONTHS AND HAVE BEEN INTIMATE ABOUT 15 DAYS IN THOSE 4 MONTHS (HE S IN THE NAVY) AND HAVENT BEEN ABLE TO GET PREGNANT , DO YOU THINK WE SHOULD BE WORRIED? SHOULD WE SEE A SPECIALIST?", "output": "Welcome to Chat Doctor only 15 days intimacy in 4 months is not enough time for pregnancy to occur maybe you had only few fertile days together in that cycle it will be better for your husband to get a semen analysis done to rule out any defect in it these 15 days were in single month or in few days each month in 4 months you should keep record of your onset of period and try to be together in mid-cycle" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, lately Ive noticed that my urine is very, very dark, and my discharge of seamen is unregularily thick. Also, when I wake in the mornings, Im very queezy n have been vomiting. And Ive also noticed that the whited of my eyes have a yellow cast to them. This has all happened within the last three weeks. I am 36, 180 pounds with no past medical history.", "output": "Hello, Welcome to Chat Doctor. I can certainly understand your concern. I have worked through your query in detail. As per your symptoms the possibility of significant urinary tract infection is very high. This can cause significant change in seminal parameters causing thick or foul smelling semen with or without urinary disturbances.It's important to get few tests to determine further course of action-urine examination, scrotal ultrasound Doppler to look for any infection of the testicles or epididymis. A short course of antibacterial antibiotics will help to clear the infection and improve the seminal parameters. Repeat testing after 2 weeks will help to assess the outcome. Please check with your physician if he shares my view and if you can prescribe these medications to you. Post your further queries if any. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i m deepak 20 years old from , my pennis size is so small as is just measures oly in the size of little finger , when it is raised its length is 15 cms , and my testicles size are so small and oly half the size of the normal one, so does ths affect fertility ,please give me a suggestion , and i have the habit of masturbation(not daily ,does at times) ,i feel shy to go to clinics , so oly i choose to consult u thro mail first , please give me a reply", "output": "Hello, An average penis length in the nonerect condition is 1 inch and on an erect condition 5 inches. Your erect length is 7 inches. Moreover, size of penis never matters infertility. The size of testicles can vary from morning to evening. Even the size of testicles does not matter infertility. Therefore, do not worry about it because if you worry too much about these, you may face anxiety-related erectile dysfunction and premature ejaculation. Therefore, I suggest online sex counseling. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i m allergic to dust.. i hv been consuming L montus since january of this year as prescribed by d doctor, its very helpful fr my problem ( continuos sneezings, difficulty in breathing which is very painful n tiring).. but if i miss d tablet fr evn a day , m back to my same allergic problems.. m tired n irritated by this whole thing.. kindly help me out here if anybody listening to this..", "output": "Hello dear, Montus L (pharmacologically Montelukast+ Levocetirizine) is helpful in managing the condition of Allergic rhinitis. Levocetirizine is an anti histamine, which acts as an anti-allergic in controlling the acute episode. Montelukast acts as a maintenance therapy to relieve symptoms of allergic rhinitis. Both taken together provides protection from acute episodes + maintains a symptom free period. If you do not consume the medications, their effect reduces & you get prone to acute allergic attacks. This condition is related to the hyper-sensitivity of your immune response. It can only be managed symptomatically. Complete cure will need complete shut down of your immune mechanism, which will make you prone for severe life-threatening secondary infections. So, kindly continue the medications as prescribed by your treating Doctor. Wishing you a good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi - My uncle in India has been complaining back pain for almost a year now. He is not able to walk. Complaining muscle pain in legs. Finally it was diagnosed as bone TB. Still waiting on some reports. They discharged him from the hospital. He is on antibiotics. But wanted to check, is it curable and what is the medication? How long will it take for him to walk on his own?", "output": "Hello, I appreciate your concerns towards your uncle. It looks from your details that your uncle is having spine tuberculosis. Most probably he may be on anti-tubercular medicines (Rifampicin, Isoniazid, Ethambutol, Pyrazinamide). You should not worry about this, as nowadays TB is completely curable. The precaution should be followed properly by him to not walk and take complete medicines. It may take about 12 to 16 months for complete cure. In between your doctor may have complete blood examination and MRI Scan at intervals. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 53 year old and a year ago I was diagnosed with duct carcinoma breast cancer, went through surgery and radiation and was on tomoxifen and now they put me on femara due to the fact that I had a hysterectomy in May 2011. Besides taking vitamins and calcium these are the only medicine but when I go to sleep I fall asleep fast and then about an hour or two I jump out of bed and feel like something is wrong. I usually walk to the bathroom and then go back to bed and usually I fall asleep right a way or within a few minutes. Sometimes I sleep the rest of the night but sometime it comes back again within a few hours. What should I do. I", "output": "The treatment that you have undertaken appears to be scientifically correct, and you need not worry about it. Also, none of the Chat Doctor. It is probably a result of insomnia due to the stress of the disease and the treatment that has its toll on the mind. It is best you take a sedative at bedtime for a few weeks. Meanwhile, try to occupy your mind with activities during the day. Join a meditation group. Don't sleep during the day. Eat at least 1 hour before bedtime." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am having pain from 10 days in my right side abdomen i have consulted a doctor 2 days before i have done all diagnosis like ultrasound but reports are not cleqr that i have appendicites or not and the pain is not decreasing and its getting worse so can you please suggest me now what can i do now?please note that i dnt have symptoms like vomiting or nausea", "output": "Hello and thank you for asking Chat Doctor, I understand your concern especially why your symptoms last 10 days. Pain on the right side of your abdomen has not necessary have to be connected with appendicitis. There are a lot of other causes. The most common are problems with your gallbladder and if you are a woman than problems with your right ovary. My suggestion is to check these two organs. Visit your gynecologist to check out your ovaries and your GP to make blood tests to see if you have some problems with your gallbladder. Until then try to avoid heavy food and exercises and if your symptoms progress than visit emergency room a soon as possible. I hope this answer was helpful to you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son is two and four months old. From last one month he is getting recurring fever after every fortnight which stays for two days to three.Had got his urine test done. Routine shows 2-4 h.p.f pus cells and a few epithelial cells.waiting for the culture report.", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query your son is having symptoms of recurring fever which is due to impaired and reduced immunity of body. Presence of pus cells in urine is clear indication of infection to child. Need not worry about it. Avoid cold carbonated beverages. You should get stool culture done as well. Take diet rich in fruits and multivitamins. Visit pediatrician once and get it examined to find out the cause of fever after thorough investigation. If required request your physician for any lab tests which may be required and start treatment as per that. You can take Cronin as well every 4-6 holy. If symptoms still persists go for blood tests and then start treatment as per that. Take antipyretic Chat Doctor. Hope your concern has been resolved. Get Well Soon. Best wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Six weeks ago my foot was stepped on by someone wearing heels. It left a pretty big swollen bruise. Its been six weeks and while its not as painful or as it was when it initially happened, it still hurts when I touch it and the bruise is still visible. I can also still feel a lump under the bruise. Do I need to go see a doctor?", "output": "Hello! Thank you for the query. Yes, you should consult your doctor. The lump you are able to palpate can be a cyst or hematoma. After the injury some blood has appeared outside the blood vessels (in the soft tissues). The cyst can also appear after such injury. It is usually painless and soft when touching it. I suggest you to consult general surgeon with this issue. In case of any doubts, soft tissues' ultrasound should be done. Hope this will help. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "chest painI have fibromyalgia and RA. this morning i started having a pain that felt like a tightening on the right side of my chest. by afternoon i felt short of breath. by early evening the pain turned sharp and wrapped aroung to my right shoulder blade and i cant lift my arm past should height. it has stayed about the same without getting worse since 6 pm CST. because of my health history, i wasnt concerned other than the pain limiting my activity until i told a couple of people and they were alarmed. its on the right side, not left so im not sure what might be going on over there, or is it just a crazy muscle flair caused by one of my auto immune disorders?", "output": "Hello! Thank you for asking on Chat Doctor! I read your question carefully and understand your concern. Your symptoms don't seem to be related to any cardiac cause. As you refer, the pain is exacerbated from the arm movements and the respiratory movements (causing difficulty breathing), so it is probably a musculoskeletal pain. Based on your complicated clinical situation, both fibromyalgia and RA can cause this symptomatology. I would recommend consulting with your attending physician for a careful physical examination, a routine blood test and a chest x-ray, to exclude other possible causes. A cervical spine x-ray may be necessary to rule out a possible cervical spine degeneration, which could cause articular pain in this region. Meanwhile, I advise using painkillers like ibuprofen, fetoprotein, etc. and physiotherapy. Hope to have been of help! Greetings! " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI , My Name is lisa, for a few years i keep on getting the same rash on the hole right breast, and it comes back 3 times a year. my doctor says it is a fungal skin thing, but it is very itchy and red. it is the right breast. I need help, every year i get this .", "output": "Hello, Thank you for posting on Chat Doctor. It seems you are suffering from Tina corporal, a kind of fungal infection. I would suggest you to consult your dermatologist for proper management of the condition. I usually recommend proper course of oral antifungal Chat Doctor. You can additionally use antifungal dusting powder containing ketoconazole during daytime and a soap containing ketoconazole for rinsing of affected areas. Take oral antihistamines for itching as required. Maintain hygiene over those areas and avoid wearing tight undergarments. Hope your queries are resolved and wish you best of health. Kindly spare some time to rate my answer and " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my toddler 2 year (will be 3 in January) did not have much of an appetite yesterday and vomitted three times and tired and had loose stool that was light in color, more like a grey mushy consistency three times with the last 24 hours. Is this a virus?", "output": "after going through your case this is mostly a viral diarrhea. This diarrhea doesn't need any specific medication but need supportive management. Give your baby antacid like lansoprazole and anti-vomiting medicine like ondansetron according to his weight. After half an hour give him something to Chat Doctor. If he doesn't vomit then good but if he vomits persistently then please consult a pediatrician. Give him 10 ml per kg of ORS after every loose motion. He may also need zinc supplements, probiotics etc. Watch for following -1] Large watery loose motions with mucus or blood in it.2] Persistent vomiting.3] Not passing urine adequately. [this could be sign of deny" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son (2years) ct scan rep is GLIOTIC AREAS IN LEFT FRONTTOP LOBES. What is this? any problem?I want to ask what are the chances of any physical problem in this case. Doctor prescribed Tegrital 100mg 4ml 2times in a day for 3months if anybody knows about this.", "output": "Hi, Thank you for posting your query. I have noted your sons symptoms and CT scan findings.First, I would like to reassure you that CT scan findings do not suggest any serious brain disease. Idiotic changes refer to an old scar due to injury or a blood clot in the past. This CT scan finding may increase the risk of seizures. Digital (carbamazepine) is an anti-epileptic medication, and is used to prevent seizures. If your son has had seizures, he should continue this medication. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, Chat Doctor. Ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 64 years old. I am on 40 mg Lisinopril and 50 Metroprolol. My blood pressure had been running 150/80-92 for several days even with the medication. Then just like that for the last 4 days it has been 94-100/62-64. Should I be concerned with the sudden drop. Feel fine.", "output": "Hello sir Antihypertensive medicines needs to be titrated sometimes according to Blood pressure. The concern is low BP can sometime lead to blackouts or dizziness and if you are doing some work that time like Chat Doctor. I would like to suggest you to decrease the dose of Lisinopril to half for a week and keep monitoring your blood pressure daily at same time to see if your BP stays within normal range 140/90 MMH which I think will. Wish you Good Health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I felt a pop in the front left part of my temple then felt a warm waves run down the side of my face like warm water. Slight dizziness, but I think it may have been due to a slight panic feeling. What could this be? this happened earlier in the day and I feel fine now", "output": "Hello read your questionCertain problems are possible1) low sugar level following a panic attacker 2) a panic attack following a low sugar level3) very low level of anxiety with depression which has just started. Please 1) do your fasting sugar level2) post lunch after 2 hours sugar level3)measure your sugar level at a clinic when you have this attack.4) get your blood pressure measured at that time asap. Note down the timings if you get this regularly.5) Get a general checkup from your family Doc." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 70 years old. On MRI, I was found to have lumbar disk herniation. I am having bilateral leg numbness and weakness and unable to walk even short distances. I have been prescribed Renerve Plus injection and complete bedrest for a month. Will this be helpful? I am not interested in surgical correction", "output": "Hello MRI findings indicate lumbar disc herniation. Level of herniation is not mentioned in the report. It is important to know other findings like nerve root compression, spinal canal stenosis etc. Inter vertebral disc herniation may be the reason for your symptoms. Renerve plus is a multi vitamin and anti oxidant combination. It is generally prescribed in peripheral neuropathy. It is not expected to give much relief. Many patient get relief by conservative treatment in the form of physiotherapy, muscle relaxants, analgesics.Nowadays, many surgeries are done by minimum invasion like endoscopic method. Steroid shots are also helpful. Findings need clinical assessment by a neurologist/neurosurgeon. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "can i reduce my sugar level only by doing exercise,as i m walking daily 1 hour in the morning and 1 hour in the evening but taking tea six full cup of tea a day, right now i m taking glimister m1, as i m diabetic patient from oct-2010 earlier daily 1 tablet an half an hour before lunch but recently my sugar level increase du to bunk in tablet and taking high sweet during diwali festival and serval marriages hence doctor double my dose right now as on 05 dec 2016 pre is 230 and post 430 doctor has double my dose on acccount of recent report my cell no is 0000", "output": "Hello and thank you for asking! I have gone carefully through your concern. To give information about the long term treatment of Diabetes is very important to know you BMI (weight and height), the HbA1c level fluctuation during the last year, liver and renal function, the presence or the predisposition for other pathologies (coronary heart disease, hypertension, high lipid profile etc), etc. If you are overweight, with HbA1c levels not at very high levels (under 8%), you can start physical activity and see a dietitian for an appropriate diet and the treatment recommended by your physician. The postprandial levels are too high, that means the actual meal you are taking is too large. For a personalized comprehensive evaluation, treatment recommendations, or individual therapy, ask me at Chat Doctor at this private link: Chat Doctor " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My dr 1st told me that my kidney level was at 62 and that was good, but later that month I had blood work done and it had dropped to 52. When I came back in later that it changed so had me to redo new blood test. now 47. so he sent me back to be new test now at 43, now Friday he wants me to do new blood test. What should my level be and should I be worried?", "output": "Hi. Thank you for writing to Chat Doctor. I think it would be better if you give me the name of the test that was used. There are a few tests like the Urea levels in the blood which can range from 40 to 60. The kidney function based on creatinine can also range for 40 % function to 60% function. I believe that your Doctor is going to test for creatinine levels again to determine if the kidney is functioning well or not. Ideally a kidney function of 100% is needed. You will need dialysis at approximately 50% depending on the symptoms. Please confirm this with your Doctor or send me more details of your reports. Hope this helps you. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, My name is Tom and I have been diagnosed with spinal stenosis . I m to undergo a laminectomy this coming week, T12-L1 and L1-L2. I m 55 years old, 5 10 and weigh 260lbs. I feel as if I am in relatively good health although I do have diabetesII and have had prostate cancer . I work in steel a mill, operate a remote control crane and generally on my feet for 12 hours a day. How soon should I be able to return to work?", "output": "From your description I understand that you are going to undergo a laminectomy, and you want to know about the recovery from the operation. I will try to explain the various stages of your recuperation. Usually after an uncomplicated laminectomy you might have to stay in the hospital for 2 to 5 days. This might increase if you have any complications like bleeding or infection. After discharge in the first two weeks you might have to deal with severe pain(for which you will be given painkillers from the hospital) but inspire of this you have to walk a little to reduce the scar tissue and prevent a large amount of scar tissue putting pressure on the nerves which were released by the laminectomy. You might have to visit your doctoring the third or fourth week for a review. Usually if no complications occur you can go back to work after 6 weeks. The idea here is to start walking to reduce the scar tissue from your operation and keep your lungs and heart in good shape. The later you start walking the more time you will take to go back to work." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am suffering from alopecia areata.Today I discovered my hair loss, there is a small tiny round patch at lower back of the head with shinny skin. At home my family member adviced me and applied ginger on the patch, is it okay?Please do something. Reccomed me what to do? I don t want it to spread.And say please how fast the hair will regrow.", "output": "Hello dear, The symptoms & case history mentioned in your post suggest that you might be having An Chat Doctor. Also known as Male pattern baldness, it usually follows a pattern of receding hairline & is related to genetic makeup and male sex hormones. Management includes:1. Minoxidil preparation to be applied directly to the scalp to stimulate the hair follicles.2. Finasteride preparations that interferes with the production of male hormone linked to baldness. But these medications have to be used regularly under the guidance of a Dermatologist...as hair loss tends to return on stoppage of these medications. So...it will be better to consult a Dermatologist & start treatment. Wishing you a Good Health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Moved an office last Wednesday. Lifted multiple heavy objects. I usually sit behind a desk and do very little heavy labor. Woke up Thursday morning with an excruciating pain in my back behind my left shoulder blade. Pain has continued to worsen and now has moved around my rib cage and to my left breast/chest. Feels like I am being pierced thru the chest.", "output": "Hello, It is due to minor contusions after heavy physical exertion. Its quite common after strenuous activities and will settle with conservative measures. You can apply warm compresses and take analgesics like Ibuprofen or Diclofenac for symptomatic relief. If symptoms persist, you have to consult a physician and get evaluated. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been waken almost every night with so much pain and a burning sensation in my abdomen. I do not have acid reflux, but was told I have a hernia...I also have a lot of problems with my colon. I end up having to take a laxative. But I throw up several times when my abdomen feels like it is on fire, and I m usually sore afterwards in my abdomen. Help", "output": "Hi, Looking to the history as you were told having hernia, from symptoms it seems that you might be having strangulated hernia producing severe pain in abdomen, soreness and frequent vomiting. There is another possibility of having sub acute intestinal obstruction. You might require, Ultra sound of abdomen, X-ray abdomen. This will give exact cause of your problem. Consult surgeon as soon as possible. Ok and take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my name teri and I have had pain un the lower part of stomach and I know it is adhesions because I had surgery done about 4 years ago and it is the same pain that I had back then. so I went to the doctor that did the surgery and he said that he would not do it again so please help me fined a doctor that will do the surgery. thank you very much teri Garcia you can call me at home my number is 1-323-722-0641", "output": "Hi Teri, welcome to Chat Doctor forum. Thanks for calling Chat Doctor. Forum. You have pain in the lower part of abdomen, You had surgery for adhesions 4 years back. You went to the doctor who did the operation, he denied doing the operation again. Here some information is missing, you thought it is due to adhesions, Did the doctor examine, or get the scaling done or not. Anyhow I advise you to consult a gastroenterologist for diagnosis and treatment. You may need to have M.R.I.besides other routine tests for confirmation. If no adhesions or any pathology is found it could be psychological. I advise you to avoid spices, junk foods, and oily foods. Wishing for a quick and complete recovery. Best regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "What are the symptoms of the adult jaundice going away? I have had an ERCP to clear the blockage so the yellowing could go away, I have noticed the change of the colour of my urine from dark yellow (orangey colour) to clear yellow almost immediately after the procedure but now it got darker and I feel really weak again struggling to do basic tasks at home. I have felt like this just before I got jaudiced - could this mean the disease is coming back? I am unsure if it s something normal when jaundice goes away?", "output": "Hi, There is no clear-cut features that say that the infection remits. I wish to know why was an ERCP done. It is a procedure done to relieve obstruction in the heat biliary tract. After ERCP if you are piling up the bilirubin again (intensely yellow) then a redo of ERCP is most often required. It helps a lot for the expert to give an opinion if you have a type the final diagnosis. Please make some efforts to do that. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Dr,I have suffered a TBI (Traumatic Brain Injury) a little over three years ago, I often get migranes until lately my migrane is followed by my ear bleed. Formed of small crystal particles and a bit moist, and then I felt air pressure. I am concerned as this I feel should not be happening.", "output": "Hello, If this was the case if head injury and migraine, then both the conditions are different from each other because migraine can never cause the bleeding per ear but of course head injury can. In my opinion, you need to get done the fresh MRI to ruled out the inflammatory process and other pathological changed if ever happened in brain tissue, or the bleeding per could be just due to Otis (Ear infection), it is really matter of concern and may demand the medical attention. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, My neurologist put me on Propranolol . I have pressure in my brain for two weeks. I feel every day . Some times gets very bad. I had CT scan done. It was normal. My blood pressure is normal 115/75 and pulse is 65 . I m afraid to take the drug because I could get low blood pressure and heart rate.", "output": "Hi, Thanks for writing in. Pressure in the brain is called intracranial pressure. This pressure is different from blood pressure but complications due to high blood pressure can cause raised intracranial pressure. The intracranial pressure depends on the flow of cerebrospinal fluid which is surrounding the brain and spinal cord from every side. Increase in intracranial pressure can be due to brain swelling, bleeding within the brain, tumors inside the head and infections causing block of cerebrospinal fluid flow. Propranolol need not necessarily cause increased intracranial pressure. Please discuss with your neurologist." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 28 month old toddler has been breaking out into hives for the last 3 weeks, these hives actually look like welts. We have now noticed for the last 3 days she also has ice cold hands? Any ideas as to what could be going on? She has complained of back pain yesterday when she woke up but hasn t brought it up since", "output": "Welcome to the ChatDoctorIn my opinion your child is suffering from an allergic episode. Hive occurs when the body releases histamines in response to some allergens in the surroundings of the kid. It can be airborne, food products or insect bites. I would recommend you the following measures to help her out of the illness:1. Identify the allergens if possible and avoid them in the future.2. Start her on antihistamine such as Spy Ben Chat Doctor. 3. Apply calamine lotion over lesions for relief of itching.4. You can also apply ice on lesions. It will be soothing.5. Measure temperature and heart rates. If she has more than 100 degrees Fahrenheit temperature give her acetaminophen syrup. If it is persistent or heart rate is persistently over 150/min, then consult your pediatrician immediately for proper clinical examination and laboratory work up if required. For further questions, do contact us." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I feel irritable at work and i hate my job,im a single mum and im irrritable when my kids are around me, feel like screaming sometimes, im not as bad when im on my own. I lack sex drive also, just feel too tried to bother, then i feel guilty as my partner mite think im getting bored with him and i only see him at week ends. I sometimes feel over whelmed by how much i have to do before i can relax and that gets me really irritable. When i do finally relax, feels like its not long before i have to go to bed, then its sleep, which a really look forward to,but then morning comes quickly again and the same old horrible day begins again. Have been on antidepressants before but have now took my self off them approx 2 months ago, didn t feel like they were doing anything.", "output": "Hello and welcome to Chat Doctor. Thanks for your query. Your symptoms such as increased irritability, lack of sex Chat Doctor. You have mentioned that you have been on anti-depressants before and have stopped them on your own recently. An abrupt cessation of antidepressants can sometimes cause a worsening of depression, and this could be a probable reason for your prominent symptoms now. Since these symptoms seem to be causing you significant distress and dysfunction, I would suggest that you seek professional help. There are many other treatment options available like trying a different class or combination of anti-depressants or trying psychological therapies like CBT. Wish you all the best. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi My name is Noel, I had surgery on my right side rotator cuff in 2012 . It healed O.K. and my shoulder got back to normal. In April of 2013 I feel down my stair case and crushed the same rotator cuff and the Dr. had use anchors, screws and skin on the tear. I just found out last week that I have torn it again but the screws were still in place. Will the DR. have to make a large incision again, or might he be able to do the small ones. I was also told that I would need a nerve block prior to surgery. May I ask what that is. I have M.S. and my right side is affected the most with it and Im right handed", "output": "Hi, as you had a history of survey in the past for RCI, meeting the same person for the same reason will be advisable. Taking a scan to check which muscles need attention will be easy to plan further. Also certain times there are chances to regain the strength and mobility back without surgery too. I had a patient with RCT with two muscles. She was advised surgery at 67. But we worked out well and she don't need surgery. She can lie 20-30 KGS of weight. No pain and full mobility. You should try a physical therapist who can help you with your complaints. You can discuss the same with the surgeon. With the grace of God I wish you a speedy recovery" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "helo doctor...i am 25 years old and mu girlfriend is also 25 years old.she is virgin too. we want to have sex withot using condom. is there any way to do this without pregnancy. we have decided that we will do sex wiyhout a condom & i will ejaculate outside..and tthen will take unwanted 72..is it safe?plz tell me", "output": "Hello, If you wish to have sexual intercourse without barrier methods, it would be better if she goes for a regular form of contraception like oral pills instead of emergency contraception; these pills have high doses of hormone than the regular ones and thus create severe hormonal disturbances with later consequences. Their use should be restricted only to one or two occasions per year. Hope your query has been answered. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello, good evening.. i am just going to ask about the high platelet count.. recently i got complete blood count and i found out that i have 512,000 of platelets and a doctor told that the normal range is 150,000-400,000.. is there anything that i can take to reduce my high platelet count or any foods to avoid.. and what vitamins i can that will not cause anything to make my platelet count high again? thank you very much", "output": "Hi thanks for your question. There are 2 types of causes for increased platelet. No 1;Primary where bone marrow produce more platelet and cause is not known called as primary thrombocytes. This type is congenitally inherited that is pass from parents to children. No 2;Secondary. In this platelet increase in response to many diseases in body. There is long list of diseases but most common are;Cancer of gut, breast, lung, ovary and lymphoma Iron, deficiency anemia and hemolytic anemia, After spleen surgery, Inflammatory bowel diseases and some infective diseases. There is no vitamin or Chat Doctor. It has to be investigated and treated. I would suggest out consult a hematologist who may be able to evaluate you for your increased platelet and may treat accordingly. Hope this answers your question." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have on and off headaches occurring irregularly. I often suffer from stiff neck, 2 months is the minimum difference of its occurrence. I always yawn. I have rhinusitis. I also suffer from pains in my back, it is like burning pain. I feel so low and always ffeeling fatigue. I am always irritated and hot headed. I rarely concentrate, and my memory is very poor. What is wrong with me?", "output": "A back muscle strain or ligament strain is one of the most common causes of acute lower back pain. Lifting a heavy object, twisting, or a sudden movement can cause muscles or ligaments stretch or develop microscopic tears. Correct posture is a simple but very important way to keep the many intricate structures in the back and spine healthy. Back strains often heal on their own with the help of some combination or rest, ice and/or heat application, anti-inflammatory medications, and/or gradual and gentle stretching and back bending exercises without jerks. Walk, Deep breathing also helps for long time recovery. Bending forward is prohibited in back pain lower or upper back . For long term relief, take care to eat healthy balanced diet including more of fiber, protiens, vitamins, minerals, salt, less of carbs, fried, fasts foods Take raw ginger garlic and a lot of water , A level Spoon of turmeric powder with cup of hot milk in B/F and with almond oil 1 spoon at bedtime. Lemon juice in the morning with a pinch of salt and long pepper. This regimen will fulfill your requirement of essential nutrients Bowels should be cleared regularly. Hope this helps solve your query. Take care All The best Don't hesitate to get back if you have any further query" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. My uncle passed away last month, and we have just discovered after a post mortem, that he died of arthoscropic coronary artery disease. What does this mean and how long would he have had it. Would he have had a peaceful death or would he have been in pain. He was an every day drinker. Would this have been a trigger. Thanks", "output": "Hellothanks for posting here. There is no term such as arthroscopic coronary array disease. I think the term is atherosclerotic coronary artery disease. Which means disease of the heart due to deposition of cholesterol in the vessels which supply blood to the heart. So in short he had a heart attack. Patients usually experience chest pain, breathlessness, sweating during a heart attack. Some patients especially diabetics have no symptoms during an ongoing heart attack. So it is difficult to say whether he passed away in pain or peacefully. Alcohol can lead to development of other risk factors for coronary artery disease so although it doesn't directly cause coronary artery disease, it may increase the risk of a coronary artery disease. My deepest condolences. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi there I have a lump in my groin that has been there for over a year and it only bleeds during menstruation. I have stage 5 endometriosis and I am concerned this could be external endo. It s is sore and bleeds on contact with underwear no pus and has never responded to anti biotic creams tablets etc please help as I am fed up with it now.", "output": "Hello and welcome to Chat Doctor, A lump that bleeds during menstruation and a history of endometriosis indicates that the lump in the groin is due to endometriosis. Endometriosis is known to occur at many unusual sites. Excision of the groin lump is required to be followed by histopathological examination for confirmation. Consult your gynecologist and surgeon for further work up. In the meanwhile, treatment of endometriosis will be helpful in controlling the bleeding from endometriosis site. Thanks and take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Can marijuana and lactulose cause a side affect when used together Hi, my father in law is dying of sclerosis of the liver he had been sober for 10 months he is taking lactulose for liver disease and constipation . Due to the liver disease he is unable to take any pain med so he smokes marijuana, can the marijuana and lactulose together cause a bad side affect?", "output": "Hello;welcome to Chat Doctor Lactulose is a locally acting medicine and has its effect on the intestines and there is hardly any chance of interaction with other medicines or even marijuana for that matter. Although it is not necessary to say that marijuana is harmful to health but since he has found a way to relieve his pain without the use of painkiller, and he has terminal illness I personally will not comment on that.Let's just hope and pray for the best. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Yes, my three year old grandson has a swollen gland in the right side of his neck. It is the side of a marble and sticks out. He also has red spots , about five on the back of his neck. This gland has always stuck out, but is now larger. What could this be?", "output": "Hi...this could just be a simple right cervical lymphadenopathy which can occur even with simple upper respiratory infections. But at the same time - associated illnesses like Tuberculosis and lymphoreticular malignancy should be ruled out after thorough clinical examination and laboratory evaluation if it is found to be warranted after clinical examination. I suggest you consult your pediatrician with these tips. The redo spots and the swelling seem to be unrelated. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ive been ill...cough, chest congestion, slight fever. Cough has become severe, in spells, with intense feeling as though receiving an electrical shock in chest & back which radiates throughout upper torso, to include shoulders & upper arms. Very painful & frightening. Perhaps this is how it feels to get tazed. Your thoughts, please.", "output": "Hello rearward welcome to Chat Doctor.come have evaluated your query in details .* This seems lower respiratory tract infection with systemic manifestations .* Guidelines for better management Consume plenty of liquids to maintain HY Chat Doctor. Balanced nutritious diet with avoidance of excess sugar, oily, non veg, spicy, dairy fat, junk foods, artificial sweeteners. Gargles with salted lukewarm water added peppermint oil 3 times a day. Deep breathing exercises, walking in fresh air, YOGA help to recover faster. Avoid exposure to dust, pollen ; if necessary use triple layer face mask Avoid smoking or any form of tobacco consumption. Avoid stress, anxiety. Tessalon pearls 3 times a day. Tab. Tylenol (500) mg 3 times a day after meals. Bassil leaves, turmeric powder in boiled skimmed milk, pure honey, Caroline tea are herbal recovering agents. Consult later your doctor if required for further evaluation with lab tests, x-ray chest & detailed management with necessary antibiotics. Wishing you fine recovery. Feel free to ask any further queries. Regards ." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello! I recently have been having extreme issues with my lower back! I have already been diagnosed with a tear in L4-5 and slight bulging. I also have a overly curved lower spine , but I will not even try to remember the word. In the last week I have had some severe pain. The last 4 days has been excruciating bc I can not seem to get my lower back to get completely straight. A little bit ago I tried to lay flat on the floor and it brought me to tears . I also could hardly get back up. I am not sitting slouched on a heating pad bc I am at loss. I guess I don t know what to do? Pain medicine is not helping either and I am prescribed five 10 mg. Lortab a day. I was going to contact my doctor tomorrow but I dont know what can be done but don t want to suffer either? Thankyou for hearing my problem.", "output": "Hi, thanks for writing to Chat Doctor. As you are already having L4-L5 disc degeneration, the symptoms might have worsened now as a result of some unnoticed strain on the lower back. The initial management of your problem will be as follows -* Absolute rest * avoid lifting heavy weights * avoid forward bending activities* Use a lumbosacral back support * Intermittent pelvic traction * Maintain optimum body weight, if you are obese* Physiotherapy to strengthen your back muscles. Physiotherapy has to be done only after the acute pain has subsided.* Judicious use of analgesics and muscle relaxants. If you don't find any relief with the above measures, you need a consultation with an orthopedic / spine surgeon for a detailed workup and management. Hope this information is helpful. Good day" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here...hi im 29weeeks pregnant, an im carrying really low, when he kick or moves i feel it more down below in my vagina.is this normal as 8yrs ago when i had my son i never experienced this", "output": "HI, I understand your concern. At 29 weeks of pregnancy fetal movements are nicely felt. In 2nd delivery, the maternal body is already loose due to previous delivery. So baby can sag down in pelvis & when it moves you get the feeling. Another thing the pubic symphysis gets separated due to loosening of ligaments between them. This also facilitates the downward decent of baby . Feeling it right down in pelvis later weeks of pregnancy. * but this is no way suggests labor. Excessive vaginal discharge, loosing mucus plug, getting labor pains form the signs of labor. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a blister/pimple looking sore in an area of my right lower gums that is both pussing and bleeding not profusely but regularly for the past several hours...its been there for a while and has never really been this active. Keep in mind there is zero pain...", "output": "Hi. Can understand your concern. As per your complaint a painless sore can be due to an infected and non-vital tooth which can cause pus formation near the root tips of infected tooth leading to creation of a Chat Doctor. . Other reason can be a viral infection known as herpes. In herpes boils or blisters occurs on the lips i.e. outside the mouth but can occur inside the mouth and is mostly painless. It can be a usual canker sore and there is no specific reason for it. It can also be due to any foreign material got stuffed into the gums carrying bacteria along with it causing infection and pus discharge. I would suggest you to see a dentist and get evaluated for the exact cause of blister formation and treatment is based on diagnosis. If it is due to infected tooth, root canal treatment of tooth followed by antibiotics can be relieving. In case of canker sore it is self limiting condition and resolves in a week time. In case of pain numbing gel like travel can be applied. In case of viral infection antiviral ointments, painkillers and avoiding any intimate contact with others should be done. In case of gum infection cleaning of the gums by a dentist known as scaling and antibiotics can be helpful. But any treatment can be taken after the exact cause is known. Hope your query is solved. Thanks and regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor, i am 31 years old and i am facing hair loss problame. in my family my uncles & also my father have no hair in front of their scalp. on the other hand my maternal uncles sre facing the same. if there any solution of my prob. ? or if there any cream or tab or oil to prevent my hail loss ? pleaseheight - 5.6weight - 78med. hist. - normal but some time mango hope be problamed me.", "output": "Hello and welcome to Chat Doctor, First thing to consider is since you have a family history of hair loss, if there is male baldness in the family, you will be more prone to similar problems. You probably have an Chat Doctor. And medical treatment will help you to an extent. Other causes to consider are hormonal(thyroid etc.), any lifestyle or residence change, stress, any history of recent illness like typhoid, any chemical procedures, etc. These causes need to be considered and treated as they affect hair growth. For now, you may start a minoxidil solution to scalp, along with hair supplements daily like Collinear. This needs to be continued at least for 2-3 months to see results. Use Hair4U shampoo and conditioner. Do consult a dermatologist, to assess your type of hair loss and to give you treatment based on the results. Since it is genetic, treatment may not completely stop or reverse the problem. It may slow down hair loss and improve the growth. If medical methods do not work well for you, certain new surgical procedures can be considered such as PRP.hair transplant etc., as will be advised by your consulting doctor after observation, if they feel that it will be a good option for you. Also get a good nutritious diet, avoid stress, smoking, get good rest. Hope this guides you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "mother is diagnosed with renal kidney failure with creatinine level of 4 and her diabetes is 265 fasting. is dialysis recommended now or not. also her glycosylated hb level is 10.6 and in her urine examination tells pusells - plenty. rbc - 0-1 cells/hpf and epithellal 15-20 cells ;;please help what needs to be done.", "output": "Hi, dairy have gone through your question. I can understand your concern. Your mother has heavy diabetes with heavy urinary tract infection. She needs to control her diabetes and urinary infection first. Sheet needs insulin to control diabetes. Levofloxacin or norfloxacin or cephalosporin can be used to control urinary tract infection. In most of the cases if we control sugar and infection, renal function is improved automatically. If kidney functions doesn't improve with these measures then only dialysis is needed depending on cause. Consult your doctor and plan accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello, inside my lower lip, at the bottom where it connects under the gums of my bottom front teeth, there are very vidid purple veins, and the general area seems to stand out as a vivid purple, plus i have a canker sore on my gums around there...should i be checking that out to clear any worries of oral cancer?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Oral cancer can present as ulcer, rough, insensitive area, whitish plaque, bleeding necrotic mass, polyp etc. And for conformation, biopsy from the lesion is necessary. So for clearing your worries about cancer, better to get done biopsy and histopathological examination to rule out cancer. If this is nonmalignant lesion than no need to worry about oral cancer. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, Last night i fell asleep very late. And i woke up within hours with trouble breathing. My chest felt very heavy and I was heating up. After drinking some water and putting on vicks vapo rub medicine. i started to cough and i could feel that it was phlegm. Now I have a dry cough. I am in alot of pain. What should I do?", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. By your history and description, possibility of either bronchitis or lung infection is more. In both these conditions, patient has cough, expectoration and breathing difficulty. So better to consult doctor and get done clinical examination of respiratory system, chest x-ray to rule out lung infection and PFT (Pulmonary Function Test) to rule out bronchitis. You may need antibiotics, inhaled bronchodilators and inhaled corticosteroid (ICS). So better to first diagnose yourself and then start appropriate treatment. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor I\"ve just been diagnosed with malignant tumor on lower esophagus(small in size) Have not had petyet.But trying to prepare aplan. Realisticaly how painful and uncomfortable.Is the dying process and does the removal of esophagus include voicebox.I know its early in the treatment but worse case physical dramafor the future would be appreciated. greatfully cw2 Paul l johnson army aviation(disabled)", "output": "Hello, Salute to the spirit of fighting the battle of life. Where there is a will there is a way, you must be having the best outcomes. Treatment of malignant tumor of esophagus definitely involves surgery (if operable) with follow-up chemo and/or radiotherapy for the same. It does not involve voice box removal in the majority of cases. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Dr Mintz...i feel like i have hit the jackpot... i am 76 yrs of age...i have had very very bad back pain for several years now and has gone into my right hip and leg.. i have been going to a pain management dr who is one of the best in Louisville , ky,,i have recently had an epidural which has done not good... the dr had me get a CT scan,, i cannot get an MRI due to a pacemaker,,,the dr said i have scoliosis in my tail bone and the sciatic nerve pinched...the pain is very severe... i have been taking percocet 10/325 for about 3 years...my mprimary dr and my pain dr will not give me anything higher for the pain,,,,SORRY,,, I DID NOT KNOW THERE WAS A PAYMENT DUE FOR THIS,,, SO JUST FORGET IT... I AM ON SOCIAL SECURITY AND CANNOT AFFORD IT,,,, SORRY", "output": "Hi, I am Chat Doctor. I am sorry for the pain you have to undergo and your delicate situation of not being able to do an MRI because of Pacemaker Anyhow, there are still a lot of options available for you If a similar patient comes to me, I would do few clinical tests to determine the extent to which the disc pinged on the nerve root, and based on this, would do a surgery to remove the disc. Removal of the Disc will reduce or even totally alleviate your pain to a greater extent If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have a lump about the size of a nickel at the base of my skull on the left side of my spine. It is compleatly hard and unmoveable. Iv had it for 5-6 months and I thought it couldnt be anything at first but It has been causing pressure behind my left eye numbmess and tingling in my left hand and toes. I have really bad headaches everyday and they come on and off throughout the day but I cant get rid of them. Its been everyday for three months. Im nautious everyday on and off and Iv tried everything to stop it, that has been going on for two months. I feel like I cant remember things that I need to and Im somewhat confused sometimes. Iv been thinking it could be a tumor but didnt want to do resurch online because I thought I might scar myself. Any advise or insight would be greatly appericated. Thank you!", "output": "Hi, Thank you for posting your query. A clinical examination would be useful in confirming the nature of lump. In addition, a scan (MRI or ultrasound) would help in diagnosis. At the moment, if you can upload a photograph of the lump, it would be helpful. There is no need to worry, as proper diagnosis and treatment would help you get better. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Bleeding I am scheduled to get knee surgery this friday, but I am concerned because I have had rectal bleeding for several months after I use the bathroom and it comes out as if I were having my period when im not but my stool is normal. And I had sharp abdominal pain yesterday the bleeding is bright red and actual droplets, im 17 so what could it be?", "output": "HI Thanks for posting your query. Bleeding per rectum could be due to Hemorrhoids (piles) , Some growth in your rectum or colon, Infection of colon. It needs to be evaluated and diagnosed else persistent bleeding will make you anemic and weak. I advise you to go for Colonoscopy which will detect what is wrong with your Colon. Kindly get it as soon as possible. Let me know what the report comes as." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI,I had a slipped disc and was in severe pain about a year ago. It got much better in about 3 months and then once again, after moving, I was in pain again ---- though not severe. This has been going on for about one year. Im not in much pain now, but I have difficulty walking!!!! After a year of pain, being inactive, and trying to protect my back, have I compensated so much that I have just lost strength in my legs. When I walk, I have some pain in my hips and legs, though not severe.(The slipped disc was at L5/L6)What should I be doing to help get back my strength and be able to walk normally?Thanks so much", "output": "HI, thanks for using Chat Doctor You may want to consider asking your doctor for a referral to a physiotherapist. A physiotherapist would be able to guide you through various exercises that you help improve your coordination and strength. This would be the best option. You may not want to start a regimen on your own. After the therapist goes through the regimen with you, you may be able to do them on your own at home. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have had a problem with my forskin crackin a lot lately it heals then I after I have intercorse it seems to crack again the skin has now become really swollen making my penis to appear wider I was able to forse it rite back the other day and noticed a bean sized hard cyst type lump on one side which makes the skin awfully hard to pull back it doesn t feel painful. But it noticeable ?", "output": "Thanks for asking in Chat Doctor forum In short:If your foreskin is tight then it may crackExplanation: Usually whenever foreskin is tight and difficult to retract then it may rack causing pain. Also, if it is Chat Doctor. I would like to suggest you to retract and protract your skin daily once and can apply point clobetasol locally for 3-4 days can relive you of your problem. For cyst like thing, I would like to suggest you to visit a doctor so that he can examine you and suggest remedy. Good luck" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im ting to get pregnant but I have painful irregular periods but they have been coming every month.my fist period came on april 12-19 and my most recent was may 23-29 I had unprotected sex the 24th,27th and the 31st. I really want a baby im 27 years old. Also my periods are only really painful the 1st and 3rd day other days are tollerable. Please help I need to knowhow to better my chances I am on solarrays fertility blend sp-1 and taking prenatals .", "output": "If your period is a 45-day cycle, the probable day of ovulation and consequently the day when chances for conception are the highest is 2 weeks before the day of onset of period. If intercourse happens to be on the same day or a day or two before of after, the chance of getting pregnant is highest. N your case, the possible of conception in this cycle are far-fetched. Timing of sex is most important for conception to occur." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "initially it was a jock itch...i was unable to handle the pain so i started scratching...now it have spread on the scrotum...its the under scrotum area....i bath everyday still its itch...i change my underwear everyday but still it happens...i am suffering from this since 1 week....any advice....", "output": "Hi, Welcome to Chat Doctor Forum. I have gone through your Query & I really appreciate your concern about the problem you are facing. As a physician I would like to tell you that the area of your itch many a time remains damp resulting in conditions like these. I would like you to use some Ointment like Candex-NB or Clobelt-GM. You should apply it to the itching area 2 times a day after cleaning and Chat Doctor. Keep wearing cotton underwear and make sure u " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had two large hard knots pop up overnight on my head and then last night two smaller ones pop up behind my ear where the bone is. These are not moveable or painful but are eraser sized to quarter size knots. Not sebaceous cysts. What can they be? I am caucasion, 43 years old, 147lbs and in good health.", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have some enlarged lymph node. It can be due to reactive hyperplasia most likely. It can be some soft tissue mass or some cyst like lesion. You should take a course of antibiotics. If it does not respond to treatment then biopsy diagnosis is advisable. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "ok. My son was electrocuted in 2012 up in Maryland .He was a lineman but was not working when he was hurt. he was just out with another lineman tosee about down power lines. when he was walking down the side walk, looking at the lines someone turned the power on, the power lines started to jump up an down ,one jumped his way and he threw up his left hand,and the line hit his hand and shocked his whole left side of his body . He lived after he was thrown from the sidewalk to the middle of the road .it also burnt his hand and his left foot.about 7,650 volts he looks good now but he has very bad pain and a pain pump .", "output": "Howell come to ChatDoctorI really appreciate your concern, electric shock is kind of thermal injury it is all depends upon the intensity of current, like ampere, voltage and the duration of current follows through muscular fiber, short duration with low intensity may not cause the serious injury, although the clinical examination is the option that shows the severity of injury hope this information" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I m a 50 year female. I ve been experiencing pain in the lower left side of my body, sometimes it s difficult to walk. I m also experiencing pain under the left arm, great fatigue, bloating, and a little spotting of blood (I no longer menstruate). Any ideas? Thank you.", "output": "Hello, I will advise taking a blood routine and urine routine the checkout for any infection. As post menopause blood spotting is pretty rare. But still, a clinical examination will be helpful. The pain in leg and arm at your age of 50 will be due to muscle weakness and due to which the tendency for the muscles to undergo fatigue becomes common post menopause. I will advise getting the blood and urine tests done. Also, a clinical examination will be beneficial. The clinician might ask for ultrasonography of the abdomen or pelvic floor. Doing simple exercises postmenopause will help improve the muscle physiology and reduce the pain and aches while improving the overall stamina to avoid fatigue. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, My SGOT is 76 and SGPT is 187.Toal bilirubin is 0.5 mg/dl. I am diagnosed with infectious hepatitis and currently on Azee 500. Please tell me how soon I can get back to normal. I was told that excessive weight lifting affects liver along with protien supplements..Is it true?", "output": "Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. No, this is not true, and you should find another cause. Most commonly this is fatty liver that can be Alcoholic liver disease and Nonalcoholic fatty liver disease. You can get alcoholic liver disease from Chat Doctor. It can even show up after a short period of heavy " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Please help. My mum was diagnosed with a rare form of liver cancer called (excuse the spelling mistake)...fibrolamella, in December 2010. Two weeks ago after receiving two doses of chemo was told that the cancer was spreading within the six weeks of them last scanning the area. She was told that there is nothing they can do and also reported that it is terminal (between 2 and two and three years). She is 73 and looks amazing, her outlook on life is one to be admired and she herself feels well. Please tell me, honestly what the worse and best case scenario is. What shall we expect in her decline in health? Thank you so much", "output": "Hi, Thanks for writing in. Fibrolamellar cancer is a type of liver cancer depending on the pathological appearance of the liver. If it is in advanced stage, the patient might survive from 6 months to 2 years with recommended care and support. At 73 years her general health might be difficult to maintain and this might affect the survival of the patient. You have mentioned that she feels well and therefore attempts should be made to maintain her wellness and general health. She should be getting adequate pain relief and mental support. In the above case the best situation will be if she can maintain her health for next 2 years. The worse will be if her health goes down in 6 months. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was just dianosed with a pseudomonas vaginal infection. I had noticed ONE time a dark brown/golden discharge. I have no itching, no irritation, maybe a little lower abdominal discomfort, and no foul smelling drainage. This was picked up on a routine GYN wellness exam.I have not had sex is 5 years.Could this have been contracted from sex toys?I do clean them but since Im the only one that uses them, I dont clean them every time.I am 57, 165#, take no prescription meds and am very healthy. I had a hysterectomy when I was 37 but have my ovaries. I am an RN so I am concerned and puzzled with this particular nosocomial infection especially as it is gram negative.I understand you dont have a crystal ball, but could this be the cause?", "output": "Hi, Thanks for posting in Chat Doctor. I understand your concern. Pseudocodes infections are caused by any of several types of the gram-negative bacteria Pseudocodes, most common one being Pseudocodes aeruginosa. The infections could be caused due to poor hygiene along with people with less immunity in conditions such as diabetes mellitus. You need to take a course of antibiotics like Ciprofloxacin or levofloxacin. Also, you need to maintain good hygiene of genital region by washing with mild antiseptic like Salon. Kindly wash and keep the toys you use in good hygiene condition to prevent contact with infection again. Hope the information provided would be helpful. All the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear sir I just found out today that I have cyst in my kidney, I have schedule for ultrasound, but I am worry.And I have been suffering a low back pain for last few years, it is getting worse, I just had MRI but it didn t show much, Dr said it looks almost normal, so I wonder if this pain is related to my kidney problem?Thank you Mari", "output": "Thank you for asking on Chat Doctor .com, providing better healthcare for you. I have gone through your case and I can understand your concern. Kidney cysts are usually asymptomatic, but when a kidney cyst grows large enough it may cause dull pain in your back or side, fever & upper abdominal pain. But if your MRI was normal then you back pain should be not ad Chat Doctor. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. Please don't forget to give your valuable feedback and five-star rating, to help me assist you in a better way. Click at I Find This Answer Helpful too. Please, write a review about your experience with me." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my baby born on 4-4-2011 after 2 hours of his birth he sent to neonatal care unit .according to the doctors my baby is suffered from a severe infection and his breathing rate was also very fast and discomfort.after 4 days baby got normal but his platelets was first time 210000. second time after 2 days 30000. third time after 24 hours 40000. forth time again after 24 hours 65000 and then after 24 houres again this was 75000 during these tests baby was also got 50 ml FFPs and 2 time 50+50 ml platelets within 48 hours.so now i want to ask that why these counts are not going to be normal?", "output": "Your child most likely according to this information suffers from a sever sepsis, which can cause something called DIC, a disseminated intravascular coagulopathy, which is the consumption of coagulation factors and platelets that is why his platelets are very low (not high, platelets below 150,000 is low) .that's why they gave him FFP and platelets. Once the child survives this overwhelming sepsis, he has a good chance restoring his platelet count back to normal" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor, My daughter is 4 yrs.old. Last one year, she is suffering from cold, running nose, fever problem.. I consult ENT Specialist, he said she had Enlarged Adenoid & Tonsils problem and she has to be operated. Doctor gave her medicine Argumentive and flucold medicine. Please suggest me, what should I do, should I go for surgery or try another doctor for treatment for avoid surgery because hse is to small kid. Is there any side effects of surgery. please help me.", "output": "Dear parent, Adenti tonsillitis requires surgery if the child has been suffering more than 7 episodes a year requiring antibiotics, if the child is having obstructive sleep apnea. Generally as age goes by the adenotpnsillitis regress by 8 to 10 years of age. If the child is suffering from too many episodes I suggest going for surgery because suffering might cause growth disturbances. Surgery is safe, less downtime and less side effects." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi....my name is sania...my baby boy is 2weeks old ...when he was born he has quite red complexion of face....bt his hands and body is fair....bt now hiz face is getting dark....I m worried about his complexion...will he become fair or getting darker complexion.....", "output": "Hi. Before answering your query, I presume that your baby is otherwise doing well i.e. feeding well, gaining weight and is active. Newly born babies have thin skin, so they appear red. As baby grows, skin becomes thicker, so the complexion also changes, and they become darker. Generally speaking babies born to fair parents have fair skin. This is most important and it's determined by the genes the baby gets from parents.Also, other factors which modify skin color is surrounding weather, exposure to sunlight, diet, & pollution levels. EG Too much sun exposure can make people darker. This does not mean, you must prevent your baby from all exposure to sun as some sunlight exposure daily is necessary for good bone growth. Since many factors are there which determine skin color, It's difficult to predict what complexion the baby is going to get ultimately.Also, once your baby grows up, skin color may change depending on the factors I already mentioned." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My name is BPS ,I m 74 yrs of age with not any health problem. I m feeling pain on my lower back for the last two days...I have not yet taken any medicine so far... Normally I avoid taking any medicin unless it is essentially required. However I just took one tab of Disprine after dissolving in water.....and feel better. Could u please help me out...?", "output": "Hello, welcome to Chat Doctor ! Lower back pain can arise due to a lot of causes, and we need to find out the cause before instituting appropriate treatment. Disdain helps any pain but shouldn't be taken for long when the pain hasn't been diagnosed. Common causes can be disc degeneration due to aging, spondylolisthesis, sacroiliacs, muscle spasm, vertebral disorders, etc. So you are advised to see a physician to ascertain the exact cause through a thorough physical examination and appropriate investigations. Get well soon! Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband has severe pain in his back above is right hip. It s started suddenly 3 days ago, no known injury but does lift heavy pots of food. He is nauseous and has lost a bit of weight from the pain. His doctor said it was all ok just take nurofun. This does. It help. He has had no tests and his pain is getting very very bad. He does appear to warm up during the day and it feels a bit better. Any suggestions please", "output": "Hello there! Thank you for asking, I want you to know that pain for 3 days in very acute and nothing to work about. Some muscle spasm explains it, As lifting heavy weight is what you mentioned. Now Your doctor is right, Continue the medicine prescribed and add some skeletal muscle relaxants like Tizanidine Use some massages take some physio therapy, some rest and avoid heavyweight lifts. And if the problem persist for more than 2 weeks see the rheumatologist for Better assessment. Good lucks Khan" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I recently had a tooth infection and she infection and I was reading online how garlic is a miracle remedy so I got a garlic clove and he smashed and I put it between my god me too and with in like 15 minutes the pain was gone but I did feel a lot of burn from the garlic. I woke up the next day and my face was so swollen it looked like something had hit me in the face. please tell me what I can do to help the swelling coming down. Please help me figure out what I can use to help heal this ASAP.", "output": "Thanks for your query, I have gone through your query. The swelling is because of the extension of the tooth infection to involve the tissue spaces. Do not apply garlic or some other things over the tooth or mucosa, it can cause irritation and aggravate the infection. Consult an oral physician and get a radiograph to rule out the infection. Meanwhile you can take a course of antibiotics like amoxicillin 500\u00a0mg and metronidazole 400\u00a0mg TID for 5 days (if you are not allergic). Get the tooth treated with RCT or extraction. Do saline gargling. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Blood flow to my legs and feet is causing cramps in my legs and pain in my feet. I had micro vas treatments that seem to help my legs but not my feet. The pain in my legs have started up again. I presume this is vascular. What can be done? i cant deal with the pain anymore. Something needs to be done.", "output": "Hi, From your past history of your micro was treatment that you have had DVT deep vein thrombosis before, or you had a vascular pathology before. Anyway you have to treat the cause of pain to prevent it from coming back, so you may need to ask your vascular specialist for some imaging and investigations like PT, PTT, INR, Doppler U/S. For now, you may start with aspirin once daily after breakfast to increase your blood fluidity, always stay rely Chat Doctor. Advil tab twice after lunch as an analgesic in addition to " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 86 y.o. father was just diagnosed with metastatic renal cell carcinoma, clear cell type by needle biopsy of lung. Kidney removed 7 years ago and lung nodule just found in yearly PE. Ruhman (?) grade 2. Pending apt with oncologist and surgeon. Options given were open chest surgery vs chemotherapy. What to do? He s is good health except for HTN and arthritis. Surgery scares me. Please provide your opinion if you can. Is this a slowly growing ca? Thank you", "output": "Hi, Thanks for writing in. Having a kidney removed 8 years back is rarely associated to cause a lung nodule after so long, However, any patient with history of cancer treatment in the past must be completely evaluated should they develop any lung nodule. The size and appearance of nodule is important. If it is less than one centimeter then it can still be observed. Proper diagnosis of nodule must be made after doing CT scan chest. As he is in good health and has no other signs of cancer, it will help to consult the oncologist and surgeon. It is better to do a CT PET scan to make sure that the nodule is a cancer. PET scan will pick up rapidly metabolizing or growing nodules as bright spot. If this feature is seen in the PET CT scan then the possibility of a cancer is confirmed. If the nodule is bigger then a biopsy can also be done to confirm with a pathological diagnosis. If cancer is present then chemotherapy and radiation can be started if he is not keeping fit for surgery. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI, I am a 50 yr old male and was suffering from PVC since my early 30s. I started taking atenolol 25mg 11 years ago (about age 39. Now taking 50mg). I recently moved overseas and saw an internist because I felt like I was urinating too often. Blood surger was fine, so they did an ultrasound on my batter and prostat. He says I have BHP. But, in the interview, I told him I was taking Atenolol for 11 years. He said that long term use of this drup can cause diabetes and screw around with hormones. He prescribed Isoptin SR 240 mg. He said I should take half the atenolol (25 mg) and half the Isopitn (apparently 120 mg) for one month and then take half again of the atenolol and increase the Isoptin so that after 2 months I am completely off the Atenolol. Does this sound like a correct thing to do? I was doing fine - as far as I can tell - on the atenolol but am concerned about long term use.", "output": "Hello Sir, I have read your medical history carefully, As PCs are usually not harmful and need no treatment until unless they become bothersome for the patient. In your case as you are taking medicine for it from so many years and it's doing its job nicely so I would like to continue with Atenolol 50\u00a0mg as you are taking. Also, it belongs to beta blocker class which is the first line Chat Doctor. No " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HELLO MY HUSBAND AND HAVE BEEN TRYING TO CONCEIVE AND NO SUCCESS. I HAVE BEEN ON CLOMID FOR FOUR MONTHS AND I AM OVULATING BUT STILL NOT PREGNANT. MY HUSBAND IS SCHEDULED TO HAVE A SEMEN ANALYSIS AND I AM SCHEDULED TO HAVE A HSG AS WELL, WHAT ARE THE CHANCES THAT WE CAN CONCEIVE", "output": "Hi, Welcome to Chat Doctor. I am Chat Doctor. I will be answering your concerns. It would have been nice if you had provided me some more information like your age, BMI, duration of marriage, regularity of menstrual cycles and whether baseline fertility hormone assay is done. Closed induces ovulation. When used for 3-6 months, closed induces ovulation in 60-80% of women and about 30-40% of women who take closed become pregnant. Most pregnancies occur in the first 3 months of use. Usually closed is prescribed for 6 months. You should have done these baseline tests i.e. HSG and semen analysis before starting Closed. Do not take closed until you get these tests done. To increase your chances of conception maintain normal BMI, quit smoking (if you're a smoker) and have intercourse at least three to four times in a week. Take a tablet of folic acid daily. If you have any further concerns do contact me through Chat Doctor. Best wishes, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 55 years old and have been on testosterone supplementation (currently 15 pellets every 90 days) for 5 to 6 years due to low levels of free testosterone. (75-125) Over the last 30-60 days I have been experiencing joint pain in both shoulders and knees. It has now gotten to where I lift my arms above my head and experience sharp pain in my shoulders. From an exercise stand point, nothing has changed. If anything it has reduced due to pain level. Seems unusual it appears in both shoulders and to a less extent my knees without having any type of injury. Wondered if there was any relationship in the way of a side effect? Thank you for your time.", "output": "Hi, Thank you for providing the brief history of you. As you mentioned you are on testosterone supplements and now facing pain in shoulder and knees, also you doubt is it because of testosterone than I will advise you to stop it for a week with the guidance of a physician and see if there are any changes in the pain levels, if the pain lowers than you will get your answer, but if not, then the shoulder and knee has to be assessed by orthopedic special tests, may be an x-ray or MRI will be recommended so to see the position of the soft tissue, if all well, only a few medications will help you ease of the pain. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my sister in law has the medical problem said has pain through entire body including neck back and feet does have diabetics 2 but does take metformin. looking for a answer for her i told her to go to doctors what would cause this. thank you for your time and concern.", "output": "I feel your concerns regarding your sisterinlow. But details in your description is not enough to get a conclusion. She may have poor blood sugar control. She may suffer from complications of diabetics such as diabetic neuropathy. So I feel better to check her fasting blood sugar /HbA1c level and serum creatinine and lipid profile. So it is better to show her to your family physician / consultant general physician for further investigations and treatment." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I would like to know the possible side effects of the tablet yamini I have severe acne and is more prominent now I have been taking Diane 35 for the past 6 months but my cycle is still irregular and acne is still prominent I would like to know which one is better Diane 35 or yamini", "output": "HiYa mini Tablet is a combination medicine used for oral contraception (prevention of pregnancy). It is also used for the treatment of acne vulgarism in women who desire oral contraception. Yes, it can be used instead of Diane 35. The efficacy differs from person to person and hence watch for effects in the next few cycles. Antiacne medications such as antibiotics can also be used to prevent infections. Hope I have answered your query. Let me know if I can assist you further. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello I have pain on the right side under my rib going into my back and all around to the left side. I had a cold about a week and a half ago and still have a cough and spitting up yellow mucous. The doctor said my lungs were clear so Im not sure what it could be. My nose is runny and Im also seeing a gastro doc next week. Do you think my reflux is just getting worse", "output": "Thanks for your question on Chat Doctor. I can understand your concern. No, I don't think your symptoms are due worsening acid reflux. Possibility of musculoskeletal pain is more likely. Coughing causes strain on ribs and intercostal muscles. So apply warm water pad on affected areas. Take simple painkiller like paracetamol or ibuprofen. Avoid movements causing pain.Don't worry, you will be alright with all these. If not improving in 1 week then consult doctor and get done chest x-ray to rule out internal lung pathology. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello k have a question about my mom..... so years ago she went to the dentist and she got told that her teeth werent going to be able to get fixed, so they sand down the 4 front teeth amd put false teeth and now those broke right now she cant not afford going to the dentist but Iam looking for something temporary for her like some type of false teeth I think its called a crown and buy her a special glue till we can get money and take her what do you recommend? or how can I look it up ? Thank you so much", "output": "Hello, I have gone through your query and understand your concern. As you think of, it is possible to apply superglue on broken dentures and let the glue Chat Doctor. This need special tools. Purchase an emergency denture repair kit from your local pharmacy. Read the kits instructions carefully and make repairs with the bonding adhesive where needed, such as for repairing structural fractures. Clean your dentures if necessary with a denture brush and denture cream to remove old adhesive, and ensure your dentures are completely " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been sick with a sinus infection and tonsillitis over the last week and a half. i am on antibiotics for these. Now I feel it in my chest. I am coughing non stop. My throat doesnt hurt much just from the coughing. My chest feels heavy and I have some issues with breathing. Could this be bronchitis or pneumonia ?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Your symptoms are seen with both, bronchitis and pneumonia. And both of these them are common after upper respiratory tract infection (URI - sinusitis). So better to consult pulmonologist and get done clinical examination of respiratory system, chest x-ray and PFT (Pulmonary Function Test). Chest x-ray is needed for the diagnosis of pneumonia. PFT is must for the diagnosis of bronchitis. Antibiotics are the mainstay of treatment for pneumonia. Inhaled bronchodilators and inhaled corticosteroid (ICS) are the mainstay of treatment for bronchitis. So first diagnose an Chat Doctor. . Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my,name is kelli..yesterday I was getting into my car andcslammed my right knee into the hard part of the,seat..i now have a,big bump and its swollen.. I can hardly bendvit. I have been icing it but its,still extremely sore do you have any suggestions on how to get swelling down. YYYY@YYYY", "output": "Hello, Thank you for using Chat Doctor. I read your question and understood you concern. Regarding your knee sweeping I would suggest 4 things to do RICE. R - rest, do not go to work or school at least 2 days, but it can go until 4 days - if packs every 15 minutes for the first 48 hours- compression, you can wrap your knee with elastic bandage to prevent swelling- elevation of the leg with pillows above the heart level at least the first 48 hours wish you quick recovery" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "For the past week or so, I have felt tired all day and usually end up just wanting to lie on the sofa and sleep. I also have a weird feeling occasionally in my chest and get shortness of breath doing trivial things. I am overweight and I do suffer from depression. What is your opinion?", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion, we should first rule out cardiac cause for your symptoms. Because you are having the following risk factors for cardiac disease.1. Obesity2. Depression. So get done1. ECG2. 2d echo to rule out cardiac cause. If both are normal than no need to worry much for cardiac disease. Your symptoms are mostly due to depression. Overweight is also due to depression. So consult psychiatrist and get done counseling sessions. Discuss your problems and worry with psychiatrist and try to find out solution for it. You may need antidepressants too." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My last period started November 29,. I had my 1st appt with the fertility Dr on December 17 with I started in Metformin as of January 15 I have not started my next cycle and called my fertility Dr and started me on Provera for five days to jump start my period,.. as of today I have not started yet... I took a test 2 weeks ago and it was negative... Any thoughts?", "output": "Hi, Thanks for your query. I read your query and understand your concerns. Following is my reply: 1) If you want to rule out pregnancy you take another test today. 2) If its negative wait for 5 days after completion of proverb during which time generally cycles start. 3) If still no cycles you can ask your doctor to add estrogen to the proverb medicines. This definitely helps in bleeding. I hope I answered your query. I will be available for any followup queries you have. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son is of 4 years... And he got 102 fever ....I gave mental P of 5 ml...The fever came down to normal within 30 minutes...But again he got high temperature of 103 within 4 hours....I am giving p125 syrup in every 6 hours interval....What is the interval for mental P?", "output": "Hi....for fever - Paracetamol can be given in the dose of 15\u00a0mg/kg/dose (maximum ceiling dose of 500\u00a0mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Meftal-P contains Metonymic acid which is a NSAID. It carries the risk of gastritis and renal problems in the long run. Please do not use Metal. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i had my gull bladder removed in jan this year and im still getting lots off pain to were it is keeping me up for 4 to 5 hrs feeling like a heart atack. when i had my gull bladder removed the doc said the gull bladder was on my liver. please help me with this", "output": "Hi.noted history of cholecystectomy and post-operative pain. Pain after surgery is usually experienced within the first few weeks of operation, but of tolerable in intensity and resolving spontaneously. Even those who have been operated on for years can experience occasional pain/discomfort over the post-operative site. If the symptoms are persistent/progressive tho, it is best if you do a follow-up consult with your surgeon or a gastroenterologist, for physical examination and clinical evaluation. Recurrence of stone anywhere along your hepaticopancreaticobiliary tree area, Costco Chat Doctor. Diagnostics (such as ultrasound, ERCP, liver function tests, blood count, etc.) and management (medical and/or surgical if indications are found) will be directed accordingly. Low fat diet is also recommended. Hope this helps. Good day!!~" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "How to deal with people who have grown in age, but somewhere at the back of mind are still a child. At 30, if someone is still expecting others to pamper him/her, and keep comparing college days & married life. Its tough because others in family have more expectations at that age and then, everyone seems to be against you.", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. I had seen a lot of people who are like this. You are talking about people around 30. But more common category is age of 60 and above. I am not taking child Chat Doctor. I always suggest people to be a child by heart and an adult by intellect. Laugh and be creative like a child and take decisions like a grown up adult. This type of attitude always keeps everybody happy. Of course, people like this, are always considered out of sync with the society. They are treated abnormal. But I suggest, they are normal. This is the problem of our perception. If you perceive that person positively, and try to be in the shoes of that person, you shall also be like him, for better. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, I had a cbc and my blood work was normal except for a platelet count of 95...I was tested years ago and had bone marrow test, which resulted in very large platelets so my count was lower, however, never under 129. should I be worried and should I see a hematologist.....thank you", "output": "Hi there, above report are suggestive of Idiopathic thrombocytopenic purpura (ITP), if someone's platelets are above 1 lac with ITP then there no need to worry or consult hematologist, In ITP platelet count decreases because of autoimmunity of body so chances of bleeding increases and no treatment is required if platelets are above 50000 and there is no bleeding, one need to see hematologist only if there is active bleeding, rashes or very low platelets(less than 50000) otherwise one can lead a normal healthy life with ITP Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doctor, I am 25 years old.I am masturbating over 6 years approximately 3 times per week and my penis size is around 6.5 cm which looks like small. My question is 1. Will the masturbation affect sex life with my partner.? 2. Is this penis growth is affected because of masturbation over 6 years? Or this is normal size.? 3. My penis looks as bend position in sex mood. Is this cause a problem? Please clarify my above queries. Thanks in advance.", "output": "HelloThanks for queries. Answers to your queries are as follows .1) Masturbation is one of the safest way of getting sexual satisfaction in absence of female partner. If done within limit it does not affect sexual life. .2)The growth of the penis is not affected by masturbation.3)Your penis is absolutely normal for your age .4)Slight bent of the penis is acceptable. You need not worry about it as long as it does not pose any problem in penetrating vagina during intercourse. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a female 53 yr old woman. ,5 6 137 lbs. I have a bilateral maxillary cyst 1.4cc on left side of sinus and 1.2cc on right side of sinus. My white blood cell count is 3.1 could the cyst cause white blood cells to be low? If not what would it mean?", "output": "HiT hanks for askingBased on your query and complaints my opinion is1. A low WBC count in your case is not related to cyst.2. There are numerous causes of a low count.3. It can be due to steroid therapy, or certain medications, or bone marrow depression or viral infections.4. Get a test to repeat counts after two weeks. If persistently low, get a bone marrow examination done. Hope this helpsRegards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "On the top set of my teeth , near the front two, on the left side, it was swollen and sort of white. This has happened before but I ve never thought it was anything to be worried about. It was swollen for about three days. Yesterday the swelling was gone, but now there s a small hole in that area. It s a little sore. I tried to get a look at it using a mirror and it seems to be yellowish/red. I can feel either a hole or at least a small opening in that area when I run my tongue against it. I also have had a weird sore feeling under my chin/jaw area on the left side, I m not sure if that s related or not. It s sore both when I move around and push upwards on it to feel the area. Please help!", "output": "HELLO, Thanks for choosing Chat Doctor forum. YOUR two front teeth are affected with dental caries which has progressed into periapical area causing periapical abscess. Please do visit a dentist and get clinical examination. X-ray of the affected area will reveal the extent of infection. Depending on the severity of infection, tooth has to be ROOT CANAL TREATED.ALSO GET YOUR LEFT JAW AREA checked to find out any impacted infected tooth associated. If so, get it treated. Take medicines as per dentists prescription. REGARDS Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my name is eddie. I am being refared for a copd test soon. Ive had a couple of breathless moments while resting over the past 3 months and an occasional quick twinge in my chest. My question is this. 1. Is there a chance i may not have c o p d.?. 2. If i have it, then can i live a normal life span with treatment. Im 49 years old and havnt smoked for a year now.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. COPD is common after the age of 40 years in smokers. And your symptoms, breathing difficulty, chest things etc. are seen with COPD. These symptoms are also seen in cardiac heart diseases. So get done PFT (Pulmonary Function Test) for diagnosis of COPD. If PFT is normal then rule out heart diseases. With appropriate treatment (inhaled bronchodilators), COPD patients can live normal life. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "went to the dentist and had a silver tooth filling replaced by white went back 3 times and still didnt have the tooth right finally got it to where i can bite down but now noticing a month later I have a huge hard knot on the side of my gum doesnt really hurt but its there and then did a cold test on my teeth on gums both sides could not feel it but could feel the cold test on front teeth.", "output": "Hi. Thanks for the query. The lump can be due to causes like a Periapical cyst. It represents as a painless lump on the gum. If it is bony hard it can be a bony torus. So my suggestion is to consult an Oral Physician and get evaluated. An x-ray can be done for confirmation. If it is a cyst then it has to be removed bye nucleation procedure. If it is a bony torus then surgical removal can be done. Hope this helps. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have checked and ultrasound from a medical center.and findings are suggestive of MILD Splenomegaly with Grade II Fatty changes in liver. i want to know reason behind this and is it dangerous and how treat this.My email address is YYYY@YYYY thanks in advance RegardsDinesh", "output": "Hello have gone through your querying my opinion your fatty liver is causing your spleen to increase in size. Normally the deoxygenated blood from spleen travels to portal vein and through the liver to the heart. You have a fatty liver and there is obstruction to the flow of blood through the liver.it is causing back pressure to the spleen and more blood is accumulating in your spleen and hence resulting in its increased size. You need to look after your fatty liver by reducing fat intake such as butter, cheese,unskilled milk and refined foods such as pizza etc. Other causes of increased spleen size armload disorders such as lymphoma and leukemia for which blood complete picture is needed. Infections such as malaria, typhoid and Salazar. Right heart failure, constrictive pericarditis and pericardial effusion. These other causes are less likely to be present in your situation as per information provided. In my opinion you should meet a gastroenterologist to look after your liver status and a hematologist to look at your blood picture. Thanks. Hope the answer is helpfulness you a healthy life" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have had melanoma,back in 08. one day in the shower i had a large egg sized lump form in my armpit....what are the chances of melanoma?...had a biopsy today...he mentioned it seemed dark,like dried blood...asked i i had any recent trauma to the area...", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have melanoma or some hematoma due to some injury. Or you may have some vascular tumor. Wait for the biopsy results. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I,am R.k.punsiba from Assam.My brother is suffering in chest &lung problem.Her CT scan report is (1)category IV cyst IN LOWER POLE (2)PULMONARY NODULES: METASTATIC (3) TINY RENAL CALCULI WITH NORMAL VISIBLE CONTRAST EXCRETION . So now we want to bettertreatment.would you please tell me what can we do now? Which hospital, which doctor&treatment will best for her.", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion you should consult oncologist (cancer specialist) and get done1. PET scan2. Blood work up for tumor markers. To search for the primary site of malignancy. He is having metastatic nodules in lung. This suggest that he is having primary somewhere else in the body. Following are the malignancies, commonly metastasize to lung.1. Liver2. Intestine3. Stomach4. Thyroid etc. So, he needs PET scan to identify the primary site. Because PET scan will give hot spot at the site of malignancy due to high uptake of contrast. So it will help in diagnosis of primary. Treatment is based on primary organ only. Mostly he will need chemotherapy and radiotherapy and other supportive Chat Doctor. So better to consult oncologist and discuss all these." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi I have been dizzy for 6 weeks now, my ears don t hurt, I am getting headaches more often and now feel like I have to take in more air by breathing deeply every few minuets or so, I have had blood test for menopause, anemia thyoroid and diabetes all came back clear, could It be possible that I am pregnant, I havnt missed a period they are regular but im putting on weight, feel dizzy sometimes feel sick , one of my periods 4 months ago only lasted for 1 day this has never happened to me before, I feel like I am going crazy. what do you suggest thank you", "output": "Hi, I think if you want to be sure of pregnancy, you can do a urine pregnancy test at home. It will tell you that you are pregnant or not. If positive consult a doctor. If negative, it can be due to stress also. You need evaluation for your shortness of breath and headache. Get evaluated by a physician. It can be due to some cardiac or renal problem also. Hope I have answered your question. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi , I have got chicken pox just a week ago, I want some home remedies 2 remove the scars on my face . I have been using red sandalwood for past 3days but no changes please suggest some remedies.", "output": "Hello welcome to Chat Doctor try these one:1. Try accelerating the fading of these scars with the use of coconut water applied to these scars with the use of a clean cotton ball. Do this every day. Apply this paste to the scars with the use of a clean cotton ball as well, and do this daily.2. Lemon juice has whitening and healing properties that can also be useful for treating chicken pox scars and minimizing them.3. Benefits of vitamin E for scars and skin has always been known to be good. Applying this vitamin to the scars you get from chicken pox can also help diminish them.4. Another natural scar remover or fader is honey. Apply natural honey to the spots where the scabs fell off and do this daily.5. Aloe vera is also well known for its healing properties. Use aloe vera on your healing scars daily. 6. Use fresh aloe vera extract for better results. You can also use aloe vera ointments and lotions.7. Eat vitamin-K-enriched foods for better healing and to reduce the appearance of these scars. Foods that have this vitamin include spinach, tomatoes, broccoli, liver, dairy products, and cabbage. Lean meats and even turnips are also rich in vitamin K. Chat Doctor. Keeping yourself HY" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was in a fatal car crash 2 weeks ago, my seatbelt left a large bruise almost completely covering my right breast. I wear a d cup and sometimes a dd so that s nothing small. The bruise is almost completely gone but there s now a lump- not a huge one but a lump I did not recognize prior to the accident. Could this be a hematoma? Should I be alarmed?", "output": "Hello and welcome to Chat Doctor, A breast lump formed after trauma is most probably due to organized hematoma. Traumatic fat necrosis is also one of the possibility. However, the history does not point towards any malignancy. A clinical assessment and imaging study of the lesion is required. Imaging will determine the site and probable nature of the lesion. An aspiration cytology will also help. In aspiration cytology, a needle is inserted into the lesion, cells are aspirated, spread on a slide and stained with appropriate stains and examined under microscope. On studying the cells, the probable nature of lesion is known and thus management can be planned. Thanks and take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I m 13 & have been having migraines since I was 9. I didn t get them very often, but when I did, my right side would tingle and then go numb. Like, the whole side from the shoulder to my feet. After 2, I had a urine test, whicChatDoctore back normal. I had only 2 up until 1 month and a half ago. I was getting migraines everyday, always numb, and would frequently vomit. 3 weeks ago, my mom took me to the doctor who immediately got me to get a blood test, which almost made me pass out. I was recommended to a neurologist who said my symptoms were typical for a migraine patient, but that my numbness was abnormal. She got me an MRI/MRA. The radiologist sent a man to the waiting room with a phone, and gave it to my mom. There was a nurse on the other end who told her they were starting an IV on me. She took more pictures, and then sent me out. My mom sent me away, and later told me that they found something on my brain, but by policy, she couldn t say what it was. She took the second set of pictures because she and someone she consulted wanted to be sure they saw something. That was Friday, and tomorrow (Monday) the neurologist will call and we will make a plan. What could it be? I get nauseous as well.. And I don t know if this is related, but lately, I cannot breath right. Like, I ll be breathing fine, but out of nowhere will feel like I m not getting enough Oxygen. It s become more frequent that I feel like I don t have enough air. I m athletic, and eat healthy (for the most part). Should I be worried about what it could be? Oh, and she put me on anti-depressants (a fraction of the actual dose) because it should help my headaches go away and help me sleep. It does help me feel a bit refreshed when I wake up. She said I was too young for the actual migraine medicine, and that sometimes medicine for other things help for other conditions.", "output": "Hello. I am Chat Doctor. I have read your message. I think I can help you. Your symptoms are highly suggestive of what is known as \"hemiplegic migraine\". In this, your symptoms of headache are associated with other neurological features. I am assuming your sensory symptoms are located on one side of the body. In this condition, the MRI does show changes which are similar to that of stroke. So yes, changes are there, and you need not worry-they are basically signs of what has been happening. As for the medicine, if you have too many headaches, neurologists start a medicine that reduces the frequency of headaches. In your case that is also needed because every time you develop the sensory features or other neurological symptoms, the MRI gets affected. This in log term can affect you wrong. So the attempts are to reduce the frequency of headaches. And sometimes, if taken sincerely, it can work wonders. I hope this informs you about everything you need to know. Once you know what exactly is happening, I am sure you will be able to understand what is going on. That should help you relax. And it should help you manage your migraines more easily. I have tried my best to make it simple for you to understand. Do understand that there is a lot more to the subject than just this. In case you ant to know more about it or if you want to clear any doubts about what I have mentioned, feel free to ask a follow-up query. Best wishes, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I got a Slip Disc and the MRI report says... Central and Bilateral paracentral herniation with minimum Inferior extrusion of L5-S1 disc compressing the anterior epidural fat indenting the thecal sac, impinging on bilateral traversing S1 and minimally impinging on exiting L5 nerve roots and compromising the neural foramina. Can anyone help me understanding this report.", "output": "Hi, I understand how difficult it is to understand medical terms and anatomy structures, anyway, these findings mean that the disc is out of place and moved towards the spinal canal pressing both the segmental nerves and the spinal cord theta as well as the level L5 and S1 vertebral nerves, the herniated disc is minimally downwards extruded. These findings cannot decide a surgery unless correlated with clinical findings like numbness in your legs or pain or inability to move, for example, bowel and urine incontinence and so on. Hope I have answered your query. Let me know if I can assist you further. Amman Darragh, Physical Therapist or Physiotherapist" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 25 weeks pregnant. I get stuffy noses all the time and bloody noses on a nightly basis. My eyes are constantly watering too. Its disrupting my sleep and causing me to be very sleepy during the day and cough a lot. What can I do to make this better?", "output": "Hello dear, I understand your concern. In my opinion your symptoms suggest upper respiratory tract infection. Stuffy nose might be due to allergy or infection. If the cough is associated with altered sputum then it suggests mostly the infection. You might need a course of antibiotics and decongestants. Avoid chill items and foods which cause you allergy. It will subside. Take plenty of fluids preferably lukewarm water. I would like you to consult a ENT specialist for accurate diagnosis and treatment. But nothing to worry. Hope this helps. Best regards..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi my name is andrew i was having intercourse with my girl friend and during i suffered what i think might have been a small heart attack there was a sharp pain radiating from my heart to the center of my chest which lasted the duration of about 5 minutes followed by numbness in my left arm can you give me an idea of what happened?", "output": "Hello thanks for posting at Chat Doctor.First I would like to know some details about your age, associated conditions, body built and family history of heart disease. I don't suspect what you got during the act as a heart related episode. But since your symptoms are typical - chest pain on exertion radiating to the arm, I suggest you to do a treadmill test which requires you to walk on a treadmill, while your ECG is continuously being monitored. This is a quite sensitive test and will give us information about possible presence of heart disease. Please get a TMT done and revert. Wishing you good health. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor, Whenever i take a glass of Beer (once in a week or so), i start getting pains on my right side of below chest location. When i eat something the pain comes down a bit, Ocid20mg capsules also releases me of this pain. What should i do?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Beer causes gastritis and this can cause chest pain. Your pain is also reduced by antacid (acid - omeprazole). So alcohol induced gastritis is the cause for your chest pain. So better to avoid alcohol in the future. Avoid stress and tension. Avoid hot and spicy food. Avoid junk food. Avoid large meals, instead take frequent small meals. Take antacid (omeprazole) tablet on empty stomach.Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Could my boyfriend have tape worm?My cat was recently diagnosed with tape worm. We are treating him.for it, but my boyfriend has been displaying signs. We trained our cat to.give kisses just like a dog and wonderes if one or both of us could have picked it up. Since im pregnant and my boyfriend cleans the litter box now, he usually doesnt wash his hands. We dont really have a lot of money so we dont wanna go get us checked unless there.is.a legit reason to. Would you reccomend we do?", "output": "Hi, Tap worm infestation spread through dust, carrying and handling pet cat. So there are chance of having ova, cyst trapped in nails and by ingestion it produces this infestation. So having this infection to you and your boyfriend is very likely. Go for anti-worm medicine like Albendazole both partners. Before taking this medicine, consult your Oust. And then take if he advises. Keep nails well cut and clean. Ok and take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My Daughter Is 4 And Had To Get A Baby Tooth Pulled. There Is White Soft Stuff In That Hole. Is This Normal? She Isnt Complaining Of Pain But We Have Brushed Her Teeth And Rinsed But It Doesnt Come Out. I Just Want To Make Sure Its Not An Infection And Its Okay. Ive Never Had Teeth Pulled Or My Son So This Is New To me.", "output": "Hello and welcome to Chat Doctor, When a tooth is pulled out from the socket, bleeding follows. Initially the socket is filled with blood and there is hematoma formation. Hematoma is a soft mass formed by clotted blood. This is followed by healing process and the hematoma is replaced by soft tissue of the gums. Infection can follow as blood is a good media for proliferation of bacteria. It will be good if you see a dentist to rule out infection. In the meanwhile saline gargles should be done, and regular brushing should be done. Thanks and take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i sometimes have these out of blue spells where i feel weird or lightheaded sweaty nervous. then within a minute or two have to have a large hard bowel movement? is this related to vagal nerve? or could it be damage to nerves due to terrible neck thorasic lumbar problems?", "output": "Hello! Welcome and thank you for asking on Chat Doctor! I passed carefully through your question and would explain that your symptoms seem to be related to an autonomic nervous system dysfunction (legal nerve). In my opinion your symptoms are not related to any nerve damage in the spine. But, I would recommend consulting with your attending physician and performing some tests: - a Head Up Tilt test for orthostatic hypotension- complete blood count for anemia-thyroid hormone levels for thyroid gland dysfunction- blood electrolytes. Hope to have been helpful! Kind regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Started taking Coversyl 2mg. one month ago and started having frequent heart palpitations, especially at night. I am also on Apo-Hydro 12.5 mg, Synthroid 75 mcg. As a result of the palpitations my sleep is now extremely poor, so poor that the doctor put me on Apo-Trazodone 50mg. The latter prescription did not help with the sleep loss, only made me feel somewhat stoned. I have elevated cholesterol, maybe due to genetics or hypothyroidism , definitely not my diet.", "output": "Hi & Welcome. I appreciate your concern for the heart palpitations while taking Covers. After having gone through your problem described in your query it seems to me that the heart palpitations and lack of sleep could be due to high dose of Syn thyroid. The dosage of Syn thyroid should be adjusted in such a way that the TSH level should be in the range of 0.4 - 4 as long as you take Syn thyroid for hypothyroidism. I therefore advise you to consult your treating physician to check the efficacy of Syn thyroid by doing thyroid function tests like TSH and to take treatment for high Cholesterol in the form of Statin medicine. The prescribed medications Covers, Apathy Chat Doctor. Hope I could answer your query. A feedback is appreciated." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "thoracic radiculopathy feeling of muscles drawing in tightly in upper stomach Can someone experience a feeling of muscles drawing inward in the abdomen/upper area of stomach if they have thoracic radiculopathy and can this affect breathing by affecting the diaphragm", "output": "Hi welcome to Chat Doctor hi..., Thoracic Radiculopathy is a rare disorder, in which the nerve roots at the exit of the vertebra will be compressed due to pressure.... The cause may be due to lesions in the intramedullary region or extramedullary region., only if the pressure is released you will have relief from pain. Decompression surgery is needed., consult neurosurgery... Hope I have answered your question. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had pain in both stomach & intestinal area for 6 weeks. A cat scan revealed swollen lymph nodes & mysenitery.I had a colonoscopy that was clear & an endoscopy that revealed a sub mucosal lesion on the body of the stomach. Biopsies were negative. Dr. claims lesion is not connected. I have lost weight obviously because everything I eat, or drink causes pain. I have an appt in 2 days for UGIw/barium along with small bowel follow thru. One week later I will get those results @ my drs appt. Seems like a long time to get results. All my blood work has been normal except for my lymphocytes, which were below scale. Otherwise, I feel normal. -- no fever, headache, etc. I do have a chronic cough without other symptoms.", "output": "Hi, I am sorry for your condition. I can understand your apprehension. Based on your symptoms and investigation findings apart from some very rare serious conditions there is also a lot of possibility of problems which may be very benign or less harmful. According to some recent studies, due to the submucosal location of lesions, biopsy under endoscopic guidance may not always yield adequate tissue for making a proper diagnosis. Recent advances in CT(Computerized Tomography), ultrasound technology are helpful in making the diagnosis of gastroduodenal submucosal lesions easier. Kindly follow up with your doctor and be patient. Hope it helps. Take Care!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Can a cut Bile duct after a Single-Site da Vincicho Cholecystectomy be repaired without surgery. A gastroenterologist used endoscopy to place a stent in te bile duct to keep the duct open and to let it heal on its own. So far after two months surgery and three hospital stays I still have systems related bile in the abdominal cavity.", "output": "Hello! Thanks for putting your query in Chat Doctor. I am Chat Doctor. Bile duct injury after cholecystectomy can be managed by Gastroenterologist as You said by placing a stent across the injury for few months which is known as ERCP. It is itself a non-surgical method. There is none other non-surgical method for repair of bile duct injury hope I have answered your query. If you have any further query I will be happy to answer that too. Wish you a good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ive had a dry hacking cough for 3 months now. During which time cold/flu symptoms have came and gone but I am now left with the none productive cough and constant headaches. Added to this I now seem to have tooth ache or what I can only describe as teething itches behind my teeth in the upper jaw and a dull throbbing pain around my nose bone and under my eyes. Any ideas please?", "output": "Thanks for your query, I have gone through your query. The itching, pain around the nose and under the eyes is because of the allergic rhinitis or cold secondary to any allergy. Consult an oral physician and get it ruled out and treated. If it is allergic rhinitis, it has to be treated with anti histamines. Take steam inhalation and do saline gargling. Once the allergy is treated the symptoms will subside. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my sis inlaw isunergoing chemo for breast cancer ( 3rd stage) can she takesugar as sweet things seems to controlher nausea. I have been on the net scurryingfor articles on diet for indian patients. I am the caretaker and I am afraid of giving her sweet things. can you please advise. her oncologist just said eat everything in moderation . thank you Sirs.Omana", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Yes, she can take sweet to control nausea. No harm in it. You can also give her lozenges for soothing sensation in throat. This can also prevent nausea. Antiemetic Chat Doctor. So along with sweets, she can also take above-mentioned things for better symptomatic relief. Hope I have solved your query. I will be happy to help you further. Wishing good health to your sister-in-law. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "some times when sleeping, I wake up because of a hug breath that feels like I just gasp for air. Yesterday I was cooking and it happen and my heart began to papitate. Lastly, when inhaling deep (thoart), my check tightens not to mention I always conjested. Yes I do have sinus", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Since you are having sinus problem, possibility of asthma is more for your symptoms. Asthma can cause palpitations, breathing difficulty in night, chest congestion etc. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (pulmonary function test). PFT will not only diagnose asthma, but it will also tell you about severity of the disease and treatment is based on severity only. You may need inhaled bronchodilator and inhaled corticosteroids. If PFT is normal then no need to worry asthma. Don't worry, you will be alright, consult pulmonologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, My 15 month old daughter has been very wheezy for the past 6 months she also keeps getting mouth ulcers and an odd spot on her face, shes also just had a cold sore on her lip which spread to 2 of her fingers...she does have an inhaler which she uses on a regular basis...is there anything you can suggest to build up her immune system? she does eat a very healthy diet so Im lost as to what I can do.", "output": "Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Protein rich diet is essential along with It A, C, E and B-complex to improve nutrition.2. Your daughter is still getting adjusted. The immune system is building up. Continue the healthy diet with good amount of fluids.3. The more she is exposed, the more the immune system will build up. However, do get a routine hologram to rule out any deficiencies in the system. Hope it helps. Any further queries, happy to help again." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello.. my dad has chest pain at times and this has become commom especially during the winters. he has got his tmt done and it has come out to be mild..please advice how serious is the situation and what precautions he should be following.Please help.", "output": "HI, Dear, Thanks for the query from you for your dad.1-Though you didn't update the age of your dad and didn't update how many winters he is being having these chest pains-1-a-From the facts told by You, and In my opinion -your father , who is having frequent chest pains during winters specially, is really serious case of chest pain and was lucky to enjoy the bygone winters by the grace of GOD,1-b-Though your TMT came out to be mild, you should take it seriously, as the test give just a guideline of the internal changes, but the duration for which your father had chest paint, indicate that his heart has a seriously compromised blood supply.2-So my caution and advise to you is that you should take your fathers' chest seriously, and go to ER physician or cardio-specialist and get his -Angiography- done to judge the severity and extent of the compromised heart blood supply, 2-a-and if the ER cardio-advise sandy corrective stent and angioplasty, please get it done ASAP, to add more healthy life and to add active yrs to his old-age life. -3-And as it is hearing him in every winter, you should take my CAUTIOUS-ADVISE very seriously-to save his life URGENTLY, though his TMT report is mild.3-Still in the meanwhile-get some anti-anginal Chat Doctor. 4-So- I would advise you to URGENTLY check up with the local ER Cardio- doctor and to get it treated ASAP-urgtly.4-Hope this would solve your query.5-Wellcome to Chat Doctor for any more query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "since april ive been getting colds at lease monthly and canker sores. I think its because my immune system is low, but i cant stay well enough long enough to exercise. Im a flight attendant and I think being exposed to a lot of germs doesnt help. Im only 31 but i feel like im falling apart. I just dont know if Im having a streak of unlucky health?Ive been married over a year and have gained 30 lbs so Im 168lbs. Im 55 and have always been healthy. However since moving to a colder climate a few years ago Im not as physically active anymore.", "output": "Thanks for using Chat Doctor. Read your query. I can understand your predicament due to the sores. I would suggest you some points which will be of help.* Stress is a factor which will aggravate the canker sores. Try to lead a stress-free life.*Apply mucosal/ denote on the ulcers for two to three times daily.(keep it handy when you fly also).* Have a nutritious food including egg, and you can start with a multi vitamin tablet after consulting a GP.* Avoid spicy food.*Use a Betadine mouth wash for a while. Hope this was useful. Thanks and regards. Welcome for any further queries." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i m 23yrs, since 7yrs i have the major problem of grey hairs i did every thing that could make my hairs to grow black once again but didn t worked for me. so pls suggest me a solution to my problem. i need to grow black hairs again naturally pls pls pls give me any remedy to my major problem pls.", "output": "Hello! Welcome to Chat Doctor forum. HOMEOPATHIC treatment will not only help you to stop the base of grain of your hair and will improve the quality of hair too.generally hereditary, Stress, anemia, hypothyroidism, hormonal imbalance causes .and It's necessary to have high protein, ion and vita E diet, include black dates, almonds, spinach, green leafy vegetables to prevent premature grain of hair .as you have started grain at very early age you must start treatment at the earliest for this homoeopatChatDoctoredicnes will surely treat the exact cause in your body, for more info you can write down to (Chat Doctor. Com) take care .wish u good health always!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am sixteen years old and took a pregnancy test last week that was positive. I took the test because my parents asked me if I was pregnant due to symptoms and morning sickness. But today I started spotting and having normal period bleeding and bad cramps. What does this mean????", "output": "Hi, Bleeding and spotting during early pregnancy is a sign of miscarriage. It is very likely that you are already in the process of miscarriage and this should complete by itself. But if you have a prolonged and heavy bleed, please see a gynecologist immediately, as then you may require medical help.Also, I would advise you to repeat the urine pregnancy test after 3 weeks. At 16 years, would advise you take an opinion from a Gynecologist /General practitioner regarding what would be an effective and safe method of contraception for you. It would be in your best interest to delay pregnancy till you are 18 years of age. Hope this helpsRegards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My partner has been taken into hospital with chest pains. Her cardiac enzymes are slightly elevated and BP 174/93. The nurse said one cardiac enzyme was +55 and her CRP is +11 which indicated an infection. Is all of this serious as they are keeping her in hospital but say it may be heartburn. They are repeating tests in 6 hoursThanks", "output": "Hi thanks for contacting Chat Doctor.... You have chest pain complaint .... Here your cardiac enzymes are high ...CRP is non-specific that can elevate in inflammation or infection both ... So first rule out ischemic heart disease by EKG and ECHOCARDIOGRAPHY ..... If ischemic heart disease there treated accordingly... Your blood pressure high which needs to be corrected by sodium nitropruside like Chat Doctor. . If no specific cardiac cause present and you have acidity problem than chest pain can be referred pain .... For which simple acidity reducing " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have severe lower back pain for almost 2 weeks. I had a bad cold and cough. While coughing, the lower part of my back seized and has not gone away. I ve been taking Advil, which helps a bit but it never goes away. Also, it hurts when I sit and not comfortable in bed either. What can I do to alleviate the pain? Massage, exercise?", "output": "Hi, For my patients, I recommend hot foments twice daily, Advil, physiotherapy, massaging your back with topical gels, muscle relaxants, spinal manipulation stretches, opioids will help you sleep, gabapentin and steroid injections for more sever cases. Minor endoscopic or even surgical procedures are needed if the pain is chronic and persistent. For your case it's only a mild case that may subside simultaneously or with some rest, so I don't want you to be worried. Please consider a 5-star rating with some positive feedback if the information was helpful. Hope the above information helps you, Any further clarifications feel free to ask." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my neck has been hurting all the way down to my lower shoulder blade. i recently played tennis and handball all in the same day for a couple of hours, and upon waking up the next morning i couldn t move my shoulder whatsoever. It got slightly better over time. What can it possibly be?", "output": "Hello, As this is the effect of the DOES (delayed onset muscle soreness) which happens to post any sport if played once a while. Your shoulder blade pain is due to inflammation at the insertion of the Trapezius muscles and neck pain due to the origin of the Trapezius muscle. Do hot water fermentation and by 3-4 days of the time the pain will be completely down. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a lot of fleem coming out of my lungs into my stomach which is making me throw up in return. I have not been able to eat and the only liquid I held in is maybe 3 ounces of powerade zero which I still feel nauseous. Going on for a few hours now. Should I go to the er?", "output": "Hi thanks for asking question. Yes you have to visit your her. Here you can have hiatus hernia, any pharyngeal pouch formation or fistula or organic causes. Sonography and endoscopy if needed after examination then carried out. If above causes not present then no need of worry .it could be simple acid reflux disease.Meanwhile, avoid smoking and alcohol. While sleeping keep your head raised above bed. Omeprazole can be taken for few days. Wish you good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, 5 year old had a baby tooth extracted yesterday. She was taking amoksikllav for 5 days before the extraction and will continue to take it for 10 consecutive days. Last night she had a fever of 100F and today is still btw 98-99 F. Is the temperature normal?I asked the dentist but he said it shouldnt be a result of tooth extraction,maybe smth else.", "output": "Hi! Welcome to Chat Doctor. I read your query. After tooth extraction, a little general discomfort is expected. Fever apart from sign of infection can also occur due to inflammation. More chances are that tooth was extracted due to dental infection. So low grade fever can occur. Since fever is between 99 and 100F, Make your child rest adequately. Give prescribed fever medications by her physician. Maintain HY Chat Doctor. Give her soft food. Fever should go with in 2-3 days. If it persists or if it exceeds 100F, see your physician for further check up. Hope the answer helps you. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello sir Can i get your help i am having a feeling of something stuck in my throat from last 5 months and my throat is dry as well have visited doctor quite many times but every yhing seems normal besides the vitamin B12 level and vitamin D level and have been taking them from quite some time. Please let me know what can be the reasons for the same. Also, please let me know if this is some thing serious and if these are the symptoms of throat cancer then wouldnt it had been worse in 4 months.. Also i have a stiff neck as well please reply ASAP", "output": "Hello, Thanks for the query to Chat Doctor. Forum. From last 5 months, you are feeling, that something is stuck in your throat. 2nd symptom is Chat Doctor. You yourself answered that if it would have cancer then wouldn't it had been worse. Your answer is correct. It is not cancer. You haven't mentioned your age and gender as these two are very important. Two possibilities are there,1 Hypertension, if your blood pressure is very high particularly diastolic (lower B P) than there are chances that you feel something is stuck in throat. 2 diabetes, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I have a question regarding my 3 year old son. About a month ago he was complaining that the right side of his abdomen was hurting a lot. We took him in for testing where they did blood, urine and xray and said he has pneumonia in the right lung towards the bottom which would explain the abdominal pain. However he was not coughing, no fever and even his pediatrician listened with a stethoscope the next day and said he sounds fine. I insisted on another xray which she did and then she appologized that she was wrong, and yes he has pneumonia. So he took amoxicyllin for 10 days, 6g twice daily. 3 weeks later we scheduled a follow up xray since she says that it takes a while to clear up. We did the xray and there was no change whatsoever. So now she says its probably not pneumonia and need to see a pediatric pulmonologist. The pulmonologist looked at all the xrays and says no pneumonia. He recommended a CT scan, whcich we did. Now he says good news, the CT is good, no cancer or anything however the right outer lung has thickened tissue. He says this could be due to a old infection and in any case he is fine. Now my question is is this thickening dangerous, will it pass and is this ok for a three year old. Also, what type of infection could have gone unnoticed by me earlier. I like this doctor, but I am a mom who is very worried about my son. Thank you", "output": "Hi, Welcome to this forum. Can understand your concerns. It is good that your child does not have pneumonia or any other things, the child only has pleural ticketing. There are many causes of pleural thickening like bacterial pneumonia, injury to the Chat Doctor. However, since you have already done CT scan and x-ray chest the chances of injury to chest, bacterial pneumonia, pleural effusion are less. There are some diseases like tuberculosis which have a higher chance of pleural technique, the child should be investigated for tuberculosis. I hope this will help you. Take care. Regards " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i did not have sex with my wife for 6 days because she had periods and on 6th day i had a night fall (not much) after this i waited for 3 days and went for a semen analysis and i got a very bad report 90% non motile and 0.2 million sperm count . did i choose a wrong day for semen analysis please help", "output": "Hello, Your sperm count and motility affected very much. You should repeat your semen analysis again after three days of exposure. If it is still abnormal, then further work up done to rule out causes like hormonal problem, vitamin and mineral deficiency, smoking, alcohol, diabetes, thyroid, Chat Doctor. Your random glucose, serum FSH, LH, Testosterone level should be checked. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son is almost 3 yrs old and just passesd some greenish clay looking stools. There was also a red line looking thing. He has been drinking this v8 drink mixed with fruit punch gatorade, so I can t tell if it s that, or blood. I m freaking out and very worried. I don t know if I should take him to the ER?", "output": "Hi... Thank you for consulting in Chat Doctor. It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am 31 yrs female, 48 kgs of lean frame. I hv been trying to conceive for the last 4.5 yrs & hv been thru 3 iui, 1 ivf with a positive pregnancy that ended in an early miscarriage with low ChatDoctor count 18 days post ET, as I had good response to cycle & multiple frozen embryos I under went two more rounds of frozen cycle with negative pregnancy test. This was 2 yrs ago. As of now both me & my husband hv normal reports but I am slowly having a few unovulatory cycles. I track my cervical mucosa & home test for ovulation to increase my chances to conceive naturally but am loosing hope now. I hv previously undergone all the battery of tests at multiple fertility clinics & got fed up with stimulation etc so want to try naturally. Can u help me wit a simple protocol that I can follow for at least 3 more cycle before I go back to ivf! I am a dentist & researcher so hv a good understanding of medicine in generally. All my general blood work ultrasound etc r normal as I keep repeating them every 6 months to keep a track. So r my husband s counts. Thanks", "output": "Hi there, I have understood your concern. I will suggest you the best possible treatment options. 1. First do not panic. 2. I am sorry to hear about your previous pregnancy loss. I will suggest you to opt for a healthy diet and regular exercise regimen. Include more portions of fruits, salads and vegetables in daily diet. Avoid deep-fried foods, bakery products and refined sugars. Use of vitamin B 12 and Folic acid, omega 3 supplements at least 3 months before you plan to get pregnant. This helps to prevent many problems during pregnancy and delivery. 3. Also, ensure patency of the fallopian tubes by doing post menstrual HSG, hysterosalpingography. If semen analysis reports are normal, and tubes are patent, you need not worry. 4. Three months after following these changes, you can safely re-try again for IVF. I hope this answer helps you. Thanks. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i just got my ekg back stating abnormal mild in sinus rhytm , left artrial abnormality.. and non specific t abnormorallity .... i have had 3 incidents in the last 4 months where i have a burning pain that shoot thru left arm and then to my right and then will get chest pains this only last for few mins ??", "output": "Hello, Doesn't look like a significant finding. Printed ECG reports are not accurate and should be interpreted manually. So I would advise uploading the report for interpretation. However, I need to know about risk factors like your age, smoking, hypertension etc. You be assured regarding benign nature of these, you should get one treadmill test done which will clarify the doubt. Your is probably cervical in nature, for which you need x-ray of cervical spine." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im wondering about sundowners. Chuck is normally a very private person but for sometime now he is acting off. He will go through the house naked he is 66yrs. old .He has never done this before . He also does different strange things late afternoon into evening. Like today he came into the living roon undressed sat at the computor for a long while taking a bunch of cables then left. He will sit up in the middle of the night for 30-45 min. then Ill try to talk to him and he will lay down.Is this maybe that kind of problem?", "output": "Hello, Thanks for posting on Chat Doctor, Given his age it is likely that he might be suffering from a neurodegenerative disease, and it is quite obvious that he is having a mental issue, and he is definitely going to need proper psychiatric evaluation. Mental disorder of any kind could make him act that way. If trying to speak to him yields no fruits, then you will need to have him see a mental health doctor as soon as you can. Hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir i am 20years male and my father have multiple lipomas over the body but they are not much noticable but i got nearly 50 lipomas on my both hands and some of them on my body and thighs many of the doctors says that they are not curable sir i need the perfect answer whether they would be cured and also good homeopathy doctor should look after my condition for a perfect medicine?? they are increasing day by day....i used some ayurvedic medicines like saribadyarishta and kanchanara guggulu for nearly 4 months but no use also used some homeopatChatDoctoredicines but cant find any result ,i will drink much coffe and tea and i have general weakness like shivering hands and legs when tensed and no other problems.....please help me sir", "output": "Hi friend, Welcome to Chat Doctor Was biopsy done, and the diagnosis confirmed?IT IS NOT CURABLE...NO SYSTEM OF MEDICINE CAN Currently cosmetic improvement is feasible by surgical removal You also have Anxiety - could be reaction to the condition...? Psychological assessment and assistance can help You want a perfect answer and that too for free! Only physical sciences like Physics or Mathematics can give perfect answer... No biological science can give perfect answer - only statistical probabilities... Take tarnishing speedy recovery God bless Good luck" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "For approximately 4 weeks, my 47 year old daughter has been having symptoms that include bloating, lack of appetite, back pain, stomach pain, and today developed an abdominal rash. She is on her way to the emergency room for a work-up. I am a retired RN who specialized in Maternal-Infant, so I have very little knowledge to help her with, other than to get herself seen immediately. Any thoughts?", "output": "Nothing to worry much. This is, most probably, caused by some infection and fermentation and some allergy in Castro Intestinal Tract. Now that she has been too emergency, GIT cleansing by medicine, antacids and some enzymes may be given. For pain some mild medicine may be give. Ayurveda medicine which is pure herbal and safe is also effective in such conditions. So please do not worry. Hope it helps you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello! last month i took monthly pill, when i consumed the whole pack, i stopped. few days after i got my period. 1st day after my period gone, i had an unprotective sex, until the 5th day. on the 7th day i took nordette 4tab, and after 12 hours another 4tab. a week later i had a withdrawal bleeding, not extreme but it went on for 3days. a brownish discharge. Im 4days late with my monthly period now. Is there a possibility that im pregnant?", "output": "Hi, Your symptoms point to impact of irregular hormonal intake and the hormonal imbalance thus caused. You can expect a delayed period as you consumed excess hormone. Please see a specialist for further appraisal of the situation if you do not see a period in another week. In the future, please stick to a regular form of contraception and do not use emergency contraception frequently and restrict its use to once or twice a year. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im on prednisone for a rash , Ive also been on anti biotics (z pACK) I itch all over and have swollen lymph nodes..on my neck, i get achy and seem to get cold much more then I ever have.I was on prednisone and a week later the rasChatDoctore back and I was very itchy..went back and was put back on prednisone again. should I be worried", "output": "Hi and thanks for the query, Itchy rashes and lymph nodes around the neck region might most of the time be due to viral infections. It could be necessary to actually trace what is causing the rash. A history of a recent change in the environment, diet, sleeping room, job site should worth considering. Other accompanying symptoms like fever, wheezing, rhinitis are important to consider knowing if it's an allergic reaction or not. An initial response to anti biotherapy could indicate an infectious cause. Persistence of symptoms should warrant an appointment with the dermatologist for a proper evaluation. Thanks and best regards, Luchuo, MD." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hai sir, my mother age was nearly 50 years and from last year she was often imbalance while walking. and her voice also ecoming unclear.we have consulted many doctors. and they advised as due to weakness. today back whan we consulted neuroogist, after ct scan told it was due to Mild diffuse cerebral atrophy . can u please explain what is mild cerebral atrophy. can we cure it. and can my mother walk normally again. please explain", "output": "In simple words, diffuse cerebral atrophy means generalized shrinkage of the brain tissue, which is detected in CT scan or MRI of brain. There are many causes for the atrophy like age related and Alzheimer's dementia. Usually, there will be other problems like forgetfulness and difficulty in carrying out daily activities. Since your mother is aged only 50 (age related atrophy is unlikely) and has complaints like difficulty in walking and talking, a detailed evaluation is necessary to rule out brain damage due to minor strokes (hypertension and diabetes mellitus are risk factors). Unfortunately, if the problems are indeed due to atrophy, chances of recovery are less. The priority will be to prevent further deterioration." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I Have been Diagnosed with post traumatic arthritis in both ankle and also have plantar fasciosis in both feet which make walking painful in taking paracetomol and ibrufen everyday i find it hard to know what to do and what things i should be doing to improve things", "output": "Hi, Of course there are changes of post-traumatic arthritis. I would advise you to be conscious first with the ankle. Because ankle bears the whole body weight and this leads the joint to undergo maximum amount of stress and load. First thing I will advise you to start exercising for the core. Post which focus on the hip and knee region. Later look for calf / leg region. All this exercises will be induced in the lying posture, so no stress is applied to the ankle. Which will help joint saved from stress and strain. Next once you are assessed by a physical therapist or orthopedist than you can switch to balance board training. This balance board training is of good outcome to most ankle injury cases. As the exercises will focus more on joint proprioception and also to correct the muscle imbalance. Once you start the exercises on balance board you will initially find difficult but as practice keeps moving you will find a lot of relief from the stress applied over the ankle joint. You will even have good changes in your plantar is muscle. Rest assured. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am an African man of 42 years of age with 104kg weight and 1.63m height. I have this nagging pain in my left arm extending to the left leg. The temperature of the left arm is higher than right arm. I can feel it its hot. This pain is not severe, it is extremely dull but it borders to numbness. It has been continuing for while. Strangely I only feel it at night especially after 22h00. What may be the cause?", "output": "Hi, as you mentioned the nagging pain which is at the borderline of numbness. I think it will be due to the nerve impingement. For which I will recommend you to perform some simple neck exercises for controlling the pain of the upper arm. Also by performing the core stability exercises and spine Strengthening exercises will help reduce the same for the leg. As the pinched nerve may always get missed by symptoms and variation one can confirm the same while understanding the MRI which can help understand the extent of the soft tissue .also as you are 104 KGS you need to perform Cardiorespiratory endurance training at a later stage to improve the overall body conditioning. With the grace of God I wish you a speedy recoveryregardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had asthma all my life and like a dummy I started smoking at the age of 19. I am now 55. It has been an on and off battle for many years. 5 years ago, I developed COPD. Every year the flare ups have gotten worse. This time around the antibiotics and prednisone seem to be making me worse. Cramps, no energy, still coughing, and big time shortness of breath when I walk around. Should I go to the hospital?", "output": "Hello, Welcome and thanks for your query. You seem to be having COPD and this is the cause of your breathlessness. Unless you stop smoking it is going to get worse, and you will be required to be on home oxygen therapy and other treatments. For COPD, Geotropism bromide (Spirit) is better option than steroids and beta-agonist in my opinion. It may be better for you to go to the hospital now and get yourself stabilized, and then you can continue treatment with a healthy lifestyle and medicines advised. Take Care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I am 37 male. This past weekend I masturbated frequently. Twice a day. It takes me a long time to ejaculate and j have to be quite rough to do it. I have used lube during but not everytime. Sometimes just saliva. Today I have a weird feeling in my penis and lower abdomen. I am also urinating frequently. I have no sores that I can see. But my skin does seem dry and a little itchy. Not just on my penis but my whole body. I did have an unusual amount of showers this weekend as I was in a sporting event and showered after each game. I m worried about herpes", "output": "Degree understand your concerns went through your details. Your current frequent urination could be due to inflammation of urinary tract which could happen due to the frequent masturbation you had last week. Delayed ejaculation could also be due to the same fact. Masturbation should not stress you or your body. You can use it occasionally to satisfy your sexual thrust, but not as frequent habit. You can take plenty of liquids for the time being and if within two days your urination not ceases, please consult a physician. If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Should I be worried I have ben diagnosed with pityriasis rosea...I only have three lesions, started out with my first one about 6 weeks ago and got the third one just 2 days ago...itch at times but nothing crazy. I have read some info online and it is misleading. Should I worry about my child well being?", "output": "Hi, I can understand the concern for satyriasis rose. But let me reassure you that satyriasis rose is a very simple self limiting problem and remains only for few weeks of period and then subsided of its own. You have not mentioned your age, occupation and any relevant history which could have guided the best treatment. I advise you to not scratch the area otherwise these areas are very prone for getting secondary infection. You should preferably meet a dermatologist who can examine you physically and provide you the best treatment. For time being period you can apply a steroid cream such as cortisone cream and take antihistamine tablet such as loratadine or cetirizine. Do not worry you will be alright soon. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im a 40 yr old male and my wife is 41. We want a child now and have been trying for the same. I have gone thru the sperm test after which the doctor has prescribed me to have Carnisure 500, Evion 400 and Speman tablets . Looking at the age that we both are at, is it still possible to have a baby. We are not very comfortable with the idea of IVR, as it sounds very complex and at the same time very expensive. Please let me know if Carnisure 500 and Speman tablets have any side effects and how long should one have these medicines. Thank you.", "output": "HelloThanks for your query, based on the facts that you have posted it appears that you have what is termed as Oligospermia meaning there by your sperm count is low as compared to WHO standards to impregnate your wife. You have been prescribed Furniture 500.speak forte and It E to increase your sperm count. Truly speaking there are no medicines that have been proved scientifically effective to increase the sperm count. Following measure will help you to increase the sperm count to some extent.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc3)Take anti oxidants like Almonds 5-6 every day.4) Avoid alcohol and smoking. Tough you are 41 years of age there is no reason why you should not impregnate your wife provided your sperm count and motility reaches to normal values. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had a very upset stomach for last 5 days i havent gotten sick just an upset stomach. It started suddenly late Thursday night to the point I couldnt stand up. If I stood up I felt like I was going to be sick I finally got to bed and went to sleep. Ever since then I wake up with either a slight stomach ache or nothing. But when I eat anything I either get a stomach ache right as Im eating or like three minuets later Ill get one. Ive been living of toast and soup for the last five days because thats all my stomach can seem to handle", "output": "Hi, Thanks for posting your query. Stomach pain after eating occurs in three conditions: cholecystitis, pancreatitis and peptic ulcer disease. With the available described symptoms there could be high possibility of peptic ulcer disease in stomach. Gastric ulcer gets irritated after taking food and may cause severe pain. You should consult with internal medicine specialist/ general surgeon and should go for thorough check up. You should also go for complete blood count, blood sugar, serum electrolytes, and serum amylase. Furthermore, you should also go for ultrasound imaging and x-ray abdomen. Furthermore, you should also go for endoscopy for better clarification of upper gastrointestinal tract. Furthermore, you should also take proton pump inhibitors along with prokinetics. Furthermore, you should avoid tomatoes, and citrus fruits. Take care, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I woke up one day with a bruise 3cm in width on my left side of my body. Round the edge of it it is blue/grey of a normal bruise but in the middle its purple with a small lump in the centre thats a lighter colour. The little lump is uncomfortable to touch", "output": "Hi, DEar, thanks for your query to Chat Doctor. I studied your query in depth.1-In My opinion the small lumps on left side of your body, mostly is due to the -insect-bite with central lump with light color with blue/purple bruised area around the lump.2-The hurt after touch is due to the cellulitis post-insect bite.3-Hope this would solve your query.4-Wellcome for any more questions on new or this subject also... Have A Good Day.!!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my daughter just turned ten. She does ballet dancing and is always jumping and dancing around. I noticed she has lots of bruises on her legs, specifically her calves. She is thin, 68 pounds but I make sure she eats healthy. Do I need to check this out or worry? Thanks,", "output": "Hello, As this is common sometimes in dancers due to overuse of the muscles of the leg. As she is doing more of the dancing it is advised to have good food which is rich in proteins as muscle requires the protein to help its physiological muscle strands to be tightened. Doing hot water fermentation if the pain is there and having high protein rich diet is advised. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, i had a dentist to check my teeth, he said, that i had a caries, but he couldnt restore it immediately because theres a gingival polip emerging and blocking the cavity. he did some anesthesia and excision, but after a few days the polip re-emerged and he had to re-did all the procedures.its been a few days now, but i feel like it hasnt go away, i still bleed when i brush and it still stings when i drink cold water. i would like to know if theres a better procedure to solve this. thank you", "output": "Thanks for your query, I have gone through your query. The gingival polyp has to be treated by surgical excision along with a course of antibiotics. Consult an oral physician and take a radiograph to rule out any tooth infection. If there is a tooth infection, then it has to be treated with RCT. You can take a course of antibiotics like Tablet Doxycycline 100\u00a0mg twice daily on first day and once daily for next 4 days(if you are not allergic). After taking antibiotics you get it excised. Do saline gargling. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I am having some unusually stron muscle pain and I m wondering if it has anything to do with prolonged use of ibprophin? I have stopped taking it because I am wondering if it is causing some sort of detox or withdrawal. I was taking it almost every day for a month due to work out pains after going to the gym. Every time I stop taking it the pain is so intense I want to go back to it because stretching doesn t help. I drive my car a lot with my job and that just adds to it.", "output": "Hi, as you mentioned you were talking medicine and the pain is bad. You Chat Doctor. So you may be injuring your body as well. If you have mentioned in specific where the pain is more than it would have been better. But what I can understand is, your whole body aches and pains. That means it's an RSI and your body needs exercise to improve your metabolism and there by delay the fatigue of muscles. Maybe you can get your laboratory tests done by which we can look into what it can be in particular. And some vitamin tablets can also help. Depending upon your lifestyle and personal habits also there may be a chance for overall body pain. Getting checked once in person will never be a bad idea. They say, prevention is better than cure. So in the initial stage getting caught hold of situation is better before it gets worse." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi.I have a dental or structure problem and can t figure it out.In order my teeth on both jaws to meet correctly I have to move my lower jaw back, but then I have a terrible overjet even with perfectly straight teeth (90 degrees) and my lower jaw is too small that way, resulting weird side profile plus a double chin but I am skinny.If I relax my lower jaw naturally teeth won t meet and I still have the overjet just smaller but my upper lip is always protruding and if I close my lips I get wrinkles and twitching above upper lip.That s neither an overbite or an underbite, more like overjet plus small lower jaw? :( I am 19.", "output": "Thanks for your query, I have gone through your query. The MAL aligned teeth can be giving you this kind of appearance and the other possible cause can be the prominent maxilla or under developed mandible. There might be increased over jet with forwardly placed or proclaimed upper teeth. Nothing to be panic, consult a good orthodontist and get an opinion. You need to take radiographs like OPG and lateral rephotograph. Once the diagnosis is confirmed, it can be treated with braces or surgery or combination of both. It is the right time to get it done. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, i need to know whats wrong with me. i see some people and as i look at them, their head enlargers alot, i see some people with bubble heads, i try and clear my eyes thinking their playing up on me but it doesn t go away. its been happening for a while now..", "output": "Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. Well your symptoms can be due to visual problems as well as due to some psychic phenomenon. IF it's only the visual issues and rest all is fine then probably you need to get the eyes checked by an ophthalmologist. However, a past history of similar phenomenons can suggest that it could be a psychiatric illness as well. But the further comments on the diagnosis can be done only after an eye check up. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doctor I am doing excercise and eating regular food but i have some problem like breathing.While i am breathing it stuck near right side of my chest and i feel like getting uneasy.Once I make my gas come out from my stomach it will be easy to breathe.I am struggling with this frequently.So can u suggest me any Idea What to do with these problem?", "output": "Hello dear, welcome to Chat Doctor.come have evaluated your query thoroughly.* This seems in relation with psychosomatic manifestation of underlying stress and anxiety issue.* Guidelines for better recovery-Focus on deep breathing exercises, YOGA, regular walking in fresh air-Avoid smoking, alcohol if using.- No exposure to house dust, pollen, polluted environments.- Once get x-ray chest with your physician. Hope this clears your query. Regards dear take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor,I was on the pill ( monofeme ) and i have always had my periods. by the 3rd sugar pill i start getting my cramps and 4th day i get my periods. Its my 5th day today and there are no cramps or any sign of my period. are there chances for me to be pregnant or is it common to miss periods ?", "output": "Hello, Thanks for letting us know your health concern. It is common for abnormal menstrual presentation to be observed while on hormone contraception during the initial months until the body adjusts to the new hormone milieu. However, if such disturbance appears after sometime, you need further evaluation by an expert. I would ask you, in the current scenario, to get a proper clinical evaluation, followed by a sonogram of the pelvis, preferably in the trans-vaginal route, to know the status of the pelvic organs and to help plan further management. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor, I am 24 yrs. I have a broad nasal bridge which is affecting my face. I am planning to undergo an orthodontic treatment for my protruding jaws. I have heard that along with the orthodontic treatment Doctors perform Rhinoplasty for the complete face appeal. If not, what should be the way? I also do open mouth breating as I am not able to breathe due to some block in my nose. regards, S S Farhana", "output": "Hi S Mariana...thanks for sharing your problem in this forum.you have problems related to two different specialities.1st is orthodontic problem related to orthodontist... 2nd problem is related to Plastic surgery /ENT (breathing and broad nasal bridge...)you have\u2019t mentioned what type of orthodontic treatment you are undergoing.either braces or some other.but I will explain that you should have the orthodontic treatment 1st.for breathing and nasal bridge problem you should see plastic surgeon/ENT surgeon....they will correct it for you.will need a surgery known as septoplasty / rhinoplasty. .these both problems are treated by single surgery.hope you will be happy to have the answer.feel free to ask again.thanks Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am suffering from high lipid levels for the last 2yr and i am taking statin but after taking these drugy for 15 days my lipid levels are normal but if i leave this medicine my lipid level increase again at present my chlosterol is 140 trg 165 ldl 70 hdl 42 and also i have anxiety because of which i have done a no. of heart and blood, kft and lft but everything is normal", "output": "Hello, I understand your concern and would explain that some natural ways to reduce cholesterol levels without the need for statins would be: - reduce fat and sugar intake (Mediterranean diet is recommended, food rich in omega 3 fatty acids like walnuts, fish, fish oil, etc.) - try to lose some pounds if you are overweight. - practice aerobics and regular physical activity. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "There are numerous cerebral white matter lesions with a configuration consistent with demyelination. The majority of the lesions are situated in a peri ventricular distribution including around the trigone of the right lateral ventricle and temporal horns. Further lesions are identified in the posterior limb of the capsule and selenium of the corpus callosum. Infratentorial lesions are shown within the pons and middle cerebellar peduncles, medulla and the right cerebella hemisphere. None if these lessions demonstrate restricted diffusion. The the cervical spine there is a lesion situated in the cord of c3-4 Conclusion Multiple supra and infratentorial lesions together with a lesion in the cervical spine is consistent with demyelination. WHAT IS YOUR DIAGNOSES FROM THIS?", "output": "I read your question carefully, and I understand your confusion in front of all those terms. After reading the report carefully I believe it points definitely towards the diagnosis of multiple sclerosis. It is a chronic disease, not life-threatening, but because of accumulating brain lesions it creates increasing disability.However, there are these days many medications to slow down the disease progression and many patients lead quality lives. You need to be followed regularly by a neurologist. I hope to have been of help." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I got the bottom of my belly button pierced in June. It was healed but just recently I noticed a hard bump under my skin right next to it. Yellow puss and some blood come out, is this an abscess and is there something I should do while I wait for my next doctors appointment?", "output": "Hi, welcome to Chat Doctor forum. Your description points towards an abscess. It needs incision and Chat Doctor. Then only, antibiotics can act. If you have a delay for your appointment, you apply osmotic agents like magnesium sulfate paste, and start antibiotics and analgesics(I usually gives amoxicillin+oxacillin to my patients), gently express out any pus, and keep the area clean. Hope you will find this information useful. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I ve been having lower back pain along with lower abdominal pain. Worsens when I sit or lay down. I m active, workout 5 days a week- never had pain like this. About a 5 on 1-10, and it s my whole trunk. Not sure if this is just normal with age and exercise or because of stress...", "output": "Thanks for consulting at my virtual clinic. I have carefully worked through your case, and I can realize your health worries. Being your physician, I assure you not to worry as I will take care all of your medical concerns. The pain might be mostly due to some economical (improper working condition or working posture) issue at work. Take analgesic tablets and gels to reduce the pain. Advice is as follows:1) tab. Diclofenac 50 mg twice daily after food 2) tab sanitizing 150 mg twice daily along wit diclofenac tablet3) hot compression follow by application of diclofenac gel at the pain site Hope it helps. If you need further, detailed and quick assistance related to any health issues in the future, feel free to ask me a question directly from my profile. Have a wonderful time ahead. Best Regards!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello. I have occasionally had sharp pains in my lower left abdominal region, however, as of yesterday, the pain has been nonstop for about 14 to 15 hours. I already have hydrocodone for cervical neck injury and I even took 2 and the pain still wouldnt go away. I am also experiencing frequent urination. The pain occurs even when I am at rest without movement. It hurts to cough and I feel pain when pushing out urine. It doesnt hurt to urine but the pushing out of the urine causes pain in that area. I have had cyst on the ovaries but that was years ago and I found out that I do have a phlebolith (however you spell it) in that area. I wasnt sure if I should go to the ER or not. Please advise.", "output": "Hello! Thank you for the query. Pain in the abdominal area while coughing indicates inflammation in the abdominal cavity. Some of such cases needs surgery. That is why you should not wait with it and visit ER. Frequent urinating indicates urinary tract infection, but this might be also coexisting issue. Lower left area is where vertices can be located and in case of its inflammation or perforation such symptoms can be present. Abdominal ultrasound, blood work, CRP level, abdominal X-ray and urinalysis should be done. Hope this will help. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 4 year old daughter has a bright red circle around her anus. Its not iching and really she hasnt said much about it hurting her but its super red. No bumps just smooth kinda. Its been day 2 and last night I put cream on it but nothing changed maybe even worse. She has been bad with allergies lately and been using her breathing treatment. She has exezma as well. What could this be ImWorried bc its very red and large covering the whole butt hole. Thanks", "output": "Hi there, Thank you for posting your question. I will do my best to help yours around the anus could be due to reasons like Nappy rash, sweat around the anus, stools debris around the anus, worm infestation and fungal Infection. This is quite common in child Chat Doctor. Allergies usually affect the eyes skin, eyes,neck and can also cause sneezing (respiratory allergies)Anyway continue to apply the cream prescribed as mentioned -rash usual subside within a few days. Nothing to worry. Be assured. Consult your pediatrician and take advice on with worm infestation (single dose is given usually)Try Candid B cream for the rash and keep the anus area clean and " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello I need help with a problem. Latly I have been having a problem when erect my penis side hurts on touch the right side and it is only relived for 1 hour after masturbation I have been having this problem sence I got swelling in foreskin but the swelling went down 2 weeks ago. Please help!", "output": "Degree understand your concerns went through your details. Once you say that the pain is relieved only after you masturbate, then the pain should be your own obsession. Pain in and around scrotum, penis usually worsen after masturbation because of the rough usage. I suggest you to consult a psychologist for counseling. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query. Available for further clarifications. Good luck. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "When stepping on the ball of my left foot I get severe pain across the top of my foot. It started as just annoying pain whenever I was on my feet for long periods of time ( I am a waitress) Now I cannot even make it three hours into my shift without it becoming unbearable pain", "output": "Cannot say what in your particular case without direct examination. But I can say everything that is in the foot includes bones, joints, tendons, circulation, and muscle. With a lot of pressure there can be stress fractures of the bone. They give intense, constant pain. The joints and tendons can get strained. This occurs most in the part of the foot with the most bend (the middle at the top or in the arch). This area goes up and down in pain during the day. It goes up with use, It hurts when that part is bent either by flexing the foot or by directly moving that area. Muscle can hurt; they have a particular muscle ache. There are no prominent muscles in the top middle of the foot, more joints and tendons. Circulation can make the whole foot ache and there has to be signs of poor circulation. The pain comes either with use, with blue swelling, or with lack of blood, being pale/white/cold and achy with use but would be the whole foot (really, really doubtful in this case). Joints and tendons are helped with changes in shoes and activity, with aspirin like Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I believe my husband has some sort of mental issue that has been difficult for me to figure out. First major problem is he has me buried in debt because he cant make a job last. Hes had about 50 different jobs since 2002. I pretty much support him. In addition, he will not do any physical labor, which includes picking anything up after himself. If I could attach a picture of his home office here, I would. It appears a hoarder is living there. He is kind and loving to me but he is killing me financially and keeping me in a constant state of frustration with his sloppy ways. What kind of doctor should I be seeing. My sister-in-law says I should throw him out and see a lawyer. And you say?", "output": "Hi, Your husband definitely seems to have some issues. Whether it is due to his personality or due to some psychiatric disorder is difficult to comment from the information provided. Hoarding as a behavior can occur in obsessive compulsive disorder as well as anaplastic personality disorder. I would suggest you to seek a psychiatric consultation for your husband in person. After a formal evaluation and diagnosis, treatment can be instituted. The decision to separate from him will be your personal one thinking of all the pros and cons. But I guess, that can wait till you get a psychiatric consultation for him. Best wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor. I had my LFT recently in which all other values were in the high but within normal range with bilirubin being 0.9. But my ALT(SGPT) level was above high range i.e. 73. I had a fried diet before going to the test. I am worried as I have to give medical next week for my immigration. So i went to my family doctor who advised upper abdomen ultrasound. result for everything was with increased parenchymal echogenity and fatty liver grade 2. I need to bring this ALT level down asap so that nothing wrong appears in my immigration medical. Do i need to have Hep test. I am on Vitamin E 400 2 times a day with dieting. Kindly advise, many thanks.", "output": "Thank you for posting your query.GOT (AST) and SGPT (ALT) are liver enzymes located inside the liver cell and some other tissues. These enzymes play an important role in the metabolic processes. An increase in the level of these enzymes reflect an INJURY to the Liver. Medically, the condition is known as \"Hepatitis\". Lab results reveal MILD hepatitis. You need to test for Herb & C serology too. If all causes of hepatitis are ruled out, then abstinence from \"Alcohol and Chat Doctor. Moreover, less activity should be carried out (no sports). Recheck liver enzymes after 2 to 4 weeks. Wish you good health. Further queries are welcomed. Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .wish you good health. Regards," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My cousin, aged 39, is suffering from Parkinsons disease, for the past six years. This has restricted movement and control of his right hand and legs. Who would be the best doctor in India? He has become very depressive and also suffers pain in the limbs, neck and head. Is there a cure? What should we do?", "output": "Hello, Was your cousins, diagnosed from Parkinson's disease by a neurologist. What are the symptoms - because rigidity and tremors are the two significant symptoms which are notable in Parkinson's disease. For having a diagnosis we need the help of the clinical examination under a neurologist and also some brain scan, blood test and urine test. Post which is he is diagnosed with Parkinson's disease then oral dopamine supplement will be given and the dosage will be monitored as per the clinical findings. Exercise will help to improve the motor control, improve strength, the flexibility of the joints etc. Exercise along with dopamine supplement has a good response in patients with Parkinson's disease. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am suffering from allergic cough since last three months. In last year , the same was cure by HomeopatChatDoctoredicine . the last year even best of Allopathic Dr recommended Montair LC for lifetime. But HomeopatChatDoctoredcine cured it . This year it is again started . But Homeopathic is also not working . Montair LC ( allopathic ) daily consumption is tough on health", "output": "Hi welcome to ChatDoctori had gone through your query and understand your concerns.-if you take homeopathic constitutional similar to treat the allergy, the problem can't be rec cured again, but if you take homeopatChatDoctoredicines on acute symptomatic base the problem recur again. Possible cause;-there is a mastic block in your body which prevents the cure. So you need both constitutional and miasma tic treatment for complete cure. Consult your local homeopathic physician for correct diagnosis of the case and remedy to fit your complaints I hope this is helpful for you, thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my son is 3.6yrs old. he had a fall wen he was 2yrs of age becoz of which his front tooth got chipped off.. we did a root canal procedure for him, bt after 6 mnths his tooth start turning grey n then eventually it broke down. i jst wanted to knw if there is ne procedure of fixing a temporary tooth becoz it is affecting his speech.", "output": "Thanks for your query, I have gone through your query. The grayish discoloration of the tooth occurs because of the precipitation of blood into the identical tubules following injury to the tooth. Even after doing RCT also discoloration will be there. So it is advised to get a crown done. Since it is milk tooth, it is not possible to give crown. If it is affecting the speech, then you can get a removable denture done if there is still bone covering over the erupting permanent tooth, which can be confirmed by the radiographs. But the dentures will not be accepted by the child Chat Doctor. Consult a pediatric dental surgeon and get an opinion. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "ok i have a son ho present a ansaety problem and atention disorderwhat i k do to help him he is only 5 years old and he is or redy be treted by an a terapist b she is no helping ad oll did my son need medication cos she are be inparcial in dis situation and i dont no what to do please help me", "output": "Hithanks for choosing Chat Doctor your son is just 5 years old and according to guideline there is no need to give medicine in case of ADHD if child age is less than 6 years. This is normally seen in child Chat Doctor. For attention u can try non-pharmacological method like coloring, putting beads in a thread etc. For anxiety, u can give low dose antidepressant if you needed. Rest u can consult psychiatrist. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been diagnosed with In-Active TB. My doctor started AKT-4 for treatment. After 2 months, I have conducted the liver profile rest and ESR. The SGOT/SGPT values is quite higher. My doctor suggested to stop the AKT-4 as liver get pressurized heavily. The ESR values are less than 3 . Doctor also told that... Since it is inactive form of TB (sputum test & chest x-ray - Negative), it is better to stop AKT as liver will damage. Also suggested to check ESR by 4 months.What should I do ???", "output": "Your doctor is right. If the treatment can damage your liver then you should not take it. In some countries especially countries with a high amount of TB, inactive TB is not treated, just monitored, unless you want to start on certain medication that may cause it to activate. If you have no other health problem and not requiring any other medication that may activate TB, then follow you doctors suggestion. Don't worry many people have inactive TB and nothing happens to them" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ive been having bouts of dizziness for the past couple of weeks, I dont think it is an ear infeaction as there is no pain or discharge, I havent stood up too quickly as I get it when im sat down or walking or lying down, I dont think its too low sugars as I had a coffee with sugar and an almond croissant about 2 hrs ago. Im only 29 and not pregnant. Please advise if I should bother my doctor with this.", "output": "Hello dear, The symptoms as mentioned in your post can be attributed to pathology in the Vestibular Apparatus in inner ear (it is associated with maintenance of body posture & balance) most probably Labyrinthine or Benign Paroxysmal Positional Vertigo. They may not present with any pain or discharge, but repeated attacks of dizziness. Symptomatic relief can be obtained with intake of Vestibular sedatives like Betahistine or Linearizing preparations (to be taken only under the guidance of a Physician). If it still persists, then you need to consult your Physician/ ENT Specialist & get a complete clinical examination done. Investigations like estimation of blood pressure, blood sugar levels, serum electrolytes & vestibular function tests will be required to rule out any pathological cause for the symptoms. There is no need to worry, you will be fine. Till then, maintain adequate HY Chat Doctor. And also take precautions of getting up from bed slowly & avoid sudden head movements. Wishing you a Good Health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My mother has a history of her blood pressure bottoming out. Several times we have been in Sunday school and she would become unresponsive. A short time later she would start responding. What causes her blood pressure to bottom out? She is on a blood pressure medication used for rapid pulse.", "output": "Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. I will try to explain you something and give you my opinion. Furthermore, I think that in your mothers' case we have to do with a rhythm issue. There are some pathologies of the electrical system of the heart that causes in the same time fast heart beats and heart electrical pauses. This pauses means that the heart electrical impulse fails for some seconds to generate a normal impulse or contraction. This leads to a pause making the person to lose senses or what we call syncope. Sometimes it is difficult to diagnose this pathologies. The patient might experience fast heart beats, treating them with medication that might aggravate the situation and lead to syncope. So, in my opinion this is not a blood pressure issue but a rhythm one. Of course long heart pauses lead to secondary hypotension. So if I was your treating doctor, and we are dealing with a history of losing senses and fast heart beat I will recommend some examination like an electrocardiogram, a cardiac echo to evaluate heart function and valves and a holder rhythm monitoring. Through this process we can better judge what happens to your rhythm and how to m\u00e9nage it. Hope I was helpful. Wish your mother good health. Best regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter 11 months has just started being sick. She threw up what looked like her desert from dinner & now she is struggling to be sick but when she does she brings up what looks like gloopy salivia. Took her swimming today & she did swallow some water? Been generally well apart from this?", "output": "Hello, When did she throw up? Does she have temperature or other signs? How many times does she throw during a day? Try to give small portion to eat, especially crock ant bread. Get her HY Chat Doctor. Better visit a doctor in order to do a physical examination of your daughter and evaluate the case. Wish your daughter good health. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi actually i had a miscarriage 4 months ago again i am planning pregnancy i read on one website that even supopose if we want a baby boy we can conceive like they said that reduce your acidity and have sex on the day of ovulation is it possible scientifically they are charging nearly 70 to 100 dollars for this please advice me and actually i have a lot of acidity i am afraid like what they said it might destroy Y sperms even daily i am drinking lemon water will this help me? And please advice me like which days to have sex to increase the chance of pregnancy.Thank you waiting for your reply", "output": "Hello dear, I understand your concern. In my opinion the intercourse around the ovulation increases the chances of pregnancy, but the sex of the baby cannot be decided. The sex is all decided by chromosomes X and Y. The acidity can be decreased by avoiding spicy and oily diet and skipping the meals. Take antacids. Regular intercourse on alternative days increases the chances of conception.Don't worry. Avoid stress and anxiety as they delay fertility due to hormonal imbalance. So relax. Best regards..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my blood test results came back with high LDS (222) and d-dimer(.51). I have swelling and pain in my lower legs and difficulty breathing. I was given a venous doppler on my legs yesterday with no clots found. I am 31 years old, 5ft2 , and am slightly overweight and normally healthy. What is the next step? Is there a correlation between the two?", "output": "Hello, Your D dimer results are slightly in higher range. With difficulty in breathing and positive D dimer test one may predict for risk of pulmonary embolism also. It needs further investigation like lung scan to rule out the problems. You should keep in touch with your doctor. He may ask for some other blood tests to rule out for infections and others where d dimer test can also be positive. Take care. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have these brown dry spots on my legs and they re starting to grow all over my legs now I don t see anything wrong with my arms or my thighs it s just below my knees I ve never had a history of psoriasis or eczema and neither does my family I m scared and I don t have health insurance that s why I haven t gotten it looked at yet", "output": "Thank you for your query. Unfortunately, not having a family history of eczema or psoriasis does not entirely exclude the possibility that you have those conditions. However, those are not the only possibilities. Poor venous blood return from the lower leg may also cause this, sometimes recognizable by the presence of varicose veins. Also, diabetes may cause this, through damage to the small blood vessels. As you can see, the causes are many and wide-ranging. Please get to a clinic for medical evaluation. I trust this helps you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am 25 years old and I had my mirena removed feb5 and have been trying to conceive.... sicne then I went on having what I consider and use to a regular periods once a month on the 13th that last 5 days for about two months since my periods are coming two to three weeks early lasting 3 days heavy for a day light the last two the dates are never the same the are becoming so random and what seems to be closer and more frequent....which is msking it hard for me to track the right time to try and conceive would like to know how this effects my attempts in conceving what could be the cause and how do I go about in fixing it", "output": "Hi Hope this message finds u in good health. I have gone through your msg and understand your concern.it may be due to some sort of hormonal imbalances or variations in the body, though there may be other reasons as reclothing to worry about, You should eventually get back to normal. Take multi vitamin and calcium supplements Do consult a gynecologist if symptoms worsened back to me for any FOLLOW-UP QUERIES anytime. Chat Doctor. .(MBBS, MS,MCH)" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a scar on my right middle knuckle that has a lump under neath it. It started out small and gradually got bigger. It will occasionally itch or irritate me. This has happened once before. The scar is relatively new(happened this passed summer). Any ideas whats going on?", "output": "Hi, Dear,Thanks for the query to Chat Doctor. I studied your problem in depth and I understood your concerns. Treatment -The scar of recent origin is in healing process. But it seems you have excessive collagen response leading to keloid tumour-which is non-malignant. Such keloids are known to cause itching-and indicates a healing process of shrinking by fibrosis. I would advise you to apply some anti-inflammatory point locally to reduce the inflammatory process at site / and to consult a Surgeon for any intra-articular steroid injection. So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you, but just ask a query to Chat Doctor and be comfortable to resolve your health issues. Welcome for any more query in this regard to Chat Doctor. Write good resume and Click thanks if you feel satisfied with my advice. Have a Good Day. Chat Doctor. N." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor, My name is XXXXX, 22 year old female, recently injured my back falling down stairs. I worked out a couple days later and immediately got numbness and excruciating pain radiating through my hips and down my legs. Went to urgent care and the physician said in my x rays everything looked normal except maybe a slight tilt in coccyx which the radiologist ruled as normal. It s very painful to walk sit or stand up but the physician just prescribed a muscle relaxer and anti inflammatory. Should I still go see an orthopedic or wait to see if the pills fix the issue? Thank you!", "output": "Thanks for the query. Do you still have numbness and pain along the leg? Back muscle sprain is usually cause back pain but not the leg pain or numbness in the leg. Do you have specific tenderness along the spine? It may be simple muscle sprain but if you're still having leg complaints then I would investigate further. Get examined by an orthopedic doctor. I would like to rule out the disc prolapse. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI I HAD A HEART ATTACK 14 WEEKS AGO WITH ONE STENT PUT IN.....MY HEART RECOVERED NICELY AND HAVE BEEN GOING TO CARDIO REHAB. DURING THE SUMMER I LIKE TO VISIT AMUSEMENT PARKS AND I AM A NUT FOR ROLLER COASTERS. WOULD I BE ABLE TO RIDE ROLLER COASTERS AGAIN WITH HEART DISEASE AND A STENT?", "output": "Hello and thank you for using Healthcare magic. After reading your question, I must say that your concern is very just. My understanding is that you have suffered a heart attack (myocardial infarction) and have got a PCI (percutaneous coronary intervention) done with a stent placed in the coronary vessels that caused the infarction. In this stage you are considered cured. Amusement parks and roller-coasters during their rides produce joy and excitement by raising a Chat Doctor. This means THT the heart has to respond to these stressed condition with faster heartbeats which means more work for the heart and also there is the possibility of stress induced coronary artery spasms which may lead to chest pain and myocardial infarction. My opinion is that you should undergo one of the functional stress test exercise ECG, stress echocardiography or nuclear stress test. After the test you will know how your heart responds on a dressed conditions and if the test results are better than I would say that you can enjoy amusement parks in moderation. I hope you got the answer you were seeking. If you are satisfied please rate my answer. If you have further questions feel free to contact merest regards," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am concern about my TSH level. I am a diabetic and my level has always been very low. Last year it was 0.08 this year is it 0.005. My levels has always been very low but my family physician said it was ok. I am concern because I have discover that TSH is associated/indicator (possibly) for heart concern. Heart disease runs in my family so I would like to see should I take further steps.", "output": "Hello, Brief Answer: Low TSH is not a risk factor to develop heart disease. Explanation: My opinion is that low TSH or hyperthyroidism is an overproduction of thyroid hormones that manifest with symptoms and signs all over the body. Concerning the heart, you may experience palpitations and nothing more. If you have such a condition, you may need to do an EKG to make sure that your rate and rhythm is fine. I suggest my patients the following: Clinical examination and EKG if palpitations present. The information provided by you is not sufficient to provide a good opinion. If someone comes to me with this condition I would ask them about the symptoms you have and if treatment is given. Conclusion: I suggest you check your treatment with your doctor. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have some low back pain causing severe pain with ambulation and standing. I have had several epidurals and feel it it is time to get something done however I m very reserved about having any spinal surgery as I have seen over the years more hard done than good. Unfortunately here I am needing something done I m only 55 and was looking at neurosurgeons Dr .Gregory Nazar and Steven Reiss being new to Louisville I have no idea who has a successful surgery rate so I do have many questions. YYYY@YYYY", "output": "Still I would suggest that surgery on spine should be the last resort. Have you exhausted every other alternative. Have you exhausted Ayurveda's Agni karma treatment without invasion? Have you tried to manage by herbals or it's simply giving up? Pl. Do not give up. Hope is still there. Pl weight the pros and cons of spinal surgery. I would not allow my patients for this till other available channels are also exhausted. Hope it guides you even a bit !" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello,doctor, I am suffering from severe abdominal and back pain since past few months and i did scanning and doc said that i am suuffering from adenomyosis .Please let me know whethere there is any complete homeopathy treatment.I am married and i have a 2years old son through c-section.Please help", "output": "The medications Lu pron or Steal can cause cessation of the periods and associated menstrual cramping and even lead to shrinkage of the swelling associated with adenomyosis. However, the effect is temporary-when the medication is discontinued, the symptoms return. At the present time, the only treatment for adenomyosis is surgery. In situations where the adenomyosis is confined to isolated areas in the muscle wall, an attempt may be made to surgically remove these areas and repair the rest of the uterus. In situations where the majority of the uterus is affected, hysterectomy may be the only cure." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi yesterday my dad had an IV Magnex injection and within say 10-15 minutes of the administration of this drug, he developed generalized discomfort with profuse sweating, palpitation, escalation in BP, and abnormal EKG, repeated 3 times with findings of Left Ventricular Hypertrophy, what could be the possible cause??", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Magnet injection is having cephoperazone and subacute combination. Both are broad spectrum antibiotic. They can cause allergic reaction in sensitive individuals. So his immediate symptoms are likely due to allergic reaction to Magnet injection. Another possibility is acute, sudden onset pulmonary embolism. Thrombus from injection site might dislodge and entrapped in pulmonary vessels and cause pulmonary embolism and all symptoms. So, these are possible causes for his sudden symptoms. Hope I have solved your query. I will be happy to help you further. Wishing good health to your father. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have just got back from the dentist who has said I have a tooth infection and prescribed anti biotics ... I am in agony with the tooth which already has a filling in it and my face is swollen with a numb lower lip too. I go on holiday tomorrow and an very worried.. Will the medication of eased the pain by then?? Do you think this sounds like the best solution as I still have time to visit another emergency dentist today. ThanksEllie", "output": "Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have swelling and pain in tooth with filling don't worry may be there is secondary caries in tooth you should consult dentist and go for treatment Root canal treatment or Restoration. Antibiotics only give you symptomatic relief permanent relief you will get by treatment. Do warm saline gargle two - three times a day. Hope this will help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doc , I am Shilpa I have 4 years old Kid who is suffering from cold and cough from many days.Initially tried normal cough syrups like salmucolite ,zincocet etc then later on she used to get this sever cough which I feel she cough from inside very often for even small cold every two weeks we ended up giving antibiotics then my pediatrician asked to get her chest x-ray done when we got that done and showed to one famous pulmonologist they said it is clear and no issues and it could be due to pollen allergy that she is having this problem they prescribed two inhalers flohale and levolin 2 pufs 3 times and Montek Lc Kid tablet I am scared to use this inhaler but forced to use is there any problem using this Does she has to take this inhaler throught out her life Kindly suggest me.", "output": "Hi Ships, I appreciate your concerns. Your child seems to be having multi triggered wheeze (it is too early to label as asthma). If she has cough for so many days like you described, your doctor was right in starting her on these puffs to decrease her cough and improve her quality of life. Fluticasone (floral) is safe for child Chat Doctor. It is much better to give her these puffs than getting unnecessary antibiotics or multiple cough syrups each time. Monte LC is also safe things to keep in mind:1. Use floral and leveling puffs with a spacer and baby mask to maximize the benefits2. Use them daily and don't skip or stop the puffs once she gets better as the cough will come again if you stop ahead of time3. Maintain an allergy/wheeze diary where you note her symptoms each day, and when you go for checkup 2 months later it will help your doctor decide whether he can reduce or change the medicine. (search asthma diary template in Google images)4. Avoid triggers like smoke, agarbattis, cockroaches, perfumes, face powder, and wash bedsheets, curtains regularly. Do wet mopping and not sweeping especially if your child is around. Clean AC filters once a week. She will most likely outgrow this once she is about 7 to 10 years of age (unless there is a strong family history of wheeze/asthma), so lifelong medications will not be needed. We have seen many child" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am a 25yr old female i found a lump in my left armpit and my left breast is little tender im not 100% sure if my breast has a lump.my mum passed away from breast cancer, her sister had breast cancer in the past. my dad, grandmother and sister also had cancer in the past. is this something i should worry about.", "output": "HI, Welcome with your query to Chat Doctor. Based on the facts of your query, as You had positive family history for Cancer breast, It is but natural for you to have worry about your tender breast with armpit lump. In the context of this background, your armpit lump appears to be a Fibroadenomas of the Axillary Tail of the Breast. I would suggest you to get the Surgeons opinion and FNAC Biopsy with Homeopath study in your case, before being labelling it as a Cancer of Breast. In my opinion this lump in the breast appears to be Fibroadenomas, as its tender and may be due to nearing menses. If not, Check up with Mammography with 2-3 follow-ups and HPR Biopsy of the Breast with armpit Lump Biopsy would resolve the fear accompanied by your breast and armpit lumps. Remedy-After proper follow up and investigation from Surgeon, if cancer is confirmed by Homeopath study report, then Onco-Surgeon needs to be consulted, who would plan the needful treatment accordingly. If it's a benign one in both the breast and armpit lump, regular physical examination with palm of your hand and by Mammography followup 3-6 they, would resolve the treatment issue in your case. In my Opinion you should not worry till you get the final Homeopath report after FNAC Biopsy of breast /and armpit lumps. Will appreciate writing your feedback review comments, to help the needy patients like you at Chat Doctor. Good Day!! Chat Doctor. S. Genl-CVTS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my friend had a seziure 2 weeks ago. He never had one before. The Drs. think it was from medication. Now he is experincing short term memory loss, change in personality, and cant remember information. He will be following up with his drs this week. They say he was fine after the sezuire and there was noyhing to be concerned about.", "output": "Hi, Thank you for posting your query. The first seizure in your friend needs to be investigated, to find out the underlying cause of his seizure. Identification and treatment of the underlying cause could prevent the recurrence of seizure in the future. Evaluation would include doing a brain scan (CT or MRI of brain), electroencephalography (EEG), blood tests (sugar, calcium, sodium, etc.) and screening for toxic substances or Chat Doctor. If his MRI or EEG shows any abnormality, then, long term anti-epileptic " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "62 year old male drinking since about age 15years of age. Symptoms witnessed focal seizures with about 30min postictal confusion, bilateral arm pain, arm bruising without bumping or trauma, memory issues . What diagnostic tests would be recommended? suggestions, recommendations?", "output": "Hello, First, you should do some investigations such as; a CT Brain to exclude a focal brain lesion, an ECG to exclude heart block, Lipid profile in the blood and measuring blood pressure. If you had hypertension, you should receive medical treatment, take aspirin 160 mg twice per day after meals and do an ECHO on your heart, besides taking vitamin B complex once per day after meals and Benfotiamine 40 mg once per day after meals. You should change your lifestyle by decreasing fat and salt in your diet, besides stop smoking and Chat Doctor. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor My mom how is 62 years has been asked to take olmezest 40 and amloguard 2.5 mg. She is going for urine atleast 8 times in the night every 3 day. Her creatine level was 0.9 when eritel was administered. Presently the creatine level is at 1.2.", "output": "Hello and welcome to Chat Doctor. As a Urologist, I can fully understand your anxiety. Your mother has hypertension, with frequency of urine, in day and night. A rise of creatinine from 0.9 to 1.2,isn't abnormal. It's within normal limits. Her B.P. should be in control with the two Chat Doctor. She must check her urine routine and culture, to rule out urinary infection. An ultrasound scandium, with residual urine must be checked. After an examination by a Urologist, looking at reports, shell get treated. If you've any doubts. You may send the reports, as a direct question to me." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi,this is a question about a 62 year old man (my father). he got his bypass surgery done a year ago and he has a pain in the center of his chest even after the surgery. do you suggest any test for the same or this is normal. his BP is also always high with 150-120 ratio.", "output": "Hello! Thank you for asking on Chat Doctor! Regarding your concern, I would recommend performing a medical review of your fathers medical status by his attending cardiologist. This pain, can be hardly considered normal. After excluding any possible sternotomy complications by a careful local examination, I would recommend a resting ECG, some blood tests (including cardiac enzymes), and a cardiac ultrasound. If suspicions are raised about a possible myocardial ischemia, then some additional tests are necessary (cardiac stress tests, perfusion cardiac imagine tests, even coronary angiography). Meanwhile, a modulation of antihypertensive therapy is necessary, to maintain his blood pressure values under control. Hope to have been helpful to you. Greetings! " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir,I am suffering for nightfall from 25 years. 7 or 8 times nightfall in a week. I have taken treatment for nightfall from various doctors allopathic/ Homeopathic but still I am going on suffering from nightfall. At present I am hopeless and frustrated. Will you help me guiding and suggesting.", "output": "Hello please don't loose hope, keep yourself motivatedNightfall can be treated and controlled, Here, I would like further information for better assessment of the condition like your age, are you married or in relationship?relevant medical history like diabetes or high blood pressure are you taking any medicine presently. I would advise you to follow these guidelinesStop thinking about nightfall try to get up early in morning empty your bladder before going to bed. Exercise as much you can comfortably Mohave well-balanced and nutritious diet. Maintain good hygiene. Please write back to me with these details so that I will be able to tell you more precisely. Waiting for your reply. Best wishes" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i have swelling in both my lower legs with a rash as well. i do have hyper tension, am currently taking other hypertension medication, but have been advised not to take the diuretic adco-retic for a while now. I am also feeling dizzy. is this because i am not taking the adco retic anymore?", "output": "Hi welcome to Chat Doctor. I understand your query and concern. Swollen legs in your case can be directly related to elevated blood pressure and right sided heart failure. I advise you to have a 2 dimensional echocardiography, ECG and lipid profile to assess the functioning of your heart. Monitor your blood pressure and heart rate regularly. Restrict the intake of salt to less than 6g/day. Regular physical exercise in the form of brisk walk for 20 min a day for 5 days. Chat Doctor. Reduce the intake of fatty and fried foods. Fruits like pomegranate, apple," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi there, I was walking today and then suddenly my left leg started feeling weird. It feels like there s a bubble in the knee area of the leg. For instance, when I bend and straighten my leg it feels like I can feel the muscle.....I m not really sure how else to describe it?", "output": "Hi, I value your concern regarding the symptoms. I have gone through your symptoms, and in my opinion you will be having either meniscal tear, or some joint swelling. If it is painful and bothering you, it needs to be seen by or tho doctor, and investigated accordingly. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. Special note-Any medication prescribed needs to be taken after consultation with your personal doctor only." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have gone through angioplasty to provide way to the blood vessels/ artery. Some 15 days have been passed so far. I have been advised to eat little less than usual salt and sugar intake. Some say that I should avoid salt completely. Is i t advisable to avoid salt completely? Please guide me.", "output": "Hello and thank you for using Chat Doctor. I carefully read you question and I got through your query.Don't worry, you should not avoid salt completely. It is not necessary such an extreme modality. Let me explain you something. The fact that you have done an angioplasty means that you have ischemic heart disease. It is mandatory for you now to maintain your heart as healthy as possible, lowering her excessive work. This means that the heart must have an adept frequency and work within normal blood pressure. Restricting your salt intake helps you to maintain low blood pressure values, helping your heart to work within normal conditions. This is why we advise you to avoid salt, but it is not necessary to completely leave it, but just to reduce it as much as possible in food intakes should all sow be very careful with your cholesterol, with a healthy rich fiber and low cholesterol diet. Hope I was helpful. BEST REGARDS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just had a hyster after a diagnoses of endometrial adenocarcinoma. Timor removed with good results and lymph nodes negative. I just learned I have atypical cells in pelvic fluid and Dr. Is recommending chemo and radiation. Is this the most common treatment?", "output": "Hi, Thanks for writing in to us. Endomentrial adenocarcinoma is a cancer of the inner lining of the uterus. This is treated by surgery in the initial stages. Some patients also require chemotherapy and radiation therapy for proper cure to take place. As you had surgery done and lymph nodes were negative therefore it is possible that the cancer was still localized to the uterus; however in some patients the biopsy of the specimen might show severe grade malignancy cells and this needs to be eradicated with chemotherapy and radiation. If you do not take chemotherapy and radiation then it is always possible that the disease spread might occur to other adjacent structures and then there will be metastasis even in the absence of primary tumor. Cancer must be treated sufficiently so that it does not return. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i was punched in the chest area above my left breast, but below the clavicle. No bruising, but tender to touch, and hurts when I laugh, cough and sneeze. It happened 4 days ago. is it probably just bruised internally, or am I still at risk for a collapsed lung or pneumothorax?", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. You are having blunt chest trauma. And following are the possible complications of blunt chest trauma which can cause pain on coughing and laughing. 1. Rib fracture.2. Pulmonary contusions. 3. Pneumothorax4. Muscular injury. So get done chest x-ray to rule out all these possible complications. If chest x-ray is normal then no need to worry about pulmonary contusions and pneumothorax. Your ARD having mostly muscular injury. So try to follow these steps for better symptomatic relief. 1. Avoid strenuous exercise. 2. Avoid heavyweight lifting3. Start painkiller and muscle relaxant. 4. Apply warm water pad on affected site. Don't worry, you will be alright." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a fall in January . Tore my ACL and meniscus and sprained my LCL. I have a bone spur. MRI showed bursitis and osteoarthritis. I had no pain in my knee or difficulty walking prior to fall. I am 67 years old. I also have a complete rupture of the rotator cuff, from the fall. I have pain in my arm and knee. A muscle in my thigh has been numb since the fall. The numb area is about 3 inches wide and 6 inches long. The top of my knee cap is also numb. Last night I found a lump the size of a pea in my knee. It moves around. What could this be?", "output": "Hi, thank you for providing the brief history of you. As you are 67, there is a possibility of degenerative changes in the knee joint leading to wear and tear of the soft tissues and bone. Also, due to ACL injury, meniscus injury, and LCL injury you may face pain and difficulty in walking. Also, due to fall there might be pinching of lumbar nerve leading to sensory deficits in the lower limbs. Rotator cuff injury also needs an attention. As per you symptoms and other things I will advise you to undergo physical therapy and by this the pain can be reduced and so the inflammation. Post this rehabilitation of the knee and shoulder is advised followed by the Strengthening of the spinal Muscles. Most cases in my clinical practice responds well to physical therapy. As an important note, that ACL and menisci injury are graded according to the physiological discontinuity and the treatment is planned accordingly. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Docter i have problem of continue simen likage...and whn i masburate i lose it with in 30 sec plz help me to over come from this... i also do gyming and physical activites.. plz guide me any exercise or diet... to ovrcome from this... my age is 20 year..", "output": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern.It's your belief that your semen is leaking in the urine. On one can say without microscopic examination of the urine. If you have doubt than you can think of microscopic examination of urine in nearby laboratory. I feel you do not have the leakage in the semen. Premature ejaculation can be possible in you. It requires a good counselling to you. You have to make a strong will to do complete sex. Think that you can do the complete sex. This type of thinking can be good for your premature ejaculation (PE). If PE is still not over than you can take the Chat Doctor. Please take it with due complete physical examination and under your doctors' guidance. Gyming and exercising is good and should be continued. Please eat good antioxidant foods like fruits vegetables etc. I will be happy to answer your further concern on bit.ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had went to the hospital shortly before Christmas because my heart was beating funny. I got diagnosed with P.A.C.. Today I recieved a letter from the hospital notifying me that they had found a 7mm right upper lobe nodule. At the present moment I have no health insurance and am in the process of getting settled in a new state. I guess my question is what should i do now? Im not sure how serious it is and what I need to do.", "output": "Thanks for your question on Chat Doctor. I can understand your concern.7\u00a0mm lung nodule should be followed up with repeat CT scan after 8-10 months. If this shows static or regression of nodule then nothing should be done. But if this shows enlargement of nodule or appearance of new nodules then biopsy should be done to rule out malignant nodule. If you are a active smoker then you should quit smoking as soon as possible. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My brain feels like it is cramping. Right side of my head, starts behind my eye and goes through the entire right side of my brain down the back of my neck . Feels like it s a cramp. Extreme pain for a few hours then subsides to a dull, deep soreness in my head. Just like a calf cramp will remain sore after cramping for a few seconds. But this cramping feeling lasts a pretty long time. It started back in the summer of 2010. Got a cat scan. They didn t see anything. But today was the worst it has ever felt. Accompanied by numbness in face and hands as well as nausea .", "output": "You are describing classic symptoms of migraines headache. This kind of headache usually only affects one side and can be associated with blurred or unusual vision changes, numbness, tingling, nausea, avoidance of loud noise or bright lights. CT will be negative. It also often lingers for most of the day and sometimes for multiple days. Common medications like ibuprofen, acetaminophen, naproxen, Excel Chat Doctor. Sometimes people need migraine specific medications, like Limited, Coming, or Max alt. People that have more than three per month may require preventative therapy with a daily medication like Tokamak, or propranolol. Often there are triggers for migraines, like nitrates, cured meats, chocolate, and many others. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 28 year old female, who has experienced several symptoms of an autoimmune disorder for about 7-10 years with no treatment. I am going to see a Rheumatologist , but am curious if anyone knows about a Positive Sjogren s SS-B with a negative Sjogrens SS-A? I am curious what this means. My RA factor is -7 on a scale of 0-13.9. My TSH is between 1-2, which I read is good. I am ANA and ANA w/ reflex positive. Finally, in addition to negative SS-A and positive SS-B, my ENA panel shows below average slightly for ANTI-DNA, RNP Abs, and Smith ABs. With not seeing a Rheumatologist, my primary care physicians says I have a 10% chance of having SLE and a 30% chance of Sjogren s Syndrome. I have multiple symptoms of both conditions, however, no dry mouth . My symptoms include a long list, but it appears I have the following symptoms: Sinus Issues Reynauds Some joint discomfort in ankles, fingers, and knees My tonsils are slightly disfigured with particles that show up in them A history of weak and cavity ridden teeth Memory loss and confusion Dizziness Infrequent migraines w/ aura Frequent urination Fitigue Anxiety and Depression (Random) Rough/course and dry hair Acne Blurred Vision Trouble sleeping due to back pain Green mucus etc. No rashes or dry mouth Any help would be greatly appreciated in calming my anxiety over the blood test results. Thank you, Jade", "output": "Hii am an ayurvedic doctor according to our system autoimmune systems can be treated by immune modulator Chat Doctor. In Ayurveda immunity can be related to vydhikshamatwam or ball of patients. Which means the capacity of body to prevent body from different diseases or the strength of the body to resist the disease against it to become worsen. Based on this idea we can give relief to you. If Ayurveda doctors available at your area you can visit him or else you can use some medicines if you give correct feed back about you through mail, christyjoseph1@gmail.com" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello. Im 15 and havent had intercourse but me and my boyfriend were touching each other. After he got hard, he went to the loo then came back (I do not know if he ejaculated or not) and we started to pleasure each other again. I dont think at any point his penis touched my vagina BUT is there a chance I could still get pregnant? (i.e if there was sperm on mine or his hands?) Thank you.", "output": "Hi, if there was no contact of semen with your vagina, there is no chanc3 of pregnancy. Even if you have the slightest doubt about it, pregnancy can happen. So, better to take emergency pill. If you have delayed the periods, do a urine pregnancy test. If positive consult a doctor if you don't want pregnancy. If negative wait for your periods. Hope I have answered your question. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I noticed a dark blue vein across my 2year old eye lid above the crease 2Easters ago. It s very dark, noticeable. He still has it, about to turn 4. He didn t have it as a baby or in any pictures from the summer before that Easter (i was looking back throuhh up close photos from before I noticed it).", "output": "These blue veins are completely normal. Everyone has such vein but is more visible in some peoples due to the lack of excessive subcutaneous fat in the eye area particularly in infants, or if someone has problems with sinus infections or chronic upper respiratory infections or if the person has lighter pigmented skin. When a person experiences sinus infections or colds, these veins become more pronounced due to swelling. The best way to deal with these veins is to wash your face with cool or cold water & apply ice packs to the eye area to reduce swelling by vasoconstriction. Laser surgery could offer some remedy for those who want to remove for cosmetic reasons." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a root canal a week later I started having acid reflux. I thought it was caused by the root canal. I went to dentist and he said there was no problem with the root canal but I have a terrible taste in my mouth plus I loss my sense of taste. What could the problem be causing this?", "output": "Hi There is absolutely no connection between root canal treatment and acidic Redux, but since you are mentioning loss of taste as well, I suspect the adverse reaction of the anesthetic agent/technique. Since you haven't mentioned the location of the tooth treated upon, I am presuming it to be a lower one as this can be caused by lower anesthetic block and not possible with upper anesthetic block.therefore in case the tooth treated was an upper one, there is possibly any other cause than the dental treatment done, but if it was the lower tooth operated you might as well feel heaviness of tongue, numbness of lower lip and tingling sensation besides your present symptoms which is either due to nerve lesion caused by injection or the anesthetic agent itself. Hope this was helpful .take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had 2 early miscarriages. I have PCOS and i was on metformine 1500mg daily. When a get know about my 6 weeks pregnancy, I decide to stop the metformine as Dr advice it inorder to allow pregnancy. Then after 4 days I start havin light bleeding.At hospital the gyne do echo and found a gestational sac. On the next day there was no bleeding and the Dr allow me home and bed rest and no new Rx. So I stop the metformine. Then 3 days later I bled wittout pain.. and in echo no sac and uterine lining thin.. What happen.. should i continue metformine. Last year was same miscarriage when I stop metformine. (Is Metformine important for PCOS patients)", "output": "Hi, Thanks for the query. I understand your concern. Metformin is a Chat Doctor. Metformin supplementation (in suitable dose)throughout pregnancy to POD patients is observed to reduce possibility of abortion. Still early fetal loss is also many a time due to deficient progesterone hormone. * I would suggest discussing this with your doctor & get improvised treatment during next conception./ Try conception after complete treatment of POD. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor,Today we went for a postcoital test though i have not yet pregnant since the last 1 year. The test refers sluggish sperms 3 -4 and dead sperms 15- 20. What will be my problem? and how can I overcome..... Is there any problem with my cervical mucus. We have done this test 4 hours after intercourse.", "output": "Hi, Postcoital test is a test done to detect antis perm antibodies in the cervical mucus. If it is present it will be seen as sluggish sperms and dead sperms under the microscope. If the semen analysis report is normal, it would be better to undergo intrauterine insemination in and around ovulation time. The chance of pregnancy increases by 15-20%. There is nothing to worry much about this problem." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor, My child, 5.5 months old, 7kg, is suffering from greenish motions 5-6 times a day. He had been prescribed on Monday 22nd June 2015, with Zinconia 5ml a day, O2 ( Ofloxacin & ..), some Baci.. lquid looks like water . Today his health not good and he started vomiting. Food: Breast Milk only from Monday. Please do advice! Thanks, Yogesh", "output": "Hi... Thank you for consulting in Chat Doctor It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics (Ofloxacin and Metronidazole) might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have ADHD and I dont feel like my medcine is helping verymuch. I am still very loud and distracted sometimes. I m already on the highest dosage of my medicine and take more at unch. How can I calm down at school so I can be less loud and more focused?", "output": "DearWelcome to ChatDoctorWe understand your concerns went through your details. You must understand that medicines alone cannot cure mental disorders. ADHD is a mental disorder. To cure ADHD, you need to change your lifestyle, attitude, thinking pattern etc. Cognitive behavioral therapy (CBT) is very much effective on ADHD. Rational emotive therapy too is useful. Meditation, mindfulness, exercise etc. should also help you. Identifying and deep understanding ADHD is the first step of cure. Please consult a psychologist who is willing to treat in this manner. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my daughter is 24 had a baby about 18 months ago at the same time have a very infested gallder removed. they took the baby early. for a while she was ok but for thi last year or more she can not hold anything down. and is away sick. and depression has set in she does not work i need help.", "output": "Hi.noted history of depression postpartum and post-cholecystectomy. This can happen to anyone who is sick, someone who underwent surgery and/or pregnancy. The usual blues resolves spontaneously. But if the feeling of being depressed and \"sick\" is persistent, it is best if you do a followup consult with your doctor, preferably with your surgeon or obstetrician, for clinical evaluation. If needed, psychological/psychiatric consult may be recommended. A talk with a good friend or family can be of help as well. Hope this helps. Good day!! ~ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi Doctor, I am on my 37 t day of my cycle. I have missed my period. My regular cycle is around 25 days every month. I am married since 6 months. My Hormone levels are low so I am taking Ovasper EC and D frag for the past one month. Yesterday I went to my doctor and she suggested me for a blood best asmy uterus lining was a bit thicker. But my blood test was negative. I am worried now, Will I be pregnant still ?", "output": "Hi there, I have understood your concern, and I will suggest you the best possible treatment options. Delayed periods and negative pregnancy test, is mostly because of absence of ovulation. If you still have doubt about the pregnancy, blood beta Chat Doctor test will be of help. This test is negative for pregnancy if reports are less than 5 and positive for pregnancy if reports are above 25. If the tests are indicative of non pregnancy status, then I will suggest you the following-Please get USG done to know about the ovarian status and to rule out PCs. Also, get FSH and LH and prolactin and AMH levels done, preferably on day 2 of the cycle. This will help to know about the ovarian reserve and ovarian status. Please seek prescription help from your treating gynecologist for progesterone pills, the doctor will guide you about the dose and with Chat Doctor. I hope this answer helps you. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i had fallen on my right palm n now i have hairline radial fracture. no pain in elbow but on wrist n forearm too much pain while twisting. dr advised sling and pain killer n he said it will heal no worry. 3 weeks now not much pain relief while twisting. how long will it take? is caste necessary/", "output": "Hello, As post hairline fracture the healing process is up to 4-6 weeks of the upper limb based on the type and location of the fracture. You shouldn't perform movements like supination and pronation as this will lead to pulling over the origin and insertion of the supinator muscle. Due to which the healing will be delayed, and the pain will not subside. I will advise to not do more movements of the limb and allow the sling to be on. Do hot water fermentation if the pain is constant. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 6 week old went to the babysitter today and when i picked him up she told me to put vaseline on his butt cause it was dry. I later found out she is really a man and im freaking out his butt is really red. I didnt notice that this morning I hope this is normal and not something more", "output": "Welcome to ChatDoctorRed butt can be due to various reasons. If it's at the folds as well, it might be a case of nappy rash. Petroleum jelly is good if applied with frequent change of damp diapers in such cases. Some barrier creams are available easily in the market which are medicated having antiseptic action. These are advisable if infection is present with nappy rash. Candidiasis and bacterial infections can be a possibly." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have ketoconazole cream from 2007 that I used for my pityriasis versicolor ( I have lighter colored spots on my chest and upper stomach). It went away for a couple years, but came back. Can I still use that cream? If not I still have 1 refill on it can I still use that or do I have to go back to the doctor?", "output": "Hello, Thank you for posting on ChatDoctorThe condition you have described is called Satyriasis tricolor, a superficial skin infection caused by a fungus. I would recommend you take short course of oral antifungal Chat Doctor. Apply ketoconazole cream twice a day over the white patches regularly. Use shampoo containing ketoconazole and selenium sulfate for rinsing daily. Maintain hygiene. Hope you will get fine shorthand you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My family and I went camping 2 days ago and while we were there we went off roading we went over a really big bump and I flew forward and then back into the back corner of the truck. I am stiff and am very sore. I have a bruise on the middle of my spine. At night I can t move its sometimes hard to catch my breatb and only at night my arms go numb. Why am I so uncomfortable and how long til it gets better?", "output": "Hi, What I understand by the history that there might some sort of tension strain over the cs occurred when you had this incident. Due to the nerve entrapment in the cervical region you might be feeling the tingling, numbness, pain etc. in the upper limbs. Also, the stiff back can be because of the direct impact occurred over the thoracic spine in the mid dorsal region the muscle would have gone into spasm. What I will advise is, why don't you try taking hot water fermentation in the mid thoracic region and also the neck region. Wait for 5-7 days. Usually pain subsides in this duration. In case if it doesn't than you can check up with an orthopedist for further Physical examination. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I just ended a really bad vial infection that lasted for about five days. it gave me swollen throat fever nausea headaches loss of appetite and extreme weakness. now most of my symptoms are gone but the weakness. im a 18 year old girl in my first week of college.", "output": "Hello, Welcome to Chat Doctor, As you had viral infection which has subsided, the post viral symptoms will persist for 10-15 days, but the intensity of the symptoms will be less. The viral infection will reduce the immunity, and it requires some time to recover completely from post viral symptoms. I would suggest you to eat protein rich diet to boost up your immunity to fight against the infections take vitamin A and E. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have symptoms that are becoming more and more worrisome! I have a Rash under the flap in my belly figure that is Yeast infection have it for a long time I have in the last weeks been trying the probiatics and useing female monastat as topical cream! in the last few weeks I have developed such bad heartburn that I am taking 600mg of Ranitodine aday to no availe ! Now I am developing a severe sore throat which may just be coinsedence So I worry about Clamidia ( have had oral sex with a woman with multipul partners) or the yeast infection gone wild I have severe pain from arthritis also flaking of skin under eyebrows mustach and bearD! I pea freakently at night but notice my urine is yellow cream colored in the mourning! Don t know if that is the probiotic result or other symptom!", "output": "Hello, Thanks for the query. You might be suffering from a mixed fungal and bacterial infection. It is called as intertwine. It is very common in folds of skin. You need treatment with both antifungal powders and antibacterial creams. Please meet a dermatologist and discuss regarding this. Let me know if you have any other doubt. You can ask a direct question to me on this forum, following the below link.https://urldefense.com/v3/__http://www.ChatDoctor .com/doctors/ Chat Doctor. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i m humera after 6 month of csection i pregnanat again i m 17.4week pregnant i have bad cough and fever fever is going on 101 .i used all kinds of good medicions about cough and now i take febrol for fever. i done my chest infection test all are cleared now what should i do now?", "output": "Hi Thanks for contacting us As you are pregnant so take care yourself for upcoming family member. In this condition before taking medication must consult with your Gynecologist of Physician. Never take self-medication. Take Paracetamol Tablet SOS when fever rise more than 100 Take steam inhalation twice or trice depend upon your condition Syrup Alex (Dextromethorphan combination) which is safe in Pregnancy. Avoid X-ray during pregnancy. If it is indicated then use abdominal shield during X-ray" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "S.C.Khare Hatta,M.P.I am a patient of CRF be adviced with you for best tretment without dylisisus. my blood urea report is 108.7 mg, SR.Creatinine 8.7mg on 03.03.2010 now i am feeling weekness, Hediace, Low Appitute, My blood prasure is 70-160 and rendom sugur is 210 plz Advice me for best tretment without dylesis. Now be take EIDOFE, FOLI-12, NEPHCELOL, ZATOR 20mg, S-NUMOLO 2.5, PANTODOM all these medicine take once time in a day be take Inj - TRANSFER-4000 Weekly My H.B. is 8.10 plz advice me what can i do?? Sir if you advice me I will thankfull to you My E-mail ID is - YYYY@YYYY , YYYY@YYYY", "output": "Hello Their and welcome to Chat Doctor. As a Urologist and kidney transplant surgeon, i understand your anxiety.You've CKD, diabetes(uncontrolled), and anemia. You should write your age. Cause of the CKD, would most probably be diabetic nephropathy. There are only two options in management in your case :1. Maintainence dialysis.2. Kidney transplant. The second option is the best of the two, if you're below 70 years age. Chat Doctor. Manga." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi! My fiance is 26 years old, 165 cm tall and weighs around 75 kg. His SGPT is around 60 and he needs to reduce it to reach normalcy as soon as possible as this is proving a hindrance in joining the company of his choice. He does not drink or smoke and has been on a fairly fat and oil free diet for the last month. He has consumed no non vegetarian food either in the past month. Is there any medicine that could help him?", "output": "Hi. Thanks for posting query at Chat Doctor. Usually ALT or AST values higher than \"two times the upper normal limit\", is considered abnormal (in some countries, ALT or AST values of more than 100 are considered abnormal). Value of AST or ALT greater than 85 or above maybe investigated further. Alcohol ingestion and obesity are common causes of fatty liver disease. Advice for fatty liver:- abstinence from \"Alcohol\" - LOW fat diet should be followed, AVOID junk food and beverages-decreased oil consumption (oily food)- NO red meat-green vegetables should be ingested daily-use lemon juice (lemonade) once in a day-reduce weight if overweight/obese-\"recheck liver enzymes after 6 to 8 weeks\" and/or ultrasound. Any further questions are welcomed. Hope to answer your concern. Wish you good health. Regards, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 64 yrs. old i have had blood pressure of 120/80 my entire life & it seems suddenly it has gone down to 103/62 some times a little bit higher sometimes as low as 93/59 outside of that i feel fine i just wonder if i should take it seriously or monitor it for a couple of weeks.", "output": "Hello! Welcome and thank you for asking on Chat Doctor! Regarding your concern, I would explain that these low blood pressure values could be related to different possible causes: deny Chat Doctor. . For this reason, I would recommend consulting with your attending physician for a careful physical exam and some tests: -a resting ECG-a chest X-ray study-complete blood count for anemia-blood electrolytes for possible imbalance. In the meantime, I recommend having some rest and take plenty of water to stay well HY" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I ve been experiencing dizziness and leg weakness for about 10 years now. I ve been checked by two different cardiologists and a neurologist and no one can tell me what is wrong. What ever it is it seems to be getting worse. It feels like my heart stops for a slit second and I lose control of all body functions except for my brain. As recently as last week I felt it and collasped while walking through Boscov s. I know that there is something seriously wrong I just don t know what. If you ve ever driven over a hill really fast and get that weightless feeling like you re in an elevator that s the feeling I get over and over. Like I stated earlier this has been going on for over ten years and it has become a lot more frequent. If there is anyone that has any idea of what this might be please help. Sincerely, Desperate for answers", "output": "Dizziness has different meanings for different people, but from what I understand from your description of these feeling it seems like lightheadedness. Lightheadedness causes are many, but the most common ones are heart conditions like an arrhythmia, anemia, low blood sugar, postural hypotension, deny Chat Doctor. As you said the cardiologists have excluded heart disease, but I would suggest having also a rhythm holder and blood pressure holder. These two examinations lasts 24 hours to 7\u00a0days, checking the parameters i mentioned above. You should have a blood study regarding cell counting and also blood sugar and hepatic and renal functioning tests. Vertebrobasilar insufficiency can present with dizziness (vertigo, balance impairment or headdress) and also weakness in the legs when it progresses, to diagnose this condition you should undergo an MRA. Sometimes lightheadedness is caused by stress or anxiety. Also, this symptom is common in people that play wind instruments. I would suggest to " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have slightly raised white patches on my hard palate, which appear to end just before the soft palate. I just noticed it this evening. I have also been very fatigued for several weeks, and have had a yellow vaginal discharge for about the same amount of time. It has been slightly over a year since I had my last chemotherapy treatment for breast cancer.", "output": "Hello and welcome to Chat Doctor, A white patch anywhere in the oral mucosa can occur due to a number of causes. For all practical purposes a white patch in oral mucosa is called leukoplakia. The cause for such a patch needs to be found out. Fungal infection, lichen plans, even a hyperplasia, sub mucosal hyperplasia, cancer can lead to white patch in the oral mucosa. A clinical examination and biopsy of the affected region is required to make a correct diagnosis. There is a possibility of fungal infection as chemotherapy suppresses the immunity of the person to an extent. However, exact diagnosis can be made only after relevant investigations. Management depends on the underlying cause of the lesion. Yellow colored vaginal discharge suggests an infection of the genital tract. Various microorganisms can cause yellow colored discharge e.g. bacterial vaginosis, trachomas infection, fungal infection, etc. An examination of the vaginal discharge needs to be done. Consult your gynecologist for clinical examination and investigations. None of these symptoms suggest a recurrence of breast carcinoma. Thanks and take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "in 2011 i was diagnosed with a weak heart and 2 leaky valves. just recently i had an ultrasound done, but i won t know the results until 8/4. i don t know what 2 valves are leaky, does that matter? also just recently i m extremely tired, headaches, dizziness, shortness of breath. in your opinion do you think i m getting worse? what kind of operation would it take to repair those valves? thanks", "output": "Hello, I do not know much from what you are writing, but leaky valves can progress by adding the amount of blood that goes backward in the heart, And that can cause those symptoms that you have and especially the shortness of breath. You may need to add more diuretics. The operation depends on the heart function first, and what are the valves that have the problem and what grade they are and what have to cause the problem. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had my my nipple pierced for about 6 years and Ive never had this happen before but a couple of hours ago noticed that it was swollen and sore. I took the ring out and squeezed it to relieve so pressure and i felt a popping sensation and a combination of blood and puss came out. I cleaned it with hydrogen peroxide and put neosporin on it. Is this a sign of an infection? Should I see my primary doctor about this or can I treat it myself?", "output": "Dear Friend. Hi, I am Chat Doctor, I have read your query in detail, I understand your concern. This might be a Mastitis or Realities. I would suggest you to get an examination done to see what it is and get treated properly.Also, you should get evaluation for Fibroadenoma and Breast Lump. This is my personal opinion based on details available here. If you want to discuss your issues further, you may please ask stay Healthy. Chat Doctor, MD" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "We have a female relative that has Paget s disease ( vulva and rectum ). I am concerned that it might be contagious if she uses the toilet seat. I know this is a rare form of skin cancer .... and I do not believe any cancers are contagious. (Even though certain things can bring on cancer .... if not treated in early stages.) I am most concerned about this because I have young women in my family. Please have a GYN (skin cancer) doctor answer this, as this disease is rare.", "output": "Hello welcome to Chat Doctor In the query you didn't mention the age of your relative suffering from Pages disease. It generally occurs in post menopausal women. Generally pages disease occur in the breast,if it occurs in other sites it is called extra mammary pages disease.pages disease of the rectum may extend to vulva area. Pagets disease is not contagious,you can safely use the toilet consult general surgeon, and he will give further suggestions and treatment.surgery is the only treatment. Hope you understand my answer thank you Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "can a pinched cervical nerve cause an elevation in blood pressure? I think i may have 1 or more bulging cervical discs. I have intermittent tingling in one or both hands, and awaken almost daily with a spasm in my upper trapezius muscle on one side. As of late ive been experiencing headaches that run in linear fashion from my eyes to the base of my skull and the last few days my bp has been elevated.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. No, pinched cervical nerve can not cause elevated blood pressure. Your intermittent tingling, spasm of trapezius muscle can be due to pinched cervical nerve. Your elevated blood pressure might be due to inadequate sleep, stress and tension. So better to avoid stress and tension. Be relax and calm. Consult good physiotherapist for your cervical spine problem. Once this problem is treated, and you get sound sleep, your blood pressure will also start reducing. Don't worry, you will be alright. No need to start antihypertensive Chat Doctor. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Sir i am suffering from asthma since childhood just want to know is inhalers for asthma addictive that is that in near future i had to depend on it There is a treatment in which the desensitize the allergent please tell me abt it", "output": "HI! There is nothing like addiction to inhalers. If u need it u should take inhaler. About desensitization: First you need to which allergens r offending you. This is known by allergy testing. After that a very small dose of allergens is given. This is usually accepted by the body. Gradually dose is increased, and the body learns that this particular allergen is not harmful. If successful there is very good chance of being cured of allergy" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a bony bump on the back of my skull , it is approximately 15 or so degrees north east of my Occipetal protuberence (sp?) if my OP was Mexico city this strange lump would by located around New York. It doesn t hurt, no head aches, no noticeable symptoms, in pretty tiptop health (eg, BP , Cholesterol , healthy weight, non-smoker.) Never really thought much about it but an officer pulled me over and was sure I was on something due to certain cues. Maybe just to get me to divulge information a guilty man may have, I don t know. I had a professor once that came to class obviously drunk or loaded, and it ended up being a brain tumor of sorts.", "output": "Hi thanks for your question have bony swelling on the back of your skull, near your occipital protuberance. It is symptomless. Most probably, this bony bump is bony exocytosis from occipital bone and there is nothing to worry. Confirmation of diagnosis of exocytosis can be done by X-Ray Skull. If X-ray doesn't confirm the diagnosis, CT scan skull will confirm the diagnosis Hope this answer your question" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband has been with Drs. every day last week. - Dermatologist - General hand surgeon & Internist. 1. He stated with a large infected abscess on his hand and the Drs. thought it may be MRSA - prescribed medication for MRSA along with Keflex. A few days later they found out he didn t have MRSA and the abscess was not draining. 2. His mouth and lips were starting to get sensitive and very irritated and the Drs decided he may be having a slight reaction to the meds. They took him off the Meds and sent him for surgery to remove the infected Abscess. 3. He is now on Prednisone for his hand but I think he has thrush from the antibiotics? 4. Will Benadryl help with the white lesions that are now on his lips and mouth also a scalloped tongue? 5. What can you mix that with the Prednisone?", "output": "Hifacial swelling and irritation is one of the major side effects of steroids due to water retention in the body. Prolonged use of prednisone also lowers the normal immune responsiveness of the patient. The oral thrush is the result of this. See a dental surgeon and let him decide how to deal with the present situation. Indiscriminate use of broad spectrum antibiotics can aggravate the oral thrush. Wish your husband a quick recovery. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello sir,I have a 9month old baby,he very frequently gets congested chest and coughs with breathing difficulty while feeding,doctor usually prescribes an anti allergic syrup along with nubiliser( saline solution and atem) to clear out the congestion,along with some antibiotics...he gets fine after the treatment but gets hit again after a few days.the only time he was fine was when he took myteka for 2months..so if I want to give him myteka for how long can he continue to have it?", "output": "Hi...it could be viral associated wheeze or multi triggered wheeze. I have a few questions for you -Questions:1. How many days per month does he cough or feel breathless?2. How many nights per month does his sleep get disturbed due to above symptoms?3. Does he feel breathless when he is active?4. Are the symptoms when there are seasonal changes?5. Is there any family history of asthma or any other sort of allergies like skin allergy etc.?6. Is the cough always associated with fever? Kindly get back to me with the answers and I will try to guide you. I don't thing removing tonsils is a solution for this problem. Moreover, a kid less than 5 years cannot be labelled as asthmatic....9 months is too early. No point in using Meters (Montelukast) alone without proper assessment of symptom severity. You can approach me at the following link. Please find the link below.www.ChatDoctor .com/doctors/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "15 years of age. 154 pounds. 5 foot 5. Diagnosed with Crohns Disease at age 7. I get this feeling sometimes that feels like I have a lot of pressure on my chest, like my chest is tightening. I feel like o have to take very deep breaths to expand my lungs to get enough air. Last time my hands started to shake really bad. What is wrong with me?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of stress and anxiety related symptoms is more. Presence of Crohn's disease at young age (15 years) makes you stressed and anxious. Stress and anxiety can cause HERD (gastroesophageal reflux disease) and this can cause chest pressure, tightness, pain etc. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Also take proton pump inhibitor like pantoprazole for HERD. Avoid hot and spicy food. Avoid large meals. Avoid stress and tension, be relaxed and calm. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hola! I had a lumbar spine MRI and was told my L5 transverse process is articulated with the sacrum. This is obviously what has been causing me low back ache (and other aches and pains) since I was a teenager. More recently (since pregnancy over 5 years ago) I also have a more localised pain which turns out to be the exact location of where the L5 TV would touch the sacrum. I am in physiotherapy for this but I really think that the results will be temporary if my pain is relieved. I think this because if I miss a couple of days of exercise, I m back to square one with the pain and ache. I really want to have the resection (transverse process) surgery. The thing is.. I really want to know if the surgery could actually give me the flexibility I never had in my back due to the Bertolottis syndrome that I ve had for so long. Mechanically it makes sense that it would, but in reality is it too much too late? I would like to hear from any surgeon who has experience the this surgery... and what is the recovery like for this op?Many thanks", "output": "Hi, thank you for providing the brief history of you. As by reading your history I can understand that the backache is bothering you too much. As in my clinical experience I see cases with such abnormalities of spine. I personally have recommended people not tonunderfo surgery to the importance of the muscles and the bony factors. Performing regular exercises will surely help you proceed further. The reason to avoid the surgery is also the recurrent post surgical pain. As the spine will be more of the instable. Usually, post laminectomy, discectomy, etc. any spinal surgeries the pain persists in the future. Since it is more of a joint play understanding here that the physics of the spine is designed to bear the sheer stress and load onto it. Also, once the muscles are stronger with the following exercises the levels are under control. Exercise includes - Core stability, Pelvic floor strengthening, Spine muscle strengthening, hip muscles strengthening, and later over all body conditioning. Looking forward to the other matter here is why the pain arises, it is the understanding of the just bony deformity, or it is more of the physics of mechanism involved. To head further I recommend my patients to use the hard wooden surface to sleep in nights, which the body in momentum and the recurrence of pain is much less. Practicing regular exercises post learning from a physical therapist helps in longer run. Surgery is a memory relief of pain, but post the surgery the pain and aches are more due to instability of the spine, which I have personally experienced in my clinical practice. Also, the best job of an orthopedic surgeon is to safeguard the joint and not to allow it to damage more. A good surgeon will never advise for the surgery as the original joint has its own importance which no good surgeon will have a mind to lose. I will recommend undergoing a good number of weeks of physical therapy where you will learn various ways to exercise and safeguard the spine for future and avoid surgeries. In my clinical practice I have this same attitude of teaching more of the physical exercises then looking for the surgery. As exercise is the natural form of safeguarding the spine and surgery is the artificial. So choice is left up to you. In my opinion learning the best way to exercise is better than undergoing the knife.regards. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My stomach is swollen and when I touch it I feel faint, light headed, dizzy, and nauseous. I can t hold food down. I ve been nauseous and vomiting . My stomach is swollen from top to bottom and my pelvic area is swollen. I developed heartburn two weeks ago that progressed to these other stomach problems. The doctor diagnosed me with GERD but I think I might have something else. I ve been feeling fatigued and lightheaded and it is difficult to walk. I also have pressure in my lower back. I have to be careful how I move or I ll start a vomitting fit.", "output": "HIT hank for asking to ChatDoctorI can understand this if I would be your doctor then I would treat you with the following medicine, looking to your history given here the chances of some intestinal infection is likely which are getting more intense with the functional elements,1) Tab Omeprazole 40 mg once in day 2) Tab Domeperidone 30 mg once in day3) Tab Chlorodiazepoxide three times in day4) Tab Metronidazole 400 mg twice in day for five days no need to worry about this, hope this information helps you have a good day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, Am a Medical student currently doing my final year. From my child hood onwards i have a problem with shyness , Over Self conscious. Now i have fear of public speaking,blushing, anxiety ,lip shivering etc... I think am more active mentally than physically, because if am seeing someone then i ll guess myself ,what the other person is thinking about me and I ll act on that guess eg: I ll guess he/she is thinking badly about my standing position,my laugh etc etc..and I ll feel uncomfortable with that. This same is happening on all other daily activities. Because of these problems,Am very bad in mingling with friends and other social circles. My medical school life also getting distracted because of this,Am not even able to ask a doubt to my teacher even if am alone with teacher,if am asking a doubt I ll think for many minutes like what she ll think about me,what if my language is bad ,what if my question is bad etc etc... Also sometimes I ll have a fear or am afraid to ask something to someone, I have good patience,but if i get angry and saying something ,then my lip will shiver, Blushing on my face etc. Am making my own thoughts about what other will think of me. Because of all this I can t walk in public in a relaxed state,my mind will always be in working state.If am talking in a group who are not too close to me,then my lips will start to shiver, uncomfortable etc because during the talk my mind will be working on others like where are they focusing,are they focusing my talk,lip movement etc..are they laughing about me etc.... Am only good with my few too close friends.. because of the above problem,I only have few friends,I ll always be at my home ,I won t go out like others.. In summary i can say, I have self consciousness , fear, Blushing, anxiety, Nervousness , Panic etc.. Doc, Is there any ways to change all this ? Am very sad in medical school because of the above issues, Am very much like to perform on some topics on my class,but I ll hide from these stuffs ..", "output": "Hello. I read your query. Since you are a medical student you yourself can see and admit the solution of the fear........that's is only and only to be courageous enough to throw away them all........I know you must have tried lot and would have failed to do so. But always remember that in this world the people see in you what YOU show. Whenever you meet some new person and start becoming conscious .....just think that he will observe your fear only if you show him (by your body language, lip shivering etc.) try to control that immediate change of behavior. One more thing you can ask your own self......even after allele...........if the opposite person don't like your speech, or question, or presentation.....then what will be the result?? Nothing....no one is going to hold you in jail.....never be afraid of the result......never fear to try. If you fail then try better and stronger. You just need some self motivation. You can try some personality development coaching if you want. No need to go to psychiatrist. Need to do self evaluation. There must be some activity which you're never afraid of, which you are confident of....try to involve in them to built up confidence. Hope this helps you. Thank you. Best luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I had a very severe esophageal spasm and ended up undergoing all sorts of heart tests to rule out heart attack and heart issues. I continue to have discomfort in my chest and some mild spasms plus some burning all inside my chest. I am seeing my gastro doctor next week. What can actually be done for this. I take omeprazole 40 mg 2x per day but it does not fix this any more. What should i expect when I see my gastroenterologist?", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. By your history and description, possibility of HERD (gastroesophageal reflux disease) and esophageal spasm is more. And for this you need to get done upper GI (gastrointestinal) copy. So gastroenterologist will mostly do this. Along with proton pump inhibitors (omeprazole), certain lifestyle modifications and smooth muscle relaxant Chat Doctor. Lifestyle modifications like 1. Avoid stress and tension. Avoid hot and spicy food. 2. Avoid large meals, instead take frequent small meals. Avoid junk food. 3. Go for walk after meals. Keep 2-3 pillows under head in the bed to prevent reflux. 4. Lose weight if you are obese. Quit smoking and alcohol if you have these habits. Don't worry, with " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi .. have been suffering from chronic problem of instense nasal congestion, flowy nose sneezing almost throughout the year no matter what the weather. It particularly aggravtes when i inhale dust or i experiece sudden temperature changes.. i had to carry otrivin with me and clear off congestion, such was the intensity of my congestion and itchy nose..This had been going on for last 5-6 years..recently ENT suggested montair LC and furmaist ..after using it for a week , i have experienced tremendous relief.. my issues seem to have vanished..i wanted to know if this medication is safe for long term usage?", "output": "Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. Your symptoms are characteristic of allergic rhinitis. And treatment of choice for allergic rhinitis is nasal spray containing corticosteroid and oral tablet containing antihistamine and anti-allergic. And you are taking correct treatment for this. That's why you are improving. So you need to continue this treatment for at least 1 year and then tapering can be done. No need to worry about long term side effects. These Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am experiencing severe pain in both shoulders and upper arms. I have no chest pain or heart problems. I am also experiencing a severe rash over a significant portion of my body that coincides with the onset of the pain. I have had the shingles vaccine.", "output": "Hello I have studied your case. Yes your symptoms suggest shingles. You can reduce symptoms by taking anti-viral medication like acyclovir consulting your doctor. Neurotropic medication like pregabalin and methylcobalamine may help to reduce pain you can start them consulting your doctor. Calamine lotion may help to reduce irritation. If required blood investigation like CBC will help in prognosis. Vaccine dose does not confirm that you won't have shingles. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My dad has type 2 diabetes. He recently has been discharged from the hospital. He was prescribed ciprfloxacin 2 times a day, metroNidazole 3 times a day, & metroFormin 2 times a day. Today when I checked his sugar levels they were high (289). He has been complaining about a nauseous feeling in his stomach. Do I need to take him to Emergency ?", "output": "HelloThanks for usingChatDoctor for your health problems. I read careful your question and understood your concern. You doesn't explained clearly why your dad was prescribed the antibiotic and antimicrobial therapy anyway I presume that it has an infection when he was discharged. The infectious disease and maybe the psychologic stress that is caused by the infection can raise the blood glucose in a diabetic person. His blood glucose is high and nausea can be a symptom of diabetic ketoacidosis. Diabetic ketoacidosis is a serious complication of diabetes that occurs when your body produces high levels of blood acids called ketones. For this reason my advice is to check his ketone level in the blood and in the urine. If the result is positive you need to take him in an Emergency Room as soon as possible because it can be dangerous if it is not treated. In most cases, people with diabetic ketoacidosis need to be treated in hospital. If the test of ketones in his blood and urine is negative, i suggest consulting an endocrinologist in your area because in my opinion the metformin monotherapy is not effective, and it is necessary to add another antidiabetic Chat Doctor. I want to remember that the diabetic diet and more physical activities(if not contraindicated)are other important elements for the control of your dads' diabetes. I recommend to not be negligent. Hope I have answered to your question. If you have further queries, feel free and ask. For treatment recommendations, and individual therapy, you can ask me at Chat Doctor at my private link: bit.do/ChatDoctor-" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good Evening Doctori am suffering from toe fungal infection. can you please tell me something about its treatment and how much time it will take to get cure. i am also taking a medicine named terbifine since 19 jan 2010. but there is no improvement can you please suggest something.Thanks in advance!", "output": "Good evening & Welcome to Chat Doctor. Incomplete data like age, gender, any associated medical problem like diabetes, duration of antifungal (Terminating) treatment?? To be effective, Terminating should be taken for 6 to 12 weeks. The result of successful treatment will be seen until the nail grows back completely. It may take 4 months or longer to eliminate an infection. If you did not notice any response even after 4 months, it may be due to ineffective treatment or resistance to Terminating. In that case other medications like Itraconazole tablet or antifungal nail polish containing Ciclopirox would be more effective. Besides, your nail should be trimmed properly this helps reduce pain by reducing pressure and the Chat Doctor. Any underlying cause like diabetes should be controlled with the medications. Hope the suggestions given would be useful." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here...I have a queation.. In the past year i have been getting these strange attacks. I throw up, get hot, itchy, and pale with a rash on my face, i have even gotten dizzy and fainted before. I was wondering if i have hypoglycemia?", "output": "Hello, Based on your query, my opinion is as follows:1. Itching rash on face and dizziness points towards more of an allergic cause with systemic manifestations.2. Hypoglycemia can present with dizziness, however, itching rash is not known to occur.3. Get your blood sugar, eosinophil percentage, and IGE levels evaluated.4. Based on reports, clinically appearing to be of the allergic cause, further opinion can be given. Take plenty of fluids. If eosinophil raised, an allergen test may be necessary. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, im a 15 year old girl. i have been through a lot in my life and have never really been affected by any of it. Last year i moved from a city to a small town miles away where i didnt know anyone and had to start a new life. it took me a long time to settle in but when i did i loved it. Soon my mum and dad split up after 16 years of marriage and my mum moved back to leeds. i never see any of my other family and now live with my dad. for the past six months i have struggled getting up and going out. i have missed lots of school as i rarely feel up to it. I over sleep unlesss i have school i cant get to sleep and end up having about 4 hours sleep before it. My eating goes from over eating to hardly eating anything in 2 days, The only places i can bring myself to go is my house and my boyfriends house were i will just lay in bed. My mood is usually a bad one and i cant deal with feeling so low as a person any more. I used to get ready and go out with my friends every day, be up and ready for school. Now i just want to be in bed doing nothing, what is wrong with me?", "output": "Hello....... Thanks for your query. I understand the emotional turmoil you are undergoing and the multiple stressors you are facing right now. Hence, I suggest you meet a psychiatrist for a diagnostic evaluation. You need to be screened for depressive disorder considering the symptoms of low mood, insomnia, decreased appetite, impaired energy and activity level. The treatment would include:1. Antidepressant medication like SSRIs2. Psychotherapy techniques like CBT/Cognitive behavioral therapist you good health. Try to stay positive. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello I m am 29yrs old male . Since last 3 months I m having excessive gas in my stomach .occasionally I have a cooling sensation or pain around my chest and back. I also have my pain in my stomach near right rib cage. Pain in my neck and reddish windpipe, my mouth gets dry . Sometimes during bowel I have a thick white penile discharge but in small volume. Have met several doctors no reliefPlease explain Need help.", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion, you are mostly having HERD (gastroesophageal reflux disease). It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms of gaseous feeling in stomach, burning pain with stomach pain. So better to start following steps for symptomatic relief. 1. Avoid stress and tension. 2. Avoid hot and spicy food. 3. Avoid large meals, instead take frequent small meals. 4. Start proton pump inhibitors. 5. Go for walk after meals. 6. Keep 2-3 pillows under head in the bed to prevent reflux. 7. Avoid smoking and alcohol, if you are having these habits. 8. Lose weight if you are obese. Don't worry, you will be alright." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Aged 52; Indian.height 58. Weight 78 K.G. diagnosed with Parotid tumor (in one of my salivary glands on my right face) with mild pulmonary metastases;had 2 course Radiation therapy in early 2010 and 2011. At this stage, do I need I need Chemotherapy to control the lungs and surgery to remove the Parotid tumor and reconstruction. I live in India and cannot afford the huge cost of treatment in USA. Can you suggest the best Institutions in India?", "output": "Hi, Thanks for writing in. Cancer is a challenging condition and treatment should be given as per the stage of the disease. If you have developed lung metastasis then please return to your doctor who has treated you earlier and then continue treatment for the parotid swelling and lung metastasis. As lung spread makes your condition stage 4 cancer therefore, attempts are to be made to control the progress by giving chemotherapy and radiation. As you have parotid cancer therefore the chances of treatment are better and many people can survive for a long time with proper treatment. There are many cancer treatment hospitals in India and you can choose to go to any of them. The best cancer hospital is Tata memorial hospital in Mumbai, and they provide cancer treatment at low cost. You can also ask your employer and try to write to philanthropic organizations seeking help for cancer treatment in the US if it is difficult to change your location." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my heart beat increases very often and i feel uncomfortable. i feel heaviness in my stomach. i also have a gastric problem i feel. because i feel soffcation in breathing and heart burning as well. what could be the reason for heart beat increasing. recentlyi had my ECG done and it was normal. is this something which i have to be more cautious about?", "output": "Hello! Thank you for asking on Chat Doctor! I understand your concern, and would advise to rule out any possible triggering factors for fast heart beating, like anemia, thyroid gland dysfunction, other organ dysfunctions, etc. I recommend performing a medical check up with a careful physical examination, coupled with some blood tests (complete blood count, thyroid hormone levels, chest X-ray study, liver and renal function tests, etc.). If any suspicions for abnormally high heart rate is raised by the above examination, then an ambulatory ECG monitoring would be advisable. If everything result OK by the above tests, and only normal sinus tachycardia is present, then an investigation towards diagnosis of anxiety should be sought. Hope to have been helpful to you. Greetings! " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am experiencing sharp pain in my lower right abdomen and in my right shoulder which aches whenever i inhale deep. my urinalysis and blood test says that i have high bacterial rate, i also have yellowish vaginal discharge and i cant bear the pain anymore. what should I do? please help me. the meds that the doctor prescribed arent taking the pain away. please help", "output": "Hi thanks for posting your query on Chat Doctor Your complaints and investigations are suggestive of urinary tract infection, that can be treated with antibiotics, but I would suggest you to get urine culture after discussion with your treating doctor and take antibiotic as per his/her advice based of culture report. This infection can spread and lead to pelvic infection and result into vaginal discharge, should be evaluated by gynecologist. Please make sure you should continue treatment as per doctor advice your lower abdominal pain there is possibility of stone in urinary tract again require clinical examination and further imaging can be done if required hope my advice may be helpful for you. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir i used to masturbate at an average 3-4 times a week. i am 19. Then it suddenly came to my mind that why not stop doing it for a while and see whether nightfall resumes or not, just to check whether everything is normal or not and to make sure that i did not do it excessively. I asked one of my friends and he said it will never resume. please tell me whether it will resume or not? and if yes then how much time it will take for it to resume?", "output": "Hello, The duration of night fall and time for night fall cannot be predicted if you stop masturbation. Three to four times a week masturbation will not cause any harm. You might have night fall if you stop masturbation because after few days to weeks semen need to be ejaculated from storage genitals and so night fall is obvious. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am 29 years old, I am supposed to have Behcet, I have had several quimios and inmune tratments. I have had 8 aplications of rituximab and one of alentuzumab. Now I am inmunosupressed. My biggest problem is a pain that I have had from 7 years and the drs cant find any reason. It is located under my right ribs. My gallbladder is with mudd... but nothing to alarm (because I became addict to morfine), they say my liver is fine, my bilirrubines are aout of range, I cant eat or drink watter because of the pain and they dont find anything. I went voluntarly with two psychiatrist and both said it wasnt psychological. Do you have any idea of what could it be? I am turning crazy, I cant stand more pain. Any idea will be helpfull. Thankyou", "output": "Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. These are very small stones, like sand, and it may be more dangerous than sons since these may block bile duct. You should do CT scan to evaluate it more accurately. You need to change your dietary habits first. Need to avoid fried food, carbonated Chat Doctor. You should eat more milk products, vegetables and boiled food. If there is no improvement on lifestyle or dietary changes, then surgery is recommended. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 16 year old son has a hard lump about the size of a baseball under the breast plate on his right side. x-rays at the ER showed an inflammation, and that thus far his heart and lungs are not affected should we be concerned? And what could it possibly be?", "output": "HI. This is most probably a condition called Gynecomastia and the best way is to get this operated, removed and subjected to histopathological examination. Although this is usually a bilateral phenomenon, it is not rare to see like this. Cancer has to be ruled out by doing histopathology of the removed specimen and X-ray has not much role to play in the diagnosis. Radiography in the form of CT scan of the lesion, chest and maxillae is of help." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "8 days ago i was on a trampolean and fell off messing up my shoulder, i went to the emergy room and they sent me to an orthapedic doctor for him to tell my it was a shoulder strain, however, i have accumeulated a bump on my clavicle (protrudeing bone) a few days ago and i was wondering if its serious, i can move my arm for the most pary but it is a little painful when i move it to the left side of my body and i dont compleately have full rotation on my arm.", "output": "HI, dear,I went through your query. Thnks for query to Chat Doctor. In my opinion you need recheck with the orthopedic doctor or a surgeon nearby, as your story is incomplete. Still your data lead to the rt. Clavicle -bump, whicChatDoctore to your notice -in last few days-after the primary treats from the orthopedic doctor. In my opinion it is-Fracture clavicle with bump and hence is causing restriction to the shoulder movement. Hope you got the answer, but you still need help from surgeon or orthopedic doctor-to be specific. Wellcome for any more query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My mother has been advised to take Shelcal-CT as she feels tingling sensation in her right thigh...Also she was diagnoised with Diabetes recently which was above normal limits but not by huge margin... Can you help with why Shechal was prescribed & will it be okk to take it..", "output": "Hello! Welcome on Chat Doctor ! You should know that Shelcal-CT is a Chat Doctor. It is really helpful in case of osteoporosis or vitamin D deficiency. But, I don't think that the tingling in her right thigh is related to such disorder. As she suffers from diabetes, it is very likely that her symptoms are caused by a peripheral nerve damage, probably a mononeuropathy or a pinched nerve. For this reason, I would recommend performing a nerve conduction study. If the diagnosis is confirmed, I would advise starting treatment with Gabapentin or pregabalin, to help improve her situation. Hope you will find this answer helpful! Best wishes, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a heavy head almost as if it s filling with blood. I also have shortness of breath an I don t want to say chest pressure but it feels like I have flem caught in my chest. I also have a pain in the crease of my shoulder blade when I take a deep breath an sometimes the pain will move to the front in my rib area. What could this be?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of bronchitis is more likely. Bronchitis causes bronchospasm and this in turn causes chest tightness, breathing difficulty, coughing etc. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment is based on severity only. You will need inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone). Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a baseball sized lump on my left inner thigh, and I noticed it yesterday. It is firm, warm, and tender to the touch. There is no discoloration, and it is not swollen large enough to be visibly noticed. I am a 24 year old male, 5 ft 10 inches, 300 lbs, and currently taking citalopram.", "output": "Hi.it is best if you consult with a doctor, preferably a general surgeon, for medical and physical examination. Based from your description, it could be a lipoma (fatty deposit), a fibrous or a cyst (a sebaceous or a gelatinous type). These lesions can occur anywhere in the body and have the tendency to recur. Management (medical and surgical) will be directed accordingly. Hope this helps. Good day!!~ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My sister has a big bump on her back shoulder blade. It is really big. One doctor said it is bursitis and another doctor said it is filled with blood. He said if he drained it that it would make it worse. Should she put ice on it or heat? what should she do. She didnt really get a good answer from either doctor.", "output": "Hello, There are many reasons for the said lump as lipoma, hematoma, sebaceous cyst, bursa cyst, tumors, and others. Definite diagnosis depends upon the clinical parameters as consistency, fluctuation, transparency, relation with underlying structures, movement possible, growth pattern, other criteria. I would strongly suggest consulting with a high resolution photograph of the same, I assure you to remove the diagnostic dilemma of the same. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi for years now at times i suffer awful stomach pain high up in the tummy. i find it happens sometimes if i lie down short time after food..my tummy swells up and pain becomes severe i have to curl up and after some 15 minutes or more with the releasement of wind the pain eases a bit. it is also sore to touch if i press in . can u help please", "output": "Dear. It sounds to me like typical stomach disorders such as gastritis, HERD or hiatal hernia. It causes abdominal bloating and distension, especially after meal. So if you want to find it out then do gastrostomy and stomach biopsy. Till that you need to change your dietary, eat more fruit and green, less alcohol smoking and fast food. Also, after meal don't lay or sit. Just walk or stand for a while, until food pass through the stomach and duodenum. When you lay try to be on your right side. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am a 49 y.o. female 5 feet tall and 170 lbs. I have had muscle sprains in my lower back from an MVA a couple years ago and the pain went away after a couple weeks, but it never hurt this bad and with no relief. I fell in a store 3 days ago while sitting in a chair that gave out, I am now having alot of pain in my lower back and sacral region. My pelvic organs are sore as well. I am not getting full relief from the pain even with 800 mg of advil. The pain is also going down my leg and my leg feels a bit weak. Could it be worse then a muscle sprain? Who should I see for this?", "output": "Hi Welcome to Chat Doctor. I understand your concern. Your earlier pain a couple of years ago is strongly related to MVA.but since it disappeared, it extremely important for you evaluate thoroughly the cause of pain in your case. Trauma could be a possible cause as of now, injuring the disc or causing sciatic nerve compression resulting in sciatica. I strongly recommend you to have an MRI scan of the spine. This can accurately detect the pathology if any. This is unlikely to be a muscle pain as it radiating to great extent with associated trauma. A total serum calcium level is helpful.Meanwhile, analgesics like ibuprofen and diclofenac will help. Consult your neurosurgeon in regard to above. Post your further queries, if any. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 52 y.o. W.F who had a total hysterectomy for tx of stage 1 endometrial cancer 1 year ago. Recently I have experienced a wheeze with tight unproductive cough that just happens (sometimes after a laughing spell) and I taste blood but am not spitting up blood. I do not experience shortness of breath. Any ideas?", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. You are having momentarily wheezing with tightness in chest. This is characteristic feature of temporary bronchospasm. This is seen commonly with allergic exposure and emotional disturbance like (crying, laughing etc.). This can also be seen in stress, anxiety. So better to avoid dust, pollen etc. Avoid sudden emotional behavior like laughing, crying. If you are having stress, tension and anxiety then avoid them, be relaxed and calm. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband had his teeth removed and has dentures. Ever since he has had them, his gums have hurt. No one can help. He uses warn salt water, has had magic mouthwash, and biotene. Nothing helps. They hurt when his teeth are in as much as when they are out. Any suggestions?", "output": "Thanks for your query, I have gone through your query. The pain in the gums could be because of the fungal infection secondary to the denture(Denture dermatitis) use like erythematous candidiasis. Consult an oral physician and get it ruled out. It can be treated by using a topical antifungal like candid mouth paint 3-4times daily for 1 week. You can take topical anesthetic and analgesics like Anabel gel. Apply 3-4 times daily before food for pain. Stop using denture till the lesion heals. Maintain oral hygiene. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor, My friend had her last period on the 24th of nov2011, and started taking Norithisterone 10mg from the 17th December till the 4th January 2012 to postphone her period, but even after stopping the drug her periods never started and a urine test showed that she is pregnant. she is worried if the drug will cause any abnormalities to the unborn baby. Please offer advice if she can carry on with her pregnancy or does she have to terminate the pregnancy. My friend is 30 yrs old, had her 1st ceaserean baby 7yrs ago. height is 5.4ft,otherwise healthy. n h", "output": "Hi, Norethisterone, if taken to delay periods and if you had unprotected sex during this course of time, the chances of becoming pregnant is very high. You mentioned positive pregnancy test too. However, norethisterone is contraindicated during pregnancy, as it might result in minor birth defects in fetus. It causes mild masculinization of the external genitalia of the female and hypomanias in the male fetus. It's better to consult your doctor once and do a USG for further assistance. Take care. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi Doctors i am suffer the problem to weekness after marriage ,my age in 30.,weight is 54 Kg..i talk to the doctors for that prob. he say you check the haemoglobin 1st.i gave the report .my haemoglobinis 9.90 gm%,& say you are Beta Thalassemia Minor..in that case which syrup or mediacne i use to increase my haemoglobinis ? plz answer it.....", "output": "Hello, Thank you for your contact to Chat Doctor. I understand your health concern, if I am your doctor I suggest you that Liven Z is the best available tablet you can have it one tablet a day for as long until you have good hemoglobin plus 3 months to replenish the store of iron in the body. If you have thalassemia minor than your hemoglobin might go to be down. So for your continuous treatment with the hepatitis is necessary. Do not discontinue the treatment. I will be happy to answer all your future concern. Thank you, ChatDoctorInfectious disease specialist. Wish you the best health at Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My period is pretty regular. It was five or six days late but then I had a regular flow. I wasnt crampy and didnt reallyhave any clotting. At first there was clotting but now its just blood . The flow stopped pretty much on the 3rd night and my periods are usually 5-6 days long. Can I be pregnant even though I bled? The one HPT I took came bac negative but that was the day (5 days late) I started my bleeding . I do have two children both were extremely high risk with problems during entire pregnancy...", "output": "HelloThanks for your query. Since this period was delayed, and the pattern was not like your normal period, you should be doubly sure. Sometimes, a miscarriage or an ectopic pregnancy (pregnancy outside the uterus) presents in this way. Also, rarely, a woman bleeds but still pregnancy is ongoing. Since one HPT is already negative, I suggest you consult a Gynecologist who would examine you and suggest an ultrasound/blood pregnancy test for confirmation. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi am a 24 yr old guy weight 85 kg, height 5.6 inches. i have undergone blood test and all tests...except my liver test all are normal, my sgot -82 and sgpt is 232...I had 2 bottle of beers that previous night...is that is the reason for high values?", "output": "Brief Answer:You need to do further examinations. Detailed Answer:Hello, Thank you for using Chat Doctor. Alcohol may be one of the causes of high level of GOT and SGPT, but this usually happens after a chronic consumption. So I don't think that two bottles of beer may have caused this high levels of GOT, SEPT. Is necessary to make further laboratory tests to exclude viral infections (Hepatitis B, C), autoimmune disorders, or fatty liver disease. You have to make a liver ultrasound also, to see its structure and dimensions in way to reach a more accurate diagnosis. Meanwhile, do not consume alcohol and don't use medications that may harm liver such as paracetamol, nitrofurantoine (antibiotic), augmenting (antibiotic). Hope this is helpful. Let me know if you need more clarifications. Otherwise, please close and rate the answer. Kind " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have constant belching, RUQ pain, and sternum/midback (under bra strap) pain. Was off/on for a few months, now constant. Had abdominal ultrasound (normal), two liver function panels (normal), chest Xray (normal). Take 40 mgs of Prilosec twice daily. Am getting endoscopy next month (already know I have a hiatal hernia from a previous endoscopy). Had chest CT scan which showed lungs clear, but a 4 cm liver mass. Then had contrast enhanced CT scan of liver only and no mass (reviewed by 3 docs, nothing there, think it was \"fat infiltration\". Getting liver MRI next month to double check). Also had AFP test (neg) and Hep tests (neg). Totally confused now. GI doc thinks I am exaggerating RUQ/back pain, but it is daily and getting worse. Could this be liver, gallbladder, GERD, hernia?", "output": "you may be having HERD which gives many varied symptoms. All that is to be done is to take Prilosec and have light diet, small frequent meals, avoid fats, spices,alcohol, take foods which are easily digestible.However, have an upper GI endoscopy done to confirm hiatal hernia current status and follow all precautions for HERD. You gastroenterologist doesn't consider liver, GB, then trust him, He may rule out Pancreatic disease also by serum amylase levels and endoscopy for GI symptoms Best wishes regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,My husband is 28yrs old.. He started with itching on his forearm & top of hand about a week ago and then followed tiny bumps you couldn t see unless you really looked closely..Shortly after his chest,arms,legs,tops of feet,and hands were covered in what looks like a rash of some sort.. His hands are the worst.. He has tiny bumps that are filled with clear fluid and come in groups or single spots.. He says they do not hurt just feels really gross.. I have had scabies before and they look NOTHING like that.. We went to the ER today and the doctor told him it looks like a food allergy and prescribed him prednisone and atarex .. I m not sure he is happy with the diagnosis so I am trying to get a second opinion", "output": "Hello, It is not common to develop a food allergy at this age although not impossible. If the rashes he had developed were definitely after eating a specific food (which must happen every time) then a diagnosis of rash secondary to food allergy is plausible. What you describe is something like cholinergic urticaria, a form of urticaria (this is not allergy in >80% of cases) that is triggered by temperature changes and mast cell release of mediators like histamine. Scabies is also a possibility that is intensely itchy and needs to be excluded with a careful examination, skin scrapings or a course of treatment if there is high clinical suspicion. Atarax is a strong antihistamine (sedative, so take at night) and prednisolone must be stopped after 5 days giving Atari a chance to work. You can switch to non-sedative antihistamines like fexofenadine or cetirizine. There is no blood test for a definitive diagnosis but thyroid disease or diabetes need to be excluded along with a complete blood count to ensure there is no infectious trigger. Hope that helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am recovering from a severe cold and upper respiratory infection...spent a night in the hospital receiving breathing treatments, prednisone, etc...my cough and congestion has cleared up considerably...i have also quit smoking...my question is will a dehumidifier help or hurt in my situation??? thank you so much for taking the time to read and respond...Pat", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. Yes, dehumidifier will definitely help you. Since you are smoker, your lung defense system is already weakened. In humid air, microorganisms grow faster and cause respiratory tract infection. The incidence is even higher in smokers. Dehumidifier extract humidity from the air and keep it Chat Doctor. So microorganisms are less in " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m female 25, TTC. My periods is late by 10 days. Im regular with a 30-32 day cycle. And I have pregnancy symptoms like nausea,fatigue, headache, constipation, food cravings & smell aversions..I took 2 home pregnancy tests.. Both were negative.. Today I went to the doctor. She again took a urine test and it was negative too. She has prescribed Regestrone 5 mg tablets for 3 days. Is it safe to use ?. May I still be pregnant ?. What is happening in my system ?. How should I proceed ?.", "output": "Hi there, I have understood your concern. I will suggest you the best possible treatment options. 1) First do not panic. 2) With multiple negative pregnancy test results, you can assume that you are not pregnant. In your case, Tab Progesterone will not be harmful to you. But it will be helpful to induce periods. 3) I will suggest you to get USG done to know if polycystic ovaries is a cause for your irregular cycles. If it is so, then please contact your gynecologist to get proper treatment for treatment of polycystic ovaries and for getting pregnant. I hope this answer helps you. Thanks. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi yesterday i had one tooth extracted from top of my mouth at the back, since then i have been in a fair bit of pain,i cant chew and it hurts to swallow. where my tooth was,is now swollen red and there is white/yellow spots. im not sure if its normal or not? thank you for your time.", "output": "It is normal process for body to repair and heal a wound. Any injury like extraction will definitely cause swelling, pain, and redness. Do not keep inspecting the site with finger and tongue, It will heal in 7-10 days. Do not smokestack medication prescribedWarm water gargle thrice daily Brush carefully avoiding the extraction site. Chew on the other side of the mouth left/ right I mean. If it persists more than 5 days, check it with your dentist.regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hey, I have recently gotten checked for an sti. My results came back and I have clymida. Im prescribed with 4 tablets of co-azithromycin monohydrate, 10 tablets of doxycycline. My problem is that everytime I per or masterbate, it burns. Is this normal? Someone help", "output": "HelloThanks for your query, based on the facts that you have posted it appears that you have burning urination every time after you masturbate. During erection and ejaculation there is increased flow of blood to the penis and urine to the extent of 20 times more than normal blood flow that results into congestion of urethra and penis.Moreover, there is semen deposited on the walls of urethra during ejaculation. The dual effect of thick semen being deposited in urethra and residual congestions gives rise to pain while passing urine immediately after masturbation. This pain will go away after semen gets washed away during first urination after masturbation. Ensure to Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I would like to know about a patient who is going through dialysis every 4th-5th day. How healthy life he can live? How long he will be able to live if he doesn t get a healthy kidney? Will marriage be a safe option for him? Any treatment other then transplant available?", "output": "HelloThanks for your query, based on the facts that you have posted it appears that your friend has Chronic Renal Parenchymal disease. It is progressive disease and one can not pull on lifelong on dialysis and has to get renal transplant done. Life span depends upon the creatinine level and effect of renal disease on other organs and systems of the body, I would advise not to go for his marriage. Renal transplant is the only option till then he has to undergo dialysis till he gets kidney donor . Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "The pointer finger on my right hand is giving me pain. It happened after I woke up one morning a few weeks ago. I did make an appointment with a doctor, but I was hoping you could give me some insight as what could have caused this problem with my finger?", "output": "Hi, It may be a simple contusion or inflammation at the fingertip. We have to rule out rare possibilities like arthritis also. As a first line management, you can take analgesics/anti-inflammatory combination like Diclofenac/Serratiopeptidase for symptomatic relief. If symptoms persist better to consult an orthopedic and get evaluated. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have had a severe cough for about a week with now. i try to cough up phlem but none comes up when i am forced to cough. i dont have a cold or the flu and i am wheezing terribly when i lay down to go to sleep. i am having trouble breathing it seems, especially when i lay down. when im laying down is when the coughing is more severe and frequent. I want to know what is going on with me and what medication i need to take.", "output": "Hello, Thank you for asking at Chat Doctor. I went through your history and would like to know more about you like - whether this is the first time you are experiencing such symptoms, any nose symptoms, any known allergies, any digestion related symptoms, whether a smoker, whether exposed to air pollution frequently, etc. etc. These details would help me to know more about you and therefore to make more specific suggestions for you. Such details would also help me to suggest possibility of some diagnosis as there are numerous causes for cough & wheezing. At present, from your given history, I would suggest you as follows:1. I usually prescribe my such patients' albuterol (inhaler, if not available, oral tablet will also work) for 5-7 days depending upon response. Please note that albuterol can cause side effects such as increased heart rate, palpitation, tremors, etc. So it is very important to know about your medical history in detail. Please consult your doctor before taking albuterol.2. If you have nose symptoms like nose congestion, sneezing, etc., I would also add an antihistamine like cetirizine or levocetirizine in your treatment.3. Warm saline gargles and saline nasal washes will also help you to improve earlier.4. Please take adequate amounts of liquids to maintain HY Chat Doctor. 5. Please avoid exposure to dusts, smokes and air pollution as much as possible.6. If you have had such episodes previously also, I would think of allergy and would suggest you allergy testing for common air-borne allergens such as house dust mite, molds, pollen, insect proteins, cockroach, etc. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you a very quick recovery and the best of the health ahead. Thank you & Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have some pain off and on to the right side of my stomach it has been getting more frequent over the past to years. I have seen to family doctors in the last too years and had hernia surgery since then and neither one of the doctors can figure it out .", "output": "Hi dear thanks for the query on ChatDoctorthe site of pain if it is near the operated site it could be because of inguinodynia(nerve entrapment.). If you have sweeping at the same site could be recurrence of the swelling. If the pain is on the opposite site of the hernia then a hernia may buy developing on the opposite side. For all the above you need to consult your surgeon and get an ultrasound abdomen for the confirmation thank you hope your query is AAD Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Dr, im vishakha... want to ur help... im married in last year... i m facing some problem... a tumor are ssing on my husbant penis from last month... it is increasing size day by day.... i feel that, some liquid in that tumor ... may be it is harmful for my husbant... if penis will cut for any reason, which problem we will facing or it is dangourous to my husbant life... plz dr. suggest me", "output": "Hello, Your mentioned symptoms suggestive of some growing lesion over the penis. However, without seeing the image of the lesion, the specific comment cannot be possible. If needed than for reaching diagnosis we can plan to go for biopsy for a histopathology examination. According to cause specific management plan decided. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, i just got to know from my breast ultrasound reports that i have a well defined cystic area measuring approx. 4.4mm. is seen in the dermis layer of the sin of the left axillary region. both breast show predominantly fibro grandular parenchyma. there is no evidence of any Sol/ Architectural distortion/ calcification . both nipple, reteroareolar region, skin,subcutaneous tissues and axillary tail region are normal. i am 23 years old female and i went to the gynaecologist yesterday in order to check if i had breast cancer . i was very scared because from last 4 months i had some pimple sort of thing on my left underarm . also i felt some burning pain on my left breast and on the underarm too. i also have spondolysis symptoms so i have the pain on th eentire left side. please tell me is it related to any cancer. i am very scared.", "output": "Dear Ma'am, Sorry to hear about your problem. The breast ultrasound report appears to be absolutely normal. The pimple which you have described under the armpit (maxilla) is probably an infected sebaceous cyst (infection of the hair follicle) and will subside with time. If it is inflamed and not settling, you can take a course of antibiotic. There are no symptoms suggestive of cancer, but you should continue to do breast self-examination regularly. Hoping for the best. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter has swelling and a large sore on the corner of her mouth. Took her to urgent care two days ago. They prescribed a type of penecillin, but Benedryl temporarily takes the swelling down. Doctor said he doesnt know what it is. I figured the swelling would go down by now if it was a bug bite.", "output": "Hello, Thank you for your inquiry. Cold sores are common to appear outside if the mouth and would be my possible diagnosis with your description. Typically, they are contagious and of viral origin. This may last 7-10 days with no cure. Topical Chat Doctor. Prescription anti-viral medications such acyclovir and acyclovir work best when taken during the first two days of the symptoms appearing. Avoid acidic and spicy foods. Cold packs and gels with endocrine or other numbing ingredients may offer relief. Ben" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been having a burning sensation in the upper part of my stomach and bad abdomen pains. I also have been really constipated making me feel really bloated. recently I had these red itchy bumps appear on my thighs hand arm and ankles that wont go away. What could all this mean??f", "output": "Hi, welcome to Chat Doctor forum. Pain and burning in the upper abdomen, with altered motion is usually caused by acid peptic disease. It can be initially controlled by antacids and Chat Doctor. Later, recurrences can be prevented by the following precautions.1)make you eat habits regular(keep correct time)2)avoid in between snacks.3)avoid much oily/spicy/fried items.4)reduce non veg items(especially beef and pork) to minimum.5)avoid smoking and alcohol-the most important measure.6)take enough fruits and veges with high fiber content. I hope you will find this information useful. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am taking prolomet xl25 since past 4 months. This has been prescribed by cardiologist for HT. I face missing beats especially when (a) I have had a very tiring day and (b) I move from one position lying down to up right position and (c) When I am stressed. It is not a regular occurance but sometimes. Please let me know how serious is this and is it the sideeffect of the drug.Thanks.", "output": "Hello, To me, you should monitor your blood pressure (BP), record the results for reference. The missing heartbeats are indicating that your heart is not working properly. You need to get it monitored through Holder monitoring. Blood electrolytes should also get checked, and treated adequately. Discuss this further with your cardiologist. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI Doc, today is Nov 13, my period is 15 days late I took a few pregnancy test from the time my period was to be finish all was neg. On Nov 18th I went to the doctors and did blood test and came back neg. Now today is Nov 23. what should I do? My doctor said to wait 2 week just in case my period comes.", "output": "Hi there, I have gone through your question, and I think I have understood your concern. I will suggest you the best possible treatment options. As your urine pregnancy test and blood beta Chat Doctor test was negative, you are not pregnant for sure. This is a delayed period. You can simply wait for the Periods to start. Or you can induce the periods with Tab Progesterone 5 mg twice a day for 5 days. I will suggest you to get USG done to know about structural normalcy of your uterus and tubes and ovaries. I hope this answer helps you. Thanks Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am trying to find a psychiatrist online to prescribe my medications. The DR that I was seeing previously is no longer with the same practice. I am prescribed celexa 40mg daily, xanax 2mg twice daily and adderall 20mg three times daily. This regimen was working fine for me but the doctor that I had to see the last time did not take my panic disorder seriously. He cut the xanax in half. I am struggling with the one mg twice daily and have had to take more than I am supposed to. Is there an affordable way to get treatment for my condition.", "output": "His had gone through your query. Celexa and Xanax both are good medicines for anxiety or panic attack. If you have problem with 1 mg of Xanax, and you are previously better with 2 mg then you have to consult your psychiatrist. So you can take advise from him. There are alternative like paroxetine /sertraline/Mizoram which can be used in panic attack or disorder. Regular exercise/meditation/relaxation/proper sleep/healthy diet can help. Still have query then feel free to ask me directly on http://doctor.ChatDoctor .com/doctors/ Chat Doctor. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Doctor,I had a burn on my face just day before yesterday. I was trying to open a cooker and then the hot water spilled on my face near eyebrow, side of my neck and behing my head. What treatment shud i follow? there are blisters as well. Pls advise", "output": "Hi ! Good morning. I am Chat Doctor answering your query. If I were your doctor, I would advise you not to puncture or debride the blisters. In case it bursts of its own, I would advise you for an antiseptic ointment to apply over it which ideally should also be safe to the eyes in case it goes inside the eye. Obviously it would be an ophthalmic ointment for the wounds and blisters near the eyebrow. In the wounds behind the neck and scalp, I would advise you to get it Chat Doctor. Usually blisters caused by hot water are not very deep burns, and it would heal in about two to three weeks time unless it gets infected. For the pain or burning sensation, I would have advised you for any anti-inflammatory " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have pain in my testicals ...it is that i am feeling pain in my weist also at same time in both sides. . past 3 days on words i am with my girl at evening times .... yesterday i kiss him at that time i dnt have pain but after that very much pain in my testicals ... 2 to 3 hours .. please tell me suggestion", "output": "Hello, Pain in the scrotum can be the result of serious conditions like testicular torsion or a sexually transmitted infection (STI). Ignoring the pain may cause irreversible damage to the testicles and scrotum. Often, problems with the testicles cause abdominal or groin pain before pain in the testicle develops. Please consult a doctor in person for physical examination and diagnosis and treatment. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. V. Anand, Psychologist" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doc! I had all my blood tests done. Sugar fasting, pp, cholesterol. Everything is just fine. My blood pressure is good by my ESR count was 46. I don t have any problem. I have hernia which is not giving me problem. My feet get swollen up by the evening as I keep sitting on a chair with my feet hanging for about four hours. What should I do to reduce my ESR level. Thanks", "output": "Hi, dear. I have gone through your question. I can understand your concern. You have ESR 46. Which is higher than normal. There are many causes of high ESR. Inflammation, tuberculosis, anemia, autoimmune disease, paraprotienemia, malignancies and many more can lead to high ESR. You should consult your physician and investigate for your high ESR level. Then take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, i am a 29 year old healthy female. Very active. Healthy body weight, low to normal bp. Today I noticed a dull ache on my right side near my upper chest kind of below my deltoid. It takes my breath away but it isnt a sharp pain. Should i be worried?", "output": "Thanks for asking your question I completely understand your problem chest pain can be due to many causes starting from a muscle pull, wrong sleep postures to malignancies in your case it looks like a pull or an injury have an analgesic for one or two days and if it does not get relieved you can consult a pulmonologist who can get a chest X-ray done and rule out any organic diseased panic short duration chest pain hardly have complex reasons thanks / regards feel free to ask more questions may god bless you with good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Am 29 years old. Last year i had an abortion and after this i am suffering from frequent leg pain. I am on ayurvedic medicines now. Recently i had a blood test and my TSH is 6.81 and ESR is 64mm/hr. My doc prescribed me Eltroxin 25 mcg. Now i am planing a pregnancy. Is there anything wrong with getting pregnant when my ESR level is this high. what should i do to bring my ESR to a normal level? will Eltroxin do any harm to my baby if i get pregnant??", "output": "Hi, Thanks for asking. Based on your query, my opinion is as follows.1. ESR level of 64 mm/hr is high and requires evaluation. Frequent leg pain maybe the cause of high ESR. Need investigations to identify cause. Repeat ESR after correction of thyroid hormone once to evaluate for other causes.2. Pregnancy is not contraindicated and you can go ahead. 3. No Elton won't harm the baby. It's a regular thyroid hormone. If you discontinue Elton, it could harm the baby. Make sure your thyroid hormone profile is normal, before your have a baby. Hope it helps. Any further queries, happy to help again." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Will any muscle reaxing medication relax the mucles surrounding the sciatic nerve muscle that is sezing up in my right side back just below my waistline or will a specific exercise aleviate the swelling in the muscle. I have live with this for many, many years but this is the worst one yet. Thank you for your assistance. Kathy", "output": "Sciatic nerve supplies the nerve innervation to posterior part of thigh and leg muscles. In sciatica these muscle causes pain and spasm. Ibuprofen (analgesic) along with muscle relaxant such as thiocolchiside will be beneficial to you. Stretching exercises of hamstring muscle and spinal flexion exercises will decrease the spasm. Hope this helps. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I suffered with Autoimmune Hepatitis for 15 years and was on Predisolone then Azathioprine. I have been drug free for over 5 years as my liver function is normal. I still have Smooth muscle antibodies in my blood. Could these be attacking any other part of my body. I also have Raynauds Disease and Vitiligo.", "output": "Hi, dear. I have gone through your question. I can understand your concern. You have autoimmune disease. So your antibodies will always remain there. You have also high chance of other autoimmune disease. Your antibodies may cross-react with other cells and produce other symptoms also. You should go for complete ANA profile and take steroids according to your doctors' advice. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ok my daughter is 13 amd was at field hockey camp. When she came back she came back sating her thighs hurt and were burning. There are red patches and a little bumpy. I think maybe thighs hitting together when running but not sure. Please help anything i can do", "output": "Hello, It might be due to underlying Muscle injury. The red patches & Swelling could be Erythema and sudden sprain at the thigh area. Treatment- 1. Ice Pack Application (Twice/Thrice a Day) 2. Rest (For a couple of days) 3. Avoid Sports/Strenuous Activities 4. Loose clothes to avoid Wear & Tear of sore area. 5. If the pain persists for another 2 days, then take these Medicines-Tab Signora - 1BD, Tab Pan 40- 1OD (Empty Stomach), Tab Enzymic - 1OD (Empty Stomach). Take these Chat Doctor. 6. If the Symptoms persists even after 1 week of the treatment, then visit a local Orthopedics Specialist and might go for further Investigations. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello. My 6-yr old daughter fell and bumped her head this morning, i dont how hard it was, she fell from about 3 feet but it only left a small and not swelling bump. she did not fall unconscious or show other signs of concussion. but this night while taking a bath, her nose bled. it stopped, but happened again while on her sleep. What should we do?", "output": "Bleed from the nose could be due to epistaxis. Just because the blood supply around our anterior part of the nose is abundant, its more prone for bleeds. Repeated pricking of the same area could also cause bleeds. Small amount of blood in streaks is not worrisome. Just make her sit up leaning forward and apply ice pack with gentle pressure on the bleeding area while breathing through mouth. Bleed will stop in few minutes" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am looking for possible insight as to my son s medical problems. At age 12(2 yrs ago) he had appendectomy for perforated appendix. Adhesions noted in surgeons report. After surgery he had upper left abdominal pain . 3 weeks later (surgeon ignoring pain post op) he was hospitalized with bowel obstuction. After 2 weeks in hospital he was released still having the same pain. He has been seen since by Gastro . Symptoms continued with constipation. Now-3 doses daily Miralax. Having daily bm. He is on a high fiber, lots of fresh foods diet with plenty of water and exercise. Chronic pain is affecting daily life. Testing has never shown a root cause :endoscopy, colonoscopy, xrays, gastrograff in enema. Even when bowels totaly empty after gastrograff, pain in left abd. remains. When the pain is the worst he hunches over, not able to stand straight. Recently tried anti-spasmotic bentyl, did not help pain at all. Any insight would be greatly appreciated. They have said IBS-C could be cause. My concern is that all syptoms started post-op. Seems like there is a correlation.", "output": "Hello! Thank you for the query. It looks like your son is suffering from partial bowel obstruction. And it seems he has been diagnosed but not treated. This condition is very probable due to abdominal adhesions. As this can be partial only, there are times when stools flow freely and times when it gets blocked. Such blocked stool keeps accumulating and causes increased pressure what will sooner or later cause its passage. Such condition is very hard to visualize with tests. In my opinion, when no other explanation has been found, you should contact a surgeon and ask him about laparoscopy. Laparoscopy is a kind of surgery where the camera and tools are inserted into abdominal cavity through small holes. Laparoscopy will tell if there are any adhesions (probably there is a lot of them) and if so, surgeons will be able to remove these adhesions. Hope this will help. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was just release from the hospital for chest pain on my right side. It s a burning. stabbing type of pain that went down my right arm. I went to ER they keep me overnight run all types of heart test whicChatDoctore back negative. Then they sent me home but I still dull right chest pain. What could be wrong?", "output": "Thanks for your question on Chat Doctor. I can understand your concern.First no need to worry about heart or lung related chest pain because you're all reports are normal. Sometimes musculoskeletal pain can be the cause. So avoid movements causing pain. Avoid heavyweight lifting and strenuous exercise. Avoid sudden jerky movements of chest. Apply warm water pad on affected areas. Take painkiller and muscle relaxant Chat Doctor. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I ve been having painful ribs and Tight ness under rib cage I can even fill it in the back by ribs kinda like a tightness veryyyy painful and today I ve noticed painful lumps on multiple ribs This last year I ve had to have food removed from throat BC seems lime everything I eat gets stuck not sure if related but very concerns", "output": "Hi. Thanks for your query. Noted the history of painful ribs, can feel lump and has pain on ribs and upper abdomen. Also feels food stuck in throat last year. As per the history you have provided both these things are not related. The pain on ribs and upper abdomen is most probably due to a condition called Costco Chat Doctor. I would advise you the following in such a situation:Hot fomentation. Anti-inflammatory medicine like Ibuprofen. Rest to the area by stopping any activities that put on more strain at this area. Oral steroids under Doctors supervision. Strapping helps a lot. And control of stress and anxiety. For the throat problem consult an ENT Surgeon for endoscopy to get the correct diagnosis and proper treatment." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor, My Name is Vineet and I am 31 years. My physical Stucture is Normal and I am not Overweight. I have abdominal Fat and my waist is 34. For past 5 years I have been suffering from High BP that sometimes ranges to 180x110. I consulted with doctor and did Kidney Test and 24 hrs Urine sample test but they were normal.I also have high Cholesterol level and uric acid. I dont get headache nor get breathlessness. I am pretty average with my physical activity and very fun loving person. I drink once in a week 3 glass of whiskey.I am only confused why my BP is so high from since i was 26 years old. I am very tensed as i am married for past 1 year and this tension is ruining my family life. Please help. Currently I am taking BP tablet -Nebicard 2.5, Cholestorl Tab - Tonact 10 and for Uric Acid - Xyleroic 100. I am really fed of of having medi without knowing the actual sypmtom. please help", "output": "In most of the cases blood pressure occurs due to some defect in the body however in some cases occurs due to some diseases. You should get following test done. Renal artery Doppler 24 hours Urinary metanephrines You are practically on no medicine for BP. I would have started you onto Selma H 40 once a day. Have low salt, oily, sugar diet. Also get your sugars tested, regular exercises. Keep track of BP and cholesterol if its controlled then no need to worry. You can get back with reports so that we can optimize your medicine." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I apparently came in contact with poison ivy 5 days ago. A rash started to show up on my arms the next day and my lips began to tingle. It s not the first time I ve had poison ivy so I went to the store and got some Benadryl and some Ivarest cream. By the next morning my lips were swollen with little blisters on the edges and my eye was almost swollen shut. I went to the doctor s office and got a shot and prescriptions for a topical cream and a pill pack of methyliprednisolone. I have been religiously taking the pills and applying the cream as well as taking baths in Aveeno oatmeal bath twice daily but while the rash is getting better in some areas it is continuing to spread in others (my face is nearly cleared up but now the rash is on my stomach where it wasn t before). My other concern is there is a softball size rash on the back of my knee that is turning dark purple. I m just wondering if I should be worried or if there is something else going on?", "output": "Hi Dear, Understanding your concern. As per your query you have symptoms of rash which is spreading across body which is very common due to allergic reaction and contact dermatitis. Need not worry. I would suggest you to keep this area clean and Chat Doctor. You should avoid touching or pricking rashes. If condition doesn't get better than consult dermatologist for proper examination. Doctor will examine physically along with blood test and sample for lab test. Doctor may prescribe immunosuppressants, antibiotics like clindamycin, anti-inflammatory or antifungal. Doctor may also prescribe benzoyl peroxide ointment. Hope your concern has been resolved. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am SAIDUR RAHMAN from Bangladesh. My father is a patient of lung cancer. his surgery was done during february 2010 at dhaka. after surgery he has been taking \"gefitinib\" once a day. now doctor is saying that he is in the 4th stage of cancer. i want to bring him at mumbai and consult with a specialist. pls suggest.", "output": "Thanks for your question on Chat Doctor I can understand your concern. See, lung cancer is progressive disease. It is not 100%curable. Surgery is mostly done for symptomatic relief and slow progression of disease. So his worsening of cancer is not due to chemotherapeutic Chat Doctor. At present, with stage 4 lung cancer, only palliative treatment is available. So better to consult YYYYYYYYYY, YYYYYYY. It is the best hospital for cancer in world. Regarding, side effects of gefitinib, it can cause gastritis, nausea, vomiting, bone marrow suppression, skin ulcers, oral ulcers, loss of scalp hair etc. Hope I have solved your query. I will be happy to help you further. Wishing good health to your father. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Sir I am Rajesh & i have a question to paediatrician that my son has completed 5 months & 6 th month 12 days completed can i now feed him with cerelac starter pack coz he os not only satisfied with feeding only he gets hungry soon again & cries more in night times", "output": "Hi.... At this age you can start giving Carla stage one rice or Nestum rice stage 1 etc. All are same in calories and energy. Only thing is palatability which is subjective for each kid. Other home-made food options will be - 1. Deal and rice well cooked and made into a oatmeal along with ghee2. Boiled apple or banana and mashed into a paste.3. Any made cereal oatmeal preparation with additional ghee added. Remember certain principles like -1. Add one food material / cereal or fruit per week. This will be useful because if he develops vomiting or diarrhea, we will know what to avoid.2. Add vegetables and fruits made into a paste surely to avoid constipation.3. Do not add too much sugar as it may cause diarrhea. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was nipped by a dog a couple of days ago on my calf. I had a couple of black and blue marks, but the skin was hardly broken. I put alcohol on it. Today there is a rash on my leg between my knee and the top of my thigh. No pain. no itch. could these be related? should I seek medical treatment?", "output": "Dear Friend. Welcome to Chat Doctor. I am Chat Doctor. I understand your concern. Yes you should seek medial advise. It could be Cellulitis. You should take Rabies vaccination dosing. Also, you should see a doctor, if required you would be started on antibiotics for cellulitis. This is my personal opinion for you based on available details. If you have any further query please ask me. Stay HealthyChatDoctor, MD" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just recently noticed a lump about 2 inches below my left clavicle. I saw a picture of myself and thats when I noticed the bump. It doesn t hurt to touch it. It s very hard and doesn t move. It feels like an anterior rib, but with a big bump on it. I m not sure if its a calcification. It s definitely not symmetrical with the right side. Maybe theres something under the rib thats growing/swollen and protruding my rib out? Any ideas to what this may be?", "output": "Hi.it is best if you consult with a doctor, preferably a general surgeon, for medical and physical examination. Based from your description, it could just be a bony protrusion or prominence. It could also be a cyst (a sebaceous or a gelatinous type), a fibrous or a lipoma. Diagnostic imaging such as x-ray or ct-scan, along with management (medical and/or surgical) will be directed accordingly. Hope this helps. Good day!!~ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I m a 17 year old male from India and recently I have been facing this concerning problem. It started today morning when I woke up I noticed my left testicle is larger and stiff compared to my right. It seems that the spermatic cord/ artery on the left is not like my right (which is normal and feels like separate veins). I m experiencing a sagging & dragging feeling on my left testicle and resulting uncomfortableness if I sit for a long period of time, extremely slight pain just as I get up. Apart from that there is no discoloration, no lumps that I can feel, no pain, no problems with urine/erection/ejection, no stomach upsets or nausea . The only thing is the actual left testicle has grown larger overnight by a bit and the area near the spermatic cord is also hard and stiff asif it is one cord instead of threads like on the right. While I know going for a UD is the best medical approach, it also would create a lot of awkwardness as I am a minor. A quick diagnosis to let me know if this is a basic infection or something like pressure I put on the vien would help me decide how soon I should let someone know about this. Thank you.", "output": "HelloThanks for your query, based on the facts that you have posted it appears that you have pain and discomfort in left testicle since recently. This could be due to either 1) Infection of the spermatic cord (Funicullitis) 2) Varicocele 3) Infection of the Epididymis. Ideally one should get it confirmed by doing ultrasound scanning of the scrotum. You need to take broad spectrum antibiotic like \u010ceferin along with anti-inflammatory Chat Doctor. It should get resolved within a week." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, age-26, height-5.7 weight 60kg male I have in various body parts. one is in neck. I could not work for long with my neck down. the pain continue to go to head region. then there is a pain in spine region between shoulder girdle. pain in low back and pain at the base of the heel. get accentuated when standing is prolonged. pain in the region below patella which get accentuated while running for a minute or two, please help", "output": "Hello, Your symptoms could be related to chronic degeneration of the vertebral column or a connective tissue disorder (like arthritis). Vitamin D deficiency can not be excluded either. For this reason, I would recommend performing some tests: -complete blood count, PCR, ESR for inflammation -vitamin D plasma levels for possible deficiency-calcium plasma levels- a cardiothoracic spine X-ray study. You should discuss it with your doctor on the above tests. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have a problem with my male organ . its not fully the normal size of a man. my testes is smaller and my pennis is also small. i have had this for several years thinking it would increase in size but it still looks like a 12years old pennis. i do erect to the maximum size of an adult and can have sex but come early on sperm . what do you think is wrong with me", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. Even an erect 2-inch penis can satisfy a female because, the nerve endings are available inside the vagina up to 2 inches. Therefore, size does not matter in sex. The problem with you is the apprehensive thoughts. Obsessive thoughts about sexual problem keep coming, and you are getting anxious about it. Such an anxiety creates premature ejaculation as well as erectile dysfunction. Therefore, don't waste your time in thinking about sex. Concentrate on your education or career and leave all other things for future. Thoughts are there to come and that is the duty of the brain. Let the thoughts come. You need to divert the thoughts to more priority ones. Means, be busy and divert thoughts. Relaxation and meditation plays an important role in controlling mental disorders. Plenty of water, oxygen and exercise also are most important. For more psychotherapy techniques, You can post a direct question to me in this website. Include every detail as much as you can. I shall prescribe some psychotherapy techniques to control your condition. I am sure that the techniques should be a success. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, I slipped and fell on some ice last night and landed on my lower back, just above my tailbone, of course today im in pain and its really sore, im assuming its bruised, but I woke up with a headache too.. should I use any kind of heat or is cold better for it? I have been taking ibrophin(motrin) its not helping.", "output": "Hello, I think you should use cold therapy to avoid swelling of that part of the body. You should worry if you see blood in the stool that means that the tail bone is fractured and dislocated and has damaged the rectum (the end part of the bowel). If that is the case you should go to ER to see the doctor. Otherwise, you may be sore for few weeks in buttocks when you sit. You may use pillows to sit and take Ibuprofen and Tylenol combined. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 25,i had regular periods till last month.i was on clomid this month cycle from day 3-7 and got one gonal 75 iu injection on 8th day.On my 20th day of cycle i started having a short period not so heavy but with blood clots.Can it be implantation bleeding?I am now suggested to take progyluton from 26th day and to take pregnancy test also after the progyluton white tablets.If i am pregnant is it safe to take these tablets now?", "output": "Hello, I have gone through your query and understood the concern. During pregnancy, especially in the early trimester, the role of progesterone supplementation is not clear. It is going to be definitely helpful when there is a proven deficiency to sustain the pregnancy. In other cases, it may not be of much help. Sometimes, use of progesterone has also been shown to accelerate an abortion process. When used, it is better to use micronized progesterone. Hope you find this information useful. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I have had pain in my lower mid abdominal area that migrates to my right side, I have had two c-setions children are 3 and 5 years old....the pain feels similar to what my c-setion post surgery felt like. This pain has been on going but not consistent for about three months now. I have had some constipation but have regular bowel movements and the pain happens before and after my period, but last for a long period of time. I do have regular periods and they are consistent. If I lay on my stomach I can feel swelling on my right side. I am not sure what this could be any suggestions?", "output": "Hi welcome to Chat Doctor forum. As you describe there is pain in the lower abdomen, sometimes radiating to the right side. for 3 months. It is present before and after the period. The causes could be dysmenorrhoea, due to infection. There may be some gynecological problem, surgical hernia, T.B.of illogical junction etc. I advise you to consult a gynecologist for diagnosis and treatment. You may need to have M.R.I. besides other routine tests for confirmation. Wishing for a quick and complete recovery, and thanks for choosing Chat Doctor. F. Best regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 45 years old and I am an African American female. Like most people of my ethnic background I came into this world a much lighter skin tone than I am right now. By black people standards when I was born I was light skinned. I was not not high yellow but I was on the light side. In my childhood I received several dark hyper-pigmentation scars on my arms and legs. On my face I did a mild home chemical peel when I was around 20 years old, and it left a very dark hyper-pigmentation scar under my entire lower lip . I am very self conscious about these scars. Putting make-up on the scarring sometimes just makes it more obvious. Which then makes me even more embarrassed about the situation. What advise can you give me.", "output": "Hi, To treat your pigmentation issue try these recommendations-Use a sunscreen with SPF more than50Take oral vitamin C supplements and antioxidantsApply a mild Glycolic acid based or Comic acid based skin lightening cream every day. Chemical peels should always be done by a doctor as it can have post inflammatory hyperpigmentation as its side effect. Nevertheless, a doctor supervised peel can again be taken to reduce PIN. Hope that answers your query. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My P.A.. just told me that I have a Low White Blood Count (3.6 - the normal here is 4.1 - 10.9) The clinic just put in a new computer system so he cant easily check past counts & feels this is probably due to a respiratory problem I had a month or so ago, but I just checked my lab results from last year and found that it was a tiny bit low then too (4.0 ). Ive been tired lately and am now wondering if I should ignore the low count or ask for other things to be checked to make sure theres nothing serious going on?", "output": "Hello, So far as your question is concerned, a bit of information about your health history and current status (including Chat Doctor. Keeping in view the information you provided, if you are not having other illnesses, especially infections, and you are not taking any long-term medication and are not having any serious health problem(s) due to low WBC count (frequent and severe infections), then you can just ignore it. But you may need to get the blood counts done regularly at least on 6 monthly basis so that if further decline occurs, it can be timely picked up and managed accordingly. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been to my gynelogist several times this year with different issues. Painful intercourse, leg and lower back pain. I was prescribed a hormone replacment therapy that did not work. I went back to him a week ago with severe pain in the vaginal area and buttocks. I was diagnosed with a barthilon abcess and was prescribed an antibiotic therapy. Didnt work. Went back yesterday and now he is telling me that I need surgery - possiblity of cancer(!) Needless to say I am in shock today. The symptoms I have today were present when he first saw me only now that have excellated to unbearable. Where can I search for answers to this issue? I have to go to a surgeon next week and I want to be fully armed with my questions so that I will receive the right treatment. What are the symptoms of barthilon gland cancer?", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. Bartholin gland cancer can present as Bartholdi cyst or abscess initially. And if not relieved by routine treatment like antibiotics than possibility of cancer should be raised. Symptoms are vaginal discharge, lower abdominal pain, pain during sexual act, low grade fever, weakness and weight loss. Sometimes lump can be felt too. But you need biopsy and histopathological examination first to confirm cancer. So consult surgeon and ask him about biopsy first." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My sons girlfriend was just diagnosed with Mrsa. She has infection in her breast... They were going to do surgery, but called it off until they get it cleared up. How contagious is it? The doctor said as long as you don t touch it.You cant get it. Is this true?? I thought that it was very contagious", "output": "HI, thanks for using Chat Doctor MRSA (methicillin resistant star aureus) refers to the presence of a bacterium that is resistant to standard antibiotics. It occurs mainly in persons with a history of frequent antibiotic use though it can also be spread from one person to the other. There are some persons who have these resistant bacteria and are not aware of it. As her doctors mentioned, it may be spread by contact with the infected area. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have been having problems with numb tingiling and pain in legs and feet. had a mri done said there was 2 small with spots on the brain.. which i was told it was normal but they wanted to do a spinal tap to rule out ms since my mother has ms. what are the chances that is what i could be. I also have neck and shoulder pain.", "output": "Hi, Thank you for posting your query. White spots on MRI (also called as hyperintense lesions) are not specific for multiple sclerosis (MS). These lesions can occur in other neurological conditions including migraine, infections, stroke, etc. Doing an MRI of spine would help, as if lesions are found in the spine, it would favor a diagnosis of MS. Spinal tap would also help, as presence of oligoclonal bands in the CSF would also favor a diagnosis of MS. However, with just two lesions, and normal spinal tap, MS is unlikely. I hope it helps. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Yes please, I have been experiencing some pain in my under arm/armpits, especially here lately the left one and can be quite uncomfortable! This has been occurring for about a year but I have had no insurance, I attempted to call to try & get a mammogram done but couldnt find a facility that would help me out due to the county that I had been living in. Ive have noticed a bit more swelling in the underarm area, maybe its the lymph nodes not sure. I recently got insurance but waiting on my insurance cards to arrive however the pain has really increased on the left underarm, wondering if I should just go on to the ER?! Sherry Rios THANKS!", "output": "Hello, sherryThank you for consulting Chat Doctor. As you are having pain and swelling you need to have mammogram for sure. Fibroadenoma may cause pain if it is compressing some servers under it and as it is benign and can be removed surgically no need to worry about it much. But if it is a malignant condition then you need to be worried about but for now Romany treatments were introduced to cure it so nothing to be worried much. And if there is any local infection also the lymph nodes may enlarge and may be tender too. Abscess may also be the cause, but you will know that by seeing as it looks red externally and hot to touch with severe pain. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doc,Im heavy smoker and Im regularly whizzing but recently my issue is whenever I sneeze or cough I immensely feel like my breathing is missing. I am using voltraine inhaler and when I puff twice or thrice I feel better. My question is am I having asthma problem and what medicine should I take to get cured from this nightmare of my life. Please advice Im regular follower of yours.RegardsUsman", "output": "Dear Usman, The case history as mentioned in your post suggests that you might be having asthma. Wheezing is caused due to bronchoconstriction (obstruction of smaller airway passages) which is indicative of Hyper-responsiveness of air passages due to asthma. Management consists of:1. Avoid smoking- it causes bronchoconstriction & aggravates asthma.2. Stalin+ Aeroflot inhaler-provide symptomatic relief by causing bronchodilator (dilating the smaller airway passages, relieving the obstruction & increasing airflow to lungs)So, it can be used during an acute attack.3. Montelukast preparations- used as a maintenance therapy to relieve symptoms of asthma.4. Antihistamines like Cetirizine can also be used to provide symptomatic relief.5. Need for anti bionics can arise if there is a secondary infection.6. Also make sure that you are well protected from exposure to cold, dust or other allergens. This condition is related to the hyper-sensitivity of the immune response. It can only be managed symptomatically. Complete cure will need complete shut down of the immune mechanism, which will make you prone for severe life-threatening secondary infections. So, it is advisable to kindly continue the medications & inhalers as prescribed by your treating Doctor. Wish her a good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Doctor, Last few weeks i recognised some problem in my breathing. Most of the times i do mouth breething. I have dust allergy and I am taking some ayiurvedic medicines for this. After recognising this problem I am not able to sleep in the night due to fear. Morning time not much problems. Currently I am taking few anti allergic tablets and nose drops based on the prescriptions by an ENT specialist. Request your help", "output": "Hello, Thank you for asking at Chat Doctor. I went through your history and would like to know about you like what kind of breathing difficulty, whether wheezing, how frequent symptoms are, your age, any other medical conditions, any other medications, etc. etc. This will help me to know more about your health and therefore to make more specific suggestions for you. At present, from your provided history, I would like to make suggestions for you as follows:1. I usually prescribe my such patients regular montelukast + levocetirizine for 2-4 weeks depending upon response.2. Regular nasal saline washes and steam inhalation also help.3. For breathing difficulty/wheezing, I usually prescribe albuterol inhaler to be taken on as-and-when-needed basis.4. For diagnosis of allergy, I would suggest you skin prick testing for common air-borne allergens such as house dust mites, molds, pollen, insect proteins, animal dander, etc. This will help you to identify the substances causing allergies to you as well as to know the measures to avoid them.5. Based on allergy testing results, an Allergist-Immunologist may prescribe you allergen specific immunotherapy which works on immune system to gradually improve allergy symptoms for a long time period.6. In general, please avoid exposure to dusts, smokes and air pollution as much as possible.7. Regular physical exercise including breathing exercises and nutritive diet rich in vitamins & minerals will also help you in a long run by improving your lung capacity and immunity respectively. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you the best of the health ahead. Thank you & Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have tears in my butt crack that are very painful and taking a long time to heal. I think that I had yeast in the area because it was red, inflamed, and itching and burning really bad. The redness and inflammation above the tear is better, but the tear is still there. Do I need to be seen by a doctor or can I treat it at home.", "output": "Hello, Welcome to Chat Doctor, Your history and symptoms are suggestive of fungal infection, and it is more common in this area, as these are the normal comedians of this area which will be kept under control by helpful organisms. Whenever there is an imbalance in the environment it will multiply and produces its symptoms. I would suggest you to follow1. Keep they are clean and Chat Doctor. Topical application of antifungal cream like Ketoconazole cream3. Oral single dose of Tab Rifleman, 150 mg.4. Oral anti histamines. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir/Madam, I m 33yrs old. Height 5 6 , weight 65kg. About six months ago, i had an inflammation and tingling in my leg and foot portion. thereafter i had a pain on my right kidney and liver portion. So i went for test and the result of LFT was SGOT 55, SGPT-82 and Gamma GT-85. KFT result was sodium 134 and chloride 92. i dont take alcohol bt take lot of bettlenut. please tell me what may be the causes and measures to be taken by me? thanks", "output": "Hello and welcome to ChatDoctorRegarding to liver function test and electrolytes, the interpretation is:1. GOT is marginally raised, normal level is less than $) IU/L2. SGPT is also increased, normal level is less than 40 IU/L3. GGT is also marginally increased, normal level is less than 70 IU/L These values indicate a slight liver cell damage and mild obstruction of the biliary tract. Get few other tests related to liver-bilirubin (direct, indirect and total), alkaline phosphatase and serum proteins. These investigations will provide some more information. An ultrasound abdomen should be done to know the status of liver, biliary tract and kidney. The electrolyte level is normal. Sodium and chloride are within normal limits. Consuming a lot of betelnuts is deleterious to health. It is known to cause heart attack, stroke, hypertension, COPD and cancer. Tobacco is known to cause of various organs and organ systems like oral cavity, larynx, oropharynx, esophagus, lungs, kidney, bladder, stomach, pancreas etc. So, consumption of tobacco in any form is harmful. If you develop any lesion in the oral cavity, report it promptly to your doctor. It is better that you stop consuming betel nut or go for tobacco less betel nut. Thanks and take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my husband has had heart problems (arrythmia) for 10 years with medication- amioderone, beta- blockers etc.gets back pain periodically- being sick, no urgency to pass urine for past 2 days & appears jaundiced.Is this likely to be a kidney problem?", "output": "HI THANKS FOR POSTING YOUR QUERY.YOUR SYMPTOMS ARE MOST LIKELY SUGGESTIVE OF A STONE/CALCULUS. A STONE IN THE URINARY TRACT IS LIKELY TO PRESENT WITH LOW BACKACHE, DIFFICULTY IN PASSING URINE DUE TO OBSTRUCTION.THIS STATE CAN BE TERMED AS \"ACUTE URINARY RETENTION\"JAUNDICE CAN BE DUE TO COEXISTENT GALL STONES IN THE BILIARY TRACT CAUSED \"OBSTRUCTIVE JAUNDICE\".AN HIGH RESOLUTION CONTRAST ABDOMINAL COMPACT TOMOGRAPHY(CT) IS USEFUL TO EVALUATE BOTH THE DISORDERS SIMULTANEOUSLY.RENAL STONE SIZE CAN BE ASSESSED AND TREATMENT CAN BE PLANNED ACCORDINGLY.RENAL STONES CAN BE REMOVED BY PNL, ESWL.ALSO HAVE REGULAR FOLLOW UP FOR YOUR HEART DISEASE.CONCLUSIVE OPINION:RENAL AND GALL STONES CAN BE THE CAUSE.CONSULT EXPERT UROLOGIST FOR FURTHER MANAGEMENT.THANK YOU." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was in the e.r. on Monday with horrible left flank pain, the er doc said nothing was wrong. I just received a call from the same er and I have a staphylococcus haemolyticus infection. She couldnt elaborate on this very well and said a prescription would be called in for me. Is this contagious? Im still in pain accompanied with really bad headaches.", "output": "Hello Lady Jen, Severe left flank pain is likely always due to UTI (particularly kidney infection or pyelonephritis) and if the ER called to confirm infection with Staphylococcus hemolytic then you need to be provided with an appropriate course of antibiotics. Note: Staphylococcus hemolytic is a member of the coagulase-negative staphylococci. It is part of the skin flora of humans, and its largest populations are usually found at the maxillae, perineum, and inguinal areas. It also a remarkable opportunistic material pathogen that is well-known for its highly antibiotic-resistant phenotype. Ones they are found in some particular organ system such as the kidneys they can result to a serious infection which might require hospitalization before treatment is initialized. My recommendation is that urinalysis + culture+sensitivity test, blood culture+ sensitivity should be done. You should be admitted with IV treatment for a few days. Treatment should include an indicated (from culture) antibiotics, analgesic painkiller, antispasmodic and IV fluids. Of course the final decision will depend on your treating physician since he still has to evaluate your general state and decide on whether you need to be admitted or treated ambulatory. Hope this helps and wish you the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI, I have a flu last week and fall asleep on the couch for several hours, when I woke up my right side and lower back was aching, After couple days the pain is not go away and I applied muscle rub at night, I woke up the next morning with rashes on my lower back and abdominal... the rash is not too many only a couple spot some is look like a mosquito bites and it is itch no ooze or bump just red rash... I feel great and have no more flu or cold but still have some pain in my lower back and side eventhough is not too painful... do I have a Shingle or do I have an alergy from the muscel rub? should I make an appointment with my doctor?", "output": "Hello. Thanks for writing to us at Chat Doctor Your description of the rash and associated pain does seem to suggest a possibility of Shingles; more so if the rash is arranged in a stripe like pattern across one half of the body, with a sharp mid-line cut off. Shingles may initially start either as rash or as raised patches and subsequently may develop fluid filled lesions. Therefore, absence of fluid filled lesions from the start doesn't rule out shingles. Pain is more of a feature of herpes Zoster; irritation to the muscle rub would have been associated with a burning sensation rather than pain. I would suggest that you visit a dermatologist for a confirmatory diagnosis. A dermatologist would be better able to confirm it or rule it out. There is usually associated pain which may be shooting or stabbing in quality. If Shingles is confirmed to be shingles on visual inspection, treatment would be with an oral antiviral e.g. acyclovir or val acyclovir. Associated pain also need to be managed appropriately with NSAIDsFirst step would be to visit a dermatologist for a confirmatory diagnosisRegards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello i did a scan yesterday and it adequate fetal movements,the placenta is in the anterior position and not low lying,nurchal cord twice and the cervix is competent measuring 4.5cm.can you please address what each of those mean and whether i should worry or not. Marion", "output": "Hi, Thanks for the query. I understand your concern. The meaning of the USG readings are- 1. Fetal movements adequate... it indicates normal fetal movements... the fetus is in good health (no effects of nuclei cords on baby. While USG scan was done 2. Placenta is anterior (It is attached to front wall of uterus & it is not low-lying(It is in safe place-so no risk of placenta prefix- causing risk in delivery) 3. Nuclei cord twice- Nuclei cord means cord around neck of fetus... Here baby has 2 rounds of placenta around neck. 4. Cervix is competent-Cervix is normal length (shortening of cervix indicates nearing of delivery. ). So here it signifies safety of baby, no risk or delivery these days. * In all it shows cord around babies neck with two rounds .... Bur baby is not affected, nor there is cervical sign of early labor. Nuclei cords may get automatically relieved, still we keep a watch on fetal wellbeing & possibility of labor(with cord around neck then becomes a sign of concern) Please show the report to your treating gynecologist for specific advise. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "After taking my medication regularly doing all that I should I had two unexplained breakthrough seizures what could have caused these? It is very frustrating because I have done everything I have been expected and yet out of nowhere not one but two seizures happened in one day! I take a beta blocker and have had palpitations I was wondering if it could have anything to do with my heart triggering the seizures?", "output": "HIT hank for asking to ChatDoctorNo this is may not be due to the beta blocker or due to the heart palpitation certain condition are there, which could be the likely cause of your seizures late onset of Grand mal seizure is one of them, you have nor mentioned your age and gender, and it was required here to discus certain condition which are highly related with this information, I hope you could understand this have nice day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I developed overnight, what I found to feel like a tender semi-hardened bump on my left inner/upper thigh. It felt tender, like a bruise. IThe feeling woke me up a couple of times in the night (but, never at all in the day before).But, in the morning, I can tell that it was tender and didn t go down. It seemed to get bigger. It was on the night of the 11th/morning of the 12th. Now, it s a few days later and the feeling is still there, just slightly bigger, but mostly, harder. I just don t see how something can just develope overnight....confused. Don t know it it s a cyst, or a lymph node...or dare I say...anything else", "output": "Hi, dear. I have gone through your question. I can understand your concern. Its mostly non-serious lesion. You may have either some benign cyst or enlarged lymph node due to infection. You should go for examination and if needed to go for fine needle aspiration cytology. Then take treatment accordingly. Don't worry about malignant lesion because malignant mass can not develop overnight. So don't worry. Just be relaxed. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir, Iam using encorate chrona for my daughter since 5months as prescribed by nuerologist she is putting on weight is ti the side effect of the medicine this has been prescribed for 2 years for absent seizures she is 8 yrs old now?------ YYYY@YYYY", "output": "Hi, Thank you for posting your query. I have noted your daughters symptoms. She has absence seizures, which seem to be well controlled with sodium valproate. However, she is also putting on weight. Most probably, weight gain in your daughter is related to the use of sodium valproate. We should not stop valproate, as her seizures may worsen. Instead, we can control her diet and make her play outdoor games. These measures would keep her weight in check. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, Chat Doctor. Ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I have a 5 months old baby boy.He is having loose motions 10 to 12 times a day since nine days. The doctor says it is lactose intolerance and he has suggested biflac powder and z&d syrup.I am confused about there dosage.Unable to contact the doctor. Please advice.", "output": "Hi...greetings from Chennai. It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have had pins and needles in my right hand , also i get very hot sometimes and also i have had some pains in my chest , which was really bad pain , it lasted for about 5 mins with the pain , the pain went away but even now as i type i have the pins and needles in my right hand , i dont use computers a lot . what should i do ?", "output": "Hi, Thanks for your query. The abnormal sensations that you have such as burning, pins and needles are termed peripheral neuropathy. Peripheral Neuropathy is a condition caused by damage to the peripheral nervous system [most commonly seen in diabetic patients]. Another possibility could be nerve compression in spine due to disc bulge. Change your diet and remove inflammatory foods such as citrus fruits, dairy products and wheat that may aggravate the condition. Simultaneously increase your intake of potassium and calcium-rich foods such as bananas and avocados and green leafy vegetablesVitamin B12 is important in the maintenance of health and normal functioning of the nerve tissue and deficiency of it can lead to numbness. You can increase B12 level by taking meat and fish, or you can take tab methylcobalamine. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son has never been in trouble he turned 18 last Christmas and decided to try weed. He now smokes and recently got in trouble. Problem is he was depressed prior to all this. Had ups and downs in his mood. During argument about using my car he said some very dark things against my husband and I he repeatedly kept saying he will kill himself. Things he said were very graphic. He is refusing help from a doctor, I feel lost like theres nothing we can do. What are my options? He is destroying himself and we cant do a thing. He has bouts of anger. He in hypersensitive to smell and sound.", "output": "I am sorry for all the trouble you are suffering. Your story is heartbreaking. The first priority is to determine if he poses a physical threat to himself or others. Physical safety is at risk. It is imperative that you discuss this with a mental health professional, even without your son. An experienced clinician will recognize these symptoms and know exactly what to do. I wouldn't waste any time as I am concerned for all of you. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello. I had a microdisectomy 8.5 weeks ago. L4/5 and L1/S1. Very tight in buttock area and tightness in left hamstring. The terrible pain before the surgery is gone. My hips have been hurting very much when sleeping. I have to flip from side to side every hour in order to sleep. The pain is not only in the hip I am laying on but the other one also. Any thoughts?", "output": "If I understand correctly you are referring to a pain behind hip joint assuming it is hip pain hip joint pain comes as a spot pain in front or at the side of hip joint you are referring to what we call sacroiliac joint dysfunction, start walking in place for 5 min pain will improve even go away completely this is normal after being pain free you are regaining normal alignment , do daily jog exercise multiple times a day you will be fine Good Luck" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My brother has been diagnosed with stomach cancer (stage 4, metastasis) end of December last year and is currently undergoing his second cycle of palliative chemotherapy. He has been in near constant pain for the past 3 months and has yesterday started vomiting black vomit (for about 24 hrs). Ive been told by some people that this is a sign that his death is imminent. Is this correct?", "output": "Hi and welcome to Chat Doctor. Thank you for your query. I am sorry about your brother and this serious diagnosis. Vomiting black vomit is a sign of upper gastrointestinal bleeding which can be more or less severe but in every case this isn't good sign. It can be bleeding which might be possible to treat with blood transfusions but not for long time.... Surgical or endoscopic treatment is probably impossible to perform. But hope for the best. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a huge (almost tangerine size) sebacious cyst under my belly (I am obese). It has been draining a thick bloody pus discharge. I also have three very large ones under my left armpit. How can I get rid of them forever? My doc said that it would take a years worth of antibiotics, even though he has never looked at thime.", "output": "Hi, Dear,These lumps need to be reviewed and consulted by your ER Surgeon. As you have many such lumps, I doubt their being Sebaceous Cysts. They seem to be chronic abscesses. Diabetes needs to be ruled out in your body by FBS and PPS. So consultation with ER Surgeon and Physician if surgeon advises, would fix solution to your intriguing lump problem. This would resolve your query. Write excellent review if you feel that this reply has helped you a lot. Welcome for any further query in this regard to Chat Doctor and to ME. Have a good Day. Chat Doctor. N." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 4 year old daughter has had a constant fever of 101 for 3 days with a stuffy nose and a complaint of stomach pain. However, she is eating,drinking, and acting normal. Also, she has not had a bowel movement in 3 days as well. Any idea of what this could be a sign of?", "output": "Hi... Thank you for consulting in Chat Doctor. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. There is no bowel movement as the intake is not very good, and you need not worry about it as such. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi . My name is sebrina . and i am having really sharp pains in my lower left side , And In The middle of my stomach on the right side. The middle ones are out of the blue . But the left one are when i lay down , when i try and sleep , or when im standing . I Cant sleep at nite because of these . and i feel as if im about to vomit . but i dont.. Idk whats wrong . im not even close to my period time...", "output": "Hello! Thank you for the query. Such symptoms can be caused by one or more diseases. Left lower abdominal pain can be caused by diverticulitis, left urinary tract infection, ovarian inflammation or ovarian cyst or pregnancy. In some cases left inguinal hernia might occur with such symptoms. Middle stomach pain can be caused by peptic ulcer, gall stones, pancreas disease. As you can see it is quite a lot of possibilities. That is why you should have some tests to find out what is wrong. It is advisable for you to have abdominal ultrasound, fool blood work with liver and pancreas enzymes, urine and stool tests. If you find this tests negative, upper GI endoscopy and colonoscopy might be necessary. Hope this will help. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my sister in law underwent IVF . she had normal B ChatDoctor level THE ivF WAS DONE ON 1ST jUNE, 17 TH JUNE BChatDoctor LEVEL Was 206 and then on 22nd it was 600. Dr. asked for USG on 9th july for visualising cardiac activity. but she told that still the cardiac activity has not appeared and also size is 7 weeks 5 days. what could be possibility", "output": "Hi, according to IVF timing the gestational age should be around 6 weeks, but it is more on scan, so the possibilities of twins or abnormal pregnancies like molar pregnancy are there but as Chat Doctor levels are within normal range there is possibility for multiple gestation like twins. By this time cardiac activity should be noticed, but it is not appeared yet. So you can repeat the scan in the next week to rule out above possibilities, transvaginal scan will detect heart beat earlier than transabdominal scan. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello! My age is 24, Ill be 25 this August. Something is bothering me. I started smoking 12 months back, and I smoked about 2 cigarettes a day. Now it considerably increased to 5 cigarettes and I have cough that wouldnt go. Also, I have two patches on the either side of my inner cheeks, one is blackish (no pain, no swelling), and a scratch kind of white line on the other (no pain, no swelling). I have been coughing regularly for 25 -30 days now and have this strong urge as if there is something thats caught in my throat. Mucus is been produced normally out of cough. Two days before, I consulted a dentist and he said theres nothing to worry. I am taking antibiotics now. Some relief is there but i dont understand what is this. My tongue has few cuts fro the past two days and has this strange burning sensation. When i scratch these cuts, blood comes out (but very very little, as these are scratches that may have caused due to hard brushing that I do). Mucus is producing, I am clearing my throat every time im coughing. Im spitting it out. My throat is not comfortable these days. But since the time i have started taking medicines, amox and citrizine, it has gone a bit better. Im 24 smoking from 1 year, almost 4 cigs an average, should I worry??/", "output": "Respected Sir, hi first about reason of what is this. it's clearly tobacco nicotine affecting your capillaries of lungs leading to worsening cough, affecting your inner cheek buccal mucosa giving it black patches and white lines. You have to quit smoking for lifetime if you want a happy healthy life in future otherwise beware of suffering from Tuberculosis or Cancer. It's in your hands whether you want to have healthy disease free life or the life cumbersome with burden of heavy diseases. I hope I have cleared your queries. Thanks regards bye take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "yes please, my husbands wbc is 3.4, rbc is 3.5, hgb is 10.8 and hct is 32.6. his mpv is 7.0, ne% is 33.4%, ne# is 1.1 and the ly% is 57.6%. the rest of the blood work is normal. further blood work is being processed to check function of the spleen. do you have an idea of the diagnosis?", "output": "Hello and welcome to Chat Doctor, The interpretation of the blood report is as follows:The hemoglobin and hematocrit are both low. Low hemoglobin suggests anemia. The white blood cell count is also low. The differential white blood cell count is showing low neutrophils and relative increase in lymphocytes. A peripheral blood smear examination and red cell indices are required to find the type of anemia. The cause of low white blood cell count also needs to be found out.MPV is the parameter assesses the platelet size. The parameter is within normal range. Thanks and take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im wondering if you could advise me, i ve had severe pain in my right lower abdomen and a dull ache in the same area but in my back, I ve had urine and blood tests in which it showed a urine infection to which I have taken antibiotics. I ve been to the doctors following on who have advised me I have kidney stones and that they should pass through and that the uti had cleared, I have been drinking alot of fluid, the pain hasn t eased and I have noticed tonight that my stool is a green colour. Is there anything you could suggest or say to put my mind at ease? Tnanks Michelle", "output": "Hi Michelle, Yes, severe abdominal pain may be due to kidney stones. Region of pain depends on Location of stone in urinary tract.- Uncomplicated kidney stones located in kidney may be asymptomatic or give mild dull aching pain over right or left upper abdomen depending on site of stone.- Stones in ureter which is a tube connection kidneys to urinary bladder (urine bag) give severe pain in back radiating anteriorly to abdomen. It causes more severe pain. Region of pain varies vertically depending on position of stone in ureter (upper, middle, lower)- Lower abdominal pain may be due to stones in lower ureter or urinary bladder. Usually stones in urinary tract may be associated with infection (UTI) or blood in urine.(Though UTI in the absence of structural abnormalities in urinary tract ASE more common in female.) In your case I want to know -1) Depending on what basis your doctor told you the presence of stone.2) Any associated symptoms like nausea, vomiting, loose motions.3) Any menstrual complaints (considering you as a female). Following investigations may help in locating the site of stone in urinary tract if present-1) X-ray PUB.2) Ultrasonography of abdomen and pelvis.3) Intravenous paleography it helps in establishing site of stone as well as kidney function. Green color stools in your case may be due to-1) Antibiotic use for UTI.2) Intestinal infection (it may usually be associated with multiple episodes of loose motions, vomiting, central abdominal pain." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear sir, I am 58 yeras old,weight 95kg; height 1.65m, Type 2 diabetic patient since 15 years, but under control. I am having lumbar spine stenosis at three levels, by doing special exercises I don t have back pain but my doctor advised me not to have intercourse in future. My penis size is 1.5 inches, when erected 3.5 inches without any hardness and immediately gets ejeculation at this loose stage when I try to enter in vagina, thereby cannot satisy my wife any more. I am working in Abu Dhabi, UAE since last 30 years and used to go to India on vacation once in every two years. Last week I rejoined duty and my problem still continues even after taking soft VIAGRA - 100 mg. pills many times before each intercourse and sometimes other unani herbal medicines, but of no use. Please advice. My doctor says because of my age, weight, diabetes and lumbar stenosis, this problem will never be solved permanenetly. Kindly help me to solve this long lasting problem once for all. I request you to write me in detail. I appreciate your quick response in this regard. Thanks.", "output": "Hi, Well if your power of will to find a solution then with personalized therapeutic plan under close medical monitoring you should be able to overcome the issue. This won't be easy. This requires long detailed therapeutic plan to help. I will gladly give a short glimpse of such a plan. Feel free to contact me for detailed plan and step-by-step action. First, your first goal would be to lose weight. It is easier said than done. This can be done using caloric deficit, that will result in weight reduction without suffering. Second, you need to include daily exercise. I know this will be hard due to the stenosis. At start this could be simple gradual exercise plan. In a period of 1-3 months you will start noticing difference. During this period, If I were your treating physician I would prescribe you Metformin, medications that can help you will be premature ejaculations. I would monitor your testosterone levels closely too. Prescribe supplements if needed. From what I read, It is great that the stenosis pain responded to physiotherapy. With aforementioned therapeutic intervention you will not only add years to your life but also quality to your life. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 2 year old son is having allergic reactions to milk and milk products and sometimes to dust. once he had a reaction to MMR vaccination also.he shows repeated cough and wheezing. How can I treat/prevent/predict/manage the situation effectively. Is epi pen necessary. We have managed it using steroids and nebulisation and found him normal within 1hr", "output": "Hi, By what you quote I feel what your kid could be having viral associated wheeze or multi triggered wheeze. I have a few questions for you: 1. How many days per month does your kid cough or feel breathless? 2. How many nights per month does your kids sleep get disturbed due to above symptoms? 3. Does your kid feel breathless when running around or playing with other kids? 4. Are the symptoms when there are seasonal changes? 5. Is there any family history of asthma or any other sort of allergies like skin allergy etc.? 6. Is the cough always associated with fever? Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I been treated for sle lupus for 20 years now they tell me I got sarcoidosis I been having trouble breathing for a min now they say it my heart one heart doctor ask me after he look at the test why did they say I needed a stint so he refer me to another heart doctor... Can you get sarcoidosis confuse with that", "output": "Thanks for your question on Chat Doctor. I can understand your concern. No, acidosis can not be confused with coronary artery disease (CAD). You must be having blockage in any of the main coronary vessels which needs stenting. You already have SHE (Lupus). This causes arthritis and thrombosis in coronary arteries. So you should definitely undergo stenting. No harm in it. And it is not misunderstood with acidosis. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "how do I know if I have Kidney trouble I had a cataract surgery and the doctor told me my headaches were not caused by my eyes and told me to make an appointment with my doctor I am wondering if it could be kidney because I am a diabetic have dark orange urine", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have some kidney disease. You should go for urine routine and microscopic examination as well as blood urea and serum creatinine test. Diabetes can lead to kidney disease also. However, your headache has no relation with your dark urine. You should search the other cause like hypertension or congestion or some other cause. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "am 58 female and have had blood presure every other day raise.. sitting my heart can take off to 100 to 135. and at times I loose all energy.. Some days am fine... I do have history of ashma but havnt had ashma attact for a while and dont take meds for that.. I just take a low dose blood pressure pill every other day. My legs will sweel up terrible also .", "output": "Hi, and pleased to answer you. You have a set of symptoms that I think leads me to believe that you lack information about your hypertension and asthma, if I think about the diet and the consultations that need to be periodic. For your asthma, you absolutely must treat it, because given that you have high blood pressure, if unfortunately, a severe asthma attack occur the repercussions will be severe on your health. So, first I invite you to see your neurologist in order to manage correctly your asthma. As for your hypertension, you should check your cardiologist to see if you do not also have a thyroid or kidney problem, and of course to assess if it is not your antihypertensive Chat Doctor. Amlodipine (an antihypertensive " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Had a miscarriage and am back to trying to conceive. I use opk s and pregnacare conception . A few days back, i got a positive with d opk and i n my hubby had sexual intercourse that night and two nights after. It s 5 days after my positive opk and i have noticed increased cervical mucus(creamy), my boobs feels warm inside and it s so tender and i get a feeling, like pressure in my lower abdomen . Just wanted to kno if these are possible pregnancy symptoms . Is it also possible to get symptoms this early. What are my chances of getting pregnant wit a positive opk.", "output": "Hello, As you had intercourse around the time of ovulation, there is a high likelihood of conception. The symptoms you are experiencing, are generally the symptoms seen in second half of cycle, due to progesterone hormone. You can not say that these are due to pregnancy so early. You need to wait till you miss periods and then get urine pregnancy test done for confirmation of pregnancy. Wish you good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my father is 66 yrs old having diabieties since 35 yrs.He also has hypothyroidy.He has been detected ostopenia since 2005.His back pain hasbeen increasing day by day.doctors have given supracal 1000mg since 2005.Since a few months he is also having remylin d.His vit D 25 hydroxy lately is 89.03.Lately in ultrasound his pancreas are little swollen.Kindly advise.", "output": "Hi, welcome to Chat Doctor. After going through your fathers' problem. My opinion is that your father may be suffering from pancreatitis. Its pain appears in abdomen and referred to back. For backache visit orthopedic and for pancreatitis visit gastroenterologist. Please have MRI of spine done, serum amylase done. Ask your father to avoid forward bending, lifting weight. Apply hot fomentation to back. Hope your query get solved. Welcome for further queries." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi there,for the last couple of weeks ive been having back ache/pain in the middle of my upper back (between my shoulder blades) I went for a run and it was like I couldnt take a deep enough breathe in , i was really scared. Im 15 years old and I am female. I have a headache and woke up very dizzy and feeling quite sick but I havent thrown up. Please help,", "output": "HIT hank for asking to ChatDoctorI can understand your problem, you went for run, and then you have this problem, it is common in female person having backache after the run because of the mammary glands, during the running time this moves randomly and tends to pull the back muscles unevenly, and this may cause great pain, before running you should have an advice from trained person for proper garment, now have muscle relaxant \"Chlorzoxazone\" with \"Diclofenac\" will give good result have nice day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Intense itching and red rashes whenever use a detergent Hello doctor, I`m 28 year old girl off late I`m having intense itching and red rashes whenever I use a detergent soap. Could you please explain me the reason?", "output": "From the history given by you, I could think of your case being that of Atomic dermatitis. Atomic dermatitis is sometimes called eczema or atomic eczema. But atomic dermatitis is only one of many types of eczema. Atopic dermatitis is a long-lasting skin problem. It causes Chat Doctor. In severe cases, the rash forms clear, fluid-filled blisters. It cannot be spread from person to person. Atomic dermatitis is most common in babies and child" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my friend fell against a door corner and developed a lump in her breast. This was 3 years ago and has been getting bigger recently - it is now the size of a golf ball. She experiences pain, this is relieved by abs. She will not go to the drs again, at her initial appointment she was referred to specialist who advised it could be cancer. If abs help the pain, does this eliminate cancer as a possibility?", "output": "Welcome to Chat Doctor .1. No it will not eliminate the cancer. (it would have been better if you have mentioned your friends age).2. It could be the same lesion after a trauma or a new lesion. Your symptoms seem like an inflammatory cause or a ductal Eurasia.3. If you are my patient I would have examined the lump and ask for an ultrasound breast to evaluate the nature of the lesion (Cystic/duct/abscess), and its extension and origin.4.Sometimes your friend may need incision and Chat Doctor. As antibiotic itself may cause the reoccurrence.5. Suggest to get an appointment and do needful. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doc. Im a 20 year old male having a healthy lifestyle no major diseases. Yesterday a young cousin of mine got injured pretty badly. I was the one who cleaned his wounds and applied antiseptic lotion to them. I even checked closely whether the wounds needed stitches or not. Till that instant was completely OK. But when i was walking him up to the Doctors Clinic, suddenly my head and my stomach started spinning badly and my vision became extremely unclear. I almost vomited a couple times and felt that i was gonna faint but finally somehow managed to reach the clinic where i became better after lying down. Everyone says that Im suffering from Blood Phobia but that cant be right because when i was cleaning his wound and checking them, i didnt feel any bit uneasy or disgusted. And i myself have had bad history of injuries in my childhood when i easily used to watch the doctor stitch up my skin. So what was this nausea all about?", "output": "Hi and welcome to Chat Doctor. Thanks for your question... Phobia is a type of anxiety disorder where there is excessive and irrational fear of something, leading to avoidance of that fearful stimulus / object. In your case, the appearance of your symptoms seem to be correlating with the incident of closely observing blood / injury and so is likely to have been the cause of your nausea. But still, in order to technically qualify for a diagnosis of blood phobia, you need to have had persistent such aversion to blood / injury, along with avoidance of such situations (...which you say is absent). It could be that the straining of your eyes to closely observe / clean his wounds along with fatigue may have caused the nausea. However, if these symptoms keep repeating in similar situations, then it is more likely that you have a phobia. Wish you all the best.- " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "A week ago I felt like I had something stuck in my tooth . I brushed and glossed but nothing came out or got better. I pushed a bit on the gum and a tiny black thing like a piece of pepper but hard came out. Now for the last few days my gum has been sore and if I press the area white puss comes out. Is this an abscess and should I go see my dentist?", "output": "Hi, Thanks for asking the query, I think you have developed abscess in the gums. This can be due to either food impaction between the gums, or accumulation of plague and calculus leading to gingival inflammation and pocket formation. It can also be due to carious tooth. I suggest you to visit a Dentist and get a checkup done. Take an x-ray . Get complete mouth scaling and polishing done . Get an abscess Chat Doctor. Take complete course of antibiotic and analgesic. Hope this helps out , Regards..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello I have been having severe panic attacks for the past 5 years im only 32 yearsold I Feel like I dont know what to do Im so tired of alprzalam what else can I do? I have tried exercise I have lost 40 pounds Im not very Social it stops me from being with my loved ones if I only have like 5 pills left I FREAK OUT please helpnevermind I thought you would help for FREE", "output": "Hi, Panic disorder is an anxiety related disorder which is characterized by panic attacks that are very distressing, and occur without any specific reason. The mainstay of treatment is antidepressants or benzodiazepines (like alprazolam) depending on the patient profile. Your doubt is- what you can do to get rid of the pills? For patients who want to manage without Chat Doctor. Other options are panic focused psychodynamic psychotherapy in selected cases. Talk to your psychiatrist regarding this. A qualified clinical psychologist can administer this. Hope this helps," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Doctor, my potassium level is 6.1. My KFT, TMT, Echo is normal, with serum tryglyserides 230.I take ecosprin AV 75 as a precautionary medicine as have a family history of heart attack. I am 50 years old. could you advise any medicine to reduce potassium levels please. I smoke and drink.", "output": "Hi, dairy have gone through your question. I can understand your concern. Your potassium level increased mildly. Mainstay of treatment is to enhance the potassium excretion. Calcium, insulin, glucose can be helpful. But all are temporary measures. Definitive loss of excess potassium can be achieved only with cation exchange resins or dialysis. Any external potassium supplements should be stoppedConsult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doc,i have a problem about lipoma.i undergo 2surgery already 1on my left legs in infrapoplitel area and second os on my right arm in thesame area.now is i still have on my neck and on my chain and even my armpit is bulging.can i know the cause of having all of this why its spreading all over my body and can i have a ,edicine to remove it without having a surgery", "output": "Hi, dear. I have gone through your question. I can understand your concern. You may have lipomatous. It is multiple lipoma. Its is a benign tumor of adipose tissue. No, any Chat Doctor. Only treatment is surgical removal. So if you have any problems then you can go for surgery. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was tested positive for hsv1 and 2 but I have never had a outbreak and no one that I have been with has ever had a outbreak do I need to be retested to make sure of my resulted and the s aid week I took 3 different type of antibiotics could not cause a false positive", "output": "Hi, As per your complaint HSV-1 or Herpes Simplex Virus 1 infection is a viral infection that is commonly sexually transmitted via oral and genital contact. It is generally confirmed by investigations like antigen antibody reaction [Egg and IGM antibodies], Polymerase chain reaction, and viral culture. As it is a viral infection, taking antibiotics will not alter the test results. You did not have any outbreak as your bodies immunity might be good to resist infection and not letting the virus particles to multiply. But for re-confirmation you can repeat your tests and consult an Infectious Medicine Specialist for further diagnosis and treatment. Hope this information helps. Let me know if I can assist you further. Thanks and regards," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello,I was woken up this morning from a sever pain in my left abdomen section that stretched to my upper part of my back. I tried to walk it off, but it did nothing. So I got some Advil and took it with water. I tried to lay back down in my bed, but the pain was so unbearable I got up and got on the floor, trying to find some type of relief. After about 2-3 minutes on the floor, my mouth got really watery. I went into the bathroom and immediately started throwing up. However, it was only liquid. The pain is still ripping through my stomach, what should I do?", "output": "Hello, You have excruciating, unbearable pain in left side of your abdomen along with radiating in your back and also had vomiting, and you slightly relived on lying down and again having such a sever pain, in this regard in my opinion you might be having left Ureteric colic pain, which might be due to a stone in your left ureter. So it's my opinion and suggestion to you that you must consult your nearby urologist or get emergency treatment by undergoing first taking analgesic Injection and followed by Ultrasonography of your abdomen and X-Ray of your PUB region with continuing urologist treatment at your nearby hospital or medical facilities. Hoping you will get relieved by my guidance. Good Luck and take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have 3 herniated discs L3,4,5 have tried 26 spinal decompressions & laser therapy, accupuncture and an epidural and two nerve blocks. I do not want my vertebrae fused, is there a surgical option, other than laser, which my insurance will not pay for?", "output": "Hi, Regarding your concern, I would explain that your clinical situation seems to be a little complicated. You should know that after repeated surgery the rate of surgery success falls and chronic pain persists. Coming to this point the only option remains fusion, but I don't think that it will help with the pain, unless if your spinal column is unstable. Coming to this point, I would recommend performing a new spine MRI and discussing with your neurosurgeon on the above issues. If your spinal column is stable. I would recommend avoid repeated surgery and try medication (an antidepressant or an antiepilepsy Chat Doctor. If instability of the spinal column is present, spinal fusion would be the most appropriate treatment option. Hope to have been helpful. Let me know if I can assist you further. Kind regards," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "A couple of weeks ago I woke up with a hard itchy lump on my back left side. A short time later another one appeared in the the same place on the right side. They went away in a couple days they were very itchy. Last night I had some irritation in my left knee. This morning there was a hard itchy lump on my left knee and a hard itchy lump appeared on my right knee shortly after. What is this?", "output": "Hi, Good Morning, Thanks for your query to Chat Doctor online Clinic. I have read your query in details.-Dear In My opinion, this simultaneous lump on knee is mostly -Erythema Nodes.-This indicates an Auto-immune reaction activity in your body over sometime. And indicates-? Sarcodosis, crohns, ulcerative colitis?or Chat Doctor. -Remedy -would be to Consult a physician-who would-do CBC/ESR/CRP and would fix the cause of it in your case.-Tb NSAID / Tb Aspirin to reduce anti-inflammatory reaction -Steroids to reduce the autoimmune reaction causing these lumps-Colchicine in aspirin induced cases would reduce this lumps.-Usually these lumps go in 3-6 was time on their own. They could be treated if it does not go or causes more worry and pain. Hope this would resolve your query. Wellcome for many more queries to Chat Doctor from your friends and you in time to come. Have a Good Day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 10 year daughter has always (from birth) been a great sleeper. Only once in a while she d wake up due to a bad dream or a noise. About a month ago she started waking up a couple hours after going to bed and either wants to climb in bed with us or me to lay down in her bed. She doesn t remember this in the morning, but she doesn t seem to be sleepwalking either. Please help frustrated and tired mom.", "output": "Hello, You noticed that in last 1 month, so ask your child about any horrible event with him or friends, whether everything is good in school and with friends. I also want to know from you - has there been any death or accidental episode in nearby surrounding, did she use mobile before sleeping, or watch TV. Is there any change in her behavior or routine life activities? If this part is not significant, then once visit your pediatrician. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I did the salt and ice challenge using 4 pieces of ice and I don t know what to do . i know it was stupid. I did it on Sunday and I cant put my arm straight down without my hand getting swollen and on Sunday i felt dizziness, and weakness. I can ttouch or move it and it still feels numb. what should i do?", "output": "Here your main question is treatment for swollen and painful arm. Apart from this your explanation is not clear. For swollen and painful arm there could be multiple possibilities. It can be due to nerve injury at affected side or muscle injury or may be over use injury. It may also be related with cervical spine or shoulder problem. Here I need some more clarification on how it was started? As well is this first time you are having this pain along with swelling? So many things are not clear, so I suggest visit orthopedic and doctor will do some physical tests he may ask you to go for scaling or x-ray also for some more detail examination. And as per the report if there is nothing major then or tho doctor will suggest for medication and physiotherapy treatment which will definitely help you. But if there is major damage at cervical spine or shoulder or for nerve or muscle then doctor will suggest for surgical correction and later again physiotherapy rehabilitation. At home, you can also use cold pack and if it is minor pain and swelling can go away with this too. Follow all above steps, and I am sure it will be useful for you. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am having chest pains and I know it sound daft...but my Heart hurts. This has been going on for a few weeks now and I am wondering what I can do to make it go away? I also have an Eating Disorder and Bipolar and the last few weeks I have kind of gone crazy and have thrown up a few times and have smoked like 10 a day and have been exercising like crazy. I am sure it has something to do with that! But is there anything I can take to make it stop hurting?", "output": "Thanks for your question on Chat Doctor. Since you are smoker, we need to first rule out cardiac cause for your chest pain. So get done ECG. If ECG is normal than no need to worry much for cardiac cause. You are having bipolar disorder and eating disorder too, which favors possibility of anxiety related chest discomfort more. Anxiety can cause HERD (gastroesophageal reflux disease). And HERD can be worsened by your eating disorder. So it can cause chest pain due to acid reflux. Better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on it. You may require anxiolytic and mood stabilizer Chat Doctor. And quit smoking as soon as possible.Don't worry, you will be alright." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 61 year old male. Over a week ago I contracted a virus with sore throat and lots of congestion. I thought I was over it, but yesterday, my fever spiked, and tonight it is 102.3 F. I was recently diagnosed with prostate cancer and am scheduled to have surgery to remove in on May 19. I have been taking ibuprophen for two days, but to little avail. What should I do now.My wife wants me to ask if I could have an infection from the biopsy. I dont have any pain nor bleeding.", "output": "Thanks to Chat Doctor sir I can understand your concern don't worry, it is the infection of virus or bacterial in throat as your throat is congested, it is the inflammatory reaction of virus just take antibiotic and antipyretic like paracetamol 500 for 5 days along with salt water gargling try to avoid cold and cold items there is no relation to biopsy of prostate gland .have a test of CBP, and fever profile further if it is not subsiding it will reveal the cause of fever .ok don't worry sir" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I went to a doctor recently and I have perscribed iron tablets 4 weeks ago, the muscle fatigue has drematically improving although the dizziness, palpatations and erratic heart rates are still the same. I also have stomach bloating and discomfort, should i go back to the doctors. This is preventing me competing, i am a Thai boxer competing for 6 years. I am a 39 female have 5 2 58kg I have no other medical problems. Over the last few years I have had been perscribed iron tablets before, with this time presenting more symptoms", "output": "Hello, There are two possibilities, one is gastritis and reflux disease and second is cardiac arrhythmia. It probably is an acidity and reflux disease. Do you upper abdominal pain, nausea, burping, increase in pain on food, sour water feeling in throat or chest burning, if yes it further supports the diagnosis? You should avoid fatty, oily and high calorie diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Lots of green leafy vegetables, fruits. Avoid smoking and alcohol if any. Iron supplements tend to these symptoms, if having a lot you can take supplements after food. You can get prescribed tab Pan DSR 40 mg before breakfast once a day for 2 weeks. If none of the above symptoms are present, then there is a possibility of cardiac arrhythmia like PSV or atrial fibrillation, in which heart rate suddenly goes up and also suddenly decreases. Blood pressure falls during these episodes and one has dizziness, fainting, blackouts, sometimes syncope. Usually ECG is normal as it is usually done in between the episodes. ECG done during episodes will show abnormality, so try to get ECG done during the episode. If ECG is not informative then you will need 24 hour holder monitoring if episodes are occurring on daily basis. So visit nearby cardiologist for this investigation. Till the time your evaluation is complete, you can ask your local doctor for tab collar LA 20 mg once a day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Why would my body ache all the time, I feel weaker and weaker as time goes by.. Like my muscles can t lift as much as I used to. I m only 23. As of about 2 or 3 months ago I could be just sitting down and would get very dizzy very fast and it is bad. What could this be?", "output": "Hi, The symptoms you mentioned in history could be just about the body getting weaker and having insufficient vitamins. Having a multi vitamin should be good of use. Also, this has another differential thought is that the cardiac output must be low so having it checked and regular exercise along with this would help. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I ve got a lump on my upper palate , its hard and painless, I first noticed it 3 days ago, and it doesn t change. It may help you , but just before the New Year I ve got the problem with excessive mucus , and I went to doctors and CT it, but they said it s nothing to worry, but it never gone. My age is 39, female, smoker, height 174 cm, weight 65 kg.", "output": "Hi welcome to Chat Doctor, lump on the palate could be due to numerous causes, but looking at the symptoms you are stating it seems to related to salivary glands situated on the hard palate, there are numerous minor salivary glands situated in the region of hard palate, or it could be due to any infection of the teeth of the upper jaw, they are normally slow growing, if you could click a few photos of the swelling and send the soft copy(com images of the ct scan if you have or click pictures of the ct scan, then I will be able to guide you better. You can email me the picture at: Chat Doctor. Co.uk or smilenfacedental@gmail.com" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 7 year old son suddenly formed a small bald spot on the back of his head. The skin is smooth and it looks like there is some hair growth starting in the spot. It s about the size of a nickel. What could it be? What causes bald spots in children and how can I help him?", "output": "Hi...it could be a fungal infection of the scalp. This is a quite common phenomenon. I suggest you get in touch with a pediatric dermatologist or there is another option - Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. She will require oral and topical antifungal medications based on severity. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My left shoulder started hurting a little while ago. It is getting more painful by the minute. I am concerned about possible connection with such pain and the heart. I heard once that if a particular are hurts, it can be a symptom of a heart attack but i cant remember which arm", "output": "Hi, thank-you for providing the brief history of you As the pain is located only at the shoulder joints I feel it is more of a muscular issue. Also, for a safety case Cardiac assessment can be done. Post which is the cardiac assessment is negative than you may have to undergo physical therapy for further management Physical therapy includes - therapeutic ultrasound therapy, TENS therapy and exercises In my clinical practice most cases respond well to physical therapy Regards Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am a 37 year old female with chronic lower, thorasic and neck pain. I have been seeing a physical therapist and received a series of epideral injections over the last couple of years but nothing seems to help, I now have a new symptom a volar ganglion cyst on my left hand I am right handed and do not excessively use my left hand. What do you think could be wrong with me?", "output": "Hello, Such type of chronic pain can be due to following reasons:-Fibromyalgia-Calcium deficiency-Osteopenia or osteoporosis-Abnormal body posture-Spondylosis-Anaemia To rule out all these, I shall advise you to have routine blood investigation including CBC, ESR, serum vitamin D, liver and renal function tests, etc. At present, you should do following to have relief:-You may have a mild analgesic like Advil or Alive for relief-Start taking a multivitamin supplement-Start doing exercises to strengthen cervical muscles Take care. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My friend is an avid meth using and her pee is red. I ve seen myself and there are no clumps just red pee. She hasn t eaten anything that could have died it. Question does meth cause ur pee to be red. Or is she passing a kidney stone or actually bleeding.", "output": "Hi, dairy have gone through your question. I can understand your concern. You have req urine. It is most likely to be due to bleeding in urine. It may be due to kidney stones or some mass lesion in kidney, ureter or bladder. You should go for urine examination, RBC morphology of urine and ultrasound abdomen. These will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son is 7 years old he said his heart Itch s what dose that mean he said he feels like he has to hit his chest he is in good health and I think its just because he don t want to go to bed and that s why now the itchy heart is bugging him but what do you think should I be worried??", "output": "Dear-thanks for using our service. It is important to find out why he is feeling that his heart itches. It can be just a aromatization, meaning that he is trying to complaint about something to get attention but is advisable to have a pediatricians' checkup with an electrocardiogram and echocardiogram to eliminate the possibility of a cardiac malformation or arrhythmia. I hope that my advice has been helpful. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter is type two diabetic and slightly overweight. She is taking metformin for diabetes and amnitriptolin for IBS. She has had her gallbladder out. My question is: she has tried to give blood and they wont let her because her pulse rate runs between 107 and 116. What may cause this. Before she was on the meds. it was fast then too.", "output": "Hello! Thank you for asking on Chat Doctor! I carefully passed through your question and would explain that it is important performing some tests to investigate for the possible cause of her elevated heart rate: - a complete blood count for chronic anemia-blood electrolytes for possible imbalance-thyroid hormone levels for possible thyroid gland dysfunction- a cardiac ultrasound to examine her heart function and structure- a cardiac stress test to investigate for possible coronary artery disease (as she has coronary risk factors like diabetes)- an ambulatory 24-48 hours ECG monitoring to exclude possible cardiac arrhythmia. You should discuss with her attending physician on the above tests. Hope you will find this answer helpful! Greetings!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hii i m trying to conceive since 3 months bt nt yet succeeded i already have a 7 yrs daughter I m 32 yrs old me and husbands reports r normal still facing this issue.My doctor gave me some fertility tablets bt still no result kindly suggest...I m waiting", "output": "Hi, As you told all your reports are normal, you can try for 3 more months with medicines. After that you can go for GUI. Check out for your tubal patency test. Also get your cycles monitored with serial ultrasound to find out the time of egg maturity. You can take one injection for egg rupture and can be in contact with your husband for next 2 to 3 days. Hopefully this will help you. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dr..my 86 yr. old Mom has just been sent home to die with a Glioblastoma Brain Tumor ..Drs have explained that it is a very fast growing tumor that has already started spreading to the other side of her brain. The Tumor has effected her vision as while as her speech, however she speaks some but readily forgets. The Dr. explained at first, that this Tumor was cancerous, but because of her age would not recommend putting her through Chemo or Radiation ...Now we found out that Mom s Tumor was not cancer, but is moving quickly, and is fatal. Mom has been given 2-6 mo. I an my 8 siblings are totally confessed, can you give me a simple explanation as too why we are being told now that its not cancer? Thank you so much for your insight...Carolyn", "output": "Hi and thank you so much for this query. I am so sorry to hear about this diagnosis of nuroblastoma in your mom. If the diagnosis has not changed and remain same as nuroblastoma multiform, then it is a cancerous tumor. If they still call it like that, then know it is a cancer with a high capacity of spread that cannot be treated fully. If they have however found new clues or information that makes them to suggest otherwise, then let them share that with you. The diagnosis of cancer is made through a brain biopsy and reading of the specimen in a pathology laboratory. Was this the same for your mother? I understand your frustration and I know it must be a very difficult moment for you and your entire family to sit and watch your mom slowly go down this way. I honestly pray you find the strength to pull through very demanding and difficult moments like these. From the description of your mothers symptoms and progression, It sounds like she is living her last months or years. Stand by her in unity and make her feel and enjoy your warmth knowing there are persons who would stand by her ll through. I wish her the best of possible outcomes. Feel free to ask for clarifications if need be. Thank you so much for using our services. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "What is the lateral approach to total right hip replacement? The wound that I have from my surgery is about 6 inches long at the most and is almost healed. Staples were removed July 26th? There is still some swelling on right hip and some bruising. I am now walking with a cane and have to teach my brain to walk normally again --something I have not been able to do on about 12 years. Otherwise I am a healthy 56 year old woman, 5 6 tall and weigh 126 lbs.", "output": "Hello, As I understand from the history there is a lack of muscle balance and muscle strength post the surgical procedure. It would have been good if you had taken a fill THR program. Well they say, It's never late. As you are having less confidence in walking this is a common thing in most people who have undergone THR. Now since you have a hip joint replaced the joint proprioceptive system is fused out. I mean to say, every joint in the human body has joint receptors and these receptors tell the brain the joint position to keep it and stable too. Now post THR, the joint receptors are not there and the muscle has the complete role to work behind the holding the joint in position. Now you mentioned you doing find stability I will recommend you to undergo a physical therapy session of exercises to help stabilize the joint by making the muscle stronger and balances while in action. Since my 12 years of practice has experienced cases who have similar issues. But exercises they have improved and now can move around easily. We have always made assure we focus on not only behind the knee but even the core and the knee muscles to get maximum output. In your case, I too feel there is a possibility of getting the desired results which you are expecting. I will advise you to take it as a challenge and meet up a competitive physical therapist. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "When I m lying to to sleep or keeping my head in downward direction or turning or listening to exten of sound and saying in loud voice my head shakes i think it rotates. I cannot bear heaviness in my head any more please help. I also forget little things which happens 2mins before! !!:-(:-(:-(:-(:-(:-(:-(:-(:-(:-(", "output": "Hi welcome to Chat Doctor I have gone through your query regarding heaviness in head and rotating feeling and forget fullness. I can understand your of concern. Dear, uneasy feeling in head can be outcome of your faulty lifestyle and food habits which can cause - lack of sleep, anemia, high / low BP and blood sugar, deny Chat Doctor. Gas formation due to fatty food habits also troubles whole body from head to toe. Take lemon juice with warm water to get instant energy and relief from gas. It also alleys uneasy feeling in the head To stay healthy Get plenty of sleep. Keep hydrated yourself. Take balanced diet containing all essential nutrients - vitamins, minerals, antioxidants in natural form - fresh fruit, veges, ginger, garlic , AMLA, Aloe vera juice, a spoon of turmeric powder + Almond oil with a cup of hot milk at bedtime help stay healthy. With all above, to eliminate toxins from your body, increase your activity level. Do exercise, walking, Yoga, Shavian in between the work-outs. Calamari, Deep breathing, Panama, meditation will help you attain a total blissful physical and mental health ahead. Avoid fried fast foods too much of sugar, tea, coffee, alcohol, smoking, stress, constipation. Hope this helps solves your query. Take care, All the best.Don't hesitate to get back if you have any further query" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Recently I underwent endoscopy for gastric problems. after that it was found H.pyroli+ve ,prescribed antibioticcs 15 days course. There was some relief for some days . Again started fullness of upper abdomen rummbling of gases, gas comes out from anus with big sounds, stomach is always filled with gas .more over there is pain in upper abdomen, some times loose motions.", "output": "Hi. Thanks for your query. Your symptoms complex of treated H-Pylori infection of the stomach yet the presence of rumbling in the abdomen, flatulence, passing of gases per anus, pain in upper abdomen and so on can be related to the single most cause of such symptoms called Irritable Bowel Syn Chat Doctor. But before we label you as suffering from IBS, you need to undergo some tests which should be normal.:viz.CT scan of the abdomen, Colonoscopy Enterocolitis. A course of an antibiotic, metronidazole. Once all these investigations are normal, you have to start treatment for IBS. Continue probiotic for a long time." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was bitten by a dog when I was 5 or 6, now Im 14. I was bitten in my right leg. I was bought to a traditional healer, instead of a medical doctor. The dog that bit me wasnt vaccinated before it bit me, it was alive for 3 months, and then it was sold. I am okay now, but what Im worrying about is it wasnt washed with water and soap when I had the wound. This is my question, is it okay if it wasnt washed? will I be alright?", "output": "Hello, Welcome to Chat Doctor, Rabies is a 100 fatal, but it is 100% preventable with proper and adequate treatment. As you were bitten by an unvaccinated dog when you were 5-6 years old and know you are 14-year-old. For any dog bite the wound should be thoroughly washed with soap and water for 15 mins under the running water, which will wash off the virus if any at the bite site. As you have not washed the wound when it had bitten you 8 years, it is not a good practice. As 8 years have elapsed following your episode of dog bit and as you have not developed any symptoms of rabies till now nothing to worry. But it is not a good practice. 99 5 of the treatment lies in proper wound toileting. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi. im sorry but im freaking out.. i gave my boyfriend a blowjob and he cummed after then started to rub his hands on it and got cum on his hands. after that he wiped it all off with a blanket. then fingered me, does this mean ill get pregnant. please noo:[", "output": "Hello dear, I understand your concern. In my opinion there is no chance of pregnancy in your case. Usually there is chance for pregnancy when semen is ejaculated inside or around the vagina during the fertile period. In your case nothing such happened. And minimum of 2-5 ml of semen should be ejaculated for pregnancy to occur as some sperms are eaten away by the macrophages which are present in the vagina and only a few are left. The semen which was on hands was wiped off before fingering you. And the very little amount if at all remained on fingers will not be sufficient to cause pregnancy. So relax. Nothing to worry. Avoid stress. Wait and check for the period. Hope this helps. Best regards..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am female 28 years. I have lupus nephritis stage 4. I am on cellcept 3000. I took one pill of immodium a few days ago to stop diarrhea since I was traveling by plane. I was throwing upon the plane. Since then I have some abdominal swelling and constipation . Could the immodium have affected my kidneys? What should I do?", "output": "Hi, it is unlikely that Imodium has affected your kidney. What is your serum creatinine level and has it recently increased. MMF can produce diarrhea and vomiting. Did you recently start the medicine of increase its dose? SHE can affect almost all body organs, what were your involvements at diagnosis and whether you are in remission or active disease. All this has to be considered to find out the cars of abdomen swelling and vomiting. You can follow up with your nephrologist, and he should be able to sort it out for you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, my son is 18 months old and had had odorless green poop for 5 weeks now, i have bben back and to to the docs and he keeps putting him on antibiotics which clearly is not working!!! he also around twice a week vomits at night time whilst trying to sleep in bed, whatever he eats comes out in his diaper!! what could this be?? do u have any suggestions which could help him? thanks", "output": "Hi... Thank you for consulting in Chat Doctor. What your kid is having is not a diarrhea and is only a gastronomic reflux. It is quite common for babies of this age group to pass small amount of diarrhea or loose stools soon after feeds. This need not be treated as diarrhea and especially antibiotics are not indicated. When the baby takes milk, the stomach expands - then when it is contracting it sets off a wave form which moves down the intestines and when that wave reaches the lower down rectum, a small quantity of the stool is evacuated out. This is the basis for gastronomic reflex. Do not worry. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My mother had stage 1a ovarian cancer just over a year ago and had a full hysterectomy. She gets tested every 3 months. Leading up the this past test her ca-125 have been below 10 which is the benchmark her MD set for her. Her last ca-125 elevated to 14. The woman on the phone told her she wants to see her in 4 weeks for another test. The woman also went onto tell my mother that the lab could have made an error, because this was the 2nd call today she had to make today with similar results ands he said it was pretty rare for that to happen(she may have just said this to make my mom feel better?). She had no chemo done since there was no evidence of cancer cells in surrounding lymph nodes. I know 0-35 is an average number for people. Are they still average for a person who previously had cancer though? Her usual levels are 5-8 and nearly doubled to 14 in 3 months. Honest opinion is sought after! Thanks in advance", "output": "Hi, dairy have gone through your question. I can understand your concern. She had stage 1 ovarian cancer and treated by hysterectomy. Now her can 125 is 14. Though it is slightly increased, but it is still in normal range and no treatment is required. Such variation may occur due to many factors like laboratory and instrumental variation and many others. But she should repeat is every monthly for early detection of recurrence. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doc, i am the patient of gland tb...but i dont know much about this gland tb.so i would like to know that whatkind of diseases is this,how does it occure,wht is uts prevention and whether is a transfer dieases or not and what kind of transfer diseases is this? how does it transfer?? theirsboth side in my neck but right hand side of my neck is soiling n its getting bigger n bigger....i cough a lot and sometimes i feel sick...my nose they r alwz blocked i alwz have to sneezed...plz doc reply me as soon thank you", "output": "Hello thanks for the queryGlandular TB is a form of TB known as extrapulmonary tb. Tb is a highly contagious disease transmitted from one individual to the other through Chat Doctor. It's with the lungs and can become glandular like what you have. It can also spread to other organs of the body. Treatment is basically the same as if it was pulmonary and different countries have their treatment regimen. Treatment is taken for months. Where I practice medicine treatment is done in two phases, phase 1 for two months with rifampicin, isoniazid, ethambutol and pyrazinamide and the second phase for 4 months with rifampicin and isoniazid. Hope this helps. If you have further queried, I will be glad to help. Best regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just got my MRI results back and it says that T1 AND T2 weighted images of the brain demonstrate an abnormal diffuse appearance of the brain parenchyma. Incidentally noted are prominent perivascilar spaces....what does this mean? But it sayd Normal mri of the brain for my age....I m 33", "output": "Hi,T1 and T2 weighted images are the sequences of MRI done in order to differentiate between gray and white matter of brain. Usually there will be demarcation seen between white matter and gray matter of brain parenchymal. Abnormal diffuse appearance can be early feature of cerebral edema. If you are not symptomatic (headache, vomiting, visual osculation)you need not worry. This abnormal diffuse appearance can also be artifacts of MRI. Prominent perivascular spaces are spaces around blood vessel which is also normal in your case." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi sir, currently i am facing some problems. I am in a situation to make a man as a impotent permanently. He is 45 years old and a heart patient as well, he did his by-pass operation since 9 years ago and he has diabetics which is type 2 and high blood pressure as well. So what are the ways that i should follow to make him impotent permanently?", "output": "Dear, We understand your concerns went through your details. I do not know why you want to make that man impotent. The given medical and organic conditions do not warrant making him impotent. Any way, vasectomy is the best way to make a man completely impotent and after doing vasectomy, a man cannot reproduce. Vasectomy is a surgical procedure for male sterilization and/or permanent contraception. During the procedure, the male vas deferens are severed and then tied/sealed in a manner to prevent sperm from entering into the seminal stream (ejaculate) and thereby prevent fertilization. You can consult a surgeon with that person. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query. Further clarifications are welcome. Good luck. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "have had a cold for over 4 months, have been to an er and 2 Drs. I have shortness of breath.I have had a severe cold for 4 months, have been coughing up severely gross gunk that looks like dead lettuce. I have had 2 chest xrays, saw nothing, they gave me amoxicillin, and one that was stringer that begins with an l (sorry) I AM exhausted ? any ideas?", "output": "Hello! Looks like you might be having bronchitis with infection . Do you wheeze ? Is this the first time you are having such symptoms, or you have had them anytime earlier too ? Was it exposure to cold or rain that precipitated these symptoms ? Do you smoke ? Kindly consult a physician in person, get yourself examined and get your sputum examined for culture and sensitivity, the test that will tell what organism has caused your Infection and what Chat Doctor. For your breathing difficulty you might need bronchodilator " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m 30yrs i m married for 2yrs. v r trying for baby since 1yr but no success till date. ive a problem of ovarian cysts once got laproscopy surgery done at the age of 21yrs & got removed 3cysts (2 on left ovary & 1 on right). Now also i m having cysts in both d ovaries. I have taken lots of medicine for cysts but most of gynaes suggested me to get married as hormonal changes after marriage is good for cysts. But nw wen i m planning to hv baby i m nt getting it, its really very frustrating. Is it because of these cysts i m not getting pregnant? Please answer i m really worried.", "output": "Hi, I think you should go for evaluation first. Do a thyroid profile and prolactin levels and an ultrasound for your uterus and ovaries. You can take some medicines like camphene for the growth of your follicles and track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles. Be in contact with your husband for 2 to 3 days after injection. Take progesterone for next 2 weeks. Do a urine pregnancy test at home. You can try like that for 3 to 6 months. Hope I have answered your question. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, i am 16 years old and i masterbeat alot like everyday and recently i had this feeling in my knees that i cant move because of them and when i move my knee or my leg theres this weird sound that comes out of my leg , is that from masterbeating ? And what can i do to get back to normal ?!", "output": "Hi Dear !! Thanks for your query to Chat Doctor. Read and reviewed your query and health concerns. IN the given situation of Yours, You seem to suffer from-OA (Osteoarthritis)with Synovial thickening, which is mostly causing noise while knee movements. This seems to be independent and mostly related to your obesity. This plan would reduce your dilemma from weird sound from knee. Other causes-like torn meniscal cartilage, bubbling gases in joint, sesmoid loose bodies need to be ruled out. Consults with Orthopedic doctor are suggested. Hope this would help you to plan further of this complex illness of yours. If need be, update any health issue 24 x 7 by a direct question Tod ME, at following Chat Doctor link-Dear, if satisfied, Dont forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at Chat Doctor services. If you want to update more details and ask more update queries, You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi... My 2year old baby is having loose stools like yellow watery kind since yesterday like 3 times... doc suggested nutrolin b as well as tufpro liquid ...but after giving just once she still got motions twice...n greenish too.. what to do further?... anything serious...", "output": "Hi... It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just had a biopsy whicChatDoctore back complex hyperplasia atypia. I am scheduled for a D & C in two weeks to see if I have uterine cancer. My doctor wants me to get a full hysterectomy no matter what they find.. A few days ago my stomach started gurgling, which is new for me. I am scared that it is a sign of cancer spreading. I have read that stomach gurgling is a sign of oavarian cancer. Can you tell me more about what the stomach gurgling might mean?Mary Ann", "output": "Hi, dairy have gone through your question. I can understand your concern. Stomach gurgling is not suggestive of cancer. It's just an air sound. So don't worry about that. You have complex atypical so high risk of urine cancer. You should go for prophylactic hysterectomy. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am suffering from two month cold cough and joint pain.I have taken som medicine for cough but not yet cure. Some nodal problem is also facing.ocasionaly I feel some chest problem but I have don chest xray.doctor says allergic problem.iam feeling some sound changing also", "output": "Hi, thanks for writing to Chat Doctor .you seem to have allergic cough you should do the following. 1. Steam inhalation 3-4 times a day 2. Warm saline(water+ pinch of salt) gargles 3 times day, especially before going to bed 3. Chat Doctor. Take mild analgesic like ibuprofen or acetaminophen for joint pain 5. Start antihistamines(anti-allergic tablets) like levocetrizine. Most important of them all is STEAM INHALATION and WARM SALINE GARGLES hope I have answered your query. If any doubts you can get back anytime you want, otherwise please close the discussion and rate the answerphone you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello!!! I just went to see my GP & told her the last two visits, (about 2yrs), I have been trying to concieve. She says to get on clomid ASAP, but I am overweight & am concerned that it will be difficult to find someone to perscribe it. I have been losing weight, but turned 39 at the end of Feb. & cant wait any longer, I feel it is worth a try!!! Also, I do have a a son who just turned 19 and had no problems cocieving him, but age is no longer on my side... Im desperate!!!!", "output": "Hi, Thanks for the query. If your cycles are regular ovulatory cycles, then no need to use closed. Clomid will help in inducing the ovulation only. If your cycles are irregular, better to get evaluated for the cause for it. And take treatment accordingly. Then if your doctor suggests you can go for closed. Maintaining ideal weight will help in regularization of the cycles and in fertility. If your general health is normal, age may not affect the fertility much. For more details you can ask me through: http://www.ChatDoctor .com/doctors/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been charting for a year and i have been fairly consistent, but this month was different. After what seemed to be ovulation, my temp did not get up past its normal cover line, then dipped REALLY low again about a week later (day 22). This is really unusual for me. Im concerned that the second, late dip was the ovulation and that would put me at risk for pregnancy. Yikes!", "output": "Hi there, I have understood your concern. I will suggest you the best possible treatment options. Please do not panic. As you have rightly mentioned that there is always a rise in the basal body temperature around the day of ovulation. The dip that you have observed seems to be unusual. This helps If you are using basal body temperature as an indication of ovulation and use it for the purpose of contraception, then I will suggest you to opt for a suitable and more reliable contraceptive method. As on now, I will suggest you to wait for the onset of next periods. If you happen to cross your dates, then please get mornings first sample of urine tested for pregnancy. In case of doubt blood beta Chat Doctor test and USG will be of help. Even if you are pregnant, you can opt for termination of the pregnancy with medicines safely till 9 weeks of pregnancy under medical supervision. I hope this answer helps you. Thanks. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am currently 26yrs old. In Oct 2010 my period completely stopped , and i was diagnosed with PCOS . After 1 yr of birth control, my period regularised for 3 months, though my blood result showed slightly elevated testosterone level. after that wehen it again stopped , i was given on Metformin , folic acid , low dose aspirin and duphaston to regularise my periods. since i had slightly elevated prolactin .. i was given cabgoline. i lost a few pounds ( i was never obese) and now i weigh between 143lbs-146 lbs with 5ft 5inches height. Lately i had done my bloodwork and everything seems perfect.. my testosterone , FSH , LH , Prolactic , Hydroxyprogesterone , TSH and all. I am still on all the medications. i have a few questions . 1. should i continue with the medications , or should i stop them as wll my bloodworks are normal 2. what are my chances of pregnancy on these medications? 3. i have never monitored ovulation , i want to know what are my chance of ovulation with all normal bloodworks or ovulation has nothing to do with these bloodworks? 4. Do i need to lose further weight? Note: me and my husband have done all kind of tests to rule our other infertilities which includes SIS for blocked fallopian tube and SA for my husband. all reports have come back normal.", "output": "1. The medications prescribed are not for inducing ovulation. You can continue folic acid for NTD prevention. Other medications need visit to doctor to decide whether to be stopped or not. 2. Since it is not sure whether you are ovulating or not, chance of pregnancy cant be predicted.3. Even if all blood reports are normal you might/not be ovulating. You need to check it.4. Your weight should be between 50 & 60kgs." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, I have asthma , eczema , and sinuses problems my eczema has been acting up here lately badly. I ve purchased cetiphil soap for it and is maintaining it, but I ve notice that I m sore under my chin at the top of my throat in the center and I have a small lump in the center to around the right side of my neck. I It is not painful to swallow nor is it when I eat but if I turn my neck, laugh, or touch then I feel pain. With could be the problem???", "output": "ALL ARE ALLERGIC EFFECTS AFTER LONGTIME OF DISEASES THE SKIN TEXTURE CHANGES CAUSING THIS AND CHRONICITY CAN GIVESMALL LYMPH NODES TO ENLARGE IN ANY ARE AIT IS OKAY TO USE SOAP BUT ALSO CHANGE OILING PATTERN NO USE OF MUSTARD COCONUT WALNUT GROUNDNUT ALMONDS AND SOYBEAN OIL SUSE OLIVE FOR APPLYING AND COOKING USE NONTOXIC SHAMPOO CREAMS ALSO CAN USE KETOCONAZOLE SHAMPOO YOU WILL BELIEVED FURTHERMORE LOT SOFTWARE WATER IN MORNING" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 37, female, I have general anxiety disorder with panic attacks. For about 2 years now after my gall bladder removal surgery , I have been experiencing frequent, loose bowel movements after all of my meals. As of about 4 months ago I developed a dull achy abdomenal pain in my lower left side. Sometimes I feel faint when this occurs. Would really like to know whats going on...", "output": "Hi Dear Welcome to the Chat Doctor. Irritable bowel syn Chat Doctor. Stool routine and microscopic examination and stool culture are the investigations to rule out the infectious etiology of the dull achy pain in the lower left side. For this Amoebas is the near probable diagnosis which can easily be treated with a course of metronidazole, and with some antimicrobial according to the culture report. Hope the query is answered. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi dr.. I just had a whole 2 weeks of treating quite a bad of case of asthma .. And am just recovering now. I have been on steroids (pred) for more than a week. Yesterday I got my period, with a 9 day delay, which I don t usually have...but it s not bleeding normally, it s just spots with my period pain. I usually have a very heavy flow on my 2nd day, but this time it s literally a big spot. What could the cause of it be? I had 2 miscarriages before, and am concerned. Thank u so much .", "output": "Hello, Corticosteroids are known to upset the normal hormonal balance, as well as menstruation. Menstrual irregularities are quite common in people who take steroids, more so for those who have to take a big dose for flare-ups of asthma, eczema, and other disorders. If the flow is very heavy, then tranexamic acid will control it. But usually the flow settles down, and the periods normalize by the next month or soon after. There is no need to worry about it. Best Wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My dad had undergone 6 months medication for tuberculosis 4 years ago and few weeks before he got severe cough and fever. I got worried so I send him to the hospital. He did chest x ray twice . The result says that there are fibrohazed densities in the right upper lobe and hazy densities in the right lower lobe. Impressions: minimal PTB right upper lobe and pneumonia right lower lobe. His doctor prescribed a medicine for 6 month medication same as what he prescribed before but what he said is it seems that the TB occurred again. To get a free medicines we went to a local health unit but when they test his saliva, he said that he was negative on TB? What was result means? Does his disease re occur?", "output": "Yes TB can reoccur.However, both the doctor who prescribed tuberculosis treatment without doing a sputum test and the health unit who ended up doing test of saliva are wrong. What your dad needs to do is to give a proper sputum sample and not saliva for the test. If he is bringing out some amount of sputum, then a better test to do will be INEXPERT/RIF test for tuberculosis. If he is not bringing any sputum then u need a HRCT to confirm the lesions seen on X-ray chest are new or old" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I got dental work today so my bottom lip is still completely numb (its been 4 hours since). I was eating diner and I fully bit down on my bottom lip, its turning purple. Whats wrong and what should I do given I cant feel anything and its little bleed??", "output": "Hello, Thanks for your query. The numbing stuff (Novocaine) can make your lip swollen, and then when you bite the swollen numb part, it only gets fatter! So here's what to do. Ice works wonders for swelling, as well as Advil. Apply ice for 15 minutes, take Advil capsule, and then apply some canker soar medicine on the open cut. You'll be much better in a few days. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just had my lower molar extracted on thursday and I have a golf ball size lump in my jaw line and is in horrible pain.. we back to dentist today and he said that I do not have a dry socket but I have had one before and it seems as I do have a dry socket. I am having to take painkillers every 2 hrs. is this normal? he said it was a difficult extraction and that the gum tissue is very swollen..I cant seem to get the pain under control. what can I do?", "output": "Hi, Thanks for asking the query, The swelling can be as a result of trauma caused at the time of extraction. There could be a hence of any root piece left in the socket to rule out this you need to visit the Dentist and get an x-ray done. Take complete course of antibiotics and analgesic prescribed to you by the Dentist. Take lukewarm saline rinses and antiseptic mouthwash gargles. Apply ice packs externally over the affected area. Take care!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 7 year old son has a few spots on the soles of his feet. One is on the ball of his foot and looks a little like a corn. It is flaky in the center, and red and inflamed around the edges. The others are on his heels. They are dark red and rough. Do you have any idea what this could be? Could it be some sort of fungal infection?", "output": "Hello, The symptoms seem to be related to corn. I suggest using to soak your foot in warm water. Make sure the corn is fully submerged for about 10 minutes or until the skin softens. File the corn with a pumice stone. A pumice stone is a porous and abrasive volcanic rock that's used for sloughing away Chat Doctor. Apply lotion to the corn. I also suggest to use corn pads. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m 31 yrs old having a one and a half yr old daughter. Missed my period this month and checked after 10 days of the scheduled date, confirming pregnancy. Consulted my gynaecologist the same day and she gave me the medicine mifegest stating two tablets to be taken today and 4 tablets to be taken after 48 hours. Kindly brief me up regarding what all exactly will happen during this so that i can be mentally prepared for it.", "output": "Hi, mightiest is given to soften the cervix, and it is embryo toxic also. You can have bleeding after taking this or may not be. 4 tablets given to you is of bisoprolol which will initiate the uterine contractions, and you will have abortion after that. You can have heavy bleeding along with pain after 4 to 6 hours of taking it. Bleeding can persist for few days. You can take some painkillers for that. Hope I have answered your question. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor. Can I ask u the questions relatingu 2 kidney. I am 28yrs old. Can I donate my kidney. Vl there b any side effects. I want 2 donate or sell my kidney for money. My blood group is A positive. Cabvu pl let me know any one is there pl.... Thx a lot bye....", "output": "Hi, Kidney donation in India is illegal if done for money. It can be done only as a life-saving procedure for any known relative or friend after getting clearance from transplantation ethical committee. Legally, organ donation can take place from living, genetically-related individuals; from living, unrelated individuals in special circumstances where no unauthorized payment is made to the donor. Organ transplant law does not allow exchange of money between the donor and the recipient. According to the Act, the unrelated donor has to file an affidavit in the court of a magistrate stating that the organ is being donated out of affection. After which the donor has to undergo number of tests before the actual transplant takes place. The Authorization Committee set up for the purpose ensures that all the documents required under the act have been supplied. If it is found that the money has been exchanged in the process then both the recipient and the donor are considered as prime offenders under the law." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have grass,trees,dust and weeds. also allergic to nickel sulfac hexa hydrate .I itch about 2 hrs .after ashower or when it is humid. also I don t sweat I get clammy. I only itchin in the spring and summer I don t itch in winter. Also only on Long island I could go anywhere and not itch", "output": "Just avoid the contact of substances to which you are allergic. For allergy remember one thing for lifetime prevention is the best treatment. If you are having itching that is uncomfortable, then you can have Tab. Levoceterizine 5\u00a0mg as and when needed. It will relieve your itching but with this Chat Doctor. Even on taking tab. Levoceterizine 5\u00a0mg twice a day, You're having itching still then u need to consult your doctor for starting steroids." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello my name is markeela gray im 8 months pregnant and this is my 4th baby and i havent seen a doctor every since ive bein pregnant so is there a possible that something can go wrong with my baby and i dont know what im havin and im not on medicaid so thats why i havent bein to the doctor", "output": "Hello, I have gone through your query. I am not aware of the free medical services provided in your country, hence please see your health care provider for further information. As per your physical condition, you should see a specialist as soon as possible to assess the pregnancy status, fetal well-being, provide general supplements and assess your general condition and monitor vital data. You need to be vaccinated, if not done already and if the due date has not passed. A sonogram is needed along with routine blood tests and urinalysis. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my boyfriend suffers from mysophobia and adhd. How can I cope in a relationship with almost no intimacy and his childish adhd behaviors. I am bi polar and he is very good with handling my anxieties, but i cant help but feel like his mother sometimes", "output": "I can understand your problem. His condition will improve with his age. You can go for couple therapy counselling sessions to a psychologist.it will help a lot. Communicate with him, what you want for him how should he behave etc. With time his condition will improve. I know it is difficult to handle a person having ADHD but with few adjustments and counselling, one can have very good relationship. Hope my answer is helpful to you. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I am a 17 year old male and recently I was in the shower and I found a lump on my lower right shaft of the penis. Its skin color and kinda hurts when I touch it. It has gotten smaller over these past couple days. I looked up what It could be and I found lymphocele I think its called. Says it happens after masterbation or sex. I am not sexual active and haven t had sex before. I masterbate about 3-5 times a week. Wondering if you can help me and how to get it to go away or if I need to go see a doctor and get it checked out.", "output": "HelloThanks for query. The lump on shaft of the penis that you have could be either a staphylococcal infection of hair follicle or a Sebaceous cyst.However, this can be confirmed only on clinical examination by a qualified General Surgeon. Take antibiotic like Doxycycline for a week . If it does not subside consult surgeon to confirm the diagnosis. He would be the best judge to decide whether it needs to be removed or not. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Got sick more than a week,feverish and vomiting,taste less,fever in the belly every night,felt something like a small ball on lower right stomach and near body botton and yellow color on the white eyes.Can someone tell what it is? Thank you very much!", "output": "Dear Friend. Welcome to Chat Doctor. I am Chat Doctor. I have read your query in detail. Furthermore, I understand your concern. You seem to be suffering from Jaundice. I would advise you to get following tests done:1. Liver Function Test2. Ultrasound Abdomen3. Bag, Anti HCV antibody.4. PT/INRI would advise you to take medical help immediately. Make sure you don't get constipated. This is my best advise for you based on available details. If you have any further query please ask me. Stay Healthy. ChatDoctor, MD" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Doctor, I had this genital looking warts on my penis and I applied 100% tea tree oil at night for over a week. Lately, I have been realizing that my penis looks wrinkly on the left side where I had put on the tea tree oil. However, my penis seems to look normal when it is erected. Is there anything I can do about it so that the wrinkle is gone even when I am not erected? Thx", "output": "Thanks for asking in Chat Doctor forum In short: Allergy to your favorite tea tree oil might have caused this. Explanation: Do not experiment with these oils and other chemicals for your wart. Go and visit a dermatologist and get your wart removed if present. Usually the skin of penis is wrinkled when it is flaccid and little stretched when erect. This is normal in every male. Stop seeing your penis and visit your doctor for the solution. Stop putting your oil till then. Good luck" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have this pain in my upper stomach like Ive just done 1000 situps and it hurts to breath. It started yesterday on my lower leftside after breakfast and hurt all daylong. In the early evening yesterday it had moved its way to the top of my stomach and it has hurt all night and all day today just like Ive done to many sit ups. I dont do sit ups. I dont have much of an appetite but what scares me the most is I cant breath because it hurts. What is wrong? I have never felt like this or been in such pain.", "output": "Welcome to Chat Doctor. Pain in upper stomach and increases with breathing indicates muscular pain. Pain is usually due to after exercise (sit-ups) in your case occurs due to overuse of muscles.Don't do over exercise at a time, gradually increase the grade of exercise. Warm up exercise is always advisable. Start NSAID with muscle relaxant under guidance of family physician. Local application of NSAID gel will be helpful." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "itchy rash yes hi my name is Shannon and I have had an itchy rash now for maybe a month or so. the rash is little bumps but they itch like crazy! I have them on my back my sides my legs my chest and my pubic area palms of my hands and in between my fingers! its not a normal rash though! its just one little bump here and there! and they just appear out of nowhere and start to itch! Please help", "output": "Hello and welcome to Chat Doctor I would keep a possibility of scabies, which clinically presents as itchy rashes on the abdomen, thighs, arms and extremities. The itching is specially troublesome at night in scabies. Treatment is single whole body overnight(8 hours)application of a 5% permethrin cream, from neck downwards with special attention to the finger webs, toe webs, folds of the groin and maxilla etc. An OTC antihistamine once daily e.g. cetirizine can be taken for symptomatic itch relief. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "why is there a cold feeling in my chest whenever I am working out specially high impact cardio? I am 42 years old, 140 lbs and 5\"2.5 feet in height..I am physically healthy individual and always working out. But lately, I started smoking again but only around 2-4 sticks a day", "output": "Hi welcome to the Chat Doctor I don't think only cold feeling in chest suggest any specific diagnosis If cold and congestion present then it could be bronchitis like condition You are having smoking history 2 to 4 stick per day is not mild smoking I encourage you to stop smoking and attend campaign for smoking cessation if needed You can investigate with chest x-ray as routine check up (because you are smoking) Otherwise no need to worry about cold feeling Hope your concern solved Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello,I know I have food allerigies as it often affect arround my nose, mouth,lips and in worse cases , eyes.Sometimes I get pain between my lower ribcage and above my belly button if I gently press my fingers over this whole area. My gut says its alergies as well because I had black pepper which I can often react to, but I am totally in the blue if it really is allergies and how severe it is when I get a reaction in this region....", "output": "Hi, The pain between lower rib cage and above belly button may be due to allergy or due to gastritis as pepper is known to cause gastritis by increasing gastric secretion. The other food may present with pain abdomen in case of allergy we call it as allergic gastroenteropathy. If allergic reaction the features may extend from slight pain to anaphylactic reaction which is life-threatening. SO you must avoid allergens. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Just had lumbar microdiscectomy L5-S1. 6 days post op I had an erection and ejaculated and shortly thereafter I noticed pins and needles in my foot and slight pain in my left calf, right knee and buttock. Could this be related and cause a problem?Thank you.Joey", "output": "Hello, I have studied your case. Some amount of tingling and numbness is common after such surgery and this is because of either irritation of nerve during surgery or some time it can be due to collection of blood over nerve root. I would suggest you to follow these .1. Rest2. Tablet Gawain NT one daily at nighttime.3. Tablet Pregabalin one daily. I hope your symptoms will improve in a week or two. Otherwise, you can go and discuss this with your doctor. Let me know if there is any other followup questions. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have about 6 mouth ulcers 2 on the inner of my bottom lip, 1 on my upper inner lip, and 3 in the back of my throat, I have a had ulcers over the past few years but only 1 at a time and are very small, the ones I have now are all about the size of a pee, any info on what it may be Thanks, Nick", "output": "Hi. Welcome to Chat Doctor. I read your query. Oral ulceration in mouth can be due to several reasons, most common being Authors ulceration (cause unknown). Other reasons can CE trauma, allergy, medications, radiation exposure, underlying disease etc. If you have history of one of those, I suggest you to consult your physician for treatment of underlying cause. In case of authors ulcers, the cause is not known. They can be single or multiple ulcers ranging from pun point to larger ones. The small ones heal in 7-10 days while larger one may take up to 40 days to heal. Apthous ulcer may reoccur in 1-4 months or longer. Treatment for these are symptomatic unless underlying cause is known. Avoid stress and anxiety. Take proper rest and sleep. Take multivitamin and mineral tablet one per day. Maintain good oral hygiene with brushing twice a day and use mouthwash. Take healthy diet. Use Lidocaine gel for ease of pain. Apply it before eating also as it will reduce burning. Avoid spicy and acidic food and beverages. If ulcers enlarge or change shape, contact your physician for further tests. Hope the answer helps you. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband is suffering from extreme mental confusion. He has had an MIR and well as many blood tests. All tests have proven to be negative. He is refusing to leave his bed and just doesnt want to talk or eat. He is very confused and cant seem to voice his concerns or thoughts. What can I do besides committing him, which is not an option?", "output": "Degree understand your concerns went through your description. You have not mentioned the age of your husband. He must be suffering from life anxiety. MRI and other blood tests were normal, and therefore he is supposed to be alright physically. I should ask you so many questions. When this started? What were the basic reasons for this? Is he suffering from any other lifestyle disease? Is he satisfied with his family and professional life? Any unnatural death in your family or nearby? Etc. Usually, when a person who sees actual life, he gets confused about his role and should normally become anxious. Fear and anxiety are after products. Fear keep him in one place without moving and anxiety keeps him thinking. Normally such patients need expert intervention. With the help of an expert Psychologist / psychotherapist your husband should become alright. Consult such a specialist. Or book a telephone appointment through Chat Doctor for me and talk to me. I shall help your husband in every way I can. Hope I am able to partially clarify your doubt. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I am a gay male. Before having sex with my partner, i like to douche to avoid any messy accidents etc. However, whenever I douche, I always get stomach pains. Sort of like i have diarohia and really need to go. Cramp sort of pains. I use a bulb douche with a capacity of around 250ml. Plain luke warm water. i usually have to make around 6-10 rinses before the water runs clean. Could I be using too much water? Am I supposed to syringe the whole 250ml or around 125ml at a time? I would really appreciate your help on this :) Thank You", "output": "Hello, It is my privilege to help you, I have gone through history and the problem, Let me just say that douching does not protect you against transmission of STIs or HIV. One should preserve the natural flora of the lower gut as it protects against a infection. Those who choose to douche do it purely out of a need for cleanliness. Surprisingly, your anus is relatively empty most of the time. In fact, it will only fill with excrement moments before it all needs to come out. Because of the faulty technique and repeating douching for several times has led to your problem. I would suggest you to understand the concept of douching and then follow. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had my wisdom teeth pulled 5 days ago. Tonight I felt a stringy substance in my mouth traveling along several of my teeth. Its still attached but I can probably pull it out if I try. Theres a fairly steady stream of bleeding, but tea bags seem to stop it.", "output": "With your query, I don't clearly understand by the term stringy substance what you mean but after extracting the wisdom dentists usually give sutures and bleeding will stop within three days. I assume that you're touching the extracted site with your tongue or something else if so please din disturb the healing area which results in delayed healing with mild bleeding. Stringy substance might be the suture material or blood clot what you are able to remove. I would definitely say that it would be better you visit your oral surgeon which gives a clear picture. Mild bleeding common but not even in the fifth day" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi there I ve had a cold for three weeks now. Runny-blocked nose, headaches, coughing with phlegm, which was fine but now my right ear has been blocked for almost a week and I am getting neckppains I have been very tired and I have finished one whole pack of a cold an flu decongestant pills and also 4days into a nasal spray. It is driving me crazy and now I feel as though I m starting to get pressure in my other ear. Please help what can I do", "output": "Welcome to Chat Doctor, short answer: cough with productive sputum for more than 3 weeks has to be investigated detailed answer: if there is cough with sputum is mostly due to infection (bacterial, ) of the lungs. If it is for less than one week we can try antibiotics nasal decongestants and anti-allergic medications but if it is exceeding 3 weeks that too with fever it has to be investigated for knowing its severity. Investigations include complete blood count, ESR, CRP, X-ray chest PA View and blood culture. Depending upon the severity of the infection treatment modality starts. Severe infection may need iv antibiotics for some days higher oral antibiotics, nasal decongestants and allergic may be tried in non-severe infections. Review with result for more explanation hope this explains with regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doc. Well im confused because me and my boyfriend are trying to have a kid and i was waiting to see if i get my period the 10th of this month but i missed 5 days already an than on the 5th day i started bleeding lightly? And from last month in march i only had bleeding for two days and spotting. Could you please help mi understand?", "output": "Hello. Thanks for writing to us. Since your periods are overdue, and you are having a slight spotting, this could be an implantation bleeding. You need to get your urine tested to find out your status of pregnancy. The treatment will then depend on the test result. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http://bit.ly/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi just a few questions,last week i had lower abdominal pain when i went to the loo,and went to see the g docs,i had bloode in my urine,protein and had a bit of temprature,i also had swabs taken,but they came back clear.i hav been experiencing pain when i walk around,but when im resting its not so bad, the pain i have been getting feels lyk i am in labour,nw its calming down its getting more like a period pain at one side,iv also noticed i hav got circular dents in my forehead,that is a different colour from my own skin,should i be concerned?", "output": "Hi welcome to Chat Doctor forum. Thanks for calling Chat Doctor. Forum. You had lower abdominal pain, temperature, more while walking, It is like a period pain, on one side. You had circular dents on forehead. Doctors report says blood in urine, and protein. Swab tests are normal. It appears to be the pain of urinary tract infection, stone in the urinary tract, or pelvic infection. I advise you to consult a gynecologist for diagnosis and treatment. Wishing for a quick and complete recovery. Best regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "recently i test for TB my test results are ascitic fluid for ADA-----40 U/LIgM ------1.49 S/CO (Positive)IgG------------286 U/ml (negative)sir my doubt is i have TB ?my symptoms areCough for a prolonged duration (more than 3 weeks)Unexplained or unintended weight lossabdominal pain", "output": "Thanks for asking your question completely understand your question cough of more than 2 weeks can be tuberculosis, u have other symptoms like cough, wt loss, fever, decreased appetite also.ASCIIs with Ada more than 37 is not a very good predictor but yes Ada has significance in diagnosis of tb, if more than 37 it is a marker for tuberculosis. But IGM and egg are now banned by world health organization and gives false interpretations. So don't believe those tests. You need to consult a pulmonologist who ll do further workup and investigations like pleural fluid cytology and biochemistry, chest X-ray with sputum examination for AFB are also sensitive and specific for diagnosis of tuberculosis. Ascitic fluid and sputum can be cultured for tuberculosis are 100 percent specific but takes time.in my opinion yes your picture seems like disseminated tuberculosis, but further workup is needed consulting a pulmonologist will help you a London panic thanks /regards feel free to ask more questions may god bless you with good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello, this is the begining of my 6th week of 4th pregnancy after least menstrual period . married for 9 years i had a missed abortion of 5 weeks after 1.5 years of marriage and then after one year again concieved and a healthy baby girl arrived. then again after a gap of three years I gave birth to a healthy baby girl aged 3.2 now. so this is my 4th. doc prescribed two injections per week ,daily ascard and follic acid tabs. my questions why is it necesacry to take these progesterone n ChatDoctor injections this time. regards", "output": "Hallow Dear, Progesterone is a hormone required for stabilizing the pregnancy. This hormone is prepared in large amounts by placental tissue or the precursors of placental tissue. Before placenta is formed, it is the chorionic tissue which produces hormone Chat Doctor in large quantities to support the other progesterone producing tissues to produce progesterone. Hence, if there are any signs suggesting that the pregnancy is at risk, particularly early pregnancy, either Chat Doctor or Progesterone or both are given to stabilize the pregnancy. The signs demanding for these are mainly bleeding in the first three months without pain in the abdomen. Sometimes, if there is bad obstetrics history with previous abortions in first three months, these medicines are given as a precaution. If you do not have any such history of symptoms, you may not require Injection of Chat Doctor and/or Progesterone. However, please continue to take Folic acid which is very vital for the growth of the baby. I hope now you can take an informed decision. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "im a 31 year old male I smoke about a pack of menthol cigarettes a day. I noticed a lump under my tongue towards the back of my mouth it is painful and has been there for about a month now. and also it tends to hurt slightly when I swallow recently.cancer does run in my family my mother and father have both had forms of it. what should I do? And how long do people usually live with oral cancer?", "output": "HI, Dear,Thanks for the query to Chat Doctor.1-I have studied your query in depth.2-IN my opinion, this lump on the back of your mouth-floor which has become painful recently was present for a month, with swallowing hurt from the lump, is cause to worry, though the only pacifying fact is that its painful or this may be a danger signal of invading lump in to nerve fibers around.3-With a pack of cigarettes a day, this could be a -painful lump on the mouth floor with ulceration not noted by you, or it could be a lump with invasion in surrounding tissue.3-a-I would advise you to show your doctor -surgeon, as it hurts you and the lump was there for a month-or could be for more time.5-Dear, I would advise you to URGENTLY-consult an ER Surgeon-doctor, who would rule out the medical causes, and would excise the tumor if the FNAC indicates that its cancerous.6-Hope this would solve you query to your satisfaction.7-Wellcome for more queries to me On Chat Doctor. Thnks once again for your inquisitive query. Have a Good Day.!!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my husbands most recent blood work came back showing iron anemia and abnormal rbcs. hes been receiving iron injections for several months with no change in either number. should we be concerned with cancer (no indication in labs) or is there possibly another cause?", "output": "Welcome to Chat Doctor. I am Chat Doctor. My dear friend, if your husband is not responding for treatment then we need to find out the cause of anemia. You need to do some important test as complete blood count, peripheral blood film, reticulocyte count and stool examination for occult blood. These test will remove your any doubts regarding cancer and will help us for further management. He will be fine soon. Keep in touch. Thanx for query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had heartburn since 2011 it is not heartburn because it burns every single day of the week even.when I don t eat anything I can.just walk or bend over and get bad burning in my chest plus the chest pain and it apears that underbmy left arm pit is a burninh and it feels as if blood.vessels are swollen to.touch I can feel.them moving when I put my hand there and.rub it up and down also when I touch it my chest starts to hurt very badly I have been.sweating none.stop all day and feel very hot when I have the air on and tired.. I have no clue what this could be", "output": "Hello. Thank you for asking on Chat Doctor. I read your query and understand your concern. Now, the description of the heartburn you provided, is with the highest probability from the stomach, as the origin. This symptom is called paresis, and is produced when the highly acid content of the stomach is returned to esophagus or, sometimes, throat and mouth. This can happen from various reasons, mostly from a disbalance between acid-producing and acid-inhibiting factors in the stomach and from the lower esophageal sphincter insufficiency. Without digging further more into theoretical details, I would suggest you to refrain from certain food and beverages that favor acid production and/or inhibit acid-inhibiting factors and/or lower the pressure of the lower esophageal sphincter:- alcohol and tobacco-chocolate- tea, coffee (Anthony derivatives)- spicy and grilled food, and pickles would also recommend you to start a course with a proton pump inhibitor (PPI): omeprazole 20 mg x 2 tb/d for the first two weeks, then 20 mg x 1 tb/d for four other weeks, and accompanied by risperidone x 3 tb/d. Also, you should not lie down, but sit up or stand, for at least 90 minutes after you have had your last meal. If the symptom persists after all these measures are undertaken, I would recommend an upper gastrointestinal (GI) endoscopy, for further investigation. I hope I was helpful with my answer. Best regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had two seizers on Wed. They couldn t find a reason but my mouth is horribly painful. I did bite my tongue but it s more than that, I feel like I have cancer cores on my tongue. The top and back of my throat is sore. I can t eat anything solid, only liquids and that even hurts. Emergency doc said to gargle salt water which doesn t help. If I eat anything I cannot move it from my teeth to my tongue to swallow. Just swallowing water hurts.", "output": "Hi, As per your complaint severe pain inside mouth along with painful eating and swallowing can be most probably be due to severe inflammation inside mouth leading to AUTHORS DERMATITIS and there can also be ulceration. It can be due to trauma to the mucosa inside mouth while can also be due to side effects of medicines, burning with hot foods or chemicals while can be due to many other causes. Consult an oral Physician and get evaluated. For authors dermatitis, you can do warm saline gargles. Gargles with 1:1 solution of Ben Chat Doctor. Gargle with numbing mouthwash containing Lidocaine for pain especially during eating. Take a vitamin B complex tablet for a period of 15 days. Avoid spicy, sour and acidic foods. In case if still the condition does not subside the physician can prescribe you to take a Steroid course as it is the ultimate treatment in case if nothing else works. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have just gotten braces which I dont know if that has anything to do with it, but when I swallow it hurts. And my farthest molars on the bottom are hurting severely there is like a piece of lose skin on where it looks like the tooth is growing in but it almost in so I have know idea why that would be there but the skin around the molars you can pull it away from the molar not to far because it starts to hurt but where you can see inside and I dont think thats normal and when you look inside its like this white /yellow type stuff it almost looks as if the tooth is infected. Its hurts to chew swallow and even talk!! And then I looked to the back of my throat and there are like red veins like something that would look like if it was infected. And also there are bumps And white like circles that are starting to build up on one of my molars and there are a few in the roof of my mouth. I also think I have a swollen gland.. I have been taking cold medicine because i did have a cold before but thats gone so now i have this and i have been brushing my teeth mouthwashing and doing gurgling warm salt water is there something else i should do? I know this is a bunch but Im dying for help. I havent eaten in what feels like forever I need help fast..", "output": "Hello, Welcome to Chat Doctor. From the details produced, its clear that your gums are inflamed after inserting braces due to improper oral hygiene methods. Your molar tooth has periodontal inflamed due to heavy plaque and calculus deposition. I would suggest you to get a thorough scaling as well as root planning done. Take tab-doxycycline-100\u00a0mg,once daily for 7 days. Use interdental toothbrush to clean your teeth. Brush your teeth after every meal. Use chlorhexidine mouth rinses to gargle. Please be conscious about your oral hygiene, since you are undergoing orthodontic treatment, which makes cleaning teeth difficult. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "15 month old. 4 day low grade fever. Spiked to 104.4 tonight. Tylenol 15 mg/kg Motrin 10 mg/ kg. Fever down to 101.7. General malaise and fatigue. Sleeping 16 hours a day. Loss of appetite. Still drinking water. No cough, no sinus drainage, not pulling at her ears, urine does not smell. Perfect purple circle on her chest 4 cm in diameter. Showed up when the fever started. Live in a rural community, lots of ticks and mosquitos.", "output": "Hi...by what you say it could be a simple viral illness. But as you say you are in a rural area with a lot of mosquitos and ticks, I suggest you get in touch with a pediatrician or an at least a general physician to assess your kid. Meanwhile I will explain to you how a viral illness behaves - Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15\u00a0mg/kg/dose (maximum ceiling dose of 500\u00a0mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Patient is suffering from gallbladder stone . One and a half months ago, my grandmother was admitted to hospital for a week and doctor referred operation for her. Doctor prescribed Digene 3 times a day and a tablet which is used in case of pain. We want to avoid operation because of age factor. Now, she is facing with same pain again because of overeating. I tried to give her Epsom salt in a cup of water but she don t want to take it. Please advice what to do?", "output": "Hi, Thanks for posting your query. Pain after eating is possible in cholecystitis, pancreatitis and peptic ulcer disease. Pain due to gall bladder stone is because of development of cholecystitis (swelling in gall bladder wall). Gall stones cause pain in right upper qua Chat Doctor. Di gene is effective for acidity problems and have no effect on gall stones. You should consult with internal medicine specialist/ gastroenterologist and should go for thorough check up. You should also go for repeat ultrasound imaging for detection of gall bladder wall thickening. Your grandmother should take small amount of frequent meals. Hope that helps. Take care," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "IT IS THIS PRODUCT ADICTABLE . IN MAY CASE I GOT DIVORCE 5 MONTHS AGO AND WHEN I HAVE SEX WITH NEW PERSON IT IS HARD FOR ME TO KEEP ERECTION , THATS SOMETHING THAT IT DIDNT HAPENED TO ME BEFORE. I KNOW THATS PROBABLY SOMETHING ELSE BUT THE PILLS HELP ME .I DON T WANT TO BECOME ON A REGULAR USER OF TALADAFIL OR CIALISIS ,", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. Erectile dysfunction is mostly due to psychological causes than physical. You have to introspect yourself to know the basic reason for the problem. Anxiety and apprehension about sexual performance leads to erectile dysfunction. The two Chat Doctor. Erectile dysfunction is in your mind and in thinking, probably. You must practice faithfulness with your partner, love, affection, intimacy with your partner to have proper sexual pleasure. If you have all these, there will not be any anxiety or any anti conscience matters and the sex act shall be enjoyable. You might need sexological counseling. Please visit www.psychocure.blogspot.com. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi - my 5 year old daughter has a 5mm mole (or similar) on her back that is raised and looks to be filled with yellow fluid but is also quite pink in colour. It s symmetrical too. Any idea? The doctor said it didnt look like melanoma as it looked yellow- maybe filled with a fatty fluid...", "output": "HI, Dear, Thanks for the query from you for your 5 yr old daughter, who has 5 mm mole on the back which is quite pink and is symmetrical too.1-I feel concerned that you are serious about the cause of the mole filled with yellow fluid?2- In my opinion dear, your daughter has ?sebaceous cyst with mild infection. Melanoma is out of question and don't worry about it. I agree with your doctor.3-It appears that yellow fluid has come out sometime and has infected the sebaceous cyst.4-The symmetrical presence is just the coincidence of 2 sebaceous cysts on the back of your daughter.5-Antibiotics with proper excision of the infected cyst -is advised on urgent basis. 6-I would advise you to immediately go to ER surgeon and take treatment as advised above.7-Hope this would solve your worry about melanoma, as this mole? Filled with yellow fluid is just an infected sebaceous cyst.8-Wellcome to Chat Doctor for any more query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi how are you , doctor doctor last week i was suffering by acute pain on stomach after i took test of ultra sound, axray, endoscopy, and CT SCAN , reports are normal but after when i checked the level of pancreas test i was very high 700 and doctor admitted for 5 days and now am okey but i want to know why this happen and i was sufferring by small small stomach infection from last month, and am alcohalic every day and i eat non veg to much i want change i have to give in my body", "output": "Thanks for your query at Chat Doctor! I am Infectious Disease Specialist! I went through your query! As you told you are alcoholic it could possibly be a mild episode of pancreatitis or gastritis which is quite serious condition. You must stop the intake of alcohol. If not you are having tendency to develop chronic pancreatitis which can be life-threatening. Take healthy diet. Avoid spices and oily food. Happy to take more queries! You can also write a review for me. If you would like some more information, I will be happy to provide. You can take a follow-up query. Take care!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "mild low back pain with b/l lowerlimb pain after walking 10 min age 52yrs wt-62kg ht 5.8 inches pain while sitting n getting pain n has 2 take support while gettin up L4-5 SEVERE DIFFUSE DISC BULGE INDENTIG ANTERIOR THECAL SAC N NEAR COMPLETE OBLITERATION OF B/L NEURAL FORAMINA", "output": "Hi, welcome to our site. I am Chat Doctor, MD. Read your query. That is a very significant question and I appreciate your problem. I will try my best to answer your querulous is a condition known as myeloradiculopathy- that means the disorder (path) involves the spinal cord (myself-) and the nerves coming out of it (radical-). Your spine is basically a column of bones separated by cartilages with spinal cord running inside this bony column. The nerves come out from the spinal cord and run out to the body through small gaps between the honestest cartilages sometimes move from their place. This displacement can be in any direction, but is most prominently and commonly behind. Now when this disc (cartilage) slips behind, it manages to obstruct the gaps through which the nerve comes out. This causes damage to the nerve. If the disc protrudes further, it may start to affect the coverings of the spinal cord (theta)at first, followed by the compression of the spinal cord itself. This is exactly what is happening to you, as per the report entered. Ideally, the treatment of this condition is neurosurgical. But no doctor likes to do surgery at first. So I would suggest a prescription of pregabalin and methylcobalamin. This may be associated with physiotherapy. A short course of steroid may afford some immediate relief. If nothing works, surgery may be considered hope this helps you. Inform the reports mentioned above/if any other, so I can be of help further. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you. Please do understand that some details could be extracted from a detailed history and examination. Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further. (If the answer has helped you, please indicate this)Best of luck. Chat Doctor. MBBS, MD (Internal Medicine), CC (Diabetes Mellitus), DNB (Neurology)Consultant Physician and DiabetologistJS Hospital Apollo Hospital, Delhi Baileys Hospital, Noida" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i cant blink my left eye,slurred speech ,problem with my balance,weakness on my left hand in grasping things,can you please give me advice on the exercises treatment i could do at home i was discharge from the hospital 4 days ago after having cardio vascular disease acute infarct right side thank you", "output": "Hellothank you for trusting ChatDoctordear you may be developed acute cerebral infarct with left racial palsy. But your facial palsy it seems involved both upper and lower face. May be due ventral medulla involvement. Facial palsy may cause slurred speech. Continue medication with physiotherapy and exercise. If symptoms not improved please consult your neurophysician he will examine and treat you accordingly. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Sir,I am 32 old i was suffring from fever past 2months which is called typoid.after 1 month i have eat cheken ...suddenly fever came back,symptomes like 100 degrees fever and boday pains..etc.I am taking cifron and dola650 ....but and not qure please can u suggest me what should i do......thx hari 0000.", "output": "Hello Hard appreciate your concernLooking at your history low grade fever for 2 months needs to be evaluated in details would advise you to get your blood test for hemoglobin CBC ESR liver function test modal test for typhoid and urine for cultural could be a viral hepatitis tuberculosis typhoid fever or urine infection in my opinion you should consult your doctor for examination and aforementioned investigations after confirmation of diagnosis you may require a course of antibiotics have plenty of fluids and multivitamin supplements can take tab acetaminophen and do cold sponging for fever hope this answers your question thanks for using our service swishing you good health and speedy recovery" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am somewhat dark in colour. could you please suggest me some fairness cream without side effects. My sister is using skin lite. now she is very fair. but i used that. my skin was wounded. So i stopped that. now it is okay. so please suggest me some fairness cream. from neck onwards i am so fair except face. so please do me needful. i from cuddalore in tamilnadu", "output": "Hi, One should always try to achieve ones constitutive skin color as how much hard one tries a person with dusky complexion cannot become fairer by applying creams. Do not apply creams containing HY Chat Doctor. Just to have a good skin tone, use a good sunscreen with SPF more than 40 in between 10 am to 4 pm and repeat it every three to four hours if out in sun. One can use mild skin creams containing Comic acid, licorice, albumin, vitamin C, vitamin b3 and vitamin b5 on daily basis to improve ones skin tone. Also, few sessions of chemical peels can be taken to exfoliate the skin and improve the skin tone. Similarly, monotherapy with vitamin C and glutathione can improve the skin color to certain extent. However, as a doctor I would always promote a skin regime to have a healthy glowing even toned skin rather than striving for a fairer skin. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 62 working as an RN and tripped on a BP cord and landed bam on my right knee. Huge hematoma just below my patella. Swelling, very little pain, burning, xrayed my joint no fractures. Five days later, my shin is a massive bruise, my anke is swollen and black, the actual knee still has a large bump, how long will this take to improve, and can I expect problems down the road. Walking is ok feel pressure on my knee from swelling, able to bend my knee with no difficulty, tightness. What would you suggest I do to help my body absorb this hematoma quickly.", "output": "Hello, Welcome to the magical world of health care, I went through your query, and let me assure you as per your symptoms your knee is fine. Haematoma will settle with time, and it is a natural mechanism which does not require hastening unless for a cause. The only thing you need to keep watch in future is about any instability felt while walking, for than you will need an MRI. Otherwise, it's fine. I hope my advice would have been useful, in decision-making regarding your treatment, still if you have any clarifications or doubts feel free to contact back. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am taking 500 mg of Hydroxyurea for polycythemia every day 1000 mg every other day to lower my platelets. I have a drink before dinner. After dinner I experience hot flashes which are quite extreme. Is it the alcohol that is causing the hot flashes?", "output": "Hi, Thanks for asking. Based on your clinical history and query, my opinion is as follows:1. Hot flashes are usually due to increased circulation giving a feeling of warmth2. Alcohol is known to cause neural stimulation in mild doses leading to increased circulation all over. Higher does would cause neural depression.3. Avoid alcohol and neural stimulant medications. Hot flashes will reduce. Hope it helps. Any further queries, happy to help again." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi! Im sick right now, ive been to my OB gyne last tuesday and she prescribe me a antibacterial and suposutory. Does it cause my fever right now? Im scared that this is a symptoms of TB coz i have a active cought it just came yeterday afternoon. And the mucus are lot! I feel weak and body aches.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Possibility of Urinary tract infection and vaginal infection is more in your case. But better to rule out tuberculosis because you have contact with active patient. So get done sputum examination for AFB (acid fast bacilli-bacteria causing tuberculosis) and chest x-ray. If both are normal then no need to worry about tuberculosis. Chat Doctor. Continue treatment you have prescribed. Keep proper hygiene of private parts. Avoid unprotected sex if you are sexually active. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m have been having mild cramping..nausea extremely tired..took a pregnancy test well 4..the 1st one was invaild for the first hour then became positive slowly..the 2nd one was positive but the line was faint the 3rd was neg and 4th neg.. period due on Tuesday.cramping is more in my back like an kidney infection and only hurts when Ineed to pee no cramping in stomach.", "output": "Hello! Thank you for the query. It can be urinary tract infection. Every person has its own pattern of symptoms. Not all symptoms must be present. But as there is some discrepancy between pregnancy tests, why don't you have regular pregnancy test made from the blood (beta-ChatDoctor level). Your symptoms may be caused by pregnancy. Please also have urinalysis (infection seems very possible) and abdominal ultrasound. Hope this will help.regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have woken up with immense pain in my chest when I breathe in. Caused me to breathe fast and panic. Hands started to tingle. Feels like my chest has someone sat on it. Hurts to take a deep breath. Lay flat for 2 hours and tried to sleep. My head is pulsating like someone has their hands round my throat. I have light medication for high blood pressure. I m currently stressed with life anyway. Had an arguement a couple of days ago and someone strangled me causing me slight bruising and a stiff neck (sore throat and swollen for a couple of days) I m worried I m having a panic attack or at risk of a Stoke or even heart attack. I m 38 female. Never smoked. Chest still heavy and hurts when breathing in. Any advise? Please x", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. By your history and description, possibility of stress and anxiety related symptoms is more. But better to rule out cardiac cause because you are having hypertension. So first get done ECG and 2d echo. If both are normal than no need to worry about heart diseases. You are having stress related symptoms mostly. So better to consult psychiatrist and get done counseling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. So don't worry, you will be alright. Avoid stress and tension, be relaxed and calm. First rule out cardiac cause and consult psychiatrist. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 20 year old female with bronchitis. A 9mm lung nodule was found on my xray. I have smoked very FEW times. In the past 3 weeks I have lost my voice multiple times, and have a had a pretty bad cough. Other symptoms that could possibly be related are : blood in stools for a few years, and common headache on left side of head brought on by what feels like an ear ache. Not sure if all this ties in to the lung nodule being there.. what could the nodule be from?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Bronchitis is inflammation of airways. It can also cause infection and inflammation in lung parenchymal. You are also too young (20 years) for lung cancer. So possibility of inflammatory nodule is more likely in your case. So no need to worry much. Start treatment for bronchitis. Once your bronchitis is cured, this nodule will mostly disappear. Get done repeat CT thorax once bronchitis is cured. If nodule is decreasing then no need to worry. But if nodule is increasing in size then you will need biopsy to confirm the diagnosis. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 16 years old, 54, and have epilepsy and anxiety. I am normally 135-140 lbs, but have gained about 25 lbs because of the pills I have taking for both diseases. Recently, I have not been sleeping, and I have been very dizzy, and when I walk up the stairs too fast, I find it VERY hard to breathe. Could this be the start of heart problems?", "output": "Hi, None of your complaints are heart related. Breathlessness may be caused by your weight gain, you should try to diet strictly, as with your medications you gain weight. Sleeplessness may be caused by your medications. Dizziness may be caused either by anxiety or by your medications. For last two complaints consult your neurologist to revise the treatment if they disturb you much. Take fearsome back if you have any further questions" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am a beginner juicer. im on my almost 3rd week and within the first week in i started getting rashes on the inner part of my thigh and crotch area. now is beggining to spread to my hip area. that look like random heat bumps and itch badly. i am using topical things. but I would like to know what is casueing this?is this the cleaning of a certain organ? will it go away and if so how long?", "output": "Hello, Thanks for the query, You might have developed fungal infection. The area of groin is very moist and is prone to develop these infections. Treatment can be with oral antifungals as well as with topical antifungals. Various antifungal powders like candid are available. These can help reduce the moisture as well as control the infection. Please don't use any steroid, it can worsen your conditionPlease meet a dermatologist for exact diagnosis. Let me know if you have any other doubt. You can ask a direct question to me on this forum, following the below link.https://urldefense.com/v3/__http://www.ChatDoctor .com/doctors/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have taken primolut n 5gm twice today because i have been having lower abdominal pain of which i suspect cyst since it had shown in scan sometime years. Been having pain for 3yrs with nothing found but was told cysts come and go during periods. what i have done today is ok?", "output": "HIT hank for asking to ChatDoctorI really appreciate your concern but the way you have adopted and stated taking the hormone preparation on your own is not good, you did the wrong, the medicine that you are taking is hormone preparation and mainly taken for menses irregularities or as contraceptive purpose and for the pain, you better see the best gynecologist, hope this information helps you, have a nice day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ive been recently having more nose bleeds lately. 4-5 times per day to be exact. And I have the worst cough ever that comes with it. Even when I am asleep my nose starts to bleed and I wake up due to the blood running down my mouth. Is this pneumonia?! Or some other illness?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Pneumonia is less likely to cause nose bleeding. Recurrent nose bleeding with coughing are commonly seen with sinusitis. So better to consult ENT doctor and get done clinical examination and CT scan of paranasal sinuses (PNS). Also get done chest x-ray for pneumonia. If chest x-ray is normal then no need to worry about pneumonia. You may also need endoscopic evaluation of sinuses if CT PNS is suggestive of infection or erosion.Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "we were just informed that my brother -in -law age 55 has the widow maker heart disease..he had a double bypass.. Both my husband and he were adopted and we just learned from his real mothers aunt that both his mothers brother and her father died from the same disease.. My husband age 52 has a very stressful job and has diabetes plus he is about 25 pounds overweight. Do you think he could have possibly inherited this disease", "output": "Hello. Thank you for your question and welcome to Chat Doctor. I understand your concern. I would like to tell you that the coronary artery disease has several risk factors. One of them, a strong one, is the genetic factor. Having blood-related people in the family that have had myocardial infarction or coronary after disease without infarction, is a strong risk factor that descendants also will have coronary artery disease. There is a little data about the genetic inheritance of the widow maker artery disease, but the all are inconclusive. For example, you husband has these risk factors: age above 45, diabetes, overweight and genetic inheritance of the coronary heart disease. With or without the widow maker in this scenario, I would recommend a cardiac check up for him: EKG, echocardiogram and cardiac stress test. I hope I was clear and helpful. Take care. Kind regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have cysts in both my overies.. i ve been taking treatments for it for past 8 months. my doctor said i should pregnant soon and we started off with pregnancy treatments 3 months back. i hav been taking injection GMH for 6 days for last 3 months.. but i am not becoming pregnant. why is it? we are very upset..", "output": "Hi, I think you can take some medicines like camphene with or without injections for the growth of your follicles. Track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles. Be in contact with your husband every 2 to 3 days after your periods stop. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. Before undergoing this, do a HSG test also to see for tubal patency. Hope I have answered your question. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My dr just told me I have a growth on my thyroid but my labs for my thyroid are fine, im 31. And already had an ultrasound with no answers yet what could this mean? Could I have cancer? My voice is hoarse and I have a cough constantly at night, Im terrified.", "output": "Hi, From history it seems that there might be having some irritation producing cough reflex. As there is history of hoarseness of voice there might be having some swelling or nodule on the vocal cord. This nodule or swelling can give rise to cough reflex and hoarseness of voice. You might require indirect laryngoscopy for nodule on vocal cord. Consult ENT surgeon and get examined. Quit smoking or chewing Gurkha if you are having habit of it. Ok and take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i have politistic overies and do not really overlate that often i had a period at the end of july im worried this past week or so had loose stools felt vey nausea and i have gone off coffee which i love i have done two pregnancy tests which are negative could i still be pregnant", "output": "Hello...thanks for trusting the Chat Doctor doctors for your health related queries. I guess your concern is about...can polycystic ovaries effects pregnancy.well.YES.it effects in getting pregnancy.let's discuss the polycystic ovarian syn Chat Doctor. In this case patients usually have Polycystic ovary diagnosed with the help of ultrasound. Along with this there is usually having problem of irregular menses. Some patients having excessive hair in unusual places in the body. Few of them having insulin resistance n or thyroid problems etc. this all because of hormonal imbalance which occurs in case of polycystic ovarian syn" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had Internal lateral spinc. surger three weeks ago along with a sentential pile removed. The imoportant surgery is going okay, however the open fissure woumd is still very sore with a discharge of green mucus. It is not a lot, however, is this normal or an infection?.", "output": "HI, I understand your concern The fissure wound after surgery anomaly takes a bit more time (10=14 days) to heal because of it being soiled daily/often with incontinence of gasses/ stools. A perfect care/ cleanliness & nursing is essential for healing along with regular medicines as per doctors advise. You have been operated 3 weeks before, with green discharge in it.-which indicates infection. - For this you need to be particular in cleaning the wound after each visit to washroom/mop it gently Chat Doctor. - visit your surgeon & ask for need of medicines in case there is no progress within 5 days of intensive care of wound. - Take vitamin B complex/ It. C helps to heal. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doctor I am suffering from frequent urination I don t have this before as I used to mastrubate thrice a weak but nw stated mastrubating once a day due to stress in exams also it habituated in holidays even.....was using toilet atleast 30 times a day. Was scared what the problem is??? Is this due to mastrubation??? Or any other else???.....I frequently using toilet had no pain and my urine is clear nd no abnormal smell. Plz give reply soon.", "output": "HelloThanks for query. Frequency for urination after masturbation is mostly due to inflammation of delicate mucous Membrane of Urethra due to rough, vigorous shaking of penis by firm grip of hand. You need to take anti-inflammatory medicine like Diclofenac along with urinary antiseptic Nitrofurantoin twice daily. Chat Doctor. Restrict and avoid masturbating frequently. This will help you in long term to avoid facing many sexual problems in the future." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been diagnosed witChatDoctorplex partial seizures.....The neurologist believes it has been caused from an accident I was in when I was 6 or 7....I am now 31 and had 2 of my first ever grand mal seizures in jan 2014....can u help me understand why only now the scar tissue would become problematic? Why not when I initially had the accident? I am now being told I will be an epileptic for the rest of my life on meds 24/7....I cant work drive be alone etc.....I have 3 young children to support and no way of income.....I just had a mirena iud removed 5 mos ago could the mirena have contributed to the epilepsy only occurring now?", "output": "Hi, Thank you for posting your query. It is unfortunate that the scar of your old head injury has led to epilepsy now. It is possible for the scar to remain asymptomatic for several years, and become epileptogenic only after that. It is difficult to pinpoint the exact reason for a sort of \"quiet\" scar in the brain for several years, to covert to seizure-producing scar. However, there is no need to worry about that. If you take good anti-epileptic medications on a regular basis, you would remain seizure-free. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, Chat Doctor. Ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello,Im having an allergy to the moisturizer I apply to my skin legs and arms. It starting to irratate and its itchy, red and bumpy. What is the cure for this allergy? And the home remedies to lessen the itch on my legs and arms.Thanks,Jhoanna", "output": "**Even when starting with home remedies, make sure to get opinion of Dermatologist regarding the same.1. a. Boil about 25 grams of Kabul and mango barks each in one liter of water. Allow a fomentation of these vapors directly onto the affected part of the skin. When the fomentation is done, dab the region with ghee. The itchiness will slowly disappear.b. Mix linseed oil in equal parts of lemon juice. Apply this on the region where itching is severe. This remedy works for treating almost all types of itching.c. Mix the juice of a fresh coconut and a tomato. Massage this on the itchy region. The itchiness will fade away.d. If the itchiness is spreading all over the body, then you may try out the following recipe. Mix some ground red gram (area I deal) in curds. Apply this on the skin for three to four days. The itching will stop spreading and will slowly disappear within a few days.e. Grind sandalwood and black pepper to a fine paste. Mix them in ghee. Apply them with a rough cloth onto the itchy skin. Then expose the skin to sunlight. This is a quick method for reducing the itching sensation, but it may be a temporary relief.f. Simply applying the juices of the root of bitter gourd (Karla) on the skin also relieves itching to a great extent.g. You may ask for prescription medicine like: tablet reptilian, aroma varying vat, sutshekhar RAS, kamduddha RAS, hari Chat Doctor. PS. True allergy to moisturizers and emollients is rare. Suspected contact allergy can be investigated by patch testing. But even if a patients allergens are identified, their presence in commercial preparations can be difficult to ascertain, and it often comes back to trial and error." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doctor, i am anjali aged 26 years. few months back have donated blood in which found that i hapetite B carrier. Now i brother has sgot and sopt value increase. Doctor says he may have hapetite C . could you please suggest what should we do. Is Haprtite B and hapetite C curable?", "output": "Hi dear thanks for asking question. Mere elevation of liver enzymes not suggestive of hepatitis c... Here if risk is present you have to do Bag and anti HCV antibody ELISA testing to detect viral hepatitis b or c.... Let me know you if these one of the two hepatitis present regular follow up done as chances of chronic infection or carrier is there.esp.hepatitis c... If you are carrier or chronic infection then no permanent cure present of it.... Rule out other causes if liver enzymes' elevation also like fatty liver, gall stone, heart problems etc.... Take care...." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I recently had a nerve block as a diagnostic tool preceeding RFI. I found no relief. Can other nerve blocks in different areas be tried. This is my last resort for chronic back pain. I have already had two spinal fusions. I was looking for reviews from patients who had RFI procedures too. YYYY@YYYY", "output": "Dear patient nerve blocks are good measure to reduce pain if other procedures fail. Please give detailed history. Why you have undergone spinal fusions on two occasions? At which level it was done? Lumbar or cervical? Was MRI of indicated region done? This history is required so that I can suggest you further treatment. Nerve blocks are given by pain intervention specialist with good results. Patient selection is very important. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor.i m a 25 years male.my question is that i do masturbation once in a week and due to that my erection is not straight as it was before.so and during masturbation my sperms come out fast so i cant enjoy the same.Pls tell me what can i do for it?", "output": "Degree understand your concerns went through your details. Masturbation is normal, natural and cannot be a direct reason for any health related issues if it is within moderation. You are masturbating only once in a week. That is quite OK. You may even increase the frequency to thrice a week if you feel so. Slightly bend penis also is normal and there is no health issues with that. You must understand slightly bend penis will give you more pleasure than a straight penis during sexual vaginal intercourse. Nothing to worry on that issue. Premature ejaculation during masturbation is also normal. This problem will vanish once you get married. You may consult a psychologist for counseling. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": ".sir im 18yrs old..ive been masturbating since i was 12..n beeen masturbating some 4-6 times a day..bt nw dat im 18+ i feel too low.with loss of nutrients,stamina,bad digestion,eyes gone weak,eye fuzzion,memory loss,i cant concentrate on any thing and am surrounded by only sexual thoughts.all nw i dont have hard erections and that now rarely do i flow sperm dat too wattery kind", "output": "Hiii.welcome to our site.to get good erections, don't masturbate more than twice a week. Do yoga, exercise etc., it will help in supplying more blood to penis. Do penile massage with oil. Do 20 to 50 strokes daily during massage. Each stroke should lose for 7 to 10 seconds.Lincoln gel application before intercourse helps in providing good results without side effects. Hope my answer would have helped you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was treated for a UTI on March 21. There was blood in my urine and I was experincing some lower back pain . I have now finished antibiorics and the infection seems to have cleared up, but I continue to have the lower back pain. I am drinking plenty of water as well as cranberry juice. Today, I notice a sharp pain in the vaginal area especially when I get up to walk. I don t have an appointment with a urologist until May 8. Could this possibly be a kidney stone(s)? Should I continue the water intake and see if it clears up or get it checked ASAP? Thanks", "output": "Hi thanks for your question. Commonest cause of pain in the back with hematuria (blood with urine) is kidney stones. Urinary tract infection (UTI) infection is second possibility. Consultation with general surgeon is advisable till you get an appointment with urologist. You may need ultrasound genitourinary system and urine examination to confirm or rule out possibility of stone in kidney (or anywhere in urinary tract) and UTI. Hope this answers your question." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am having a biopsy Tuesday for Microcalcifications , deemed suspicious , they are in one cluster and a couple more less than a centimeter away . How likely is that to be cancer and if so can they treat it by doing a lumpectomy instead of Mastectomy?", "output": "Dear mam. Since the biopsy is suspicious. I hope mammogram is done. We need to look into the size of the lesion. If its just focal, it can be removed by lumpectomy with wide local excision, and we need to ask the pathologist to look into margins of the specimen. If margins are clear, nothing to worry. If affordable, better that you get a FDG PET scan done and look if it's abnormal. If focal same lumpectomy can be done with follow up. If Microcalcification are diffuse, we need to c if its benign r malignant, extent of involvement and later take a call on how much of Brest needs to be removed. Hope this information is helpfulThank u" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Im 36 years old. I met with a traffic accident three weeks ago. I was the passenger, the vehicle stopped suddenly. I fell and sat on the floor and sustained injuries as a result. I felt persistent pain on my back and my left hip. X-ray was taken and revealed loss of normal lumbar lordosis. I would like to know whether the traffic accident will cause the loss of normal lumbar lordosis ? Many thanks for your help in this matter.", "output": "Hello, I have studied your case with diligence. As per your symptom and history there is possibility of acute muscle spasm in back muscle due to accident. Due to compression of this nerve root there is pain associated with it. For these symptoms muscle relaxant with analgesic and neurotrophic medication can be started consulting your treating doctor. Till time take rest and continue analgesic available over the counter take rest, and hot fomentation. Physiotherapy like ultrasound and inferential therapy will give quick relief. You may need to do MRI spine if symptoms persist. I will advise checking your it B12 and it D3 level. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 21 weigh just under 9st and dont have much if any medical history. But about 4 times a year I get excrutiating abdominal pains in waves generally as I wake up from sleep, and if I stand up I feel instantly sick too, but if I lie down I only have the stomach pain and no sickness. Goes after I fall asleep, wake up about an or so later feeling fine.", "output": "Hi. The excruciating abdominal pains in waves generally as you wake up from sleep, are usually due to Irritable Bowel syn Chat Doctor. The probable reason being, when you get up from the sleep, out of calmness to face the day-to-day realities the intestines respond by spasms. This is when you are stressed out. And to confirm we have to rule out many diseases like Gastroenteritis, Tuberculosis, Crowns etc. by the following tests. Blood for CBC, liver and kidney function tests, sugar to rule out diabetes, urine and stool tests. Also, to get ultrasonography and / or CT Scan of the abdomen, diagnostic laparoscopy, endoscopies if required. The treatment will be according to the diagnosis." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, doctor. I am a 23 year old Black male. I am 5 6 tall and weigh 135 pounds. A problem I ve had for a while is a sickly/ unpleasant facial appearance. My facial skin appears dry and rough. It doesn t look smooth and supple like that of other people my age. A few years ago, I was told by a doctor that I was borderline iron-deficient anemic. So, could that be a cause? To improve my appearance, I ve starting eating carrots because they re rich in Vitamin A, which I read is good for skin. I ve also starting taking iron supplements and Centrum Chewables. Will any of these actions I ve started to take help with my skin?", "output": "Hi, Thanks for writing in. It is true that iron deficiency anemia can make you look unhealthy, but it should not typically be leading to the complaints that you have. This is particularly so as you have only borderline iron deficiency. Further, to get the skin you want, I would suggest thee following:a. Have a healthy and balanced diet. Typically, your diet should have 50-55% carboy Chat Doctor. You should also be " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a motor cycle accident 34 years ago, have had chronic pain since, mostly lower back. Now the pain is into mid and upper back,neck and shoulders.Age 54, 5\"8 weight 160. I had a ct on mid back. Ct showed Large anterior osteophyte. What are some of the issues associated with a large anterior osteophyte at the t8?", "output": "Hello, Thanks for your query. After going through your query I came to know that you are suffering from chronic backache. It may be due to spondylosis as you has large anterior osteophytes. Large anterior osteophyte is not of much significance except it shows that you have spondylosis(degenerative spine disease).MRI of spine rule out other causes of backache. Back exercises, Diapering, glucosamine sulfate neurotrophic such as methycobalamin and analgesics (DICLOFENAC 100 MG SLOW RELEASE TABLETS) give relief. Sometimes vitamin D deficiency can aggravate this so serum vitamin D test is advised if it is lower than vitamin D supplementation will be required. Avoid long continuous standing. Sit in a straight posture. Eat milk, fruits and green leafy vegetables daily. You can discuss with your treating Doctor about it. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i WAS DIAGNOSED WITH STAGE 4 CANCER. AFTER ORCHIECTOMY, i WAS ON CASODEX FOR 3 MONTHS. BEFORE THE OPERATION MY PSA LEVEL WAS 500 (WITH DUTAS-T MEDICATION ). AFTER THAT IT CAME DOWN TO 6. HOWEVER SUBSEQUENT TEST AFTER 4 MONTHS SHOW AN INCREASING TREND. iT WAS 33 ON 21ST OF SEPTEMBER , 2011 AND 48 ON 22ND OF OCTOBE, 2011. I AM ON CASODEX FOR THE PAST 2 MONTHS WITHOUT FINDING LOWERING OF PSA. I AM PHYSICALLY OK, EXCEPT FOR TIREDNESS. I AM 70 YEARS OF AGE. SHOULD i CHANGE OVER TO NEW DRUG?", "output": "HelloThanks for query. You have been diagnosed to have stage 4 cancer of the Prostate suggesting that the cancer has spread beyond capsule of the prostate to distant locations like bones or other organs . Cancer of the prostate is hormonal dependent cancer depending upon the Testosterone levels . Though Orchidectomy is done there is increase secretion of PSA from the cancer cells spread over to distant locations. Casodex is anti an Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a lump that has appeared on the inside of my knee overnight. It is the same colour as my natural skin and the size of half a golfball. it isn t sore but uncomfortable when I use my knee. It is hard and feel like bone but I know obviously that this is not what it is. Are you able to help?", "output": "Hi! Thanks for your query on Chat Doctor! After going through your problem of the lump inside your knee, I must consider following possibilities as per ultrasound/needle biopsy reports in my clinic:1. A bursa or degenerative benign cystic lesion: 50% possibility2. A ganglion or benign amyloid cyst 20% possibility3. Acute synovial collection or effusion due to arthritis or irritation: 20% possibility4. Recent hematoma or some benign cyst 9% possibility5. Malignancy 1% possibilityTherefore, it should be investigated properly, and you must not neglect but get it to some doctor for imaging and needle biopsy if needed to relieve your concerns!regards," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just got a call from my doctors nurse to give me results of lab work taken yesterday. My A1C was 6.7 and my cholestral and other blood test were fine. My kidney functions was not normal and the doctor told me to stop taking my metformin and any other anti inflammatory drugs that I might take from over the counter. What concerns me is what will my blood sugars do without metformin and how concern should I be with my kidney dysfunction.", "output": "Dear patient. Greetings from Chat Doctor !!! I am Chat Doctor and shall be answering your question. I can very well understand your concerns about sugar levels in view of an impaired renal function. Diabetes is a metabolic disease wherein bodies insulin secretion and or action are impaired. After 10 to 20 years of uncontrolled diabetes the kidney glomeruli get damaged. This eventually leads to renal failure. This condition is called as Diabetic Nephropathy. Many Chat Doctor. Hence these " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 6 month baby girl weight is 6.02lb and at her birth time her weight was 2.90 lb. she is not gaining her weight . I started solid food from 5 month. I give her Breast milk and formula as well.suggest me some diet chat so that she can gain her weight.", "output": "Hi, Thank you for asking question on Chat Doctor. Your baby as per birth weight is VLBW baby(very low birth weight baby). She needs Delay special care formula to accelerate the growth velocity, milk cereal mixture like Carla, smashed potatoes fruit juices and vegetable soups and breast milk can be continued as far as possible. Hope this answer will serve your purposeless feel free to ask any more queries if requiredTake care Chat Doctor. V. Subrahmanyam MD;Disassociate professor of pediatrics" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "18 year old female 5 7 117 lbs. I went to a bonfire. Overnight developed hives (that is what the ER told me). They put me on 50 mg Prednisone and Atarax for 5 days. I have a red face, neck and arms that itches. It does go away with use of these meds but returns. This is almost 2 weeks now and I am now on the downside of a tapered prednisone and taking Zyrtec daily. My joints have become sore. It is hard to walk. Any suggestions as to what this might be?", "output": "Hello, I read carefully your query and understand your concern. Joint soreness can be related to rheumatoid arthritis. It should be excluded through examination such as rheumatoid factor. Meanwhile, I suggest continuing using antihistamines to relieve the itching such as Zyrtec. I also recommend using anti-inflammatory medications such as Acetaminophen to relieve the join inflammation. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards! Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Bent over to reach for something and hit the middle of my chest between my breasts hard on the dining room chair. It hurt a lot but went away. It s the next day and it s starting to become more sore/painful. I decided to put ice, but should I be concerned? I don t think I ve had a difference in my breathing. I don t feel pain when breathing in or exhaling deeply either.", "output": "Thanks for your question on Chat Doctor. It looks like superficial bony injury only. But in blunt chest trauma at least chest x-ray is needed to rule out internal organ damage. So get done chest x-ray. If it is normal than it must be superficial bony pain. Try to follow these.1. Avoid painful movement like banding or stretching. 2. Take good painkiller and muscle relaxant. 3. Warm water pad application on affected side.4. Avoid exercise and heavy weight lifting for 1-2 weeks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a 30 days cycle.my last period was on the 22nd of October,thats last month,I had unprotected sex on the 3rd of November but took Postinor 2 on the 4th of November,exactly14 hours after sex,what are my chances of getting pregnant and when exactly is my ovulation day,is it possible to be pregnant on your fertile days even before ovulation day...thanzs", "output": "The likelihood of you conceiving is less than 5 percent due to this incident since you took pill only 14 hours after unprotected sex. Ovulation day is usually on 14-15 day of cycle, but it can happen on any day of fertile days. Ovulation day can only be predicted by you yourself if you use ovulation detection kit, Yes it is possible to get pregnant during any of the fertile days because you do not know the date of ovulation and even if you know the date of ovulation unprotected sex up to 3-4 days before that can lead to conception Hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my husband developed a cough last November after a cabinet fell on him and fractured his eye socket. He has been on one antibiotic or another ever since. He had a ct of sinus and found them blocked. Took ent prescribed treatment but cough persists. He has had keflex, ceftin, levoquin, cipro, vancomicin iv, and cipro again. This cough gets worse when he eats or lies down. It gets him up about once an hour at night. The cough is productive with clear, moderately thick mucus. Chest xray shows pneumonia appearamce, but not really pneumonia. Cough does not respond to antihistamine or cough suppressants. He has copd and bronchiosasis and MMD1. He is following all the rules to avoid reflux. What weird thing could be wrong? Lack of sleep and persistent couging is going to kill him. He sees a pulmonalogist. Any ideas?", "output": "Thanks for your question can completely understand your husbands problemCOPD with BRONCHIECTASIS diabetics are prone to recurrent infections as compared to normal population, and in your husbands case cause of cough is COPD with bronchiectasis in this case cough reflex is a protective mechanism as he has to clear up secretions which if it gets retained will lead to recurrent infections, so first thing is cough is a protective and clearing up mechanism. Now second thing sputum .if sputum is yellow or green that means infective cause, so antibiotics need to be started .in case of COPD cough suppressants or antihistamines won't help, treatment for that is bronchodilatation which can be offered to the patient in the form of inhalers that will reduce the cough and will help in bronchus to dilate and that will ease the septum clearance also so u can have inhaler forecourt forte 400 one puff twice a day inhaler geotropism 9 micrograms one puff daily these inhalers can be taken by a device called as VT spacer tablet Mackinac 600 mg BD this would help your husband a lot any other queries please ask me again" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 30 weeks pregnant and having braxton hicks contractions about every hour, constipated with pressure on my tailbone, and my stomach is very sensitive to the touch when baby moves or i touch it all around the rib cage from left to right. What do i need to do", "output": "His have gone through your complaints.don't worry its quite common in most of pregnant woman. Regarding constipation, due to pregnancy hormonal effect.it can be overcome by encouraging eating of green leafy vegetables, fruits and avoid refined days like bread and biscuits. Take Luke warm water in morning, facilitates easy bowel movement.start regular walk if you don't improve with this mild laxative syrups are advised.Braxton contractions become more frequent as gestational age increases.sometimes contractions are painful. As time goes on you may adopt for that.don't worry take rest. Don't think much above those. Take good diet. Have a healthy baby. Thank youRegardsVasundhara" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello sir, my elder sister gets depressed suddenly and starts creating scene. She says she has become alone and has no true friend. I am her brother and she says that I have separated her from our parents. She is persuing her Masters degree presently. We have tried to console her every time she does like this. For some days she becomes normal but again after a few days, she starts getting upset. She even cries in loneliness in her room. It has become very difficult to control her. We can hardly satisfy what she wants. She always blames me of ruining her life which is not at all true. This is not a new problem. I have seen her doing all these from my very childhood. Any help would be appreciated", "output": "Dear brother, The phenomenon of displaying these sorts of mood swings and blaming you for the loneliness and sufferings are the classic symptoms of \"SIBLING RIVALRY\" which is emanating from her inner mind. As a matter of fact, the elder offspring gets a sort of insecurity feeling, when the second one is taken birth since all attention is diverted towards the newborn which is beyond the comprehension of the firstborn. In this context, the child(your sister) construed that she was being avoided by her parents on your arrival, which hurts her in her inner mind. The inner mind of the first child is not so developed at that stage and is not expected to reason or rationalize the core fact. This could have been avoided, had her been given enough attention, care and a reassurance of the unconditional love of her parents in the midst of all your birth and growth. Unknowingly, she displaces her anger towards you which was originally towards the innocent parents. The elder sister, all through her growtChatDoctorpares the love, care, attention, things, events etc. which you enjoy that of her and confirms her conviction in her inner world. These are all the unconscious process started from her childhood since your birth. The lingering thoughts emanated from the harbored emotions are the causes mood swings. Whatever happened has happened. Need not worry. Everything will become alright. Take her to a Psychologist for intervention and for the mood swings, a Psychiatrist can effectively prescribe some medication for a short duration. The psychological counselling and the unconditional family support will invariably help her mind coming in terms with the reality, and she can lead a peaceful life. In case you need any further clarification, please do check if you can contact me directly. I am from Erode, Tamil Nadu. Best of buckwheat days ahead. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I had a short period this month of about a day or two which is very abnormal for me being that it usually last about 5 days. About a week after that I began to spot a little which was pinkish and extremely light, now it is sort of brownish and its still light but heavy enough to have to guard it. What could be the issue? I am on birth control (IUD), but for some reason I think I may be pregnant.", "output": "There is a small chance you could be pregnant. I have definitely seen a few pregnancies in women with IUD's, but it is not likely. They are a very good form of birth control. If you think you may be pregnant, it would be reasonable to take a home pregnancy test. The other option is that the IUD is causing you to have lighter periods. The hormonal IUD (IRENA/Skylab in the USA) are famous for decreasing periods-both the heaviness and frequency. I don't know what type of IUD you have, but it is possible that your decreased periods are due to your IUD. If your pregnancy test is negative, I would attribute it to the IUD." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My cardiologist wants to move me from Sotolol 80mg twice a day---to 400 mg Amiodarone twice a day---have had debibulator/pacemaker for 4 years----has recenty \"shocked med-due to AFIB--- SEEMS TO BE MANY POSSIBLE SIDE EFFECTS TO aMIODARONE?? SCARES ME 77 YR OLD PATIENT (4 BYPASSES IN 1980, 3 MORE IN 1996)", "output": "Hi, If you have inappropriate shocks while on Stall, it means, that its effect is not sufficient. You are right, Amiodarone has many side effects, but usually when it is taken for a long time. You can start Amiodarone, and maybe after some time your doctor can change Amiodarone, when you are in more stable condition. Hope I could help nourishing you good health In case of further questions don't hesitate to ask" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ive gone through 5 antibiotics (2 given by I.V.) for a staph infection on the RIGHT side of my face. Something finally worked, and its 90% cleared up, but the infection on my lips persists, and there is suddenly swelling (very soft, very swollen square inch) under my LEFT eye that shifts a bit every day. Any idea why the lip infection and swelling wont go away?", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have symptoms of persistent lip infection and swelling which are mainly due to allergic reaction, or it could be angioedema. Need not worry. I would suggest you to take antihistamine tablets as it will subside the allergy and your symptoms will be resolved immediately. You should take ibuprofen or Tylenol to prevent pain. Chat Doctor. Apply ice-cold pack in that swollen area it will subside swelling. Consult your allergy specialist for proper diagnosis. Your allergist may want to conduct skin tests, blood tests, skin-prick test and urine tests to identify the cause and rule causes like angioedema. For now apply cold compresses to affected area. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "So I have been having really severe stomach pains that starts around my right side of my ribs and goes down to above where my leg starts...sometime it feels like someone is ripping my stomach apart. It seems to also be pain around my belly button and my middle to lower back. I also have been really nauseous.", "output": "Hi, From history it seems that you might be having abdominal colic giving rise this widespread site. There might be having some GI infection or acid reflux producing this spasmodic pain with nausea. Take antispasmodic medicine like metal spas or cyclogram as needed.If you require gopher one course of ofloxacilin, tinidazole combination medicine course for 3 days. Take plenty of water. Avoid taking spicy and junk food. Ok and take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have been told I have atrial fibrillation. i have pulse136 heart rate and my blood presure this time 104/60.. i am 77. they have me on metoprolol 50 mg and diltiazem hcl 300mg. Also ramipril 5mg simvastatin 20mg , 1 aspirin 325 , terazosin. It seem the medication isn t working. What are suggestions This condiion only happened with in the last two months. I was allways had blood pressure 130 /80. And normal ekg reading. thank you appricate your imput.", "output": "Hi welcome to Chat Doctor. I understand your query and concern. Atrial fibrillation is known to cause fluctuations in blood pressure. You are currently placed on right kind of Chat Doctor. I advise you to have a baseline 2 dimensional echocardiography, ECG and lipid profile to assess the basic cardiac reserve of your heart. Restrict the intake of salt to less than 6g/day. Regular physical exercise in the form of brisk walk for 20 min a day for 5 days a week is pretty useful." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Ia m a 49 year old woman who has had high blood pressure for around 9 years, i was taking Antanalol 50mg but on my last 2 visits it was significantly higer than usual so my doctor has put me on Ramipril 2.5mg alongside Bendroflumathiazide water tablets, i have been taking readings at home and it fluctuates anywhere from 143/85 right up to 156/95 am feeling slightly anxious most times which does not help but are these readings significantly dangerous or good on some aspects? i have only been taking the new medication since last thursday so a total of 5 days is there anyway perhaps you could put my mins at ease? i go back to the doctor in 6 weeks and before that have bloods to be taken, thankyou for your help Anne", "output": "Hello, April with the water tablets is a good selection. The action of April will be obvious in two weeks after starting the treatment. If the blood pressure is still high in two weeks, there will be a need to increase the dose of April to 5 mg, as 2.5 my is a very low dose. In case of any further questions don't hesitate to contact me. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my boyfriend bent over helping his dad work out side and got a bad headache this was 3 almost 4 weeks ago and he came home and went strait to bed and that s where he stayed for a week running mild fever . Then he felt better but by that night he was back in bead for another week with head ache back ache neck ache hips hurting and fuzzy vision and sensitive to light and sound. Then felt better and got up and out the house yet to be back in bed for going on 6 days with neck pain and head ache so bad he can t even move his neck he has sore throat and butt hurts??? I can t barely get him to eat but a couple bites every couple days. So to day he gets up and is very confused??? Just staring off in to space and can not move hardly and saying things that make no seance and I am very scared for him. He knows my name and stuff but is convinced we live in a 3 story house when we live in a trailer???? Things like he told me he enjoyed watching a basket ball game with me yesterday but we didn t. He thinks we ride a school bus! I don t know what to do", "output": "HiT hank you for your question. The symptoms you have described may be indicative of infective condition like meningitis. Headache, fuzzy vision, disorientation are features of this type of condition. You should see a neurologist on an urgent basis to have this diagnosed. Lumbar puncture is done to obtain samples for identification of bacteria. Appropriately selected antibiotics will treat the infection. Wish him the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "age is 34, 85 kilo, in a period of 10 years i have many attacks of viral pericarditis. When i rested for a week and took some anti-influanzapills is was getting much better. especially with sport it increases. The last year it comes back too many times. What is the best treatment?", "output": "Hello and thank you for your question. The most common medications used to treat pericarditis are anti-inflammatory medications like ibuprofen and colchicine. Colchicine is often added to the anti-inflammatory medications to decrease the risk of recurrence. It is recurrent cases like your sometimes steroid medications like prednisone are used. This is a link to some online information you can get about pericarditis.http://www.uptodate.com/contents/pericarditis-in-adults-the-basics?source=see_linkIn rare cases fluid has to be Chat Doctor. In all cases it is important for the doctors to find the cause of the inflammation and treat the underlying cause if possible. I hope you get some relief soon." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, my name is Kindra, i have problems with Ovarian Cysts, and ive heard that marijuana helps with the pain and also decreases the size of the cysts. Im constantly having horrible abdominal pains, and i know in the past it has helped with the pain.", "output": "Polycystic ovaries are related to hormone imbalance. Associated risk factor is obesity and insulin resistance. There are many reasons for pod. Symptoms are usually amenorrhea, acne, hirusitism and more. It's advisable to do a thyroid function test and serum prolactin to know the root cause. Lifestyle management weight reduction is very important. OCP are useful in patients before marriage. 21 day pill will regularize periods. Tablet metformin is highly useful in pod" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have chronic sinusitis and as I have been unable to reach my doctor, someone suggested that I take Sinutab Extra Strength, allergy & sinus caplets. The enclosed pamphlet does not list any side effects. Can you tell me what they might be? Can I take 2 tablets per day and are they best taken with food?I look forward to your answer.", "output": "Hello, If you have chronic sinus infection, chronic sinusitis or acute exacerbation of the symptoms, then you need to take a course of antibiotics for reducing infection. Sinutab or allergy medicines will reduce the severity of symptoms but to reduce infection antibiotics is a must. You should take antibiotics like Cephalexin, Augmenting etc. and along with it, you can take Minutes and allergy pills for relief. Also do steam inhalation, saline nasal irrigation and use decongestant nasal spray like Xylometazoline. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doctor,I am trying to get pregnant from past 3 months .. i was adiviced siphene 100 mg from Day 3 to day 7 of my periods...and folicle study was done to find the folicle growth and also the folicle was ruptured but still i have not conceived?...Can you please tell me what would be the reason?......This month cyle started 4 days prior to my original date of my periods?....Can you please tell me what would be the reason?", "output": "Hello, There are so many reasons of infertility in spite of proper ovulation or follicle rupture. These include progesterone deficiency, uterine & cervical factor, tubal blockage, thyroid deficiency, husband abnormal semen etc. Yes, sphere will help you to bring regular cycle and conceive. You have to regular unprotected sex for 6-12 months close to ovulation day or fertile days to maximize the chance. You can use ovulation prediction kit. Along with, you must take folic acid & vitamin-E supplement with balanced diet. If fails with above treatment, you must consult with infertility specialist to proceed relevant investigation to rule out the exact cause. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? I have a bruise like mark above my left ankle that has been there for the past 4 1/2 years or so. I finally changed doctors and she ran some blood tests and found that I have a vitamin D deficiency. Could this be related to the mark on my leg?", "output": "Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Not related to it D deficiency.2. It D deficiency results in reduced calcium levels in serum and reduced mineral density in bones. Calcium and it D supplements will be helpful in this correction.3. Not sure, about your age. In elderly, skin is thin, and blood vessels can get easily bruised resulting in subcutaneous bleeding. This bleeding results in hemosiderin deposition and recurrent bleeding will cause bruise. It will be present for long time.4. Also take it c and protein supplements along with adequate HY Chat Doctor. For skin, moisturizer to prevent deny" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi - I have had a life-long allergy to mangoes. 9 weeks ago I accidentally ate some (hidden in icecream). Following day I had a very severe reaction (entire body covered in severe rash - looked like a burns victim - throat swollen up - the works). Doctor gave cortisone injection, oral cortisone for 4 days and Celestone M cream. After 6 days everything appeared to subside. Two weeks later I began to experience severe similar rash but only on both elbows, one eyelid and one shoulder. Doctor said to continue with Celestone cream and everything should return to normal eventually. Problem is still as bad as ever. Any suggestions?", "output": "Hi, Your treatment is fine and should be continued for few more days. If you are totally allergic to mangoes, the best solution is avoiding them. Take care that before going places where outside food is inevitable, double check that the food ingredients do not contain mangoes. In general, skin of mangoes pose more allergy than the actual fruit, hence find out if properly peeled skin of a fresh fruit is ok to have. There are desensitization methods available for some allergies, but results can not be predicted. Hope this helped." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my son is having cough and running nose since last 2-3 months. He was on course of antiabiotics twice-once it was amoxcilin and second time was on a different antibotic. Now the doctor has given Levocetirizine Dihdrochloride and Acebrophylline syrup since he thought it is because of Allegric Bronchitis and adviced to do this course for 1-2 months. After this course was started the coughing has reduced a bit in last 2-3 days but I am wondering if his coughing can be stopped completely and what could be the cause why he keeps getting this cough back every week.", "output": "Hello, I would wonder about asthma with such a long time cough. But it would be helpful to know whether there is complete clearing between episodes or not and whether you think the cough vs runny nose/congestion is the major symptom. The antibiotics were probably given to treat a sinusitis, and if so, there should have been improvement around day 3-4 or 5-6 and then continued improvement until no runny nose. Has he tried any albuterol? I don't know where you are located, but in the US we use an inhaler or nebulizer machine to blow in medicine to the lungs. We don't really use theophylline like syrups in kids anymore, although that might help if its asthma. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just got back the results from a blood test for food allergies. I am 66 years old and didn t know that I had ANY allergies. Report says to AVOID whey, eggs, almonds, pinneapple, Kidney beans, and garlic. Plus moderate sensitivity to: avocados, watermelon, asparagus, cabbage, green beans, green pepper, lettuce lima bean, spinach, casein, cheddar cheese, cottage cheese, cow s milk, mozzarella cheese, swiss chesse, beef, chicken, gluten, malt, wheat, and peanuts I love ALL of the above! So what am I supposed to eat????", "output": "HIT hank for asking to ChatDoctorI really appreciate your concern looking to the given history here I could say that if you are sensitive to that much food then this is very unlikely and if this is true then underlying cause need to be found out, in my opinion better to see the best dermatologist and discuss this, I sure you would get some option for this, hope this information helps you, take care and have a nice day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Respected Sir I m 22 year old student my problem is dat I cannot talk to girls while while looking in their eyes and even my teachers have told me dat I would have to pay heavy cost for it if I am not able change my habit as otherwise I am good at organising events and taking initiatives.. Pls help me is it possible for me to change dis habit as I have been trying to change it since long.. even Meditated... but to No avail..", "output": "Hi there, Thanks for writing to us, I understand that it can sometimes be incapacitating to carry out activities normally with this problem. Yes it is possible to change it. Non-pharmacological therapies can be tried to gradually bring a change in this behavior. You will be taught ways to change it. It may take a while but if you comply with your therapist well, you can change it. Contact an experienced clinical psychologist. Hope this helps, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have 2 lumps on the right side of my neck near the shoulder, i recently went to the doctors (before i found these lumps) with a problem regarding my uvula being swollen and lying on my tongue, i was given anti biotics which never helped and now i have these 2 lumps?", "output": "Welcome to Chat Doctor .1. You have not mentioned your age and habits - which would have helped me in better understanding the causes.2. However, a lump like condition at uvula which is not reacting on the antibiotics and growing. It needs a needle aspirate/biopsy to find out the consistency of the mass (Benign/malignant - good/bad tumors)3. The lumps of neck can be secondary due to the uvula mass - Lymph nodes (could be)4. So visit your ENT doctor not delaying and get the biopsy of both areas get done and act accordingly. Anything to ask ? Do not hesitate. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i keep on getting really sharp pains in my chest and abdomen, and a numbing pain at the bottom of my back. I have had some tests done i.e. Kidney and Renal Tract, but nothing has showed up; when i was in hoospital in May I was diagnosed a heart murmur and possible punctured artery, but waiting on an echocardiogram. What could the unexplain pains be? (i have tried medicines such as ibuprofen, paracetmol, codine, dyclofenic sodium tablets, nuerofen - none of these have subsided the pains).", "output": "Hello, I passed carefully through your question and would like to know if the chest pain is triggered by deep breathing or body movements. This would be indicative of a musculoskeletal pain. Otherwise, I would recommend performing a cardiac ultrasound and an exercise cardiac stress test in order to investigate for any possible cardiac issues. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just had a small stromal Tumor removed from my fundus area of my stomach. In the procedure the wall of my stomach was punctured, the doctor put staple in the area to seal it back up. I went home immediately after the procedure, what should I do or not do to recover?", "output": "Hi ! Good afternoon. I am Chat Doctor answering your query. If I were your doctor, I would have admitted you for 24 hours for observation, with IV fluids, and nil orally for complete rest to the GI tract for proper healing. Further management would get influenced by your recovery in the first 24 hours. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Dr. My Son has Glanzmanns Thromboaesthnia, a few days back he has caught cold with a bit of runny nose , is it advisable to give him Anti Histamine like cetrzine Hydrochloride[Relent, Alreid], as it might cause nose bleed also, Please suggest any other anti allergic which do not cause nose bleed. Regards Ankur", "output": "Hello Anger, You have asked quite a difficult yet pertinent question. The Glib/Ilia def is functional, and can affect platelet function, and as far as studies are concerned with platelet and antihistamines it is usually a decrease in number (though rare). Fexofenadine is a long acting 2nd generation antihistamine and the SPC of fexofenadine does not mention any such platelet problem. You are advised to discuss with your Hematologist if still in doubt. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a son that is 27 years old and has social anxiety and depression. He is on the bridge assistance program so he can see a doctor, but cant pay for his meds because he is unable to work. How can I get the meds he needs? I cant afford to pay for them.", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. First you must investigate the case to fully confirm that your son is having social anxiety and depression. For that you need to consult a clinical psychologist, who will run some tests to determine. Proper diagnosis is required to start proper treatment. According to the depth and breadth of the case, clinical psychology has so many psychotherapeutic techniques as curative. These methods are totally safe and have a good research background. A trained clinical psychologist should be able to administer these methods. Therefore, please consult a clinical psychologist. Please be limited to the symptoms when you talk to him. Never exaggerate. Find more at www.psychocure.webs.comHope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doctor I just wanted to know,I am asthmatic and my chest has been quiete tight for the past 2 months iv neen prescribed a weeks prescription of cortizones and a week of allergex once a day, just wanted to know how often should I take the allgergex and could I take another course of cortizones after this week course is over?thanks", "output": "Two months of asthma exacerbation means that you probably need to be taking regular steroid inhalers to control symptoms and prevent attacks. Anti-histamines are not really part of the initial treatment of asthma, although there are some people with clear allergy-induced asthma who do get some benefit. Steroids taken by mouth are usually only for asthma \"attacks\". If you are feeling tight then it would also be reasonable to take a reliever (B2 agonist - albuterol, albuterol) inhaler as necessary for temporary relief until you get the symptoms under better control. Remember that using a spacer with a \"puffer\" metered dose inhaler is crucial to ensure effectiveness. (or alternatively a Chat Doctor. In any case, it's best to manage asthma under the direction of a family or respiratory physician, at least until you have formulated together a clear management plan." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 3-year old has excessive sweating during sleeping. This does not disturb her, she sleeps well. I am afraid she d catch a cold sleeping in all wet PJ s in a dump bed for 10 hours (keep changing her PJs and sheets all night). should I be worried? and what can I do to make her sweat less?", "output": "Hi, Any other symptoms like exercise intolerance (while playing/running)? Is she gaining weight normally? Excessive sweating present only during sleeping is unlikely related to any disease, especially if she does not have any other symptoms and is gaining weight normally. Try wearing loose and minimal clothes at night(preferably cotton), and if using air conditioner, make room temperature at 25-28 deg. Take care. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "In the right kidney midpole is 2.3 cm oval lesion displayingintermediate-attenuation (31HU). While it is probable for complexparapelvic cyst with proteinaceous/hemorrhagic contentsThis was the impression from a CT Scan done three weeks ago. I also have a history of Prostate Cancer addressed in 2004 w/ and Radiation. current two PSAs two weeks apart were 12.75 and 23.5. I have urinary incontinence for the last 5 months (9 depends per day). The concern is recurrence of the cancer?", "output": "Hi, Thanks for writing in. The symptoms of incontinence are more commonly from urinary tract infection. Sudden rise of PSA also might be due to urinary tract infection. PSA increases in cancer and inflammations. The PSA doubling over two weeks is more likely from an infection. Please get a urine culture and sensitivity test done and if urinary infection is confirmed then you must get treated. Please repeat PSA test one month after getting treated for the urinary infection for accurate level. The lesion in kidney require follow up. If it is well-defined then more likely to be benign. Doing a CT scan might give more information on the nature of the suspected kidney complex cyst. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Background: 14 days ago I suffered from severe dry mouth. In the past 4 days I have had swollen tongue with deep ridges along the sides and top. It has a burning feeling and is red in color. I do suffer from red eyes, fatigue. This is not a medicine allergies as I have been on the same meds for 2 years. It has become quite uncomfortable. It did bleed in one spot on top this evening when I touched it with my toothbrush. Do you have any Ideas as to what is causing this? I am a 56 yr. old female.", "output": "Hi, Welcome to Chat Doctor .com. I had gone through your question I can understand your concern. The condition as per your history is suggestive of fungal infection, because of Chat Doctor. You need to visit a doctor (dental surgeon) to get it properly evaluated. During mean time you can apply clotrimazole 1% mouth paint three to four times a day. Hope my answer will help you and visit us back if you have any further queries. Regards " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am experiencing a dull achy pain on the lower right side of my belly button. I am nauseated and have had these symptoms for 6 days now. I went to my local ER two days ago and all my tests came back fine. They did urine, blood, and CT scan and ruled out appendicitis. I eat very little and become more nauseated after eating and my symptoms remain the same. Any thoughts?", "output": "LIVER FUNCTIONLESS AND THYROID FUNCTION TESTS NEEDED IF YOUR US ABDOMEN IS NORMAL AND NO GALL BLADDER PROBLEM OR APPENDIXTHINK OF ANY MEDICINE TOOK FOR ANY OTHER DISEASE LIKE PAM BROKEN DIET SUPPLEMENTS START WITH AD\u00cdLIO 1 TAB BD NON-OILY NON GREEDY AND NON-SPICY WOODLOT OF WARM WATERMEN D EMPTY STOMACH MORNINGS YP ARISTOTLE 1 SF TDS AFTER MEALSNORFLOX 2- DAYS BD TO COUNTER ANY STOMACH INFECIONGET TESTS AND TREAT ACCORDINGLY" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 68 +6 02 -228lbs......don t smoke and don t drink alcohol....I exercise daily and my heart rate resting is normally 62-65....however my BP is 145/86 when I first taking it...but will lower after resting 10 mins to 130/78 or so.....is this acceptable?????", "output": "Hi welcome to Chat Doctor. I understand your query and concern. Blood pressure needs adequate control in your case. Maintain Blood pressure below 130/80 mm of Hg in your case. Your blood pressure is slightly on a higher note. I advise you to have a baseline 2 dimensional echocardiography, ECG and lipid profile to assess the basic cardiac reserve of your heart. Restrict the intake of salt to less than 6g/day. Regular physical exercise in the form of brisk walk for 20 min a day for 5 days a week is pretty useful. Chat Doctor. Reduce the intake of fatty and fried food. One pomegranate a day will help to keep your heart at good pace without clot formation. Weight reduction will help to control the blood pressure a well Consult a Cardiologist for further expert management. Post your further queries if any. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "fell and twisted ankle in 3/2012 and diagnosed with unspecified sprain/strain left foot. Xrays showed nothing broke, MRI shows severe edema. 12 PT treatments, that helped a month ago. I continue to wrap wth ace bandage, walk and still my foot and ankle are extremely swollen, unable to get left shoes on and the ball of my foot hurts now. What could ths be???????", "output": "Hi. The problem in your ankle is due to sprain in inferior talk fibular joint...termed as High ankle sprain... It will take a bit longer time to heal...Don't worry... I recommend you to continue Icing frequently... Keep your ankle wrapped as you do now... Gentle massage over calf muscle...and outer muscles of leg...once pain permits gently stretch the calf and outer keg muscles.glute muscles....Don't bear weight on the injured leg as this would disturb the healing process... Start glute stability and ankle rehab immediately... Hope this is helpful for you... Kindly revert in case you need any further help in this regard" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m a 32 year old female that suffers with migraines. I recently had a MRI brain. The impression says this:1. I acute intracranial abnormality is identified. 2. There are single punctate foci of gliosis involving the subcortical white matter of each frontal lobe . This finding is nonspecific and can be a consequence of chronic microbascular ischemia. Demyelinating disease and cerebral vasculitis are included in the differential diagnosis. What does this mean?", "output": "Hi, Thank you for posting your query. First, I would like to reassure you that your MRI findings do not suggest any serious problem in the brain. The findings reported on your MRI are commonly seen in patients with migraine and there is no need to worry about them. However, if you have frequent migraine headaches, you should be on preventive medications. In a person, who has risk factors such as diabetes, high BP, cholesterol, in them, these findings could mean ischemia (lack of blood flow to the brain) and then medications such an aspirin may be required. Wishing you good health, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sharp pain in groin area when lifting leg or kicking a ball pulls when walking getting slowly worse you tend to forget about it then you get a sudden pain when you lift leg no lump difficult to pin point the pain but you forget about it for a while turn or lift and it takes the wind out of you", "output": "Welcome to Chat Doctor I have gone through your query and understand your concern. You may be having synovitis or arthritis of hip joint, or it may be muscular pain. You need to get x-ray of hip joint to get further information about it. Furthermore, you need to visit Orthopedic for clinical examination. Till then, you can take analgesic such as ibuprofen for pain relief. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello sir,I am Rupesh, My body with Hands get shivring to much while I go for an interview or a stage, in a meeting while giving speech, presentation, my voice also get changes and be very hegitate at there, some time without a hegitation it also shakes, I am so upset for it and getting failed to new work, task, interview,,please Advice, I need your helpthanksRupesh shuklaNew DelhiE.id- YYYY@YYYY", "output": "Hi, You have got nervousness and anxiety. You have got less self-confidence and lack of will power. Develop strong will power and self-confidence. Talk freely with your friends and discuss various topics among your friends. Decide your self that I will not be nervous while appearing for interview and will give answers very boldly. This will bring your self-confidence and will power on top leading to at your great achievement. If require you may go for few counselings with psychologist. Ok and take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i have just been 2 weeks of work with a very painful swollen left foot. after xrayz showing nothing an ultrasound was issued resulting in the finding of neutromata at the 2nd and 3rd web spaces. in addition a well defined hypo echoic lesion was also found adjacent to the shaft of 3rd and 4th metatersal. the ultrasound specialist recomennded a mri would be useful to find out more but my doctor suggests cortisone injection.. i am normally on my feet 8 hours a day as dog trainer with repetetive excersices and training with nmerous dogs. not getting a chance to have a break in between.. what would you recommend i do please", "output": "Hi, Although I could not make out what a \"neuromata\" in ultrasound means (maybe a typing error), pain and swelling there indicates a focus of inflammation. This can be from a local infection, injury to bones, ligaments or an outgrowth from them. As the monologist suggested, MRI is needed to exactly define the tissue of origin and type of the lesion-which is necessary for orthopedist to plan the management. Since it is an acute painful condition, few days off the job is unavoidable. Otherwise, this will further worsen the condition and delay recovery. Give rest to foot, keep it elevated, and take analgesics like ibuprofen for pain relief till the issue is sorted out. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have dark patches on my skin due to intense glycolic peel and use of hydroquinone . The dermatologist thinks it is melasma or hyper pigmentation! I think they are actual scar burns, because the texture in that area is rough and deep. Not to mention my face has actual blisters in the area where it is dark and rough. I had this peel a year and a half ago, and my skin has not recovered. I tried hydroquinone again, but my skin has not gotten better. I have an olive complextion now it is clearly gone. They told me to try the co2 laser , but I would have to continue the use of hydroquinone for 3 months. Is there another alternative.", "output": "Hi, Thanks for writing in. Hyperpigmentation can be due to postinflammatory changes. Sun exposure can aggravate pigmentation. Keeping the sun protection is important to treat hyperpigmentation. Use sunscreen with SPF 50. Effective oral and topical medications are now available for Hyperpigmentation. My advice to you would be to use topical trauma cream with good moisturizer. Few treatments like microdermabrasion and comic acid peel can help to spot effectively. Consult a good dermatologist who can provide you with these options along with effective oral prescription medicines. Hope this helps. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ive been a janitor for 5 years and I have always had a reaction to bleach. 3 days ago I came home from work and had trouble breathing. I also have bad anxiety which made it harder to breath. I calmed down and went to bed. The next day i felt a little better but when I went to my friends house and didnt realize they used bleach to clean the floors. After half an hour I started feeling out of breath, dizzy, and nausea. for the last couple mornings Ive had trouble breathing when I get up and have a tingly feeling in my back. I live in Florida and when I go outside the heat makes it hard to breath. Im also a smoker but since this I have cut back more the half of what I was smoking and am trying to quit completely.", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. I think your breathing difficulty is more of physical nature. When you feel breathing difficulty due to allergens like bleach or sunlight, you get anxious. Then anxiety adversely effect you're breathing, and you get more anxious. Medicines for your breathing problem should ease your problem somewhat. Try avoiding the allergens. Try breathing techniques to have more open airway. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am 48 year old female. A week ago experienced very strong pain in upper middle abdomen , couldn t walk stright, just was hunching over. The pain has gone in couple hours/resolved with ibuprofen . My GP suspected that is gallbladder stones ? I have checked blood, urine and done abdomen ultasound. According to my GP blood and urine test are OK. The ultrasound findings state gallblader partially contracted with no convincing gallstones seen. I just wandering what can I do next, as frighten that the pain may come again, didn t like to experience it again. Many thanks!", "output": "Hi welcome to Chat Doctor forum. It has something to do with the gall bladder only. The gall bladder will be constantly contracting to evacuate the bladder to allow the fresh bile to occupy the bladder. It could be physiological or pathological due to partial obstruction of the bile duct. Other possibility is the peptic ulcer. I advise you to consult a gastroenterologist for diagnosis and treatment. You may need to get the gastrostomy along with other routine tests for confirmation of the disease and to prevent the further attacks of pain. Besides I advise you to follow some diet recommendations to prevent the pain bouts. Avoid taking more of spices, chilies, junk foods, and oily foods. Wishing for a quick recovery, and thanks for calling." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Severe pain along right hip pain goes down my leg to knee cannot put weight on right leg. Pain also in my lower back. Given moraphine shot.and 3 sterile shots no relief. Taking hydrocodone and wearing patches for pain. Can you give me an idea of what is happening please", "output": "As per my view I strongly suggest it is related to sciatica or there is problem with your lumbar spine. It can be anything related to your lumbar disc. I suggest doing MRI for your lumbar spine. Get it checked by or tho and physio and follow a proper treatment program with medication and physio therapy. Because only taking some painkiller on your own will not help you much, and it may become more also. On top of this you can try with hot and cold pack application at your hip and back level where it is paining to reduce some inflammation, increase circulation, and soothing effect on soft tissue." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am having breathing issues along with chest pain... I have seen a lung specialist who says my lungs are in good shape 98%...I have seen a heart specialist who did all the tests up to and including a heart catheterization and there were no blockages found that is in good shape as well... my question is what next what could it be causing my issues", "output": "Thanks for your question on Chat Doctor. Since your cardiac and pulmonary work up are normal we need to rule out anemia and thyroid problems as in both this chest pain with breathlessness seen. So get done CBC (Complete Blood Count) to rule out anemia. Get done S.TSH to rule out thyroid problems. If both these are normal than your symptoms are most probably due to Streisand anxiety. So better to consult psychiatrist and treat anxiety. Be relax and calm. Avoid stress, tension." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My Mom (age 62) is going to have her right kidney removed because of a possibly cancerous mass less than 7cm, but near the vein . This will be the second attempt because last month when she was about to go under general anesthesia her O2 sats dropped too low and the docs cancelled the surgery. They admitted her and did tests over 6 days. The next step is to do the surgery but under a medically induced coma . We are concerned about her being in a coma and want to know if this is a common practice for kidney removal. I have seen a lot of information about induced comas for brain trauma, but nothing for kidney surgery. Is this necessary? Mom does have asthma and high BP but her health is fine otherwise. Thanks for your help.", "output": "Dear Madam/ Sir, welcome to Chat Doctor. Surgeries are usually done either under local anesthesia, regional anesthesia or general anesthesia. I suspect you mom has been advised the last option (which is what you refer to as induced coma) which is the norm. Nowadays kidney removal is done through key-hole surgery (laparoscopy). This is minimally invasive and recovery is quick but patient still needs to undergo the procedure under general anesthesia. I am sure the anesthetic will do what is necessary before putting your mom to sleep. Best wishes" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my dad is 86 years old and has had blood in his urine. The first time was four months ago, he went to dr. And the dr. Told him it could be an infection and put him on an antibiotic. Last night he had more blood went to dr. Again today and dr. Said enlarged prostate could be cancer and he should have a biopsy to go home and discuss with his family. I was wondering how worried should we be. I told dad not to panic, it s not the end and to try not to worry, cause that s def no good. The urologist said he d need a biopsy. Please advise", "output": "Hi, Thanks for posting in Chat Doctor. I understand your concern. Appearance of blood in urine could be due to many causes such as infection of kidneys, stones in the urinary tract or cancer of prostate or urinary bladder. It certainly needs to be evaluated. Kindly complete the course of antibiotics as advised. If it is due to infection, then the symptom should subside gradually. If bleeding continues, then he needs further evaluation like ultrasound scan and biopsy of prostate to confirm the diagnosis. Following this, he needs to be treated accordingly. Kindly consult Urologist in this regard for proper evaluation and management. Hope the information provided helps. All the best. Chat Doctor. S." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "44 year old male, herniated the l4/l5 disc 8 years ago. I still have occasional bouts of back pain, some of which can be debilitating for days. I also have periods of weakness in my legs (normally both) that can continue upto 2 / 3 days at a time. I have also noticed that since I damaged my back I am less likely to sleep through the night without having to get up 2 or 3 times for the toilet. Should I now be looking at possible surgery", "output": "HiT hank you for asking ChatDoctorI have gone through your query. Your problem is most likely due to nerve compression due to Lumbar disc herniation L4L5.MRI is necessary to rule out the extent of injury or compression. In such cases I advise my patients with muscle relaxants like thiocolchicoside NSAIDs like diclofenac and neurotrophic Chat Doctor. I also advise them to do muscle strengthening exercises and send for physiotherapy along with this. For some I prescribe belts for wearing in lower back also. If no improvement with all these or the extent of nerve compression is more than surgical options like microdiscectomy or chemonucleosis. Hope this may help you. Let me know if you have any further query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I noticed today that my breast pump had mold growing in it. I have no ideas how long it has been like this, should I get rid of all the milk i have pumped from this pump? Also my 12 week old has been drink the exposed milk for week and has a stuffy nose. Help!", "output": "Welcome to the ChatDoctorAvoid using the milk pumped by the concerned breast pump and do not use it any further without proper sterilization. Any infected milk can cause stomach upset but not stuffy nose. Since breast milk is also rich in antibodies, so most likely your baby will be fine. As for stuffy nose, you may use normal saline nasal Chat Doctor. Hopefully this will help you. I would be glad to answer any further questions. You may send me direct questions. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been on Topomax for about 1 year. In July my hair started falling out. In August my Neurologist reduced my dosage from 50mg to 25mg. After two months my hair was still falling out, somewhat less. I stopped taking Topomax six days ago. I have had a headache for the past four days. Is this a normal adjustment? Can I resume taking 25 mgTopomax today? Im not able to contact my Neurologist. Thank you", "output": "Hi, You may continue tokomak. The hair fall is halogen effluvium. There may be so many other causes like vitamin deficiencies, mineral deficiencies, anemia, stress,anxiety, thyroid dysfunction or any other internal disease. Consult the Dermatologist for the perfect diagnosis. You may take biotin containing tablets, iron preparation, multivitamin cap, vitamin E ...etc. for long time. And avoid stress and anxiety. Take care of scalp hygiene. Do meditation, yoga and exercise. Take healthy and nutritious food. Hope this helps. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. Im 20 years old. I had my pre employment exam last day and I found out that I have minimal pulmonary tuberculosis. Is this can cure for about 2 weeks? because my pulmonologist ask me to go back after 2 weeks if I feel better. Is my condition now contagious even its minimal?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Upper lobe lung lesions can be due to tuberculosis or pneumonia. Treatment of tuberculosis is for at least 6 months. And treatment for pneumonia is for 10-14 days. So it is better to get done repeat chest x-ray after 14 days of antibiotic treatment. If you are having simple pneumonia than it will be cleared in new x-ray. But if it is tuberculosis then it will not clear. This is the reason why pulmonologist called you after 14 days with fresh chest x-ray. So get done repeat chest x-ray after 14 days. You may also need bronchoscopic evaluation to rule out tuberculosis. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "November 2nd I found out I was pregnant at the ER with ChatDoctor levels at 1468. 2 days later, my ChatDoctor dropped to 485. That s when the nurse told me over the phone that I had a miscarriage. On November 12, I went in for my my 3rd blood draw to make sure my ChatDoctor was going down the way it should and instead it went UP! My ChatDoctor shot up to 762! What would cause my ChatDoctor to drop and go back up?", "output": "Hi, dairy have gone through your question. I can understand your concern. Your Chat Doctor level goes up due to pregnancy, but you have miscarriage, so level is down. But there may be some tissue left, and it leafs to high Chat Doctor. You should go for dilatation and evacuation. Clear your uterus completely. Consult your gynecologist and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I recently had several attempts at a blood draw. Each cite has a very dark, large and painful bruise . Four days later, I had 2 more pokes , and again, both of these have very dark and painful bruises. The bruises all exceed 3 inches in diameter. Because this is happening every time I have a blood draw or an IV, should I be worried?", "output": "Hithanks for your query can feel your concerns would like to know if you have any history of bleeding or bruising spontaneously or at any other siteMoreover do you have any family history of blood disorder? If no other issue, then usually it is due to faulty technique. And need not worry.it will resolve in few days.However, if persist then you need to see your doctor, and may need some blood tests to rule out low platelet count or any bleeding disorder am available for your help regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi ! doc i have been precscired by my doctor to have clavam 625 as i have dental problem my tooth which has a filling is has become very sensitive and a pit of pain on the cheeks i cant drink hot or cold drinks or water i can eat pls do reply is it the correct medication and will it work out for me ? neeshaa", "output": "Hello thanks for consulting at Chat Doctor. Below the filling there may be occurrence of secondary caries, resulting in pulp involvement, since pain is there infection must have spread to periapical region hence sensitive and severe pain in the cheek,hence your dentist has prescribed CAVAM 625\u00a0mg which is antibiotics, and you also may need analgesics also ,please get it under the guidance of your dentist. And also get an Iowa radiograph for the involved tooth, after that you may need root canal treatment for that tooth, hope it helps,take care," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have just been diagnosed with a disected carotid artery which is outside of the brain area. I had had headaches for 3 weeks before the MRA revealed the disection and I am on Plavix and an aspirin each day. This was diagnosed one week ago. The neuro-surgeon at the ER said that I could travel by airplane next week while my PCP said that i shouldn t. What is your opinion.", "output": "Hi, Thanks for writing in. You have been diagnosed as having a carotid artery dissection and this has been examined in detail by your neurosurgeon. Since you are on Plavix and aspirin, your neurosurgeon must be aware of these medications. Since the ER neurosurgeon has seen you at the ER and found you fit enough for air travel after a week, I think there is no need to worry. I hope your air travel is on a domestic route, and you will not be inconvenienced during your flight. The PCP has given views which are of a general nature and someone having a more serious for of your condition might be asked not to fly. Please do not worry and carry your medical records during your flight and visits." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am not able to sleep during night. In the morning I get back pain and a heavy head. Various thoughts comes to my mind during night and restricts me from sleep. I have not slept deeply for many days, always dreaming whole night which I can t able to remember in the morning. Even clonezepan 50mg can t get me to sleep. Suggest smthing because its effecting my career.", "output": "Dear-thanks for using Chat Doctor. I understand your concern. Your back pain could be secondary to spinal stenosis, herniated disc or muscle spasm. The heaviness in your head might be related to the same problem. The lack of sleep aggravates this situation because your muscles become more tense and your pain is worse. I recommend you to start relaxation techniques to improve your stress and sleep better. Clonazepam will help if you relax. Try yoga and a healthy diet too. If still with this problem you might need to see your doctor for an evaluation with a neck and back X-ray. I hope that my advice will be helpful Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello i m worried about my dad... he went to see the doctor six months ago because of a problem with his Prostate- he s been finding it hard to go to the toilet even though he is desperate. The doc gave him some advice and said that it s normal for a man of his age (55) to have Prostate problems. However, he has also been complaining of a hardened tender lower jaw (the area which should consist of tissue- where the bottom of the cranium is located) and he explains that it feels like he has a bone/hardened lump there. He also has been getting sore throats and feeling like he has lumps in his throat- a little like the feeling of constant Catar build up. Is it possible that this could be cancer of the jaw bone which was brought on by a possible un-diagnosed Prostate cancer?", "output": "Hi. Thanks for your query. Noted your history about your Father. HE has 3 distinct problems1. Related t prostate and the best way to have a proper diagnosis is:- Blood PSA level - Ultrasonography of the whole abdomen and per-rectal sonography of the prostate. - If there is a mass or so, ultrasonography guided biopsy. This will confirm whether there is a benign problem or cancer and to get treated under the guidance of a Urologist for further medical or surgical care as may be needed.2. Feeling of lump in throat-get a clinical evaluation and examination done by an ENT Surgeon to get a proper diagnosis and treatment.3. Hardened tender lower jaw:CT scan will confirm the cause, ENT Surgeon will help further for biopsy, treatment and so on. Hence, all the problems will have proper diagnosis and treatment." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have Bechets, an autoimmune disease, that has caused havoc on my body. Lately, I cannot walk up or down a flight of stairs. I can walk on flat surface with a little discomfort, but going down the stairs is next to impossible my legs feel like they are 100 lbs", "output": "DEAR FRIEND SACHETS IS USUALLY ONLY ULCERS IN MOUTH AND GENITALS WITH EYE INFLAMMATION, WHY ARE YOU HAVING SYMPTOMS SUGGESTIVE OD INFLAMMATORY ARTHROPATHY WILL NEED TO BE INVESTIGATED, HAS YOUR TREATING PHYSICIAN OR RHEUMATOLOGIST STARTED YOU ON DM ARDS IS ALSO AN INFORMATION I WOULD LIKE TO HAVE WHAT ARE YOUR INVESTIGATION PARAMETERS AND WHAT ALL BLOOD WORK HAVE YOU GOT DONE PLEASE INTIMATE ALL THESE AFTER WHICH SOME REMEDIES CAN BE SUGGESTED" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My grandfather has been diagonosed for cirhossis of liver with moderate ascites . He has colon polyps which has been glued. Doctor has advised on DOXT, Raciper, Inderal & Augementine & Duplac. Are these medications all right since he is not improving at all? Please help", "output": "Hi welcome to Chat Doctor The above treatment taken for the cirrhosis of liver is right... you need to improve in giving protein rich diet, the ASCIIs and swelling of the leg is due to protein imbalance in the body due to failure in the Liver function... the above treatment will only prevent the further damage to the liver... alcohol consumption must be completely stopped... other Heat toxic Chat Doctor. . Take care..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, My mother s caretaker has shingles. She had the vaccine last July and does not have blisters, puss or wounds. She did see her doctor within 72 hours, who told her that it probably didn t fully develop because of the vaccine. She was prescribed medication. Our concern is that my Mother is 82 and is taking many medications, including Enbrel. When will it be safe for her caretaker to return?", "output": "Cellophane you for trusting ChatDoctorDear a person with shingles is not infectious before the blisters appear. Once the rash has developed crusts, the person is no longer infectious. Shingles is less contagious than chickenpox and the risk of a person with shingles spreading the virus is low if the rash is covered. Crust formation may vary from person to person depends on immunity status from 1-2weeks. I think I answered to your question if you have more questions feel free to ask. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor Oz,how are you? My partner is having a problem,just a few weeks ago, he has been going to pee quite a few time, specially at night that he couldn t sleep, this two days and today, he said that his left ball is giving him hell & it carries through his whole body , from head to down,today, June 2nd, he alredy took two pills that his Doctor gave him,he said its maybe because the Bacterial Inflamation I am giving you this pills that was given to him....CEPHALEXIN 500Mg for KEPLEX 500mg. Hes been in pain for 3 days now. Dr Ox, please help or any good advice that you can give him, by the way, is drinking coffee is bad for him? I appreciate it very much for whatever advice you can give him, please help......and thank you very muchand more power to you and all your staffs. Take care..Regards.. Ms LP (south Carolina)", "output": "Hello LP and. As a Urologist, let me advise you, that he should get another check-up by the doctor. Hell need certain tests, to find out the cause for such recurrent pain. He could be having urinary infection, causing him to pass urine frequently.He'll need to do an ultrasound scan of the scrotum, with blood routine, sugar, creatinine. According to the reports, the doctor can have a better idea about the cause, and treat it. He will need to take some anti-inflammatory analgesic tablets and keep his scrotum supported, to relieve the pain. He's welcome to send a copy of reports to me, for an expert opinion. Chat Doctor. Manga." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear sir I am a boy of 21 years, from new delhi weight 47 kgs and height 5.4 feet . 3.5 months earlier i had done serum bilirubin sgot and sgpt tests which were respectively 3.0, 2500 and 3500 then. After 1 month of care and rest all those came to normal levels and today their respective figures showed 2.6(s bilirubin direct =1.0),236and 299 respectively. what should i do to get relief from liver disorder? what could have happened to me?", "output": "Hello, thanks for using Chat Doctor. I had gone through all the data you have posted. Your reports are suggestive Hepatitis. We need to evaluate the cause of Hepatitis. In India common cause for hepatitis are viral hepatitis like Hep B, Hep C, Hep A, Hep E, alcohol induced and rarely hemochromatosis, Wilson disease. We need Ultrasound abdomen to look for liver echo texture. Kindly stop alcohol if you have habit of and get the serology for viral markers done to know the etiology of hepatitis, as etiology determines the next treatment. For now, you can take AD\u00cdLIO 300 mg 0-0-1 and reply with further details. Hope this helps..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "today i was told i have a killer cell count of 2 and the physician i am seeing wants me to take a product called NK Stim it is a combination of Zinc, Larch Arabinogalactin, Aloe Vera Extract and Olive Leaf Extract is this an expensive necessity or are there more natural ways of boosting the KC count", "output": "Hi welcome to the Chat Doctor NK cells are natural protector of our immune system to boost protection against viral infection and killing cancer cells You need to improving your immunity The prescribed supplement can be taken You can take vitamin C and vitamin E supplements for that Orange and lemon beneficial.... Second beta-carotene Rich foods like mustard green, green leafy vegetables, spinach etc. taken more Take care Consult physician for examination and follow his advice" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 7 year old daughter has had flue like symptoms for about 60 hours now, and has vomited once each day. She complains of dizziness when she gets up and is warm to touch. We have been giving her a little Advil. Today, she is complaining that her anus is burning and stinging, and she cant have a bowel movement because it is too painful. Are these symptoms connected? How can I alleviate the pain so she can have a bowel movement?", "output": "Hello, You child is being having fever vomiting and tummy ache. Generally, a medicine like Advil or ibuprofen causes gastric irritation vomiting pain in the stomach due to gastritis and even rectal irritation. I feel better to check her temperature using a digital thermometer in her maxilla. If the temperature rises above 100 F then give her Advil and monitor her fever. Note the fever-reducing after giving the medicine, her activity in between the fever episodes, her appetite and diet. Preferably never give Advil on an empty stomach as this causes gastric irritation. Two give her soft diets fluids adequately like soups.ensure she eats small frequent meals with at least three to four times a day to reduce the gastric irritation. The pain in the anus seems to be probably because of the medicine or gastritis. If the pain persists you can apply lidocaine jelly to the area to relieve her of the pain after ensuring her diet and fluid is adequate. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my father has a black spot in his mouth between the gum and cheek line. He used to be a smoker but has quit for 25 yrs. but did smoke for 30 yrs. he also had radiation for a tumor behind his ear 3yrs ago. Could this black spot in his mouth be cancer?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Since your father was having ear cancer and past smoker, black spot in mouth may be the sign of early cancer. So better to consult doctor and get done clinical examination of oral cavity and black spot. If needed, biopsy and histopathological examination of the black spot should be done to rule out cancer. So consult doctor and discuss all these. Hope I have solved your query. Wishing good health to your father. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have been a bit under the weather for about 8 months now ..several thrush infections..numbness in the hands and feet,occasional chest pains and staphococcus aureus infection wound on my hand which was treated before christmas and has now returned on my hand and both feet...?????what could be causing this ..i also have mild anemia due to excessive bleeding ..and high cholestrol.????", "output": "HiT hank you for asking Chat Doctor. I have gone through your query. Low immunity can cause such infections. Taking proteinaceous diet and vitamin supplements will be helpful. Anemia should be corrected by taking Iron, b12 and vitamin C supplements. Thyroid profile should be checked to rule out hypothyroidism. If it is hypothyroidism then taking thyroxine supplements will be helpful to normalize your cholesterol levels. For fungal infection taking fluconazole tablet weekly once for 1 month will be helpful. You can also use ketoconazole soap. It is also better to do HIV duo test if you had any history of risky unprotected sex or blood transfusion. Hope this may help you. Let me know if anything is not clear. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Just wondering about upper right side abdominal pain that s been coming and going since July, I am female never had any surgeries, have 3 kids. When I m having the pain it seems to get worse if I bend over. I haven t noticed it to come with certain foods, haven t noticed any type of pattern of when it comes. Otherwise I m healthy 28 yrs old and the only med I take is armour thyroid . Thanks!", "output": "Hello, kristitherrian, Your description of symptoms are suggestive of gallbladder problems. Gallbladder problems are more common in females, over the age of forty, who are fertile and some of them can be overweight or fatty. That is typical although not everyone fits that description. Also, underactive thyroid is also little more common to be associated with gallstones. Fatty or fried foods can trigger an attack, although it could be spontaneous. The simple way to test is to undergo a sonogram of the upper abdomen topee if you have gallstones. If you do have it, sometimes, you may need Mohave a nuclear scan at the time you are having symptoms, to see if you have signs of inflammation or Acute Cholecystitis\". You may need surgery and the good news is, you can have it done through laparoscopy, same day surgery with a shorter recovery period. I wish you well." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hey, i m a 16 year old girl and for about a year i have been experiencing a lot of discomfort. My lower abdomen area is very tight and i feel bloated constantly, that area makes a loud rumberling noise and also a whining noise and it feels sometimes that my bum makes these noises aswell. its like a feeling that i need to fart but i cannot. i m also constipated nearly all the time and also have lower back pain near the kindneys on both sides this is at its worse in the mornings when i have just gotten up and then goes, but sometimes it can be a light ache throughout the day. i ve also noticed i ve constantly got bad breath i will brush my teeth and about 5 minutes later my bad breath will come back(this is ruining my confidence and i m becoming more and more seclusive because i m scared to talk to people in case they smell it.) I also have itches on my thighs and arms usally late at night. it would be really great if you could help me because this is taking over my life and i m getting really depressed about it. I can t concentrate in class because i am contantly worring that my stomache/abdomen is going to make noises.", "output": "HI. Thanks for an elucidated history. All these symptoms are suggestive of Enterocolitis. For the causative reasons to be found undergo tests like colonoscopy, Contrast enhanced CT scan of the abdomen, routine blood, urine and stool tests. Consult a Gastroenterologist to get a proper clinical examination and medical treatment. In such conditions at your age anxiety and stress have a larger part to play, and it has to be well controlled by you at any cost and see the difference." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Dr. we are blessed that we have succeeded in our first ICSI with beautifull angel baby girl. 2 years later, we have undergone to the second ICSI ....This time after embryo transfer my wife is not experiencing any pregnancy symptoms......please advise.Mali", "output": "Dear Mr. Mali, There are mainly four types of symptoms a woman gets in the early phase of her pregnancy. The symptoms of early pregnancy - in first three months are:1. Missing a period : This she must be having2. Nausea and vomiting : Some women do not get this symptom at all. Nothing abnormal not anything to worry about it. 3. Frequency of urination: Woman may not notice it. 4. Breast Changes - Woman starts feeling them after 6 weeks of pregnancy. * Engorgement and tenderness* Brownish discoloration of nipples and areola. This happens in first pregnancy and is permanent change.* Increasing the size of areola* Clear secretions from nipple on squeezing which of these symptoms she is not having? You should have mentioned. I hope you have got the answer for your query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My Son is suffering from epilepsy since 7-years old , Now he is 18-years old. Some time he is having headache . Now he is taking 200mg tablet of tegrital morning and evening. Another doctor advised Volprin Chrono 500mg daily mornining and evening . Plz guide me. Tegrital or Volprin which is OK ? Is there any way to prevent /stop this medicine? Regards P.Bhardwaj 0000", "output": "I read your question and I understand your concern about your son. Both Carbamazepine (Regret) and Valerie acid (Dolphin Throne)are widely used Chat Doctor. The choice depends on seizure type and side effects. If I had to blindly pick one of them then I would pick Valerie acid as it is effective in almost all types of seizures, you could rarely go wrong with it. However, whether one of those two or another " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "February 19th was my last normal period. then i moved in with my boyfriend on February 27th. we had sex all from that day until about March 4th, he got off in me and i had an orgasm quit a few times as well as him getting off in me. Then i started bleeding about March 7th and it only lasted about 2 or 3 days. and it was nothing like my normal periods at all. my periods are normally about 6 or 7 days. it was really dark at first and light. then lasted 20 minutes, then the next morning it started back up again and it was dark still but with some pinkish red in it, and then it had a little more blood but not a lot to fill a pad. but i wasn t suppose to start my period until around March 19th which i didn t never start that.On march 11th something bad happened and i was under a lot of stress. But i had already ovulated around the time i was suppose to which was march2nd-march7th. then i thought since i was bleeding beginning of march that i would start around the beginning of April but i haven t started yet. i took a pregnancy test like 2 weeks ago but it said negative. =(. but i still just feel like i could be pregnant. and plus no period still. so ill wait until next week and if no period still then I m going to the hospital to find out why I m not starting my period if I m not pregnant. but i hope they will tell me that I m pregnant. we re really hoping I m pregnant. but if not then we re TTC ASAP and going to keep trying. But i know that stress can cause your period to be late, but people have told me its only caused to be late from stress if also the women ovulated late. because i read that when a women ovulates late then period will be late because there s no menstrual cycle to pass through. but that it the women had already ovulated and then got stress then only stress its self can t make woman s period late if they have already ovulated. So does anyone think I could be pregnant? please give me advise. and me and my boyfriend are hoping I m pregnant.", "output": "HI, Thanks for the query. I understand your concern. You have very sleek chance of conception. Because of the sex on 4th of March. & sperms can be active up to 3 days after ejaculation. The bleeding you had on 7th was probably ovulation bleeding. In that case pregnancy test should be positive by end of March (with home pregnancy test. ) / by 3rd week of march by blood pregnancy Chat Doctor test. You should go for the test at proper time for exact results. Absent +ve test would signal at some problem with menses cycle, ( in case it remains irregular for a couple of months) it needs to be treated under Gynecologists guidance. Thanks. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a renal ultrasound that showed a possible kidney stone. The doctor said no further testing is needed as it could be a shadow if not a small stone. My concern is that it is a misdiagnosed tumor. The doctor offered to request a CT scan to ease my mind, but I am not sure how to proceed. Thoughts?", "output": "1.first, I would request you to be relaxed...its natural for all f us to be worried about d tumor ...but these are scenarios where in tumors are the least possibilities, like this one.renal stones are so, so common, that if there is a shadow, doctors first would wish to rule DS out. There are multiple predisposing factors (both acquired and genetic) responsible for it.....so ct scan would be fair enough to rule out once there is a doubt about renal calculi.2.you can get a urine routine and microscopy as well with c/s to rule out associated UTI(if you have associated fever, pain abdomen and body aches)meanwhile Chat Doctor. All d best, dont worry...we are here.get back to us with the reports." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi me and my fiance have been trying to get pregnant for a year and 4 months. I dont know if thats normal. He says that hes ok, but I think the problem is on me because I dont have regular cycles I get them 2 times a month.. any help on how to get pregnant would be great..", "output": "Hello, having periods twice a month means shorter menstrual cycle of less than 20 days duration. The normal range of menstrual cycle is 21-35days. You are having polymenorrhoea which depending upon your symptoms and other health problems should be treated otherwise you'll become anemic and weak. Meet your gynecologist and get blood tests for hemoglobin and transvaginal ultrasound and other investigations done as per requirement to rule out the causes of polymenorrhoea. Get proper treatment for the cause and regularize and normalize your menstrual cycle. It is possible to get pregnant with irregular period by maintaining menstrual calendar and having sex regularly from 4 days before and 4\u00a0days after day of ovulation. The day of ovulation can be calculated by subtracting 14 from the date of the starting of the next menstrual cycle if you can predict it by maintaining menstrual calendar. Having regular intercourse for 16\u00a0months with unsuccessful results is not normal and the reason of being unsuccessful at conceiving should be found out and treated. Usually pregnancy occurs in 12\u00a0months of regular unprotected intercourse. Both partners should cooperate. The male partner should have his seminal fluid analysis should be done." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Just got a tonsillectomy mid day yesterday. I just woke up cause I cant stay asleep to find my tongue is brownish black. I am pretty sure the black part is from the bombpop I ate before bed. I wiped my tongue and it was brownish red. Should I be concerned?", "output": "Hello and thanks for consulting Chat Doctor.I have read your query and I think it may be due to inflammation you don't have to worry about much. After tonsillectomy postop care is important : ~ Strenuous physical activity following surgery is discouraged.~ Chat Doctor. ~ soft diet during the recovery period. ~ snoring and mouth breathing due to swelling in the throat can be seen. Breathing should return to normal when swelling subsides, 10-14 days after surgery.~ if low grade fever or pain is there then paracetamol can be taken. Your brownish red tongue should return to normal within a week. If the problem persist then you should visit your doctor. Hope this answers your query. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good evening. I have a continuous burning in both of my inner ears and often with pressure and pain like when you blow balloons. I ve had allergy s and am on daily Claritin and a nasal spray but its not working. I have continuous runny nose as well. Have already got an allergy shot but that only suppressed the sensation for a week.", "output": "Hi, thanks for using Chat Doctor The symptoms may be continuing because you are still being exposed to the allergen. You may need to consider allergy testing to determine what is causing your reaction so that it may eliminate. The use of decongestants- oral and topical (applied directly to the nose), may help relieve some of your symptoms. These would be available over the counter at your local pharmacy. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter of 6 years, very healthy, has been having stomach cramps and throwing up since Thursday. We have been to the hospital twice and been following the prescribed medication. She is currently taking antibiotics. I noticed the cramps get worse when I give her buscopan and she eventually ends up throwing up. Two questions, can she be reacting to the buscopan? I have heard palm oil can help when having stomach cramps. Is this true as I am considering giving her some", "output": "Hello! I have been through your question. Related your concern you should know that Tuscan is used to relieve (muscle spasms) cramps in the stomach and intestines and has no data to cause cramps even as side effects. Maybe increasing cramps is related to the situation that your daughter have and has no relation with taking Tuscan. I haven't hear and read that palm oil could recommend for cramps. What I suggest for the moment for your daughter, except the antibiotic (that she has started) is that should Chat Doctor. Furthermore, you can stop giving your daughter Tuscan and can use another antispasmodic dicycloverini or peppermint oil for cramps. I hope my answer help you. I wish your daughter a quick recovery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi a friend of mine has been having fever on and off for the last 4 days, he has rashes in most parts of his body (then on occasion it disappears but right now when he started having fever it stayed red and itchy), hes having head, body and joint aches and a heavy feeling in his eyes. Lab result was low wbc and a trace of blood in his urine. What could this be?", "output": "Hi. Fever with rash and joint pain is seen in many conditions. Most commonly seen in viral fever like dengue or other viral fever. You have low WBC count which also favor that. Go to the doctor and take treatment. And regularly measure platelet count. You may have low platelet. If it is severely depleted then it may lead to life-threatening bleeding. So keep close watch on that. And take plenty of fluid orally. It will go away in few days." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a small lump on te outer part of my anus, it hurts a little. It feels almost like a pimple. How can I make it go away, and why did I get that? Its very unusual to me, I never had something like that before. It hurts when I clean myself after going to the bathroom.", "output": "Hi, Thanks for your question. After going through your question, I can understand your concern. There is most likely a boil / folliculitis over perianal region, which is an infection of hair follicles. It may be due to excessive sweating. If there is family history of Diabetes or you are obese, better to check your blood sugar levels. Use some anti-inflammatory medicine, if swelling increases in size or there is fever there may be need for antibiotic. Hope this helps you, if so do vote as helpful." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "while urinating it hurts in the closely to the tip of my penis. there is few white, yellowgreen fluid coming out of my penis. when i masterbate when its cuming it hurts too. its like every minute there is a drop of white fluid coming out. its been 4days. what was my condition??? do i have std? please help", "output": "HelloThanks for your query. Burning urination and pain at the tips of the penis with yellowish discharge or due to inflammation of urethra (Urethritis)Please get your routine urine test and urine culture done to find out the organisms causing this infection and antibiotics to which they are sensitive to. Please take broad spectrum antibiotics like \u010ceferin along with urinary antiseptic like Nitrofurantoin twice daily and urine alkalizer thrice daily. Later on switch on to appropriate antibiotics as per culture report. Get the prescription of medicines from your family Physician. Ensure to Chat Doctor. To keep your urine dilute This will help to control dysuria." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I m trying to distinguish what might be the cause (or causes) of the swelling of my forearm. The area of the swelling starts below the outside of my right elbow, about halfway through where the ECU and FCU muscle are. There is no pain, just swelling, and movement is not restricted at all. I m 25 I went to the gym for the first time ever exactly one week ago. As result of that, last week I also had DOMS in my arms for a few days. The DOMS subsided about two days go and I thought my arm was on its way back to normalcy until I notice the swelling today. I few other things to mention: The swelling is on my right arm, and I am also right handed. I have a metal plate on the same elbow that has been there since I was 9 without any complications. Also, last night I played tug-of-war with my feisty 70lb dog, I game we playoften. And this weekend I also had an irregular intake of wine and champagne. I do not drink, but this weekend was a special occasion. I ve also been attempting to eat more protein and carbs lately in hopes to workout more and gain muscle mass, so my food consumption has change slightly to accommodate. It s nothing drastic though, just some omelettes, steaks, salad, and wheat bread. Once again, there is no physical discomfort, it s just swollen and visibly different from my other arm. I wanted to gain more muscle but after one 40 minutes trip to the gym I cannot believe results would show this fast and this great. I hope I ve given enough info to at least limit the scope of investigation. Thanks for the help!", "output": "Hello, As per your history, it may be due to blunt trauma. For further assessment, you may require X-Ray of affected hand after orthopedic consultation. Restrict your hand movements. Use support while walking. In case of fracture, you may require surgical intervention after orthopedic consultation. Keep your self HY Chat Doctor. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I noticed a red lump on the left side of my clitoris. Its painful and it feels like somethings in there. Im scared to pop it. I have been tested for std, aid, and hsv1 and 2 and came completely negative. What could this be? i have taken a few pictures of the issue", "output": "Hi, Dear,Thanks for the query to Chat Doctor. I went through your query and understood your health concerns. In My opinion-that lump on left side of clitoris-could be due to -cyst of the Bartholdi gland, with retention due to infective blockage of the Bartholdi gland, may be caused from trauma/ viral/ bacterial infection.-Please show it to ER Doctor who would treat it accordingly. Treatment-a-Tb NSAID for the pain antibiotics for to control infection c-Most of the time it subsides in 5 days time.d-If it persists and grows -then Excision of the Cyst would be done by Gynaec-Surgeon. No need to worry as its retention cyst of the Bartholdi glands mostly.-Hope this would help to resolve your worrisome query on your next visit with your family GP doctor. Wellcome for further query to Chat Doctor in this regard. Wishing you fast recovery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My heart will beat normal for a while, but the continuously skipps beats.And then it beats really hard and really fast, then stops, and beats normal again. but when it beats really fast and really hard, it almost rakes my breath away. It skipps beats regularly.what does this mean?", "output": "Hello, I have gone through your query. Thanks for using Chat Doctor. Irregular and skip beats need evaluation. It may be due to variety of causes. Multiple benign extra beats are quite common in absence of serious heart disorder.However, we should rule our any serious rhythm disorder. I suggest you to get ECG done which will give some primary information. Holter monitoring may be needed for further evaluation. My best wishes Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am a 21 year old girl....i seem to be tired a lot and moody. i feel quick to get irritated especially by people i am close to. in fact anger/ sadness are the only emotions i show. it gets really bad the week before and the week of my period. maybe this is normal but i just want to feel happy and have more energy to enjoy life. help!", "output": "Hi, You seem to be manifesting symptoms of depression. Feeling low, sad and irritable, getting tired easily are all symptoms of underlying depressive episode. Worsening of symptoms before and during menstruation occurs commonly in depression and can be associated with premenstrual tension. I would suggest that you should consult a psychiatrist for initiating treatment. Medications like Escitalopram or sertraline would be highly beneficial for you. In addition, you should start exercising daily. It will help you feel better and relax. I do hope that I was able to answer your query. Wish you all the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello! I may be being a tad over cautious here, but last night I fell on the stairs; my upper right thigh had a direct impact with the edge of a stair. It hurt however I slept it off- today was okay, but about 12 hours ago my thigh began to throb. I can no longer bend my leg without pain. I can stand on the afflicted leg, but attempting to crouch on it is impossible, as is crossing my legs and I m getting severe pain using it to climb the stairs. I do not have any bruises or swelling, but the pain I m having is unusual for a simple knock to the thigh. Could you give me some advice? Thank you!", "output": "Thanks for your question on Chat Doctor. I can understand your concern. It is quite possible that you might be having hair line feature that is causing this worsening pain and symptoms after 12 hours of fall. So in my opinion, you should first get done x-ray of affected thigh to rule out hairline fracture. If x-ray is normal then no need to worry about this. Sometimes inflammation in the injured muscle can cause worsening of symptoms after 6-10 hours. So avoid movements especially weight-bearing. Apply warm water pad on affected areas. Take painkiller and anti-inflammatory Chat Doctor. Take proper bed rest with minimal mobilization. Don't worry, you will be alright with all these in 1-2 weeks. But better to first get done x-ray to rule out hairline fracture. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been prescribed by my regular doctor the benzodiazepine medicine triazolam for quite a while. the beginning of this week, he told me I should stop the medication. I was on a dose of ,25mg and have now been cut to zero. I ve been experiencing really bad sweating, bad body temperature regulation (really hot and sweats then cold and chills, increased anxiety and nervousness, headaches. these are all getting a little difficult to bare.... especially the sweating. it has been 5 days since the doctor recommended stopping. should I, when uncomfortable, perhaps take a very small dose of triazolam? like half of what I was taking before? I m worried that I ve already gone this far in the withdrawal process and will taking the small dose undo any progress my body has made ridding itself of the triazolam?", "output": "Hello, Halcyon gets out of the body very fast. Indeed, it is not there for most of the day if it is taken as directed only once a day. BUT, people get used to having it and there is psychological panic from taking it. Placebo (blinded administration) with patient consent and knowledge would be an option. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a virgin, I mastrubate 3-10 times a day. Not always to pornograpChatDoctoraterial, a lot of times its from doing something as simple as cooking a fine meal, or lighting a fire in my back yard. Something about the sense of accomplishment gets me errect, so I take care of it. I dont usually have this problem around other people, but I will find that after a day or so I will need to sneek somewhere and pinch one out. Just the act of sneeking off to do it will get me stiff. I am 21 years old, and I am pretty decensitized to all types of porn and anything else you can imagine. I was just wandering if thats normal to just randomly do something, and get an erection. I mean my friends cook really good food all the time, like steaks and produce from the market, but when I do it, something about having prepared it myself, and being on the virge of having an incredible meal I just made with my own hands makes me want to explode out of my pants. My close friends think this is because I have never gotten laid, of course I cant help bu agree, but what am I supposed to do, get a hooker. its 11 am, between breakfast, and several other activities, as well as looking at porn im up to 4 already today; please tell me this is somewhat normal.", "output": "Hi, Thanks for writing in. It looks like you are having a condition where the slightest stimulation causes sexual arousal, and you have to masturbate to relieve yourself. This is a condition which is not always normal and masturbating 3 to 10 times a day means you should seek help. You can do the following to control excessive masturbation.(i) Read books when you get time(ii) Go out for short walks regularly(iii) Avoid sexual thoughts when alone and if such thoughts come then talk to a friend or listen to music.(iv) Do exercises in the evening and try to keep yourself fit(v) Keep yourself occupied in productive activities before sleeping like planning for the next day, making time for study or business work(vi) Do not touch your penis except when in the washroom and having bath(vii) Completely avoid pornography and at any times is a rare condition where normal appearing objects cause erection, and it is different from sex addiction because you have never had sex with a partner. It is probably a case of hyper excitement which is causing spontaneous erections. Consult a psychiatrist urgently. Please do not worry" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Well I clipped the side of my big toe and now its infected red and swollen its better since I cut it Ive been soaking in twice to three times when I can and applying Triple antibiotic ointment and anti bacterial bandages but I think I need a clindamycin shot. I am not a diabetic.", "output": "Cellophane you for asking question. I am Chat Doctor. Bad method of clipping the nails is one of the causes. Remember, don't clip you nail in rounded form. Clip you nail in a straight line and don't clip the sides which may grow inside the skin. Diabetes is a risk factor, but it is a common problem seen in non-diabetic and young patients in the department of surgery. The first line of treatment is topical and oral antibiotics. More commonly augmenting (amoxicillin clavulanate) is used as a first line agent. If condition doesn't improve within 3-5 days of the use of antibiotics then surgical removal of nail is an option that is usually considered. Usually problem solves after removal of the nail. The nail regrows., and you should adopt the necessary precautions. Don't clip the nails in circular line, clip them in straight line. I hope, you have got my point. Kind Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "What is the average length of time off from work for bells palsy? I was diagnosed 6/11 & I see very slight improvement. I was prescribed 20 mg prednisone, 2 a day for 5 days,800 ml acyclovir, 5 a day for 7 days & 600 mg ibuprofen for pain, but my effected side (right) is having hearing problems ( feels like something is moving in my ear & popping sounds) have gotten worst & I have heavy pressure besides the paralysis & vertigo.", "output": "Hi, I am Chat Doctor. I have read your question and understand your concerns. Let me try to help you Bells Palsy usually refers to Lesion of the Facial Nerve (7th Cranial Nerve) outside the Skull But, in your case, you say that you also have Hearing Problems +Vertigo. These are rare in Bells Palsy and more common when the Facial Nerve (7th Cranial Nerve) is affected inside the Skull and the 8th Cranial Nerve also is affected I would suggest you to consult a Neurosurgeon at once Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. Let me know if I can assist you further. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Dr, I was diagonized for typhoid fever was admitted in hospital for 5 days. I got discharged on 04-07-12. I felt I am fine. But from 29-07-12 I am feeling I have fever again. Doc advised me to have normal veg food. I was having veg food all these days", "output": "HelloSign such long duration of fever (low grade fever), even after the treatment for typhoid fever may be due to these possibilities, these include:1 Tuberculosis, diagnosis can be confirmed by blood examination for CBC, ESR & x RAY chest and tuberculin PCR.2 Jaundice is another common cause of such fever. Get in blood examination for HBase for A B C & E. However, there are so many other reasons of such type of fever, as cancer, anemia. I recommend you please consult a physician and get his opinion (2nd) because this is long duration fever. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi there, i have recently been diagnosed with chlamydia in the downstairs reigon... when i was being consulted the specialist asked me if i had any chest pain, in which case at the time i didnt, however, i have now taken the medication but a slight pain has arrived to the top/center of the reigon around my heart?Is there any link between this or is it just diet/excersise choice etc?I am a 22yo male, active but smoke around a pack of 20 ciggarettes every two days. 6\"5 and around 100kgs??", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Chlamydia infection can cause pneumonia (lung infection). And this pneumonia can cause pleuritic chest pain. This is the reason why doctor asked you about chest pain. Since you are a active smoker, you are at risk of lung infection (pneumonia). So in my opinion, you should definitely get done chest x-ray to rule out pneumonia as a cause for your chest pain. If chest x-ray is normal then no need to worry about pneumonia. This chest pain can be due to simple musculoskeletal pain. In any case, it is better to quit smoking as soon as possible. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello Dr.Doctor my brother have a high creatinine level of 7.3. he is hospitalized. has pnemonia and also got effect on heart. his blood sugar was 200 and BP 200/150 when he was admitted before one week. he is still hospitalized but now BP is 130/90, blood sugar 190 and cretinine is 7.3........kindly tell me the line of treatment and diet to be taken. he is getting discharged today with medication.", "output": "Hi, dairy have gone through your question. I can understand your concern. He had very high blood pressure, sugar and kidney failure. His sugar and blood pressure is under control now. But his creatinine level is still very high. He may need dialysis to correct kidney function. So consult your doctor and take treatment accordingly. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "\"I am suffering from a psychiatric illness. Over the last 10 years, I have tried several psychiatrists (at least 8 to 10) in and around Kolkata and even Mumbai. I have been highly disappointed by all the doctors I have been to so far.They are either money-grabbing touts or just incompetent doctors who have not been able to treat me. Some of them came highly recommended. I am not happy with any of them.Please, based on nothing else but your own experiences, tell me who is the best psychiatrist to go to.I am currently settled in Kolkata, but I do not mind traveling anywhere in India for treatment.\"", "output": "Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. Every doctor has a specific way of treating, and everyone is benefiting someone. There are around 3500 psychiatrists in India and It's very difficult to identify the best. In fact more than the best, it's the one who is sincere in his efforts, that will matter more. You may visit me at Indore, Madhya Pradesh, and I can assure you to be sincere in my efforts. The other option is visiting national institute of mental health and neurosciences in Bangalore. It's a government hospital, supposed to be a very good one. But be prepared to stand in the lines. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I cut my Frenulum on my penis the other week through oral sex, I had sex a few days after and it was sore. Ever since then it has been pretty sore and keeps swelling up every now and then, No pain when urinating, simply external discomfort. Can you advise anything?", "output": "HelloThanks for query. You have sustained injury to your frenulum while having oral sex and since then it is sore. You need to take broad spectrum antibiotic like Definite along with anti-inflammatory Chat Doctor. Along with topical antibiotic ointment like Newsprint twice daily. Ensure to wash your genitals with warm water twice daily. Normally it takes 2-3 weeks for complete cure hence ensure to avoid sexual encounters till it heals up completely." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hiiiii am saranya frm chennai ........actly i used melacre fr past 2month i quit recntly my face becme dark........my marrige is on nov 2nd week .........just suggst any cream which ill nt damge my skin n keep my skin fair...................................thank u", "output": "Hello and welcome to Chat Doctor You did the right thing by discontinuing Delaware forte. This cream is a prescription product and should never be used without a dermatologists' advice. Dermatologists commonly prescribe it for facial hyperpigmentation/plasma. However, it should never be used as a regular fairness cream and in any case not for more than 2-3 months since the steroid content of this cream can cause various side effects like acne, photosensitivity, skin thinning and telangiectasia and facial hair growth (hirsutism) which is specially troublesome in females. I would suggest that you use a broad spectrum sunscreen, throughout the day. At night, you could use a glycolic acid cream (Glycol -A) Or Comic acid cream (Comic cream) to obtain the desired results of brighter complexion and even tone. You could also opt for a few peeling sessions from a dermatologist e.g. Yellow peel (Retinol CT peel) Or Glycol peel Or lactic peel. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. Had intercourse 3 days before my supposed period. I am regular. Condom broke but no ejaculation happened. I am aware that precum can get me pregnant. Question: do i still need to use nordette as ecp? Knowing that no ejaculation happened and I am not on my fertile window? What is the best thing to do?", "output": "Hi, Thanks for writing in. If your periods begin in 3 days time then everything is normal, and you do not have a pregnancy. If you do not get periods for more than a week after periods are due then you may have to think about getting a home pregnancy test after 15 days from the date of unprotected sex. This will give an accurate result if you have a pregnancy. Alternatively, if you do not get your periods then you can consult your gynecologist and take methyl progesterone twice daily for 5 days then within a day or two after stopping, you will get bleeding and periods will be regularized under normal circumstances." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was diagnosed with asthma upon being born. Its generally excersize enduced with cold weather, but recently ive been in england for a few weeks now and im experiencing shortness of breath and some strong coughing, usually taking a deep breath allows me to hear a wheezing noise or a very high pitched sound upon exhaling. I dont have my inhaler and havent needed ut for years im not too sure what this is?Also coughing gives me this weird feeling under my ribs or behind them that I have to itch.", "output": "HelloAirways hyperresponsivenss due to inflammatory disease or due to allergy, produces wheezing, shortness of breath, cough late in the night or early in the morning and is known as ASTHMA. Mite, dust, fine dusting powder, hay, sudden change in temperature, pollen, molds, pests (, cockroaches). Smoking (active or passive) are certain predisposing factor of asthma. When such patient visit my clinic I advise them to take montelukast+albuterol tablet once or twice in day according to severity of symptoms. Hot coffee and steam inhalation also provide relief. Since you are also having cough, so you may need dextromethophan + cholpheniramine male ate syrup. As you mentioned that you are also having pain underneath ribs, so also get in X-ray chest to rule out any pleural effusion under ribs. Consult a physician and get his opinion." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a negative pregnancy test but have been experiencing pain in my abdomen which I dont usually experience.I am due for my period on Monday. In the past 2-3 days I have had very noticeable veins in my breast directly to the nipple and then down my right side to my mid torso. Again this is not usual for me and I am unsure what its from", "output": "HI. Thanks for your query and an elucidated history. You have two different problems 1. Pain in lower abdomen and due for periods2 A noticeable vein as explained by you. 1. The pain in lower abdomen in such a situation can be due to PID-Pelvic Inflammatory disease or an Ovarian cyst / Salpingitis or enteritis and so on. Ultrasonography, relevant blood, urine and stool tests will help to get a proper diagnosis and plan for a treatment if need be. 2. The vein-this is called idiopathic Phlebo-thrombosis. There is no known reason for this problem; it is self-limiting disorder and does not need any active treatment at all. If you are very much worried a dose of tapering steroids can help. Nothing to worry about it at all." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "im 16 and i have had this red bump in my lip lower lip and well 8th grade my lip would get dry and i would peel the bottom of my lower lip and then after peeling it and then started bleeding i had a red bump in my lower lip is there any way it can ge", "output": "Hello! Welcome to Chat Doctor. As you have mentioned trauma to the lip, this red lump is most likely a hematoma. Nothing is to be done as it resorts spontaneously. Try to avoid such trauma again. Use lip balm regularly twice in a day, so that there is no Chat Doctor. Watch for if infection sets in as indicated by fever. Antibiotics are needed in this situation with your doctors' opinion. Hope this helps. Wish you healthy life. Thanks. Regads." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My Dad has a history of adenoid cystic carcinoma. It traveled to his left hip. He had radiation to that hip and his tumor was gone. He is taking a chemo pill as a preventative measure. One week ago, he was walking/ moving perfectly. In the last three days, he said that his left leg was sore. Yesterday, he couldnt move it at all. I thought that maybe he was too active with this leg given the damage from radiation. His last scan (3 months ago) was clear. Could a tumor cause this so quickly?", "output": "Hi, dairy have gone through your question. I can understand your concern. He has metastatic adenoid cystic carcinoma. It may be due to tumor itself or some nerve damage. He should go for ct scan to find any further tumor spread or not. Then he should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I m a 25yo female, 5 4 110lbs. For about one year I ve been experiencing sporadic chest pains that quite literally paralyze me because I cannot breath and feel as if I m being stabbed in the chest. About 4 months ago, for no apparent reason (other than not eating all day), I fainted. I ve never fainted or came close to it before so I was slightly concerned but almost positive it was just low blood sugar. I ve been experiencing excess sweating just in my under arms for about a year as well as chronic cold hands and bruising. I ve had problems with excessive bruising since my teens and saw a hematologist when my general care physician found my PPT was high. The hematologist could not explain the bruising but said I was otherwise normal. The bruising continues today but are now on my arms. Last week I noticed that my first rib was elevated or swollen. It doesn t hurt but is clearly raised on the left side. Today I noticed my collar bone is now swollen. The swelling is in the same spot that the chest pains I referred to occur. I also notice a quarter sized lump on my lower back to the right of my spine. The lump is painless, hard and stationary. I m wondering if I should see a doctor. I recently moved to a different state, haven t found a GC and haven t paid my high deductible for the year. Im not sure considering the hurdles that seeing a doctor would be beneficial.", "output": "Hello, I passed carefully through your question and would explain that your symptoms could be related to the lump may be a lymph node or any other lesions. For this reason, I recommend consulting with your attending physician for a physical exam, and an ultrasound of the lump, in order to examine its nature better. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,my name is Prakash.i am married person.i think my penis is not big enough to satisfy my wife.at the time of erection my penis size is 4 and half.what should I do to enlarge my penis and increase my intercourse sex timing.plz help me. My age is 28 yrs.", "output": "Thanks for asking in Chat Doctor forum First thing is the size does not matter and the thing which matters are erection and satisfying your partner(which can be done by other means). The average length of penis found after research lies between 12 cm to 15 cm when it's erect. So, I am sure that yours will be within that. So, you need not worry about this even if small as the size does not matter, and please do not visit quacks for increasing your penises length as it is not possible by any medications as claimed. Secondly, keel exercise and practice can help you to prolong your timing. All the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi... for the last week ive had flu-like symptoms that include constant aching knees and joints. Also neck strains and pain that comes and goes. I have fevers regularly, headaches, slight dizziness, loss of appetite, tiredness, chapped lips and stomach pains. ive been to the doctor and theyve told me to just rest, but I have the feeling that its something bigger.. Thanks, kim", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have fever and stomach pain which seems to be due to acute gastroenteritis. Need not worry. I would suggest you to take acetaminophen for fever in dosage of 15\u00a0mg/kg. You should take proper rest. You should take plenty of fluids to rely Chat Doctor. Furthermore, you should do tepid sponging as well. Visit general physician once and get it examined. You should get blood tests done to find out underlying cause of fever whether bacterial or viral and start treatment accordingly. You can take paracetamol along with antacids/ proton pump inhibitors. Avoid taking cold carbonated beverages and hot and spicy food. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello i am five months pregnant and my doctor says its okay to have one energy drink a day and i have really bad headaches during my pregnancy to the point of needing vicoden and since i started drinking energy drinks my headaches have stopped when not even coffee or soda has been able to do that so am i harming my baby?", "output": "Hello, and I hope I can help you today. Many women have headaches during pregnancy, because as your blood volume increases to prepare for the birth, the amount of blood flowing to your head increases in intensity, whicChatDoctormonly can cause severe pounding headaches. Caffeine is a vasoconstriction, which means that it makes the blood vessels slightly smaller and as a consequence it actually is a very effective treatment for headaches. It is actually used as an ingredient in prescription migraine medications. The warning against not using caffeine during pregnancy actually has no real scientific basis. There never been any studies in humans that actually shows an increase risk of any pregnancy-related complication. So, if caffeinated Chat Doctor. Furthermore, Vicodin is safe to use during pregnancy for pain as well. I would advise you to try to find the least amount of caffeinated beverage you need to " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello,my daughter who is 5 has been off school for 2 days with a high temp on and off snotty,tired etc...she has now started with stomach ache...she says it hurts when I touch it and it s hard and round.She just asked to go to bed herself which is not like her..she has not got wind and her poo has turned a lighter colour...could this be gastroenteritis that s going round or something worse please?", "output": "Hi, Welcome to the ChatDoctorAn abdominal pain along with Fever and lethargy can be due to several reasons in kids. Gastroenteritis is less likely if there is no vomiting and loose poops. If Poop has turned lighter, it could be due to Hepatitis. Or the other causes such as Acute Appendicitis, diverticulitis, Liver Abscess, other abdominal infections and inflammations. To come to a definitive diagnosis, I would recommend a good clinical examination by a pediatrician, Ultrasound abdomen and X-ray if required and blood investigations accordingly. For immediate pain relief you can give her Syrup Acetaminophen or Metal- Spas 5 ml. For any further questions, do contact us." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am feeling an itchy sensation when i cough. It feels really good when i cough, almost as if I am itching the inside of my rib cage. I think it may be assoicated with asthma? I was diagnosed a few years ago but they were different symptoms more like shortness of breath. The symptoms went away and now it appears the symptoms have changed. Do my new symptoms sound like a form of asthma or is this non-related? I feel like when i breath in, almost like my wall is closing and there is not enough air getting through, at the same time, i feel like my rib is itching on the left side and when i cough, it feels great but after i cough it burns as well! Help please", "output": "This is allergic asthma when there is itching and cough your allergies are to be treated not go by itself so your symptoms have changer you start with montage FX busy genus 2 SF tossup tossed 1 SF night and Astoria 1 SF bayou can take for 3 wk now and can take off and on for many days for many times but you consult allergeologist who can good you for allergy tests and immunotherapy to completely eradicate your allergies" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am trying for my pregnancy my period cycle is 29 day and now i am 4th day of my mensis 9th days my mensis my husband alone planning to go abroad for job can i have any possibilities for concieve my hasband says to eat durian pls help me thanks, mythilisundar", "output": "Hello and welcome to Chat Doctor. Thanks for your query. Dorian fruit contains a high amount of sugar, vitamin C, potassium, and the serotonergic amino acid tryptophan. It is a good source of carboy Chat Doctor. It is claimed to have several medicinal effects, but there is no medical evidence that it helps in conception. You can keep track of the fertile periods in your cycle, in order to maximize the chances of conception. If you have been having infertility for more than a year after marriage, then it would be advisable to consult a gynecologist for a detailed evaluation. Wish you all the best. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Please help...I had unprotected sex in the early week of march....but did it on the last day of my mensural flow....I later startd takin antibiotics that month because of an ailment...when my period was due it didn t come until after a week close to that same month end....I saw my period 4 d normal days...this is the next month since then and am due again but haven t seen my period? I haven t been vomitting or feeling nusea...except that I feel sleepy sumtyms...but not tired...what s wrong?", "output": "Hello dairy understand your concernThere is no chance of the pregnancy as you did sex on the last day of the menstrual flow. It is completely safe period. During this time, there is no release of ovum, so no fertilization will occurs commonly period could be delayed by the hormonal imbalance. So wait for the period to come for next 7-10 days. If period will not come then it can be induced by the progesterone pill in absence of the pregnancy.Meanwhile, avoid stress, take healthy diet with green leafy vegetables and fresh fruits, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I was 432lbs 20 months ago. I have completely changed my health, eating and exercise habits and have lost 159lbs. I have Poly cystic kidney disease and have been trying to get pregnant for 8 years with no success. I am 33 years old. I have recently started having normal periods again every month. How long will it take for me to get pregnant?", "output": "Hi, I think there is no definite time by which one can be told to get pregnant. In your case I think you have already tried for 8 years. So now you should take some medicinal help to conceive. You can take some medicines for growth of your eggs and also some medicines to support your pregnancy. Also do some tests like thyroid profile and prolactin and an ultrasound for your follicles. Also, your husband should go for a semen analysis. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I am experiencing chest congestion and shortness of breath, but only at night, specifically when I lie down. No other symptoms. I m 30 years of age, in pretty good health, and I don t have a history of asthma as I have been an athlete all my life. It s been going on for about 3 weeks now. Thank you!", "output": "Hi. I can understand your concern. Chronic cough and breathlessness is commonly seen in bronchitis and lung infection. Get a chest x-ray done if it is normal, no need to worry about lung infection. Possibility of bronchitis is more in your case. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT is needed for the diagnosis of bronchitis. It will also tell you about severity of the disease and treatment of bronchitis is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS)Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had two open heart surgeries, since the first one, when I lay down I hear my heart beat so loud in my ear that I can go to sleep without taking something. will this eventually quit and why is it doing it? this has been going on for 18 months.", "output": "Hello, In most probability you had any of your heart valve replaced with a metallic one. What you are hearing is the click of that valve. Generally a patient gets used to such sound. You just need to know that's it's a normal phenomenon and there is nothing wrong with your heart or you. If its very disturbing you may try a small dose of tranquilizer only after consulting your doctor. Hoping I could help. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son has had pains in his shoulders, chest and back (rib area) for the last year. His Dr said it was probably growing pains. They are very painful and getting worse as time goes on. He describes them as sharp, bubble like pains like they are trying to burst out of him. He has also gotten them on his hips. He also gets a tingly pain in his left elbow. The chest pains are just sharp with no bubble feeling to them. Any ideas as to what this could possibly be? More info on him, he is 11 yrs old, asthmatic (less than 2 inhalers per month), active, otherwise healthy. His diet is mostly veggies, fruit, wild game (deer, turkey, etc) and very little sugars and milks...he gets his calcium and other nutrients from vegetables. I am not looking for a diagnosis, just trying to make sure that it is just growing pains and not something more serious.Thank you for your advice!", "output": "Hi, Welcome to Chat Doctor, I have read your query and understand your concern. As you have mentioned you have pain in your shoulder to chest and back rib area which is growing but does not seem to be serious. Here, I would like to know that whether you have any history of diabetes or thyroid illnesses or any injury to that joint. There could be several causes of shoulder pain such as rotator cuff injury or tear or rotator cuff tendinitis (inflammation of its tendons). The initial treatments for all these are, 1. Avoid repetitive overhead activities 2. Do not carry any heavy object or bag on affected shoulder or arm.3. Apply ice packs for about 15 minutes twice or thrice daily. 4. If you have learned how to do shoulder exercises then continue with that its could be effective. 5. Apply diclofenac based topical ointment which is more effective than paracetamol based.(available over the counter)6. Can take oral painkillers if pain is very severe. 7. Take Re-nerve Plus, as it is just a multivitamin supplement which is good for nerves (more useful in diabetic patients). If still pain is persisting then proper examination of shoulder joint is required to find the exact cause and if needed X-ray and MRI should be done. You can consult nearby doctor or orthopedic who can write X-ray and MRI of the shoulder after taking complete history and thoroughly clinical examination. Thanks and " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a .5 golf ball size hematoma on the top, close to knuckles on right hand on 2/9. The week after the trauma it would turn bright red in the evening.( While making dinner) Now , 9 days later I have a painful filled sack between the knuckles ( size of Quarter) . Do I need to follow up with doc?", "output": "Brief Answer:You should see a surgeon. Detailed Answer:Hello, Thank you for using Chat Doctor. Generally the subcutaneous hematomas after trauma does reabsorb by them selves within three weeks or fewer. The color changes from that of a purplish-blue bruise to yellow and brown as the blood chemicals gradually are metabolized and the hematoma resolves. In case of persistence and organization within a sack, as in your case, then should be done an biography and then should be evaluated by a surgeon. The surgeon will evaluate the possibility to Chat Doctor. As it hurts, may be the hematoma is infected because it is a favorable place for bacteria to grow. You should take some oral anti-inflammatory " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have swelling with a pea sized mass just below the right rib cage. I am 48 yrs old, 5 9 and weight about 184. If I touch the area,move just right or bend over it s painful. I had my gallbladder checked back in Sept 2011 and the hyda hyda scan test showed very slow progress, but excreted in normal limits. Can you help???", "output": "Hello, The swelling in the rib cage could be a lymph node related to inflammation. I don't think that it is related to your gallbladder. Anyway, if this persists, I recommend consulting with your attending physician for a physical exam and an abdominal ultrasound, in order to examine the nature of this lump. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi sir,im just another 19 years old boy. im nt addicted to such activity at any cause. bt i fear that i might get addicted to it. I always engage in 2 months pure vegetarian, for devotional purpose. But after that, at times, i find it is hard to control my urge to involve in such activity. i need ur advice sir.regards,yeoh michael.", "output": "Dear serve understand your concerns went through your details. From the given description, it is very difficult to understand what you want to tell me. In a hind-site, I conclude that you want to talk about masturbation. Don't worry. Masturbation can be controlled with the help of behavior therapy. If you require more of my help in this aspect, please use this URL. http://gyyyyyyy/yyyyyyy. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Patient came to the clinic with Sat 97% and complaint of shortness of breath, chest pain. Is it right to give him oxygen in the first stage although Sat 97% because we do not know whether it s real chest pain or not? Please help to give your advice. Thanks.", "output": "Thanks for your question on Chat Doctor. In my opinion no need to give oxygen if saturation on room air is 97%. As too much oxygen may cause side effects too. You should get done chest x-ray to rule out lung infection as cause of chest pain. Get done ECG to rule out cardiac cause for chest pain. If bronchospasm is present than start inhaled bronchodilators. So try to search cause for chest pain and treat accordingly. No need to give oxygen." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am being treated for ventricular arrythmias with documented episode of v tach (only 6 beats) during a loop monitor for 2 weeks which i wore in the daytime only; my loop monitor also showed so t wave inversions with episodes of frequent pvc s and st segment changes. my stress test was negative. started on monocor 5 mg once/day and increased to 7.5 mg once a day as i was having frequent chest pain and 85 pvc s / hour. i was told that the chest discomfort that i am experiencing and the pvc s are related to a mitral valve prolapse with scant regurgitation. Should i be concerned? I work part time but am totally exausted.", "output": "Ya the symptoms of palpitations And occasional chest pain may are mostly explained NY mitral valve prolapse, also mild regurgitation does not warrant any other treatment than beta blocker for you VPC s, so with treatment the both should subside the same. However, if your age is more than 45 years just rule out Co existing coronary artery disease, which is highly improbable when stress test is negative. So just relax as the meds will take effect the symptoms should subside. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter, 38 years old, has a history of chronic pot use for roughly 25 years. Is also a periodic Alcoholic and has and my still be on ocasion taking an excess of Vicadine (semi-controled by her husband). Im her 67 year old father, sober for 34 years via AA), I have tried to console my daughter on several ocasons concerning her drug issues to no avail. She presently is and has been down to 95 lbs, skin and bones, loosing her hair, has had and continues to have anger and depression outbursts. Has been pulled over and searched by local cops because of the way she looks and her additude, even according to her. Currently she is haveing problems with anal boils, which according to a friend (former meth addict) is a common sign of prolonged/chronic meth use. Ive approched her mother who she is close to, (we have been divorced for 25 years, but are friendly). However, her mother, as she was while I was drinking is in total denial as to the extent of my daughters drug use, as are other members of her family and friends. I do not want to alianate my daughter and family by confronting her, but am haveing a hard time just watchiing, and doing nothing, Any suggestions? Thanks....Jerry", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. You should know that these problems are not mental diseases, but are mental disorders. Many researches and researchers confirm that medicines alone cannot cure mental disorders. Exercise, Lifestyle changes, change in thinking pattern, relaxation etc. are as essential as medicines. Psychotherapy can help you to change your lifestyle and thinking patterns. Yoga and meditation help you to streamline your metabolism and neurological balance. Please consult a psychologist for further information. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "a 5 year old girl has had headaches, fever, stomach ache, excesive nose bleeding, urinary infections, fatigue, & weight loss...it first started 6 months ago with stomach aches. she s been on several antibiotics but they haven t realy solved a problem. she went to the hospital & they told us her platelet count was low & so were here white blood vessel count. do you have an idea of what s going on?", "output": "Thanks for consulting at Chat Doctor. Since your daughter is suffering from so many problems since 6 months, it would be better if you provide detailed clinical record (investigations, treatment etc.). For now, after reading complaints as described in question, I would suggest you to consult pediatrician for detailed clinical examination and investigations like USG Abdomen, Hematological Investigations, Urinalysis, LFT, FT, Blood Culture, Coagulation Profile, Electrolytes etc. to find out exact cause of sucChatDoctorplaints." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "10 days ago I sustained a straddle injury from the top tube of my bike. I bled a lot from my penis and was in hospital for a few days. Doctors did all the routine things including prostate exam, ctu, ultrasound and i was catheterised for approx 40 hours. I was sent home and told to expect some rose coloured urine. I have had quite a lot of blood leaking from my penis although I have no pain or discomfort. Last night though for no apparent reason, I started bleeding with quite some flow! This lasted for approx 5/10 minutes. I slept fine without much blood loss over night. I m wondering what is normal under such circumstances? Urine flow is normal. I have had sex which wasn t unduly painful and there wasn t much blood. Do you think I should be concerned or is this normal post trauma? I am male 36 years old and very fit and healthy. Thank you for your advise and help. XXXX.", "output": "Hi XXXX and. As a Urologist, i understand your anxiety. With recurrent blood in urine, there may be an injury in penile urinary tube. Straddle injuries are known to cause such injuries, at the area of impact. This is screened by a test called the RGU(retrograde arthrogram). This is further confirmed by doing a cystoscopy, if needed. You can check with your Urologist, if this has been done already. Further a THUS gives additional information.(trans rectal ultrasound scan). If you've any doubts, send a direct question in my name, with all reports. Chat Doctor. Manga." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doc,I accidentally scratched my penis, and just below the glans of my penis was very tender, and there is a small (maybe 4mm area) which has puffed up a little and there is a small white-ish cut, and I used forederma cream since 2 weeks, but still I feel it not healed fully. Can you advice any good cream for speedy healing.", "output": "HelloThanks for query. You have sustained injury to your glans penis due to scratching and has wound over the coronal Julius which got infected. You need to take broad spectrum antibiotic like Definite along with anti-inflammatory Chat Doctor. Along with topical antibiotic ointment like Newsprint twice daily. Ensure to wash your genitals with warm water twice daily. Ensure to avoid sexual encounters till it heals up completely." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi,I am swati , age-25 yrs. n trying for baby frm last 3 years dr. diagnose due to pcod m not able to concieve . before 2 month dr suggest me to go for LOD on 2nd of feb n my surgery was successfully done and then i was trying for baby but not able to conceive dr. prescribe me adova for 5 days , fertisure F, and ovacare forte...kindly guide me what to do..", "output": "Hi Ms. SWAT, Fertisure F is a nutritional supplement, so is Ova care forte while ANOVA is prescribed in breast cancer treatment and also in prostate diseases. I do not understand why your doctor has given you the medication. POD responds very well to treatment, so be positive. If your tubes are patent you may be induced for ovulation and monitored with timed intercourse. If you are overweight try to reduce some weight as this has significant effect on the return of spontaneous ovulation in POD. You may need Metformin if you have insulin resistance. Please consult an infertility specialist for further care. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hiwe r making family planning...but not sure we r going tge ryt way or not...coz we hv been trying last six months...just need to know do.we need to go for hormone count test...?We hv completd two years of our marriage.Please help me with my query.", "output": "Hi, Thanks for the query. To increase the possibility of pregnancy, you have to plan unprotected intercourse around the time of ovulation. If your cycles are irregular, consult gynecologist once and go for investigations like :- Ultrasound-Thyroid hormonal profile-Prolactin levels estimation - Blood sugar levels etc. For your husband semen analysis. If your doctor recommends you may need to go hormonal profile including estrogen, progesterone, LH and FSH. With this workup if there is any problem in fertility, that can be detected and treated. You can go for follicular study to track the ovulation and plan intercourse around that period. This will increase the possibility of pregnancy. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am a Type 1 diabetic. I developed a small blister on my toe which got infected. My local doctor thinks I may have been bitten by a spider and has taken a swab. I dont have the results yet, however, it is not really healing. I am on antibiotics also. The infection has spread slightly but the toe is still swollen and red. I would love some advice.", "output": "Welcome to ChatDoctorDiabetic toe infection must be taken proper care of. The Chat Doctor. The area should be protected from any further injury. Your doctor is following the correct line of treatment with antibiotics and has also send sample for culture and sensitivity. According to the report he may change the antibiotic for the non healing infected toe. Take good and proper care and get well soon." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my name is Cylllhia, I have low blood pressure since is left the hospital. I had my lung drained of fluid as well as my abdomen this past Friday. I check it today and out the three readings I did the highest was 88 over 55. Should I go to the emergency room?", "output": "Thanks for your question on Chat Doctor. In my opinion you should definitely go to the hospital as this much low pressure can lead to organ hypoperfusion and permanent damage. So you should not keep this much low pressure for long time. The cause for this may be poor pumping of heart or infection or fluid loss in the body due to Chat Doctor. So you need to investigate for causes of hypotension. You need fluids and isotropic support to active blood pressure." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am having gallbladder surgery on this Friday. I just got back all of the bloodwork from my hospital and they said normal but I noticed that my Globulin is 1.8 but normal levels say it should be 2.2-4.2. My Albumin is 4.5 which is normal. my ratio is 2.5 which seems slightly elevated. My glucose was also 98. Could this be affected from my gallbladder inflammation? I also hadnt had anything substatial to eat and was on iv fluids for two days when they took the test. My abdominal ct came back normal except for my gallstones.", "output": "Hi, Dear,Welcome to Chat Doctor. Firstly let me tell you that your globulin level is not that much low to be worried about. Second thing is globulin is a protein which is produced by liver and is responsible for the immunity. So as you know your gall bladder is having stones and not working, so the level of globulin may decrease to help your body. There is nothing to be worried about it. You will be absolutely fine. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "On 6th Sept 2012 around 6.30pm I was at a restaurant and the whole room was spinning before the food arrived, vision became blurred and had double vision and has severe nausea and was rushed to emergency. My platelet count had gone up to 670, my INR was higher than usual at 3.0. By midnight all symptoms disappeared. MRI did not show anything. The same thing happened yesterday as I woke up. I opened my eyes to see the room was spinning like mad. Vision was also blurred. Got out of my waterbed to find I had no balance and was falling all over the place. I did not go to ER and lay in bed all day and the symptoms were gone. I am taking it easy today but find I am drained of all energy. I had blood tests done this morning and am waiting for the results. I am on 8mg of Warfarin and 75 mg of Plavix besides avapro and diabex. I suffered a Brain stem stroke in 2000 caused by a vertebral artery Dissection/Occlusion with wallenberg syndrome and Horners syndrome and made a miraculous recovery. Ram", "output": "Hi Mr Ram, Thank you for posting your query. Your symptoms are suggestive of transient ischemic attacks (TIA) of posterior circulation (vertebro-basilar circulation). This is more so, as you have suffered a stroke earlier of the same territory. Since you are on adequate doses of warfarin and Plavix, I would advise you to look at the risk factors in detail-such as sugar, BP, cholesterol, homocysteine, etc. A heart check up would also be useful. Otherwise, your current medications are sufficient to prevent a major stroke. Best wishes, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I ve been advised to take duphaston twice a day for 5days. And also siphane from day 2 of my periods. I was asked to do a follicular scan from 10th day after my L.M.P. The reports did not show any progress in the first scan. I need to know whether I m on the right track to conceive? What will the next step be? I hope it has further solutions that can help me conceive. Really worried...", "output": "Hi I think you can take Sphere for 5 days and monitor your follicles' growth by repeated ultrasound and when follicle is more than 17 to 18 mm, take injection for rupture of follicles. Be in contact with your husband for next 2 days. Take progesterone for next 2 weeks after rupture is confirmed on ultrasound. Do a urine pregnancy test after that. If follicles are not forming, you can take a higher dose of Sphere with injections of BMG. Talk to your doctor regarding this." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have sore throat and some phlegm dripping down the back of my throat.Ive already taken a reactine but wanted to know if okay to also take 30ml of benylin extra strength.", "output": "Hi, What is your age and Gender? Since how long do you have this Problem? Since you said you have a Sore throat, which means you are suffering from Pharyngitis. Kindly get yourself examined by a ENT Specialist so that he can examine and rule out any other health problem. Berlin is prescribed for Chat Doctor. You have not mentioned if you have any other health issue. Kindly do not take any medicine until confirmed by your Doctor. You may require antibiotics if an Infection is confirmed as Benign and Reactive will just give you a Symptomatic relief. Get adequate rest and " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. My name is Kenneth. I am frequently experiencing blackouts that last over fifteen minutes or longer. I have been to an epilepsy testing center, and they have told me that I do not have epilepsy. I do not understand why my blackouts keep on occuring, while getting worse. My worst blackout lasted about four hours, which had scared me very badly.", "output": "If the epilepsy center has done a complete assessment for you and determined that you don't have epilepsy then, what you need is a cardiovascular workup. If you have a primary doctor then, I would expect this referral should be made soon. If not then, you should find a primary doctor who can help you get directed to the right specialists now to continue the workup. Spells can also be due to many other problems such as medication side effects, low blood sugar, psychological stress, very low blood pressure from deny Chat Doctor. That is why you need a primary medical doctor who can look at all these things and help direct you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am experiencing extreme burning pain during and after sex since I relieved the depo shot birth control.. Im also very moody and annoyed easy for silly things and basically an emotional reck., my question is will this go away if and when I stop getting depo ? will I ever want to have sex again? will it always hurt now or will my body and sex life go back to normal and enjoyable once the shot wears off? Ive had the shot twice and Im due for my next shot in a week and will not be getting it., Ive alway been bleeding the entire time since my first shot not heavy but enough to bother me...", "output": "Hi dear user, thanks for your query. Irregular bleeding, decreased libido and emotional disturbances are side effects of demo proverb. Painful intercourse may be due to some local infection. In my opinion, you should take antibiotic and antifungal treatment for local infection after proper prescription. I hope that once effect of demo will wean off, its side effects will also disappear and your life will come out to be normal again. Hope this helps. Good luck. For any further queries you can directly reach out to me on the following URL:http://doctor.ChatDoctor .com/doctors/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "what is hard erection. if i press the tip of my penis it is softer when it is erected. i am 44 years old. and inter course does not last more than one minute.I have a problem that i anticipate insults and turn offs from my partner as she has been doing since 14 years. What help please", "output": "HelloThanks for query. Based on the facts that you have posted you are facing problem of Premature Ejaculation which leads to conflict with your partner. Intercourse is an act to achieve sexual satisfaction for both male and female too what is called as Orgasm. Man gets orgasm as soon as he ejaculates while it take time for woman to get organ, and she gets it when the intercourse is prolonged for reasonable period of time. In such a situation premature ejaculation makes female partner to be unsatisfied and unhappy resulting into bitterness in relationship. The cause of Premature ejaculation is mind related and due to performance anxiety. Consulting (Both of you) a qualified Sexologist will help to resolve the issue. He may suggest modifying sex techniques like Start and Stop technique or Squeeze technique. Taking Sidewall (Viagra) will help to get sustainable hard erection to prolong the sex and will help to have enjoyable sex to both of you. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello dr m 26 n my wt is 62kg n ht is 5feet3in,i have pcod n my laproscopy was done for ovarian drilling 15days back n my gynecologist found rt tube abhesions n she started me akt4,n i also hav history of appendicitis.so do i have chances of getting pregnant.", "output": "Hi, you do have chance to get pregnant. You can try after completing the ATT course. You can take some medicines for growth of your follicles. Track your follicles' growth by repeated ultrasound and when your follicles is more than 17 mm, take injection for rupturing the follicles. Be in contact with your husband for next 2 to 3 days. Take progesterone for 2 weeks after that. Do a urine pregnancy test after that. You can try like that for 3 to 6 months. Hope I have answered your question. If you have any other query I will be happy to help. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "30 years ago I had a nuclear test to look at a kidney injury. I had an allergic reaction to the dye. Severe rash-hives. Now my current doctor would like me to undergo a nuclear stress test because of heart palpitations. Has the dye material changed? Still used with iodine? Advice?", "output": "Hello. Thank you for your question. I understand your concern. Contrast dye used nowadays for various medical examinations is principally made of iodine. These allergic reactions are expressed by several forms by the human body, ranging from a simple rash to a true anaphylactic shock. Not only people with allergic reactions to dye are at risk for allergic reaction, but also people with prior allergic reactions to various food and Chat Doctor. In our clinic, we have an experience with people with prior possible allergic reactions some time in their lives. The proper pre-medication is as follows:- 2 ampules of Prednisolone 25 mg, intravenously administered 13, 7 and 1 hour before the procedure- Belfast 180 mg, administered orally 13 and 1 hour before the procedure. I am content to say that, when this pre-medication for allergic reaction was administered, we had not had a single episode of allergic reaction to contrast dye. I hope I was helpful with my answer. Take care and good luck with the procedure." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi all and one, I just had a tooth extraction done Monday just gone. Was glad to find that I dont have a dry socket but several things are worrying me: Firstly it looks like 2 roots have been left in there, can this be right? Will it have complications later on? As the tooth was suppose to be taken out due to pus being developed on the gum and was infecting everything around it,..? Secondly, the tooth next to it its gum split...one side is flopping around? Will it grow back together? Shall I be rebooking to go and see the dentist Thank you in advance", "output": "Thanks for your query, I have gone through your query. The left out root can get infected in future if the root piece is more than 2-3\u00a0mm. Smaller root tip if it is left, it will get resorted by natural phenomenon. Since you are giving history of pus discharge it's better to get it removed unless it is very close to the important vital structures. The split gums will heal back if it is approximated properly after extraction. Consult an oral physician and get a radiograph done to rule out the presence of root pieces. I hope my answer will help you. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i received a kenelog injection into a cyst on my chin twice in the month of January. now I m having atrophy around the old cyst site. is this permanent?? how long for it too go back to normal?? ive read saline flushes can help stop and reverse the atrophy?? please help. im emotionally upset over this. Thank you", "output": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Yes, steroid injection and saline flush can help reduce the cyst. This type of injection therapy requires repeat injections several times. But the definitive treatment for the cyst is the surgical excision. If the site of the cyst is not on the face than you can go for surgery with any of the general surgeon. If the site is on the face then you can go with surgery to the surgeon but suturing should be done with the plastic surgeon. This will reduce the chance of scar mark. This will look good cosmetically. Please do not do any home remedy this will increase the chance of infection. I advise you should maintain good local hygiene as to avoid infection. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am going to have a knee replacement as soon as I can get an appointment for surgery, however, I am having terrible pain in my knee and hip and have not slept in several nights. I am allergic to codeine and wonder if there is anything I can do to relieve the pain.", "output": "Hello, madam have studied your case. Take analgesic like Aceproxyvon and add tab methylcobalamine 1500mcg daily. Physiotherapy like ultrasound and tens will help, along with knee exercisesVISCOSUPPLEMENTATION: Hyaluronic acid injections given into the joint (especially large joints like knee joint) in prescribed dosages will give good short term pain relief in arthritic joints ranging from 1-2 years. You need to consult orthopedic surgeon for taking it. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. If you are satisfied with answer do not forget to give rating to this answer. Wishing you good health. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello am Nikita just would like to know if everything would be okay and normal with my cycle..because I didnt know and took the postinor 2 morning pill tablets at the same time. I didnt know was 1 alone and the other in the next 12 hrs period.....can you pls help thank you", "output": "Hi, I have gone through your query and understood the concern. If you did not have any side effects like vomiting soon after the pill intake, then you can expect with Chat Doctor. This usually lasts for a couple of days. Your next natural period may get delayed by a week or two. Chances of pregnancy are very remote and if you were in the safe or non-ovulation period during the sexual encounter, you are naturally protected, in addition. Restrict the use of emergency pills to once or twice a year and prefer regular contraception. Please see your health care provider for further management if you become overdue by ten days for your next period. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am suffering from fatty liver, vitamin b12 deficiency and had gall stone.... earlier i have headache, tingling in feet and hands after that fatigue . doctor prescribed me to having ursocol 450mg and neurobin forte . after taking this medicine m havin joints pain nausea n watery eyes ,i wanna know till when this problem will be solve m really worry", "output": "Hello I advise for definitive treatment of gall bladder calculus(stones). Definitive treatment of gall bladder calculus is surgical removal of gall bladder(cholecystectomy). Gall bladder calculus is prone to infection and obstruction, so it is advised to get rid of calculus early. Fatty liver is a reversible condition. It may be due to many reasons like obesity, alcohol intake, metabolic disorder etc. You may need further investigation like routine hologram, random blood sugar, LFT,Lipid profile. You have been prescribed right medicines. You should take it regularly. Neurological symptoms like tingling sensation may be due to vitamin B12 deficiency, so you have been prescribed multivitamins. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have pain in the left side of back since October I also have small lump that developed as well the pain is while bent over or standing for a time stiffness in the lower back I have noticed weekends in my arms and lifting or carrying things that I used to pressure sometime walking for long distances make me sore", "output": "Hello, I have studied your case with diligence. There can be degenerative changes in whole lumbar spine with disc space reduction. There can be degenerative wear of bones, muscles, ligament and facet joint arthritis, due to deficiency of calcium, vitamin D, IT B12.so supplements of these nutrients can relieve pain. Check your bone strength with DEXA SCAN and you can start medication according to level of osteoporosis, And also check your it B12 and it D3 level. I will advise you to do regular physiotherapy and exercises as my patients find much relief by these therapies. You may consult physiotherapist for guidance. He may start TENS, or ultrasound which is helpful in your case you need to take diet rich in calcium and vitamin D. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. If you find this answer helpful do not hesitate to rate this answer at end of discussion. Wishing you good health. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had a sinus infection for a week or ten days. It was caused by a virus thats kind of run its course through the region over the past 30 days. For the most part, I have recovered and just had a little dryness in sinuses and an irregular cough. Earlier this week, I awoke in the middle of the night and couldnt breathe. i was suffocating and couldnt seem to get an airway open. My nose was stopped up and somehow, opening my mouth and attempting to breath through my mouth didnt work. It was a loud wheeze. i was somewhat in panic, because i could get perhaps 1/10th the amount of air into my lungs as i needed. The episode lasted for about four or five minutes. Unfortunately, I was in a hotel room in Bermuda and could do little except unbolt the door and try to dial front desk. Of course, i couldnt speak and could only produce a very loud wheeze sound, like someone who couldnt get their breath. I have had this happen two other times in my life. The first two times, were when i was awake. Each attack was separated from the other by five or ten years. i am 50 years old an in good health, with regular check ups. Each time it has happened, its been on the backside of a sinus infection. It seems as though my airway is flapped as if i am breathing through my nose, but of course that passage is blocked. I cant seem to regain control and breath through my mouth. Each time, i have gotten to the point of falling down and almost passing unconcious, when suddenly and slowly, i can regain the ability to breath. over the course of a few minutes, i can return to regular breathing. Of course, the fear and some panic of what just happened remains.Is this perhaps and asmatic condition? is it just an enlarged and inflamed sinus? Could some form of inhaler reopen the airway? Its disturbing and the last thing I want to do is die over something like this. I can tell you that suffocation is not fun.Any thoughts?", "output": "Hello Mark, thanks for the query. Frankly I would say you are the patient of Asthma (two forms 1-cardiac form 2- bronchial asthma). Since your s age is above 50 yrs so any type of asthma may be. Nowadays asthma is not a serious disease, but definitely it gives some trouble to the patient. Sudden wake in the night due to episode of asthmatic attack is a most common feature. Since in the night temp fall down so slight constriction (of bronchi in lungs) is there hence patient feels suffocation. Cessation of breath is there and feeling of uneasiness is also. Regular health check up and do exercises which increase yours lung capacity. Once lung capacity increase you will feel slight relief. Besides this you have to take some good quality type inhaler. If option is medicine orally i.e. Bronchodilators late in the night 3-4 hours before sleep. Anxiety is sure, but please relax. Good luck for your healthy life. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i 38 years old female. i have too much ansiety and obcessed in something .now 4.months back i had left side face paralised. did a treatment felling better. but i don.t have patient. even having problema with my husband .i call him everytime i just makinh his life hell and mine also .what should i do? is this ansiety depression obesseced.? plz advise me", "output": "Degree understand your concerns went through your details. I can understand you. You were a victim of paralysis and that incident made you crippled, and you became anxious and obsessive even after you were treated out of that paralysis. I can understand. Such a scenario is normal. You are calling your husband often because you want support, and he is bound to support you. He will not feel that you are making his life miserable. He may get irritated for that time being, that's all. Let me assure you, your anxiety and obsession will clear itself after some months. Till then, you just be positive. You may consult a psychologist for some counseling sessions. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor, I just got my MRI done for my neck and spine as I am continuously feeling pain after prolonged sitting and waking up from the bed. I am 31 years old. Here is the report : Cervical Spine MRI T1 & T2 weighted sagittal and axial images were obtained. Normal Dimensions spinal canal with normal spinal cord including cervico-medullary junction The vertebral bodies height with their bone marrow signal intensity are preserved. No significant disc herniation, nerve root compression or exit foramina obliteration. Thankyou doctor.", "output": "Hi, Thank you for posting your query, and providing the MRI spine report. I would like to tell you that your MRI report is absolutely normal. So, the cause of your pain is mostly mechanical. You would benefit from neck and back extension exercises. In addition, please ensure a good posture while sitting. A few sessions of physiotherapy would help in reducing the pain further. Best wishes, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "after implant placing surgeries, i had developed chronic painful irritation in my mouth and gums (cant have spice foods, gums are always red, and even tooth paste causes discomfort) ; also, my left salivary gland gets enlarged occasionally. my dentist (and his colleagues) cant diagnose this condition. please help", "output": "Thanks for your query, I have gone through your query. The painful irritation could be secondary to the infection of the implant site or some allergic reaction like allergic dermatitis or licensed reaction to the toothpaste or any restorations or any food items. Consult your oral physician to rule out the above said causes. And treatment can be initiated based on the cause. If is because of the infection of the gum or implant site cleaning of teeth, if it is allergic dermatitis or licensed reaction then topical steroids with discontinuation of the food or things causing allergic reactions. I hope my answer will help you. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hey Im a guy. Me and my girlfriend had sex on Tuesday and we sorta had unprotected sex. But I never cummed inside her. I always knew when to take it out so I took it out before I cummed inside her. After 1 day her nipples started to hurt bad and they got a little bigger. What does that mean? Is she pregnant?? Please I need answers", "output": "Degree understand your concerns went through your details. You will never get the potential pregnancy symptoms on the next day of intercourse. You even say that you never ejaculated within her vagina. If the information is correct, your girlfriend cannot become pregnant. The nipples could have pain because of climacteric changes. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query. Further clarifications are welcome. Good luck. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,I am 28 years old lady.I am in drouble with psoriasis about 3 years. I am taking treatment about 2 years.when i stop using medichine i get more itchings and scalp on the same day...Please give me good suggestion about this to get permanant solution from this..", "output": "Dear FriendWelcome to Chat Doctor. I am Chat Doctor. I am very sorry to say, but there is no permanent cure of psoriasis till date. Various good medications are available for treatment like oral methotrexate, cyclosporin which are started in case of large body area involvement after ruling out any contraindications for use. Medications are advised as per need of patient when required. Based on the available details, this is my best advice for you. You should discuss with your doctor and share my opinion, I am sure he/she will agree to my opinion. Good Luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Last winter I had a shoulder injury. After dislocating it, I had a minor tear in my labrum and a small fracture in the socket. All seemed to heal fine but it is difficult for me to hold my posture. If you follow my collarbone towards the shoulder, there is a pointed bone sticking out from my collarbone right before my the top of my shoulder. It also clicks with movement.", "output": "Hello, I can understand your concerns. It looks that you had multiple injury at your shoulder. If there is no pain at your shoulder then it should not be non-union of fractured collar bone. But even if you want some supplements for union of collar bone then you may have calcium supplements with vitamin D preparation. Nowadays one other compound known as CIUS qua Chat Doctor. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 5 year old son woke up this morning with a hard lump on the left side of his forehead. Now this afternoon he has developed and even larger lump on the right side of his head. He is allergic to grass and he does have eczema and occasionally does get a little puffy with an insect bite, however there are no traces of an insect bite...just two hard lumps on either side of his head that are a little tender to the touch. What would be the best thing to do?", "output": "Hi, DearI went through your problem in depth.1-2 lumps on the forehead-developed in morning-suggest that it probably could be -allergic nodular bumps-which is supported by the history of allergic puffiness in the past.3-So don't worry.4-I would advise you to take help of your family doctor, who would treat it with needful prescribed medicines for relieving the lumps on the forehead of your 5 yr old son. Thnks. Wellcome for any more queries in this matter." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My blood pressure is 147/70. The higher reading is in the hypertension range but the low is in the good range, my resting pulse was 47 bpm. I run / swim 4-5 times per week, eat a low fat diet with loads of veg and fruit and never add salt to food, dont smoke and drink lightly. I has been like this for some time. Do I need to worry!", "output": "Hi thanks for asking question in Chat Doctor. With advancing age elasticity of artery decreases, so chances of essential hypertension. You just have to keep on doing regular exercise along with dietary measures you are taking. Keep your diet with low salt. Keep on continue these all measures for few days. If still with lifestyle modification BP cant controlled then Chat Doctor. But just now don't use " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My sister in law had breast cancer and finished treatment about 6 months ago with herceptin the final stage. She had had a bad back for a few weeks and has had a scan and been told that she had cancer in the back - not sure where else. She is very private - acts as though all is ok - however I fear the worst - on this limited info can you give me some guidance please?", "output": "Breast cancer most commonly spreads to bones. Her attitude \"all is ok\", is good, having a positive outlook for a cancer patient gives them a very good quality of life. Evalauting further with a PET scan can give information on if it has spread elsewhere. Second line Chemotherapy is available and bisphosphonates are also recommended. If the pain in her back is worsening after the above options, she would need a surgical assessment for stability of the affected region, followed by radiation for pain control." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi im 23 year old male just recently came back from the Oregon coast an on my way home my right armpit felt like it was broosed but it wasnt. a few hours later red bumps about the size of a nickles were formed in my armpit and very tender. A few hours after that one formed under my right nipple. Then the next morning the exact same thing has happened under my left armpit and left nipple. I dont think i got bit by anything and never saw a tick or insect of any kind. Its almost like lymph nodes but im not sure . Any help is appreciated. Thank you", "output": "Hi, Good Evening. Thanks for the query to Chat Doctor. I studied it in depth and I understood your health concerns.-Treatment-for-tender lumps in the armpits and nipples-1- Mostly it appears to be -infected boil below the nipple with lymphadenitis of the armpit. This boil could be due to the insect bite or the chemical reactive bruise.2-As you are worried I would advise you to check with your ER Surgeon, who would fix its diagnosis and would treat it accordingly. Hope this would help you a lot to relieve from your wrist lump. Wish you fast recovery-and healthy life. Wellcome to Chat Doctor with more queries till you are satisfied. Have a Good Day...!! Chat Doctor. N.M.S.GENL-CVTS, Super specialist and Senior Consultant-and Expert in Non-Curable-Disease therapy for Cancer, Asthma,etc., Rejuvenation therapy and Tissue failure -reversal therapies." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, for several months I have had a swollen armpit and I just thought it was overactive glands. Over the past couple of months however it has become quite tender to touch and I can feel lumps. I also have had a rash on my lower arm and legs that I can not get rid off.", "output": "Hi, Dear,Welcome with your query to Chat Doctor. Studied your query in full depth of its details. Reviewed it in context of your health concerns. Based On the facts, You mostly seem to suffer from-Multiple Fur uncles with cellulitis with Thrombophlebitis / lymphangitis with ? Urticarial Rash from Hives on the lower arm and legs? Other causes for such a complaint could be ruled by Second opinion from a Surgeon or Dermatologists. Hope that, This reply would help you to plan further treatment soon with your treating doctors. Best of Luck and early recovery. Welcome any further query in this regard, which would be replied in next session. Good Day!! Chat Doctor. N. Senior Surgical Specialist" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor, I have done my semen analysis report, the report is as follows kindly advice me if it is normal i have any problem Macroscopic Examination Volume: 1.5ml viscocity normal, colour grey, PH 7.6, liqufaction time: 30min, microscopic examination:Total Count: 100m/ml Motility: RLP: 60% SLP: 20% Non-Progressive: 25% Immotile: 40% Morphology: Normal: 60% Abnormal: 40% Head Defects: 17% Mid Piece Defects: 13% Tail Defects: nil Pin Head: Nil Round Head: 10% Impression: Mohmozoospermia * i am not able to understand what this mean to Contamination WBC 15-16LPF Epithelial Cells: 10-12 LPF Pus Cells: 7-8LPF Agglutination NIL Kindly advice wheather i am normal Awaiting for ur valued reply Velankannan", "output": "Her Velankannan, Thank you for asking your query on Heath Care Magic platform. I have gone through your report. Your semen quantity is rather low. Though count per ml looks normal, due to low amount, the total sperm count is also low; moreover the abnormal morphology count is considerably high. Presence of ABCs - white blood cells, pus cells and epithelial cells in the semen suggest presence of some infection. However, many times, immature sperms are misread as pus cells in the semen. This infection could be the cause of seminal low quality and quantity. You may have to take antibiotics for this infection. If you are having the following type of your lifestyle, you may have to change as any of them affect the quality of semen:1. Working in very hot atmosphere like near a furnace or so2. Prolong standing3. Any exposure to chemicals that may affect your sperm productions there any injury to your testicles? Please get checked from the urologist whether you have varicose veins in the scrotum (varicocele). If so, it needs prompt treatment. Any way, this report does demand a urologists/male infertilitologists advice." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My MRI shows the source of your back pain may be: Degenerative disc disease at L4-L5 with a diffuse disc bulge and bilateral exiting nerve root impingement. The doctor has given me an appointment next week to talk further about the MRI results. I am a little worried about how this will impact my life? How can the disc bulge get treated - will it require a surgery. And what about the bilateral exiting nerve root impingement? How does that get treated?", "output": "Thanks for the query. Your MRI shows age related changes in spine, and they should not be considered serious unless there is a correlation between the clinical symptoms with MRI findings. Back pain could be due to degenerated disc however it can be treated with medicine and physiotherapy. Surgery is always considered as the last option when other measures failed. The nerve impingement usually cause leg pain. Do you have any leg pain? Again it can be treated with medicine. Thus, surgery usually considered a last option in treating spine problems." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Two days ago I had a sudden stabbing pain in chest lasting hardly 10 seconds followed by dizziness for a very short while. I took one Ecosprin and continued with my work. Is this significant? Does it warrant more tests? I am obese, diabetic on oral medicine for B.P. & sugar.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Stabbing chest pain with dizziness should be evaluated for cardiac diseases. An Chat Doctor. So better to consult cardiologist and get done blood pressure monitoring, ECG, 2d echo and stress test (trade mill test). Strict control of diabetes and hypertension are also needed. Strict diet control, aerobic exercise (cycling, swimming, running etc.) are good for weight loss. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I am 27 and have recently been diagnosed with Functional Dyspepsia. I started having pain in my upper right side just under my ribs in September. The pain moves around a lot depending on the position I am in. I also have had back pain for a while...Maybe like a year but I forgot to mention that as I just thought it was a muscle from picking up my daughter who is now two. It hurts right in the center of my back and ib profen seems to help. The doctor also told me that my liver enzymes were slightly elevated to 50 or so. he said I could have a little bit of a fatty liver. The rest of my blood work is completely normal. They have done an ultrasound, a CT scan, an MRI and a upper endoscopy and didn t find anything. Any ideas? Is the back pain normal and could it have presented itself before the abdominal pain?", "output": "Hi. Thanks for posting query at Chat Doctor. Usually ALT or AST values higher than \"two times the upper normal limit\", is considered abnormal (in some countries, ALT or AST values of more than 100 are considered abnormal). Value of AST or ALT greater than 85 or above maybe investigated further. Alcohol ingestion and obesity are common causes of fatty liver disease. Advice for fatty liver:- abstinence from \"Alcohol\" - LOW fat diet should be followed, AVOID junk food and beverages-decreased oil consumption (oily food)- NO red meat-green vegetables should be ingested daily-use lemon juice (lemonade) once in a day-reduce weight if overweight/obese-\"recheck liver enzymes after 6 to 8 weeks\" and/or ultrasound. Any further questions are welcomed. Hope to answer your concern. Wish you good health. Regards, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, Im a 16 year old girl who is currently researching for information on transplants.I was just wondering what organs and tissues have been successfully transplanted since 1950?and also what are the problems of having transplants e.g. a heart transplant.Any answers are appreciated :) Thankyou x", "output": "You have posed an excellent question. With only a few words, a textbook is opened. Truthfully, this is a discussion that should be personal with not one but many professionals whose job is nothing but transplantation. For overview, societies such as the American Organ Transplant Association and American Society of Transplant Surgeons are good resources. For heart specifically, the American Heart Association is the best resource. For a more personalized and detailed history of heart transplantation from an individual, you may wish to contact " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Last year after months of burning in lower right stomach , I had various test ending with virtual CT Colonoscopy scan. All organs found to be clear and Consultant advised me to take Movical regularly as chronic constipation was probable cause. OK for two months then same syptoms began. Trying Lactulose in place of Movicol and after various effects including explosive BM I have tried different doses which now seem to be helping with constipation. However burning still there on and off and has never really gone away. GP seems as baffled as me. Any suggestions?", "output": "Hello, almabegg, You state that your virtual colonoscopy was negative. I also take it you have had all the blood work. Especially Thyroid, Celiac and also lactose intolerance tests. It is important to rule these out. If you have no alarm symptoms such as blood in the stool, anemia, weight loss etc. the symptom of constipation, bloating, gas and abdominal pain indicates IBS(Irritable Bowel Syn Chat Doctor. Your doctor prescribed SYVICOL chichis called an osmotic laxative. It contains Polyethylene glycol along with Sodium bicarbonate, Sod. Chloride and Potassium chloride. It makes your colon to get more fluid or water to soften up the stool. It is effective. The dosage initially should make you have diarrhea, and after that you start slowly tapering the dose down till you have normal stool. Initially you might experience some bloating which impart of IBS anyway. If you changed to lactulose, which is related to lactose, may make symptoms worse if a person is lactose intolerant. I hope you are also following a high fiber diet and " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been diagnosed with degenerative disc disease in my neck varying from c2-3 to c6-7 . Recently I was clipped by a vehicle in my right elbow and despite cortisone shot , physiotherapy , it is taking quite a while to heal . Could the problems with my neck be a contributing factor in why my recovery s taking so long?", "output": "HiT hanks for posting your query. Cortisone shots will just help relieve from the pain of degenerative disc disease and not cure the disease. Actually cause needs to be found and treated. I advise you to post the reports of your scan so that I shall go through and advise you what else needs to be done. Your delay in elbow problem is not related to your neck problem. I think further scanning of your elbow needs to be done. Any clarification feel free to ask." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "what is the use of nerveup od tablets. I am feeling brain fog for almost one month(low memory, unable to concentrate, some time headache in evening, weakness in right arm and leg). My doctor prescribed nerveup od. what u feel about my condition. i have taken that tablet for 25 days but no improvement. please reply me.", "output": "Hi, Nervup OD contains Alpha Biopic Acid, Folic Acid, Mecobalamin and Pyridoxine as active ingredients and is commonly prescribed painful conditions such as neuropathy, nerve injury, fibromyalgia and other conditions. Based on the history, you seem to be suffering from symptoms suggestive of depression until proved otherwise. I advise you to consult a psychiatrist for further evaluation and appropriate treatment. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 12 year old daughter is complaining of a cold sensation on one side of her face. This happened before about a month ago, but went away quickly. Now the cold sensation has returned and is bothering her to the point of distraction. I have called for an appointment, but wonder what this could be.", "output": "Dear friend, It might be something related to the nerve that supplies sensation on the face - viz. the trigeminal nerve or what we commonly know as the fifth cranial nerve. She will need to be seen by a pediatrician urgently. The other possibility is that she may be having gum or dental trouble ... so please take a look inside her mouth. If there is any gum swelling or if she has pain on your touching any tooth with a spoon, please go to a dentist or an oral surgeon for a check-up." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, I was sliding yestoday and broke my right foot s ankle, I went to the ER and they relocated the bone and told me to follow up with a orthopedic doctor. But this morning I found out that on the same left upper part has a enormous purple bruise and increase of mass, but it doesn t hurt if I don t move or not touch it. Can this be a side effect from the injury or it could be another severe injury?", "output": "Welcome to Chat Doctor, in all injuries you get a swelling around the bruises. Swelling around the bruises are due to the inflammatory process .pain, swelling, fever or sense of temperature increase at the site of bruise are all because of that. Nothing to worry about now. Consult the orthopedic doctor with the X-rays. If there is no fracture hopefully you can recover ghastly. Orthopedist will guide you. Hopefully this explains" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi im 35 years old been traying for 6 month but im been keeping track of my cycle for a aleast 5 years or more now now cycle is usaully 26 28 longest is 33 today in at 38 and 14 days past ovulation my lp is usually 11- 12 Im now at 14 I did take a pg test but stopped at dpo 12 since my temp has been dropping, my question today im expecting af but my cm is creamy and my urine is bright yellow, my breast are tender here and there but only one at a time not to painful just enough to notice i normally i dont have tender breast before af. could these be pg symptoms? Thanks for taking the time to reading this. ps Im scared to test because im not ready for another dissapoint. Im hanging on to every hope I have lol.", "output": "Hi dear, I have gone through your question and understand your concerns. Delay in the periods can be due to pregnancy, stress or hormonal disturbances. If you are having increased vaginal discharge, tender breasts then chances of pregnancy are there. However, pregnancy can be confirmed only when you get a urine pregnancy test done. I suggest you to get a urine pregnancy test done. Hope you found the answer helpful. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Recently my heart has been pounding very hard immediately after standing. I am a 43 yr old man that smokes and drinks, but not heavily. I did have some anxiety from stress several months ago, but this heart pounding is not the same symptoms. I have trouble catching my breath, it feels like my heart is racing, but it isn t really, just pounding through my chest and throat. I typically can make it feel better by taking deep breaths. I was wondering if it is a lack of oxygen in my blood? Maybe not resting fully. But they I noticed below that tachycardia may be the cause? I have had ECG s and have worn a heart monitor and there is nothing seemingly wrong with my ticker. I can also almost feel when it is going to happen as my legs feel like i just ran a sprint. My quads ache like they are full of latic acid. Any suggestions? Thank you", "output": "Hi Thereafter going through your query I understand your concern. I would like to tell you the symptoms you are telling, pounding heart and breathlessness can happen in both conditions heart diseases and stress. If you feel breathless during exertion and feel better after resting then it can be due to underlying heart disease and It's advisable to get a Treadmill test and echocardiography done for proper evaluation. And It's advisable to cease smoking for better health. Hopefully this will answer your querying you Good Luck Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I HAVE A TOOTH NEXT TO THE BACK TOOTH ON BOTTOM THAT HAS A SILVER CAP. I HAVE A BLISTER THAT HAS CAME UP ON MY GUMS UNDER THE CAP A LITTLE. IT DOESNT HURT BUT IS LIQUID FILLED. IT GOES AND COMES AND HAS FOR 2 OR 3 WEEKS. ANY SUGGESTIONS. TOOTH DOESNT HURT AT ALL, SHERRY", "output": "Hi. Thanks for the query. A fluid filled blister on the gum below the tooth that has a silver filling can be due to Periapical Infection causing abscess formation.However, it can also be due to gum Infection leading to gum boil formation. Pain is none to minimal in cases where the fluid or pus Chat Doctor. . But to rule out the exact cause consult an Oral Physician and get evaluated and an x-ray should be done. If there is tooth Infection then Root canal treatment can be done followed by antibiotics and painkillers. If there is gum Infection then localized cleaning can be done followed by antibiotics and gum paint massage. Hope this helps. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my girlfriend accidentally hit her head against a handle of the top compartment of the fridge as she rose up. Now she is experiencing throbbing pain at the top of her head that is quite unbearable. Is it a concussion or an internal swelling? And what can be done to rectify the problem?", "output": "His am Chat Doctor. It is very unlikely that there is a very severe injury. So do relax. However, headache after the head injury should not be left untreated. Ideally, I would suggest testing a CT of the Brain, to make sure there is no internal bleeding. You may find that there is a swelling on the local site on the head where there has been the injury. This may also be a cause for the pain. I would suggest a painkiller like ibuprofen while you test the CT scan of the head. Do let us know the reports. Best of luck, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hey, I am 25 year old and i have a habit of masturbating since age 15. Because of that my penis is not grown up fully. Its like 3 inch long. Because of this habit, my semen color become change from white to off white & its less thick as compare to previous. Now a days my semen comes within few second after doing this masturbating. even while watching porn movies, it comes automatically. After this even i cant help my self to get relief from this habit. Please tell me what i have to do in that case.", "output": "Degree understand your concerns went through your description. I suggest you not to worry much. Masturbation is no sin and not unhealthy. It is a natural process. Even Animals masturbate. Your habit should change when your priorities change towards education and career. Length of penis is not a factor. You can satisfy a female with a 2-inch penis (erect). Don't worry about that. Semen tends to be thin in the young ages and thick and off-white when you grow older and older and viscosity also increases. You eye anxious about sexual matter and therefore all these problems are in your thoughts. Please divert yourself to career and education. You might need psychological counseling., I am more than happy to provide telephone psychological counseling through Chat Doctor. Contact me through customer care, www.ChatDoctor .com. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my 9 week old baby girl as a blood blister on her lower lip in the centre, she as had it for about 7/8 weeks. I guess its from being bottle fed, she as the Avent bottles although i have bought a couple of Nuk bottles because the teats are much softer than the Avent, not sure what else it can be caused from or how to make it go away it just looks red and angry, my daughter does not seem bothered by it being there but it just don t look nice. Thanks Tammy", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query your baby have symptoms of blood blister on lower lip which seems to be due to poor immunity of body leading to viral infection such as canker sore. Need not worry. I would suggest you to avoid hot, sharp and spicy food. In case of herpes use antiviral oral and topical therapy like acyclovir are helpful. Chat Doctor. Suck on ice pops. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have pain in lower left back that radiates to front groin then down my left leg via front (no pain in the behind and back leg). It s so severe and no position relieves it. Not a shooting pain but constant very severe burning pain. Can t walk on it and hurts just as bad or worse if I keep weight off it. Nothing helps. Does this sound like Sciatica? Pain in the back has gotten better but leg has only gotten worse. It s been 4 days now. Did nothing to bring this on. Was just standing.", "output": "Hi, thank-you for providing the brief history of you. A thorough neuromuscular assessment is advised. As mentioned by you the pain was on the left side of the lower back and left side leg (frontal and medical aspect) and not the back side. You doubt it is sciatica? Well sciatica is a symptom where the pain. Travels the course of the sciatic nerve. And sciatica is not an obvious condition but rather it is a symptom. Also, as your pain is having radiating in nature with burning sensation it could be lumbar radiculopathy. In this condition, there will be compression of the nerve in the lumbar spine due to lumbar disc degenerative pathology. Also, an MRI will be performed to confirm the diagnosis by correlating the MRI reports with the clinical symptoms. Usually the upper level of the lumbar spine like - L1, L2, L3 gives pain in the inner aspect of the thigh - this is just an example to understand that which nerve will be pinched to give symptoms. The treatment will be guided based on the diagnosis. With medication and physical therapy the symptoms subside and the overall health improves.in my clinical practice we call this kind of condition as lumbar radiculopathy and with the combination of medication and physical therapy cases respond well. You may be advised by a physical therapist to undergo - Therapeutic ultrasound therapy, TENS therapy and exercises on a later stage. All together this will help you spine become stronger and the active lifestyle is achieved. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 39 years old and have been on Lipitor for 14 years. My dosage is 10mg. My liver tests has always been normal. My last physical my AST was 67 and my ALT was 106. I don t drink alcohol and I m not over weight. I ve been called a health nut . My doctor wants me to retest my blood in 2 to 3 months. My cholesterol was 154. My triglycerides were unusually high for me, at 80. I have been eating more almonds lately, but other then that no big change in my diet. Have I been damaging my liver since I ve been taking Lipitor? Should I be alarmed? Could it have been some flu virus or cold virus in my body?", "output": "Hi, For better interpretation of test results I want to know-1) Your height and weight.2) Presence of diabetes, blood pressure problem.3) Family history of Diabetes, high blood pressure, cholesterol problem. 4) Lipid profile at the start of Lipitor. If you don't have diabetes, heart problem or family history of abnormal cholesterol problem your test reading of Total cholesterol 154 & Triglyceride 80 are absolutely fine and it won't require medical treatment. In the treatment of dyslipidemia values of LDL & HDL cholesterol are more important than Triglycerides and total cholesterol. In your case you have not mentioned it. So you can stop Lipitor if -You have no diabetes, heart problem. Normal LDL & HDL values. You have to monitor your lipid profile once in every 3 months. Lipitor is known to affect liver function." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have dark patches in most of my body the patches are really dark am from. I have wen a dermatologist who gave me a few creams and said there s nothing they can do as the creams have not worked they ve also advised laser wouldn t help my patches. Is there any kind of surgery or treatments I can have to get rid of my marks", "output": "Hi, Thanks for writing in. You seem to have postinflammatory hyperpigmentation. For pigmentation as a general rule-Avoid sun exposure Use a good sunscreen of SPF 30 and repeat application every 3 to 4 hours Take antioxidant and vitamin C supplements. You need to consult a dermatologist as dermatology being a visual field, the cause for your pigmentation and the treatment required can only be suggested after proper skin examination. As the creams have not worked few procedures like chemical peeling and microdermabrasion can be helpful in your case. Take care. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am experiencing weight loss for the past few mths now although im eating same amounts i also have recurring mouth ulcers but i eat enough fruit and veg. I had fecal impaction two wks ago and had to go hospital and was told a kidney infection caused it, i dont see how this is possible and its not the answer to my other symptoms. I also regularly have burning pain in my stomach. Any ideas what could be wrong i am a 21 year old female", "output": "Hi, thanks for using Chat Doctor Unintentional weight loss always requires evaluation. It can be related to chronic illnesses, poor or malabsorption of food in the gastrointestinal tract, hyperthyroidism, depression, cancer, HIV. You may want to consider visiting your doctor for an assessment which would include physical examination and blood tests. The initial blood screen may include a full blood count, ESR (checks for inflammation in the body), HIV screen, thyroid function test, kidney and liver tests. The treatment would depend on the cause found. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I m a 24 yr old female. For the last few days I ve woken with an itchy rash on the front of both legs.. It has been disappearing by lunchtime but today there are more spots! I have just finished a week course of amoxicillin and a steroid based inhaler for a chest infection. I am also asthmatic. Any ideas what the rash could be? Should I be concerned?", "output": "Hi, It seems that probably you may be having atomic dermatitis. . As you gave history of asthma. Kindly consult the dermatologist for the perfect diagnosis and proper treatment. Antihistaminics like levocetirizine and steroid in tapering dose may be taken. Apply mild steroid cream on the affected areas. Avoid soap bath. Avoid contact with suspected allergens. Avoid stress and anxiety. I hope this would help you. Thanks. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my gand pa is 86 yrs old, 5 ft ht, 50 kg wt .MRI of dorso-lumbar spine report says that partial collapse of D 11 & L2 vertebral bodies are noted associated with fluid and edema in the D 11 - D 12 & L1 -L@ intervertebral disc.he has bone tb he is adviced to take akt 4 He is adviced to take calcimax 500, Reconia Silver, Elderwit, Fefol, Benadon RabikindDSR, loficam 4 mg, Neurokind od. he has severe back pain and he sleeps a lot he is always drowzy he does not have any other problem He is on bed since last 10 days when will he get cured?", "output": "Tuberculosis of vertebral bodies is called Potts spine.it is very common in some developing countries like India. He needs complete course of akt4 for about 12 months under supervision of a physician. Along with this if there is collapse of vertebrae it can compress nerve roots to prevent that he needs opinion from orthopedic surgeon also. He will suggest some lumbar support belt and some exercises." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I had a abscessed tooth that had broken in half vertically , I went to the dentist in pain and thought I would get antibiotics at least for a week, I have always heard it was dangerous to pull a abscessed tooth. It was pulled on Tuesday and I am wondering if the infection could have gotten in my bloodstream , I am really tired and have no energy, Just doing little things around the house I get short of breath,", "output": "Hi Dear, Welcome to Chat Doctor team. Understanding your concern. As per your query you had extraction of abscessed tooth which could leads to spread of infection at times if not done properly as it is always advisable to have proper course of antibiotics to subside infection and then go for extraction. I would suggest doing warm saline rinses or baking soda rinses 3-4 times a day, they will be very helpful in relieving symptoms. You should visit dentist once and get complete examination done and go for X-ray of tooth to detect if any fragment of tooth chip is there. Start proper course of antibiotics along with anti-inflammatory medications for faster healing. Maintain hygiene. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a very small, nonpainful, slightly moveable lump on the bottom of my elbow, on the olecranon, I think. Its just odd, and, as with anything involving a lump of sorts, it makes me slightly worried. When I straighten my arm, you can see it a bit more than when I flex. But you can feel it more when I flew.", "output": "Hi ! Good afternoon. I am Chat Doctor answering your query. From your history, it seems that you have got an olecranal bursitis, a benign condition which occurs due to repeated friction on the olecranal bursa normally placed in the elbow just above the olecranal bone. If I were your doctor, I would advise you to avoid pressure on the elbow repeatedly to avoid accumulation of more fluid in the normally present olecranal bursa. In case of need, some patients might have to change their profession if need be to achieve this. Apart from this, I might advise you for a RA factor test and a serum uric acid test to rule out Rheumatoid Arthritis and high uric acid levels in the blood. On the management part, I would treat any abnormality detected on the blood tests, and would give an anti-inflammatory and an antibiotic Chat Doctor. In case of no relief, I would suggest you to visit a general surgeon/orthopedic surgeon in your area, who after a physical examination, might go for an FNAC, or an excisional biopsy both for diagnostic and therapeutic purposes. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i have a lump under my armpit its been there a couple of years it feels hard and feels deep and its visable when it gets tender i sqeeze it and the pus comes out first and then blood its makes it a bit smaller for a bit and then returns to its size again", "output": "Hi! Good morning. I am Chat Doctor answering your query. With your history, it seems that you have got a benign cyst in your armpit, which gets infected off and on discharging pus and blood on being squeezed. If I were your doctor, I would plan an elective surgical removal of the cyst during the time when it was not infected, and then send it for histopathology. I would advise for all routine blood tests before the surgery. Till that I would advise you for a broad spectrum antibiotic and an anti-inflammatory Chat Doctor. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "please help :(I Have Left Side Pain On My Stomach And In My Left Side Of My Back,Right across were my pain in my stomach is.When i move it hurts alot even when i cough or laugh,It Feels like a stabbing pain..My Period Left 2 days ago,but before my period had came i had right side ovule pain raking my whole stomach,Till both of my ovules started to hurt.I webt to the hospital and got tested and came out negative,probably cus it was to early.But anyways they didnt find anything the was causing my pain..Till now,got my period,it left..nd now i got the pain,in my left side of my stomach takibg my back,i cant even cough or laugh,it hurts badly.By the way,i have unprotected sex with my partner all time.", "output": "HI. This may or May not be related to the unprotected sex. All your symptoms are suggestive of left sided kidney infection and can be due to sex., as the infection of the urinary tract are common in female as the length of urethra is small, and the infection can travel very fast up to kidney. Get an urgent ultrasonography, urine - routine, microscopy and culture & sensitivity test. Take plenty of water and oral fluids. Consult a Urologist if required." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I get occasional chest pain. It helps if I drink water but the pain is scary and I feel it in my chest and up into the sides of my neck/jaw. Sometimes it feels like someone tied a rope around my ribcage under my breasts. Is this acid reflux or a heart attack. I have no trouble breathing through this.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Possibility of HERD (gastroesophageal reflux disease) is more in your case because your pain is subsided after Chat Doctor. But better to get done ECG to rule out cardiac cause. If ECG is normal than no need to worry about heart attack. HERD is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms of chest tightness, chest pressure, chest pain etc. So start proton pump inhibitors. Avoid stress and tension. Avoid hot and spicy food. Avoid junk food. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctors, my son is 7 months old and weighs about 7 kg. he has runny nose since yesterday. Gave him 2 drops of Rhine nasal solution at night. Then he had stuffy nose at night and could not sleep well. Today he again has runny nose, very mild cough and looks like mild fever as well. Gave him 2 ml crocin. Any suggestions on meds. Do we need to give him Alex p/Relent etc. regards. Manish", "output": "Hi Danish... Cough and cold are viral 95% of the times in child Chat Doctor. For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15\u00a0mg/kg/dose every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. For cold, you can use Cetirizine at 0.25\u00a0mg/kg/dose every 12 hourly for 3 days. For nasal block, plain saline nasal " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am having extreme shortness of breath and my rescue inhalers aren t working and are out now. i v been having problems with my asthma for a couple of weeks now and have taken 3 prednazone (if that s spelled right) and an allegra d but i just can t catch my breath.", "output": "Hi, Dear,Thanks for your query to Chat Doctor. Dear I read facts of your query and reviewed it in context to your health issues submitted in your query. I understood your health concerns and feel Concerned about them. Based on the facts of your query the reply of your query is-Your current health issues seem to be due to -steroid resistant asthma.don't try prednisone blindly without doctors check and script, as this would complicate your asthma. I would suggest you -Take plenty of fluids and HY Chat Doctor. Tab Singulair-Monteluecast- 10 mg x 2-3 times a paycheck out sputum for other causes like TB infection.Hence, Other causes-as cited above-need to be ruled out, by verification with Physician. Dos-Consult with Physician who would investigate history and physically examine to fix the cause of testicular itchiness. Get X-ray Chest / and Sputum AFB /bacteria. Start Antibiotics with plenty of fluids / adequate diet and Supplementary vitamins. Add It D / Calcium with It B12 to recoup with chronic cough. If need be You may need hospitalization, for this check with Physician. This would resolve the complaints of yours. Constant follow-up with local family or specialist Chest Physician for long term would give you long remissions of such pains in time to come, which would depend on meticulous follow-up treatment of your health concerns. Just don't worry and be patient and co-operate with your doctors, till you verify with your attending doctors. For early recovery-please follow above dos which would resolve your complex health issues. Hope this would help you to treat your health issues in the best way possible. Welcome for any further query in this regard to following link-http://doctor.Chat Doctor .com/Funnel?page=askDoctorDirectly&docId=70229Wishing Good Healthy Life!!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi I am Male of age 20.I have problem with my body temperature.my body temperature get above normal at evening after completing my college and i feel weak that time what will be your recommendation by you......Also my weight is very less i.e 45 so im unable to gain weight please can you help me....", "output": "Degree understand your concerns went through your details. I think you are worrying too much and is obsessed with the given aspects. Body temperature always is more in the evening when compared to morning temperature. You feel week because of your obsession with the body temperature. I suggest you, for your peace of mind, to consult a physician to confirm this matter. The doctor will check your vitals and advise you nothing to worry. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query. Further clarifications are welcome. Good luck. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am worried about behavior of my wife .She gets annoyed without any reason. She recalls past incidences and starts blaming every body/ anybody. Her behavior sees no reason. She also associates herself with any ailment she hears about. Her vocabulary is also limited. Often it happens that she cannot express herself well. Does this condition needs consultation with a psychiatrist?", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. The condition of your wife may not be requiring a consultation of a psychiatrist. Here you must act as a care taker and mentor. Open talk should be able to reduce the behavior. If there is no respite, she may be taken to a psychological counselor for behavioral counseling / psychotherapist for behavioral therapy. I do not see any sort of psychiatric illness in her. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had a neck/back pain that affects my left arm. It feels like a pinched nerve. When the pain became unbearable, I saw my doctor on Thursday and was put on anti-inflammatory, muscle relaxers, and pain killers (diclofenac sod dr 75 mg, cyclobenzaprine 10 mg, and hydrocodone-acetaminophen 5-325). since I began taking these drugs my neck and back pain have improved, but now my left hand is going numb in my thumb and first two fingers and my arm is weak and numb around bicep area. I have less control of the same arm. In 2010 I had a discectomy and fusion in my C4 and C5 vertebrae and it feels like the same thing is happening again.", "output": "Hello, I have studied your case and I think there can be nerve compression in your neck. I would recommend you to get MRI of the neck to confirm the diagnosis. If there is nerve compression present than that is causing you nerve compression. If it is less than fifty percent than it can be taken care with Medicines and physiotherapy. If it is more than fifty percent than you might need surgical intervention. I hope this answer will be useful for you. Let me know if there is any other followup questions. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am 3 months pregnant and a few days ago I had ONE bite of my husbands steak. I did not realize the middle of it was pink until after I had swallowed. Is there any chance my baby can get toxoplasmosis from this. Please help I am super nervous. Thank you, Marina.", "output": "Hello, and I hope I can help you today. I know that it is advised to avoid raw or undercooked meat during pregnancy, but if the steak you ate was from a reputable restaurant or butcher, the meat is unlikely to be contaminated with toxoplasmosis. Toxoplasmosis is present mostly in vermin and birds, which is why cats frequent y are carriers. It is also endemic in parts of Europe, so imported meats sausages and cheese also should be avoided. Furthermore, catching toxoplasmosis is really only harmful during early pregnancy. So you really do not have to worry about accidentally eating a small amount of undercooked meat. I hope I was able to adequately answer your question today and that this information was reassuring. Best wishes for the rest of the pregnancy," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, My wife miscarriage her pregnancy during 10th week . Fetal size was 3.3 Cm. After TORCH test found Rubella IgG Reactive 390.2 U.I/ml and Cytomegalovirus ( CMV ) IgG Reactive 54.1 U.I/ml rest are Non Reactive. After that immediately Doctor advice for Rvoc vaccination and TAB Zovirox400Mg thrice a day for 10days. She has completed all course and after Seven Month again she got Rubella Test Rubella IgG Reactive 500 U.I/ml and Cytomegalovirus (CMV) IgG Reactive 55.1 U.I/ml. Please advice can she conceive pregnancy as considering of baby.", "output": "Hi, Thanks for your query. I have read your query & I understand your concerns. 1) Both rubella and CMV Egg are positive. Egg indicates past infection. If IGM is negative you have no need to worry as Egg has no significance. 2) One miscarriage does not mean much of problem. Hence, no need to worry. It is not necessary that it will repeat in next pregnancy. 3) I suggest you go ahead and try for pregnancy. If you still wish to evaluate, please get APA profile done. I hope I answered your query. I will be available for any followup queries you have. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "1. Last period date 10th feb to 15 feb. Had unprotected sex on 21st feb afternoon. and. took unwanted 72 pill after 2 hours. 3 Is this pill work for my wife. autual her next periods date 10 march but periods came on 6/03/14 and surprised is that periods finished after 2 days its never happening before.So she is afraid of pregnancy. How long the periods will get disturbed because of this Pill.", "output": "Hi, Having menstrual discharge in between 20-35 days is completely normal. So last menses came after 25 days is absolutely normal. When menstruation occurs there is sloughing off of uterine wall hence no implantation and pregnancy cannot sustain. As she had menstruation 17\u00a0days following unprotected sex (again had progestin only pill 2Hr later) so negligible chance of pregnancy. So don't worry everything is fine. Thanks n regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a small red patch on my upper gums above my 2 front teeth. 2 small white nodules appear in the center of the red patch.1 of the nodules just popped up about a month ago. The other one has been there for at least 6 months if not longer. It use to not hurt but recently its started developing a pressure feeling on one of my front teeth and Im starting to worry about it now. I havent gone to a dentist b/c of lack of insurance, but if this sounds serious to one of you I guess Ill try to go and make a payment plan with my dentist. My biggest fear is that it could be cancer. Especially since skin cancer runs in my family.", "output": "Hi and thank you so much for this query. I am so sorry to hear about these patches. The longer they stay, the more concerning they get. To tell whether it is for sure cancer or not, you would need to be consulted and possible causes investigated. For cancer, you would need to get a biopsy done before concluding on that. Risk factors would also need to be assessed which include poor oral hygiene, tobacco, smoking and long durations of dentures. I hope this ad Chat Doctor. Feel free to ask for clarifications and more information if need be. I wish you well. Thanks for utilizing our services, we very much appreciate it." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am a 22 year old male currently at university, my problem is that i have had a lump in my neck, which is very small approximately the size of a pea. i got it checked but my doctor said u should not worry about it as no other lymph nodes seem swollen. 6 months ago my wisdom teeth started to come out is it possibly related to them? i still have some pain in the teeth.", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have some enlarged lymph node. Mostly it is due to reactive hyperplasia. You should take a course of antibiotics. If it doesn't respond to treatment then biopsy diagnosis is advisable. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, im a 38 female I went to the er with chest pains and they did an ekg blood work and chest xray but everything came back normal im dad died last sat and everyone one on his sideof the family have heart problems er dr wants me to have a stress test. My question is can I still have a bad heart I was want to know why I have bad chest pains", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Possibility of cardiac chest pain is very less because you are having normal ECG. Sometimes patient can have cardiac disease despite normal ECG. You are also having strong family history of heart disease. So better to get done stress test. If stress test is normal then no need to worry about heart diseases. Anxiety and tension can also cause similar kind of chest pain. So avoid tension, be relaxed and calm.Don't worry, you will be alright but get done stress test first. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My renal ultrasound results say that both kidneys are mildly echogenic. My right kidney is 11.1cm and my left is 9.5. One the left kidney there is a focal area of echogenicity which is relatively well defined which measures 20x30x15mm. My creatinine is a bit off and that is why I was sent to get an ultrasound. Kidney disease is hereditary on my mothers side.", "output": "Hello Echogenic kidneys indicate renal parenchymal disease. It may be due to many causes like chronic hypertension, diabetes mellitus, glomerulonephritis etc. You need proper clinical examination and investigations. Complete renal function should be assessed. It includes serum urea, creatinine,creatinine clearance, GFR, Serum sodium, potassium, calcium,bicarbonate, chloride,phosphate. Focal echogenicity may be due to hematoma. Generally it is a benign finding. Proper treatment depend upon findings. This condition also need routine hologram. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir,My eosinophil count is 25. I have been suffering from cold, cough, frequent sneezing, watering of nose and eyes, aching of throat, etc. The moment I get up in the morning I start sneezing and watering of nose and eyes continuously. Anytime I rub my nose I start sneezing frequently. Even in late I would get up and get sneezing frequently with water coming from nose and watering of eyes. I have been taking anti histamine medicines like Le Zyncet, cetzine etc. I have also tried with a full course of eofiles. But these are of no use. Can you kindly help me. Can you advise me some ways of naturopathy. Will change of food habits help in this regard. Kindly help.RegardsKishore Chandra SatapathyBhubaneswar, Indiae-mail: YYYY@YYYY", "output": "Hello Kishore Chan Chat Doctor. I went through your history and would like to make following suggestions for you:1. Were I treating you, I would suggest you intranasal corticosteroids (mometasone or fluticasone propionate) for at least 2 weeks. I would also suggest you montelukast and levocetirizine/cetirizine for at least 4 weeks.2. Personally I would also suggest you allergy testing which will help you identify the substances causing troubles to you as well as know the measures to avoid them.3. Daily nasal irrigation with nasal saline sprays and regular nasal steam inhalation (please be cautious to avoid burns) will help you and will hasten recovery.4. Please avoid exposure to dusts, smokes and air pollution as much as possible. 5. Regular breathing exercises, plenty of warm fluids and nutritive diet rich in vitamins and minerals (adequate amounts of green leafy vegetables, fruits, sprouts, etc.) will also help you in long run.6. As you have asked for naturopathy treatments, apart from breathing exercises and healthy food, regular Yoga & Panama also will help you.7. In naturopathy, fasting is considered an important measure for treating allergies, but you should perform it only under a naturopathy practitioners guidance.8. Instilling one-two " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been diagnosed with bone necrosis of the left jaw joint. Basically I have no ability to chew or open my mouth, brushing my teeth requires holding open with my fingers. It s extremely painful and I am losing my battle of hiding this condition from the people around me. I have been to several doctors and not one will help me because there is no cure. There are three surgeons in the US that treat this condition but it requires complete removal of jaw joints and lower jaw bone. Disfigurement and the lost of teeth is the future with the disease. The pain is so bad that I have to be on a pain patch but it does not touch the sharp and nauseous pain I have all the time. Who can I go to for help? I am fighting to not give up but I can t find anyone that will provide medical support while I prepare for the loss of my jaw. My family Dr provides the patch but I fear that this too will be another turn away because she can t just give me a patch without some type of treatment. I have seen dentists, oral surgeons, dental college here...not one has the medical field on replacing or repairing the jaw joints. I have 3 abcesses in the jaw bone at this time and one has broken through to leak infection into my mouth. This may be fixed by an endo Dr but he will not touch the other 2 abcesses, doesn t touch jaw bone disease. If you have any suggestions on where I can find help besides Europe, then please share. I can t be the only person with this disease and I can t believe that others have no doctor to turn to for medical care. We have great insurance but regardless of where I go, no doctor can provide the help needed to allow me some comfort for this horrible problem. History- car accident, shattered face. Broken jaws in 14 places and jaw joints were sheared upon impact. I had jaw bone surgery to repair breaks. Jaw joint surgery to remove worthless discs and remove broken bones out of the joints. 20 years later brain surgery to remove ex-large brain tumor. Numerous teeth shattered, lots of fake ones now. Sinus surgery to repair damage and gangrene infections that set in after accident. Was told that left sinuses will never drain to nose again unless I approved a hole placed in roof of mouth. Declined because I have no interest in blowing my nose through my mouth, now I just don t have a working nose on the left side. It is completely impossible to sneeze. Fun stuff. So at this point I am clueless on what options are available. No one wants a patient with a disease that has no cure. I will be on some kind of medicine for life. If I could get help with this, I would be able to have a somewhat normal existence until a dr who specializes in this particular problem is found. My problem is where are these doctors that help the facial bones? I can find a knee Dr all day long, but anything above the neck that isn t the brain...good luck on finding anyone. Thanks for your attention and help. I will look forward to seeing what you suggest and hope that you have been down this road with another patient.", "output": "Thanks for contacting Chat Doctor. You mention that you have problem of bone necrosis in jaw and history of facial trauma also. After seeing a jaw x-ray perfect diagnosis can occur. Generally in this case primary therapy start with antibiotics course and 100 percent oxygen therapy. Without proper seeing a jaw x-ray and other clinical symptoms difficult to treat. Surgery that one is last option. Consent an experienced oromaxilofacial surgery for treatment. I hope my guidance is helpful to you. Take care. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 39 year old female. Generally healthy in a healthy weight range and I exercise regularly. I have been experiencing right upper abdominal pain intermittently for the past 6 weeks. However in the last week it has been constant. I just had an ultrasound and a polyp was found in my gallbladder. The doctor has not told me how large the polyp is but I am worried about it. I aim to get a copy of my report next week as the internet indicates that size is important in determining treatment.. Because my polyp is causing symptoms will they want to take it out. I am also worried that it could be something sinister.", "output": "HIT hank for asking to ChatDoctorThe upper abdomen pain because of the gallbladder polyp is not very common or say it rarely causes pain but not in the upper area of abdomen, to me, it could be acid peptic disease, if I would be your doctor then I would start the following treatment .1) Omeprazole tab. 40 mg once in day at evening time for six days 2) Dicyclomine tab. Three times in day 3) Chlorodiazepoxide three times in day this regime will help you as long as the upper abdomen complain is concern, have nice time." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here... Hi, I had fever and cough for 4 days and doctor says its viral. How come you guys always says its viral what if a bacteria is residing in kidneys and causing the fever.", "output": "Hello, Welcome to Chat Doctor. I have gone through your query and I understand your concern. Your treating doctor that has told you that you might have a viral infection, has evaluated your overall condition and at the end has given the conclusion that the cough and fever is caused from a virus. Actually, we cannot decide to say that the causative microorganism might be a virus, without evaluating your overall condition and associated symptoms. Bacterial infections have normally more severe symptoms than viral infections. If you had a kidney infection caused from a bacterium, you would have other related symptoms, and one of them wouldn't be the cough you have as a symptom. Hope I answered to your question. For further concerns feel free to ask again. Take Care," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im having a fluttering feeling in my chest just under my breast bone to the left.I also sometimes get it in the right side of my neck.I have suffered from anxiety in the past but Im feeling fine at the moment.It mostly happens when Im sitting or lying and Im not active.It only lasts a few seconds.No other symptoms.I had it a few months ago but it went away.Is it just anxiety or should I go to my GP about it?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Possibility of anxiety related symptoms is more likely. But better to rule out arrhythmia (rhythm disturbances in heart) because you are having left sided chest fluttering sensations. So get done ECG, 2d echo and Holder monitoring (24 hours continuous recording of ECG). If all these are normal then no need to worry about arrhythmia. Consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You will need anxiolytic Chat Doctor. Don't worry, you will be alright with all these Avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, i am ambika n i am 28 yrs and i am married since 7 yrs but no issues yet... Me n my husband are trying for child since 3 yrs by natural method but no pregnancy occured and so i am taking treatment from last 3 months and this month my gyne has adviced me to take ecosprin 75 mg once daily for 10 days... How will this drug help me in conception ?? Please answer my query as i am tensed alot. Thank u", "output": "Hi, Ecosprin will help to prevent miscarriage due to coagulation/vascular defect. Esprit prevents clotting of blood vessels and thus increases blood supply to the baby. It should be started as soon as the cardiac activity appears. I would suggest going for APA screening, PT, APT and ICT Beta-2 microglobulin antibodies, thrombophilia profile to rule out any coagulation defect. So it should be taken under evaluation to maintain pregnancy in history of repeated miscarriage due to coagulation defect. So you can ask about coagulation defect. If above test will come normal then no need to take it. But it should be started once cardiac activity of baby appear in USG. This Chat Doctor. I would suggest consulting (both partner) infertility specialist and undergo work up. For you: reproductive hormone analysis, USG scan, ovarian follicle study. For partner: semen analysis, testosterone. Specific treatment will depend on cause: " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my grandson is 4 months old, and based on his stool exam he has: E. Hystolytica cysts: 1-2/hpf PUS cells: 15-20/hpf RBC : 3-5/HPF what does it mean? Is this curable? Does he need to confine in the hospital? Is this serious desease for a 4months old baby?", "output": "Hello. I have gone through your question and understood your query. Entamoeba histologic is also known as meiosis. It is an infection acquired through food or water. It can be easily treated by oral medicines. Infection can be prevented by avoiding feeding bottles or proper sterilization of feeding bottles. handwashing with soap before preparing feed or prior to feeding baby. Also use phenol contains disinfectant for floor. Person feeding child should be screened for amoeba histologic as well." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I am suffering from Lower abdominal pain on the right side, above the pelvic region. It is been there for a month now. The pain stays underlying and is usually mild.Sometimes , like yesterday night for an hour approaximately, pain became quite severe and sharp. Even walking was difficult. Kindly suggest the probable causes and the right step to be taken", "output": "Hi Thanks for writing in The reasons for pain in right side of abdomen are numerous It is beyond the scope of any online forum Yet the commonest to rule out will be appendicitis, amoebic colitis and right ureteric colic Considering the fact that it is dull aching pain, the chances of it being ureteric colic are minimal and the commonest will be colitis Hope this helped write back in case of concern" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, i was wondering if it is normal to bleed for a week on the birth control pack? I had a normal period april 12th -19th then i started my second pack of pills april 21st then started bleeding april 28th and hasnt stopped yet :/, I had sex with my partner april 18th we didnt use a condom for maybe like two mins then we used a condom the rest of the time and finished with one. I am worrired that i could be pregnant. we also had sex on april 27th without he only stuck it in for a min or two and then next day i started bleeding. I am on my second pack of pills and just finshed the second week of active pills (28 pill regiman) gildess fe 1/20 is the one i am on now. So i have two more weeks till my next period. should i take a pregnancy test", "output": "Hello, Unprotected sex during period time is quite safe and chance of being pregnant is nil. In case of 2nd time sex on April 27th, you got bleeding on the next day, and it is not your conception or implantation bleeding. It may be due to local trauma during sex, hormonal imbalance by using birth control pill (quite common), cervical/ endometrial polyp, vaginal infection etc. Here, you need to get examined by your gynecologist to rule out underlying pathology if any. Take suggestive measures accordingly. It keeps you in safe place. Try to avoid stress, take healthy diet, Chat Doctor. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my girlfriend and i was fooling around and we were without cloths and my penis touched her vagina and i think there was some semen on it and 2 days after that she menstruated... which was a day or so late but it was a normal menses according to her and it has ended after 4 days and she feels back aches... what r the chances she is pregnant? pls answer asap i m worries...", "output": "Firstly, chance of becoming pregnant on 2nd or 3rd day of the menses is very, very remote, for practical purpose nil, however you cannot guarantee anything 100%. Regarding pronominal fluid and ejaculation at the external vaginal opening, one has to be careful. From your question, it is clearly evident that there was semen on the vaginal opening suggesting that there was not only ejaculation fluid but also ejaculation. The first part of the ejaculation comes out with a great force. Even when the ejaculation takes place within the vagina, some sperms are known to enter the uterus. So even if you see some semen on the vaginal opening, there is a strong possibility that some part of ejaculate has entered the vagina, which is sufficient for pregnancy. Remember, there are millions of sperms in one ejaculate and to impregnate, only one is sufficient to fertilize the women egg. Furthermore, even pronominal ejaculation also is known to contain few sperms which are known to cause pregnancy. The backache she is getting is probably due to the stress and may be the rigorous activity if at all she had during love making. Pregnancy does not give low backache. I repeat, the chances of becoming pregnant are very very very remote on 2nd or 3rd day of menstruation. The egg is released 14 days before the next expected menses and the life of the sperm is not more than 3 days." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "A friend who had polio when she was about 6 years old has been having problems with kidney and bladder . She has been treated with antibioltics and it seems she can not get off the antibiotics because she gets her symtoms back right away. Because she has had polio she seems to be in a class by herself because most doctors today can not relate to the effects that polio can have on your body and how is responds to medicine and treatment. She is quite crippled from the polio and thus her kidneys were probably affected by it also. She is close to 60 years old now and needs someone who understands her situation with the polio complicating her kidney problems (infection etc. that doesn t seem to go away if she discontinues her medicine) Can you help find a doctor for her in Nebraska. She lives at York, Ne.", "output": "Hi, Thanks for writing in. The problem is not with polio complicating the kidney and bladder infections but the antibiotics itself. Taking antibiotics continuously can cause bacterial resistance and the infection can persist and patient is not cured. Antibiotics for any infection are supposed to be taken under medical supervision and for duration as recommended by the doctor. Taking unnecessary antibiotics will cause the bacteria to get powerful and not killed. Your friend must get a urine culture test done and take appropriate antibiotics given by a doctor. She must also Chat Doctor. Hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "okay i live in the bahamas and been experiencing pain in my upper stomach .. It first started last year and i ruled it out as bad painful gas but as the pain keep coming back and the pain was the same i figured something was wrong the pain wakes me up if im asleep hurts my back makes me vomit .. i went to the emergency room last week in pain and they gave me a form to get a ultrasound done to see if its gallstones.. The test showed three calculi 14mm in my gall bladder and some peripheral follicules on my ovaries.. my ovaries dont give me any problem my period is on time not heavy no clotting and i just had a child 3 years ago but yet i dont have a lower pain... what do you think", "output": "Hello! Thank you for the query. As you have typical symptoms of gallstones, and it has been confirmed with ultrasound, you should visit a surgeon and get scheduled for laparoscopy. But before that, you should check your ovaries to rule cancer and other diseases out. It is advisable for you to have CA-125 level checked, have gynecologist consult and transvaginal ultrasound. If gynecologist tell everything is fine, you can than get scheduled for surgery. In a meanwhile, you should avoid spicy foods, fatty foods and alcohol to prevent further gallstones pains. Hope this will help. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ihad or still have bronchitis, have had all the meds prednisone an all ,done with, still use advair spray in mouth, was fine when i got up, at home nurse the dr sends out once a week, said my lungs sound clear, But yet my lungs are burning , an my husband said i sound out of breath what do i do,", "output": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you should get done PFT (Pulmonary Function Test) again. PFT will also tell you about severity of the disease and treatment of bronchitis is based on severity only. You may need additional bronchodilators (inhaled as well as oral). Most common cause for bronchitis is infection. So anti are also important. Other Chat Doctor. So consult pulmonologist and discuss all these. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son is 6 months old now. I have started with mashed foods like carrots, apples, vegetables and cerelac. The doctor also asked us to start with lactogen. But he does not drink lactogen at all. Is it really necessary that he takes lactogen? If yes is there an alternative?", "output": "Weaning with semi solids is recommended from 6 months of age. You can give mashed rice boiled along with pulses and the vegetables that you mentioned. Basically it is a transition to adult food and practically any adult food low on spices can be introduced gradually but in the mashed form. Lactose or milk is an accessory and may not be given if other nutritive principles are included. If the child is not taking lactose, it is not a cause of concern, and you need not worry and there is no need to look for alternatives." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hey i have a 2 year old and he hardly every sleeps at night she will go to bed at 8 then up and wide awake at 10 then i stuggle to get her to sleep again then she wakes up again at 2 in the morning the she wil stay up the hole day what can i do to get her to sleep through", "output": "Tithe reason can be poor feeding habits, hunger, thirst, sleep disturbance due to bed sharing, uncomfortable room temperature, psychological stress etc. Ensure healthy adequate diet and fluids before sleeping and try to check for other reasons. Most kids improve as they grow. If still persists then visit a pediatrician for complete clinical evaluation to rule out organic or pathological causes. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 37 years old.i got marriad 11years before.i have three kids.i am feeling anxiety and depression about 6years.my relationship is not good with husband.his favourite is to chat on phone or net before marriage.i shocked after pmarriage.when calls came for him.he alwsys shut me telling its my personal matter.he is my cousin.his mom and sister also depress me.he did not care me.his brothers are very caring with wives.he is always chating with a girl and often visit him.i ignored my health and kids.finally i went to a psychatrist he gave me oxtin 2 years before", "output": "Hi. It seems you are going through a tough time and I fully empathize with you. From what I understood, your marital relationship is strained, and the in-laws are adding to the problem. You visited a psychiatrist 2 years ago and were prescribed ox tin (? Dose). Now Ox tin is Atomize, which is an anti-allergic Chat Doctor. So probably it was prescribed to help you fall asleep. Regarding the problems that you are facing, I would suggest you to visit a psychiatrist/clinical psychologist or a qualified marriage counselor. Marital, Interpersonal and family therapy might help you cope with the situation, as well as improve the situation at home. Regarding medicines, though their role is limited in this case, you might benefit from antidepressant medications. Hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello sir,i am pravish my mother has hep c she is on interfrn and ribavarin she cmpleted her 11 inj. But her HB level goes on decreasng and she cant tolerate the therapy even having the inj. 0f erythropoetin & neutrophl grth factor now what we plz sugst sir i am also a medical studnt of final yr plz help sir erythropoetin & neutrophl growth fctor", "output": "Hello, Interferon suppresses bone marrow production and Riboviria results in dose dependent hemolytic anemia. This causes anemia which is one of the most common side effect of therapy. To manage anemia, reduction of dosage of Riboviria is the first step. Dose is generally maintained at 800\u00a0mg / day and reduced to 600\u00a0mg/ day if hemoglobin falls below 10. Ribavirin is discontinued if hemoglobin falls below 8.5gm/DL. Treatment of anemia is done by subcutaneous injections of recombinant erythropoietin. Talk to your doctor regarding adjusting the dose of RIBOVIRIA, since it is a very important step. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i m suffering from ezcemz/psoriasis from the past 20 years. i use topical creams and ointments whenever it comes back. Recently i m using Amylac cream, Salisis ointment, Sorifix ointment and Tazret forte along with Codesoft capsules and Vitamin D supplements. This has happened for the first time that the healty skin around the psoriasis/ezcema is peeling off and it has formed a dark red patches on my feet.kindly advise", "output": "Latest studies show that psoriasis is chronic inflammation of skint can be treated as allergies and due to high number of patients seen by me my experience is that if you stop milk and diary products completely stop mustard coconut walnut groundnut almonds and soda oil use live for body and cookingTake methotrexate tab 5 MGM per week for 3 months use nontoxic shampoo cream and soapsfexofenadine 120 mg SOS if itching apply Hispanic ointment and histocalamone lotion you will be fine after 3 months" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "On February 4th, I got my wisdom teeth pulled out and i was prescribed with 800mg of ibuprofen which i took every 6-8 hours for the pain and I took that for about 4-5 days I think. I was supposed to get my period on February 26, but I didn t. And I am not feeling any symptoms that I usually feel before my period. Is it possible that ibuprofen delayed my period?", "output": "Thanks for your query, I have gone through your query. As far as the ibuprofen is concerned regarding the delayed periods, there are no effects on the periods. But the dose what you have taken is high, usually it is administered at a dose of 400\u00a0mg 3 times daily. The adverse effects can cause gastritis and stomach pain but not delayed periods. So consult a gynecologist and take an opinion. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have degenerative disc diese in my lower back and a buldging disc in my neck , with constant pain in those areas sometimes pain shots up and down my left side from the base of my skull spreading down my left shoulder to my hip and down to my toes. I have had one back surgery in 2008, as well as, several epidurals. But, nothing seems to help. I take pain medication but that does help either. What should I do?", "output": "HIT hank for asking to ChatDoctorI really appreciate your concern looking to the history given here I could say that if this is degenerative disc disease then the over all case management is depends upon the severity of the disease most of the cases well responds to conservative line of treatment in my opinion you better discus this with the orthopedic doctor, hope this information helps you, take care and have a nice day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear doctor, my urine culture shows i have gardnerella vaginalis i was wondering why i have this infection since i conceived my husband and i have no contact because of on and off spotting.. i am26 weeks pregnant now and sometimes feel low back pain and frequent urinaton. will this infection affects my baby inside? thank you.", "output": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. No, this infection won't affect your baby. But it should be treated immediately otherwise it will create postpartum infection. It is not necessary that it will transmit sexually, but it will occur de Nova. Unhygienic condition can be responsible for it. So please maintain good hygiene as it is equally important as taking the treatment. In pregnancy Chat Doctor. Metronidazole and clindamycin is the treatment of choice. But please take it under your doctors' guidance as you are pregnant. Please avoid sexual intercourse during the period. I will be happy to answer your further concern on bit.ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a hard oval shaped bump/lump on my perineum near my anus which seems to have a white head and is not major painful but feel during touching or wiping. Realized it after intercourse and penis slipped into my anus during intercourse. Can you please tell me what it could possibly be ?", "output": "HelloThanks for query. Based on the facts that you have posted I would state that you have developed Staphylococcal infection of a perianal gland which seems to be in a stage of induration.(Perianal Abscess) Please take antibiotics like Augmenting and anti-inflammatory medicines like Diclofenac twice daily along with a site bath twice daily . If it does not subside within a week, you will have to consult qualified General Surgeon for clinical examination and get it incised and Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i get a rash every summer on my inner elbow (only one are) on my belly and my back. it has been going on for a few years and nothing seems to relieve the itching. the doctors just told me i was allergic to something and to try changing different things but nothing seems to help and it only comes in the summer", "output": "Hi and welcome to ChatDoctorFrom your history and description it does seem to be an allergy, esp based on the areas affected. Summer/spring allergies are fairly common due to more dust, pollen in the air, as well as sun. Since you are unable to narrow down the cause, I would advise you to take precautions during this season. Wear comfortable cotton clothing, covering as much skin as possible. Avoid midday sun exposure. Always use a sunscreen. Wash hands, face when you come back from outdoor activity. Shower with warm water and apply a good moisturizer immediately after like Detail DAM or an intensive moisturiser. Avoid fragrances and strong chemicals in soap, lotions. When you have active rashes try to avoid commonly allergy causing items like nuts, seafood etc.Also, during rashes take an antihistamine tablet once daily like fexofenadine and apply calamine lotion over the area when irritation occurs. In case of severe redness or actively spreading rash in the summer, use a fluticasone cream for about a week over the rashes and stop. Continue the other tips advised. You can consult a dermatologist regarding certain skin allergy tests and blood tests which can point out the substances you are allergic to. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sometimes after I have sex or masturbate and dont wash my penis I will end up with a red bump on the head of my penis. It doesnt hurt or sting or burn its about 4mm round, and forms a head or flakes off a layer of skin. Ive been to the STD clinic they say its nothing. Any thoughts?", "output": "Thank you for query. It may be due to fungal infection. Please take following precautions. Use loose cotton clothes. Keep area Chat Doctor. Apply antifungals like clotrimazole. Clean the area twice daily with warm water. Oral antifungals like fluconazole 150 mg weekly once can be taken. Treat your partner also to prevent recurrence. Good control of diabetes is most important to prevent recurrence. Consult doctor if it does not subside. You can get back to me for any clarifications with the photos." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, am suffering from chronic pelvic pain for 1.5 years.pain in right pelvic, waist and radiates to leg, lower back. intermittent pain, ranging from mild to moderate, pain increased with period, period is usually late by 5-7 days, heavier than before, but does not last more than 4-5 days. had PID, UTI, during this time. treated with antibiotics , mri of pelvic abdomen and spine, ct scan, usg thrice, cistoscopy colonoscopy- all normal, except bulky uterus, pap-ve, ca124 -ve, but ca 125 has increased from 20 to 29 in one years time. other symptoms are bloated, intense pressure, cramps, uterus feels sore, etc. suspected endo. my gynac give norethisterone 5 mg . taking twice daily since last 10 days. suffering extreme backache, and feverish chills since last few days. feel depressed all the time, fear cancer. Pls help!", "output": "Thanks for your question on Chat Doctor. In my opinion you should not worry much about cancer. In my opinion, mostly you are having chronic urinary tract infection, resistant to routine antibiotics. So better to get done urinary culture and sensitivity. If this is normal than lumbar spine pathology can be the cause. May be chronic macro ileitis or osteomyelitis. So get done MRI of lumbosacral spine. And no need to feel depressed, you will be alright." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im wondering if a large bulge on the lower right side of the penis near the base of the penis could be something serious. There is no pain. There is no blood in the urine and it would not be even noticed until an erection occurs. Only when the penis is erect can anything be seen at all.", "output": "Hello painless and non-itchy white gray spot for 15 to 20 days can be caused by a sexually transmitted infection like Android, syphilis or other infections need to be worried but not too much until diagnosis confirmed In my opinion you must book an appointment with your doctor or a general disease specialist for physical examination and further investigations you can upload a photograph I will be able to help you better should maintain good hygiene. Condom while having sex, there are possible chances of its spread to your partner You should clean it with antiseptic soap or solutions and apply an antibiotic ointment circumcision is advisable in your case if it is a persistent problem Hope this answers your questionPlease feel free to ask for more assistance, I will be happy to help you Best wishes" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hey my daughter caught chicken pox on sunday the first spot appeared, we are going on holidays this monday the 12th july, will we be able to go and will she able to swim in the pool and the sea if they have crusted over? also she has a spot in her eye which is causing green mucas to come out of it that looks like sleep, her eyelid is also red and swolen is this serious and can it damage her eye?", "output": "Chickenpox is a communicable disease and the patient needs isolation should be kept in a separate room and other members of the family should not use the bed and bedsheets she is using till fever subsides and all the vesicles are crusted. So, it is better you cancel the trip and take care of her diet and medication and let her rest. Regarding green mucus in eyes she needs to be shown to eye Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have narcolepsy...Have had it since childhood...and since 1984 I have taken 20 mg of ritalin 5 times a day....(5 pills at 20 mg each) I have always worked and supported myself....Ive retired 3 Dr.s over the years..lol...But my current Dr to whom I was refferd to from my former dr does not want to prescribe the 5 pills a day....So to keep the peace(and get my script filled) I agreed to take 4 a day ......This is not working for me.....At 5 a day my meds would take 15 min to kick in,,,,Drowsy for 15 min then alert for about 3 hrs...At 4 pills a day i wait about 4 hrs then take a pill...It takes about 30 to 40 min to kick in....This is no good...as I drive allot with my job ect,,,,,This dr I currently have did no test to come to his conclusion of lowering my dose....29 years it has worked the same for me (Im 50 yo)What can I do...I really need help...signed AAAAA", "output": "Hi, you know what problem you have, and how to overcome it. Though it is organic, you should consider it to be the psychological, and you only can give treatment to this ailment. Practice mild yoga, meditation, regularly. Read books of your interest, and hear music, when you are free during day. Try to sleep in the night at a particular time and wake up at a particular time. Practice hearing music at a low sound while sleeping so that you get sleep only when you hear music at that sound only. Take green leafy vegetables, pulses, sprouts, and protein rich foods. Take juices of palatable vegetables. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my hiranya operated 10 years back. but after 2 years it started gettung pain and some times swelling. and now adays sometimes sevear pain started. Iam using a hiranya beltalso. still some times sevear pain iam getting. Iam trying to avoid another surgery. What I have to do. please docter? Iam a heart patient and I have done angioplasty and a diabetic patient. Please guide me.", "output": "HiP ain and swelling in the operated site of hernia can be recurrence of hernia. If the content like momentum or intestine is blocked in hernial sac, you may experience pain. If your doctor has confirmed hernia again, then there is no alternative to surgery. Medicines have no role to play in hernia. Though you are heart patient and diabetic, surgery can be done. Nothing to worry. Please consult a surgeon and get operated as early as possible and get prevented from life-threatening complications like strangulation. Wish you good healthRegards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I recentley had an MRI for my neck pain down my shoulder blade and arms can you explain what al this means? NEURALGIA/NEURITIS NOS-LT C8 RADICULOPATHY- provided. Neck pain. COMPARISON: None TECHNIQUE/PROTOCOL: Standard noncontrast cervical spine HNP protocol MR performed. No immediate patient complications or events noted. FINDINGS: Postsurgical changes of C5-7 ACDF. Slightly focal lordosis at the C4-5 level just above the fusion. Minimal retrolisthesis of C4 on C5, unchanged. Cord caliber and cord signal are normal. Normal bone marrow and craniocervical junction. Visualized paraspinal and neck soft tissues unremarkable. C1-C2: Unremarkable. C2-C3: No disc bulge, canal stenosis or neural foraminal narrowing. C3-C4: Broad-based disc bulge causes mild narrowing of the ventral CSF space. No canal stenosis or neural foraminal narrowing. C4-C5: Broad-based disc bulge narrows the ventral CSF space. No significant canal stenosis or neural foraminal narrowing. C5-C6: Fused disc space with no significant canal stenosis. Right-sided uncovertebral hypertrophy causes moderate Right neural foraminal narrowing. C6-C7: Fused disc space without canal stenosis or neural foraminal narrowing. C7-T1: Right paracentral disc osteophyte narrows the ventral CSF space without significant canal or neural foraminal narrowing. T1-2: Sagittal images only. No disc bulge or canal stenosis. T2-3: Sagittal images only. No disc bulge or canal stenosis. IMPRESSION: 1. Postsurgical changes of C5-7 ACDF with multilevel degenerative disc disease causing no significant canal stenosis. 2. Moderate right neural foraminal narrowing at C5-6 due to uncovertebral hypertrophy. David Barber YYYY@YYYY", "output": "Hi Mr David, Thank you for posting your query. I have gone through the report of your MRI of cervical spine. I would like to first reassure you that there are no serious problems noted in the MRI. The reports suggest degenerative and post-operative changes. There is no significant compression of the cervical nerves. Based on the reports, you require only conservative management such as medications (pregabalin, etc.) for nerve pain; and physiotherapy. Wishing you good health, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "just want advise on my life as a child and everything I went through trying to write a book dont know how to start it about being raped by my father and shots fired to a bad merrage to drugs I went though more I did not do drugs but dealing with this in the family I have a book please help me maybe even a movie nancybeeder grandisland nebr nancy YYYY@YYYY 0000 and even more", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. Basic things first. We all come across so many experiences about our life. Some less and some more traumatic. We experience in different ways according to circumstances and age and development. Trauma and emotions about bereavement of a loved one may not be the same for a 5 yr old, 10 yr old, 15, 25, 35, 45 etc. etc. The difference in emotional attributes are called development. Secondly we gain positive lessons from these experiences. So far so good. The emotions run high when we are at the middle age. Because we think that we are matured. Actually we are not. We can't even understand ourselves. At your age, we start seeing things happened earlier critically. Unfortunately, we all see negative things and batter over them. Just go back. Count all positive things happened in your life from age 1. You will be amazed to see, those events shall be at least 100ws of pages. Instead of using these, we start lamenting handful of negative experiences. Funny, huh. Take my word for it. Enough is enough. Understand whatever happened was for your benefit. Everything benefited you positively. Live life today. Forget yesterday and tomorrow. Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son bit the top layer of his tongue off while his mouth was numb from getting dental work done. It is sore and he is having a hard time eating. This was four days ago. It doesnt appear to be getting infected, but is there anything that can be done to aid in the healing process?", "output": "Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have mentioned that your son has bitten his tongue due to anesthetic effect, don't worry You Apply Ointment McCoppin two times a day on painful area on his tongue, Give One Tablet Evil twice daily for one week, if after taking medication He won't get relief then consult your Dentist Hope it will help you. Wishing him good health Regards " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doctor,I and my hubby have been ttc for a year.so we had an appointment with the gynae who adviced my hubbto go for semen analysis .based on the results of d test,my husby has low sperm motily.and so he was referred to a Urologist who confirmed that he has varicocele .and only a surgery wud correct it.I want to kno if after cthe surgery?I would get pregnant for sure??", "output": "HelloThanks for your query, based on the facts that you have posted it appears that your husband has varicocele and his semen analysis has revealed Asthanospermia, (Low sperm motility). But you have not posted semen analysis report in details I would like to state that varicocele can not because of low sperm motility. As regards improvement in sperm motility after varicocele surgery one can not assure you to improve sperm motility after surgery. There are 30 % chances of improvement in sperm count.Hence, it is very difficult to predict that you will conceive after surgery. Please consult qualified Infertility specialist for further guidance and explore possibility of pregnancy with the help of new assisted reproductive techniques like IVF or CSI. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I frequently get back pains in the middle and lower part of my spine along with thigh joint pains,I usually travel more in bus and even walk more.I am interested in Defense Services,So,i don t want to get disqualified in my medical tests due to these reasons,Is it a serious trouble or is it curable ? Please help me out", "output": "Hello, As what I see is your lower back muscles aren't strong enough to hold the spine in position and due to this you have pain in the lower back as well the lower limbs. I would advise you to follow the strict exercise program under a guided physical therapist so that you regain the maximum strength in the lower back muscles and also lower limb muscles if you want to join the army services. As their training is much strenuous and demands more output from you than normal individuals. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Im SUMON PAUL.I am 21 years old & having excessive hair loss from the front two sides of my head & I like to add here that my father had lost his hair before my birth due to typhoid .So is it from him,bcause I dont have any deseases.what should I do????????", "output": "My DearWelcome to Chat Doctor ! I have noted your details, and it fits a condition called An Chat Doctor. This condition is due to genetic factors and the hair loss is at first confined to both front and sides but later on other areas too get involved. For most of my patients of this condition, I prescribe Minoxidil 5% solution for topical application, one ml each application for several months. Results are good, but it takes several weeks before you can actually notice them. Please follow the instructions, and you should be feeling good after some months. Best wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 2 year old little girl keeps getting abscesses and folliculitus it keeps coming back. I have taken her to her pediatrician and they tell me that it is staph and they lance them and drain them and give her antibiotics but then they just come back. why do these things keep coming back and what do I need to do?", "output": "Hi I am Chat Doctor. It can follow folliculitis and could be recurrent because of inadequate or inappropriate treatment. Still some rare conditions like primary immune deficiency should be ruled out. Most of the labs offer a panel to rule out primary immune deficiency.It's important to rule out more common entities like IGA deficiency, Britons Asama globulinemia and granunomatous disorders where recurrent staphylococcus infection is common. These condition scan be effectively treated when diagnosed earlier. Early diagnosis also helps in preventing serious infectionsThank you for using Chat Doctor " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "semen Anaysis show the following results, pls sugget how doi interpret the results Ph :7.4, Liquefaction : 30% sperm count : 10.8 million/ml, Mobility L 10%Active, 16% Sluggish, 74% non mobile, RBC: nill, Morphology : Normal 66%, head: 11%, tail 16%, mid peice 07%, puss cells : 4-6 puss cells/hpf, Viscosity : normal, in the end it said oligo and asthenospermia", "output": "Hello pH normal alkaline, in your case it is normal Sperm counts 60-120 million/ml (in your case it is too low i.e. 10.8 million/ml.). Motility normally 100 % but in your case actively it is only 10 %(very, very low). Morphology 66%. Viscosity and liquefaction normal. Pus cells 4-6 cells /HP(non-specific). Studies suggests that normal fertility is associated with sperm counts >48 million/ml with motility >63 % with >13 % exhibiting normal morphology (normal in your case). Since in your case low sperm counts (oligospermia) and motility is also abnormal (asthenospermia) , so in my opinion for conception consult INFERTILITY specialist and get his opinion." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I took a pregnancy test on January 4th and it came back positive I then started to bleed like my normal. I went to the doctor and they took the ChatDoctor blood levels the first one came back 79 and the second 74 I ve also looking for different pregnancy test and they ve all said I am pregnant what does this mean", "output": "Hallow Dear, I do empathize your confusion because of bleeding with positive pregnancy test. Any bleeding during any stage of pregnancy is considered as a risk signal unless and until proved otherwise. Your urine and blood tests have proved beyond doubt that you are pregnant. Now because there is bleeding, I would advise you to go for ultrasonography which will provide you information about:1. Whether the baby is viable or not. It takes abut a week or more for the pregnancy test to get negative even after the baby has become non-viable. Ultrasonography can give you reliable visual evidence. 2. The site from where the bleeding is coming. If it is from behind the chorionic tissue, you may have to restrict yourself to the bed and support the pregnancy by Progesterone. Folic acid may help you. Any way, start Folic acid tablets to safeguard your pregnancy and baby. I hope this helps you. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have low white Blood cells and they say its very common in black women I have B12 injections once a month I have been for a blood test and the doctor said he is testing for a few things and one of them is HIV now that is worrying me as I dont do drugs I have had only one partner and I did a test in 2010 when I was pregnant and that came back negative but I think it was all the questions he was asking to do with HIV that is worrying me iv had a little cod and feeling a bit tired I put that down to work and having kids is that normal please help thanks", "output": "Hi, Low white cells have numerous causes. It is mostly nutritional or secondary to bone marrow disease. HIV leads to low lymphocyte count specifically. If your history is good, you need not worry. Once a cause is identified, if not in the peripheral blood, a bone marrow aspiration or biopsy might be needed for further evaluation. If only white cells are reduced, increased incidence of infections is possible. Once you get a full report further assistance is possible. If you have any more queries, happy to help." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "3 weeks ago i had a high fever for 2 days, bad cough and weezing. the cough is still bad. no mucus just a really hard dry cough. i ve tried suppressants expectorants otc .no releaf. what should my doctor prescribe?i even need to use adult diapers now because of the violent coughing.", "output": "Hello, As per your clinical history is concerned, please follow like this:1) Do a clinical examination by your treating Doctor and do blood differentials count to know the exact cause.2) Discuss with your Doctor about [codeine phosphate] for a cough. Do follow lifestyle modifications like this:1) Try to wash your hands. Thorough and frequent hand-washing is an effective way to prevent many common infections. Or use alcohol-based hand sanitizers if soap and water aren't readily available.2) Cover your mouth and nose when you sneeze or a cough. To avoid contaminating your hands, cough or sneeze into a tissue. Do gargle with warm saline every 3 hours.3) Try to avoid crowds and use a mask when you go outside. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m 32 female. I have been having some tightening underneath my ribs on the right side off and on for the last few weeks. Tonight I had an episode that just started out of nowhere. I had extreme pain under my right rib cage and under my right clavicle. I could hardly move or straighten up. It hurt to breath. Think it s my gallbladder...?", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have some muscle spasms, gastric pain due to acidity, lung disease or some other cause. You should go for examination. If needed go for x-ray chest and ultrasound abdomen. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 29 yrs old and was diagnosed with pneumonia 3 months ago. I have taken different antibiotics but still feel strong fever en difficulty in breathing particularly when sleep on left side. How long does it take to heal? If the antibiotics fails,what s is the next step?", "output": "Thanks for your question on Chat Doctor. Treatment of pneumonia should be organism specific. We have to search for the causative organism. So I advise you to send sputum culture and sensitivity. Try to identify the organism and start antibiotics according to sensitivity report. I prefer two groups of antibiotics. I also advice to repeat the chest x-ray to see whether pneumonia is improving of not. So I suggest consulting pulmonologist and get done sputum culture and repeat chest x-ray for better evaluation of your pneumonia." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My heart flutters, I feel VERY slight pressure in my chest, I feel an odd sensation in my head and a hear a \"sush-sush\" in my ears. I notice it more when standing. Should I be concerned? Just started today. I am 49, I weight 167 lbs (5 feet 9 inches) no history of heart disease. No medications. Have had prolonged leg pain that is gradually worsening and swelling in ankles.", "output": "Hello, Thank you for your query. I urge you to seek medical attention right away. This could be an ongoing heart attack or a stage which may lead to it. Your symptoms are indicative of cardiovascular compromise and needs evaluation. Caught early, treatment can prevent heart muscle damage and related complications. -any family history of heart disease, diabetes, hypertension, sudden death, arrhythmia (heart rhythm disturbances)? -do you smoke or consume alcohol? I recommend :-if symptoms persist or worsen, go to the ER right away. Do not Chat Doctor. Take someone along. -a physician consult. -an electrocardiogram, echocardiogram. -blood tests (complete blood count, lipid profile, Thyroid panel, blood glucose levels, cardiac enzymes to check for heart muscle damage, kidney and liver function tests) -it may just be gas, but it is vital to rule out heart pathology. (even if you have no prior illness). Hope this helps. Please let me know if there is anything else I can help you with. Wish you good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been diagnosed with a sacralisation of the L5 and also had a slipped disc last year. I tried all kind of treatment laser, physiotherapy, hydrotherapy, conservative medcines, has an infiltration procedure. But still not helping. It still hurts and I cant walk. what do I nedd to do to get relief.", "output": "Dear patientSacraization of lumbar vertebra is compatible with normal living and will not produce any symptoms. You might be getting pain in back and legs due to slipped disc. How was disc prolapse diagnosed? Was MRI of spine done? If not done previously I would advise going for MRI of lumbosacral spine with screening of whole spine which will lead to confirm diagnosis and helps in planning treatment. Since u have undergone all conservative measures and if MRI shows significant disc prolapse Next option is surgical excision of disc(discectomy). It can be done with endoscope and minimal incisions. Please consult orthopedic surgeon nearby you and take his advice for this. All the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, My semen report is as follows: Vol: 2ml Reaction : Alkaline. sperm concentration 26 million / ml total count : 52 million. motility after 30 mins 60% motility after 3 hours 45% Rapid progressive : 5% sluggish progressive : 25% Non progressive : 30% Immotile sperms : 40% abnormal : 35% a)abnormal head forms : 20% b)mid portion abnormalities : 5% c)Tail abnormalities : 10% spermatogenic cells : 4-6 Pus cells : 5-7 red blood cells : 3-4 Please support :)", "output": "Hello, Welcome to Chat Doctor, I am Chat Doctor Look, the sperm count is totally normal. But motility is lower than required (normal is >40-50% as per WHO 2010). Morphology is also within normal limit (normal is > 04% as per WHO 2010). Pus cells are increased. Normally no pus cell should be found (as per WHO2010). Red blood cells are also increased. So, overall, it indicates presence of urogenital infection. You should consult with an infertility specialist for broad spectrum antibiotic like ciprofloxacin. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my friend is 31 years old male, pretty much healthy, family history of hypertension, history of smoking about 1PPD since 16 years old, stopped 3 months ago. Recently i noticed that his head and hands shaking, usually it happens in the evening. He told he is just tired, but this is not the first i noticed him doing this. What can it be???", "output": "Hi There After going through the details provided by you leads me towards thinking about a condition known as \"ESSENTIAL TREMORS\"Essential tremor is a nerve disorder characterized by uncontrollable shaking, or tremors in different parts and on different sides of the body. Areas affected often include the hands, arms, head, larynx (voice box), tongue, and chin. The lower body is rarely affected. Although it's not a life threatening condition but in severe cases can prevent an individual from doing daily activities. I would like to advise to do a complete THYROID profile for your friend as thyroid dysfunction can also trigger these. And it could only be just due to the post residual effect from smoking with Chat Doctor. Meds like Beta Blockers, Tranquilizers, Anticonvulsant can reduce the symptoms. But I would like you to go to a NEUROLOGIST for proper examination. Good Luck" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Daily I get intermittent unilateral goosebumps to my left hip. It s not painful and I am not cold but it s noticeable. It doesn t radiate down my leg. I have no previous medical history besides being over weight no chronic illnesses, I have no allergies, I take no regular home medications other than birth control and imovane at night for sleep. Any ideas? Could this be nerve related?", "output": "Hi, Thank you for posting your query. These symptoms could be related to nerve problem of the skin nerves. There could be mild mechanical pressure on the skin nerves leading to goose bumps. There is no need to worry, as it does not represent any serious problem of the nerves. You should get better soon in a few weeks. I hope it helps. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "After eating certain fruits and vegtables (raw carrots, corn on the cob, blueberries, etc) I sometimes have back pain (in the middle right wear my bra strap is ) and upper abdominal pain . It will go straight from my middle back to the middle front. I also have a gas build up and it causes me to burp. It is quite painful and will last for a few hours and gradually ease of . I have had this problem for about ten years. I get these attacks maybe two or three times a year and it always seem to be brought on by the foods I mentioned above. thank you for any suggestions as to what my problem", "output": "Hello. Thanks for writing to us. The pain in the back that you are having is likely to be related to gas and indigestion which gets precipitated by the particular foods. Most of the time these symptoms are self limiting and subside spontaneously. Taking peppermint oil will also be helpful. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http://bit.ly/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Strange issue -- I keep skipping very random heart beats, followed by no chest pain but constantly, daily, I seem to have sudden hard whacking hard heart beats in my chest seemingly randomly. Is this an issue I should see a doctor for, even though my mother complains of having the same thing most of her life, however, not as frequent as myself?", "output": "Hi, Welcome, this is Chat Doctor. Skipped heart beat could be in form of premature ventricular contraction (PVC), which are premature contraction from a normal part of heart or could be more serious arrhythmia in form of Atrial Fibrillation. For the diagnosis, you need to do an ECG at the time of this skipped heart beat. If the duration of these skipped beats are short enough to reach a nearby hospital, we advise our patients for a 24 hr ECG monitoring called Holder Monitoring. The treatment will be as per the report of above tests. So get these tests done soon. ThanksTake care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "SIR ,MY SERUM GPT (LFT) IS RAISED TO LEVEL 61 (NORMAL RANGE 5-37 U/L)SERUM ALKALINE PHOSPHATE (LFT) IS 14O (RANGE 150-250) OTHER BLOOD PARAMETERS ARE NORMALI AM TAKING MEDICINE FOR DIABETES AND BP . THEY ARE UNDER CONTROLMY EMAIL ADDRESS IS - YYYY@YYYY", "output": "Hello Thanks for writing to ChatDoctorIncreased SGPT indicates liver injury. It may be due to hepatitis, altered lipid profile, autoimmune causes, medicines etc. You need clinical examination and few other investigations. You need few more investigations like random blood sugar(RBS), renal function test(RFT), Lipid profile, viral markers, complete liver function test, urine RE/ME. You should avoid red meat and high fat milk products. You should avoid fried and junk food and avoid alcohol completely if you take it. Medicines should be prescribed after complete investigations. I suggest my patients to take tablet ursodeoxycholic acid 300 mg twice daily after food for three months. This help in regeneration of liver cells. Get well soon. Hope I have answered your question. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Heywoukld you be able to help me. me and my boyfriend have been trying for a baby for 2 months i had my period 2 and half weeks ago now but when im sitting down on my own i have this flickering feeling in my belly and dont know what it is weve tried so hard ?", "output": "Hello dear, i understand your concern. In my opinion the suspicion of pregnancy occurs when the period is missed. The urine pregnancy test gives accurate results a week after missed period. The pregnancy symptoms like nausea, vomiting,increased urination, sore breasts start 2 weeks after missed period. The fetal movements start around 5 months of pregnancy. So it is too early to feel any pregnancy signs or symptoms. So relax and check for the period. Avoid stress regarding the pregnancy as it might delay fertility further. Regular intercourse increases conception chances. Hope this helps. Best regards..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi...im Alex from Malaysia here...I and my girlfriend having unprotected sex last night and I manage to withdraw in time but accidentally ejaculates a bit into her...she is now 3 week after her period last month...would she get pregnant? and I keep asking her to eat pineapples and papaya until the day she period, would it overcomes the chances of getting pregnant? thx.", "output": "Hello dear, I understand your concern. In my opinion the prevention of pregnancy by eating of papaya or pineapples is a misnomer. There is no such thing in modern medicine. The first sign of pregnancy is missed period. Other symptoms of pregnancy like nausea, vomitings, increased urination, sore breasts start 2 weeks after missed period. As per your information a bit of semen was ejaculated, so it cannot be definitely said that it will result in pregnancy. So I suggest you to wait and check for the period. If at all the period is delayed kindly do a urine pregnancy test a week after missed period for accurate results. So relax. Avoid stress. Nothing to worry. Kindly wait and check for the period. The papaya or pineapple increase the metabolism rate in body but there is no evidence that it will prevent pregnancy. Hope this helps. Best regards...," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 8 month old sratches his face so hard when he has wind it bleeds. he gets that worked up that he can not bring up his gas. tryed infacol / gripe water he just really struggles to get his wind up wakes all night because he is to tired to burp any tips to help his wind to stop him hurting himself", "output": "Hi... Thank you for consulting in Chat Doctor. This is called evening colic and is quite common in this age group. This happens when the baby sucks at the breast very fast and in eagerness to Chat Doctor. Unless the air comes out like burping or flatus this discomfort will be there and next time check if the baby is sucking too fast and gulping in air too. You will be more convinced. Usually I don't advice any medicines for this as they give only temporary relief. The two best ways to relieve this distress is -1. Do not put the baby in lying position after feeding till the baby burps out the swallowed air.2. If still crying - put the baby in prone position and keep patting the back gently so that the baby passes off the flatus and gets relieved. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My knees hurt when I straighten them from sitting indian style. Also when sitting on the couch and I stand to walk they can be wobbly and feel like they could snap and I could fall. Several times when getting out of the car from driving I about fell and caught myself. There is no knee pain when walking or exercising. They stiff when in one position for awhile. Thank you!", "output": "Hi, since you mentioned your history I will recommend to just get one MRI of the knee done which will help us to check any soft tissue damage which is not able to unlock the knee mechanism. Biomechanics of the knee is a different and difficult process to understand. So while deciding any treatment plan we need to know the exact cause of the restriction in the mechanism. Well, checking up with a physical therapist will help input some change of exercises so the biomechanics of the knee is maintained. Also, you can try performing reverse walking and strengthen the hip muscles. Personal experience of mine with patients have made me help their biomechanics better with resolving their symptoms. Understanding the actual lag in the biomechanics can be helped to you by an MRI and a physical examination. With the grace of God I wish you a speedy recovery" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here...My one yr old has the following symptoms: runny nose, sneezing with yellow and clear mucous, lite diarrhea, low appetite, scrachy voice, and a recent rash around his mouth The rash is fading but is making me worry Can u help me figure out what this might be affiliated with?", "output": "Hi dear, I understand your concerned these symptoms probably suggests a viral upper respiratory infection. If there is no fever, and he is taking feeds, nothing to worry. Giving antihistamines like chlorepheneramine male ate or levocetirizine(Syrup levocetirizine 2.5ml at night) for 3-5 days may help in reducing cold and nasal discharge. If he is having nasal block interfering with sleep or feeding, put saline nasal Chat Doctor. Meanwhile, ensure frequent breastfeeds and fluids like ORS solution to avoid deny" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "June 6 fell hard on right buttock which jarred the sacroiliac area. No breaks. Muscle spasms have been main issue. But question in on Monday the 9 th and Monday the 16 had regular cortisone shot in doctors office. By Tuesday evening both weeks spasms were back worse. On both weeks I felt good again by thursday. On 16th I was doing well and had had my first best first get up in morning. I read about cortisone flare but all tell me my crashing was not connected. First week they say newly injured. This week it was that I had overdone which I will admit trip to doctors was stressful as backs of legs clinching and uncomfortable. Tuesday 17 I did do a couple more passes around entry. I just do not believe in coincidences. Scenario of shot to Tuesday evening spasms back to feeling good by Thursday mid morning both weeks - related to shot?? Is there such a thing?", "output": "Hi, thank you for providing the brief history of you. As you mentioned cortisone - it is used for the symptomatic relief and depends on from physicians individual experiences. But sure it is used for pain relief. Also, as you had a fall on your hip, have you taken any MRI of the lumbar spine and pelvic bone? If not then coming to a conclusion of no bony fracture is not assured. As MRI will help to look the smallest tissue and joints which even an x-ray can fail. Also, by performing exercises for strengthening the core, pelvic floor, spinal muscles and lower limb muscles as a whole will help you lower the symptoms, now since the cortisone is already administered in you, you should look ahead with a physical therapist as to how to strengthen the muscles and safeguard the spine again. Besides, an MRI of the lumbar spine with expose of pelvic bone is recommended to have a close look. I with you a speedy recovery. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi i have been experiencing random gasping for air (lasting about a second) throughout the day for this past month. It feels like my heart has flipped inside my chest and i making a gasping noise like ive forgotten to breathe.I also feel a dizziness or a mini mind blank which last 2 seconds now and again. This also has just started in this last month. I feel like my brain switches off for those 2 seconds. Its quite frightening. Any ideas of what it might be?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Possibility of stress and anxiety related symptoms is more. But better to rule out cardiac and Pulmonary causes for this. So first get done ECG and 2d echo to rule out cardiac diseases. Get done chest x-ray and PFT (Pulmonary Function Test) to rule out lung pathology. If all these reports are normal than possibility of stress and anxiety as a cause for these symptoms is more. So better to consult psychiatrist and get done counseling sessions. Try to identify stressor in your life and start working on its solution. You may need additional anxiolytic Chat Doctor. So avoid stress and tension, be relaxed and calm. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 45 and hurt myself playing volleyball it started as a stiff neck and turned into muscle pain in my neck upper back and shoulder. The only releif I get is if i keep my shoulder in the correct posture position. I have been taking aleve or tylenol and it is not helping. Any other suggestions ?", "output": "Hi, Thanks for your query. From the description that you have provided, it seems that you have suffered a muscle sprain. You need to provide rest to the neck-preferably use a cervical collar. Avoid massaging the area. Doing a hot fomentation will be helpful. Avoid all overhead activities and do not use a pillow. In case the pain is persistent even after taking a mild painkiller, then you might need stronger prescription medicines like muscle relaxants after consulting your orthopedic. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "j have a left leg retaining fluid with a very painful heel..burning and sharp pains. what can be the cause and what can I do? I had non hodgkins lymphoma three years ago and I am still having booster treatments evert three months. the swelling first started after I had a biopsy on on the lympb node in the liower back can dr Mathew Mintz reply", "output": "Dear, There must be the recurrence of the disease or must be residual disease after the initial treatment for non Hodgkin lymphoma. The swelling of the leg is because of the pressure on the lymphatic vessels by the tumor. If the chemotherapy has not relieved it, did your doctors advise local radiotherapy in the inguinal area. You can discuss it with your doctor, and he will be the right person to tell you whether you could be benefited with it. Residual disease after chemotherapy is most of the time taken care with Radiotherapy. Truly," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I was forced into a sex act a few days ago on Tuesday and two hours later took the take action pill. The man did not get off in me but there may have been some on his hands not sure. I took it just in case. Now I have been having cramps and some nausea. And most recently white discharge with a sour odor. Please help me! What are the chances of MW getting pregnant because these are all pregnant like symptoms.", "output": "Hello dairy understand your concerned took action pill with in 2 hours. It is highly effective in preventing the pregnancy. It has 95-98% success rate to prevent the pregnancy. So failure rate is just 0-5%. Your symptoms of cramps and nausea could be due to hormonal imbalance caused by the pill. White vaginal discharge with odor could be due to the vaginal infection. Pill increases the risk of the infection. I would suggest consulting the gynecologist and undergo vaginal swab test to confirm the infection. Infection requires antifungal/antibiotic suppository. Maintain proper pelvic hygiene by using V vaginal plus wash, wear pure cotton loose inner. Chat Doctor. Tablet metal spas for camphor next period can be earlier/delayed (1-2 week), with excessive bleeding. Hope this may help you Best regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I have small circular patches of skin on my palms and feet that are skin color except around the edges where they are white and look dry. The centers of the circle are open, like a blister without pus that has popped. I m not sure that what is on my hands is the same thing that is on my feet. The circles on my feet are slightly deeper, smaller, and far greater in number. If you know what this might be please let me know! Thank you.", "output": "Hi, you could be having a type of eczema known as pompholyx where one gets multiple tiny itchy deep-seated fluid filled blisters that at times lead to peeling of skin. These are usually seasonal and occurs over palm and soles and also alongside of fingers. You can apply a steroidal cream and a good moisturizing cream. However, remember the correct diagnosis can only be made after proper analysis of your skin. Hope that answers your query. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had extreme dental work in march. Ive had headaches and sinus issues ever since. In may I began to have shortness of breathe , pain under right shoulder blade and burning down my chest. My doctor gave me a steroid shot last week but my symptoms are still there.", "output": "Hi. Thanks for the query. Well, sinus related issues can occur after dental procedure in case if there is perforation of the sinus floor during the dental procedure. It can even happen in long-standing cases of dental Infection. Headache can be secondary to sinus Infection as there are large sinuses present behind eyes as well as forehead area. But the symptoms of shortness of breath, pain under shoulder and burning in chest is not related to these problems, so it is better to consult an Emergency room and get evaluated as it can be related to Cardiac issues. So it is better to get examined soon. Hope this helps. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doc, I am manisha ,My husband found many lumps in different parts of body, previously one lump was found in his right thigh, after that one in back and now there are many lumps in his stomach and chest region and the numbers are keep on increasing , the lumps are not painfull but sometimes he feel contraction, he is also suffering from severe gastric problem, I have visited him to different doctors like physcians, orthopedic but they said there is nothing to worry. plz elaborate this thing.", "output": "Hi, dairy have gone through your question. I can understand your concern. He may have multiple lipoma or neurofibroma. They are a common tumor with multiple lumps. Both are benign tumor. He should go for biopsy of one of the lump. It will give you exact diagnosis then he should take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Post root-canal by 10 days, still in a ton of pain with deep jaw ache, metal - chemical taste, more pain after eating. Have crown scheduled for 2 days from now but dont know if I should proceed with remaining problems from root canal. This root canal has taken place over the course of 8 weeks in 4 sessions due to calcification build up they injected a medicine and made me wait to finish it just a week ago Wed. Pain management is non-existent. Ortho wont prescribe any more pain meds. I am on my 2nd course of steriods and of antibiotics. This is causing me severe headaches, pain radiates into the ear and forehead, some throat issues, inability to sleep, etc.. What is the best course of action - go through with a crown, get it pulled or go back to ortho to get another assessment of the root canal job? I am sick of this nonsense.", "output": "Hellooo...read through your query.I must say that first don't get panic...pain after few weeks of root canal treatment is normal....it's because of the healing procedure.....and no dentist will do crown till your pain completely gets over.so don't worry about that...but be careful while u bite with that side(avoid biting with that side).metallic taste can be due to temporary filling getting disintegrating in saliva.so nothing to worry...in my view I suggest you to go to dentist take for a X-ray if there is any abscess beneath the root is present can be detected...and if nothing works only as a very last resort extraction have to be done...do salt water gargle regularly.....go to dentist...finish the treatment...be cool...be happy.happiness can do wonders for our minds...that's best medicine...hope your benefitted something from this reply.have a healthy day!!!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I took a very severe fall onto my shoulder 9 months ago, and believe I impinged a nerve. That resulted in pain in my shoulder that eminated down my arm into my funny bone , and on into my wrist/hand. It seemed to very slowly heal, although never disappeared completely. The other day, it seemed to come back to where it was many months ago. Will an impingement ever heal completely?.....does hot or cold therapy help?....should I have an MRI?", "output": "Hello! I read your question and understand your concern. I think your problems are related to a nerve Entrapment which is related to the trauma. If I were your doctor I would recommend an Electroneurography to examine the nerves of this arm and the place of entrapment. If a severe compression is found an MRI must be done, and it may need surgery. If a small compression, immobilization is helpful. Hot or cold procedures are not very helpful. I would recommend Gabapentin for the pain management and acetaminophen. Hope to have been helpful! Best wishes. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello,my son is about nine month old and had very high fever before two days, it was about 105, the doctors in the hospital reduced the fever and they discovered that he had a virus in his stomache. I am concerning now because my baby is not playfull as much as before and he sleeps more than before. Is there any risk or side effect might affect on him? or this is normal reflection in the recovery time.", "output": "Hi, it seems like your baby might be suffering from Acute gastroenteritis. Are there loose motions? If yes, the there is high possibility that child is deny Chat Doctor. Kindly take him to medical facultyDisclaimer\"This provisional advice provided by me stands subject to the patient undergoing a physical examination and is based entirely on inputs provided by patient/attendants. The patient is advised for physical examination at earliest\"" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doctor, My son is a doctor and he 36 years now. He had burping and tightness of the chest. Cardiologist did stress test and blood tests. Non sure indication of blockage. But suspicious and have decided to do angigram and said that if that is negative he wants to do MRI on the brain. What is the connection between chest tightness and brain MRI? The last 2 procedures are planned for next few days. Saravana", "output": "Thanks for your question on Chat Doctor. I can understand your sons situation and problem. I don't find any relevant connection between chest tightness and brain pathology. By his history and description, possibility of HERD (gastroesophageal reflux disease) is more. It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms of Central burning chest pain, burping, chest tightness, pressure etc. Better to rule out cardiac diseases first. So no harm in doing Angiography. But before MRI brain, discuss with doctors about possibility of HERD. He may improve with proton pump inhibitors and prokinetic Chat Doctor. Ask him to avoid stress and tension. Avoid hot and spicy food. Don't worry, he will be alright. Hope I have solved your query. Wishing good health to your son. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Yes I have been to 2pulmonary doctors, a eye, ear and nose doctor, and an asthma/allergie doctor. I also go to an oncologist. None of them have helped me. I cough all the time. Sometimes I cough till I choke and can t breath. After a really bad spell I have trouble breathing for awhile. I also have trouble breathing when I do normal activities. I m tired most of the time. Do you have any suggestions as to what might be wrong with me?", "output": "Breathlessness on doing normal activities may in fact go in favor of cardiac issues. There is a condition called CCF, congestive cardiac failure. Basically the blood is pumped out less from the heart to the body, and also some may be getting filled in the lungs. The best way is to get an echocardiography done to confirm the diagnosis. If proven accurate, the diagnosis will warrant initiation of diuretics that may help you Best of luck Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Male, 17-I have a small, slightly painful lump between my inner thigh and groin area, under the scrotum, to the right and slightly beneath my right testicle. It is not visible to the naked eye and I sometimes have trouble finding it but i can definitely feel it below the skin. It was definitely not there before and Im not sure as to what I should do, as there appears to be nothing visibly wrong.", "output": "Hi, If it is a small lesion, it could be secondary to sweat. It is called as a carbuncle. It slowly increases in size, might become painful and ruptures. Keeping the area Chat Doctor. Whenever it ruptures, wash it cleanly as it could spread to surrounding areas. Take NSAID painkillers if you have pain. An antibiotic cream can be used for local application. If you have any further queries, happy to help again" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi am 29yrs old and am married for 2years and we are planing for children we underwent all routine checkups and everything came out that we are fine but still not able to conceive and am advised to take fertyl tablets from my second day of mensurable cycle", "output": "Hello routine tests for wife and husband are normal. I do agree with you. But fertility or conception or pregnancy require certain parameters as maturation of follicle, rupture of dominant follicle, release of ovum, entry of ovum into fallopian tube. After this meeting of sperm in fallopian tube, fertilization of ovum and sperm. Implantation of fertilized ovum in endometrium (at least 11 mm of thickness require for successful implantation) . So ferry i.e. clomefene is uses in ovulatory infertility. It helps in maturation of follicle and maturation of ovum and release of ovum. So deal as I mentioned above." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have been unwell the past 2.5 Years with debilitating anxeity, tremors, headaches , ringing in ears, abdominal pain etc... My Gp said it was stress put me on Xanax and antidepressants and I got worse and worse..... Got a new Gp now and I have had tonnes of bloods taken, Cts, MRI s. And have found. (ESS) on MRI with defect in diaphragm of sella. Low testosterone 7.7nmol really low LH,FSH Been on testosterone for the past 2 months I do feel a bit better but there is something still not right??? Could it be pheochromocytoma? I feel like shit and I have had to move back with my parents away from my wife and kids. Any help will be appreciated :) Justin", "output": "Hi, Hormonal imbalance frequently lead to depression and anxiety. In such cases treatment of cause become more important rather than treating only anxiety symptoms. That is why you are responding to treatment. In pheochromocytoma BP used to remain very high. Possibility that the patients has pheochromocytoma can be rule out by measuring 5-HIAA excretion in urine. I hope this information has been both informative and helpful for you. Wish you Good Health. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband had a weeping rash near his groin in the crevice between his thigh and stomach. it is hot and extends around his hip in a band about 4 inches in diameter . it is only weeping and rash-like in the crease. The rest is hot and inflamed. We were at a football game on the weekend and he used a portapotty there. But we have been home for 10 days in our own beds. could this be a spider bite or a bed bug. None of us has experienced itching or bite like symptoms. He has felt a little under the weather with flue like symptoms the last few days. He said this started on Wed. but never showed my until last night. I am very worried. He is on metformin only. Generally very healthy and 71 years old. XXXX", "output": "Hello, Welcome to Ask a doctor services. I have read your query. It looks like your husband is suffering from fungal infection. Fungus grows easily in sweaty, moist skin. Since you were in football game, he got it (due to moist/sweaty) skin. He should take shower, pat himself Chat Doctor. Wear cotton clothes. He needs to take a course of oral fluconazole and apply clotrimazole cream in the affected areas. He can take a course of non sedating antihistamines. It should go away in 3-5 days. However, you are suggested to get it clinically examined by a dermatologist. Hope I have answered your query. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 37 year old life long athlete: soccer, endurance running(marathons ++), swimming, TRIs,... I have had my second toe, right foot joint replaced and bunion removed. My 3rd & 4th toes on my right foot are very calloused and painful. I get sharp pain in the toes or top of foot area of the 3rd & 4th toes. The top tip of my 2nd toe on my left foot is very tender and painful. It is tan in center, reddish purple and seems to be spreading. The toe had been numb and tingly for a while but now the tip is just very painful. I almost never wear shoes and when I do I never wear tight shoes or heals. In years past I wore very tight fitting soccer boots.", "output": "Hi, It seems with your symptoms things are not good, I believe there is a compromise in Blood circulation, and it may go for necrosis, protective measure you can wear a soft shoe but if there is no open wound please use Contrast bath i.e., hot and cold alternatively water immersion. Never go for freezing or extreme Hot water immersion. Hope I have answered your query. Let me know if I can assist you further. Sunny Anand, Physical Therapist or Physiotherapist" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Respected sir, As per above subject, for last couple of months I am suffering from knee joint, Pam joint, Shoulder joint & Back ache. Mr.Doctor has don C-Reactive protein, RA test, blood sugar test & x-ray for spondylitis but everything is normal. One of my friend from Goa has suggested me to use your product name as CALCIMAX-500. Please let me know how it will help me & come out of the problem. Also please let me know the supplier At & Post-Lonand,Dist-Satara,State-Maharashtra Hope you will revert back as soon as possible. Thx & Regards, Shoeb Mulla", "output": "Hello, It looks that you are suffering from polyarthralgia. There are various reasons behind that most common reason is deficiency of calcium, vitamin D and B12. Other disorders like thyroid problem, liver disorders can also lead to this problem. As asked by you about CLIMAX 500. This is a calcium preparation. If you ask about other calcium preparation from a good company from your pharmacist then it will also help in same way. You may ask from your local pharmacist about similar preparation. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Can a Dr. tell if I m one month pregnant or two when i go for my first visit? On April 5th I had a slip up and i ended up taking the Plan B pill within 3 days. I got my period on April 17th, it was a little early, but it was a normal period, normal cramps. Then on April 30th it happened again, only this time i did not take the Plan B pill. Yesterday, May 21st I took a pregnancy test because i did not get my period and it came back positive.Is this pregnancy definitely from the most recent incident? Or is it possible that it was from the fist incident even though i took the plan B Pill and got my period? Will my Dr. be able to tell if I m one month or two by testing my Hormone levels? Please help!", "output": "Hi there, It is definitely from the recent incident that you are pregnant, that would mean that you are one month pregnant. If you want to be sure, do a urine pregnancy test as this will tell you how many weeks pregnant you are accurately. Ultrasound in early pregnancy is very accurate and can say for sure with a margin of just one week. And it is more reliable than the last menstrual period to tell about the expected date of delivery. So get an ultrasound done as soon as possible. Hope this helps. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "It all started, having muscle ache in my uper right arm last fall than came down to my thigh than to my pass my knee, every night my leg is aching. I also can t climb stairs like I used to ,I m afraid I will fall ,the strenght is not there, I have to pull myself up.I dearly hope I don t lose my ability to ..walk and dance which I dearly love.I m scared", "output": "Hi, I understood your question and I will try to help you. If I were your treating doctor I will reassure you. These symptoms may be transient constitutional symptoms due to any other problem like flu any organism. Generalized muscular pain also may be fibromyalgia. I advise you to receive muscle relaxant and NSAID Chat Doctor. I suggest you to do certain investigation Rheumatoid factor, ESR, ANA, CRP and CBC." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 3-year old daughter has been having recurrent fevers about every 2-3 weeks for about a year now. These fevers last about 3-4 days ranging from 101-104. She has had blood tests, urine tests, x-rays, cystogram, ultrasounds and there is still no answer...", "output": "Hello, If such a similar case comes to my old I would suggest as all reports seems to b normal there is nothing to worry. Some kids may have less immunity and can catch diseases quite easily. Maybe this can be due to the weather change. As its reducing and being under control in 3-4 days there is nothing to be worried off. Hope she will soon develop immunity, and it happens less. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doc,My mom is feeling sick for past 3 days. She is shivering like anything. Once the shivering start within few minutes her temperature is getting higher.Doctors over here were guessed, (not diagnosed) may be this is because of dengue. without any test they started giving tablets and injection for dengue.", "output": "Hi thanks for asking question. For confirmation of dengue IG M detection along with CBC for platelet count done. CBC for MP also done to rule put malaria. Rapid card detection also can be used for malaria diagnosis. If CBC showing leukocytosis with high neutrophil count then bacterial infection is the cause. If lymphocytes present viral etiology is there. For viral fever symptomatic management done. For bacterial infection antibiotic needed. Maintain HY Chat Doctor. Take fruit juice in between. Mostly these will help in proper diagnosis of your condition. Still query then ready to help you.Don't worry. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "dr my hubby is suffering from jaundice his serum bilirubin 1.5mg/dl,{total} , SGOT 53 U/L ,SGPT {67} IS HE IN an initial stage? cud u tell me wat shall i provide him in his diet? wen and at wat wat tym? he is feeling weakness n he has lost his apitite lyk before. wat shall i giv him so dat his apetite increases lyk before? he doznt hav any other symptoms xcept weakness and less apitite plz suggest.", "output": "Hello,First he should get further testing to figure out the etiology of his abnormal liver tests. He should get tested for viral hepatitis, autoimmune liver disease, etc. by blood tests. He should also get a liver ultrasound to check if he has fatty liver or stones in the bile ducts. If he Chat Doctor. There is no magic diet to decrease the liver enzymes. If he has fatty liver disease then he should eat a regular and balanced diet, low in fat. He should definitely get follow up with a liver specialist or gastroenterologist." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My eleven year old daughter has asthma and was on 20 mg of liquid steroid each day for five days/doses from 1/26-1/29. On 1/31 I took her back to the doctor and she repeated the steroids for a week but increased the dosage to 60mg/60mg/60mg/40mg/40mg/20mg/20mg and included two weeks of antibiotics. I m now concerned about her liver/kidney function and at this point I don t plan on going back to the prescribing doctor in reference to asthma issues. I read in Prescription for Nutritional Healing that wheezing can persist up to a month and my sister read that she was treated for acute asthma. How is acute asthma determined? Do you have an excellent referral to a asthma/allergy doctor who integrates immune support through appropriate supplementation? I am residing on Eastern Long Island and I don t mind traveling into the city. A NP/nutritionist could also address immune/allergy/asthma support.", "output": "If the child is still on steroids u can taper the dose and gradually stop, as far as asthma is concerned u can give her nebulization with low dose of bronchodilators, encourage her by doing some breathing exercises, acute asthma is what we say patient is in status asthmatics, in that case to get back normal breathing patient requires oxygen, since your daughter is already on steroid, give her cyclone 10\u00a0mg tab thrice a day for a week, followed by twice a day for a week, once a day for next week and one tab alternate days for a week and stop, keep a nebulizer at home, add Stalin res pules and give nebulization twice a day for one week, if she has productive cough, give her Ambrosia syrup 10ml twice a day after food for a week and taxi tab 200\u00a0mg twice a day for one week" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am 37 year old male having a stone in gallbladder 7 month back ultrasound shows 9 mm size now its 13 to 14 mm some times having discomfurt when my stomach is empty & its feels like having some thing that side it is formed by colestrol it is not giving hard pain or any big problem any suggestion & diet recommendation thnx", "output": "Hello Gall bladder calculus need surgical removal. It may be asymptomatic or causes mild symptoms in some patients. Since you have diagnosed gall bladder calculus, you should get rid of it. Gall bladder calculus may cause obstruction and infection which may cause emergency, so it is advised to get rid of it. It may also be cancerous if it is retained for prolong period.Nowadays, gall bladder calculus is removed microscopically and recovery is very fast by this method. You should also avoid saturated fat. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi this is priyanka....i want to ask you that whether i really need a psychaitrist??? recently my friend told me that i behave very weirdly after i lost my mother few months ago....i keep on crying all the time,i cant sleep properly...i have deviated from my studies,i always need my best friends suppoet,i have become over over possessive for her....are all these things syptoms of depression????", "output": "Hi! Thanks for consulting with Chat Doctor. The symptoms which you have described in your post are consistent with Grief/Bereavement after the loss of your mother. Grief can commonly mimic symptoms of depressive episodes (sleep disturbances, guilt, loss of energy, concentration, and appetite changes), and may even progress to Major Depressive disorder if it lasts several more months. Although it is normal to bereave up to 2 months, grief affects each person differently. I would recommend undergoing grief counselling or seeing a psychiatrist if your symptoms persist; They will be able to help you cope with your loss. Medication is usually not prescribed for grief, however it becomes an option if your symptoms progress to depression. I hope this helps and do not hesitate to ask if you have any questions. Take care," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor, My Name is Unnikrishnan. Recently I had a chest pain and when consulted a cardiologist, doctorr told me its due to muscular pain. But in my LFT, SGOT and SGPT levels are very high.I dont drink. I took USG of abdomen and it suggested mild fatty liver. How can I overcome this?", "output": "HelloFatty changes in liver(fatty liver)may be due to many causes like obesity, sedentary life, hepatitis,altered lipid profile, metabolic disorder etc. Raised GOT and SGPT may be due to fatty liver. Fat may cause injury to liver cells. Fatty liver is due to deposition of fat within the liver cells. Fatty liver is a reversible condition.It is usually reverses with treatment of underlying cause. You may need investigations like routine hologram, viral markers, complete liver function test, random blood sugar, lipid profile. You should avoid saturated fat and go for brisk walk regularly. I suggest taking tablet ursodeoxychloic acid tablet 300 mg twice daily for three months. It will correct elevated liver enzymes. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I got pinned under an 800 pound air compressor and it hit my knee cap. I have like a tumor on the plate bellow my knee cap that s pushing my knee cap over to the right. I have pain like sharp pain shooting down my shin and the back of my leg. It bent my knee backwards about 6 . What could it be or what do I do?", "output": "Hello, Welcome, and thanks for sharing your concern I went through your query, and I feel, the main concern we need to discuss here is, if the episode of weight on your knee has caused any damage, the damage could well be1 Bony2 Ligamentous need to get screened for this and what you will require is a 1 X-Ray of the knee joint2 MRI of the knee joint. These will make it clear if you have done any internal damage to the knee and the treatment will depend on accordingly. I hope my advice would have been useful, in decision-making regarding your treatment, still if you have any clarifications or doubts feel free to contact back. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi im 30 weeks pregnant and have got strep group B for the past few nights i have not been able to sleep also since last night i have been getting shooting pains in my anal area and pains in my lower belly and i find i have to pant when i go to the toilet. please help lisa", "output": "Hello, I have gone through your query and understood the concern. Your symptoms suggest possibilities like passing hard stool, descent of the presenting part, irritability of the uterus perhaps exacerbated by the infection or some vaginitis/cervices. In the current scenario, I would suggest a complete assessment of the situation by your consultant to plan further management. Please see that you do not pass hard stool. Take adequate liquids, plenty of fresh fruit and vegetables and rest, preferably in the left lateral position. Wish you safe motherhood." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "25 year old Female who smoked for two years, i quit about a week and a half ago. I have mild asthma but smoking never bothered it. Now I have wheezing and shortness of breath but havent had a cigarette since I quit. I never had these symptoms while smoking. whats causing this?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. You are mostly having acute e of asthma. And most common cause for this is viral infection. Smokers tend to have weak lung defense. So they are prone for respiratory tract infection. You have smoked for 2 years, so your lung defense must be weak. You are also having asthma. So worsening of asthma is likely in your case. So better to consult pulmonologist and get done clinical examination of respiratory system, chest x-ray and PFT (Pulmonary Function Test). Chest x-ray is needed to rule out lung infection. PFT will tell you about severity of the disease. And treatment of asthma is based on severity only. You may need antibiotics, antihistamines, anti-inflammatory, inhaled bronchodilators and inhaled corticosteroid (ICS). Don't start smoking again. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I FELL AND FRACTURED MY HUMERUS BONE, THE CT SCAN SHOWS 4 BREAKS. THE BREAKS DID NOT GO INTO THE JOINT, (BALL AND SOCKET) BUT THEY ARE RIGHT AT THE TOP WHERE THE BONE JOINS THE ROTOR CUFF. THE DR STRONGLY RECOMENDS SURGERY TO PUT IN A TITANIUM PLATE AND SCREWS TO ENABLE BETTER HEALING. HE SAYS IT WILL HEAL WITHOUT THE SURGERY BUT THE CHANCES OF RECOVERING FULL RANGE OF MOTION IS MUCH LESS WITHOUT SURGERY.", "output": "your doctor has a correct evaluation, upper end four part fractures require internal fixation. Depending on age group, and condition of bone (whether osteoporosis and old age) nature of surgery and modality is decided. Inolder age group a reverse shoulder joint replacement or shoulder replacement is done if rotator function is good, especially the latter surgery method, if it is weak then reverse one is done. In younger healthier subjects, titanium screw plating is done after accurately positioning the fracture parts, Some surgeons use a long plate with more than 5 screws for additional strength. Results are good and satisfactory. But assessment of rotator cuff strength prior to surgery is a must to decide, which your surgeon has already proposed Best wishes" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had 3 teeth extracted the other day by a horrible dentist with Aspen dental - I went to a new dentist yesterday who prescribed to me antibiotics which the other dentist never did... I have a low grade fever, and some discomfort, headache but worst of all my legs and arms ache... I kept telling the first dentist that I could feel bad pain when he was taking the teeth out but he kept on going... my legs and arms were all over the place since I was in such pain and I tensed up pretty badly... I am worried and my new dentist is great but worried about the leg and arm pains... Not sure what it is?", "output": "Thanks for using Chat Doctor. Read your query. It is sad to hear of your tough time with the dentist, and feels equally good that you are in better hands now. I would advise you to continue the medication as prescribed. Generalised arms and legs pain is an uncommon condition after tooth removal, though a slight rise in temp can be expected. The stress which you have undergone with the procedure could have created such a panic situation for you, just relax and rest well, and it will reduce in its own. If you have any general issues which is not being mentioned here, which can be the cause of pain, please get it checked with your GP doctor. Hope this was useful. Thanks and regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "day from LMP: 12th dayMultiple small follicles in both ovaries (4 - 6 mm.)from the past one year irregular periodsam i still capable of conceiving, if possibles which day follicle matures n ruptures since follicle size is 6mm. on 12th day of menstrual cycle ?", "output": "Hi, Welcome to Chat Doctor forum. You have irregular periods, since one year. If the cause is the P.C.O.S, it is better to get it treated for good conception. For a woman with regularly irregular periods means every 20 days, or 35 days etc., the day of the ovulation is 14 days prior to the previous period. For irregularly irregular periods, means one month 25 days and next month 40 days we can't predict. As the follicle size is 6\u00a0mm you can conceive provided you have medicine for ovulation, and have sex the following 2 days. So I advise you to consult a gynecologist for diagnosis and treatment. Wishing for a quick and complete recovery. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My twenty eight year old son... who has been doing a very hard work out for about 3 weeks now was very sore across both of his pecs. He then played about 4 hard games of ping ball. He called me this morning and said he had discoverd a bump under his right nipple that was about the size of a quarter. He said it was sore when he pressed on it. I am a concerned Mom.", "output": "Hi, Welcome to Chat Doctor. By the query data, You seem to have Gynecomastia with mastodon. This occurs due to the pubertal changes usually. But in your sons' case who is 28 yrs old, the case is little late and hence needs to be worked for any hormonal abnormality of low testosterone levels. I would suggest Second Opinion with Surgeon and its urgent treatment after investigating its cause. This would help you to plan treatment with your doctor. Hit thanks if convinced. Will appreciate Premium query for further inquiry. Chat Doctor. S. Genl-CVTS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m a former smoker( I quit March 2013) who is now experiencing breathing problems. I have a nebulizer that I use, it has not helped. My (R) lymphnode in my neck keeps swelling and my heart keeps beating fast and slow without doing any activity, and I ve been having these symptoms for about a month. What do you think?", "output": "Thanks for your question on Chat Doctor. In my opinion you should get done chest x-ray immediately. Since you are smoker and worsening of breathing even after nebulization suggest1. Infection2. Malignancy causing collapse of lung. Chances of malignant lesion are high as you are also having enlarging cervical lymph node on right side. This can be a malignant lymph node due to spread from lung primary. So Fine Needed Aspiration Cytology (FNAC) is needed from lymph node. So get done chest x-ray and FNAC." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i m 29 years old man and i have problem with sex the problem is in normal time my penis stand properly but when i want to do sex with girls it does not stand and some water comes in my penis and it is difficult to stand ...because of this my sex activity is become weak..so can u tell me a...", "output": "Thanks for asking in Chat Doctor forum I understand your concern. Do not worry, it may be due to performance anxiety. If you are getting normal erection during sex and early morning you are normal. You just need practice and patience. And the fluid whicChatDoctores before ejaculation is called pre-cum and is completely normal and helps in lubrication during sexual activity. So, be cool and if possible visit a psychiatrist for counselling on sexual intercourse. All the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I ve had a persistent cough for 8 months now. My doctor prescribed me an inhaler (bero something), which did not work. Now I am getting what feels like bubbles popping in my lower right lung. I am otherwise a fairly healthy 23 year old. Any thoughts on what it could be?", "output": "Hi, Welcome to Chat Doctor, Coming to your question it seems you have two different symptoms First is Chronic Cough for 8 months now and Bubbling sensation in lower Right chest. For chronic cough it would b worthwhile if you gt done High resolution CT Scan (HRCT) of chest because you have been using inhaler and that's not helping you. Secondly bubbling sensation can because of Chilladitti syn Chat Doctor. Also if u have allergy and repeated cough and cold then that can also because of your prolong cough just get yourself examined by ENT." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I went to see a new dentist because I was having issues with my old and well I figured out the old dentist had placed aluminum crowns in my mouth not stainless steel as what I had actually paid for. The new dentist had told me that aluminum is not used in adult mouths anymore. It is strictly only used for baby teeth. My question is, is that true and if so where can I find that specific information? I have been trying to find that forever onlin", "output": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns... As per your complaint it is very true that Aluminum crown are not used and the material commonly used in dental materials is an alloy containing Nickel, Cobalt and Chromium and in case if Aluminum is used it is not a correct practice. The other thing is that in crown made for kids also Aluminum is hardly used and commonly Stainless steel crowns or the similar alloy used for adults is used. As now, you are trying to get the crown replaced better get it fabricated by some trustworthy dentist who can get it fabricated using the correct material which will have a longer life and does not have any deleterious effect on dental tissues[both soft tissues and hard structure]. Hope this information helps. If you find the answer helpful please give me a Five-Star Review and click on found the answer helpful as a token of appreciation. Thanks and regards. Chat Doctor. ." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi ..i am a female of 34 years with 4 kids my height in 5.7 nd weight is 70 kg...i was diagnosed with pulmonary embolism with a small clot in one of my lung..i am on warfarin for the last seven months....my inr levels r not much settld....dose is adjusted after every one week....now for the last 15 days i am having chest pains...palpitations sp while sleeping ..echo was done in which right ventricle is mildly enlarged wth border line report....docter has given me delaware 6.25 mg nn valtac of 40 mg per night...at times i fl very restless specially while sleping fl as if somthing is moving in the chest...any precautions and diet you suggst....i have problem also when i eat ..at times get berathless", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Anticoagulant Chat Doctor. So better to avoid hot and spicy food at night. Avoid large meals in the dinner. Go for walking after meals. Keep 2-3 pillows under head in bed to prevent acid reflux. Continue Valley (antacid). Avoid stress and tension, be relaxed and calm. If symptoms continue despite all these then get done CT pulmonary angiography to rule out worsening pulmonary embolism. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have a son living with us for the last 2 years with a history multiple concussions, 37, chronic pain from unresolved injuries, hx of drug and ETOH abuse, unable to find work (IT). I am having difficulty getting him the mental health care he needs on medicaid. He does not sleep, except when he falls over from exhaustion. He has delusions and mental dullness, does not know what he is doing from day to day and cannot even complete simple tasks like laundry or a phone call. We just relocated to AZ and have limited resources in retirement. Any suggestions?", "output": "Hi there, I have read your query and understand your concern. After reading your history I can say that your son definitely requires psychological intervention. Repeated and multiple concussions can lead to a psychosis and requires low dose antipsychotics. For sleep, he can be started on diazepam which will give him good sleep. If I were your psychiatrist I would have started him on risperidone 1\u00a0mg and diazepam 5\u00a0mg" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I keep getting occasional sharp pains In my lower right side (appendix area) its been happening for a few weeks now, Im 15, and its only constant occasional pains, iv read symptoms of appendicitis by Im not vomiting or anything, its just a really uncomfortable cramping/pain feeling? Could this be appendicitis? If so what shall I do?", "output": "Hi, Thanks for using Chat Doctor. Cramping pain in right side need not always from appendix, Get USG abdomen done to check for any kidney stones or gall bladder stones. Your pain could be due to increased intestinal movements. Consult your doctor for examination and management. Hope I answered your question. Feel free to ask me if you have any further queries. Wish you good health. Take care. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my husband is bleeding under skin .He just has to rub against something and it comes up like a big purple mark .He has a new one inside arm .He says he didnt brush anything .He is 69 years old and been told old age .He has had lung cancer most left lung removed on sertide and asmol spray It seems more than old age what do you think thanks", "output": "Thanks for your question on Chat Doctor. In my opinion you should consult dermatologist and get done detailed clinical examination of skin lesion. As many cancers can involve cutaneous vessels and cause bleeding. Lung cancer is most common cause in this. Especially small cell carcinoma of lung. So chances of cutaneous vessels' involvement are more by tumor. So better to consult dermatologist and if needed biopsy of the lesion is also recommended." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, in the last two days i have developed two small (2mm) white blisters under my foreskin, they have caused a slight internal swelling of the foreskin and as a result small pain/sensitivity when retracting the foreskin or on contact. I have had unprotected oral and vaginal sex within the last week. Also I have had flu like symptoms unsure whether or not this could be related; aches and pains, sneezing, excess mucous etc. I would appreciate if you could help diagnose what these could be, and possible treatments. Thank you, Dave", "output": "Hi, I have gone through your query. The Symptoms and history you have mentioned, are suggestive of herpes genitalia which is a most common sexually transmitted infection. In my patients with herpes I prescribe them Antiviral like tab acyclovir to hasten up the recovery, NSAIDs like ibuprofen for pain, anti-allergic medicine like Levi cetirizine for relief from Itch or allergy. Do consider positive feedback as a credit to my work. Let me know if you have any further questions." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "off and on pain , usually last s about a week or less.. always on my left lower far back side of my mouth .. I don t see any inflammation but it hurts to touch my lower far back gums on that side. It started up about 4 months ago. also I don t have any wisdom teeth(removed 4 years ago) Any idea s? Thank you for your time.", "output": "Hello, as you said you do not have any wisdom tooth, all of them has been removed, still you have on and off pain in that area since 4 months.I will suggest you please go to a specialist(oral surgeon0,and go for complete examination done including x-rays., and please follow all the given instructions properly. You did not say that this pain started after specific food like sweets or hot /cold etc...please give the proper detail to your dentist and go to dentist as soon as possible. Nothing to get worried. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I found a weird lump under my are its under the skin and its long and soft..( it feels almost like when a man pumps up his arm veins) Its not painful and I have already taken antibiotics to rule out infection...I have an appointment with a surgeon in a few days but after reading articles on the internet Im freaked out about HIV...Also the lump is toward the side of my armpit closer to my chest", "output": "Hi, Dear I studied your query in all it details and I understood your concerns. Cause -On the facts given from you, I would advise you to have Consultation from ER Surgeon as very confusing data from your query needs a lot more information by clinical examination. Still on whatever limited facts given from you, and with my experience My opinion is as follows-The weird lump appears to by long cystic as it is just like a pumped arm vein, more on the chest side than on the armpit side / antibiotics are not effective in reducing it-such a LUMP mostly would be -Sebaceous Cyst/ Or a Cystic aroma?USG would fix the cause of the lump. But don't worry It's definitely not cancerous, from the facts given from you. Plz hit thanks and write excellent Reviews if this would resolve your query. Plz don't worry and do Welcome for any further query in this regard to me. Have a Good Day. Chat Doctor. N." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. Looking for suggestions on how to increase our odds for pregnancy. Husband has been told has a varicose vein vein in scrotum that may be interfering with sperm temps. We do not have the money for expensive surgeries. Anything we can do at home to better our chances?", "output": "Hello mam thanks for trusting Chat Doctor doctors for your health related queries.I guess your concern is how to increase chances of pregnancy....well mam first n foremost I want to tell u that surgery for varicose vein of scrotum won't be as expensive as u have imagined.....don't worry every problem has a solution... I would like to focus u on interfertile PERIOD,it starts from 10th-16th day of menses...here ovum is released into uterus n meets sperm,n women gets pregnant....shortly also called ovulation....so if u increase the episodes of intercourse during this time then chances of pregnancy will be naturally doubled!!!!with above small discussion u can try out my suggestions:-1.have patience .things will settle down.2.I insist u n your husband to have sex during fertile period(scientific mean already told ABV)...try this for next 3-4 months.hopefully u get result.3.is still no results, as the cause is known- u get operation done for husband....if financial crisis is the concern u can get admitted into government hospital....but usually people believe that gov host is unhygienic,n had to wait for a long time...it's true, bt may not be same everywhere....success rate of operation depends on experience of surgeon rather than to say gov/private host...I hope this was informative enough, helpful n useful for your query.regards: Chat Doctor. .(I pray god that u get blessed with cute baby as soon as possible, hopefully TWINS!!!!!!!)" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im 27 5ft 5 and 7st 10. I was exercising (pilates) and as i stretched i had the urge to cough and there was phlem with blood in it. I have had radiotherapy in the past could it be a weak area in my chest caused by the treatment and i over did the exercise?", "output": "Hi, Thanks for writing in. It will be important to know why you were given radiotherapy treatment earlier. If this was for a cancer in head and neck or chest region then repeat detailed evaluation with CT scan or MRI scan is required. It is possible that your cancer might have had a recurrence if you have recovered from cancer recently. Another possibility is that your immunity is low after taking the radiotherapy, and therefore you might get infections easily. There are many infections which will not affect the normal adult at your age but those having a low immunity might develop these infections and its complications. Please have your chest and throat evaluated in detail by your doctor and also get CT scan or MRI scan to investigate the origin of blood in the phlegm. Exercise rarely can cause this problem. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My father has undergone AVR in 2011 and it was successful. But now he is suffering from breathlessness. I had a talk with the doctor who has done the AVR process. He told me as my father was a chain smoker he got some problem in his lungs. However my father gave up his smoking habits around 10 years back.please give me some suggestion.", "output": "Thanks for your question on Chat Doctor. In my opinion we need to rule out cardiac and respiratory causes for your fat fathers breathlessness. Since he was chain smoker we need to rule out COPD (Chronic Obstructive Pulmonary Disease). So get done chest x-ray and PFT (PULMONARY FUNCTION TEST) to rule out COPD. If both are normal, then get done 2D Echo to rule out cardiac cause. As he is having aortic valve surgery, possibility of complication related to valve can be there. So consult your doctor and discuss all these." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a cold now which it has been about a week now started up aching all over then could not breath all stuffed up then coughing to a point that I would be up all nite coughing until I throw up, Now I have lost my voiceand it has been four days now what should I do.", "output": "Respected user, hi I evaluated your query thoroughly.* According to your narration, it is respiratory tract infection with lung congestion giving rise to above-mentioned symptoms.* Highly recommended getting physical examination by the Physician to get early better recovery, till then you should-maintain HY Chat Doctor. Welcome for any further assistance. Thanks for using Chat Doctor .com & giving us an opportunity to assistWishing you fine recovery from the same. Regards dear take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI! My 2 yr old son had terrible diarhea for over a week. Took him to dr., and after examintion said he has bad strep infection. He took Moxypen for 7 dys. Yesterday returned to Dr. to check throat agin to make sure that the infection cleared. Dr. said that my son s tonsils are very swollen with blood vessels. He prescribed azithromycin for 3 days. What can this be? Should me son be taking so many antibiotics?", "output": "Hello understand your concern. If I were your sons treating doctor, I would have first done a throat swab culture and rapid streptococcal test. We will know if the swelling of tonsils is caused by bacteria or virus. Did your doctor confirm by doing some test that he have strep infection? Did your son vomit anything? If you have further questions, kindly ask us again. Wishing your child good healthChatDoctor" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 11 month of boy started having loosemotions since28 th jan , 3 to 4 times a day also he developed cough, I waited for a week and then went thi my pediatrician , he gave us ZIFI ND TEDYKOF for 5 days . But after i started the medicine the cough has become productive cough. Should the cough syrup be changed accordingly?", "output": "Hi, I have gone through your question and understand your concerns, Congestion/wheezing/productive cough, commonly occurs after attack of cough, it is more common in allergic babies. You need to add medicines like albuterol for these types of cough and cough suppressants need to be avoided. You can discuss this with your doctor. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questionsWishing your son a speedy recovery. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a stress test last sunday, below were the findings: left posterior hemiblock, intraventricular conduction defect, right axis deviation, sinus arrhythmia and insignifican ST-T changes. What do you mean by these? my email addresses are: YYYY@YYYY and YYYY@YYYY", "output": "Sinus arrhythmia means that heart beats rapidly and irregularly. Right Axis Deviation means tilting of electrical axis of heart to right when left half heart is affected as in your condition. During stress test, your heart could not cope up to meet the exercise demands. Here, heart has difficulty in conducting the impulse generated. Kindly consult cardiologist to rule out mechanical defect in heart by ECHO." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "im having pain in a gland when i turn my head a certain way n tender to touch on the left side of my neck just under the jaw and feelin a lil bit like a possible ear ach will be coming .but mostly feels like a lump in the neck n tender to touch or move neck while driving n turning head .", "output": "Welcome to Chat Doctor. 1. Lump below the jaw area - possible causes could be sail-adenitis (dilated salivary glands due to distal obstruction) or inflammatory cause.2. Next possible thing is sub mandibular gland, and finally lymph nodal enlargement.3. And other possible cause could be infected abscess or lesion.4. Ultrasound neck will help to assess the cause - that will tell the nature of the lesion its source and extension.5. An FNAC - fine needle aspiration cytology could be taken if it's a mass lesion for identification of the cells.6. As a remedy muscle relaxant cream can be applied. Rest treatment will be better after evaluating the cause. Good luck. Hope I have answered your query.Anything to ask do not hesitate. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i,m 24 yr male, suffering from Sour eructations,heart burn and GERD .suggest me treatment", "output": "Hi, Welcome to Chat Doctor forum, The best way to solve your problem is healthy lifestyle habits as follows: Eat in proper timing. Don't leave too long gap between your food, keep snacking. Avoid junk food and beverages. Eat less spicy and oily food. Chat Doctor. Only 2 cups of coffee/tea per day. Go for 30-40 mins walking every day. Avoid alcohol. Avoid unnecessary medications. Last but not the least, relax, stress the most common cause for your problem. Hope I have answered your question. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a itchy rash that started with a small itchy spot on my face near my eye. I had some spots on my stomach, butt, and waist. They are not filled with fluid. I was treated with antiviral and steriod pills. The swelling and rash on my face went away, however, it returned a month later near my eye, lip, and stomach. I am once again on antiviral meds and predisone but I continue to scratch.", "output": "Hi Dear, Understanding your concern. As per your query you have symptoms of itchy rash near eye, lip and stomach which seems to be due to angioedema and because of herpes simplex virus infection as it attacks once immunity of body is poor. Need not worry. I would suggest you to visit dermatologist or oral physician once and get it examined properly. Go for skin allergy testing to find proper diagnosis. Start with antiviral and steroid eye Chat Doctor. Take multivitamin tablet rich in vitamin B12. Apply lip balm to keep it moisturized always. Apply Viral ointment on these rashes and " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "earlies I have sperm release after every 15 days during night while dreaming. ..I consult 2 the dr and take the med....but after some time nw again it start after releasing sperm after 15 days while morning sleep....and whn I ejaculate there is pain after that for sometime...how can I cure thz", "output": "HelloThanks for your query, based on the facts that you have posted it appears that you are facing problem of night emission. Please note that it is very common to get night emission at the age of adolescence and there is nothing to be worried about it. It gets resolved without any treatment over a period of 1-2 years. As regards pain in penis after ejaculation, it is due to congestion of penis during erection and ejaculation. This fades away within 1 hour after ejaculation and does not need any treatment. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor, last month i had suffered from liver abscess i consult the doctor he said that there is a small hole in the liver and puss has been formed and it is due to alcoholic & smoking so he told to take some antibiotic tablets for 1 month and i have continued it , is there will be any problem in my future life,so how can i avoid this please suggest me!", "output": "Hi thanks for asking question. Let me know you if you will continue with smoking and alcohol then you are at high risk for liver disease. As far as abscess concerned you have taken antibiotic for one month. Now repeat the USG or x-ray to see whether it has resolved or not. If it is still there and looks like bacterial then it has to be Chat Doctor. If it is resolved then it will not lead much problem letter on life. But for that alcohol and smoke stopped. Rule out diabetes also as it can be related to abscess. Take low fat diet for few days. Maintain your BMI ideally. Fruits taken more. I hope your concern solved." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i m 28 year old female. my gums have started bleeding from last 3 weeks. i disd start using medicated toothpaste for bleeding gums- emoform. but now my gums have blackened and are swelling. i do feel a lot of pain sometimes. and brushing my teeth has become a painful exercise for last one week. last 3 weelks have changed my whole dental health. kindly suggest what to do.", "output": "Thanks for your query, I have gone through your query. Thanks for query, i have gone through your query, the bleeding gums are because of the gum inflammation. It occurs due food debris getting accumulated and becomes hard forming calculus which contains microorganisms which infects the gum...so a thorough oral prophylaxis(cleaning) is sufficient for this problem.following that maintain proper oral hygiene, rinse your mouth after eating anything. The other possible cause could be because of the pulp polyp or any bleeding disorder like thrombocytopenic purpura. Consult an oral physician and get a complete blood hologram done to rule out bleeding disorders.I hope my answer should help you. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 2.5 year old has the worst smelling metallic odor to her breath. I brush her teeth 4 times a day, I switched her toothpaste, I tried listerine , nothing seems to get rid of it. It is the worst when she has just woken up from sleeps or naps. Do I need to be concerned about this? Is that smell a sign of diabetes? High Metal toxicity or something?", "output": "Hi.welcome to Chat Doctor forum.please don't use Listerine mouth wash... I would suggest you to not use any kind of mouth wash...bad breath can be due to oral, ENT or medical problems... visit your dentist for complete oral examination... sometime, grossly carious tooth is the source of foul smell...brushing twice daily with pea sized toothpaste is enough... make sure to brush her teeth AFTER MEALS instead of before meals... make her rinse after every meal... also try to clean her tongue gently by using clean cotton cloth wrapped on your finger... tongue cleaners are advisable at this age...if still persists, consult general physician to rule out any metabolic disease... also consult ENT specialist also...hope it will help you.take care..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I went to my family doctor yesterday with a poss. kidney stone or infection. I was running a fever as well. I was given an antibiotic shot and pain meds. This morning it is still painful and I am feeling a lot of pressure on that side. Do I need to go to the ER?", "output": "HiT hanks for your query. I appreciate your concern for the fever and abdominal pain. If you have additional symptoms like burning urination or blood in the urine you have to undergo lab tests like urinalysis and an ultrasound to come to a diagnosis. Meanwhile, take plenty of oral fluids, NSAID painkillers like Diclofenac along with Dicyclomine. Hope this suggestion could be useful in getting the treatment for your problem. Rate this answer, if you are convinced." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I suffer from RLS also cramp. I was told about the bar of soap, so I duly placed one under my sheet, and I can honestly say I have experienced great relief , and a good nights sleep. My problem now is - I travel to Australia every year, and have to endure this very uncomfortable complaint, and I would like to know if there is a cure during travelling - 20 long hours is a mighty long time. I would be grateful if you have an answer for me. Many thanks", "output": "Hi I am Chat Doctor. . In my opinion you may avoid longstanding times, try to wear comfortable shoes or even slippers and elevate your legs during your trip as much as possible. You may take a NSAIDs painkiller like Tylenol tabs or muscle relaxants in case of severe pain or emergency will be fine. Please click and consider a 5-star rating with some positive feedback if the information was helpful. Wish you good health, Any further clarifications feel free to ask." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 15 year old is 6feet tall he is autistic and cannot really explain his symptoms ,two days ago he complained of chest pain in the centre of his chest today he complained of neck pain for about half an hour he is 280 lbs. I checked his bp which was 134/87 could he be having angina", "output": "Hi thanks for contacting Chat Doctor... In angina due to vasoconstriction pain is severe constricting type.... It can radiate to neck and shoulder... As patient is autistic he can't explain pain properly ...so rule out cardiac cause by ....ECG or 2D echo .... If no cardiac because present then take history about resp symptoms like runny nose, cough, fever to rule out bronchitis and pneumonia like condition...chest x-ray done if needed .... Auscultation also done. If still cause not found then it could be musculoskeletal pain ....if ribs tender on touch then Costco Chat Doctor. . Brufen given for it... As I have given best advise but it doesn't replace physical examination for proper diagnosis... Take care..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doctor im a female 28 years old, hvg a very common problem of haifall from last 2 months i dont knw the exact reason bt oiling was nt dne properly,in between i having dandruff prob also n my diet is also not proper n i was in stress from last 6 months due to my marriage,n also we have boring water mixed many times in our municipalty water so i m not able to find the exact reason for my hairfall can u plzz suggest me somethng urgently on this", "output": "Hi there.1. Your concern is halogen effluvium.2. it's a temporary hair fall induced due to stress full lifestyle of any reason.3. You can try quilt women spray once daily bedtime, gently massage the serum into the scalp.4. You can try keragloeva hair supplements, daily one after breakfast.5. Wash your scalp with kaboom anti hair loss shampoo weekly twice preferably with soft Chat Doctor. This will help you in controlling hair fall don't worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I recently had a mantoux test, which I had a big reaction to despite having a BCG immunisation. I am aware of the treatment required for latent TB. My issue is I have had a big psoraisis flare up since, is this related and is the medicated coal tar solution enough for this reaction.", "output": "Hi, As you said, You suffer from psoriasis. After manitou test, psoriasis exacerbated. You want to know about relation of Manitou test with exacerbation of psoriasis. Your doubt may be right. Psoriasis, a chronic and autoimmune skin disease may be exacerbated by trauma, surgery and worries. I think, probably your flare up of psoriasis may be due to Manitou test. You consult dermatologist. And have proper Chat Doctor. Medicated coal tar would irritate the skin, so avoid it. Oral accretion and methotrexate in proper dose may be taken under guidance of dermatologist. I hope you got my answer. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m currently experiencing some physical discomforts. My left hand and arm keep feeling like they re going numb from lack of circulation; the lower left side of my face keeps going numb; my left shin keeps feeling like it s going numb from lack of circulation; and there s a gradual, sharp pain in the left side of my chest. It gets especially bad at night and I can t go to sleep because every time I lay down, my left side starts feeling like it s going numb from lack of circulation. I think it s an anxiety attack, but am I wrong?", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion you should first rule out cardiac cause for your symptoms. As left sided sharp chest pain with numbness is seen commonly in heart disease. So we need to rule out this first. Get done ECG and 2d echo to rule out cardiac cause. If both are normal than no need to worry much for cardiac cause. Vitamin B 12 deficiencies can also cause numbness in the body. So get done Serum B 12 level and if deficient start supplement. Anxiety can also cause similar symptoms. So avoid stress and tension, be relaxed and calm. Consult psychiatrist and get done counseling sessions. Try to identify stressors in your life and start working on their solution.Don't worry, you will be alright." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello I have found 2 lumps on my right leg , thing have been there for some time now, like 6 mon or more the larger one is discoloring and sore to touch. Also in the last 2 weeks I can t stay awake, all I want to do is sleep ,lost of appettite aswell , is this normal ?", "output": "Hi, Dear,Welcome with your query to Chat Doctor. Studied your query in full depth of its details. Reviewed it in context of your health concerns. Based On the facts, You mostly seem to suffer from-Anorxia Nervosa due to discolored sore 2 lumps on your right leg. These lumps mostly are due to the Varicose Vein in right leg with thrombophlebitis -as its sore to touch also. Treatment-Get the Color Doppler to assess the cause of these lumps. Tab Motrin-400 mg / 1 x 2 times a day. Rest /Elevation /Venous Stockings x during daytime. Tab Alnilam .25 mg x 2 times a day -to reduce anxiety. Reassurance and counselling from clinical Counselors.EVLT-Endo-Venou-Laser-Treatment for resolving these leg lumps would help you to recover soon. Evaluation and treatment by Surgeon and Vascular Surgeon would be needed for your case. Hope that, This reply would help you to plan further treatment soon with your treating doctors. Best of Luck and early recovery. Welcome any further query in this regard, which would be replied in next session. Good Day!! Chat Doctor. N. Senior Surgical Specialist" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have a large bruise across my ribs, it is quite painful when touched but I believe nothing is broken because I can still move normally and do things I normally do. I am due to take an 8.5hr flight in 4 days and am wondering if there are any risks acociated? Thanks", "output": "Hello, Thanks for writing to us, I have studied your case with diligence. As per your history of trauma there is possibility of rib contusion. Rib contusion is not always visible on X-ray. I will advise consulting to orthopedic surgeon. Medication like muscle relaxant and analgesic will reduce pain along with it use rib support belt. You may consult physiotherapist for pain management. He may start TENS, or ultrasound which is helpful in your case. You may need to take rest for early healing. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. If you find this answer helpful do not forget to give rating at end of discussion. Wishing you good health. Take disregards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My sister in law has Stage 4 TNC, Grade III, mets in lungs, throat and brain, most recently found in left hip. She is bedridden now due to pain in back (from lungs) and in hip from cancer . She is 48 years old. She is choosing to do the hip replacement as she believes it will relieve her hip pain and keep her from being in a wheelchair the rest of her life. We are concerned as to whether the risk of surgery is worth the hip replacement. Oncologist estimates 3-4 months survival without chemo and with chemo, if she reacts most favorably, up to 2 years. Any opinion?", "output": "Dear Ma'am, Sorry to hear about your sister-in laws problem. Triple negative cancer is a bad disease to have and is usually having a bad prognosis. In her case with the extensive Mets present all over the body, it is not advisable to go for such an extensive surgery (hip replacement). The healing power of the body is also affected in cancer and the body might not be able to sustain such a procedure. It is better that she receives chemotherapy and radiotherapy can bed given to the sites (bones) where she is having pain. Hoping for the best. Rohan KhandelwalBreast Surgeon" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Dr. Narasi: My husband is scheduled for a CT in the morning due to high liver enzymes (10 times normal). I am very concerned because everything I have read is not good. Is there something I am not seeing that could be curable? He is 50 years old, type II diabetic. Thank you sir.", "output": "HelloElevated liver enzymes may mean raised ALT, AST,GET, ALP etc. Increased ALT, GGT and AST may indicate liver injury. It may be due to many reasons like hepatitis, alcohol intake, altered lipid profile, medicines,autoimmune causes etc. Your husband may need few more investigations like routine hologram, random blood sugar, viral markers, lipid profile, ultrasound of abdomen. He is rightly suggested for CT scan. It is very helpful in assessing exact reason. He may need to take medicines after evaluation. Generally this is a manageable condition. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 30 years old and 4 months pregnancy.i have vaginal infection.i consulted the gynec.and she gave me taxim-o 200 (10 tabs).Till this date i took 3 dosage.when i went to the toilet and remove my panty i saw a tiny white worm.i shocked.Is this worm came out due to the antibiotic or my vaginal infection is serious.At this stage can i have sex with my husband?", "output": "HI, I understand your concern. The tiny white worm you have seems to be thread worm infestation of bowels. Vaginal infection is not likely to be due to such worm. Actually thread worms are known to cause anal / vaginal irritation & itching along with other digestive problems. You can discuss the thing with your doctor & take a dose of anti worm medicine containing Mebendazole . With his advice... to clear the problem. You can continue with the antibiotics prescribed to you for your vaginal infection.as per doctors advise. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My mother suffered from aplastic anemia . her age is 60 she suffered from it 6 years ago and received atg immunosuppressive therapy twice . Her problem is mainly low platelet count only 0000 . Is there any treatment to help her out .", "output": "Hi, Bone marrow transplantation remains the standard of care for younger patients. Another option is Immunosuppressive therapy which might help to resolve cyclopedias in a majority of patients WI, but relapses are not uncommon, and some patients remain refractory to this approach. Your mother might require platelet transfusion support but bleeding complications still occur despite prophylactic platelet transfusion. Hope it helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear SirMy Dad is suffering from Prostrate Cancer from the year 2008. My Uncle , a doctor, had kept him in good condition by the medicines Kalutite , now replaced by Honvan .But todays PSA test shows around 850. .Last week he had severe bone pains and tremendous weakness.We are monitoring his food completely with more fruits & vegetables, green tea, Parsely ,carrot juice etc.Is there any way now to reduce the PSA level? Please help me out sir", "output": "Hello. Unfortunately PSA levels are very high. These levels of PSA with bone pain probably means that his father has multiple bony metastases. Besides of hormonal treatment-is right the Chat Doctor. Please consult your local doctor for a prescription. In this case, because of their very high levels of PSA, the treatment is only palliative, is not curative. I wish you good health.(If the answer has helped you, please indicate this)" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have lumps inside under my tong on jaw line I need lower dentures but cant be fitted for them because of the bumps I have tried many dentists but no one can fit me properly. do I really have to have bone surgery to remove the lumps? Im a diabetic is it wise to do this or do I go with out teeth im only 60 yrs", "output": "Thanks for your query, I have gone through your query. The bony lumps have to be removed, if you want to go for a denture. Because the bony lumps will interfere with path of removal and insertion of the denture. That might result in injury to the tissues. If you are diabetic, get the RBS and HBA1C done, if it is under normal limits get it surgically corrected. Nothing to worry, it is a simple procedure. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello, sir, i am in gr8 difficulty, i had a problem that i keep on thinking on any absurd thing for many days, like if someone has said something wrong to me, i will keep on thinking over it for years, becoming hyperactive on it, it seems to me that it had happened jst now, i will feel anger and different feelings regarding to it.", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. This type of attitude / over thinking happens when you have very little to do. That is your job / education is of a very easy nature. You get a lot of time to think and instead of thinking positive, you are habituated towards negative. No problem. This is not a mental disorder. Keeping yourself busy should solve the problem. Be passionate towards your job / studies. Involve yourself in games and other social activities. Keep yourself healthy and enjoy life. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "age 30 height 5.10 weight 64 kgs ,a month and half ago i was tested positive for typhoid and its past 25 days since i completed my course of medication which went on fine ,but my temperature currently is between 98-99.5 degrees . and i repeated my widal test two days back but it still shows positive . it shows s.typhi o=1:320 and s.typhi h =1:320 . i am confused dose this mean that i still have typhoid.", "output": "Thanks for posting you query to Chat Doctor. If this tier is higher than your previous tier of tidal report considered it as a positive for typhoid but if it is lower than your previous report then it indicates that you are in the recovery phase but still the recovery is not completed as tier is higher than baseline tier and you would be needed further treatment. Hope you would be satisfied with my answer. Feel free to communicate if any query.regards, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am male 33 yrs from Sagar, MP. for the last 2 yrs I have been feeling heaviness in my chest and occasional pain. I am physically not very active but do exercise for at least 30 mins per day. My father had high BP problem so genetically I am susceptible, right? Please advise. Any stress test? I would like to see the best doctor in Medicine in Bhopal, MP.", "output": "Hi welcome to Chat Doctor... Here chest pain present with heaviness and no cough or fever... So I want to rule out cardiac cause which seems most likely here ... Consult cardiologist or pulmonologist nearby and investigate with .....1. Blood pressure measurement2.EKG 3.ECHOCARDIOGRAPHY (2D)4. Angiography only if needed According to cause (decided by above investigation)treatment given .... You have positive family history of hypertension so consult doc without delay. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor my baby is 12 months old.She is passing watery pale stool in 2 or 3 times a day.Before she was passing thick one and i never had face that problem as he is taking formula milk NAN.Now the stool is watery and i am upset.Please tell me what to do.", "output": "The concern in your children case is understood. The watery diarrhoea is viral diarrhea usually. But as your child is formula fed, I would consider an infective cause.You would have to do a stool microscopy test. I would advise stopping bottle-feed and give only breast milk always. You must give boiled water or ORS to prevent deny Chat Doctor. Based on this result we can start antibiotics or anti-amebic " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 32 years old and just found out yesterday that I am 4 weeks pregnant. I am leaving for vacation in Costa Rica in four days. Typically my husband and I take a small prescription of Cipro with us (to Mexico) as it has come in handy for the stomach bugs caused by the water, etc. Is there anything I can take that will be safe for my baby? I am healthy, and am not considered \"high risk\" in any way.", "output": ". It is always better to avoid antibiotic use wherever possible during pregnancy. Ciprofloxacin is given to pregnant women with caution of keeping in mind that benefits should be far more than risks. It is avoided in lactating mothers for sure. But as you are in the start of pregnancy, try to avoid infection especially you talked about intestinal infection. Keeping a good hygiene and balanced diet will help. HY Chat Doctor. I hope this is all you needed an answer for. I am at your disposal if you need further assistance. Healthiest Regards!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "neuropathy ..started in feet with pain ..tingling now having similar sensation and pain starting in hands..also noticing some facial decrease of sensation ..left side only..no problems swallowing..tongue in midline ...also left cheek feels like I have spider webs touching it ..symptoms started over six months ago ..dr. verified loss of sensation but seemed unconcerned..have recently noticed some vision changes, and yesterday I was woozy upon rising to a standing position after lying down..what are my potential diagnoses..and do I need to see some one soon.....have appointment in 3 weeks.", "output": "Hi, Welcome to Chat Doctor.come am Chat Doctor. I have read your question with care and understand your concerns. Let me try to help you have listed the following complaints which have started over a period of 6 months1. Loss of Sensation 2. Tingling in the hands and feet3. Started with feet in pain4. Face also involved5. Left Side Only 6. No Problems in Swallowing7. Tongue in Midline8. Left Cheek also involved Doctor has verified the sensory impairment Now you have also visual disturbances felt woozy In presence of the above complaints, a problem in the CranioVertebral Junction has to be ruled out. I would suggest you to kindly consult a Neurosurgeon You may need the following investigations 1. MRI Brain 2. MRI CV Jn3. X-Ray CV J-Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. Let me know if I can assist you further. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my sgpt is 158, can you please help me how to lower this, i m not alcholic so i m confused why it is elevated, and most of my lab results are normal and only the sgpt i m worried...and a few months ago my sgpt is only 47 and now it s 158, and i m also confused why my sgpt have different results than the other laboratory where i got 158.", "output": "Hello,davetest59,Causes of elevated SGPT enzyme are many. If all others liver tests abnormal, including Alkaline Phosphatase, Bilirubin, LDH, SGOT, then behave to think about some medications or some supplements that you may be taking. Overweight people also tend to have elevated enzymes due to fatty changes in the liver. But we see elevation of all enzymes to a certain extent. I have seen elevated SGPT in some that protein powder for body building. I am also assuming that you have had a complete Hepatitis-B and Hepatitis-C tests to rule these out. Taking 800 units. Of Vitamin-E once a day along with a 1000 mg. ofVitamin-C would be helpful. Also, Brewers yeast tablet 1-2 a day. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 94 year old mother was just prescribed Aricept. I don t think she should be on it. she doesn t have alzheimers but is showing signs of dementia short term memory is going and a little paranoid. she has had ulcers long time ago and has a very acidic stomach. Is this a medication she should be on?", "output": "Hi, Thank you for posting your query. I have noted your mothers symptoms. I agree with you that we can not be sure that she has Alzheimer's disease (AD), and she needs detailed evaluation. Evaluation would include CT scan of brain, thyroid profile, serum vitamin B12 level and neuropsychological testing. If it is confirmed as AD, then, it would be useful to give her accept tablets. Acidity is not a contraindication for taking accept (donepezil) tablets. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, Chat Doctor. Ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am 41 years old had a contraception mishap therefore took levonelle within 3 hours of having intercourse. i ovulated the next day. which was the 12th day into my menstrual cycle. the question is how effective is levonelle and i have taken two pregnancies tests which have come back negative, i have three children everytime i took the pregnancy tests with their pregnancies it came back positive, does levonelle mess up menstrual cycles, and i am having very bad mood swings could this be due to levonelle", "output": "HELLO! The chance of being pregnant is very low for three reasons:pregnancy test negative you took the pill before 12 hours(this pill protects around 72 hours after unprotected intercourse)the ovulation is rarer in this ageLevonelle is very effective and is not recommended for repeated use, as it is possible that it can disrupt your menstrual cycle. This pill might make your next period earlier or later than expected by a few days, but if the next periods are more than 7 days late after taking this pill, you should consult your doctor for a pregnancy test. Emergency contraception do not protect from Finally you should consult with your Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My hands and feet get really messed up in the cold. They lose all the blood and turn white and green and it hurts when the heat comes back and feeling goes back into them. Its always an over reaction because my body wont be cold at all but my fingers and feet will. It doesnt have to be winter or freezing either, its ridiculous.. It even happens on cold days in the classroom. Recently after 35 minutes of being outside shoveling it got so bad that when I came inside my hands were blotchy and swollen up so bad I couldnt even move them, almost like I was getting frost bite. Ive had this problem for years and its hard to go into the doctor to get it checked out because I need something to trigger it to showhim my symptoms, other than that... my hands are just usually very very cold (like actually, people get weirded out) and sometimes like clammy. Some years ago I read about that Raynauds phenomenon and wondered if I could have that... any help please?", "output": "Hi and thank you so much for trusting us with your health query. I am so sorry to hear about these symptoms that you have experienced. They really sound like Reynolds disease and I will like that you get it checked out. A majority of persons with these symptoms do not have any particular disease provoking them. A few do have disease conditions that explain this. You do not have the symptoms when you are consulted. By talking to your doctor, he would most likely suspect and try to manage appropriately I will like you to use this resource and learn more about what you can do to prevent and manage such symptoms. In the meantime, avoiding trigger is the best initial step. http://www.mayoclinic.org/diseases-conditions/raynauds-disease/basics/definition/con-20022916?p=1I hope you find this helpful. Thank you so much for using our services, and please feel free to for more information or clarifications if need be. I wish you the best of health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "does viagra with depoxetine affect high blood pressure or hypotension? I take blood pressure medications, diovan 360, metoprolol 50, and clonidine 0.1 daily. I also take Viagra 100 as needed? Should that cause be an unusual drop or elevation of BP if I take depoxetine?", "output": "Hi, It is not safe to take Viagra while on antihypertensive medications. If Viagra is taken along with antihypertensive medicines like divan, metoprolol, and clonidine, it can add to the blood pressure-lowering effects of these medications. You must contact your doctor immediately if you experience signs and symptoms of low blood pressure such as dizziness, light-headedness, fainting, flushing, headache, or a rapid pulse or heart rate. You may be more likely to experience these problems at the beginning of treatment, following a dose increase, or when treatment is restarted after an interruption. Duloxetine does not cause such interaction when taken along with these antihypertensive medications. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been diagnosed with h pylori. I m on triple therapy. It s my third day of taking this therapy. Problem started with a stitch like pain in my left side waist. Had some painful gas over the next week and took GasX. One week ago I had such bad and painful trapped gas in my stomach that I thought I was having a heart attack! Could not stand up straight and felt nauseous. After one hour the GasX worked and I did numerous huge burps which got rid of it. Nice! Gas kept coming back though at random times daily for the next few days until I went to the doctor. I also have a gallstone and am worried that my symptoms maybe related to that rather than the h pylori. How long does triple therapy take to start symptom relief? Should I carry on taking all these meds or have testing to determine the root cause of my symptoms? I m taking 1000mg amoxicillin, 20mg omeprezole and 500g clarithromycin twice daily. I have diarrhea (started today), original pain in left side waist still, and intermittent gas/bloating. I woke up with gas/indegestion this morning. Thanks.", "output": "Hi I read carefully all your concerns, and I am so sorry for your situation. In regard to you symptoms it seems to be related with the start of triple therapy. Antibiotics that you are using have side effects like gas, bloating etc. The antibiotics change your normal microbial flora of intestine. Diarrhea is another side effect of antibiotics (amoxicillin, claritromicine) therapy at this situation I would recommend you to start probiotics, take plenty of water, take Tibetan and HY Chat Doctor. The side effects of antibiotics can start even after the first dose. If this is not enough please consult gastroenterologist and perform other exams like abdominal ultrasound(related to your gallstone), blood work, and fecal analysis. Hope it is helpful" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello, my name is Stacey and my father was just diagnosed with prostate cancer he doctor told him that he is 95% sure its curable. My question is what is the best treatment for prostate cancer since he is 50 yrs old with diabetes? By the way, he doesnt take med for his diabetes because its well under control.", "output": "Thanks for your question on Chat Doctor. I can understand your fathers situation and problem. Yes, prostate cancer if detected early and managed well, can have excellent prognosis and patient can have almost near normal life. Surgical removal of prostate (protector) is needed. Prostate cancer is hormone responsive cancer. And hence testicles are also removed (orchidectomy) along with protector. Post operative patient also needs hormone therapy to avoid recurrence. So in experienced hands, prostate cancer is 95% curable. So the best treatment for prostate cancer is protector with orchidectomy and hormone therapy. Hope I have solved your query. Wishing good health to your father. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello ive had a cold for almost three weeks. it started off as a cough and i though it was getting better by week 2 but then came a runny nose & last weekend i was vomitting. This week I have totally lost my appetite, vomit mucus a little, have a hacking cough, cant hear out of one ear, & cold/hot flashes. Could you please tell me what could be wrong & it i should be examined by a doctor asap?", "output": "HI, thanks for using Chat Doctor Cough and cold infections can be prolonged in some cases. The decreased hearing in the ear may be due to infection in the ear or dysfunction of the Eustachian tube (tube in the ear). Loss of appetite, coughing, chills can occur with these infections. If the cough is wet, then a bucolic can be used to break up the mucus so that it can be expelled. e.g. bipolar, Mucomyst, guaifenesinA decongestant with antihistamine may also help. You may need to consider visiting a doctor to see if antibiotics are necessary. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a hard lump under my left jaw bone, below my molars. It feels like a cheery pit, and I can not move it. It does not hurt unless I mess with it. The dentist could not find anything on the x-rays. I see a ENT next week but I am worried. Could it be Cancer?", "output": "Hi, Dear,thanks for the query to my Chat Doctor virtual Clinic. I studied your query in depth.IN My opinion -this lump is not a Cancer-as its tender to pressure handling.It's mostly an infective lump-AS the dental X-rays are normal, its not-Chronic Apical Abscess. Diagnosis-Hence mostly-its-left-Submandibular sileadenitis/ or could be Fur uncle/folliculitis early stage of cellulitis? General / or ENT-Surgeon consultation would be the right step in your case. Hope this would resolve your query. I would love to help you for more queries. Good day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor, My daughter is 4 months, 1 Week old. She is having NAN PRO 1 in addition to mother feed. For the last couple of days, she is getting GREEN WATERY motion and she is not getting sleep during the night from her 2nd month. Is it something because of the Formula milk we are using for her ? Please clarify. Also please let us know the alternate for Mother Feed, as it is not adequate for her. Thanks, Veda", "output": "Thank you for asking on Chat Doctor. Breastfeeding is the best food for a baby and there can be no substitute for it. Formula milk is hard to digest and hence affects the quality of stool. Greenish stools are caused due to rapid transit through the large intestine. It is not a cause for worry. If mothers milk is inadequate and if formula feeds are not well tolerated, you may introduce small amounts of mashed boiled semi-solid food make from rice, pulses and vegetables. Although weaning is suggested from 6 months of age, earlier weaning is also acceptable if mothers milk is inadequate. Hope that helps. Feel free to revert in case of further queries if any." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "MY HUSBAND WHO IS 55 YEARS OLD HAS SUFFERED FROM C DC CHOLITIS? I DONT KNOW IF I AM PRONOUNCING THIS CORRECTLY BUT HE EXPLAINED IT IS SERIOUS, IT IS A BACTERIAL CHOLITIS AND INVOVLES SPORES. HE IS TAKING SOME SORT OF MEDICATION FOR THIS BUT HAS LOST A TREMENDOUS AMOUNT OF WEIGHT AND STILL DOES NOT FEEL HIMSELF. HE ALSO INDICATED TO ME THAT HE COULD HAVE ANOTHER FLARE-UP BECAUSE THE SPORES ARE IN HIS SYSTEM. PLEASE EXPLAIN TO ME ABOUT THIS AND CAN IT BE CURED, IS IT CONTAGIOUS, WHAT MEDICINES WOULD WORK BEST OR ALTERNATIVE METHODS AND WHAT IS THE PROGNOSIS. THANKYOU, dH", "output": "From the problems listed in your question the exact symptoms & signs are not mentioned. However, based on the information given like colitis, spores, significant weight loss etc. the condition may be due to ulcerative colitis. Ulcerative colitis is an autoimmune disorder due to production antibodies against owns cells in this case the lining epithelium of colon (the large intestine). He must consult a gastroenterologist for a proper workup like investigations, management and followup." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been diagnosed with a chiari malformation and elhers-danlos hypermobility type. I have had MRIs done of my entire spine. The only thing that has been found is a 6mm dissention of the cerebellum . No tethered cord, no Syringomyelia , and no Cervical Spinal Stenosis . I have daily migraines, neck pain, mid and lower back pain, right arm tingling and pain, chronic nausea, impaired balance, clumsiness, frequent urination, chronic sever tmj pain, foggy thinking, poor memory and concentration, ringing in the ears, sensitivity to sound and light, and the inability to regulate my voice when singing. I am on 20mg of amitriptylin. Everytime my doctor ups the dose it regulates my migrains for about a month then stops working and my migrains and pain get worse. The only thing that may get me some relief is decompression surgery, but there my doctor does not want to do this be cause I have good CFS flow and there is a possibility my symptoms may worsen. Is there any other options?", "output": "Hi, Thank you for posting your query. I have noted your symptoms. It is unfortunate that you have so many symptoms and your migraine is not getting controlled. Regarding migraine, you could also try divalproex or Topiramate tablets to prevent headaches. They would reduce the severity and frequency of headaches. I agree with you that Chiara malformation can only be cured by surgery, however, we can wait before deciding on that. I hope it helps. Best wishes, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I feel a sharp pain in the middle of my chest and the feeling i may need to throw up. this has happen about 5 or 6 times, normally i just put a heating pad over the spot where i feel the pain and after a while it goes away, but this time its not. is this a bad thing?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of acute gastritis due to hyperacidity is more likely. So take pantoprazole and levosulperide combination on empty stomach twice daily. Avoid stress and tension, be relaxed and calm. Avoid hot and spicy food. Go for walking after meals.Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor, my son is 8months old and still 6 kg. I started giving him 3time solid (2 or 3 spoon diluted) food and isomilk as pediatrician suggested. I give him 60- 80 ml isomilk at a time and 5 times in a day. Wanted to know how much I should feed formula milk to him and what would be the diet plan. Please help.", "output": "Hi... Thank you for consulting in Chat Doctor. I take this opportunity to tell you certain scientific facts and relieve your distress - 1. An active is a well kid even if she/ he is not eating well. 2. Development of a kid is as important as, or I would say even more important than growth alone.3. As the kids grow their interest in food decreases and interest in play activities increases so that they eat small quantity and run away to play. As parents, we need to be more patient and feed than less quantity but more liquors per day.4. This age rather than the quantity of the food I suggest you concentrate more on the number of times you feed her and also make whatever you feed her calorie dense by adding good amount of ghee to it.5. I suggest you not to use appetite stimulants on long run as they may cause Chat Doctor. At his age interest in play increases and interest in food decreases. This is quite natural. If he is active and playing around you need not worry. This age rather than the quantity of the food I suggest you concentrate more on the number of times you feed him and also make whatever you feed him calorie dense by adding good amount of ghee to it. This is not related to teething. If your kid is active and developmentally normal, please do not worry. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My grandson 2 and half year suddenly started scratching his skin and being uncomfortable while sleeping,. It s 4am in my country. When I checked he has bumpy rashes on his thighs, buttocks and wrists. They are big and small all sizes. They are very itchy. I have given him 1.5 teaspoon of Tandigyl syrup. I and my husband are sleeping with him in between us in the bed. I m 54 and had a complete hysterectomy 3months back. Please advise what is it and what to do?", "output": "Hi... Thank you for consulting in Chat Doctor. It could be any viral erythematous illness. But as you quote them as itchy blisters - the possibilities are Hand Foot Mouth disease/ Chicken pox/ any other trivial viral exanthem. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a scar above my belly button from an appendectomy more than a year ago. Now a month ago I got my belly button pierced and the piercing hole seems to have healed but now the scar above my belly button has flared up, gone red then purple and the skin got really thin and eventually burst with I believe pus & blood. I pushed it all out and soaked with hydrogen peroxide. Idk if there is more pus under the skin where it hasnt burst. What do I do?", "output": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concern. As per your complaint it seems that you have got an infection at the scar site of appendectomy leading to pus and blood discharge. I would suggest you to consult your treating surgeon and get evaluated, and he can advise you to take antibiotics like Sulphamethoxasole and Trimethoprim. You can take anti-inflammatory painkiller like Ibuprofen. You can clean the area of infection with antiseptic solution and put gentle pressure to Chat Doctor. . You can apply a combination of triple antibiotic and steroid ointment over it. You should avoid water exposure to the area. Keep the area " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Over the last two weeks I have noticed a slight bend near the base of my penis, I believe it could be the result of trauma caused during sex several months ago. I have an appointment next week with my urologist. In the meantime should I apply ice or refrain from anything. There is some mild discomfort but nothing much other than the bend while erect", "output": "Thanks for contacting Chat Doctor with your health care concerns am sorry to hear that you have had a change in the shape or curvature of your penis. This is a result of trauma and damage to the blood vessels in the penis. This is called Parodies disease and is caused by a plaque or damage to the vessels inside the penis that helps with erections. There is nothing you can do to fix or repair or lessen the effects of that trauma. The damage may get better with time and can improve over a 1 year. If there is no improvement then the urologist can do injections to help reduce the plaque and improve the circulation to improve erections. There can be pain with erections from the scarring. I hope this answers your question. Please contact Chat Doctor again with any of your health care concerns" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Daughter, age 16, suffered concussion, got kicked in head during soccer gameon Saturday morning. Went to ER Sunday afternoon, no CT or MRI, since only symptoms were dizzy and lightheadedness. Now she says that she can feel her brain moving around inside her skull. (on Monday evening) Any need for concern?", "output": "Hi, There can be many causes of lightheadedness and dizziness. Maybe it is because of the trauma she sustained. Other causes can be diseases associated with cervical disc disease (maybe associated with neck posture-related issues). It could be associated with some diseases of the ear(infection or neuritis). Besides this, there are simpler causes like anemia (low hemoglobin), hypoglycemia (low sugar), prolonged fasting, low blood pressure, vitamin deficiency, stress, anxiety, or lack of proper sleep. Hence, I feel-Take a well-balanced diet with lots of fruits and vegetables. Maintain proper posture especially while working and sleeping and take good sleep for 7-8 hours. She can even start to take some multivitamins. But If still the symptoms persist then do go for some investigations like- (complete blood count, vitamin B12, vitamin D, sugar levels, electrolytes, ECG and X-ray cervical spine) most important will be MRI Brain. This will help us to make a proper diagnosis and plan proper treatment. Take care. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "How can I get relief from the sore spot - a small crater like hole above the teeth gum ? I have a sore spot in my far upper right gum (above the teeth gum.) I just discovered that its actually a small crater like hole. about the size of pen point. I ve had a sore throat for the 2 weeks especially at night and that spot has been very sore for about some days now,and also i am starting to feel pain there", "output": "Hello and welcome to Chat Doctor forum, i would like to inform you that the pinpoint size hole is normally present on both the sides of your upper back teeth region, if pain and swelling are associated with it then it needs to be checked. In your case, I believe you will need to see an ENT specialist for sore throat.I advise you to perform warm saline rinses(3-4 times/day) for 3-5 days. If the problem does not resolve then kindly visit an ENT doctor.I hope I answered your query, i wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "gud PM doc...im 65 yrs old. my question is how do i can lower my SGPT which is 97 in level. I do take my daily maintenance medicine for my heart. i also take solosamet tab for my sugar. i do take everyday 2 teaspoon of mixed ampalaya, turmeric and cinnamon powder (to normalized my blood sugar). i also take cayenne powder as food the heart. Today I stop taking the solosamet tab. Pls comment Thank you...", "output": "Hi. Thanks for posting query at Chat Doctor. Are you over weight or obese? Alcohol ingestion and obesity are common causes of fatty liver disease. Viral causes (Herb and C) should also be excluded. If positive for any of the viral cause, visit treating physician or hepatologist. Advice:- abstinence from \"Alcohol\" - LOW fat diet should be followed, AVOID junk food and beverages-decreased oil consumption (oily food)- NO red meat-green vegetables should be ingested daily-use lemon juice (lemonade) once in a day-reduce weight if overweight/obese-\"recheck liver enzymes after 6 to 8 weeks\" and/or ultrasound.- 2 tsp pure olive oil early in the morning before breakfast daily would help to maintain sugar level. You may use for a month and record your fasting and random blood sugar daily. Any further questions are welcomed. Hope to answer your concern. Wish you good health. Regards, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doc, i woke up the other morning and had two small itchy lumps that looked like bites on my neck i figured they were from mozzies but they havent gone away and they are getting redder. ive had ring worm a while ago on my leg and it was there for ages i couldnt get rid of it with cream the doctor had to prescribe me something i was thinking it could be that but im not sure ????", "output": "Hi, Thanks for query to My Chat Doctor virtual Clinic. I studied all details of your query. I understood your health concerns about causes of small itchy lumps on neck. Causes of small itchy lumps on neck.-After reviewing your query facts, In my opinion these 2 may not be correlated with each other. In my opinion these 2 small lumps seem to be from mosquito bites or insect bites overnight, as you noticed these lumps overnight in the next morning. Earlier day you were not having them. And these 2 small lumps are itchy and might be getting redder due to handling of the lumps and itch reaction. But still as you are worried and as you already have Chronic ringworm on your leg, chance of getting it on your neck needs to be ruled from Dermatologist if need be, after the consultation from your family doctor. Hope this reply would help you in resolving this complex query and anxiety with it.Don't forget to hit thanks and write excellent review comments to help needy visitors at Chat Doctor. Welcome for any further query in this regard. Chat Doctor. N.M.S. Genl- CUTS. Senior Surgical Specialist." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Within the past few weeks Ive been getting very dizzy ( especially when standing up , but also while sitting down ) , and also , Im not sure if this is part of the dizziness or not , but Ive been sitting down , writing , and I would get the feeling that Im writing with my left hand when Im actually writing with my right hand ( which is my dominant hand ) . Ive also been sitting in a chair , focusing on something , and I would see a shadow out of the corner of my eye , then then I would look over , there would be nothing there . My only specific medical history is ADHD , which Im being treated for with the perscription Vyvanse . I dont eat anything between breakfast and dinner , ( almost 12 hours without food ) which gives me headaches from low blood sugar , but Ive been on this medication for more than 6 months and Ive never experienced anything like what I have been", "output": "Hello, Please consult a psychiatrist at the earliest. Don't stress yourself much, take adequate nutritious food on time, as it is the requirement of the body. Focus and concentrate on your career. If you have not studied much, focus on your hobbies and try to involve yourself in your hobbies, don't be alone, share your problems with your kids or relatives or close friends. Be in touch with a psychiatrist on a regular basis. You will be improving yourself a lot in few days only. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had trouble breathing for two weeks (sob) but continued to vigorously exercise. Then, one morning, I had a sharp, quick, severe pain following the outline of my scapula (right). After that, I was very sob and felt like my preexisting gerd was seriously out of control. I spent the day ignoring the symptoms. Finally, by the next night, I went to the emergency department. I had a pneumothorax (R) and three PE (2 right and 1 left). WhicChatDoctore first? PE or collapse? Were they related? What caused the pain?", "output": "Hi, Pneumothorax can be caused by various reasons including rapture of lung ballad, trauma, iatrogenic, post infective, underlying diseased lung or connective tissue disorders. Sudden onset pain and breathlessness heralds pneumothorax. When you mention PE, in medical terminology it often refers to pulmonary embolism. (or do you want to refer to pleural effusion, which accompanies a pneumothorax, making it a HY Chat Doctor. Causes for pulmonary embolism include prolonged immobility, surgeries, accidents, OC pills, hyper homocystenemia, cardiac abnormalities (fibrillation). Pulmonar embolism has been mentioned as a cause of secondary pneumothorax in the literature. And pneumothorax can subsequently lead to collapse of the lung. Hope I have understood your question correctly. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HiLast Saturday the the tip of my penis was burning. when i check it look irritated and it has something white on the tip. it burn when i do pee.... i trough water on it and when to bed the next day i did not have it anymore but it still burn a little ... what this can be?", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. From the description you gave, it may not be possible to make a correct diagnosis. But from the look and feel, the burning could be because of simple inflammation of the urethra, which often happens when it gets irritated. The white deposit should be the mixture of semen+urine+dust etc. Nothing to worry. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": ".can an avm leak while apersn sleeps enough to cause an .intercerbral hemmorrage after I worked 3 ten hour days that involved strenous .physical activities such as (lifting)Iwent to sleep nothing wrong with me around 9:30 pm I awoke 4 am the next morning with my left hand seized shut. then the symtoms went .away after I pried my left hand open .because I couldn t open iton its own.then at 5 am Ihad a intercerbral .hemorrage. arteriovenous malformation rupter right frontal lobe .", "output": "Hi, Thank you for posting your query. I have noted your symptoms. It is difficult to ascertain the reason for rupture of anterior venous malformation (AVM). Most often, the reasons are not known and occurs at a rate of 2% per year. This means that all people would have a rupture of AVM, if they survived for fifty years or more after the diagnosis of AVM. You should continue anti-epileptic Chat Doctor. In addition, you should sleep adequately- 7 to 8 hours per night and avoid stress. I hope it helps. Best wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I am a 32 yr old female having pelvic pain, abdominal pain, and lower back pain. Accompanied by, swollen lymph nodes, extreme fatigue, bloating in the pelvic area, and irregular periods. I previously had precancerous cells removes from my cervix. I dont have the money to see a dr right now and Im afraid my symptoms could be something serious and fear that the longer I wait the worse it will be. Please give advice!", "output": "Hi I am Chat Doctor. . Low back pain could be due to spinal anesthesia, heavy lifting, overweight, vigorous movements, bad sleeping postures, sciatica due to nerve compression etc. I may recommend painkillers like Advil tab when needed, hot massages with topical gels, muscle relaxants, B12 vitamin supplementation with some physiotherapy and spinal straightening exercises will be effective for most of the cases. If pain persist I suggest X-ray and MRI for proper evaluation and management. Please click and consider a 5-star rating with some positive feedback if the information was helpful. Wish you good health, Any further clarifications feel free to ask." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my name is Candice. Tomorrow I will be 5 weeks pregnant. Last night I went to the toilet and when I wiped myself I saw some blood. Today Ive had cramping and although I wasnt bleeding when I woke up Ive been bleeding all afternoon. Its a bright red colour blood. Not that heavy but also not light in flow.", "output": "Hello dear, I understand your concern. In my opinion there are various causes for bleeding during pregnancy like :-1)Thyroid abnormalities .2)Progesterone insufficiency.3)Abnormal pregnancy like miscarriage or ectopic pregnancy.4)Bleeding from cervix.etc. So all the above causes should be ruled out by physical examination and necessary investigations. Ultrasound helps to know the well-being of fetus. Thyroid profile helps to rule out any thyroid abnormalities. So I suggest you to consult doctor and get examination done to check for the cause of bleeding.Don't worry in some cases even though with the presence of bleeding everything will be normal and pregnancy continues till term and have good outcome. Relax. Avoid physical stress and intercourse. Take folic acid and progesterone supplements. Once the cause is treated it will subside in most of the time. Hope this helps. Best regards..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,My aunt was suffering from massive stomach ache since the last 3 weeks. She has high Blood Sugar as well. We consulted an MD & suggested that we do a blood test to check the sugar level. The sugar level is high at 300. We then consulted another doctor & he asked us to do an ultrasonography, which we have done & he said it Gall-Bladder stone but he wouldnt be able to operate until the sugar level is low. He suggested Insulin. Again after that he suggested us to do a CT scan.When we showed the reports to him, hes suspecting Cancer & asked us to visit an oncologist ASAP. My aunt has become thinner by day & cant have food properly. Please help as to what to do.", "output": "HI. Thanks for your query and an elucidated history. Aunt has pain for 3 weeks and the ultrasonography is suspicious of cancer. You should undergo CT scan and preferably MRCP. A guided biopsy may be needed. Once confirmed to be a cancer surgery may be an option or a chemotherapy depending upon the diagnosis. She should be admitted and started with Insulin so that she is perfectly under control of diabetes which is most important." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 8 yr old was just diagnosed with systemic mastocytosis . We know it is in the intestines. He has had bad abdominal pain for a month now. Blood dr a ppt. And allergist a ppt not for several weeks. No one is taking this seriously. What I read online states otherwise. Should we bring him to st Jude?", "output": "Hello, welcome to Chat Doctor. Mastocytosis is a rare disorder consisting of too many mast cells in the body. Because mast cells play a role in allergic reactions, the symptoms of mastocytosis often are similar to the symptoms of an allergic reaction. Symptoms include fatigue, abdominal discomfort, nausea, vomiting, diarrhea, etc. The diagnosis can be made by bone marrow biopsy. There is no specific treatment for it and treatment consists of symptomatic medication. SO you should not worry about him and just take him to your doctor for treatment of his symptoms. Wish him good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter is twenty six now and since she was seventeen she had complained about tightening in her chest. It has gotten worst now and she experience it more often. Today she went to emergency room and told docs exactly what i advised her and how her fathers family have had major heart problems. They looked all over that and prescribed her cetirizine and she has never had any allergy problems. I am so upset cause what do tightening of the chest has to do with allergies. then i just finished reading actual people comments about this drug and the horrible side effects all of them experienced. then to top it off i see that three of those side effects is tightening of the chest, fast or irregular heartbeak and muscle weakness. The same thing she went in for. I am no nurse but I have worked in the medical field and seen alot and heard alot. Where are the true docs that really care and dont throw anykind of meds around like candy. especially if it don t fit the diagnosis. Just tired of worry about some docs telling the truth and worried about my daughter and her precious children health. Wish I could of gotten a free caring answer but once again its proven that nothing in life is free! Sorry but cant sorry to waste your time and mine! In the future do something free for those in need it would greatly be appreciated by those in need and by GOD. God Bless!", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Chest pain with breathlessness are commonly seen in asthma and lung infection. Get a chest x-ray done if it is normal, no need to worry about lung infection. Possibility of asthma is more in your case. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT is needed for the diagnosis of bronchitis. It will also tell you about severity of the disease and treatment of asthma is based on severity only. She may need inhaled bronchodilators and inhaled corticosteroid (ICS). Your concerns and opinion about medical fraternity are very strong, nothing can be told about it. But be patient and be kind of possible.Don't worry, She will be alright. Hope I have solved your query. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi. im a home health aide and i have a client with scoliosis in the back and kidney disease. her feet ankles and calves have been swollen for the past 2 weeks. mostly in her feet. she started a patch for pain in her legs 3 weeks ago. she started swelling up almost a week after she started the patch and the pain doctor cut the dose in half and she is still swollen. she has no blood clots in her legs because one of her doctors checked and they said it might be because of her back. what do you think? im concerned because she has been swollen up for to long and theres only so much i can do being her home health aide. we both want to get to the bottom of this swelling she is having", "output": "Hi, Thanks for contacting Chat Doctor. Swelling in the legs and feet can come from many causes, one of them being general circulation or ineffectiveness of the kidneys to rid the body of excess water. Most times, people with lower extremity swelling will be placed on diuretics (\"water pills\") to see if that helps reduce the swelling. If the veins are not working as properly as they were, there may be a need for compression stockings, assuming the arteries are normal. It would be good to get the situation evaluated being that there are so many causes. I hope this answers your question, if you have any further questions, I am here to help. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Can the third nerve palsy have same symptoms of MG?? Two years ago had thymus cancer surgery after chemo and radiation after surgery. How they found my cancer I was having MG symptoms with my eyes chewing and breathing and with a CT scan. I have done great for two years pet scans ever 6 months have been good so now I am having trouble with my eyes the eye doctor said third nerve palsy did a CT scan and a CT scan with contrast to rule out brain tumor and aneurism they came back good. Due for another Pet scan in May. The thymus was removed so I do not know were to go from here!!!", "output": "Dear patient 3 Rd cranial. Nerve also known as ophthalmic nerve supplies eye muscles. Myasthenia graves affects skeletal muscles of whole body and not only eyes. Symptoms of both are different. Thymus cancer is associated with myasthenia graves so treatment of Thomas may lead to correction of MG. you need to consult ophthalmic surgeon for detailed assessment. Visit to neurophysician is also required." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, past two days I saw blood when I spiting, but just in the morning. Between two mont I check my blood two time it show the same lymphocytes high then normal. My Docter said you don t have any complain. So it s okay. But this happen after I my saw my docter, now I m worried.", "output": "Hello, I will add Chat Doctor. One of the causes could be a condition called bronchitis which is a type of inflammation of the lining of our large breathing tube or bronchus. This condition is usually viral and may show slightly higher lymphocytes on your blood count. Blood in the sputum or spit may also arise from the inflammation of the lining of the nose. These conditions are not serious and resolves. However, one should also know that blood in the sputum can arise from tuberculosis or cancer type diseases also which from your description does not appear to be the cause. However, my advice is that you should get a test called peripheral blood smear done. You must also obtain your test report on absolute lymphocyte count. Persistently raised lymphocyte count has to be investigated with additional tests such as flow cytometry and bone marrow biopsy. At the moment bone marrow biopsy is not necessary, but you must get a peripheral blood smear examination done by a pathologist along with an absolute lymphocyte count done. You may also feel for any lumps in your neck and armpit. If there are any you must get investigated by a physician promptly. I presume that your platelet count is OK because low platelets can cause bleeding. Overall my opinion is that your blood in the sputum may be a temporary phenomenon as you recover from a viral or allergy related illness, but it is important to also get some investigations done. Therefore, please get the following investigations:Peripheral blood smear with absolute lymphocyte countSputum examination with cytologyChest XRayPlease feel free to clarify your test results also Best regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have a rash like thing on my body. its on my hands, belly and arms. they are little bumps that itch really bad. if i ignore the itch it starts to hurt. i thought it was an allergic reaction to something but ive changed laundry detergents, body washes, lotions etc. and it hasnt gone away. ive had this for almost 5 months now", "output": "HI, thanks for using Chat Doctor You may have to consider visiting your doctor for an assessment and consider allergy testing if he or she confirms this is the likely cause. Allergy testing would help to determine what is the exact cause of the reaction. There are other cause of generalized itching such as thyroid disease, infection such as scabies or fungal infection, liver or kidney disease, side effect of medication. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son is 5 months old. We have started him on solids which he eats absolutely great. My concern is that the days I give him solids he only consumes MAYBE about 16 oz. I assume that the solid foods keep him full longer so when I try to give him a bottle he will not eat-even if he is hungry I have to sort of fight with him a bit to get him to take the bottle. I have stopped the solids for now as I was told the formula was the most important. In a normal day with no solids he drinks 30oz. I m not sure what to do or what is best for him at this point. Please help!!!", "output": "DearWelcome to ChatDoctorWe understand your concerns went through your details. I suggest you to wait one more month to continue with the solid food. Usually the digestion system of a child is considered developed enough when the child turns at least 6 months. In the initial months, child can accept only little amount mainly because of the satiation threshold. Nothing to worry about that. You should keep it in mind that, when child Chat Doctor. The thrice a day or four times a day formula will work after some time. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query. Further clarifications are welcome. Good luck. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Last menstrual period start January first having abdominal pain and lower rob pain went to ER yesterday, ChatDoctor level of 276 had vaginal and abdominal ultrasound that showed cysts on ovaries and small amount of fluid in cul de sac no intrauterine pregnancy I have had no bleeding should I be concerned that it is ectopic still?", "output": "Hi and welcome to Chat Doctor. Thanks for the query. This is very unlikely since Chat Doctor levels would be much higher and embryo would already be detectable with ultrasound. Your pain can be caused by cysts and especially ruptured cyst which could explain fluid in cul-de-sac. So this is the first thing to think of. But if pain persist you should visit gynecologist again. Wish you good health. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My brother had DBS surgery for Parkinson s 5 months ago. As a result he is getting more tremors - like nothing he had before. He saw a doctor today who feels the DBS may have sparked a underlying essential tremor condition (our father had essential tremors). Have you ever heard of anything like this?", "output": "Hi, dairy have gone through your question. I can understand your concern. Your brother has Parkinson disease. DBS(deep brain stimulation) is approved in treatment of Parkinson and essential tremor. There is also the potential for neuropsychiatric side effects, including apathy, hallucinations, compulsive gambling, hypersexuality, cognitive dysfunction, and depression. However, these may be temporary and related to correct placement and calibration of the stimulator and so are potentially reversible.However, increasing of essential tremor is not known side effects. He should check the electrode placement also. Consult your doctor and take treatment accordingly. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a small pea-sized lump on the left base of my scrotum. The lump is not in the scrotum, but right where my left thigh joins with the body. The lump is hard, does not seem to move around, and almost looks like a pimple at the surface of the skin. There is only pain, similar to that of trying to pop a pimple, when I apply pressure on the lump. What can this be?", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have enlarged lymph node due to reactive hyperplasia, tuberculosis or other infection. Or you may have some benign cyst like sebaceous cyst or Desmond cyst. You should go for biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am experiencing pain in my calf muscles and the back of my knee area...probably because I wore heels yesterday after few months and had to walk some distance on them. Could you please suggest some light medication to suppress the pain. Thank you", "output": "Hello, As this must be related to the inflammation of the origin of the muscles of the calf and landed this into DOES. Doing hot water fermentation and allowing the knee to be rested over a pillow should be of advice. Having paracetamol will help reduce this pain. In 2-3 days of the time, you should have complete normalcy of muscle. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here... I am 28weeks pregnant and have horrible smelling urine right now. I smell very strong onions while urinating and I m certain its not from any diet changes. Infection maybe?", "output": "Hello, Concentrated urine often smells strong. The smell of onion suggests sulfurous smell and urinalysis should be done to exclude infection, salts and pigments. Please increase the intake of liquids maintain proper genital hygiene. You should also test for luminaria and get your blood pressure checked regularly. Take adequate rest preferably in left lateral position. Get periodic sonograms. Avoid excess salt. Urinary alkalinizes may be taken if necessary after consulting your specialist. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, This question regards the skin right below the meatus of the glans penis. Im 24 yr old circumcised male and for quite a long time after constant inflammation and meatitis (gone now), the skin right below the meatus (small patch, not the whole underside) ranges from slightly red to bright red and looks wrinkly/scaly. The redness gets worse after ejaculation. I must also point out that during urination, this area pouches out due to the force of the stream and I think because this skin is just weak/not much support in general. this causes my urine stream to be wobbly and not straight, however when i squeeze or hold this area during urination the stream is perfectly fine. The inflamed meatus has gotten better over the years and is pretty much healed, however it is just this strange looking patch of skin right below the meatus and the fact that it pouches out during urination that worries me. I have been to a urologist who said it was interesting and to come back if I need to. What do you think?", "output": "Hello share you concernLooking at your description it seems to be related to infection or inflammation of meathead I would like further information for better assessment like relevant medical history like diabetes or other hormonal disorderly recent exposure to unprotected sex? In my opinion you should consult a VD specialist for physical examination and battery of tests including skin biopsy to diagnose the condition.Meanwhile, apply antiseptic ointment and keep it cleanse condom during sex or try to avoid any kind of injury or trauma. Please feel free to ask for follow up questions Best wishes" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doc. Good afternoon I have a question regarding the result of my X-ray can u please help me because this is one of my requirements for pre employment.My X-ray result impression is no focal consolidations is identified. Suspicious densities in the right apex for which a follow up apicolordotic view may be of help if clinically indicated .", "output": "Thanks for your question on Chat Doctor. Normal chest x-ray is done in PosteroAnterior view (PA view). In this technique the apical part of both lungs are hidden by bony structures like clavicle and first 2 ribs. So any opacity in apical area can be masked or not properly visualized in PA view. So apicolordotic view will be needed. In this the x-ray is taken in such a way that bony structures are not going to obstruct apical areas. So apical areas are clearly seen, and better reporting can be done. So in your case apicolordotic view is must rule out apical infiltration. Apical infiltration is seen most commonly with TB and pneumonia. So get done apicolordotic view to rule out these." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I started with a mild discomfort to my left chest area a few days ago. Now the discomfort is in armpit area to my back left shoulder blade. My armpit is also tender but skin feels numb. I also experienced a period today when my entire arm felt tingly like it had fallen asleep and felt cool to the touch. Any ideas?", "output": "Thanks for posting you query to Chat Doctor .as this type of pain may be due to 1. Muscular causes or 2. Cardiac causes or 3. Neurogenic in origin because of age related degenerative changes leads to compression of nerve. I want to know some more information: is there difficulty in breathing or pain associated with sweating or is it a mild constant pain as these type of feature are usually associated with cardiac pain, and we have to take immediate action .if you are having such symptom immediately consult to cardiac center for father investigation .if such symptom are not you can do following thing :take rest, take hot compression, take pain receiving medicine ; 1. Diclofenac sodium 50\u00a0mg two times a day.2. Thiocholchicoside 4 mg two times day for muscle relaxation .hope you would be satisfied with my answer. Feel free to communicate if any query.regards, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "33yo male. had Myocardial Infraction 2 months ago. Pain started in upper back and was diagnosed as Pericarditis. 2 days later chest pain then heart attack diagnosis. I am having upper back pain again about 3 of 10 on a pain scale. should I go back to the hospital or just schedule a normal appt", "output": "Thanks for your question on Chat Doctor. I can understand your concern. No need to urgently book an appointment because your pain is only 3/10 scale. It is not of great intensity. Pain associated with pericarditis is having great intensity and scale of 9-10/10. So you can wait and book normal appointment for your pain. Possibility of musculoskeletal pain is more. So in between time, you can take painkiller and muscle relaxant Chat Doctor. Application of warm water pad on affected areas is also beneficial. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been seeing a urologist for 7 years due to overactive bladder. I take Oxybuntain and 30 day Cialis which have helped the condition. I have also benefited from the Cialis with regards to sex with my girlfriend. I m 52 and recently had some ED issues. Seems like the 30 day Cialis isn t working. Last visit with my Dr he said the ED episodes can be from being tired and stress. Any suggestions regarding meds and/or supplements?", "output": "Hello there I have read through your question understand your concern. Erectile disturbance at your age can be due to many causes including hypertension, diabetes. You should get a complete physical and blood examination to rule out any physical problem s. Cut down on smoking and alcohol. You can take a supplement containing L Arginine and combine which help in erectile dysfunction. These are vitamin supplement s hence do not cause any side effects. Reduce stress, maintain a healthy lifestyle and exercise daily. If you are not relieved by the above consult a surgeon for any local causes. I hope that answers your question. If you have any further questions please feel free to write. Thank you for choosing Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had a root canal a year ago. It suddenly flared up while I was traveling acroos the United States. We had to stop in TX where an endodontist took care of me. He said I had a large abscess. He gave me ic clindamycin which seem to heal my infection. This was in May. Suddenly two weeks ago it flared up again and my dentist put me o clindamycin again. This time it is not working. My endodontist told me that I had irreversible pulpitis and drilled holes in tooth and cleaned it out. He also put medicine in it and thought it would be fine. He is now out of town and the pain has returned. Nothing is working and I will be out of meds tomorrow. I DONT KNOW WHAT TO DO.", "output": "Thanks for your query, I have gone through your query, once the root canal treatment is done the pain should be there. So consult an oral physician to rule out any defect in RCT or whether any decay in the adjacent tooth causing pain. You need to take radiograph. If I am your treating doctor I would have suggested penicillin with metronidazole which is most effective and economical thank clindamycin. If there is defect in previously treated tooth it should be retreated or extracted. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 16 and i feel some pain in my breast and armpit and theres a lymph node slightly enlarged down my backs side of scalp or neck and its really painful and plus i had some throat infection during this month maybe the cause of lymph node my parents are doctors and they say that unmarried girls do not get breast cancer i searched on google about the lymph nodes at back of the neck and it says that the lymph nodes at back of neck signifies breast infection or tumor. please tell me what should i do and which tests should i get and is it true that 16 year old dont get breast cancer Thank you", "output": "Dear patient Its true that at 16 years of age you do not get breast cancer. Lymph node at back of neck may be due to scalp infection or local throat infection and is common in young age. Best thing is to get excision biopsy done. In this procedure involved lymph node is removed under local anesthesia and sent for histopathology examination. It gives correct diagnosis and also removes painful lymph node. All the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello dr. i want to ask about i-pill side effects . i had a sex with my boyfriend for 6 times and i took i-pill in 24hours for every time . will it effect me in future. since we r geeting married so for that m not worried but for pregancy m worried.. and how many time we should take i-pill ?", "output": "Hello misunderstand your concernNever use I pill as a regular contraception. As you had use six time it causes high chance of hormonal imbalance. Hormonal imbalance is due to high progesterone, and it causes menstrual irregularity, and it affects also the future pregnancy. So do not use so frequently or as regular contraception. It also causes abdominal pain, breast soreness, with Chat Doctor. So after marriage keep the I pill option in emergency only. Regularly you can use condoms and contraceptive pill. Hope this may help you Best regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I am a 30 year old male. I am having a dragging sensation in my right scrotum for about 7-10 days. There is no pain, but when I palpate, the spermatic cord feels thickened compared to the left. I compared the size of both of my testes but they are same, no visible mass. I m worried.", "output": "Hi, There can be an infection in the scrotum which is causing the pain. This can mean an infection in the testis and epididymis. The surest sigh of such an infection is pain relief and feeling comfortable on lying down and lifting the scrotum with your hands. To confirm an infection requires consultation with a surgeon. If a single diagnosis cannot be found after clinical examination then an ultrasound scan of scrotum has to be done. This will show and features of infection, abnormal blood flow or collection of fluids as found in HY Chat Doctor. If it happened few days back then it is most likely and infection. Such infections can be treated by medications. A complete course of antibiotics and painkillers might help. Please avoid doing heavy physical exercises and going to the gym for a week." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a lump on the outer side of my knee that comes and goes. It seems like it appears when I am on my feet for long periods of time or I do a lot of climbing. I did a lot of snow shoveling today and now its back and is somewhat painful. What could be the cause of this?", "output": "Hi, If I were your treating Doctor for this case of a lateral-of-knee lump, I would come up with only one and one possibility that is varicose veins or bursa! Nothing to worry about this and try not to get infected there! I suggest you to go for an FNAC test/USG Doppler of the lump for confirmation and to relieve your concerns! Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, im male age 25, i have found out a couple of days ago that i have a lump or a swollen pee tube, right between the knob and the shaft and a small amount of white discharge comes out. i woke up a couple of days ago with the white substance when i pulled back my fore skin. at first it did hurt at all when i pee, but after a couple of days it burned like hell. Could this be a std? like my girlfriend cheated on me like a week ago but i know like after 10 days or so. if i knew that i would not have any intercourse with her,. i maybe not circumcised but i take good of my private part. why i ask here is because i life in indonesia and the doctors here are not as good. well thanks hope you can help me", "output": "Hi. Thanks for your query. As you have got a history of exposure, you have to undergo a treatment accordingly and get all the relevant STD tests done. You have to take a proper antibiotic course and for this you need to visit a Doctor, preferably a Dermatologist and Meteorologist. He would examine you and advise you the blood testy sand the test of pus from the wound you have foe gnocchi. You can post a photograph on this website for us to get a direct visual and give you a proper diagnosis. Apply liquid Provide iodine locally and nothing else. Keep the area clean and Chat Doctor. Always use condom. Take care, get a diagnosis and complete recovery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been feeling nauseous on a pretty well daily basis for about three months. I m never actually sick however. I ve had blood tests - all OK. I ve had a gastroscopy which showed nothing but a small flat polyp which was removed at the same time. I m due a follow-up on this at an out-patients clinic later this month. I m also due an ultrasound scan as my GP thinks it might be gallstones, however I have no pain in my digestive system. I m prescribed Metaclopramide but this does not really have much impact. It s really getting me down now.", "output": "Hello, brucea1,Persistent nausea could be a result of inflammation of the stomach lining. You mention that the doctor found a small polyp and removed it. Usually, these are called Hyperplastic polyps or inflammatory polyps. In other words this happens from inflammation of the lining of the stomach, and we call it \"Chronic Gastritis\". Metaclopramide or Regains a Chat Doctor. It doe shave potential side effects such as shakiness of the hands, almost like Parkinson like symptoms in some, especially with higher doses. If you are not on any PPI like Omeprazole, Lansoprazole, Omeprazole orEsomeprazole, these are available over the counter in " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir, my mother is seriously suffering from low back pain. local surgeon advise her to operate. she is a patient of gastritis & can t take any pain killer. she is a patient of asthma too. so she is afraid of any kind of operation. we are worried about it. sir can it not be cured with medicine completely ? if u need i can send u the MRI report.", "output": "Hi, Welcome to Chat Doctor. After going through your query I think your mother are suffering from chronic backache. Treatment of back pain is exercises and analgesics (diclofenac SR). Sometimes strong analgesic(such as attract three times a day after meals) is required. Consulting with treating doctor is advised. Sometimes vitamin D deficiency is the cause so get your vitamin D checked. If it is low then vitamin D supplementation(weekly with milk) can be taken. Avoid long continuous standing. Sit in a straight posture. Eat milk, fruits and green leafy vegetables daily. What her MRI shows. I think your query answered" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have a son of 18 year old and his neutrophils are showned high enough in heamogram test . some doctor suggest me to give single dose of wysolone to him. so i just want to know is wysolone is safe for him.? and he is going for a recruitment in airforce so is there is any problem for his medical fittness... while taking wysolone..?", "output": "Hi, welcome to Chat Doctor. High neutrophil in blood is mostly related to infection in body. It is not advisable to take cyclone for that. Wysolone has many side effects-high BP, high Sugars, weight gain/obesity, skin stria, bone loss, peptic ulcer etc. Check complete blood count, basic urine report. Monitor temperature. Take Physicians opinion and physical check up with him. I think this would be helpful to you. Best wishes. TC. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ive just found a pea sized lump under the skin on my shin bone, just below the knee. It moves/ slips around under the skin when I touch it about a inch. Going to doctors asap but just wondered what you thought? Im 20, female and have no history of lumps before.", "output": "HI, Dear,Thanks for the query to Chat Doctor. I understood your concerns about the shin lump. In my opinion its -Sebaceous Cyst ? Or could be Lipoma. Treatment-a-Take opinion from the ER Surgeon b-He would do Surgical Excision and Biopsy to rule out any fear of cancer that worries you. Hope this would help you to plan the treatment with Your family doctor. Wishing you early recovery. You are always Welcome for further query to Chat Doctor in this regard. Have a Good Day...!!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have recently had a mirina removed and have not had a period since or in the past few years. I had unprotected sex on the weekend. The following afternoon i had brown spotting. I then got the morning after bill but it had probably been close to 24 hours after the intercourse. I am now at day 3 after and i have more brown blood and it is chunky.. also causing cramping. what could this mean ?", "output": "Hello, You are perhaps experiencing a with Chat Doctor. Intake of the pill within the stipulated time offers 99% protection. As you do not know whether you ovulated and if so, when it happened and if you had the intercourse during the fertile period, you should wait for three weeks after the incident and get help from a specialist if you do not see a period by then. Hope you find this information useful. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my sugar level fbs 180 and ppbs 380.then doctor prescribed glycoment gp 1 fort every day one cap for 15 days.again i checked sugar.sugar level fbs 170 and ppbs 360.then i meet other doctor.doctor prescribed ozomet g2 every day one cap two times.after 10 days i check my sugar again.now sugar leem fbs is 130 ppbs 240.why like this.both medicines contains metformin.kindly give reply", "output": "Hello, Thanks for the query. You are right, both medicines contain Metformin as one of the ingredient, but Glycogen GP1 has 1 mg of Glimiperide and the other (Comet G2) has 2 mg of glimileride. The reduction in blood glucose level noticed is due to the higher dose of Glimiperide. This Chat Doctor. Higher dose means there a greater stimulation. Still the blood glucose levels (Fasting 130 mg & PP 240 mg) are much higher than ideal levels in case of good control like Fasting closer to 100\u00a0mg, PP 150 to 160 mg and HbA1c% Therefore, it is necessary to improve the current treatment so that desired blood glucose levels are achieved consistently. I am sure you are aware it is essential to achieve a very strict blood glucose control in order to postpone or prevent long term complications of diabetes affecting various vital organ in the body. In addition to specific " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was pricked by a bougainvillea thorn about 3 weeks ago. My finger is swollen and looks infected at the puncture area now. I have tried to look for a piece of the thorn but no luck. The finger is red and swollen near the nail. Should I go see my md or can you advise other treatments.", "output": "Hello, I have gone through your query and I can understand your concerns. As per your description it seems that your finger is infected, and I strongly recommend you to consult your physician because you need prompt antibiotic therapy which should prescribed by a doctor.Moreover, you might require minor procedure like incision and Chat Doctor. Consult your physician and get the following things done:1. Start a short course of antibiotics like \"Tampico\" for five to seven days.2. You can take simple analgesics like \"ibuprofen\" or \"diclofenac\" for pain and discomfort.3. If there is collection of pus you might require a simple procedure like \"I n D\"(Incision and " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my nephew(a 40 year old in good health until now) has been diagnosed with sarcoidosis he was treated with predizone but treatment has not been successful. his symptoms have continued.Are there other treatments available? A friend also a doctor suggested he may want to get on a waiting list for a heart/lung transplant...is that something to be considered?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Acidosis is connective tissue disease involving lungs, mediastinal lymph node, heart etc. It is chronic progressive disease. Prednisone is the only effective treatment for acidosis. If your nephew is not improving on prednisone, lung transplant is the only option. So better to register in lung transplant registry as early as possible to avoid long waiting. Hope I have solved your query. I will be happy to help you further. Wishing good health to your nephew. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My grand daughter (6 yrs old) has white spots under her skin in several places of her body. It is extremely itchy. When she scratches it, it becomes very red with broken skin. She has been to the doctors 4 times but it has not been diagnosted & her skin is not improving. Any ideas what this might be?Thanks for your help.", "output": "Hi...by what you quote it seems like a mild fungal infection of the skin or eczema (mild sin allergy). But - Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I need to consult a therapist. How do I go about it? I have been suffering from hopelessness for a long time, and its beginning to harm my self-worth. I feel like my symptoms resonate a lot with Borderline Personality Disorder. I dont want to let my behavior go undetected as I feel it might have devastating impacts on my life in th near future.", "output": "Welcome to Chat Doctor ! I have gone through your question, from it few things are apparent-you have hopelessness and now started having worthlessness too. You think that your symptoms resemble borderline personality disorder (but you have not mentioned any other symptom resembling borderline personality). However, what ever be your diagnosis, (as these symptoms can be present in several psychiatric disorders), one thing is certain that you do need help. Had I been at your place, I would first visit a psychiatrist and discuss my problem in detail, let her make a correct diagnosis. After that the doctor may prescribe you some medication along with counseling sessions. I can assure you that you should not worry anymore as you have taken a right step in discussing your problem. Accepting ones problem is the first important step in treatment. Hope the answer helps you. Feel free to ask more questions." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir,I have been subscribed a medicine called Veltam 0.4 . I am 26 years old and after reading the reviews I came to know that it is not for young male since it reduces semen count and there are many other side effects as well. what should I do ? please HelpRegards,Vishy", "output": "HelloThanks for query. You have been prescribed Delta 0.4 mg once daily. You have not mentioned the reason for it being prescribed to you.Maybe you are facing problem of pain in abdomen due to stone in ureter. Veltam is alpha blocker that relaxes smooth muscles in bladder neck, prostate and ureter and is generally prescribed for obstructive voiding symptoms, poor urinary stream or to help to pas down the stone in ureter. Since it causes relaxation of bladder neck, during ejaculation it causes semen to enter in bladder instead of moving forward in to urethra what is called as Retrograde Ejaculation. This retrograde ejaculation is the cause for low volume of semen during ejaculation.However, the problem gets resolved after you stop taking it. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i am having typhoid fever from past 8 days..for the first 3 days i had moracef 1g injection 2/day... after that i started taking taxim-o 200 tablet.. Is that the right medicines? And what should be my diet?i am 5 10 height and 63kg in weight.. please reply", "output": "Hello, Welcome to Chat Doctor, Typhoid fever is a disease that is caused by typhoid bacilli by Chat Doctor. The treatment what you have been prescribed is proper and adequate which helps to treat your condition. It is a right medicine for the management of your condition. I would suggest you to continue the same treatment and in addition to this I would suggest you to follow1. Take adequate rest2." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was treated for a bladder and kidney infection with cipro. All that time I had pain in my lower right side of back. The infection was treated but the pain didn t go away. I was diagnosed with two 1mm kidney stones on Friday. The pain is awful and is radiating down to my knee and up my ribs to my elbow. My knee pain feels slightly worse than my lower back pain now. What should I do?", "output": "Howell come to ChatDoctorIf you do have urinary tract infection, this may cause abdominal pain, if it is stone, so this could cause frequent infection and pain too, but this may not cause pain in joints, if you have joints pain then this could be due to arthritis, for the stone and urinary tract infection, get done the urine culture sensitivity test, for the stone site and size of stone is important, find it out, for the joint pain this can be managed with Tab Diclofenac 50 mg sustain release once in day, take care have a nice day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i had a brain aneurysm clipped on 7th aug of this year, is it ok to resume all activities including going to gym etc, i have no physical defect from my surgery i still get tired but think this is more to do with the lack of activity,, im keen to resume working but feel i need to rebuild some of my stamina,, Also now that my aneurysm was clipped does this mean that aneurysm is gone completely? iv still got weeks until i see my surgeon or id have asked him thank you", "output": "Hello, Thank you for trusting Chat Doctor. It is advised to avoid any extreme physical activity for the time being until you meet your surgeon. Avoid straining, avoid anything that would lead to increase in intracranial pressure among which straining during defecation or strenuous physical activity like lifting weight for example, all at least until you get proper assessment by your doctor. You can walk as an exercise for the time being, nothing that will put so much stress on you. Hope that helped stay safe." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 22 month old has red, blotchy spots on the palms of her hands with some small red bumps in some areas. It is very itchy for her and I dont know what is causing it. I havent changed any kind of body soap, lotion, hand soap or detergents. I have tried over the counter anti itch creams and lotions and have given her allergy medicine to try and help her but nothing is working.", "output": "Hello Kim, Thanks for posting on Chat Doctor, Your daughter might have contracted a fungi rash which will require antifungi medication to treat it. Giving antihistamines alone without treating the actual cause would not work. If antihistamine has been administered properly and rash still persist, then allergy might be excluded. Other medications such as oral steroid can also get rid of allergic reactions when antihistamines alone fail.Also, possible are bacterial or viral infection of the palm skin most probably dermatitis. Local creams (antibiotics, antifungal or steroid etc.) could be administered to help deal with the affection. If rash persist, please do not hesitate to consult a dermatologist. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Pain in my right knee came on suddenly. Behind the knee, the muscle on top of the knee, the inside of the knee. I do have osteoarthritis, have had two arthroscopies. Has been pain free for the last 4 years. I did nothing that would have brought on such sudden pain. Can a cold or infection settle in my knee? I have had a very bad sore throat the past 3 days.", "output": "Hello, It looks that you are afraid of arthritis pain. As recently you are having sore throat, in that case it can be associated arthralgia with sore throat. In good percentage of cases there is associated joint pain in sore throat. You need not worry about that this will go away in next 3-5 days. Meanwhile, you may have a good analgesic like ibuprofen for that. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have been having back pain since 10 days and just know got an MRI the MRI says disc desiccation with an anular disc bulge and a left paracentral disc protrusion with an anular tear minimally displace the left S1 nerve root , create minimal bilateral neural foraminal narrowing and minimal central canal stenosis at L5-S1. I m a software engineer and I can barely walk, sit, stand for long periods of time without being in pain and I have trouble sleeping due to all the pain as well. Would surgery be the best thing to do and will/should I continue to do my job with all this pain?", "output": "Dear Ms You have pain because of annular tear in the cartilage and disc bulge compressing nerve. However, pain by itself may not be indication for surgery. I suggest you for the following: (a) Have a review by neurologist weather there is any neurological deficit or not (b) Your doctor may consider pain relieving medicines, rest and physiotherapy (e.g. short wave diathermy etc.) (c) If we fail and your symptoms are still severe, surgery may be considered. Protein" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have middle back l pain only while i sleep...T 10-12....i sleep on my back for about 3-5 hours then wake up in excrutiating pain...toss and turn from side to side without relief. i have no pain during the day...run 6-10 miles a few times a week without pain. i hope you can help Toni", "output": "Hi, thank you for posting! I have gone through your query and I understand your concerns. According to your symptoms, I think that you suffer from lumbar arthritis. The diagnosis can be determined by the results of the following tests:- Lumbar CT-scanner (computed tomography)- Complete blood count-Fibrinogen test-ESR(erythrocytes sedimentation rate)- Urine testate treatment is made with non-steroidal anti-inflammatory medications, painkillers and chiropractic procedure. You should contact your neurologist to discuss more about the diagnosis and treatment. Feel free to ask for anything unclear. All the best," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doc. I want to consult health situation of my mother. For about two weeks she had vaginal bleeding. After a series of test, the doctor conducted a hysterectomy operation. Sample of tissue was biopsied, the result was: WELL DIFFERENTIATED ENDOMETRIAL ADENOCARCINOMA.Other findings: chornic cervicitis, corporal albicantha, bilateral ovaries, congestion, bilateral fallopian tubes. The oncologist advised that my mother sh.undergo chemotheraphy. Is it the best option? Please help me.", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. Endometrial carcinoma is highly chemotherapy sensitive. And surgical removal is treatment of choice for endometrial carcinoma. During surgery, handling of mass can cause local site spillage of tumor cells. So possibility of recurrence is high. This is the reason for post-operative chemotherapy. Chemotherapy will be effective against not only local site but also on systemic spread. It prevents local as well as distal spread. So chemotherapy is must after hysterectomy in case of endometrial carcinoma." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 20 yr old female non drinker or smoker. After minor exertion I feel a strangeThumping or twitchy feeling in my chest directly below my neck could this possibly be A PVC I do not have anxiety or drink caffeine ?Heres my email adress where you can respond YYYY@YYYY Thank you", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. Possibility of anemia or vitamin B 12 deficiencies is more. In both these conditions, discomfort in chest (palpitations, thumping, twitching) on exertion is seen. And at your age heart diseases are extremely uncommon. So better to get done hemoglobin estimation and vitamin B 12 level. If deficiency then you need supplements. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband has been diagnosed with ALS. His ALS affects his speech. He had speech problems 2 years before he was diagnosed with it 2 years ago. Our Dr. in Scott and White in Round Rock told us yesterday that since he is slow progressing (still strong and can swallow) after 4 years, he wanted to take his blood and do a genetic test on him to see if he might not have ALS after all. He might have a slow moving disease that acts like ALS but you can live up to 10-15 years instead of the 2-5 years with onset of ALS. I was trying to find the disease that he might have. Any ideas?", "output": "Hi, Welcome to Chat Doctor forum. As a primary diagnosis, your husband was diagnosed as amyotrophic lateral sclerosis. As it was progressing very slowly they had a doubt. And trying by doing the investigations for differential diagnosis and excluding the possibility of A.L.S. They are 1) E.M.G-electromyography, 2)N.C.S.-nerve conduction study,3)M.R.I-magnetic resonance imaging. If A.L.S. is excluded, he can have a curable diagnosis. And there is a possibility of complete cure. Wishing for a quick and complete recovery. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I woke up this morning with a red lump on my upper arm, it is very prominent and sore to touch, can you give me an idea of what this could be. I am a C5/C6 tetraplegic and on warfarin, I have previously had blood clots in both legs and one in my lungs.", "output": "Hi, Dear thanks for the query to Chat Doctor. Causes for Your red upper arm lump-a-In my opinion it could be bedsore on the pressure points of your upper arm -if that lump is on the pressure points.b-or it could be a-Bedbug bite or Insect bite ? Or Spider bite.-The -as you are on warfarin sore red lump -has developed prominently post-insect bite.Don't worry, as this would go with Tb Cetirizine which you ask from your Family doctor. Hope this would help your worry to take proper steps for health. Wishing you fast recovery. Wellcome again if you have any more query in this regard. Have a Good Day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, My husband was diagnosed last week with Stage 4 pancreatic cancer. 3 days after the diagnosis he was told he has six months to live. (FYI he is only 49 years old....) It has been a roller-coaster of emotions for both of us, which social workers discussing \"quality vs quantity\" of life, arranging for a hospital bed to be delivered to our house, etc. Two days after being released from the hospital (where they had moved him to the palliative care unit - not a good sign.....) he was given a schedule for chemo and radiation treatments. We attended a chemo class yesterday and found out his schedule calls for doctor visits 2 and 3 times a week, as well as a five-week period where he will go everyday (M-F) for radiation treatments. Now we are both confused. When we heard the six month diagnosis we were planning on how this time would be spent (trips to the beach, fishing, etc) but now with the treatments scheduled, we are thinking that perhaps the six month diagnosis has changed - is there still hope for survival??? is what we keep playing out in our heads, thinking surely the doctors would not prescribe these intensive treatments if he was surely going to die by January??? Family members, friends, and, of course, my dear sweet husband and I are holding on to any glimmer of hope there may be....but we want to be realistic. Why would a doctor tell him he has six months to live.....and then prescribe tons of chemo and radiation???", "output": "Hi welcome to Chat Doctor forum. Because, chemo and radio is necessary to achieve even those 6 months. I understand your concerns, but pancreatic cancer is one of the most dangerous and has very poor prognosis. Radioth and chemo is the last option for palliative treatment, and it can only slightly prolong lifetime. So many patients even decide not to treat it if they consider that 3 or 4 more months are not worth of fighting. This is up to you. In both cases' prognosis is poor, and he is not able to live for 1 year. But as I said if he wants these 6 months he needs therapy. If not, he can hope for 2-3 month of life. Hope I have answered your query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have been on cozaar losortain 100mg for almost 2 years and in the past 2 months ive had severe rash in my ass crack and now my shoulders my ass had blisters and now its become eczema.my initial pressure was 145/100.i am a male 5/2 125 lbs. i have cut my dose in half and going to discontinue it for now what dop i treat the rash with? i cant afford to dr hop. i do have insurance.", "output": "Hi, It seems that probably you may be having fungal infection. Tina corporal. Consult the dermatologist for the perfect diagnosis and proper treatment. It does not seem to be Chat Doctor. Apply antifungal cream like Fluconazole cream and take antihistamines and antifungal tablets after consulting the doctor. Avoid soap bath. Take bath with diluted Detail. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been having severe pain in my right upper abdominal region. Normal CT. Normal Ultrasound. Vida reported 100 EF. Normal endoscopy (report just stated site of the stomach and duodenum). Could the EF be the issue? I have got to have some relief.", "output": "Hi. Thanks for your query. The causes of upper abdominal pain in spite of normal CT scan and normal Ultrasonography Normal Endoscopy can be :Dysfunction of the Sphincter of Odd. Internal herniationHernia in the upper abdominal wall and so on. When the reports are normal - a careful clinical evaluation, actual physical evaluation by a General Surgeon can be really helpful as all the diseases are not found on any of the tests, which a trained hand can find. Vida 10 EF may not be related to the upper GI Abdomen." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I got married 3 years back. We are trying for a baby since last 2.6 years. But i am not getting pregnant. Our all test are normal. Now I has started FERTYL 50 tablet from 2nd to 6th day. Is it help me to get pregnant. And from which day we have to start intercourse and how many times? Is there any side effects of this tablet on body?", "output": "Cellophane you for your query. Fertyl contains camphene citrate, which helps to stimulate formation of eggs (follicles) in the ovary, in cases of ovulatory infertility and unexplained infertility.almost 50 % of women on camphene conceive successfully, specially after 2 - 3 cycles of treatment, (if other factors like hormonal analysis, semen testing and fallopian tube patency are normal). You will have to undergo follicular monitoring, and when the lead follicle reaches a size of 20 mm (normally on day 14 of a regular cycle), ovulation occurs, after which it is advisable to be sexually active daily for at least 4 - 5 days. Side effects are minor, and not noticeable with single cycle treatment. Rarely, hyperstimulation of ovaries, nausea, color vision changes etc. may occur. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi this is Rajendra. im suffering with psoriasis on the scalp and body. I am using now Propysalic Nf Ointment. please suggest me this ointment will cure my problem or not.Also can i apply this cream on the scalp or not.Im waiting for your reply.. because im facing so much itching.", "output": "Hello and welcome to Chat Doctor Psoriasis is a chronic immune mediated disease characterized by scaly erythematous plaques over the extensors like scalp, elbows, knees, lower back etc. Treatment options for plaque psoriasis are:-Topical steroids+salicylic acid ointments-Topical vitamin D analogues(calcitriol, calcitriol)-Topical coal tar+salicylic acid ointmentPropysalic ointment contains clobetasol propionate+salicylic acid and is a good choice for localized plaque psoriasis. While you can use this ointment, twice daily for the psoriasis plaques on your body but for scalp psoriasis, it is preferable to use a lotion formulation because ointment would be messy to be used on the scalp.Besides, you could also use a coal tar + salicylic acid based shampoo for scalp psoriasis. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had an engorged vein pop up on the top backside of my right leg just under my knee. It was very painful, burned and stung. After a bit the engorged vein slowly went down and now I have a very large deep purple bruise. At the same time I also had the same thing happen to another vein on the outer side of that leg. Should I be concerned?", "output": "Hi. Thanks for reaching out. Based on the description you have mentioned, it sounds like you have varicose veins. These are seen because of faulty vein valves. This can cause the size of the veins to increase. Varicose veins are treated by using compression socks, raising the legs high, and rarely surgery may be suggested to treat this. Seeing a surgeon would be a good idea. I hope this helps! All the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "About a month ago, I found a small tick lodged on my thigh. I carefully extracted it with tweezers and successfully got the head out. Today, I felt a bump on my thigh and squeezed it before I realized it was the spot where I was bitten a month ago. I do not have the bulls eye rash or any other symptoms I have read about for Lyme except that off and on recently random joints hurt for a day then feel fine. Should I get checked for Lyme disease?", "output": "Hello, Welcome to Chat Doctor, Lymes disease when progresses to chronic stage it usually presents with joint pain, lethargy, generalized weakness, dermatitis and can be depressing to some extent. Try to divert your mind from your symptoms by keeping in touch with friends and family and keeping yourself busy throughout the day. Lyme disease has early signs and symptoms and later signs and symptoms. The early once appear within a month and include rash on the place where you have been bitten and flu like symptoms. So if you've been bitten and experience signs and symptoms of Lyme disease, contact your doctor immediately. Treatment for Lyme disease is most effective if begun early. However, diagnosis can be confirmed by ELISA for Egg against Cordelia and can be confirmed by a western blot test. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi.....I have a raspy force cough, only clear white phome coming up, my chest when when I cough. Lots of noise coming from my nose or from my mouth, I cant sleep, because that. I reguary using the natty pot. I whising a lot too.I taking predrison for five yr. because I have lung problem.", "output": "Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. By your history and description, in my opinion you are having either asthma or bronchitis. So better to consult pulmonologist and get done1. Clinical examination of respiratory system. 2. Chest x-ray. 3. PUT (pulmonary function test). Chest x-ray is needed to rule out lung infection. PFT is needed to diagnose asthma and bronchitis. It will also tell you about severity of the disease and treatment is based on severity only. Oral steroids are bad for health. So stop prednisone you are taking and consult pulmonologist and first diagnose yourself and then start appropriate treatment. You may need inhaled bronchodilators and antihistamine Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had an EKG as pre-op for upcoming surgery a week ago. Next week, I will be taking a stress test a day before I am scheduled for lithotripsy for a kidney stone. The heart doctor will not clear me for the surgery because he will not be able to have the results in time. Can he do this and why would he?", "output": "HelloThanks for query. Normally in India we do not do preliminary cardiac evaluation of a patent who is to undergo Lithography(ESL) for kidney stone unless patient has any cardiac problem .ESL is a non-invasive modality of treatment carried out as out patient procedure for fragmentation of kidney stone and has no morbidity. If it is routine protocol in your country to take fitness from Cardiologist you can certainly delay ESL for a couple of days till you get clearance from cardiologist. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "are their any side effects or after effects of typhoid? its medication or treatment? i am 33 yrs old lady suffering from typhoid. is coconut water beneficial? 20 days have passed by but still i feel weak and exhausted. are their chances of reoccuerence of this disease/ if yes what precautions should i take?", "output": "Hello there, Typhoid does make you weak for some time. Coconut water, bananas are beneficial to get rid of the tiredness. You can also have a diet that includes plenty of fresh fruits and greens and take care of your protein intake. Buttermilk, curd, whey protein can be added to your diet. Avoid oily or heavy food as it will make you more lethargic. Precautions that you can take is always Chat Doctor. Either boiled or filtered. If travelling carry your own water bottle or " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Approximately two years ago I felt a slight itch on my scalp near the crown gave it a scratch thought nothing of it. Within 24hrs a small painful lump developed at the site. I worked outside with old transport tires picking up/delivering probably mosquito it will go away. It did not and it became larger more painful very itchy. Went to my Doctor who could not feel it told me to return in two weeks if there was no change.The lump felt like half a golfball and the entire right side of my scalp became inflamed underneath. And yes I returned every two weeks for 4 or 5 appointments until she consented to an ultrasound the tech found it instantly and yes he said there was definitely something there. The doctor said she did know what it was and that it may return. The scalp on the right side now has ridges the other side does not and the lump did recede. But my memory is impaired and my balance and spatial awareness is also off. What do I do?", "output": "DearWelcome to ChatDoctorWe understand your concerns went through your details. Your brain is covered with a solid skull which never permit any sort of contaminants into your brain. Whatever affected your scalp skin or the area between skin and skull, could never infect your brain. In that case, your loss of impaired memory, loss of balance or spatial awareness (if it is true) cannot be attributed to the lump or further scenarios. I suggest you to consult a neurologist at the earliest for treatment. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query. Further clarifications are welcome. Good luck. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I m really hoping u can put my mind at rest cos I am driving myself mad. I found a lump right up high on my gum above a front tooth which is a crown. I did go to the dentist a couple if days before finding it because the area felt strange when I applied pressure to it, like the crown was going to fall out. The dentist examined the area and said it was fine, it was 2 days later I felt the lump. When you look at the area u can t see anything, the gum looks totally normal and it doesn t cause me any pain at all but I can sometimes feel it when I smile and my lips put pressure on it. It is a hard lump, like bone and I ve no idea how long it s been there.", "output": "The data you have given is not sufficient to reach a definitive diagnosis. Was the tooth infected and/or operated for a root canal treatment before the crown placement? How long has it been since the RCT/crown placement done? For now, with the data given, I would guess it might be due to a periodontal abscess in the region. And if there had been an infection and RCT was done, chances are infection may not have resolved completely before the maturation which may have caused a periapical cyst or an abscess. A radiograph of the tooth is needed to confirm/rule out the diagnosis. If present, it may require an antibiotic and anti-inflammatory treatment and if that doesn't work you may need to get your RCT redone. Either case you will need to visit your dentist to get a clear picture." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m on blood pressure medication but my blood pressure remains high. On the weekend my blood pressure was checked at 7.30 a.m. on Saturday and its was 172/95. I checked it again about 5 minutes later and it remained at that level. I also checked it on Sunday morning and again it was around 170/90. Is this a problem?", "output": "Hello, The cutoff life for BP in a hospital setting is 140/90 mm of Hg, as in trials it has been found that those having a BP of 140/90 mm of BP in Hospital setting equalled to 135/85 mm of Hg when recorded on 24 hour Ambulatory BP monitoring. So your readings of 170/90 & 175/95 mm of Hg is a little high. Would recommend that you have some lifestyle modifications like daily exercise, salt restricted (means no use of table salt) low fat diet, avoid junk food, canned food. Would also recommend some tests like Complete Blood Count, Lipid Profile, Kidney Function Tests, ECG, Fasting Blood Sugar, 2D Echocardiography. Medicines like Cilnidipine + Chlorthalidone would help you. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been taking Berberine which is excellent for my Diabetes however I have constant Diarrhoer since I went on them. I have just checked the lable and found that there is Magnesium Stearate in the Berberine which I know should not be there. Is this the cause? Noel Fitzpatrick", "output": "Hi, Yes, diarrhea can be one of the side effects of Barbering. Barbering is a natural supplement commonly used in the treatment of diabetes, obesity, heart disease and other conditions. Its common side effects are related to digestion like diarrhea, cramps, flatulence, and abdominal pains. It contains magnesium stearate as its one of the ingredients and which seems to be responsible for diarrhea. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was diagnosed with an upper respiratory infection and on a z-PAC and 4x a day ventolin for 2 days and chest rattling seems worse. My temp is at 99-99.5 and usually runs at 97.3. I feel very light headed when I walk and cough. I also black out for a few seconds when I take my inhaler. Should I go back to the dr or wait?", "output": "Hello, Thanks for the concern. You have upper respiratory tract infection and had azithromycin antibiotic with Ventolin (bronchodilator) for 2 days. Still you have fever and cough. So for that you can take hot steam twice daily, avoid cold foods and cold Chat Doctor. So you should immediately consult the treating physician get investigated and start treatment accordingly. Hope you might get help. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi.i am male, 35 years old unmarried having past hisory of tuberculosis 3 years before.was on ATT for six month and recovered well.i am having a psychological problem of having sexual obsession and it hampring my daily life activity.i used to concentrate more on sexual activity,watch more porn,more porn website.i want to be get rid off this symptoms,when i used to do pray,lots of negative thought comes in my mind like about sex,which makes me feel so guilty.please help me from yoursuggestion.", "output": "Thanks for asking in Chat Doctor forum In short: Thinking of sex and watching porn is not bad, you need not feel guilty. Explanation: Thinking of sex and watching porn is not a disease. Whenever you are excited you can watch porn and masturbate/have sex, but it should not become a habit and affect your other daily activities. So, be cool start diverting your attention towards outdoor games, social meetings, reading novels and do not stay alone in your room. Try to do this for some days you will feel the difference. Hope this will help you. Good luck" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi my son was born with a horseshoe kidney and had a large kidney stone removed at 2 years of age he attends rvh in belfast once a year for check ups and scans which hav always came back clear he is 14 yrs old now and has been boxing from the age of 9 recently he had a medical done by a sport doc b4 he entered competitions and was told it might effect his boxing career hes heartbrokenover this i dont know wot to 2 will he be stopped from entering any more competitions", "output": "Good day horse shoe kidneys depending on the severity may affect his career due to the abnormal location of the kidneys. The usual location of the kidneys for patients with horse shoe kidneys are at the anterior abdomen or behind the stomach. The normal location of the kidneys are at the flank area protected by the ribs and a great amount of fat to cushion the kidneys. That being said the abnormal location of the kidney may limit your son to be involved in professional boxing or even amateur boxing because it will place his kidneys at higher risk for injury. Surgery can be performed to place both kidneys at the normal anatomic location, although this is a major operation and entails a lot of risk also.I hope I have answered your question and best wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I recently used a new body cream that was strawberry flavoured and scented. I have hay fever but am only allergic to grass, London plane and silver birch (trees). I also get slight irritation and itchiness when I eat apples/peaches. I used the cream on my arms and they started itching a few hours later. I scratched my arm quite a lot and pink/red dots appeared? I can also see small veins around the area. Little whitish bumps have also appeared. The skin is red and itchy. It s not dry, though. What s wrong? What do I do? It s been like this since yesterday. Thanks", "output": "Hello, I have gone through your query and understand your concern. We call this Phenomenon as Triple response of Lewis. This is due to scratch on the skin. You had scratched the skin due to itching. In allergy, there is an increased release of a chemical called Histamine by Mast cells in our body. This histamine can cause itching, and thus you had scratched the skin. This scratching lead to erythema (redness) due to blood vessel dilation locally and increased permeability in blood vessels. These may look like red and pink dots. This is normal, and it can disappear in 30 to 40 minutes, once the histamine is broken down into inactive chemicals.However, in more than half of the peoples with high dose of allergens, this may persist and lead to late phase reaction up to 24 hours to 48 hours and then disappears.Thus, nothing to worry about, you can wait up to 48 hours. Please take antihistamines like cetirizine and mast cell stabilizers like montelukast. This will help in further release of anti-histamines from mast cells. Hope this helps. Please write back for further queries. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,i am 29 year old, my doc detected my follicle to be 19.5 yesterday, and asked me to take Gonacor injections today at night (2 injections each is 5000 , so to make the dose of 10000) and asked us to have the intercourse tomorrow. My question is, what is the best time for intercourse to increase the chances of getting a baby boy?? so should it be like tomorrow at night or the day after tomorrw?? because i know that the follicle only lives for 24 hours.", "output": "Hi, Welcome to Chat Doctor . After injection follicle rupture within 36hrs. So you should have intercourse from 24hrs after injection to 2 days. Once in 12 hrs for 3 days will be fine. After intercourse sleep for 29\u00a0mins and then get up. Don't get up immediately. Also keep a pillow over buttock region to avoid spillage of semen. There is no rule or technique to get a baby boy/girl. It is matter of chance what you will have a boy or girl. Hope I have been helpful. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "doctor two and half yrs before i got married but upto still we dont have child because im have varicocele peoblem in my left side of scrotum. last month i have taken semen analyze but only 10 million count was present. I consulted many doctors they suggested many drugs but there was no use.Now im consulting siddha doctor.please suggest me how to cure this varicocele problem.", "output": "Hi. I had gone through your query. Do not panic and relax. Varicocele is associated with male infertility, and it is treatable condition. No medicine can help. Only one treatment exist and that is surgical correction. Only indication for surgery is infertility.10 million count still enough to be a father. If you tried and not able to do then go for surgeon opinion. There are reports that sperm count will increase after surgery. Pain in scrotum can be treated with analgesic and wear tight undergarment or scrotal bike to reduce discomfort. I hope I have answered your query. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am having pain in my right forearm. It is concentrated in the muscle on top of my forearm and I have very little grip strength and gripping anything is painful. I first noticed the pain while lifting weights and it was made worse by chopping firewood.", "output": "Hello, We have to rule out have to rule out conditions like carpal tunnel syn Chat Doctor. As a first line management, you can take analgesics like Paracetamol or Diclofenac for pain relief. If symptoms persist better to consult an orthopedic and get evaluated. In that case, it is better to consult an orthopedic and plan for an MRI scan. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 19 year old niece who is a very capable and gorgeous girl appears to be suffering from depression? she is not diagnosed but is feeling sad easy to tears, anxious at times and difficulty sleeping. she has just finished her final school year and did really well but this year appears at a loss just wondering what would be our first step with her?", "output": "Hi, The symptoms that you have mentioned are suggestive of depressive disorder. Adolescence is a very vulnerable age. There are effective treatment options available for depression, right from medicines to psychotherapy. Current lot of antidepressants are very safe. I would advise you to take your niece to a local psychiatrist as soon as possible as it is imperative to start treatment at the earliest for good response and to minimize any long term negative outcome. Wishing you niece a speedy recovery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor, Im 30 years Female.my Liver function test shows SGOT and SGPT high as 110. bilirubin is in control.from USS report i got to know i have early fatty liver. My LDL also much higher as 176.HDL somewhere around 60. I feel stomach discomfort and feel difficult to breathe some times. What is the cause? is it serious or can be cured my DIet only?", "output": "Hello, Fatty liver is a reversible disease where triglycerides get deposited in liver cells. The most common causes for fatty liver are Alcohol, obesity,diabetes, high cholesterol and triglycerides etc. There is nothing to worry regarding this as simple lifestyle changes can make you alright. What to do... Quit alcohol, if taking. Reduce calorie intake and reduce your weight. Avoid junk foods like pizzas, burgers etc. Avoid sugary Chat Doctor. Avoid sweets and DE fried foods. Daily aerobic exercises for 40 minutes. Take a super B complex IT with 1000 mg IT C daily. You should be all right in next 4 to 6 months time. I hope it helps Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "For several weeks now and daily if not more frequently, I will get a very sharp stabbing pain in the inside of my lower left leg. It usually lasts a matter of seconds, but there is never any indication of it coming or going. It is so sharp that it alomost startles me.", "output": "Hello, As there is no history of High blood pressure and skin discoloration mentioned we have to rule out the varicose veins here. The history only mentions the stabbing pain in the leg, which guides towards the nerve entrapment in the lumbar spine leading to pain. The pain can be helped to relieved by doing simple core stability exercise, spinal muscle strengthening exercises, hip muscle strengthening exercises, and lower limbs strengthening exercises. Also doing hot water fermentation will help reduce the muscle spasm at the spine leading to release of the nerve root entrapment. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, My Mummy went for a chest xray and found there was a patch, she was recomended for a CT Scan and they found that there was a \"Cavitating nodular lesion seen in the perihery of the left lower lobe. It displays irregular margins. It is approx 3.2 x 2.1 x 2.1 cm, Rest of the lung is clear\". Now we had gone for a CT guided Biopsy, now it is 14 days and still the report is not clear. The doctor is telling us to wait for the report, does it take so long to detect Cancer :(", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Cavitary lung lesion with irregular margin is commonly seen with 1. Tuberculosis 2. Cavitary pneumonia 3. Lung abscess. 4. Cavitary carcinoma (lung cancer). So bronchoscopy with BAD (bronchoalveolar lavage) and lung Biopsy are needed for confirmation of the diagnosis. Usually 3-4 days are needed for Biopsy report. I don't know why they are taking so much time for report. In my opinion, you should consult different pulmonologist and recheck Biopsy report. 14 days time is too much for this. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 16 yr old son originally presented with painful urination, after urine tests, swab cultures, CT scans. The only thing found is an enlarged liver and elevated liver enzymes. Help I dont know what to do, he is still in extreme pain during urination", "output": "Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. He should see hepatologist first. This may be infective disease such as viral hepatitis or reinfection, but also some other liver issues should be considered such as Gilbert disease or gallbladder stones. Also, metabolic a dhormonal imbalance may lead to formation of kidneys and gallbladder stones. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my wife has been diognized with COPD and we are in the process of changing Doctors as the Dr she was referred to by the hospital is not Board Certified and was not providing adequate care. the problem is she has used up all of her rescue and daily inhalers and has nothing until she gets to a new Doctor. we saw on TV that there is a new Broncial inhaler that I believe is non prescription but we can remember the name of it and cannot find it at any local pharmacies. What are her options until she can get in to see a new doctor?", "output": "Hi rick5547Thanks for coming to ChatDoctorCOPD needs staging via spirometry and accordingly treatment has to be given. The treatment also depends on whether the patient has got respiratory failure, is she in acute exacerbation, has she got any comorbidities like heart disease, diabetes, osteoporosis, depression etc... You can try a combination of long acting beta 2 agonists like albuterol or formoterol plus inhaled corticosteroid like budesonide or fluticasone along with long acting muscarinic antagonists like geotropism... If your wife is in acute exacerbation manifested by increased baseline dyspnea, cough, sputum production and its purulence...you can give her a course of antibiotics like amoxicillin clavulanic acid and azithromycin along with short course of steroids like prednisolone 40 mg once a day for 10-14 days....and don't forget the nebulization by albuterol and ipratropium 6 holy... If she is continuously in respiratory failure then probably she is needing controlled oxygen therapy to maintain oxygen saturation just above 90%.... best wishes" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I suffers with OCD, anxiety disorder and depression. I have recently started to have hallucination and delusions ranging from, thinking an intruder is in the house, hearing the intruders footsteps, hearing the gas cooker being turned on, feeling the presence of spirits around me, seeing peoples faces change (aggressive & fierce) and jumping out at me, mumbling voices (cant make out what is being said), hands and limbs can look large and feel not my own, feeling of being trapped in a body that is not my own and wanting to escape.I mentioned all these symptoms to my psychiatrist who said these were symptoms that are part of OCD, but the information Ive been reading online suggests it is most likely a Psychotic Disorders. I like to know if this is part of OCD? or if I have a Psychotic Disorders, can anyone tell me if they have experienced this or even heard of anyone with OCD experiencing this?", "output": "His understand you concern. Do not think what internet has mentioned. It is just informative but real and practical aspect is different in every patient. Just trust to your doctor. It can be possible that OCD may be associated with psychotic feature, but it is part of OCD. Each and every patient of OCD is different it is not always same and occur in every patient. But treatment of OCD can improve all the symptoms that you have. So continue to take medicines and regular follow up. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Can a pulled chest muscle cause heart damage? My father was shoveling snow and felt chest pain. He went to the doctor and they said it was just a chest pull. When he tried to shovel the following day, my mother told him not too because he could hurt his chest muscle and have heart damage. Is that true or is she just being a worry wart.", "output": "Hello Welcome to Chat Doctor. Shoveling or any physical exercises can cause chest muscle pull but not damage to the heart muscles. The heart muscles are smooth muscle fibers which do not directly take part in any voluntary body activity. Moreover, the heart is located safely inside the rib cage and damage to heart muscle while shoveling is not possible. However since shoveling is a physical exercise (like running or swimming), it increases the workload on the heart. The heart requires more blood supply during physical exertion and people with blockages in the heart can sustain chest pain due to lack of blood supply to the heart. So indirectly it can lead to chest pain if he has blockages in the heart. Do if he gets pain every time he shovels or runs or jogs, then he must get evaluated from the cardiac point of view. Also since he has just sustained a chest wall muscle pull, its advice to rest and what your mother is asking is just out of concern. Wishing all of you good health. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor, my wife aged ( 23 ) recently got blood report with below impression NORMOCYTIC NORMOCHROMIC BLOOD PICTURE WITH MILD LEUCOPENIA AND RELATIVE LYMPHOCYTOSIS and in COMPLETE HAEMOGRAM report , TC = 3100 C/CMM which suppose to be in between ( 4000 - 0000 C/CMM) all othere entries are in range. Can you please suggest any tablets and root cause for this. if necessary we can approach to you if it is serious......please suggest...........................waiting for your reply. Thank you Manojkumar A C Cell:0000 YYYY@YYYY", "output": "Hello and welcome to Chat Doctor, According to your blood report the red blood cells are within normal limits. The red blood cells are of normal shape and size. There is slight decrease in white blood cell counts. Due to this, there is relative increase in the lymphocyte counts however, the increase is not absolute. Fall in leukocyte numbers occurs in severe infections. However, there is no evidence of infection in your blood report. Get your total white blood cell count done after some time. In the meanwhile there is nothing to worry. Thanks and take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi i would like to know the possible reason of my uncle s death ... He is near to overweight but not actually overweight .. He drinks around 4 times a week . He was very depressed due to loss in his business for past 4 minths . He was talking about it with his cousin suddenly he fainted down and start giving jerk his cousin started beating my uncle chest and blowing inside his mouth .it didnt helped he went unconscious .so they took him to hospital within 5 min on the way itself he was woozed salaiva from his mouth . Doc pronounced him dead . We did managed to take him out of mortuary without postmortem . When he take him back to his house I notice his nose was bleeding 2 to 3 drops and there was blood in his ear aswell ... And his body his sooo cool below room .temperature for sure ... Can you please tell us the reason ... Somesays its cardiac arrest some says its some abnormal electric activity in brain.... Say all the possibility if u need further info u can ask i will help u", "output": "Degree understand your concerns went through your details. Death means system failure. Body has many allied systems sewed into one full body system. Any failure of any one of this system can cause total failure. Blood Chat Doctor. High blood pressure ruptures the soft arteries of nose and therefore blood oozes. I suggest you not to think too much into the death. Take care. If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here...my brother is advised to do the bypass surgery by next month. He has a 90% block in his artery.Another block was there in a major vessel . But it was cleared by an angeoplasty. My question is that before doing the surgery will the DR do any test to cnfirm that whether the blocks are still there or not.So many people are praying for him.So we hope that God might have done the mirracle.Except angeogram any other test is there to cnfirm the block.", "output": "Hello Thanks for posting at Chat Doctor According to your description, he has critical blockages in the heart of which one has been scented earlier. I suppose more than one artery is involved (or the left main artery is involved) that's why your doctor has asked to go for a bypass. There are other non-invasive methods like CT angiography to detect blockages in the heart. But of all that an angiography is the most important and gives the maximum information. No doctor will operate on a patient without doing an angiography at first. Further, a bypass surgery also has good results these days. It will take about 7- 10 days stay in the hospital and after that a month for recovery at home. But the long term effects of bypass are very good, and he may not require another procedure for next 10-15 years. He has got significant blockages in the heart. So please don't go searching after other options and go ahead with the bypass surgery. Thanks for posting here. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 4 weeks into my recovery from a hysterectomy. I had everything taken except for one ovary. I started having a yellowish-brownish discharge about 1 week ago and it has a slight odor. From the beginning, my left side hurt the most because that s the side they removed the ovary from. I was feeling pretty good but woke up this morning with left side hurting again and lower back pain. Are these normal for 4 weeks in or is infection a possiblity?", "output": "Dear patient Back pain after pregnancy may be there for few weeks after hysterectomy if spinal anesthesia is given. This pain usually subsides within month. Since you are having discharge with bad odor and back pain infection is more likely possibility. This needs to be investigated, and I would advise ultrasound of abdomen and pelvis to OK for fluid collection in peritoneum. You need to consult expert gynecologist with report. Meanwhile, start tab ciprofloxacin 500\u00a0mg twice a day and tab metronidazole 400\u00a0mg thrice a day for 7 days. All the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi has anyone experienced bleeding gums through the night? I wake up in the morning with dry blood on my tongue , teeth , roof of my mouth etc.... its not like hundreds but its certainly present and leaves u of course with the metalic iron taste. I Just go and brush it off in the morning and it doesnt happen again throughout the day so only happens when im sleeping??", "output": "Hello Asia, Bleeding gums can be a sign that you are at risk for, or already have, gum disease. However, persistent gum bleeding may be due to serious medical conditions such as leukemia and bleeding and platelet disorders. Bleeding gums are mainly due to inadequate plaque removal from the teeth at the gum line. This will lead to a condition called gingivitis, or inflamed gums. If plaque is not removed through regular brushing and dental appointments, it will harden into what is known as tartar. Ultimately, this will lead to increased bleeding and a more advanced form of gum and jawbone disease known as periodontitis. Other causes are Idiopathic thrombocytopenic purpura, scurvy, leukemia, vitamin K deficiency. What to do now, practice night hygiene before sleeping and avoid eating too late in the night. Brush twice daily. Consult a dentist and/or a hematologist. Hope this helps and wish you the best" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband is having severe pain with his neck, his right shoulder down his arm and elbow, the back of his left leg is swollen and hurts extremely bad. He has been to two orthopedic doctors and neither one has helped him. He was in such severe pain, he took a lot of Aleve and it caused him to have bleeding ulcers and he almost died with losing hsi blood. His blood count was down to 5 when I got him to the hospital. The doctors says it is arthritis but they have not been able to help him get any relief. He cannot take any medicine with asprin because they said the Aleve has aspririn and that is waht caused the bleeding ulcer. We are trying to find a doctor that can help him.", "output": "Hello, I have studied your case. Due to compression of nerve root there can be pain in wrist and shoulder. I will advise you to MRI cervical spine for better diagnosis. For these symptoms analgesic and neurotrophic medication like pregabalin can be started consulting your doctor. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My BP has been a little high but going to 180/90 even though I just started Lisenopril 10 mg per my primary Doc.is bothering me, I am 63 very healthy no meds. except the one I am taking for BP for the last two weeks. Could there be anther ossue that is causing the BP to be so high? I am Dash diet for the last few years. Thanks.", "output": "Hi, Ideally, your BP should be 130/80 mm Hg or below. Hence, you need to add preferably CCB (calcium channel blocker) Chat Doctor. This can be considered only as of the second opinion. Your doctor remains the best judge. With DASH (dietary approaches to stop hypertension) eating plan i.e. consume a diet rich in fruits, vegetables, low-fat dairy products (saturated & total fat), expected SBP reduction (range) is 8-14 mm Hg. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had a weight on my chest for some time and experiencing tightness in the chest like heartburn but had ecg and blood test for heart. Had this for 5 weeks or so thought it was stress have dry mouth feel like I have phlegm on chest, but nothing to bring up.", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. Since your ECG is normal, no need to worry about heart diseases. By your history and description, possibility of HERD (gastroesophageal reflux disease) is more in your case. You are also having stressful life and stress is the biggest risk factor for HERD. It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause central burning chest pain. So avoid stress and tension. Avoid hot and spicy food. Avoid large meals, instead take frequent small meals. Start proton pump inhibitors and prokinetic Chat Doctor. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor, My son is 5 and a half month old is suffering from cold and severe cough. I am giving him otrivin drops and Bricanyl syrup. But he is stuggling a lot because the cold is coming back to his throat and he does not know how to spit. Please advice. Regards,Lalitha.", "output": "Hi... Thank you for consulting in Chat Doctor. Cough and cold are viral 95% of the times in child Chat Doctor. For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15\u00a0mg/kg/dose (max ceiling dose 500\u00a0mg) every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. For cold, you can use Cetirizine at 0.25\u00a0mg/kg/dose every 12 hourly for 3 days. For nasal block, plain saline nasal " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I woke up this morning with quite a severe pain that began in my neck and went up to my jaw, the ear also to my head. Is this a sign of an oncoming stroke? I did not have any other symptoms such as clamminess, pain or heaviness in my chest of in my left/right arms but the pain would subside slightly and then begin again . This went on for about 10minutes before stopping completely.Thank you for your advice.", "output": "Hi, Thank you for posting your query. These symptoms are unlikely to be due to stroke, and most likely occurred due to a throat problem. Common symptoms of stroke include difficulty speaking, asymmetry of face, severe headache, weakness or imbalance of one side, etc. In addition, you should get an ECG done to make sure it was not an angina equivalent due to heart problem. Best wishes, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m 35, 6 2 , 170 lbs, clean medical history, extremely healthy and fit. I tore part of my calf muscle and possible tendons playing softball. My question is about whether it is critical that I hurry up and get an MRI or can I wait 3 weeks until after the 1st of the year so I m not paying my deductible twice? I m able to hobble around, but am staying off that leg as much as possible. Does delaying treatment greatly reduce the effectiveness of surgery?", "output": "Hello, I read carefully your query and understand your concern. The symptoms seem k be related to a turned calf muscle. I suggest using painkillers to treat the pain such as Acetaminophen. I also suggest cold compresses for local application. Furthermore, I rexhollari to maintain the area immobilized to prevent further damage. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards! Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,My name is Anup. I am from mumbai, India.I have asthma for last 3 years. i have been doing expriements by doing breathing exercises.I have tried doing anulom vilom & kapalbhati pranayam, but it triggered the asthma aatcaks more by doing this pranayam. I am very confused about this. Because it is said that only Pranayam can cure the Asthma permanently.Then recently i found a technique on google names Buteyko breathing technique. I found a article from Jill Macgowan(Ashtma specialist), she have written that mouth breathing is the major cause for asthma. After reading this article i done an expriement, the whole day i breathed from nose & concentrated on not to breath with mouth. Firstly i felt better by doing this. But after doing this 1 & half day, asthma attack triggered. Before doing this technique it was all good. SO again i am in confusion. WHy these breathing exercises are trigerring my asthma rather than curing it.Can anybody consult & show me the way.Thank u.....!!", "output": "Hello ANMP, Thank you for asking at Chat Doctor. I went through your history and would like to make following suggestions for you:1. Breathing exercises, Yoga and Panama have now scientific back up for improving lung capacity in asthma patients. But they should be learned under professional guidance. I would suggest you to be trained by a qualified person.2. First, I would personally suggest you to take regular medicines (montelukast and/or inhaled corticosteroids) after consulting your doctor. This is because, as you are having repeated asthma attacks, they need to be controlled first. Breathing exercises & Panama cannot be used alone to treat asthma. They take time to be effective, and they need to be performed regularly for long time. Once your asthma is under good control, your Chat Doctor. 3. I would also suggest you to get allergy testing done which will help you to know the substances you are allergic to and also to know the measures to avoid them.4. A healthy diet rich in vitamins & minerals (adequate amounts of green leafy vegetables, fruits, sprouts, etc.) and avoidance of stress (both physical and psychological) are also very important to strengthen your immunity and will be helpful in a long run.5. In general, please avoid exposure to dusts, smokes & air pollution as much as possible.6. Please be sure that asthma is not a disorder of airways, it has a deep relation with immune system. Hope above suggestions and information will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you the best of the health. Thank you & Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "after how many days ,after periods can sifasi 5000 injection be taken for pregnancy. I had my periods on 21 july and doc told me to take injection on 10 august. after which i and my husband had intercourse for 3 days. Is there a chance for conceiving", "output": "Hello dairy understand your concernSifasi contain Chat Doctor, and it will help to induce ovulation. Generally it should be taken after taking clonidine. Clomifene help in maturation of follicle and induction of ovulation. You should go for USG scan for monitoring. If ovarian follicle will have size of 18-21 mm then it has high chance to release quality egg and successful pregnancy. You can use it for 2-4 months. If it will not respond then go for ovarian Chat Doctor. Ova care: it maintains reproductive healthAvoid stress, take healthy diet, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello. I had a coronary stent put in 18 months ago. I am on plavix, metoporal, hydrchloriazide, crestor,. I normally take antibiodics before a dental session. I had a tattoo done 7 days ago and didnt even think about the antibiodics. Have I placed myself in danger? Should I contact my heart doctor and get antibiodiotics now", "output": "Hello and welcome, As per the details you have produced, its not clear which part of teeth you got the tattoo done. If the tattoo involves within the enamel of teeth, nothing to worry, as the chance of infection is very less. If the tattoo is placed too deep, you should take antibiotic cover as it can cause infective endocarditis. Please do mention your medical history whenever you are getting any treatment done. I would suggest you to visit your dentist soon and get details regarding this. Please do maintain good oral hygiene. Brush your teeth twice daily. As the chance of gingivitis is severe in your case, please lead a healthy lifestyle. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I got my tongue pierced 3 weeks ago, the swelling went away after a week an it stopped hurting. It was doing fine untill a couple days ago it started get sore an i noticed a whitish skin tag on the bottom hole. And its sore when i move my tongue piercing. I use biotene mouth wash and brush my teeth alot. I was wondering if its okay or is something wrong with it?", "output": "Hello, Thanks for posting your query. The pierced area of tongue has ulcerated.First, let me advise you that piercing tongue is an unhealthy practice. I would advise you to gargle using Betadine and warm saline. Topical analgesics have to be applied on the ulcerated area. Floss your tongue using soft scrapers. Avoid vigorous brushing techniques. Take plenty of fluids as well as nutritious food. If symptoms persists, please do visit a dentist. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My name is Firoz Iqbal ,age is 52 y male ,from India, health is good, weight 59 kg, it is an operated case of achalasia cardia , operated in 1982, dilation done in 1991, baloon dilatation done in 2005, but have still problem. Is there is any permanent treatment or solution at you.", "output": "Hi Fir oz, The details about the initial operation done on 1982 is not mentioned. The type of surgeries that can be performed depends upon the severity and the condition of esophagus. Now, if you consider economy versus balloon dilation, economy has better outcomes. You can consult your surgeon about economy with additional procedures that can have better outcomes. You need to undergo investigations to check for feasibility. Hope this information helps. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Started today in the AM very slight pain in the hip or muscle ? Did nothing to cause this,pain increased to extreme by noon and could not bend down and very difficult to sit down. When I finally sit the pain is almost gone,but rough getting up.standing is ok,walking is rough.", "output": "Hi, Hip muscle pain is caused most probably by overstretching or twist muscle. Apply alternating cold and warm compresses. Take analgesic you find over the counter orally. Apply analgesic cream locally. If still no improvement within a couple of weeks, should consult further with an orthopedic specialist and run further radiological tests. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had flu symptoms then came down with a bad sore and hoarse throat for 3 weeks, then I got a fever for a day and achy joints. I now have a rash on my chest that itches alot and my entire mouth is sore with a couple cold sores, my uper mouth seems to have lots of little sore bumps, almost like bubles that feel like cold sores.", "output": "Hi Dear, Understanding your concern. As per your query you have symptoms of chest rash and sores with itching along with mouth sores which seems to be due to impaired immune system after flu and medication after effects. Need not worry. I would suggest you to Chat Doctor. Use oral numbing gel to avoid soreness of mouth. Keep chest area clean with soap and cold water and apply petroleum jelly. Apply moderately potent topical steroid of triamcinolone acetone 0.1% cream twice daily at affected sites. You should visit dermatologist once and get it examined and start treatment after proper prescription. Hope your concern has been resolved. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Sir, I am of 65 years age. I came from Pakistan on a visit visa to Saudi Arabia 6 weeks back. A week before my departure one of my tooth broken during taking meal. The dentist was consulted who told me about some infection. He did filling on 3 teeth and asked to take Augmentin 625 mg (twice a day) for 5 days and also advised for having extra Calcium tabs. A month back, I started feeling pain in teeth where filling was done. I consulted the same dentist and took Amoxycillin 625 mg tabs for 6 days and the pain stopped. However, I am having blood in salvia mainly in the early morning. I also find blood signs in nostrils when I sneeze in the morning. I am taking other medicines for Blood Pressure including blood thinning tablets (Ascard-75 mg) and Citanew (10 mg) for heart rythem. What may be the cause of blood in salvia and what is your advice..?", "output": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint in case if you have pain in any of the tooth that is filled, and you are taking antibiotics for it, but the pain will not be relieved as it seems that the nerves have been exposed during making a cavity in the tooth to remove decay and retain the filling material and the nerve irritation and inflammation is the cause of pain. For this consult your dentist again and get an x-ray done and in case if the nerves are exposed removal of the filling followed by Root canal treatment can resolve the problem. The blood in saliva can be due to infection in the gums causing inflammation of the gums and bleeding which is evident through saliva. While in case if there is blood spots through nostrils it is possible that due to hard sneezing there is some rupture of minor blood vessels leading to blood spots. The other thing that is possible is that your blood pressure is rising leading to bleeding, or it can also be a side effect of certain medicine that you are taking. You should consult a dentist and get evaluated and also get the blood pressure checked. In case if the blood pressure is high consult your treating physician so that he can alter the doses of the medicine as per the requirement. In case if allergic reaction is found change of the antibiotics can help. Hope this information helps. If you find the answer helpful please give me a Five-Star Review and click on found the answer helpful as a token of appreciation. Thanks and regards. Chat Doctor. ." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "im 15 years old and i had sex the 1rst of may and he finished outside and that day was the last day of my period and the day i lost my virginity. Then the next two weeks we had it a tuesday and friday every week for the passed 2 weeks and he finished inside me everytime is there a chance that im pregnant?", "output": "Hi, I appreciate your concerns. Since you have had unprotected sex during your fertile period, there is a possibility of pregnancy. There is 1 in 4 chance that you may become pregnant. Therefore, if your period is delayed get a pregnancy test done. If it is negative, consult your doctor and start using regular contraception like birth control pills. In addition, please use barrier contraceptive methods to protect yourself from sexually transmitted diseases. I hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor, My baby with 4 years of age is suffering from severe constepation problem..i have tried almost all the syrups to soften the stool as prescribed by the peadiatritian..like levolac, ceremofin and all..but untill n unless we wont give suppository-Dulcolax she will not pass stool.. pls help me out..wat to do??", "output": "Hi, You have not mentioned whether he has been evaluated for any underlying cause or not. In such cases, I used to get few simple tests like thyroid function test, serum calcium and an abdominal X-ray (low thyroid and high calcium can cause constipation). Depending on initial reports and response to treatment, occasionally contrast study and ultrasound also.Most of the time, tests comes negative, and I give them laxatives like lactulose, remain, sodium bisulfate etc-sometimes in combination, along with diet modification. Kindly discuss with your doctor. Meanwhile, take care of diet modification. Include plenty of green leafy vegetables, fruits and fiber rich items in diet, Chat Doctor. Some child" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "went to the ER because of vertigo and tachhecardia doctor said it was too much caffeine. stoped drinking coffee and felt fine, headaches, but now i seem to have regular periods of fib, shortness of breath, feel shaky. people at emergency room checked me out and everthing is fine but i have low potassium. i am taking ativan now.", "output": "Hi welcome to Chat Doctor. I understand your query and concern. Your symptoms are suggestive of with Chat Doctor. Atrial fibrillation is known to cause Rapid heart rate and fluctuations in blood pressure. I advise you to have a baseline 2 dimensional echocardiography, ECG and lipid profile to assess the basic cardiac reserve of your heart. Restrict the intake of salt to less than 6g/day. Regular physical exercise in the form of brisk walk for 20 min a daily is useful. Avoid taking caffeine." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My sis. has been suffering from a kidney disease since past 4yeras. Her S. cretine level is increasing day by day.. her blood urea nitrogen Serum is 36 and creatinine serum is 4.3 on dated 26.02.11. is there any solution to control or cure it..? Is kidney transplant is the only solution?", "output": "Hello and welcome to Chat Doctor. As a Urologist and kidney transplant surgeon, i understand your anxiety. Your sister has end stage kidney failure and can be treated with 2 options :1. Dialysis or 2. Kidney transplant. Dialysis is mainly of two types : Hemodialysis or Peritoneal dialysis. A kidney transplant is the best option, with better quality of life, in long term. If she has no major medical risk factors, she should go for it immediately. If you've any doubts, send them to me, as a direct question. Chat Doctor. Manga." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i suffer from high blood pressure and recent summary of my tests shows the following; Examination was unremarkable. ECG showed ST elevation in aVR, V1-2,ST depression in I, V3-6 with TVI. Trop 0.57. Echo showed non dialated mild to moderate concentric LVH no LVOTO. Grade 2 diasttolic dysfunction with LVEF>60%. No RWMA. mild LA dilation. mild MR/TR/AR.Please can someone explain what all these mean", "output": "Hi Thereafter going through your ECG details I would like to tell you that these changes are highly specific and goes in favor of TRIPLE VESSEL ISCHEMIA or a LEFT MAIN CORONARY ARTERY DISEASE. These findings are alarming along with that you also have a slightly elevated TROPONIN which again is suggestive of heart muscle damage due to blockage in heart vessels. Its advisable that you should consult a cardiologist as early possible and go for an ANGIOGRAPHY. There is a risk of a MAJOR HEART ATTACK. Your ECHO report is Good except for minor leakages. I wish you good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, Im sorry to bother you but I have fpund a lump on the inside of my right forarm. It is about the size of a pea and hard. My arm keeps going tingley - simular to having your blood taken and the doc releasing the band and the blood rushing back. My arm looks slightly swollen and I can see slight brusing - however I havent bashed it at all. Could you please give any info? Kind regards Louise", "output": "Welcome to Chat Doctor .1. The history suggest a painless lump in forearm - if it is at the joint place the possible cause will be ganglia which are seen after a mild trauma or inflammatory reaction. 2. Which needs to monitor, if symptomatic needs a small incision and Chat Doctor. 3. If the lump seen in the middle of the arm in the muscle area - it could be lipoma - fat containing lesion.4. Needs to confirm with ultrasound in both case and a needle sample will be taken if necessary.5. Excision is treatment of choice if symptomatic. Good luck. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i had my appendix removed october 17th now my cuts have healed but one of them lower under my bellybutton healed with a bump i thought no big deal as it was nothing on the sheet that said i should worry after discharge now i pressed on the pump and i felt somthing pop like a pimple could this be PUS?", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query pus filled lump on the sutures post appendix removal is because of persistence of infection in that area. There are chances you have underlying systemic disease such as diabetes which is delaying healing in that area. Take a proper course of antibiotics to subside infection. Visit oral pathologist once and go for Grams staining, culture and sensitivity from the pus discharge. Maintain proper cleanliness of that area. Apply Betadine cream and polypoid ointment to heal the infection faster. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hey. I ve been experiencing some fluttering under my belly button recently. I am a 21 year old male. I also have skin discoloration on my inner elbow (it was reddish at first, it has been 3 weeks now and it is now a very light - almost faded - brown). My eye also has a constant twitch. I have no idea if these three are all related, but my inclination is that it might be all from stress. Is this possible?", "output": "Hello and welcome to Chat Doctor. Thanks for your query. Your symptoms such as fluttering of the Nelly button and twitching of the eye could be anxiety-related. Anxiety can manifest itself with not only psychological symptoms, but with physical symptoms also. If you are having recurrent such symptoms or having difficulty managing your stress, then I would advise you consult a psychiatrist for a detailed psychological assessment and further treatment. There are effective treatment options - in the form of medication or counselling / psychotherapy which will help you overcome your problems. Wish you all the best. - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, i am 26 year old male. had unprotected sex over 3 months ago. had blisters outbreak in abdomen area and eye blisters and cold sores around lips. took fluconazole as i thought i had a candida albicans problem. taking vitamins also. blisters and sores have gone but my genital area continues to be itchy and rashy after 3 months consecutevly and lately having shortness of breath episodes mostly at night and early morning. can you give advice?", "output": "Hi and welcome to Chat Doctor. Thank you for your query. I understand your concerns and I will try to help you as much as I can. These symptoms and signs are suggestive of STD especially if there is associated pain, fever, urethral discharge and recent sexual intercourse. So this is the first thing to rule out by doing STD testing. Second, it may be signed of reinfection or urinary stones and some other genital infection, but this is less common. In every case, antibiotic therapy may be required, so test should be done as soon as possible so that appropriate treatment can be started. Till that try to Chat Doctor. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "MY 15 MONTH BOY TAKE JUNIOR LANZOLE FOR 3 DAYS. HE HAD A MILD PNEUMONIA BEFORE ONE MONTH. AFTER THIS HE SOMETIMES CRYIING STRONGLY FOR ABOUT 10 MINUTES. WHEN I GAVE HIM COLIC AID CRYING STOPS. AFTERCONSULTATION THE DR GAVE JUNIOR LANZOLE FOR 15 DAYS.WHAT IS HIS PROBLEM SIR", "output": "Hi... Thank you for consulting in Chat Doctor. This is called evening colic and is quite common in this age group. This happens when the baby sucks at the breast very fast and in eagerness to Chat Doctor. Unless the air comes out like burping or flatus this discomfort will be there and next time check if the baby is sucking too fast and gulping in air too. You will be more convinced. Usually I don't advice any medicines for this as they give only temporary relief. The two best ways to relieve this distress is -1. Do not put the baby in lying position after feeding till the baby burps out the swallowed air.2. If still crying - put the baby in prone position and keep patting the back gently so that the baby passes off the flatus and gets relieved. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Two year old vomiting for about two weeks, no fever, started out only vomiting during the night after she would go to bed and now in the evenings. Doctor prescribed and anti-biotic. She stopped throwing up for about two days and now it is back and worse than ever. Doctor ran a CBC and ordered a stomach x-ray it they were normal. Anyone have an idea on what this could be?", "output": "Hi, tank you for posting your query here. From what you've described, it seems like your child has HERD (reflux). They tend to vomit when going to bed or after a heavy meal. My advice would be to give smaller meals, a little more frequently, avoid chocolate/tea/coffee which increase reflux. To make her walk around a bit after her meals, not immediately lie down. Keep her bed reclining at a 30-degree angle (you could put some blocks under her head-end side of the bed). Ask your doctor about starting risperidone which helps reflux. Ondansetron half hour before food will help the vomiting. Hope this helps you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Is it possible that I may have a hernia if I experience pain in my right groin when I m standing and speaking for a period of time in a higher tone than normal? There seem to be a sight lump in that same area, but is only tender to the touch occasionally, when I experience the pain.", "output": "Hello, I have studied your case and I think that it can be hernia or enlarge lymph node. You need to see a surgeon and get your self examined. An ultrasound of the groin can also confirm the diagnosis. If there is lymph node then it is usually painful to touch whereas hernia is not painful. I would also recommend you to not delay this as some time if there is hernia then it can become emergency. I hope this answer will be useful for you. Let me know if there is any other followup questions. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I a disabled, single father, and I have no vehicle. Part of my disability is due to back surgeries, and the other part Is for my mental state. I ve been diagnosed with bipolar mixed with anxiety and depression. I currently take meloxicam, baclofen, and hydrocodone, for arthritis, muscle spasms, and back pain. I haven t seen a psychiatrist since my surgeries because I was already taking xanax depakote and celexa, and I didn t know how that would act with the amount of pain meds I had to take. Its been a couple years since I have taken anything for my stress, and I m afraid I ve let the stress and anxiety build up too high. I ve been moody, paranoid, having loss of memory majorly, and find myself nervous and confused. I would like some advice because I absolutely need the medications I am on right now, but o also need the others as well, especially for anxiety. I am raising two children on my own. I need the pain meds and muscle meds just to get up and clean and cook and other things, and I need to be back on mental meds so I don t stress so much over bills and things and the kids, and so I can be calm with them and others around me, and so I m not so nervous in public. I am sending this message from my phonr because I have no computer, and I have no transportation. Could you tell me what you would do if you were in my situation please? Thanks for taking time to read this. Alan Ripley", "output": "Dear Alan Ripley. First let me express my condolences for the situation you are in. To answer your question I Suggest you see a psychiatrist and get back on those pills immediately as the all the symptoms you are describing are due to the condition you have been diagnosed with. May I also suggest u join a support group or talk to someone every day who can get your mind off your worries medications you are taking for the. Back pain are absolutely essential, and I would not recommend you discontinue any. However, I do suggest that you discuss the possibility of cross-reactions with your psychiatristFinally Mr. Alan you have two child Chat Doctor. Be strong every day for them. I wish you well" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 8 year old daughter just came to me with these red bumps on her back and chest and says they are itchy. she said they have been there for a couple days now but this is the first time i have seen them and would have noticed them before had they been there, not sure what it could be.", "output": "Hi... Thank you for consulting in Chat Doctor. By what you quote it should be an urticaria or a simple skin allergy. You can use HY Chat Doctor. Most important thing to be remembered is that it has a propensity to recur (called as second crop) within 10-14 days. If this happens, you can start using the same medicine, but I suggest you get the kid evaluated with your pediatrician. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was injured at work. I was grabbed by a intoxipated patient that was in a chair. She grabbed my left arm and pulled me down and grabbed me by my neck. I immediately had pain and tingling down my left arm. Now I have numbness/tingling and weakness in both arms/hands. My MRI C-5C-6 right paracentral disc extrusion is impinging the spinal cord and narrowing the AP diameter of the canal to 4 mm. No cord signal abnormality. C-6 C-7 spondylosis with central canal narrowing to 6 mm with ventral cord impingement. Moderate bilateral neural foraminal stenosis. I have done PT and injections. Now they are talking surgery????", "output": "Hi there, thanks for your question at Chat Doctor. Surgery is definitely the last step in treatment ladder of Spine related pain. Since you have already tried pt, injections and medications. And I presume they have not worked. Surgery is also indicated on new onset weakness. On the other hand if u have significant improvement in pain and weakness, maybe you can wait. Hope this helps. All the best. Regards. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi. i am 30 years old and previous day i checked my SGPT value by lab . That is reported 87 while its normal value is mentioned on it is regards,imran", "output": "Hello, there is no consequence of SGPT level elevation in itself. SGPT elevation may mean damage to your liver. 87 is not a very high value, and it may appear in serious or not so serious conditions. You need a thorough evaluation of your medical history and a complete laboratory evaluation including (among others) both transaminase, Alkaline phosphatase, g-glutamyl-transferase and a liver ultrasound. Kind Regards!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I fell off of a dock 3 weeks ago & hit my inner knee, mid thigh, calf & ankle pretty bad. I had an ultrasound done for DVT which I did not have, but the pain in my leg is increasing although the swelling & bruising have gone down. My leg is also hot to touch where I hit it. Should I be concerned or just give it time to heal? I am a 47 yr old female with RA, osteoarthritis & spinal stenosis.", "output": "Hi, I value your concern regarding the symptoms. I have gone through your symptoms, and in my opinion with history of RA, I would be concerned regarding you having secondary infection. You need to have blood counts, and X-Ray screening to rule out all this. Please consult your doctor. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. Special note-Any medication prescribed needs to be taken after consultation with your personal doctor only." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im male, 20, healthy, slim, exercise, and have no real health problems. My semen used to be thick and white, which I presume is normal.Recently my semen has become very clear and almost watery - not sticky or white.I have been sexually active with the same girl for a year-and-a-half Is there any way I can return to normal?", "output": "Hello, Watery and thin semen viscosity is sometimes seen when you have intercourse or masturbation very frequently. If this is the reason in your case then no treatment is needed. It will become normal once you start having sex less frequently. Another reason can be the infection of prostate gland. This can be diagnosed by having a culture and sensitivity of your semen sample. The third possible reason can be a lowered production of male hormone - testosterone. You are already taking a testosterone replacement therapy. With the therapy the consistency of your semen is likely to improve. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a lump in my left cheek that has been steadily growing over the past year or so. it is hard to the touch and can only be felt with the jaw in open position. On top of that, I now can feel what seems to be a more \"free-floating\" lump in the same region as well. Any idea what that can be? I did have my wisdom teeth taken out about 10 years ago and I do grind my teeth (if that is relevant information). Thanks.", "output": "Hello, Thanks for writing in. As you have got your wisdom tooth removed, check whether any root piece remaining within the socket causing inflammation. Get oral examination done to find out any decayed tooth remaining in your oral cavity. If so, get root canal treatment or restoration done depending on severity of lesion. Get pus Chat Doctor. Take antibiotics complete course. Frequent warm saline gargle may help. Use Listerine mouth rinses to gargle. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a hernia repaired in april with mesh and a week later had it removed bc my body rejected it. i had been doing fine until about 3 hours ago, i got this intense pain in that same area when i picked up my husbands tool box to move it. i am alot of pain, non stop vomiting and it is extreamly hard to walk. could this be serious?I am 26, 5.3 and 110 lbs also have had 11 pelvic surgeries due to endometriosis.", "output": "Dear Ma'am, Hi & Welcome to Chat Doctor. You need to be examined by a surgeon IMMEDIATELY. From the given history you seem to be suffering from acute intestinal obstruction resulting in non-stop vomiting and intense abdominal pain at the site of previous surgery for hernial repair. I therefore advise you to visit a surgeon preferably in the ER for immediate evaluation and treatment. Hope this will help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "im 47 yrs old and have osteoarthritis. I hurt across my chest and my left shoulder, my chest feels tight but ive hadmy heart checked its fine, jus dnt know wat causes the pain. it feels like im breaking in half. it hurts up the side of my nek and ear and left side ofmy head. just dnt kno kno wat else to do", "output": "Thanks for your question on Chat Doctor. In my opinion you are having musculoskeletal pain mostly due to osteoarthritis. Since you have ruled out cardiac cause, no need to worry about this. Try to follow these steps for better symptomatic relief.1. Avoid heavy weight lifting and strenuous exercise.2. Avoid bad postures in sleep.3. Avoid movements causing pain.4. Take good painkiller and muscle relaxant.5. Also start vitamin D3 and calcium for osteoporosis.6. Apply warm water pad on affected site.7. Physiotherapy of shoulder and neck. So better to consult orthopedic surgeon and discuss all these" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, In October 9th I was diagnosed with nonischemic dilated cardiomyopathy. 29 years of age with a lvef of 40%. Past 6 ecg s abnormal this year, PVC S that have developed sense late July current heart rate has also been sitting in the 40 s- 50 s. SVT s for 3weeks in march and hospitalized for heart rate in 140 s. Have had a nagging dry cough for the past 3 1/2 months that is getting slowly worse and have had to start sleeping elevated due to the coughing at night. First BNP kidney, liver, glucose, sodium, calcium, and potassium panel was stable but, I am not aware yet of the actual result numbers for for the cardiac panel regarding the BNP. My question regarding my cough. I do have asthma and allergies normally and use pro air and qvar with allergy meds but, the qvar and pro air hasn t even helped. I also haven t ran a fever, had any sinus drainage and so on. Two I it will depend on my result values for the BNP as this was my first BNP what would a stable reading mean for someone who has other health condtions.", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. By your history and description, possibility of congestive cardiac failure (CCF) is high. Symptoms like coughing especially at night, not improving with inhaled treatment with ejection fraction of 40% suggest cardiac failure more. You are mostly having high BNP levels. Along with head up position, you need diuretic Chat Doctor. Cardiac failure causes fluid retention in the body. So excess of fluid accumulates in the lungs and cause Pulmonary edema. Coughing is the earliest symptom of Pulmonary edema. So you need diuretic and isotropic " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I recently found out that I had mild anemia due to an iron deficiency. When I first learned this I started taking normal daily vitamins that had some iron in them, but over the last couple months they dont seem to be helping at all. I was wondering what the recommended amount, in terms of milligrams, would be for iron supplements for mild anemia?", "output": "Hi, Thanks for asking. Based on your query, my opinion is as follows.1. During periods of iron deficiency, dietary intake of iron through food alone would not be sufficient.2. Recommended daily allowance normally is 8-11 mg. Due to deficiency, at least if 20 mg/day gets absorbed, then the stores can be replenished. Iron tablets need to be taken. Along with it It C also needs to be taken, which will help in iron absorption. Empty stomach or acid environment, will be helpful in furthering iron absorption. 3. Additionally, diet rich in spinach, beef, chicken, ham, mussels, salmon, beans, tuna, reign etc. could be helpful in improving iron storage. For It C rich foods, you can take grape juice, broccoli, guava, kiwi fruit, raw papaya, sweet potato tomato juice, etc.4. Check reticulocyte count after 2 weeks, to see for improvement. If It's increasing, it indicates good bone marrow response. Hope it helps. Any further queries, happy to help again." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Sir, Im 31 years old now. I had lost most of my hairs because of using hair dryer and more dandruff problem. Is it possible hair regrowth in bald areas and areas which i have less hairs? If possible which is best, homeopathy or ayurveda? Please guide me...", "output": "Hai, hair loss can be treated in Ayurveda with certain lifestyle, medication and external application. Cause for hair loss should be ruled out it is primary or secondary to any systemic abnormality like Anemia or genetic reason. Stress, poor nutrition, unhygienic way of hair care, pollution,chemicals usage will lead to hair loss. Kindly rule out the cause for the hair loss by consulting a nearby ayurvedic physician and for further management. Thank you hope I answered your query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello my names alice and im 16 years old, for the past 3 and a half weeks, ive been feeling very sick but only have been sick once, i get dizzy all the time and slight pains in my skull, roughly about 6-10 times a day.. when i first started feeling sick i thought nothing of it, but now, in this last week ive been feeling rough, depressed, angry all the time, my brain feels like its going to explode,my hands and legs go numb sometimes and i feel really cold. im so confused i have no idea what this could be but im scared and need some advice?", "output": "Hi ! Good morning. I am Chat Doctor answering your query. The symptoms you have narrated for such a short duration could be due to any anxiety you might be having at this age. If you do, then these will go off once you manage your anxiety. However, if the symptoms increase and interferes in your daily activities, I would advise you to consult a neurologist in your area who after examining you clinically, might suggest you for an MRI/CT scan of your head and further management depends on the report of this test. I hope this information would help you in discussing with your family physician/treating doctor in further management of the problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor for clearing doubts on your health problems. Wishing you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI, I have recently noticed that I have a few odd spots on the shaft of my penis. The spots look like red rashes but there is no pain or itching. After doing some research, it almost looks like a mild case of Psoriasis. I have been with my girl friend for 2 years and she seems to be healthy. She just went in to get her pap smear around thanksgiving. Any ideas for my case? thanks.", "output": "Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. Psoriasis is not infectious, and you might not have contracted it through sex. It is possible that the same could be a contusion. This contusion might have given it a red rash which may not itch or pain. It will reduce by self in 4-5 days, and you need not worry. Penis is not a common place to have psoriasis. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, or want any further details about this same issue you can use the below-mentioned link:bit.ly/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was prescribed the Cilest Contraceptive pill about 5 weeks ago, the first cycle was fine, but now that i have started my second pack I am experiencing what I think are heart palpation roughly every 10minutes. Is this becuase of the tablet? Should I stop taking it?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Yes, hormonal pills can have side effects of palpitations. Actually these pills can cause stress and anxiety and these can cause tachycardia, palpitations etc. Not all women tolerate hormone pills. So in my opinion, you should stop hormonal contraceptive pills because they are causing side effects in you. Better to use barrier contraceptive like female condom or male condom. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have been diagnosed with acanthosis nigricans and im currently under medication with venusia cream and fluvitate cream and also desloratadine and monteleukast tablets. My weight is 72 kg, slightly obese. Im worried if this problem could be solved. my neck is totally dark, also most of my parts of the body are dark. will i be able to get rid of this completely. im totally frustrated because of this. please give suggestions", "output": "Hello, Welcome to Chat Doctor. Acanthosis Nigerians could be associated with obesity and is also a marker for diabetes. I understand your frustration. You could continue Venusian cream in the morning. After using cultivate cream for 3 weeks, use a cream containing .0.25% Retinoid at bedtime on the neck. Do not use this on other areas like underarms and groins as it can irritate the delicate skin there. You could get retinol peels or yellow peels done by a dermatologist. You should try to lose weight as this is the major contributing factor for the darkness. Be positive and motivated and you will do well. Hope this helps you. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 15 year old daughter has a lump in her inner thigh, close to her female area. She has noticed the lump but didnt experience any pain until last night. The area is red and warm to touch like an infection has set in.What could this be and is there anything to help with the pain?", "output": "Hello rearward welcome to Chat Doctor.come have evaluated your query thoroughly.* This is in relation with inflammation in form of sebaceous cyst, boil or other infective lesion.* Primary relief with application of ice tablet ibuprofen (400) mg 3 times a day after meals with preferable antacids for primary relief.* One time evaluation with your family doctor is strongly recommended for the sake of antibiotics and other assistance. Hope this clears your doubt . Wishing you fine recovery. Welcome for any further assistance. Regards dear take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 5-10, 175 lb,32 year old male in good health. I am a military pilot with frequent physical and medical examinations. About 4 days ago, I got a pain in my upper abdomen that I can only feel when I am up walking around. When I sit down, or when I lay down the pain subsides. It feels like a side ache, due to running or walking after a carbinated beverage, but it usually occures after about 25-50 steps.", "output": "Hello Most likely pain is related to musculoskeletal reasons, but other causes like liver, gall bladder, renal pathology etc. should be ruled out. You need proper clinical evaluation and investigations. Basic investigations are routine hologram and ultrasound of abdomen. Ultrasound of abdomen can exclude many possibilities. Proper treatment depend upon findings. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi I have a cluster of white tiny bumps on my buttocks. i think it started out as a bump and I squeezed it. now its swollen, sore to touch, and has a slight burning senstation. it was skin tone bumps yesterday and now white, isolated to one area (right lower cheek)", "output": "Hi. Thanks for your query. The bumps you described looks to be multiple fur uncles/ boils. By pressing in immature stage you have disturbed the natural defense mechanism, and now it is inflamed more to cause a typical pain and burning. They are white as the tension in a close cavity make the appearance white, A short course of an antibiotic and anti-inflammatory medicines will get this OK. You may please apply liquid provide iodine locally to make the skin sterile so that the secondary infection is avoided." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Since having my daughter 5mths ago, which i got a spinal block, from an epidural, having to push while numb may have caused lots of strain or may not be linked, iv suffered an acute dull ache in my abdomin, which spreads to my ribs, back, chest and stomach and gradualy gets severe, and sore to touch, feels like a band around me getting tighter, its very frightening, and takes my breath away, lasts around 30mins i need 4 painkillers to help ease the pain or else i am curled over in agony, happens in the evenings, and lately i have started to wake during night sleep with this agony pain, im going for test next week, but what couldit be?", "output": "HI. Thanks for your query and history properly This is self-explanatory. While you strained for the delivery the normal protective mechanism without numbing got disturbed. We have seen cases where similar problems - classical symptoms as you have explained. These are usually due to slipped discs at thoracic level. Get an evaluation done by a Neurologist / Neurosurgeon. Get an MRI of the thoracolumbar region, and you will get a diagnosis. According to your symptoms, I have a feeling that you will require surgery, be prepared." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had an injury on the job in 2008 the MRI showed left sided disk protrusion with mass effect on thecal sac and minimal cord compression at C5-C6 then in 2013 MRI showed C5-C6 broad based left central herniated disk and now had MRI done two weeks ago shows Interval increase in size of C5-C6 broad based central disk osteophyte eccentric to the left which effaces the dorsal and ventral CSF space and flattens the cord there is mild right and moderate left foraminal narrowing. I ve had PT epidurals nerve blocks is surgery the only answer? And I keep getting horrible headaches, earaches, toothaches which the dentist hasn t found anything, are they related to the cord compression?", "output": "Hi, as you mentioned the C5 & C6 disc degeneration disc disease, the muscles supplied by them usually gets involved. Also, due to continuously stress applied onto the muscles of the neck, the muscles of the neck are always in a state of tension which leads to the disturbed blood flow to the brain and there by leads to headache and other symptoms. Getting treated for the pain and spam in the neck region will help you ease of the symptoms like headache, earaches and toothaches. Also getting checked by a dentist for the toothache will clear any doubt about the pathology of the oral cavity. For the disc degeneration in the C & C6 region I advise to take therapeutic ultrasound therapy and TENS therapy which will alter the pain and spasm. Also performing regular strengthening exercises for the neck, upper limb and shoulder will help you ease of symptoms. Usually along with the medicine, physical therapy plays a good benefits. I have personal experience of cases with such symptoms and 99% of patients recover. I am hoping the same with you. As surgery is the last consideration made by the surgeon. Physical therapy is a slow process but keeping patience and undergoing physical therapy will definitely give you ease of the current symptoms. With the grace of God I wish you a speedy recovery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Yesterday I was cleaning and inhaled bleach along with toilet bowl cleaner. It didnt bother me at first but after a few minutes I noticed it was bothering me and then I had shortness of breath. Today I have a mucous cough and congestion. Should I be on alert?", "output": "Thanks for asking your question I completely understand your question bleach can be a respiratory irritant and can cause sudden or delayed allergic reactions. You need to take some antiallergics like fexofenadine once daily and do some steam inhalation thrice a day, and take an antibiotic like lifetime for 7 days after consulting a pulmonologist, so that no secondary infection occurs pulmonologist can request for a chest X-ray to see any organic lung damage is thereon need of panicking thanks/ regards feel free to ask more questions may god bless you with good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im hearing a soft fizzing/popping after I cough. Other symptoms: frequent violent coughing- each fit clears everything out but next fit follows soon after. Throat very raw- makes swallowing difficult- some streaks of blood occasionally in mucus- believe this is from minor injury to throat from violent coughing", "output": "Thanks for your question on Chat Doctor. I can understand your concern. You are having difficulty in swallowing and fits of violent coughing. These are seen commonly with obstructive esophageal pathology. So first consult gastroenterologist and get done upper GIs copy to rule out obstructive lesion. If this is normal then consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test) to rule out bronchitis. You may need inhaled bronchodilators and inhaled corticosteroid (ICS). Don't worry, you will be alright. But first diagnose yourself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Since having a root carnal treatment an a crown fitted the crown only lasted 6 mouths before fulling out my dentist placed in back in only for it to come out again and since he replaced it the star of the year iv had four cysts in mouth should he of taken my tooth out by now ?", "output": "Hi! Welcome to Chat Doctor. I read your query. You did not mention if the cysts are related to that particular tooth only or are they occurring in different parts of mouth. If its occurring in that tooth, I suggest you to visit an oral surgeon and get an x-ray done. If the tooth and bone condition allows, it can be treated by appendectomy of that tooth. It's a minor surgical procedure under local anesthesia. A new crown of good quality can be placed after that procedure after some crown cutting. Or there are other ways like post and core etc. for crown restoration. All this requires oral and radiographic check up by a dentist. Hope the answer helps you. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hii my gradma is suffering from kidney failure she has been asked to now either start dialysis or go for kidney transplantation her age :59 yrs her creatin is 6.2 and urea about 70 can u please advice me how to now proceed further with treatment and wht should be the next step. eagerly waiting your rply . contact:email:khushboodave18@yahoo.com", "output": "1. You haven't told whether your grandmother is in stage of reversible renal failure or in End Stage Renal disease, (ESD) because if its reversible than dialysis is necessary till the renal function improves, while in ESD patient can have choice of maintenance dialysis or kidney transplant. 2. despite Urea and Great. Report you have not mentioned any other blood profile for which dialysis has to be started like: i. Electrolytes:Potassium, Sodium,HY Chat Doctor. ii. low Hemoglobin level, BUN, urine examination, Blood sugar, Albumin level, Edema?3. Renal Failure told by doctors is Chronic or Acute, please specify?4. Renal Failure is a salt losing condition, so salt can be given but if BP is high take salt in moderate amount, i.e. less use of (papal, paneer,ghee, oil,pickles, pop-corn,Nasreen, namkeen biscuits.5. Because creatinine level is high, avoid Proteins in diet, however biological protein (essential amino acids) through intravenous line can be given if required6. Fats and carboy" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been having abdominal pain lower back pain heartburn indigestion sore throat and neck abnormal periods and bloating fatigue and now roof of mouth feels sore. What should I do and tested positive for h pylori go from constant diarrhea to constipation and looks like stomach lining is coming out in my stools. Did 2 week treatment for h pylori and no change", "output": "Hello, Welcome to Chat Doctor, and thanks for your query. I understand your concern and problem. Your symptoms are caused by Gastroesophageal reflux disease (HERD) and Irritable Bowel Syn Chat Doctor. H. Pylori is the cause for gastritis, duodenitis or ulcers in the same sites. It is not a cause for HERD. It is well known that HERD can worsen after treatment of H. Pylori. You require taking a proton pump inhibitor like omeprazole twice a day to reduce the acid production and a prokinetic agent to decrease the reflux. You also require having a healthy and bland diet devoid of spices, caffeinated or aerated " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a small wound yesterday in my chin,it was because of a blade,now a black layer has completely covered it and it is dry,how much time will it take to go,coz i have an important presentation.Is there any way of getting normal skin in 4 days?", "output": "It depends upon your immunity how much time it will take, u can try some homemade remedies for that 1.one tablespoon honey2.one tablespoon fuller earth (Multan mitt)3.one pinch of turmeric powder n one tablespoon of milk. Mix all together make a paste n apply for 3 days , it will work out but please don't rub, apply very soft n wash it off after 5 minutes . As far as your important presentation is considered u can use concealer on that mark.it will make u surprise. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been awakened probably 2x/week with a cough with some wheezing and with the cough is a horrible metallic taste which is painful. If I sit up and suck on a tums, eventually will go away but my throat remains sore.. It never happens during the day.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Nocturnal cough and wheezing are commonly seen in heart failure and asthma (allergy). So better to get done ECG and 2d echo to rule out heart failure. If these two are normal then no need to worry about heart diseases. Sometimes allergic asthma can also cause similar symptoms. So get done clinical examination of respiratory system, PUT (Pulmonary Function Test). You may need inhaled bronchodilators and inhaled corticosteroid (ICS). Combination of antihistamine and anti-allergic Chat Doctor. So better to first diagnose yourself and then start appropriate treatment. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I fell down my stairs two weeks ago and had a tramatic brain injury and cannot walk with out a walker. I just got sent home from rehab because of insurance. I have terrible headache that pain pill do not help and now when I cough I am seeing some blood in my phlegm.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. No direct connection between head injury and hemoptysis (blood in sputum). But unknowingly, you might have injured chest (blunt chest trauma) while falling from stairs. And this might have injured lungs and cause bleeding. So better to get done chest x-ray to rule out lung injury as a cause for your hemoptysis. Your headache is mostly due to head injury. So consult doctor and get done chest x-ray. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have been advised I have a mild disc bulge Level L4-5 which does indent the. Exiting L4 nerve root at foraminal level billaterally ! What does that mean please ? I have also been advised I have advanced degenerative discovertebral changed seen at L4-5 level( I had a major prolapse there in 2006 no op ) I also have further degenerative changes are see in the levels above particularly L3-4 L2-3 and T11-12. Also facet joint hypertrophy is seen particularly from L3 -s1 bilaterally . No other abnormality seen . The distal portion of the chord included appears normal .... I am scared to death now and awaiting an app for seeing consultant ... What does it mean ? I am self healing and slowly improving after 8wks off work ... What does it all mean please ?", "output": "Hi, Thank you for posting your query. First, I would like to reassure you that the MRI findings of your lumbar spine are not serious and there is no need to worry. MRI shows a mild disc prolapse and most likely, no surgery would be required. Treatment would consist of physical therapy and neuropathic pain medications such as pregabalin and gabapentin. It is good to note that you are already getting better. Wishing you good health, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband has gleo blastoma brain cancer...been under treatment for over 1 year following surg. 5 days ago had \"bubble\" to come up in his vision that has been coming and going. CT scan showed nothing,,,eye exam....nothing. Will go to Neurologist this week...do you have any answers?", "output": "Hi, Thanks for writing in. Sorry to hear the progress of disease in your husband. In my experience with patients of GBM I and II have a higher survival than those with GBM III and IV. It is important to know the size, location and if there is any pressure effect due to the tumor. Most tumors cause brain pressure, swelling or edema due to slightly increased electrical activity in the surrounding brain. The bubble in his vision might be due to pressure on the optic pathway. This has to be carefully evaluated by doing a CT scan or MRI scan since the clinical exam is normal. This can be controlled by giving steroids and mannitol. The real problem is any change in appearance of the tumor and its pressure effect on adjacent structures. Cancer is a difficult condition to treat, and every tumor behaves differently. However, we must fight cancer till the end. Praying for a quick recovery for your husband" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have sarcoidosis and have suffered with it for the past 20+ years with doses of prednisone used along with 2 different inhalers and other medications. Last week I was admitted to the hospital (for the first time) and was told that on top of this I have COPD. When I went into the hospital my oxygen level was in the low 30 s and should have been in the high 90 s. I haven t had a cigarette in 25+ years and am now on oxygen until I go back to the doctor to be evaluated to see if my oxygen levels are so that I can function without oxygen. What I want to know is there anything I can do to keep from being on oxygen the rest of my life. I m 65 years old and still work and able to function. Is there a low impact type exercise that I can do to help with my breathing? I also have arthritis (caused by the prednisone side affects). What should or can I do?", "output": "Thanks for your question on Chat Doctor. Sorry to say but end stage acidosis with RA can cause great damage to lungs and deterioration of lung functions. Steroids are useful in some cases, but you already have steroid side effect than it is not suitable for you. Honestly speaking there is no alternative for oxygen. But I can definitely give you some important information to improve your lung function.1. Enroll in pulmonary rehabilitation center.2. Start chest physiotherapy. 3. Start deep breathing exercise.4. Vaccinate yourself with pneumococcal and h.influenza vaccines. This will help in prevention of future infections.5. Do meditation and yoga.6. I insist you to continue oxygen in night at least." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have severe pain in my left shoulder . The pain spreads up to my neck and the shoulder is swollen and warm to the touch. Also, when i tried to go in for a massage to hopefully relax, it became obvious that my left shoulder is protruding more than my right one. My pain gets to points where Im immobilized and it gets much worse when I work.", "output": "Hi Sara;You surely have some problem with your shoulder. Mostly the pain in shoulder going to neck is due to cervical spondylosis but as you said there is swelling ;and warmth it may be an inflammation of shoulder joint. Please get examined by an Orthopedic doctor;you may require to do investigation of blood & X-ray of neck & shoulder joint. Please visit a doctor & get investigated and treated. Take care. Wish you speedy recovery. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello! I ve been on Nuvaring continuously for almost 2 1/2 years now. Been on birth control for a total of almost 5 years now with out missing any pills and always taking them on time. I do the same with my Nuvaring. I had unprotected sex Tuesday evening (7/29), and he finished while in me. I inserted my new ring last Thursday (7/24), which means the ring had been in me 5 days when I had sex. My period ended last Thursday (the day I put the ring in as my doctor told me to do so for these past 2 1/2 years). My question is, am I protected against pregancy? I ve always waited 7 days to have unprotected sex, as that s what the instructions say to do but I don t know if that s just for people starting it fresh or for everyone even if they ve been on it for years! Any help would be greatly appreciated because I really need some clarification. Thank you!", "output": "Hello, Thanks for letting us know your health concern. In the current scenario, you are completely protected against pregnancy. This is because you use double protection, both the oral pills and the Nearing. There is no need to wait for seven days since you are a regular user and not a first timer. When the ring is used for the first time, a gap of seven days is suggested to make sure that the hormones have come into effect by inhibiting ovulation. This is similar to the precaution taken while using the other hormone contraceptives. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a female 54 years old, non menopausal, my hemoglobin is at 9g (after 16 days of severe hemorragia and 2 days at the hospital). I am still feeling very tired, (hemorragia has stopped), how long will it take to get back to normal? Marie, Montreal, Canada", "output": "HelloThanks for writing to us with your health concern. If the hemorrhage was ongoing, you would have needed blood transfusion. Now that the blood loss has stopped, you would need to build up your hemoglobin. This can take time - 3 to 6 months in fact. First is medication. You can take daily oral iron supplements twice a day (take it with folic acid, vitamin B complex and vitamin C). Alternatively, parenteral iron injections can be taken. Alongwith the medication, dietary modification is a must. Please incorporate liver, beef, red meat, bone marrow, spinach, grains, nuts in your diet. It will take months to come back to a normal hemoglobin. The fatigue and symptoms should go away within a month of starting the medication. Be compliant though, as not taking the Chat Doctor. All the best. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "cervix cancer prevention injection hi there,i recently went in for an op to remove the first layer of abnormal cells on my cervix. im worried about this progressing into cancer in the future. is this a possibility and by what percentage? also, is it too late to take the cervix cancer prevention injection?thx", "output": "Hello dear, thanks for your question on Chat Doctor. Yes, cervical malignancy can be prevented by vaccine (injection). One of the risk factor for cervical malignancy is Human Papilloma Virus (HPV) Infection. So vaccine against this can give you protection from HPV infection and thus cervical cancer. Along with vaccine you should1. Sexually active2. Avoid multiple sexual partnered to prevent cervical cancer. Sono harm in HPV vaccine. You can take it at any time at any age." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 4 year old has been running a fever for a couple of days. She has nasal congestion and coughs occasionally. She has wanted to rest more and eat less, but isn t complaining about any other symptoms. She is active and alert, but obviously under the weather. Should I be worried about the fever not breaking yet?", "output": "Hi, the condition suggests that child has got a Viral Upper respiratory tract infection. Once infected, it takes 5 to 7 days to subside. So right now, you just have to treat the child symptomatically. Give him Syrup Cronin round the click every 6-8 hourly. Also give him Syrup Minaret AF 5 ml thrice daily. That will take care of nasal and throat congestion. A nasal Chat Doctor. The child should be fine in a couple of days. Thanks and regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 72 years old, fit, and healthy but presently I am getting a constant fizzing noise in my head, similar to White Noise. It is with me night and day. I also have pains running up through my shoulders and neck into my head, which seem stress-related. Is there any hope for me?", "output": "HelloThanks for the query It looks like you are suffering from two separate issues. The first issue of fizzing noise in the head is called tinnitus, the most common cause for this at your age could be due to sensorineural deafness however other common cause is wax in the ear, kindly approach an ENT for a check-up and audiometry second issue of pain in the shoulder look like that of spinal origin, I recommend you get a CT spine done to rule out compression of the spinal nerves hope I was of help, if you have any further queries please get back to regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello sir,recently my mother got dengue hemorrhagic fever,so the dengue virus infected my mothers braindue to that my mother got nerve weakness, so how many days it takes to recover from this kind of nerve weaknessand doctor told if any she got fits in between the treatment the treatment must begin for scratchso can you kindly answer for this", "output": "HIT hank for asking to ChatDoctorI really appreciate your concern for your mother you have not exactly described the neurological symptoms that your mother have, if you have not done the CT scan then in my opinion you need to get it done, this would give the exact picture or damage done by the Dengue fever, but this would come around soon this may not be permanent damage, hope this information helps you, have a nice day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi there. I m just curious about a rash I have. Its iin my groin towards my buttock. There wasn t any bumps,pustules,or anything but it seems like It get irritated causing maceration and clea fluid secretions. Gets itchy when I sweat and burns with water. Just would like to know is it funal or more less like diaper rash maybe?", "output": "Hi, as per your history, you have intertwine cause by repeated friction of skin.my treatment advise would be:1. Maintain hygiene.2. Wear loose cotton clothes.3. You may apply fluconazole cream twice a day over groin and macerated area.4. You may take tab levocetrizine twice a day for itching.5. Also, you may need oral antifungals like tab fluconazole, but that has to be taken only after consulting a dermatologist. Wishing you good health. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have sores all through my mouth and on my lips and it hurts when i swallow. Do your know what it is? Im going to the doctors tomarrow but i am very worried what it is. The side of my tongue is white and tuns of bumps all over. The inside of my lips have sores on them and the corner of the outside of my lips hav little bumps. And my tonsils have sores on them and hurts when I swallow. Do you have any idea what it is ?", "output": "Hello, your sores-seems to be ruptured vesicular lesion. Most common are viral herpes infection. These kinds of ulcers are common on lips and corner of mouth. It is also associated with fever prior to vesicle eruption. If your fever persists you can use paracetamol tablets to manage it. Your dietary intake of multi-site and minerals is also reduced due to problem in swallowing. So you can use anesthetic gel/mouthwash to get relieve from pain during swallowing. Have ample of fruit and green leafy vegetable diet. Or nutritional supplements. . Use antiseptic mouthwashes after meals.avoid spicy food completely. These lesions resolve within 7 days mostly by proper diet in healthy individual. And if they persist more than that consult oral medicine specialist as he may give you antiviral creams/tablets as required. To confirm the diagnosis they may take biopsy for pathological examination.other causes of such sores are autoimmune disorders- Memphis, lichen plans, etc. They are rare.and a biopsy or immunofluorescence test is done to diagnose them." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "just recently after a routine blood test ive been informed my alt level is borderline..two years ago i had the same results and after a ultrasound was informed i have a fatty liver ..i was advised to loose a little weight and that was that ..i did loose weight two stone but ive put it back on again", "output": "Hi thanks for asking question. Here are few possibility.1. First fatty liver might not be recovered fully, and it can lead to elevated liver enzyme. Ultrasound will be helpful.2. Second it could be viral hepatitis chronic case or carrier. Do serum viral marker for that.3. Third besides liver rule out whether you have any muscular problem or heart problems as they can elevate liver enzyme.4. If you have digestive problem with sensitivity to gluten then celiac disease also can elevate enzymes.5. If still condition worsening then liver biopsy helpful for rule other forms of hepatitis. Maintain green leafy vegetables and fruit diet without disappointment. Regularly do 30 minute exercise. Cumin seed with water and licorice with honey seems to be useful. Take garlic in diet also. Avoid alcohol. I hope my suggestion will help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am an LPN that is taking care of my little cousin who is a 3yr old m and he was diagnosed with pachygyria and in february developed seizures. They re not grandmal, he stares, then rolls his eyes in the back of his head, stiffens arms flexed and legs straight. Of course, as you know he has low muscle tone and I work with him by doing ROM, putting wrist supports and DAFOS on him for atleast 2hrs a day, and also put him in a stander, which he hates, but I m willing to try anything to improve his quality of life. I just really would like his parents to get a little sleep. He s got an appt. w/ a sleep specialist on friday and a sleep EEG in October. I just wanted to know if you had any suggestions. I d appreciate any tips. Thank You, Dee-Dee", "output": "Hello thanks for asking from Chat Doctor Pachygyria is a congenital disorder with malformation in brain. It usually manifests as seizures, mental retardation, developmental delay. Your cousin is 3 years old, and he is having sudden abnormal movements of extremities with rolling of eyeballs and no loss of consciousness. Most likely these are partial seizures. He is on DAGOS for foot deformities. One thing that need immediate attention is his seizure. Repeated seizures may cause damage to brain neurons which will further potentiate the mental retardation. So control of seizures should be first priority. He has schedule of EEG and after making diagnosis he should be given anti-epileptic Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hithis amar my tooth is looking like a yellow colour and also gap between tooths wht to do can u pl help me .........", "output": "Teeth with yellow color are usually due to \"PLAQUE\" collection on the surface of the tooth. At times, you can remove this plaque by using proper \"Brushing Technique\" But at times when your brushing technique is not proper, this plaque get accumulated on the tooth and gets hardened at times and get converted into hard mass, called \"Calculus\". So for removal of such yellowish discolorations and collection of plaque or calculus, you can consult your dentist and can ask for \"Scaling\" treatment, they will clean your teeth with Ultrasonic Scales. Regarding Gap [spacing] between teeth, it's a common problem and can be corrected easily with \"Orthodontic therapy\".they will put braces [brackets/ wire] and will align your teeth to be in good shape. Regards: " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I feel a lot week and hardly can do any physical work since 1 year... I am 31 years old and as an IT pro, my most common issue is health. I feel a lot week and hardly can do any physical work even as i lift my right arm or left, i feel the pain in the arms and feel like resting the arms somewhere. This is been happening since last 1 year. I must confess that I am working hard and have irregular work timings. Would like to know if my symptoms have any thing to do with my occupation... Your opinions please??", "output": "1. before prescribing any medicine make sure your hemoglobin, thyroid, blood sugar level are normal, otherwise no treatment will satisfactorily relieve your symptoms.2. As you are working hard with irregular timings: definitely Exhaustion has set in, resulting in hyperactive brain, causing restlessness and lethargy due to constant fatigue.3. Any Addictions, are you over scheduling yourself for past 1 year??4. Make a checklist of your work so that you don't have to think over and over again.5. Avoid multi tasking6. Ayurveda Shirt Dhaka pouring of medicated milk/curd on head will be very much effective in your case, try to find a good Panchkarma center near you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi my one year old daughter started developing a little why patches it look like blisters on her tongue I took her to the doctor and they gave me benadryland told me to buy some mylanta and mixed itthen give it to her as well as they gave me amoxicillin to give to her too she s still in pain from them and they have not told me exactly what it is on her tongue or how she could have gotten it or anything like that so what can I do to at least take the pain or ease the pain because what they had given me is not working", "output": "Hi...by what you quote I feel it could be fungal infection of the mouth and oral cavity, and it is commonly called oral thrush. Sometimes antibiotics might aggravate the condition. I suggest you use oral antifungal mouth paint in consultation with your pediatrician. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have a recurrent sores at the back of my throut always on the right side I also get fevers with it. Its just stated in the last year my moulth is really dry too. I do not smoke or drink and generally in good health. I suffer from allergies through out the year and have hay fever but I dont think that has anything to do with these sores? Please can you help me.", "output": "Hi and thanks for the query, It is very important to get a proper clinical evaluation. This shall be important in distinguishing a poorly treated infection or resistance of the causative organism to the used anti bionics. This shall be gotten through institution of a recommended treatment protocol for an appropriate duration of time and followed up by your treating physician. Doing a throat sad, culture and antibiotic sensitivity test could be important in diagnosing the appropriate germ and treating it proper. In case it's an allergic condition, or it becomes so recurrent, your ENT specialist might decide to remove the tonsils. This could be necessary in prevent repeated infections, which could be a strong risk factor for Rheumatic fever (mainly going and heart complications). I suggest you book an appointment with your ENT specialist for a proper evaluation and management. Thanks and best regards, Luchuo, MD." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "46 yr old male always been very active have just lost my energy level. I find it hard to get things done I need to get done at home in great shape and no health issues .health check up every year. tried everything just cant put down smoking cigarettes. even sex drive has dropped", "output": "Degree understand your concerns went through your details. You are sure that you have no health issues and health check-ups are done every year. You are 46. Everyone has phases of low energy when we just want to veg out on the couch. But prolonged mental and physical fatigue and chronic low energy can be a sign of serious health problems. One of the possible reasons for your low energy, at your age group, could be a significant Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My father is experiencing extreme weakness, difficulty swallowing, eyelids not staying open along with difficulty to breath due to closing sinuses. He gets weaker every day because he isn t eating or getting much sleep. Sounds like something neurological possibly? Once he gets up and walks on the treadmill for a few minutes he seems to get a burst of energy and feels better except that his legs give out so he has to sit down. Once he sits down again everything begins to shut down again? I am at a loss as to what this may be? Any info would be much appreciated. Thank You.", "output": "Your fathers complain seem to be due to neuromuscular junction abnormalities likely Lambert Eaton syn Chat Doctor. It may be myasthenia graves if weakness increases on exertion and decoration with day progression. Another possibility may be some paraneoplastic involvement. I will advise you to consult a neurologist urgently to get proper evaluation and diagnosis. God bless your father, and he may be healthy again." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had inguinal hernia surgery on my right side last friday. I tried masturbating and everything was going fine up until the point of ejaculation. The pain shot up and was a very sharp stinging pain and made where the incision is hurt and hurt into my groin. is this caused just from not waiting long enough after surgery? My scrotum is also very bruised but starting to fade away now since it has been a week.", "output": "Hi, Thanks for writing in. If you had hernia repair surgery on right side last Friday then it is too early to start masturbation. The hernia repair involves cutting through layers of skin and tissues and this needs some time, about two weeks for initial recovery. You should give at least 15 days rest before masturbation and also be gentle and use lubricants to avoid stress at the surgery site. Also, please do not do rough masturbation or sex even after 15 days because the surgical wound will heal completely only after 12 weeks in most people. You can however do light work. After inguinal hernia surgery with mesh insertion, you should not lift heavy objects for 12 weeks and avoid heavy physical activity." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m 49 had a hysterectomy last year went back in after 5 days for a bowel obstruction no operation after 5 more days in the hospital i would not heal it took 30 more days for the wound to heal now ive been told i had fibromlagia every time i sit i hurt and every time i stand my groin is numb my buttock", "output": "Hello, As mentioned in history I think it is not fibromyalgia. It will be a weakness of the para spinal muscles in the lumbar spine leading to compression on the nerve root via the disc. As you got operated for hysterectomy and later a procedure for the bowel obstruction I can feel that will be a weakness in the core and para spinal muscles. Please describe the symptoms this to the physician so a physical examination of the core and abdominal muscle strength can be assessed and treatment will be initiated with hot water fermentation and exercise for the core and lumbar spine extensor group of muscles. In my clinical experience of 12 years, I have always observed that patients undergoing abdominal surgery complain about the symptoms of pain in the hip region and lower back. With the help of post-operative management under guided physiotherapist should give good results. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My father was diagnosed with stage 4 esophageal cancer that has spread to the liver. He is also type II diabetic - he starts his chemo/radiation treatment on Tuesday, Feb 3rd. His sugar level is currently 208, so he took a glypicide pill, should I take him to the hospital anyway. He did have a mini stroke in November of 2013", "output": "Hi, dairy have gone through your question. I can understand your concern. Your father has esophagus cancer stage 4. Surgery is not helpful at this stage. Only treatment options are chemotherapy and radiotherapy. So he should take it according to his doctors' advice. For sugar control he can take oral anti-diabetic Chat Doctor. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i think i might have some type of depression and i dont no what to do. Im tired all the time, no energy, look at the bad side of everything, feel drained and sore, snap at little things, pick fights all the time. i never use to be like this and i dont no why im like this.", "output": "Hello and welcome to Chat Doctor. Thanks for your query. I understand that you are going through a difficult time due to your recent problems. From the description of your symptoms, it appears that you are suffering from a depression. However, you need a detailed evaluation to arrive at a definitive diagnosis and initiate appropriate treatment. So, I would advise you to consult a psychiatrist for a detailed evaluation and further treatment. Effective treatment is available in the form of medication or counselling. So, please don't hesitate to seek professional help. Wish you all the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I fell down the steps 2 weeks ago and hurt a large portion of my left side of my body. I broke a metatarsel and have been in the care of a doctor but now after 2 weeks I have bruising starting to show in other areas of my foot. It just started today. Is this normal to expect?", "output": "Hello, The bruising you are experiencing post injury is quiet normal. This occurs as a result of injury to the soft tissues. You already have a fractured metatarsal so along with that there will be some soft tissue injury which will result in bruising. This will take about 2 to 4 weeks to completely disappear. So you have nothing to worry. Just take it easy for a while and avoid strenuous activities and follow your doctors advise. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "is there cyberknife surgery available at guwahati?My mother 66yrs old recently gone through Modified redical mastactomy for LABC Grd.3 T4Mx 9/14nodes metastatic.But we could not give her chemotherapy owing to comorbid health condition and now she is showing synptoms of metastatic brain cancer,pls help.", "output": "Hi, dairy have gone through your question. I can understand your concern. She has breast cancer with metastasis in brain. ITIS stage 4 disease. No surgery will help at this stage. Chemotherapy and radiotherapy can not cure the disease completely. It is just used as palliative treatment. Despite any treatment prognosis remains poor. Life expectancy is not good. Chemotherapy has its own side effects so avoid chemotherapy is the better option. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i had gotten my hair bleached then when i was done i walked out and my head started to hurt a few moments later my stomach started to hurt and i began to have a sharp pain and chills then when i turned around i saw spots and then boom lights out since then i been very dizzy and i have been feeling nasuea", "output": "Hi. Thanks for your query and an elucidated history. When something like the problems you faced, so severe like dizziness, headache, pain in stomach and visual disturbances after hair bleaching, you should be rushed to ER to see whether this is caused by beseeching or something unrelated to the bleaching. It may not be directly related to bleaching, I would advise you the following:Ask someone to take to the ER. Get vitals checked and investigations as per the clinical findings. Get antihistamine shot and steroid shot if required, Life-saving measures are the most important to start with. The causes and the treatment can obviously be done with time." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Dr. Kindly note I had unprotected Sex 29/06/2015 1:30 am. last period was 17/06/2015 average cycle length 26 days .. their is no emergency pill in UAE .. can I take Yasmin Or Marvelon 4 pills now and 4 pills after 12 hrs. ??if its possible . plz note that we are in Ramadan .. so am fasting from 4:00 am to 7:15 PM every day so how can I keep 12 interval between to doses ??if I ll take the 4 pills 7:15 Pm 29/06/2015 can I take the next 4 pills at 4:00 am ?? will be effective ??", "output": "Hi there, After going through your query, I am of the opinion that:1) There are high chances of pregnancy as it is day 12 of your periods.2) If no post-coital pills are available, the best option is the Yule method, i.e. taking 4 tablets of low dose oral contraceptives like Yasmin or oral and repeating after 12 hours.3) However, there are still chances of pregnancy as this method has a high failure rate.4) My suggestion is you take these pills at 4 am and then 7 pm. Hope this was helpful" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "A twenty-two year old female in her third trimester of pregnancy was involved in a motor vehicle accident. She was belted. Paramedics report the patient was alert and oriented and her vital signs were stable. In the ER, she complains of pain on the left rib cage and shortness of breath. Physical examination is significant for increased jugular venous pressure, hypotension, and paradoxical pulse of 20 mmHg. EKG monitoring shows amplitude change with her heart beat (electrical alternans).", "output": "Hi there, I have understood your concern and I will suggest you the best possible treatment options. Looking at the history of the accidental trauma, in my opinion the patient should be treated at well-equipped tertiary care institution. As concerned with her hypotension, it should be taken seriously. Along with trauma to ribs there can be element of internal bleeding. May be in the thoracic area or in the abdomen or accidental bleeding from behind the placenta. She needs trauma care intensive care unit treatment. As during pregnancy hemodynamic parameters are already altered, traumatic bleeding or placental bleeding needs close attention and prompt treatment. I hope this answer helps you. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter is 28yr her son is 6yr and her daughter is 8yr. The 8yr old was admitted to the hospital 4 days ago for spinal maningitis found out it was the viral not the bacterical kind. Now all three of them are at the hosp. right now recently some walls were openned in the building she lives in. A complaint was made to the health department about mold. This was a yr ago. However this we just found out, and my daughter moved in there months now. not yrs ago they have been sick ever since. My granddaugher came home yesterday now shes back up at hospital er. with my daughter and her son as well. The fella that lives below her is also in the hospital. Do you have any suggestions my daughter cant make another move either. I was told by the local health dept. it has to be in writing that this illness is from mold before they will even test the building? What do you think symptoms are headache, vomiting, dizzy, cant straighten up, cant keep anything down. fever all symptoms on each are the same?", "output": "Hi, Thank you for posting your query. Based on the description, the symptoms are suggestive of viral meningitis. So, I agree with the doctors observations and diagnosis. However, the building is unlikely to be the source of the virus. The virus most often is in the environment, and can affect several people in the locality. In any case, it needs to be investigated by the Health authorities, as several members in one building are affected. I hope it helps. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband was diagnosed with pancratic cancer May 2010. Cat scans showed no spread to the lymph nodes and beyond the pancreas. Surgery was scheduled for Sep 2010. The surgeon discovered it had spread to the omentum and a small spot on the liver which was removed but he was unable to complete the operation. He did not remove the tumor which is wrapped around the main portal vein. Since then his cat scans continue to improve with Gemzar/Tarceva chemotherapy. The tumor is stable and the spread has lessened. What kind of life expectency can we expect.", "output": "Thanks for your question on Chat Doctor. I can understand your husbands situation and problem. By your history and description, his pancreatic tumor is chemo sensitive. This is the reason for his stable pancreatic cancer. This is actually good sign for prognosis. Chemo sensitive pancreatic cancer is having life expectancy of more than 10 years. The problem in such patients is delayed resistance to chemotherapy. Patient develops chemotherapy resistance after 5-6 years of treatment. So we need to monitor patient every six monthly for worsening of tumor. And if worsening is there than change of chemotherapy is needed. So do regular follow up with your oncologist. He is having good prognosis within expectancy more than 10 years. Hope I have solved your query. Wishing good health to your husband. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "About a week ago I got pain in back and chest like someone was sitting on me on squeezing me.. It lasted quite a while and reoccurred about 48hrs apart. I was short of breath and became hot and sweated during attacks. I had heart checked and ultrasound of gall bladder. All negative. What are possible", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Since heart diseases have been ruled out, possibility of stress and anxiety related symptoms is more likely. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Don't worry, you will be alright with all these. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "when ever i take a deep breath in i get a flutter/buble sensation in my throat and chest. why? no pain or discomfort. i am afraid to take a deep breath in because i dont want to trigger them on. and it does not happen all the time. do you think my anxiety plays a roll in this sensation", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Possibility of stress and anxiety related chest fluttering is more likely. But better to rule out cardiac cause like arrhythmia (rhythm disturbances in heart) first. So get done ECG, 2d echo and Holder monitoring (24 hours continuous recording of ECG). If all these are normal then no need to worry about arrhythmia. Consult your psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need additional anxiolytic Chat Doctor. Don't worry, you will be alright. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doctor my son is 15months old he was suggested crocin syrup 250mg every 6months for his viral fever if the temp cross 101fh they asked us to use metal p . we have been using medicines since 4 days still there is no recovery fever keeps coming every 6 hrs let us know what we need to do", "output": "Hi...by what you quote I feel that your kid is having recurrent viral illness. Nothing to worry about. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15\u00a0mg/kg/dose (maximum ceiling dose of 500\u00a0mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Meftal-P contains Metonymic acid which is a NSAID. It carries the risk of gastritis and renal problems in the long run. Please do not use Metal. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My name is Judy. I am 54 yrs. old. I have had epilepsy since I was 13 years old. I have been taking klonopin for about 10 yrs. My dosage was increased to 2 mil. twice daily about 2 yrs ago. My question: I have started seeing ghosts at night time and it it really bothering me. Sometimes I can be sitting on the couch watching tv and sometimes in bed. I also take 150 mil Lamictal 2 times daily and 2oo mil Zonegram twice daily. Please tell me is this normal or not. Could this be a side effect of the klonopin? Or the other drugs? My e-mail address is YYYY@YYYY .com", "output": "Hello You are taking three Chat Doctor. You are a known case of epilepsy and are currently seeing figures like ghosts. There could be following cause for the visual disturbances or hallucinations you are having-- First possibility is epilepsy itself. Certain kind of seizure can present with hallucinations. Temporal lobe epilepsy can present with visual hallucinations.- Zonisamide is a good adjuvant " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "pcod, irregular periods overweight i have cyst 37x31 in LT OVERY on 11july 2011. its my first day. then7.7mm follicle in right,11x12mm in LT overy on22 july 2011. WHAT DEOS THIS MEAN IS OVULATION NOT HAPPEN? WHAT TO DO NOW? PLS TELL SOON PLSSSSSSSSSSSSSSSSSSSSSSSSSS WHEN OVULATION AND HOW THIS PROBLEM COULD BE SOLVE? also tell the difference bt follicle and egg.above mentioned Is cyst dissolve then what about the egg plsssssreply soon ...i want to be preg .", "output": "Hello Kyoto;welcome to Chat Doctor To get pregnant you need to have the follicle mature 22-23 mm and rupture releasing the egg, and it happens on the 15th day in a regular menstrual cycle. As you had POD and irregular periods it may know only after follicular study, so please keep on doing it as you have started and in next 3-4 days the size of the follicle should reach the maturity and if it does not happen then you will need Chat Doctor injections in next cycle which your Gynecologist will decide based on your follicular study report. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I feel run down, no energy, lost 18 lb in 3 weeks, having hard time focusing, sleeping a lot but still tired. not throwing up, cold all the time , cant function, feel stressed out, but havent done anything, no ambition to do anything. someone said thyroid trouble. cant make myself do anything. 60 year old male in great shape overall. whats wrong with me. thanks dennis", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. Thyroid trouble cannot be ruled out. But before that please introspect self about what happened? This could possibly mean stress related disorder. It is possible that such tiredness, lethargy, laziness without appetite and energy loss as after effects of extreme stress. You can question yourself. Also investigate your physical condition as you are already 60 for any debilitating disorders. For which you must consult your physician for necessary blood and other investigation. If it is stress related, please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im 32 male. While jogging recently I had a very acute pain on the lower right side of my back. Should I be worried? I dont know if its because I havent exercised in a long while (more than 6 months).I am about 1.8 metres tall, 95kg with no medical history of backaches.", "output": "Hello, Thanks for your query. After going through your query I came to know that you are probably suffering from lumbar disc prolapse. It can be confirmed by MRI scan. Its treatment is rest in position of relief(generally lateral position with both hip and knee bend), neurotopics such as mecobalamin and analgesics (Diclofenac three times a day after meals is effective). Sometimes strong analgesic(such as tramadol three times a day after meals) is required. Omeprazole before meals prevent acidity caused by analgesics. Second possibility is muscular pain. Treatment of it is rest and analgesics for nearly 5 days. You can discuss with your treating Doctor about it. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have lower abdominal discomfort at times and sometimes in my back it aces I m going to by obgyn the end of this month to say what s going on always at times I feel bolded do you have any advice you can give me thank you oh yea I m a 31 year old fmale", "output": "Here abdominal discomfort could be related to many things, like kidney stone, digestive system problem, bowel or bladder issue. We need to know other symptoms along with this what all problems are there? As well, we need to do ultrasound scan for your abdomen. I suggest gone doctor will help you out for this. For your back pain I suggest to check weather this pain is only at your back or it's radiating from your back to your legs. If it is only at your back level then it could be because of weakness of back spinal muscles for this you can do hot water fomentation, with this you will have relaxing as well healing effect on your back muscles. Any time if you feel the pain at your back is increasing in terms of intensity as well as it is radiating down to your legs along with numbness I suggest visiting orthopedic doctor and take the MRI scan and follow the treatment as per the report. As a physio I also suggest visiting a physiotherapist and take proper spinal exercise program which will help to improve strength and stamina of your back. Here you can also take some physiotherapy treatment which will again help to have a relaxing and healing effect on your soft tissues as well it will also help to relieve acute pain at your back. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi yes I have an ingrown hair that is under the skin in my right under arm pit and causing lots of pain and discomfort. it started as just pain and then a lump formed. ive been feeling queezy and tired. now having minimal on and off burning in my other under arm pit", "output": "Hi. Thanks for your query. Appearance of such problems as you have in arm pits like ingrowing hair in one and burning in another means you are most probably suffering from Hi Chat Doctor. I would advise you the following:Wash the area with plain water at least twice. Apply liquid provide iodine twice. Take a course of an antibiotic and anti-inflammatory medicines if required. Avoid hot and humid places. Get a consultation of a General or Plastic surgeon if surgery is required." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my daughter is 2 and weighs about 34 lbs. She is constantly thirsty and hungry day and night. She often wakes at night screaming for juice. They are running her glycohemoglobin and should have it back tomorrow. Her glucose yesterday was 82 after having a juice. She is not losing weight but is shaky after naps and quite irritable if we don t feed her constantly. I m concerned it s hypoglycemia. Also, she had a false positive for MCAD (newborn screen) and I think that is an unusual coincidence.", "output": "Hi, welcome to this forum. Can understand your concerns. Constant hunger and thirst in a 2-year-old child can occur in diabetes, deranged renal function test. In diabetes, it is usually seen that there is increase in thirst and hunger due to which a child gains weight. In cases of deranged renal function test and increased glomerular filtration rate there is more passage of urine and water from the body which results in deny Chat Doctor. In my opinion, child should be investigated for glycosylated hemoglobin which you have already done and waiting for the reports. Kidney function tests should also be done to look for any renal cause. I hope this will help you. Take care. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doctors,i am 6 month pregnant and i am taking aspirin 81mg since 2 month the doctor prescribe me this b/c i lost my baby while i was 8 month and 2 weeks the doctor didnt know what the cause was and now he prescribe me aspirin 81 mg per day just like that i dont have specific diagnosis so i am worried it may harm me and my unborn baby.please help!!!!!!!!!", "output": "Hello and I hope I can help you today. Baby aspirin (81 mg dose) is literally an aspirin dose that is safe for child Chat Doctor. It is commonly prescribed during pregnancy as a mild blood thinner for prevention of different disorders during pregnancy, like recurrent miscarriage, preeclampsia and others. It is very safe and even though it is not recommended to take adult dose aspirin during pregnancy, this dose is safe and also may help the prognosis of your current pregnancy. So you need not worry at all about the medication and its effects on the baby. However, it concerns me that you are being treated with this medication without actually knowing the cause of death of your last child. I do not know if an autopsy was performed on the baby or if you had any tests after the baby died. Stillbirth can be caused by a number of factors, some due to maternal clotting disorders, infection, birth defects or complications with the pregnancy itself that may not be helped or prevented by just taking aspirin. In addition, many practitioners would recommend monitoring of your babies heartbeat in the doctor's office on a regular basis (non-stress test) to watch for any signs of distress before the baby is born. So in summary, the aspirin you were prescribed is safe but may not be beneficial to you if the death of your baby was unexplained. Tests like screening of your blood for thrombophilia (inherited disorders of blood clotting) and infections (TORCH liters) really should be done if you haven't done so already to make sure that your aspirin treatment is not the only thing that can be done to help prevent complications with this pregnancy. Consultation with a high-risk pregnancy doctor (also called a Dermatologist) may be helpful in figuring out if you have a condition that can adversely affect this pregnancy. I hope that this information was helpful and that I was able to answer your question. Best wishes for the rest of your pregnancy, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I try staying positive i tell myself lots and lots of positive things each day but it doesn t help, i hate this feeling but i can t make it stop i feel like my mind is being controlled and i don t feel so sad sometimes though. Sometimes i feel really happy and hyper but than it goes away and the feeling is back and i try and try but i can t and when I m really hyper and stuff i feel as though i have very poor judgement and often times it gets me in trouble and than i just have these explosions of anger and i try to control it i really do but i just can t help it and i don t know what to do. I cant stay focused and i zone out often.", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. I can see the problem you are in. But positive phrases and statements do good to only those who keep a positive way of life. You must learn life before saying positive phrases. There must be a basic cause of these negative thinking and anger. Some sort of disappointment in life. Such a disappointment or the cause of that disappointment should be ad Chat Doctor. This can be successfully done with the help of a psychologist. Consult a psychologist. Even online consultation should suffice. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my name is Oslyn. I have been diagnosed with diabetes a year ago. As of three weeks ago I have been loosing my hair, loosing weight and having sever headaches. I have Lost 16 lbs, not intentionally. My hair is falling more than usual. I m having headaches at nights only. I m currently taking Junuvia 100mg daily.", "output": "HIT hank for choosing ChatDoctorYour query and concern is appreciated, if this is the diabetes then it may not cause the hair loss of weight loss, hair loss could be due to age and gender related like in male it could be male patron baldness, for the weight loss underlying disease condition needs to be ruled out, you have given very little information here, you have not mentioned the gender, neither mentioned how much you are weighing now, hope this information helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband is 43 yrs old and has felt bad for close to 3 weeks now. He had elevated WBC about 10 days ago and they thought maybe sinus infxn & put him on Bactrim & prednisone . After a week his wbc was still 13. That may or may not be connected to the rest. He has had a distended abdomen to the point that at night when he s lying down he has a hard time breathing because he says he feels full . He also feels like his gut is swollen after he eats. He has had an almost 20lb weight gain in the past month. After 3 visits to MD and being told liver function tests were normal but cholesterol was high, we went to the ER. They said today his SGPT was 80 ( it was 31 last wed), also said that US & xrays did not show any fluid or anything else. Said they saw a CT from almost a yr ago that showed he had mild fatty liver & suspicious of NASH. No one ever told us that then. Today they said yes it s there but did not recheck to see if it was worse & said as stated above that his SGPT was way high and may need to be rechecked in a week or 2 and maybe see a GI but thats all they said they could do. He feels really rotten, dont have the energy to get out of bed for more than 10 minutes, has been that way for almost 3 weeks, and now feels like he cant even get any help. Any suggestions? Could this potentially become life threatening?", "output": "Hello, Thanks for the query to Chat Doctor. Forum. There was elevated level of W B C but the level as you mentioned (13 000 c mm) is not very high. This level may be due to any mild degree infection. Prednisolone in itself causes fluid retention, so please mention the dosage of prednisolone took your husband. Now his Sept level is high 80 I U, however this raised level is not an alarming condition and not so specific. As you stated that your husband is bedridden and feeling so tiredness and even breathlessness, so evaluation of diagnosis is very important. Further you mentioned that ultrasound is normal at this time. Further, stated that there is no fluid in abdomen. I would like to say that there is a very serious disorder according to your stated history of illness. In my opinion please consult another physician and get his opinion as this time condition is not good. In early stage if NASH (NONALCOHOLIC STEATOHEPATITIS) fatigue & weakness are the most important symptoms. While further symptoms are weight gain and cirrhosis. So don't delay. Good luck. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "MY FATHER IS 59 YRS OLD. HIS HEART IS WORKING ON 20% AND 80% IT IS DAMAGED. HIS KIDNEYS ARE ALSO NOT FUNCTIONING DUE TO WHICH WATER GETS RETAINED IN HIS LUNGS. WHAT IS THE SOLUTION FOR THIS KNOW? CAN DAILYSIS BE DONE WITH A SHRINKED HEART? HIS HEART IS VERY WEAK.", "output": "Hello and welcome to Chat Doctor. As a Urologist, I can understand your concern fully. A weak heart with chronic kidney failure, is a serious medical condition. The only way to Chat Doctor. During the dialysis, cardiac problems will be treated under supervision of a nephrologist, so you don't need to worry about it. Leaving him without treatment is a slow end stage.You're welcome to send me the reports(latest), and I can give you an expert opinion. Wishing him well." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I got the pertussis vaccine a couple days ago and last night noticed a tender, movable, hard, ball just above my collarbone. I remember this happening about 10 yrs ago when I got a flu shot in the same arm, in which I had a soft tissue injury in that shoulder just before the injection. This time the ball is much more sore. Could it be a single lymph node, building immunity? Is this common, and should I see a doctor?", "output": "Hi, Welcome. Based on the facts of your query-You seem to suffer post-pertusis shot Lymph node amenities, with reactive hyperplasia. And is a known body reaction. Nothing to worry. Show it to your doctor only if it persists with symptoms after 1 MTV. Hope this would help you to plan further treatment with your doctor. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. Welcome with any other further query in this regard. Good Day!! Chat Doctor. S. Genl-CVTS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a natural stillborn on June 20th at 20 wks. I was also suffering from a UTI. Stopped the last round of antibiotics 5 days ago. Bleed for two 1/2 weeks after the birth. Stopped for a week. Then started my period. Stopped for two days and started bleeding again. My symptoms are low back pain, lower abdominal pain ( not severe) and diarrhea for at least two weeks now. I have not had an ultrasound since the birth and I did not have a DNC. No fever.", "output": "Hello. Thanks for using Chat Doctor. I have gone through your history but I find it incomplete. You have not mentioned whether your abortion was spontaneous or induced by some Chat Doctor. Also, what was the reason for stillbirth? Were you investigated to find out the cause? If there are remaining residues of pregnancy in uterine cavity then it can cause irregular bleeding, backpain, abdominal pain etc. You should consult your gynecologist immediately and get one ultrasound done. If required she may advise you DNC. Also get your urine checked to see whether infection is cleared ? Hope this will help you. Get well soon" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "34y/o male with acute transverse myelitis(T2-conus) causing BLE paralysis, with brain mri that reads:No evidence of acute ischemic injury/pathologic postcontrast enhancement. couple of scattered punctate foci of subcortical&periventricular leukomalacia within the cerebral hemispheres, nonspecific", "output": "Hello, The MRI is stating that the cause of your bilateral lower extremity (BLE) paralysis (both legs paralyzed) is not because of anything going on in the brain. You have an essentially perfectly normal looking organ north of the neck that's good. What is causing the problem is inflammation (swelling) in the spinal cord which goes from the T2-Conus levels (large area from between your shoulder blades down about 18 to 20 cm). Depending upon the cause of this inflammation, things can get better, but it could be a long process. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am scheduled to have a cystic neoplasm removed (right ovary) and an appendectomy next Friday. I have new onset of acute pain in my lower right quadrant that began about 15 minutes ago. My pain is at a 6. Prior to this it has not passed a 3. Could this be related to appendicitis? How long should I wait to seek medical attention?", "output": "Hi! Good morning. I am Chat Doctor answering your query. This could either be due to an attack of appendicitis or a torsion of the ovarian cyst on the right side. In any case, if the pain increases steadily, I would suggest you to report at the ER of the nearest hospital for a clinical assessment and related investigations to institute appropriate treatment. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am taking Losartan Potassium 50 mg once a day and also Carvedilol 3.125 mg twice a day. My question is I have been prescribed Mobic as an anti-inflammatory for occassional Knee Athritis flare-ups before I was prescribed these other medications. I have a knee problem now and I am wondering if it is safe to take the Mobic?", "output": "Dear friend it is not likely the meloxicam would interact of interfere with your current blood pressure medication, what dose regimen do you follow for Mobil is it SOS i.e. as and when needed, or it is to be taken daily. In any case please try it and if you do notice any changes in your blood pressure control or any additional symptoms please report it yo your physician and get the medications reviewed." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "MY 20 WEEK OLD SON HAS A SMALL PUS FILLED SPOT ON HIS LEFT FOOT AND A FEW WEEKS AGO HAD ONE IN EXACTLY THE SAME PLACE ON HIS RIGHT FOOT - IT DOESNT SEEM TO CAUSE HIM ANY PAIN OR DISCOMFORT BUT I WOULD JUST LIKE TO KNOW WHAT THESE ARE AND WHAT IS CAUSING THEM. I WOULD LIKEN THEM TO A FACIAL SPOT", "output": "Hi, welcome to this forum. Can understand your concerns. * Pus filled spot on left foot can be most probably due to bacterial infection like pyoderma.* The child will need antibiotic like amoxyclav for the pus to settle. Local antibiotic cream containing antibiotic like mupirocin should also be applied.* An examination by doctor should be done so that we may not miss any important finding. * If there is no improvement in 24 hours, then get child examined by a doctor. I hope this will help you. Wishing your child good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Sir, I am 25 yrs old. I have a bad habit of daily hand practice. I am doing this 2-3 times every day before going to sleep. I don t want to waste my time in doing this. But uncontrollably I am getting thoughts in my mind and doing that every day. I want to avoid this completely, as this is affecting my concentration on preparation for Job interviews. So, please suggest some tips to avoid this completely. Also, I would like to know, is there any physical/mental health problems that i may get due to this? Please help me in this, I would be very Thankful to you.", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. Masturbation is not sin. Masturbation is natural and even animals do masturbate. Masturbation alone cannot be the reason for your loss of concentration and career. Because masturbation is natural. Your lack of knowledge and anxiety about masturbation could be problem. Don't worry about masturbation because it cannot give you health problems or mind problems. Enjoy it as much as you can. Also, don't club it with your poor performance. Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 54 year old son who has been treated for pneumonia in the hospital 4 days and is now home for 4 days has just coughed up a hard black mass with a whole in the middle. After which he coughed fresh blood. This has now stopped Could this be dried pneumonia or blood clots. you recommendations please", "output": "Hi, thank you for asking Chat Doctor. The black mass he coughed out was probably a blood clot as it was followed by fresh blood. It is true that pneumonia can cause this, but some other conditions need to be ruled out. He may need to do a sputum test to rule out tuberculosis, a chest X-ray and/or chest CT scan to rule out a tumor. Generally, coughing out blood is a sign that needs to be seriously investigated. I would suggest that he goes back to his treating doctor for proper assessment. I hope that answers the query wish him well" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Total bilirubin 1.1mg/dl; conjugated (D. Bilirubin) 0.3 mg; Unconjugated 0.8 mg; S.g.o.t 72 u/l; s.g.p.t 102 u/l; alkaline phophatase 182 u/l; total protein 8.2 gm/dl; albumin 3.7 gm/dl; globulin 4.5 gm/dl; a/g ratio 0.82; g.g.t.p 86 u/l Plasma glucose fasting 424 mg/dl; total cholesterol 131 mg/dl. Pt ratio INR 1.11 Tsh 19.27 Please advice what will I do.", "output": "Welcome to Chat Doctor. Thank you for posting your query. I can understand your query. Let me analyze your report.1. Total bilirubin - raised2. GOT - raised3. SEPT - raised4. Albumin - low normal5. Plasma fasting glucose - alarmingly raised6. INR - normal7. TSH - raised8. Cholesterol - normalize reports are suggestive of hepatitis. At the same time what is alarming is the fasting glucose. It is very high. You need immediate intervention through insulin or other medications. You also have hypothyroidism. I would suggest you to immediately visit a clinician. He/she can examine you, recheck the blood glucose and correlate clinically. Get an ultrasound of the abdomen done to look at the liver and gallbladder. Get a postprandial blood glucose and HBA1C done to look at the blood sugar control. Avoid oily, spicy food. Avoid sweets. Regularly exercise for 30 minutes a day. I would start tablet Thermoform. Your doctor can guide on the exact dosage. Hope this helps. Write back to us. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My girlfriend is getting a sore in the same part of her month after we make out. The last three times after making out she getting this sore that gos away after 2 to 3 days. The sore is on her bottom lip ( in the middle of her lip). We have kissed before and this havent happen (mouth to mount kissing) Its only happening when we make out hot and heavy. Its just wired that everytime we kiss hot and heavy she getting this same ( white sore in the same spot on her inside lip). I dont have any sores anywhere on me... Should we be worry about this?", "output": "Hi. Welcome to Chat Doctor . As per your query it seems that while being into a state of arousal during intercourse she has a tendency of biting the inside of her lip and due to trauma caused by teeth there is formation of an ulcer in the same spot every time. It does not seem like any infection and physical trauma is the most likely cause, but a confirmation can be done only after a clinical evaluation and investigations if required by an oral physician. As it is a recurring spot and is not persistent I does not seem like anything serious, and you need not worry about it. Hope this information helps. Thanks and regards. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello I m an 18 year old who just started having sex and started birth control just two months ago.. and I was wondering if I was a sunday starter and I m on the last active pill.. Is it possible to take the sugar pills and then when my period comes, start the next pack of pills?? Another question is: If I took the last bc pill and then had sex after, would I be safe from pregnancy for that day??", "output": "Hello dear, i understand your concern. The birth control pills are effective of all the methods of contraception if taken correctly. You need to take 21 active pills and take sugar pills for 7 days during which you get the period. Immediately after the end of sugar pills you need to start the new pack on next day but not related to periods. Yes you will be protected if you take last birth control pill and have sex after. The failure rate is very less of all methods provided they are taken correctly. But they are also associated with side effects like nausea, weight gain, headache etc. All the instructions of intake are provided with the pack and if still doubtful then contact your doctor. Best regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Dr Aniruddha, I am Bhaskar, Married, 34 years. I have recently done my semen analysis . Sperm Count is 50 million/CC pH 8.0 But Motility says Grade IV(Active) 10 says Grade III(Moderate) 20 Grade II=30 and 40 non motile. Please can yo suggest if I need to go for medication , if yes which medicine? We are trying for pregenency for last one year.", "output": "Hi Bhaskar, Welcome to Chat Doctor, This report suggests poor motility of sperms. Normal sperm motility should be more than 40% out of which 32% should be progressive (WHO 2010). There are various causes which may lead to low sperm motility. You need to undergo complete clinical, hormonal and genetic evaluation to reach at cause of low sperm count. Please consult a Fertility specialist or Urologist. Antioxidants and multivitamins will help you to improve sperm motility. You can take them in tablet form and include in your diet also. Include a lot of fruits, salads and green vegetables in your diet. Avoid oily and spicy food. Try to maintain or reduce your weight if you are overweight. Mild physical activity will help your cause. Avoid smoking or alcohol. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I have been randomly getting these red bumps, almost looks like a bug bite, with white puss in the middle all over my body. From my legs to my stomach & now my arms. They itch really bad. But they seem to pop up at random times. At home, at work. What could it be?", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. You are having multiple pustules. Pustules are pus filled blisters. Pustules are seen in1. Diabetes 2. Patient with poor immunity 3. Connective tissue disease (CTD) etc. So better to consult dermatologist and get done 1. Sugar estimation to rule out diabetes. 2. Immunoglobulin levels to rule out immunocompromised States. 3. Serum ANA level and full ANA profile to rule out CTD. You need to first diagnose yourself and then start appropriate treatment. You need antibiotics, antihistamines and anti-inflammatory Chat Doctor. So first consult dermatologist and discuss all these." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my wife is 19 years old we got married 11 months ago and she told me she used to smoke hookah a lot one year ago we r having intercourse every alternate day she s not still conceived so please suggest any remedies or would it be of the side effects of her smoking of hookah which she has quit since a year ago does it stay in her body for soo long", "output": "Welcome to Chat Doctor. I have gone through your question. Hookak smoking definitely affects reproductive system. As she stops smoking since a year and not conceiving then I would suggest doing investigations for her.1 ovulation profile 2 thyroid profile 3 histosalpingography HSG These reports help to find any abnormality if it is there. I would also suggest doing semen analysis of yours. Then consult gynecologist he/she will advise you further. Hope I answered your question. Would be happy to help you further. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I was diagnosed with Gilberts syndrome when I was 12 and have had elevated billiruban, alt and ggt since then. 2 years ago I had my gallbladder removed because I have intermittent severe pain in the RUC. Now I have been told I never had Gilberts and should never had my gallbladder removed, I have a billary stricture and a blocked portal vein and still get the severe pain but now almost daily. The portal vein had rerouted itself and is still pumping blood to my liver. I am a 30 year old female. What could these results be?", "output": "Hello, Mostly your problem probably can be \"Portal hypertensivebiliopathy\" it can sometimes occur because of obstruction of the portal vein causing the biliary stricture(Extra hepatic portal vein obstruction), not always though. You should be evaluated for jaundice, high grade fever with chills with pain abdomen, consulting your doctor and evaluated immediately and Sometimes a diagnostic or therapeutic ERCP may b required with a surgical consultation." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I felt an electric shock in my left front thigh while doing knee lifts with my right leg. I was standing up shadow boxing and when I bent backwards and threw out my right knee my left leg had an incredible electric shock and I felt a tear in the front muscle in my left thigh.", "output": "Hello, The electric shock feeling can be due to nerve and not due to muscle. I think you have a nerve entrapment in the lumbar spine and that's the cause for electrical shock feelings. As any Injury to the nerve may lead to abnormal sensations. When it's related to muscle there will be a dull ache and not the sharp shooting pain. Take the McKenzie maneuver position while the shocks come and see if reduced. If so than it is nerve pathology. McKenzie maneuver you can find online easily. Do core stability, spinal muscle strengthening exercises this should help reduce the symptoms. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been experiencing moderate to severe pain in my right jaw for more than two months now. When I swallow , it feels like I have swallowed hot lead. Doctor finds nothing, no swollen glands, nothing visible in throat. Dentist says I have abscess , so I have had two oral surgeries to remove infected teeth . No relief. Nothing relieves the pain - I m talking Vicoprofen , Tramadol, NSAIDs, alcohol, nothing. Pain goes from temple to jaw to throat to shoulder. I say it s TMD, oral surgeon says it s not because jaw doesn t pop when I open mouth. I m at wit s end. Can t function more than a few hours a day, then pain gets the best of me. Any insight?", "output": "Hello and welcome, AS per the details provided, there may be dislocation as well as tenderness due to fracture, wearing etc. Since the pain persists even after extracting abscessed teeth, i advice you get a thorough clinical as well as radiological examination like OPG by an oral surgeon. Please avoid wide mouth opening. Intake of hard, solid foods has to be limited. If necessary, intermaxillary fixation/splinting has to be done. Hope you get well soon." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello. I have recently had an abscess and been prescribed 2 lots of antibiotics to help clear the infection and I stopped taking them yesterday and today my left cheek is sore and swollen again I cant get to a dentist until Thursday at the earliest im going to go see my gp tomorrow and see if they can give me some more antibiotics. What would you suggest? . Thanks.", "output": "Hello, Thank you for consulting with Chat Doctor. As you are mentioning that you were having an abscess in the tooth, and you were prescribed antibiotics now after antibiotics again swelling has started, it looks like that the infection is still present there. Actually when there is infection is present in the tooth a root canal treatment should be started with antibiotics which will help in healing, only antibiotics can not solve the problem. So you have to visit your dentist to get started with root canal treatment. Hope it will help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor, I from a couple of days, I have this situation wherein I feel foggy and my brain doesn t seem to really comprehend what s happening around me. It feels like there s some cotton inside of my head that is preventing me from thinking clearly. It feels like a good night s sleep will clear it out, but that does not happen. Please, help me out. I am starting to feel a little tensed and scared about it.", "output": "Hi, Thank you for posting your query. I have noted your symptoms. Your symptoms could be related to anxiety or lack of sleep. In addition, we need to exclude lack of blood flow to brain ischemia), vitamin B12 deficiency or thyroid deficiency. You need to get a complete neurological examination done by a neurologist. After that, you may require MRI brain, vitamin B12 level, and thyroid profile tests in order to make a definite diagnosis. There are good treatments available to treat all the above disorders. So, you need not worry. I hope it helps. Best wishes, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi i am 24 years old and uncircumcised married for 4 years and only her. We have unprotected sex all the time and the head of my penis was shiny clean not a scar or whatsoever. She recently had a yeast infection but we didn t know and the a few days after i started getting RED DOTS ALL OVER MY HEAD and when i pull back my foreskin it itches alot sometimes plz help as its been almost 2 months now.. Is that bad?", "output": "HiT hank you for asking Chat Doctor. I have gone through your query. Your problem can be most likely due to yeast infection. As your wife had it you also should be treated. If you were my patient with such case then I would recommend using clotrimazole cream for local application and fluconazole tablet to take orally weekly once for 1 month. Hope this may help you. Let me know if anything is not clear. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have a soreness at my elbow like i had badly bruised it, but havnt hit it or bruised it.. it has been like this for 3 weeks if i try to hold something up out in frnt of me like a platter of food its hurts.. it acts like i may have injured a ligament or tendon.. i had stressed this arm and the other over a month ago installing a lrg window into a second floor opening. but the other arm is fine? when it is hurting its also warm like its fevered.", "output": "HiT hank you for asking ChatDoctorI have gone through your query. Your problem can be most likely tendonitis in elbow region. From your history it is most likely Golfers elbow which is tendonitis on medial region of elbow. For this Rest, Ice, over the counter NSAIDs like ibuprofen (Motrin) will be helpful. If there is no improvement then consult an orthopedic. You may need to take an X-ray to rule out problems like arthritis in such case. Wearing brace and corticosteroid injection like triamcinolone will be recommended by orthopedics for this. Hope this may help you. Let me know if anything is not clear. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my 11 year old seems to have the chicken pox. She has appox. 10-15 chichen pox right now. This is day 2, she noticed yesterday a hard pea sized lump between the middle of right ear and bottom center of head.(hairline) It is sore when touched. Today she has one more not quit as large, about a half inch above the other. Neither of these look like a chickenpox? Any idea?", "output": "From what you have told, your son may have two enlarged lymph nodes. Lymph nodes are small pea shaped lumps present all over body. It gets enlarged and painful when infection is there. Many a times chicken pox will not cause any lymph node enlargement. But Since his immunity is weak now, a bacterial infection may set in and may have caused the lymph node enlargement.It's better to wait and watch. If the Lymph node does not subside on its own, a course of antibiotic may be given.In the meantime give plenty of water and paracetamol tablets to reduce fever." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi I am lilly and I am 33 years suffering from epilepsy from past three years. and from past six months I am taking eptoin. can you please tell me what happens if we take high dosage I mean all the tablets at a time?? because my sister is having a sucidal tendencies and she wanted to take it. I want to protect her mainly from these tablets. will it leads to death??", "output": "Hi Lily, Any Chat Doctor. If your sister has suicidal impulsion, she needs to be taken to a psychiatrist immediately. Because even if you hide your tablets, a suicidal person looks and finds other means to commit suicide. She needs professional help. Also, talk to her. Try and find out why she wants to commit suicide. All people having such tendencies are depressed. Try to find out why she is so depressed that she feels the option is dying. Give her affection, attention and consult a professional. All the best! " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I ve been having this pain in my abdomen for three months now. I ve gone to the emergency room a number of times and they couldn t find anything wrong except my white cell count is really high. This past week I ve been having this pain through out my whole midsection that gets worse with each passing day and this morning I started having this white/yellow discharge with an order. What could it possibly be?", "output": "Hi. Thanks for your query. You have got pain in abdomen for the last 3 months and the Doctors in the ER could find only raised white cell counts. You have started white yellow discharge today only, hence may not be related directly to it. Since you have visited ER so many times, I would advise you the following:Get a reference for the Gastroenterologist. Get investigated:CT scan of the abdomen, Upper GI and colonoscopyThis will help you to get a probable diagnosis and a plan for treatment." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Curious, if you could give me some answers. For the last 2 months we have been trying to get pg. April 12 had my cycle, so not pg. This month having tenderness in breasts, some items dont appeal to me (smell), queasy, (I havent thrown up) different times of day for last wk. However 6am today woke to spotting when I wiped not normal cycle and havent even used 1/2 of one pad today. Im extremely tired (wore down) today, possibly just cuz Im bummed a little. But any idea whats up with this? Could I be pg, just having Decidual Bleeding or implantation occuring? Thanks for any suggestions, help. CJ", "output": "Hi, Thanks for the query. I understand your concern. There are two possibilities with your spotting around periods along with breast tenderness since few days -In case bleeding is scanty stops in a day or two (unlike routine period) ... and home pregnancy test with a clean urine collected in a clean container .done after an 8 days later turns +ve. You are pregnant. -OR -Breast tenderness could be premenstrual . the spotting may be followed by normal menstrual bleeding...the menses may get few days late due to anxiety of getting pregnant. *please don't be scared ...provided both of you are normal (checked for fertility-before planning for a baby) you will conceive in months to come. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doc, I am 23 yrs old, i am having a habit of shaking my penis twice a day. whether this is good or health, if it is bad, what will be the side effects and also tell me how to avoid it.... i am feeling bad of it, but i am unable to avoid it... so pls provide suggestions.", "output": "Hello, Masturbation does not have any adverse effects on body. Yes one feels bad after this act due to social, cultural or spiritual norms. You can avoid this act by keeping your self busy in productive activities, try making friends, stay busy, limit your alone time, be honest, and find a support group. If these strategies fail then find some therapist. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doctor. Just want to ask. My penis started to itch and present allergy like symptom almost 2 weeks ago. It became puffy. The left part of my lip(mouth) felt tingly. After 3 days, my penis started to have black spots. One is a big circle and there were lesions on the glans and foreskin. It turned from itchy to painful. My left lip also had a small crack that s why it is also painful. Please help.", "output": "Hello,Itchy penis and black spots on foreskin makes me suspect that probably you are having candida posits which is more common in diabetics, whereas recurrent bacterial infections are also common if one's blood sugar levels is raised. I would suggest that you take a course of an oral antibiotic (penicillin or cephalosporin group e.g. Amoxicillin or CEA Chat Doctor. An OTC antifungal cream e.g. clotrimazole cream, can be applied twice daily on the cracked foreskin. An oral antifungal e.g. fluconazole 150\u00a0mg single dose would also take care of the candida posits.Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a history of panic attacks and am taking Lexapro. I am 74 years old, excellent health and shape, no problems. I excercise 3-4 times a week and run 3 miles. Last night, my husband and I were riding home when I started to experience burning in the severe burning in the arms and chest and was nausated. This continued for approx half an hour. I know when I talk to someone while having these attacks, I feel much better. When I got home I took an Ativan and felt much better. What an experience. Do you have any suggestions? I guess I should really carry Ativan with me to take when necessary.", "output": "Hi, Thanks for using Chat Doctor. I have gone through your available history. Expo contains Escitalopram which is very good Chat Doctor. In your case if you are on regular medication, You should find out the cause of Panic attack. It may range from excessive caffeine to some stressors. For that, you need to consult your psychiatrist. Your doctor may also rule out physical causes like thyroid dysfunction, cardiac causes, vitamin B12 deficiency etc. Asian contains lorazepam. It is also good " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 4 month old has a lump behind each ear. 1 is more noticible than the other. i first saw them 2 weeks ago. been to doctor who felt them and said they feel normal and he has had a cold so from that. But Im still so worried about lymphona- silly i know but hes my world. am i worrying for nothing?", "output": "Hi, dairy have gone through your question. I can understand your concern. He may have some enlarged lymph node. It can be due to reactive hyperplasia, tuberculosis or lymphoma. Hr should take a course of antibiotics. If it doesn't respond to treatment then biopsy diagnosis is advisable. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been diagnosed with a 7.3 heaptic hemangioma on the right lobe which is causing me back pain. The doctor has advised against surgery saying its a very serious surgery and that should would have to cut through nerves and bile ducts. she wants me to wait till the pain is worse. she says she would have to take 60% of the liver. Arent I risking it growing and taking up more of my liver. Arent there any other options", "output": "Hi.it is best if you consult with a specialist, preferably a general surgeon or a hepaticopancreaticobiliary surgeon. A thorough physical examination and clinical evaluation should be done prior to hepatic resection. The most important thing to consider in this kind of surgery is what will remain of your liver and not what is to be taken out - anatomic and physiologic function wise. So a good preoperative assessment (extent and involvement of the lesion) and preparation (including blood products) is very much needed. Hope this helps. Good day!!~ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 23yr old now. I am sufferiing from backpain since last 6 years. I cant even bend. Its getting stiffer everyday. Doctors say that my muscles are weak so i am facing that problem. They say i need a lot of excersice. So I am looking for a physiotherapist.", "output": "Welcome to Chat Doctor. 1. The possible cause of back pain in your age group will be positional abnormalities in the first place.2. Other possible cause could be systemic disorders like inflammatory / infective cause of the spine.3. You need to try back exercise initially followed by the physiotherapy if symptoms persists further investigations might be needed.4.MRI is the best investigation of choice for evaluate the cause. - see your GP and get the physiotherapy. Good luck. Hope I have answered your query,anything to ask do not hesitate to ask.http://doctor.ChatDoctor .com/doctors/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear doctor, My father is 50 years old, he has been havin black stool for over a month and 3 weeks back he vomited blood , due to which the Hb went down to 6.5. After a CTScan and biposy he was diagnose with stomach cancer , at the stomach and food pipe junction. 2 weeks back he was operated upon, during which the entire stomach was removed. 5 cm extra radius was cut for biopsy , which suggested positive lymph nodes. Kindly help us with the best possible course of action that we could follow at this point if time. What are your views about Ion - beam therapy? What are the success rates? What other course of action do you suggest?", "output": "I am assuming that your father is in a good general condition and does not suffer from any comorbid conditions like diabetes, high blood pressure, heart disease, etc. Also, since you have not mentioned it, I assume that the cancer had not spread to any other body part and that the biopsy report shows adenocarcinoma (a type of cancer). If the margins of resection in the biopsy report are free from tumor then I would suggest your father to undergo further treatment in the form of chemotherapy. Chemotherapy is a type of cancer treatment in which we give special injections into a vein. These injections then kill the remaining tumor cells in the body, although they have a number of manageable side effects. Since your father has node positive disease, further chemotherapy is mandatory. However, if the biopsy report says that the margins of resection are involved by the tumor, then I would suggest a course of radiation therapy along with low dose chemotherapy (to increase the effect of radiation) followed by full dose chemotherapy. All this treatment should preferably be undergone at a dedicated cancer care unit." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am suffering from tuberculosis pleural effusion. Approximately 600 ml fluid was taken out. Now I am taking AKT-4 and B-complex medicines. Even after one month of treatment i have the temperature of around 99.5 to 102 throughout the tday. This is usual or unusual one. what treatment i have to take. Please advise me.", "output": "HelloWelcome to ChatDoctorAs you have been started on AKT-4,you have to finish the complete course of the tablets. Pleural effusion will subside with the intake of these medications. If It's worsening, and you have a breathing problem you can undergo pleural tapping. Temperature fluctuations are very common in Tuberculosis. So, no need to worry. It will subside as you complete the course. Take paracetamol for fever. Hope you are happy with the answer. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I had a very strong flu or infection for 3-4 days. My wife was dx by her doctor with pneumonia and the antibiotic she took seemed to help her in seven hours. I took the same but did not have the same effect. I still have the cough on day six, my fever is gone, but now I am constantly sweating. I wonder if you had any ideas about the sweating and if I should see someone.Thank you", "output": "Thanks to Chat Doctor I can understand your problem I would like to suggest don't use antibiotics unnecessarily as they may spoil your health, please check your BP and SUGAR LEVELS once .ok don't worry please undergo once CBP. Esr and fever profile, chest x-ray to rule out pneumonia as fever subsided nothing to worry, sweating after post Pyrex is due to medication , so please stop medication please take normal diet and plenty of liquids once reports comes have a consultation with your doctor .ok" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi , myself suffering from discomfort of Chest and formation of gas. These symptoms are found since 1st July. Particularly I have felt some breathing problem during my staying at AC, or before sleeping. Plz advice me accordingly.Thanks & Regards Ramkrishna Parui", "output": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, we should rule out HERD (gastroesophageal reflux disease) and asthma in your case. Both, HERD and asthma commonly present together. Your chest pain and gaseous feeling are due to HERD. And your breathing problem in AC and at night are mostly due to asthma. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (pulmonary function test). PFT will not only diagnose asthma, but it will also tell you about severity of the disease and treatment is based on severity only. You may need inhaled bronchodilator (formoterol or albuterol) and inhaled corticosteroids (ICS) (budesonide or fluticasone). For HERD symptoms, take antacid like pantoprazole on empty stomach. Avoid stress and tension, be relaxed and calm. Avoid hot and spicy food. Don't worry, you will be alright with all these. First diagnose yourself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI doctor , i am having red patches with itching when i exposed to sunlight today , also i am suffering from psoraissis form long time and continuing with homeopatChatDoctoredicine . One of my medical practitioner suggested Rupanax-m tablet , but stll i woke afwetr strong itching urge in my body , please help me out , thanks", "output": "Hi Dear, Welcome to the board of Chat Doctor, Psoriasis is a continuous recurring disease. It persists long, may be whole life. Stop worrying about this disease, lead a cheerful life forgetting the disease, but in the meantime you have to take continuous treatment from your dermatologist. For itching, he will give you some antihistamine medicine and some steroidal cream. This will take care of your night itching. Hope your query is answeredThanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My Mother is 69 years old and she has got a breathing problem while walking, going to bath, going to toilet it increases in the cold weather she is taking through rota hailer foracort 150 daily. Please advise", "output": "Hi. I appreciate your concern for your mother. The question of however is very inadequate. Almost all lung diseases can cause breathlessness. What is your mothers' diagnosis? Is it asthma, COPD, OLD, heart disease or something else (or a combination of many)? You said it is asthma. Has it been confirmed? She is asthmatic since how long? The extent of breathlessness is severe. Remember, asthma is a treatable disease and so severe breathlessness concerns us. Your short history points toward COPD than asthma. Has she undergone any X-ray or spirometry? Has her Forecourt dose been titrated? Home remedies will depend on the cause of her illness. -" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am 27 years old,just married in about a year,no baby yet.i have a history of high blood pressure and 7 months ago i discoverd i have hypothyrodism,i am currently taking thyroxine 25 mg,last month i had my uterus examined on ultra sound. it said i have bulky ovaries with small peripherally located follicles, what is that and can i have babies?", "output": "Hai, thyroxine plays major role in all our body function (body temperature regulation, metabolism,menstrual cycle etc.). In which lack of thyroxine (hypothyroidism) will cause irregular periods (mensuration cycle). When irregular period is persisted that leads to infertility. And as from your quote it seems to be you got a poly cystic ovarian disease(POD). This is also not allow the ovaries to function properly. Ovulation will be disturbed. This will also lead to infertility. High Blood pressure also should be considered. Consult your gynecologist to treat your bulky ovaries with Follicle. Once you start treatment for bulky ovaries with follicle your periods will get normal, along with maintaining thyroxine level in normal limit will solve your infertility problem, and you can have a baby. Thank you hope I answered your query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hey Ive had a fever for 4 days now the highest being 103 but it sometimes goes down to normal. It began with sore throat, cough, heeadache. Now I have stomach symtoms, diarrhea,dizzy spells... Im also b12 def and animic could this be the cause its so bad?", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have symptoms of sore throat, fever, cough and headache since 4 days which could be due to bacterial or viral infection due to infection of upper respiratory tract due to poor compromised immunity of body. Need not worry about it. You can start with Cronin syrup 5ml 4-5 times a day depending upon fever. If fever increases do tepid sponging as well with cold water. Use mist humidifiers in room. Visit general physician once if symptoms keeps on persisting. You should keep yourself HY Chat Doctor. Take diet rich in multivitamins. Avoid taking spicy and sharp food. Avoid cold carbonated beverages. You should go for steam inhalation. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, recent blood test showed rare tear drop cells, rare ovalocytes, slight microcytosis, slight macrocytes, I went in to the ER with a possible ruptured ovarian cyst last Thursday, US showed a 3.2cm complex adnexal reticular hypoechoic mass and free fluid, possibly endometrioma. My Dr wants to sit and wait, I want to get this out. Hysterectomy 5 years ago from endo, (Adenomyosis) Thoughts?, feeling very tired and in pain. Loss of bladder control, groin pain and back pain for 2 months prior to ER visit, affecting my running (half marathon runner) Groin pain for 1 year prior to ER visit.", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have chocolate cyst(endometriosis of ovary). You should go for surgery and removal of that. Your blood picture suggests mild biomorphic anemia. It means you may have mild iron and vitamin B 12 deficiencies. Check your Iron and it b12 level and take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a lump in my throat that was liquid with a mass in it and the mass was cancer, doctor who removed part of my thyroid thought it was caused by the thyroid so he gave me a second surgery to remove the rest of my thyroid, now l seen a cancer specialist, and he wants to give me radiation treatment, but the remainder of the thyroid was not cancerous....what if l didnt do radiations treatment what are my risk", "output": "Hello, If the mass is confirmed as cancerous, then further therapy (radio or chemo) are recommended to prevent spreading of the malignancy to other organs notably the lungs, gut, ENT, brain etc. which could cause serious morbid and lethal issues to your life. It is best to go for the radiotherapy as advised by the cancer specialist. Your risk is cancer spreading and believe me, you do not want to find yourself at that side. Hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, My fiancee and I are looking to start a family after we get married. Unfortunately, I found out he has an ED after the relationship started. I have history of uterine fibroids and I had a myomectomy surgery 2 years ago. I understand that the fibroids may grow back again, and I had like to start a family before they do. I discussed this with my fiancee 2 years ago and he was supportive of me. Now, when I am ready to have a baby I find he has ED. We have not been able to have successful intercourse in the past year. I took him to his doctor but she does not think there is a physiological problem. So she ordered him to see a therapist which is frustrating. I ask him to see an urologist and he gave him a prescription for viagra . My fiancee does not tell his doctors everything. He dances around the sex subject and the doctors think its only in his head. I insisted he had tests done, the doctor orders testesterone test and she said it was within normal ranges. I do not know what else to do. Both his family doctor and urologist are not very supportive and are refusing to order any more tests. I do not know what else to do or how to talk to him about this. The ED problem is making it impossible for us to have intercourse and I am starting to consider perhaps artificial insemination . Please advise how I can talk to his doctors to get him the help he needs. Thank you, AAAAA", "output": "Hi.AAAA...have your fianc\u00e9e taken Viagra...for how long...was the intercourse successful after taking that Viagra...please consult another doctor....to whom you both are new....go to urologist and gynecologist ....u can take consultation from psychologist also after pro and gone rules out any organic problem.and...any doctor checked your hubbies nocturnal penile tumescence...what are the tests done for your fianc\u00e9e...? Is semen analysis normal? Have u ever had successful intercourse?have u ever felt orgasm? Artificial insemination can be done but first have proper consultation..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello sir actually m having 4 wisdom tooths n dentist has told me to take NOVACLOX LB for pain but wenever i took it my stomach gets upset .can u tell me hw to avoid dis un bearable pain widout taking dis medicine or some alternative medicine . My wisdom tooths are in their early stage n cant be treated right now . my email id is YYYY@YYYY", "output": "Hi, Thanks for asking, As your one wisdom tooth is erupting, so debris gets accumulated under the flap covering the tooth. It causes inflammation and ultimately pain. Consult a dentist for irrigation under the flap(operculum), follow antibiotic coverage. Stomach upset occurs due to antibiotic so take an antacid before antibiotic and couple metro 200 mg with it. Maintain oral hygiene and use antiseptic mouthwash. Do warm saline rinses daily for healing. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor I am suffering with mouth infection since one month and I got fever after using antibiotics I have recovered after two weeks mouth infection started again there pink spots on the tongue and I also got mouth ulcer two days ago please help me I am very much worried", "output": "Hello, welcome to Chat Doctor, The history and the symptoms of mouth ulcers suggest me that you are having stress ulcer or Authors ulcer. This ulcer is common whenever there are episodes of fever and stress. This can be cured and prevented by taking following measures.1. Wash the mouth frequently with Chlorhexidene Mouth wash.2. Apply Angel over the ulcers.3. Take It B complex.4. If there is any infection You can take a course of antibiotics. Thank You." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. Im 17 and have a marble size lump of my inner thigh next to the groin area. It doesn t hurt at all until i touch it. It seems like it has a purplish head on it but it really cant be seen that great. What do i have? Im worried it might be some form of an std?", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have some enlarged lymph node due to infection or some other cause, or you may have some soft tissue tumor. You should go for fine needle aspiration cytology or biopsy to confirm the diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I feel like Ive been punched in the stomach, right below the sternum. Ive also been having moderate to severe lower and upper back pains going on 3 days, now. The stomach pain seems to wain off when I lay down, but gets progressively worse when I walk around or stay standing for too long. What could this be?", "output": "Hi! Good afternoon. I am Chat Doctor answering your query. From your history, it seems that you have got some kind of inflammatory pathology in your abdomen. If I were your doctor, after a clinical assessment, I would go for an ultrasound of your abdomen with special reference to the biliary tract and pancreas, a routine blood test of CBC, blood sugar, an LFT, a serum lipase and amylase. Till the reports of these tests are ready, I would advise you for an anti-spasmodic Chat Doctor. In case the pain increases in severity, I would advise you to report at the ER of your nearest hospital for proper management. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have had air/ liquid noise in the top left side of stomach since giving birth 10 months ago. Last month I had a swollen lymph node in jaw, with loss of taste and slight loss of voice and 4 white spots on tongue. Doctors are thinking biopsy results will show lymphoma, blood test is ok and so is chest X-ray. No other symptoms. What do you think it could be?", "output": "Hello friend, Your case needs a detailed study. Every disease has got a mental aspect also. You have not given any clue to the mental disposition you have now, and you had after your delivery time. My advice to you is to approach an expert Homeopath to take your case in detail. He will give importance to the psychological conflicts and life situations and your mental and physical reactions to them. These reactions will give the picture how you are genetically made up of. Homeopathic treatment is very much based on the mental and physical genetic make up of an individual. A constitutional remedy will be selected for you to cure YOU first and then all your physical and mental ailments will be disappearing. My advice to you is not to undergo biopsy or resection. If you cannot find an expert Homeopathic physician, then you can contact me, and then I can send to you my case taking format in which you can enter your case in detail. After studying your case I can send to you your remedy or even suggest you the remedy if it is possible for you to purchase it in your locality. With Best wishes, Chat Doctor. J. Varese, Homoeopath" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "For the past six months Ive had three trans-vaginal ultrasounds for an ovarian cysts. It started put at six cms, then went down to 2 cms and now it is 3.5 cms. The first ultrasound was suspicious for ovarian cancer, but now they say is a simple cyst. What should I do?", "output": "Hi, Thanks for writing in. If an ovarian cyst is continuously decreasing in size then malignancy is unlikely. A cyst measuring more than 3 cm requires regular monitoring. I guess that in the first ultrasound, the cyst was measuring 6 cm and had no features other than its size to suspect malignancy. It is a regular protocol to repeat ultrasound in 2 to 3 months before doing cancer specific tests. I agree that in the second ultrasound, the cyst reduced to 2 cm which is a good response. You have not mentioned any treatment you were taking at that time and I guess you were taking treatment and therefore there was a response. This sort of treatment response occurs when there might be any hormonal imbalances causing the cyst and correcting it leads to decrease in the cyst size. In the third ultrasound, it is possible that the hormonal balance again got altered and therefore the cyst increased. However, to put at rest any suspicion of malignancy I recommend you to get a CA 125 level test done to confirm that your cyst is not at risk or a malignancy. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My obgyn has recommended prolia injections. I am76, female diagnosed with osteoporosis I had a severe break of my left femur I have had bilateral knee replacement and I have serious back problems degenerative disc s and scoliosis . I m really afraid of the prolia injections for many reasons...HELP?", "output": "Dear patient prolix injection contains denosumab which is recommended for post menopausal osteoporosis. Denosumab has many side effects which needs to be monitored. But it is also very effective. I would advise you to undergo DEXA scan first to assess severity of osteoporosis so that treatment can be decided accordingly. If mild osteoporosis you need to increase calcium intake and calcium tablets taken orally. Also bisphosphonates should be started weekly. For moderate osteoporosis start both calcium tablets containing isoflavones and bisphosphonates. For severe osteoporosis injection perioperative can be started which needs to be taken for 5 to 6 months. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am suffering from shoulder and neck pain causing from bilateral cervical ribs. I am taking medicine like pain killers and muscle relaxing. I want to know Can I get rid off permanently from the problem causing the cervical ribs? I used to have physical exercise like pushups, sit ups ets. Will all the exercises permanently forbiddden for me?", "output": "Hi, As what I see is that your cervical ribs are leading to problems with your upper limbs a lot. There is a solution for the cervical ribs is that to get it artificially removed. As this ribs cause compression the nerves, to be precise the brachial plexus which is one of the important branch for the nerves which supplies the upper limbs. The decision has to be taken only after the physical examination and considering other factors that is it really needed to remove it or not to touch it. Coming the therapy part, a lot of painkillers in the long run can rotten the kidneys leading to increased creatine levels which can not be of help and a matter of worry, so avoiding too many painkillers will be advised. Use hot water fermentation if it is helping you reduce the pain. You even need to figure out the muscles which need attention as there might be possibilities that some weaker muscles will be aggravating the pain as they might change the posture and leads to nerve compression. A good physical therapist should be of use to examine and advice a good exercise prescription. Please feel free to contact me with some more detailed history. For time being avoid too many push-ups. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi - my stepdad has stage 5-6 dementia , CPOD, emphysema, and lung cancer . He recently was undergoing SBRT for the tumor (stage 1) and after three treatments was in the hospital with pneumonia - two weeks later he seems better - a little unsteady on his feet but doctor says he needs 24/7 babysitting or go to nursing home coz mom can t care for him at home with what he needs. we are confused doesn t seem bad enough for 24/7 - he was on level 2 oxygen and went up to 3, now trying him on 1.5 should he go back for the rest of treatments - it isn t seen as a cure", "output": "COPD, Empysema of the lung are chronic diseases and super added with pneumonia, in cancer lung after radiation therapy, I think he is in critical period. To overcome these problems, he needs medical supervision, may not be available in the home. He can shift to home, once his condition is stabilized means he requires only oxygen and able to breath normally on oxygen. Going for further cancer treatment is, in my view, not give any positive results." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Constant chest pain that occasionally gets worse for a few seconds or minutes, labored breathing, numbness and tingling in left shoulder, lips and tongue, lightheaded, near fainting, difficulty swallowing ( painless), and a popping sensation at the right side base of my throat that is extremely uncomfortable", "output": "Hello, In my opinion, we should definitely rule out heart diseases first. So get done ECG and 2d echo first. If both of these are normal, then no need to worry about heart diseases. Sometimes stress and anxiety can also cause similar symptoms. So, avoid stress and tension, be calm and relax. Consult a psychiatrist and get done the counseling sessions. Try to identify the stressor in your life, and start working on its solution. You may need anxiolytic Chat Doctor. Do not worry, you will be alright, with all these. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i had doctors say my gallbladder needed to be taking out over 5 days in the hospital they changed their mind was on antibotics got better for a short while went back to doctor had left arm muscle pain in my lower right rib cage around to my back white count was elevated to 12 my right arm feels very strained hurt in my armpit it almost feels like infection moves around up my back an into my neck I have high blood count at least once a month have had a back fusion my right arm seems to be getting weaker run low grade have been hospitialized 3 times in 6 months very concerned plz try an help", "output": "Hi, Cannot say in your particular case, and if concerned that would be a reason to be examined and treated. Reasons to increase concern is that high blood count is an indication of overwhelming and/or spreading infection. It is doubtful that it can spread directly to gall bladder, arm, back and ribs without a lot of obvious problems BUT, infection going out from the gall bladder to the surroundings could irritate the diaphragm and this is often felt widely. There would also often be increased pain with deep cough. It's serious. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my child of six months having fever from last sunday. initially doctor has suggested crocin syrup then amoxicylin with crocin with no improvement in temperature which is hovering around 102 today doctor has suggested meftal after two hours of one shot of meftal till no improvement in temperature what to do now", "output": "Thanks for putting up your query at Chat Doctor. It would have been easier for me if I could see the reports of the blood and urine investigations that your doctor might have done. You have also not mentioned whether the baby is still exclusively breastfed or whether he/she is feeding well. I would have also liked to know about the frequency of passing urine and whether there is cough. If you let me know these details, I would be able to help you better. Most of such fevers are viral. Since you are already giving antibiotics, I would suggest you to wait and see if the fever comes down. If the baby is not feeding well, it might be better to hospitalize the child. Metal contains Metonymic Acid which is prescribed for stopping bleeding. Your details are not enough to estimate the source of bleeding that your doctor is suspecting. Please get in touch with your doctor and discuss or get back to me with the details and I would try to help you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter had been bitten by a Stray Dog yesterday in the Calf region, it looked like a laceration, and my Family Physician MD had recommended RABIVAT Injection which was administered immediately within one hour of he bite and the wound was thoroughly cleaned.Pl. recommend if any other injections are required besides this 0,3,7.... sequence.", "output": "Hello, Welcome to Chat Doctor, Rabies is 100% fatal, but it is 100% preventable by proper and adequate treatment. As your daughter was bitten by a stray dog in the Calf region which resulted in laceration of the calf muscle and this has led to bleeding from the site of bite. According to WHO categorization it is a Cat III bite which requires1. Wash the wound thoroughly with soap and water2. Active immunization with antirabies vaccine on days 0,3,7,14 and 28.3. Passive immunization with rabies immunoglobulin which is administered in and around the wound.4. Oral Antibiotics like Tab Augmenting, twice daily for 5 days.5. In TT, 0.5 ml, These aforementioned treatment helps to protect your daughter from getting the disease. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I injured my heel at dance class in early May. It hurts on the underneath inner part of my foot; under my heel. It hurts most when I wake up in the morning and after walking around for a few minutes feels better; the pain resumes if I spend a lot of time on my feet through the day. The pain isn t intense more aggravating. I just noticed a vein bulging vein on the same leg going from my heel and up my leg about 4-5 about a week ago. Today it is protruding more than it orginally started out as. There is no pain associated with the vein but a concern. I have not but am going to start ice treatments as I have been reading how these help. Thank you for any suggestions that can aid my recovery. I have never had any problems like this. I know I did not warm up enough before class that night", "output": "wheel problems are usually due to calcaneus spurs (growth of beak in heel bone called calcaneus). The best course of treatment is wearing a cupped heal of soft inner cushion while walking. Do contrast bath dipping foot in a tub of hot and cold water alternately every minute for 10 minutes twice a day. Apply anti-inflammatory gel like DFO gel locally after contrast bath. Take Advil tablets after meals for 3-5 days.it should improve in a week. If doesn't then get x-ray of heel and visit orthopedic doctor. Local infiltration of injection HY Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have been losing weight and have gone from 145lbs to 103lbs in the past few months . If I do any movement that involves right hand my right upper ribs are in severe pain and it goes around the back . It is severe pain . I had my gallbladder taken out last year , but the pain is still there. I just had tests done but no one has really told me anything yet and I am afraid I am turning into the incredible shrinking woman. I just want to know what\"s wrong ?", "output": "Hi, the problem might be the adhesions of the gall bladder surgery. Other cause could be the cervical spondylosis. I advise you to consult a physician for diagnosis and treatment. You carry on with your treatments. Besides I advise you to avoid spices, junk foods, and oily foods. I to my patient with such chronic symptoms prescribe neurotrophic injections, on a regular basis every 3rd day. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have what feels like a cramping pain on the middle left side of my back around the rib cage and to the middle side of my stomach just under my rib cage. It also has a rash in the same area from back around the side and to the front in the same exact spots i feel the crcramping pain. And the rash has little pains on the surface of the skin. Like a needle poking.", "output": "Hi, thank you for posting! I have gone through your query and I understand your concerns. According to your symptoms, I think that your suffer from herpes zoster, which is a viral condition. Its diagnosis is simple and is based on visual examination, because the rash it produces is typical. The treatment is made with antivirals, such as acyclovir in tablet and cream form for external use; painkillers; vitamin therapy. You need to contact your neurologist, in order to determine the right diagnosis and treatment. Feel free to ask me for anything unclear. Take care," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi there, my mother, age 71 has been diagonosed with cancer of the thymus gland. Waiting for PET results to get more difinitive anwers. We live in San Diego Ca and we want her to get treated by a doctor who specializes in this type of cancer. Any recommendations?", "output": "Hi, pretreatment of cancer of thymus depends on type and stage of cancer. Whether it is limited to thymus or spread in other organs also. In early stage surgery is helpful. In later stage chemotherapy and radiotherapy is useful. Please send me details about your cancer. So that I can help you further. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my son last week was helping to lift a large post and felt like he strained and said it hurt for a while and he about passed out. Last night he noticed a small lump about like a pea right in the crease of his left leg. He said yesterday while he was sitting in class that he had pain behind his knee but it quit when he moved around. He said the lump does not hurt and does not move around but he is concerned. Could it be a hernia or something more serious?", "output": "Hi, dairy have gone through your question. I can understand your concern. He has lump In crease of leg. If lump increase in size when straining like weight lifting, coughing or passing stool then it can be inguinal hernia. If it's not hernia then it can be inguinal lymph node. He should go for examination and ultrasound study. It will give exact diagnosis. Then he should take treatment accordingly. Hernia repair surgery like meshplasty is the treatment of choice for hernia. Consult your doctor and plan accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a staff who was a Hepatitis B Carrier.As far as I know,there is no known cure for such infection,other than taking an antibody jab before being infected.Nevertheless,after few months of absence from work,she is now cleared of this virus after taking her multivitamins and some medication for her hepatitis.How is that possible??! Thanks and would appreciate if you could answer.", "output": "Hi thanks for asking question. Hepatitis B carrier is called when positive Bag for more than 06 months. All hepatitis B infection when acutely affected not get converted into carrier. Majority infection will resolve on their own. Immunity is major factor for preventing carrier. Among acutely affected cases only 5 to 10 % will get converted into chronic hepatitis. Lamivudin like Chat Doctor. So according to viral load and response to " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Lately I have an odd tingle/throb sensation near the tip of my penis after urination. It feels like I am still urinating when I am not and that makes me have a sense of needing to go more often. I have not noticed any discharge. The feeling goeas away after a while but returns after I urinate again.", "output": "Degree understand your concerns went through your details. From the given symptoms it seems that you could be troubled with infection or inflammation of your urinary tract. Chat Doctor. I suggest you to consult a urologist of physician. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good morning, I have epicanthal folds because I m half Asian, but I don t look exotic at all. I don t want monolids, I know there is no surgery to get them. I would like to hold a surgery to accentuate my epicanthal folds and lift my outside corner of the eye up, so I would look more Asian. Thank you very much!", "output": "Hi...I can understand your worries...you got epicardial folds,for epicenter fold there is surgery available kn own as blepharoplasty or more specifically epicanthoplasty...in this procedure we remove the extra tissue over the upper eyelid.day case procedure on local anesthesia. There will be a scar on upper mostly not visible.I will add that there is no medicine available for epicardial folds...you will have to visit your plastic surgeon...hope this will help.thanks Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I am dinesh from Morena M.P., My 6 year old nephew is suffering from cough since his birth almost i have shown him so many doctors till now but he is not getting any relief from cold & cough . Can you please advice me the best Doctor for the same.", "output": "Hi... Thank you for consulting in Chat Doctor. Greetings from Chennai. By what you quote I feel what your kid could be having viral associated wheeze or multi triggered wheeze. I have a few questions for you -Questions:1. How many days per month does she cough or feel breathless?2. How many nights per month does her sleep get disturbed due to above symptoms?3. Does she feel breathless when she runs around or plays with other kids?4. Are the symptoms when there are seasonal changes?5. Is there any family history of asthma or any other sort of allergies like skin allergy etc.?6. Is the cough always associated with fever? If your answer is yes for any of the above questions, your kid might be having viral associated wheezing or multi triggered wheezing suggest you meet a pediatric pulmonologist who is near your place. Regards- " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "im a type 2 diabetic since last 14 years i always try to keep my fasting below 100 and my PP below 150 & HbA1C below 6.5 but in december 09 my cerum cretinine was 1 in feb10 1.1 , in june it was 1.2 n now it is 1.3so it is increasing at the rate of 0.1 for every quarterso kindly giv suggestions to control it so that it culd be controlld within the limits", "output": "Dear Friend, greeting s from Chat Doctor. Increase in serum creatinine gradually indicates deterioration in the functions of kidneys. You need to get evaluated properly. Diabetic are prone to Nephropathy especially if sugar levels are not in proper control. We need to get your microalbuminuria, HbA1c, fasting and post pron dial sugar, lipid profile, thyroid hormone levels, creatinine clearance for knowing your kidney status and GFR. Usually in diabetic patients are put on ACE inhibitor s or Arms to prevent Nephropathy especially now that your creatinine levels are increasing you must start. Meet your doctor with the report s and keep your sugar levels in control. Proper lifestyle changes are also needed. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doctor....i am sufering from palpataions since like four months....n i experience them daily...i dont rememeber if i had a day that i dint experience this feeling...i had all my tests n they are show nothing is wrong.only i have sinus tacycardia...im not taking any medicines.i only want to ask u that do the palpatations lasts for this much long??n if so what am i suposed to do???thank u.waiting for ur answer..mariam binte jalil..", "output": "Hello! Welcome and thank you for asking on Chat Doctor! Sinus tachycardia could be related to different possible causes: thyroid dysfunction, chronic anemia, anxiety, etc. Have you performed a cardiac ultrasound? I would like to directly review your Holder and cardiac ultrasound report for a more professional opinion. Have you checked your thyroid hormone levels? It is necessary check them, to exclude a possible thyroid dysfunction. If all the blood lab tests (including complete blood count, thyroid hormone levels, blood electrolytes) and your cardiac ultrasound is normal, I would recommend taking low dose of beta blockers to reduce your palpitations. Hope you will find this answer helpful! Kind regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, Ive been with my boyfriend over a year now, Im 18. When we first started having sex I was on the pill. But that messed up my period, and made me constantly bleed none stop. So about 6 months into our relashonship I stopped using contriception all together, so we have been having unprotected sex for 6 months now and I havent got pregnant does this mean I cant have children?", "output": "Thank you for consulting in Chat Doctor. Let me mention that the effect of pills goes away in a few months and there is supposed to be no more problems in conception in this regard. To become pregnant, you need to have unprotected sex with semen discharge between 10th and 18th day of your cycle which is your fertile period. So maintain the dates and see if pregnancy comes. If it still does not come, I would insist that both of you get yourselves checked. I would insist you to get an ultrasound of the lower abdomen done and a semen analysis of your partner done and then visit a gynecologist who would be able to look into the reports and tell you if things are fine. I would also insist both of you to take polite (folic acid) 5 mg once a day regularly at least till you become pregnant. Taking zinc supplement will also help in enhancing the sperm count of your partner and increase the probability of conception. Hope that helps. Feel free to post a direct question with the reports and I would be happy to help you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, a few days ago I choked on some biscuit crumbs and had a bad coughing fit. Since then I have developed a cough and there has been pain in my upper chest on deep inhalation and when coughing. Its a phlegm cough. Could the two be linked? I have continued coughing from time to time since the incident.", "output": "Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. Yes, both these events are mostly connected. You had choking and the problem of coughing is started after this only. Choking is the common cause for aspiration in the trachea and lungs. So in my opinion, you have aspirated some food particles, and they are causing you trouble coughing. Aspirated particles if not cleared can cause inflammatory reaction and infection. This is known as aspiration pneumonia. So better to consult pulmonologist and get done1. Chest x ray2. Bronchoscopic evaluation3. CT thorax if required. Bronchoscopic evaluation is must not only for the diagnosis but also to remove the particles. So consult pulmonologist and discuss all these." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Respected Doctor, My ECG result showed P 47 degree, Incomplete Right Bundle Branch Block QRS (T) Contour abnormality consistent with Inferior infarct Probably Old, dated 23-02-2013. I am Suffering From Transverse myelitis since1989 with sensory loss, low back pain , weakness left lower limb etc. In 2010, again diagnosed as old case of transverse myelitis / now with sequel. I was treated with dose of Methylprednisolone(Iv) and later orally for 20 days.(40mg,20 mg.10mg & 5mg, reducing ). 21-11-2010. MRI Multiplanner T1W,T2W,STIR Sequences done. Scan done on 1.5 T scanner. 13-11-10 report suggests:- Compression myelopathy( Extramedullary at D10 level. Degenerative changes:- Mild spondylosis appreciated in form of anterior and posterior osteophytes at multiple levels in dorsal spine. Fatty haemangioma at D12 level. Disk osteophyte complex indents the anteriorepidural fat at D2-D3level also. D8-D9 Dick level: Diffuse disk bulge with left sided posterior para central disk protrusion is appreciated with mass effect on the left sided exiting nerve roots at this level. central canal space per se is maintained. D10-D11: Diffuse disk bulge with focal central posterior broad based disk protrusion with associated stretch of the PLL is appreciated at this disk level. There is indentation of the anterior epidural fat with central canal space being reduced to anteroposterior of 10mm in the sagittal scan at this level. No cord edema/ malacia appreciated in scanned cord the dorsal spine. Besides the mentioned findings the following areas were also examined and found to be normal elsewhere-----. dorsal spine curvature maintained, interverteberal disk space maintained,vertebral bodies and posterior elements are normal, cord is with normal MR signal morpholgy, preverteberal,paraspine tissues normal, anterior and posterior longitudinal ligaments are normal, facet jointsare normal, epidural/ thecal/ formalin spaces are maintained in all dorsal vertebral levels, the AP sagittal diameters of the canal space at disk levels are within normal limits. L2-3 andL3-4 discs show mild bilateral posterolateral disc protrusion indenting the thecal sac and mild compromising both the lateral recesses Pain killers avoiding, only during acute pain,using muscles relaxant ointments massage, one multivitamins pill a day.(BECASULES / REVITAL capsules, On 05-03-2013:- CBC Investigations in normal range. urine R/E, C/S :- physical / Chemical,Microscopic examinations as all with in normal range. Latest report of Ultra sound for whole abdomen:- normal. On 05-03-2013:- MAg 160/100, Treatment- DEPIN / PROLOMET AM 50. Now mAg varies from 85 -95 / 130 - 150. shoots during reacting to others. My height is 173cms & gained weight after the treatment,resulting 95 kg. Presently Feeling acute back pain,Neuropathic Pain & symptoms related to T.M, specially in the morning, Hypersensitive,Spasticity,Depression,Fatigue,Problem after climbing stair cases, pain increases in lower back & results in sweating & mild deep breathing for few minutes then feel better,other than 24x7x365 pain in back, traveling in right leg,numbness,tickling,burning sensation etc. At present no odd feeling in chest, no heavy breathing or shoulder pain,other than pricking sensation feeling in center of left palm during Hypertension , due to uncontrollable situation created by others at work or family. I may be over reacting, though I try to avoid confrontations but some times it becomes intolerable. After relaxation or taking B.P Pill it vanishes. Positive Points:- Walking without support, on average office work sitting:- 6-7 Hrs a day , Driving,Traveling, but can t exert much or exercise as T.M aggravates, no satisfactory sexual relationship because of erectile dysfunction. Previously Sildenafil Citrate was effective to some extent, now even 100mg not helping. Food :- 95% Vegetarian intake,Low fat, green vegetables,fruits,wheat, rice,cereals,olive oil,milk,curd,nuts,juices, avoiding junk & oily food. Non Veg. only eggs & poultry, Red meat hardly twice a year, lots of water / liquids, Low sugar. Drinks:- Average;- Maximum 2-3 bottles of 650 ml whiskey in a month, with absent days in between.(Drink soothes acute pain & mood swings better at that hour). Cigarettes:- Average 4-5 a day. Age factor is also effecting my life, will power & grace of God, I have come out from total paraplegic condition in 1989. I feel better, but not normal any time in the past 24 years,please help. What does this means and what are the possible treatments. What do I need to do to improve quality of life. Thanks R.Kakkar", "output": "Thanks for the details. Since you have many issues (old and newer ones) there should be proper monitoring under experts. I would suggest you make a diary and note your symptoms for spine and related disease in separate chronological order and group your other cardiac or related events in a separate sequence and make a third group of additional symptoms in chronological order. Likewise, treatment taken in past and present symptoms' treatment separately. This will give a clearer view of what needs priority attention and supportive treatment for acute and chronic problems. A check-up with spine specialist to sort your disc related problem, if your physical conditions allow objectively, then some surgical treatment for spine may be indicated." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I punched a wall about 5 hours ago and I have had Ice on it since then but it is really hard to move it s purple and rarther swolen, it feels numb but I don t know if that s from the ice, I even found it hard to hold a glass, it s my right hand so I can t do much without that, any advise?", "output": "Hi, thank-you for providing the brief history of you. A thorough musculoskeletal assessment is advised. As you have applied the ice, the numbness is because of it. Since due to icing, the sensory pathways get disturbed and leads to numbness. Also, since you punched the wall, there might be some small injuries to the soft tissues leading to pain and inflammation. Incase the pain, swelling and numbness don't subside in 48 hours you need to take an x-ray to see if any bony injury is happened. Usually, within 48 hours the swelling and numbness subsides. If any fracture is noticed on an x-ray then you need treatment accordingly. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my son has from a week same mucus in the moutChatDoctoring from the nouse and the mucus is black or brown he took 5 daays antibiotics but stil caming the mucus I want to tall yo my son have remove the wisdom tees weeks ago and from 10 days he took a meningitis vaccine sory for the bed writing but I don t now to write in english", "output": "Hi... Thank you for consulting in Chat Doctor. Cough and cold are viral 95% of the times in child Chat Doctor. For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15\u00a0mg/kg/dose every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. For cold, you can use Cetirizine at 0.25\u00a0mg/kg/dose every 12 hourly for 3 days. For nasal block, plain saline nasal " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello. My boyfriend has been experiencing a cough for close to two months. There was a time when it got better. A doctor gave him a zpack (and something else) but it didn t help. He has pain in his chest. He has a dark stool. There is nothing in the cough (mucous) I don t think. Any ideas? There is no fever.", "output": "Hello dear, thanks for your question on Chat Doctor. I can understand your boyfriends situation and problem. He is having chronic cough with chest pain. So we need to rule out lung infection (pneumonia) first. Pneumonia can cause pleurisy (inflammation of pleura) and chest pain with coughing is characteristic feature of pleurisy. And pneumonia is the most common cause for pleurisy. So get done chest x-ray first to rule pneumonia. Also get done stool microscopic examination to rule out blood in stool because he is having dark stool. So consult pulmonologist and discuss all these. First diagnose himself and then start appropriate treatment. He may need antibiotic Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My physician disagnosed a growth in the glans as thrombosis. The growth appeared suddenly, after vigorous sex. He didnt seem concerned, did not prescribe treatment, but offered to refer me to a urologist if I had further concerns. Am I right to simply let it heal? Are there other forms of treatment?", "output": "Hello and welcome to Chat Doctor, The exact nature of the lesion on the glans can be determined by clinical assessment alone. Vigorous sexual activity can lead to abrasion, injury, bruising and thrombosis of blood vessels. Avoid sexual activity for a couple of days and wait for the bruising and thrombosis to disappear. If it does not disappear after waiting for some time, you need to consult your urologist. Thanks and take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my husband had a BP of 220/120 last night after he started a work out and then stopped. It went down only a small amount. today much better however his right leg is very swollen he can barely walk. Age 57 today! Yes, history of heart disease in family. Father died of Heart attack at 47.", "output": "Hello! Welcome on Chat Doctor! I passed carefully through your question and would explain that his symptoms (high blood pressure) could be related to the physical activity. But the swollen right leg could indicate possible deep vein thrombosis. For this reason, I would recommend bringing him to the ER for a physical exam and some tests: - a resting ECG - a chest X-ray study- a Doppler ultrasound of the leg vessels-complete blood count, PCR, ESR - coagulation tests. He may need to be treated urgently. Hope you will find this answer helpful! Wishing all the best, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 52 yr. old female with fibromyalgia and several spinal injuries (ongoing). A few days ago I noticed severe soreness along my upper, left rib cage area - close to my left breast. This morning I looked in the mirror to see if there was any swelling and there are several wormy shaped bruises in the 10 inch area. The soreness is worse and I wonder what in the world it could be. I have had several cortizone injections in my back (accompanied by fluoroscope) and wonder if the radiation could be having some serious side effects. I also have a fatty liver and misplaced pancreas. I have lost 20 pounds in the past 4 months which is totally unexplained and unexpected. My GP doesnt think anything is ever wrong, but I have wonderful gastro and cardio docs. (I have two failing heart valves). HELP!", "output": "Hi, Swelling, soreness and wormed shaped bruises can be because of allergy to any particular Chat Doctor. It can be mild allergy or can be hives or urticaria with angioedema. Allergic hives and angioedema form, when in response to histamine blood plasma leaks out of small blood vessels in the skin. Histamine is a chemical released from specialized cells along the skins blood vessels. Allergic reactions, chemicals in certain foods, insect stings, sunlight exposure, or medications can all cause histamine release. It's often impossible to find out exactly why hives have formed. You have to find out the cause by yourself. Antihistamines medicines like Levocetrizine can be taken along with low doses of Methyl Prednisolone for 4 to 5 days, allergic test should also be done. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, My name is Gennie and I am 73 years old. Last May 2013 I had back surgery (L3 & L4), felt wonderful after surgery. In October of 2013 I fell in my kitchen while the floor was wet. Since then my right leg has been very week. While walking and using stairs I have much pain . When I sit I can only lift mu leg about 1 foot. In February 2014 another surgery was performed (L3, L4, L5 & L6). The nerve pain has subsitted but my right leg still hurts, I limp all the time.", "output": "Hi Hope this message finds you in good health. I have gone through your query in detail and understand your concern. REPEATED SPINE SURGERIES Won't GIVE YOU 100 % RELIEF.SOME NERVE INFLAMMATION WILL STILL REMAIN.USE A LUMBOSACRAL CORSET WITH FRAME TO AVOID WEIGHT AND PRESSURE ON THE NERVE.ANALGESICS AND LOCAL HOT FOMENTATION WILL HELP.GET A FRESH MRI DONE Hope your query has been answeredNothing to worry about, You should eventually get back to normal. Get back to me for any FOLLOW-UP QUERIES anytime. Kind Chat Doctor. .(MBBS, MS,MCH)" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ive had a canker sore on the side my tongue for over two months. Within the last week the forward part of my tongue has turned red and is sore. Im not sure this is pertinent but I did have bronchial pneumonia during the month of October and have residual head pressure and loss of some hearing. I would appreciate an opinion", "output": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint it seems that sore lumps over the tongue tip along with prickly feeling in other parts of mouth seems to be due to Authors Dermatitis leading to inflammation inside mouth and along with it there seems to be authors ulcers or canker sores. It can be a side effect of the medication rather than due to stopping of the medication. Other causes can be deficiency of iron and vitamin B12, stress, physical trauma to the tongue, allergies, acid reflux etc. I would suggest you to consult an Oral Physician and get evaluated and a thorough clinical evaluation and investigations like blood tests can help in diagnosis. Treatment of underlying cause will relieve the symptoms. As of now you can start gargling with a numbing mouthwash containing Lidocaine to relieve the symptoms. You can also take a multivitamin tablet daily. You can take anti-inflammatory painkiller like Ibuprofen. Suck ice and do cool water rinses. Avoid spicy food. Hope this information helps. Thanks and regards. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here...I found a lump under my right armpit/lymphnode area about five months ago (extremely small). I forgot about it until it got larger last week. I went into prompt care and recieved a ten day antibiotic which has helped some.", "output": "Welcome to Chat Doctor. 1. The history suggest most probable cause could be lymph nodal enlargement.2. Lymph nodal enlargement is seen in case of any infection / inflammation, and it can be localized or systemic.3. So treat the cause (any underlying medical conditions).4. If its getting better as you said then its fine wait for few more days until the antibiotic course finish.5. If repeats - Get an FNAC - fine needle aspiration cytology for better evaluation. Good luck. Hope I have answered your query.Anything to ask do not hesitate. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a sore area quarter size on my scalp. I didn t hit my head or pull my hair back in a barret or pony tail. It sometimes pinches if I m exercising or bend down. There s no bump or redness. I can feel mild tenderness when I press on it. What could this be?", "output": "Hi, Dear,Thanks for your query to Chat Doctor. Studied your query in full depth of its details. Reviewed it in context of your health concerns. Based On the facts, You seem to suffer from Stretched out hairs with bruise around the ponytail. Lump would go with Tab Motrin. If need be with antibiotic like Ofloxacin 2oomg under guidance from you doctor. This reply would help you to plan further treatment soon with your treating doctors. Best of Luck and early recovery. Welcome any further query in this regard, which would be replied in next session. Good Day!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 29 yrs old.Married before 2 years.im planning for baby for 2 years.I went to gynacologist and taking treatment for 6 months.I have PCOD and endometrium.And i Have done TransVaginal aspiration before 4 months.After that 2 dosage of Lupride injection is given. Now periods came and doctor prescribed me Letroze tablet for 25 days from day 4.I was came to know from online that Letroze tablet is unsafe and could not be used for infertility for women. Please tell me can i take that tablet.does that tablet cause severe side effect?.I need baby naturally without any sideeffect doctor.Please help me.", "output": "Hello, Latrobe (metronome) is commonly prescribed as an infertility treatment especially in women with polycystic ovary syn Chat Doctor. Let me explain its mode of action so that you can get an insight about its possible side effects which are well tolerated. Metronome works by inhibiting aromatize thereby suppressing estrogen production. Aromatize is an enzyme that is responsible for the production of estrogen in the body so when this enzyme is inhibited by the metronome, estrogen levels are suppressed. This results in the brain and pituitary gland increasing the output of FSH (follicle-stimulating hormone) which helps in ovulation (release of egg from the ovary). As far as the side effects are concerned, generally, it is well tolerated by most women however low estrogen levels can cause hot flashes, headaches, and breast tenderness. There is no documented evidence of any harmful effects on the growing baby. So, in view of the above you can take it safely as prescribed by your doctor for the treatment of infertility associated with POD. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my son is 6 months his xray report questionable enlargement of the cardiac silhouette. clinical correlation is suggested. questionale lucency over the skull in the occipital region. etology is not clear. it is not clear if these are sutures... please someone translate this for me, i am worried!", "output": "Hi, Can you tell me why the x-ray was ordered? Report says in chest X-ray, there is doubtful engagement of the heart, and in skull X-ray there is doubtful lucency on the back. The lucency mentioned in skull X-ray can be taken as normal at this age, as skull sutures are yet to fuse together. To comment on heart enlargement, which is doubtful only, we need clinical details like any breathing/feeding difficulty, excessive head sweating while feeding, abnormal heart sound on examination. Your doctor will explain in more detail. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i recently had a baby about a month ago and was obviously was sore after but its still sore now and even more so when i wee and also now am leaking a very light yellow fluid that does not smell very nice i cant get an appt. at the doctors cos there always full is there sometihng i can get from a chemist?", "output": "Hello dear, I understand your concern. In my opinion the presence of yellowish vaginal discharge with foul smelling go in favor of vaginal infection. But I am sorry it surely needs physical examination for accurate diagnosis because there are many types of vaginal infections. So I would like you to consult doctor for the same. If there is infection you might need a course of antibiotics. Nothing to worry. It will subside. Avoidance of intercourse is better till the infection is cleared. Hope this helps. Best regards..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my 13 year old son was at his dads house all week till about 10:15 tonight apparently he dislocated his right knee cap yesterday at about 7:05pm while helping to move a picnic table and he poped it back in place and his dad said nothing was wrong with his knee and made him walk on it till he got to my house at about 10:15pm today and now he says it stings and he can move his leg but he can t move his leg all the ways you usually can without it stinging really bad what do we do?", "output": "Hello, I have studied his case and I think that he must have injured his ligament which is useful for knee patella stability. It can be confirmed with the help of x-rays and MRI. If there is ligament damage thence will need plaster for three to four weeks. If there is severe damage then he might need surgery. If you want then you can share his MRI details with me. I hope this answer will be useful for you. Let me know if there is any other followup questions. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband is 84 and has stage 4 congestive heart failure , diabetes , low functioning kidneys, COPD , a faulty valve, and has a pacemaker. Last December he was diagnosed with elephantitis and recently had 1600 units of water removed from the left side and 1500 units of water removed from the right side. He is scheduled to go in on Wednesday to have more water removed on the left side. What do you think is life expectancy is? Surgery is too risky due to his age and condition.", "output": "Elephantiasis rarely affects both the legs. He is likely suffering from recurrent increase in waterlogging in his body. If he needed repeated hospital visits for this problem then ask your doctor to refer to the kidney doctor. Ask the kidney doctor whether he will be healthier, happier with once daily or once every alternate day single-exchange peritoneal dialysis. You will be pleasantly surprised with the results of the treatment. Good Luck. Life expectancy is few years [1-5 years]" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,my two hands thumb tregger,my mri shows mild cervical spine compression at level c5,6and 7 my lower back severe pain with mild spinal compression I have nechache and I took NSAI and rest then I started physiotherapy for neck and lower back do u thing I will improve or I will need surgery", "output": "Hi, I am Chat Doctor. I have read your question and understand your concerns. Let me try to help you Question : Does physiotherapy help cure cervical spine compression? Answer : No, Once there is compression of Nerves or Roots or Spinal Cord, Surgery is the Only way forward. Physiotherapy will be helpful as long there is no compression Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. Let me know if I can assist you further. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, please help! I had a large filling on my back lower molar that was leaking my dentist said and it was to big to fill again and he said it needed A crown...After the permanent crown was placed I was having increasing , longer lasting , throbbing dull achy pain around the whole jawline and tooth area. This went on for a bout a month. I called the dentist and explained my symptoms and he said I needed a root canal the tooth was dieing. He called me in a round of antibiodics and I made a apt for the root canal a week out, however the pain got so bad I didn t last until the scheduled apt, bad enough where it was waking me up out of my sleep, had me in tears. so he called me in a stronger antibiodic and he moved up my apt for the root canal, performed it this last Thursday. Said the tooth was infected and I had a lot of imflammation and it bled a lot during the root canal. He did the root canal right thru my permanent crown. Later that night when the numbness wore off I was in bad pain. It felt like I had gotten punched in my face and 3 teeth yanked out all at once. The pain radiates all thru my jawline and into my ear. even felt like it was in my neck/lymph node. I made it thru the night with a ice packs and a lot of tears and called my dentist the next morning. They said they would call me in a rx for a steroid and pain med to help during the healing process. I started both right away and still no relief. No pain meds seem to help not even a little. Ive tried motrin 800, aleve, Tylenol 500, and vicodin 750 (from dentist). It has now been 3 days since my root canal still in very uncomfortable pain especially when I try to talk. Cant chew on that side, jawline and ear still hurting bad. I finshed my rx s of 2 antibiodics given to me as well as my 12 pills of steroids given to me...Is this all normal?? I know you can experience some pain after root canal therapy but how much is to much. Its bad enough where I have missed days of work , please please help!", "output": "Hello and thanks for consulting Chat Doctor.I have gone through your query and understand your concerns. According to the history given by you, I think the RCT(root canal treatment) is done successfully. Yes you can have some pain following root canal but not so much, and it should subside with some antibiotics and painkillers. If I were your treating doctor I would first take an x-ray to know the amount of infection down to the root of that tooth. RCT should be done to remove the infection or release the pressure caused by access if any. Some antibiotics like cephalic 200 and Oneida 500 for infection. Review after one week If RCT is successful you will not have any pain or discomfort.I would suggest you to talk to your doctor about this or take a second opinion Hope this answers your query. Take disregards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi , my heart beat, beats too fast - and it makes me feel dizzy aswellwhat is the cause of this?the pervious week i was on fasting and exercising my menstrual cycle was disturbed it stopped brfore time and then the heartbeat started with the dizziness.i assumed its anxiety because my work contract ends this month , i dont know whats up. please aasist me.", "output": "Hi, Possible causes for your symptoms are1) Cardiac arrhythmia (Electrical disturbances in conduction system of heart) possibly supra ventricular tachycardia. 2) Anxiety which may be more likely in your case as mental stress factors are present. Though it needs to be confirmed by evaluation. I will advise you-1)You should visit emergency care during episode of fast heart beats at that time electrocardiogram (ECG) may give important information. 2) Resting ECG, electrophysiologist study of heart, 2DEcho of heart.3) Tests for kidney function.4) Thyroid function. Disturbances in menstrual cycle may be due hormonal changes caused due to simple anxiety or there may be thyroid abnormality. I think this may helpful to you. If found helpful vote helpful. Feel free to write back your queries if any." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my daughter, age 25, was diagnosed as having multiple linear stomach ulcers, but bacteria infection ruled out and not on NSAIDs. She was put on prilosec about 3 weeks ago, but still has stomach problems. tonight, she had extreme pain for aboutt an hour and temperature dropped to 95.1 degrees. She dfeels light headed. Should she get to a hospital?", "output": "Hi! Good evening. I am Chat Doctor answering your query. Yes, I would advise you to take her to the ER of your nearest hospital for a physical examination and any other related investigation like an ultrasound abdomen. This advice is because of the history of extreme pain in her abdomen. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish her an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I had pneumonia really bad and didn t find it at first. They found fluid around the heart and than pneumonia after going to the emergency room and being hospitalized for 8 days but didn t feel better. I had to get the fluid drained and was done a month later and still had shortness of breathe real bad and treated me again in the Hospital for 8 days. Came out of hospital and still wasn t better. Than my lung doctor gave me steroids 12 day plan which I feel better, a lot less heaviness in my chest. Got the shortness of breathe is still there and can t do anything? What can I do to help With my breathing ?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of post infectious (pneumonia) bronchitis is more likely. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment is based on severity only. You will mostly improve with inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor, I have had jaundice for around 1.5 weeks now. After taking medicine, the SGPT count has gone down (~2000 to ~ 1000 to ~ 600) but the reports have Total Bilirubin count increasing (4.1 to 5.4 to 8.5). What would this imply? I am 19, 63kgs.", "output": "Hi, dairy have gone through your question. I can understand your concern. You have jaundice with very high SGPT. You may have some viral hepatitis. It is common that in viral hepatitis initially there is increased in SGPT level. Later on there is increased in bilirubin level. And there is early fall in SGPT level. Your bilirubin level will be decreased within few days. So don't worry about that. Continue your treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi ,my name is Linda ,I live in Myrtle Beach SC. today I had an attack of not being able to breath I started coughing and couldn t get my breath called 911 was told I had COPD emphysema I had already been told I had COPD bronchi. and they found 0.4cm noncalcified nodule inferiorly in the right middle lobe. tell me if you can what may happen and do I stand a greater chance of cancer? I did smoke for 30yrs and quite 15 yrs ago", "output": "Hi, dairy have gone through your question. I can understand your concern. You are smoking since many years. So you have high chance of cancer. COPD per se not increasing the risk, but it is also caused by smoking, so it increased the risk of cancer. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had my wisdom teeth on my right side removed 5 days ago. My lymph node was swollen after and over the last few days has gotten worse . It is very hard and uncomfortable. I started another dose of antibiotics today. I had taken some before the extractions were done because my lower tooth had an infection already. I dont think I have dry socket. I followed all the post procedure, but there is no clot in the lower socket. Could this be because my infection went away and was still lingering? I m just really swollen still.", "output": "Hi. Welcome to Chat Doctor . As per your complaint the swollen lymph nodes can be secondary to infection as you had infection wisdom tooth, and it is not due to extraction, but it is a Reactionary Lymphadenopathy caused due to infection. But as there is no clot in the extraction socket there is a possibility that the clot has dislodged and the pain commonly initiates after 5 to 6 days after clot dislodgement, and it can also be a cause of lymphadenopathy, and you should immediately consult your dentist and get evaluated and if there is Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "3-4 months ago I started a new workout routine. With this routine required very low impact ab workout including sit ups, crunches, and ect. Well afterwards I started experience a muscle pain on my left side of my abdomen located directly beside the left side of my navel and approximately 2-3 inches below. Well I let it heal for about 2 months until I gradually started working out on my abdomen again. I have been sure to do incorporate stretching (my abdomen Muscles) both times and now the pain is back. Is this a pulled muscle? If so, how long does this take to heal? I m trying to get the baby weight off in my abdomen area.", "output": "Hello, I have studied your case. According to your symptoms this looks as acute lumbar muscle/abdominal sprain in your lower back. Most probably due to bad posture or sudden jerk. Another differential diagnosis can be lumbar disc bulge leading to sudden onset of pain. Intervertebral disc compresses spinal cord and leads to lower back pain. When such patient comes to our hospital we usually do x-ray to rule out any nerve compression. MRI spine will show any disc bulge is there or not. And when muscle sprain is confirmed muscle relaxant, analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. If you find this answer helpful do not hesitate to rate this answer at end of discussion. Wishing you good health. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my dad is 70 yrs old had infection removed from prostate a month ago for last two weeeks he has done nothing but urinate straight blood rarely it will be milky looking but mostly just blood had biopsy done on prostate came back negative but why is he urinating blood all the time ?", "output": "Hello, frank blood in urine can be due to multiple causes right from the kidney to the urethra. Any trauma anywhere along the whole of urinary tract can cause frank blood in urine. Bleeding per urethra has multiple differential diagnosis right from trauma, infection, stone in tract, cancer and so on. From my point of view you should show him to a urologist and get total examination done to find the causative reason. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have a low amh of 0.2... visited 2 docs one suggested dheapreg(dehydroepiandrosterone-micronized)- 25mg thrice daily and the other suggested the same twice...for 3 months.. what is the accurate dose.. i have no other problem.. all other hormonal levelss, usg. hsg test are normal.. my husband s sperm count is 61 million with 35% aggressive motility .. can i concieve on my own or should i go for ivf ..will i need donor eggs... had 7 failed iui s... should i go for lap dye test and hysteroscopy before ivf.. if i need to go for ivf should i go for it after completing the dose for dheapreg... can dheapreg and ovofar( clomifene citrate)-50mg be taken together on d3-d8 of menstrual cycle.. or should i stop dheapreg for the 5 days i am taking ovofar please help we are both 35 and will love to get ur advise", "output": "Hi, Thanks for your query. I have read your query & I understand your concerns. The dose of DHEA you are taking is adequate. I absolutely see no point in you wasting any more time. Please get FSH levels done and also AFC checked. Based on these 2 parameters hurry with IVF as your AMH value of 0.2 is extremely low. Please see an infertility specialist in an IVF center immediately. I hope I answered your query. I will be available for any followup queries you have. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "What are the possible losses of function as a result of major damage to nerves in the L5/S1 area of the spine.I understand that doing nothing may also be a bad option.I am facing possible surgery in this region to remove pressure on the nerves the condition is, WWW.WWWW.WW Thanks Ken McLeod", "output": "Hi Mr McLeodThank you for your question to Chat Doctor. The symptoms typically associated with damage to nerves in L5-S1 region of spine are pain radiating along the leg, numbness along top of foot close to the big toe and/or tingling. Weakness of pushing the foot down towards ground comes from S1 nerve problems whereas inability or weakness to move big toe and sometimes foot Chat Doctor. Possible losses of function from damage to nerves at L5-S1 are weakness of downward movement of foot that can cause difficulty in walking, weakness of toes and rarely foot " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 10 year old daughter is complaining of pain in her left side just below her ribs. She says it hurts every time she breathes out. She says laying on her stomach makes it not hurt. This happened one other time a last week and lasted for about three hours. She is not crying but walks hunched over because it hurts.", "output": "DearWelcome to ChatDoctorWe understand your concerns went through your details. The possible causes of the pain below the ribs could be acidity, stretch or strain or simple apprehension and anxiety. You do mention that the same symptom was present before so days, and it went away after three hours. First motivate her that this is nothing. Then apply some mild painkiller gels and convince her that with this treatment the pain should vanish. Encourage her to divert her attention towards more entertaining and creative tasks. Inspire of all this, if the pain persist, consult a doctor. If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail. Hope this answers your query. Available for further clarifications. Good luck. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My adult son was driving when he suddenly had an attack...stomach area. Not first time. He could not drive, he had terrible pain in abdominal area. It lasted several hours. He would not let me take him to er or doc. He was sweating profusely. He thought it might be an ulcer or that he ate something with milk. He says he is lactose intolerant yet never had this as a kid.", "output": "Hi. Thanks for your query. Noted the history and understood your concerns. Sudden pain in abdomen causing the patient to stop Chat Doctor. Volumes of stomach or sigmoid. Intestinal obstruction. Stone in ureter. This can be diagnosed by the following way:X-ray of the abdomen in standing position. Ultrasonography. Clinical evaluation by a Doctor, preferably a General Surgeon. Tests of blood, stool and urine. All these things will lead to the proper diagnosis and thus proper management. You have to take him to the ER asap to get a proper evaluation and management." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "after pathological examinaion it is found that alkaline phosphate is 302 as my age is about 56 years .i was suffering with harpis before two years. alway feel itching at the skin of abdomen and it put hand on abdoment feel senstivenes and some type of slight touch pain may can help what is problem and which department of CMC should be consult .", "output": "Hi. Thanks for your query and history. There are many causes of increased ALK Phosphatase- the major being hepatitis with obstruction to the outflow of bile. The other causes are bone problems like secondary cancerous growth, some cancers and so on. The first thing I would advise you to be :Liver function tests. Ultrasonography of the abdomen. Bone scan. Once the cause is found, it will be easy for the treatment to be given. As for the Herpetic neuralgia: it can take months and years as the age advances for the pain to settle. You can try for nerve ablation and such surgical procedures or Medicines like GAbapentin in increasing dosages." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was found to have spondylolisthesis at around 12. Fast forward to 2012, and it was found at L4-L5 level, there is a minor disc bulge with minimal flattening of the ventral aspect of the thecal sac with no compromise of the exiting nerve roots. At the L5-S1 level, there is a minor anterolisthesis of L5 relative to S1. The disc bulge extends to the foramen on the left, without any significant impingement of the exiting root. There is an unusual appearance the facet joints bilaterally at the L5-S1 level. No pars defect on either side at L5. There is a small well-corticated bone fragment seen, related to the facet joints bilaterally at this level, larger on the left than the right. Possibly developmental. There was also some superimposed degenerative change at the facet joints. Anterior Spondylilolisthesis of L5-S1(as reported on MRI, CT scan, and from Surgeon Dr. Ganesh Swamy in Calgary, Alberta). Fast forward to now, I moved back to Ontario, I ve had 5 children(yes, you read that right FIVE children), and my pain is significantly worse. I go to my nurse practitioner I m on lyrica(6-9 75mg caps.per day), 8 extra strength Advil, 12 Tylenol 1 s daily to try and manage pain. I got sent to North Bay, Ontario for an MRI, to be told that the only thing wrong with my back now is an ever so slightly slipped disc at L5. None of the other problems exist.I also had an X Ray in 2013 that stated the same. Can someone explain to me how my back got miraculously better, my pain got significantly worse, and maybe an explanation as to what s wrong. I just don t want to be in pain anymore. I want to be able to play with my kids again. I also have had 2 ultrasounds on my liver saying it s large n comparison to my body, and yet when it was felt by my specialist, he sad it felt just fine it doesn t seem large at all. Please, i m begging you, help me. I have nowhere else to turn and Im in pain nearly every day", "output": "Dear patient spondylolisthesis at 2 levels L4l5 and l5s1 back in 2012 and constant increase in pain since then may be due to increase in Lachesis and degeneration in facet joints. You are taking high dose of analgesics which itself suggests significant liability. first I would like to advise digital of X-ray of lumbosacral spine anteroposterior and lateral views. Lateral views should be taken in full flexion and full extension position also known as dynamic views. This gives idea about instability due to Lachesis. I would also advise recent MRI of lumbosacral spine with screening of whole spine to know about condition of disc and facet joints. Please do it now. Please consult expert spine surgeon around you. If X-ray is showing dynamic instability surgery may be indicated. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am asking this for my sister. She has a 2 year old daughter that has seen several doctors and still no relevant answers that help. She has been experiencing abdominal pains, severe fatigue, loss of appetite, loss of weight, and vomiting pretty much every time she eats. They have told my sister that my niece has kidney reflux and she is on medication but nothing is helping at all. My sister and I have done countless amts of research on our own trying to figure this out. My niece has an appointment at U of M hospital in July. Please, can you possibly tell us what things to look for because she is afraid she wont get a good diagnosis on this?", "output": "Hi. Thanks for your query. Read the history of your niece, it is classically increased on eating as per the history you have provided. The abdominal pains, fatigue, loss of weight and appetite, vomiting every time she eats Since you have visited many Doctors, it loos that a proper clinical, physical and radiological evaluation has not been done. The cause can be one of the following considering her age of 2 years. -There can be a congenital problem of the bowel causing stricture, kinking, rotation or so in the small intestines.-This can be easily diagnosed on study of the intestine by gastrograffin study. -Once the diagnosis has been made, there may be a need of surgery, and she may have to undergo one to cure the problems." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have a little rash on my ankle. I woke up at 3 am one morning and noticed it. I didnt think anything of it and went back to bed. When I woke up at 6 (3 hours later), I had a really sore throat. At track practice later that day (Friday), I had really itchy eyes, a sore throat, and a stuffy nose. I thought it was just allergies. On Saturday, I had a cough and still, a sore throat and stuffy nose. The same thing on Sunday. On Monday, I still had the same cough and sore throat. I started to get a really bad headache and tunnel vision. I took some Advil and after a while, It went away. Monday night, I started feeling slightly dizzy. Now today, I have a sore throat, stuffy nose, cough, dizziness, and now my feet and hands have been getting numb and tingling. The rash on my ankle has spread a little too. The bumps are almost like little blisters and they itch. I dont know what it is or where it could have came from other then an insect bit maybe. Is the rash and all the other stuff related? Or is it just allergies or a cold?", "output": "If THERE ARE RECURRENT COLD IT MEANS ALLERGY AND RECURRENT COLDS CAN ALSO Spread TO OTHER SYSTEM AS ALLERGY LIKE SKIN IN YOUR CASE CAUSING ITCHING AND REDNESSACCORDING TO YOU SYMPTOMS OF HEADACHE THIS IS ALLERGIC SINUSITIS NO USE OF ANTIBIOTICS NEED ANTIALLERGICSTAB METRO 200 MG BD FOR 5 DAYS CONTAIN FX(MONTELUKAST AND FEXOFENADINE COMBINATION)BDS YP ASTORIA ITS BDS YP ITS LINCTUS CODEINE 1 SF NIGHTLY PRIVATE ON SKIN AREA CAN TAKE DIC LO SOS FOR HEAD ACHE3 WEEK ARE NECESSARY TO SUBSIDEAFTER THAT FIND CONDITION ON X-ray PNS WATERS VIEW AND GET CONSULTATION" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good evening.About 2 months ago, I started to experience a pain in my left arm. It lasts about 30 seconds, and feels like someone is sticking a hot needle in my arm. It s always in the same place (inside upper arm and just below my bicep, but just above where the joint/veins are) These attacks can happen over a dozen times a day, but more noticeable at night, when I m relaxing.I m male aged 45.Thanks Shane.", "output": "Hi, Thanks for your query. Due to compression of nerve root in cervical spine there is tingling numbness and pain associated with it. I will advise you to MRI cervical spine for better diagnosis. For these symptoms analgesic and neurotrophic like pregabalin and methylcobalamin medication can be started consulting your doctor. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a breakout of some sort in my genital area that was treated with steriods and has resolved, but since then I have a rash on my wrists that come and go, my stomach that seems to be spreading and under my arms. they are raised dry itch bumps. the steriods and benedryl have not improved this rash. what could it be and should I see a physician?", "output": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. No, you should not take steroids. For this kind of itching and irritation. It is the reserved Chat Doctor. If you take the steroids it will be first cured but will recur thereafter. But the recurred itching will be worst at that time. I suggest you to take the cetirizine tablet under your doctors' guidance. It will relieve itching. I advise you to visit the dermatologist, because rash by this means can be anything. It won't be diagnosed until proper examination is not completed. Please maintain good hygiene as it is equally important in curing infection. I will be happy to answer your further concern on bit.ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my names jaime im 22 f i been having low Abdominal pain/ pressure on my left overie its more of a pressure and a few sharp pains and its only on my left side its been making my left leg get a tingily numb feeling and i been going pee alot and sometimes i feel like i have to pee and then i try and go and i cant and i can feel the pressure alot when i try and use the restroom. Do you have any clue what it might be ? And should i just got to the ER ? please Help !", "output": "Hello Jaime, Thanks for writing in. As you have said, the pain is in your lower abdomen, more to the left. This pain is sharp at times and makes you go for urination. Keeping these features in mind, I suggest you get an ultrasound scan of your abdomen done. In most people with problems as you have mentioned, there might be a urinary stone or urinary tract infection. Please Chat Doctor. Any problems related to ovary (which is less likely) may also be seen in ultrasound scan. Hope this helps. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hey my eyes hurt, my skin and body feels fragile, my eyesHurt when i turn them, and burns at times, ive been voughing with mucus. I have bronchitis and live in carpeted house, i also have really bad allergies. Should i be worried? What meds should i take? Ive been deinking vick and zyrtec", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. Since you are having severe allergies, you're all symptoms are suggestive of allergic etiology only. The best treatment of allergy is identification of allergen and if possible complete avoidance of it. You are living in carpeted house. And carpet fur is common allergen. So if possible remove the carpets. Avoid dust, animal contact, pollen exposure etc. Antihistamine Chat Doctor. Anti-allergic " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Did a 12 hour fast for HFP, LIPID PNL and have discussed the Cholesterol results with Cardiologist but I notice that although all my other liver tests were in the normal range my Bili-Tot was 2.4 and my Bili-Dir was 0.7. Should I be concerned? About 5 days before blood test I boosted my fiber intake by a lot if that changes anything.", "output": "Hi.noted elevated bilirubin level. Are you experiencing any symptom like abdominal pain, yellowing of the eyes or skin, itchiness? It is best if you consult with a doctor, preferably a gastroenterologist or a general surgeon, for physical examination and clinical evaluation. Obstruction (usually caused by stones or tumor lesions) must be ruled-out. Other diagnostics (such as ultrasound) and management (medical and/or surgical if indications are found) will be directed accordingly. Hope this helps. Good day!!~ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doctor! I am 16 years old and I have had unprotected sex about a week ago it was a stupid decision and I regret it a lot. I m so afraid that I am pregnant. Is there anything that I can do to reduce my risk of me falling pregnant? Are there any sighs I should look out for which would indicate wether I m pregnant or not? If it turns out that I am, is there anything I can do to naturally increase my chances of miscarriage ? And if I needed an abortion, there is no chance I could ever ever tell my parents , I can get an abortion without their consent ? And could the doctor be forced to keep it confidential? Please if you could advise me I would be so grateful!", "output": "Hello dear. I understand your concerns. The absolute sign of the pregnancy is the missed period. Other variable symptoms will not tell about the pregnancy. No natural way to induce the miscarriage. I would suggest to wait for period. If period will delay by the 8-10 days then you should go for urine pregnancy test and or blood Chat Doctor to confirm the pregnancy. You and your bf together should consult the gynecologist to terminate the pregnancy after confirming the intrauterine pregnancy by USG scan. You should use abortion pill containing MIFEPRISTONE AND BISOPROLOL under the supervision of the gynecologist. Do not worry, Gynecology consultancy is confidential process. Do not use abortion pill at home as self-medication as it cause severe complication. Avoid stress, take healthy diet and do regular exercise. Hope this may help noncontact Chat Doctor for further health query Best regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a hematoma as the result of surgery to remove my appendix.. The operation took place 3 weeks ago and although I was advised that it may dissipate naturally the swelling and hardness has barely reduced (akin to having part of a softball sticking out of my side).. I was quite heavily bruised all around the front and side waistband area following the surgery but this has greatly improved. However, the hematoma remains. I would be grateful if you could advise on possible next steps. Does it just require patience on my part?Many Thanks", "output": "Sometimes, because of continuous bleeding from small blood vessel, there will be hematoma after any surgery. As your surgery was 3 weeks ago, it should get subsided by now. Please go for an Ultrasound abdomen and see the nature of the swelling. If it contains fluid, it could be hematoma. Sometimes, after healing of the wound, there will be induration which will be hard. So, get it confirmed by ultrasound abdomen. IF hematoma is confirmed, please get it Chat Doctor. Wish you good healthRegards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a denture which now rubs on the incisive papilla. Doctor said to get the denture adjusted. DONE. THAT pain is now gone. OK so here is the serious question: could that 3+ month irritation have done any damage to the carotid artery? There is now a small bump on the artery and neck pressure makes it really noticed. OR is the carotid artery issue just a coincidence? (YES, had a CT scan done and will be seeing a doctor about the scan in 2 days --- but I want to know.) thank you. fred", "output": "Dear friend. Thanks for sharing your concern. Arteries are deep-seated while veins are superficial, therefore it is nowhere related. Irritation on incisive papilla can damage the surrounding capillaries, nerves and veins and thus causing inflammation and infection, but no damage to artery is possible.Therefore, please do not correlate.it requires attention. The bump on the carotid artery should be well examined and treated for the cause. Hope it helps. Thanks. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dr Vineet, my name is Daniel Nicolae from Romania. I contacted you because i strongly need your oppinion regarding my blood analysis interpretation. I am diagnosticated with thalassemia major since i was 9 months old. Before Nov 2008 my stats was good. 2 packs of blood every 4 weeks. My Hb level pre-trans 8-8.5, and after transf 10.5-11 ....sometimes even 12.Well in November i changed to my chelator from Desferal to Exjade. My ferritine level before exjade was around 2200.In the first weeks everything seemed to be fine. I was monitored weekly. After a few months i started to feel tired......I EVEN WAS SLEEPING IN THE AFTERNOON ( i almost never sleep in the afternoon).Then my Hb level started to drop. Before transf. my Hb level 6-6.5. I started to take 2 packs every 3 weeks. Still my post-transf Hb level doesnt pass 8.5-9 ...... AFTER 3 PACKS OF BLOOD WITH 220ml each! Then i changed to 3 packs every 2 weeks. The same result! Before transf Hb=6 and after 9 at most! My doctors didnt say anything! They even were frustrated that i asked for extra blood! They said to remove my spleen!In November 2010 doing some blood tests, my White Blood Cell counts were 3.2L ( normal range 4.0 - 9.0 ). Once i stopped Exjade, at my next blood tests my WBC=5.2L. My pre-trasnf. Hb level was now 7-7.5, and after transfusion 9.5-10 and even 11.6 after 3 packs of blood!Now i am on Desferal, as my chelator. But yesterday after my last transfusion my WBC was again 3.4L this time. I need to know what is happening to me, because my doctors only says that i should remove my spleen! I need your proffesional oppinion!Thank you very much! I will email my blood results from November, thouse with WBC = 3.2L at YYYY@YYYY if this is right, and specify that are mine!", "output": "Dear Canal, although your question is directed to some other doctor, I would like to comment. Due to thalassemia, your spleen size will increase. After a critical size [variable person to person], spleen will start accumulation all blood cells. Whenever your transfusion need is so high with no other apparent reason, it's an indication to think for spleen removal.what's your age now? Why don't you discuss for BMT with your doctor?" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Sir, I am a 44 years male. I am married and working. I have recently get my Liver Function Test, Lipid Profile and Fasting Blood Sugar done and the results are as below- 1. SERUM BILRUBIN A. TOTAL - 1.10 MG B. DIRECT - 0.40 C. INDIRECT - 0.70 D. SGOT (AST)-68 E. SGPT (ALT) - 72 F. ALP - 239 G. TOTAL PROTEIN - 7.0 H. ALBUMIN - 3.7 I. GLOBULIN - 3.3 J. A/G RATIO - 1.1:1 2. BLOOD GLUCOSE FASTING - 102.0 3. LIPID PROFILE A. TOTAL LIPIDS - 622 B. TRIGLYCERIDES - 160.0 C. TOTAL CHOLESTEROL - 198.0 D. HDL - 49.0 E. LDL - 117.0 F. VLDL - 32.0 About my profile is as follows- A. SMOKING - NO B. ALCOHOL - ALMOST DAILY 40-60 ML (DARK RUM) C. PURE VEGETARIAN (less fried, sugar, ariated drink, tea, cofee, ice cream, chocolate) D. ACTIVITY LEVEL - LOW (Sitting job for 2-6 hrs on computer, walk 1-3 Km not much physical work) E HEIGHT - 5.6 FEET F. WEIGHT - 74 KG (WAIST - 36 INCH) Please interpret the results of these test for me and advise further consultation with specialist if require. And also required correction in my life style to avoid any problem in future. Thanks and regards Surendra", "output": "Hi Sure Chat Doctor. Hi, I had gone through your question and understand your concerns. Let me analyze your reports.1. Total bilirubin - raised2. GOT, SEPT - borderline3. Albumin - low normal4. Blood glucose fasting - normal would suggest you to - stop consuming alcohol daily consumption can lead to irreversible destruction of the liver called cirrhosis.- get an abdominal ultrasound done-Avoid oily, spicy food-Regularly exercise for 30 minutes a day. Visit a clinician. He/she can examine you and correlate clinically. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, today i was working out and i was doing box jumps, then i jumped on one side that caused the box to tip over. Then I fell and my leg hit the leg of the box. It didnt really hurt but then i looked down on my leg and there is a big bump in front of my leg. The bump in the middle of it feels squishy and around it feels like a bruise. Any ideas?", "output": "Welcome to Chat Doctor .1. Initially if it's a close injury and pain barbell then you can apply a painkiller cream and a tablet for couple of days.2. Normally within 24-48 hours there should be relief in symptoms.3. If the pain is unbearable on a scale of 10 above 6 then we should suspect a fracture and needs an x-ray.4. So where you fit and act accordingly. Anything to ask ? Do not hesitate. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was on the pill called YAZ i was on it for 3 months, I missed about 1 week and i had unprotected sex in that week. I started spotting so i stopped taking my pill and the bleeding stopped however i am still bleeding very few days, Is there any chance i am preggz? or has the pill confused my body? I am having pains in my back, legs and belly my belly is tender to touch. Please advise me. Thankyou", "output": "Hello misunderstand your concern. Pregnanacy may be possible, but chance is very less. For safer side confirm the pregnancy by Pregnancy kit 7-10 days after missed period. Or better to do Blood Chat Doctor level or USG that is very sensitive. Another reasons may be side effects of contraceptive pills like:Intermenstrual spotting, Nausea, Breast tenderness, Irregular periods, nausea, headaches or weight change, Headache, Malaise, weaknessWeight gain, Mood changes, Decreased libido, leg swelling and painAdvice:Take tablet metal saps three times a day for 2-3 days or when rainfall this side effects will decrease after regular use of pills as body get adapatedTake healthy devoid excessive stress, alcohol, salt and caffeine. Do regular exercise. Use safer sex practice and maintain hygiene after and before sex. If persists, you can use other contraceptive methods like condoms Hope this may help you. Best regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband was recently in the hospital with multiple blood clots in his lungs and was put on blood thinners. He has been home for a month but is extremely tired. On sunday, we went out to dinner and his hands started shaking for about 10 mins and stopped after he ate some food. Is there anything to worry about?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Since he is having Pulmonary embolism, following are the causes for his tremors in hands. 1. Hypoglycemia 2. Vitamin b12 deficiency 3. Hypocalcemia (low calcium level) 4. Hypothyroidism etc. So better to consult doctor and get done sugar estimation, vitamin b12 level, calcium level and thyroid function test. If any abnormality detected than he needs supplements. Don't worry, he will be alright. First diagnose himself and then start appropriate treatment. Hope I have solved your query. Wishing good health to your husband. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I ve had fever for 4 days now (99-101), aching pain in my right shoulder and pain in my right side under my ribs. That pain turned into severe stabbing pain 2 times today, each episode lasted about an hour. No cough. Went to my doctor Fri and she s guessing a virus. Could it be my gallbladder? Why would the pain in my side get severe and then dull again if it was a virus? I m not sure what to do....I have asthma as well so not being able to breathe properly because of the pain is aggravating that. My oxygen was at 94 on Fri and my blood pressure was a bit high. I m a healthy weight and I eat right. Help please? Don t know if I should go to hospital and get checked out. I can t sleep, no position is comfortable", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Chest pain with breathlessness are commonly seen in asthma exacerbation and lung infection. Get a chest x-ray done if your chest x-ray is normal, no need to worry about lung infection. Possibility of asthma exacerbation is more in your case. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). It will also tell you about severity of the disease and treatment of asthma is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS). Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI! I have a chronic blood clot in my leg from my groin to my ankle. Of course, no idea how long I may have had it. Now, I have had a leg ulcer for almost a year now due to this clot. Of course, I am also under a doctor s care I am having a leg compression wrap put on. It does not seem to be helping. Now, I am having a lot of swelling around my ankle which is causing a lot of burning and pain. Is there anything at all that can be done? I am in so much pain. Thank you for any help you can give me.", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have deep vein thrombosis or some peripheral vascular disease. You should go for color Doppler. Furthermore, you should also go for coagulation study. If you are thrombophilia then you should take blood thinner like warfarin according to your doctors' advice. Consult your doctor and take treatment accordingly. Hope I have answered your question. If you have any doubts then feel free to ask me. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have not maseturbated till now because when I pull my fore skin back it will not come completely front. When I leave it like that and sleep in the night and wake up I see some kind of white material is being formed. I was informed to go under Sunthi Operation. Can I have your advise on this ?", "output": "Hello appreciate your concernForeskin secrets and accumulates its secretion known as Sega under inner surface of foreskin would like further information to help you better your age and relevant medical historyFrequency of masturbationCircumcision is the surgery advisable to cut the foreskin and prevent accumulation of Sega which can cause a penile cancer if not removed properly and regularly In my opinion you should wash it properly after sex or masturbationConsult your doctor if its very copious and thick to rule out Shave plenty of fluids Maintain good hygieneThanks and regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my knee has been bothering me for two weeks, it never looked swollen but tonight it feels warm. I limp only because I am afraid it will pop out and that kind of hurts. Most of the time it feels fine, but the knee feels swollen when I bend it. If I stretch it when I first get up it feels fine. I went to chiropractor last week and it felt 90% for about 24 hrs and then started to bother me again. Should I go to the doctor I really have no pain just a dull ache in knee.", "output": "Are you suffering from a back pain? Or is it some other joint pain? Are you looking for some medical remedy or treatment to get rid of your pains? In Kansas, Chiropractor can help you get rid of these pains, and we have the best chiropractors. At North Colorado Spine & Orthopedics we have every treatment you can think of to get rid of your any problems related to joints and muscles. We take immense pride in acclaiming the best trained and professional team of chiropractors as well as surgeons. In Kansas City, orthopedic surgeon is also available, and the best one is nowhere else but with North Colorado Spine & Orthopedics. We are just the best if it comes to spinal care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My father is 62 years old.He is detected with stomach cancer stage 4.He is becoming very weak day by day and cannot stand in his own.He is also having leg swelling.please suggest some nutrition supplements with the help of which he can recover his health.", "output": "Hi, Thanks for writing in. Cancer is a difficult condition to treat. Stage 4 cancer is advanced disease and requires care and support to extend survival. At this time he requires to be given high protein diet and that should be easily digestible. Giving him fluids and juices will also help. The leg swelling might be due to either hypoproteinemia or liver and kidney problems. Complete assessment of general health is required, and he should be following a daily 2200 kcal diet. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor,i am suffering from gum motions since 4-5days but i dont hav stomach pain but always bubbles like sound comes and recently i had also gone through an ear surgery,and iam also suffering with back pain,and some times motion comes in black colour with gum ,please tell me a solution for this", "output": "Hello, Thanks for consulting Chat Doctor, Read your query, as you have black color discharge from gum this can be due to sublingual deposition of plaque and calculus results black discharge from gums. Don't be worried so much I will suggest you to consult dentist and go for examination of oral cavity and go for its treatment Oral prophylaxis, in meantime do warm saline gargle, maintain proper oral hygiene by brushing twice daily. Hope this will help you. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a severe injury fall over a bannister, landed on my head, compressed my spine, musclesketal injuries, breaks, short term memory loss and many breaks on face, limbs, legs....bulging/herniated discs in neck, lowerback, spine severe pain (these injuries happened 10 years ago. Now every year since fall in my home, the swelling throught my body gets so bad the edema hurts. My ankles , feet, are so swollen it feels like hot electric shards, and the pain is unbelievable in heals. Now when I fell I rebroke my ankle. In the last 10 yrs have rebroke ankle 5 times. Using walking boot, and aircast. Getting back to swelling I can hardly walk................could this be PAD///////////////////...I can t pay I am poor fighting a messy divorce...................", "output": "Respected sir, I have understood your concern, I know you are passing through tough time. See as you mentioned, you had injury previously so due that, muscles of whole body may weak, or you have neglected to do so-called physical therapy properly. Now ankle joint which is less stable outside than inside, so due to recurrent injury to ankle joint makes outer ligament weaken, so subsequently chances are higher to rein jury, if we do strengthen muscles surrounding ankle joint properly. You need to take physiotherapy treatment for 1 month, use stability tools like boot to prevent ankle twist again. See to that you don't walk on uneven terrain. I hope satisfied with this answer." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have neck pains that make sleeping difficult. It is very difficult getting the right position to balance the neck o avoid pains. This pain is from the back of the neck and when seated and I bend the head forward, I could feel the muscles stretching which is painful. Bending the neck side ways also bring on a measure of pain that sometimes shoot to the back side of the shoulders.", "output": "Hi. The pain you feel in the neck is due to muscle spasm...the spasm could occur due to irritation of neural structures or facet joints... In your case posture plays a major role in contributing to the pain... I suggest you tout lot if icing frequently to the back of neck... A rolled towel under your neck curvature...will help you relax well... The more you hold your neck in proper posture the less pain you will have... You can modify your work station to maintain the posture... Try gentle stretches like bending your neck to touch your chin to chest... Bend your neck sideways till you feel stretch and not pain. Hold it in that stage...look up to the ceiling and push chin upwards... Once pain comes down I would like you to start your training for upper back...neck...like retraction work for your upper back.and pushing your neck with your hands clasped and neck pushing back...happening simultaneously.... Hope this information help you to get better...Revert in case you need further clarification." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im diagnosed of lung cancer 7 years ago. Now, with Gods grace Im feeling alright....am i cured already?", "output": "Hello, Thanks for posting your query. It goes with the type of cancer which I mean is histological type and stage at which it was diagnosed. Usually staging considers many factors and treatment is initiated based on staging. Since you are disease free since 7 years you need to go for follow up as suggested by your doctor. Since there is an entity called micro metastasis which means the tumor which can spread even though the primary has been removed and can occur at any time. So regular follow up is mandatory. Hope I have answered your query. Wishing you good health. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doc,My x-ray report indicates Mild cardiomegaly. I am 41 years old. I have been having a squeezing pain in my heart that lasts for 5 -10 seconds in the last 2 months. A lipid profile test done earlier in the week also shows very high cholesterol and high triglycerides. Now I hv a sharp pain in the left side of my chest whicChatDoctores and goes in matter of hours. Im cold intolerant for 2 years running. Thyriod test indicate high FT3 and FT4. Is there any linking line btw high cholesterol, mild cardiomegaly, thyroid result and the squeezing pains?", "output": "Hello, First diagnosis of cardiomegaly on x-ray is not very accurate, many times this is artifact on x-ray and diagnosis turns wrong. It should always be confirmed on echo. So it's not wise to comment on cardiomegaly at this point. Any high thyroid hormones can cause cardiomegaly, but you would be symptomatic. Secondly chest pain you are describing doesn't sound like cardiac it's more like of acidity and reflux disease, you should have some antacid and avoid spicy, oily food. High cholesterol is common problem and its mostly due to combination of genetic and dietary factors, and needs diet modification and medicine like Atorvastatin. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my boyfriend is has this recurring rashes in his chest , neck , nape , arms. He went to a doctor once and they ran tests on him they said it is an allergy . They just prescribed him celestamine. He also used momate one time. According to him momate was effective. But momate was not really prescribed to him. I forgot the name of the other cream.. But he said it did not work as fast and as good as the momate cream. His allergy seems to be triggered by the cold climate. What should we do. He is now suffering from it again. He was not able to get a lot of sleep because of it. He said it is very very itchy.", "output": "From you description it appears a case of urticaria which is usually because of allergy. He should take an antiallergen like cetirizine or Allegra for 4 to 6 weeks and apply a soothing cream like calamine lotion. He should also deform himself with mental 400- 1 tab at night for 2 to 3 days. If the allergy is very troublesome, he may take a short course of steroids orally-something like omnacortil 20 MGM once a day for 5 days, or he may go in for allergy testing." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "dear doctor, i am 28 and about 58 weight, am married.Recently i used veet hair removal cream to remove hair from my genital area and after 24 hours these rashes and a small sore(ulcer) appeared on my vagina and it was very much painful, is this a side effect of this cream i used or can this be anything serious i should be worried about. thanks", "output": "Hello. Thanks for writing to us at Chat Doctor The rashes are most likely due to irritation to cream since hair removal creams are known to cause skin irritation, if allowed to stay on for too long. However, the irritation is usually without any intervening/lay off period and starts as soon as it happens. Though it would be very hard to comment about the sore, as to what exactly it is due to without actually having being able to have a look at it. A painful sore could be a different condition altogether such as herpes, though herpes usually has multiple lesions/sores Or it could also be an authors ulcer. I would suggest that you visit a dermatologist in your region for a confirmatory diagnosis. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 11 year old girl has the following symptoms:headache, stomach ache, cold - these are kind of the usual, no fever - but a few things have happened in the last 24 hours that concern me. She fainted - flat out yesterday and has been lethargic for the last 36 hours. She also has a strange rash on the sides of her nose - little red dots. I did call her pediatrician and she said that if she faints again, obviously get her in but wanted to get some thoughts from you Thanks", "output": "Thanks for consulting in Chat Doctor. I wanted to ask you, did she eat before loss consciousness, it can be hungry fainting, the second thing,\"What is her hemoglobin?\" She may be had anemia, please do blood test and let me know. The third thing, she has some infection, which can give to her intoxication and weakness, her vessels are weak, she has some hemorrhagic rash on the nose, which I suggest appear after fainting. What we should do more-check her BP, if she has hypotonia, we should give to her some chocolate, black tea, in addition, you can do EEG at neurologist for exception to high intracranial pressure or epilepsy attacks or other. Do you know prophylaxis is the best? For headache, you can give to her usual paracetamol, for stomach ache-give charcoal 3 tabs, if no effect then Alcatel 1 tablespoon 3 times after 1 hour before meal during 10 daysRecovery soon, take Carell the best Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, i have some sking allergy from last 6 month as per my doctor advice i did test of SGOT, SGPT, GGT & IgE IN THIS IgE test shows 3200.0 IU/ml. doctore prescribe me Liveril forte and loratadine tables. I just want to understand what kind of allergy it is? and detail of that test.", "output": "Hi, dairy have gone through your question. I can understand your concern. High IGE level is suggestive of some allergic condition. You should check your eosinophil level also. You should also need to go for allergy test to search the cause, and then you should take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "SirI am using Pan Parag a tobacco product. I have been using it for the past seven years. I have had my teeth cleaned around two years back. I have now seriously resolved to put an end to this habit. I am interested to know the following things 1. Should i clean my teeth by going to a dentist or should I be using some whitening paste? If the latter is suggested what is the paste that I should use.2. I am being made to understand that I would have by now lost the strength of my teeth.Is there any way to regain the same. I am taking SUpracal regularly. Please advise me.", "output": "Hello:)Congratulations on your resolution to Quit tobacco. The stains caused by pan chewing cannot be removed at home. So, I suggest you to get a professional cleaning done with the dentist. You can use any opaque toothpaste(transparent like closeup is not recommended) in pea sized amount with a medium or soft tooth brush. Professional cleaning will remove the irritants and stains on your teeth. Ask your dentist if you require a root planning treatment(if your gums are too weak). Use warm salt water rinse twice daily. Floss once a day. Get a check-up done every 6\u00a0months. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir , I introduce myself Rajesh, my age is 28, my penis looks small,i have more temptation on sex , so i daily use to masturbate, bcos of that i feel guilty that i couldnt do sex properly with my partner after my marriage, and ialso want to check my sperm count, where i can check this, ineed suggestion on this.", "output": "Thanks for writing to Chat Doctor. I understand your concern about masturbation and penis size. Masturbation is akin to sexual intercourse. What penis does in vagina during sexual intercourse, same it does during masturbation in your folded palm! This is a natural activity. Not a disease. Just as sexual intercourse cannot lead to weakness or erection problems, so how masturbation can do it? Masturbation should not be at the cost of sexual relationships with your partner. This needs open sharing of likes and dislikes of either partner. You can go for pathologist to have semen analysis. Important and more practical fact is that the size of penis has nothing to do with sexual satisfaction of the partner. It is entry followed by continuous thrusting movement considered as sufficient. The method of lovemaking according to partners preference rather than size is more important. Sexual sensations are in the outer aspect of vagina i.e. the clitoris, inner lips and lower one third vagina. Inner two third of vagina is largely insensitive. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 22 year old female and I have pain throughout my stomach and it helps when I eat sometimes but not all the time. Tums doesnt help either. I have normal Bowel movements and urination but the pain makes me sick to my stomach and makes me want to vomit. I had uncontrollable itching for about 9 months and it stoped about a 3 weeks ago with the help of clobetasol propionate ointment. Usp, 0.05%. I still ich a little sometimes but not as bad Its just one problem after another and I need help!", "output": "Hello! Welcome to Chat Doctor ! The abdominal pain when relieved after food and nausea is in favor of a peptic ulcer. If your food habits were irregular or too spicy, or you have a lot of stress, this could be a possibility. There are other possible causes too like chronic hepatitis, colitis, etc. And the itching need not necessarily be related to the abdominal pain. Itching can accompany abdominal pain in a hepatitis. It can also be due to an unrelated problem - fungal infections of the skin, Chat Doctor. So kindly get evaluated thoroughly and see to that you get a liver function test and hepatitis screening to rule out liver pathologies. Hope you get well soon! Take care!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Where can I go to get a liver function, CBC, blood test without a script from a doctor? I do not have medical Insurance and just want to routinely check my levels with out the added expnese of a doctors office visit. Certainly if the levels are indicating higher or lower then normal I would seek medical advise. Any help with this would be appreciated", "output": "Hi wpmst, Welcome to Chat Doctor ! This is where a layman mistakes! Why do you want to save on the doctors' consultation, which is the most vital component of the health-care? Get the physician to decide whether you need an investigation or not, whether that much would be sufficient for you.Maybe you need some else, and you are spending on some else! By cutting down unnecessary investigation the doctor can actually prove economical. If you still want to save then you may contact a local laboratory for the needful. I hope the advice would be informative and useful for you. Take Care!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Sir, My wife is unable to open her mouth fully. she is not eating supari or pan masala now but in their school days she use to eat supari very much. we have taken treatment in bhopal dr. gives lots of injuctions inside the mouth but their ist any progress please guide us", "output": "Hello dear,First be relaxed and calm. I will provide you with my best possible advice. As you mentioned that she was eating sugar very much previously, most probably this will be the reason for reduced mouth openingAccording to the symptoms and the treatment she had undergone, it seems that she is suffering from oral submucous fibrosis(OSF). Its specific treatment depends on the degree of clinical involvement Visit Dental surgeon as soon as possible so that the severely of the disease can be determined, and prompt treatment will be initiated. Here I am advising few things for her which you can start immediately- AVOID Chilliest lots of green vegetables-Eat 2-3 raw tomatoes daily as it is rich in antioxidant known as LYCOPENE.- Use Tess or escort gel inside the cheeks thrice daily over the thickened area of the cheek.- give her Lycoming or SM Fire soft gels once daily-Mouth Opening Exercises like blowing out cheeks as the maximum extent hold for 2-3 seconds and then relax, and other exercises as told by the dentist. Visit you dentist immediately for further exact guidance, support and treatment. Hope this will help you. Thank You. Take Care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi Doctor, I have a 4.5 year old baby boy and he has multiple cavities on atleast 8 teeth. recently he is diagnosed with having a eyesight of +3. he always complains about his ear itching and usually has a running nose. do you see any relation and do you suggest any mediaction? he is on spects now, but no specific mediaction for his teeth yet apart from brushing twice a day. Please suggest.", "output": "Thanks for your query, I have gone through your query. The decay involving multiple teeth can be a rampant caries secondary to improper maintained of the oral hygiene and improper diet. The running nose and eyesight is not related to the teeth. Consult a pediatric dental surgeon and get the teeth filled. For the nose and eyes consult a ENT and ophthalmologist and take opinion. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "yes I was having pressure up the right side of my throat and pain in my liver area so I had an ultra sound. I was told I have a mild fatty liver, it does not seem to be a mild case with the itchy skin etc.. But Im not wishing the worse. Also my blood work was fine liver enzymes etc.", "output": "Hi, Fatty liver can be caused by excessive alcohol intake (Alcoholic SEATO hepatitis, ASH) or due to excessive fatty food intake and sedentary lifestyle (Non-alcoholic SEATO hepatitis, NASH). ASH is usually the beginning stages of alcohol induced liver damage and is completely reversible if the patient refrains from alcohol. NASH is being much more commonly diagnosed currently owing to poor dietary habits and sedentary lifestyles of people. High caloric intake, high fatty food intake and poor exercise regimens lead to deposition of fat goblets in the liver tissue leading to fatty liver. This is also completely reversible in the initial stages if caloric intake is limited and exercise regimens are adhered to. If left unchecked, patients usually become obese, diabetic and in final stages may lead to cirrhosis of the liver which will necessitate a liver transplant." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello I take warfarin for a blood clot, My fingers and hands get red and the palms show redness my finger tips and nails are blood red. my left hand is minimally numb. After 4 to 5 weeks on warfarin my left leg and foot is still swollen. I have some pain in my legs. What is the reason for this and how do I defeat it. thank you", "output": "HIT hank for asking to ChatDoctorI really appreciate your concern, the symptoms that you have discussed here may not be due to the warfarin this seems hypersensitive reaction I would advise you to wait for some days this will go away, if it does not subside then I would suggest the following treatment1) Tab Levocetrizine 10 mg there times in day hope this information helps you, take care and have nice day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doctor . when i was 15 years old one of my friend told me to mastrubats. and i did it for certain time . than on the ere of self relezation i stoped doing it. during the period i used to mastrubate i did not had that month problem . as soon as i stopped.it started as usuall.but now i m about to get marriade and i have a doubt in my mind that will i be able to reproduce ?do answer my question?", "output": "Hello, Masturbation is normal, natural and never unhealthy if you do it moderately and without giving much pressure. You can masturbate three times a week, and it is in fact healthy. Therefore, there is no need to worry. There are no such chances that you will not be able to become a father just because you were masturbating in your teenage. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have a very sore abdomen. It started yesterday and was mostly on my right hand side above hip, but my entire stomach feels bruised and sore even to touch (yet I have done no form of exercise at all lately) I got my period yesterday as well but the pain from that was totally different to the pain I have in my abdomen. It hurts to stand up and walk and I have to do so very slowly. I realised that in the past few months when I stand up too fast Ive been getting a crippling pain in the same area of my tummy but only lasts a second and causes me to bend over and hold my tummy till the pain is gone, feels like stitch or something, dont know if its related? I took a pregnancy test and Im not pregnant took a test yesterday. My shoulder (right side) and neck and right arm has been very sore too I get hot and cold but temperature was ok when it got taken yesterday, feel very tired and no energy what could this be?? Felt a bit nauses yesterday too when the tummy pain was at its worse but havent been sick and appetite hasnt gone... Thanks", "output": "Hi, Since you have been referring to fever (hot and cold) experience with right sided abdominal pain which recently exacerbated we suggest you to visit the gynecologist for a U/S. In your case it can be pelvic inflammatory disease however without vaginal discharge history in the past It's hard to tell. Some of the other conditions that may cause this kind of pain include ovarian cyst that may be complicated by torsion, acute appendicitis, gastroenteritis, Crohn's disease. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries? Please type your query here... I ran sperm count test and these are the results volume 0.5mlsviscosity. viscidpH. 8.0mean progressive motility 60%sperm count/ml. 22million spermatozoaabnormal swollen head. 20%tail defect. 20%%normal cells. 60%WBC. 4-5/hpfreference count > 20 million/ml. pls is my sperm healthy?", "output": "Hi, I have gone through your query. Your semen analysis report is normal. Sperm count above 15 million/ml is considered normal. But it's better to increase your count. L-carnitine can be taken for it. It is seen to be beneficial in increasing the count. No other treatment required if you don't have any other associated symptom. Do consider positive feedback as a credit to my work. Let me know if you have any further questions. You can contact me on my page http://bit.ly/1dYupT2" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a skin rash on my hands. It started on my ring finger then moved to my thumb. Now it s on both hands. My doctor prescribed a cream. I ve tried so many. It seems like I m losing the first layer of skin. Very dry. Moisturizers do not help. It constantly is pealing. Bleeds sometimes. Afraid of infection.", "output": "Dear FriendWelcome to Chat Doctor. I am Chat Doctor. Kindly tell me the is the lesion itchy? What cream you have already applied?are they photosensitive?such red rash on Dorsey hands can be due to many reasons like fungal infection, allergic contact dermatitis, POLE and many more. Kindly reply to my questions and send a pic of the lesion so that I can help you further. Based on the available details, this is my best advice for you. Good Luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doc, i have a very painful, quarter sized, hard lump just above my elbow. The immediate area surrounding the lump is red and feverish. I wrestle and am thinking that it may be bursitis but am unsure due to the hardness of the lump. The lump just appeared within the last week.", "output": "Hi, greetings from ChatDoctor.it is common to develop bursts of elbow especially olecranal bursitis in trauma. Bursa can enlarge is size due to associated inflammation. It can even be felt like a hard lump below elbow after a few days. This is a harmless lump. If it is causing concern you may consult an orthopedic and get it removed. Excised specimen to be sent for HPR to rule out other bony swellings" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my 10 year old son broke his first metatarsal bone playing footy on the weekend. We were not satisfied with the doctor we saw and was just interested in your opinion. All he said to us was doesn t look like it needs a pin stay off it for two weeks. Nothing about follow up visit to check on it or anything. Should he have some sort of support on it like moon boot or something?", "output": "Hi, thank-you for providing the brief history. Since there is a metatarsal injury it may need an x-ray since the mechanism of injury suggest one. Ass x-ray will help to understand if there is any hairline fracture. If the x-ray turns negative than it will be just a ligament sprain. Using an android or ankle brace will be good to provide some support to the ankle joint and foot bones. As in most cases of the child Chat Doctor. Cast or boot is required if there is a visible fracture or else with ankle brace it should be fine. Ankle brace is available from companies like tenor, disco, etc. In a child avoiding musculoskeletal injuries are not advised since the child is in the developmental phase and the growth has to occur in the proper physiological and anatomical way. Regards Jay In" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I have a ball like lump under my skin on my right n left butt cheek....where the lump is located the skin is dark. There is No pain! When I touch it, it kinda of feels like a tiny pebble. They are both no where near my anus or crack. Any idea what it can be n how I can get rid of it????", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have some soft tissue tumor like lipoma or neurofibroma or dermatofibroma. Or it may be some cyst or abscess. You should go for examination and if needed go for biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have been diagnosed with benign positional vertigo, and also low B12 and albumin levels. I have a nearly constant feeling of anxiety and have suffered with depression and migraines in the past. Could all these things be related? I feel my doctor isnt linking these things up?", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. If your doctor is not thinking these are related, believe him. In other words, anxiety and depression are known to create (imagination) inactivity, sluggishness, heavy head and vertigo. In turn, people with positional vertigo do become apprehensive and anxious about their medical condition. Those are the relationship between them. Now to elaborate, Because of your medical conditions, you might have become more health conscious, which made you Hyperion Chat Doctor. You started thinking about the future of health, became apprehensive about your conditions etc. and became apprehensive, in turn anxious. Nothing to worry. Ignorance is the key. Learn to ignore. Because your doctor said so. Forget the relationship which you suspected. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, i stopped taking pills a year ago and my mens also stopped. i went to my doctor and found out that i am not pregnant. i was given medicines that is expensive which is the reason i can t continue on medication . so months passed still my mens didn t come. until this past few days i am experiencing headaches , i feel like throwing up, then i can t eat my regular meal. i took pregnancy test twice today and the result is positive. is it really possible to get pregnant even without having mens for a long time?", "output": "Hello, I would be happy to help you with your question. If this test is positive then you are pregnant. You sound like you have irregular periods likely related to irregularity in terms of when you ovulate. When you stopped the pills, at some point you ovulated, and this usual comes BEFORE you get a period. So you might have ovulated once, gotten pregnant, and never got a period. You need to get into your doctor as soon as possible to determine how far along you are! I hope that this helps and good luck!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I feel like I have a charlie-horse in my chest and down my arms. I have hypocalcemia and I know that my levels are slightly low right now. Can that be why I am having this intense chest discomfort? It will not go away..Ive had it really bad for about 3 days now. There is a tightening feeling in my back too. Please help! I am a 30 year old female with two small boys to take care of!", "output": "Yes my friend, hypocalcemia can cause muscle aches and chest discomfort. If your calcium is extremely low, and you are symptomatic, you should consult her doctor as soon as possible and get your calcium as well as her magnesium and potassium checked. It is unlikely with chest discomfort that you will have heart disease at your age, however there are some rare causes of chest and back pain that can happen in younger women including pericarditis, pancreatitis, and aneurysms, which can cause chest pain radiating to the back. Probably consult the doctor as soon as possible to rule out more serious causes and do not assume it is just because of the hypocalcemia. Have a great day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i had a tick bit about 6 weeks ago...i have a slight rash around the area, but my blood tests show up negative for lymes....i had lymes several years ago, but the blood test came out negative then....but when treated my symptoms of tiredness, fogginess and muscle aches went away. I am so concerned that it is happening again. Yesterday i started on one side of my mouth (outside lip) is getting wet and the other is not....ugh...any thoughts?", "output": "Hi, It's not Lyme disease if your tests are negative. It can be due to the lip or some food allergy, personal dermatitis causing rashes around the mouth or lips, charities and oral herpes. Get examined by a PCP, get all STD screening tests done, You may need antivirals. In the meantime take antibiotics, Doxycycline, non-sedating antihistamines and vitamin B6, B12 supplements. Stay away from addictions if any. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a 5th attempt of IUI proceedure done on Feb 20th. The doc said I can pregnancy test tomorrow, however I have been having sharp quick pains in my right lower abdominal side (seems to be where my ovary is) all day today. they occur every few minutes. So sharp that they take my breath away, but they are gone in an instant. This right side (right) is the same side that the pre-proceedure ultrasound showed a single large folicle. I just have not had this happen in any of the other attempts, so I am a bit cofused. No spotting, no other symptoms. Is this a sign of anything?", "output": "Hi, Thanks for your query. I read your query and I understand your concerns. Following is my reply:1) The pain you are experiencing may be due to ovulation of few smaller follicles which might be ovulating late if your GUI was recent.2) The pain might be due to small strain and nothing major.Hence, I don't see anything to be worried about. Hence, be relaxed and stay positive. I hope I answered your query. I will be available for any follow-up query you have." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am 30 yr.s old woman. Me and my husband are trying for a baby for last 10 months. But No positive result. My period is irregular. My cycle is 45 days. Had undergone follicular study twice for last two months. As my follicle not used to rupture automatically, I had taken injection for rupturing. And after ovulation we had intercourse also. But still this time my period came after 10 days taking the injection. Please suggest me.", "output": "Hi there,We need to know the cause of your ovulation. Have you been identified as having PCs, thyroid problems or prolactin excess? Have you been checked for the same in the past? The husbands' semen analysis also needs to be done. The patency of your fallopian tubes needs to be checked by the dye test. Only after all factors for infertility are evaluated we can have targeted treatment. For the an ovulation you need to confirm with hormones levels to rule out PCs. Do get evaluated thoroughly by a gynecologist and then begin treatment. Also consider folic acid once a day as long as you are trying for a baby. Hope this helps. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 62 yrs old,having sunlight allergy.If I am exposed to sunlight for a few minutes,next in a day or two red patches/hives on my face develop and it remains for couple of days.Slowly comes to normal but during the process peeling of skin takes place.Not much itching is noticed.However skin gets allergic to bright light of sun even on being in shade or inhouse.So far have tried cold compression,moisturiser,sunscreen lotion having 30spf,and on ocasion of high inflamation of face used Lariago Tablet for 7days @Tablet/day.Avoiding direct sunlight between 9am to5pm.Any other medication/measures you advice please?", "output": "Avoid oily greedy food take warm water use nontoxic soaps shampoo and ointment and oils no use of mustard coconut walnut groundnut almonds oils use olive for cooking and application advise tab methotrexate 2.5 MGM once a wk which is very effective I have treated large number of patients with this take it for 6 months 4 tablets per month apply histocalamine lotion BD take Allegra 120 mg SOS when itch" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir I am 29 years old and till now I have maintain a healthy life and never have sex. Suddenly 2 days ago I found blood in my semen and again after 2 days I found this problem again. I am really tance because after a month Im going to be married. So is it caused any any problems in my married life? Can this prob is curable ?Please suggest me waiting for your reply.thanks in advance.", "output": "Hi, I have gone through your query. You had 2 episodes of bloody semen and you haven't mentioned if there is any other symptoms like fever or pain. It is difficult to comment on actual cause. As there can be infection (like prostatitis, epididymitis, urethritis), obstruction, tumor or systemic disease. I suggest you to wait for next time if again blood comes out with or without other symptoms, investigations like prostate examination, semen and urine test will be needed. Depending on the cause, it may or may not affect your married life and treatment will be done. Usually these problems are cured. Do consider positive feedback as a credit to my work. Let me know if you have any further questions. You can contact me on my page http://bit.ly/1dYupT2" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My right foot I cant bend down at all I dont have a lot of feeling at the bottom of my foot I have pains that goes from ny foot to my hip my leg feels like its twisted all the time half of my foot doesnt work properly its like I am only walking on one side of my foot plus wgen I walk my right arm does not move propperly and I have niticed over the past year when talking sometimes my sentances does not come out propperly the way I want to say it I stutter a bit any help would be great", "output": "Hi, Thank you for posting your query. You need a detailed and early evaluation by a neurologist to establish the underlying cause of your symptoms. The most important is to rule out any lesion on the left side of brain, as that could affect right side of body and speech. In addition, a pinched nerve at the lower back due to bulged disc also needs to be excluded. Please get back if you require any additional information. Best wishes, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I believe I have a tear in the side of my foreskin, are you able to give me some advice?It isnt giving me too much discomfort, other than when I go for a wee.I have been given Canasten cream, which I have been applying morning and night for the last four days as directed, and anitbiotics just incase I had an infection.Like I said there seems to be a cut or tea in the foreskin, which is fairly red and bumpy in the particular place where I seem to have the wound. As well as being red, on top of the wound I see to have three very small white blister-like things, is this normal?If I leave for a while the foreskin then seems to droop over the top of my penis, so when I do go for a wee I have to make sure I pulled the bad area down a little to make it easier to wee.Are things like this common and how long should it take to heel?", "output": "HelloThanks for query. You have not mentioned your age, sexual history and whether you are able to retract your foreskin completely over your glans penis or not. You have infection of the foreskin (Prostatitis). Consult qualified General surgeon or Urologist to rule out Mitosis. You need to take broad spectrum antibiotic like Lifetime along with anti-inflammatory Chat Doctor. Along with topical antibiotic ointment like Newsprint twice daily. Ensure to wash your genitals with warm water twice dailyEnsure to avoid sexual encounters till it heals up completely." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a nasty cold that started approx 45 days ago. Started with sore throat almost swollen shot, got minutely better but have not gotten over the large scale mucous and congestion. Had elevated dimer-d, had CT Angioram, all clear Lung X-Ray clear. Fast forward today, routing exam for colonoscopy. Doc says liver feels enlarged. Does dimer-d have a connection. No pain nothing just still tons of head and upper resp congestion. Does OTC cold meds enlarge liver?", "output": "Hi.thanks for posting query at ChatDoctorincomplete history...how was enlarged liver observed>? Ultrasound?were liver enzymes tested? Was the values normal?your age/.?any liver disease history? HepB/HEPA? Usually ALT or AST values higher than \"two times the upper normal limit\", is considered abnormal (in some countries, ALT or AST values of more than 100 are considered abnormal). Value of AST or ALT greater than 85 or above maybe investigated further. Alcohol ingestion and obesity are common causes of fatty/enlarged liver. Advice for fatty liver:- abstinence from \"Alcohol\" - LOW fat diet should be followed, AVOID junk food and beverages-decreased oil consumption (oily food)- NO red meat-green vegetables should be ingested daily-use lemon juice (lemonade) once in a day-reduce weight if overweight/obese-\"recheck liver enzymes after 6 to 8 weeks\" and/or ultrasound. Any further questions are welcomed. Hope to answer your concern. Wish you good health. Regards, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had to go to the ER the last week because I was experiencing pain in my groin area, and they determined I had a hernia. When I saw the referral doctor the next day, he could not locate the hernia and said he could do surgery and go look for it, or we could wait until it gets worse and I come back. Well waiting for it to get worse is very difficult and uncomfortable, and very hard performing my job. Is this a common thing, not being able to locate the hernia after a day or two of relaxing? Should I wait for it to get worse or should I get another opinion? Going in and looking for it just didn t sound like something I wanted..", "output": "Hi, It seems that you might be having reducible direct inguinal hernia giving this problem. Hernia comes out through lax inguinal ring and while lying down it goes inside when it is difficult to have any idea about hernia. If this is the position, nothing to worry wait till it comes out. If it is strangulated then it can create the problem. Afterwards consult surgeon and get examined. Avoid constipation and lifting heavy weight. Ok and take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am having lump near neck and recently i found another lump near the ribs.i am feeling very bad and i am very affraid of those,bcoz few people are saying that those are symptoms for cancer.is it like tat and can u plz suggest me any nice doctor in pune", "output": "Hi, Dear thanks for the query to Chat Doctor virtual clinic. I studied your query in full details updated from you. I understood your health concerns. Based on your query data, In my opinion, Dear You seem to suffer from NHL-Non-Hodgkin Lymphoma, which possibility could be ruled out, if you want to rule out cancer fear, which you seem to have. With no further information I would suggest you to Consult a Surgeon / Physician to investigate these lumps at these neck/ near rib site and treat it accordingly. A detailed physical information with proper investigation would only lead to the right treatment of your lumps with scanty information from Your query. Hope this reply would help you to evaluate your case and treat it with your doctors in time to come. Hope this would resolve your query and worry and Anxiety accompanied by it. Welcome for any further query in this regard to ME. I would love to help you out.Awaiting any further query. Wish you fast recovery from this intriguing health problem. Have a Good Day. Chat Doctor. N.M.S. Genl-CVTS -Senior Surgical Consultant" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had previous experience with live virus shots and always contracted what I was trying to prevent - such as live flu virus - even at 1/4 of a dose I still contracted flu and bronchitis. What are my chances of contracting chicken pox again or the shingles after the shot?", "output": "Respected user, HiT hanks for using Chat Doctor.come have evaluated your query thoroughly.* Bronchitis treatment includes proper antibiotics, decongestants, bronchi dilators, supportive care according to the clinical severity.* Different flu can re-occur due to various strain patterns from the vaccine shot which gives protection to certain strains of virus.* Chances of Chicken pox or shingles are negligible after shot. Welcome for further assistance. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have an infection in my second toe on my right foot. The toe itself from the knuckle to the tip is red/purple, inflamed, nerve pain is awful. What can I do and what is it. I have had this condition before, same toe same foot each time. They have prescribed me a course of cipro but have finished that and it didnt help at all. It seems to occur in colder months when I have to start wearing closed toe shoes. I have been soaking it in vinegar and water but that only seems to help while its soaking. I am od-ing on ibuprophen to keep pain at an almost tolerable level, also is so painful I cant sleep. I do have an appointment next week but until then---Please help!!!!!", "output": "HI, I understand your concern. You seem to have problem due to misfitting shoes. The pressure causes your symptoms of sever pain & inflammation & probably an abscess./ causing breakage of local blood vessels (with collection of blood there- that's why its red & blue) You should - - - Consult a surgeon for confirmation of infection/ abscess(which will need Chat Doctor. A change of antibiotic is needed in certain cases. ) Clinical examination/ x-ray would confirm the diagnosis.& the treatment planned accordingly would help you. - Cold compress helps in case of blood collection(hematoma) - Check your blood sugar & get it normal with specific medication along with antibiotic s - in case of an abscess. - Stop using/Change shoes (use ones with broad toe)/ Give rest to the part. In short, you need investigations according to expert advise & treatment thereafter. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have recently had diarhoea for a week with signs of blood. The diarhoea has stopped after taking Imodium tablets. However I still gave small signs of blood. I am really worried because I have just had the strangest poo ever. It came out with lots of blood and looked like a kidney and felt like grunge/jelly. Can anyone shed any light please as I am panicking. Thanks", "output": "HelloThanks for your query, based on the facts that you have posted it appears that you are passing blood in feces since recently. The presence of frank blood could be due to following reasons.1) Diverticulosis of Colon 2) Multiple Polyps in colon or rectum.3) Amaebiasis4) Hemorrhoids. Please consult qualified Gastroenterologist for clinical assessment. He may advise you for procedures like , Stool examination .and ColonoscopyFurther treatment will depend upon phial diagnosis. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hope u can give me idea of problem been going to dr for over a year now and they still havent found the problem just had areterrys check to heart not clogged now the do neck in next two weeks im allways tired i have copd for sure but whats causeing me to be tired all the time", "output": "Hi, there are several causes for fatigue you reported, some linked to COPD and others to heart. The COPD is a progressive disease that makes it difficult to exit air from the lungs and needs quite strict treatment not to worse. The treatment can be done with medication, smoking cessation and in advanced cases to the use of home oxygen therapy. The cardiac causes are related to loss when there is loss of contractile function of the heart loses some of its ability to pump blood forward and liquids become accumulated in various parts of the body, especially the lungs, causing pulmonary edema. This fluid accumulation in the lungs is responsible for the sensation of breathlessness. This condition is known as heart failure and there are several treatments for this problem, including cardiopulmonary rehabilitation, medications and visits by multidisciplinary team. I suggest you contact your cardiologist for further information and determine which therapies are needed to solve the problem. Hope I have answered your question. If you have any further questions I will be happy to help you. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I want some advice in relation to contraceptives. Ive got a Mirena coil fitted which Ive had for 3 years now. I experience severe ovulation pains, up to 3 days at a time which keep me awake at night and are not relieved by Ibuprofen. Prior to the coil I took the pill for a number of years and then had 2 children. I am just wondering if the Mirena can exacerbate ovulation pain? I have never had pain like this before, even when using no contraception.I also experience bad period pains, but very little actual blood loss. The ovulation pains appear to start about 3 days after the period pains finish. I have had an ultrasound scan 6 months ago to check nothing else is causing the pain and everything appeared normal.I am considering getting the Mirena removed as cannot continue with such levels of pain. Is there an association between the Mirena and ovulation pain?", "output": "Hi welcome to Chat Doctor forum. Thanks for calling Chat Doctor. Forum. You got marina coil fitted three years back. Now you are getting ovulation pains, three days after the period. You also had period pains, but little blood, U.S.scanning show nothing. You are thinking to get the marina removed. Your decision is correct, marina and other I.U.C.D.s should be changed after three years. Otherwise there will be infection, and the potency also will be decreased. The infection will cause the pain and other symptoms. I advise you to consult a cynic, and get the marina removed. Wishing a quick and complete recovery. Best regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctors. I have a very confusing question to ask. Hope you can give me a good answer. There was a cysts of about 10 cm in my mum s uterus and she just removed it last week. The doctor in charge of my mum s case told her that the cysts is actually a cancerous one. It is about stage 2 going to 3 and he advice my mum to go for 6 chemo . My mum was really afraid and we went to several doctors and they gave the same advice too. Yesterday, we met another doctor, and he said that, during the operation, the cysts is supposely remove together with the uterus but the doctor in charge of the operation broke the cysts and causing the content of the cysts flows out. That s why the operation extended for about an hour because of the cleansing inside the stomach. The doctor now advice her to go for the treatments is to prevent the cancerous cells from growing and spread to another organ . I just browse the web and found that there is a Dr.Simoncini in youtube, he taught the people to take sodium bicarbonate instead of going for the chemo. Now, can this be trusted?", "output": "If we believe your doctor that your mom has stage two cancer she should have undergone total abdominal hysterectomy and bilateral salting oophorectomy which men complete removal of uterus and both ovaries and tubes. After she recovers from surgery she needs external pelvic irradiation because you have to sterilize the pelvic lymph nodes whose possibility of positively is 25 to 50 percent. It is around 45 to 50 GY in 4 to 4.1/2 weeks time followed by branch therapy to treat the vaginal vault. This is the domain of a Radiation Oncologist. After this according to grade of the tumor she can be put on Adj. Chemotherapy or simply hormone therapy. The concerned Oncologist will decide what should be the actual management of the disease. The disease can buy monitored by doing marker assays before treatment and after treatment which is the level of CEA and Ca 125. To me the stage two cancer of the body uterus is completely curable after complete treatment." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here... my sun is 4 and a half mounths now and he got a problem with his stomach, i took him too the clinick and they said he got diaree and that i have to take him to the dokter or hospital", "output": "Hello, What your kid is having is not diarrhea and is only gastronomic reflux. It is quite common for babies of this age group to pass a small amount of diarrhea or loose stools soon after feeds. This need not be treated as diarrhea and especially antibiotics are not indicated. When the baby takes milk, the stomach expands - then when it is contracting it sets off a waveform which moves down the intestines and when that wave reaches the lower down rectum, a small quantity of the stool is evacuated out. This is the basis for gastronomic reflex. Do not worry. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting. You need not worry. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Husband has infection on finger. . . probably an infected hang nail. White cuticle plus very swollen. Started about Tuesday. Last night went to doc and got antibiotics. 4 doses so far. This afternoon he noticed a red line coming from the finger and it is half way up his hand. . . Want him to go to emergency room. He doesnt think so. Your recommendation?", "output": "Hellowelcome to Chat Doctor.I appreciate your concern. From your history it looks like that the infected finger nail gave rise to a cellulitis of the hand.I need to know that your husband is diabetic or not??it is more common and more aggressive in diabetics. Yes you need to take him to emergency. Prompt diagnosis and treatment is necessary here to prevent further complications. Hope this is helpful to you. Post other queries, and we shall be happy to help you.regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "what if I have been falling into flower bed when dead heading flowers & have fallen to my right side TMJ in jaw on right side,have seen 3 different doctors for this problem. Also getting worse feel shaky & jittery--thought I had diabetes. Canyou tell me what I have?", "output": "Hi. Thanks for the query. It looks like you have injured your jaw joint as you said that you have fallen on your right TMJ. It can cause jaw joint dislocation, damage to the soft cushion that is present between the two bony ends of the jaw joint, fractures etc. Feeling shaky or jittery can be due to anxiety or panic attacks however it can also be related to other causes for which you need to get thoroughly examined. For jaw joint related problem it would be better for you to consult an Oral Surgeon and get evaluated. A Panoramic x-ray should be done for ruling out the exact cause. For now, you can take painkillers LF there is pain and along with it take soft diet and avoid hard foods. Avoid excessive mouth opening like during yawning, laughing etc. Hope this helps. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have noticed a wet sensation on my right knee below the knee cap slight anterior . I have lower back tension constantly and unless I wear shoes with heel gel inserts it is hard to maintain a healthy relaxed state of being. I am 52 years old female.", "output": "Hi, thanks for providing the brief history of yours you mentioned feeling tightness in the back. Then you should look for some spinal muscles strengthening along with hamstring stretching as well. Also, on later stage you should strengthen the core and spinal muscles. As you mentioned your age as 52 there will be some small wear and tear of the soft tissue and aging of The spine as it is a normal process of human physiology. With stretching exercises and strengthening exercises you should be fine. One thing over to ask is, are you addicted too high / moderate heels for your footwear. Why am I asking this question is the change in the anatomy at one level can lead to change in all the levels. Well, if the symptoms become more you can visit a physician and get checked. Or else a physical therapist will be fine to help you out. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi ihave been experiencing pain in upper back,shortness of breath sometimes after eating and i have piles on daflon500 medication and also feel pain in right side ribs ,abdo and right leg did usg a cyst of 18*18mm on left kidney and its fine now need help abt gas problem.....", "output": "Hi. For gas problem you should rely on herbal medicine which have unparalleled effect to treat the problem and no side effects. Tab Gases and Shank Vat are very popular, economic, effective and safe medicines for such purposes to be taken with warm water preferably. Any Ayurveda doctor can tell you how it helps to prevent fermentation of food in gut and how it cleanses the GIT. So, better avoid synthetic enzymes. Hope it serves you well." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I had an MRI performed and the conclusion was: Single sub centimeter T/2FLAIR hyper intense focus in the left frontal peri ventricular white matter. Differential diagnostic considerations include a single demylwlineating focus versus sequels of small vessel ischemic disease. Clinical correlation recommended. 2. Otherwise, negative non contrast MRI evaluation of the brain. What does this mean? My doc basically sent me to the cardiologist for further treatment. I had fainted for the first time in my life was why the testing was done. Thank you for your time.", "output": "It would be useful if you told us your age as well. The older you are, the more likely is small vessel ischemic disease rather than a debilitating focus. Demielinating diseases are a group of diseases of which the most famous is multiple sclerosis, highly unlikely if you are over 45, so since your doctor seems not to think that is the diagnosis I won't elaborate more. By sequel of small vessel ischemic disease, it means a small stroke, what we call a lacuna. It means a small blood vessel is narrowed till it was closed and the small brain area it supplied was damaged due to lack of blood. In itself it may bring no major consequences if not in a critical area, but small vessel disease is almost always a more spread disease, meaning more blood vessels can be affected and cause accumulative damage over time. There are multiple causes of small vessel disease, but in most people the main culprit are factors like high blood pressure, diabetes, smoking, high cholesterol, obesity. So the best preventive treatment is ad Chat Doctor. I don't know why you've been sent to the cardiologist, perhaps to be evaluated for your blood pressure, or perhaps to check for a cardiac origin of your fainting, like abnormalities of heart rhythm or other heart structural abnormalities. I don't think the fainting was directly caused by that brain focus, it is an incidental finding." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I got stung by a wasp on my finder yesterday around noon. Of course it hurt immediately but the pain went total away in about 15 minutes. No swelling or even a mark. And then last night around 6PM it started itching and swelling. Its now very red, inflamed and still very itchy. Should I be concerned with this delayed reaction? Thanks!", "output": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concern. According to your symptoms delayed allergic reaction to wasp bite can occur when the stinger from wasp gets embedded in the finger or the part of body where you got stung and the stinger keeps releasing demon and when the amount becomes considerable a delayed reaction can occur. In case if the reaction is localized to finger you need not worry but if you have any systemic reaction like rashes, abdominal pain, nausea and vomiting or breathlessness or anything else you should immediately consult an Emergency Room... In case of localized reaction you should take Clarity or Allegra or Ben Chat Doctor. . For pain, you can take anti-inflammatory painkillers like Ibuprofen or Advil. Topical application of steroid ointment should be done. Topical application is Numbing gel like Lidocaine Gel can relieve pain. Do not put any pressure over the swollen area and no need of placing any pressure or normal bandage. Do cool compresses. In case if it does not improve or worsen consult a general physician or an Allergist and get evaluated. Hope this information helps. Thanks and regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im nineteen years old and have really bad anxiety .. with asthma on top of it. but after getting into an argument with my boyfriend .. i had a severe pain on the upper left side on my chest .. kind of under the arm pit but not really .. like on the corner .. and it hurt when i breathed in and out .. i was just wondering if it was just a panic attack?", "output": "Hello and thanks for your query. I understand that you are worried by your chest pain occurring in the background of an anxiety disorder. Now, it is very common for anxiety to present with physical symptoms like chest discomfort, difficulty in breathing, etc. However, considering the fact that your pain is acute and sharp and the fact that you have asthma, it is necessary that other medical conditions such as a lung pathology should be ruled out. So, I would advise you to see a doctor and get yourself examined in order to ensure that everything is okay physically. If so, then you can practice relaxation techniques like deep breathing, yoga, progressive muscle relaxation, etc." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i enjoy to look on the internet and chat, while doing this i love to masterbate. some days i do this for a few hours. i will masterbate unitl i am about to cum then let my penis get soft. then start over. often i do this tilll i becomes sore. can this damage me?", "output": "Hi ... Masturbation is safe and pleasure giving procedure .... But over practicing should be restricted ... You seem to be had over practicing it since you are getting your penis sore by it. It can be done up to 3 to 4 times per week maximum.... Overmasturbation can lead some side effect according to few articles like...... Anxiety/chronic fatigue / groin discomfort /mood swings /concentration problem / study and social adaptation problem / back pain etc.... Yoga and daily exercise will be helpful... If still have doubts consult psychiatrist for further counselling session. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doc, what is the best remedy to kill scabies ..am using eurax and try different meds.( diprosalic) and i also consulted to a doctor...,but i think it is not enough because i still have the scabies, i had it over 2 months now..by the way im here in Saudi Arabia, and permithin is not available here..only eurax.. thank you very much..", "output": "PERMETHRIN IS A GREAT OPTION BUT AS IT IS NOT AVAILABLE THERE- ALTERNATIVES ARE-1.30 grams of cream of lineage, applied from the neck down and washed off after approximately eight hours.2. Ivermectin, an oral medication, is an antiparasitic medication that has also been shown to be an effective suicide. 200 micrograms per kilogram body weight as a single dose, followed by a repeat dose two weeks later.3. Crotamiton lotion 10% and cream 10% (Eur ax, Cretan) is another Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Pain in left hip that comes and goes, but only lasts for about 10 seconds each time. It s such a immense pain, it literally takes my breath away and almost puts me on the floor! Colon cancer is in my family. I am worried this may be part of the problem. The pain feels as though a large butcher knife stabs me in the left hip, and is being twisted. But only for those few seconds, until the next one comes. I never know when it will come, so it catches me off guard every time.", "output": "Hello, The soreness in the hip that you have is likely to be due to a minor capsular inflammation - can be related to wrong posture or unexpected exercise. This is not related to the abdominal or digestive issues that you are having. This can improve with rest hot compress and mild painkillers. Taking joint lubricant supplements like glucosamine and Chen Chat Doctor. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 87 year old aunt just found out today she has inoperable liver cancer. She is in icu with an infection also and dr s don t know where infection is coming from. She also has fluid build up around stomach and she is listed in critical condition....we are out of state, should we be headed back home?", "output": "Thanks for asking question. According to history given by you liver cancer seems to be metastasized widespread. She also has infection. For controlling infection and monitoring of patient stay at the hospital for few days. She has to given iv antibiotic for controlling infection. In advance stage of liver cancer targeted chemotherapy or radiotherapy can be given. For pain strong analgesic like tramadol may be needed. Embolisation and ablation treatments available that can be individualised and can be tried with advise from doctor. So truly speaking according to your history it seems advance liver cancer and wish you good luck. I hope you will understand my concern." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Can eating red meat, particularly steak, create pleurisy in a person with a Hx of Bronchiectasis?Had severe pleurisy last evening which started to set in 1 hr after my meal and then subsided with rest and appeared to be resolved by 3 am. Today I feel fine but some sensitivity noted due to the degree of pain I experienced last evening.Lisa Martell", "output": "Thanks for your question on Chat Doctor. No, red meat can not cause pleurisy. Pleurisy is inflammation of pleura. And it is mostly seen in infection like tuberculosis, pneumonia, pleural effusion, pulmonary contusions etc. But not associated with any food especially red meat. So this might be coincidence only, as red meat can not cause pleurisy. Better to consult pulmonologist and rule out above-mentioned causes of infection as bronchiectasis is prone for lung infection." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am due on Dec. 4th so im just shy of being 36wks pregnant, This is my third baby. my first two i went into early labor the doctors had to stop it with medicine. with this child i am basically in limbo right now, for the last week or so i have been having ALOT of Braxton Hicks contractions. My question in can Milk of magnesia start labor? I havent had a bowel movement in over a week, they had given me a bag of fluids threw IV because i was dehydrated but since then nothing. I took the M.O.M cause the birthing center said its safe during pregnancy but since i took it i have been having more and more contractions.", "output": "Hi there, I have understood your concern and I will suggest you the best possible treatment options.It's good to know that you are nearing term pregnancy. Constipation is usually seen in late pregnancy in many women. I will suggest you to Chat Doctor. This helps in easy bowel emptying. Milk of magnesia and Lactulose are very good bulk laxatives. You can consume them with a couple of glasses of water. They are mild in action and do not initiate labor pains. I will suggest you to opt diet changes first before going ahead with laxatives. Once you cross 37 weeks, there won't be any risk of premature delivery. May God bless you with a bundle of Joy. I hope this answer helps you. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m looking for answers to spinal and shoulder osteophytosis which I was just diagnose with. in the shoulder area, it was the acromion and spine the c4-c7. why do you not recognize this term when my hospital wrote it down and other listings below WebMD recognize the term? thank you, suzanne", "output": "Hi, Thanks for writing in. It is possible that you have osteoarthritis shoulder and cervical spondylosis. Both these conditions are degenerative changes and due to wear and tear of bone joints. Both these conditions have to be treated separately. The shoulder problem can be treated with physiotherapy and steroid injections. The steroid injections have to be given at the shoulder and might require to be repeated at 3 monthly intervals. The cervical spine problem can be treated with physiotherapy and reducing neck movements. Pain relievers to treat neurogenic pain can be given for both the pains. Should you like to search the right terms then please look for shoulder arthritis or osteoarthritis and cervical spondylosis?" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My father s age is 69. He is a diabetic patient for the past 30 years and has been only using oral medications. Recently he has been diagnosed with AML and undergoing chemotherapy treatment. His counts are fluctuating and his sugar levels are unpredictable and has to take insulin. Please help.", "output": "Hello, If a diabetic patient is on chemotherapy, those Chat Doctor. Controlling blood glucose becomes much difficult. Proper titration of insulin dosage and repeated checking of glucose levels at home is absolutely essential. Also, one may have to use more than one type of insulin like a long acting newer insulin (glaring or deluded) and a rapid acting one to control post meal surge of glucose. If corticosteroids are used in the treatment they also do affect, so you have to manage with extra care. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter is 31 weeks. Her back is hurting and she is cramping and have pain to the point that she has to stop what she is doing and sit on the floor and stretch. This is her 2nd child. Should she call her physician? Could she be in premature labor? Her water has not broke.", "output": "Hi dear, I have understood your concern and I will suggest you the best possible treatment options. If she is having tightness feeling of uterus also along with the backache, then I will suggest that she should contact her treating gynecologist at the earliest. If there is backache only, she can take tablet paracetamol as needed, it's quite safe in pregnancy. Application of local pain reliever ointment can be of help. Secondly, I will suggest that she should adopt correct posture and start some basic exercise regimen. This will help to reduce back pain. Also, please ensure that she is having Iron and Calcium supplements on daily basis. I hope this answer helps you. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My lower abdomin always tight Flatulence problem I got colonoscopy in 2004 upper endo 2003 and all required test have been done and being done on routine I take pantocid 40 empty stomach , after dinner one cap probiotic and bed time one tab nexito plus. Please advise me to relax my lower abdomin. I feel always tightness is it cancer", "output": "HelloThanks for your query. Based on the facts you have mentioned and the report of the test you have undergone and medicines you are taking since 3 years It looks that you have Acid Peptic Disease. You have flatulence problem and your lower abdomen is tight This can be cured by regular moderate exercises and Yoga that will help in getting flatulence cleared and building up the tone of muscles of the anterior abdominal wall." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I want to know some names of good birth control pills for daily usage without any side effects. It is known that some Birth control pills may cause harm if taken for longer period of time. Hence suggest some good medicine without any side effects for long term use.", "output": "Hello dear. Understand your concern. Look, birth control pills has estrogen & progestin hormones. Some pill has only progestin & some has combo. Side effects is alters by every woman to women. Some women he no side effects. So u he to consult your doctor & known about that which pills are not suited you.u should use low dose only progestin pills like primolute-N 5 mg once a day. You can also use newer generation OCP like family, microgynon. You can also use contraceptive patch or nearing that release the progesterone and estrogen regularly and no need to take pill daily. If you used it at proper timing then its more affective. Otherwise every birth control pills have side effects & 1-2 % failure rate.I advised that don't used it more than 1 yr. If u he child than use copper t for birth control, otherwise convince your partner for use of condom...its better option. Hope this may help you. Best regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi there, my two kids (5yo and 3yo) suffer from asthma. The both use a preventer flixotid 125mg two puffs two times a day and also ventolin during crises as well as prednisolone during bronquites/asthma cough crises. I has show little or no improvement on their cough. They were put on a anti-histaminic (Zyrtec Kids) for hay fever, which did show some results in the older boy but none for the younger. Is anything else I should consider or talk to their doctor about it?", "output": "Hello. Welcome to Chat Doctor . I read your queries, and it seems that your kids are on treatment for allergy and asthma . I suggest you to talk to your doctor about cough whether its Chat Doctor. . Your doctor will prescribe Absolute for reducing cough and antibiotics if necessary after examination. Do not worry your child will show improvement in next visit. Hope this information is helpful to you. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my daughter was a acting very upset .she went to vist friends in new york they say her behavior was very bad. this was her first time leaveing me . i talk to here over the phone several time but her behavior never change. she was born with a little cocaine in her system . i had her tested but was told that she has no sign of this in her system now. but sometime here behavior changes. when she can not have her way. her teacher say that she needs to work on her social skill. should i have her tested again.", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. Behavior and social skills are related terms. She should be given training to behave properly and to know social skills. But, who should teach her? Naturally it is the teachers and that learning starts at school. Because your child is at a social set-up school. When your child is at home, practical lessons about social skills are not possible. You can advise. But advises cannot replace practicals. Once your child is at school she can learn things practically and her teacher should assist her to do so. Talk to her teacher regarding this. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my name is Luke and I am having a problem with my index finger for a while now it s been almost over a year now. It s hard to explain but it has a lump in the middle of the nail. It hasn t been bothering me till now but all it is just a little soar. But I was wondering if I could send a pic of my finger so you could see it.", "output": "HI, Luke,Dear, Thanks for the query to Chat Doctor.1-I have studied your query in depth.2-DEar,IN my opinion, your nail lump in index finger of 1 yr duration is due to the resolved and infected hematoma-subungual, with the money contusion-which has now propped up as- fibrosis sore lump in the middle of the index finger nail. T3-he soreness lately indicates inflammation -post-usage trauma and or chronic infection.4- A picture would have added a bit in planning its treatment.5-Hope this would solve your query to your satisfaction.6-Wellcome for more queries to me On Chat Doctor.7-Thnks once again for your inquisitive query. Have a Good Day.!!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello. m a 22 year old female. was feeling feverish yesterday,felt better this morning only to suddenly start coughing up blood. went to see a doctor,n he said i was probably coughn too hard n irritated my throat,loxaclav 625 was prescribed for me. but i dnt think thats d case,cos i dnt cough hard. came online n checked it out n discovered other diseases d@ could be the cause of this. dnt rlly know wht to do. I get easily cold,was diagnosed of respiratory infection 2 years ago,whch was treated,usually get a headache on the left side of my head,wht could be wrong? and wht shld i do?", "output": "Hi thanks for contacting Chat Doctor... Here you have blood in sputum.... In bronchitis or pneumonia blood can be split in sputum.... Chest x-ray done.... If show prominent bronchvadcular vascular marking then bronchitis or viral interstitial pneumonia can be there.... If consolidation seen then lobar pneumonia suspected..... Take full course of antibiotic... Straining while coughing avoided..... If weight loss or anorexia present then tuberculosis can be there...... For that sputum examination needed.... If you are known case of mitral stenosis then also bleed in sputum can occur... For congestion relief antihistamines Chat Doctor. ....If you want to use herb product then one tsp ginger juice with honey useful...it is useful in resp causes.... With keeping this in mind consult physician. Take care...." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My wisdom tooth on my right side has been coming in for some time now. No problems. All of a sudden my cheek/gums started to hurt. Now it seems I might have an abscess..? And my jaw wont open all the way... maybe infection? I dont know what to do.. go to dr or what. I have no insurance... any advise would help alot!!", "output": "Hi, I have gone through your query. Eruption of wisdom tooth cause severe pain and inflammation. As it comes out, it tears the overlying gum tissue, resulting in inflammation with pain and restricted jaw movement. There are chances that it might get infected. I advise you gargle 3-4 times daily with chlorhexidine solution and take NSAIDs like ibuprofen. If still you have severe pain, I advise you to visit a Dentist. He may look for any sign of infection and if not, overlying gum will be cauterized with acid to relieve pain. Do consider positive feedback as a credit to my work. Let me know if you have any further questions." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have emphysema. Nearly a week ago I recovered from nearly six weeks of bronchitis and sinusitis. I still become much more breathless than I did before this, with minimal exertion. A couple months ago I could walk a couple miles quickly. I still have problems with a couple blocks. What can I do?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Emphysema is chronic progressive lung disease. It is further worsened by respiratory tract infection. So your current symptoms are due to worsening of emphysema. So you should take inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone) regularly. Get done PFT (Pulmonary Function Test) every six monthly to know the progress of disease. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i get sick to my stomach after eating at times and just out of the blue. And i have been eating a lot more than usual, i am on the birth control shot and my cycle is not normal so i spot a lot. I get sharp pains through my stomach once in a while, and in my privates after intercorse but i took a pregnancy test and it was negative. Is there a chance i could be pregnant?", "output": "Hi, thank you for your query, the fact that you are experiencing irregular periods and spotting and also cramping is a sign of the side effects of the birth control.it means that your birth control method is not suited for you. These are not the signs of pregnancy. But still if you want to be sure, you can undergo a blood test.I would advise you to consult an OB/GUN to change your birth control method. Thank you, wishing you good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good evening Doctor,My Sister, who is 18 years old she had a sevear back pain excatly where the hip curve start, she used to do skiping regularly when she was 8 years. Now whenever she try to get up straight or by side she gets sevear pain on back with \"tak\" noice.last year i took her to some doctors, after massage she was fine. but now again she experiance the same pain with noice.please suggest me which doctors would be fine and what excatly the problem is.SincerelyMansur", "output": "HiT hank you for asking ChatDoctorI have gone through your query. Problems like osteocyte Chat Doctor. You should get a physical examination with an orthopedic followed by an X-ray of Lumbosacral spine. For such cases in my patients I treat with NSAIDs like diclofenac muscle relaxants like thiocolchicoside and neurotrophic. I also send them for muscle strengthening exercises and physiotherapy along with this. Massage is helpful also. Avoid lifting heavy weights. Hope this may help you. Let me know if you have any further query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 23 month old daughter has a recurring fever that appears to go away while she is on antibiotics, but then comes back anywhere from a couple of days to a couple of weeks later. She has been on antibiotics three times in the last two months. We just finished the most recent round Friday and she immediately began running a fever again on Saturday. What could be causing this and how can we efectively treat her?", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query your daughter is having recurrent fever which is due to impaired and reduced immunity of your body. Need not worry about it. Take antipyretic Chat Doctor. Visit general physician once and get it examined to find out the cause of fever after thorough investigation. If required request your physician for any lab tests which may be required and start treatment as per that. You can take Cronin as well every 4-6 holy. You should take Metal P tablet as well. If symptoms still persists go for blood tests and then start treatment as per that. Avoid cold carbonated beverages. You should get immunoglobulin level tested as well. Hope your concern has been resolved. Get Well Soon. Best wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had a severe cough x s 5 days. 4 days ago I started getting a severe burning sensation to the left of naval area when I cough, breath deeply or lay on that side. I also feel blaoted on left side, around kidney area as if there isn t enough space as usual. I have had kidneys stones and the burning is different.", "output": "HelloAccording to your query it seems that you are having two troubles. As you mentioned that you are an old case of renal stone. While cough, which is severe in nature is for 5 days. This cough may be due to some allergy or due to some infection. Physical examination by a physician will decide the type of cough. While burning sensation in naval area is due to renal stone. Bloating, burning sensation may be due to pain in stone. In my opinion consult a physician and get his opinion as physical examination is important. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son has a lump on the side of his neck that is very close to his jaw line where his jaw meets his ear, about one inch in diameter, pink in color, hard composition, and painful to the touch. Any ideas as to what this might be? My son has no known allergies but did have dental x-rays this morning for the first time. Could this be a reaction to the radiation?", "output": "Hi, Welcome to Chat Doctor. This could be Mumps Parotitis with preauricular lump in your sons neck just closet the jawline, as its painful and hard. This is not a reaction to the dental x-ray which your son had. Other possibilities need Second opinion from a Surgeon. I would hence suggest consulting a Surgeon and if need be decompressed the painful lump. Hope this would help you to resolve your query. Else Contact with a Followup Premium question to ME. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. Welcome with any other further query in this regard. Good Day!! Chat Doctor. S. Genl-CVTS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have this pain in left upper arm for a long time. MRI showed my rotor cup isn t the greatest but there is a small tare in tendon where the muscle is. The orthopedic suggest I get shotsbut how will that heal the tendon, I am right handed also and haven t injured my arm. Any suggestons?", "output": "Welcome to Chat Doctor I have gone through your query and understand your concern. You have small tear in tendon. It will heal with rest, so it is advisable to do as less work with your shoulder as you can. Vitamin B and C help in healing. You can take analgesic such as ibuprofen for pain relief. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My dad (68 yrs old) just recently went through radiation for tounge cancer. He finished his tx about a month ago, which was after he had the very small mass removed. Last night he noticed a small, pea sized, non-painful, not raised lump just below the skin in his right armpit. Also the same side he had the radiation on. It doesnt feel deep, just below the skin. No pain at all, he only noticied it when he was washing up. He had a negative pet scan just before his operation. Please tell me this isnt anything to worry about!!! It seems like we just finished going through this horrific diagnosis and I feel we are starting over at day one.", "output": "Welcome to Chat Doctor .1. The lesion in the armpit / axillary region, non-painful lump after the treatment for the carcinoma tongue - most possible cause could be lymph nodal enlargement.2. Lymph nodal enlargement is seen after any infection / inflammation / malignant causes and any systemic diseases - treat them if you are aware of anything.3. At this moment I would suggest a contrast enhanced computer tomography to see the postoperative site to confirm there is no recurrence.4. An ultrasound to confirm the lump in the axillary region, its source and nature of the lesion solid / cystic, FNAC - fine needle aspiration cytology - to evaluate the kind of cells.5. At this point i would recommend to folio the steps - and a regular followup. Good luck. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 14 month old daughter has a luiquidy lump on the base of her skull, left side and is touching her fore arms and crying out. Also grabbing her toes and sorta whinning acting as if she was in pain. I have a Dr appointment tomorrow but cant sleep tonite or stop thinking about what could be going on", "output": "Hi, dairy have gone through your question. I can understand your concern. She may have some benign cyst like Desmond cyst, or she may have some abscess formation due to infection. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I recently had pain in my front in between my rib cage when I would sit up and also lower.. It would hurt when I cough or laugh that lasted a week it s been two weeks and I ve notice my left rib cage is like half a inch higher than my right ,, it doesn t hurt really anymore it seems the pain is in my back now,, what could this mean? And should I go see someone ?", "output": "Hi and thanks for your query, Its actually an issue of concern. Cough a rib cage pain usually indicates an issue with the thoracic cavity. This could be an infection of a deformation. However, it's not certain whether your measurements were accurate or not. It is imperative for you to a chest X-rays, and get your lungs and sputum checked. This could be a lung infection or a pleural effusion most of the time. I suggest you take an appointment with a pulmonologist for a proper evaluation. Thanks and best regards, Luchuo, MD." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I am a 20 year old woman. I have been getting lower right abdominal pain recently, and I went to walk-in clinic and did a urinalysis test. It is not appendicitis because its a different pain from that. Doctor said my urine has a lot of white cells and that my bladder is infected. He gave me antibiotics to cure it. But I do not have any other symptoms of bladder infection (urge to urinate, blood in urine, etc) except for bladder pain (lower right ab). It is now hurting my right back, pelvis, and upper legs of my right side too. I sometimes get pain in my lower right ab where my right bladder is, when I urinate. The right side of my bodys pain goes on when I am lying down, too. Would it be better to go to another doctor? Or get a CT scan or ultrasound? Do I have bladder infection??", "output": "Welcome to Chat Doctor. 1. The possibilities in this case will be repeated UTI or any calculus in the right lower ureter. 2. As your history suggest the pain gets ease off after passing urine - suggest possibilities of any calculus in the kidney or ureter. 3. In this case It's recommended to get an ultrasound abdomen and pelvis - to evaluate the kidney and urinary bladder. 4. Infection features in the urine also seen in case of the calculus. 5. Some time after the antibiotic course of UTI - the intestine does give some discomfort and pain. How so ever I recommend to get Ultrasound. CT is unnecessary radiation. Good luck. Hope I have answered your query,anything to ask ? Do not hesitate to ask.http://doctor.ChatDoctor .com/doctors/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I got hit on the inside of my left foot above the arch, right below the ankle with a softball about 3 weeks ago. Still have slight swelling and pain, I noticed a hard knot where I got hit. Do I need to see a doctor or will it take more time to heal? Thanks.", "output": "Hello, As you got a hit by a softball about 3 weeks ago and there is no change in the pain I will advise taking an x-ray as it may be a hairline fracture and needs attention. Usually, post-injury it is advised to follow the RICE protocol. Rest Ice Compression Elevation. This protocol is advised to be followed so that the x-ray taken later should show the injury. But usually, it is followed as a treatment and the actual cause always remains untreated. I will advise taking an x-ray, use cr\u00eape bandage and keep the limb elevated. Post which the necessary measures will be taken. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, Im 23 years old and due to give birth with my 3rd child next week. Im experiencing rectal pain and lower abdominal pain. Im feeling very mild, if at all, contractions in my stomach. Although I was spotting yesterday, Im not spotting today. My mucus plug came out this morning. I have felt much less movement these past two days but I can still feel my baby moving. Any suggestions? I dont want to sit in the ER all night if I dont have to. I havent had any complications with any of my pregnancies this far.", "output": "Hi. Thanks for your query. Noted your history of having the third delivery in next week, and you have got rectal pain and pain in the lower abdomen which are basically mild abdominal contractions. Since the mucus plug has eased out, it is possible that you may go into labor pains soon. The rectal pain could have been due to anal fissure and is common at this stage of pregnancy. I would advise you the following considering all the points you have mentioned. Site bath in a warm water, will ease the discomfort. Wait and watch and report to the Doctor, or your center for delivery the moment you feel pains. Wishing you all the best for your delivery and" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, when Im in bed I feel my legs like heavy, and in the past weeks I been feeling also like my face heavy and pain in my chest(I used to have panic attacks)Im 37 years old, My Father passed away when He was 45 from a heart attack, and Im not obesse, My height is 56 and my weight 88 kilos(184 lbs) bt my constitution is musculed because I work out a lot. So Im in danger of a stroke? THANK YOU", "output": "Hi, The history of heart attack to your father at 45 years makes you a high risk for heart attack. Definitely you require a heart checkup. The heaviness in your legs face may not be because of heart disease. But sometimes thyroid hormone abnormalities may cause these problems. So to evaluate for heart disease get your routine ECG Treadmill stress test and Echo done along with blood test for lipid, thyroid test, kidney function test and blood sugar. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor,My Daughter aged 3.9 is having Adenoid and allergy problem- ( both tests are done). She was hospitalized at the age of 2.5 yrs for RTI and intravenous was given for5 days. there after, I tried homeopathy- it failed and since March 2010, she is under regular medication of Seroflo/ Budecort puff . When ever, the intensity of cold is high , she takes asthaline puff and steroid syrup. With that she improves- but again the problem reoccurs within a month and almost in every two months I need to give her steroid syrup. The ENT is saying to go for adenoid operation while, the pediatrician is saying not to do it before 6 years. Snoring is relatively much less compared to her earlier ages, sleep at night is normal, though she gets spell of coughs 3-4times in sleep, weight is good and activity is normal except when she gets the acute attack of cold- that time she is very irritated, aggressive--. Please suggest", "output": "Hello. Thank you for asking at Chat Doctor. I went through your daughters history and understand your concern. I would like to make following suggestions for her:1. As long as her current treatment, I would agree with most of it.2. Regarding need for removal of adenoids, I would agree with your pediatrician that efforts should be made to preserve adenoids up to age of 6 years as they important for a children immunity. 3. I would like to emphasize the importance of device and technique of using inhalers (Aeroflot/Decor). If they are not perfect, the Chat Doctor. In my opinion, for a 3.9 year child, metered dose inhaler with spacer with mask is the best inhaler equipment. Please make sure her technique of using the inhalers is perfect by reviewing it in presence of your pediatrician. Also, regular cleaning and changing the spacer every 6 months is advisable.4. Were I treating her, I would add regular montelukast in above treatment, which may improve her symptoms and reduce need for repeated steroid requirements. 5. A healthy diet rich in vitamins & minerals (adequate amounts of green leafy vegetables, fruits, sprouts, etc.), avoidance of the allergens (to which she is allergic) and avoidance of dusts & smokes are also important measures for her. Hope above suggestions will be helpful to your daughter. Wish her the best of the health and a bright future ahead. Should you have any further query, please feel free to ask at Chat Doctor. Thank you & Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Had root canal on last molar 12 days ago - 1.5 hrs. in chair with mouth open - TMJ flaired up and now have trismus. Cant open mouth more than 1 finger - cant chew - headache and earache all the time - cant even brush teeth. Hurts to chew anything at all. Am losing weight from not eating. Endodontist said there was no infection in the tooth he did the root canal on, but regular dentist prescribed antibiotic and muscle relaxer -- both of which make me nauseous, and make headache worse, and give me diarhrrea without helping at all with the pain. Am doing cold compresses every 15 min. and exercising jaw as much as I can. How long will I have to go on like this and what more can I do. I cant get crown on root canal tooth until I can open my mouth. I also have bruxism.", "output": "Thanks for your query, I have gone through your query. The limited mouth opening and pain could be because of opening your mouth for long time and bruise leading to disc displacement in the Temporomandibular joint. Consult an oral physician and get it diagnosed. You can take anti-inflammatory Chat Doctor. You can also take muscle relaxants like chlorzoxazone. Furthermore, you can give hot fomentation over the joints. Do not eat hard things, do not open your mouth too wide. Take soft diet. Give rest to the joint. For nausea and omitting you can take an antacid like sanitizing and risperidone respectively. If all these won't work, then you have to get a splint done. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi im actually enquiring for a friend who is getting quite anxious and worried because he s had aching arms and legs and also a sore back (but he has had that a few times before!), he reckons his arm hurts even in bed, apparently he feels it started about 3 weeks ago and getting worse. he, by the way he explained it, went to the doctor for a check up and she did blood tests, (i think for basic cholesterol and stuff because it had been awhile) but from what i can gather this was about the time it started and im thinking she wasnt testing for these symtoms. He is actually my ex , but we are still a big part of each others life and have 2 grown up girls, and he may have forgotten but my daughter reminded me that he was actually whinging about sore muscle a few months ago, but not this bad. He is 55 very active but a drinker and heavy smoker, but when he has had check ups in the past has come through remarkably well, as far as heart, cholesterol and blood pressure. he has got himself thinking that somethings really wrong, i told him to go back to doctors asap and get more tests for these symptoms, he has had the same doctor for many years now! what do you think??", "output": "Hi, I read carefully your question and would explain that his symptoms could be related to inflammation or articular pain from a bulging disc. That is why, I would recommend consulting with his doctor and performing some further tests:- complete blood count, PCR, sedimentation rate for inflammation- muscular enzymes (CPK) levels-blood electrolytes, for possible low calcium levels-vitamin D plasma levels - a nerve conduction study for possible neuropathy - a thoracic lumbar spine X-ray study. You should discuss with his doctor on these issues. Hope to have been helpful. Best wishes, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was diagnosed with Lyme s Disease today after several years of going through many other tests and treatments. Now what? I have experienced fatigue and some of the other symptoms for 8-10 years. Do physicians recognize this and can it be successfully treated?", "output": "Hello, Welcome to Chat Doctor, I think You may suffer from a chronic Lyme disease. Some patients after treatment with antibiotics have symptoms that last months to years. This condition is called Post-treatment Lyme disease syn Chat Doctor. The reason of chronic Lyme disease is unknown. In my opinion You should contact Your primary care doctor and let him or her check you. Treatment for chronic Lyme disease is often focused on reducing pain and discomfort cause by symptoms like:low-dose antidepressants, sleeping pills, exercise,stress reduction. Hope I have answered your query. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello...I had heat rash on my face several days ago, then a couple of days later my scrotum and foreskin became inflamed and swollen...I went to see a doctor who prescribed an antibiotic and some bacterial cream but nothing has changed after several days. Can you advise or suggest anything? Thank you. Richard", "output": "Hi I am Chat Doctor and I will help you with your problem have gone through your question. I need some further information to reach a suitable diagnosis-How you noticed the swelling?- Is Swelling in the scrotum or extending above into the abdomen?- Is it painful and does pain aggravates or relieves on elevating the scrotum?- Does the swelling transilluminate?Anyhow, with available information it appears to be orchids or epididymo-orchitis. If a patient walk into my clinic with similar complaints I will investigate the case with blood complete picture, urine routine examination, and ultrasound scrotum. After making diagnosis and if it appears to orchids or epididymoorchitis, I usually prescribe tab ciprofloxacin 500\u00a0mg 1tab 12hourly, cap doxycycline 100\u00a0mg 12hourly, paracetamol 500\u00a0mg 2tab 8hourly and scrotal support. Patients are usually symptom free in 5-7days. I hope it will help you. Do rate my answer if you like it. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Doctor I had severe pain in upper abdomen twice in a month and was hospitalized for it.I had my gall bladder removed in 2004 and b duct channelized after one month.My present SGOT 73,SGPT 217,ALKALINE PHOSPHATE 160 AND GAMMA GT 309U/L.I have lost weight around 7-8 kg from last 6 months.I have done CT SCAN Liver mildly enlarged,spleen mildly enlarged,pancreas normal,ultrasonography shows mild spleen enlarged.The dr is saying to do MRCP.PLEASE ADVICE.", "output": "Hi. Since your Liver function tests are increased you need to undergo MRCP- this will help us more towards a proper diagnosis, and it is possible that you may need ERCP to have an additions diagnosis and therapeutic too in the for of Sphincterotomy and stenting if need be arisen. You also have to continue hepato-protective medicines, Folic acid, multivitamins, have diet as advised by your dietitian to suit liver pathology. Also get kidney functions done. This should help you a lot. Take bed rest till you are fully recovered. No outside food should be taken." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Tightness back of my chest(upper back). Feels like muscles are tight in my chest. Left neck pain with lump along the veins. Head pain. Anxiety. Fatigue. Pain under rib cage. Tightness in left chest(around heart). Bloating. Indigestion. Muscles pain. Heart result was normal.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you are mostly having HERD (gastroesophageal reflux disease). It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause chest tightness, bloating, indigestion and burning epigastric pain. For his swelling in neck, ultrasound examination of neck is needed. Because neck swelling is mostly due to enlarged lymph node. For better symptomatic relief in HERD, follow these lifestyle modifications. 1. Avoid stress and tension. Avoid hot and spicy food. 2. Avoid large meals, instead take frequent small meals. 3. Start proton pump inhibitors and prokinetic Chat Doctor. 4. Go for walk after meals. 5. Keep 2-3 pillows under head in the bed to prevent reflux. Since these " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello I had a question. I m pregnant with my second baby. My first pregnancy I was diagnosed with having low blood plates. Throughout the pregnancy they went down further and further. When I went in for my induction they were at 60,000. I tried for a natural birth but ended up having to have a c section. They really didn t want to with risk of me bleeding a lot. But I ended up bleeding normal. Well I just went in the other week for my first appointment and they checked my blood and said that my blood plates are already down to 120,000. I know the normal is 150,000. So my question is if they end up being so low again s my risk really high again? Or since I bleed normal the last time I will do so again? And I m probably going to have to do another c section and I m scared. Could I try for a natural birth? Just curious. Thmks so much.", "output": "Hi, You probably have a condition called Gestational Thrombocytopenia. In this the platelets count comes down due to pregnancy, but after delivery it goes back to normal. So you need not worry about, and if counts are above 50,000 it is generally considered safe, with no extra risk of bleeding. But before we diagnose gestational thrombocytopenia, we need to rule out other causes of low platelets like pregnancy induced hypertension, immune thrombocytopenia which can affect the pregnancy. Do you have a high BP? Edema? Tendency to bleed more? With one previous cesarean you can definitely try for vaginal birth after CS. The chances of success are close to 75%. If you have gestational thrombocytopenia it is unlikely you will bleed in excess after delivery. But it would to be wise to deliver at a center where blood and platelets are readily available if required. Hope this helps. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am a 27 yr old female who currently in pain due to an infected tooth n root. I have an infection in one of my premolars and I cant get a root canal at the moment. The only health issues I hve is asthma,seasonal allergies,along with food n allergic to penicillin vicodin n latex. I am currently in dental school and my teacher says I need to treat the infection first so I am wondering if I take Erythrocin as an antibiotic will it help treat the infection until I get a root canal. Also what else can I do for the pain while it heals? How long do I take the antibiotics for? And last what are the possible side effects for going too long with an infected tooth and roots? Please help this woman in pain :-(", "output": "Hello, Thanks for consulting ChatDoctorRead your query, as you have infected tooth, and you have toothache I will suggest you to go for Root canal treatment as early as possible that will give you relief in pain, as you are asking to take antibiotic course of medication that will give you temporary relief in pain. You can take medicine Amoxicillin course of antibiotic with analgesic Paracetamol, you can take vitamin B supplements, do warm saline gargle two - three times a day and go for treatment as early as possible. Hope this will help you. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had some knee pain on the inside of the knee on my right knee for almost a month now. I have been icing it from time to time to help as well as resting it when I can. It isn t getting any better and it causes me to limp when I walk from the pain. Should I go in to the doctor, or just continue to wait?", "output": "Hi, Thanks for your query. Although it isn't possible to diagnose your condition without an examination and a few tests, your history is suggestive of osteoarthritis both knees. Often called wear-and-tear arthritis, osteoarthritis occurs when the protective cartilage on the ends of your bones wears down over time. Osteoarthritis treatments can slow the progression of the disease, relieve pain and improve joint function. I would suggest getting this evaluated by an orthopedic for detailed examination. You may get the X-ray/MRI, some blood tests and joint fluid analysis under his/her guidance to reach the accurate diagnosis. The following measures will help with the paid regular Exercise. Exercise can increase your endurance and strengthen the muscles around your joint, making your joint more stable. Stick to gentle exercises, such as walking, biking or swimming. Lose weight if you are obese-Being overweight or obese increases the stress on your weight-bearing joints, such as your knees and your hips. Even a small amount of weight loss can relieve some pressure and reduce your pain. Use heat and cold to manage pain. Both heat and cold can relieve pain in your joint. Heat also relieves stiffness and cold can relieve muscle spasms. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a kidney stent fitted 3 years ago and then the kidney was removed a few months later. I had a hip xray today and it showed the stent still there. Should it be? I sometimes get a pain where my kidney should be, I urinate more often than I should and am always getting water infections. Is this because the stent is still there?", "output": "HelloThanks for query. It is rather amassing to see the stent in renal unit after removing kidney (Neurectomy). The only possibility one can guess is that surgeon has not removed entire stent while doing Neurectomy. Pain in abdomen and increased frequency for urination are mostly due to infection and foreign body reaction to stent. Please consult concerned Urologist for Endoscopic examination of bladder (Cystoscopy)and get the stent removed. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I think I am having a severe reaction to alprazalam. My doctor prescribed 1mg 3x day in order to stop a cycle of severe anxiety along with costachondritis. His theory was that I try to sleep 19 hrs per day to break the cycle. It has only allowed me to sleep for a day and a half. Last night I took 1.5 mg and slept for 3 hours. I have lost control of my bowels with diarrhea, i am irrationally sad and very irritable. I have had the pills taken away from me due to thoughts of harming myself. What should I do?", "output": "Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. I am sorry to say, but I have never come across such a treatment protocol where a patient is slept through to cure anxiety. This is a disorder of anxiety and occurs cause of imbalance of certain neurotransmitters in the brain. Especially serotonin, nor a Chat Doctor. Medicines are the best options to take care of these symptoms. Paroxetine is the most popular medicine and my " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had breast cancer 2 years ago and have just come off tamoxifen and put on A I inhibitors. As a result I had a base line dexa scan this morning. The radiographer asked if I had pains in my spine as it was showing something abnormal. I have to wait 2 weeks for results and am now convinced that I have a bone tumour. Can a dexa scan pick up bone cancer?", "output": "Hi, Thanks for writing in. A DEXA scan gives bone mineral density that is calculated with the help of low intensity X-rays. The usual measurements are made from the spine and long bones. Short for dual-energy X-ray absorption, the DEXA scan who's the chances of osteoporosis or bone fractures. This scan can also help detect if cancer has metastasized, or spread, to the bones. When cancer spreads to the bone then the bone density changes as there is weakness. Rarely bone density can also rise. This activity happens in a focused area and is able to be detected on the DEXA much before it is seen in the X-ray. The radiographer asked you if you have pains to be certain if any particular area requires assessment in detail. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "SIR MY MRI REPORT IS PARTIAL COLLAPSEOF D12 IS SEEN HAVING IRREGULAR SUPERIOR END PLATE WITH RITEROPULSION OF FRACTURED FRAGMENT CAUSING CANAL STENOSIS 9MM COMPRESSION OF THECAL SAC&CORD PARENCHYMA MILD ENCROACHMENT OFB/L NEURAL FORAMINA & INDENTATION OVER B/L EXITING NERVE ROOTS.PARTIAL COLLAPSE OF L3&L5 ARE SEEN HAVING NORMAL MARROW SIGNALS.ADV.PHYSIO", "output": "Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. This condition needs decompression and Posterior Stabilization Please consult your Neurosurgeon at the earliest Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in Chat Doctor at http://bit.ly/ask" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "this is suhaib actually 2 days back i have taken chicken in dinner at that time maybe one or 2 piece of chicken bone went inside . but i m not sure it was happen or not but i m having pain in my chest can u give me suggesting what medicine i take ?", "output": "Hi. I can understand your concern. It would be advisable for you to get a chest x-ray done. Consult a pulmonologist for the same. HERD also can cause similar symptoms. Also eat small frequent meals instead of large meals. Exercise regularly, do not lift heavy weights, keep your head end elevated by 2-3 blocks or pillows, give a gap of 2-3 hours before you sleep after your innermost worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m having severe pain in my upper somewhat inner right thigh. It began last night and the area of pain has increased. There s no bump, bruise, etc in that area. It does somewhat feel warm to the touch. It hurts to put pressure on my leg, but it only makes that one area hurt! It also makes that area hurt when I cough. I have a fily history of blood clots so I was curious is there was any chance it could be.", "output": "Hi, thank you for providing the brief history of you. A thorough neuromuscular assessment is needed. As you mentioned your symptoms there are two possibilities -1. Lumbar spine degenerative disc disease 2. Vascular insufficiency your symptoms guide more towards the 1 and for which you can get assessed by a physical therapist, orthopedic specialist or a neurologist. If the clinically performed test comes positiver than an MRI will assist to see the soft tissue status in the lumbar spine. If the clinical test fails than a Doppler will be performed to assess the vascular insufficiency. For the condition 1 and 2 the treatment guidance will be almost similar with variation of medicine and exercises treatment includes - rest, medication and physical therapy. My personal experience teaches me that it looks more of a condition 1 which I mentioned and undergoing MRI followed by Rest, medication and physical therapy to improve the core, pelvic floor, spinal and lower limb muscles. 99% success rate I have seen in patients witChatDoctorbination of this plan. In case if it is vascular insufficiency issue, then also the combination of rest, medication and physical therapy has provided me a 99% success rate. I wish the same results from youRegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi im a teenager in 20s, i experience extreme sensitivity and pain on my penis head, when it erects and i pulled the foreskin back to expose the penis head, ive seen in adult contents that they have sex with the penis head exposed and not feel pain. Please help me.", "output": "Hello, The penile head is naturally sensitive and that is the reason you get the pleasure when you have sexual intercourse. You are feeling irritation and pain on the penis head because you are touching it bare. When you have sexual intercourse, vagina will be filled with lubricating liquids. In that case, you will never feel irritation or pain. Instead, you will feel more pleasure. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. V. Anand, Psychologist" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have intermittant aches and pains in my right arm and shoulder. The discomfort moves up and down in no discernible pattern and is often most discomforting at night. There has been no trauma or injury. The pain can best be described as the ache experienced when bump your crazy bone .", "output": "Hello, Intermittent pain in the right arm may be due to arthritis of the shoulder joint or rotator cuff injury or muscle spasm or fibromyalgia etc. Until examination is done, it is difficult to say what it is. Please get an X-ray of the shoulder joint, clinical examination of blood sugar and neck X-ray. Use cold and warm compression, use tablet Pantoprazole before breakfast for one week. Use tablet Zanaflex once a day for five days. If symptoms not improved, please consult your doctor, he will examine and treat you accordingly. Hope I have answered your query. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 19 years old. I am very healthy with my eating and very active I am a professional dancer. I have been smoking for 4 months cigarettes only 1-7 a day. I stopped 4 days ago, and am now having a lot of coughing, spitting up flem, scratchy lungs, and sore throat, and low energy. I just want to know is it possible that I have lung cancer.", "output": "HelloThanks for the query to Chat Doctor. Forum. Cough, scratchy lungs, expectoration (phlegm) sore throat, 19 years age, smoking history, these symptoms may be due to .1 Asthmatic allergic bronchitis (smokers cough), diagnosis can be confirmed by physical examination (as due to bronchoconstriction there develops whistling sound, tightness in chest) . Due to allergy to smoke there develops cough with infection causes expectoration.2 Bronchiectasis, diagnosis can be confirmed by X-ray chest .3 Tuberculosis, diagnosis can be confirmed by sputum examination with X-ray chest. In my opinion this is not a case of lung cancer but deal according to above-mentioned reasons. So consult a physician and get his opinion. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, i ve had a pain in the inner side of my ankle (of my right leg) as well as tinging/pins and needles in my right foot for about 2 hours now, and i haven t been doing any exercise or anything that could have damaged it. what could it be and how could i stop the pain?", "output": "Hello, The tingling and pins kind of sensation is referred to as nerve entrapment. Kindly take the McKenzie maneuver position and see if the symptoms reduce. If it does then its nerve root entrapment in the lumbar spine. You can also check the McKenzie maneuver online. Once we find It's related to nerve entrapment, I will advise you to head for MRI lumbar spine and see the possible soft tissue injury associated. Post this, stability exercise, spinal muscle strengthening exercises, hip muscle strengthening exercises, and lower limb strengthening exercises will help improve the overall condition. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello i have back pain on the left side just above my hip area . i couldnt sleep for the pain last night and woke after brief snoozes drenched in sweat. i have a curvature of the spine and have been told i have some damage to the bottom of my spine but was not recomended any treatment. thank you", "output": "Hi Thanks for the query back problems are very mucChatDoctormon nowadays due to the lifestyle modification like working for prolonged times in sitting position and lying posture on mattresses and weight gain. The resulting pain due to the spinal cord compression in the lower vertebrae known as lumbar and sacral vertebrae. Which causes pain in the hips region and with further progression the pain may radiate to lower limb and in severe cases it may cause paralysis of the limb with loss of sensations. The aim of the treatment is to relieve pain and subside the inflammation along with the improvement of the nerve health. The recommended medications are the painkillers or anti-inflammatory Chat Doctor. Vitamin B complex is very much effective in the nerve health. Muscle relaxant like pseudoephiderine and physiotherapy are very effective. Steroids also have a very good effect however the above medications should be used only after the prescription of the certified doctor of your state. ThanksRegards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I ve had CLL for the past 12 yrs. My WBC have been between 18,000 & 22,000. On June 2012, it was 21,000. I had a bad upper respiratory infection in Oct 2012. My PCP put me on antibiotics. He also recommended that I have a full blood test. My results showed that my WBC spiked from 21,000 to 30,000. He ordered another test and was tested 6 days later and my WBC went to 35,0000. He recommended that I see a Hematologist and referred me to the Norris Cotton Cancer Center in Manchester, NH. This hematologist is one of the best in NH and he has also done a lot of research on his own. The hematologist ordered a complete blood test of my blood. My WBC spiked to 51,000 from Dec. 18 to Jan 2nd. . The hematologist concluded that my globulin level was low and that was why my WBC spiked and are keeping rising. I m starting treatment next Thursday with IV globulin treatment. He s recommending that I have 6 treatments. I m relieved that s it s not chemotherapy. I would like to know if I have to change my lifestyle during the treatment, is it going to affect my work, and or sports? I don t have any ailments from CLL, like lymph swelling, fever or anything like that. The only thing I know is that my counts are high and are increasing. Otherwise, I don t have any symptoms. I would also like to know if this treatment will reduce the WBC. I m under the impression that because my globulin levels are low, it s causing my WBC to rise. Also, once I conclude this treatment, are my WBC go back to normal? Please advise. Thanks.", "output": "Dear , Thank you for genuine query. Normally CLL does not require any treatment until it is symptomatic. Blood counts do go up when there is reduction in the body immunity which is a common problem in CLL. In the infective stage it is not the lymphocytes but granulocytes which increase in number to be verified by DLC. Immunoglobulins will definitely increase your immunity to infections and WBC count may fall if it is infective nature but if your counts still go up you need to undergo proper management." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a pain around my tailbone area (coccyx?) as well as a discharge and am wondering what services I should seek? This has happened in the past. Sometimes short term, once severe and a doctor opened the area, packed the wound with a gauze that left the area open to drain. What are my options? what is this?", "output": "Hello, The symptoms seem to be related to colonial cyst. Colonial disease is a type of skin infection which typically occurs as a cyst between the cheeks of the buttocks and often at the upper end. Symptoms may include pain, swelling, and redness. I suggest using painkillers such as Ibuprofen to relieve the pain. I also suggest using warm compresses to help the Chat Doctor. You should keep the area clean and " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 70 and in excellent physical condition...I have had severe to moderate achy pain in my left upper back that wraps around to my left front. Years ago I had a gastric ulcer and the pain seems similar in some respects as it wraps around to my stomach area. I want to press hard against my upper back area for relief or lie on heat....any thoughts?", "output": "Hi, Welcome to Chat Doctor forum. The causes for such pain may be the lung infection, muscular pain, arthritis of the shoulder, or gastric hyper acidity, Lately cardiac involvement. I advise you to consult a physician for diagnosis and treatment. You may need to have an ECG, ultrasound, and X-ray, of the shoulder for diagnosis. Take more of green leafy vegetables, pulses, sprouts, and protein rich foods to hasten the recovery. Wishing for a quick and complete recovery. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a female 86 years old. I have had sores in my mouth and gums for several months. I have been to 7 doctors and none of them can cure me. They have given me oral mouth wash solutions, none have helped. one physician said they my condition is common with females my age.", "output": "Hi, Welcome to Chat Doctor .com. I had gone through your question I can understand your concern about your sore mouth. As per your history you only had a complaint of sore mouth. If it is only painful and no other lesion associated you can use analgesics gel (DICLOFENAC gel). If you have red or white patches on it, it may be candidiasis (fungal infection). Or it can be any of the autoimmune disease too. You can upload some picture or email me at Chat Doctor. Com, so that I can guide you better. Hope my answer will help you and visit us back if you have any questions further. Regards " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my son is 2years old. he has fever .cold, cough,sneezing episode for every 20 days . he is 10 kg weight only . he had primary complex treatment for the past 6 months .and the treatment ends on may 1st. but he has still having ,running nose ,cough and fever . doctor adviced to take mox clav and omnacortil tablet . every time doctor prescribe the same thing . i am worried about how frequently can we give omnocortil and antibiotics", "output": "Thank you for asking quarry.first recurrent cough cold can be indicator of allergic tendencies.every time you don't need antibiotics and omnacortil off course. Antibiotics are indicated in only bacterial infections or super added bacterial infection in viral fever. Also don't give omnacortil frequently assess the child regularly with your physician, and he may need preventive therapy for allergic tendencies. Hope this is helpful to you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I fell over eleven days ago landing on my bottom. My left arm went back but didn t hit the ground however i had immediate pain and couldn t move it due to pain. X-ray showed no break. Had an ultra sound yesterday plus more X-ray which showed over the neck of the humerus there is a small break in the bony cortex consistent with a fracture I have very impressive bruising down the inside of my arm. My question is why can t i move the upper part of my arm i can t move it forward or if lying down i can t left it up. Thanks", "output": "Hi, thank-you for providing the brief history of you. A thorough musculoskeletal assessment and Neuromuscular assessment is advised. As you are having difficulty in lifting the upper limb up whole sitting, standing and lying a thorough assessment is advised. Also, you have a small. Break at the neck of the humerus undergoing a CT scan can help us understand better the bony strength and weakness. As the muscles of the shoulder girdle are weak Due to pain, you may face the issue with not able to lift the hand up. Performing slow isometric exercises under a physical therapist should help you regain the strength and ROM of the shoulder joint. Also, as the session proceed further the exercises will be changed from isometrics to isotonic. In my clinical experience this should take about a week or two to get rid of the problemRegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Sir, I am Satveer Singh and my age is 23. My height is 5\"10\". My weight is 80 kg. I have a BALANITIS deseise due to fungal infection on the head of my penis. It also has redness on it. The size of my penis is also not normal. Its about 4 inches. I never had sex with girl. Please give me the solution..", "output": "Hai, First clean your genital area with some antiseptic soap or solution. Do retract your skin above your glans penis and wash it clearly.I advise applying antifungal cream in and around the penis area for 4 to5 days. Keep changing your inner wears and do wash it in a sterile way to avoid transmission of infection.no need to worry about your size of penis. Follow a hygienic way to keep away from infection. Thank you hope I answered your query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello my daghter today said when she got home she said that today at school she kep haveing coughing fits and couldnt stop them she said she tried cough drops and she said that they didnt work. What causes coughing fits and what can we do to provent them or stop them", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Sudden onset coughing fits are mostly due to acute allergic bronchitis. Allergen (dust or pollen or chemicals) exposure in susceptible individuals cause bronchoconstriction and coughing. So in my opinion, you should get done allergy testing in your daughter. This will find out possible allergens in her. Try to avoid these allergens to prevent coughing fits. Hope I have solved your query. I will be happy to help you further. Wishing good health to your daughter. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "what good does an arhtiris panel do when you already know you have it wouldn t it be better to see what is causing the arthritis ie, mycoplasma test and vitamins that are known to be depleted the test may be useful for the doctor but itdoesn t tell where the inflammation is and most likely when i am in remission i cannot go and get a test so it always looks like i am doing badly in my medical records and no one seems interested in what is causing it", "output": "Hi, thank you for providing the brief history of your case. As you mentioned you have arthritis - this means there is a degenerative change in the human body which leads to arthritis. Since you haven't mentioned whether it is osteoarthritis or rheumatoid arthritis I will explain the both in detail which are the most common ones. Osteoarthritis - the terminology itself indicates that the bone is involved Chat Doctor. Now coming to explain to you what causes arthritis - Arthritis is the degenerative changes happening in the human body. This degenerative changes are called the wear and tear of the cells. Example is - when you buy a new shoe and use it for 2-3 years and later your shoe will have the wear and tear. You cannot expect the shoe to be the same after 2-3 years of constant use. As I said, degenerative change is a natural phenomenon which cannot be revered and also there is no particular test we need to confirm the arthritis. Also, to help you better during arthritis there are medical treatment directed towards the symptoms and its relief. As medicine acts as a supportive system for the symptoms to lower, as this will allow the body to heal of its own. Also, to mention that the body is the medicine of its own and this is also a normal physiological phenomenon. Next coming to what helps in arthritis is - along with medicine there is need to strengthen the muscles around the joint involved so that the normal joint alignment can be achieved. Any changes in the normal anatomy of the joint occurs there is a pain. Now pain is a protective mechanism of the physiological phenomena of the body. Also along with medicine and physical therapy most of the patients recover. If you have more queries I can answer, so you can ask me directly. With the grace of God I Wish you a speedy recovery regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I ve had these bumps on my but and thigh region for about 2 years now. They differ in size, anywhere from a pencil til to quarter size. They really hurt at times and itch at others. They also have pus and sometimes blood in them. Once they ve been busted they scab up and eventually go away, but more come back.", "output": "Hi.noted history of bumps in thigh. Based from your description, those maybe cystic formations (sebaceous or gelatinous type). It is best if you consult with a doctor, preferably a general surgeon, for physical examination and clinical evaluation, especially if the lesions are persistent and are bothering you. Definitive management is surgical excision of the lesion, daily wound care and antibiotic treatment. Good hygiene is also advised. Hope this helps. Good day!!~ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 11 year old child has headaches everyday for past two weeks but she gets a sensation on her forehead before the headache starts, she says this sensation feels like a nettle sting. She takes painkillers and they go away but keep coming back, she is otherwise well", "output": "Hi... Thank you for consulting in Chat Doctor. Headache in kids need to be considered serious only when the below symptoms are there -1. Vomiting continuously2. Seizures/ Fits3. Watery of bloody discharge from ears and nose4. Unconsciousness5. Altered sensorial or behavior. Without the above red flag symptoms, just feeling low energy levels points out towards Migraine and other sorts of tension headaches which are on the rise in current scenario due to excessive academic and peer stress the kids are experiencing. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor, I am suffering from allergy & as per the our family doctor advice I have started consuming Levosiz 10 1 tablet in a day since last one year and feeling comfortable now. Please let me know, how harmful to an individual health when he consinuously consumes Levosiz 10 & what pre-cautions should be taken to over come from any side effects.", "output": "Hi Venues. DEPOSIT is a 2nd generation Antihistamines which block the action of HISTAMINE(cause of allergy). So it is helpful in allergic reaction. Side effects are very few and only occurs in continuous long term use. These may be-1.light headedness2.nausea (feeling like omitting)3.sedation (increase sleep)4. Chat Doctor. Loose motions you can take it but try to take as less than possible. Best of luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I had protected sex with a girl I met in a nightclub in Zambia, she was not a prostitute. But, from the very next day I was extremely worried that I contracted HIV. I could not sleep the whole night through for weeks. 6 months after the night I had a HIV test and it came back negative. However, its been 13 months since that night and I am now sure that I am developing symptoms of HIV. I have had a dry mouth for 3 weeks now, and have raised red bumps on the back of my tongue, and I have just noticed a few tiny red blotches on my shin. pleases help I am struggling to cvope with the anxiety", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you are having symptoms of Chat Doctor. It's not a symptom of early infection and what you are experiencing is most surely due to anxiety. The mouth is an inhospitable environment for HIV and saliva does contain molecules that inhibit the virus. Your risk is even further decreased by the fact that you used protection as well. Don't panic about it, it's all your anxiety. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "having back pain nearly 2wks now and taking pain relieve after taking tablets will go away not completely and come back not sure being to the scan they say the spine is not straight not sure now my liver and intestine is kind of affected so i dont really know what is the cause of back pain", "output": "Hi, Thank you for posting your query in Chat Doctor, I understand your concern. The backache which you are complaining about is most likely due to the spine problem. By your history I assume that when they say that your spine is not straight, you might be having a condition called as scoliosis (mild to moderate) and the pain might be due to the bent spine. But its really helpful if you can give me complete details of your liver and intestine problems as you have mentioned. That ways it's easier for us to rule out the possible causes in your case. If the pain is getting relieved while taking tablets and then recurring it might have some underlying deformity. Get a X-ray done of the lower spine as well as the cervical spine and do consult an orthopedic with the results. He will be able to assess and evaluate you better. Meanwhile, reduce stress, straining yourself by excess work load, or heavy exercises. A course of physiotherapy will bring you a lot of relief, and you could sleep on a flat surface for reducing the pain. Hope this helps and answers your query satisfactorily. Do write back to us if you need further assistance, Wishing you good health. Take care, Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 1-year-old baby complains of on and off stomach pains since yesterday and passes yellow watery stools with very foul-smelling odor (twice a day since yesterday). I suspect it to be amoebiasis though I cant tell if it has some mucus in it. She was feverish last night, around 37.5C maybe, but it responded well to paracetamol. She has 1 tootChatDoctoring out. I breast fed her purely. Can it be amoeba?", "output": "Amoebic infection is unlikely if your child is purely breastfed.it could be a viral diarrhea. Ensure that you give her plenty of fluids (ORS) some prebiotics and zinc syrup.at 1 year exclusive breastfeeding may not be adequate for your children needs. You should also introduce semi solids in her diet once the diarrhea subsides you can deform the child once she is better please visit the doctor if the loose motions don't subside hope this solves your query" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I noticed a niggling feeling to the left side of my chest last night i had been playing in a band so thought may be it could be to do with blowing my instrument but i have noticed it again this morning. I am thirty four not over weight and very active i dont smoke or drink. I am generally well apart from hormone related headaches. Its not a pain but feels like a little electric wire niggling.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of musculoskeletal pain is more. So follow these steps for better symptomatic relief. 1. Avoid heavyweight lifting and strenuous exercise. 2. Avoid movements causing pain. 3. Avoid bad postures in sleep. 4. Take painkiller and muscle relaxant Chat Doctor. 5. Apply warm water pad on affected areas. You will mostly improve with all these in 1 week. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Yesterday afternoon my left arm started going dead randomlly while I was just sitting relaxing, from the shoulder down and I even got shooting pains in the side of my face and top of my arm. It s now the next night and it s now happening with my right arm help", "output": "Welcome to Chat Doctor I have gone through your query and understand your concern. As you are having pain in left and right arm. You are likely to be having numbness due to cervical spondylosis. You can get your x-ray done to see degenerative changes in the spine. Furthermore, you can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 4 yr son has chicken pox but people said he shoudnt get them in his mouth or its not normal if he does get them in his mouth, but now he has them in his mouth is this harmful/serious, i am really worried and also are they inside his body or just his mouth? ty much appreciated", "output": "Hi & Welcome. I can understand your concern. Yes, it is normal to have the chickenpox rash inside the mouth. There is nothing to worry, it will subside after 1-2 weeks following eruption. The rasChatDoctormonly appears in clusters and the common sites are on the face, behind the ears, over the scalp, on the chest & abdomen & on the arms and legs. However, the rash can be anywhere on the body, even inside the mouth & ears, on the palms of the hands, soles of the feet and inside the nappy area. Hope this answers your query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type my so complains of pain in his penis? it usually in the lower shaft of the penis and it only happens once in a while or when i give him bendyral. we went to a doctor but they found nothing wrong. so whats wrong????", "output": "Hi, I understand your concern about your child. I don't think Ben Chat Doctor. Since a doctor already examined him, and he is having occasionally vague pain, I don't think it's a serious thing to worry. If there is any swelling at the shaft or any painful urination or hematuria, then he should be evaluated. The pain might be due to tight underwear and positional compression during sleep, which can be attended easily by simple changes. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband has passed out twice , 9/18 and today. His whole body goes numb and tingly, vision goes blurry, left arm cramped, back of head pain, nausea, light-headed, hot flash, heart hurts. He passed out 9/18 and totaled his Jeep. I m scared but he is ready to die. Please help.", "output": "Hello, I have studied your case. There is possibility of transient ischemic episode leading to pain in numbness and blurring of vision. You may need clinical examination to confirm neurological weakness, BP and other vital parameters. Another probability is due to compression of this nerve root there is pain radiating to your arm. You may require MRI brain and spine. For these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, you can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Back in January I got a lump under my armpit, I STILL have it, and now red bumps have formed under my arm. I went to the health department and I got a blood test for cancer. I was fine. But now I m having pain in my shoulder and back (left hand side). It s getting worse and worse and almost constant.. I don t want to go to the e.r. if it s nothing, definitely can t afford the bill, and the blondes at the health department are. Quacks -.- any ideas on what it could be?", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have enlarged axillary lymph node. It can be due to reactive hyperplasia, tuberculosis or lymphoma. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment according to diagnosis. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have suffered for the past 10 years with psoriasis in scalp now i am using detoxifiying machine for reduce the psoriasis but there is no permanent cure please help i consult with so many doctors at all top class hospitals but no remedies. can you tell me the suggestion to cure this psoriasis", "output": "Hello, psoriasis is a chronic problem.esp of scalp...if u have met skin specialist I am sure u old have tried methotrexate tab also, otherwise it's a good med...latest is NB UVB LIGHT therapy .there are hand held combs available which can be passed directly on scalp...this is safe and good... Apart from methotrexate there are other meds also like accretion which needs to be taken under dermatologists' guidance...otherwise just try to maintain what ever results u have gained by using specific shampoos and topical lotions...regards, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi dr,iam a nurse i had my tubal ligation with my second c/s 4 years back.now my beta ChatDoctor is high,150, my LMP was on 30/01/2011 and i have lower abdominal pain, last month my period was late for 10 days,that time beta ChatDoctor was high123 ,but after period also betaChatDoctor is not in tha normal leval what could be the reason?", "output": "Hello, I understand your concern. I am Chat Doctor, infectious diseases specialist, answering your query. TL operation never causes high beta Chat Doctor. It is likely to be some malignant condition. Some malignancy of the genital system can cause increase on the Chat Doctor level. Or you may be pregnant again that's causing increase in the Chat Doctor level. In both of this situation you can do USG abdomen. It will differentiate both this situation, and help in further management of the condition. I will be happy to answer your further concern, you can ask me on bit.ly/ Chat Doctor. Thank you. ChatDoctorInfectious diseases specialist." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi DocTOR I am very worried about my son s 17 years, just you do some analysis of blood to treat the Acne, and they came out low platelet 119L, consulting here on the internet I see that we must take it to a specialist (HEMATOLOGIST), to deepen in this result, I can do?", "output": "Hi, dear. I have gone through your question. I can understand your concern. Your platelet count is slightly low. Just below normal range. No need to worry if you don't have any symptoms. There are many reasons for low platelet count. Even simple viral infection can lead to that. So don't worry. Just be relaxed. If you have any symptoms you should consult your primary doctors. Otherwise, just repeat your platelets count once after a month. No need Togo to the hematologist directly. Hope I have answered your question. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Have urinated some black pepper like specs in the toilet for approx. 2 mos at least 1xper week. Had a kidney stone approx 1 yr ago (1st time) Im also 34 years old and 9 weeks pregnant, just curious if these are granulated stones, ive been drinking alot of lemonaid", "output": "Hai, from your history it seems to be debris of stone particle accumulated in your kidney whicChatDoctores along with the urine. At time certain Chat Doctor. Urine routine will rule out the condition. But sample should be collected when you pass the black color urine. With your history I conclude it is a crystal of stone in your kidney which causing the color in your urine. Thank you have a safe delivery. Hope I answered your query" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 67 years old male.My BP was 128/70.Since two weaks I have shooting back pain and I took Tramadol HCL 50 mg,4 times a day for about 5 days.My back pain did not come down and my BP shoots to 188/103.Kindly help me why my BP has incresed and what remedial action I do for bringing down my BP and my back pain.My email address is YYYY@YYYY", "output": "HelloWelcome to Chat Doctor. Your BP raised due to backache problems, anxiety and tension. First be calm and take deep breathes whole the day to relieve worry. For backache take complete rest in supine position for minimum 3 days. Continue painkillers. For BP consult your physician and get the x-ray chest done with trade mill test and also 3 times BP measurements after rest. Take low salt diet and routine exercise. Thanks for contacting. Take care..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a medium size lump on my inner thigh in my groin area at first I thought it was an ingrown hair but now I m starting to question it feels like a hard lump inside it s red and it s kind of cracked in the skin not sure if I should go to my family doctor and have them look at it or if it could be something to not worry about", "output": "Hi, Lump on inner thigh with red and cracked skin should be seen by your Doctor for clinical evaluation, examination and investigations as and if needed. If there is any evidence of infection you need a course of an antibiotic, anti-inflammatory and supportive medications. If clinically it is not sure then added tests of blood and ultrasonography will help to get a correct diagnosis. The possibilities can be lymph nodes, any infected cyst, can be a hernia too. Hence, the necessity of proper diagnosis and management. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am having upper abdominal - round the body (front and back) pain for the last 15-20 days.. I feel better after I pass tools, but it is always there.. I visited my General Practitioner, she has put me on medicines for 4 days and I don t improve suggesred u/s scan - abdomen and pelvis. From y day I also have bad throat infection/irritation Medicines are: Tab Delupa P - 1-1-1 after food Tab Azilide 250mg 1-1-1 after food Cap NutrolinBPlus 1-0-1 after food Cap Sompraz-D 0-1-0 (before meals) I did not injure physically my body in any way. I play regularly in the morning, I am able to play now also - but with pain sometimes very bad.", "output": "Hi. Thanks for your query and an elucidated history. The causes of continuous abdominal pain followed by throat infection are as follows:The throat infection causes pus formation in the throat or tonsillitis. This is swallowed by the person and the infected material causes the symptoms of gastroenteritis. The component of the colitis is more hence you feel better on passing of the stools. I would advise you the following. Change over the antibiotic to the one which has positive effects on the throat as well as the intestines so that the coverage is better. Continue rest of the medicines, and you will be fine. In case the response is not good, take a consultation of a Gastroenterologist and get treated accordingly." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I suffered 2 bumps to the head earlier this year on separate occasions, both large lumps but never felt the need to get medical help. Keep suffering from memory loss and noticed i have being wrighting letters back to front. I forget that i shown something to someone or askthen thesame question half hour later. I have recently been suffering from headaches although i so suffer from migrane and recently noticed the flashing lights but nver seem to get the full blown migrane now. D o i need to seek nmedical advise . I am 45 yrs and quite fit and healthy, drink socially once a week if that. thanks", "output": "I think anyone who is concerned about their health should seek medical advice. Head lumps themselves do not cause memory problems, but concussions can if the injury was severe enough. Only a qualified professional will be able to tell you whether your injuries were severe enough. The other causes range from medication effects and sleep problems to Alzheimer's disease and only a qualified doctor will be able to help with that as well. As with all problems there are usually many possible causes" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m experiencing lower back pain on my left side. It started approx. 3 hrs ago. If I move around a little it will eventually go away but not completely. However, when I sit and stand back up the pain returns. Also, when I stand up straight it s painful. It fills as though someone has a fist in my back and causing pressure. Again, lower left side.", "output": "Your symptom suggest that you have sever spasm of gluteal and lower lumber muscles that causes pain on standing. You need not worry a lot. Start analgesic such as ibuprofen, muscle relaxants and hot fomentation over painful area. Take some rest. If pain does not subside in 48 hours or increases even after analgesic then consult to your physician. Hope this helps. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello sir dr. i m 26 year old and i got married 4 month ago and still i cant be a hopefull for a father my volume is 4.0 ml, reaction is alkaline, liquification time is 30 min sperm count is 65 million/ml sperm motility is excelent 35, good is 10, poor is 05, non-motile 50, morphology head piece defect 30%, mid piece defect 05%, tail defect 20% , pus cells 2-3 /hpf, red blood cells nill, epithelial cells nill,", "output": "Hello, Welcome to Chat Doctor, I am Chat Doctor Look, your semen analysis report indicates normal sperm count (normal is > 15 ml as per WHO 2010). The motility is within normal limit (as per WHO 2010, grade a should be >25% or all total >50%). The Normal sperm count is also within normal limit (as per WHO 2010, normal sperm should be > 04%). The pus cells are present (as per WHO 2010, normal semen should contain no pus cells). So, overall, your report indicates possibility of genitourinary infection. For which you need a broad spectrum antibiotic. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I work in an NGO in Tanzania. One of my clients has a 5-6 months old baby with hydrocephalus. This, apparently cannot be treated in Tanzania, so the baby needs to be transferred somewhere he can be treated. But this can take forever in Tanzania. I would need scientific evidence that explains the urgency to treat this baby in order to pressure the decision-makers to send this baby away for treatment ASAP. Could you help me with this, or do you know where I can find information? Thanks a lot!", "output": "Hi, Welcome To Chat Doctor. I can understand your concern. I have seen patients with same condition. So, I strongly suggest you, to go for pediatric neurosurgical opinion earliest because as u know this condition is little serious and requires intense treatment at multi-specialty hospital where life-threatening diseases are treated under supervision of experts according to need. So, I strongly recommend you to take the child for consultation without waiting to the nearby center where all above facilities are available. Wish that child a good health, Take Care, Thank You. From:- " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am trying to get some possible answers to some symptoms that I have been experiencing. I have numbness from my forearms to my fingers, especially my left. My toes also get numb at times, and tingling in my face. I am also experiencing bouts of depression. I have done cardio and neurology scans and nothing turns up. Just trying to get another opinion.", "output": "Hi,first thanks for mentioning little part of the history. Sometimes depression also leads to unnatural sensation too. If your cardio and euro advised you that all fine then thumps up. it's not a major issue. Sometimes spasm of the muscles leads to compression on the nerves beneath it. So doing some regular exercises for like arm swinging and deep breathing will help. Also try to perform simple neck exercises and simple straight leg raising for the Strengthening the core muscles. You will feel ease of your symptoms. If pain still persist then you can take an advice from an or tho or a physical therapist. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. My mother had a bp of about 182/126 last night, pulse was regular, refused to get emergency treatment but did make a dr. appointment. I had no other choice but to give her 5mg valium to lower it until I can her her to the drs office and that brought it down to about 160/96. the next morning when valium wore off the b/p is back to around 160/102, told her to cut out the salt and take it easy until we can get her to the dr in 1 day. Before the valium, She complained about severe dizziness yesterday, no shortness of breath, chest pains, etc.I am monitoring the bp every 2 hours. Anything else that you could suggest until I get her to the dr tommorow would be greatly appreciated. Happy Holidays.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. She should definitely start antihypertensive Chat Doctor. So consult doctor as soon as possible. Till that time you should follow these steps to prevent any hypertensive complications. 1. Strict salt restrictions in diet. 2. Avoid fatty and oily food. 3. Fluid intake less than 2 liters per day. 4. Ask her to avoid heavyweight lifting and strenuous exercise. Better to take Complete bed rest. 5. Ask her to avoid stress and tension, be relaxed and calm. 6. You can give another Valium to relieve her stress level. Don't worry, she will be alright once AHE starts antihypertensive " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My wife (55) is suffering from cirrhosis of liver. After various tests it has been observed that, she has developed few minor varis in her liver, but the reason of cirrhosis could not be found that is why doctor told that, there is no treatment for her. Please advise.", "output": "Hi... There are various causes for cirrhosis of liver like hep B, alcohol, toxin. Once cirrhosis has developed there is no treatment that can reverse it, but it is very essential to find the cause of cirrhosis, which when treated accordingly can prevent further progression. The only definitive treatment option for you is liver transplantation which again depends on other parameters like liver function test, co-morbidities, general condition of the patient cost and availability of donor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Upper abdomen pressure constant in the midlle worse after eating even small meals...not sharp pain...dull pressure feeling that radiates to back...lower joints hurt when at its worst...abdomen becomes warm to the touch....not Hausas or die aria....no change with that.....do have fateige and light headed at its worse", "output": "Healthier is a dull pain in the abdomen, even after small quantity meal and sometimes radiate in the back, also feeling hot flushes, fatigue and lightheadedness. All these symptoms may be due to these possibilities, these include:1 The first possibility is of hyper acidity or gastritis (chronic, since pain is dull) . Diagnosis can be confirmed by upper G I endoscopy. Try raising the head of your bed about 4 inches with block. It might also help to avoid eating or Chat Doctor. To control stomach acid (gastritis) one should not " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter is almost 7 yrs. old. On Friday and Saturday, she had a fever, on and off. Yesterday and today (for over 36 hours) no fever. Now she has been complaining that her chest and throat hurt - and says her chest pain is worse when she lies down? I m taking her to the doctor as soon as their lunch ends at 1:45, but was wondering what this could possibly be? Is it serious or perhaps just a pulled muscle?", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query your daughter have symptoms of chest and throat pains and fever which is due to bacterial/ viral infection which is leading to respiratory tract infection. I would suggest you to visit pediatrician first once and get it examined and start treatment after proper diagnosis. Get blood test done to detect level of infection. Give full rest to your child with sound sleep. You should do warm saline gargles 3 to 4 times a day. Take ibuprofen one tablet twice daily. Throat lozenges one every 4 hours is helpful. Chat Doctor. Give soft foods to child to avoid irritation to the throat. You should take steam inhalation. Apply mist humidifiers in room. You can give Metal P to child for fever. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good Afternoon sir,My father is 74 yr old we tested LFT and done ultrasound of pelvis and abdominal after advice from doctor. In LFT the serum bilirubin(total) was 1.60mg/dl and ultrasound report was mild fatty lever and mild prostatic enlargement,after 10 days we tested LFT again the serum bilirubin(total) was1.80mg/dl, hemoglobin was 11.1.Is anything serious please advice.", "output": "Hello, The low hemoglobin and elevated bilirubin suggestive towards any hemolytic anemia condition like Sickle cell, thalassemia, G6PD, phagocytosis, AIDA etc. So you need to investigate further with serum LDH estimation, reticulocyte count, peripheral smear examination report and he electrophoresis for further work up. You can revert with reports once done. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "this time ovulation not happen then when my periods will come after taken letrozole if pregnancy/ovulation not happen then when my periods will come? 29 yrs,pcod ,irregular periods i took three month course of duloute -L after that i take duphaston for 15 days . then sysron -n for 5 days .now i took letrozole-2.5mg on 2nd day of my period for 5 days .its my10th day tvs is done no result is seen .i want preg fast what to do now? i am worried presure is increased plsssssssssssss answer soon. one more question is letrozole is not affecting me at all? doctor told for another tvs14th day but i think this time bhi there is no result is seen then what to do futher? plsssss tell the right path 1- may i continue again three month course of duluote-L after this medcine i.e letrozole 2-is any harm having these both med taken alternatvily. like this month i have taken letrozole and from next month i start doluote-L for three month not having any miscarriage", "output": "Welcome to Chat Doctor Your cycles need to be regularized for more chances of pregnancy. Ultrasound monitoring of the dominant follicle will tell of chance of it rupturing by its size. If it ruptures during ovulation you can have sex and increase chances of conceiving. If you are having POD, your blood sugar needs to be controlled by proper diet and exercise. Don't take any medicine without your Doctors advice. Follow up to monitor your progress with your Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello...I have a small white scaly skin patch on my foreskin . About 2 weeks ago a had an unprotected encounter, just hands touching my genitals, a brief moment of oral sex , no intercourse. I m scared to death of herpes or any other std . Several days ago I got the flu like symptoms, sore throat, no fever. I don t think there is any discharge from my penis...", "output": "Hi small white scaly patch over the penis can be candidiasis rather than herpes. Because in herpes we get erythematous pa pules all over the penile skin which will subside by one week. Candidiasis on genital areas can be due to diabetes or white discharge in the partner.it can be treated by fluconazole 150 mg weekly once for three weeks along with application of on abet ointment twice daily can cure the condition" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ok 3rd day now my neck has been hurting and it feels like it s on the left side of my throat. t s by my Adam s apple and it s really got me worried cause it doesn t feel like a pulled muscle. What are some possible scenarios that it could be like a swollen gland or clogged arteries , sign of throats cancer?", "output": "Hello, I have studied your case and can assure you that your case does not seem due to cancer or clogged arteries. It is most probably the muscle spasm. I would suggest you do rest, avoid keeping the neck in the same position for a long time and hot water fomentation is also useful. Take muscle relaxant like Moral or MySpace daily for three days. If you are thinking that it can be some swollen gland then the best investigation is an ultrasound examination. I hope this answer will be useful for you. Let me know if there is any other follow-up questions. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I got ran over 3days ago my right thigh was crushed and severely bruised the swelling is so much worse I had a die scan done they said it all looked OK but today I got up and it felt like someone stabbed me w a huge knife hurt horrible now its very red and of course very bruised now is this normal healing?", "output": "Hi, I have studied your case. Traumatic injury can lead to bruise due to hematoma formation. If there is fracture in your thigh-bone then it is difficult to walk on you will need X-ray of thigh. Clinical examination is important to rule out thigh ligament injury these symptoms analgesic and medication can be started. Till time take medication like analgesic and apply cr\u00eape bandage over thigh or use supportive splint. Do ice fomentation and rest to leg. Very rarely we need to Chat Doctor. Take precaution to avoid infection around hematoma. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor i came to usa in end of april from india. i got my ultrasound done in India which says i have a bulky uterus.I got it done as i was having my periods very irregular 20,22,25 mostly near 20 and my normal cycle was of 27 days exact. now last period of May was at 22 days on 20 May. but then i goe period for 1 day on12 june and since then no period. i tested for pregnancy today and it was negative. Then in the evening my having cramps. it stated then it stopped and am having pain in lower abdomen.am not sure what is his. can u guide me please", "output": "Hi! Good afternoon. I am Chat Doctor answering your query. All the precautions including birth control pills are not 100% foolproof in protection against a pregnancy if you are sexually active. If I were your doctor, I would go for a serum Chat Doctor determination to rule this out as urine PT test might not be always positive. An ultrasound of the pelvic organs might aid in the diagnosis. This would also rule out any other intra-abdominal pathology. In addition, I would also advise you for a urine routine/microscopic/culture sensitivity test to rule out a silent UTI, and a gynecology assessment to rule out a PID (pelvic inflammatory disease). Till then, I would advise you for an anti-spasmodic Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband (who is normally a very fit and healthy 32 yr old) Got a very bad diaorrhea bug last August which he had for 2 weeks. He lost a lot of weight and looked grey. Since then he has constantly been ill. He gets cold after cold and over xmas he had flu which which was so bad he was bed ridden,got a chest infection and wasnt eating. Because of these recurrent illnesses he went to his gp who sent him for blood tests. They came back with a 2.5 WBC and slightly low HG. He was sent for repeat and the WBC was still only 3000.He is always tired and just looks awful. We are feeling very afraid. We would just like to know what he should be having done (test wise) as we feel a real lack of care at our practice. Theyve told him his wbc is low and that they will test again in 3 months. But what should he do in the mean time? He just cant get his immune system up and he is a secondary school teacher. Any advice would be gratefully appreciated.", "output": "Hi Welcome to Chat Doctor Your query regarding the recurring illnesses of your husband show that his immune system has become weakened so he falls prey to one trouble or another. It is indeed a matter of great concern. To strengthen immune system of your body you have to take care of few points which not only serve as preventive but also as curative measure. Because proper nutrition is an integral part of a healthy immune system, the kitchen is the perfect place to find natural home remedies to boost your disease-fighting abilities. Include simple nutritious food including fibers, minerals, vitamins, protein Antioxidants like ginger, garlic, Onion, coconut water, green veges and fruit like gave, Almond, carrot Curd, strengthens white blood cells and helps the immune system produce antibodies.vitamin E & C , Folic acid & zinc also are major players in the integrity of the immune system, to be taken in right quantity. Avoid fried, fast foods' tea, coffee alcohol Avoid constipation as you know it is root cause of all Allstate exercise integral part of your regimen as it plays an important role to help immune system to produce antibodies to boost disease - fighting abilities. Do Walk, Yoga, Panama , Deep Breathing , and latter on Kapalbhatti, & Exercise to strengthen you system Try to relax. If stress causes you to lose your cool, you could be impairing your immune system shrinking your thymus gland, creating major problems in you BR>So mental worry and anxiety should be avoided at any cost. Take good night relaxed sleep. Should take a level T spoon of turmeric with a cup of hot milk with breakfast and at bedtime and almond oil with it, is a great antioxidant and relieves mental mention. Lemon juice in a glass of water before every meal gives strength and immunity following this regimen regularly, and regular checkup and treatment by your physician will lead him to road to recovery, gives assurance of sound health ahead Hope this will solve your query, Take care. Wish him fast recovery All the Westmont hesitate to get back if you have any query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a rash that is spreading. It is dark red and 3 are circles and one loops out of a circle and there are small spots around the area, is this ringworm because i had it on my shoulder before this rash on my thigh appeared or something more serious. Is there any way to get a picture of it to you?", "output": "Hello, I understand your concern. I am Chat Doctor, infectious diseases specialist, answering your query. In my opinion without picture I can't give you any suggestions. Though it looks like ring worm, a clear picture can help me for more clarification. You can send me picture on the below link. You can take cetirizine for itching. And can apply clotrimazole cream after due consultation from your doctor. I will be happy to answer your further concern, you can ask me on bit.ly/ Chat Doctor. Thank you. ChatDoctorInfectious diseases specialist." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had my LMP on 25 Jul4 2014. I had Intercouse on 28 July n took I pill on next day. After 7 days of I pill I had bleeding per vaginally for 3-4 days. But till today means about 2 months completed & I haveno menstral periods. . Please guide me...", "output": "Hello misunderstand your concerned in some case around 5 %, there may be chance of pregnancy as it has some failure rate. Bleeding after 7 days after taking pill is breakthrough bleeding due to high progesterone as a side effects of I pillbox I think chance of pregnancy is less as you had sex just after complete the period, and it is safe period. Since 2 months you did not get period, you have to consult the gynecologist to find the cause of delayed period. First do home pregnancy test and or blood Chat Doctor and USG to rule out the pregnancy. In absence of pregnancy other causes are hormonal imbalance, ovarian cyst/PCs, adenomyosis and thyroid disorder should be rule out. In absence of pregnancy, period can be induced by progesterone injections in case of hormonal imbalance. Take healthy diet and fresh fruits, avoid stress and do regular exercise. Hope this may help noncontact Chat Doctor for additional query Best regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been diagnosed with IC and over active bladder, I have had hydrodystention, and also a d&c done in Aug 2013, I had polyps in uterus, that is why d&c was done. But I have lower back pain, hip pain, bending over pain. In January had cortisone shots, not much relief or lasting. I believe Pelvic Floor dysfunction is the problem overall besides the over active bladder, there are so many other symptoms with IC I don t have, I have had m.r.i. and it showed some degenerative on my lower disc and some arthritis on my sacral joints. I have pain all the time, I need some relief and I need to find a doctor that will help. I have seen an ob gyn. doctor, I think I need to find another that will follow up with symptoms", "output": "Hello, I read carefully your query and understand your concern. Your pain seem to be related to arthritis. I suggest using anti-inflammatory medications such as Acetaminophen to relieve the pain. I also suggest using cold compresses for local application. Furthermore, I recommend physical therapy and gentle stretching exercises. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards! Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good day I have this numnes burning sensation on my right side of my face, ears and arm and hand.The feeling in my hand goes from warmth to cold and back to warmth and sometimes it feels like pins and needles. Other times I have a hot flash over my whole body - this past 2 weeks its almost every day that I get it what can the problem be? I am 27 years old Thanks D", "output": "Dear here, you need to visit a physician first and get your self checked. It might be due to any of the factor from musculoskeletal disorders, Neurological disorder or may be even due to psychological factors. Only by meeting a specialist like neurologist will put a great insight to your problem, and they will help you get ease of it. Certain tests if they have advise u please do not neglect. I recommend following all guidelines given by a neurologist as in person attention and interest is of importance" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, i am navjot sharma i belongs to hp sir my father has gone to mentle retarded he loves me lot but today he shout on me sir please tell me how itreated with him?sir please tell me about treatment sir he is also an alcohlic man . sir here doctor appllied him some medicine but he did not take it", "output": "His understand your concern. Mental retardation present since birth, so he has this since childhood?? Many disorder in adult or elder presented like retardation but need to evaluate properly. Treatment in early phase will bring fast and better recovery. So do consultation. Still have query then feel free to ask. Thank you. Alcohol is bad for her psychological illness, and it worsens even so need to cut down it. My personal advise consulting psychiatrist for proper evaluation of her mental status and thought process." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son has cacc... He will change his attitude abruptly and like an off n on switch does what we call the yes/no s... He wants to do something n given the opportunity to do such activity then refuses to do said activity n reverts back n forth with exhaustion between wantin and not wanting to do the activity to the point that he will block me from walking away from the situation when it goes on and on ... I am at my wits end and am wondering if this is something related to his cacc and whether or not he actually can control this behavior?... Looking for answers as to how to deal with this behavior... Feeling like a failure as a mom who can t seem to get him to snap out of this when it happens.", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. I am sorry to note the age of your son is not mentioned. The possible reasons for this behavior include attention seeking behavior, ADHD or simple playful mischief. If the age of your son is less than 10, then this could be attention seeking. ADHD also is possible at this age and above. If your child is teen, then the problem could be some emotional disturbance. The information given is not enough to find a proper diagnosis. I am really sorry. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have this constant bad taste in my mouth and on my tongue. No matter how many times I brush and floss my teeth it never goes away and causes bad breath. Ive been to my regular doctor and had a complete physical with blood work eveything came back normal, she said it could be acid reflux and put me on a prescription which did nothing she then sent me to an ENT Specialist all tests came back normal she then sent me to a Gastroenterologist in which i had an endoscopy done and that test came back normal as well. The foul taste and odor in my mouth is getting worse. Im at a loss of what to do.", "output": "Hello and Welcome to Chat Doctor, Thanks for writing to us. Respiratory problems, bacterial infections, gum, dental and other oral problems, as well as certain types of diseases, Chat Doctor. If the bitter taste persists throughout the day, it could also mean that you might have a liver problem. Therefore, a proper prognosis and treatment in such cases is vital to avoid affecting your day-to-day activities. If the bad taste in your mouth that is accompanied by other symptoms such as sore teeth, sores in the mouth, ulcers, stomach problems or any other growths in the mouth you should see a physician to ensure that there is no more serious causes to the bad taste you are experiencing. Hope this helps you. Wishing you good health... Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i am ann 42 yrs old from phil have undergone total thyroidectomy last 2007 due to papillary ca and been taking eltoxin tab 200mcg a day since after the operation then continued follow up wth my doctor ..only thing i noticed now is my hair falls oftenly and i felt a shorthness of breathing even im not doing any hard job here,,i felt i couldnt breath normally than b4 ,,what was the cause of it and will it be gone after a long time ? thanks alot,,,", "output": "Hi Dear, Understanding your concern. As per your query you have symptoms of hair loss which seems to be mainly due to systemic causes. Need not worry. I would suggest you to wash hairs after proper massage with olive oil. I would suggest you to consult dermatologist for proper examination. Doctor may order blood test, skin patch test and can do physical examination. Doctor may prescribe you Chat Doctor. You should maintain complete hygiene. You should use Finasteride preparations. Furthermore, you should take supplements like vitamin A, Omega-3 and vitamin E. Hope your concern has been resolved. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a blood clot, DVT in 2007. It was discovered I have the Factor5 Lieden chromosome, and is susceptible to DVT. Anyway I am currently on warfarin daily since the incident. My problem is the leg that the clot was in is larger than my other leg. It also has a darker color in the lower extremity, and when I run on the treadmill, it becomes to painful after 30 minutes. I was wondering if it would make sense to surgically remove the clot or try to dissolve it so there is no blood constriction. I am worried it will get worse as I get older.", "output": "HI, thanks for using Chat Doctor A DVT is a clot that occurs in the deep veins. In the veins in the legs there are two sets of veins, the superficial veins (closer to the surface) and the deep veins. Normally blood goes in one direction towards the heart and there are valves that prevent blood from going backwards or staying in the legs. When a deep vein thrombosis occurs, the back-up of blood can cause damage to these valves and dilatation of the superficial veins. Because blood is no longer efficiently flowing in one direction, there are permanent issues with swelling in the leg. This also contributes to the change in color. What you are seeing is due to the damage caused by the clot that was there previously and does not indicate that a clot is currently present. There is no likely anything to dissolve. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here... my uncle sgpt and sgot levels were 2400 and 2700 and now dropped to 1700 after 5 days of admission. the doctors are saying for a dialysis rite now. his HBsAg A is positive.", "output": "DEAR USER, THANKS FOR WRITING AT Chat Doctor I UNDERSTAND YOUR CONCERN . YOUR UNCLE HAS HIGH SEPT AND GOT THAT INDICATES AN ACUTE HEPATITIS NOW IF HE IS HEPATITIS B POSITIVE It's PROBABLY BCO OF ACUTE HEPATITIS B INFECTION TREATMENT OF ACUTE IS HEPATITIS B IS ONLY CONSERVATIVE THAT IS ONLY SYMPTOMATIC TREATMENTHOWEVER YOU HAVE NOT MENTIONED ANYTHING ABOUT KIDNEY FUNCTION TEST AND GREAT LEVELSDIALYSIS IS REQUIRED IN PATIENTS WITH ACUTE KIDNEY INSURGENCE KINDLY MESSAGE ME THE REPORTS OF KIDNEY FUNCTION TedTalk TO YOUR NEPHROLOGIST ABOUT THE NEED OF DIALYSISHOPE I ANSWERED YOUR QUERY." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Today while I was at work I was sweeping (something I do often) and my hand started really hurting. I looked at my hand and noticed a bruise on my palm. I m not sure why this happened. I m currently taking amoxicillin for what my doctor thinks is a sinus infection. Is this anything to be concerned ab", "output": "hi Hope this msg finds u in good health. I have gone through your complaints and understand your concern. U seem to have strained some sort of soft tissues in that region that might be causing pain and inflammation. If it's not warm and hot.give ice packs and rest. If it worsens get a X-ray done to find out what's wrong. Start analgesic and anti-inflammatory tablets. Nothing to worry about. Hope your question has been answered. If u have any follow-up queries, feel free to consult me anytime. Thanks Take care god bless" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I ve gotten very mixed results as to whether or not I could be pregnant. I haven t been sexually active since before my last period, but a pregnancy test still comes back as positive. How can I tell one way or the other without having to go for a complete medical exam?", "output": "Hello dairy understand you concernAbsence of the period is the most common symptoms of the pregnancy. Other variable symptoms of breast soreness, darkening and enlargement of areola, increased discharge, tiredness, nausea, dizziness. Pregnancy test will give positive result 8-10 days after the missed period. So hope you have done test once your period was missed by 8 days. You can also go for blood Chat Doctor test. Blood Chat Doctor test is more accurate and give positive result even 10 days after the sexual intercourse. So you can go for blood Chat Doctor test to confirm the pregnancy without medical examination. Avoid stress, take healthy diet, Chat Doctor. Hope this may help noncontact further if follow up needed. Best regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello my husband is 36 yrs old and a diabetic who does not see a doctor and is also a alcoholic for about the past 4 yrs Ive noticed his skin color does have a little yellow tint and his face is dark and puffy he had a bowl movement this morning and said it has a grayish color to it also hes complaing his feet hurt ,his back and his right side please help what should I do", "output": "Hi thanks for contacting Chat Doctor. Yellow discoloration could be by jaundice. . As he is having alcohol habit, there might be alcoholic hepatitis.... If care not taken there might be chance of development of cirrhosis.... So consult him to gastroenterologist .... He needs to investigate with USG abdomen, liver enzymes, protein estimation and PT like investigations. He should limit alcohol Chat Doctor. . Always in morning give him carrot and spinach grinned juice. Fruit juice more... Refined food less.... Non veg less, butter, cheese less. Dandelion, turmeric in milk, broccoli, carrot, beet roots are some good food for liver. If history of blood transfusion, unprotected sex then rule out hepatitis b or c by ELISA. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my 17month year old boy is having blood stains in his diaper.before 2 days of this incident I noticed a swlling of his penis.now I think he is having pain while urinating for sometime.we consulted the doctor&gave his urine for testing,but it wil ta 24 hours to get the result.doctor didnt gave any medicine right now.can you give any solution for this?is there any home remedy?", "output": "Hello17 months old child passing urine with pain, and you also notice a swelling when he urinates. As this is now a day very common and the reason is narrow opening of urethra. As I have noted in my so many patients that there is narrowing opening on the prepuce, due to this narrowing, passing of urine causes pain and also blood in few cases. In my opinion you should consult a surgeon and get his opinion. When such type of patient visit I open this with the help of forceps. This is known as paraphimosis, however treatment depend on concerning doctor .2nd reason of such painful urination may be urinary tract infection (urine culture report is awaiting). No home remedy, just consult a surgeon, and it is a matter of 1/2 hour. Hope this will help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi sir, am suffering from chronic fatigue, mental irritation and lack of concentration from last 5 6 years..am healthy looking 25 year oldguy having the addiction of excessive masturbation habit from last 9 years (20-25 times in a week)..is this from excessive masturbation? if so what is treatment for this?", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. First stop thinking that masturbation is the cause of your problems. In one way excessive masturbation presents anxiety and that is your real problem. Secondly, I don't think you are masturbating 20 - 25 times per week. If that is the case, where from you get energy to do so after working whole day? If that is true, you should spend your energy in outdoor games and vocation. Come home tired, and then you will not have energy to masturbate. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have small sweat pimples on my upper eye lid. pls give me some home remedy.", "output": "Welcome to Chat Doctor.Don't touch your eyelid without washing your hands properly. Wash your face with eyelids properly by using antiseptic liquids regularly.Don't use too much cosmetics on your face. Do regular circular massage surrounding eye. Nourish your face by using natural fruits and vegetable face pack. Give extra attention towards your routine hygiene. You can use clindamycin skin cream when ever you have pimple on your face if you are not sensitive to clindamycin. You can use Newsprint eye ointment on eyelid pimple. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello i am goin to marry next month but i am afraid of doing sex because when i am in sex pre ejaculation will come fast thats why i cannot satisfy my partner is there any medicine to control pre ejaculation or musli power will help to do long sex and many sex", "output": "HelloThanks for query. Based on the facts that you have posted you are facing problem f early ejaculation and unable to perform intercourse. This is very common at the beginning of sexual life and mostly due to what is called as performance anxiety. Following measure will help you to boost up your confidence and getting good erection and delay ejaculation. 1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning. 2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc 3)Take anti oxidants like Almonds 5-6 everyday4) Avoid alcohol and smoking. Taking Sildenafil (Viagra) or Calls as on demand will help to get good hard sustainable erection and to have enjoyable sex Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m an Asian Male, 33 years old married for 5 years. Since a year,as my wife & I were trying to conceive, I have had problems with my penis maintaining erection during intercourse.Also, there has hardly been any penetration. I had a visit to the doc,who ruled out any issues with my penis.He has recommended to use Duralast 30( Dapoxetine tablets) at least half an hour before sexual intercourse . Does this tablet act like a Viagr a? Are there any side effects from using this often ?", "output": "HelloThanks for your query, based on the facts that you have posted it appears that you are facing problem of Erectile Dysfunction and have been advised to take Duloxetine, Dapoxetine is generally prescribed for premature Ejaculation. Please consult qualified Urologist for evaluation and tests to detect the cause for your erectile dysfunction. Following measure will help you to boost up your confidence and getting good erection. And delay ejaculation.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc3)Take anti oxidants like Almonds 5-6 every day.4) Avoid alcohol and smoking.In the meanwhile you can take Sildenafil (Viagra)as on demand. This will help to get good hard erection, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 22 year old height 5.6\" weight 65 kg. and i use mastrabI am 22 year old height 5.6\" weight 50 kg. and i use mastrabution near about 6to7 time per week I am feeling very laziness also is it for my activity. I am totally confused help me to come it out", "output": "Hello, After masturbation it is natural to feel lazy or sleepy. You need not feel guilty about it but if it is affecting your work or your daily activities you should reduce too few times a week. You are suggested to take adequate sleep and protein rich diet with calcium and iron balanced with fruit and veggies. Stay away from addictions like smoking, alcohol, etc. Exercise or do walking daily. Lead a healthy lifestyle, avoid anxiety and stress. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have these bumps under my arms. They itch like crazy. They are red and go around my armpit like around the hair under my armpit. They arent in patches but there are a lot of them. They have been spreading since I got them about 2 days ago. They first started on my arm, like on the upper part toward my shoulder but underneath it. Then they got around my armpits like just a few. And then when I woke up this morning it was all the way down toward my breast (Im a guy though) if that means anything. And also I would like to include that I have posion oak on my legs but just got off my medication exactly a week from today", "output": "Hi, dairy have gone through your question. I can understand your concern. You have enlarged axillary lymph node. It can be due to reactive hyperplasia, tuberculosis or lymphoma. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just got over a bad case of shingles on my left side Since it has gotten better I now have a lump on my left side near the front around my rib cage It isn t hard all the time but it is definitely a lump and I am still having pain in that area. What could this be", "output": "Hi, Noted your short history of getting over with a bad Shingles and found out that there is a definite lump on the chest wall that is hard. If you are feeling a hard lump then it is present and hence you should get the following done:Consult a General Surgeon for clinical evaluation, examination. Get an ultrasonography done and FNAC if indicated. All this will find the cause and get operated to get the lump removed if indicated for 2 reasons:First you get rid of something that is not a normal part of body. You get a definite diagnosis by histopathology. Continue management of Shingles as pain may still be present, I know it sometimes takes a long time for to pain to get abolished. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had spots on my liver for many years now I have lots of pain and swelling under my rib cage on the right side. Lots of lower back pain. Knots you can see and feel all over my body. Feel tired all the time have Stomach pains and now pain in left arm can t pick up anything heavy. Lots of pain! Getting worried.", "output": "Hi welcome to ChatDoctorI have gone through your query regarding lower back pain and pain under the rib cage and a lot of pain everywhere. I can understand your concern. Dear, Do you know, when you feel pain this is the natures way to warn you that all is not well in your system and causing the injury or damage. Pain is your bodies of telling you that something is wrong, much like a fever. And just like with a fever, most people simply mask the pain instead of dealing with the underlying cause of the problem. . Immune system comes for help with fresh blood, antibodies and vital cells in order to begin healing and repairing the damage As you are suffering from this and that troubles since many years , I would like to suggest you consult your doctor for thorough check up of liver and other related problem. In fact, Your faulty food habits and derailed lifestyle is responsible for weak immune system & all your health problems .it is very important for you to maintain a balanced diet for good health and to be worryless. Fiber makes stool easier to pass and help detox your system . Too little of the roughage can make it hard to have a bowel movement. Whole-grain bread and cereals Fruits, Vegetables, antioxidants -Aloe vera, AMLA, nuts, turmeric powder in a cup of hot milk fiber vitamins minerals in natural form are good source as ginger, garlic, lemon juice in water with salt and a pinch of black pepper. And a lot of water intake and regular exercise, Yoga, Panama, Deep Breathing, meditation help eradicate toxins from your body and mind and help lead you towards a healthy life. Homeopathic Belgium 30 /twice a day /3 days may give relief. Nux Com 30 / 1 dose / in evening / 15 days Hope this helps solves your query. Take care, All the best. Wish Get well soon.Don't hesitate to get back TF have any further query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My Friend Is 33 Weeks Pregnant And Has Been Smoking pot everyday for over a year, She Continued to smoke pot through out her pregnancy due to hypermedia gravidarium She Quit Almost 2 Months ago but is worried she will show up positive when she has her baby, What Are Her Chances of her showing up positive on the drug test and will cps take her child away in Fl?", "output": "HI, I understand your concern. Smoking pot in pregnancy is definitely harmful for baby. The effects range from abortions, premature delivery, still birth, low birth weights, congenital malformations. Specially about cognitive development of baby Your friend has smoked for about 6 months of pregnancy. The risk of its effect on development remains there. She has stopped from 2 months. So she is likely to skip the detection test of marijuana at childbirth. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been having pain in my upper addomen for several months. The pain only occurs when I move. Usually gets worse during the day and when I first go to bed, it is difficult to get up due to the pain. After sleeping, overnight, the next morning, no pain until I start movement or straing the stomach area. Had a Cat scan yesterday, and they found nothing. I have no pain except when I move or stretch the abdoment area. The pain can be pretty severe when it occurs.", "output": "Hi ! Good evening. I am Chat Doctor answering your query. With the kind of history you narrated, possibly you have got some kind of muscle spasm which is causing pain during movement. If I were your doctor, I would advise you to go for some anti-inflammatory Chat Doctor. Even though your CT scan is normal, I would advise you for an ultrasound of abdomen if it was not done to rule out any gall stone disease though unlikely in your case. Further management would depend on the result of a clinical examination and investigation reports. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a recurring issue. I am hearing voices in my head.. I have been treated for depression and mild panic attacks in the past. Also brought this is up to my doctor when this first started. she said it was a phychotic episode.. why is it reacurring. if it was just an episode? I feel better now then 10 years ago when this started. it mostly happens when im alone or relaxed. and it turns into me trying to ignore the voices.. These voices sound more like an auction or a card game in the back of my head.. they dont tell me thinks or to do anything.. I just hear them and its annoying.. please help", "output": "Hello and welcome to Chat Doctor. Thanks for your query. I understand that you are going through a difficult time due to your problems. Hearing voices is called auditory hallucinations and like your doctor has told you, it is a symptom of psychosis. Unfortunately, psychotic disorders have a high chance of recurrence or relapse, and it is likely that you are having a relapse of your symptoms. In such cases, long term medication may be required to control these symptoms and also to prevent future relapses. So, I would advise you to discuss with your psychiatrist regarding further treatment options. Wish you all the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a metal plate and screws on my humerus due to an accident 12 years ago. Lately, just above where the plate is and under my shoulder is sharp, clicking pain and I can t lift my arm up. It only happens when I move it the wrong way. Could it be that a screw is loose?", "output": "Hi, Thank you for providing the brief history of you. A thorough musculoskeletal assessment is advised along with X-ray. As the pain in sharp shooting in nature, and also you are not able to lift your hand during that time, it could be due to muscle weakness or any nerve impingement. After a thorough assessment the matter can be understood properly. Usually, with simple physical therapy if the implant is intact in situ, the majority of patients recovery. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my daughter has been diagnoise with scarlett fever. she has mantained 97.8 degree temperature and does not have a sore throat. however she has a rash that started on her face and is now over her entire body. Her hands are tingling. Does this sound like Scarlett fever. she started the antibiotic 24 hours ago.", "output": "Hi. I've gone through your query. I can understand your anxiety. With the presenting complaints it may be due to bacterial infection like scarlet fever, but laboratory investigations to be done to confirm it. Your daughters present with Fever, rashes started on the face and spread all over the body are classical picture of scarlet fever. I advise you, 1. To check for any swollen glands in the neck, also for sore throat in the future. 2. Do a rapid streptococcal test to confirm 3. Continue antibiotics for 10\u00a0days. 4. Consult your child specialist further Hope I have answered your query. Let me know if I can assist you further. Take care. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had an unprotected sex immediately after my period. My bf releases inside me and had it stayed there without washing right away since i got tired and fell asleep. When i washed and peed later i saw a blood mixed with something white which i don t know what is it called. What does it mean? Will i get pregnant? I m not ready for it yet what should i do?", "output": "Hello dear. Understand your concern.don't worry dear, its not because you are pregnant. You said that you had sex immediately after your period that means that blood is just your menstrual blood mix with semen and cervical mucous or may be some injury to genitals.& also you sex during safe period so no worry about getting pregnant. So don't be panic, just calm. If you have excessive worry then you can take I pill with in 72 hours after sex to prevent pregnancy. Maintain pelvic hygiene by using V vaginal plus wash. Use safe sex practice to prevent STDs and Unwanted pregnancies in the future. Hope this help you. Best regards. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my daughter has been pulling some teeth lately that arent even loose now she pulled one of her molars and she is only 7 and the gums are turning white and bleeding for a couple days now and she says they hurt...should i take her to emergency or wait it out and call the dentist during the week days", "output": "Hi if the teeth aren't loose, you should stop your child from pulling them, though it is rare that a child can pull her firm teeth herself. Now if t is still bleeding, you should hold an ice pack near to her bleeding site or give her an ice cube to keep in her mouth as long as she can. Also if possible take her to a dentist soon. don't give her anything hot to eat as it is till bleeding. Give her painkiller SOS. Wishing you speedy recoveryWith best regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My Son 5 Years old has allergic cough ( Croop cough) since last two years.Its only in Bahrain he is having this problem.In India he doesnt have this issue,infact india is more polluted.We are giving him cereflow and montair on dialy basis as preventive.But still he has and every time it starts it goes very extreme and is controlled only by giving Gupisone (Steroids).Not sure how to Prevent this.", "output": "Dear parent, As per your description the child gets attack only when in Bahrain. Are you living in a joint family in India? Which city do you live in, because India as a whole is not polluted. Do both the parents are working at Bahrain, and living the child with day care or care taker? In that case check on the treatment of them with the child. Or he is missing large family. Pay attention to what triggers his attack. Try to remove trigger. Start anti-allergic and sustenance medicine from India itself. Start him on nebulization, plain water, three to four times a day. Teach him how to do it and ask him to take it many times a day. He is old enough to do it (by nebulizer). Keep medicines ready always, as soon as you see first symptom, give him bronco dilators, and take medical advice ASAP." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My Husband had lump on right side of his neck. done FNAC test and result is Granulomatous Lymphadenitis suggestive of Tuberculosis ( Right Cervical Lymph Node). and the test is ZN stain : Negative for AFB. How he will be treated and how soon he will recover.", "output": "Hi. Since FNAC is suggestive of tubercular lymphadenitis, he needs a course of minimum of 2 + 4 months treatment of antitubercular treatment. Your Doctor will prescribe you the medicines in the form of a Kit or different tablets as per his choice. Always do baseline liver function tests in addition to serum proteins and routine blood test. Repeat liver function tests after 2 weeks after starting the treatment. Inform your Doctor if you develop any tingling or burning in feet, visual disturbances immediately. He will have daily red stool or urine due to Rifampicin- this is normalized high protein diet and multivitamins in the for of antioxidant capsules. Injection streptomycin is also a very good additional medicine- to be taken for first 2 months only. Lymph nodes take a lot of time to heal and shrink, so do not worry about the size reduction. Observe for increase in appetite, weight gain, feeling better and such symptoms and signs." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am Dr.zuata recently having acute backache the MRI shows extruded disc at L5 and prolapse at L4 level.Although very acute at onset i am improving very much now with no either motor or sensory loss at all.Still My Neurosurgeon advise me that a undergo Micro Lumbar discectomy.So what would be the best line of management as of now since surgery is almost always the last option after all the conservative Rx fails as tha book says.and what is the chance of its recurrence with or without surgery.", "output": "Hi Welcome to Chat Doctor After going through your query I came to know that you are probably suffering from lumbar disc prolapse. It is confirmed by MRI scan. There are two treatment options, rest and surgery. You are correct in thinking that surgery is last option. I think you should continue with conservative treatment. Conservative method is rest in position of relief(generally lateral position with both knee bend), neurotopics such as mecobalamin and analgesics (Diclofenac three times a day after meals is effective). Sometimes strong analgesic(such as tramadol three times a day after meals) is required. Omeprazole before meals prevent acidity caused by analgesics. This method needs patience as it take longer treatment times sometimes up to 6 months. You asked about recurrence, so recurrences are mostly in two years whenever one exert more at spine surgery or not. Within 2 years disc generally settle and recurrences are less. According to books results of both surgery and rest are same after two years. You can discuss with your treating Doctor about it. Hope your query get answered. If you have any further questions then don't hesitate to writing to us. I will be happy to help you. You can also write to me directly on below link:https://www.bit.ly/ask Chat Doctor. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I stopped getting my depo shot about a week ago. I had unprotected sex a week ago, now I have weird headaches, back pain, cramps, bloating, stomach pains in my upper and lower stomach. I had been on depo for a year. Could these symptoms be caused by my stopping depo, or could I be pregnant?", "output": "I assume when you say that you stopped getting the shots a week ago, that you mean that you were due to get your three-month shot and didn't get it. If that is the case, then it is not uncommon to have some hormonal symptoms like you describe, as your body starts to get back to normal natural cycles. Although it is possible that you are pregnant, is in unlikely that you got pregnant so soon after stopping the shots. It might be a good idea to check a pregnancy test just to make sure, but I doubt that you are pregnant. These symptoms should get better over the next few weeks. If they persist, you can see your doctor to make sure nothing else is going on. I hope this helps, please let me know if you have any more questions." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi there,I get my period round about the 15th or a few days after and I did not get it in may that time which was not a problem because I was not having sex at all and have gotten my period the previous month.I did not think too much about it because if I dont get it on the 15th then ill get it at the end of the month round about the 27-29 I did not get it yet .I had unprotected sex on the 24th of May and on the 6th day after I had unprotected sex until yesterday 2 June I started getting weird dull cramps.Now I just feel pressure there also my breasts started swelling and becoming sore yesterday and is still sore today.The problem is he pulled out before he came so Im not sure if Im pregnant because I didnt get my period my discharge is milky a bit creamy white?", "output": "Hi, Thanks for your question. I guessed from your history that having delayed periods is not unusual for you but this time you are concerned because of the history of unprotected sex & the cramps. You can clear your doubts by doing a pregnancy test & I also recommend you to have a transvaginal ultrasound to exclude an ectopic pregnancy which may produce these cramps & is a serious condition if not treated early. All other symptoms are non-specific & may be present even if a woman is not pregnant. Hope this clears your query. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir i am suffering from juadice for three months And days before i tested my liver function then ny total bilirubin was 0.8 and sgpt 45 u/l and my urin is in dark yellow Hv i juandice? If it is juandice even it passed three months why it dont come to normal?", "output": "Hi.it is best if you consult with a physician, preferably a general surgeon or a gastroenterologist, for thorough physical examination and diagnostic assessment of your condition, other than those liver function tests mentioned above. Your signs and symptoms seem to be persistent and there might be a pathologic cause somewhere in your biliary tree or periampullary area. Management (medical and/or surgical if indications are found) will be directed accordingly. Hope this helps. Good day!!~ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "A few days ago I threw up several times within a few hours for no apparent reason. My mouth was burned, swollen, painful to chew or swallow. It healed almost completely yesterday except for two spots on the roof of my mouth at the back left. This morning I woke up and the swellings were throbbing, my teeth feel like they ve moved. there is a new larger and more painful swelling at the root of my shifting tooth. I m not exactly looking for a diagnosis but; Should I take an antihistamine for the resulting sinus pressure? Should I consult a dentist or a physician? Ruling out abcesses, what else shows up like this and should i be worried about malignancy? Thank you for your time!Amanda", "output": "Amanda your case history tells that you are having periapical abscess due to caries on tooth which infects pulp of your tooth causing chronic irreversible pulpits you are now having two ways either to go for extraction of offending tooth or go for root canal treatment planning should be confirmed after taking an X-ray of offending tooth till than you should take care that you don't do hot water bag fomentation of the area paining secondly if the pain is unbearable you can take tablets of diclofenac potassium 50\u00a0mg and amoxicillin 500\u00a0mg with clavulanic acid 125\u00a0mg twice daily. If you are allergic to this medicine than you can take acetaminophen and definite 200\u00a0mg twice daily. But you should consult a dentist as soon as possible if your tooth is not so decayed than it can be saved." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just did my Pelvic sonography and its says i have both overies mildly enlarge with multiple folicles arrange peripherally....i am on ttc from last 7 months and dint try any medication...my weight is 50kg height 5.3, no pimples or any hair growth but very irregular period.....Pls help, can i any how become pregnant....", "output": "Hi there, Peripherally arranged follicles with enlarged ovaries indicate that you have polycystic ovarian syn Chat Doctor. Women with polycystic do have difficult conceiving and require help through ovulation induction. You could take Camphene from the 2nd day to 6th day of your period as ovulation induction, and you also need ultrasound follicular monitoring from the 9th day of the cycle to know when you ovulate. Before taking camphene do rule out other factors like male factor, and also check for tubes by HSG. It would be reasonable to rule out thyroid and prolactin disorders as well. Also start taking folic acid daily till you conceive. Another medication called metformin can be considered, it with normalize the hormones, and it can be continued even in pregnancy. Hope this helps. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am 51 years.I am pre-diabetic since 7 years.My HbA1c is 6.1.total cholesterol is 261.hdl 38,ldl 169.vldl 38.2, triglycerides 191.I regularly warmup for 15 mts and do brisk walk for a distance of 6 km.My B.P. is 110/72.myheart beat is 70-75pm..What i have to do to reduce total cholesterol.My serum creatinine is 0.63mg and my testosteron is 653.23 ng/dl and all other blood tests reveal quiet normal levels. is it o.k. What has to be done to lower my total cholesterol ? I am worried about my T.C. Please answer me.", "output": "Both your cholesterol and triglycerides are elevated, the LDL is also well over the optimum mark of 100. It would help to go on a low fat diet, mainly poly saturated fats need to be avoided. Use of Vibrates/Nicotine Acid/Statins/omega 3 fatty acids will help reduce the triglyceride levels, Losing weight if obese, ruling out hypothyroidism, checking that certain medicines which affect triglycerides are not being taken will help. Stopping smoking and limiting alcohol will also help. Your exercise levels are good, a healthier diet will help." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ive had the implant for 1 year and 2 months with no bleeding whatsoever. Recently i have been bery ill with a chest infection and norovirus but im on antibiotics and recovering, about 2 days into my illness ive saw spotting when i wnt to the toilet, now im heavily bleeding and got tummy pain this has been going in for 3-4 days now! (before the implant i hardly bled it was very light and only lasted 2-3 days)... Why am i suddenly bleeding?", "output": "Hi, Thank you for choosing Chat Doctor. Your periods may change significantly in the first year of using a contraceptive implant. You will usually have irregular periods and may have heavy periods, shorter and lighter periods, or your periods may stop altogether. These changes may settle down after the first year of using implants, but they can sometimes continue as long as the implant is fitted. Although these changes are not harmful, they may not be acceptable for some women. Your GP may be able to help by providing additional medication if you have prolonged bleeding. Please ask if you have more questions. If you are satisfied, please make sure that your ACCEPT my answer so that I receive credit. Good luck!!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi! I m Gabriel, 52 years old and need help on how I can treat oligoasthenoteratozoospermia, RBC 2 x 10^6/ml; My Quantitative semen analysis are as follows: volume 1.9ml, sperm concentration 1.4 million/ml, total sperm count 2.7 million, overall motility 3%, Total motile count 79,800, forward progression 10%, Viability 26%, WBC , Estimated normal forms 1%; Abnormal forms consists of abnormal heads: tapering 20, pyriform 10, double 1, amorphous 22; neck/mid-piece defects: bent necks 25, thickened mid-piece 1, cytoplasmic doplet 8; tail defects coiled tails 12. I am a late bloomer as they say and just got married 2 years ago, never had an idea that I am infertile ; I have been taking maintenance medicines for high cholesterol and uric acid; Me and my wife would really like to have a child. My wife is 45 years old but have normal ovaries and still ovulating. Hope you can help us. Thank you!", "output": "Hi, Thanks for your query. I read your query and I understand your concerns. Your sperm count is very low. Even the motility (speed of sperm movement) & morphology (appearance) is not good. It is very difficult to try for pregnancy with this report. I am afraid it can't be treated in your case as it is age related and not generally reversible. You have to go for Assisted reproductive technology like CSI (Intro Cytoplasmic Sperm Injection). Please see an IVF & Infertility specialist who can advise you in detail regarding procedure. I hope I answered your query. I will be available for any followup queries you have. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Iv had pain in rite side of back n goin under arm pain never goes away . Its driving me crazy , siting make it worse iv tried every thing to help it ! I had colon cancer 10 year ago .I suffer from obstruction in stomach , got this pain month s now , worried could it be pancreatic cancer", "output": "Hi, I have gone through your query. In pancreatic cancer pain will be in upper abdomen which radiates to back, with heartburn, nausea and vomiting and significant weight loss. Pain you have mentioned may be musculoskeletal or may be due to stone or infection in gall bladder. I would suggest you to go for a USG abdomen and chest x-ray after clinical examination by your doctor. Take NSAIDs like ibuprofen for the time being. Do consider positive feedback as a credit to my work. Let me know if you have any further questions." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor. I am 30 yrs old. Ultrasound shows 15.5mm cystic septate in left overy. My doctor suggested for CA125 test and after that Laproscopy. I have very sharp stabbing pain in the left side of lower abdomen. Is this sign of overian cancer? how much i should worry for this? Pls suggest. Thanks.", "output": "Hello It is too early to comment about ovarian cancer. Most likely you are suffering from complex ovarian cyst and in the majority of the cases, it resolves spontaneously with time. But it is important to do work-up for ovarian cancer, so you are advised for tumor markers(CA 125). Only pain is not indicative of ovarian cancer. You should go for investigations and treatment depend upon findings. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have nonalcoholic steatohepatitis. and the past year I have gotten worse I have constant pain in my upper abdomen and lots of pain in my right shoulder blade that is so bad that some days I cant take a deep breat without screaming in pain, I have also lost around 130 pounds this year from being nausea and from vomiting. Im always tired, should I be checked for liver cancer. no drs in my area want to listen to me about these symptoms. I do have diabetes,high blood pressure,high cholesterol. my age is 35 and my weight is 265", "output": "Hi. Thanks for your query and an elucidated history. You have got a complex of symptoms which are related to each other. Non-Alcoholic Stenosis, constant pain in the upper abdomen and the right shoulder, making it difficult to breath, losing weight due to nausea and vomiting, fear of liver cancer-known diabetes, high blood pressure, high cholesterol at the young age of 35 and at the weight of 265 lbs. The most probable cause of your pain in the upper abdomen and the right shoulder can be related to the problem in the lung or the pleura as it is making you difficult to breath. I would advise you the following;CT scan of the chest. CT scan of the abdomen related tests of blood, urine and stool. This will give the final diagnosis and a plan for further treatment." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Is entamizole an antibiotic ? Or doctor gave my 20 month daughter an entamizole and bismol combination it is safe?? She become dehydrated due to watery loose motion and she can t take o.r.s so what can I give her ? Suggest any medicine for fulfil her important minerals in body ..", "output": "Hello, Entamizole is an antibacterial combination (Dioxide and Metronidazole) used to treat loose stools (diarrhea) associated with a stomach infection, intestinal infection, antibiotics, and other conditions. Bismol (Bismuth sub-salicylate) is used to treat stomach upset, indigestion, heartburn, and diarrhea. Entamizole plus Bishop combination can be given safely to your daughter. If she can not take ORS, then the deny Chat Doctor. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor, i have a question for you which my family physician can t explain to me..i am 43 years old asian male i have been into twinrix hepa B vaccination for the 5th dosage now and still comes into negative result for antibodies .my family doctor can t explain why until now i am still negative for antibodies he was suggesting me to continue the vaccine until i will get positive blood result. perhaps one of you can explain to me why twinrix has no effect for me? Thank you! AAAAA", "output": "Hello and welcome to Chat Doctor, The regime for hepatitis B virus which is followed most commonly is as follows:Doses 0, 1 and 6 and a booster dose within five years after the first dose. The first dose is the 0 dose, 1st dose is taken at first month and 6th dose six months after the first dose. The booster dose has to be taken within five years of the first dose. This regime should be strictly followed and if the compliance is not good, the antibody title may not be as expected. The antibodies start rising after six months. A booster dose potentates the antibody titles. If the booster dose is not taken within five years, the effect of the vaccination starts weaning off. Please confirm whether you have taken the doses at correct time. Thanks and take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i wake up every morning for the past 90days with watery eyes and runny nose a cough and sore throat which sometimes last all day,what is your best suggestion,i tried several otc medication with little relief. what can i try to help me with my condition. Thank You.", "output": "Hello, Welcome to Chat Doctor, Your history is suggesting of some allergic reaction. As it is there for last 3 months the cause should be found out. The reason for the allergy can be tested by skin prick test using all kind of allergens like food, mite,dusts and Chat Doctor. Skin prick test help to identify the allergen causing the symptoms, after identifying the allergen you can decide whether to take sublingual immunotherapy or subcutaneous immunotherapy. For immediate relief of symptoms you can take some medicine like Monte LC after consulting your doctor. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I m 42, been off of my birth control for 3 months now and we are not using any protection in hopes of getting pregnant. I have a 28 day cycle and my last period started May 12th, 2012 and ended May 19th 2012. We had sex Sunday night. My question is a two part question...could I have gotten pregnant and what are the chances if he s 46 and we have not had sex in over 3-4 weeks?", "output": "Hi, in case of 28 days regular cycle usually ovulation occurs around 14th day, so as you had intercourse on 9th day of cycle, there is less possibility for pregnancy, but that could not be completely excluded, male age usually will not affect spermatozoa as they will be continuously produced unlike females around 3 days of abstinence is enough for good quality of sperms, so if you miss your due date in the next cycle you undergo blood test or urine test to detect the possibility of pregnancy. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, Sheri B here from Zimbabwe, Africa. I developed a blotchy, itchy and burning skin rash about 2x weeks ago, on the left side of my neck towards the back. It improves slightly then flares up and drives me crazy. I can attach a pic, if I knew how? :-) I m 58 and caucasian. I thought it may be the Sodium Laurel sulfate in the hair shampoo, so changed my brand and keep my hair up, but to no avail yet. I ve tried anti- histamine tabs, antihistamine cream, 1% cortisone cream and anti-fungal creams but with no joy. Last night I tried Bactroban, which made it worse! So this morning as a last resort I began to inhale Fluticasone Propionate Aqueous nasal spray, which I had left over from another allergy some time back. I m nervous of it though, cause they say it contributed to depression and adrenal fatigue at the time?? ..... I m on Bio Identical Hormone replacement therapy , which has helped Post menopause hugely. Also 7-Keto DHEA, which was prescribed for the adrenal fatigue. Both seem to help me enormously.... Appreciatively. ...... Sorry I ve just seen there is a fee required, and living in Zimbabwe, which has just gone through huge political and economic unrest, we don t have access to credit cards. :-(", "output": "Your nasal allergies have involved skin hormonal disturbances can cause this any medicine like ibuprofen paracetamol disdain aspirin calcium iron vitamins multivitamins diet supplement can cause any oil cooking and application soap shampoo body application material can do this your clothes and pollen in your area are other chances or food allergy as your hormones are involved stop all milk and diary proteins completely as the bovine hormones in milk are non compatible with human female armies and causes many problems like this after stopping milk and diary you will be confirtablecan apply calamine lotion on skin blot of warm water and nontoxic shampoo soaps and oils" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello my name is Samantha and I m 27 and my husband is 31. We been having unprotected sex for about 5 years and I haven t got pregnant yet. Thought if I would get pregnant if would of done happen. Well my question is what could be wrong.? I have a app on my phone that helps me with ovulation. Just had app for about 2-3 weeks. We haven t been to Dr can t really afford it. We going to buy one of them at home test for him. Is there anything we can take or do to help us a lil? Please help", "output": "Hi, I think you should go for evaluation first. Do a thyroid profile and prolactin levels and an ultrasound for your uterus and ovaries. Also, a semen analysis of your husband should be done. If everything is fine, you can take some medicines for growth of your follicles and track your follicles' growth by repeated ultrasound. When follicles reach a size more than 17 to 18 mm, take injection for rupturing the follicles. Be in contact with your husband every 2 to 3 days after your periods stop. Take progesterone for next 2 weeks after the ovulation. Do a urine pregnancy test at home after that. You can try like that for 3 months. Hope this helps. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have a wet rash near my anal area a bit further up and the same just above my pubic area. it is constantly wet and itchy. I am too embaressed to go to the doctor. Is there any kind of cream i can use to try it up and heal.Oh and it has a awful smell.", "output": "Thank you for query. With the description given, It may be due to fungal infection. Please take following precautions. Use loose cotton clothes. Keep area Chat Doctor. Apply antifungals like terminating which is fungicidal. Once subsides use regularly antifungal dusting powders like candid or absorb powder to prevent recurrence. Consult doctor if it does not subside. You can get back to me for any clarifications with the photos." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i had tested billrubin total at 15-11-2011 is 2.30 & i had tested again 28-11-2011 its below .1.50mg, then its i m fit , now i its going to three months , now m i fit , at this time can i enjoy my life freely with aall things take like nonvage and dirnks plz suggest me", "output": "Hi welcome to Chat Doctor... Your bilirubin level was high in past before three months . But because you have not mentioned ... It could be from .....-hemolysis jaundice -hepatitis induce hepatocellular jaundice -obstructive jaundice So investigation with blood peripheral smear, liver enzymes' estimation, USG should be done at that time ... Now you are fit, so mostly viral hepatitis that might recover now is possibilities.... Just now investigate with USG abdomen, repeat bilirubin, Bag detection, HCV antibody detection ..... If these normal no worry.... And try to cut of non veg ....as excess fatty diet can affect liver.... And alcohol can injure hepatocytes.... So take only limited alcohol.... Take care... Hope your concern solved. ." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 14yr old son has frequent nosebleeds? He s been going to the gym after school he s getting bigger muscles & getting taller he also tired all the time should I be worried cancer runs on my side of family lost a father& brother to cancer, so Im very protective of my children &tend to worry to much. Any advice ? Should I be concerned?", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have symptoms of frequent nose bleeds. Well there can be many reasons for symptoms you mention in query like exposure to warm, Chat Doctor. You should avoid blowing nose hard. Avoid touching or pricking nose with any sharp object. Need not worry. I would suggest you to consult pediatrician/ ENT specialist for proper examination. Doctor may also order nasal endoscopy and CT scan. Doctor may prescribe antibiotics, decongestants and may recommend surgery in case of nasal polyp and other condition. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My Dad had a bleeding stroke in August of 2011. For several weeks now he has had what he calls warming streaks on the left side of his head, going down his neck and left arm. For several days now he has had very little strength and sleeps a lot. He says he doesn t need to go to the Dr because he has an appt on Monday. Isn t this more urgent?", "output": "Hi, Thank you for posting your query. Your father could be having partial sensory seizures, where patients have similar symptoms. This is due to his old bleeding stroke in the brain, called as post-stroke epilepsy. He may require an imaging such as MRI brain and EEG test. Following which, he should be started on anti-epileptic medications. There is no need to worry at this stage. I hope it helps. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "An 68 year old female, diagnosed to have gouty arthritis 3 months ago came to the OPD with history of dry scales all over the body since 3 weeks. There was history of fever with chills. She started exfoliating profusely, initially trunk and buttocks, gradually progressed and involved face, back and lower extremities. There was no history of evanescent skin lesions, weakness, joint pains or history of red eyes. There was no history of jaundice vomiting or abdominal pain. Systemic review of symptoms was within normal limits. On examination patient was ill looking. There was no pallor, jaundice, clubbing or lymphadenopathy. Systemic examination was normal. On skin examination, there were dry scales involving trunk, buttocks, face, back and lower extremities involving more than 90% body surface area. Skin was shiny, thickened and erythematous. Scalp skin also showed exfoliation. Hair and mucous membranes were normal.What is the most probable diagnosis on her?", "output": "Hello, I can understand your concern for exfoliation of skin. Kindly check for the exact reason for exfoliation as it can be due to varied reasons. In my patients I combine Petroleum and other oils as emollients and urea as keratolytic cream. Petrolatum and other oils are available over the counter easily. I suggest my patients to apply any of these just after bathing when the skin is still wet. It preserves the moisture in the body and therefore reduces flaking. On applying any of the creams later you should first give compressions of mildly warm water of can take a shower and then apply it. Do not use any strong soap or detergents over skin. Wear simple lose cotton clothes and avoid synthetic clothes. All the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor,my husband just got his semen results back..he has (according to who motility criteria)a. 5%b) 48%c) 0%d)47%Is this a problem for getting pregnant?? because a + b is more than 50% but i dont know if a is very low for sealing the deal...", "output": "Hello First read it very carefully and thereafter I will try to reply your question. So many intensive studies have suggests that NORMAL FERTILITY is associated with sperm counts of > 48 million/mL, motility of >63 % with >12% exhibiting normal morphology. This is a very delicate question that for FERTILIZATION require only ONE sperm, but normal fertility is associated with 48 million /mL(NORMAL volume of semen is 2-6 ml i.e. 60-120-200 million sperm all in all). I have taken these data from books but in my personal opinion you can conceive. Try for 1 -2 years and sex on day 14-15 (ovulation day) . Still no pregnancy then consult a INFERTILITY SPECIALIST and get his opinion. Good luck" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hey my father is 44 years old n was taking medications for fatty liver that is ursocol 450 , orlimac 120 n allopurinol for uric acid since 4 months yesterday he started having profuse nose bleed n bp comes out tobe 140/100 mg..... is medications are responsible for high bp cause it is not heridity niether any tension is there n our lifestyle is also health friendly....??/ kindly suggest possible cause bleeding not stoping", "output": "Hello, These medicines are not responsible for the high blood pressure.95% of patients suffering from high blood pressure don't have any cause for it and such type of hypertension is called as essential hypertension. There are various risk factors associated with it which taper thought to be the cause for high blood pressure like old age, lack of physical activity, consumption of more salt, consumption of alcohol and smoking, genetic structure etc. You must consult a doctor and get investigated properly and start antihypertensive treatment. Reduce weight and salt consumption and do regular exercises. Once the blood pressure is controlled, bleeding per nose would settle. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 37 year old female having irregular periods, my GYN advised me to take regesteron for initiation of periods and MHR tablets for a month, i am failing to conceive, already i have two sons of 13 and 12 years old via cesarean section. My job is sedentarty and my weight is 98 kgs. I am taking anti- depressant medications also. can it be good to conceive one more pregnancy at this age in this situation.", "output": "Hello thank you for your query. If you are keen on conception, please consult an Infertility specialist. Merely taking Registrant and MHR tablets won't help you. At 37, your ovarian reserve should be tested. IF your periods are irregular, there is a high chance that you are having difficulties in ovulation also. Your fallopian tube patency and partners semen analysis should be tested. Certain anti-depressant medicines are contraindicated while trying to conceive. Whether you need one more child or not is your personal decision, however if you decide to go ahead, you will need medical help at 37. Take regular folic acid tablets and maintain a healthy BMI.take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had a small lump under/near my left rib cage, it has been there for about 2 yrs. I am now noticing that my right thigh has a series of lumps. So now I am concerned. They have not changed in size and no pain is associated with it. The only thing is the one near my rib seems to get caught under it.", "output": "Hi ! Good evening. I am Chat Doctor answering your query. Even though it needs a physical examination of the lumps to opine, most probably from the history it seems that you had multiple lipomatous which is a benign condition and not of much significance except for cosmetic concern. However, to confirm the diagnosis, I would either do a FNAC (fine needle aspiration cytology), or an excisional biopsy of one of the lumps for confirmation of the diagnosis for further management. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello sir my 16 months old baby boy getting cold cough and fever and loose motions from last 7 days i am giving calfstop ,s mucolite and crocin syrup but it is not recovering so is it cerious condition? then what should i do if yes or what to do if not", "output": "Cough and cold are common in child Chat Doctor. Generally these are not a cause of concern as these are self containing conditions and resolve in 5-7 days without any treatment of the cause. Antibiotics are ineffective in a viral infection. At times, in case of a severe reaction, secondary bacterial infection may be present and only then antibiotics are indicated. Generally the viral infections have an allergic component and some anti-allergic may help. The medicines being given are proper, and you may continue giving them without worrying. Additionally, giving steam inhalation will help in diluting the cough and give the child relief." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am feeling lost and worried, tired all the time after losing my sister two weeks ago - what may you suggest for me? I have two children and a Job to maintain and finding it all overwhelming", "output": "When the death is sudden, it is all the more difficult to cope with the loss. Maybe speaking to others around you is not working out for you. But you can certainly unburden yourself here. I am here to help you as a professional, so you need not feel any guilt for discussing your feelings on this forum. In order to help me understand better, can you please give me some more information...1. Were you very close to your sister?2. Are you feeling any guilt related to your sister? 3. What exactly are you feeling worried about?4. How is your appetite? Are you sleeping well?5. Do you ever feel as if you cannot take this anymore?6. Have you, in the past, felt like this? Please write back, and we will both try and work through this difficult time. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi im male and 19. and i have just found a lump like thing on my gum. its purply/red, 1cm approx in size. the lump isnt that big and looks apart of my gum. its not sre to press, but there is pain now and again! i have had abcesses before and i worried it could be that or a gum boil. can you help me?", "output": "Hi. Can understand your concern. As per your complaint the symptoms you explain suggest that the lump on the gums can be due to an infected tooth that could have become dead due to infection causing the nerves and blood vessels to get necrosis which leads to no pain in tooth, but the infection could have progressed below the root tips of infected tooth leading to pus formation (DENTAL ABSCESS) as a result of inflammation and causing swelling. The other cause can be some injury or infection in the gums, due to either anything that got impacted into the gums or anything like some hard food item or a toothpick that injured the gums and carried infection along with it deeper into the tissues causing infection and swelling (GINGIVAL ABSCESS/ GUM BOIL). These are the most common causes. But to rule out the exact cause you need to get a clinical check-up done by a dentist and get an x-ray done so that it can be ruled out what is exactly causing you the lump. In case of infected tooth root canal treatment along with antibiotics and painkillers can relieve. In case of a gum boil professional cleaning of the gums along with antibiotics like Metronidazole and amoxicillin and painkillers for oral intake and topical application of gum paint can provide relief. Hope your query is solved. If you find the answer helpful please write a positive review and click on find this answer helpful as a token of appreciation. Thanks and regards. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have gutka stains on my teeth. Now that there is a ban on gutka i have almost quit chewing it. I am also a smoker and ready to quit smoking too. How can i remove the stains and whiten my teeth. Please refer a dentist in Bangalore who charges affordable cost for the treatment.", "output": "Hello, Stains due to gut chewing can be removed by scaling of teeth. Please discontinue tobacco or gut chewing thereafter. Maintain oral hygiene well. Regarding the dentist and treatment charges in Bangalore, please do consult with your dentist nearby your hometown. You can discuss with your dentist regarding this. Use fluoridated toothpaste as well as chlorhexidine mouth rinses to gargle. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Chest hurts...I am a 21 yr. old female... I woke up this morning with my left-side chest hurting (where my heart is/boob) the whole area hurts and hurts extremely bad when I laugh sometimes when I take deep breathes and move if I lay on a bed and move my head twards my knees it hurts painfully...", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Possibility of musculoskeletal pain is more in your case because your pain is associated with specific movement and position. But better to get rule out heart diseases because you are having left sided chest pain. So first get done ECG and 2d echo. If both these are normal then no need to worry about heart diseases. Do following things for better symptomatic relief in musculoskeletal pain. 1. Avoid movements causing pain. 2. Avoid bad postures in sleep. 3. Avoid heavyweight lifting and strenuous exercise. 4. Take painkiller like ibuprofen. 5. Apply warm water pad on affected areas. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i dont no whot is going on iv got sever pains in my left kidney ad about 500 uti infections over 18 months now put on folic acid tablets my blood is all over the place im also taking statins for colestrial but im so confussed do i have a kidney pronlem as nobody is telling me anything thanks", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have some infection in kidney or urinary tract. You should go for urine routine and microscopic examination as well as culture and sensitivity test. Ultrasound abdomen is also required. You should also test for blood sugar level. Diabetes is the common cause of recurrent urinary tract infection. Then you should take treatment accordingly. Continue your statins for cholesterol control. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Antibiotic is not helping my tooth infection. My jaw is swollen and I cant open my mouth very far. The dentist pulled teeth before clearing up my infection and now it is worse. What can I do? I was on penicillin VK for 10 days, now on augmentin 875 for the last 4 days and still no help. Swelling and pain is increasing and cant open mouth or eat without pain.thanks, Cheryl YYYY@YYYY", "output": "Hi. Thanks for the query. It looks like due to tooth infection there has been spread of infection to the soft tissues leading to Cellulitis and space infection. It is the cause for swelling and difficulty in mouth opening. You will have to continue taking Augmenting and along with it anti-inflammatory painkillers like Ibuprofen and serratiopeptidases can be advised. If the swelling is severe injectable or intravenous antibiotics and a steroid shot can be given. If there is pus accumulation then Incision and Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Namaste Sir, I am Sandip Barik from Kolkata, India. A little fluid collection appears at the radio capiteller jiont in my left elbow, for this i am not work out at gym, my left elbow became stiff , bumps , and does not provide me any strength during gym, so after work out my right side body gets developed , but no improvement in my left side body, like paralysis, .Hence i ask u , is there any injection which can completely remove fluid collection at radio capittelar joint at left elbow, plz answer. Thanks.", "output": "Dear patient First I would like to know the reason for fluid collection in your elbow. How did you come to know about it? I mean any investigation like ultrasound or MRI was done ? Fluid collection may be due to trauma or as a result of joint tuberculosis. So correct diagnosis should be done by doing MRI of left elbow. Only fluid aspiration may not help relieve your symptoms. First diagnosis should be done. Treatment should be guided by MRI report. Hope this is useful." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I took a fall from a scooter and landed full weight on my shoulder across a concrete curb (37 year old male). Had x-rays, no obvious break...3 days later still swollen (with ibuprofen and ice) and cannot take my arm across my body or extend it and raise it in any direction. The acromion is still not visible with the swelling. I am a carpenter and rely on my physical condition to work safely. I am thinking of contacting an orthopedic (or my trusted chiropractor) to further investigate, or should I give it a few more days? If there is other damage I don t want to wait too long.", "output": "Hi.since you had a fall, swelling might to due to trauma to some structure in the shoulder joint...it's good that you had an x-ray done.now I would suggest you to wear shoulder sling to take of undue load on shoulder joint.ice your shoulder frequently....like once in every 2 hours... I also suggest you to meet an orthopedic or a qualified Physio to rule out ligament and muscle injury...so that adequate steps can be taken to prevent any later complications...injuries of this sort will take time to heal sometimes up to six weeks...as I told continue medications till as per your GP advise and icing frequently will definitely help to bring your pain down and assist in healing of shoulder..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have severe abdominal cramping on the lower left side of my abdomen . I am also drenched in a cold sweat, shaky, naseous and irritable because of the pain. I have had my gall bladder removed. I have lost 18 pounds in 30 days with out trying. I have an appetite and eat. About 1 1/2 hours later I get sick like this. My doctor does not know either.What can I do? I am a 49 year old female and am 5 foot 7 inches and weigh 215 lbs. Thank you for any advice or help.", "output": "Hello! Thank you for the query. Lower left side abdominal pain may be caused by diverticulitis, left urinary tract infection, left ovarian inflammation and large intestine tumors as well. According to your symptoms, you should have abdominal ultrasound and foll blood work with liver enzymes and pancreas enzymes, urine test. If an ultrasound find vertices and WBC with CRP will be elevated, you should have antibiotics therapy and colonoscopy after about a month (not earlier, as colonoscopy when inflamed vertices may result with large intestine perforation). If your inflammation markers will be fine, you should have colonoscopy right away to rule colon cancer out. Hope this will help. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI my wife have 7 week pregncy but just 3 days before she got bleeding spot and pian after i go to dcotor and our doctor after ultra sound adivse for aborstion so 16 of sep 10 doctor aborted my wife now my qustion now when agian my wife can concive or how many weeks we need the gap.Please advise me .Thanks", "output": "Hallow Dear, Usually the egg release can resume about 5-6 weeks after an abortion. There may be individual variations. However, it is advisable to wait for at least 12 weeks after an abortion to allow the healing of the reproduction organs. I would also advise you the same. Please do not tax her body too much. Give proper time for resuming the normal function of the whole reproduction system. Wait for 3 months before she becomes pregnant again. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I was bitten unprovoked by a Rottweiler on the 4th of February, on the back of my thigh right above where I bend my knee. I have severe bruising all the up my thigh and down on my calf. Last last I felt a large lump about the size of a small orange. What can this be and should I go get it looke at right away? It is painful", "output": "HI, thanks for using Chat Doctor After a dog bite, if the rabies status is not known, then it would be important to have the rabies vaccine though this would not be as effective at this point. An up-to-date tetanus immunization is also important. The lump may be due to formation of scar tissue or fibroid tissue at the site of trauma. This is very common. It may also be due to a hematoma (collection of blood). Both of these would improve with time, but it is possible that intervention by your doctor would help with this. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ive always had a normal regular cycle despite being diagnosed with PCOS 7 years ago. I am now 31 and lately a gyno told me that I do not have PCOS but PCO-like ovaries. I was never overweight or obese, I dont have hirsutism, I never missed a period and I had acne which got cured with Roaccutane (the same gyno said that PCOS acne doesnt go away with Roaccutane.) I got pregnant naturally in May but had a miscarriage in June (at 5 weeks, ChatDoctor levels were not doubling) then I started taking pregnacare conception and I got pregnant again in July (before letting one full cycle pass) but miscarried on August 21st at 8 weeks and had to do D&C on August 23rd to get rid of the remains of the last pregnancy which werent coming out naturally. A week after miscarrying and the D&C - when the bleeding started to stop I resumed taking pregnacare conception and all of a sudden I started bleeding again for another week. 28 days after the miscarriage, I got my first period (on Sept 16) and the bleeding lasted for 19 days and now my period is 7 days late and am starting to freak out that Pregnacare Conception has messed up my cycle as Ive always been regular and always had 6 to 7 days of bleeding.By the way, I just took a home pregnancy test now and it came out negative. Is Pregnacare Conception a bad product?", "output": "Hello, and I hope I can help you today. Pregnacare Conception is simply a combination of vitamins that help a woman have a healthy pregnancy from conception. It has no hormonal effects and should not have any impact on the regularity of your cycle nor your ability to conceive, It is not unusual for women to bleed on and off for even 6 weeks after a miscarriage so the 19-day bleeding episode you had may not have actually been a menstrual period but still could have been bleeding leftover for your D and C. So you may not be \"late\" at all, but may just have not had a real period since the pregnancy. There is no reason to assume you would have problems getting pregnant again since you have conceived naturally twice in the last year. Either way, the Pregnancies Conception vitamins have nothing to do with your irregular bleeding. It is generally advisable to wait to try to conceive again after your first real period-so I would wait until you bleed again to resume trying to conceive. If you do not get a real period by 3 months from your last bleeding episode, you should follow up for your GUN for a re-evaluation of your hormones and treatment with progesterone, which can restart your period cycling. I hope I was able to adequately answer your question today and that this information was helpful. Best wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am a 46 year old male and have been experiencing a slightly brownish coloring in my semen. I also have noticed that my semen is lumpy the lumps appear to be transparent. I have no pain when I ejaculate and I am otherwise experiencing a normal and very active sex life. What could be the cause of the coloring and lumpy transparent texture?", "output": "Hi, The brown color semen is due to blood in semen called hematospermia. There is 4 main cause for hematospermia. _seminal vasculitis_prostate inflammation_epididymorchitis_stone or some growth in passage So you need to investigate with following investigations for primary work up. _semen culture_trans rectal ultrasound with special emphasis on seminal vesicle and prostate. Meanwhile, you can take Levofloxacin for four weeks. Kindly brevet back with reports once done. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi there I am extremely tender on the right side of my rib cage (not the bones themselves) Sore enough that I cannot sleep on that side, and it also hurts when I twist my body to the left. Have had this pain for about 10 days now. Have also had a bit of very mild nausea.", "output": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Right lower side of rib cage is the area of the liver. So you must be having pathology of liver which is causing pain to you. I advise you should do x-ray chest PA view. This will help in localizing the lesion. It may be either muscular pain or liver pain. If the muscular pain is their than you can't have any type of lesion in the chest. I advise you should avoid heavy exercise which requires a use of right rib cage. Take proper rest. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello,I am a 27 year old female. Recently I have been having this dull pain in my right lowrish back. It hurts when I stand or sit. Sometimes taking my breathe away when it comes on quickly. Im nervous they are kidney stones. Ive never had them before though. Do I need to be more concerned? Im scaredthank you!siobhan", "output": "HelloThanks for the query to Chat Doctor. Pain on the right lower back may be due to many reasons, few of them are.1 Right renal colic or stone is the most common cause. As pain is also radiating to the back, so may be due to renal stone or renal colic. Diagnosis can be confirmed by ultrasound of kidneys. This pain also may be due to URINARY TRACT INFECTION, get in urine culture.2 Appendicular lump or appendicitis (chronic) . Diagnosis can be confirmed by ultrasound of abdomen. As physical examination is important as pain present on a typical point (McBirney point).3 Ovarian cyst as this is also the most common cause and usually pain refers in the back. Diagnosis can be confirmed by ultrasound of ovary with blood examination for hormones. In my opinion consult a physician and get his opinion as physical examination is important. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "For the last two years I have started sneezing as soon as my body temperature changes - i.e. moving from an airconditioned space to a non air conditioned space; in the gym after exercises, The doctors prescribed a nasal spray, but that does not work all the time. Any help would be appreciated.", "output": "Hello, Welcome to Chat Doctor, First we need to identify the cause for sneeze, if it is due to any allergen mere using of nasal spray will not reduce the symptoms. If you are having any allergic manifestations or allergy to any of the allergen, you have to take oral medicines to control the symptoms and avoid the allergen causing the symptoms respectively. You need to test for Skin prick test to identify the allergen causing the symptoms, and then we can plan the further mode of treatment. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a distance runner. Last week after a run I woke in the middle of night with sharp pains in the side of my thigh. Not what I would consider an injury that has slowed me down much but it burns at times really bad. I am thinking strain. How long should I rest my leg? If I continue to run will an injury like this heal but much slower? Or will it get worse without rest?", "output": "Hi and welcome to Chat Doctor. I understand how it can be very challenging to pursue running with so much pain. The pain you have is due to a condition called, Iliotibial Band Syn Chat Doctor. It occurs when the iliotibial band, the ligament that runs down the outside of the thigh from the hip to the shin, is tight or inflamed. The IT band attaches to the knee and helps stabilize and move the joint. When the IT band isn't working properly, movement of the knee (and, therefore, running) becomes painful. IT band pain can be severe enough to completely sideline a runner for weeks, or even longer. Here is a list of Dos and Don'ts that will surely help you! Dos:1. The best way to get rid of it for good is to rest immediately. That means fewer miles, or no running at all. In the majority of runners, resting immediately will prevent pain from returning. If you don't give yourself a break from running, ITS can become chronic.2. While you're backing off on your mileage, you can cross-train. Swimming, pool running, cycling, and rowing are all fine. Stair-climbing is not, because it is too much like running3. When running on a track, change directions repeatedly and always do icing for minimum of 10 min to help reduce inflammation. 4. Make sure your shoes aren't worn along the outside of the sole. If they are, replace them.5. Walk a quarter- to half-mile before you start your runs. 6. See a Physical therapist near you and get a few sessions of Ultrasonic therapy. Dots :1. Don't run on concrete surfaces. I hope this information is helpful to you. Take care and have a nice day :)" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My mother is 62 years ,recently admitted for fever and found that she is infected with pnemontiss, during her treatment they took echo carido gram and found that she is having 25MM OSTIUM SECUNDUM ASD with LT( RT shunt-DILATED RA/RV)she is taking storvars and deplat from last three years, suggest us what kind of treatment she must undergo...", "output": "Hi, This is Chat Doctor. This is pretty big hole & needs to be closed. But closing will depend on pulmonary pressures. Please send a detailed report of echo. As the chambers of heart are already dilated(RA & RV), she needs closure of this shunt. This closure(if feasible) can be done through a simple procedure & do not need major surgery. So it's better to go to a cardiologist early for further treatment, otherwise if the shunt changes direction (Rt to Lt) than her symptoms will increase. Also, it will become difficult to close the hole. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son has been having issues with his gallbladder we know. He has had ultrasound and it showed sludge. Had a hyda scan and something showed on it. Today he had a Endoscapy scan and now tonight he is running fever of 99.5 and has thrown up 4 times in last hour and half. Im unsure if I need to take him in and be checked!", "output": "Hi.it is best if you take your son to a doctor, preferably a general or a pediatric surgeon, for physical examination and clinical evaluation. He may be experiencing cholecystitis (inflammation of the gallbladder) secondary to his sludge. This, in effect, causes fever and vomiting. Diagnostics (such as imaging and liver function tests) will be recommended as needed. Medical (proper antibiotic regimen) and surgical (cholecystectomy, laparoscopic or open, if indications are found) management will be directed accordingly. Hope this helps. Good day!!~ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doctor goodeving, i am 59 yrs old. allmost 10 yrs iam suffering with cramps in legs. but is not every day once in while. it may not occure even months toghether. last 2 yrs i also developed knee pains. iam not asugar patient but having bp since last 4 yrs. iam taking 1 tab a day amilokind at. it is under control. recently my doctor prescribed carnisure 500 and said it is food supplementry drug. and also pur shelcal m and lornican p.will please advice me what to do", "output": "Hi, Leg cramps are a common and usually harmless condition where the muscles in your leg suddenly become tight and painful. It usually occurs in the calf muscles and in most cases there is no obvious cause of it If it happens sporadically then there is no need for any treatment or tests. But if this is common and affect your daily routine then some measures should be taken. In some cases, there may be predisposing conditions such can be seen in pregnancy, after exercise and certain types of medication, such as statins or in liver disease. The best way to manage this is to stretch your muscles regularly. In some cases magnesium or calcium supplements may help Have enough fluids and avoid long sitting, regulate body mass. In cases of progression or if there is no improvement, you need to see doctor, to rule out some naturopathies or vascular disorders which are much less common but should be considered if there is no improvement on these measures that I have mentioned. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "respected sir, i am 20 years old and during getting physical with my girlfriend i am not able to perform well. my penis is erect only for a very short period of time and i ejaculate very easily. help me sir what to do? i used to masturbate daily and sometime 2-3times a day", "output": "Hello,As you are having a problem of premature ejaculation it seems by your complaints. Firstly proper medication and few relaxation techniques will relieve your problem to a good extent. I suggest your treating doctor to add following medications-Tab fluoxetine 20 mg once in Morningstar clonazepam 0.25 mg one during bedtime, continue treatment for at least 2 months. You need to get prescription from your doctor. Remember apprehension and worry about it will further add to your existing problem. Do moderate exercise in evening. Practice deep breathing techniques may prove helpful and avoid caffeine intake after 6 pm. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor... I am geeta pandey I m a heart patient I was undergo surgery of blokeg in.2005 from Lps institut of cardiology kanpur.... Doctor suddenly I hv again a problem of suffocation sinice morning nd hving pain in my back as well...so what kind of medical treatment I should take", "output": "Hello Resp. Greta, I have gone through your query. Thanks for using Chat Doctor. I would like to know what were your symptoms bypass which lead to diagnosis of heart disease? If you have similar symptom then it is quite likely that you have developed new blockages in graft or at another site in native vessel. In any case, you should get ECG done and depending upon its report you may need stress test or direct angiography. In short, I suggest you to go to your physician for early evaluation. My best wishes Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here... boy aged 15years having stammering since 3 years and gradually increased stammering from year to year. For which whether surgery is required or any suggestions from you and also exercises such as pranayama, yogasana? To treat the boy you suggest Allpothy / Homeopothy or Ayurvedic. Let me know who is the expert doctor to treat the boy at Bangalore.", "output": "Hello. I have reviewed your query and here is my advice. Please let me know the children present age. Stammering could be due to vocal cord problem as well as simple psychological issues such as nervousness or shyness. Need to evaluate the children behavior so that a correct diagnosis can be reached. Hope I have answered your query. You can contact me for treatment options. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Working out 3 weeks ago doing dead lift dropped bar and got a hit of pain on right side, kept working out, when I got home and bent down had shortness of breath and pain, went to Chiro and got therapy, got deep tissue massage and finally a muscle relaxer took it away, now 5 days later it is back and have done nothing?", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. You are having blunt chest trauma due falling of exercise bar. Blunt chest trauma can cause rib fracture, pneumothorax, Pulmonary contusions, musculoskeletal injury etc. And all these give rise to chest pain and shortness of breath. You are also not fully recovered with local treatment. So better to get done chest x-ray to rule out above-mentioned complications. If chest x-ray is normal than no need to worry much. You are mostly having musculoskeletal injury. For this start painkiller and muscle relaxant Chat Doctor. Apply warm water pad on affected site. Avoid heavyweight lifting and strenuous exercise. Avoid movements causing pain. You can wear rib belt to avoid mobilization. You will mostly improve in 1-2 weeks. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi ,I am 66years and i had a cholecystectomy operation five years ago without any complication but since two years i am suffering progressively from fatigue and muscles weakness. I am taking regularly supplements like calcium , vit D3. My PTH hormone is usually a little high. vit D sometimes a little low and bone densimetry normal . In addition I have sever sleep apnea and I use generally CPAP. my EMG is normal. I want to know if at long term cholecystectomy cause fatigue and muscle weakness in my case . best regards", "output": "Hi.your cholecystectomy 5 years ago is not related to your fatigue and muscle weakness. And the course of your surgery seemed unremarkable from the time of your operation. You have other medical concerns which are more important to look at. A consult with your doctor is best for physical examination and clinical evaluation. Diagnostics and management will be directed accordingly. Hope this helps. Good day!!~ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello sir,this is rajesh sir i am having skin allergy from 6 months .i have also done an allergy test,in that test varios food and house dust are advised to be rid off.my physician have advised to take romilast L10.i have been taking it from last 2 months and 1months after 2 days interval but every 2nd day allergy occurs again sir plZ advise what 2 do.", "output": "Hi, thanks for using Chat Doctor If your allergic symptoms are recurring then it means that you are still being exposed to the source of your allergies. Since your allergy tests revealed that you are allergic to dust, you need to work on eliminating them from your environment. This may mean reducing carpeting or rugs, adding special covers to your mattress and pillow. It would also mean cleaning very often to keep away the dust. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am 28, 57 kg n my height is 5 4 I got periods last month on 15th n today is 18th. I would like to take unwanted kit got 4 misoprostol n 1 mifepristone. The kit says to take 4 misoprostol tablets vaginally. Do I need to take these 4 altogether? The second question is the kit says to take mifepristone after 1-3 days. Can u plz suggest me what time will be best to take mifepristone. Thanx", "output": "Hello misunderstand your concernMifepristone and bisoprolol should be taken under the advice of gynecologist after confirming the intrauterine pregnancy by USG scan. It is used to terminate the intrauterine pregnancy up to 9 weeks of pregnancy. So first confirm the pregnancy. I think it is too early to use without diagnose the pregnancy procedure, Day 1: mifepristone 600 mg orally Day 3: Bisoprolol 400 UG (2 tablet) vaginally/buccal under the observation of gynecologist. If required 400 UG should be given after 4 hours. Day 14: USG should be done to confirm incomplete abortion In absence of pregnancy, period will be induced by progesterone pill/injection if period will delay by 12-14 days. Avoid stress, take healthy diet and do regular exercise. Best regardsContact Chat Doctor for further health query Best regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Ive had pain on my left lower quadrin for 3weeks now. Went to GI doc and she tried me on bentyl. Helped a little. Went to my prim doc put me on klonopin and an antidepressant and nothing seems to help. He also put me on hydrocodon for the pain and its the only thing that helps. Can you give me your thoughts. Thank you", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. Your doctor gave you Klonopin and an antidepressant because he suspected you having anxiety disorder. Introspect. Were you under a good degree of stress recently? If yes, that answers your symptoms. Stress and anxiety causes weird symptoms which do not have any medical back up. Often these symptoms tends to be obsessive. The pain you are mentioning is obsessive. Always fingering / handling that area also antagonizes the muscles. Trust your doctor. I can help you in this aspect. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi! wha s mean impression in ultrasound: Stable mildly heterogeneous liver parenchyma? Sorry, my computer can not upload right now.The reports Findings: the liver is not enlarged. It measures 12.4cm. The hepatic echotexture is mildly heterogeneous. Other,The blood tests...AST 22 Iu/L, ALT 22 Iu/L : AFP 3.3 ng/mL.", "output": "HelloNormally liver is homogeneous in echo texture. Heterogeneous echo texture lesion may indicate liver parenchymal disease. Since, liver function tests and AFP level are normal, I don't think it is concerning. Mild heterogeneous appearance may be subjective monologist opinion. It may differ little from person to person. However, it is important to evaluate clinically. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "When i lie down my head feels like it is shaking/pulsating .... it is very disconcerting. i had the same feeling while at the movie cinema last night..... my head felt like it was slightly bouncing off the chair. i am 27 years old, anglo-saxon male.", "output": "Hello, This seems to be pretty normal to have palpitations while watching a movie in cinema, I would like to know its episodic nature duration and frequency of such episodes along with other features like feeling of increase amount of urine after this event. Or any cough or shortness of breath or any swelling on your ankles. You need to investigate this problem for a disease if any by doing your ECG/EKG and echocardiography. And free T4. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was diagnosed with pneumonia & pleurisy in June of this year... I still have left chest pain and pain in my lower left trapezius is it possible that I have had pericarditis all this time ?Echocardiogram in June was negative but monitor showed skipped beats. The chest pain is flaring up .... Very worrying . I am 51 - female - non- smoker .", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Skipped beats, chest pain are more suggestive of heart diseases. And you are post menopausal woman (51 years), so possibility of heart diseases is more. Possibility of endocarditis is also there. So get done ECG, 2 d echo and stress test for the diagnosis of heart diseases. You may need cardiac supportive Chat Doctor. Don't worry, you will be alright. But first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, i visited the dentist about 3 months ago to get my tooth fill, i did an exray first which found nothing wrong with the tooth. the filling was still done, after a couple weeks after i have seen changes in the colour on both sides of my cheeks they have a bluish/purplish colour. now im worried i went back to the dentist and was told that its normal and the colour may not come back what could be the problem here!?", "output": "HiT hanks for your query with Chat Doctor, it should have been good if you had mentioned what filling you got it done. If it is silver amalgam filling then I think traces of amalgam had been impinged into your cheek I believe or because of the use of mouth mirror for retraction would have cause the bruise in the cheek if later is the reason then it will be back in a short time that is because deoxygenated blood stagnation it appears blue, but if it is because former one then the color may not come back. Hope this is helpful" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "22 male from pakistan. 59 kg weight.i want to ask that i am facing a problem in erection. my penis in normar state is about 1.5 inch which was used to be 2.5-3 inches but now it is just 1.5 inch and very soft. during erection it is better and becomes 5 inches and a bit harder. i want to ask why it has become soft and shorter in normal state?", "output": "HelloThanks for your query, based on the facts that you have posted it appears that you have noticed your penis to be soft in flaccid state. Please note that length and softness of the penis in flaccid state has no significance at all. It is hardness of penis on erection that is important for sexual satisfaction of both the partners. The length of penis of 5 inches on erection is enough to have enjoyable sex. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my son is 14 years old having stomach pain and vomiting sensation.he is suffering from joint pains he is taking neprocin. in addition to this emeset 4mg and lanzon 30 mg prescribed. endoscopy has done nothing is found, is there any side effects due to these medicines. he is not cured from pains", "output": "Hello, I will suggest you limit the use of naproxen as this painkiller is from an NSAIDs group which has a lot of side effects if taken for a prolonged time. It would be a better idea if you get your son diagnosed by a Rheumatologist. Naproxen is just a temporary painkiller. Joint pains need more specific therapy sometimes Luzon will give relief to him over a period of few days to a week or so. Just check him for a fever or an accompanying diarrhea. If he develops these symptoms he will then require an antibiotic for his stomach pain. Look if he has a tender to touch the upper abdomen. If that's case, you need to get him to the emergency. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have just been to my GP as I changed my contraceptive pill two months ago and have been suffering from irregluar bleeding and discharge. The doctor has put me on to Noriday. I have been diagnosed in the past with Polycycstic Ovaries PCOS. Should I be taking Noriday with this. Also my doctor has never really gone into what PCOS is and what I should be doing. Can anyone help?", "output": "Hi, PCOS is common problem, mainly characterized by multiple cysts in ovaries which in turn causes increase in insulin resistance in body. The best and first thing you should do in PCs case is \"weight reduction\" and avoid outside food, fast food, oily products and heavy meals. This causes lowering of insulin resistance. You can take Holiday for PCs. Consult gynecologist for your irregular menses problem. Take Carell the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello. I was sick over christmas and still have a lingering cough (in addition to having asthma ). I usually end up with a coughing fit in the middle of the night. Last night I had a really bad coughing fit and felt (maybe even heard) a pop. Followed by the worse pain I have ever felt in my left side lower back. I ve dislocated me knee in the past and this was so much worse. What can I do? I iced it and took Ibuprofen .", "output": "Hi, Thanks for posting your query. With the described symptoms, there is possibility of persistence of asthma. Presence of cough more during nighttimes suggest the diagnosis. Yet you should consult with internal medicine specialist / chest physician and should go for thorough check up. You should also go for chest x-ray and complete blood count, ESR. Exact diagnosis can only be made by clinical examination. You should also go for x-ray of lumbosacral spine for better clarification.Meanwhile, you should also take muscle relaxant along with ibuprofen. Take care," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I quit smoking marihuana after using it for about a year. I had a cough and every now and then I hack up black spotted phlegm. Thats not what Im worried about though. Within the spotted phlegm I get little streaks of blood. Should I worry about the blood? Because Im not going to lie, the blood streaks do worry me a little.", "output": "Hello dear, thanks for your question on Chat Doctor. I can understand your problem and situation. Blood in phlegm is known as hemoptysis. And it is seen commonly in smokers. Following diseases need to be rule out in smokers with hemoptysis .1. Chronic bronchitis.2. Infections like tuberculosis and pneumonia3. Lung cancer. So better to consult pulmonologist and get done1. Chest x ray2. CT thorax3. PUT (pulmonary function test)Chest x-ray and CT thorax are needed to rule out infections and cancer.PFT is needed to rule out bronchitis. So better to consult pulmonologist and first diagnose yourself and then start appropriate treatment." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i was in a wreck when i was five weeks pregnant and it tore up my back, neck and shoulders so bad. now i am 30 weeks along and it hurts to breath. i do not want to take medication that will put the baby at risk. i am having contractions all day long so it makes the pain so much worse. this baby kicks so hard it feels like he is trying to rip his way out. the contractions are so strong in my belly but not yet down in the back or vaginal pressure. what is the safest way of delivery and when can i safely get him out? my midwife says she needs to research it.", "output": "Hi, I understand your concern. Your symptoms & sufferings can be safely treated & you can be comfortable. Please get a consultation of a physician/ gynecologist & get your pregnancy status judged as well as cause of pain while respiration. Get specific treatment for both of your problems & try to get a delivery with full maturity of baby. A child born at 7 months maturity can survive when properly taken care of by an expert pediatrician with PBA treatment if needful. But let your gynecologist decide about your delivery I would advise having it with maximal maturity of child. Thanks. ." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a family member who was thought to have cancer because of an enzyme test. Her liver is enlarged. Her white blood count is 0000. She is in intensive care on a ventilator and having a form of dialysis. Her blood pressure is extremely low. They are telling us her gall bladder is diseased, but she is too weak to have surgery. Also, they believe she has some form on blood infection, but so far, they can not point any direct cause. She has been in the hospital for16 days with the last 8 being critical ICU. Any thoughts?", "output": "Hi, Most probably you are talking about carcinoma of gall bladder or its duct(cholangiocarcinoma). Advanced cases result in its obstruction leading to elevated levels of enzymes Alkaline Phosphatase or GGT. Hepatocellular carcinoma, which is a cancer of liver and diagnosed by Alpha Veto Protein (a tumor marker) is another possibility causing involvement of gall bladder and obstruction of its duct. In either case obstructed duct causes severe infection in the biliary channels(ascending cholangitis). Both the infection and cancer itself can trigger a severe condition called Disseminated Intravascular Coagulation(DIC). Severe infection by itself causing systemic inflammatory response(septicemia) and DIC can be the cause of the condition of this patient, both of which require ICU care. Wishing all the best for your patient." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 8 yr old son has had sever stabbing pains in his middle to upper stomach for 2 weeks. he is very pale and has dark circles under is eyes and looks a little puffy in the face. drs are treating him for and intestional infection but he is not getting any better what else could this be?", "output": "Hi, Looking to the history it seems that he might be having chronic worm infestation giving this pain and having pallor and dark circles under the eyes a sign of having anemia. Give him a course of antiworm medicine like Albendazole 200 mg stat. Give him Iron, multivitamin supplements. Give him high nourishing protein diet.Meanwhile, to give relief from stomach pain give antispasmodic medicine like Metal spas. Give him light diet for 2-3 days. OK and take care. Ok and take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My dad has been diagnosed with colon cancer and it mestatized to his liver. he had a liver ablasion and is now on blood thinners (Proxaparin shots and Warfarin) but his levels are not at a therapeutic level. What could be the cause of the blood thinners not working/", "output": "Himost of the blood thinners have an action for meatbolisation as well as degradation in the liver. All the clotting factors are also dependent on the liver functioning, with liver metastasis and ablation with diagnosed colon cancer, the whole hemopoietic system of the body remains deranged. Hence there is discrepancy with the achievement of therapeutic levels of the blood thinners. Regular coagulation profile studies with dose adjustment of blood thinners will be of help. All the best take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My Trachea or Larynx is really sore. It seems that when I cough, swallow, or even breathe it starts to hurt and has a sharp pain. Any suggestions on what to do. I have asthma and that has gotten worse and my inhaler also isnt working with this problem =.", "output": "Hello dear, The symptoms as mentioned in your post suggest that you might be having Allergic tracheo-bronchitis. Examination of the throat using a laryngoscope and X-ray of the chest will be helpful in clinching the diagnosis. Management includes:1. Stalin & Aeroflot inhaler-provide symptomatic relief by causing bronchodilator (dilating the smaller airway passages, relieving the obstruction & increasing airflow to lungs)So, you can use it whenever you are having an acute attack.2. Montelukast preparations- used as a maintenance therapy to relieve symptoms of seasonal allergies & asthma.3. Antihistamine preparations like Allegra & Cough expectorant syrup for symptomatic relief.4. A course of antibiotics may be taken to prevent secondary bacterial attack.5. Maintain adequate HY Chat Doctor. 6. Also make sure that you are well protected from cold, dust & other allergens. Wishing you a good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am significantly overweight, but my ankles, feet and legs below the knee are all incredibly swollen. I can understand if this is weight related but i often see many very overweight people whose feet and ankles are not inflated at all. Mine are ridiculous.", "output": "Welcome to Chat Doctor I have gone through your query and understand your concern. You can see for different causes of leg swelling by kidney function test (blood urea, serum creatinine), thyroid function test (T3,T4 and TSH), liver function test and heart function test. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Our nephew has just been taken to the emergency room for bleeding from his penis...he is 11 yrs old and has had stomach problems in the past year and constipation but was doing better the last 3 months. Not sure if he has had constipation problems recently or not. He had just gone to the bathroom and urinated and had bloodcome out when he was through. What could be wrong and is it serious", "output": "Hi, I understand your concern. It is probably problem s of lower part of urinary tract. I suggest ultrasound with kidney-ureter-bladder and then if it is necessary X-Ray of urine bladder-cryptography to rule out polyps of urine bladder, stones or other. Hope I answered your query. If you have more questions than don't hesitate to write to us. I am always happy to help you. Wish your baby good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello sir, i am from orissa . i am quite dark in colour and feel very inferior to my friends who are quite fair even after being exposed to sun and my height is 5 3 .what can i do to lighten my colour as well as increase my height few inches.i am 23 now.pls suggest. aryan", "output": "Howell come to ChatDoctorI really appreciate your concern, your both the physical conditions are genetically decided and this can not be changed or alter, more over this is not the matter whether you are black or white short or tall, but how much you are intelligence, what is your IQ level, these are really matter of concern, so pay attention toward this, no need to feel inferior, prove your self best, take care, have nice day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a disabled daughter with cp and she has had rods in her back for scoliosis surgery 5 yrs ago. She has all of a sudden been having super back pain. Had an ultraportable sound of her abdominal area including kidneys and today X-rays. They say all her rods r good and screws too. I am now wondering if its a kidney problem. Hurts to sit in her wheelchair. Hurts to lie in her bed. Hurts to move her and I think her urine smells funny. Do u think something like this could be a kidney issue. Where is the pain usually?", "output": "HiT hank you for this question.Typically, pain that increases with movement is as because of musculoskeletal reasons. In patients with CP, spine as well as hip problems are common. We have seen pain being there for long time before its source is found. Hip joint stiffness as well as spontaneous dislocation without trauma are common findings in CP. There is a possibility of urinary infection separate from this pain. She will need clinical evaluation by an orthopedic surgeon or pediatrician to find out the exact nature of the problem. X-ray of the pelvis and hips and tests on the urine can be ordered based on the exam. Best wishes for speedy recovery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a very tight and and dry/cracked forskin and this is causing me some pain when retracting my forskin. Its has cracked to the point of bleedin. I have tryed many thing auch as timodie, dakacort, caniston. And vassiline, non have worked atall and at times made thia problem much worse", "output": "Hi, Presence of a tight foreskin which is difficult to retract is called fibrosis. Although steroid creams help in mild cases, in others, it needs to be surgically removed to prevent future complications. Do not forcibly retract the foreskin as it can lead to paraphimosis, in which the glans becomes swollen and painful, and the foreskin cannot be retracted back. Please consult a doctor and do not hesitate in getting it operated as the surgery is a minor one with excellent results. Best wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my daughter just got some results on a liver function test with something that is suppose to be 67 normal and hers is 405. She doesnt drink, is married and doesnt have multiple partners..only one. she is 25 years old and is super scared. She is a pharmacy Tech.", "output": "Thank you for posting your query at Chat Doctor. Hepatitis presentation. Further evaluation needed. Increase in the level of liver enzymes(AST, ALT) reflect an INJURY to the Liver. Medically, the condition is known as \"Hepatitis\". It maybe caused by:1. Virus (A, B, C, D, E) 2. Alcohol 3. Chat Doctor. Gall bladder or common bile duct pathology 5.\" Fat excess\" (indicates in your case)further evaluation needed do following test:1. Viral serology (HEPA, B and C) anti HAD, Bag, antiphon, anti HCV2. Lipid profile3. Ultrasound abdomenHepA virus is a common cause and self limited disease. You may visit hepatologist and results of above tests as soon as possible. If any further questions, feel free to ask. Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .wish you good health. Regards," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir, i sex with my wife 15feb 2013 without a condom then after she has not any period .last night i check in ipill pregenency it show a deep single line , but now, i not take a baby this time , because already i have a 5 months baby . mistakely its done . pls sir , tell me that , now what can i do. my mail id is YYYY@YYYY", "output": "Hello dear, Thanks for the query. As the pregnancy test is negative its unlikely she is pregnant. If she is breastfeeding, she might not have her periods. So just relax. And if she has any symptoms of pregnancy, kindly consult your OBEY specialist. Hope I answered your question, Kindly reply me if you have any further queries or any comments. I will be very happy to help you. Sincerely, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi , I need to know the TReatment for COPD.The patient is 60 years Old .Chest scan result says almot 2/3rd of lungs is damaged.Its Status is very Chronic. Can you please let me know if it is curable, its medication and Any Hospital for treatment in india.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Sorry to say but COPD with damaged lungs is not curable. Patient needs to take inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone) lifelong. Another treatment option is lung transplantation. So better to consult KEM hospital or Hindu hospital Bombay for scope of lung transplant. Hope I have solved your query. I will be happy to help you further. Wishing good health to your patient. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello i have been infected by hepatitis b and i was also suffering from severe jaundis last 8 years back...but i still have weak digestion and never gain weight some times i have abdominal pains and also have frequent floating stools ...and body pains im loosing hope i just want to live a normal life", "output": "Hi, Welcome to Chat Doctor forum. As you describe, you are a patient of hepatitis B, weight loss, abdominal pain, frequent loose bowels. I advise you to consult a gastroenterologist for diagnosis and treatment. You may need to have liver function tests, and M.R.I. for diagnosis. You had jaundice 8 years back, probably cured. Take more of green leafy vegetables, pulses, sprouts, and protein rich foods to have good health and resistance against infections. Wishing for a quick and complete recovery. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im not sure whats wrong with me. Hello there, firstly I am just wondering what could be stopping my voice from breaking. Im a 20 year old male. Moving on, Some symptoms I have are. 1.I cant feel my adams apple 2.argueing with parents for no reason 3.Always feeling low about myself/my impression 4. Lost my sense of humour 5. No self confidence Any idea on what could be causing all ofu this? Thank you.", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. The answer to all these questions are just the same. Your negative thinking. You are just 20. At this age you are supposed to be thinking about your education and career and future. Instead you are thinking about health, family, state of mind etc. This means you are not doing anything on your education, career or future side. Concentrate on your career and future. All these problems shall be solved. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m 16 and I had a seizure during the summer and face planted into a door and the floor. I scratched my forehead and was going in and out of consciousness for a while. Now I m forgetting a lot of stuff and I keep having progressive migraines that have been happening every day. Should I be worried, my mom won t take me to the hospital to be checked. Should I worry about my health further deteriorating", "output": "Hello! Welcome and thank you for asking on Chat Doctor! Regarding your concern, I would explain that your symptoms could be related to a brain lesion. From the other hand the fact that you have had a seizure followed by a head trauma, raises suspicions of possible intracranial bleeding (like delayed subdural hemorrhage, etc.). The progressive deterioration in your clinical situation is really concerning. So, I would recommend consulting with a neurologist for a careful neurological exam and performing some tests: - a brain CT scan- an EEG-complete blood count- PCR, sedimentation rate for inflammation - thyroid hormone levels. A brain MRI may be needed. Hope to have been helpful! Greetings, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "good morning doctor last night my husband bitten by a pet dog.after that he washed with running tap water and soap he took TT .is it enough or is there any further treatment to take and is he avoid joggary and ground nuts please give your valuable solution.thank you", "output": "Hello, Welcome to Chat Doctor, As your husband was bitten by a pet dog and has washed the wound and taken TT injection, I would like to know whether there was any bleeding after the bite. Your husband need to take at least three doses of antirabies vaccines on days 0,3 and 7. You need to observe the biting dog for 10 days. If the biting animal develop any symptoms of rabies or dies during this period, he needs to take remaining two doses of antirabies vaccine on days 14 and 28. If there is any bleeding, he needs to take anti rabies immunoglobulin also, it is because rabies is 100 5 fatal, but it is 100% preventable by proper and adequate treatment. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am recovering from the side effects of treatment for esophageal cancer. My recovery has been proceeding nicely, but in recent days I have experienced slimey saliva when I eat. Ordinarily I can clear my mouth and throat within a few minutes, but today this phenomenon has persisted for hours. I am unable to eat and my throat has become quite sore from the effort to expel the slimey substance. (It looks like saliva, but it is thicker and slimier.) What is going on and what can I do?", "output": "I believe you have received radiation therapy for your cancer. Radiation often causes a decrease in production and thicker, ropy saliva. Try taking a lot of fluids. Keep sipping water after a few minutes. You might want to try lime juice to stimulate salivary secretions. Also, you can use an artificial salivary substitute if it doesn't help. For the sore throat, try doing warm saline gargles and take honey followed by water to wash it down." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi! I am very lonely all the time........I really dont know why but i end up with wrong people at the wrong time. I have a tendency to slash by body with scalpel. I have tried searching 4 someone to whom ican talk clearly and heart out but no one seems to be there", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. This is not loneliness, but pure depression. Negative thinking and uncontrolled thinking during loneliness do bring self harming behavior. Please consult a psychiatrist for better treatment and to save your future. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hii am 35 years old treated for hyperthyroidism 2 years ago for 18 months with carbimazol and after that i had oligospermia although before the treatment with carbimazol i was well and i have one child 4 years old nowthe sperm count now is ranging 1.5 -2-3 millions i recieved a treatment with mukti vit and minirals and clomid for about 6 months and the sperm count improved to 15 millions but after stopping the treatment the count droped again and the motality became worse would you please provide me any advises or treatment i can use to improve the sperm count", "output": "I will advise u to increase your sperm count through ayurvedic and natural treatment. Follow healthy diet plan includes nuts (almond, cashew etc.) steamed food in your daily food intake. Avoid junk, fried foods, caffeinated Chat Doctor. Take a pomegranate daily and add more vegetables and fruits daily. - gives u antioxidant property. Do walk for 3 to 5 kilometers daily. Avoid stress and have a sound sleep. Oil bath once in a week. Sesaem oil. Medication:Ayurvedic prescription:Karaganda choral- 3g twice a day.gourd(tributes terrestrial) capsules - 2 capsules thrice a day.sathavari legal- 3g twice a day.trial choral- 3 g at time. anti-oxidant property.I will advise yoga for better healthy life. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i hav a sever backache upto the tail bone cannot sit but cotinuous pain bt its bareable.... 2 days back i had a giddyness problem that could not get up from bed shown to the doctor .Doctor said it is spondylities and asked to remove x-ray of the neck. i have no neck pain only backpain. please advice. ..........", "output": "Hello, Thanks for your query. After going through your query I came to know that you are suffering from chronic backache. It may be due to vitamin and trace element deficiencies specially vitamin D and vitamin B12. Back exercises, Cartilage D once daily, NURSING GOLD ONCE DAILY and analgesics (DICLOFENAC 100 MG SLOW RELEASE TABLETS) give relief. Sometimes vitamin D deficiency can aggravate this so serum vitamin D test is advised if it is lower than vitamin D supplementation will be required. Avoid long continuous standing. Sit in a straight posture. Eat milk, fruits and green leafy vegetables daily. You need to do MRI TO RULE OUT other causes. Two days back you have giddiness problem, and you were diagnosed with cervical spondylitis. But you said that you have no neck pain. In my opinion if you have no neck pain then you need not take treatment for neck. Giddiness can occur due to many causes such as blood pressure changes. You can discuss with your treating Doctor about it. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello I am swelled up in my stomach like I am 9 months pregnant my legs feet and hands or swelled up to I am in a lot of pain in my stomach and lower back I constantly have to go to the restroom I have took Imodium ad but that don t help I went to the hospital and they said my small intestine was inflamed and gave me antibody but I in so much pain I feel like I am dying this is worst then labor I believe I am going to die plz help me I hurt so bad", "output": "Hi Such a pain is really worse and makes us feel very bad about it. For an immediate relief, I will suggest you to take Anti - Spasmodic medicines so that your pain in the abdomen gets relieved. I will suggest you to visit your local doctor or Homeopath to get immediate treatment. Further, I will suggest you to have a Complete Blood count (CBC), an Electrocardiogram (ECG) and an Ultrasound Sonography (USG) of your Abdomen and Pelvis. By these 3 investigations you will be able to know what is the underlying cause for the swelling of your feet, hands and hands with legs. Take Herewith Warm Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been trying to get pregnant for two months now. my period came on last month but it was light. ai mostly bleed when i went to the bathroom. Now I m having heart burn , sore breast and a milky dicharge. The last test I took was negative. Could I be pergnant", "output": "Hi, If you have been having regular cycles prior to this, you could have conceived. The slight spotting you had could be the implantation bleed. A home pregnancy test can be properly read only 3-7 days after a missed period with a fresh early morning sample of urine. You may repeat the test after a couple of days or go for serum beta-ChatDoctor measurement. This is confirmatory. Hope this information is useful. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I looked online to see if it is possible to get pregnant after your ovulation cycle. All i got was confusing answers. I have a regular 28 day cycle and ovulate 14 after my period. I had sex 5 days after my ovulation cycle, is it possible for me to be pregnant?", "output": "Hi, Welcome to Chat Doctor. I have read the query, and the answer to your question is YES.A woman can get pregnant at any time of cycle, its just that the chances are more in between 10-16 days of the cycle. I suggest you to do a pregnancy test at home using a pregnancy kit, the results of which are quite accurate. Best way to avoid pregnancy is to use protection, unprotected intercourse always carries risk of pregnancy. Hope this answers your query. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my daughter is 5 and she has had a fever and stomach ache for the past two days. she has had no appetite and some throwing up not much. the no appetite has been for five days and two days ago she was complaining about her head hurting. I live in joplin mo where the tornado was and was trying not to make a trip to the er tonight. pls help", "output": "Hi.... by what you quote I feel that your kid might be having a viral illness. Fever without any localizing signs like this could be a viral illness or a starting stage of diarrhea. Even if she is not throwing up because of the pain in the abdomen she might be having a nausea. This is the reason she is not able to eat well. You can give any over the counter antiemetic medication if you have in hand. For fever, you can give Paracetamol in the appropriate dose. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have toothache for 2 days yesterday day I discovered a small red bump on upper roof of mouth now it has growed I took iboufreon for pain and gargled salt water I did have a running nose before bump appeared do I need to go ambulance or doctor", "output": "Hi, Blisters or bumps on the roof of the mouth are usually caused due to Herpes simplex virus. It may or may not manifest symptoms in the early stages but later may cause fever of muscle pain. Red bumps can also be Canker sores in the roof of the mouth. Visit ER, get examine and get STD tests done to get treated at the earliest. You will need antibiotics and antivirals. Maintain your hygiene, rinse with salt water or antiseptic mouth wash(Listerine) thrice daily. Avoid oily spicy or crunchy food. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter did a leap in dance yesterday and landed hard on a flat foot. At the time, she experienced a pain that went up her body. Today she has pain up the right side of her body going up her leg to her lower back. Should I continue to rest her and alternate ice/heat for a day or two or does she need to go to a doctor now?", "output": "Hi, It could be due to contusion or sprain. Fracture is unlikely. As of now you can use analgesics/anti-inflammatory combination like diclofenac/seratiopeptdase for symptomatic relief. You can continue ice packs also. If symptoms persists better to consult an orthopaedician and get evaluated. In that case you might require an MRI scan. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a bilateral cornual block ., i was under akt for 3 months in 2010 march. i lost my belief of getting conceived. then in june 2010 i missed my period--98 days. ( which was 30 to 32 day cycle--bceame regular after drilling of pcods)--i went to my doc and she took a scan and said cant see anything in the scack. then took urine test also but negative. got my periods after 1 week around 100 days and it was so very profuse and with lot of finger size clots. i assumed it to be abortion and did a hsg in november 10 and it said one of my tube is clear and open(block in the left side). now i am on treatment and theygive letoval and without injections i was ovulating and this month they had given injection also. my question is i get my predominant follicles only on the left side where there is block in the left side tube. what should i do now?? do i have chance of conceiving?? can my normal tube catch the egg which is forming in the right side??", "output": "Welcome to Chat Doctor. I have gone through your question. As dominant follicle on left side and left tube is blocked then there are rare chances of fertilization, follicle travel through right tube has rare chances. Generally follicles develop in alternate ovaries. Wait for right side ovarian follicle, do follow-up ultrasound for right ovarian follicle, and when right side follicle develop plan to conceive, that will help you. Hope I answered your question. Would be happy to help you further. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Q I was diagnosed with breast cancer and had alumpectumt Nov,13.My surgeon said I would need radiation,set up an appt with radiologist,he suggest herceptin, radiation,and hormone therapy, set up an appt with oncologist to discuss herceptin and he feel I should have chemo, I know my herr2 gene came back pros and so did estrogen, and progesterone, I am very confused on what treatment I should receive, I should add that I am 71 years old with no major health issues", "output": "Hi, thank you for providing the brief history of you. As you mentioned the difference in the thoughts of the Radiologist and the oncologist that is making you confuse. It is not a case of worry, as you can request both of your oncologist and Radiologist to have a discussion on your case and then plan to a proper rehabilitation process. I am sure they won't have problem talking and discussing on their ideas and come to a proper treatment. As both may have different thinking in mind taking to your case after assessing you. Both are not wrong, but the variation of the thoughts are making you confuse. So patients comfort is the first line of action which they can do by meeting up and discussing your case. I am sure you will be at comfort once they both have a discussion as the principle of medical to keep the patient at optimum comfort. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a wrestler and I obtained impetigo at a tournament and I am now on antibiotics and a cream treatment. My sister is a med school student and told me to look for blood in my urine. I have no blood in my urine but I noticed some blood in my stool today and I just want to know if I should get it checked or if it is just a hemroid", "output": "Get your urinalysis also done as when very small quantity of blood pass through urine you can not detect by naked eye you go get your urine tested microscopically. It is important. DO not come to a conclusion all by yourself that you have got hemorrhoids. Let your doctor decide that. For impetigo what antibiotic orally you have not mentioned. Next time please do write all details for proper advice. Some Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "First off, my boyfriend and I had sex without protection; I know, very dumb, and trust me, it will never happen again. He did not cum all the way inside me, but Im unsure if pre-cum did. Could I be pregnant? My last period ended on November 6. Also, could I take Loestrin24Fe birth control as emergency contraception?", "output": "Hi, Are your menstrual cycles regular? If you have regular cycles of 26-30days, then the first week and the last 10 days of your menstrual cycle are safe. If you have had unprotected sex during this period it does not result in pregnancy. So there is no need to take emergency contraception. Please note that the fluid released before ejaculation also contains sperms and can cause pregnancy. So even though your boyfriend did not ejaculate in you there is a possibility of pregnancy if you have had sex on days other than safe period. Therefore, you need to take emergency contraception. Loestrin24Fe cannot be used as emergency contraception. Discuss with your family physician and take emergency contraception. There are specific emergency contraceptive pills available like Plan B, I Pill, next choice etc. If these are not available in your country, your doctor will advise based on the contraceptive pills available. It is important to take the pills at the earliest after unprotected sex. The earlier the pill is taken, more effective they are (95% effective if taken within 24 hours). After taking the emergency contraception, if your period is delayed by more than a week you must get a pregnancy test done. It is good that you have realized it is dumb not to use contraception. Discuss with your doctor and start regular effective contraception like hormonal contraception or get an intrauterine devise inserted. I also advise you to use in addition barrier contraception like condom to protect yourself from sexually transmitted diseases. I hope I have answered to your satisfaction." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I have not felt well today, very light headed. I have been hearing and feeling a swooshing noise and it vibrates my head and body. I have noticed swelling in my ankles in the mornings over the last few weeks but the last couple of days i have experiencing swelling all day. My daughter just took my bp and my systolic was 170/100. I am also having chest discomfort. Should i go to the er now or do you think seeing my md in the morning is ok", "output": "Thanks for your question on Chat Doctor. I can understand your concern. You are having higher blood pressure reading (170/100). In my opinion, you should definitely consult cardiologist to rule out hypertensive heart failure. So consult cardiologist and get done blood pressure monitoring, ECG, 2d echo and stress test (trade mill test). You will need antihypertensive and diuretic Chat Doctor. Strict salt restriction in diet is needed. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello I want to consult about my father in law. He has kidney problem from two years . He is on dialysis but now a days he is facing extreme weekness , not able to stand even. Our consulting Doc suggested us for a transplant . But we want some more information before taking any such decision . His age is 57.Is there anyone help me please .....???", "output": "Hi, Research has been done on kidney transplant on patients above 60 years of age. It shows that the graft function, as determined by serum creatinine level, is significantly correlated with the donor age. It is concluded that in the patients more than 60 years old, free of ischemic coronary disease or after correction of such a lesion could be safely got a transplanted kidney. If your father-in-law does not have any other risk factors done for transplant screening including immunological and viral status and urological examination; cardiovascular risk factors systematically estimated by medical history, physical examination, echocardiography, femoral arterial Doppler then there is no additional risk to do a transplantation if the donor is matching." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am really concerned about my liver enzymes. In May my test for ast was 23 and alt was 41. Now in July they are ast 176 and ast are 238. In may I was not on medications. Now they have me on some medications and they have altered some of them. I started with on blood pressure medicine and ibs medicine. After a long search we came to the conclusion I have mild chron s. Could i have a liver issue or is it the medications?", "output": "Hello, I read your question very carefully and I can understand your concern very well. I would like to ask which medications you are taking for BP and IBS, so that I can enlighten you fully. I would also like to know your age, weight and height. Your AST and ALT are very high and chances of these due to medicines are very unlikely as per my opinion. It can be due to fatty liver or some other liver pathology. Crohn's disease will not lead to high liver enzymes, so I would suggest you to go for ultrasound of abdomen to find out the exact pathology and treat accordingly after consulting with your physician or come back to me, so I can guide you further. Hope this answers your question and let me know any of your further relevant queries." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 38 year old female. For the past few months am having to spit thick clear mucus almost every morning and has to do throat clearing. I have a feeling there is something blocking in my throat.And at times I also have upper back ache. When I have fever there is severe chest congestion and takes weeks for my normal voice to come back. Is it cancer doctor?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of cancer is less. Possibility of viral bronchitis is more. Viral infection is causing sore throat and bronchitis is causing cough, chest congestion etc. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Chest x-ray 3. PUT (pulmonary function test). Chest x-ray is must rule out lung infection and cancer. If chest x-ray is normal then no need to worry about lung cancer. PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment is based on severity only. You will need inhaled bronchodilator and inhaled corticosteroids (ICS). Don't worry, you will be alright. Don't worry about cancer. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my name is Kimmkey and I have been diagnosed with many illnesses. I am 43 and have been a bakery manager for 20 years. I was put on 120mg of methadone ( it was way cheaper than oxycotin which they put me on first) and 150 oxycodone 5mg for breakthrough pain. My doctor read in a md journal it s not good to be on those pain meds. he s taking me off of all of them I m so scared I d rather die I am comfortable now and he said he thought I would be ok on them but they are no good. I feel suicidal and want to die. I will not suffer in life. please tell what I should do I am on medicare and medicade. I am also disabled I just received triple the care giving hours because of my pain. I m not lazy my quality of life is good because I m not suffering. Tell me me what to do", "output": "Long term painkillers might great another organ like liver disorders. Painkillers hide diseases rather than treat it. You are 43 years old, so you must go on for test for endocrine disorders like thyroid and ovary to rule out any pathology or insufficiency. Bone degeneration is common at this age so test for alkaline phosphatase and vitamin DE level should be checked.Accordingly, take medication for that. Till time, avoid painkiller as much as possible" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my grand son is born by cissarian sectionin 36 weeks of pregnancy.it is secoun child.baby developed jaundice after birth and regressed.after completion of third month the boy developed pneumonia and was treated at dolphin hospital hyderabad as inpatient .the child had constipation,and child could not support head and legs,so in a routeen way thyroid profile wasconducted for both mother and child,mothers thyroid profile was normal,but the boy showed TSH:107,and ft4:0.59, Tc99 pertechnetate thyroid scintigraphy showed :congenital dyshormonogenesis organification defect.,uptake at 20 minutes=9%.and ultrasound scanning of thyroid showed NO SONOGRAPHICAL ABNORMALITY DETECTED.The boy is born on29thsept 2011 and now the boy is four months oldweighing 5kgs.there is mild head lag not bearing weight,umbelical hernia redusable.now the child was advised tabTHYRONORM50mg was started on25thJanuary and now better and child could turn side ways and improving.I want to know whether the child has to be taken to neonatal endocrinologist if so can you suggest neonatal endocrinologist at HYDERABAD. i want to know the prognosis and mental developmental status and chances of cretinisam(Short stature)and the risk factors in future.Kindly answer me. Thanking you Yours faithfully, c.srinivasulu", "output": "Hi, There is no doubt about the diagnosis as your grandson does have hypothyroidism, but luckily the gland is present normally, and the defect is such that it can be corrected with home thyroid tablets. He has to be seen by a pediatric endocrinologist as soon as possible who will monitor the baby clinically and also by hormonal blood tests for at least 3 years at start.#rd month to start treatment is a little late ----but if taken good care and monitored regularly and treatment of hormone given meticulously his growth and development should be made near normal. The best place to find help will be standard private hospitals like Apollo hospital initially. I have seen many of the hypothyroid child Chat Doctor. Please remember to do screening for the next baby." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I had a meningioma removed from my brain that was pushing up against my optic nerve 2 years ago. I have had two MRIs since my surgery, and everything looks great. The problem is right after my surgery I was recovering just fine and some time possibly 4-6 weeks after surgery I must have lost my sense of smell. I could definitely smell after surgery! I can taste,but cant smell. I sometimes have phantom smells. Do you think this may be part of the slow healing process? Should I try acupuncture?", "output": "Hello I have gone through history provided by you. Good, surgery for meningioma was successful. Change in smell or its loss is due to damage to olfactory nerve which lies in vicinity. This could be prior to surgery or can be during surgical process. It is inevitable consequence of surgery. You should learn to live with this minor deficit. There is no specific treatment. Trial of acupuncture can be taken and hope for good results Regards Protein" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My four year old daughter have started to urinate very often. Sometimes, she goes to the bathroom and in less than 20 minutes she has to go again. Every night she wakes up to use the restroom more than once. Sometimes we have to get out of the car and park in random places so that she can urinate. Sometimes, she would say that she doesn t have the need to do it. While a couple of seconds before she cried because of the need to go to the bathroom. She doesn t take any medication and is a very healthy child. what can it be? Is this something I should worry about?", "output": "Dear parent, Many thanks for your question with Chat Doctor .com. There are many causes for frequent urination in a child. The most common cause is behavioral. She may have just got used to going to the bathroom regularly, and you may have to gradually encourage her to increase the time between visits until she increases her ability to hold her urine. However, before you can label it as a behavioral problem, you have to rule out the other, more serious causes of frequent urination. For this she will need a few tests at your family doctor.1) You need to rule out a urine infection - for this she will need a urine test. 2) You need to check for diabetes - the symptoms of this are usually frequent urination, thirst and weight loss. For this she would need a urine and blood sugar test.3) You need to check that her bladder and kidneys are all structurally normal. For this she would need an ultrasound scan. If the results of the above are all fine, you can then be reassured that it is nothing to worry about, and just work on her gradually increasing the amount of time she can hold her urine. I hope this helps you, good luck with the tests. If you have any further questions, do not hesitate to contact me and if you found this helpful, please leave a rating!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had Fallopian tube removed (right side) with ectopic pregnancy a year ago, I have been having abdominal pain sometimes and feeling very tense right the scar, suddenly now I am having abdominal pain as same as the ectopic last year the night before my surgery? What shoul I do now ? Thanks Jackie", "output": "Hi. Such a severe pain after tubal excision, after a gap of a year is suggestive that either you are pregnant and have another tubal pregnancy or there is an intestinal obstruction. I would advise getting an X-ray in the standing position of the whole abdomen to find out the cause. You may also go for tests of blood, urine, stool.; ultrasonography and serum electrolytes.IF something of surgical nature is found you may need to undergo another surgery to get the problem solved forever." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "infant constipationhave infant baby girl one month five days n for the last ten days she has not devacate.The 3rd day took her to hospital n prescribed amlico and ors medicines,nothing changed.Seventh day went back to hospital n prescribed liquid paraffin.Today is tenth what i do now", "output": "Hi, Thanks and welcome to Chat Doctor. Constipation in a one-month-old infant needs probing. In the newborn period the baby may not pass motion for a week sometimes. It may be also congenital hypothyroidism. First relieve constipation by Dulcolax suppository baby size. For a few days. Latter Lactulose syrup daily may be given to maintain normal bowel movements. Then seen for congenital hypothyroidism. If found positive consult pediatrician for confirmation and treatment. Hope this answer serves your purpose. Please feel free to ask further queries if any. Chat Doctor. V. Subrahmanyam." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Male, 49 years old,6 3 290, had appendix removed. I have a a pain in my right side from just under my rib cage down to about my belt line. I slipped and fell onto my back on my deck and I felt it on my way down, almost like I tightened up and something tore. This happened almost 4 months ago. Pain is not consistent, but flares up when I use my abdominal muscles getting up out of bed or off the couch.", "output": "Hi, Thanks for your query. The pain at the bottom center of the rib cage on the right side could be due to a renal infection or a stone if the pain does not seem to be muscular in nature. This can be ruled out after getting an ultrasound scan done. If the pain is aggravated with deep breathing or coughing then a rib injury or a muscular sprain is likely. The other causes that need to be ruled out include lung infections like pleuritic. Stopping smoking might help in reducing the symptoms do hope that you have found something helpful, and I will be glad to answer any further query. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, My daughter of 3years has been prescribed with childhood asthma by my pediatrician.She has been prescibed Omnacortil forte 4ml twice a day,but i am not sure if such steroids are safe for my child.Last month also we had given her Omnacortil for 4-5 days.", "output": "Hello, Omnacortil contains a steroid Prednisolone. It is safe to use steroids in child Chat Doctor. Prednisolone is recommended for childhood asthma. Early Steroids use reduces hospital admissions and can prevent symptom relapse. We prescribe steroids to gain prompt control of inadequately controlled acute asthmatic episodes. They are also useful in long-term prevention of symptoms in severe persistent asthma as well as for suppression, control, and reversal of inflammation.Thus, nothing to worry about the steroid use at this age. This is the usual treatment for pediatric asthma. Hope this helps. Please write back for further queries. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, one side of my penis a little less rigid but still i say its rigid as i will not be able to bend it when erect.Also i am about to be married in a year.Though i have stopped experiencing spontaneous erections.I am able to masturbate in a sitting positon by manual stimulation and i get hard..but loose erecton if i stop stimulating for a minute.Will i be able tohave a happy married life", "output": "Hello, It may be due to performance anxiety. For that you may require complete hologram, lipid profile and electrocardiogram after physician consultation. Along with that avoid stress. Take balanced diet and keep yourself HY Chat Doctor. Avoid smoking and alcohol. Till then, you can take tablet sildenafil one hour before sexual act. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Have you ever seen a patient who was allergic to titanium? I had a knee replacement 3 years ago and am plagued with severe swelling and an ugly red rash on that leg. I had the Melissa test and it showed I was allergic to titanium. Yet, several doctors have told me this is impossible and that what I have is an infection. I do not have pain, but stiffness when the swelling gets severe. My Dr. has drained it several times and found the fluid full of \"rice bodies\". I do NOT have Rheumatoid Arthritis. In general, I am not an allergic person, but I am allergic to eye shadow. I consulted a doctor who specializes in \"revisions\" and he declared it to be an infection and wants to replace it with another titanium prothesis. I just need some answers. The fluid from my knee has been cultured 8 times and never shown any infection. Any advice would be welcome.", "output": "Hello, I have studied your case. It can be metalloid or infections pre your history infection needs to ruled out by tests DO NOT IGNORE INFECTION IN POST TAR. You may need to investigate like CRP, CBC, ESR,three-phase bone scan PCR culture is very useful to find culprit organism. If infection is confirmed then debridement is required. Persistent infection revision operation is required. If metalloid confirms we will discuss again Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "allergy symptoms started monday and has progressed to extreme coughing with green mucus. ENT doc gave me prednisone and musonix cough suppressent/expectorant. I have been up ALL night wtih the worst coughing of my life. What else can i do. He would not give me an antibiotic.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, we should definitely rule out lung infection (pneumonia) in your case because you are having excessive coughing with green mucus expectoration. So better to consult pulmonologist and get done clinical examination of respiratory system and chest x-ray. If chest x-ray is showing pneumonia then you should definitely start higher antibiotics like amoxicillin clavulinic acid or levofloxacin. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good afternoon sir, I am sunil,having discomfort with my sex life,I am 50 years old,Last 5 years I used to live single,due to separation, last one month I married again, and having problem when ever I try to have an intercourse , I used to have erection several time when I think and try myself,but with erected condition Try with my wife in vain !!!!!! please note that my previous sex life was excellent.Please advice me what to do.", "output": "Hi and welcome to Chat Doctor. Thank you for your query. I understand your concerns and I will try to help you as much as I can. Erection problems can have many causes. These include:Physical problems, such as injury to nerves or loss oxblood supply to the penis. Other health problems, such as diabetes, high blood pressure, anxiety, and depression. Side effects of certain medicines. Stress. Chat Doctor. The exam, lab tests, and sometimes mental health tests can help find out the cause of the problem. Treatment is based on cause and include avoiding tobacco and " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "For the past 18 months I have been having ultra sound/ct scans with no results re my complaint. I have a constant pain in my kidney area (not stones). I am now experiencing burning sensations around by lower back, lower abdomsometimes hips and tops of legs. I have the occasional uti due to a well that has formed in my bladder but my doctors are now getting very annoyed with me for keep going back because my symptoms are getting worse but they dont know whats wrong with me. It has affected my life so much that I feel so unwell.", "output": "Hello, from what I can understand, you might have done all possible tests from kidney point of view to diagnose the burning and all other symptoms you have. But as you have specified that you have burning sensation in lower back and Lowe abdomen with hips and sometime legs I feel that it could be something to do with your nervous system. Some pathology with the spinal cord, some impingement of nerves can cause this altered sensation and other symptoms. I would recommend you to give a visit to a neurologist and get your spine checked once by MRI or what the neurologist feels. I am advising this because it may need other detailed examination also which will be done by the respective doctor. Furthermore, I hope I have helped you. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 21 yrs old. A male. And a doctor told me pain I was having in my chest on left side near heart, was a sack inflamed. Could come and go. It is a uneasy pain and is there when Im not exerting energy. Its there at night all time. What is it exactly?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, we should first rule out heart diseases for your left sided chest pain. So get done ECG, 2d echo and stress test (trade mill test). If all these are normal then no need to worry about heart diseases. Sometimes Costco Chat Doctor. So apply warm water pad on affected areas of chest. Take simple painkiller and anti-inflammatory " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi am shilpa anand an iam ttc i have been daignosed with pcod an been pricribed for it my harmones are glysephage ,follic acid an got indused my periods buy deviry tablets thats i took deviry on may 11 an i got my periodss on 28 may then on the second day i took fertyl tablet for 5 days im confused when wil i ovulate please help", "output": "Dear Ships Most women ovulate between day 12 - 14 when taking ferry. Nothing can be said for certain for you as you have POD and this is your 1st cycle with ferry. To find out consult your doctor and get a follicular monitoring done by transvaginal sonography. Once you know the days when you ovulated, they will remain the same in the subsequent cycles on ferry. Suppose if you ovulate on day 13, you must have intercourse on day 12, 13 and 14.hope for the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a crown prep and a root canal during the last two weeks. When the dentist gave me a novocain shot I felt a huge shock. I have had pain in my jaw ever since. I feel it in my ear, below my ear, in my chin. Is this from the shot? When will it go away? Its been a week now. The pain is less but its still driving me crazy.", "output": "Thanks for your query, I have gone through your query. The pain can be because of the injection. While injecting the Novocaine, the trauma cause at the site of injection, the muscle fibers or nerve can result in pain. Usually it will go after a week to 10 days. Nothing to be panic, take a painkiller, do saline gargling 3-4times daily. If the pain does not subside, then consult an oral physician to rule out other causes of pain below the ear like TMJ disorders. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, my gf and I were messing around the other day and I was beside her touching my penis to get an erection but I didn t ejaculate (it s possible I could ve precummed) and I proceeded to finger her right after that. She s on the pill and I didn t think much of it until later. Any chance she could get pregnant from this?", "output": "Hello dairy understand your concern Chance of the pregnancy is nil because1. You have not did penetrative sexual intercourse2. Your partner is already on the pilot become pregnant penetrative sexual intercourse in the unsafe period of the cycle is required. Fingering to vagina does not cause pregnancy you are completely safe and no need to worry. Avoid stress, take healthy diet, Chat Doctor. Hope this may help noncontact Chat Doctor for further health query Best regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Im 15 around 56kg and 169 cm male. I currently have a bad case of chickenpox at the moment and have these dark red scabs all over my face. Will they turn into scars and if so are they permanent? My mouth and throat is infect as well as under and on my foreskin. Will urinating frequently affect my genital area? As urinating is so painful at the moment", "output": "Hello, Welcome to Chat Doctor, It is highly communicable 1-2 days before the appearance of rash and 4-5 days thereafter. After which virus tends to die out and looses the capacity to transmit disease to normal individuals. The scabbing usually begins 4-7 days after the rash and completed by 30 days. During the scabbing period you are sterile and will not transmit disease to others. This is a disease which will affect all parts of the body from head to toe including the genitals. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have my husband semen analysis result, it says he has 1+ pus cells, liquification is incomplete(forced), color is grey white, motility after 6 hours is 30%, and sperm per/ mil is 5, appearance is cloudy, morphology 20% pin headed. My doctor said we cant conceive baby naturally, doc didnt explain properly about my hubbys condition, can u please explain, what is my hubby exact condition and we cant have baby naturally? Please help me with this. Thank you", "output": "Dear user, welcome to Chat Doctor. The normal count of sperms that allows pregnancy is more than 20 million sperms per ml, provided the other parameters are normal (motility and abnormal forms)You husbands count per ml is 5 (you didn't mention 5 or 5 thousand or 5 million). He should visit an Chat Doctor. In such conditions I advise my patients to cryopreserve sperms, in order to be used later in intro cytoplasmic sperm injection. Your husbands condition may be progressive. I wish you good luck and getting pregnant soon." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi!i am having pain near the surgery area. so i went to the doctor, after examination she has prescribed me clingen forte for 7 days. she was telling that i have an infection in the cervix area. after 7 days i have do my colposcopy test and then biopsy. is it serious problem??", "output": "Hi, welcome to Chat Doctor. What you are suffering from is cervices or infection in the cervix region. Cervix is the lower part of the uterus. You have been prescribed antifungal medication and your doctor is right in doing a colonoscopy to rule out deeper infection. Please do not worry, this infection is treatable. Please complete the full course of therapy prescribed. Wishing you a speedy recovery. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Four weeks ago, I went running--20 minutes later, it began hurting. It was enough to make me to keep the pressure off for a day, but I did all my normal activities with minimal dull pain. One week ago, my ankle swelled up pretty big. The next day I went to a walk in clinic, got an Xray, and the doctor said I was fine. He told me to wear a brace for a week. I have to walk back and forth to class every day (across campus, maybe a quarter to half a mile). The brace didn t give me any support--only made sure it wouldn t twist or turn on itself. The swelling hasn t gone down at all (it has been a week). Today it looks even worse, and standing on it has become unbearable. What should I do?", "output": "Hi, as you mentioned the swelling of an ankle, and your visit to doctor, x-ray, and brace. I see it more of an ankle ligament injury. That is the reason the pain is not coming down and also, you are having pain while standing more. Only an MRI can help us come closer to the issue. Ankle joint is the one first joint to bear the whole body weight so coming close to the diagnosis will be of choice with the help of an MRI. Also, rather doing all these, Try to pick bits of paper with your toes from the floor. It will help strengthen the muscles of feet. Also, understanding the biomechanics and pathomechanis of the foot is a wide area to explain, so care is important even in the smallest cases. X-ray can only show the bone, but the MRI will show the Soft tissues as well. I hope to see you, if you have any personal questions to ask." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 56, Female, weigh 132 pounds, work out every day. I am experiencing heart palpitations, sour taste in my mouth, belching, chest pains. I have been experiencing symptoms for about 4-5 weeks now. Had an EKG a few weeks ago. Results normal. Had been taking 40mg Nexium for about10 years. Gradually switched to Zantac, but for past 2 days have started taking Nexium again. Have been experiencing stress and anxiety for 2 months, exacerbated by worry about what is wrong with me. Most worrisome symptom is heart palpitations whicChatDoctore and go throughout the day. Had blood work done today but don t have the results yet. Any advice, especially regarding palpitations?", "output": "Hello, Most probably it's due to gastritis and reflux disease. Palpitations can also be due to this especially if your cardiac work up is negative. Do you also have upper abdominal pain, nausea, bloating, burping, increase in pain on food, sour water feeling in throat or chest burning, these are the other symptoms and may be associated? You should avoid fatty, oily and spicy diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Lots of green leafy vegetables, fruits. Avoid smoking and alcohol if any. You can get prescribed tab Pan DSR 40 mg or omeprazole risperidone combination before breakfast once a day for 2 weeks. If not adequately relieved, then you should add SYR sacral O or genus two teaspoon three times a day for a week. Hope this helps you and get back if you have any doubts." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Yes, I am trying to ascertain if a blood pressure reading of 96/54 is optimal or considered too low.I am currently taking blood pressure medication.Additionally, with a reading comprable to mine, would taking Viagra be dangerous or detrimental?...Mark.", "output": "Hello the blood pressure reading mentioned are considered low particularly when you are taking blood pressure medications. So a review with your doctor to decrease the dose and tier your blood pressure medication regime is justified in your case. Optimum pressure range should be man tinned at least above 110 / 70 for beat health benefits. If you are not on any nitrate based medication then you can safely take Viagra, however if you are taking any likewise medication Viagra is contra indicated. Last Viagra can further decrease the blood pressure and so adequate HY Chat Doctor. Regards " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just inhaled one or two sunflower seeds and began coughing for about 15 min. Coughing now subsided and lot of phlem finally came up. Produced by lungs? I did not sense seed coming up in my throat and the sensation of it there is still prevalent. Now what? Drinking water and having yogurt has soothed throat. Thanks.", "output": "Hi, the best way to cure allergy is avoidance of it but if u had already feeling coughing type allergic response to flowers then u can take antihistamines or mast cell stabilizers or steroids as we are not suppose to prescribe medicines here, so I have mentioned only groups of that particular Chat Doctor. There is nothing serious as most of this kind of allergy subsides by itself after 1 or 2 hours." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Am married for 6 years now. have been trying for a baby since last four years. Have done mine and my Husbands all the tests .Doctors say it is all normal , and have put me on medications like clomid,humog injections,siphene etc.. for the last 4 years Ive been taking these medicines and have even done a laproscopy where the report was all normal. Is it ok to still continue on medicines and am planning for an IUI this month. can you tell me if these medicines will be harmful , will they affect my health in future.? Will I ever get pregnant? what can be the reason that am not able to conceive. My periods are very much regular , I weigh abt 53KG with a height of 51.", "output": "Hi, the reason for infertility in a gynecologically normal pair, the fault may be with anemia, positive V.D.R.L. reaction, or hypomanias means, the penile opening is at the lower part, instead of at the end for male partner. Safe period should be followed, means having sex from 11th day to 20th day, every day. After the period, and completely avoiding sex 1st to 10th, and 21st to 30th day. Having sex in the male above position. And not to get up and wash immediately after the sex. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My name is sania ,im hav completed my 3 yrs of my married life, i got pcod, my tretment is going at mumtha infertility centre frm last 8 mnths,bt no result.im very much eagar to conceive.Last mnth they hav done my EB Test which i came to know abt TB cells for which im taking medicine 4 that,its a 6 month. plz advise me.", "output": "Hi Santa. The course of anti-Tb medicines are almost finishing. You may go for further tests like Hysterosalpingography to know the status of the Fallopian tubes, if they are open or blocked. POD may cause a problem if there is no ovulation. Stop junk foods and have a healthy life-style to improve on POD along with the medicines your Gynecologist gives you. Also go for ovulation studies with ultrasonography. If the above tests along with the semen analysis of your husband are normal the chances of conceiving are more." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello sir my grandfather of age 81years is now suffering from prostatitisproblem from past 3 months.as he was not able to withstand surgery we opt for having a pipe connected into the peniswith a bag.at present he is having acute burning sensation while passing urine.so i request you to suggest any treatments available for my grandfather so that he could withstand the treatment", "output": "helloThanks for queryBased on the facts that you have posted your grandfather has Enlarged Prostate and a self indwelling per urethral catheter has been passed to Chat Doctor. He has developed symptoms of prostatitis. It is very common to get catheter induced infection in bladder and prostate giving rise to causing burning urination and refractory UTI. In such a situation it is always advisable to " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I had a gallbladder attack 3 days ago and turns out I have small gallstones. The only pain I m having now is a dull aching pain in my lower right side of my back. I can t bare the thought of surgery. I heard about a medication Ursodiol (Actigall) or Chenodiol (Chenix). Would this help to dissolve the stones? And am I able to purchase it over the counter? I am a 56 yr old Fem. CBD measures upto 3.4 mm, not dialated....what does this mean? It was in my paperwork from the ER.", "output": "Hi, For gall bladder inflammation you can complete the course of prescribed antibiotic for seven days. I suggest you take anti-inflammatory medication as well for five days. You are right. The ursodeoxycholic acid tablet can dissolve gall stone but not in all case. You can take it for one or two months. If you have repeated gall stone induced pain than you should have undergone operation to remove gall bladder microscopically. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have an itchy rash on the palm of my hand and thumb. It presented this time last year too, After trying every kind of over the counter cream and a visit to my doctor and steroids, nothing worked. Finally after about 10 weeks it went away. It didn t come back until now, a year later. It is only on my right hand and it itches terribly. I don t want to go back to my doctor again for him to say he doesn t know what it is.", "output": "Hello, You need to look carefully at products that you are using or products that you are exposed to, perhaps only on the right hand. Some people are allergic to things like nickel which is what many jewelry items like belt buckles are made of. It could also be a soap or product that your right hand is just more sensitive to. You may have a type of eczema on that hand. If your doctor cannot figure it out, and you cannot fine the problem you may need to see a dermatologist for testing. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am about 5weeks along and was melting several styrofoam cups in my oven at 250 degrees for 3-4min at a time for about a hr total for a class project. I started noticing the smell was upsetting my stomach so I went outside and got fresh air and drank some water, but I m worried if it has affected my baby?", "output": "Hi, thanks for the query. I understand your concern. Melted plastic (from Styrofoam) releases hazardous fumes for growing baby. You are running 5th week of pregnancy, which is the period of basic development of fetus... specially the plastic fumes should be avoided. Though you need not worry with a single exposure for few minutes... (thank god you shifted out in fresh air.) Be convinced about it while anomaly scan usually done in 5th month. But keep in mind not to expose yourself to the risky job. In pregnancy period. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have skin patches that look like hives that appear on the part of my arm above the elbow where blood would be taken. I have researched into tinea vesicolor and also psoriasis . I have also changed my diet as I am a homeopathic person. I currently am on an all gluten free diet hoping to see a difference and I did for the first 4-5 days it started to clear up but now it has returned the only thing I can think is it could be stress related. I used to be a competitive runner and very healthy as well as active and since my son was born 5 years ago I ve been battling anxiety and panic attacks. My biggest concern is liver related issues and wondering if I should continue the gluten free lifestyle?", "output": "Hi, Your case is not straightforward or simple. There are multiple possibilities for cause of your problem. We first considered a skin disorder in your case. Almost all chronic skin disorder exacerbate by stress. If problem is very severe and leading to frequent interpersonal problems, then for assessment and treatment, you can visit specialists like dermatologist, general physician and psychiatrist. I hope this information has been both informative and helpful for you. Wish you Good Health. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my baby is 20 mths old, i have been noticing that her foot shakes/tembles soemtimes. This was happening till she was 14-15 mths and thne it stopped.But it has started happenign agian since yesterday and that too very frequently. Also, i have noticed that she trembles sometimes when she wakes up suddenly.", "output": "Hi, Welcome to Chat Doctor, Trembling is very non-specific in most child Chat Doctor. If its frequently seen then following possibilities I would consider and evaluate in those lines if I were your pediatrician .1. Hypoglycemia - low sugars which is very uncommon in this age, however needs to be kept in mind.2. Seizures- if trembling is associated with loss of consciousness. If consciousness is normal then seizures can be ruled out completely.3. Hypocalcemia- is the most common possibility here in your children case and needs to be evaluated by doing a blood calcium level. Hope I answered your query completely. Let me know if there is any clarification. Takecare." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Chest pain in between breasts, side of breasts are soar. The pain is worse at night in bed when trying to lie on one side or the other. Particularly painful when sneezing or coughing. Recently had the flu 3 weeks ago followed by severe cough. Was coughing up some green yello phlem at the time.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Possibility of lower respiratory tract infection (LETI) is more in your case. LETI is common after flu (viral upper respiratory tract infection). And your symptoms like cough, greenish sputum, chest pain on coughing and sneezing (pleuritic pain) are suggestive of LETI - pneumonia more. So better to consult doctor and get done 1. Clinical examination of respiratory system 2. Chest x-ray to rule out LETI. You may need antibiotics and antihistamines Chat Doctor. So first diagnose yourself and then start appropriate treatment. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a hernia in my stomach, i am waiting to have this operated on and now having recently lost 6 stone this is going to happen. Since losing the weight my stomach looks like a football and its hard but i can feel it move about, is this normal? When i have it operated on how long will i be off work?", "output": "Hi ! Good afternoon. I am Chat Doctor answering your query. Yes. It is normal to feel the stomach/intestines move in a hernia specially after losing weight when it becomes more prominent. The number of days of rest required varies and depends on the type of your job, the type of repair done, and any other medical aspect which might defer from person to person. This would be best judged by the surgeon who would operate on you. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am a 27yr old women who recently discovered a bacterial infection that my OB doctor seems to think has been my cause of infertility for the past 5+ years, my husband was also dignosed and treated, although they didn y discovery what type of bacterial it was. We have been through 2 failed IUI s, my IVF miscarriage at 8wks and one FET (chemical pregnacy) through a fertility specialist and also been misdignosed with tubal issues later finding everything to be opened and health per a LAP surgery. Would this bacterial infection cause low morphology in my husband and impair fertilization? now that we have been treated should be get pregnant on our own without any medical treatment?", "output": "Dear Masthead is no doubt that bacterial infection can result in infertility. It would be desirable to know what type of infection you have. In any case it could be treated not only using antibiotics but also immunostimulants, phototherapy and special diet. If not the probability of unsuccessful attempts to get pregnant with the help of modern technologies (IVF, GUI, CSI) is very high because embryo needs almost sterile conditions in Oder to develop properly. Infection has to be verified. This infection really could affect low fertility of your husband. However, sometimes patients can get pregnant after abrogating of treatment and there were such cases in my practice. Yours sincerely Chat Doctor. Aleksei" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My father had back surgery in july and 2 weeks later he was put in the hospital for a staph infection. They have fully treated that but he in extreme pain in his right hip and down his leg when he even tries to switch positions in the bed. He can ben the leg but not lift it. We have had all types of scan and xrays but no answers. He is 77 years old and he is in so much pain he is giving up the will to live. Pain meds do not help. Can you help us figure out where we go next. He is in Harlingen, TX", "output": "Brief Answer:Doesn't Seem to be an infection problemDetailed Answer:Hello Welcome to Chat Doctor. My name is Chat Doctor. I have gone through your query and would try to help you in the best possible way. OUR OPINION:Your father went through Back surgery it definitely would have been done because of pain or movement issue, it got infected, or he got infected from some other source not related to surgery, and he again had to go to hospital, where is Staph infection was treated. In My opinion the pain and symptoms he has are not suggestive of a complication or an ongoing staph infection unless there is high grade fever general body aches shivering loss of appetite skin rashes or related symptoms of which you mentioned nothing. So My opinion this issue relates to your fathers back, may be the surgery didn't cure what it should have or may be a new thing has appeared. If I were your doctor after ruling out staph infection (as you are concerned about it) through blood work and culture I would have put all my focus on his orthopedic issues, if it's a structure touching his nerve or a disc compressing on or is it neuralgia of some sort or a muscular pain, For that these days we have got so many state-of-the-art diagnostic modalitieslike MRI Doppler's Nerve conduction studies Radio graphs Ct scans Bone tagging and much more WHAT TO DO NOW:(1) Talk to the doctor who operated/Orthopedic consult: I would suggest you to discuss all the options with your doctor specially the one who operated on him, if there is any complication of surgery or the surgery didn't work or is there any new problem arising, an Orthopedic consult and diagnosis seems to be the key in this problem.(2) Pain clinic: There are specialized pain clinics which can use different methods to relieve pain these clinics can be found specially in association with cancer hospitals and clinics. And here again I will say that Pain can be managed better if diagnosis is made.(3) Support you father mentally don't let him lose hope(4)Physiotherapy: This also is a very developed science these days and can help patients in rehab.CONCLUSION: A good diagnosis first. Hope I have answered your query. If you have any further questions I will be happy to help if not then don't forget to close the discussion and rate it. Wishing you good health !!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son is 3yrs 7 months old ,17 kg weight.He is having typhoid o as 1/80 in widal test and was detected e.coli(urine infection).He was given antibiotics(cefixime for typhoid,oflaxin for urine infection).He became ok.After 20 days again he is having fever and same report of widal is there.His L.F.T test report and tc/dc is ok.Doctor is again giving him antibiotics of typhoid.pls help as why relapse of typhoid is there.", "output": "Hi Dear welcome to the Chat Doctor, Typhoid disease is a water-borne disease. Usually spreads through the contaminated eatables/water. Only tidal test is not the conclusive test for the diagnosis. Repeated detailed work up should help in the exact diagnosis like CBC, ESR, TY PHI DOT TEST, MALARIA ANTIGEN, URINE ROUTINE EXAMINATION. CHEST X RAY. BLOOD CULTURE etc. This case may be also partially treated case or some other concurrent infection may also be there. Hope the query is answered.thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "So last friday I got smashed between my car and a car that didn t have it s emergency brake on. The car wasn t going to fast, but i ended up with some bruising on my legs. One bruise in particular started really small and light coloring with a couple darker grey dots on top. The last time I looked at them was Tuesday, and nothing had changed. Today, Thursday, I looked and its got much worse. The bruise is dark, and the parts that were originally really dark are now red. Is this something to be concerned about? I m 20, female, and have not past problems like this :D", "output": "Hello, Welcome to Chat Doctor. The bruise you mentioned, if its red, with swelling and also pain around that area, there are possibilities it is getting infected. You could start with an antibiotic ointment, applied locally. Within a day or two, if no improvement, should switch over to oral ones. But what you mentioned if it is pertaining to bone /joint, then you need to get an X-ray done. Do get it shown to a doctor, in case not healing within a couple of days." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been having persistent backpain for over 8 months now, I take tramadol and Cyclobenzaprine for muscle relaxer. I have done Physical Therapy, and had two epidurals to no relief. I have been tested for Spondelitis, and the only cause shown on MRI could be buldging disc, and anuluar tear. I am starting to get a feeling like im on a boat kind of light nausea, I feel as if im weak, and have a poor short term memory now. The black spot just appeared on my right palm, and not sure if Tramadol is causing the nausua or the Cyclobenzaprine. My pain is usually around 8-9 out of 10, I dont have the MRIs to show, Blood work comes up normal.", "output": "Hello and Welcome to Chat Doctor, Thanks for writing to us. I understand you have back pain. These symptoms are part of lumbar disc degeneration with PIED where the nerves get compressed by the protruded disc. There are several treatment modalities with medicines, physiotherapy and with injections in the back called epidural injections and root/facet blocks. If you don't get better with this treatment, I suggest you undergo surgery, by which the nerves are decompressed by removing the protruded disc (discectomy), which would significantly improve your symptoms Hope this helps you. Wishing you good health... Regards. Chat Doctor. Orthopedic Surgeon." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I broke my left hip 2 1/2 years ago. I never was prescribed physical therapy. Since my surgery, I do not have the same flexibility (which should probably be expected); but, I have lost the ability to squat or raise my left leg keeping the knee facing forward. As I raise my leg, my knee turns to the left as does my foot. When walking it takes concentrated effort to not walk in a slew-footed manner. Is this normal?", "output": "Hi, as you described your concern, physical therapy is necessary after joint surgeries. But not to worry about walking, yes it is slightly abnormal if you are making efforts in normal walking. U can correct it, but it will take a bit long time, you can start from general stretching of your hip muscle and can consult for gait training with physical therapist. I hope you will get benefits from this. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter is four days old and was born with jaundice , her jaundice level is at 21 today coming from 18.5 yesterday. Yesterday we received two biliblankets and had her wrapped in them for the twelve hours in between receiving them and going to the dr. The doctor this morning said she looked great. Should I be concerned?", "output": "Morelikely she has physiological jaundice, pretty common can u shed some more light on the age of baby (I mean preterm or normal term baby)is there any history of maternal jaundice during pregnancy?well if it persists, the jaundice might need further evaluation for its cause, but we have to right now consider it as physiological or newborn jaundice I would like to know the weight of child, the general activity of breastfeeding and how comfortably the baby sleeps thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been following a diet where I eat 3 main meals a day and a snack between them, and i must have 3 to4 oz. of protein each meal and at least 7oz. ea. snack, but I am worried now about the protein because I found out I have stage 3 kidney failure, BUT I am doing so good on this diet and sense I am 300lbs .obese I dont want to quiet now , so what about the protein, can you help me please ?", "output": "HiT hanks for the query. In chronic kidney disease, especially if it is associated with protein in the urine, it is advisable to restrict the dietary protein intake. This has been shown to delay the progression of the disease. The amount and type of protein to be consumed can be calculated based on your ideal body weight and dietary habits. So you should see a dietician and get a detailed diet chart. Hope this helps Good luck" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I was wondering if you could help? I feel like I may have trapped a nerve in my neck? I am usually quite tolerant of pain but I have to admit this is of concern. As I yawned this morning I got a sudden sharp pain in the left side of my head/neck, the type of brief pain you get when you move your head too quickly. Immediately afterwards I started sweating profusely and had blurred vision, seeing stars. My eyes recovered quite quickly, and although the sweating has reduced, the pain in my neck has continued to persist throughout the day. I am able to look to the right without difficulty, however looking left, downwards, and upwards is near impossible. The pain is greatest behind my left ear and radiates up and down my head on the left side. I have taken 600 mg ibuprofen but this has had no impact whatsoever. Is there anything you could suggest to alive the pain? Many thanks, Jen.", "output": "Hello, I have studied your case. There is possibility of cervical spine muscle spasm. For these symptoms analgesic with muscle relaxant and neurotrophic medication can be started consulting your doctor. Till time, avoid lifting weights. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. Gradually neck exercises can be started after relief. I will advise checking your it B12 and it D3 level. I will advise you to MRI cervical spine for better diagnosis. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi my names Annelise, age 26,I ve noticed recently my panic attacks happen when I have a bath is this common? and what can I do to control it as I live on my own and end up having to use my pump as I suffer from asthma as well and sometimes call the ambulance as I can t control it? please could u help? thanks", "output": "Hello, Welcome to Chat Doctor, It seems that you may be allergic to the detergents or fumes of the water, these can be a triggering factor for your symptoms. The triggering factors may stimulate the mast cell to release histamine which may leads to all these symptoms. I would suggest you to test for absolute eosinophil count which will helps to confirm the presence of allergic reactions in the body. You can test for the different detergents and the smoke by patch test which helps to identify the allergen causing these symptoms. By identifying the allergen you can avoid them, or you can go for immunotherapy, which will helps to control the symptoms. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI,I\"M MR. RUBIO 39 OF AGE,I AM A CIVIL ENGINEER,WORKING AT THE OFFICE 8HRS A DAY,IM NOT SEXUALY ACTIVE SINCE MY WIFE IS OUT OF COUNTRY,I WONDEREDWHY IS IT WHEN I WENT HOME FROM MY OFFICE THIS AFTERNOON 5 O\"CLOCK I SAW A BROWNISH DISCHARGES FOUND AT MY UNDERWEAR THEN AT MY TOWEL,DOES IT MEAN SERIOUS?", "output": "Hello, You need to check whether blood discharge is in semen or in the urine. So I suggest you get checked your urinalysis and semen analysis report first for primary workup. You can wait for the next episode. If semen or urine persistently browner than antibiotics like Levofloxacin can be prescribed. You can revert with reports once done. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am 31 years ,married 6 months back Follicle Study report on 13th day was LO 1.87CM and RO 2.1CM Endometrium 1cm .Had ChatDoctor injection had sex that day and next .on 15 th day doctor said follical ruptured but could not have sex on that day but had next day .So what are the chances of pregnancy .Worried as i couldnot have on 15th day.", "output": "Hi, the sperms remain viable for 72 hours to fertilize the egg and after ovulation egg remains available for fertilization for 24 hours. After the injection rupture occurs in 34 to 36 hours. So even if you have contact on day of injection, sperms will be there to fertilize the egg. So, don't worry about it. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. Hope I have answered your question. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My dad have thrombosis in his leg, he is 46 years old, he s leg are now very dark compared to the skin, and he have alot of opening there, he lived with it more then 10 years, ny question is, can he workout?, and if he can how much, can he lift weights? can he home workout such of pushups? etc thank you, Erik", "output": "Hi, If thrombosis is acute workout is not permitted as it may lead to release of thrombus into blood and thromboembolism. But if thrombosis is chronic workout may be permitted only after all investigation. Recent ultrasound Doppler examination of both lower limbs should be done to assess status of vessels and clot. Visit to vascular surgeon is must get proper advise. Upper limb exercises can be done as they are normal. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 43 have herniated disk at L5 and disc degeneration through out spine. Slight pinched nerve at L4-L5. I have had injections, therapy, and medicines. No help. Surgeon says it isn t severe enough. Now pain is in tail bone, buttocks and runs down legs. Sharp, shooting , stabbing and burning sensation. What are my options? Is there a new surgery that is supposed to help this?", "output": "Hello dear, Please accept my concerns for you. In a degenerative spine disease, with disc herniation and nerve root compression, the general principle of treatment is that, till the time your symptoms become so disabling as if to make you functionally dependent on others for your daily routine tasks and the symptoms are not responding to conservative treatment(as medicines and injections in your case), then surgery is the option left for you, but till that time arrives it is usually avoided. You should take a neurosurgeons or spine surgeons opinion for it. I hope it is of help to you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, im a 20 year old male with hand tremors, its been going on for about a week now, i have done some research and it always leads me to parkinsons disease or anxiety.i have checked my blood preasure and its very high. i have stopped eating food that have very high colestrol and oily foods. please email me back as soon as possible. YYYY@YYYY", "output": "Based on your query, my opinion is1. High blood pressure does not cause tremors.2. Tremors are caused most often due to anxiety. If you are not anxious, then you will have to rule out other causes like hyperthyroidism and Parkinson. 3. You need to be regular with your medication for hypertension and high cholesterol4. Get a thyroid function test done.5. Make lifestyle modifications in the form of regular exercise, diet rich in fibers and proteins. Hope this helpsRegards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was sick with some type of flu the whole month of Jan. About three days into my illness i noticed a large lump next to my right breast in my armpit. I went to urgent care the same day and the dr. looked at it and said it looked like my lymph node might be swollen but seemed more concerned with me being sick(congested in my bronicals,completely clogged up sinuses,headache and terrible body aches) gave me antibiotics. Now that its Feb. Im feeling better but the lump is still there and its painful and I have pain running over the top part of my breast and down my arm and sometimes in my back. Its a stinging, burning type of pain and the lump is soft and I can move it a little.", "output": "Hi.it is best if you consult with a doctor, preferably a general surgeon, for medical and physical examination. Based from your description, it could be an inflamed lymph node secondary to an infection or a cyst, a benign breast lesion. It could also be a fibrous or fibrotic lesion. These lesions are best evaluated clinically. Further diagnostic examinations, such as breast ultrasound and mammography (which also includes axillary evaluation), will be requested as needed. Regular breast examination and follow-up with your doctor is highly recommended in these cases. Management (medical and/or surgical) will be directed accordingly. Hope this helps. Good day!!~ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I took 5000iu ChatDoctor shot last month it didnt rupture the follicle. This month I am scheduled to take the 0000iu ChatDoctor shot on my 12th day of the period. Past three months my follicle over grows an becomes a cyst and washes away. I am currently also taking 20 tablets starting on 20th day of my cycle called Duphaston 10mg. Will the 0000iu ChatDoctor shot help me get pregnant ? What are the chances of having my follicle rupture?", "output": "Hello, Thanks for your query. There are so many factors for follicle rupture, it should be of matured follicle say size of 18-20\u00a0mm, and good endometrial thickness, and there should not be premature LH surge. So as scheduled try this cycle with 10,000IU Chat Doctor. And I presume you and your husband have been evaluated with all the possibilities for Infertility. Wish you good health. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my son of 3 yrs old is having cough since 1 month. treatment is started. Dr told that he has some allergy or due climate this may happened. Dr. has started two spry. Now he coughs for 5 to 6 times in 24 hrs. All reports are normal. Is this cough is related to lungs.", "output": "Hello & Welcome to Chat Doctor, I had gone through your case and I have concern for you. Normally allergic cough is not affected with lung, but you do not take proper treatment for her then it can affect the lung tissue also. What I found from your case that she has lack of immunity due to which she can not any kind of climate change or particular to any item either food or spray. Exact allergic material you have to find it.Meanwhile, you consult to any Homeopathic physician and give her 4-5 almond daily early morning with milk. Definitely you will get the solution for the problem. From Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have small white patches on my inner thigh and it itches when I walk..my legs are necessarily rubbing together though.....when I scratch it becomes flakey when im sitting iot sort of itches but not as much when I walk im a small girl about 128lbs", "output": "Hello and welcome to Chat Doctor I would keep a possibility of fungal infection. This is because closely opposing body folds e.g. thighs and groin, maxilla, submammary folds etc. can trap sweat, heat and moisture, therefore making the area favorable for fungal proliferation. If I was the treating doctor I would have asked you to use a topical antifungal like clotrimazole/ketoconazole/fluconazole cream, twice daily, regularly for 4 weeks. State AF cream contains topical terminating+mometasone. I would rather prefer a plain antifungal like clotrimazole/ketoconazole/fluconazole because mometasone if used for too long can cause side effects like skin atrophy and striaeSince you are already using an Oral antifungal e.g. oral terminating once daily. I would suggest you to continue with it for 4-6 weeks for a more complete urban OTC antihistamine e.g. cetirizine 10\u00a0mg once daily would help you in symptomatic itch relief. Keeping the folds Chat Doctor. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My father underwent an echocardiography,that revealed Ischaemic heart disease.Doctors are suggesting Enjiography,which can t be afforded right at this moment for monetary problems.Can you pls prescribe medicines for the time being to continue with.", "output": "Hello, Your doctor on the recommendation for coronary angiography. Anyway, I would like to review your cardiac ultrasound report in order to give a more professional opinion. In the meantime, I would recommend taking a daily aspirin to help prevent future myocardial infarction, taking statins in case of high cholesterol levels and avoid straining physical activity. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been experiencing swelling lips, tongue, face and hives since 1/2013. I was given an allergist food test and have been getting allergy shots but the symptoms still persist and I am beginning to have this problems more regularly. In the last month I have had three episodes of swollen lips, face and hives. I have been trying to find a physician that specializes in angioedema because I think this is what I have.", "output": "Hello, Welcome to Chat Doctor, The symptoms are suggesting me that you are having some allergic reaction which is causing all these symptoms. Swollen lips and face along with the generalized hives are due to release of mediators of allergy like histamine which is responsible for your symptoms. As you have tested yourself with different allergen and found positive to some allergens, I would suggest you to avoid this allergen, or you can take immunotherapy either by subcutaneous immunotherapy or sublingual immunotherapy. For the present symptoms I would suggest you to take medicine like Tab Least, thrice daily for 5 days which will improve the conditions and makes you feel better. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "We have an MRI -Brain of my father which was performed using T1 weighted gradient echo, T2 weighted fast spin echo & fast FLAIR sequences. The report shows the following: 1) Multiple small areas of restricted diffusion seen in the bilateral cerebellar hemispheres, vermis and right lateral medulla. 2) Lacunar gliotic focus is seen in the left basal ganglia . Few Lacunar hyperintense foci are seen in the bilateral fronto parietal white matter on FLAIR images. what does it indicate? Is there a cure for this?? Nitin", "output": "Hi, Thank you for posting your query. Your fathers MRI reports multiple areas of infarcts (lack of blood flow). Treatment requires use of blood thinners such as aspirin or clopidogrel. In addition, the risk factors for brain stroke such as BP, sugar, cholesterol and homocysteine should be identified and properly treated. With the above measures, we can treat him and prevent any major paralytic stroke. Best wishes, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i AM A KNOWN CASE OF DEDIFFERTIATED CARCINOMA OF THYRIOD WITH METASTAS TO LUNGS . i HAVE SEVERE BREATHING PROBLEM AND FEEL OF SUFFOCATION . i HAVE IN PARELLEL SEVERE RHUMATIOD ARTHRITES MANAGED BY PAIN RELIEVERS SUCH AS TREMEDOL +CROCIN +FANTYNYL 25 MICRON PATCH .I AM TAKING RAMIPRIL 2.5 MG BDTO MANAGE MILD HT AND HUMAN MIXTRAD INSULING TO MANAGE DM. I AM ON 24 HOURS A DAY NOIN STOP OXYGEN 4LITRE/MIN .PL ADVISE IF I TAKE BLUKOF OR ANY OTHER MEDICINE TO RELEIVE THE CONGESTION FROM THE CHEST AND THROAT PASSAGE , THE FEEL IS ALWAYS GASPING FOR BREATH AND SOFFOCATION . ( I AM USING BIPAP IN THE NIGHT AND DAY TIME ON SOS BASIS )", "output": "Respected user, HiT hanks for using Chat Doctor.come have evaluated your query thoroughly.* As you are on highest doses of painkillers possible, still I would suggest for your case - preference of semi reclining position - intravenous or oral bronchodilators, corticosteroids - deep breathing exercises, meditations - positive thoughts - no smoking if doing Hope this clears your query. Welcome for further questions. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "SIR I HAVE BEEN SUFFERING FROM SEVERE MOOD PROBLEM. I COULD NOT. STAY IN ONE PLACE MORE THAN 15 DAYS. I ALWAYS LIKE TO ROAM.I WAS ON CIPRALEX 10MG FOR 1MONTH.BUT. I DNT WANT TO TAKE THESE MEDICINES ANY MORE. I ALWAYS FEEL PRESSURE IN MY NERVES.PLEASE SUGGEST SOME HARMLESS THERAPY. I AM TANMAY AND MY AGE IS 28.I FREQUENTLY MASURBATE.AFTER SO MUCH MASTURBATON THIS PROBLEM HAS ARRIVED.", "output": "Degree understand your concerns went through your details. Please understand, masturbation is harmless and healthy. In your teenage, you can masturbate up to twice a day without any health problems. After the age of 20, you can masturbate once per day and the frequency reduces when you grow older and as you have other duties and physical stressors. So blaming masturbation for your mood disorder is not at all apt. You have mood disorder and anxiety related problems which you attribute to your masturbation habit. Wrong. You are anxious because of your lack of correct knowledge about masturbation. I suggest you psychological counseling and if need be, psychiatric anxiety treatment. Consult a psychologist first. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Mr. Tapan Dutta is from Kolkata. He is now in Bangalore for his treatment. He is suffering from hematuria for the last 2 months or so. Blood examination revealed some disorder in RBC. The blood report says that the RBC is predominantly normocytic, normochromic, polychromatic and with anisocytosis . haemoglobin is lower than the normal (7.5 gm/dL) WBC and platelets seem to be in normal amount. Recently he has a polypoid mass accumulation in urinary bladder and was removed by surgery. So what is your diagnosis? Is it due to kedney problem or Bone marrow problem?", "output": "Hello, welcome to Chat Doctor, I am Chat Doctor Firstly, the abnormality of red blood cells which you have mentioned indicates normocytic normochromic anemia. This can occur from many conditions of which most common is hemorrhage. In your case, hematuria is the causative agent. Normal WBC and platelet exclude any malignant condition of blood. But you did not give us any bone marrow report. Hematuria can occur from many conditions but in you case it is the neoplastic condition present in bladder. So, my diagnosis is the urinary bladder problem. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my son aged 25 yr had small size of testies. he has been treated by a endocrologist in shifa international hospital islamabad pakistn. doctor treated him abt 2yr and rest him on testoviron injection. but nothing improved. his testy size 2.7 and 1.8 cm each. we want marry him but he is reluctant. he fed up by injection and desire alternate remedy either homeopthy or alopathy. pl advise", "output": "Hello and. As a Urologist, i can understand your concern. The testis is reduced in size on both sides. Home doesn't help in this. He needs certain tests to know if he can marry and be able to plan a family.1. Blood routine, FSH,LH, PRL,testosterone, creatinine,RBS and LFT.2. Semen analysis.3. Scrotal Doppler ultrasound scan. If there are no sperms in the semen, will he be able to father a child If you've any doubts, you can send it as a direct question to me. Chat Doctor. Manga." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i there i am 34 years old have have been serving the net and reading about the felopio remedy but is only available in the usa and not in jhb or south africa where will find help the fall pregnant all doc and specialits saying i will never have my own child because of my felopio tubes that is blocked", "output": "Hi, Welcome to Chat Doctor . For tubal block the treatment option is tube recanalization surgery. After that repeat tube test. If tube don't reopen the next option is IVF. Here eggs are removed and fertilized outside and placed into uterus. So tubal block is bypassed. Chances of your getting pregnant and have your own child is still possible. Be stress-free. Hope I have been helpful. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I want to know the why am I losing appetite, distaste for food, hair-loss and unexplained bruises. I m losing interest in everything and this affects me and my relationship wif everyone badly. At tymes, I will contemplate to either give up or to end it quickly my life. How am I supposed to deal with my problems.", "output": "Hi, I can understand what u have been suffering from... Though I don't know your sociooccupational status but considering what u written is signs of suffering from mental illness that can be treated. If u not had talk about this with your family member...please share your thoughts and suffering with them. For improving your family life and feeling better u need Counselling and if necessary some medication to lift your mood, to improve your motivation, sleep & appetite. It will be only possible if u meet in person with psychiatrist. So please consult nearby psychiatrist." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been married in the year 2013, and for last one year trying to get pregnant. My age is now 35 and I have PCOS, for which I suffered from headache, nausea, bulging of stomach, pressure in lower abdomen and acute pain in lower abdomen during periods. Please help.", "output": "Hi, Thanks for posting in Chat Doctor. I understand your concern. Polycystic Ovarian Disease (POD) is a treatable disorder caused due to alteration in hormones leading to irregular menstruation and untimely ovulation, resulting in infertility. You need to be treated for getting your cycles regular by use of medications like birth control pills. You may also need supplementation of ovulation inducing Chat Doctor. Along with it, you need to reduce weight by means of intake low calorie foods and moderate exercise. Kindly get a regular follow-up done and follow advise accordingly. Have patience as it may take some time to improve the chances of conceiving. Hope the information provided would be helpful. All the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am one month pregnant lady, but today at afternoon i have bleeding, after i take appt of doctor, he has told me to take bedrest for 8 day and give one injection ovipure hp- 5000, can you pls tell me what is use of this injection on any other reason for giving me this injection", "output": "Hi,Ovipure-5000 contains human chorionic gonadotropin which stimulates the corpus luteum (ovary) to produce progesterone to support and maintain the pregnancy and thus can prevent miscarriage. Based on the history you seem to have a miscarriage for which your doctor has advised you to take it. Continue taking it as prescribed. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am 34 years male, undergone treatment till date since September, 2011 for Lichen planus of nails . My Dr. gave me different doses methotraxate (5, 7.5 and 10 mg) depending upon the sgpt report and condition of nails. I have gone blood test for my liver SGPT are as: sep, 2011: 61, oct, 2011: 78, dec, 2011: 78, oct, 2012: 101, dec, 2012: 121 Please suggest me any serious things indicates these reports.", "output": "Dear rocky100007, Lichen plans is usually treated with Corticosteroid skin creams in mild cases and with oral Prednisolone or Metronidazole along with Ultraviolet Light therapy in severe cases (Not methotrexate). Prolong use of Methotrexate is known to cause Liver injury which is indicated by increase in level of SGPT(Normal range: 7-56). Since your SGPT is consistently increasing, it is advisable to stop or reduce dose of Methotrexate and start with other treatment as I have mentioned initially as per your symptoms demand. Hope this helps. Take care !" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a diabetic patient ,suffering from the same for past 12 yrs(juvenile diabetic).I had started getting Dark red patches near the region of my thighs .It has started expanding over my body particularly in hands & legs.There is constant itching.I consulates a skin specialist.. However HR is of the view..that I should get examined by a diabitlogist.He said this is due to fungal infection,vitamin deficiency .He has recommended me HH Derm cream..I want to know..are there any substitute for the same..", "output": "HIT hanks for posting your query. It's difficult to diagnose what has happened without having a look at the skin lesion. So I would recommend you to upload the picture of your skin lesion so that I can tell you what has happened to you. But looking at your diabetic status and the kind of description given by you, I feel it is a Fungal Infection only. For fungal infection the medicine given to you HH Term is fine, I can't understand why you are asking a substitute. In case you still need a substitute you can use Candid B. Mind you need to use the cream for 3 weeks for complete resolution of skin problems. Hope this information was useful to you. Any clarification feel free to ask. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi,my husband has chf,coronary heart disease and diabetes and basal cell cancer that has spread to the bones in the in the right shoulder,his ejection fraction of the heart is 15%,his kidneys are at 1.19,they say there is nothing more they can do for him.he currently stop taking his meds because of what the doctors are saying.one more thing he also has 3 stents put in in 2009.how much longer can he live like this??", "output": "Hi welcome to Chat Doctor forum. Basal cell carcinoma usually doesn't spread but it is possible. Also, i don't think that he will pass away from basal cell carcinoma. Probably there will be heart failure, but it is impossible to say when. He can live for more several months or years. It is impossible to predict. You have to support his heart and kidney function as much as you can with medical therapy. 15%is very low ejection fraction, but this is enough for normal circulation. Hope I have answered your query. Wish you good health. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "SInce on Lipitor I have developed tight and painful calfs when I walk to far or to fast. I ve had 2 dopler tests on my legs and the test was fine. I m ready to off statins. I m 4 11 and weigh 128. I m 73 years old and have always been ac tive and worked outside in the carpentry business, mowing lawns splitting and chopping wood and also 10 years of weight lifting I m still active until the calf muscles act up I shovel snow and do all house work. Thanks Shag", "output": "Hi Shag, I have gone through the details. You have developed calf pain while on Lipitor, and now you are off statins. But the pain persists. In my opinion since you have stopped statins, there may be some other cause of pain. Due to your occupation I think you might be suffering from disc disease. So start painkillers, and muscle relaxants and if you feel no improvement in 10 days, get MRI of Lower back." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my mother in law was taking gardinal tablets before i got married and is now not taking them. she has some mental problem and was given treatment at NIMHANS. since the day i got married she has been harassing me mentally and none of my in laws tell me what is really wrong with her. im unable to bear her torture kindly help. has the tablet got to do anything with her behaviour", "output": "Hi.tablet cardinal [phenobarbital] is used to treat different types of epilepsy. If she was having epilepsy, and the treatment has control the fits then medications shut b stopped after 3 years of last episode of the fits.you have not described the symptoms, but if she does not have generalized tonic-clonic [strong contractions of the limbs and then gross movement of the whole body associated with unrolling of the eyeball, unconsciousness for 5 minutes, confusion for some time and urination during the fit] movements then she does not need to start this medication again. There are possibilities that the behavior disturbances you're complaining are part of her confusion following seizure, or it may be because of the psychiatric illness commonly seen in epileptic patients like, post octal confusion, INTERCAL psychosis like schizophreniform psychosis, personality problems, Gastaut-Geschwind Syn Chat Doctor. .behavioral syn" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My dad had triple bipass surgery four weeks ago. Following that, the wires broke on the sternum, so that was repaired in another surgery. Several days later, an infection set in and he was taken back to surgery to clean out the infection. That was followed by sternum reconstruction. The infection is gone, but Dad has been in a medically induced coma for 1 1/2 weeks now (since the surgery to clean out the infections). They are trying to take him off the sedation and bring him out of the coma, but each time they reduce the sedation he begins to get agitated and is not yet responding to direct commands. He has also been on a ventilator during this 1 1/2 week. What concerns should we have or questions should we be asking?", "output": "HelloThanks for query. Based on the sequence of events that you have posted I think your father has gone in to multi organ failure due to septicemia following infection of the sternum.(Surgical Wound)It takes long time to come out of this crisis and to recover.depending upon kidney and liver function. You should be keeping watch on his urine output and liver function tests which Chat Doctor. Do not worry as long as he is ICU and under care of expert hands. He should recover fully." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I am trying to become pregnant form past 6 months. So My doctor suggested to take Fertyl-Super 100mg tablet from 2nd to 6th day of menstraul cycle after all tests. But all my reports are mormal. Y did doctor suggested to take this tablet. how much percentage of chances to become pregnant soon.", "output": "Hi, If all your test results are normal, and you have been trying for 6 months, then I would suggest you not to take ferry. As taking ferry will not cause you have increased chances of pregnancy when all results are normal. We give ferry/camphene at a dose of 50 mg per day for first five days of cycle in cases of ovulation failure seen in PCs and other conditions where eggs are not formed in the ovary. If taken in normal person it can cause increase chances of multiple pregnancy and its complications. More over live birth rates for unexplained infertility are same whether camphene is taken or not. So please avoid it. I would advise you to try for baby naturally for 2 years and if not pregnant get evaluated again and go for IVF. Clomiphene and Intrauterine insemination have no role in unexplained infertility. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter has been taking adderal for adult ADHD (30mg twice a day) and she suffers from body pain and anxiety and depression. She was just put on Cymbalta once a day with it and I wondered if there are any negative interactions between the two drugs.", "output": "Hi, I can understand your concerns regarding Adderall (amphetamine) and cymbal ta (duloxetine). Amphetamine and duloxetine do have interactions. Duloxetine has the propensity to increase the likelihood of side effects of amphetamine like tremors and restlessness. There is also a risk of a very rare condition called serotonin syn Chat Doctor. This condition occurs very rarely but has significant symptoms. It can lead to confusion, nausea, vomiting, palpitations, fever, sweating, tremors, and increase the risk of seizure. Both the medications can be used together though. But in case of the above-mentioned symptoms, please do contact your doctor without any delay. Hope this information was helpful. Best wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 37 year old white female. I have been smoking since I was 17. Just recently I was diagnosed with Chronic Bronchitis (COPD). For the last few days I have been having chest pains in the center of my chest while smoking a cigarette. I smoke one pack a day. Should this be a cause for concern? What does this mean and how should I treat it? My name is Erin.", "output": "Hi Erin. I had gone through your questions and understand your concerns. Smoking is the most common cause for COPD. The most important part in treatment of COPD is quitting smoking. You may attend a smoking cessation clinic where you can get assistance for this. You need to perform a lung function test (spirometry) and repeat after bronchodilator to look for reversibility. This is to confirm diagnosis and to assess severity of the disease. The treatment is based on severity and frequency of symptoms. Mostly you will need bronchodilator inhalers. Regarding chest pain, you will have to do a chest X-ray and Electrocardiogram and probably a CT scan of chest to look for any other abnormality. Consult your pulmonologist or GP for these tests. Hope I have answered your question. Thanks for using Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was putting the bin out for collection lat night I was pulling the bin up and towards me when I got a very sudden sharp pain right in the middle of my abdomen bottom of my ribs where the end ribs meet in the middle now it hurts to move or straighten up don t know if its coincidence but I want to cough when I breath in or out", "output": "Hello, Shelley.Dee, If the pain is in the same location when you strain or cough, try to place your hand over that area and see if you feel any lump or bulge. You can also lean forward when you try this. If you are able to feel something, it is possible that you might have caused a hernia. Especially, if you already had small defect in the lining of the abdominal wall, you could have aggravated it by pulling a heavy object. If the problem continues, you might want to have a medical check up by a doctor or a nurse practitioner. Wish you well." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was in cheering practice and when I got tossed, the girl who supposed to catch my arms accidentally put her knee forward and my lower-middle right back hit her knee. Now it hurts when I bend forward (going to the left) and I have cheering training tomorrow. What do I do?", "output": "In my opinion all you need to do is give you back a little rest. For immediate relief have some painkiller along with a muscle relaxant and have proper bed rest for 2 weeks. Do not lie down on soft mattress use hard one instead, do not sit for longer durations and do not travel long distance for 2 weeks. You can also apply some good anti-inflammatory painkiller gel on your back. If the pain increases do some hot fermentation locally and make a routine of doing some back strengthening exercise daily. After 2 weeks start with some back strengthening exercise. It will help you build you back muscle, and you will be able to continue with your practice in few weeks but do not overlook at the symptoms right now. As it is still early days for you, and you can be fine and back in action with these small things. Good luck" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "it is common that antibiotic eg amoxycillin taken while on warfarin dosage increases INR level, but my INR level in this situation has decreased to 1.4 (range 2-3); I have completed my week long dosage of the antibiotic and felt OK with no adverse symptons all along. My GP directed me to continue the same warfarin dosage and have INR check in a week for further directions", "output": "Hi, Thank you for your query. I can understand your concerns. Amoxicillin oral increases effects of warfarin oral. INR levels may increase. Use with caution ;Although the mechanism for this interaction is not fully known, it is suspected that a decrease in vitamin K-producing gut flora with resulting vitamin K deficiency would be the most likely contributing factor. Using warfarin together with amoxicillin may increase the risk of bleeding, especially if you are elderly or have kidney or liver impairment. You may need more frequent monitoring of your prothrombin time or INR by your doctor to safely use both medications.However, some study did not find Amoxiclav(amoxicillin/clavulanic acid) modifying anticoagulation in patients treated with stable warfarin therapy and without infection. This may explain your INR not going up with concurrent amoxicillin therapy. Regards " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My wisdom tooth was half broken & it was not paining. So the dentist filled it witChatDoctorent. After one year, now it has started paining & the filling is getting removed in small parts when i eat something. Should i get the wisdom tooth removed or get the root canal done. Pls suggest.", "output": "Hello, your treatment depends on many factors:-1) your upper wisdom of same side is present or not- if your upper correspondent tooth is absent get it extracted. If it is present then dentist has to evaluate how complex the tooth root morphology is .2) wisdom tooth normally have curved and fused roots, so your treatment depends on the x-ray investigation. If roots are in the favorable pattern and can be negotiated prognosis will be good.3) if the decay is very deep and reached the root level get it extracted. Before any procedure get an X-ray done and check for upper wisdom. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i recently had pneumonia and i just finished the antibiotics the doctor prescribed to me. I felt better for about 2 days however, now when i breath i can feel the pain in my chest i felt before. i am worried that it has gotten worse or had not gotten better. what should i do?", "output": "Thanks for your question on Chat Doctor. I want to ask you few questions. 1. Have you undergone chest x-ray?2. Do you have fever at present? If you are running fever at present than antibiotics should be changed. And no fever only chest pain than wait for 7 days, complete the course of antibiotics. Repeat chest x-ray after 1 week to see for any improvement or any worsening. If worsening is there than consult pulmonologist and get done bronchoscopy and BAD analysis for identification of organism. This will help in directing the antibiotics." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, My name is Bidisha. I had filled one of my cavity. It was paining before. After filling the cavity the pain has become worse. My doctor suggested medicine tramadol, moxikind. I have not yet taken these medicines. I do not know will these medicine be ok to take with tryptopmer. I m taking the medicine Hifenac-p as pain killer. It seems to be non effective. I had a migraine pain last nit. Not able to differentiate between the tooth pain and migraine. All on my left side along the jaw and cheek it pains. Not sure what should I do further about this.", "output": "Hi, Thanks for asking the query, Pain in the tooth indicates infection of the tooth , you have already filled the tooth so there are chances the the restorative material is causing some irritation or the infection has involved the pupal tissues. I would suggest you to take complete course of antibiotics and analgesic. If the pain does not subside , I suggest you to get a checkup done and take an x-ray of the tooth, depending upon which the treatment will be decided. If the infection is deep you have to go for Root Canal Treatment of the tooth followed by prosthetic crown placement. Pain in the jaw and cheek can be radiating pain , take rest .use antiseptic mouthwash gargles like chlorhexidine twice daily . Maintain a good oral hygiene. Hope this helps out. Regards...." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my boyfriend has been having problems with his semen. When he ejaculates it dries very quickly, and if you wipe it off, it rolls into little balls. The balls have, excuse me, a booger-like texture and consistency. What could this mean? We are trying to conceive, will this prevent/ effect that in any way?", "output": "Degree understand your concerns went through your details. Sperm consists mostly proteins and starch and therefore naturally the semen do have some texture. The texture pattern depends on many factors like water content etc. The protein content in the sperm makes it to Chat Doctor. Nothing to worry. Enjoy your sex. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor. I am taking Eslo 5mg for my high blood pressure for the past 4 years. Currently my BP with medication is 145/85. Do you think I should have Olmax alongwith Eslo? My age is 44 years, height 171 cm and I have been having BP since 2004. I have family history of BP.", "output": "DEAR USER, THANKS FOR CONSULTING WITH ChatDoctorAS PER THE LATEST GUIDELINES AT YOUR AGE TARGET BP MUST BE 140 /90 mm Hg. AND YOU ARE ON TAB OSLO(AMLODIPINE) AND ALREADY ACHIEVED THE TARGET I SUGGEST TO CONTINUE WITH TAB OSLO AT BED TIME AND MAINTAIN A RECORD DOF YOUR BP. IF YOUR BP STILL REMAINS HIGH YOU CAN START ON TABLET MAX AS THE COMBINATION IS SAFE AFTER CONSULTING YOUR PHYSICIANHOPE I ANSWERED YOUR QUERY. YOU CAN MESSAGE ME FOR ANY FURTHER CONCERNS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi my sister is 32years she is a nuero patient she is affected polio attack she is taking the medicine mazetol, before 3 years she is affected by diahera like flu, she adviced by a doctor that she has gall bladder stone and the gall bladder was removed before a year and after that she is normal but for past 3 months she is affected again by the same problem we take all the test doctor doubted as tb in liver and asked to take lft test and in that all are normal but gamma alone is 68, whether she may affected by tb", "output": "Hi, welcome to our site. I am Chat Doctor. Read your query. That is a very significant question and I appreciate your problem. I will try my best to answer your queryNormally the abdomen contains some fluid outside the intestines. What usually happens is that the fluid in the stomach increases. And this fluid can be removed via ultrasound, and tested for tb. LFT can give some idea. But is less specific to TB as compared to ascetic fluid testing. Why does he suspect TB? What are the symptoms? I hope this helps you. Inform the reports mentioned above so I can be of help further. Best of luck. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you. Please do understand that some details could be extracted from a detailed history and examination. Looking forward to your return query with the details asked so that I can help you further.(If the answer has helped you, please indicate this)" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "recently (about a montth ago) was treated for a kidney infection. hospitalized a new days and given cipro which was finished. Now again having the same pain on right flank and urine has white tissuey and white stringy particles. no blood. 29 yr old female. could infection have returned", "output": "Thanks for the query. As per the clinical history, you are a 29 yrs old lady, suffering form Urinary Tract Infection, and have already received a course of Antibiotics (ciprofloxacin). As per observation, your urine has sediments (white tissues/stringy particles). In this context I would like to advise you the following:1. Recheck you infection parameters like Total white blood cell count (and differential count). You can also get your Urine routine examination done (culture may be done, but it may be negative). A course of antibiotics may need to have been repeated2. Get your Random Blood sugar levels done (to be on the safe side)3. If not relieved, you can get a USG of kidney/ureter/bladder done, since stones in the urinary tract can lead to persistent UTI and flank pain. Post void residual volume of urine may be checked.4. Chat Doctor. Avoid using unclean washroom and maintained of personal hygiene is important. Please consult your physician for further clinical check up and investigations. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband s blood pressure usually is 136/80 give or take. Last night I noticed his hands were cold and arms clammy the back of his neck was very sweaty. took his blood pressure and it was 98/55 any thoughts. he recently had angiogram and 50% blockage but nothing recommended as yet.", "output": "Hello, Brief Answer: Your husband has symptoms and signs of low blood pressure that needs treatment. Explanation: My opinion is that low blood pressure accompanied by symptoms and signs like sweating and dizziness is important to deal with. First measures to increase blood pressure to normal readings is essential. Then investigations to determine the cause is important. Angiogram with a coronary artery disease may be a cause of low blood pressure if there are chest pain symptoms. Fifty percent of blockage is a general term that needs more details. I suggest my patients the following; good HY Chat Doctor. Conclusion: I suggest you check with your physician. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Morning Doctor, i went to undergo pulse treatment earlier today, there are broken tooth in my lower tooth inside my last jaw, after pulling the toothearlier today iwont be able to sleep as the pain hurting on my cheek bone..is there a way that u can help me to solve the pain n make me get back to my sleep.", "output": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint pain after tooth extraction is not an abnormal finding and the pain is the reason for disturbed sleep and I suppose your dentist must have definitely prescribed you with antibiotics and painkillers and in case if they are not prescribed or it those medications are not providing you relief you can take strong painkillers like ULTRA [TRAMADOL] or KETOROL-DT for relief. In case if the pain still does not subside you should consult an Emergency room and get an injection of painkiller like Veteran injection for pain relief and by morning consult your dentist and get evaluated for exact cause of the problem that is causing so much of pain. Hope this information helps. If you find the answer helpful please give me a Five-Star Review and click on found the answer helpful as a token of appreciation. Thanks and regards. Chat Doctor. ." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a female and I got my period January 19 and got done with it January 24. Well 2 days later I started puking at like 3:00 in the morning and I thought it was the flu but it only lasted till 11:00 a.m. And I got the crazy idea in my head that it was morning sickness but I have never had sex. So can the flu only last that long?", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have symptoms of mild flu and nausea which seems to be due to infection sometimes which occurs when immunity goes low person become susceptible to getting infected. Need not worry. I would suggest you to do warm saline gargles several times a day, do Betadine gargles twice a day and consult ENT specialist for proper diagnosis. Doctor may prescribe antibiotics along with antiemetic depending on cause. Avoid intake of outside food. Avoid cold carbonated beverages and hot spicy and sharp food substances. Chat Doctor. Do warm saline gargles. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Sir My daughter is suffering from breathing problem. Upto yesterday she was fine. From today mng onwards she is facing difficulty in breathing and it has become worse by afternoon. Wat may be the reason and what is the remedy for this. Please let us know.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Sudden onset breathing difficulty is commonly seen with allergic bronchitis, pneumonia, pneumothorax etc. So better to take her to pediatrician and get done clinical examination of respiratory system, chest x-ray and PFT (Pulmonary Function Test). She may need antibiotics, inhaled treatment on the basis of diagnosis. So don't wait, take her to pediatrician. Hope I have solved your query. I will be happy to help you further. Wishing good health to your daughter. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have Premature Venticular Contractions (skipped heart beats)? Why is it that on some days I am ok then others, maybe for a week or so they are real bad.I am 63 a type two diabetic. I was diagnosed with PVCs about two years ago. I take Bystolic 5mg for them but it does not seem to be helping very much. They seem to be more at night.", "output": "Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. You should not worry I'll try to explain you something and give you my opinion. Premature heart contraction are a rhythm heart issue. They are electrical impulses that generates in some part of the heart different from normal sinus rhythm. You feel this like skipping beats, palpitations and anxiety. There are different causes of this rhythm issue like simple stress, coffee and alcohol consumption. Pathologies like anemia, hyperthyroidism or ischemic heart disease might be other causes. As you are a diabetic person it is very important to exclude ischemic heart disease. So, if I was your treating doctor I will recommend some examination like an electrocardiogram, a cardiac echo to evaluate heart function and if it is possible a stress test to exclude ischemic heart disease. If it is possible after checking your frequencies we can rise the dosage of your medicament up to 10 mg a day. This can better control the premature heart beats. So I recommend you to do all above and discuss them with your doctor. Hope I was helpful. Wish you good health. Best regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi. since i lost my jobi have been awakning the past month or so during the nyt because i have been doing alot of sweating during the nyt so i have to get up to change my t shirt. but the last 2-3 days i have had the flu and it has become worse.( every hr or so) i am also remembering my dreams alot more and they arnt right aswell. really weird and sometimes scary. what do you think might be causing it? thanks.", "output": "Hello and welcome to Chat Doctor. Thanks for your query. Unpleasant Chat Doctor. You seem to be going through a stressful period currently, due to the loss of your job. So, it is quite possible that your sleep problems are being caused due to your stress. The night sweats can also be a manifestation of nighttime anxiety / panic attacks. However, there are also a few medical conditions which can result in frequent night sweats like hypoglycemia, certain infections, hormonal imbalances (such as in menopause), etc. The recent worsening of this sweating could also be due to the flu and the associated fever and chills. So, I would suggest that you try stress management and relaxation techniques in order to tackle your stress. If you are feeling overwhelmed by your stress and the related symptoms, then you need to seek professional help from a psychiatrist. There are effective treatment options available - in the form of medication or counselling / psychotherapy which will help him overcome your stress-related problems. Wish you all the best. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi,I am facing a problem regarding mouth ulcer for some months for which I didnt anything,but now situation is like that, it is causing excessive secretion of saliva.Also I have been suffering from viral fever for last two days causing fever and pain in throat.I am using Kenacort mouth paste for ulcer problem,but result is not satisfactory.please give me your valuable suggestion.", "output": "Thanks for your query, I have gone through your query. The ulcers could be recurrent authors ulcers or herpetic ulcers. Consult an oral physician and get it ruled out. If it is recurrent authors ulcer then the escort works, if it doe snot work then you can take amlexanox paste. If it is because of herpes viral infection the escort will not work, you have to just take symptomatic treatment like using topical anesthetic and analgesics like Anabel gel. Do not take tension because tension aggravates both herpes and authors ulcers. Do soda bi core mouth wash.I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I do not have money to get my question answered if that is what you need unfortunately... but I am so worried about my 26 year old daughter who has stopped cold turkey taking the Zoloft her physician prescribed for her about 3 years ago for stress/Add & depression . She claimed that she was experiencing bad night sweats & lack of sdrive so she abruptly stopped it. Her mood swings range from being so nice like when she was on zoloft to abusive", "output": "Hi there ~ I do not think it was a good idea for your daughter to go off of Zoloft. However, it would be good to speak with her and let her know that you have noticed her mood has changed since her having stopped Zoloft. Giving them insight would be primary in making the diseased, better adherent and compliant. I would think that there will be a change in their attitude when such a change happens. I hope you understand and can talk your daughter into taking medications. Hope this helped. Take care and have a good day !" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a diabetic: but I also have a problem with hyperammonemia, causing extreme lethargy, confusision, mini-blackouts, etc. As soon as I go off of meat for a week or so, my ammonia level goes back to normal. should i consider a vegan diet on a regular basis, and what should it consist of?", "output": "Hi, If a non-vegetarian diet is causing the problem then do shift to a vegetarian diet - that is vegan + dairy products. Vegetarian diet actually improves your overall function and reduces the side effects due to a non-veg diet. Dairy products are more or less wholesome meals and a good source of calcium-so do not omit them. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doctor I had Bilateral Release on my Left Knee around 2 years ago. Since then till now I m great but recently after a gym session I feel a slight shift in a ligament above my knee cap on the left knee. it almost feels like a small ball. It just feels weird for 2 seconds but their is no discomfort or pain what so ever. Im just curious to know it is. It only occurs when I fully bend the knee", "output": "Hi after most operations whether open surgery or keyhole surgery the healing process is by formation of scar tissues in the operated area and this scar tissue sometimes can be perceived by a patient when stretching the operated area. If it is not painful or uncomfortable then there is no need to worry about it, but please continue monitoring this phenomenon and if it worsens in any way then please visit your surgeon again" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Sir,For past 20days from Jan2014 till feb2014 i have been suffering from low back pain. Visited Orthopedic he asked me to do MRI scan. Than he suggested me for HLAB 27 report which is also negetive than he asked me to chk with rhemetogist for (ankylosing spondylitis). Rhemetologist gave me Zempred, Volitra, Rabani in Feb2014 for 10daysAs compared to Jan2014 my pain is litle in Feb2014 after taking medicines regularly & again told me to contine so that the swelling will come to normal. I am really looking for excersise to fight with Ankylosing Spondylitis even thought it is there or not. This for precaution for future.", "output": "I have gone through the details provided. Ankylosing spondylosis is a condition where the lower vertebrae get fused, thus creating compression effect on the spinal nerves that come out of openings on either side of the vertebrae. This nerve compression is responsible for the pain over the areas that those nerves supply. Spinal traction should be able to give you some relief. This has to be backed up with proper exercise which need to be done only under proper guidance. Please get in touch with a physiotherapist who can take care of these. It is not possible to demonstrate the right techniques to you (which is not possible in the brief scope of this answer). Moreover, you need to remain in proper follow up. He would also be able to tell you about the postures to avoid as precautionary measure. Hot compress alternating with cold compress should help in reducing the pain." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am about 34 weeks pregnant on November 30 and my last menstrual period was on March 27 to April 2. I had unprotected sex on the 9th of April with possible father 1 and sex with possible father 2 on the 3, 13, and 20 of April. On may 26, the ultrasound showed that I was 7 weeks 4 days..but if the first two weeks of pregnancy doesn t count, does that mean I was only 5 weeks 4 days and that i conceived on the week of April 18-24? Help please", "output": "Hello, If your cycle span is 28-30 days, ovulation can happen mid-cycle, two weeks prior to the onset of the next period. Since you had the intercourse in a mingled fashion, it is difficult to predict the biological father now based on the dates of intercourse unless your exact date of ovulation is known. A DNA test performed after the delivery can be done to identify the paternity. This is the only way out in the current scenario. Hope you find this information useful. Wish you safe motherhood." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have had a gastro virus like symtoms for 2 months now lost over 10 pounds, different types of diarreah and a LOT of loud noisy gas....just read about the cyclospora outbreak and wonder....no doctor has found anything yet and I do not want a colonscopy are there others with this kind of thing??", "output": "Hi, thanks for using Chat Doctor Cyclospora infection can cause diarrhea, bloating, weight loss, loss of appetite, nausea. It is caused by infection by a parasite. The infection is detected by the examination of several stool samples over the course of a few days. More than one sample is needed because the parasite may not show up in a single sample. If you suspect this and live in an area where the infection is prevalent then you can consider sending samples to the lab for assessment. Colonoscopy however would be able to take a detailed look at the colon and determine if there are any other factors that may be causing your prolonged diarrhea such as inflammatory bowel disease. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i have been feeling some strange sensation on the back of my teeth , on the front bottom ones... i looked at them and i found out some yellow n blackish stuff on them which wont go away by brushing.. it feels very strange when i touch them with my tounge and a feeling of dryness and like something sucking my teeth ...", "output": "Thanks for your query, I have gone through your query. As far as the black and yellow stuff on your teeth is concerned, I have two possibilities. It can be secondary to the stains or deposits due to poor oral hygiene. The other cause could be because of the decayed tooth. Consult an oral physician and get it ruled out. If it is because of the deposits, then get your teeth cleaned and maintain oral hygiene. If it is secondary to decay, then get the teeth restored. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I have a bb sized lump right underneath the foreskin on the right side of my penis.. It is within the skin and if you pull the foreskin away from the shaft you can feel it. No pain at all but was a little swollen in the area when I first noticed it. Any idea what this could be?", "output": "HelloThanks for your query, based on the facts that you have posted it appears that you have small lump on under surface of foreskin. Mostly this could be a sebaceous cyst.However, this can be confirmed only on clinical examination by a qualified General surgeon or Urologist. Penile skin is rich in sebaceous glands hence more prone to get sebaceous cysts due to accumulation of sebum beneath the skin. Normally it fades away without treatment however need to be excised in Toto if it increases in size. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor, I m a 62 old male who exercises 3x a week and does the boflex 3x a week. My T count from my Doctor came in at 325. I am 5 10 and 175 lbs. I take no meds. Should I consider a natural approach to augment my T level; or do you think low level T treatments would be a better way to go? Mr. B", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have some immune deficiency disorder. That leads to low t cell count. You should go for investigation to search the cause of low t cell count. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doctor , I have delivered a baby on 2009 nov. I m 28 now. It was normal with epidural . Is epidural having any side effects? I worried a lot about it. I put more weight now and I have back pain also. Before pregnancy i was 53 kg and now im 60. My height is 156cm. Still I m mother feeding my baby. Baby is 16 months old now. Soon going to stop feeding. Is it because of that I feel tired and weak? Is post delivery exercise useful to reduce tummy and back pain? I have irregular periods problem too. 35 days it will come. Some times it come after 50 days. -Priya.", "output": "Hi, I can reassure you that epidurals do not cause backache or damage your back. It is common to suffer with some backache after having a baby. This is partly due to the ligaments supporting your back and pelvis become soft and are less effective at support these areas. Also, carrying a baby can put strain on your back. Nursing a baby can be very tiring and this is probably why you feel tired and weak. Post delivery exercises are a good way to get back in shape and improve your muscles which support your back and therefore reduce aches and pains. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,myself mr. Nitesh age 21 sir my widal came +ve 1 month ago, last night i was suffering from high fevar, cold,abdominal pain, stomachache too..i went to doctor in the morning..my widal came +ve again.doctor suggested some tabs. Cefixime, calpol..what shall i do now..", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Tidal positive suggestive of typhoid infection. And your symptoms like fever, abdominal pain, cold etc. are commonly seen in typhoid fever. Treatment of choice for typhoid fever is cephalosporin group of antibiotic. Definite is one of the Chat Doctor. So you should definitely start definite prescribed by your doctor. Cal pol is paracetamol. It is given for fever. So no harm in taking definite and Cal pol, both are appropriate for your illness. Along with these " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello sir/madam, actually i infected by jaundice due to infection of gall bladder and gall stones. my docor placed stunts for jaundice and again gall bladder removed with endoscopy surgery.... doctor give me diet list at the time of discharge. some non-vegeterian items like chicken and fish was there in that list...my friends and family members was said that never eat non-vegetarian items, fat food, chillis etc... CAN YOU TELL ME THE PERFECT DIET FOR JAUNDICE YYYY@YYYY", "output": "Hi, How are you? I am so sorry to hear all the symptoms you had, and I am glad you have been successfully treated for it. In you case, the jaundice was due to stones blocking the bile duct and not due to any liver disease. So you do not need to be worried about taking a diet which will be easy on the liver. If the jaundice was due to liver disease, then usually a fat free diet would have been recommended. But since the jaundice in your case has been successfully treated by the stent and surgery, there is no need for you stick to any kind of diet, although in general avoiding excess fatty food is good for your general health. It does not matter if you are a vegetarian. The diet sheet is just a suggestion and not a rule. One other option would be to request the dietician at the hospital to provide you with a vegetarian diet sheet. I hope this helped, and I hope you get better soon. Please do not hesitate to contact me for further clarifications Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son is 6 he went swimming yesterday came home and went straight to sleep at 5pm. he woke up at 9 with a fever and stomach ache he now has a headache and has not been eating his stomach hurts him all over his temp has gotten up to 101.5. Do you think its a stomach flu or could it be something else.", "output": "HIT hanks for posting your query. It seems like he has sustained infection of the stomach. Infection could be due to Virus or bacteria. Most of the viral infections are self limiting and will go off in 2-3 days. So just give me Tylenol for 2 days and observe. If fever or Stomach pain persists there is a high possibility that he could be having Bacterial Infection of his gut. In that case you need to take him to a doctor who shall do certain blood tests and prescribe him the right antibiotic. Till then give him hot water to Chat Doctor. Hope this information was useful to you. Any clarifications feel free to ask." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 5 year old was given amoxicillin last Friday (Jan 10th) due to an ear infection. She has had amoxicillin many times before. Yesterday afternoon she started complaining of a tummy ache and slept all day which is very unlike her. This morning she awoke with 102.7 temp and is complaining that her legs hurt. She has also complained of her throat being sore. She is still taking the amoxicillin and I have her ibuprofen for her temp. Is this the flu?", "output": "after going through the history of your baby, it is most likely to be viral throat infection i.e. flu. Her tummy ache is mostly due to amoxicillin. Sometime this antibiotic gives stomach upset. Her leg pain is mostly due to flu known as myalgic. I will suggest continuing amoxicillin for total five days. Give paracetamol or ibuprofen for fever... dosage according to her weight. HY Chat Doctor. Salt water gargles will also help. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir, I underwent a minor surgery of removal of sebeceous cyst removal from scalp 3 weels back. I am having a liitle pain in head not at the point of surgery but near it. MRI is clear. Dr has advised to take napra s 275 and sibelium 5. is there any side effect of these medicines?", "output": "Hello, The side effects of Naproxen are mainly GI irritation which is usually minimal for short term use purposes. I would simply be sure to take the medicine with a little food, report any untoward side effects to your doctor and expect healing results in a short amount of time. The Sibelius is a calcium channel blocker which does have the potential for even more side effects. It is used as a migraine headache preventative. If you suffer from migraine headaches then, this may be a reasonable Chat Doctor. If not, then, you may wish to consult with your doctor as to the symptoms you are having (since you did not present them as migraines) and have him/her explain the rationale for this medication. You could use a warm compress over the surgeries area that could make you feel more comfortable as well. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I m 37 and a female...I have my own cleaning business. For the past couple weeks my arms and legs feel really tired/heavy, and my left knee hurts. Every night I ve been in bed before 10:00 pm, which is not like me at all. Also last month I found a lump on the back of my neck. My doctor ran white blood cell test and to see if I d been bit by a tick. All came back normal or negative. Not sure what the problem could be. Should I go see my doctor? Thank you.", "output": "Hi, thank you for providing the brief history of you. As you mentioned there is pain in the neck region, back region and left knee a thorough neuromuscular assessment is guided for further assistance. As due to heavy work loads, over a period of time, there is a strain in the muscles of the neck and back region. Also, the knee is a weight-bearing joint and may have some wear and tear in the joint and can lead to stress on the ligaments of the knee joint. Post assessment of the neck region, back region and knee, a provisional diagnosis is made. Based on which the next treatment plan can be designed. Based on the symptoms, I will advise you to take hot water fermentation on the affected region. Also, undergoing a physical therapy, the therapist will help with Therapeutic ultrasound therapy and TENS therapy for inflammation and pain. Post which the exercises will be planned to make the muscles stronger in the back region, neck region and knee. Also, by performing the exercises the fatigue issue of your will be solved. In my personal practice I have seen cases with same issues and have found 99% recovery in them. I wish the same from you. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi sir, i had 3 release in a single intercourse but i released for the 2consecutive ejaculation..but for the 3rd and last ejaculation, i released inside.Its my wife ovulation that time.I think my last release is already weak..is there still tendency that she gets pregnant?", "output": "Hello and thanks for the query, I understand the problem, and it happens commonly with coitus interrupts. Unfortunately there is nothing like a weak ejaculate. The sperms are stored in the male genital tract in large numbers and small number of good sperms are sufficient to cause pregnancy. So it is best if she uses another method like an emergency contraceptive pill [plan B] within 72 hours of sex, preferably within 12 hours] to avoid any unwanted pregnancy. I hope that this was helpful. Thanks for the query and feel free to ask anymore. I would be glad to help. ChatDoctor BagdeConsultant Ob gone." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son got seizures when he was around 2 years. When he was sleeping after his breakfast he got the seizures. He vomited also. Admitted in the hospital. EEG completed. it was normal.2) Again he got the seizures when he is 3 years. In the mid night during sleep. He vomited and his hand and legs are stiff with staring look. he got admitted to hospital. EEG and MRI done. both are normal. Blood test where also normal.Doctors also not sure about the problem. what we need to do now?", "output": "As a pediatrician I would like to know some details... For how much time seizure lasted?? Was it associated with fever?? After how much time of seizure MRI and EEG was done?? Prolonged seizure can cause brain damage and many a time it is not detected if MRI was done immediately... I would like to take detailed history and clinical examination... After that a ct brain, repeat MRI or Mr angiography brain may be needed in this case..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir my brother is a doctor in delhi.but from last 11 years he is having too much anger ,use to repeat the things,doubt on his wife unnecessarily ,beats her,due to which divorce occurs.but he is professionally sound.now he is working in delhi as a doctor.he is not taking any cure when we told him to show phycatrist he never obey us and fight with us.kindly help us.", "output": "Hello, Your problem is a common one faced while treating someone who is either head of the family or high earning member of family or well settled in society. It is almost impossible to convince them for treatment, and mostly they are males. This not only spoils their family life but slowly even their health and social status is affected.there can be a few way out to help them take medicine- 1. As he is a doctor, you can contact some psychiatrist and discuss his case and may be asked him to meet the patient without his knowledge and let him start the treatment which can be added to his food. With passage of time Chat Doctor. 2. You can ask someone whom he still trusts and listen to and that person can take him to a psychiatrist and get his treatment moving.3. Last option is taking help from police. They can take him forcefully to a govt. Setup and get him evaluated, and then his meds can be started. This has certain disadvantages that it might just spoil his carrier and difficult to go with. Wish you good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My gf and i where messing around, i was wearing some shorts, and she was wearing leggings and underwear. We rubed up on eachother and she said she felt like i got in just a bit, like just in the lips, my shorts where a little wet and she told me she got wet herself, what is the likeliness that she is pregnant? Please let me know as soon as possible", "output": "Hello dairy understand your concernThere is no chance of the pregnancy as you both have clothes. Wetness is due to secretion of pre-cum and cervical mucus due to sexual arousal. But sperm can not enter in to the vagina through clothes. Pregnancy is possible when there is full penetrative intercourse or intercourse up to vaginal introits with or without ejaculation in the fertile phase of the cycle. So you have not to worry. Pregnancy is not possible in your case. Avoid stress, take healthy diet, Chat Doctor. Use safe sex practice like barrier contraceptive in future to prevent the unwanted pregnancy. Hope this may help you Best regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI doctor ,my wife is in her 38th week, after her consultation wid her gynec doc today, she have advised her to use clindamycin forte for a week as she gt some fungal infection, is it safe in these days or wat? it wont harm our baby,ryt?And this tab will get absorbed in vagina?as am abroad and far from my wife,it keeps me worrying!!", "output": "Hallow Dear, There seem to be some confusion in your understanding. Clindamycin forte is an antibacterial medicine; it is not antifungal medicine. Clindamycin vaginal suppositories are used for bacterial vaginosis. In fact any antibiotic increases the possibility of or flares up the fungal infection. So please get it confirmed about your lesion - whether you have got fungal infection or Bacterial vaginosis. For fungal infection, you would be prescribed some antifungal medicine like Clotrimazole. Clindamycin has not shown any ill effects on the baby if taken in second and last three months of pregnancy. However, its use during breastfeeding is not recommended. I hope this will make you confirm the diagnosis and the treatment. For any further discussion on this and advice, you may ask me direct question. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Recently, I have been having Heart Palputations at night. I could finally be drifting off to sleep, then suddenly my Heart gives off a hard pump and wakes me up for a while. I have also been having pain in the area of my ribs, and deal with this daily. I have Winter Asthma, and recently I ve had to take the larger solution two to three times a day, and its usually because I ve been feeling weaker and numb in worrying areas, like the back of my skull, over my face, and in parts of my body. I ve delt with Acute Bronchitis recently and Acute Sinusitis, and those seemed to have gone, but my condition has gotten worse. Like, how yesterday, there was a large numbness all over most of my skull/brain, but after taking the solution, it went away and my body felt better, somewhat. This all started around a month ago, when we though it was just a cold or the flu. Then in the second week, I got Bronchitis and all those other things, the third week Ibwas getting better then had to go to the ER, and now its the fourth week and Im getting worse... I think my body isn t generating enough blood, and my body makes me take the solution to help my heart pump and send out more blood throughout my body. I have been taking 2 peptobismo chewbles a day, one in the morning, one at night, to help with acid reflux, and three Bayer s chewable asprins everynight, to help with rib and heart pain, and it worked for a while, but now its just nothing. I have also been getting ice cold on the inside, but hot on the outside. Breathing is so-so but its alright, but the pain in my ribs and heart hurt horribly everyday multiple times a day. I have also been somewhat stressing and may be gaining anxiety recently from all this, as I have never been sick this badly, so it s all new to me, and I had to go to the ER from an allergic reaction to a type of penicillin a week and two days ago, and this severe pain only started recently, on Jan. 29. The ER had given me Benadryl and a Cortiosteriod (May have miss spelt that) when I was there, and gave me more benadryl Take for 10 days as needed for allergy symptoms and I don t know if it meant I had to take them for 10 days, or when I had allergy symptoms. They gave me some more cortiosteroids to take two days after on Jan. 28. I did, and had a horrible pain attack that night, so I set up an appointment with my doctor on the 29. I went, and he ignored basically everything pain wise and didn t know about anything that was happening. In the car, the entire roof of my mouth was blue. Its been getting better from that, but its still slightly blue down the middle. I did a few errands, and by the time I got home, I was in so much pain, and then proceeded to have an asthma attack. Then ever since then, I had to take the solution once everyday, and the last 2-3 days I have had to take it more than one, ranging from twice to three times. I have tried exercising the past three/four days, where I go outside for a few minutes (5-10, really) and that really makes me feel better, but it always causes me to need the solution an hour or two afterwards. I also believe I am loosing large amounts of weight, which is slightly terrifying to me. I weighed myself early and as my normal weight was 180lbs before all this (The sickness has been going on for over a month now.) and I was 165lbs. I drink around 2-3 bottles of water a day, eat soup, a turkey and cheese sandwhich, some eggs and swiss cheese scrambled together with a tortillia and then bananas. Since I ve been having acid reflux, I stop eating large solid foods at 7pm, and stop eating in general and getting ready for bed around 10pm, but if I do feel extremely hungry (Which I ve been having problems with recently aswell) I eat a banana or some crackers. (Very few though, as I had a horrible reaction with acid reflux recently (When the heart palputations started, really) and thats also when I started getting really sicker and was pale yesterday,and in so much pain I almost fainted. I am going to go to the Doctor s in a few minutes today actually, and we re going to see what he says, maybe do an x-ray to see if I broke a rib, a blood test, to see if I have anything, like cancer, or low blood sugar/ High blood pressure/ anemia. So, If you nees to know anything more, tell me in the email or whatever you are going to send me, and I ll tell you and what the doctor will say.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you should first be relaxed and calm. Get done ECG, chest x and 2d echo to rule out heart and lung diseases. If all these are normal then no need to worry about major diseases. You all symptoms are mostly due to stress and anxiety related HERD (gastroesophageal reflux disease). HERD is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms of chest pain, burning, chest pressure, tightness etc. HERD can also worsen asthma and bronchitis. So we should first control your stress and anxiety to control your HERD. So consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Avoid stress and tension, be relaxed and calm. Take proton pump inhibitors and prokinetic " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my 3 week old grand daughter fell off the bed and landed on a concrete floor on her head. This happened about a week ago and she cried a little afterwards but then seemed fine. We kept an eye on her and she did not have any signs of injury other than a bruise but she continued to eat fine and sleep normally etc. It has been a week and it appears that she has some slight swelling on her head but still seems ok. Do I need to be concerned? Can she have symptoms a week later?", "output": "Thanks for your query, I have gone through your query. The swelling on the head could be an inflammatory origin secondary to the impact by the fall, nothing to be panic, give anti-inflammatory analgesics like ibuprofen for 3 days. Give cold and hot fomentation over the swelling alternatively every 10second for 2-3minutes 3-4times daily for 1 day. If the swelling increase in size then consult an oral physician and get a radiograph done to rule out any fracture. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a LAVH about two years ago for uterine cancer. Since then I have an ever increasing \"fatty deposit\" on my left side and in recent months one on the right side. They are located above the scars from the port entry. They bother me alot but doctors say they are a cosmetic issue. How large do they have to get to be a medical concern? Secondly, my blatter has also dropped and I am having frequency issues especially at night. What are my options, and are surgical solutions successful?", "output": "Hi, You have mentioned that you had uterine cancer treated by LAVA. What was the stage of the disease? Was there any adjuvant treatment offered? Very early uterine cancer with favorable histology needs no adjuvant treatment otherwise radiation treatment is the mainstay of therapy in almost every uterine cancer patient unless they are at very early stages. Now the fat deposition is definitely a cosmetic problem when to intervene should be better assessed by a cosmetic surgeon. You may ask for urine routine and microscopic examination. Consult your doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "How do you know if you have a antifungal infection or a Bacterial infection. I was on Antifungal creams for 3 weeks - rash never cleared up. Yesterday my doctor prescribed desonide cream and a oral pill - Doryx (once a day). Can I still apply my Nystatin Antifungal cream as a backup as well.", "output": "Hello, Welcome to Chat Doctor, As you are having some infection which is not clearing even after three weeks after the application of antifungal cream, as you have consulted your doctor and who has prescribed steroid cream and the oral medicine for your condition. Physical examination is very much must in case of any skin lesions to make proper diagnosis and to take adequate treatment. It is very difficult to suggest that point statin is helpful to you by your history. Definitely this is an excellent antifungal Chat Doctor. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Six y/o son presented with fever of 102 and above about two weeks ago. Fever stopped after 4 days. Complaining of feeling sick all the time. Fever started again on Tuesday- went as high as 103 with itchy tongue. Now itchy tongue has red bumps of various sizes. Sore throat also. Worried it might be kawasaki disease", "output": "Hi... It could be Kawasaki disease with bumps on the tongue - but one thing against classical Kawasaki disease is that the tongue will look like strawberry and it won't itch like this. But whatever it is with fever going on for so many days and with bumps on tongue - ti could be either Kawasaki disease or Streptococcal pharyngitis or scarlet fever.I suggest you consult your pediatrician regarding this. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have a molar (right side bottom, 2nd from rear) that has broken off on an angle & i alredy seen the dentist also he told me i m having a hole. & done the X ray. In X ray report doc told 1/8 tooth is missing. The wisdom tooth is noted. There is a little horizontal bone loss suggesting early periodontal disease but no other bony abnormality is seen in the mandible or maxillae. What happen next now?", "output": "Thanks for your query, I have gone through your query. The broken tooth can be restored with root canal treatment and crown, if sufficient tooth structure is left. If the tooth structure is not sufficient, then the tooth has to be removed. Regarding the wisdom tooth, if there is no space for the tooth to erupt then it has to be removed. If sufficient space is there then we can remove the overlying gums to make way for the tooth to erupt. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. A few weeks ago I was sick with what felt like a common cold. It went away in a little over a week. I felt better for a few days, but after that I have just felt kind of non-descriptly shitty. Let me explain: I dont feel like Im very sick. Im not feverish. Im just mildly congested, with a feeling of a light drip into my lungs that causes me to cough. Sometimes Im coughing a bit of mucus, but that seems to be coming from the back of my mouth/throat and not my lungs.Also, Im 21, 510, 185 lbs. I dont have a history of allergies that I can think of. Do I have a nose infection or something? This isnt awful, its just been around for a non-negligible period of time and is annoying as hell. I want to feel 100% again. Thanks", "output": "Hi thanks for contacting Chat Doctor. Here according to history it seems to be simple viral flu... It might be infection as a bronchitis or rhinitis. Symptomatic treatment done. Steam inhalation with eucalyptus useful. Decongestent oxymetazolin and levocetrizine can be taken.... Chat Doctor. . Avoid excess spicy or fatty food for few days.... Hope your concern solve... If congestion increasing then chest x-ray need to be done.... Take care...." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am taking clexane and had my second injection about 10 hours ago and the injection area is still bleeding slightly but continuously. I am taking the clexane for fibulation. please advise whether i should continue with the medication because i am on holidays.Hi, may I answer your health queries right now ? Please type your query here...", "output": "Yes.if clean is the only anticoagulant you are on- you do need to continue the injections until you get back from holidays and discuss going on oral medications (DOCS- direct acting oral anticoagulants) will be better. I will recommend Apixaban- but this needs to be discussed with your cardiologist/ family physician. Please persevere with create for now-rotate injection site to avoid bleeding on the site or even abscess formation." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I would like to know if any of the medications I m taking would give me tremors in my hand which are moving up my arm and neck over a period of several years. Possibly affecting my left eye. I also lose my balance easily. I m taking Integral for Mitral valve prolapse, Verapamil, Singular, baby aspirin.", "output": "Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. YesThey can cause Tremors Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in Chat Doctor at http://bit.ly/ask" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my son has completed his 5months and recently I found that he got cough but he cough oftenly and when I hear the cough it sounds bad and it seems like his chest is full of cough and also I want to know what should be the weight of a child of this month?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Ideal weight for five-month-old child is 3.5 to 4 kg. By his symptoms, possibility of either lung infection or bronchitis is more because in both these, cough with chest congestion are seen. So better to consult pediatrician or neonatologist and get done 1. Clinical examination of respiratory system 2. Chest x-ray. He may need antibiotic, antihistamine and inhaled treatment according to the above-mentioned reports. Don't worry, with appropriate Chat Doctor. Hope I have solved your query. I will be happy to help you further. Wishing good health to your son. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I started feeling a little lower back pain 2 weeks ago, just in the morning. Then the last 5 days, nothing. Then yesterday morning when I got up, severe lower back pain. Got better during the day. Then this morning it was even worse, had to crawl out of bed. A little better this afternoon, don t feel it hardly at all when sitting. I do feel it a lot when I stand. Then after a minute or 2, while standing, it gets slightly better, I do notice when standing, I am not completely standing straight not too noticeable,as if I do it hurts more When I do feel the pain it is kind of like spasms.", "output": "Hello, I have studied your case. There is possibility of disc compression or can be spinal muscle spasm. Medication like methylcobalamin with muscle relaxant and analgesic will reduce pain; you can take them consulting your treating doctor. You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case. I will advise checking your it B12 and it D3 level. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I was diagnosed with transverse myelitis in 2007 when I was only 17 years old I seem to have reocuring symtoms such as numbing in my arms and legs and esteemed fatigue the onset seems to come about most often when I have major changes in my life so you have any diet excersise regimends or suggestions in how to deal with these problems", "output": "Hi, Transverse myelitis is disabling conditions. It is important to know about what is the cause of transverse myelitis. Sometimes it is due to inflammatory conditions, viral infection, etc. If no cause is found then it is called idiopathic Transverse myelitis. If it is idiopathic then it is usually doesn't recurs again. In your case, I hope it is Idiopathic transverse myelitis. Many times after recovery sensory symptoms such as pain and numbness and residual weakness persist. In that case, symptomatic medication such as pregabalin, muscle relaxant, and isometric exercise and physiotherapy will help you. If symptoms worsening or recurring after fever or stressful condition you should visit your family physician. It is important to rule out the recurrence of transverse myelitis and catch the disease early. The reconsidering cause of transverse myelitis is advisable. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor!!My father is 55 years old and he is having cold and cough since 15 days ,now we got his x-ray done and we found ,there is non homogenous opacity in his right basal region of lung.and diagnosis is of RIGHT PNEUMONITIS AND EFFUSION .PLEASE HELP IN THIS REGARD....AND WHAT CAN BE DONE....???????WAITING FOR YOUR REPLY", "output": "HelloYour fathers findings may suggest pneumonia(lung parenchymal infection)in basal region of right lung with pleural effusion. Pleural effusion may be due to reactionary response to infection. Your father may need clinical correlation, routine investigations and follow-up X-rays. Bacterial infection will respond fast to broad spectrum antibiotics. If findings persists then it is important to exclude other causes like tuberculosis, carcinoma etc. Pleural effusion is expected to be absorbed with control of infection. Get well soon. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir, my doctor has diagnosed that i am having a minor fracture in the last cocyx bone . Kindly suggest what to do", "output": "Hi! Coccyx injuries are often extremely painful, so home care is aimed at controlling pain and avoiding further irritation to the coccyx. * Avoid sitting down for long periods of time. When seated, sit on hard surfaces and alternate sitting on each side of the buttocks. Also, lean forward and direct your weight away from the tailbone. * For traumatic injuries, apply ice to the tailbone area for 15-20 minutes, four times a day, for the first few days after the injury. * Use ibuprofen or a similar pain medicine, as directed on the label for pain control. Anticonvulsant -Used as an adjuvant for neuropathic pain. Epidural injections in severe cases Surgery-coccygectomy, in the form of partial or complete surgical removal of the coccyx. * You can purchase a \"doughnut\" cushion or pillow to sit on. This cushion has a hole in the middle of it to prevent the tailbone from contacting the flat surface. * Eat foods high in fiber to soften stools and avoid constipation." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had chronic hives for over a month along with fatigue and headaches, have a history of autoimmune issues. My primary dr did blood work and my ANA TEST WAS VERY HIGH. I live in Maui Hawaii and there are no specialists here so do I go to the mainland? What type of doctor should I be looking for?", "output": "Hi, dairy have gone through your question. I can understand your concern. You have some autoimmune disease. That is the reason for high ANA. You should go for complete ANA profile for typing of your disease. Steroid is the treatment of choice in most of the cases. You should consult physician and take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 1 hour glucose came back at 162? I am very upset feeling like I did something wrong...I was unable to eat anything in the morning due to being in a hurry to get it done before work and also I am scared of needles so I was very anxious 10minutes before the draw? Could this have caused the high level?", "output": "Hi, dear. I have gone through your question. I can understand your concern. But no need to worry. Your one-hour sugar is 162. It is not high. If 2 hour sugar is below 140 then you are normal. If it is more than 140 then also you are considered as borderline. So don't worry. Just be relaxed. Go for fasting and post radial sugar after a month ABD then take treatment accordingly if needed. . Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor, my son is 5 years old, 21kgs. his urine test shows a result on Urobilinogen Quali \"Trace\". What does it mean? He has a solitary kidney. he only has his right kindey. Is there anything that i should be worried about this result? Thanks.", "output": "Hi, dairy have gone through your question. I can understand your concern. Your son has solitary kidney. He has trace urobilinogen. Small amount of urobilinogen is normally present in urine. It has nothing to do with his kidney function. If he has any symptoms then please tell me about that. Otherwise, no need to worry. It is clinically non-significant. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Dr, My son aged 3 1/2yrs frequently gets cold and cough. A doctor has recommended for nebulization (Asthalin + budecort) continuosly for 1 month. But i have heard that continuous use of nebulization is not good for health. Is that true? is this medicines got any side effects?", "output": "Hi Dear Welcome to the Chat Doctor, Nebulization helps the child at the time of congestion and bronchospasm. It does not treat the cause of infection. It is a necessity for persons suffering with asthma. Recurrent Respiratory tract infection usually cause bronchospasm also, so it can be used when it is required. . Budicort nebulization to be used during severe bronchospasm only. Hope the query is answered, Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been diagnosed with a staph infection on my right labia. I have had this reoccur 3 time in the last 5 years. Because the doctor caught it early this time, and there is only minimal pain, she has prescribed me an antibiotic (Bactrim) to heal the infection instead of draining the swelled spot. I had the last two drained, one in the ER and the other in surgery. It was very painful that time, and I never wanted to get it again. So here I am, missing work, and in pain.....doing what she asked me to do. I have taken lukewarm baths, and kept the area as dry and clean as a can, and have been taking the antibiotic. My question is this......is there ANYTHING else I can do to speed up the healing process? Also, How long do I have to wait until it is safe to make love to my husband again?", "output": "Hello, Thank you for your contact to Chat Doctor. If I am your doctor I advise you to do sensitivity of the isolated staphylococcus. As you infected repeatedly it is advice to you to take the complete course of antibiotics according to sensitivity. I advise you to take diclofenac for analgesics and seratopeptidase for healing enhancer. If you have to ask me anything you can ask me. Thank you. Chat Doctor. Infectious disease specialist." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was assaulted on Saturday night and was kicked with great force in the abdomen. I have a large purple bruise that measures 3 1/2 by 5 1/2. I have no signs of bleeding but the bruise has continued to get deeper purple. SHould I seek medical attention?", "output": "Hi. Bruise is obviously due to trauma and occurs due to rupture innumerable small blood vessels, As the time passes by the character and color will change with the time. Watch for the following ::*Distension of abdomen. Black stools (Galena).nausea, vomiting. It is better to seek the Medical attention as the Physical examination by a Surgeon helps in probable extent of the bleeding. I advise all such patients to undergo routine tests of blood, urine and stool; along with ultrasonography and CT scan to confirm. As you have NOT mentioned any other symptoms it is possible that the bruises are from trauma. Usually this gets OK within a few days to a few months." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have the mirena iud, I have had it for at least 3 months now and today I started getting harp pains on my left lower side and in my lower stomach. It also hurt while my husband and I tried intercourse. I just wanna know if I should get it checked out. It sharp stabbing pains.", "output": "Hello mam, thanks for trusting Chat Doctor. In my opinion you need to get an urgent pelvic ultrasonography to see for localization of IUD as there are fair chances that it has dislodged somehow. Till then, you can try feeling the threads in your vagina which are usually Chat Doctor. In case you have further questions you can consult me on Chat Doctor forum and I will be happy to helpmate care and wish you all the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had sex with someone on Jan 31,2014 and used the pull out method, then had sex with my boyfriend on Feb 2,2014 and he did ejaculated in me. my last period was Jan 22,2014 and on my calendar it says my fertile days are Feb 2-9. Can Jan 31 encounter be the father even though he did not ejaculate in me? Thank you.", "output": "Hallow Dear, The egg is released (ovulation) 14 days prior to next expected menses. Considering that egg has life of 24 hours and sperms are active for 72 hours, a period of about 8 days is fertile period. You had period on 22 January, hence your next period would be on 21 Feb. (considering your period of 30 days). So the ovulation day falls on 8 Feb. Thus the fertile period would be from 3 February till 11 Feb. If your period is different from 30 days, please add or subtract those many days in this calculation. According to your calculation, the fertile period starts on 2 Feb. So the chances of pregnancy due to intercourse on 31 Jan. are remote, though cannot be completely excluded, since variation by couple of days has to be expected. It is too close to the fertile period. Though there was no ejaculation, you cannot exclude pre-ejaculation fluid passage which happens unknowingly. It does contain some sperms which are capable of fertilizing an ovum. So though the maximum chances of conception are due to sex on 2 Feb., for legal purpose, you may opt for DNA test to ascertain the paternity. I hope this helps you. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my husband had a lithotripsy on Friday. He had severe pain and vomiting yesterday and was in the ER for 4 hours. He was feeling better and now all of a sudden the pain is back and he has the chills and his teeth are chattering. He took his pain meds and is taking a hot bath. Should I take him back to the ER?", "output": "Hello and welcome to Chat Doctor. After a lithography session, i.e. fragmentation of stone, the tube leading from kidney to bladder, can get clogged up with the stone fragments. This leads to pain and omitting in several people. But, having chills, suggest that he may have fever, which requires medication, including antibiotics. This will be decided after your Urologist sees you. Hope you recover soon." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "For a while now i have had a dent in my head near my near my hairline. Next to it is a small raised area. It is soft when i press it. I am very clumsy so i have hit my head many times and I have noticed i have moments of confusion and dizziness. I have no ideas if they are related or if i just realized these things at the same time but i could use some piece of mind.", "output": "Hi, Dear,thanks for the query. Going by the facts told by you, In my opinion-it appears to be post-traumatic-lump, as you noticed after the hit you had lately. But I would advise you to have second opinion on the dizziness and confusion, to find out its cause and treat it accordingly....or it may be a complaint-post- hit effect.BE careful and act fast according to the advice given. HOPE this would solve your query. Wellcome again to Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My brother is under treatment in hospital for Dengu.His blood platlattes came to normal from 36000 to 148000 during this treatment.But his SGPT & SGOT levels are higher than 1000.Please advise me about,1.specialist doctor in this area to consult in Pune or in ahmednagar.2.what is probabalie desease ..?Hepatatis ?3.Precaution to take regarding diet and other if any 4.If possible let me know name of medicins that can cure this.", "output": "Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can.AST (GOT) and ALT (SGPT) are reasonably sensitive indicators of liver damage or injury from different types of diseases or conditions, and collectively they are termed liver tests or liver blood tests. So the next step is to look for certain liver damage and most common case is fatty liver disease. It should be confirmed by ultrasound. Other causes are viral hepatitis\u2019s cirrhosis, medications, alcohol intake or autoimmune diseases. To verify exact cause, US, bilirubin levels and tumor markers should be additional done Then appropriate treatment can be started. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, Im having a lip travel reduction surgery wednesday Im really tired of my gum showing when I smile, alot of people are trying to talk me out of it b/c they say its dangerous l could possibly, if things go wrong be paralyed for the procedure is this true?", "output": "Thanks for your query, I have gone through your query. The gummy smile can be because of increased width of attached gingival or protruded maxillary and mandibular anterior or front teeth. The gummy smile or appearance of gums on smiling can be corrected by the gum surgery or orthodontic treatment. Consult an oral physician or an orthodontist and take an opinion. I feel you don't need lip reduction surgery. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son was diagnosed with Metastatic Ewing Sarcoma of the Bone in August 2013 that was later changed to Metastatic DSRCT and then after further studies it was determined to be an Undifferentiated Small Cell Malignancy of the Pelvis with multiple metastases up the Spine. He recently completed his initial treatment protocol. Treatment included 14 alternating cycles of VDC and IE every two weeks and 30 proton treatments. He just had his followup scans including a MRI of his pelvis, a MRI of his L-spine and a Chest CT. The MRIs were explained to us but not the CT so my question stems from there. In the CT findings it states, No pericardial or pleural effusion. Few scattered subcentimeter in short axis nodes and nodes containing fatty hila in the chest without significant enlargement by size criteria. What does that mean and is it something we should be concerned about?", "output": "Thanks for your question on Chat Doctor. . In my opinion you should not worry much about this CT THORAX report. Because report says only few scattered subcentimetric nodes are seen. The size of these are less than 5 mm. So nothing to worry. And Hilary lymph nodes are also not much enlarged. So no possibility of malignant spread. But better to get done follow-up CT Thorax after 1 year. If same finding than nothing to worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have been having chest pains for 7 weeks now and the pain goes into my shoulder and breast, and is really painful but some days the shoulder pain is worse than others, today I have been awake with pins & needles down my right arm for 3 hours is everything ok", "output": "Hello, In my opinion, we should definitely rule out heart diseases for your chest and shoulder pain. So get done blood pressure monitoring, ECG, 2d echo and stress test (trade mill test). If all these are normal then no need to worry about heart diseases. Sometimes calcium, vitamin D3, and B 12 deficiencies can also cause similar symptoms. So get done calcium, vitamin D3, and B 12 levels. If deficiency then you will need supplements. Don't worry, you will be alright with all these. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 6 year old daughter has a red rash on her abdomen, flank area, buttocks and thighs. It is simply red, with no postules and is not scaly. She says it does not itch and does not burn . I noticed it about a week ago before she went to bed and when I checked her the next morning it was not as red. Tonight she called me into the bathroom and she was about to get in the shower to show me again.", "output": "Hello, Thanks for the query, Asymptomatic rash is quite common in child Chat Doctor. However, the rash of your daughter is persisting and typical. Another possibility is allergy to clothes. A photograph would have helped in diagnosis. Please meet a dermatologist for final diagnosis and treatment me know if you have any other doubt. You can ask a direct question to me on this forum, following the below link.https://urldefense.com/v3/__http://www.ChatDoctor .com/doctors/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had cancer in my lymph in my right side neck had radiation and since then i have had lots of pain. I ask them to take it out and they said it would make it worse. I know if i got it out it would be much better! i have muscle pain now that i can t use my arm when i do i tear them and bad pain. Can some one take it out?", "output": "Hi dear, Welcome to Chat Doctor, Understanding your concern. As per your query you have lymph nodes in neck with muscle pain . The symptoms you mention in query are pointing towards a condition like sore throat, swollen lymph nodes, regional lymphadenopathy or tonsillitis. Sometimes when body is suffering from infection its immunity gets lower, which make it susceptible for other infections like viral infection. The white tongue you mention in query is due to oral thrush which is a fungal infection probable occur due to lower immunity. You mention that you have already consulted a doctor. It will take around a week or two to normalize with prescribed medicine also white tongue will also go away as condition gets better. Avoid hot and spice food and maintain proper oral hygiene. Also apply warm compresses to external neck. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 9 year old son has been sick a few times in his life. 3 days ago he had a bad fever, vomiting, body aches, etc. He was much better after 12 hrs of sleep and ate a bowl of chicken soup that stayed down. The next day he was stuffy so he took a childrens allegra, which helped. However, when he lays down to go to sleep he begins to cough and quickly it becomes an out of control cough which induces vomiting. Today he was fine all day except for the allergy symptoms, and at bedtime the coughing followed by vomiting. Ibelieve he has a post nasal drip he doesnt know how to cough up, hence the vomiting. He is drinking alot of Smart Water with electrolytes, good meals, allergy medicine, etc. but nothing is working to thin out the mucus that I think is the culprit. Do I rush to the ER with no fever or body aches? I dont know what else to do....", "output": "You are right, the mucus secretions tricking down from behind the nose into the throat is the reason for cough and vomiting. Your child requires the following medication:1. Steam inhalation 3-4 times/day2. Encourage him to Chat Doctor. A bucolic such as bromine or aerosol or carbocystiene to relieve the secretions4. Saline nasal spray the symptoms do not subside consult your doctor for a complete examination and managementRegards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, im from india. now i m 20. i had fibroadenoma at july 2009. incision is done for me n thats lump size is really very large. doctors also confused how to remove it. Anfd finally they removed also. now after 1 1/2 years again im getting a small lump in the same place? can u tell me how to avoid thatfibroadenoma or how to reduce that lump?", "output": "Hi.it is best if you consult with a doctor, preferably a general surgeon, in regard to your concern. Clinical evaluation is best. Breast ultrasound may be requested for imaging and knowing the lesions present in your breasts, as well as the size and characteristics. Not all lesions should be excised but if there are indications, especially if imaging would suggest tissue correlation, one may do so. Regular self breast examination and monitoring (through clinical breast examination and imaging) must be done. Management will be directed accordingly. Hope this helps. Good day!!~ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just got a mole removed on my vagina because they said it looked cancerous or could turn to cancer. I had it cut off and they cautorized my skin. This was two days ago. I looked at it today and it has like white around it, it kinda looks liquidy. Is that normal?", "output": "Hi, dairy have gone through your question. I can understand your concern. You have mole in vagina. It can be benign nevus or malignant melanoma. You should wait for your biopsy report. It will give you exact diagnosis. Then you should take treatment accordingly. Right now no further treatment is required. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doctor, I have external hammoroides. However also I get a small boil near my anal region. It is very small not containing puss but I feel its from inside. It pokes n pains sometimes. Can u advice some home remedy? Also I want to know is it fitsula? I do take sitz bath and do use ice pack for my hammoroides....plz advice...", "output": "Hello Dear, You have external hemorrhoids, which might be painful to you, I advise you to take hot site bath twice a day morning and evening and also use anesthetic + anti hemorrhoid cream after taking hot site bath every time and in combination you can use metronidazole and ciprofloxacin course along with this.Also, I advise to take roughage diet to improve your constipation, which is the actual cause behind these hemorrhoids. Hope you will have relief by this in your state of disease. Good luck and take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "what could this pain be? my boyfriend has a constant stabbing pain on his right side between the botton of his ribcage and his hip. he says it feels like gas but the pain is really bed. what might this be and should we think about going to emergency?", "output": "Thanks for your question on Chat Doctor. I can understand your boyfriend s situation and problem. Throbbing pain on right side can be due to pneumonia, pleural effusion or musculoskeletal causes. So better to first rule out lung related causes. So get done chest x-ray. If chest x-ray is normal then no need to worry about lung diseases. Musculoskeletal pain can be the cause for his Throbbing pain. So ask him to avoid heavyweight lifting, strenuous exercise. Avoid movements causing pain and bad postures during sleep. Warm water pad application on affected area is also beneficial in this case. Painkiller and muscle relaxant Chat Doctor. So better to visit emergency room and get done chest x-ray to rule out major lung causes. Hope I have solved your query. Wishing good health to your boyfriend. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a very sore lump under my chin to the left, the pain / soreness extends from my chin to my ear and my shoulder, it hurts to look left and the pain around my ear is directly under my ear lobe. my throat doesn t hurt, bu my voice is very hoarse, also, the pressure of swolling hurts.", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have enlarged lymph node, salivary gland or some cancer. You should go ultrasound study and fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir my father is a 77 yr old m diagnosed with NHL Diffuse large B cell lymphoma.He has completed his 6 chemos on 23rd sept 2013he was given RCVPRituximabcyclophosphamidevincristineprednisolonepeggrafeel(filgrastim) was given after each chemofew days back he had fever of 101.3 and we bought him to hospalthough he has no inf detected after blood culturetoday his hb is 7.6yesterday it was 8and day before it was 8.2dr has said its side effect of chemo and will recoverpls suggest wat to dodr has not advised transfusion", "output": "As you are undergoing chemotherapy these Chat Doctor. These bone marrow a place where Red blood cells are produced. So many of the times patient feels fatigue, and weakness. So after completion of your chemotherapy the side effects of will be resolved. But bear in mind sometimes it destroys the bone marrows seriously that can't regenerate. So my suggestion to start Haematinics and keep a watch on your RBC count. You can talk to your physician regarding it." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have my I lower molar of both side and front lower teeth except canines missing since 1 year when i got them extracted due to severe caries. i showed to may nearby dentist for the replacement but either they suggested me for the fixed or implant treatment. but i dont want any invasive procedure. when think of removable, its very cumbersome to adapt and adjust that initially. me confused, is there any other option available apart from this becoz i really need immediate replacement that too non invasive and non surgical. plz help", "output": "Tithe number of missing teeth are more than what would be advised for a fixed partial denture. Ideally implants would be the best solution for your problem. With newer techniques the implants are placed with simple punch cut in which only the spots where implants have to be placed is punched out. Extraction on the other hand is a much bigger and traumatic procedure than this. Still if you do not want implant then you have only 2 options: flexible dentures and cast partial dentures. Flexible dentures are easy to adjust, but cast partials are more stable and better for the health of the remaining teeth in the long run. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doctor, i have a habit of masterbutation for the past six years, now my sperm releases simply during night. and i am suffering this for the past seven years. what to do, is their any cure for it and im not married yetnow im 22 years old. Please help me", "output": "Hello, thanks for the query. First you need to relax & not to think of nocturnal emissions or night falls as pathologic or some form of disease. Nocturnal emissions usually occur in unmarried males in response to Chat Doctor. They are simply manifestations of minds desire to have a fruitful sexual intercourse. As you might be aware that masturbation or sexual intercourse causes release of endorphins or relaxing chemicals in brain which causes a sense of satisfaction & sleepiness/sluggishness. Hence, masturbation is considered as a taboo in society & in effect having night falls is also considered to be a sign of disease or weakness. Relax & don't worry. Do revert if you need further help." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I think I suffer SAD. I have noticed that for two years now my mood in the winter is terrible, I crave sugary foods, I am always tired and last winter I became so depressed it made me self harm and feel suicidal sometimes. Now its summer I feel a lot better but I notice on rainy/cold days I feel miserable again, what should I do?", "output": "Hi, Thank you for using Chat Doctor. The problems could be Seasonal Affective Disorder. If you have this problem occurring every winter for last 2-3years on a stretch. I usually recommend my patients with SAD phototherapy and to be taken during winter. If problems are much severe I tell them to start antidepressant 20 days before the typical day of the year when usually problem starts and stop by the end of the season. It is also important to know any particular work stress or any other stress you are suffering from, during winter. In summer some get overenthusiastic, extremely cheerful or irritable, overconfident, energetic which even make at least most of the close family and friends to notice a gross Change in behavior. If such symptoms are present then a detailed check-up is required. Management course too would differ. Hope I was able to help you to resolve your doubt. Wish you good life." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi.. i had measles in child hood. due to which left hand & leg underdeveloped. howevr i can do routine work. initialy treated by homeopathic doctor. he told tht it is simple chorea. i am 31yr old now. but still facing minor tremors in left hand. fine movement of left hand each fingeres is shaky & uncordinated. MRI done in 2011... it comes normal. also hv gait problem in left leg. neurogolist says each joint of left hand (wrist, elbow , shoulder) has spasm ,which is chief cause of tremors. pls help. is lumber puncture (LP) helps?", "output": "Dear no kind of puncture is recommended because no one of them seems to help. I would strong recommend you to do a brain electroencephalogram do exclude epilepsy. Second I would recommend another neurologic examination to exclude mixotrophic lateral sclerosis. No need to concern because medicine has made big progress and now many disease or symptoms can be treated. Just exclude those two other disease and then we will discuss tremor medication. Wish you all the best" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My staff meember (a teacher) came in this morning saying she started to feel extra warm on her drive in to school. She then noticed her bocy is covered in a rash -more like her sckin looks sunburned and feels hot to to the touch. It is -24 outside so it is definitely not a sunburn. Any ideas? she has no known allergies. and is not on any medication , is not wearing nay new clothes or using any new soap products.", "output": "Hi, Welcome to Chat Doctor. The description given by you suits the diagnosis of urticaria. It can be due to food allergy, insect bite or other causes. Take antihistamines like tab. Zyrtec twice daily. Apply a soothing lotion like calamine lotion over the affected area. Visit to dermatologist or general practitioner will confirm the diagnosis and allow other prescription medication. Hope this helps. Wishing you good health. Regards. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i feel a small lump with mild pain if itouch them on my right mid neck between right ear and right shoulder from last six months it is not incresing in size but when i consume cold things it increase and after leaving cold things it reduce some time i can feel the sound in both ear i feel that ear are closing and opeaning i have small buldge under my right armpit from last four years no pain and soft no lump it feel sponge type i got my blood test done in that my hemoglobin is 9.22 and my esr is 43 and thyroid and tb and sgpt test are normal i am worried doctor what it could be my age is 32 years i hav no fever my weight is 83kg and from last one month i am suffering from gas and acidity problem my all test regarding gastric is normal", "output": "HI. The first probable diagnosis I can think is you are under tremendous stress, anxiety. The lumps when present should be investigated by FNAC and ultrasonography. IF required or suspicious, they should be removed by operation and subjected to histopathology examination. Take a proper treatment for anxiety and your 50 % problems will be over. Rest of the treatment to be taken as per reports of FNAC" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband has swelling or lump that starts from his anus to his scrotum, about 3/4 inches to 1 inch in length.It is very painful. He is also feeling pain in the muscle of his left buttocks due to this. He is very healthy and works out everyday. Can you provide some feedback; is it muscular or prostate related? He has not had any difficult urinating. What types of doctor should be consulted.", "output": "Hello! Thank you for the query. Such lump is most likely a rectal abscess. It may appear due to fistula between the rectum and the skin. This causes tissues inflammation and pus accumulation. Such abscess can be related to inflammatory bowels' disease like Ulcerative Colitis. He should consult a surgeon in a first row. Abscess should be incised and pus Chat Doctor. He should also have colonoscopy and pelvis MRI to determine if there is a fistula. Hope this will help. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi dr,my 3yr old kid got nail scratch by a dog.we gave rabivax for two days.we did not completed thecourse.but she got allergy due to insectbite which is lasting for Two months inspire of giving medicines.is this because not completing the injection course?", "output": "Hello. Thank you for asking at Chat Doctor. Insect bite allergy and incomplete course of arrival has no relation. Sometimes an insect bite causes a large reaction, which takes time to heal, in between it may be got infected, and repeated scratching it will not allow it to heal. So please do not correlate it with incomplete course of vaccination. Hope this will be helpful to you. Wish your daughter the best of the health. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i am looking for help to understand a ct scan. L3-4 level is normal. the L4-5 level; there is generalized disc bulging flattening of the underlying ventral thecal sac . There is no exiting nerve root impingement or spinal stenosis . there is vacuum phenomena within the degenerative right-sided facet. The L5-S1 level; there is a generalized disc bulge with associated vacuum phenomena. There is anterior osteophytic change at the L5 S1 level. There is sclerosis of the endplates of the L5 and S1 vertebal bodies. there is no exiting nerve root impingement or spinal stenosis.", "output": "Hi, In simple words you seem to be having a chronic degeneration of the spine which is resulting in disc bulges at the mentioned levels. It also seems you may have some necrotic changes resulting in gas formation described as vacuum phenomena. This needs to be further evaluated. I am unable to comment further since you haven't provided your clinical details. I would need a detailed medical history with past medical and treatment details to correlate these signs. Wish you good health Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had sex before 1 month. now I m pregnant. I want abortion . I am planning to take abortion pills(misoprostol). is it safe or not ? can I get this pill without any doctor s prescription ?", "output": "Dear SanalThanks for choosing Chat Doctor Actually Bisoprolol is a medication registered for use to prevent gastric ulcers. Bisoprolol also induces uterine contractions that often used off-label as abortion pills for pregnancy termination. Studies have demonstrated that Bisoprolol can be used to terminate pregnancies of any gestation.0 - 12 weeks (less than 63 days of pregnancy)= vaginally of 800\u00a0mg repeated up to 3 times at 6 or 12 or 24 hours intervals or 800\u00a0mg orally (sublingual) at 3-hour intervals * around 70% women have complete abortion within the first 12 hours * around 80% have complete abortion during the first 24 hours * around 95% have complete abortion within 48 hours it may take up to the 72 hrs for complete abortionist of 100 failure rate are 5-8 but I suggest you contact you the nearest gynecologist It is not good to abortion .why don't you want to give birth... Think about thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my name is ccc I started having muscle spasms in my right boob. I have scoliosis could this be the cause of it? I check myself daily and feel no lumps or masses. I also clean and pick up my 1 and 6 year old daily. Its been going on for over an hour. Im having no pain anywhere else. Thank you for your time.", "output": "Hi, Thank you for posting your query.First, I would like to reassure you that muscle spasms in the breast do not indicate any serious disease, and hence, there is no need to worry. Also, these spasms are not related to the sclerosis. Try to take rest and it may go down. If not, you may consider taking a muscle relaxant. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, Chat Doctor. Ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have this problem when 1 morning i woke up with this pain in my left chest and i also have difficulty in breathing, coughing, burping, i can only have 1 sleeping position since this pain bothered me, in fact there are times that i can no longer sleep due to too much pain that no position could be done to endure the pain. I think the pain affects my upper left abdomen, left shoulder and chest. This pain is already 6 days today. I already consulted a cardiologist and he advised me to have ECG and xray and i did, he also prescribe me pain reliever and a medicine for blood circulation... i followed him and already took the medicine, after hours of subsiding the pain, it will return again some times more intense. I am already suffering a lot and i no longer can wait Monday to have the ECG and xray result be released. I am really suffering, pls help me explain this, i am worrying a lot. what should i do re this...", "output": "Thanks for your question on Chat Doctor. Since your cardiac work up is normal, I think you are having HERD (Castro Esophageal Reflux Disease) mostly. It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms. Try to follow these steps for better symptomatic relief. 1. Avoid hot and spicy food. 2. Avoid large meals, instead take frequent small meals. 3. Avoid stress and anxiety. 4. Start proton pump inhibitor. 5. Go for walk after meals. 6. Keep 2 - 3 pillows under head in the bed. 7. Avoid smoking and alcohol if you have this habit. 8. Lose weight if you are obese. If not improving after these then get done ECG again." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am HLA B27+ patient. I am having stiffness on my back and neck. I have been advised by my Rheumatologist to take the below medicines: Microcid 1 - 1 - 1 Sazo 1000mg 1 - 0 - 1 Foli Track - 15 Mg once a week Please let me know whether the above medicines may have any side effects. Thanks", "output": "Hi, Based on the history you seem to be suffering from an inflammatory condition called ankylosing spondylitis for which your doctor has prescribed the treatment. Generally, these Chat Doctor. However, the following side effects may occur:Microchip can cause dyspepsia, indigestion, diarrhea, stomach ulcer or bleeding, headache, and allergic reactionsSazo can cause stomach upset, headache, vomiting, decreased sperm count, allergic reactions, hemolytic anemia, and liver dysfunctionFolic Track is prescribed to treat anemia due to folic acid deficiency caused by the " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been running a fever for nearly 5 days ranging from 99 to 100. I had a headache that felt like it was in my eyes. When I look around, my eyes seem to ache. Initially I had an uncomfortable stomach with nausea and a lack of appetite, which has passed. Tylenol has helped, but I notice the achey eyes and a fever of 100 remain. I have had no recent tim bites, but my brother, whom I haven t seen for 3 weeks is experiencing similar symptoms. When should I seek medical attention?Sorry, thought this was a free advice line. I did not read carefully and will likely visit a physician in person.", "output": "Hello! Is the fever accompanied by chills and shivering? And how many hours does it take for the fever to recur? This is the viral and malaria season. I am sorry I don't know which region you're from, but this looks like a typical viral or malarial fever. Start with-- Tab Paracetamol 500 mg 6 hourly for 3 days- ORS- Plenty of fluids-Tepid sponging if the fever is too higher the following investigations done-- Complete blood count (SP. Platelet count)- Peripheral Blood Film for Malarial Parasite-Rapid Diagnostic test for Malaria-Chest X-ray PA view- LFT- Urine routine examination- Tidal test- Was Felix test" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor, I have problem with my gums bleeding all the time especially when I sleep say in the night or just taking a nap. It worries me a lot, even if I brush my teeth in does bleeds as well. Can you please advise what the cause of this problem and what is the best way to help prevent this from happening again.Cheers Mirian", "output": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint it seems that bleeding from gums can be due to inflammation of the gums secondary to infection and as the inflamed tissues have more premature blood vessels that tend to bleed easily therefore slight stimulation as well as at times even no stimulation can cause bleeding. More bleeding at night can be due to mouth breathing habit. I would suggest you to consult a Dentist and get evaluated, and he can do a thorough Scaling of the teeth and remove all the Infectious deposits and along with a course of antibiotics, anti-inflammatory painkiller and topical application of gum paint, antiseptic mouthwash gargles and massage with antimicrobial Oral ointment. Hope this information helps. Thanks and regards. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband is 37yrs old.He has been having several health problems since a very age of 6. He was diagnosed with rheumantic chorea & was treated accordingly,was on Penidure injections till his 25th year. His absolute eosinophil count has been always very high. He has allergic bronchitis & generally has dry skin all over the body.Also,he has difficulty in sleeping.Now suddenly since 2 week he was complaining of lightheadedness. When we did consult a physician, we found out he has low BP, it was 70/90. What could be the reason? What steps to be taken?", "output": "HI, thanks for using Chat Doctor 90/70 mmHg (top number is higher) is a low blood pressure that can definitely cause his dizziness. It can be due to deny Chat Doctor. He needs to increase his fluid and salt intake to try to bring it up if there is no medical conditions preventing this treatment. Eosinophils increase in response to allergies, so they would be high since he has a history of allergies. There are medications that can help with his allergies. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my nephew, 30, working with a very prestigious international company at a very good salary is addicted to alcohol. His liver enzymes were alarming. He was treated under supervision of very good doctor and was almost normal. Was on leave for one and half months. He assured us that now he was fine and once he left to join his job he again started drinking. He drinks neet and did not listen to any one, including his wife whom he married not long ago. He never accepts that he drinks..We heard that there was a good de addiction n re habitation center center at Nimhans.. Pl let me know", "output": "Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. Liver markers AST and ALT should be below 40 IU, and bilirubin should be less than 20mmol. However, even higher liver markers values till 60 are acceptable, but alcohol should be in every case reduced and liver condition should be evaluated with ultrasound and CT scan. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 3 year old had a 104 fever last night complaining of stomach pain and burning eyes. I took him to the doctor yesterday when the fever was much lower (101) and the ruled out strep. I was worried about strep because my neices had been visiting the week prior and they had it. He also complained of congestion in his nose, but nothing came out when he went to blow his nose. Could this be a sinus infection?", "output": "Hello, You can do the following:1. Provide him with a lot of hot fluids.2. Syrup Paracetamol four times a day if fever persists. (In case if the fever is above 100 degrees Fahrenheit, then do cold sponging).3. Syrup Zen tel or Bender single dose along with dinner.4. Syrup Bosnian one teaspoon, twice daily for a week.5. Nuclear spray, if there is too much nasal congestion. If symptoms persist, consult a pediatrician immediately. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I went to the er a week ago because the top of my foot hurt and got really swollen it stopped hurting but the inflammation is still here they said it was cellulitis but i took antibiotics and it didn t do much usually cellulitis hurt very bad this hurts only an area when i press on it.. or walk on it not just sitting...I am concerned you cant see broken skin and there has been no cut what do i do", "output": "Dear patient Cellulitis is infection of the subcutaneous tissue by bacteria usually staphylococcus. Usual treatment is anti-inflammatory Chat Doctor. You have teamed both and should be fine. Longer course of antibiotics may be required in case if diabetic patient. If it is not relieved after antibiotics cellulitis may spread and there may be abscess formation. Please consult general surgeon nearby you and get yourself examined. Local ultrasound may be done to see abscess formation." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "what would the likely diagnosis be for a 40 year old male who has severe pain on his left side and back below the ribs. He describes the pain as spreading to the lower abdomen and groin and comes in waves that fluctuate in intensity. He has painful urination and brownish foul smelling urine. He reports a persistent urge to urinate and urinating more often than usual along with nausea and vomiting", "output": "Brief Answer:This symptoms may be due to urinary tract infection. Detailed Answer:Hello, Thank you for using Chat Doctor. This symptoms may be due to urinary tract infection such as cystitis (bladder), urethritis (urethra), or pyelonephritis (kidneys). The only way to diagnose an infection is checking a urine sample and after that performing a urine culture. The urine culture is the most accurate test to determine for sure whether an infection is present. The lab puts the urine sample in an incubator. If any bacteria are in the sample, they will multiply and show up. However, it takes 24 to 48 hours for the bacteria to grow enough to be detected. The monoculture should be followed by Antibiotic susceptibility testing (AST). Based on the result of the last one, you may take a specific antibiotic treatment. I suggest you to undergo an abdominal ultrasound too, in way to exclude any possible structural cause of the UTI. Meanwhile, you should Chat Doctor. You can take diclofenac (Dan) tablet with an initial dose of 100 mg orally followed by 50 mg oral doses every 8 hours, maximum 150 mg per day. Herbs such as golden seal, UVA RSI, blackberry root, and wintergreen have the ability to soothe, relieve irritation and reduce infection in the urinary tract. Load up on foods packed with vitamin C or take vitamin C supplements may help you fight UTI. You should take of your diet the bladder irritants such as: caffeine, alcohol, spicy food, nicotine, carbonated " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had an open fracture to my elbow 3weeks ago they put in surgery an irrigated it and closed it up however the did not fix anything else it was dislocated as well as radial and fracture to my humorous is it too late now if I need more surgery or pins I also broke my wrist", "output": "Hello, I have studied your case and I think that you need surgery. Some time when there is open fracture that time putting plate and screw is not advisable, so some surgeon prefers only external fixation. If there is dislocated bone then you need fixation once wound is healed and preferably with in three weeks. If you want further opinion then you can ask direct questions Fromm with x-ray report. I hope this will help you. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello sir... i am a tb menigitis patient... i had surgery on last year and i am using akt4, oflox,claribid(clarithromycin500mg),benadon40mg from last 1year. recently i had and ct scan of brain. the report says status post carnitomy in left fronto temporo pariental region. I11 defined csf density in left temporal region-suggestive of gliosis .can i know whats this...is it curing..", "output": "Hi, It seems that you had tuberculous meningitis with tubercular access in left temporal region, for which Left front temporal Cranston with evacuation of access might be done. So once operation is done part of brain tissue would be removed. Like any wound in body which when heals will leave with scar, it is the same thing in brain which is called as gloss. Gloss is a process of scarring in the central nervous system. It results from the proliferation of astrocytes in an injured or diseased part of the brain, causing the formation of a fibrous glial scar. Although they are a necessary element to injury recovery, both the accumulation of glial cells and subsequent scarring are important markers of neurological damage. Scar cannot be removed, it produces headache and seizure" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 3yr old son has been throwing up almost every night. Then going diarrhea. when it happens he only throws up ones then acts totally normal. During the day he acts normal as well. This has been going on the last 6 days or so. His appetite is not very good and we ve been giving him a bland diet mainly just crackers, pretzels and toast. We ve also worked hard at keeping him hydrated. We went to his Dr and he said he thinks it s he s still working through a virus. Just wondering how long is too long for these symptoms to be going on.", "output": "I do not think that it is due to a virus. To me, it seems more like gastroesophageal reflux and improper peristalsis. Give a high fiber diet including green leafy vegetables which will help in regularizing the bowel movements which are actually responsible for taking the food down gradually. In his case, the reverse is occurring. Regular play habits and exercise is equally essential. With that, the symptoms should gradually subside. Unless proper intervention is taken, the symptoms will keep continuing." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "namaskar ! I am 42 old woman. I had dust alarji (infection) I am suffering from astama. I know the my blood report Isnophelia counting is High. I want the Isnophelia counting normal. I am pure vegetarian. But I request u to sir What can I do the treatment of my isnophelia problem.", "output": "Hi, dairy have gone through your question. I can understand your concern. You have high eosinophil count, and it is due to dust allergy and asthma. You should avoid the allergens. Treatment of asthma should be done with bronchodilator like albuterol or terbutaline. For eosinophil count Chat Doctor. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "A couple of weeks ago I slid down a dewy hill in our yard. I landed hard on my buttocks. I have alot of pain by my right kidney. When I first went to the doctor, they thought it was kidney stones. More investigation, the doc believes I may have injured my spine around the 4th or 5th verterbrate. What should I expect now?", "output": "Hi, Thanks for writing in. The pain you might be experiencing is from the injury to spine. I suppose you have got X-rays done which indicate injury to vertebrae L 4 and L 5 levels at lower back. This can cause severe pain in the region and is not related to your kidneys in any way. You probably need an MRI scan of your lower back spine to know if there is injury to the bones and discs. This can cause pinching of nerves and pain is experienced along the area supplied by the nerves. Rest and avoiding heavy physical activities is important and this will heal your injuries quickly. There might also be muscle spasm in the lower back which might be treated with an ointment containing a painkiller and muscle relaxant applied gently about twice a day. You can also apply hot or ice packs." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am female, 20 years old, single and never had any sexual contact with anyone. But I feel worried because my genital area is now reddish. It started when I had my menstruation last week. I thought it was just a rash caused by my sanitary pads (because I had them before and it went away after my period) but now it didn t. I noticed that my butt cheeks also have this redness and scaly-like skin texture. I also had this thick and white discharge. I m afraid to go to a gynecologist and very much afraid to know that I have a disease. Please help me to treat this because sooner or later I m going to have a medical/laboratory examination for a job. Thank you very much.", "output": "Hi, You seem to have a fungal infection. Moisture from occlusion, warmth and humid weather favor the growth of the fungus. In addition, you seem to have a candida vaginitis which is responsible for the thick vaginal discharge. I suggest you take an oral antifungal e.g. tablet Fluconazole or Itraconazole for 2- 4 week. This would take care of both cutaneous and vaginal fungal infection. In addition, I suggest you apply an OTC topical antifungal e.g. Clotrimazole 1% cream or Ketoconazole 2% cream, for the skin involvement. Twice daily for 2-4 weeks. You may as well keep a Clotrimazole pessary in the vaginal canal every night for a few days. Since fungal infection and candida vaginitis are usually itchy therefore I suggest you to also take an OTC antihistamine e.g. Tab Cetirizine for relief from itching. Hope I have answered your query. Let me know if you need any more assistance." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Yes, my daughter injured her finger and it was swollen around the finger nail. It went down some but now it has swollen again and a little farther back. Is there anything I can do at home?", "output": "Hi ! Good morning. I am Chat Doctor answering your query. If I were your doctor, I would advise your daughter to keep her injured hand elevated to reduce the swelling due to inflammation. I would also advise her for an anti-inflammatory Chat Doctor. With this, both the pain and swelling would get reduced. However, if the swelling and pain increases in intensity, I would refer you to an orthopedic surgeon to rule out a fracture of the bone in the region and for further management. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have these very tiny black stinging specks on my scalp.They are about the size of black pepper.I ve tried everything I could think of to rid them.I thought maybe head lice,but no bugs.they re is also a coating on scalp that is clear in color that is tough.I ve used Rid,vinegar,vaseline,betadyne,peroxide,Dawn dishwashing liquid,rinse with chlorine bleach and warm water solution.They sting and when you comb hair they fall out and quit stinging.I ve cut my hair extremely short and that did seem to help some.What could this possibly be? Yelling for help! YYYY@YYYY", "output": "Hi, your clinical presentation is quite unusual. Without proper diagnosis, treatment is quite difficult. How long duration that specks are there? Is there any other site of body have similar lesion?however, they sting, so suggest there is quite possibility that they are made of some infected and degraded material like infected black heads, sebaceous cyst etc. Final diagnosis can be made from microscopic examination of the lesion." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my 17.5 week old baby will not take a bottle. I exclusively breast feed. We have been trynig several times with the bottle and she refuses. She did take a couple ounces one time and since then will not. She may play with it in her mouth or else she just gets increasingly frustrated. We have tried myself giving it to her, my husband, we ve tried different bottles and nipples - nothing works. Do you have any suggestions? Also.... I have been told that some babies will go right from breast to sippy cup. Is there any harm in this and how old must she be before we try breast milk in a sippy cup? Is this harmful in any way? Someone told me ia baby doesn t ever use a bottle it can cause speech problems as the muscles of the mouth don t develop proply. Is this true? Thanks!", "output": "Hello, thanks for asking on Chat Doctor. It is recommended to exclusively breastfeed a baby until 6 months of age and then start weaning foods while continuing to breastfeed. The longer you breastfeed, the better it is for the overall child development. Since the technique of feeding from breast and from a bottle is different for a baby, it finds it difficult to easily switch from one to another. Some babies totally refuse bottle if they have been exclusively breastfed before and there's no harm in that. The only thing is that mother finds it difficult to leave the baby with someone else for going to work or elsewhere. What is suggested is to try different nipples and someone other than mother to give the bottle. Since you have already tried all this it seems it won't work. You can start the hippy cup after 6 months along with semisolid foods with a spoon. There is no disadvantage of not using a bottle at all. In fact bottle can cause health problems like diarrhea since the nipples might harbor bacteria if not cleaned and sterilized properly" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my age is 36,height-52, MENS CYCLE 26 DAYS,trying for kid last 3yrs back .this month folliculars stdy report-day 10,date-19/11/10,Rtovery-12.8.Ltovery-18.4mm ,,,day11,date20/11/10,Rtovery-20.1mm,Ltovery-24.3mm,ET -8.1,,TAKEN THE INJECTION-HUCOG 10000 AT NIGHT.,,DAY-13,DATE-22/11/10,Rtovery-25.3mm,Ltovery-30.1mm,ET-9.8,Again taken the injection Hucog 10000 at noon,STILL ITS NOT RUPTERD.what shall i hope for this mont kid", "output": "Hi, Thanks for posting in Chat Doctor. I have read your description and understand your concern. Chat Doctor is a hormone, which maintains the pregnancy. If its levels are low during especially in the 1st trimester, there are more chances of abortion. Hence, it is recommended to take injections regularly, especially during 1st 3 months. Based on the follicular study, it appears that the maturity of follicles seem to be good and Humor has been administered at right time. Follicles would be ready for rupture in about 24 to 48 hours following injection. Kindly have intercourse for 3 to 5 days following injection, which should improve the chance for conceiving. Kindly follow the advice as given by your doctor and hope for the best. Hope the information provided would be helpful. All the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "almost 10 days ago I fell on my hip. The pain hasn t let up at all, I can walk, with a limp. too much time on my feet and sitting really hurt bad on the side and bottom of my left hip. I just finished 38 treatments of radiation for prostate cancer about 7 months ago and had nerves burned in my lower spine only a few days before the fall. any advice?", "output": "A hip fracture can occur and someone can still walk on it. This is far more likely with age and cancer. So, an x-ray and evaluation is recommended for someone whose hip pain stays more than a few hours after a fall. Can be a bruised muscle other structure outside the joint (warm soaks best) or something broken internally. Unfortunately on the hip it isn't that guaranteed you can tell which spot the pain is from. Most other spots you can tell inside from outside but not hip." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been having stomach pains for a while now sometimes they are there alot sometimes here and there and the last couple days my stool has been green. Today it looked like fuzzy moss like stuff all around my stool what does that mean. I dont take iron or meds that cause that and I dont eat green food and have not changed my diet", "output": "Hi welcome to Chat Doctor forum. Thanks for calling Chat Doctor, Forum. You have stomach pain, here and there, and your stool became green and fuzzy, You didn't use iron containing medicines or foods, or changed the food. You have described the disease very nice so that we can have a clear idea. Your problem appears to be the infection of colon, may be amoebas, irritable bowel syn Chat Doctor. I advise you to consult a doctor for diagnosis and treatment. I advise you to have a soft food like food with curd, bland foods like bread, etc. Avoid taking spices, junk foods, oily foods, and non-vegetarian foods. Wishing for a quick and complete recovery. Best regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Dr,My Name is Mr Sharath Chandra.I would like to know that can i use fertyl-m for low count sperm with out drs advice.Recently i cheched my sperm count its 13 millions.Im also taking Lyco-Q past 6 Months as prescribed by one gynecologist.Pls suggest can i use fertyl-m generally for low sperm count.I also have mild varicose cell.Pls suggest and reply to my mail id YYYY@YYYY", "output": "Hellothank you for trusting Chat Doctor Dear ferry -m is typically taken once a day, with a staring dose of 25 mg per day. However, the dosage often needs to be adjusted later on, as the individual response to the medication varies. It is essential to find a dosage that supports optimal hormone production, because too high testosterone levels can decrease sperm count and cause other serious side effects. Testosterone, LH and FSH levels are typically re-tested within a few weeks after the therapy is started, and the dosage of clomping citrate is adjusted accordingly. Please consult your doctor he will examine and treat you accordingly. I think I answered to your question if you have more questions feel free to ask." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Happy Holidays! Two days ago, I developed a sore spot on my back, just to the left side of my spine. When I felt it, it is very tender to the touch and there is a lump below the skin. It was remained sore and is very red surrounding the area, at least the size of a $2 coin. There is apparently a tiny black spot in the center. It is now increasingly sore, and hurts as I turn or move. Any ideas?", "output": "Hello! Thank you for the query. This tiny black spot and rest of description are very characteristic for sebaceous cyst. It's a kind of benign skin lesion filled with whitish masses. When such cyst gets infected, pus appears what gives strong pain in this area. I suggest you to do not wait with it any longer and consult a surgeon. The cyst needs to be incised and pus Chat Doctor. Hope this will help. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor , my age is 36yrs married but with no child at the moment and each time i make love with my wife i always release faster than i expected and more over my semen is too watery. what can likely be the cause and can this be the reason for my unable to impregnate my wife? please help.", "output": "Hello, welcome to Chat Doctor. You seem to be suffering from premature ejaculation. You must learn the start and stop technique for prolonging sexual activity. Furthermore, you must visit a psychiatrist who would be able to help you in better way to deal with it in case you need some medicines. As far as you sperms are concerned you can undergo a sperm count and analysis which will be able to find out any abnormality in the. It is advisable to get your wife also checked up to rule out any pathology in her. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have moderate to severe pain in my lower right back - just to the right of my spine at the top of my buttock. As the pain worsens, it radiates down the front of my right thigh. Ibuprofen isnt touching it. Diclofanac (150 mg twice a day) worked for a while, but has stopped being effective. Any suggestions? THANK YOU!", "output": "Dear patient you may be having articular pain due to nerve compression at the lower lumbar spine. If diclofenac and ibuprofen others are not working this needs to be investigated. First X-ray of the lumbosacral spine anteroposterior and lateral views should be done. MRI of the lumbosacral spine would also be required to confirm diagnosis. Meanwhile, take strict bed rest. Start tab moral 4 mg twice a day with tab regain x 75 mg one at bedtime. Avoid forward bending and weight lifting. If not relieved you need to consult orthopedic surgeon nearby your area with report." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "im anuradha(female) age 46i have SEVERE MICROCYTIC HYPOCHROMIC ANAEMIA\" Symptoms: Black patches in tongue, Burning Sensation in tongue at the time of having food, Brittle NailsHaemoglobin : 5.7 gms%PCV 17%what must be done now... please give me suggestions...", "output": "Hi, dairy have gone through your question. I can understand your concern. You are suffering from severe hypodermic microcytic anemia. Most common cause is iron deficiency. You should go for blood transfusion initially to increase your hemoglobin level, which is very low. Then you can take oral or injectable iron supplements. Also take iron rich food like Jerry, dates, Chat Doctor. Right now consult your doctor urgently and if required get hospitalized. Hope I have answered your question, if you have any doubts then contact me at bit.ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I woke up in the middle of the night 3 years ago and since then,my head is hurting on the right side of my head, starting bellow the neck and covering all the scalp it hurts 24/7 every second of my life with big neurological signs like vison and light problemes and some mouvmeents problems and a lot of equilibrium problems ( i cant jumb run or anithing else). I had mri and ct scan, it came back normal but still it hurts so much that i want to kill myself every second. Do you have an idea what it might be?", "output": "Hi, Thank you for posting your query. I can understand your discomfort on account of constant pain, going on for three years. However, I wish to reassure you that it is not due to any serious problem of brain, as both CT and MRI scan of your brain are normal. The most likely cause for your symptoms could be chronic migraine. This would improve with medications such as beta blockers, flunarizine or divalproex, which reduce the frequency and severity of headaches. If medications do not help, then, Botox injections would be helpful. For relief of headache, you can take sumatriptan tablets. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, Chat Doctor. Ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have a rice sized lump under a stretch mark about an inch under my left breast. it is painful to touch. i had a baby two years ago and i did get a lot of stretch marks but this one is the only one that high. should i be worried? i am 21 im 57 and im about 15 pounds over weight i have just recently lost 90 pounds as well. no history of cancer or any skin disease.", "output": "Hi, Dear,Thanks for the query to Chat Doctor. I went through your query and understood your health concerns. In My opinion-that lump under your breast stretch mark is a-friction keloid/ scar or it could be due to fibroadenomas ? Your main worry is for the cancerous lump in the breast. For which you need to consult and check with your family doctor. Still with the data given in your query, I opine as above. Hope this would help to resolve your worrisome query on your next visit with your family GP doctor. Wellcome for further query to Chat Doctor in this regard. Wishing you fast recovery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I have had some health problems for over 2 yrs. I have had dizzy spells,balance problems,shortness of breath. Lately I have new symptoms along with these. They are stiffness in my hands and legs. Also aching legs at night and numbness in my feet,hands and face. I have had heart tests,brain tests. No doctors here know what s wrong. Please help me. My heart rate also goes between 120 and 145 when I m upset or walking up steps. It s can be 102 non while I m sitting. I just realized I have to pay. I can t afford to. I guess I will have to pray for someone to find what is wrong some more.:(", "output": "Hello! Thank you for your question on Chat Doctor! I understand your concern. In my opinion your problems may be related to hyperthyroidism or just anxiety. It is normal for the heart rate to raise during physical activity, but your baseline heart rate is a little high. This combined to the other neurological symptoms raises the suspicion of a metabolic problem like a hyperthyroidism. The pain in your legs and numbness, the gait problems, may be caused by a possible polyneuropathy. I would recommend a full blood work, a thyroid function test and an Electroneurography to rule out a possible polyneuropathy. Hope to have been of help! Do not worry. You are not going to pay for this answer. Best wishes!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. three weeks ago my husbands condom split so i took levonelle less than an hour later. about a week after that i had very light bleeding for three days. i have now got very tender breasts and have not yet had my period...its due at the end of this week. what are the chances of me being pregnant?", "output": "Hi, Leonel pills or morning-after pills have common side effects like stomach upset, breast tenderness, tiredness, lower abdominal pain, irregular menstrual cycle varies between spotting to heavier flow. Your symptoms might be due to the pills & to rule out pregnancy I suggest you to do serum beta Chat Doctor test. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I get semen with this ratios color semen : creamy white Semen aspect : slightly viscidTotal sperm :86,9 Mio /mlSperm cell abnormal form 10Spermatozoa:3-5 HPFWPC semen : 5-10 HPF Kindly illustrate any abnormality and if this results can affect pregnancy Thx", "output": "Hi greetings. The semen analysis report is incomplete. It shows total count to be normal but showing again that few spermatozoa. Motile sperm concentration is not mentioned, which is very important. We need around 52 % of progressive motile sperm for fertilization. With sperm density and morphology alone it is difficult to comment.Hence, I suggest you to repeat the test in a reputed lab where semen analysis is done frequently. Hope you are convinced. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello,I hit my head in December during the skiing. i had a head concession. Now, after 5 months of that i feel my neck is stiffed or some sounds in the neck when i move it, especially when it is cold. It can be connected to the concession that i had 5-6 moths ago? should i have a check up again? Especially what kind of check up and where, and what do you advice me to do? THANK YOU in advance.", "output": "Hi, thank you for providing the brief history of you. A thorough neuromuscular assessment is advised along with MRI of cervical spine. As you are getting stiffness in the neck region and some sounds when you move the neck, it is related to the weakness of the muscles of the cervical region. Getting a Neuromuscular assessment of the cervical spine should help understand the cause. Also, with simple physical therapy and guided exercises for the neck muscles should give better results. In my clinical practice majority of patients having complaints of stiffness of neck region is due to weakness of the muscles of the neck and with physical therapy majority of them responds well. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter is 14yrs old. She had high ESR 56 and having sevier back ACH from neck to lower back. Please suggest me what food I give her and what food is avoid in that case. Her vitamin d is also low about 8.1. Our doctor already gave her vitamin d3 capsules 60000 IU (D-rise) 60 k. My main question for her is how to relief her backache. Please please help us", "output": "Hi, Thanks for your query. After going through your query I came to know that your daughter is suffering from chronic backache. It is due to vitamin and trace element deficiencies specially vitamin D. You need to do MRI to rule out other causes. I also advise testing her vitamin B-12. Back exercises, neurotrophic such as mecobalamine and analgesics (DICLOFENAC 100 MG SLOW RELEASE TABLETS) give relief. Vitamin D supplementation will be required which she's already taking. Avoid long continuous standing. Sit in a straight posture. Eat milk, fruits and green leafy vegetables daily. You can discuss with your treating Doctor about it. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hallo I got psoriasis from while using lithium. But at that time was not masturbating for 6 months or a 1 year, started masturbating because of bad sex eduction and teachers closing doors and teaching only certain kids, also maybe started a bit late and hear from other kid about the white stuff on your dick. Used the lithium for a year and the psoriasis started under my sperm bag with skin burning. Was first diagnose with eczema. I got it at 21 know it is burning and not good between my anus and sperm bag. My underwear was tight and my also played a roll and my Grand Mother had it. I just want to know can you cut it out or cut my private part that there is no pain and itching? But still usable. Also want to know if not masturbating and using lithium plays a roll in getting psoriasis?", "output": "Hello, Psoriasis is a common skin condition that speeds up the life cycle of skin cells. It causes cells to build up rapidly on the surface of the skin. The extra skin cells form scales and red patches that are itchy and sometimes painful. Psoriasis is a chronic disease that often comes and goes. Psoriasis is thought to be an immune system problem. Triggers include infections, stress and cold. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. V. Anand, Psychologist" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doctor . my grandmom is living in greater noida. she is suffering from sever asthma. these days she is getting asthma attacks on a regular basis. where should i take her. can u suggest any good doctor there. or what precautionary action can i take for her ?", "output": "Thanks for the queryAccording to the new norms all severe forms of asthma has to be treated with steroids. It will make her better very soon. Please see a good pulmonologist. A chest x-ray is required to look for any focus of infection which is giving raise to repeated infections. CBC with AEC has to be done as well. Dosage and treatment cannot be told without at least auscultating the patientHave a healthy life" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a type 2 sugar patient. One year back i used to have body cramps especially in shoulders and back. Doctor advised me to take one capsule of Mega neuron OD Plus daily. I am taking the same now close to 15 months. Wants to know how long I need to continue the capsule. I feel quite okay now.", "output": "Hello, As you been taking the medicine for so long, I hope you may have not had any symptoms of cramps for now. Before stopping the medicine you need to consult the planetologist who can do a physical examination and blood, urine routine then might decide the future of the medication. Also, a team of diabetologists will include a physiotherapist who can help you improve the metabolism and also control the blood sugar levels with exercise. Taking too much medication isn't as good as per science. We need to take control of our diabetes by - diet and exercise too. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi I have a mild brain injury, which leaves me very forgetful and delirious at times. I have had multiple head and facial reconstructive surgeries over a 6 year period due to a car accident in 2009. I Suffered psuedomunus in my frontal skull wall, bone and obliterated frontal sinus as a result, then filled with hydropoxy bone cement to fill holes in the frontal skull. been 4 years since last surgery, still suffer migraines regularly, I eat healthy and keep active and fit with my home gym as much as i can. But the last 6 months I having moments of dizziness, almost like i have consumed a lot of alcohol. i get confused and delirious a lot more, have episodes of tightning of the skull and everything goes black for 20-30 seconds and upto a minute, where i just have to sit wherever i am until it passes. I have been unusualy tired, bruising a great deal, and horrendous frontal skull pain some days, still chronic migraines, terrible upper back and neck pain, lack of apetite, dehydrated, although drink litres of lemon water and home made fruit juices with wheatgrass ect... I feel hot flustered and sick a lot, pretty much a blocked nasal passage most days, but no flu..the pain is unbearable at times, but ive always had pain and just deal with it in the ways i learnt in pain management rehabilitation...I went to local doctors, had blood tests and iron levels ect.. fine....is it a result of the Bone cement?? A reaction?? Shelley", "output": "HIT hank for asking to ChatDoctorI can understand your concern looking to your surgical history, if your brain is intact (Hypothalamus, cortex) then there won't be question of memory loss, you have gone through the multiple repairs and natural that it must have pushed you into the shock, and you have to come out of this, you seem to have some functional disorders too, and that might be causing such symptoms you just take it easy and have nice day" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been having pain in middle of the chest.. since last year may.. it hurts my back.. sometimes my left arm as well.. when I go for exercise such as walk.. I feel so tired so easily.. Feel short breath as well.. Past few days the pain is increasing.. why is that happening? I am just 21 year old", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Get yourself evaluated with an ECG and a chest x-ray. If both are normal then it could be HERD or asthma. Also consult pulmonologist and get a clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT is needed for the diagnosis of asthma. It will also tell you about severity of the disease and treatment of asthma is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroids. Hope your question was answered." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor, I have pain on my left side just above my hip, inflammation on shoulder blade and through thigh and leg. It get worst during my period felling of nemness and period comes twice a month. Also i had a gallbladder removed in 2007. What is happening with me? I m 153 cm and wight 65 kgs.", "output": "Hi . Got your problem. I can understand your anxiety. Actually It's difficult to diagnose your problem from the above description as you have not mentioned any other signs. I think you might be having anemia secondary to excess bleeding, vitamin deficiency or any hormonal issues such as hypothyroidism etc. Which can have such vague symptoms. Pl.consult an OBS to find out the reason for such bleeding. Also get some blood tests done such as hemoglobin , folic acid and ferritin levels, it. D, thyroid profile etc. with an ultrasound pelvis. I am sure this will definitely help in solving your problems. Still if you have any doubts pl feel free to ask me. Take care and get well soon." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am totally fine and my height is 5feet 3inchs and my problem is masturbation i am 13 years old and masturbate daily cant control it and the doctors says that you do it aging and again your height will not grow is there any way to control your mind stop masturbating? male", "output": "Hello dear,First, I wish to tell you that Masturbation is common among young males in their teenage, and it does not have any bad effects on health. Since you are feeling that masturbation is interfering with your normal functioning, you can try out the following measures:1. Improve your social life by spending more time with friends and relatives.2. Keep your mind active and busy at all times either through curricular or extracurricular activities.3. Have a diet rich in fruits, vegetables, fish, nuts & honey.4. Avoid fast foods & lipid containing diet.5. Avoid smoking & alcohol.6. Keep away stress, think positive.7. Exercise regularly & practice meditationThese measures will be helpful in improving concentration & builds up the confidence level. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "How contagious is c-diff? Is it spread only by touch contamination? May a resident with the infection join with others, provided she does not share chairs, touch doorknobs or other public areas? Could she be brought in a wheelchair to watch entertainment? Could she safely join those at the dinner table, if special care were given to remove her dishes and utensils separately to be cleansed and sterilized? She has a private bathroom and private apartment. Must she be isolated? Thank you.", "output": "Hello, I understand your concern. I am Chat Doctor, infectious diseases specialist, answering your query. It is only spread through Eco oral route. So care must be taken as to people won't intake the contaminated items. It is not much contagious as that of flu. But it is associated with prolonged broad spectrum antibiotic treatment. So if the person exposed to C. diff and on broad spectrum antibiotic is on risk. I will be happy to answer your further concern, you can ask me on bit.ly/ Chat Doctor. Thank you. ChatDoctorInfectious diseases specialist." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doc Had got severe pain in left abodomen and got tested with ultrasound scanning in which i camet to know my left kidney is funcionting only also my left kidney has been enlarged due to PUJ obstruction doctors had advised to keep a dj stent kindly suggest", "output": "HeloT hanks for query. You have pain in left abdomen and detected to have enlarged left kidney due to PUB obstruction on left side. The treatment of PUB obstruction is decided by the degree of obstruction and function of the affected kidney. You need to consult qualified Urologist for clinical evaluation and get following basic tests to decide regards future course of action as regards need for surgery .1) Renal Function Tests 2) Intro Venous Paleography (MVP)3) DTPA scan . Putting a D. J stent is a temporary solution and can not offer long term results 9Cure) Chat Doctor. ." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 55,female, hypertensive and I have previous tuberculosis but treated or finished 6 months medications from May 1, 2008 to November 1, 2008. I have twice experienced cough out blood after sexual intercourse. I felt itchy throat first before I cough blood then later I felt slight headache. what will I do to prevent it?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. You are having hemoptysis (blood in sputum). You are also having previous history of tuberculosis. So in your case we should first search for the cause of hemoptysis because treatment is different in different causes. Following are the common causes for hemoptysis. 1. Recurrence of tuberculosis 2. Post tubercular bronchiectasis 3. Post tubercular bronchitis. So better to consult pulmonologist and get done sputum examination for AFB (acid fast bacilli - bacteria causing tuberculosis), chest x-ray and PFT (pulmonary function test) for the diagnosis. Don't worry, you will be alright. First diagnose yourself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have been on loette (birth control pills) for over two years. I stopped having the pill mid-dec 2009 and i conceived mid feb 2010. my LMP being 25 Jan 2010. A recomended 3 months pill free period has not been there in my case.Hence i wanted to check if this is a concerning point and will this lead to any birth defects in the child", "output": "Hi, Chat Doctor. I welcome you to Chat Doctor VIRTUAL CLINIC. I have gone through your question, and I think I have understood your concern. Furthermore, I will suggest you the best possible treatment options. 1) First do not panic. 2) Any brand of oral contraceptive pills do not have any residual effect on women's body once you stop them. 3) Three months period is recommended after stopping the pills, to enable restoring the menstrual cycle and start with B 12 and Folic acid supplements as a part of pre conception preparation .4) As you got pregnant now, you need not worry. Just follow routine ante natal care with your doctor. Get routine check-ups done. May God bless you with a bundle of joy. I hope this answer helps you. Thanks " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been eating yogurt sweetened with splenda for a very long time, i also drink splenda in my coffee, and drink diet sodas (not very often) but whenever i drink soda its diet. I have low platelets count, i was told that it is ITP. I would like to know if splanda contributed to this thank you", "output": "Hi, dairy have gone through your question. I can understand your concern. Your low platelet count has no relation with your upland or diet. You are suffering from ITP. Its immune thrombocytopenic purpura. Your body produces antibodies against your own platelet and causes destruction of platelets. So your platelets count is low. You should take immunosuppressive Chat Doctor. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I live in an area that has heavy smoke from the thoma s fire, my asthma kicked in during that time and is still bothering me along with a cough. My inhaler is not very effective. I usually only use the inhaler Once it twice a year very very mild asthma Is there anything else I can do it should I see a doctor?", "output": "Hi Thanks for your query. I have understood your query well. Asthma is due to hypersensitivity of your airways. The best treatment is to take inhaled steroid such as Meter does inhaler budesonide twice daily for at least 3 months. Plus if you're having difficulty u can combine with beta 2 agonists like meter dose inhaler albuterol. In addition to these Chat Doctor. You should wear breathing mask whenever u get out of home for few months in till your asthma subsides. Best way is to visit your treating physician, and he can advise you correct dosage of inhalers after examining you. I hope I have ad" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have a painful lump underneath my mons pubis, please, can you tell me what it is?? i tried squeezing it and pus oozes out. its not warm to touch, im a male. im also having pain upon urinating but only at a painscore of 4/10. no discharges, got no fever. no other associated signs and symptoms.", "output": "Hi and welcome to Chat Doctor. Thank you for your query. In most cases this is just a swollen lymph node which doesn't require any specific treatment. Also, considering your description this may be some other benign subcutaneous lesion such as lipoma, fibrous or atheroma and if there are no skin changes such as redness, pus discharge or pain and fever then you should not be worried since it can be easily surgically removed under local anesthesia. Then it there is doubts it can be sent to the patohistologic analysis. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I just received the results of my blood test. I am a 55 yr old female with a history of high blood pressure, chlostrol, celiac disease, stomach infections (repetitively), deginerative disk disease with a strong family history of cardiac disease. My blood test showed a high 6.2 glycosolated HB and AST (GOT) 94, ALT (GPT) 123. Everything else is normal. What do these results mean?", "output": "Thank you for posting your query at ChatDoctorfurther evaluation needed. Increase in the level of liver enzymes(AST, ALT) reflect an INJURY to the Liver. Medically, the condition is known as \"Hepatitis\". It maybe caused by:1. Virus (A, B, C, D, E) 2. Alcohol 3. Chat Doctor. Gall bladder or common bile duct pathology 5.\" Fat excess\" (indicates in your case)further evaluation needed do following test:1. Viral serology (HEPA, B and C) anti HAD, Bag, antiphon, anti HCV2. Lipid profile3. Ultrasound abdomen may visit hepatologist and results of above tests as soon as possible. Meanwhile, follow a fat free diet and try to lose weight (if over weight).HBA1c \"6.2%\" indicates risk of diabetes. The normal range is between 4% and 5.6%. HBA1c levels between 5.7% and 6.4% indicate increased risk of diabetes, and levels of 6.5% or higher indicate diabetes. Visit your treating Physician:check your \"Fasting Glucose and monitor blood glucose\" level to exclude diabetes.meanwhile whole grains, vegetables, and fruits maybe ingested. Minimize the intake of animal products, sweets, and refined carboy" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor i just want to ask about lung fibrosis. i was diagnosed to have TB in my left upper lung and i was treating anti tb drugs for 2 months now and i have regularly consulting my pulmonologist.my problem is on how the scar on my lungs will be totally disappear? is there any remedy for it?thanks", "output": "Hi thanks for contacting Chat Doctor.... You are having lung fibrosis condition secondary to tuberculosis .... Once fibrosis occurs it is irreversible condition ... Steroid might be useful for that .... You have to complete the course of AKT to prevent further fibrosis.... If you are having smoking habit than avoid smoking as it can lead further fibrosis .... Pulmonary rehabilitation useful.... To assess severity of fibrosis spirometry useful for that ... Take care. Advise : regular pulmonologist follow up" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,my mother s blood creatinine level was diagnosed as high 2months back(around 3) and she has been on medication and a strict diet since.We have been monitoring the levels since and it came down to 1.9 but last week was around 2.3. Please can you let me know how to control it and get reduced to normal level. We are in Bangalore so it would be great if you could suggest a good dietician for this issue asthe current dietician we are seeing has asked her not to have most of the vegetables and fruits due to which she is having a very bad constipation problem. She is also taking medicines for High BP.Please help.", "output": "Hi welcome to Chat Doctor Forsythe creatinine is high that indicates the kidneys are not functioning normally. So there is no such remedies to reduce the creatinine level only. If the treatment should be based to treat the kidney condition then automatically the creatinine level will reduce. There is no treatment in allopatry which will cure the kidney conditions. But homeopathy have remedies to cure this condition and Hun Chat Doctor. So if you would feel to contact me then it is my email ID - multicare.homeo@yahoo.comMob no - 91-9937412150www.multicarehomeopathy.com" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My boyfriend and I had sexual intercourse and he ejaculated and got semen on his fingers. He wiped the semen off and it was dry and then fingered me. He also got a bit of semen near the top of my underwear near my bellybutton. I m just really concerned to be pregnant and if there is any possibility that I would be. I read that if I took 4 Minastrin 24 Fe pills and 4 more 12 hours later that could work as an emergency contraception. I already took the first 4. I just need a professional s opinion.", "output": "Hi, Thanks for the query. I have read & understood your concern. Yes, there are rare chances of pregnancy with Chat Doctor. This is because of pre-cum that comes before ejaculation. The pre-cum is reported to have sufficient sperms to cause pregnancy. High dose of combined contraceptive can act as an emergency contraceptive. You had already taken one dose, repeat it once more than planned. Mostly it will prevent pregnancy & u will get periods within 3 days of last dose (with" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have Thal B Minor from my mothers side. My Hemoglobin is 111 g/Lt. I was diagnosed with Hoshimotos early this year (Jan-2011) and take 5mcg Thyroxin. My recent 2 blood tests show slightly low platelets 112 and 116 . My W & R BC are normal range. My RDW is 18.2% (above range. I feel tired and sleepy lately and have little endurance to walk > 1 km. I am 58 y.o. I have an enlarged prostate (98g) that constricts sometimes and I take Flowmax when needed. I have spells of ED. Over the past 10 years I noticed a material decline in my stamina, strength, alertness and sex drive. I am concerned that my health is also reducing my ability to work and therefore my economic well-being as well as my physical and emotional health. Any suggestions on mitigating my tiredness and lack of drive?", "output": "Hi, I would recommend having a testosterone test done. You may have symptoms of low testosterone and may need testosterone replacement therapy. Low stamina, decrease in libido, general feeling of fatigue. Make sure to get a testosterone test in the early morning before 10 am to catch the testosterone peak. I also suggest taking Flo max regularly instead of as needed because it would take at least 5 days off continues intake before you will reach a therapeutic level and before there will be an effect on the prostate and improve flow. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My boyfriend had end to end urtheral reconstructive surgery and it s been about five months and every time he ejaculates it hurt it s painful and the last time he threw up not to mention him the scrotum bruises I feel that the urthera is to tight now and he may need to repeat this procedure but using the grafting technique could I be right", "output": "HelloThanks for your query, based on the facts that you have posted it appears that your boyfriend who has undergone surgery of end to end anastomotic arthroplasty six months ago has painful ejaculation. This is most likely to due to recurrence of stricture urethra. Please consult qualified Urologist and retrograde Cystourthrogram done to rule out recurrence of stricture. He will be the best person to decide regarding any need for surgery like Buccal Mucosal Graft surgery. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "what are symptoms for blocked fallopian tubes-cause I SUSPECT BLOCKED TUBES TRIED MANY YEARS TO FALL PREGNAT NEVER BEEN TO A GYNAE BEFORE. PLS HELP REGARDS LEBO I am 31yrs old weight 62kg height 1.65 i am on chronic treatment smoking", "output": "Hi LeBeau Welcome to Chat Doctor There are no symptoms which suggest fallopian tube block. Common complain caused by bilateral tubal block is inability to conceive (infertility). Block tubes may have symptoms of disease which caused them e.g. pelvic inflammatory disease, tuberculosis. Symptoms like foul smelling discharge per vagina, backache, pain lower abdomen etc. may be present. Consult a gynecologist for further investigations. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am 29 year old, been married for 4 yrs, but did not get pregnant so far. I consulted with Infertility specialist since 6 months now, They have done 2 times IUI, after that laproscopy they found some infection which is removed. after that they did one iui and now they are telling for another iui. Every time I take 5 to 8 injections of GMH 150 IU hormone injections, but nothing has happend as yet. Please guide me. what should i do next. T", "output": "Hi, I think you can go for at least 6 cycles of GUI. The chance to get pregnant in one cycle of GUI is 10 to 15 percent only. So, you can try that for 3 to 6 months. If it doesn't work, then the option is IVF. But one thing what you can do is to take a break from medicines for 1 to 2 cycles. Track your follicles' growth by repeated ultrasound without taking any injection. If your follicles reach a size more than 17 to 18 mm, take injection for rupturing the follicles. If your husbands' semen analysis is fine, you can try naturally also, otherwise go for GUI. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. Hope I have answered your question. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my husband is 24yr of age and he awoke on moning with a lumpon his jaw bone line right under the left ear lob its the size of a nikle its painful at the touch tender and hard hurt when minimum jaw activity can some one tell me if myluv one is going to be ok or should I take him to see a doc", "output": "Hi, dairy have gone through your question. I can understand your concern. He may have enlarged lymph node due to reactive hyperplasia or tuberculosis, or he may have sebaceous cyst or parotid swelling. He should go for fine needle aspiration cytology or biopsy. It will give you exact diagnosis. Then you should take treatment according to your diagnosis. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My brotherinlaw is having severe pain in the calves of both legs. He has been having this problem for years and he recently had knee replacement on both sides. That seems to be OK. Muscle pain in the calf is the problem. He said it feels like cramping. When hestretches the muscle of the calf it seems to help.", "output": "Hi, You did not mention the age of your brother-in-law and for what reason, he underwent knee replacement. Assuming that he was suffering from osteoarthritis these could be the causes of his calf pain.1. The most common one in osteoarthritis patients is virus deformity i.e. legs starts bending inwards, if that was the reason, he will be relieved with calf muscle pain now as he underwent the replacement surgery in which deformity is also corrected.2. Calcium and vitamins deficiencies are also one of the cause, so start taking supplements.3. Sodium potassium imbalance is also a cause for calf muscle pain, so take oral rely Chat Doctor. 4. Wrongly designed footwear is also a cause of calf muscle pain.5. Chronic venous malformations in calf muscles like varicose veins, or venous incompetence can be a cause so to rule out getting a color Doppler done. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Age: EighteenHeight: 56Hello, as of lately, my urine has been giving off a bad oder, but I drink a lot of water. I dont know if maybe I have a kidney infection or something of the sort, or if its because of the whole milk (Lactose) I have with my breakfast every morning.I am Lactose intolerant, but not to the extreme. My stomach seems to handle at least one cup, but more than that puts me in pain. (cramps and such)Also, I havent had my period in over three months, and Ive taken a pregnancy test and came up negative. I did notice my hormone change as soon as my ache died down A LOT. Could that be the cause of my hormones? or could it be linked to my urine problem.", "output": "Hi, dairy have gone through your question. I can understand your concern. It may be due to kidney infection or hormonal imbalances. You should go for urine routine and microscopic examination. It will give you exact diagnosis whether you have kidney infection or not. Then take treatment accordingly. You may need oral contraceptive pills to regulate your bleeding. So consult your gynecologist once and take treatment for that. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using Chat Doctor. Wish you very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Yes, please. I have a temporary crown that was put in two weeks ago Monday. I have been taking Aleve and Advil independtly, these last two weeks. This morning I took a 12 hr Aleve at 6:00 am and my mouth is not feeling to good right now. Can I take Tylenol or Advil to help eliminate some of this pain?", "output": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint if you have a temporary crown over your tooth since 2 weeks, and you still have pain it is not a normal finding and needs consultation with a dentist to rule out the cause of pain. As of now you can take Advil [Ibuprofen] for relieving pain rather that Tylenol as Advil is more effective in reducing pain and inflammation. I would like to give you additional information that if after 2 weeks also you have pain in the tooth with a temporary crown, you need to consult a dentist and get evaluated and also get an IOP AR [x-ray] done to rule out the exact cause of pain. At times high points over the crown can be a cause of pain and trimming of the same can relieve the pain. Other causes can be:If the tooth is root canal treated before crown placement there re-infection in the tooth can be a cause of pain and in that case removal of crown followed by repetition of root canal treatment followed by antibiotics and painkillers and replacement of crown will relieve. If root canal treatment was not done there is a possibility that while preparing the tooth to retain the crown there have been some nerve exposure and inflammation of nerve is causing pain. In this case root canal treatment has to be done after removing crown and then crown has to be replaced. Hope this information helps. Thanks and regards. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was on strong antibiotics for a sinus infection, tylenol, advil and experienced severe diarrhea. I am also on Crestor for high cholesterol. I recently had blood work done during a routine exam and my doctor said my liver enzymes are very high and I still have diarrhea (the sinus infection was 3 weeks ago). I am going to repeat my blood work tomorrow, but is it normal to still have the diarrhea? My ENT said its probably from the antibiotics and statin. What do you think?", "output": "Hi, You do get diarrhea when in strong antibiotics. However, it should stop within a week of you stopping the course of the medicine. Elevated liver enzymes are a common side effect seen with use of statins. Your doctor is right on this. I agree to him/her. You still have diarrhea. While you go in for a blood work tomorrow, also get a stool routine done to check for active intestinal infection. You probably have to reduce the dose of statins or switch to better Chat Doctor. Discuss with your doctor regarding these issues. Get well soon." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Thanks. I have been waking up at night with bad pain and pressure in the upper abdomen about 3 times a week for about 2 months. I also have some lower back pain and trouble getting enough air into my lungs. Acid reducers, such as alka selzer, work for a little while. But the pain comes back. The pain was so bad this morning I was about to have my husband bring me to the ER. Then we did the alka selzer and I had relief for about an hour. Then the pain gradually started to come back.", "output": "Hi welcome to Chat Doctor forum. Thanks for choosing Chat Doctor. F. You are waking up with bad pain and pressure in upper abdomen for 2 months. Lower back pain and air hunger. It appears that you have gastric hyperacidity, or sleep apnea, due to some silent heart problem, and backache could be due to spondylosis or gastric pain itself. I advise you to consult a physician for diagnosis and treatment. You may have to go for gastrostomy, E.C.G. besides other routine tests for confirmation. Wishing for a quick recovery. Best regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Brain scan shows loss od Myelin. Now I have what feels like little fingers or bubbles that started at hairline. Now they are working their way down to my eyebrows and below. What are these weird feelings. What are they doing to me. Feels like something crawling under skin.", "output": "Hello dear, I understand your concerns but the weird sensations you are feeling, have nothing to do with the clinical presentation of loss of myelin or declination. Loss of myelin can be due to several causes including small ischemic changes, primary declination like multiple sclerosis and even in a significant percentage of normal individuals. However, its importance is only when patient have symptoms like limb weakness, loss of sensations, incoordination,vision loss to name a few. Since you don't have these symptoms, its probably insignificant in your case. Your weird sensations are probably due to anxiety. You should see a neurologist so that he can examine you to reassure and even then, if symptoms continue psychiatrist may help. I hope it's fair advice." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have high blood pressure, a hiatus hernia and barrets ostophgaus of which i am given medication of omeprazole 20mg, amias 16mg and bendroflumethiazide 2.5mg. recently they changed my tablets from pariet to omeprazole to save costs. I have been feeling very ill with symptoms of dizziness, disorientation, blurred vision and a severe dry mouth. Also I have blocked sinus s. I am always very tired and the docs have come back with nothing from my blood tests. What can this be???", "output": "Hello! Welcome on Chat Doctor! Regarding your concern, I would explain that your symptoms could be related to a sinus infection. It is less likely that your symptoms are related to switching to omeprazole, as it is a similar Chat Doctor. Coming to this point, I would recommend performing sinus X-ray study coupled with a sinus discharge study. If these tests result normal, I would recommend trying to switch again to pantoprazole for some days. If this helps improve your situation, it would indicate possible low tolerance to omeprazole. You should discuss with your doctor on the above issues. Hope you will find this answer helpful! Wishing good health, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HiI experience bad pain my my jaw on a frequent basis and it is something I have put up with for a long time now. It can get to the point when I am unable to open my mouth wide / chew food etc. It pretty much locks.I am also experiencing a tension in my neck. Almost as though someone is grabbing me by the neck and I have had this now for a few months. I was wondering whether the pain from my jaw could in anyway be connected to my neck problem?", "output": "Hello and welcome. Thanks for writing your query. Pain and difficulty in opening the mouth are the sings of Temporomandibular joint problems. TMJ problems may arise due to altered biting habits may lead to pain in front of ears. This makes mouth opening, biting and swallowing difficult. Teeth grinding habit often alters the biting habit and leads to causal disharmony. Exact diagnosis can be made only after clinical examination. So please visit a dentist and get the evaluation done. You may need an OPG radiograph done for you, which will help in ruling out the problem. Accordingly, treatment can be planned. I hope this helps, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am 27 yrs old. i feel sleepy and out of energy all the tome. My mood is most of the times, bad or depressed. I dont know what is causing all this. I have no motovation no energy to do anything. I am thinking of taking vitamins. may b that willboost my energy", "output": "Hi, I read your query and do understand that you are distressed due to your problems. You seem to be suffering from depression and your symptoms are the result of it. Depression can occur due to multiple factors, including neurotransmitter level changes in brain, as well as psychological and social factors. You should consult a psychiatrist for detailed evaluation. In your case, treatment with anti-depressants will help. These medications are safe as well as effective. Vitamins alone would not suffice in your condition. Hope this information was useful. Best wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello... I was prescribed polygynax for 7 days. When I picked up the medication, I only received 6 pills, 2 of which I took orally before realizing they are a suppository. So now I only have 4 left... is it ok to take only the 4? I cannot buy this where I live", "output": "Hi. It is not effective to treat vaginal infection if taken orally. Polygonal (Aureomycin, Statin and Polymyxin-B) suppository is actually made to treat localized mixed vaginal infection caused by susceptible fungus and bacteria. It is found to be effective only if used at the site of infection such as vagina. When taken orally by mistake it will not serve the purpose of eradicating the vaginal infection. So, it must be taken as a vaginal suppository. Generally it is found to be effective if taken for at least 3-4 days, so you may continue to take it, if there is no improvement you may consult your doctor. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello...I am just wondering if yellow fever ever relapses, especially due to stress, lack of adequate sleep, nutrition, etc. Also, is mental confusion and loss of memory, cognitive skills, (like cooking,etc) symptoms of this disease and/or its relapse? There is a \"friend\" who says that this is his case/symptoms, but I am unsure of the truth of this...(says he has had yellow fever before, and now has frequent relapses, w/ above symptoms, etc.)", "output": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. No it won't relapse. Yellow fever never causes relapse. Once the person is infected, it will be cured in some days. After that there are no signs visible to it. But other person can be infected with the help of misquotes bites from you. To take preventive measures yellow fever vaccine available in the market that can be help full for prevention. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My Niece, who is almost three had a seizure and stopped breathing last night. She was diagnosed with ChatDoctor at three months and has been on beta blockers ever since, three times a day. When she arrived to the hospital her white blood count was elevated, blood sugar level 19, and not urinating. The previous two days she had a severe case diarrhea . She is on her way to Stanford children hospital rite now. I just wanted to see if there was any ideas of why she had such low blood sugar , and if this could have something to do with her ChatDoctor.", "output": "HIT hank for asking to Chat Doctor I really appreciate your concern for your niece looking to the given history here I could say that in this case the complete medical history along with the investigative reports needs to come on any decision to advise in better way but if the child is under the care of the best pediatric unit then no need to worry bout this you can discuss with the doctor for prognosis, hope this information helps you, have a nice day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i have pus in my molar teeth since 1 month. resulted heavy pain and swelling on my cheek. then i consulted a doctor, he offered me some antibiotic medicine for 3 days. i have applied the same for 3 days then i will go fine. but after 10-15 days. the same thing is again happen in my teeth. could you pl. advise me i have to out the teeth or continue with the medicine.", "output": "Dear Roman, I feel you are not following the advice of your doctor completely. Taking antibiotic for three days is not sufficient. You have root infection with underlying bone involvement. You are lucky that you are responding to the antibiotics which your doctor is prescribing you. As you stop the treatment possibly without your doctors advice and there is recurrence of the infection, and you suffer from infection with pain and swelling again. To wipe out the underlying infection you need to take full course of antibiotics. Please follow strictly the advice of your dentist." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello dr, i m 22 years old . i have 1 year baby. i have under eye darkness and black heads on both side of nose. these problems occured after my delivery. what to do dr ? i losed my color also. what kind of foods I have to taken ?", "output": "Hi! Madheena, Welcome to Chat Doctor forum, Dark circles are multifactorial....stress is the most common reason(as in your case it is after delivery)...iron deficiency, vitamin def can also lead to it.even lack of sleep is an important reason. Sunlight can aggravate your problem.so start with a good sunscreen daily. As far as black heads are concerned you can use retinoid cream 0.025% locally at night (apply very little.only if you are not feeding the child) .use this cream every alternate nights...and use a sunscreen at daytime. This would gradually take away your black heads. Take care, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 20 year old male and have had this grape sized lump on the right back die of my kneck and it has ben painful the last 2 years.i havent had it checked due to not having medicaide meedicae or any mone. it hurts alot and i have started to realize and so has man other people a difference in my mood, attitude. i get very mean very quick, tired all the time. and i pulled a knife on one of my loved ones yesterday which i would never of thought of doing. im a hristian and have always had a wonderful life. please help", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have some enlarged lymph node due to reactive hyperplasia, tuberculosis or lymphoma. Or it can be some soft tissue tumor, cyst or skin adnexal tumor. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 39 yr female that has always been healthy. I havent felt good for about 2 months and I went to the doctor Thursday. My symptoms are body aches, tight chest, cough, tingling in the throat and chest, tired. He did a chest x-ray and said everything looked fine and sounded fine. He took 3 vials of blood and I am waiting for the results but definately unnerved about everything. Any suggestions?", "output": "Hi. Welcome to Chat Doctor. I have gone through your query and can understand your concerns. As per your complaint body aches, tight chest, cough, tingling in throat and chest can be due to a number of causes like chronic viral infection/upper respiratory tract infection, bronchitis, lung infection, acid reflux etc. I would suggest you to wait for the blood reports as it can help in further diagnosis. You can also go for repetition of chest x-ray and also get an upper G. I endoscopy done. You can also get evaluated for cardiac issues and get investigations done like ECG, TMT etc. Treatment will be planned once the diagnosis is confirmed. In case of infections antibiotics will help. Acid reflux will be treated with proton pump inhibitors like Pantoprazole, omeprazole and antacids. Hope this information helps. Thanks and regards. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Dr. After my pregnancy was confirmed, I ve been asked to take miprogen, Sinate and also ecosprin.. Need to know any side effects on miprogen to myself or my baby? Any reason for ecosprin to take regulary. (Pregnancy was confirmed with Strip and also scan. No other tests) Regds. Devi", "output": "Hi, Low does aspirin (esprit) is prescribed to prevent pre-eclampsia. Generally, aspirin is not advised during pregnancy unless you have a history of pre-eclampsia, recurrent miscarriage or certain clotting disorders. It is given between 12 weeks and 28 weeks of pregnancy preferably at bedtime. It is found to be well tolerated and safe for both mother and the growing baby. Nitrogen (hormone progesterone) is prescribed to support the pregnancy and to prevent miscarriage. Generally, it is well tolerated during pregnancy however, it is most common side effects include fatigue, sleepiness, headache, stomach cramps, or swelling in the abdomen which subside over a short period of time. It is found to be safe for your baby. Senate (dopamine + Pyridoxine) is prescribed to prevent nausea and vomiting during pregnancy and is found to be safe. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I fell on my back skate boarding about 8 days ago and now there are bruises appearing on the front lower part of my stomach. My lower right back is tender and swollen. I am able to twist at the hip and bend forward to stretch it. the bruise it slowly getting bigger. Could this be internal bleeding?", "output": "Hello, Your symptoms are suggestive of an internal bleeding, probably due to the trauma. As you are feeling better and there is no fatigue, low blood pressure or dizziness, these changes could be due to the old blood and the bleeding seems to be stopped. Anyway, I would recommend consulting with your attending physician for a physical exam and an abdominal ultrasound. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello My sister at the age of 57 was diagnosed with eshogial cancer 2 years ago.....cleared and good to go untill a spot on her lung which was dealt with, again cleared and good to go.Last week she had left side numbness and drool coming from her mouth uncontroolably.....ambulance came , she had a 33 sec convulsions and when they did a ct scan , found one stem with 2 cancer tumours.Dr Sutherland performed surgury on her last night for 5 hoours....when he got in , he saw a lot of puss and then he sucked it up and the tumour wall collapsed ....there was one bit that attached itself to the blood vessel which the doctor left because it would cause her to have a stroke......finally my question....why the puss and what are your thoughts?Sherry", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have esophageal cancer metastasis. It causes this kind of lesion. If it undergoes necrotic changes then it looks like pus filled lesion. You need surgery and chemotherapy. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i had conceived in january 2012 but the doctor asked me to go for abortion as there was no fetal pole seen till the eight week.i underwent abortion through pills in february.the bleeding was normal and i had cleared it completely as seen in the sonography which was done after one week.then in march i got my periods on 17th and they were also very normal.but now its april 27th and i havent still got my periods.my history has been of having very regular periods.i visited the doctor and he asked me to take sysron-n twice a day for five days and then wait for more five days for getting my periods but i still havent got them.i am worried because i have always had regular periods and also that i want to start planning a child as soon as possible.", "output": "Hello and welcome decrease your worries as stress and work load are one of the major causes if irregular periods. I think this time when you went to your doctor your pregnancy test must have been done and since there was no conception, your doctor has prescribed you medicines for with Chat Doctor. Since you have undergone an abortion just 3 months back, give yourself some time. I can understand that you are eager to conceive but right treatment will work only at the right time. Follow your doctor instruction, and tell her that you ARE PLANNING FOR A CHILD.she will definitely refer you to a good fertility clinic at the appropriate time. May god bless you. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 15 y.o son has abdominal pain and chest pain. He has been dx. with panic attacks. He finally had blood work and had an elevated bilirubin. the doctor wants to run the terst again but still thinks he is just having panic attacks . Could it be his gallbladdar?", "output": "HI. The panic attacks have its own place in such cases. But is said to be panic attack only if all the investigations related to this problem are normal. IT is a must : I would advise the following - Blood work is already done and is showing elevated liver functions, also go for lipase and amylase; ultrasonography and X-ray chest. Ultrasonography will help to diagnose anything related to liver and gall bladder and all other organs. This can be a gall bladder problem." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have hep c and cirrhosis, and I am going through the process to be placed on the transplant list. Since last Friday,I have been experiencing a very large abdomen, excruciating pain, nausea and my urine looks very dark. I met with one of the surgeons Friday and told him what was going on,and was told that if my symptoms got worse or not better by Monday to call. I live 2 hours away and wanted to research before I call the hospital. What is your opinion?", "output": "HIT hank for asking to ChatDoctorI really appreciate your concern, of course the symptoms you described here are because of the liver pathology and your doctors' opinion is very right, I agree with this opinion, clinical sing and symptoms are very crucial as long as the liver pathology are concern and this has to taken seriously, take care and follow the instruction given by your doctor, good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have been having a small painless lump behind ear for 9 months now. At times its gets bigger and at times it gets smaller. I suffer from sinus almost everyday which affect my throat and ear and I was wondering if could that be the cause or is it cancer?,i lost my mom of breast cancer. Im a female and 25years old", "output": "Hi. Thanks for your query and an elucidated history. This can not be a cancer as it would have grown phenomenally within 9 months. And this is never the site of any cancer. So please do not worry. This is most probably a small innocuous lymph node, you can confirm this by FNAC- fine needle aspiration cytology. This usually needs no treatment unless shows - redness, increase in size or pain. You do not have so anything to worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My name is saibhargav age.19 weight75 ..i masterbeat daily twice my friends said me if you do regularly after getting 25age your dick not properly work for sex purpose you have to use tablets for participation of sex is it right??..please give me a better suggetion i am worried about that and daily twice is harmful to health???", "output": "Hello, I have gone through your query and understand your concern. All these are myth. Some cultures and religions oppose masturbation or even label it as sinful. This can lead to guilt or shame about the behavior. In fact Masturbation is as healthy and normal habit. Masturbation has good effects on your body and mind. Masturbation to be a natural and harmless expression of sexuality for both men and women. It does not cause any physical injury or harm to the body, and can be performed in moderation throughout a persons' lifetime as a part of normal sexual behavior. The risk of having prostate cancer is also greatly reduced. Apart from the medical benefits, masturbation has emotional and psychological benefits. It is a good mood elevator and an excellent stress buster. It also helps improve sexual relationship with yourself as well as your partner. Hope this helps. Please write back for further queries. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi , i m kaushik 23 yrs old. I had chicken pox 3 weeks ago . I got some spots in my face.I consulted a doctor .He gave me triglow cream ,drantox cap and one sunscreen lotion. Those spots are now becoming reddish . i am fearing that the products might have any side effects or they work like this only.......Plz help me out...", "output": "Hello Nashik, Welcome to Chat Doctor. It seems you have got local irritation to the cream (TRIAL) you have used. It called Contact irritant dermatitis. Nothing to worry as your skin will be fine soon. I would advise you a well course of oral prednisolone in low dose (5-10\u00a0mg). Apply a mild corticosteroid like demonize and antibiotic like music acid twice a day. After good quality moisturizer like detail DAM twice a day over full face. Avoid use of any cosmetics/face wash for few days. Avoid direct sun exposure and use water-based sunscreen before stepping out in sun. Hope this was useful. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I went to an amusement park with my daughter. I weigh 95 lbs and she weighs 180 lbs. The ride tossed her too my side and I got squished by her and I felt a rib pop. Since then, it has been popping under my left breast and it hurts to breath sometimes and it hurts when I laugh and REALLY hurts when I sneeze. Everything else is fine though I dont have pain when I reach for stuff, but it hurts a lot at times. Is it broken do ya think? And if it is, what should I do?", "output": "Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. You are having blunt chest trauma. And following are the possible complications of blunt chest trauma that can cause similar symptoms like you have. 1. Rib fracture2. Pulmonary contusions3. Pneumothorax4. Muscular injury get done chest x-ray first. If chest x-ray is normal then no need to worry, you are having mostly muscular injury. So follow these instructions for better symptomatic relief. 1. Avoid heavyweight lifting. 2. Avoid strenuous exercise. 3. Avoid bad posture and movements in sleep. 4. Start painkiller and muscle relaxant. 5. Apply warm water pad on affected site. Don't worry, you will be alright." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my son is 16 weeks old he was born with an off white/yellow lump on the tip of his tongue. His doctor health vistor or midwide can not tell me what it is. His doctor said it looks like a cyst and when i asked if it would go he said possibly? What is it and Should i be concerned?", "output": "Hi...by what to quote this seems like a mucus cyst to me. It is generally self limiting, and they grow out of it. But if it is causing discomfort to him in any way... I suggest you see your pediatrician. Otherwise, it will settle by itself. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,My name is Alexanda and I am 23 years old. I have been struggling with bulimia for about 5 years now. Im doing everything possible to stop and so far Ive been doing better, however, the habit comes back every now and then. My question is, is that recently Ive been feeling extremely tired and it seems that I am getting extremely self-conscious, more and more everyday. Its to the point that I dont want to get in front of people, not even friends and family. I cant concentrate and lose track of what Im talking about in the middle of talking. I want to know what is wrong with me. Ive always been outgoing but now I want to stay to myself. I feel like Im going crazy.", "output": "Hello, Welcome to Chat Doctor You are struggling with Bulimia Nervosa since last 5 years and complaints of tiredness and weakness. You become aware or conscious while talking and this has caused stress, and you have stopped to go out. Even during conversations you are not able to complete and feel intense anxiety. These things are occurring due to social anxiety. Bulimia is one of reasons behind the anxiety. Consult a psychiatrist as the condition is causing significant impairment to your normal functioning. Medicines as Fluoxetine can be used in such situation as it will help in bulimia also. For severe anxiety provoking situations medicines like Propranolol can be prescribed. Consul a doctor for prescription. Systematic desensitization is a method of behavior therapy that is also useful in such situation. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My child is 4 years old .He frequently gets cold , sneezing with some less or more mucus.what is reason for it?He is taking bresol syrup now,iron,calcium and magnovit syrup.The problem gets severe in winter.Please tell the solution.Age:4 year,Height :38\" ,Weight:13.8 kg,Medical History;good, takes antibiotics treatment when the problem is severe, sometimes becomes healthy with some normal treatment and light medicine.He is healthy , active and has sharp brain.", "output": "Welcome to the ChatDoctorI understand your concerns but don't worry. Your son seems to be suffering from allergic tendency. I would recommend you to start him on montelukast once daily for 2-3 months. This will improve his allergic tendency. Hold the calcium, iron and magnolia syrups if your child is not having deficiency. A healthy diet and lifestyle is the best long-term health secret. Hopefully it will be of help. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "What does it mean if the top of my left foot is swollen and red? I do not remember hurting it or twisting my ankle, nor did I fall down. I gradually started feeling discomfort while doing daily tasks like laundry, etc., then increasing into pain before I finally sat down and used an ice pack. I have had 2 aortic valve replacements so far, 1993 and 2006. Might this pain be a warning? Please respond. Thank you for your time and patience. Namaste. katie 55yr old 5 2 , 158 lbs, bp 116/66 p 60.", "output": "Redness and swelling on feet without trauma may be mainly due to hematological or infectious disorders. You can try with an ice bag: if pain worsens, consider suffering from gout. If pain goes better, there is an inflammation, that may be caused by lots of conditions. If you have fever, you likely have a cellulitis (infection). I suggest to you to take a X-ray and do blood tests (uric acid, CRP, ESR, blood count, white cells count) to understand as soon as possible the underlying cause. NSAIDs will help you with pain" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my son is suffering from dipolar disorder and he is being given medicines for last eight months to control his anxiety .but during the treatment he is suffering from migraine . The names of medicines prescribed recently are tablet DESVAL (1gm),tablet TOPAZ(50mg),capsule ROLMIZAC-D, tablet CLONIL(25mg). I need your help as my son is suffering from severe migraine.", "output": "Hello and welcome to Chat Doctor. Thanks for your query. I understand that you are worried about your sons problems. Reviewing the medication that he has been prescribed:Deal (Valproate sodium) and Topaz (Topiramate) are mood stabilizersClonil (Clonazepam) is an antianxiety / sedative medicationRolmizac-D (Omeprazole) is an anti-ulcer medicationBipolar disorder is treated with mood stabilizers, and so, the treatment he is receiving currently seems to the appropriate treatment. Regarding the headaches / migraine, I would suggest that he needs to be properly evaluated before prescribing any medication for the same. So, please consult your doctor for a detailed evaluation and further treatment. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello my son is 9mnth old. he was sufferng 4m cold. i visited d docter. he refered zeet and mox tablet thrice a day. after 5days my son now suffering from very high temperature. given crosin bt fever is suck to 102 deg ferenheit. now we hav wash his head under running tap water. wat else should be done.", "output": "Hi... Thank you for consulting in Chat Doctor. Cough and cold are viral 95% of the times in child Chat Doctor. For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15\u00a0mg/kg/dose (max ceiling dose 500\u00a0mg) every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. For cold, you can use Cetirizine at 0.25\u00a0mg/kg/dose every 12 hourly for 3 days. For nasal block, plain saline nasal " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband went into the hospital with internal bleeding and an infection that started to break down his liver and kidneys. His blood pressure dropped and they had to incubate him. He is breathing and the ventilator is providing 16%. He is on blood pressure meds to keep his heart rate up. It was very low when I saw him like 50/38. He has a high ammonia content. Kidneys are working so when they incubated him obviously they sedated him. They took him off sedation and he did not wake up and that was 12 hours ago. Before I got him to the hospital he had diarrhea and vomiting. And slept. He was confused due to the ammonia in his blood. Whys wont he wake up?", "output": "Hello, Suggestive of severe liver disease. Ammonia is a toxic substance produced by the breakdown of protein or by the bacterial in the intestines. The liver normally converts ammonia into urea, which is then eliminated in urine. Increased ammonia levels in the blood are due to inability of the liver to convert ammonia to urea. This may be caused by cirrhosis or severe hepatitis. Increased ammonia can build up in the bloodstream and which can affect the function of the nervous system causing confusion, impaired consciousness, and coma. Based on the history given your husband seems to be suffering from coma apparently caused by severe liver disease. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My problem of severe imbalance while walking have been diagonised as Vertigo and of dizziness (Light headed) are related to severe anxiety and panic disorder incl.phobias i.e.Agoraphobia (Panic disorder) and Acrophobia (heights) and avoiding situations and again those are related to subconsious mind. Also I am having severe abdominal disturbances with constant belching (Right side). What should be my course of action and what medications should I use without any side effects and addiction and for how long.", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. Agoraphobia, Acrophobia, severe anxiety and panic disorder, are common problems. You have nothing to worry about the cure. The cure is certain. The best method of treatment is initially with the help of psychiatrist (If the problem is too unmanageable. Otherwise, you can directly approach a clinical psychologist). Then you should consult a clinical psychologist. Clinical psychologist helps you with Cognitive Behavioral Therapy (CBT). The therapy may take months according to the severely of the case. But cure is certain. As starting steps, Please do the following:Step 1 - Practice Deep and full breathing whenever possibles 2 - Chat Doctor. Step 3 - A Tomato a day keeps anxiety at basted 4 - Exercise regularlyStart these and follow strictly. After 7 days If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Hi I am recently married before marriage i use to get harder ercetion but since my marriage the erection is not hard and i am unable to do the intercourse with my wife the ejaculation happens within minutes am i alright", "output": "Hello, It may be due to performance anxiety. For that you may require complete hologram, lipid profile and electrocardiogram after physician consultation. Along with that Avoid stress and strenuous activity. Take proper rest and balanced diet. Till then, you can take tablet sildenafil one hour before sexual act Hope I have answered your query... Let me know if I can assist you further. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My molar tooth is decayed due impacted wisdom teeth, which removed. But since my molar tooth is decayed, having severe pain while eating, brushing. I approached dentist and he removed a portion of decay and applied temporary filling. But it came off in a day and iam having severe pain. What should I do. When the dentist tries to remive the decay, I am having severe pain", "output": "Thanks for your query, i have gone through your question, the decayed tooth have to go for root canal treatment since you are getting pain it's because of the involvement of pulp and the tooth apex...take a course of antibiotics and consult your dentist for root canal treatment,,,, if the extraction of the wisdom tooth was recently done some time the pain might be there for some days....then wait and watch for some days....better to take an opinion from a dentist...take a radiograph to rule out the above said pathologies... I hope my answer will help you...with regards..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am having lower back pain and on my right side in the buttock area it has been going on sometime what treatment can I use I have been using the icehot cream and messager it works sometime its hard for me to stand a length of time and sit for a length of time", "output": "Hi, Thanks for using ChatDoctorIn my opinion all you need to do is give you back a little rest. For immediate relief have some painkiller along with a muscle relaxant and have proper bed rest for 2 weeks. Do not lie down on soft mattress use hard one instead, do not sit for longer durations and do not travel long distance for 2 weeks. You can also apply some good anti-inflammatory painkiller gel on your back. If the pain increases do some hot fermentation locally and make a routine of doing some back strengthening exercise daily. After 2 weeks start with some back strengthening exercise. It will help you build you back muscle, and you will be able to continue with your practice in few weeks but do not overlook at the symptoms right now. As it is still early days for you, and you can be fine and back in action with these small things. Good luck" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,my name is Toni,Im reading up on oral cancer&Im scared I have lumps on my tongue&a knot on the bottom of my mouth the size of a sweet pea.I dont know if its because I have bad teeth or what&be me not having insura nce its hard to find a dentist..Please help Im losing my mind...", "output": "Hello, thank you for consulting with Chat Doctor. There can be many reasons for this lump on the tongue, -First it can be possible that you had a trauma on the tongue earlier which has caused this lump.-Second it can be possible that there is some infection inside that lump. To get it confirmed you have to visit a good dentist, as he will go for some investigations and then confirm the diagnosis. Hope it will help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "every month i have a pain in my left ovaries during my periods my doctor prescribe zerodol it works after a few hours the pain is gone but it dose not work for 24 hour and the dosage is once per day.Can i take another one for the pain and can this pain cause from the I.U.D that i have in?", "output": "Hi! Thanks for asking Chat Doctor. Pain during menstruation is very mucChatDoctormon in women of child bearing age. If pain and cramps are unbearable then you can opt out for medication like analgesic on temporary basis. Please provide me with the details of IUD IN PLACE.SUGGESTIONS: 1. Try to increase your fluid level during your period. 2. IF IUD is placed more than recommended period of time then please get it removed under medical supervision. 3. Sometimes IUD causes infection to take place. Check with your gynecologist for any signs of infection. 4. Start Genocide syrup 2 TSP for 3 months for pain. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Yes I am in the process of selecting a therapist but I am not sure which route to go. I am not sure what are the similarities and differences between Insight-Oriented and Action-Oriented approached to psychological treatments. My mom said that there is a major difference and I was leaning towards a therapist that is insight oriented.. help!!!", "output": "Hi dear. I understand your concern, and it would be appreciated that you have gone through psychotherapy. Most of the time both the psychotherapy have same goal to reduce underlying emotional stress and modifying your behavior. In insight oriented psychotherapy main principle is to target emotional issues to give reality contact and give psychological meaning to your behavior. It helps people through understanding and expressing feelings and emotional problems, forbidden wishes, motivations, beliefs, fears and desires etc. While action oriented include behavior therapy mainly CBT.CBT is cognitive behavior therapy, and it is active therapy in which main principle is to identify underlying cognitive error and distortion and try to modify it along with change in behaviors. Still have a query then feel free to ask. Happy to help you. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doctor past 3 days my kid who is 6 years as high fever, cold, chill in the night, body pain. 2 days back i showted to the doctor she gave me calpol 4times in a day and meftal p 3 times in a day, even then fever is come down from yesterday i started giving her antibiotic medicine yesterday night one dose and today morning one dose, fever as come down by little but body pain and chille remain same. i am worried", "output": "Hi, Fever of a few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15\u00a0mg/kg/dose (maximum ceiling dose of 500\u00a0mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Metal contains Metonymic acid which is an NSAID. It carries the risk of gastritis and renal problems in the long run. Please do not use Metal. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Five weeks ago I had my gallbladder removed. The doctor attempted to do it by laparoscopy but was unable and had to do surgery, I ve had what seems to be the usual discomforts, but recently I have developed a mild pain located between my belly button and the space between my breast. It bothers most when I am sitting down. Any idea what is causing this, or this an after effect of the healing process. Any guidance would be greatly appreciated.", "output": "Hi, Welcome to Chat Doctor forum. Along with the gallbladder problem, there will be some problem of stomach irritation, so it may continue even after the surgery also. I advise you to consult a surgeon, for clarification, and treatment of discomfort. There may be some complications also which you can exclude. I usually prescribe to my patient with such symptoms' omeprazole, risperidone, and antacid gel. Avoid taking spices, junk foods, and oily foods. Wishing for a quick and complete recovery. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My dad is suffer from kidney infection, his doc is suggesting him for dailysis, whereas anothr my doc is saying its going to be a routine process, some1 said to my father that dailysis may help and just by 1 or 2 settings, this may go alright.....plz suggest", "output": "HelloThanks for query. Based on the facts that you have posted your father has kidney infection, and you are in dilemma whether to for Dialysis or not. Decision regarding need for dialysis entirely depends upon the level of Serum Creatinine in blood. You need to consult qualified Nephrologist for clinical examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture.2) Ultrasound scanning of abdomen and pelvis3) Renal Function tests 4) serum Electrolytes 4) Excretion of albumin and creatinine in 24 sample of urine This will help to establish the stage of his kidney disease and whether he needs dialysis or can be managed with medications. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my name is Carlos. Almost two months ago I was diagnosed with Bronchitis, I was prescribed an albuterol sulfate and some anitibiotics. Well three weeks later my chest congestion didn t clear up so I was prescribed Cefzil anitibiotics and was given a maintenance inhaler (Symbicort). Now I no longer cough up phlegm but I when I breathe in through my mouth it feels like something is obstructing my air flow but when I breathe throught my nose i don t feel the obstruction. I can t tell if its in my lungs are lower throat. I feel like my air paths are clear as I am still using the inhalers but I no longer get any benefit from them because I still feel the air obstruction. Also when I bend over and breathe through my mouth it feels like i m breathing normal. Should i see and ENT or pulmonologist?", "output": "Hi thanks for contacting Chat Doctor... Here your problem could be from persistent bronchoconstriction or enlarge tonsil... Laryngeal swelling also can lead it... So examination is necessary including auscultation, respiratory examination and simple indirect laryngoscopy.... Consult ENT specialist for it.... If needed spirometry needs to be done to assess severity of bronchoconstriction and according treatment.... Steam inhalation useful.... For relief from inflammatory swelling short course of steroid given.... If needed maintained inhaler started that contain both beta 2 agonists like albuterol and budesonide like steroid.... Take care ... Consult doc for examination." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I hv left side pain my ecg and TNT is normal but there is itching type pain Imy cholesterol level is215 Ian taking roseday 20o hello helyI hv pain left side near to heart my ecg and tmt is normaly my cholesterol level is 215I am taking roseday 20. but there is itching type pain tell have heart problem or need more test hello", "output": "Hello! Thank you for your question on Chat Doctor! Regarding your concern, I would explain that your symptoms don't seem to be cardiac related. A muscular pain related to rose day adverse effects may be related to your symptomatology. I recommend consulting with your GP for a careful physical examination and some blood lab tests: -complete blood count-PCR, sedimentation rate-kidney and liver function tests-CPK plasma levels-blood electrolytes. If the liver enzymes and CPK are elevated, you will need to stop rose day. From the other hand your total cholesterol levels are not too high. I recommend discussing with your doctor on the above issues. Hope to have been helpful! Best regards!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter is awaiting surgery for herniated discs at L4,L5 aqnd S1 levels. She has been getting neural symptoms especially itching of her legs. She has also been getting spontaneous bruising on her legs. Today she has developed a golf ball sized raised bruise on her inner thigh. What is causiong these bruises and should she be worried?", "output": "Hi, dairy have gone through your question. I can understand your concern. She may be suffering from some coagulation disorder. She should go for complete coagulation profile to search the cause. Then should take treatment accordingly. Consult your doctor and go for it. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had lyme disease in June. Ever since then I ve had pain and burning under my right rib cage and pain around my back. My doctor thought it was gallbladder problems. I had a ct scan and it was negative. I have an appointment with a gastro doctor on the 16th. The pain is getting worse and is constant. Any ideas on what it could be? Nothing makes it worse or better", "output": "Hellos per your description of the clinical symptoms it seems that the followings can be probable reason for your discomfort- 1. As already described by your physician the most probable cause could be a pathology of the Gall bladder (cholecystitis or cholelithiasis).2 The second most probable cause could be a pathology of the liver or the hepato-biliary system. It should accompany certain other symptoms like nausea, vomiting, dyspepsia, flatulence etc.3. Any kind of muscle spasm or sprain.4. A Costco Chat Doctor. A USG of the whole abdomen and blood tests (liver function test) may give you a diagnosis. Please visit your Gastroenterologist for further evaluation and man agent. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was investigating Black Seed Oil for my Son who has been diagnosed with Prostate Cancer but I see that it is suggested Black seed oil could possibly help tinnitus. I had chemo three yrs ago due to a Non-Hodgkins Lymphoma I was treated for and since that time, have experienced ringing in both ears. Thank you. Melanie", "output": "Hi, I had gone through your question and understand your concerns. There is no scientific evidence that seed oil or any other similar herbal product or supplement may have positive effect on prostate cancer and prognosis. So it would be best if you follow official medical advice by your doctor and surgery + chemotherapy is the only possible curative treatment for this type of cancer. Alternative medicine however may be helpful for treatment of pain and chemotherapy side effects and this is something that I do accept as an option. Your tinnitus may be related to your previous chemotherapy, and you should see ENT doctor for further evaluation. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My niece has been diagnosed bipolar just a month ago. She has attempted suicide twice and been hospitalized 4 times in the past 2 to 3 months. She is also cutting and anorexic . She was on a medicine that has seemed to help and recently wanted to Change it due to gaining 5 pounds. She was given the new medicine and 80 pills to help her sleep better. She quickly declined and called her mother to come to her aid. Her mother was on her way to her apartment (30 minute drive)and she decided to take the rest of her sleeping aid (75) pills because she was so upset with herself about going downhill again. Quickly she realized this was so stupid and she had her roommate rush her to the hospital. She is fine and being released today from the hospital. I feel her parents are going to give her an altmatuim and make her move home.mi have asked what professionals have advised and they say they are making the discussion themselves. I am worried that this will put her in a huge tail spin and send her off the deap end. I have asked them to consider a family intervention with a professional to determine what should be done next. Do you feel a person who is newly diagnosed and not yet stable on medication should be backed in a corner? I feel there is so much going on between the parents and her that they need others to help convince her what should happen next. She is 20 and can refuse all help. I feel there is just a small window of time to convince her, before she shuts everyone out. What do you think?", "output": "HIT hanks for using Chat Doctor I think, she has underline depression or borderline personality disorder which may have been misdiagnosed as bipolar disorder, and she needs psychiatrist consultation. She needs proper treatment with antidepressant and with that, her suicidal ideation would decrease. You can also take her of psychologist for cognitive behavioral therapy in her case, that would give additional benefit. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I am from Canada and suffer chronic pain and fibromyalgia for 25 years. I am on methadone as one treatment and it has been recently altered here. Methadose solution for pain 10mg/ml Methadone HCI 10 mg/ml. Dose, drink 1.5ml four times daily. I can not take this as I said it has been changed. Now the government has made it sugar based cherry flavored, gag reflux crap. I have tried to wean my self off but have experienced anger, smashing plates, cried out for doctor assisted suicide as the pain and withdrawal of this drug is making me crazy. I am on subcutaneous lidocaine infusions weekly, nerve blocks in neck and shoulders, cortisone injections in both hips for bursitis and nerve blocks in lower back, L4,L5. I suffer with herniated, degenerative discs, c5,c6 too. I have osteoporosis, parathesia, IBS, awaiting surgery for bladder prolapse, endometriosis which required hysterectomy and oophorectomy and numerous laporoscopies leaving me with adhesions which are a constant cause of further pain. I am a chronic pain disease sufferer and to the world I look great...haha! I initially started to write to you only for advise on taking myself off methadone but here I went on and on. The list is long and I see many doctors and pain specialists however my quality of life is nil and I am only 55 years young. I can not seem to find answers, help or hope other than being prescribed opiates, methadone which has been changed to suit the government not the patients needs and numerous medications that make me worse. I am on a roller coaster of hell and pain and now I am withdrawing off this horrible new recipe of methadone as I throw up trying to take it. Why change something that was easy to take to this horrible sugar based cherry cough medicine taste that burns to the pit of my stomach whereby I need gravol settle? I am frustrated, in pain and have talked to nurse on line tonight...she told me to go to the hospital...LOL! Right! I can not live in this pain...my doctor retired, great guy...now I have a woman who has nine kids and never can catch up or give a you know what about her patients. I give up! This is only the tip of the ice berg...you have now idea many health issues I have! I have to leave my city to go for help to Vancouver, thank God for HOPE AIR! They took me to the last appointment with my Neurosurgeon and he has ordered another MRI, will be seeing me after or before if I can not take the pain! I am a mess...What happened to good doctors??? How did we get FIBROMYALGIA??? I have a clue...DDT spraying all over the playground I grew up in...playground was a gas line and electric power field...what do you think of that? Five out of six women who played there as children were not able to conceive!!! Gee, I wonder! I am on a quest to find answers and thought perhaps I would start here...I doubt I will get an answer though...Great! Off to cyber space this goes...I am from Canada and You are in the States! Nice! I was on a Canadian site...how all of a sudden does it go here and now I need to pay! Well, thanks for nothing....I will proceed elsewhere because I will find an answer and from you...obviously not!", "output": "Hello, While you do not necessarily need to pay here as there is a public forum section (only premium section requires payment) as you seem to have realized yourself it is difficult to provide help in your case. That is not only because the site is registered in the US (there are doctors from all over the world here, maybe Canada as well, you may go through the doctors list), but mainly because we can't prescribe medication online, goes against the sites' policy. It is a sensible rule in particular with medications acting on the nervous system which are a delicate issue. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been on femiplan pills for the last two months now. I had a misunderstanding with my husband then i discontinued taking them for four days and then we reconciled. After i stopped, i started spotting bur after we reconciled, i started taking a new pack and used a condom that day. My husband works far from me then he come back after twelve days then we made love without a condom. Can i get pregnant?", "output": "Hi Dear, the spotting which you had after stopping the pill was the with Chat Doctor. Also, as you have used the pills for 2 months, the suppressive effect of pill on ovaries will be there. So, stopping a pill for few days and then starting a new pack with unprotected intercourse on Day 12 ideally should not result in pregnancy. Anyway, if you miss your period, get a pregnancy test done immediately" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir m 23 male..i am having a small wart on my penis top i consuled a local doctor and he advised for VDRL and HIV tests VDRL is negative and HIV is non reactive so am a bit relaxed then he applied podowart lotion on that wart for the same day that wart was going down as i noticed but the second morning it reappeared as it was... so what should i do please help me", "output": "Hi, You should consult a Dermatologist as warts can be burnt or ablated by them. If it's not a wart then the Doctor can suggest what to do with it. With your description and without seeing the problem it is difficult for me to comment upon how to treat it. These growths are usually on the penile skin and not on the tip as you mention. Therefore, that makes it more difficult. If you do not want to visit a Doctor then you can ask us a Specialist or a Direct question to me on the site, but please do upload a photo of the wart, so we can advise you accordingly. Take care, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 2 year old granddaughter was taken to pediatrician due to red patches on inside of one hand and on foot, Dr. mention that her bloodwork showed it was fighting a virus but didnt know cause of red patches, what does it mean when bloodwork showing its fighting a virus.", "output": "Hi, dairy have gone through your question. I can understand your concern. She may have viral infection. In viral infection blood work shows high lymphocytes count and low platelet count. Lymphocytes become reactive. So according to these findings we can say that its viral infection. Red patches may be due to low platelet count or some other cause. You should go for platelet count and coagulation profile also. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Doctor my sister is TBI patient. So from the day of the accident i.e since 1!/2 years she was advised to take Eptoin But now due to severe Neuropsychiatric problems she has been advised to take oxetol and the psychiatrist told us that as this itself is an anticonvulsant he asked us to slowly taper eptoin. Is it o.k doctor can we proceed", "output": "Hi.well, your psychiatrist seems to be wise as prolonged continuation of phenytoin brings forth many side effects, and she requires another anti-epileptic in the long run for which oxcarbazepine is a natural choice as it also has mood-stabilizing property which will take care of her psychiatric problems.so cross-tapering is recommended.so go by his advice.also a neurological consultation should be sought for the possible sequela of TBI.have a healthy life." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I got results from bloodwork back and it says ast (sgot) liver c40. Result 104 Alt (sgpt) liver c40 result 146. What does this mean got results from bloodwork back and it says ast (sgot) liver c40. Result 104 Alt (sgpt) liver c40 result 146. What does this mean", "output": "Hello, I read your question carefully and can understand your concern very well. I would like to enlighten you that AST and ALT are enzymes which levels are mostly raised during liver disorders like hepatitis, fatty liver, cirrhosis, carcinoma, etc. I would like to know your age and weight, whether you have any kind of abdominal pain or other symptoms, whether you are taking any kind of medications for long term illness, whether you are taking alcohol or not, etc. Because your AST and ALT both are on the higher side (normal usually less than 45), you need to be further evaluated to rule out any kind of liver injury. I would advise you to go for ultrasound of abdomen to find out any kind of liver involvement and then come back to me after having results or consult your physician for further line of management. Hope this answers your question and let me know directly if you have any further follow-up queries, I will be glad to guide you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 42 year old female, overweight often have back pain. I fell forward over two stacked milk crates, did not hear a pop or have immediate pain, however, 20 minutes later i was unable to walk without pain in the lower left part of my back. It seems like the pain comes when i twist my back in any way. There is no specific spot that hurts if I touch it and it does not feel warm. I am used to back pain from stress and strain, but this feels different. Should I ice it as if it is a pulled muscle, or heat it?", "output": "Hello dear, The symptoms as mentioned in your post can be attributed to muscle spasm secondary to the fall. Symptomatic relief can be obtained by taking analgesics like Diclofenac with serratiopeptidase (to be taken after food), application of analgesic+muscle relaxant ointment, ice compression & adequate rest. Physiotherapy therapy exercise will also be helpful. If symptoms still persist, kindly get an X-ray of lower back done to rule out any pathological cause for your symptoms. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was prescribed Bactrim/Septran sulfamethoxazole by my Doctor for a ear infection . He asked if I was alergic to sulfer and I didn t know. He prescribed the Bactrim/Septran sulfamethoxazole and said if I had a reaction he would simply switch antibiotics . . well, I had a reaction. After the first pill i noticed some swelling and heaviness in my penis. Soon after the second dose my penis began itch and felt hot, almost on fire. Within a day, my penis swelled horribly with red and purple welts along the shaft and the head. The welts soon erupted into lesions on the shaft and dark purple blotches appeard on the head, which eventually started to bleed . The skin is so sensitive I cannot wear anything without pain. I cannot get an erection without serious pain and sex is out of the question. It s mean simply i have sulfa drug allergy .... can you please have some suggestions for me.?", "output": "Hi and thanks for the query, Certainly the symptoms you presented with are a clear indication that you are allergic to sulfonamides. It should be part of your reflexes to always inform your physician that you are allergic to sulfonamides. Many Chat Doctor. You might need to take some steroids, local antiseptics and analgesics for now. I suggest you write on the back of your hospital book, always in red that you are allergic to sulfonamides. For now, just consult your family physician for better followup. Thanks and best regards, Luchuo, MD." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "This is a good forum for us sick pple, Ive bben a materbater for over 10 yyrs now. im 28yrs. i have been having back and abdominal pains full of heat for over 4 yers now, dome diffrent health tests and all come out negative. Who is th e best specialist related to this and how can i introduce my problem. could it be a problem of this and how can i get trestment.", "output": "HIT hanks for posting your query to Chat Doctor . There are many possibilities for your back pain and abdomen pain. But for diagnosis I need more information like which part of the abdomen and back hurts ? Whether the pain is continuous or intermittent ? What is the character of pain -- is it aching or pricking or burning ? Any Pain or burning sensation while passing urine ? Kindly revert with the details asked. Also, I advise you to get Ultrasound Abdomen Pelvis scan done and revert. As of right specialist first its better you consult a Physician. Any clarifications or Queries feel free to ask. Happy to help you. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "We live in a hot humid environment and my son has developed a summer cough. Can the hot air with exercise be the cause from his bronchioles not dialating? My Nanny just him to the pediatrician for me and this is what she told me he said was the cause.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Yes, hot and humid climate can cause coughing. Extremes of temperature can cause inflammatory reaction in airways. It is known as bronchitis. This inflammation causes edema and mucus production. These cause bronchospasm and bronchospasm cause coughing. So better to consult pulmonologist and get done clinical examination, PUT (Pulmonary Function Test). He needs inhaled bronchodilators and inhaled corticosteroid (ICS). So temperature related bronchitis is more likely in his case. Hope I have solved your query. Wishing him good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear doctors I had my c section on March 5th along with uterus removal operation because of fibroid. Fibroid was around 6.5 kg and my baby was 2.5 kg. So I have a very loose tummy and looks like 3 months pregnant. I haven t used any belt till date, Can I use now? Will it still work? Please help me as I hear comments from visitors on my tummy and I feel very bad.", "output": "Hi, as mentioned by you, post c section surgery usually it is advice to undergo physical therapy to regain the tone of the muscles back. As due to pregnancy there will be a stretching of the abdominal muscles and the skin as well. Performing precise exercise will not only help regain the tone in the muscles but also needed to take care of the spine. As most female suffer from backache in later stages of the life. Performing core stability, pelvic floor Strengthening, lower limbs Strengthening and spine Strengthening are of due importance. But exercise can only be implemented after the thorough assessment of the muscular system involved. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I broke my leg 3 weeks ago (broke both bones below my knee), when I fell, my foot twisted 360 degrees which is what I believe is causing severe nerve pain now. I was given Lyrica but am reluctant to start taking that medication. Yesterday, I was also prescribed a cream mix (gaba 5% / keto 4%) which I applied twice last night and 3 times today so far, however, I still have alot of pain, would you have any advice on anything else I could take to ease the pain? thanks. Denise", "output": "Dear patient how was the fracture diagnosed? Was the X-ray done? What other treatment is given apart from medications? Normally whenever there is fracture of both bones of leg which is to be managed conservatively Above knee cast is given. If cast is given pain should not be there. Pain at the fracture site occurs due to movements of the bone which is prevented by cast immobilization. If you are getting pain even after cast you need to consult your orthopedic surgeon at the earliest possible time. Meanwhile, you can take ibuprofen 400 mg thrice a day with tab attract twice a day for pain relief. Keep limb elevated over two pillows and avoid weight-bearing on the fractured leg." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Wife just told has Mrsa, in hospital for unrelated reasons. Artical say in one place that gowns and goves don t really help and in another place says they are used. ??? Is a mask required when she is visited? She may come home tomorrow, I should not allow visiters?", "output": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Mupirocin ointment can be used to clear up the residual MRSA from the wound. You can apply it on the patients' maxilla, groin and umbilicus. After a weeks treatment of mupirocin we can check with the swab. If it shows the bacteria than you can apply mupirocin again till you got negative report. No, it won't spread by respiratory route, but it will be spread by contagious route. Sharing of towels, handkerchief etc. can spread the MRSA which I advise you should not share with your family members, sharing can only be possible after successful mupirocin treatment. Please maintain healthy lifestyle as it can help you prevent infection from such a bad bug. Healthy lifestyle include daily exercise, cleanliness and good diet. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello. please help me:((( my baby boy is one year old. he is having blood mucus in his poo for about a week now. he has no apetite. he has poo like diareah most of the time. he has lost weight. about 10 days ago he got high fever all night and the next day he started to have red spots all his body. i am very worried. i took him to doctor 3 days ago. he prescribed Metrolag for my son. i am giving to my son but it didn t help much. please tell me what to do. this is my first baby and i am liing away from my parents and don t have experience in babay. please tell me what to do?! thanks a lot.", "output": "Hello! Thank you for writing us here. Calm down okay? Don't worry too much about it. It could be because your child might have eaten something spicy or something which is irritating the gut. It could be infection. I would suggest you to give the little baby simple foods like banana and breast milk as well or the baby foods which are available in market. Also make sure the baby is well HY Chat Doctor. The little angel would be alright in 3 to 4 days okay? Don't worry Best regards," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "good day! my baby right eye is watery in 2days and she is sneezing and had a watery nose but her right nose too...then today both her eyes and nose are watery,she often sneezing too.. i just want to ask if she has a cold or an allergy. shes 1 year old...tnx doctor!", "output": "HI, thanks for using Chat Doctor If she does not have other infectious symptoms such as fever, loss of appetite or decreased activity then it is more likely that her symptoms are related to allergies. The use of oral anti histamines would help to reduce her symptoms. Examples are carnitine, Allegra, Ben Chat Doctor. Most antihistamines have syrup formulations and doses for her age group. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am an 18 year old female and I just had a rapid onset of diarrhea, accompanied by a passing of a large amount of bright orangish yellow liquid. Also, there was burning during and after. I do not have a fever or abdominal pain or a history of disgestion problems. I would like to know the likely cause of this issue. Please and thank you.", "output": "The best answer I have found is that it is stomach acid, because your bowels were moving so fast. Especially if you had not eaten anything because of your diarrhea. I have this issues chronically. Bright yellow with the burning but I sometimes pass food totally undigested. I still have not found a doctor who can help. They just throw pills at me. So hopefully this never happens to you again, but if so I would see a doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi , actually i want to know that I have 36 days mensuration cycle and in some books i read that those women have more than 35 days mensuration cycle they cant be ovulate is this true and my periods are always regular or if it is true so it will cause in pregnancy.", "output": "Hallow Dear, Yes, theoretically, the regular menstrual cycle is defined in the books as a cycle of 28 days with variation of 7 days on either side; so the span is between 21 and 35 days. Any cycle beyond these limits is defined in the text books as irregular cycle. One day beyond the text book definition may not be a hopeless situation. If you are releasing your eggs regularly, you can conceive. The best way to get the evidence of ovulation is to go for ovulation monitoring. Though ovulation monitoring home kits are available, I would advise you to go for ultrasonography for the first little evidence of ovulation. Ovulation occurs 14 days before next expected menses. So in your case, it would be day 21 of the cycle. Subject yourself for ultrasonography for ovulation monitoring from day 17 onwards. Do this for consecutive 3 months. If you get the evidence of ovulation, you have all the possibilities of pregnancy. If you are not ovulating, you will have to undergo complete hormonal profile - Thyroid and reproduction - to assess the cause behind it. So better report to a Gynecologist in such case. I hope this answers your query to the satisfaction. For ongoing advice, you may ask me Direct question on this forum. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "severe back pain, hip pain, muscle spasms that take you down to your knees for three months. mri shows 2 herniated discs, previous back surgery for same problem. current dr waiting 6 weeks for steroid injections. pain is getting worse, what can be done to get through the next 6 weeks", "output": "If you can pinpoint pain in your hip then it is an independent hip problem not related to your disc if pain is spreading in a wide area then it is due to disc lesion in L1/2if u have hip problem try stretching your hip flexors and strengthening your extensors for your disc problem try a simple test by leaning forwards while standing on your heels with toes UPI pain increase I suggest rest in knee and hip flexion 90 degree if condition improves then u should start physical therapy right away good luck" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my father is a liver cherosis patient recently he had an internal bleeding and he had to get a couple of viens stitched by endoscopy.i want to know what stage he is at .he also get fever every couple of days 102.the dr gave him some antibiotic injections for 6 days now .pls inform mehis stage .is it true that there is more chances that it has gone in portal vien", "output": "Hi thanks for contacting Chat Doctor.... Noted your father having cirrhosis and history of varietal bleed.... So he has chronic liver disease with portal vein hypertension... For exact grading biopsy needed.... But let me know you care has to be taken to avoid further complication... If needed here beta blocker might prescribe for portal hypertension. Low salt diet taken.... High protein diet useful.TIPS like invasive shunt procedure helpful in reducing portal hypertension.... If condition worsen ultimate treatment is liver transplantation... Early in morning take grinned spinach and carrot juice.... One tsp crushed papaya seed with lemon juice helpful... If behavioral abnormality, tremor, sleep disturbance and varietal bleed occur immediately directly consult gastroenterologist.... Take care. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My Name is Sharon Maracle and I have C. M. T. I will try to spell it. Charcot Merie Tooth Dease. I have a lot of Pain in my Feet and they burn Like they are on fire and my instep has fallen right down on my left foot. I can hardly walk and my left foot it feels like I am walking on the inside of my foot.I get a lot of shooting pains though my toes so bad it has made me cry. When I walk or even siting my toes feel like they are turning under my feet and that pains to but they are not going under my feet.My Dr. has me on 10 Gabapentin 400 mg. and 6 Oxycocet 5/325 and 1 Cymbalta 30 mg. a day.The Cymbalta makes me sweet. Cant go any where. I am shut in apt. all the time cause I where the lightest night gowns I have. I don t want any one seeing me like this. My Dr. wants me to go as high as 90 mg. I cant do it. With the pain and now this sweeting it just isn t a life for any one.Is there any other pill that would help me. Like Lyrica or some thing.and I am trying to help my husband he has Dementia and takes Seizures. Please help me if you can. Oh I am 69 years old. Thanks Sharon.", "output": "Respected Sharon, hi sorry to hear about your issue. Many necrologies are notorious as you must be knowing by this time handling CMT and husband's dementia with seizures. Yes Gabapentin has definite good results along with that you can*Do ice application 3-4 times a day for cooling sensation.*Perform light foot exercises at home with gentle care.*Keep you BP, Blood Sugar level under control.*Avoid stress, have adequate sleep of 8 hours.*Can take additional analgesics like Ibuprofen / Diclofenac after meals 2 times a day but as these are prescribed medicines you have to get prescription from the family physician.*Certain multivitamins and multimineral show benefits at long term periods. Hope this rectifies your query. Thanks for using Chat Doctor and reviewing my answer. Regards Wishing you fast and speedy recovery from the same. Bye Take care Dear." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been feeling very anxious and short tempered lately. I just started a new job and have gotten behind in my bills and I know thats not helping. Should I lay off coffee and other caffeine drinks that may be adding to my anxiety and what other ways are there to cope with it. I also have atrial fib and the anxiety isn,t helping that either.. Thank you", "output": "Degree understand your concernsAnxiety and stress and restlessness are everyday affair for almost everyone in this new changed world. You should not feel much about those conditions because worrying again can increase anxiety level. Two coffees per day is permitted. You should exercise rigorously, Chat Doctor. If needed to consult a psychologist for further advice. I can help you if you desire so." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a blow on my shin on June 4th from the edge of a chair on which I had been standing. Almost immediately, there was a large goose egg about 1 1/2 inches in diameter, which stayed for several days but gradually subsided and took a few weeks to completely disappear. There was a slight indentation with no breakage of skin, probably where my shin hit the edge of the chair. About 1 week later, I had an urgent care doctor(we were traveling at the time) look at it and X-rays were taken, indicating no bone break or chips present. I have some concern now, however, about reddening of the skin below the injury down to my ankle and foot as well as some swelling of the ankle/foot. This is now almost 1 month later. Is this normal? Can I treat it in any way? BTW, I THOUGHT YOUR WEBSITE WAS FREE...!!", "output": "Hello ! Your concern is well received. One month is too long a time to wait to see if it heals by itself. However, if it's not causing too much concern in your day-to-day activities, exercising, walking, pain, and there isn't much swelling, the movement of the foot and ankle is ok, too chances are that it isn't anything serious. However, it's a good idea to get it checked though by an orthopedic to know if there is some residual inflammation, and if you need medication. More important is the course of recovery - if it has worsened over one month or improved over one month. If it has worsened, you should visit the doc right away ! If there is swelling and pain, you will also benefit from physiotherapy to manage the same. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir, my wife is severe pain one side of leg from thigh to bottom in movement.mri report finds posterocentral compressior on b/l roots l4-5. doctor advice complete bed rest for atleat ten daysi know it is long term treatment iether medicine or phisiotherapy. i want relief of pain sir. already takingtablet of pain killer but not effective tab solser mr and syntram p sos, but no relief.can we give injection dynapar once daily for few days", "output": "Dear patient You have got nerve root compression at l45 levels with articular pain in Lower limb. Compression is due to disc prolapse. Treatment is bed rest for one week and medication. Start tab me Chat Doctor. Take tab Myosins forte twice a day for 7 days. If this does not help in relieving pain next step is injection of epidural steroid. This procedure is safe and done under local anesthesia and helps in relieving chemical neuritis. You should consult expert pain management specialist and get it done. Injection dynamic can be given SOS for pain relief. All the best. ." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i am sophie,i am 16 years of age i think i am suffering with depression i has changed from a bubbley teenager to a low tearful teenager i struggle to sleep and i have often thought of commiting suicide witch i have once attempted i find i hard to communicate to anyone and i take anything said to me in the wrong way by either getting tearful or running away i am struggling in school and feel trapped and often wont go in. i dont feeli have any control over my emotions i have tryed have tryed talking to my gp but feel stupid talking about it and i reallly dont know what elce to do thank you", "output": "Brief answer: consult psychiatristDetail answer:Hi dear, What ever you described about your self from that I am understand that you are having depression and somewhat anxiety so for detail history and mental status examination consult psychiatrist.is there any stress factor in your life?family, economical or any personal? Not to worry much. There are many medications by which you feel very happy like SSRI, SARI, NASA etc. Also you get good help from psychotherapy to handle different situation. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, May I know the difference between Allergic Bronchitis and Asthma? I am little confused about these two? Please advise. Thanks.", "output": "Hi. Welcome to Chat Doctor allergic bronchitis: it is a chronic respiratory problem characterized by cough and wheeze.it generally occurs when you are exposed to some allergens like pollen, dust mites. Cotton, etc.it can only be prevented by getting your allergy tests done and treated it accordingly.family history is usually present.if not treated it leads to asthma.asthma:it is very acute and usually occurs in the late night or early morning.it is because of highly sensitive respiratory tract to allergens or exposure to cold weather." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "what home remedies do you recommend for an abscess on the labia mijora aside from going to the ER? is there a topical local anesthetic I can rub for the pain? like ambesol or something like that? the skin is really tender and thin to where I can pop it on my own if I can get past the tenderness to the head which is visible", "output": "HiT hank you for asking ChatDoctorI have gone through your query. Your problem is most likely Bartholdi abscess. For my patients with such cases I do incision and Chat Doctor. It is a very small incision. So you don't need to worry. I also advise antibiotics like clindamycin. I recommend them to use intimate wash regularly to normalize vaginal bacterial flora and PH and there by prevent getting further infections. Hope this may help you. Let me know if you have any further query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. Per an MRI report done 6 years ago, I have bulged discs at L4 & L5 with S1 involved. After doing aggresive yoga last March, the back flared up and I now have hip and groin pain that sometimes radiates down the front of my leg to the foot. I also have CRPS. I had a block done for L3 & L4, started pool therapy, and nothing is helping. Are there any PT exercises that might help? My doctor is ordering another MRI.", "output": "Hi, thanks for writing to Chat Doctor. As you have Lumbar disc disease in multiple levels, you are not supposed to involve in any activity that produces strain over your lumbar spinal musculature, which worsens the disc prolapses. Physiotherapy will have little help in alleviating the articular pain (radiating pain) and is useful only in treating Chronic low back pain. A repeat MRI scan is always helpful in assessing the present condition of your disc disease. The general management guidelines for a lumbar disc disease are as follows -- Maintain optimum body weight, if you are obese-Avoid lifting heavy weights as it imparts more strain on your back-Avoid excessive forward bending activities as it will worsen the disc protrusion. If you want to bend forwards, do it with your hips and knees flexed.- Use a lumbosacral back support to stabilize your spinal muscles- Intermittent pelvic traction might be helpful to cause a regression of the protruded disc- Physiotherapy is needed to strengthen your back muscles. Physiotherapy has to be done only after the acute pain has subsided.- Use analgesics like Advil or alive and muscle relaxants as needed. Vitamin B12 supplements & Pregabalin may be helpful. If your fail to improve with the above measures, an Epidural steroid injection may provide good symptom relief for a few months. Hope this information is helpful. Good day" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI. I am currently on Geodon for Major Depressive Disorder, Bipolar 1. I see my Psych in the am but am just trying to do a little research beforehand. Can I switch to Nardil without the normal 2 week washout. I have checked each and every one of my other drugs in the drug-drug interactions, and they are all safe. Just curious before going into the meeting tomorrow. -Theresa", "output": "Degree understand your concerns went through your details. Please understand psychiatric medicines are prescribed according to the condition of the patient. Depressive disorder and bipolar disorders are having far fetching consequences and therefore psychiatrist usually take many things into considerations. They also employ differential diagnosis to confirm the diagnosis. Therefore, discussing the medicines and its effects on a patient may not be possible here. Generally, Geodon (ziprasidone) is an antipsychotic medication. It works by changing the effects of chemicals in the brain. Geodon is used to treat schizophrenia and the manic symptoms of bipolar disorder. Talk to your psychiatrist in detail about the research you conducted. Let him take decisions, and please work with him for a perfect cure. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I recently had blood work done and was diagnosed with sero negative RA with a positive HLA B27 my monocyctes wer 14.9.I have had radiation in the past. Recently I have been running a fever, I have been having very cold, tired, and been bruising easy. My appetite is poor though I feel full all the time and have also been short of breath and having pain. Feeling as though I have the flu . My grandmother died last summer of luekemia. The Doctor reffered me to a Hemo Oncologist to rule out luekemia. Do you think that it is possible given my results that I could have luekemia? Thank you", "output": "Hello and welcome to Chat Doctor, The symptoms of fever, tiredness, easy bruising, breathlessness and decreased appetite indicate anemia, low platelet counts, and constitutional symptoms of chronic illness (e.g. cancer). However, there are other causes of bone marrow suppression like granulators infections/ inflammations, infection with parasites like malaria, leishmaniasis, fibrosis, previous radiation exposure, etc. Bone marrow suppression can also occur due to radiation exposure. Consult your hematologist for relevant investigations which includes complete blood examination, bone marrow aspiration, bone marrow biopsy, etc. to come to exact diagnosis. Positive HLA B27 suggests ankylosing spondylitis. It is an autoimmune disease process which damages the joints of the spine. You need to consult a rheumatologist for management of the disease process. Thanks and take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my son 12 and half years has been diagnosed typhoid fever, he has 100 fever and light abdominal pain and light headache since twelve days, kindly let me know the seriousness of the disease and he is taking ofloxin 400 BD & CEPODEM 200mg BD. tell me the diet for him pls ans my query.....Why d fever not going????", "output": "Please let me know how long is he on medication now? Typhoid fever usually takes 5-6 days to subside after starting medication. Diet of your child should be light food containing soups, also give food every 3-4 hours, because the child will have less appetite, and due to pain in stomach as mentioned by you will not take big meal at a time. The medication itself can cause pain in stomach as side effect, see to it that they are administered after some food and not empty stomach" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Dr,Tommorow my mom is having a kidney biopsy. She is 6 years out of tranplant and the kidney is spilling over alot of protein. Her creatine .06 and her BUN is fine. also, I started to notice that her short term memory is going and I took her to 3 different nurologist and they all say that from the test there is no dementia or alzhalmer. So, why would the fidney be leaking protein? Is this normal?", "output": "Protein loss from the kidneys is called albumin-urea, basically it indicates that the kidneys are not functioning properly and are not able to retain the proteins inside and are excreting the substances (proteins) which it should retain. There are many reasons of this condition, stating from entirely a normal phenomenon for someone with very small amount to a fairly advanced kidney disease in cases of huge protein loss. In case of post transplant patient, rejection (although it has been 6 years) to different kinds of glomerulonephritis can be the causative agents. I think biopsy is the way to go to see what exactly is the problem so that it can be fixed accordingly. THANKS and best of luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "For the last two years, off and on I have had major pain on my left side of the body. It started after my wife died in my arms and every since that day I have been in pain. The pain starts from my lower neck all the way down to my left foot. Here lately I had some major pain from left shoulder, under my left arm, on my left chest and on my lower side on my left. What is causing this? Can this be from my wife pulling on me while she was dying?", "output": "Hello, What I can infer from your complaints is that you may be having symptoms of cervical spondylosis with radiation of pain to your left arms and left leg. Its unlikely that the injury may have occurred due to you carrying your wife. I would suggest you consult an orthopedic surgeon so that he can examine and suggest treatment. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI, I AM A 28 YO FEMALE WITH FIBRO AND RA, STARTED WITH PERIODS OF SEVERE NAUSEA ALTERNATING WITH PERIODS OF EXTREME HUNGER FOR 4 DAYS, UPPER ABDOMINAL PAIN STARTED 2 DAYS AGO, VERY BLOATED AND BURPY, AND CONSTIPATED, VOMITTED WHITE FOAMY SUBSTANCE ONCE, TAKING PEPTO AND PEPCID OTC NOT WORKING...ALSO TAKE ASPIRIN AND TYLENOL FOR ARTHRITS...NO INSURANCE WHAT CAN I DO AT HOME? TO SEE A DR I HAVE TO GO TO ER...", "output": "Do you mean fibromyalgia?with RA?, then 2nd one is more economic burden for any1 as its runes long 1c comes, if you have fibromyalgia along with RA, at least you should keep strict subdivision on your diet by ensuring it contains rt amount of protein along with fiber indie. As far as Chat Doctor. Worry never solve problem, rather it makes you more painful to worry about pain itself.godless you, best of luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My mom had chikungunya 2 years back. Since then she suffers from extreme pain in the hand finger joints and in the knees. Physio exercises are helpful to some extent but the pain is kind of getting transferred to other joints after exercises. Pls throw some light.", "output": "Hi, I will advise to do one RA test. To rule out any Rheumatoid factor as the pain transferring to other joints might be due to it. Also post chikungunya most people have similar complains and this is due to inflammation of the joint as the pathology of the virus affected the body. I will advise to continue the physiotherapy exercises under guidance and later on continue same at home for daily basis as the joint inflammation can be reduced by improving the muscle strength and freedom of the joint range to avoid compression happening over the joints. Most cases reported at my clinic are advised to follow same, and they avoid the frequent bouts of pain and joint deformities. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, Im 23 yrs old, female. I was diagnosed PTB in 2011 and undergo 6 months medication. After 2 years i have my annual check and my xray shows i have minimal, ptb right. How will i know if i have scars in my lungs? when all my xray results doesn t have an impression of scarring in my lungs?", "output": "Thanks for your question on Chat Doctor. Any lung infection especially TB heals by1. Fibrosis2. Calcification3. Bronchiectasis4. Rarely complete resolution. So the lesion in your present chest x-ray must be due to healed scar. But we need to prove this. So consult pulmonologist and get done 1. CT THORAX2. Bronchoscopy and BAD (Bronchi Alveolar Lavage) analysis to rule out TB.CT gives more detailed examination of lung parenchymal and easily diagnose healed scar. Bronchoscopy and BAD if negative, then this is another evidence of scar in your lung and not infection." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctors.I m suffering from allergic cough since eight years.I had too much medicine but it comes back.now recently I m having again much cough nd running nose.I have pft test which shows small aiway pass.Now I am taking telekast f,momeflo and combihale from past fifteen days but didnt recover fully.plz advice me best medicine and precaution...and also wat should eat. Thanx alot", "output": "Hello, Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for you as follows:1. I would agree with your current medications - Monteluakst-Fexofenadine (Telecast), Model (Mometasone nasal spray) and Combinable (I would like to know strength of medications within).2. First, I would suggest you to make sure that your technique of using the inhaler is perfect. If it is not perfect, there are chances that adequate amount of Chat Doctor. 3. If despite correcting your technique, you are not experiencing relief, I would like to increase dose of Combinable (at present I don't know what dose you are taking)4. I would also suggest you allergy testing as it will help you identify the substances causing symptoms to you as well as the measures to avoid them.5. Based on allergy testing, an Allergist-Immunologist may prescribe you allergen specific immunotherapy which works like a vaccine to improve your allergy symptoms.6. I would also suggest you a healthy diet and regular breathing exercises to improve your immunity and lung capacity in a long run.7. As you have specifically asked about diet, I would suggest you as follows:a. Please avoid the foods you are allergic to.b. I would suggest you to avoid too much eating. Please do not eat up to full stomach.c. In general, I would suggest you to avoid too cold foods such as cold " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am a 26 year old male. For the past 2 years I have suffered from terrible chest pain and left shoulder blade pain. It is not always a sharp pain but is more of a discomfort. I get the feelings of palpitations and also get sore jaw sometimes and sore pains in my left arm. I have been for numerous check ups and tests but everything is coming back normal. My doctor keeps telling me it anxiety which I have been on medication for, for quite some time now. I have also spent a lot of money on therapy. Nothing seems to be getting better. I don t feel stressed at all and I know there is something out of place going on in my body. I have just recently developed a couch which is now making me worry about my lungs( I have had hayfever though so could be why). I feel my symptoms get worse after physical exercise or a hard days work. Could it be that I need to see a chiropractor? Any help would be great? I m worrying myself sick about it. Thanks", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion you should consult pulmonologist and get done1. Chest x ray2. CT thorax if needed3. PUT (pulmonary function test). Since your cardiac work up is normal, we need to rule out pulmonary causes now. You are also developing cough, this also favors possibility of lung related causes. Chronic infections can cause chest pain and pleurisy (inflammation of pleura). Pleurisy can cause shoulder pain. So chest x-ray is needed to rule out infection. Chronic bronchitis can also cause similar symptoms. So get done PFT to rule out this. If all are normal, then mostly you are having anxiety related symptoms only. So consult pulmonologist and rule out pulmonary causes for your symptoms." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have exercised my entire life. I am 61 now. I have noticed often in recent years my heart rate afte exercising will become very pronounced and deliberate. It usually lasts for a minute or so and then subsides. Does this sound like anything you might be familiar with?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Some degree of tachycardia (rapid heart rate) is acceptable. But if tachycardia is severe after exercise then we should definitely rule out heart diseases like coronary artery disease (CAD). So get done ECG, 2d echo and stress test (trade mill test). If all these are normal then no need to worry about heart diseases and rapid heart rate. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my child has a cough for the past twoo months, have been useing other cough syrups, this one the doctor recently precribe for her she s 4 and is on predcort ds and auro flux does it have any reaction by useing it togerther? and secondly is predcort ds if safe for her although it has the predisilone in it? please i reaaly would like to know thank you.", "output": "Hello, It is safe to use both Prescott and Aeroflot together. Predcort DS is safe if used for just 3 to 5 days. She may have an increased appetite, abdominal pain. Give the Prescott after food. Short duration of steroids are not a problem. If she has very frequent cough disturbing her sleep, she may benefit from inhaled steroids such as budesonide apart from levosalbutamol inhaler if she has a wheeze. Ask your doctor to do an asthma scoring and proceed accordingly. Another thing to rule out in prolonged cough is tuberculosis Hope this helps, take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been having typhoid for the past 3 years. I have taken shots (14 nos. of Ceftriaxone & Salbactum- morning and evening) followed by antibiotics cifran 500 mg for a week. However, the symptoms reappear at the same period annually. A m i a chronic carrrier?", "output": "Hello, Thank you for your contact to Chat Doctor. I understand your concern. If I am your doctor I suggest you to confirm your self as a carrier of typhoid fever, you should do a duodenal aspirate culture or bile culture from gall bladder for Salmonella type, the causative agent of typhoid fever. If the culture report says that it is positive you are confirmed as a carrier. If it is difficult to get culture you can also get rapid immunological test typhoon, which is more specific test than that of tidal. It also establishes the diagnosis of carrier state in you. I will be happy to answer your further concerned can contact me. Chat Doctor. Infectious disease specialist. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my uncle had a pleasant personality, he was calm headed but since few years he looses temper very quickly secondly he becomes hyper and starts using languages which is inappropriate and in a nut shell he gets out of control He lost his job last year since then he has been trying but as yet there has been no luck, even places who have given him positive feedback after interview take a hell lot of time to reply as to whether they have accepted him or not we all are very worried at this behavior of his", "output": "Dear, I understand your concerns. It is not clear from your description whether he has anger from long time or not. If it has started just some days back, it might be due to anxiety about his self forthcoming jobs and inability to find a new job undermines self-worth and self-confidence, which in turn creates stress and anxiety. Take him to a mental health counselor. Instead of controlling anger, he should learn to adjust to the anger creating situation. Then anger is just an emotion. Let him know his life and he will become alright. Wish him speedy recovery" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been sick with a cough and congestion since 12/20/2014 I went to my drs. Office on 12/26/2014 I was given a z pack and told to take musinex and liquids after the z pack I was still sick so I went back she stopped the musinex and gave me Cyprio on 1/08/2015 I am still coughing, get tired easy, and feed up with this thing I want my life back! Cure me. I am seventy and was in pretty good health", "output": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion you are mostly having chronic lung infection or bronchitis. Because both these conditions can cause chronic cough and congestion. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Chest x-ray to rule out lung infection 3. PUT (Pulmonary Function Test) to rule out bronchitis. Sputum culture and sensitivity report is needed to identify the causative organism and starting appropriate antibiotic treatment. You may need inhaled bronchodilators and inhaled corticosteroid (ICS). So better to first diagnose yourself and then start appropriate treatment. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my mother had chemo/cauterization on her liver and the diaphragm was nicked and now there is bleeding from the diaphragm what should be done in order to stop the bleeding? She is in atrial fib and cant breath and they have administered two units of blood. She is bloating and her urine output is dark. They are putting in a tube. Will this stop the bleeding and will she be alright?", "output": "Hello,1) Spontaneous bleeding from diaphragm is rare. Does this bleeding episode occur after any kind of intervention to liver for any type of cancer?2) As she is suffering from atrial fibrillation, she might take blood thinning medication which prevent to form blood clot to stop bleeding.3) Dark urine suggest kidney is not working properly due to less blood in body (blood loss induced hypotension).4) It is very unlikely that bleeding from diaphragm will stop spontaneously" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter is suffering from viral hepatitis . As of today her Bilirubin level was 2.8 the same level as on 30 July. While SGPT as of today is 92 compared to 201 as of 30 July. My querry is as to why the S.B. level has not come dowm as compared to SGPT? My daughter s liver function test of 30.07.2012 reads as: Serum Bilirubin (DMSO Method) Total- 2.8; Direct- 2; Indirect - 0.8 SGPT- 206.8 IN THE REVIEW TEST DONE TODAY (05.08.2012) The report reads: Serum Bilirubin: Total - 2.8; Direct- 1.5; Indirect - 1.3 SGPT- 92.5 My worry is when SGPT level has come down why Bilirubin has not come down proportionately.", "output": "Hello Thanks for the query Raised bilirubin signifies liver cell dysfunction. It will take 4-6 weeks in some cases to show little improvement in bilirubin. It might take longer in cases of Hepatitis B and Hepatitis C. Please approach a gastroenterologist for further management. Avoid the following things 1. High fat and protein diet2. Heavy exercise Let her Chat Doctor. I wish her a speedy recovery Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor,For some reason, Looks like My family planning option not worked out well. I am at 40th day, still not yet get periods, Pregnancy Test is passed. We are not prepared for Pregnancy now. Can you please advise possible solutions to STOP pregnancy? Recommend medicines / tips etc.", "output": "Hi, I understand your concern. If your wife has a confirmed pregnancy. & you are not prepared for pregnancy, I would request to give a second thought. For if you intend to have a child, why not this one ? Medical termination of pregnancy can be done by medicine . The procedure though looks simple can have side effects (if not taken care of in time)which are not desirable. Any way, if both of you are firm on stopping the pregnancy you can use MTP kit. It terminates pregnancy up to 63 days. Kit contains two type of pills - - 1 pill of Mifepristin 200 mg & -4 pills of Bisoprolol 200mcg each. Single pill of Mifepristin is to be taken orally. After 2 days it is followed by 4 pills of Bisoprolol vaginally. Abortion usually follows in 4 hours of Bisoprolol. If not additional dose of Bisoprolol can be given orally or vaginally. * I would stress to get the MTP done under a gynecologists' guidance. To avoid any untoward problems. Like ectopic pregnancy/ excessive bleeding/ incomplete abortion/ infection. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi there, I have a small lump the size of a pea between the crease in my upper left thigh and buttock. It s like a small painless spot under the skin that s just white. It appears to be growing not drastically and has been there for 2 years now. What could it be. I have pictures of this.", "output": "Hello and welcome to Chat Doctor, A painless lump between crease in upper thigh and buttock is probably due to soft tissue swelling. Soft tissue swelling at this site could be due to lipoma, fibrous, benign lesion arising from muscle tissue etc. An aspiration cytology from the lesion will help to determine the site of origin and nature of the lesion. Further management can be determined after performing aspiration cytology of the lesion. Thanks and take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Im 13, 120 lbs, and Im 58. Sometimes I have trouble breathing. Its like I have to take really deep breaths to get enough oxygen. It only lasts for about 5-10 minutes, then it goes away. I also snore at night. I would just like to know what this could be.", "output": "HI, thanks for using Chat Doctor The snoring at night may be related to adenoids in some persons. This can be assessed by an ENT doctor. If you are having shortness of breath then you should ask your parents or guardians to take you to your doctor for assessment. Shortness of breath can be related to different possible causes such as anemia, lung or heart disease, anxiety, exertion. Your doctor would be able to determine the likely cause based on your history, physical examinations and, if needed, investigations. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have lower abdomen problem, pain at right side, sometime suddenly it increases, my feets are swallowed and whole abdomen is swallowed. i m 23 years old, 5.5 height, 56 kg weight, working lady. please tell me is this kidney problem or something else?", "output": "HI.These dos not look like a kidney problem as the swelling will be all over the body and not a part of this. Your problem looks to be an inflammatory ma on the right lower abdomen as a TO mass (related to Fallopian tubes and ovary.) This will give rise to swelling of the lower limb and of the abdomen. Get an urgent ultrasonography and if required a CT scan of the abdomen to know the diagnosis and to undergo further medical or surgical management as per the reports." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I have an issue with my tongue. Both sides appear to be scalloped and also both sides has a small red sore. On of the sores on my left has a red border around it and white in the middle. It s not terribly painful but it is irritating. What do you think I might have?", "output": "Hello, The type of sore you are mentioning it looks like that it is an authors ulcer which appears because of stress, blood deficiency, immune deficiency or other problems, but there is no need to worry as it heal within 1 week. You just apply a topical ointment named McCoppin or sponsored to get relieved from symptoms. If it takes time more than that then in that case you should visit a dentist and get it examined. Thank regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, im male 37 years old and i assume i have mumps as i have two huge lumps by the jaw which started on the right side and then now the left side has grown almost the same. I had fever for a few days and today the 4th day, i check for temperature and its 36.8 normal so i was wondering if i can shower? reason im asking is i heard rumours if i shower, it will spread to the testicles and get it swollen as well.", "output": "Hi sir. First you should know that mumps is caused by viral infection, and it is self limited disease .for diagnosis of mumps we depend mainly on clinical symptoms and signs such as mild fever, pain, headache, fatigue, loss of appetite...symptoms vary between person and another...we don't do laboratory test except when we want to exclude other causes...as I said it is self limited .few days you will be fine and will have long last immunity....2nd part of your question about the shower I would like to tell you take shower when you want .don't carry about that ...that rumors you heard about testicles affected by mumps not because of shower...there may be some complication of mumps cause inflammation of testis.shower will not affect that......don't carry ....take care of your health...and thank you for contacting us" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ever since I was little, my gums bled all the time. When I brushed, rinsed, or got hit. The dentists always say that I need to brush better, but the the thing is I spend 30 mins brushing, flossing, and rinsing all the time. They have gotten better over the years. I m 14 and I m wondering if this is normal for such a young age. The redness used to hurt and had isiility, but not that much anymore. However, it still bleeds at random. Today I ha a Dentist appointment and they were saying that my gums are inflamed, extremely. They didn t say Gingiitis, but I m unsure. I have braces so it s kind of difficult to floss, but I try. Please tell me what I should do.", "output": "Hi, since your age is 14, you are at the stage of puberty.at this stage the even little infection will be aggravated. So I suggest go to dentist, take proper scaling sittings, if it is infected you may need antibiotics also. Take proper care of brushing twice a day, learn from your dentist the method of brushing for proper care. As you have braces please don't use floss as it may entangle in your brackets and harm your wiring treatment(or tho) process. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i was admitted in the hospital just last thursday because i felt numb and i fet pain hat radiate from my back to my upper extremeties..i felt that i had an heart attack or something i also felt pian in my chest neck and jaw...they got my bp and its 150/90 and my pulse rate is 120...the doctor took some of my bood samples and urine....but everything was normal except that my blood cholesterol is hight but still tolerable...the doctor gave me omepron,propanol 10mg and lipanthyl 145...i was afraid to continue the medication specially the lipanthyl because of its side effects...i also had my D&C last june because of miscarriage...could MX3 lower my blood cholesterol and could mx3 treat my panick or anxiety attack...could it also treat heart burn? because i really wanted to stop my medications because of the side effects...and change my meds into herbal meds like mx3..i heard that mx3 is a very good herbal med...please response", "output": "Hi Welcome to ChatDoctorThis Chat Doctor. I congratulate for that, all of your tests are satisfactory except cholesterol that too can be rectified with few precautions & little of exercise. I will suggest you to Take care of your diet - should avoid much of fats and starches, fast foods & fried foods, cakes, buns & cookies, tea, coffee and include fiber, raw veges fruit, proper amount of minerals and vitamins and plenty of water also essential to be free of all irregularities of health. Too much of panic worry, tension with small pains or anything will lead to more tension of ill healthJOGGING, Panama, deep breathing Yoga & walk will help to maintain BP, cholesterol and all other ingredients in proper proportion to let you lead healthy and happy life. The cholestrolinum 30 / twice a day 3 daytime 5-6 buds of Garlic cut into pieces. Swallow it with warm water early morning. Mx 3 seems to be good as reviewed on Google. I have not used it yet. So pls consult your doctor for partake care Don't hesitate to come back if you have any further query" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a child that has broken out in small bumps in between her collar bone area and on her sides a little. Its a very light rash and they itch. At work another woman said her son had the same rash in the same areas. Is this a coincidence or something to be concerned with?", "output": "Hi! This is not co-incidental and possibly related! As per my experience, I have seen some community infections that often infect child Chat Doctor. . In fact, some infections are contagious or community-based and in such cases of itchy skin rashes, I must consider some possibilities like:1. Fungal infection like ring worm2. Viral exanthem3. Parasitic or worm infestations4. Co-incidental skin infections, bites, folliculitis etc.Therefore, please see a dermatologist for a close and detailed examination and opinion regarding treatment if needed...regards!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello, my daughter is 10 and for several months has had small white bumps in the corner of her mouth, both sides. We were at her peditrician yesterday and he said to have her dentist take a look, he didnt know what it could be. Im hoping to try over the counter or home remedy before going to dentist, suggestions?", "output": "Hi. Thanks for the query.... As per your query white bumps at the corners of the mouth of your daughter can be most commonly due to Herpes Virus Infection causing cold sores, and it forms clusters of small fluid filled blisters. You should consult a Pediatric dentist known as Periodontist and get her evaluated and if he suspects cold sores he can confirm by getting investigations done like Viral culture and antigen antibody reaction. If herpes is confirmed antiviral oral and topical application like Acyclovir, val acyclovir, acyclovir can be advised to reduce the duration of the eruptions. If herpes is not ruled as the cause other causes like Fungal infection can be checked for. Hope this helps. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 4 weeks post op for robotic assisted total hysterectomy including Ovaries. I have been feeling pretty good overall since surgery. The last few days though I have had terrible back pain body pain everywhere and very bad headaches. I tolerate pain pretty well and only used pain meds (other than ibuprofen) for 48 hours following surgery. I have been walking about a mile a day for the last week. Am I doing too much? Is the back and body pain normal? I feel awful the last few days but keep pushing thru Today I have a lot of abdominal pain as well.", "output": "Hello, I have studied your case. Do not over exert yourself. Some time post surgery pain can be there. Medication like methylcobalamin and analgesic will reduce pain; you can take them consulting your treating doctor. Start your physical therapy through physiotherapist for further guidance. You may take TENS, or ultrasound which is helpful in your case. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. If you find this answer helpful do not hesitate to rate this answer at end of discussion. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my 15 year old daugher has been sick for over 7 weeks with abdominal pain. We have had various xray, CT Scan, Upper/Lower GI, Blood and Fecil tests. We are currently seeing a GI specialist at Childrens Hospital. The only thing I know is that all tests game back normal but she is still showing high levels on her Lactoferrin screen and she has an atrophic pancreas which the Dr believes to go along with skeletal dysplasia.At on set 7 weeks ago she had sever lower abdominal pain and vomiting. The pain level was a 7 nearly all day mostly better in the evening for the first 4 weeks. Now the pain is like clock work... wakes her early in the am 5am or so and tends to be around a level 3 pain and lasts until early afternoon. Any ideas?", "output": "Hi and welcome to Chat Doctor. Thank you for the query. It is not easy to predict such diseases but generally pancreatic function is not easily replaceable. This is rare condition in her age and the exact diagnosis should be established so that right treatment can be started. Pancreatic hormonal and secretion function should be supported by medicines and its function should be evaluated frequently. Wish you good health. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir , o am facing pain in middle portion of stomach with burning sensation , in upeer abdomen , i am in medication for long time , more than a year , have done endoscopy also , report was fine , i am fearing that as bcz the pain and burning sensation in my stomach is still thr , can it lead to cancer , what is your advice , i have done endoscopy before an year ago", "output": "Hi thanks for your question.You are having pain abdomen and burning sensation. These are symptoms of acid peptic disease(APD). You had endoscopy one year back. What was your H Pylori status?(it is a bacterial infection of stomach picked up during endoscopy and is responsible for APD). Antibiotics itself can lead to gastritis (inflammation of stomach).APD usually don't lead to cancer. I would suggest you to consult nearby physician and get your H Pylori status checked by repeat upper G i endoscopy. You may need treatment for H Pylori eradication (if present) and gastritis. You should avoid other causes of APD like cigarette smoking, alcohol,spicy food and Chat Doctor. Hope this answers your question." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have bad acne problem for a long period of time like 13 years i living in Ethiopia i couldn t find a solution i am suffering and i lost my hole confidence every time the new acne coming out so can u help me for this not only to come out new one it become a black head my chest , nick , face, arms, and back hole part of my body i am single and i never married before and now i am 25 years young lady need ur help or might be itis the cause of dirty blood inside my body i don t know yet!! hope to hear favorable response soon.", "output": "Hi I am Chat Doctor. .you don't have to really bother about the acne...there are many therapies which are quite effective in treating acne...see acne is a hormonal concern...and it always happens just BCO of the same....It's not your blood which is bad...so don't think negative...being a hormonal concern even the acne gets reduced there are chances that it may come back as well ...but still we need to treat it BCO we need to prevent the complications like permanent scarring and pigmentation...you are getting acne on face neck chest arms and the back BCO this is the seborrhea area of the body where there is more and more oily glands...I recommend that follow daily skin care with cleanser with 2% salicylic acid, toner and a good sunscreen...get your hormonal assay and sonography of pelvis...never break any acne, never touch them....you may be required to start with anti hormonal tablets or oral isotretinoin and oral antibiotic...for that see a good dermatologist....till then you can apply creams containing benzyl peroxide and clindamycin alternate nights...don't worry...acne never last forever..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, doctor last week i went for test my reports shows that my SGPT(ALT) is 122 and i have diabetes since 5 years and hyperlipidemia too triglycerides always high now tg is 319 is any treatment for fatty liver and sgpt alt to reduce this levels please suggest me.", "output": "Hello Thanks for writing to ChatDoctorIncreased SGPT indicates liver injury. Increased SGPT may be due to hepatitis, altered lipid profile, autoimmune causes, medicines etc. In your case, increased SGPT is related to dyslipidemia. You need clinical examination and few other investigations. You need few more investigations like random blood sugar(RBS), renal function test(RFT), complete lipid profile, viral markers, complete liver function test, urine RE/ME. You should avoid red meat and high fat milk products. You should avoid fried and junk food and avoid alcohol completely if you take it. Medicines should be prescribed after complete investigations. I suggest my patients to take tablet ursodeoxycholic acid 300 mg twice daily after food for three months. This help in regeneration of liver cells. I also suggest taking tablet atorvastatin 10 mg and fenofibrate 16o mg at night after dinner. It will correct lipid profile. Fatty liver is a reversible condition, and it may take 2-3 months for complete recovery. Get well soon. Hope I have answered your question. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my dad has been prescribed 10mg of morphine. he is suffering from oral cancer and is right now on fluid diet. he has been operated thrice, right maxilla is removed and lymphnodes of both sides are removed. He is in severe pain right now and therefore morphine. how does morphine help him now??", "output": "Hi, dear I have gone through your question. I can understand your concern. Your dad is suffering from oral cancer. There is severe pain due cancer and cancer surgery. Morphine is the potent analgesic Chat Doctor. It is very useful in terminal stage cancer pain. So morphine is given to receive pain. It is strictly prescription based medicine and should not use without consultation of doctor. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Though TB is negative Dr. prescribed AKT4 to my mother-in-law from 23.09.2014 to 11.11.2014. She denied to take medicine from 12.11.2014 and stopped it. Her age is about 70. Now her eyes are yellow and all says it is jaundice. What to do ? What medicine to be taken?", "output": "Hi, Thanks for posting in Chat Doctor. If her eyes are yellow, there could be possibility of jaundice. This needs to be ruled out as some Chat Doctor. Now, to confirm jaundice and what type it could be, kindly get her blood tested for liver function test. Also get her urine examined for bile salts, bile pigments and urobilinogen. Don't have to worry jaundice is a treatable condition. Kindly visit a Physician with the report for evaluation and management. Hope the information provided would be useful." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My L4-5 is broad central annular rent with subligamentous protrusion, mild spondylostenosis and effacement of the descending L5. Mild intrafacet edema. Foramina patent. L5-S1 is broad spondylitic protrusion with associated retrolisthetic microinstability. Defacement of the descending left greater than right S1 rootlets within the lateral recesses and resultant mild spondylostenosis, dominant. Small left subligamentous synovial cyst incidentally noted. Mild thickening of the ligamentum flavum. Mild left subpedicular for foraminal stenosis. Can you please tell me what this means?", "output": "Hi, Since you have not mentioned your age, I assume the above findings are of degenerative nature and there are degenerative vertebral and disc changes in L4-L5 and L5-S1 disc levels. There is pressure on the spinal nerves in the above levels and this is causing you pain and discomfort. The findings are likely mild and most likely medicines and physiotherapy can help in decreasing your pain. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Doctor,I have mild itching on the knees. No other symptoms of cirrhosis. L.F.T. is normal, Globulin, PT and INR are normal. I did a USG yesterday and the radiologists remarks are: \" Liver normal in size- mildly abnormal echo structureabnormal nodules on margins. - Early cirrhosis- I have been having fatty liver due to alcoholic consumption for more than 10 years. I have no symptoms of any disease now. I am gravely worried. Can you give me your opinion whether I have early cirrhosis and if so what is the prognosis.", "output": "Hi, I am so sorry to hear about your diagnosis. Fatty liver can be caused by excessive alcohol intake (Alcoholic SEATO hepatitis, ASH) or due to excessive fatty food intake and sedentary lifestyle (Non-alcoholic SEATO hepatitis, NASH). ASH is usually the beginning stages of alcohol induced liver damage and is completely reversible if the patient refrains from alcohol. NASH is being much more commonly diagnosed currently owing to poor dietary habits and sedentary lifestyles of people. If left unchecked, in final stages it may lead to cirrhosis of the liver which will necessitate a liver transplant. In your case, unfortunately, cirrhotic changes have already appeared, which is irreversible. But on the brighter side, it is very early cirrhosis, where you do not have any symptoms. You could go on to lead a completely normal life if you take precautions from now on. 1. Total and complete Abstinence is a must. Multiple research studies have shown that people who quit Chat Doctor. 2. A diagnostic upper GI endoscopy will be required to rule out varices (a sign of portal hypertension due to cirrhosis). This will need treatment with medication and possible banding .3. An urgent consultation with a medical gastroenterologist so he can do a complete work up and start prophylactic medications if necessary. I would also suggest a healthy diet and exercise regimen as well. Although there is no time limit on when to get a repeat scan, I would suggest one, once you have succeeded in losing some weight. Hope this helped, and please do not hesitate to contact me for further details - rxsuresh@gmail.com" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir,Ths is pramodh kumar from hyderabad.I am suffering from CKD from last 18 months.When i go for the dignosis at first time the Serum-creatinine level is 3.2. .My previous months cretinine levels are3.2,3.4 2.8,3.2,3.4,3.1,4.4,3.2all other remaing parameters are in reference ratio except creatinine.I am 25 years old.My Hyperthesis level is : 120/70.I am using renalog tablets (daily 9tabs),Prazo press xl 5mg(daily2),Acupil 10mg(daily 1),Becouseles(daily 1)&using EPO injections weekly once.sir,I want to go abroad for heigher studies.How long should i use these medicines,How much time it will take to cure? Thanks,Pramodh", "output": "Hi, 25 years of age and having no history of high blood pressure and diabetes, definitely requires the physician to diagnose the disease properly as some of them are treatable. Your high creatinine levels definitely show there is some problem. I hope the doctor has given you a diagnosis for the cause of the chronic kidney disease. Young patient commonly at your age can have membranous nephropathy. Or it could be a nephritic syn Chat Doctor. It is advisable to further investigate your condition. Do Peripheral smear, Serum Albumin, Pt/apt/INR levels, LFT, FT, Serum electrolytes, Lipid Profile. Urine Routine Examination and Spot Urine ACR are also important. Furthermore, do an ultrasound scan of your kidneys. If required a nephrologist can advise you to do a biopsy. Until you have been properly diagnosed, It's very hard to tell the treatment, prognosis and for how long you will take meds. My advice is consult a proper nephrologist. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor,My father is cigar smoker and had recently breathing issues and after consulting doctor he advised to go for Chest X-ray P A View.The findings were Fibro calcific density seen in bilateral upper zones and Bilateral old PTB lensions.However Cardiac size seen normal and CP Angles are normal.Please advise if there is any serious issue and what precautions to be taken.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Fibrocalcified lesions on chest x-ray is commonly seen with previous lung infections like tuberculosis. So no need to worry about these Fibrocalcified lesions as they are old, healed, inactive scars. Since he is smoker and having breathing difficulty, better to get done PFT (Pulmonary Function Test) to diagnose bronchitis.PFT will also tell you about severity of bronchitis and treatment is based on severity only. He will need inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).It must for him to quit smoking as soon as possible. Hope I have solved your query. I will be happy to help you further. Wishing good health to your father. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello there.Last week I stayed with my BF for 6 days and we had a lot of sex during the time without protection. He never ejeculated inside me.After coming back to home, I was suspected about the dates and checked the calender, an I learned that the last day we spend together was my starting day of ovulation.A day later, (at the last day of my ovulation) I had a pinkish-lightpinkish discharge for around one day.Now by the use of the ovulation calculator, I can say that yesterday was the last day of my ovulation period however today I started to have LOADS of white lumpy discharge. I started to get worried.Do you think this is a sign of pregnancy ? it has been around 4 days since our last date (that we had sex).Waiting for a reply, ASAP. Thank you.Additional Details Can this be taken as a sign of pregnancy ? The discharge is lumpy thick sticky and white", "output": "Hello dear, I understand your concern. In my opinion the lumpy white discharge cannot be taken as the sign of pregnancy. The first sign of pregnancy is missed period. Other symptoms of pregnancy are nausea, vomitings, increased urination, sore breasts start 2 weeks after missed period in case of pregnancy. A urine pregnancy test is done a week after missed period for accurate results. The White discharge which you have is the normal discharge seen during the menstrual cycle under the influence of hormones. So relax. Nothing to worry. Avoid stress. It is too early to feel any pregnancy symptoms. So wait and check for the period. Hope this helps. Best regards...." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi ,today me and my fiance were together. i had sucked his penis a lot and it was totally wet with my saliva. after that he laid on the floor and i put my legs around him( me on top) and while kissing his lips, i gently rubbed my clitoris on the head of his penis. is there any chance i would get pregnant??", "output": "Hi, There is always a chance of pregnancy in unprotected sex. If penis may touch the vaginal opening and pre-cum may enter into vagina. Pre-cum may contain sufficient sperm concentration that cause pregnancy. But pregnancy is possible if you had sex in fertile phase of period. I would suggest taking I pill with in 72 hours of sex to prevent unwanted pregnancy if you had sex during fertile phase of period. If you had regular cycle of 28 to 30 days, then fertile phase will be 10th to 18th day of cycle. Avoid stress, take healthy diet, Chat Doctor. Use condom in future to prevent unwanted pregnancy. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a foster child with learning difficulites, she has and unpleasent odour on her which i cannot describe, its not normal sweat b.o. She is 13 and showers every night, I ask her to wear her bathers in the shower every few weeks just to check she is washing correctly as she has short time memory problems. her hair is very thick and quite often she doesnt wash her hair correctly. She has had problems with her ears the opening on her left side is very small. She cant tell me what the problem is with her ears..", "output": "Hello, Here are some suggestions for treating your daughters body odor:-prescription-strength antiperspirants-deodorant to cover any smells-wear clean cotton or linen clothes-well-balanced diet-see dentist for bad breath Your daughter has some psychological difficulties as well as unusual body odors. There are a number of medical conditions that have these combinations, such as phenylketonuria, boathouse urine disease, and tyrosine. You might wish to talk about this with her primary care physician. It is most important to know how well your child can hear. I would like to have you take her to a pediatric ENT physician who will give her a thorough ear examination, including looking into both ear canals, and deciding if she should have an imaging study of her ears. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello my wife is 21 years old female all of the sudden she got pains all over her chest, sharp pain when she move, breath she cant even hold our 5 month old daughter as her chest really hurt she says..Ramin", "output": "Hi thanks for contacting Chat Doctor... If she had history of heavy weight lifting or any unaccustomed activity then pain could be musculoskeletal pain... For which rest needed. Simple analgesic if needed to be given... Avoid strenuous activities.... Heavy exercise restricted. Hot pad application useful... Second physical examination done... If calf swelling present then rule pulmonary embolism like causes... If pain radiating to arm and constricting type pain then angina and ischemic heart disease like condition has to be ruled out... For above condition investigate with....-ECG -echo-tread mill stress test if needed cough and fever like resp symptom associated resp cause searched for like bronchitis and pneumonia by chest x-ray ... Take care. Keeping this in mind consult physician... Hope your concern solved. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 16Yr Old Daughter Has Little Swollen Front Glands And Recently Small Sore Lumps Have Appeared On The Back ,Side Of Her Neck. Both Sides At Base Of Skull, And Urine Has Darkened.. Lumps Are Growing A Little . About 3-4Days Into These Symtoms.. Also Sore Tummy Left Side At Bottom Of Rib Cage", "output": "Hi, dairy have gone through your question. I can understand your concern. She has multiple enlarged lymph node. It can be due to reactive hyperplasia, tuberculosis or lymphoma. Chances of reactive hyperplasia are more. She should take a course of antibiotics like azithromycin, amoxiclav or levofloxacin. If it doesn't respond to treatment then biopsy diagnosis is advisable. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was on Cymbalta for 2 months 60 milligrams 3 days ago I started taking prozac 20 milligrams stop the Cymbalta cold turkey I am wondering if would help with that the withdrawals or would it be dangerous.and how long should I expect the Cymbalta 2 affect me or how long does it stay in your system", "output": "Cymbalta is brand name of antidepressant duloxetine which has half life in body of 8 to 17 hours, means it requires average 12 hrs for its concentration to become half after oral intake... when u take it regularly the steady state plasma level is achieved n it requires at least 24 to 40 hours for Chat Doctor. The strategy u ve started to avoid the discontinuation symptoms of cymbal ta is appropriate n good. Actully cymbal ta causes discontinuation symptoms because it has lower half life while Prozac has half life 4 to 6 days after chronic administration. So take Prozac regularly for 15 days and then keep it alternate day n then if u want to stop it, stop after another 15 days it won't cause discontinuation symptoms because of the long half life." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have gastric , especially when after eat. My pain is cramp , n i suffering pain till feel dizziness . I go specialist check, have endoscopy. In scop, dr say i have GERD and h.pylori bacteria . So dr give me medication of nexium, gaviscon, and 2 type antibiotic(klacid). But seem no recover, still same situation happen. I when back see the dr, he advice me take 1 month nexium.But just few days when on, I suffer pain till non stop,is continuely especially is nite time. Until cant sleep because stomach is cramp. I meet back the dr., so the dr do ultrasound for my abdomen. But seem nothing. What should be happen?i suffering pain, is continue pain non stop. I be given another medicine, pariet 20mg, buscapon and gaviscon. but seem not work..What should happen with me??May dr give some opinion. I will be suspect stomach cancer? Latesly my dad also get stomach cancer, but when we know is too late. is already spread to his whole bone. So he pass away. My percentage should be high or not? What test i need to do??", "output": "You have severe acute gastritis with acid reflux. You have not mentioned your age, but if a proper endoscopy has been done, you do not need to fear about cancer. You need to go on a proper diet control. Avoid spices, oily food and fast food. Eat smaller but more frequent meals. Never let your stomach be empty. Avoid tea, coffee, alcohol and smoking totally. Try Canton Total once daily and Socratic syrup 10ml three times per day. Take plenty of fluids, vegetables and fruits. Above all, don't take mental stress. Relax." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have pemphigus vulgars. It was discoveredi May of 2014. I have been taking a tapered dose of corticosteroids I have been off of that drug for a month now. In addition I take 1500mg of cell cept twice a day. In addition I swish and drink Nustain my concerns is my gums bleed when I floss. My question is could this be P V?", "output": "Hi. Welcome to Chat Doctor . I have gone through your query and can very well understand your health concerns. Pemphigus Vulgarism is an Autoimmune disease which causes blisters over the skin surface as well as Oral mucosa and can very much involve the gums. The blisters are fragile with a thin covering and can bleed on slight stimulation.Therefore, bleeding on flossing can be due to it. As you have taken the steroid course and of the signs and if symptoms of disease are not present then bleeding can also be due to gum infection as a result of poor hygiene. You should consult a dentist and get evaluated as the Oral lesions are many a times diagnostic tool for Memphis Vulgarism and if it is recurring you should get it treated again with Steroids. In case it is poor hygiene Scaling of teeth and antibiotics and gum paint can relieve. Hope this information helps, and thanks for writing to Chat Doctor . Of you find the answer helpful please give a Five-Star Review and click on found the answer helpful as a token of appreciation. Thanks and regards. Chat Doctor. ." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hii I m 29 yrs.... I m having gallstones of 22mm.... but yet I dint felt any symptoms other than indigestion ( not always, sometimes) I am taking ayurvedic treatment... the stone is too big.... vl it b cured.... should I go for surgery or stick to ayurvedic medicine...I want to plan my pregnancy now", "output": "Hi, I understand your concern. I see similar problems many times in my clinic. And I always try to get more dipper with examination, particularly if patient planing a pregnancy. Gallstone disease during pregnancy may escalate attacks of colic and can lead to surgical treatment during pregnancy, that's why such question have to be discussed together with your gynecologist. Usually I recommend making a laparoscopic cholecystectomy, then follow a special diet during whole pregnancy. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 37 yrs old male. I have undergone discectomy at L4-L5 and L5-S1 four weeks ago. I had recovered well after 2 weeks and doctor advised me slowly start normal activities.But after the 3rd week I am experiencing severe pain in my lower back. I have a twist towards my right above the hip area. Doctor has prescibed Medrol 4 mg 3 times a day for 5 days. But the pain is still persisting . Please advise. Sunil.", "output": "Hi Welcome to ChatDoctorI have gone through your query regarding your persistent back painTroubles coming again & again is caused due to imbalanced metabolism and weakened immune system, and it depends on regular life style proper regular exercise yoga Panama healthy diet. Gulping on medicines will not help total cure if regular regimen is not followed. Proper nutrition is an integral part of a healthy immune system if we take simple, fat free nutritious diet including all essential nutrients as fiber vitamins minerals, veges, fruit antioxidants as lemon water with water, garlic, ginger onion -whole grain almonds, walnut AMLA, coconut water all help strengthening our immune system .and pave way for our disease free, healthy life. Avoid fried, fast foods, tea, coffee alcohol meats colas, sodas as it can cause accumulation of toxins in the body. Take good night relaxed sleep & Meditation, helps further. Keep your bowels clean. Do exercise properly / regularly, / but don't do any exercise which involve front bending, It will do more harm than good. Back bending slowly, without jerks, will give you instant relief. Stand straight keep your hands on your waist feet 2 ft apart. Bend body back gently as much as you can. Sit on the chair straight both NDS clutch at the back on the hips. Pull hands, neck, shoulders, head as much as toucan gently help recovers your back, spondylitis cervical back problems instantly. A cup of hot milk fee with a level teaspoon of turmeric or Hilarity - a herb will give relief from pain & strengthen bones. Hope this give you reply of your query. All the best. Take care. If any doubt pls mail at Chat Doctor. common hesitate to get back if you have any further query" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i have pcos and i have been taking primolut n and clomid to try and conceive, i brought on a period in august and have been waiting for a period but nothing, so last week i started primolut again and i have noticed the past couple of days, mucous and ovulating!! how is this possible? since i took the primolut to bring on another period do i take the clomid again as well on days 5-9, help!!!", "output": "Hallow Dear, PCOS is a condition in which along with non-ovulation and delayed menses, you get high male hormone levels and high insulin levels in the blood. This condition needs to be treated on all the three fronts for a successful outcome. To achieve ovulation, you will need to take Camphene citrate, may be with Metformin. You should monitor ovulation with ultrasonography and have sexual relationship on and around the day of ovulation. The period after that may be supported by Progesterone or Chat Doctor. If camphene does not work, you may have to go for gonadotropin hormone injections for induction of ovulation. Along with the medicines, please have a control on this condition by diet control and exercise. Obesity, particularly increased waist/hip ratio is a characteristic of this condition. So have controlled intake of calories with high protein and low carboy Chat Doctor. Also, along with the Gymnasium exercises, you should walk for 40 minutes minimum in the morning and evening each with 90 steps per minute. I hope this advice will help you to have ovulation to conceive. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My wife pregnant (gestational age 39 weeks 1 day) with our first child. Normal pregnancy. She just had an involuntary discharge of about a half cup of clear liquid. She is not having regular contractions. We wonder if her water has broke. How much liquid can one expect when the water breaks?", "output": "Hello dear, I understand your concern. In my opinion there is no definite or specific amount to ascertain leaking fluid. But in case if the membranes rupture there will be gush of leaking fluid. The water just flows by the side of leg and thereafter continuous leaking might be there. But in case of vaginal discharge the above things will not be seen. As you are in term pregnancy I suggest you to consult doctor for physical examination and further management. Observer the fetal movements. Nothing to worry even if the water is leaking as you are already term. Best regards..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my name is XXXXX, I am 23 years old. I am suffering from severe depressionand anxiety. I consulted my doctor and he suggested me to take tryptomer 25mg. After the consumption of the tablet I have side effects like dry mouth drowsiness and I feel there are no people around me.. i am taking these tablets from past 2 days. Should i continue?", "output": "Dear Ring If diagnosis is correct, and you are experiencing side effect with current medication then it is better to consult doctor (i don't know whether he is psychiatrist) and ask to change medication as you may require higher doses for control of medication and now many medications are available for this condition which causes less side effect with better control of symptoms. If you want to continue this medication better to start with half dose then increase gradually (weekly increase of half tablet)." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My legs are hot to the touch, red and swollen. I went to the dr for this twice, 2 rounds of antibiotics...Keflex and Bactrim. They helped while taking them, now its back and worse. I also get what appears to be blisters on my calves - no reason. Been dealing with this about a year or so.", "output": "Hello, Thank you for your question. If you did not have any trauma on you toe then I think it as a type of arthritis called gout caused from uric acid crystals deposits in the joint. Your kidney may produce this kind of crystalloid and urine test will confirm or exclude this diagnosis if it is Gout then there is special medication for it such as Allopurinol or Colchicine or others. Wish you quick recovery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doctor i am a male living in asia i have proble of impregnating a female since i have a std as far back as in 1993 and it wasnt treated fully that result in my testicle so big that i have to go for testical surgery that really keep everything to normal till now but the issue is that i have earlier impregnated 2 diffrent woman that lost the pregnancy after couple of months,can you please advise me on what to do?", "output": "Hi thanks for writing to Chat Doctor. I have gone through your report. As you made pregnant 2 ladies before that means that you should not have any problem with your reproductive system. You should consult a gynecologist for your partner.In my opinion following reports should be done for your partner. 1 ovulation profile 2 SG histosalpingography 3 thyroid profile. For large tested you should consult urologist and should do color Doppler ultrasound. Get well soon. Have a healthy life." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just had laparoscopic gallbladder surgery yesterday (about 36 hours ago now) and I m in unbearable pain. The Percocet they gave for pain isn t helping and I m not even taking it. I have no complaints of pain aside from not being able to take a deep breath without pain in my upper right torso area. Is this normal? I ve read it can take years to go away and sometimes it never does go away. Anyways, second question, would I be okay smoking marijuana two days after surgery? I know smoke in general isn t good for the healing process, but would there be any chemical reactions? I m joining the Marine Corps in October and I need pain relief so I can focus on getting back on my feet.", "output": "Hi! Good morning. I am Chat Doctor answering your query. Even though you might have some pain and discomfort in the operated area, it should not be unbearable with the dose of analgesia prescribed. If I were your doctor, I would avoid recommending you to smoke marijuana and refer you to your surgeon for a review check up for the unbearable pain. Till then, I would consider prescribing a proton pump inhibitor and an antispasmodic Chat Doctor. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good morning sir, Pls let me know should I consult with a doctor for the following impression. -Garde I Fatty Liver Normal in size shape and out line with generalised homogenous increase in parenchymal echotexture. no foacal lesions. Intrahepatic billary radicles are not dialated. portal vein is normal in course, calibre and outline with hepatopetal flow. -Grade II Prostatomegaly 3.5x.4.4x4.0 cms weight 32.0 gms Thaniking You", "output": "Welcome at Chat Doctor I have gone through your query and being your physician I completely understand your health concerns.... What is your age? Do you have got diabetes? Any high cholesterol levels? As far as fatty liver is concerned, there is need to look at your liver functions. If your liver functions are normal then there is need of dietary modifications only like decrease carboy Chat Doctor. You should get your Lots done and meet Hepatologist so that you can be examined and investigated properly. There is need to find out the root cause of fatty liver.... For prostate, it depends upon the severity of the symptoms. If you have got symptoms like increased urinary frequency along with poor stream and " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 6 month old baby haven t make a stool for 60 hours. This is very unussual as he makes one every day. We have started with solids two weeks ago - riceflakes with HA formule and appelsauce. Baby seems also more upsett and does not sleep well. Shall I stop with solids for now? Or can you maybe suggest some better food to feed the baby with? How can I solf quickly his constipation? Shall I try appeljuice? Thank you.", "output": "Hello and welcome to Chat Doctor. Its very normal to experience change in babies bowel habits after weaning the baby to solid food. In infants absent bowel movements is normal for as long as 14 days provided that their abdomen is soft, and they are otherwise well. As your baby is restless, Glycerine suppoisatray can be given via anus to make the bowels empty. After that I would suggest following to make his bowel habits healthy> Give him prune juice.>Add more fluids.>Don't stop the solids completely but make them softer. Hope this answer is helpful. Good luck" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my husband is getting pain in the center of the heart i mean above the stomach exactly in center. is it any symptom of heart attack. what test should he undergo to find out why he is getting pain and also he gets stomach ache every now and then. that stomach ache is very severe", "output": "Hi, The pain could be both cardiac, stomach and muscular. Usually cardiac pain is caused by exercise, such as walking uphill, climbing stairs, it doesn't last long and usually settles down with rest. If his symptoms are consistent with the above-mentioned, he needs to refer a cardiologist and undergo a full cardiac examination. If not, I would recommend undergoing at least an ECG to be in the safe side. If it is not the cardiac origin, I would recommend him to see his GP, to do additional tests or examinations to find out if it comes from stomach, muscles or from somewhere else. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi can you tell me how to qure a prickly cough my father is 68 who has had a triple bypass couple of years ago and has prickly cough for nearly three months. He has described it like fine needles in his throat making him cough. He already takes an inhaler as it effects breathing, is any thing you can suggest???", "output": "Hi and thank you for your question. Your fathers cough is considered a chronic cough since it lasted for more than 8 weeks. The causes of chronic cough are many and to judge better about its because it would help me to know a bit more of his cough characteristics and his medication history. In the setting of heart disease my first concern is that the highest probability of its cause is related with heart insufficiency especially if the cough is nocturnal and the cough has pink frothy secretions. In this situation the treatments that for heart insufficiency and pulmonary edema. If your father is taking an antihypertensive medication that is part of a group called A C E inhibitor like enalapril, ramipril this also is a cause of chronic cough in a group of patients, and it may begin anytime between hours to months after the first dose. The solution is to stop this medicament. Does your father smoke or has smoked in the past ? He is taking an inhaler for his breathing problems so I can not exclude a chronic bronchitis and in this case if I was his treating doctor I would order a chest X-ray, pulmonary function test to decide for the treatment. I hope my opinion can be a help to you. Kind regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my 22 year daughter has a red rash on her arm in the shape of a circle approx 2cm that burns. She states it burns up above it and below it and itches. She has another circle just like it on the other arm but it does not hurt. She does not think she was bitten by anything. Any idea? She does have a history of herpes from 3 years ago.", "output": "Hello there,,,,welcome to ChatDoctor-Most likely your daughter has acquired a fungal infection. It is quite common skin condition. Present as well-defined circular itchy rashes which has tendency to spread...-Maintain a good hygiene and wash the clothes in warm water, this will kill the hidden spores of fungus and will help in preventing the spread of infection to other members...-Your daughter has to take oral antifungal like Tab Terbinafine-250\u00a0mg once a day for 3 weeks along with topical ketoconazole/fluconazole based cream over the lesions twice a day...-Take antihistamines like Tab Levocitizine 10\u00a0mg at night for the itching Hope this will help" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi I am 10 year old. my height is around 49 and I weight 82 pounds. my stomach has been hurting by the bottom and I think its my period.Every time i run it hurts. When i touch it it hurts too. this started hurting yesturday at night. is this my period or is it something else?", "output": "Hi Thanks for posting your query. It could be your periods as pain and discomfort can happen 1-2 days before starting bleeding. The other possibility is urine infection. If you are having any vaginal discharge the chances of cervices. Kindly mention if there is any discharge. I advise you to take anti-spasmodic medications. Ask your doctor for prescription. If no bleeding occurs get a urine routine test and revert with reports." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, i am milan 23 years old.Height 5.4 ft. Weight 56kgs.I was infected by ptb rt. on 31.5.07.And completed the dose of 2ehrz+4hr according to the doctors advice.But still my cxr report is abnormal.There is some right upper volume loss.There is pleural thickening with blunting of right costophrenic angle consistent with tuberculosis. But there is no symptoms found in sputum and is negative.Plz tell me how to cure it as i cant go foreign countries due to this abnormal cxr.", "output": "Respected user, hi it is related to old scarring occurred at the time of TB activity in your lungs.* Only thing which you can help is Regular walking in fresh air, Deep breathing exercises with YOGA to boost up your immune response of the body.- avoid smoking / alcohol / abuse substances if any.- avoid exposure to noxious environments Hope this clears your doubts thanks for using Chat Doctor & reviewing my answer. Welcome for any further assistance. Wishing fast and speedy recoveryRegards take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello- Diognosed with Hep B 23 years ago. Had liver biopsy & everything okay. Good helth since. Had routing blood test recently and ALT = 248, AST = 98, Total Bili = 1.7, everything else in normal range. Reactive for Hep B Antigen, non-reactive for Antibodies. Still feel great and have no other health issues. Scheduled for ultrasound next. Does this sound like liver damage caused by an active Hep B infection? What will the ultrasound show (does it show liver damage)?", "output": "Hi, You are having active hepatitis due to hepatitis b virus ultrasound may or may not show anything, what is important is the level of liver enzymes, hepatitis b viral DNA title and presence or absence of Head. You seem to be having chronic hepatitis c infection and hence proper follow up with a gastroenterologist is a must, irrespective of whether liver seems normal in ultrasound or not, as many cases of chronic viral hepatitis can land in complications. Treatment will help in many cases. All the best" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 48 years old man and having diabetic type 2 last 10 years. I have good libido always but i could not have sex at 2nd time after even 1 hour. Iam getting good errection but i could not release my semen through intercourse. what are the best foods to get good volume and which are the best way to cum in the 2nd time without much efforts. Please advie. Thanks", "output": "Hi,First I must congratulate you for having a good libido after 10 yrs of Type 2 DM. You are fortunate for the following facts:1) To get an erection, men need healthy blood vessels, nerves, male hormones, and a desire to be sexually stimulated. Diabetes can damage the blood vessels and nerves that control erection. Therefore, even if you have normal amounts of male hormones, and you have the desire to have sex, you still may not be able to achieve a firm erection.2) Pts with Type 2 DM usually suffer from - Premature ejaculation, whereas you are c/o delayed ejaculation and that too with good libido. If you can't release your semen by regular intercourse - 1) Start intercourse only after fully aroused mentally (even though you have good libido) and think only sex (in any form) during intercourse 2) Oral and other ways can be tried. When God has given good libido and delayed ejaculation don't you think that it is too much to ask for a second erection within 1hr. Consider yourself that you are sex wise extraordinarily benefited and get satisfied and content with that. Best wishes" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 21 month old son vomits quite often. it usually begin with him coughing a little then having projectile vomiting. He is continuously mucousy even with humidifiers, steamed bathrooms and saline spray. We thought that the mucous was the cause of his vomit, but then he also vomits sometimes when he s in the car, or runs around too much. When i brought this up to his pediatrician they assured me it was because he has a weak stomach or because he just gets too excited. There is no fever or any other issues after he vomits, he doesn t seem cranky after wards and he doesn t even cry. His vomit looks like ricotta cheese chunks with lots of fluid.", "output": "As per you give detail in your history that your child vomit with cough or when he run around too much or in car. I want some more information. Since when is he has these symptoms ? What is frequency of these symptoms ? Does he have recurrent cough? Two possibility in my view. More chance that he is cough problem. For that if symptoms are so frequent we give medicine so that problem control. Other possible she has more acid production if stomach, for that I would to give medicine which reduce the acidity like lansoprazole. So if was your treating doctor I would to have more detail for proper treatment with you healthy life." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi im 16 years old, I have been very light headed for about 12 hours now and i keep having pain on the right side of my head, always in the same place. although the pain has happened before, but i have never been so light head that i feel like i can pass out, can u help me?", "output": "Hi, I understand your concern and would explain that your symptoms could b related to low blood pressure. Have you measured your blood pressure values? If your blood pressure values are low, I would recommend having some rest and taking plenty of water. A coffee could help improve your situation too. Migraine headache can not be excluded either. If these symptoms persist and your blood pressure values are normal, I would recommend consulting with a neurologist for a physical exam. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I Am SUFFERING FROM GENERAL ANXIETY SINCE COUPLE OF YEARS. pREVEIOUSLY i HAD PANCIK FOBIA. i TOOK NEXITO PLUS FOR 6 MONTHS. nOT pANIK PHOBIA HAS GONE BUT gad EXISTS TILL NOT . nOT USING nEXITO. wILL I CONTINUE , IF YES AT WHAAT DOSE..... tHANK YOU", "output": "Hi, I read your query and can understand you concern due to anxiety. Your condition is highly amenable to treatment provided you seek proper treatment. That will also include regular follow-ups with a psychiatrist. Nexito plus contains Escitalopram and clonazepam. Generally I don't suggest using clonazepam for a long term. If at all needed, it must be used for a short period only. For your condition, Tab Escitalopram 10 mg/day would be recommended as a starting dose and depending on improvement, dose increment is done, up to a maximum dose of 20 mg/day. The treatment will have to continue at least one year after improvement in symptoms. In addition, it would be advisable that you start exercising which will help you relax and control your anxiety. Hope this information was helpful. Best wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "MY YOUNGER SISTER HAS EPILEPSY (MIRGI) PROBLEM SHE HAS TAKEN MEDICINES REGULARLY WHEN SHE WAS 5 YEARS OLD AT THAT TIME ITS ATTACKS WERE VERY SEVERE, NOW SHE SHE IS 15 YEARS OLD BUT STILL SHE HAS THIS PROBLEM, THIS ATTACK ESPECIALLY INCREASES IN WINTER SEASON, KINDLY ADVISE WHAT TO DO..... DILENTIN & EPIVAL ARE THE MEDICINES SHE WAS USING THESE MEDICINES RE RECOMMENDED BY NEUROSURGEON.", "output": "Hello, I will suggest you to look into the cause of epilepsy. I hope MRI brain would have been done. Please share its report if already done. If not please proceed for one with contrast. Also, I will suggest you that best doctor for your problem will be a neurophysician, not a neurosurgeon. If there is no cause and your patient is fit free over last 3 years, his/her medication can be slowly tapered to discontinue. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a history of reacting to antibiotic by developing a strong reaction of allergy to yeast and fungus. Normally Drs in the past prescribe for me Mycostatin and that works succesfully. Unfortunally last time I forgot to mention this to the Dr. at the emergency outfit that I went so I have develop a rash so bad , and is extending tgrough my body. I have talk and consult several DRs who don t believe me, they give me steroids(they don t work) also vicoden and tramadol they don t worlk . I don t take opiates since I m allergic to them. Can you help me?. All I need is a prescription for Mycostatin. I do not have diabetis, renal or liver problems or high blood pressure, I m very healthy . Can you give me a prescription for mycostatin or the name of a Dr who will listenj tol me Thanks.", "output": "Hi, Welcome to Chat Doctor. It is not clear whether you are allergic to antibiotic or that you have a yeast infection. Doctors will prescribe antifungal medication if they suspect any kind of fungal infection. You have to trust your treating doctor here. If you have developed an allergy to some antibiotic, then you have to take anti-allergic medication rather than antifungal medication. Please follow your doctors orders and do not try any self-medication. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I M 30 YEARS OLD . MARRIED . I HAVE PROBLEM OF Premature ejaculation . before 2 years i get treatment on depression antidepressant drugs (cetrizine) now from 6 month i stop this medicine. i have habit of Masturbation daily from past 10 years. which medicine and treatment solve my problem?", "output": "Thank you for writing to Chat Doctor. I understand your problem of early ejaculations. I suggest you to reduce frequency of masturbation because very frequent masturbation leads to conditioning of mind to ejaculate early and this happens in faster ejaculation with partner too. When clients with similar problem approach me, I advise them one or more of the following methods which often help them.1. Stop-start technique of behavior therapy.2. Female on top with active role.3. Double condom4. Medicines like Fluoxetine 20 mg day or Paroxetine CR 25 mg per day. (To be taken under medical supervision only)5. Keel exercise also helps in some cases. You can learn the same from internet. (As if try to hold urine intermittently during voiding)6. Penile squeeze technique applied at the point of ejaculatory inevitability.7. Applying a local anesthetic ointment to glans penis prior to penetration.8. Leading partner to orgasm by exploring and stimulating other erogenous zones. (Other than vaginal containment movements only)One can gain ejaculatory control over a period of time by practicing behavior methods mentioned above REGULARLY. Practice makes a man perfect. You can consult psychiatrist for this. Hope, I ad Chat Doctor. Wishing you good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 18 year old daughter has tonic clonic seizures just before or after her period. In the past she had a problem with taking suppositories for constipation because of her vagus nerve (she would almost pass out). Could her menses stimulate her vegus nerve at this time and trigger a seizure?", "output": "Hi, Thank you for posting your query. It is common for certain types of seizures to get aggravated during the menstrual periods. This is referred to as Catalonia epilepsy. These phenomenon are related to hormonal influence rather than vagus nerve stimulation. Similar situation can occur in women with migraine, which can get worse during periods, referred to as Catalonia or menstrual migraine. In your daughters case, taking cloacae for a week during periods would help reduce the chances of seizure recurrence during that period. I hope my answer helps. Please get back if you require any additional information. Wishing you good health, Chat Doctor. Ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i had typhoid in sept...nd since last 1 mnth i m sufferin from severe hair loss..i m loosin hair frm roots..whole hair breaks...i hve lost half of my hair growth...so wat should i do fr stoppin hair loss?? and when wil i get my growth back?? till hw many months??", "output": "Hello dear! Any severe illness, causes severe stress, the main cause for hair loss. As your online doctor, I advise you:First, to truly believe that all the hair will come back, and get fine, which means to stop worrying Second, to take a food supplement, the one which is full of vitamins and has the highest dose of biotinThird, to take pure virgin coconut oil, one teaspoon per day orally, and half teaspoon spread it on your scalp and leave it as long as possible, after that wash your hair with a baby shampoo - three times per Wentworth, be patient, it will take 3-6 months for your hair to completely rec overthink positive, you will be fine!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "No money to pay, looling on Sunday for left leg hemotoma, major pain, taking magnesium before doctro Tues, and used to work for orthos. No one can call back. ( No pain meds) Tried massage and heat. No cortisone post pnemonia, someone said no Cipro.. too bad there is not a blog first consult, I am sports photorgrapher. You would make more money to help and get more referrals through PR. sorry. Cannot move", "output": "Hematomas generally clear away on their own. It is essential to rest the affected leg, as this will allow the muscles to heal faster. One can use an ice pack to get relief from the pain. Put ice chips in a plastic bag, wrap the bag in a towel and place it over the affected area of the leg for 20 minutes. Repeat this procedure 3 to 4 times a day. One way to accelerate the healing process is to increase blood circulation in the portion of the leg. Hot baths can definitely promote healing in the injured area. Applying a heat ointment can do wonders in healing the injury. One can also place a heating pad to increase the blood flow in the injured area. Heat lamps, compresses and whirlpools are used to reduce the hematoma. For minor pain painkillers such as ibuprofen and acetaminophen. Topical ointments and liniments are also useful in this regard. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Help! Please... I have been diagnosed by Mayo with pelvic floor tension myalgia, IBS, and IC... these have proven to ge totally disabiling 2 or 3 days every week. I ve tried so many medications, accupuncture, ice packs, high-fiber, gluten-free, whatever, whenever... Nothing is helping. Any suggestions?", "output": "For pelvic floor tension Sylvia along with IBS, you have tried with medication, fiber rich diet and hot and cold pack also. I suggest you should take physiotherapy treatment along with this. There are specific treatment available along with exercise therapy which can help you a lot with IBS and pelvic floor tension Sylvia. It will be more effective again when you do a combine treatment along with medication, diet management, and use of hot and cold pack. I also suggest improving your lifestyle and food habits in terms of timing and add more colors by adding more fruits and vegetables in your diet, add omega 3 along with fiber in diet. Do regular morning and evening exercises as guided by physiotherapist. As well take proper medication as directed by your doctor. Mylgia is basically pain in muscle due to over strain, so I also suggest to practice meditation and try to control your bodies natural normal functioning along with that with power of meditation and body healing. Here I have given you general guideline but bi am sure this will definitely help you if you follow properly. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello,I woke up in the middle of the night with this sharp pain in my chest. It is not constant but it comes every 3 or 4 minutes. I tried aleve, tylenol, and even alka selzer and nothing is working. It might be a bubble in my chest but even burping hasnt healed it", "output": "Thanks for asking your question completely understand your question chest discomfort, sharp chest pain can be due to cardiac or lung ailment sin my patients I would like to rule out these diseases by a chest X-ray and an ECG and 2 d echo if needed if all these diseases are ruled out I may start my patients on proton pump inhibitors like pantoprazole because these symptoms can also be due to gastritisthanksfeel free to ask more questions may god bless you with good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I was recently diagnosed with a severe case of TMJ, causung severe facial pain and headaches that last all day. On my last doctors visit, she suggested I have Fybromyalgia. I am having severe lower back pain. I have had a clean MRI and a clean CT scan of my sinus cavity. I have an appt. with a nuerilogist in Jan. I have been instructed not to take over the counter meds as I have a bleeding ulcer. Any suggestions on pain releif? I have been living with this since June 2014. Thanks, Lance", "output": "Hello, I have studied your case with diligence. As per query you have fibromyalgia and pain in TMJ and headache. Well in condition like fibromyalgia, it amplifies painful sensations by affecting the way your brain processes pain signals. But this pain start with physical trauma, surgery, infection or significant psychological stress. So it seems to me that TMJ pain is due to bruise that is clenching of teeth at night. I would suggest you to consult the dentist and get mouth guard so that TMJ problem can be minimized. Doctor may also prescribe muscle relaxant. Also do physical therapy of facial muscles. In the meanwhile consult doctor and take treatment for fibromyalgia like antidepressants, anti-seizure Chat Doctor. Wishing you good health. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Greetings ! I am a healthy 55 yr old woman being scheduled for an L-5 , S-1 discectomy in 7 days however , my blood potassium level is slightly elevated & my Dr. is concerned . Also , oddly , my heart is now galloping about & I am scheduled to see a cardiologist tomorrow . I take vitamins ... how did this high potassium level happen & how can I remedy this ? I am rather concerned & VERY surprised at this strange turn of events ! Thank you so much - Carol", "output": "Hi, welcome to Chat Doctor. Looking to your history, I as a nephrologist understand your concern. Slightly high potassium level require evaluation first about your diet and any medicines you are taking. Check BP, basic urine report, S.creatinine, blood sugar and bicarbonate. Diet restriction and potassium binding resins are usually sufficient for mild elevation. Don't worry. Pls mention exact value of potassium. I think this would be helpful to you. You can get back to me with above reports. Best wishes. TC Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a skin type of sore, which has festered and nothing I have tried OTC seems to work. First thought it might be fungal, or bacterial skin rash - but again, nothing over the counter has work. Seems to be getting worse. It started out as a small skin rash, and became very irritated by scratching. It dosent burn, just gives off an annoying intense itching sensation - causing me to scratch till its sore.", "output": "Hi, After reading your history there can be multiple of possibilities of the same which can be due to trauma to local area which is causing damage to the skin day by day. It would be better if you can give us a detailed history along with a good picture of the affected area or can consult a dermatologist for checking the aggravating factors. I advise you to not pinch or pop the area. You can apply a calamine lotion over the same. If itching is present then can take Ben Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "check Hi I am 62 year young lady and now I have high blood pressure,My daughter gave me anpron machine to check my pressure,but now I am nervous as my pressure keeps fluctuating.My daughter is a Doctor and now I am nervous.I am currently in care with my own Doctor ,but as I read thede didital machines are not that accurrate.Please advise.", "output": "Hello! Thank you for asking on Chat Doctor! You are right my lady, when you say digital BP measuring machines are sometimes incorrect (they may lack appropriate calibration, or their battery may be almost expired and the machine doesn't properly work). I would not recommend digital machines, they are comfortable for solitary people, but they lack accuracy. Instead, i advice a simple sphygmomanometer device. Only after using a correct measuring device, one can be sure in judging the presence of high BP. Hope to have been helpful to you! Greetings! " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 20 year old son has a hard lump about three inches up from tthe hair line at the back of the neck the size of small marble. Three years ago he had an xray and it showed it was bone nothing to worry about . This weekend he has worn a full face helmet which was tight and rubbed the lump. It looks a little bigger or swollen and he said tender .Today our doctor sent him for another xray just to check , But thinks its proberly the ill fitting helmet has cause it to swell slightly. Is this normal am a worried mum .", "output": "Hello rearward welcome to Chat Doctor.come have evaluated your query thoroughly. Hope this clears your doubt . Wishing you fine recovery. Welcome for any further assistance. Regards take care. Hello rearward welcome to Chat Doctor.come have evaluated your query for your son in details .* The lump over back of scalp with this description seems to be sebaceous cyst most likely, needs confirmation with clinical examination. Hope this will help you for sure . Wishing him fine recovery. Welcome for any further guidance. Regards ." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dr I am 31 years old woman I lost my child a year ago because my placinta got detached at the last moment and the baby died of soffocation now l have beem trying to conseive but to no avail l dont know whats the problem is my husband have no time to visit DR for the same can u please help me out can there be any infection or somthing else gone wrong inside l am really very worried please do the needful", "output": "Hi, I think you can go for evaluation first. Do a thyroid profile and prolactin levels and an ultrasound for your uterus and ovaries. Also, a semen analysis of your husband should be done. You can also do a HSG to see the tubes' patency. If everything is fine, you can try naturally for 6 months. Be in contact with your husband every 2 to 3 days after your periods stop. It will increase chances of your pregnancy. If it doesn't work then you can go for some medicines for growth of your follicles. Discuss with your doctor regarding this. Hope I have answered your question. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I m 31 years old relatively healthy, I have asthma and diabetes . No medication for the diabetes, just treated with diet. Recently I have had tightness and a bloated/full feeling in my diagphram. Along with that I ve had wind, mainly burping and heart palpatations. The palpatations are daily, sometimes 2 or 3 times a day, generally after i have eaten and go as quick as they come. I ve also noted at the time my diagphram has this full feeling, my breathing becomes a bit more shallow. I have no pain anywhere, just discomfort and concerned about the heart palpatations", "output": "Hi, You seem to be suffering from Asthma with diabetes. You need to take your asthma medications regularly and get it evaluated at routine intervals from a pulmonologist. Your abdominal complaints could be due to a condition of diabetic Gastroparesis. You can take antacids like Tb PAN D for symptomatic relief once in the morning on empty stomach. I would suggest you do a repeat blood sugar fasting and post meal levels along with gycosylated HbA1c levels for your current diabetes status. Also, an ECG and stress test need to be done for the palpitations. Thus, you need to get yourself re evaluated at present as mentioned above and get managed accordingly. I suggest you visit your doctor and get evaluated as advised above in consultation with a planetologist and a cardiologist if required. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 10 year old son has had two bouts of vile smelling burps followed by vomiting. The vomit doesn t smell like vomit. It smells like the burps. Like rotten egg. The vomiting is at night. The burps stop after the vomiting. The first bout he had a fever and loose stools and abdominal pain but the second was just burps all day then vomited at 4 am.", "output": "Hi...this looks like a stomach flu. Usually this will start with fever and then vomiting and then diarrhea (loose stools). Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements & ORS (Each small packet mixed in 200ml of potable water and keep giving sip by sip) as HY Chat Doctor. If there is vomiting you can use Syrup Ondansetron (as prescribed by your pediatrician). Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have recently got a bump between m,y scrotum and anus What I will call my taintIt feels like it is on the vein or seem that runs between the twoIt is about the size of a pee or smaller At first I thought it was a pimple or cyst that was coming upBut it never got bigger or opened upAny ideas", "output": "HelloThanks for query. Presence of pea sized bump on the perineal region is mostly due to staphylococcal infection of hair follicle in a stage of induration or a sebaceous cyst. The diagnosis can be confirmed only on clinical examination by a qualified General surgeon.In the meanwhile take antibiotic like Doxycycline and anti-inflammatory medication like Diclofenac twice daily for a week. This should help to get it cured. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi! I have had several kidney stones before and I feel like I might have another one but not sure?? It started about 4 or 5 days ago with pain when I had to urinate! Now today I am still frequently urinating with a lot of pain before I urinate and now just sitting at work I have severe pain in my abdomen going to my left side into my lower back!!! I feel hot when in pain and sick in my stomach? What should I do??", "output": "HelloPainful urination may be due to many reasons like urinary tract infection(UTI), calculus in genitourinary region etc. Pain doesn't necessarily indicate kidney stones. You need proper clinical examination and routine investigations. Investigations include routine hologram, random blood sugar, renal function test, ultrasound of abdomen, urine RE/ME and culture/sensitivity. Nitrite test and leukocyte esterase test can also be done to confirm UTI. You may need CT scan of PUB region. Proper treatment depend upon findings. You should consult urologist. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was just getting my nails done at a nail salon and I passed out Im not sure if it was from the fumes I had my father check my blood sugar an hour later it was 142 should I be checked for diabetes Was having a work party all I had to eat was to rice crispy treats and a piece of bacon Plus I have a bad head cold", "output": "Hello. Thanks for the query. On the basis of the reports you have told me, diabetes is unlikely. The sugars should have been either much lower, or very much higher. Still, it is always a good idea to test for diabetes. Testing with FBS PPBS HbA1C may help. Getting a cardiac and neurological check up to rule out arrhythmia, TIA and seizures is more essential, if the sugar tests are normal. Let us know the reports for further details. ChatDoctor" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my name is Darla i was on my meds for years and my doctor took another job so i couldnt find me another doctor to talk to i need a doctor help me i have so many issues i dont even know when to start but i thought i could get by this year without nothing but it back fire where i dont have my meds or just someone to talk to and things need to have so isues i cry all the time and ,my nerves feels like i am gonna burst i try to kepp it coll as they say but more and more kepp get on top of me like i feel like can breathi just know wht to do or where to find the help i need", "output": "Hello, welcome to Chat Doctor. From your symptoms of nerves bursting, crying, confused and low mood it appears that you are suffering from chronic depression. This illness need long term treatment under close supervision of psychiatrist. In many cases symptoms recur on stoppage of treatment. It is better to meet psychiatrist and start treatment accordingly, as medicines are prescription medicines. For long term control following simple measures are also helpful: relaxation exercise and non Chat Doctor. Wish you good health and all the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, my mother (53 yo, ex-smoker) was diagnosed with lung cancer last summer. She had surgery(left lung lobectomy). The biopsy revealed lung adenocarcinoma , without lymph node involvement and only localized damage. All post surgery ct did not reveal any problems to other organs or the brain. Yesterday she had a brain CT which revealed a 18mm tumor in the left bregmatic area of the brain and was advised to do radiaton therapy which we booked for thursday. Is there any chance for long term survival?", "output": "Hi, Thanks for writing in. Presence of a tumor spread. In the brain in a patient with lung cancer is stage 4 cancer. Such a case can have a survival of up to 2 years after detection. However, the tumor has been detected in early stage in the brain, and therefore it is possible that with aggressive treatment and radiation the tumor cells can be completely destroyed, and she can survive even for 5 years or more. Please discuss in detail with your doctors and if required then gamma knife treatment and chemotherapy can also be given to completely eradicate the tumor in the brain. The tumor measures 18 mm and is small and can be managed right now. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my mom who is 58 years old will be having a triple bypass, how long will her recovery be. she is not a smoker or a drinking but has high cholesterol issues and high blood pressure. Does someone of this age have a better chance at no complications then someone older who drinks, smokes and has other health issues", "output": "If everything is well, your mom should be out from ICU in 3-5 days at home by max a week and regular life by 3 weeks. However, she will be able to move about and perform all her activities by a weeks end. For sure the risk of complications are less in someone like your mom than in some someone who smokes because the lungs are healthy making it easier to wean off ventilator also lungs not completely expanding, and secondary infection are the most common reason for prolonged recovery which will be minimal in your mom. All the best for the bypass. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi...i am 34 years old. i have 5 years old daughter,now i am thinking one more baby .but my period is ireguler ,45 or 50 day s after comes period ,so i can;t understand period cycle for pregnancy try.i want to know that what i will do for pregnacy?age 34, 5 4 height, 64 weight", "output": "Welcome to Chat Doctor Do you have any constipation or abdominal pain. You could be having irregular period because of possible hormonal disturbance. You should get examined by Gynecologist and hormones like thyroid, prolactin checked. Also, ultrasound may be needed to look for ovarian cysts. Chat Doctor. Do exercise every day. Avoid fatty, junk food. Eat plenty of fresh fruits and green leafy vegetables as overweight can be associated with certain types of hormone disturbance. Once the cause is treated and your periods become regular you may have better chance to conceive." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,I m a 56 year old male with some shoulder pain. Not sure what it is, maybe arthritis, rotator cuff or a combination of the two. I take blood pressure medication and a low dose aspirin per day. A friend I train with mentioned Glucosamine & Chondroitin w/MSM for joint health. Should I be concerned with taking this with my pressure medication. In your opinion , is it worth?", "output": "HiT hank you for asking Chat Doctor. I have gone through your query. Shoulder pain can be due to frozen shoulder which is common for your age, or even it can be rotator cuff tendinitis or tear. Rotator cuff tendinitis is associated with pain for certain movements. Frozen shoulder is associated with pain and stiffness of movements in most of the angles. A physical examination by an orthopedic is well appreciated to rule out the condition. X-ray followed by MRI of shoulder might be required in case of positive signs. Glucosamine and Chen Chat Doctor. You can take it if you have osteoarthritis which will evident in X-rays. Hope this may help you. Let me know if anything is not clear. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a question in regards to my asthmaIm 26 y/o. I was diagnosed with asthma about four years ago. I developed asthma right after I stoped smoking. I have been with my current partner for about the same time, almost five years and he is a smoker. I have noticed that sometimes I get asthma episodes and/or attacks after I kiss him. Now, he does not smoke around me, and I never kiss him after he smokes. What are the chances that my asthma worsens by kissing him? What are the effects of his smoking in me? Im very concerned because my asthma seems to worsen even if I take all my medication and follow up with every treatment.Thank you.", "output": "Hello, It's been 4 years that you have been diagnosed with asthma, for which you taking meds already, we need to consider few points first:As you know that asthma needs a trigger, which could be anything for example smoke, pollen, hay, animal fur, dust etc. when exposed to these it triggers a bronchospasm and an asthmatic attack occurs. So, as you said your partner smokes though not in front of you or around you, but he does smoke, that smoke is still present in his breath, his clothes and body and It's enough to trigger an attack anytime. I hope you both are aware about the ill effects of passive smoking, they are almost equivalent to active smoking. I would advise requesting your partner to think about quitting smoke because it's harmful for you and obviously for him in the long run. The medications that you take will also have a slower effect if smoking continues. I would also suggest you to book an appointment with your treating doctor and review your current medications maybe he/she might want to alter some to help you for a better control. I would also request you to keep a check of your Peak flow which is basically the maximum air that you breathe out in one breath and accordingly modify your inhaler doses. You should also indulge in some physical activities like brisk walking or jogging which will help maintain a good lung capacity, ask your doctor about breathing exercises, they also help in maintaining a good lung function. Prevention is always better than cure, so you both should meet your doctor and help your partner quit smoking which is beneficial for both. Asthma can be a very debilitating illness and you both are young, so you can check it at an early stage and keep good health. If you have further queries you can get back to me, am always here to help. Take care keep healthy." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Had an adrenalectomy and one kidney removed after I was diagnosed with Pheochromocytoma . I have been pretty good since removal in 1996. I am 42. I have gained weight since a lot. I was interested in Herbal life but I am concerned of it s effects on my one kidney. Any thoughts? Could I be causing myself worse damage?", "output": "Reclothe answer is a strong YES. Many herbal products have harmful effects. Because something is from nature, it does not mean, it is harmless. It could be dangerous. There are several native medicines that have been proved so. You could see several cases in US from the use of native Chinese medicines.... You have only one kidney. Never take any product, that is not approved by your nephrologist (kidney doctor) - even non-herbal ones like pain relievers... Take care Good luck" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 49 years old, 53 - 130 lbs. have a hard lump on the outside of my left knee. This knee has given me pain over the last couple of years, but the lump has really become larger over the last 6 months. Now it is hard for me to straighten and the pain is almost constant. Pain in also now going behind the knee on the left side. The lump does not hurt and is not moveable like fluid.", "output": "Hi, Dear,thanks for the query to Chat Doctor. After going through the query in details, In my opinion--Your lump on the knee left-is Synovitis with Effusion with knee arthritis?early-OA.-Cause- is the aging OA due to overuse of the joint and disuse atrophy of the qua Chat Doctor. Synovitis of the knee joint with overgrowth of the synovial granular tissue erodes the knee joint surfaces and OA occurs with reactionary fluid in the knee joint as in your case.-Your symptoms suggest progression to the back of the left knee from the front knee area.-Treatment- I would advise you to see Orho-Surgeon / Physician who would treat it after proper investigation. Hope this would help you to plan treats with your doctor. Wishing you fast recovery and Healthy life. Wellcome to Chat Doctor for further query to My Chat Doctor clinic. Have a Gd day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have hard lump at the base of my thumb where it meets my palm, the tendon that goes up the side of my thumb is sore as well. It happe luned over the past few months, originally my thumb joint would catch the lump appeared after the catching improved.", "output": "Hi, thanks for sharing your health concerns with Chat Doctor! If I were your treating Doctor for this case of painful thumb swelling, I would consider some infective pathology like tendinitis/bursitis or infected inclusion cyst! This one needs antibiotic therapy and sometimes incision / excision for cure!Therefore, you need examination by a surgeon. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I take 10-12 dexamphetamine sulfate 5mg tablets a day for a sleeping disorder. I m 21 and have had no other medical history apart from asthma as a child. my partner and I are trying for a baby what are the effects my tablets can have on the baby. I was told when I first started the medication that there is no sign of them harming the baby?", "output": "This medication should be used only when clearly needed during pregnancy. Infants born to mothers dependent on this medication may have birth defects, be born too soon (premature delivery) and have low birth weight. They may also have with Chat Doctor. Tell your doctor immediately if you notice possible mood changes, agitation, or unusual tiredness in your newborn. Discuss the risks and benefits with your doctor. This medication passes into breast milk and may have undesirable effects on a nursing infant. Breast-feeding is not recommended while using this " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "For the last 7 years I ve notice my bottom teeth doesn t line up with my top teeth. Is there a reason why my teeth is changing? I m 27 and I ve only had one wisdom tooth pulled out but my other three are coming in. However, I feel that it may not be because of my wisdom tooth. When I move my jaw slightly to see how my teeth would look lined up my smile becomes straight as well. Is this something that will need jaw surgery or would invisalign or braces help?", "output": "HELLO AND WELCOME, As per the details, I feel you have got a prognatChatDoctorandible/retrognatChatDoctoraxilla. The teeth will get maligned due to the force of wisdom teeth eruption too. Usually orthodontic appliances are used to treat such cases. If there is prognatChatDoctorandible, orthognathic surgery is necessary for normal occlusion. The clinical diagnosis can be interpreted using radiological examination like OPG. Based on that treatment can be planned. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI, I have made a doctors appointment for today but am concerned. I have been coughing up small spots of blood (one to two) in the mornings for the past few days. I have nasal polyps and have had a headache and saw throat . I am a 31 year old female and a smoker. I am also asthmatic and recently had my best lung function test of 100%. My breathing is fine but am really concerned about the blood!!", "output": "Hithanks for your query on ChatDoctoru r known asthmatic and smoker recently had blood streaked sputum being a smoker u may have COPD also if it's the case then you are asthmatic+cop din chronic bronchitis u may have this kind of blood streaked sputum also we need to exclude lung cancer in a smokers go through these investigations1. Chest x-ray2. Cect thorax if x-ray is suggestive or inconclusive3. Sputum for acid fast bacilli4. Need to take tranexamic acid thrice daily along with some form of sedation5. don't get tensed consult a pulmonologist well soon thank u" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, doctor...thanks for answering... I have a chronic inflammation in both of my arms for 4 years...but want to use only herbal drops, I used to use in Europe many years ago...I did have this before, when I was only 18 years old...I dont recall the name of those wonder drops, since those had cured my arm pains in only 3 days...", "output": "Hi Welcome to ChatDoctorThis is Chat Doctor. On going through it, I found no description of your trouble -general symptoms, ESSENTIAL, to be kept in mind, to diagnose a remedy, by a practitioner. I would like to know, your age, weight, height, lifestyle details etc. you have previous history of medical problem ? You must know the fact that inflammation (SINCE 4\u00a0YEARS) itself is not a disease but the outcome of some problem, which you are having inside your body. & it is the warning given to you, through outer body to be aware of the situation. It advisable to get yourself thorough checkup and get diagnosed the reason of your problem and start treatment. For the time being, I will suggest you to take care of regularity your daily routine, diet, exercise/ Deep Breathing / long walk, and proper rest, and some meditation, which will give you peace and vitality. Remain healthy and happy ever after. Good Lockout hesitate to get back if you have any further query. God bless" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello there i am due my baby 3 week tomorrow, for the past 2 days i have been feeling a bit sick, were i bork a fair bit, but tonight i was just sat there and i noticed little dots when i looked around the room, i have came home and done my blood pressure and it is 150/61 and pulse rate is 110, i am not sure if this is because i have been rushing before coming to bed ?", "output": "Hello, I would explain that these high blood pressure and heart rate values could be related to the physical activity. Anxiety may mimic this clinical situation too. For this reason, I would recommend you to closely monitor your heart rate and blood pressure values in the next days, frequently during the day, in sitting position, after 10 minutes of total relax. If your blood pressure values are above the normal ranges (125/85\u00a0mm Hg) most of the time, I would recommend consulting with your attending physician and performing some blood lab tests in order to investigate for the possible causes. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello. about 2.5 weeks ago my 3 year old had diarrhea x3d. almost a week later developed a scratch like rash on her legs and pretty much everywhere else. didn t seem like it was itchy. she responded to zyrtec qd. but the rash still comes and goes:( she also had a fever before the rash x3d. she has been extremely fussy and pretty much started having horrible tantrums qd:( for the past few days. please advise. thanks", "output": "Hi... Thank you for consulting in Chat Doctor. By what you quote it should be an urticaria or a simple skin allergy. Most important thing to be remembered is that it has a propensity to recur (called as second crop) within 10-14 days. If this happens, you can start using the same medicine, but I suggest you get the kid evaluated with your pediatrician. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "im 26 years old.my penis at excited state is 10CM and normal state is 6.5CM.my one esis is very very small and other is about may be normal size.from 9years i do handling of penis.maximum time i think about to sex with a female.am i hyper sexy.what will i be impoent.please tell me how can i escape from impotent.chandan(kolkata-30)", "output": "Hi.welcome to Chat Doctor.I understand your problem.my opinion is that,1.your penis size is normal only.don't worry.2.take healthy foods.3.do masturbation twice in a week.don't do more than that.4.over masturbation will cause watery semen and premature ejaculation. Avoid thinking about sex. Mingle with your friends and family members. Do yoga, exercise etc., thank you. Hope my answer will help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello.. i have great pain in my upper chest on both sides and it hurts when i take more than just a little bit of air in. i also feel now a shooting pain on my left side in my chest area.. i also have a bad cough and have been coughing up some phlem. i cant lay on my back and breath, but i can lay on my right side and breath somewhat okay.. whats going on?", "output": "Hi welcome to the Chat Doctor You are having severe chest pain and cough in sputum Hence we don't have to neglect these symptoms and further work up needed as follows..... -Auscultation -Chest x-ray -sputum examination and culture if x-ray shows consolidation (it can be case of pneumonia so) -EKG (because left side pain also present) If no consolidation seen then there might be bronchitis leading cough and pain... For that decongestant and antibiotic course of needed to be prescribed If chest x-ray clear and Auscultation also doesn't reveal any Abnormality then nothing extra work up needed and for pain broken can be given Hope your concern solved Consult pulmonologist for examination and discuss your case" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband and I had sex and the skin around the bottom of the head flared up in what looks like large red bumps they hurt he said they dont Itch but are very enflamed....I havent noticed anything off with me lately (yeast infection etc.) And I told him it is probably just a friction thing there are no open sores though but we have been having a lot more sex lately than usual....really confused plz help", "output": "HiT hank you for asking Chat Doctor. I have gone through your query. Your problem is most likely tear on place where foreskin attached to penis. In such case ointments with steroid and antibiotic helps. But you should not have sexual intercourse for some to let it heal. If that is not helping then you can see a surgeon and can go for a circumcision if you are willing. Hope this may help you. Let me know if you have any further queries." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Doctor I am 45 years old, and 24 hrs ago, I felt really sharp piercing pains above my left ear close to my temple area. I also noticed there is a lump-like swelling, as if I have had a blow to the head. I have tried ice packs, ibuprofen and sleeping, but the pain is relentless. The spasms feel like gnawing every 2 seconds, and its driving me insane. Please can you help???", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. Since your temple pain is not subsiding by ice packs and ibuprofen, possibility of either temporal arthritis or skin infection (cellulitis) is more. So better to consult doctor and get done clinical examination and ultrasound examination of swelling. If there is cutaneous edema then possibility of cellulitis is more. For temporal arthritis, steroids are given. And for cellulitis, antibiotics are needed. So better to first diagnose yourself and then start appropriate treatment." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi there I was doing star jumps and felt slight discomfort in my knee. There is no pain what so ever, however there seems to now be a soft lump almost spongy on the lower outside of my knee near the patella. The lump becomes obvious when doing knee flexion", "output": "Hello! Thank you for the query. This lump can be a cyst connected with the joint and filled with joint fluid or varicose vein. Both cyst and varicose vein are soft and usually painless. Varicose vein can disappear when the leg is risen up. Varicose veins have vein like color. Cyst is colorless. I suggest you to consult general surgeon or orthopedist with this issue. Cyst can be removed. If its varicose vein, Doppler's ultrasound should be done. Hope this will help. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "semen analysis showscolour : opalescentconsistency: Thinquantity: 0.5mplreaction: Alkineliquification time : 15minactively motile: 50%sluggishly motile: 10%non motile: 40%pus cells 1 to 2/ hpfRBC nilsperm count 70 million/ mlMorphologynormal: 60%Abnormal 40%what it means?", "output": "Hello It is important to rule out semen infection due to presence of few pus cells in semen, otherwise findings are normal. Normally semen shouldn't contain any pus cells. You may need investigations like routine hologram, random blood sugar, semen culture and sensitivity, ultrasound of scrotum. You may need to take antibiotics based on culture and sensitivity report. Motility is normal. Normally it should be at least 55 %. Your findings suggest over all 60% motility. Morphology of sperms are normal. Normally 16 % sperms should have normal morphology. Sperm count is also normal. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 22 years old and i have acne problem...I ve been visiting a dermatologist for the past 3 years and still i am facing Acne problems...The doctor has prescriped doxt s and Topcid 40...Can I take those tablets as prescribed by him..Will i face any side effects..please advise?? I dont have a credit card...Is it possible for you to answer my query??", "output": "Hi NEA, Thank you for asking, in public forum you can ask a question and get an answer for free, so please do not worry about your not having a credit card. Generally, a Chat Doctor. This is specially true in patients who have illness which is not life-threatening. Cardinal principle of medicine is first and foremost which says Do No Harm. Therefore, I will urge you to have faith in your doctor and take the medicines as prescribed. You will get well. With best wishes. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have stomach and kidney (right )Pain from last 10 days.I have done sonography(abdomen and pelvis) and it show Grade-1 fatty liver.I have done urine and some blood test it shows everything normal.Initially doctor prescribe me anti bact then anti-biotic but still pain is there", "output": "Hi thanks for contacting Chat Doctor .... You have no abnormality in liver except fatty liver.... So here your pain could be by steatohepatitis.... Take Ad\u00edlio 300 mg tablet every day... Low fat diet taken.... Fruits taken more.... Avoid alcohol and refined food. Use less oil in food. Sunflower like good oil can be taken. Rest for few days then regular exercise. Carrot, papaya, golden seal, spinach, mustard green, dandelion ,avocados taken more. With keeping this in mind consult gastroenterologist. Take care. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, when i straighten my back, i feel a cracking sound, (similar to cracking your knuckles) its not everytime i straighten, maybe once every half hour or so, its beginning to hurt. somedays it will hurt alot and some days it will be fine. Its next to the right shoulder blade area of the back", "output": "Hi, thank you for posting. I have gone through your query and I understand your concerns. I think that you suffer from vertebral column arthritis. To confirm the diagnosis you need:1. Vertebral column X-ray.2. Fibrinogen test.3. Complete blood count.4. Urine test. The treatment of this disease contains non-steroidal anti-inflammatory medications. Massage is also recommended. Consult your neurologist. All the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I got my blood test done on 26 th June and my s.g.o.t was 82.8 and s.g.p.t is 44 .7 . What can be the reason for this increase ? Can it cause acne ? And after how many days should I get d test again to check if they are normal ? I was having homeopath medicine from last 4 minths", "output": "Hello, Elevated GOT/ SGPT can be transiently raised in few infective cases but if you have no infection, please re check your Complete liver function tests after 2 weeks and if they are still elevated, you have to get evaluated and get tested as to why you have altered Liver function tests, please consult your doctor and get your complete evaluation if you have persistence of elevated tests. Hope I could help you. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am diagnosed with Heptatis B in last two years. Although, my viral load is high (used to be over a million but in past few months measured at 350,000), I am not on any kind of medication and so far my liver enzymes are normal (every three months I do blood test for LE). My Hepatologist has retired and now I am looking for another one. My question from you is this, based on this brief information I have given, what would you recommend? Thank you kindly,", "output": "Hi, you are a hepatitis B positive since 2 years, and you are not using any medicine with your doctors advise or individual reasoning. I am asking because the virus is a virulent and wait for an opportunity to attack the patient. During any convalescence it may flare. I prefer to give to my patients the supportive therapy to the liver, so that the patient may not be at risk. If it is your hepatologists opinion he will be the better judge. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I had my tubes cut and burned and tide almos two years ago after a c-sec. Last month I had my reg period. This month I am about 2 weeks late. Lower abdomen pain and sometimes back pain that comes and goes. I am very regular and if I have abdomen pain my period usually follows right after. But this time I am still waiting for it and nothing! Could I be pregnant?", "output": "Dear patient With your both tubes ligated and cut There is very rare chance of you getting pregnant. But cases have been reported of pregnancy after tubal ligation. Also, your periods are very regular till date and this is first time they are late. So possibility of pregnancy should be considered. I would advise 1. Urine pregnancy test 2. Ultrasound of abdomen and pelvis. Both are sensitive In diagnosis of pregnancy and ultrasound also rules out other uterine conditions. So get this done. You should visit expert gynecologist with report." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son is 3 years old. He has a bump on the left side of his anus or butt whole. It was small when I first saw it thought it would of went away on its own. By keeping it clean but it has gotten bigger. Also before when it was smaller it would hide within his anus on the left side. So I would think that it was gone when it wasn t. It formed from the inside and now big on the outside. How to get rid of it and what is it and how do I prevent it for the futures sake.", "output": "Thank you for following up. At the first you should give to her antibiotic-amoksiclave or amoxicillin 500 mg 2 times after meal or erythromycin 15 mg per kg in a day during 10\u00a0days. For normal flora of interstine-bifilac or Darla 1 caps 2 times between antibiotics, antihistamine- laevocetirizine 1 tab 1 time in bedtime. Ecoxib is anti-inflammatory, it has some negative effects: gastrointestinal problems, nausea, headache, mouth ulcer, renal failure. You should keep child HY Chat Doctor. About ecocide it can give negative effects for stomach, kidneys,that's why you should check urinalysis and " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor, i am a 24 year old Male. i had met with an accident couple of months ago, and had a severe fracture, my right hand radius and alna bone had broken. after the surgery my doctor told me to take GEMCAL NASAL SPRAY, my question is does it have any side effect with my fracture.??", "output": "Hi, It does not have any side effects involving the fractures. Gemcal nasal spray (Calcitonin) is commonly prescribed to treat osteoporosis in postmenopausal women and also in elderly men to make the bones stronger and lower the risk of fractures. Its common side effects include nasal congestion, rhinitis, diarrhea, and flushing. It is not known to have any harmful effects on the fractured bones. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Blood pressure has been checked several times, and is good, well within limits. Having occasional (once every couple of days) dizzy spell whicChatDoctores on for just a few seconds of strong deja vu, and sweaty head. Discussed with doctor, and he believes it is hypoglcemia based on situation. But now getting these spells more frequently, even an hour after eating a full meal, and even while I sleep. Diabetes? Mini-stroke? 49 - non smoker, tennis player once per week.", "output": "Dear-thanks for using our service, dizziness could be secondary to multiples reasons for which you need a basic physical and laboratory examination to determine the causes. The most common are; hypoglycemia (specially if you don't eat regularly and starve for long hours), hypotension (including orthostatic hypotension which happens when you stand up fast), positional vertigo (mostly when moves the head fast) and carotid insufficiency (secondary to carotid artery stenosis). However, I will advise you to have the evaluation and will be able to have more tools for the correct diagnosis. I hope that my advice has been helpful Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I had a nose bleedon Monday which lasted about 12 hours. My bloods came back and all were ok apart from the platelets which were 76. Im now home but feeling tired and weak all the time. Is this normal? Im due to have some more bloods taken to see if the platelets have gone back up.", "output": "Hello and welcome to Chat Doctor, Spontaneous nose bleed can be due to low platelet counts. The platelet counts are low in your case. However, the counts are not so low as to warrant the infusion of platelets. However, the cause of low platelets has to be found out and thus treatment has to be instituted. Consult your hematologist for assessment of peripheral blood smear and bone marrow aspirate. Lo platelet occurs due to increased destruction or decreased production. Chat Doctor. See whether there is history of use of any " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was stung by a bark scorpion 7 days ago. Not a big deal. Just very painful and felt like broken glass would come in my arm in waves. The place of injection is still numb, and today it is looking very swollen. I didn t notice much swelling before today. It also itches slightly. Is this normal? And is there any reason for concern?", "output": "Hi. Thanks for the query. It looks like the stinger is still embedded under the skin, and it is causing a continuous source of the allergic reaction. Due to this there is swelling and pain. There can also be infection at the sting site. So it is advisable to consult an Emergency room and get a clinical examination done. If the stinger is embedded under the skin then first it should be removed and the area should be cleaned with antiseptic solution. A course of antibiotics, anti-inflammatory painkillers like Advil and anti allergic like Levocetrizine can also be advised. Do cool compresses over the swelling. Do not scratch the sting site of there is itching to avoid spread of infection. Hope this helps. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a small flesh coloured bum on my foreskin, It isnt irritating or painful. I noticed when i was going to urinate. i applied pressure and a small amount of puss was excreted from the bum but the bum has not reduced in size. I have not ever had intercourse of any sexual interactions. what is it?", "output": "HelloThanks for query. Based on what you have posted I would state that you have staphylococcal infection of hair follicle (Boil) over foreskin.However, this can be confirmed only on clinical examination by a qualified Physician. You need to take antibiotics like Doxycycline twice daily along with anti-inflammatory medicine Diclofenac twice daily for 5 days. If persists consult General surgeon for evaluation You may need it to get Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I fell down the stairs carrying my little girl the other day in the rain. I held her up in the air so I landed quite hard on my hip. It happened about a week ago. Although I can get around better now there is a large circle on my hip and upper thigh that is sore to the touch and is reAl red with fever in it? I hate going to the dr but do you think it could be serious?", "output": "Welcome to Chat Doctor I have gone through your query and understand your concern. This is hematoma (collection of blood in and beneath skin). This is likely to resolve gradually with passage of time but as you have got fever, so it is advisable to visit a doctor. You need analgesic such as ibuprofen for pain relief and antibiotics to control the infection. Vitamin B and C help in healing. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have spinal stenosis and have had back surgery 3 years ago today. I have been pain free until last year and aching and pain in my right leg has gotten worse. The most pain is at night when I am in bed and I try to turn. I must stretch in am or I am in pain and can hardly walk. Why at night is the question?", "output": "Hi, I think you should go for a physical therapy sessions for pain management and later strengthening the core and lower limbs as a whole. Now the question of why the pain comes more in the lying down position is due to the tightness of the hamstring muscle you have which pulls the spine into extension poison and that's where the nerve gets trapped and gives you an electric shock pain. Now why night? As every physiological system is low and got fatigue by the end of the day, so there is more of a lactic acid which leads to trouble than any other thing. I recommend you to try out physiotherapy as it will be of great benefit as I have seen 100% of successful results in their physical status. God bless you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Last month I was feeling giddy if i turned my head down wards and left side.Dr has given me Stutgen 75 and vertin 16Now afer a month I have atendency to fall on my left side while walking and after getting down from the moving car when stopped, , I have a tendency to fall back.What may be the cause of it . I feel the heaviness on left sde of my face and feel a pain also radiating in the left shoulder till back of the ear and sometimes reaching on the let eyebrow.Will hysiotherepy help me.", "output": "Hi, I had gone through your question and understand your concerns. The symptoms you describe probably have a neurological underlying cause, and you need correct diagnosis before thinking of treatment or physiotherapy, so I suggest you to consult a local Neurologist and to discus with him the possibility of imaging study of your brain and cervical spine. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi there, I have been experiencing a strange sensation on the right side of my abdomen . I wouldn t class it as pain more like twinges and a presence of something?? Had this for around 4-5 weeks. The presence/sensation seems to move, as in if I am sitting I feel it higher towards my ribcage on the right hand side of my abdomen. Have had a poke around and don t feel any obvious lumps or bumps. Just a bit worried about this and of course I am thinking the worst! I am a healthy 25 year old female. Any advice information would be appreciated. Thanks, Kate", "output": "Hello Kirsty, It is difficult to tell from your description what you might be having. Sensation could be as result of a floating mass which could be as a result of an ovarian cyst (very large one). Also, it could just be your nerves playing tricks on you (abnormal nerve stimulation) and could be nothing to worry about. An intra-abdominal mass of unknown origin could be responsible (maybe uterine fibroid). My suggestion is got an abdominal scan done and get doctor to examine it closely. Hope this helps Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Swollen cheek and gum. At the top of the gum meets the cheek. Its been swollen for three days and I have a dentist appointment tomorrow. Should I be worried about waiting so long or will one more night be okay. I have no pain really just a little discomfort due to the swelling of my cheek.", "output": "Thanks for your query, I have gone through your query. The swelling in the cheeks and gums can be because of the tooth or gum infection. The vestibular obliteration can be because of the collection of the pus. Nothing to be panic. Consult an oral physician and get it evaluated. If I am your treating doctor, I would have suggested you to take radiographs like RVG or IOP AR to rule out gum and teeth infection. If it is a gum or teeth infection I would have prescribed a course of antibiotics like amoxicillin 500\u00a0mg and metronidazole 400\u00a0mg TID for 5 days (if you are not allergic) till you consult the dentist. Then I would have suggested going for scaling and root planing for gum infection. RCT or extraction if it is a tooth infection. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here... My 1 year 6 months old boy is having irregular past motion. he is not having any constipation at all but he takes 4 days and sometimes even a week. We give him prune juice also has no effect. We are worried...", "output": "Hi, A motion once in 3-4 days can be taken as normal if the stools are not too hard or painful to pass. But once in week is a bit odd, and we have to look for any contributory factors. For a normal bowel habit, there should be adequate fluid intake and a healthy diet rich in residues / fiber. So include plenty of fiber rich items in diet, like fruits, vegetables, whole grains, oats and Chat Doctor. If these measures does not help in 1-2 months, kindly see a pediatrician for evaluation. In this case, we may need to get few investigations like thyroid function, serum calcium and barium studies. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor, I had severe sepsis and pneumonia and my bilirubin went up to 32 then down to 26 the next day. then 8 days after I had another blood test and my bili went down to 1.5 which is slightly elevated if you look at the normal range of =1.0. So another LFT was done after 1 month and my bili is still 1.5. I just want to ask you why it doesn t go down to normal level.", "output": "Hi, 1. Bilirubin level may be elevated due to a lot of causes like: infection, liver failure and medication. 2. I need to know about your liver test like transaminase (AST and ALT). If they are elevated too than you need to be treated for hepatitis. Otherwise, bilirubin level 1.5 is slightly elevated, and it will need more than 8 weeks to be normalized. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "according to what i have generally seen or heard, the front skin of the penis can be retracted during intercourse much easily. in my case skin remains there. to pull it back it requires more pressure & yet it pains. is it ok? can i have a normal intercourse with this?", "output": "Hello, Penis foreskin is supposed to be retracted while you have sexual intercourse. At least foreskin should be movable back and forth. If it don't, you may experience pain during intercourse. Therefore, the best option is tried to retract the foreskin with the help of oil massage. Further you can go for a simple surgical method called circumcision. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have just been prescribed a blood pressure med that causes constipation. The doctor said to use Miralax which I don t care for so I started using Senokot but have some reservations because I have low kidney function. My question is....... will Senokot harm my kidneys? Another question......do you know of a med for blood pressure that does not cause constipation? I was on Metoprolol but I was losing my hair.", "output": "Calcium channel blocker can cause constipation. Probably you were given that. Other antihypertensive medications like angiotensin converting enzyme inhibitors (enalapril) or angiotensin receptor blockers(losartan), b blockers, alpha blockers and diuretics do not cause constipation. There is no direct evidence that Senna (send key) is harmful to kidneys but as it is a Ayurvedic medication it can cause interstitial nephritis. Also overuse will lead to dependence." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am not addicted to pain meds, but I need to find a pain doctor in my area. It appears, most physicians do not want to prescribe pain meds, because of the individuals that abuse the system. Those of us that have 7 and 8 mm disc herniations and numbness in their spinal cord cant get help. I have recent tests to confirm my diagnosis, but have no health insurance any longer. I can not afford to keep wasting money on doctors that are afraid to treat their patients.", "output": "Hi, You might be suffering from degenerative disc disease & it occurs due to repetitive overload or stress to the disc & it increases the risk of disc herniation & spinal canal stenosis. For this condition you have to do stretching & strengthening exercises in which you have to stretch tight muscle & strengthen weakened ones which will alleviate stress on facet joint and disc. I would suggest getting this evaluated by an orthopedic for an accurate diagnosis and appropriate management. Meanwhile, for pain control take anti-inflammatory Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My sister had a very large tumor from anal cancer last winter. She got treatment at AAAAAAA Kettering, and they were able to get rid of it through aggressive radiation and some chemo . But there was bad news a month ago, after her last follow up CAT scan - the cancer has spread into her liver and some lymph nodes near her stomach. The doctors gave her no hope, and said all they could do would be give her chemo to try and help prolong her life. She s leaning towards not taking the chemo, because she wants to enjoy what time she has without the downsides of chemo. My question: how much longer can we expect her to live?", "output": "Hello friend.I'm really sorry to hear about your sisters' ailment.since the cancer has spread extensively, especially liver, the prognosis is very bad. Exact life expectancy cannot be pointed. It may vary from 1,2 or 6 months. It depends on how much of it has spread to the liver. However in rare cases the patients can be operated to remove the tumors if there are limited number of tumors in the liver. But in the majority of cases, metastasis to the liver is not curable! Just make sure that she is given a good palliative care and do spend a lot of time with her as she needs a lot of psychological support at this time.take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was getting a DOT physical and my urine test shows high levels of bili (Lg+++) and Urobili (8), He suggested I go see my doctor, which I plan on doing in a few weeks, My question is, does eating a lot of fast food cause these high levels, I eat out maybe 3 times per week, sometimes more. I should through in that I have hep. B. My blood pressure was good. I plan on not eating fast food for a few weeks so when I get blood work done there are no questions if that may be the cause. thanks", "output": "Thank you for posting query at Chat Doctor. Increased Bilirubin levels suggest injury to liver, or gall bladder pathology OR common bile duct pathology OR hemolytic anemia. Further evaluation needed.1. Liver function test 2. Complete blood cell count 3. Ultrasound abdomen 4. Herb and C viral serology 5. Lipid profile advice:abstinence from \"Alcohol and Chat Doctor. - use lemon juice (lemonade) once in a day-walk 30 to 40 minutes every day.- or swimming is alternative to walking-NO sports and NO jogging-\"recheck liver enzymes after 6 to 8 weeks\".if any further questions, feel free to ask. Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .wish you good health. Regards," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello, sir/ maam....i am suffering from hair lose before 3 yrs...but continuously i have taken care for my hair...in generally i use Dove shampoo, oil massage 2 days of a week, juice of lemon in 1/2 days in a week, egg, hena/mahandi of ayur in 1 day of a month....but still the same of the condition....i am 23 years age of girl of siliguri..i am studying m.sc in applied microbiology in Bhubaneswar...and hv completed my graduation from kolkata...how can i stop/decrease my hair loosing problem???please help me...!!!thank you...Abanti Bose", "output": "Hi, I would recommend you to go for certain lab tests to find out the cause of hair loss. Get your hemoglobin, thyroid function tests, serum vitamin D, serum vitamin B12 levels and serum ferritin levels checked.Meanwhile, use anti-hair fall like coliseum and take oral hair supplements like tablet collinear. These need to be continued for 4-5 months to see significant results. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am a 48 woman and have swollen feet with slightly black coloring. I elevate my feet up and its all good but it is swollen again in the afternoon. There is no pain or redness. I have checked all my blood works and its all within the normal values. I fasted and got my blood fasting sugar level which is normal too", "output": "Hello, Thanks for writing to us, I have studied your case. I would like to ask few questions so that I can help you betterSwelling is on both feet? Any history of injury? Both feet involvement differential can be swelling due to exertion; swelling can be cardiac /renal origin, early inflammatory arthritis. You may need to do X-ray and blood investigation after clinical examination from your doctor. Waiting for your reply. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello sir me & my husband loved each other & get married after so many struggle.. my problem is he get anger often at that he shout, break things whatever he had or sometimes he beat himself....i`m scared of his behaviour& something happen to him . other than this he was such a lovely person. how can i help him during that period & what should i do to reduce his anger", "output": "Hello, You should advise him to practice yoga and meditation for controlling anger. The early morning exercise also beneficial. Its advisable not to do much argument regarding concerned matter during his anger. After that you can discuss with him in detail regarding concerned matter lead him to anger. Behavioral counselling also will be helpful for him. You can Consult him to nearby psychiatrist for counselling. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have epilepsy and take Epilim. I am having small seizures. Could it be very high levels of the drug?The weather is very cold. I have been taking cough drops with anaesthetic. I have also been taking vitamin C with bioflavonoids Kate Butler PS I am 79", "output": "Hello! I read your question and understand your concern. I don't think that your seizures are related to a high level of Emilia. A viral infection and fevers can cause seizure aggravation. Epilim can cause seizure exacerbation in high levels, but it is also associated with other symptoms like nausea, headache, dizziness, confusion. A lower dose is more often associated with seizure aggravation. Although I would recommend you to have a full blood work and a plasma tic level of Emilia, and to adjust the dosage if needed. I don't think that there are any serious interactions between Emilia and the other Chat Doctor. Hope to have been of help! Greetings!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I started a severe fit of sciatica on Monday late evening. The doctor sent out diazepam and tramodol for me to take. At its worst on Monday night I was weeping standing up and couldn t do a thing about it. I feel like I want a wee but usually can t or have to concentrate really hard and wee a little. I have not emptied my bowels since Monday night also. Not that I have been eating much. Is this normal?", "output": "Hi, If I were your treating Doctor for this case of severe pain of sciatica and urination problems, I would recommend an imaging study of your lumbar-sacral spinal cord to rule out a possible compressive lesion of spinal cord or nerve roots. I suggest you to ask for an MR of column and an appointment with a Neurosurgeon. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I had an Echocardiogram and wore a heart monitor for 24 hours about three years ago. All my results came back good, nothing to worry about. It was after one day my heart started racing out of nowhere and assumed I was having a heart attack . I was diagnosed with anxiety after the results came back. I have asthma , allergies, and almost every symptom possible that comes with generalized anxiety. Lately, my chest has felt heavy, I have been having issues with this summer and using my inhaler a ton. I always assume the worst ever since the anxiety attacks . I just saw my doctor for a routine check up, but either my anxiety has been awful lately or something is going on. What should I do?", "output": "Dear friend, welcome to Chat Doctor. Anxiety can precipitate asthma attacks as well as allergy. Too much inhaler containing bronchodilators can also set the heart rate racing as well as bronchospasm. It is difficult sitting here to tell what predominates. Pl. get help of your do car a pulmonologist and optimize treatment. Give up being anxious, avoid precipitants. Do not overuse inhaler than advised. Keep busy with some work/ hobby to beat anxiety let me be posted on the progress. I hope to have helped you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello so i was wondering i have the birth control implonon in my arm my doctor sed it was good for two years. I was wondering what could be the sighns of it whereing off? and if i were to keep it in and not get it taken out would it do anything? would it be bad to keep it in and get pregnent later on? one more thing so i got it in 2011 its 2014 and i never had a period on it but this last year i have been haveing periiods not light blood but dark and about a medium amount of blood is that a sighn its whereing out or is my body getting rid of old blood? pleas help me thanks", "output": "Hallow Dear, The life of the implant you are having in your arm is two years as your doctor has already informed you. You had put it in 2011. So its life has ended in 2013. It is not good to keep it in the body after it is no more active. When we say it is not active, we mean that the hormones released from the implant are not in sufficient quantity to prevent the pregnancy; however, it is not completely devoid of the hormones. The very fact that you have started having irregular bleeding, the implant is releasing the hormone erratically in low doses. You should get the implant removed and replace it with another one if you still want to continue with the contraception. With such extinct implant, you cannot plan your pregnancy appropriately either. I hope you got the message. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a sub-arachnal hemorrhage in the circle of Willis about 5 years ago. I was treated with an endovascular coiling and they used 2 2mm coils. It was very small but it did rupture and it needed treatment. I dont do drugs or drink but I do use weed to deal with stress and anxiety. I have had a difficult time over the past 8 months dealing with a tremendous amount of stress at the work place and at home. I am now separated and over the past 2 months have been smoking a lot of weed and I also lost 27 pounds. I went from 240 down to 212.5 in about 5 weeks. Last week I went to a club with my friends. I smoked more than usual and also made some pot butter and ate that. I definitely overdosed which can happen and I experienced a feeling of faintness and like I was going to pass out. There were extremely loud speakers with a lot of bass and Im not sure if that added to my feeling like I was going to die... :) I was scared and It felt like something was going on with my brain. I did not pass out or experience any true neurological deficiencies or any weakness. I left and sat in my car and eventually started to feel better. What the hell is going on with me?", "output": "Hello, and thank you for consulting Chat Doctor. I believe you are suffering chronically from anxiety; the recent episode was quite likely a panic attack. The hemorrhage you suffered 5 years ago may have resulted in some brain changes which contribute to your anxiety. There is no way to be certain, and it doesn't really matter. What matters is getting the anxiety and panic under control. Obviously you have been excessive with your use of pot recently. Marijuana can assist in the control of anxiety, but, as with all things, moderation is key. Often the dosage and effects of orally ingested pot (as in pot butter), are much greater than when it is smoked. My suggestion is to be consistent with your use of pot, if you intend to continue using it, and avoid excessive amounts. You should ask around for the name of a good therapist who can help you understand and control your anxiety and panic. This is essential. There are very effective techniques out there! If you continue to lose weight unintentionally, discuss this with your physician. Best of Luck.... and hope this has helped.EZ" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "one of my tooth is getting decayed. I have consulted a dentist, he said we need to remove the decayed part by grinding and we can fill it off or root can. treatment need to be done if necessary. along with ceramic cap it will take around 5k. am i getting cheated anywhere? please suggest", "output": "Thanks for your query, I have gone through your query. The decayed tooth can be filled with a normal tooth color restoration(composite), if the decay is not involving the third layer that is pulp where the blood vessels and nerves are present. If the decay is involving pulp then the tooth has to be treated with RCT. Ya, the cost of the RCT with crown varies from 5000 t0 8000rs depending upon the material used (either metal crown or ceramic crown). I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 10 year old son has autism and had blood work recently. His blood work revealed an abnormally high level of estrogen, I believe 195 and his testosterone was in the normal range. Is this what happens in puberty for boys? I couldn t really find anything that would say so for boys.", "output": "Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. No. Such rise in estrogen levels is unlikely with boys at 10 years even if he is autistic. He will need a proper abdominal scan to visualize his a Chat Doctor. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I DONT GET HUNGRY I CAN GO DAYS WITHOUT FOOD, I TAKE A COUPLE OF BITES AND I FEEL LIKE A ATE WHOLE MEAL,I DONT FEEL HUNGER SO I FORGET, WHAT REMINDS ME TO EAT IS A REALLY BAD HEADACHE AND DIZZINESS THEN I FAINT, NOW IAM GETTING DEPRESSION AND AXIETY MAKING IT WORSE", "output": "Hello thanks for asking from ChatDoctorYou have symptoms of poor appetite associated with headache, dizziness and these symptoms has resulted in depressive symptoms and anxiety. Sometimes due to underlying depression individuals develop reduce appetite and which further aggravates depression and anxiety. Consult a psychiatrist for treatment and evaluation of your symptoms. For anxiety and depression medicines of SSRI class like Paroxetine or other antidepressants like Mirtazapine etc. can be used. These medicines will help in improving appetite also and would reduce your symptoms of depression and anxiety. Visit a psychiatrist for prescription of the Chat Doctor. Thanks, hope this helps you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Every time I put a dip in my stomach starts to hurt and it causes me to go to the restroom almost always within 5 mins and my stool is never solid. Ive been dipping for 2 years but only started having this happen for about 6 months. My stomach could be fine all day but for some reason once I put a dip in it always forces me to the restroom.", "output": "Hi ! Good afternoon. I am Chat Doctor answering your query. While answering your query, I would not leave this opportunity of counselling you to leave dipping without any pre-condition or any delay. It is not necessary that because nothing happened for last two years, it would not happen now, just the same way as not necessarily high speed Chat Doctor. All your present symptoms are due to the dipping, as it stimulates smooth muscles, and so causes intestinal hurry for going to washroom. This can also cause any kind of cancer you name as it consists of more than 300 cancer producing toxic chemicals in them. So my only advise is to leave it completely without any delay. You can seek the advice of your family physician on the effective ways to do it. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my wife had a recent seizure, is on seizure meds, and is having withdrawal symptoms withdrawing from tramadol. she has not slept in 4 days. She took ambien for two days and still is not sleepiing. i am waiting for her dr to call me back, but should i take her to the ER", "output": "Hello! Thank you for asking on Chat Doctor! I understand your concern and would explain that your symptoms seem to be related to with Chat Doctor. You should know that sleep deprivation can trigger seizures. If the seizures become frequent, I recommend going to the ER for an urgent treatment and some blood lab tests. Meanwhile, I recommend taking lorazepam 2.5 instead of ambient, to help her sleep. Hope to have been helpful! Kind regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HiI had my top molar exactracted under local it had curly roots and took the dentist 20 mins to completeCouple of hours later I was sitting at home and began to get cold and clammy sweat while I was feeling hot I felt like I was going to throw up and I had that rushing sound in my ears like I was going to pass out... Normal? The length and trauma of removal caused greater reaction?", "output": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint it seems that either you have got Septicemia following the tooth extraction which is due to bacteria entering the blood in case if your molar was infected leading to increase in body temperature and other symptoms that you experienced. In case if it is not the case there can be allergic reaction to the medicines [antibiotics and painkillers] that the dentist might have given you following extraction. You should consult your dentist and get evaluated and in case if there is septicemia antibiotics has to be taken along with Tylenol to get relieved. In case if it is allergic reaction change of the medicine will help. Hope this information helps. Thanks and regards. Chat Doctor. ." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I went into labor at 21 weeks. My cervix wasnt strong enough to hold my baby full term. My baby was 11inches and 13.6ounces. Because he was so little and i was not further along, laws state that doctors could not help him. So they let me hold him until his heart stopped beating. He lived for 41 minutes. My question is, is it possible for a baby of his size that was born at 21weeks able to live for 41 minutes? If so how is this possible?", "output": "Hi, I am sorry to hear that you have to go through a premature labor. Hope you are coping well. To answer your question, the lungs of premature baby are very poorly developed (technically very less surfactant) -so the baby can breathe for a few minutes to some hours maybe, but then the cardiopulmonary system gives up, and the baby succumbs. If the baby is at least a minimum of 650 grams (also depends on various other factors, like lung maturity, developmental assessment of various systems, absence of heart and other gestational developmental problems), the neonatologist may make a judgmental decision, after discussion with the parents, to give assisted care, till baby reaches term. If baby is less than 600 grams, the available medical didactic is not developed to support its survival to term. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Okay so my dog outa 15 weeks , he had parasites and he pooped I cleaned it up and washed my hands. After that I held him and he had poo on his paw,. While I was eating I droppes my fork washed it and wiped it on my shirt, then I rised it off and then took two bites. Could I have gotten parasites??", "output": "Hi, Welcome to Chat Doctor. There are chances of acquiring parasites from dogs, most common being dog tapeworm and boxcar infections. These infections are caused by ingesting eggs of these worms which are excreted in the feces of dogs. In your case there is less likely chance of infection as you washed the fork before using it. However, make sure your dog is treated for the parasites as soon as possible. I would also suggest you avoid feeding the dog from the same dish as you use til he is totally free from the parasites. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir, ive suffering from skin problem i.e. pimples on my face. my age= 19 yrsWeight= 65 kg Height= 5.10 Ive consulted with many skin doctors and also treatment but never got satisfied result . so, would you please suggest me a effective solution?", "output": "Hi, Thanks for writing to us. The treatment for acne depends upon the grade and severity of acne. So what would suit your skin best can only be decided once your skin has properly been analyzed. However, you may follow these guidelines to help you to some extents a salicylic acid or glycolic acid face wash twice in a day(if your skin is too oily). If your skin is sensitive use a mild cleanser like episode, detail OS or cutirinzIf having comedones, get them extracted. Avoid facials and massages. Avoid using greasy creams or cosmetics. Use water based moisturizer(Neutrogena/Clinique)Apply Darlene clindamycin/Darlene benzoyl peroxide cream full face in night. Use only pea size amount for full face. Follow these for two weeks to see, if you are having response. If not much improvement is seen, meet a dermatologist. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been experiencing pain in my left hip for awhile, with an occasional stab of pain shooting down my leg. But today When I woke up my leg was swelled up and has been painful all day. It hurts all the way down. Also I have had a small amount of nausea.", "output": "Hello, The causes for hip pain with radiating to leg are:1. Injury2. Blunt trauma3. Sprain or strain4. Spondylosis5. Spine related problems6. Improper posture7. Sciatica8. Peripheral neuropathy can take tablet Diclofenac, and tablet Megastar plus. Apply diclofenac gel or cream. Also, apply ice locally and do x-ray and MRI of back and hip region. Treatment mainly depends upon underlying conditions. Kindly follow with detailed history or consult with orthopedic. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have Fibromyalgia and I like to drink socially ..I am going on vacation Friday and was looking forward to letting my hair down and having some drinks. I am on Cymbalta though and it says not to drink..I know I will still drink so this may be a dumb ? but is Merlot safer than like a cocktail?", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you are wondering if one can consume alcohol when suffering from fibromyalgia. Well alcohol does allow people to switch off from their problems, but this can come with a price. Alcohol abuse can lead to many negative consequences of making the symptoms of their fibromyalgia worse, There are much better alternatives than alcohol for managing the symptoms such as relaxation techniques. Even physical therapy is also very beneficial. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I recently went to an endodontics office to get a root canal treated and drained. It has been a a couple days after the treatment and I am on anti-biotics, but I have this pressure and pain in my temple region. I am wondering if this is normal discomfort after the procedure, I want to make sure the infection did not spread anywhere else? I also want to know if I should run down to my local urgent care to get it checked out because it is Friday night and the endodontist is not in?", "output": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint Root Canal treatment is not completed in a single step especially if you had infection and pain after one sitting is not an uncommon finding and the pain in temple region can be a radiating pain from the tooth and is indicative of infection, but the pain has to be controlled by taking the painkillers like Ibuprofen [Advil or Motrin] as the antibiotics can take a longer time to resolve the infection to the extent that pain subsides, so as of now you can take painkillers along with antibiotics. You need not worry as gradually when the treatment will proceed the pain and infection will subside and the pain in temple is not due to progression of the infection, and it is radiating pain from tooth that is being treated. You should consult your treating dentist and get evaluated and get an x-ray done so that any abnormality can be treated at the earliest. As of now you can start taking Ibuprofen 400 mg thrice daily and need not go to urgent care and see your dentist after weekend. Hope this information helps. If you find the answer helpful please give me a Five-Star Review and click on found the answer helpful as a token of appreciation. Thanks and regards. Chat Doctor. ." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my sons asthma is flaring up after running in PE. His inhaler is not doing anything for him and the pick test (?) they did at school was at 340 and for his age and weight/size he should be at 450-460-per the school nurse. i brought home to use his nebulizer. his is numb along with tingling in his hand. what should i do?", "output": "Hello, Peak flow at 340 L/min is not too bad when one is having an acute asthma attack (although this would depend on the persons age and height as you mention 460 L/min). Less than 50% of best peak flow is an indication for hospitalization. You need to ensure he is on: enough anti-allergy medications, a nasal spray, Singular 10\u00a0mg (if adult), combination inhalers like Sere tide or Airtec-SFSingulair will help for exercise induced asthma exacerbations. A detailed allergen profile test is required to see if he will benefit from immunotherapy. Best Wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my baby is 6.5 months. He have diarrhea for 2 days now. His fecalysis result was yellow color (but sometimes it s green), RBC-0-2, WBC-0-3/HPF, bacteria is abundant, no found parasite, fat (something) is few. What should I do? I started giving him a pedialyte for supplements. His milk was changed according to his age for almost 2 weeks now. What cure for these found bacterias?", "output": "Hello Your baby had passed loose stool since 2 days Dilute is ORS so continue this U have to give syrup ZINC 20 mg / day for 15 days Also give some probiotic or prebiotic sachet Also give milk which u give him regularly For abundant bacteria give him syrup ofloxacine 10 mg/kg /day in two divided doses If not improve and loose stool watery and continue then show your pediatrician as early as possible" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Iam suffering gums pain broplem (bottom of front 4 teeth) and met dentist. He gave Sporidex AF 750 mg for two times, Imol Plux for three times, Pan 40 for morning ( before food) And also gave Hexidene for mouth wash. After use this my mouth & tongue was totally burned and very difficult to sit / eat also. Total pain also is there. after three days i have stopped tablets, and met other Dr. he gave DOLOGEL CT Oilnment for applying on the gums. and also gave RIBOFLAVINE 2 tab for three times.Kindly advise this is ok . still am not feeeing well. And also pl advice how many times this gel can apply? Pl reply?", "output": "Helloapply the gel twice daily but only in prescribed amount .... you should also go for scaling and curettage for your anterior teeth. After that take doxycycline 100 mg first day 12 hourly and 24 hourly from the second day for one week along with metronidazole 400\u00a0mg every 8 hourly and ibuprofen 400\u00a0mg 12 hourly..........burning of tongue may be a side effect of antibiotic or most probably overdose of mouth wash you were using. So be careful about that thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I suffer regularly from headaches and migraines, sometimes these migraines will spread to my neck and even my back. Lately though I have felt a cold/freezing/numb sensation at the back of my head, mostly when Im laying down and stand up. Ive had anemia before and I know one of my symptoms was loosing my vision momentarily when I got up from bed/laying down too quickly or in a rash manner but this isnt the case. What can cause this cold sensation, what does it mean?", "output": "Hello! Welcome and thank you for asking on Chat Doctor! Regarding your concern, I would explain that your symptoms (cold sensation or freezing to the back of your head) could be related to occipital nerve irritation. I would recommend consulting with your doctor and performing some tests: - a cervical spine X-ray study to exclude possible chronic detention of the cervical spinal column which can trigger this symptomatology- complete blood count for anemia- PCR, sedimentation rate for inflammation. Anyway, your symptoms are not indicative of any serious medical condition. Hope to have been helpful! Kind regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Okay I got my first birth control shot January 3 and 3 months pasted by I had to get my second shot the beginning of April and I was late 19 days I got the shot April 20 and after I got the shot I had sex with my boyfriend and he nutted in me 2 times do you think I might me pregnant", "output": "Hello and thanks for your query. I shall make an effort to provide you with good professional recommendations specific to your questions. If you miss an injection, you don't have increased amount of hormones that suppress ovulation. While ovulation usually resumes three to six months after stopping the contraceptive injection, it is possible to get pregnant if you miss a shot. You should have a pregnancy test as it has been two weeks or more since your last injection. Emergency contraception if you had unprotected sex in the past 72 hours. To reduce your risk of an unwanted pregnancy, use a secondary form of birth control, like condoms, until your next injection. Presently I advise you to perform Urine pregnancy test and use morning sample for more sensitivity. Yet again, I duly appreciate your query to me, I do hope that you have found something useful to help you and I shall be glad to answer any further apprehensions. Sincerely," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have lower back pain on a scale of 1 to 10 being the worst it is at eight. I urinate approximately twice a day but not a whole lot, when urinating I have a thick white cloud come out through the year year you urina, sometimes burning and very painful. I have passed several kidney stones through the years and I was informed that I have two large kidney stones lodged and me. Feeling very fatigued tired all the time and pain medication Vicha Dan doesn t seem to help this condition is there any other thing I can do.?", "output": "Hi, kidney stones do not cause any symptoms if they are small 5\u00a0mm will not be able to pass through the tract and causes back pain & painful urination. Burning/ painful urination, cloudy urine may also due to urinary tract infection anywhere from kidney to urethra mainly due to stasis of urine. Kidney stone for long time may lead to permanent kidney damage and infection itself can become life-threatening condition without treatment. So you should go for early consultation with a nephrologist. You should also undergo Total blood count, R/E of urine, culture sensitivity of urine, USG and ICU. Treatment depends on size and determination of location.Thanks for consulting Chat Doctor," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Yes, thank you. I had a large molar on the upper left side of my mouth removed last summer. The endodontist couldnt find anything unusual from the x-ray. He initially ordered a root canal, but the pain continued. Later, I had the tooth extracted. Since then, (six months ago), I have had a constant acidic taste in my mouth where the molar was. It seems to come from the site of the pulled tooth (#14). The acid flows around my mouth, is often thick (like mucus) and is very uncomfortable and painful to the gum tissue. What would you suggest I do from here?", "output": "Hello, It looks like the area of the tooth extraction is not yet healed and the thick mucus with acidic taste is appearing to be due to pus discharge from the extraction site. You should get an x-ray of the #14 area done to rule out the problem, there is a possibility that any root piece is left in the extraction socket, and it is the cause of lingering infection, pus discharge and pain in gum. For now, you can take antibiotics like Augmenting and if the pain is intolerable, take anti-inflammatory painkillers like Ibuprofen medicine. Do warm saline gargles and antiseptic mouthwash gargles. Do not let food accumulate in that area. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am scheduled for shock wave treatment for kidney stones and blockage. I understand they have more than 1 type of lithrotipsy machines, the ones that use water and those that use padded cushions. Which ones are recommended and why? Do they both use x-rays to guide them? I know some use ultrasound. Thank you", "output": "Endoscopic lithography refers to the visualization of a calculus in the urinary tract and the simultaneous application of energy to fragment the stone or stones into either extractable or passable pieces. Many calculi in the upper urinary tract are treated with extracorporeal shockwave lithography (ESL). However, for stones that are poor candidates for this modality, endoscopic therapy is indicated. Ureteroscopy is the most common means of visualizing an upper urinary tract calculus. In addition, percutaneous techniques (e.g., percutaneous entomology) can also be used. Depending on stone size and location and associated ureteral obstruction, various treatments can be used" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 27 Years old Married 2 years back .Trying for a baby and came to know that i have PCOD. Doctor Prescried me some birth control pills for 6 months .My PCOD went out but again it came back .Now Doctor put me on 50 mg of clofert . I took it for 3 cycles i ma ovulating i have 22 MM egg in my Left ovary every time when i had follicular monitering. I still have PCOD.Please let me know what should i do to get pregnent.", "output": "HiP COD is a condition which remains with you. With lifestyle changes and medications its effects can be controlled. Birth control pills are given to regularize cycles. It cannot treat POD. You did not mention what is your BMI. Maintaining a normal BMI is extremely important to increase your chances of pregnancy since you have POD. Therefore, if are obese please reduce weight first. Since your doctor has already started closer for ovulation induction I presume that your fallopian tube patency test, thyroid test and your husbands' semen analysis are normal. It is very good that you are responding to closer. Are you taking injection human chorionic gonadotrophin for ovulation to occur? If you are not taking discuss with your doctor and take it once the follicle reaches mature size. Have intercourse on the day of injection and 48 hours later. To increase your chances of pregnancy you should have regular intercourse at least thrice weekly. If you don't conceive continue induction of ovulation with closer for another three cycles. Later you may need induction of ovulation with hormones. Take one tablet of folic acid daily. Again I repeat please make sure that you maintain normal body weight. I hope I have answered to your satisfaction. If you have any further queries do contact me through Chat Doctor " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Dr.Mahashur, i have been diagonised with MYCOPLASMIC PNEUMONIA by a Dr in Singapore,(mycoplasmic pneumonia antibody fbc= >1:1280) and am now on a 20-days course of avelox ( moxifloxacin 400 mg) and have also been advised to take steroids for 10 days. I have already gone through a course of antibiotics to treat pneumonia (CLAVICEF)and TB has been eliminated by carrying out a bronchoscopy and lab analysis for TB. I am apprehensive about taking steroids, so pls advise if it is necessary to take steroids? thanks.", "output": "Hello rearward welcome to Chat Doctor.come have evaluated your query thoroughly.* The need of steroid is determined by the clinician taking into considerations many parameters.* Steroids help to relieve mucosal inflammation of the bronchi, gives faster recovery, so under medical guidance a short course of steroid to be consumed has no harm in it. Hope this will help you for sure. Welcome for any further assistance. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, My child is four years old and is always having to pee. I thought at first it was because he always is drinking but he has also went with out a drink and sometimes pees 2 times within an hour sometimes it could be more he also always says he is thirsty and needs a drink like 2 or 3 cups every hour or so could there be something wrong?", "output": "Hi, How long this problem is there? Is there any discomfort or pain while passing urine? Any weight loss? What about his appetite? This needs evaluation to find out the cause. As a first step, get an accurate estimation of the amount of water he Chat Doctor. Apart from this, few tests like serum electrolytes, renal function test and urinalysis will help us decide the cause and proceed accordingly. Your pediatrician will guide YouTube care. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "When I breast fed my first born which was 9 years ago I had developed a golf ball size lump under my left arm. It was so painful. I went to see a doctor and he told me it was a milk duct that was pooling milk. He gave me an antibiotic and the lump went down. Ten years later and 2 more breast fed babies until about 1 year ago I still have a small lump in my left armpit area and my left arm will numb. It seems to act up before my period or if I am over tired or stressed. Should I be concerned??", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have some enlarged axillary lymph node, axillary tail of breast or galactoses. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am suffering from skin psoroisis for the last one nd a half year. i am 54 now and a high bp patient on medication. my blood pressure is under control by a mid dose of amtas 5mg. blood sugar is normal say 95 or 105 fasting. no other ailment except the skin problem right now taking folitrax once a weeek. but not yet cured pl. suggest remedy. thanx.", "output": "Welcome to Chat Doctor, The response to treatment shown in psoriasis is different from patient to patient. You are currently taking solitary (methotrexate) which is a standard Chat Doctor. It will take some time for your condition to gradually improve, remember there is no complete cure for psoriasis. If your skin lesion worsen you will need to increase the dose or take light therapy (PVA). I will suggest you some methods which may help improve your condition.1. Choose your soaps and perfumes which are specially designed and labelled for sensitive skin, as they will not have strong dyes in them.2. Avoid red meat and a lot of fatty food.3. Eat more of cranberries and nuts.4. Use sensitive skin moisturizers.5. Primrose oil capsule once a day have been found to be beneficial in many patients.6. Take your psoriasis medications regularly. Hope that answers your question, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, 33 female I weigh 145 and am told i have good blood pressure. I have four children. Constant daily head pain above right temple for 4 years. Thought was tooth infection or chronic sinusitis, but had tooth pulled a year ago with only worsening of pain since then. No stuffy nose ever. But last 6 months chest pain and left middle to lower stomach pain have added to my daily list. Doctors have done MRIs ,Cat scans, and told me also to pick a symptom.", "output": "Hi, I cannot say in your particular case, but generally, pains in vastly different parts of the body are not going to have the same physiology. The location and movement of a pain gives clues as to what is going on. Also, if pain were from an organ dysfunction, generally there are other signs. Psychological underpinnings of pain can be tricky and people do not want to miss an organ malfunctioning. On, the other hand, if organ malfunctioning does not seem to be occurring--and this should be monitored periodically--then coping skills for pain would overlap completely with psychological causes. One does not have to know the cause of pain to work on it. CBT and antidepressants with pain efficacy (amitriptyline) are one option. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a spot on my penis which almost resembles a bruise but it is seeping an almost yellow substance. I ve read about busted blood vessels and how they will look like a bruise but not understanding where the secretion is coming from. I am a married man and have been for 16 years and we don t get crazy. We are monogamous to one another.", "output": "Hi and welcome to Chat Doctor. Thank you for your query. I understand your concerns and I will try to help you as much as I can. It may indicate herpes infection and this is the first thing to think of. In every case these symptoms and signs are suggestive of STD especially if there is associated pain, fever, urethral discharge and recent sexual intercourse. So this is the first thing to rule out by doing STD testing. Second, it may be signed of reinfection or urinary stones and some other genital infection, but this is less common. In every case, antibiotic therapy may be required, so test should be done as soon as possible so that appropriate treatment can be started. Till that try to Chat Doctor. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "started 3 years ago with a dry cough and feeling a lump in my throat. still have cough and now its hard to swallow shortness of breath and wheezing so bad makes it hard to do daily activities or even talk, constant runny nose and at any time i lay down it feels like i m drowning coughing does not clear it. I have had every kind of test for everything I have seen ENT , GI, pulmonary and onc., I do have lung cancer but they say the lungs are not the problem lungs look good. They did find a nodule or lymph node pushing on the outside of my throat but say it s not cancer.", "output": "The cancer in your lung can spread to other areas in your body via lymph nodes which are interconnected throughout the body and also through blood. The node pushing on your throat is probably due to spread from your lung. You may need imaging studies to identify the cancerous areas and the mode of treatment whether surgical, radiotherapy or chemotherapy or a mix of these has to be decided. This will help treat your symptoms. I hope this answers your questions." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, My name is Kate and I wonder if you could answer the following: my son had to have his spleen completely removed as it was completely ruptured after a bad rugby tackle. Surgery took 4 hours and he required 3 units of blood . When the surgeon came to talk to us the first question he as was did our son ever have lymph problems to which we answered no and we thought no more about it. This was all in Novemeber 2012. In recent weeks his platelet count has started to slowly rise. Can you tell me why the surgeon would ask about his lymphs ? Thank you", "output": "Hi and thanks for the query, the spleen, the lymph nodes and the bone marrow constitute what we call the lymphopeoitic system. These structures are interrelated. He was certainly trying to exclude the possibility of a tumor. The spleen is very important in destroying worn out red blood cells and platelets. It's not surprising that the child s platelet count could be rising with time. However, patients without spleens fight encapsulated bacteria ineffectively. It shall thus be advisable to respect strict following up the hemophilia influenza, pseudo 23 and typhoid vi vaccines all the time against these three bacteria: Nasser meningitis, Meningococci and Salmonella. Hope this helps and best regards, Luchuo, MD." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 6 year old son began vomitting and diarrhea about 10 hours ago and running a fever of 101.7-regular stomach virus symptoms. He just woke up complaining of his right side hurting when he takes a deep breath. Could he have pulled muscles from dry heaving.", "output": "Hi, It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting. You need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic-associated diarrhea. I suggest you use zinc supplements (Z&D Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am on tricyclen lo birth control pills. I missed two pills in the middle of my pack. I started spotting two days after and it has been on-going for the past week and a half. I am not due to get my period until Monday. But I have been bleeding/spotting for the past week and a bit. My periods normally only last 5 days. I m scared, what could be going on?", "output": "Hello, and I hope I can help you today. It is very common to have breakthrough bleeding, which is bleeding when you are not supposed to have your period, when you miss a birth control pill. The pill is out of your system within 24 hours which is like day 2 of your pill-free week, so some women will start to have a mini-period then. You may bleed at the end of the pack, but if you don't, you should do a pregnancy test because missing two pills, even if you back them up, can trigger ovulation. So you don't need to worry about the bleeding, because that is just a side effect of missing pills. This should not continue to happen when you remember to take the pill every day. Keeping the pill with you at all times (like in your purse, instead of at home, so you have access to it wherever you go) can help avoid missing pills. There are also internet programs and apps you can use as a reminder to take your pill. I hope this information was reassuring, and I was able to adequately answer your question, and that my advice was helpful. Best wishes, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "H, may I answer your health queries? Please type your query here...Hi doctors..my semen culture reports says\"Normal Microbial flora grows on culture.i am trying for baby for last 1 year ,doctor recomed tests.sperm count is 35 million/ml .plz suugest wat to do???are the reports are normal.... Regardslalit sharma", "output": "Hello Lalit and. As a Urologist, I can fully understand your concern.1. A semen culture reported normal, means, there's no infection in it.2. A minimum sperm density of 20 million/ml, is enough for pregnancy.3. Other parameters of semen test, like motility, morphology, aren't available.4. So, repeat the semen test, at a reputed lab, and send the report.5 An ultrasound scan (Doppler) of scrotum, is advisable.6.FSH, LH,testosterone, and sugar also needed. Get examined by a Urologist. You may send the reports to me, as a direct question, for an expert opinion. Chat Doctor. Manga." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have experienced many life changes in the last year and have been having pains in my stomach and chest area. I am going to the doctor tomorrow but until I took this stress test I did not realize how many thing had happened this year. Can all this be Psychosomatic?", "output": "Hello! I read carefully your query. The symptoms you describe (stomach and chest pains) might be related to:-Heart disease. When a patient present to me with chest pain/stomach pain the first thing I try to rule out are life-threatening conditions(such as heart disease). You should run some tests in order to exclude this possibility such as :-ECG, Stress test, Heart ultrasound.-Gastroesophageal reflux disease (HERD), Peptic ulcer disease or Hiatal hernia. In these conditions the pain is worse after meals and during night. The diagnoses can be confirmed by upper GI endoscopy. In these cases eating small meals, avoiding spicy or greasy foods, raising the head of your bed and taking antacids can help to relieve the symptoms. If the symptoms are severe you may need PPI Chat Doctor. -If heart conditions, GERD, Peptic ulcer disease, Hiatal hernia are excluded by investigation then it is possible that your symptoms are due to stress and anxiety. I suggest consulting a physician and get examined in order to determine the right cause of your symptoms. Hope my answer has helped. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been having heaviness and tingling especially on my left side of my side. Have seen a neurologist, but he could not find anything. It has been happening for the past 10 years. sometimes, when it is severe, I feel like I am going to get a stroke. I have visited the emergency room several times out caution, but nothing happens. What do you think is my condition? Thanks.", "output": "Hi, If you have been thoroughly checked by a neurologist and had all appropriate labs and imaging studies performed without anything significant showing up then, conditions of stress, anxiety, and other psychological distresses should be considered. Once again, I am not privy to all the workup that may have been done by the neurologist or ER but in my experience when workups and examinations yield nothing specific with your symptoms then, I am very confident that the patient is NOT suffering from strokes, aneurysms, or tumors. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My father ashwani kumar is 62 yrs old he is having asthama problem and he has taken steriod in a large number he also takes dytor tab for urinal but since he is taking dytor his capacity to walk has cease and recently he is having the problem in which black latrine is coming with pieces of blood and we got him admitted in pims hospital jalandhar as we are frm jalandhar where he remained under treatment and the medicines which were given to him during treatment along eith thier salt are as under 1. Netspan 300 injection netilmicin sulfate injection usp 2. Tixi plus injection ceftriaxone & sulbactam 3. Emeset 2 ml ondansetron injection 3 mvi pls send me the solution of his disease with appropriate medication", "output": "Asthma is not curable in allopatry. It may or may not be same in herbomineral treatment too but the side effects and further deterioration of health may be checked easily. Black stools is not a good sign. There is some kind of perforation in Castro Intestinal Tract - chances are most - due to steroid or other medicines. To my own patients I would never advise continuing with the same. If you agree write little medical history and show your desire to switch to herbomineral Ayurvedic approach. However, switching should be gradual. Pl. consult through direct question for further guidance." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have abdominal pain in the upper right quadrant; a dull aching. I also have movement in the same area as if a baby is in there kicking. I am most definitely not pregnant. I can see the movement with my eyes. the pain is under and around my right rib cage", "output": "Hello! Thank you for the query. The movement you have noticed is caused by intestinal movements. Sometimes it can be visible in thin person, in case of hernia in this area. Also, bowels obstruction can force intestines to work harder and cause some visible movements. Upper right abdominal pain is usually caused by gallstones or stomach issues (peptic ulcer, inflammation). Gallstones usually give pain which radiates to the back. Stomach pain does not radiate anywhere. Both pains are related to the meals. Bowels obstruction gives cramps, nausea, lack of gas and stool. I suggest you to have some diagnostics. You should start with abdominal ultrasound and blood work. If nothing will be found, gastrostomy should be also considered. Hope this will help. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter is 3.5 yrs old. She has a bruise that keeps occurring on her buttcheek. Where her panty line is to her leg. Its usually the same spot. Its currently red, is this something that I should worry about? I feel like its always there...I dont know if she is falling on something, or falling down or what the case may be.", "output": "Hi... Thank you for consulting in Chat Doctor. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello my question is about Morganella mornganii, what are the symptoms recently my grandma had an tes in the laboratory. my Grandma its been with diarrhea, the result of the laboratory was Morganella morganii. Why my grandmother is with diarrhea, when these bacteria are associated with other infections including urinary tract infections", "output": "Thank you for following up. Do you know our grandparents as child Chat Doctor? Organelle organic is Gram-negative stick, which live in our intestine, but it causes of community-acquired infection, she can associate with other flora, for instance with our E.cold and cause diarrhea, then by blood this infection can penetrate to urinary tract and cause inflammation. Don't be surprise. If we have too many bacteria in intestine, then they will lead to diarrhea or constipation. For normal intestinal flora please give to your Grandma probiotics(Darla or Similar 1 capsule twice a day for 1 month). Take care Wishing you good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir, My son is almost 2 years old and getting a fequent feaver from almost 2 months. Feaver is coming for every 5 or 7 days. We have been going to doctors and they are telling that it is a just infection and gave him antibiotec syrup. But again yesterday we noticed feaver again with 102 degrees. Please help us.", "output": "Dear parent, Iunderstand by your history that your child is having fever quite often since 2 months. Its intermittent and lasting for 2 to 3 days and afebrile for 5 to 7 days. There are many causes for prolonged fever like typhoid, malaria,urinary tract infections, rickettsial infections, Tuberculosis,leukemia etc... Please give us history regarding if any other associated symptoms along with fever, any tuberculosis contact, any investigations done." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im 33 5ft 5inchs im 9 stone weight. Have had a dose of witer vomiting bug in march have been tired since then . my bloods are all fine but i got chest infection 5 weeks ago and doctor put me on 3 different antibiotics and the last one cleared it for a week then got really sick with it and had trouble breathing so he sent of phlegm sample and they said flucloxacillin would work been on it 4 days 3 times daily 500mg have 3 days left but chest is still tight and a bit wheezy even though i feel a bit better think i should be better then i am what should i do.thanking you", "output": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of bronchitis is more. Bronchitis is inflammation of airways. It can cause cough, phlegm, breathlessness and wheezing. Best treatment for bronchitis is inhaled treatment. Since you are not taking this, you are not improving. So consult pulmonologist and get done 1. Clinical examination of respiratory system 2. PUT (pulmonary function test). PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment is based on severity only. You will improve with inhaled bronchodilator and inhaled corticosteroids (ICS). Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, Male 60, woke up with little pain under right rib, doesnt go away during the day, stool normal, breathing normal, eating normal, can not exactly pin point the pain spot, it s 2.5 inch under the nipple, i am on daily concor 2.5 ML, Crestor 5, aspirin 82, Proscar 5. Any advise pls ?", "output": "Thanks for your question on Chat Doctor. Since you are on cardiac medicines, we need to rule out cardiac cause first. So get done ECG first. If ECG is normal than no need to worry much for cardiac cause. It might be muscular pain only. So try to follow these steps for better symptomatic relief. 1. Avoid heavy weight lifting and strenuous exercise. 2. Start good painkiller and muscle relaxant. 3. Avoid bad postures in sleep. 4. Apply warm water pad on affected site." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have a 2 month old baby and he seems to be really bad colic, he is really gassy and cries all the time, ive tried everything from drops to bottles and suckies to massage to burping more frequently i am wondering if it might be a good idea to change his formula, he is currently on enfamil a+ i want to change him to isomil is this a good idea?", "output": "Hello, American Academy of pediatrics (AAP) prohibits the use of soy based formula in infants. Studies have found that 3 compounds found in soy based formulas may be harmful to baby, these are trypsin inhibitors, physic acid, and phytoestrogens. Only some pedestrians in Asian countries prescribe soy based formula in medical conditions like severe lactose intolerance, galactosemia, etc. For gas problems in baby you may use other milk based formulas, Chat Doctor. Consult your doctor and ask for stool tests for lactose intolerance or clinical evaluation for cows milk allergy. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been suffering with a sinus infection for 3 weeks. Amoxicillin, sinus rinse, decongestants, anti-histymines & nothing has helped, now it hurts in front of & behind my ear. I am scheduled for a skinprick next week. I do have bad allergies, have been tested in the past, with no positive results. GuessI need some anti-biotic ear drops or a stronger med. Any suggestions", "output": "Thanks for contacting Chat Doctor. I am sorry to hear that you are having sever sinus infection. You have already been treated once for sinusitis but the pain and infection persists. This is a very common problem and one that sometime requires a very powerful antibiotic like amoxicillin with clavulanic acid for 2-4 weeks. At the root of a lot of chronic sinus infections are allergies and I recommend you also proceed with the skin testing for allergies. Hope this answers your question. Please contact us again with your health care questions and concerns" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 5 1/2 weeks post op from a Fleur-de-lis tummy tuck and major hernia repair. I noticed a hard lump almost directly underneath my belly button. Could this be scar tissue or possibly a hernia. I notice it mostly standing up not sitting. It usually doesn t hurt except when the evening comes and I m more swollen.", "output": "Hello, I understand your concern. I am Chat Doctor, infectious diseases specialist, answering your query. In my opinion it is herniation from the scar tissue. It is a type of hernia. I advise you should be checked by the doctor. Because there are many type of hernia, sometimes they cause acute pain requires emergency department visit. So if you got your self examined than such an event can be avoided. Ultimately a surgical correction is the only treatment I will be happy to answer your further concern, you can ask me on bit.ly/ Chat Doctor. Thank you. ChatDoctorInfectious diseases specialist." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am using Cremalax (Sodium picosulphate) 10 mg tablets for the last four months, to relieve the acute difficulty in evacuating morrning stool. Does the prolong use of this medicine have any side effects. I am also suffering from High B.P. Blood sugar and thyroid problems, but they are under control after medication. Kindly advice.", "output": "It is not advisable to take these medicines long term as they increase your dependence on them, and gradually they may stop working all together, or you may have to increase the dose of the medicine in order to get the desired result.I suggest it would be better to take natural supplements like Isabel and high fiber flax seeds. Take plenty of water and fiber rich foods like salads and raw vegetables." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i am 26 ... suffering from free fluid in the pouch dougals what are the causes of minimal free fuild in the pouch of douglas... is it harmful .. does it affects kidney or heart .. i have a lower back ache on the left side ... which starts with the lower back and my entire left side starts paining its difficult for me to breathe too", "output": "Hi there. Do you have any menstrual disturbance ? Any fever, lower abdominal pain, vaginal discharge and pain on having sex ? Usually free fluid in Pouch of Douglas could indicate possibility of infection of your genitourinary system or abdomen. Due to gravity, pus and other infective material can get collected. In such cases you will have fever, lower abdominal pain and sometimes vaginal discharge. Sometimes blood can also get collected there. This can be seen in a condition called Endometriosis where the menstrual tissue may be seen inside abdomen also. Usually it is not very significant unless you have above-mentioned symptoms. Kindly follow up with your Doctor and discuss the possibilities of above-mentioned conditions. The cause for this free fluid should be found and treated. Wishing good health. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 7 Year old Daughter complains of a stomach ache everyday, sometimes 3 x a day. She cries and holds her stomach and says it s cramping. This has been going on for over 1 year. She is under the care of a ped s gastro doc. We have done an xray which shows impaction so she has been on stool softeners for 1 year (miralax) and she still has pain. We have had blood work for celiacs, parasites, h pylori, inflammation marker, food allergies, and stool samples for blood-ALL IS NEGATIVE EXCEPT, she has a high white blood cell count in the stool. I don t know what to do. Her pain is usually first thing in the morning...then lingers all day. I too have terrible gi issues, I m allergic to several foods and have IBS. PLEASE HELP!!!!", "output": "Hello, There can be several causes for stomach ache. For further assessment I would suggest you to consult with gastroenterologist for detailed clinical examination. He may procure complete hologram, ultrasound abdomen or computed tomography abdomen as per evaluation. Till then, you can take tablet acetaminophen and antacids. Avoid hot and spicy foods. Keep your self HY Chat Doctor. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my SGPT IS 187 and my SGIT is 87 w/c according to my doctor is above normal. He prescribe me a medicine to lower my SGPT & SGOT the medicine he prescribe is GODEX DS. How long should i take this medicine to normalize my sgpt & sgot? what are the type of foods that i should eat and avoid?", "output": "Hi. Thanks for posting query at Chat Doctor. Usually ALT or AST values higher than \"two times the upper normal limit\", is considered abnormal (in some countries, ALT or AST values of more than 100 are considered abnormal). Value of AST or ALT greater than 85 or above maybe investigated further. Alcohol ingestion and obesity are common causes of fatty liver disease. Furthermore, viral causes Herb and C should be ruled out. You may take CODEX for 2 months and then visit treating physician. Advice :- abstinence from \"Alcohol\" - LOW fat diet should be followed, AVOID junk food and beverages-decreased oil consumption (oily food)- NO red meat-green vegetables should be ingested daily-use lemon juice (lemonade) once in a day-reduce weight if overweight/obese-\"recheck liver enzymes after 6 to 8 weeks\" and/or ultrasound. Any further questions are welcomed. Hope to answer your concern. Wish you good health. Regards, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor, My 7 year old daughter is suffering from seizures since she was 4 yrs old. EEG report has some issues, I can send you the report if you want so that yoou can have a look. As adviced she is under medication. Valparin 200 syrup-10ml-Twice daily Lamosyn 25 tab- 1 tab-Twice daily Cloba 5 tab- 1 tab-Twice daily for couple of months we didnt notice any head drops happening however we have noticed that for the past one week she is again getting head drops. Please advice. Also her apetite has gone down drastically. Yesterday night she was also complaining og giddiness.", "output": "Hi, If you would like to upload the last EEG report for further review then, please do so at: www.bit.ly/ Chat Doctor. However, from a distance such as this and without being able to examine your daughter it is not possible to make valid recommendations. She is likely to be followed by a pediatric epidemiologist and this is a highly specialized provider who has the best vantage point over your daughter compared to myself or anyone else online. Has there been consideration to either doing home monitoring with video recording or in-hospital 24/7 monitoring (if frequent enough) since this would be the best way of making on the fly adjustments to her meds which can then, be watched in real time for changes in the brains electrical rhythms. Reduced appetite is a clear function of increasing seizure episodes as is the symptom of giddiness which could be a form of elastic seizure that may be part of her seizure syn" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my mother has a Hb level of 4.1 - 4.2 and she is almost comatose..though her body functions are well monitred, blood pressure level is around 170 and urine output is also around 100 ml/hr....she is not responding to any voice commands..just in a sleep mode...she had to undergo hemodialysis for the first time and that too 9 times..in 10 days....can this be because of low Hb", "output": "Hi, dairy have gone through your question. I can understand your concern. Her hemoglobin is very low. It may be due to dialysis or some kidney disease. Many complications can occur with this hemoglobin level. Even congestive cardiac failure can occur. She should be given packed red cell transfusion. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi my 3 year old has a cluster of 3-4 large red pimples on her bottom. They have whiteheads on them and are large underneath the skin, almost like boils. She has had them for several days. She is in a little bit of pain to the touch but otherwise, everything else is normal. I have been alternating with a cortisone cream and a cream I used once before for yeast when she wore diapers. Doesnt seem to help. Thanks", "output": "Hi...by what you quote I feel that it could be pyoderma or skin and soft tissue infection. It might spread if steroids are used. The white heads you are seeing could be pustules. It may require antibiotic therapy. But, Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My mom is 80 years of age and is 42kg now. she was diagnosed with voice box cancer 6 months ago. she did 20 times of radiation and completed end of march 2011. She has been recovering. 3 weeks ago she started to have breathing difficulties, earache and cannot swallow. dr did a scope and found her throat is inflamed and have white patches at the cartilage. he gave antibiotics and painkillers for ten days. she is breathing thru stoma since february 2011. Is the cancer still present in her throat?", "output": "Thanks for your question on Chat Doctor. I can understand your mothers situation and problem. Vocal cord cancer is curable only in early stage where unblock resection is done. Chemotherapy and radiotherapy suppress the growth of tumor cells, but they can not cure the cancer. So she is still having the cancer. And possibility of worsening of growth is more in her case. Growth causes obstruction in the lumen, so patient feels difficulty in swallowing, breathing difficulty etc. White thing might be due to fungal infection. So she may need antifungal Chat Doctor. Hope I have solved your query. Wishing good health to your mother. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son is 6 yrs old n he is sufferin from viral infection fever n is on medicines calpol 250 n as his crp z 37 so doctor recommended him moxclav ds n fluvir n relant plus bt he complains of stomach pain again n again since many days so which mdcne n how mch dose should i gv him for stomach pain..pl revert", "output": "Hello, So he is having stomach pain since many days. Is the pain continuous or intermittent, whether he is having problem of constipation, whether pain aggravate after eating or during passing stool, etc., all these details may help in finding exact cause. Most common cause of pain in abdomen in a child is constipation. You may increase content of fiber in the diet, increase juices and other liquids. If pain not relieved then ask your doctor for investigations like USG abdomen, stool examination, FT, etc. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im 34. Last night I had vision problems in my left eye had a flutter in my heart and then broke out into a sweat all while sitting down. Afterwards I had a throbbing headache....today no fluttering or eye problems but I have a slight heavy feeling in my chest...just wondering if it could just be stress", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Yes, possibility of stress related symptoms is more in your case. But better to first rule out arrhythmia (rhythm disturbances in heart) because it can cause Fluttering sensations in chest, headache, vision problem etc. So better to get done ECG, 2d echo and Holder monitoring (24 hours continuous recording of ECG). If all these are normal then no need to worry about arrhythmia or other heart diseases. Sometimes, stress and anxiety can also cause similar symptoms. So consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Don't worry, you will be alright. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I m 18 and Im having problems in my abdomen . I had the birth control mirena in for almost a year after I had my daughter. I was having so much pain when I placed it it that one day I removed it myself when my doctor wasn t available for an appointment. That was almost a year ago and today the pains just get worse and worse daily. I don t know what to do and I hope you can help", "output": "Hi welcome to Chat Doctor forum. Thanks for calling Chat Doctor. Forum. You had IRENA placed, as the doctors are not available, you have removed by your own. After one year, You had pain again and is very bad. It appears to be the pelvic inflammatory disease, due to some infection. Other causes could be urinary tract infection, or stone in the urinary bladder, which started with the insertion of the IRENA, and it could be the recurrence. I advise you to consult a cynic for diagnosis and treatment. You may need to have M.R.I.besides other routine tests for confirmation. If there is recurrence again both the partners should use the medicines. Wishing for a quick and complete recovery. Best regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My muscles tighten up under my rib cage on the right side of my body, almost feels like my insides are shifting (if that makes any sense ). Then after the spasm is done, it s sore for a few hours, maybe even a day or so, then doesn t happen again for months. It occurs when I m sitting in a weird position or stretching at the gym , after a workout. What could this be?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Possibility of muscular spasm due to muscle strain is more in your case. Muscular spasm is actually protective reflex to prevent further damage. Whenever body is in awkward position, muscle damage is likely. And so muscle spasm occurs. This is felt as muscle tightening and pain. Your symptoms occur only after awkward position or exercise. So this clearly indicates muscular strain and spasm. So avoid awkward position and painful movements. Avoid heavyweight lifting and strenuous exercise. Avoid bad postures in sleep. Apply warm water pad on affected areas. Take painkiller and muscle relaxant Chat Doctor. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI my sister is 35 years old she conceived in the year 2006 june with twins but had mis carriage. it was then found that she has thhyroid.. and since then she is unable to conceive also she did try for IVF once but it did not work. all her reports ar fine wth no problems.. would she be able to conceive.. coz she not having any issue is putting her mentally vrey low. kindly suggest", "output": "HI, I understand your concern, - Your sister is now around 44-45 years of age. If she wants to conceive now, she has to get her thyroid problem under controlled by proper medication under an endocrinologists care. - She has to ascertain her ovulation status by ovulation study & also her husbands' semen analysis to confirm sufficient/ normal counts, sperm. She can go for GUI if every thing is normal. - If sperms or ovulation is at fault (because of age). She can try sperm donation & GUI / arrogation (using some other women uterus & husbands sperms.(GUI)/ Test tube baby. Under fertility specialist doctors advise & guidance/ care. - If nothing helps. She can go for adoption. Which is the noblest way to help humanity! Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i m worried about my 4 year old son not eating, he s never been a big eater but over the last 2 months he s hardly eating at all, the odd bowl of cereal or bag of crisps. he has sandwiches at school so i can see if he is eating there and he isnt. he is always complaining of pains in his arms and legs and of belly ache. could this be something serious? i am really worried he is really skinny.", "output": "Hello.... Thank you for asking Query read it, your child is 4 year, nowadays this problem is more due to intake of candies, chips, some sweets frequently taken by child Chat Doctor. As fast foodlike sandwiches are not good for heath, eating simple food cooked in house is good for health, if belly pains, legs/arm pain looks due to deficient proteins and calcium in diet as his habit of eating must be changed fresh juice, a glass of milk daily is essential for good health, for belly pain you can take your son to doctor to do his stool test routine to see any worms or any infection, is to be on safe side, but also some multi vitamin syrup he can prescribe for him, Iron syrup if he is Anemia/low red blood. Hope you got the answer. Please ask freely any query any time. Doctor M Bar" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My GFR was as low as 50 and should never be below 60. With symptoms such as kidney flushing 24/7 and peeing 45 times a day and falling asleep my Doctor was not concerned but he upped my thyroid meds to much and told me my body would adjust in 6-8 weeks. I asked for my blood work the last two years and found I had moderate to chronic kidney disease.I do not no the cause have seen a specialist a couple of times. He let me know we have a kidney dialysis in our hospital.And there is medication I can take. Is there no other recourse? I drank chinese herbs for 1 1/2 years it just stablized it and stopped the symptoms and did not fall asleep. I have since found something I can take daily all natural and never felt better.Do not know how long it will last. But for now it is great. Thankyou just want to know the cause.", "output": "Hi. According to the information that you provided, you are correct in mentioning that you have moderate chronic kidney disease i.e, CKD 3 (GFR= 30-89). Well at this level of GFR dialysis is not initiated, but preparation like AV fistula formation can be considered if the rate of fall of GFR is very steep. There are many causes of chronic kidney disease as I will mention, but Herb Nephropathy seems likely in your case, according to the history you provided. Among the notable causes are Diabetes, Hypertension, Chronic Glomerulonephritis, Obstruction of the bladder or urethra or both of the ureters, Autosomal dominant Polycystic Kidney Disease, Chronic Pyelonephritis due to reflux nephropathy, Interstitial nephritis (One of the cause is Balkan or herb nephropathy)and some other rare inherited diseases. Regads" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am 35 years old.chery.male.married 4 years.we get ivf from mmm.failure.now i have 25 million sperms.but i have sexual problem.i got medicine many hospitals.now my tounge is too much alcers.doctors told ulcer is symtems to sexual problem.pls tel where i can get good medicine for it", "output": "Thanks for your query, I have gone through your query. The ulcer can be a recurrent authors ulcer secondary to stress or any medications The other possible cause can be a herpes virus infection or any trauma caused by your teeth. Consult an oral physician and get it ruled out. Meanwhile you can use topical anesthetic like 2%lignocaine gel and topical analgesics like choline salicylate (Anabel gel) Apply 3-4times daily for 5\u00a0days. Do saline gargling and avoid spicy food. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have a cyst with stones inside it. This was found on a ct scan 2 weeks ago, I am due to go for another CT Scan with injection of contrast into vein on the 18th March Yesterday I had my bloods taken for creation. I m worried that this is cancerous and I need to know", "output": "Hello, I can understand your concern. Cysts are fluid filled swellings that are benign/harmless. In most cases, they are left without treatment if they do not cause discomfort to the patient and are not infected. There are many cysts which are benign and may have stone-like calcified structures within it. Having stone in cyst does not mean it is cancerous. So do not worry about it just because they found calcified structures within cyst. The confirmation of presence of cancer in any area of the body is based on the biopsy of the area and lesion involved. You have failed to mention what part of your body is involved. However, if your surgeon decides to remove the cyst with the surgical procedure, histopathological analysis of the removed cyst in the laboratory will confirm if you have cancerous changes in your body. I hope this information helps you. Thank you for choosing Chat Doctor. Let me know if you have follow-up questions. Best," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doc.]i am suffering from hair thinning and dry hair problem from many years .....i have itchy scalp i have been taking supliments and homoepathic treatment from last year .recently my new homoepath asked me to get tsh test and ultrasound.my thyroid level is 3.06 and there was RT ovarian cyst in my ultrasound reports , she said that my hairfall nad body acnes are due to this only !i want to ask that is there any other home remedies or suggestion that i can follow along with my medicines .i seriously want to cure my hair loss and want new growth asap .waiting for your reply sincerely harshita", "output": "Hi, Welcome to Chat Doctor.come have read your query in detail and can well understand your concern. I assume that you are talking about TSH in your thyroid report and a level of 3 is normal for that. Ovarian cyst is not related to hair loss. You can continue biotin and iron supplements for your problem. Minoxidil lotion can be prescribed for hair loss. Take a nutritious and protein rich diet(pulses, milk products, eggs). Use a sulfate free shampoo for your hair twice a week. Hope this helps! You can revert if you have any further query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter (age 17) had severe abdominal pain for the second time in three weeks on Saturday. Each time the pain has only lasted around an hour or so. However, this time she fainted having been nauseous beforehand. We took her to A&E on the advice of the out of hours GP. They did bloods, ECG and liver tests and found nothing. Could this be a grumbling appendix and if so, what should we do next?", "output": "Hi ! It would have been helpful if you had mentioned the area of the abdomen where she gets pain. Anyway, pain must be of severe intensity to cause nausea and fainting. Usually colicky type of pain cause this and one of the common colicky pain which can be thought of is Ureteric colic. Appendix pain could also be bad sometimes, but it may not be that severe enough to cause fainting attack. The second common colicky pain of this severity could be a gall stone/CBD stone colic. The liver tests in this case may be normal in initial stages. As it is a recurring in nature, I would suggest you to consult your family physician who may advise your daughter for an abdominal ultrasound for more clarity of the intro abdominal pathology. Wishing your daughter an early recovery. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi...my 22 year old son had a wierd experience yesterday while he was at work. He felt a really loud sound come from within his head almost like loud voice or a loud bang he had trouble describing it. It was short lived and passed quickly but caused him some anxiety because it was rather frightening. It happened twice during the day and once more in the evening. Other than this he is a healthy 22 year old.", "output": "Hello dear Your narration seems to be related to auditory hallucination or temporal Lobe seizure. Such a complaint is usually not of many concerns and may abate by itself but if it persists or additional features develops then a consultation with neurologist will be safe. Your son may require some investigation like EEG and imaging of brain if symptoms persists. Hope you found the answer helpful. Wishing you and your family good health. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been living with a disease for a year and a half. The doctors havent been able to see anything wrong based upon lab results, but my body has changed. First, I had bumps on the back of my tongue then the red bumps or rather small knots flattened out and my tongue had white patches then my entire mouth and tongue began to feel different. Now it feels gummy, my tongue looks different in my opinion. I can barely feel my teeth with my tongue. Then my lips scabbed black and eventually the shape changed. When I would close my eyes, strange things would happen. Also my genitals changed, my vagina and anus and my Chest had a rash. Now I still have the changes in my mouth and genitals. I tested negative. Because doctors dont know how my body looked before, they think this is all psychological, please help.", "output": "Hello, It looks like fungal infection inside the mouth and also in other parts of the body. You should consult an infectious medicine specialist and get evaluated. Microscopy of scrapings from tongue and genitals can be done for confirmation. You can be given antifungal medications like Fluconazole, Itraconazole etcetera for relieving the symptoms. Also, gargle with an antifungal mouthwash like Statin and suck clotrimazole lozenges. Eat more of probiotics like Yogurt and Chat Doctor. You should also maintain proper hygiene. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doc, I am dark colored man from india, age of 28, Last year I consulted a skin doctor for lighten my skin color,He suggested me to apply Melalite Forte cream + Flutivate (fluticasone)cream (mix) and apply in the night time.and he suggest photoban sunscreen lotion for daytime..and I apply the whole face...It is working for me,my dark color lightens...But Iam facing a problem of pimples..every day pimples are coming,and cheek part is full of pimple marks.I used to apply Peroduo(hydrogen peroxide) cream for removing marks ,but no effect.. Doctor Can u suggest me a treatment to prevent pimples popout and removing pimple marks from my face...what should i do ,Stopping the melalite forte + Flutivate treatement? or continue....I need the skin lighten and stopping the pimples and marks Please give me a solution,Now Iam too disappointed with this problem", "output": "Hi, Thank you for posting your query in Chat Doctor, I understand your concern. Acne could be really disappointing, the cream you are using right now is a steroid cream and I strongly suggest you to stop using it. Using steroid applications on your face for a long time is not good, it can make your skin photosensitive, and it causes thinning of your skin. This can also cause your skin to become extra sensitive and can give way for pimples, For acne try using Retinol-A Cream 0.025% or Clindac-A solution 1% over the pimples. Wash your face 3-4 times in a day. Once the acne reduces use Kongo (Comic acid 2%) to help you with your complexion. Apply it at night and if required in the morning. Use a sunscreen which has SPF 30 or SPF 50. Avoid oily food, spice and junk. Hope this helps. Write back to us if you need further assistance. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Prominent bronchovascular markings r seen in both lungs, predominantly in both lower zones . Otherwise eveything in xray is normal. My husband is having fever and asthmatic cough and congestion and pain in chest while coughing. Xray was done yesterday. He is taking augmentin 625, bricarex A and duolin inhaler and recofast plus.now the fever is less but cough and pain and wheezing is still same.mucus is not coming out. Thanks.", "output": "Thanks for your question on Chat Doctor. In my opinion he is having bronchitis. As symptoms like fever, cough,, congestion, chest pain on breathing etc. are seen in bronchitis. His treatment is proper. And fever is also gone which suggest treatment is working. I advise these steps for decrease congestion and easy removal of secretion. 1. Avoid smoking, if he is smoker. 2. Chat Doctor. 3. Start chest physiotherapy and deep breathing exercise. 34 You can also start n acetyl cysteine (NAC). It is bucolic, anti-inflammatory and expectorant. So it will thin down the secretions and make it easy for expectation." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 64 years old. Late last February 2011 I started to have some light post menapausal bleeding. I made an appointment with my gyn about 6 weeks later. Turns out I had endometrial adenocarcinoma which was found during a hysterectomy in June 2011. No lymph nodes were taken, cancer was unexpected. Gyn/Onc did a CT scan after hysterectomy whicChatDoctore back all good, he noted 2 small lung nodules (1 was 2mm, 1 was 4mm) but said he wasnt concerned and was nearly positive that had nothing to do with the cancer. Since lymph nodes werent taken, he said he was 85% sure that it didnt invade the nodes but he ordered a PET scan as well in late July 2011 and all came back clear. The cancer was invasive endometrial adenocarcinoma, Stage 1b (new FIGO staging), Grade 2. It says that it was contained in uterus but was about 79% through muscle. There was \"some\" LVSI. My Gyn/Onc said that with no further treatment he would put my non-recurrence rate at 80% but with external and external radiation, he would put it about 90-95%. I had all the external radiation and internal radiation treatments in August/September 2011. The Gyn/Onc said that since it has been 6 months since my last scan (clear PET Scan in late July 2011, after my hysterectomy but before my radiation treatments began) he would have me do a CT (chest, abdomen, pelvis) this week and meet with him for my 6 month follow up next week. I havent had any symptons or anything since my radiation, and my PET was clear 6 months ago, yet I am nervous my CT will show a recurrence or some problem. Any thoughts?", "output": "Your oncologist rightly explained to you the benefit of external beam radiation therapy and brachytherapy (internal radiation). Surgery alone results in Disease Free Survival rate (DFS) at 5 years of 80% and addition of radiation therapy to surgery improves the DFS to about 95%. You have received the standard treatment after your surgery, and you do not have any symptoms at present, so it would be a surprise if the follow-up CT scan shows a recurrence. So, stay positive. Wishing you all the best and a healthy life ahead." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband has just found out he may have one kidney he s 49 years old and thought he had two, he also has arthritis since he was 17 years old is there conditions that could cause him to have one kidney later in life or is there just birth defects that creates him to only have one kidney", "output": "Hi, The chance of congenital absence of one kidney is more. So the problem might be since birth. Infection of kidney like chronic infection can lead damage to kidney and loss of its portion, but total absence of one kidney could not be due to that. The surgical removal or congenital absence seems most likely. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I had my gallbladder removed April of 2012. After operation doctor said I could eat anything. Even though he stated that I ve been trying to eat good foods but I guess I really haven t. Present day I m still getting abdominal pain, upper back pain and some bloating. I ve never been given a good diet to follow.", "output": "Hello, It can be because of unhealthy lifestyle and eating spicy and fried things regularly. But I would like to know that if pain gets worse after having food or before having food. Also stress for long period can cause these symptoms. As gall bladder is removed 2 yrs back, it does not seem that gall bladder removal can be the cause. I would suggest you to get checked by your Doctor, and you may need endoscopy or ultrasound to be done to rule out the cause after discussion with doctor. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 18 month old son has no history of trauma to his teeth. But his top central incisors and lower central incisors seem a bit more mobile then the rest of his teeth.Is this normal or should I be concerned? He has all teeth but his canines all just poked through. Could this just be his teeth finding their place?", "output": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint during the initial period of tooth eruption the and along with erupting teeth the jaw also keep growing leading to movement of teeth and occupying their appropriate position. There are certain grades of mobility and the teeth should lie under it to be normal and healthy. A very slight mobility of front teeth can be seen as compared to back teeth as the front teeth has a single root and less Anchorage than back teeth with multiple roots. I would therefore suggest you to consult a Periodontist and get evaluated, and he can check whether the teeth are normal as slight mobility is not abnormal as teeth are surrounded in the root area by a cushion like ligament and not tightly bound to bone. Any abnormality needs to be further evaluated by x-rays and treated accordingly. As of now maintenance of good Oral hygiene and a healthy diet should be given. Hope this information helps. Thanks and regards. Chat Doctor. ." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My front lower teeth are really sensitive and are throbbing in pain. My chest also feels tight and its difficult to breathe. This started all of a sudden a couple of days ago. Ive done a little bit of reading and there seems to be a number of possibilities. One being possible diabetes. Another being grinding my teeth, mostly in my sleep, which I know for a fact I do. Over the years my teeth have worn down. Please help.", "output": "Hi, The only other possibility might be that in addition to you grinding your teeth down shorter, that you may also be suffering from moderate gum recession in the area so that now the root surfaces are exposed to the elements. Then your sensitivity/pain could be coming from these exposed root surfaces. Exposed dentin usually results in sensitivity to cold, sweets, and acidic food/ Chat Doctor. Those patients who have exposed root surfaces often complains of sensitivity and pain. Especially those who may have difficulty breathing efficiently/normally through their nose either due to sinus congestion or nasal septal defects/ deviations." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i have a med sized lump under my left testicle that is very painful i found it 24 hours ago . in the last couple of hours my testicle has became very swolen and my lower adomen hurts and im feeling aches and pains as if i am getting a cold, and a little bit of pain on both sides of neck", "output": "Hi ! Goode veining. I am Chat Doctor answering your query. Possibly you have got epididymo-orchitis (inflammation of the testicles) which could be a viral or bacterial cause if there is no history of trauma. You might be developing mumps which is giving rise to the pain on the sides of neck, and feverish feeling. If I were your doctor, I would advise you for an anti-inflammatory medicine along with a proton pump inhibitor, an antibiotic if need be, and a proper scrotal support. A routine blood tests would be helpful as a baseline. You would be needing close observation. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am experiencing diarrhea, vomiting and heartburn when eating vegetables, onions.... Do not have much of an appetite and I am a diabetic so I am experiencing great fluctuation in blood sugar. What could be causing me to have these symptoms? Doctor prescribed Pantotrazole Sodium ER 40mg, 1 tablet per day, for acid reflux.", "output": "Welcome! Let's start with making certain the medication is taken properly. Pantoprazole is a proton pump inhibitor and needs to be taken 30-60 minutes before any food is taken. It may decrease absorption of iron, B12, and calcium. Long term use may lead to osteoporosis, so calcium supplementation may be advised. Avoid ginkgo or St. Johns Wort. It may also increase glucose. So, I reviewed these things because if you violate any of the above it may cause a greater fluctuation than Pantoprazole will cause by itself. Source: 2015 Chat Doctor. Are the vegetables fresh only or certain vegetables only or anything cooked with onions that make you ill? I am wondering about a developing food intolerance or not using a designated vegetable scrubber to get the increasing levels of foodborne bacteria present on our fresh foods. The gold standard for narrowing down this problem is to keep one of those tedious food diaries to tease out the problem. Date, time,food, symptoms for 7 entire days as sometimes it takes up to 3 days for an infection to kick in. Food intolerances are individual, but have seen them change with time. Avoid all sugar substitutes for right now. When you have additional information, please write me again, and we will see if I can suggest some things to stabilize your blood sugars and stop your symptoms. Thank you for your time. Sometimes solving a medical mystery requires more information. Good luck. Kathy Shatter, MS, RDN" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi ive been getting annoying tingly waves in my front bottom teerh and gums for the past 4 days...i was hoping it would stop on its own but its still there. its very frustrating n i dont have health insurance to visit a dentist to find out. it started 5 nights ago when my hubby suddenly woke me and i was in a bit of shock for a moment. i also have acid reflux desease. can u tell me what may b causining this? thank u", "output": "Thanks for your query, I have gone through your query. The tingling sensation could be because of the gum infection secondary to deposits. This can also occur secondary to acid reflux disease resulting in erosion of the teeth. Consult an oral physician and get your teeth cleaned once. Meanwhile you can take a course of antibiotics like tablet doxycycline 100\u00a0mg twice daily for first day and once daily for next 4 days. Do saline gargling. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Run, Jog and do whatever exercise to get rid of the back pain I have a back pain as I am working with a software company for four and half years and this has resulted me with this problem. I have knocked the doors of many doctors and specialists to get rid of this at this young age. Every one suggested me exercise along with some pocket burning tests. I never cared for the exercise since I am too lazy without my computer.", "output": "HelloThanks for the concern As you are with software company may be need to work on computer for long time sitting in same posture, neck down to see at the monitor for long time. You will have neck, eye and severe back pain. To avoid or to get relief: See that your chair is supporting your back and neck while working. Hands are well-supported. Take your eyes off every 15 mins. Stretch your legs and hands every half an hour. Rotate your neck side and up and down (neck exercises) stand up and take five mins walk in the office every hour small exercises like rotation of ankle and wrist, stretch outs every hour will help try to keep your back straight supported by a good seating arrangement. You need to follow these routinely in long run. If still pain persists can consult an orthopedic for needful opinion and can go for physiotherapy. Hope I have tried to answer" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "iv been on microgynon for about 6 months now and havnet missed any pills but have been late taking them a couple of times (only a couple of hours out) and have been on antibiotics once during that time but more often than not we use condoms as well. for the last 4-5 months iv been suffering from pregnancy like but still getting bleeding on the right days and only had negative tests so far (iv taken about 6 over the last 4 months), im wondering could it be the pill causing my symptoms or do i need to go get ChatDoctor blood test done. i would prefer to avoid the blood test since im phobic of needles but i need to know so i can try get prepered for 3 children if i am pregnant", "output": "Hello dear, I understand your concern. In my opinion there might not be any chance for pregnancy in your case. The following points favor the above statement:-1)There was no irregular intake of pills. Taking pill a few hours late doesn't alter the effectiveness of pills.2)You got the periods on time and there was no delay.3)All the urine pregnancy tests have been negative. Though antibiotics effect the birth control pills all the antibiotics might not do so. Only a few like rifampicin, rifabutin effect the hormonal pills. So relax. There is no need of any blood Chat Doctor testing. If there is any pregnancy it would show up on urine pregnancy test also though later than blood test. So nothing to worry. Avoid stress. Stress regarding the thought of pregnancy also makes one to feel the pregnancy symptoms. Hope this helps. Best regards...." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have lower leg pain just below the knee it is not the acl in the knee it is below that. I have a huge bulging blood vessel with bluing color not black and blue it is dark blue from the vein. I have all sorts of allergic reaction to drugs I take none at all I have high colestrol but can not take statins I had anaphylactic shock 5 times. I have changed my diet to fruits vegetable and fish and chicken I am on a diet of 1200 calories a day. I am 55 weigh 175 5 8 my job is active outside and inside. I swim but can not do as long as this pain is in my leg I actually can not walk on it either I have poison Ivy", "output": "Hello, Generally, big blue vessels are varicose veins. Sometimes they ache locally. Often there is poor circulation and swelling in the limb out from where the varicose veins are. Allergy to one thing does not apply to unrelated things. Statins might all be related to each other, but they would not be related to for example chicken. Other Chat Doctor. Lifestyle and really low fat, low sugar diets lower cholesterol, but the lifestyle actually has a better track record than the " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi y name is Darrell Carroll I m trying to find some answers to my spouses condition just married June 13, 2014. she has sickle cell disease, but I m afraid that there is much more going on she calls me constantly when I m at work and now I m afraid that I m going to have to find some home based job to care for her and are 3 children her symptoms are constant migraine headaches in the back of her head, behind her ears, eyes hurt, inside ear pain and pressure, face aching, lock jaw, upper shoulder pressure and strain, joints aching, bottom of feet cramping, spasms, throat swollen, slow pulse, dizzy, no energy, hands ache please help.", "output": "Hi, Thanks for asking. Based on your clinical history and query, my opinion is as follows:1. Sickle cell disease leading onto ischemia, is responsible for all these symptoms.2. Treatment for pain includes NSAIDs or opioid analgesics. You need to get a prescription for opioid analgesics. Packed red cell transfusion are also helpful. In severe cases, red cell exchange or erythrocytapharesis can also be done, especially when patient needs to go for surgery.3. Deny Chat Doctor. High temperatures and extreme activity is to be avoided. Hope it helps. Any further queries, happy to help again." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been having a mild to moderate lower back pain since 2 months. Its kind of dragging pain at times manifesting just as stiff back. It exacerbates on exercising after long working hours and squatting. my doc gave a painkiller(NSAID muscle relaxant combo), evion lc and neucobal G for a week but it did not help much. On MRI it was seen that there was a posterocentral diffuse disc bulge compressing thecal sac and neural foramina mildly at L4L5 L5S1 level. The diagnosis of PIVD was made and nucoxia, evion lc neucobal g along with spinal extension exercise was advised for 2 weeks I have been taking these for 1 wk with mild relief however still the pain returns on exertion. kindly advise.", "output": "Dear Concerned., You have not mentioned regarding the Bed Rest Part as 06 to 08 weeks of Bed rest is usually prescribed in any setting. For Muscular Stiffness at least it requires 06 Was rest for it to subside. Stop lifting weights /Bending abruptly and Do not ride a TWO-WHEELER. Avoidance of squatting in Indian Toilet and Using Western Toilet. Physiotherapy of SWD and Traction for daily minimum of 30 mins or as prescribed by Or tho Surgeon. Using Hard Bed Rest without any Cushions (Sponge/Foam). Use a Properly Sized Lumbosacral Belt for lower back Support during any activity if Bed Rest is not head to. All the above to be followed in addition to Prescription Medicines of your doctor for abatement of symptoms. Take Care. Wishing you a quick recovery. Best Regards., Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I have experience some level of pain at the ankle of my right foot. I try not to eat painkiller unless is unbearing pain cos pain killer is no good to health in long run. What can I cure the pain that I bear? I tried google and it stated that I have Achilles Tendonities, any medicine to cure? Any surgery needed? Hope to receive good advice from you. Thank you.", "output": "Hi, What is the location of pain in ankle anterior, medial, lateral or posterior? And what is your age? If pain is in posterior aspect of ankle and age is above 50 likely cause may be retrocalcaneal bursitis. If pain is in anterior aspect and old age likely cause may be joint arthritis. If pain is medial or lateral side with history of ankle twisting likely cause may be ankle sprain. If swelling and pain are on the lateral aspect with age past 40 likely cause may be lateral alveolar bursitis. I need detail history as to the site of pain and age so that accurate diagnosis can be done. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi..my husband has been having continuous fever for last 5 days..its gets better with paracetamol but returns back to 102-103 as soon as paracetamol wears off...other symptoms are chills,rigors, running nose, body pain, and extreme weakness...his blood counts are normal...and blood culture is negative for malarial parasite as well as typhoid..can you suggest me some diagnosis??", "output": "Hello there, If the usual causes of fever like sore throat, UTI, malaria are ruled out then the diagnosis left is viral fever. Viral fever presents with the symptoms that you have described and causes extreme weakness. It wears off in 1-2 weeks and all you have to wait it out. Please give your husband plenty of fluids and paracetamol 500 m.g thrice a day. Hope this helps, I would answer any further queries if you have any. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, doctor. I just discovered a bump on the side of my breast and below my armpit area that resemblses (feels) like a pimple. when i squeezed the bump to release what i thought to be a pimple, it was instead a white sticky smelly secretion. it smelled very foul!!!! it was at least an ounce that was squeezed out. any sudea as to what this may be?", "output": "Hi, Good Evening. Thanks for the query to Chat Doctor. I studied it in depth and I understood your health concerns.-Cause -for the large foul smelling discharging breast tail lump-1- In my opinion -it is due to the -Abscess in the Lymph node ? Or -Abscess in the armpit Boil ? Or Could be TB amenities with Cold abscess.2-I would rule out the Possibility of Diabetes in your case because of the 30 ml of pus -being discharged without much of the inflammatory reaction around locally, as it is not reported by you.3-So I would advise you to Consult a Surgeon who would treat it accordingly.3-Dont get scared and uneasy, but be cautious and act fast. Hope this would help you a lot to relieve you. Wish you fast recovery-and healthy life. Wellcome to Chat Doctor with more queries till you are satisfied. Have a Good Day...!! Chat Doctor. N.M.S.GENL-CVTS, Super specialist and Senior Consultant-and Expert in Non-Curable-Disease therapy for Cancer, Asthma,etc., Rejuvenation therapy and Tissue failure -reversal therapies." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doctor my 25 years old i`m having acne and holes on my cheeks from many years i`m using creams for that.problem starts re-occuring if i stopped my medication .i got fed up and stopped consulting doctor since 2 years. acne problem is incresing day by day and i,m also having holes on my cheeks my height is 5.8 inches wt is 58 kgs is there any permanent solution for this if so can u please suggest me regarding the details of treament and its cost", "output": "Hi dear, you are suffering from grade 4 acne. The solution for acne and pits will be different. Here are my suggestions, meet a dermatologist and ask him to start u on tab isotretinoin, only if you are not married. The control of new lesions ll take few months, once there is no new lesions u can go for dermaroller. This is very good to heal holes. Finally I would say don't worry u ll be totally cured, just wait. Thank u" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor, regards i am 33 years ols and my wt. is 62kgs. i m 5 feet tall. i got my gall bladder removed for stones 4 years back. ever since the day of my operation i suffer from severe abdominal pain which radiates to the back and then i feel it passes through my right hand.it is there for 2-3 minutes . it daily occurs at around 4-5 a.m in the morning but sometimes in the day also.i have got my mrcp also done but the report is normal.nowa days a new problem has also started that i feel my throat is choked and i feel difficulty in breathing.please help thanks nidhi agarwal", "output": "Hi Night. Thanks for your query. If the MRCP is normal this pain can be due to some other cause. The pain you say starts in the abdomen - radiates to the back and then passes through your right hand. Occurs at 4-5 am - in the morning and sometimes in the day too. Choking and difficulty in breathing may not be related to this. I would advise ::A thorough check by an ENT and General / Castro Surgeon and if necessary by a neurologist may help to get at a diagnosis. If all the examinations and clinical findings are negative, a help may be sought from a Psychiatrist too. Before this you can have a survey MRI of the whole spine." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi have had labour like pains all day since 4am. Lower back pain accompanies these pains like when I was in labour with my boys. I have had 2 successful pregnancies (one is 5 the other is 3.5 years old) and periods have been normal since I stopped bfing my youngest. Severe labour like pains as if I was in labour, but I am not pregnant. With all this pain all day long, my back is tender to the touch. What could this be? Oh and I have been neauseas this am and have VERY bad diarrhea - it runs out like water. What could this be???", "output": "Hello I have gone through your question and appreciate Your concern. Severe back pain and tenderness need to be investigated. I advise you to visit orthopedic spine specialist And Get MRI spine done.Don't neglect it. Do u have radiation of pain to your lower limbsDiarrhoea may be sometimes due to irritation of nerve roots. General measures to improve back pain avoid bending forward and lifting heavy Weights Lie on hard bed. Muscle relaxants and analgesics will help. Local Analgesic gel for local application. Hot fomentation thrice a day. Muscle strengthening exercises will help in long term. Thanks. U can write me back for any query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I cant understand why I have the feeling I want to cry much of the time. I do have stress with a husband with Alzheimers disease but I deal with it. Sometimes not too well. I get so frustrated with him. Having said that, I dont feel the need to cry after an episode with him. The crying feeling comes and goes at random.", "output": "Degree understand your concerns went through your problem description. You are really courageous and self-reliant, that you are looking after your husband who is suffering from Alzheimer s disease. Surely you will get its worth from the creator. Random crying feeling is associated with minute depression. Don't be alarmed. You are stressed, over and above distressed. Crying is quite normal for people who are distressed. Therefore, just ignore this. Concentrate on your daily routine, husbands welfare, your family welfare etc., god is with you always. Hope this answers your query. Available for further clarification. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi my name is Monique, I am 11 years old and about a few mins ago my right pinky got red and swollen, it is also itchy on the first joint, it hurts and stings inside my pinky when I touch it, I am not allergic to anything and I have been inside all day, I think it could be these gloves I was wearing before, what do you think it is and how do I get rid of it?", "output": "Hi Monique, your symptoms are acute and this could be either due to infection or allergy, chances of infection are more than allergy would have affected other fingers. Now what to do. Keep elevated, Do not massage Diclofenac 5o mg three times in a day if you are not allergic to the Chat Doctor. Cap Amos clan 675 mg twice daily for 3 ASCAP B complex one daily for 3 days. If it does not resolve consult a hand surgeon." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, Within the last couple of days i have been feeling like fluttering and movement in my stomach. No possibility of being pregnant. I have my periods regularly. I dont know if this helps but i recently changed birth control and been expieriencing slight pain in ovaries/lower abdomen would it be related? I also am not too gasy either. What is going on please possibilities???? this movement i am feeling is ot in one certain spot just all over. Help please!", "output": "Hi, Thanx for the query. I can understand your problem. Well if your periods are regular and still there is fluttering then possibility might be indigestion or excessive bowel movements. I suggest u get an abdominal scan done. At times worm infestation also causes same type of feeling. At time multivitamin deficiency can cause twitching of one group of muscles which can cause the feeling you're having. But please don't worry if scan is normal try taking multivitamins, calcium and get deforming done under doctors supervision. Feel free to ask me question again. Byeee." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi....I had a cold for three days last week with plugged nose and that s about it....now yesterday I felt like I had it coming again except with choke little coughing and losing the voice in a matter of a few hors . I don t feel bad but no voice and tight chest symptoms...what to do?", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. By your symptoms and description, I think you are having upper respiratory tract infection (URI) mostly. So try to follow these steps for better symptomatic relief.1. Avoid hot and spicy food.2. Chat Doctor. 3. Warm water gargles 5-6 times a day.4. Start Caroline group of antibiotic.5. Start antihistamines and anti-inflammatory " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my little girl will be 6 next weekend, shes complained of stomach cramps for a few weeks an most to nearly everyday, yesterday she had a sore throat an she woke up with a sore neck, an for 2 days her poo is green...her diet is pretty poor I try make her eat her vegies but usually gets out of it but is obcessed with salt an vinger chips? any answer u can think of?", "output": "Hi, the child has gastritis along with an Upper airway infection. Spicy food usually causes gastritis and reflux in child Chat Doctor. Sore neck could either be due to gastritis and reflux or due to infection. Give her tab Junior Landon 15 mg one tablet once daily empty stomach in morning for next 3 to 5 days. Also, deform the child with tablet Albendazole 400\u00a0mg one tablet stat. Avoid spicy and oily food and give her regular food like curd and rice. For sore throat, don't give any antibiotics right now since she just has pain in the throat and not running high fever or any other symptoms. Supplement her with Syrup B complex 5 ml once a day for 15 days. Thanks and regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "keep getting these electric shock sensations in my upper back more to the left side, sometimes it can be really painful and it literally jerks my entire body when it happens. When it happens it happens so randomly. It might not happen for weeks and sometimes it happen multiple times a day for days. It doesn t matter if I m waking, standing, laying ect.. it just comes out of nowhere. I haven t always had it, it only started roughly about ago. The only thing I can put it down to is after a I moved I hurt my back and ever since I ve been getting the electric shock sensations. I haven t really worried about seeing a doctor because it goes away but always comes back.", "output": "Dear friend, thanks for your consultation.it seems that the upper back pain is really bothering you, and it is really painful and electric shock like .as far as you have given your trauma history, you have hurt your back. From my clinical experience I am telling you that you might either have injured your lower back muscle or vertebral bone of that region. An injured muscle or a group of muscles always give rise to this kind of pain. Also see there is a sponge like thing in between our vertebral bones.it is called vertebral disc. If you have injured this disc or the disc is displaced then the nerve in between two vertebrae is getting irritated causing pain. So to know for sure you should go for an X-Ray and MRI of that region to know if there is any structural problem in that region like fracture of any vertebra or displaced disc or any muscle tear.my best wishes for you.thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my FATHERs montux test and serum test is negative but on the basis of x-ray doctor has advised two forecox tab daily befort breakfast. My question is just on the basis of x-ray can we detect tb when other tests are negative. my father age is 69 and he is feeling very week after taking forceox. please guide", "output": "Based on clinical findings and after corroborating with the X-ray findings, if the doctor finds evidence of tuberculosis, it can be treated as tuberculosis even if Manitou test and sputum test are negative. At advanced age like that of your father, the immunity automatically comes down and susceptibility to tuberculosis increases. However, for confirmation, TB Gold Quantifier test is considered as gold standard for diagnosis, and you may opt for that if you have a confusion. Please note that it is a costly investigation." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have constant stomach ache n abdoman uncomfortness past from few months. I went through a brief medical scanning n finally found in my ct scan some minor problem in my liver. Although the doc didnt prescribe any specific medicine but i took sorbiline syrup n enzym on my own constantly for few months. I was back to normal for few months but now past from three months i am facing actute indigestion and uncomfortness.", "output": "Hello, Welcome to Chat Doctor. It may be due to some chronic stomach or intestinal problem. Indigestion is more found in liver diseases like hepatitis, fatty liver etc. Please consult your hepatologist for complete scanning of abdomen and liver by ultrasonography or CT scan. Please also do the liver function tests. Please don't take any medicines without consultation. Avoid oily and spicy foods. Take green veg and fresh fruits more. Hope this will help you. Thanks for contacting us. Take care..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i miscarried after almost five months in march.i was on depot for three months before the miscarriage and i have not conceived again till now. i get irregular periods too. could primolut dopot be delaying the pregnancy or cuold it have caused the misscarriage", "output": "Hi, it is very unlikely that your previous demo injections are now causing a delay in pregnancy. Regarding your previous miscarriage, if you took demo while you were pregnant, then it might have caused the abortion, but if you had taken it prior to pregnancy, it can't cause abortion. So, I think you should go for evaluation first. Do a thyroid profile and prolactin levels and an ultrasound for your uterus and ovaries. If everything is fine, you can take some medicines for growth of your follicles and track your follicles' growth by repeated ultrasound. When follicles reach a size more than 17 to 18 mm, take injection for rupturing the follicles. Be in contact with your husband for 2 to 3 days after your injection. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. You can try like that for 3 to 6 months. Hope I have answered your question. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My boyfriend and I have unprotected and protected sex during these times I have incountered BV Trich and Yeast infections at different times . I thought I was getting it from him but that is not the case because I even have a thick white discharge now and we used protection. I have no itching or redness. what is wrong with me? I Always go to the doctors, they give me medicine and next time I have sex something happens again. please help", "output": "Hi, Welcome to Chat Doctor. Bacterial vaginosis is caused by gram negative bacteria like gardnerella and bactericides. It is also caused by trachomas which is a genital flagellate. Vaginosis presents with foul smelling discharge and itching, but usually there is no redness. It is sexually transmitted and hence both the partners have to be treated simultaneously. I suggest you and your boyfriend get a prescription for appropriate antibiotics and avoid unprotected sex. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "This may seen wierds, but my testicles are rashing. They become very itchy and bumpy.It has not spread anywhere else. After I have the rash I try to shower, but it barely helps. The day after the rash it starts to flake. I do not masterbate, and am a virgin.", "output": "Degree understand your concerns went through your details. From the description, it seems to be Chat Doctor. Hope you are hygienic in the matters of using underwear and general cleanliness. In my opinion, you should consult a dermatologist for detailed examination, investigation and treatment. If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Doctor advice me to take Susten 300 sr 1 Tab daily after Dinner, i want know that have any problem to take susten 300. please advice and i am 7weeks pregnant and also doctor said in my blood test they find thyroid 7.78. If it is anything affect my baby.", "output": "Hallow Dear, Susten 300 is a Progestational medicine. Throughout the pregnancy, Progesterone is required to maintain the pregnancy. It prevents the uterine contractions and stabilizes the pregnancy. Probably your doctor might have noticed some factors which might have indicated the possibility of instability of the pregnancy. Therefore, he/she must have started Austen 300 to stabilize the pregnancy. So Austen 300 is very safe during pregnancy and necessary in Progesterone deficiency or Pregnancy at risk. One such factor which may affect your pregnancy is your Thyroid levels. In fact in Thyroid function test, T3, T4 and TSH are evaluated. I believe you have mentioned the level of 7.78 as TSH level. Yes, 7.78 TSH is high indicating that your Thyroid is functioning low. This may affect the pregnancy and/or baby adversely. Hence, you need to take Levothyroxine throughout the pregnancy. Please get the prescription from your Obstetrician. I hope this helps you today." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have a hiatal hernia to start. for a week now i have been in a lot of pain in left ribcage going around to my back,had diahrrea for the first few days! now i go 4 to 5 times a day and my guts hurt to do so! my neck hurts my left arm aches i have heartburn and a lump on my middle chest bone that hurts! even to wear my bra hurts! i am going in for back surgery in 2 days! i have asthma and even using my inhaler i feel that its hard to breathe. is all this from my hernia or something more servere and should i go through my back surgery feeling this bad?", "output": "Hi Sherry, Thank you for writing in. I am a medical specialist with sub specialty of Cardiology. I assume that hiatal hernia has been diagnosed by a specialist. Most of the symptoms of hiatal hernia are due to acid contents of stomach spilling into your food pipe. Therefore, your heartburn, pain in the middle chest are due to this. As part of stomach occupies the space where the lungs are therefore feeling of hard to breath occurs. What can not be explained is Diarrhea, therefore, consult your primary doctor, I am sure he would like to rule out Guardians, Amoebas and Irritable Bowel Syn Chat Doctor. I assume asthma is well controlled with inhaler for when you have the episode of hard to breathe, is there whistling sound or wheeze. Meaning thereby perhaps you need more prescription " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My four year old daughter has been having dark brown stool that is dry, somewhat sticky and flaky. The consistency is a lot like dry mud. It sticks to her bottom, so I have to wipe her and as I do, it falls off in dry flakes. She has been also dealing with constipation since about October of 2013. I ve visited doctors multiple times, they gave her an enema (which did nothing at all), and about four x-rays-- but I have yet to receive any answers. I ve given her MiraLax and cut constipating food out of her diet, I ve also increased her water intake. I just don t know what it could be. I am desperate for answers. Thanks!", "output": "Thanks for the query. Sometimes, older babies become constipated because they are trying to avoid pain. For example, they may have a tear in the skin around the opening of their bottom (anal fissure). This can become a vicious cycle. Your baby holds on and gets more constipated, and then the pain is even worse when she does eventually go. Sometimes some medication, viral infection may use this problem. Regular stool timing will help, also try glycerin suppositories. Hope I helped you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my mom wAs prescribed escitalopram for her apparent depression (she says she doesnt have) but she feels very drowsy and sleepy all the time. She asked her doctor if she could stop and she told my mom not to. What are the side effects if she stops now.", "output": "Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. It depends on what antidepressant she is on. If she is in only on Escitalopram then the same should be with Chat Doctor. Further the treatment of depression continues for at least 8-10 months and any treatment less than that will not be recommended. If she is not happy with Escitalopram then she can always consider changing the anti depressant. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, or want to know further details, you can use the below-mentioned link:bit.ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Spider bite that left a red welt with a dot in middle. 5 hours after bite vomiting, diarrhea, fever, joint pain and nausea. It feels like a bad flu. Now, 2 days after the bite, symptoms are fading and my appetite is returning. Is any treatment advised?I was at a Whatshan lake in British Columbia when bite ocurred.", "output": "HelloWelcome to Chat Doctor, Spider bites are actually rare occurrences and bites from most spiders cause local redness, irritation and pain that usually can be treated at home. These local reactions usually resolve without treatment over a period of 7-10 days. I would suggest you to follow Wash the site of the spider bite well with soap and water. Apply a cool compress or ice pack over the spider bite location. Over the counter pain relievers may be used to relieve symptoms. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am having severe lower back pain but had a period only a week and a half -2 weeks ago. The pain is so similar or worse to those I would normally have during menstrual periods (or had during childbirth) except the pain is fingering slightly across my left side oblique. I have been having a small chronic lower back pain over the last few months but have associated it to tight lower body muscles. No birth control and never have periods earlier than by 3-4 days at most. Feeling nervous to fall asleep because I have a higher pain tolerance and it just seems off.", "output": "I would first like to clarify that back pains are of many types and not only related to periodic paining your case what I suppose you have been a mechanical low back pain hot packs would help you to some extend you can lie down, first intent it will hurt you but as you progress lying with legs bend from hip and knee you will feel relief. Exercise like static abdominal(can search the net with the term), pressing pillow between two legs (I'm the same position described above), will help you to relieve pain for further exercise you need to see a physiotherapist in your locality. Hope I have answered your query to your satisfaction, in case you want any further help feel free to contact me" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,my 3 1/2 yr old daughter have upset stomach from 4 days,the first day she woke up with stomach pain & passed normal stool then again a lil motion and once more late at evening but it wasnt lose motion.the 2nd day she passed a normal stole jst once,though i took her to da doctor,the doc.said its a mild infection & didnt prescribe an antibiotic just a Scopinal syrup and calpol...as my daughter was havin mild fever for the previous 2 days,so i gave scopinal & calpol for 1 day but her condition havnt seemed to better as she passed stool 5 times the next day with lil stomach pain &stool was soft wasnt loose but 2 stools were a bit whitish and she even had 100.4 fever by the evening,so am a bit worried that Scopinal syrup isnt working and what should i do??", "output": "Hi... It seems your kid is having viral diarrhea. PLEASE STOP SPINAL. Once diarrhea it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. Your pediatrician had been right in not prescribing antibiotics. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have severe rash problem, may be because of some allergy. I get it almost everyday. I went to see a doctor and he gave all kinds of medicines which could not make any difference. Now I am using homeopathy. Though it is under control, the allergy persists. Please help.", "output": "Hello. Thank you for asking at Chat Doctor. I went through your history. I would like to know more about your symptoms like - Does it itch? Do you have any other allergy problems or medical conditions? Do you have to take any regular medications? Since how long you are having rashes? From your given history, I would like to make following suggestions to you:1. Were I treating you, I would prescribe you an antihistamine like cetirizine/levocetirizine/fexofenadine/HY Chat Doctor. 2. I would also prescribe you a short course of antiparasitic " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my daughter 3.5 yrs has fallen into some steps knocking her front top right tooth. We have had X-rays and the outcome was a fracture. It is now 3 days on and the tooth Itself has dropped 5mm and the gums are red and inflamed. It is starting to effect her speach and chewing capabilities. As it is the weekend we can not see a dentist hence being here. Any advice greatly appreciated.", "output": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint due to trauma the tooth has got PARTIAL AVULSION from the socket and due to it is has hanging in mouth leading to difficulty in chewing and speaking and even there can be pain, along with it there is a possibility that the tooth will completely get abused from the socket and there will be loss of tooth. You need an immediate dental assistance and should consult an emergency room and there you may get a dentist available or can guide you to reach a dentist as soon as possible. In case if the tooth falls you should store it in either milk or mild salt solution or saliva so that when you see the dentist he can replace it in the socket and splint it to save the tooth. In case if the tooth is partially abused the dentist can gently place the tooth back in position in the socket using aseptic precautions and splint it using orthodontic wires along with initiating root canal treatment of the tooth and gradually the tooth will take its place in the socket and starts healing. But you cannot wait for long, and you need to take her to a dentist immediately. As of now you can give her Tylenol or Ibuprofen in case of pain. Hope this information helps. If you find the answer helpful please give me a Five-Star Review and click on found the answer helpful as a token of appreciation. Thanks and regards. Chat Doctor. ." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a history of left breast lobular cancer in 2003. I have a hard red pimple size growth under my left arm about 2 inches from hte armpit. It is sore to touch and has been there for a while. I have not noticed pain until the past week or so. I have an appt with my oncologist in July. What should I do?", "output": "Hi, Thanks for query to My Chat Doctor virtual Clinic. I studied all details of your query. I understood your health concerns about causes of sore lump under left armpit. Cause of sore lump under left armpit-From the data of the query it seems that you lately had a lump, which is mostly a Boil, as It's painful on touching since 1 week. But the location which your query gives, indicates this painful lump is near to axillary tail of the breast. In this situation I would suggest you to Take Second opinion from your Doctor, as it could be metastatic nodule tethering overlying skin and so has become painful lately since last week. These explanations need to be confirmed by physical check from your GP or Surgeon/and or OncoSurgeon. As your next apt with your Oncologist is there, I would suggest for a Second opinion from your ER Surgeon who would be right doctor who would help in planning treatment with your Oncologist. Hope this reply would help you in resolving this complex query and anxiety with it. I would appreciate if you hit thanks and write excellent review comments to help needy visiting patients at Chat Doctor. Welcome for any further query in this regard. Good Day!! Chat Doctor. N.M.S. Genl- CUTS. Senior Surgical Specialist." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My sister, who had open heart surgery as a baby now has two leaky valves and COPD. She also has AFIB that medication is unable to control She is 53 and every doctor she has seen in the last few years tell her that they would not consider surgery. The most that she can hope for is to keep her blood then and flowing so as not to have a stroke. She feels because of this that she doesn t have long to live and is starting to put her house in order so to speak. Having been told that she would probably not live to be 12, I feel that she has already beaten the odds. Can you tell me, based on your experience, if she is right and doesn t have long to live. I truly believe everyone has a time and that hers is not to die at 53. Help if you can!", "output": "Hi, Life expectancy in a cardiac patient is less than the same age population. It depends on the current status, the surgery she has undergone. If she already had an open-heart surgery, opening the chest again for redo surgery will be definitely risky and will be more difficult as compared with the previous surgery. But it is not impossible and is being routinely done. It depends on the probability of life expectancy with disease and after surgery. If there is not much difference, we keep the patient on medical management. AF has a risk of clot formation which requires blood thinners to prevent clot formation. It is not essential to convert it into sinus rhythm as rate controlled AF is equivalent to sinus rhythm. So don't worry about that. Finally, be cheerful as nobody knows how long he or she will live. It is our attitude towards life that make our life long. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband has esophageal cancer and it has spread to his liver and lungs. They want to use taxatere, xoladan and cistplatin. Is this the best treatment. He has already had radiation and 5fu, carboplastin, and xoladen, and eperubicin. that treatment is not working any longer", "output": "Hi, dairy have gone through your question. I can understand your concern. He has esophageal cancer. His cancer is spread to the lung and liver. Sp it is considered as stage 4 cancer. Surgery is not possible at this stage. So only treatment options left are chemotherapy and radiotherapy. He has taken radio and chemotherapy. That regimen is not working, so other regimen cisplatin can be used. However, despite all treatment prognosis remains poor. Life expectancy is not good. Consult your doctor and plan accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a rash on my waist area that I have had for over a month and it seems to be spreading. I can t seem to find any pictures on the internet so as to identify it. it sometimes itches, heats agrivates it, and it tends to cause very dry skin I also do not have any medicaql insurance at the moment for I am unemployed. I have tried a vitamin A&D ointment, a psoriasis multi symptom ointment, and a staphAseptic ointment with no result. please advise", "output": "Hi. Thanks for the query you have not explained how the rash looks. There can be several possibilities. From the site and the kind of symptoms you mention, I would think about the possibility of a ringworm infection. Called Tina corporal, it is a superficial dermatophyte infection characterized by either inflammatory or noninflammatory lesions on the skin. A pruritic, slowly spreading annular plaque is characteristic of a symptomatic infection. Patients occasionally can experience a burning sensation. A potassium HY Chat Doctor. Topical therapy is recommended for a localized infection. Topical creams having antifungal components, eg, ketoconazole/ clotrimazole/ fluconazole should be applied to the lesion and at least 2 cm beyond this area once or twice a day for at least 2 weeks. Hope this helps.take care!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 20 weeks pregnant. About every other day, I am having what I believe is a gallbladder attack. I spoke to my ob at my last visit and described my symptoms and she said it was my gallbladder. She advised me to take zantac 2x daily and watch my diet. I have been taking the zantac and eating no fat.", "output": "Hello and thanks you for your query. I am Chat Doctor and I will try to help you as much as I can with my answer. This is caused by gallbladder stones and may happen in pregnancy as well. You should continue with diet and recommended media and after labor, you should consider gallbladder removal. I hope I have answered you query. If you have any further questions you can contact us. Kindly regards. Wish you a good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a female of age 48. I am suffering from low Hb level i.e. 3.3. Ferritin level is 1.4 whose range is 10-120.I have pain in my teeth and mouth. my hands and feet swell by even walking a few steps. I have become quite weak. eyesight is also affected.How can I bring my Hb and ferritin level to normal?", "output": "Hi, After looking at your lab reports, I am wondering why you are not admitted to hospital. Severe anemia has led to cardiac failure leading to limb edema. You need a red cell packed cell transfusion to improve your hemoglobin at the earliest. Later on injectable iron can be used, and iron tablets can be taken at a later stage. Other vitamins also need to be added to improve hemoglobin levels. Any further queries, happy to help again." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I m concerned because every so often when I inhale I start to feel sharp pains sand cramps in my chest and stomach area. This only happens every so often and I usually just have to wait for it to pass. I also have this thing where sometimes I feel like I can never get a full breath. This is something I have dealt with for about 7 years and have never been too the doctor for. However it only seems to happen when I consciously think about it. It progressively gets worse the more I think about it and concentrate on my breathing and usually only goes away when I can get my mind off of it. Is this a form of anxiety or some other type of problem?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Chest pain with breathlessness are commonly seen in asthma and lung infection. Since your chest x-ray is normal, no need to worry about lung infection. Possibility of asthma is more in your case. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT is needed for the diagnosis of asthma. It will also tell you about severity of the disease and treatment is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS). Hope I have solved your query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my friend had his leg crushed by truck 25 years ago, since then there s infection in bone which is weeping, he got homeopathic drops some years ago which helped alleviate the prob. it started to dry up but discontinued due to house move. have u any idea what they may have been it was 2 drops orally daily", "output": "Hello, Sorry to hear about this. As the infection isn't getting subsided it needs proper medical attention to control the infection as it may spread to the bloodstream and other regions of the body. There are a bunch of homoeopatChatDoctoredication and it's really difficult for anyone to guess what exactly the medicinal mixture would have been. Having contact with the infection specialist should help figure out what infection it was and which microorganism was involved in the infection. Controlling infection is better rather allow it to spread. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "doctor, i am 32 years with pcod as a issue and my husband has a sperm count of 66 millions with not great morphology.i had conceived once but unfortunately the heart beat was not there for fetus(this happened in year 2005) till now i was not able to conceive. i got my hysterolaproscopy done where the entire results were of no problems. i have finished 12 cycles of ovulation induction and 3 failed iui also.", "output": "Hi. Thanks for the query. I understand your concern. * As you are 33 years old.you need to conceive earliest (It's desirable to conceive before 35 years for good outcome of pregnancy). You should therefore go for laparoscopic Chat Doctor. . For treatment of pod. Mostly ovulating menses resume with this treatment. * Your husband should consult a urologist. Get semen analysis done to confirm its normality. take needful treatment as per need *Both of you start taking folic acid & vitamin E orally (3 months intake before conception is good. *After both of you are normal. Have unprotected sex for 5 days from the LH surge test becomes +ve (indicating ovulation) * pregnancy test HTP becomes +ve after 8 days delay in menses. **In case there is no +ve result in 6 months... go for assisted pregnancy. Consult a fertility specialist. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had spinal surgery in1977 (L4/L5). Lately, I have back discomfort on the upper right hand side, going up into my neck and experience tightness across my eyes and lightness in my head. I sometimes feel slight sickness. I am 70 and work on a sewing machine up to 4 hours each day as a fabric artist. I am having remedial massage, which helps. I plan to have my eyes re-tested next week.Thanks", "output": "Hi, welcome to our site. I am Chat Doctor, MD. Read your query. That is a very significant question and I appreciate your problem. I will try my best to answer your query might be developing the symptoms of cervical spondylosis. The features you are mentioned are typical to it. The work on sewing machine may aggravate the symptoms as the rotor that you move with your arm may further tax the already affected nerves. I would suggest an x-ray of the cervical spine, and an MRI (if possible). If this turns out to be the condition, you may need physiotherapy, with a prescription of pregabalin and methycobalaminI hope this helps you. Inform the reports mentioned above/if any other, so I can be of help further. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you. Please do understand that some details could be extracted from a detailed history and examination. Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further. (If the answer has helped you, please indicate this)Best of luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have the implanon implant for 2.5 years. I have had no bleeding what so ever until today, there s quite alot of blood & clots. I have stomach problems anyway, have had for a year & half. I also have 3 tiny ulcers . I just wanted to know whether it could be a period or not. I also feel dizzy & keep being sick, the sickness is normal since i had stomach pains.", "output": "Hi ! However effective the contraceptive device may be and however least the chance might be, there is always a possibility that you might get pregnant unknowingly by chance. The pregnancy might have got miscarried partially and there are retained products of conception in the uterus resulting in passage of such clots or bleeding. The problem could also be due to a side effect of the contraceptive device you are using due to the effect of hormones. To know which is true, you have to get reviewed by your gynecologist, who may advise you for a urine pre-test, a serum Chat Doctor and an ultrasound abdomen. If all these things are alright, then possibly it is time to rethink of the alternative ways of contraception without any hormone preparation. Wising you an early recovery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "good morning doc,Im getting black stains all over my teeth. Consulted two dentists, they doubt it is the attack of chromogenetic bacterias, i checked with a gastroenterologist about the same. But he is not sure about it. it is possible to get rid of these stains? Im in my teenage and i dont use any teeth staining products.", "output": "Hello, Thank you for consulting with Chat Doctor. These stains can be extrinsic stains means those stains that you might have acquired because of improper oral hygiene, continues use of tobacco or coffee or it because of overuse of mouthwashes. In this condition you have to quit the habit which you are having and the go for cleaning of teeth. Second these stains can be intrinsic stains means caused because of increased fluoride content of water, in this case you have to get bleaching done of the tooth. Hope it will help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi there, I have had period like pains with lower back pain also or kidneys not sure? I finished my period four days ago, am not pregnant. It is almost unbearable and I have not had this before. Only during my labour 4 years ago. Very similar to period pain or labour pain. Could it be something serious with my kidneys thankyou", "output": "Dear patient As per your description its mostly colicky pain which occurs due to renal stone. When stone is passing through ureter it blocks it and violent muscular spasm leads to pain. So you need to be investigated with ultrasound of abdomen to confirm diagnosis. Renal pain might be confused with back pain. So also X-ray of lumbosacral spine anteroposterior and lateral views is advised to rule out spine problem. Take tab pastoral plus twice a day for pain relief. If ultrasound report is abnormal consult expert urologist with report. All the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I want to know if ranitidine is good for high blood pressure treatment? My mom has high blood pressure but tabletes like captropril cause headache and nausa, but she face to none of these side effcets when using raninitine ( of course she take ranitidine for stomachache). Many thanks", "output": "Hello dear, and thanks for posting your query here. Ranitidine is not for high BP, It's for acidity that's why your mother is feeling better with this tablet for her headache and nausea. But is she has high BP, then she must take some medicine for lowering it. For this, please see your doctor for some BP lowering medicine other than captopril. I hope this information would be of help to you. Thanks and all the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I started smoking weed when i was 13. It was not a common thing, maybe once a week if that. After a HORRIBLE trip using a gravity bong, i made a pact with god that if he let me live i would never smoke again..And i didnt until a year ago. A year ago (im now 17) ...i was suffering from extreme depression . My new boyfriend at the time, now fiance, smoked weed everyday all day and after convincing me it would heal all my problems i decided to smoke. Everything was wonderful and life started to seem better and i fell in love with smoking weed until recently. In september i got strept and it went downhill from here. It was a normal day (besides the strept)..I smoked and i had a panic attack (heart racing, irrational thoughts, thought i was going to die, ect.)..Not sure what the cause of the panic attack was, i smoked again the next day and it happened again. I decided to wait until the strept was gone to smoke again thinking maybe it was because my immune system being weak. So after a week of waiting, i smoked 2 hits and here came the panic attack. I than decided i was done smoking weed for good. THe panic attacks were to much to handle and extremely scary. The last time i smoked was 9/25/09. I do not miss smoking and dont crave for it but im having constant panic attacks and insane anxiety. Everyday i wake up and it seems to be getting worse. I went to the doctors yesterday and they gave me 2 month samples of lexapro which is an anti- depressant and is supposed to helpwith anxiety attacks . I took my first dose last night and WILL NOT continue taking them. IT was awful, the anxiety and panic attacks were increased by 100. My doctor told me it takes a few weeks for your body to regulate and not to give up, but i cannot deal with these symptoms for a few weeks., Since stopping, my world view is completely off. I feel disconnected from the world. I am here, am able to talk and function but the way i see things is just weird and that scares me the most. I just want to feel normal...and i feel like the way im seeing things is wats offsetting my attacks to begin with. Ill start to think about why im seeing things the way i am, and than my heart starts racing and than its a full blown attack. After reading ALOT on this, i know im not alone and that has actually helped me remain calm all day today. How long is it going to take for my brain to get back to its normal state and for me to start seeing the world normally again? IM going to start excersing and eating correctly and i think that will help alot (one less thing to be concerned about). I appreciate any similar experiences with weed causing anxiety and having panic attacks/distorted views after quitting and of course any advice on what i can do!", "output": "Hello and welcome to Chat Doctor. Thanks for your query. Cannabis (Weed) abuse is associated with a variety of psychiatric problems, and anxiety / panic attacks are indeed very commonly reported adverse after effects. The feeling of disconnection from the world (termed as \"derealization\") is also another symptom frequently associated with cannabis abuse. Cannabis can also result in an \"unmasking\" or triggering of underlying anxiety-related problems. Learn (Escitalopram) is an SSRI medication effective in the treatment of anxiety disorders, but like your doctors have mentioned, some people can experience a transient worsening of anxiety in the first 1 to 2 weeks. There are other antianxiety medication which may not have this side effect and can help you. There are also many psychological therapies which can help you deal with the anxiety. So, please consult your doctor regarding further treatment options. Wish you all the best. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my baby is 2 and half year old,i am givind salbutamol exovaler if needed now she is having cough at night time some time day time too doctor ordered for flexotide exovaler for 1 month before i given oral steroid for 3 days so it is safe to give flexotide exovaler", "output": "Hi, Thank you for asking question on Chat Doctor. Flexotide is a steroid. It is safe if you follow doctors instructions. Steroid given for a long time will have side effects. Inhaled steroids given for a sort period intermittently are quite safe. Hope this answer will serve your purposeless feel free to ask any more queries if requiredTake care Chat Doctor. V. Subrahmanyam MD;Disassociate professor of pediatrics" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my names Megan I m 13 and have various problems with my teeth . I do not brush my teeth and I visited the dentist A year ago. Problems are: 1) enamel loss to front tooth making tooth go very brown. 2) discolouring to all of my teeth. 3) bleeding gums . What can be done I help my teeth and will I loose all my teeth from bleeding gums? Help please I m really scared! Thanks", "output": "Hello, Thanks for writing in.First let me inform you that oral hygiene maintenance is very important. If left carelessly, it can affect your systemic health too. Brownish teeth can be corrected with bleaching/veneering/porcelain crowns. Bleeding gums are due to-Gingivitis. Poor oral hygiene maintenance. Vitamin deficiencies. Plaque and calculus deposits. I would suggest you to get deep scaling done. Maintain good oral hygiene. Vitamin supplements can be administered. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HEllo Dr. my name is Muneer. I consulted so many dermatologists but in vain. Some say my pigmentation is due to excessive exposure to sun. Some say they are ephilids. I have read about the freckles and ephilids. there in duration increases in summer and decreases in winter, but i feel no change in summer as well as winter. please provide me the proper advice and remedy.", "output": "Hello, Thanks for writing your query to us. Freckles are clusters of concentrated melanin which are often visible in fair skin people. It is genetic in origin. Formation of freckles is triggered by sunlight. So it is not related to weather. It is basically the exposure to sunlight that means exposure to UV B light that activates the melanocytes to increase melanin production which makes freckles darker & make them more visible. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello my name is thomas Im 32 Ivejst been told i have got spondylosis and I am on cocodemol but they dont do the job as I have to take at least dubble the dosis for any affect I also smoke mariuana which helps much better would it be possible to get this on the nhs and if so how do I approch my gp?My email is YYYY@YYYY Hope to get a reply soon tank you for your time", "output": "Hallo dear friend i he studied your case see since you are taking marijuana you need high dose of medication to relieve your pain you may get relief with tramadol with muscle relaxant there might be lumbar disc prolapse leading to articular pain you need some neurotrophic like methylcobalamine take rest , hot or cold fomentation avoid lifting weights sit with taking support to your back continue spine extension exercises physiotherapy - SD, IF TWILL HELP you need MRI SPINE to know is that injury lead to severe mechanical problem for further query contact Chat Doctor. Com" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had RUQ Doppler ultrasound 4 days ago because of abdominal pain on the right side. The Findings: a cyst in the right hepatic lobe measures 1.1 x 1.1 x 1.3 cm. A parapelvic cyst in the mid right kidney measures up to 1.7 cm. should I be worried about it?", "output": "Hello! Thank you for the query. Small liver cysts are benign lesions and all you need to do is to have an ultrasound once a year to have it under control. Same thing with kidney cyst. For sure these cysts are not causing your upper right abdominal pain. If this pain appears after a meal, nausea is present, I suggest you to have gastrostomy as a next step. If you have any constipation, diarrhea, blood in stool, and are over the age of 50, colonoscopy should be done. Hope this will help. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 4 1/2 year old daughter complaints of stomach pain daily, for the past 2 months. She also experiencing more than usual burping and gas. She has been on Miralax for 4 years for her constipation. Her diet is very simple, breakfast usually just gluten free cereal without milk, lunch includes crackers with cheese and either an apple or peach, then for dinner its usually hotdog, or mac and cheese. She is only 28lbs at 38 inches. she has always been tiny with very little to eat, but just few months ago started experiencing the symptoms of stomach ache daily, with gas and burping more than the usual.", "output": "Welcome to the ChatDoctorI understand your concerns. Many a time, by omitting a variety of food items in children diet due to fear of aches and bowel disturbances, we make them prone to malnutrition. Every child needs a proper balanced diet at this age in spite of allergies and diseases. It's not advisable to go for any special diet such as gluten-free without prior diagnostic tests which includes TTG antibodies and duodenal biopsy if required. Gassy tummy and stomachache in your child may be due to peptic ulcer disease, enzyme deficiencies, food allergies, infections or worm infestation such as guardians. So, to treat it I would recommend you to visit a gastroenterologist for complete examination and evaluation. Also, give your child normal healthy meals which include carboy Chat Doctor. You may consult a dietitian for help. Many a times vitamin deficiencies can cause such symptoms. Hopefully this will be helpful. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was sitting at work this afternoon, and Im not quite sure what happened. I felt as though my heart stopped for about 2 seconds, I got light headed, and about the time I thought I was going to faint, I felt my heart start back up again and in another few seconds I felt normal. Do you know what happened?", "output": "Hello! Welcome and thank you for asking on Chat Doctor! I understand your concern and would explain that your symptoms seem to be related to a cardiac arrhythmia. Anxiety could also mimic this clinical scenario. I recommend consulting with your GP for a careful physical examination, a resting ECG and some blood lab tests : - complete blood count-blood electrolytes- fasting glucose-thyroid hormone levels (a thyroid dysfunction could cause arrhythmia)- kidney and liver function tests ambulatory 24-48 hours ECG monitoring and a cardiac ultrasound may be needed to rule in/out a cardiac arrhythmia if suspicions are raised. If all the above tests result normal, the main cause of your symptoms would be anxiety. Hope to have been helpful! Best wishes, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am having a persistant pain in my lower left abdomin. It is sensitive to the touch and pressure, and has also periodically caused pain in my left testicle. The pain feels like a mixture of internal pressure and slight sharp pains.. Like i said it is very sentitive to touch and pressure. It has made is noticiably difficult to sit down or walk withouth pain and discomfort. I have never encountered this problem previously, and maintain a reasonable diet. I have not noticed changes in bowel movements either", "output": "HI. Your history of pain in left lower abdomen with pain in the same side of the testicle is classical. As you have described it is sensitive to touch also and to pressure. Such type of pains come in cases of nerve involvement. In your case this can be due to stretched nerve over a small recently developed hernia or entrapped in previously injured muscle - nor turned into fibrosis. Consult a Surgeon for a clinical evaluation for hernia, examination of the testicles to rule out Varicocele or a mass in the testis. To be confirmed by ultrasonography. You can have a medical treatment or an option to have a surgery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have debilitating health problems that just seem to be getting worse and worse. I have 6 diffrent specialist that I see and they just come up with one medical problem after another. I am 38 and been and off and on smoker for 10 years. I was recently told I have emphysema. I have had medical and health problems my whole life and I asked to finally be tested for Alpha-1 because my sister tested positive but we have different fathers. I am a M1M1 and my antitrypsin is 161. But when looking at all symptoms I have all but 1. My question is with my health history should I be looking for something else to be the cause of can this still be a possibility", "output": "Thanks for your question on Chat Doctor. Being a smoker emphysema can occur at any age. And smoking make you more vulnerable to get emphysema at this antitrypsin level. So if you have chest x-ray and PFT (Pulmonary Function Test) suggestive of emphysema than you are suffering from it only. No need to search for the cause. Better to start treatment. 1. Smoking cessation should be the almost priority.2. Inhaled bronchodilators.3. Pulmonary rehabilitation with chest physiotherapy and deep breathing exercise. 4. Pulmonary vaccination with pneumococcal and h.influenza vaccines." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "ok I have reversal of the cervical spine, barrowed bone. I feel like I get pulses to my brain to urge on insignificant things going on around me. how do I get the proper balance to settle down these urges my brain is passing through my sight? is there a level of serotonin I should be concerned about? or the other that has been freaking me out for the last several months... what can I do to prevent these mild outburst with my eyes and how can I control them. it s like having a convulsion as a epileptic seizure. what vitamins can I settle this down with before surgery?? I have had depression, anxsious moods, and ensomnia all together and I feel so lost and out of control. I m trying to learn desenstiging things but it s not really all that easy... I move slower than I used to because of my disability... I am not taking any anxiety medications prescribed at this current time and am trying to stay away from the medications they gave me for muscle relaxer and vicadin that they gave me for at home. I guess my question is what natural vitamin or vitamins can I take daily to settle down this brain activity? This is a total new world for me and these impulses are weird. Like I mention it s like having a seizure..... Prior to this blowout I was pretty much in control of everything around me and was a work horse which probably got me to this state of injury to my neck because of hideous roller skating accident when I was a teenager. So what can I do to settle down my brain activity... or to balance my brain activity prior to surgery, which could be in a month or longer. I am waiting for the signs my nero surgeon told me before I have a total infusion on my neck. I still do my therapy they tought me at home to keep the neck muscles strong prior my procedure. but for some reason my eyes get this urge to look at certain colors and what not and i m trying to learn to be", "output": "Hello, I do not think that the neck issue is related to those episodes you describe. They seem most likely in the setting of anxiety. Now the most common options to ad Chat Doctor. If you insist on avoiding medication then you can try herbal remedies like Saint Johns wort. Vitamin B12 and magnesium supplements may be added as well. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "IS SCRATCH FROM A DOG THERE IS A RABIES?MY 3 YR.OLD DAUGHTER WAS SCRATCHED FROM OUR DOG 1 WEEK AND 4 DAYS LATER.I WASH SOAP.AND I WENT TO CITY HEALTH BUT THERE S NO AVAILABLE VACCINE,WE BUY FOR OUR OWN.HOW I KNOW THAT MY DAUGHTER IS POSITIVE WITH RABIES AND OUR DOG?", "output": "Hello. I just read through your question.in the case of a dog that is appropriately vaccinated, there is generally no need to worry about rabies. If we are unsure about the dog vaccination status, we can simply observe the dog. If the dog begins to show signs of rabies, we assume that rabies has been transmitted to the person who was bitten, if the dog behaves as per usual, without signs and symptoms of rabies, we do not have to worry about the person who was bitten." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I masturbate weekly twice or more i try a lot not to mastutbate but I can t control myself so sometimes i get head ache also so please suggest me how to quit masturbate and I asked few people how to stop they say to marry but iam very thin So I just want to stop masturbation", "output": "I have had a patient this past week with this same problem. It is addictive and very difficult to treat. I told this patient what I will tell you. It is important to remove triggers from your environment, things that make you want to masturbate, that remind you of masturbating. Television, videos, internet, magazines... these can all be sources for temptation that make it hard for you to resist. I would start by changing your environment. It also helps to keep a journal, writing down your thoughts, feelings, and reasons for wanting to masturbate, to better understand your motivations and gain insight into your addiction. Having a therapist if one is available, one who can maintain confidentiality, is a plus. I would disagree to rush into a marriage just to get out of your masturbation issues. If intimacy with a partner is your issue, it might be helpful to consider trying to desensitize yourself by ad Chat Doctor. Do you watch pornography? Do you have any history of sexual abuse? You really need to evaluate why you have this problem and try to understand it. It is also, in many ways, a normal thing to try to experiment, masturbate, especially in your teenage years. There is nothing wrong with this. However, if it becomes to a point where you cannot maintain relationships, difficulty obtaining a job, or affecting your life in other ways, then it is no longer considered normal but rather an addiction. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been diagnosed with Bronchietasis (spelling?) and I am told my bronchial tubes are permanently damage and this cannot be reversed but it is treatable. I ve had 3 episodes of pneumonia. I also have a skip in my heart beat which was become worse in the past week or two. I am using a nebulizer........does the skip in my heart beat have anything to do with the treatment of the nebulizer?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Chat Doctor. Heart block and arrhythmia can be the cause for this. So better to consult cardiologist and get done ECG, 2d echo and Holder monitoring (24 hours continuous recording of ECG). If all these are normal then no need to worry about heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, DOCTOR BHUSHAN, IM FROM DHAKA. MY FATHER IS A KIDNEY PATIENT, RIGHT NOW HE TAKING DIALYSIS IN A HOSPITAL AT DHAKA. IM THINKING ABOUT KIDNEY TRANSPARENT WHICH IS POSSIBLE IN INDIA, BUT I NEED SOME INFORMATION ABOUT KIDNEY TRANSPARENT, CAN YOU PLS. LET ME KNOW WHAT I HAVE TO DO I WANT TO PROCEED? HOW MANY TIME WE HAVE TO VISIT TO INDIA, HOW LONG WE HAVE TO STAY THERE, AND WHAT IS THE TRANSPARENT COST WILL BE? PLEASE LET ME HAVE THESE IDEA, IT WILL BE SO GREAT OF YOU.THANKS.MD. AMINUL ISLAM", "output": "HelloThanks for query, Your father has Chronic Kidney Disease (CKD) and has been advised to undergo Renal Transplant. You wish to get the transplant surgery done in India. Please get following preliminary test done before you come to India to save time 1) Patients renal function assessment 2) Blood group of the patient 3) Donor should be preferably close relative like son, daughter, wife, brother etc. and should be of the same blood group 4) Donor should be less than 55 years old and should be in good health and free from any chronic illness .5) Since you are from outside country you will not get any benefits that are availed to Indian patients .6) Patient along with Donor has to come to India with documents from your Govt authorities to prove relationship. Once the patient with matching donor visits any Hospital in India he along with matching donor will be investigated and all the legal formalities will be completed within 2 weeks before Renal Transplant is done . Patient along with donor will have to be hospitalized for 10 days after surgery. Approximate expenditure incurred will be about 2-3 lakhs Indian rupees. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My period wasdue today ( or yesterday) but hasnt arrived. My cycle is usually 28 days. I have had slight queasiness for a few days, burping a lot. White discharge. Had slight cramps yesterday and was sure my period was coming... but no bleeding. I am 43 years old. Have 2 young children. Miscarried last November. I would like another child. The reading was false on the pregnancy test I did this afternoon. Could I still be pregnant?", "output": "Halloween you have regular cycles and miss your periods there is every possibility of pregnancy. You can repeat the urine pregnancy test after 3 days. For a very definite result you can do a serum beta Chat Doctor. It is more useful in such an early period. Since you are already 43, I would advise you to plan for the next pregnancy at the earliest as increasing maternal age has relatively more maternal and fetal complication." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Husband was diagnosed with pneumonia with a temp over 103. Doctor prescribed Zpack and ibuprofen for fever. It s been 7 days and he is sleeping a lot and complains of weakness if he moves around. Coughing a lot with a rattle sound in his chest but no fever. Can the pneumonia still be in his lungs? He is a 60 year old male with sinus and allergy problems; otherwise in good health. He did take the flu shot", "output": "Thanks for your question on Chat Doctor. I can understand your husbands situation and problem. In my opinion you should consult pulmonologist and get done 1. Repeat chest x-ray 2. Sputum culture and sensitivity report. Since he is not improving and still having cough and congestion with fever, even after antibiotics, we need to rule out worsening of underlying pneumonia. So chest x-ray is needed for this. Sputum culture will isolate the causative organism and sensitivity report will guide you about effective antibiotic therapy. By this, we can achieve faster recovery. So consult pulmonologist and discuss all these. Appropriate antibiotic treatment is the main thing in pneumonia treatment." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Female, 45 years old. Blood work: Hemoglobin 9.8, Ferritin 5 . Results are typical for me. Dr. only prescribes iron pills, increase in iron risk foods. Looking for alternative remedy. Can I just get an iron drip to help me get my numbers back up?", "output": "Hi, dairy have gone through your question. I can understand your concern. You have iron deficiency anemia. You should take iron treatment. Furthermore, you can take intravenous iron or oral iron. Whatever is convenient. Also take iron rich food like dates, green leafy vegetables, Chat Doctor. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My sister had her gallbladder removed on Wednesday, and is still in seere pain in right shoulder and under her right rib cage. the doctor put her back in hospital and did more tests but then said everything was normal and sent her home. What should she do? She des have a diagnosis of fibromlagia.", "output": "Hi and welcome to Chat Doctor. Thanks for the query. Pain in shoulder and under rib is expected and commonly seen due to pneumoperitoneum which is done during laparoscopy. It should be treated by standard painkillers and there is no other specific cure. IT may persist up to 2 weeks sometimes. If there is constant abdominal pain or jaundice and fever then you should visit doctor. Wish you good health. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir, my mother is suffering from severebavk pain and she also sufferinf from pain in her right shoulder and right portion of her body.As per MRI report following points were highlighted:diffuse disc bulge from L2-3 toL4-5causing narrowing of bilateral neural foramina.Ligamentum flavum hypertrophy is seen at L3-4 and L4-5 levels.Facet joint arthropathy is seen in leftL3-4 facet joint.please advise the remedy measures in this case.", "output": "Hello, I have studied your case. Your MRI says foraminal protrusion causes bilateral foraminal stenosis which leads to compression of exiting nerve root which later on supply lower limb [leg]. Due to compression of this nerve root there is tingling numbness in your leg and pain associated with it. Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain; you can take them consulting your treating doctor. You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case. I will advise checking your it B12 and it D3 level. As MRI shows disc compressing on nerve root then surgical decompression is permanent solution. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my daughter is two and she has vomited one time on tuesday in pool, and one time at daycare on wednesday and this mornign at 630 am she woke up vomiting everywhere, she hasnt ate since lastnite at supper and she has a bad ear infection........ do you think this is just a virus?", "output": "AS per your concern there is an infection lingering in the body which we cannot presume to be viral as it can be bacterial superimposed on a viral fever and whenever there is infection in child Chat Doctor. As you have mentioned it is ear infection she must be given proper antibiotic to control ear infection and there is medicine to control vomiting if it is not relieved. Loss of appetite is also due to infection. Your confirmed statement that there is ear infection means you have already seen your doctor. I suggest you review with him to reassess. You must take care to prevent deny" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 11 year old daughter started vomiting early hours of Friday morning. She stopped by 1pm on the lunchtime. She then ate at 9.30pm and vomited immediately after. Yesterday she ate something and vomited again straight after. Today, she hasnt vomited after eating, but she has red blotches on her face and feels quite sick. Is this just a normal virus, which should clear naturally?", "output": "Red blotches on skin may be due to many causes like allergy, rosacea or Chat Doctor. Physical examination is required to come at diagnosis and also whether it will subside on itself or medication is required. One important thing we need to know is whether it is itchy or not, fever is there or not and also her vital parameters. We cant straight away tell based on history like its due to virus and clear naturally. It is better you consult a qualified physician. She may require antiemetic, anti bionics and antipyretic medication and also diet should be easily digestible, less oily, less spicy, more fresh fruits, and also she requires rest till she becomes fully fine." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello, I am Male patient . My doctor give me two test (Testosterone its 3.98 ng/ml) and (Prolactin 10.9 ng/ml) then he prescribed me 12 injections (Koragan 5000 I.U) and said 1 injection per week. also prescribed tablet Bromocriptin for 2 months. Now am worried about this hormone injection (Koragan), is this right for me or i shouldnt use it? please suggest me what should i do.", "output": "Hello, From the history given I understand that you are undergoing treatment of infertility associated with hyperprolactinemia (elevated blood prolactin) and hypogonadism (decreased male sex hormone testosterone) Foreign hormone (human chorionic gonadotropin) injection is used in the treatment of male hypogonadism to increase the testosterone level. Generally, it is well tolerated by most of the men however its common side effects include injection site pain, headache, fatigue, acne, sweating, deepening of the voice and depression. If these bother you or appear serious, let your doctor know. It is the correct treatment and continues to take injection foreign as prescribed by your doctor to overcome the issue of infertility. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am 41 years old and have had heavy bleeding for 3 weeks I had a endometrial biopsy results were prolifative endometrium. My doctor suggested hormones or ablation. 8 months ago I had simple hyperplasia without ataxia in which I took hormones and then a D&C because of continued bleeding. I also had endometrial tissue removed from the outside of my colon. What is causing all these gyn issues. Should I be worried about cancer? Will the ablation solve my problem?", "output": "Hello, I have gone through your query and understand your concern. You have to understand that Proliferative endometrium in normal endometrium. It is a part of the growth of the uterus endometrium in normal menstrual cycle under the influence of the estrogens in your body. Estrogen stimulates the endometrium to grow and thicken and lead to cell multiplication and tissue growth. You have worry about the proliferative endometrium only when the growth is very fast and beyond the limits of the normal growth. This mean to indicate a cancer. Yes. Ablation can solve your problem. In Ablation, the heat or cold destroys the endometrium and prevents it from regrowing. Hope this helps. Please write back for further queries. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a throbbing pain on my right hand side. It began off and on a couple of months back. Now it is effecting my sleep, and daily activities. It has begun to be constant in the last few days. It is directly on my side around the middle; above my hip area.", "output": "Thank you for question. 1) Thoracic Outlet syn Chat Doctor. The reason could be a) Cervical rib: Get a X-ray of the neck)Scalene muscle spasm: Try a muscle relaxant Flexion Mr 500\u00a0mg and see if it relieves pain.c) Others: Discuss with your orthopedic surgeon2)Nerve impingement:a) Cervical spondylosis: Get a X-ray cervical spine) Osteoarthritis of medial epicondyle: elbow X-ray and examination)Ulnar nerve traction: Get a nerve conduction test. d) Saturday night palsy: Did u fall asleep on a chair with your arm hanging on the side? Hopefully you don't have a previous fracture around your elbow, or it could be a complication of that. Get well soon" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i woke up a few days ago after masturbating and woke up with a small lump on the bottom of the shaft of my penis ... it hurts a little like if i touch it . I havent been sexually active in quite some time therefore doubt its an std . i imagine it could be lymphocele but cant find any pictures to definitely say that that is what it looks like . what do you think ?", "output": "Hello, If you've never had sex, little white bumps on the shaft of the penis may be pimples, a skin cyst, or ingrown hairs. These are common and they're nothing to worry about. Another condition that's normal and no cause for concern is pearly penile pa pules. Genital warts (HPV) also can show up as bumps on the penis. Therefore, I suggest consulting a skin specialist for physical examination, diagnosis and treatment. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi - I have a history of very high GGT in blood tests - it varies between 192, (in 2002) which I know is high & the last reading in Jan. 2014 of 443 - How can I get this reading down to the accepted standard 0 - 45 ? I am mid 60 s - non smoker & social drinker.", "output": "HelloSign GGT may indicate liver injury. It may be due to many reasons like hepatitis, alcohol intake, altered lipid profile etc. It is important to know other parameters like SGPT, bilirubin,alkaline phosphatase level. You may need few investigations like routine hologram, random blood sugar, lipid profile, complete liver function test, ultrasound of abdomen. You should avoid alcohol completely. I suggest tablet ursodeoxycholic acid 300 mg twice daily for three months to my patients. It helps in regeneration of liver cells. You may need to take few more medicines after full investigations. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have just been diagnosed with a fatty liver which is grade 3...I had my thyroid taken out around 10 years ago and I am told this could have started it? Is this true?I now know why I have steadily been gaining weight..? Can this be sorted out satisfactorily? I am starting a 21 day Ayurveda treatment course today and also thinking about taken milk thistle? Any suggestions I am pretty concerned?", "output": "Hi welcome to Chat Doctor... Thyroid removal can lead hypothyroidism which can lead weight gain.... It can also lead secondary high cholesterol that can lead fatty liver ..... So investigate your case with. .....1. Serum cholesterol estimation 2. Serum TSH 3. Serum t4. If needed levothyroxine can be given .... Take low fat diet .... Regular exercise done .... Carrot, spinach, Indian gooseberry, avocados, dandelion etc. are some good food for liver ... Use less oil in cooking ...and use good oil like sunflower oil.... Take care. Advise : physician consultation" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my sis-in-law has been suffering w hives, and swelling for months now the drs in indiana dont know what is wrong after mri ct scan they see nodules on liver & want to biopsy it to rule out cancer. I live in CT & we have great medical treatment up here I am doing research to try & give her a direction of what it could be?", "output": "Hi, She is having liver nodules. Hence, malignancy needs to be ruled out Traffic CT scan and serum AFP estimation will be beneficial in rule out HCC. If needed USG guided biopsy can be done and sent for histopathology examination for rule out malignancy. According to cause specific treatment given. CBC also should be done to check eosinophil. If needed for rashes antihistamines Chat Doctor. Consult a physician or gastroenterologist for examination and further work up accordingly. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello...m dr maira..i had 2 missed abortion this year..first in jan had blighted ovum and second last month due to baby stopped growing in 6-61/2 weeks..in ma second preg dr prescribed cyclogest and aspirin but again missed abortion..now dr is saying i should start ascard right now before concieving..i want to ask whether i should start ascard right now or i should wait when i concieve next time??and whether it has positive effect of taking Ascard before concieving??pls answer me drs!!thanx!!", "output": "Hi, There is no harm in taking aspirin before conceiving. But there is no proven benefit also. Starting aspirin may not solve your problem. You need some investigations to find out cause for repeated miscarriages. Though these investigations are costly, if abnormal some factors can be corrected to avoid miscarriage. You can ask your doctor about those investigations. Some basic cheap investigations are blood sugar level, V Chat Doctor. Costly investigations like karyotype can be done or deferred according to your doctors' advice. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have these cysts all over my body. The number of them have increased over the years. Some you can see and I am becoming self conscious of them. I have been Tolstoy they are fatty cysts and that the scar from them being removed would be worse then just leaving them. What is your opinion? Is it something more I should be concerned with?", "output": "Hi! Good evening. I am Chat Doctor answering your query. From your history, it seems that you have got multiple lipomatous, which are benign fatty deposits. These are firm lumps which are benign carrying practically very negligible risk unless when they press on any organ or nerve. Multiple excisional biopsy would also give rise to scars unless done very meticulously. Usually it would be left onto the patient whether they need surgery and would be ready to accept the scars or if they want these lumps to stay like that with proper precautions.Thus, you would be the best judge to decide on it. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Not too long ago i was due to have physical taken because i wanted to go to the selective service and i was being told by one of the doctors that i had a heart murmur, sometimes i also have this sharp pain coming from my chest and some severe pain from my heart.", "output": "As off now you are totally asymptomatic would advise you to go for a test called 2d echocardiography this test we can see whether all the valves are working properly or not ,if there is any stenosis(narrowing) of the valve or if any valve is leaking(regurgitation) giving rise to murder murder is not always due to problem in valves some times murder can be innocent murder which need not be treated my advice is to go for detailed 2d echo as soon as possible" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my name is Antoinette Thomas and I am 18 years old. I go to Eastview High and I am a junior. But back to the point, I really have low self esteem on my body and I my skin is dark. I have been trying to look for ways that I can make my skin light-skin but I dont have the ingredients or its too much money. I live with my mom and she knows I hate myself and she hates that I dont love me like I should. I was wondering if there are any doctors or hospitals that can make my skin a light skin tone permanetly? Also, I hate other things on my body, like my bikini line, my breast and booty is not big enough, and i hate my whole face. Im sorry for so much questions that I need answered, but I was wondering if I can get checked on having BDD or any disorders that has to deal with me not loving myself.", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. Love towards self comes when you actually know you. Numerous spiritual researches shows that once you understand yourself, you start loving yourself and what you are. You are you. In any case you cannot become another person. Therefore, instead of thinking and worrying about your shortcomings, concentrate and develop on your positive points. I am sure that you are having at least 100 positive points to go forward. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was diagnosed with chronic prostatitis with no bacteria being found in my urine as well as all stds negative, I have completed 4 weeks of bactrim and then 6 weeks of cipro and neither have had much effect in helping my symptoms. What treatment options are still available?", "output": "Hi thanks for asking question in Chat Doctor. Here you might have chronic non bacteria prostatitis. It may be because of previous attacks of prostatitis. Here is some suggestion for you. To relax the prostate muscle alpha blocker can be taken like ex.tamsulosin reduce prostate swelling and inflammation anti-inflammatory Chat Doctor. Use stool softer to avoid constipation. Eat more fruits and healthy nutritional diet. Warm bath is helpful. Relaxation exercise is helpful. For exact confirmation fluid expressed from prostate by massage can be sent for culture. I hope my suggestion will help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi! I was diagnosed with both kidney distinct corticomedullary differentiation. Pelviectasia is evident bilaterally, mo lithiasis seen , per my upper abdomen ultrasound. What does this mean? It also said both kidneys have normal size. Thank you, Yolanda r. Salvador", "output": "Hello Your findings indicate bilateral dilatation of renal pelvis. It is generally a benign finding. It may be due to over distended urinary bladder. However, it is important to rule out bilateral reflux. You may need repeat ultrasound with both filled and empty urinary bladder. Other findings are normal. Cortico-medullary differentiation is maintained. It is good that there is no calculus in either kidneys. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My father has been detected CKD and has been advised to take certain medicines. His serum creatinine level is 2.8. the medicine prescribed to him are: tab cetil 200, tab pan d, tab doxovat 400mg, cap nerveup, tab asomex, tab ferrium, tab c-z pam 0.5, tab pacitane 2 mg, tab nexito 10 mg, Injection Mircera 75 mg fortnightly and injection wepox safe 5000. I just want to know whether these medicine has been prescribed correctly or i have to drop some medicine from the list or should i add some new medicine? Also suggest me what medicine to give him for good appetite . thanks. anil chaurasia", "output": "Hi and welcome. I am not sure what is contained in Donovan tablet?? Your dad seems to be on two erythropoietin preparations (We pox and Mercer) which is usual - both have the same effect, hence why prescribe together? Kindly check this with your nephrologist. The key is to ask your doctor as to why your dads kidneys are working less well? His BP and any diabetes (if he has it) should be well controlled. Best wishes" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi ,i think my contraceptive pill is causing severe anxiety. i started taking it about 4 months ago when i was struggling with severe depression and anxiety before and during my period, but since being on the pill it has got a whole lot worse. i have anxiety attacks every day, suffer from insomnia and feel paranoid and anxious about everything. its putting a real strain on my relationship with my boyfriend and my family. I do have the copper coil, which Ive had for just over a year now, and was planning to have it removed and continue with the pill but i dont know if either of them are making me worse. i also have a history of kidney problems, having one kidney removed in 2012. any kind of advice or help would be greatly appreciated!thanks sophie", "output": "Hello welcome to Chat Doctor Commonly used contraceptive pills may aggravate depressive symptoms, and can also cause mood swings and precipitation of panic attacks. In susceptible individuals or in individuals with pre-existing depression risk is high. Insomnia may be a part of anxiety or may be due to hormonal changes. If you are having serious anxiety attacks consider consulting a psychiatrist. Medicines like SSRIs and Saris are commonly used. Even a lot of medicines cause improvement in menstrual symptoms also. To improve your relationship with boyfriend and family you can consult a psychologist for relationship counselling. Hope this helps you, thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son has very high fever. He is 4 years old and has been having fever for the past two days..last night was bad as his fever went upto 103.6f . I gave P125 which didnt work. so gave a towel bath and gave ibugesic plus 8 ml(he weighs 13.4kgs). Now he is fine. but not sure how long and frequently i can give ibugesic. He also had shaking chills last night . We have been giving him an antibiotic that the doctor prescribed for the past 2 days...to be given for 3 more days.. Why did he get shivering chills..why is the fever not responding to normal paracetemal. how much more should i give this ibugesic, is it safe for a 4 year old kid?", "output": "Hello, Your baby is probably suffering with viral fever; it is associated with shivering when fever is high. High grade fever does not respond to paracetamol syrup alone; it requires combination medication. Syrup Eugenic plus can be given 6 to 8 hourly, minimum 4 hour intervals between 2 doses. High grade fever will probably persist for 1 to 2 more days. Then you may shift to Paracetamol syrup. All medication discussed here are safe for child Chat Doctor. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here... my name is abhishek nigam ang age is 21 and my hight is 5.1 ft and you have any solution to increase my hight at this age and my fathers hight is 5.4 and mothers hight is 5ft", "output": "Hello Abhishek, Height of an individual is determined by Genetics, Environmental & Nutritional factors and Hormonal factors (most important the Growth Hormone secreted by pituitary gland in brain)An individual stops growing in height after the fusion of the Epiphyses (growth plates) of the long bones, which occurs by the age of 17-21 yrs in males. So...as you are 21 years old now, there is less chance of further increase in height. An X-ray for bone age determination can be taken to look for the fusion of epiphyses. Make sure that you are taking a healthy & balanced diet, exercise regularly & avoid stress. Protein rich diet like soda, groundnut, pulses, etc. should be incorporated in your diet plan. One more thing, please do not get influenced by any advertisement on internet or health product which claim to boost your growth hormone & increase height...it may be harmful. Wishing you Good Health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am being treated for hypertension with a calcium blocker and a beta blocker. today a noon reading was 157/90 one i took a few minutes ago is 145/92. i have sharp pains in my ears, pain in and behind the eyes and chest pain. i know it isn t a heart attack, just wondering if that is normal.i have been taking meds for hypertension for several years, Lisiniprol, which was discontinued some months ago, and switched to Diltiazem.I was reassigned a provider at the VA just recently, the new one reinstated the Lisinopril just recently.It feels like bp is going back up from my normal state. No real significant reason that I can figure.Wondering if the meds are not working correctly. I notified the VA today, they were supposed to get back to me today, guess I will have to wait until tomorrow.", "output": "Hello! Welcome and thank you for asking on Chat Doctor! Regarding your concern, I would explain that your actual blood pressure values are still high. This means that your actual therapy is not very effecting in controlling blood pressure values. Coming to this point, I would recommend you to closely monitor your blood pressure values in the next days. If your blood pressure values are persistently high (above 130/80 mm Hg), I would recommend discussing with your attending physician on the possibility of making some changes to your actual therapy. Hope to have been helpful! Wishing all the best, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been told I have a fatty liver, I have been having high fevers at night and woken up soked in sweat and been having pain on my RUQ. I just noticed that I have rose spots all over my legs, been tested for heepititis and came out negative, what could this be?", "output": "Hi welcome to the Chat Doctor Here you have right side abdomen pain and fever as well suggesting liver affection strongly and so that work up done with liver enzymes' estimation mainly If they are high than hepatitis is the cause. Although viral marker like bag or HCV might negative Second viral infections or vascular inflammation or low platelet might be the reason For that CBC and ESR estimation done. For rash antihistamines Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "okay I am 16 and I have had anal sex( protective but said the condom slipped and he put it right back on) and oral sex ( for a few seconds) with a stranger. I know was stupid will I have allegories every time I eat sugary fords like cookies, cupcakes etc. My lymph nodes have been swollen before I got my allergies but after I have had protective anal sex (he said the condom slipped not sure) now underneath the head of my penis are pimples (small redish and whitish color) I had this sexual contact with the stranger a month ago. Additional DetailsOh and I have had my roof of the tongue itch and the back of my lip as well", "output": "Welcome to Chat Doctor. Red, white pimples suggests infection after sex. You have to be careful during sex with stranger. Always go for protected sex. Take proper local care. Wash that area with antiseptic liquid. Avoid tight undergarment. You can apply antifungal and antibacterial cream locally. Oral antibiotic like definite, moxifloxacin and antifungal like fluconazole, terbinafine will be helpful. Avoid sex till get complete cure. If it is recurrent then go for CBC, STD profile and start treatment under guidance of dermatologist." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HelloMy friend has just rung me as she is worried about a golf ball sized lump she has found at the top of her daughters spine, which her daughter says is painful to touch. Her daughter also c/o headaches. I tried to reassure her that it may well be a cyst. Can you tell me your thoughts on this please?Thank youHelen", "output": "Hi, Thank you for posting your query. The most likely cause of the swelling over the spine could be a cyst. Other causes could be lipoma or neurofibroma. These are benign conditions and there is no need to worry about them. The diagnosis can be further clarified by clinical examination. If it is possible, please upload a clinical photograph. It would help in clinical diagnosis. For confirmation, a biopsy of the lump may be required. There is no need to worry about it now. I hope it helps. Please get back if you require any additional information. Wishing you good health, Chat Doctor. Ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good Morning Doctor,I am Arabindo. In 2009, I had Typhoid, Though Typhoid got cured, but since than I am suffering from severe weakness and 24 hours I feel Feverish, My body remains worm. Though Thermometer shows within 97 to 98.6. I feel very incomfort whenever any person with cold hand touches or any cold thing touches to me. COUGH is another problem. Whenever I get attack with cold, It starts with running nose and ends up with sputum. Whatever medicines I take, It stays more than 25 days minimum. I have mild HypeThyroid problem since 2009 only. I am taking 50mcg - Thyronorm regularly-6 days a week. Another problem started since 2009 is Heavy Breathing problem. After taking medicines it was reduced for alomost 1.5 yrs but due I started again taking Sorbatair & Duomate regularly since a month now. Earlier. I did all types of Tests (Blood & Urine). Doctor says everything is normal. But then why I am so weak. since last 700 days, I have not seen a single Healthy day / Good day. My marriage life is getting spoil. My present weight is only 49 kg. height is 174 cm and age is 36 yrs. O my lord, Pls. help me.", "output": "Helots is very uncomfortable situation that you are not getting proper treatment. Such symptoms, as you mentioned in the query may be due to these possibilities, these include:1 Asthmatic allergic bronchitis, however, your treatment for asthma is right but allergy may be responsible for recurrent attacks .2 Tuberculosis, is another common cause of such symptoms. Diagnosis can be confirmed by X-ray chest with PCR tuberculin test .3 Anemia, may be the another reason of such symptoms. However, there are so many possibilities of such symptoms but physical examination a swell as clinical history of illness is important. So in my opinion consult a chest and tuberculosis specialist and get his opinion. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "A week and a half ago, I threw out my lower back causing severe pain. I went to se my GP and he prescribed me anit-inflamatory pills for 2 weeks (Celebrex). This past Saturday following a shower, I decided to rest a little longer and crawled back into bed for about another hour. Upon getting up, I stretched and got up kind of abruptly and I immediately experienced something like I have never experienced: neck pain, excruciating headhead like never experienced, dizziness, sweats, nausea, vomiting and ringing of the left ear. All these symptoms lasted about 15 minutes, but the neck and headache about 8 hours. At bedtime, I feel dizziness and neck pain. What happened to me. Do I have vertigo, did I experience a mini strook or does this have to do with my lower back pain.", "output": "Hineck pain and headache, vertigo could be due to cervicalspondylitis so consult your GP again for anti-vertigo medicine addition. Do not panic and take complete rest in bed and continue Celebrex for another 10 days. Apply muscle relaxant gel to neck and back. Also have your blood pressure checked just in case it is low or abnormally high to account for dizzy symptoms. Use a cervical collar to restrict neck movement till dizziness subsides. Thenafter do isometric deck exercises lea rig it from a physical therapistRegards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "A doctor told me today that I needed my gallbladder removed and scheduled surgery. After doing some research I am very hesitant. Im 35 years old and my symptoms (for two months now) are pain and cramping of my LEFT flank and occur after eating and I can no longer eat as much as I used to. Im having odd bowel movements several times a day. Sometimes its diarrhea, other times its been orange and lately its been dark green. I also have pain in my left hip that feels like its being pulled apart. I understand that this may not have anything to do with my main symptoms, but its presence came with the flank pain. Ive had an Ultrasound, CT scan, blood work, and given a urine sample. The blood and urine showed nothing wrong. The CT and Ultrasound showed a small teardrop size polyp in my gallbladder and no stones. Is this doctor cut happy or should I really be concerned?", "output": "Hi, If there is a polyp in gall bladder get it removed by surgery, and endoscopic removal of gall bladder can be done. A polyp can be malignant also. However, cancer of gall bladder are very uncommon, yet there is a possibility. Hence, removal of gall bladder with polyp inside is a better option. Proposed patient risk factors for malignant gallbladder polyps include age greater than 60, presence of gallstones, and primary sclerosis cholangitis. Polyp risk characteristics include a size greater than 6 mm, solitary, and sessile. Please attach detailed reports of CT for further suggestion as all the risk factors have to be accessed. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i was stupid i know but i took some cocaine with an old school friend (this was the first and only time i have done it) then had unprotected sex and now my girlfriend is pregnant i have read this will harm my baby is there anything i can do to stop this?", "output": "Hallow Dear, I hope she is not minor. If she does not want to continue this pregnancy, she can terminate it by medicines. Tab. Mifepristone followed after 24-48 hours by Tab. Bisoprolol are medicines which can terminate the pregnancy safely and effectively up to 9 weeks of gestation. Usually within 24 hours (sometimes up to 7 days), the abortion takes place. It is advisable to have a follow-up visit to Obstetrician after 7 days. However, these medicines are not over the counter medicines. You should have Obstetricians prescription to buy them. They should be taken by Obstetricians' advice only. These medicines cause developmental abnormalities in the bay. Therefore, if they fail, the decision should not be reverted to continuation of pregnancy. Then the pregnancy should be terminated by surgical methods like MVA or so. The other alternative for both of you is to get married and have a child. I hope this helps you and her." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "me and my wife came to know that she is pregnant 3 days back.when her urine routine was done ,the report shows pus cells 4-6 and epil. cells 2-3.the doctors has prescribed ceftum 500 twice a day for 5 days.i would like to know whether it is safe to take this?", "output": "Hello Sir, and I hope I can help you todayCeftum is a kind of antibiotic that is a cousin of penicillin, and can be safely taken during pregnancy as can all penicillin-based antibiotics. So you do not need to worry about your wives pregnancy from the medication the doctor prescribed. However, to properly treat a urine infection the dosing of the medication is typically 500 mg three or four times daily rather than just twice. If your wife completes the medication and her next urine test still shows white blood cells (plus) it should be cultured for bacteria to make sure that the infection is gone, because this dose of septum is frequently not strong enough to properly treat the infection, even in a pregnant woman. So in summary, it certainly is safe to take the prescribed medication for your wife during the pregnancy, and her doctor should consider increasing the dose if the suspected urine infection does not resolve within a few days. I hope that I was adequately able to answer your question today, and that this information was helpful. Best wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Suffering from Mouth ulcers , I had Antibiotics and Vitamin tables like bcomplex and tried eating veggies, Rinsed with Solution advised by Doctor, and salt water too rinsed, now am suffering lot, with 10 mouth ulcers inside, pls suggest..", "output": "Hi, Thanks for asking the query, Your clinical history and symptoms suggest that you are suffering from recurrent authors ulcers. This occurs due to many factors like immunologic abnormalities, iron, vitamin D, folic acid deficiency, traumatic incidents like self-inflicted bites, tooth brushing and dental trauma, hormonal changes. Get thorough clinical examination done. Apply 1.5% of cortisone acetate topically over the affected area. Take vitamin B supplements, avoid intake of hot and spicy food stuffs. Use saline water gargles 3-4 times a day to give soothing effects. Use antiseptic mouthwash solution like chlorhexidinewhich provides numbing effects, helps in faster healing and relieves pain. Take balanced diet, include plenty of raw green leafy vegetables, carrots, salads, fruits like oranges, lemon. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My father-in-law just told us his doctor told him that he has 5-6 months to live because his kidneys are deterorating. He didnt tell us much about it other than that. Why cant he just get new kidneys? Why do the kidneys fade away like that? We feel so helpless now. Please help!", "output": "Hi, dairy have gone through your question. I can understand your concern. Your father may have chronic kidney disease. He should go for blood urea and serum creatinine level as well as ultrasound kidney to search exact cause as well as amount of damage already done. Then he should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi im a male 29 yrs old and ive been having chest pains when i run 2 miles for a few months now. i went to the medics and they took my blood pressure on friday and it was 124/100. my medics told me to come back every morning to take my blood pressure for five days before they recomend me to see a doc. this morning it was 138/98. i was just wondering how dangerous my blood pressure is. im worried im gonna have a heart attack before i get to see a doctor", "output": "Hi don't worry you are 29 and are not going to get a heart attack feeling a bit heavy in chest (chest pain) after running 2 miles is very normal try to increase your running capacity gradually, if you feel chest pain after running 2 miles in one go, cover the distance in two parts. Unless you are a chain smoker, or you have a family history of very early cardiac ailments, chances of it being a pain of cardiac origin are very rare your blood pressure is quiet high considering your age you are having prehistoric hypertension and your diastolic BP is grade 1 (mild hypertension)at your age it should be less than 120/80before starting you with medicines lifestyle change should be tried for at least 3 monthlong smoke45 min of strenuous exercise every day is advised include fibers in your diet take a low salt diet avoid using excess of ghee and butter in food follow this for 3 months if still not relieved will add tablet nevibolol.adv get an ECG done to rule out a cardiac because rest follow suggestions for 3 months" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir, i have an injury in my left leg toe finger. i got injured while playing football in feb this year. As on date the toe finger has shifted inside and i have a shooting pain always in the general area. i have stopped running and playing for past one month but i dont have any relief... can u please advice me a good doctor for consultation.", "output": "Hello, It looks like your injury is too old now, and you are suffering from frequent pain issues. At present this can be due to:-Unhealed ligament-Non united fracture at your toxin case of both issues, I shall advise you to at least have an X-ray and confirm for presence of a minor fracture or nonunion. At present a strapping should be done to avoid further injury to your toe. Depending on your X-ray your doctor may decide further treatment. Take care. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my ESR count is 60 and I had giddiness and i am 24 years old and last yr in the month of august i had an allergi cough where in to stop that doc gave me Wysalone 10mg for 5 days and i was fine after that and my cougChatDoctore down and at that time my ESR count was 90", "output": "Hi, If you don't have giddiness or cough right now and bothering about high ESR then there is no need to worry provided that you don't have any symptoms now. ESR will come down to normal after few days. The raised ESR could be because of your allergy but in case you still having giddiness on coughing then it can be due to allergic bronchitis which is not subsided yet. With proper treatment from physician you will be alright. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HELLO, my name is Juliana,I have really small bumps around my eyes ... Their are really tinny.. I dont think their are Milia maybe siryngoma... But I was searching online ad couldnt find anything similar , maybe because my bumps are too small. However, Im having some kind of allergy for the last 4 months on my face and the bumps appeared at the same time as the allergies . Im still treating the allergy , however the bumps seems to be multiplying. I went to a dermatologist and she didnt want to tell me what it was and said its just to small for me to be worried and told everyone has them... Said as well their are pores and at the same time maybe they are clogged sweat glands. The skin around my eyes and cheek looks like chicken skin... Its not too bad but Im worried this could spread all over my face. If anyone could help me would be great.", "output": "These are due to oily skin when you tree allergies oil increases in skin of face leads to this you continue taking allergy treatments and avoid using oily and greedy food no use of mustard coconut walnut groundnut almonds and soybean oil apply olive for cooking and application on hair apply clindamycin gel over the affected area near eyes use non-toxic soaps shampoo ointment and creams continue these for 3 months your bumps will be ok" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had an MRI done this is the impression... Postoperative changes of right L4 laminotomy. Distraction of the facet joints with bilateral facet effusions and active facet arthritis. Resorption of small fragment posterior to the L5 seen on prior examination. L5-S1 bilateral facet degeneration with right facet hypertrophy and left facet inflammatory changes/arthritis. Mild right foraminal stenosis associated with facet arthrosis and small central protrusion.", "output": "Hello! Welcome on Chat Doctor ! These MRI findings are suggestive of inflammatory changes to the site of surgery in the back spinal column. I would not recommend a second surgery for the moment. Painkillers (ibuprofen) and a muscle relaxant (Flexeril) can help improve your situation. I would also recommend checking vitamin D and calcium levels. In case of deficiency it is necessary taking calcium and vitamin D supplements. Physiotherapy can help improve the movements and the pain in this region. Hope you will find this answer helpful! Best wishes, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am trying to conceive, I stopped my pill the end of september and my period was due yesterday. My periods have not come, I have done a pregnancy test which is negative. Last time I came off my pill to conceive I had no problems and had my next period as normal. I am really worried as how am I suppose to plan conceiving if I am not having periods.", "output": "HELLO THERE. THANKS FOR WRITING. PAST USE OF ORAL CONTRACEPTIVE PILLS DOES NOT AFFECT FERTILITY. IT DOES NOT DELAY CONCEPTION. THE DELAY IN PERIODS COULD BE DUE TO SLIGHT HORMONAL IMBALANCE WHICH CAN BE DUE TO OTHER ASSOCIATED REASONS LIKE STRESS, ANXIETY, CHANGE IN ENVIRONMENT AND WEIGHT GAIN. THE FIRST PERIOD AFTER STOPPING THE PILL CAN BE AFFECTED IN TERMS OF ONSET. BUT YOU NEED NOT WORRY BECAUSE OF THIS REGARDING YOUR SUBSEQUENT PERIODS AND ABILITY TO CONCEIVE. PILL USE DOES NOT AFFECT YOUR ABILITY TO CONCEIVE IN ANY WAY ONCE THEY ARE STOPPED. TAKE CARE" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi i am a 14year old female....i had a bump on my left armpit for quite a while now, how long i cant remember. Todayi was rubbing my armpit and a black substance popped out of the bump....it looked like a mini raisin but with pit hair on it. As it popped out it left a hole/tunnel in my skin. Its quite disguting&im really worried", "output": "Hello! Thank you for the query. Most likely the lump is nothing more than a cyst caused by ingrown hair. The hair could be there for a long time growing constantly. As it has popped put, most likely nothing more needs to be done. Please have it under observation. If the hole will slowly get smaller, no need to do anything else. However, if this won't be getting better, you should consult dermatologist. Hope this will help. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have a skin tag on the corner of my upper lip. Ive had it for years but just recently close friends and family have noticed it. It seems to be getting buyer and occasionally hurts. Is this something I should be concerned about? Are there any home remedies I can use to remove it on my own safely?", "output": "Welcome, There r multiple varieties of skin tags.it should be better if u have told about time of your first notice. Whether painless or painful??whether static or increasing?whether bleeds or not? Anyway most of the time it's just a simple scaly growth, but in rare cases it may be a serious one. U can have it to be surgically removed, but do not try your self, it may cause bleeding. Better to consult your the nearest doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have a recurring sore throat (no tonsils) headache, jaw ache which Ive had for three weeks now. Im also much more hungrier than usual.Could this be connected to teeth - a filling came out some time ago and havent had chance to get to the dentist.", "output": "Hi, Welcome to Chat Doctor forum. You have got sore throat, headache, jaw ache since weeks. If it is accompanied by the cold as well it may be due to the cold of allergy, or viral infection. If you didn't have the cold, it can be due to the tooth pain. I advise you to consult a physician for diagnosis and treatment. I usually prescribe to my patient with such symptoms lifetime, phenylephrine, cetirizine, and paracetamol. Wishing for a quick and complete recovery. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am suffering from a severe depression. For a week I could barely drag myself out of bed and when I did I found myself staring at the walls for hours. I would try go sitting outside and that did not help at all. My husband tried to take me on a car ride and I thought I was going to get sick to my stomach I was so anxious and depressed. My anxiety seems as worse as my depression. Three months ago I suffered an eye stroke at the age of 48 and it has been a nightmare since then. I saw my family dr. last week and she upped the dose on my Lexapro from 20 mg to 30 mg and put me on Klonipin. It seems to be helping, but this is the second major depressive disorder I have had in 6 years and I am scared it will come back. What are some things I can do to make sure I stay away from it??", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. Please understand that depression is not a disease. It is a mental disorder. Mental diseases need medicines and disorders needs only lifestyle changes to be cured. People come across so many situations in their life which are surely traumatic or stressful. Every people who come across such problem cannot become clinically depressed and undergoes treatment. Most of them understand the problem and take measures to ignore the anxious or depressive feelings. Those who work shall be able to overcome such traumatic events and emotions associated with those events easily in comparison with those who do not work. That pattern shows, idle life and idle time increases the chance for unnecessary thinking. Remember IDLE MIND IS DEVILS WORKSHOP. You have depression and anxiety because of your eye experience (hopefully). You must find if there is any other stress or trauma associated with. Then understand, it is normal, happens with almost everyone, and is totally curable. That is a positive step forward. Psychotherapy especially Cognitive Behavior Therapy can cure you for sure. Step 1 - Practice Deep and full breathing whenever possibles 2 - Chat Doctor. Step 3 - A Tomato a day keeps anxiety at basted 4 - Exercise regularlyStart these and follow strictly. After 7 days Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, please tell me is it good to travel a patient with ventilated machine? This patient now in attached to the ventilated machine and we want to take her to another hospital? how we can do this? how long we can keep her after remove the machine till go to next hospital? please let me know what to do?", "output": "Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. It is extremely risky to shift patient with ventilatory support. So just make sure that patient is having genuine reason for transfer because during transfer patient can be critical and may expire.Nowadays, ventilators with battery back up are available. In these ventilators, we can continue machine for 1 hour during travel. Another way is to start ABU bag ventilation in patient. So discuss all these in detail with your doctor and then take decision about transfer." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "R/dr I was suffering from the VDRL positive and the same was treated by the doctor.the doctor checkde the VDRL report and sidt to me the infection was minor position.The doctor gave me the penciling injection the same was well at that time.After long period it is again make trouble for me i got wound on my penis due to that. I am very upset what i should do to cure my self from the disease.I am unmarried now and soon gonna to marry.kindly guide me it is curable or not in the Indian medical science. Thanks dev raj punjab", "output": "HelloThanks for your query, based on the facts that you have posted it appears that you have V Chat Doctor. This is most likely to be due to incomplete treatment with penicillin. One needs to take Long acting Penicillin (Endure LA) twice a week for 3-4 months to eradicate infection completely. Please get swab tests of fluid from ulcer done to rule out any other form of STD like Chlamydia, Herpes etc." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "After a difficult cholecystectomy three months ago (large number of fibrosis, bile leak and enlarged cystic duct with multiple stones present) I have had pain ever since. It s a constant dull ache in my rib cage but sharp pain when I bend down. I also experience fluttering from time to time. What s going on?", "output": "Hi, I can understand your problem and being a laparoscopic surgeon I use to deal with a lot of difficult gall bladders. Can you please tell me whether surgery was open or laparoscopic? Dull ache pain at right subcostal region can happen in patients with difficult gallstone with bile leak. Please get a USG abdomen and LFT. IF all investigations are normal then you can try some NSAID or Opcodes for pain on SOS basis. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my son has been coughing (i believe due to allergies), for 2 weeks and has been throwing up mucus for three days. he runs and plays with a little runny nose during the day, but at night he coughs up flem. he now has a fever, but i cant take his temperature.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Yes, possibility of allergic bronchitis is more likely. Coughing, phlegm and runny nose are characteristic symptoms of allergic bronchitis in child Chat Doctor. Combination of anti histamine (levocetrizine or fexofenadine) and anti-allergic (montelukast) at nighttime is very effective. Inhaled bronchodilators (formoterol or albuterol) are also beneficial. So consult pediatrician and discuss all these. Hope I have solved your query. I will be happy to help you further. Wishing good health to your child. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was comparing 2 of my mris. 1 from years ago states that my chiari malformation was low lying and 1cm below a line drawn between the basion and opisthion.My most recent mri states the tonsils are very low lying and extend to the superior margin of the c1 elements. Since the 2 mris were done by different measuring standards, I cannot tell if the condition has progressed. Can you tell me if the 2 mri shows progression? Thank you.", "output": "Hi, Thanks for writing in. Chiari malformation is a congenital condition affecting the cerebellar tonsils and upper portion of spinal cord. In the first MRI there is a technical comment saying that the cerebellar tonsils are below 1 cm to a line Chat Doctor. In the second report there is mention of extension till the level of C 1. In such a situation, it will be better to see the images once again and " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. About four days ago I got this slight pain at the bottom of my spine, lower buttox. The pain has gotten worse ever since. I can no longer sit, run or walk properly. When I look I cannot see anything, but I can feel a lump. Could this possibly be an abscess or cyst?", "output": "Hello, I have studied your case. Bump on your buttocks seems to be due to hematoma formation(collection of blood) which might get fibrosis. As this bump is painful and bony injury is excluded, do not worry. Do hot fomentation over swelling. It will take weeks to months to subside. Use ring cushion and take site bath. If not relieved then surgical correction may be required. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "had orthoscopic knee surgery,two weeks ago.Healing is o.k.,but two small lumps appeared where incisions were made.I use cold compresses several times a day and occasionally have my knee area in a tensor bandage wrap.There is no redness around the incisions.", "output": "HI. Thanks for your query. The lumps are just a fibrosis and nothing to worry about. You can continue with the same treatment if you are taking some medicines like anti-inflammatory. OR take for one more weeks. Do not fiddle with it. Wait for 3 months. It will settle on its own. If they increase you can request the Doctor for steroid injection into the scar (I hope this may not be necessary as most of the scars settle well by this time." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "a friend of mine has been confined last saturday in a hospital, 4 days before confinement, her fever was on and off. she is still confined right now. still, fever on and off..low blood platelet, sever body pain..doctors couldnt find out what is wrong..tests had been made lately..all they could see is dengue and typhoid..what should our next step be?", "output": "Hi, dairy have gone through your question. I can understand your concern. Treatment of dengue is symptomatic and maintain HY Chat Doctor. No, any specific treatment is there. Monitoring of platelet count is required. In typhoid treatment of choice is antibiotics like ciprofloxacin. Consult your doctor and start treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Sir, My child is 3.5 yrs old. He has cold and cough regularly once in 10 days. Our doctor says he is a allergic child and so give generally Respira, Omnacortil and when the wheezing is high, the doc recommends Asthalin Nebulizer 3 times a day. Just i wanted to know about the safety of Asthalin and giving Nebulizer 3 times a day. Any alternatives for this? Or this is OK?", "output": "Hi, thanks for query, it seems that your child is having Allergic bronchitis. It is possible that he might have eosinophilic most probably due to worm infestation. Go for blood for Tc, DC,eosinophilic count. Go for stool test for worms. After reports go for treatment accordingly. If this is the cause he will be completely alright. Asthalin and nebulizer is safe and there is no harm given as and when required. Ok and bye." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "mental depression ,i dnt wht is my problem wht i want so just tell wht i do hi doctor i dn t knw wht i want i need in my life i want to some counsil from any 1", "output": "Hi First...please discuss things openly with someone that you believe very much...like a relative or a friend...if immediate family members can not fulfil that role...whoever it may be ...you must have enough trust in them for this to work. Your problem seems to be that of either a teenager or a successful persons midlife crisis. From the minimum information in your question, I don't feel you will need a professionals help but who knows, maybe I am wrong! Good Luck" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "We completed the 1 years of our marriage,we are planning for baby,I have irregular periods.I consulted doctor, after all tests they said i have PCO..my doctor suggested to take folic acid tablets daily and goodova 50mg on day 3 of periods till 7th day,scan on 8th day .. is it right treatment? whether i will pregnant . i am very tensed about this..please suggest me..", "output": "Hi, Please do not get tense as PCs is a common problem nowadays. However, there are different varieties of PRO depending upon the type of hormonal imbalance. Let me explain the problem in PRO. Normally every month one ovum is produced and released in the female reproductive organs usually 14 days before the onset of periods. If on that day the sperm unites with it, pregnancy will result. In PRO the ovum remains trapped in the ovary and hence cannot meet the sperm and so pregnancy does not occur. Tablet good ova is a good initial line of treatment for this as it helps the ovum to mature and release [helps ovulation to occur]. It must combine with an ultrasound to see if the ovum is actually released. An Chat Doctor injection may be used to help this process. If sexual contact occurs at the time of ovulation then pregnancy may occur. So this treatment may help. If pregnancy does not occur after 3 cycles a laparoscopy and Chat Doctor. There are a few more things that I want to clarify: PRO may be caused by any of numerous hormonal imbalances. So it is important that a complete hormonal profile called the POD profile must be done on day 2 or 3 of periods. If there is any abnormality it must be treated. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was told to Talk to an acupuncturist about this if you are interested in using piercing as a treatment. I have suffered from migraines all my life and recently heard and have heard of several people that swear by bridge piercings as a form of migraine treatment. I understand why this would be so, But i was wondering what the major cons would be in doing this. Has anyone else heared of this? Has it helped you?", "output": "**1. Before opting for alternate system of medicine, make sure to consult a Neurologist, since headache may sometimes be a warning sign of a more serious medical condition, and if the neurological examination comes normal your head pain can be seen by an acupuncturist for preventive treatment.PS. Acupuncture helps alleviate symptoms associated with migraines and may have lasting effects, according to a new study published in the Canadian Medical Association Journal, also British researchers found that acupuncture improves the quality of life for people with chronic headaches at a small additional cost. 2. regarding cons and helping a sufferer: In any type of treatment, there is the expectation of result and will vary by the individual, and also check in advance whether your Insurance company will reimburse the expenditure or not.PS. Acupuncture is safe and often effective and should be considered as part of a multidisciplinary approach for chronic pain.3. Apart from prophylactic aspect of acupuncture one must follow preventive measures like:. Avoid factors which precipitate the attacks. e.g. sleeping late, tension, starvation, chocolates, cheese, alcohol, Chat Doctor. . During acute attack: lie down in a dark and quiet room and give ice bag over the head. Ayurveda medicines for Migraine i.e. \"ARDHAVBHEDAK\" contains plasma and Ra's [mercury] but in purified form, so contact with your local/ experienced Ayurveda Doctor regarding their dosage since adverse affect can be given to the herbs concerned. Prescription medicines which are usually practiced is/are: that vast chintamani RAS, thalami villas RAS, god anti plasma, dashmoolarisht, shading tail, cephagraine tablets/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had been getting a lot of Anxiety since a couple of years to the extent I, get up with Palilations when I get up in the morning even on a holiday... I have been diagnosed with General Anxiety Disorder and prescribed paxidep cr 25. Reading over the internet , I feel I am not that worried through out the day as, the articles on the internet mention.... is it possible that the doctor has given an incorrect medicine... When diagnosed with HperThyroidism last year, I was also prescribed Atenolol (for reducing my heart rate)and it really calmed me down at that time ... I feel I may rather need Atenolol instead of paxidep cr 25.... Need you suggestion on how to deal with the situation... Would really appreciate..help", "output": "HiT hanks for using Chat Doctor Anxiety symptoms in your case could be due to hyperthyroidism. In that case, you have to consult an endocrinologist or physician to control your thyroid profile. Atenolol is antihypertensive and that would help to control blood pressure. In your case, treatment depends upon the cause. If anxiety is due to thyroid, then there is no need to take antidepressant. Rest, you can consult your doctor. In case, you need further help, you can ask. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am positive for hep c. Had severe hep in 1991. Presently Riba and Rna testing show virus innactive. Am I contagious to babies or other people through saliva or eating utensils. Mainly, can my grandchildren be infected by me. I am extremely concerned. My daughters pediatrician told her it WAS possible. Please help me!!!", "output": "Hello, Thanks for posting in Chat Doctor. The main mode of transmission of hep C virus is through blood. So blood Transfusion, sharing sharp objects like razors can transfer. Also, household things like sharing tooth brush or towels can have slight chances of sharing. Sharing same food or utensils won't transmit hep C. Your grandchild Chat Doctor. I hope I have answered your query well. If you have any more query kindly write back to me. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i was workiing on my truck last week and i knealt down on the concrete. when i got up i heard /felt a loud crack and since then i have a bump on the inside of my knee and its extremely painful...when i bend it ,it hurts real bad when my leg is straight iit doesnt hurt hardly at all....", "output": "Hello, Your symptoms seem to be related to bursitis. Bursitis is inflammation of the bursa. A bursa is a small sac of fluid that cushions a joint and helps it move easily. Bursitis usually gets better if you avoid the activity that caused it. Meanwhile, I suggest using anti-inflammatory medications such as Ibuprofen to relieve the pain. I also suggest using cold compresses for local applications. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "dr two days before my pet bitten me. in govt hospital thet took tt injection,IDRV INJECTION,and told to take equiralo injection. atd there a reaction for equiralo.adviced for HRIG VACCINE bUT I DIDNT TAKE .iS ANY PROBLEM FOR THIS.mY DOG IS VACCINATED ONE YEAR BACK. tHE BITE WAS APROVOKED BITE,?", "output": "Hello, Welcome to Chat Doctor, Rabies is a 100% fatal disease but 100% preventable by proper and adequate treatment. Dog is the known reservoir of rabies virus and can transmit rabies by biting. As you were bitten by your pet dog for which your doctor has advised In TT, anti rabies vaccine by intradermal route and passive immunization by equine rabies immunoglobulin (ERIC) around the wound.ERIC is advised if there is bleeding from the site of bite. As you were bitten by your pet dog, I would suggest you to take three doses of anti rabies vaccine and to watch the dog for 10 days. If it is healthy you don't require serum. If dog develops any symptoms of rabies you need to take equine rabies immunoglobulin (ERIC) around the wound. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here...for the last 2 years Ive had periodic episodes with swollen lip syndrome.Ive noticed they come always at night and last about 12 hours.I think Ive narrowed it down to crab, red wine or a grape derivitive. What is strange is that it occurs 12 to 18 hours after Ive consummed these items. No sure why. what can be done except total avoidance and is that all it is?", "output": "Hi, If you have swollen lips after consumption of red wine or grapes derivatives since 2 years then it clearly indicates your allergy or sensitivity. This allergy occurs after 12 to 18 hours then it is delayed type of hypersensitivity. You can try these beverages with the use of straw by avoiding direct contact with the lips, but I am not sure if It's going to work or not because of delayed hypersensitivity but still I would say you can try it once. The best way to cure allergy is definitely avoidance of allergen, but there are good medicines available in market like steroids or antihistamines to combat allergy. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Am suffering from a severe back pain which starts right from my back to my left foot. I cannot sit, walk. it pains a lot if so.. I have complete bed rest only...... Cannot do any sort of work,, even if i walk for a small time.. it pains a lot... Doctor, if u could please help me in this state of mine?", "output": "Hello, I had gone through the case and found that you immediate need of MRI of lumbosacral region. Get the proper diagnosis and take treatment according to that.Meanwhile, take injectable govern and apply muscle relaxant gel and put hot water bag near lower back and take rest. Avoid to lift heavy wight. It might be muscle spasm, slip disc or herniation of disc. So take care of your self. Hope my answer will be effective for you. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a hump type lump on my back its almost like an egg, it s grown rapidly in 2 months and is burning, itchy, sore and even reduced me to tears at night. It s very hard and feels bony like my spine is oddly shaped, been to gp today had X-rays and radiologist called me back for more X-rays strangely then hot a consultant to look at it. It s numb and tingly on the area of the lump also and feels tender or odd when touched. No results for ten days but I m worried now. Any ideas?", "output": "Welcome to Chat Doctor. 1. Painful lump along the spine with rapid growth - possibility of abscess can be considered. 2. Another possible cause could be the lump arising from the bone / spine - for which radiologist would have asked for different views for better delineation of the lesion.3.Finally, spinal cord lesion / extension can not be ruled out.4. After the x-ray conclusion - the investigation of choice in this case will be MRI spine of the location involved.5. Initially an ultrasound also helpful to assess the nature of the lump and its source, extensions. Good luck. Hope I have answered your query,anything to ask ? Do not hesitate to ask.http://doctor.ChatDoctor .com/doctors/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hey me nd my husband we r trying for 6 months to hav a baby. but unsuccessful .can u tellme wat is the best position to conceive nd also sm tips for getting pregnant faster. one more thing i dnt feel orgasm easily i dnt find much pleasure in doing intercourse is it necessary to feel orgasm by female to get pregnant", "output": "Thanks for contacting Chat Doctor. To get pregnant faster buy a thermometer and start taking your oral temperature at bedtime daily from first day of periods. When egg is released in females(usually from 14th to 17th day of beginning of menstruation), body temperature is raised by half degrees and that is the ideal time to conceive. This is allowed you to identify your fertile period. From next month you will have an approximate date of egg release and your husband can abstain from sex for 4-5 days prior to egg release. As soon as the temperature is raised, you can have intercourse for next 2-3 days. Best position for conceiving is straight with husband on top. Please lie down for 20-30 mins after intercourse and do not wash after intercourse. Yes, you do not need to have an orgasm to conceive. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have over the last few months had a recurring red rash on my scrotum, accompanied with itchiness in my anus and penis regions. There are no open sores or pus. The rash seems to come and go, and the itcChatDoctores and goes as well. I used a clotrimazole cream for a few weeks and it seemed to help with the itching for a bit, but now it is back. I had numerous bouts of unprotected sex with a girl who was diagnosed with vaginitis. Was wondering if this is dermatitis, another fungal infection, herpes or something else? Thanks", "output": "HelloLooking at your description It might be related to infection or allergic reaction If you can upload a photograph and provide me more relevant medical information, I will be able to help you better. If I were your treating doctor I would have advised you for a battery of tests like blood for hemoglobin, CBC Liver and kidney function test Urine culture and testing for herpes as well as V Chat Doctor. You may require a course of antibiotics under supervision of doctorMaintain good hygiene Wash your genital area with antiseptic soap or solution and keep it moist can take anti-allergic like levocetirizine for itching until diagnosis confirms Please write back to if you have any more queries Best wishes" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, My husband is an alcoholic, and was seen in the ER last week because of dizziness. His blood work showed enlarged liver, pancreas and bone marrow not functioning properly. The Dr. said if he didnt stop drinking, he could possibly be dead in 3 months. This morning his heart rate is low, he is vomitting, dizzy and skin very clammy....He will not go to hospital, ony wants to sleep. Any idea what could be going on?", "output": "Hi thanks for contacting Chat Doctor... Here you're all symptoms direct or indirectly because of alcohol.... Here heart failure should be ruled out..... It can lead dizziness...... So for that ECG or echo need to be done to rule out cardiac cause.... You might have cirrhosis and portal hypertension as you are chronic Chat Doctor. . It can lead functional pulmonary failure by portal hypertension called hepatopulmonary syn" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor,I have been having my menses regularly, until may, when I had it twice in one month, and since june, 11th, I have not stopped bleeding. Is it possible to get pregnant in such a situation? like if I have sexual intercourse even with the menses around?", "output": "Hello dairy understand your concernPregnancy is not occur when unprotected sex was done in and around period date. It is complete safe period and ovulation is not occurred during this time. So no more fertilization will occur. Period twice in month could be due to hormonal imbalance, pelvic inflammatory disorder, vaginal infection, cervix, endometrial dysplasia would suggest consulting gynecologist for continuous bleeding and undergo examination, vaginal swab test, USG scan, PAP smear to confirm cause. Progesterone pill will help you to stop bleeding. Maintain proper hygiene, eat healthy diet Best regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor,I have dust allergy since childhood.Since the past 3-4 years i am experiencing frequent nose block/frequent colds during winter and rainy seasons. Last year i had an asthma attack for which i am using preventer inhalers and my asthma is under control now.This year i consulted an ENT doctor for remedy to my nose block problem in my town and he referred for a CT scan .The CT scan report says 1)septum deviated to left 2)inferior frontal,ethmoidal,maxillary and sphenoid sinuses polypoidal mucosal thickening 3)Obliteration of both infundibulae 4)Narrowing of both OMC.5)Narrowing of both frontal recess 5)bilateral concha bullosa with mucosal thickening6)Hypertrophic turbinates 7)Visualised skull base apperas normal.The doctor asked to go for FESS and then long term medication(sprays and anti allergy tablets).My question is will long term medication alone not cure the problem.Is surgery necessary?I dont have any symptoms apart from nose block and frequent colds.", "output": "Hello dear, I have gone through the case history as mentioned in the post.1. Deviated septum, hypertrophied turbinates, sinusoidal polyp & other findings as observed in CT scan are all related to each other.2. These changes in the normal mucosal anatomy is responsible for your symptoms3. Intake of medications will only provide symptomatic relief. But, unless the underlying cause is treated, symptoms will keep recurring.4. You might have to take medications life long for this & have to suffer their side effects, while the mucosal changes may aggravate further to cause irreparable damage.5. Keeping in mind the above-mentioned facts, your ENT Specialist might have advised you the surgery. Kindly discuss this & then take a decision. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Doctor, My son is 3.5 years old. yesterday while playing on the swings he fell down and suddely started bleeding. I put him on my lap and put ghee neraby his nose. His bleeding stopped, i m just scared will there be any internal injury or anything ? Please help me with this", "output": "Hi... Thank you for consulting in Chat Doctor. I understand your concern. First be reassured that your kid is normal. I will suggest you danger signs of head injury -1. Vomiting continuously2. Seizures3. Watery of bloody discharge from ears and nose4. Unconsciousness5. Altered sensorial or behavior. If none of them are present, I don't think you should worry about his trivial head injury. In this case the bleeding has stopped, and your son is normal and active. So do not worry. If he has nose bleeding again with 48-72 hours, get him examined by a physician. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, this stupid habit of chewing gutka has never left me since 10 years. i recently did a cleaning, but not able to come out of this habbit. the stains are back on my teeths, it is so embarassing to talk to people or even smile before them. please advise", "output": "Hello and welcome to Chat Doctor forum, it seems that you are addicted to chewing tobacco, as you know it can progress to a serious complication, therefore It's important for you to quit it. Chewing tobacco will not only affect your teeth but also the surrounding tissue.I would like to inform you that nowadays nicotine substitutes like chewing gums are available for people who are unable to quite tobacco. You may easily get it from a pharmacy. And for the stains, kindly visit your dentist at regular intervals for full mouth scaling.I wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Numbness in the right leg, foot, back, right shoulder. The pain runs from neck to foot on one side. Have trouble walking and coping with the pain. Like something is jammed inside the muscles. It s been two weeks. It started hurting while sitting on an office chair that swivels.", "output": "Hello, If you have pain that shoots down from the back to the foot and from the neck down chances are that you have an acute muscle strain or a nerve irritation in the neck and back. Long hours of sitting at a desk with a computer especially if your posture is not good will eventually lead to these type of problems. You will need medications for pain, muscle relaxants, improving sitting posture, avoiding long office hours, and later if not better an MRI to confirm a disc protrusion is the management for this. Hope I have answered your queries. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "6 yr old having severe belly pain, tried antiacids thinking it was reflux, not better, had bloodtest done for cbc, cmp, celiac, and some allgeries - all come back fine...now she is having right back pain as well....help - it is making her schooling miserable", "output": "Hi. The most probable reason for belly pain along with back-ache in a child of 6 years is suggestive of pancreatitis the worms being the most common reason. The another reasons can be Mesenteric Lymph node mass. We have also to rule out the following : Acquired Small Bowel Obstruction in ChildhoodAdhesions, Appendicitis, Intussusception, Incarcerated hernia (most common in infancy), Rotation, Merkel diverticulum by CT scan. Get her Admitted for management investigations and treatment accordingly," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "87 year old mother whose blood pressure is consistantly between 146/73 to 190/91. During cataract surgery last week it was 212/101. Dr prescribed Atenolo 25 mg. Pressure dropped to 80/50 in one hour and then up to 121/70 in the next and then maintained that until she took her medicine the next morning when it was 146/70 again. Dr said to cut pill in half. Now every day my mother feels week and has to nap. Had heart tests and everything is OK in that area. Is this normal dosage and lethargy?", "output": "Hi, It is a normal dose for such pressures. But the people with advanced age may develop sucChatDoctorplications, especially in the first dose. If she feels weak and sick even after cutting the dose, then it would be a better idea to change the medication. Calcium channel blockers, such as Amlodipine are more preferred in her age, ACE inhibitors may be prescribed as well if there is no renal impairment. Wishing a good health to your bothersome back if you have any further questions" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Doctor, My 7 years old girl has dizziness every night, she feels worse while she closed her eyes to sleep, she just feeling she is sinking, or riding in the see-saw , up and down and spinning around, she is much afraid, the symptoms gone in the day time, comes again at night, can you give me some ideas on her illness?", "output": "DearWelcome to ChatDoctorWe understand your concerns went through your details. Without any other corresponding symptoms like pressure on the head, vomiting etc., the complaint by your child could be due to anxiety and associated obsession. Also keep it in mind that she has this trouble only at night and when she lies down and in the process of sleep. Is your child sleeping alone or compelled to sleep alone in the near past? Does she still request for your presence at night? I suggest you to motivate her. You may consult a neurologist for investigation. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query. Further clarifications are welcome. Good luck. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My kids, elder daughter and younger son of 2 yrs age difference always suffering from cold and lung infection. Dr here says it seems to be sort of veezing. Now medicating with Asthakind, Bricarex and Macpod 100, but still when they cough getting the mucus sound in the lungs. Kindly advise,", "output": "Hi... Thank you for consulting in Chat Doctor. Greetings from Chennai. By what you quote I feel what your kid could be having viral associated wheeze or multi triggered wheeze. I have a few questions for you -Questions:1. How many days per month does she cough or feel breathless?2. How many nights per month does her sleep get disturbed due to above symptoms?3. Does she feel breathless when she runs around or plays with other kids?4. Are the symptoms when there are seasonal changes?5. Is there any family history of asthma or any other sort of allergies like skin allergy etc.?6. Is the cough always associated with fever? If your answer is yes for any of the above questions, your kid might be having viral associated wheezing or multi triggered wheezing, and I suggest you meet a pediatric pulmonologist who is near your place. No point in using antibiotics every time. It will do more harm than good by increasing bacterial resistance. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a like 6 to 7 inches cut on my leg on july 21, my doctor prescribed me cephalexin, is it alright to apply fucidin cream at the same time? I want the wound to heal faster because ill be bringing my 2 year old daughter on her swimming class starting july 24", "output": "Cellophane You for contacting Chat Doctor. To get wound heal early & effectively you need to follow things:> Always keep your wound clean> Change Chat Doctor. > Never touch the wound with dirty hands.> Apply poly fax plus ointment on wound & wash hands after applying. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. If you do not have any clarifications, you can close the discussion and rate the answer. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have skin allergy for about 5-6 years now which was more or less in control - as I had to take regular medicines. BUT now since last 3-4 days it has increased a lot and not controlled. I have red patches on all over the body and it is severely itching and non tolerable", "output": "HI, thanks for using Chat Doctor The worsening of your allergies implies that you have likely been re exposed to the allergen. Treatment would involve (1) avoiding further contact with the allergen- if you are unsure what you are allergic to, you may want to consider allergy testing(2) oral antihistamines(3)topical steroids to the area, since it is severe, you may need strong steroid creams which would require a prescription(4)a short course of oral steroids may be needed hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was hospitalised in October because of severe hypertension (cause unknown) and was also told that I have slight thickening of the heart muscle. I am now taking 12mg of candersartan daily and the hospital have handed my care over to my gp and in doing so requested that I have BP check and cardiovascular check. My bp was 170/90. When I called for the results of my blood tests i was told I had to see the doctor. My gp told me that all was ok apart from my calcium level is slightly high as is my potassium level but didn t give me any figures, just said that one was borderline and the other just above what it should be She stated that it s nothing to be concerned about and subsequently sent me on my way and told me to continue with my medication. I have requested a copy of my blood test results as I am not happy with the way I ve been tested and concerned that something is going overlooked. I would greatly value your opinion on this. Thank you", "output": "HIS UNDERSTAND YOUR CONCERNS REGARDING YOUR REPORTS.YOUR HIGH POTASSIUM LEVELS CAN BE EASILY EXPLAINED BY CANDESARTAN TABLET WHICH IS KNOWN TO INCREASE BLOOD POTASSIUM LEVELS. I ALL SUGGEST AN ELECTROCARDIOGRAM TO KNOW IF RAISED POTASSIUM IS HAVING ANY EFFECT ON HEART. IN THAT CASE WE CAN CHANGE YOUR HYPERTENSIVE MEDICINE.AS FAR AS YOUR CALCIUM REPORT IS CONCERNED IT NEEDS TO BE CONFIRMED ALONG WITH SERUM ALBUMIN AND ALKALINE PHOSPHATASE REPORT.IF CONFIRMED TO BE HIGH YOU SHOULD DEFINITELY GO FOR FURTHER INVESTIGATIONS LIKE PARATHYROID HORMONE TEST. I WILL ALSO ADVISE YOU TO CHECK YOUR BLOOD PRESSURE REGULARLY AND GET IT CONTROLLEDWISH U FAST RECOVERY! Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, im diabetic and been noticing a achy left arm and shortage of breath as well as neck pain which i usually brush off? im wondering if i could b possibly having a mild heart attack? and i have no idea what i should do because by the time i get a appointment at my clinic the symptoms will most likely gone.", "output": "Hello. Thank you for your question and welcome to Chat Doctor. I understand your concerns. During diabetes, especially in subjects that have poorly controlled diabetes, it comes at a moment that small vessels of the body and nerves become affected. Therefore, it is not surprising that a diabetic patient lacks the specific symptom of coronary artery disease - angina. Instead, these patients more likely tend to have non-specific symptoms, such as dyspnea (shortness of breath), sweating, Chat Doctor. I will not go on and say that this is definitely coronary artery disease, but there is a chance it is. So, I would recommend you to go to the clinic, with or without these symptoms, have an EKG, echocardiogram and a cardiac stress test, eventually a coronary angiogram. If you are diagnosed with coronary artery disease, proper treatment should be undertaken immediately. I hope I was helpful. Best regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been diagnosed with CKD stage 3b, and also advised that I had two cysts on one kidney, and an internal septated cyst on the other kidney. Should a biopsy be performed. My clinicians seem unworried, but I use the VA for treatment, and my confidence is lacking", "output": "Hello and welcome to Chat Doctor. As a Urologist, I hope you know that both kidney functions must be very poor, to be diagnosed as CKD-3b. If you can update me regarding your latest kidney function test reports (urea, creatinine), with the ultrasound/ MRI, and other reports (He, Na,K, uric acid, urine protein and micro-alb, etc), I can give you expert advice, regarding further management. Kindly clarify if you meant Veterans affairs by VA. You can send the question in my name here, with the reports. Wish you well." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am a 39 woman who has had a concusion for the second time in 2 years at the top of my head. this time it was not as severe but after a week of headaches I now have eye twitching on and off all day in my right eye. I am worried that it is linked to my concussion?", "output": "Hi, dairy have gone through your question. I can understand your concern. You have headache and eye twitching. You should go for MRI brain. It will give you exact idea whether you need any further treatment or not. Till that you can take symptomatic treatment like paracetamol. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am 29 years old and my girl friend is 30 years old we have been in the relationship for the past five. I stay in hyderabad and she stays in delhi. We have a strong bonding for over 4 years. In April 2010, her father got paralysis attack and she started getting deviated from the relationship. She is a very simple and commited girl. She used to be shy in the beginnng and later on over years her emtional attachement towards me grew very much (We dont have any physical relationship). We were just waiting to get married, her dad s health condition changed her alot. She has lots of changes in her character. Now when everything is set for the marrriage she says she can no more think of our relation. We never had a fight or an argument over all these years. She used to be very supporting and she used to pray god to get married with me. Her behavior and attitude towards her friends also changed. I think she has BPD, can some help us out ....", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. The description you gave about your girlfriend is not at all assisting us to diagnose her problem. You noted that her father is paralyzed and undergoing continuous treatment, and she is assisting her. Continuous assistance to a paralyzed person could change her view about her life and future. You should talk to her regarding this in detail. Appraising her about the change in her behavior patterns could help her much. If need be, consult a psychologist and provide counseling to her. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband is in hospital. has been diagnosed with pancreatitis. He has had a persistent fever for 12 days now. The doc believed he was going through alcohol withdrawal, and he had to be put on ventilator because he was breathing 60 times per minute and had too much carbon dioxide in his lungs. The alcohol withdrawal started 4 days ago. He now has pneumonia, which he did not have til after he was put on ventilator. They are pushing antibiotics, potassium, thiamine, meropenem, fentanyl, propofol, and maintenance fluids. They are also giving him adavant and dillatin (not sure if i spelled those two right). He has not had food in 4 days now, and is hypoglycemic. They have checked his blood multiple times and have done abdominal CTs and chest CTs looking for another source of infection because he should not still be spiking high fevers. His fevers run from 101 to 104. He was out in the sun for two days straight before he became ill, and was taking an anti-seizure med called Tegratol, which has a sticker on the bottle that says avoid overexposure to sunlight. He was also apparently drinking alcohol every night, even after the fevers started. The doctors are grasping at straws as to why he is not getting better. Pancreatitis is under control now, and pneumonia is not bad enough to be making such high persistent fevers. Can you think of anything that it could be that they have not checked for? He has been in the hospital for 7 days now, and I am growing increasingly more worried. He was breathing on his own on the ventilator in CPac mode, but this morning he started breathing too fast, so they put him back on it.", "output": "Hi, Thank you for your query. Though you have provided most of the details you have not mentioned the details of the basic investigations:1. Total and differential count.2. Blood culture. These would help us in further guidance. By your description your husband is suffering from multiple conditions which are complicating the whole management. He appears to be in safe hands and should be on the way to recovery soon. I hope I have answered your query to your satisfaction. Wishing your husband an early recovery. Rajiv K Khandelwalhttp://goo.gl/SuCjl" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi my name is kimberly wallace and I was at roseville sutter hospital on (9-08 -2014 they said my right kidney shutdown and placed a nephrostimy tube in my right kidney also they stated that i have a 7mm kidney stone ive done all that I can do to find a dr. that would help me . my pcp has now told me that my only choice left is to go back to roseville to have it removed I dont want toxic shock agian what do i do? Please help", "output": "Hello Kimberly and welcome to Chat Doctor. Your question doesn't say anything about the Left kidney. A 7\u00a0mm kidney stone is not a problem at all to cause any worry or lead to kidney failure. As a Urologist, I've treated so many patients over the years with much larger stones, with endoscopy only, lithotripsy or laser. Please send the report of your U/S scan, blood creatinine, urea, uric acid, sodium-Na, K-potassium,and anymore tests done. You can contact me by name for an expert opinion. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Had pneumonia in January, took meds for that, now developed head cold and more chest congestion, heavy coughing again, have cloudy urine maybe a couple times a week otherwise it is clear, have some heartburn. taking meds now following cat scan to understand pulmonary status due to earlier pneumonia. Current meds and heat in house dry out my system so maybe more water is required.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. If you donor have fever there is nothing to worry. For the heart Burnett small frequent meals instead of large meals. Exercise regularly, do not lift heavy weights, keep your head end elevated by 2-3 blocks or pillows, give a gap of 2-3 hours before you sleep after your dinner.Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a child that is almost 3 years old that was eating a chicken leg. Upon examining his plate to see if he needed anything else I realized that there was part of the chicken bone broken off and missing. When I asked him where it went he said it was in his mouth and he ate it. He had already swallowed the food so I dont know exactly how much he swallowed or if it was a small broken piece that he possibly chewed. Do I need to take him to the emergency room?", "output": "Taking a child to emergency room depends on when your child ingested the foreign body, where it is located in gut and what type and how large was the foreign body.in your case child ingested a chicken bone, it is small can be sharp or blunt, has not caused any symptoms like vomiting, pain, or difficulty in swallowing at any time. So it's not of emergency. But position of chicken bone has to be looked in gut by a chest and abdominal x-ray. If it is still (after 2 hours of ingestion) in upper gut esophagus it has to be removed by endoscope. If it has not crossed stomach after 3 days it has to be removed. If it has crossed stomach it will pass by itself in stool. So please get the X-rays done." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Sir, My kid is suffering from loose stools from 3 days. We consulted doctor , with anti biobioticsNutrolinB given and also NutrolinB. But still we face the same loose stools. Please give any tip regarding diet and medicine. Best regards, HABEEB", "output": "Hello Haseeb, I have gone through your question, Your kid is suffering from loose motions and your doctor is giving him medicines. But after 3 days some loose motions still there. I want to share that loose motions generally take 5 to 7 days to recover. In my view no this to worry. If was your treating pediatrician I would add Oral rehydration solution and Zinc in the proscribed above in your given question. So Replace the water lost in loose motions by oral Re HY Chat Doctor. Hope i able to answer your question. Have a healthy family life" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband has been sick for 3 months and they can t find anything wrong. He has had a colonoscopy and the test where they go down his throat. Found nothing. His cat scan was normal. He gets sick to his stomach every morning. Usually he is on the toilet 2 to 3 times in the am before he goes to work. This am he actually threw up. They actually got him to see a internal gi dr. Is that who he needs to go too?", "output": "HelloYour husband is having 2-3 motions early in the morning and also threw up (vomiting) . Colonoscopy and perhaps endoscopy (through throat) are normal. Such type of symptoms may be due to these reasons these include:1 Amoebic colitis, diagnosis can be confirmed by stool examination for amoeba historical. Physical examination also find out palpable colon on both side of abdomen .2 Tension is the next reason of such symptoms as I have noted in many patients that day to day anxiety or tension develop frequent motion 3-4 times early in the morning. So be careful about that also.3 Over eating is the another important reason (most probable in your husband case) . Due to overeating patient develop hyper acidity or gastritis (also feels nausea and vomiting as in your husband case) and forced to pass stool until complete evacuation of bowel. Since he is not having diarrhea so need not worry, but consistency of his stool is most probably semisolid (undigested) so change the diet and avoid over eating, and you will feel difference. But for vomiting he may need Chat Doctor. I recommend only change in diet and habit (bowel evacuation) . Hope this will be useful for you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi , my 2 years old daughter fell and cut her eyelid horizontaly in the crease and it doesnt seem to stop bleeding... Is she going to need stiches?how ling should i wait , Should i just go to the hospital now? And how can i know if she scratched her eye? I put an ice pack and its a little swollen", "output": "Dear Sir/ Madam, Thank you for posting your query at Chat Doctor.com Good that you have given her first aid of ice pack. But I advise that let pediatrician see her and examine. If needed pediatrician will divert your to ophthalmologist opinion. Swelling is due to the inflammation caused by injury. If the bleeding is continuous she may require stitches. Hope she feels better at earliest!! Your vote of thanks is much appreciated!! With best wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ok I went camping and The second night was stuck in the rain with a leaky tent the next day I was so cold and absolutely could barely keep my eyes open but was shaking so hard I thought I was going to have a seizure. I got home yesterday and slept basically all day until today but was shaking uncontrollably and was sweating so horribly even with tons of blankets and could not keep my eyes open", "output": "Hello there. I have read through your question and understand that you have contracted Flu due to being in the cold and open for so long. I would advise you to take bed rest. Take tab paracetamol 8 hourly for five days and Chat Doctor. If your symptoms don't subside or aggravate you should get a blood test done. I hope that answers your question. If you have any further questions please feel free to write. Thank you for choosing Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my father in law aged 76 yr, MRI results show diffused cerebral atophy with few micoangiopathic foci both frontoparietal lobes... i want to know the cause and his chances of cure as his life expectancy considering the dignosis", "output": "Hi Pahlavi, Cerebral Atrophy is a common feature of many of the diseases that affect the brain which means loss of brain cells which is nothing but loss of neurons and connections between them. It can be generalized where all the brain has shrunk, or it can be focal affecting only a small area of brain and resulting in a decrease of the brain function. The exact life expectancy cannot be predicted but depends upon the cause like, stroke, Alzheimer's disease. I wish him Good Health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, I am 40 years old. I was diagonised with high BP in 2004 and since then I am taking Losar A - 1 tablet every day. My weight is 78 kgs and I am 5 feet 10 inches tall. I would like to know whether I can gradually reduce the dosage and discontinue this medicine or do I have to take it for life as my BP shows normal on with the intake of this medicine. please advice", "output": "Hello,this medicine needs to be continued lifelong. Your BP is normal because of your medicine and if you stopped it, it will again rise. You should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. Regular exercises like brisk walking, jogging according your capacity at least 30 min a day and 5 days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity. Get your lipid profile and sugars tested once." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "The doctor prescribed TELMA 40 Mg and NEXITO FORTE. the patients blood pressure has not become norma. She feels chest pain all through the night having severe palpitation. She is contemplating on stop taking this medicine. Please comment on our situation. thanks", "output": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you should immediately consult cardiologist for her. Her blood pressure is not controlled. So chest pain and palpitations can be due to ischemic heart disease or arrhythmia. So better to consult cardiologist and get done 1. Blood pressure monitoring 2. ECG 3. 2d echo 4. Holder monitoring (24 hour continuous monitoring of ECG). 5. Coronary angiography if required. Don't wait at home because these conditions are life-threatening. Hope I have solved your query. I will be happy to help you further. Wishing good health to your friend. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My mom has multiple myeloma . She received chemo for about 3 months. It was discontinued because they found an orange sized rapid growing tumor in the stomach which is also cancerous. She is home, under the care of hospice. She is 65 years old. Just got over phnemonia about a month ago. What would you guess the prognosis is for her.", "output": "Hi, Thanks for writing to us. Given the history, it is likely that the tumor in the stomach is a lymphoma/Malta. Since there are 2 coexisting tumors, the prognosis definitely is poor. As far as the Myeloma is concerned, the prognosis can be ascertained by several lab parameters like chromosomal abnormalities, beta 2 microglobulin levels, increased calcium levels etc. but also by other issues like age, her medical condition and the grade of her myeloma. On an average, survival for myeloma patients will vary from 11 months to 3 years. Given that your mom has 2 tumors, at this stage, it would be best if we take an endoscopic guided biopsy to know the nature of the 2nd tumor and decide which Chat Doctor. Hope that helps regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a swollen thigh after been given an anti sickness injection. The swelling/ hard lump is red and and hot and tbe injection site bruised slighly.I can hardly walk and its very very painful. I feel ok in myself except my body is stiff like i have the flu.What should i do?", "output": "Hi If you have a flu like symptoms after an anti-sickness injection, it is obvious that an injection abscess is being developed. Immediately send you blood for culture and sensitivity and then get started on an antibiotic and an anti-inflammatory medicine. Take full bed rest. Get an ultrasonography of the area done, if it shows abscess formation go for incision and Chat Doctor. Get the routine blood tests done including that of sugar to rule out diabetes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir, my wife suffering from OCD since last 8 years . at starting i contact with doctors at jabalpur they diagonase as OCD. BUt medicine given by them are so hard and aftre increasing power my wife can not take such medicine. at present no any medicine ann take please advise me", "output": "Hi, There are multiple treatment options for OCD. Today many medications are available which have minimal side effects like fluoxetine, sertraline, etc. If given appropriately, these medications are very safe and generally are well tolerated. In addition, there is also option of cognitive behavior therapy, which is a treatment that can be started with medications or without if the OCD is not very severe. Such therapy is need your wife to visit the therapist at regular intervals (once to twice a week) for about an hourly session. Hope the information was useful. Best wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello. I am 4 months pregnant and have had 10 seizures in the past 2 months. Ive seen my regular neurologist but Im not 100% comfortable with his diagnosis and such, so I am looking for a 2nd Opinion elsewhere. If it came down to it, would a EEG be safe for me and my baby?", "output": "Hi, You did good by seeing your Neurologist and I agree with your plan to take a second opinion if you have any doubts. I don't have your past history so can't comment on the diagnosis, but I can tell you that if needed you can have an EEG in pregnancy without any potential risk to you or your baby. Having seizures & not taking any treatment are rather harmful situations. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 14mnts is having running nose and watery eyesno mucus though. and has been having temp 101-102 on and off. when she has Motrin(USA based Ibuprofin and Tylenol) shes fine for 1-2 hrs but when she goes to sleep the temperature is back. I ran out of the US meds,so got Ibugesic plus, whats the doseage pls?", "output": "Hi... Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. I suggest you use only plain paracetamol for fever. I suggest not using combination medicines for fever, especially with Paracetamol. Paracetamol can be given in the dose of 15\u00a0mg/kg/dose every 4-6th hourly that too only if fever is more than 100F. If you want to use Ibuprofen I suggest you use plain Ibuprofen and not Eugenic Plus which is a combination of both Ibuprofen and Paracetamol. Plain Eugenic can be given at the dose of 10\u00a0mg/kg/dose every 8th hourly if temperature is more than 101F and the strength of the suspension is 100\u00a0mg/5ml. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, My partner has all of these rashes covering from the waist down to his knees. Hes quite embarrassed about this and were not sure what is causing the itchiness, when he scratches it becomes very flakey and red, mind you he is a very large boy, 140kgs and 6ft 4inchesHe sometimes believes its the heat because its really bad in the summer but they still remain there all the time.I suggested it could be eczema but hes very doubtful Do you have an idea of what this could be and how to treat it?", "output": "Hi, Welcome to Chat Doctor forum. It appears that he might be having allergy to something, like food, clothes, woolen, cosmetics, or soap, etc. the other causes may be the fungal infection. I advise you to consult a dermatologist for diagnosis and treatment. I usually prescribe to my patient with such symptoms levocitrizine, montelukast, grisofulvin, and mixed steroid ointment. Wishing for a quick and complete recovery. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Dr, I am 30 years Male. I had productive cough in morning for last 2 months and I was suffering from sinusitis also. The sputum was green. Now the cough is gone and only sinusitis remains, no that much sputum. I done a chest x-ray last week whicChatDoctore normal. However doctor told a elevation in Diaphragm and enlagement of heart. What will be the reason of this?. Active Pulmonoray TB not there, but will it be Miliary TB symptom or Amoebic Liver Abscess or anything else?? Please advice me for the next step", "output": "Hello, No need to worry about military TB as it reflects differently on chest x-ray. Elevated diaphragm is mostly because of abdominal pathology. So in my opinion, you should definitely get done ultrasound examination of abdomen to rule out abdominal pathology. For cardiomegaly on chest X-ray, get done 2D echo. If ultrasound abdomen and 2D echo are normal then no need to worry much for chest X-ray findings. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 15 year old son got hit in the ankle with a hockey slap shot and it was swollen that day and the swelling went away and he was able to walk but he then played hockey the next night and it was swollen again and he is unable to point his foot down without pain. Is this a sprain?", "output": "Hello, In case of fracture pain and swelling does not go away by itself, in that case it does take at least 3-4 weeks to go away. To me, it looks to be a sprain. You should do following to have relief in this:- Advise him to do rest-Apply a compression bandage like ace bandage from below upward at foot-Take a mild analgesic like Advil for relief from pain-Keep limb elevated on pillow all this for at least 5-7 days. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "good evening,my name kamran im now in dubai doing electrician job in hotel.age 29 befor 3 month during rest condition i was use internet i feel chest pain for just few secound and after that 1 week i went for doctor to check doctor take my ecg,chest xray,blood test ,urein test,all test was normal and my B.P was 130/90.what is ur thinking please.thanks", "output": "Thanks for your question on Chat Doctor. I can understand your concern. First no need to worry about heart diseases because you're all reports are normal. Sometimes, muscular spasm can also cause sudden onset momentarily chest pain. So avoid stress and tension, be relaxed and calm. Avoid heavyweight lifting and strenuous exercise. Apply warm water pad on affected areas of chest. Take calcium and vitamin D 3 supplements as deficiency of these can also cause muscle spasms. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 22 yr ols son has had pneumonia 2times in the past 10 months, last month at work - (a hospital thankfully) he passed out was taken to the ER and a ct was done to find out he has a hole in the upper lsft lope, and hi heart rate was down to 23. Doctors did nothing about the hole, and told him that it was Spontaneous pneumothorax, he has also seen a cardiologist that found nothing. He is now having the same pain he had but now it is on the right side. He dose smoke on occasion not an everyday thing and he told me he is not doing anything else, he has no history of pot smoking or other types of drugs. I have no reason to think is not being staight with me, but I do realize he is my son and may not want to tell me everything", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Pneumothorax can recur in the future. So we should definitely rule out pneumothorax for his right sided chest pain. So get done chest x-ray and CT thorax. If both these are normal then no need to worry about pneumothorax or other lung disease. Tell him to apply warm water pad on affected areas of chest. Take simple painkiller like paracetamol or ibuprofen. Avoid heavyweight lifting and strenuous exercise.Don't worry, he will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wishing good health to your son. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My tooth is paining very badly since two days.....n Im taking combiflam tablet one in d morning n one at night.... the pain stops once i take it.....but as soon as the medicines power goes my tooth starts paining again..... what should i do..... just for temporary sake... as ill be going to the doctor soon..... but till i go can i continue using combiflam tablet..... u can send in reply at my e-mail id which is YYYY@YYYY hoping for the reply soon", "output": "Hi, Thanks for writing, First, I hope you realize that the cause of pain should be removed to permanently cure it. So a visit to a dentist is mandatory. Secondly, Coquitlam has to be taken every 6-8 hours to a maximum of 4 tablets a day. There are long acting painkillers available, which will relieve you with pain in a single daily dose like tramadol extended dose or long acting acetaminophen. Please visit your dentist and don't just take painkillers without prescription. As you understand the adverse effects related to them. Stay healthy, Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor, I am suffering from Facial pigmenation problem (due to hormone imbalance) for the last 2 years. As per the Dermotologist, used Melacare for a month at night times with Suncross sunscreen during the day time for every 3 hours, pigmentation vanisheed completely, but when I stopped Melacare, pigmentation patches became worst than before. Dermotologist advised to go for 6 Glycolic peels + 2 TCA peels to be continued with Banatan cream in the night and Sunscreen during the day. Till now, underwent 3 Glycolic peels for about 35% concentration, after every peel have PIH problem, its looking very dark, worst than then pigmentation. I was asked to use Clearway cream by the Doctor, on the new patches for 2 weeks and then again to continue with peels. I am really confused now and lost hope to continue this treatment. I feel very low to go out and face people or meet office friends as everybody questions about marks on my face. I am requesting your best advise and medicine to treat this pigmentation, with permanent cure is really appreciated.", "output": "Hello, Thanks for writing to Chat Doctor. You are having plasma. It is somewhat resistant to treatment. It is a common cosmetic problem in females, and it will subside as age advances. Treatment which you are receiving is correct and continue with that. Only thing I want to add is get your thyroid checked.Also, if you are taking any birth control pills stop that. I hope this will solve your problem, to some extent." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my mother diagnosed with stage3b colon cancer (5 from 23 lymph nodes are affected and maybe a cappilary vessel. She has no other health problem and she is 53 years old. We are going to start chimo after she exits hospital.Please tell me how many chances we have to succeed... is there any chance that has spread in an other organ and not be seen?Please inform me for chimo medication also.Thank you very much", "output": "Welcome to Chat Doctor . Stage III colon cancer in your mother needs chemotherapy...usually with a regimen called FOLLOW containing 3 different Chat Doctor. ... Cure rates are about 50 %. Small microscopic disease can't be seen by any methods... But that's the reason why we are giving chemo in the first place, to tackle the microscopic disease... Hope your queries are answered... Thank you for using Chat Doctor " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello i have a sister who lives in africa she had her son 3 years back byc-section and was put on alot of drips without havin a catheter 2 drain herurine out, she slipped into a coma and ws later drained alot of urine but nowshe complains of severe stomach ache. she has done 2 operations done to find outwhats causing the stomach ache but they cannot deal with this, please help me", "output": "Hi! Good evening. I am Chat Doctor, a general surgeon answering your query. This is a situation where one might not be able to opine on the problem unless all the papers having information on the intraoperative findings during each surgery done are available. Therefore, I would suggest you to send all the findings with reports to arrive at a tentative cause of your sisters abdominal pain, although a personal physical examination would also be needed to arrive at a conclusion. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish your sister an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my wife is taking cyclacur to start to manage her period cycle. Since she swtiched from the white tablets to the brown tablets in the box, she seems to have started getting headaches in the morning after waking up ? is this being caused by cyclacur ? she is 42 years old", "output": "Hi, Yes, headaches are a common side effect of taking oral contraceptives pills like cyclic which usually improve over time. The white tablets contain hormone estradiol and the brown tablets contain a combination of estradiol and norgestrel (progestin). In case if headaches do not subside your doctor would prescribe a different type of pill with a different dose of estradiol and/or a different type of progestin. Take care. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 43 year old male. I have osteoarthritis, fibromyagia, and raynauds. I have been having chest pain for 5 or 6 months. I have had 2 ekgs (very quick ones, less than a minute) and had a 24hr heart monitor. All came back normal. When I get the pain it feels like my heart has skipped a beat or two and my arms go numb. Now when this happens it seems that the lights get brighter. With or without my eyes closed.What could be the cause of this pain?", "output": "Hi, Did you have such symptoms while your were wearing Holder? If yes, then it means this is not cardiac, and this can very well be gastritis and reflux disease. You should avoid fatty, oily and high calorie diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Eat lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. You can get prescribed tab Pan DSR. If you didn't have these symptoms at that time, and if you are having symptoms now, you can wear it again. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My dad had an MRI scan on the brain and found out that he has microvessles ischemic changes, he also had a liver transplant and on the list for another transplant for his kidney and liver again, due to kidney disease and chirrosis in the liver, is what s happening related to his previous issues? And is there a treatment?", "output": "Dear madam/ sir, thanks for your question. Ischemic changes in the brain is quite common after a certain age in most hypertensives (people with high blood pressure). Without a detailed history of your dads medical problems it's not possible to attach significance or dismiss this MRI finding. The fact that he now has kidney faille puts him at high risk of cardiovascular problems like stroke, heart attach etc., and he should be on an antiplatelet agent (e.g: Aspirin or clopidogrel) unless there is any contraindication. Otherwise he does not need any other treatment for the microvascular disease seen on MRI. Hope this helps. BY" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I possibly have multiple liver haemangiomas. Also iron deficiency probably due to heavy menstruation. Could the former impact on any treatment options for heavy bleeding?Also had bilharzia as a child (and treated), could this leave deposits/affect my liver?", "output": "Hi there, Hematomas shouldn't affect your menstruation cycles. They do have a risk of rupture, would, could cause your anemia, but you'd have significant right upper qua Chat Doctor. It depends on the size of the hematoma, but most of the time if they are small, the recommendation is usually just to watch them. I don't think Bulgaria should leave deposits in your liver and is unrelated to your hematomas. I hope I have answered your questions. Please feel free to contact me should you have any further questions." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i am 17 and i have been dealing with some medical issues concerning my high inflamitory markers in my blood for the longest time and recently have fallen in the shower due to a blacking out. Since then i have been having all my limbs fall asleep and upset stomachs. It s gotten to the point now where my local/current doctors don t know what else to do anymore, they have done all the tests humanly possible but still no answers and it has been 5 years.....i just want to live my life pain free. can you give any advice that might help?", "output": "Hi! Numbness of the extremities have lots of causes. However, in your case you had a history of fall and that \"all test\" have been done already with still no answers. Numbness is actually cause by the following:1. Nerve compression. It could be in one limb or area like in cases of median nerve compression or could be both upper and lower extremity like in cases of herniated disk which results from degeneration of the disk due to aging process.2. Severe vitamin b12 deficiency. There are diseases and conditions that can result to it b 12 deficiencies, like Crohn's disease, alcoholism, celiac disease, or results from conditions wherein there is inability to absorbs it b12. Deficient it b12 will result s to pernicious anemia. Severely deficient it b12 will results to nerve damage.3. Stroke" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "bilirubin level is increasing on every test ( more than 3 test in the span of 3 weeks)around 1500(1200>>1400>1500) now,but SGPT is coming down(166 now), [for hepatitis B diagnosed...]..is it ok?....how much time does it take to settle down the liver swelling?", "output": "Hi thanks for contacting Chat Doctor... You have diagnosed with hepatitis b infection... I initial phase hepatitis increased In severity... Gradually with time and by our immunity hepatitis going to be decreasing... Here you need is to rest liver by taking low fat diet.... Excess fried food avoided. Sugarcane juice, apple juice and grape juice helpful in jaundice.... Take one tsp carom And cumin seed with water daily in morning for few fays... Avoid strenuous work by taking rest.... Some good food for liver taken like ....-papaya -carrot -dandelion -aloe vera -lemon juice -golden seal etc... It will take two month minimum for full recovery. After six month repeat Bag detection to rule out chronic case. Take care. Consult gastroenterologist with keeping this in mind. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my mother is 52 years old, she has thyriod, she is obese yet active and sometimes suffers from low bp. Day before yesterday, in the night she started feeling pain above her left breast which extended to her whole arm and hand. We got her ECG done and it came normal. We got her cholestrol checked and it was fine except for one LDL which was on borderline. The doctor gave her some painkillers and said it might be angina. What to do ..help..lost my father to heart failure dont want to lose my mother now:(", "output": "Hi thanks for contacting Chat Doctor. Your mother having history of chest pain with radiation to arm. So yes it is suggestive ischemic heart disease. ECG is not always confirmatory for that.It's better to do 2D echocardiography to diagnose ischemic heart disease like angina and myocardial infarction. If needed then angiography can be done which is diagnostic as well as therapeutic. But after 6 to 8 hour benefit less. She might have given antiplatelet Chat Doctor. ... Sorbitrate kept in pocket. Taken SOS when needed if chest pain occurs severely.... So without delay consult physician or cardio physician for that. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI sir My mother , age of 58 , Met a small accident and admitted in hospital on 19th NOv 2013. After CT scan done -s/o e/o moderate size vermian haematoma with mass effect on 4th ventricle and early and early obstruction hydrocephalus also has moderate size left frontal contusion with severe diffuse oedema .Diagnosed as Posterior fossa haematoma with hydrocephalus .hence sub occipital Craniectmy and haematoma evacuated done under GA on 20th Nov 2013 .In the view of Bronchospasm treated with Aminophylline infusion and nebulization. After discharge from hospital started using Levipil 500mg , Amlog 5 mg ,Itopride 50 mg medicines.After 2 days she is feeling giddiness and vomiting( even after giving emset /Domstall all 3 times.) ....it is continuing ...... After 45days , again admitted hospital for review . condition : she is very much conscious , BP 110/70 sugar-88 and pulse 80/min - Giddiness while getting up from sleep bitter in taste and vomiting. CT brain result : 1. As this know case of RTA Operated with occipital craniotomy and bone flap refixation measure 28mm , no mass found 2. Gliotic changes noted in cerebellum and in left frontal region 3. small vessel ischemic changes noted in bilateral periventricular of noted. Current course of medicines : 1. Levipil 500 , 2.Accuvert(Stopped after 20day) 3.Vertin ( now stopped after 20days ) 4.amlog 5.Nomabrain 800 ( continue) ,Aminophylline Tab( Stopped after 10day). budocort for Asthama . Current situation : vomiting stopped for 20 day and giddiness come for few days . However it is Giddiness started again and vomiting ( alternate days) also and bitter taste and feeling weekness. ( she able to walk some time in day ) . Please help us how to stop Gidiness and vomiting", "output": "Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. The Giddiness is probably due to the Disturbance of Vestibular Apparatus and Vomiting is a consequence of Giddiness. This will settle down in six to nine monthsPlease do repeat CT brain to Rule out Post traumatic Communicating HY" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doc my concern is about my labtest result. Doc can u help me interpret my lab test. According to my cbc result, my white blood cell count is lower than normal which is 4.1and segmenters level is high (0.75) but my lympocytes (.21) monocytes (.04) platelet count (265,000) rbc (4.3) hemoglobin123 and hematocrit (.38)are all normal. Hoping for your reply and thank u in advance. Regards, Coral", "output": "Dear, Dear from where you got the idea that your CBC is abnormal and with low counts .is it printed N(Normal) L (for low)H (for high) against all the counts .if so please relax. It is body which does not behave the text book way Go to another lab of repute and get your CBC repeated after 3 months if you don't have any problem forget it or to remove your anxiety consult an MD physician You may go for B complex; iron Zinc or anti oxidant food / Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HELP! I found my nine year old in a diaper this morning. hes is potty trained and has been since he was 3. Why is he wearing them And hiding them from me. I didn t yell at him for I am concerned. what do I do ? let him keep wearing them? Or punish him? sincerely Carllotta", "output": "Thank you for posting your question.First Carlotta, the issue may not be as serious as you think it is. For all you know your son might have just laid hands on a diaper lying somewhere and slipped it in place of his regular underwear. If that is not the case then there is a probability that he might be bed-wetting, most likely at night. In any case, I think talking to him calmly is to only logical option. You may ask him calmly in a non accusing tone why he did that. Also, if your find out that he has been wetting himself, then a proper medical consultation should be taken. However, the first step would be to find out the cause for his altered behavior which can be done by an open two-sided conversation. Whatever the cause is can be dealt accordingly. Neither allowing his altered behavior to continue nor punishment would be an appropriate response. If you have any more doubts do write back." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir, I am Biswajit Chatterjee since last 10 days I am surrering from Anal Fissure I go to Surgeon and he advised for operation but I am very much afraid for this in this regard I am feeling burning specially after stool. Pls advise me the best ointment still I am using Cremagel and Seitz bath. Regards", "output": "Hello, Welcome to Chat Doctor, Anal fissure is a cut or tear occurring in the anus that extends upwards into the anal canal. Fissures are a common condition of the anus and anal canal. Anal fissures are caused by trauma to the anus and anal canal and also by a hard stool or repeated episodes of diarrhea. The following are the different modes of treatment for anal fissureInitial treatment involves adding bulk to the stool and softening the stool with high fiber diet and advised to avoid foods that may not be well-digested. Site baths Topical anesthetics prior to a bowel movement to reduce the pain of defecation along with the steroid cream to reduce inflammation. Oral medications like nitroglycerin to relax the smooth muscle of the internal sphincter have not been shown to aid healing. Ointments containing calcium channel blocking Chat Doctor. Surgical procedure called partial lateral internal sphincterotomy is the technique of choice for the treatment of anal fissures. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my friend had a picc line removed back in july after being treated for acute leukemia. As of Sept she has felt a lump form around the site where the picc line was removed. As of 2 days ago she as been getting these really bad spasm and sharp pains shooting down her arm and the lump seems to have gotten bigger since sept. What do you think it could be?", "output": "HIT hank for asking to ChatDoctorIt is really sorry for your friend, long term insertion of IV line catheter can cause local area inflammation and could be a thrombophlebitis, but it will go away generally no medicine is required in it, at the most we can try local heparin preparation for thrombosis, otherwise it won't hurt nay more, only ting is to watch for any infection part have nice day and take care of your friend bye." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My Wife has some unusual activities:- 1. Washing her hand every minutes while cooking food. 2. To Soak the hands she needs a new washed clothes each time. 3. Changing Home Dress twice a day. 4. Doesn t touch her inner washed Clothes after Bath. 5. Taking too much care of Cleanliness while having relation. Please tell me this is unusual or not . When Step should I have to take for this.", "output": "Hi, Your above symptoms indicate presence of obsessive compulsive disorder (OCD) in your wife. For management, you should visit psychiatrist. Usually in treatment medicines and CBT are used. Till you take specialist consultation aerobic exercise, breathing exercise, healthy diet and yoga will help her. It is better to take consultation early as untreated case may lead to depression. I hope this information has been both informative and helpful for you. Wish you Good Health. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir just wanted to know that my sgpt level is 96 and i doc have said to me that my liver is a faty liver,and he said that with faty liver it normal that you sgpt level 96 a bit high ,so i want to know if i can lower it a bit and what vitamins can i take in lowering sgpt", "output": "Hi there, Thanks for posting in Chat Doctor. Your SGPT of 96 is significantly high. The most common cause is nonalcoholic fatty liver disease, and it is confirmed in your case. You also need to get tested for other common causes that include hepatitis B and C infection. Obesity, diabetes and high cholesterol are common causes of nonalcoholic fatty liver. So try to reduce weight if you are obese. Check your blood glucose and cholesterol levels. I hope that answers your query. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I ve have certain cuts on my penis and these cuts keep on coming back again and again. earlier I used to think that these are due to the fact thatI have installed copper t in my wife.but even though we do not do sex still these cuts keep coming back again and again. what should I doplease help me", "output": "Degree understand your concerns went through your details. The cuts you are worried about could be due to some skin related ailments or infections. Please consult a skin specialist about this. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "ir I am 35 years old and recently got married .i have erectile dysfunctional and premature ejaculation problem. I met the urologist he suggested me some medicine that is Cavarta, sustinex and LR Zin . Can i take it for life long or anyother option to cure this problem", "output": "Degree understand your concerns went through your details. Erectile dysfunction and premature ejaculation are mainly due to anxiety and stress. Anxiety about sexual performance can undoubtedly provide you with erectile dysfunction and premature ejaculation. In any case, you are already under treatment for those. The medicines are good, and please take it. You should be cured within a fortnight or so. Work with your urologist for a better cure. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have 3 children, 1 has grown according to her growth chart the other 2 are slow growers. I have had their bloods done and the eldest does always seem to be on low side with iron but all else is normal. I have Hashimotos So I tested their thyroid and it is also normal. I m wondering if their growth could be slow due to anxiety and panic attacks. My 14 yr old boy suffered with them a lot five years ago, the 9 year old girl has been suffering with it for last 2 years. Thanks Lisa", "output": "Dear Lisa, your concern is appropriate. The anxiety and panic attacks need proper, long term treatment and counseling. You need to keep your cool i such a situation. Stay calm and be with the child. Try to find and eliminate source of attacks. Growth may or may not be hampered in such cases. Depending on how much psychological trauma the child has sustained and if this has affected his diet. Good nutrition is necessary for normal growth. Try to involve them in various activities, games etc." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My mom is in the ICU and was digonosed with congestive heart failure, she was put under sedation Tuesday and today is Friday. She still is not waking up. The doctors have tested brain blood and everything seems to come back normal. They are unsure of why she isn t coming to. She does abuse prescription drug pills FYI, but any idea when or what s going on? Has this happened before?", "output": "Hello! Thank you for asking on Chat Doctor! Regarding your concern I would like to explain that those diet pills are known to cause sometimes severe heart valve dysfunction (severe regurgitation). This may lead to congestive heart failure and aggravate the patient clinical condition. It is more healthy and physiological to follow other alternative weight reducing options. I would not recommend those pills at all. Nevertheless, I hope and wit ha fast recovery for your mom. Hope to have answered your question. Greetings! " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my sister is around 36 yrs divorcee due to internal family issue with the marriage.. though after counselling for more than a yr this did not work finally it was a divorce.. now she is very moody and disturbed mind wherein she does not have any confidence in herself and other.. could you please suggest us for further treatment..", "output": "Hi dear. I had gone through your query. Divorce can cause emotional disturbance and due to this stress there are chances of depression. Loss of interest and confidence with mood variability may indicate depression. Proper psychological evaluation will give better idea about it. Mild depressive features can be treated with supportive psychotherapy ABD counseling. Medicines like SSRI and benzodiazepine can help to reduce moderate to severe type of depression. So consult psychiatrist for further evaluation and get help. Happy to help you further. Wish you a very good health. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,i just had a peperish pain the centre of my chest, this was preceede by a pain in the left part of chest. what could be the cause? i have been this inconvinence in my chest for sometime now and also notice i fall asleep every now and then. i am 31 years old", "output": "Hi thanks for asking question. Here if your pain radiating to left arm or shoulder or to the back then ECG done to rule out cardiac cause like mainly ischemic heart disease. Here chance of it is less but suspected if above symptoms and sweating present. If ECG show changes then treated accordingly. Secondly your pain can be simple muscular pain by muscular strain. The cause could be heavyweight lifting or improper sleep posture or any unaccounted activity. Simple analgesic could be effective. Thirdly it could be Costco Chat Doctor. For that rest taken with ibuprofen like analgesic and anti-inflammatory " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir 3 months ago i got herbal medicine from \" hakeem\" and i got psoriasis on my legs in gray color sops with allergy .and on my body where i scratch on spot of gray color prominent after some days my whole body is effected . i live in pakistan plz help me YYYY@YYYY", "output": "Hi, As you said, you suffer from psoriasis vulgarism. You must be aware about psoriasis that it is a controllable disease and there is no complete cure. So, some factors like stress, disease anywhere in body, trauma, Chat Doctor. .etc. might precipitate the disease. In your case, it may be exacerbated due to some factor. Even trauma or minor injury like scratch might precipitate psoriasis lesions. Avoid anxiety and have patience. Do not worry. You may take...accretion cap 25 mg twice a day along with methotrexate 15 mg per week, 5 mg at 12 hour interval. You consult dermatologist for perfect treatment. Regular blood check up may be done for liver function and renal function. After control of disease, you may reduce the dose of accretion to 25 mg per day. And also apply steroid with salicylic acid point on the lesions. Tar shampoo may be used if you have lesions on scalp. You might get good result after few months. I hope you got my answer. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "18 y.o. male, 1 week history of cyclic fever (spikes up to 103 at night.) Violent episodes of vomiting twice in last week 3 days apart. CBC done twice. WBC wnl. platelets low @ 85,000. Mono negative. Strep negative. ER doc mentioned LFT were up slightly but didnt give #s. Any thoughts?", "output": "Hi, dear. I have gone through your question. I can understand your concern. You may have some viral fever or typhoid. You should take treatment accordingly. Go for tidal test and regularly monitor your platelets count. If you have any signs of bleeding then consult your doctor. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my sister in law is visiting from UK in USA and about 2 weeks after she got here her eyes have popped blood vessel in her eyes. The house where she is staying there are several cats and a dog and im thinking maybe she has an allergic reaction. she gets headaches as well which last about 2-3 days...this has happened now 3 times in the last 2 weeks", "output": "Well to you, it might seem to be allergic but to me, it appears to be something else, repeated attack of conjunctival congestion eye with continuous headache may be due to some eye pathology like open or close angle glaucoma or even some cavernous sinus pathology. So you should meet an eye specialist and get your eye examined, eye pressure measured, retinoscopy and endoscopy done, and certain test should be done to exclude glaucoma, if required CT scan or MRI can be done to exclude intracranial pathology. Follow the preventive and treatment plan of your specialist thereafter. Thanks and with regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I AM SUDHIRKUMAR 42 YEAR OLD MAN, LAST TWO DAYS SUFFERED FOR VERIGO GIDINESS.MY BP WAS 140/90 PULSE WAS 80.MY MD MEDICIN DOCTOR GAVE ME BETAVERT 16 M-A-N,SOMPRAZ B40 M-X-X,NUROKIND D3-X-A-X & AT NIGHT LIBRIUM10 mg X-X-N.MY BOTH PARENTS ARE HAVING BP PROBLEM.MY DR.TOLD TO DO CHECK UP OF B 12 & HEMOGRAM.AS WELL AS DR.TOLD YOU ARE THINKING MORE & YOUR PROBLEM IS NOT OF CARDIAC.IS SOUND SLEEP IS IMP? HOW MANY HRS.? STILL I AM HAVING GIDINESS.PL.GUIDE.SUDHIRKUMAR PUNE", "output": "DearWelcome to ChatDoctorWe understand your concerns went through your details. I think your doctor wants to tell you that you are being obsessive and anxious. You are very much worried about your health. Your doctor so concluded because he could not find any pathological problems for your dizziness. You must understand obsession (too much negative thinking about your health) could be the cause of your dizziness. Because of the obsession you are being anxious and anxiety adds up to your problem. Being anxious about health and a particular symptom could also worsen the symptom. The best method of approach would be to believe your doctor and just agree with whatever he says. Such an agreement could help you in being peaceful. Then you can work with your doctor for further investigation and treatment. Essential is not to think negatively and too much about health. If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail. Hope this answers your query. Please feel free to post follow-up queries. Available for further clarifications. Good luck. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I had my molar removed about 6 months ago and have recently noticed a bump protruding from under the extraction site. I m assuming it is the titanium screw. It appears that with time it may break through the gum tissue . I m not sure if it has been there since the surgery because I m just noticing it now. Is this normal or should I be concerned? Thank you.", "output": "Hi and welcome, Titanium crews are placed in the jaw bone, and they are uses as Tooth Implants. A dental implant is the prosthetic tooth replacement, so make sure you were undergoing such treatment. As you have mentioned the bump arising from the extraction site, I suspect it to be a gum boil. If it is a painful swelling, it needs clinical examination and treatment. But this can only be confirmed by an X RAY examination. I would suggest you to consult a dentist and get the x-ray done which will confirm if it is a screw or some infection in the gums accordingly treatment can be planned. I hope this helps, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "what is panderm plus cream?does it clear the black marks on face?", "output": "Hi, Panderm plus cream contains ofloxacin, ornidazole(antibacterials), terminating(antifungal) and clobetasol(very potent steroid). As you can see, it's basically a multiple combination cream containing antibacterial, antifungal and steroid to control inflammation. These multiple combination creams have very few specific indications but are misused very commonly as over the counter treatment for fungal, bacterial infections, acne and pigmentation. These creams would harm more than benefitting in any of the conditions mentioned above. These should never be used to clear pigmentation or acne over the face. Take care. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi - I have had a large bony lump at the back of my head slightly above the ear on the right side. It is about an inch round and 1/2 inch deep. I noticed it at least a couple of years ago though it may have been there longer. I have now started to get swimmy sensations in the same area. Should I get this checked out?", "output": "Hello! Thank you for the query. Such lump can be a lymph node, lipoma or sebaceous cyst. Lymph node can be present in this area due to some inflammation in close neighborhood like ear infection, tooth infection. Lymph node is usually soft, hard and movable structure located under the skin. It does not cause pain. Lipoma or sebaceous cyst should be also considered. Both are benign lesions which does not increase cancer risk. To determine what you are dealing with, I suggest you to have an ultrasound of this area done. In case of enlarged lymph node, hematologist should be consulted. Lipoma or sebaceous cyst can be removed by a surgeon. Hope this will help. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear doctor, am the sixth child for my parents..my 3rd sister and myself has yellow teeth..yellow teeth means not slightly yellow..thick dark yellow..when i asked to my parents they told when the teeth started to grow as an infant itself started to grow as yellow for my sister and for me it was in white in color only but well the milk teeth fell and permanent teeth started to grow at that time it started to grow as yellow (pure yellow in color) now am 36 years of age..when i asked doctors some of them told it was calcium deficiency..now already it is too late..is there any way to rectify doctor", "output": "Helloi have gone through your query.discoloration of teeth can be due to various reasons.in your case the antibiotics tetracycline and doxycycline are known to discolor teeth when given to child Chat Doctor. Mouth rinses and washes containing chlorhexidine and cetylpyridinium chloride can also stain teeth. As you age, the outer layer of enamel on your teeth gets worn away revealing the natural yellow color of dentin. Excessive fluoride either from environmental sources (naturally high fluoride levels in water) can also discolor the teeth. Poor oral hygiene can also lead to yellowness of teeth. But you don't have to worry. You can go for certain procedures to fix this problem:Thorough scaling (cleaning) of your teeth. Avoidance of the foods and beverages that cause stainsVeneersUsing over-the-counter whitening agentsIn-home whitening agents purchased from your dentistIn-office whitening procedures Hope this ans helpsRegards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, My name is Michele. My mother takes Cymbalta and has recently had a lot of issues like difficulty urinating which she is seeing a urologist for. Frequent bladder infections. My main concern is her recent depression, lack of motivation, weight loss and general ill health. I mentioned to her that she might have some side effects. Is it true that Cymbalta has caused side effects for the elderly? She 80", "output": "HiT hanks for using Chat Doctor Most of the antidepressants have side effects and few are common in all. Same in case of cymbal ta. It does not have specific side effects related to old age. Nausea, somnolence, insomnia, and dizziness are the main side effects, reported by about 10% to 20% of patients. Rest side effects depend upon the dose of Chat Doctor. In higher doses, chances of side effects are more. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 6 year old son has been vomiting twice a night for the past 6 nights. He is his usual happy playful self during the day, going to school and coming home fine. No decrease in appetite, no diarreha, no abdominal pain. The vomiting does not wake him and in the morning he has no memory of the events. Could he be having petit-mal seizures?", "output": "Hello, Very less possibility of seizures. As you described the events, episode of vomiting, no remembrance of events, it is not associated with gastroenteritis, so possibility of seizures should be ruled out. Need some additional information:1. Whether your child has any previous episode of seizure?2. Any family history of seizure3. Development history and birth historian significant event or hospitalization history? Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello.some sort of internal blackening started to occur on my face and a month back i consulted a skin specialist who told me i had hyperpigmentation and freckles on my face.he advised me to use these creams Melano,Tretinex and Solar light sunscreen and after a continuos use of these creams for a month the condition has got even more worse.there are visible patches and spots on my face,i feel slight irritation and can see rediness as well.i am very depressed and what should i do now?", "output": "HI, You seem to have developed an irritant reaction to the prescribed medicine. This could be due to overzealous application of the Chat Doctor. Kindly withhold application of these creams for a while and apply a steroid cream as well as soothing moisturizer. Once the redness and itching subsides, the treatment for pigmentation can be re introduced. Consult a dermatologist so that the pigmented area can be examined and further treatment be advised. Don't lose heart, your skin will definitely improve. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi my daughter is hvng jaundice on 3rd day of her birth it was 14 initially,after that doctor advised for photo therapy.phototherapy was given for couple of days n the billurubin reduced to 10.now after that her bilurubin again climebd upto 13.doctor adviced for gardenal syrup..wt do u say wheather gardenal vl work?baban", "output": "Hi and thank you so much for this query. I am so sorry to hear about this increased levels of bilirubin that your child has. Garden would increase the conversion of bilirubin to forms that can easily be excreted for the body. This would be helpful. However, I believe phototherapy would be a better and a more rapid solution to this. I hope this ad Chat Doctor. Thank you so much for patronizing our services, and please do feel free to ask for follow-up clarifications and information if need be. I wish you the best of health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi sir, i had done sex with my gf on the seventh day 20 mar after her period stoped (14 mar) ..i gave her i pill within 24 hours and after that she had her period on 26 mar and bleeding more than expected and having headache ...sir m i need to be worry plzzz suggest me", "output": "Hi dear.bleeding is one of the commonest effect of I pill along with pain, fever and headache etc.so I advise not to worry, but she can follow this points1) Take iron supplements2) Take green leafy vegetables and fresh fruits3) Check her He level4) Bed rest for 2 days if possible5) in case pain and fever take Tab. PCM6) If still it continues for more than 3-4 days then take progesterone supplement under the observation of gynaecologistHope this will help outranks and regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had my teeth cleaned 6 days ago and have been in severe pain ever since. I do have receding gums on the upper teeth. I have taken ASA and and aneseptic mouth wash , salt water, ore gel and sensodyne toothpaste . It gives only very short relief. Not sure what else I can do, also cant stand anything hot or cold. I wanted to call my dentist at home, but didnt . The pain is over the top. Im not a pill popper , so dont really want pain drugs. Hope you may have some ideas. Many Thanks Marci O.", "output": "Hello. By the symptoms you say, you suffer from Periodontal Disease. It is a pathology that involves infection of gums and surrounding tissues. In addition to what you are applying, is necessary to take antibiotic and anti-inflammatory Chat Doctor. I treat my patients with Amoxicillin clavulanate 500/125 + Naproxen 500, both thrice a day when periodontal disease is the diagnosis. Please consult your local doctor for a prescription. I wish you good health.(If the answer has helped you, please indicate this)" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello ..my mom ..... had fever for 6 months...and she lost her weight drastically .....and we have seen a doctor..initially...she was diagnosed as having tuberculosis...s her montoux test was positive...but later ...after some blood tests they confirmed it as...blood cancer....and they told there is no cure for blood cancer...and only way is chemotherapy....some one pls comment wat is this blood cancer...is there any medication ...???", "output": "Even my mother had this fever and some swelling in the neck, she was diagnosed to be blood cancer and the doctor told to go to a cancer center. They told she will survive only for some 5 years even after chemotherapy and bone marrow transplant might prolong her life, but it is too costly as well as very difficult to get the matched bone marrow, we tried with chemo and her condition is improving, we're also giving her some turmeric mixed in milk. I read in some article that it will protect and cure also. So I am doing this. Now she is improving." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 14 years of age, I weigh 156, and I am 6 0 , I had well what I think I had a stomach bug about a week ago. I began to get better later on through the day, anyway now my stomach won t growl when I m hungry anymore it just has little periods of a burning sensation , I eat then after I feel a little sick and I do not know if it was the stomach bug or something else? I tried drinking milk to lessen the burn , but could it be maybe acid burns?", "output": "Yes its most likely an acid reflux and possibly associated gastritis (inflammation of the stomach) , the hint here is the pain after eating, and using milk to lessen the burn sensation. I recommend the following :- avoid eating pipers and spicy food - avoid caffeine especially in early morning - use one of the proton pump inhibitor for 1 month duration, use it half an hour before breakfast, try lansoprazole 30 mg once daily or omeprazole 40 mg once daily, this dose is measured according to your body weight. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have intercourse 2 says after my period ended and since my boyfriend thought I am less likely to ovulate at this time he ejaculated inside me twice. I did take plan b the next day but I was very nauseated and I am having some white discharge. Could I be pregnant?", "output": "Hello misunderstand your concern White discharge and nausea after taking plan B is not suggestive of pregnancy. If you had taken plan B tablet with in 24 hours then it is 95 percent effective in preventing pregnancy. Again you had sexual intercourse in safe period of cycle (Ovum is not released 2 days after period)Nausea is side effect of pill as it contain high progesterone.(It relaxes smooth muscle of GI tract)White vaginal discharge may be due to 1. Preparing for the with Chat Doctor. Vaginal infection: Sexual transmitted disease like bacterial vaginosis, chlamydia and gonorrhea should be rule out. So it should be ruled out by vaginal swab test, urinalysis and STD screening test. It should be treated by Antibiotic and proper pelvic hygiene. So chance of pregnancy is less. I pill can cause delay in period due to hormonal imbalance. If period will delay by the 10-12 days from the normal expected period than you have to go for urine pregnancy test to confirm the pregnancy. Use V vaginal plus wash, wash vagina with warm salted water to prevent the infection. Hope this may help you Best regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, My name is Sajid Ahmad Quadri I have used budecord 200mg capsule with using rotocap of cipla company proudct on 1998 and i have been almost freed permanently from asthma till now.My query is about my brother son he is suffering from asthma and he is just 9 year old, i need to know can i recomend him to use budecord capsule using rotocap ? and if yes what mg capsule is required.its very urgent I will always be thankful for that.I will be waiting your answer.", "output": "Hello, Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for your brothers' son as follows:1. It is important to mention here that characteristics of adult asthma and childhood asthma are often different. So it is very important to get him examined by a pediatrician/pediatric asthma specialist doctor who can decide whether he has asthma and whether he needs regular treatment with inhaled corticosteroids (Budesonide, i.e., Decor).2. Although usually 9 years old child Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 3 weeks baby suddenly stops responding, what could be the problem? this has happened 2 times now, once in the 2nd week and once in 3rd week. She either doesn t open her eyes nor her body parts. We try to give her little pinches, beat her a little but she doesn t react. This happened for a span of few minutes but by the time we rushed to the hospital she gets normal. Doctors there at hospital checked her thoroughly and didn t found any problem. We did few blood tests and serum calcium tests too which were normal. Kindly help or suggest as soon as possible.", "output": "Hello, After going through your history, one of the differential diagnoses can be a seizure. In child Chat Doctor. When a neonate presents with similar complaints septic workup and electrolyte are done to rule out infection, or electrolyte imbalance which your doctors did. I would suggest neuro-sonogram, and if required an MRI just to rule out CNS causes and based on those reports further detail investigation to rule out Inborn errors of metabolism. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have just had pneumonia and I am now coughing up a jelly like substance not sputum, I have numerous health problems, behcets disease, heart disease, pulmonary hypertension, high BP, gall stones, 4 PEs, Clot to the brain, mild asthma and others Any reason for this?Thanks", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. Pneumonia is common in asthmatics because of poor lung defense. Pneumonia is actually infection of lung parenchymal (tissue). Most commonly caused by bacterial infection. Best treatment of pneumonia is identification of causative organism and then start effective antibiotic Chat Doctor. So get done sputum culture and sensitivity report. Culture report will isolate the causative organism and sensitivity report will guide about appropriate effective antibiotic treatment. By this we can fasten the recovery and prevent " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter is very small for her age. My husband are very average. She complains of stomach aches every day. She also has dark circles under her eyes constantly. I just have a feeling that something is wrong. Am I crazy? Or is there something I should have checked?", "output": "Hello dear, I have gone through your question and understand your concern. It seems she has gastroenteritis. I suggest-Nitrofurantoin 1 tablet 3 times for 7 days after meal.- Syriac 1 capsule once a day for 1 month, for normal flora.- Flaxseed 1 tablespoon for 2 glasses water, take 1/3 glass 3 times before meal for 5 days,- Charcoal 1 tablet/10 kg for absorption of gases and toxins in the evening for 5 days" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my side a few days ago my upper right side under my rib cage started hurting it was only hurting a little but then it hurt to breath it is now to a point where it hurts to move my last cycle was a month ago and tubes are tied I do not have my a pendix and I have q history of sisit and ulcers Im a 36 female and Im at 158p if this helps should I go to the er", "output": "Hi thanks for asking question. Here are few possibilities.1. It could be simple musculoskeletal pain. Take simple analgesic for that. Hot compression for 5 to 10 minute can be helpful. During sleep take adequate posture. Avoid heavy weight lifting.2.second if you have viral flu like symptoms like headache, cough, fever, cold then muscular pain can occur. Symptomatic management done for it.3. If still pain increasing then respiratory causes has to be ruled out. Chest x-ray helpful. Sometimes bronchitis like disease may present if cough and fever present. Pulmonary function test helpful for that. I hope my suggestion will help you. Wish you good health. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im 15 years old and ive had spots around my anus for 3 or 4 years now. When they fist occured i asked my doctor about them, and he said they were realated to molluscs. He said theyd go away by themselves within a few years but they havent yet... will they ever?", "output": "Welcome to ChatDoctorI have read and understood your query Hope it may helpBumps or raised skin lesions caused by molluscan goes away without treatment.However, the time taken by them varies in different individuals. It may take two months to up to 4 years. If you try to remove bumps by scratching, or getting them removed by a physician using cryotherapy (freezing) or curettage (scraping) can cause pain, irritation, or permanent scarring would suggest you not to worry about them if they are not causing any pain or discomfort. I will be happy to know if it was helpful. You can approach us anytime with another queryRegards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a lump/pocket that feels like fluid is in it . Near my groin. It s uner my testicles and on my butt cheek. I went and popped it and blood came out it filled up a few times with blood and the pain has stopwd. I noticed it looked like clotted blood came out.", "output": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint a fluid filled lump in groin area over the butt cheek seems to be an abscess or a boil. It can also be Hair follicle infection causing Folliculitis. I would suggest you to consult a General Surgeon and get evaluated, and he can advise you Oral antibiotics like Sulfamethoxazole and Trimethoprim, anti-inflammatory painkiller like Ibuprofen and topical application of Triple Antibiotic Ointment and steroid ointment. Hope this information helps. Thanks and regards. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, My aunt is suffering from mental disorder. All the time she just abuse those nearby her and has made a habit of stealing the things and selling them. It become impossible to stop her when she starts abusing and almost 24 hrs she do this. From the last 1 year the doctor was giving treatment to her and she was almost fine but now from more than a month the doctor has also gave up.Please recommend us some good asylum or some other solution", "output": "Hi dear, Treatment of mental disorder is depended on how long illness, type of mental illness, treatment response, episode of illness, continuation of treatment etc...some mental illness treatment with short term treatment and some required long term treatment. For mental illness treatment consult psychiatrist and give him a detail history and mental status examination from that he can tell you how long she required treatment. What ever you described about her symptoms suggest she has kleptomania in which irresistible urge to still, and might other problem also but for that detail history required. There are many mental asylums, but you need to ask your doctor in your area. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been having left upper teeth pain for three months or more. I had a root canal but pain didn t go away. So I had it pulled. Imstill have pain and can see root exposure and a tiny hole beside upper left canine that I think exposes a nerve because I get shooting pain there. My dentist doesn t see anything in X-rays. I m on medicine but it doesn t help the pain.", "output": "Hello and thank you for your question. I think you should go into another dentist for a second opinion about your symptoms. It sounds like another tooth is in need of a root canal or restorative therapy due to the pain not being alleviated by the extraction of your tooth. Not all cavities are seen on radiographs and can be found intraorally upon inspection. Please find someone in your area and have it looked at. You may also have sensitivity due to root exposure and should use Sensory to see if it removes the pain. Best wishes " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have high normal blood pressure. My pressure in my lh arm was 135/74 and in my rh arm 153/85 yesterday morning. By noon I had shortness of breath and my lungs were tight I wheezed inhaling and exhaling. Do I have asthma or a heart related issue?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Wheezing during inhalation and exhalation is commonly seen with asthma. Hypertension can not cause wheezing. So possibility of asthma related wheezing is more likely. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).PFT will not only diagnose asthma, but it will also tell you about severity of the disease and treatment is based on severity only. You will mostly improve with inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone). Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello. Thank you for your time. I recently had a CT of the abdomen and pelvis. There were,two questionable cysts on my liver. I had a repeat CT with contrast showing 9mm. anechoic structure in the right lobe ( ?.cyst) and a 1.9 cm. hyper heroic area in the porta pelvis region. What are your thoughts? I see the surgeon next,week,prior To having surgery to repair an epigastric hernia.", "output": "Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. These don't look suspicious and this is probably hematoma but if you have any doubts you should do MRI scan for better evaluation. The second one, 1.9\u00a0cm is questionable, and it may present lymph node or some cystic tumor, it should be reevaluated by scanning, check tumor markers and see gastroenterologist for further steps. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi! My son always has cold hands,which somewhat concerns me. Today ( as part of our homeschooling in science) we measured their pulse rate; I then used my blood pressure monitor to see how close they were to being correct. My sons was rather strange . His systolic was 131 ( which seems rather high to me) and his dystolic was 59( which seemed rather low), and his pulse was only 50 ( which seemed really low for a teen) Should I be worried!?", "output": "Dear- It is important to monitor your sons blood pressure and heart rate. The difference between systolic and diastolic is borderline high, it could be due to an isolated situation for which I would recommend getting records of a daily measurement at the same time for 2 weeks. If still like that, it might be beneficial to have a complete laboratory examination and cardiovascular evaluation with an electrocardiogram and echocardiogram. However, most of the time it is because the kid does a lot of exercise and the HR gets slow. I hope my answer will be helpful" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have just got my blood test and it shows that my SGPT (ALT) is 104 (Normal values are up to 40) and that my GGT is 57 (Normal values between 11 and 43)I am a 27 year-old male, I dont drink or smoke, I rarely eat meat, my diet is normal and I rarely exercise, My weight is 100 KG(220 Pounds) and I am 176 CM (5Ft 10\") tall How can I reduce these values in the shortest time possible Please help", "output": "Hi welcome to Chat Doctor... Noted you are overweight.... And because of that your enzymes value are high.... Investigate your liver by USG ... It will rule out fatty liver or gall stone. You are not Chat Doctor. So it could be non-alcoholic hepatic stenosis... Here are few advises.... Low fat diet taken... Fried food less... Less oil in cooking... Sunflower, olive oil like good oil useful... Green leafy veg more like.....-bitter gourd -arugula -dandelion -spinach etc... Avocados produce glutathione that detoxify liver .so taken daily. Beetroots and carrot useful. Avoid smoke. Avoid refined food... Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My sister in law is Elderly Primi gravida.At 34+3 weeks BPD corresponds 28weeks,ac+30 weeksFL +33weeks.She has bicornuate uterus.Scan at 20 weeks ---all parameters were corresponding.Discrepancy in BPD was detected at aroud 29-30 weeks.She is not aPIH or Diabetic", "output": "HIT hanks for using Chat Doctor In borderline personality, the treatment of choice is psychotherapy in form of DBT. In pregnancy, for personality, there is no need to give any medication, it would harm baby. Better to consult a psychologist for therapy and that would help to control her personality issues. In case, she needs any medications, that you can consult a psychiatrist for proper medication. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, Ive been on birth control for a long time, with my doctors proposition, she wanted me to skip the iron/sugar pills every four months. So basically I only have ONE real period every four months...to help with my PMS. --SO, I this was the month I was supposed to have my period. So I stopped my pill when I finished the pack, and had a normal period... three days into my period, I had sex with my boyfriend... I took a pill the morning after we had sex...because I had just refilled my prescription the prior night.... Do I have a chance of being pregnant?? Or do you think Im okay??", "output": "Hi there, I have understood your concern. I will suggest you the best possible treatment options. Please do not worry. I can understand Your concern about getting pregnant. Unprotected sex act on the third day of the menstrual cycle has no chance of getting pregnant. As you might be aware that in a woman with regular cycles, egg formation takes place on day 14 of the cycle. So you were in almost safe period. As you have already started on your next pill pack, please don't panic. So continue to take the pills as suggested. I hope this answer helps you. Thanks. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have an infected wisdom tooth (bottom left) and have been on three different antibotics this past month or so. My dentist isnt going to take it out because he wants to give it chance to come through (slightly impacted) I have been feeling dizzy for four days now and im worried as i dont feel right. Should i just wait awhile and let the antibotics do its work or should i visit the doctors?Thanks.", "output": "Thanks for using Chat Doctor. Read your query. Erupting wisdom tooth do cause a lot of pain and get sometimes infected during eruption. I would advise you to get a radiograph done and see the position of the erupting tooth and if impacted you can get it removed by the oral and maxillofacial surgeon. If according to the radiograph there are chances of its normal eruption, it is advised to wait for a while. For the pain you can continue the medicine as prescribed and avoiding injudicious use of antibiotics. Do saline gargling and keep the area clean from the food debris. Hope this was of good help for you. Thanks and regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello. Im 31 years old, just under 6ft 185 lbs and in good health. About a year ago I noticed a small soft, pink growth on the second knuckle of the forefinger of my right hand. It didnt take long for it to become larger, (about the size of a pea) and begin to turn hard and almost calloused. I bought a few kinds of over the counter wart remover and within a couple weeks it was gone and back to soft painless tissue. A few months later, the very same thing showed up about an inch up from the base of my penis on the under side and about half an inch to the right. I have no insurrance and so havent had it checked out. It it is now conciderably larger (about the size of a pea) and hard as well on the surface. And just today I have found a pea sized lump, soft tissue, yet fairly firm, just under the surface of the skin at the base of my penis, nearly an inch below what I belive may be a wart. There are no hairs growing out of any follicles there nor is it the occasional zit or what have you that I have on occasion found near the same area. Im curious to know if there may be a connection between any one of the three. Any insight would be welcome and much appriciated. Thank you. Ken", "output": "HelloThanks for query. Based on the facts that you have posted I would say that you have multiple sebaceous Cysts over penis. The penile skin is rich in sebaceous glands and hence prone to get more sebaceous cyst due to accumulation of sebum beneath the skin. Normally they fade away without treatment however they need to be treated if increase in size or get infectedConsult qualified General Surgeon for clinical evaluation and further treatment. If needed some of them which are bigger may need to get excised in Toto (Completely along with the sac)The swelling on the Rt hand finger is most likely to be a Ganglion and needs to be confirmed and removed. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have my labret pierced and it s healed well but now there s a bump on the inside of my lip where the post part of the bar is. (It s not growing over the stud.) I don t play with it at all. It has no discharge, no pain or anything but it s almost shaped like a mushroom. What is it and is there anything I can do at home to help it go away?", "output": "Hello and thank you for your question. From your description it sounds like you may have formed a keloid in the area. This is an overgrowth of scar tissue. Sometimes a doctor can remove this or inject it with a steroid to make it go away. I do not think you can treat this at home. If it has not been there long it may go away on its own. If it has been there for a long time then you will probably need to see a doctor for removal." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My mother, who is around 55 years old has fatty liver, fatty pancreas, fibroid in uterus and umbilical hernia....she has been complaining of severe pains in her abdominal region since 6 years.. We have been to so many doctors and medications, but the root cause of her abdominal pain is still unknown..Recently she started bleeding from uterus...please suggest what needs to be done..?", "output": "Hi. Thanks for your history of your Mother, read and understood the problem. Fatty liver, fatty pancreas, fibroid in uterus and umbilical hernia. She has pain in abdomen for 6 years and now bleeding from uterus at the age of 55... The most probable reason can be uterine fibroid for bleeding, and need a Hysterectomy operation. Before all plan for a CT scan of the whole abdomen so that a cause of pain for the 6 years may be found out and treated at the time of Hysterectomy. Fatty liver and fatty pancreas per se do not cause any pain. Get other relevant investigations of blood, stool and urine done." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doctor,I had a severe hairfall bfore 6 months,so i had Xtraglo[Biotin,L-Methionine,L-Cysteine tablets] per nite for 3 months as suggested by a dermatologist,hairfall s almost controlled,so i stopped having tablets,bt nw im facing again,shall i start taking tablets or give any other suggestion plse..", "output": "Hi, It may be halogen effluvium. Kindly consult the dermatologist for the perfect diagnosis and proper treatment. After thorough examination and investigations, he might give proper treatment. Blood tests for thyroid function, vitamin B12,He.etc. may be done. You may restart biotin containing capsules along with vitamin E, which may be continued for long time. Apply mild steroid lotion on the scalp. Cleanse the scalp with mild herbal shampoo. Oiling the hairs with almond oil might improve the texture of hair shaft. I hope this would help. Thanks. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My dad had a heart attack within the last day...they say the bottom half of his heart is not functioning so they put in a stint to see if it comes back...my question is...what if it doesnt? They have also put in a temp pace maker to assist the top half....", "output": "Hello, your father had a heart attack, considering more than 24 hours have already passed, using clot buster injection will not be of benefit, so the best way to salvage (save) the heart muscle is mechanically removing the clot and stenting the diseased segment. This is great amount of scientific research which suggest that angioplasty would help in such cases. As a doctor it's not possible to predict how much benefit it will occur, that is maybe in God's hand, however I can reassure you that the more time is wasted in decision-making and taking second opinion, more permanent damage will occur to th3 heart muscle as here time is the most important thing. Trust your doctor and do the best possible to protect his heart. Either medical management or revascularization is dependent on the clinical situation of the patient. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "please how i cure overian cyst naturally", "output": "Thank you for the inquiry through ChatDoctoryou have to under go panchakarma Ayurveda therapies and medication you have to do moderate exercises and observe low fat diet. Try the following medicines initially. After three months, take the USG to find out the changes in the size of the cysts1.Varanasi ashram tablets 2-02 before food2.kanchanaragulgul DS 2-0-2 after food3.sukumaram ashram tablet 2-0-2 before food" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi dr...im not at all feeling well.sneezing,coughing..symptoms of fever i think so....what i have to do dr ? My parents are abroad..I consulted 2 doctors..They asked me to test ma blood.Then they asked me to lye on the bed.They checked ma heartrates,bp,temperature n all..As temp was slight high,they injected me sedation with heavy dose..When i woke up i was in a room with 2 needles each injected my 2 hands... Wat i have 2 do....", "output": "For cough, fever and sneezing you have to take cap appoint 500 mg thrice daily after meals with tab Sneezy or tab diominic-dca thrice daily after meals for sneezing and fever with Capone or cap panto twice daily empty stomach. For cough, you have to take syrup embroils or syrup bronzed 2 SF thrice daily after meals. You also have to do steam inhalation as it will help in reducing the congestion of your throat." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My doc is telling me I should start taking Vemlidy for hep b. Side effects are scary.. Should I look for a second opinion? My son wants me to seek a medical cannabis... My brother died of liver cancer 3 yrs ago after getting a liver transplant. I am worried...", "output": "Hi, In the case of hepatitis B of the virus is multiplying in body than antiviral medication needs to be taken to stop its replication. Your son can get investigated with Sept, got estimation, HBO DNA by PCR and Head estimation to check whether virus multiplying or not. If all these reports normal than no need for medication or else medication need to be taken. Kindly revert with reports once done. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi,Im 21 years old.Im suffering from fungus infection on my toe nail and have consulted a dermatologist who prescribed me nail lacquer which is amorolfine Loceryl for the infected nail.Its been 3 months since ive been using it and now my infected part of the nail starts to break and fall off.Is it a sign of curing or is it getting worse?Is it only after the entire nail falls off i ll be able to get a new toenail?Pls suggest me asap.Thank u", "output": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Yes, it is a good sign of falling nail. Fungal infection of the nail is very notorious as it can grow new one only after old infected ones fall out. This is the reason why the nail requires long term therapy to cure you. It s been three to four month therapy which is essential for the growth of the new nail. Please make good hygiene locally as new growing nail emerge out from the old one. Further infection because of the old one because of bad hygiene can create obstacle in the process. Please wear cotton shocks as synthetic material can be more favorable for the infection. Avoid excessive sweating until you are all cured with. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have narcolepsy and got my diagnosis 2011. I was vaccinated against swine flu in December 2009, the doctors that I ve talked to believe that vaccination has triggered this. It is now proven that the vaccine caused many cases of this diagnosis. Today one person told me that she has the same sleeping problems as me. She has not been to the doctor to investigate these symptoms and therefore have no diagnosis. This woman claims she had her problems as a result of ECT treatment she got against depression. I myself have received several treatments with ECT because I also have bipolar disorder. Now I want to know if there is any risk to suffer from narcolepsy as a result of ECT. Is there any research in this area? I m from Sweden and writes not so good at English so I apologize for all the errors, but I hope you understand what I wonder about. Sincerely, Ann-Charlotte", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. But there is no connection between narcolepsy and ECT (Electron Convulsive Therapy). This is proven thing. So need to worry much for this. And yes, swine flu vaccine can trigger narcolepsy in many cases. Better to consult psychiatrist and start the treatment. Stress and anxiety are common risk factors. So avoid stress and tension. Be relax and calm." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband was on Paternia, Carnisure and Evion for 3 months. His ealier Semen Analysis showed 20 Million, 10 Million and 65 million with an average of 30-40% motility in all the reports. Before our first IUI, the latest SA showed 5 Million. It it possible for the count to decrease so abruptly. Now he has been asked to continue Paternia, Carnisure, Evion, with an addition of Tamoxifen. Will his count increase.", "output": "HelloThanks for query. There are always variations in sperm count which depends upon the factors like time of collection of sperms, period of abstinence before test etc. To be true there is very little role for medicines to increase sperm count.However, following measure will help to increase sperm count to some extent .1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc3)Take anti oxidants like Almonds 5-6 every day.4) Avoid alcohol and smoking. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi...i am 19 years old male...i started mastubration since i was 14 years old.but since 2 years i facing the problem of seminal leakage.5 months go i found some articles of herbal supplements to cure seminal leakage.i am taking shilajit, ashwagandha course since 5 months but i am unable to cure my problem.also i reduced my frequency of mastubration to once in two weeks.my problem gets increasing day to day...please advise what to do..", "output": "**1. Because root cause is guilt complex thus you are unable to remove this misconception.2. Masturbation is a physiological and totally harmless act, and seminal leakage could be normal secretion of prostatic and urethral glands.3. Since Hilarity and Ashwagandha are hot in potency thus inspire of curing they have further aggravated the problem, so leave the article and consult with an Ayurveda physician regarding your problem and choice of medicine(s) in your case." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi..my sister noticed a small indentation over the sacral area on the gluteal cleft 4 days ago. There is no mass of hairs or cyst over the indentation. It is a well circumscribed non inflammed indentation. Should we go and seek for medical attention to see if it is related to any bony deformities/spina bifida/ renal problems etc?Thank you in advance", "output": "Hi, If this dimple is painless and doesn't increase in mass I wouldn't worry. Usually they don't need any medical treatment. Rarely, sacral dimples are associated with a serious underlying abnormality of the spine or spinal cord. Examples include: Spina bifida. A very mild form of this condition, called spina bifida occult, occurs when the spine doesn't close properly around the spinal cord, but the cord remains within the spinal canal. Hope the above information helps you. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I noticed a red like object that seemed to be hanging on by a little thread of gum in the back of my gums towards my wisdom teeth today and it seems to be apart of my gums I picked at it and it started to bleed a little and I noticed that it looked like it was rooted into my gums. Is this something to be worried about?", "output": "Thanks for using Chat Doctor. Read your query. Your query suggest that it is the periodontal flap (gum around the erupting wisdom tooth)which is inflamed and is red usually referred to as peritonitis. I would advise you to keep the area clean to avoid further infection and pain. Do warm saline or chlorhexidine mouth wash gargling. Visit a dentist and get it checked and get the flap removed if needed. Hope this was useful. Thanks and regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor,Firstly i would like to thank the website for coming up with such a wonderfull medium of communicatining with the Specialist.Doctor, my question is for my dad. Recently i have notices small bumps (in hindi Ghat) arround his neck, total 3 lumps i could see, 2 are small and one is little bigger. He says he dont feel much pain, only when trying to turn his neck he feel little pain but other than that normal work he doesnt feel anything. he didnt even noticed it untill i pointed it out to him. My concerned is before i consult any physician i would want to have a basic idea about what it could be? and whats the procedure normaly taken to remove the lumps. Can it get worsen and effect other part of the body if not immediately taken care? and lastly which type of physician or specialist i should i consult regarding this?", "output": "Welcome to Chat Doctor .1. It seems like lymph nodal enlargement.2. Generally seen in case of any infection / inflammation / underlying medical conditions / presence of any malignancies.3. So first treat if there is any medical condition he is suffering from.4. Get an ultrasound neck to confirm what the nodes are and where they are arising from and there consistency.5. So get an appointment and let your doctor examine and get needful investigations done. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi m sakshi n m trying for baby from last 8 months..my husband s sperm count n mobility z fine n i hav done my vaginal scan ..evrythng z fine inside..i havent taken any drug for pregnancy till nw nw doc z suggesting for IUI n giveing me clofert 100 mg for 5 days ..do u think i shud try first drugs only n dn IUI n dn l8r if necessary ivf..m really confused ..no idea jus wondering n my ol blood reports r normal except i have hypothyroidism bt my recent tsh value z 1.1 n its also normal...pls guide me n show me right path..thnx in advance", "output": "Hello dear, I understand your concern. Usually the infertility treatment need to be started if pregnancy does not occur even after one year of unprotected intercourse. As you are married for 8 months still there is chance for trying for natural pregnancy. Iam suggesting you for natural pregnancy because you both the partners are normal. Ofcourse you are hypothyroid but as it is under control it can be considered normal. Avoid stress or anxiety regarding the pregnancy as it causes hormonal imbalance and delay fertility further. So relax. Practice intercourse regularly to increase the conception chances. If no pregnancy even after a year you can go for infertility treatment.IVF is the last resort. It might be rarely needed in your case. And there is good scope for natural pregnancy in your case. Hope this helps. Best regards..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I HAVE HAD SOME TINGLING IN RIGHT ARM AND HAND FOR A COUPLE MONTHS. IN PAST FEW DAYS IT HAS GOTTEN TO ABOUT 5 TO 10 TIMES A DAY. OTHERWISE, I AM A VERY HEALTHY PERSON. EXCERSISING AND WALKING/RUNNING SEVERAL TIMES A WEEK. TAKE ALMOST NO MEDICATIONS OTHER THAN BABY ASPERIN, MULT-VITAMIN, AND SOME CITALIPRAM ONCE A DAY TO KINDA SLOW ME DOWN.", "output": "Hi, Thanks for your query.* Your symptoms look like the features of nerve compression. You may take painkillers and if need be, tablet gabapentin, for this numbness. It is a stronger painkiller for naturopathies. Your doctor will know the doses.Also, an X-ray cervical spine may help in diagnosis of any pathology there. Thus, I would recommend that you see an orthopedic surgeon and get appropriate investigations done including it B12 levels in blood. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "wan moment pleases is the traslate questions good afternoon my name is I have 42 years old I betzaida et foraminal disc bulge l May 25 a fall at work sent me back to do one o clock CT without contrast but in the L5 S1 right paracentral came following foraminal disc bulge and right resulting in stenosis of the right neural foramen. external compression and impingement upon the right exiting nerve root seen. Small left neural foraminal disc bulge resulting in mild stenosis of the inferior aspect impingement.", "output": "Hello, Thanks for querying bulge means bulging of intervertebral disc(i.e. gelatin like material in between two vertebra). Bulging may be in any direction, it may be diffuse, central, para central, anterior or posterior. Bulging of intervertebral disc causes obstruction in the normal openings in the spine through which nerve roots exits. Obstruction in the openings causes compression of the nerve roots and it cases the symptoms. Normally, nerve roots exists from both sides. In your case compression is more on the right side whereas it is less on the left side as disc bulge is small in left side. Hope you will understand the terms. Take Care, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear sir,my brother is 47 years old he has suffering from NERVOUS PROBLEM since from 1999. he can not walk without support,due to weekness in right leg, as per MRI test spinal cord compress left side in L4 L5 and bulge , as per 2008 MRI report bulges at L3 L4 and L4 L5 and L4 L5 level nerve root compress and C5 C6 LEVEL COMPREESION at right side T6 compress right side. and as per mri in 2010 mild degenerative changes at servical spine.defuse disk bulge at C4 C5 and C5 C6 without any mass effect over nerve root. and Mind degenerative changes at servical.during sleep condition right leg is lift up only 45 degree. and also weekness in heap joint. and in ankal joint, calcium is 67%,mussule test is normal, doctor has given steroid solumeprol 1gm.but sir there is no changes in healh but problem is increase day by day.please sir advice me what will be the problem,and give me solution.and give me any homeopathy remidese advice.", "output": "Hi, Welcome to Chat Doctor Forum, In your brothers case, if the compression is due to a Tumor, Steroids are given intravenously, followed by Radiotherapy and Chemotherapy. In his case may be the discs are damaged causing them to bulge and compress the nerve roots in their vicinity causing his present symptoms. The exact cause has to be ruled out. Anyway, ultimately he will be needing surgery for disc decompression. You need to chalk out a plan and discuss it with your Orthopedist." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello a big intraspinal lipoma was partly removed 2007, operation went very wrong. Before operation no pain in lipoma area, only Ichadic pain left side hip, I could work full time. Operation was to prevent future problems doctor explained, just to make moore room for lipoma to grow for the future. After operation problems to walk, severe pain in op area 24/7, numbness in belly, legs, back, genitalia, impotens, anus, feces inkontinent, dont feel when the tube is full until last minute, spinal tube after op to tight, lipoma pressing against disc, where ever i turn i get no help from doctors. I do not know what to do, my life is ruined, and all the doctors i meet say they cant help me. I live in Sweden, I wonder how is it possible to widen the spinal tube so the lipoma can co-exist because the lipoma is intergrown with the spinal cord and can not be totaly removed, and how to rebuild the 4 back bones that is amputated and give back muscels more stability ? My back muscles have no support any longer and moving around like jello in the back, every step or movement feels like knifes cutting me up from inside. would be happy for guidens, what can be done ? //Peter", "output": "I wish you can meet a spine specialist and get yourself checked. For pain management you can meet a physical therapist for the non-invasive procedures which will help you. Post that a little exercise which will be slow and gradually increase. You will have to follow a close visit to spine surgeon and guidance of the physical therapist before doing any exercise. I hope you should get help for the future by keeping a close communication with a spine specialist and a passionate physical therapist." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor, my father had ultrasound last week. Here are the findings: cyst located superior pole right 7.5 x 6.1mm, other cortical cyst right located upper and middle third 9.8 x 6.9mm and 12 x 10 mm, septated cyst interpolar region left kidney 17 x 13.7mm. Right kidney 10.6 x 3.4 cm, left kidney 11.3 x 4.8 cm. Renal cortices normal in thickness. new cyst upper pole left 12 x 11mm is seen. IMPRESSION: Bilateral cortical cysts . Is this harmful? What is our intervention for this?", "output": "Hi, Your father could be having acquired cystic kidney disease which develops as one ages. Or they may be due to Familial cystic kidney disease (AD PKD) in case if there is history of cystic kidney disease in family. In either of the cases do some basic investigations like urine routine, serum creatinine. Just control of Hypertension, prevention of urinary stone formation and urinary infection by Chat Doctor. Familial members need to be screened by sonography for kidney cysts. Anyway consult your Doctor for detailed evaluation and Treatment. Take Care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my daughter who is 41 small frame, sufferers from fatigue when she works and gets very tired she get Jarrings in her head that are quite frequent. she has head aches and complains of her vision, she also is suffering from pain the the kidney area, at one time they thought she might have kidneystones I think it has something to do with her adrenal", "output": "Welcome to Chat Doctor. Easy tiredness with headache indicates multivitamin, protein deficiency. Get her eye check up also to rule out any vision abnormality.Otherwise, start B12,folic acid,d3,minerals, other supplements with protein milk powder. Kidney pain should be ruled out by CBC, urine and USG abdomen. Start treatment accordingly. Consult physician for proper diagnosis and medical management." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I have a query about my mother, she had a fall last year outside on some ice, she hurt her right arm and leg. The leg seems ok but there is a severe pain still in her upper arm, we have been to the doctor, she gave tramadol tables, bu that hasn t helped. Is there anything else you can suggest?", "output": "Hi, thank-you for providing the brief history. As we need to know the age of you mother and also if any clinical pathologies like diabetes and hypertension are there which interfere in the healing process of the inflammation. Since she had a fall on ice this could be a hairline fracture or just a ligament sprain. After a thorough clinical examination and x-ray of the region can help guide the next medical management. Taking quick icing or hot water fermentation should help relief the pain and after which small exercises should regain the muscle strength back. Regards Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My bottom second to the back tooth, may have been filled at one time. Has a black line between the gum and tooth. On the inside of the mouth and outside cheek area. It\"s like someone tried to make a circle around the tooth with a black ink pen. I \"m just starting to feel a little pain in it now. It has just showen up it wasn\"t there a few days ago . What could this be?", "output": "Thanks for your query, I have gone through your question, the black line between the tooth and the gum could be a hard deposit or calculus(black)...if it is on the gingival it could be a normal melanin pigmentation which usually occurs in smokers called smokers' Melanesia...nothing to worry get your teeth cleaned...if you have the habit of smoking stop it gradually...maintain oral hygiene...consult an oral physician...I hope my answer will help you...take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I quit taking my bc pills on August 21st at the end of my period. I had a unusual period from September 17-20. Very light and brownish in color the first 2-3 days. Ive experienced weight gain and my breasts are tender and my nipples look different. Have taken a couple of hpts but negative. My husband and I have been trying to conceive since August. I also have noticed more of a milky discharge the last couple of days. I suppose to start my next period October 17t. Any idea what may be going on?", "output": "Hello, Milky discharge from the nipples can be observed in early pregnancy as well as post ovulation. It may take a couple of months after coming off the pills to regain normal ovulation. As you are almost due for your next period, you may wait for it and get a HPT with a fresh early morning sample 3-7 days later if you miss it. If you wish for an earlier and better confirmation, you can get the serum beta-ChatDoctor titles estimated. Hope your query is answered. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello DR.My Concern Is With My Tongue. This Is The Second Day My Tongue Has Felt As If Ive Sipped Something Hot And Burne It But I Didnt. I Havent Had Anything Hot To Drink At All. Tonight As I Examined My Tongue In The Mirror I Became Fearful. It Has All Bumps On It And Is Red In Some Spots And Looks White Further Back In My Mouth. Its Makes Brushing My Tongue Difficult Because It Feels Like Im Scraping It.Im Traveling And Wont Have A Chance To See My Dr Til Mon But Do U Have Any Suggestions Or Recommendations Until Then?", "output": "Thanks for using Chat Doctor. Read your query. The red dots on the tongue can be due to the Vitamin B12 deficiency, oral candidiasis, having spicy intake of food or any trauma, any medications taken which are not mentioned here and many other factors, Chat Doctor. I would advise you to visit a local oral surgeon and get it evaluated. Reduce spicy food and lead a healthy lifestyle. Consult your physician and start with multi-vitamins. Use an antiseptic mouth wash or salt water gargling. Keep your oral cavity HY" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type yAround 3 weeks ago, I had a positive pregnancy test on a Saturday, Sept 11th. Went to the doctor that Monday...they did a Serum ChatDoctor and it came back negative, but took another home test and it still showed positive. Monday night I started cramping and bleeding bright red blood....went to ED on Tuesday Sept 14th to be positive that I was miscarring bc I had positive test and negative ChatDoctor serum, my levels at the ED were at a 7 for ChatDoctor. Bleeding stopped Tuesday...was asked to repeat Beta ChatDoctor on Tuesday. I was curious so over the weekend took another test...still showed positive?? Had my labs done Tuesday Sept 21st and they increased from 7 to 101. Set up gyn appt. and went for my appt Sept 29th, they did a ultrasound and no gestational sac or signs of pregnancy are apparent. I still have the symtoms of tiredness, frequent urination, metal mouth, and increased appetite. They said maybe i miscarried three Tuesdays ago at the ed or maybe im early in pregnancy and couldnt see it being my levels were so low. Repeated ChatDoctor Sept 29 and and levels increased again to 204. What im confused about is why would my Beta ChatDoctor go from 7-101-204 in a 3 week toime span if nothing is there? Im confused...any answers??our query here...", "output": "Interesting case. Not a frequent one too. In short, pregnancy test is positive but since levels of BChatDoctor are below the discriminatory levels nothing is seen at the Transvaginal (endocavitary) scan. You need about 2000 mid/DL BChatDoctor for a pregnancy to be seen in a high resolution scan. You have a condition called PUL (Pregnancy of Unknown Location) and serial measurements of BChatDoctor can lead to the right diagnosis, options are: in this order of frequency1.- Normal intrauterine pregnancy (UP), 75%2.- Miscarriage (spontaneous abortion, SA), 25%3.- Ectopic pregnancy (EP), 1%Since BChatDoctor duplicate its levels every 72 HS and considering 7 as the initial level by Sept 29th your BChatDoctor levels should have been about 400-500, this means that:1.- no normal duplication pattern is seen, pregnancy might not be right and there might a miscarriage or an ectopic pregnacy2.- discriminatory levels are not met and that explains why a gestational sac GS is not seen3.- there is still the possibility of a normal pregnancyWhat would I do? Wait, repeat BChatDoctor in about a week and perform another scan with the new resultsLevels fall, no GS on scan: miscarriageLevels rise, duplicate and GS seen: Sublevels rise but do not duplicate or reach about 2000, no GS is seen: considering EP and new levels are measured and scan performed about a week later if more than 2000 units are measured, and no sac is seen, I would consider / perform a laparoscopy" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "im a 24 y.o woman. generally active (run 5-6 times a week) but Ive been feeling fatigued lately and experiencing dizziness, shortness of breath, and chest tension. My normal blood pressure is 100/70 and resting heart rate of 55-60 bpm but ive been measuring 100/60 lately with a resting heart rate of 48-55 bpm. Should I be concerned?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Resting heart rate of 48-55 is considered as low. Blood pressure reading of 100 systolic is also considered as low. So we should definitely rule out heart block (conduction defect) for your symptoms. So get done blood pressure monitoring, ECG, 2d echo and Holder monitoring (24 hours continuous recording of ECG). If all these are normal then no need to worry about heart diseases. Sometimes stress and anxiety can also cause similar symptoms. So avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 39 female and i have a lump at the back of my skull on right side at base of head and neck and shoulder pain constantly it cracks when i move it i get tinglin in arms and they are fatigued even just brushin hair i feel dizzy at times pains in my wrists and fingers and at time feels like someone bangs on chest", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have Desmond cyst or lipoma or skin adnexal tumor or lymphoma or some other tumor. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "what would be some warning signs or symptoms for a one year old girl with problematic brain lesions? the lesion is located in the vision/hearing part of her brain. she is extremely clumsy and has a very hard time keeping her balance. I am worried that the lesion is not benign like the dr seems to think.", "output": "Hi, Thank you for asking question on Chat Doctor. Brain damage in less than one year old child will have delayed milestones and speech delay and sometimes mental retardation. Some may have hearing and vision problems. Better consult pediatrician or neurophysician. Hope this answer will serve your purposeless feel free to ask any more queries if requiredTake care Chat Doctor. V. Subrahmanyam MD;Disassociate professor of pediatrics" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my daughter went to the pediatrician last week with bumps on her body. He told us that it is a classic case of the chickenpox. However, 2 days later, in addition to the chickenpox, she started getting small, very very tiny bumps all over her body.Now she not only has the chickenpox, she also has about a million small bumps all over her chest, stomach, back and thighs....we dont have very reliable medical service in our neck of the woods. can you tell me what this could possibly be?", "output": "Like chicken pox which is a viral infection, there are many others which may cause rashes. The rash of most of such infections have specific characteristics and so it is really tough to comment without examining. Since, you do not have access to reliable medical services at the moment, you may upload an image on Chat Doctor and ask about it. Since there are several possibilities, I am not mentioning names to frighten you unnecessarily." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Helo sr, we r trying for a child since last two years but there was a problem with my wife egg formulation is not proper and endomaterial thikness also. And when i go through for seman analysis it was poor. 10 to 20 /hpf pus cells r found thats why sperm count and motility also poor.75%of sperm r non active.Dr suggest us fr IuI how much it safe. kindly guide me. Thsnks &Regards Ravindra", "output": "GUI means intrauterine insemination. In this fast moving sperms are separated from the abnormal and slow sperms and prepared. These are then inserted into the women womb close to ovulation. Before GUI, a patency test is done to ensure both the fallopian tubes are open. As such no risks are associated with IU. Apart from the fact that this is not a sure shot method for conception, it is usually done under guidance of an ultrasound to know when the egg has matured." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a bad wisdom tooth ache. The pain has lasted since the beginning of the year. The wisdom tooth has been repaired several time. I consulted with a doctor, he suggested me to remove the tooth. In the meantime, he prescribed Azithromycin for me. The antibiotics works a little bit but not very effective. What will you suggest me to do.Thank you", "output": "Hi. Thanks for the query. Pain in wisdom tooth can occur due to common causes like:1. Inflammation of gum flap over the wisdom tooth.2. Decay in wisdom tooth that has reached the nerves. Taking antibiotics will reduce Infection that will help in reducing pain, but it will take a long time and at times the pain will continuously recur till the tooth is treated. So in case if it is due to decay in tooth and treating the tooth is not relieving the condition then extraction is the best Treatment of choice for permanent resolution. In case if it is due to inflammation of gum flap then also extraction is the best option. As of now to relieve pain you should take anti-inflammatory painkillers like Ibuprofen, Diclofenac or Naproxen for pain relief. Hope your query is resolved. Regards. Hope your query is resolved. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Is it safe to put deodorant on your testicles? I have been doing this for the past 2 weeks or so to deal with odor but I am now worried that my health may be put in danger because of this. I dont experience any itching, pain or any other symptoms so I am just curious.", "output": "Dear, We understand your concerns went through your details. Most of the branded deodorants are skin friendly. They are manufactured and meant to be applied or sprayed onto skin. Testicle skin is also like any other skin are in your body. Therefore, having reactions are rare. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query. Further clarifications are welcome. Good luck. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello sir:I had Chikungunya 15 months ago and now I am experiencing Raynaud phenomenon type symptoms and joint pains especially in the wrists, fingers, digits and also frequency I get swollen up my arm and foot having severe itching......please let me know what to do, is this effect of Chikungunya and what measures to take to avoid completely Thanking you", "output": "Thanks for asking at Chat Doctor. I read your question and I understand your concern. Yes these symptoms can be chikungunya virus infection as it has three forms acute that resolve in7-21 days, subacute 3-5 days, chronic takes months to years and sometimes there is relapse of Hematological symptoms months or years later. However, you have also to do workup for other hematological diseases like SHE, RA etc. Through ANA, Anti CCP and ESR or CRP. As there is no treatment for chikungunya virus. Take NSAIDs like Advil, Topical steroids like beclomethasone propionate and anti-allergic like cetirizine. Keep your body warm but away from heat and cold. Take plenty of water. Hope it helps best. Don't forget to rate this answer and close the discussion at Chat Doctor. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "ive been experiencing trouble taking deep breaths (I can breathe normally just trouble taking deep breaths). I have my usmle step 1 exam coming up and I think it is due to panic attacks, This first happened last week but its become more consistent. Can stress account for this. Otherwise I am healthy, dont drink or do any kind of drugs either", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Yes, stress, anxiety and panic disorder can cause breathing problems. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Don't worry, you will be alright. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My name is Ajay and i want to know that is there is any possibility that a woman who doesnt have any children from since 5 to 8 years or more of there marriage can become a mother. I cant tell exactly because she is my aunty and they are my neighbours. Watching Bhavika Kathwadias case some hope is there.Please reply so that i can suggest them & give them some hope that they can become Parents.Thankyou !", "output": "Hello, thanks for using Chat Doctor sure! There are various method of treating infertility, but each is aimed at correcting an exact cause of the infertility. The right cause of the infertility must be investigated in order to prescribe adequate treatment. In couple infertility, both the man and the woman will have to be investigated. The woman will have to do a temperature curve chart, tests such as hysterosalpingography, chlamydia, urea plasma etc. which the man needs to do a program. Its only have this battery of tests have been done that an idea of the problem could be made before adequate treatment. Let them meet a fertility specialist/ gynecologist Best regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I fell yesterday after tripping over a shoe. I tried to correct my balance but couldn t. I ended up on my left knee with carpet burn and a bruise on the anterior surface of my left knee. I am on Coumadin so am prone to bruising. my kids got me back on my feet (despite my weight of 306) and I walked down the hallway to my chair in the livingroom with no difficulty whatsoever. about 45 minutes later I went to stand and had an intense searing pain in my left knee that I fell back into the chair fully aware that I would be completely unable to get myself up. my knee then was in pain (10 out of 10 with movement 7 at rest) and has not changed since. I can not put weight on it despite the pain med I received from a subsequent er visit. xray was normal and I was diagnosed with a knee sprain after very little actual assessment by the PA on duty. I do not remember a popping noise with the injury, only fear, and some pain with the fall. I cannot lift my leg up and my pain when I try is in the posterior lateral aspect of my knee. I also have aching down my anterior knee about 3 inches distally and a burning pain posteriorally (spelling?) up my my thigh (sciatic nerve area).to my buttock. what does this indicate?", "output": "Hello, The symptoms are more likely suggestive of neuropathic pain like sciatica. Consult a neurologist and get evaluated. Analgesics like Gabapentin and oral steroids like Deflazacort are the mainstay of the treatment. In persistent cases spine related problems like prolapsed disc and nerve compression also be ruled out. Hope I have answered your query. Let me know if I can assist you further. Wishing you all the best. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have been having pain and bloating in my upper stomach several times a week. extreme pain with these attacks. bloating, and extreme burning occur in the stomach. is only relieved by vomiting which occurs after suffering with nausea with this as well. i sweat from head to toe when these attacks occur, and have passed out with these attacks at times. i experience cold,and shake while attacks are occurring.", "output": "Hi thanks for your question. Most probably you are suffering from APD that is acid peptic disease.APD is due to increased acid output in the stomach due to variety of causes. Common being, cigarette smoking, alcohol, spicy foods and infection of stomach by a bacterium called as H Pylori.APD causes severe gastritis, that is inflammation of stomach, which give rise to burning pain abdomen, nausea and vomiting. The sweating after vomiting followed by cold and shivering is due to vagus stimulation, which occur due to vomiting and is normal physiological process. Stop any of above-mentioned acid stimulant if you are using. You can take antacids, Proton pump, inhibitors like pantoprazole. Consultation with a physician is advisable who may be able to perform an upper G I endoscopy on you to determine cause of you symptoms and may prescribe you appropriate treatment. You may also need ultrasound abdomen to determine cause of your symptoms Hope this answers your question" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have total alopecia areata. Is there any kind of natural herbs that I can take to heal my immune system? Should I see a nutritionist for help? I was diagnosed at 9 and had treatments throughout my elementary and jr high school. I went totally bald at 20 after I got married. I am now 51 and would like to see if it could be reversed at this time. Thanks for your opinion.", "output": "Hello Welcome to Chat Doctor As alopecia errata is an autoimmune condition, and it is a condition that causes a persons' hair to fall out.I'd advise you should see a dermatologist and follow what treatment he recommends, meanwhile you can try:1. Rosemary, which is a useful hair tonic and conditioner2. Green tea (Amelia kinesis), 2 cups per day, and saw palmetto (Serena repent), 100 mg twice a day3. Good home remedy for alopecia using Onion: Round patches of baldness appear on the scalp when hair fall off in bunches. Onion juice should be rubbed into such bald patches regularly for some time. It will help the hair to grow again. I guess this should suffice, if you have any more questions, you can write back to me, or you can close the discussion and rate me. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my son broke both bones in his forearm he had pins put in both bones.he is having them out very soon Dr says bone has grown over one end of pin as he s only 10 how will he be after he them removed and will he be back in cast and how long will recovery be", "output": "Dear patient In child Chat Doctor. If fracture is united pins can be removed usually after 6 to 8 months of surgery. But as you said bone growth has occurred over the pins' removal will be difficult and there is possibility of refracture while pin removal. But with current advanced techniques and availability of IIT chances of complications are rare. You may expect bigger surgery incisions. If removal is successful without complications protection in slab is not needed. You need to discuss in detail with your doctor for all this and then decide according." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had some pain in my big toe and went to see a Chinese doctor who did a blood test and later told me i have romatism. I have no idea about this sickness and would like to learn more about it and if it is cureable or not? I would also like to know is only on my toe or will it be all over my body?", "output": "Hi, (Actually, the proper spelling is Rheumatism, not dogmatism). Rheumatism is not a single disease, it is a group of disorders that cause inflammation in joints, muscles and/or other soft tissues. There are several diseases such as Rheumatoid Arthritis, SHE, Scleroderma, Psoriasis, Gout, etc. and all of them are a kind of Rheumatism. Overall, the diagnosis of a Rheumatic disease is based on your history, examination and lab tests. You should only refer to an Internist or a Rheumatologist for proper diagnosis. Some Rheumatic disorders only involve one joint and some others involve other joints and even other parts of the body such as kidney, heart, etc. The major treatment for these disorders are the Chat Doctor. Although other treatments also exist. In most cases, rheumatic diseases cannot be totally cured, but with the help of proper medication the pain and other problems will go away, and the disease will be off for a long time. I suggest that if the doctor that you saw was not an Internal Medicine specialist or a Rheumatologist, you refer to another doctor to be sure that your problem is hematologic. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I was recently in a bicycling accident and damaged my three front teeth and gums above them. I went to the dentist a few days ago and he said my gums will heal and teeth will hopefully be fine. But just last night I noticed that my gum on my upper left tooth un attached itself from right to left in the middle. Will my gum reattach itself and heal buy itself? Or should I go see a dentist right away?", "output": "Hello, You must visit the dentist if the gum has detached itself and is attached at some point above the teeth as the dentist can excise that part of the loose tissue. But if a considerable part of the gum tissue is still attached and not hanging loose, then there is a possibility that it will heal. Because excising a part of gingival can sometimes cause contraction the healing tissue and result in shortening of the gums and since it is the front teeth it doesn't look aesthetic. I suppose that's the reason the doctor must have waited to heal on its own. I would also like you to take soft food and not to traumatize the area while brushing. Fingers can be used for massaging the gums in that area or soft toothbrush can be used for brushing the teeth. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a previous chest x-ray which revealed a right upper lobe infiltrate. I was given a 20 day antibiotic treatment with levofloaxin. Today, I still cough up yellow phlem. I do not have fevers or cough, but my ears are clogged and sometimes my eyes burn. What could this be?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, it seems that you are having partial recovery. Usual time for recovery is 15-20 days. Even after 20 days, you are still having yellowish expectoration, so better to get done chest x-ray first. Compare chest x-ray (new one) with the initial chest x-ray. If infiltration is reduced or gone completely then no need to worry much. But if infiltration is same or worsening then you should consult pulmonologist and get done 1. Sputum examination for AFB (acid fast bacilli-bacteria causing tuberculosis) because tuberculosis is common in upper lobe infiltration. 2. Sputum culture and sensitivity for the isolation of organism. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hey, I have a problem with my right leg and also my traps. So since november or december i was working out doing squats and leg press and i felt a shock in my left leg, i didnt think of much untill it went a bit numb. After that i told my wrestling coach and he sent me to see an osteo and they said it is a nerve pinch and said it is fine. I continued the rest of my wrestling season and didnt feel any shocks cause i didnt workout in the gym during the season that much. But now the season has finished and im back in the gym, when i squated today i felt a shock in my right leg and also i felt a little shock in my trap. The leg didnt really go numb but my trap sorta did.So now im super scared and wondering if this is something you guys have seen or know anything about.", "output": "Dear Sir/Madam have gone through your query and read your symptoms. In my opinion, you are suffering from PIED which simply means that, you have disc problem impinging on your cord, please do not repeat it again and again, as repeated episodes, will cause you to keep the disc herniated and would prevent it's going back to space, Take some rest and then under guidance of a good physio start spinal muscle building exercises, so that this does not reoccur. Avoid lifting heavy wights, and stop your gym at present and only result after your doctors advise. I hope that answers your query. If you want any more clarification, contact me back." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Gd mng doctor....I m from haryana in india....my brother has got married for lasr three years but still does not have any child........my sister in law is not conceived till today .....they referred many doctors for their checkup but we did not get ny positive response from everywhere. .we heard little about polycular test from my frnd .....can u pls tell me abt this test in deep nd also tell me about the cost of ds test nd how much chances of its successful ness......", "output": "Hi, Welcome to Chat Doctor forum. The infertility is a condition, of not having conception for 3 years. So now both of them should consult a gynecologist for diagnosis and treatment. In males there may be some problem in the sperm quality or quantity. In females there may be some problem with ovary, follicles, and ovum, and the study is called the follicular study. The problem may be in the Fallopian tubes, and uterus. Poly cystic ovarian syn Chat Doctor. Once it is cleared follicular study is done and the time of release of the ovum is calculated, and sex is planed, along with medical assistance with hormones. Wishing them good luck. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son Blake is 17 mts old. He has had an ear infection and bronchitis that he completed a round of azithromax for on Sunday. He began to have a fever this morning of 101 and is now running 103. It has been about 2 hours since his last dose of tylenol.", "output": "Hi.... Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have a lot of weight to lose i also suffer from PCOS , in past years been trying to lose weight My husband and i would like children unfortunatly hubbys sperm count is very low and i am not ovulating had 6 periods in 8 years! Docters solution is for me to lose weight but find it very difficult. Been very low since. I am 30 hubby 31 been trying for 10 years ttc.", "output": "Hello, Loosing weight is very important to regain fertility in a patient of PCs. It is said that even if you are able to shed 10% of your weight, you hall be able to get your periods back. To shed weightage low carboy Chat Doctor. Since patients of PCs have increased insulin resistance, you need METFORMIN to reduce the insulin resistance. Insulin resistance causes a build up of insulin and sugar levels in the blood which results increased production of male hormones in body. These increased levels of male hormones result in acne, infertility and WEIGHT GAIN. You must consult a dietician for the desired result as you are already 30 years and getting old as far as issue of pregnancy is concerned. Consult a Gynecologist or a physician and start taking METFORMIN 500 mg twice a day, under his advice. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "yes, my dad was diagnosed with stage 3 fatty liver back in April. he is an alcoholic and has just stopped drinking 20 days ago. In the last two weeks his WBC count has gone up to 31,000 and Bilirubin is at 3.7. He is very weak and no appetite, but no fever ????", "output": "Dear Friend. I think from your query that, your father has Alcoholic Hepatitis. Alcoholic hepatitis is a next stage of Alcoholic liver disease after Fatty Liver. Since he is an alcoholic, so, fatty liver must be pre-existing. I am more concerned with his WBC Counts, usually alcoholic hepatitis / fatty liver does not present with elevated WBC Count that to 31000!!!It's very high. I advise you for his urgent admission and evaluation. He might be having Alcoholic Pancreatitis. If not treated, this can be fatal.Don't wait. Get him tested and treated in a hospital. Good Luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor, I am 27 Year old woman, I am planing for baby since last two years and did not get any success, I got two abortion in this period. The Cyst was only 5 to 6 weeks old. The date was Jan 2010 to Apr 2010. After that there is no pregnancy achived. Please help what should I do.Do me or my husband any medical prescription pla advice?", "output": "Hello, Welcome to Chat Doctor. Thanks for writing. I am Chat Doctor. I have read you question completely, I understand your concern and will try to help you in the best way possible. You are young and healthy there is no reason way u shunt be able to cocaine just make sure you get all the tests done like ultrasound hormone levels every thing than doc will be able to figure out wits the prob do it like for your self and also do your husbands semen analysis that will help meanwhile stay happy and calm eat healthy and you will be fine hope this answered your question. If you have more queries I am happy to answer.Otherwise, rate and close the discussionRegards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I hope you can me. I have a brother with lung problems. he is having problems menitally. The hospital has sent him home. They say he is not having trouble with his heart. He is on a breathing machine but menitally not doing well. How long without the right amount of oxygen will there be brain damage?", "output": "Hello. I am Chat Doctor. I have read your message. I need to know exactly what is the mental problem. To answer your question- it depends on the severity of lack of oxygen. After 1 minute, the brain cells start to die. After 3 minutes, the damage is usually serious. After 5 minutes, the damage is usually major. After 10 minutes, the damage is usually irreversible. After 15 minutes, recovery is usually not possible. Best of luck. Feel free to contact us for more information on the related issue." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i found a lump in my left breat a year ago,I had a scan and they said it was just compressed fat cells,and not malignant.I recently noticed that the same breast that it itches inside, under the skin, and the shape and texture of the aureole has changed, and the skin has darkened.Should I be worried?Is this cancer? My sister was diagnosed with breats canbcer when she wa 26, she had 2 lumpectomy s and was on kimo, and has survived.She is 41 now, but i am always worried. Can you advise?", "output": "Hi.based from your description, it could possibly be a cyst, a fibrous (fibrous tissue formation) or fibrotic changes of the breast, which are all benign breast lesions. It is best if you consult with a doctor, preferably a general surgeon, for clinical evaluation. Diagnostics such as breast ultrasound and mammography may be recommended. Management (medical and/or surgical) will be directed accordingly. Hope this helps. Good day!!~ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been on Weight Watchers for about 10 days and have lost 3-1/2 lbs. For the past week I have had leg cramps while Im in bed. I couldnt even stand on my right foot this morning the cramp was so bad. Im eating properly and cant imagine why this is suddenly happening. Any ideas would be appreciated. Thank you !", "output": "Hi welcome to Chat Doctor Your cramps in leg is a matter of concern but is a common phenomenon faced by every 2nd person at some time or the other in life. Cramps are sudden, painful involuntary contractions of muscles of leg or any muscle. The cramp usually only lasts a few minutes, sometimes a few seconds. In most cases, leg cramps are nothing to worry about, and it usually just has to do with deny Chat Doctor. Other causes include, standing for long periods, or muscle fatigue from walking on a hard surface. Both can result in nocturnal cramps. The toxins ingested by heavy smokers and The electrolyte imbalances that can result from excessive alcohol consumption may also be a source of sudden muscle cramps. Avoiding smoking, alcohol, fast bookkeeping well hydrated, A balanced regular diet including essential nutrients Little stretching or gentle jerk, muscle-strengthening exercises before going to bed may give relief. Taking Homeopathic Cup rum Met 30 2 doses helps to relieve the tendency of cramps. Hope this helps solves your query. Take care, All the best. Wish Get well soon.Don't hesitate to get back TF have any further query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi My husband is taking Zolfresh 10mg for quite some time now and has all the mentioned side effects of this medicine. Please suggest an alternative in homeopathy or ayurveda to reduce this He is 44 years old.", "output": "Hi Read your prob, this is collided tab which acts as anticonvulsant n muscles relaxants. It has many side effects most common are hallucination n amnesia. Other side effects are nausea, vomiting, gastroesophageal reflex, delusion, euphoria, increase libido or loss of libido. Tolreance n dependence occur. So he should take this as per advise of your doc n if possible switch over to safe Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query Hi, My son is now 9months..he is having cough, cold (running nose) vomiting due to cough (I guess) and loose motions I went to see doctor he prescribed medications but no improvement. we used medication for 3 days. please advise as I am greaatly worried", "output": "Hi, If he is not having fever now, I think you need not worry, it is probably a viral respiratory infection which will get better in 5-7 days. I am not aware of the medications you already got. For such cases, I used to give antihistamine like levocetirizine and bronchodilators like albuterol to help cold and cough. If not getting better in 3 more days, or if the child is lethargic and not taking feeds as usual, kindly get back to your doctor as we may need addition or changing of antibiotics and nebulization. Give ORS solution or salted rice water after each episode of diarrhea. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Doctor,what are the side effects of carbamazepine,especially during the pregnancy time.I have been taking Tegrital for the last almost six years.Right now morning tegrital 100 and night tegrital 200.I really wish to have a kid.So is that possible doctor", "output": "Hello, Carbamazepine is a relatively safe medicine during pregnancy; if you are taking it for an EEG documented epilepsy, it is not advisable to discontinue it. If it is for other indications, do let me know, and I shall advise you whether it is absolutely necessary to continue the medicine or whether you can discontinue it to avoid the side effects due to the same in your pregnancy. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "a friend of mine has been complaining he cant stop jacking himself he does it twice a week and his habitual after trying to explain him that he might suffer ed and also urged to get married ASAP he still doesnt understand pls help he is in mid twenty by age", "output": "HelloThanks for query. Your friend is indulged in masturbation twice a week. Masturbation is a normal act of a human being to get sexual satisfaction without a physical intimacy with a female partner, and it is natural for every individual to get into it at the age of adolescence.First there is myth in a mind of common man that excessive masturbation is the reason of all sexual problems But I would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ or system in the body.However, one should observe that he does not get addicted to it. One can restrict it to twice a week without any harm. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a raise in my PP glucose level ( 155) in 2004. Since then I have no problems in my glucose level both FBS and PP. They are always within limits FBS < 100 and PP < 120. However as of November 2011, I had fluctuations in my PP that rose upto 180 after 2 hrs of food. However, all other readings like H1bc, C-Peptide levels are well within normal limits. The latest taken last October was H1bc 4.7 and C-Peptide 3.01 taken at Appolo HYD. My lipids are quite normal except triglyceride which is fluctuating between 140-180. My BP is 70/110 - 120/80 always. My weight is 70-71 Kgs. I am a male and aged 62. The current problem is that I had cramp like symptoms in both my legs on Jan 04 2014 after an air travel lasted 6 hours. Then it disappeared after a day. Again I got it yesterday and it continues today as well. I feel discomfort at the calf muscle and a slight burning sensation on ankle area while I walk. There is no shooting pain nor tickling pain but a feeling of discomfort in both legs especially below the knee at the calf muscle. I have no pain during sleep. The discomfort starts only after I woke up form bed and start moving. Thank you", "output": "You are having a vascular claudicationhere are the factors specifically in your case)1) diabetic vascular problem - decreased blood circulation especially at the lower extremities2) calf pain at walking - this is an effect of number 1, when you walk, the blood and oxygen demand of your muscles increases, considering the fact that you already have a limited blood supply to start with BEC of number 1, you start to feel an ischemic pain (pain in any part of the body due to lack of oxygen carrying blood, the supply of your blood, cannot cope up with the increased demand of blood during walking only)3) relieved by not walking on it (decreased oxygen and blood demands of muscles, hence no pain)4) burning sensation (is a sign that a nerve is also not getting enough blood supply)here is on practical tip you can do by yourself to confirm your problem try using a stationary bike and use it for 15mins. Are the symptoms similar? If yes then that's your answer right there. You indeed have it. Next what to do. Well it's an expected part of having diabetes. Exercises strengthen muscles and train muscles to function with less oxygen and helps muscles to work better despite impaired blood flow in your legs. As a result you will be able to do more with less pain and be more active with an overall increase in health and well-being. Exercise will help in controlling your blood sugar and blood pressure, which will aid in decreasing your likelihood of developing more severe Peripheral Vascular disease" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "64 year old white male 160 pounds 5 11 in general good health working full time. BP high normal but no medications Taking eye drops for mild glaucoma No known allergies Body itch present for over 1 year treated with 0.1% betamethazone. Nighttime cramping in right leg Increasing memory loss Sore palms for 6-8 weeks required icepacks in the middle of the night for relief Biopsy of painful palms was leuckocyteclastic vasculitis in addition to right floppy foot over 5 month period. other investigations mri brain ....on the FLAIR images a small area of increased signal intesity in the subcortical white matter of the left frontal lobe otherwise NAD Blood and urine tests normal CAT scan of lungs revealed presence of 30 yr old calcified TB leison presently being treated with 4 month course of rifampin No definitive Dx to date Will foot return to normal?", "output": "Respected sir I have understood all your concern about pain and heaviness, see as you mentioned you may have diabetes, but you have not mentioned it. Due to high glucose symptoms of pain may be there, and immunity also may go down. As you mentioned you are suffering from old TB, so you have to stick to your Chat Doctor. So ultimately you are suffering from little lung disease, some amount hypertension and euro related problems, see at this age those are difficult to treat completely but with " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir me last 10 years se regular masturbation kar raha hun I am Suffering from erectile dysfunction and testicle pain after masturbation I am 30 years old male, not married. My problem is that i am not able to sustain erection for long and i tend to ejaculate in 10 to 15 seconds only during masturbation. This problem is from the beginning. And after masturbation i feel little pain near testicles area like thighs, hips and all. Also i am feeling that erection is not so hard . I am worried about my to be married life . Please advice.", "output": "Hello welcome to the Chat Doctor You are having over masturbation problem. Usually it is safe practice but sometime when overpraising it can lead social anxiety, chronic fatigue etc... For avoid over masturbation yoga, meditation beneficial Try to avoid watching excess porn videos and magazines Make short term and long term goals and fulfill it For erectile dysfunction before marriage following problem should be ruled out for your case .... -Hypertension -Diabetes-high cholesterol-prostate problem if suspected -Smoking -medication history -cardiovascular problems etc.... According to cause found specific treatment given Take care Hope your concern solved Consult physician or psychiatrist for examination and discuss all these with him" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My nine year old son has had a fever for 4 days ranging from 99 to 102. He is also extremely fatigued. I have been giving him Motrin and Tylenol. He is not eating much and has developed today a bit of a dry cough. We had traveled to puerto rico earlier this month and he was violently I ll with vomiting on the last day 7/17. He was then better until 7/30 when the fever and fatigue started. He had some blood work done and urine test, no strep, but has low white blood cell count, but I don t know how low yet. He seemed better yesterday but is worse again now. I am taking him back to the doc tomorrow to get test results but am worried wand am also worried about giving him ibuprofen and Tylenol for so ,any days. He only sighs 60 pounds and a month ago weighed 65.", "output": "Hi... Thank you for consulting in Chat Doctor. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15\u00a0mg/kg/dose (maximum ceiling dose of 500\u00a0mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 80 year old father has a chronic skin condition - a rash which flares up every evening.....causing a great deal of pain. Heis being treated for eczma but we think it may be something linked to nervous system. Last week he described the pain over both knees as like being covered in bees. He has had bypass surgery so takes some medication. He is well in himself except for this rash which is causing a lot of distress. He had shingles several years ago so I thought it might be related. We are looking for a diagnosis so he can start to get better. Thankyou", "output": "Hi, There are multiple possible diagnoses for the rash that you had explained. I could be lichen simplex chronic us, purity nodular is etc. Your father must undergo thorough Dermatological examination for arriving at a proper diagnosis and for apt management. So, please do visit your nearby dermatologist with your treatment records. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my uncle is currently in hospice care. He was diagnosed with stomach cancer two years ago. Last week he was told the cancer had spread to his liver . He is now completly incontinent. He is unable to eat and drinks very little, however is vomiting a lot of black liquid regularly. Can you tell me, is this the final stage of the cancer? When will the doctors start the morphine to put him out of his misery? Thanks.", "output": "Hi there, Vomiting black liquid seems most likely as altered blood though bile may be brownish sometimes as well. It looks like he is in final stage of cancer. Morphine is a painkiller and if he is not in pain he is unlikely to be started on it. The perception that morphine is given to put someone out of misery, is rather for pain really. Many patients' morphine is given short time and is stopped when pain is relieved. Do speak to your hospice nurse and get a clear picture, and usually they explain the situation on day-to-day basis. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "In the middle, and the very bottom of my ribcage (generally it pulses here when you have hicups) it keeps shaking like crazy every few minutes. It doesnt hurt but the rest of my body is getting the shakes. Could this be from stress or something more serious", "output": "Hello! Thank you for asking on Chat Doctor! I understand your concern, and would explain that your symptoms seem to be related to anxiety. As a neurologist, I would exclude any possible neurological disorders. I would just recommend checking your thyroid hormone levels, because a thyroid gland dysfunction, can mimic all this clinical situation. If these tests result normal, I would recommend you to focus on your anxiety. In this regard, Yoga, meditation, a lot of physical activity and a healthy balanced diet would help. Psychotherapy would be the next step to consider. Hope you will find this answer helpful! Wishing all the best, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been on Provastatin for over 10 years and am now having pain in my left hip/upper thigh. I am on Mobic for degenerative joints in the neck, lower back, knee and elbow. Should I ASSUME this is probably another joint with degenerative changes? The Mobic is NOT helping that particular joint.", "output": "Hello, I have studied your case. Pain in thigh after taking statin for such long time. This is most probably due to myopathy. Also, degenerative joint problem also increases such problems. I would suggest you to discuss with your doctor. He might ask you to check x-ray and stop statins. You should also take carnivore tablet and methyl coal. This will improve your thighs pain. Sometimes you might need surgery to take care of this. I hope this answer will be useful for you. Let me know if there is any other followup questions. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "helloi m a lady of 32 years having hcv infection from last one year.my hieght is 5,8 and my wieght is 61.i have used pegasys with ribavirin theraphy for 6 months but virus is still present.at the end virus count goes down to 2184.but now its 16 lakhs raised.i want to concieve a baby now bcoz i m having only one baby.my latest test shows ALT-75 and viral load is 16 lakhs.so wht should i do now and wht would u suggest.plz reply me.", "output": "Hi You have not mentioned the genotype of HCV infection u have. Treatment guidelines of hepatitis C have been changed recently. Most important thing in HCV treatment is sustained biologic response [SVR], which is persistent absence of HCV RNA in serum 6 months or more after completing antiviral treatment. As you taken course for 6 months, you must have infection with HCV genotype of 2 or 3. According to the latest guidelines, the recommendations for patients with prior PEG Interferon/Riboviria treatment failure:Genotype 2: Sofosbuvir with Riboviria for 12 weeks (an alternative is Sofosbuvir with PEG Interferon/Riboviria for 12 weeks). Genotype 3: Sofosbuvir with Riboviria for 24 weeks (an alternative is Sofosbuvir with PEG Interferon/Riboviria for 12 weeks). You should consult Gastroenterologist. It is important to know you that Riboviria is teratogenic. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "she was diagnosed w/ group A beta hemolytic streptococcal infection that led to the development of acute glomerulo nephritis How did this progress from throat infection to renaldisease I have an 11 year old girl who is in end-stage renal disease. I am very confused and frightened. My husband asks the staff how this could have happened his little girl. The events leading to this situation began, and desires to learn more about how his daughter has diminished to the point of needing a kidney transplant. We we ask them how this all began, we were informed our daughter had a group A beta hemolytic streptococcal infection that led to the development of acute glomerulo-nephritis. We just would like for someone to explain/describe to us the progression from a simple throat infection to renal disease?", "output": "Hello, I have seen your query and understand your concerns. The infection in throat stimulated production of antibodies against group A beta hemolytic streptococci. But unfortunately the antibodies cross-reacted with the glomeruli of kidney. Glomeruli are the basic units of kidneys. Damage to them resulted in renal failure. The incidence of renal failure is only 2 %. 95 % of child Chat Doctor. Hope your concerns have been answered. I pray for your children health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I just got my blood work back and my alt was up to165 (from 33) my ast was up to 63 (from 48). My last tests were 11-10- 2013. I am a 45 year old female and am concerned about the sharp increase. I do not drink very much but I do take several prescription medications. Also my alkaline phosphatase went up to 164 (from 90 in Nov 2013). The only other significant change is saw was my platelet dropped. They were 344 on 11-10-13 and now they are 194. They have never been below 300. I d appreciate any insight. Thanks, Pam", "output": "Welcome to Chat Doctor. Thank you for posting your question. I can understand your concern. I can understand that you are very anxious about your health. Raised liver enzymes with low platelet count can be due to many causes like Acute liver injury due to Hepatitis, gall stone disease(acute cholecystitis), pancreatitis - to name a few. It would have been great had I examine you on my own. You need to undergo a few tests to find out the exact cause. I would suggest you to - Avoid oily, fatty food- Chat Doctor. Stop alcohol-Have a BLAND DIET.- Get an abdominal ultrasound, Complete blood count, Liver function test, platelets, urea, creatinine, electrolytes done - This will help in the diagnosisVisit a gastroenterologist. He or she can examine you and correlate clinically. Do not worry. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a accident and fell on my left side and had splenectomy after having that doctors told me that they have cut my pancreas tale also was it a mistake by them can it be dangerous I am 17 year old my height is 6.2 weight is 75 and now I feel that my bones r getting thin pls tell me what to do with that all u are doctors r to no avail I am a child don t have any cards to pay I was just asking u because my parents don t u people ain t doctors you are money makers", "output": "Hi, I am sorry to hear about your unfortunate accident. But surgically speaking, it is fairly common to resect (cut) the tail of the pancreas when removing the spleen, esp when the tail is buried deep in the spleen and more so in an emergency (as was in your case). But this does not in any way affect the health of the patient as the pancreas heals by itself. We routinely resect the tail of the pancreas in patients who develop some tumors of the distal pancreas, and they do very well postoperatively. Regarding your bones getting thin, I am not sure what you mean, but if you meant weak, I would suggest some vitamin D and calcium supplements. Hope you feel better soon." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I came off my horse, landed on my back, got the wind knocked out of me and hurt badly. Between my shoulder blade on the right side and my backbone, then in my chest on my right side near my sternum. There is a tightness in my chest that goes from my breast area to the middle of my back. I had b-day but they showed nothing was broken. It has been 4 days and not my back pain has increased. Is this normal or should I be concerned?", "output": "If X-rays been done for chest and spine and show no fracture perhaps you may have contusion of soft tissues, ligaments. Take ibuprofen 400\u00a0mg thrice a day after meals, Tramadol 100\u00a0mg SOS for severe pain, rest in bed and do hot fomentation avoiding all movements for 3-4 days. If muscle spasm is there then take chloraxazone tab 500\u00a0mg twice a day after meals. Take one pantoprazole 20\u00a0mg tab nonempty stomach once a day before breakfast daily" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have problem of enlarge prostrate which dr had advised to operate and i am suffering from urine infection and burning in my Anus from 40 days tablets are CEFTum 400 i am 55 0f age which operation is safe and which operation do you recommend and how long it last. YYYY@YYYY regardsC GangadharC Gangadhar", "output": "Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. You should do prostate ultrasound and check your PSA levels to rule out prostate tumor or hypertrophy and further treatment depends on these findings. In most cases it can be controlled with medications but sometimes, in case of tumor, open surgery is required. And severe benign hypertrophy may be managed endoscopically, so you should consult urologist about appropriate options. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am sinto form India. i am 23 year old.i am facing problem with my eosinophil count from last two years. due to that breathing problems & cough problems. i am taking treatment but not get positive result so please advise us the further..witch treatment is good homiyo,ayurvedha or alopathy ??", "output": "Hi I would recommend you to take a allopathic approach as I am an allopathic doctor and these generally work provided your diagnosis made would recommend you to consult a pulmonologist and get evaluated in form of Chest X-ray spirometry and few other tests to determine whether it is asthma, allergic lung disease, or allergic bronchopulmonary aspergilli or any other illness with high eosinophil counts like Chung Strauss disease me know if you have anymore questions wish you a healthy life ahead." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doctor. I am 29 years old. I am having a fibroid outside my uterus within the layer which doctor says its subserious. Me and my husband want baby and we r trying to concieve.doctor gave me ovulet to start frm my 2nd day of my period.i got married last year. Is it ok with the medicine?can i concieve with this fibroid?any complexity can be?", "output": "Hello, Thanks for posting, Yes you can effectively conceive with fibroid/s (assuming they are no multiple and huge). A singe subserous fibroid causes no threat to you and your unborn fetus. In fact pregnancy on its own has been known to prevent/treat fibroid (since one of the major risk factors of fibroid is absence of pregnancy for long time/aged nulligravida). I suggest you follow your doctors prescription and hope for the best in your conception. Hope this is useful" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 33yrs old and for past few months I have had increasing right abdominal pain that goes up to my shoulder and in my back. Also severe nausea after I eat and now even when I dont eat. I am also really fatigued. I had an ultrasound done and it showed a 5mm polyp on my gallbladder. Im going to a GI doc but am wondering if this is cause ton remove my GB or not?", "output": "Hello Thanks for writing to ChatDoctorGallbladder polyps are growths that protrude from the lining of the inside of the gallbladder. Polyps are rarely cancerous. About 95 percent of gallbladder polyps are benign. Small gallbladder polyps (less than 10 mm in diameter) are unlikely to be cancerous and generally doesn't require any treatment.However, you need follow-up ultrasonography to look for changes that may be an indication of cancer. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "So I playing a game at my church last weekend and the game involved running and I ended up tripping and falling down on my right knee and it hurt really bad and the next day my knee was swollen and bruised and it hurts to kneel on or when I put pressure on it and it has been like this for about a week now what should I do?", "output": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concern. As per your complaint it seems that due to traumatic injury there has been inflammation of the soft tissues and there is accumulation of inflammatory exudate and cells in the area leading to swelling. The bruising is due to ruptured blood vessels leading to Hematoma formation. I would suggest you to do alternate warm and cool compresses over the swelling. Take anti-inflammatory painkiller like Ibuprofen. Apply an analgesic gel containing Diclofenac. Apply heparin gel for faster disruption of hematoma. Elevate your leg while lying down. Avoid putting excessive pressure over the knee until it heals well. In case of no improvement in a week consult an Orthopedic and get evaluated. Hope this information helps. Thanks and regards. Chat Doctor. ." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 75 year old friend with a history of a non malignant brain tumor that was removed 10 or 12 years ago, now is experiencing severe depression. In last few weeks, he can no longer walk without a walker and a nurse holding him. His medical staff say it is due to depression. Is that a symptom of depression? Or should a recurrence of his brain tumor be pursued? Bette Forberg. YYYY@YYYY", "output": "Degree understand your concerns went through your details. Your friend is already 75. There is a sort of depression whicChatDoctores when people get old. The depression which affects physical mobility and mood. Such symptoms can be called psycho-somatic symptoms. This depression could be psycho-somatic. I do suggest you to consult your neurologist for evaluation. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query. Further clarifications are welcome. Good luck. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my husband had a physical last week and was told his white blood count was low and the doctor gave him an antibiotic for a possible infection. His office called today and they want to do a ct of his lungs as his chest xray showed an opacity. Could this be lung cancer?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Your husband is having opacity on chest x-ray. This can be either pneumonia or lung cancer. He is also having low white blood cells (WBC) count. This is favors pneumonia more. In any case, CT scan should be done to find out the cause for lung opacity. If he is a smoker then smoking cessation should be done immediately. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor!! I am 32 years old female suffering from cystic acne and pigmentation on my cheeks, nose and upper lip . I have been using melanorm ms for a more than a year now.. Is it safe. The marks are camouflaged as of now but reccur wen I stop application.. Please advice", "output": "Hi, It is not safe to use it for long term. Melanorm MS which acts as a skin-bleaching agent and is commonly prescribed to treat hyperpigmentation of the skin associated with acne and other conditions. It contains a potent steroid (mometasone) use of which may cause thinning of the skin, telengiactasias (prominent blood vessels in the skin), infection and abnormal facial hair growth on long term. It also contains retinoid use of which may be harmful during pregnancy. I suggest you to use comic acid or glycolic acid containing creams for the effective treatment of skin hyperpigmentation. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am Amrita from Norway. My mother just had Dengue but showed negative results now, but she was found with liver infection, Doctor said it is common after dengue. But now she has returned back from India, but suffering from so much pain in her legs, she even cries, what should i do?", "output": "Hi, dairy have gone through your question. I can understand your concern. She had dengue(viral infection). Rise in liver enzyme SGPT is common in viral infection. So don't worry about that. Just be relaxed. Muscular pain is also common in viral infection. It will disappear by itself. Just maintain proper HY Chat Doctor. Take large amount of fluid orally. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am Mrudula, age 62, weight 63 kg. Normal health, no BP , No sugar. My complains about stomach pain 1. After passing stool , I have stomach pain since last 5 months 2. After taking little food, I feel my stomach is full and get pain, 3. My sonography report detected 15 mm stone in gallbladder , it is floating stone. I am advised to get operated at my convenience, as my pain in stomach is not related to this. 4. My gastroscopy report shows only moderate gastritis, rest is normal 5. I am veg and no habits, drinking or anything. 6. Some time in day 2 hours after food, I feel better and do not have pain. Please advise remedy and suggestion. Regards.", "output": "I respectfully disagree with Chat Doctor. The incidental finding could be the other way around, and the stone could be an incidental finding, and the gastritis the one giving you the pain. The way you describe the pain is not typical for gallbladder / biliary colic type of pain. You can get surgery now, but the chances of improvement are much lower if your pain is not typical. Again I would suggest you to try first non-invasive ways, by treating your other condition (gastritis) with oral medications, and then if you don't improve then talk to a surgeon for a laparoscopic cholecystectomy." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my name is grace, I ve been dealing with extreme chronic pain and fatigue . My family dr has send me with specialist they ve concluded that I have fibromyalgia. My problem is I can t find a specialist that deals with fibromyalgia in the Fresno ca area.. I m currently take 60 mg cymbalta but I m having major side affect to it! I m currently working full time , I m a bus driver public transit so I have to be very careful what I take. Any recommendations ?", "output": "Hi, thank you for brief history. Since your physician has diagnosed you with fibromyalgia I think you should know a little deep about it. Human skeletal muscle tissue is composed of muscle fibers. Having inflammation in the fibers of muscles is called fibromyalgia. Now since you are taking medication you need to look further by helping the muscle to become stronger and improve the metabolism of the muscle. You can meet up a physical therapist who might help by using TENS for your pain relief and therapeutic ultrasound therapy for reducing the inflammation of the muscle fibers. Later on you may be guided for some exercises which you can follow at home. Also try doing meditation, yoga, breathing exercises and body conditioning. As I have seen patients with fibromyalgia, and they have been helped with this & all are much finer. Taking high dose of medicine will not be good for future so avoiding high dosage or too much medicine is of recommendation. I hope you will get helped by my answer. With the grace of God I wish you a speedy recovery" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I went jogging which I do all the time, but then after that I used a different kind of a machine. A T-Zone vibrator for 10 minutes. After which my calf muscle in my leg tensed up and got very hard. I tried to stretch it out. It didn t work. It was not very painful. The next morning a bump the size of a quarter rose on my leg in the same place where the muscle was. The next day, the bump went down, but left a red spot on my leg. Thank you for your help, Sue", "output": "Hello, I read carefully your query and understand your concern. The symptoms seem to be related to a muscle strain. I suggest using a muscle relaxant such as Baclofen three times a day. I also suggest using magnesium supplement for muscle relaxation. Warm compresses can also be helpful. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards! Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi my name is crystal i have a quick question i was on the depo 2 years then off it 8 months before i got back on it. i received one injection then decided i want to try to get pregnant. how long will this process take. i was off the depo last year in july then became pregnant in august but miss carried the doctors said i became pregnant fast after having the shoot 2 years. i just am feeling discouraged now its been hard to conceive again", "output": "Hi, I think you should take some medicines like camphene for the growth of your follicles and track your follicles' growth by repeated ultrasound. When follicles reach a size more than 17 to 18 mm, take injection for rupturing the follicles. Be in contact with your husband every 2 to 3 days after your periods stop. Take progesterone for next 2 weeks after rupture of follicles. Do a urine pregnancy test at home after that. You can try like that for 3 to 6 months. It will increase chances of your pregnancy. Hope I have answered your question. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I recently began ill with an extreme sinus infection and virus. My husband and I both had similar symptons for about 3 weeks before seeking medical assistance. On a recent follow up the dr asked to get a CT Scan of the check with contrast and without. The scan showed a possible mass in the right upper lobe abutting the mediastinum(without contrast). The scan with contrast showed a mass with extensive lymphadenopathy and nodal mass in right paratrachel region corresponding to the previous test. In 2006 my previous doctor noted a suspesious node (mass) in my right lung. I have been taking antibiodics for about 5 weeks (zpac) and a stronger version. This past weekend the coughing has started to go away and I feel like I am getting better. I am assuming that they believe that I may have a malignant tumor in my right lung. My left lung is clear.I do want to emphasize that I was coughing up phelm and sick for more than a few weeks, I started to feel better and my husband got sick and I started up again but not as bad. I have an appt with a plumiary doctor tomorrow afternoon-I am very scared", "output": "It's always better to know what we have than rather be in doubts of multiple possibilities and worrying and thinking about them, because many times its true that attack is the best defense. I think you go for complete check-up with a positive frame of mind, and what ever comes up at least you know what it is and then can plan a strategy to combat it rather than guessing and suffering. Mass lesions in lungs are not always malignant, many are benign too. So all the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My fiance woke up this morning with a pain on the right side of his neck. He first thought he slept wrong, then realized there is what appears to be a vein behind his right ear that is swollen. Pain goes down his neck and up the side of his head. Is this something to be concerned about?", "output": "Hi, If he does not have fever and there is no local redness of overlying skin, we need not worry now. There is a normal prominence behind our ear-this is formed by mastoid bone and tendons attached on that. If he is able to feel a similar swelling on the opposite side also, probably he is dealing with this. Just ask him to take paracetamol three time as a day(ibuprofen if pain is severe) for 3 days. Hopefully pain will disappear by then. Otherwise, kindly see a doctor to look for any local infection or lymphadenitis. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Fractured my humerus on my arm several years ago and now there is a large lump on that area, not that you can easily see but one you can feel. It was sore several weeks ago.... but I m asking because wondering what may be wrong and if this could be affecting my hand in any way", "output": "Dear Sir/Madam have gone through your query and read your symptoms. In my opinion, normally the callus formed to unite the fracture caused some swelling on palpation, but looking at the duration of your surgery, It's must see if there is any loosening of screws or any infection, which can be cleared by and X-Ray. Get one done and clear your doubts hope that answers your query. If you want any more clarification, contact me back." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am operated thrice for lowgrade liposarcoma forming in the mediastinum after the 3 opperation the new tumour keeps growing .could you please suggest an exact medicine to stop the tumour groth and liposacoma(the biopsy ,some part shows mayxoid and aome part s is De differentiated", "output": "Best treatment for liposarcoma is surgical resection. If re-resection is no more possible or safe than chemotherapy with Ifosfamide and doxorubicin is a palliative option. Other treatment option is targeted therapy with motor inhibitor Pazopanib. If a clinical trial is available in the cancer center where you are being treated, try enrolling in it. I hope it helps. Please discuss these options with your treating oncologist." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my 19 month old daughter woke up shivering, and can t seem to calm down but she is finally asleep. I checked on her forhead for her temperature, and found out that she was burning up. She is still showing signs of a fever. Should i give her Motrin? or should i just go to the Hospital? Please help.", "output": "Any child with fever should undergo history taking and complete physical examination to reach the diagnosis and treatment of coarse depend on the diagnosis .most of the time its self limiting viral illness, but serious causes of fever must be excluded like pneumonia, meningitis ... EtcI highly recommend you to give her the antipyretic and rush to her doctor to see her and fully exam her. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Since yesterday I have had sharp pains in my upper abdomen and back. and even some discomfort in my left shoulder blade. The pain is staying consistent tonight and I just took my Blood pressure at home and it was 158/107.. I am 37, 5ft 6in and 205lbs. I usually have low blood pressure. Could my high bp be because of my pain or something more serious?", "output": "Hi, Welcome to Chat Doctor forum. The pain usually appears to be due to the gastric irritation, due to the irritant foods, peptic ulcer, or indigestion. I advise you to consult a gastroenterologist for diagnosis and treatment. You may need to have a gastrostomy, and ultrasound for diagnosis. I usually prescribe to my patient with such symptoms' omeprazole, risperidone, and anesthetic antacid gel. The rise in B.P. may be due to the anxiety. If repeated readings show the higher reading it can be considered. Wishing for a quick and complete recovery. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I lack iron. They have given me many test and I was in the hospital for infection and they gave me two pint of blood and my enemia was still very bad they pulled me out to a bleeding asophuicus I have not worked as of march and need to know what to do they have given me medician for the pain but, that isn t really helping the problem need to know who to see. have had many test. I am51 female,", "output": "Hi, dear. I have gone through your question. I can understand your concern. You have iron deficiency anemia then you should search the cause of that first. It may be due to some internal or external bleeding. Or may be due to low intake. You should consult physician for that. Take treatment of cause first. For iron deficiency you should take iron rich diet like green leafy vegetables, Chat Doctor. You can take oral or injectable iron according to your doctors' advice. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, I am 23yrs old male. Done blood, urine dipstick and urine cytoscopy and ultra sound tests. Evrything seems to be normal except some of the things in the urine routine test. I have got RBC 10-15hpftrace albuminpuss cells 5-7hpfbacteria +Uric acid crystals present.I had urine infection a 3 months back and had high bacteria and puss cells. I had my antibiotics and the RBC became 35hpf while all the other things came to normal. Now, its more than 2 months and the RBC level has been 15HPF for the last 2 weeks and the puss cells & bacteria are again coming up and there are bubbles formed after urination. What could be my problem?", "output": "Dear Friend. Welcome to Chat Doctor. I am Chat Doctor. I understand your concern. At this age in males, RBC's and Pus in urine can be because of stone in urinary tract. I would advise you to follow:1. Ultrasound Abdomen with PUB.2. Hemogram3. Urine culture.4. X-ray PUB.5. After your blood pressure checked. This is my personal opinion for you based on available details. If you have any further query please ask me. Stay HealthyChatDoctor, MD" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been having raised bp and heart rate, then low episodes for the past hour, along with blurred vision, and extreme jaw pain. I take indomethacin and accidently took advil for cramps and was told not to take IB Propheren products with it. I an also currently having my 24 hour urine further tested because the chroma something levels were elevated. (sorry, don t know the med term) I have an adrenal gland tumor. Should i be worried? I don t wasn t to drag my child to the ER in the middle of the night with me if I well be fine.", "output": "Hello, Indomethacin and ibuprofen are NSAIDs and are used for pain and inflammation. I also want to add that although you should have gone with your doctors' instruction, there is not much to worry if you have taken both indomethacin and ibuprofen together. There is an outside chance that you may have hyperacidity or burning sensation in the stomach, but it can be taken care of with antacids. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "So yesterday I felt this bump on my neck which today have started to hurt a bit. I ve had it before during a cold but it disappeared when I got better. after I got this pain yesterday something is happening I think. when I raise my shoulders & drop them right down I can feel a shock in my smallest finger as well as the underarm. I don t know what to do", "output": "Hi, dear. I have gone through your question. I can understand your concern. You may have reactive lymph node enlargement. You need a course of antibiotics. Furthermore, you also have some ulcer nerve stimulation. It gives current in your smallest finger and underarm. Consult your doctor and take treatment accordingly. Thanks for using Chat Doctor. Wish you a very good health.Don't forget to click, thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 3 month old child is exclusively breast fed, has regular wet and soiled nappies and has spent the morning laughing and chatting to my husband and me. However I have noticed that the colour of hos sick is a brownie tinge. he has started teething but nothings broken through yet. Should I be worried?", "output": "HI...no need to be worried. What you are baby is having is not diarrhea or dysentery. It only Gastronomic reflex. What your kid is having is not a diarrhea and is only a gastronomic reflux. It is quite common for babies of this age group t pass small amount of diarrhea or loose stools soon after feeds. This need not be treated as diarrhea and especially antibiotics are not indicated. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "About a month ago my wrist right below my right thumb randomly became severely itchy and a few small bumps appeared, overnight it stopped and I woke up the next day with one slightly bigger bump on my wrist. It hasn t gone away, It gets itchy maybe once a week not even but it s red and dry almost like a tiny wart. I also just found out that I m pregnant. Does anyone know what it may be?", "output": "Hi, If I were your treating Doctor for this case of an itchy wrist lump, I would come up with only one and one possibility that is folliculitis arising from an allergic reaction! Nothing to worry about this and try not to get infected there again! I suggest you to go for an FNAC test of the lump for confirmation if you feel necessary, and to relieve your concerns! Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir im 33 years suffering form dhat syndrome since last one years its start with yellow urine for few month but after that having white sticky fluid after urine, I have examine lot of test but no trace of jondice and any other desease found. i have taken lot of medecine but no result found.", "output": "Hi, Thanks for writing in. The treatment of That syn Chat Doctor. Sex education primarily focuses on anatomy and physiology of sexual organs and their functioning with reference to masturbation, semen, nocturnal emissions. It also involves functioning with genitourinary system independent of gastrointestinal tract, etc. Relaxation therapy mainly consists of Jacobson's Progressive Muscular Relaxation Technique, which can be combined with biofeedback (to facilitate objective evidence and mastering of anxiety by the patient). Relaxation therapy should be practiced two to three times per day regularly, especially after therapy sessions are over. Medications given are usually anti depressants." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I was moving a grill from the garage to the backyard; it has wheels so I was basically holding up the front end while rolling the back end. Halfway through my journey one of the front steel stationary legs hit the top of my foot and now it hurts a lot! I am putting ice on it but it still hurts, any suggestions?", "output": "HAI, u have got blunt traumatic injury, of course cold compression could be of some help, keep the foot elevated for good blood supply, Can apply a cr\u00eape bandage while walking. Do not pit more pressure on the injured footage painkillers like ibuprofen/diclofenac the pain and swelling still persists, please go for a X-ray foot (lateral) to rule out any bony injuries or any soft tissue swelling. Have a consultation with an orthopedic surgeon. Goodluck take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 18 month old has had a cold and stuff nose but now it looks like something white is in her nose im not sure if something is up it or if its dry mucus any ideas it doesnt seem to be bothering her but she doesnt like me touching it like most kids dont", "output": "Hi... Thank you for consulting in Chat Doctor. Cough and cold are viral 95% of the times in child Chat Doctor. For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. For fever - Paracetamol can be given in the dose of 15\u00a0mg/kg/dose (max ceiling dose 500\u00a0mg) every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. For cold, you can use Cetirizine at 0.25\u00a0mg/kg/dose every 12 hourly for 3 days. For nasal block, plain saline nasal " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just had my first radiation treatment yesterday and shortly after I developed breast pain, breast bone pain and am developing a respitory problem (feel like Im getting sick). The machine is the newer Tomotherapy machine and not supposed to interfere with my lung. What could the problem be??", "output": "I am very sorry to hear that you have these symptoms. Newer CT machines will not cause many side effects. However, there is a slight possibility of radiation induced pneumonitis. If that happens it will happen after at least 2-3 weeks post radiation. The pain in your breast and Breastbone are because of direct effect of radiation causing inflammation. And your feeling sick because that is from radiation fatigue(which is normal). If you think you're not able to carry out daily activities, and bed bound because of this you should ask your radiation oncologist to decrease the dose of radiation or give treatment holidays. I hope this answered your question and I wish you a speedy recovery. :)" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had chronic knee pain, so went to doctor and had x-ray. He saw nothing on the film, but called back 2 days later and said that the radiologist saw something. I then received a letter that said There is subtle decreased density within the medial femoral condyle. This is nonspecific with underlying marrow lesion not excluded. Recommend further evaluation with non-contrast MRI. A small joint effusion is suspected. There is mild patellofemoral osteoarthritis. Normal soft tissues. My MD said that he felt 90% that it was nothing , but still recommended I go forward with an MRI. I have a high deductible and all of the expense will be out of pocket. I have done some reading on line and understand that marrow lesion is a bone bruise . Here s my question: Are marrow lesions normally associated with malignancy?", "output": "Hi, Thank you for providing the brief history of you. As your doctor mentioned to undergo an MRI, it will be good to undergo, as most MRI shows the soft tissue status and the in-depth understanding. By assessing the knee joint it shows arthritis, for which physical therapy will help. But since you doubt in the malignancy, I will recommend to under the MRI and wait for the results. Sometimes, things are always under control when detected in early stages. Also for your question, that marrow lesions are normally associated with malignancy? I don't think this is true in any case, but always being conscious to rule out each factor is the best way to come closer to the diagnosis. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Namaste doctor,i m a Yoga teacher and want to help a person age 21yrs a chronic kidney failure.since he belongs to a very poor family n being the only breadwinner at his home.is there any wayout to help him with kidney transplant free of cost in sri sai baba hospital or can u suggest me the minimum charging hospital for a kidney transplant.in bangalore please help him my no is 0000", "output": "Dear good Samaritan, thanks for your inquiry. I work at Narayana Hrudayalaya, Hour road, and we are probably the most economical in Karnataka. We do access to certain funds to help poor people. We very strictly only entertain directly related donors (Parents, siblings and child Chat Doctor. If the donor is blood group compatible, cost is low, else it will be Va high due to the special treatment we have to give pre-transplant. You can ask your friend to " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am 55 years old, having arthopedic problems, having joint severe pains in body joints specially in legs joints. today I started to use Diclogesic 50 after every 8 hours, after using of 2 tablets, I relaxed little bit from pain.Tell me. I have to continue this medicine or other, suggest me.", "output": "HiDiclogesic is a very good analgesic Chat Doctor. It reduces inflammation and pain related to musculoskeletal disorders. Long term use such as three to four weeks should be avoided due to the side effects. Nausea, gastritis,aggravation of peptic ulcer, salt and water retention, constipation or diarrhea can occur. H\u2082 blockers or proton pump inhibitors can be taken to avoid gastritis. Hope I have answered your query. Let me know if I can assist you further. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my wife sees & thinks dogs come while she is cooking something and she throws up why not she thinks that it may harm our child and also me. also she throws mastard oil, vegetables, rich dal etc. plz. suggest me what to do and also while she bathes she pour water again and again, unable to come back she thinks bathing not completed and she wash the mug again again it takes minimum half an hour or more to complate her bathing. she unable to give attention to other work while she bathing even our child ate or not after returning from school.", "output": "Hi, If the thoughts are repetitive, irrelevant, not under your control, causing distress so much that it's hampering your day-to-day life and remains for more than an hour then she might have OCD.OCD can affect anyone, and it can be treated with medicine and behavior therapy. Contact nearby psychiatric clinic for help. Learn how to get rid of these thoughts. Whenever these thoughts come, try involving herself in some other activity. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi there im ill but to proud to go to the doctors because iv cause my ill health by injecting myself with vaseline into my forehead cause i didnt like the shape of my forehead iv been living with this for 6 years now, iv lost hair so been wearing a hat,lately iv been bruising very easyly and my bones have started clicking,and think my blood thin too, please help", "output": "Dear friend. Doctors are trained to help you and not judge you so don't worry. The first step of course is to book an appointment with a doctor whom you trust. It is essential to get a test called COMPLETE BLOOD COUNT done because of your symptoms of browsability. Complete blood count also called CBC for short is a laboratory test which indicates the quantity of the white and red blood cells, platelets & Hemoglobin in your blood. Your doctor may also order other blood tests for your bone pain such as serum protein electrophoresis, serum calcium etc. Please remember that diseases detected earlier can be managed better. So please book an appointment with your physician and don't worry about the Vaseline part. What is more important is that we have to do some tests to find out the cause of your browsability and bone pain. Warmest regards & take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "For the past 10 years, I have been having watery discharge (yellowish) which occurs once in 6 months and disappears after taking some antibiotics. It is very painful. The discharge used to smell bad but now the smell is bearable. Is there any Ayurveda or homeopathic treatment for the same? which is better and how soon will it take to cure with either of the options.", "output": "**1. Foul smelling yellowish discharge could be trichomonal infection and since occurs now and then thus simultaneous treatment of your partner is also required, and since problem is for 10 years thus hopefully your gynecologist must have done P.S. [per spectrum] & P.V. [per magnum] Examination to note the type of discharge and look for pathologies like cervical erosion, fibroid, polyp, PID [pelvic inflammatory disease]2. Recurrent infection is common in diabetic patients [check with blood sugar level], patient taking broad spectrum antibiotics [history of same], patients on oral contraceptives and AIDS [check as routine]3. Take: wheat, old brown rice, masseur DAL, turnip, bottle gourd, papaya, pomegranate, apple, black grapes, ginger, mint, banana,cow-goat milk, cold substances avoid: Brad DAL, onion, garlic, brinjal,pickles, vinegar,sour curd, mustard oil, Jagger, spices, day sleeping, late night awakening, excess physical exertion,4. Local wash with trifle decoction. Onion juice mix with honey. You can ask for prescription medicine like: Chan Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have muscle spasms and restlessness in my legs that I ge twhen sitting in a car or movie theatre or at night when I try to sleep. Requip helped for awhile but is wearing off. I also get it worse when I do more activity and my lower centerback hurts", "output": "Hi, Thanks for your query. Restlessleg syn Chat Doctor. There is no cause for this disease, but usually it is due to over activity of the brain. I would suggest you to get your serum B 12 estimation as some time this can cause RLS. Meanwhile, I have the following suggestions for you.1. Try to sleep at a fixed time, avoid late night sleep. Avoid coffee in nighttime.2. If you was my patient, then I would suggest you Amytryptalin daily.3. Capsaicin ointment local application will also give relief.td4. After B 12 test is done you can also take Methylcobal tablet daily do hope that you have found something helpful, and I will be glad to answer any further query. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Doctor, i am a 56 year old woman, i happened to feel some intense pain on my left side, it is now gone but i also noticed an orange coloration in my urine (only happened once) and has not come back. I have read and the usual answers vary from simple dehydration to kidney stones and even cancer...", "output": "HelloThanks for query. Severe abdominal pain with hematuria (Orange colored urine) at the age of 56 is most likely to be due to stone or mass lesion in kidney and needs to be investigated. Please consult qualified Urologist for clinical and digital rectal examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture.2) Ultrasound scanning of abdomen and pelvis3) Serum PSA.4) C. T Scan of abdomen Further investigations if required and treatment will depend upon result of these tests and final diagnosis. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI, My son is 5 months old and he loves to drink NAN 1 pro. From last 15-20 days, me, my wife and my son are having severe cough.For us its ok but I am worried for my son.I went to a doc and started some antibiotics with cough syrup nut still its not over for him even after 6 days.Pl suggest.Raji Thomas", "output": "Welcome to the ChatDoctorVIRAL infections are common cause of cold and cough in this age group. If severe and at the suspicion of bacterial infection, antibiotics are advisable to treat them. Many a time they may take around 2\u00a0weeks to clear up. If there is no fever associated, my opinion is to wait and watch. In case there are any new symptoms like high grade fever, difficulty in swallowing or breathing or localized pain and pus collection, go for repeat consultation and a proper ENT examination." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have 2 severly decayed teeth that I left untreated for a very long time and now are hurting so bad I am forced to go in to see a dentist. I really have no excuse, just fear the dentist. I had to get some blood work done recently and they said my white blood count was 18,000 and were pretty concerned. Can these 2 decaying broken teeth cause this high white blood count? Because of not being treated in a very long time....? I imagine I have quite an infection from this.", "output": "Hello, Welcome to ChatDoctorYes, Decayed teeth may be a sides of infection. Since it is there from long time, it has caused the inflammatory process in the body to trigger. Any infection in the body will cause white blood cell count to rise. So, no need to worry. Counts will decrease once infection subsides. So, i would advise you to get your decayed tooth to be removed as soon as possible. Hope you are happy with the answer. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I fell down stairs and landed on my spine / kidney area. Have been to doctor and have appropriate meds, however, i have a severe stabbing on my left side when I try to move. Bruise is across entire lower back, spine is swollen. I could stand all of that except the sever stabbing pain when i move. The meds help slightly. Its worse in the morning. The injury happened 4 days ago.", "output": "Hello, I had gone through the case and I will advise going for CT or MRI scan of vertebrae, there might be any slight hairline fracture or slip disc which creating the pain. You must take rest and do not try to bend by back because there will be inter-vertebral disc that causes pain. If there is no fracture then take physiotherapy massage of back and take painkiller and muscle relaxant gel for local application. Hope my answer will be effective for you. Thanks and take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i had unprotected sex on sunday night (15th December) and took the postino 2 tablet on moday (16th December) evening, and same time had sex again with no protection on Monday night , and the 2nd tablet was taken after 15hurs , do you think i need to take another does of Postino 2", "output": "HelloThanks for writing to us with your health concern. When taken within 24 hours of unprotected sex, an ECP (emergency contraceptive pill) is more than 95 % effective in preventing a pregnancy. So you are reasonably protected against pregnancy. There is no point in repeating the ECP again. For 120 hours, there is no logic in repeating the dose. The earlier pill keeps you covered and further dosing (you have already taken 2) will reduce the efficacy. The pregnancy test should be taken 4 weeks after the encounter of unprotected sex, not earlier. Only then would it give a conclusive result. Repeated, random, casual and frequent use of ECP will mess up the normal menstrual cycle. It can advance or postpone your periods indefinitely, and there would be unpredictable with Chat Doctor. Also, the efficacy is lost with repeated usage. Always make sure to have protected sex. All the best. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am six weeks pregnant (2nd pregnancy) my doctor has advised me to use loprin and progestrone on the basis of my 1st pregnancy during which i had experienced spotting between 8-12 weeks. Please advise me whether it is harmless for me to use loprin and progestrone?", "output": "Progesterone is a normal female hormone that maintains pregnancy. Progesterone deficiency can cause spotting and hence you have been prescribed the Chat Doctor. Low dose aspirin has been prescribed in some pregnancy to reduce the risk of pre-eclampsia(raised blood pressure in pregnancy). High doses should definitely be avoided. Hope I have answered your query. Let me know if I can assist you further. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I an 28 and a doctor myself.. I recently had a laproscopy done for removal of a mucinous cyst from right ovary.. My tube test shows that both tubes are patent. My husbands semen analysis shows zero rapid linear motion now what do u suggest is the next option for us to conceive? Rest of his report is within normal limits", "output": "Thanks for your query. In fertility assessment we look at the male and the female partner separately. As for you, assuming your periods are regular ..........you should be ovulating as the cyst alone was removed ..........you have both ovaries with tube test showing patent tubes.....at the moment you don't need further investigations. As for your husband, You do not have to take the first semen report as final. Check with him whether there was a collection problem. Your lab will help you to explore this in more detail. Also, if there has been a recent viral illness(mild, easily goes unnoticed) there can be repercussions on the semen parameters. So, It's advisable to repeat the test in 3 months time before coming to any conclusion. In case your has husband has a habit of using tobacco (smoking), then It's wise to stop it completely and the repeat the test after 3 months I would also advise your husband to avoid wearing tight undergarments and exposure to heat.Taking a cool bath twice a day also helps as we know that a slightly lower temperature is necessary for sperm production. Meanwhile, continue taking folic acid, and you can continue to have normal sexual relations. Best wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "dear dr, one of my uncle having kidney probelm,he admitted the hospital, dr said kidney creative 9.5, and we can put dialysis, and dr said cant recover kidney only transplanet,pls i need to help how will recover my uncle kidney and do the function of kidney, pls tell me sir,regards,shahul", "output": "Hi Shall and welcome to Chat Doctor. As a Urologist and kidney transplant surgeon, I can understand your anxiety. Your uncle has CKD(chronic kidney disease), and it needs treatment.There are only two options for his treatment ;1.dialysis or 2.kidney transplant. Dialysis is done two or three times weekly and is called maintained dialysis. A kidney transplant is a better option, if he's below 65 years age. You may send all your doubts as a direct question, in my name, with reports. Chat Doctor. Manga." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi my names kayla im doing an assignment on all the different contractions im currently writing up about menopause ive looked up on line and people have said it contagious and others have said its not? is it? and how? also would you be able to do a wax (beauty treatment) on someone with menopause? and where would you professional refer them too? thanks..", "output": "Hi, thank you for putting up your query on Chat Doctor. Yes dear, you can do all beauty treatment on a woman in menopausal age group.- it is not at all contagious.- it is a physiological response of the body in which function of ovary ceases and women cannot become pregnant.- it is a natural phenomenon, all women has to go through in her life.- as per my opinion, they need most of the beauty treatments, as at this age, there skin is damaged due to aging like wrinkles, change in skin texture. These women require counselling and procedures like rejuvenation can help them maintain a healthy skin. Hope, I answered your query. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 78 asian male with bilateral nipple soreness of few weeks. What could be causing it? I have no palpable breast masses. History positive for high BP (controlled by Benicar), I had mitral valves replaced (2005) and I have a St. Jude pacemaker. I take Crestor, Benicar, Toprol XL, ASA (81 mg) and supplement pills.", "output": "Hi, thanks for sharing your health concerns with Chat Doctor! If I were your treating Doctor for this case of PAINFUL nipples, I would like to know if any discharge per nipples on squeezing: However, as per your description, I would come up with only one and one possibility and that is GYNECOMASTIA! I think this is related to your chronic medication...and take ice/cold compress for temporary relief! I suggest you to go for an FNAC and USG of the regions for confirmation and to relieve your concerns! Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dr. am 32yrs,it took me over 7yrs to be pregnant and now am 22weeks pregnant i noticed fluid coming out of me,i then went to the hospital and was sent for a scan. dr the report shows that my baby is doing fine but that my amniotic fluid is moderately reduced. what am i expected to take to increase these fluid", "output": "His have gone through your complaints and sonogram report findings. Feel sorry for your condition. Its precious pregnancy for you. As you are saying fluid is coming out and scan shows reduced liquor, it means leaking liquor due to premature rupture of membranes.to avoid further decrease of liquor absolute bed rest is recommended. Cervical stitching is also advised. Complete bed rest and encourage fluid intake. Scan once in two weeks to assess liquor and fetal growth. Once you reach 36wks you can plan delivery. Thank youRegardsVasundhara" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "52 154 lbs squamous cell carcinomas had surgery remove what im concern is what happes after you had the biopsy it came back cancer did surgery why do they send it to the lab and what if it comes back bad had some on hands and big one they grew fast after shaved", "output": "Hi, Thanks for writing in. A cancer diagnosis requires detailed evaluation and confirmation. The final diagnosis is made only after a biopsy. A biopsy involves studying the cells under a microscope by the pathologist and confirming them to be cancer. A cancer cell is one that multiplies without control and in an irregular fashion. This can be seen under microscope. Cancer cells are also of many grades like low grade, intermediate grade and high grade depending on the aggressiveness. A low grade cancer has better curability than a high grade. These will be known after the biopsy test. During surgery a small area of normal appearing skin is also taken out to make sure no cancer tissue is left behind. However, in high grade cancer the cells can re-appear and this needs to be closely observed. Therefore, if high grade cancer cell is seen on biopsy then additional treatment like chemotherapy and radiation is also given. Recurrence chances of cancer is more with a higher grade of tumor. If there is recurrence of squamous cell cancer then more aggressive surgery, chemotherapy and radiation might be required. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, my daughter is 9 years old and has several boil/pimples filled with pus on her upper inner legs - they started with just one or 2 and now in 2 days has several - as well, she finds them very itchy and the whole area is red - i believe i need to have her see a doctor but can i put some sort of cream on them in the mean time?", "output": "Hi... Thank you for consulting in Chat Doctor. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I cut my leg with a weed eater yesterday - I applied hydrogen peroxide to clean it out and then put neosporin on it. However - tonight it is throbbing with sharp pain. I applied more neosporin, but it doesn t seem to help. It didn t really bleed much, but there is one area that looks like it was cut rather deep. Do you think it is infected or is the pain just part of the healing process?", "output": "HI, thanks for using Chat Doctor The throbbing is part of the inflammatory and healing process, does not necessarily indicate infection. If you do not have a recent history of tetanus injection (within the last 10 years), then you may need to consider having this done.Outside this injection, the main aspects of treatment would be to keep the area clean using an antiseptic and continue applying the antibiotic cream. Signs and symptoms of infection are: increased warmth, tenderness and pain, discharge, increased redness (after the initial stage). I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a lump in lower part of left arm close to the crease also a couple smaller ones no injury haven t had any Ivs or anything also elbow and top of hand have a burning sensation also hand tingling when you put a little pressure on the lump stinging type of pain occours?", "output": "Hi. Thanks for your query. Noted the history of a lump on the lower part of left arm close to the crease, and a couple of smaller ones. There is also burning sensation when you put a little pressure on the lump, stinging type of pain comes on. This is indicative of an infected cyst compressing or pressing on the nerve supplying the lower or distal part. I would advise you the following in such a situation. Get a course of an antibiotic and an anti-inflammatory medication. This should solve your problem. Also consult a General Surgeon so that further clinical consultation can be done to decided whether medical management will help or may need a surgery to get the complete recovery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "yes. My mother is 65 and has been experiencing symptoms for 4 months. She has pain that starts in the right side of her neck and travels up to her head and down to her shoulder. Once that starts she also has pain in her left knee, thighs, legs, feet, toes, hands, fingers and even under her ribs. she describes that pain like that of a Charlie horse. She starts her morning feeling okay and then progressively has these symptoms I described. She is also tired and aches all over like you would with the flu. So my question is, she hasn t had luck locally, finding any kind of relief. Her primary doctor has prescribed her antibiotics several times, saying that her blood work shows an infection. Please help. Lena Herring", "output": "Hi I did review your concertgoer mother might be suffering from fibromyalgia where there is severe body ache. She could also be having any generalized inflammatory muscle problem. I would advise you to consult a rheumatologist or a neurologist and get her evaluated. Her regular investigations would be ESR, CRP and complete blood work up and also a clinical test to detect tenderness at various point to detect fibromyalgia score. There is treatment for fibromyalgia in form of pregabalin and other Chat Doctor. I hope this helps. Let me know if you have any more questions or concerns. Wish you all the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My chest is sore and itchy. I went to the er about a month ago. They did a ekg, chest exrays and blood work. Said everything came back normal. But i still have pain in my chest. I am a smoker trying to quit but not to successful. I just turned 30 and im paranoid something is still wrong.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Since your ECG is normal, no need to worry about cardiac cause. You are mostly having lung inflammation because you are smoker. Cigarette smoke causes persistent inflammation and irritation in the airways. These cause soreness and itching in the airways. So better to quit smoking as soon as possible. Get done PFT (Pulmonary Function Test) to rule out bronchitis as this can also cause similar symptoms. If PFT is normal, then only smoking cessation is needed to treat your problem. You should enroll in dead diction center. Start psychological counselling about dead diction. Don't worry, you will be able to quit smoking. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My wife has been having some problems with her HEART RATE jumping up to 135, 160 just lying down and she has sharp pains in her chest and some numnes in her face, we have taken her to the doctor and they can not find any evdience of a heart attack, but something is going on. also after these attacks she is week and shortness of breath.", "output": "Hello, Regarding your concern, I would explain that your wives symptoms could be related to a panic disorder. Anyway, before coming to this conclusion, I would recommend performing some tests:- an ambulatory 24-48 hours ECG monitoring in order to examine her heart rhythm trends for a prolonged time and exclude possible cardiac arrhythmia-pulmonary function tests in order to exclude a lung disorder-thyroid hormone levels for thyroid gland dysfunction- blood electrolytes for possible imbalance. You should discuss with her doctor on the above tests. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "dear sir my name is vikram my brother suffering from mental illness since six years his symptoms are like this he wont take both, brush etc. he getting angry on others, destroy all the things in house these are the few about him. please give me suggestion.thanking you sir", "output": "Hello Viral. Thanks for this query. How old is your brother? From your narration I get the impression that this behavior is ongoing for last 6 yrs or so. Have you also noticed your brother to be smiling, muttering, gesturing while alone? Does he get excessively suspicious of everyone including complete strangers? Does he talk complete illogical or nonsensical things? If answers to these questions are affirmative, then he may be suffering from a Psychotic illness probably Schizophrenia. This illness if detected early can be easily manageable & treatment with Antipsychotic Chat Doctor. So that patient can resume/lead a normal to near normal life. Hence, it is imperative on your part to consult a Psychiatrist as early as possible for a detailed evaluation & promptly starting treatment. Good luck & wishing your brother a speedy recovery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My back, hips, knees, and ankles are in alot of pain. Ice feels amazing on these areas and i dont know what is causing all this pain all of the suden. I do suffer from a back injury but now my body is killing me. I am an active softball player. What is wrong with me?", "output": "Hello, If the pain is radiating in nature it will be related to nerve root entrapment in the lumbar spine and an MRI is suggested. If the pain is in the joint then this will be over a period of time repetitive stress injury which happens due to over straining of the ligament at the joints. Stabilize the knee and ankle with braces and start doing hot water fermentation along with joint stability exercises. With the exercises, there will be a change in the overall joint stability and muscle strength, which will help avoid the inflammation of the joints. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am down with shortness of breath, pressure on the chest and back pain. Doctor advised to take Deriphlyn 150 mg twice a day for 15 days and advised me to use Inhaler. Ater one week, I could not find any signs of recovery. could you please help me to know the reason and advise me what should I do", "output": "Hello I share your concernChest pain and shortness breathe at your age might be related to heart or lung disease like vasospatic angina or acute exacerbation of bronchial asthma so please ask your doctor for EKG and blood investigation for serum cardiac markers, CBC, AEC and allergy testAnother possibility is stress and anxiety disordersAvoid fatty fried spicy and junk food say no to smoking and alcoholize fresh fruits and steamed vegetablesHave plenty of dietary fibers aerobic exercises walking and swimming is recommended for you Hope this answers your question Best wishes" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My left breast feel l electric shok I should stay same position not to feel it harder when I move it s getting really harder like my heart going to stop .i stop at the same position andost o the time I am having water I used to get it once in 6 or even 10 months lately it s getting worst eacChatDoctorpel days", "output": "Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. This can be due to Myocardial ischemia Please consult a Cardiologist or General Physician at the earliest Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in Chat Doctor at http://bit.ly/ask" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have dryness in throat along with small dots around vulva and roof of throat and also enlarged taste buds for last 6 months.... theres very bitter mucus comming into my mouth and always have burning sensation on the tounge.... I suffer from chronic sinus issue post nasal drip and acid reflux..... Doctor have taken tests for saliva swab and he says its normal also liver function test kidney test esr cp all aee normal except I had low vitamin d and b 12 and now I am taking supplement for it I can send u the pictures of my throat and tounge. I would like to know what s the actual cause of this and what should be the right course of treatment. Thanks", "output": "Hi. Thanks for the query. I have gone through your query and can understand your concerns. As per your complaint sore throat, spots around uvula and roof of the mouth along with enlarged taste buds and bitter tasting mucous seems to be most probably due to Gastroesophageal reflux disease or Acid reflux. When the bitter tasting acid refluxes from stomach to throat and mouth there is inflammation of throat along with tongue leading to sore throat and inflamed taste buds. I would suggest you to consult a Gastroenterologist and get evaluated and a thorough clinical evaluation and investigations like upper G. I Endoscopy can help in diagnosis and treatment can be done accordingly. You can be advised to take:1. Proton Pump Inhibitors like Omeprazole or Pantoprazole.2. Take antacids like Milk of magnesia.3. Avoid spicy food and Chat Doctor. .4. Always take walk after meals and take your dinner at least 2 hours before sleep.5. You should sleep with head slightly raised as compared to feet.6. Try losing weight if you are obese. Hope this information helps. Thanks and regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my age is 35 years, i am married, but not living with my family because of my job, which is outside the country, to meet my sexual needs instead of doing sex with any girl i preffered to do masterbusting, but day by day it is going to be increase and i am feeling weekness and severe pains in my joints, i am willingly trying to avoid but how? please guide me in this, thanks", "output": "Hi ... You are having over masturbation habit .... Try to avoid over practice of it.... It is pleasure giving procedure and can be done up to maximum 3 to 4 times in week. If you have habit of porn watching then kept limited of watching it.... Yoga done .... Regular exercise helpful ... Behavioural therapy can be taken from psychiatrist.... Take healthy diet.... Consult psychiatrist if you need help from him. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just noticed today after school my daughters lips are a bright shade of red...almost like she has lipstick on. Over Christmas she ran a high fever for 4 days, had white patches in her throat and when the fever broke, had a bumpy red rash on her chest and then it all just went away about 3 days after Christmas. What could this be and do I need to be worried? Thanks", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query your daughter have symptoms of redness of lips after a bout of fever which seems to be due to viral or bacterial infection. I would suggest you to visit general physician once and get it examined. You should get blood tests done and start treatment after proper diagnosis. Do tepid sponging as well to lower down fever. Apply petroleum jelly on lips. Take diet rich in fresh juices and fruits. Chat Doctor. You should take anti-allergic medication along with proper course of antibiotic along with Ibuprofen. Do tepid sponging as well to lower down fever. Take multivitamins to booster immunity of body. Hope your concern has been resolved. Get Well Soon. Best Wishes, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello! I was bit on my wrist by my client. Its just a wound from his two front teeth 5 days ago. It s swelled up, and then the swelling went down just a little but now the spot around it is bright red an growing. Plus the wound is starting to turn yellow an the scab looks likes beef jerky and became numb.", "output": "Dear Sir/Madam, I thank you for having faith in Chat Doctor and for seeking help on your issue; I have gone through your symptoms, and I would like to inform you that Human bite is one of the worst bite injuries and the infection that results are very resistant to routine antibiotics, since its turning yellow it means that your wrist is now infected, and you will not only need Chat Doctor. I hope I have been able to provide you with a satisfactory solution, if you want to clear any doubts about my opinion, feel free to contact. Special note-Any medication prescribed needs to be taken after consultation with your personal doctor only. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had calves pain,in my legs,and thighs.it was worse ,about 2weeks ago,it hurt to walk.now it don t hurt as much as it did before,because I started moving around again,after laying around sleeping alot,for a week.so now,I saw the doctor 3 days ago.she said it can be emflimation,no swelling.my veins in my legs have been sore,and I been having mild chest pain similar to the legs pain ,and soreness.doctor,said my breathing is good,I stopped smoking,30 days.i feel tingling,and soreness in both legs,thighs,to my ankles.and chest pain.i do have allergies and asthma.i can move around for a little while,until I feel the pain again.my doctor have my ibeprophen for it.what s wrong with me?", "output": "Welcome to Chat Doctor I have gone through your query and understand your concern. You have nonspecific pains. These are likely to be due to vitamin deficiencies. You can get your vitamin B 12 and vitamin D3 test. If found low you can take supplements of these. Calcium and trace elements supplements are helpful in relieving it. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My Mom Has Red Blister like spots all over her hands and feet!! Since the last 2-3 weeks my mom has had like red blister/ sore like spots all over her hands and feet, It didn t hurt before but today she says its stinging!, we dont have a doctor since we are new to the country so Help!! More and more keeps appearing!", "output": "Hi, Its possible that your mom has a skin reaction. It could be an infection like eczema, dermatitis,allergy or fungal infection. If they are sore then infection seems more likely but can't rule out anything without examination. Either ways, she will need steroids or antibiotics, so she will need to see a doctor. If the condition is progressing I'd say sooner the better.Meanwhile, cold ice pack may reduce the stinging." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am 31 year old , weighing 73 Kgs and got married 2.5 years before. we have been trying for baby for almost a month. Have done semen analysis for husband and his sperm count is less and my harmones count is less. I dont have any thyroid problem. My doctor has given me sefstart, trazer f and Oosure for 6 months and I am about to finish that 6 month span .Not sure what should be the next treatment ?", "output": "Hello mentioned that sperm counts of your husband is less but write down exact figure as this is important, also write down about morphology and motility of sperm because fertility depend on quality and quantity of sperm and also volume. PH, i.e. complete report of semen analysis is important, so upload .2nd point, you mentioned that your hormones level is less, please write about which hormone is less. You are taking restart, sure and trader f for SIX months and no result. But before any comment we should know the size of dominant follicle, ovulation date, menstrual cycle profile, endometrium thickness. So upload all reports on this site for exact answer and advise. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i recently found a small hard bump on the side of my penis, it is approximately the size of a bb, maybe smaller and is not painfull. I do not shave the shaft of my penis so i know it cannot be an ingrown hair, and have not been sexually active for at least 6 months, and used protection when i was. Any insight into what this could be is greatly appreciated", "output": "Hello, Clinically the lesions are present as a pearly white dome-shaped bump on the affected area. The whitish ball coming after extraction is molluscan body. Most of the time the lesions may resolve by its own, but some may remain and can become slightly larger. In these cases, once any lesion remains then there is the further possibility of more eruptions from one lesion. Therefore, in my opinion, any of the bump if remaining should be treated properly. I treat my patient with simple extraction with a needle or by Chemical Cautery or by extraction and needling. There is nothing to be worried about the same and can be very well treated. I suggest you to not pinch, pop or squeeze the area. For the redness: it appears that you have developed \"contact allergic dermatitis\" at the areas. Let me explain you elaborately. The penile skin is the thinnest skin in the body and is such a soft and thin skin that even the blood vessels are visible sometimes from our naked eye. Some redness is always present on penile skin. Adding to it the thinnest skin of the body over glans is also sensitive to the friction plus the chemicals in day to day life. All these factors also lead to the kind of problem which you are facing. Mild to moderate redness is quite common in this area because of the friction during sexual intercourse or due to masturbation also. Even the condoms are known to produce redness because of the rubber content as well as certain chemicals on the condoms as lubricants and as a fragrance. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi im 27 yrs old im single and never have a child yet.im taking mangoosteen peel tea i boil and take two cups daily one cup of tea in the morning and one cup in the evening and ive been doin this since 3 months up to now.my concern is im scared that i might not have a baby i the future just because of taking this herb..should i stop taking this herb to avoid not having a baby in the future?sorry for my english grammar not too good.hope you understand what im tryin to tell or ask you coz i need an sure answer..pls answer my question..thanks", "output": "Hi, as per the studies given by the manufacturers of mangosteen peel tea, it is not known to cause any effect on fertility. Anyhow before usage you better consult local dietician once and get confirmed. You can use healthy fruits, vegetables etc. which are having equal health benefits and anti oxidant properties as that tea and also surely safe. Before using you go through the material given by manufactures which will clear most of the doubts. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi My 2 year old grandson has some small blister like spots on his hands, legs, upper ear lobes and back. He had a slight temperature this morning at 37.4 but that is back to normal now. He is also slightly off his food and not too happy. Have you any suggestions what this could be? Thanks Concerned Nanan", "output": "Hi... Thank you for consulting in Chat Doctor. Skin and eye conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. But by what you quote this seems like a hand foot mouth disease to me. The kid might require oral anti allergy medications. Kindly see your pediatrician. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a small peice of skin dangling from my uvula, I saw a few months ago but forgot all about it until I was in the shower and sneezed with my mouth closed and then spit out a little blood. So I looked in my mouth with a light, didnt see any blood but I saw the skin tag on my uvula that I forgot about. Is there any concerns with it?", "output": "Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, blood from mouth can be due to periodontal problem, you should consult dentist and go for Scaling and root planning properly. For UCLA skin tag you should consult dentist and go for Oral examination. Do warm saline gargle two - three times a day. Do brushing twice daily and chlorhexidine mouthwash twice daily. Hope this will help you. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter is 41 years old. She became psychotic shortly after having a baby. She remains ill today. She is unable to concentrate, continually laughs and cries intermittently, she opens and closes her left hand continually, she speaks very little and is non-functionable. She lives in a group home and has lost and extreme amount of weight. She smokes small filtered cigars. Please help.", "output": "! Your daughter seem to have post partial psychosis and should see a psychiatrist at least once. Had I been treating her I would go for either olanzapine 5 mg or risperidone 1-2 mg along with Mizoram in daytime? sometimes when patient is very disturbed one may go for giving injectable antipsychotic, one - two shots, this helps in early recovery (like: olanzapine 5 mg Intramuscular). The most common side effect of Chat Doctor. The repeated hand movements are just part of psychosis and should not be worried about much, will get sorted out on its own with " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I been having a lot of pain in my right side it s a knot where I had my C-section at right under we re I was cut has that knot it s getting bigger and hurts a lot sometimes it get real hot and it really hurts when I have my . To where I can t move also I have a lot of Stomach pain to where I can t eat or drink anything I can t lay on it it feel let its Ripping it burns to what Could it be", "output": "HI, Luke,Dear, Thanks for the query to Chat Doctor.1-I have studied your query in depth.2-DEar,IN my opinion, the lump in right side C-section cut, which is getting bigger and painful causing severe-restlessness the ,is due to the Ventral herniation from the C-section cut.3-I would advise Urgent Surgeon Consultation to treat it.4-Treatment -would be -Release of the adhesions obstructing repeated incarceration of the herniated bowels, and repair of the defect in the C-section cut on rt side(rt para median -C-Section Incisional hernia).5-Hope this would solve your query to your satisfaction.6-Wellcome for more queries to me On Chat Doctor.7-Thnks once again for your inquisitive query. Have a Good Day.!!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have experienced severe pain in the left shoulder and persistent strain of the voice for 8 months, I also suffer from periods of light headedness. Ent doctors have found nothing apart from thyroid nodules which were benign. I am trying to push for an MRI scan but doctors are now insinuating this is in my head. This pain is ruining my life", "output": "Dear Patient, lets look at your symptomsShoulder pain left= severeStrain of voice= thyroid ruled out, ENT surgeon has already seen you. Light headdress=Now none of these symptoms have coherence with each other, and this is the reason that they say it's in your head. I feel you need to take analgesics if you feel pain, and see how much relief you get from it. Also take a lot of fluids, and regular exercise. The most important part is to come out of disease psyche. Hope that helpsThanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Sir,My Sperm count is 30%Total Motility is 50%Sperm Motility is Like - Grade I - 30%Grade II - 30%Grade III - 20%Grade IV - 20%Sperm Morphology is - Normal % Abnormal 10% and Dead 60%Pus Cells - 8-10so can you please tell me about my report is it normal or not if no so can u suggest me Which treatment can i do?", "output": "Hi, I think your sperm motility is on lower side. Get a semen culture and sensitivity test done to see if there is any infection. Take some antioxidants and vitamin supplements for 3 months. You can repeat a semen analysis after one month with 3 to 5 days of abstinence. You can try naturally for a pregnancy if your wife has no fertility issues. Be in contact with your wife every 2 to 3 days after her periods stop. If it doesn't work, you can go for GUI. Talk to your doctor regarding this. Hope it helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I get a lot of belching after having my food and feels as though my stomach is full around 2 to 3 months. night times I dont feel hungry much. i do smoke, but alcohol once in a month, not much. And I dont do exercise, this has resulted in a big tummy. Some days back I was taking, but have stopped it now, some medication before breakfast, I dont know the name of it", "output": "With your complaints, I can think of a common problem called acute gastritis with reflux disease which can be confirmed with physical examination and few tests. The causes are overweight, smoking, irregular diet too many beverages. So please cut down your smoking and no beverages for some time. Take regular bland diet without many spices. Cut down the smoking to 2 per day. No beverages for one month no milk products like cheese chocolates, ice creams. Put two pillows while sleeping take only lite dinner. You should see the change in 15 days." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "11 years ago I was diagnosed with acute hepatitis b. I haven t seen a doctor since due to losing my health insurance. I m suffering severe symptoms, yellowing of the skin and eyes, severe fatigue, abdominal pain, ect... I m unable to hold a job because of my symptoms. I need medical treatment immediately but I have VERY limited funds. So my question is.. what are the proper steps for getting the treatment I so desperately need with limited funds? I m 34 years old", "output": "Welcome at Chat Doctor I have gone through your and being your physician I completely understand your health concerns. For how long you're suffering from it? Any other associated problem? Like diabetes or hypertension? You are just 34 yrs old, if a treatment I started in time there are pretty chances that u get cure from it without getting scarring of liver. All u need is to meet GASTROENTEROLOGIST or HEPATOLOGIST so that u can be managed properly. If I am your attending physician I would get your Lots along with He antigen plus HBV PCR so that exact status of the disease can be sorted out. Meanwhile stay calm and continue with your routine chores get well soon Hope your query is adequately ad Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m a 54 year old male. Nonsmoker fairly healthy with no family history of heart problems. Here lately I periodically get this stinging pain around the area of the heart. It last about a minute or two. I can breath fine not sweating and no light headed. Was wondering if this is signs of a heart attack or something I need to have looked at immediately", "output": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you should get done ECG and 2d echo to rule out heart diseases. If these reports are normal then no need to worry about heart diseases. Sometimes stress and anxiety can also cause similar symptoms. So avoid stress and tension, be relaxed and calm. Don't worry, you will be alright but first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I had chlamydia once last august and got tested positive the first time. Took medication and tested again but results came back positive. So took medication again and tested myself. Results came back negative. But after about 2 months got a pain in my left testicle and went into the clinic. They tested me again for sti/std s and said results came back negative . They said it could have been a bacterial infection that caused the pain in my testes. Now its been almost a year since all this happened but I am just worried if I should test myself again and not able to get peace of my kind. Any suggestion? Do you think I might have contracted other sti or std?", "output": "Hi, Thanks for writing in. Chlamydia causes inflammation of the epididymis, a structure inside the scrotum (sack that holds the testicles) attached to the backside of the testis (testicles). Signs and symptoms include red, swollen and warm scrotum, testicle pain and tenderness which is usually on one side, painful urination, frequent urination, painful ejaculation, painful intercourse before ejaculation, lump in testicle, swollen inguinal nodes (lymph nodes in the groin), discharge from penis, and blood in the semen. If you have taken treatment and do not have any of the symptoms then there is no need to worry or get checked further. However, if you have any of the symptoms then additional check and treatments might be required." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have Gallbladder stone of 8.2 mm size. Is ti possible to remove the stone without removing the gallbladder itself. I am 50 years old. In case i remove Gallbladder, will there be any problem in future like life style changes, food habits, etc.. Kindly advise me.", "output": "Hello Findings suggests a large gall bladder calculus. Medicines are usually not helpful in gall badder calculus. You should go for definitive treatment of gall bladder calculus. Definitive treatment of gall bladder calculus is surgical removal of gall bladder(cholecystectomy). Gall bladder calculus is prone to infection and obstruction, so it is advised to get rid of calculus early. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "im a 16 year old girl and about 7 months ago i started having problems with sweating. i had never even thought about it before because it had never been a problem for me, but suddenly i started getting a bit of wetness under my arms and smelling. i started using a stronger antiperspirant deodorant which mostly controlled the wetness but not the smell. whenever i have read online about people with sweating problems they have talked about being absolutely soaked in sweat, but mine isnt like that, ive never had sweat patches. it is just as if iv forgotten to put deodorant on. is it possible my body has just stopped responding to a chemical in the deodorants? this started about the same time i started getting a new treatment for my crohns disease called infliximab. is it possible my body could be reacting to this drug? it has been making me feel so low and i just feel like theres no answers out there. please help me get my old life back", "output": "Hi User! It may be considered normal for one to have sweating in the armpit area to the extent that it makes the cloth over the area wet. It is the area where the concentration of sweat glands are higher than the other regions in the body. One may try any good ANTIPERSPIRANT OR DEODORANT, DECREASING THE WATER INTAKE FEW HOURS BEFORE THE TIME THAT CONCERNS YOU OF SWEATING keeping in mind that the overall water intake shouldn't be decreased in a day as that may cause lethargy and deny Chat Doctor. Infliximab is usually not known to cause the side effect of excessive sweating from the armpit. The sweating may have increased in last few months as at around the age of 15 or 16 years various organs matures completely. I believe it may be considered normal and adjusting with in various ways may be ideal. Many may come across this problem, and it may be considered normal if no other complaints are associated." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi sir/madam i got married since 10 months and my problem is after 2 months of my marriage i got severe stomach pain & mensural periods again starts after 8th day of my normal periods and bleedind continues to 2 months .now i have normal periods.not yet conceived.my husband s sperm count is 35 million.is any problem in that? and i suffered from the lower abdominal pain before 1 week of mensural periods start. what is the reason of my problems.", "output": "Hello Jose , this is not actually your time to think about infertility, you are just count as newly married couple, don't get impatient about this matter now at present your periods are normal and one thing which I must tell you that your husband sperm count is also absolutely normal, the reason behind may be your timing of intercourse is not right, my advice to you is first you should calculate that you menstrual cycle is of how many days?than for example if it is of 28 days then you should do intercourse starting from 12th day to 16th day after your periods at least once in 24 hrs, then only you should aspect for positive result, best of luck take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I ma 23 year old , my question is that I got my period last month on the 18 and it ended on the 22 couple days later I started feeling light cramps on my abdominal , bloating . this month Jan I got my period on the 14 and this one stopped on the 21 it was not heavy , normal the first 3 days and after iit was just spotting and light pink on tissue paper , and also with cramping . I am sexually active with my boyfriend of 7 years we do have two kids 5 and 2. I did take a pregnancy test about 2 weeks ago and it came out negative.. Any suggestions on what it can be ?...", "output": "Hi. Thanks for your query. The obvious reason for the abdominal cramps with the history related to the menstrual periods and negative pregnancy tests may be related to the intestinal infection or may be PID, pelvic inflammatory disease. I would advise you the following:Get an opinion of a Gynecologist for any internal examination is needed, Get an ultrasonography done, if everything is normal, get a 5-day course of an antibiotic and metronidazole, and you would be fine." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I ve been told I have a calcium deposit on my rib - I had a mammogram as thought it was a lump on my breast. Recently I have felt quite short of breath and think I may have asthma or just suffering from hay fever. Also sometimes when I have a sharp intake of breath it sounds like there s a noise from the lump??", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. By your history and description, possibility of bronchitis is more. Asthma is allergic disease, and mostly it is seen from long time like since childhood. You are having recent onset breathlessness, so possibility of asthma is less and possibility of bronchitis is more. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). You may need inhaled bronchodilators and inhaled corticosteroid (ICS). So better to first diagnose yourself and then start appropriate treatment. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a CT scan done due to RUQ pain. It was found that there is a mass on my spleen measuring 3X5 cm. the etiology was underterminate. stated solid mass of homogeneous. also found a mass on liver measuring 6x6x8 cm called FNH.I was sent to a surgeon who then asked for an U/S of spleen and liver. also was sent for hepatatic profile, serum tumor maerkers blood tets, cbc, and SMA12. Is this something to be concerned about", "output": "Hi, dairy have gone through your question. I can understand your concern. You have mass lesion in liver and spleen. It can be benign tumor, primary cancer, metastatic carcinoma, lymphoma or some other mass. So doctor prescribed liver function test and tumor marker to search the cause. If needed for go liver biopsy. It will give you exact idea. Then plan accordingly. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using Chat Doctor. Wish you very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am 41 years old. I exercise regularly. My resting heart rate is 50bpm. I am 5ft 7inches tall. weigh 65 kg. After 35 minute training session on a bike yesterday I felt a sharp pain in lower left abdomen. has continued today but only seems to happen when I am seated or adjust my position when seated. Localised pain above left hip to the left of abdomenal muscle. It is only a fleeting sharp pain but wondered if it is something I should get checked out. I eat a diet of steamed white fish with steamed brocoli and new potatoes every day. Lunch is rice and tuna, every day too. I dont drink alcohol during the week but do enjoy a glass of red, or two on a weekend. I use a heart rate monitor during exercise and noticed yesterday my resting heart rate was 39bpm. normally around the 50bpm mark but dropped to 45 last week. not sure if that is relevant but thought I would mention it. Many thanks David", "output": "Hi David. Thanks for your query. Read the history and understood your problem. Sharp pain in the left lower abdomen, more so if in seated position or on adjustment of position in the chair, localized pain above the left hip to left abdominal muscles indicates that you should get this checked by a Doctor, preferably a Surgeon. Such type of pain can be a local problem of the muscles or a compression of the spinal cord by disc and causing the neurological referred pain. I would advise you the following:Examination by a Surgeon MRI of the spineOpinion of a PhysiotherapistFurther treatment as per the clinical examination and the reports. The cardiac problem, slow heart beats must be checked by the Cardiologist and investigated further for opinion and treatment," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i had 2 cycles under clomid no body response then took femara 2.5 mg still no body response until took another cycle under femara 5 mg then had a follicle scan last april 30, 2013. One mature follicle size 1.8 cm by 1.9 cm, is there a possible way to get pregnant? I am PCOS and also taking progynova (5 days) for my endometrium. Taking also metformin and diamicron and folart....", "output": "HELL OIT IS A Favorable FINDING THAT YOUR ULTRASOUND STUDY HAS SHOWN A FOLLICLE SIZE OF 1.8*1.9CM. IT MEANS YOU HAVE A DOMINANT FOLLICLE OF APPROPRIATE SIZE AND YOU ARE LIKELY TO OVULATE IN THIS CYCLE.YOU CAN BE GIVEN AN INJECTION AT THIS TIME FOR A CONFIRMED AND TIMELY OVULATION FOR WHICH YOU CAN CONSULT ORGAN DOCTOR. CONTINUING FOLLICULAR STUDY, URINARY LH KIT CAN PREDICT OVULATION. TIMED INTERCOURSE ON THE DAY AND DAY AFTER OVULATION IS LIKELY TO GIVE POSITIVE RESULTS. GOOD LUCK." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello my name is xxxx am 32 years old am 5ft 8 inches tall and weigh 64 kg. Last year i was diagonised with asthma condition and been on treatment being injected using diprofos, but i dont experience any change and the injections are becoming frequent almost weekly,my doctor assured me that i will feel better but am becoming worse, these days i cough throughout the night, what could be the problem?", "output": "HelloNaturopathic and yoga treatments will be very effective to treat your asthma problem. Nature cure treatment like hot immersion bath, hot spinal bath hot foot bath before you go to bed for 15 min, asthma bath will give you good blood circulation to your lungs. Learn the yoga techniques like Surya mascara, bujangasana, Alabaman, pachimotanasana, padhastasana, area charabanc Ujjain Panama. And learn stress management techniques in yoga. Experience these treatments cure your asthma completely. Take care. Chat Doctor. ," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i injured both my shins just over 4 weeks ago i have very bad bruising and it was painful when i walked, the bruising has gone now but its still painful and i have a lump on my shin and wghat feels like some dents what could this be and should i be concerned?", "output": "Welcome to Chat Doctor. 1. The possible cause of painful lump in a previously injured site - the possible cause infective collection.2. In this case it needs to be examined and an ultrasound to assess any vascular involvement and blood supply and nature of lump, its extensions.3. The treatment in this case will be a small incision and Chat Doctor. 4. As a remedy do not squeeze or press, scratch the lump as it can further complicate, clean the area with antiseptic liquid.5. Sugget to get in touch with your GP, get examined and treated accordingly. Good luck. Hope I have answered your query,anything to ask do not hesitate to ask.http://doctor.ChatDoctor .com/doctors/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son has had a rash from head to toe for the last six months and was recently diagnosed with Gianotti crosti. Nothing is working and his skin looks horrible and he is constantly itching. Is it normal for this to last this long and be all over EVERYWHERE? Are there any homeopathic remedies for this?", "output": "Hi Dear, Understanding your concern. As per your query you have symptoms of constant itchy rashes on body which seems to be due to contact dermatitis, side effects of medications, sunlight, eczema and psoriasis. Need not worry. I would suggest you to maintain proper personal hygiene and take Zyrtec one a day. You should apply cold compresses to reduce the itchiness and inflammation. Consult dermatologist for proper examination. Doctor may order skin patch test, blood test, test for allergy and physical examination and may prescribe corticosteroid ointment, anti-inflammatory medications and immunosuppressants. Hope your concern has been resolved. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello,I am 28 yrs old,my height is 5.1 and weight is 60.5kg.I am suffering from irregular periods and so i consulted a gynac .She suggested me to go for an hormonal test.The test showed my LH level as 16.42mlU/ml,which is high as per my doctors knowledge.She had given me dimet 500 and asked to take it twice a day and also asked me to reduce my weight.I want to know whether my hormonal problem will be solved and can i conceive without any complications?", "output": "Hi, your problem can be solved through medicines. You can have a normal pregnancy. For that, you will have to take some medicines apart from diet. You can take some medicines for growth of your eggs like camphene. You can keep a track of your follicles growth and be in contact with your husband every 2 to 3 days after your periods stop. It will increase chances of your pregnancy. You may need an injection for rupturing the follicles. Hope I have answered your question. If you have any other query I will be happy to help. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 33 wks pregnant with my second child (14 years apart). I walked into the hospital at 9 cm dilated and had no idea I was even in labor (I felt damp in my underpants and was curious since it was not a show) when I had him. I have been getting extreme hot flashes with a lot of tighting in the belly. Come to find out, I am 2 cm dilated, 60% effaced, baby went from a -3 to a -2 in a day....two days ago they gave me a shot to stop the contractions - which I found out it was the tighting that were contractions. since that time, I have had two spells of what seems to be heart palvations, fever and flushed. I am still have contractions, but I only know that because I am now aware of what they are. Should I be worred? 4 days before my appointment, I had the same type of feeling. I did not know I was in preterm labor until my appointment (and the doctor found all that out).", "output": "Hi there, To be in a preterm labor is a scary situation. Do not worry, even if you into labor at 33 weeks the chances of the survival of the baby are very good. The doctors must be trying to delay labor till 34 weeks as that is what we consider to be an important milestone. Babies born after 34 weeks have as good a prognosis as those born at full term. The medications given to you to stop the contractions can sometimes cause the palpitations and flushing and if these symptoms are troubling you, you should not take further doses of that Chat Doctor. They must have also given you a shot of steroid called dexamethasone this is for lung development of the baby and so that the baby does not have any breathing problems once delivered. Hope this helps. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have MS but also a compressed disc or two in my back. Lately, I have been unable to maintain walking long distances and sometimes my upper body is hard to maintain. My posture is off and I walk with a limp. It feels like one leg is longer sometimes. Can I exercise to improve my walking?", "output": "Hello, It looks that resent problem is not due to prolapsed disc. This looks to be due to MS. I hope you are well aware about medicines which are used in MS, Your doctor is best judge to prescribe them in best doses. You may do exercises and take help of a physical therapist to improve your gait as well as strength of muscles. You may also use some muscle relaxant medicines on prescription from your doctor. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here... I have small pea sized lumps under my armpits that come and go. I use prescription antiperspirant every once in a while. It tends to correlate to when I am getting ready to start my period. They are not painful unless I press on them. Usually just a little sore. I am a 42 year old female", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have recurring small lumps in arm pit which could be due to enlarged axillary lymph node. It could be due to sebaceous cysts which got infected. Need not worry. I would suggest you to take proper course of antibiotic such as Amoxicillin along with analgesic medication such as paracetamol. Maintain proper hygiene in that area. Apply roll on antiperspirants. You should visit general surgeon once and get it examined. Yous should go for fine needle aspiration cytology or biopsy of that lump. Start treatment after exact diagnosis. You can go for incision and Chat Doctor. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter got hit by a girl s shoulder in her jaw area during a soccer game (so hard impact) on Saturday. She is having pain when she opens jaw, when she eats & it aches pretty much all the time. I had her ice it when we got home, but have switched to moist heat treatment and ibuprofene. Is there anything else to do to ease her pain?", "output": "Welcome to the Chat Doctor. For pain relief she can try the following:1. Give rest to jaw. Take soft diet or liquid diet for the time being.2. Apply cold compresses such as ice application.3. Use Chat Doctor. 4. Apply local ointment like diclofenac gel for pain relief. If still the pain is excruciating and not getting relieved, consult an orthopedic surgeon to rule out any bone fracture. For further questions, do contact us." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My aunts age is 50 yrs. approx. and as per Doctors, her both kidneys have damaged 90%. We want kidney transplant. Can you suggest if there is any donor bank for this.", "output": "I can understand your concern, but there is no such thing existing as it is not possible to preserve the kidney beyond a certain point. Secondly the answer lies with you as the best donors are the close relatives of the patient.Their are other options like exchange/swap donation, cadaver donation, so do not get disheartened & make all out efforts for the options mentioned. Lastly a word of strong caution for you to not fall in a trap to get a kidney on sale or other such advertisements. Best Of Luck" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi just before i fall asleep or trying to falling asleep i feel like my heart is going to stop beating and i cant breath properly! Sometimes i actually fall asleep but wake up terrified cause i think my heart has stopped beating! Can this be anything serious??? Thank you in advance", "output": "I read your question carefully, and I understand your concern. Judging from that description I would say that a heart issue is very unlikely. One doesn't actually understand if heart has stopped beating, if it did, there would be lack of blood flow to the brain which would cause lead to dizziness or fainting. I guess if one wanted to explore the issue to the end an EKG and perhaps a 24 hour Holder EKG (where you carry a device monitoring heart rhythm for 24 hours) may be done.However, I believe the symptoms are most likely due to anxiety, which can often manifest this way, so nothing serious. I hope to have been of help." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my name is frank chiedozie I am having this pain in my chest area, it a sharp pain, looks like someone is pinching me with a needle. its on and off. Secondly,i perceive the odour of blood from my gullet, I have gone for ECG but was diagnose of AV Block 1,but the pain have refused to go despite taking pain killers.", "output": "Thanks for your question on Chat Doctor. Since you are having first degree AV block, your pain can be due to cardiac cause. So get done 2d echo to rule out cardiac cause. If this is normal then get done vitamin B 12 level as needle pricking pain can be seen in B 12 deficiencies. If deficit then supplement should be started. If B 12 is normal then mostly you have anxiety related needle pricking pain. So avoid stress and anxiety." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I m sasi.my baby is now 23mnths old.now she was not intrstd to take fud evrythng I has to gve forcely.I came to my hometown frm dat time onwards she refuses.i m gvng her cow milk.she plays very well bt main pblm is dat she was not eating properly.so what can I do", "output": "Hi... Thank you for consulting in Chat Doctor. I take this opportunity to tell you certain scientific facts and relieve your distress - At her age interest in play increases and interest in food decreases. This is quite natural. If she is active and playing around you need not worry. This age rather than the quantity of the food I suggest you concentrate more on the number of times you feed her and also make whatever you feed him calorie dense by adding good amount of ghee to it. PLEASE DO NOT GIVE ANY SO-CALLED APPETITE STIMULANTS AS THEY ARE NOT VERY SCIENTIFICALLY PROVEN AND THEY HAVE THE SIDE EFFECT OF EXCESSIVE Chat Doctor. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Yes my grandchildren were around a child that might have MRSA. This happened today. We aren t sure if we should be alarmed, because we didn t know about it until my daughter took the child home. We also have a 3mo. old here at the house,so we really need to know if we need to take them to a doctor?", "output": "Thank you for using Chat Doctor .it would depend on if any one of you develop symptoms. If you have a strong immune system, you probably won't develop anything. But if you develop any symptom after contact (fever, cough, etc.), better consult with your doctor and don't forget to tell them about the MRSA to give you the proper medication. Sincerely, Mark Rosario MD general pediatric / pediatric Pulmonology" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "had 4 wisdom teeth extracted 2 months ago. At first my lip and chin were numb but after a month a tingling sensation came back. Now it feels like a constant pressure and burning and when i smile it feels like something breaking and now these vein like things are standing out in my lip. What is going on?", "output": "Thanks for your query, I have gone through your query. The numbness or tingling sensation could be because of the injury to the inferior alveolar nerve while surgically removing wisdom teeth which are deep-seated close to the nerve. Nothing to worry the sensation is recovering. If I am your treating doctor I would have treated you with nerve regenerating Chat Doctor. Be careful when you consume hot and cold things because your lip will be numb. If the sensation doe snot turn back visit your dental surgeon. I hope my answer will help you. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have a calf/ankle nerve ache that has been with me for almost a year. It is worse in the mornings and normally eases during the afternoon. Have had cortisone injection in my back and there was no change. Any ideas? Gets to the point some days that I need to sit down to try and get some relief and I am getting very frustrated as I tend not to do things either due to the pain or in fear that it will create pain. Cheers, Tim", "output": "Hello, the pain in your ankle or calf could be due to posture (long-standing), or eve if you are obese in your stature could cause u pain, or if there is calcium deficiency can cause pain, or if there is any history of sprain or injury. Also if the pain is worse on waking up in morning, advise you to start with calcium supplements under an expert advise. Hot fomentation of legs, slight elevation of legs while sleeping at night, sitting cross-legged while having your meals, and few mild exercises may help u. Take care. For further queries contact aashirwadhomoeopathyclinic@gmail.com" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my grandson was falling out of his chair. I reached out and grabbed him, and felt bad pain in my left shoulder. now, if I try to lift even a small object by lifting it laterally, I can only lift it to a horizontal position. I can lift it straight out I front of me all the way up, but not to the side. while it does cause discomfort, that is not what prevents me fromlicting it, ijust cant do it. any thoughts", "output": "Dear user, do not worry about shoulder pain for your grandson.at home just ask him to apply any pain reliving ointment or diclofenac gel for 15 - 20 mins. Must cover the area applied by gel. After 20 mins gently massage it with warm water which relives pain. Then some shoulder exercise like, lifting hand full up and down, lifting hand straight over the head from side direction. Standing near the wall and make hand lift gently with the support of fingers. All these exercises can be done 10 times twice a day for a week. If you think still no improvement then take him to physiotherapist for ultrasonic therapy." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my son had 6 wisdom teeth removed and his 2 eye teeth exposed - the left one was under a lot of bone - they forgot a tool at their other office and so he woke up during the surgery, he has had headaches since the surgery that are worse with light and sound. today the oral surgeon said that there was some inflamed tissue on the left eye tooth site and is going to flush the area - but doesnt think that is the reason for the headaches, no nausua", "output": "Thanks for contacting Chat Doctor. You mention that you have headache after removal of wisdom tooth that may be because of over strain of muscle during treatment. Some portion of tooth remain in bone lead to this type of problems. Take one x-ray to recheck any tooth portion still present or not. More amount of bone cutting also lead to swelling and muscle strain. You are not mention which wisdom tooth removed maxillary or mandible. In lower jaw means mandible wisdom tooth removed than changes of Chat Doctor. In " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor.. m very depressed and feel lonely and rejected... not professionally but in personal life... m single n never been into any relation so my prob is all related to family and friend... i feel like crying the whole day.. but i do at night or sometimes in the evening too... is so much of crying not good for health?", "output": "Hello The symptoms like feeling lonely, depressed mood, feeling of being rejected, crying spells etc. are features of some Depressive Disorder. In depression low mood, crying spells, rejection sensitivity, inability to make close relationships are seen. I would advise you to please visit a good Psychiatrist for expert opinion. The symptoms can be treated by medicines as well as by Psychotherapies. Medicines like SSRI, SARI are mainly used in depressive disorders. Cognitive therapy is also a good option in cases of depression. So please visit a good Psychiatrist and take expert opinion. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My d-dimer reads 1.21. I know that this is high. Chest x- ray and CT scan came back normal. I have experienced slight discomfort in my chest such as pressure and shoulder and neck pain for the last 8 weeks now. My MD referred me to a cardiologist. What could possibly be wrong with me? My age is 50 and I live a very healthy lifestyle.", "output": "Thanks for your question on Chat Doctor. In my opinion, no need to worry about this d-dimer report. As it is not too much high. And your chest x-ray and CT scan are normal, so possibility of pulmonary embolism is ruled out. You are referred to cardiologist for pressure in chest. So get done ECG first. If it is also normal than no need to worry as it is mostly due to stresses and anxiety. So avoid stress and be relaxed and keep calm." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i had my ChatDoctor shot is it ok if we had intercourse everyday?is there any chances for me of getting pregnant?even if we had sex everyday because as i read from different stories it should be done every other day can you help please?im 32ys 53kgs,height 54", "output": "HelloChatDoctor (human chorionic gonadotrophin or Chat Doctor) , promotes ovulation. Also promotes the development and maintenance of the corpus luteum & production of progesterone. Chat Doctor is given as I'm/SC (as a shot you received). Now note down the \"TIME OF PEAK\" hours after administration 12-24 hours. Elimination half life 23-35 hours. This means after injection of Chat Doctor peak level 12-24 hours (if sex is done during this period getting of pregnancy is bright). Once ovum liberated it usually survive 48 -72 hours and chance of pregnancy is very much during this period. Hope you understand all things. Sex on every day or on alternate day is not a matter, but release of ovum is important." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, am 27 years old guy, i have some problems from last 3 months, like leaking of semen and pain in my back little and not wait loss but no fat i have in my body, and i feel my legs and biceps are shrinking my cloths are lose now west is loose, and i have consulted to a doctor he gave me some multivitamin capsuls but it does nt work as i want , and because of work i cant eat timely.please help me out", "output": "Degree understand your concerns went through your details. Please understand the basics. You are worried and anxious regarding the semen leaking problem. Semen leakage is a natural process and there is no health issue with that. For body, semen is a waste product and if it is in excess, body throws it out through urine or through nocturnal emission. This semen leakage has nothing to do with back pain, losing weight, sleeplessness, slackening muscles, lack of appetite etc. Your doctor is correct. But more than multi vitamin tablets, you need to have stress and anxiety-free lifestyle and nutritious diet. I suggest you to consult a psychologist for counseling. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had a fever from 101. To 104 since Monday night 10/27. Ended up in the ER Friday when it spiked to. 104.4. Received Iv. Very dehidrated . It back up today around 102 . Alternating tylenol and Motrin every 8 hours .Very sore throat , dry caugh . Told by the ER doctors can not get antibiotics . This is miserable !!! How Long will this last ?!? Should I worry about leukemia ?? Never had fever this high for this long", "output": "HelloSign degree fever may be due to these reasons, these include:1 Malaria, if resistant and not treated. So get in blood for slide for malarial parasite.2 Typhoid fever is common cause of high fever if associated with secondary infection as may be in your case (sore throat). Widal test and serology tests are for confirmation.3 Tuberculosis is another cause of such fever. Particularly fever is long duration and associated with cough.X-ray chest and blood for CBC, ESR are for lab tests beside if sputum present. However, there are so many other causes of high fever, as heat and humidity, secondary infection but don't worry leukemia is most uncommon cause of such fever. So in my opinion consult a primary care physician and get his opinion. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "-decreased articulation/processing -forgetfulness -constant hunger/thirst -frequent urination -blurred vision -hearing loss I am a high school girl and all these are very SUDDEN. I have a doctor s appointment in a few days, but I was just trying to get some generalizations before then. The past couple months I have had a sudden decline in my school work. I was a straight A+ student and now it s down to Bs and A-s. It takes me 2-3 times as long to do my work now. I was also a very articulate person with very good comprehension. Now I have to re-read things over and over. I m having difficulty finding words, using the right words and just making the right sounds. The rest of the symptoms I listed are self-explanatory. Please help me figure this out. Thank you so much!", "output": "Hello! Thank you for asking on Chat Doctor! I read your question and understand your concern. Your symptoms may be related to a metabolic disorder (hypothyroidism, or related to the pituitary gland) or another brain lesion. I recommend consulting with the GP for a careful physical examination and some lab tests : - a complete blood count-blood electrolytes- fasting glucose-thyroid hormone levels, including TSH-cortisol plasma levels, including ACTH - blood and urine osmolarity A brain CT scan or MRI may be necessary to exclude a possible lesion of the pituitary gland or any other intracranial lesion, that may be related to this symptomatology. Hope to have been helpful! Greetings!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi iam 30 yrs.iwant best sex capsule without side effect .i want more power during sex with my wife.when i enter the pennis in her vagina only 1-2 minute later iam discharge and that time my wife want more sex.so please suggest me any oil or pill for more sexual power.", "output": "Hi,This condition is called as Premature Ejaculation (PME), your History is incomplete, You are not mentioned your sexual frequency. Your sexual gap between 2 sexual acts is more than 5 days it is a common problem. If your sexual frequency is normal (> 3-5 times per week), check your Thyroid Hormones Level and Blood Glucose Level. Please complete all these quires, without detail history and proper investigation it is difficult to prescribe medicine." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, about 15 minutes ago, I had a sudden rapid heart beating. It was very loud, and very vibrant. I could feel it in my head and jaw. I quickly ran upstairs and laid on the floor. I had a blackout for a fraction of a second, but the palpitations did not slow down. It lasted for 4-5 minutes and then it jerked to a stop, then it started beating normal again. Now, I am feeling chest pain, suffocation and numbness in my right arm. Right arm feels heavy to lift and type with. Please help. Thanks.", "output": "these symptoms are of ischemic heart disease. Reduced blood supply to heart causes rapid beating heart, and it took 4-5 minutes to subside, pretty long time. Following there is chest pain, so you need to see the doctor in emergency. Get your EKG with cardiac enzymes done and consult the doctor urgently. Few medicines like nitrate, aspirin and cholesterol lowering agents will give you immediate relief." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my daughter who is 9 years was suffring from infection in lower back left side initially dr advised n prescribed antibiotic but in vain now dr is of the the opeion that puss is comming from bones that is why biopsy will be carried out in general anesthesia", "output": "Thanks for consulting at Chat Doctor. Bone or joint infection in child Chat Doctor. This organism can be resistant to antibiotics that's why your daughter did not respond to initial course of antibiotics. Surgical removal of infected part and puss along with culture sensitivity will help in determining the antibiotic to which organism is sensitive. Intravenous antibiotics will be required. Investigations like MRI may be required to find out the exact extent of infection. Most child" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a 23 yr old son who is 6ft.6in tall and weights 275. He played college football for 5 years and just recently graduated. Last year during late summer, he was having difficulty breathing and started with terrible night sweats where he would totally saturate the bed and it was very foul smelling. The Football team doctor ordered a chest X.ray and other tests and then referred him to a Pulmonologist. He was then diagnosed with Cocidiodomycosis following a lung biopsy. He was treated with medication for approx. 4 months and a follow up CT Scan and he was feeling better so the doctor didn t feel he needed the medication any more. The night sweats started back again a few months ago and he went back to see the Pulmonologist, but he was told it was not related to his previous fungal lung infection because more tests came back normal. However, the Pulmonologist did make a notation that he recommended he see an Endochronologist which I was not aware of the notation until just recently. My son is still having night sweats about 2-3/wk and he also has spells of vomiting a couple times a week. Last night he woke up from a deep sleep and said he couldn t breath and then had projectile vomiting for what seemed about 10 minutes. He feels back to his normal self when he is done vomiting. He didn t know what had just happened and didn t remember voimiting all over the bed until he actually saw it. We are so puzzled by all of this. He just moved to Nashville and we are looking at getting him into a physician there to do a thorough work up. My son was also diagnosed with several allergies and acid reflux about 6 years ago. His symptoms were mild and controlled with medication, all of which he quit taking after about a year because he felt better.", "output": "Respected user, thanks for using Chat Doctor.come have evaluated your query thoroughly.* This seems in relation with underlying lung infection , ulcer problem and anxiety induced exacerbation of agony symptoms.* Treatment is multi modality approach - Control of lung condition by expert pulmonologist - Care of acid reflux component with dietary management, lifestyle changes, medications for the same - Management of stress, anxiety levels - Avoidance of smoking or alcohol if doing . Hope this clears your query. Welcome for further assistance. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a LP sept.13 2011 woke the next day with extreme lower back and leg pain (this was my 6th or 7th LP since Dec.2005). I m still having issues. When I called my Doc. his 1st. question to me was are you sure you didn t fall . I went back in on sept.14 for an MRI. I was told that he didn t see anything overtly wrong. He sent me to Physical Therapy,this is my third week (no better) my PT says she doesn t know if she can me. I m not sure what to do next.", "output": "If there is no trauma or no intervertebral disc space reduction seen which exerts pressure on local nerves, other reason may be osteophytes, sometimes not caught radiologically when in cartilaginous stage. If that also not the reason, there is vitiation of Again V\u0101yu - that stays in Coccyges region to lumbar region - going by Ayurveda principles. Basic thing is the same. Theories are explained differently. To my own patients who are sincere to follow, I would recommend Yoga postures to follow those are simple and free of cost. Some deep breathing also helps.Painkillers is no remedy. Rather Ayurveda's Rumply forte tablets and Rumply liniments gentle massage over the region after hot fomentation, have given stable results to many of my patients. These are not painkillers but safe herbal products which strengthen muscles and joints of the area that helps maintain proper gap in IVD spaces and also strengthen nerves. This is holistic approach of Ayurveda. Totally safe. But slow to act because these are not synthesized Chat Doctor. So Yoga and herbals are choicest for you if you like to get permanent relief. Some Ayurveda doctor may guide you more on what to eat, what not to eat and other precautions for rapid effect. You may also revert to us through Chat Doctor once you decide to start it. Hope it helps you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I fell on Saturday. I thought I was ok. Nothing more than wounded pride and a few scrapes and bruises. It is now Wednesday, my leg is swollen as well as my ankle and foot. My leg is tender in the area of where I hit when I fell. The leg is also warm to the touch.", "output": "Thanks for writing to us, I have studied your case with diligence. As per your history and injury pattern there can be persistent tear if ankle ligament leading to pain and swelling along with minor fracture. Instability may increase due to laxity of ligament. I will advise repeating MRI ankle for soft tissue involvement and any fracture line. Till time, you can continue use supportive splint or brace. Physiotherapy like ultrasound and TENS will help in early healing. Persistent pain after ankle injury is common and may take 6 weeks to heal. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "MY FATHER HAS BEEN IN REMISSION FROM THROAT CANCER FOR THE LAST 2 YEARS HE HAS NOW BEEN LOSING WEIGHT RAPIDLY, HE HAS HAD A SCAN WHICH HAS SHOWN TWO TUMOURS IN HIS GULLET ONE VERY PINK ONE LACKISH LOOKING HE IS AWAITING RESULTS FROM BIOPSY, WOULD YOU SAY THAT THE CANCER HAS NOW SPREAD", "output": "Hi, Thanks for writing in. It is possible that your father has advanced gullet cancer which is causing neck lymph nodes to appear. Lymph nodes are small peanut shaped structures which enlarge during diseases like infection and cancer. It appears that he presently has multiple neck lymph nodes which indicates spread of disease beyond the esophagus. Two years is enough time for a cancer to involve lymph nodes even if the patient is provided recommended treatment and care. If he is losing weight rapidly then a high protein diet is recommended for him. There is a likelihood of the cancer spreading, and it can still be controlled by treating with chemotherapy and radiation therapy." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 69 year old husband has had a persistent cough for about a year. He has had antibiotics, steroid sprays, nasal washes, two visits to the ENT department, where his throat was viewed by camera. We realise now that this cough started sometime around last November after a complicated tooth extraction. He was in the chair for 45 minutes, and the dentist was unable to extract the tooth. He was referred to another dental surgeon who successfully removed the tooth. Could there be a connection with the onset of this cough and the dental extraction.", "output": "Hi welcome to Chat Doctor... Noted you have persistent cough since 1 year.... So here it needs to be investigated. Tooth extraction not directly lead cough. But if chronic bronchitis is present then cough can be persistent.... Here as it is since one year, causes like malignancy, chronic bronchitis, chronic obstructive lung disease etc.ruled out... Do sputum examinationChest x-ray Pulmonary function test for further work up. According cause treatment done.... Take care. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "A few days ago I noticed that there were red dots inside and around my belly button...they dont itch but sensitive a little and hurt like its irritated. It also looks like theres a liquid substance inside my belly button...I have used hydrocortisone cream and it helped a little but I am unsure of what to do and I want to know what it is and what I nedd to do to get it to go away", "output": "You seem to have developed infection of the umbilical and surrounding area. You should stop using a topical steroid cream over the affected area. Avoid using any oils or moisturizers over it.Instead, you need to apply a topical antibiotics cream over it. Clean it twice a day with a topical antiseptic solution or with warm saline water. Chat Doctor. You might in addition need a short course of oral antibiotic " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son is 6 1/2 yrs of age.. with little change in weather he gets chest infection and continuous sputum colour varying from white to yellow... hv been advised to give levolin and augmentin..He gets fine within 5-6 days however a little change of weather brings him to same stage... please advise", "output": "Helloas you have explained your child has a little weak immune system thus he develops or catches symptoms too faster than other child Chat Doctor. It is not a serious issue, so please take a deep breath and calm down. Your child have colored sputum BCZ of the inflammatory reaction he undergoes. To build up your immunity you need certain measures:-1. Good hygiene2. Good healthy environment3. Healthy food or diet 4. Probiotics5. Make sure he sleeps well and appropriate6. Donot have stressful environment at home7. Appropriate vitamins and minerals 8. Scheduled vaccinations I am sure he will be doing well. TAKE CARE" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My dad recently had a mild stroke. He is currently in rehab and his blood pressure has become erratic. Too high when laying down and way too low when standing, sitting, moving around. The Doctors continue to adjust his BP medication and it is not effective and they say it is puzzling . What are some of the potential causes of this type of erratic blood pressure?", "output": "And this kind of observation is not mysterious, or it is not unique it happens most of the time especially in people who have very low activity and who have stroke the condition your father has is called postural hypotension it is more common in patients taking BP medications BP is high lying down, and it goes to very low levels when they stand up, and also it cannot cause dizziness, so it is not puzzling but constant check up and adjustment of medications is necessary that doesn't mean the medicines are now working, or the doctor does not understand also what you can do is make sure your father is fully HY Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have just been informed that my husband (diagnosed with CML in 2010) needs a bone marrow biopsy - and was told they are not positive that his CML has not moved from chronic phase to acute phase. What is the treatment for acute CML? They will not tell me over the phone.", "output": "HIT hank for asking to ChatDoctorI really understand your concern, Mam it is very necessary that the case should be diagnosed finally, because the over all treatment depend upon the phase of the disease if it is acute then it is mostly curable with certain prognostic factors keeping in management, chemotherapy being given in two phases, if possible third short can be taken in hand, but the prognosis somehow excellent, have word with your doctor, take care of your husband." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My sister, 67, recently broke her hip. A total hip replacement was done last week. She has been in a rehab in Florida. Very agitated, very anxious to get out, go home, etc. Not using good common sense, nor is her husband. Well, last night she got up to use the bathroom, without calling the nurse, and of course, fell and fractured her femur. Her husband said this morning she is back in the ER, and possible surgery. She is recovering from pneumonia since she is in late stage COPD. She also has osterporosis, with 100% chance of fracture. She had to be on the ventilator during hip replacement surgery. I imagine that would happen today. What do you think her chances of any type of recovery are? She could possibly not live through this. I live in Omaha, NE and they are in Florida. I am very upset over all of this, now I feel numb to this whole thing. Thank you. Betty Thomas", "output": "Hi Betty hope this msg finds u in good health I am quiet touched to see u care so much for your sister being living so apart.1st of all.don't lose hope. Science can do wonders.though it seems difficult. It's definitely not impossible. .done properly with timely management. .she can still recover and walked u need any help.b free to ask me.\u2019m always available for thanks Take care God bless your sister n I pray for her speedy recovery" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had some blood drawn because I have hepatitis C and it showed and alpha feta protein marker in my blood. I went and had a sonogram of my whole mid-section and everything looked fine. I was also told my Hep C is dormant right now. My Dad and sister also have alpha feta protein markers in their blood and none of us have a tumor or cancer. What is your advice on what that could mean if anything?", "output": "Dear Ralph photo protein (AFP) in blood is present in normal persons as well (it has normal upper limit), so, don't worry about AFP detected in blood, as long as its within normal range. As you rightly said that high AFP may be a hint towards liver cancer, for which you have undergone USG/CT abdomen. There may not be any symptoms of HCV if it's not affecting liver. You just have to on regular follow up. So, would affect you to do blood tests liver function tests, complete blood counts-six monthly and USG, AFP, CV RNA (quantitative) once in a year. You would need treatment for HCV, if viral load increases, or it starts affecting liver tests. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir.. I got fix kind of problem over neck and shoulder. I met doctor and I am taking medicine for this. My one side head near to hear back is giving tightness and up normal thinking. I do not feel manliness , pennies enlargement issue due to this one side tight ness. kindly advice me for this problem", "output": "Hello ! I read your question and understand your concern. In my opinion the troubles you have are related to muscular contractions of the scalp muscles and the neck muscles. The main problem may be in the cervical spine, degeneration of the bones or the intervertebral disks, causing irritation of the nearby structures and muscular contractions. I would recommend a cervical X-ray to examine this part of your column for these problems. The headaches and the tightness may also be attributed to psychological stress, to a wrong position of the head and neck during the day etc. The tightness in the head is the typical pattern of Tension type headache. It is a common type of headache, induced by all the factors I mentioned above, and can be treated with antidepressants. Hope to have been helpful! Thank you for using Chat Doctor! Best wishes " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor,iam 27yrs old lady. I am married before 1n1/2yr i got aborted 5mnths back of 6weeks pregneccy with tablet suggested by doctor only becoz spem stoped its growth. Now we are again trying for baby. I am advised to take B-longF and MCBM_69 for 30 days.Is there any chances for me to get pregnant this month. My periods are normal for 30days,this month only i started those tablets..will i sure be pregnant after taking these tablets this month? Is it safe to take these 2tablets at the same time?", "output": "Cellophane you for your query. There are no tablets in this world which can guarantee a pregnancy. B long F and MCBM 69 are supplements that will help you in conceiving, not ensure a pregnancy. You have to evaluate cause of your previous abortion. Genetic causes, uterine abnormalities, infections, autoimmune causes, hormone imbalance - all should be ruled out. Also, for fertility, it is essential to confirm your hormonal status, fallopian tube patency, ovulation status and semen analysis of your partner. Please take these supplements, there is no harm in taking them. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor iam 30 year old married women as a homemaker taking care of 2 childern whose age is boy with mild autism and 11 month old girl baby husdand working for a private concern... I use feel so frustrated and feel so stress and get hurt for silly issues and getting angry lot of time burstout... don t know y what should I do?", "output": "Hi, In your case first there is need to investigate cause of your stress and frustration. Care of Following are possible causes of stress and frustration in your case: -Anxiety and depression: due to stress of looking after 2 kids, specially to one kid having autism.-Poor medical condition: As you delivered just 11 months back, so check your hemoglobin level and take healthy diet.-Adjustment problem: Involve your husband and other family members to care kids. You can meet nearby psychiatrist/psychologist to ascertain cause and treatment according to cause. Till that time take healthy diet, accept your child problem and do morning brisk walk. It will relax you and will reduce stress and frustration to some extent. I hope this information has been both informative and helpful for you. Wish you Good Health. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Thanks. Actually feeling heaviness on my chest left side, drowsiness, short breathing some times and when i answering someone , during talk, i forget the words. Kindly reply me. Always feeling sleepy. When i eat something meals i am feeling these things, and some times some food came out(vomit) then i feel well.So many time Thanks", "output": "Hello dear, thanks for your question on Chat Doctor. In my opinion you are having mostly HERD (gastroesophageal reflux disease). Your symptoms like chest pain, vomiting after meals are more suggestive of HERD. But better to rule out cardiac cause first for your chest pain. So get done ECG. If ECG is normal then HERD is the probable cause in your case. It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms of chest pain and vomiting. So follow these steps for better symptomatic relief. 1. Avoid hot and spicy food. 2. Avoid stress and tension. 3. Avoid large meals, instead take frequent small meals. 4. Start Proton pump inhibitors. 5. Go for walk after meals. 6. Keep 2 - 3 pillows under head in bed to prevent reflux. 7. Lose weight if you are obese. 8. Avoid smoking and alcohol if you have these habits. Don't worry, you will be alright." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "well i went to the doctor to get my implanon out two days ago. he could not find it so he put stitches in and said he would try again next week. since i got back from the spot he dit the incision to my lower arm is tingly and has a numb feelin when u touch it. is that normal?", "output": "Hello, As these feelings are common of tingling and numbness post the closure of the incision and there is no nerve damage done while doing the procedure. Stay relaxed and get the implant removed by the next visit. After implant removal, do simple exercise for regaining the muscle strength to normal levels. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my name is Jarvis and i have been having knee problem for about two years now some of the symptoms of my bad left knee are Pain when straightening, the knee slight pain when walking and i kind of walk funny so i have been told is there any way to correct this bad knee.", "output": "Hello, With respect to the knee, I will recommend you to first take an MRI. Because your knee is giving pain from 2 years and also there are gait changes, which according to you is funny walking then I suspect some soft tissue damage and maybe early degenerative changes. This isn't a good thing to hear as well. Because any injury to the knee if ignored will land into major soft tissue damages and early osteoarthritis of the knee. To avoid the early aging of the knee joint it is advised to take an MRI and treat accordingly, so we can avoid major damages at an early age. For now, I will recommend you to try meeting up a physiotherapist, so you can get the muscles of the lower limb strengthened which may avoid further injury to the internal structures of the knee. In my clinical practice of over 12 years, the early detection of the knee injury with clinical examination and with the help of MRI most cases have avoided early osteoarthritis of the knee. With exercise which are specially designed for knee rehabilitation are implemented and results are as expected. I will request you to take an MRI and take the decision wisely. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am 58 years old. i am 5 10 tall and my weight is 170lbs . i have been diagnosed with dementia i have had two MRI s with no change and they are both ok. I have had an ultrasound on my throat and it was also ok. My next step is to go to my eye doctor who is also an MD, my thinking is I will go to ear, nose,throat doctor next. i am dizzy all the time.", "output": "Hello I have gone through your question and understand your concern. Dementia is clinical diagnosis, and it is defined by progressive loss of cognitive functions ABD memory abilities. I think you underwent several tests before making the diagnosis. The MRI sometimes is associated with brain atrophy in frontal and temporal lobes. It is not clear for me what was the US of the neck for, while I suppose the ENT consult is for the dizziness. If the dizziness was peripheral it is self limiting. Anyway you can benefit from betahystine. Your ENT doctor will provide it for you if he feels you have benefits from this treatment. It does bot interfere with eventual dementia. Hope this answers your question, please feel free for further questions. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor, My name is Dave, i m 25 years old, my height is 5.5 FT, my body weight is 29 KG only,and I m from India. I dont know why i m so skinny. Any person whoever looks at me comments me that I m the live skeleton.I had TB in 1991 and Chickenpox by 1993. My mom and dad tried lots of specialists, and I have had the lots of tonics by last year I went to GYM and there I gained about 3 kgs in 2 months but after 5 months my joins started paining so I quit from Gym. I dont know what to do. Please suggest me what kind of treatment will cure my problems, so that I can look like an average person atleast. Please let me know if any kind of tests I have to do to find out if any kind of virus is living me and that may be the bottleneck. Thanks", "output": "Hi, Welcome to Chat Doctor. You are underweight and need to undergo tests to rule out the reason for this weight loss. Weight loss is very common in chronic infections, any kind of cancers and few viral infections. You have had TB and have you got complete treatment for that? If you have not completed full course of treatment for TB, then you might not gain weight. As far as viral infections are concerned, the most common viral infection associated with weight loss is HIV. But getting infected with HIV is most commonly through unsafe sexual intercourse. If you have had any such episodes, you should get yourself tested for the same. For now, I suggest you get yourself screened for any malignancies and untreated TB. As for your exercise schedule, try starting with low intensity stretches and then later switch to muscle building exercises. Please do not put much stress on your body. Your body needs to get used to exercise. Do not expect sudden results. As for your diet, you need to gradually increase your protein and fat intake. Get in touch with a dietician for proper diet advice. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 63 year old male. My ECG report shows \" synus rhythm with borderline 1st degree A-V block\". My chest xray report shows \"unfolding of arch of aorta noted\". I constantly feel mild chest congestion, no fatigue no pain. My blood pressure is 187/90. Sometimes I experience cramps on the back of my upper thighs. What does this mean? How dangerous is it?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. First degree AV block means there is blockage in conducting impulse from atria and ventricle. This condition is usually benign, not dangerous and not showing any symptoms. But with hypertension, this can cause heart failure. Your blood pressure is not normal. It is very high. So with AV (atrioventricular) block, this can precipitate heart failure. So your chest congestion can be due to early heart failure because of hypertension. So we should first control your hypertension. For this you need to start antihypertensive Chat Doctor. Don't worry, with control of blood pressure, your chest discomfort will improve. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have asthma and got over an upper respiratory infection a couple weeks ago. I have still been having asthma and coughing problems. The other weekend, I had an asthma attack, and coughed so hard and so much, that my ribs hurt horribly on the left side. I have been taking 800mg Ibuprofen to quell the pain. A little bit ago I took an Ibuprofen. I have been coughing all night and myVentolin inhaler is not doing the job, so with out thinking, took 2 teaspoons of hydromet syrup that was prescribed to me when I had the respiratory infection. Will I be okay?", "output": "Hi, You are just taking symptomatic treatment rather than actual treatment. You are having upper respiratory infection with asthma for which you can undergo routine blood investigation with sputum tests and X-ray chest to rule out any other pathology and to know whether it is infective or allergic etiology. You should take higher antibiotics (quinolones, cephalosporins, or amaryllis with clavulanic acid) for at least 7 to 10 days with antiallergic antihistamines or mast cell stabilizers or steroids) with NSAIDs on sos' basis. You must consult pulmonologist to take treatment." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m lactose intolerant and wheat gluten sensitive. I ve be exercising a lot, running, and I ve noticed that my circulation in my arms and legs is poor. I wake up with stiffness and some tingling but no pain. Do I need to look into calcium and vitamin d suppliments? Thanks, Kathy", "output": "Hello, Welcome to the magical world of health care, I went through your query, and would want you to go through some tests,1, Nerve conduction test to rule out CTS.2, Doppler or CT Anglo to see the circulation of your limb, If you can get them done and tell me the report maybe I can help you better, moreover if you can find time to see a doctor, his examination may avert unnecessary investigations. I hope my advice would have been useful, in decision-making regarding your treatment, still if you have any clarifications or doubts feel free to contact back. I hope a 5-star rating if you feel guided in your treatment, Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have pain on my lower right side of my abdomen I think above my appendix it has been coming and going for about a week now. sometimes it is sharp pain and I get really bad cramps with it, other times its just a sharp pain that comes and then goes away. it does it a couple times in a row tho. I have had a cist their before, 4 years ago it is no longer their it think. I did just have a baby 8 months ago, but when I went to the doctor everything checked out fine. Cancer also does run in my family. What do you think it could be? it doesnt feel like its a cist that I had before.", "output": "Hi, Welcome to Chat Doctor, I have gone through your history, your pain in abdomen is intermittent colicky it could be possibly due to intestinal or ureteric colic. We must rule out any ovarian cyst or mass. You should test for Complete Blood Count, Stool R&M, Urine R&M, abdominal Sonography. Then if necessary endoscopy upper and colonoscopy. Further, action depend on result of test, and treatment can be planned accordingly. In the meantime anti-spasmodic may be taken on as and when required basis. Please consult a General surgeon and Gynecologist and get detail examination. Take care Good Luck Chat Doctor. D." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi Dr, i had IUI on 08th may 2011, but after 2 days i had cramps at night and in the morning i got a red brown spotting, no spotting thereafter, kindly advice as am worried, and why could i have got the spotting. mt", "output": "Hello welcome to Chat Doctor. Spotting does happen in many women after. Do not worry. Do take adequate rest and continue all the medications advised to u by your doc. Hope you are taking progesterone as that will help in supporting the pregnancy. Cramps Amy also occur after GUI or embryo transfer in IVF. But as long as there is no bleeding, and it is not recurrent there is nothing much to worry about. Relax and think positive." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi,I am 29 yr old male with height 5ft10inch and weight 210 pound. I have just started doing cardio exercise, basically elliptical, 30 min per day. But while doing workout I have noticed that my pulse rate remain constant @ 168-170 throughout this period.Is it healthy to continue exercise even at this high pulse rate? is it -ve for my heart?", "output": "Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern, but you should not worry. I will try to explain you something. When a person exercises we expect his heart rate to rise up to 220 minus his age. So, you are 29\u00a0years old. We expect that your maximal heart rate might go up to 220-29, so 191 beats for minute. This is you maximal heart rate, according to your age. Having high frequencies when your exercise is quite normal. Doing regular exercises will help your heart to slowly adapt and after some times you will have slower heart rates. So, I must tell that you have nothing to worry about. I encourage you to keep doing regular exercising because it improves your general health. Wish I was helpful. Best regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir I am 54 working men last 20 year enjoy with wife sex life now erection not getting proper strength one doctor advise thrippil tablet and andriol testocaps blood tested and urine also I am good health no sugar pressuer under 90-146 using one tab covance last 9 months. sir what is my problem what is my solution or continue these medicine life time?", "output": "HIT hank for asking to ChatDoctorNo need to take any medicine unless you have some pathological problem which causes erectile dysfunctions, otherwise do not take any medicine for erection, the impulses of erection in fact comes from the cerebral cortex and this area depends upon the stimuli like visual, hearing, touch, more over age also plays the greater role, hope this information helps you, take care and enjoy the life." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "After shocking our pool and a strong smell of bleach I ended up few hours later with a headache, very sick to my stomach with burning in chest and stomach. Now throats red with small what looks like brns in the back and also inside of nose is very raw. All I did was stand out by the pool as he was ading the shock. had no close contact", "output": "Hi, you have after shocking our pool, with strong smell of bleach two hours latter headache, sick stomach, burning chest, and stomach, throat and nose are raw. It is the chemical erosion of the systems. I advise you to gargle with salt water, Chat Doctor. I advise to my patients in such condition omeprazole, and antacid gel for relief. If you are still not comfortable consult a doctor for treatment. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 14 monthed baby have some alergies in her neck. Shegot irritated all the day. All the tymseems that she had a cough. But like dry cough she sounds hmm hmmmmhmmm like. Dont understand what is that. Is that any medicns side effect?. Before smtym doctr suggested to give her azithromycin. Wht is the cure. Please help me Pooja saini", "output": "Hi... Thank you for consulting in Chat Doctor. Cough and cold are viral 95% of the times in child Chat Doctor. For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15\u00a0mg/kg/dose (max ceiling dose 500\u00a0mg) every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. For cold, you can use Cetirizine at 0.25\u00a0mg/kg/dose every 12 hourly for 3 days. For nasal block, plain saline nasal " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a pain on my left hip bone (high up, not by my leg joint) that feels like a bruise. It s been there for months now. If I roll over on that side in bed it hurts but if I m on my right side and try to feel the bruised area, sometimes I can t even find it. A chiropractor thinks it may be bursitis. What can be done for that?", "output": "Dear Sir/Madam have gone through your query and read your symptoms. In my opinion, this type of pain could be due to hip arthritis, or avascular necrosis, but in both this conditions, pain is felt deep and is associated with stiffness in morning, in bursitis, the pain is more towards the outer side, and lack of stiffness, getting an x-ray done will help more in diagnosis hope that answers your query. If you want any more clarification, contact me back." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a semen test done and found all results normal except my sperm had a 99 percent abnormal morphology! What can I do to fix this? I know diet and staying away from drugs and alchohol is a must but there must be something else causing this to happen.", "output": "Hi, If I were your treating Doctor for this case of abnormal sperm morphology, I would like to consider your problem with male hormones, testicular micro-environment, nutritional status, radiation, toxicity and germ cell / chromosomal defects... So I think you need another panel of tests for a definitive line of treatment! Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello DoctorMy mother has stone of size 5mm in gallbladder and she has asthma too. I want to be remove gallbladder stone but without open surgery. But In laser operation doctors blow carbon dioxide gas to make intestines visible. But her asthma doctor was telling that this will be harmful for her to take breath and wake up from anesthesia.Please give me any advice to that I can go ahead. My email is - YYYY@YYYY", "output": "Hi, Thanks for using Chat Doctor. There won't be problem in doing laparoscopic surgery if asthma under control and if no recent exacerbation. She can be given spinal anesthesia for surgery. Hope I answered your question. Consult your doctor for further discussion and management. Feel free to ask me if you have any further queries or doubts and I shall be glad to help you out. Wish you good health. Take care. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my 17 year old son had elevated liver enzymes several months ago. We are scheduled to have them rechecked in a few days, but he took Exedrine Migraine 5 days ago (2 pills...the maximum dose). I am wondering if that one day of the Exedrine will effect the liver blood test he is scheduled to take?", "output": "Thanks for asking. EXE Chat Doctor. . ACETAMINOPHEN should be used precariously in everyone with established liver disease after consultation with the doctor. However, one day use, not exceeding the maximum dose, would not affect the liver function significantly. He can undergo routine checkup for liver enzymes . No need to worry at all. Hope i you have got your reply if u have any quarries feel free to ask regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a sharp pain in my lower left lung, around what seems to be the perimeter of the lung. It worsens when I lay down on my left side and I cant exhale without pain erupting. Last fall I was diagnosed with Pericardial Catch Syndrome. But now I think it may be something more.", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. By your history and description, possibility of pleurisy is more. Pleurisy is inflammation of pleura. And it is seen mostly with lung infection. So we need to first rule out lung infection in your case. So get done clinical examination of respiratory system and chest x-ray. You may need antibiotics, antihistamines and anti-inflammatory Chat Doctor. Application of warm water pad on affected areas is also helpful. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi,im 21yrs unmarried woman .i hane complaints of polymenorrhoea{ie 3times in march,}i consulted a gynecologist ,advice USG-it shows hyperplastic endometrium.dr told me to take tab femilon.now im very confuse to take this tab or take ayurveda.please help me through a valuable advice", "output": "**1. Since you consulted specialist for your problem and got diagnosed with specific investigation, thus she must have ruled out other causes of polymenorrhea with suitable examination [per magnum/per spectrum]and investigation [for hormonal disturbances]2. Since proper medical evaluation is sought, thus lifestyle changes such as reduced exercise, stress management, proper weight along with prescribed medicines can be started.PS. There is no specific treatment to stop polymenorrhea. The main treatment is correcting the underlying condition whenever possible. [hyperplastic endometrium in your case]3. Felon [desogesterol and ethinylestradiol] is a low dose oral contraceptive, which apart from preventing pregnancy also helps to regulate your menstrual cycle [menstrual irregularities-polymenorrhea in your case], you should be familiar with some side effects of the Chat Doctor. g. candidiasis), consult your gynecologist to exclude the possibility of any disorder, whether related to the use of Felon.4. In modern aspect: if there is no relief with conservative line of treatment, you need to consult your gynecologist for endometrial curettage & biopsy, if bleeding persists after curettage, hysterectomy is the choice [but since you are in child bearing age [21 yrs, unmarried, ] thus be in regular follow up with your gynecologist to avoid these possibilities.5. In Ayurveda, we treat the disease on the line of Rasta Radar:. Avoid: hot/spicy food, meat,eggs, red chilies, tea,warm milk. Take: old brown rice, amla, pomegranate, cold milk, honey,ghee, pumpkin,moon DAL chichi, black grapes, pears. Take 1 ripe banana with 6gm ghee daily. Prescription medicines which you can take: tablet stepson, Ms tone/forte, pushing churn, lodhra Assam, pat rang Assam, Chan" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Within the past 3 months I started experiencing heart fluttering on an irregular basis maybe a couple of times a week at different times of the day. I was concerned so I went to the AZ Heart Institute for a test and they gave me a calcium score of 104 which is considered moderate. The site was in the lower anterior ventricule. I exercise at least 4 times a week to include cardio work on a machine for roughly 40 minutes trying to keep my heart between 120 and 160. Do i just need to focus more on a healthier lifestyle or be worried at this point? My cholesterol on my last test was 150, triglycerides -111, HDL was 32. All other blood work was normal with exception of Hematocrit which was 39.9. What should I be concerned about?", "output": "His understand from your description that you are experiencing palpitations on and off for the last three months. Palpitations could arise because of certain electrical disturbances in the heart which are termed as arrhythmiaWhen you visited the hospital did they take an ECG? Was it normal? Sometimes certain arrhythmias cannot be detected on an ECG and you might then require a Holder Monitor. As far as your cholesterol is concerned it is well within the normal range. Even your hematocrit is in the normal range and I would not be concerned about it. I do not think you should worry too much at the moment about your calcium score if you are not currently diabetic, hypertensive and doing regular exercise as you do. Your calcium score will not be having any bearing on the fluttering that you are complaining of. If you really are getting disturbed by these palpitations, get yourselves examined by a cardiologist for cardiac arrhythmia so that the exact cause can be identified and treated accordingly. Usually Holder and a physical examination may reveal clues besides ECG. Hope I answered your question" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Doctor please help me I don t know what to do.... We had a sex on 11 October during my periods by using condom and I had taken unwanted 72 but at 18 October some brownish red spotting came out from my vagina and I m feeling pain in my back and I fainted today spotting happen 2-3 days my shoulder is also paining and swollen breast plz doctor help me what should I do is this is the symptoms of pregnancy please doctor help me I m in trouble how to prevent this...??", "output": "Hello, Thanks for trusting us with your health concern. I have gone through your query and would like to offer some information. Firstly, conception cannot happen due to a sexual intercourse during the menstrual period, as this is the safest phase. Secondly, the emergency contraceptive pill has high hormone content and as such may have caused some with Chat Doctor. However, the shoulder pain, history of loss of consciousness and backache need further evaluation. Breast engorgement can be an effect of the hormone. Please get further help from your health care provider. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am getting a metal retainer later on this year and have been told it has a wire along the front and will affect my speech , I am not confortable wearing it to school and will not compromise on that point however I would be able to wear it from when I got home to when I leave in the morning . All together morning-evening its around 16-17 hours a and i was just wondering if that was a long enough period of time to wear it without my teeth moving back ?", "output": "Hello, Thanks for consulting ChatDoctorRead your query as you have metal retainer yes speech is slightly altered in wearing retainer, but I will suggest you to wear your retainer 24 hours that will affect you more in your treatment and moving your teeth back. I will also suggest you to consult your dentist for follow-up visits and maintain proper oral hygiene use chlorhexidine mouthwash regularly. Hope this will help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i got married in 2008 oct. im trying to conceive but im not..i consulted one doctor. she told because of my weight im not getting conceived is that the reason my age is 23 and weight is 65. please do reply.actually wat my question is because of over weight also one cannot get pregnant", "output": "Hi, Thanks for the query. I understand your concern. Overweight could be due to two conditions of hormonal disturbance. Which in turn can lead to menstrual problems/ovulation problems(like pod or thyroid problems) You need to consult a gynecologist for normality of genital tract & endocrinologist to point out or exclude /confirm hormonal irregularity as a cause of lack of conception. Both the problems are treatable & therefore conception is possible after specific treatment. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear doctor My father is diagnosed with uknown primary tumor in the lumph in the stomache. He got the diagnose last year sep. 1. 2010 after beeing sick in pain for 4 month. He was treated with kemo for about 6 month and i shrank, but nok the last time in the month April, so they started giving him a new type of kemo, and we just got the result yesterday that til got 20% bigger that in may, now they say that they have given him the only 2 types of different kemo treetment they have in Denmark, and the only thing they can offer him is to put him up as candidate for an experiment ( not kemo ) Do You have any experience with that type of disease or know anyone in the world that has? Regards Heidi", "output": "Good morning. Your father seems to be suffering from cancer of unknown primary, and he has already taken two lines of chemotherapy. As the disease grows the chances of further chemotherapy working on the tumor become less. As your doctor rightly said, best for your father would be to put him on some experimental therapy. You should go ahead with this trial form of therapy as only this can lead to best results. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi i have been suffering from svere abdominal pain and bloating since our holiday to Greece last August. Could the mosquito bites have anything to do with it?? I have had gastroscopy/colonoscopy and all gynae tests are clear but it is still constant pain/bloating", "output": "Hi. Since you have undergone through all the tests, Malaria due to mosquito bites can be a reason for severe abdominal pain and bloating. This is called Acid Malaria and seem in falciparum type of malaria, Get malaria tests by slide and antigen method, if positive get treated accordingly. Another reasons for bloating and pain can be gastroenteritis, typhoid, anxiety, food and beverage allergy to a particular stuff. Watch for these too. Get a second opinion from other Doctor if need be." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor, Our kid is 18 months old. He is not having food properly except milk. Our doctor prescribed Zincovit Syrup(5ml per day). Please provide your solution. Also, please let us know if we need to give any medicine for intestinal worms or any other worms that may present in his stomach.", "output": "Thank you for posting your question. Low appetite is a common and overrated problem in child Chat Doctor. First of all what needs to be known is whether actually your child does not eat well or is it just that your child does not eat as much as you expect him to. To know this you need to study the weight and height patterns of your child. If he comes in the normal range for his weight and height for age and there has been no dip in the same, you could relax knowing that your child is eating as much as his body needs in order to remain active and healthy. If there has been a fall in his weight or height, then you probably need to do something about it. You could introduce homemade food for your child and make sure it suits his palate. Trial and error would help you know what is it that your child likes to eat. Probably a change in the consistency of the food may make it more comfortable for him to finish his meals. Multivitamin supplements like zirconia it may help as they might have mild appetite stimulating effect along with supplementation of deficient vitamins. Deworming may be done every 6 monthly and a single nighttime dose of " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Have sudden high blood pressure since March 21st this year the high blood pressure medicines has been changed 5 times because it affects my eyesight very badly Went eye doctor last Friday says no findings of damage to eyes from HBP Do have occupintal Pain now as well left side head YYYY@YYYY", "output": "Hello Welcome to Ask a Doctor service. I have reviewed your query and here is my advice. Antihypertensive medicine may not damage the eyesight but hypertension itself can cause this, if this is the symptoms of headache you are having then it has to be rule our for cerebral pathology first as it is the hypertension is there, migraine is the most common condition causes the headache, no specific reasons are there for high blood pressure. Hope I have answered your query, let me know for further assistance." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been taking Cardizem CD 120mg for 4-5 years for frequent PVC s. I do not have angina, no history of MI, no structural abnormalities, normal Echo, normal EKG other than the PVC s. I do have HTN that is well controlled with Fosinopril 20mg qd. I would like to try to discontinue the Cardizem. Is this safe to do?", "output": "Hello! Thank you for asking on Chat Doctor! Regarding this issue, I recommend you to consult with your cardiologist (who prescribed you Cardie), as he knows exactly your prior rhythm profile before starting the Chat Doctor. In judging about an anti-arrhythmic treatment, we have to investigate its effectiveness. So, I would recommend you to perform an ambulatory 24 to 48 hours ECG monitoring, and discuss with your doctor on the results. If you decide together to stop Cardie, then a periodic follow-up, would be necessary to control for any possible arrhythmia events. Hope to have been helpful to you. Greetings! " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been in remission for the past 11 yrs( Non Hodgkins Lymphoma) This last exam showed changes in two of my blood test results. I have gone from yearly exams back to 3 months. They want to re check my bloodwork for changes before ordering a cat scan. I have continued with night sweats off and on the past year I have had profuse sweating even in the day. It seems to happen every time I do anything physical. Should I be worried ?", "output": "Hi, Thanks for writing in, Rarely a lymphoma might return after 11 years, and it is important to detect it early and suppress with treatment. However, it is possible that other conditions might also cause similar symptoms like profuse sweating and tiredness. It will help to know if you recently had an unexplained weight loss or swellings appeared anywhere in your body. I guess your annual blood work done 3 months back shows normal results but doing a repeat test is always recommended. You might also get tested for non cancer conditions like thyroid dysfunction keeping in mind the symptoms. Getting your results reviewed is good. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am suferring ostieoArtharities last 26 years .I have done my treatment in. differerance types of medicines ie Alopathy Homeopathy and Ayurvedic . But get not satisfactory result. My two knees are not fold , the fingers , the elbow , the toe , the cervical & shoulders are effected.Pl give me advice & how can I get the best result for remove the disease. Also send me the price of medicines,", "output": "Hi welcome to Chat Doctor osteoarthritis usually affects the large joint like Knee, the involvement of other joints like elbow, wrist, toes and spine can due to other multiple causes like rheumatoid arthritis, ankylosing spondylitis etc. Before taking any further medicine, go for skeletal survey and blood investigations like RA factor. Consult a good radiologist for X-ray reporting. Always take medicine through proper consultant. Thanking you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My shoulder has been hurting really bad it feels like a knife stabbing in muscle by my shoulder blade and when I do my arm in a windmill motion it makes grinding and popping noises. Sometimes my shoulder catches like it freezes and I have to kind of roll it a different way to move it. What is this?", "output": "Your age please? Possibly you have developed some osteophyte in the shoulder joint. This treatment is being suggested on bases of the information provided. I would like to examine & investigate you in detail. Rule out hypertension, Diabetes or any other metabolic disorder. Any way you may try---. Looking Plus (Mankind) [Diclofenac 100\u00a0mg +Paracetamol 350\u00a0mg] 1 tab. OD & SOS. X 5days.--. Calcified plus (Mankind) 1 tab OD x 10days.(You may need help of your local doctor to get these medicines.)--. Fomentation with warm water.--. Sleep on a hard bed with soft bedding.--. Avoid painful acts & activities.--. Do mild exercises for neck & shoulders. --.(Take help of a physiotherapist or visit WWW. Chat Doctor. Com). - Do not ignore, let it not become beginning of a major problem. Do ask for a detailed treatment plan. If no relief in 2-3 days, contact me again. (phone.xxxix)Kindly make sure, there is no allergy to any of these medicines. (Contact family doctor, if needed). For emergency treatment visit the nearest hospital.-Hope I have answered your question, If you have any further question, I will be happy to help.-Kindly rate the question.-Wish you a quick recovery & good Health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I had recently got bitten by a kitten and started bleeding. We found the kitten abanfoned by its mother, and brought him in the vet to get his shot. After that we came home and fed him food and I put someon my finger for him to lick off and accidentally bit me and I started to bleen! Do I need a doctor?", "output": "HelloWelcome to Chat Doctor, As you were bitten by the kitten following which there was a bleeding in your finger. Cat is also known to transmit rabies, which is 100% fatal, but it is 100% preventable by proper and adequate treatment. For your condition you need to take both antirabies vaccine and antirabies serum. Antirabies vaccine should be taken on days 0, 3, 7, 14 and 28 to shoulder. Antirabies serum should be taken around the wound. In TT should be taken. A course of antibiotic should be taken to prevent secondary bacterial infection. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My neck, chest, across my shoulders and between my shoulder blades are really tight and sore. I have limited motion when I turn my head side to side. And if I move a certain way I have moments of shortness of breath. Is it possible I have a pinched nerve?", "output": "Hello dear, I have gone through your question and understand your concerns. Cervical myeloradiculopathy may cause neck stiffness, decreased mobility. Other causes of stiffness and less mobility may be joint diseases like rheumatoid or ankylosing spondylitis. Some diseases are age related. You should consult a neurologist for proper examination and evaluation. Hope you recover early. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I have an elevated skin like bump on my inner thigh. Soft and round....pimple like. I have had it for 2 years. It grows bigger when irritated, like if I keep touching and pulling on it. Iv never tried to pop it. It s never painful only when irritated then its painful. Every month when I go on my periods it gets irritated from being in contact with the pad.", "output": "Hi ! Good evening. I am Chat Doctor answering your query. From the history, the skin like bump on your inner thigh seems like a papilloma, a benign growth from the skin. Even though it could be harmless, it could grow gradually bigger and due to any kind of chronic irritation, might get infected as well causing more trouble and pain. I would suggest you to get it assessed by a general surgeon, and get it removed by him if advised to avoid further growing up of the lump due to chronic irritation. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband is in severe pain for tooth abscess. He saw the dentist today who prescribed him Hydrocodone-Acetaminophen 7.5-325 tablets. My husband does not take pain-killers unless absolutely necessary. Last time he took pain meds was when he broke his leg/knee in High School. He took one pill at 530pm this evening and at 7pm still didnt feel any reprieve. He took one more after researching that it would be okay to do so. It is now 8pm and he is still in the same amount of pain if not worse. I am truly baffled at this point and unsure if we should pursue the on-call provider for our hospital, or wait longer. Thank you.", "output": "Hello, As he has already taken 2 doses with no relief, so now it is better not to give him any more painkillers without consulting a doctor / Dentist in person. You can consult an Emergency room and get evaluated. A clinical examination can be done and as the pain is severe, an injection of painkiller can be given to reduce pain. Also, as he has an abscess in the tooth, consult an Endodontist and get evaluated. An emergency access opening can be done on a tooth, so that the pus gets Chat Doctor. Once the pain gets reduced, then either Root canal treatment can be completed or if the tooth has gross decay it can be removed. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have both of my wisdom teetChatDoctoring in at the same time on the right side of my mouth. Followed by strain to the right side of my neck (its stiff and sore) Pain level scale from 1-10, I would say a 7. It hurts to swallow liquids in general as well. What over the counter medication should I take? Online is says to mix salt with water and rinse. Along with 20 mins. of ice pack and over the counter ibuprofen.", "output": "Thanks for your query, I have gone through your query. The pain and soreness in the neck could be because of the strain to the neck. Swallowing difficulty and pain in the tooth could be because of the infection in the gums over the wisdom tooth. Consult an oral physician and get a radiograph done to rule the amount of space present for the tooth to erupt if space is there for the tooth to erupt then the gum covering over the wisdom tooth can be removed. If the space is not available then you have to get the wisdom tooth removed. Meanwhile you can take a course of antibiotics like amoxicillin 500\u00a0mg and metronidazole 400\u00a0mg TID for 5 days (if you are not allergic) along with the ibuprofen. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have three thin spegetti type growths on each side of the bottom of my tongue I did not notice them until the one on the right side started being sore... They look like a catfish or something.. I am worried. The are growing in complete symetry to each othe going down under tongue but on bottom of tongue", "output": "Hello, Some various shaped tissue attachments with symmetry may be your normal anatomy. Do you think there was any trauma to your right side such as biting your tongue or eating crusty bread? There are French attachments that secure your tongue in place. There should be an obvious center one under your tongue to compare with the areas you are concerned about. Symmetry is a good sign that this may not be a condition to be alarmed about. Monitor the area and see your dentist for further evaluation. Other conditions could include inflamed, calcified or blocked saliva ducts or blood vessels. An ulcerated area appearing could indicate a viral condition. Rule out an allergic reaction due to food, medication or habits. Consider a change in products used that may trigger a reaction. Rinse with warm salt water and take some anti-inflammatory medication such as acetaminophen or ibuprofen. Avoid irritants such as spicy food, acidic Chat Doctor. Keep well HY" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had mitral valve repair 4 months ago in Cleveland Clinic and having lightheaded and numb fingers from time to time. My Cardiologist thought it might be being dehyradated because pressure kept going down after exam. Felt great for a couple of weeks, today I had another bad eposide.", "output": "There is no obvious link between what you have described and the surgery. The combination of light-headed and fingers numb is most commonly due to anxiety and hyperventilation. After surgery, you may not need the anxiety because chest wall irritation as you breathe sometimes makes you breathe shallow and fast. Next time you have these symptoms, count your breaths in a one-minute period. Keep a record." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My sister , age 30, got kidney failure, (doc describes as ARF). This happened after she delivered baby thru c-section. She has been struggling for more than 7 weeks and has gone thru number of dialysis till date. 1 week ago she shifted to big hospital in Calcuta. what are the chances of getting out of this. If needed I can send the respective doctor a soft copy of the latest report. Please suggest and guide.", "output": "Hi, Thanks for your question. Sorry to know about your sister. ARF means Acute Renal Failure. ARF following C- section may be due to-1) Blood loss or hematoma (blood clot formation).2) Hypotension (low blood pressure).3) Infection.4) Direct injury to ureter.5) Aggravation of pre-existing kidney problem. Chances of recovery from ARF depends on upon-1) Correction of underlying causes.2) Serum urea, creatinine, uric acid, calcium, phosphorus level, arterial blood gas analysis.3) Urine production per hour.4) Level of Blood pressure maintained with or without medicines.5) Signs of fluid overload. After knowing this one can comment on recovery. Over all there is definite chance of complete recovery of kidney function in most of the cases of ARF Hope this helps you. If so do vote as helpful." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi I am trying to concieve for last 1 and a half yr. my reports are all normal and my ovulation test was normal with an endometrium at 9mm thickness. I have a daughter 6 years old and was a caesaerean baby. my fallopian tubes are perfect . active motile sperm count is 20%", "output": "Hi, I think you can take some medicines like camphene for the growth of your follicles and track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles. Be in contact with your husband every 2 to 3 days after your periods stop. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. If total motility (progressive and nonprogressive) is more than 40 percent, there is no problem. Otherwise, you can try GUI. Hope I have answered your question. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Is it wrong that I prefer to be alone than be around people? I am very social, it s easy for me to make friends, I m funny and I like making people smile but if I could, I would go and be somewhere by myself and be perfectly happy. People are a hassle. You have to always say the right thing and it s annoying. I am very good at manipulating situations and getting things to go my way but I prefer not to do that and instead prefer to tell the truth and try to be a good person. But I often have to hold my tongue and resist the urge to be blunt and inconsiderate. I am in high school (almost out), and I love taking risks, the riskier the better but my brain often tells me not to do it, because I know where Point A leads to. Being around people drains me, but I have found it habit to socialize. Does this mean something is wrong with me? I get anxiety attacks when I have to ask people questions but I quickly dismiss it and do it anyways, even though I d rather sit in a question and be alone with my thoughts.", "output": "HiT hanks for using Chat Doctor I think, you have clustered B personality traits and in that case, you should talk to people as much as you want. If you try to restrict you in one area, it could affect you as a human, and you could be suffered. Getting too much social circle is nothing bad, but you should know how to handle it. You should consult a psychologist for proper personality assessment and management. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a son 54 years of age diagnosed with ALS...since there is no real diagnosis for this disease and it has been 3 years.........the doctors say he is doing very well compared to most..his arms are paralyzed, but rest of his body is sound and good....makes us wonder if it could be something else...any thoughts on this would be so very appreciated..but I know this is a difficult one", "output": "Sorry to hear about your son condition. ALS is progressive loss of anterior horn cells. The involvement of bilateral arms without other limb involvement occurs in man in barrel syn Chat Doctor. Other possibilities may be cervical cord lesion probably spring or some rare limb girdle muscular dystrophy or bilateral brachial adenopathy. But if some neurologist had evaluated and made such diagnosis then other possibilities are rarity. You should be in touch with neurologist and physiotherapist for your son. May God bless your son." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I injured my back at work a year ago lifting something heavy. Workmans comp pushed me thru and did not want to take an MRI just xrays. So, for the last year I have been living with pain. Not able to work full time any longer. I had an MRI done last week - these are the results. L2-3 diffuse concentric disc bulge with broad based disc bulging into neural foramina regions bilaterally. Mild left and mod. right neural foramental stenosis. Min. central stenosis. L3-4 broad based disc bulging into the neural foramina bilaterly, super imposed on diffuse concentric disc bulge. Mod right ant mild left neural foraminal stenosis. Min central stenosis. L4-5 Mild diffuse concentric disc bulge. No central stenosis or neural foraminal stenosis, mild degenerative changes about facet joints. L5/S1 small posterior disc protrusion superimposed on diffuse concentric disc bulge. Mild bilateral neural foraminas stenosis. No central stenosis. Multi level degenerative disc disease. I have weakness in right hip and leg, toes are numb and in constent pain. Please help", "output": "Dear patient You have got multiple level disc prolapse which is most significant at l34 and l45 levels. Since your symptoms are for Around one year and not relieved with medication I would recommend epidural escort injection at both symptomatic disc levels. Epidural escort injection helps in relieving chemical neuritis due to disc prolapse and has anti-inflammatory and swelling reducing effects. Since disc is at multiple levels surgery is not a preferred option. You should consult expert spine specialist and ask for epidural injection. It's an old procedure and safe without any significant side effects." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have high blood pressure and was placed on a second medication called metoprolol. I smoke marijuana daily can it cause problems with medication? Iam a 31yr old female with one child 11yrs. I have no other health problems and currently take HCTZ 25mg. It is hard for me to stop my marijuana use any suggestions", "output": "Hello, Marijuana is certainly not good for health, it also increases your BP. So as usual advice it should be stopped. If you are not able to stop it or even otherwise, then you should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. If BP is persistently more than 140/90 MMH, then BP medicine should be increased, and potent medicine should be started like telmisartan. Regular exercises like brisk walking, jogging according your capacity at least 30 min a day and 5 days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity. Get your lipid profile and sugars tested once." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My wife ( 55 years) recently had incision biopsy of soft tissue ( 2 cm x 1 cm app.) from right mandible and has been diagnosed as Non-Hodgkin s Lymphoma , Follicular, Small Cell Type, Low Grade. . The specimen is now undergoing Immunohistological examination and we are waiting for the report. She has no health problem otherwise except only the swelling of right mandible which has now been removed about 24 days back. he mandible is now perfectly normal. Only yesterday a Doctor checked her and found no abnormality in adjacent glands ( may be connected Lymph nodes).Would you please suggest what may be the deaseas andwhat may be the treatment. Can it be a case Follicular Hypwerplasia which is benign ? With regards B.N.Datta, India, e-mail : YYYY@YYYY", "output": "Hello and welcome to Chat Doctor, Non-Hodgkin lymphoma is primary malignancy arising from the lymph nodes. The lymphoma can spread to surrounding soft tissue. Thus, the lymphoma detected in the soft tissue of the mandible is actually the lymphoma arising in the lymph node involving the adjacent soft tissue. The treatment of the lymphoma involving the lymph node as well as the adjacent soft tissue is similar to lymphoma involving the lymph node alone. Involement of other lymphoid tissues at distant sites should also be sought as this involvement determines the stage of the disease. Thanks and take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I want to enquire a small doubt with you, I am married since 3 years ago (2006), but no child till date... We went for a check up and my wife has got a follicular study done and the doctor says it is normal and has no problem with her, and the doctor suggested me to take a semen test in november and found the result as only occasional sperms were found.. so they have asked me to take clome tablet 100mg each day for 3 months and take a semen test at the end of the 3rd month,but i have only continued that tablet only one month and not continued till date, so can i go for a semen test now?What are the ways that my wife can get conceived in this method?The gynaecologist says that we can do IUI method of treatment and that too only if my semen test says if its 40 to 60 millions.....One note to say is that i am working in night shift for the past 5 years and my wife was working in day shift, we thought that this may be the problem and so i asked my wife to resign the job, so now she has also resigned the job...Sir can you please give me your contact address so that i can meet you personally for further advice and consultation so that i can have a child very soon. Please suggest me what can i do....? Expecting a favourable reply from you....", "output": "Hi I understand your concern. From your history it appears that your problem is mainly decrease sperm count, but you did not mention what is the exact number. For treatment part clone tablet has to be taken for 3 months for better results ....you can add on tab Oligocene once a day for your treatment. If you want to go for sperm count analysis after one month also you can go for it, but better results can be visualized after 3 months. As per other methods are concerned you can go for GUI with donor sperms, but that is usually advices in cases of absent sperm or zero sperm count. Your case is not so. I think you have to be patient and give time to both of you ...this treatment will certainly help. As per the direct contact is concerned you can always ask for phone or direct consultation through website where you have posted the query .they can always redirect to me. I hope I have solved your query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,I have a small lump straight behind my ear (where the ear ends and the scull starts) that looks like a part of a vain and it hurts when I touch it. Its been there now for a few days now, didnt change anywhere, but Im still worried because it looks like a swollen vain and hurts. Before the lump appeared, i had problem with the very same ear because it got blocked every now and then without any reason. Im a 19 years old girl, not over-weighted and I do have naturally low blood pressure. I dont have any serious diseases. Thank you for answering.", "output": "HI, Dear,Thanks for the inquisitive query to Chat Doctor.1-I studied your query in depth.2-In my opinion, this lumps behind your ear crease is due to the infected lemonade -secondary to the boil/ or acne in the out ear-which blocked your same ear few days ago.3-I would advise you to check with ENT/ or General Surgeon, who would treat it under antibiotic cover with NSAIDs, if not responding would plan Incision and Chat Doctor. 4-You are therefore advised to consult a Surgeon. Hope this would solve your query .5-Wellcome for more queries to me On Chat Doctor.6-Thnks once again for your inquisitive query. Have a Good Day.!!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have been on mycrogynan 30 for a year and a half. I usually take my pill around 5-6pm every evening but on thursday I didnt take it until 2am friday morning so I was 8hours late, I forgot to take my pill on friday but took it at 1pm on saturday which means it was 11hours late since my last pill. am I still protected?", "output": "Hi, Thanks for posting your question here, I will try to answer it to the best of my abilities. When you miss a pill, you have to take 2 pills in order to cover up for the one you've missed. If you have intercourse before taking two pills, yes you can get pregnant. Contraceptives are an easy form of protection, but they only work if you take them regularly. As such I would say it is better to avoid intercourse until you're taking the pill regularly again, for at least two days in a row. I hope this answered your question." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Thanks Doctor. I am 71 yrs.old. I was prescribed Rozavel F. My cholesterol is 254 mg. After taking this tablet for 10 days I felt weakness in the body. Should I continue this tablet. I think it may be due to some side effects. Please advise me.", "output": "Hi, Suggestive of Rozavel-F induced side effects. Rozavel-F is a combination of rosuvastatin and fenofibrate commonly prescribed the treatment of combined hyperlipidemia (high blood cholesterol and triglycerides). Based on the history you seem to have developed symptoms suggestive of myopathy apparently caused by Rozavel-F. I advise you to stop taking this medication and ask your doctor for an alternate effective but a safer medication. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi sir, i m 29 year old guy from india. Sir for last six month i m having a problem of chest discomfert and sometimes mild pain on left side chest. I was told a cardiologist for testing diabties, lipid profile and lft, kft, and cbc blood tests. Each one test found normal. Ecg was also found normal. Doctor says nothing is ubnormal with my heart but i always think that there is a problem with me. Wat to do i dont know. My father had diabties,hypertention and heart dieases. I m scared a lot. I excercise regularly. I dont smoke and dont drink. Why this happening to me. Do help me. Pls...", "output": "Highest pain of cardiac origin is highly unlikely at an age of 29 years in a person who is a non-smoker. All the test which have been done on you are routine tests and have nothing to do with cardiology some of the baseline tests which should be done and echo test to see the moments of the wall of heart.treadmill test -to see the supply of blood to heart during you exercise if they are normal the chest pain can be either muscular, anxiety induced or due to gastritis, heart burn, acid peptic disorder." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, my wife has a ovarian cyst size of 3.5cm. She got miscarrage after a three-week pregnancy; during her pregnancy, the cyst smalled to 1.4cm. Then, it got larger again to become now 3.5cm. The doctor gave her Progyluton and Glucophage 850mg. What is the possibility of having efficient treatment? Will her case in general affect her pregnancy i.e. will be get pregnant easily?", "output": "Hi there ~I am sorry that you had a miscarriage and that you have an ovarian cyst. It can be taken care of by a gynecologist who is well versed in laparoscopic oophorectomy. I also think that you're being on the two medications you mention is probably efficient treatment if you have been tested for the disease adequately. I also think that you might have difficulty in future pregnancy and therefore should consult with an expert obstetrician. Furthermore, I hope this helps. Take care and have a lovely day!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 5 year old has told me several times over the last several days that he feels dizzy and his tummy hurts. He does have a little cold, but nothing major. There doesnt seem to ba a pattern as to when he tells me hes dizzy - he says his head is dizzy and his tummy is dizzy? Should I bring him to the doctor?", "output": "don't worry theses are associated symptoms with mild viral infections that may attack the chest or the sinuses. And also got affect the gastrointestinal tract, showing mild abdominal pain, because the swallowed mucus may lead to abdominal pain, gastric upset, or even some diarrhea but I want to reassure you that will resolve spontaneously with the viral infection within a week you can give him light food like vegetable soup, warm fluids, fruit juice you can give him analgesic or antipyretic when needed" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter took antibiotics for whooping cough and now complains when trying to go to the bathroom , the stool is there but she can t get it out, would like to try home remedies first. Have already given her prunes and prune juice, she s a wonderful eater , lots if fruits and veggies", "output": "Hi welcome to ChatDoctorI have gone through your query. I can understand your concern for your daughter. It would have helped to prescribe a remedy if age, length of referring, lifestyle were given ? And situation and stage of her problem? Besides constipation. Any way, as whooping cough, is a very contagious bacterial infection of the respiratory tract. And she already took antibiotics for whooping cough Supplements, herbs, and homeopathy may help her further, to get better faster when used along with conventional medications. \"Magnitude of the survival advantage from improved nutrition can even be greater than the magnitude of the treatment effects being targeted in current clinical Chat Doctor. \"In fact, I am of the opinion that getting adequate amounts of vitamins specially D & C, minerals and other nutrients through lifestyle changes, such as a healthy natural diet including more of fiber, green leafy veges, citrus fruit, minerals, vitamins and a lot of water Antioxidants like ginger, garlic, lemon juice with warm water, , Turmeric powder with a cup of hot milk gives resistance from diseases. Eating small meals every couple of hours to keep up energy and replenish nutrients" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a pinhole bleed on my scrotum the other day. I lost about teaspoon of blood. When it stopped there was no evidence of a cut or anything at all, not even a scab. What would have caused this and should I be concerned? Not experiencing any pain or swelling there. No lumps either.", "output": "Hello share your concern This could be related to infected sebaceous cyst, testicular cancer or epididymorchitisI would like further information to help you better libelous age and relevant medical history like diabetes or kidney diseaseSince how long you have this problem? In my opinion you should get your urine test for culture and sensitivity test and color Doppler of the testisMeanwhile have plenty of fluids and maintain good hygienePlease revert to me with details, I will definitely help you out in the best possible way. Thanks and regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi. i am a 37 yr old female. 5 7 155lbs. no medical history to speak of. generally very healthy without any known allergies. i did have two accidents about 3 1/2 yrs ago that put me out of whack. recently i have had a multitude of changing symptoms. it started with 2 very localized spots on my arm that itch intensely, with a hot, sharp itch. it comes and goes and does not have any strange sensation when it is not itching. the only thing i can find online that describes it is neurodermatitus. i am also having a flare up of warts on my arm/hand. same side (left) as the itch. also i have been having zings of sensation from base of head travelling down my arms. much less frequent then the itch. lastly, i woke up this morning and there is a small painful cyst on my outer labia. i feel like my body is is falling apart all of a sudden!", "output": "Hi, Thanks for query to My Chat Doctor virtual Clinic And welcome to Chat Doctor services. I studied all details of your query. I understood your health concerns about causes of the multiple symptoms with a painful cyst on labia. Based on facts of your query, it seems that-you have the variety of Herpes Viral Infections which caused a-Hives/b-neurdermatitis feeling/c-Warts on arm/hand/d-Zing of sensations ?neuritis from Plex deficiency mostly, due to chronic viral infection with herpes. Lately you noticed a painful cyst on labia major, which may be result of chronic genital herpes infection you had. Second opinion from gone doctor is suggested urgently. Treatment-Tab Motrin / Cap Amoxicillin/Acyclovir created AcyclovirZincovit- for controlling paresthesia/neuritis pains. IF need be Surgical Excision of the Catholics infected Cyst, by a Surgeon. Hope this reply would help you in resolving this complex query and anxiety with it. Will appreciate your hitting thanks and writing excellent review comments to help needy visiting patients at Chat Doctor like you. Welcome for any further query in this regard. Good Day!! Chat Doctor. N.M.S. Genl- CUTS. Senior Surgical Specialist." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doc, Yesterday night in dinner, I had a hard piece of bread mistakley swallowed, which has hurt my food pipe badly. I am facing a pain while I drink water and because of it, I can even find bit pain in my ears. Please guide, if that is normal or do I need to see a doctor. Thanks, Khushbu", "output": "Thanks for asking me this question. According to your chief complain yesterday you ate hard food piece it can block your esophagus. Because of that hard food particle damage the esophagus. You have pain around ear indicate some amount of disturbance In nasopharyngeal tube also. Chat Doctor. Avoid spicy food. If there is no improvement than you have to go at ENT specialist doctor he suggests you more. Wish you a good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have cirhosis of the liver due to hepatits C. about five days ago i started with a itchy body rash. it started on stomach and inner thighs. today i notice it underneath my forearm. according to my doctor i am i liver failure. is this rash part of my liver problem and if so how can i treat it.", "output": "Hi I can understand your concern.... See your rashes in hepatitis C can be from following causes.........1.allergic rashes 2.hepatitis c chronic illness induce rash 3. As a result of side effect from HCV treatment etc.... You can take antihistamines Chat Doctor. ... If severe rashes topical steroid application might be useful.... Avoid sun exposure .... Use moisturizing soap .... Loose cloths....Meanwhile, if rashes related to " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello sir,i have got my wisdom teeth extracted for around 6 months but still get my cheeks swallowed whenever i eat through that side,and then agn when i stopped eatng from that side swellng reduces . after extraction swellng lasts for only 4-5 days then it was normal.i dnt think its infection as i dnt feel pus in my mouth , but i do get a bit of internal fever and weakness.I dont know wat to do,.plz help", "output": "Hello, Not all tooth infections produce pus. You describe symptoms of an infection. You may have a cracked tooth, a piece of bone or tooth under the gum, another tooth with deep decay or a gum condition. Further diagnosis and a follow-up visit with your dentist is suggested for a clinical diagnosis. Antibiotics may be considered, but additional treatment for the actual cause is needed to prevent another occurrence. Anti-inflammatory medications can reduce discomfort and swelling. I suggest taking an X-ray of the area. Your dentist may suggest other clinical tests after looking at your X-ray. Report all symptoms to your dentist. Continue good daily dental care including brushing, flossing and rinsing. Thank you for your inquiry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have just been told my blood test results have come back abnormal think i was was tested 4 nearly everything , with suspect glandular fever , i have to go back in two wks for a no- fasting blood tests......(i had not eaten since night b4 when i had last blood tests)...i have a 5yr old grandson and also work in end of life care, with also not so ill olderly people. Can i still have my grandson and go to work , i still really dont feel well , so tired all the time , plus a little worried about test results.", "output": "Thanks for your query. Glandular fever is a very common condition caused by EB virus. Most signs and symptoms ease within a few weeks, but it may be two to three months before you feel completely normal. The more rest you get, the sooner you should recover. Returning to your usual schedule too soon can increase the risk of a relapse. As long as you can manage you can have your grandson and go to work. Better ask your doctor when It's safe for you to resume your normal level of activity. Your doctor may recommend a gradual exercise program to help you rebuild your strength. There is no need to get undue worried about test results. Wish you a speedy recovery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I feel down on stairs yesterday. between my lower back and buttocks is swollen and painful when even the lightest pressure is applied. My mid spine also hurts but not unbearable. my neck is also slightly swollen and painful. should i be concern. I took pain killers (advil) and applied muscle rub", "output": "Hello, Swelling on the low back and neck suggest a fracture. Due to this you are having sore upper back. An X-ray is required to confirm the diagnosis need to avoid spinal movements lumbar belt would be good to provide back support and movement restrictionsIcing will help to reduce the swelling. Depending upon the kind of fracture treatment will be decided (conservative or surgery)As in conservative approach you will require to be a brace or a lumbar support. Physical therapy rehabilitation is required for complete recovery. Hope this helps you thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i have a birthmark (mongolian blue spot) on the left side of my scalp i noticed a small lump underneath it when i was around 15 but thought nothing of it until recently (now im 21) when i noticed it had grown considerably from about 3cm to about 5-6 centimeters and every so often i can feel a dull acheing pain and i now suffer from chronic migraines im worried about what this could be i was just wondering if you may have any idea considering for me to have the mongolian blue spot on my scalp is unusual in itself i greatly appreciate any info you can offer", "output": "Recent increase in the size of the spot on the scalp which you mentioned is something to be worried about. Is the any pain, itching or redness over the spot, and how are the borders of the spot is it - regular and well-defined or irregular and ill defined? How was it progressing - gradual or sudden? sometimes a spot like melanotic spot may have serious consequences and your suffering from chronic migrant that is dull aching pain. So it is always advisable to consult a neurologist and a dermatologist for physical examination. You may require a CT scan brain and a skin biopsy from that spot over the scalp." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 66 yrs old, around 54 kg male. I have been diagonised with Systemic lupus erythematosus since last 10 yrs. and triple vessele heart diseases since last 8 yrs. I am taking Azoran 50, Mexate(4 tab weekly), wysolone 5 mg along with calcium tablets and other medicines for heart disease. Pls. tell me the side effects of these medicines and also let me know that whether it will effect to my heart disease?", "output": "Hi! Thanks for your query. Dear sir, Methotrexate and steroids form the sheet anchor of treatment for SHE. Azathioprine is a steroid sparing agent. Since you have been started on these three medications, that means that disease activity is high. These medicines have their own side effects on almost every organ of body but considering the disease you suffer from it is definitely important to continue these medications. SHE itself can lead to heart problems like pericardial effusion. You should get your routine blood tests Like CBC, liver function tests, renal function tests while on these medications and be in constant touch with your rheumatologist for regular assessment. I also advise you to get your calcium levels checked as recent studies claim that excessive calcium deposition can lead to atherosclerosis. Wish you a good health. Take care. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Dr Sahu, I am Tieho Sebuse I m 24 years old and I m about to start on birth control , I ve chosen oralcon, I m just not sure when to start taking it, because at the pharmacy where I bought them I was told I can start immediately, however on their website it says that one should start on the first day of their cycle, I assume that means on the day I start my next period. Please help Thank you", "output": "When was your last period? There are many choices for pill initiation. What the pharmacist at pharmacy has told is one such method. It is called quick start method. You can start taking pills on any day of the cycle as long as you are sure that there are no chances for pregnancy. But with this method you should use back up contraception like condom for diaphragm for the first seven days. Please note that with this method your census will be delayed until you complete active pills in the pack. Starting contraceptive pills on the first day of cycle is another choice of starting the pill. First day of cycle means first day of normal menstrual flow. When you start taking contraceptive pill on the first or second day of cycle there is no need to use back up contraception. I hope I have answered to your satisfaction." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir, I have jock itch and no matter what I do it doesnt seem to go away. Im currently under medication using Panderm+ ointment and Grisovin FP tablets along with Atarax tablets.My groin area is red and expanding. Kindly help me. I even have the infection on my butt. Please help me.", "output": "Hello, Welcome to Chat Doctor, Hello,Welcome to Chat Doctor, Jock itch or Tina courts is nothing but a kind of fungal skin infection. From your history it seems you have got Tina infection. Therefore, I would recommend proper course of highly effective antifungal Chat Doctor. Itraconzole 100\u00a0mg capsule to be taken once daily for one month after lunch. Along with oral antifungal, local application of ketoconazole cream over affected areas twice a day will help to reduce the symptoms. Take oral antihistamines for itching as required. Use antifungal dusting powder while going outdoors. Avoid tight undergarments and use cotton clothes as far as possible. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi sir thi is xyz n my probs is that my wife and me wnt to have a baby since 7 moths we tried but not getting succed, we went to doc he give some kind of tblets like folic acid and my wife starting taking it, i jst wnt to knw is there any side effect of taking those pills..? Also i would like to knw is there any medicine to make spearms stronger..?? Thank you", "output": "Hello, Folic acid is considered to be a prenatal medication and is harmless. There is no specific medicine to make stronger sperms; medicines are available to increase sperm count but not motility. You may take certain precautions like avoiding hot baths, tight undergarments, trauma to the scrotal region, avoidance of smoking and alcohol. You may consult an infertility specialist for a complete workup and advice. Hope your query is answered. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Its been almost 2 weeks now..i have been getting these skin rashes on different parts of the body now and then...it burns for a while then it disappears...it appears as tiny bumpy spots ...i have been taking medications(Allegra tabs)since last 2 days.. but its not helping...should i go for blood tests??", "output": "Thanks for contacting Chat Doctor, you are suffering from acute urticaria. Acute urticaria is a condition where an itchy rash suddenly develops. The rash may be triggered by an allergy, or by another factor such as heat or exercise. In most cases the rash lasts 24-48 hours and is not serious. The rash usually appears suddenly and can affect any area of skin. Small raised areas called weals (or wheals) develop on the skin. Food allergies such as allergies to nuts, strawberries, citrus fruit, egg, food additives, spices, chocolate, or shellfish can cause urticaria. Sometimes viral infection or contact with allergens can cause it. Calamine lotion or menthol 1% in aqueous cream can help with itching. You can increase the dose of Allegra 180\u00a0mg up to 4 times to control itching. Hope this will help you. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have A bright red rash in the creases of my elbows.. went to the doctor he said it was a yeast infection caused by my pregnancy hormones its now been a yr and it still comes and goes... but ussually when im the most stressed out ive used every thinng and nothing seems to work,,,what could it be and there is also lupis in my family could it possibly that", "output": "Cellophane You for contacting Chat Doctor. Welcome to Chat Doctor. My name is Chat Doctor. I have gone through your query and would try to help you in the best possible way. From Your description it can be a simple allergy, or actually a hormonal effect as your doctor suggested to that these are hormonal effects of pregnancy, and now you told that this appears when you are stressed ...when one is stressed hormonal changes occur same as in lupus, LUPUS: is a systemic disease by systemic I mean it effects the whole body not just skin of less than 1% of your body, plus lupus has rash, but mostly it appears in response to sunlight.and its location is mostly on ones face. For your knowledge as you have lupus in you family I will here tell you other signs and symptoms of LUPUSAlthough I can well understand it's in your family, so you would have studies it well and know about it by seeing the literature on it and your family members. What happens in Lupus is that your body fights against itself and destroys itself gradually: so symptoms fatigue:Lupus causes mild to extreme fatigue-Joint and muscle pain: Joints may be painful, red, war. Lupus arthritis often occurs on, the small joints of the hands, and the elbows, knees, and ankles.-Skin problems: SKIN RASHES are often an important clue to the diagnosis. Many people have a butterfly rash, which goes over the cheeks and bridge of the nose.-skin sores-flaky red spots on the arms, hands, face, neck, or back-mouth or lip sores; and a scaly, red or purple raised rash on the face, neck, scalp, ears, arms, and chest.-Sensitivity to light: Exposure to ultraviolet light (such as sunlight or tanning parlors) typically makes the skin rash worse and can trigger lupus flares. Many people with lupus are sensitive to light, with fair-skinned people tending to be more sensitive.-Fever.-Changes in weight.-Swollen glands.-Headaches.-Reynolds phenomenon: Some people with lupus have Reynolds phenomenon. It affects the small vessels that supply blood to the skin and the soft tissues under the skin of the fingers and toes. It causes them to turn white and/or blue or red. The skin affected will feel numb, tingly, and cold to the touch.-Hair loss:This hair loss usually isn't permanent. Inflammation of blood vessels in the skin (cutaneous vasculitis): Inflammation or bleeding from the blood vessels can lead to small or large blue spots or small reddish spots on the skin or nails. COMPLICATIONS: include 1-Nervous system2-Heart2-Lung problems. Conclusion:-It doesn't seem to be lupus-If you are still suspicious Talk to your doctor and get yourself tested for lupus.-Some topical anti-allergic it may work-keep them area " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, im a 33 year old male, I caught a general cold around 3 months ago & since then i have been suffering with sore heads, the pain is in the middle of my forehead & can sometimes be in both my temples. My right shoulder & neck aches & sometimes i awake from my sleep with pins & needles in my right hand. I feel completely jaded & lethargic all the time aswell. I have been to my GP on a number of occasions & unforunately they have diagnosed me wrongly with sinusitis, hayfever, stress & i am now being treated for tension headaches, which i dont think it is. i have been taking ibuprofen, 400 mg, 3 x a day for the last week to no avail, I have also had a blood test carried out whicChatDoctore back all ok. I have another appointment with my GP on monday. Can you suggest what i may have??", "output": "Hi, t is unfortunate that a clear-cut diagnosis has not yet been established in your case. Multiple causes have been suggested, which do not seem likely. It is possible that you are suffering from post-viral Athenian and fatigue syn Chat Doctor. Viruses are known to cause damage to muscles and the healing is slow. However, there are effective medicines and physiotherapy, which can help you get better. If a brain scan and nerve conduction studies have not been done, please get them done. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "what are the symptoms for amoebas? I have been traveling in Guatemala & Mexico in the Yucatan area and may have contracted them. Some people I was with had them. I have a lot of abdominal pain and feel sickish & bloated every time after eating anything. Both my husband and I had terrible diarrhea so we went to emergency care and they gave us zipro. They said they didn t know what amoebas were. I have been taking the zipro for three days to rule out other kinds of infections but I m not feeling any better yet . Any suggestions? And thank you for your help.", "output": "Amoeba is a parasite and enters via the oral route. It harbors inter large intestines and may occasionally enter liver through the veins. This causes typical sticky (mucus) diarrhea along with lots of spasmodic pain. The treatment is also easy. Metronidazole in the dose of 400 mg thrice daily. (dosage is given as your Doctor may not know about this.) This is one Chat Doctor. Another medicines which may be effective are- Ornidazole, tinidazole. The doses to be taken as per your Doctors advise. Continue the antibiotics. You can go for the stool tests." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter (8) have vp shunt, yesterday she told me that she have a bump (size like dime) under her neck where the shunt/tube is, I take a looks no red, just smooth bump like water inside, is that leak from tube ? or shunt multifunction ? seem like she act normal, no headache or anything. what is the possibility of this situation ?", "output": "Hi, dairy have gone through your question. I can understand your concern. She may have leakage from shunt tube or some benign cystic lesion or some other mass. She should go for examination and if needed go for ultrasound study. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband is experiencing pain, level 7, in his back in the region of his left kidney and radiating up to his shoulder. He is being treated for severe gas, distended abdomen etc. Gastro Dr started him on Omneprezol yesterday. Seemed to help yesterday but not so much today. YYYY@YYYY", "output": "Hello and welcome to Ask A Doctor service. I read your query and here is my answer. Can you describe the pain? Is there any pain in urination or frequent urination? Does he run fever? Have you done any tests like blood tests or ultrasound abdomen etc.? As you said he is having pain which radiates to the left shoulder means that something is irritating his diaphragm or Phoenix nerve. He may need ultrasound abdomen to rule out any intra-abdominal hernia and renal problem. Hope I answered your question. Feel free to ask if you need further assistance. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I went to the science center with my son yesterday when we came home he went for a nap and when he woke up he had welt like rash on both cheeks and some of his body the ones on his cheeks were super read one side almost swollen. I gave him benadryl 3 times once every 6 hours which seemed to calm it down but his cheeks are still rosy now. What should I do??", "output": "Hi... Thank you for consulting in Chat Doctor. By what you quote it should be an urticaria or a simple skin allergy. Most important thing to be remembered is that it has a propensity to recur (called as second crop) within 10-14 days. I suggest you use calamine lotion as its giving results along with oral antiallergic like HY Chat Doctor. If this happens, you can start using the same medicine, but I suggest you get the kid evaluated with your pediatrician. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have been having tingling sensation on lower left ocipital as well my hands and feet fall asleep on my easily, I work out daily taking 50mg of losaratan potassium even when I work out on an eliptical my feet feeling tingly in the process, I also get dizzy spells Id say 2 to 3 times out of the week is there any reason for this", "output": "Hi, Tingling sensation in hands and feet could be usually caused by peripheral neuropathy which is damage caused to the peripheral nerves. This in turn is most commonly caused by Diabetes Mellitus, Hypertension, Smoking or excess alcohol consumption. In some cases, vitamin B 12 deficiencies may also cause this kind of symptoms. If you were my patient, I would recheck your BP, fasting blood sugar, do some blood tests to know vitamin deficiencies and make necessary changes in Chat Doctor. Take Care!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "for the last couple of weeks ive had a more or less constant headache, on and off pain in the stomach/pancreas area, light-headiness when going from sitting to standing position, nausea and feelings of low blood sugars. please help me to find out what it is", "output": "Reading your symptoms indicates you are suffering from hypoglycemic attacks or lowering of blood glucose levels in the body. There are certain condition that can cause hypoglycemia. Most important to rule out is tumor of pancreas which can cause excessive insulin production and production of symptoms like fainting, light headdress, blackout attacks, perspiration, tremors, headache etc. These symptoms can be relieved by taking sugars. Also, some time in some persons there is excess insulin production in body which can lead to these symptoms. After certain surgeries on the stomach, these symptoms can be produced. So first thing you do is get your fasting blood sugar levels and insulin levels done followed by USG abdomen if necessary. Kindly note whether yours symptoms are relieved after taking sugars which is very simple test and it confirms whether your AR actually suffering from hypoglycemia or not." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 24 years old girl and suffering from fungal infection.Earlier was not used to do any physical activities but then 1 changed my field.I joined Indian army and after joining I didnot get periods from last 6 months.Is it the reason for increasing my fungal infection?I am getting sweat all the time.I thought swimming is the reason for all this??I have taken so many antibiotics and have tried flucozanole tablets with clotrimazole powder.and have tried levocetrizine dihydrochloride tablets-5 mg..have been applying clotrimazole cream..but nothing is effecting on me.I am getting itching all the tym and it has spread all over the body.on my lower abdomen and near vaginal area..and on breast..i am sick of it.. please help me out...", "output": "Welcome. If the water is dirty, then only swimming can be attributed as a cause of fungal infections, otherwise it is usually not. No, absence of period is not a cause either. You can pay a visit to your gynecologist for period related issues. It could be due to profuse sweating. Sweating creates a humid environment, which suits for fungi to grow. Keep the areas described by you Chat Doctor. If possible do visit a dermatologist, who will see whether it is a fungal infection or something other which is creating so much itching. Always use cotton undergarments (Avoid synthetics). Change them frequently. I hope this helps. In case of any other problem contact me, I will be more than happy to solve your quarries. Go bless." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I gave urine and blood sample for test 3 days ago.My Urine Test ResultUrine Pus Cell = 2-4My Blood Test ResultESR = 3I am skeptic of this result. Pus cell in my Urine is 3-4 & ESR is only 3 . Is it possible ?My e-mail ID is nirogdham2058> WWW.WWWW.WW I want free answer, if it is possible.", "output": "Hello, I understand your concern. I am Chat Doctor, infectious diseases specialist, answering your query. In my opinion you should repeat the ESR. Pus cells in the urine 2to 4 can be possible. Buy ESR 3 is never possible. I suspect there is something problem in either sample or the value is being misread. Repeat test will alleviate your worry. And you hot right results. I will be happy to answer your further concern, you can ask me on bit.ly/ Chat Doctor. Thank you. ChatDoctorInfectious diseases specialist." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi iam vijay , iam suffering with lower back muscular pain ...f rom the last 20 days..... when iam trying to bend my body then only pain will come... now iam taking ift and ultra sound treatment from NIIMS HOSPITAL HYDERABAD. kindly give me permenent solution.. regards vijaykumar 0000", "output": "HIT hank for asking the ChatDoctorI really appreciate your concern, looking to the given history here I could say that apart from the symptomatic treatment the underlying cause of backache is very important because there are numbers of analgesic available and that gives good results but since how long ? So to find out the cause of backache is important, hope this helps you, take care and have a nice day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "skin rash around mouth, chin, and jawline Last Week I started working on a pier in Galveston, and I started noticing that I had tiny pus-filled bumps around my mouth, which had spreaded to my cheeks chin and jaw line. I didnt know for sure what it was, so I started to wash my face with dove soap and dried them out with rubbing alcohol. It was starting to clear up now I just have it around my mouth but its not real bad. I just want to know could this be a possible heat rash? I had never had this before.", "output": "Hi. Thanks for the query. As per your complaint rash around the mouth that is spreading to chin and jawline seems to be due to Personal Dermatitis. It can be caused due to disturbances in microbial flora over the skin, bacterial infection, nasal and topical steroids, fluoridated toothpastes, harsh chemical cosmetics, poor facial hygiene, hormonal imbalances etc. I would suggest you to consult a Dermatologist and get evaluated, and he can do a thorough clinical evaluation and advise you to apply topically ointments containing Doxycycline, Metronidazole. You can also be advised oral intake of erythromycin. Ointments containing Gaelic acid, Pimecrolimus etc. can help. Avoid any skin cosmetic or steroid ointments. Avoid excess sun exposure, use gel based sunscreen lotion. Hope this information helps. Regards. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i felt a lump in my jawline just last night its small, the size of a ball i felt a lump in my jawline just last night its small, the size of a ball bearing it hurts a little if i press on it just when i press on it its onmy left cheek, right below my 2nd molar but its not in my gum its inside my cheek you know when you clench your teeth with your mouth closed and there some kind of muscle that tenses up on your jaw its right at the end of it cos i can feel the lump get pushed but its not swollen on the outside and my lymph nodes are not swollen i can pinch my skin but i cant feel the lump because its very small and it moves around. its way underneath, you cant even see it from the outside you also cant see it from inside the mouth now it kind of hurts cos ive been pressing on it all morning. i am afraid it could be cancer, cos they start out as lumps right but then i dont feel sick or weird or anything, i just happened to rest my head on my hand last night and i felt it", "output": "I went to the dentist 3 days ago to have an extraction done on my left bottom molar it was infected everything went good. That night after the numbness wore off I noticed a lump on my left jawline close to my chin it was small I wasn't worried about it... It is now the size of a half dollar, and it itches awful and hurts when I push on it. It is on the outside. Please if you know what this is let me know, thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i suffer from psoriasisbut recently have been getting red pimples on my left leg just above the knee that get yellow puss in them. When i bathe & lance them they are still sore for days & seem to move a couple of millimetres & another one appears. I have changed nothing in my lifestyle apart from 2 months ago i stopped taking neotigisin for my psoriasis as it was having no effect. Any ideas??", "output": "PSORIASIS HAS TO BE TREATED IT DOES NOT CRE ITSELF AS THIS INVOLVE THE ORGANS IN DIFFERENT LESIONS AS YOU ARE GETTING PSORIASIS IS TREATED AS CHRONIC INFLAMMATION OF SKIN BY COMMON FOODS WE TAKE DAILY GET BLOOD SERUM TEST FOR SPECIFIC ANTIBODIES FOR MILK WHEAT CHINA POTATO RICE NUTS EGG AND ELIMINATE FOR TIME AND IT WILL CURE YOUR DISEASESTILL YOU CAN CONTINUE TAB METHOTREXATE 2.5 MG TWICE A WEEKDOCYCYCLINE 100 MG BD FOR 7 DAYS AND OFF AND ON IF PUS PIMPLES APPEAR IN ANY PARTIALLY ANTIBIOTIC OINTMENT MIXED WITH NONALLERGIC FOR LOCAL APPLICATION CAN ADD NONALLERGIC TAB FOR ITCH" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have Fibromyalgia and for the past year I have had sharp pains in my rib cage that all I can do is lay down with a heating pad. My Primary Dr believes it to be from the Fibro. I also have chest pains daily that they ruled as Sinus Tachicardia but the two pains usualy go together. What do you think?", "output": "Hi, Dear,Thanks for your query to Chat Doctor. Dear I read your query and reviewed it with context to your query facts. I understood your health concerns and feel Concerned about them. Based on the facts of your query, you seem to suffer from-Fibromyalgia in rib cage with Sinus Tacky.-Other causes of severe rib cage pains needs to be ruled out-like?shingles(Herpes Zoster)/tumor/ cord compression syn Chat Doctor. -Cause of fibromyalgia needs to be worked out with expert doctors. There are many causes -autoimmune diseases / Multiple Sclerosis/ infections. Which go on creating loads of TNF. Response to these toxic products causing Fibromyalgia could be modified with many " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My father is65yr old,paraplegic since 25yrs.,has multi drug resistant uti since then,off n on on antibiotics.recently developed evening rise in temp for more than one month,burning sensation at night,dry cough.has been on iv antibiotics fr last 5 days but no reduction in fever.plain urine exam normal,culture shows uti fr which he is taking iv antibiotic,urine Afb normal.chest X-ray normal.kindy advise.", "output": "Hi, Thank you for posting your query. Recurrent urinary tract infection (UTI) in your father can be explained by neurogenic bladder that may have happened because of spinal cord injury. In a neurogenic bladder, there may be incomplete evacuation of bladder with residual urine after evacuation, which predisposes to recurrent Otis. The first issue here is to treat the current infection, which can be done by using broad spectrum antibiotics. Second and more important issue to prevent Otis from occurring in the future. This can be done by using antibiotics as prophylactic agents. In addition, clean intermittent catheterization (CIC) may be taught to the patient, which can alleviate the problem of incomplete evacuation. I hope it helps. Best wishes, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a pacemaker put in last July but lately my hips, back and neck muscles ache and I get short of breath and dizzy when I get up. I am usually the energizer bunny, (ask my great grand-kids,) BUT NOW AM FEELING MY 76 YEARS all the time. went to water aerobics this morning, but doing housework and laundry now, took 2 ibuprofen but have to lay down for a few minutes. Aches don t stop and am walking with a noticeable limp!!!! JANICE.", "output": "Hello Janice! Welcome and thank you for asking on Chat Doctor! I passed carefully through your question and would explain that it is important performing a comprehensive differential diagnosis, between different possible causes that may lead to such clinical scenario: - heart failure-chronic anemia- an inflammatory disorder-vitamin D deficiency- orthostatic hypotension (especially considering the fact that getting up makes you feel dizzy). Are you taking any statins? They could also lead to muscle pain and fatigue. Coming to this point, I would recommend consulting with your attending physician for a careful physical exam and some tests: - a chest X-ray study- a cardiac ultrasound and a resting ECG-complete blood count for anemia-blood electrolytes- liver and muscular enzymes (ALT, AST, LDH, CPU)- vitamin D levels- PCR, ESR for inflammation. A Head Up Tilt Test should be done in case of suspicions of possible orthostatic hypotension. If you are taking any statins, I would recommend stopping them for a short period of time. You should discuss with your doctor on the above issues. Hope you will find this answer helpful! Kind regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son aged 56years has been married 3 times, very stressed for past year, his wife ended relationship of 8 years, he has been suffering with both big toes paining him, especially in bed has to get up and walk on them to stop pain, both toes are numb, it started with one, cannot say how long ago but has got particually bad since being told 6 weeks ago to leave which he has, he does get very stressed out, has a stressful job, he has been told to see a nueroliguist, the toes do not let him sit for long in the day", "output": "Hi, From your description possible causes of your son suffering in order of preference:-Decrease blood supply of toes-Neuropathy-Anxiety and depressive illness causing or increasing pain complaints-Combination of above reasons Considering multiple possible problems he needs evaluation by neurologist and psychiatrist. I hope this information has been both informative and helpful for you. Wish you Good Health. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi my sister was just told that her liver test came back abnormal, the doctor pressed around and she has no pain and never did have any pain, the doctor is sending her to have an ultra sound, but not schedled for a week from today. should we be trying to get an earlier YYYY@YYYY", "output": "Welcome at Chat Doctor I have gone through your query and being your doctor I completely understand your health concerns... What is her age? Is she obese? Pregnant? Is she jaundiced? Any history of fever? What are levels of liver function tests? Deranged liver functions occurs in variety of liver disorders from benign conditions to malignant ones. Your sister needs to examined and properly investigated for accurate management... Based upon the history you have provided I don't think it's an emergency to get ultrasound done on urgent basis... Just stay calm and continue with your routine chores.... Hope your query is adequately answered. Stay safe Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, i am 26 yrs old, recently got married in the month os May 2011 and i have PCOD problem (irregular mensus) so doctor prescribed me to take Femilon. now i am plannning for a baby. so doctor now suggested to take folvite 6 mg. is this the right method to be followed and is it safe to use?", "output": "Hi, thanks for writing. Folvite is folic acid which should be taken 3 months prior to planned pregnancy and continued throughout the pregnancy,. It helps to prevent anomalies like neural tube defect in the baby. It has no role in accelerating the pregnancy chances. Furthermore, it is absolutely safe when you plan for pregnancy. After 1 year of trial for pregnancy, it would be better to undergo routine investigation and take treatment like ovulation induction Chat Doctor. . Hope I have answered your query. Good day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My friend is in Bosnia-Herzegovina and scheduled to return to the U. S. in mid-July. He was diagnosed there with a malignant tumor (2.5cm and about a year old) in his upper colon. His concern is waiting until mid-July to return for a doctor in the U. S. is too long to wait (as a general rule). The BiH doctor felt there was no problem with the time frame, but my friend is unsure. Thank you for whatever light you may be able to generalize about. He is 65-yoa and normal wt. Never had any surgery or serious illness.", "output": "Hi, Thanks for writing in. It is important for your friend to have a complete imaging follow up at Bosnia and make sure about the stage of disease. He must get a biopsy done to confirm the diagnosis. Following that if he is having stage I disease then he can be allowed to wait for about a couple of months. If he has disease stage II, III or IV then he must return to his US doctor immediately and treatment started at once. Any cancer patient appears normal in the initial phase of cancer. Then once treatment starts, the general health goes down within weeks. This happens to almost every cancer patient and having normal general health is not a reason to delay treatment is he is in later stage of the disease. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i 27 years trying to get conceive for the last 2 years but not get success. we already gone for iui for four cycle and lastly undergo laproscopy hystroscopy test in which doctor found that my one tube is damaged and another is very tight. is it possible to get pregnant plz guide me what to do should i go for IVF? plz provide me the best ivf centre in india.", "output": "Hi, Welcome to Chat Doctor. Since your both tubes are not favorable for conception, ideal would be to go for Invited fertilization. For this you will have to undergo follicular growth monitoring after taking Chat Doctor. You have not mentioned your location. I think local doctors should be able to guide you to a good infertility center, where CSI (Intro Cytoplasmic Sperm Injection) is done. There are I believe good centers in Delhi, Bombay, Bangalore, Cochin etc." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi last night when i went to bed I was almost asleep and my heart quit beating for a second.. I have heart problems and this happens sometimes..could you tell me why this happens?? I am 60 yrs old 5 ft 4 in. and 120 lbs. I have heart prob, and am a kidney transplant patient..", "output": "DEAR OVERTHINKS FOR CONSULTING AT ChatDoctorI UNDERSTAND YOUR CONCERN. INTERMITTENT MISSED BEAT LIKE SENSATION CAN OCCUR EITHER IN VENTRICULAR ECTOPIC OR INTERMITTENT ATRIAL FIBRILLATION WOULD ALSO LIKE TO KNOW AS TO WHAT IS THE EXACT HEART DISEASE You're SUFFERING FROM AND THE MEDICINES YOUR ON FOR YOUR KIDNEY TRANSPLANTS CERTAIN MEDICINES CAN ALSO PRECIPITATE THIS SYMPTOMS WOULD ALSO ADVISE YOU TO CONSULT A CARDIOLOGIST AND GET A 24HR ECG MONITORING DONE.HOPE I HAVE ANSWERED YOUR QUESTION. YOU CAN MESSAGE ME FOR ANY FURTHER CONCERNS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir i dont have kid. my age 28.I want to get kid please suggest me what i have to do? i am planing to take IUI.my six year marriage life completed please tell me what i do? in my life every thing is good but this matter only problem ,help me please..................", "output": "Hi welcome to Chat Doctor. I have gone through your question. You had 6 years married life but don't have kid. First of you should get done your reports if not done. 1 ovulation profile 2 SG hist salting graph 3 thyroid profiler your husband semen analysis. Then consult a gynecologist for further advise. Iui is last resort treatment. Which surely help you but with medicines also you Can conceive. So go step by step. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello this is malani got married 10mths back looking for the baby, iam taking medicines last mth but i couldnt make it, as iam using these medicines siphene 100 and susten 100. i want to know why the doctor prescribed this medicine and what is the advantage and disadvantage of these medicines", "output": "Hi, Siphene is primarily used to treat female infertility. It works by stimulating an increase in the amount of hormones that support the growth and release of a mature egg (ovulation). Its common side effects include stomach upset, bloating, abdominal / pelvic fullness, flushing, breast tenderness, and headache. Austen is a form of female hormone progesterone commonly prescribed to regularize the menstrual periods, support and maintain an early pregnancy. Generally it is well tolerated however it may cause headache, breast tenderness, and abdominal pain. Continue to take them as prescribed. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was bitten by my dog about 23 days ago. I went to urgent care and was treated with a variety of antibiotics as it became infected rapidly. long story short, it has healed well. However, there is a lump on my wrist near one puncture wound. the swelling has done down, but the lump remains. is this normal? will it gradually subside? note that it is not hot.", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have some hematoma formation at site of dog bite. It will gradually subside. You should take anti-inflammatory Chat Doctor. If it doesn't respond then you should go for examination. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hey! i know this may sound weird and embarrassing but I think i might have gotten an STD the reason why is because I recently noticed that I have a small bump in my genital area and i think another one is coming and i am scared to death. Honestly I do not know if it is because I recently shaved but i am also really scared and embarrassed to go to a doctor in person.", "output": "Hi, Since you have not mentioned sexual intercourse, protection or so, it is difficult to give details. As a general rule if you have unprotected sexual behavior then only there is a chance of any STD. If not so then this can be a small boil or so. So do not worry if there is no history of unprotected sex. Also get the blood STD panel done so that proper treatment can be done if there is any positive finding. If all these tests are negative then why to worry. If anything is positive then you should consult our Doctor or a Specialist for clinical examination and get treated accordingly. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I started using neutrogena complete acne therapy system about 1 1/2 weeks ago. Yesterday my skin started looking red. By the end of the day my skin looked as if I had 1st - 2nd degree burns and it was very painful. Today my skin is still very red, flaking, and stings. I didn t use the product yesterday nor today. I applied, and rised off, a mixture of olive oil and honey about two hours with no change. What can/should I do to ease the pain and reduce the dry red skin?", "output": "Hi, It seems you have developed contact irritant dermatitis with the product. Kindly stop using the product. Use a steroid cream like mometasone twice in a day for a couple of days till redness subsides. Use a mild bland cleanser and moisturizer as harsh products can irritate the skin further (detail). Avoid sun exposure as much as possible. If it's too painful, you may take a painkiller like ibuprofen. Do not try any home remedies as it might aggravate the irritant reaction. Hope that answers your query. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "On monday at work i fell down a bank and a stone hit the middle of my shin on my right leg, my leg is swollen from the point of impact to below my ankle and is bruised especially under neither my ankle. I have full range of movement with my foot but i am still getting pain whilst standing in my shin and ankle,do you have any idea of what i may have done and would you recomend seeking further medical advice? Thank you Ryan", "output": "Hello, I have studied your case and I think you have developed soft tissue injury in leg. It causes accumulation of blood in the leg in shin. I would suggest you to follow these steps.1.NSAID like Broken 400 mg twice daily.2. Rest and hot water fomentation.3. Compression bandage 4. Antibiotics if you have high blood sugar If there is decrease in pain then it's ok. if not then you need to take physicians advise." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear sir, I have problem of ASTHMA since last 8 year, & from starting I am taking ASTHALIN inhaler without advice of doctor s. Same Problem was to my Father and he advice me for that. Since last 15 day s I am taking inhaler after every 10 to 20 minutes. Now it has been come in my habit. Kindly advice can it be dangerous for me....", "output": "Stalin inhaler containing albuterol is only a reliever medicine. It can give you temporary relief, but it will not decrease your asthma. As you were not taking proper treatment your asthma has progressed. Treatment of asthma should include preventer inhalers that will reduce the inflammation in your windpipes. If there has been a recent increase in need for Stalin inhaler, probably there is infection of lungs, nose or throat. You should see a doctor nearby. Discuss with your doctor regarding starting preventer inhalers.Also, don't think it that Stalin inhaler is habit-forming. Habit-forming substances (tobacco, tea, coffee) reach your brain and stimulate it, while your inhaler will reach your lungs not your brain" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, Feamle child age 3 months, Blood report Hemoglbin 5.5gm, PCV 17.6, RBC 2.85 *10^uL, MCV 61.80, MCH 19.30, RDW-CV 27 fL, Neutrophils 23, Lymphocytes 72, Platelet count 0000. Biochemical Test Bilrubin(Total) serum 5 mg/dl, Billribin(Direct) serum 1.9 mg/dl, Billribin(indirect) 3.10 mg/dl, SGPT/ALT 27.84 U/L Reticulocyte count 6.5% Kindly guide what the actual problem is, how serious it is and the mode of treatment.", "output": "Hello, Welcome to Chat Doctor, I am Chat Doctor Look, the hemoglobin is very low with low MCV and MCH value indicating a microcytic hypodermic anemia. Now, this type of features are seen in many abnormal hemoglobin patterns. So, HPLC study of hemoglobin should be done after 6 months of age. Apart from this, there is jaundice. For this, you have to consult with a pediatrician for clinical correlation." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 28 years old female. I went to the doctor and got a chest xray, ekg done and blood work done. everything came back normal. I was told it could be anxiety and stress that is causing pain in my chest area and an increase in heart rate. Should I keep worrying about the chest pain? The pain hurts when I press on the bone closer to the left side but still right in the middle.", "output": "Dear Patient, Thank you very much for your question. If you have done ECG, chest x-ray and blood work it is hard to believe your chest pain related to heart or lung problems. However, I recommend you to do an Echocardiography to rule out the presence of MVP because mitral valve prolapse which is very common among females sometimes gives symptoms like dizziness, palpitations or increased heart rate and chest pain. Also, anxiety and stress as your doctor said can trigger these symptoms. Therefore, my advice is to consult your family doctor and treat your anxiety and do an Echo test to rule out MVP. Apart from medications, you can relieve your anxiety by doing yoga, breathing exercises and meditation. I hope that I answered your question. Good luck!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I recently had microdiskectomy may 10 2013, two weeks prior was diagnosed with painic/anxiety disorder. Since then have been experiencing panicattacks. Every morning when I wake I am nauseaded and cant eat until mid day. It has been everyday when my alarm goes off that my heart races and I feel sick. Could I have a blood pressure issue? I was placed on bp meds prior to the surgery so I could have the surgery since then have been taken off the bp meds and the nausea has been continuous.", "output": "Hi, Thank you for writing in, There are many medical conditions that produce similar symptoms to panic attacks like hypertension(high BP), anemia, angina or endocrine causes like increased or decreased levels of thyroid in the body, pheochromocytoma etc. that are usually ruled out before making a diagnosis of panic disorder as being related to anxiety alone. If you were put on medications to control your BP before the surgery, and you have been experiencing the symptoms after stopping them, then what you can do is get your BP checked regularly for a few weeks consecutively by your physician to rule out hypertension which may be the only cause or just a contributor to your problems. Hope this helps, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, About 4 weeks ago I had a slight cough, running/stuffy nose and slight fever for a few hours. Typical cold symptoms for me but I then lost my voice; well I could talk but I had to whisper. All other symptoms were gone by this point. That last for about 5 days then it was gone. 2 weeks passed and last Friday I lost my voice again (same thing as above re whispering). No cold symptoms until yesterday; sore throat, yellow mucus and tons of coughing. Now my chest hurts and throat is still sore. Coughing is still happening but not as bad as the morning. Is this bronchitis? No fever this time, as of yet. No headache or chills.", "output": "Thanks for your question on Chat Doctor. In my opinion you are having upper Respiratory tract infection (URI). In bronchitis inflammation of bronchi cause edema in the walls. This causes narrowing of the lumen and causes bronchospasm and wheezing (whistling sound). Thisis the characteristic feature of bronchitis. So I don't think it is bronchitis, you must be having URI mostly pharyngitis. But better to consult doctor and get done throat and respiratory examination." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, im 22 years old. i had the nexplanon implant inserted in january 2012 and i have had no period since then? until 3 weeks ago....i have been on for 3 weeks non stop, it turns from brown to bright red constantly along with mood swings, headaches etc....i sont understand? everybody says if it was not going to work it would of done it already but i just cant understand why i am on now? and why so long :(...i was hoping its my bodys way of just catching up and getting rid of some excess blood but i dont no....please help", "output": "Hi dear user, thanks for your query. Irregular bleeding is a major side effect of progesterone implants. It may be a breakthrough bleeding. All your symptoms are because of side effects of progesterone. In my opinion, you should go for an ultrasound first to rule out any pathology, and you can try tablets of transgenic acid 500\u00a0mg thrice daily for 3 days to stop bleeding. If it doesn't help, then tablets of conjugated estrogen 1.25 mg can be taken once daily for 21 days Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son who just turned one on September 11. I noticed that a little below his hip and closer to his genitals kind of where his leg is connected I found a few squishy like sacks if you will and there is a couple in the same area and I am very concerenced", "output": "Hi... Thank you for consulting in Chat Doctor. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "zzxczxc", "output": "Hello, Thanks for posting, When you experience pelvic pain/lower abdominal pain associated more or less to lower back pain it is usually as a result of an affection at the level of your pelvis or kidneys/UT. Now first, since you have missed period, take a pregnancy test, and if positive consult a knobs, so he can run a pelvic scan to determine if any abnormal pregnancy. Some series of tests include screening for PID (which is very likely given the presentation) and also urine tests + more or less of some blood tests could determine the cause of your problem and henceforth an appropriate treatment can be established. Hope this helps Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my mother age 70, is having pain and breathing difficulty in the chest since the last two days. She also feels numbness in the legs and this morning, she acted as if she was mentally ill. Please let me what else could be happening with her besides the heart problem.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of heart related diseases is more in your mothers case. Besides heart diseases, lung diseases like lung infection and bronchitis can also cause similar symptoms. So consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Chest x-ray 3. PUT (pulmonary function test). Chest x-ray is needed to rule out lung infection. PFT is must for the diagnosis of bronchitis. She may need antibiotics, inhaled bronchodilator and inhaled corticosteroids (ICS) on the basis of these reports. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "38 yrs, 120 lbs, 5.1 ft. have red puffy welts on back of neck, lympnodes swollen under armpit (multiplying) now I have swollen lump that starts at coller bone an ends half down breast. Welts are painfull, and I also have lumps growing that seem to attach to the tendons in my neck or legiments. Ive been tested for shingles lupas and something called dermi....mytosis.", "output": "Hi! Good morning. I am Chat Doctor answering your query. I am afraid the opinion on the lump can not be given without a physical examination and further investigations. Therefore, I would suggest you to visit a general surgeon at the earliest in your area, who after a general physical examination with special attention to the lump might go for some investigations, like routine blood tests (CBC, ESR, Blood sugar), an X-ray chest if need be, an ultrasound abdomen, and an FNAC of the lump if considered necessary. Further management would depend on the results of examination and investigations. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi there, Im a 30 year old male and had surgey 6 months ago on my upper arm for nerve damage. I still have bruising so i finally went back to the dr and he put me in medrol. Disnt say why. I looked up what medrol is used for and i see its for autoimmune diseases. My mother has lupus should i be concerned that i do too?", "output": "Hi there. At the outset, you will need to be more specific. Nobody has surgery for nerve damage unless there is some trauma preceding or there is some underlying neurological cause for the damage. What nerve was involved & was it an isolated occurrence? Were there any skin patches with loss of sensation or any paresthesia or motor or sensory loss? What was the surgery done? I can only presume he put you on me Chat Doctor. If am not mistaken, me" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I took a fair bit of mdma the last week and since I have develouped several small ulcers on my toung which hurt when they graze my teeth and prevent me from eating certain foods such as pineapple or tomatoes. Is it possiple that the mdma caused this? will they go away by themselves or is there some measure I should take to heal them?", "output": "Hi, Thanks for asking the query, According to your clinical symptoms I suspect that you have developed authors ulceration this can be due to allergy to some food products, nutritional deficiencies, hormonal imbalance. I would suggest you to apply cortisone acetate cream topically over the affected area. Take lukewarm saline gargles to give soothing effect. Start with multivitamin supplements. Maintain a good oral hygiene, take antiseptic mouthwash rinses twice daily. Hope this helps out. Regards..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I woke up with leg pain a couple days ago on the one side of my leg. The pain started on the right side of my lower pelvis, and progressed to my back. Now both of my legs are in severe pain to the point I can not move them. What is this? My doctor is clueless and is calling me a mystery.. Help?", "output": "Hi there. This sort of pain could be due to either :1. Pelvic inflammatory disease.2. Lumbar canal stenosis. This is more likely. Kindly get an ultrasound of the abdomen along with X-ray of the lumbosacral spine. Get them evaluated by an expert. Kindly start on antibiotics and painkillers according to your GP's prescription. Add a muscle relaxant to the combination. I hope my advice has helped Good luck" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 47 years old and have had Fibromyalgia for just over 30 years, am on permanent CPP disability. The pain is way worse now then when I was 17, could be that I ve raised three children since then! If it weren t for my children, I wouldn t be here right now - everything I do is painful, exhausting, and depressing.... The way I explain my unrelenting pain to some people has been telling them that just because I m smiling today doesn t mean that I am not in pain, doesn t mean every single joint, muscle etc... isn t driving me mad, every second of every minute of every hour of every day etc... and that I m a good actress when I need to be! I also explain my situation this way: if I were a dog, that felt all of the above...would you not have it put down so it wouldn t have to suffer one more horrible/painful minute? I ve been very careful not raise my pain meds (I just try to increase for a while, then decrease to the initial dosage etc...) I m trying to keep the dosages low (and not getting much relief) because of all the hoopla and the abuse of pain meds lately in both Canada and the US. Drs. now afraid to write higher dosage scripts for fear that the gov t will come down on them, and then before you know it, I will be stuck in the middle and have to try something else etc... The problem is I am in so much pain all the time, (even my pain Dr. told me that I will probably never not be completely pain free. I understand that I need to enjoy reduction in pain no matter how small or for how long... I see him every week to pick up my prescriptions but what makes the hour long (hard, painful, tiring) drive to see him worth it, is the Nerve Blocking Injections in my back, shoulders, and neck areas! (where were these injections 20-30 years ago?) I feel really good and abnormally energetic for a day or two after the injections, then it stops working, but I do appreciate the one or two days - very much! So, my first question is: along with my daily dose (2400mg of Gabapentin), should I stop worrying so much about the actual dosages and just keep raising it over time until I start to feel better, then level off? Right now I am on: 6mg 3x/day of extended release morphine, oxycodone 10mg 3x/day and cyclobenzaprine 10mg 2x/day. My second question is: How safe are these injections over time? Can I just keep getting them every week, after week for years? Thank you for your time, Diana", "output": "Ok, the top question I do not see the milligram of gabapentin. 800 mg three times a day is the usual top dose. However, a key point on medications is the dose dependence of bad things happening. The relationship between Chat Doctor. Gabapentin is extremely LOW RISK, HIGH SAFETY, but, its side effect curve (sleepiness) is weird in that it starts at about 1 in three people at the low dose having sleepiness and it doesn't really change much with higher dosing. Bad stuff doesn't seem to happen with much higher doses as opposed to most things (like water) where going up 3 to 5-fold is dangerous. Flexeril is dangerous above the recommended dose which is the MAXIMUM SAFE DOSE. It affects muscle including heart. Bad. Narcotics are the more usual case. Low low doses don't do much. Average doses have some risks and some help. Going above the recommended dose increases both some pain relief but vastly increases the danger of stopping breathing, addiction, etc. Cant say about the back injections because I do not know what is injected. Steroids would typically stick in any space they are put into for weeks not days, but this depends on if it is steroids injected and what type of steroid. Lidocaine wouldn't last as long but its quite safe except for the needle which can hit something each time. Steroids in theory weaken muscle, tendon, bone, but I've never seen anyone who's gotten 10 injections in their entire lives so, I cannot comment on actual problems. The near 100% risk of local minor bruising and local pain and significant risk of spinal fluid leak with spinal injections are the biggest risk (of minor seriousness). Back muscle injections....the injections themselves are really close to zero risk; we do antibiotic shots daily. Thousands. Not much risk. Oh, wait flu shots. Tens of thousands. Not much risk." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi there doctor, my baby is now 10 months old and I think he has diarree. He is vomiting for about 5 days now (once a day) and his diapers is something out of this world. I can see he s got a runny tummy and he s stomach is also making noices. He s not eating and drinking as spontaneously as before, but is also not showing that he is feeling ill. He is busy teething and at first I thought that that is the explantion for abovementioned, but there is a tummy bug doing the rounds and I can only get to a docter tommorrow. Please advise. Regards Adel", "output": "Hello Mam, I just read your query. The diarrhea and omitting in a child are indicating gastrointestinal infection. The infection may be viral or bacterial, but as he has not been suffering from fever or other symptoms, chances of bacterial infection are less.* As you mentioned teething, while teething in gums of baby irritation and itching occurs, to get rid of that baby usually took some hard material and start chewing them, and may be it's your tether. As these may cause infection. Tether if not cleaned properly or has not been changed from quite long time might cause stomach infection.* So first take care about things which your baby put in his mouth.*In diarrhea and vomiting prefer liquid and semi-solid diet. As diarrhea and vomiting both may cause deny Chat Doctor. So give your baby apple, banana as both these will help in binding of stool. You can give him juice of apple, pomegranate. You can give him boiled rice or boiled lentils after mashing or can give boiled rice and lentils together. But don't force your baby to have too much of anything. Give him small frequent meals as it will compensate his energy requirement. Curd is a good source of probiotics and will also help in stool binding and normal intestinal movement. You can also give it to your baby. Reduce the amount of milk as it will also worsen the problem.* If you are using any gel for gums then keep on using it. If you don't have any then take honey and after cleaning your hand properly, rub some amount of honey on gums of your baby twice or thrice a day as it will reduce irritation of gums up to some extent.* If you feel he has fever then check it on, if its around 100 degree F or more than you can give him paracetamol syrup.* Keep an eye on his urine output. Less urine might indicate deny" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Sir, I am 31 yrs old male. I have a symtom of anxiety and mild palpitation (not increased heart rate but increased amplitude) from last 2 years. I had got full heart check up in Aug 2011 and everything was found OK. I went to the doctor again in May 2012 and complained about my existing problems of occassional palpitaion and anxiety. Doctor precribed to take prolomet xl 25 mg . Since then till October 2012 I was on the same medicine untill I started having a symtom of shortlessness of breath. I complained this to another doctor and he asked me to taper the dosage to 12.5 mg. Since then I am on Prolomet 12.5 mg. I tried to quit it somedays back but it resulted in increased BP (140/95). I am scared with continuing this medicine as I have read it has adverse effect on heart. Although I feel better with this medicine, I want to quit it because of the known side effects. Is there any alternate medicine which doesnt have an affect on heart or kidney . Or could you guide me as how can I quit this medicine. Also I have mild Mitral Valve Prolasys. Thanks and regards, Anupam", "output": "Hi young man, thanks for the question. People with Mitral Valve prolapse are known to have heart rhythm disturbance (leading to palpitations) and heightened anxiety (related or unrelated to palpitations). Beta blockers are the treatment of choice for this and has beneficial effects (and not deleterious) on the heart. It does not affect the kidneys. I hope you have also had 24\u00a0hour or 7 day continuous monitorinsince you are ONG of your heart tracing to look for heart rhythm disturbance in the past. If you don't have any symptoms now (since you are on proposed) you don't have to have heart trace monitoring now if not already done). You are young with high BP and hence would require a thorough investigation for secondary hypertension. I hope this has been done by your physician. If you have had a kidney scan I would be keen to know the result. Most important for you is to have your BP under control and see a cardiologist regularly. Trying to come off a medicine which is going to help you is not advisable. Let me know if I can be of any further help. Best wishes" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HiI have had a in the last few days a pain under my left rib cage. It feels like a balloon is under my lower ribs. It makes me nauseous. and i get dizzy. It is hard to walk or sit down. I do not know what to do or what kind of DR. to call Thank you Shanna", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Pain under rib cage, nausea and dizziness are seen with acute gastritis. So avoid stress and tension, be relaxed and calm. Avoid hot and spicy food. Avoid junk food. Avoid large meals, instead take frequent small meals. Take combination of pantoprazole and levosulperide twice daily before food. You will mostly improve with all these in 1 week. If not improving then consult internal medicine specialist. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "kindly check this semen report and give comments. Appearance: Creamy White Consistency: Thin Volume: 2.5ml PH: 8 SPERM MOTILITY (100%) (100 spermatozoa) a) Rapid Progression: 55% b) Slow Progression: 15% c) Non-Progressive Motility: 10% d) Immotile: - Agglutination: - Count/ml: 105 million MORPHOLOGY (%) Normal 60% Abnormal 40% Head Defects: 15% Tail Defects: 10% Neck & Mid Piece Defects: 10% Cytoplasmic Droplets: 3% Headless Pinhead : 2% Pus Cells: 0-1 Red Blood cells: 2-3 Epithelial Cells: 0-1 Miscellaneous: Nil Duration of Abstinence: 15 Days Liquefaction Time: 30 min I am 30 year old, married one year before but still not conceiving .", "output": "Hello, welcome to Chat Doctor, Firstly, the physical examination of the sperm is quite ok. Count is within normal limit (normal is >20 million/ml as per WHO 2009). Motility of the sperm is also within normal limit (Normal is >40 % as per WHO 2009). Normal sperm morphology is also satisfactory (normal is >04% as per WHO2009). Others are within normal limit. So, you are totally fertile. Your wife needs to be investigated appropriately. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I shiver and severe itch over my body, also my lip is very swollen, I do suffer from urticia, and it calmed down but now it seems to have flared up, I take one clyatyn tablet every day. but it has not hepled me. my tongue comes up when I have it on the one side, very hard not to scratch.any suggestion to help me, Pauline Chaplain.", "output": "Hello, Thank you for asking at Chat Doctor. I went through your history and would make following suggestions for you:1. Were I treating you, I would suggest you to take montelukast and fexofenadine in morning and HY Chat Doctor. You can continue it up to 5-7 days depending upon response.2. I would also suggest you to apply a lotion or a moisturizer over itchy areas. Please do not scratch itchy areas, it would aggravate your symptoms.3. If you have difficulty in swallowing or respiration due to tongue or throat swelling, I would also prescribe you a short course of steroid (prednisolone) for 5 days.4. To identify the cause, I would like to know your symptoms in great detail. I would also like to know your age, any other medical conditions that you might have or any other " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I Hit My Cheekbone 7 Months Ago And I Had A Black Eye And Swollen Cheek.. The BlackeEye And Pain Subsided However Some Of The Swelling Is Still There. No One Notices It Except Me. And I Feel A Small Lump When I Touch My Cheek. How Do I Get Rid Of This. Will It Stay Forever? There Is No Pain And I Doubt I Broke My Cheekbone", "output": "Hi! Good morning. I am Chat Doctor answering your query. The persisting swelling in the cheek could be due to a hematoma getting organized in these 7 months time, or might be due to an independent cyst. If you did not have any pain, and it was not too big to be noticed by others, just observation of the swelling in regular intervals is required. Please do not fiddle with it. In case this increases, then you might have to get it assessed by a general surgeon in your area for a possible FNAC and further management of the problem. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have 4 red tiny bumbs in the shaft of my penis. its been 3 weeks and it multiplied by 2. atm its 8. and 2 days ago i started to feel very itchy in my balls and some part near my penis. the itch is so annnoying. the more i scratch it, the itch gets more. i have applied some creams but nothing work please help. im 21", "output": "HelloThanks for query. Itching of the scrotal sac with small bums over shaft of the penis could be mostly due to what is called s Jack itch. You need to take antifungal medication like Fluconazole orally as well as Fluconazole gel to be applied over scrotum after cleaning the entire area with warm water twice daily. Ensure to wash your inner wares in boiling hot water mixed with antiseptic solution like Detail. Thanks Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am 32 years old women i have problem of hypothyroidism doctor told me take daily 75mg and i am taking 75mg thyronorm alternative day because daily i am not compertable from daily 75 mg i have problem from 8 years i have 8 years old son i want second child my tsh level 8.5 and t4 level is 13.2 plz give me suggestion thanks", "output": "Hi Lauri shields dixitWelcome to Chat Doctor. Thyroid disease itself can be a reason for infertility. It is advisable to correct thyroid and then try for pregnancy. The Chat Doctor. Anyway, please follow your doctor's advice strictly and take tablet regularly but not on alternative days. Taking thermoform on alternate days can cause more harm to you by disturbing your cycle. Please take it regularly. I advise you to visit your Gynecologist and get evaluated for POD, as this two disease occur together in many people. Both the diseases can because of infertility. Hope I answered your question. If you need more information feel free to mail me. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Yes, today my daughter had an ultrasound on what was left of her thyroid. She s been going through unimaginable anxiety and depression, rapid heart rates that come and go, paranoia and psychosis. She is overwhelemed over everything. She had to resign from the job that she has worked at for the past 7 years due to confusion and memory loss. We believe that the bit that is left in from her surgery 6 years ago is still producing and has sent her into several thyroid storms. The tech that did the ultrasound told my daughter that there were pieces of her thyroid spread out all in her throat and that there was a huge scar tissue. She said that the piece could be regenerating itself. Please ease my mind as to what could possible be going wrong.", "output": "Degree understand your concerns went through your details. Please do not go with the opinion of technical people who took the radiology test. They are not trained in such minute physiology or anatomy of endocrinology. The doctor who did the surgery cannot leave such a mess and be sure about that. In any case, you are going to be sure about the result when you show the result to the capable endocrinologist. Therefore, wait for the consultation. Even though there is some problem, that can be corrected. If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 6 year old granddaughter has a golf ball size blackish bruise on her left forearm, it has a normal skin colored center. It doesnt hurt her and is not swollen. I has been there for about 2 days. I dont think it is a spider or insect bite. I cant see a bite mark in the center.", "output": "Hi, I had gone through your question and understand your concerns. You should be worried but not too much. She may be hurt herself from a bump or fall. It is normal development of bruises healing, usually during 2 to 4 weeks, they often turn colors, including purplish black, reddish blue, or yellowish green. You can apply Tomophobe thrice a day for quick healing. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you and baby good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My maid has rashes on the skin, which starts as a small spot and then on itching,it becomes a big rash spot @ 1\" -2\". It also becomes black in color. The spot does not have any swelling. This condition seems to be exists for 6 months now. It has started to show more prominently since last 2-3 months. She has seen a couple of doctors. She was prescribed Tri-o-bloc cream. She used it for 2 -3 weeks and stopped it since its expensive. The next doctor prescribed Tenovate NM cream, Laveta tab, Betnesol tab and AF 400. The condition has not improved. Please advice.", "output": "Tithe data you have provided is insufficient. The most important data here is site. Where is the black spot located? If on face then we are dealing with plasma. But from what I can guess from history you have provided is that the patient has Tina incognito. But ti tell with certainty I need the location of the lesion and if possible a photograph. Treatment of this condition is oral and or topical antifungals for appropriate duration. Incomplete treatment will lead to relapse. Hope it helps Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor ; My wife is a 38 years old lady.She is using tablet Olepra 2.5 mg ( Olanzapine ) for the last about three years being psycho patient ( Illusion ). There are certain negative side effects of this medicine like gaining weight and stoppage / irregularity in menses (periods).Can you please advice regarding solution of said side effects. Is there any other latest medicine for this disease having no such negative side effects.", "output": "Hello and welcome to Chat Doctor. Thanks for your query. Weight gain and irregular periods could be side effects of Olanzapine. If these side effects are causing significant problems, then other anti-psychotic medication can be considered. There are other medication which do not have these particular side effects, but this treatment decision has to be taken after carefully weighing the benefits and risks due to the medication. So, please discuss further options with her psychiatrist. Regular exercise and diet control are also important to be followed, especially when on anti-psychotic medication. Wish you all the best. - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have had a lump in my armpit -breast for about 6 weeks now. I went to the doctors whom confirmed a definate lump and has sent me to the Rappid Access Clinic. My lump doesnt hurt although this week it has started to feel uncomfortable when my arm is down. I am 45 and had hysterectomy 9 years ago,ovaries removed also. I had a big lump removed on my right breast around the nipple 25 years ago,that was benign,do you think it could be the same thing. The is no history as far as i know of breast cancer but my moms brothers and sisters have died of lung and prostrate cancer that had spread.", "output": "Hi, dear. I have gone through your question. I can understand your concern. You may have lymph node enlargement in the armpit area. It may be reactive for tuberculosis or metastatic from your recurrent cancer. Or it may be recurrent breast cancer. So the best thing to do is go for FNAC of that lump. It will give you exact diagnosis. Then take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. i had an M>R>I> done anit says atc6-7 there is a focal right paracentral/lateral disc proyrusion with disc materail extending back by approx.3mm to contact the ventral aspect of the cord right of midline an encroach upon right of the foramen.it appears to be superimposed on a diffuse annular disc bulge ap diameter of canal approx 8 mm .I have had 2 diffusions already on 4-5 an5-6 I know i am looking at surgery go to neuorosurgeon tueday. Is there anything i need to be cautios about until surgery?", "output": "Hello Anti, Hope, it is your name. My advice as a Homeopath is not to go for any surgery. There is no guarantee that you will be more comfortable after the surgery on our spine. At least take some time to think very seriously before undergoing surgery. It is a wrong notion that your problem is because of the mechanical alterations in your spine and spinal cord. It can be the other way. You had some problems earlier and that is why your disc material protruded and made compression on nerves. Your two times diffusion was only a mechanical correction. As a Homeopath, I would suggest you to approach an expert Homeopath and get his treatment. Most probably you had a very shocking conflict before the attack of backache and this was repeated in subsequent episodes. They are not resolved. Physical expression is only a subsequent manifestation following the mental problem. Resolve the problems in the mental level by a good counselling and take homeopathic treatment from a good Homeopath. From my experience of 35 years of Homeopathic treatment in a classical manner, I can assure you that it is the mental causes that produce this sort of disc problems, and they can be corrected through Homeopathic treatment after taking into consideration, the mental, physical and general make-ups of the patient. With best wishes for a speedy recovery through Homeopathy and of course without a surgery, Chat Doctor. C. J. VargheseHomoeopath" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, My daughter has very small red bumps on her legs, arms and neck that itch a lot. She has been taking prednasol and it helps with the itching. However, if she stops using it, the bumps appear again with the itch. What do you think is going on? Id really appreciate your opinion.", "output": "Hello, I think your daughter is suffering from urticaria which appear as red, raised, itchy lesions and disappear in another 24 hours. If this is the case, prednisone will not do much good for a long time, but it will cause a lot of harm due to steroid use. I would suggest her to stop steroids immediately if she has been taking it for less than 3-4 weeks. And if she has been on steroids for a very long time, then she should taper it slowly to avoid symptoms of with Chat Doctor. For disease, an antihistamine like fexofenadine/ levocetrizine will provide relief in her symptoms. Also, try to rule out for the cause for urticaria like worm infestation, urine or any other infection in body, thyroid problem, any intake of new medicines or food itemsThanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hey, when i went to go eat lunch today it didnt feel right swallowing and i guess i started to freak out and i started getting these pains in my like lower chest, upper stomach area, and any time i go to eat or drink something i get these reoccurring", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. By your history and description, possibility of HERD (gastroesophageal reflux disease) is more. HERD is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms of Central lower chest pain, stomach pain, burping etc. You need to follow certain lifestyle modifications along with Chat Doctor. So avoid stress and tension. Avoid hot and spicy food. Avoid junk food. Avoid large meals, instead take frequent small meals. Take proton pump inhibitors (antacid). Go for walk after meals. Keep 2-3 pillows under head in the bed to prevent reflux. Quit smoking and alcohol if you have these habits. Lose weight if you are obese. Don't worry, you will mostly improve with all these. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "yesterday ihave taken x ray docter said Mild sponylosis, Ineed to know I am 60yaer old and ex body builder ,I am very interest to do weight training can I continew? AND C5 C6 Disk space also reduced, please give me reply sir. email,S.S,shareef@yahoo,com g mail Bake YYYY@YYYY", "output": "You may take physiotherapy isometric cervical exercises and wear cervical collar after applying Voltaren gel and hot fomentation. Take Alive tab twice a day after meals and methycobalamin 500iu.daily. Conservative treatment for now. Avoid weight lifting. If at future date reduced disc space if it gives any trouble consult surgeon if any fusion surgery is required. As of now, no surgery is indicated" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a CAT scan on my abdomen last week because I was experiencing intense abdominal pain. It turned out that I had kidney stones. My husband and I are currently trying to get pregnant and I ovulate tomorrow. Is it safe to try to conceive right after a CAT scan? If not, how many cycles should we wait?", "output": "HelloThanks for writing to us with your health concern.TO answer your question in one word - YES, it is absolutely safe to try and conceive tomorrow. A single CAT scan, even if you were ALREADY pregnant, would never harm your fetus.And you haven't even begun trying yet ! So please go ahead and do not worry. There would be no lingering or dangerous effects of such minimal radiation. Hope you are taking your prenatal supplements regularly.Wishing you all the best with your attempts. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I live in a house where there are over 7 small philodendron plants hanging from the wall. Since moving in a month ago, I have never touched the plant, but have been experiencing extreme congestion, itchy watery eyes, and diarrhea. The bowel problems began 2 weeks ago, the other symptoms one week ago. Could the philodendron be causing this?", "output": "Hello. Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for you as follows:1. Yes, Children Chat Doctor. Any many parts of the plants are allergic.2. Pollen of the plant can cause nose, respiratory and eye allergies, upon ingestion of its juice, one can get stomach upsets and upon touching the plant, one can get skin allergies.3. Your observation may be correct, congestion, eye symptoms may well be due to pollen of the plant. I am not sure about diarrhea, but it may also be possible as well.4. To confirm, I would suggest you allergy testing for pollen of the plant. If this is not possible, I would suggest you to keep plant out of house for a few weeks (8-12 weeks), if your symptoms improve, you could think it was due to allergy to the pollen. (After removal of plant from home, it takes a Food weeks to actually clear pollen from home, that's why it takes longer)5. Till you have symptoms, I would suggest you to take regular montelukast and levocetirizine. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you the best of the health. Thank you & Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter is 1 year and 2months old. Since January (month she was born) she has been constantly falling sick. She had spell of vomiting. then she had cold with running nose, fever and cough followed by vomit again. We decided to take a 2nd opinion and changed pediatrician in the beginning of Feb. The 2nd doctor diagnosed she had an infected adenoid.He prescribed an antibiotic for 3 weeks. she was better by the end of 3rd week, but then again she got cold, cough and vomit with slight fever. aging the doc said that she had a bacterial infection and we got another antibiotic for 5 days. she was alright for a couple of days and then she had running nose (which i thought as cold). The running nose reduced and today she started coughing again with vomit. I am really worried as she has been constantly sick. please advice.", "output": "Hello dear!probably your daughter is having enlarged adenoids. I would like to have a detailed history regarding her symptoms like is she a mouth breather?does she nor at night? Do you have a family history of allergy and asthma?was this child delivered via c-section?I would recommend an x-ray soft tissue neck for adenoids. If they are enlarged to the extent that they are causing difficulty in air passage through the larger airway, i should be removed by the time she is at 5 years of age. But mostly they regress by this age. I would advise some good anti-histamines like levo-cetrizine about 2.5 ml at night for a period of 3 months along with montelukast sachet 4 mg at night for 3 months. I would like you to try some home remedies also like a teaspoon of honey in a glass of Luke warm water once daily. Avoid giving her cold Chat Doctor. Avoid candies and ice creams. Hope it will help. Wishing your child good health :-)" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I ve been experiencing severe lower abdominal pains (feeling like i really have to go to the bathroom, but that s not the case), when I stand I feel quite nauseous and dizzy and I ve also had hot flushes, chills and mild diarrhea . This always occurs early morning (around 4 - 5am) and lasts about 30 - 60 minutes each time", "output": "Hello, gab.xx, Severe lower abdominal pain, nausea, chills and possible fever symptoms are suggestive of some infective process in the abdomen. If you are also experiencing urgency and some diarrhea, we will have to consider the diagnosis of Acute Diverticulitis. An infected \"Pocket\" or pouch calleddiverticulum that arises from the wall of the colon. More common on the left side and lower part of the colon called the sigmoid colon. The condition is more common after the age of 40-45, but can happening younger individuals with family history of same. Also, you have to rule out other bacterial infections, and may need to have your stool for culture. If you have been on any antibiotics recently we also have to think of C. Difficile infection. That can be ruled out by testing the stool for Toxin A & B. It can be treated by medications. Viral infection, either Root virus or Nor virus can cause GI symptoms. Keep the HY Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi i had filled my teeth nine years ago but one month before i got pain in my fillings so i went to dentist he said you need to remove old fillings.To remove old fillings he gave me medicine but i cant eat medicine bcoz of liver swelling so after one day he remove my old fillings through injection and do temporory zinc white filling and said to me come after five days.i could not get pain in temporory filling but after eight days when i go back he remove my temporory filling and did sliver filling .since then i am getting pain when i try to eat something and also feel hot and cold .kindly tell me what should now i do?", "output": "Hello! Thank you for posting in Chat Doctor. You must have developed cavity below the fillings. Your dentist filled it temporarily expecting your teeth will heal deep cavities. But, you still developed pain. It means your cavities are deep that they need a root canal treatment. I suggest you to see your dentist for an x-ray and proceed with the root canal treatment. This will save your teeth from extraction. You must also see your general physician for an antibiotic and analgesic prescription as it is necessary for your tooth to heal after root canal. Liver problem also leads to poor blood clotting. So, inform your dentist before any treatment. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have posterior pain going up left foot along both sides of left ankle. It is not my ankle or bone but right along both sides in the back. it hurts to go down steps. It really hurts first thing in the morning when i get up. I m an avid runner. i ve taken 5 days off from running with no decrease in symptons.", "output": "Hi, Thank you for providing the brief history of you. As the pain is in the posterior side of the lower 1/3 of the leg it needs a thorough clinical examination and may be an x-ray as well. This pain can be due to either of the reasons - either plantar fasciitis or may be venous insufficiency. Usually these pains are muscular and may be plantar fasciitis. For which taking a physical therapy should help improve the overall symptoms and regain the mobility as well. Also, doing hot water fermentation should help reduce the pain and with simple exercises the problem can be solved. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI I am anil my 14 year old daughter suffering from fever and the doctor prescribed CLAVAM 625 and Clevo 500 and the fever decreases and Increases but not cured so we went to other doctor and he gave a injection and on the same day within 4-5 hours it cured fever and he prescribed Cafolac 200 and B Complex Forte. my concern is Is antibiotics good for health?", "output": "Hello Anil, It is good that you concern about use of antibiotics. If antibiotics are taken for the appropriate days and dose and if it is indicated, it won't be harmful. But if it is taken haphazardly then there are chances of development of resistance to that antibiotic. You have not mentioned for how many days you gave your daughter those antibiotics, otherwise it will be helpful to comment on that also. Hope this helps you. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello, ive been having a pain in my upper right abdomen between my ribs for about 3 weeks, along with a new pain traveling up to my right shoulder which feels to be a nerve. This has happened about 4-5 times over the past 4 days. Ive had a HIDA scan whicChatDoctore back fine and hepatitis test and liver enzyme test which all came back fine. I did however get an abnormal chest xray back. maybe you could decifer some of the terminologly. It states there is a mild peribronchial thickening noted in the right hilar/suprahilar region. On the later view there are densities projected over the spine. The possibility of an interstitial infiltrate cannot be excluded.", "output": "Hi and welcome to Chat Doctor. Peribronchial thickening is nonspecific sign, usually means nothing, but can suggest bronchitis or atelectasis especially in smokers. I would be more concerned about this spine issue? It must be evaluated by Ct scan. It can be degenerative changes but something much serious should be ruled out. You should also do liver and gallbladder ultrasounds to check gallbladder stones, this can cause such pain too. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my husband woke up with severe pain at his left lower side abdomen he is complaining that his testicles hurt along with his left leg going numb. He is a tough guy and is screaming in pain crying. Please help us to know what is wrong, we are stuck in an ice storm and cannot make it to an ER", "output": "Hello, Apply ice. Ask him to use tight underwear as it can sometimes relive the pain. He can try taking painkillers. However, if the pain persists even after all these, I will suggest NOT to delay treatment as it may indicate \"Torsion of the testes\" which is a serious issue and needs immediate medical attention. Other causes may be infection, kidney stone and simple muscle spasm. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have a surgery of testicular torsion on 1 st feb.2012. right testicle is removed and a silicon prosthesis is inserted there. now, after ejaculation i am feeling a mild pain and burning in penis. although urine c/s report is normal with no bacteria. am i need any other tests? what should i do? give me some precosions after the surgery. am a ejaculate now?", "output": "HelloThanks for your query, based on the facts that you have posted it appears that you have pain in pain and burning in penis after ejaculation. You have undergone surgery of Orchidectomy for torsion of testis and a silicon prosthesis has been implanted in your scrotal sac. This is in no way related to your pain in penis. During erection and ejaculation blood flow to the penis is increased to 20 times more than normal blood flow resulting in to congestion of entire penis and urethra The pain that you have is due to congestion of the penis and there is nothing to be worried about. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi the last cycle of my started at 22july she supposed to be get cycle by today, we did the urine test and it shows positive . we are confused the pregnancy line is very fade.. is she pregnant, and what should we do if do want to go with this pregnancy ???", "output": "Hello dairy understand your concernPregnancy test will give true positive result 8-10 days after the missed period. Fade line could be due to improper use of test, evaporation line, early pregnancy, I would suggest going for repeat the pregnancy test 8-10 days after the delayed period. You can also go for blood Chat Doctor test, as it is very accurate and give positive result even 10 days after the unprotected sexual intercourse. If you will be pregnant then you can still terminate the intrauterine pregnancy by the abortion pill under the supervision of the gynecologist. Avoid stress, take healthy diet, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband id 41 years old and sometimes he happy then sad it s a up and down constantly he can be very negative at times and this kind of behavior is about to push me away and not be apart of this marriage anymore. I did hear from a family member that he had a plate placed in his back head area but he has never dicussed this matter with me at all.", "output": "Hello and welcome to Chat Doctor. Thanks for your query. Your husbands symptoms could be indicative of a mood disorder. However, he needs a detailed psychological assessment to make a definitive diagnosis. If he does have a psychiatric disorder, then there are effective treatment options available - in the form of medication or counselling / psychotherapy which will help him overcome your problems. I would advise both of you to see a psychiatrist or a counselor to help sort out your marital problems. Wish you all the best. - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My foster mother passed on two days ago. She has been suffering lung problem for a while now and the legs were really swollen. Is the swelling a result of lung or kidney problem? Before she passed on she was fine and healthy. A day before she died she was strong and energetic and even ran her errands but she started experiencing blood coming from the nose and when she was coughing blood came from the mouth. The morning following, there was still bleeding but this time it was more. She got tired and could not walk, she was laid in bed to rest and suddenly she stopped breathing and she was gone. What do you think could be the cause of death? Could there be some foul play- she had been involved in a 2 days quarrel a day before her death she", "output": "Thanks for the question my dear. Swelling of the legs can result from medical conditions related to any of the four organ systems - Lungs, heart, kidneys or liver. It's only after careful assessment including examination and tests that we can tease them out. In regard to you second question, it is impossible to come to any conclusion as to the cause of her demise - could be simply choking on her own blood or something very serious. May she RIP. Best wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband has a heart murmur . It has been checked 9 years ago and everything was fine . Now he tells me he has been having pain in the chest pectoral muscles . He has also said he has shortness of breath upon exertion. No pain. he is also congested. I am looking for a goo heart doctor in the Trinity, Clearwater Tampa area to follow up?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Yes, you should definitely take him to cardiologist. Possibility of congestive heart failure (CHF) is more likely because of chest congestion, chest pain and breathlessness. So get done ECG, 2d echo and stress test (trade mill test). He may need diuretics and other cardiac supportive Chat Doctor. Don't worry, he will be alright. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a bout of the flu three months ago and about two weeks later experienced severe hip pain in my right hip and groin area. I have had an ultra-sound and an x-ray which revealed nothing and was recommended by Sportsmed to take Fenac until I recovered. After nearly $1000 on medical opinions, this is three months later, the pain has slightly subsided but elevates when I walk, which is often 45 mins per day. I have not walked regularly for 6 weeks. On the weekend I again caught the flu, started taking Herron tablets and woke up two days ago with absolutely no hip pain? May I add that prior to experiencing the flu three months ago I had 4 deep tissue massages, then got the flu and my health went down hill. Do you think I had a hip infection after the flu?", "output": "Hi, By your description, this does not look like infection. As such hip infection after flu is very uncommon. This can be something else, but looks like a hip pathology only. I would suggest you to undergo MRI of hip if you keep experiencing such pains, also get a DEXA scan done to rule out transient osteoporosis of hip. Infection will be ruled out after basic blood tests, CBC, ESR, CRP. Take care. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am suffering from hairfall can u please tell how to overcome it they are getting thinner day by day and now the scalp is clearly visible .do intake of biotin tabs will be helpfull .if yes suggest me some biotin tabs which i can purchase in indian market", "output": "Hello, Treatment for hair fall depends upon the cause of the condition and also your gender. Many hair fall problems can arise due to underlying hormonal imbalance, thyroid disorders, nutritional deficiencies, any underlying illness, stress just to name few. Proper treatment will need a detailed history with proper hair analysis and if need be some blood tests also. Just taking biotin supplements won't be of much help. Timely treatment is necessary. If you delay the treatment, then it may be difficult to regain all the hair you have lost despite the best treatment you may take at that time. I would suggest you to consult a good dermatologist in your area and follow up at regular intervals." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi! doctor my name is siddharth ,19years old i have been suffering from hair lose from 2 years, i had once taken follihair tablet for 3 months and Minoxidil solutio but now after 1 year again i told to have folimost tablet and minoxidil solution please recomend what i should do.?", "output": "Hello Siddharth, Thank you for posting on Chat Doctor. I appreciate your concern regarding hair fall. Hair fall is usually ascribed to multiple factors like diet and nutrition, hormones, stress, cosmetic products etc. From your description, it seems you might be having Male pattern hair loss or An Chat Doctor. If I were your dermatologist/trichologist, I would like to take through history including family history, history of recent major trauma/illness/stress/medications etc., and recommend some basic investigations like CBC, blood sugar, Thyroid function test. I would suggest you a course of oral tablets containing biotin and other essential vitamins and minerals for minimum 3-6 months. (Collinear or Foremost) Also, would put you on solution containing 10% minoxidil once a day and a hair serum containing peptides for hair growth at night.(Q era etc.). Finasteride (Final) can be used in selected patients after thorough counselling and checking your liver function. Finasteride, inhibits metabolism of testosterone at hair root level. It sometime leads to embarrassing side effects like impotency, decrease in semen volume but which are totally reversible on stopping the " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am an 18 y.o female. I have hurt my 5th metacarpal on my left hand. Not sure how, it has been hurting for about 3 days, no bruising or swelling. Finger still moves fine but it feels like someone is pushing down really hard on the tip of the bone but slightly to the left side of the bone right on the joint where the pinky starts. It is painful to touch but if touched gently I can handle it. Is it a fracture or bruising?", "output": "Hello, If there is no bruise or swelling then it should not be a fracture. There may be inflammation over the bone which may be in early stage. You should do following to have relief -Take a good analgesic anti-inflammatory agent like acetaminophen. Two to three times a day.-Apply a compression bandage from below upward from middle of finger.-Apply cold compresses over the affected part for at least two times a day. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I AM TAKING ATIVAN 1 MG 4 TIMES A DAY. I AM ALSO ON TIZANIDINE 4 MG 3 TIMES A DAY. I AM ON WELLBUTRIN 300 MG 1 A DAY. I TAKE TWO TRAZADONE DAILY 100 MG EACH. I AM ON GABAPATEIN 600 MG 3 X A DAY. THIS COMBINATION OF MEDICATIONS HAS WORKED FOR FOUR YEARS. NOW I AM EXPERIENCING EXTREME ANXIETY ALL DAY. THE ATIVAN HELPS FOR ABOUT AN HOUR AND THEN I START HYPERVENTILATING AND SHAKE HORRIBLY. COULD SOME MEDICATIONS HAVE STOPPED WORKING? I AM ALSO EXTREMELY SAD AND DO NOT THINK WELLBUTRIN XL IS WORKING ANY MORE. PLEASE HELP ME. THANKS XXXX", "output": "Hello, Extreme tremors and hyperventilation are due to receptor activation at acetyl choline pathway as there are multiple medications are going on which are known to interact with each others at central nervous and peripheral nervous system. Kindly discuss the same with your treating physician and get dosage adjustment with or without change of any molecule. Till that time, Chat Doctor. Hope I have answered your query. Let me know if I can assist you further. Wishing you all the best. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a question - I went in to get a basic chest xray before my surgery - i will be having in a few weeks and when my dr got it back , he had me do a stat cat scan of my chest - they said they had found a mass but wanted to see what it was and the report i got back today says sublingual lymph node - and now he is referring me back to my pc - i am not sure what to think because i do not know what this is and i am worried.", "output": "Hello, The sublingual lymph nodes are reactive lymph nodes which usually get enlarged due to an infection. The infection is probably related to the dentures. I suggest using anti-inflammatory medications such as Acetaminophen to relieve the inflammation. The lymph nodes will relieve gradually as the infection is cleared. There is nothing to be worried about. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i seem to have a rash that resides along the inside of my legs like jock itch, bu im not sure if thats what it is. its dry and itches but i have used some cortizone cream and its not as itchy anymore. however today it feels like there is a rash along my butt crack that itches as well", "output": "Hello, Thank you for posting on Chat Doctor. It seems you are suffering from Tina courts, a kind of fungal infection. I would suggest you to consult your dermatologist for proper management of the condition. I usually recommend proper course of oral antifungal Chat Doctor. You can additionally use antifungal dusting powder containing ketoconazole during daytime and a soap containing ketoconazole for rinsing of affected areas. Take oral antihistamines for itching as required. Maintain hygiene over those areas and avoid wearing tight undergarments. Hope your queries are resolved and wish you best of health. Kindly spare some time to rate my answer and " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am 5 weeks post-op following sub-total hysterectomy. Whilst in hospital I had chest pains and shortness of breath, whereupon they did an ecg etc and they said nothing was the matter. This has continued for the past five weeks off and on, I went to the doctors two weeks ago where again an ecg was done and my bp, the only outcome was a slight increase in my pulse. This is disconcerting as I dont know what it was, only to say I had slight problems with svt two years ago which settled down, and i also had a mibi scan which showed no problem with my heart. Can you offer any advice, I was pretty low in health prior to the op also with sore throats and had been put on amoxicillin.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. First no need to worry about major cardiac post-operative complications because your ECG and mini scans are normal. Possibility of bronchitis is more likely for your symptoms. Bronchitis is inflammation of airways, and it is common after surgery. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). If PFT is showing obstructive defect then bronchitis is the cause. You will mostly improve with inhaled bronchodilators and inhaled corticosteroid (ICS) (budesonide or fluticasone). Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, Hello two days ago I went to my doctor to see if there was an issue with my stomach. I proceeded to have bad pain just above my navel and in the surrounding area. The GP thought it was a torn muscle. I then experienced a sharp stabbing pain in my navel. Yellow and brown puss came out of my navel and now blood. I went to A&E and they said it was an infection. However, this doesn t seem like it... It is very painful and is still bleeding and weeping. Please help me.", "output": "Thanks for contacting Chat Doctor. According to your complaint you have problem of navel infection that cause discharge. In initial stage there is access occur if not treated than convert into cellulite also. Proper antibiotics course under doctors suggestion is helpful. Navel infection healing time is long. Consent a physician for further treatment. Maintain hygiene. I hope my guidance is helpful to you. Take care. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 2.5 months child is suffering from diarrea, gastro with little cough. His stool reports shows it contains mucus, blood & bacteria. Doctor prescribed Zifi oral drops, Colimex drops & flatuna oral drops. Could you please guide me are these prescriptions can cure my child.? or any special treatment needed.? Please advise. I am very much upset about my child s health.", "output": "Thank you for contacting me. Infective diarrhea in 2-month-old is in most cases due to faulty feeding especially if on bottle-feed. I would stop bottle-feed and ask feed only breast milk. Is there fever ? You have not told if there is incessant vomiting also. In case there is bacterial dysentery the antibiotic is necessary and as stool culture is not always practical, we an empirical antibiotic. The climax is for colic and flatulent for gaseous disturbance. This treatment should help and you watch for response. The little dough you said can be due to a viral infection or allergic cough. You have not mentioned if there is fever. If not infective child Chat Doctor. I would try giving anti-cold " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello!Im from Russia and suffer from panic disorder for almost 4 years.Im a man of 40 years old.Weve no good treatment for such desease in our country.so I am trying to find a good doctor abroad.what kind of therapy do you offer in such cases? Do you know successful panic attacks recovery cases? Waiting for your soon reply,Sergey", "output": "Hi dear, there are many cases which recovered completely from panic disorder and most of the cases well on treatment. So not to worry that panic disorder is not treatable. There are many ways to treat panic disorder like medication and psychotherapy.in medication SSRI (selective serotonin re uptake inhibitor), SARI (serotonin and nor epinephrine re uptake inhibitor) and benzodiazepine helpful.in psychotherapy desensitization and cognitive behavior therapy is very helpful. Medication and psychotherapy in combination works best. Consult psychiatrist for detail history, mental status examination and treatment. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had damage to my gum in a pocket, and maybe a vein in my gum that bled and was trapped in the gum. It was infected and swelled. After months of antibiotics and not knowing what it was I found it and cleaned it with Hydrogen peroxide. Its doing much better and no more pain but it seems like there is something still producing pus. The periodontist took xrays and says he doesnt know what it is and thought it was just healing. Since then a sliver of bone that was exposed has fallen off, but it keeps seeming like there is still an infection somewhere. What should I do?", "output": "Hellooo...read through your query...accordingly I feel that the puss can be due to periodontal abscess....but nothing to worry...since u got it cleaned...u can do regular brushing twice daily.tongue scraping, use diluted Listerine mouth rinse twice daily, do salt water gargle as many times as possible(min: twice).do continue this for a week. Take antibiotics(Amos+metronidazole)for 5 days if still persists take an opinion of another periodontist(just to know the cause).be cool and calm.hope your benefitted something from this reply.have a healthy day!!!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 19 year old daughter recently noticed bald spots on her head, 2 of them is dime sized and the other one is about the size of an egg. Also, she has a lump on her armpit. In the past, her lymph nodes were huge but eventually the swelling went down. She mentioned to me that sometimes, there s blood on her stool. I am so worried because cancer runs on her father side of the family.", "output": "Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor and I will try to help you as much as I can. Spots on head are probably atheromas and these are small subcutaneous glands which may become clogged and grow. This should be surgically removed under local anesthesia. This is not serious. Her blood in stool is something else, however,cancer is the last thing to think of in her age. It is in most cases caused by hemorrhoids or anal fissure, so she should see proctologist for further evaluation. I hope I have answered you query. If you have any further questions you can contact us. Kindly regards. Wish you a good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello there. I m here to ask for help. my daughter has been acting weird. she doesn t want to eat or drink anything but water. she will always cry in the night, and she will want me to hold her to sleep, but today she was sleeping, and all of a sudden. she was crying nonstop and I looked at her mouth it was bleeding. so I call my sister to get me orajel and squeeze alittle to my index finger n massage the medicine on her top gums and I took out my index it was bleeding a lot. I got scare and I want to know what s going on.but she went to sleep already. but what is causing it", "output": "You should open her mouth and examine it under a strong flashlight to figure out what caused the bleeding. It could be dental, gums, tongue, floor of the mouth, tonsils, roof of the mouth. There could be a cut, ulcers, or other problems. Look for redness, swelling and oozing from the site. If nothing is found, it might be best to go to an oral surgeon to discover the cause of the bleeding. You could do it after she is awake and about. Please mention the age of your daughter in your next follow-up question so that we can help you better." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Well Hello Dr. Rynne, This option is a wonderful surprise. I have a lump that has recently appeared on my cheekbone and one on my middle finger. The one on my cheek has gotten a bit darker than my complexion. The one on my finger has not. Both appear to have some fluid content since they are not totally hard. I ve never had this problem before and I m wondering what is causing the problem. Can you help me figure this out? I didn t realize that there is a fee for this service. Please send me a link for later follow up. Thanks again for your service. Victoria", "output": "Hi, Dear,Thanks for the query to Chat Doctor. I studied your query in depth. I feel concerned about it. In my opinion you are suffering from-Sebaceous Cyst on the cheekbone?It's without any pain and hence most probably its Sebaceous Cyst and not a dental abscess. Please don't correlate it with the middle finger lump, for which you please ask another query with more and specific details of it. Treatment of -Sebaceous Cyst, is Excision biopsy, to rule out any other possibility. For this I would advise you to consult Surgeon and the dentist both at ER. Hope this would solve your query. Please contact again, and I would love to attend your queries promptly. Have a good time." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good Evening. I hope you are well. Thank you in advance for your assistance. My issue is that my right scapula is in pain. I don t feel terrible pain as if it is broken, however it hurts to rotate it or lay upon. I was held down forcefully and the pain begun thereafter. Please advise. Kindly and Sincerely, Angela Mitchell in Florida", "output": "Hi, It may be a spasm of the muscles of the scapular region. Try doing hot water fermentation and post that little of scapular muscle strengthening exercises. It will help you. If still the pain persists than you can go for a physical therapist and a therapeutic ultrasound therapy and TENS will help to ease the pain and give access to perform exercises which will make the muscle stronger. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i m newly married .As i passed my 1 yr of married lyf i do nt able to conceive .I m scared.please help me out", "output": "Welcome to Chat Doctor If you have passed one year on unprotected intercourse without being able to conceive, it could be infertility. You and your husband need to get investigated for causes of infertility. Nothing to worry. There may be some rectifiable problem but for that both of you need to go through series of tests. Your husband can get semen testing done after 3 days of abstinence of sexual intercourse or masturbation, and you can visit the Gynecologist to get examined and tested for structural disorders, hormonal disturbances. Have you gained weight recently? Have you done ultrasound of your abdomen and pelvis? These will be necessary in investigation. Don't be afraid. It will not take long when the cause can be found and an appropriate solution decided for you. GOOD LUCK !!!!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have shingles and no health insurance. I still have some amoxicillan sitting in my fridge that hasnt expired. Will it help with the shingles? Ive had shingles before so Im sure the signs I have mean I have it. I have a constant headache, fatigue and a small rash that is identical to the rash I had when I had shingles last time.", "output": "Hi, Amoxicillin wouldn't work here, as it is antibacterial not antiviral Chat Doctor. So, you have to go for acyclovir(800\u00a0mg 5 times a day for 5 days) or of acyclovir (3 times a day), start only within 3 days of symptoms, after 3 days no active treatment require. If pain still there need appropriate painkiller. Have plenty of fruit juices, water and it c. I had many patients with similar illness, and they respond very well with diet and painkillers. Fatigue will subside soon in 2-3 days on its own. Review after 5 days and in between if things wouldn't control or minimize." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have an infected wisdom tooth and I have been on antibiotics for a week. My gums are swollen and loose and hanging over the tooth, they did not do this before the tooth was infected. I dont think my tooth is still infected, it isn t hurting anymore. The problem is I pushed on the swollen gums too hard and now I have a salty taste in my mouth. What could be causing the salty taste?", "output": "Thanks for your query, I have gone through your query. The salty taste in the mouth can be because of the pus discharge secondary to any abscess in the oral cavity either from a gum or tooth infection. When you press the gums the pus might get discharged and cause salt taste. Nothing to be panic, consult an oral maxillofacial surgeon and get the tooth removed if it is mobile. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, i have a problem regarding foot fingers. they became soo dark. Then i started applying emoderm cream on doctor s advice. after using it for a couple of times, slowly i felt itching on my fingers. it became so severe now..so, am in confusion whether to continue the medicine or not.... so, please let me know ur valuable advice regarding this.. Regards", "output": "Hi, Thanks for writing to us. Firstly it is important to know whether the darkness of toes or fingers is a primary phenomenon, or it occurred secondarily to some eczema, chill Plains etc. so that a proper treatment can be offered. Modern is an emollient or a moisturizing cream, and it would rarely induce itching. To relieve itching, take tablet cetirizine and apply a steroid cream like dexamethasone or mometasone. Once the itching is gone, pigmentation can be reduced with an emollient cream containing Glycolic acid, urea etc. (Medina cream) Hope that helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I struggle with a galbladder that needs to be removed. I dont have the money for a big op now. Is it possitble that because of the pain i experience back kidneys and lower back can also be affected with pain? Is there any product that i can buy over the counter that will reduce this kind of pain?", "output": "Hello Gall bladder calculus may cause back pain, but it is important to rule out other causes of back pain. Definitive treatment of gall bladder calculus is surgical removal of gall bladder. Operation is commonly done microscopically. Recovery is fast by this method. Gall bladder calculus is prone to get obstruction and infection. So, you should plan for definitive treatment. Only painkillers will not help you. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "While sleeping two days ago, I discovered a small lump on my left leg just above the knee and on the inside of the leg; then I forgot it. This morning upon rising a felt a slight tingling in the leg. Upon examination, I also discovered a small bruise at the knee, about 1inch below the lump. The tingling is not constant, but comes and goes. Should I be concerned?", "output": "Hi ! Good morning. I am Chat Doctor answering your query. You have not mentioned if there was any history of trauma to the area. Presuming that there is no history of trauma, and you are not under any medications like aspirin, if I were your treating doctor, after clinically examining you in detail, I would go for some investigations like a complete blood count including platelets, ESR, Blood sugar as routine and a clotting profile. Further management would depend on the clinical diagnosis and investigation reports. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have two or three spots on my genitals that seem to be very similar to pimples. They seem about the size of an average pimple and they seem to be filled with an offwhite/yellowish fluid. Im 18 and am sexually active now, but I have seen them all the way back to my middle school years. They do not itch or bother me or anything, but they look alarming, I guess. Should I be worried?", "output": "Hi, Thanks for posting in Chat Doctor. I have read your description and understand your concern. The lesions what you are describing appears to be bacterial infection of the hair follicles of the skin called Furunculosis. Kindly do the following to overcome it. 1. Clean the area with antiseptic solution like Povidine-iodine twice daily. 2. After Chat Doctor. 3. Take anti-inflammatory Tablet. Ibuprofen after food. 4. Wear loose fitting undergarments and avoid friction in the area. Maintain good genital hygiene. Gradually, the lesions should get better and subside completely. Hope the information provided would be helpful. All the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi me and my wife was try to ivf .because my sperm is less. and my wife eggs was workin slow.we had one baby was 2008..now we want one more babby .but stiil my sperm is lees and my wife eggs small.pleas help for as what we need ...ivf or medication...", "output": "Hi, I think you should go for IVF because both you and your wife have problems. But if you want to try 1 or 2 cycles of GUI, you can go for that. Your wife will take some medicines like camphene for the growth of the follicles and track the follicles' growth by repeated ultrasound. When follicles reach a size more than 17 to 18 mm, injection will be given to rupture the follicles. GUI will be done the next day. Progesterone will be given for 2 weeks. Do a urine pregnancy test at home after that. If it doesn't work, then you can go for IVF. Your wife can take DHEA for increasing the number of follicles. Discuss with your doctor. Hope I have answered your question. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. My daughter is two years old. For the past few days she is passing stool with blood. Got her stool test done n in the report occult blood is positive, pus cells are 2-4 and red blood cells are 1-2. All other values are nil. She complains of tummy ache n then passes stool which is semi formed n of weird texture. Please advise!", "output": "Thanks for asking I have gone through your question, your 2-year-old daughter passing stool with blood since few days, she's having tummy ache. The stool with blood should be treated with course of antibiotics. If I was your treating pediatrician I would advise you Spy Lifetime 10 mg per kg per day in two divided doses for 5 days and tab zinc 20 per day. The blood content of stool start reducing in 2 day of therapy. The above medicine is not available without prescription, so you should visit doctor. Hope I answer your query have health family" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I go to donate plasma twice a week and everytime I go, their machine says my blood pressure is high and i have to wait 10 minutes to have it rechecked. What can I do to lower my pressure before I get there/ I do not take any medications and have never had an issue with HBP.", "output": "Hi, At first I would advise you to monitor your blood pressure to see the overall data during the week. If you have high blood pressure only at hospital, there is nothing to worry, it is because of stress, it is not dangerous, just don't worry, it will regulate gradually. If you have high blood pressure data during day, I would advise you try to cut the amount of salt intake, be much in fresh air, exercise regularly, avoid fast food. Hope I could help nourishing you good health In case of further questions don't hesitate to ask" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Lower left abdomen pain, feels warmer than normal to the touch, throbbing pain! Should this be something to worry about? I may drink more than I should at times, Ive been drinking kinda heavy lately. 6 beers a night for several days/weeks straight. Please advice!", "output": "Hi! I read carefully your question! Is normal to fill pain or any discomfort after heavily Chat Doctor. The exams are:- Abdominal ultrasound.- Amilazemia, Lipazemia (for pancreas function)- Glycemic, AST,ALT, Bilirubinemia (for liver function)- Great, Urea (for renal function)- Fibrogastroscopia (for digestive function)- Hologram (for any infection)I think that these exams should help you to diagnose and after them, you should take any " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "yes. what type of medicienc do you take for this gount I have dealing with this for some years now and I have been takinking this alliporinol and it its not helping my legs are all ways stiff and I cant hardly walk for along time my feet are alwalys swollen and I cabt were nothing flat shone any more and they are assize alarger is this alife time thing", "output": "Hello, I have studied your case. Gout is a metabolic disease, and you need to control your diet to prevent its progression. It can be done by avoiding seeds, high protein diet and red meat and alcohol. Also do not eat a lot of foods in a binge. You said that you are taking allopurinol since long time, and it is not showing any good effect, so you can shift to Fabuxostat. This is also a very good medicine, and it is given in cases where Fabuxostat is not effective. I hope these steps will be helpful for you. Let me know if there is any other followup questions. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 2 year old has a fever of 103.2. I have been giving him motrin and tylenol all day, it will drop to 100 then go back up. Baths only help for 30 minutes or so. He is eating and drinking, not throwing up or complaining, a little sleepy is all. Should I take him to the emergency room?", "output": "His if the child is well in interfebrile period, if so most likely it is viral fever. Then you will need to give symptomatic treatment in form of paracetamol, and tepid sponging with tap water. Tepid sponging: sponge whole body including tummy and back with tap water. Sponging just before giving paracetamol helps in keeping temperature down for a longer duration. Keep him well HY Chat Doctor. Give him warm liquid to " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son, student, 15 years old, has been hospitalises 8 times in the past two years with what I can only describe as a severe sudden onset of labour pains. Last night they dosed him up with 37mg of morphine and it did nothing, he was still screaming in agony for hours. In past 12 months Gallstones rules out, appendix taken out, they have performed cat scans, ultrasounds and every blood test under the sun. Today they administered dye and he had a gastointestial xray which also showed up nothing. During the surgery to remove his appendix they noticed he has a large piece of redundant bowel but now the doctor thinks this is not an issue. Tomorrow he will be finally seen by a gastrointerologist. Can you give me any clues as to what I could ask the specialist to look for, or what further specialist tests could be performed? The only common denominator surrounding each episode is stress, I have no doubt that stress trigers it, but it is clearly a phsiological issues. Do you have any clues or suggestions ?", "output": "Hi, welcome to the ChatDoctorSince your son has been thoroughly evaluated by doctors and different investigations whicChatDoctore normal. It means it can be psychological pain. As nowadays, it is very common in teens with school work pressure, some family issues or anything which is bothering them psychological. This is called functional gastrointestinal disorders. It can be 1. Cyclical vomiting syn Chat Doctor. Functional dyspepsia3.irritable bowl syn" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 25 year old white female. History of thyroid cancer in 2008, had my gallbladder removed in 2011 and I am a type 1 diabetic. What started as sporadic in nature is pretty much consistent. Right after I eat I feel a bubble like feeling on my left side that goes down to my lower ribs. If I eat it is more obvious but its almost always there now, just easier to feel after eating. It is not fixed by taking a gas reliever and it is not painful, just weird and uncomfortable.", "output": "Hi and welcome to Chat Doctor. Thank you for your quarry. It sounds like stomach issue. All this is caused by high acid secretion which is found in gastritis, HERD or hiatus hernia. These disorders can cause such difficulties, and you should do gastrostomy to evaluate this. Symptoms that are experienced in such conditions are pain and tightness in upper stomach, bloating, breathing difficulties, heartburn, feeling of lump and sore in throat, gurgling sound in throat, fatigue and loss of appetite. Symptoms are aggravated after meal, long sitting, leaning forward, stress and anxiety. In the beginning this is treated by changing dietary habits. You should avoid alcohol, coffee, smoking, fats and fast food, carbonated Chat Doctor. 1 hour after meal you should not sit or lay. Also lay with elevated upper body. If you are overweight you should do often exercise. Secondly, there are antacid medicines which are usually helpful, you should consult your GP about this. If symptoms persist, you should do gastrostomy and stomach biopsy to verify is there Helicobacter pylori infection which can be treated then. Hope I have answered your query. If you have any further questions I will be happy to help" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 2 1/2 yr old for the past 2 days has had episodes of being lathargeic pale, tears and seem very tired,. He is now running a fever 102.9 ped said it was ok to let him sleep for no more than 2 hrs then to wake him. Im getting scared as this is not his personality at all. should we go to the er", "output": "Thanks for flow up, high fever or a high temperature is usually a symptom of infection:viral, bacterial or fungal. High temperature is usually associated with syn Chat Doctor. But depending on your age, you should believe that fever is a natural bodily defense against infection, but hyperthermia can be dangerous. You should control body temperature with antipyretic syrups:cal pol, tylenol or Adolf suppositories 125\u00a0mg. If she had fever, accompanying lethargy, sore throat, cough, ear pain, and diarrhea she would better go to doctor. According to the American Academy of Pediatrics, if you have an infant younger than 4 months old with a rectal temperature of 100.4 F or above, you should immediately call your doctor or go to an emergency room because it could be a sign of a potentially life-threatening infection. Also call your doctor or go to the emergency room if an" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor. I m 3 month pregnant. After my NT Scan and dual marker test my doctor recommended me Ecosprin 75mg. What is the use of this medicine and why is it being prescribed? Do I have some severe problem with my bp? My bp is always normal. It is 110/80 now. Kindly help", "output": "Hi there, I have understood your concern and I will suggest you the best possible treatment options.First do not panic. Secondly, please try to understand that low dose aspirin is mainly used to prevent platelet cell agglutination meaning preventing the platelets to stick to each other. This helps to keep the blood flow from uterus to placenta free from any obstruction. This helps to prevent pregnancy induced hypertension, low amniotic fluid condition and Intrauterine growth retardation of the baby. Please, be in touch with your treating gynecologist, to know about the exact reason for prescribing it to you. I hope this answer helps you. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have recently been diagnosed with sever Diverticulitis. I was admitted to the hospital and was giving a series of iv anitoboitics for two days. Then i was discharged with two oral antibiotics and have finished them for about two days now. Today I wake up with a super dry mouth and my tongues has grooves and all over it an it and is very sore. Do you think this could be Thrush?", "output": "Hello, Thank you for your contact to Chat Doctor. I understand your concern. If I am your doctor I suggest you that Oral Thrush or Candida infection looks white it be never grooved. Secondly it won't appear in the short therapy of antibiotics for period of four days only. Even if you are suspecting thrush you have to do Grams Staining to confirm it. I will be happy to answer your further concerned can contact me. Chat Doctor. Infectious disease specialist. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Hi this morning i woke up from moderate stomache pain that went all around my stomache. If i stretched out or lay on my left side it would get worse. The only thing that i could think would cause this were the almmonds i ate last night could they be causing this?", "output": "Hi. Thanks for your query and an elucidated history. Yes almonds or any nuts can cause this. Caused by either the allergy to it or the gases due to antitoxins it has can cause this. Take plenty of oral fluids, take activated charcoal tablets and probiotics, Risperidone to facilitate the movement. Be on liquid diet till you get alright. And avoid almonds later in life or eat in very less quantity. Also see a Doctor if there are loose motions, bloating, vomiting or so for a proper clinical evaluation and to rule out gastroenteritis with its attendant complications." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi My mom has been diagnosed to be having endometrium Carcinoma...the clinical reports told its stage IC ...now the Biopsy report says its in stage II ....she has gone through hysterctomy and the doctors mentioned she has no issues...as it was localized only within uterus...still the oncologist has suggested a small therapy after 15 days...would like to know about her future....will ther be reccurnce..she is 59 years old and has slightly high BP due to anxiety ...and menopause stopped 10 years back....please advice...thanks", "output": "Hi. I can understand your concern for your mothers' health. Stage II endometrial cancer is cancer of uterus that is confined to genital organs in pelvis. Treatment after surgery includes external beam radiation therapy and brachytherapy boost to vaginal stump. External beam radiation is delivered to pelvis and brachytherapy is delivered via a cylinder inserted in vagina for a short duration as vaginal stump is at high risk of recurrence. This treatment brings down the chance of recurrence from 30% to below 10% at 5 years in stage II endometrial uterine cancer. I hope your query has been answered. You can discuss this with the treating oncologist. If you have any further questions I will be happy to answer. Thank you for choosing Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband has been taking beta blockers for 2 years because of PVCs. 2 months ago he stopped taking them after reading that many doctors dont prescribe any medication for PVCs. When he was taking medication he was extremely tired & had a low pulse rate of 40. His cardiologist has tried prescribing another beta blocker but after he reviewed the side effects he decided not to take the new medication. My question is what measure is used to determine treatment of PVCs. He has had numerous tests, the last one being an MRI of his heart with no heart decease present. He is 65 & otherwise in good health, he never smoked & maintains a healthy weight. Thank you for taking the time to respond.", "output": "Dear Mrs, I would advise your husband to have holder monitoring performed. It is an examination, during which a 24h ECG is recorded. In case PVC's are less than 400-500 there is no need for treatment.Also, I would advise him to undergo coronary angiography, if there will be no coronary heart disease, then PVC's are benign and nothing to worry. Hope I could help nourishing a good health to your husbanding case of further questions don't hesitate to ask" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my five year old son complains of his penis being itchy. Only the tip itches. No sign of rash or redness and no pain. He is circumcised. He has been to the pediatricians office but after seeing no signs of irritation; she advised us to come back in a few weeks if it hasnt gone away. Any ideas? Thanks", "output": "DearWelcome to ChatDoctorWe understand your concerns went through your details. If your pediatrician could not find any problem about this, I too suggest you not to worry. Itching sensation could be an obsession. I suggest you to help him wash the inner parts of the penis with warm water and keep the area Chat Doctor. If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have recently had allergic reactions that cause hives and swelling in random places. For example, bottom of feet, face, lips, cheeks and on legs and arms. I use chewing tobacco daily. Could this cause these symptoms? I have never been allergic to anything in the past. Symptoms started about 6 mo. ago", "output": "Hi, thanks for using Chat Doctor If the allergic response started soon after you began to use the chewing tobacco, then it is likely related. You may want to consider discontinuing its use to see if the symptoms resolve. If they continue then the allergies are related to another source, and it may be best to consider allergy testing to determine what it is exactly so that it can be eliminated. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here... I m 31+3 weeks pregnant... second child... I am having very painful period type pains every 20-30 mins lasting aprox 10secs.... I have a warm feeling in my lower back also.... am I in early labour...I haven t had a show although there is more light discharge than normal....and the muscles in my pubic area hurt whenever I move.....please help... thank you", "output": "Hello dear, I understand your concern. In my opinion the regular contractions along with back pain might definitely need physical examination to rule out Peter pains.It's good that there is no show. The preterm pains can be due to urinary infections or vaginal infections or any. The investigations like complete urine examination to rule out urine infection might be helpful. Vaginal examination helps to rule out any vaginal infection. Nothing to worry. It will subside with adequate treatment. Best regards..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have had alot off problems within the last 2 years. such as parents divorcing...grandparents dieing and issues with a ex partner...i think its now got to the stage where its got to much and i might b depressed there certain days i get the feeling of worthlessness and wonder why am here i wonder if u could help me at all.?", "output": "Adverse life events causes a major stress and put us in depression. One need help when symptoms of depression (feeling sad all the time, loss of interest, worthlessness, hopelessness, navigability etc.) persist for days. For such problems medicines, psychotherapy and lifestyle modifications are needed. Medicines have to be taken for few months. Psychotherapy is general targeted for supportive work, handing stresses, coping skills, cognitive behavioral interventions, handing internal conflicts and personality problems. You can get back to me with more details so that I can provide you more help. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m 24. Weigh 100 pound and I m 5 1. I was diagnosed with scolosis when I was ten. Last feb I started getting really bad rib pains which a dr. once told me two year prior that I had sprianed both sides of my ribs. So I thought that maybe it was just sprained again and as it would from time to time. Thie time it was stronger. I was on pain meds for it for months everday to alleviate the pain prob from feb- august. The pain got so bad that I couldnt sit, lay down, and breathing felt the worst. Breathing felt so sharp like someone was stabbing me. I couldnt sleep on my side felt like I couldnt breathe well and a sunking in feeling on the sides. I tried massaging it to see if it was so pain ha. What was I thinking I felt ten times worst. Taking a shower was a mission the pain was intense. Rasing my arms while showering seemed to have helped because there was less weight being put on me. The pain finally feels as if it has gone away. I couldnt do anything when I was like this. I would have to lay down and do nothing so that I could recover. The min I did something got worst. Im a very active person and I would love to go back to that. I havent carried stuff really due to this or been active. Is this my scolosis getting worst or did I break my rib ?", "output": "Respected user, HiT hanks for using Chat Doctor.come have evaluated your query thoroughly.* There is definite pathology underlying which may be - rib fracture - ligament tear - severe Costco Chat Doctor. * Lot many narrations have been there for the severity of symptoms but there is no indication of anything done to diagnosis it !* Strongly recommend getting x-ray chest and further requirement may be of MRI if needed.* Without diagnosis, cure is not possible . So get diagnosis and cure. Hope this will help you. Welcome for further questions. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My wife had a kidney removed due to cancer and the incision poped open leaking a larg amount og puss. We are now wet to dry packing the wound per her Dr. the past week s gause has been green when removed, and is getting worse looking. Her Dr. has implied that all is well and her severe pain where the kidney was is not real. Her pain is severe enough that she cant sleep. Dr refuses pain meds. Is it possable there may be a infection in the void where the kidney was, or could the pus cause this much pain?", "output": "Good Day! A large amount of pus and an open incision site simply means a SURGICAL SITE INFECTION. If you think the condition is getting worse like having more pain, pus amount not getting lesser, or development of fever, I would suggest getting a CT SCAN of the abdomen to rule out abscess collection in the renal fossa and a broad spectrum antibiotic. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: http://www.ChatDoctor .com/doctors/ Chat Doctor. Best wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been having 50-60 skipped heart beats a day for the last 5 months. I have had several test and everything appears to be normal. I currently have an appt with a cardio dr. But could you give me a clue what this could be I am going to be 53 in a few weeks. I am female.", "output": "Hello I have gone through your query. I can understand your concern. Before I would comment on the missed or skipped beats I want to know if you are having any symptoms like loss of consciousness or dizziness. Have you done an EKG or a holder monitoring? If you don't have any symptoms then 50-60 beats per day are harmless. However for you safety I want to rule out any cardiac element. don't be tense. Do an EKG, TMT (TREADMILL TEST) and holder monitoring. Wishing you good health thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a very heavy chest infection and was put on antibiotics agrumenton not sure of spelling! And I finished them but has a green phelmy cough with green pieces when I cough and have pain severe at times in my lower back on both sides - should I go back to my doc as I don t want to waste her time? Many thanks Carol", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have symptoms of severe chest infection which could be due to lung infection/ bronchitis/ tuberculosis. Need not worry. I would suggest you not to ignore it at all as cough persisting so long along with back pain is an alarming symbol. Need not worry. I would suggest consulting pulmonologist as soon as possible to find the right cause of this and get chest x-ray done. Go for pulmonary function tests as well. You should give anti-inflammatory medication such as Levocetirizine. Till then, you should take steam inhalation. Take cough expectorants and plenty of fluids along with multivitamin tablets. Use mist humidifiers in room. Take decongestants and bucolic agents. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a colonoscopy on Monday, May 4th, I have had terrible lower back pain ever since. I was on my back when they put me to sleep, having had one of these before I know you are turned over. I have a bad back, I have not hurt in this for YEARS, 8 days later, I still cannot lift, walk upstairs, get up from sitting or raise my legs high to put clothes on without TERRIBLE pain!", "output": "Dear friend, thank you for your consultation.it seems that you are in severe pain after colonoscopy. From my day to day clinical practice I know a pain is common after a colonoscopy. But this kind of uncommon severe back pain makes me think that some non-judicious use of investigation procedure that is either it was done by some less skilled person. Also there is a chance that after the procedure some infection has occurred in your colon because the procedure was not done aseptically. Now you should contact your surgeon for an investigation if there is any infection or any tear of colonic tissue has happened due to procedure. I hope with proper investigation and taking antibiotic for infection will help you to get cured of this pain.my best wishes for you. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 13 year old son started not feeling good, and has went from normal to fever over 102 within a couple hours. I have given him motrin, and it keeps rising. He got a concussion last weekend, I dont think this has anything to do with each other, but should I call a doc or bring him in?", "output": "Hi... Thank you for consulting in Chat Doctor. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15\u00a0mg/kg/dose (maximum ceiling dose of 500\u00a0mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir, I have a baby of 15 months who has got some white patches on Right hand skin and the region around the chin since birth. Right now, I am applying Mometasone Furoate Cream on a doctors prescription. What can be the possible causes and where can I get her treated? Your reply is deeply awaited.Thanks in Advance!", "output": "Hi, I had gone through your question and understand your concerns. You should be worried but not too much. It seems she has allergic dermatitis. It usually caused by symbiosis of intestine, incomplete digestion, hereditary. I suggest you-stool culture to exclude pathogenic flora;- stool analysis;- blood test;- stool for cyst and ova;- Antihistamines-Cetirizine for 10 days-Enzymes syrup for 14 days- Darla 1 capsule daily-for 1 month- Hypoallergenic diet:avoid chocolate, nuts, strawberries,market juices, etc. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you and baby good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor, I am a 40 years old women and have two kids. For the last ten years I am suffering from back pain which mostly goes to my leg. I have been trying physiotherapy, muscle strengthening exercises supported by physiotherapists, consulted Chiropractic clinics, etc. But so far the pain is till there and getting worse. Recent MRI result indicated that there is a problem on both sides of my hips( hip displacement) and recommended treatment (physiotherapy and compressor machine) for a month to fix them back and strengthen the muscles. Though there is improvement, I have a different pain on my left Thigh and Leg and it is getting worse. I can see a reddish color the side of thigh, it is not painful when I touch it but inside I feel pain and burning on thigh all the way to my leg. It gets worst when I walk. I don t know what to do and whom to consult (internist, bone specialists, etc.). and I am worried that this might not be a simple thing...I worried and not sleeping. That s why I am writing you to advise me. Awaiting for your response, Thank you so much! Email address: YYYY@YYYY", "output": "Hello, I have studied your case. As per your history there can be possibility of hip arthritis which can be degenerative or due to avascular necrosis of femoral head [AVN]. I will advise you do X-ray of hip, and you can consult me with reports or with your doctor. After clinical examination IF AVN is suspected then you will need MRI again with spine screening. Till time take analgesic and cartilage protecting medication like glucosamine sulfate. For hip arthritis joint flexion, extension and rotation exercises will help. Physiotherapist will help you better to learn more exercises in proper protocol. If required intra-articular injection can be given. Diet rich in calcium and protein will help Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My grandson has A typical Autism & recently diagnosed with Bipolar however no tests have been do. I thought there would be a few tests done & maybe a brain scan especially as he (10yrs old ) has a soft spot still on his head also needed to be resuscitated after a bleed from circumcision. He has become very angry & frustrated as he says things don t stay in his head. We are desperate for some help .", "output": "Hello, Welcome to Chat Doctor I can understand your concern. Autism is a pervasive developmental disorder of brain, and it can't be diagnostic home without proper evaluation of a psychiatrist. He has been diagnosed with bipolar disorder and showing poor memory. CT scan is a test that can detect any morphological lesion in brain, but it is not used to detect bipolar disorder or autism. The diagnosis of these diseases are made by clinical evaluation only. I would advise you to consult a psychiatrist for treatment of his condition. Medicines like risperidone, sodium valproate can help to reduce aggression of bipolar and autism. For memory problems and poor concentration medicines like paracetamol, Semantic can help to improve condition. Consult his psychiatrist for prescription. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i m 31 year old and my cyclic period is 30 days,doctor checked my overy follicle on 14th day its 18mm*18mm and she ask to put injection and gave duphaston tablet and she ask to keep sex for continous 3 days of my 15th day onwards after that she ask to take that duphaston tablet for 12days is it possible to get pregnant", "output": "Hello dairy understand your concernDuphaston contain progesterone. It makes the uterine environment favorable for the fertilization and promote the growth of the endometrium. Continue to take phaeton and it is safe Chat Doctor. Should be taken under the advice of the gynecologist. You will become pregnant. You can also take camphene citrate during the starting days of the period (for 4-5 days). Avoid stress, take healthy diet, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a cavity filled & a non permanent crown done 4 days ago, they said it was deep, but I have a lot of pain, redness & swelling. Have used salt water & warm rag & ibuprofen & it is not helping. I feel sick & it hurts pretty bad. Is that normal? What should I do?", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have symptoms of painful swelling and redness post a cavity filling procedure which could be due to number of reasons such as high point on filling, remains of infection under the filling, and it could be cracked tooth syn Chat Doctor. Need not worry. I would suggest you to visit dentist once and discuss the above condition. Doctor may consider filing after removing all infected area and can do root canal treatment. If it is cracked tooth then splinting of tooth is required. Maintain oral hygiene. Do rinsing with antiseptic mouthwash. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "helli I have a lump inbertween my cheekbone and jaw bone the gap between them I noticed it this mornin and my cheek felt tender I played around abit and found a painful lump its squggy too ive read online and aounda like a saliva gland but i panik about everuthing its very tender I alsi gelt the other side and have it there too but not sore at all ? Help please", "output": "Hello and welcome to Chat Doctor, The lump between the cheek and jaw bone requires an imaging study- an X-ray. X-ray of the region will show whether the swelling is arsing from bone or not. In case the swelling is arising from soft tissue, an aspiration cytology of the lesion is required. The cells are aspirated from the swelling, cells are spread on slide, cells are stained with appropriate stains and studied microscopically. The aspiration cytology will determine the origin and nature of the lesion and thus further management can be planned. In case the lesion arises from soft tissue excision of the lesion can be done. Thanks and take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had colon surgery not quite two weeks ago. I have suddenly started sleeping all day long and the palms of my hands itch so bad I could scratch forever and not satisfy this itch it is so intense. No rash or bumps however I developed an itchy rash around two of the four incision sites that were pretty itchy as well with a rash??? I have racked my brain but cannot find the common thread. Please Please help me.", "output": "Hi, Itching may be due to either irritation or allergy. Consult the dermatologist for the perfect diagnosis and proper treatment. Antihistaminics like cetirizine would relieve the itching. Apply mild steroid cream on the affected area. Avoid soap contact. If needed, oral steroid may be taken after consulting doctor in tapering dose. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, my son is two years old and has begun getting red bumps and what appear to be whiteheads in his pubic area. They clear up over time and re emerge again. Recently i saw some under his nose above his lips. We took him to a night clinic and they gave us antifungal cream but it does not seem to be working. Any ideas of what it might be?", "output": "Hi.by what you quote, I feel that this could be an eczema. The trick of the management is keeping the skin moist and never allowing it to be Chat Doctor. For this oil massage and lotions like Hiatus will help. Regarding cure options - eczema is a sort of allergy...allergies can only be controlled and can never be cured. But usually kids grow out of it...that is as the age progresses. But Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "In dec I swallowed a chex mix and now eveything taste like burned chex mix. Had endoscopy Thursday to stretch stricture but doctor said no stricture that muscle is enlarged. Did biopsy on two red spots and said I may have bacteria.... He will go over barium swallow tuesday today have had vomiting 8 times and diarrhea 7 times. I have one kidney due to donation I. 2005. Could this be virus or gall bladder? Thank you", "output": "Hi, Thanks for using Chat Doctor.First I appreciate you for kidney donation. Vomiting may be due to endoscopy which has dilated the sphincter and the reflex mechanism. If you have fever or pain abdomen with vomiting and diarrhea, then that may be due to infection. Please let me about diarrhea (consistency, color, any blood or mucous, foul smelling etc.). If no other problem it may be due to response to the endoscopy. Get done USG abdomen once. Try out different type of food and with altered salt and spicy in it. Chat Doctor. Sleep wit head end elevation. Get back with the reports. Hope I answered your question. Consult your doctor for further management. Feel free to ask me if you have any further queries. Wish you good health. Take care. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had shortness of breath, very rapid heart beat, followed by my heart feeling sore and then after the soreness there is extreme burning and pain in the heart area. This had been happening for 2 weeks. Starting very gradual but now it is happening several times a day. I am a 33 yr old female. I went to er 2 weeks ago at onset and they said anxiety. I went to my family dr. He had and echo done. Results were mild mitral valve reguritation. I also wore a holter monitor. I had periods of where my heart rate was up to 220. My dr. sent me to a cardiologist. He looked at my er report and tols me this was all anxiety. He did not even want to hear my symptoms or the progression of symptoms. Said shortness of breath could be allergies. Askes about weight gain but would not even talk to me about why I was reffered(mitral valve regurgitiation). I just want my life to go back to normal. Please help.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. No need to worry about heart diseases as your ECG, 2d echo, Holder monitoring and cardiologist consultation are normal. It is true that uncontrolled stress and anxiety can cause similar symptoms. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Don't worry, you will be alright. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hopefully this is a non-fee site here. email: YYYY@YYYY Just had my gall bladder removed. I had a severe case of Pancreatitis a year ago, but after several tests nothing was found. The only thing that revealed anythingwas a simple blood tests, which revealed a severe level of an Pancreotic enzymeknown as Lypace, which was at 26,000 rather than below 300. Fast forward to this past Wednesday. I had been again vomiting after eating food with acid and some fat (spaggetti with tomato sauce, hamburger and later the chips. I say allthis to provide background information. This past Wednesday, 6/5/2013, the gallbladder was removed. The next day, and here is why Im writing, I have an across my abdomen with acouple of off shaped red marks on my right side--NO not the surgery incisions.The rash does itch a little bit, sometimes more so than others. I will be keepingthe checkup type routine post surgical appointment with the surgeion this week, but wanted to know your thoughts.", "output": "Hello, i went through your statement. Acute pancreatitis is confirmed by elevated serum Amylase. The indication for removal of gall bladder is not mentioned as well as were you jaundiced. Any patient with their gall bladder removed must take for certain period fat free diet and life long with minimum fat. The off shaped red marks may be due to multiple reasons. Unless a Chat Doctor. Sorry. With best wishes" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Once i went to a dentist to get my teeth filled. During filling i had to open my mouth wide. After some time i was not able to close my mouth. I got worried. Some how doctor brought it back to normal. He said you have dislocation of temperomandibular joint. Noe i donot have problem. But when i yawn i feel sound in the jaw. Doctor has told me not to open the mouth wide.", "output": "Hello Julia, its not in a common practice that you get your temporomandibular joint dislocated while doing filling by a dentist, but neither you nor your dentist is responsible for this, you just don't worry and take precaution for sometime like while yawning put your hand over the chin and force it so that your mouth don't get wide opened, massage both of your joints near the temple region with any massage oil that will help to strengthen muscles and ligament. Thanks and wish you a good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just had an mri done yesterday on my lower back and the assistant of the doctor called and told me that I have wear and tear changes in my L5 S1 and a disc tear in L4. She went on to say to do the Pelvic Thrust exercise and to purchase a lower lumbar roll for my back when sitting. What does this mean? When I lay flat in the MRI I had severe back pain and it was painful to walk or sit, so how is this exercise and roll going to help when I am laying flat in bed?", "output": "Wear and tear means age related changes in the spine. It usually results into disc degeneration with facet joint arthritis. Back muscle stretching and exercise helps to improve the back muscle tone and subsequently gives more support to spine. Lumbar roll is to give support to lower back. If you are in severe pain then I would suggest trying anti-inflammatory with muscle relaxants and physiotherapy such as interferrential therapy (IT) to relieve the pain. Once pain subsided and more tolerable than start the exercise. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "what would a person feel if he died of a brain aneuriysm? My brother collapsed on the floor of the bathroom in the middle of the night, and it seemed like he took 2 strained inhales and then nothing. Paramedics werent able to get a pulse and didnt even take him to the hospital. How did they know?", "output": "Hello, One feels Chat Doctor. Any patient in an unconscious state attended by doctor or medical staff, one need to immediately assess his/her conscious level by gently thumping near the shoulder, if there is no response by the patient, we need to check his/her carotid pulse. If carotid pulse is not palpable, BP not recordable, pupils dilated and fixed with ECG showing no electrical activity (FLAT LINE). Then it is declared as dead. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a rash that itches on my lower back and right shoulder. Since I cannot see it , I cannot tell you what it looks like. I has spread a bit, but is not painful, just itches. Could I have shingles? I am 82 years old and had Chicken pox when I was about 7. What is the first symptom of Shingles and how long does it take before you can be sure? The itching started about a week ago.", "output": "Hello there, Thanks for your post on Chat Doctor. I carefully read your query and able to find out your point of concern.Don't worries its not shingles, Because shingles is a painful skin rash. And occurs in single nerve supplying area. You have no pain only itching, and it is spreading. I think you are suffering from ring worm. It is a fungal infection. My advice is avoided use of soap on that area, use antifungal cream like fluconazole, and Fluconazole capsule orally. Maintain personal hygiene. I think it will help you. Wish your good health. Regardss" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "IVE HAD 2 HEART ATTACKS LATE LAST YEAR (WITHIN 2 WEEKS OF EACH OTHER--ONE WAS AN ANGIOPLASTY, WHICH FAILED; THE SECOND ONE, IN THE SAME ARTERY, THE DOCTOR PUT 3 STENTS IN--2 MEDICATED AND 1 NOT), BOTH OF WHICH HAD DIFFERENT SYMPTOMS. I JUST HAD A SHOOTING PAIN BETWEEN MY BREASTS. I TOOK A TUMS, BUT IT HASNT HELPED. BOTH OF MY JAWS WERE ACHING, BUT HAVE SINCE STOPPED. THE PAIN IN MY CHEST IS STILL THERE AND MY JAWS STARTED ACHING AGAIN. I HAVE NO FURTHER SYMPTOMS.", "output": "Hello, I have gone through your question. Thanks for using Chat Doctor. Actually I understand that your case was that of failed angioplasty and redo procedure was done. I need to know what is the status of your main artery called LAD. If you have failed pasty involving LAD you must undergo bypass surgery. But if any of other 2 arteries have blocks then you should try to optimize medication. The symptoms you have narrated are definitely due to angina i.e. heart pain. I need complete details of procedure and your current medications to give your proper guidance. I will be willing to guide you if your furnish full details. My best wishes Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "We are trying to conceive and my husband has a liquefaction time greater than 60 minutes and a high ph level from his semen analysis. He has taken antibiotics and there is no sign of infection. He has had 3 semen analysis done and results stay the same.", "output": "Hai, i will add Chat Doctor. Liquefaction time high indicates infection and high pH will destroy the sperm. Semen culture will rule out infection. To do semen culture take opinion from lab personnel regarding the collection of semen procedure because culture is more sensitive investigation to rule out any microbial origin or growth in the sample without influencing any contamination from external source. If your semen culture is negative. Follow my below-mentioned food advise. Follow healthy diet plan includes nuts (almond, cashew,peanuts, pumpkin seeds etc.)milk and milk products dates, wheatsesamejaggery, .pomegranate, arrowroot,cucumber seed, fig etc. add millet type of food (reign, bajra) in daily food intake. Avoid junk, fried,caffeinated foods and stress(highly influential), tobacco,alcohol.be HY" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear doctor, last month my USG was OK. My HSG is also OK. But my doc has asked me to take Siphene from Day 2 of periods. Is it safe to take? Any side effects? does this mean I may not be able to concieve naturally if I go on this medicine once? Also, since this medicine plays with the hormone secreting gland, does that mean it can cause other parameters to go haywire as well?", "output": "HelloThanks for your query. Siphene is camphene citrate. It is a medication that stimulates the ovaries to produce egg follicles.it is given to patients who have difficulties in regular menstruation and ovulation. It is sometimes given to patients with unexplained infertility to increase chances of conception. Before starting sphere, the following should be done :1. Partners semen analysis2. Hormonal status and documentation of ovulation status3. Assessment of fallopian tubes - ideally with laparoscopy, instead of You could go for one cycle of natural planning with follicular monitoring. If ovulation is not proved, you can then consider taking sphere. It does have its side effects, but it is indicated if required. It does not impair your ability to conceive naturally, unless there is some pre-existent problem. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "right in the middle of the top of my ribcage is a bump. no pain with it, and it has been there for about 10 years. do you know what it is? Im a 29 year old male. 66 185lbs. No health problems other than allergies and being diagnosed with Asthma in the last year which is tied into the allergies.", "output": "Hi! Thanks for writing to Chat Doctor sharing your health problem! After going through your description, I could remember many of our patients who visited our clinic for the same reason; they too had long term painless lump on the rib cage. As per my experience of ultrasonographic imaging and needle biopsies, I could suggest following possibilities in your case:1. Benign skin lesions like adnexal mole, fibroepithelial polyp, papilloma, sebaceous cyst2. Benign stromal lesions like Schwann, neurofibroma, lipoma dermatofibroma etc3. Benign bony or cartilaginous tumors like Chen Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i am 17 years old. i just discovered a bump on my elbow. upon accidentally bursting it, i saw water coming out of it. 2 days later i found another one on my chin which also released water as soon it burst. it then dries and forms a bump with a scab on it. it wasnt like a pimple though. it secreted some clear liquid. please advice.", "output": "Hi, Dear,Good evening. Thanks for your query to Chat Doctor. I studied your query in-depth. In my opinion the bump at 2 sites-is-Molluscum Contagiousum-as-the elbow lesion spread to chin, and as it affects young adults also./ or could be-Pimples -common at your age. Treatment-a-Molluscum-Contagiosum-as it -Being Viral is-self limiting and could be treated by -Steroids/antihistamines with supportive vitamins and a lot of liquids.b-Pimples -need Antibiotics / NSAIDs/ and hygiene of the skin at site for to avoid spread. Hope this would clarify the worry you had. Would love to Welcome your queries to Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello i been taking birth control for a year now i dont take them for almost 2 months and ive been having for about a week this pain in stomach like burning or like something is skushing me it makes me really week what does that mean should i see a doctor for it? its not like a pain when you get your period butnot like burning but almost like then its been for a week everyday", "output": "Hi welcome to Chat Doctor forum. Thanks for choosing Chat Doctor. Forum. You are taking pills since 1 year. Stpped for 2 months. Since a week you are having burning in the stomach, weakness, Your query is it necessary to see a doctor. The burning in the stomach has nothing to do with the pills. So if the burning is in the upper middle stomach it may be related to gastric origin, if it is in the lower middle may be related to urinary tract infection, or pelvic infection, so to confirm the diagnosis it is important to consult a surgeon. Wishing for a quick and complete recovery. Best regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good day!I have a question please help me to explain the result of my husband s x ray..I don t really understand what does it mean..There are no active pulmonary infiltrates.Both lungs are hyperaerated.Pulmonary vascular markings are within normal limits. The heart is not enlarged. Aorta is unremarkable.Trachea is midline. Sulci and osseous structures are intact.. Impression:Pulmonary hyperaeration,Bilateral Does it mean that he has a Tubercolosis??", "output": "Thanks for your question on Chat Doctor. I can understand your concern. I have gone through the x-ray report you have mentioned. No need to worry about tuberculosis because there is no consolidation or infiltration. Pulmonary hyperaeration means his lungs are hyperinflated. And this is commonly seen with smokers. So if your husband is active smoker then he should quit smoking immediately. Nothing is suggestive of tuberculosis so no need to worry. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi...my daughter (3 yrs) had a very mild form of typhoid a few weeks ago (we live in Indonesia) but recovered fully. Today almost a full three weeks later she has a temperature of 39.4 fluctuating and has mentioned her eyes hurt. We are monitoring but need some reassurance. Waiting times in Jakarta for doctors are obscenely long so generally we monitor at home unless things go pear shaped. Any suggestions? Her food intake has dropped but she is still eating a little with no signs of vomiting.", "output": "Welcome to the Chat Doctor I understand your concerns. Sometimes, typhoid fever can relapse leading to recurrence of fever. Also, there is always a possibility for self limiting viral infection or other coincident infection. So, I would recommend you to get her TIDAL test, complete blood counts and urine routine test done at a laboratory. You may post the reports for my reference, so that I may guide you in the best possible way. In the meanwhile, you may give her acetaminophen for relief of fever spikes and repeat the dose every 6-8 hours if fever persists. Hopefully this will be helpful. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Last week I had a ua/cs done as I have frequent uti s ever since a spinal cord injury 30 yrs ago. It came back negative for infection but my urologist recommends cranberry pills plus a probiotic due to lactobacillus in my urine. I have a very unpleasant taste in my mouth that reminds me of how my urine smells...foul. I took in yet another urine sample to the hosp lab today and actually hope it comes back positive so I can get things cleared up prior to starting the probiotic. Any info as to why I have the foul taste and symptoms of lactobacillus. In 30 yrs I ve never heard of this and wonder about the sx and tx. Thanks!", "output": "Hello, I can understand your concern. Bad smell from mouth could be due to many reasons related and unrelated to dental diseases. It could be due to dental infections, gum disease, sinus problem, food habits, inadequate oral hygiene etc. In addition, kidney disease can also cause bad breath from mouth. Thus, I would advise you to wait till the results of your test come. If they indicate presence of kidney disease, then you can start treatment for the disease and the bad breath will eliminate on recovery from the disease. If the test shows negative for any pathology, you should visit a dentist to look for presence of dental infections or gum problems. Treatment of the disease can sure such problem. By the time the underlying cause is detected and treated, you can use mouthwash containing Chlorhexidine such as Colgate Play or Medicine. You can take 10 ml of liquid and squish it around mouth for about 30 seconds before spitting it. Take care no to use immediately after brushing teeth and do not eat or Chat Doctor. Brush twice a day and use dental floss to clean interdental spaces. I hope this information helps you. Thank you for choosing Chat Doctor. I wish you feel better soon. Best," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am a 45 year old female with 2 teenagers. Still menstruating and not sexually active. My tummy has been jumping involuntarily for around 2 weeks. Its worse wen lying down. Its not painful and bowels are normal. Its forceful and feels like late pregnancy baby kicking but Im definitely not pregnant.", "output": "Hi. Thanks for your query. This is quite a rare thing to have. This may be a muscular twitching. The cause is not known. And there is no definite treatment. It would be better to be seen by a Surgeon, who would rule out internal problem by clinical examination and may be some investigation if he feels so. Also check for serum electrolytes, as dis-balance may cause such feeling. Occasionally medicines alike amitriptyline may help, but you need a prescription for this and such medicines from your Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Two months ago I had a ct scan due to neck issues. They saw I had large lymph nodes approximately 2 centimeters. I then went to an ENT and he couldn t feel anything so he wasn t able todo a biopsy so he sent me to a nearby facilities to have a sonogram on my neck to help for the biopsy. A biopsy was taken and the results came back good with no cancer Involvement. I then went on November 18th to the ENT cause he wanted to do a check up to make sure there is no growth. He felt no such growth and told me I am fine. Recently however within the past two days. When I bend my neck down and but my chin on my chest if I move my head left or right I feel like a little bump right under my jaw. Should I be concerned or am I just paranoid? Like I said its been less then a month since I went to the ENT.", "output": "Hi ! Good afternoon. I am Chat Doctor answering your query. Although the feeling could be due to the scar tissue following the biopsy (if it was an open biopsy), I would definitely send you to the ENT specialist for a review before you label your symptoms as paranoid. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "What is it when a heart stings after having palpitations? Am I trying to have a heart attack? I m overweight 5 3 about 166lbs. Bi-polar Disorder, acid reflux are all my problems. But the palpitations were different and certainly the stinging sensation.", "output": "Hello! Thank you for asking on Chat Doctor! Your symptoms are not typical of coronary artery disease or a heart attack.Gastroesophageal reflux or avmusculo- skeletal pain could be the cause of your symptoms. Anxiety can also trigger palpitations. Anyway, if the problem persists, I would recommend consulting with your doctor for a physical exam and some tests:- a resting ECG- a chest X-ray study-Complete blood count for anemia-thyroid hormone levels for thyroid dysfunction- blood electrolytes for imbalance. Hope to have been helpful! Kind regards, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im an 18 year old female of average height and weight (around 5 foot 4 and fits a UK size 8-10). I have no serious medical history. I recently had sex and noticed a large ball-like lump on my anus afterwards, which went down after a few days, leaving some excess skin, which seems to grow back to a lump when I need to empty my bowels... Im really confused about this as it soon becomes excess skin again, and is completely painless. Im just wondering whats caused it and if theres any way of getting rid of it?", "output": "Hi, Dear,thanks for the query. Some more info is needed before cause could be told-as after the natural sex there is no reason-to get the anal lump. However, the lump which is there might be old -anal problem-mostly old anal fissure with a tag covering it ./or could be sentinel pile indicating its chronic presence. It needs simple excision of the sentinel pile under local. If its with anal fissure-which any surgeon could tell you, then-Anal Stretching under anesthesia. Thnks again. Wellcome again. Hope you are satisfied with the answer." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi... Igot job in saudi and as per they procedures they advised me to do medical test. in that it was proved i had jaundice but i never faced jaundice. It was found in my blood. Please help me in how many days it will be cured. I have to leave to saudi and it is veryi mportant to my family", "output": "Dear Friend. Welcome to Chat Doctor. I am Chat Doctor. I have read your query in detail. Furthermore, I understand your concern. This would depend on the cause of Jaundice. If you consume alcohol, it can be because of that. If you don't then you should get Viral Markers and Ultrasound abdomen. Please share your reports with us, so that we can give you a diagnosis. This is my best opinion for you based on available details. If you any have further queried, please ask me. Stay HealthyChatDoctor, MD" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a lump under my collarbone I m 14 I ve told my mom about it, she just keeps saying that it is just puberty. The bump is hard and it is like the size of a dollar coin. It doesn t hurt when I touch and I ve had it for about a week now. Please help", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have some enlarged lymph node. It may be due to reactive hyperplasia, tuberculosis or lymphoma. You should go for biopsy or FNAC. It will give idea regarding cause. Then take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "We have a 4 yr old grandson that was a premmie he gets angry and wonts to hit his head on floor, bite himself ,what can we do to help him we are worried that he is going to hurt himself. We have tried talking to him and inignore him when this happens . Any suggestions Thank you", "output": "Hello and Welcome to Ask A Doctor. I have reviewed your query and here is my advice. Some physical causes of bad behavior in a young child include:-a certain type of seizure-diarrhea due to an illness that causes inflammation of the large intestine-brain tumor-various medications A child can learn bad behavior by being allowed to wreck furniture, write on the wall, or ride tricycle around the room. He must have discipline. So when he is stopped from doing inappropriate or harmful things, he will not cry or have a temper tantrum. Your grandson needs love, affection, and security. When a child is behaving badly, unpleasant, bad-tempered, it is then he MOST needs loving. On some occasions child Chat Doctor. As soon as he shows any anger or self-injurious behavior, try holding him close to you and comfort him. After 8 to 12 attempts I recommend he be seen by his pediatrician. Hope I have answered your query. If you have any further questions, I will be happy to help. Arnold EDD, MD, FLAP" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Docter my husband have a overgrowth on top of his arm near shoulder .it looks brownish in colour.size is around 5 cm in diameter and oval in shape .he complains of itchiness sometimes .on the other arm same thing is there but smaller than this.he told me he gets pain only if somethings falls on it,or traumatised it.please advise me and tell me what it can be .", "output": "Hi ! Good morning. I am Chat Doctor answering your query. Although it requires a physical examination to reach at a diagnosis, from your history it seems that the lesion on your husbands arm could be a fungal infection. Therefore, I would suggest you to visit a dermatologist in your area for a clinical assessment and related investigations for appropriate management. Till then, you could go for an anti histamine Chat Doctor. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Quick question. I noticed last night (this is the second time this has happened) that my son (3 yrs old) started hacking with a dry horse cough some hours after eating pizza. Trying to determine if he may possibly be allergic to anything in the pizza. Cheese? I don t know. He eats bread every day (whole grains) for sandwiches with lunch. But, I don t know just trying to figure it out.....", "output": "Hi, I had gone through your question and understand your concerns. You should be worried but not too much. It seems he was allergic to some ingredients of pizza, most probably to species. Try to avoid spicy food. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you and baby good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 7 year-old son had a fever 4 days ago, I gave him an ibufropen 3 times before discovering that the medicine has already expired. Today, he has fever again. I am worried that it might be the effect of the expired medicine. What is the effect of taking in expired medicine. Do I need to take my son to the hospital?", "output": "Expired medicines lose their potency and will not be efficacious when used. Otherwise, they do not cause any side effects. Certain preservatives used may cause any allergic reactions or vomiting. In case of such symptoms, the child requires medical examination. You should also use new ibuprofen since fever may not be reduced with an expired Chat Doctor. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have not had sex in almost 2 years but was having a problem which I thought was yeast infection. Nothing over the counter was working so I went to the doctor and was diagnosed with Trich. Can trich be dormant that long? Also, they gave me metronidazole 2 days ago. Today I noticed there is a discoloration around my rectum. Is this normal?", "output": "Hello, Welcome to Chat Doctor, The history and symptoms suggests me that you are having a fungal infection, but it should be confirmed by physical examination. Don't be embarrassed to show and confirm the diagnosis. The fungus is the normal commensalism of this area which will be kept under control by the helpful organisms, whenever there is a change in environment because of multiple reason this fungus will multiply and produces the symptoms. I would suggest you to follow1. Keep the area Chat Doctor. 2. Topical antifungal cream should be applied.3. Tab Rifleman, 150 mg single dose will help to control the symptoms.4. For itching, you can take anti histamines. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sudden onset of throbbing pain upper teeth to the cheekbone and lower teeth to the jawbone on the same side: the 2nd,3rd,& 4th double teeth. I had the same thing on the other side with a bottom tooth and ended up having the tooth extracted because I chose not to have a root canal.: way too expensive when you have no dental insurance. (That was 3 years ago). Could this be an infection of the root again top and bottom at the same time? I have been rubbing ground cloves on which seems to alleviate the pain. This started about a month ago when I tried whitening my teeth with baking soda and realized this was not a good idea for me. I stopped after three days, but the pain comes and goes one day and then I may go several days with no pain at all. My dentist is aware of my receding gums and sensitive teeth. Any help is appreciated. Thank you.", "output": "Hello, Thanks for choosing Chat Doctor, From your present symptoms I feel there is periodontal infection which means the tissue surrounding your teeth is inflamed.and may involve the pulp inside the tooth causing this throbbing type of pain... You have also mentioned that your gum is receding and teeth are sensitive.the cause is due to deposition of calculus Arron the teeth...due to recession of gum the portion of the root surface is getting exposed and leading to sensitivity... So proper clinical as well as x-ray is required for both upper and lower...if there is cavity in tooth then root canal treatment or extraction have to be done depending on the tooth condition... Go for whole mouth scaling.and root planing... Do warm saline rinses, it will give relief from pain to some extent... Consult with Dentist... Brush twice daily with any anti sensitivity toothpaste... Get your proper treatment done... Regards...." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi I am 44 years old, can I have a intercourse after 15 years of gap ? I tried to have intercourse once 3 year back there was a lot of secretion and bad odour, how can I avoid this? I am very nervous of having sex due to this condition but now I like a someone. I want to have sex", "output": "Degree understand your concerns went through your details. There is nothing to be nervous about having sex after an interval. We are human beings, and therefore we think, and always we think negative. Negative thinking leads to obsession and anxiety. You are worried about your sexual performance. That is natural. Due to this anxiety, you may not be able to perform properly in the initial stages, but later you will do good. Go ahead. You will be able to do it perfect. If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello i am samit i have suffer skin allergi problem last 4 month. allopathe tretment and different type blood test done.my blood aso test result is positive and injuction and tablates are taken.but when i stop my medicine allergy begain.my age 27 ,problems are all body skin itching ,cold rain time it is decreas and hot day it increase.plz tell me how it is solved?", "output": "Hello Sam it, Thank you for asking at Chat Doctor. I went through your history and would like to make you suggestions as follows:1. Were I treating you, I would suggest you a regular antihistamine like cetirizine/levocetirizine/fexofenadine along with montelukast for 2-4 weeks (depending upon response).2. I also prescribe a short course of antiparasitic medicine for intestinal worms as sometimes worms can also cause such symptoms and are common in many parts of India.3. I would suggest you to avoid activities causing excessive sweating and hot/spicy foods. Furthermore, I also advise my such patients to avoid wearing tight-fitting, woolen/synthetic type of clothes and wear loose-fitting, cotton clothes if possible.4. Please do not scratch the itchy areas; scratching aggravates itching. I would suggest you to apply lotion like calamine over the itchy areas.5. A multivitamin-multimineral containing vitamins A, D,E and zinc, selenium etc. may also help. Hope above measures will be helpful to you. Should you have any other query, please feel free to ask at Chat Doctor. Wish you the best of the health. Thank you & Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had severe prickly itching of my upper arms for several years. I have seen 2 different dermatologists and been treated with steroid creams and OTC creams, and UV light therapy. I am still experiencing the pain and itching and have considered acupuncture. I have rheumatoid arthritis, and am on methotrexate and enbril but have stopped all meds for the past 8 weeks because I cannot stand the itching anymore. I thought perhaps it was an allergy. I still have extreme pruritis of my upper arms. I am an RN. I need some help", "output": "Hi, The lesions on upper arms may be keratitis Polaris. The skin on upper arms may be erotic so, you get severe itching. Apply moisturizer cream containing liquid paraffin frequently. Avoid soap bath. Take bath in olive oil containing water to keep the skin moist. Take HY Chat Doctor. Do not stop treatment of rheumatoid arthritis. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been on Morphine Sulfate ER 60 mg BID for back pain and my last 3 drug screens have not detected in my saliva. I have been taking my medication as prescribed. I am about 5 8 and about 320 lbs. Can you give me any explanation as to why it wouldn t show up in the saliva test. I just went to my PCP yesterday and he did order me a blood test to check. I am awaiting those results. Thank you, Lynn Schututer", "output": "Hello thanks for consultation with Chat Doctor.a cut-off concentration of 40\u00a0ng/ml for immunoassay screening for Opiates in saliva. The saliva Test will give a positive result if morphine is present at or above this concentration in human saliva. A more specific alternate chemical method must be used in order to obtain a confirmed analytical result. Gas chromatography/mass spectrophotometry (GC/MS) is the preferred confirmatory method.Hence, your treating physician has suggested a blood test.hope it helps,TC" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Okay, Bursitus.... 2 months now.... pain (not excruitation) in left shoulder and down half way on left arm.... Does not hurt when I play golf. It hurts when I turn head left or right.... Last night I had to replace two chandlier lights... Needed to use left hand to grab onto light, right hand to take out old bulb and replace it... On a scale of 1 to 10 pain level... it was a 10. When I was done, it was okay. Is this Bursitus???", "output": "Hello, I have studied your case. It can be rotator cuff injury to shoulder which may need MRI for confirmation. Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain, you can take them consulting your treating doctor. You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case. You may need to take rest for early healing. Also check your it B12 and it D3 in your blood. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take disregards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My FNAC on right thigh swelling showes !)Smears are paucicellular 2) very few smears show fragments of adipose tissue 3) necrosis is not seen IMPRESSION: few fragments of adipose tissue only, Favour Lipomatous Lesion. Advised excision. can you advise what it means", "output": "Hello, Basically what they are saying is that they didn't see a lot of cells (smears are unicellular), very few smears show some fat tissue (very few smears show fragments of adipose tissue), and there are no dead cells that they see (necrosis is not seen). The impression is that the pathologist got is that it just looks like normal fat, which means the lesion is likely a common non-cancerous growth of fat called a lipoma. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi i am 35 years old. One month before i have diagnosed with typhoid. Doctor gave some antibiotics after taking this now i am completely ok but during typhoid my sugar level was high fasting reading was 217 mg/dl and after meal it was 291 mg/dl. Doctor gave geminor M1 forte tablets. I took for 25 ablates and controlled my diet and i am doing regular exercise. Now my random sugar level is 107 mg/dl. Kindly confirm am i diabetic? if yes, what should i do to cure diabetes permanently.", "output": "Hello, The levels you reported are consistent with Diabetes, for the moment 107 mg/DLL is within the normal levels but if you are still taking Geminor M1 forte, it means that it is Diabetes well controlled by the tablets. If you start to have low glucose levels (under 70 mg/DL) than you can try to stop treatment. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a small ganglion cyst that suddenly appeared on the top of my wrist. It s mildly painful but tolerable. Is it related to tennis? Or to using the computer mouse (it seems to be on the same tendon as the finger I use for the mouse)? I ve read all the material on several sites. How best can I treat it myself?", "output": "Hi. Thanks for your query. Noted the history about a ganglion on the wrist. Yes, it can be due to overuse of mouse on computer or added on by Tennis playing. Get an opinion of an Orthopedic Surgeon for clinical evaluation so that it can be decided whether you need an active treatment like surgery or conservative management or aspiration with instilling in a steroid or wait and watch. I do advise for wait and watch approach as there is nothing urgent or serious and may settles on its own as happens in most of the cases." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "iam having a eyebrow swelling more often and now it goes up to my forehead.. tried visitin eents to check if it is some kind of sinusities but the doctor said that it is just some allergies or nasal allergy..the swell though cures when i take ceterizine..however i am really worried as i dont think this is an allergy..i have pets at home and been working daily homebased usin laptops..i just need ur opinion f this is related to some brain sickness :(", "output": "Hello, The swelling has responded to antihistamines. So clinically I can say this might be an allergic reaction. It is a hyper reaction of the skin to any allergen. The allergen may be anything under the sun. To pinpoint any particular allergen is difficult but can be done if you carefully follow the event before the allergy. Keep away from the causative allergen. It not still convinced then you can go for an MRI Brain and Paranasal sinuses to rule out any organic causes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "dear my wife is pregnant & it is her starting of six month. in initial test Tsh value was found higher side by 0.80 value against recommended. doctor suggested for thyrox 50. and also suggested for duphaston-10 mg. twice a day. Kindly suggested why this duphaston tablet is given to my wife. is it related to thyride?. Even all other test reports of pregnancy is normal.", "output": "Hi, Phaeton is a progesterone hormone that is commonly prescribed to support early pregnancy and to relax the uterus. It is preferably used to prevent threatened and habitual abortion (associated with proven progesterone deficiency). It is not related to a thyroid problem, it is safe hence can be taken as prescribed by her doctor. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 6 year old grandson has had high fever, chills, vomiting for 5 days now. ER did chest X-ray, flu swab, WBC, UA, all negative, WBC only 4 pts above normal. Diagnosed with virus, directed to go home and treat fever, he is still sick with no improvement. Could a virus last this long?", "output": "It indeed seems like a viral infection and your doctor is right about it. A viral infection often lasts for 5-10 days and does not show up on the blood tests or X-ray. The virus could indeed last that long and may be more. Please be patient as it may take some time for him to recover. Antibiotics are not likely to help. However, if the fever lasts for more than 7-10 days, you may visit the doctor again and get the child tested for typhoid which could be another probable cause." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "On way home from work tonight I started experiencing extreme stomach cramps which lead to feelings of diarrhea . By the time I found a place to stop I also experienced sweating and extreme blood rushing in the ears along with dry mouth. The blood rushing in my ears lasted maybe 15-20 minutes after I was able to relieve myself but now seems to come and go at times even hour or so laterDiarrhea is almost gone to amodium for that", "output": "Hi ! Possibly you have had a food poisoning which can give rise to cramps in the stomach followed by diarrhea and vomiting. The sweating and extreme blood rushing in the ears may be due to over stimulation of the autonomic nervous system. Simply taking Imodium will not cure your infective pathology in the stomach. You have to take appropriate antibiotics on consultation with your family physician, and also take care to HY Chat Doctor. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 9 month old is just getting over a cold and had his 4 month shots 2 weeks ago. He had a pale (off white poop yesterday) and today has had 2 poops that contain white chunks/curds mixed in with normal looking poop. What is going on? (No diet changes)", "output": "HI...these changes on stool frequency and consistency is normal in kids of this age. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "% year old son banged his head on door, cried a little then went to sleep. After about 25 mins he woke up and threw up on his bed then in the toilet all within a min or two. Was told by RN on phone to wake him every two hours to check that nothing is wrong. Just looking for another opinion. He is not dizzy and no headache.", "output": "HI...vomiting after a head injury in a 5-year-old is concerning but as he is not doing it consistently and otherwise active, you can wait. I will suggest you the other danger sings you need to look for - 1. Vomiting continuously2. Seizures3. Watery of bloody discharge from ears and nose4. Unconsciousness5. Altered sensorial or behavior. If none of them are present, I don't think you should worry about his trivial head injury. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i had a deep tissue massage and later that night woke up to th worst migrane ever not a normal headach like crushing my skull headache for 2 days could do nothing hurt so bad . finaly eased up and now its been 2 more daysand my neck a little stiff butt what bothers me is there a lump or knot on my neck and hasnt gone away", "output": "Hello, Most probably this knot occurs due to deep massage which lead to soft tissue injury at your neck. I shall advise following to have relief in this:- Take a mild analgesic like acetaminophen for relief in pain.- Apply cold compresses over neck.- Avoid any hard work for 2-3 days. Most probably it will go away in next 3-5 days. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,Im not sure what mine is but this is the third day now were Ive had none stop tightness and pain in my right hand side of my chest. I also have a constant heartbeat in the back of my throat and my bottom teeth are aching. Ive been taking heartburn medicine and ibuprofen but nothing has shifted it.Katie.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, we should first rule out heart diseases because you are having chest pain with palpitations. So first get done ECG and 2d echo. If both these are normal then no need to worry about major heart diseases. Sometimes, uncontrolled stress and anxiety can also cause similar symptoms. They can cause HERD (gastroesophageal reflux disease) and this HERD is the cause for your uncontrolled heart burn. Don't take ibuprofen, this will worsen your heart burn more. Better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Take pantoprazole for heartburn. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doctor i have PCOS and doctor told me u could b pregnant within 3 months . . is that possible ?And im given medicines 4 getting periods and glucophage . .im having stomach ache and vomiting tendency and tired a lot . . i dont have BP . .y dis vomiting tendency! :(", "output": "Hi, Thanks for the query. I understand your concern. First line of treatment for pod. Consists of giving 3 courses of oral contraceptives . Which in turn leads to spontaneous ovulation after with Chat Doctor. . Seeking this opportunity. Yes. You can get pregnant after 3 months course for getting regular bleeding. In addition, you are given glyciphage to help in getting your weight reduced.... which again helps in correcting pod... help ovulation.conception. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi! For the last 3 yrs I have had very bad nose bleeds ONLY in my house and at my placeof employment. Symptoms usually start with several sneezes,a back ache, and what resembles pressure on top of my head. The last nose bleed put me at the emergency rm. Help!! PS- my doctor is aware and we are working on it.", "output": "Hi, Nose bleeding generally could be due to simple causes like injury due to nose-picking, common cold, allergy etc. or Rarely, it may be due to some blood disorders, Chat Doctor. If your nose bleeds again, pinch the nose tight for 5 to 10 minutes and to breathe from the mouth during that time. You may also put an ice pack and sit with your head leaning backwards. Do not bend forwards. You can also use a decongestant nasal spray. This will help to stop the bleeding. I would suggest you to approach the ER if the bleeding is not stopping, it will require nasal packing to control the bleeding or " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "helllo doctor... my frnd is suffering from asthma dnt v hav ny permanent cure for it. his attak is lyk he gets vry bad continous cough very bad breathing problem . most medicines he already had bt none of dem is suiitng him. sum doctors say no chemical is suiting to his bodyso hw can he be helped", "output": "Hello, Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for your friend as follows:1. I would like to know more details about him like his age, since how long he has asthma, what are the symptoms, any allergies, nose symptoms, medications tried, investigations done, etc. etc. These details would help me to understand his problem better and therefore to make more specific suggestions for him.2. At present, from your given history, I would suggest him spirometry with post-bronchodilator reversibility testing which helps to measure lung capacity as well as to know the type of lung dysfunction he may have.3. I usually suggest my such patients albuterol inhaler to be used for wheezing/breathing difficulty etc. However, spirometry would help to choose inhaler for him better. From you given history, I think he might require regular inhaled corticosteroids to prevent frequent asthma attacks.4. In general, please avoid exposure to dusts, smokes and air pollution as much as possible.5. Regular physical exercises including breathing exercise as well as diet rich in vitamins & minerals would also help him in improving lung capacity as well as immunity respectively in a long run. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish your friend the best of the health ahead. Thank you & Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I slipped and fell on a ceramic tile floor 4 weeks ago. the majority of my body came down on my right rib cage. Now it hurts to go from a sitting position to standing, sneeze and sleep on my right side. The area on my side is tender to the touch. I was was diagnosed with a fatty liver in 09/2014. Shouldn t I be getting better than worse?", "output": "hi Hope this msg finds u in good health. I have gone through your complaints and understand your concern. U seem to have injured your ribs and d soft tissues around. U should get a X-ray done to find out what's wrong. Use rib belt. Analgesics and anti-inflammatory tablets. Local hot fomentation. Avoid sleeping on injured part. Nothing to worry about. Hope your question has been answered. If u have any follow-up queries, feel free to consult me anytime.thanks Take care god bless" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "30 year old daughter has started fainting. BP consistently runs low (82/56) was the most recent. Lack energy, Anemia was diagnosed. Hospital decided after many tests that she has syncope, but gave no recommendation to help her. Tests revealed fatty liver enzymes, heart, lungs, breathing were fine. Problem with clotting was indicated. What can be done to raise her bp, keep it stable, and stop the fainting?", "output": "Hello, Thanks for the query to Chat Doctor. Forum. Anemia, if hemoglobin level is less than 6 gm /DL, we call as severe anemia. If hemoglobin is, still less than this patient may feel dizziness and chances of faintness. Any person (anemic) if fainted, his blood pressure will fall, due to syncope. I wrote, blood pressure will fall, and we will call low BP. In your daughter case, no doubt, she is anemic, but low B P is due to anemia. In my opinion get treatment for anemia, after consultation with a physician and once, anemia cured, she will not develop low Blood pressure. Hope, this information will help you. GOOD LUCK for your daughter. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a very healthy 28 yrs old daughter that had bloodwork done and had a GFR of 69 two months ago and recently was checked again and it was 57. She questioned her doctor and they said that this was normal. From what I understand it should not be below 90. She has been tired for over a year, has acne that she takes medication for. She is extremely athletic, has a resting pulse of 57 and no physical issues. Her grandmother has been having kidney issues but I don t know the details. I guess my question is, that GFR of 57 is a real concern, is this something that sounds normal. Thank You", "output": "Hello and welcome to Chat Doctor. Your concern is understandable. A normal GFR ranges between 90-120ml/min/1.73m2.GFR is an indicator of kidney function. It decreases with age, slightly. If your daughters case, she needs to carry out certain other tests, like urine microalbumin, 24 hours urine protein, blood kidney function tests like creatinine, urea, sugar and an ultrasound scan of the abdomen. See another doctor with the reports. GFR of less than 20ml/min. needs urgent medical consult. As a Urologist, youre welcome to contact me by name, with reports." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello my name is lucy im 13 weeks pregnant with second baby I started feeling chills and hot flashes last night along with mild tummy aches and sick that rushed out of me and still continues being sick today I had sickness at beginning but had gone should I be concerned I remmeber having fever with first pregnancy", "output": "Hello Lucy. It seems you have caught some kind of infection - most likely a stomach bug causing acute gastroenteritis. Donor worry and keep yourself well HY Chat Doctor. Get some routine blood tests done like complete blood count along with your regular health checkup if you are due for one. I am sure it's a minor infection which can be treated well without any adverse effects for the pregnancy. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My boyfriend (25 years old) was prescribed Zoloft about two years ago after a tragic accident. About 2 weeks ago he decided to stop taking the med without consulting his MD (even thought he knew he was not suppose to). For the last week he has been lightheaded, constant headaches and nausea. After he told me today about his act of cutting cold turkey, Im thinking these are side effects from stopping the med. He is wondering if he should take one tonight to stop the issue. However, Im wondering after two weeks if it would be a good decision to begin the med all of a sudden again. What is your suggestion?", "output": "Hello, It was wrong on his part to stop the Chat Doctor. His own; but he can start it again. You have not mentioned the dosage he was taking, if it is more than 25\u00a0mg daily, it will be good that he takes 25\u00a0mg on day 1&3--50\u00a0mg on day 3,4&5 ---75\u00a0mg thereafter.increase of 25\u00a0mg is recommended each few days apart till he reaches the past effective dose. Manytimes patient can settle on lower dosage after taking it for long time and keeping well on it. You can talk to your doctor about reducing the dosage [instead of stopping it completely]. Wish you good luck. Do make him see his doctor in near future to discuss the pending issues." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, i was masturbating from year 2006,we would 12years old, due to some unawareness, sir, i am feelinf bas, my face complexication go to dark, and my memory get short, please help me and give me a prescription,Best regards, now i am 19, i have stopped that, but its very bad, when i take milk regularly after some day i had night fall, please tell me what to do, and what should be the medicine for it,my no. is +0000", "output": "Degree understand your concerns went through your details. You are in your adolescent period. Masturbation is no sin and masturbation cannot harm your health. In fact masturbation is healthy and is a stress buster. Nothing to worry about masturbation. I suggest you to masturbate twice or thrice in a week so that the night fall (nocturnal emission) can be stopped. You should not worry about the face complexion, memory loss etc. because they are not due to your masturbation habit. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my stomach has been bothering me lately my primary DR. has me on omeprazole 20mg Iv I have been taking that for years. I seen Him yesterday And he Told me to take 300mgs. of Ranitidine at bed time and pepto bismol 15 mins. before meals.I am on dialysis 3 times a week And lost a kidney to cancer last year do i have anything to wory about with thenew meds.", "output": "Hi. You are suffering from acid peptic disease. As your doctor has suggested you can take those medications. Since you are already on dialysis and your kidneys have been removed, these Chat Doctor. These medications are quite safe. Omeprazole, rant ac, bismuth are all excreted principally by kidney s and now dialysis will do that job. They are not harmful to liver. However, consult your nephrologist." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i had a feelings of heartburn i consulted cardiologist they have done my angiography In this scan they say i am having 90% blockage in one arteries and 70% on second.............Cardio says i should have bypass surgery but i insist there should be some second way i mean treatment with medicine", "output": "Hello. Thank you for your question and welcome to Chat Doctor. I read your query and I understand your concern. By the brief information you provided, I am assuming these blockages are in delicate parts of coronary arteries. Further, I think the main blockage is in the left main coronary artery (YMCA) or in the Ostia (entering) part of the left anterior descendant (LAD) artery. From all data that exist and from our clinics experience, the stent placement in these portions is a very dangerous procedure, both technically and from a result-oriented point of view. Therapy with Chat Doctor. But, this blockage will eventually get bigger and totally block the artery, causing a heart attack which, in this position of the artery, is potentially lethal. Therefore, my recommendation is that you should proceed with the coronary artery bypass grafting (CABG). Of course, the choice is only yours. I hope I was helpful and thorough in my answer. Good luck!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello!! Sir, I am in 21 (m) years old. And suffering from the night fall. Plese tell me how can I stop this.?? Actually I am suffering this disease from last 5 years. So sir please help me and it s very necessary to know to how can I control. And is there any herbal medicine to cure its so prefer me... Am waiting your reply.. Thank you", "output": "His understand your concern. Nocturnal emissions are not a disease. 1st you have to be clear by mind. Night fall occur due to excess in amount of semen in scrotum. Semen production occur in scrotum 24 hourly and stored in it. If you are not sexually active BT sex or by masturbation then semen will come out automatically in night while we Chat Doctor. So it is normal and physiological process. It will disappear when you are sexually active and started sex or masturbation. Read more about that. Do not think about it, and it will do not cause any harm. So relax. Still have a query then feel free to ask. Happy to help you further. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, Is there a way to get rid of a UTI at home, and is it common to have a UTI and Yeast infection at the same time? I have been feeling a tingling sensation when I urinate, as well as increased/constant urge (for the last day or so)and light pink on the tissue when I wipe, but I also have some itching.", "output": "Dear Friend. Welcome to Chat Doctor. I am Chat Doctor. I have read your query in detail. Furthermore, I understand your concern. You should get following investigations:1. Urine Routine2. Urine Culture3. Ultrasound PUB. Chat Doctor. You may use a urine alkalizer, if you have burning. Treatment would depend on the cause. So, review with reports. This is my best advice for you based on available details. If you have any further query please ask me. Stay Healthy. ChatDoctor, MD" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have reoccurrence of breast cancer showing up in lymph nodes and have bone mattastis ...have been on flasodex for 5 months.... greatly reduced lymph nodes activity as had a pet/ ct scan last week. xgeva for 3 months but although good news is harmone blocking drug is working..... do not understand bone stuff....bone in leg femur is facratruing on its own......what is xgeva indicated to do positively for the bones....seems it may not be working. thanks any help will be appreciated. Carolyn", "output": "Hi, It's good to here you are responding to Rolodex as the lymph nodes size is reducing. The bone metastasis also likely to respond to Rolodex because commonly the bone metastasis occur if the tumor is positive to harmony receptors against which the Rolodex act. Neva reduces the bone turnover caused by the spread of tumor. The femur is a weight-bearing bone, so it may need fixation because the bone was already weakened by metastasis. So you need to consult your doctor for the same and continue the Neva to prevent further development of new metastasis. Hope I have answered your query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sonograhpy report says liver size is normal but is fatty liver. Old Calific foci granlues in liver. I previously was diagnosed with right lower uretric calculi of 7.5 mm 3 months back and started drinking loads of water and yesterdays report showed that the calculi was dissolved(no calculi). But says fatty liver. is this of major concern. my age is 30 M.", "output": "HelloFatty liver may be due to many reasons like obesity, alcoholism,sedentary life, metabolic disorder etc. Calcified loci in liver may suggest old healed calcified granulators lesions. These are healed stage and doesn't require any treatment. You may need few more investigations like routine hologram, random blood sugar, liver function test, lipid profile. Mild fatty liver is a reversible condition. You should increase your physical activity and go for brisk walk regularly. It is good that ureteric calculi has passed from the body. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 57 yrs old and use to be a meth head several years ago. Having a CLD and new work testing policy i gave it up. I take Warfarin because of my heart problem. I have my INR checked monthly. My INR usually stays pretty constant. My last blood test showed my blood thinner than it has been. Can smoking meth causing my blood to be thin and with the med cause it to be thinner. I know the other dangers of smoking meth. A friend was around for about a month and a half and he had some almost daily. I wasn t high the whole time but it was more than I had had in some time. He has since left town and I don t have access to it any more.", "output": "Welcome to Chat Doctor. My dear friend, blood thinning is due to warfarin. Warfarin act as anticoagulant and prevent clotting formation in blood after making blood thin. Doctor regularly check I.N.R to check proper thinning of blood whatever is required regarding patient heart condition. Actually blood thinning meaning is that it will take more time to clot than earlier. Blood thickening means that it will clot faster than earlier. Than for query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my husbend age is now 47. he is suffering from scezofrenia since 7 years.he suspect me with so many persons about the age 10to 80 years.he use to take medicines.some time he stopped to take medicines. it will come again and iam not able to maintaine all these problems did these type of illness is urable or not iam suffering so much badly", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. The treatment to schizophrenia totally depends on the symptoms the patient show and the severity of the case. Most of the cases, schizophrenia is curable with a combination of psychiatric medicines and psychotherapy. In your husbands' case he is also a paranoid personality. Schizophrenia with paranoid personality disorder is so common and every psychiatrist shall have experience in treating such a problem. Your psychiatrist should be able to tell you whether the case is curable or not. Please take your doctor into confidence. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my husband has a cough from allergies, but since last night when he coughs he has an extreme pressure pain in his inside left upper bicep. Like a blood pressure cuff has been over tightened 2 x too much. Arm does not hurt any other time except when he coughs then it is extremely painful.", "output": "Hi. Cough allergy put pressure on lungs and coughing is done. It seems to exert pressure on lungs and neighboring heart too. Biceps has no direct link with it, but your doctor should not ignore any remote possibility of precipitating HD. Little more inputs like BP condition etc. would throw more light as also blood cholesterol report. If I were your doctor I had preferred to exclude these too. Moreover, if everything is found well, but condition remains the same, I had advised to try herbal medicines route too which are safe and known for treating allergies control asthma. May I be of more help please?" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Age-74.3:height-5feet 6 inches:weight 87 kg:Have been suffering from Asthma for the last six years. Have mostly been taking delta cortril and ventolin inhaler to control breathing. Am a patient of enlarged Prostate959gm). During current chest Xray, I was diagonosed as under \"Loss of lung volume is noted on right side. Fibrotic bands are noted in right upper zone, with cephalad tractionof right hilum. Conclusion: Features are of right upper lobe fibrosis\" . Is the disese curable?Is it a dangerous disese?What is the treatment/precautionary measure?", "output": "Hi, The fibrosis is an irreversible procedure. It cannot be reverted once developed. However, of clinically more symptomatic like dyspnea than steroid course can be prescribed for that. The pulmonary function test can be done to assess the severity of the lesion. Clinical correlation needed in your case. You can consult a nearby pulmonologist for detailed evaluation. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "for the last 4 months i have been having numbness and tingling on both sides of my body. it starts from the back of neck and goes down my arms. some days my thighs aches so bad. and sometimes my right arm hurts as if i hit the part that s called the funny bone but i know i have not hit it. some times i can not close my hands either.", "output": "Hi, Thanks for your query. The abnormal sensations that you have such as numbness, tingling are termed peripheral neuropathy. Peripheral Neuropathy is a condition caused by damage to the peripheral nervous system [most commonly seen in diabetic patients]. Another possibility could be nerve compression in spine due to disc bulge. Change your diet and remove inflammatory foods such as citrus fruits, dairy products and wheat that may aggravate the condition. Simultaneously increase your intake of potassium and calcium-rich foods such as bananas and avocados and green leafy vegetablesVitamin B12 is important in the maintenance of health and normal functioning of the nerve tissue and deficiency of it can lead to numbness. You can increase B12 level by taking meat and fish, or you can take tab methylcobalamine. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Last night my left thumb began to twitch -I assumed it wasnothing to worry about but wondered if it was linked to arthritic shoulder caused by fracture after bicycle accident 4 years ago.My shoulder is painful at present. However I am now worrying about serious neurological disorders mentioned online. Thatll teach me.How long should I leave it before I get it checked out?I am just (a young, fit and active) 60 years of age.", "output": "Hello! Welcome on Chat Doctor ! Your symptoms could be related to a nerve damage or a pinched nerve in this arm or shoulder level, probably related to the trauma. An electrolyte imbalance can also mimic this situation. For this reason, I would recommend consulting with a neurologist and performing a nerve conduction study. Some blood lab tests (complete blood count, blood electrolytes, uric acid levels, thyroid hormone levels) are also needed to exclude other possible metabolic causes. Hope you will find this answer helpful! Kind regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, My daughter is 14 months old. we are from India, presently staying in south part of the country. She keeps catching cold and cough often. Earlier, she used to be presecribed only saline neblisation with the usual syrups of chlorpheniramine, terbultaline etc. But, this time she has been presecribed saline + duolin nebulisation. What does that indicate ? Is she predisposing towards asthma ??", "output": "Hello, Thanks for posting your query at Chat Doctor. Dublin, as you have rightly surmised is used for babies with wheezing or fast breathing, which will be greatly helped by the albuterol and ipratropium in Dublin. They must have used Dublin as she had a wheeze, which could be due to viral infection as such. If there is a strong family history of asthma, there is a chance that your baby is predisposed to develop it. If not, the wheezing and fast breathing is probably because of intercurrent viral infections. What can you do to decrease the frequency?1. Vaccinate her with influenza and pneumococcal vaccine2. Decrease triggers for her wheeze or fast breathing. Avoid the following: - Scarlatti/incense -perfume -face powder -dusting or sweeping near the baby - pet hairs -cockroaches -soft toys 3. Wash her bedsheets weekly in hot water to get rid of dust mites which will cause frequent wheezing4. Clean AC filters once in 10 days5. Keep an allergy diary: each time your child develops fast breathing, note down all the foods she has eaten that day, any particular activity she has done. You can compare notes over a period of time and try to identify a common allergen Hope she feels better and this has helped you. Take care!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor my self saurabh actually i am suffering from lower back pain and i dont know what to do.I got my mri and the reports say 1).Annular disc bulges at L3-4 & L4-5 minimally indents the thecal sac. 2).small focal left paracentral disc extrusion at L4-5 mildly encroaches on the left neural foramen, indenting the L5 traversing nerve root without overt impingement. The existing nerve root appear to be normal in the lumber region.3).Early bilateral facetal arthropathy at L4-5.please advise me weather ill get rid off this pain for the future or not and how long this pain will remain.Thanking you Saurabh Mullick", "output": "Thank you for the question. Your MRI reports suggest that you may avoid loading of spine by severe activity like weight lifting, bending acutely as disc bulges may further protrude to impinge nerve root and cause pain and radiation of pain down to legs. Take all precaution by avoiding physical stress to back, do hot fomentation, seek a physical therapists help for back strengthening exercises, massage. Use lumbosacral brace during daytime and working hours to avoid strain on back" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor, My father is having Blood Clotting in his brain. For the past few years he is taking treatment from one of the doctor in XXXXX. He suffers frequent attacks in which he gets unconscious for some time with problem in speech and heavy sweating. He had paralysis attack 15 years back . I would like to consult you for his case as now the attacks are very frequent. He is also having high B.P. and Diabetes .Please guide.", "output": "Hi, Thank you for posting your query. The most likely cause of fainting episodes in your father could be post-stroke epilepsy. In this condition, the epilepsy starts because of scar formation in the brain (due to the blood clot). It is well treatable with medications such as levetiracetam. At the same time, medicines to prevent further brain strokes such as aspirin should be continued. Best wishes, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "For multiple myeloma, are the size, growth rate, or number of tumors factored into the staging process. My partner has MM and three tumors (nasal cavity, upper right arm, and knee), so I was wondering if that is a factor or if it s just blood tests that are considered.", "output": "Hello, Multiple Myeloma means increased plasma cells in the bone marrow. If they are present else it is called plasmacytoma. You have to undergo these below tests:-Complete blood picture-Total serum proteins-Serum electrophoresis and-Finally bone marrow examinationPlease consult hematologist or medical oncologist for more information and management. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "iv been suffering frm heart palpitation which my doctors cannot diagnose d cause..my angiogram result was very fine, no heart problems at all..am now taking isoptin 40mg 3X a day but palpitation still occur..my laboratories were ok but only slight electrolite diffrences..i have a mild thyroid parenchymal disease and a very tiny cyst on my thyroid..does this thyroid problem causes my palpitation?", "output": "Brief Answer:Yes, heart palpitations may be due to thyroid dysfunction (hyperthyroidism), even though your heart arteriogram (chromatography), is normal. Detailed Answer:Hello, Thank you for using Chat Doctor. Yes, you may be right. Heart palpitations may occur in specific medical conditions such as hyperthyroidism, or anemia, low blood pressure, deny Chat Doctor. In rare cases, palpitations can be a sign of a more serious heart condition. Thyroid parenchymal disorders, may be suggestive of hyperthyroidism, as the most probable cause of the symptoms such as in your case. A laboratory assessment of the thyroid hormones levels (TSH, fT3, fT4) is essential to make a right diagnosis. If hyperthyroidism is proven, you should see an endocrinologist for further treatment strategy and follow-up. Electrolyte levels assessment (Na, K, Cl, Ca) is essential, too and their correction (if deviations are noted) is necessary. Meanwhile, referring the fact that you are symptomatic (you still experience heart palpitations under Verapamil), I would suggest you to increase the dosage of Verapamil in 80 mg x 3, monitoring your blood pressure.Meanwhile, you should take plenty of water (2 - 3 liters per day). You should take an equilibrated diet. Try to avoid getting stressed or anxious. Hope this is helpful. Let me know if you need more clarifications. Otherwise, please close and rate the answer. Kind " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am 17 years old boy with height 5feet9inch weighing 60 kg.I am suffering from vitiligo . I wanted to ask what are the thing that i should avoid and the things that i should do to minimize it. i would be thankful for your comment", "output": "Hivitiligo is an autoimmune disease in which melanocytes are destroyed. The aggravating factors are stress, high dose of vitamin C, foods rich in it C (like oranges, lemon, tomato, AMLA, guava).for proper treatment you can consult a dermatologist. Though the treatment is lengthy, you may expect results if your white spots are having black hairs. Lesions lacking black hairs or over bony prominence are usually resistant to treatment. One of the good treatments are Narrow Band UVB Phototherapy as it is safe and effective and its results are very fast. If your disease is stable you can also go for grafting. Bye" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "what is the right upper lobes fibroids? i got an x-ray results and it says: right upper lobes fibroids are noted. the rest of the lungs is clear. heart is not enlarged.diaphragm and sulci are intact. what is the cause of this and what is the medication of this? thank you and Godbless...", "output": "HelloYour findings suggests fibrosis in right upper lobe. It is generally a healed stage of past infection and doesn't require any treatment. Infection naturally heals by calcification and fibrosis. Fibrosis in lungs may require surgical intervention if it compromises pulmonary functions. Other findings are normal. Heart size, both CP angles and diaphragm are normal. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been dealing with a food impacted tooth that is infected. Can t bite down, can t chew on it without shooting. When I get up in the morning I don t know if it s from sleeping on that side but it is extremely tender. Dentist has had me on Keflex for two weeks. He had put a medicated plug in between the two back teeth - hasn t done much. Today he prescribed a Zpak is this reasonable?", "output": "Hi, Thanks for using Chat Doctor forumAccording to your history it seems that you have a deeply carious tooth or suffering from bruise as you are having tenderness after waking up in the morning. As your tooth is infected so taking antibiotics only will not be a permanent treatment. Infection has reached to pulp. Consult your dentist for Root canal treatment. Or its bruise so ask your dentist for mouth guards. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. So I ve been told I have bilateral acetibular hip impingement (surgery is scheduled) my hips flare up hurting so bad it s hard to walk. Today is one of those days, but now I ve actually noticed a bruise right on my hip in the exact spot where it hurts....however I didn t do anything to cause this bruise?!? Is this something to be alarmed by? Thank you.", "output": "Dear Sir/Madam have gone through your query and read your symptoms. In my opinion, not to be alarmed of but to be careful of, as the bruise is sign of you hurting yourself and causing some minor bleeding, one thing you should take care of is to get your coagulation profile, although this investigation will be done prior to surgery. I hope that answers your query. If your want any more clarification, contact me back. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son has 3 small clusters of red bumps on his torso. It started with one cluster (of 3 bumps) last night and today there are 2 more clusters. They don t appear to bother him, he has a very slight temperature but overall he is just as active as usual. Should I be worried?", "output": "Hi ! Good morning. I am Chat Doctor answering your query. The clusters of red bumps on the torso of your son could be due any insect bite or due to any kind of fungal skin infection. I would advise you to take him to a skin specialist in your area for a clinical assessment of the lesions if they persist or increase. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i got all 4 of my wisdom teeth extracted on tue afternoon. I got stitches on both bottem because they were only crowning and not fully grown out yet. Today (saturday) i woke up seeing that there are yellow things on and around my stitches. It doesnt hurt and smell. I did see a little the night before but i didnt think much. I always rince my mouth with salt and water when i wake up, at noon, at night, and always after i eat. could it be an infection or will it go away itself?", "output": "Hiiitheres nothing to worry about...what yellowish liquid you are talking about is normal phenomena....it signifies that healing is taking place....this yellowish discharge is nothing but granulation tissue.....so no need to panic. If you had been experiencing pain or persistent swelling around the affected area then it might have been infection....since nothing like this is happening to you, it means you are normal." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor , I and my gf had sex but I hardly Had any precum n she just wanted to feel me once , I din cum inside her n I was just in for 5 seconds , r there any chances of she being pregnant ? She wants to hav an I ipill but I don wan her to have any side effects", "output": "Hi, There always chance of pregnancy in unprotected sex if you had sex during unsafe period of cycle (10th to 20th day of cycle considered unsafe if period is regular of 28 to 30 days). There is chance of pregnancy because pre-cum may enter into vagina unknowingly and contain sufficient sperm concentration. So if you had sex in fertile phase of period then take I pill to prevent pregnancy. I pill cause tolerable side effect and no serious side effect will occur. It causes sometime bloating, delayed period by 1 to 2 weeks, earlier period, excessive bleeding, nausea, headache. Avoid stress, take healthy diet, Chat Doctor. Use condoms in future to prevent unwanted pregnancy. Hope this may help you. Contact further if follow up needed. Best regards," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ill be having my remaining 16 teeth removed soon and will switch to dentures. The bottom teeth were small to begin with but now some are worn or broken to the gum line. Do the roots really have to be removed? I should add that I have a history of osteo radio necrosis (sp?) after 2 upper teeth were taken out following head/neck radiation.", "output": "Hello, Thanks for your query. If a tooth is fractured down to the gum line and needs to be removed dentists have special ultrathin instruments that can be used like a lever to loosen and remove the remaining root. If the tooth is fractured deep into the bone special Piero instrumentation can gently remove bone around the tooth using ultravibration energy allowing access to push out the remaining piece of tooth. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "diagnosed with sciatica for over 4 years on and off daily pain which i controll with excersizes but only serves this purpose and not effectively treat the problem, it is causing me prolonged stress daily running my confidence in to the ground as much as labido also has had adverse effect on sex life which is also spiralling me into depression, negative self talk, general unhappiness what can be done for me iam at my wits end almost", "output": "Get cured of sciatica completely is not a goal I have found on people. While a small percent of my patients and in the literature have a very good response to surgery (10-20%?) at least as many have the pain get worse with surgery. Generally NOT indicated unless there is paralysis starting. Exercises to increase mobility: conventional physical therapy, fitness that does NOT use the back (swimming, stationary bicycle) at moderate to high intensity, AND gracefulness therapy. Gracefulness--to increase body awareness. The stress on an area is far more due to both active use and to unbalanced positioning than to weight. Bounce on a scale like you are walking... you see the needle go up and down over a 20 pound range...active load. If you are off center, all your weight goes onto one edge of a disk or a joint and the surface holding the weight Chat Doctor. So... yoga, tai chi, or ballroom dance. Experimenting with different pillows and positioning." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 49 years old. I am 150lbs with an height of 5 2 inches. While sleeping I strained my neck and found a lump at the side of my neck, I t is not painful but I am very concern. The swelling has gone down slightly but remain there until now.", "output": "Hi, Welcome to Chat Doctor Forum. You have developed a Neck Muscle sprain, and it would have caused the muscle pull which is the cause for swelling. Kindly don't worry as it should not be a serious condition. You can use any of the over the counter analgesics and apply heat pads regularly. You can use a Neck collar if necessary and get adequate rest. It will subside gradually. Wish you Good Health, Take Care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I ve come to a dead end with my doctor and would really appreciate some help. Let me give you some background: I am asthmatic, but please don t let that occupy your thoughts too much. In 2006 I had Pneumonia and was admitted to Leeds GI for a week. In 2008 I seperated from my wife and moved into a small flat. I wasn t aware for 12 months that there was a wall of mould behind the chest of draws! I had and continue to have a Chest Infection every 2 months since! My main symptoms are the obvious taste and colour of the infection when it comes up. Also a tightness of my chest, making breathing hard, and leading to coughing and choking, now until dizzy, getting a buzzing sentation and disorientation. My doctor goes in circles unsure what the problem is and why the reoccurance of the chest infections. I have had chest xrays (usually by the time they are booked, the infection is gone and xray clear), and have seen a specialist who jumped to the same conclusion of mismanaging my inhalers. This is not the case. The nurse is happy with my meds and how I use them, and how I up the dosage when I have a chest infection. But because the doctor is at a loss, I only get amoxicillen and steroids (the latter are bad for me long term). All I do is go in circles, The chest infections take two courses of antibiotics, and still they do not make me completely better. The infections remain underlying, and the next cold I catch ultimately turns into the next chest infection. This has been my life for over 6 years now, and only since the initial Phenmonia. As a child I had a very weak chest. My mother would walk me to nursery only for me to get there and need to go home as my chest was so tight. I grew out of this with the help of inhalers, and my asthma wasn t much of a problem growing up. These chest infections have only become so frequent since the Phemonia in 2006. I am now at a stage where I feel desperate for someone with fresh eyes and an open mind to look into this, and not just make the wrong assumptions that I don t eat well enough, or know how to take my inhalers... I am 33 (DOB 25/07/80) and know in my heart that if this is allowed to continue without adequate treatment, I face an early death when my chest is older and even weaker. I don t think I can add much more; only that I do take my inhalers correctly, and to make you aware that ALWAYS when I have a chest infection and my chest is tight and breathing difficult, the inhalers DO NOT relieve my chest in any way, but it does feel like it is Asthma - but clearly it isn t. Also when I take a test and breathe into the measure thing to see my lung capacity, it is always remarkably high, which also throws the doctor. With a chest infection I will still score 600 plus. Your help is desperately appreciated. Kind regards, Jamie M Hinton, Reading, Berks.", "output": "It looks like you have pulmonary aspergilli. You need to get following tests done:Bronchoscopy and transbronchial biopsy CBC with peripheral eosinophil countries x-ray CT scan - Chester aspergillus antibodiesSerum Egg and IGE antibodiesSputum stain and culture for fungusBack to TopTreatmentAllergic aspergilli is treated with steroids such as prednisone. The antifungal antibiotic itraconazole can also be helpful. Continue with your usual treatment for asthma." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, One of my friend has brain tumor in his childhood so he had treatment then.he recovered from this desease but after that he was getting fits then he had taken.treatment for fits, he is ok now but he is getting some current.or jhatka in.his body when woke up or when.he could not sleep properly. Please suggest what should we do for him for this Thanks", "output": "Welcome to Chat Doctor. Surgical scarring in the brain can cause seizures after brain surgeries. Probably he needs some fine-tuning of his anti-seizure medications. Something related to the sleep makes me suspicious about the antiseizure med management. He should see his neurologist soon. Meanwhile, please monitor him closely. Avoid accidents. He should avoid working near the heavy missionary or climbing heights. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my blood pressure is hovering around 134/94 regularly (taken from a digital citizen Blood Pressure monitor Machine). I am 41 years of age and a male. I am 173 cms in height and weigh 74 kgs. Do i need medication. I am red meat eater (once a week) and dont drink or smoke.", "output": "Presently no change in your diet, The lower presume reading is higher for your age, should be less than 85. However, because there are no risk factors 1) cut salt in your diet completely, less than 3gms for the whole day. It is the reason why your diastolic pressure is high2) try some exercise, 30 mins of brisk walking at least 5 times a day Many a time the lower pressure particularly is missing diagnosed by the electronic machine, do get it verified by a doctor. Regards " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "during my last cycle i took induct and dubagest.during follicular study,at the 22nd day i was given somme injection to rupture my egg .my periods didnt came at time but few spotting was seen.but next cycle i had my periods. from second day of my periods my doctor suggested ovigyn d and dubagest .what purpose it will solve pl explain", "output": "HelloChatDoctor user I understood your concern and My opinion is that origin d and suggest tablets we give the patients to improve quality and size of ovarian follicle so egg release at proper time, and you have good chance of pregnancy. I always prescribe this medication to my infertility patients and I found very good result in patients so don't worry and take this medication, it will definitely help you hope my answers help you Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, im 18 years old female my height is 5ft.5, Ive lost allot of weight in 2 years from being 12 stone going down to 7.5 stone , i think i have an eating disorder , i used to only eat 200 carlories a day but recently over the last year ive ate and ate untill ive been sick , i make myself sick about 7-10 times a day and i cant stop , recently my breathing and under my ribcage hurts allot and ive been to the bathroom and found blood in my stools , is this anything to worry about or cause for concern ?!", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Yes, blood in stool is serious condition, and you should definitely consult gastroenterologist for this. Blood in stool can cause anemia (low hemoglobin level) and this anemia can cause breathlessness and chest pain. So better to consult gastroenterologist and get done 1. Complete blood count (CBC) to know hemoglobin level 2. Lower GI (gastrointestinal) copy for the search of bleeding site. If hemoglobin is very low then you might need blood transfusion and iron tablets. Also get done chest x-ray to rule out lung related cause for breathlessness and pain. Don't worry, you will be alright. First diagnose yourself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello,I have been experiencing a very thick clear stringy mucus that I force up usually first thing in the morning.The only medicines that I am on is Prilosec 20mg and Lisinopril 5mg (both once a day). I have never smoked, both drink, but I do own pets.I sometimes have a chocking feeling and get very nervous at times when experiencing this because usually I am a highly motivated person and this stops me in my tracksI have spoke to my doctor, but he does not show a great concern about this issue.Please advise.David", "output": "Thanks for your question on Chat Doctor. I can u understand your situation and problem. In my opinion, your symptoms are not worrisome as you are not smoker. But better to rule out pulmonary disease first. So get done 1. Chest x ray2. PUT (pulmonary function test). Chest x-ray is needed to rule out infection in lungs.PFT is needed to rule out bronchitis. Both of these can cause thick mucous production. So get done chest x-ray and PFT to rule out infection and bronchitis. If both of these are normal then no need to worry much for pulmonary causes.Don't worry, you will be alright." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I cant decide if I should take my 8 mo old to the dr. He had a 103 temp two days ago but just a low 99 temp since that. He has lots of thick yellow mucus in his nose. At night he coughs a little at bedtime. Is this just a cold or more that would require a dr visit?", "output": "Such symptoms generally occur due to common cold which is caused by certain viral infections. The yellow mucus does not indicate a bacterial infection. It is due to the sloughed out cells that form the inner lining of the sinuses and nose. It is not a cause of concern. Giving steam inhalation and some antiallergic should provide relief. If the child starts wheezing or becomes lethargic, if the temperature is beyond control, or if the condition lasts more than 7-10 days - you would need to visit a doctor without delay." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor, I am Sweta 33 years old .I had one misscarriage in Feb 2011.Done 1st sitting of follicular studies today (10 TH Day of period).Study shows: Right follicle:14*14 left follicle:9*7 endometrial thickness:7.2 mm. Size of ovaries: right ovary=3.7*2.1cm left ovary=3.4*1.8cm Could you please tell me when will I ovulate .", "output": "Hi Sheet, Your 10th day follicular scan is normal. The right ovary shows a dominant follicle which is likely to grow and rupture releasing the egg (ovulation). The follicle grows about 1.5 mm each day. So you are likely to ovulate on day 14 or 15. Have intercourse on alternate days from now on to increase your chances of conception. You need to take one tablet of folic acid daily I hope I have answered to your satisfaction." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi sir i am ashish i suffering from nightfall from 2011 since now my age is 19 year and i have problem of nightfall is this natural for health or it is normal for our body or it does require any treatment because i worried about this from last 6 months", "output": "Thanks for asking in Chat Doctor forum In Short: It is normal and not a diseaseExplanation: If you donor masturbate/have sex/ejaculate by any means for many days, your body will try to replace old sperms with new one. SO, with the slightest excitation or during sleep you may have ejaculation. So, it is completely normal and does not need any treatment. Be happy and enjoy. Hope this helps you. Do let me know." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my father is had an operation May last year. He is 71 years old. He has tumor/ cancer stage 2 in his pancreas , but his doctors said it was too big his stomach will be damaged if they remove it. The doctors said they made a bypass in his digestive system so he would survive. After his operation, he was advised to undergo radiation and chemotherapy but our family decided not to do so due to some reasons. His surgeon said he will live for 3 months. After 10months my father is still here but just last week he is yellowish again and he feels itchy allover his body. His urine is already black. My question is, is my father leaving us at his condition now ? Thanks.", "output": "Hi!it is very heartening to hear about your fathers condition. Pancreatic cancer is often advanced when it is first found, very few pancreatic tumors can be removed by surgery. Patients whose tumor cannot be totally removed, but who have a blockage of the tubes that transport bile (biliary obstruction) must have that blockage relieved. Since he is jaundiced it seems that there is reblockage from the previous surgery. It is definitely difficult to exactly predict when the end comes. It is better you take your father to Pain and palliative care center to at least relieve him of his pain symptoms." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I just wanted to know i had sex with my husband. Before that I started with my bleeding but not very heavy, it usually takes me 2 to 3 days after my bleeding to get my actual period. My husband usually ejaculate outside but this time he failed. Any chance of getting pregnant. Mg bleeding slowed down is it because I am thinking too much about it or my bad luck I got pregnant", "output": "Hi, Welcome to ChatDoctorYou had sex with your partner few days prior to expected date is considered safe period as ovulation take place approximately 14 days prior to start of your period.Hence, chances of pregnancy is almost nil, but it is not 100%But to depend on ejaculation outside is very risky, and you can get pregnant in any cycle. Now what can you do is to wait for your period and if it is delayed take urine pregnancy test and further action depends on result if it is negative, and you get period then it is fine, if positive then consult your Gynecologist to continue or go for MTP. Once you get your period you should use one of the more reliable contraceptive methods in consultation of your gynecologist like OCP, IUCD, or Barrier methods like condoms. Hope this information is useful to you. Take care Good Luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good afternoon. 2011/07/26 Yesterday I was at the doctors office. My problem-abdominal pain. how can a doctor examining a patient does not, without examination and testing prescribe medication. I am 53 years and measured the temperature of the doctor, looked at his throat and with my words had decided what I needed medication ( Omeprazole 20, Aluminium MG.S, Dimethione-SOBHAN 40) I do not know their diagnosis. And as the doctor knows. not even examined the stomach. I would like to take a blood test for cancer. Learn what my inflammation. . Yesterday I was a little upper lip swollen with a small ulcer and the doctor attributed to me (Vitamin a+D-Sobhan). Today is a very swollen upper lip, increased 10 times. What do you advise me", "output": "HI. Thanks for your query. Sorry to know that some Doctors may not be having a proper clinical / physical examination. But in a normal circumstance a Doctor can get far more information and a probable diagnosis by your good, detailed history alone. I am sorry, here too I could only read what you have mentioned and going to comment upon the history you have provided. Well, back to your problems. The multiple ulcers you have could have been due to authors ulcers and the cause is not known. The probable cause is GI (gastrointestinal) disturbance. And this is always tried to correct with appropriate antibiotics and metronidazole. So continue the medicines as advised by your Doctor and vitamin A and D has to be taken in therapeutic dosage. Too much swelling of the upper lip looks to be due to either angio-neurotic edema or infection of the ulcer. The lips have a different tissue structure, so the edema can be far more severe than other places in the body. You may need oral steroids for early settlement." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "lHaii sir good afternoon iam arun and iam married it has been 3years we are trying for baby so we consulted a doctor so i done my sen analysis finally Report came as motility ass 20% and non moltile 70% sluggish 10% and concentration as 22milions per ml and now iam intaking progeniex tablets is it gives better performance in my case please guide me to have a baby and is it iui gives best result if we go for that process", "output": "Hello, In your case sperm count is fine, but problem is with motility. Usually, if period of abstinence before you produce the sample is too long there might be chances of sample being less motile. I hope you have given this sample with abstinence of 2 to 4 days and not more than that, and we cannot conclude semen analysis with just one sample. Coming to present report if it is right, for any treatment for abnormal semen analysis medication should be taken for 3 months as production of sperms take 3 months treatment for increasing motility should include vitamin E, it C, zinc and co enzyme Q10. And yes GUI is one of the best option if the motility is low or have low count as the sample is washed and processed so that good swimming sperms are chosen and debris is discarded, and this sample is directly placed inside the uterus, definitely, increasing chances of pregnancy when compared to natural method. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi there...My boyfriend through he just had a panic attack... symptoms are light pain in left arm (during the attack), headache (entire day), feeling anxiety (during and after attack), random blurry vision (after/before attack), insomnia (after attack)...We are afraid it might be something series... but in the case of a panic attack, what is the best way to handle it?Thank you for your time.", "output": "HelloSudden onset headache, severe anxiety, blurred vision followed by insomnia can occur in panic attack. The attack usually last for about 10-15 minutes and cause sense of doom to patient. Most likely he was having panic attack and there is need for evaluation and to make the diagnosis of panic. Kindly visit a Psychiatrist for expert opinion. Many medicines like of SSRI or SARI group help in controlling the symptoms. Apart from medicines behavior therapy and relaxation exercises help in controlling the symptoms. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "20 year old female, I ve been vomiting all day today. cant keep anything down. 2-4 times an hour mostly. been drinking water with a little bit of gatorade. tried eating a little to settle my stomach down but didnt help. i just start on this new birth control 14 days ago and alot 14 days was my last period. worried might be morning sickness, but not too sure yet cause i ve been vomiting yellow whitetish color. been also having hot and cold flashes. I feel hot when i vomit as well. my joints hurt and mostly from my mid chest to below my belly button area hurts the most. and yes i ve had sex with my husband right after my period a few times the last 14 days. But he doesnt finish inside me though, also unprotected. So any ideas?", "output": "Hello dear, I understand your concern. In my opinion the one of the side effects of birth control pills is vomiting. This can be prevented by taking pill at bedtime. Antiemetics can also help. But the nausea due to pregnancy is a rare possibility. Because the ejaculation was not done inside and moreover it is too early to feel any pregnancy symptoms. Usually the pregnancy symptoms start 2 weeks after missed period. And the first sign of pregnancy is missed period. So just check your next period. And the vomiting mostly appear to be due to pills. Consult your doctor for supportive treatment. Best regards..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "How high should blood pressure be before medical attention is sought? My last readings from the past couple of hours are as follows.180/118198/125186/123203/115192/112 I would think that these nimbers were a fluke, so I would check on my other arm and they were still elevated. I dont have insurance so until it gets dangerous and I am almost dead, I dont like to go to the ER. We are poor folk.", "output": "Hello, Thank you for your query. These are very dangerous levels. Please go to the ER right away. Your vital organs, heart, lung, kidneys can suffer severe damage to this continues. Risk of bleeding is high too I recommend :-a physician consult right away, cardiologist opinion -electrocardiogram and echocardiogram. -blood tests (complete blood count, Thyroid stimulating hormone, kidney and liver function tests, clotting profile) -medication to lower blood pressure. Based on this investigation, we can rule out an ongoing heart attack. Further, tests/investigation depending on clinical findings. Please see a doctor right away. Hope you feel better. Please let me know if there is anything else I can help you with. Wish you good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi my name is madhu.My father is having problem with teeths. I consulted a dentist. They said 20 caps(steel teeths) needed to fill the missedout places.I want to know the treatment expenditures and will it be covered under company medi claim policies?", "output": "Hello, Dental insurance coverage is usually separate than medical plan insurance. Your dentists' office should be able to give you an estimate on cost and tell you the amount expected to be covered by insurance. Some companies provide a predetermination estimate. You should understand all procedures and costs before the work is started. You are responsible for costs regardless of the insurance. These teeth are in a weakened condition if caps are needed to restore missing tooth structure. Left untreated, there will be a risk of increased decay and infection. Ask for a copy of the X-rays, if you want to consider a second opinion with a different dentist. Thank you for your inquiry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 20 year old active male that recently had a compression fracture of the Lumbar 2 vertebra and had surgery placing 2 rods screwed into L1 to L3 to stabilize the area. Im already off pain meds and just went back to work this past week. I am in a back brace for the next 4-8 weeks. My doctors restrictions are nothing more than no significant bending or twisting of the back. I plan to see my girlfriend this weekend and was wondering about how to approach having sex safely for myself. Thanks", "output": "Hi, I value your concern regarding the symptoms. I have gone through your symptoms, and in my opinion there is nothing to worry about, the concern in such cases is that too much bending movement can cause loosening of your metal implant, as far as you're approaching your girlfriend goes, do not try to be too experimental, and take it easy. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. Special note-Any medication prescribed needs to be taken after consultation with your personal doctor only." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a sharp pain in my stomach right near my right rib cage. It came on suddenly. & I dont know if I need to go to the Dr. Also Ive had a bad cough since December 2nd and a strange bruse appeared yesterday morning on my chest & it has a strange lil bump under the bruse.", "output": "Hi. Since you have cough and pain, the possibility goes in favor of plural inflammation. It gives sharp pains. The bruise and the lump may or may not be related. The possibility can be due to strained rib muscles due to act of coughing. I would advise such a patient for X-ray of the abdomen in PA and right lateral position to confirm or rule out. You need to visit a Doctor for a clinical examination and investigations and treatment." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,i would like to know what i could possibly be suffering from.am a19yr old girl and after i had malaria have had strange body fellings for 3months now...i dnt feel hungry or full,i cnt feel mybody no more..i am losing so much weight and my whole body feels stiff.and i am also having vision problems...what can it be?and what should i do?", "output": "Hello I have gone through your question and understand your concern. In my opinion, it is better to take a complete blood picture to rule out deficiency anemia. Weakness and fatigue can be experienced by any individual recovering from illness, as body fights with the infection throughout the illness making one feel tired without any apparent physical activity. Malaria can even cause iron deficiency anemia with weakness, fatigue as malaria causing parasite feeds on and break down red blood cells, leading to anemia. If the test results show anemia, consult a doctor or update the reports at Chat Doctor or start with iron supplements available over the counter. Get vision checked by optometrist. Weight loss is common after recovering from sickness, nothing to worry eat fresh and nutritious food, take ample of rest and take a multivitamin for quick recovery. Good luck. Hope your concern is answered. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,Doctor iam male 39 years in recent test i came to know that iam hbsag+,,,,IgG antibody to hep c virus is non reactive,,Hep Be antigen negative,,,PCR assay is 5,634,946, PT INR 1.3,,,,,Doctor suggested me to take ENTECAVIR tablets,,,Iam worried of my life kindly suggestme.", "output": "Hi, Thanks for asking. Looking at your query, my opinion is as follows:1. You are suffering from acute hepatitis B.2. Do take Endeavor tablets until liver enzymes levels come down. Nothing much to worry now. Watch out in future for any jaundice and get your regularly tested for any liver conditions (cirrhosis, hepatitis, carcinoma). Avoid blood donation and use protection. Be careful. Any further queries, happy to help again." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "When I get up too fast and start walking I get leg tremors and feint feeling. I am diabetic type 2, had bypass 3 surgery 13 years ago. I am on meds for feet pain at night (amytriptyline). I have not discussed with my doctor yet but will soon on my next appointment. When I have these episodes, I stop and take deep breaths and in a short time I am o.k.", "output": "Hello. I have been through your question and understand your concern. Your symptoms seem to be related to orthostatic hypotension, which is a benign condition, caused by venous insufficiency. Uncontrolled diabetes can cause this by affecting vast asylum which are the vessels which supply the big vessels. Arteries and veins beside carrying blood, are also structures which need to be supplied by blood in order to stay healthy, which are carried out by this tiny vessels called vast asylum. Diabetes affects this tiny vessels causing sometimes orthostatic hypotension. So I recommend an endocrinological consult to check your glucose blood level and the located hemoglobin level. Hope this helps, please feel free using MHC for further questions" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi.. my periods started on 14th april and lasted for 3 days. even though the bleeding was normal.. the length of time for which bleeding occurred was short.. usually bleeding goes on till 5th day.. i had unprotected sex on19th april and i took i pill within 3-4 hours but i have not experienced any bleeding or side effect even after 6 days of taking the pill. this was the first time i used i pill. am i pregnant?", "output": "HelloThanks for your query. During the reproductive age group, the commonest possibility with altered bleeding pattern is pregnancy.The I pill commonly causes some kind of bleeding within few days of taking it, but it is not the rule.The pill can delay or advance your periods by a week or 10 days, so be prepared for this. If you do not have your period 4 weeks after taking the pill, please take a pregnancy test. Anxiety, stress, travelling, weight changes, hormonal medications - all can cause an abnormal period. Polycystic ovaries, thyroid dysfunction, a Chat Doctor. Have protected intercourse in the future. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Dr., I am father of patient (10 yrs old baby), she has swelling on right leg and we treating this for last 2-3 years with different doctors and done approximately all tests related to this, but still her leg has swelling same as before. Now we would like to consult a General Surgeon, preferable in palakkad. Pls advise", "output": "Hello, I have studied your case. I think it can be a lymphedema or a collection of fluid in the leg. This can be present since birth, or it can develop later on. So I would recommend you to meet general surgeon as soon as possible and do needful. It is a difficult issue to tackle and may need surgery. I hope this answer will be useful for you. Let me know if there is any other followup questions. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im having some upper inside cheek pain on my right side just near my top row of teeth. It seems like the area might be inflamed near the gums but not where it hurts. There is also an invisible-like bump like thing around a half an inch long? Im really confused and its painful when I eat!", "output": "Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have mentioned that you have as you have upper painful inflamed swelling in gum it can be may be due to sublingual deposition of Calculus, maybe there is formation of Periodontal Abscess or may be due to Root caries there is formation of Periapical Abscess, You should do is go warm salt gargle 2 -3 times a day Consult dentist and go for Iowa ray then if periodontal access go for Scaling and root planning, If periapical abscess go for Root canal treatment. Hope this will help you. Wishing you good health Regards " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "a female 27yrs of age with primary amenorrhoea.USG abdomen revealed hypoplastic/infantile uterus wid small ovaries.hormonal study shows FSH raised 18times and LH raised 8times..she got withdrawal bleeding after medication but after that again failed to get her periods..was diagnosed as ?resistant ovarian failure..she has normal development of secondary sexual organs.karyotype normal female 46XX.IS THERE ANY WAY SHE CAN CONCEIVE..", "output": "Hi, How are you doing ? With IVF she still has a chance. High levels of FSH, suggest that her ovaries are not functioning. But as she did have a uterus on scan & very luckily as she had with Chat Doctor. So that would mean that the uterus can be prepared. So she will need a good course of cyclical Higher dose Combined hormone pills for 6-8 myths. This will prepare the muscles of uterus, which looked hypoplastic on scan. (if not prepared she will be prone for uterine rupture, preterm labor.). Once the lining of the uterus is good enough & uterine muscles are healthy, she is ready for IVF. Donor eggs can be taken, each of them injected with husbands sperm & embryos frozen. When the inner lining of the uterus is adequate for the cycle(using selective estrogen hormone), the embryos can be kept. She can have babies as long as the embryos are frozen. She will need a cervical circle stitch once at 16 weeks, good supplementation of progesterone hormone throughout pregnancy. Now she also needs good calcium & iron supplementation & an eye on the cholesterol level. Hope I have clarified your query write back if anymore queries the best" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was taking symbicourt for my bad chest allergies ,but my insurance BC/BS stopped allowing it. I have since developed a lot of fluid on my lungs and I cough quite a lot. Think the fluid is caused by severe allergies that the symbicourt helped. I can t afford the $350.00 full cost of the drug so I just have to suffer. Is there a generac drug that will help these severe allergy symptoms? That the insurance will cover?", "output": "Hi sir/madam, Thanks for your question on Chat Doctor. Other alternatives are:-1. Adverse (fluticasone / albuterol):-Take it daily and consistently for the best results. It is not for on-demand treatment of wheezing or asthma attacks. Rinse your mouth with water after each inhalation to avoid fungal infections of the mouth.2. Bred Elliott (fluticasone / bilateral):-Bred Elliott (fluticasone / bilateral) contains an ingredient, which may cause yeast to grow in your mouth and throat. Not appropriate for those allergic to milk since it contains milk protein. Other types of combination inhaler for COPD may work better to reduce the frequency of COPD attacks. Consult your doctor for further treatment. Hope this was helpful. Have a healthy day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor..i would like to enquire regarding my skin colour. i use to be in fairer complexion when i was younger. now that im just 21, i turned really dark. i use to walk home everyday after school under the hot weather. it could be the reason why. so, how do get i back my natural colour complexion???", "output": "Hello, Welcome to Chat Doctor. I understand that you are concerned about the tanning you have acquired due to excessive sun exposure. Most of the people will acquire more pigmentation as age increases, we call it facultative pigmentation. Lot of factors determine it, most important being sunlight, others include dust, pollution, smoking, less HY Chat Doctor. Treatments should be aimed to bring your pigmented skin back to your normal skin tone and make the skin tone even all over the face. The most important product will be a sunscreen. Half an hour before going out, apply a sunscreen and reapply it every three to four hours. You may apply a compact powder over the sunscreen so that there is a Matt finish. I would recommend you to use a face wash twice a day ideally a one containing glycolic acid as it helps in exfoliation and to even out the skin tone.(e.g. : Mel awash face wash)At night you may apply a lightening cream containing 2% comic acid over the face before going to sleep. You may consult a dermatologist practicing cosmetology for few sittings of chemical peels for faster improvement. Hope I have answered your query. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I had gallbladder surgery 7 months ago (Dec. 07, 2012) along with a severe case of pancreatitis. I am still having the same pain under the right rib cage that I was having before my gallbladder surgery. I have been having problems with having several bowel movements over a 3 or 4 hour period ever since. (This happens 3 or 4 days a week) It is not diarrhea though. I also have had a lot of problems with nausea and vomiting since I had my gallbladder out. I have had all kinds of tests run and everything shows up ok. My Doctor has put me on 550mg of Xifaxan twice a day. What do you think my problem is? Thank you.", "output": "Welcome to Chat Doctor. This seems to be a part of the Post Cholecystectomy Syn Chat Doctor. This will include gastritis and vomiting due to bile reflux, diarrhea due to dumping of bile salts in the intestines, the pain may be secondary to spasm of the sphincter of Odd, pain in the stump/missed gall stone in the common bile duct. A reassessment by an ultrasound and other investigations may help identify the cause of the pain." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir, I m facing an acute problem relating of formation of cough due to which throat seems to be chocked nd repeatedly have an urge to clear the throat. while sleeping at night the nostrils get blocked nd thus results in breating problem nd lots of snoring occurs. pl. advice good medicine", "output": "Hello, You have mucus hypersecretion. It is mostly seen with bronchitis. And for this, N acetylcysteine (NAC) should be started. NAC is a pulmonary bucolic, expectorant and anti-inflammatory Chat Doctor. So it will dilute the secretions and make them easy to cough out. Quit smoking if you are a smoker. Do warm water gargles and steam inhalation four to five times a day. Don't worry, you will be alright with all these. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Lost my dog of 16 years, then moved to new location. Within 6 months got broken into and one week later had my care stolen. Had my tenant of 5 years move out and left a non paying tenant behind. Got a really nosey neighbor that won t leave me alone. Turned 60 in September and now feel I cannot tolerate anyone coming over to my home. Went to the doctor and he put me on 20mg of Paxil. Came to the realization that I m an introvert. I also lost my best friend of 20 some years only because I couldn t take his bad temper. All this happened within a two year timeframe. Am I OK to want to left alone for now?", "output": "His had gone through your query. Depression can be treated with multi modality approach. Treatment depend upon symptoms severity. Mild to moderate depression can be treated with medicines like SSRI with psychotherapy. Paxil contains paroxetine and it is SSRI. It is very good Chat Doctor. Other SSRI like Escitalopram, sertraline can be useful. Besides medicines psychotherapy and counseling will help. In your case Psychotherapy like Cognitive behavior therapy(CBT) will help. So consult therapist and go for it. Continuous compliance to medicines will help to recover fast. Still have query then feel free to ask. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am asking on behalf of my sister in Africa. She had cancer of cervix last and had radiotheraphy. She was cleared after this therapy but now she has a swollen leg and very severe pain on her leg. What is the best way of treating this condition. She is deteriorating very quickly. Can you help please.", "output": "Thanks for your question on Chat Doctor. I can understand your sisters situation and problem. Radiotherapy causes tissue damage, destruction and fibrosis. So pain is common symptom after radiotherapy. For lower limb swelling, following are possible causes in her case. 1. Lymphedema due to metastatic involvement of inguinal lymph nodes. Cervical cancer is known to spread in inguinal nodes. So possibility of blockage of lymph flow of lower limbs is high. And hence Lymphedema is likely cause. 2. Hypoproteinemia and anemia also cause lower limb edema. 3. Decreased urine output due to kidney involvement. 4. Deep venous thrombosis. This is rare complication of cervical cancer but can be the cause. So ask her to consult oncologist and discuss all these causes. Treatment of all This is different. So better to first diagnose herself and then start appropriate treatment. Hope I have solved your query. Wishing good health to your sister. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my name is david and i am from chennai. I have had a history of wheezing and yesterday i had a mild sore throat, followed by wheezing even became so bad that i began to choke and could breathe only in certain positions since i was choking my cough kept increasing making my throat even more sore.. Does this mean my wheezing is worsening or is it a one off episode", "output": "Hello dear, Wheezing is caused due to bronchoconstriction (obstruction of smaller airway passages) which is indicative of Hyper-responsiveness of air passages (seasonal allergy or asthma)And whenever an individual with history of asthma is exposed to Respiratory tract infection (sore throat in your case), the symptoms aggravate. Management consists of:1. Treatment of the upper respiratory tract infection by warm water gargles, anti histamines, and antibiotics (if needed)2. Stalin inhaler-provide symptomatic relief by causing bronchodilator (dilating the smaller airway passages, relieving the obstruction & increasing airflow to lungs)So, you can use it whenever you are having an acute attack.3. Montelukast preparations- used as a maintenance therapy to relieve symptoms of seasonal allergies & asthma.4. Anti-tussives can also be used to provide symptomatic relief from cough.5. Protect yourself from exposure to cold, dust or other allergens. So, kindly consult your Physician & start treatment accordingly. There is no need to worry, you will be fine. Wishing you a good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My brother has had a flu for three days with a very high fever . He is a 25 year old very healthy and in great shape, eats healthy and works out regularly. His fever was 39 C consistently. Yesterday morning he attempted to go use the washroom and he fainted for a few seconds. We called 911 and he was taken to emergency room. After running the first blood test the doctor said his platelets count was shockingly low 112. He said it could be caused due to the flu virus but could be bone marrow or liver . He performed another blood test and found that INR was high 2.03. He never mentioned anything about bone marrow again. I should mention his white blood cells and the rest of his blood work was perfect. The doctor said he ran further liver tests and they all came back perfectly normal. He will be going to see a specialist in the next few days but does this sound like it could be due to a flu? Thank you.", "output": "Thank you. Only low platelet count with normal other hematological test should be evaluated thoroughly. Low platelet count may be occurred after some viral fever particularly dengue and other viral hemorrhagic fever.ITP may be considered though this is common in female. Liver function is normal, and no abnormal cells is found in blood film. You can repeat platelet count after fever subsided. Wait for the specialists' opinion." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was having stiff neck and neck pain from last two months. The pain is nearly gone now but I am getting tingling or slight numbness at the back of my head just above the place where cervical nervers start. My c-6 and c-7 are nearly clubbed together ( it is by birth as per my doctor). Any idea what si the reason for this?", "output": "Hi I am Chat Doctor. . In my opinion it is a sort of perineal cysts that are asymptomatic and may be found at birth , fall, overexertion or heavy lifting on your back or neck. Usually they are asymptomatic and may resolve simultaneously or treated symptomatically by painkillers like Advil 400 mg when needed, hot massaging with topical gels, physiotherapy and some B12 vitamin supplementation will be effective for now. For my patients I may suggest MRI and CT spine for proper evaluation and management. Please click THANK YOU and a 5-star rating with some positive feedback if the information was helpful. Hope the above information helps you, Any further clarifications feel free to ask." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello I am 23 years old and have been on Nuvaring for 6 months now- My current period was 4-5 days late and now that it has came I am experiencing extremely bad abdominal pain from below my sternum to my pelvis. I am also very nauseous and have thrown up a few times, and have had diarrhea. 1 or 2 times there has been what looks to be a small amount of blood in my stool. I would appreciate any help as I am hurting quite badly..", "output": "Greetings from Chat Doctor. Thanks for posting your query. Your symptoms look like Intestinal Infection. It can happen due to bacterial or viral infection. But after going through your query I feel it is more of a bacterial infection than Viral. Still I would recommend a Stool Microscopy test which will help us to know what kind of infection you are having. Also, kindly get an Ultrasound abdomen pelvis scan done. Besides till you get your reports, contact a doctor and get an Antibiotic prescription and Anti-spasmodic " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my daughter woke up this moring violently vomiting and has been all day, she has nt got a tempreature or diarrheora! what can it be? she got a new baby guinea pig 3 days ago could this have anything to do with it? she has washed her hands after handling it everytime?", "output": "Diarrhea and vomiting suggest your daughter is probably suffering from Gastroenteritis. Gastroenteritis may be caused due to bacterial, viral or protozoal infection. Bacteria called Salmonella can be transmitted from guinea pigs to child Chat Doctor. However, this needs to be confirmed by laboratory tests Treatment for this condition is antiemetic like ondansetron for vomiting, ORS solution to prevent deny" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i had a stone in the left side of kidney sizes .2.3mm.i suffered too much pain at that time.after having homoeo medicines i got relief.after 1 year again i am having the problems and in the urine test there was sign of blood .doctor told to do the scanning.nowadays i am having heartburning.i feel a pain the heart and sometimes it spreads to left and right shoulder and too much gases.now i am taking too much water.i am 33 yrs,55 kg.", "output": "Welcome to Chat Doctor stone are notorious for recurrence please get plain x-ray ABD for K U B and find out the status of kidney stone accordingly treatment should be taken for gas and heart burning and pain chest please avoid constipation, spicy oily food avoid the foods that cause gas formation it will be better to consult physician and get a check-up and investigations as required to reach a diagnosis and be on proper treatment" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am currently challenging a food allergy (milk protein) by eliminating milk proteins in my diet. Symptoms such as fatigue, tendonitis, migraine, eczema are disappearing. I do have another symptom that I am puzzled about and it is clearing also. The parotid duct inside my left cheek is \"blocked\" (swollen, with a white head) and I have tenderness in the parotid gland and popping in my ear with loud, sudden noises. Is this \"normal\"? I have been using ice compresses to reduce swelling, and trying lemons. Any other suggestions?", "output": "Looking into your history I can say you are suffering from parotid gland infection or parotitis. For this you have to take CAP APPOINT 500 mg three times daily or tab definite 200 mg twice daily after meals with tab Coquitlam or tab ibugesic-plus three times daily for pain and tenderness with tab rant ac or cap Gomez twice daily empty stomach. Continue ice application as it is helpful in reducing the swelling and tenderness also." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My wife had been seeing doctors about her body pain, she has diabetic 2, taking numerous pain prescriptions but relief has not been felt. Just like this morning. She had long troubled sleep, she went toned at 9:00pm and got up at 7:00 am with body pain. We had attended mass at 8:00 and went back home to bed with bodily paid. What do you think is wrong with her and suggestion best possible treatment? How about Professional body massage clinics.", "output": "Hello, There can be several causes for body pain. For pain, you can take tablet acetaminophen. For further assessment, you may require complete hologram, nerve conduction studies after physician consultation. You may require physical therapy after physiotherapist consultation. Further treatment mainly depends upon the underlying condition. Avoid over exertion. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was bitten by astray pup about 8 months old on my leg & had a small wound .I went to a hospital where they cleaned the wound & administered an ATS & anti-rabid injection & asked me to give for 2 more anti-rabid injections after 3 days gaps.Is this Okay & is it true that no non-veg is to be taken until this period of completing the injections.Would appreciate your advice.Fredrick", "output": "Thanks for post your query to Chat Doctor. There is no date restriction during vaccination for rabies. You are not suffering from rabies you are only taking vaccine as a prophylaxis for rabies. No need to worry you can take your regular date. However, you should watch the bitten dog for 10 days if he died during that period you should take complete dose of vaccination i.e. 5 doses on 0, 3, 7, 14, 30th day and booster dose on 90 day. Take care of local wound also. Good luck, get well soon. Regards, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, My name is Waseem, am 27 yrs old i was suffereing from irregular heart beat( palpitation ), i concern a cardiologist he made check up and made some tests like (2d echo, blood test so on) then conform that its a muscle pain, later i met with a general physician he suggested me to use nexito plus for two months. I asked the doctor the reason for my irregular heart beat he told its due to anxiety and depression. Now i would like to know whether i continue with nexito plus or any alternative remedy to overcome my anxiety and depression. Thannk you.", "output": "Hello! Welcome and thank you for asking on Chat Doctor! I understand your concern and would explain that palpitations and anxiety are closely related. Your symptoms seem to be related to anxiety and depression. Your heart seems to be in optimal conditions (based on your performed cardiac tests)Next plus is a benzodiazepine, which can be used for a long term therapy (contrary to other benzodiazepines). I would recommend consulting with a psychiatrist, which is a specialist in the field of depression and anxiety. He could help you manage these symptoms better. Psychotherapy could be helpful in your situation. Instead of Next plus, you should discuss with the psychiatrist the possibility of starting an antidepressant (like SSRI, etc), which are very effective against anxiety and depression. Yoga, recreational sport activities are also very effective too. I would also advise avoiding caffeine intake, which is known to trigger anxiety. Hope to have been of help! Best regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "what are some treatments for imetago, for a healthy 21month old. A small red spot with what looked like a white head started on her chin 8 days ago. Now she has several more around her mouth some were draining pus but are now scabbed over. But does not look any better. Have been applying neosporin with no releif", "output": "Hello there, Impetigo is very easily treated by applying an antibiotic ointment that is stronger than anything over the counter. Of course is does have to be prescribed by a doctor, so I would encourage you to at least call the doctor. Bactrian, Bactrim and Clean are the main Chat Doctor. Staph and strep are the 2 diseases that can spread from it, so it is very important to start treatment right away. Good luck!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am having itching under my penis skin and redness.I wash it twice a day and it give me relief for 3-4 hours after after then again starts itching.Please suggest what to do,what may be reason.Is it a serious problem or may become serious like penis cancer in future I am very much afraid and also please let me know which doctor to consult in such cases??", "output": "Hi. Just to ask you few questions in the beginning. Are you diabetic? Are you married / have sex partner? The condition which you described is called balano-posthitis and simply an infection of the area and need a simple remedy. So do not worry. It will NEVER become cancer in the future. It needs an antibiotic, metronidazole, an antifungal table (to be taken by both if you have a sexual partner), no sex till you get OK. Visit a Dermatologist." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi... I masturbate 2-3 times a day after I am back from office everyday. Is that over masturbation? I have experienced male pattern baldness, and a bit too loss in memory like (I am not good at remembering names, names of movies etc). WHom should I consult?", "output": "Hi, As per your query you have symptoms of male pattern baldness which is due to the sensitivity of hair follicles to an Chat Doctor. It could be due to genetic factors and poor nutritional hygiene as well. Need not worry. I would suggest you do the application of 2% Maintop lotion and massage it properly. I would suggest you consult a Trichologist and get a complete examination done and start treatment after proper examination. Increased masturbation is also due to hormonal influences. Keep yourself indulged. You should take Biotin and Multivitamin supplements and take Finasteride orally. Massage your scalp with warm coconut oil. Maintain proper hygiene. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im suffering from sinus problem. my nose always remains blocked.I cant breathe and even dont get proper sleep.It is also affecting my studies.my symptoms are tiredness, bodyache ,pain in my forehead.now i ve also started feeling depressed.sir, please help me.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. No need to worry or get depressed by these symptoms. By your history and description, possibility of chronic allergic sinusitis is more. In my opinion, you should consult ENT doctor and get done clinical and endoscopic examination of sinuses. You will be improved with following things. 1. Do regular steam inhalation 4-5 times a day. 2. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi my self harsha frm bangalore .. in 2006 i meet with an accident and my legiment was injured.. thn i consulted doc and got MRI scanning ... doc said there is no any serious injury just have physiothearpy treatment even after phythrpy there was lot of pain cant make leg straight... and even i had ayurvedic treatment for 2weeks .. treatment thy gave was some oil message later after that there was no pain but wn i try to make may leg straight ther is some cracking sensation in the keen ... can u pls advice wat is the precaution i hav to take.. thank u", "output": "Hi for ligament injury it takes time of at least 1 to 2 yrs to recover. So pain you are having is due to injury .you have to take precautions such as not to lift heavy Weight and don't cross your legs always use your reacher to take things don't bend so much and use hot water pack to relief pain you can use ice pack also to relief pain for20 min and do strengthening exercises for knee with help of weight cuff there band use knee cap or support that will be helpful to you wish you good health and continue physiotherapy you have not told anything about physiotherapy plan if you tell I can also suggest you modifications in plan." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I am using Penidure 12 Lac Units Deep IM from 8 years and now I am used to it like I do not take test doses. After applying the injection the pain remains for 2-4 days but last week I did the same but the pain has not gone yet and the area of application is swollen up. What is it and What to do next...?", "output": "As you are taking injection peninsula I can guess most probably you have rheumatic heart disease. First even though you are taking peninsula since last 8 years never ignore its test dose even when you are very sure that no any reaction appears. Now as far as your problem is concerned Pandora is definitely a quite painful injection and if this pain is unbearable along with swelling of the local area than you can take tab Coquitlam or tab ibugesic-plus three times daily after meals. In addition to that nothing much you have to do, apply ice if swelling and redness is more." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, i am a fifteen year old girl who usually over eats, but over the weekend, i ate an insane amount of junk, and its wednesday, and i havent been hungry like i usually am..and when i am hungry, its like, extremely hungry. is there anything i can do to get my diet and eating patterns back on track?", "output": "Hi, What is your weight? And since when are you eating liking this? Are you getting your menstruation on time? Advice:1. Please do these tests and meet your doctor. CBC. Thyroid profile. These test are recommended to rule out your cause of overeating.2. Please eat every 2 hourly to avoid overeating.3. Chat Doctor. 4. Options for your meals are as follows: 2 chapati, i bowel of salad, 1 bowel of deal, 1 bowel of soup for lunch. You can add i small bowel of rice at night. Have more of papaya. Have high protein diet and low-carb diet. Try taking " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi i woke up a couple of weeks ago feeling unwell sickess and lack of energy, i was getting palpations also the n in the eveing my heart stared racing up to 130..they did a full blood count and a ecg and a xray everthing was fine they only thing was a top part of the heart going fast this went on for hours....i am a BIG worrier with my health and constantly think there is something wrong..i am due to see a cardo next month..i think my worry is making me worse", "output": "Hello, Brief answer: Palpitations get worse with anxiety. Sure need a cardiologist consultation. Simple rate control with medication would help. Explanation: My opinion is that palpitations have many causes: anemia, anxiety, caffeinated Chat Doctor. Normal EKG is a good thing but needs to be followed up if complaint persists may do a Holder that is simply a record to your heart beats. I suggest my people the following avoid anxiety, excess coffee, do some labs like CBC. Get a Holder and electrocardiogram. Give a low dose beta blocker if no contraindications. The information provided by you is not sufficient to provide a good opinion. If someone comes to me with this condition I would ask them about medical history. Conclusion: I suggest you check your GP and ask about rate control " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have developed a small lump, about an inch in diameter, several inches above my ankle. It is soft and when I touch it there is a slight burning sensation in the skin. Also I have a slight dull ache that fades when I am standing, but runs thought the entire leg. I am only 26 and have an appointment in the morning, but am having some anxiety. Any ideas what may cause this?", "output": "Hi, Dear,Thanks for your query to Chat Doctor. Studied your query in full depth of its details. Reviewed it in context of your health concerns. Based On the facts, You seem to suffer from-Varicose Veins with Incompetent perforator vein just above ankle, with slight burning sensation due to Rural Neuropathy from Cellulitis of the leg tissue around the long saphenous tract, along which the rural nerve passes down the leg. Color Doppler Study of the Deep and Superficial Long and Short Saphenous Vein would confirm the accompanied DVT with incompetent perforator vessel causing the soft sore lump in the leg above.Thus, the cause of this lump could be due to DVT of the Deep Popliteal Vein with Varsity of the perforator vein. Pain throughout the leg on standing, indicates the Short Saphenous Varsity. Hope this reply would satisfy you and would help you to plan further treatment with your doctor there. Welcome any further query in this regard, which would be replied in next session. Good Day!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "me and my girlfriend have been having dry humping lately. we do so with our clothes on. almost every time there has been 4 or more layers of clothing. though my clothes have sometimes become wet from pre-come, she has never reported feeling any dampening of her clothes. is there a chance she can be pregnant?", "output": "Hi, Welcome to Chat Doctor. I am Chat Doctor. I will be answering your concerns. Pre-cum does have sperms. Whenever there is Pre-cum or semen present near the vagina there is a possibility of semen seeping into vagina and the possibility of pregnancy. Since your girlfriends clothes were not even damp, there was no way that the semen was near vagina. So there is no chance for pregnancy at all. Instead of this unnecessary stress, it is safer for your girlfriend to discuss with doctor and use reliable contraception. I hope this is helpful. If you have any further concerns do contact me through Chat Doctor. Best wishes, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My mother is surviving with 1 lung for past twenty years, and now the infected lung has accumulated mucus(due to cold). Because of this she has breathing problems. She is underweight and very weak to be operated. Now she is in critical condition. She requires additional oxygen than required for her survival. If she gets coughs her condition becomes worse. Please do suggest me, what i have to do. I live in chennai.", "output": "Hello rearward welcome to Chat Doctor.come have evaluated your query in details .* The condition can be under symptomatic control to some extent, now do not expect cure for her.* Primary guidelines for better outcome and less painful future life-Maintain her HY Chat Doctor. - Supportive measures as cough preparations, bronchodilators, antibiotics as per the advice of pulmonologist.- Prefer to keep her in semi reclining position till possible.- Avoid her exposure to weather with dust, pollen. Hope this will help to clear your doubt . Wishing you fine recovery. Always welcome for any further assistance anytime. Regards ." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hlw Sir, iam sruthi, iam suffering from back pain since 6 months. i ll get pain when i sit or liying on bed for a long time. while walking for a long tym i feel pain on my left lower limb. doctor diagnosed as mild IVDP at L4-L5 level, by seeing the ct images. how can i get recovery from this.", "output": "**1. You can use over the counter [OTC] anti-inflammatory Chat Doctor. 2. Maintain straight back posture while standing or sitting. Avoid bending forward and lifting heavy weight. Sleep on hard mattress. Gentle massage with rubefacient ointments. Lumbosacral belt to support the spine and prevent bending.PS. If there is shooting pain it may require pelvic traction, epidural injections, geography or surgery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my son has had migraines for the past 9 months....for the past week, the migraines have been more intense and we had to take him to the er this morning he woke up with a darker circle with a lump in the middle on the right side of his stomach he doesnt have a fever but he is cold", "output": "Hi, Dear,Thanks for the query to My Chat Doctor Clinic. I studied your query in depth. I feel concerned about the worry you expressed about your daughter. In my opinion-its an insect bite, mostly tick bite -which has hallowed around the bump / or could be spider bite. Treatment with doxycycline /doxycycline would fix its infection and spread of Lyme. I would advise consulting ER Doctor, who could treat it with proper medications. Hope this would help your query. Wellcome for more queries to Chat Doctor. Have a good day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my name is Christina, Im almost 22 years old and I grind my teeth in my sleep (ever since I was young). The past 4+ years Ive had minor TMJ, just the painless clicking in my jaw and misaligned overbite. The past couple of weeks Ive notice that my gum on one of my front tooth is receding. I have 2 questions:Is my gum receding due to me grinding my teeth?Also will a night mouth guard help in any way with my gum/overbite?Ive also been keeping in mind that Im on limited funds for treatment.Thank you", "output": "Hello, Thanks for consulting Chat Doctor, Read your query, as you have problem of grinding of teeth, recession of gingival and TMJ these all are due to grinding of teeth don't be worry so much I will suggest you to go to orthodontist and go for Night guard, by wearing night guard problem of TMJ and gingival recession will reduce. Go for proper treatment by consulting orthodontist, don't take stress, take proper sleep of 8 hours, stress is main factor of night grinding be relaxed and maintain proper oral hygiene. Hope it will help you. Wishing you good health. Regards " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, My mom fell down the stairs (3 steps) and she fell on her butt cheeks. After the fall she went to the bathroom to vomit. She said she fell on her butt. She feels ok now but she said she has a lump on her butt. Please help on what to do. Does she need to go to the ER?", "output": "Hi, Welcome to Chat Doctor. Based on the facts of your query, Your Mom seem to suffer from 2 entities-Cerebral Concussion with Butt Lump from traumatic Hematoma. Treatment Suggested In My clinic would be-Antibiotic cover/Tab NSAID like Mortin-USG of the Butt Lump and Skull CT scan to assess the damage to the butt bones / tissue and damage to Brain Tissue. Wait and watch for 72 hours to rule out any deep injury to brain and the butt bones. Second Opinion from-Ortho-Pedic and Gene Surgeon would fix the treatment after proper evaluation of the case.Hence, I would suggest you to go to ER, to rule out the Risk of Head Injury with Brain Damage.Hope this reply would help you to plan further treatment with your doctors. Contact with a Followup Premium question to ME. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. Good Day!! Chat Doctor. S. Genl-CVTS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am having terrible pain/swelling in my face. Mostly around my left ear, jaw and neck but it is now my right side that is hurting too and it is quickly becomming unbearable. My dentist has told me I have a bad jaw alignment and that is the reasoning. To cut to the chase here, I am wondering if there are other ways of dealing with this other than surgery. Hopefully something less painful, and less expensive (I am not exactly financially stable, so I have been sucking it up, but soon realized that is pointless now that I am missing work due to the pain.) Thank you for your time, Dalton.", "output": "Hello Friend! Pain and swelling near left ear and around often indicates that there is presence of infection inn teeth of the lower jaw. It could be due to a cavity in a tooth which has become very deep and caused infection in the jaw or any wisdom tootChatDoctoring out in this region. The same could be the case for the right side as well. Please visit your dentist and get x-ray of both side done. Whatever is the course of action you will have to deal with it because toothache can be really painful. Take Care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "people hate me and annoy me without reasons i realize what i say when i walk in the street even people who not know me annoy me molest me by their lips or nose i want to know the solutionthe second problem is that every day i masturbate i get nightmaresiam egyptian male 31 yearsmy email YYYY@YYYY", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. From the details you gave in the first part about people, it is because you are having paranoid personality disorder possibly. Paranoid personality disorder (PPD) is a mental disorder characterized by paranoia and a pervasive, long-standing auspiciousness and generalized mistrust of others. Individuals with this personality disorder may be hypersensitive, easily feel slighted, and habitually relate to the world by vigilant scanning of the environment for clues or suggestions that may validate their fears or biases. Paranoid individuals are eager observers. They think they are in danger and look for signs and threats of that danger, potentially not appreciating other evidence. Due to the PPD you are having nightmares when you masturbate. These are interred related. In my opinion, you should see a psychiatrist for the treatment. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i had a pacemaker put in april last year, heart had slowed to 20bpm. i am on 10mg lisenopril and 3.125 mg 2day of carvedilol. since september , I have been experiencing prickly hands and feet and vibration sensitivity. I usually weight 152=154 have gained substantial now weight 175. I went got pacemaker tested, I thought maybe a lead was undone. They said everything fine. is this serious, or just something to get used to, I wasn t having this problem before september, I used a pr hairclippers to cut my sons hair, and it seems to have stayed. If you have any suggestions it would be helpful.", "output": "Dear, your problems seem unlikely related to pacemaker! This is more of symptoms related to neuropathy that means weakness of the nerves. This could be due to multiple reasons ranging from dietary deficiencies of micro or macro nutrients to structural damage to the nerves. I would advise you to consult with your physician and get the basic blood investigations done like Blood sugar fasting and PP, it B12 and folate levels. And accordingly may need vitamin supplements and other nerve strengthening agents." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my daughter is exactly twenty six month old. Fur the past seven months she is having difficulty in passing stool. She gets highly constipated. She s not a great eater! My question is will neopeptine syrup help passing stool? Will it solve the constipation issue? If yes, what ll be the dose? Please suggest.", "output": "Hello, At such a young age, anything to help pass motion is not advisable. No, Serpentine doesn't help passing motion. If she is a poor eater, then you have to figure out ways to create her interest and see to it that she gets enough fiber and fluid. Give her a glass of warm water in the morning and make her run around to get the defecation reflex. Take advice or short-term medicine if she has hard stools and try to regularize her habits. It will be helpful in the long term. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "iam suffering from pcod from past 3 years.i used several tablets for that but no use.i was married in dec 22 2012 and iam trying to conceive but no use.i used ovistore tablets for 4 months and now my dr prescribed me a apcod sachets and ovaashield tabs,folvite tabs.am i able to get pregnant or not plz give me a solution to my problem", "output": "Hi, Thanks for the query. Poly cystic ovary disease is becoming a common problem nowadays. It occurs due to hormonal imbalance. Usually insulin sensitizers are hormonal pills are used to treat the problem. But combined hormonal pills usually prevent the pregnancy. And also POD can recur. So lifestyle modifications, maintaining ideal body weight etc. are important in treating POD. You can use the acid sachets and other Chat Doctor. They won't prevent pregnancy and also ova shield helps in ovulation induction. Let your husband undergo seminal analysis once to rule out the male factor problem. Then you can go for follicular study and can plan intercourse around the time of ovulation. This will increase the possibility of pregnancy. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I had recently lithotripsy with laser for blastic 9 mm stone in urator tube and eswl for 5 mm stone blasting and both these are for left kidney. Currently I am with stent which was placed on 14th of this month. Since last two days I am getting chilling feeling and shivering for about 15 mnts and then it disappears. initially it is started with total body pain and then since yesterday fever is about 101", "output": "HelloThanks for query. You had undergone endoscopic surgery of URS for fragmentation of stone in your left ureter and ESL for 5 mm stone in left kidney. The pain, fever and chills that you have is due to following factors .1) There are bacteria in the center of the stone (Sides) which get liberated after fragmenting stone. These bacteria enter in to general blood circulation and cause fever and chills 2) There is an allergic reaction of the mucus membrane of Ureter(Urethritis) to the foreign body (Stent) that gives rise to pain and fever. These are known and common events after URS and DJ stenting. Following measures will help to resolve the issue 1) Chat Doctor. This will get resolved after removing the stent." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have slight chest pain, with a little pressure around the heart. I m somewhat dizzy, and cloudy in my thinking. A little short on breath , but not bad. My blood pressure is 100/75. I do have a minor mitral valve prolapse. I have been active this morning...laundry kids off to school...taking flights of stairs quickly...that sort of thing. I am wondering if taking asprin and lying down would be ok or should I do something more. I am female, 52 years of age. 5 3 130 lbs. No smoking. Thanks for any help you can give.", "output": "Hello, I would like to know if the chest pain is triggered by deep breathing or body movements. This would indicate possible musculoskeletal pain. In such a case, some rest and ibuprofen would help improve your situation. Otherwise, if with resting, the pain persists, and it is not modulated by body movements, I would recommend going to the ER for a resting ECG and cardiac enzymes. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have done xrey report came there is minimal enlargement of cardiac shadow due to left ventricle with increased in cardio thoracic ratio noted. there is unfloding of aorta noted. lungs filds show bilateral halar and basal bronchial congectionit is treateable or not...", "output": "Hello, The unfolding of aorta is a normal phenomenon with increasing age. However, other finding like cardiac enlargement and evidence of pulmonary venous congestion warranty further investigation. You need to get a 2D echocardiography, and based on the result further treatment plan to be decided. Yes it's a treatable, however we need to find the cause and treat it effectively for maximum benefit. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i had a surgery to remove a cycst in my underarm now the bandaid has come of and something is projecting out from the wound what m i supposed to do there are no doctors in vasai as it is sunday where m i supposed to go", "output": "Hiwelcome to ChatDoctorI am here to assist you, and I can understand your concern. Donot worry you had underwent cyst removal surgery, and they have closed it after the removal. If the bandied had opened, put a new one if you have or use clean or sterile cotton to close the operated site. Avoid touching with your fingers and water to that area.it may lead to infection. Continue your antibiotics and painkiller tablets if your surgeon prescribed after surgery. Tomorrow you can go and visit your doctor for Chat Doctor. I Hope I have cleared your queryThank YouTube care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a lap choli the end of August. I am on Coumadin, for previous portal vein thrombosis. I slipped and fell down our stairs. Socks and bare hardwood steps. Of course I was bruised, but now I am having pain near my incision over my belly button. I dont know if I should be concerned or not.", "output": "Hi.noted history of laparoscopic cholecystectomy and recent postoperative site pain associated with trauma. Are you experiencing any other sign or symptom (such as fever, nausea, vomiting, bleeding)? If there's none, observation will do for now. Cold compress over the area might also help decrease the inflammation or swelling. there's presence/progressions of symptoms, a follow-up consult with your surgeon is best for physical examination and clinical evaluation. Even those who have been operated on several years ago, occasionally experience, discomfort or mild-moderate pain over the operative site area, but is tolerable and resolves spontaneously. Dignostics (such as imaging) and management (medical and/or surgical if indications are found) will be directed accordingly. Hope this helps. Good day!!~ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have sever back pain..doctors say that it is the initial stages of slip disc. just a few days back, i visted a sports medicine doctor and he said its not a disease so chill..he said its just maintainence problem and showed me some excersise...but still cant sit for long..any suggestion", "output": "Hello, I have studied your case. Usually nerve compression can't be seen on x-ray you may need MRI for this. There can be related spondylitis but if there is any nerve compression then that may need specific treatment. I will advise you to do MRI instill time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 8 yr old daughter wipes her vagina after urinating and there is blood. I thought it was her menstraual cycle but now I m not sure. There isn t any blood in the panty liners that I have had her wear over the last several days just bood when she wipes. Am I correct thinking it s her menstrual cycle?", "output": "HI. You may very well be right as you have suggested that she is menstruating right now. There are two suggestions for you -1. You can wait till her cycle stops and see if the problem persists and if it is persisting, you need to get her evaluated for blood in the urine.2. Even if she is not having the above-mentioned problem, it is a bit early for an 8-year-old to start menstruating and even otherwise for this she needs evaluation. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Im 32 years old I recently had vesectomy done about a month ago now. My wife and I have both noticed that I have become increasingly aggressive toward her and others. I was pretty mild tempered and let alot of things go that I felt wasnt worth arguing about now if you upset me im very local about it what has changed.", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. We all are short-tempered in a sense. When we don't like something/or when something happens without our expectation, we get irritated. That irritation triggers anger. Controlling anger is not a good step. You must identify the anger provoking situations and alter those situations or alter your attitude towards them. Psychotherapy techniques are available to achieve this objective. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son is nine and still having problems with bed wetting at night. However in the mornings his urine smells like sewage. He drinks approximately six glasses of water daily with no other symptoms of cloudy urine or pain when urinating. One thing I have noticed is that when he is up doing normal things, the second he feels the urge to go, he has to go running immediately. Is this something I should be concerned about?", "output": "DearWelcome to ChatDoctorWe understand your concerns went through your details. If you are sure that you never noticed anything wrong with the urine color or other symptoms like burning sensations, itching etc., there may not be anything wrong. Child Chat Doctor. Then they run. There is nothing abnormal about it. Regarding bed-wetting (enuresis) you should be able to train him for toilet practice. Set alarm for every two hours at night. On alarm, you get up and wake him up and compel to urinate. Repeat every alarm. Within a week your child should learn toilet practice. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good morning sir my name is Dinesh I am 26 . Since I was may b 4/5 yr old Ive been suffering from ashthama.it was almost under control till last yr. I am from indore (mp) last yr I came to delhi for my study and here I got ashthama attack regularly... Whenever season change I get cold and this last for more than a week but this time (winter to summer in 2011) Its about more than 1 month and getting ashthama attack almost daily.. I am using formoflo inhaler regularly. What should I do...Thanks...", "output": "Hello Dinesh. Thank you for asking at Chat Doctor. I went through your history. To exactly help you, I would like to ask you a few more questions like - Apart from asthma, do you have allergic rhinitis (nose allergies)? Which inhaler are you using - Formerly 50, 125 or 250? Do you smoke? However, from your history, I would like to make following suggestion for you:1. As you are getting asthma attack almost daily recently, where I treating you, I would prescribe you daily montelukast in addition to your inhaler.2. If you have nose symptoms, I would add levocetirizine or cetirizine also.3. Personally I would suggest you allergy testing. This will help you to identify the substances that are causing troubles to you and also measures to avoid them.4. One more important thing - please review your technique of using inhaler. If you are not following all the necessary steps in right way, you may not be inhaling adequate amount of Chat Doctor. Personally, I would also suggest using spacer device along with inhaler to improve " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 35, work full time, father of 2 and extremely busy/stressed all the time. Wife is a self-employed workaholic perfectionist that places unrealistically high expectations on everything and our schedule is creating a lot of tension on our relationship as we simply do not have time for anything nor does she see the need for us to spend time together as a couple. I work days and she works nights/weekends leaving me to do the majority of the house stuff, yard work, cooking, cleaning, fixing, etc. I eat relatively healthy (providing I don t skip meals - rarely eat breakfast and sometimes skip supper and snack later at night), however I don t exercise aside from running around after the kids and cleaning the house and whatnot. My concentration has gotten progressively worse over the past few years and have determined I have ADHD and have been taking dexedrine for about 10 months. It helps immensely with focus and energy levels however I have started smoking again and have been drinking 2-8 beers a day in the evenings to relax for the past 9 months or so. I don t really get drunk or hungover and it never affects job performance, home responsibilities, etc. (although it is a complete waste of money) However, recently I am just feeling blah. I have had a problem with acid reflux for years and take Zantac almost every day. I m usually tired (I get about 6 hours sleep a night) and drink more coffee than I should, I m on edge and constantly walking on eggshells with my wife (mainly from marital problems and her being very critical, demanding and overbearing), anxious and our conversations usually turn into arguments. Now I m having a bit of a stomach ache, dark stools, and just a feeling of being stuck/trapped and unmotivated. The stress has been compounding yearly since the birth of our first child 6 1/2 years ago and shows no signs of slowing down so I need to find a better way to deal with it or eliminate the cause of the stress. My wife handles (aka: thrives on stress) much better than I do and has no need for down time, hobbies or anything of the sort. I m the opposite and need that to unwind and feel rejuvenated. We never hang out with friends or family and my only social life exists via keeping in touch with friends via email/texts or the couple times a year I go on a fishing trip or out to a concert with friends. It s the classic all work and no play makes Jack a dull boy scenario. However, any attempts at doing things for me (painting, outings, etc) start another fight in my wife accuses me of being selfish. I m sure the physical symptoms I am experiencing are a combination of many of these factors however I am wondering if there is a cause for concern to seek medical or psychological help. I am taking L-theanine to help mellow me out a bit and that works well. I ve tried not taking the dexedrine (10mg spansule twice a day) but if I don t I m bagged and my concentration is horrible. Any suggestions would be great as I am in a small town and the doctors here are not very helpful/resourceful and there are no mental health providers in the area and I m too busy to drive to go see one. I feel like I m going crazy some days and have researched things to the max online. Thanks in advance, Al", "output": "Hi, You can continue treatment for ADHD. Your other several symptoms appear to related to stress and anxiety. Stress and anxiety can also present with several physical symptoms. Many times it becomes difficult for general physician to understand psychological problems. For stress and anxiety assessment and treatment, you can visit psychiatrist in nearby city. Apart from that take healthy diet and do aerobic exercise regularly. I hope this information has been both informative and helpful for you. Wish you Good Health. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had phimosis where the foreskin wouldn t go back and it left terrible scars I kept masturbating and the scars got worse finally they healed and I m able to pull the foreskin back but all of a sudden bumps have formed where the scars where at and they tooken the form of the scar that was there", "output": "Hello, Thank You for consulting Chat Doctor ! I do not think that the scars got worsened by masturbation. You need a physical examination to know why bumps have been formed. You need an evaluation by a Urologist to check the presence of infection and treatment accordingly. Stay healthy, and thank you for consulting! You can contact me again anytime, if you need clarifications or further assistance in the future. Kindly rate the answer if you are satisfied." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a hard lump on left back side of my head close to base of skull. It hurts to touch or bend my head forward. Also have a burning sensation with pain starting also on right side. Headache starting to develop. Please inform me to what this might be. Feel like the back of my head is going to blow.", "output": "Hello! Thank you for the query. Most likely you have a sebaceous cyst which has gotten infected. This causes pain, swelling and redness in the lump area. Sebaceous cyst is a benign skin lesion filled with whitish masses. It does not turn into a cancer however may be a source of infection. Please do not wait with it as head infections can spread to the brain. You should consult general surgeon. An incision should be done and pus Chat Doctor. Hope this will help. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Recent Blood work AST 104 and ALT 59. I have had fatty liver diagnosis without biopsy in the recent past but typically its always been the ALT that showed elevation. AST has been slightly high in the past but never like this. Does this sound like a problem?", "output": "Hi, I read carefully your medical data and I understood your query. ALT elevation is typically for liver damage instead AST may be elevated from other causes. If I were your treating doctor I would ask you:-what medication are you using- if you are passing flu I would also advise to rule out viral hepatitis performing Bag and Antioch exams would be glad to know other medical data of you. Wishing you health. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello.I was out with my friends 2 days ago and I felt like my foot was itchy.I started scratching it but nothing happened, until today.My foot is all swollen and red and it hurts a lot. It s obviously a thing with a bug.I ve tried putting ice and some creams(medicaments) for swollen skin and stuff but still, I wanted to ask you urgently because I have to travel tomorrow. Thanks in advance, here s a picture http://i.imgur.com/zFNozgJ.png", "output": "Cellophane You for contacting Chat Doctor. Most probably this is an allergic response. You might have bitten by some insect or some shoe has done this allergy. I would recommend you to try following:> try to wear open shoes so that skin is not covered.> use cetirizine one at night for 5 days for itch.> Apply fusicidic acid 2% ointment over the skin twice daily> Wash hands before and after applying.> Keep it clean It will start resolving by itself in 2-3 days. Report to hospital if:> Condition remain same after 2-3 days> Any unusual symptom appears> Condition deteriorates. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir Iam having frequent dipression disorders .I consulted a pshychologist and started taking drugs. many drugs didnt worked for my.Now a drug started working and I felt some relief from my problems.I think there is no specifict reason for my anxiety disorder .Now when it felt some relief Iam having serious night that felt sometimes when I immediately felt sleep and it comes.when it occur my mind know that it is a dream but I cant get it...off...I need to make a sound in that dream to wake up...plz...plz...suggest me some cure....", "output": "Hello....... Thanks for your query. Depression and anxiety may have both conscious and unconscious origins. Hence, you cannot always pinpoint a reason. It is encouraging to note that you have improved with medication. What I would suggest is to consult your psychiatrist to prescribe a long acting benzodiazepine like clonazepam that would tackle the problem of intermittent nocturnal awakening associated with nightmares. Also avoid consuming carbonated Chat Doctor. Hope you find my suggestions useful. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Well I am currently on implanon for birth control but I do know there is risk of pregnancy. I am almost 2months late for my cycle and I am increasingly hungry all the time, sleepy all day and urinating considerably a lot more then before . I took one test and it came back negative I am doing another in the morning to make sure but if I am not preganant then What could be causing these symptoms?", "output": "Hi thanks for your question. Relax your not pregnant, Irregular bleeding is side of effect of implant. After on year of use, in some patient it almost stops the bleeding which is normal and fertility returns after removal of implant. It is very effective contraceptive and failure chances are very, very less. Polyphagia (increase hunger) and polyuria(increase thirst) are two classical symptoms of Diabetes, so get your blood sugar done to rule out or confirm diabetes, before going for further investigation for your symptoms. Hope this answers your question." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my husband and I have gone through numerous IVF treatments, without any success. The doctors say everything is normal except for low motility in my husbands sperm and at times my FSH levels were somewhat high. ( I reached 12, but now it is lower). We are planning to do yet another IVF treatment this summer. Do you recommend for us to continue trying IVF treatments, considering they tell us we have unexplained infertility? In other words, should we keep trying IVF treatments? Do you think they eventually work, even if they havent worked 5 or 6 times?", "output": "Hello, Welcome to Chat Doctor. Thanks for writing. I am Chat Doctor. I have read you question completely, I understand your concern and will try to help you in the best way possible. There is no harm in trying again as you know those who try hard eventually succeed like there is nothing abnormal and wrong with you and your husbands and if its unexplained fertility i DNT see why there's any harm in trying again I mean you DNBK for sure that it won't work this time like it might work and then even if it doesn't you won't regret that you made the choice so my advice will be to try again also take healthy diet and regular exercise and also tel your husband to do the same ....you will have better luck this time hope this answered your question. If you have more queries I am happy to answer.Otherwise, rate and close the discussionRegards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, Im a male 34 years old.I have a warm sensation in the left part of my chest.I had a very bad last week full of stress & anxiety at work.I have hypertension since 13 years & I take 1 (Concor 5 Film Coated tablet) each day at morning.My blood pressure was always perfect using Concor 5 (115/75).I never had such warm feeling before except when I forget to take the Concor 5 tablet in the morning.My blood pressure was unstable allover last week & mostly was (140/89) even with Concor 5.Now the work stress is a bit relived but blood pressure is (125/75) also with Concor 5.Would you please help me with that case. What could it be?", "output": "Hello, welcome to Chat Doctor, In my own practice, I have always preferred to have patients try lifestyle modification such as diet and exercise before starting medication. In many cases, when people are very committed to doing so, lifestyle modifications are enough to bring blood pressure down into a normal range. If you decide to go the lifestyle modification route, it would be a very good idea to get a consultation with a dietician/nutritionist. They can help you to know what food choices are best and how many calories. To start, please eliminate all added sugars such as in sodas. Also, when eating carboy Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im 30 years old, weighing 91kg;165cm tall. I have problem. Every morning when I woke up, my mouth is always full of saliva, mixed with blood..i dont know if its my gum bleeding. Also, i guggled out sticky, coffee grained colour stuff which sometimes contained blood traces in it. This happens only in the morning. After i clean my teeth,it will disappear except for excessive saliva produced. Can anyone help!! Idee", "output": "Thanks for your query, I have gone through your query. The excessive saliva with blood could be because of the gum infection. In case of gum infection or any infection in the oral cavity excessive saliva will be produced. The bleeding or blood could be because of the gum infection. Consult an oral physician and get the teeth cleaned, and you maintain oral hygiene, you can use mouth washes. Once you clear the infection the excessive saliva and bleeding will stop. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am now experiencing severe cramping (lower abdomen the spreads through my entire stomach up to my diaphragm. stomach pain. Started last night. The pain comes and goes but when I feel it, it is the most painful feeling I felt. Lasts for a few seconds. Pain also radiates on my left shoulder. Feels like. I need to pass air but I can t. Please help. Thanks", "output": "Hi. With the history you have provided the spasmodic pain in the abdomen with a referred pain to shoulder is suggestive of the peritonitis part also. I would advise you to go to ER/ Hospital immediately. Be nil orally, do not take anything orally. You need the investigations of :: X-ray of the abdomen in the standing position to see for the gas under the diaphragm. X-ray of the chest. Ultrasonography for fluid in the peritoneal cavity. If you have a perforation you may need urgent surgery. If there is obstruction and causing secondary peritonitis, conservative treatment can be tried." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "im 37 years old I am 5 11 tall & weight 225lbs I have hep c iam not being treated for it & last time I checked my levels were normal & always have been I was put on doxycycline & have been on it for nearly 10days but now for the past 24hrs I have been having extremely bloody stool what could be the cause is it the doxycycline", "output": "Hi, I have gone through your query. If your stools are black & tarry, you must undergo Upper GI Endoscopy to rule out esophageal varices as you are suffering from Hepatitis C. There can be other causes of blood in stools as well as peptic ulcer disease, esophagitis, etc. If blood in stools is bright red, you must consult your local doctor to look for other causes like hemorrhoids. Hope my answer will help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have intense lower back pain non-stop and also have lupus, causing autoimmune hepatitis. I am 64 years old and have been coping with lupus under control more or less sense diagnosed in 2000. However, I tend to be in pain whether standing, sitting, or lying and it is now at a point that I need something stronger that Ibuprofen for the pain. It is difficult to do the most simple things without hurting. What do you advise?", "output": "Hi, Welcome to Chat Doctor forum. It appears that you have some problem with your spine. May be prolapsed disc, or degenerated spine, or spondylosis etc. I advise you to consult an orthopedic surgeon for diagnosis and treatment. You may need to have M.R.I. for diagnosis. I usually prescribe to my patient with such symptoms neurotrophic injections for 10 consecutive days, and then periodically, along with other medication. Avoid taking potato, other tubers, tomato, egg, chicken, and seafoods, till the pains are completely cleared. Wishing for a quick and complete recovery. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi Doctor My Kid( Male) 1year and 8 months old is having thyroglossal cyst, Suggest me Pls. is this age is advisable for a surgery? Is there is any other treatment other than surgery is availabl Thanks Ragesh Shankar YYYY@YYYY", "output": "Hi, I understand your concern about your child. Before proceeding for Hypoglossal cyst surgery, you need to confirm the position and function of normal thyroid tissues. It is not an emergency surgery unless it get infected. Age of surgery varies with individual child Chat Doctor. Other than surgery, chemotherapy (injecting medicine into the cyst) can be done. I would advise you to get pediatric surgeon opinion for further management and follow up. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m having a hip replacement in a week the pain is unbearable my friend to me to smoke pot I m very unsure the doc told me to stop smoking cigs because of my high risk to blood clots should I try pot to see if it will help with my pain in till my surgery or will it hurt me?", "output": "Hi, thank-you for providing the brief history of you. As you have hip pain post hip replacement I will advise you firstly to stop smoking as it will aggregate the blood cells to clot and lead to abnormal reactions. Also, for post surgery pain you need to visit the surgeon and have an x-ray if the implant is in place. Since many a time in hip replacement there are chances for dislocation leading to pain.Also, there might be muscle weakness which may be leading to pain as it is also a common problem. To rule out all the factors we need a thorough clinical examination post which the next treatment action can be initiated. Regards Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I feel restless most of the time, difficult to fall asleep, experience very wierd feeling that i might die because of stroke or something like that. i am doing fine someday like a normal person but suddenly starts feeling something is rotating in the head but there is no headache . i don t know what is this, please help", "output": "Hi Priya, Welcome to Chat Doctor, and thanks for your question... Some of the symptoms which you have described may to be indicative of an anxiety disorder. Feeling restless / inability to relax, excessive worry, tension, difficulty in sleeping are some symptoms suggestive of an anxiety disorder. In addition, one can also have physical symptoms like trembling, excessive sweating, dizziness, headache, Chat Doctor. However, it is to be remembered that to be diagnosed to have an anxiety disorder, symptoms should be prominent, affect your day-to-day functioning and be there for a significant period of time. Moreover, anxiety can arise due to a variety of causes and anxiety disorders are of different subtypes. Sometimes, we may experience anxiety symptoms due to a stress which we are not able to cope up with. In some persons, anxiety can also be associated with fear of having health problems or a major disease. So, you will need to give a more detailed history and will need a detailed assessment to get a proper understanding of your problem. All the best. - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir, I am 42 years age wght 68 kg..did my semen analysis test...it shows 21.2 million/ml and shows 65% of spermatozoa are morphologically normal and actively motility rate gets down from 40%(after 30 mins.) to 30%(after 120 mins.), whereas corresponding non- motile increases from 50%(after 30 mins.) to 60%(after 120 mins.). With this report kindly tell can I able to become a father", "output": "Welcome to Chat Doctor There is problem in motility of sperm. Other values appear satisfactory. You need to consult your Doctor regarding this and medicine may be given for this treatment. Avoid using tight underwear, using laptop on lap, going near hot objects. Wear loose underwear. Eat plenty of fresh fruits and green leafy vegetables for antioxidant effect which will help in sperm motility. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello, please my friend has a stomach upset, anytime he gets hungry and doesnt eat anything he feels a sharp pain in his abdominal wall, and anytime he eats, he tends to defecate. Please what are the cause for this ailment and possibly treatment? Thanks", "output": "Hi. Thanks for your query and an elucidated history for your friend. The history is very typical of IBS- Irritable bowel syn Chat Doctor. This cripples him / her socially too As a precaution the following tests are done:Investigations:*Routine blood investigations like Complete blood picture, blood sugar, urea, creatinine, liver function tests, thyroid function tests.*Urine -routine and microscopy*Stool: routine, microscopy, occult blood, culture and sensitivity.*Ultrasonography of abdomen, *Colonoscopy All these investigations should be within normal limits for one to say you have IBS. Get an opinion of a Gastroenterologist and get started with proper treatment and your friend will be fine." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello - I had a sore wisdom tooth about 3 weeks ago, was given an antibiotic which seemed to take the pain away - I had no swelling at that stage. The tooth appeared to calm down only thing I have noticed continuously is like a vibration feeling in the tooth when I come down stairs or am walking quickly!!! However, since yesterday I have an odd sensation up the jaw line (not pain just unusual feeling) but since yesterday evening I have developed a fairly large hard ball type swelling in my neck under the jaw line which is painful to touch and to move my neck. I am also just getting over a nasty cold so not sure if this is a swollen lymph node connected to the cold or could this actually be something more related to the sore tooth I have had??", "output": "Hello, thank you for consulting with us, as you have mentioned that you have a sore wisdom tooth, and you have taken antibiotic for that it must have relieved but only taking antibiotics is not only the solution, the cause of the soreness should be treated. The infection of the wisdom tooth definitely causes swelling and redness of the same side of the jaw line which may extend to the neck, the swelling you are mentioning can be because of the wisdom tooth only. It will be better on your part that you should visit your dentist, get an x-ray done and if the tooth is placed inside the bone get it removed, the problem will be relieved." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "The tip of my tongue feels numb or the same sensation if I had drank something very hot. I have high blood pressure, what is the casue of the numbness? There is also an eco in my left ear particularly if the blood pressure is around 146/86. Should I be worried about this?", "output": "HI, thanks for using Chat Doctor The front part of the tongue is supplied by a nerve called the lingual nerve. This nerve actually branches off another nerve called the trigeminal nerve. The fact that you are experiencing altered sensation in this area may imply that there is an issue with the structure or function of the lingual nerve. There are different possible causes such as trauma, vitamin deficiency, diabetes, exposure to toxins, stroke, idiopathic (cause not known). You may need to consider visiting your doctor for an assessment. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am on zyban 150mg which I take in the mornings. It improved my extrem ftige but I still had the anxiety and depression so I started the axit 15 for 5 days now. I feel very drowsy in the morning and don t feel like doing any thing. Will I feel better by time will my mood improve.", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. I suggest you not to take any psychotic Chat Doctor. Self diagnosis and self treatment are dangerous. Time and again it has been proven that medicines alone cannot cure anxiety and depression. You should know the reason for these two and proper psychotherapy techniques and behavior therapy techniques should help you much. Anxiety and depression are due to wrong thought pattern. Thoughts are there to come and that is the duty of the brain. Let the thoughts come. You need to divert the thoughts to more priority ones. Means be busy and divert thoughts. Relaxation and meditation plays an important role in controlling anxiety and depression. Plenty of water, oxygen and exercise most important. For more psychotherapy techniques, You can post a direct question to me in this website. Include every detail as much as you can. I shall prescribe some psychotherapy techniques to control your condition. I am sure that the techniques should be a success. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hie have a feeling of off balancedness, chest and central upper back pain inside. tight chest. headache on right uppr side of head, very sharp pain followed by all round the head pain. weakness ocassioanlly but more just tired. insomnia for three days. Please help. Petra", "output": "Hi Petra unilateral headache (one side of the head) and a history of insomnia for 3 days , points toward a migraine migraines are usually unilateral can be associated with dizziness or vertigo, chest pain and heaviness can be because of acidity and gastritis due to insomnia you have not specified your age and smoking habits would suggest you to go for an ECG, if ECG is normal, most likely your problems are because of migraine associated with gastritis, and insomnia is the provocative factor if your ECG is normal you should consult a neurologist , and he may prescribe you with benzodiazepines class of medicines(used to treat headache, anxiety and insomnia) along with proton pump inhibitors (for gastritis)" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dr. I am Viju frm Sri Lanka age 36, due to ver bad back pain did MRI scan last day, so the reports comment is as follows :- Degenerative Spondylosis of Lumbar Spine with posterior disc bulging narrowing bilateral neural foramiona at L5/S1, wht should i have to do nw, because I have to joing back to my duty on May 1st abroad ?", "output": "Hello and Welcome to Chat Doctor, Thanks for writing to us. You might be suffering from degenerative disc disease & it occurs due to repetitive overload or stress to the disc & it increases the risk of disc herniation & spinal canal stenosis. For this condition you have to do stretching & strengthening exercises in which you have to stretch tight muscle & strengthen weakened ones which will alleviate stress on facet joint and disc. There are several treatment modalities with medicines, physiotherapy and with injections in the back called epidural injections and root/facet blocks. If you don't get better with this treatment, another option is surgery, by which the nerves are decompressed by removing the protruded disc (discectomy), which would significantly improve your symptoms. Hope this helps you. Wishing you good health... Regards. Chat Doctor. Orthopedic Surgeon" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have lower back pain. It feels heavy and aching.. in what I would think is the kindey-region although I dont think its kidney related. I also feel nauseous, retching but not actually vomiting.. just feel really sick. Nausea seems more acute on movement. I am female, 25, with no known health problems.", "output": "HelloThanks for query. Low backache with nausea can be due presence of stone either in kidney or Ureter and needs to be ruled out. Please consult qualified Urologist for clinical examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture.2) Ultrasound scanning of abdomen and pelvisFurther treatment will depend upon result of these tests and final diagnosis. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Went in for a number of accident related xrays and have been scheduled for another chest x-ray as there was some thicking- not to mention a ultrasound as a result of seeing a shadow above my gall bladder. Could these be related to the accident or should I be concerned of something more serious?", "output": "Hi and welcome to Chat Doctor. Thank you for your query. Shadow usually indicates some lesion which may be benign or malignant and in this case I suggest doing Ct scan to clear this out since ultrasound is not specific enough for it and I can't discriminate what exactly this is. All in all, this is most probably nothing and won't required further steps but as I said, this should be ruled out. I hope I have answered you query. Kindly regards. Wish you a good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I m 20yrsold.. i think i have ezcema, i have bumps on my ua and its so itchy.. i cured it with hydrocortisone. the itchy was gone but the bumps were still there and looks so dark:( what cream shud i use?", "output": "Hi...dear user., Thanks for choosing Chat Doctor., Bumps under arm, itchy.....not ECZEMA., It could be Fungal. Tinea corporal....it produces bumps., So follow this treatment...1) Qua Chat Doctor. . Betamethsone, gentamicin and Fluconazole., apply twice daily, until disappearing of lesions., (Milford)2) Tab Limit 250 mg daily for 7 days.,3) Tab Decline daily nighttimes for 15 days., Dont scratch and pinch......ok4) One can dust powder ...dust on affected part(Wallace)., ok...bye good luck.," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I fell down 2 steps and rolled my ankle. It swelled up but in a few minutes was able to walk on it. The next day I could not put any weight on it and it swelled up with slight bruising under it. Never went to the doctor but each day since (6 m) it has gotten a little better. I can put all my weight on it by turning my ankle inwards is still painful. Now I am experiencing tingling in my foot and the area around the outside of my ankle is really tender to the touch- is this normal for a sprained ankle (which I have just assumed I have)?", "output": "Hello, Thanks for writing to us, I have studied your case with diligence. As per your history pattern there can be persistent tear in ankle ligament leading capsular tightness. I will advise doing MRI ankle for soft tissue involvement. Till time, you can continue physiotherapy exercises and also use supportive splint or brace. Physiotherapy like ultrasound and TENS will help in early healing. If there is complete ligament tear then arthroscopic ankle ligament repair can be done or if capsular tightness is severe then release can be done. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a sight ache (only if pressed) in my lower right abdomen with mild constipation (more like irregular bowel movements.) I have no fever, nausea or pain if I move around or jump even. Could it be appendicitis still? Also I was doing some exercise and physical labor the other day; so could that mean a pulled muscle?", "output": "Hi. The symptoms of appendicitis are : Pain starts at the umbilical region and then shift to the right Iliad fossa; there may be nausea and vomiting, fever, pain on local pressure, constipation or loose motions. The symptoms may be slight is the attack of inflammation is mild. IF there is obstruction in the appendix by regolith or thread worms the pain may progress, there can be a fever with chill, impossible take tolerated anything orally, Ultrasonography of the abdomen and confirmation by CT scan can give a definite diagnosis when the clinical symptoms and signs are taken together into consideration. In your case there is more chance that this may be a condition called nephritis or colitis of the cecal part of large bowel. This can be pulled muscle too. Get confirmation by a clinical examination by a Surgeon and investigations. IF confirmed to be appendicitis, it is better to go for surgery, otherwise a course of an antibiotic, metronidazole and probiotics will help to get a cure." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here...Hi, I have 3 chuildren 7,6 and 4. They all had flu like symptoms (runny nose, fever) mid week and only the 6 y.o had a fine, red rash over his torso (which he has had previously with fever). At Drs on Friday, diagosed with just a virus. Saturday, all awoke with fine red rash around groin area and red spots around the mouth. Now rash is all over 4 y.o body and Im getting worried! I dont want to look up anymore internet sites - they worry me more! Please help:-) Rose", "output": "There are many viral infections that cause rash in kids. Usually mouth is also involved in hand foot and mouth disease which is also viral infection that is mild and natural immunity in kids will clear it in a week time, but it is contagious means spread from one person to other very easily. You need not worry but maintain their nutrition, as well as your self-care and do the symptomatic treatment that Chat Doctor. This is enough. You need to maintain hygiene also and till the symptoms are fully subsided don't send them to school and let them take adequate rest." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here...Hi,My baby is 19 months now she had problems of constipation and vommiting now it has stopped but she is not urinating as normal is around 12 hours now still she has not urinated .Could you please help", "output": "Hi... Thank you for consulting in Chat Doctor. I think your kid is having habitual constipation. I have certain questions and suggestions for you. Questions:1. Did your kid pass motion or meconium on day one of life?2. Since how long is the kid constipated?3. Does the kid have any bleeding along with hard stools?4. How much milk does the kid consume per day?5. Does the kid eat fruits and vegetables (fiber diet) appropriately? You can get back with answers at the following link -www.ChatDoctor .com/doctors/ Chat Doctor. Natural methods are the best to relieve constipation.2. Constipation is a risk factor for UTI3. Maximum milk consumption per day should not exceed 300-400ml4. Minimum 3-4 cups of fruits and vegetables to be consumed per day5. Toilet training - that is - sitting in Indian type of lavatory daily at the same time will help a lot. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have been trying to get pregnant and 2 months ago I went to a gynecologist she prescribed 2 Dimet 500 per day along with eve care and Folic acid 1 per day I was not tested for blood sugar and haven t had blood sugar in my life I just turned 32 last month pls advise. I got my period 12 days late the day I went to see the doc that was the first time it was irregular ...", "output": "Welcome to Chat Doctor Most probably you are suffering from PCs which is the common reason for delayed periods and infertility. Insulin resistance is one of the underlying pathology leading to PCs, so many clinicians prescribe metformin as empirical treatment. You may not find your blood sugar raised but still there may be intrinsic problem like insulin resistance leading to PCs. If you are overweight try to lose weight by diet control and exercise. You need to undergo few hormonal tests to come at diagnosis. Trust your doctor and continue treatment. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have 7 swollen lymph nodes in my neck/jaw area and 5 swollen lymph nodes in my groin area. Is this a matter that I should be extremely concerned about? The Lymph Nodes are somewhat hard in my neck and rather immovable based on my judgement. My concern is that I have this many swollen lymph nodes. I thought it was only normal to have a couple swollen during infections? Please help. Thank you.", "output": "Thanks for contacting Chat Doctor with your health concerns am sorry to hear that you have several large lymph nodes in your neck and groin areas. These are not normal findings. I recommend that you seek medical attention to determine the cause of the enlarged nodes. Mononucleosis may cause enlarged lymph nodes as well as other infections. But there could also be some blood-borne diseases like lymphoma that cause enlarged lymph nodes. Please proceed to your doctor for additional testing and evaluation Hope this answers your question. Please contact us again with your questions and concerns" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Woke up Monday morning with vertigo ,room spinning,no balance,etc. never had it before..called doctor he gave me stemetil and distaclor tablets.now it s Thursday but still have slight balance problem and eye movement focusing. How long could this problem last for. Been out of work and lying down since Monday. Thanks marc", "output": "Hi, The tabs you are taking may give temporary relief, and may get alright if there is no root cause. If you are not relieved of symptoms consult a euro physician and ophthalmologist(if advised) For vertigo because of its multi various etiology the following investigations are needed1) A complete blood test2) ECG3) CT Brain4) Carotid Doppler euro physician will decide what type of investigation are needed. Find the cause and treat accordingly. You will be alright. Best Wishes" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have brown patches on the back and the neck. They started spreading over my shoulders and to my stomach. They appear white after I take a shower but otherwise appear as brown patches when dry. I had this few years ago, back then I consulted a doctor and I was given medication. Now I have moved to a new country and I consulted a physician who ruled out fungal infection. Not sure what it is.", "output": "Hello, Welcome to Chat Doctor From your description it looks like satyriasis tricolor. When you stretch the skin over the patch do you notice fine scales over the patch. That is a sign usually seen in satyriasis tricolor. It is caused by a yeast species. 4OOMG Fluconazole tablet single dose is a good treatment for Satyriasis tricolor. Local application of ketoconazole 2% cream twice a day will give additional benefit. You may get these prescribed by your doctor. Hope this helpedTake care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good day I would like to find out something.... I used to be on depo provera.. I first went on it January of this year and I came off on October of this year... I had my period on October 24th and it ended on the 30th of october... I had unprotected sex on November 2nd and took postinor 2 on the 4th of November... Could I be pregnant??", "output": "Hello, I have gone through your query and understood the concern. No, you cannot be pregnant. Even if you attained normal ovulatory cycles after discontinuing the demo shot, you were in the safe period when you had the intercourse. Added to that, you took the emergency contraceptive pill which provides ample protection. Please remember that ovulation occurs two weeks prior to the onset of the next menstrual cycle and the period around this ovulation is the fertile period when conception happens. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My seven year old daughter told me this morning she has a tender spot on her chest. it is between the arm pit and her right nipple. It is not close to the nipple at all, it is closer to her arm pit. She moved away when I palpated the area. I found a pea size knot. She says it only hurts when touched. I understand girls at this age get prepuberty nodules, but most that I have read of are around or under the nipple. this is not close to the nipple. it is almost in her arm pit.", "output": "Hi, dairy have gone through your question. I can understand your concern. She has enlarged axillary lymph node or breast lump. If it is lymph node then it is most likely to be due to reactive hyperplasia. Rarely it can be due to tuberculosis, lymphoma or other cause. She should take a course of antibiotics. If it doesn't respond to treatment then biopsy diagnosis is advisable. If it is breast lump then it can be due to fibroadenoma. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My right side of my my gums all hurt under the teeth and the right side of my throat hurts, I feel it more in the gums though. Its painful when I swallow and there is a slight pain in the gums continusly, I first noticed my throat hurting and thought that I was getting a cold. My ears also pop when I swallow.", "output": "Hello, Thank you for your inquiry. Your description indicates symptoms of an infection spreading. You may have a tooth abscesses causing gum irritation or periodontal disease with a pocket of infection. Please try to take anti-inflammatory medication. Try and acetaminophen or an ibuprofen. An antihistamine such as Ben Chat Doctor. Antibiotics by prescription would be best to control the spread of infection. A dental visit with a clinical exam and diagnosis would allow treatment. A root canal or periodontal scaling may be indicated. Warm salt water rinsing may help. Continue to practice good home dental care. You could have inflammation from the start of a respiratory infection. Allergic reactions are possible as well. Any trauma to your gums? Your description being isolated to one side makes me think of an underlying dental problem. Erupting wisdom teeth can cause similar symptoms if an infection occurs. X-rays may indicate a tooth under bone and gums that needs extraction. I hope my suggestions offer relief. I would encourage you to plan a dental visit soon." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "every morning when I am about to refresh my face I spit blood, it is not red but brownish, I imagine it is blood mixed with saliva. After 2-3 spits the brownish colour disappears and I spit white as usual and I am fine during the day. What is it? it is a sign of cancer? could it be the gums or the stomach? has anyone got the same? I am 54 years old, I do not smoke, I do not drink. Thanks for answers", "output": "Thanks for your query, I have gone through your query. The blood mixed saliva while spitting is because of the gum infection. Particular;y during night the salivary secretion will be reduced or almost nil because of the lack of stimuli, so there won't be any antibacterial activity, so there will be increased activity of microorganisms. Nothing to be panic, it is not cancer. Smoking can increase the risk of gum infection and bleeding, is better stop smoking. For gum infection, get your teeth cleaned and use topical gum astringents like stolen gum paint. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 32 I ve been having pressure in the left side and middle of my chest and shortness of breathe spasms in my stomach a kind of tightness in my growing area and tingling in my left arm . I went to a heart doc and did a stress test it was ok my pcp says its reflux i ve been taking prevacid for a week its not working I had a heavy attack last night got real hot light headed and alot of pressure in the chest and upper abdominal area. I dont know what it is. Can someone please help?", "output": "Hello Mostly it's an acidity and reflux disease. Do you upper abdominal pain, nausea, bloating, burping, increase in pain on food, sour water feeling in throat or chest burning, if yes it further supports the diagnosis? You should avoid fatty, oily and high calorie diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Lots of green leafy vegetables, fruits. Avoid smoking and alcohol if any. Are you having plane prevail, or it has risperidone as well? If its plane then you need to get tab Prevail DSR prescribed. Also, need to add SYR Sacral O two teaspoon three times a day for a week. You can also try End sachet, once a while. For cramps, you can get prescribed antispasmodic like dicyclomine 20 mg or hyoscyamine 10 mg whenever needed basis. It will take some time to resolve, you continue antacid. I guess ECG was normal." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just had my liver function test as a requirement for the renewal of my working visa.i have ahistory of drinking abuse and even now I still drink a lot though only beers but a lot.the result was my GGT is very high-113 and my albumin -51.other function results are within range.my sugar is normal coz iam taking metformin twice aday and iam eating a lot of fruits and veges everyday.please tell me something about it.what would be the immigration doctors decision about it?will I be given medication and still my visa be approved?tnx a lot and GOD bless you and your family always...", "output": "Hello, thanks for using Chat Doctor A GGT test is non-specific and is seen in a variety of medical conditions. Most often it is used to confirm suspected problems with the biliary tract. However, it could be elevated in the case of diabetes and alcohol intake, and you are diabetic and a chronic alcohol consumer. Alcohol causes deny Chat Doctor. However, at 51 your albumin level is okay and bad abnormalities of albumin is generally when the value is low indicating malnutrition. Where you could have problem is base on the issue of chronic and excessive alcohol intake but then, each nation has its own immigration policies laid down by law and it's not the immigration doctor who will decide if you will be granted visa or not. He simply makes a conclusion based on your results. Hope this helps you Best regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My father in law is 75 years old ......his feets gets swell.......he takes excess amount of salt....his weight gragully decrease..he could not sleep at night sometimes....he has no tooths so he gets t problem of constipation his BP is Low 100/80 ...his HB is 7 % ...& he used to gets mouth ulcer he is habbit of tabbaco since 50 years...The tablets he is taking Folic acid dily 2 times Mom s plus for constipition hematine tablet daily 1 & A to Z vitamine dily 1 Thank you Docter Pls Guide me", "output": "Hi, Thank you for providing the brief history of your father-in-law. A thorough assessment of the swelling is advised. As mentioned that he is 75 years old and also there is a swelling in the lower limbs, that is the ankle, how long the swelling being persisting. Also, is the swelling is a pitting edema or non pitting edema. To check this, you can press the ankle region where there is swelling, if after pressing the skin comes up than it is non pitting edema, if the skin does not come up and the dent persists or takes longer time to get normal, than it is a pitting edema. You may also need to explain if the has any high blood sugar levels. Also, how are his creatinine levels. Post taking the laboratory test for the - blood glucose levels, creatinine levels and uric acid levels the next treatment will be applied. Also, by keeping the leg over the pillow, the swelling will be reduced but getting assessed will be advice. Besides, you have to make him do long walk as his age is 75 and venous return has to be optimum to get the cardiovascular functioning. Also, you may be advised to undergo physical therapy - and they will help to learn the exercises to perform by which swelling will be reduced and also the strength in the lower limb muscles will be achieved. Also, the treatment will be totally guided on the clinical assessment and laboratory findings. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "MY DAUGHTER JUST 14 JUST CAME HOME FROM BASKETBALL CAMP AND SAID THAT AT ONE POINT SHE GOT REALLY SCARED BECAUSE HER CHEST BECAME REALLY TIGHT AND FELT LIKE EVERTHING STOPPED HER WORDS. SHE IS VERY ACTIVE BUT IS A LITTLE OVER WEIGHT . IS THIS SOMETHING I SHOULD BE CONCERNED ABOUT AND MAKE A DR. APPT FOR HER?", "output": "Hello welcome to ChatDoctorwell such symptoms at this young age can be due to(1) PLEURISY i.e. inflammation of the outer covering of the lungs(2) COSTCO Chat Doctor. E inflammation of junction of bone n cartilage of ribs(3) BRONCHIAL ASTHMA(4) MUSCULOSKELETAL well as your daughter is a sports girl n very young and just had a single episode of chest pain rather than repeated episodes so in such circumstances its ALMOST CERTAIN THAT THE PAIN WAS OF MUSCULOSKELETAL ORIGIN that might have happened due to stretching/pulling of muscles of rib cage, so the bottom line is that just relax and no need to worry at all...if she complaints similar episode again then to be on safer side just get an ECG and X-ray OF CHEST and consult a physician but I'm certain that she won't need that as pain was clearly muscularRegards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was just wondering, I m worried because I am sexually active & my boyfriend and I had sex and he cummed in me (condom broke) in under 5 hours I got a morning after pill & I got my period a bit later then normal. But now it s the 2nd month after I took it and I haven the had my period since... I m 12 days over my due date! Should I be worried?!?", "output": "Hello, I have gone through your query and understood the concern. There is no need to worry about the possibility of conception in the current scenario. The reasons being the use of an emergency contraceptive pill within the stipulated time and the attainment of normal menstrual pattern after the incident. The cause of the current delay in the menstrual cycle is more likely to be a transient hormone imbalance. This can happen due to stress or use of the high progesterone pill in the previous cycle thus disrupting the hormonal milieu of the body. Please check with your health care provider and plan further management. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband has has sever lower back pain ever since we have been together. He has had a lower spinal fusion and numerous tests done and every doctor has a different answer. He is only 30 and feels like 80 year old man. He is now having pain in his wrists, which sweel up, sholders and sometimes his legs and arms get the tingly sensation. Lately he has been getting extremly bad migraines. We have been to the hospital for chest pains and there are still no answers. Before the doctors were just giving him scripts for pain killers and depression. He has stopped taking it all because it wasnt doing anything. We need help..", "output": "Hello, I have studied your case with diligence. As per your symptoms there is possibility of pain due to bad posture as your back is involved, If not relieved then possibility of polyarthritis needs to be considered Chat Doctor. There is reduced chest function in this disease. Stiffness in spine is increased do you have such stiffness in spine? When such patients come to our hospital I advise them blood test like RA factor, CCP, ESR, complete blood count, HLA B27Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I am really sorry to disturb. I have had a red , painfull when touched, lump, under my armpit. It goes away after couple of days, but after a while it comes back. It is hard on the inside as well as a bit swallen and red on the outside. Now i have it in a more private area. Same red, hurting when touched, lump. What could it be? I am really scared. Thank you so much for your time.", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have enlarged axillary lymph node. It can be due to reactive hyperplasia, tuberculosis, lymphoma or metastatic carcinoma. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I just got married 2 months back and took a birth control pill (ipill) for the first time. My periods were fine for the first month, however m having more than 10 days bleeding for my second period. My gynaec is out of town so cannot consult. Is it ok?? How long will it continue?", "output": "Hallow Dear, I-pill is a Progestational medicine. After its consumption, some amount of bleeding is known to occur few days later. The subsequent menses after also are known to get delayed - up to about a week or so. However, this is known only for the menses after the consumption of I-pill. If you are having continued bleeding for more than 10 days 2 months after the consumption of I-pill, it is not due to I-pill, mostly you have developed hormonal imbalance. Please take some Progestational preparation like Devilry to stop the bleeding after which, you may discontinue the pills. Within 4-7 days after discontinuation of the pills, you will again get some with Chat Doctor. Please report to Gynecologist. I hope this helps you. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband recently fell on small motorcycle on grass going very slow but is complaining of foot pain. He won t go to the dr/urgent care. Initially c/o pain from ankle bone straight up but now c/o top of foot pain and there is a significant amt of swelling to top of foot as well. He is barely walking on it and utilizing my cane. I m a nurse and initially thought lisfranc. He has pain when circling foot but not unbearable. Any help would be appreciated. Thank you", "output": "Hi, Thanks for your query. From description, it seems to be soft tissue injury. You need an x-ray to rule out any bony injury. I suggest you to consult an orthopaedician nearby for a detailed examination. You may get the X-ray of the area affected under his/her guidance. Beside icing and elevating it, you can take anti-inflammatory Chat Doctor. I do hope that you have found something helpful, and I will be glad to answer any further query. Take carpi," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my son has cough from 15 days today the x-ray report says bilateral congested fields. bronchitis & small patch of consolidation Rt para cardiac region & the blood report before 15 days shows wbc count 3500 i am suspected that is my son suffering from TB please give the explaination", "output": "Respected user, hi I evaluated your query thoroughly.*Bronchitis with TC 3500 is not absolute indication of TB*Diagnosis of TB has various parameters not just fever of 15 days with this X-ray finding confirm TB.*According to your Physician's evaluations he may require further confirmatory tools as Sputum AFB, ELISA or else depending upon clinical scenario. Hope this clears your doubts. Thanks for using Chat Doctor & giving us an opportunity to serve you in your medical needs. Wishing your Angel fast and speedy recovery from the same. Regards dear take care of him." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I hit with a softball just below my knee 2 days ago and have iced it and taken ibuprofen throughout the day, my whole lower leg is swollen and firm, a large bruise is forming and sometimes it feels like someone is pinching me under my skin. It is painful to walk and bend my knee. Do I need to see a doc or should I wait and see how it progresses over the next few days?", "output": "Hi you have been hit by a softball below knee and are having large bruise and swelling. It is painful and walking and bending knee is difficult. To me, it appears that you have probably torn some muscle like gastrocnemius and there is hematoma(blood clot formation) with spread to Calf causing pain and disability. Take complete bed rest with legs elevated on two pillows, painkillers, crepe bandage for few days. If it does not subside then go for medical check up including Doppler and x-rays." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "doctor I have mild pain in left side bottom of chest and shoulder some time, it is not constant and not continuous. My blood sugar ,BP, Cholesterol ,thyorod and ECG reports are normal. No problem in breathing also. Can you guide me what to do further.", "output": "Thanks for your question on Chat Doctor. Since your all cardiac reports are normal, no need to worry much for cardiac cause. In my opinion you are having musculoskeletal pain mostly. So try to follow these steps for better symptomatic relief in chest and shoulder pain.1. Avoid heavyweight lifting.2. Avoid strenuous exercise.3. Avoid bad postures in sleep and movements causing pain.4. Start painkiller and muscle relaxant.5. Apply warm water pad on affected site. You will mostly improve in 5-7 days with this treatment. If not improved than get done chest x-ray to rule out pulmonary cause like lung infection (pneumonia)." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "A few weeks ago, my new boyfriend and I started a sexual relationship. The first few times, I noticed that he had very quick orgasms. I thought nothing of it until the last few times that we have done the deed, I noticed that he was not aware that he had reached an orgasm. He only noticed when we went to change positions that the condom was full. This alarmed me because the discharge seemed to be rather watery and he did not have any affects of a man who was having an orgasm (ie. no increase in speed, movements or moans). I understand that a man can have precum prior to an orgasm but this was way too much to be precum and it was also a milky white color. The discharge could easily pass as orgasmic fluid but somehow I think that there may be something wrong. What could this be? Am I over reacting?", "output": "Degree understand your concerns went through your description. I suggest you not to worry much. I think you are overreacting. It is your boyfriend, who is supposed to be worried. He is having orgasm. He is ejecting. Young people do have watery semen for more efficacy. His pleasure is supposed to be there but not as you see in sex movies and blue films. Actually those actors are over acting. Some people enjoy orgasm in silence and some hiss and some get tight and some moan. Everything cannot happen together and the way of reaction changes almost every time. Therefore, you are supposed to be over reacting. You and your boyfriend might need psychological counseling., I am more than happy to provide telephone psychological counseling through Chat Doctor. Contact me through customer care, www.ChatDoctor .com. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 65 years old, a female. I have just been diagnosed with allergy to gluten, dairy, and eggs. My life has changed. It has been difficult. My question is....is it unusual to develop allergies of this sort at this age. Is it something that will last forever or may get better?", "output": "Welcome to Chat Doctor. Allergy to Gluten(Celiac Disease) increases with age. It is five times more common at this age. Some persons who were not Allergic to Gluten before 50yrs develop Allergy to gluten at this age. To confirm Diagnosis your Doctor may take a Biopsy from intestine. It is seen that the person whose biopsy was negative at 50 yes age become positive at 65 yrs of age. You can take canned vegetables these are economical. Bone Fractures are very common in these persons due to Osteoporosis. To avoid fracture, Calcium & vitamin D is advised to protect Osteoporosis. Previously Influenza Vaccines were not given to persons Allergy to Egg, but now these persons are Vaccinated against Influenza. Consult your Physician & Dietician. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my child keeps suffering from bronchitis for which we keep nebulizing him with levolin. when he has fever tan we donot send him to school. but if he has cough whicChatDoctores after an interval of about half to one hour , than can we send him to school. My child is seven years old.", "output": "Thank you for using Chat Doctor. Bronchitis is more commonly caused by a viral insult. So there is really a good chance he can get it repeatedly if he will be infected by the common virus (usually from other sick kids in school). So nebulizations (and other supportive treatment) can do the job in this instance. But sometimes bronchitis can be from a bacterial cause which needs to be treated with additional medicines like antibiotics. It is best that you see your doctor in order to distinguish which is which and possibly do some diagnostic test. Furthermore, you should also be aware of other illnesses that can have the same symptoms with bronchitis like Asthma which should be ad Chat Doctor. Sincerely, Mark Rosario MD pediatric pulmonology" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Recently I have had problems after walking short didtance with hip and shin pain this affects right hip and shin and sometimes I wake up with pain in hip and shin. I am used to exercise and have always done plenty of walking. Could this be the beginning of an arthritic condition. I am 58 years old.", "output": "Welcome to Chat Doctor I have gone through your query and understand your concern. Yes this can be beginning of arthritis problem. But more likely it can be weakness of bone i.e. osteoporosis. You need to get your investigation of knee and hip x-rays to see for arthritis. BMD and vitamin D test can further be needed to investigate for osteoporosis. Till then, you can take analgesic such as ibuprofen for pain relief. Vitamin D3 can be of use to fulfill vitamin D deficiency. You can discuss with your treating Doctor about it. Hope I have answered your query. If you have any further questions then don't hesitate to writing to us. I will be happy to help you. Wishing you good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doctor im 42 years male i have back pain 4 a few years n had some leak age problem some time b4 n after urining n some time pain in my ball2 but from few months no leakage but pain in back n it weekin my back u no wht i mean so wht s u say abt it", "output": "HiT hank you for asking ChatDoctorI have gone through your query. Your problem is most likely due to urinary stones or prostatitis. A urine routine examination ultrasound of abdomen and pelvis and digital examination of prostate should be carried out if necessary to confirm the condition. Antibiotics will be needed if infection is present. In case of urinary stones I advise my patients with potassium citrate and ask them to Chat Doctor. Cranberry juice or barley water also helps in alkalizing urine in such condition. Hope this may help you. Let me know if you have any further query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I had a hysterectomy in 2005 due to cervical cancer in 2010 I had my left ovary removed I have been experiencing pain in my right side had a U/S done 2D Transvaginal and also on my stomach with a full bladder they found a complex 1.5 cm follicle with internal echoes they think it is a hemorrhagic follicle and report also states trace free fluid in the pelvis. Can you tell me what this means.", "output": "Hello and welcome to Chat Doctor, The ultrasonography report showing a complex 1.5 cm follicle suggestive of hemorrhagic cyst suggests presence of a cyst in the right ovary (the ovary which is present). Hemorrhagic follicle indicates presence of hemorrhage or bleeding in ovarian follicle. In an ovarian cycle, a number of follicles develop. One of them matures and releases mature ovum at the time of ovulation. After the ovum is released, the ruptured follicle undergoes certain changes. First the follicle undergoes luteinization i.e. deposition of hormone rich cells. These cells release female hormones. The follicle is called corpus luteum at this stage. After this stage, hemorrhage takes place in the corpus luteum. Sometimes the follicle may enlarge and hemorrhage may be more than normal. This may cause abdominal pain. Conversely, a follicular cyst may undergo hemorrhagic change. This cyst can also cause similar symptoms. Whatever may be the cause of formation of the hemorrhagic cyst, both of them are benign for all practical purposes. Free fluid in the pelvis can be secondary to formation of hemorrhagic cyst. For further management, you will have to consult your gynecologist. Thanks and take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 16 year old son has been prescribed ferrous fumerate 210mg tablets 3 times a day , after getting blood tests back and being told he has an under active thyroid TSH level 4.12+ serum free T4 12.4. This was yesterday 28/9/12 We were told to go back for more blood tests in 2 months. Whilst at the doctors , we pointed out a painful swelling and soreness below his front teeth into his chin. She prescribed Daktarin 2% oral gel. It has not helped. The pain has got worse , swelling more pronounced. The doctors out of hours say its dental and the dentist cant see him for 24 hours. Being a weekend. He has no fillings or cavities. His last visit to the dentist 2 months ago was all clear. He has good dental higine. Is it doctor or dental and could it be an abcess or conected to the thyroid problem ? Thankyou.", "output": "Thanks for your query, I have gone through your question, the swelling in the chin or below the teeth area could be a periapical abscess or periodontal abscess leading to cellulitis you need to take a radiograph like IOP AR in relation to those teeth till you meet your dentist take a course of antibiotic like penicillin if he is not allergic...don't apply pressure on that area.do saline gargling 3-4times...it's not related to thyroid problem..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have a chest pain and breathing problem i am not able to drink water and swallow food.i got my chest x-ray, eco-ECG done nothing abnomal got detected. i have so much of constant in pain the chest i cannot even drink one glass of water. please suggest some remedies i am 52 years old 5 feet45kg", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Since your extensive cardiac work up is normal, no need to worry about heart diseases for your symptoms. We have to rule out lung related diseases (bronchitis) also. So get done PFT (Pulmonary Function Test). If PFT is also normal then no need to worry about lung diseases also. Sometimes stress and anxiety can also cause similar symptoms. So avoid stress and tension, be relaxed and calm. Consult psychiatrist and get done counselling sessions. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter has had a cold for almost two weeks. She has had fevers off and on for a week. She is eating very little but I manage to get her to keep fluids in her system. She is not throwing up at. I took her to the doctor yesterday and he said she has bronchitis and gave her antibiotics. The next day her urine was dark. What is going on? She is six years old.", "output": "Since she is having fever, cough since 2 weeks, it is better to get some investigations like blood tests, urinalysis and X-ray chest done to find out exact cause of sucChatDoctorplaints. Dark color of urine might have been caused due to concentrated urine as a result of decreased oral intake and deny Chat Doctor. Give more oral fluids, ORS solution, juices etc. Antibiotics like rifampicin, metronidazole, sulfsalazine etc. may cause change in urine color, but these are unlikely to be prescribed by your doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I m 17 years old, 5 3 and weigh 110 lbs. Lately I have been having bad knee pain for unknown reasons. While I stand in place for minutes are a time my hips and knees have pain if I try to walk. Also when i m walking from class to class maybe after 50 feet my knees start to hurt. Sometimes I do hear grinding but none recently.", "output": "Hello, It is necessary performing some tests in order to investigate for a possible connective tissue disorder or a metabolic disorder. In this regard, I would recommend performing these blood lab tests:- Complete blood count, PCR, ESR for inflammation- vitamin D plasma levels for possible deficiency-Blood electrolytes- Fibrinogen plasma levels-ANA and ANNA tier antibodies-Rheumatoid factor plasma levels. You should discuss with your doctor on the above tests. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Okay, so this is my first time asking a doctor online. Im 14 years old and have a lump on the shaft of my penis under the foreskin. I really dont know what it is Im not sexually active or anything, if you could please tell me if I should get it checked out or not please tell because I am worried, thanks.", "output": "Hi, Thanks for writing in. It is better to get a doctor to see the lump under the foreskin of penis. Many times it is difficult to confirm a diagnosis without clinical examination. Prob what you have mentioned it is probable that you have a milf infection under skin if the lump is painful. If there is no pain then it is important to know whether the changes are a part of normal growth in you. The penis changes in appearance during puberty, and it is important to know if the changes you are referring to are a part of normal growth. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good evening!Two weeks ago I got stung by scissors in my finger foot.It has pus.I went to the doctor and he recommended to take antibiotics(Cefalexina)-5 days(I took for 10 days),local aplication with Betadina,and 2 creams: Fucicort and Baneocin.The finger is better ow but still with pus and hurts when i tuch it.Could you please recommend me a method of treatment of pus execept surgical removal of pus? Thank you in advance!", "output": "Hi thanks for asking question. You are taking correct treatment for pus lesion. With the time infection has to be subsided. If pus increasing along with systemic sign like fever and headache then incision and Chat Doctor. It is done under local anesthesia .so don't worry about that.Meanwhile, for fast healing take nutritional diet with more fruits and green leafy vegetables. I hope my suggestion will help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi My father is 63 years old and in the last 2 months has experienced various issues like chest pain, blood strain in urine. He has undergone all tests for heart and also blood and urine test and all has come normal. He is not able to sleep well. Doctor adviced to just relax and take rest.", "output": "Hi thanks for contacting Chat Doctor... Noted he has chest pain since 2 months.... So need to be detail investigation... Your heart report and urine report normal... Here respiratory causes have to be ruled out... For its spirometry, chest x-ray need to be done.... If smoking habit present then there might be fibrosis disease... Above investigation might reveal chronic obstructive pulmonary disease if dyspnea associated.... If no resp cause found then there might be Costco Chat Doctor. . For which rest done.... Analgesic might be helpful... Avoid strenuous activity.... Proper sleep posture ..... Compression bandage sometime might be needed.... Urine blood might be temporary by just minor trauma.... If again bleed in urine then USG like investigation done for further work up. More water..... Avoid stress as it can aggravate your chest pain.... Hope your concern solved... Take care...." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I have been diagnosed with cirrhosis from alcohol use. I was hospitalized for three separate episodes of esophageal varices. I have been stable for over a year and have brought my MELD score down from 19 to 12. My medications work well for ascites and hypertension and my health and diet are quite good now. My question is this: I have recently started bleeding rather heavily through the nose and mouth. This happens at any times in the day, but mostly in the morning. It s not enough to go to the ER or, I think, bother my transplant team with. Is there something I can do to ease this? Any recommendations for blood-stopping? Any immediate dietary adjustments? I generally let it bleed out over the course of one half hour, average. Thank you.", "output": "Hi There, Thanks for your query. From your inputs it seems you are already in decompensated stage of liver cirrhosis with ASCIIs and portal hypertension with bleeding episodes. Get the liver function test and Upper gastrointestinal endoscopy done to know the source for your bleeding. If the bleeding source is defined then treatment will be based on it as banding for varices and platelets and fresh frozen plasma transfusion for depletion of clotting factors, depending on the severity and continuing the beta blockers(propranolol or Adolf)Dietary adjustment in the form of avoiding hard solid foods which likely causative of mucosal injury and adhere to the diet you been following. Have an appointment with your transplant team to review the functional status." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "About once a week while Im laying down in my bed relaxing, my heart starts beating very fast as if I had just ran the mile. I get a shortness of breathe and it only stops when I cough. its been happening for about a little less than a year now. whats going on? Do I need to go to a doctor about this?", "output": "Hello. Thank you for your question and welcome to Chat Doctor. I read your concern. There are a certain amount of rate and conduction disturbances that can happen in this scenario. The fact that cough stops it, is another important clue. I would recommend you to see a doctor, have an EKG and a 24-hour Holder rhythm monitor. Better yet, I would recommend an episode rhythm monitor, a machine that you can turn on and off when this happens again. Even if it is a harmless arrhythmia or premature beats, my opinion is that you should go through and diagnose it as soon as possible, so the right measures for treating or not treating it, might be undertaken. If there is a problem, feel free to contact me again. I hope I was helpful. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello,I am 21 years old and i have large breast. I went to see a plastic surgeon who told me I was a perfect candidate for a breast reduction. He took pics of my breast prepared a letter supporting my case which i also included a letter from my chiropractor and this package was sent out to my health insurance. I also made an appointment with an orthopedic surgeon and he just laughed in my face while I explained my situation. The health insurance DENIED my claim... I cant take this back pain and my shoulders are indented from the weight of my breast. What can i do? Please help me...", "output": "Hi...thanks for sharing your problem here...as you told you have enlarged breast,,,this backache and shoulder pain you got is most probably because of these heavy breasts...as you already been to plastic surgeon, and he advised you breast reduction...so I will suggest that you should go for it,as for as your health insurance is concerned this is between you and your insurance company already in terms and condition agreed upon,,,I will suggest going for breast reduction...thanks Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 51 yrs old -- male. I have had problems with prostatitis before. Now I am very worried... I just found a lump (gumball size) on my left side in pubic hair area. It is causing a lot of pain in that area. Also the pain seems to be radiating outwards. This seems a sudden thing. Produces a pulling or tugging type of pain. Seems to be an infection type of fighting off feeling in my whole body. Also seem to be urinating more often. I am just surprised by the size of lump + the suddeness of it!! Also the pain aspect has me worried. I have no $$, no job, + no insurance -- so going to the doctor is not possible right now.", "output": "Hi, Good Morning, Thanks for your query to My-ChatDoctor Clinic. I studied your query in depth. I understood your concerns. My opinion on the public lump is -Direct inguinal hernia-which popped out suddenly.-This is known to cause the pulling/stretching pain / and radiating pain also. -Frequent urination confirms-with this lump - that its -Direct Inguinal Hernia and not an infective lump of the public are.-Treatment -would be-a-Consult a Surgeon and confirm its diagnosis.b-USG would confirm diagnosis-but not essential.c-Even simple rest and Tight underwear with brace support would help you.d-Or Simple Direct Inguinal hernia-brace or support would take care of this lump. And there is no need to spend on urgent doctor consultation. But planned care with ER-surgeon, with watch on the lump symptoms is a must in long run. -Hope this would help you to recover from worry-some query. Wish you a Fast Recover. Wellcome to Chat Doctor again." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am 43 years old, male and i hav been suffering from mouth ulser and i start avoiding some food and as soon as i stop drinking milk the ulser start to heal now after three month i start to drink milk again and it came back.dose this mean that am allergic to milk, if yes what things to avoide and how i can replace the milk with something equivalent.", "output": "Milk is among one of the food which can cause allergy. With your history it seems that you are allergic to it. But mouth ulcers commonly occur due to acidity in stomach, vitamin B folic acid deficiency or injuries. My advice is you take one antacid (Cap Omeprazole) once daily and vitamin B and Folic acid supplement twice daily for 10 days. This will solve your problem. You can replace milk by fruits juices, banana." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been hospitalized 5X in the past 2 years with pneumonia and CHF flare up. I was unresponsive at home when my husband awoke beside me. There was blood streaked sputum on my mouth, but when I was lifted up there was a massive amount of blood on the pillowcase, sheets etc. None of that was addressed in the hospital. An ambulance transported me to the hospital all but 1 time. My question is why was I bleeding from my lungs?", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. Blood in sputum is known as hemoptysis. And it is seen in both pneumonia and CHF (congestive heart failure). In pneumonia due to infection from the organism, blood vessel erosion is seen and this causes blood in sputum. So in pneumonia, control of Infection is needed to stop hemoptysis. In CHF due to congestion, blood remains in the lung vessels and make them dilated. These dilated vessels are easy to rupture and cause hemoptysis. So in CHF diuretics are needed to relieve congestion and thus stop hemoptysis." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doctor, I am 36 years old female, I have been suffering from diabetes since my 2nd childbirth in 2001.My diabetes management is rather bad my reading ranges more than 15 after food. I was on metformin 3 times a day 500mg, daonil 2 times a day. All these medications leads me to have cold sweat and tremors. I todl my doctor but they ask me to continue. Since I am working I actually cut down as it affects me during working hours. My father has a history of diabetes and he passed on 5 years back due to ischaemic heart disease. He was a smoker and had 3 blockages in his valves - 85, 75, 80%. He was not suitable for a bypass due to his heart functioning was below 45%. Recently a few months back I had chest pain and i went for a treadmill test the results shows ard 88% and the doc say he will not put me on medication first. I would like to do a full medical check up that has links to diabetes. What are he check ups should i go for? I intend to do it in India, so which hospital would you recommend in Chennai or Tanjore?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you should consult Apollo hospital in Chennai for blood tests. You should go for following check-ups. 1. Complete blood count 2. HbA1C (glycosylated hemoglobin) 3. Urea and creatinine 4. Urine microscopic examination for albumin in urine. 5. Ophthalmic opinion for retina 6. Dermatologist examination for lower limb foot ulcers 7. ECG, 2d echo and stress test for heart. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "66 old male cancer thyroid was operated and he is now on thyroid replacement herapy.He has recurrent thyroid cacer, in the preoperative assessment both T3 and T4 were higher than normal range and TSH was lower than normal. What is the best preanaesthetic management and if operated with these data what are the anaesthetic problems", "output": "Thanks for your question on Chat Doctor. In my opinion he is at present having hyperthyroidism. So better to stop thyroid supplements and start beta blockers and antuthyroid Chat Doctor. We need to first normalize his thyroid hormones. And then surgery should be done. Propofol will be the best anesthetic agent. And no need to hurry for surgery with high T3 and T4. If you do surgery with high levels chances of thyroid toxicity are more. Patient may have high blood pressure, perspiration, tachycardia and arrhythmia too. So better to first normalize thyroid hormones and then plan for surgery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been having a tightness in my chest and a feeling of heaviness for about 2 hours now. It also feels a little tight in my throat and I feel as though I cannot get as much air in my lunges as usual. This has happened to me before and last time was a few weeks ago when I was on holiday... could this be something to do with the heat? Just before the feeling came on I was eating chocolates - I m wonder if this has affected my sugar levels or blood pressure perhaps. I am trying not to panic as I am wondering is this a panic attack without me realising its one?? Thank you for reading, hope you can help . Sara", "output": "Hello, After going through your medical query I understand your concern and would like to tell that your symptoms are predominantly Cardiac which requires urgent medical attention to avoid any unpleasant episode. It's recommended for you to consult a Cardiologist and get basic Cardiac evaluation done which includes ECG and Echocardiography. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 32 years old Male,Two day back I feel acute lower back pain .My doctor suggest to take some pain killer and routine urine test and also USG & Xray of KUB.Routine test shows presence of RBC (8-10/hpf) and PUS cell (2-4/hpf) but USG and X-ray does not shows any stone or hydronephrosis.I had a left kidney stone 2yrs back which was flushed out by taking lots of drinking water.My question is that this RBC & Pus cells count does shows any infection or its nothing siginificant?", "output": "HelloThanks for query. Presence of R.B.C and pus cells in urine strongly suggest UTI. Please get your routine urine test and urine culture done to find out the organisms causing this infection and antibiotics to which they are sensitive to. Please take broad spectrum antibiotics like Definite along with urinary antiseptic like Nitrofurantoin twice daily and urine alkalizer thrice daily. Later on switch on to appropriate antibiotics as per culture report. Get the prescription of medicines from your family Physician. Ensure to Chat Doctor. To keep your urine dilute This will help to control dysuria." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dr. I am 67, overweight, and diabetic. I have had a left knee revision in 2013. I have been experiencing pain in both knees, right leg a burning pain in my right leg up thigh, an into my right hip and waist. I sometime can t lift that right leg very well without nlifting. I see no redness, pain goes and comes, as well as swelling in my rt. Foot and ankel. Thank you.", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have burning pain on the right leg. Well there can be many reasons for symptoms you mention in query, but in your case the symptoms are probably due to neuralgia parenthetical. The cause of neuralgia parenthetical is compression of the nerve that supplies sensation to the skin surface of your thigh. I would suggest you to consult orthopedic surgeon for proper examination. Doctor may order x-ray imaging, electromyography, nerve conduction study, nerve blockade with anesthesia. Doctor may prescribe corticosteroid injections, tricyclic antidepressants or gabapentin. For lose some weight and wear loose cloths. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had 4 wisdom teeth taken out 5 years ago, 3 were impacted. The following day of surgery It was infected horribly. my entire face was swollen to the point i couldt open my lips . EVER since, But not prior to, I have had constant pain and sorenes on both sides of my neck just behind jaw bone close to ear, and under my chin on both sides. After the surgery once infected the dentist gave me antibiotics, following a year later my doctor said maybe there was some infection lingering or something with my nodes. could the infection have damaged my muscle or lymphnoids?", "output": "Hi as there is pain and soreness on both sides of your neck behind jaw bone and under the chin area, it points toward excessive trauma while your extraction which could have lead to excessive damage to bone and surrounding muscles and nerves. So the pain and soreness can be due to the bone and muscle damage at that time. As for under the chin area, your nerve to the concerned area may have been damaged. that's why pain is still there. Infection don't last so long, and you have already taken antibiotics for a long time. But to be sure, get yourself clinical examined and also an OPG X-ray done and post it here. In the meanwhile go for painkiller- Orthodox three times a day. Wishing you speedy recoveryWith best regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my daughter louise was very down and found it hard to sleep, she went very quite and stopped going to college, she went to doctor and he perscribed a sleeping tablet that didnt work,she went back again and he put her on lyrica,,,she is finding a lot of side effects from it,, i researched it and it said it was for cronic pain etc,, it didnt say anything about not being able to sleep,, why did he give her this drug,??id appreciate your feedback,, james in ireland", "output": "Hi and thank you so much for this query. I am so sorry to hear about the side effects your daughter has experienced from this medication. For sure, I cannot tell why the doctor prescribed this Chat Doctor. I will suggest that you talk directly to him and understand why. Also, report the side effects to him so that he can review them and make the necessary changes if need be. Her symptoms seem to be suggestive of depression. Ids there any reason why you think she could not be feeling very happy with herself? If you think she has mood changes, please consult a psychiatrist to get her evaluated for possible depression. I hope you find this helpful. Thank you for using our services, and please feel free to request for more information if need be. I wish you well good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am 40, not married, i often masturbrate, since last three years my foreskin is swallon, met doctor, took some tablets and all for a month, applied creams, but to no cure to the problem. Can ayurveda help me, your site also says to cut of the foreskin, like other doctors. In Ayurveda there is no treatment for swelling? cant understand why all the doctors suggest for operation. If one have swelling in leg do we cut of our leg?", "output": "1. foreskin of the penis swells during sex and masturbation IF there is some attachment of skin with glans, which is present during childhood but goes away as one grows older and with time, and going by your history, swollen foreskin (i.e. skin is still attached with the glans) and advise for operation by doctors it seems that problem is related to Mitosis, Paraphimosis or Atlantis unless proved otherwise.2. Because surgery is indicated, it seems that other causes of swelling on foreskin i.e. infection, poor hygiene, contact dermatitis, and sexual activity are ruled out!3. Going by your history (3 years) it seems that Paraphimosis is not the cause, in which foreskin is stuck before the glans penis (cutting off blood supply to glans) and is an EMERGENCY MEDICAL condition, so probably MITOSIS is the Picture as for now.4. You haven't mentioned the symptoms arising from your Pathology (any discharge, rash,itching, ) to r/o Atlantis?5. Probably doctors are advising you for CIRCUMCISION operation?6. If Mitosis is the condition then it can create problem with urination and sexual intercourse, before opting for surgery, simple method can be tried like:i. Apply oil gently and regularly on the foreskin and daily retract the foreskin of penis, it will get better meanwhile.ii. don't masturbate if you notice swelling, wait for the swelling to subside then indulge.iii. Surgery procedure is minor, successful and harmless, and also protects against penile cancer and Urinary tract infection, only disadvantage being there will be less sensitivity of penis which may cause less pleasure." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband is 54 years old and had surgery in January of this year for a kidney stone in his right kidney. Since having the surgery he has had chronic pain in the middle to side (internally) in the back area of the right side of his body. He has seen his urologist who did x-rays and found nothing. His primary care sent him to an orthopedic doctor who has had him have a ct scan and an mri. Monday he had same day procedure were they injected two shots in his back. About three weeks ago his right foot began swelling and has been that way some days extreme some not but swollen. Painful. Yesterday he had blood work and a urine sample to look for goat. Where do we go from here?", "output": "Hello and welcome to Chat Doctor. As a Urologist, I can fully understand your concern. After the tests you've mentioned, so far, nothing significant has been found. Most likely, it's only a muscular pain. He should carry out daily exercises. Even getting specialist physiotherapy treatment, relieves the pain quickly. The stone treatment usually doesn't have pain for so long. So don't worry about that. Also, uric acid would've been tested at that time. You can get my expert opinion, by sending your doubt as a direct question. Chat Doctor. Manga." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i found a lump inside my viagina a few months ago ive been to worried 2 go 2 the doctors ive kept an eye on it but 2 me it seems 2 have grow ive been having normal periods but last week i started bleeding when im not due on but this time im losing more blood then normal plus having some pains in that area aswell as in my back, ive suffered with low platlets 10 years ago and had 2 have blood transfeshens, im a little worried as what this might be, im 28", "output": "Hi. Thanks for your query. If you are really worried, you should have visited the Gynecologist and /or a Surgeon and get the lump excised as this is at such an important part of body, and now you have an additional problem. The excessive bleeding and other problems do not look to be related to the lump in vagina unless it is cancer or so, which has spread to the pelvis or so. Go for an early diagnosis. Ultrasonography of the lump and abdomen/ FNAC and excision biopsy to be done ASAP." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doctor, I am an computer engineer and is working, I am 39 years old, two days back I have developed a back pain, which is around the stomach belt and previously I had this sensation of something coming down from stomach, saw from net that it is a symptom that problem on uterine position for whcih I have not met gynaecologist yet, also recently I had big cough and that time noticed that while coughing urine is leaking, are these three problems related ? Please advise what to do ? I am a mother of 4 year old and had caesarian at that time. Thanking you in advance for your help", "output": "Hi, The back pain is most probably not related to the other incident where you violently cough and experience urinary incontinence. However, you need to talk with your gynecologist/ urologist about that incident as it could be due to sphincter weakness. The back pain on the other hand is common in people who have jobs involving sitting for prolonged periods of time. You need to start exercising more to strengthen your back muscles and also avoid lifting heavy weights. You also should avoid sitting for long periods i.e >30 minutes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have swollen knuckles and wrist and swollen tendons in both arm with redness following also have swelling on back of my head where spine connects also on both of my sides and upper chest area and on the bottoms of both feet usually on the ball of the big toe and my heel and between on the pad of my my toes and with all this comes with itching to but it doesn t really itch when I scratch it. And in my groin area lots of swelling and it s turning purple. These thing can move or go away in a couple of days but this has been going on for about 2 weeks and now.", "output": "Hi, thank-you for providing the brief history. As per the history this looks more of either of the condition like RA or a nerve root entrapment for which we need a thorough clinical examination and some diagnostic tests to confirm the diagnosis. As this is just the beginning we will be able to assess it at the earliest and guide the proper treatment. Usually with RA or Nerve entrapment with a combination of Chat Doctor. Regards Jay In" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, Im currently experiencing pains (5days now), around my upper left chest and left shoulder blade. I dont feel pain while just walking or sitting. I can even run 2 miles with no issues. However, when I move a particular way, I feel a slight pain within my chest. If I press down on one area, it feels bruised. When I cough or breath in very deep, I also feel pain in my chest. Please give advice. Thank you!", "output": "Welcome and thank you for asking on Chat Doctor! I have gone through you question carefully. Since your pain does not increase with exertion . It is unlikely to be cardiac. Pain increasing with inspiration and having tenderness on pressing ... points out to muscle pains . Rarely it could be related to lung problem. Your pain should decrease with a weeks course of analgesics. Hope you will find this answer helpful! Wishing all the best, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dizziness, not unbalanced,gagging (dry heaves)Dull Headache radiating from shoulders up,abdominal pain (cramping)leading to loose stools (All day )Feeling of hunger in belly even if food was eaten,feeling satiated for4 short time ,maybe an hour, then hunger is back .. About 4 days now,last 3 with abdominal problems ,,day 1 was dizziness and retching ( dry heaves )", "output": "Hi, Thanks for posting your query. With the available described details, there could also be possibility of acute viral gastroenteritis. Headache and dizziness could be pro Chat Doctor. Dizziness could also be due to fatigue caused by potassium loss in recurrent vomiting. You should consult with internal medicine specialist/ gastroenterologist and should go for thorough check up. You should also go for complete blood count, urine routine microscopic examination, and serum electrolytes, renal function test. You should take complete antibiotic therapy, antispasmodics, anti-emetic, probiotics, antipyretic, if needed. Furthermore, you should maintain your HY" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "What does mild to moderate left greater than right pontine chronic ischemic changes, and mild right frontal leukomalacia which is related to chronic small vessel ischemic disease but no acute infarction or mass on MRI really mean. My 65 year old mother has had numbness and decrease in grip in left arm and hand since going to ER", "output": "Hi, Thank you for posting your query. MRI brain findings as described, in your mother, are suggestive of decrease in blood supply to certain parts of brain, also referred to as brain stroke. Her neurological deficits such as numbness and weakness are a result of that. Treatment would consist of blood thinners such as aspirin, control of risk factors such as high BP and sugars, and physiotherapy. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI, My mum is really Ill and we don t know what has happened to her. We took her to the problem but the doctor said everything was fine when it wasn t. My mum said she feel like a needle is poking on the back of her head. she cough alot and sometimes coughs up little blood. She also suffers from headache and her neck hurts when she gulps or swallows anything and literally cannot speak properly. the left side of her eye is red and tears keeps on falling, but is normal on the right side. When it is day she seems roughly OK and the symptoms usually happens on night.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. She is having chronic cough with hemoptysis (blood in sputum). And these symptoms are commonly seen with 1. Bronchitis 2. Lung infection 3. Lung cancer. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. PUT (pulmonary function test) for the diagnosis of bronchitis. 3. Chest x-ray to rule out lung infection and lung cancer. She mayor need antibiotics, inhaled bronchodilator and inhaled corticosteroids (ICS). Don't worry, she will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am having typhoid... I have follow the prescription of the doctor around 12-14 days & also visited to the doctor thrice ...but now it has 6 days gap & I could nt visit to my doctor....Does a blood report is enough to know the status...how do I come to know that my typhoid is over & what should I do so that it wont come back...one more thing does the recovery of hair is possible??", "output": "Hi thanks for contacting Chat Doctor... Noted you have typhoid since 14 days... Which antibiotic you have given ??? For its clearance confirmation blood or stool culture done... Follow up to physician done for at least month.... Here for few days follow these advice.... More fruit juice Soft and bland diet. Egg protein and pulse useful. Outside food and junk foods avoided. More water. Small meal at frequent interval.... Hair loss in typhoid is reversible....after resolution of infection.... Take care. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doctor good morning , i am form nepal , i have just come back from Denmark before one year to do my own business . i have started my business here,it happen 10 month but now i realize that i have done big mistake to return back nepal. because my business is not going on well. i am not getting support from family also . so now a days im totally depressed , cant sleep properly, and decreasing my confident level .one of my brother also have depression and he is using nexito 10. and he is doing very well now a days so i have decided to having same please advise me it makes me good or do i need to have some more treatment thanks", "output": "Hi, Going through your query, it definitely seems you are suffering from depression. Next (Escitalopram) is a treatment of depression. But I would strongly advise you to meet a psychiatrist before you start the medication. The dose of Escitalopram may need to be adjusted later on. In addition, you have to remember that you will have to continue Escitalopram for some months even after complete recovery in order to decrease any chance of relapse or recurrence. Best Wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hellow doctorMy baby is 3 months old n past few days she has been vomoting and loose motioning after every feedI took her to my pedtrcn he has given me medcation for loose motion and stop vomit that has actually worked but fot the loose motion it still doesnt stop", "output": "As you have said your baby has diarrhea and vomiting, first the number of episodes of loose motions is very, very important factor in case of child Chat Doctor. You can give him syrup nor-metrogyl or syrup O2 2.5 ml twice daily for diarrhea along with syrup vomiting or syrup ondansetron 2.5 ml twice daily for vomiting with some probiotic like sporadic sachet one at least twice daily. Last but not the least, don't stop to breastfed her continue it as many times as your baby wants." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doc,i had an abortion 4 months ago,there was very little bleeding and i got medication to prevent infections....4 months later,i have under gone treatment for an infection because of the chronic mild abdominal pains and my urine tests had protein and pus in it ...the abdominal pain persists..wat could be causing this and can i continue with that treatment!", "output": "Hi ! Good evening. I am Chat Doctor answering your query. If I were your doctor, I would advise you for a urine culture and sensitivity test to know the exact antibiotic to be used for a cure of the infection. The complete course should be taken. At the same time I would examine your abdomen clinically and with an ultrasound if need be to rule out any other intra-abdominal pathology. Till then, you could continue the treatment advised for you. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am a 52 y/o woman, I was bitten by a dog on my leg I have a huge hematoma and I would like to know how to care a hematoma when you are a diabetic. I was diagnosed with type II diabetes a couple of month ago and I am still learning about the condition", "output": "Hi, Thanks for asking. Based on your clinical history and query, my opinion is as follows:1. Hematoma is collection of blood outside the blood vessel.2. Depending on size, it will take up to two weeks to disappear. 3. Diabetes, if not under control, infection risk is high at site of dog bite.4. Rabies vaccination is essential, especially if dog is not vaccinated. Antibiotic cover is necessary due to diabetes infection risk. Hope it helps. Any further queries, happy to help again." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Can I give Tylenol or Motrin to 2 year old after I gave her Kids cold & mucus relief homeopathic syrup (2.5 ml). She had a fever still after strep thrust diagnoses early Thursday morning ... it is Saturday night now. Has lots of congestion and runny nose. Been to ER twice", "output": "Cellophane for choosing ChatDoctorI appreciate your concern, if this is the febrile state of child means the body temperature is more than 100 F then it is most advisable to give Acetaminophen (Tylenol) but here I would like to point out that it is better to control the temperature with cold sponging first and if it fails to work then you can try antipyretic medicine (Tylenol) second and most important is to treat the underlying cause of fever, in your case it could be just allergic condition and may not require any vigorous treatment, just take care for HY Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had abdominal pain for the last three years. It only happens if i have been lying down for 5-7 hours. I have had all the gastro tests and all came back normal. i have tried every acid reflux , antacid , etc. med so i am sure (as is the gastro) that is not acid reflux. The symptoms have gone away for 3 or 4 days, but then come back. They go away about 15 minutes after i awake. I am 42 and 170lbs in very good health.", "output": "Hello, The abdominal pain which occurs while lying down is usually due to acid reflux. You have not mentioned the site of the pain. Usually this will be in the upper abdomen in the midline region and usually associated with burning sensation in the chest region. In severe cases patients can have cough also due to acid reflux. You have mentioned that you had got all the tests done. You have not mentioned whether gastrostomy was done or not. Because only in gastrostomy we can see the Lax hiatus and hiatus hernia. Sometimes even the gastrostomy might be normal and still you can have pain. This is known as non ulcer dyspepsia. You may also need to get your acid output levels. My advice is to avoid large amounts of food intake at a time. So in a day you can have small amounts of food but many times. Avoid spicy and fat containing foods. Do not lie down immediately after having food. The head end of the bed needs to be mildly elevated. And also consult a gastroenterologist so that he can prescribe some medication." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I ran into a metal chain last night around my waist, i had a tetanus shot 8 years ago when i was 12. i had some cuts along my waist, none of them were deep they just took off my skin and bled a little bet, do i need to go to the emergency room or doctors and get a Tetanus shot", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have cuts on the skin with iron metal chain which can cause infection as well but as you had tetanus injection in past 10 years, you need not worry about it. No need to go to emergency room as you are already immunized with tetanus shots. I would suggest you to take a booster dose of the tetanus injection within 24 hrs of the injury after visiting physician clinic and after complete examination by physician. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am on the pill and have been prescribed fucidin cream to treat a skin infection. my doctor told me it was an antibiotic but did not mention my pill and it doesnt say anything about it in the leaflet that came with the cream. is it just oral antibiotics that affect the pill?", "output": "Hi, Fucidin (juridic acid) is a topical antibiotic commonly used to treat skin infections caused by susceptible bacteria. It is only the oral antibiotics which may reduce the contraceptive effects of the pills. When applied locally on the affected area of the skin while on contraceptive pills, funding does not affect the pill. Take care. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m a 26 year old female. I m 15 and a half weeks pregnant. I was diagnosed with Herpes 1 and 2 recently. I don t think I ve had an outbreak although I have what I think are hemorrhoids since I ve been kind of constipated. Two days ago I got a bump on my upper lip. It s on the outside and goes from my upper lip onto my actual lip. It almost looks like a bug bite. It s numb and doesn t itch. I ve just been putting chap stick on it to keep it from drying out. Could it be an outbreak? Also, how can I tell if what I have are hemorrhoids or an outbreak?", "output": "Hello and welcome to Chat Doctor. A single bump on upper lip is not a classical symptom of either Herpes 1 or 2. Still I would recommend that you visit a general physician at the earliest to rule out any infection. The bump is in what is known as \"The dangerous area of face\". There is direct vascular link with this area and the blood vessels of brain. Any infection in this area of face can lead to meningitis. Please do write back if you have any more queries" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "a 55 year old male presented with a non productive cough, muscle aches, chest pain, and fever. chest xray: lesions in lungs acid fast stain: negative for acid fast organisms no bacteria were isolated paitent history: operates dirt moving equipment outside of phoenix, AZ what is your diagnosis? this disease is often referred to as?", "output": "Hello,First, no need to worry about tuberculosis as his AFB (acid-fast bacilli) is negative. Since he was worked with dirt, the possibility of occupational lung disease (silicosis) is more likely. So, it is better to consult pulmonologist and get done CT scan of thorax and bronchoscopy. This will be more informative for diagnosis. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a diabetic Occasionally I have a burning sensation in my face neck and body It will pass in a few minutes These events occur with out warning This event occurred to me while eating lunch today My fasting bs today was 147 I checked it during this event it was 202 I was also eating lunch Does this nerve tingling and heat sensation have a meaning that I can take corrective measures to prevent?", "output": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Such burning sensation in diabetic patient is known as diabetic neuropathy. It has no relation with recent blood levels, but it has relation with long-standing blood sugar levels. There is no treatment once this neuropathy develops, but you can prevent from further development. To prevent it from further progress you have to maintain strict glycemic control. This will prevent the further neuropathy development. Vitamin B complex, poly unsaturated fatty acids are neuroprotective and help improve the situation. Please take it under your doctor guidance. You can take cetirizine, paracetamol for temporary relief of the situation. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear doctor, my sister was recently pregnant with her third baby. Due to loss of platelets, she lost the baby. Since then, she hasn t been able to got her dental treatment done because doctors want a rise in plateletes. Currently, she is taking a very bitter Unani medicine which is helping her. But her hemoglobin level has decreased. She has tried every home remedy ranging from kiwis to beetroots. We live in Saudi Arabia, Jeddah, where we don t have hematologists. Could you please suggest something that would give rise to both hemoglobin and platelets? Thank you.", "output": "HI, I understand your concern. * In pregnancy blood HBO count is decreased due to increased demand of blood for circulation of baby so, sudden increase of blood occurs by dilution - thus making less proportion of red blood cells in blood. This is aggravated by less intake or absorption of iron, folic acid, vitamin B12. - Bleeding due to any cause may add to anemia of pregnancy. - It is treated by iron, folic acid, B12 supplementation/ blood transfusion if needful. *Low platelet count after 6 months of pregnancy is seen in 6%- 8% of patients. & it comes back to normal after delivery. Persistent or early onset of low platelet count needs to be investigated for its cause. It may because related to pregnancy like toxemia of pregnancy / non pregnancy related causes like autoimmune diseases, enlarged spleen/ after certain viral fever. After finding the exact cause, treatment is given to treat the cause/ in form of blood or platelet transfusion/ certain Chat Doctor. ** I would advise you to consult a hematologist (maybe in adjoining town- to assess your health & the advice treatment, for it's not proper to advise blindly in such a case. Please don't panic, such problems do occur, & are solved with methodical treatment. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi um Ive been know to have panic attacks but they havent happened in over a year. and just a few days ago when I was trying to fall asleep I got this really bad burning feeling at the back of my head and thought nothing of it until I was falling asleep and felt my breathing start to change and when I was falling asleep I would jump up in panic with rapid breathing and its been happening for the past few days", "output": "Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. It seems you are having panic attacks, and you certainly need treatment for the same. There are two types of treatment. First is the cognitive behavioral therapy which involves 8-10 weekly session of 20 min each. They will try to change your way of thinking. Along with CBT, you will need some medications like paroxetine or clonazepam or propranolol. These medications need to be taken for 8-10 months to get you feel better. All said it is treatable. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "good day my daughter 3 years old have a white spots at her mons pubis at first when she was 6 mos theres a small spots in her mons pubis but years goes buy i observed that its spread through out its mons pubis its not painfull and looks normal but still theres a white spots on her skin what is this doc?thanks", "output": "Hi... Thank you for consulting in Chat Doctor. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Joceil Sanaco. 25 y.o. 411. 38kg. Ive gone an operation of soft palate in the year 2002. I have just received my result of plain CT Scan. Negative finding for brain yet there is remarkable of Poly Sinusitis affected from left ear and nose. May i know What Poly Sinusitis really about and how did i ever have that kind of sickness??", "output": "HiT hank you for asking ChatDoctorI have gone through your query. Poly sinusitis is the inflammation of multiple sinuses at one time. The other term we use commonly for this is pan sinusitis. Usual sinus which is affected commonly is maxillary sinuses on both sides of nose. But others like frontal, sigmoid and ethmoid sinuses can be affected at same time also. Irrigation of sinuses, using nasal decongestants, anti-inflammatory Chat Doctor. If that is not helping then endoscopic examination and correction might help. In some cases surgery will be needed. Hope this may help you. Let me know if anything is not clear. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have been feeling very dizzy for two days and blurred vision sometimes throughout the day, I get numbness a lot on the left arm and mild numbness on the face today left side aswell, also finding it hard to walk up stairs as my legs feel weak and today I am also feeling breathless", "output": "Hello, Your symptoms could be related to a possible stroke (especially the numbness in the left hand and left side or your face). For this reason, I would recommend going to the ER for a physical exam, a brain CT scan and some blood lab tests (complete blood count, PCR, ESR, blood electrolytes, fasting glucose). Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi Doc, i was diagnosed with paracadiac pneumonitis 6 years ago and given some treatment which i have continued taking as well as avoid the aggrevating factors. But the problem has refused to go away. Please advise on whether I should try herbal medicine or what should i do because sometime it get severe to the extent that i expireince complete breathlessness", "output": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of bronchitis is more. Bronchitis is common after lung infection like pneumonia and can cause breathlessness. In my opinion, you should definitely consult pulmonologist and get done clinical examination of respiratory system and PFT (pulmonary function test). PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment is based on severity only. You may need inhaled treatment. Yes, you can try herbal medicines, no harm in it. But first consult pulmonologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a hard lump on the inside of my thigh, it looks like a insect bite, but it had a dark center. when i popped it only blood came out. it doesnt itch or hurt, though it is tender to the touch. should i be worried? or is it just an insect or arachnid bite?", "output": "Hi.it is best if you consult with a doctor, preferably a general or an orthopedic surgeon, for clinical evaluation. There are a lot of possibilities including benign cysts, fibrosis or lipomas. Malignant tumor lesions should also be ruled-out. Diagnostics such as x-ray, MRI and a tissue biopsy may also be recommended. Management (medical and/or surgical) will be directed accordingly. Hope this helps. Good day!!~ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My Husband had a spiral CT scan done to detect cancer. A spot showed up in his lung and liver, he then had a PET scan done which only showed the lung spot. He had successful lung cancer surgery. Now the spot on the live has doubled. Because it was present but did not show up on the PET scan can we be optimisic that it is not cancer but something else?", "output": "Hi, dairy have gone through your question. I can understand your concern. Your husband has history of lung cancer, and he was treated successfully. Now spiral CT scan shows spot on liver and lung. But his positron emission tomography does not show any spots on liver. There is chance that it can be due to metastatic lung cancer. You should keep close watch on that. If it is increase in size then USG guided FNAC or biopsy should be done to confirm or rule out the diagnosis. Then he should take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am 26 yr.old. before 2 month suddenly i feel like a whistling in my ear and quickly i was not in my sense for half hour and after 1 month it repeated again and after passing 2 days it repeated again 4 times in a day but not fully. my hand and face was looking as its going round after this i was feeling sickness and pain in my full body. my CT scan and MRI are normal and no genetic problem.i dot know i suffered from epilepsy or not. please suggest me this time i have not my report here my emeil is YYYY@YYYY", "output": "Hi, Thank you for posting your query. I agree with you that your symptoms could be suggestive of epilepsy. It can be diagnosed on the basis of history, and EEG (electroencephalography). There are several good medications such as oxcarbamazepine, sodium valproate, etc. for relief of epilepsy. Please consult a neurologist for detailed evaluation. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i have had a tight chest for a week now. i went to the gym today and found my chest very tight on exertion and i felt nausea and lost my sight then hearing for a short time. when i got hame i went straight to bed and fell to sleep straight away i slept for about 30mins. i felt alot better after that but i am now still a little tight in the chest with a headache. i am 29 years of age am fit and eat well.", "output": "Hello rearward welcome to Chat Doctor.come have evaluated your query thoroughly. Hope this clears your doubt . Wishing you fine recovery. Welcome for any further assistance. Regards take care. Hello rearward welcome to Chat Doctor.come have evaluated your query in details .* Though you are fit, but the chest tightness on exertion is due to your low tolerance level to exercise. Hope this will help you for sure . Wishing you fine recovery. Welcome for any further guidance. Regards ." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my name is Jenny and I suffer from terrible anxiety, I have had funny things in front of my eyes for the past 8 or so years, they only seem to come when Ive been reading something and are noticeable when I blink. My I have glasses for reading and glasses for distance, I have been to an eye doc and he says everything is normal, I get scared and think I might have something horrible like a brain tumor.", "output": "Hi Jenny, I can see why seeing the funny things in front of your eyes has made you anxious and fear about a brain tumor despite assurance from your eye doctor. I would want to reassure you regarding the same, because a brain tumor is a serious problem that manifests with wide range of symptoms. It presents with prolonged headache, vision blurring, projectile vomiting, seizures, significant body weakness or stiffness, loss of consciousness or speech difficulties. There does not seem to be reason to believe that you could have a tumor in your brain. I do not know if the so-called funny things are mere artifacts in the eyes that appear magnified when seen across bright light, or if they are just flashes seen with closed eyes after a tiresome reading. The good news is that, except for the glasses you use, your eye doctor has ruled out a problem in your eyes. Hence, do not worry about this problem. I think you may try washing your eyes with clear water regularly and taking breaks from reading, during the regular use of glasses daily. If this still does not allay your fear, you may get an investigation of brain-scan (CT) done for your own satisfaction. However, it is not recommended in current scenario. Hope this answers your question. Happy to help if any more queries." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "In the last couple of days I have had a sudden burst of pimples on my chin. More painful and red then normal. Yesterday I noticed what seems like a swollen gland under my chin. My throat doesn t hurt at all. Is the swollen gland due to an infection with the pimples? What can I do forth is?", "output": "Pimples are blocked sebaceous glands in the skin which when get infected become painful and red. These are generally blocked by excessive oil secretion by skin which forms a plug with dust, debris from rejuvenating skin. The treatment should be frequent washing of face to wipe out excess oil, Suffer soaps are having good detergent and antiseptic qualities for the same. You can apply an antiseptic cream or a Pimple cream like Clearasil Or CNIL on the pimples. Avoid using any cosmetic on face. And protect face from sunlight. If the problem persists consult your local dermatologist." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a low iron count and several months ago was put on a Prescription dose of iron once a week, I took it for 3 wks & was having great dizziness to where I could not even Drive. I talked with my DR he told me to stop taking it. Since then Ive taken nothing. For the past three wks I have been very tired & no matter how much I sleep feel like I can sleep some more. I have Osteopenia & should be taking Calcium also. Is there a safe dose of this Iron I could take that would not cause me dizziness & how should I take it? I no longer have medical Insurance. Thank You", "output": "Hi, dairy have gone through your question. I can understand your concern. You have low iron and low calcium level. You should go for iron and calcium treatment. Furthermore, you can take oral or injectable iron according to your doctors' advice. Furthermore, you should also take calcium and it D3 tablets. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my dad has copd since 2010 he has only had 3 flare ups since being told he has copd but 2 days ago in began having severe pain in ribs area not on heart side that gradually moved up to arm pit and around the back his gap has ruled out fracture due to copd complication he has been prescribed anti inflamatories but the pain still really bad what else can we do", "output": "Thanks for your question on Chat Doctor. I can understand your concern. COPD (chronic obstructive Pulmonary disease) patients can complicate and develop pneumothorax (air in pleural cavity). This can cause sudden onset chest pain which is not relieved by routine painkillers. So better to get done chest x-ray. If chest x-ray is showing pneumothorax then he will need intercostal Chat Doctor. Hope I have solved your query. I will be happy to help you further. Wishing good health to your father. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been taking tri sprintec for about 9 months. this is the first month that i have been sexually active on it. Im supposed to start my period in six days. this morning after i had sex with my boyfriend i noticed that there was a time about of brown discharge. I always take the pills on time and have only taken one late during the first week of this pack. He also always pulls out. what is the likelihood that im pregnant", "output": "Hello, and I hope I can help you today. Even if you had some spotting when you are not supposed to have your period, the birth control pill is effective in preventing pregnancy as long as you are taking it daily. Breakthrough bleeding, which is bleeding while you are taking the active pills, can happen once in a while as a common side effect of any birth control pills. In your case, because you took one late pill during this pack, that may have been the cause of the breakthrough bleeding you experience. In addition, having slight bleeding after sex can also because by chafing in the vagina or on the cervix and also has no connection to effectiveness of the birth control pill. Furthermore, because your boyfriend does not ejaculate inside you, your chance of pregnancy is still quite low from that alone. Therefore, I do not think you need to be concerned about pregnancy in this situation. I hope I was able to adequately answer your question today, and that this information was reassuring. Best wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my husband has a mycobacterium kansasii infection in his hand. We are deperate to find out if they are on the right line of defense. it is in his hand and mostly ring finger. Has had 4 surgeries and is on 4 antibiotics and we wonder if you have any insight to this disease", "output": "Hello, I understand your concern. I am Chat Doctor, infectious disease specialist, answering your concern. It is the species of the Mycobacterium genus. It requires same general principle of the treatment as for tuberculosis. Clarithromycin, Ethambutol, Hifalutin, and perhaps an Aminoglycoside with 12\u00a0months of negative cultures can be treatment of choice. Take this treatment under your doctors' guidance.These bacilli are of low virulence and complete schedule treatment can completely cure the infection. Please maintain the hygiene by frequent cleaning and Chat Doctor. It will help clear up the infection rapidly. I will be happy to answer your further concern you can contact me here, or you can contact me on bit.ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI. My partner has a small lump under his right armpit which is green and looks like a part of a vein. He does a lot of physical work in his job as a gardener but has no other varicose veins and there is no accompanying discomfort. is this something he should get checked out by his GP?", "output": "Hi, dairy have gone through your question. I can understand your concern. He may have enlarged axillary lymph node. It can be due to reactive hyperplasia, tuberculosis, lymphoma or metastatic carcinoma. He should go for examination and if needed to go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my wife is pregnant and is in 5th month. She is hypothyroid after our first baby. Recently, we got her checked for TSH which is on a higher side, probably 10. she is already taking 75 mg of medicine which her gynae has now raised it to 100. We would like to take advise from endochronologist if this is ok", "output": "Hallow Dear, TSH values up to 10 mid are quite high. You have to bring them down to the tunes around 3. Probably she is on Thermoform tablets. If even after 100 micrograms, TSH is not coming down, you have to increase the dose. The dose has to be titrated with TSH values. Please ensure that she is consuming iodized salt. Broccoli, Soda, Cauliflower, Cabbage are certain vegetables which interfere the absorption of iodine. So ask her to avoid them. It is always a good option to have Endocrinologists advice in Thyroid problem. However, please continue on Thermoform in adequate dosage. Low Thyroid functioning may affect the baby and/or pregnancy adversely. So please do not ignore. I hope this helps you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my wife has got her tonsillitis operated since last 6 years and from last 1 year she is getting colds and coughs and it is more effective when she lies to sleep. Secondly I have consulted doctors and have taken Xray of her chest and tested her spits and both the reports showed negative results for TB", "output": "Hello, Welcome to ChatDoctorI understand your concerns. Your wife may be suffering from lower respiratory tract infection which might be of viral origin. I would advise her to take higher antibiotics like 4th generation cephalosporins along with antihistamines like tablet. Cetrizine. Also take syrup. Bricarex for cough 3 times daily. Although antibiotics won't be of much help in viral infections, it will help in preventing the secondary bacterial infections. Hope I have answered your query. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a friend who fell and injured his t 12 . He has radiating pain down his right leg and groin area. He was given a rx for Lortab at the hospital. He is very careful taking them (responsible). He is presently laid off from his job and lost his insurance. Can you advise, i.e., hot compresses, cold compresses, or something he should be doing to help alleviate his pain? Thank you, Gini BALLARD", "output": "Respected sir, I have understood your concern and needs, see your friend has injury in thoracic spine at t12. Its fortune that he is able to walk. OK only tingling and numbness and radiating pain is present. So many people will get both limb paralysis. If he is able to walk and there is no fracture in vertebral column by confirmation of X-ray and CT scan then you can take physiotherapy treatment under supervision of skilled therapist. You need to take traction modality and IT modalities for your pain relief. Once pain reduce after 15\u00a0days you may start with gradually doing mild exercises. Ask your friend to wear belt to stabilize vertebral column. Gradually you will improve. Feel free to ask again. Provide feedback as per convenience. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doc, I would like to know regarding my problem, when I was 23 years old I was diagnosed to ha a tb then I took 6 months medication ... and now Im 47 years old, I dont know if the scar is seen because Im planning to apply permanent residence and medical exam is needed... I dont know if it is active or not because after my medication I was not able to follow up it to my doctor.Is the scar is there? Is there any anatural treatment to erase the tb scar?", "output": "Thanks for contacting ChatDoctorI am sorry to hear that you had TB as a young adult. You are concerned about the scarring that is residual from your TB. There will most likely be scarring which will show that the TB is no longer active. If the X-ray shows that you have new lesions then of course it would be active again. But most likely since you are not having symptoms fever chills cough or blood in your sputum then you are not active Hope I answered you question. Please contact us again with your medical questions and concerns." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Blood test results - high potassium level. Symptoms I have experienced in the last month or 6 weeks are: leg cramps at night, one instance of heart irregular beat followed by sinking feeling then it corrected itself. one morning upon rising from bed my right leg had no feeling, it was as if I only had one leg. No pain associated with this incident.", "output": "Hi welcome to ChatDoctorI have gone through your query and can understand your concern. For your info Potassium is specifically important to your nerves and muscles. All your muscles need potassium, including your heart but if the level of potassium is elevated in your body, many symptoms show up leading to certain diseases. Elevated potassium levels is a matter of concern and immediate medical attention needs to be sought. However, there are certain things one can try at home to naturally lower the potassium levels. Potassium is an important mineral which along with other minerals plays a crucial role in aiding muscular contractions and digestion. . Alteration in the normal levels of potassium can result in several complications. High potassium level in our body can be associated with detrimental impact on the health of an individual. If you get leg cramps, numbness frequently, especially nocturnal leg cramps it could be due to an electrolyte imbalance. Low potassium levels. It is necessary to maintain normal potassium levels in blood. In a healthy state, the body keeps an efficient balance of all the required electrolytes, potassium is one of them. Potassium is chiefly excreted from the kidney, but due to low kidney potential, potassium built up increases in the blood which may result in elevated levels in the blood. Increase the intake of calcium rich foods like Milk, dairy products, yogurt, and cheese. Include them regularly in your diet can help control the potassium levels in the blood. Eat a clove of garlic in the morning and one in the evening, with a glass of milk. It interferes with potassium absorption and ultimately helps to lower potassium level in blood. Chat Doctor. Water helps in flushing out toxins and excess of potassium. However, for individuals suffering from kidney disorders, it is crucial to consult your physician before increasing the uptake of water. Excessive consumption of water in individuals with kidney disorders can result in strain on the kidney which can complicate matters. As our body works as a unit, all factors are related to each other. And main cause for all problems is our weakened Immune system. To strengthen immunity & achieve over all health we need to take proper balanced diet and avoid intake of fried fast foods' tea, coffee and colas. Stop " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a ERCP for removal of bile duct stones followed by removal of gall bladder having a stone.After 6 weeks the inserted stent was removed by a 2nd ERCP.After 15 days I began to have severe pains in the abdomen.Another ERCP was done for removal of sludge/particles from the CBD and again a stent has been put in.The doctor says I hae a lithogenic bile. How can I get rid of recurring stones & ERCP to lead a healthy life?", "output": "Hello, there are a few things which can be done. First, it is not that unusual that patients suffer again even after cholecystectomy and ERCP. It's called post-cholecystectomy syn Chat Doctor. This means some patients still feel pain like with gall stones due to the fact that the main bile duct might slightly dilated and becomes a kind of reservoir so that the bile will stay longer. In the bile duct, becomes thicker and causes pain. So things to do.1) stay with a low fat diet. The less fat you eat, the less bile you normally will produce in the liver, the lesser chance to get thicker bile and sludge.2) when an ERCP is done, a papilloma should have been performed. This is a cut in muscle of the sphincter of the bile duct, so it will stay open to prevent that bile might accumulate in the bile duct and causes Problems.3) Sometimes it might be useful to give medicine like Ursofalk (= Ursodeoxychol acid). This can make the bile more liquid If the pain continues I suggest you contact your gastroenterologist again. Hope I could help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i feel a prickly sensation on the left side of my chest. below my armpit and upper left side of chest aches and center of abdominal pains especially when i eat. weird electric like pains on the left side of my arm from forearm to twitching in my left eye at times. Is this an indication of heart problem or just anxiety. i also feel adrenaline in my stomach.", "output": "Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion you are having mostly anxiety related symptoms. But better to rule out cardiac cause first. So get done ECG. If ECG is normal then no need to worry much for cardiac cause. Anxiety must be the cause for your symptoms. Anxiety can cause HERD (gastroesophageal reflux disease). And your central abdominal pain after eating is mostly due to HERD. So control of anxiety should be done to relieve all your symptoms. Better to consult psychiatrist and get done counselling sessions, try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Avoid stress and tension, be relaxed and calm. For HERD, Start Proton pump inhibitors and avoid hot and spicy food. Don't worry, you will be alright." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 75, male, in general good physical health although currently treated for bladder cancer and having chronic osteoarthritis. Recent blood tests show elevated liver enzymes and I do feel abdomen tenderness and swelling. Obviously, I have attempted diagnosis with my primary PA and urologist. Alcohol use and medications do not appear to be obvious factors and the condition is new. It dawned on me that within the last 18 mo or so I have started using a moderate dose of testosterone cream, fully under medical supervsion. Should I discontinue use? I can t recall any other major recent changes in medications. I am trying to deal with bladder chemo first befor getting into the emerging liver issues..what do you think?.", "output": "Hello, Our liver tests are only slightly elevated. In case of serious liver disease, these values are around 1000. The reason for your results can be a fatty liver which is present for sure if you are overweight. Please note that untreated fatty liver (which is a reversible condition) can lead to liver cirrhosis and liver insufficiency. To reverse fatty liver process, you need to change your diet and lifestyle. Fatty foods, spicy foods, fired foods, painkillers should be avoided. Otherwise, this process will slow-going forward. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. Rammstein, General Surgeon" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I just had my wisdom teeth out in the beginning of the week. It still aches but is okay. But theres hard lumps forming on the outside of my lower jaw on either side. My sister is the same way. what is this? Scar tissue? It prevents me from opening my mouth very wide.", "output": "Hi. Can understand your concern. As per your complaint swelling and lump formation after removal of wisdom tooth may occur due to inflammation which can cause as extraction especially of wisdom tooth is a traumatic procedure. Other reason can be that there may be underlying infection (if infection was the reason for removal of wisdom tooth) which is not cleared off while extraction thereby creating a continuous source of infection in the region and causing swelling. Infection can also be caused if any foreign body or piece of tooth is left in the socket which leads to recurrence of infection. For this I would suggest you to consult your dentist and get an IOP AR (x-ray) done to get ruled out the reason of infection, and it can be treated with antibiotics and painkillers and if some root piece of foreign material is left in the extraction socket removal of same followed by irrigation with HY Chat Doctor. . If inflammation is the reason it slowly gets reduced itself and many a time if painkillers like Ibuprofen, acetaminophen is given it helps in reducing the swelling. In severe inflammation steroids are given to patient. Other part of question is that the swelling or lump on the other side of jaw can not be due to extraction of the opposite side tooth. It may either be due to deeply infected wisdom tooth or due to infected and inflamed gum flap due to food debris deposition between gum flap and partially erupted or impacted wisdom tooth, the condition is called PERITONITIS. For this also clinical evaluation and X-ray can give correct diagnosis. Do warm saline gargles as it will help in easing both the sides of jaw. Medication to be taken after clinical checkup by dentist. Wishing you a sooner recovery. Thanks and regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im 65 year old female and the tingling in my hands arms legs and feet go on all day and night. My fingers on my right hand are starting to cause some pain and itching. I just had a ct and mri of stomach and pelvic looking for kidney problems etc, and I do have a 2cm cancer on my kidney. I read a lot of the internet about the causes, like MS and other neurological problems. I am experiencing extreme anxiety over the past four weeks due to an ovarian cancer scare and the kidney result. I am otherwise healthy, except for acid reflux and high cholesterol. I just started taking lipator and am using dexilant for GERD.", "output": "Hi, Thanks for writing in. If you have got CT scan and MRI scan of abdomen and pelvis that confirms normal ovaries then it is unlikely that you have an ovarian cancer. The 2 cm ?cancer in the kidney is a concern. A 2 cm lesion in kidney is a small one but requires complete evaluation and treatment as the report says about a probable cancer in the area. Any cancer can cause symptoms like weight loss more than 10 percent in two months that cannot be explained, generalized weakness and fatigue, swellings in the body, blood counts going down, easy tiredness. In addition, ovarian cancer can cause a swelling that is rapidly growing in the lower abdomen that might cause little pain. It can also cause fluid collection and ascites. At 65 years age it is menopausal so menstrual disturbances might not be present. There are blood tests for tumor markers like CA 125 which tells the likelihood of ovarian cancer in women. Since your report does not say anything about ovaries please do not worry. You should be concerned about the suspected kidney tumor and get it evaluated in detail and take treatment. Your cholesterol and HERD treatments are to be continued. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor, I am suffering ITP disease.I want to any solution from you for this and to improve my platelet count. Please sugggest and help me.I am 29 yrs old female,itp for past 8yrs and have under gone spleenectomy and hysterectomy. My height is 5.3,and weight is 72kgs. Now I am taking wyselone5mg, azaron 50mg 2-0-1,danogen 100mg1-0.I want your-0,vit C,shelcall, folic acid", "output": "Hello, I understand your concern. I am Chat Doctor, infectious diseases specialist, answering your query. In my opinion your treatment is on right direction. If the above treatment is not responding than splenectomy is the final treatment. Spelenctomy blocks the uncontrolled antibody destructing the platelets. So splenectomy improves the platelet count. I will be happy to answer your further concern, you can ask me on bit.ly/ Chat Doctor. Thank you. ChatDoctorInfectious diseases specialist." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My grandfather a 97 year old who had a stroke over 7 years ago, paralyzed on the left side was noticed to have a lump that has grown to the size of a small egg between the crease of his buttocks an thigh. He does not walk and sits in a wheelchair most of the day. He does not complain of pain to the area. He is otherwise alert. Only med is for BP control. What could this be and what is the cause of it?Please help. Thank you", "output": "Hi. It is possible that he has stasis of blood in that area since he's not moving around. Chronic wounds/lesions which later on become ulceration usually start from this. Is there any associated sign and symptom such as pain or bleeding? Other lesion types must also be ruled-out such as lipoma, fibromyalgia or malignancy. It is best if you consult with a doctor for clinical evaluation. Management (medical and/or surgical if indications are found) will be directed accordingly. Hope this helps. Good day!! ~ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my wife is having NAFLD, liver cirohsis and diabetic. She was given udiliv-300 for three times a day. her liver, kidney functions are normal. dose reduced to two per day. I would like to know how long she has to continue with this medicine. Her diet is quite less. her age is 65 years", "output": "Hi, I had gone through your question and understand your concerns. Udiliv (Ursodeoxycholic acid) from the root-word for bear USO, as bear bile contains the substance, is one of the secondary bile acids, which are metabolic byproducts of intestinal bacteria Chat Doctor. It would have been great had I examined her on my own. You see, she is suffering from Nonalcoholic Fatty liver disease, cirrhosis. So, she will need a lifelong support of Ad\u00edlio. The dose will be titrated by your doctor depending on the liver function reports. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing your wife good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had Bell s palsy twice now and I am only twenty years old. .. shoulld i be concerned. her doctor mention something about shingles but she has never had a rash or anything that i looked up even look like the shingles never mind this is not free", "output": "Hi! How are you? Bells palsy (facial weakness) is caused by a number of conditions. Most of the time the underlying cause is not known. For the recurrent attack it is due to the viral infection-shingles (herpes simplex) affecting the nerves supplying the facial muscles. The virus resides in the nerves quietly, whenever there is compromised immunity or change of weather, stress it causes the nerve damage resulting in facial weakness." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 9 year old son is complaining of sudden sharp pains on his left side, traveling up his sternum. He also says he feels like his heart is going to beat out of his chest at times. In the last 2 days, he s had frequent urination and no BM. Should I be worried?", "output": "Hi thanks for contacting Chat Doctor... Noted your child is complaining sudden chest pain with like heart beat out of his chest.... So here get your child examined for blood pressure checking... Auscultation done for heading any murmur of heart sounds....following investigation done....-Echo -ECG-Chest x sometime some congenital heart disease might lead it... So above work up done... Excess stress or more fluid Chat Doctor. . If frequent urination remains then further work up done for it... If no cardiac or respiratory cause present(by above investigation) then it might be simple musculoskeletal pain.... Take care... You can consult physician for examining your child......." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor I m getting slight or very minimal tingling or itching kind of sensation in my penis head or tip some time. But i m getting it often & it is very minimal though. Also every day morning if i rub my penis under the fore skin white paste kind of thing going away but no pain or anything. There is no other issues in my penis. I m really scared because i have had unprotected oral sex & protected vaginal sex with escort couple of month ago. Please help me should i be worried about any serious health issues??? Please help....", "output": "HelloYour findings may indicate fungal infection. You may need clinical examination and investigations. You may need routine hologram, random blood sugar, urine RE/ME. Gram stain and culture of discharge material can be done. You may need local application of clotrimazole. It can cure fungal infection. Antibiotics may also be required after clinical evaluation and investigation report. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am Amita, age 25, working in corporate, having some allergic problems since 2009. Dr. said that I am at the initial stage of asthma.I found esnophillia in my blood check up.earlier i need to take Aerocort Rotacap sometimes when i had shortness of breathing. Now i used to have Rotahaler 2 times a day.I am worried ,please help n suggest me some good n long lasting treatment, Please", "output": "Hi, From history it seems that Having Eosinophilic is main cause of having your asthmatic attack. Go for treatment of eosinophilic, and you will be alright. Go for Tablet Diethylcarbamazine (DEC) course for 7 days after consulting your doctor, and you will be alright.Meanwhile, continue for symptomatic relief treatment. Try to find out the cause of having eosinophilic like worm infestation etc. Ok and take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Almost a year ago my husband had a widow maker. Now he stays tired and sluggish and just not the same as before. He said that one of the things he remembers is the Dr. told him about heart function loss. It was either 40% or 60%. My mother-in-law said that she read somewhere that he would probably not make it a year. Please tell me this is not true.", "output": "Hello! Welcome and thank you for asking on Chat Doctor! I would explain that heart failure is a clinical syn Chat Doctor. These EF levels are not too low. Does he have shortness of breath? Is he able to take care of himself?Besides, if there is an optimal therapy, he may live much longer than a year. You should discuss with his doctor on the possibility of optimizing his actual therapy, try diuretics to avoid fluid retention. From the other hand, it is important to determine the function of his other organs. So, I would recommend performing some other blood lab tests: - NT pro BNP for heart failure-complete blood count for anemia-blood electrolytes- kidney and liver function tests-fasting glucose. Hope to have been helpful! Kind regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi so I think I got a yeast infection from my girlfriend cuz we had sex and the next day she notice it... But I ve been reading about it online and I m not to sure how to cure it with out going to a doctors cuz I don t have time. There are red spot on the head and on the inside of my foreskin too there not that many but I m still worried. I ve been use vagisil for the past day (today will be the second day) and it doesn t seem like it s working so I m not sure if I m using the right product or not and I was also wounding what would happen if I left it be and just showered and washed it everyday cuz it doesn t bug not one bit it s just the red spots make me worried.", "output": "HelloThanks for query. Based on symptoms you seem to have acquired infection of the glans penis (Atlantis) after unprotected sex with your girlfriend. You need to take broad spectrum antibiotic like Definite along with anti-inflammatory Chat Doctor. Along with topical antibiotic ointment like Newsprint twice daily. Ensure to wash your genitals with warm water twice daily. Ensure to avoid sexual encounters till it heals up completely." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello sir,I am rohit singh from bokaro jharkhand and I m 18years old sir my problem in chest they are paining in the right sided and middle also and I was a very scared about my chest problem. There fore a I ve also treated but Dr said to me they are normal and I ve taken xray,ecg but in this report they shows the normal but I want to know if they are getting the normal report so why should they are paining day by day.... So I request you to please give me answer to me.I am thankfull to you.... I want to get a answer today sir...", "output": "Thanks for your question on Chat Doctor. I can understand your concern. First, no need to worry much for any major cardiac or Pulmonary diseases because you're all reports like ECG, chest x-ray are normal. Possibility of musculoskeletal pain is more. So start painkiller and muscle relaxant Chat Doctor. Avoid movements causing pain. Avoid bad postures in sleep. Avoid strenuous exercise and heavyweight lifting. Apply warm water pad on affected areas. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 52 years of age and live in Alaska. I had blood work done, but not sure if I type 2 Diabetes is my problem, because of the results I received? I am full menopausal and trying figure out what I really need? I just found out my doctor is no longer in practice and trying to find a new one.", "output": "Hi and welcome to Chat Doctor! You have not mentioned what the problem is with your blood report. In general, postmenopausal woman are prone for osteoporosis and heart disease. Uncontrolled Type 2 diabetes in the long run can lead to complications like weak bones, ischemic heart disease and others. You do not have to worry as postmenopausal might increase the risk. Keeping optimal blood glucose under control, vitamin B12 and vitamin D supplements, taking medications regularly along with lifestyle modification will have good prognosis." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi there Doc, sounds silly but my granddaughter bit me on my neck, didnt puncture any skin, but we can see where my vein runs and she bit in the middle of it, and now two good sized lumps have formed, plus another one is forming above the two still going up the vein. Is there anything to worry about the pain is very intense and movement starts of like shocks up into my neck and skull and gets too intense to talk. Please advise.", "output": "Hi, dear. I have gone through your question. I can understand your concern. You may have hematoma or phlebitis. You should consult your doctor. Furthermore, you need anti-inflammatory plus analgesic Chat Doctor. Take antibiotics if needed. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was sleeping and I was woken up with a cramp like feeling in my upper abdomen..and my heart was beating faster then normal..I have apnea but do not have a mask and I have a lot of indegestion and stomach issues but this felt different..just felt like something more was wrong.", "output": "Hi ! Good morning. If I were your doctor, I would advise you not to eat any food from outside if you do. I would then get your stool tested for ova and cyst to rule out an intestinal infection, and treat it if positive. If all are normal, I would not hesitate to go for a thyroid function test for you considering the history of faster heart beats. Further management would depend on the reports of investigations. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a root canal about 5 years ago, not exactly sure. Ive been having a toothache there lately but its not severe like it was when the tooth was infected before the root canal. I can feel a slight gap between my gums and the cap and its been very sensitive. Does this sound like it could be a serious problem?", "output": "Thanks for your query, I have gone through your query. The dull aching pain in the root canal treated tooth can be because of the gum infection secondary to the deposits. Since you are telling, there is a gap between the cap and the next tooth, chances of food lodgment is more, so gums gets infected. The sensitivity can be because of the decay in the adjacent tooth. Nothing to be panic, consult an oral physician and get it evaluated. You need to take radiograph to confirm the diagnosis. Once the diagnosis is confirmed, you can get the teeth cleaned for gum infection and get the tooth restored for the sensitivity. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here... When i leave a certain window in my house open i have Deep nightmares when its closed i dont, sumtimes on the fence outside the window i see a shadow moving then its gone", "output": "Hi Chat Doctor. It is related to sleep. What you experienced it is like illusion or hypnagogic hallucinations which are occurred while going to sleep. It is normal. Nightmares occur rapid eye movement sleep and it is normal. Do not think about it. Benzodiazepine like lorazepam can be beneficial to reduce it. I hope I have answered your question. Still if you have a query then feel free to ask. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I had an appendicitis removed 1 month back by laproscopic surgery, and now my key holes are getting pain and around the key hole the skin became hard. what are the precautions i have to take for this one. can i plan for children now or i have to wait for some time? If i had pregnancy what are the health precautions i have to take?", "output": "Hello! Thank you for the query. In every place of the skin where there was an incision, scar appears after some time. Such process can last for about a year. During that time the tissues in such areas are getting rebuild, so the final scar tissue can be created. Such process can occur as some kind of hardness, however it should not be painful. So if these places are getting also reddish, with some discharge, there might be some pathological process going on. After a month of surgery, it can be a surgical suture which causes inflammatory reaction. It is advisable for you to have that checked by a surgeon. Soft tissues of abdominal wall might be necessary. Sometimes such symptoms may be caused by hernia in the places where incision where done, but this is very rare after laparoscopy. If it is above pregnancy, you should get ruled out any mentioned conditions first. After making sure everything is fine, you can plan your pregnancy like there would be no surgery at all. Hope this will help. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a lump the size of a golf ball cut in half on my left side either at the very bottom of or slightly below the left rib cage. It is not painful unless I touch it, after which there is soreness. It is definitely noticeable and feels tender to the touch. I was taking Synthroid for almost a year to treat my hypothyroidism. However, my insurance lapsed at the same time I was having family trouble and much stress on top of stress all at once and I haven t had my medicine since. It has been around 3 months since I suddenly stopped the Synthroid. I take 1-2 8mg Suboxone films daily and take Clonazepam (0.5mg) for anxiety ONLY as needed and usually before bed. I am concerned about the lump and have not been able to get to my Dr yet. Could this be serious?", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have some soft tissue tumor like lipoma or neurofibroma or dermatofibroma or something else. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Surgical excision is the treatment of choice. Consult your doctor and take treatment accordingly. Continue your Synthroid and clonazepam according to advise. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi: If I fall asleep with my hands in a clenched position tingling and numbness set in and it wakes me. But if I keep my palms open and flat I m fine. This just recently started. Also at nighttime, my feet get itchy but I have no rash or skin problems - could these two symptoms be related and do you know what they re from?", "output": "Hello, Tingling and numbness in both hands most likely cause is cervical disc compression. All the sensory nerves to the upper limb came from spinal cord in neck (cervical) region. So, compression of those nerves leads to sensory disturbance in upper limbs. Less likely cause may be peripheral neuropathy. Diagnosis can be confirmed by doing MRI of the cervical spine. It gives detailed information about nerve roots and spinal cord. It can be done from radiology center nearby you. Meanwhile, start tab Regain x 75 mg one at bedtime and tab vitamin B12 1.5 mg one at morning. You need to consult orthopedic surgeon nearby your area with report. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ive had on and off for a few years pain that starts in neck goes down left side into my arm and down to above my left hip. Im at computer most of the day and the pain usually gets worse. I get episodes about every few months and they last from a week to longer. Im taking Advil but seems not to work sometimes. Its not heat attack so please dont tell me to call 911. Last couple of days very painfully. Sometimes I ice that area sometimes moist heat. I would like pain to go away but doint like medications. The last episode a osteopatChatDoctorpletely helped. I have called an osteopath and a local neurologist foe appt but in the meantime Im interested in an opinion on what to take for pain besides 3 Advil a couple of times a day. One more thing sometimes I have days with no pain at all. Like every other day. Why is that? Im a healthy senior female age 76. Eat good and exercise. Is it nerves or arthritis?", "output": "Hi, I have read your problem. You should not sit in front of computer for more than one hour i.e. after every one hour you should take a walk for 10 mins. I am very much impressed to know that you work at 76. You may have nerve compression. You must get x-ray of cervical spine in AP and Lateral view and x-ray lumbosacral spine in AP and Lateral view done. Send us report or discus it with your doctor. Apply hot packs in neck and lower back for 30 mins in morning an evening. Alone Advil will not help you. You may discuss your doctor for lornoxicam and muscle relaxants. I hope you have got your answer. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hey..when i excercise or move around lately too much..my legs arms and pressure in my chest with heavy breathing..and its very bad..lately..and ive noticed this last year..when i ate that spicy chicken..or i drank that redline energy drink..so i do not know what is this..maybe it caused it when i did either one of those things", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Chest pain Anderson breathlessness one exertion are seen commonly with heart and lung diseases. So consult doctor and get done blood pressure monitoring, ECG, 2d echo and stress test (trade mill test) to rule out heart diseases. Get done chest x-ray and PFT (Pulmonary Function Test) to rule out lung diseases. If all these are normal then no need to worry about heart or lung related diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have known for years that I am allergic to uncooked flour (like what they put under the dough before baking a pizza) if t touches my lips , I would get a rash . But if I used a knife and fork and was careful not to brush my lips, I was fine. Now, I am wondering if I am allergic to beer. Last night I drank two pale ales and coughed for hours. Tonight I only had half of one and can t quit coughing. Is this allergy? My sinus also feels congested and runny and my throat is a little itchy. I think the first two are normal with alcohol?", "output": "The best way to know if you're allergic to something is a test called skin prick test. It is a test in whicChatDoctormon allergens are introduced on your skin.if you are allergic you will develop rash on that area. This test is done by immunologist or allergy specialist. Once you know you allergic to something you can avoid it.a person be allergic to anything.if your symptoms repeatedly happen after Chat Doctor. .beer is made from wheat and other cereals .also flour used in dough is made from wheat or other cereals. Therefore you get your allergy test done for food items . Then you vs be guided by the allergy specialist." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am having pain on the left side of my mouth.. I have a sensitive tooth and here in Brussels the temperatures are very low to -15 degrees. So it seems to be induced due to the cold. Can I use Meftal Spas as a pain killer for the time being till I get a doctors appointment ?", "output": "Hello have read your query. First of all what is the reason of your tooth sensitivity. If its due to action or ablation application of a dental sensitivity cream or paste can work. If it is due to caries (decay) then you need to get it filled. For time being if the sensitivity is increasing while taking any cold stuff then try to avoid it. If pain is also dear then u CN take metal spas or any combination of diclofenac and paracetamol would be better.BT for you need a dental visit to get it checked where the problem lies. Hope this ans helpsRegards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "If you have a bad infection anywhere in your body, can that make your urination/defecation burning and painful? Ive tested negative for STDs and UTI, but I have a chronic sinus/ear infection that I am trying to treat. Im just wondering if there is a connection. Thank you very much.", "output": "Hello, Welcome to ChatDoctorI understand your concern. As such there is no connection between your sinus infection and burning micturition. They both are different entities.I would advise you to 1. Take good steam inhalation-4 to 5 times a day.2. Antibiotics full course3. Analgesics like ibuprofen for chronic sinus infection. You need to undergo one more checkup to rule out UTI. Hope you are happy with the answer. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have been taking piriton for about two years for bronchiatasis as my doctor said it would be ok but i have decided to stop taking it due to some side effects which were troubling how long does it take to come out of your system and will these other symptoms go away my name is joan and i am 58 years old . dry mouth, stomach problems , also occassional anxiety,", "output": "Hello, The effects develop within 30 minutes, are maximal within 1 to 2 hours and last 4 to 6 hours. The plasma half-life has been estimated to be 12 to 15 hours. You can cope with your side effects as below: Chat Doctor. Stomach problem - it may help if you don't eat rich or spicy food while you're taking portion. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello I have had a sort of period thing.. for the past 6 weeks. it happens every two weeks and for half a day. its brown light and hardly there. I called someone who said i could be pregnant. and i took a digital clear blue test and it came out positive. but then i took 3 other simple ones and it came out negative. im not too sure?", "output": "Hello dear, I understand your concern. In my opinion in case of pregnancy any test should show positive. I suggest you to repeat the urine pregnancy test. This time under doctor supervision. If the test is positive there is likelihood of pregnancy. And the brown spotting can be due to hormonal abnormalities like progesterone insufficiency, thyroid abnormalities, abnormal pregnancy etc. If the test is negative there might be hormonal imbalance which is causing the symptoms. So avoid stress. Relax. Trying the urine pregnancy test first morning urine sample might be helpful.Also, serum BChatDoctor test might be done. And to confirm ultrasound is needed. Hope this helps. Best regards..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 46 yr old women and for a few weeks now I have been having what I call bubbles popping in my chest, just below my breast bone, in the center. They do not hurt just a uncomfortable feeling. I rarely have gas / heartburn and this pretty much happens 6-8 times a day and lasts for 15 - 30 mins. I dont want to be paranoid but it is a very odd feeling. Any thoughts?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description possibility of gaseous discomfort of stomach is more likely. You are approaching menopause age. And during this period due to hormonal imbalance, women tend to suffer from gastritis and heart burn. And this in turn causes such symptoms. So take antacid (pantoprazole) and prokinetic (levosulperide) combination twice daily on empty stomach. Avoid stress and tension, be relaxed and calm. Consult gynecologist for menopause. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My cardiologist recommended angioplasty as the gold standard because of irregular heartbeat ( I have had this all of my adult life. The issue is I am supposed to have 6 teeth pulled and a denture put in place( not implanted) Can I do this safely before and angioplasty or should I have it after. Please advise.", "output": "Thanks for your query, I have gone through your query. If I am your treating doctor I would suggest you to take an opinion and fitness certificate by the cardiac physician before extracting the teeth. If the blood pressure is normal then we can proceed with extraction. You can take prophylactic antibiotics like penicillin. Consult an oral maxillofacial surgeon and get the teeth removed. I hope my answer will help you take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 15 year old boy and I have a problem with my testicles.. yesterday as I was sitting with my friends I felt my right testicle was hurting, it was not serious, so I was not worried when I got home I searched some sites and they said it could be that I have cancer and stuff, the pain does not really hurt that much, but it worries me, anyways I can t talk to my dad because it will be really awkward to go to a doctor and he would have to see my you know.. anyways help please", "output": "Good Day, and thank you for being with Chat Doctor !you may have a varicocele. This is abnormal dilation of the veins in the testis which may cause pain. This can be detected by physical examination and testicular ultrasound with Doppler. I would suggest seeing a doctor to have it checked because it might cause infertility. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: http://www.ChatDoctor .com/doctors/ Chat Doctor. Best wishes" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have a number of about 4 to 6 masses in my lower pevic area. They are hard to the touch but when I press on them I feel discomfort but no pain. It is like I am pressing down on a marble kind of object in my lower stomach , it goes down into the stomach but does not go down in size (so in other words it feels hard to me and not full of air). I also feel the masses when I lay down on my back to try and feel them at a laying down stance. What do you think it is, is it something I really need to worry right now about. What is a anerisum in a mass in the lower stomach about, my friend thinks she is a doctor and tells me I could have cancer or something. Please help, thanks. -Mariann 27years old", "output": "Tithe swellings that you are palpating are Lipomas, swelling arising from fat cells. It is neither Cancer nor Aneurysm. You get one of the swelling removed by your surgeon and send it for histopathological examination(Biopsy). It will confirm the diagnosis. Nothing to worry you come back with biopsy report, i will clarify further. If it is lipoma, there is no medical treatment. Wish you good healthRegards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am having back pain on the right side at waist height. Some days it s worse than others but I have had it quite a few months. It causes me to get headaches nearly everyday and neckache. I am nearly 50, is it just my age or should I get it investigated further", "output": "Hi welcome to ChatDoctorI have gone through your query regarding treatment for back pain & headache. I can understand your concern. Dear, your age 50 has nothing to do with your pains . It seems that your problem may be due to your inadequate posture, inactive lifestyle, and faulty food habits. And in turn, your weakened Immunity Pain can occur due to many reasons, is often caused by an over exertion, in wrong posture , weakening & over-stretching of the muscles between the shoulder blades. This is often as a result of spending too long, too often with your head in the position akin to reading a book that is on your lap. Every day, we are bombarded with toxins in our environment and in our food which is why detoxification is such a critical process in your body. If the detox process is hindered, toxins will build up in your body eventually causing acidity and toxemia. These are the root causes of nearly all diseases. I would like to suggest you to Avoid processed foods carbs, sugar, fried, fast foods, Tea, coffee, alcohol and smoking, sleeplessness stress and Constipation. All produce biochemical and metabolic conditions in your body that will decrease your immunity, So avoiding is definitely first step in the right direction to detoxing the body, boosting the immune system . There is another prominent factor is, gas in our body which causes pains and other symptoms as vomiting etc. To alley pains, Modification in your lifestyle, food habits, is necessary -Include healthy diet as fiber, vitamins minerals, cheese, milk, supplements full of antioxidants, in natural form --fruit, green veges, lemon juice with water and salt and pepper before meals, ginger, garlic, Aloe vera 30 ml, AMLA, Turmeric powder a level spoon + almond oil a Spoon with hot milk, at bedtime, with required work out ---- There is no better option than physical exercise. Walking, yoga - random is the best exercise to begin with, also gives you well shaped body & sound mind and increases your immunity giving resistance from diseases. Albove regimen helps gain resistance from nearly all health problems assuring you disease free life Take Homeopathic Nun Com 30 a dose in the evening and Chamomile 30 / 1 dose at bedtime. Always remember, if pain is severe or incapacitating, please see your doctor / professional Hope this helps solves your query. Take care. All the best. Get well London hesitate to come back in case of any further query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been having very violent and painful muscle spasms in my lower back, hips, buttocks and thighs. When they occur I can hardly stand, sit or walk. I have seen a doc, who prescribed anti-inflamatory pills, muscles relaxants and pain killers, and nothing is working. What do you suggest?", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have severe painful muscle spasms on the lower back, hip and buttock. Well there can be many reasons for symptoms you mention in query like wrong posture, injury, vitamin B12 or E deficiency, nerve compression, disc problem or sciatica. I would suggest you to consult orthopedic surgeon for proper examination. Doctor may order CT scan or MRI to confirm the diagnosis. Doctor may prescribe muscle relaxant, anti-inflammatory, or recommend physical therapy along with vitamin supplement . For now apply warm compresses to back, take ibuprofen or acetaminophen for pain and take proper rest. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi sir i want a query about bleeding gums actulaly sir everyday when i brush my teeth blood comes from my gums. This problem afecting from last 5 or six year nd i ignored all thing but now i think i have to take some precaution so kindly tel me what i should to do and tel can it b fatal diesease mean to say cancer.", "output": "Thanks for using Chat Doctor. Read your query. Bleeding gums is usually to the gingival inflammation (gums infection), the major cause is due to the improper maintainable if the oral cavity. It cannot be cancer unless and until confirmed, so relax and do not worry. I would advise you to visit your local dentist and have your teeth professionally cleaned and polished. Follow the post cleaning instructions and maintain it well to avoid re bleeding. Use chlorhexidine mouth wash for a while. Brush your teeth regularly and do floss. Hope this was helpful. Thanks and regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, my wife aged 42 has been suffering acute dry cough since last two months. FRCS drs. prescribed anti allergy medicine but no result has been found. Recently a chest specialist given the following medicine for treatment stating minor bronchities:a) Tab Gembax - 320 for 1 tab for 5 daysb) Wysolone (10 mg) 1 tab thrice daily for 3 days, 1 tab twice daily for 3 days and 1 tab one daily for 4 days. please suggest your opinion whether the above medicine would give good result or not?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Bronchitis is inflammation of airways. So anti-inflammatory Chat Doctor. Since you already consulted chest specialist and her bronchitis is mild, she will definitely improve with cyclone (prednisone - oral corticosteroid). If she is not improving then she will need inhaled bronchodilators and inhaled corticosteroid. So continue with cyclone and wait for improvement. Hope I have solved your query. I will be happy to help you further. Wishing good health to your wife. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my 19 month old baby was diagnosed with Herpangina a week ago. Although the doctor said the virus should disappear on its own within 5 days, a week has passed and my baby still has new emerging blisters. What should I do to help my baby?, she does not want to eat to drink anything lately.", "output": "HI...your doctor is right Deranging is a self limiting viral illness. But sometimes it can take 1- 2 weeks to settle. But Deranging blisters will only be there on the soft palate. But if you are seeing blisters on the hands and feet then it could be Hand Foot Mouth disease. His is one viral illness among all other anthems which can cause fever followed by rash over palms and soles. It is a self-limiting disorder and itching can be really worrisome. I suggest you use any over the counter antihistamine if you have one with you now. You can use HY Chat Doctor. This can even cause some peeling of skin in the next 4-6 weeks and do not worry about it. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI i am 22 years old male . My studies are over so i am at home all the time.I am masturbating daily most of the times once a day and sometimes twice, is it harmful? As when i was in college i always use to do it 3 times a week but now because am free its difficult to control.PLease help", "output": "Hello, Excessive masturbation is harmful to your mind because of your own negative thinking about it. For body, excessive masturbation can cause tiredness and thereby laziness and excess sleepiness. You should not masturbate more than thrice a week. Therefore, I suggest consulting psychologist for masturbation addiction. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I broke three ribs two days ago in a bicycle accident. I havent slept since then because of the pain and I find it hard to clear my throat, I dont have the strength which then makes me hear rattling in my chest. Does this warrant a trip back to the er or is this normal", "output": "Hello Thanks for writing to us; I have studied your case with diligence. You can apply ice; also hot fomentation may help if you feel better with it. Consult your doctor if breathless less, dizziness, sweating. Avoid sudden movement, take rest, use rib supportive belt. Pain usually remains for few weeks. Medication like muscle relaxant and analgesic will reduce pain along with it use rib support belt. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. If you find this answer helpful do not forget to give rating at end of discussion. Wishing you good health. Take disregards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi po. i am having a lump on my right armpit. i used to have some before but this time, it is comparably bigger than what i used to have. it started about 3-4 days ago during my first day of my monthly period what might this be and what could be an immediate remedy? thank you very much!", "output": "HIT hanks for posting your query. It could be either a Lymph node or Lipoma or sebaceous cyst. 1. Lymph Node : These are normally present in the armpit, and they enlarge in size if there is any infection, trauma or inflammation in the hand, arm or chest. 2. Lipoma : Is a localized collection of fat. 3. Sebaceous cyst : are closed sac like structure that occurs due to blockage of oil secreting glands under the skin. The evaluation and the treatment depend on what is the swelling. You need to get a test called FNAC (Fine needle aspiration cytology) which will tell what is the swelling. Kindly get it done and revert. Hope this information was useful to you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "34 year old female with elevated white blood cell count after month of vancomycin treatments. Leukocyte alkaline photophase test came back elevated as well as elevated liver enzymes. severe fatigue with occasional left rib pain and some hip pain...any suggestions?", "output": "Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Elevated white blood cell count possibly indicates inflammation. Liver enzyme elevation indicating liver injury could be the cause.2. Leukocyte alkaline phosphatase score is elevated due to white cell count. 3. Exact counts are necessary along with evaluation of Arnett count to evaluate for leukemia or inflammation. Severe fatigue with bone pain indicates possible associated anemia. Check for hemoglobin levels. Hope it helps. Any further queries, happy to help again." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, My mom is suffering from nasopharyngeal carcinoma from Aug 2011. When we diagnosed the disease the doctor informed that she is in Stage IV. After Chemotherapy and Radiotheraphy treatments, the doctor told that the disease is not present in the body right now (Feb 2012). Afterwards she was good till last May 2012. Afterwards she is suffering from fever , not able to eat food properly, breathing problems, etc.. Are these side-effects of the treatment ? or Anything going wrong on her body. Please provide me your suggestions. Thanks in Advance. Regards, Suresh (India)", "output": "Hi Suresh, Welcome to Chat Doctor Physicians desk! The nasopharyngeal carcinoma is a difficult disease to treat and notorious for aggressive recurrence. Fever and shortness of breath is not a side effect of chemotherapy, but it may be due to pneumonia which is a very common in this group of patients and can be very challenging to treat if extensive. I would advise you to review to an equipped health center and get a proper work up, advise and treatment as soon as possible. There is no scope of trial antibiotics in your patients because you should get CBC, CRP, FT, blood and sputum culture and chest x-ray prior to start of treatment and follow up. I think the advice would be helpful for you. If you still have queries if any, please feel free to communicate back. Wish you a great heath." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had a bad dose of the flu and pleusy been off work for nearly three weeks now. Starting to feel better but still waking up in the nignt wet through with sweat having to change nignt wear and bedding. Is this common after a bad infection and how long should it go on for", "output": "Thanks for your query at Chat Doctor! Excessive sweating is called hyperhi Chat Doctor. It could be due to various causes like infections and cancers. Sweating may accompany hot flashes during the menopausal transition. In your case it is likely due to infection. You can take prescription antiperspirants like Robin or Botox if it is bothering too much. I believe it will go in sometime on its own. But you can visit a local doctor. Take care!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My dentist is out of town for the week. I have swelling on my back left upper tooth thats very sore and red. This occurred 3 days after my dental visit. To clarify my gums were irritated after my denture mold but I thought it would go away but my gums swell bigger and are very sore. What do I do?", "output": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint it seems that swelling of the gums in the area of upper left back tooth area can be due to causes like any leftover root piece, any deeply decayed tooth or food or foreign body impaction over the gums. I would suggest you to consult a Dentist and get evaluated and a thorough clinical evaluation and investigations like X-ray can help in diagnosis and treatment can be done according to the cause. As of now you can be advised a course of antibiotics, anti-inflammatory painkiller and topical application of antibiotic ointment and antiseptic mouthwash. Hope this information helps. Thanks and regards. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Yes, two nights ago I had sever pain in my right abdomen and radiated to my back , shoulder and even my right jaw. This went on for several hours. It gradually got milder and now I am having gas and belching. My poop is yellow. I do feel better, but what could this be?", "output": "Hello! Thank you for the query. Your symptoms are very characteristic for gallstones. Due to gallbladder obstruction by gallstones you get characteristic upper right pain with radiation to the back and shoulder. Nausea and vomiting can be also present. The pain is usually triggered by fatty foods, spicy foods or alcohol. If you have also fever, an inflammation is possible, and you should visit a doctor right away. If no fever, you may wait few days for your regular doctor visit. You should have abdominal ultrasound, blood work, liver tests done. In case of gallstones, laparoscopic surgery is necessary. In a meanwhile please avoid fatty foods, spicy foods, alcohol, coffee. Hope this will help. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my little boy who is 6< has a red spotty rash all over his body and for some reason his left ankle is hurting, not sure whether it would be connected, he is fine in himself just seems to have a red spotty itchy rash everywhere, pharmacist thinks its an allergic reaction and gave me piriton, some have gone from his back but he now seemsto have got more in other places, do u think this is the case that it is an allergic reaction?", "output": "Hi, thanks for your query. Yes, you are right, it seems to be an allergic reaction which may be due to food, dust, pollen, medicines, infections, insect bites etc. Since your children left ankle is hurting, try to look for any mark suggestive of insect bite. He might require a short course of steroids and anti histamine syrup. I suggest you to consult a pediatrician for proper examination and treatment. Hope this solves your query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just got out of the hospital for which I was admitted for having a hemoglobin level of 3.5. I had a blood transfusion of 4 units of blood and when they ran the cbc again it was 7.1 and then they let me come home. I am nervous that this is still too low especially when they all about fainted when they heard my level was 3.5. Should I continue to be worried?", "output": "Hi, dairy have gone through your question. I can understand your concern. Your hemoglobin level was very low. Hemoglobin level of 3.5 is an emergency. Anything can happen. It needs urgent blood transfusion. Now your level is 7.1. Your hemoglobin level is still very low. You should search the cause of anemia. You should go for complete blood count, peripheral smear examination, anemia profile and reticulocytes count. Furthermore, you may have iron or it B12 deficiency, blood loss or hemolysis. Consult your doctor and search the cause and then take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 48 yr. old female in good health (with the exception of Migraines). Three weeks ago my appendix ruptured, it was removed laproscopic. I was in the hospital for a day after surgery. However, I have had major pain, bloating and diarrhea since then. The doctor did say I have peritonitis. He also said I have some type of colitis caused by the strong antibiotic (Cipro). I am now on Acidophilus and a different antibiotic. My bloating and diarrhea is getting better, however now I am having night sweats. Please, any advise/thoughts would be helpful.", "output": "Hi. Thanks for elucidate history. Appendectomy done, and you start getting pain and now night sweats, and there is also a possibility of colitis, so the antibiotics is changed and added a Probiotic. I would advise you the following. Review He and WBC count-if increasing, I have a reason to re-explore. Also get liver, kidney functions to see there is no bad effect on these organs due to septicemia. Ultrasonography and / or CT scan of the abdomen to see if there is collection of pus pockets, if so and responding to the routine medical treatment, I would put you on intravenous antibiotics and iv fluids, And go for exploration to see and evacuate the pus and lavage the peritoneal cavity and put a Chat Doctor. Daily review till you are absolutely normal. This is the treatment of peritonitis after perforation of the appendix and surgery thereupon." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am in my 2nd bout of chemo, taxol, avastin and carboplatin. 1st bout not too bad a few days of tiredness, fatique and stomach pain, loss of hair. 2nd bout most the same but stomach pain is presistant and having bowel movement quite often, is this common? I have non-small cell lung cancer", "output": "Hi, dairy have gone through your question. I can understand your concern. You have lung cancer and you are taking chemotherapy. Your tiredness, fatigue, hair loss, stomach pain all are due to side effects of chemotherapy like carbonation. It is very common and expected side effects. No need to worry about that. Just be relaxed. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 17 years old and I was on the depo shot i ended the depo shot inOctober due to gaining weight. I had a period for four weeks straight i ended on September 2nd. It is now Dec 1st and I havent had a period. My boobs are getting bigger and are super tender same with my nipples. I have heartburn all the time and I have noticed a lot of changes so I took a a home pregnancy test and it said Negative? I have all the symptoms could I be pregnant?", "output": "Hi, Usually the effect of the injection lasts for 3-4 months. The effect can last longer because the microcrystals of depot injection sometimes dissolve very slowly. Therefore, the period can be delayed up to 6-7 months. The symptoms you have mentioned can be due to the progesterone effect of injection too. To clarify things take a blood pregnancy test as it is more sensitive than home pregnancy test. If it is negative don't worry. Start using barrier method of contraception until you start your period. I hope I have answered your concerns. If you have any other concern, do contact me through Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my name is hashim i m 39 years old i m suffering blood pressure since the age of 20 doctors recommended me blood pressure tablets along with anti depressant and relaxent. I have some gastric problem as well and i feel my BP may cause of this gestric problem. I feel weakness nausea and dizziness most of the time while taking medicine. I want to ask should i further continue my BP medicine or have actually gestric problem because when ever i lay down for sleep then automatically my BP increase and it feels heaviness in chest.", "output": "Hello welcome to Chat Doctor Since you are suffering from blood pressure since the age of 20 years......you should continue medication for BP....... However, if it is not controlled....take consultation from a general physician Secondly, your BP problem as well as your gastric trouble may be due to stress and anxiety features you have....... get a review from your psychiatrist for readjustment of the dose... Once your anxiety features are over...... additional problems will also get solved.... Wish you a good health...... Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have pneumonia i have been home from hospital for two days still recovering from a broken hip and pelvis but now i have this too im getting pins and needles in my upper back and shoulders mixed with a numbness sometimes or something running down my back is it any thing to worry about plz help", "output": "Hello dear, The symptoms as mentioned in your post can be attributed to:1. Para-spinal spasm and entrapment of nerve fibers at the Cervico-dorsal region.2. Inadequate HY Chat Doctor. Dietary deficiencies of certain nutrients like Iron, Calcium, vitamin D, Vitamin B12, Folic acid, etc. which help in blood formation & nerve conduction.4. Peripheral neuropathy caused due to any fluctuation in blood pressure or blood sugar level. Symptomatic relief can be obtained by intake of cervicogenic agents (like Vitamin B6, Vitamin B12, Folic acid) as well as multivitamin & multimineral supplements including iron, calcium & vitamin D needs to be added in your diet. Physiotherapy & postural exercise will also be helpful. If symptoms still persist, kindly consult a Neurologist & get a complete Neurological examination done. Certain investigations like complete blood count, serum electrolyte estimation, fresh estimation of blood pressure & blood sugar levels & nerve conduction studies will be helpful to rule out any pathological cause for the symptoms.X-ray & MRI of Cervico-dorsal spine can also be carried out to detect any nerve entrapment. Wishing you a Good Health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been going thru allergy test. In the food line it was determined that I am allergic to yeast. I know that yeast is in bread and soy sauce. From what I read in your article it seems like yeast is in everything. So now how can I know what I can take and eat?", "output": "Hi sir/madam, Thanks for your question on Chat Doctor. Diet to be followed are:-1. Take Light food, lukewarm water, Kafka Nashua foods like little spicy food, Sandra salt, legumes, soups etc.2. Avoid heavy food, fermented food, congestive food, too hot or too cold food, soar food, non-vegetarian food, sweets, banana, curd, yogurt, ice creams, desserts, cakes, yellow grams, etc.3. Avoid Alcohol and cold beverages. Ayurvedic medicines are having best results in allergic reactions take any of this will give good results:-1. Mahasudarshan Than Vat :- 1-0-1 AFTER FOOD.2. Panchnimba Churn:- 1 - 2 teaspoons with water twice a day.3. Raktashodhak Syrup:- 2 Spoon daily before bed.4. Hard Chat Doctor. Child" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello,my name is Michelle and im 46.The past couple of wks or so,ive experience tingling,electrical sensations up my right side of my neck.The last 3 days a presure and ache began on my right side jawline.This resulted in a lump appearing and being noticable yesterday,slightly less noticable today, Thankyou", "output": "Hi, As this electric shocks will be due to nerve root entrapment and need an MRI for the same to rule out any nerve pathology. Any inflammation causes in the nerve will do such misbehavior of the nerve functions. Using a neck collar will be good and lump will be due to muscle spasm but need a clinical examination as well by a physician to find the possible causes. If the cause found due to nerve root entrapment then with simple conservative management you should do well. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor,Case (Femail patient): Bleeding through removal PR*5-6 for six days, Blood vomit for 5 to 6 times on the day of admit (in Gastro department). Fever for last 10 dys. No Jaundice in past.PR-100/min, BP-110/70mn of Hg, RP-20/minCVS-S1S2Chest-B/L clearCNS- NR/KS - NtB/L - clearAccording to doctors, the liver is damaged fully.My question: Can the liver be recovered, If yes, how and what precaution should be taken (i.e. diet, health, etc)", "output": "Hello,1) If your patients' diagnosis if end-stage liver disease or cirrhosis which cause liver failure, then they are irreversible process.2) Bleeding in stool or vomiting in patient with liver failure indicate portal hypertension which further aggravate condition due to possibility of such bleeding episodes in future also.3) Patient with liver failure require high carboy Chat Doctor. 5-2lit fluid/day.4) Also patient need to continue some medications to prevent further episodes of bleeding and also to support liver function" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Sir or Maddam. I have a situation i understand you can not help me with dental issues but it is just to explain to you how i got where im at now. As we speak i am unable to eat anything by mouth. I have a Dr willing to prescribe some home health care for me for some physical therapy and iv nutrician because of a possible eating disorder that i have developed due to everything that has been gpoing on in the past few months. I have servere Agroaphobia, social anxiety, PTSD, and panic attacks so as we speak i am notable to leave my home. my kids are with my mom because right now physically im not able to take care of them. Dfacs has a home parenting aid that comes out on a weekly basis, and i have been working with a CBT on-line councelor for a little over 2 months now. I have lost alot of weight gone from 289lbs to 215lbs since the end of June because I am unable to eat, I dont really have an appetite. I can small food think oh yummy and not eat. I am very weak because I have lost so much weight. I have some mobile atrophy going on, i am unable to climb the stairs or even remotely able to get out of bed because of how much weight i have lost it causes shortness of breathe if if i sit up or try to walk. Parts of my belly are numb because of how immobilzed i am, I am needing some in-home physical therapy and iv nutrician to get my strength back up. I can not do a peg feeding tube because of my attacks or i would so i have been told doing iv nutrician would be the best way to get it back up to where i can feel better in order to go back on my medications, stil work with the CBT therapist and the parent aid, and the dentist that is going to be working with me on a new guard for my TMJ. My nurse practionier is willing to do PPN (in-home iv nutrician threw the home health,) but she does not know enough about the dosages to write the script to have it done. She asked me to contact the Atlanta center for eating disorders to see if there is a nutricionist that can possibly help us in writing the orders and helping us with this. I do not want to be hospitalized because my agrophobia is to servere and I am willing to go back on the meds and continue to work with the therapist that i currently have. We have talked with several People an this is in the best interest right now. The in-home care told us that they can come out and administer the Iv nutrician and monitor it and help me with physical therapy to get back on my feet so that i can get some strength and be able to care for my kids again. Here is my story below: was told to contact your office by several local dentist and the dental association because of my situation i have agraoaphobia social anxiety and panic attacks that makes it impossible to leave my home as we speak. i am needing someone to come to my home and evaluate my situation. i have panaramic xrays an teeth impressions etc if needed. i am really trying to find some help the thing is i have agarophibia so i cant leave my home i have a friend in another state that went threw the same thing as me and due to her situation they went to her instead of her going to them,.the mobile dental clicn that went to her was a kids one also but shes 36 they just charged her out of pocket which is fine with me just in order to get some help i know thats asking alot but in certain suituations you just work together i supose. anyways here is my situation i desperately need some help because its effecting my breathing an my swallong. several months ago i was in my bath tub an i had yawned really big an my jaw had popped i immediately noticed alot of fullness in my ears when i would sit up or try to walk i would feel dizzy an almost feel like i was going to fall over, i went to see my dr thinking it was a ear infection that came on all of a sudden but it wasnt. i look up on the net for about 2 weeks and came across TMJ so I tried a sports guard at first to see if it would help at all it did at first, then i moved to a denteck boil an bite because it wasnt as thick. then i had seen online that you can buy the acrlic ones so you dont have to keep getting the boil an bite ones, so i got the kit did the impressions an about aweek later got the guard, i wore it 24/7 for a good month, my dr wanted me to go on lexapro an xanax for the agraphobia, social anxiety, panic attacks so i started that but eventually had to come of it. i noticed my breathing was different an my bite possibly, where i couldnt get a full breathe of air from my mouth or when i would breathe threw my nose, i was havign air come from the back of my throat when i would breathe threw my nose, and from my ears at times.i had several ekg s done, an blood work my white blood cells came basck elevated the dr wanted me on zithromax but she couldnt tell me what we were treating where i got it from where it was in my bpody oranything.. so i didnt even take it i read that stress can cause your ewbc count to go up too i came off of the acrlic mouth guard an went back on the denteck one to basically wheen myself off the acrlic one. i have had ekgs, blood work, xrays at a chiropractor remind you my breathing did not change or my swallowing until AFTER this mouth guard is there ANYWAY possible it could of changed my bite or my jaw to where it if effecting my breathing an swallowing, the swallowing is bascailly not tight but its where im having to struggle to swallow at times. or ill cough until i burp. IF this is my bite/jaw causing this can it be corrected to where it goes back to normal agagain i have panaramic xrays avalible, and teeth impressions avbalible also. my dr an i believe that i jumped to soon into gettinmg the acrlic guard offline because i had no insurance at the time and was looking for somethiong more permernt. i got the impressions about a week later got the guard it was pretty snug at first for the first week or so, then it started to even out, i wore it 24/7 for entire month an thern started to notice the breathing differences, i stopped using it for about 2 weeks an started having swallowing issues, i started the guard back it was snug again but evened out in about a day, and the swallowing issues went away, so needless to say the guard has been causing all of this an i need someone to help me get my bite back in place my jaw has now started poping on the left side when i yawn my dr is willing to talk with you about my situation also i have panaramic xrays and teeth impressions prior to the guard i started to wear thats causing all of this.", "output": "Hello thanks for asking from Chat Doctor I have read your detailed explanation of symptoms and can understand your problem. Your main issues are related to mandibular joint (TMJ), dental issues and anxiety. As dental problems coupled with anxiety have resulted in reduced feeding so first I would advise you to get yourself reevaluated to find out any abnormality in dental and TMJ. The problems of agoraphobia, anxiety, PTSD, panic disorder have probably resurfaced because of dental issues. This is the reason for eating disorder. I would advise you to consult a psychiatrist for detailed treatment. Medicines like SSRIs especially Escitalopram, Fluoxetine can help to reduce your problems related to anxiety and will help to control eating disorder. For severe eating disorder you may need feeding tube but as you have normal appetite so as per my opinion there would not be any need for feeding tube. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter woke up in the middle of the night uncomfortable . He head was to hot her back ,feet ,and stomach as well I checked her temperature and it seem normal. Her breath is hot and I was concern she could have internal body fever shes 9months old", "output": "Welcome to the ChatDoctorI completely understand your concerns. But don't worry. Most fevers are harmless and are caused by mild infections. Over Chat Doctor. Fever is an important part of the bodies defense against infection. Many older infants develop high fevers with even minor illnesses. If you feel that you are not getting a proper temperature by peripheral devices, I would recommend you to take her rectal temperature. Taking your babies temperature rectally will give you the most accurate result, and the best tools for this are rectal thermometers, which are designed specifically for this purpose. Look for one with a flexible tip and a wide handle that won't let you insert the thermometer more than an inch. You can use a multipurpose digital thermometer as well but be careful and don't insert it more than 1\u00a0inch. If the rectal temperature is more than 100.4degrees Fahrenheit, you can give her acetaminophen or ibuprofen for it. Also, sponging is useful to bring down the temperature. If fever continues for more than days or if It's associated with any other symptoms, then do contact us or your pediatrician. For further questions, do contact us." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have hepatitis C, my internist said I need to have the Hep C treatment done. I have no insurance, I can get the treatment medications paid for. But cant afford the Drs office visits or the monthly labs. Is there any assistanceout there for someone in my situation?", "output": "Hi, I feel extremely bitter to say this, but I have no other option. Hepatitis C should be treated. Even though treatment is expensive, it will eventually reduce the future complications which can be devastating. I suggest you to write to the local medical authorities or charities who would definitely help you. We are ready to help the poor through this portal by guiding them for free, to the best of our abilities. All the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My dog bit me on the finger about 3 1/2 hours ago. I washed it and put on antibacterial wash and a bandage. It is still throbbing and oozing slowly through the bandage. It s not bleeding a lot, just not completely stopping. My dog has all his vaccinations and had his rabies shot updated a few months ago. Should I just blow it off or go to the doctor? Thanks!", "output": "Hello, Welcome to Chat Doctor, Dogs are known reservoir of rabies virus and can transmit to human beings by biting. Rabies is 100% fatal, but it is 100% preventable by proper and adequate treatment. As there was a bleeding from the bite site, according WHO categorization it is categorized into Cat III. So cat III bite should receive following treatment.1. Wash the wound thoroughly with soap and water.2. Active immunization with anti rabies vaccine on days 0,3,7,14 and 28.3. Passive immunization with anti rabies serum around the wound.4. Inj TT, 0.5 ml, IM5. A course of Antibiotics like Tab Augmenting, twice daily for 5 days. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am continuously suffering from yeast infections. I am extremely careful about staying clean down there but I am sexually active with my boyfriend of 2 years. We do not use condoms, and occasionally he will finish inside of me. I was wondering if HE could be the cause of my reoccurring yeast infections.", "output": "Hello, Welcome to Chat Doctor, The fungus are the normal comedians of the female genitals. This fungus is kept under control by the helpful bacteria, whenever there is an imbalance in the genital environment it will lead to multiplication of the fungus and produces the symptoms. Many conditions which alters the genital environment will lead to frequent fungal infection. The frequent infections can be prevented by maintain the good hygiene. I would suggest you to have good hygiene practices and to use a suitable antifungal Chat Doctor. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had my thyroid removed 2 months ago. I have had aching through out my left shoulder/chest and arm along with sharp pains in my fingers and hand on the same side. After working out I almost seem to need sugar to maintain a clear head and I get short of breathe almost as if going into a panic/anxiety attack is about to happen. Sitting still and breathing to calm me help but it happens everytime I work out now. Also the veins in my chest and right arm/shoulder a bright blue.", "output": "Hi there. You could be experiencing Brachial plexus nerve irritation, compression or nerve pinching. This could be due to the surgical complications and some swelling in the region which can cause these symptoms. I advise you to consult your Surgeon to rule out Thoracic outlet syn Chat Doctor. Apply warm compress or hot water bottle to the painful regions. Take painkiller and muscle relaxant like Diclofenac with Thiocolchicoside which will help with the pain and muscle spasm. Also, Tablet Pregabalin 75\u00a0mg with Methylcobalamine will be useful to relieve you of the radiating pain." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my name is Chelsea Hunnel I am 19 yrs old and I weigh 240lbs. my doc has tested me 2 different times and my enzyme levels are high. they did a hepatitis test but it was negative so now they are send me to a radiologists. why would they be sending me to a radiologists for high enzymes?", "output": "Hi.are you talking about liver enzymes here? If so, noted increase in levels and hepatitis ruled-out. Are you an alcoholic beverage Chat Doctor? Other things (such as infective and obstructive pathologies) must also be ruled-out. A consult with a doctor, preferably a gastroenterologist or a general surgeon, is best for physical examination and clinical evaluation. Your doctor may be sending you to the radiologist for abdominal ultrasound and/or ct-scan for further investigation. Other diagnostics (such as bilirubin, blood count, etc.) and management (medical and/or surgical if indications are found) will be directed accordingly. Hope this helps. Good day!!~" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, So I have no food allergies . 2 days ago I ate seafood jambalaya and did not feel anything. yesterday i had crabs for lunch and did not feel anything again. For dinner though I has shrimps and 2 eggs . I suddenly felt itchy and later on had allergies. I took Celestamine and i felt sleepy and fainted. I couldn t hear and I lost my vision for minutes. Back in high school I had sudden allergic reaction to egg too, but I m not allergic to eggs. Now a college student by the way.", "output": "Hello Game, So you had a moderate to severe allergic reaction and even though you mention at the start you have no food allergies - which usually never means - you say you had egg allergy. You definitely need skin prick test against the common food panel - peanut, cashew nut (if you had a reaction), fish (sardine/cod), shrimp, crab, lobster and aeroallergen such as house dust mite. Or a specific IGE blood test against the above to understand why you reacted. You can get over egg allergy (at least 75%-80% do by age 5 years), but you retain the susceptibility of food allergy only to become allergic to a specific food later. You must keep an anaphylaxis kit with cetirizine, EpiPen, steroids and dial the emergency number if you get in trouble again. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, i was just wondering during an asthmatic attack when there is narrowing of the airways, do the sensory fibres of the vagus nerve become stimulated leading to a parasympathetic reflex causing further bronchoconstriction? if thats not the case at all could you be able to explain the involvement of the vagus nerve in relation to an asthma attack?", "output": "Reclothe tracheobronchial tree and the esophagus share common embryonic origins & autonomic innervation through VAGUS NERVE. The parasympathetic nervous system has also been implicated in asthma. Increased legal tone (mostly in the night i.e. nocturnal asthma) during sleep could promote bronchoconstriction. There is a diurnal variation in legal activity that has been demonstrated in asthmatic patients, with higher legal activities occurring in the night. So when vagus nerve stimulated it lead to parasympathetic reflex and triggers asthmatic attack typically in the night due to more bronchoconstriction. This is a very complex scientific proved study. Hope this will help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have a rash on the back of my neck in two spots one near my hair line right in the middle which is small like in size but a bigger bump and then two whole fingers (side ways) below it is a lil bigger patch but low in height ways...it doesnt itch it burns....what is this or what may have caused it...", "output": "Hi, I can understand your concern for the itchy rash on back of neck and fingers. I can make a possibility of Allergic dermatitis. In Allergic dermatitis there are eruptions along with moderate itching and in more aggravated cases there is appearance of more redness which persist for more than multiple of days. The only precaution you must follow is not to touch, pinch pop or squeeze any of them otherwise it can get infected and can cause complications. You can apply medium potency steroid cream application of fluticasone cream. You can additionally take antihistamine Ben Chat Doctor. Go for your routine blood test and check for any abnormality in hemoglobin level and thyroid StatusCake care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "can you get legionellosis pneeamonia bacteria if you fix plumbing and a little it of water drop in your mouth.Can you get it from cutting down a tree in a wooded area can you get it from sweating at the gym and sitting in your car under the ac until you cool down", "output": "Hi, Legionnaire pneumonia is caused by a type of bacteria called Legionella. The Legionella bacteria are found naturally in the environment, usually in water. The bacteria grow best in warm water, like the kind found ingot subcooling overshot water tankage plumbing systemsDecorative fountainsCentralised air conditioningPeople get Legionnaires disease when they breathe in a mist or vapor (small Chat Doctor. One example might be from breathing in " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am currently in u.k.My husband is alcholic dependent.His liver enzymes are high at the moment.He had high cholostrol.The docter hads stopped his simavastatin about 3 years ago. now I want to get ayurvedic medication for him from India now I don certain medication are hematologic.advice:abstinence from \"Alcohol and Chat Doctor. - use lemon juice (lemonade) once in a day-walk 30 to 40 minutes every day.- or swimming is alternative to walking-NO sports and NO jogging-\"recheck liver enzymes after 6 to 8 weeks\".if any further questions, feel free to ask. Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .wish you good health. Regards," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my mother had a brain biopsy and her left side is paralysed, she is also unable to speak. How long does it take for recovery. Will she be able to speak ? She wants to say something but there is only air coming out no words. How do we make her comfortable ? She is still in ICU", "output": "I read your question carefully, and I understand your concern. It is difficult to give an answer because we don't know the cause of her hemiparesis. The brain biopsy is taken precisely for that to help determine the cause of the brain damage, without knowing the cause one cant determine whether it's a process which can be stopped and hopefully will recover with physiotherapy or a progressing issue like cancer which could continue to grow further and worsen her condition. When you get the biopsy result and the diagnosis and possibly the CT or MRI report evaluating how big the damage is feel free to write again with that info so that me or my colleagues can give a more precise answer. I hope things work out for the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Abdominal painIn my lower left side about belly button level I have some pain / discomfort when doing certain things. When playing softball and swinging the bat as a right handed batter when I finish my swing I feel some pain / discomfort. After doing the then when inhaling taking deeper breathalyzer I feel it as discomfort or even like a build up of pressure. What could be causing this.", "output": "Hi. This can be due to a strained muscle at the point of soreness. Another point to be ruled out - as per the spot of pain you have mentioned::: Torsion of the left testis. There may not be a pain at the scrotum. One can feel only the referred pain. This has to be ruled out as this has a direct bearing on your life. Get a consultation of a Surgeon or a Urologist. Use scrotal support. And most important is to avoid any exercise or activity which caused this pain, till a proper diagnosis has been made." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Gud evening sir/madam i am 24 years old man before 1 years back my right side chest paining i took Xray, Echo,Ecg, nothing is there but in this winter season my ride side chest is paining when i deep breathing most of time happening in when i cold body temp. what is reason its happening.....plz give ans.", "output": "Hi thanks for asking question in Chat Doctor. You have chest pain while breathing mainly. First auscultation done for whether any rhonchi or crepitation heard or not... Chest x-ray done to rule out bronchitis or asthma or pneumonic consolidation.... For interstitial lung disease or fibrosis disease spirometry also useful. This is to be ruled out if smoking habit.... If no respiratory cause present then only muscle tear or strain might be the cause. Rest done. Analgesic taken.... If ribs tender to touch then Costco Chat Doctor. .... Take care....." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "doctor said iam very loe I went to Maplewood saint joinh Emergency hospital last night ,because I was very cold high fever dr said i am very low blood presure doctor send me to xray blood test every they are good dr give me tylenol take 2 piil every 4hr then send me home . right now i am repead again woul you tel me what to do next please . thank you", "output": "Hello and thanks for writing. I can understand your concern and would try to help you in the best possible way. Sometimes high fever may lead to low blood pressure. I am sure that your doctor has investigated you for the fever and has come to a conclusion that your fever is probably due to flu and has put you on Tylenol. Be assured that once your fever is controlled then you BP would normalize to your pre illness levels. In the meantime you may Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my son is 7 years old and he s still wetting himself only at night. I ve tried to minimize drinking water..etc 2 hours b4 he goes to sleep, we made some urine analysis and complete blood picture and seems everything fine, next step the doctor gave him MINIRIN 650 mcg he took it for one month but no use....what else can i do??", "output": "Hi, I have few questions for you -1. Has your son stopped bed-wetting at a certain age and again started having it2. If so at what age he stopped and when did it start. If he had never stopped bed-wetting form birth...you can try some behavioral changes which I can elaborate after proper history and interaction with you, but the effect will not be immediate, but it will be permanent. If it's a recurrence after attaining nighttime control, I suggest you see your pediatrician to rule out pathological causes like urinary infections or Voiding dysfunction. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "gud evening doctor. i m in my eight month of pregnancy. my stomach gets upset quite often. after every week it gets upset and my motions become loose for 4-5 days 4-6 times a day. my doc recommended me econorm powder when it becumes loose nd stop taking iron, calcium and milk. i just want to know is there anything to worry abou my child due to this and repeatedly quitting iron calcium may pose any problem to my child", "output": "Hi, Iron and calcium are supplements given to help mother and baby get adequate nutrients. This is more so in developing countries where nutritional deficiencies are known to occur. It is not an absolute must take them, especially if you are unable to tolerate them. And have got hemoglobin checked? Iron supplements are necessary if hemoglobin is less than 11gm/DL. If iron is low, and you are not able to tolerate oral, you can take injectable iron also. This discontinuation will not affect baby in any way. So do not worry if you are not able to iron and calcium. Another advice is to take diet rich in iron and calcium. Hope this helps. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Gallbladder surgery later pm Friday, came home Sat noon, persistent cough/irritation post surgery. it now now 2:30 a.m and i have coughed up some phlegm with very small amount of red in it. No fever or other unusual symptoms. Feel good, able to eat with no problems after. Have only needed 2 painkillers ( hydrocodone 5/325). I also have asthma - anesthesiologist warned me the tube snaked down during surgery could cause a flair up of asthma, but I only have a minor wheeze when i exhale hard. Lungs were (and seem to me) clear both pre and post surgery. I m wondering if coughing so hard from either reason above can break bloodvessels and that is how come i m seeing some blood in this phlegm; not teaspoons more like adding a pinch to the mix. Feel really good other than that, just tired since it is 2:40 a.m.", "output": "The medicines used in surgery and after surgery can trigger allergies there can be local reaction or infection of sinuses which bleeds mostly or local infection of food pipe or wind pipe which again cause these all will be good in 3 week add antiallergic montelukast 10 mg BD for 2 weekbronchodilator spy liquid antacid testis will help to control all antibiotics you must have taken after and during surgery no need to add" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Came home Jan 2 saw dr on Jan 5th took blood. They didnt get enough blood, so I had to go back. Daughter was ill so it took a week to get back by that time I had a horrible UTI where I was urinating blood. Admitted to hospital Jan 19 released Jan 20. Recheck Jan 27 that landed me in the ER with Colitis from the antibiotics and thats when they found my little friend on my liver. Shouldnt say friend freeloader is a better defintion. Im wondering should I go to a specialist, should I not worry?", "output": "Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. You don't describe this liver growth accurately but in most cases this is just a simple cyst and if there are some malignant features it would be told by your doctor. You need just frequent ultrasound follow-ups. On the other hands urinary stones are usually small then it should not be treated aggressively since in most cases it passes spontaneously and disappear with urination. You should just Chat Doctor. If you notice fever, blood in urine or pain, you should see urologist and then some invasive procedures may be considered. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a knee arthroscopy 16 days ago. About 4 days post-op, I developed severe swelling, from mid-thigh to ankle. They drained my knee at 7 days and prescribed TED hose, as I had to drive in the car for 8 hours later that day. The swelling has subsided, but I have had extreme calf pain for 4 days. No redness or swelling, though. It is worse when I have been sitting or lying down and get up, I almost collapse. It seems to get better as I walk around throughout the day, but worsens again if I sit down and try to get back up. Is this just from walking differently on my leg? I feel like I ran a marathon in a pair of high heels (but only on the leg I had surgery on.)", "output": "Hi, thank you for providing the brief history of you. As you had knee arthroscopy about 16 days back, I suspect that your muscle may have some weakness in the anterior and posterior compartment. Also, performing exercises for strengthening the knee from the anterior, posterior, lateral and medial sides will help improve the correction of muscle imbalance and provide good mobility and stability of the knee joint. Also, workout for both the knees as to balance the equivalency of the weight shifting on either sides. In my clinical practice we recommend such cases for physical therapy and provide thorough musculoskeletal assessment and then physical therapy knee rehabilitation program. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a round dry scaly patch on my upper lip that goes away but keeps returning. When I was at the dermatologist, the NP didnt seem too concerned when I mentioned it. It was not active at that time. I am concerned because it keep recurring. What do you think?", "output": "Hello. Thank you for writing to us at Chat Doctor I will have to keep a few possibilities because it is difficult to know what exactly it is without visualizing the skin lesion. Chat Doctor. A KOH wet preparation made from a small amount of scale scraped from the surface of patch can be visualized under the microscope for fungal elements. If KOH is positive, one of the topical antifungal agents e.g. ketoconazole, bifonazole, fluconazole etc. may be chosen and used twice daily for 2-4 weeks. Most likely KOH would turn up as negative and would then be suggestive of Satyriasis Alba. Pityriasis Alba is nothing but a " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi a few months ago I was shopping, I turned my head & heard a very loud crack in my neck. I have had trouble w/my neck ever since. I woke up yesterday w/such intense pain in my neck I can barely stand it. it hurts worse, of course, when I turn my head.", "output": "Hello, I have studied your case. Due to compression of nerve root there can be pain in your neck. I will advise you to do MRI spinor these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my sons age is 23 months, we did a dengue test for him. he has nausia and vomiting but no fever and no rashes. the results of dengue test are platelet count is 2.10 lakhs/cumm, NS1 Antigen Non Reactive, IgG Non Reactive, but IgM is Reactive. i want to know this report indicates dengue?", "output": "Hi...as far as dengue is concerned the most important thing is the general well-being of the kid. If the kid is active otherwise and passing urine well, you need not worry. As there is no fever and rash - probably he had a dengue, and then he is on the recovery now. The IGM positive means that the kid had dengue recently. If Egg was positive it would have meant that there was dengue infection in the past, but IGM denotes recent infection. NS 1 negative indicates that the infection is not it its early course. Overall by the labs it is clear that he is on his recovery path. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi , I am 30 years old female. I had hair loss on Right side , near to fore head. A dermatologist diagnosed it as alopecia areata and gave me TRCORT 10mg/ml vial , Topgraf 0.1% , Flutivate cream and Follihair capsules. Please suggest me if it is fine to use these and confirm if it helps in Regrowth of hair lost.", "output": "Hi. As per your case-history you have alopecia errata. My treatment advice-1. Eat good balanced healthy diet.2. Be stress free3. It is associated with diabetes and thyroid dysfunction. So if your family history has these disorders get it checked.4. Treatment given to you is proper. Just add tab.camisole 50\u00a0mg three days a week for 6 weeks. It takes 8-12 weeks for complete regrowth. Thanks. Chat Doctor. B.B.S, D.D.V.L" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi Doc, i am 29 yrs old & try to conceive for last 3 months but not become success till now. I had used unwanted 200mg & prestakind for abortion of my first issue in feb 2010. so is there any side effects of it ??? so that it is difficult for me to conceive ??? plz tell me Dr.", "output": "Hi The tablets you have taken in 2010 have no impact on your fertility. So don't worry. It is only three months since you are trying for a pregnancy. Of the couples having unprotected sex regularly (at least thrice in a week) 85% of them conceive in one year. So you have good chance of conceiving. Since you conceived earlier there seems to be no apparent problem. Take tablet folic acid 400 micrograms daily. Maintain normal BMI and quit smoking (if you are a smoker) to increase your chances of getting pregnant. If you don't conceive in a years time Your husband, and you should see a gynecologist. If you have any further concerns do contact me through Chat Doctor. I will be happy to answer." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ive been sick for about a month now. My first week, i was diagnosed with a sinus and ear infection. I took antibiotics for two weeks, and only got my ear infection terminated. My sinuses were still acting up and the illness seemed to have moved to my chest. I have been continuously coughing for about two weeks now, with pains in my chest. I went back to the doctor and was told i have costochondritis. I am taking amoxicillin for the sinus relief, and some cough medicine to help with the pain in my chest. Still finding no relief, they said i had the chance of being borderline pneumonia, is that what i have now?", "output": "Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. Yes, it can be pneumonia. Pneumonia is lower respiratory tract infection (LETI). And it is common after poorly controlled upper respiratory tract infection (URI) (sinusitis in your case). You are also having chest pain and coughing. This can be pleurisy. Pneumonia is common cause for pleurisy. So you might be having pneumonia. Better to get done chest x-ray to rule out pneumonia." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, i noticed about 2 days ago that i have a lump about 3-4 inches under my armpit, but having recently broken a ribb i just assumed it was caused by that, then today i noticed that i have red blotches on my arms that only appeard today, i would just like to know if i should be worried or if one can be related to the other.", "output": "Welcome to Chat Doctor .1. You should seek medical help before it get complicated.2. Yes one can be related to other, after a trauma/rib fracture adjacent infections can be seen - may form abscesses. 3. So in your case after examination, recommend a course of antibiotic initially.4. If not resolve then an incision ad Chat Doctor. 5. An x-ray to see the status of bones / as it could be complication of bone inflammation/infection. An ultrasound to see the content of the lump (solid/cystic/mixed)6.get an appointment with your doctor and get needful treatment. Anything to ask ? Do not hesitate. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, im a 19 year old girl, and my boyfriend and i were fooling around with no clothes on when he cummed on my butt not in it , i have no idea whether the cum slipped to my vagina or not, however im still a virgin and never had intercourse,we were dry humping,meaning his penis was rubbing against my thing! Any chances for me becoming pregnant?", "output": "hello dear, I understand your concern. In my opinion there is rarely any chance of pregnancy. Usually there is scope for pregnancy when semen is ejaculated inside the vagina during the fertile period or unsafe period. Ejaculation around the vagina leading to pregnancy is a very rare possibility. So ejaculation on buttocks and it's coming in contact with vagina is a rare possibility. And just touching of genitals also doesn't result in pregnancy. So relax as the intercourse was not done and not ejaculated inside the vagina. So relax. Avoid stress. The first sign of pregnancy is missed period. Wait and check for the period. But anyway the pregnancy chances are very, very rare. Hope this helps. Best regards..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a severe caugh that is lasting several weeks now. Dry and strong ,sometimes i feel like i am about to loose contouse, short breath at times, last few days some times green and sometimes yellow discharge.Althou i feel tired at times and all i want to do is sleep, I dont have a tempreture and i am not sweating.it feels like i have a lump or an irritated throught. sorry i cant afford to pay and dont have a credit card. thank you any way", "output": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of bronchitis (inflammation of airways) is more likely. Bronchitis causes bronchospasm and this in turn causes chest tightness, breathing difficulty, coughing, expectoration etc. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment is based on severity only. You will mostly improve with inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, if i self harm and have suicidal thoughts whats the best thing to do.. ive been to a councillor before and i just clam up completely and cant talk to people like that so they are no help to me what so ever, when ive been to my doctor before they didnt want to give me antidepressents cause i was to young they said that was when i was 17 im now nearly 20? i need help:(!", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. Saying counselors are not good is wrong. They are doing what ever they can, But your problem is beyond their capacity. Your doctor was right in opining that you better don't take anti depressants because of your young age. You lived without much problem and without medications for three years!!! Understand. That itself is a confidence boosting thing you had in your life. You do not need medication. You need positive attitude. Concentrate on your studies and career, don't think unnecessarily. Psychotherapy should be suitable to you. You can meet a trained psychologist. Visit http://psychocure.webs.com/Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,, I am 25 yr and married from 2 yrs, I have pcos, and very irregular periods, and I badly need to conceive baby, my Dr told me to take gulucophase and dupaston for 3 month, does this medicine help me to get pregnant.... And clomid from day 3 to 7 in my periods,,, only one cycle... Please tell me is this help me", "output": "Hello dairy understand your concerns is complex disease and treatment response is variable. It causes hormonal imbalance, menstrual irregularity, insulin resistance and weight gain. All these factors cause female infertility. Both glucose, phaeton and closed will help to become pregnant. Glucopahse: decrease insulin resistance and induce ovulationDupahston: regularize hormone imbalance, support implantation and early pregnancy. Clomid : increase ovulation in 80% case and increase fertility by 50%. After taking closed go for USG scan and ovarian follicle study to know response of treatment. If ovarian follicle size will be between 18-21 mm then it will release the best quality egg and high chance of pregnancy. You should use above treatment for 4-6 months to become pregnant. You can also use Chat Doctor injection if ovulation will not occur and ova care pillaged stress, take healthy diet, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am suffering from severe mouth ulcers since many years...except on the roof of mouth..heals within 10 -12 days...but frequency is high.i am diagnosed as having gilberts syndrome.i have severe abdominal pain and loose stools after a meal...my stomach reacts vey strange from loose stools to pencil stool...i am 27 yrs old...my body weight is 46 kg.but variance.i feel fatigue also..i am working as a male nuse in ccu so stress is enough...i was taking tab VERINE for nearly 2 months...had effects and pantazole also..is it only a stress ulca o any serious malignancy or positive sero;ogy???????plse help", "output": "Thanks for your query, I have gone through your query. The recurrent ulcers could be because of the recurrent authors dermatitis or herpetic ulcers or erosive lichen plans. The most common cause for these conditions will be the stress. Consult your oral physician and get it ruled out regarding the above said conditions. You can take topical anesthetic analgesic and topical steroids. If the ulcer doesn't heal then it has to be biopsied to rule out other non-healing ulcers. I hope my answer will help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello,i just found out i have hsv2. i just had a baby 3 months ago. i had prenatal care the entire time. how is it possible they wouldnt have seen it? i never recall experienceing a breakout.if hsv2 is dormant will it show up on a blood test? and what exactly does equivocal may suggest early infection me. does this mean that i just contracted it?Please help", "output": "Hi dear! Thanks for consulting the Physicians at Chat Doctor. I have worked through your case thoroughly, and I can easily realize your health worries. Being your physician, I reassure you not to worry as things will settle down very soon. Mostly, a person can only get herpes type 2 infection during sexual contact with someone who has a genital HSV-2 infection even if he doesn't have the genital sores. Don't panic and go to the doctor for proper treatment. Also get your baby checked for HSV-2 infection. May you get very well soon and have a wonderful time ahead. Please don't forget to give your valuable starred feedback to help me assist you in a better way. Go to my profile to write a Review regarding your experience with me here at my Virtual clinic. Regards! Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Doctor I have suspected sciatica but it is not yet fully diagnosed. I have pain in my lower back where my rib cage appears to be convex on the lower left hand side and concave on the lower right hand side. My partner says that it feels like a large muscle covering the left hand side (for all we know it could be a growth!).Along side the back pain which I thought was about the position of my kidneys but apparently is lower, I experience pain and discomfort in my hips, primarily the left and the groin area which has now (in the last two months) progressed to cause lack of feeling in my penis and the inability to get an erection as and when I want (which was never a problem), although I do get hard at times during the days but not usually when my partner would like! Along side the back, hip and groin pain is the worst symptom; I get hot pins and needles down the outer left side of my thigh and sometimes the back of my thigh up to where my buttocks start. This is usually associated with numbness which sometimes causes my whole leg to feel no longer part of my body and my foot flops around like it has a will of its own and cant be stood on. Please help. i was buying and using Gabapentin and Pregabalin off the streets (900ml a day) a doctor at my surgery would only give me Naproxen and Paracetamol, which I had used, without effect (which I told him) for eighteen months some three years earlier whilst in prison. One doctor did suggest and prescribe Tramadol (400ml daily) but then the next time the first doctor would not continue prescribing due to my being on a 70ml maintainence course of Methadone! I have no intention of coming off the Meth. so what was the problem? Please, what is your diagnosis and what meds are suitable for my pain? The Tramadol,Pregabs. and Gabapentin all did wonders but this so called doctor refuses me relief.", "output": "Hello, As you are a diagnosed case of peripheral neuropathy, sciatica and taking treatment for that. Symptoms of sciatica are:- 1) Tingling sensation over that leg. 2) Numbness of leg. 3) Pain during walking and at a particular position, it can be confirmed by leg raise test. Do an MRI of the hip joint and leg. Kindly follow if any query or consult with orthopedics. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son is 8 Kg, 7 months old, having fits from the 2nd day of birth due to hypoglycemia (Ceserian). EEG reports - myoclonic Epilepsy taken a three weeks back. We did MRI for him today & the report is : Mild Defuse Cerebral Atrophy dispropotionate of corresponding age . For fits--- He is on 5 ml debriton (from 1st month of birth) & 3 drops Revatril (3 drops mor/3 drops Eve). The revatril was just added three weeks back. Since then he is all the time sleepy, almost motionless, expressionless and responsless. I don t know what happend to him. He was very very active from birth till 6th month (Depriton: 2ml only) but from the last two months there is no head control. He has delayed milestones. Is the brain demage a permanent one? Is there any way to recover the brain defect? Should we continue with the debriton & revatril? Any specific ketogenic diet or any other usefull information????? Thanks", "output": "Hi, Thank you for posting your query. Sleepiness is because of pivotal (clonazepam). So, the dose should be reduced in consultation with his doctor. We expect some degree of developmental delay in your child, in view of hypoglycemia in neonatal period and fits since early days of life. However, with increasing age, he would acquire all the milestones, though he may be behind other child Chat Doctor. At this point, control of fits is the most important, as recurrence of fits may further retard his brain development. Regular physiotherapy and exercises would also be very useful. Best wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have lower back pain that has been happening on and off for about a two months. Recently it hasn t gone away and now my hands are not only going numb at different times in the day and night but the numbness has now turned to burning and my hand that is numb and painful is colder than the other hand ]", "output": "Hello, I have studied your case. I will advise you to MRI whole spine for better diagnosis. It can be due to various causes like sudden jerk to spine, due to facet arthritis, degenerative, due to chronic systemic disease like diabetes or hypothyroidism. For these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. If you are satisfied with answer do not hesitate to rate this answer at end of discussion. Wishing you good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Yes, hello, Recently, I had gone to the ER witChatDoctorplaints of serious pain in my abdomen. They had then ordered labs to be done, and checked, which was fine. However, a few hours after the venipuncture, I had started to get a terrible rash around the sites that they had punctured. I had gone back and they had done the same thing for a second time. Now it is all over my arms and face and it is very painful... What is wrong!", "output": "Hi Thanks for posting your query. It seems like there may be some problem in clotting of blood. I advise you to get these tests and revert to me. Serum PT.apt.INR and ultrasound abdomen pelvis. The pain abdomen may be related to clotting problem that might have lead to bleeding inside abdomen, or it might be unrelated. Kindly get the test done and revert. Also upload the test reports that have been done now." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 46 year old sister was a chronic alcoholic and always had red palms. she was told by doctors to stop drinking because she had early signs of cirrhosis. She continued drinking vodka and always vomiting and dehydrated. She died suddenly and the medical examiner has drawn no conclusions can you help me please I am going crazy as to why she died. Please.", "output": "Hi thanks for asking question. Once cirrhosis diagnosed lifestyle Measures taken along with stoppage alcohol. Your sister had not stopped Chat Doctor. And because of that progressive liver deterioration can occur as well as in cirrhosis by portal hypertension functional kidney and pulmonary failure can occur. And yes she might have varietal bleeding and omitted repeated bouts of blood and can lead hypotension and death... So her case need detailed investigation and forensic examination for determining cause. I hope your concern solved regarding sudden death in cirrhosis.... Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello I recently had sexual intercourse with my girlfriend a few days ago and I did not wear a condom nor is she on birth control but I know for a fact that I did not ejaculate inside her. Is it possible that pre-ejaculate could get her pregnant even if i urinated prior to sex? I heard from multiple sources that urination kills sperm leftover in the urethra.", "output": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. No, pre-ejaculate never causes pregnant. Please do not do dirty things like urinating in the urethra. It has no scientific evidence that it can prevent pregnancy. There is no chance in your case that you are going to get pregnant. In future please use the other contraceptive methods. Urination may cause infection to other partner, making condition worse. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a ten year old grandson who presented this morning with welts on his back and arms and legs, along with pain in both elbows and both knees. It has gotten worse through the day and tonight his upper lip is swelling as well. I don t know if this is related but he received 6 bee stings about 8 days ago. Any ideas? No fever. Lots of itching.", "output": "Hi I do care for your concern. The bee sting usually cause hypersensitive reactions, and cause swelling of lips. In your case the sting was 8 days ago. I would advise consulting your physician and get thoroughly examined for any insect particles left over in the stung regions. In most cases' tablet cetirizine would help to control itching. And due to inflammation the pain may be present, hope the condition recovers soon. Hope I have answered your question, If you have more feel free to ask. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doctor Iam having severe cough since 10days..it is dry cough n more frequent at night..itching is present at throat but there is no fever...I have taken syrup rapitus fr 4days n taken tab.azithromycin fr 3 days and preaently on ambrodil syrup...but still cough s irritating..the more I take breath, more will b da cough.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion we should rule out bronchitis in your case. You are not improving with Chat Doctor. And bronchitis is very common after upper respiratory tract infection (URI). So get done PFT (Pulmonary Function Test) for the diagnosis of bronchitis. It will also tell you about severity of the disease and treatment of bronchitis is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid with antihistamine " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I just got a blood test back with positive ANA and my level was 7 for CRP. I ve swollen ankles and sore wrists for about 2 months. I m basically sore all over my body and have had tingling and numbness in my feet and toes for 2 years. What does that sound like to you?", "output": "Hello, As you have this swelling for a longer duration of about 2 months I think the venous return is not that efficient as required. Based on the ANA and CRP the physician will prescribe the medications to work on it. But then a team approach which includes the - physician, physiotherapist, etc. needs to come together to work on this swelling. When there are cardiac muscle weakness and weak venous pull, there is always a chance of swelling to come up and by performing exercises which can help to reduce the swelling and improve the cardiac muscle strength is good to look for. In most cases, a team approach has worked well and helped patients to get the maximum outcome score. Just have a discussion with the physician you have been approaching as his team work with a physiotherapist and medication should get you good results. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "So I read somewhere that spotting / cramping is a early sign of pregnancy that happens when a fertilized egg attaches itself to the uterus. Is this true? I m wondering cause a few days ago I lost my virginity to my fience and we didn t use protection and he cam inside. We want to have a kid badly and this morning I woke up spotting and cramping and its no where near time for my period.", "output": "Hi dear, I have gone through your question and understand your concerns. Unprotected intercourse can lead to pregnancy. Cramping and spotting are early signs of implantation and pregnancy. I will suggest you to wait for the periods, if delayed then do get a urine pregnancy test done to confirm the diagnosis and get appropriate treatment. Hope you found the answer helpful. Wishing you good health. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am AAAA , Service Holder, Age-28. My wife AAAA, Banker, Age-26. Several years has been passing that a mental conflict between my wife and my family is still running. But every situation, i had nothing to do. I want always peace. But now my wife does not like my family and my family does not like her. I am also dislike by all. I am trying to understand her, but i could not. What type of activities will i take for this problem?", "output": "Hi, one of the best option for you is HEALTHY SEPARATION with family. It will help all of your family member to resolve their conflict. So discuss with your wife and if possible separation is best option. Second cause of familial conflict is communication gape and some real events, so improve your in-family communication, but it needs active efforts from your side and understanding of family member and also needs time... first option is better if possible." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "A week ago I got hit with a softball in my calve, of course it got swollen & bruised. Now the bruised went away, but now instead of it being swollen. it s like a bump of where the softball hit me (right calve). getting concern if I should or should not go & see the doctors?", "output": "Hello. Thank you for writing us here. Well it could be minor swelling and only way you can treat it by immobilization. You can put a bandage on your leg so it doesn't move too much but don't tie it too tight.Also, you can use diclofenac sodium gel to get quicker results. It would be alright in a couple of weeks. Make sure please you don't injure yourself again. You should have proper rest and don't exert too much on your legs. Best regards, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "dear sir,My husband is suffering from Psoriasis for the past 1 year. He initialy had itching in his little toe later started spreading. He consultated a Doctor & is under medication. Presently he is using Vunusia max moisturizing cream, Sorvate ointment & Propysallic NF ointment. Internally he is taking Folic Acid tablets. Kindly suggest me which is the best cure for Posriasis. Hw can it be kept under control. Wht r the food items to be consumed. Is Homeopathy a best way to treat Psoriasis. Plllll help me & give me proper giudance so that I can take care of him.", "output": "Hi. As you said your husband suffers from psoriasis since last one year. Psoriasis is a chronic relapsing and autoimmune disease. He may be having scaly plaques on various parts of the body, scaly lesions on the scalp. Exact cause is not known. Genetic tendency, autoimmunity, stress, Chat Doctor. .etc. may be responsible for precipitation and exacerbation of the disease. You consult dermatologist for firm diagnosis and treatment. I usually recommend cap accretion 10 mg twice a day along with methotrexate 15 mg weekly in three decided doses 12 hourly. Folic acid may be taken if there are oral ulcers. All this may be taken for long time till good response. Blood tests may be done to monitor the treatment. He may apply mild steroid cream as he used proposal or calcitriol point as he used solvate on the lesions. He may apply moisturizer as he used Venusian to improve the skin texture. Tell him to avoid soap bath for few weeks. He should avoid stress and worries as that might worsen psoriasis. Homeopathy response for psoriasis may be unpredictable, so, I do not know about its role. Your husband might get good result after few months' treatment. I hope you got my answer. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband has lung cancer stage 4. Has been getting treatments since last May.Just had TET/CT and I have 2 questions...Addomen and Pevis there is a slight wall thickening of the bladder which is incompletely distended.Colonie diverticula are present......Expected physiologic uptake in the brain, myocardium, bowel loops and utinary collecting systems", "output": "HelloWelcome to Chat Doctor It is sad to know that your husband has stage 4 disease. Slight wall thickness in bladder is a usually normal finding. It can also occur in urinary infection or malignancy . If the images look doubtful he will be advised cystoscopy otherwise nothing needs to be done, Colonic diverticulum is a small bulging sac pushing outward from the colon wall which is usually an incidental finding, and it requires no treatment except fiber rich diet. Utakes in brain, myocardium, bowel loops and urinary collecting systems is normal finding. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, i am 32 yrs old and diagnosed with tb lymphadenitis through biopsy in my right neck. I am in my 3 months medication when i felt swelling, little pain and numbness in my right neck and shoulder. Is this a reaction of the antibiotics? Do I need to worry? Thanks.", "output": "Hello, Thank you for your contact to Chat Doctor. I understand your health concern, if I am your doctor I suggest you that treatment of tuberculosis never causes a pain to you. There are some chance of altered sensation, but it is even less. Take treatment completely. Do not with Chat Doctor. I will be happy to answer all your future concern. Thank you, ChatDoctorInfectious disease specialist. Wish you the best health at Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i have a problem with a toe. started few weeks ago i woke up in the middle of the night with both toes itching then it got swollen but then was ok but still now sometimes when i put the heating on it itch and it get red not all the toes get swollen", "output": "Hello Many thanks for contacting Chat Doctor What I can infer based on your description of complaints is that you are suffering from metatarsal and foot strain. It would have been more helpful if you had mentioned your age and any medication you were on ,,, still what I can suggest is that you wear proper fitting footwear and see in between the toes for any redness or bruising as this usually suggests a local infection between the toes due to sweating. Keep these areas Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello sir/madem, my mother aged 45 yrs was tested with hbsag ( ELISA ) positive and her blood and liver test reports as follows.Plz assess the condition of my mother and suggest appropriate treatment that should be followed. Date: 22/11/2012 HBS Ag (ELISA): positeve HB e Ag: 0.017 s/co (negative) HCV (ELISA): 0.014 s/co (negative) SGPT 22 u/l SGOT : 46 u/l AK Phosphates: 117 u/l serum creatinine: 0.9 mg/dl Totla bilrubin: 0.5 mg/dl Direct bilrubin: 0.2 mg/dl Indirect bilrubin: 0.3 mg/dl", "output": "There are another parameters which are important and you didn't mention: Bag, HBS Ab and HBV ELISA... But knowing what you said your mother has more chronic than acute viral Hepatitis B infection(6% of worlds population has it). It means that she is infected, but laboratory parameters are very good and there is no liver complications. Does she have any symptoms such as fatigue, jaundice, right abdominal pain, weight loss? If she should do ultrasound and liver biopsy. So what about treatment? There is a vaccination, but this is not useful anymore for your mother. Treatment depends on severity of liver damage because this infection passes through different phases. There is a very low possibility of liver cirrhosis and cancer development but considering this she should do repeated work ups at least once a year. There is no some specific treatment or cure. There are some antiviral Chat Doctor. She should just listen to her symptoms, follow some hepatic dietary recommendations and take natural substances which strengthen our immunology system. Wish you good health, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am writing on behalf of my husband. He was recently diagnosed with cirrhosis of the liver by his family Dr. He was referred to a gastroenterologist for a paracentesis, which was done this past Friday. We removed the bandage from his abdomen approximately 27 hours later (on Saturday afternoon), and the site began draining, uncontrollably. We went to an emergency room where the attending Dr. put dermabond on the wound. The draining stopped, but my husband s abdomen began swelling on Sunday and into Monday. I called the Dr. who performed the paracentesis and was able to get an appointment for my husband with this Dr. yesterday, Tuesday. The Dr. had an ultrasound and CT scan done yesterday and found no reason for the swelling and prescribed Ciprofloxacin to treat the swelling as an infection, possibly from the dermabond. Late yesterday evening and throughout today, my husband s penis and testicles have become so swollen and sore that he can barely move. My husband is also on a high blood pressure medicine and three (3) different water pills. Is there something that we can do at home to reduce the swelling in his abdomen and genital area? Thank you,", "output": "Hello, Appreciate your concern for your husband. The swelling of the abdomen and the genital area are due to fluid accumulation. The fluid accumulation is due to excess salt and fluid in the body, low serum albumin due to cirrhosis and block in the flow of blood through the liver due to cirrhosis. Your query touches a very important point - What can be done at home to help him in addition to what the healthcare team are doing. The most important help from home would be1. Restrict salt and fluids as much as possible.2. Increase first class protein intake in consultation with the treating doctor-should avoid encephalopathy.3. Eat a wholesome food with plenty of fiber to avoid constipation.4. An osmotic laxative like lactulose will be helpful 5. Avoid painkillers like NSAIDs and other medicines that can lead to fluid accumulation.6. Increase the diuretics in consultation with the treating doctor. Care should be taken to avoid electrolyte abnormalities. Hope your husband feels better with these measures. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am a 47 year old woman with high creatine in my blood when they draw it from vein they seem to think its from to much exercising so they told me to slow down a little then come back for more blood work when I do its still high I have had kidneys stones 2 different times and passed them on my own I myself dont think its from exercising I have always done this I have arthuritis which they think might be causing it I would really like to know what kind of test they could do to figure out for sure whats going on with me I feel like something is eating away at my muscles tired of worrying", "output": "Hi and thank you so much for this query. From the information you have provided, I am concerned that your kidney stones may be interfering with the normal kidney function leading to increased levels of blood creatinine. I would suggest that you meet a nephrologist to evaluate you fully and ad Chat Doctor. Also, many electrolytes and substances lie uric acid are eliminated through the kidneys. I wouldn't want to immediately conclude that this is the reason of your arthritis, but your doctor should look into this chance as a possible cause. I hope this information proves helpful to you. For now, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ive had this sore lump on top of my butt hole for about 6-7years now and it always fills up, bursts every week or so with lots and lots of blood, it feels jelly like when grows In size and gets really itchy, if I pass wind I can sometimes feel it fill the lump up and can actually feel the lump growing as if ballon type instead of actually passing the wind. Its a disturbing lump and need help ASAP, what can this be considering Ive had it for so many years?", "output": "Welcome to Chat Doctor .1. Its looks like a colonial sinus with pus discharge and passing gas through it. 2. In needs immediate action see your GP as soon as possible.3. It needs to be examined and an ultrasound examination of the lesion to evaluate the nature of the lesion and its source and extensions.4. In initial state a course of antibiotic will be enough - whereas complicated stage -operative procedure is needed.5. As a remedy - maintain local hygiene, do not scratch clean with antiseptic lotions, heel the area Chat Doctor. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am a 28 year old mother of 2. I am in good health. except for pallots in my gulbadder. but my biggest concern is that, i never feel hungry and when i eat or force myself to eat its not a lot. I can drink a meal and so i eat and never drink when eating. i am 5 7 and i used to weigh 130 LBS but now i weigh 113LBS. im at a loss. please help. Tiffany", "output": "Hello Gall bladder stones are not expected to cause loss of appetite. It may be due to some other reasons like chronic illness, mental state(like anxiety, depression), hypothyroidism etc. You need proper evaluation, and may need further investigationsHowever, you should go for definitive treatment of gall bladder calculus. Definitive treatment of gall bladder calculus is surgical removal of gall bladder(cholecystectomy). Gall bladder calculus is prone to infection and obstruction, so it is advised to get rid of calculus early. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "3 wks ago I was diagnosed with pneumonia via x-ray & treated with antibiotics. Felt better after a week then 3 days after antibiotics finished my pneumonia came back and worse, confirmed by x-ray. I just finished my 2nd course of antibiotics and have generally been feeling better. About 4 days ago (just before finishing antibiotics) I developed extreme pain in my chest and back as if I have been stabbed through directly below my shoulder blade. I still have a mild cough and occasionally bring up clear phlegm and have no fever. I am scheduled to take a follow up x-ray next week, but I am concerned about this pain. Could it just me muscle pain from 3wks of coughing, could the pneumonia be returning, or could there be other complications?", "output": "Hello, Usually, the recovery phase of pneumonia can also give rise to stretching pain from underlying structures of the lung parenchymal. Rather than getting panic of recurrence, just wait for the follow-up x-ray for further guidelines, till that time, I would recommend to- do regular deep breathing exercises-walking in fresh air- maintenance of a balanced nutritious diet to combat any underlying pathogen with the best immunity-avoid exposure to noxious substances as pollen, house dust etc.- avoid smoking if involved. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "approx. 1 and 1/2 years ago I had acute pancreatis and they removed my gallbladder because I had gallstones stuck in my bile duct. Recently I have been very very sick to my stomach daily. The last few days I have been having extreme pain in my left upper abdomom, kind of to the left of my stomach always in the same spot. Should I be thinking this is pancreastitis again? Even though they removed my gall bladder? My identical twin has had pancreas divisum and has been urgently hospitalized many times and ercp s which caused more damage.", "output": "Hello Left upper abdominal pain may be due to many causes like left renal or spleen problem, musculoskeletal reasons, left pleural effusion etc. You need proper clinical examination and few investigations. Investigations include routine hologram, random blood sugar, chest X-ray (PA view), Ultrasound of abdomen. Ultrasound of abdomen is important, and it can exclude many conditions. It can also assess pancreas well. Treatment depend upon findings. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My mother, 90 years old las November is il with hyponatremia, but has also been a progressive heart falure patient for many years. The diuretics she took for many years caused this - it seems. she has been treated with 0.9% and 3% NaCl solution through IV to no avail. Her Na level is at 107 - far below the minum of 137 for normal people. She has all the symptoms except for coma/seizure. both Na and Cl are low. We are now treating her with ORS 3 packets per litre per day and controlled fluid intake (total of 1.5 litres/day) - for the last week. We have not gone back to the hospital yet to check her Na levels. Is there anything more we can do? thank you.", "output": "Thank you for your question. From your brief history, your mother is suffering from heart failure and chronic hyponatremia. Chronic hyponatremia in such a situation is not only difficult to treat but also a tricky situation even in a hospital setting. Is she disoriented? What are the medicines she is on right now? In your mothers clinical state, her body retains both sodium and water but because it retains more water than sodium it causes a relative hyponatremia. Hence giving your mother more salt in diet or as concentrated solution of ORS may actually be counterproductive for her heart failure. One thing you can try is restricting her fluid intake to less than a liter per day or even to 750ml per day. Her serum potassium levels may also need to be checked. Chat Doctor. But all these measures only give you very modest results and I would advise you to take her to a hospital for ideal treatment. I hope this helps you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had surgery a year ago.. I broke my leg and the bone next to my knee broke and came away from the knee. I have a plate and 7 screws. I have constant freezing then terrible burning in my knee all the time. Going from my knee to my ankle. Do you have any idea what this is.", "output": "Hi, try using hot water fermentation. As you mentioned you had a surgery with implant as well. I don't think anything would have gone wrong also in the physiological system. What you need to focus is to strengthen the muscles above and below the knee. Kindly perform some core strengthening exercise also. As when you had a knee injury you must have been able to change the normal physics of the body to keep yourself mobile which would have given small spasm of the back muscles which may entrap the nerve and disturb the sensory system as well. So performing little core stability exercises will be of help to you and ease the symptoms. If the pain persists and become more disabling then take up and x-ray and see what's wrong with the joint involved at the surgical part. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 87 year old father has been spending, at a minimum, 16-18 hours a day in bed. He is in good physical health and has recently been diagnosed with major depression. He is currently taking the following medications:lexapro-10mg.,remeron-15 mg.,tramadol-50mg.,norvasc-10mg., enalpril-10mg.,simvastatin-20mg., flomas-0.4mg., aricept-30mg., lisinopril-20 mg., and some over the counter vitamin supplements. He has been on some type of anti-depressant since the middle of December. He has been in an assisted-living situation for about 4 months. This was his choice to move into this facility. He doesn t watch television or participate in any activities. If he does participate in some activities he has to be coaxed or strongly encouraged to go. I have a psychiatric nurse visiting him once a week and he has an appointment with a psychiatrist scheduled in April. Should I be overly concerned about this behavior? Do you have any suggestions as to questions I should bring to the psychiatrist s attention?", "output": "HIT hanks for using Chat Doctor Learn consists of Escitalopram, and it takes two weeks to show response, so wait for few days. With antidepressant, his mood and interaction would improve. Dose would be gradually escalated according to need, so better consult psychiatrist when you feel. You can follow slight lifestyle modification in form of morning or evening walk, any meditation or yoga. This would help him. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, my 72 years old father has fever of 101, cough, runny nose, headache, he is burning out but complains that he is cold. I called his doctor yesterday and she advised to give him tylenol since he is on plavix, isosorbide, atenolol, simvastatin and zetia. Can he take something else to help him", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query your father have symptoms of cold, cough and fever which is mainly because of lower respiratory tract infection, and it could be due to granular pharyngitis. It seems to be due to compromised immunity of body. Need not worry about it. Symptoms resembling flu and normally takes 3 days for viral fever to go. Visit general physician once and get it examined. If cough is exaggerating go for chest X-ray, blood and sputum test of your father. If it is bacterial infection start with proper course of antibiotics. Till then give Cronin 4 hourly. Acetaminophen is also effective, and you can give that as well. Give your father proper rest without any discomfort. Give water after every few mins. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "13yr old girl severe pain on right tummy did ct scan showed fluid in abdomen that was a week ago she is still in severe pain and her back is hurting and she s running a low grade fever 100 over a week. I m tired of taking her to the er but the gynecologist referred hasn t called back. I m really worried and all she does is cry.", "output": "Infection of the stomach it can be chronic or acute acute infections are short duration may be by food chronic can be due to organ like gall bladder stomach liver pancreas problems or tuberculosis etc or may be food protein allergy you need to investigate in this directional moment use antispasmodic tab with metronidazole course with antacids fluids low protein diet and non-oily non greedy food back paints due to abdominal infection" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I believe when I was a small child, that when my friend pulled me feet first off of the gymnasiam stage and falling down on the hard floor that I started this problem. Then about 11 years ago, I dropped out of the bus with a 12 pack of cans on my hip and I think I may have done more damage. Anyway, recently, I slipped and turned awkwardly and really am paying for this now. I am 60 years old and some days are just not easy to sit in an upright position...other than this dilemma, I am in pretty good health and expect to live a long time.", "output": "Hi, thank you for providing the brief history of you. Since you suspect you had many falls in the past and the recent incident is bothering you more than I will say, kindly get an MRI of the whole spine done once which will help to come closer to the actual injury and any old injuries if troubling will also be visible based on that the treatment of choice can be made. Also you can do hot water fermentation and relax the spinal muscles. You can meet a spine specialist and get checked as I mentioned an MRI will also give a good input. If things are all normal you can discuss with the spine specialist about undergoing physical therapy session. The physical therapist will help you in the form of regaining strength in the muscles which will help to improve your functionality again. With the grace of God I wish you a long healthy life." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I have questions about concussions. My husband had 3 concussions so far. All of these being 6 months within each other. He suffers from short term memory loss(forgetting where he put his toothbrush, forgetting where he put his keys at times, completely forgetting events, etc) ,seeing spots ,mood swings, and he ll have these dizzy spells. The dizzy spells are what I m most concerned about because it completely affects his ability to do anything. His eyes will roll to the back of his head, and he ll just mumble. He has light sensitivity after the concussions, and it just seems like it s getting worse . What actions should be taken ? There was medication given to him for his headaches, but he s stubborn about it and does not want to take it . He ll stay up all night , and stare at the tv knowing he s sensitive to the light . Do concussions get any better throughout the years? Is there anything else I could do to help him ? Should I take him to another specialist? Please answer this .", "output": "Hi, Your husband needs detailed evaluation by a neurologist and neuropsychologist to exclude dementia. Some findings suggest that he may be developing dementia. If needed, MRI and PET scan of brain should be done. He should be encouraged to take medicines for relief of his symptoms. He may require antianxiety and sleep inducing medicines. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was born with a red, puffy birthmark right at the top of my butt cheeks (has always made me wonder if I was born with a tail, but my parents say no). It is oddly shaped and roughly the size of a quarter. The problem is that it itches, on and off, and if I scratch it without thinking, it breaks open and bleeds. Ive been using hydrocortisone on it, and trying not to touch it, but this problem has been ongoing since I can remember. Im poor and without insurance, is there anything I can do at home to make this better?", "output": "**1. Birthmarks rarely cause problems, other than cosmetic changes, psychological distress, pain, bleeding, or rapid increase in size which needs to be treated.2. Since you are applying topical steroid [HY Chat Doctor. The risks of laser surgery include transient hyperpigmentation, hypopigmentation, slight scarring, permanent hyperpigmentation, and recurrence. I would advise that you consult a Dermatologist with Good laser experience in these kinds of lesions. 3. a health care professional can diagnose a birthmark based on the appearance of the skin, so have an appointment with your doctor. [since problem is ongoing]PS. They can be covered up, but not improved by creams and lotions" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 13 year old daughter has been complaining about pain/cramps just under her naval but above the pubic bone. We had blood work and an uranalysis 2 days ago which were fine, and an ultrasound yesterday that also was fine. She has no fever, vomiting, or diarreha. She says the pain today is a little less, but still there....she just does not seem herself! Should I take her back today, and what could it be?", "output": "Hi! Good evening. I am Chat Doctor answering your query. As most of the warranted investigations have already come out to be normal, the pain could possibly be due to hormonal effects, and she might be in the way of attaining monarch, if not yet so. I would suggest you to keep this possibility in mind and counsel her accordingly. If the pain increases or persists, I would advise you to get her clinically examined by a gynecologist/general surgeon in your area. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was having severe lower back and went to doctor in XXXX and was given injection XEFO 8 MG INJ IV/IM. My lower back pain was reduced but later the pain started in my buttocks and then in things and now right feet is numbed. When revisited doctor i was suggested for xray and was told about some disc problem and asked to take NERVAX 75 MG. Will this reduce the pain and numbness please suggest me.", "output": "Mr Shikhar, You have not mentioned the duration of the problem that you are having, but if the back pain has progressed to buttock and thigh pain and then to numbness in the right foot, it is highly likely that you have a nerve root compression in your lower back, most likely due to a disc prolapse. You must undergo an MRI to identify and confirm the level and reason of the compression. The medication should give you pain relief briefly but if the numbness and weakness in the foot and leg are increasing with time, it is wise to get an evaluation done by an orthopedic surgeon or spine surgeon as early as possible to prevent further progression of the neurological deficit. Good luck and get well soon." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been having chest pains on and off for 3 days now, I feel very sluggish although I haven t missed work it is very hard to concentrate, I am a waitress so I am constantly on the go, I thought it might be indigestion but I didn t eat anything today and still no change what do I need to do? at times my left arm feels very heavy when the pain comes", "output": "Hello, I would explain that your symptoms could be related to anxiety. Anyway, before coming to this conclusion, I would recommend performing some tests:- a resting ECG-chest X-ray study-complete blood count, PCR, ESR. An exercise cardiac stress test may be needed. In the meantime, I would recommend taking Omeprazole in order to help against acid reflux. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My name is augustina I ve had a surgery for lump in my left breast which the doctor says is Fibroid Dyplesia 25years ago over the years a lump has grown on my back on the same left side the lump is not painful but in my body under the lump is paining a lot sometimes I cannot move my arm Can it be breast cancer or can the lump be operated on", "output": "HI, Welcome to Chat Doctor with your query. Confirm the diagnosis before the Treatment Planning-By the facts of your query, In my opinion, you seem to have infective lump? Boil/Sebaceous Cyst with reactivated infection in it, as it's paining under the lump. In such a situation, its very difficult to confirm its relation to the Fibrous Dysplasia removed 25 years back. But the chances are there of link to the Fibrous Dysplasia, as this lump in the back on left side could be a Secondary metastasis from an occult/hidden breast cancer in the left breast. Treatment-Antibiotics/anti-inflammatory treatment from your doctor, if responded would confirm the infective cause of it.Non-response would need Second opinion from Surgeon who would direct further treatment after proper examination and investigations, accordingly. But don't worry till this lump in the back is confirmed by biopsy as Cancerous and Could be treated by -Surgical Excision with Biopsy, which would confirm further treatment line. Hope this would help you to plan treatment with your doctor. Will appreciate hitting thanks and writing review comments to benefit needy patient visitors at Chat Doctor like you. Good day. Chat Doctor. N. Senior Surgical Specialist. M.S. Genl-CVTS." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My sister is undergoing chemo treatments for pancreatic cancer. Fortunately the tumor has been shrinking much to everyone s delight. Since she started her treatments, however, she has ballooned up precipitating her having to go in to have 9+ liters of fluid drained from her every three weeks. What is the name of this procedure which drains the fluid? Thanks", "output": "Hi! Welcome to Chat Doctor! Glad to know that your sister is responding effectively to the cancer chemotherapy. It appears that your sister has accumulated large amount of fluid into her abdomen. This is known as ascites. The procedure that is done to remove the excess of fluid from the abdominal cavity is known as paracentesis or ascetic tapping. Wishing your sister a speedy recovery from her present illness. Regards!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a kidney stone that is 2.7 cm in size. I have seen my urologist and he has given me 2 options. 1 to have the stone blasted in 2 separate procedures, or be hospitalized and have the stone removed through a small incision (a tube placed in the incision.) I know that the procedure through my back will allow them to remove all of the stone at one time, but I am concerned that I will have to be off of work for over 10 days. However I have read that there are side affects from the blasting technique as well. I dont know which procedure to do...", "output": "Dear Sir, Sorry to hear about your problem. Your stone is quite big, and the blasting procedure would require multiple sittings to completely get rid of the stone. Such a big stone usually mandates a surgery although with the new blasting techniques these days doctors are able to deal with such stones as well. The blasting technique is associated with a small risk of pain during and after each procedure and a risk of infection, but you do not require prolonged admission. On the other hand the surgical part will take care stone in one sitting but would require a lengthy admission. Hoping for the best. Please feel free to clarify any other query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doctor .I m 21 year old girl and I have skin problem since when I was 15 .I have to much pimple white head black heads on my face . Ill. Do any thing but nothing works my height is 4.9 and my weight is 45 kg . Plzzzzzz help how can I get rid of it", "output": "Hello. Thanks for the query. Acne treatment needs a combination of approach. Please follow this regimen.1. Apply Lepidus cream in night keep it for an hour and wash your face.2. Apply dew soft moisturizer and sleep.3. In early morning apply clinic gel.4. After bath apply sun cote gel. Carry on with this regimen for a month you will get improvement. Let me know if you have any other doubts. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I believe I may have panic disorder. I was recently diagnosed with an anxiety disorder and put on medication to help with it. A few weeks ago, I had my first panic attack. I was hyperventilating, trembling, sweating, and felt like I was going crazy and detached. I have had multiple attacks in the past month, often in my bathroom and at my mother s work office. Because of this I have begun to avoid these areas like the plague. My doctor told me I had nothing to worry about, but I can t help but to feel scared of having another at school or in public. Any advise?", "output": "Hi, I understand your concern. It's nice to note that you have already started treatment for your problems. The medications generally take some time to act, and you will have to patient about it. If I had been your psychiatrist, I would have started you on one of the selective serotonin reuptake inhibitors like paroxetine, sertraline or Escitalopram. In addition, you can also consider the option of cognitive behavior therapy together with your medications which can help you overcome your fears. Best wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter is currently a 22 year old, who has always been physically healthy, her mental health is another story. At the age of 15 she went into a major depression and was suicidal. She was hospitalized twice and had intense family therapy sessions 3 times per week for a number of months. She was also put on meds. The therapy seemed to really help and she did pretty well for the last number of years with a few episodes here and there. Lately she has been acting very manic at times and is extremely moody. You never know what kind of mood she is going to be in when she comes to visit with us. Today at dinner she went from being all happy and pleasant to totally snapping out and being angry and crying. It all happened in seconds. Everyone was floored and just didnt know what to say to her. She left and returned 20 minutes later and seemed to be ok. She claims she was having a panic attack. I beginning to think. along with others family members, that she very well may be Bipolar. Your thoughts???", "output": "Hi thanks for using Chat Doctor. It can be bipolar, but it is too early to confirm it. You need to take her to a psychiatrist and get her evaluated for same. There is another possibility that she may have an anger outburst for other reason and did not tell you about that. If she is having elevated mood, decrease need for sleep, increase goal directed activity, spending money excessively for more than 7 days then it is possible that she might be suffering from bipolar, otherwise for a single episode of few minutes of unexpected behavior is not sufficient to diagnose bipolar. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have epilepsy as a result of brain surgery twenty five years ago. I understand that more, less invasive surgery, could eliminate the problem by peeling the scab off the injured area. I also understand that this surgery is being performed at Montreal Neurological Centre and Toronto s Western hospital. How correct is my understanding? YYYY@YYYY Thanks Peter", "output": "Hi Peter, Your understanding is correct. The scar from the previous operation could be the irritation focus that produces the epilepsy. To try and establish this hypothesis, you would undergo various tests that would include MRI scan and other scans, neuropsychological testing, scalp EEG's including possibly telemetry which includes a period of stay in the hospital where you will be hooked up with wires recording the EEG continuously and a camera recording you as well. After all this, the doctors would sit together and decide if you will need a period of intracranial monitoring where the EEG electrodes are placed after opening your skull over the area of scar. With this further testing to check the function of the surrounding areas of the brain will be done. Following this, the surgery to remove the scarred tissue will be performed. Yes, MINI is one of the works most experienced centers doing this type of work. But there are other centers across Canada and the US which do the same type of operation as well." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have bruising around the bottem of my lower leg just above the ankel and the vain looks like a snake running up my let I am wearing elastic stalkings but and trying to elevate the leg at night but I am in Guatemala city until the 22Dec and this pain is getting worse when I walk or stand It hurts all the way to my hip and I am a little afraid of going to a Dr down here and no money to spend also I am here on work and have stayed home two days sick with the worse cold every", "output": "Hello, I read carefully your query and understand your concern. The symptoms seem to be related to varicose veins. I suggest using a painkiller such as Acetaminophen to relieve the pain. I also suggest using compressive stockings to relieve the inflammation and swelling. If the symptoms continue, you should consult a doctor for further evaluation. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards! Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, My name is Mandy. I am 31 years old. I have been having pain on and off for about 4 days in my pelvic area. I have the symptoms of a UTI, but am also having symptoms of pregnancy. the pain is getting more prominent, and I am feeling bloated. My stomach feels swollen. I have endometriosis, and I had an ovarian torsion on my right ovary in 2009. with the removal of my right ovary. weve been trying to get pregnant for 4 years. with 1 miscarriage in Jan. 2010. after researching my symptoms, its saying it could be an eptopic pregnancy. My period is 2 days late. I know thats not much, but it is late. I feel pressure also. the reason i am worried about this. is because the pain I am experiencing is different from the other pain that I experience. and the pain is different than a uti also. but I have that pressure feeling like a uti. along with a sharp nagging pain. and cramping. Do I need to seek emergency care? or wait to see my doctor in 2 weeks?", "output": "Hi, Please do a urine pregnancy test urgently and if positive see a doctor immediately. History of endometriosis and previous surgery in pelvic area makes the chances of adhesion and thus chance of ectopic pregnancy more common. Also, if pregnancy test negative, test for urine routine microscopy and if infection present take appropriate antibiotics. You cannot neglect sharp pain and so should get medical help as soon as possible. Hope this helps. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "m mayank 23yr old male i have a problem ,i feel suffocation,and due to this i m taking breath properly,a few months ago i went to my doc ,he prescribe me a inhaler of cipla (aerocort) n said me that u have a problem with dust...but now a days it become more ,so tell me wot can i do plz help me...........", "output": "Thanks for your question on Chat Doctor. I can understand your concern. At your age, your symptoms are more suggestive of asthma. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).PFT will not only diagnose asthma, but it will also tell you about severity of the disease and treatment is based on severity only. You will need higher and longer inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone). Oral combination of antihistamine (levocetrizine or fexofenadine) and anti-allergic (montelukast) once a day at night is also beneficial.Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Had a cold for 3 weeks. Went away. 2 weeks later came back. Doctor treated me with 5 day Z Pak (250 mg) & a corticosteroid pill (4 mg). Still sick. Bad cough. Cough up white foamy stuff. Using Mucinex & Robitussin. Lots of clear discharge from nose. Wheezing.", "output": "HelloPersistent cough with foamy stuff for 3 weeks may be due to allergy and wheezing is due to bronchoconstriction. So when such type of patient visit my clinic I advise them to take some anti-allergic + bronchodilator combination for prompt relief. I advise taking montelukast+albuterol once in the night. Usually patient get relief within 2-3 days. Hot coffee and steam inhalation also provide relief. Since this is a prescription Chat Doctor. If no relief within 3-5 day get in X-ray chest and consult a Chest specialist. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a twenty six year old female with a hx of HIV positive fractured back since april 2010 and a complete hysterectomy. For nearly three weeks now I have been having SEVERE chest pain in the right side seemingly worse in the middle and near or beneath the bottom of the breast, pain shoots straight through to the back affecting my right shoulder. I was in the hospital over a week ago from this and then the DR thought it was bronchitis as I have a cough that is as loud and deep as a fog horn, Since then I have quit smoking but the cough seems to be worse. Everytime I try to breath in I cant catch my breath and I start hacking very badly, I have been spitting up green and yellow. I have been on antibiotics for a week and they arent seem to be helping. I have had severe vomiting projectile kind. Moderate to bad headache. However the chest/shoulder pain is so bad I cant sleep for more than a few hours and then it wakes me up and doesnt go away or lighten up at all it seems after all this time to just be getting worse and worse. I have taken pain medicine for it and it helped for a few days but now it isnt even working. The Pain meds were Percocet and now they arent even touching the severe pain. Two or three days ago when i tested my blood pressure it was alwaysaround 98 over 71 and pulse ranged from 120 to 130. I have been scared too call my dr or test it again but the pain is getting bad enough i am getting afraid to go to sleep what should I do.", "output": "Hello rearward welcome to Chat Doctor.come have evaluated your query in details .* This narration indicates there is substantial amount of underlying respiratory infection.* It is strongly recommended to get hospitalized and start intravenous treatment with antibiotics, bronchi dilators, analgesics, other supportive care. Hope this will clear your query. Wishing you fine recovery. Welcome for any further guidance. Regards ." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "More and more often I m waking up at night gasping for air like I m suffocating and coughing and wheezing a lot, it eventually goes away but takes a while but only if I remain upright, I have to sleep sitting up a bit or it s worse but I m left for a while with a tired heavy feeling in my chest, what could this be, oh and sometime my heart feels like it s beating fast", "output": "Thanks for your question on Chat Doctor. I want to ask you few questions first.1. Are you obese?2. Are you having diabetes, hypertension and ischemic heart disease?3. Are you having morning headache, sleepiness, tiredness?4. Are you overnight time gasping spells, suffocation, cough seen in 1. Obstructive sleep apnea (OSA)2. Cardiac causes3. COPD (chronic obstructive pulmonary diseases). So better to consult sleep specialist and get done sleep study (polysomnography). This will help in diagnosis of above-mentioned cause. Treatment of all are totally different. So you need to diagnose first." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have swelling above waist on right side, not left...a little roll of fat? Not painful but but sensitive to pressing. ?? Also have gall bladder symptoms, got hida scan this a.m, sonogram recently showed no abnormality of gall bladder.....have family doctor who ordered tests....is swelling connected?", "output": "Hi! The right sided lower abdominal swelling is not related to gall bladder at all! As per your description, the swelling is flat, mobile, soft or fatty to feel, painless, but sensitive to pressure or tender.... Whenever I see this kind of lump, as per needle biopsy experience, I get following diagnoses:1. Lipoma2. Neurofibroma3. Hernia4. hemangiomaTherefore, this is not a thing for worries but should be checked by your physician!regards," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi ive been have gritty sound when i move my head and i think its at the back off my eyes or in my head ive been getting this now for a year and i was getting a hot felling up my chest and harms and pricking in my hands to ive had a mmr and chest scan and thay still can not fined anythink .", "output": "Thanks for your question on Chat Doctor. I can understand your concern. No need to worry much as your MRI and chest CT are normal. Sometimes stress and anxiety can cause similar symptoms like hot feeling in chest, sound behind eyes etc. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am having problem with shortness of breathe or discomfort for quite a long time. It looks as I am having arrhythmia. Some times it increases and other time it keeps just above normal and It never get normal very few occasions for short period of time when my heart beats normally I feel tremendous amount of relaxation and comfortness and I want it to continue but a little stress and nervousness disturb the heart rate and breathing process. Would you please suggest me what is happening with me is it about stress or something else?? What is its treatment if it cure with medication??", "output": "Thanks for your question on Chat Doctor. In my opinion you are having anxiety related symptoms. But better to rule out cardiac and pulmonary causes first your intermittent shortness of breath. So get done1. Ecg2. 2d echo3. Holder monitoring (24 hour continuous recording of ECG)If all these are normal then no need to worry much for arrhythmia and other cardiac causes. Get done chest x-ray and PFT (pulmonary function test) to rule out pulmonary causes. If all are normal, then anxiety related symptoms appear more in your case. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. Avoid stress and tension. Be relax and calm. You may need anxiolytic Chat Doctor. Don't worry, you will be alright." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my son is having back pain in the middel of his back. I have taken him to the er last monday and to see his dr, tuesday and today. they find nothing wrong. x rays and blood test came back normal. even after seeing the dr. to day he is still screaming in pain to night. what could this be from? how can i sooth it? heating pad, ice, massage, ibprophan are not helping. he is still unable to sleep for more than 30 minutes. there has been no trama to cause this kind of pain in his spine.", "output": "Hello, Thanks for your query. Your son might be suffering from Acute mechanical back pain.1. Hard bed rest for 2-3 days2. Take some muscle relaxants like moral 8 mg, etc., along with painkillers like diclofenac 50\u00a0mg. He can use voting spray.3. Hot water fomentation to back 2-3 times a day4. Physiotherapy - Inferential therapy (IT) to your back will help you relieve the pain5. Avoid Chat Doctor. These activities can increase his back pain. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "A few times when I have bent down to do up my shoe my heart all of a sudden starts beating out of contro and i get dizzy and sometimes it will slow down on its own, 2 times i had to go to emerge and the gave me a needle of something to get it back to normal. What is it?", "output": "Hello, I would explain that your symptoms could be related to cardiac arrhythmia. Gastroesophageal reflux cannot be excluded either. Coming to this point, I would recommend consulting with your attending physician for a physical exam and some tests: - a resting ECG and cardiac ultrasound- a chest X-ray study-complete blood count for anemia-thyroid hormone levels for thyroid gland dysfunction- blood electrolytes for possible imbalance. An ambulatory 24-48 hours ECG monitoring would help examine your heart rhythm trends for a prolonged time and exclude possible cardiac arrhythmia. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Trying to decide if I need to go to the emergency room. I am a 59 year old female. About 1 hour ago, all of a sudden, I started having severe pain in my lower back toward the front on my right side. Also started having chills and feeling nauseated but not vomitting. I had a kidney stone 8/12 and this is so similar to that time. I still had some pain pills from before so I took one and I am sitting on a heating pad. I am not passing blood and currently I do not have the frequency to urinate that I had before.", "output": "Hello Fairbanks for your query at Chat Doctor. Severe pain in right side, nausea, chills and previous history of stone suggest that it could be recurrence of stone in kidney (nephrolithiasis). Pain in nephrolithiasis is very severe with nausea, vomiting. Pain can persist up to 4 to 18 hours duration. My recommendation for you is to consult urologist get investigation like ultrasound abdomen and discuss with him for further investigation and management. For temporary relief of pain till you visit doctor tablet acetaminophen can help. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I injured my palm with a knife and stabbed into it while cooking. I received stitches and had them in for 10 days. Its been about 2 weeks without them and the left side of my middle finger is still numb. I assumed nerve damage but im just not sure how would i exactly know if that is the issue", "output": "Hello, Thank you for contacting me at \"Ask a Doctor\". I will try to answer your question to the best of my ability. I think you are right. You may have a small amount of nerve damage, which is causing the numbness. This is relatively common. I would not do anything specific at this time. Oftentimes, if you leave well alone the nerve will recover over time. However, this may take several weeks or sometimes a few months. Do not worry. If the situation worsens in that you are getting increasing pain or increasing numbness, then I would pay a visit to your primary care physician. Otherwise, at this stage, I would leave well alone. I hope this information is useful for you. Please do not hesitate to message us back if you have any further questions. Best wishes, A Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I fainted two days ago in the middle of the night in a hotel all by myself , I hurt my self badly, big cut in my forehead as well as several incisions in the back of my head. I was completely out for about 2 to 3 hours until I finally came back. This is not the first time I faint, but it is the first I really hurt myself plus I was alone. I was diagnosed in mexico city in a hospital by a neurosergeon as having had a \"Sincope Neurocardiogenico\" do not know how to translate that into english. How serious is this? Can this be cured or at least controlled? I travel a lot by myself for working reasons, I am 53, and I need to travel, needless to say I am very scared this may happen again!!", "output": "Welcome to Chat Doctor. Syncope is a transient loss of consciousness(LOC) for a few minutes, loss of consciousness for 2-3 hours does not appear to be due to syncope. It would be prudent to rule out any cardiac arrhythmias by getting a 24 hour Holder testing(Mobile ECG) to rule out any bradyarrhythmias or abnormalities of rhythm and rate. A EEG, other causes of LOC need to be looked for, this includes seizures, TIA and other cause. Syncope needs to be checked for causes of orthostatic hypotension like Chat Doctor. Other causes of syncope like micturition /sneezing /neurogenic/vasovagal or carotid sinus syncope needs to be looked for. It would help to get a thorough neurological, cardiac and medical check up done to establish Theo cause of such symptoms." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i m 29 year old lady & i get married before 2 year ,according to dr. my right side Ftube is block but left side is patent tube she give me only 2 opton IFV ,IUI . ple tell best suggestion expect this.", "output": "Hi Welcome to Chat Doctor Ovulation occurs from both the ovaries, but it can't be predicted that which month which ovary will ovulate. Pregnancy is very much possible when ovulation occurs from left ovary. To increase your chances follicular monitoring should be done to look for ovulation. Intrauterine insemination (GUI) will increase chances of pregnancy. IVF is last resort if GUI s are failures or if both the tubes are blocked. Keep trying. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Today I had something go down the wrong way and I started coughing very hard. I would say this was the most intense cough I have ever had. However, I started getting a tighhtness and tingling all over my body with each cough. Finally after my coughing spell stopped I was fine. However now if I cough or sneeze I am getting the same feeling. Should I be concerned or is it just because the orginial episode was so intense?", "output": "Hello. When something's goes the wrong way in the wind pipe, the cough is always very aggressive. It is the bodies desperate attempt to remove the offending substance. It needs to be removed immediately, otherwise it may plug the bronchi and lead to lung collapse and post obstructive pneumonia. Furthermore, it is important for you to tell what were you eating. If it was a solid substance such as a peanut, get your X-ray done and consult a doctor immediately. If it was a liquid, most probably nothing would go wrong. However, consult a doctor if the cough persists for more than 24 hours. Take care. -" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i did MRI scan brain. all is normal but abnormal T2 hyperintense mucosal thickening is seen in bilateral sinuses(right>left) likely infective/inflammatory etiology written. but conclusion no significant abnormality detected in the brain. was written. what it is the meaning of this?", "output": "Hello, It means that the radiologist believes you may have some sort of chronic sinus infection but the only reason he is making this call is that sinus cavities are visible on brain MRIs. Otherwise, the sinuses have nothing to do with brain tissue or anatomy. The two entities are entirely separate. The fact that he can SEE sinus cavities on the MRI of the brain means he has to read and make calls of things he believes are present, but it is in no way indicative of a disorder of the brain tissue. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "For years I have lumps, or hard spots in my calf muscles on both legs. Pressing on those spots is sometimes painful but is mushy. I workout at the gym everyday, and the trainer used a roller to roll these out, or I use a rolling pin at home. But why are they there, and keep coming back after rolling out.", "output": "HI, Dear,Good Morning From INDIA. I studied your query with all its details and understood your health concerns. Causes of pressure lump on both legs and calf muscle--Causes in your case are-i-Chronic Compartment Syn Chat Doctor. Ii-The lump is of valvular insufficiency of-short saphenous system and perforated vein with a soft lump as described you.iii-They come due to this varicose vein defect. So consult your doctor and wish you fast recovery. Hope this will help you to recover your urgency. Wishing your fast recovery. Wellcome for any further query in this regard. IF you get relief-write a good review and recommend my Chat Doctor clinic to your foes and friends. Have a good Day. With Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "okay to make a long story short, i had a miscarriage on April 02. by doctor said that i could try again after my next period. there for my husband and i have tried again. But now my belly is killing me with sharp pains all over like as if i was really gassy. on top of the pains in my belly, i have a headache in the front part of my head. also ive had on and off hot flashes; mostly when i raise my hands to wave,or even put a shirt on. do you know what i might have or what the cause of this is?", "output": "Hi ! The symptoms you have after a miscarriage tends to some kind of pelvic infection which you might have developed. I would like to know if you have any history of discharge per vagina. If yes, it points more towards this diagnosis. At the same time because you and your husband have tried for a baby again, one has to exclude any abnormal placement of the fetus (ectopic pregnancy) which might be giving rise to this kind of abdominal pain. So far as the hot flashes, etc, I would like to know if you had a biopsy of the miscarriage part / curette or not. There are a few conditions where miscarriage is a possibility along with hot flashes and headache. I would advise you to consult your physician again who may advise you for a serum Chat Doctor level and an ultrasound abdomen apart from routine urine and blood tests. I hope this information will be of help to you. Wishing you an early recovery. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Semen analysis report , please explain treatment required? Appearance: Creamy White Liquefaction Time(min): 30 Consistency Thin Volume 2.0 pH: 8.0 Rapid Progression: 65% b) Slow Progression:10% c) Non-Progressive Motility: 05% d) Immotile:20% Count / ml: 102 Million Normal:70% Abnormal:30% Head Defects:10% Tail Defects:10% Neck & Mid Piece Defects:05% Cytoplasmic Droplets:03% Headless Pinhead :02% Pus Cells : 4-6 Red Blood Cells : 4-6 Nil Epithelial Cells: 0-1 Miscellaneous :", "output": "Hello, Welcome to Chat Doctor, I am Chat Doctor Firstly, Volume, consistency, liquefaction time, all are within normal limit. Sperm count is within normal limit (normal is >15 millions / ml as per WHO 2009). Motility is within normal limit (normal is > 40% total motility as per WHO 2009). Morphology is also within normal limit (normal is >04% as per WHO 2009). Increased Pus cells and RBC indicates presence of lower urinary tract infection. For this, you have to take broad spectrum antibiotic like fluoroquinolones. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor, im suffering from mental problems..it s managable the time i sleep and wakeup. but i can hardly sleep i cant control negative thoughts that come across me. im already suffering through a grief after losing my boyfriend. and now what ever i think even a bit i get a bad headache . headache like my brain nerves get pulled like a stroke . and i hardly feel sleepy.", "output": "Hello NainaThank you for getting in touch with us. As I see, you are suffering from a grief reaction after losing your boyfriend. It is natural for anyone to have a grief reaction if they lose someone close to them. As we don't know when you lost your boyfriend, it would be tough for us to make a diagnosis. If this has carried on for more than a year, then we would recommend you to get in touch with your Doctor. You can also consult him/her if this grief reaction interferes in your day to day functioning. Hope this helped. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,I am suffering with alopecia areata found a patch on my head visited a doctor and she suggested me 1.folica tinture daily twice on the patch 2.Keratab & Caltrol one tablet daily 3.Aelius D3 one tablet weekly Are these medicines helpful for my problem?Can you please suggest me intake of food that helps me in faster recovery?I am 27yrs old with 5 2 height and 58kgs weight.", "output": "Alopecia errata is an autoimmune disease of hair follicles in which destruction of follicles occurs leading to alopecia in that particular site... Single patch is more likely for spontaneous remissions with in 1-2 years... Treatments are mainly used to stimulate hair growth for enhance the hair growth...folic tincture and keratin is appropriate treatment for it...be patient your hair will recover with in a couple of months...you can get done your thyroid profile done, sometimes it can lead to alopecia errata...take a balanced diet rich in protein, vitamin and minerals...thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am 36 years old, I recently had backache and MRI report says Diffuse bulge at level L4 and L5 indenting thecal sac . I would like to know how severe is this disease ? Do I need to have some medicine or only exercises will be sufficient. One more thing I would like to add is almost simultaneously I have urine infection and burning after urinating and frequent urge to urinate. Is it possible that this urine problem is due to this diffuse bulge problem in spine. Please suggest can both the problems get treated for both the problems simultaneously, or treatment for urine infection should be taken care of first. Look forward to hear from you soon !!!! Thanks", "output": "Hello. I have been through your question and understand your concern. Disc bulging is not a disease. It is just a common condition seen in quite every lumbar spine MRI and does not need any specific treatment. You can have painkillers for your lumbar pain, which is the reason why you had MRI I presume. The urinary infection needs prompt treatment. This is not associated to your MRI findings, I can guarantee this. I recommend treating the urinary problem and not worry about the MRI findings because if you pick up randomly 10 men at your age at least 6 or 7 will have the same MRI findings.9Hope this helps with your question. Please feel free for further questions." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been having Diarrhea,fever.headache chills, body pain and abdominal pain for the last couple of days.. I have 2 questions.. are these symptoms of Food Poisoning? and is Metrogyl useful in treating Food Poisioning?", "output": "Hi, I am sorry for the situation you are in. Diarrhea associated with fever, chills and body pain are signs of possible viral infection of GI tract. Headache is due to:- viral infection- deny Chat Doctor. It is a good option to treat diarrhea either from viruses or food poisoning. Your signs are not indicative for food poisoning unless they started right after eating certain food (that might have been bad). Keep in mind to keep well HY" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a lump inside my inner arm, where my elbow crease is. It is approx 30-40mm, perfectly round, and somewhat moveable. The lump itself is hard, but it moves a bit inside my arm. It is not on a joint/bone/etc, sort of floating around in the skin/fatty area on the inner part. It is painful to the touch, feels similar to a bad bruise. I haver had any trauma to the area that I can think of (though I am active with my 2 and 4 year old so it s possible). It s appeared in the past 48 hours and is becoming slightly more painful (slight numbness on that area of my arm). Help! Any ideas? No health issues, female 32 years old.", "output": "Hi, dear. I have gone through your question. I can understand your concern. You may have some enlarged lymph node, benign cyst, lipoma or other soft tissue tumor like neurofibroma. You should go for biopsy of that lump. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my name is sobha i got ectopic pregancy 5 month back and dr told me folic acid tab 5 month now i have thyroid on borderline dr told me to take thyroid tab and again try for 3 months after that they will do hsg ihave only my right tube can i have to chance to conceive again 1 st i conceive naturally after 8 yrs of my marriage im 30 now", "output": "Hello, and I hope I can help you today. Unfortunately, having had a history of ectopic pregnancy is a risk factor for infertility as well as damage to the other remaining tube. However, thyroid disease can also affect ovulation and regular cycling of your period, so the treatment with the thyroid medication may help your chance of conceiving. However, I agree with your doctors' recommendation to check an HSG to determine if your one remaining fallopian tube is blocked. If you find out that your right tube is open, you certainly could conceive on your own. Many women with only one tube and ovary are able to get pregnant successfully. If it turns out that your right tube is blocked also, pregnancy can be achieved with in vitro fertilization which can be performed by a fertility specialist. So in summary-the results of the HSG test will be able to tell you definitely if you are able to conceive again. I hope I was able to adequately answer your question today and that this information was helpful. Best wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just started have chest pains about 3 hours ago and I know bronchitis is going around could those chest pains be the start of it if so is there anyway I can catch and take some type of meds. To make it go away I m going camping in Kentucky in about a week so if I could I need to get it gone before then", "output": "Hi, The term bronchitis is applied to inflammation of smaller airways and can cause chest pain. Most cases of acute bronchitis resolve without medical treatment in two weeks. Common medications prescribed to treat bronchitis includes antibiotics, cough medicine and bronchodilators which are medications to reduce inflammation and open narrowed airways in the lungs. As you are camping outside, the following precautions may help a quicker recoveryAvoid lung irritants like smokers a humidifier if availableWear a face mask outside" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my top of the mouth the palate near the wisdom teeth (top right) is soft and uneven and inflammed. it feels like i have burnt the top of my cleft palate but i havent. when i press thi sit releases blokkd and i think some pus earlietr today. i have crowns fitted near the pain. but no pain in the tooth even when i knowch them. can u help ?", "output": "Thanks for your query, I have gone through your query. The swelling and discharge from the palatal aspect of your wisdom tooth could be because of the tooth or gum infection. Consult an oral physician and get a radiograph done to rule out infection of teeth. If the tooth is infected then get it extracted under local anesthesia. If the gums are infected then get your teeth cleaned and take a course of antibiotics after consulting your oral physician. I hope my answer will help you. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have COPD and have not been feeling well for several days. Today I have taken my b/p and when lyingdown the diastolic was 41. That was over an hour ago. I have been sitting in a chair for approx 1 hour andnow my b/p reads 108/46. Should I be concerned?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Your diastolic pressure is very low. Normal diastolic pressure is between 70-90mmhg. So you are having diastolic hypotension. And it is common in COPD patients due to right sided heart failure. So possibility of right sided heart failure is more in your case. So consult your doctor and get done 2d echo to rule out heart failure. You may need diuretic and cardiac isotropic Chat Doctor. Better control of COPD is also important. So take your inhalers timely. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im 16, healthy (eat very healthily and exercise regularly, get 8hrs+ sleep) but always feel angry, fatigued and frustrated. I fall asleep at the same time every day, around 12pm. I went to the doctor about it and he said i may have slight depression, but im not sure.", "output": "Hi, I read you query and do understand your concern. The symptoms that you have mentioned are suggestive of depression. However, it is also important to rule some medical disorders like thyroid dysfunction, anemia. Complete blood counts and T3, T4, TSH levels will be needed. You can discuss regarding the same with your physician. In case your reports are normal, I would advise you to consult a psychiatrist for starting anti-depressants like sertraline/ Escitalopram for your condition. These medications are safe and effective. In addition, also start exercising on a daily basis. Hope this information was helpful. Best wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter is almost 2 several months ago she started having very frequent bowel movements. Like 30 a day. but they are incomplete bowel movements, more like a fart and a little poop comes out that it.. she has been diagnosed with strep on the anus although her bottom seems to bl clearing up its not helping the frequent bowel movements. she cries and has a straining stance with her legs locked stiff and really looks like it hurts coming out i dont know what it could be or how to help her", "output": "Hi, Welcome to Chat Doctor forum, I am sorry to hear about your children condition. I am sure it must be really painful for her. The frequent bowel habits seem to be due to the pain she has in the anal region. You need to take here to a pediatric surgeon for a complete evaluation of her anal region and if needed a copy study too. Hope I answered you query adequately. Let me know if there is any further clarification you need. Take Care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I just took my husbands blood pressure and it is 74/41. It has been low all day. He feels cold and clammy, sick to his stomach, tired, and his color is pale with a grayish color to it. Nurse was here at noon and his bp was 70/50, and then at 5pm it was 86/55. Dr was notified but didn t seem concerned. He is a diabetic and just got out of the hospital 5 days ago. He had kidney failure, liver failure, congested heart failure. He also had a virol infection with ecoli in his urine and another infection in his urine also. He is also type 2 diabetis, and now is on dialisys.", "output": "Dear, thanks for taking the time to ask your questions to us. First, a patient with congestive heart pressure needs to have a low blood pressure to avoid that the heart will work more. Another situation is that when a patient is in dialysis, he/she lose a lot of volume of water and that can create low blood pressure. It is very important to check if he has any symptoms, as dizziness and weakness. It this is not the case, just keep monitoring his BP and keep record of any changes" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had lower back pain which may have been caused by heavy lifting for over 2 months now. It is getting more and more severe. It hurts to sit and to bend over. I also think it has caused constipation. I was prescribed Naproxen for the pain and cycloprine as a muscle relaxant. They only moderately help the pain and I wasnt satisfied with the doctors check-up. It seems to be getting worse still. It is making it very difficult for me to work let alone get in and out of the car. I am 20 years old, 6ft, 180lbs and I am very active and healthy otherwise. Any ideas would be greatly appreciated so that I could take some knowledge with me to the doctor next time.", "output": "In all probability we would suspect you to be having Spinal problem. It could be Muscular spasm or pull of muscles around the spine, Disc Prolapse, Discuss, Spondylosis. To confirm the same the doctors run few tests like X-ray or MRI of your spine. Most of the back pains fully recover witChatDoctorplete bed rest and later with appropriate physical therapy. Most of the patients doesn't recognize the importance of Complete Bed rest (ambulation only for nature calls) so we want to inform you that you may have to be prepared to take off from work for some days completely as recommended by your doctor. Any back pain not responding to usual treatment and rest needs to be intervened promptly. Moreover, not able to sit in the car, Constipation are not good signs to wait. We would suggest you to consult an Orthopedic immediately for further evaluation and management." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im 21 maleBeen mabsturbating from around 4 years...I stopped now...but after 6 days I got stomach pain and consulted a doctor he has done scanning and said it might be some infection and suggested some antibioticsAfter using antibiotics again I got pain..Also I faced sperm leak at night once..Is that infection because of masturbation...please suggest some medication", "output": "Hi!hope to guide in a good way yes it seems an infection, and it looks you don't have a good antibiotic overtake cap cefixime400 mg once daily for 7 days, table metronidazole 400 mg thrice daily for 5 days. Tab contravene one table in case of abdominal pain. And regarding wet Chat Doctor. First ;minimize watching the porn, erotic magazines etc., relax yourself .for this problem you can take cap NF cure and male 40 twice daily for one month, it will strengthen your weaker nerves and will reduce premature ejaculation. Hope my response help you out. Take good care and believe in yourself." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi Im currently started taking cerazette for the past 8 day and now spotting I now that in can happen. But for how long as my boyfriend is only back for 3 weeks and really not good time. am thinking off coming of it as everything i have read sounds like it goes on for ever", "output": "Hi. Cerazette is a progestogen-only-pill or a mini-pill commonly used to prevent an unwanted pregnancy. If taken on the first day of your period you are protected straightway you do no require additional contraceptive. However, if you take your first pill on days 2-5 of your period use an additional contraceptive method such as condom or diaphragm for the first 7 days of pills taking. Vaginal bleeding may occur at irregular intervals while taking this pill, and it is not a sign that Cigarette is not working. In general, you need not take any action; just continue to take Cigarette. If bleeding is heavy or prolonged you should consult your doctor. Hope I have answered your query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello.....my six yr old daughter was diagnosed with strep throat today and was running a fever earlier this afternoon. Since I have been with her thru this, am I now contagious. I am concerned about returning to work tomorrow and getting others sick. Is that possible?", "output": "Hi, Thanks for posting in Chat Doctor. I understand your concern. Streptococcal infection of respiratory tract is air-borne and hence is transmissible. In case your immunity is good, probably you could fight the organism without getting infected. However, it would be better to take precautions to avoid flaring up of symptoms. 1. Kindly wear a mask when you are near your daughter. 2. Wash your hands frequently and use hand sanitizer to disinfect the famines. 3. Gargle with warm salt water 3 to 4 times a day. Hope the information provided would be helpful. All the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son is having loose stool and since evening he is not comfortable to sit and lay down. Doctor suggested to use ofm along with nutrolineb and ors as he might be having some tight contractions with his intestine.Do you suggest anything else to use?He is 2years old", "output": "Hi, Thank you for posting your question. Since your child has complains of loose stools, the most probable because I would think of is viral diarrhea. In that case I would ask you only to take care of his HY Chat Doctor. Apart from that probiotics e.g. nitrogen b which was given to you would also be useful. Any zinc supplement may also be helpful to recover the zinc lost in stools. This could be done after consulting your doctor. For the pain and discomfort that your child is experiencing any anti colic " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son has been having this simtoms...excessive salivation followed by a sharp pain in the chest. We went to ER and they told me is just growing pains. This is not going away. I have been giving him Motrin. I also notice that after long periods of not eating this happens.", "output": "Hi...you have mentioned a very important point that this chest pain occurs after a long period of not eating. It could be GER(gastroesophageal reflux). Your son may need - 1. Antireflux therapy - Proton pump inhibitors + antiemetics2. Always make him lie down in a propped up position. He should not be sleeping completely flatly.3. Avoid heavy feeding and feeding more times and in small liquors. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been having a lot pain in my right foot (big toe) area and at first it hurt to touch, can not wear a sock or shoe. My family DR has ruled out gout. but now the pain has moved a crossed my foot and now my foot goes numb to the touch and I also have numbness to my arms and lower neck. A friend asked me if I had been tested for lyme disease. could that be a possibility?", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you are wondering if foot pain and numbness be due to Lyme disease. Well the symptoms you mention in query can occur due to May reason like Achilles tendinitis, bone spurs, bunions, bursitis, corns and calluses, diabetic neuropathy, gout or plantar fasciitis. Lyme disease can cause joint pain, for that you can go for Western blot test and ELISA test. I would suggest you to consult podiatrist for proper diagnosis and treatment. Podiatrist may recommend supportive footwear such as sneakers, arch supports, metatarsal pads, shock absorbing shoe insoles and inserts and orthotics. For now give proper rest to your feet and put your feet in hot water tub with one spoon of salt daily at least for 15 minutes. You can also take ibuprofen or acetaminophen for pain. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am having on and off sharp pain (not lasting long) on right side waist area and haven t had a bm since Saturday and today is Wednesday. Started taking Miralax yesterday and had very small bm tonight but very oddly snapped...bm looks as if it squeezed pass something. Curious if the Miralax will get things going or should I go see a doctor? I m not on any meds and no major surgeries in past.", "output": "Hello, I have studied your case. Waist pain can be due to nerve compression. Usually nerve compression can't be seen on x-ray you may need MRI for this. There may be age related spondylitis but if there is any nerve compression then that may need specific treatment. I will advise you to do MRI instill time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir, my wife, 67, taking seloken 25xl and cilacar 5. Last one month, half of tablets taken from each one. Remaining time, took cilacar 5- 1/2 taken with 4 intervals based on sys pressure while reaching 160. But my doctor advice is to take medicine in the morning 1tab seloken 25xl and evening one tab cilacar 5 tab. It is all carried out in 40 days. On 3.10.14 she took half tab each seloken 25 xl and cilacar 5 in the morning. After 4hours, we noticed the BP is 202 sys, 79dia and pulse 66. My self, husband, went to Dr and informed the situation. Dr advised to take as per priscription - seloken 25 -1 tab& cilacar-5 one tab and evening one cilacar. Today, 5.10.2014, she took as per Dr s advice. intially decresed for 2hrs from 179 to137 sys, 80 to 65 dia and pulse 71 to 68. But, after that pressure increased to 190-71-77 within 1.30hrs. Immediately we went hospital.Today, OP treament is not available. Before that, to avoid any further increase, I took cilacar 5 one tab while going to hospital. After 3/4hr we measured Bp. It is 166-64-79 and further after one hour Bp is reduced to 134-60-70. she is diabetic patient more than 15yrs and 10yrs for Bp. Kindly give your good advice to relieve from this suffering. Now diabetic under control.", "output": "Hi welcome to Chat Doctor. I understand your query and concern. High blood pressure should be treated thoroughly and should be kept under control or else will lead to complications like Dilated cardiomyopathy and ischemia to the brain. Best treatment for elevated blood pressure is through Chat Doctor. Before that adequate management and work up is needed. I advise you to have a baseline 2 dimensional echocardiography, ECG and lipid profile to assess the basic cardiac reserve of your heart. Restrict the intake of salt to less than 6g/day. Regular physical exercise in the form of brisk walk for 20 min a day for 5 days a week." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am just slightly iron deficient, my back between the sholuder blades are uncomfortable, possibly because of poor posture, I am going through menopause, I am in college and almost graduating, I also work part time, stressed, cranky,and feel burntout....does an iron deficiency cause some of those symptoms...or am I just tired.", "output": "Hello, Thank you for your contact to Chat Doctor. I understand your health concern, if I am your doctor I suggest you that it is because of combination of iron deficiency, bad posture and near menopause symptoms. I advise to take good treatment for iron therapy under your doctors' guidance, hormone replacement therapy for near menopause. And maintain good posture so that your back muscle won't fatigue easily. I will be happy to answer all your future concern. Thank you, ChatDoctorInfectious disease specialist. Wish you the best health at Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Mom fell straight on knee hard, knee is swollen Very bad and bruised up all behind the knee. She is in a lot of pain and can not bend it at all. She went to dr and dr did not take X-rays but put her in brace from thigh to ankle and said to come back in two weeks. He told her it was fractured, question is can he tell without having X-rays, and is brace even helping her?", "output": "Dear patient On the basis of clinical examination and history expert orthopedic surgeon can definitely tell whether fracture is there or not. But X-ray is must assess type of fracture, its location (extra or intra-articular extension) and to plan treatment. I would ashore X-ray of involved knee anteroposterior and lateral views assess fracture type. Visit radiology center nearby you and get it done. Meanwhile, maintain knee in brace and avoid taking weight on it. Take tab diclofenac plus serratiopeptodase combination twice a day for pain relief. You need to consult expert orthopedic surgeon with report. All the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 22 year old son has a puffy bottom lip. as far as we know he has no allergies. I gave him a couple benadriyl. do you have any idea what might be causing it. this is the second time this has happened. as far as he knows he didn t eat anything different today", "output": "HI THANKS FOR POSTING YOUR QUERY ON Chat Doctor.ISOLATED LOWER LIP SWELLINGS CAN ARISE IN CONDITIONS WITH INFECTION OF ORAL CAVITY LIKE CARIES TOOTH, SORE THROAT, EAR INFECTIONS ETC.ANOTHER RARE BUT MOST IMPORTANT CONDITION THAT HAS TO BE RULED OUT IS HEREDITARY ANGIONEUROTIC EDEMA, .SERUM LEVELS OF C 1 ESTERASE TESTING LEVELS WILL HELP.TREATMENT INCLUDES CORTICOSTEROIDS, ANTIHISTAMINICS, ANTI ALLERGIC LIKE MONTELUKAST.CONSULT YOUR DOCTOR FOR FURTHER QUERIES.THANK YOU.TAKE CARE." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 20 year old, university going son has attention deficit issues. Retalin has been prescribed which helps a great deal but causes sleeping problem. What are the side effects if taken for several years. Can he ever overcome the attention deficit problem and stop taking this drug. What can be done to alleviate sleeping problem.", "output": "HiT hanks for using Chat Doctor In ADHD, retain is treatment of choice. Normally, in ADHD, symptoms decrease with age. There is nothing to worry about it. You have to just consult his psychiatrist for the severity of the symptoms and whenever, he will have mild symptoms, you can try to stop it. Rest, depends upon him, how he manages without medicine. In case, you need further help, you can ask. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi 4 years ttc i have a tvs last monday the result is all normal waiting for the result of my husband on coming monday my question is, is it possible to get me pregnant? because if we dont have any findings in my check up result why im not become a pregnant in 4 years,what are the possible reason. i have a family history of diabetics but actualy ive already done for my blood sugar test and it is normal also.", "output": "Hello! I understand your worry. In fact 4 years are not a short period of time. The ultrasound you have done and program are two of the exams needed to perform in cases of infertility. In fact there, the reasons of infertility may be of the female, of the male and there are a few cases when the infertility is unclear, which means that you may have all the analyses ok but still not getting pregnant. If you were a patient of my clinic, I would recommend:1. A US on the twelve day of the cycle to control your ovulation.2. A blood analysis, which is called AMH (Antimullerian Hormone) for the ovarian reserve and that could give us an information if you should hurry up.3. A Hysterosalpingography to control if your tubes are patent. After you have all of these, you can have an idea of the current problem. Thank you and good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 47 year old male Liver Transplant recipient, doing very well, 3 years Post Transplant. I was given Norvasc (Amlodopine) following Transplant because of blood pressure issues Post Transplant. The Doctors say it is common to have elevated Blood Pressures after Transplant while taking Tacrolimus (Prograf). I ran out of Norvasc and had issues getting it filled for about 10 days, when I filled it and started taking again I notice I am extremely fatigued, sleepy and having problems staying awake. Over teh past 2 months I have been doing very well and not had any issues at all. Is it possible the Nirvasc is causing me to be tired and sleepy?", "output": "His went through your history. Amlodipine is a safe choice for post liver transplant hypertension. And the majority of our post liver transplant patients tolerate it very well. Major side effects are peripheral edema and pulmonary edema. A minority of patients may complain of dizziness, headache, fatigue and increase sleep. I will suggest continuing your amlodipine in the current dose and these side effects will overcome with time wish you good luck" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doctor i m having pcod for the last 4 years. i have clear tubes and the problem is this my periods are iregular and this month the egg size is 20mm on 12th day and the same is ruputured on 14th day. my husbands semen report is good. is there chance to become pregnent this time. i have no issue and history of one miscarriage 4 years ago", "output": "Hi, You have 20 mm ovarian follicle/egg size, and it was rupture at 14th day. It suggests ovulation is occurred. Follicle size of 18-21 mm release the best quality egg, and it has high chance to become fertilize by sperm. So there is high chance of pregnancy in your case as semen report is good. You can ask gynecologist for progesterone pill as it will make uterine environment favorable for implantation and support pregnancy. Avoid stress, take healthy diet, Chat Doctor. Hope this may help you. Contact further if follow up needed. Best regards," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor my son is 10 yr old and as he has cough regularly and end up vomitting we took a chest xray where the impression was MILD CARDIOMEGALY .....I am very much worried as i got i appointment to a cardiologist too......an u pls suggest whta it is and is it a major problem...my son 10 yrs and weighs 44kg......yhank you", "output": "Hi Chairman a parent I can very well understand your concern and I would like to say that don't worry x-ray films can some time show false shadows as it depends on lot of things like how well it was taken, whether the child moved while clicking the X-ray pic and more. So don't worry and stay positive. Cardiomegaly is enlargement of the heart and being a cardiology practitioner I would like to prefer doing a 2 echocardiography of your son before making any diagnosis of heart enlargement. He will be fine don't worry. Wish him good luck and health you are satisfied with my reply please let me know in my profile review section. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here... About a month ago they said i had a TIA. I have weakness in my right leg still but they cant control my blood pressure. i have tried 6 different medications to no avail and have almost eliminated my salt intake. Please help me.", "output": "Thanks for posting in Chat Doctor. I understand your concern. There are multiple causes of high blood pressure, and they need to be investigated thoroughly before changing medications. I can help you understand the type of medications you are taking and how they are treating you. Mainly you will need to have about two medications for hypertension to be started now and then change it two weekly if it is uncontrolled. Till then, you can start taking increased amount of green tea daily, avoid alcohol or smoking etc., reduce your stress levels and get your fresh investigations done especially Rats and share with me so that I can help you and also state the type of medicines you have used so far. I hope you will understand the importance of medicines and investigations for me to decide for you. Get well soon and don't miss the medicines your doctor advised you until you are advised not to take." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am a teacher of 6 year olds. One of my students was hospitalized last week with viral meningitis and returned to school today. What are the chances of me or other students in class getting meningitis? How contagious was she 3-5 days prior to being diagnosed/hospitalized. My sister has a 3 month old, I am concerned about getting her sick.", "output": "Hello, THX to contact us. I understand your concern. If I am your doctor I advise you that it is not much contagious. To get entry into the central nervous system virus must enter into the body first. So no need to worry, if one host is compromised than and then virus will attack into central nervous system of the body. So no point of worry for your 3-month-old baby. I will be happy to answer more of your concerns, kindly know me, Wish you a very good health at Chat Doctor. Chat Doctor. Infectious Disease." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I went to a Redi Clinic and they diagnosed me with sever allergies. I had to call them back in a week and get an antibiotic. The day after taking the last of my Zpack I was in pain again. I now have an ear drop and that does not seem to be working either. I don t know what to do. I can t stand this pain. My throat hurts on the side of the infection too.", "output": "Hi, I understand your concern. Your symptoms of throat pain persisting after taking Pack is suggestive of viral infection. Pack is an antibiotic, fighting bacterial infection, but unfortunately not fighting viral infection. You can go back to the clinic and get another visit to check your throat again. To speed up recovery:- gargle with warm water and salt-keep icy cubes in the mouth-oral antiseptic spray can help-take anti-inflammatory meds like ibuprofen, or paracetamol- Chat Doctor. Wish fast recovery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a oblong lump on the side of my butt cheek that has just become painful and larger in the last couple of days. I first noticed it about six months ago when is was small about the size of a pea. There was no paint, just itching then it basically wasnt of major concern and I figured it was a ingrown hair. Two days ago I had a larger bowl movement that cause some discomfort. Now that lump is oblong about 1/2 to an inch and painful. What could this be? No redness, maybe a little purple. No head and a little bit of blood from my bowl movement this morning on the tissue paper. No other blood from the other bowl movements today. Just a hard oblong painful lump on the left side of my butt cheek near the anal canal.", "output": "Hi, I had gone through your question and understand your concerns. At this area it may indicate several issues and most common are colonial cyst or perianal abscesses. These are inflammatory processes in sacral and perianal area usually manifested with pain, redness, swelling, fever and pus discharge. Cellulitis is less common and may be present in sacral area as well. This is mostly caused by beta hemolytic streptococcus, and it necessitates antibiotic treatment with augmenting, or combination of Capitol+ metronidazole. You should also, apply cold compresses, take nonsteroid painkillers such as ibuprofen 400\u00a0mg and rest. If there is no improvement within 2 days, you should see doctor and have intravenous antibiotics. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i m under treatment for BHP with very successful therapy for reducing prostate size from 144 cm3 to 94.6 cm3 with a Rx. over a six month period. I m uncertain what Rx to re-order, urologist office doesn t take direct calls (Mt. Sinai) can t get ahold of urologist and the PBM unilaterally alters Rx and uncertain which pharma was the effective. Avodart, perhaps?", "output": "Hello and. As a Urologist, I can fully understand your concern. I must advise you to continue the treatment, but, also keep in mind that present medical treatment, is probably not the right treatment. Avodart will not help much. As your prostate gland is significantly enlarged, you should consider change of the medical treatment. You should get certain tests like, He, creatinine, sugar, PSA, urine routine and culture, and an ultrasound scan of abdomen. You can send a copy of the reports here, in my name, for an expert opinion." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, A friend of mine is 22 years old, male and he has fever for 2 days (38-39 C) now with chest pain on his right side , mild coughing but no phlegm , with history of asthma and his a smoker for some years now. Regarding his work I m not so sure but as I ve known he work in the sea. Medication taken only paracetamol . I m so worried about my friend.May I know what kind of illness does my friend have?", "output": "Hi and thanks for the query, fever, chest pain and cough are actually infective of an infectious origin. This could be viral or bacterial. But the association of a high fever and chest pain and fever are more suggestive of a bacterial infection. The history of asthma deserves a good consideration to know if he has been taking his Chat Doctor. Evaluation of this case shall definite need a chest X-ray. His Bronchodilator spray is important for a start, and advice from the pulmonologist should be sought. Thanks and best regards, Luchuo, MD." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband had a pacemaker/defibrillator put in a month ago. Since then he has been able to eat very little - eats mostly yogurt, Ensure, fruit, etc. His stomach feels like its filled with air. He also got pneumonia, then congestive heart failure. Could it be medication or an after-effect of what he has been through. We see the cardiologist Friday and hope well get some answers. But maybe you can come up with some answers. Thank you.", "output": "Hello Thanks for posting at Chat Doctor. Loss of appetite after a pacemaker/defibrillator insertion is uncommon. But it is common after a pneumonia or congestive heart failure. I think the loss of appetite is as a result of the pneumonia and heart failure. Medications like antibiotics can also decrease appetite. You have to ensure that his nutrition is proper. Ensure is a good protein supplement along with fruits and milk products. Antibiotics are usually continued for 10-14 days after pneumonia depending on severity. He will gradually regain his appetite. There are some appetite boosting medications also like syrup activate or spy negative elixir. These brands can have different names in different countries. I don't know which country you are from. You can ask your doctor for appetite boosting medications. It is the course of disease and a pneumonia and congestive heart failure can take about one month for the patient to recover. Wishing him good heath. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband has Chronic Kidney failure. but his Crea now is 4.8 unlike b4 its 9.2 His lab results all test is normal except his hemoglobin 92.8. he has weekly injection of Eropoethin n taking iron,calcium.His blood pressure is 150/100 and continue his extreme diet only fruits n Vegie No Salt. To make his creatinine in normal condition why is it still has shortness of breath despite good lab results?", "output": "HiT hanks for your query.2 common causes of shortness of breath in patients with kidney diseases are:1) Fluid overload: This can be identified by doing a Chest X-Ray. If there is evidence of fluid in the lungs we could start him on diuretics or water pill. 2) Acidosis i.e., excess acid in the blood. This will be picked up by doing a blood gas analysis. If this is the case we could try some oral soda mint pills. Hope this helps Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "MY DOCTOR HAD PRESCRIBED ME MEGANEURON OD PLUS AS I AM HAVING THIGH AND CALF ACHE FOR FEW MONTHS AND THE MRI SHOWS PSEUDO-BULGE OF L4-5 DISC AND LIGAMENTUN FLAVUM THICKENING IS NOTED AT L4-5 LEVEL, WITH MILD CIRCUMFERENTIAL COMPRESSION OF THE THESCAL SAC. MILD DIFFUSE DISC BULGE IS SEEN AT L5-S1 LEVVEL MINIMAL DISC BULGE IS NOTED AT L2-3 AND L3-4 LEVEL", "output": "Hello, Your MRI result shows that you have aging changes of the disks in the back. The most notable is at L4/L5 level (lower back) where disk changes and soft tissue changes are likely to be causing pressure on some of your nerves. The pain in the thigh and calf may be due to compression of the nerves in the lower back. In my practice, I would advocate for physiotherapy with pain medication to reduce the effect of the disk on the back. If there is no improvement after a number of months (approximately 6), then I would refer you to a spinal surgeon for surgical treatment of the condition. Get well soon!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a constant mild pain in the bottom left side of my abdoment. it get more pain if i bent or raise my left leg. I want to know what is the cause? Thanks for the advice. I was it that free advice section and I didnt get any answer yet . I have an impression that this is a free advice. let me know if I need to join?", "output": "Hi, Dear,Thanks for your query to Chat Doctor. Dear I read your query and reviewed it with context to your query facts. I understood your health concerns and feel Concerned about them. Based on the facts of your query, you seem to suffer from-IBS with Peritonitis of Sigmoid Colon. Remedy-Consult Physician and assess the cause of the IBS.-BE on Spinach Soup 1 helping x 2 times a day-Butter Milk -x 1 helping x 2 times a day x 2 weeks-Cap Sporran x 1 x 2 times a day x 2 weeks-Tab Metal Spas x 1 x 2 times a day x 10 days-Stool/ ova /cyst to rule out the cause of the IBS-Proctoscopy from Surgeon to rule out any anorectal reasons. This would help the large bowels to set right in 2-3 weeks time. Hope this would lead to the exact diagnosis and proper treatment with your doctor there. Hope this reply would help you to plan further treatment with your doctors there. Welcome for any further query in this regard. Good Day!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband had two transplants, kidney and pancreas in 2008. He has 2 hernias that are bulging from his stomach. For about 3 weeks he only discharge mucus and he tries to go several times a day. He was in the hospital a little over a week ago and they did not seem to concerned about it. He is getting more uncomfortable every day. He has an appt on Monday but I want to get checked before then. What do you think?", "output": "HelloThanks for your query. Based on the facts that you have posted it appears that your husband who has undergone surgery of Renal transplant and pancreas transplant has developed what is called as Incisional Hernia due to weakness of the muscles of anterior abdominal wall. The loose motions that he has now may be due to enteritis (Bacterial infection in the Intestines)Please consult qualified Gastroenterologist for clinical evaluation and further treatment.In the meanwhile give him more water and electrolytes to maintain his water and electrolyte balance. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, i did laproscope on march 2010 since doctor tld ter is a block in tube.they said i l get pregnant within nxt 6 months.but nw its nearly a yr and i m not stil pregnant.doctors tel ter s no pblm n stil giv tabkets lik letoval 2.5 mg_2 tblts from 2nd to 6th day,susten 200 from 16th day , folic acid n metformin tblts for 30 days.i m eager hn getng preg.pl assist me.", "output": "Hi rocking to Chat Doctor. I have gone through your question. If one of two tubes is patent then you can conceive from that side, But make confirm that she ovary is ovulating. So do follicular scan. Other is if you are not done your partner semen analysis then do that. Then consult gynecologist for further treatment. I would suggest GUI intrauterine insemination is better option. Hope I answered your question. Would be happy to help you further. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My left knee is really painful and keeps giving out. Doctor took X-rays said he did not see any structural damage. Have been doing physical therapy for surgery on my right foot I had done in the end of January. It hurts on the lateral and inside of my knee and right up the middle when I stand up. Do you have any suggestions to help it or a idea what might be wrong as it keeps getting worse and more painful?", "output": "Hi, as you mentioned, you have taken x-ray and nothing seems to be in specific. Well why don't you Just get one MRI done. It will help to see some soft tissue Injuries present. in the meantime as mentioned, you are undergoing physical therapy for foot post operative. Well, how about you doing some exercises for the left leg as a while. Since you have an operation done on the right foot, there is always a tendency to apply more weight on the other side of the body. So it will lead to pain which can be temporary. As the strength improves in both it the lower limbs I am sure you will find ease of your left side. With the grace of God I wish you a speedy recovery" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have gone through a root cannel for one of my tooth 3 years ago, after 3 years i am facing a boil filled with puss and bllod in my jaw just below the tooth (which has undergone root cannel). the issue is there for 6 weeks, please advice on possible cause . is it infection ???", "output": "Hello, Thank you for consulting with Chat Doctor. This boil of puss, shows that again there is an infection in the same tooth or the adjacent tooth in which you got the root canal treatment done. Because in case of infection an abscess forms below the tooth which is the collection of pus only. So you should visit your dentist and get an x-ray done of that area to show the infection and get the treatment accordingly. Hope it will help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am having a quite sharp pain on my left side under my lowest rib. It s at the front. I had the same pain about 3 weeks ago and the nurse said it was a spastic bowel and gave me bowel relaxant, however I was not having issues with the bowel and the tablets do nothing. Eventually the pain went away on it s own.On both occasions I have been hormonal but not on my period, and the pain worsens when moving and sneezing, but not when coughing or going to the toilet.I would rather not go back to the hospital as last time they kept talking about ectopic pregnancies and other things, which us turned out not to be but it heightened my anxiety for days after, which is rather avoid", "output": "Hi, Firstly, sorry to hear about your symptoms. As the history is straight away highlighting the symptoms related to two things as the pain is present just below the rib over the left side. There are some few basic important points which are not mentioned here. I would like to ask you your age and also if you have any gastric issues. The pain area is more prone for two things. Either this will be related to acidity or it may be related to heart. Take this way, If it is related to gastric you can try some anti acidity medicine, and it should be fine. In case, it's not this than the heart needs to get assessed first. Because many a time a misdiagnosed condition later becomes serious condition. So I would like to advice your get checked with a cardiologist. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I believe I have a urinary tract infection but it came on so quick not sure, I am a 56 yr old woman and having frequent urination(every 1/2 hr), discomfort when urinating(feels like my bladder wants to fall out, pressure), little burning, strong smell, no difference in color, just started today", "output": "Hello, The symptoms of UTI (Urinary tract infection) include:1. Pain in the groin2. Hematuria3. Urinary frequency /urgency4. Burning micturition5. Fever with hillside symptoms you have mentioned make the diagnosis of a UTI a very likely possibility. I would suggest you start on cranberry juice for now and first thing tomorrow get a urine R/E and Culture and sensitivity done. The proper treatment can be started based on your lab results for sensitivity meanwhile stay HY Chat Doctor. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "As I sat down at the computer last night, I had a fluttery feeling in my upper chest closer to the heart. It takes my breath away alittle and Its been happening for years. I had 3 lastnight, one while lying in bed this morning and two more recently. It feels like my heart is going to stop.", "output": "Hello, This can be a cardiac arrhythmia like PSVT or atrial fibrillation, in which heart rate suddenly goes up and also suddenly decreases. ECG done during episodes will show abnormality. You may need 24 hour holder monitoring if ECG is normal. Also, hemoglobin and thyroid test should be done. In order to abort such episodes you should try to cough hard. Is there any stress or anxiety associated. Till the time your evaluation is complete, you can ask your local doctor for tab Collar LA 20 mg once a day. If none of the above is successful then last option is of electrophysiologist studies which is invasive test which can diagnose and treat the arrhythmia permanently in most of the cases. Hope this helps you and get back if you have any doubts. Take Care Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HiIm worried about my dad who is 62. He has just passed out in the garage. (i was not present) when he came round he walked into the house to find me. he was breathing heavily, wet all over with sweat, feeling dizzy and hot. he has drunk a glass of water and gone to bed. what should he/we do next and when?", "output": "Hello! Welcome and thank you for asking on Chat Doctor! Regarding your concern, I would explain that your father symptoms could be related to different possible causes: low blood pressure, hypoglycemia, a cardiac arrhythmia, etc. Coming to this point, I would recommend bringing him to the ER for a physical exam and some tests: - a resting ECG and cardiac enzymes- a chest X-Ray study-complete blood count-fasting glucose-blood electrolytes- kidney and liver function tests. Meanwhile, I would recommend you to monitor his heart rate and blood pressure values. Hope you will find this answer helpful! Kind regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, Im a 23 year old male, approx. 62 180 lbs. I have been lifting weights for over a year now and have never had any problems. Three days ago I was on the bench press doing my normal warm up routine and I heard a loud pop in the left side of my chest. Following this the left side of my chest and back began to hurt, the pain worsening when I breathe. I had x rays taken, and nothing was found. I was wondering if this just sounds like a strained muscle, or if there could possibly be more going on.", "output": "HelloWelcome to Chat Doctor. By your description it seems that you have sustained a muscle pull while exercising. This pain seems unlikely to be coming from the heart. You should take painkillers like diclofenac which will reduce the pain and also decrease inflammation at the area. Topical gels like voting gel, diclofenac gel will also help. It will take about 4-5 days for the pain to go. Please give rest to your affected portion for at least two weeks. Wishing you good health. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i hav pimples in my face frm last 4 years i took treatment 4m an mbbs doctor but it didnt get cured till nw i took femcinol A with acniva soap i continued ths 4 2 years thn i went to other doctor she recommended me to use erytop gel with sum tablets i didnt remember those tablets name nw......... but nw i dnt use any medicines nw.............i quitted evrythng since 1 year nw i am using multaninitti but still nw i am facing tht trouble .....i hav an oily face i am using ahamam soap.......... please suggest me sum remedies pls............", "output": "HI, welcome to Chat Doctor, All types of pimples become clear usually after 25 years of age if it is not scarring. Therefore you need to worry about it. You could try the following for pimples- 1. Wash with a soap (e.g. Acne Aid bar) twice daily 2. Apply a combination of Retinoid plus benzoyl peroxide cream/ gel at night for 1 month. 3. You could take A doxycycline 100 mg daily after meal for 1 month. You need to consult us 1 month later, with regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m Shabbir, My blood pressure shoot up suddenly and reduce in 10-15 minutes automatically, 130-150/70-85 sometimes it reduce automatically. I m taking concor 2.5mg, es-pramoit, norvasc 5mg, ascard 75mg tablets. But still no effect in my health, I feel too much weekness, drowsiness and dizziness. In 2003 I was heart operated (by-pass) I was fine and enjoying happy life, but for last few months I was feeling stress and high blood press suddenly. Please help me", "output": "Hello. Thank you for your question and welcome to Chat Doctor. I understand your concern. It is normal for the blood pressure to fluctuate for some times a day. There are various physiological mechanisms running in the human body that can cause this, such as physical activity, sudden or chronic psychological stress and normal hormonal level fluctuations that happen throughout a day. I can see you are already on therapy for hypertension. Now, if the blood pressure, for the vast part of the day, remains under 140/90 mmHg, then it is called a controlled blood pressure. But if the blood pressure remains higher than these levels, for most parts of the day, then another Chat Doctor. If the reason you are having these \"jumps\" in blood pressure, as you provided, is the psychological factor, then I would recommend you first consulting with a psychiatrist or a clinical psychologist, to evaluate the possibility of a 10-14-day trial of treatment with benzodiazepines. Because, on the other hand, if we add blood pressure-lowering therapy, we risk that, in moment with no psychological stress, we can produce lower than normal blood pressure levels, which is also undesired and not our aim. As for the symptoms of weakness, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, my teenage brother has an enlarged spleen, hes had it for a long time now, the doctor keeps doing ultrasounds and has confirmed that is is getting bigger. however he can not figure out what is causing it. he has done some blood tests to rule out leukemia. the doctor now says that because he doesnt know what the cause is, he wants just keep waiting and watching out for symptoms, while being careful not to do anything that could make it burst. also im not sure if this could be related at all, but he also had his gallbladder removed due to gallstones, and it was because of his gallbladder problems that his enlarged spleen was discovered.", "output": "Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. Enlarged spleen is called splenomegaly and there are various causes possibly leading to this. In first case these are infections such as mononucleosis Parasitic infections, such as toxoplasmosis or Bacterial infections. It means that any infection in your body may lead to spleen enlargement. Second most common causes include autoimmune diseases such as thrombocytopenia. If this is ruled out by specific tests then some other causes may be considered and some are more or less serious such as Leukemia Lymphoma, or noninflammatory diseases such as acidosis, lupus, and rheumatoid arthritis. In every case, infectious causes are treated with antibiotics and other causes may require surgical removal of spleen. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 37 year male and I have a white spot in the roof of my mouth. I took a treatment which includes multivitamins and retinol cream to apply. But after having it for 2 months the white spots are not disappearing. Please suggest the possible solution.", "output": "Hello, White spots on roof of mouth can be due to a number of causes, and it depends on the shape and size of the spots. Small clusters of white spots can be due to Forces spots that are hypertrophied sebaceous glands. If there are white patches then can be due to hyperkeratosis. For narrowing down the exact cause and advising you appropriately I would need pictures of the patches. Please upload the images for better understanding and diagnosis. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi im 23 year old female i do smoke about half a pack a day and been having chest pain on my left side more right under the breast and a lil bit on the right it has been like this for about 6 weeks and started having sharp pains only for about 4 days i did go to the er but they told me i could of injured my musscle. sould i go get a 2nd oppion", "output": "Hi thanks for contacting Chat Doctor.... You have complained of chronic chest pain which has increased in last few days ... Smoking can lead lung elastic tissue damage ... So respiratory examination and auscultation has to be done .... If needed chest x-ray and spirometry done for it .... If your pain constricting and feel very severe also investigate with EKG and blood pressure measurement .... According to cause treatment guided .... If no specific cause found by above investigation than it might be musculoskeletal pain ..... For which ibuprofen or other simple analgesic will be useful ... Take care. Advise : pulmonologist consultation...." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my daughter is 4.10 years old.looks like 3.5 and weight is 15kh. she has distended abdomen.doctors believe she has metabolic lever disorder.sugar level drops if she does not eat any thing for 7-8 hrs. She had nose bleed. but now her blood does not stop so easily. platelets count ok.hb=10 sgpt=54", "output": "Hello, Yes, it could be metabolic liver disease. A distended abdomen may be fluid in abdomen, seen in liver disease. Bleeding may occur due to deranged PT/INR, a test and function of liver, which may lead to bleeding. I suggest you a battery of test as ultrasound abdomen, complete Liver function test, alpha photo protein, and repeated blood sugar. Further tests are based on reports of these tests. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "At the top inside of right hip I found a weird knot feeling lump.I told my mom about it and she told me to just wait and see if it would go away.I thought I might have hit it on something or pulled a muscle but I dont remember doing that.It only hurts when I press on it and now it has a slight bruise over it.Ive never had a lump there before so Im puzzled what it is.Im a 16 year old girl by the way.", "output": "I. If I can understand the position you mentioned, this looks to an inflamed and enlarged lymph node. I think you should better show this the Doctor as you may need a course of an antibiotic and supportive medicines which are usually a prescription medicine. See the results for 7 days of a course. If this settles within 7 days, nothing to worry about it. If it persists or creates more problems you may need further investigations and management" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doctor, I have being suffering from lowback pain, and some numbness of toes for quite some time. There is an area just above the knees (both), parallel to the hands when when stand with arms hanging down. It is fairly a small area where the feeling is different. i have consulted many neuro and orthopaedic surgeons and taken two to three MRI images along with number of x-rays. But none of those MRI s show a severe damage to the joints L4 L5 or any other area examined. But highlighted there is a slight bulging in L4 & L5, I m a regular Badminton player for the last one & half years. When playing i don t have much of difficulties, but after sitting and doing some work, it is difficult to strighten my back with one go, it takes a while for me to settle down. In addition to that if i put my right arm back of my head or extend above the head and keep resting for a while, i find it very difficult to bring it back without the healp of the other arm. But after few movements it becomes close to normal, but have very pale pain in the shoulder joint area. Would appreciate if you could advice me on the type of problem i have and how to overcome or treat to my problem. Thank you Hussain", "output": "Hello Hussain! I just read your concerns. The pain on your lower back and numbness in your toes is caused by the bulge in your L4-L5 (lumbar area). With the description you gave me, it seems you have a nerve root compression in your back. Nerve compressions are treated initially with physical therapy, analgesics, and warm compress. For more severe cases, surgical intervention is suggested. I suggest you go to the nearest rehabilitation for you to start your physical therapy-- it will greatly reduce your pain and discomfort." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi i have pain in my leg doctor proscribed me medication Nucoxia 60 two tab and PAN 40 one tab daily for 15 days.But after 4 and 5 day i am feeling heart pain in my right side chest. This is side effect of medications or another thing. please give me advise.", "output": "Hello, Nucoxia in few patients may cause allergic reactions like swelling of lips, breathing difficulty and palpitations etc. But as such it may not directly cause chest pain. It may be due to allergy or acid reflux may cause chest pain. Anyway don't neglect chest pain please consult with your physician he will do ECG and chest X-ray then treat you accordingly. Take care. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI. My husband has been taking pravastatin for quite a while now. About 2 years ago I started noticing how horrible his breath smelled. He is immaculate about his personal hygiene. His breath is so bad that my entire upstairs smells from the smell in the bedroom. His vehicle smells as well. I feel terrible saying anything to him but he needs to know. I have been wondering if it could be this medicine. It is a putrid smell. I would appreciate any help with this.", "output": "Hello, Medicines can cause bad breath while at times it can be secondary to Chat Doctor. It can also occur due to a number of causes like poor oral hygiene, oral and dental infections, post, sinusitis, reflux, respiratory infections, and diabetes etcetera. You should consult an Oral Physician or an Otolaryngologies and get evaluated and a thorough clinical evaluation and investigations depending upon suspected cause can help in diagnosis. Treatment of underlying cause will relieve the symptoms. As of now, you should start gargling with a flavored mouthwash twice a day. You should chew flavored sugar-free chewing gum. Do warm saline gargles twice a day. Limit the intake of high aroma foods like onion and garlic. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello....My friend passed away in her sleep an we found him this morning.....he was purple and foaming at the mouth.....we have not heard from the coroners and we know it will not be for a while.....I guess im wondering if he had a heart attack in his sleep?", "output": "Hi, Dear,Thanks for your query to Chat Doctor. Dear I read facts of your query and reviewed it in context to your health issues submitted. I understood your health concerns and feel Concerned about them. Your friend seem to have died by heart attack or from respiratory arrest. This could be normal death or from foul play. Other causes of mouth foaming after death needs to be fixed by autopsy before giving exact cause of death in your friends case. Cause of this purple face and foaming mouth after death could be due to-due many reasons-cardiac/respiratory failure/could be from poisoning / or death from sleep apnea. Review of the other causes is needed for proper diagnosis of death in your friends case. You need to take opinion from -family doctor and Coroner and forensic expert doctor. For this to verify Second opinion from family doctor/ Physician/forensic doctor - would be needed. Just don't worry and be patient and co-operate with your doctors, till you verify with your attending doctors. Hope this would help you to treat your health issues in the best way possible. Welcome for any further query in this regard to following link-http://doctor.Chat Doctor .com/Funnel?page=askDoctorDirectly&docId=70229Wishing Good Healthy Life!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a non painfull movement in my abdomen. i can feel it more frequently at night hours after iv eatin, it feels like it has grown in the past month, i will be laying flat and feel and see my stomach move from one side to the next and when i put my hand on it, it disapears. i am very thin, and when i suck in m stomach there is a noticable lump. i have regular bowl movements and iv always been a gasy person. im on the pill and when this first started took a preg test and it was negative...any ideas what i could have...thanks", "output": "Hi. Thanks for your query. Great history. Since you are very thing, it is normal to have and be seen the normal intestinal movements. Intestines allow forward passage of its contents, the food, to move forwards by a process called peristalsis and can be felt or seen in some thin people. Yet, it is better to confirm by a clinical examination by a Gastroenterologist/ General Surgeon to confirm this. You may need to undergo:X-ray in a standing position; Ct scan abdomen to see ad rule out another causes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my bf is 25 years old; this afternoon while working he started to get a really bad headache , and dizziness when he tried to talk he got really confused and he couldn t remember any of the words he was about to say. Right now he has to talkm really slow so that he doesn t get all confused again, he understands everything he is told but he can t form sentences easily. Thank you. Amy Matthews", "output": "Hello, I am a neurologist and I thank you for posting this question in ChatDoctorLet me tell you that any particular medical problem in medicine can be due to multiple causes and treatment and outcome depends upon the cause. Further in nanomedicine, other things which can help a physician get the right diagnosis are the sequential evolution of the symptoms and the detailed neurological assessment by a neurologist. All these things will help to get the correct diagnosis. Back to your question, you have listed some symptoms, based upon these I think that you need an urgent neurological examination to see if you have neurological deficits. The second step will be to get a scan done and treat it accordingly rather than simple assumption. Hope this will help you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, My sister has brain and lung cancer . She has brain surgery and was doing okay. Friday night she got very confused and we couldn t get her in bed. She went to the hospital and was put on a vent and removed because of carbon levels. Does that make any sense? Today she had a burst of energy and was much more lucid. Is this normal? In three months she has had brain surgery and fell and had a hip replacement . She is also very close to dialysis .", "output": "Hi, I think I understand what you have described. In your sisters case, her confusion may have been due to high carbon dioxide levels. This may have been caused by the effects of the brain cancer which can affect the breathing pattern which, in turn, affects the amount of carbon dioxide in the blood. When she was put on a ventilator, her breathing would have been better controlled. This would have lowered her carbon dioxide levels to normal and her confusion would have improved which would have made her more lucid. If you would like to ask any further question, please do not hesitate to contact me. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I live in Buffalo, NY. My 18-year old daughter, who plays very competetive soccer, has scoliosis that has progesses to 56 degrees. We have been told she needs surgery. Is there any way to look up credientials and results of surgeries performed by a specific doctor in our area. The doctor that we have been dealing with is Dr. Robert D. Galpin of University Orthopedics who supposedly specializes in pediatric scoliosis but we cant find any information on him besides from the University Orthopedic website.", "output": "Hi, Early or mild symptoms of adult degenerative scoliosis may respond well to non-surgical treatments. Physical therapy can improve strength and flexibility in the trunk and legs, while nutritional changes and aerobic exercise can help patients lose weight, thereby decreasing the stress on the lumbar spine. Injections into the epidural space or into the spinal joints may help decrease inflammation and reduce back or leg pain, and alternative treatments such as acupuncture may also give relief. Bracing does not usually provide satisfactory relief. In some patients, symptoms may progress in spite of non-surgical care. This is often the case when a nerve root is chronically compressed. Surgery may then be appropriate. Surgical intervention can be broadly categorized into three groups:Simple decompression, Decompression with short fusion and Decompression and scoliosis correction surgery. The link below will help you find neurosurgeon at NY, their qualification surgery done and appointment detailshttp://neurosurgery.med.nyu.edu/conditions-we-treat/z-conditions-guide/adult-degenerative-scoliosis. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI i am not sufferring form any desease.but yes i want to go into modelling feild.So i was looking fr some medicen can can enhance my facial looks even more.so my friend suggested me this evion 400 iu.so hw is it .how long can we take it daily.is it harm full on a long run.", "output": "Hi.thanks for sharing your problem here in this forum.Evian tablet contains vitamin E...vitamin E is an anti oxidant which means that it remove the free radicals in the body which is good for health...vitamin E also protects good fats of body...you can use it as supplement. As for as bad effects are concerned it occurs when you use it in overdose...this may cause anticoagulation(thinning of blood) but this occurs very rarely.you should take care when you are using it with aspirin as this is dangerous,,,hope you get the answer...thanks Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a fatty tissue tumer removed from my ankle ad arthritis removed from big toe resulting in a fusion. I don t walk to much because I have spinal stenosis and other sppine issues. the foot from the two surgeries has always hurt and I am on opioids . They still work for the spine but the foot is in constant pain burning numb etc.", "output": "Hello, These symptoms are due to nerve dysfunction in the lumbar spine due to the spinal canal stenosis. As its very common that the level where the stenosis does trouble the nerve, the possible dermatomes and motors are affected. Doing core stability exercises are a must to improve the stability of the spine and also avoid certain compression happening over the nerve root or the spinal cord due to stenosis. With core stability exercises you will be benefitted for the symptoms to reduce as well. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was released from the hospital yesterday for dizzy spell and nausea. The test results I just looked at said there are streak nodular opacity in my right lung? What does this mean, is it damage from radiation therapy? And why didn t the hospital doctors mention it", "output": "Thanks for your question on Chat Doctor. There are many possibilities in your case as you are cancer patient and taking radiotherapy.1. Radiation pneumonitis. 2. Infective etiology3. Malignant spread itself. In my opinion it seems radiation pneumonitis more. As it is seen immediately after radiotherapy due to inflammation in lung. Since your lung defense has been lowered possibility of infection is always there. So better to undergo CT Thorax and if needed bronchoscopy and BAD (BronchoAlveolar Lavage) analysis." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My lower left abdomen have cramps. Especially when I carry heavy objects. I am not pregnant. My period is just over. It started right after my period. I don t feel any cramps when I sleep on my left side. It s not a really painful cramp. What do you think this cramp is? Please advice.", "output": "Hi. The pain / cramps on carrying heavy objects can be due to :Muscular strains in the lower abdominal wall muscles. Pelvis congestion or Pelvis Inflammatory Disease. Ovarian or tubal pathology like cyst or infection - salpingitis. I would advise you the following:Start taking an anti-inflammatory medicine ; stop lifting heavy objects or avoid body movements causing this problem. Ultrasonography just to rule out any internal problem. Consult a Surgeon to get an actual physical examination done as the Doctor can get more information. Take rest." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, my eight year old son has stomach ache. he says that he feels like he has been punched in his stomach. he vomited, and his food looks like it hasn t been digested. It happens regularly as soon as he eats ice cream or any kind of fast food. I keep him on soups but once in a while he gets something different that causes this condition.", "output": "Thanks for putting up your query at Chat Doctor. Your 8-year-old son might be having gastritis. If I had a patient like him, I would give him Landon Junior 1 tablet to be taken in the morning in empty stomach for one and a half months. I would also ask him to exercise and play regularly as that increases the movement of our bowels which would ease the situation. I would have also asked him to take Isabel husk regularly at night at fiber rich food improves gut motility and thereby eases digestion. Avoid fast foods and fat rich food. No need to keep him on soups. You can give him normal food containing fewer spices, oil or chili. I hope that helps. Feel free to revert with further queries if any." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Every now and then (maybe a few times a month) I feel a pressure, almost a sinking feeling in my chest, and my heart beats really hard and fast then suddenly goes back to normal after maybe 5 seconds. I have no history of heart disease in my family, I am 31, in good shape and do not suffer from aniexty. I am usually relaxed when I experience this. Is this something to be concerned about?", "output": "Hello, This can be a cardiac arrhythmia like PSVT or atrial fibrillation, in which heart rate suddenly goes up and also suddenly decreases. Blood pressure falls during these episodes and one has dizziness, fainting, blackouts, sometimes syncope. Usually not a life-threatening condition. Usually ECG is normal as it is usually done in between the episodes. ECG done during episodes will show abnormality. You will need 24 hour holder monitoring. Also, hemoglobin and thyroid test should be done. Is there any stress or anxiety associated. Till the time your evaluation is complete, you can ask your local doctor for tab Collar LA 20 mg once a day. If none of the above is successful then last option is of electrophysiologist studies which is invasive test which can diagnose and treat the arrhythmia permanently in most of the cases. Hope this helps you and get back if you have any doubts. Take Care! Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have a toddler he s 3 years old and he stop eating solids before he used to eat soups Apple s chicken nugget and other food he has almost 2 months the he shewss his food an throes it back in the plate also he has speech delay he s just started speech teraphy how can I help him? Can u plz help", "output": "Hi...there are medicines which can increase appetite, but, they will cause Chat Doctor. At his age interest in play increases and interest in food decreases. This is quite natural. If he is active and playing around you need not worry. This age rather than the quantity of the food I suggest you concentrate more on the number of times you feed him and also make whatever you feed him calorie dense by adding good amount of ghee to it. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello i have been described amoxcilin for Pericoronitis on wednesday and its now saturday. how long does it take for the amox to work. And also just getting over a cold can this contribute for the amoxcilin be taking so long to work on my Pericoronitis", "output": "Hi. It may take amoxicillin for 7-10 days to cure peritonitis. The duration of treatment of peritonitis depends upon the severity of the infection and the clinical response, amoxicillin is usually given for 3 days. However, if there is no clinical response it may be extended for up to 7 to 10 days. Getting cold during the course of treatment does not contribute to long time for amoxicillin to work. Hope I have answered your query.Feedback is appreciated." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My mother has experienced nausea and loss of appetite since 2008. She was told it was parathyroid disease. She had the surgery. Nothing improved. Now, she has pain in lower side near colon, still nausea , tired and has all kinds of tests. Could it be cancer?", "output": "Hi. Thanks for your query. The history provided by you about Mother is suggestive of a chronic disease, one of them is cancer and Tuberculosis. Nausea with loss of appetite with pain in lower abdomen is more suggestive of tuberculosis. I would advise :::Contrast enhanced CT scan of abdomen, Enterocolitis, Colonoscopy and the gold quantifier test for TB. A clinical examination by a Surgeon plays an important part in early diagnosis as well as a proper history." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i m 30 year old boy ffrom last 2 years trying for baby but not yet any result we didnt use any anty medicine before and i checked with Dr.said some semons issue so gave some medicine Carniture now 4 month cross but still no effect plz advice what i have to do", "output": "Hi, Thanks for writing to Chat Doctor. I would suggest you to get your repeat semen analysis done to know any improvements are there. If improvement is there then well and good. If It's not there then you may discuss IUI with your infertility expert. Here only healthy sperms are taken and placed into uterus. This will solve the problem of motility and also if counts are low. One more option is from testis itself sperms are aspirated and cultured outside. After starting treatment for sperm problem it takes time to improve. Hope I have been helpful. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My brother-in-law is in his late fifties or early sixties, and he has cerebral palsey. He is experiencing sudden, rapid weight loss. His primary care doctor tells us all of his blood work is normal. She attributes the weight loss to her taking him off a medication for schizophrenia. She has no idea why he was on it in the first place (his medical care has been very inconsistent). His appetite and his diet have not changed. What do you suggest?", "output": "Hi there ~I understand your concerns. I believe that your brother was being given medications or schizophrenia. Most medications that are given for schizophrenia, causes one to have weight gain due to increase in appetite. Going off of the medications will make your brother to lose this appetite and consequently lose weight as well. I believe that you might have to monitor him for a while to see if his behavior changes. I hope this helps. Take care and have a lovely day!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Lately I ve been feeling kind of depressed and I m always worrying over nothing. And for the past few weeks I ve been crying myself to sleep. But all of a sudden, when I get sad or overwhelmed, I feel like straining sensation on the right side of my neck. I don t know if I should be worried or not. I m not on any medications and I m 16 years old.", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. Please understand your situation and never confuse between simple disappointment with clinical depression. You just are disappointed, not depressed. Understand the reason for disappointment and learn the positive lessons from it. Within a few days your disappointment turns yourself a strong-willed person. If you miscue the situation, problem results. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My friend had Flesh Eating bacteria on her foot. She has been using Acticoat 7 since Sept 11th. The last 2 days she s had a metalic taste in her mouth. She is diabetic and takes Glipizide 10mg. Her wound was healing but now seems to have taken a step back and that is probably because she won t stay off her foot. We have Manuka Honey and thought we should use that now. Any thoughts on what we should do?", "output": "Helots condition in a diabetic case is known as DIABETIC FOOT and according to this query, you should do these measures :Write down the current condition of blood sugar lever as well as HBA1C level. This type of foot has as:1 The neuropathic foot in which neuropathy dominant.2 The neurpischaemic foot.3 Non-neuroischaemic foot. However, it is very difficult to understand these terms but important for you so that you can understand the present condition of foot. When such case visit I first of cleanse the wound with SERPENTINE oil for local application. Hy Chat Doctor. Provide + clobetasol lotion for local application until and unless contraindicated. Antibiotics after blood culture. All this treatment under the guidance OS planetologist and surgeon. Hope this will help you in the management for treatment." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI ! Thank you for your help ! I am confused about what to do . 12 days ago I had a bike crash and most likely hit my shin with a handlebar 10 centimeters below the knee , right on a tibia . I did not feel much pain , but area turned into a blue mush . No skin was broken . Now there is a hematoma 8 by 4 cm . I did not go to a doctor right away , since I was hoping it will heal itself . Also I read conflicting instructions ; to not aspirate , that it will dissolve itself and also to remove the clot surgically , or there will be a compartment syndrome . Also my foot got swollen and hurts . So today I went to a Patient First clinic to find out if they could help me . They tried to aspirate the hematoma , but nothing came out , it was a clot . They told me to take antibiotic and come back if it gets worse . That was it . Please , what should I do ? Take an antibiotic and wait ? Or seek more help ? And what kind of doctor should I seek or an emergency room ? Thanks a lot !", "output": "Hi. My opinion is you should have an ultrasound examination to confirm a clot and assess the extent of the muscle injury i.e. whether it is a partial or complete tear, and blood vessels. This can be assessed at an ER, and they will refer to a surgeon if surgical intervention is advised. I do not see the role of antibiotics if the skin was intact and there is no sign of infection, but your doctor at ER should be able to rule that out. Hope this answers your question." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Iam veena in2006 my gallbladder removed .and recently i am facing some problems like my ice becoming yellow i consult my docter he suggest me to do liver function test .doctor says me i have jaundice he gave me silybon-70 tablets for 3months i complete my cource .after 2 monhs my ice becoming yellow.what can i do .i .am working women i loss my weight .please can ihave any suggestion", "output": "Hi Verna !thanks for showing trust to Chat Doctor. As after reading your medical history, and you told that your gall bladder is removed so I want to say you have to take very light diet free from fat, spices, junk food etc. Cause gall bladder juice help to digest food and if it is removed your liver has to compensate or extra load to liver. So your liver get easily and show this symptom. Take medicine as prescribe by your doctor avoid heavy oily and fatty food if you Chat Doctor. With proper diet things will be fine. Just follow your physician. Take care. Bye." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor I m from India last month my doctor recommend practen EN for 1 month...my child use to eat very nice ven I started Di s medicine... After 1 month I stop Di s medicine again she stop eating her food...should I start again practen EN...plz do help", "output": "Hi... Thank you for consulting in Chat Doctor. I take this opportunity to tell you certain scientific facts and relieve your distress -1. An active is a well kid even if she/ he is not eating well.2. Development of a kid is as important as, or I would say even more important than growth alone.3. As the kids grow their interest in food decreases and interest in play activities increases so that they eat small quantity and run away to play. As parents, we need to be more patient and feed than less quantity but more liquors per day.4. This age rather than the quantity of the food I suggest you concentrate more on the number of times you feed her and also make whatever you feed her calorie dense by adding good amount of ghee to it.5. I suggest you not to use appetite stimulants (like Practice or Cyproheptadine) on long run as they may cause Chat Doctor. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I have a high blood pressure 150/86 and a pulse of 88, have some chest pains , dizziness , cannot seem to concentrate, my ears can not stand loud voices, dizziness and shortness of breath. also i have a very sharp pain in my neck which travels down and reaches my shoulder and arm. What is wrong with me? The pain in my neck is from 5 days and is not going away. I was prescribed a simple paracetamol which doesn t help. I went to a chiropraktiker who after examining me said that he is worried I may be having a stroke .", "output": "Dear you are suffering from symptoms which need exploration to determinate the cause of them. First you need to be done a brain CT scan which will exclude a brain damage(stroke)In my opinion it seems that the problem is in your neck, probably a discography. You should consult a neurologist because the neurological examination will determinate the suffering area! Hope my answer helps you Best regard Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i wana ask for my fertility issue. i took clomid last month n results are multiple tiny follicles were in right ovary and 1.0x0.7 size of a single follicle in left ovary. am i normal or do i have fertility problem? n what u would suggest me to do if i have. thanks", "output": "Hi, Thanks for writing to Chat Doctor. Your scan report suggests you have polycystic ovary disease (PCs). It can cause infertility by affecting ovulation. If you are ovulating with closed then I suggest you to go for GUI after getting tubal patency done. GUI is intrauterine ingestion of sperms. Here sperms are washed and processed and placed in uterus. This will increase chances of conception. If you are not ovulating with closed then you should discuss with your doctor regarding addition of FSH injection along with closed. FSH help in ovulation. After rupture, you can get GUI done. Hope I have been helpful. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, i am 22 year old trying to get pregnant. It has been 45 days since my last cycle and wanted to check with doctor for pregnancy. The urine report has come negative and doctor advised to take Susten 100 for 5 days. What could be the reason for doctor to advise this medication. Does it mean am I not pregnant even after crossing 45 days? My period has always been 28 days and this is the first time after we planned for baby", "output": "Hi I think you should take this medicine. This Austen is generally given to support the pregnancy and also to induce the period if the periods get delayed. What you can do is to repeat a urine pregnancy test after 1 week. She. Sometimes ovulation is delayed and thus pregnancy can happen. So you can confirm your pregnancy status after 1 week. She. Austen has no negative effects on pregnancy. So if you are pregnant it will support this. If you are not pregnant it will induce your periods. Hope I have answered your question. If you have any other query I will be happy to help." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi,doctor .iam28 year i have been suffered from gap on my right cheek.it look like a big hole on my face i went through two surgery .however no results after them. i have also tried homeopatChatDoctoredicines for two years however no results i have been suffering from this last 8 years. pls help me", "output": "Hello, Please tell me your height and weight and which type of surgeon (a general or a plastic surgeon) did operate upon you and if you have done ultrasound of cheek for exact anatomy of this area. After getting your reply on these questions I will be in a better position to understand the background of this problem. Meanwhile, I will suggest you not to use homeopatChatDoctoredicines as most of these have steroids. And do visit a plastic surgeon if you have never been to one. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello I got a staphylococcus. Infection. From a tattoo nine months ago, this happened. Twice as im having a full arm done im female with previous. Health problems and a comprimised immune system, I took staphlex and cleared the infection. I after nine months got tattooed in a very clean trustworthy studio yesterday. Should I take staphlex as a precaution? Is there any harm taking antibiotic when you may not need it? It was 2000mg dose of staphlex 6tablet corse My arm appears fine at this stage but as you can imagine im nevous. And in case your wonder why would I do this again in the same area I had to fix the mess made from the last infection....... opps", "output": "Hello, Thank you for your contact to Chat Doctor. I understand your health concern, if I am your doctor I suggest you that as you had been tattooed on standard place nothing more is required because they use standard precaution for infection. Taking antibiotic without infection will create unnecessary resistant amongst the bacteria and should not be done. I will be happy to answer all your future concern. Thank you, ChatDoctorInfectious disease specialist. Wish you the best health at Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "ive got an appointment tomorrow with my local gp. but am worried i should be acting now, ive had ive got an appointment tomorrow pnemonia before when i was 11, and was in hospital for weeks, ive got an underlying congenial weakness, so my breathing is affected anyway, My temp is up quite high by what my forehead feels like, ive been dissy all day, i didnt sleep virtually at all last night", "output": "Hello dear, warm welcome to Chat Doctor.come have gone through your concern in depth.* There are different conditions which may lead to this as - bronchitis - pneumonia - decreased lung immunity - viral, bacterial infection - others.* Suggestions at present for better recovery-Do not panic before doctor's visit.- Maintain HY Chat Doctor. - Deep breathing exercises, YOGA.- Prefer semi reclining position when doing rest.- Avoid smoking, alcohol.- Manage to have regular, sound sleep of 8 hours.- Tab. Tylenol (500) mg 3 times a day after meals . Hope this will help you for sure. Wishing you fine health ahead. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m a 47 year old female,I was diagnosed with rheumatoid arthritis in 2012.About 6 months agoI began having problems extending my right arm.I do have an old injury,I broke this arm in 4 different places at age 7.Today I noticed a lump in the crease of the inner part of the same arm. What is going on,this is really beginning to frighten me.", "output": "Hello, I have studied your case with diligence. RA may lead to osteoporosis. Lump can be rheumatoid nodule leading to inflammation. Check your bone strength with DEXA SCAN and you can start medication according to level of osteoporosis, You need to start supplement of calcium with vitamin D, it B12, I will advise you to do regular physiotherapy and exercises as my patients find much relief by these therapies. You need to take diet rich in calcium and vitamin D. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I notice I have a wisdom tooth growing out, the past week it wasnt to bad but now the pain is getting annoying and hard to ignore. I also notice a small moveable lump on the same side my tooth is growing underneath the chin area near the throatDoes the lump have anything to do with the wisdom tooth growing?", "output": "Hello there, Welcome to Chat Doctor, Wisdom tooth is the last tooth to erupt in the oral cavity and often its eruption is associated witChatDoctorplications. Wisdom teeth are often tilted in position and impacted in the bone, gums overlying the tooth forms a pocket like area which usually undergoes inflammation due to entrapment of food debris.I suspect the lump near the wisdom tooth is due to some kind of abscess or infection in the surrounding gums known as gingival abscess. Exact diagnosis can be made only after clinical examination and evaluation by taking radiographs. Consult a dentist and get the examination done as the lump needs to be treated for easy eruption of wisdom tooth.I hope this helps, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a lump on my wrist but it only appears if I bend my wrist in a downwards motion. When it does appear I can push this lump and it feels soft and vanishes for a few minutes then it reappears. When I push the lump it feels slightly painful and uncomfortable.", "output": "HI. This is called a ganglion and is caused by inflammation / reaction to the joint-lining. By your history this is connected to the wrist. Many times this may subside on its own. You can give rest to the wrist for some weeks by cr\u00eape bandage or wristband - not to allow movements at all. This will help to heal it internally. You can also try anti-inflammatory medicines simultaneously. You may please consult an Orthopedic Surgeon if these measures fail to heal." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi sir,Im gunajit roy,for your information my wife is suffering from PCOS & TSH.TSH is slightly high & for that taking medicine regularly.Dr. had given lots of medicine from last 1&1/2 years. and again we are trying to conceive from last 10 months but not getting result. & today also Dr. has given lupi hmg75 inj & goodova tab.Sir, pl suggest what to do!!", "output": "Hello Mr. Roy, I can advise you better if you can furnish me the details of the investigations and the medication received so far. POD is the most common hormonal disorder that is observed during the reproductive age-group and responds very well to treatment. Only, it needs a lot of pre-treatment assessment and a systematic approach to treatment. Initiation of treatment without proper prior investigation often leads to failure. Maintenance of a normal BMI helps a lot in addition to regular exercise and a healthy diet. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 15 year old girl and woke up last night with shooting pains in my chest and couldnt breath, I had to gasp for breath but going that made the pain worse, I couldnt call on my mum because of this, I was also still half asleep so didnt understand what was going on, this has happened once or twice, but I really dont understand why it happens, I am about 7 and a half stone and roughly 5 foot 4, please help!", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Sudden onset chest pain and breathlessness in midnight are commonly seen with heart diseases. So we should first rule out heart diseases in your case. So get done ECG, 2d echo and stress test (trade mill test). If all these are normal then no need to worry about heart diseases. Sometimes, panic attacks can also cause similar symptoms. So consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Don't worry, you will be alright with all these. Avoid stress and tension, be relaxed and calm. First rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have missed 2 periods. I am irregular but I have never missed a period entirely. When I was supposed to have my period I have spotting and light cramping. My boyfriend and I use protection only right before he climaxes. Should I take a pregnancy test?", "output": "Hello dear, I understand your concern. In my opinion there are various causes for irregular periods:-1)Thyroid abnormalities.2)Polycystic ovarian disease(POD).3)Anemia.4)Overweight or obesity.5)Stress.etc. So I suggest you to consult doctor and get the necessary investigations like ultrasound, thyroid profile done to rule out the above abnormalities. Weight reduction in case of overweight or obesity is most important and helps in regularization of cycles. As you have spotting during the time of expected period and as you are sexually active definitely the pregnancy should be excluded. So I suggest you to consider doing a urine pregnancy test. At the same time cause of irregular periods should be evaluated. Nothing to worry. Hope this helps. Best regards..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Three months ago I fell while walking down stairs and landed on my back. No major pain at the time, just soreness. Now that area of my back is sore to the touch and sometimes tight, painful in the morning. It s the lower back, on the spine. I have no trouble with movement or lifting. Should I have an x ray? What are possible explanations?", "output": "Welcome to Chat Doctor. Thank you for posting your question. I can understand your concern. Low back pain can be due to a lot of reasons :1.muscle strain2.muscle spasm3.osteoarthritis4. Disc prolapse5.HLA-B27 associated arthritis including ankylosing spondylitis, reactive arthritis, psoriasis arthritis, and inflammatory bowel disease6.spondylolisthesisThats all about the information. Do not worry too much. I would suggest you to take combination Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 1 yr old daughter has had a fever, not sure of the range just felt heat on her forehead and extremities. It was pretty intense for the first 2 days and the past 2 days it hasn t gotten as intense. She has also been pretty lethargic until the Motrin locks in then she gets a little energetic for a little bit but not to normal levels. I ve also noticed the past few days now that her tongue has white/brown splotches. What is it and how can I help her? She is very whiny and hard to deal with and I really would just like to get her comfortable.", "output": "Hi...this looks like viral illness. In viral illness it is quite common for the tongue to have some white patches. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i m 32 year,female,weight 58kg,168cm height, my condition started a 10 days ago ,i waked up 4:am feeling suffocated and somthing in my throat thats enlarging ,i took cortisone to quickly save my self (i have a medical background),during 5 days i took about 6solucortif and 6dexamethasone ........then i went to the dr ENT who told me i had probably reflux oesophagitis and prescribed \"controloc40\" up to this point i didnt feel any acidity ,but i started feeling it after taking the controloc,for a week now i m taking controloc ,motilium,ascor s ....all of this is controlling acidity during the day ...but at night!!i cannt sleep from acidity and i feel it on my inner cheeks mucosa,and i m begining to feel heaviness in the right side of abdomen and soreness in my left shoulder ..........pls help me how do i proceed", "output": "Hi. The primary diagnosis may be Cholecystitis as you are developing symptoms of right sided heaviness and soreness in right shoulder. This cholecystitis may in turn lead to the acidity problem which is not getting relief with the medicines you are taking. Take the dose if Rainitidine, antacid gel and Mot ilium as late in the night as possible so avoid the night and early morning problem. Also, I think you need to take an antianxiety or anti-stress medicines." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am found to have reactive lymphadenitis of left cervical region along with that i have pain in left shoulder and mild fever in d mornings.My age is 21, weight 62kg and heigt 160cm. I have been on metformin and OCPs for past 4 year since i have PCOD.", "output": "Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Reactive lymphadenitis is possibly due to infection in the Chat Doctor. 2. Cervical region surrounding areas, needs to evaluated for infection.3. Sputum examination and complete hologram is necessary4. However, if there are no areas of infection, it would be prudent to wait for 2-3 months, as lymph node to reduce in size will take a longer time. Fever in the mornings if present indicates possible infection, daily evaluation is necessary, if fever is present. More details necessary for further opinion. Hope it helps. Any further queries, happy to help again." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi i would like to ask you if you have any idea as to what the matter is with me as i have been struggling with this for a while and am slighty scared of going to se my doctor... Sometimes i feel like i cant cope with life anymore, i feel absoloutley useless and so low in myself, i will sit and cry all day, but yet i dont know why??? there are days where i feel high as a kite, and just feel the need to enjoy myself, but this is a massive problem as i am almost getting myself into serious debts for this, i cannot stop myself from spending stupid amounts of money on stupid things, i just like the feeling afterwards, then a few days later, it all dawns back on me?", "output": "Hi, I went through your query. From what you have mentioned, it seems that you are having frequent fluctuations in mood manifested by a low phase and a high phase. In the low phase, you feel low, and have decreased self-confidence. In the high phase, you feel elated and even overspend. These frequent fluctuations of mood can be due to an underlying mood disorder termed cyclothymic. I would suggest that you should seek a psychiatric consultation for complete evaluation. A thyroid profile might also be required as hypothyroidism can often manifest as such symptoms. In case you are diagnosed with a mood disorder, mood stabilizers like valproate or lithium would be helpful in controlling your symptoms. I do hope that I was able to answer your query. Best wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi i am experiencing pain on top of my foot which increases in the night. Am unable to walk properly my X-ray shows there is an inflammation. To rule out the possibility of gout I have been asked to take blood and urine tests. What should be a normal level of uric acid and why does it increase?", "output": "Normal levels of uric acid are 7 mg/DL.looking at the signs and symptoms they are suspecting gout. It is caused due to hyperglycemia that is increased uric acid levels in the blood. There are different reasons for it. It causes due to either increased uric acid production or decreased uric acid secretion. Looking at your reports it'll be helpful to diagnose the disease. Further they can decide treatment for it and if you need to be done other tests to confirm the diagnosis the synovial fluid test." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband has been having this clear gel like discharge every six weeks or so. He is 69; has Parkinson s disease and muscular dystrophy . His normal bowel movement is every four to six days. He has no pain. What can be his problem and should he seek medical attention?", "output": "Hi, Dear,Thanks for your query to Chat Doctor. Dear I read facts of your query and reviewed it in context to your health issues submitted. I understood your health concerns and feel Concerned about them. You seem to have IBS with Polypoid Coli-which could be causing this mucus gel discharge. Other causes of clear mucus gel discharge-as discussed below need to be thought of and verified and ruled out before starting the treatment. Cause of this clear gel like discharge could be due to Colitis accompanied by HERD and acidity-is from -Gastritis or IBS or IBD, with Crohn's disease / Or Ulcerative Colitis/Ca Colon / Polypoid Cold / Rectal Polyp etc. Review of the other causes is needed for proper treatment in your case. This gel like mucus during once in 6 days bowel movement -is a worrisome sign and indicates accompanied Digestive and bowel disturbance from various causes, in your case and needs to be attended with - GI Physician or ENT /or GI Surgeon. For this to verify Second opinion from GI Physician / GI Surgeon-would be needed. Remedy-Get Second opinion with GI-Physician to rule out other causes as discussed above like-/EGD (Esophago-Duodenoscopy)/Colonoscopy-with stool and blood tests would be needed to fix the diagnosis if need be. Depending on the cause-treatment would be given. Common and general-dos for recovery of this -are as follows-Bland and non-spicy/ non-fried diet No Street /or hotel woodcutter Milk / and YoghurtCap Sporlac-1 x 2 x 2 weeks -to stabilize bacterial Florida Zincovt-1 x 2 weeks Cipro Oz-1 x 2 per day x 10 days Mebeverine-1 x 2 per day if need be would stabilize mucus discharge and would give relief in 2-6 weeks time. Meticulous care and control of diet and lifestyle is a MUST. Just don't worry and be patient and co-operate with your doctors, till you verify with your attending doctors. Hope this would help you to treat your health issues in the best way possible. Welcome for any further query in this regard to following link-http://doctor.Chat Doctor .com/Funnel?page=askDoctorDirectly&docId=70229Wishing Good Healthy Life!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello, my husband has been having symptoms of uper left chest pressure, sweats and then cold. he is overweight and not very active, very thirsty last nite also. / blood pressure of 145/100 x 2 , taken by medical staff at his work. they tell him it is not abnormal. I disagree. i think he should seek medical attention, Am i correct?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Yes, you are right. You should definitely consult cardiologist for your husband. By his history and description, possibility of heart related diseases is more. Left sided chest pressure, sweating, obesity etc. are in favor of heart diseases more. So consult cardiologist and get done 1. Blood pressure monitoring. 2. ECG. 3. 2d echo 4. Stress test (trade mill test). 5. Coronary angiography (if required). Don't worry, he will be alright but first consult cardiologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Today, I m experiencing a dull pain on left carotid artery. Once in awhile I feel the same dull pain..at the same location when I m running. Just as a heads up..I m a healthy marathon runner. What are your thoughts?. Oh, and have an history of hypertension an Acid reflux.", "output": "Hi There Ive read your question and understanding your concern. I want to tell you Blockage in arteries can give you dull and shooting Pain. Pain at a particular place can also be because of muscular or bony pain. If the Pain don't increase or decrease during running then it can not be because of Carotid Artery. It is advisable to get a Carotid Artery color Doppler done to confirm if any blood circulation is impaired. And if it comes normal then personally see an orthopeditian. Hopefully I answered all your QuariesGood Luck" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I AM 43 years old 5 4 and weight s 240 . I have periperal neuropathy x 10 years and rheumatoid arthritis x2 years. I have not done anything different in the past few days but I have had a temp of 99.9 or below for 3 days with back pain. I am now having florescent green bowel movements. I hurt under my ribs and back. I have been a nurse for 20 years , this is a new green. I am now on disabilty due to neuropathy.", "output": "Dear Sir/Madam have gone through your query and read your symptoms. In my opinion, your bowel color is indicative of billiard pathology, the gall bladder would either be filled with stones or there could be any growth in the bladder. I feel you should discuss your concerns with your doctor and together get out with a solution to your problems. I hope that answers your query. If you want any more clarification, contact me back." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 23 year old female and have not had any major health concerns over the years. The only medications I am on are the Depo-provera shot for birth control, and a low dose of generic adderal daily. I have recently noticed a lump on the left side of my neck right at my hair line. Sometimes it is small, about the size of a pea, and other times it is larger, and its tender to the touch. I have also noticed I have had worse acne than usual and also constipation, to the point of no bowel movement for days. And when I do have a movement its sometimes blood streaked or has mucus, or both. These symptoms may be totally unrelated, they just are all recent developments. Any idea what it may be or who I should see?", "output": "Hi, Dear,Thanks for the query to Chat Doctor. I went through your query and understood your health concerns. In My opinion-that lump on your neck is ACNE -folliculitis, which could be dealt by your family doctor.-I would advise you to change your birth control tool, as this neck lump - is the side effect of the depo-provera you take for birth control. For that consult your GAEC doctor / family doctor.-For the stool and mucus in stool - I would advise Stool examination.-As you have constipation also, I would advise ruling out -fissure in ANO or parotitis- for which need to consult ER Surgeon who would treat it accordingly. -Hope this would help to resolve your worrisome query on your next visit with your family GP doctor. Wellcome for further query to Chat Doctor in this regard. Wishing you fast recovery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doc, my dad is 59, we just got to know he has a 4cm tumor in his left kidney. We havent started the treatment yet and he is diabetic too...he is non vegetarian, can he continue the normal diet? if not plz suggest what kind of diet he should follow?", "output": "Hello sir, and thank you for posting your query here. I'm here to help you out. Welcome to Chat Doctor. I being a surgeon, we encounter so many such cases. I read your question completely and have understood it well enough. Frankly speaking, he can continue his normal diet as he's taking all these days. Please note the following few facts. 1. 4\u00a0cm mass in left kidney needs treatment. Hope you are well aware of this thing. It needs surgery. May be in the form of partial neurectomy or total neurectomy. Yes. Please do not neglect or delay this. 2. Sorry to know that he's diabetic too. But do not worry, he can continue his normal diet taking care of his diabetic status. 3. There should be no diet restrictions as of now. But again, his diabetic status has to be considered. Hope this helps you, please let me know if you have any questions. Take care of your dad. And God blesses." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Has pain in the upper region of her right shoulder extending to her neck. Starting to have stronger pain leading to hit neck. No temperature or discoloration. She was applying heat to the area but as the day progresses it appears to become more painful.", "output": "Hello, thank you for your question.it looks like the problem origin is in the neck. Depending on you age and past history this may be from different causes. If you are old age it may be from spondyloarthrosis or arthritis which is degeneration of spine from age. It may he a herniated disc of the neck (cervical spine) that compares the nerves. This may be the cause if you had any trauma or fall in the past. I think you should see a neurology specialist, and he will order for you neck MRI, X-rays or CT scans and other examinations. Hope this advice will help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a injury on my knee some 12 years when I fell and I had 12 stitches. The wound healed up fine, but since then I had sore knee over the years. Just few months ago I had this boil kinda lump show up which had pus in it, the wound healed up but then it keeps coming back the lump with the pus in it, it just would not heal. The infection dries up but comes back on the same spot on the old stitch mark", "output": "Hi, Dear,Thanks for the query to My Chat Doctor Clinic. I studied your query in details and understood your health concerns.-Treatment and Cause of your lump on knee-a-Mostly it is-a retained/buried- stitch thread-which is causing Chronic Abscess with soreness and pus discharge.b-Other Cause of ? Osteomyelitis of the knee bones below the infected but healed stitched scar wound, needs to be ruled out by Dry KNEE with nearby wound area.c-I would advise-to consult ER Surgeon-who would remove the -buried stitch thread. ER orthopedic surgeon would treat it if there is Dry knee lead to treat Osteomyelitis of knee bones. This advice would help you to plan treatment with your doctor. Hope this resolves your query. Wellcome for further query in this regard. Have a Good Day...!! With Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my one year old has small red dots on her legs, feet, arms and hands and larger red dot/rash on her face around her mouth. I took her to the doctor, he said he wasnt sure what it was but thinks it is hand foot mouth disease. she has had a fever light diarhea and been extrmely cranky.", "output": "Hello, Welcome to Chat Doctor, Hand-foot-and-mouth disease is generally due to coxsackivirus A 16 & retrovirus 71. Patient present with fever, anorexia & malaise which are followed by sore throat and vesicles (blisters) on the buccal mucosa, tongue and dorsum or palms of hands and occasionally on the palate, uvula, consular pillar, buttocks and feet. The disease is highly infectious, with attack rate of almost 100 % among young child Chat Doctor. Symptoms will resolve within in a week. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just noticed a purple/yellow circular bruise on my right upper arm with a while lump in the middle...feels like the size of a pea. The entire bruise is about the size of a quarter. It doesnt hurt! I know it is not a bug bite, no shots and nobody has grabbed my upper arm. What could this be? My Grandmother on my Dads side had breast cancer.", "output": "Hi, Dear,thanks for the query to Chat Doctor virtual Clinic. I studied your query and understood your health concerns. The worry of the lump on your right upper arm, is only due to the fear of it being cancer, as your grandma had breast cancer. I reassure you, after studying the details of your query, that you should not worry about possibility of cancer in your right upper arm. Your lump appears to be an unknown insect bite. Possibility of it being boiled or sebaceous cyst is not there as the history is short. Hope this would resolve your query. Welcome for any further query in this regard. Write good review and hit thanks, if this reply helps you. Have a good day. Chat Doctor. N." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 23 years old(F) house wife. Suffering from slight short of breathing last one month. My doctor suggested for test .i.e Pulmonary Function Test, ECG, Echo Cardio Screening. Every test result is normal. Doctor give me Deanxit 0.5mg perday one tablet. 10days gone I feel normal. but on 11th day I forgot to take the tablet. 12th day I feel again short of breathing problem. Then after discussion with doctor I took one Deanxit and one Rivotril 0.5 mg. My quastion- Is this kind of short of breathing problem is due to anxiety ? should I continue Deanxit long term ? Is taking longterm Deanxite may cause another problem in future? Note:- My TSH is around 7.54. I am taking Thyronorm 25mg per day", "output": "Hi welcome to the Chat Doctor First don't worry about dyspnea because all your reports are within limit esp echocardiography and PFT (as per history) So yes if you are having stress history then anxiety might lead dyspnea by panic attacks I advise you to consult psychiatrist for examination and detail history taking For anxiety disorder doctor will prescribe you fluoxetine like SSRI group Chat Doctor. ... Hope your concern solved Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just had an EEG and after the strobe lights and heavy breathing part of the test, I was asked to relax. During this time I began to experience rapid eye movement that I could not control and involuntary muscle twitching in my arms and upper body. Is this normal and does this indicate anything in particular? I am being tested for Epilepsy.", "output": "Hello ! Thank you for your question ! I understand your concern. I think you might have been experiencing a specific kind of Epilepsy seizure(probably partial complex occipital lobe Epilepsy) during the EEG. The heavy breathing you have done before this happened, has excited your brain, so that a seizure occurred. This is a normal procedure during EEG. The hyperventilation is commonly used to excite the brain, so the full pattern of the disease comes out in the EEG tracing. I am sure the doctor has understood this and has localized the problem in your brain. Hope to have been helpful! Thank you for using Chat Doctor Best wishes, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a medium to large size bump on the back of my head almost near my neck on both sides. I have not hurt myself in any way and i have had them for almost a month now. I am now also beginning to get knots in my neck and only had one but now another one has shown up. Some days they hurt very bad to like move my neck or lean my head back. Other days i dont notice them at all. Any ideas?", "output": "Welcome to Chat Doctor for your health concerns am Chat Doctor and I will be looking into your problem I have gone through your question and understood your problem and concerns. It appears to be lymph node enlargement of the occipital region and now lymph nodes of the neck as well. These group of lymph nodes Chat Doctor. It appears to be some kind of infection is going in this region. Have you taken any empirical medication for it? If it does not respond to empirical antibiotics' therapy then it might be some other pathology. You need to see a general surgeon, who might carry out excision biopsy of the lymph nodes and send it to histopathology to get a definitive diagnosis. I hope my answer will help you. Do rate it if you like it. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi sir my mother is suffering from many days..doctors say that the walls of her gall bladder have thickened a lot and needs to take intervenous injection..plz do consult me a good surgeon in kolkata for this disease.thanking you,sanchita gangopadhyay age-19 mothers name-sima gangopadhyay height-55 weight-60", "output": "Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. Your symptoms may be suggestive of gallbladder stones, so you should do at least ultrasound or CT scan to evaluate it more accurately. This is caused by stone in bile duct and is very common condition. Stones are seen more commonly in obese people and those with diabetes. You need to change your dietary habits first. Need to avoid fried food, carbonated Chat Doctor. You should eat more milk products, vegetables and boiled food. If there is no improvement on lifestyle or dietary changes, then surgery is recommended. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello. I am 47 years old. I had a ACDF in 2005 and didn t have any problems with my neck until March this year. It started off with with a stiff neck after hurting my neck, then burning pain down my left arm, all the way down, and weak hand. I also had burning pain in my left scapular. The burning is now constant, causing terrible frequent headaches and burning pain in my right arm. I feel my head is so heavy on my neck and that at times I need to support my left shoulder from the intense heaviness and burning. My CT scan from Tuesday has come out with: C4/c5 disc osteophyte complex which indents the ventral aspect of the cord resulting in mild canal narrowing with a residual AP diameter of 9mm. Mild bilateral unconvertebral spurring. Mild bilateral neural foraminal narrowing. C5 /c6 anterior fussing noted. Anterior osteophyte indents the ventral aspect of the cord and result in mild canal narrowing with a residual AP diameter of 9mm. Bilateral unconvertebral spurring resulting in mild bilateral neural foraminal narrowing. C6/C7 anterior fusion noted. Bilateral unconvertebral spurring resulting in mild bilateral neural foraminal narrowing. Can you tell me what this means in layman s terms. Will this require surgery?", "output": "Hi, neck injuries or cervical spine injuries are sometimes common in most of us. CT or an MRI scan for 75% o people aged above 30 are not found normal. But as reading your complaints it looks like we can hold onto your symptoms and find a remedy. You are getting an abnormal sensation along with pain in the upper back and upper limb. This could be a result of the nerve getting trap as you have put here your CT or MRI reports. What you need to understand is that by maintaining the intervertebral disc space back to the normal limits will solve your problems. For that you need to focus on strengthening the neck muscles, trapezius, interscapular muscles, and upper limb as a whole. For that you may have to undergo some physical therapy sessions where a therapist will help you reduce pain by using Ultrasound therapy and Transcutaneous electrical muscle stimulation. Post that the therapist will help you learn some exercises for neck, interscapular region and upper limb as a while. Once you practice this on a daily basis it will surely help you to lessen the symptoms and give you the active lifestyle back. Kindly try to follow on to the advice, and I am pretty sure you will be helped. Most of my patients are helped with the same and have an active lifestyle again. I wish you a speedy recovery and wish to hear from you that you are just up to the life again. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Backwards fall onto a hardwood floor My two year old fell back wards off a 2 foot stool on to hardwood floor. He cried right away but settle and started to play again. I woke him up every 2 hours last night to make sure he was ok. all went well. This am if he is not playing he want to snuggle and fall asleep. Should I be concerned?", "output": "Hi... Thank you for consulting in Chat Doctor. I understand your concern. First be reassured that your kid is normal. I will suggest you danger signs of head injury -1. Vomiting continuously2. Seizures3. Watery of bloody discharge from ears and nose4. Unconsciousness5. Altered sensorial or behavior. If none of them are present, I don't think you should worry about his trivial head injury. For pain, you can give oral Paracetamol in the dose of 15\u00a0mg/kg/dose(max ceiling dose 500\u00a0mg) every 4-6th hourly. But as he is preferring to sleep, I suggest you get him checked at the nearest emergency room, first thing in the morning. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a brother who is a diagnosed Schizophrenic and is now an anorexic he is 64 years old and also has Chrons disease, I am not sure how to help him as he is becoming increasingly bad tempered and difficult even though I try hard to help him in all ways,Regards from His Big sister", "output": "Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. You have not mentioned which medicines he is on. There are many good antipsychotics available, and he should improve with good medicines such as olanzapine or risperidone or aripiprazole etc. If he is a resistant schizophrenia then clozapine can benefit him a lot. Further his appetite can be improved with cyproheptadine. Do discuss these issues with his psychiatrist. Also, if he is so emaciated then consider get him admitted in a psychiatry unit until his physical status improves. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I just sat down today in a certain position, and I felt a sharp pain on my right buttock. I then noticed that there is a small lump on the inner part of my right buttock. It is not really visible by the eye, but if I put my finger on it, I can feel some sort of lump inside my skin. I actually have been feeling like there is something in my butt for the past about 2 to 3 weeks. However, just this week, I started feeling some pain when I wipe that area of my buttock after going to the bathroom. Just today I noticed the lump though when I felt it with my finger. Im not sure as to when the lump exactly developed. Do you know what this could be? Also, what type of doctor am I supposed to see about this?", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have some piles (hemorrhoids) or some perianal abscess or fissure. You should go for examination. Furthermore, you need to consult general surgeon for that. Take high fiber diet and Chat Doctor. Try to avoid constipation. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am Anita Jha \"32years old . I had a baby girl of 8 years old . Twice I had a miss carriage But since 3 years I am planning , but I am unable to consume now . I had my Follicular Test since from four month every thing is normal Kindly advice me reason for not consuming . My weight is 70 kg , height is 5.3 .", "output": "Hello, Welcome to Chat Doctor. Thanks for writing. I am Chat Doctor. I have read you question completely, I understand your concern and will try to help you in the best way possible. Infertility is very common after miscarriage and can take a while to cocaine but nothing to worry about .....you will soon m sure just do your cult work up like ultrasound etc. and also do your husbands work up as we it's v imp even if you have child" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have a slightly dark brownish pigmentation of only one of my breast. It is around the lower fold, hasnt changed color or consistency, seems like lines and dots, doesnt itch or pain. I m 25, Indian subcontinent region, healthy, no previous health histories other than appendectomy. It is not acanthosis nigricans or PCOS related. Doesnt seem like a fungal or any infection. It as been there for about a month now. No trauma to the region as well.", "output": "Hi, Thanks for writing to us. Certain areas over body like groins, underarms, infra mammary areas(areas beneath breast) are prone to pigmentation due to friction, trapped sweat and thriving of fungus bacteria etc. So chances are the pigmentation in your case is due to friction. Abut definitely other conditions like acanthuses, fungal infection should be ruled out. If its just pigmentation, application of HY Chat Doctor. Hope this helped. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i HAVE 3 year old, she has been having on and off constipations since birth, I have tried high fibre diet but she gets relieve for a short time and start again for no reason. This time is been 2 weeks since her last relieve. I have taken her to different GP but they see no problem. Pls help.", "output": "Hi... Thank you for consulting in Chat Doctor. I think your kid is having habitual constipation. I have certain questions and suggestions for you. Questions:1. Did your kid pass motion or meconium on day one of life?2. Since how long is the kid constipated?3. Does the kid have any bleeding along with hard stools?4. How much milk does the kid consume per day?5. Does the kid eat fruits and vegetables (fiber diet) appropriately? You can get back with answers at the following link - www.ChatDoctor .com/doctors/ Chat Doctor. Natural methods are the best to relieve constipation.2. Constipation is a risk factor for UTI3. Maximum milk consumption per day should not exceed 300-400ml4. Minimum 3-4 cups of fruits and vegetables to be consumed per day5. Toilet training - that is - sitting in Indian type of lavatory daily at the same time will help a lot. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have numbness kind of feeling inside of my right mouth, when i rinse my mouth i can properly feel it on the left side but not on the right side, i have been smoking for 5years and am 22 yrs old. does this mean i have mouth cancer. and even when i fill my mouth with air i cannot feel my right side. please help.", "output": "Hello, Welcome to Chat Doctor, Please first consult the dentist then general physician and get your check-up done. So that your problem can be clinically identified, depending on numbness since how long, any other symptom or lesion in the mouth. Please stop smoking. Maintain a good oral hygiene. Any other habits like tobacco chewing, Chat Doctor. Consult the doctor asap. Hope this will sort your query. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Doc.I am having the irritations and itching in my whole body skin including head.itching starts after a red colour appear in the skin and some type of inflammation also. Is it the desease of Psoriasis? I consulted a Doctor in Calicut and he advised me the following medicine;-1- Tab. Nurobion forte 1 tab 3 times/day2-another paste prepared at hospital Acid sil 5 gm,Naseline 100gm , HAD 5gm These medicine I am using for one month but any improvement is not visible and I am suffering the itching severly. Doc, Shall I get any advise in this subject/? Chandra Mohan", "output": "Hi, Chan Chat Doctor. . You suffer from generalized pruritic. You have star itching and burning. There may be redness. You have not mentioned for skin lesions. So, do not worry, you do not seem to have psoriasis. The disease may be either irritant or allergic contact dermatitis. You consult dermatologist for firm diagnosis. Blood tests may be done to rule out DM, HIV,anemia, other blood or internal disease. Avoid suspected irritants or allergens like soap, dust,house dust mite, woollen clothes, grass particles, fume,deodorants, cosmetics.you may take antihistamines like levocetirizine to relieve itching. Steroids may be taken in tampering doses. Apply mild steroid cream on affected areas. I hope you may be alright in few weeks. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son is six and has had a solid lump on his bone on the inside of his arm just above his elbow for a while, doc said it would go but a year on its still there and he has in the last couple of months been losing weight and seems to get infections easily and sores in the corners of his mouth could this be cancer?", "output": "HI. As your son is only 6 lumps on the bone is not likely to be due to cancer. I hope you have done at least X-ray of the affected part. X-ray may show this as an exocytosis- a benign condition. As for the sores at the corners of the mouth-this is called angular dermatitis and the cause is vitamins and folic acid deficiency. The root cause may be bad eating habits/ enterocolitis of some sort. This deficiency also causes the reduced resistance of the body giving easy infections and loss of weight. I would suggest such a patient to be first clinically evaluated by a Pediatrician and / or Pediatric gastroenterologist- HE would suggest further tests on examination and would advise multivitamins and folic acid in proper doses as also an antibiotic and metronidazole. I would advise you to give him It A one cap daily for 6 days and Clairol sachet one every week for 3 weeks. (if your Pediatrician does not write separately). This is going to help in a long run for a healthy baby. Give a shot of tablet for worms. Follow Orthopedic Surgeon for the growth at bone. I hope this helps you and your son to get a cure. Give a long term treatment and diet training is also a must (I know how 6-year-old are)" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "what could cause a p ain in your jaw that feels it is right under your bottom last two teeth , it feels like a ice pick going though the tooth ? sometimes the pain goes to the right side of my head giving me a headache and there has been times when I didnt want to talk found it hard to with my jaw. I do have a tooth that is turned around like side ways in my mouth .Thanks", "output": "Hello, Welcome to Chat Doctor forum. Pain which radiates into jaw may be due to deep caries or periodontal infection of associated tooth. A thorough clinical as well as x-ray evaluation of the lesion is necessary to rule out the cause of toothache. If there is Per apical infection as well as abscess formation, tooth has to be root canal treated and abscess has to be Chat Doctor. Take complete course of augmenting along with analgesics. Also check whether any impacted wisdom tooth is present, which is inflamed. If so, get it extracted or retained depending on the space available for tooth eruption. Periodontially infected tooth has to be curetted. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my partner is suffering with severe pain in his mouth, this has been an ongoing issue for over a year whicChatDoctores and goes but this time it is a lot worse. the pain seems to be centered around one particular tooth which has a filling. it sometimes bleeds and is sometimes smelly. He is having headaches because of it and has been getting hot flushes. I am currently waiting for a call back from an emergency dentist but can you suggest anything other than pain killers as this isnt working. He has also been using a dental oral gel but this isnt numbing the pain.", "output": "Hi heartlands for asking your Quertle history provided shows that your filled tooth has developed infections tooth is causing you pain around tooth which is radiating towards headset a X-ray done to evaluate the filling and tooth infection is deep in pulp with periapical involvement then filling has to be removed, and root canal treatment should be doneMeanwhile pain can be treated by analgesicMaintain good oral hygieneConsult your dentist too Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doctor my mouth is not opening fully. Previously I was addicted to Guthkha (Tobacco) at that time my mouth was perfectly working but whenever i left chewing tobaco then after some day i felt that my jaws became block and i found problem for opening it... so is there any treatment to get my previous jaws....without any surgery or by surgery.......waiting for your reply... YYYY@YYYY", "output": "Hello thanks for consulting at Chat Doctor.difficulty in opening jaw is due to oral subducts fibrosis -potential malignant disorder, it is due to chew gut, please check with your oral surgeon, what stage is your OSF? It has medical line treatment if it is initial stage like antioxidants, if advanced it surgical mode f treatment,latest is stem cell treatment, please consult your plastic surgeon or oral surgeon asap,hope it helps,TC" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i 51/f taking odimont-LC since one year.I used to take one doze daily sometimes when not relived then i increased the doze to two or three.Now i got a problem in legs and joints --- like swelling in joints and thigh adding to this also starting eching .. kindly tell if is is steroid and also tell me about the symptons that i m suffering from??", "output": "Hello, The symptoms in the joints are probably related arthritis. I suggest checking the rheumatoid factor level for further evaluation. Meanwhile, I suggest using anti-inflammatory medications such as Ibuprofen 400 mg three times a day. I also recommend using cold compresses for local application and gentle stretching exercises. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "for years i have had high pulse and fast hard beating heart but recently when i exert my self carry laundry walk up stair hold my grandson ect my heart starts going crazy and i feel alittle faint I listen to my heart and it make a wierd sound for a minute then returns to normal sound but still fast and hard???? It always sounds normal when just sitting around you know when the doc listens..Any items for me?", "output": "Hello thanks for posting at Chat Doctor. Basically you have symptoms of palpitations and fast heart rate when you exert. This may be related to cardiac cause also. When the heart arteries are narrowed, when you ever the heart nets faster to cope up with the demand. Please do a stress test which requires you to walk on a treadmill while your heart rate and ECG is continuously being monitored. This will show whether the heart really gets fast more than normal range during exertion. Next I would also like to see a thyroid profile on you. Thyroid abnormalities can also cause fast heart rate and palpitations. Please do the above tests and revert. Daily exercises like walking, cycling, jogging, swimming can also increase the stamina and can help in keeping heart rate under control. Wishing you good health. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here...I was getting lunch ready yesterday and my 11 month old grabbed a baby-bell cheese and bit a chunk out of it with the plastic and wax and swallowed the chunk!! I didn t see it in his stool yet today, how long will it take to pass the plastic and wax and is it dangerous?", "output": "Small plastic rapper if was swallowed and has reached stomach will not be digested by GIT and in most of the cases will be excreted in stools after traveling whole gut in 2-3 days. But in some case unfortunately it may cause obstruction in narrow parts of bowel and leading to serious problems. Your baby needs to be monitored. You need to consult pedestrian and ask for investigations like USG abdomen to detect if any par of bowel is getting obstructed.X-Ray may not help as it cannot detect plastic. Regarding wax, it will not cause any problem apart from some loose stools." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I need to know what to do about finding a surgeon that will listen to my ongoing battle with kidney stones. I have had 8 surgeries in the past year, lithotripsy, uteroscopic, tubes in back. I now know why I get them so much, para thyroid and I hope to have that surgery within in the next month, but that is not 100% fix. My basic problem now is that I have a stone in my kidney now that a month ago was 5mm, it is now 13x9x6. Because it is still in the kidney they dont want to take it out saying it causes no pain. I have never had one go into the pole, and I keep a UTI. What do I have to do to get a urologist to listen to me?", "output": "Hi, I am sorry to know about your stones in the urinary tract, I advise you to consult a urologist for diagnosis and treatment. Avoid taking tomato, green leafy vegetables, to avoid stone formation, or to prevent increase in the size of the stone. I to my patient with such symptoms prescribe some ayurvedic preparations like near, cyst one etc. a long time basis for resolving the stones. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "This was the x-ray findings: 1. There are fibrohazy infiltrates in both lung fields, more in the right with superimposed cystic lucencies in the right lung. 2. Heart and the rest of the mediastinal structures are shifted to the right. 3. Hermidiaphragms, costomeric sulci and the visualized bones are intact. what does this findings mean? thankyou", "output": "Thanks for your question on Chat Doctor. In my opinion your x-ray findings are suggestive of right sided fibrotic lung. You must have TB infection in right lung in the past. And your present x-ray findings are sequela of healed TB lesion. When lung fibrosis occurs, the healed tissue shrunk the lungs and pull the structures. So mediastinum and trachea are shifted towards right side. So no need to worry about this x-ray as it is old fibrotic right sided lung is seen." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My body has 30+ lbs of water retension. Hospital took out 4 galLons+ in 4 days and when sent home body in 5 days was right back with same symptoms. My body has fluid retenion. My lower legs and toes are so swollen that I cannot wear shoes or walk due to swelling on soles... edema is 10+ below knees to tips of toes. Skin on arms and lower legs is DRY, itching looking for homeopathic remedy to reduce fluid retention, help with dry skin and itching. ALso have incontinence problem. Please HELP???", "output": "Hi snowbird, you need to tell us what were you diagnosed with during your last admission. There can be multiple causes for fluid retention, like heart disease, liver disease, low blood proteins, kidney disease, thyroid problems etc. most are treatable with allopatChatDoctoredications. Your incontinence may or may not be related to your fluid retention. It may also be due to diuretics that you may be taking to reduce body fluids. Kindly send some more details like your age/gender/previous diagnosis/other medical illnesses and so on. From the information available, I think you need to see a physician. If your incontinence persists, also get checked by a urologist. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I recently moved to New Mexico from California and have not been able to reach my physician in California to obtain a refill Rx for Cymbalta. Both my pharmacy and I have left him numerous messages. I have not been able to establish myself with a physician here yet due to snafu s related to insurance, but I do have an appointment scheduled for April. The problem is, I am going through major Cymbalta withdrawl and can t get a prescription! I have taken this medication for many years. My medical group does have an urgent care clinic , but I was already told by phone that they would NOT give me a Rx for Cymbalta as that must be ordered by whatever doctor I establish myself with, but again, that is not until April. What about continuity of care issues? What the heck can I do? Any ideas?", "output": "Hi, Welcome to Chat Doctor, \"Cymbal ta\" is a \"S\" category medicine in most countries of the world, i.e. it can only be sold by a real Pharmacist upon production of Really real Prescription and the ins and out have to be submitted to FDA on daily basis, hence until you have proper prescription no one will sell you, I am sorry, but this is as things stand currently my advice would be to go get a proper prescription. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "A COUPLE OF DAYS AGO, I FELT REALLY TIRED AND LAYED DOWN ON THE COUCH TO TAKE A NAP BUT ALL OF A SUDDEN MY HEART FELT LIKE IT STOPPED AND I STARTED TO PASS OUT. JUST BEFORE I BECAME UNCONSCIOUS, I TOOK IN A BREATH AND EVERYTHING WENT BACK TO NORMAL EXCEPT FOR HAVING A VERY BAD HEADACHE. A FEW MINUTES LATER, I WAS HAVING CONSTANT PALPITATIONS ( I HAVE ALWAYS HAD THESE BUT ONLY EVERY ONCE IN AWHILE). THE PALPITATIONS WOULD SUBSIDE AT TIMES BUT NEVER COMPLETELY STOPPED FOR ABOUT 24 HOURS. NOW, I FEEL VERY EXHAUSTED AND WILL HAVE A COUPLE PALPITATIONS HERE AND THERE. I JUST FOUND OUT THAT THE HEART STOPPING AND PASSING OUT IS WHAT MY OLDER SISTER GETS A LOT ALSO. DO YOU THINK THIS IS CAUSED BY STRESS OR POSSIBLY A GENETIC DISORDER?", "output": "Hello, I would like to tell you that palpitations followed by near fainting can be because of heart rhythm disorder which needs to be evaluated to avoid life-threatening events. Kindly get an ECG, Echocardiography, and Holder (ambulatory ECG) done and consult a cardiologist personally for further management. Heart rhythm disorder is generally not influenced genetically. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doctor i am 38 yrs. ihave some swelling in left side of my neck and one piont is between the shoulder and brest . ihave alredy start TB.dose after lab result . in 12 daysi have take medicine but swelling is still now .please tell me is there right treatment.", "output": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. TB treatment is somewhat longer than usual. Its effect also starts late. It will be two or three months than after its effect will be visible. Many a times TB bacilli may be resistant one. In such a case Inexpert test from the swelling aspirate is necessary. This will guide us about the possible resistant pattern. Please do not discontinue the treatment as discontinued treatment in tuberculosis can create UN necessary resistance in the tuberculosis bacilli which makes it even more dangerous bacilli. Please maintain good hygiene, take high protein rich diet, and daily exercise. As this can resolve the infection rapidly as equally with antibiotics. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m a 55yr. Old male.ive been told I have peripheral nuerathapy in my legs and feet.i notice at first some numbness in my feet years ago , but lately I ve had what feels like an intolerable burning pain from the balls of my hips what i sit on ,all the way to my toes but the worst pain feelsit comes from the upper outside of my feet .its just jolts of electric like pain.i have literally taken my fist and try to beat this sensation from the top of myfeet.my dr put me on 1800 mg. / day neurotin,seems to help but when I ron out of meds, oh shit look out .I can t live with this much less sit still,defin no sleeps . , Any thing please sincere Ken.Anderson", "output": "Dear patient Considering your case there are two possibilities 1. Peripheral neuropathy 2.lumbar disc prolapse with nerve root compression. Both have similar clinical symptoms except back pain in disc prolapse. This needs to be investigated with EMG NCV of both lower limbs to confirm diagnosis. If EMG NCV report is showing peripheral neuropathy diagnosis is confirmed. Next step is to search for the cause of neuropathy which may be 1. Diabetes Mellitus 2. Vitamin B12 and riboflavin deficiency 3. Alcoholism 4. Lead poisoning. You should better consult neurophysician nearby you and get yourself examined and investigated thoroughly. If exact cause is fond and treated completely you should get long term relief. Till then continue treatment as advised. All the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Do i need surgery? I have been having terrible pain and cant feel my buttocks sharp pain in legs. Had MRI and central disc protrusion with superimposed annular tear at the L4-L5 level leads to mild effacement of ventral thecal sac. Mild bilateral neuroforaminal encroachment at this level. Small central disc protrusion with superimposed annular tear at the L1-L2 level.", "output": "Hi, Your symptoms are suggestive of bilateral sciatica. MRI explains the cause for it. This due to disc prolapse as you have mentioned. You need evaluation by Neurologist for same. Symtoms can be received with neuralgic Chat Doctor. Avoid lifting heavyweight objects and avoid bending forward. You also require short course of painkillers, and calcium supplementation. If your symptoms are not relived by medical treatment as mentioned above (8 weeks of treatment)or you develop any weakness of limbs then surgery is indicated" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am a jamican lives in jamaica and my problem is i cant get my woman pregnant i am trying for the past 6 months now what i take is fish oils- centrum-and b-complex and now the next problem that i have is i am not staying on for over 3 minutes for the past 4 weeks now and in the morning my dick feel like its still sleeping", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. Maybe you are suffering with erectile dysfunction. But you can take joy. Most of the erectile dysfunction is due to psychological problems. Leave the problem of conception to the god, and he will take care of it. You enjoy sex. Further, you shall analyze the sperm for health of sperm cells. You should get an answer for your query from that. Consult a reproductive specialist soon. Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some sexology psychotherapy techniques which should help you cure your condition. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello. I would like to have help with a nervous problem of mine. I am kind of good in social situations, but when meeting new people, and i think highly of them as in if they are high status people, i either avoid the situation or become really nervous when speaking. Sometimes, I choke right in the middle of the conversation because of my nervousness . I love meeting new people and such, and at night time when i go out to party, i dont get this problem. but in school, (im 16 years old), i cant socialize and talk to new people because my nerves get the best of me. Any tips? I would like to have other advice than going to therapy . Thank you in advance, Alex.", "output": "Hello and welcome to Chat Doctor. Thanks for your query. The problem which you have described is indicative of social anxiety. Though you have mentioned that you are able to meet people and socialize, there seem to be certain specific social situations where you become anxious and nervous. The best way to deal with this problem (other than going for therapy) is not to avoid such unpleasant social situations and to slowly keep exposing yourself to them in a graded manner. You can also learn and master relaxation techniques, so that when exposing yourself to such situations, you can readily deploy them whenever you become nervous. As you keep practicing this, with every step forward you will be able to gain more confidence and overcome your nervousness soon. Wish you all the best. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "around 7 days ago, i noticed this suddenly developed rubbery lump/disc under my left nipple. There is no swelling, its a little sore. I think it is due to my protein supplement named Body Fuel. This was a changed supplement than my regular one and i start taking it 8-10 days back. Prior to this supplement, my dosage was 2 scoops on training day and 1 scoop on non training day. But I changed the dosage for this new Body Fuel supplement and i start taking 3 scoops (providing 45 g protein) on work out day and 1 scoop otherwise. Also i was went to the gym for workout just 2 days in a week. I this lump formation due to inferior quality supplement or its sudden dosage change (with insufficient workout) or is there something else happening in my body???I am a pure vegetarian. And today I saw abrupt and very high hair fall it was like 40-50 hair falling and this was very very abrupt for me.", "output": "Hi, dairy have gone through your question. I can understand your concern. Your breast lump has no relation with your food supplement. It may be due to some benign breast lesion like fibrotic disease or may be malignant. You should go for fine needle aspiration cytology and demography. It will give you exact idea regarding cause. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then you can contact me at Bitly Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My stepdaughter is moving to ft. Mill, sc and is looking for neurologist, rheumatologist, and pain management doctors or a clinic with those drs. She is 44 and has lupus, fibro myalgia, rsd, and is now suffering from limited mobility with torn ligaments in her left foot and has severe pain in her back and joints and other issues. Any suggestions are appreciated.", "output": "Dear Sir/Madam have gone through your query and read your symptoms. In my opinion, she needs a thorough evaluation of her symptoms, the conditions you are telling are probably without any definitive treatment, but the control of symptoms and regular exercises can make the living very comfortable. I would also advise her to meditate regularly and concentrate on the creator, all things are not under our control and the help of almighty is always welcome. I hope that answers your query. If your want any more clarification, contact me back. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had high blood pressure. Trying to lower it with potassium, magnesium and spironolactone for two weeks, with no change. Just started Lisinopril have only take twice and now BP is 113/75 please adviseyour thoughts. I am very weak. I have been on mostly vegs and fruit with low sodium foods.", "output": "Hello, Thanks for posting your query on Chat Doctor ...* Brief Answer: You need to be sure that your blood pressure isn't lowered too much by lisinopril. Other causes of weakness should be excluded.*Explanation: My opinion is that high blood pressure on many occasions is an indication for control. That happens on many levels. First, be sure that high blood pressure is not secondary to any other diseases as Cushing or renal failure. Then, Diet with low salt and less fat content is crucial. Exercise and other healthy activities are also a mean to control blood pressure. If all that does not help, medications are a must. That is usually decided by your doctor according to your condition and comorbidities. Some Chat Doctor. Regular blood pressure monitoring is as important as starting treatment so that we could assess efficacy of the medication we started. I suggest my patients the following : low salt in diet and good moderate HY" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "AnxietyLately I have been having Anxiety really bad Im going through a divorce. I have moments when I feel like I cant breathe and feel like Im having a heart attack. Once I sorta calm down it starts to get better. Is there any medication that can help?", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. You are going through a period of disappointment and dissatisfaction. The series of events points to that. Going through the process of divorce definitely is an anxiety provoking circumstance. But, just for this purpose, why you want to take medicines to cure anxiety. That anxiety process is over. Only thing you have to understand is that due to anxiety you are never going to have heart attack or any other physical problems. Try to calm down. Exercise, breath well and have sufficient water. If you really want to have medicines, please visit a psychiatrist. Psychiatrist should assess you well before prescribing medication. You cannot be properly diagnosed online with the given symptoms. Self-medication and diagnosis can be dangerous. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi...i m 18 years old and four weeks ago i found out i was pregnant two weeks after i found out that i was pregnant the doctor told me that my baby has no heartbeat and it wasnt moving and at 8 weeks it should be very active she said so i had a D&C done after multiple ultra sounds but i had sex one day before i found out the baby was dead now am wondering could i be pregnant again? is that possible? i really hope it is because i really wanted my baby...i have a metalic taste in my mouth and am nauseous and vomiting and my breasts are hurting me what should i make of that??", "output": "Hello dear, I understand your concern. Iam sorry for your condition. In my opinion there is no chance of pregnancy due to intercourse done the day before the fetus was dead. So the sore breasts,metallic taste might be due to some other cause. As the pregnancy was abnormal it is better to give a gap of 3 months before planning next conception. Start taking folic acid tablets one month before planning the pregnancy. So relax. Avoid stress. Best regards... Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, A friend of mine is an alcoholic and his GGT level is 370 and the range goes from 0-60 on the blood work. He does not have an appetite anymore and drinks about 30 glasses a wine a day. He has.no feeling in his legs and they are swollen. He is on 800 mg of Gabapentin 5 pills a day.. What else can he do? He has been to a dr and they said he has to stop drinking and get help .. but he refuses to", "output": "Hello, Liver enzymes can get elevated due to bad diet (fatty foods, spicy foods), alcohol intake, some medicine use (most of the painkillers), gallbladder diseases (like gallstones), liver viral infection (HBV, HCV infection). As your GGT level has raised again, you should rule out other than diet possible reasons for its elevation. GTP, AP, amylase, lipase, urine amylase, Bag, Antioch levels should be checked. An abdominal ultrasound should be also done. You should avoid fatty foods, fried foods, spicy foods, alcohol, medicines. Liver improving supplements available without prescription can be also helpful in its regeneration. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. My son had an appendectomy within the passed 24 hours. Previous to that he had been sick with stomach virus type symptoms for 5 days. He now has had two loose bowel movements within the past four hours that has blood in them. Is this to be expected or do I need to take him back to the ER? Ive called the Dr.s answering service and am awaiting a response.", "output": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Yes, you need to visit to the doctor immediately. It is not the virus, but it is bacterial infection. I advise you to kindly do culture and sensitivity of the stool. This will guide us possible bacteria and its sensitivity pattern. Once you start treatment according to report you will be cured rapidly. Please take curd in the diet as it replaces gut bacteria and helps you to recover the diarrhea. Please do good hand hygiene as it is equally important in maintaining the good health, and it also supports the treatment. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi im 86 years old , I was fine in the morning and at 4pm I started feeling pain on my right hip and my right rib cage area and I have not been hungry today due to gases and when I stand up the pain gets stronger in my right hip and right rib cage. Please advise if this can be due to something?", "output": "Hi, thank you for providing the brief history of you. As you are 86, and this pain can be either a referred pain due to systemic illness or may be a muscular one. Due to degenerative changes happening in the human physiological process as aging progress we need to have a thorough clinical examination and may be some blood routine to examine the cause. In my clinical practice I deal on regular basis with more of the geriatrics and found that these pains are muscular at most times. But without knowing your personal medical past history I will not be able to comment more.it could be even just happened due to the sleeping posture and may need rest and painkiller. But I will advise for a thorough examination and rule out the systemic illness which can help the medical management much easier to help further. Regards Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am aged 38, trying to get pregnent. My Gynec says that I have low Follicle stimulating hormone(FSH) and she recommended Ovacare tablet twice a day. Could you suggest if Ovacare will assist me in the hormone production or you recommend any other tablet?", "output": "Hello, and I hope I can help you today. A low FSH is actually a good thing and means that you likely ovulate have normal estrogen levels. If you menstruate regularly, it also means that you likely ovulate. Ovacare has nothing to do with helping you get pregnant, or hormone production- it is just a vitamin supplement recommended for women to take while trying to conceive to provide adequate levels at conception. So 80 percent of couples will conceive by one year if they have regular unprotected intercourse at least 3 days a week. If you do not conceive by 9 months or so, it would be reasonable to see a fertility specialist for evaluation, which would also include your partner, since 50 percent of the time it can be a male factor. I hope I was able to answer your question today and that my advice was helpful. Bets wishes, and good luck conceiving, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i am S.K.NAG from bhubaneswar,i am always feel affraid to see building,new peson ,whn drive bike,when i sleep at room ,to fan movement, when i going on lift ,when i see showroom.i am suffering this since last 1 year,i am consult doctor but i am not ok til now. plase give me information about the problem what can i do .", "output": "Dear Concerned., Thanks for writing to us. The condition you are describing is a simple mood disorder termed as \"Phobic Neurosis\". The treatment involves finding out the root cause of Phobia by Psychoanalysis and treating the same by constantly speaking to you or involving you in Psychotherapy by a qualified Psycho therapist/Psychiatrist. It is a long term treatment. In addition, Oral Anxiolytic or Tablets are also prescribed for this as adjuvant therapy. Consult a Psychiatrist pls. Thanks, Regards., Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doctor, My 2.5 years old daughter had sweeling on eyes which then becomes more prominent on face also. Then 3 days later she had high fever. My doctor suggetsed Urine test to check protein in Urine whicChatDoctore normal. Then he asked for blood test. In Blood test everything is normal except TLC which should be till 10,000 but my daughetrs TLC is 30,000. Then my doctor asked for Ultrasound Lower abdomina nd Back which again came normal and chest X-Ray which is also normal. Just her Liver and spleen had a bit of sweeling. What could be the acuse of the same", "output": "Hi...by what you quote I feel that our kid might be having an infectious mononucleosis or Epstein Barr Virus (ABV) infection. Mild facial puffiness and enlargement or liver and spleen suggest the same thing. Will tell you how a viral illness behaves so that you will be more comfortable. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have been taking harmonal contraseptive pills from last 3 months in last month i have taken it twice and i m lost my menstrual flow since i start taking pills and now it comes for just 1 day. preiviously it used to be 7 days. And i m gaining weight very fast. i was 42 kg in before 9 months now i m 52 kg i am gaining weight in hips and stomach area. My age is 25.Please advice", "output": "Hi, Thanks for using Chat Doctor. Weight gain is possible as a side effect of hormonal contraceptives because of fluid retention. But other causes like thyroid dysfunction should also be rule out. You should consult gynecologist for expert evaluation and examination. Doctor may rule out pregnancy particularly if you have missed any tablets during regular cycle. Treatment would be directed as per cause. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i am 14 weeks pregnant and have HPV I just discovered two growths? on the inside of my vagina...its like in the folds of my inner labia i think there is one on each side ... and they are white. They look nothing like the warts i am being treated for they are much bigger and look more like cysts or glands", "output": "Hello, Thanks for submitting your query here. In pregnancy, it is not uncommon to have some growths which are actually retained secretion of vaginal glands. During pregnancy, the glands secrete excessive secretion which often remain retained and form the growth. Another possibility is having yeast, which remain heaped up and form a swelling. Just clean those areas with cotton soaked in saltwater. If the growth increases in size or painful, think consulting your GP for an opinion. Sincerely" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My Dad has lower back pain , specifically in the morning when he wakes up, it lasts for about 2hours and then he is fine. he cannot bend down in this time to put his socks on or anything - however it gets worse when he goes to the toilet to the point sometimes he cannot speak - almost like he is winded. He has seen a nurse and they have prescribed some ibuprofen gel to rub on the affected area, however I m not satisfied with this as this doesn t tell us what is wrong or how to stop it happening. He has had warm baths before he goes to bed, hot water bottles, sleeping in different positions and with a pillow in between his legs, stopped strenuous work and driving the mini bus he usually has to take a step up to get into. Just wondering if you can shed some light, I personally thing its a trapped nerve...but im not a doctor!!", "output": "Dear one welcome to ChatDoctoras you describe the symptoms it shows he has chronic backache,may be due to calcium deficiency, long hours of work, lack of exercises, age,or large use of alcohol, wrong posture, these are some causes. Now you're advised to see or tho surgeon there, have x-ray & blood test done. Proper investigation to be done is must, some long acting painkillers, calcium tablets may help.THX Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a failed ICSI cycle in June 09....I did not have tubal problems(both of the tubes were patent and normal in HSG and a lap has been done to confirm that)... My doctor asked me to do a HSG after my failed cycle to see if there are any new problems.My HSG report says that my right tube is beaded ,but it is not blocked. Will it affect my FET success?Has anyone know what is beaded tubes...My search in Google revealed that it is related to some genital TB.Iam scared. Please advice.Thanks in advance.", "output": "Hi, Beaded tube on HSG can be a sign of genital TB. But you need not be scared as it can be seen Evan normally. Also, some doctors can report normal tubes as beaded one. You can just take radiologists opinion & if he/she also suspects TB, you can get yourself investigated for it. Also, TB is a curable problem so if your endometrium is normal, it should not affect success rate of FET. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have Trigeminal Neuralgia, I am trying to manage it as well as possible by taking Amitripyline 10 mg one or two at night before going to sleep and also Codine for the pain, today though I feel quite good, which is a change. Cheers, Graeme", "output": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concern... As per your complaint it is good that you are managing pain caused due to Trigeminal Neuralgia by taking Amitriptyline which is a tricyclic antidepressant and codeine which is an opioid pain medicine, although both are not first line Chat Doctor. . But in case if you are being managed well by taking these medicines you can continue with the same. In case if the pain does not improve by taking them then you should consult a NEUROPHYSICIN and get evaluated and he/she can advise you to take Carbamazipine that is the first line " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear sir/madam, My son (Jay Kumar age-11 years) have a single kidney by birth. I come to know this is before 5 years. Now his heath is not good. Please let me know that which type of precution is required to maintain him healthy. Which type of exercise is better for him, which type of diet is good for him.. Please advise Thanking You, With Regards, Rajesh Kumar M:0000", "output": "Hi, A person with a single kidney should lead a healthy and normal lifestyle. He should avoid getting overweight, avoid indiscriminate use of painkillers (NSAIDs) and avoid alternative medications as far as possible. No diet restrictions are required, but as I said, a good healthy diet should be stuck to. No exercises are specific to this condition. He doesn't need to avoid any exercise either. He should be active and once activity levels go down (after starting job etc.), a regular exercise program should be adhered to. Do check blood pressure, creatinine and urine (routine) once a year. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I recently found out I was pregnant with three positive home pregnancy tests and am schedule for lab work in a couple days. Today I have been feeling really nauseated and have been running a low-grade fever 100.4-100.6 with chills. No other symptoms. Should I be concerned?", "output": "Hello, and I hope I can help you today. Unfortunately, being pregnant does not prevent you from getting sick just like any other person. Fortunately, you have to have very severe and/or certain types of illnesses to put the baby at risk. A low-grade fever and some nausea likely is just a stomach flu or some type of food-borne illness and does not pose a threat to the pregnancy. I suggest you start a bland diet with simple, starchy foods and sweet liquids. Products made from ginger (tea, candies) are soothing to the stomach and can help with nausea, and Acetaminophen (Tylenol) is safe to take at the normal adult dose during pregnancy for pain or fever.Also, if you are sick, there is no problem with getting the routine prenatal blood tests as the results are not affected by your illness. I hope I was able to answer your question today and that my advice was helpful. Best wishes for the rest of the pregnancy, and I hope you feel better, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 33 years old man. I have non alcoholic fatty liver. My ALT increased 72 to 225. All reports are normal lipid profile is normal hepatitis is negative but alt increased day by day. What treatment should be applied to control ALT permanently. Can fatty liver become normal again and reverse? My liver is a mild enlarged in size. What is the best treatment for fatty liver to control ALT permanently. Plz tell me in detail. I will be thankful to you.", "output": "Hi I can understand your concern... You have fatty liver.... With proper lifestyle habits yes fatty liver can be reverted .....it takes 6 to 8 months to revert fully.... Following are some good advise regarding your case.Lose weight if overweight. Cutt off oil in cooking. Tranfat foods avoided like cheese, burger, pizza, meat, baked pastries etc.... Refined food avoided. Fruits more. Sunflower, canola like good oil is to be used. Avoid alcohol....Instead of refined sugar honey can be used. Regular exercise done .... In lunch and inner include salad made of carrot, tomato and green leafy vegUdiliv tablet can be taken .... Hope your concern solved... Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor, I underwent a master healthcheckup and found out that I have fatty liver issue. My doctor advised me to take Ursocol 300 for the next 3 months. I am really worried now. Is the fatty liver a major issue and also want to know whether this is permanently curable. Do we need to follow any specific diet for this ? Pls advise", "output": "Hello, Normally some fats is present in liver but if this fat increases more than 5 to 10% of weight of liver, then it is called as fatty liver. Fatty liver is broadly either alcoholic or non-alcoholic. Alcoholic fatty liver is caused by excessive consumption of alcohol while non-alcoholic fatty liver can be caused by high cholesterol or high triglycerides, diabetes,pre-diabetes, malnutrition,weightless, certain medications etc. Fatty liver is totally reversible if the offending cause is identified and removed. Quit alcohol if alcohol is the cause. Control cholesterol, diabetes,if they are the cause. Reduce weight Reduction of intake of saturated SND trans fats, sugary Chat Doctor. As far as medicines like PROTOCOL is concerned, many gastroenterologist do prescribe this medicine, but their role is controversial. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "drinking and taking bedeprion sr tab 150mg once a day and blood pressure meds yes i taking budeprion sr tab a50mg,i also drink a 6 pack of beer a day, i just read that if you are a drinker, that you can not just stop like and it is dangerest to drink if taking budeprion and i also am taking nifedipine 30mg once a day.i have been taking budeprion for about 2 months. i know that i am a alcoholic and i can t just like that. so that do i do because i am very afraid of what can happen to me. can i ween myself off of the budeprion,until i can gain some control of my drinking. because would rather deal with depression than dead. please help me i don t know what to do .", "output": "Hi, There is proportionate relationship between your Chat Doctor. .there is highly possibility that your underlying depression is still untreated and so u requires more packs of beer.(which is like self-medication for your depression) So here solution is not to wean off from medication but consult your Psychiatrist, take proper advise and SOS change of medicine so then u will be able to gain control on your " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i had a FESS in july 2010 and been ill with yellow mucous from nose, pain in face, left eye throbs, and been on constant antibiotics over the past 7 months, a ct scan said i had disease of the left ethmoid before surgery, i had post nasal drip for a month and i am still now coughhing up yellow phlegm. i have seen the hospital registra over the past 2 months but now feel the antibiotics are not working, seen my gp today given augmentin, stopped the clarithromycin that i should be on 6 weeks, is there any other way of finding out my problems?", "output": "Hello, In my opinion, you should definitely consult pulmonologist and get done clinical examination of respiratory system, PUT (Pulmonary Function Test) and CT thorax. We need to rule out bronchitis and lung infection in your case because both of them cause cough with yellow phlegm. If PFT is showing obstructive defect then bronchitis is more likely. If CT thorax is suggestive of lung infection then get done bronchoscopy and BAD (bronchoalveolar lavage) culture and sensitivity report. Culture report will isolate the causative organism and sensitivity report will guide about effective antibiotic treatment. Don't worry, you will be alright with all these. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My girlfriend and I were fooling around on the 26th of june, then on the 14th of july she began spotting and finally got her period, she went through several pads but 2 days later it stopped then she began spotting then it stopped again and it came back and stopped again...now when we were fooling around we were trying anal and I decided to wipe precum off of her butt, but I wiped back to front, what are the chances of her getting pregnant or being pregnant?", "output": "Hi, Anal intercourse is not safe for having pregnancy. Even if you have pre-cum, few sperms might have been there in pre-cum which may travel into vagina and vaginal canal. In your case you have done wipe off pre-cum from back to front which is again a risky thing as you bring pre-cum nearer to vagina. Any way, wait till she gets period. If she passes off 7-8 days of her expected period, then go for pregnancy test. Ok and take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, i was prescribed by a doctor to take butalin 2mg 2x daily for 10 days as i have colds and cough . In the night my nose get blocked. I never had asthma ever. I feel uncomfortable taking this medicine as i feel dizy, my hands are trembling to mention some of the side effects. I have taken the medicine since 4 days now. I feel better now, My nose is not blocked. shall I discontinue taking the medicine?", "output": "Hi, you have not mentioned from how long you this symptom, I cannot tell if you have and infection or allergy, but assuming your doctor gave you Stalin, which is given in asthma, you may be having allergy which increases at night. For allergy the treatment should be in step wise manner. First if your symptoms is for few months a year like 2-3 months then you start an antihistamine which you have to take daily at night. If your symptoms still persist then your start using steroid nasal spray, it has no side effect, and it controls the allergy very well, and you should start 2 weeks before your symptoms start. If this also does not cure you. Then get yourself tested for allergy, it is called skin prick test you will know what you are allergic to, then if possible you can avoid the allergen, or you can start treatment called immunotherapy. This is currently the best treatment available and your symptoms will easily reduce by 80-90 percent kindly visit you rent specialist he will guide you further. For asthma its better you go to pulmonologist, and he will find out if you really have asthma, in case you do have then you will have to take asthma inhalers, depending on your frequency of symptom. And for the above medicine, you take for another 2-3 days and make sure your fully fine then you can stop it. Thank you Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I fell onto a tiled floor a week ago today, my right knee is cut and bruised but a lump came up almost immediately. it is still there now at the top of my kneecap, my knee is sore and warm to the touch but I can walk without problem. Just feels stiff but I thought it was because of the grazes I sustained to it. Any ideas?", "output": "Hi ! Good evening. I am Chat Doctor answering your query. You might have got a hematoma of the knee (blood collection) due to the trauma. Walking without problem signifies that the joint ligaments and cartilages are possibly not injured. If there is no fresh ooze, the hematoma may gradually subside with absorption, but it would need proper rest and splint age of the joint. In case the problem increases which interferes with your walk, then you might have to see an orthopedic surgeon in your area, who might advise you for an x-ray/MRI of the injured knee joint. Till that you could start taking an anti-inflammatory Chat Doctor. Further management in that case would depend on the MRI report. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have bulge above tooth. It looks like it is swollen but it feals like bone. There is no pain. Tooth below is \"dead\" for years now. Sometimes it swells a bit but it receeds quite fast (day or two) but bulge stays always. Bulge is quite high above tooth.", "output": "Hello, Thanks for consulting Chat Doctor, Read your query, as you have swelling above necroses tooth this can be due to infection present at the apex of root of decayed tooth or due to infection present at surrounding areas that is infection in periodontal ligament, so there can be formation of periapical or periodontal abscess. For this I will suggest you that you should consult dentist and go for visual examination of swelling and tooth, go for investigation IOWA X-ray of tooth and its treatment. In meantime, you do warm saline rinses and maintain proper oral hygiene. Hope it will help you. Wishing you good health. Regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter just had a biopsy done, and they told here, if it wasnt anything to worry about , they would just zap it with nitrogenoxide, but if they thought it was more complicated they would refer her to a OBGYN surgeon, Does that mean she has cervical cancer?", "output": "Hi, dairy have gone through your question. I can understand your concern. Screening test for cervical cancer is pap smear examination. It is just screening test. Confirmatory test is cervical biopsy and histopathological examination. If no conclusive diagnosis can be given on biopsy then IOC marker study is next option to confirm the diagnosis. Consult your doctor and plan accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir, my son 6yrs having fever from 27th and we started paracetemol p 250 and Taxim O from 29th, now my son fever is 98-99 sometimes. He is now having vomiting tendency and gone to toilet 6 times today. His urine and previous stool was quiet Ok. Sir please advice what to do, will I stop giving Taxim-O and wait for the best. Plz advice", "output": "Hi... Thank you for consulting in Chat Doctor.UNNECESSARY USAGE OF ANTIBIOTICS LIKE MAXIMO MAY CAUSE ANTIBIOTIC ASSOCIATED Diarrhea. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hfi,r maoy Im a nswer your health queries right now ? Please type your query here... my wife suffering from e-coli infection in urin. doctor prescribed antibiotic Magnasef500 first time for 5 days, then for 3 months. after 3 months there is no ecoli in urin test. but after 1 month she again suffering from same infection. what we do?", "output": "Hi, Welcome to Chat Doctor. It is unfortunate to get the infection again. Magnate 500 belongs to Cephalosporin group of antibiotics. If any infection is recurring, then you need to go for change in the antibiotics. E.cold infecting her would have been resistant to the antibiotic used. Organism sensitive antibiotic has to be used. Kindly get her urine tested for Culture and Sensitivity. Based on the report, appropriate antibiotic course can be instituted. Wish her good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just had an ekg and was told I have an enlarged heart- followup echo has been sked- I have high bp but tibias controlled(130/80)- I am 55 and feel great - I am overweight but also workout 5 times per week- if I follow the pro to lose weight what is my life expectancy-I have no other health issues", "output": "Hello, Thanks for writing to Chat Doctor, I am Chat Doctor. If your ejection fraction is above 40% you have a good life expectancy in fact as good as a normal person but yes to keep it above 40 and to prevent it from going below you will have to take good care of your medication, blood pressure and weight. You are indeed on the right track, you are controlling your weight and blood pressure, a pro will help you reduce weight safely and in a healthy way, and weight loss, in turn, will help you control your blood pressure and your heart will be saved from coronary artery disease, heart attack and insult to heat by high blood pressure. In this journey you also have to keep an eye at your fat intake and salt intake specially. Salt determines your blood pressure to much extend, and you can get wonderful changes in control if you keep an eye at your salt intake. I hope this answered your question, If you have more queries I am happy to answer you. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I m 32 yr old. I get married 6 months ago.I hav normal health and we r not using any protection. My gynecologist first precib folic acid than siphene . After siphene he prescribed duplastone than I can get consive. My period is before 4 days. Ans me Dr wt to do get pregnant or I hav any gynec issue? I can t understand wt to do?", "output": "Hello, and I hope I can help you today.First, I want to reassure you that it commonly can take up to a year from healthy couples to conceive. You are not diagnosed as infertile unless you and your husband have been trying to conceive (which means having unprotected intercourse at least two or three days a week) for at least a year. Folic acid is a B vitamin that does not help you to get pregnant, however it is recommended to take during early pregnancy because it helps prevent birth defects. Siphene, also known as camphene citrate, is a fertility medication. It can help induce ovulation in women who are infertile because they do not ovulate. However, if your periods normally come every month, there is no reason to suspect that you are not ovulating. Because you are under the age of 35, I recommend that you and your husband to not take any more fertility medications and try to conceive for another six months on your own. Normally, your most fertile time is between the time your period stops until you start to feel premenstrual symptoms. For most couples, that means having sex every other day from about the seventh day of your cycle until the 23rd to 25th day. If you and your husband have not conceived in another six months, I recommend both of you see fertility specialist, as 50% of the time lack of pregnancy can be a problem with the men sperm as well. I hope that I was able to adequately answer your question today, and that my advice was helpful, and you and your husband are able to have a baby soon. Best wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have had abdominal pain in the upper middle part of my abdomen. it is constantly hurting at a four on the pain scale but escalates to a ten for hours. the only thing that helps the pain is percocets and vicodin. i have tried advil and tylenol but nothing seemed to help. i have had cat scans, ultrasounds, blood tests, urine tests, colonoscopy, endoscopy, m.r.i.s. eating doesnt make it worse or better. but it gets worse when i pick up something twenty pounds or more and when someone pushes on it. i have tried antacids, birth control, antidepressants, antidepressants for chronic pain, anxiety medication, muscle relaxers, but nothing seemed to help at all. im a female and i am nineteen years old.", "output": "Hi. Thanks for your query and an elucidated history. The cause of pain in the upper middle part where the ultrasonography, CT scan endoscopy and MRI, colonoscopy is normal, not responding to Advil or Tylenol, but only to percent and Vicodin can be due to :Neurological problem or an IBS. The IBS, Irritable Bowel Syn Chat Doctor. And try to get medicines against IBS. Neurological causes can be due to compressed disc at the thoracic level or an actual problem at the spinal cord level. MRI of the spine and thoracic spine level should help to get a diagnosis. Once the diagnosis is made it is easy to take a proper treatment. IT is wonderful to know why there is no effect of anti-depressant. In selected cases I would like to go for Diagnostic Laparoscopy and try to get a diagnosis and plan a treatment if feasible." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have a really bad cold possibly sinus infection but i also feel it in my chest heavy coughing that when i cough my head hurts and i popped blood vessel in my right eye had a slight fever yesterday started taking azithromycin and i feel a bit better today but then i saw a little blood in my right ear when i cleaned it with a tissue what does that mean?", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have symptoms of sinus infection along with heavy coughing which means you are suffering from condition known as chronic sinusitis. It could be due to infection in lymph nodes as well/ Eustachian tube dysfunction as well. Need not worry. I would suggest you to take nasal decongestant sprays, Antihistamines and antibiotic combination as infection is present. Co amoxiclav is the best treatment option. You should take steam inhalation. Avoid intake of outside food. Visit ENT specialist once and get it examined. Go for paranasal sinus X-ray and get puncture and Chat Doctor. You can go for surgical reconstruction of opening after proper prescription. Do warm saline gargles. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been doctoring for 7 months with a cough and inability to breathe. The cough started last June. I waited until July to see my family doctor. He gave me cough medicine with codeine, an inhaler, and put me on prednisone. When I went back the next week for a follow-up, the cough was worse and I was struggling to breathe. He gave me another round of prednisone and changed the inhaler. At my follow-up visit with his the next week, he threw up his hands and sent me to a lung specialist and a heart specialist. Loooooooooooooooong story short, after EKGs and a nuclear stress tests, the heart doctor said, Whatever is causing your airway constriction, it s not coming from your heart. The lung specialist sent me for x-rays of the upper chest and neck, CT scans of the upper chest and neck, breathing tests at a local hospital, etc., and finally said, Whatever is causing your breathing issues, it s not coming from your lungs. So I find myself 7 months down the road, stil unable to breathe. The cough is virtually gone. Some days are good - - no breathing issues. Some days are HORRIBLE. I feel like an elephant is sitting on my chest, I feel like I m breathing through a sponge, and my whole chest aches. Odd as it may seem, if I lift my breasts with my hands, I can breathe better. ANY IDEAS?", "output": "Hi, I have read your medical history and feel sorry for the situation you are in. I am also happy to know that you do not have any problems with your heart or lung. That is great news. At this point, to my judgement the problems of breathing you are having could be related to: - stomach problems (gastritis, HERD)- being anxious/stressed out/work overload-living/working in an area polluted (fumes) or with high humidity suggest to:- often eat, small portions and slowly-do not lay down immediately after eating-discuss with your doctor to take a course with omeprazole-do abdominal ultrasound and upper endoscopy to rule out gastric/abdominal problems-do examination of stool for ova/parasites Hope it was of help! Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just had a laparoscopic rights ingroinial hernia repair two weeks ago prior to the surgery I had a lot of intestine in my scrotum about a pound-1/2. I know swelling is bound to happen but the fluid mass in my scrotum feels hard and I m scared my surgeon said it common and after a ct scan the mesh is intact but the hardening has me worried what should I do I try to sleep with my torso elevated but I don t see any reduction please help I m worried it s will stay that way well beyond normal healing time or what s the time frame?", "output": "Howell come to ChatDoctorSuch discomfort and hardening and swelling in case of mesh placed in inguinal hernia, operation is very common condition (Post operative) you need to be very patience for few weeks, if this does not improve then this need to be discussed with your surgeon, in my opinion old technic of repair of hernia would be best, (Without mess) hope this information helps, take care, have a nice day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been not feeling good. By 5 I m so tired I m ready to go to bed. My right elbow ans arm hurt. I had a biopsy on my chest and got. HematomAand that was march 4. Still have it. My right Brest achy and tingless at times. I had an MRI in December and all was good. My ILife is extremely stressful. Work & home Rita", "output": "Hello! Welcome on Chat Doctor ! I read carefully your question and understand your concern. Your symptoms could be related to a pinched nerve or a metabolic problem (hormonal imbalance, chronic anemia, vitamin deficiency etc.). Coming to this point, I would recommend consulting with your doctor for a check-up and some tests: - a chest X-ray study-complete blood count for anemia- a nerve conduction study - PCR, sedimentation rate for inflammation- blood electrolytes- vitamin D levels - vitamin B 12 levels-thyroid hormone levels. If all the above tests result normal, you should consider anxiety as a possible cause of your troubles. Hope you will find this answer helpful! Best wishes, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Lower leg above ankle VERY swollen with bubbles that Can drain clear liquid. Rest of leg swells too. Seems to be a hard bump mid shin and from there down leg swells hard and round. Right leg. Left has no bump but is starting swelling and bubbles. Kidneys? Skin also pretty dry.", "output": "Hello! I have been through your question. Related your concern I think this could be bulbous erysipelas caused by streptococcus beta hemolytic. Usually this is common in diabetic patient(because of the fungi in foot that cause sores), immunocompromised patient and in patient with lymphatic obstruction. I suggest doing e physical examination by an infectious diseases specialist, to do culture of Chat Doctor. I hope my answer helps you. I wish you a quick recovery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I look a urine and blood test recently for life insurance and it came back that I had elevated GGT and ALT levels (GGT 312 and ALT 60). I NEVER drink or smoke. I am about 50 pounds overweight. I m 6 0 and 260. I don t have a family history of any type of disease. I m getting so many mixed answers on what could cause this. Everything says alcohol or pills which I take neither. Could being overweight cause it and what should I do to lower it?", "output": "HelloIncreased GGT and ALT may indicate liver injury. It may be due to many reasons like hepatitis, alcohol intake, obesity,altered lipid profile, medicines,autoimmune causes etc. It may be due to obesity in your case. You may need few investigations like routine hologram, random blood sugar, lipid profile, viral markers, ultrasound of abdomen. I suggest tablet ursodeoxycholic acid 300 mg twice daily for three months to my patients. It helps in regeneration of liver cells. You may need few more medicines after full investigations. You should try to reduce your weight. Take a lot of fibers in your diet and go for exercise regularly. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good morning doctor, I m a MBBS student.on 7th january i finished my 2nd MB exam.i want to clear some doubts about a problem which my mother is facing for which doctor prescribed her a medicine VERTIN 24 two times daily.My mother has high blood pressure so she is taking anti hypertensives for many years.2 years before she had urosepsis for which she was admitted in hospital and E.coli was found and it was seen in a test report that her creatinine became 2.4.so doctor thought it to be some problem with the kidney.but when USG was done it was seen that both the kidneys are normal and no hydronephrosis was seen.then within 1 month her creatinine became normal and doctor suggested her to show a nephrologist for further advice.i took her to the nephrologist and he saw the USG and told no problem with the kidneys but there may be some slight problem which cant be seen in the USG and its not at all serious so he gave my mother a medicine TELMA 20.my mother continued it for 4 months then again went to doctor and doctor told her to test creatinine which was normal.then he again prescribed my mother TELMA 40 which was adviced to continue for 2 months after which she was adviced to go the doctor but due to some work she went out of station and couldnt meet the doctor and she remained without medicine for 2 months.there she became sick as she had tremendous headache,nausea and she sometimes felt that she would faint but she didnt faint.after she returned the problem was gone and due to my MB exams she couldnt meet doctor and the problem again started.so after my exams i took her to a medicine doctor and he told her BP is very high and all these was only due to her not taking antihypertensives.so he prescribed her TELMA 40 two times daily along with VERTIN 24 which is for VERTIGO as she feels like that everything is moving around her and she cant see properly when she had headache.my mother is now ok but i want to know whether this medicine was given for that purpose only or not because after taking TELMA 40 she is not facing that problem.so should she take VERTIN 24 as she is not facing the problem anymore?", "output": "Hi reverting contains betahistine salt which is meant to treat chronic labyrinthine disorder I am briefing you the mechanism of action of beta histineBetahistine has two modes of action. Primarily, it has a direct stimulating (agonistic) effect on H\u2081 receptors located on blood vessels in the inner ear. This gives rise to local vasodilation and increased permeability, which helps to reverse the underlying problem of endolymphatic HY Chat Doctor. More importantly, betahistine has a powerful antagonistic effect at H\u2083 receptors, thereby increasing the levels of neurotransmitters histamine, acetylcholine, norepinephrine, serotonin, and GAZA released from the nerve endings. The increased amounts of histamine released from histaminergic nerve endings can stimulate receptors. This stimulation explains the potent vasodilator effects of betahistine in the inner ear, that are well documented. Betahistine seems to dilate the blood vessels within the inner ear which can relieve pressure from excess fluid and act on the smooth muscle. It is postulated that betahistines increase in the level of serotonin in the brain stem inhibits the activity of vestibular nuclei. So for acute phase of dizziness vermin was ok but now as primary problem of your mother was hypertension, not labyrinthine disorder betahistine should be stopped, and she should be maintained on a dose of telmisartan on which her b.p is normal thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "yes please i was quite wobble when i got out of bed this morning have been out for an hour or so and then i had my blood pressure checked by a carer at a nursing home andf my bottom line as 107 instead of around 80 i have never had blood pressure problems. kplus one night when laying down in bed i felt a little wozzie. i am 80 pretty fit do no take any medication from the dr apart from a sleeping pill. any answers please", "output": "Hi, dear. I have gone through your question. I can understand your concern about your blood pressure. You have really high blood pressure. However a single time high reading is not enough to start medicine. If I was your treating doctor then i advice you to measure your blood pressure thrice at timely interval. And also start salt restricting diet. After that if your BP is still high then start antihypertensive medicine. You should consult your doctor and go for repeated measurement. If persistent high then start ant hypertensive medicine according to your doctors' advice. Hope I have answered your question, if you have any doubts you can ask me further. I will be happy to answer you. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello i am breastfeeding my 2 and a half months baby with the mix of formula milk but i don t have my period yet. I had unprotected sexual intercourse with my husband yesterday and then i took for the first time the cerazette pill the next day (24 hours late). I just want to ask if i am still safe not to get pregnant ? thank you", "output": "HelloThanks for the query. Actually, partial breastfeeding might cause absence of periods, but it does not guarantee that you would not ovulate. Plus, taking cigarette 24 hours AFTER unprotected intercourse does NOT protect against pregnancy. Cerazette has to be taken regularly daily, and then too for the first month, a backup method of family planning is always advised. Instead, you could have tried taking the emergency contraceptive pill. Anyways, for the time being, you can use a barrier method (condom etc.) , and get yourself checked by a gynecologist after 3 weeks for any possible pregnancy. Just one act of unprotected intercourse, that to while breastfeeding, puts you at low risk of pregnancy. Once you have your check-up, you can ask her to prescribe proper contraceptive pills for you, after assessing you. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir/madam,my son 6 years old ,is chronic asthma patent . We leave a dusty area - but try to protect him from dust. Our family doctor advice for montair -4 once in a day And asthalin inhaler 3 pup as required . Doctor told me this degases is unquerable . Please suggest how i cure my son , i feel helpless.", "output": "Hi, you should not be this much depressed as this disease can be managed in such a way that your boy can live a productive life, although you need to take more precaution than others. Avoid cold and dust exposure, try to prevent any respiratory tract infection and if this happens then get it managed by a physician as early you can, avoid home dust exposure also. Consult a chest specialist for proper use of all the anti-allergic Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doctor,i am in a terrible situation we are trying to have sex, but problem is penetration is not occurring properly or rather not occurring and i m not getting any interest in sex also .. can u suggest me a medicine which will help me in getting interest in sex , i really need your help", "output": "Degree understand your concerns went through your details. Please do not over read into simple problems, or it could spell disaster. Your problem should be seen with many riders. Why are you having such a problem? When? What was your physical and mental conditions then? Have you had successful sex life in the past? How many times you failed? If you lack erection it could be psycho-logic erectile dysfunction. Before becoming anxious about it, consult a psychologist and provide every detail or provide every detail here, to me. Let us analyze the whole thing. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m 25 years old and I ve two kids with a very little gap an infant and a toddler my daughter is one year and four months and my baby boy is now one and a half month old and is a result of an unexpected pregnancy my health is getting down and i want to opt copper T for safty now when should i go for insertion i mean how much postpartum time i should wait for this option", "output": "Hello, I have gone through your query and understood the concern. If you have had a normal vaginal delivery with no postpartum complications, you can ask your consultant for the contraception now as you go for your postpartum visit. This should be done after excluding any pregnancy and infections. Better forms of IUD are also available for prolonged period of contraception and with lesser complications, for example, the IRENA. You can discuss with your consultant. Follow up is essential with any form of IUD. Hope your query has been answered. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a sinus infection. I m on antibiotics. I only have pressure on my forehead no where else. No sore throat and no runny nose. I smoke half a pack a day as I have for that last 2 years. I m 20. Can smoking irritate the sinus infection? Even if it s only in my head", "output": "Hello, Welcome to Chat Doctor, The smoking is definitely going to increase the symptom of sinus infection because it is going to increase the pressure within the air filled spaces in the bone an increases the symptom of sinus infection. During the sinus infection the air filled spaces will be replaced by the fluid because of the infection, and it will produce the symptoms of the sinus infection. For your symptoms I would suggest you to follow 1. Steam inhalation with Vapocaps2. Avoid smoking3. Antibiotics like Autoclave 625 mg, twice daily for 5 days. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi my name is donny i been having seizures sence i have been i am 9 months of age and now 37 i have been feeling dizzy and liteheaded for the past 3 months and walk stright looks like i been drinking but i have not doing that and got to fight to walk on the side walks also also falling and having to hold on to the walls in my house also i am only taking meds for seizures only from dr. oqumiemei", "output": "Hi, Thank you for posting your query. Your symptoms could either be related to seizure medications or due to an unrelated problem. Certain medications such as phenytoin and carbamazepine may cause dizziness and imbalance. Sometimes, it can be an unrelated problem in the brain or an ENT problem. Please discuss these with your neurologist. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been experiencing uncomfortable pulling or grabbing aches in my upper stomach and left side of my abdomen. it seems to come in waves. One minute I dont hurt, then it slowly comes on and peaks like a contraction. I am in general good health for a 62 yr. Female. I am very perplexed by this event which started last evening.Any suggestions? I have not taken any medication.", "output": "Hello and welcome to Chat Doctor, Pain in the upper stomach region and left side of the abdomen may be due to ulcer, diaphragmatic hernia, muscular pain, etc. Pain coming, peaking and going off is more indicative of a colicky pain. This type pain occurs due to contraction of tubular structure, however, there is no tubular structure at this site. An ultrasound abdomen needs to be done. Any organ enlargement or organ abnormality can be detected on the ultrasound. To rule out ulcers, an upper gastrointestinal endoscopy needs to be done to look for an ulcerative lesion, growth, and to take biopsy from these lesions. Thanks and take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, i had a ring fungal infection in past on my belly. now the fungal infection has heeled many years ago but the black spot is still there. So can you please advice me how to remove the black spot. thank you", "output": "Dear Hello, Welcome to Chat Doctor ! Usually 4 WEEKS is the time for cutaneous Tina (fungal) infections for a cure. So your infection has probably not properly healed. Find skin diseases usually heal with hypopigmentation (light color) or hyperpigmentation (dark color); the color blends with normal skin in few months or so. Therefore, I advise you to please consult a dermatologist for evaluation as dark color is still present. I don't advice self-medication. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am seeking a leading physician with demonstrated skills in the treatment of skin cancer. My husband just diagnosed today. It started and still is a red bump and/or protrusion on the nose...just below the eye. We are seeking someone in Raleigh, North Carolina as soon as possible. Thanks!!!", "output": "HI, thanks for using Chat Doctor Your general doctor or the hospital in your area can refer you to an oncologist in your area. There are also websites available that can help you locate an oncologist. These sites can locate doctors with different specialities in different areas. Examples are : web MD physician directory, zocdoc.com, healthgrades.com, American medical association doctor finder. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my friend has discovered hard red lumps on her vagina and in her groin after a planned c section. What can this be? Initially hospital thought it cysts, then abscesses now they are puzzled. Test show it is not an infection. She is so worried. Please advise.", "output": "Hi. Ideally the surgery may not be related to this type of lumps. It is possible to have reaction to the local applications of iodine or so. If you say there are red lumps on vagina as well as the groin-there is still a chance that these are infection only-the lumps in groin are usually lymph nodes and always come as a secondary infection to the infecting focus in the Chat Doctor. If the Doctors are baffled, request them to a second opinion of a Dermatologist to rule out rare skin lesions." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my husband has a fever of 102.9. it went up since I gave him 4 ibuprofen from 102.7 about half an hour ago. He has had a headache and today has a stiff neck. Should I worry or just keep taking his temp to see if it goes up more. Should I take him to the er?", "output": "Hello dairy understand your concernSymptoms described by you could be due to viral/bacterial infection, meningitis. I would, should suggest consulting internal medicine specialist as early as possible and undergo routine blood tests like complete and differential blood count, ESR, blood tests for malaria, typhoid, if needed CSF fluid examination for glucose and protein. Meanwhile, you can continue to take Advil or Tylenol after some foodApply diclofenac and warm pad application on neck. Other treatment depend on tests result. Prescribed antibiotic like cefuroxime will help YouTube proper rest, Chat Doctor. Further treatment plan will decide by complete clinical assessment Hope this may help noncontact further if follow up needed Best regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "When I am about to urinate I notice there is a cloudy substance seeping out of my penis . (only time I notice it is when im about to pee) it does not burn until im almost finished utinating but the pain is not unbearable and it goes away after a short time.. It only happened twice (last two days) and im sure its not pre-cum , please help me im terrified.", "output": "HelloThanks for your query, based on the facts that you have posted it appears that you are passing cloudy liquid before urination. This is an excessive secretion of Bulb -Urethral glands located in urethra mostly because of inflammation of urethra (Urethritis). Please get your routine urine test and urine culture done to find out the organisms causing this infection and antibiotics to which they are sensitive to. Please take broad spectrum antibiotics like \u010ceferin along with urinary antiseptic like Nitrofurantoin twice daily and urine alkalizer thrice daily. Later on switch on to appropriate antibiotics as per culture report. Ensure to Chat Doctor. To keep your urine dilute This will help to control dysuria." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello sir/madam I am sharad I have a problem that my gums is bleeding and gums curve not around teeth when I smile it looks very bad so what should I do please help me.", "output": "Hell, Thanks for posting your query. From the details produced, your gums are heavily infected and swollen. Get thorough scaling done. If required, shaping of gums can be done. Rinse your mouth after every meal to prevent plaque accumulation. Brush your teeth twice daily. Use chlorhexidine mouth rinse to gargle. Use soft bristled toothbrush and clean your teeth in back-forth, up-down motion. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a very mild stinging in my lower abdomen, almost like being poked by a needle. I had sex about two weeks ago and i am late by seven days. Im not ruling out pregnancy but would this be normal for menstrual pain? I am 23 and have never suffered from mebstrual cramps. My breasts are also very sensitive.", "output": "Hi ! Good morning. I am Chat Doctor answering your query. If I were your doctor, I would advise you for a serum Chat Doctor test to rule out pregnancy. In case of its persistence and your menstrual period getting more delayed, I would consider an ultrasound of abdomen. In the meantime, if you get your normal periods, then nothing to worry, as then you are sure that it was pre-menstrual pain. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem if it permits. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello sir, i had my seizure for the first time this 28th june when i was traveling to US AND WAS DIAGNOSED WITH NEUROcysticerosis . the parasite was presumed to be dying as a result of this occurrence. the dexamethasone and keppra medication is what i m consuming. is there any ayurvedic treatment as my problem is very minuscule but the drug keeps me sedated and under its control at all hours.i m 44 years old ,jogging and active life style vegetarian male. these drugs seem to be creating more harm than good and in longer run they may harm my system. kindly advise me.", "output": "Hi Welcome to ChatDoctorThis Chat Doctor. It is very strange that inspire of being so active and vegetarian, at 44 years young age you have been diagnosed with Neurocysticerosis. Actually that doesn't have to do anything with age. Neurocysticerosis, is caused by infection with the larval cystic form of the tapeworm, Tania sodium. How it travels to our blood stream and to brain and leads to seizures, is a different story. In Ayurveda this is cause of this disease and heart interlinked with mind is primarily effected. Some physical factors as constipation gas in stomach & impaired digestion system are precipitating factors, THE aim of Ayurveda is to correct nervous system and strengthen the heartbeat I want to know is, what are the symptoms you felt during the attack, Did it start in fingers and toes ?, Thumb turned inwards during attack ? Any previous history of skin disease -Suppressed, at any age? Started with headache ? Any head injury at any age ? Worse touch or jar ? Any cramps or convulsions etc.? Are the few queries to be replied by you for proper prescription Meanwhile, I will suggest you to take Homeopathic Selenium 30 / 3 doses after 1/2 hours gap first day, to remove the effect of sedatives and Cup rum Met 30/4 hourly, for a week In Ayurveda Brahma & Dacha are recommended to correct nervous system and strengthening the heart Other things to be taken into consideration are Diet-- should not be pungent strictly, simple nourishing food, fruit, veges and fibers are essential Intake of adequate amount of water Use of less salt and less mental strain of all types should be avoided. Should keep busy so that don't get time to brood over illness or your past. Massage of head and soles of feet daily with Til oil will ensure recovery fast. Walk Yoga, Deep Breathing , Bravery & and Anglo film are helpful in strengthening mental power Hope this will help you in removing your woes. Keep in touch with your treating doctor regularly. All the best Take care Don't hesitate to come back if you have any further query" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 50 year old women healthy ha ha just ran a marathon 1 month ag before the marathon I had some chest discomfort, jaw pain, pain in the middle of my back they always seemed to subside.. for the past 10 days I have been extremely exhausted. even after I slept 7-8 hours,,, ,every day I get chest pains that come and go some last for quite a bit. aturday and Sunday I felt even more exhausted. .I tried to run, but had to stop several times. .today, I felt a bit dizzy, had the chest pains, pains in my jaw, and a slight pain in my left arm.... ince I have been home from work I still have the jaw pain and feeling a bit sick t my stomach. ..I checked my blood pressure and it was 148/75. .not so sure what to do..", "output": "Hello, I read carefully your query and understand your concern. The chest pain should be evaluated by an electrocardiogram to exclude cardiac issues. The blood pressure is slightly elevated and should be maintained under control. If the symptoms continue, I suggest consulting a cardiologist for a specific treatment. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards! Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had kidney stone surgury on wed. The dr. placed a stent inside. I was ok on thursday and friday. Last night and this morning, I have has very bad pains. worse then when I had the stones. I caled the dr. and he said it was normal and it was pressure from the stent. I am peeing blood and i feel sick and the pain is getting worse. I am taking 2 oxycodone almost every 2 hours, thats how bad it hurts. The dr refuses to remove the stent until monday oct. 3rd. my question is, I have the string outside my penis, can I remove the stent myself. its been 4 days. Or will I do more damage? The dr. said the tube leading away from my kidney may swell shut. Im scared, but the pain is unbariable. please help.", "output": "Hi, Thanks for writing in. It is important to put a stent in the kidney after stone is removed to maintain clear passage of urine and Chat Doctor. Stents are thin long tubes with curves in both ends. One end is in the pelvis of the kidney and the other end is in the urinary bladder. If your bladder gets filled then the stent is clear and allowing urine to pass through. Stent can get displaced and cause injury to kidney pelvis or lower ureter and cause bleeding. An ultrasound scan is required to know if the stent is displaced or there is any urinary bladder infection or any other cause for passage of blood in urine. Stent is removed by the doctor, and you should not do it yourself. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, a friend has several lumps on the left side of the neck, and behind the ear, and now she has two on her left shoulder. She is in pain, and she was taking antibiotics and morphine pills. The Dr. doesnt know what it is. Unfortunately, thats all the information I have.", "output": "Hi, Thanks for asking. Based on your clinical history and query, my opinion is as follows:1. Lumps on the side of neck and behind the ear are most often secondary to infection in the oropharynx or ear. 2. It usually settles with the control of primary infection with antibiotics.3. If it persists or is bothering then you can get a fine needle aspiration cytology done to find out the possible nature of lesion.4. However, multiple lymph node enlargement needs to be evaluated to rule out any lymphoproliferative disorder. Hope it helps. Any further queries, happy to help again." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a bad cavity on my lower tooth . It will most likely have to be extracted, however just a few minutes ago, I see that the area of my gum under the tooth is red and part of my lip and chin is getting numb. Is it possible I may have an abcess or an infected tooth? I have taken acetomenaphin for the pain , but it has not helped. I have a dental appt in the morning. In the meantime, what can I do to ease the pain?", "output": "Hello, cavity in the teeth should be restored immediately, if there is sensitivity to hot and cold, then it is easy to restore normally, and if there is pain in the cavity, then this will go to RCT followed by crowning. And if you observe numbness and redness in the area near this tooth, then it means there is periapical infection and may be there is periodontal abscess as well. So I will advise you to go for a dentist check up. And radiograph can show the best results in this situation. Medication will be given to you by the dentist. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good morning doctor,I am really very disturbed with jaundice and typhoid,I have continue jaundice from last 4-5 years. It is not go to up and nor down it s average is 2.2, 2.4, 1.8, 1.0, 0.8, 0.2, 0.4 Last day I tested my blood and the report was typhoid 1:160 , jaundice 1.4 mg/dl (direct-0.8 mg/dl, indirect-0.6 mg/dl)Yesterday I was feeling too tired and ask to doctor near by us, he applied 3 injections ( H.V.I. 10 ml, Dexasone 2ml, Aciloc 2ml) through a glucose bottle.Doctors, were these injections good for my health? Suggest me plz", "output": "Hi, I saw your reports. Your bilirubin level is normal to slightly above the normal values. Why are you getting your bilirubin levels repeatedly? Are you symptomatic that means do you have any jaundice, itchiness over your body, increased tiredness, any blood vomiting or blood in stools, bruises over your body or dark urine? What are your main symptoms? Sometimes, bilirubin level can be slightly high due to enzyme deficiency in our body which controls our bilirubin and nothing can be done in this case. It is called Gilbert syn Chat Doctor. As far as your treatment is concerned which you received from a doctor, it indicates that you received a multivitamin injection, a steroid and anti-acid injection and there was no need for these things. One thing I would like to ask from you is, how is your mood? Is it high or low? Get your liver function tests done, full liver function tests (S. Bilirubin / total and direct, GOT / SEPT, S. AlkPo4, S. GET, S. Albumin, PTI / INR) and get Ultrasound abdomen done. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have come off Cymbalta, because of cost..i was weaned off from cymb 60mg to 30mg 1 a day for 1 wk then, 20 mg of Prozac every other day for 3 days then 1 everyday in am..started crying all the time, very sensitive, that all started july 31 and hv 6 capsuls left as of today,, I am a weepy blatty crying mess..hv called pharmacy, dr who presc. also spoke with family care dr.all advised it takes 4 to 6 wks to kick in..what am I supposed to feel like? Waiting for Utopia!! YYYY@YYYY", "output": "Hello, welcome to Chat Doctor. It appears that you have several symptoms of depression. Prozac contain Fluoxetine. It is a SSRIs group of medicine which is used for depression. It usually takes 3 to 6 weeks for medicine to show its effect. So, do not worry and wait for improvement. For long term control of mild to moderate depression following measures are also helpful: relaxation exercise and non Chat Doctor. Wish you good health and all the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "For lymphatic tuberculosis,I am taking R Cinex,combutol,one tab each and pyzina two tabs.daily. side effects are nausea , head-ache, weakness especially after taking Pyzina two tabs at night. Please advice,can I reduce pyzina to one tab at night. HOW TO REDUCE SIDE EFFECTS.", "output": "Hello rearward welcome to Chat Doctor.come have evaluated your query thoroughly.* The anti tuberculosis therapy has to be taken in prescribed dosage schedules as per the WHO guidelines, no alteration can be made by own keeping in view any side effect.* Has to consult your physician to add other medicines as PPI & else to combat the same. Hope this clears your doubt . Wishing you fine recovery. Welcome for any further assistance. Regards take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, My sister and I both get fatty big lumps under our arms in our armpits which grow with the menstrual cycle and then get smaller after my period. She is getting hers removed as they have become quite large and dark colored. If they are removed will the deposit come back elsewhere? Or just back into the armpit?Is it just something in our diet which cant be excreted and therefore stored? Should I get an allergy test done?Thanks", "output": "Hi. The tendency of the body to deposit lumps of fats in armpits or elsewhere is nothing to do with Allergy. It's directly related with metabolism of fats and some other factors. After surgery too there is no guarantee if would not re deposit at armpit or elsewhere. If I were your doctor I had suggested you to take some Ayurveda medicine which is very successful in preventing such lumps such as Anchor GGUL. As per individual history and current condition some other medicines are also combined. Hope this answers your query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear doc, I am at age of 21 years but due to excess of masturbating iam suffering from night fall problem and also my penis is bending towards left side when errrected. Although I have stopped masturbating since 3 years but till now the problem continues. Kindly syggest the treatment and precautions so it can help me for long term and with zero side effects.", "output": "HelloSpontaneous semen ejaculation at night may be due to overexcited state, inadequate emptying etc. Mild deviation of penis is a normal phenomenon during erection. You should try relaxation technique and avoid provocative literature and videos. You should try to be calm and go for yoga, mediation. You should try to engage yourself in your job. You will be fine with above-mentioned measures. If findings persists then you may need psychological counselling. Masturbation is acceptable, but its obsession is bad. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I have a lump that comes and goes on my scrotum. No pain, no itching, when it appears its only for about less than a minute and when it goes away it kind of dissolves back in to my scrotums. Is this normal or do you have any idea of what it could be?? Im a bit worried. It cant be cancer right? since it \"goes away\"...", "output": "Welcome to Chat Doctor .1. Its inguinal hernia which causes a lump without pain and goes off.2. It generally comes when you are standing and lifting heavy objects / sometimes even just standing - with the intro abdominal pressure this thing causes.3.No not cancer or anything similar - do not worry.4. But needs attention, the lump you are feeling is bowel - web gets strangulated it's an emergency.5. Go to GP and get ultrasound inguinal and scrotum done - the doctor will check with cough reflex, and get the needful treatment - its operative, mesh placement. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am having pain in my back on the left side near my hip, accompanied with chills, fever and dizziness. Yesterday i had some numbness in my arm, it gradually faded, but the pain is sharp and stabbing. Worse when i move around, sit up, bend over and cough. I have had the fever and chills for three days, the pain for about a week, comes and goes.", "output": "Hi, From history it seems that you might be having some infection in your body producing fever, generalized body-ache, backache and muscle spasm giving this problem. Having urinary tract infection is most likely. Go for complete blood checking and routine urine check up. After report go for treatment according to your doctors' advice.Meanwhile, take analgesic like ibuprofen as needed. Take plenty of water. Ok and take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, im mrs. srikanthan, my son, 3yrs old, got a lump on his inner elbow on 2.2.2014 night was only it was visible, he was at a play pen during the day and its painless. we consulted a paediatric surgeon and was suggested for an ultra sound scan. in that its not visible and he assumes that it can be cancer, however to operate and take it out and get it etsted before deciding on anything?also please note we are treating him now for epilepsy, whci last only max 6-10secs and he has no pain with regard to that, if hes eating or drinking or do whatever he continues to do the same, medication carried out now for 2 months (rivotril) and thank god he didnt get it again and controlled.require some advice. am i to go for the surgery for my son? what are chances of being cancer? being a mother im nervous on this topic.", "output": "Hi. Cancer per se at this age are very rare and needs proper evaluation before a decision is taken. It is a possibility that he might have a trauma during play, falling, epilepsy attack or so. If the lump is not visible in USG, it can be conformed by MRI. The best way is to go for an x-ray- can show old fracture or outgrowth of bone (common in this age group). If this lump is palpable, one can always go for multiple FNAC- fine needle aspiration cytology-may help if not hemorrhagic. The dictum is to think of the commonest possibilities first and remember the rare possibility too." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir very soon I suffer from sneezing due to irritation in left nose due to it left eye becomes watery this will further result in fever with very shivering like I will have to take quilt in summer , one side sneezing other side nose will get blocked. I feel very suffocated while drinking water when above symptoms occurs. My depression gets increased", "output": "Allergic rhinitis you may be suffering from pollen or other allergy which cause sneezing the blockage of tube connecting eye and nose a cause the eye symptompsirritation of nose can cause sneezing or blockage need to get crayons waters view and consult allergy or NT doctor to find the cause and treat according to allergy guidelines mean while use anti-allergic tabs sypneomycin h ointment in nose based water 2 Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am newly married, and had sex for the first time with my husband yesterday night. It was really aching while he tried to enter and after the intercourse, i saw some spots later in my innerwear. And also i feel pain in the lower abdomen. Feel this is because of the broken Hymen....Please tell me whether it is fine to have such symptoms and any precautions if i need to take in future and now also", "output": "Hi. Thanks for your query. This sort of pain after the first intercourse and spots on the underwear are normal, although the pain in the abdomen may or may not be. The precautions to be taken are: have proper foreplay for the vagina to get well lubricated before the next sexual act; ask your husband to be slow and careful, not harsh till you and your body gets accustomed to the new life. Do not worry, everything gets OK with time and wishing you both a great married life," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "DEAR DOCTOR, I HAVE SEVERE REDNESS, ITCHING, CUTS OF SKIN, UNDER THE GLANS OF PENIS, ALSO I AM SUFFERING FROM WEAKNESS , SOME KIND OF DIZZINESSES OFTEN, LOOSE (UNABLE) TO DO WORKABILITY AND MANY MORE SYMPTOMS LIKE WHITE HAIRS GROWN, DANDRUFF STARTS TOO MUCH , WHITE PATCHES ON SKIN....SMALL QUANTITY ....SOME WHERE, CONSTIPATION , .....MANY MORE .PLEASE SUGGEST ME A SUITABLE MEDICINAL TREATMENT.THANX.", "output": "HiT hank you for asking ChatDoctorI have gone through your query. Your problem with penis can be most likely due to fungal infection. In such case I would recommend using ointments witChatDoctorbination of antifungal like fluconazole and corticosteroid like quinolone. Avoid using soaps and irritants to wash the area, and instead you can use saline or warm water. Get enough exercise daily, Chat Doctor. These all will ease constipation. Using medicated shampoos with ketoconazole at least twice-weekly will help in getting rid of Dan" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Whenever I try to sit criss cross apple sauce the outside of my knee starts to hurt really badly. I can only sit that way for a few seconds and the pain start and continues to progressively get worse the longer I sit in that position until it gets so bad that I have to uncross my legs. Once I do uncross my legs from that position though the pain just slowly goes away like it was never there to begin with.", "output": "Hello, Pain that only comes on sitting cross-legged may be due to 2 reasons 1. Degenerative changes in knee 2. Meniscus injury. I would like to advise X-ray of both knees anteroposterior and lateral views to confirm diagnosis. Meanwhile, avoid sitting in crossed leg position and squatting. You can take tab Diclofenac sodium as and when required for pain. Visit to orthopedic surgeon for detailed clinical examination is recommended. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i was told that i got pityriasis rosea and it id painful they put me on prednisone and it helped at first but now that im getting off of it the rash is still persistant and painful and i year ago i had a wart removed in my noise they said it was and inverted papaloma wart. how do i get rid of the rash and do i need to seek more medical treatment?", "output": "Hi, You have developed satyriasis rose. Now you need to understand that this is essentially a self limiting skin condition which means that it will take its own time to completely go. Oral steroids are definitely not the preferred modality of treatment. Only topical steroids help in most cases. Remember that the lesions may continue to appear in crops for something like six to eight weeks or sometimes even more. But since it is a harmless skin condition, so a very aggressive approach is not recommended. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I Had ectopic pregnancy in right side two times.i lost my right side tube.i what to conceive.after marriage one miss carage.second time i had ectopic in the right side the doctor don laptroscopy. after six months again i conceived but unfortunately it was ectopic for second time in the right side tube.now i want to get pregnant.", "output": "Thank you for posting on ChatDoctorHaving had 2 ectopic pregnancies on same side, laparoscopic tube removal & 1 miscarriage you chances of natural conception will reduce, unfortunately. Still one cant say for sure if & when will pregnancy happen - I suggest trying to remain calm, happy, good healthy diet & adequate exercise is very important. If natural pregnancy doesn't happen after trying for 12\u00a0m (depends again on your age) - you must see specialist for further investigations. Hope this helps & all the best" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Following 5 years of hip pain and 3 exploratory/cleaning operations I finally had hip resurfacing 2 years ago. All was well and I was pain free until I had knee realignment surgery. After the surgery I had a bad fall landing from the height of a chair directly onto the resurfaced hip. Since then I have had pain which is slowly getting worse. The hospital have x-rayed the joint and done an ultrasound and there is no fracture, no metal in the blood tests, no sign of inflammation / bursitis, no infection. I have had 6 months of strong painkillers and anti-inflammatory medication, 6 weeks of ultrasound therapy and physio and still it gets worse. I have pain when I try to lift my leg and if I lie flat in bed I have intense pain from the front of the hip radiating into the thigh. If I bend down and stand up there is a sensation of grinding which is very unpleasant and after walking a short distance I start to limp heavily and almost have to drag my leg. The pins placed in my knee are slightly visible and I have no sensation in the side of my lower leg, I asked if this could be the problem but have been told it s not an issue but I am hoping to get them removed soon just in case. The hip doctors seem to think it is just muscle ache from the realignment surgery and that it will just go so I feel that they are not taking my pain seriously, their only suggestion at the moment is taking stronger and stronger pain medications.", "output": "HelloI have studied your case in detail. The X-rays and tests are negative for fracture and no metal problem, means the pain may be muscular as your surgeon says. The operation may have been proper size of both femur head and socket implants since for 2 years you didn't get pain, there is no loosening or autolysis as not visible in x-ray. If you still have doubts, which is not wrong to have because of pain and restriction of movement which was not before, you may seek opinion at some other orthopedic center or surgeon. If something is wrong with alignment in knee implants, it is possible to have altered mechanics to account for discrepancy in was but pain doesn't explain-so presuming it to be muscular, take medicines as advised and visit for review to a new clinic of knee and hip surgeons best wishes" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Iam suffering from OCD for last 7 years.i took many medication.but no improvement.my parents are saying I showed OCD symptoms when I was at age of 4 at beginning of schooling.i used to repeat telling certain sentences ,thoughts ,activities.iam taking medicines like trinicalm plus,fluvovaxine ,desvaler,Serlift,suzodin.", "output": "Hi dear, For OCD there are many medications which helps you, but you have tried many but not improved so in what dose you take all this medication?at present what kind of obsessive and compulsion you have?one more Chat Doctor. And also newer admen tine also helps to augment effect. Also role of psychotherapy is also best in OCD.you can discuss with your treating doctor about medication and psychotherapy. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I get tiny little fluid filed bumps on my penis that itch and looks and itches like poison oak, when I pop them they usually dry up and go away, I just get them occasionally, what can it be. Please help, thanks Greg. My email address is buzzy45@ WWW.WWWW.WW", "output": "HelloThanks for your query, You have not mentioned anything about your sexual activities whether you got these bumps after having an unprotected sex or otherwise. Based on the facts and description of the lesions it appears that you have Genital Herpes 2 infection. Please get swab tests of a fluid from the cysts done to confirm the diagnosis and start taking anti-viral medications like Acyclovir twice daily orally and topical anti-viral cream like Acyclovir for local application Ensure to wash your genitals with warm water twice daily and avoid sexual encounters till it gets cured completely. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear sir, i have got a 5mm calculus at the lower pole of the left kidney as mentioned in usg report.Kindly suggest wt should be the medication and diet.My personal data arename -ajay,age-26, male, 67kg,164cm height.Free of any desease for past 5 years.", "output": "Hello Welcome to Chat Doctor. Thanks for posting your query. And its superb that you have given all the details required. With young guys, 5\u00a0mm calculus in kidney there's nothing to worry. This is point number 1. So, do not worry. I've seen huge calculus than this. Does this cause severe pain? If occasional tolerable pain then neglect it. Chat Doctor. And if its troubling you with pain then take tablet attract for time being. There is absolutely no indication for surgery or any intervention for 5\u00a0mm stone. But having said that, do keep a track on that stone. Sometimes it may pass off by its own. Or else, it may grow large. Then probably you'll need something called ESL. So as of now do not worry. Be calm and do as I advised. And coming to the second query, diet. There are so many papers published regarding this but there's no standard protocol. Avoid 1. Junk food. 2. High intake of salt 3. Cut down on meat. Hope this helps, and you can contact me anytime regarding this." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 27 years old male and working for a MNC in Mumbai. My SGPT level is 95 and SGOT - 38, cholesterol is border line high, USG reports suggest beginning of fatty infiltration of lever and I am overweight by 6 kgs. Kindly suggest me measures to bring my SGPT/OT and Cholesterol to normal and protect my lever. Thanks.", "output": "Hello Your findings indicate fatty liver, and it is due to deposition of fat within the liver cells. Increased echo texture suggests fatty liver. Most commonly it is due to obesity and sedentary life. It may also be related to alcohol intake etc.SGPT is increased due to fatty liver. Fatty liver is a reversible condition, and it can be reversed by diet and lifestyle changes. You should avoid fried and fatty food. You should avoid red meat and high fat milk products. I suggest tablet ursodeoxycholic acid 300 mg twice daily for three months to my patients. It will correct SGPT level. With these findings, initially I don't suggest medicines for borderline high cholesterol. I only suggest diet and lifestyle changes to my patients. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I had a back accident and got a wound that has taken 9 mths to heal. Now I am in the process of getting examination to see if they can operate on my lower back. I was supposed to get my lower back operated on after my upper back was operated on. They are talking about giving me botox injections, however, it is my understanding that it deadens the nerves. What exactly are they trying to accomplish with this and is it recommended?", "output": "Hello, Thank you for using Chat Doctor. I read your question and understood your concern. The Botox injections does not deaden the nerves. The Botox has the effect of muscle relaxant. It seems that after the injury your back muscles are in spasm, so doctors want to avoid that spasm by injection Botox. The effect is not permanent but 3 to 6 months, so it will give you enough time to do physiotherapy. I wish you quick recovery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a friend who is a 50 year old male who was diagnosed with kidney cancer in Novemeber. The tumor was large and there was indication it had moved to one of his lungs lymph nodes. They recommended surgery to remove the cancerous kidney and start chemotherapy. My friend declined. He thinks there is some kind of snake oil cure out there. Actually, he just shelled out about 600.00 for CBD oil. He says his urine is rusty in color which makes me think blood obviously. He absolutely refuses to go back to his doctor. They told him to contact hospice. Based on this little bit of info, do you think he could still hae a chance if I can make him go and have the kidney and tumor removed and maybe there is an alternative treatment besides chemo? I got mad when he got this CDB oil, and finally asked him how he was doing and he said he feels oily . He can t eat. Will the kidney tumor cause his kidney to shut down?", "output": "Thanks for your question on Chat Doctor. Untreated kidney tumor will definitely shut down his kidneys. So better to start treatment. This will increase life expectancy and reduce his suffering s. Since he is having lung nodule, he is having stage 4 kidney cancer. The only treatment modality is palliative treatment. This consist of debunking surgery and chemotherapy. This is done just to reduce suffering s. And no role of any oil or any herbal substances. So better, you should take him to other oncosurgeon and discuss all these." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i ve been sick for the past 4 days after my period...this month my period only lasted 3 1/2 days when usually i have the full 7 days. I ve been vomitting, nausea, abdominal cramps, mood swings, low back pain and i just feel very fatigued. i took a pregnancy test and it was negative. what else can it be?", "output": "Apart from vomiting rest all symptoms are normal during period for ladies. And sometimes due to some hormonal imbalance it may happen that your period cycle is little imbalance. Do not worry I suggest not to take any anti pregnancy tablets in the future. Because there are chances of hormonal imbalance with that also. For vomiting, you can take Anna acid tablets once or twice a day before your major meal. And have a lot of lemon juice, so it will help against deny Chat Doctor. I am sure it will stop. And wait for your next period if the same thing happens you can consult once your gynecologist for the same. And yes from a nutrient supplement prospective I suggest to start omega 3fatty acid supplement. It helps a lot to regulate hormonal imbalance or period irregularity as well there are many other benefits are there. Take care..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "respected sir , i am addicted to corex for the past 9 yrs .now a days am having drooling from my oral cavity and severe back pain.Two days back i had epilepsy.Two years back i was under medication i was using carbamezapine and valporine ,and clonozepam tabs.can you kindly advice me how to get back to normal state of life. regards", "output": "Hi, I am Chat Doctor. . At first ill inform you in summary about epilepsy and epileptic seizure, Epilepsy is a group of neurological diseases characterized by epileptic seizures. The cause of most cases of epilepsy is unknown, although some people develop epilepsy as the result of brain injury, stroke, brain tumors, infections of the brain, and birth defects. Known genetic mutations are directly linked to a small proportion of cases. Epileptic seizures are the result of excessive and abnormal nerve cell activity in the cortex of the brain. The diagnosis involves ruling out other conditions that might cause similar symptoms such as fainting and determining if another cause of seizures is present such as alcohol with" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son had a ganglion cyst surgical excision in his wrist about three months ago and now has what his doctor referred to as complex regional pain syndrome with slight redness, swelling and a lot of pain. What is the usual outcome of this? Does it ever get better?", "output": "I had gone through your question and understand your concerns. Its very long and chronic problem, but it can get better, but it takes time. Usually along with medications, physiotherapy and psycho social therapy is required. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my husband age 44 now had a serve injury to his L-should approx 17 years ago..he fell from 20 feet up and landing on the concrete head and shoulder. at this time,a dr only slinged the injury and told him it would heal fine this way! my husband believing in the dr did what was told of him..leave it alone! now 17-18years later it effects his life so badly that he just cries or gets angry because of the unbareable pain! we have seen several doctors and no one will offer surgery or anything else for him. we have been told that the injury is too old to do anything about and the arthisis has incased itself around the bone and now the good shoulder(R-shoulder)is compensating for the bad one and now both are outta wack! what can we do? who do we see? this even effects our love life,hes in too much pain or the shoulder just simple pops out of the socket and my poor husband just cries,sometimes all night long in his sleep! thank you! susan", "output": "Hello, I have studied your case. There is possibility of rotator cuff weakness post injury reverse shoulder replacement may help in reducing symptoms of arthritis. You may need Ultrasonography or if possible MRI /X-ray to see details. You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case. He will guide you for active and against resistance shoulder exercises. If possible consult orthopedic surgeon who is specialist in shoulder replacement surgery. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Dr . I have 23 yrs.l have PCOD.now I m married and my Dr advise to take tablets femilon to correct the periods .6 month I put the tablets. Then I got pregnant after 8 weeks That was aborted unexpectedly. Now my Dr advise to take the tablets femilon up to 2month.l have a doubt about that., How to help the tablets for pregnancy ?when l take the tablets any problems. ?", "output": "Hi there, I have understood your concern. I will suggest you the best possible treatment options. As you might be aware that PCs is a lifestyle disorder, and you need to opt for lifestyle changes. I will suggest you to opt for a healthy diet and regular exercise regimen. Include more portions of fruits, salads and vegetables in daily diet. Chat Doctor. Avoid deep-fried foods, bakery products and refined sugars. Secondly, in PCs condition oral contraceptive pills are suggested to get down the levels of basic hormones. Usually, depending on clinical condition pills containing anti an" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am IGa deficient. 49 years ago my daughter was born with IGa deficiency. My daughter 53 and son 45 are both normal IGa. About 40 years ago (I was not aware of IGa) I donated blood. Since I worked in the lab I was aware that the recipient had a reaction to the blood. - The lab went crazy rechecking all availble factors. - A few years later the same thing happened. I have not donated blood since but am curious if the IGa could be the cause of these reactions. I am told to have washed cells only as a recipient but I couldnt have developed anti-bodies. What is your opinion. My daughter and one grandaughter would like to know also. Phyllis Dubey", "output": "Hi, dairy have gone through your question. I can understand your concern. You have IGA deficiency. So you may have anti IGA antibodies in your blood. It hives reaction with IGA. When you take washed RBC there is no reaction, because washed RBC doesn't contain IGA. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "9/13 was at a bonfire and in the cool night air but had on sweater not chilled . Next day severe pain in throat only if with cough three or four times then pain subsided next wheezing cough bronco spasms . Dr gave me pack 250mg little benefit also prednisone 20 mg dose 80mg x3days 40 x3 d -20x3 days . Now I was started on leviquin 500 qd 3 days ago also used albuterol advent breathing tax via. Nebulizer two times a day ex Monday I told doctor can not sleep shaky on inside shortness of breath with exertion worst dryness of throat mouth , throat , ears feel full , dryness so bad wake after little sleep mouth feels glued shut feel things stuck in throat at bottom and mid , also took expectorant daily to help it moisten secretions but can t taste foods have to drink coffee sip in order to swallow a tenor in nasal passage excessive dry never have had this I need help now afraid to go to bed cut all albuterol and only one teaspoon of expectorant today what s wrong with me sbostater. Was frying oysters earlier in day on bonfar ate one and choked a little but then when serving time ate without problem this severe dryness of entire respiratory tract has never happen ended to me before", "output": "Thanks for your question on Chat Doctor. In my opinion you should first consult pulmonologist and get done chest x-ray to rule out lung infection. As your symptoms like cough, fever, shortness of breath all favor lung infection. So first rule out this. If this is normal than get done PFT (Pulmonary Function Test) to rule out bronchitis. If it is also normal than upper respiratory tract infection (URI) of viral origin can be the cause. So consult pulmonologist and discuss all these." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "MY SON IS 2 YRS AND 3 MONTHS OLD AND HAS GOT HIGH FEVER AROUND 103 AND LOOSE STOOLS TOO. DR SUGESSTED TO TAKE MEFTAL P FOR FEVER AND OFM SUSPENSION ND DURALAC FOR LOOSE STOOLS. HE IS STILL NOT ALRIGHT AND IS THIS DOSAGE SUFFICIENT? HIS WT : 15KGS . WATS THE IDEAL DIET FOR HIM? HE REFUSES TO TAKE ANY FOOD.", "output": "Most often such episodes are caused due to certain viral infections. Irrespective of treatment it might take 3-7 days to recover. Metal P contains metonymic acid and is effective in bringing down the temperature. 60 mg of Metal P is ideal for your child of 15 kg. OF contains an antibiotic. Since you have started it you should complete the course. It might be hard to make a child eat when ill or when on such medicines like OF (it contains metronidazole which affects taste). Giving a regular rice based diet high on green leafy vegetables, free for wheat and milk (for a week) is ideal for the child. A low fat and spice content is preferable. Oral rely Chat Doctor. Plenty of fluids need to be given." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Had severe abscess when out of townFound dentist who accepted emergenciesGave ne prescriptions for clinamycin and hydrocodone/acetaminophenTold not wise to start rc when traveling on SundayExcruciating pain from Thurs. a.m. through MondayWent to CWRU Dental Clinic Mon. a.m.Incised and drained by endo. to makean appt. with the dentist who would in turn get an appt. for rcI protested...still on agony...finally agrref to do rcNow Wed. and face and lips still numb, painful jaw bone, and hard lump o chinThey are putting me off...mesnwhile I feel worse and have only one more day of antibioticsNot thinking straight.. What to do?", "output": "Hi. Thanks for the query. If you have been to Endodontist then it is a bit surprising that he incised and Chat Doctor. Although Endodontist is a specialist in Root canal treatment. So my suggestion to you is to better refer another Endodontist only and get the Root canal treatment done. For now if pain is severe then you can take antibiotics like Amoxiclav along with stronger painkillers like Tramadol or Motorola. Do cool compresses over the hard lump under Chen that is a swollen lymph node secondary to tooth infection. Hope you get well soon. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi there,, a couple weeks ago my son (almost 14) had pain in his right testisle . he said it was hard pain but only lasted couple hours. today the pain is back and the left testicle is swollan. Do you have any known causes or treatments ? Thanks Kirk ,", "output": "HelloThanks for your query, based on the facts that you have posted it appears that your 14 years old son has swelling and pain of the Rt testicle since a couple of days. This is most likely to be due to infection of Testis(Orchids)Please consult qualified General surgeon or Urologist for clinical examination and get following basic tests done to confirm the diagnosis.1) Mammogram 2) Routine urine test.3(Ultrasound scanning of the scrotum. He needs to take broad spectrum antibiotic like \u010ceferin along with anti-inflammatory Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "For about 3 years now Ive been dealing with a pain in my belly button. Its not always constant. It will happen for a few weeks and the go away for awhile and come back again. While this pain is here my bully button leaks what looks like blood, pus, and some other form of a liquid that smells very awful. I was wondering if you could possibly give me a ballpark of ideas at what this could be.", "output": "Hi and thank you so much for this query. I am so sorry to hear about this recurrent belly pain and discharge. From the information you have provided, you probably have an infection that is never really treated completely(Abscess). Recurring infections often have favoring factors and one of the is a foreign body. So long as this predisposing factor is not ad Chat Doctor. I will suggest that you consult with your doctor and get this condition ad" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi there.... I hope you can. For the past two weeks I have suffered with pain under my ribs, almost like cramp. I can also feel it in my back. Together with this, I have a burning sensation in the back of my throat, am burping a lot and have wind too, oh and a yellow tongue.... Alison", "output": "Hello, I read carefully your query and understand your concern. Your symptoms seem to be related to stomach issue. In my opinion, you may have gastroesophageal reflux disease. I suggest using medication such as Omeprazole 20 mg per day in the morning before breakfast. I also recommend avoiding food that can trigger the symptoms such as spicy food or too much caffeine. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards! Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi ..my question is for my husband.he was being diagnosed 2days ago of having hypertension stage 2. he is 34..he weighs 220lbs. aside from that he has Gout for almost 5 yrs now.his last attack of gout was 2yrs ago.now that he is being monitored of his BP.. his latest bp was 140/110 he is taking AMVASC once a day for maintenance..but unfortunately his Gout surprised him right now..he usually takes colchicine during attacks.now my question is ...is it ok for him to take colchicine knowing that he is having high blood pressure?", "output": "Hello, Colchicine will not specifically affect blood pressure and safe to have it. It also doesn't have a known interaction with amass. He should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly. Regular exercises like brisk walking, jogging according your capacity at least 30 min a day and 5 days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity. Get your lipid profile and sugars tested once." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I ve recently started flossing after my dentist insisted. It seems to be going well except for between two teeth: my right upper canine and the adjacent incisor. When I push the floss down between them, there is a sharp stabbing pain. I ve had a look around on the internet, but everything I see seems to have to do with gums. This is not my gum - it is at the contact point between the two teeth (my teeth are slightly angled towards the front of my mouth). I saw the dentist last week and he didn t see anything, but I m worried it might be something he couldn t see.", "output": "Thanks for your query, I have gone through your query. The pain the tooth while flossing can be because of the gum infection. The second possible cause can be an abraded tooth, on contacting with the floss, you might feel a sharp shooting kind of pain. So consult a good oral physician and get it evaluated. If it is gum infection then you need to get scaling done. If it is an abraded tooth, you need to get it filled. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "For the last couple of weeks I have had a sometimes tight and sometimes loose cough with sinus-y issues. I assume it is allergies and have been taking Claritin which has seemed to help. Over the last few days I have started noticing a rash similar to hives on my inner thighs and my calves. It does not itch. My \"rash is not going away. It seems to be getting more prominent and I now have a small rash on my right ankle that is different from the one on my calves and inner thighs. This rash is more like an array of needle pin points.", "output": "If allergies are not treated these may extend to other system after long durationlike your sinus allergies have extended to winsome medicines used in allergies cause this like paracetamol, synthetic vitamins, brufen, disprin, decongestants,aspiring for allergy tests and treatment later Enif you won't use above described medicines your skin will be clear lowland for skin to recovering use mustard coconut walnut groundnut almonds and soda oils use olive for cooking and APPLICATION USE NON-TOXIC SOAPS SHAMPOO AND CREAMS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I quit smoking and drinking 3 weeks ago due to high blood pressure and I am taking a calcium beta blocker for 2 weeks now and klonopine for my anxiety. I do have a lot of stress but my blood pressure is still staying the same it has been 140 something over 80 something for as long as I know im 6 3 and around 230 what else can I do", "output": "HIT hank for asking to ChatDoctorI can understand your problem and I would like to advise you that beside the medicines there are other option available and that gives much better result as long as the high blood pressure is concern and that includes, stress-free life, regular exercise, low salt intake, low calorie diet, good sleep, if you practice these then antihypertensive can be reduced, hope this information helps you, take care and have good day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 1 year old son has went off his food, he will initally eat 3 to 4 mouth fulls and then starts to be sick. i have also noticed that his bowel habits have changed. He had a bowel movement four times yesterday, and his stools where light yellow in colour today and he had diarrhea this evening. Generally he is in good form.", "output": "Hello, It seems your kid have viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kid having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting. You need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic-associated diarrhea. I suggest you use zinc supplements (Z&D Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear sir.I have a white patches on my left hand side back bone . and on the legs and hands . can you let me know . if i start a treatment for this how long du i need to take the tr eatment?", "output": "Hello, welcome to Chat Doctor. I will be glad to be of assistance since it is a localized vitiligo, the progression needs to be first stopped. This can be done with the help of application of mometasone furnace 0.1% cream once daily on the affected area, this should stop the progression and cause repigmentation of the lesions. It should be applied for 15 days and then a week can be taken off.it can be continued in this manner till repigmentation occurs, but I strongly suggest that he should be under the care of a dermatologist who can monitor his progress and look for side effects. Also you could discuss the effectiveness with tablet camisole which has to be administered twice a week, and then let the doctor start it for youth other thing that you can try after the progression has stopped is narrowband UVB phototherapy for it or exciter laser. They give very good results. Also using tacrolimus ointment twice a day is very effective. You can try this also. The treatment can take many months to show effect, its unpredictable as to how long. Also if you have vitiligo which is stable, even vitiligo surgeries can be considered and are quite effective. Please let me know if you have any queries. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I stared getting a dull shooting pain that comes and goes about two inches above my belly button on my right side. It woke me up this morning. Again it comes and goes, not constant but it seems to be more frequent when I eat (at after lunch and dinner). Its bearable but nagging.", "output": "Hello dear, The symptoms as mentioned in your post can be attributed to Acid Peptic disease. Sensation of pain and discomfort after eating food is characteristic. An Ultrasound scan of Abdomen & upper GI endoscopy will be helpful in clinching the diagnosis. Symptomatic relief can be obtained with intake of Pantoprazole preparation (to be taken twice a day before meals) & antacid gel (to be taken after meals). They prevent formation of excess acid in the stomach & provide symptomatic relief. And it is also needed that you take certain precautions regarding your diet & lifestyle, such as:1. Take soft, plain, non-spicy foods.2. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "For the past two weeks I have been suffering from IBS which has lead to a skin rash developed starting from my hands leading to my arms and currently through my body. I also suffer from arthoritis. I do not as I know have ad any food allergy in the past. I have lived in US and now I am staying for a short while in Canada.Would you be able to hel as I do not understand all the various web pages I visit.", "output": "Hi, I can understand your concern for skin rashes in hands and arms. There can be multiple possibilities of the red rashes, and it requires a close physical examination to diagnose the exact entity of the problem. In my view correlating with the facts you have provided it appears to be either urticaria (or hives) or allergic dermatitis of the area due to multiple causes. I suggest you to meet a dermatologist to for proper therapy. In between you should avoid contact of dust to the area properly. If I were your dermatologist then presumptively would have preferred to apply fluticasone with mupirocin cream. You can take an antihistamine such as loratadine for twice a day if itching is present. Do not try to pinch, pop or squeeze the area as it may cause secondary infection of the area. All the best" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my son is over weight ,is of 13 yrs under treatment for teeth ,had braces nearly 2&1/2 yrs ,but yet his teethes are not aligned properly,Dr. said that after putting an another clip which he can put and remove then it will get over.Kindly requesting you to guide what to do? Because he is suffered a lot while treatment.", "output": "Thanks for your query, I have gone through your query. The teeth should be aligned properly at the end of the orthodontic treatment. So if it is not aligned properly, since you are telling it is almost 2 and half year duration, better to consult a good orthodontist and take an opinion. If there are minor corrections, that can be corrected. If it is a major correction, then it has to be redone. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Yesterday morning I woke up with my two bone cheek areas red, like hives. Exactly and simetrically in both cheek bone areas, Today the cheeks are swollen and the redness is like moving upward, less red but more swollen on face cheek area. Its like an allergic reaction to something maybe? I am pretty scared! I have never have skin problems of any kind. By the ways I have allergies to polen, dust etc. I have allergies now. I live in Dallas Texas. The polen is horrible! Can you please your thoughts about it", "output": "Cellophane You for contacting Chat Doctor. Most probably this is an allergic response. You might have bitten by some insect or dust has done this allergy. I would recommend you to try following:> Avoid touching face with dirty hands.> Don't use towel after washing face.> Use cetirizine one at night for 5 days for itch.> Take montelukast once daily for one month. Research has shown that it reduces allergic response.> Keep face clean It will start resolving by itself in 2-3 days. I would also suggest you to undergo allergy testing at allergy clinic as you have chronic allergy problem. It will tell that you are allergic to what specific thing. The results will help an allergist to prescribe you immunotherapy to that specific allergen, and it will improve the problem. Report to hospital if:> Condition remain same after 2-3 days> Any unusual symptom appears> Condition deteriorates. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been on birth control to regulate my period, but my dr. was a week late to fill my prescription, I had ended up having unprotected sex on December 10 ive been having sore breasts and thats about the only difference I notice in my body, I was suppose to start my period on Jan 2 and I never got it. I took 2 home pregnancy tests and they botChatDoctore up negative .I woke up this morning Jan 3 and went to the bathroom and notice some blood on my underwear so I put a pad on. The next time I went to the restroom I noticed there was hardly any blood on my pad, but as soon as I would go to the restroom blood would come out . Ive had cramps all day, but no new blood on my pad, until I actually sit on the toilet and go number 1 or two it comes out, and now Its coming out like more chunky but only when I go to the restroom. is this my period, or could I possibly be pregnant? or can it be due to me having to start my birthcontrol pills about a week later then I was suppose to have them ? please help And sorry if its to much information . Please get back to me asap thank you for your time", "output": "Hi, thanks for using Chat Doctor. Your period was delayed for only a day and your description of symptoms are suggestive of menstrual bleed. As you are passing clots, could be due to well-formed endometrium resulting more bleed. Not to worry. Usually urine pregnancy test shows positive results a week after missed period, Blood Chat Doctor test is more sensitive in detecting early pregnancy. Use of birth control pill helps to regularize hormonal changes in body, so makes cycles regular. Usually bleeding starts with in a week of taking last active pill. Hope this helps you Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dull pain under right rib cage to just right side of belly button and semi solid deep brown stool I had a symptom of indigestion and semi solid slightly deep brownish stool along with dull pain just under the right rib cage to just right side of belly button. Doctor suggested me to do Liver function test, blood sugar (fasting), routine stool test and Lipid profile. In liver function test bilirubin came as 2.1 mg/dl (direct-0.4 mg/dl), SGPT-129 U/L and SGOT- 31 U/L. In blood sugar fasting 90 mg/dl. In stool test all the parameters are fine, like no blood, parasite, cyst, mucus, Ova/eggs except Veg cells/Fiber positive and stool is alkaline. In lipid profile S. cholesterol 106 mg/dl, S.Triglycerides 182 mg/dl, HDL cholesterol 37 mg/dl, LDL cholesterol 32.6 mg/dl and VLDL cholesterol 36.4 mg/dl. I do have some spasm like feeling in joints and slight weakness. What could be the reason of that? 3 yrs back I had jaundice and later diagnosed for fatty liver. I never had alcohol in my life.", "output": "Hi... Welcome to Chat Doctor forum... Right upper abdomen pain with raised bilirubin levels is suggestive of liver inflammation or an obstructive pathology(gall bladder obstruction). You will need further evaluation to know the exact cause. By evaluation, I meant a physical examination by a specialist, hepatitis screening, Ultrasound scan or CT / MRI scans. You will need to consult a gastroenterologist who can guide you through this evaluation. Avoid spicy food and do not use any over the counter medications without consulting your doctor. Wish you a faster recovery. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI I AM 26 YEAR OLD HEIGHT IS 5 FEET 2 INCH 80 KG MY SEMEN REPORT IS BELOWTOTAL QUANTATY 2mlCOLOR OFF WHITEVISCOSITY THINPH 8.0RED CELL NILLPUSS CELL 6-8ACTIVE SPERMATOZA 30%SLUGGISH 20%NONMOTILE 50%TOTAL SPERUM COUNT 30/MILLION/ML (NORMAL 60-150)", "output": "Hello, Your active motile sperm is 30% which should be at least 32%. So it is a borderline value. All other finding including count, viscosity, pH are normal. However, sperm morphology is not mentioned here which is also important to know. So kindly mention sperm morphology report as well. You can take a zinc tablet to increase sperm motility. Forte is one of such tablet which contains zinc as well l arginine. Don't take a hot shower. Don't do smoking and Chat Doctor. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello my name is jade i am 18 i have a daughter who is 13months i have some sign of pregnecy i went to the doctor and they siad i was but dont no how fair gone i am i have to what for a scan 1.my wee hurts but dont have a wee infection 2.my have disscharge coming out of my belly button 3.i am having sharp pain going trough my belly button like pulling pains 4.and i keep getting little kicks in my belly could it be the baby or could it be mussels please help me as i am scared thanks", "output": "Hello dear, I understand your concern. The accurate age of pregnancy can be known by ultrasound if the actual dates are not available. Here are the answers for your questions:-1)The discharge and pain through belly button could be due to infection. So you might need any topical or oral medicines.2)The fetal movements are perceived around 18 weeks. As it is your second time it can be easily differentiated from the muscle cramps. The muscle cramps are painful and fetal movements are not painful.3)And once the ultrasound is done you can know the accurate gestational age, and it helps us to know if they are movements or muscle cramps.4)The pain in vagina without infection might be non-specific. It will subside. If pain is severe take paradox. And avoid intercourse. Hope this helps. Best regards..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello sir, my one month old baby have billirubin level at 16 when i tested now, i went to gastronterologist they gardenal 30mg 1/4 tab a day for 10 days , i just want to know is there any serious ,pls ans the query i was totally worried about this i dont know what to do further.", "output": "Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Not to worry. As the liver is still developing bilirubin will be high in babies.2. If it goes above twenty, it might require intervention.3. Along with medication, exposure to sunlight will reduce bilirubin faster. Be careful, that there is no sunburn due to excessive exposure. It will reduce faster. Not to worry. Hope it helps. Any further queries, happy to help again." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Morning time when I sit in latrine and give some pressue,some white liquid comes out through my penis.Sometimes lt happens in the day time also when I go to latrine.I have been suffering from this for four years.l have lost my sex power also. How will l get cure and get back sex power ?", "output": "Hello Mild leakage of semen is a common phenomenon during straining. It may be due to constipation. You should take plenty of fibers in your diet. Try to increase your physical activity also. Laxative can be taken for short term. Mild leakage of semen is not related to decreased sex power. It is psychological. Semen is just like other body fluids e.g. tear. It is replenished quickly in our body. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, im 14 year old boy and im scared that i have a PEYRONIES disease (i think about 2 years i have it) and i know its rare disease especially at my age, but i have a proof, my penis is little bended at left side and on my left side of penis is like some large scar like some smoth skin and when you look at it you can see diferences between normal and that skin.And i had phimoza but i did got circumsised a year ago beacause of phimoza.But i think beacuase of phimoza i did got infection and it caused payronie disease (when i had phimoza i couldnt even see my glans and couldnt wash it,...) So, what should i do? Will it affect my penis size? (beacuase i have small penis about 3.5 inches when erect).Can i do something with out going to doctor? Please, Help me! Im really concerend about this.And thanks.", "output": "Hello, PENIS CURVED towards right or left or downward is always normal and this can be seen with the majority of people. This mostly happens due to masturbation. People who use the right hand for masturbation, their penis will be curved to the left and the opposite with left handlers. There are other reasons too. This phenomenon is quite normal and there is nothing to worry. In fact, the curved penis will give you more pleasure when you engage in vaginal intercourse than straight penis simply because curvature provides more friction. Enjoy your curve. I suggest online sex education. Therefore, I suggest consulting a psychologist for physical examination, diagnosis and treatment. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am having heavy hairfall which is not stopping at all. I am diagnosed with Hypothyroidism. And I am on medication (Thyronorm 125 mcg). Apart from that I am taking Finasteride 100mg (Finpecia) and Minoxidil topical solution. Still hairfall is there.", "output": "Hello, Welcome to Chat Doctor. You have not mentioned your age/ sex and duration of treatment. Hypothyrosism itself can cause hair fall. If you have been diagnosed recently, it will take some months for the hair fall to come back to normal. Minoxidil and finasteride take 2-3 months to start acting and to show results. Do continue the medications. Other options to consider are microneedling/ monotherapy, low level laser light therapy and peptides. Hope this helps you. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son is 5. For the past few months he has had a reacurring cough and it sometimes turns into a cold. The cough just doesnt seem to go away. He says he feels fine and doesnt feel sick when I ask but he is always coughing. He is also congested. Sneezing and a runny nose. I am very worried but have no insurence at the momment and cant afford to go see a doctor", "output": "HI, thanks for using Chat Doctor He likely has rhinosinusitis due to allergies (most common cause) with possible intermittent episodes of worsening due to becoming sick with the cold. Rhinosinusitis is inflammation of the nasal passages and sinuses. It would be associated with the symptoms that you are describing. The treatment would be: (1) avoidance of the source of the allergies if known. Different possible sources such as dust, food, pollen, animals(2)using topical steroid nasal sprays such as alone, escort, Flonase(3)use of oral antihistamines hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Sir, I ve had unprotected sex with my Wife thrice in a month and I ve taken an I pill after 20 day (2-pill),and now we are planing for Baby, she is pregnant .....my Question....I-Pill any effect in baby (4 week -1month baby) Request you pl. advice Regargs, Paresh", "output": "Hallow Dear, Your wife have taken I-pill after the day 20 of the cycle. After that if she has got menses, and now she is pregnant in this cycle, the medicine has already left her body, and you need not worry about its ill effects on the baby. Even though she has conceived in the cycle in which she has taken I-pill, she need not be worried. I-pill contains progestational medicine. Progesterone is needed for the stabilization of pregnancy. Moreover, the dose of progesterone in I-pill is not very large enough to cause any ill effect on the baby. I hope this helps you. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im 28 years old. Married for 4 yrs now. Trying for kids but couldnt conceive. Im 5Feet 3 Inch long weighing 67.5 g. My periods are not regular and my Dr. has diagonized that I have Thyroid & PCOD. Im taking Eltroxin 50mcg everyday early in the morning and now it is in control. But my Dr. asked me to continue having it till I have my baby. Taking Glucophage 500gm thrice a day. Recently I had undergone HSG Test and the tubes were fine. We have got my husbands spiemen checked and found that the sperm count is low. He is using COQ Forte. Im under medication since 3 years now but still havent got my pregnancy. Can you please suggest me what to do as we are deperate to have a kid.", "output": "Hello, Welcome to Chat Doctor. Thanks for writing. I am Chat Doctor. I have read you question completely, I understand your concern and will try to help you in the best way possible. You have thyroid issue and also PCs so both causes chances for low fertility but the is nothing wrong like both r treatable condition like you are taking medications and it will be fine you just need to keep faith and be calm and street free and have healthy diet also you husbands low count kinda makes it double trouble to cocaine but if he is on regular medications he will be fine and hope fullybyou will have a baby soon just keep faith and hang in there you will have good news soon I hope this answered your question. If you have more queries I am happy to answer.Otherwise, rate and close the discussionRegards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have an 8 year boy who had a bowel abstraction and know complains of perching pain on different parts of his stomach area. He has had all the test done EKG ct scan ex rays he had an ultra sound test today. We live in the er lately and were looked at like crazy people. What else should we ask for", "output": "Hi.... I think your kid is having habitual constipation. I have certain questions and suggestions for you. Questions:1. Did your kid pass motion or meconium on day one of life?2. Since how long is the kid constipated?3. Does the kid have any bleeding along with hard stools?4. How much milk does the kid consume per day?5. Does the kid eat fruits and vegetables (fiber diet) appropriately? Suggestions:1. Natural methods are the best to relieve constipation.2. Constipation is a risk factor for UTI3. Maximum milk consumption per day should not exceed 300-400ml4. Minimum 3-4 cups of fruits and vegetables to be consumed per day5. Toilet training - that is - sitting in Indian type of lavatory daily at the same time will help a lot. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. Wish your kid good health. You can approach me at the following link. Please find the link below.www.ChatDoctor .com/doctors/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "This is asked for my mom,who is 47 yrs old..She is having a fever for 2 days.Along with fever,she is having headache,sore throat,back pain,abdominal pain ,body pain and she fainted today morning.What could be the reason.I am really scared.Please help me Doctor", "output": "HIT hanks for posting your query. Don't be scared. This is just infection of throat. Throat infection could be due to Viral or bacterial Infection. Most of the viral infection will last for 2-3 days and shall subside on its own. Till then, I would recommend her to do Salt water gargling 3-4 times a day, Chat Doctor. For pains HSE can take Tylenol. But if the symptoms persists even after 2 days its better she consults a doctor as there is a high chance in that case for the infection to be Bacterial. For bacterial infection the doctor will advise a test called Throat swab Culture sensitivity which will tell what is the right antibiotic for her. Once the antibiotic is started everything will subside in 2-3 days. Hope this information was useful to you. Any clarifications feel free to ask." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my mom has miliary tb she also had a epidural abscess which was drained by performing a burhole surgery then after 2 months she ahd ostiomolyties on the skull bone which was also removed ... now she is doing good...i just want to know is miliary tb complitely curable even after having so many complications..", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Milliard TB is aggressive form of tuberculosis. Aggressive in terms of spread and involvement of different organs. With effective anti-tubercular Chat Doctor. Since your mother is improving with current treatment, no need to worry. She will definitely improve. Just finish the total duration of treatment. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi ... I have 146 cm3 cyst on my left ovary, no symptoms at all , the doctor said it seems like a chocolate cyst ,Im married and trying to get pregnant ..Im scared of the Laproscopy and risks.. is there a danger or any risk like miscarriage or pain If I got pregnant without removing the cyst ...please help Im so confused", "output": "Such large cysts may interfere with pregnancy. But for importantly it can rupture anytime causing acute emergency and pain. In that case, surgery would be needed immediately. SO, it's better to have laparoscopic cyst removal and at the same time we can check the status of your tubes and ovaries and tell you whether there is any other problems related to delay in having conception. Laparoscopy has very few side effects and so please don't worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hai Dr, I would like to intimate you that i have fungal infection around my pennies and it comes not always , at times i could see ,,my skin is getting dry and white patches around that. During that time if we wash that it will be wiped off. So kindly advice me a solution for this dr.", "output": "Hello, Welcome to Chat Doctor, Your history and symptoms are suggestive of fungal infection, and it is more common in the genitals, as they are the normal comedians of this area which will be kept under control by helpful organisms. Whenever there is an imbalance in the environment it will produce its symptoms. I would suggest you to follow1. Keep they are clean and Chat Doctor. Topical application of antifungal cream like Ketoconazole cream3. Oral single dose of Tab Rifleman, 150 mg.4. Oral anti histamines. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor ! I m Rajiv from Digboi age 25 i have stone problem for the past 1 years at first i have 3 stones so i under went doctor advice and they treated with kmac syrup and cystone table for 2 months then later i get cured . Before 3 months i scanned in that they told me now in that 3 stones 2 were gone away and now 2 were still present in right side of the kidney .But from last month onwards i feel pinching in the right side of my stomach. pls give me some suggestion .", "output": "helloThanks for query. Based on your statement it seems that you have two stones in your Rt kidney. You have not mentioned size of the stones. If the stones are smaller than 8 mm and non obstructing in nature you can expect them to pass out through urine spontaneously. Following measures will help to pass them out 1) Chat Doctor. This helps to dilate the ureter and there by help to move the stone down without pain 3) Take Tab " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "its a lump or a bump right next to the anus hole(its external), and it looks pinkish, like a large whart, Its about the size of a pea, and it literall feels like there is a pea in this lump. I can move it it around a little. It dosnt hurt, sometimes there is a little blood. I noticed it about 3 weeks ago, and it doesnt seem to be getting smaller.", "output": "Hi. Thanks for your query and an elucidated history. Yes, your observation is so right. This looks to be an organized small abscess. IT becomes painless and moves freely. You can leave it alone to be healing on its own or consult a surgeon to confirm and may be got excised to avoid any possible complication later on. This is the area under friction and movement all the time to walk, sit and work. So why to take chances ?" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Sir, I am 24 yrs old, married woman. I am 17 weeks and 2 days pregnant. I have done complete health check-ups related to pregnancy but I am slightly overweight before pregnancy itself with large hip size. I would like to know if I can have a normal pregnancy which I very well wish to have.", "output": "Cellophane you for the query. I understood your question completely. Only on the basis of weight we cannot decide that it can be normal or LCS delivery. And slight over weight does not make much difference. There are other diseases associated with over weight like heart diseases, diabetes, hypertension, which can be contra indicated for normal delivery. Also, the contraction of uterus and effacement of cervix during labor are the criteria to take the decision for normal or LCS delivery. You mentioned all other investigations related to pregnancy are normal. I am glad to hear that. I hope I cleared your query. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m not sure if you can help me or not. I ve had lower abdominal pains which have worsened over the past three months. I was in hospital six months ago with an infection which was diagnosed as a sizeable cyst of 4inches on my left ovary but nothing was done and I wasn t given a follow up appointment. Since then, a similar pain has developed but worse on my right side which some days leaves me doubled over and a pain in my lower back started about a month ago. The pain in my left side is more of a dull ache which never goes away but the pain in my right sometimes is a sharp, burning pain. Some days it feels like extreme period pains but I never used to suffer during that time and now I m sometimes bedridden for a couple of days. I m not sure if its linked. I finally plucked up the courage three weeks ago to go and see a doctor who took blood tests. I d been told to go back this morning for my results. Unfortunately, the original lady doctor I d seen has since left the surgery and my appointment this morning was with a male doctor. He told me my levels of CA125 were 67 and although slightly elevated, it was nothing to worry about. He has arranged for a pelvic ultrasound in three weeks. However, he has ruled it out as anything to do with my ovaries and is suggesting that because of the pain in my back, it could be something called Scoliosis . He has also referred me to a musculoskeletal Clinic for an assesment. I ve never had any problems with my back previously. I can t see how this can explain the severe pains I m having and why this wasn t explored further when I was in hospital. I also can t find anything on the internet about what the level of CA125 should be? Should I get a second opinion or just wait for three weeks till my ultrasound? I d refrained from getting worried or reading anything on the internet till just now because what the doctor said, doesn t make sense. Now I m concerned that some of the symptoms of ovarian cancer are symptoms I ve had over the past couple of months. I m 31 yrs old and have never had children. I am asthmatic though and my recent cervical smear came back clear as did the other blood tests they did for thyroids etc. I m sure though that after I d told the doctor how I was feeling he would ve mentioned it as a possibility but he didn t mention it at all. Any advice you can offer me would be greatly appreciated.", "output": "Hi and welcome to Chat Doctor. It usually very difficult to determine is ovarian cyst malignant or benign. These cysts are most commonly benign, and it is recommended to do frequent check-ups and evaluate dynamics of growing. Malignancies grow much faster and infiltrate surrounding tissues. There is really no better approach then it was recommended in your case. There is a possibility of laparoscopic biopsy, but it is invasive. I suggest doing these ultrasounds and if something suspicious is founds then it can be easily removed. CA125 is confusing many women. This is a tumor marker, but is also found in endometriosis, benign cysts, PID and some other intra-abdominal tumors and disorders. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "A few days ago I had, at least I think I had, a very painful hemorrhoid. I first felt it on the Wednesday. By the Friday the pain was unbearable. In the early hours of Saturday morning I felt the need to go to the toilet. During this bowel movement I think my hemorrhoid burst. There was quite a bit of blood, but I was able to clean myself up. The pain was almost immediately gone. However since then I have felt a strange numbness in my groin area, which has got better over time. My anal crack is becoming quite sore and constantly damp. I put a bit of tissue paper between my buttocks and 1hour later the paper was sodden with a kind of yellow pus. What the hell is happening?!", "output": "You may have had an abscess rather than a hemorrhoid. These can burst, in which case the pain is promptly relieved. There could be some bleeding and there would be pus. Or you did have a hemorrhoid and the burst area has become infected, and you may be developing an abscess. In any case, it appears an infection has developed which will likely require antibiotics and perhaps some minor outpatient repair. Have it checked by your doctor or at urgent care. This is a bad area to have an infection in, and it can spread fast and get inside your body, so get seen soon. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi docter, i have been trying for pregnancy since one and a half year.I had Polycystic Ovarian problems. i tried allopathy medicines for some time[like myotol f,siphene,susten etc].I stopped that now and am using ayurveda now.my docter says that i am alright now and he said that lack of lubrication is my problem.and the sperm is not reaching the ovum.can i use any lubrication measures?can u suggest some.", "output": "Degree understand your concerns went through your details. Normally, a man ejaculates anywhere from 40 million to 300 million sperm. A count below 20 million is considered low and unlikely to result in a pregnancy without major high-tech help. I definitely hope with the help of treatment, you have good sperm count. Normally male semen contains enough lubricant to assist the forward journey of sperm cells. Otherwise, There are sperm friendly lubricants available in the market. You should consult a gynecologist with your wife to get one prescribed. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a dark purple lump on my stomach and underarm, have had them in the groin area before. I am getting severe headaches and random pains in my arm, leg, knees. I am extremely tired and suffering night sweats thought I was getting the flu but this has been going on for over a month now.", "output": "Hi, I would need to know your age and sex to analyze the problem. You should see your Physician whenever possible. You should get evaluated for possible connective tissue disorders and get relevant investigations done like ESR, CRP, Complete blood count, etc. It could be one of many things, but it would be difficult to say without examining you. Take care and do let us know if we can help you further once you have had the investigations done. Take care, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a very small lump on the bottom of my rib cage on the right. It moves a bit, but it hurts a lot. It looks like it s a bruise because it s black in color, and when I squeeze it blood and pus comes out. Once I squeezed it so hard that something like a half hardened booger and slimy and wet pops out with blood. It s flatter now, but still hurts and blood and pus still still comes out. My friend warned me it might be an early sign of cancer and I m really scared. Can you tell me what it is? Thank you.", "output": "Hi! Good morning. I am Chat Doctor answering your query. Even though your history of the lump with pain does not indicate the likelihood of a cancer clinically, the diagnosis of a cancer is not done solely on the history and clinical examination. If I were your doctor, I would refer you to a general surgeon who would examine you clinically, and with some routine/specific investigations might go for a FNAC/excision biopsy depending on his judgement. The histopathological report would be the final reporting on if it was a cancer or not and further management would depend on this. Till then, I would advise you not to fiddle with the lesion by yourself. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I feel sharp pain for about a couple of minutes in the left side of my chest right after smoking. I am 30 years old and 85 kg weigh. what kind of tests should i have done in order to know the performance of my heart. and is there any test that predict the probability of heart attack smoking related disease?", "output": "Hi Thrive read your query and understanding your concern. See, in young age It's unlikely to have heart disease until unless you smoke heavily, or you have very strong cardiac family history. Pain right after smoking doesn't indicate to have heart disease, but you can see a physician who can prescribe some routine test like your cholesterol level, hectogram, ECG and Echocardiography to check your heart function. To avoid Heart disease you should avoid smoking. Because the more you smoke, the more calcium deposits in arteries and can be reason for heart attack. Hopefully I answered all your queries Good Luck" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I was playing tug-a-war with my dog and she accidently bit my ring finger trying to get her toy from my hand. I have several areas that blood blisters immediatly appeared (near nail and joint; palm side), one small puncture (side half way from the joint and tip) and my finger is fairly numb. My finger is pinkish purple and swollen (this happened about an hour ago). My dog is up-to-date on her shots. I am curious if I should go see a doctor or wait to see if the numbness goes away. I was thinking it could just be numb from swelling. What type of care should be given for the blood blisters? As for the small puncture, I washed it out immediately and applied ice to the finger right away. It was numb as soon as it occurred. Is it possible I may have nerve damage or any fractures?", "output": "Hello, Welcome to Chat Doctor, Rabies is 100% fatal, but it is 100% preventable by proper and adequate treatment and this is transmitted by dog bite. As you were accidentally bit by a dog while playing over ring finger which led to blood blisters and one small puncture wound on the finger. The dog is completely vaccinated against rabies. The first aid treatment was given by washing the wound which is the first thing to be done following the dog bite. As I have explained earlier rabies is a deadly disease which should not be neglected. For your condition I would suggest you to follow.1. Active immunization with antirabies vaccine on days 0,3,7,14 and 28.2. Passive immunization with Rigs around the wound. If there is a heavy bleeding the wound can be sutured after this.3. Oral antibiotic like Tab Autoclave, twice daily4. Topical Metro ointment. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "grand daughter age 15 - been complaining of having no energy, tired, headaches & dizzy spells and now unexplained bruises which seem to have a white middle with bruising around outside ?? been to her gp this morning and has to go back on thurs for bloods - no indication what it could be, any ideas please ?", "output": "Hi. Unexplained bruises may be because of some defect in her blood clotting mechanism(either platelets or clotting factor defect). It can also be due to some infections, autoimmune disorder or rarely malignancy(blood cancer) . Also, her tiredness etc. can be due to Anemia which may be because she is loosing blood because of clotting mechanism. Whatever be the cause it needs thorough investigation and treatment will depend on what the cause is. Specialist consultation will be needed most probably after your GP gets the blood reports. In the meanwhile she has to take rest at home and avoid exertion. Also, please tell her to check how her urine and stool color is." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi im pregnant for the 3rd time.my previous pregnancy i had complications had pains had to have lacroposcy as thought i were having eptopic but happened to be twins. im now pregnant again to the same father and am having pains again im only 2-3 weeks.can u give me advice on wat it could be.", "output": "HI, I understand your concern. You are scared of pains because of your experience. But please understand it need not be the same condition in every pregnancy. Mild cramping is normal in early pregnancy But if its unbearable you should consult your treating gynecologist. Inform about your experience. I am sure with some hormone replacement & pain relieving medicines you would be alright. Again diagnosis of position of pregnancy can be by USG with vaginal probe at 5 weeks pregnancy. So, do not be tense but be careful & take doctors help to alleviate your problem positively. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been diagnosed with lots of gallstones, I am in constant pain not just pain when I eat. I have had 5 attacks in 8 weeks. I also had a blood test 6 weeks ago whicChatDoctore back abnormal and my dr said that it s only alcoholics that have this abnormal result. I do not drink alcohol. Also I am now experiencing flutters/ spasm feeling in my gallbladder area is this normal?", "output": "Hello Gall bladder calculus may cause variety of symptoms. You should go for definitive treatment of gall bladder calculus. Definitive treatment of gall bladder calculus is surgical removal of gall bladder(cholecystectomy). Gall bladder calculus is prone to infection and obstruction, so it is advised to get rid of calculus early. Increased liver enzymes may be due to many causes including alcoholism. It is important to know which parameters are raised. Flutters/ spasm feeling in gallbladder area is not normal. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Two of my disks in my back bulged, ripped and one slipped a few weeks ago. After taking a pregnancy test that was negative, I was given an epidural steroid back injection procedure with X-ray and all. I had been on muscle relaxers (2 weeks), a nerve blocker (3 nights), oxycotton and rx dose Alieve (2 weeks). I found out I was pregnant during that time but it was too soon to test yes. How much effect could this have on my baby?", "output": "I welcome you to Chat Doctor .com. As far as pregnancy is concerned---yes---in this way you may get pregnant as sometimes the pill you took fails to work 100% as we wish it should have to do. Chances of failure are always there in this method of contraception with morning after pills. Kindly go for a Laboratory pregnancy test after two weeks of your first sexual intercourse. Consult your nearest ORGAN for proper evaluation and interpretation of the lab results. Sometimes periods get delayed due to hormonal and other environmental factors and a delay of 11-12 days is taken normal. Hope it was all you needed the answer for. Have a nice time ahead. Healthiest Regards!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dr. Thakwani We were told today that my mom has stage 4 cancer. It is in her lungs , kidney , abdomen , bone , lymph nodes , & a mass in her arm. I believe is is non small cell ; surgery is not an option. She starts chemo tomorrow. Now we have been told that this is not curable , but that it is treatable. They are still giving her hope though ; so you can see why I am confused. She is 57 & other wise healthy. She had lost quite a bit of weight , but as gained back a couple of lbs. She is a little weak & requires lots of rest most of the time , but she does have her good days. My question to you is , do you think this is terminal or not? If so , how much longer would you say she has?", "output": "Hi, dairy have gone through your question. I can understand your concern. She has non-small cell cancer of lung with metastasis in kidney, abdomen, bone, lymph node and arm. It is stage 4 cancer. Surgery is not useful in this stage. So treatment options are chemotherapy and radiotherapy. But it will not cure the disease. It just works as palliative therapy. Despite all treatment prognosis remains poor. Life expectancy is not good. Sorry to say but it is fact. Consult your oncologist and plan accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was hit in the knee with a softball 10 days ago. The calfl muscle is still very sore to the touch and I still can t walk correctly or run at all. I am 64 years old, in good physical condition and play softball 2 times a week.I have been icing the leg and taking motron.How long should it take for my calf muscle to stop hurting and loosen up?", "output": "Hello, Well the first thing to do is stop the icing and use heat. A heating pad or soaks in a bathtub 2-4 times a day. Ice can actually delay the healing. It really depends upon what sort of injury you had. If you had a tendon tear it can take months to heal. If it is a joint injury and is just sore from the swelling then it should clear up in 4-6 weeks. If you think it is not healing properly then see your doctor. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a lot of anxiety and I m not for sure why, ive been feeling dizzy and I feel like I m going to pass out when I walk. I have rapid heartbeat and it goes faster when I stand up, please help me understand whats going on, thank you. I ALSO HAVE ANXIETY AND DEPRESSION AND I TAKE MEDICATION FOR IT.", "output": "Hello! Welcome to Chat Doctor ! I have gone through your question and understand your concerns. It appears like your suffering with generalized anxiety disorder. Also, you added that you're taking medication for anxiety. In my opinion, I feel that the dose that your actually using may not be sufficient. I suggest you to 1) Escalate the dose of the Chat Doctor. Most commonly, Anxiolytic are prescribed. It includes SSRIs or TCAS. Benzodiazepines too can be used to stop the attack.2) Counselling techniques like cognitive behavioral therapy, systemic desensitization and biofeedback are also useful.3) Daily practicing stress relieving techniques like: lifestyle modifications, regular physical activity, relaxation techniques like mindfulness and meditation also help in reliving anxiety. Hope that clarifies your concerns. Thank you for the query. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi There, I have a query about my 10 month old baby boy? When I changed his nappy this morning, his stool was full of mucus and stringy like snot, then when I gave him his bottle he brought the whole thing up as soon as he finished. Then when I changed the next nappy before his nap, it was green and lots of mucus again!!!", "output": "Hi, It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been prescribed minitran for blood circulation to my foot, because of scleroderma ulcer by internationally known wound specialist dr. A Sibbald in toronto. All info says to avoid leg, he is out of country. Why not to leg?????? Also most pain is at nite and I am using it from 12pm to 12 am . Put on foot/leg as directed Carol farkas Phd", "output": "Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Application to leg, possibly can cause vasodilation in the legs, leading onto pooling of blood and hypotension.2. Wait for your doctor to return before starting. If started, and if you have dizziness, need to avoid it.3. Helps in ulcer healing faster, can continue, if no side effects. Hope it helps. Any further queries, happy to help again." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I have an 11cm fibroid and am awaiting a hysterectomy. I have severe lower back ache on the right side and wondered if this was linked and is there anything I can do to ease it. No tablets seem to help. I also get a shooting pain in my pelvis and down my leg. Thanks, Sash.", "output": "Hello, I had gone through the case and found that this pain might be pressing of sciatica nerve. During hysterectomy, doctor gives spinal anesthesia, which some time causes puncture of nerve. So go for CT or MRI of lumbosacral vertebrae and diagnose the cause and also take Vitamin D3 and Vitamin B12 blood test. Treatment is to take nerve strengthening capsule, take physiotherapy message and do leg exercise. Hope my answer will be effective for you. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a suffered from acne all my life .. 21 years old and im still not able to get a clear face.. my face has a few pimples here and there and mostly its red or pink scars all concentrated on my cheecks and chin .. i have tried many medications but it would only clear while im on medication and as soon as im finished acne would come back.. my face is oily but with some creams like isotrexin my face gets really dry red and itchy.. i have just started taking clarithromycin 250 mg twice daily for a week but i was woundering if i should be using any other medications like retin-a or clindamycin gel and if i can use any kind of bleaching creams .. my face has become darker in the past while.. thank you", "output": "Hi, Hope you are doing great. Meet a dermatologist and discuss the possibility of rosacea along with acne. The two conditions may coexist. Use a broad spectrum sunscreen with an SPF of 30. Apply every 3 hours. Wash your face with lukewarm water. Do not use scrubs. Always pat Chat Doctor. Use a mild cleanser like detail. Use a cream containing Darlene/clindamycin/ atelier acid/glycolic acid. Any of these creams can cause irritation, use a moisturizer like detail to prevent it. Hope this helps you. For more personal advice I need to see your pictures. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi Me and my boyfriend were intimate about 3 weeks ago without protection but i am on birth control. Lately iv been extremely tired and emotional (which usually am not) and iv gained about 7 pounds in a week (which is very unusual). I think i may be pregnant, but the home pregnancy tests say negative. What does it sound like?", "output": "Hi Hope this message finds u in good health. I have gone through your msg and understand your concern.it may be due to some sort of hormonal imbalances or variations in the body, though there may be other reasons as reclothing to worry about, You should eventually get back to normal. Take multi vitamin and calcium supplements Do consult a gynecologist if symptoms worsened back to me for any FOLLOW-UP QUERIES anytime. Chat Doctor. .(MBBS, MS,MCH)" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had symptoms of a water infection but results came back clear on four occasions. Regardless, doctors have given three different types of anti biotics which haven t worked. I am in agony and have been so for nearly six weeks. My bladder feels raw but dip tests don t show blood . Nine weeks ago I found out my husband had been cheating on me though we were about to start fertility treatment to have a baby. My doctor has given me citalopram (20mg) and says my symptoms are caused by shock and stress and that the stress is manifesting itself in this way. I m worried it could be something more severe which is being ignored. Please help x", "output": "Hi there, thanks for asking. Bladder irritation could be as a result of combination of several things or just one thing. It could be related to infection as you mentioned. It could be related to stress as the doctor has mentioned. Furthermore, it could also be related to the side effects of citalopram. Furthermore, it could be also due to all of them. If it is related to the medication, you can decrease the medication to half a dose after consulting with your doctor for several days. If it is improved you will know that it is related to that. Then he can give another medication which does not have this side effect. Best wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my daughter is 12 years old she was hyperactive and restless all her childhood suddenly one year back she hrain ,spineas spsticity in her legs which progressed badly now she uses scrtches for lack of balance MRI scan for brain,spine and lower limbs are normal", "output": "Hello, May be trauma to the spine or motor area of brain may cause spasticity. Other possibilities like upper motor neuron lesions or b 12 deficiency or neuromuscular junction problems may present like this. Until examination is done it is difficult to say what it is. Do regular physiotherapy and good nutritional support she may recover. Don't worry, but please consult with your neurophysician he will examine and treat you accordingly. Take care. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my baby is 5 months old. She is suddenly caught fever and seems to have high body temperature. Can I give the Dolo drops for the night and take her to the doctor tomorrow morning? Is it safe to give dolo drops without consulting doctor just for the night and see if temperature reduces? A very quick response would be appreciated as it s mid night for me and would need help immediately. Thanks in advance.", "output": "Hi.... Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15\u00a0mg/kg/dose (Calculate according to weight please - Solo Chat Doctor. I suggest not using combination medicines for fever, especially with Paracetamol. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am a goth and have always been a little jealous of others in my subculture who have the flawless, very pale skin (without makeup) all over their whole body. Are there any natural remedies that I can try at home to lighten my skin a few shades? Ive been trying to find some online and have come across several, but I need help separating things that will work and things that could potentially be harmful. Some of them were lemon juice and papaya masks. Could you help me please?", "output": "**1. It could be genetic, so Initially do visit a dermatologist/cosmetologist, prior to any alternate system of medicine.2. Stay away from the sun during peak hours [11 AM to 4 PM] or ensure a good sunscreen applied on the area to limit damages.3. Sandal wood powder pack (rejuvenates skin)Ingredients:-sandal wood powder, turmeric powder, milk Method of preparation:-mix all the ingredients to form a paste. Apply this as face pack.4. Tomato juice is one of the best natural home remedy which has been used for years. The enzymes and acid in tomatoes have lightening qualities like lemons.PS. Take a proper guidance and follow up with a good dermatologist, get your vitamin B12 level checked, as its deficiency can cause darkening of skin. . To get proper result, you are suggested to use any face pack or cream for 3 to 4 months." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have recently been hospitalized with blood clots in my leg and 2 or 3 in my right lung. This is not the first time. I tire very easily. My chest and back will hurt and I will be breathing very hard. I also sweat profusely. My hair will be completely soaked.", "output": "Hello and welcome to Chat Doctor, Excessive sweating and formation of blood clots appear to be unrelated to each other. Clot formation in the legs suggests deep venous thrombosis and clots in lungs suggest pulmonary thrombosis. This condition may be acquired or congenital due to a mutation. Treatment of clotting in body is primarily anti-coagulants. Associated chest pain may be due to pulmonary embolism. Difficulty in breathing also suggests pulmonary embolism. Consult your physician for clinical assessment, investigations and hence treatment. Thanks and take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My sister has what starts as a rash and grows in what looks like a wart. It hurts, bleeds, falls off. Starts and spreads all over. She went to 2 doctors so far, no answers. She had multiple biopsies, nothing. It has spread over her back front arms and now legs. No clue...I am going with her to another dermatologist. I need to have an arsnel of questions. A allergist wouldn t do a thing because she was so enflamed from neck to buttocks. She colors and perms her hair often, she re entry traveled to Mexico (Thanksgiving) and it started late November early December. By Christmas she had the biopsy done. Any thoughts?", "output": "Hello, This itching rash can be due to two reasons 1 Some people develop allergies for the metals used in hip prosthesis. . You haven't mentioned what type of prosthesis was used. But it is one possibility. 2 Other possibility is Chat Doctor. You haunt mentioned prior allergies. Allergy agent is different from one person to the her. You can't have allergy for celecoxib just because your neighbor is allergic.3 herpes zoster at a dermatome level. Reactivation of varicella zoster virus But after your doctor with" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am training for my first marathon, and have been a runner for 10+ years now. I have started to get knee pain and sometimes a dull throbbing in my left knee. I find it starts hurting around mile 8-10, and then sometimes after doing other cardio. I do strength train as well. Would like to know if there is anything i can use to put over my knee such as bands or something to help alleviate the pain.", "output": "I understand your complaint. The mentioned symptoms mostly due to muscle, ligaments or tendons spasm. This is usually in athletes and during heavy exercise. Applying band around the knee is useful. Take non-steroidal anti-inflammatory Chat Doctor. Applying creams for muscle spasm and analgesic on affected site twice daily for also 10 days. Take rest for one week and decrease exercise in this period." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doctor my name is chiranjiv n my son is 1 yr 7 mnth old n he every mnth sufers 4m cold n cough. even he was hospitalized 4 this. now whenever he suffers 4m cold n cough we nebulize him with asthalin n budecort .n after that he feels good.so i want to know that is it harmful for my son??", "output": "Welcome to Chat Doctor. I have gone through your query it will be related to allergic cause. I would like to ask some question to reach nearer to the cause, _have this increase more with weather change?_has fever during cough and cold?_any breathlessness or any type sound from chest?_what is duration and frequency of these symptoms ? Recurrent cough and cold are symptoms It's to be hard to control.identify allergic substance which one get his symptoms increases , avoided it. Do allergic test for airborne allergy and some food allergen .this will helpful to find out cause of symptoms. About nebulization no any harm from continue using nebulization.nebulization with Stalin and decor is helpful only when wheezing sound in chest, breathlessness. When above symptom will be present then u will be using nebulization.Stalin have some side effect like tremor, tachycardia, hypokalemia. Consult pediatrics chest specialist if any sever problems. Hope I answered your query, any further query don't hesitate to ask me .regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I started taking Welbutrin for depression last Tuesday and I am experiencing problems sleeping, anxiety, and my mind seems like its going like a freight train. I am overwhelmed by everything, worrying about everything and I would just like to know if it could be caused this soon by the Welbutrin.", "output": "Hi sir/ madam, Welcome to Chat Doctor, I can certainly understand your concern towards your anxiety symptoms, yes there is some data that bupropion (Wellbutrin) may cause some anxiety, so there is a possibility that your anxiety could be due to that, it takes some days to get adjusted to these effects, you can start on clonazepam along with this which helps in decreasing your anxiety and regulating your sleep, hope this information would help you, please post your further questions if any, I will always be available to take up follow questions, thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am 12 weeks pregnant and got a urine test done. The result shows luecocytes 2-3 hpf and Epithelial cells 2-3 hpf. Rest of the results show negative with ph- 7 and Specific gravity 1.005. I dont know what to interpret from this report, do I have a urinary tract infection which needs to be treated with antibiotics?", "output": "You have what is known as asymptomatic bacteria. This is a urinary tract infection (UTI); however the patient has no symptoms. Asymptomatic bacteria in pregnancy is a very serious condition and up to 30% of pregnant women with this condition develop acute pyelonephritis (infection of the kidney). Therefore, it should be treated even if there are no complaints. Nitrofurantoin is the recommended antibiotic, and it is safe in pregnancy." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am 26 years.. male. today i go for medical check up in my company hospital.. and found my heart beat is 86 per minuts and my BP is 130/100... is it danger...??? our doctor tell me for check up my BP regularly... pls tell me all about it in details.. i am not smoke nor drink.. i have also migraine headache problem..", "output": "Hello, BP of 130/100 is high, but there are other reasons to it. Did you rest for about 5 -10 mins after reaching the doctor and then checked BP? Because if not then your BP will show increased Valletta is an entity called white coat hypertension in which BP goes high while checking BP but otherwise its normal. Are you overweight? If yes then also it can cause increase in your BP. I would suggest you to check BP at your local doctor or better at home in resting condition. If that is high you need to modify your lifestyle in eating healthier food and exercising regularly. If you have any more query kindly revert me back. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my 78 yr old mother takes xareltto for long term AF. She currently has severe dental pain. Its sunday and she has appt for root canal treatment tomorrow. She hasnt taken her xarelto since friday, as the last dental appointment resulted in axcess bleeding . What is a safe strong pain killer for her to take now until her appt. She has some endone tablets left over from a previous occasion some time ago, but is itsafefor her to have them? We are in Australia. Thanks Laurie.", "output": "Hello Laurie. Thanks for sharing your query. I have gone through your concern, and it seems that the tooth which is paining and advised for root canal is carious one and the treatment is started to remove the pulp so bleeding occurred in last appointment. Bleeding in excess can be because of underlying infection or the medicine Carlito also causes unusual bleeding from wound. I would advise you to consult her physician before stopping with the Carlito medicine and taking painkiller. As painkillers like Undone can increase the bleeding. Take Care. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor im 31 my problem started like i felt burning when urinating then later i developed a bruise which is now large on the head of my penis (glans) and on the bruise a white or creamish layer develops and i clean it when bathing, on all the stds tests that i did at the hospital where negetive, but i was given some antibiotict and they seem not to work coz there is no change of improvement what really might it be", "output": "Hello Thank you for trusting Chat Doctor Usually, there will be a white creamy layer on glans penis (rounded head of the penis), is called Sega formed by a combination of shed epithelial cells, oily secretion from glans penis and moisture. Formation of Sega is normal phenomenon. But it is associated with rash, itching foul smell then there is a possibility of infection. Are you diabetic??? Since how many days you're suffering?? Have you using any Chat Doctor? What about culture of creamy layer, wet mount. Treatment :1. Till that time take Candid b gel for local application. 2.maintain good personal hygiene. 3.avoid new cosmetics may cause allergy. Consult your doctor if symptoms not improved." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dr. I lost so many hair after typhoid.. now my hair have become thin and dry. My hair were very soft and silky. But now i can see that i have very less hair on my head. I have lost around 30-40% of my hair. Please help me out and tell me whether hair lost due to typhoid will regrow or not?", "output": "My DearWelcome to Chat Doctor ! I have noted your details and concerns and hope that following measures will prove very useful to you as most of the patients that I see with similar complaints:Your problem seems to be a condition called Halogen Effluvium which is a diffuse thinning and reduced density of hairs sometimes after a fever or other illnesses. These hairs generally revert to normal as the time elapses. Several patients have reported hastened recovery after taking Biotin 10 mg daily. In your case, I would additionally recommend that take good care of your hairs by frequent brushing, avoiding vigorous message, occasional shampooing, and having a right mixture of dietary products. I am sure you will get relieved soon from the condition. Best wishes" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am a working men, working in a mnc from last 20 years. from last few days donot know why i have a fear of going to office, my blood pressure shoots up to 160/ 100 with a thought of going to office. normally my blood pressure is at 130/80. i am unable to understand the problem. my family doctor suggested to take 2 Librium tablets a day... but i think its not working ,,,as still after taking it for 2 -3 day the problem persist. plz suggest", "output": "Hello, any form of anxiety (in your case going to the office) will push in hormones like cortisol and more importantly a Chat Doctor. This hormone will result in constriction of the blood vessels and making your heart pump more vigorously pushing your blood pressure UP. By all means you will have to sort out the reasons why you have suddenly started hating your work. Remember stress will only harm your health and nothing else. Medication like Librium act as antianxiety pills and will help you tide over temporary crisis by calming your nerves. However, as I said you yourself have the answer to all your problem. Avoid stress, avoid blood pressure. Regards " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "First of all, i need to know which doctor sholud i consuld, i have a problem related with the foreskin. it is very tight and it has developed a ring like structure on the inside which actually makes it tight. it is impossible to retract it over the head. who will solve my problem - skin specialist, general physician or someone related to sexual health? Detail description : age 28, never engaged in sexual activity except masturbation,the skin used to pull back(still it was tight) when i was teenager, then sometime during college i developed this condition. the while white skin looks like dead skin. now there is some part of glans where the foreskin connects to the glans which also has become while in colour and appears dead. major part of foreskin looks healthy and the problem lies with little area only", "output": "Hello, MITOSIS is a congenital narrowing of the opening of the foreskin so that it cannot be retracted. Mitosis is a very common problem. In most of the cases you can clear the problem yourself. Mitosis could cause moderate to severe pain while having vaginal intercourse. Apply oil on your foreskin and on the glans. Move the foreskin forward and back slowly without hurting you much. Because the oil is lubricant, it will be easier than without oil. Do this forward and back movement 20 times several times in a day. Repeat the same every day for around one month. You will get the elasticity, and you will be able to retract the foreskin completely. In case if there is no result from the above massage, you can always go for a minor surgical procedure called circumcision. Therefore, I suggest consulting a skin specialist for physical examination, diagnosis and treatment. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had severe pain at the base of my Fith metatarsal and a small notice lump also I have had an MRI which says there is no fracture or tendonitis. It states though that prominent veins are noted within planter soft tissue extending proximal lay into the region of the posterior tibial veins with the appearances suggesting varicose ties and deep vein incompetence. HISTORY Pain noticed on holidays after long haul flight I did know the painful area on a table unsure if this is related. Base of Fith metatarsal in very tender I do not have any other leg or calf pain I am thirty seven years old and obese Could this be a dvt. Thanks", "output": "Hi, Dear,Good afternoon. Thanks for the query to my Chat Doctor online-clinic. I studied your query in-depth. I can understand your concerns.-In my opinion painful lump of 5th metatarsal-is plantar small- neuroma with varicose vein with incompetent deep veins-.-Advise-I would advise you to have FIDGET scan with radiotracer to rule or fix the DVT as the reason of the varsity causing pain in 5th meta-tarsal basal lump.-Consult a-ER Vascular-surgeon, who would remove the DVT issue you have.-Alert-A review with ER-Vascular-Surgeon for the steps to be taken with his advice is a must and urgently advisable in your case.-Hope this would resolve your worry-some query. Wellcome again to Chat Doctor. Have a good day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a second c section 7 months ago. Everything was fine, healed great. About a week ago, I started having some mild pain where the two scars met on my right side. It started swelling more each day & becoming more painful. Then, 2 days ago, the \"knot\" under the skin was about the size of a small grape. I pulled up on my stomach to see it better & the cyst exploded. Pus & blood literally shot onto my bathroom wall. Nasty. So I continued to push on the area around the hole & a ton of pus came out. It feels better now, but am unsure if I need to get it looked at by a doctor. Could the scar be infected this long after surgery?", "output": "Hi, I do care for your concern. Your history suggest of infected abscess. Although there is a little chance of scar getting infected, it may be due to general skin infection also.I would suggest to start on antibiotics i.e. cephalosporins and continue for full course of one week along with antacid. Consult your physician to know whether Chat Doctor. Hope I have answered your question, if you have more doubts feel free to ask. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "few days ago I discover some hives on several parts of my body like on my right knee, left forarm etc. because it is very itchy I applied a cortizone cream, the itch went away but after few hours it feels sore and its very painful and even before without the cream applied the hives becomes sore after few days. What causes this?", "output": "Hi, It may be lichen ultimatum most probably. There may be secondary bacterial infection due to severe scratching. Consult the dermatologist for the perfect diagnosis and proper treatment. I would recommend you to apply antibiotic cream like juridic acid cream and take a course of antibiotic for a week followed by a course of oral steroid in tapering dose. Take antihistamines till the itching subsides. Keep away yourself from insects which may be responsible for the disease. Hope this helps. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir,i am 23 years old.i use mesterbation by hand from 8 years,per week.my penis size is 5 inch.it will continue also now.pl sir tell me,have i face any sectual problem for this?i don t fell any wrong even now.i don t do any sex with girl.so i don t know ,am i do sex in long time.and i want to long time sex.have i any problem for this?and what i can do if any problem? and if there is no problem then what can i do to increase my sex time?pl sir advice me..please ..and i have no cradit card sir...please kindly inform me please as a human", "output": "HelloThanks for query. You had been indulged in masturbation since many years and now worried about problems related to sexual activities.First there is myth in a mind of common man that excessive masturbation is the reason of all sexual problems But I would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ or system in the body. All the problems that you are facing now are mind related and due to anxiety. Following measure will help you to boost up your confidence and getting good erection. And delay ejaculation.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc3)Take anti oxidants like Almonds 5-6 every day.4) Avoid alcohol and smoking. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a root canal on upper molar on a crowned tooth at end of 4 teeth bridge. I have had several crowns needing root canals but this one is in middle of sinus. Very low sinus on that side and I am so scared about having it extracted in future if need be because I cannot keep on redoing all my dental work. Who should pull tooth since it could leave a hole on sinus? I am very concerned", "output": "Hello and welcome to Chat Doctor, The damaged tooth in between the sinus has to be extracted based on the involvement and severity of sinus condition. You can visit an oral and maxillofacial surgeon regarding this. Also get the other treatments done. Maintain good oral hygiene too. Use soft-bristled toothbrush and desensitizing toothpaste to brush your teeth.get your teeth cleaned since chance of gingivitis is high in your case. Include vitamin-c rich food into your diet. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "ii had my wisdom teeth removed four to be exact. Pain is nearly gone same as swelling but now i have a very hard lump on my right jawline. Its hurts somewhat and is making my jaw feel heavy, hard time opening mouth wide what could this be? I am a hypicondriac so am i just over reacting?", "output": "Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have mentioned that you have undergone wisdom tooth extraction now you have swelling don't worry after removal of wisdom tooth swelling occurs. If your swelling last for more than one week then consult your dental surgeon again and go for oral examination. Do warm saline gargle two - three times a day. Hope this will help you. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear doctor, my cousin has undergone a surgery in oncology department.Docters told us she has a tumor of size of 3.2*2.5*1.7cms, along with tumor she has level 2 nodes one large and small which shows reactive hyperplasma,lymph nodes show negative metastasis ,cervical branch of facial nerve shows perineural invasion. They told that it is an adenoid cystic carinoma.Is it dangerous even after surgery and radiation.can you please say which level of tumor it is.we are afraid that it is a cancer,is it curable.", "output": "Hi there, This is a rare type of carcinoma commonly occurring in salivary glands of head and neck region. Lymph nodes are negative which is a good thing but in view of perineal invasion she would be most likely advised post-operative radiotherapy as this tumor has high likelihood of coming back locally. This type of cancer grows slowly and is considered resistant to therapies, but of course timely treatment would help in good control and cure rates. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello. I m 31 years of age and my allergist just told me I had a touch of emphysema. I m very scared and not sure what that means. I have had asthma and allergies all my life. I was always on medication for my asthma sometimes tho I wouldn t take it cuz I felt finae but I m learning that was a mistake. Also I did smoke for about 15 years.I", "output": "Dear Concerned., Thanks for writing to us. Chronic Asthma/obstructive/restrictive Airway disease produces permanent dilatation and destruction of the alveoli/bronchioles/terminal bronchi thereby reducing the overall surface area of the lungs available for effective exchange of gases at the level of alveoli. The condition is termed as Emphysema. This can be easily made out by a doctor by looking at the chest itself whose anteroposterior diameter is more than the transverse diameter. Have you done all the routine investigations (Blood counts including eosinophil absolute/blood chemistry/urinalysis), chest X-ray PA view and lateral/Pulmonary function tests)1)The only solution is to stop further deterioration by immediately quitting smoking without a second thought.2)Use bronchodilator inhalers and locally acting /short-acting steroidal(Eg-Budesonide/fluticazone) inhalers.3)In an acute attack pls get hospitalized and nebulized with above medications.4)Mast cell Stabilizers such as Sodium Chromoglycate inhalers are also available. It is very useful for prevention of acute attacks.5) In addition breathing exercises will help.6)Avoid dust and house dust mite /keep your residence dust free. Avoid vehicular emissions. 7)In addition Desensitization by identifying a particular allergen can be done by an Immunologist. If the repeated attacks are not prevented premature onset of right heart failure may set in due to pulmonary hypertension. In addition, pls be under the follow-up care of a pulmonologist to avoid /treat acute episodes and by following these steps the further attacks of Asthma and deterioration of Emphysema can be checked. Wishing you a speedy recovery., Best regards., Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My father has hepititis and as a result scirrosis and recently had an emergency with varices bleeding they did banding to stop the bleeding. What should he expect after this has been done? He is currently two days post procedure and is feeling abdominal discomfort he says, bloating.", "output": "Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. Yes, this is normal since liver may be enlarged and during banding it may be irritated, but also there may gallbladder stone, so you should repeat ultrasound to rule this out and measure your liver size. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 13 year old daughter has gastiritis.I think i have heard it also comes from stress.I think she is in stress mainly because i homeschooled her and she is missing alot people and friends.She never talks to anyone about this and tries to be happy.The only happiness for her is her cats.What can i do?", "output": "HelloGastritis can be due to so many causes, stress is one of them. If the condition persists endoscopy may be needed to rule out any ulcer. Although the main treatment is acid reducing agents like pantoprazole/omeprazole/omeprazole, but sometimes Helicobacter pylori(HP) kit may be needed if there is an HP infection. For stress counselling and antidepressant/antianxiety medication may be needed. Change in diet is also needed like avoid ens of spicy, oily foods with intake of plenty of water. I would suggest you to consult a physician for proper evaluation and management." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi,i am 26 years old male, i weigh about 75 kgs. I had a fungal infection in my groin. After taking some medicines the doctor prescribed, the infection seems to have healed, but the dark scars remain, how do i get rid of these scars? Also how do i avoid recurring infection?", "output": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. The scar of fungal infections are temporary. It will go on after some times. Recurring fungal infection has two important underlying because one is HIV second is diabetes. As per your age I think you must test your self for the HIV is the most common cause of fungal infections. But it can also occur in other condition like frequent sweating. So by avoiding this we can also avoid fungal infections. Take the complete treatment for the fungal infections. With proper precautions once cured these infections will never reappear with proper precaution. Please maintain good hygiene as this is the key in treating all the infections. Please wear cotton undergarments as this can help cure the infections. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have recently seen a Kidney Specialist and she says that I probably have something called Medullary Cystic Kidney Disease Type 1 Stage 2, but we cant be sure without doing a biopsy, and I am extremely worried because she also said that the only treatment available would be a transplant within the next 5 to 6 years, is there anything else that can be done?", "output": "HelloThanks for query. You have been suspected to have Medullary Cystic Kidney Disease type 1. This is a kidney-specific disorder. It is characterized by slowly progressive tubulo-interstitial disease that leads to end-stage renal disease (ESD) and the need for dialysis or kidney transplantation. The diagnosis can be confirmed only on doing a kidney biopsy and few tests. It being a progressive disease one may land in Chronic Renal failure over a long period and may need Renal Transplant. Unfortunately there is no treatment for permanent cure. One has to monitor hypertension and renal function under observation of a qualified Nephrologist Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "A ct scan of my brain stated I had mild generalises enlargement of the ventricles nas surface CSF spaces, consistant with involutional changes. As well as a 2.5 cm/ 2.4 cm cyst polyp mucus retention polyp in my left maxillary antrum. I dont see my doctor until next week.", "output": "Hello, The CT scan findings are consistent with the brain atrophy (or brain shrinking) mainly because of the age-related charges. In younger people, these findings may indicate brain hypoxemia, early-onset degenerative disease, etc. These findings should be correlated with neurological examination findings. The polyp into the maxillary sinus is probably an occasional finding. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a male aged 35. I have wetness around my anus. There is no pain or sore. I had the experience a few months ago. The problem appeared to have gone without any medication/treatment. Now its been back for past one week. What are the possible causes/solutions?", "output": "Hi, Dear!! Thanks for your query to Chat Doctor. Read and reviewed your query fact and health concerns. Your facts are incomplete and need to be detailed. Based on the facts submitted by you-You seem to have some perianal fistula in ANO/or UN noticed fissure in ANO, which needs to be ruled out. For that You need to Consult Surgeon and get physically checked and to rule out other causes for it. Hope this would resolve your query and anxietyWelcome for any further query in this regard. Good Day!! Chat Doctor. N. Senior surgical Specialist. S. Genl-CVTS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My wife is 24 weeks pregnant and today she undergone ultra sound scan. In report its mentioned Left renal pelvis prominent measures 7mm and Right renal pelvis prominent measures 5.6mm . otherwise both all other factors are normal. Is this something to worry? what will be the future consequences?.", "output": "Urinary tract US during pregnancy may point out ureteropelvic dilatation due to (1) smooth muscle relaxation due to progesterone and (2) partial mechanical obstruction due to the growing uterus and its contents. Right URETER ES MORE PRONE TO DILATION THAN THE LEFT ONE FOR ANATOMICAL REASONS. We assume THAT CERTAIN DEGREE OF MATERNAL URETERAL DILATATION IS NORMAL, 5-10 MM (mild atelectasis) and is not related to maternal complications such as pyelonephritis (upper urinary tract infection). Your condition is considered as normal" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 2.5 yrs old son is having a white cyst like formation beneath his foreskin ( can be seen after pushing the skin backward) under the tip of the opening of penis. No symptoms of pain or redness or swelling. Please let me know how it should be treated. Is there any kind of infection?", "output": "Thanks for writing to us! Hi! This is a benign condition and if I were your family physician for this condition, I would examine him carefully to exclude a possibility of para-urethral cyst or an inclusion cyst.Therefore, please see your surgeon for an opinion and physical examination or some simple pathological tests for confirmation of the diagnosis and relevant treatment protocol. Take care not to injure there! Hope you got the answer; please write to us again if any follow-up advice is required. Wishing your son good health!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Nearly four weeks ago I broke & dislocated my ankle, since then I have had two surgical procedures one ex fix for a week to reduce swelling followed up by a internal fix, since discharge from hospital I ve managed the pain quite well but in the last few days I have developed a hot tingling pain localised to the top of my foot & the base of my toes. When moving the toes I can feel a pulling sensation in my foot. The area does not feel hot to touch & I have got good capillary refill in my toes. I have been NWB on my right leg since the accident happened, elevated at every opportunity & ice used on a regular basis. Regards P", "output": "Thanks for asking pain you're getting may be due to impingement of nerve medial plantar which supplies sensory supply to foot also supplies muscle of great toe & other toes the pain is due to bone spur pressing against nerve or the screws or plate used for internal fixation i WNT to ask u that did you exercise after discharge or not since lack of proper stretching of muscle may cause edema or sometimes pain so i advice you to do some stretching exercise regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i have moved to London from singapore and i find the water here is hard and i have adequate hair loss as soon as i started using the water . also i would like to take an suggestion as to waht shampoo that i can use and also what moisturiser i can use for my body and face.. iam totally unaware of the products", "output": "Hi Dear, Understanding your concern. As per your query you have symptoms of severe hair loss which is known as alopecia which is mainly due to change in climatic conditions, hormonal changes and could be due to fungal infection. Need not worry. Take Ketoconazole shampoo bath once a week and use olive for massage. I would suggest you to consult dermatologist for proper examination. Doctor may order skin test, blood test and physical examination. Keep your scalp Chat Doctor. Doctor may prescribe you " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello I have been diagnosed with panic disorder (300.01) form my psychiatrist and have been on citalipram and gabapenten and propranolo the proproano is doing a good job physically but had to stop the gabapentin because it was causing me worse anxiety I told this to my phyc and she will not get me some valume had it once for panic and it worked wonders but can t seem to get any do know why so I m going it by my self. Need to find a Doc online or prescription I do have a diagnosis form my phyc if anybody wont to see it to get prescription", "output": "Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. The condition that you are having is basically panic attacks. This is a disorder of anxiety and occurs cause of imbalance of certain neurotransmitters in the brain. Especially serotonin, nor a Chat Doctor. Medicines are the best options to take care of these symptoms. Paroxetine is the most popular medicine and my " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, Ive been experiencing numbness in my right hand (fingers) and my equilibrium has been off. I am a 45 yr old male, 295 pounds, 6 3 ... I had in the past a stroke due to B-12 defficency 6 years ago. Gastric Bypass 7 years ago (450 lbs - lost 263, gained back 100)", "output": "Hi, There can be various reasons for numbness of your right hand. Definitely, it can be due to vitamin B12 deficiency (quite likely since you already have a history for the same). However, there are other reasons like cervical disc diseases (neck related problems), carpal or cubical tunnel diseases (local compression of the nerves) or tennis elbow (local damage to muscles and tendons). Even diabetes and thyroid related problems can also cause such symptoms. Since you also have problem with equilibrium then we need to look for ear and brain (infections and swelling) diseases also. Basically, we need to have a detailed evaluation to find the reason for the same. I feel first take care of your diet - good balanced diet, lots of fruits and vegetables. For non vegetarians' food like animal liver is good source of vitamin B12. In vegetarian diet also many cereals fortified with vitamin B12 are available. You can even start taking some multivitamins. If still the symptoms persist then you need to go for some investigations like complete blood count, vitamin B12 levels, TSH and sugar levels and if further required ENT check up and brain imaging (CT head). Take care. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, i have a 21 months old baby girl who is having partial agenesis of corpus callosum & had seizures since she was 4 months old. we have tried gardenal, valproic initially but it didnt work out. we at present giving multiple drugs in a day-lonazep,pacitane,levera,carnisure,thyronorm,vigabatrin,topamac. In addition ACTH has already been tried but seizures didnt stop. We havent tried ketogenic diet and is that useful in controlling seizures. so far baby is not having neck holding", "output": "Hi... By what you quote your kid is having intractable seizures and global developmental delay (no neck holding), and all this could be due to the structural defect in her brain which cannot be corrected by surgery or other means. Unfortunately she needs to be on multiple anti seizure medications to keep seizures under control. Regarding development only time has to answer how much she can develop physically and psychologically. She might require physiotherapy. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Yes m name is Doug and for the last 8 years I have been dealing with perherial neuropathy of my feet. And I am not a Diabetic. And I am on Medicare and there rules say that I do not qualify. I am almost seventy and ths last May my kidneys were not working and became toxic and was taken off a lot of medinces and one was my Gabentine and as soon as I stop taking it I went from a wheelchair to a walker and now I use my cane for keeping my balance. My feet are like 8 years ago tingling, burning and hurting. I have tried everything that I know and still the balls of my feet are bright red and noting seems to help. Salem, OR has very few neurologist and I willing to traveling to Albany, OR & Corvaliss. Can you give me ideas for treating my Periphal Neuropthy of my feet. I was diaaniost as that I have this problem by OHSU in Portland, OR. It is Idopathic progressive Perpherial Neurophay.Thanks for any help that you may have for me.God bless,Doug", "output": "Hi, Thank you for posting your query. It is unfortunate that you have severe peripheral neuropathy, and you are suffering because of it. For relieving burning and tingling, there are three good Chat Doctor. They are pregabalin, gabapentin and duloxetine. One of these can be started, and the dose titrated according to your relief and any side effects. I am sure you would improve with this treatment. I hope it helps. Please get back if you require any additional information. Wishing you good health," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi I have had hep c for 10 years it was getting better almost gone..I have recently been but on Amplify and my liver levels are through the roof..BAD BAD!! My doctor was in awe I have mad a appointment to see my liver doctor for Monday could this be the amplify and should I stop taking it? I am also on clozapine sub oxen leness marolax and 90mg of Adderall. the Clozapine Adderall have all been started in the last 2 weeks could that have anything to do with my liver?", "output": "Hi welcome to Chat Doctor... Clozapin can lead elevated liver enzymes ... For which close watch up is necessary with monitoring of liver enzymes value ... If needed this Chat Doctor. . You are having hepatitis c infection ...since ten years .... So hepatitis or cirrhosis has to be ruled out ... Investigate with .....1.PT2.USG abdomen 3. Serum albumin 4. Liver biopsy only if needed 5. Bilirubin level Meanwhile here take low fat diet ... Fruits more .... Spinach, green leafy veg, carrot will n\u00e9 good for liver ... According to report further management decidedAdvise : Consult physician or gastroenterologist for examination whoever available nearby ... Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Today i have had 4 or 5 spells of confusion and shaking of my right hand. ex: confusion as Im looking at my phone....KNOWING I need to hit the end button...but cant remember how....i am 44 and healthy as far as i know. The spells last 30 to 45 seconds.....I am aware they are happening and can almost sort of talk myself down. :( very scary......also at the end of the 30 or so seconds.... i seem to sweat.Thank you for your time", "output": "Hello! Welcome on Chat Doctor ! Your symptoms could be related to partial epilepsy seizures. Other possible causes to consider would be blood sugar fluctuations. Coming to this point, I would recommend consulting with your attending physician and performing some tests: - fasting glucose and HbA1C levels-thyroid hormone levels-complete blood count - blood electrolytes- an EEG to investigate for epilepsy. In case of abnormal EEG, a brain MRI would be necessary. Hope you will find this answer helpful! Kind regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, I remember a few years ago, when I had an asthma attach I was put under the nebulizer five times, which had me week for about two weeks. I then went to a private doctor and he recommended asthalin, which really helped. Im experiencing similar symptoms now, im still weezing and coughing after a week on nebulizer. can I use the Asthalin to help", "output": "Hello, Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for you as follows:1. If you have wheezing and coughing, Stalin (Albuterol) will be of course helpful to you.2. I would suggest you to take Stalin 3-6 times a day on as-and-when-needed basis for wheezing, breathing difficulty and coughing.3. I would also suggest you to take plenty of warm fluids during day and avoid exposure to dusts, smokes and air pollution as much as possible. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you the best of the health ahead and a very good recovery. Thank you & Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "How do I what stage my husband s liver cancer is at? The doctor s have not mentioned the stage of his cancer. My husband has opted not to have a liver transplant and the doctors have indicated that this is the only viable option that is available to him. How do I know when the end is near?", "output": "Thanks for your question on Chat Doctor. There is TNM (Tumor Node and Metastases) classification of each and every malignant tumor of the body including liver cancer. Classification mainly based on 1. Size of primary tumor.2. Lymph nodes involved3. Metastases to distal organs like lung, kidney, bones etc. To find exact staging CT abdomen and contrast and PET scan is needed. In my opinion your husband is having terminal stage liver cancer." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sometime at night I would wake up and see my left jaw swollen and painful. then in the morning about noon swelling is gone but sometime it is still painful. My dentist thought its from my grinding my teeth, but I am wearing splint or night guard to present the grinding. I still have the swelling even if I am wearing my night guard. Nobody can tell me what is causing it. the dentist nor my primary doctor cant tell me.I need help to find out once and for all. Thank you.", "output": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concern. As per your complaint it seems that if the swelling in jaw can be possibly due to grinding of teeth, but some other causes can be a :1. A dental abscess in which there is pus formation below the root tips of a deeply infected tooth leading to pain and swelling as well as pain and swelling can increase on lying down due to increase in blood flow on upper body and face which can increase the HY Chat Doctor. .2. Other reason can be some pathology related to the Submandibular Salivary Gland on that side which is one of the major salivary gland. I would advise you to get a full mouth x-ray that is an Orthopantomogram [OPG] done.Also, MRI of the salivary gland has to be done. Complete blood count [CBC]. All this has to be done under advise of an ORAL PATHOLOGIST and proper treatment can be planned according to the diagnosis. As of now you can take anti-inflammatory painkiller like Ibuprofen to relieve pain. Do cool compresses over the swelling. Hope this information helps. Thanks and regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir what are the chances of pregnancy me and my gf had sex just 1 day after her periods got over Did not ejaculate anything inside.she took an I pill too after 52hrs approximately.She experienced brown discharge 3 4 times at that time and now its been 14days ahead and no signs. We are really worried. Can u please help.", "output": "Hello, Soon after a period, a woman is in her safe period unless she has very frequent cycles (2-3 weeks). So, chances of pregnancy are almost nil. Moreover, she has ensured herself double protection with the emergency pill. The pill contains excess hormone to disrupt the normal hormonal milieu of the body and this is the cause of the spotting observed. Her cycles may remain disturbed for a month or two. If she does not get a period 10-14 days after her expected date, you should visit a gynecologist for further management. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 55 years old, 57, weigh 172 lbs., I was put on high blood pressure, cholesterol& thyroid pills a year ago and 6 months ago I was told I might have go on diabetis pills. about a week ago, I started having pain in my bone left of my tale bone. what do you think is causing the pain?", "output": "What kind of pain is this, does it increase on movement of lower limbs, is it more in morning time than gradually decreases as day progresses, is it associated with fever, weight loss or any other complaints. Common cause of pain is inflammation of sacroiliac joints, sometimes sitting for prolonged time may lead to bone irritation. You should get your x-ray hi pap/ lateral done. Till then, you can take OTC medicine." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I finished chemo for breast cancer (taxotere) 4 weeks ago and have had 5 lots of radiotherapy this week. Yesterday around mid day I started having severe pain in my abdomen,my ribs downwards ie not my stomache. My temperature rose to 38.7 yesterday evening and I started shaking. I took paracetamol and temp went down after 2 hours. Today I still have the pain and my abdomen is bloated. Paracetamol does not take the pain away.", "output": "Hi. Radiotherapies for Breast Cancer and the medicines for cancer like Texture itself causes all the symptoms as its complications. This is because to tissue Necrosis and its attendant side effects. Paracetamol alone can not help in such cases. This will settle with time, as the bodies resistance power and Healing power picks up. On a safer side it is better to take an antibiotic as you had raised temperature. There can be a close cavity infection, Take an X-ray of the chest and Ultrasonography of the abdomen to rule out underlying causes. You may take tramadol or Ibuprofen for pain relief if needed" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good Morning, My baby is 11 months old , he has fever and he has pink spots on his skin, the fever started three days back , and he had diarie , I took him to doctor , he recommended Hymox Forte , but yesturday , he didnt pass any stoll.and the red spots are even worse,his temp is 37.5 not going down, I m brest feeding and he didnt lose any wieght.", "output": "I read your question and understand your concern I would like to ask that your child is having either of these also *runny nose*cough*sore red swollen eyes*small white spots in his mouth if these things also present then this is to be worried about as these all are alarming sign of MEASLES I would also want to know the pattern of these spots I mean from where they begin to appears I would suggest taking him back to his pediatrician to have a good check upon him hope my answer will satisfy you good luck & TC" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have chronic abdominal pain with constipation and diarhrea that comes and goes. The pain never does. Its not IBS because they ve seen inflammation on scans. I can t do this anymore. I need answers. I have a baby and I can t pick her up because of the pain and my doctors won t give me any medicine", "output": "HI. The alternating constipation and diarrhea needs further evaluation in the form of colonoscopy, CT scan of the abdomen, routine and relevant blood, urine and stool tests. The Chronic abdominal pain always have a reason to be found out. Only if all the tests are negative for specific diseases like Gastrointestinal Cancer, Tuberculosis, Crowns and so, then only you can be labelled as having Irritable Bowel Syn Chat Doctor. You certainly need a medical treatment for this, and to treat the stress, which is the most important reason of IBS." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been experiencing right side lower back pain. This has been going for a while. Lately it has been severe. I am unable to walk,sit or lay down other than briefly. Pain pills of script strength have no effect muscle relaxers also have no effect. The pain will move from the right side to the middle lower back. Wearing pants with belt or elastic waist makes it worst. Ibuprophen is the only thing that relieves the pain temporarily.", "output": "Hello! I read your concerns. Low back pain is commonly caused by muscle spasms which could be due to posture, heavy activity, or trauma. However, since muscle relaxants don't work on you, it could be something else-- slipped disc, osteoarthritis, scoliosis, kidney stones, and other causes. If I was your treating physician, I suggest you do a simplex ray of your lower back to rule out spinal causes. I hope you get well soon. Have a nice day!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here...I have a hard lump in the bend of my elbow and my daughter has one in her left groin. They are slightly painful. Both have been evaluated and teh doctor s say tehy don t feel like lymph nodes. We got a puppy 3 months ago. I took her to the vet last month and she was treated for worms.Could these lumps that we have be parasitic?", "output": "Hi, Welcome to Chat Doctor. Studied your query in all the details. Based on the facts of your query, Possibility of cystecerciasis in both you and your daughter, could not be ruled out as your puppy had worms treatment. As your doctor has confirmed that they are not Lymph nodes, Excision Biopsy after USG study of these lump would resolve the issue you had. Your Surgeon would be right person who would investigate for other complications of it. Hope this would resolve your worry. Welcome for any further query in this regard Will appreciate writing your feedback review comments, to help the needy patients like you at Chat Doctor. Good Day!! Chat Doctor. S. Genl-CVTS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My name is AAAAA . I am from Ethiopia. My question is my mother have got the cancer the enlarge under the arm and she treated in the Hospital and the enlarged part is removed by the doctor. And after 5 month in another part 2 new enlarged part is seen so please Doctar can you tell me the medical name of that disaase and how it prevent?. How can you help mom? Thank you!", "output": "Hi, It is very difficult to say by this limited information, what is the disease. Anyway, if enlarged swelling under armpit it may be due to carcinoma breast spreading to that side, it may also be any primary bone tumor, any soft tissue sarcoma. You should have to mention the treatment received. Now as it is a recurrent disease probably more aggressive treatment protocol has to be applied. May be surgery, chemo, radiotherapy in a criminality setting. Without proper pathology report it is difficult to comment. Please consult your oncologist." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My moms having really bad pain somewhere in her side/lower back/side stomach and it hurts even when she doesnt move really bad she keeps kind of screaming. She thinks it could be a pinched nerve or something with her kidney. Shes not throwing up but she is coughing sometimes, what could it be and how can she make it feel better?", "output": "Welcome to Chat Doctor .1. The way you have explained the symptoms, it seems like low back pain mix with abdomen pain.2. Back pain generally radiated to legs not much to abdomen, due to nerve compression.3. If she is my patient I would have started with x-ray lumbar spine AP/LAT, and an ultrasound abdomen pelvis, depending on findings MRI may be necessary if it is related to nerve compression.4. So, get an appointment with your GP and get the through investigation and treatment done.5. You can make her feel better by investigating well, and getting proper treatment. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i and my gf had unprotected sex a day before, although i didnt ejaculated inside her nor she bleeded. so what are the chances of her getting pregnent. and what pill i should offer her to prevent it.? and how much pills i need to give her.. plz help asap.", "output": "Hello misunderstand your concerned you had inserted the penis in the vagina and ejaculation fluid can cause pregnancy as it contain sperm. But if you did not insert the penis in the vagina and ejaculate outside then no chance of pregnancy. In unprotected intercourse always there is possibility of pregnancy. There is no relation between bleeding after sex and pregnancy. For safer side, you can use I pill to prevent the pregnancy up to 72 hours after sexual intercourse. It should be taken as early as possible to prevent the fertilization and ovulation. Only one pill is required to prevent pregnancy. In future use safe sex practice like condoms to prevent unwanted pregnancy. Hope this may help you Best regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Please write your question...My five year old daughter is complaining of a headache and stomache ache after being outside most of the day. I m assuming she is just drained from the sun and maybe dehydrated. I m giving her small sips of water every few minutes, but I just want to make sure it couldn t be anything more serious or what else I should look out for. Thank you!", "output": "Hi, Well Come to Chat Doctor, I can understand your concern about of daughter but nothing to worry; she will be all right after taking some care. You are doing right that is giving her maximum liquid intake, but you should also give medicine like liq. Cyclops 5 ml. 3 times in a day at 8 hours of interval for a day or two if she doesn't an allergic to this type of medicine. By that time you should also go to Ophthalmologist to check her eyes vision to rule out cause of headache. You should also do a U.S.G.-ABD. Report to rule out cause of her abdominal pain. U can share all investigation on Chat Doctor so we can diagnose of her abdominal pain and headed also. Have a happy time for your daughter. Plz. Share your experience on Chat Doctor about my answer. Thanks. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "young lady in her early 30s works for me she has sean dr for a year cant find whats wrong. she went to californis san diago for her honeymoon came back and had a kidney infection went on antibiotics got better however has run a low grade fever since now its been a year lots of tests and no answers she has lost alot of weight, loss of appetite is very tired but cant sleep, has some good days lately then plunges cant work a whole day. she was in a car accident in high school had to cut her out of the car broken back they wrapped it and let it heal so is pain most of time and has been on pain meds since she was 18 now pain patches no insurance so cant afford back surgery and also scared ro do it anyway what do you think should be looked into?", "output": "Hi, Thank you for your query. With multiple issues the young lady needs to be investigated thoroughly for:1. Low grade fever.2. Backache. There must be a sides of infection which needs to be found and managed accordingly. At times the kidney infection can linger on and cause both the complaints mentioned above. Hence, a simple urine routine and culture examination become mandatory to start with. I hope I have answered your query to your satisfaction. Wishing the young lady all the best. Rajiv K Khandelwalhttp://goo.gl/SuCjl" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son is 14yrs old.He is very good student.But now a days he doesnot concentrate on study.While studying he always talk about other.He always tells he is not feeling good .But when he plays computer games he becomes active.He also not mixes with his friend.Being a mother i am very sad.Please solve my problem.", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. Almost all teenagers are like this. Their brain is so vivid and vibrant, they cannot be still or confined to a task. Their brain demands vibrancy and creativity, which our normal curriculum fails to provide. Some teachers do try to be creative and make their pupil creative, but such acts do not last. You cannot advise them because teenagers never listen to elders. Only possible way is to make them understand with the help of their own friend. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hai doctor. my son is 8.5 years old and 24kg weight. he has high fever above 102f from day before yesterday. yesterday morning stomach pain was there and loose motion(1 time). we have given half of dolo650. but fever is not reducing. cold sponging also done. what to do", "output": "Hi. Thanks for your query. Note history related to your son who is 8.5 years old and 24 kg in weight. He has fever and stomach pains and loose motion. You have give half Solo 650 means 325 as a dose, but fever is not reducing. Cold sponging also done. Wants to know what to do. Your elucidate history suggests that your son is most probably suffering from Enteritis. This is intestinal infection and only proper antibiotics will help to get a relief. Continue with Solo but 325 is a higher dose. Give Half of Solo 500. Consult Pediatrician as soon as possible to get a proper clinical evaluation, examination and proper antibiotics and supportive treatment." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been taking famera for infertility. I had gotten my period and it was the regular length in time of 6 days. I am now on day 9 and have started bleeding again. I have also had tingling in my tongue the past couple of days. I am 27 years old and was wondering if I could have been pregnant when starting this cycle of famera without knowing it.", "output": "Hello, Thanks for the query. It's not quite possible to fix the reason for your intermittent bleeding without doing urine pregnancy test. It may be unlikely if you had good flow for 6 days. But I recommend you to do the home urine pregnancy test with morning urine sample to rule out pregnancy for sure. If it's not pregnancy you can just choose to wait for a few days to see if your bleeding stops. Random menstrual disturbances are not uncommon to find and just letting it settle on its own will do the trick most of the time. If you still continue to bleed or if your UPT comes positive do visit your doctor who may do an ultrasound scan to find the cause for bleeding and evaluate further if needed. Hope this helps. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello. I am 19 and I was recently on my christmas break from college and went to visit my boyfriend. We had sex (protected and unprotected) all throughout the month of december and now my period is 5 days late. On the day my period was due I saw a very tiny spec of blood and though it was just af showing up so I wore a pad the next couple days but nothin happened. On the second day my period was late i took two hpts and both negative. Earlier in the month my boyfriend even asked me if i was pregnant because i was always crying and emotional, sick, and tired all of the time. Also, I was eating everything in sight because I felt hungry all of the time. Even a couple hours after a big meal Id feel like I was starving. Oh yea and since the spec of blood I ve had really light cramps. They dont feel like af cramps and dont really hurt they re just annoying. I ve never been late for my period since i was like 13 so idk what this could be if im not pregnant. what do you think?", "output": "Cellophane you for your query .1. Dear being emotional, crying and feeling hungry are not the signs of pregnancy2.every time u get your periods need not get cramps all the time.3. When person gets mentally disturbed or under stress behaves in this manner. There is a condition called anorexia bulls where 4.a person eats a lot due to stress. U can wait for your periods for another month meanwhile do check for pregnancy. 5. I suggest you to meet a good psychiatric doctor for further treatment. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I had my lower left wisdom tooth extracted 7 days ago. It is now the morning of day 8. Everything appears to be healing well except my lower lip, chin and teeth are still very swollen (the swelling increases during the day), and I still have no feeling in this area when I palpate. If I try to move my bottom jaw forward I get a tingly sensation in the area which I know is the nerve firing off, but Im concerned about the swelling and whether the feelings will come back, and how long it might take.Im taking Ibuprophen (400mg twice to three times/day), magnesium, Vitamin B12 as well.Is there anything else I can do to stop the swelling as by lunchtime my fat lip is even fatter, and by bedtime it is almost unbearable. I look forward to your advice.", "output": "Hello and welcome. According to history posted here, everything appears to be normal except the swelling that you have mentioned. For this you must see your dentist once and get it clinically evaluated so that an x-ray can be taken. After examining the healing wound it can be judged if there is any infection. You might require a course of antibiotic along with analgesics. For further doubts please let me know. Thanks. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello sir, I think I need psycological treatment. I become very week emotionally. Could not tolerate harsh and rude behave. I don t want to do suicide but this thought often comes in my mind . What shoud I do? M 29 yr old, unmarried, engaged, female, in gztd govt job.", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. I assure you that you don't have to commit any suicide, because you are not at all in trouble. Emotional weakness is not depression. It is common when unwanted life situation arises. It can be called disappointment. Don't worry. You need to find a good psychologist for counseling. I, too, can help you online if you desire so. Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been prescribed ovanac plus by my gynac (before we attempt IUI) but i feel dizzy since i ve started taking it. i stopped taking it for a few days while travelling and i was alright. now i ve re-started taking the medicine and again feel discomfort esp while traveling in metro etc. is this normal? are there any side effects of ovanac plus?", "output": "Welcome to Chat Doctor Ivana plus is known to increase the chances of clot formation. This means travelling long journeys can increase clot formation in the legs which can send clot to the heart and can be very dangerous. I suggest you visit the Doctor immediately and tell him this problem as if not detected early it can be fatal. Stop taking the medicine and request alternative medication from your Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Asthma/reflux cough and esophageal spasms and anxiety. How do I get rid of this??? Zantac makes the spasms worse, Nexium causes jittery shakiness and afraid to try anothe rmed. Take prilosec 20 mg in the am and gavascon as needed. Nebulizer for asthma. Cough is worse in the cold but also seems gerd related. Im a mess. Have Barretts and Gerd.", "output": "Hello dear, The symptoms as mentioned in your post are all related to each other.Gastroesophageal reflux disease is caused by the reflux of acid from stomach to esophagus due to relaxation of the sphincter at the lower part of esophagus. The cough can be explained on the basis of aspiration of refluxed acid. The role of anxiety needs to be ruled out as an etiological factor. Management consists of:1. Lifestyle modification- like weight reduction, sleeping on the left side, or with upper body raised.2. Dietary modification- avoid consuming irritating substances such as acidic & rich foods, caffeine, nicotine, and alcohol.3. Medical management-Proton pump inhibitors like Omeprazole, Pantoprazole, etc. (which prevent acid formation in stomach)4. Nebulization + Bronchodilator for relief from asthma. If symptoms still persist, it will be better to consult a Gastroenterologist. There is no need to worry...you will be fine. Wish you a good health & speedy recovery. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have COPD and I just over pnuemonia. My doctor took another chest xray today, and said I have infiltration in both lower lobes of my lungs, he has ordered a ct scan of my lungs, and he also told me the last four people that he has seen with this was diagnosed with lung cancer", "output": "Thanks for your question on Chat Doctor. In my opinion you should definitely get done CT scan as CT gives much better idea about lung parenchymal. In my opinion I don't think it is cancer. As in bilateral lung infiltrate rarely seen in cancer. Causes of bilateral lung infiltrate are1. Pulmonary edema2. Bilateral bacterial pneumonia3. Viral pneumonia4. Bronchiolitis5. TB.6. Malignancy specifically Bronchi alveolar carcinoma. So we have to rule out other causes first. So better to get done CT Thorax with contrast." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my son is aged 5 and for 2 weeks now he has been complaining of sore eyes..he has to hold them in pain on and off throughout the day. It started one day at school 2 weeks ago,they were sore and red and swollen. he has seen a doctor who said there was nothing in his eyes and also he has had his eyes tested and they say he is fine?? yet he is still in pain. it happened 4days after he had an allergic reaction to some antibiotics ( for tonsilitus)", "output": "Hello, Since you already consulted a doctor (I assume it must be ophthalmologist/pediatrician), need not much worry about it. However, I would recommend you to try with hot fomentation, it may make your kid feel better symptomatically. If the symptom persists for longer days, please consider visiting ophthalmologist once. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "how do i get my alt and ast levels down. they are currently at alt113 and ast 58. i have hep c and have had it for the past 7 years. these are the first lfts that have come back abnormal, the rest sat between 15 and 35. i have quit smoking, i dont drink or take drugs i eat well, i take milk thisle, selenium, chlorphyll, and drink lots of corrot juice. can you help me get these levles down?", "output": "Hi, Welcome to Chat Doctor, You are suffering from chronic viral hepatitis C as your liver functions are normal most of the time as per your information. This infection is asymptomatic for 10 years or more. You are following healthy lifestyle which is good including quitting smoking and Chat Doctor. It is not clear you are being seen by a Gastroenterologist or not if not please visit him/her as there are certain tests which needs to be done like HCV antibody enzyme immune assay or ELISA, recombinant immunoblot assay, and quantitative HCV RNA polymerase chain reaction (PCR) along with Liver function tests. You should also take vaccine against viral hepatitis A&B if not already taken. Regulated interferon alpha and the antiviral " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was diagnosed with pulmonary embolism with unknown cause. Apparently during the ct scan it was noticed that one was forming on my left side/artery near the pelvic area. Ultrasounds and blood tests have come back normal. Now I am warfarin for the rest of my life because I had extensive clots in both lungs. What should I do?", "output": "Hi and thank you for choosing Chat Doctor to post your question. I read carefully your question and understand your concern. Pulmonary embolism usually arise from thrombi that originate in the deep venous system of the lower extremities, pelvic area, renal,and upper extremities veins. In the setting of unknown cause of pulmonary embolism, I would recommend to perform a hypercoagulation work up. Long term anticoagulation with warfarin is critical to the prevention of recurrence because even in patients who are fully anticoagulated pulmonary embolism can recur. A prothrombin time ratio expressed as INR is monitored to assess the adequacy of warfarin therapy. The therapeutic range is an INR of 2-3. Initially, INR measurements are performed on a daily basis. Once you are stabilized on a specific dose of warfarin, the INR determinations may be performed every 1-2 weeks or at longer intervals. After 3-6 months of treatment you need to have an assessment of the risk -benefit ratio of extended therapy. Hope my opinion can be helpful. Wish you good health. Kind regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, ive had excess discharge for days now followed by a brownish/redish discharge the laast couple of days and have been getting random lower abdominal cramps. Ive been having unprotected sex all of this month every two days or so. My nipplrs are also quite sore. My period has been iregular since i lost my baby daughter at 8 hours old two years ago so i dont know when i ovulated or when my nrxt period is due. Do you think i could be pregnant?", "output": "Hi there, I have understood your concern. I will suggest you the best possible treatment options. Sorry to hear about your previous pregnancy loss. Please do not panic. If you have unprotected sex act and are not sure about pregnancy status, I will suggest you the following - Please get mornings first sample of urine tested for pregnancy. In case of doubt blood beta Chat Doctor test and USG will be of help. I will suggest you to start with Folic acid, vitamin B 12 and Omega-3 supplements. This helps to prevent many problems during pregnancy and delivery. I hope this answer helps you. Thanks. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi,my baby boy is 5 month old....i did not get my period this month,the date is 11th..UTP showed my pregnancy is positive..it just an unwanted pregnancy.....i took 3 dose of cytotec last night with the gape of 3 to 4 hour but no symptom show for abortion....may i ask you how much time cytotec take to start the bleeding????", "output": "Hallow Dear, The regimen of Chaotic (Bisoprolol) only, as recommended by WHO, for termination of pregnancy more than 12 weeks (>84 days) is as follows: Tab. Bisoprolol 400 MCG vaginally or sublingual every 3 hours up to 5 doses. Usually the termination takes place 8-10 hours. Since you have taken only 3 doses, you will have to repeat the dose for two more times. I hope you have taken appropriate dose of Bisoprolol. If this medicine fails to terminate the pregnancy, the decision should not be reverted to continuation of pregnancy since this medicine can cause developmental abnormality in the baby. In such case, proper dosage of Bisoprolol may be repeated by appropriate route of administration or the pregnancy should be terminated by surgical methods like Extra-amniotic Ethacredine lactate or Dilatation and Aspiration method. I hope this helps you," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter is 9, she has been diagnosed with autism however at around 3 she was put on meds for focal sizures. She has since then come off the meds and she has an episode about 2-3 month where her anxiety goes up and she will start to have nose bleeds and then what apears the post symptoms of a seizure where all she wants to do is sleep. She has recently went to the nurologist who doesn t seem to have any answers for me. Can children have a nosebleed prior to seizures? Can anxiety cause a seizure to take place? Thanks, Mom in SC", "output": "Hi, Anxiety can definitely be a seizure trigger. The absolute relationship between nosebleeds as a prelude to an epileptic event is not well known. There are many people with known epilepsy who do relate having nosebleeds shortly or immediately prior to a seizure event. But also there are metabolic causes to be ruled out such as Factor deficiencies in the blood (Factor IX, the On Hildebrand factor). It is also possible that on those times she suddenly becomes anxious that in fact, she is manifesting pro Chat Doctor. It's too bad that she has these episodes so infrequently because she would otherwise be an excellent candidate for video monitoring. Does she lose control of her bowel or bladder as well, become very quiet, fixed stare? Then, becomes exhausted? I think there are a number of ways to go on diagnosing your daughter. Your best chance at an answer is to seek out a pediatric epidemiologist. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi docter: my father is diabitic 60 years old had diagnosed decompenesated liver disease 3 month ago with esoghagel and stomach varicus after he had coma from encephalopathy for 2 days and wake up .befor this event he was healthy never complain from any thing ,now he is on treatment he did banding and sclerothrepay for varicus he still smoking 2cigarrets/day and blood suger not control even with treatment insulin inj 2 times/day ,now all his blood work improved except blood suger but LFT,PT,PTT,S.PROTIEN,S.ALPUMIN within normal HB 13,U/S:LIVER:mildly decrease in size 23 cubic cm with slightly coarse parenchyma and faintnodular surface.GALLBLADER:multiple stone . 3 days ago we noticed that he has slurred speech and walking slowly what is that? ,is it normal just agnor it or we have take it seriously,what is the prognosis of his condition? plz and what is your advised .thankyou", "output": "Hello, omhind1981,Your father is very fortunate that he recovered from liver coma, and also survived bleeding from the enlarged veins in the esophagus and stomach. I am glad that his blood count is good. The liver ultrasound shows changes of cirrhosis and he also has gallstones. I take it that he is not having symptoms related tostones and at this time he may not need surgery. He may if he has an acute attack. He really needs to control his blood sugar. He may have to consult with a diabetes specialist for proper dosage and type of insulin. If his Bilirubin levels are not high and his platelet count is good along with normal kidney tests, his prognosis is good in teenier term. If he has any further massive bleeding, then it is serious. I wish him well." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Sir/Madam, My age is 21 i am know 28 week pregenet lady.know yesterday i take scan and i show to my doctor.she told my baby is not good health heart beeat is 126.and baby body in no water water is dry ,wait also low ,so she cannt do anything .pls help me know wht i will to their any chances for my baby growth pls help me", "output": "Hi, Fetal heart rate of 126 is in normal range. By no water does she mean that the liquor around the baby is less. If so can you tell me what AFI has she written. Also, how much is the baby weight at 28 weeks it should be approximately 1000 g. You will need a detailed ultrasound with Color Doppler to know more about the fetal condition. Kindly get a Doppler done and show this to your obstetrician. Also reasons for small baby could be many. Do you have high BP? How has your weight gain in pregnancy been? Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir my wife is suffering from reeling sensation even if she stand for 10 minutes while preparing food that is while cooking also she feels as if she is going to fell down . she is not having blood pressure and sugar . and all test like SCAN and MRI shows normal and no problems, but still she is feeling reeling sensation . even if she touches here back of her head she feels lot of pain and while combing also she feels pain on her back side of her head.please advice us to overcome this .", "output": "Hello, Your wife is experiencing something referred to as VERTIGO. This is a feeling of movement, spinning, tumbling, or being pushed to the side. There are many potential causes. If she is standing up to 10 min. before this actually starts to happen then, in fact, BLOOD PRESSURE problems (i.e. Chat Doctor. She should be tested for what is called ORTHOSTATIC BLOOD PRESSURES and perhaps, even better yet, get tested on a TILT TABLE which usually takes about 30 min. and is even a more precise way of measuring this phenomenon. There are other potential problems including side effects or interactions of medications that she may be taking that are new within the past 4-6 weeks. With the pain of the scalp (WALLONIA) she may be experiencing PSEUDOAURA symptoms to an aborted migraine headache so that another possible diagnosis may be atypical VERTIGINOUS MIGRAINE headache. It is atypical in the sense she doesn't have vegetative symptoms such as nausea, vomiting, etc. Otherwise, this is what the diagnosis may be as well in which case you need to consult a headache specialist or neurologist for further assistance so that proper testing and medication may be prescribed. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "im 16 and ive been tested negative for asthma but i have trouble breathing. i dont smoke or anything that would cause breathing issues. im always trying to catch my breath. even when im breathing it feels like im holding my breath and when i finally catch my breath i feel better for a few seconds then have to catch my breath again. this is constantly going on but there are some moments when its much worse than usual. when i move my upper body side to side it makes a loud scratchy sound and its painful. this has progressively gotten worse ever since i got a cold two years ago. what could be wrong?", "output": "Hi Dear !! Thanks for your query to Chat Doctor. Read and reviewed your query and health concerns. IN the given situation of Yours, You seem to suffer from-Adenoids with Sinusitis with post-nasal Chat Doctor. But this is not asthma. Other causes as accompanied-GERD / IBS related causes need to be ruled out with ENT Surgeon Consults and team of doctors, to resolve your issue. Hope this would help you to plan further of this complex illness of yours. If need be, update any health issue 24 x 7 by a direct question Tod ME, at following Chat Doctor link-Dear, if satisfied, Dont forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at Chat Doctor services. If you want to update more details and ask more update queries, You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here..Hi doctor my 2.5 years old daughter complains of little stomach pain and have water stool (2 or 3) occasionally (like 2 week interval). I will appreciate if you can provide me your advise", "output": "Hi, It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting. You need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic-associated diarrhea. I suggest you use zinc supplements (Z&D Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "So recently, Ive been feeling really down. I lost alot of focus and cant seem to get these crazed ideas or theories in my head. I feel overwhelmed because I just want to focus at work and school but instead my mind just keeps me on this negative thought that just grows in my mind and some days it because all i think about. Which doesnt help me get any work done and causes me to just become sad and unable to really be around. Also, my thirst has been crazy, I am thirsty all the time even after I drink water. What do i do?", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. Poor concentration in study is mainly due to lack of proper aim and planning. If you are not serious about your future, how can you perform? How can you study seriously? Every person in the world study hard just days before examination. At that moment, there will not be any boredom, loss of concentration, low appetite etc. Because their aim is to study to pass the examination. I know, in your case also, this should be true. All other symptoms you mentioned are just due to anxiety and apprehensive thoughts you created related to the low concentration. You need career and education counseling. Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall provide you career and education counseling. I shall also prescribe some psychotherapy study techniques which should help you cure your condition. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my mother is 46 years old and is detected with uterus fibroid in the USG report. The size of the tumor is 3.61X3.62 cm. Its written hypo-echoic lesion . Is this a thing to worry if the uterus removal operation is done. Can this lead to cancer?or any other problem later on? My mother had breasts tumors 5 years ago and those were removed by operation.does that have anythng to do with her present problem?Pl help...I am very worried...", "output": "Hi and welcome to Chat Doctor. Usually ultrasound is accurate in detecting such tumors and most probably this is benign tumor as it says. Women who have had breast tumor in their medical history or in family have more chance of suffering from uterine and ovarian tumors. Fibroid or MoMA are benign lesions and malignant alteration is extremely rare. It can cause problems if grow up too much and cause bleeding or press surrounding structures. This isn't significant size and I recommend doing frequent check-ups and see is there rapid size progression or not. Uterus removal is also option and this is a routine procedure today. So you don't have to worry, cancer would have more intensive symptoms. Wish you good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a history of DVT and I am under anti coagulant till now, does this make any problem with zotreem plus ?", "output": "1. Street plus are slimming capsules made by Duramax (MTC) company as food supplement.2. Street plus capsules are not recommended for people under 16 years and above 65 years of age, please mention your age?3. It is Contraindicated in people with high blood pressure, so please mention your BP limits?? And women who are pregnant and/or breastfeeding.4. Company claims it to be 100% safe and natural herbal supplement, but if you want to continue with it, ask your healthcare professional about the same, probably it won't effect your health situation." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello kindly guide krislow medicine is meant for which purposemy father has gone through angioplasty in aims he is advised krislow100 caposule to be taken daily after dinner, medicine is finished and we are not geeting the same from jammuemail id is YYYY@YYYY", "output": "Hello, I have gone through your query. Thanks for using Chat Doctor.First let me tell you that after undergoing angioplasty one need to continue certain medicines like aspirin, Clopidogrel and statin for life long. This is needed to prevent restenosis on stent and to prevent newer blocks at other sites. Kirslow is antioxidant which you may continue, but Aspirin and Statin are most important. Antioxidants are helpful but not must follow angioplasty. So better discuss with your treating doctor before stopping, My best wishes Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have developed a very painful left foot. I did not do anything to make it sore. It throbs and hurts when I try to move and rotate my foot at the ankle . I first noticed tenderness and pain as I sat at the computer. Could it be a clot? What should I do? I have been elevating for a half hour and applying an ice pack. It still hurts.", "output": "Hi, thank-you for providing the brief history of you. A thorough musculoskeletal assessment is advised. As the pain is in the foot and you haven't injured at all, then trying not water fermentation will be good as it will improve the blood supply and later reduce the pain while relaxing the muscle. Incase the pain doesn't subside with this, then a thorough clinical assessment is advised post which possible measures will be taken. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, i have a heart condition, arrythmias and have a pacemaker in, the last few weeks my symtoms have gotten a lot worse, i have more palpatations, breathlessnes and chest pain/discomfort. my pacemaker is designed to slow my heart down but recently i have been having a lot of tachychardias. i am exhausted all the time. does this mean that the pacemaker has stopped helping or could there be something else going on, can you help, thank you!", "output": "As per your details, it seems you have got an AID. Now as you are having recurrent palpitations and breathlessness despite having this pacemaker that should slow your heart rate. This means your pacemaker is not sensing the high heart rate (if it is there!). This could be due to the depletion of the battery or some fault with the lead. First get an EKG done to see if real tachycardia is there that is causing your symptoms of palpitations and breathlessness. And if it there, then get your pacemaker interrogated to find out the cause of its malfunction." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a disable child that is about to be taken from our home by social services and they are nit looking at the medical issues that he has. He has heart trouble, asthma, seizures and he has other medical issues. the social claim that they are removing him to a group home because of bedbugs that we encountered thru someone that was working with him. what is something that would help me to fight against this? I am truly afraid that if they take him away...I will have to end up burying him.", "output": "Welcome to the ChatDoctorIn my opinion, you can handle each issue mentioned in your question in the following ways:1. For bed bugs: declutter beds and vaccine clean all the stuff. There are several products on the market that work well for bed bugs:Apply residual liquid, aerosol or dust residual insecticides such as Temp rid Ready Spray Aerosol, Estimate CS, Defense SC, Camera Dust, Defense SC, Alpine PT Aerosol, Transport Micron, Temp rid SC, Bedlam Plus Aerosol, and Phantom Aerosol. It is best to use a combination of these products for application purposes. Keep your child in clean surroundings because, asthma and other infections flare up with dust, dirt, and infestations.2. For heart trouble, management depends upon the diagnosis. You can consult a pediatric cardiologist for it.3. Asthma needs first and foremost removal of allergens in the surroundings of the kid. You can use steroids inhalers, beta 2 blockers, leukotriene antagonists depending on his clinical stage of asthma and response to treatment.4. Similarly, for seizure, we can suggest you treatment only once we know about his reasons, type of seizures and response to the current medications. Take career further questions, do contact us" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hii my sister suffered hand injury 1 week back. She ran on treadmill the following day, the next morning when she woke her balance was not proper..like drop foot.she is admitted n MRI report says mild posterocentral disc protrusion at L5 S1 causing effacement of epidural fat . now she couldn t walk a single step..your suggestion please!", "output": "Welcome to Chat Doctor I have gone through your query and understand your concern. She is having acute disc prolapse. Treatment of it is rest in lateral position with flexion of both hips and knees. Analgesic such as ibuprofen is helpful in pain relief. Mecobalamine is helpful in reducing numbness. If not relieved by this treatment then she can think of operative treatment. But I think you should try rest and analgesic as first treatment. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hey I ve recently been hit by a car going 50 mph and was knocked out for 30 minutes and had a brain bleed and a cracked skull note that I m only 14 we ll ever since this event I cannot sleep I get very panic in the car and sweaty and just so scared. I m scared doing about anything around cars what so ever. The sleep and the nightmares are the big issues. I don t know if it s PTSD but I m only 14", "output": "Hi, I can understand your concern regarding your symptoms. From what you have mentioned, you seem to have developed symptoms suggestive of post-traumatic stress disorder (PTSD). It is a condition in which a person becomes anxious in presence of anything that reminds him of the trauma and avoids it. He also has nightmares or flashbacks of the incident. I would suggest that you talk to your parents regarding your symptoms and then seek a psychiatric consultation. Adequate treatment with selective serotonin reuptake inhibitors will help control your PTSD symptoms. I do hope that I was able to answer your query. Wishing you a speedy recovery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a small moevabel lump on the lining of my jaw bone , its been there a few weeks now. And Ive noticed I am extremely tired all the time. But the lump you can move back and forth. It was sore from me touching it a lot but isnt at all anymore. What could it be?", "output": "Hi. This can be a lymph node. A course of an antibiotic and anti-inflammatory medicines should settle this down within 7 days. If not go for FNAC and get examined by an ENT surgeon for the possible infection in the Chat Doctor. . Which also need a treatment. Go for blood tests according to the Doctors advise for your tiredness. So the treatment can be had according to the clinical findings and the laboratory reports." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was working out and was in the middle of my set. My left testicle felt kinda funny and when i put the weight down it felt like my testicle went into my body and into my stomach. I could feel a lump in my throat but nothin would come out when i would cough. I felt my scrotum and both testcles are still there. However every 5 mins or so it feels like my left nut contracts into my body again and back into my stomach. Its been doing this for about 1 hour now and im getting worried and its very discomforting and slightly painful. Aso i can feel them move freely around in my scrotum all by them selves when i hold them. PLease help!", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. In psychology, we broadly call it obsession. You had that disturbing sensation once. You expected it to happen again and tried. Then you started experiencing it as you were expecting it. Then your body brought the familiar symptom because you are expecting it. Then you started worrying that the symptom is coming again and again and expect it. Body brings it again as you are expecting it. You become worried and so on. That is obsession in simple terms. Ignore it and the problem vanishes. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my son 19 yrs. lives at home, was shot in head front lobe bullet exited right out the other side august this year. now left side of his head around the temple has started to pulsate with a sunk in apperance. now hes complaining of eletrical shocks shooting through his abdomen and they become quite painful at times they radiate to his hands and arms. carol", "output": "Hi. Shoch like pains in the abdomen of your son is obviously due to the trauma to the brain in bullet shot. IT will show its effects all the time in life. The radiating pains to the arms and hands may have the same reason. I would advise you to consult a Neurosurgeon, get MRI of brain, and start treatment for the pains. Also go for check-up f the abdomen to rule out any actual disease in the abdomen causing the pains." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Okay so today I listen I noticed that I had small patches of bumps on the side of my lips (bottomlip) but theres also are the bomb spread out on my lips! everyone says they not noticeable but theyre noticeable to me! I kerp applying chapstick. What are they? Do I have herpes?", "output": "Hi. Thanks for your query. Read and understood your history. The appearance of small patches of bumps on the side of the lower lip is definitely suggestive of herpes simplex-also called as a cold sore. As you be knowing, there may not be any specific treatment for this. The bombs spread out on your lips are not noticeable by others, so why to worry; and secondly these may be indicating the problem you have which has reduced your resistance power. I would advise you the following:Stop applying anything to the lips as nothing helps and may in fact cause more problems as you have swollen lips too. Take plenty of oral fluids. Full bed restConsult a Doctor to find out what may be the medical probable that is causing these all the problems and get treated accordingly." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, my boyfriend and i started fooling around, he had his fingers inside of me and he noticed something hard, i went to the bathroom and examined myself and out came a pistachio like white object, hard shell inside gooey like wall and discharge, i am very concerned, never noticed this before", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have some benign cyst or tumor with infection like bacterial vaginosis or candida. You should go for examination. If needed go for biopsy or pap smear test. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Docter , i am Nandini ,49 yrs .i have a polio leg , was given a muscle transplant 30 yrs ago , as my upper thigh muscles were dead , ten yrs ago i atarted having immense pain in my knee , was again operated and a leg supporting plate was fixed in my lower leg ..i have less pain but ..as my spine is a little thick because of a bad posture ..and as muscles have gone weak after surgeries ..is ther any suppport system which can help me walk ..any machine or the like..as i wud like to walk ..even if little ..so that i may live self dependent .. regards and thanx", "output": "Hi, This is a very individualized case and NERVE CONDUCTION STUDIES would show if the nerves are working. They often shut down or change years to decades after the polio. If it is just weak muscles and the nerve conduction tests will show that if they are done by a somewhat smart doctor, then plain gradual exercise will help it in fairly short order. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I sometimes feel dizzy when standing and talking with a person. My buttocks is itchy and only when I press on my upper chest I feel a small area (size of nickel) of pain. I had my upper chest checked out a while ago and the doctors could not find anything with an x-ray, bone scan. I am 37, 5,4\", and 123 pounds", "output": "Hi, Dizziness, pain in chest and itchiness all the symptoms are not related to each other. Blood pressure either high or low may be responsible for the dizziness. Get a regular checkup of BP by your GP. Pain in the chest may be a vague symptom. Take anxiolytic to get relief. Itching on buttocks may be due to fungal infection or Chat Doctor. Consult the dermatologist and get a perfect remedy to get cure of the skin condition. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 64 year old man with type 2 diabetes, sleep apnea, and asthma. Apnea is controlled with use of a CPAP. Asthma is controlled with Advair. Diabetes is not controlled, although I am taking metformin and byetta for it. I am about 50 lbs overweight. I also have erectile dysfunction. I have several high stress jobs including practicing law, professional music, and personnel management for a symphony. I am recently having moderate sharp stabbing pain that lasts less than one second in my right temple. These recur. I have timed them and the frequency ranges from 4 to 25 second intervals. This has been going on for about a week. Ibuprofen helps sometimes, but not always. the only trigger I have noticed is that sometimes when I turn my head quickly to the right, as in driving, this triggers it, but not always. They become less noticeable when I am fully engaged, for example in a music performance or a court hearing.I am also experiencing unusual fatigue. Sometimes routine tasks are very hard to do. I have also experienced loss of balance generally over the last few years. Also loss of strength. For example until a few years ago I routinely did 40-60 pushups per day, now I struggle to do 2 or 3. Lately I feel as if I am sometimes confused and disoriented. My cognitive functions feel impaired. Routine tasks like driving, and playing my instrument are normal.", "output": "Hello, Thanks for the query. I have gone through the details given, and I do understand your concern. I have following few suggestions: 1) You will have to give a re-look at your diabetes treatment. Because if blood glucose is not well controlled then excess loss of glucose through urine (glycosidic) does lead to loss of energy and tiredness and constant fatigue. 2) Present treatment looks to be inadequate, some additional Chat Doctor. (since no blood levels or HbA1c% is mentioned, it is difficult to be specific). 3) Weight reduction is also very important as excess weight (fat) is the main cause for Insulin resistance. Even a 5% reduction in present weight can help in improving blood glucose control. 3) Take a diet that helps better blood glucose control, avoid junk foods, high fat food products, increase intake of green leafy vegetables and salads, yogurt and low fat cheese. 4) Increase your time spent on exercise to abut 1 hour or more per day 5) Get a thyroid function test done, to rule out if there is hypothyroidism. 6) Lastly learn some relaxing techniques like Silva Mind Control Methods an alpha level relaxation which will definitely help in managing stress. Even ED which is a major long term complication of uncontrolled diabetes can be helped with better blood glucose control. Plus some medications also may be needed. I hope I have ad" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Dr. Santosh,I have started a flu with cough since 3 days, with a fever reaching 39 Celsius Degrees.I have taken Panadol , two capsules each six hours, as I dont dare to take too much medicine since I am coronary and a MS Patient, and I have chronic medicine like Aspirine, Concor, ZOCOR, corvasal as well as Interferon(Rebif 44) one Injection every other day.But the high temperature persists , I started to take Curam 1g, twice a day, along with my others medicines. The temperature is reduced the second day till 38 CD but I have started to feel a lower abdominal pain,I stopped to take CURAN, and I resume taking Panadol. The temperature is stable now at 38, and I am drinking two much water with taking Mucosolvan . The lower abdominal pain is still persisting. What do you suggest?Thanks in advance , Joseph", "output": "Hi ! The very point that on taking Cram, your fever is reduced indicates that your respiratory tract infection has responded to the Chat Doctor. The lower abdominal pain which you have developed could have been due to Cram (Amoxicillin+clavulunic acid) which is known to cause such lower abdominal pain as a side effect. It may also cause loose motions sometimes. This is not a worrying problem. You can change over to any other antibiotic not containing amoxicillin on consultation with your treating physician. At the same time, multivitamin product containing lac to bacillus is also found to work well in such conditions. The pain lower abdomen will gradually subside. Continue with other medications given for your heart problem. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "On my inner thighs on the outside of my vaginal area, on both sides I have something that looks like a rash and it smells fishy. Its not an odor coming from my vagina at all, just the area around it. Im using a anti-fungal cream and its slowly taking it away until i wet it and it seems to flare up all over again. What is it and what can I get to treat it over the counter if possible???", "output": "Hi, Looks like you have developed a fungal infection of the groin region. Do not apply any kind of oils or creams over the affected area. Keep it clean and Chat Doctor. Wear cotton undergarments in order to decrease sweating. Use an antifungal cream over the affected area twice a day. You may take antihistamines for the associated itching. If this does not help, you might need a course of oral antifungals. You should see a nearby a dermatologist in that case who can check and guide according. Hope it helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor, I am a 65 year old lady , 5.2 in height, weighing 56kg. Have mild diabetis that is under control through medication. Currently my BP fluctuates between 142/80 to 150/90. Recently had red patches in the left eye (painless) which the ophthalmologist diagnosed as a minor superficial blood vessel rupture - conjunctival haemmorage of minor superficial blood vessel , as it was completely painless, he diagnosed it as harmless. It has healed now. However he advised taking Olmesar 20mg to control BP as a precautionary measure. Took a 2nd opinion from another medicine specialist, he prescribed Targit 40 mg. Is it recommended to start HBP medicines with this kind of readings in BP? Which is a better medicine without any side effects? Is it advisable to rely on Natural Supplements like Systolex instead of taking these medicines? Please advice. Regards, SM", "output": "Hi, Thanks for asking. Based on your clinical history and query, my opinion is as follows:1. You are only mildly hypertensive. 140/90 is normal for your age.2. The blood pressure would not have caused eye problems. It is more due to injury.3. Try low salt and fat diet, high fiber diet along with moderate exercises. No supplements necessary. Medication necessary if it is constantly above 150. Mild fluctuation is common. Relax. Hope it helps. Any further queries, happy to help again." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have infection in my tooth and its giving me severe pain. My dentist prescribed me Clarithromycin (antibiotics) today and I have taken 2 pills today - one in morning and one in evening. But tooth pain is very severe and unbearable. Can I take tylenol (Acetaminophen 500 mg) to releive the tooth ache? Would it have any side effects with Clarithromycin.", "output": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint in case if you have infection in tooth for which you have been advised antibiotic Azithromycin it will resolve infection gradually but to relieve pain you need to take higher painkillers, and you can although you take Tylenol without any problem, but it will resolve only mild pain. But in case if pain is severe you can take Tramadol or Motorola. Although it will resolve pain and gradually as the infection will reduce the pain will become less, but it can be temporary and can relapse. So my advice would be to get an x-ray done to rule out the exact cause of pain. In case if tooth can be saved you can get root canal treatment done to get permanent relief. In case if tooth cannot be saved extraction is advisable. Hope this information helps. Thanks and regards. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have constant feeling of nausea, and pain in the upper part of the abdomen with bloating feeling after each time I eat, I did a complete blood picture , and micro urine analysis which showed everything to be normal only for the epithelial cells to be many instead of fewWhat is my condition and would the high number of epithelial cells be dangerous if everything else showed to be normal?", "output": "Hi ! Good evening. I am Chat Doctor answering your query. If I were your doctor, I would advise you not to eat from outside to avoid any kind of intestinal infection creeping in. After a clinical assessment, I would go for a stool test for ova and cyst, a urine routine/microscopic and culture sensitivity test to rule out a UTI, and treat it if found positive which should relieve you of your problem. In addition, an ultrasound of abdomen would help us in ruling out a gall stone disease which not infrequently would give rise to pains and bloating feeling after meals specially a fatty meal. Till these reports are available, I would advise you for a proton pump inhibitor, a probiotic and an anti-spasmodic Chat Doctor. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a 4 year old, she spent all day outside with her mom. Now she has a rash just on her upper lip, where a man would have a mustache, it is a pinkish purple color, it doesnt itch, burn or hurt. It isnt raised but it is almost solid across her lip. What should i do? Could it be an allergic reaction? Or irritation from something? I know its not poison ivy, oak or sumac. Should i take her to the doctor now, in the morning, or should i wait and see? She isnt complaining at all.", "output": "Thanks for your query at Chat Doctor.because this rash is not causing any itching its cant be due to allergic reaction. Your history more suggestive of trauma followed by collection of some blood under the skin. U may ask her Mom regarding any injury during playing. It is not harmful injury, and it will be ok bye few days itself so u should not worry. Hope it will help. For more queries u may contact me at this site. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "What is the suggested test & treatment for Fibro Myalgia?I am having fatigue, severe pain in legs and hands for the last two months.One doctor suspects that this could be Fibro Myalgia. I used have the pain and fatigue from October, 2012. But it used to vanish and resurface. Now the pain is terrible affecting my sleep and concentration on work. M.A.Subbaraman, Male 68 years.Mumbai", "output": "Hi You have fatigue, severe pain in legs and hands for the last two months but have it from 2012. In my opinion you may be having deficiency of vitamin D and It B12 along with Osteoporosis. I suggest daily calcium, It D3 60K once a week + a combination of It B12 and Levi carnitine. Get S It D3 and S It B12 levels + Bone Densitometry (DEXA Scan) at the earliest. If Se it B12 is quite low then injections may be required else the oral tabs will be enough." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my 1 year old baby began drinking whole milk on Dec 16th. Since then, she has not been sleeping well, her stool is white in color and she has developed a terrible diaper rash. Before whole milk she was drinking Similac Sensitive (lactose-free). Two days ago I switched her back to the Similac and her diaper rash has cleared and her stool color looks normal again. Do you think she is lactose intolerant? What milk should I feed her?", "output": "Hello, The lactose deficiency causing lactose intolerance may be primary that is since birth or may be acquired. The acquired intolerance is following an episode of intestinal infection resulting in gastroenteritis. The most common cause is rotavirus infection. This infection results in temporary lactose intolerance due to the resulting damage to the superficial intestinal lining of the intestines, the brush border cells, which produce an enzyme called lactase, needed to digest the lactose present in the milk. The symptoms improve once the cell lining recovers. Did you breastfeed your child? If so and if your child was tolerating the breastfeeds then primary lactose deficiency is ruled out. Why were you giving your baby lactose-free milk? Was that after an episode of loose stools? A routine Stool examination with the presence of reducing substances will help in diagnosis. A breath test is also available. However, it may not be possible to do in a small child. It is recommended that you keep your baby off all dietary products containing lactose for a period of 2-4 weeks and then gradually reintroduce them. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Ive swollen circumvulate papilia for several weeks now and also a white tongue which seems to be worse after a weekend when Ive consumed alchohol,also the with brushing it removes a lot of the whiteness on my tongue,Im wondering if dehidration off alcohol consumption could be the corse", "output": "Hello and Welcome to Ask A Doctor service. I have reviewed your query and here is my advice. Your explanation is pointing towards oral yeast infection or Oral Thrush. It is a fungal/yeast infection and causes white coating over tongue and also can cause inflammation of tongue papillae. So first you need to get the infection treated and for this you should gargle with Statin mouthwash and suck Clotrimazole lozenges. Also take Fluconazole table for 15 days. Eat more of probiotics like yogurt and garlic. Chat Doctor. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my son has a silver dollar sized lump below the knee,off to the side. squishey feel, no pain. discovered it after he played baseball. he did slide into base early in game buy did not notice lump until changing clothes. no pain, as he is now at basketball practice. he is 16. lump is still there.should i take him somewhere? baffled atlump with no apparent injury", "output": "HI, Dear,Thanks for the query regarding your daughter. I studied your query and understood your health concerns. Remedy-You seem to have hematoma, which is causing painless squishy lump. I would advise you to Consult an ER Surgeon and you would be treated accordingly. So Don't worry and act fast as suggested. Welcome for any query to Chat Doctor and me in this regard. Have a Good Day. Chat Doctor. N." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im 20 yrs old and weigh 68 kgs, Im down with jaundice and am still to know its cause.I wanted to know how severe it is because i feel alright, nut only have a heavy feeling in my stomach. No extreme fatigue nor fever. Also i have a few dinner meets and parties in the month of august. Is it safe to drink after a month of recovery?", "output": "Assam album. Thank you for posting query at Chat Doctor. Insufficient data. Cause of hepatitis / jaundice not mentioned. Alcohol should be strictly avoided if your Liver enzymes (ALT; AST) are 2 to 3 times the upper limit (means>100). it's better to let your liver enzymes return to normal, and then you may continue Chat Doctor. However, better to avoid alcohol. Your also advice ingest green vegetables, fruits daily. Avoid junk food and cold " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my buddy, age about 56 is feeling a little light headed. i think he might have passed out or almost fainted in the bathroom earlier- he s not saying for sure. his blood pressure measured on a home auto check unit was 134/97. He doesn t want to go to the doctor but he is laying down. what do you think?", "output": "Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. I will try to explain you something and give you my opinion. You should know that we talk about hypertension if we have mean value that exceeds 140 / 90 mmHg. A person might have high value during emotional and physicals trees so It's mandatory to judge on mean values. During hypertensive crisis a person might experience headaches, blurred vision, dizziness, nausea, chest pain. Losing senses usually OS not related with hypertension but maybe with a rhythm issue. So, if I was your treating doctor I will recommend some examination like a cardiac echo to evaluate heart function and walls, a full blood analyze, a holder pressure and rhythm monitoring to evaluate your values and rhythm tendency. Only after this we can better understand what we are dealing with and how to treat it. I would encourage you to convince your boddyoto meet a doctor and do what I mention before. Hope I was helpful. Best regards, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am having a lot of pain all the tome in my right side and left side as well as my lower back it gets really bad with discomfort and pain after I eat. I was told a month ago that I have gallstones in my gallbladder. what type of SPEACIAL Doctor do I go see for this problem. I found out my problem in the ER", "output": "Hello Gall stones is a dangerous disease, and you must consult a surgeon and get its surgery as early as possible (laparoscopic or manual). The only one option is surgery for gall stone and that too at earliest stage because it turns into ugly situation otherwise. As you mentioned that there is pain also on left and right side as well as in the back. On the right side pain may be due to gall bladder stone. On the left side pain may be due to left renal calculus so get in an ultrasound of kidney .2nd reason of pain may be due to urinary tract infection, so get in urine examination. In my opinion first consult a laparoscopic surgeon and get his opinion. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i had unprotected sex last nite with my gf,i gave her unwanted 72 within an hour of post sex,but again today morning i had sex with her and now also m not sure, will that pill which i gave her last nite will work or i need to give her another pill..?? her period date is round about 12-14 of the month,i had sex sex on 1.6.14. Please help me..", "output": "Hello dairy understand your concernUnwanted 72 pills protect only against the one unprotected sexual intercourse. Unwanted 72 pill does not protect you against the second intercourse. I would suggest taking another unwanted 72 as early as possible with in 24 hours after sex to prevent the pregnancy. It causes side effects like with Chat Doctor. Avoid stress, take healthy diet and do regular exercise. Hope this may help noncontact Chat Doctor for further health query Best regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi there i have had a motorbikecrash in the last few days and fell onto my hip and then slid along the road scraping my arm and shoulder . they are fine but my hip is still in a lot of pain and has started throbbing, there are also some marks around the big red area that look like stretch marks . i have not vomitted blood but i am worried about internal bleeding . my back has begun to hurt today as well. i am in laos at the moment so the nearest hospital is in thailand,it onlyhappened two days ago and will be there in a week. is it worth going to the hospital to get checked?", "output": "Welcome to Chat Doctor Good Date pain, redness and throbbing sensation is due to possible soft tissue injury like the skin, subcutaneous tissue. You need to get an X-ray of the Pelvis to confirm. Are you able to pass urine normally, no blood in urine. If you had internal bleeding you would have gone faint and cold skin. You need to go to the Hospitably as early as you can ideally but for now avoid riding bike. Take help while walking. If you have any tingling and numbness of your feet you must rush to the Hospital. Chat Doctor. Eat protein rich diet. Take Tablet Acetaminophen/Paracetamol 500\u00a0mg three times a day over food for pain relief. Get examined by the Doctor as soon as you can." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I ve been sick for a couple of days now... A couple of days ago, I woke up with a temperature of 100.6 and been having a bad cough... Since last night early this morning, everytime I cough, laugh, sneeze, blow my nose, and sometimes talk, I have pain in my upper chest and upper back... Could it be bronchitis?", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. By your history and description, it seems pleurisy more. Pleurisy is inflammation of pleura. And chest pain on coughing is characteristic feature of pleurisy. Bronchitis will give wheezing, shortness of breath more, along with cough. So I advise you to consult pulmonologist and get done1. Chest x ray2. PUT (pulmonary function test). Chest x-ray is needed to rule out possible causes for pleurisy (pneumonia, tuberculosis etc.).PFT is needed to rule out bronchitis. So better to first diagnose yourself and then start appropriate treatment." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor.For thelast one and a half months I am having left side stomach pain by the day time mainly. Along with slight nauseaVomitting feeling. The pain is sometimes little sharp and sometimes dull. Can u please help me know what it could be. And one more thing, I am married with a 6 months old baby. I had a normal delivery but didnot go for any further checkup afer that. And I am not having any menstrual or periods since delivery. Thankyou.", "output": "Hello, Thanks for the query to Chat Doctor. Forum. If I were your treating doctor for this case of left side pain in stomach, I would come up with these measures, This includes.1 The first possibility is of peptic ulcer disease or Hiatus hernia. Diagnosis can be confirmed by upper G I endoscopy. Try raising the head of your bed 4 inches with blocks. It might also help to avoid eating or Chat Doctor. To help control stomach acid one should not " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi Doc. is it possible that im having internal bleeding?cuz its like this i ate fish rice and soup(and i smoke every time im done eating). im curious cuz i puked rice and red slimy things with it just now, dont feel a thing too, but hurts my chest part when it happend like 10 secs. time like. im 21, 510, aprox. 65 kg, dont really have a medical history cuz i rarely go to see a doctor. Everytime im sick i just go buy med and thats it. Maybe it might help. its been happening for quite sometime now. but not with the red slime thing. please help. thanks", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Yes, possibility of gastric ulcer and gastritis are more in your case. Both of them can cause blood in the vomiting (hematemesis). Since you are smoker, you are risk of these gastric problems. So better to quit smoking as soon as possible. Consult gastroenterologist and get done upper GI (gastrointestinal) copy. It will not only diagnostic but therapeutic also. With the help of this, we can stop bleeding from the ulcer by banding or glue application. Also avoid hot and spicy food. Avoid large meals, instead take frequent small meals. Avoid stress and tension. Take pantoprazole tablet on empty stomach. Don't worry, you will be alright. Firstly quit smoking. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello sir, I want to have an appointment as soon as possible. it is urgent .i have operated my first kidney in 1996 and now my second kidney is not functioning properly.i got high B.P which makes me feel very uncomfortable so kindly do needful.", "output": "Hi, dairy have gone through your question. I can understand your concern. High blood pressure and kidney problem both can cause uncomfortable feeling. You may have hypertension. You should go for your blood pressure measurement. If needed to take antihypertensive Chat Doctor. You also need full kidney function test. If any abnormality is there then you should take treatment urgently. Hope I have answered your question, if you have any doubts then contact me at bit.ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, sir, i m from new delhi a heart patient. I was using metolar exr from last five years but unfortunately this capsue/tablet doesnt effect my after regularly 5 year. Now from last 2 years i was taking betacad 50 mg & i was to control my bp within parameter but now a days it also doesnt suited. plz suggest what to do now", "output": "Hello, Metaolar or beta card are not first line antihypertensive nowadays. Instead, you should get prescribed tab Selma H 40/12.5 or 20 mg once a day, according to your BP. However, you me know your BP readings in a last few days including maximum one in order to start with appropriate dose. Dose can be modified and if needed another medicine could be tried according to your BP response. Hope this helps you and get back if you have any doubts." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "helo, im 29 years old...married for 2 years but i just got pregnant after 1 year and 10 mos. after marriage, i undergo fertility work out with my OB Gyn luckily i got pregnant but i lost my child with 10 weeks of age..he lost his heartbeat and i was undergone D&C...right now we are trying to conceive again but it is really hard...i don t know what probably the cause why we can t conceive easily?can i adhere an advice for fertility work out for me and my husband?thank you so much...", "output": "Hello thanks for your query. I will briefly outline a work up which you can then follow, in consultation with a reputed Infertility specialist. 1. Thorough evaluation of previous abortion. Ideally, the aborts tissue should have been sent for chromosomal analysis. You should be evaluated for genetic defects along with your partner, hormonal deficiencies, uterine anomalies, autoimmune causes, infections etc. - as these lead to abortions.2. Basic laboratory workup - complete blood count, viral markers, hormones like LH, FSH, TSH .3. Tests for ovarian reserve - pelvic ultrasound with astral follicular count, AMH, follicular study documenting ovulation.4. Semen analysis of your partner5. Fallopian tube testing, ideally in the form of a mystery laparoscopy. Based on the abnormalities detected on this workup, you should go for natural cycles/ ovulation inducing agents/ or ART (assisted reproductive technologies) in the form of GUI or IVF. Take folic acid supplements, maintain a healthy, active lifestyle, maintain a healthy BMI, and do not yield to stress/ anxiety." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI, This PrakashI am having baldness problem since long back arround 7 yearsI got treatment from cutis clinic in bangalore in 2007 and medicines \" hair 4 u, sebowash, finabold, xtraglow\", i used these for arround 6 minths and it worked then i again visited the cutis clinic then the doctor gave me some different medicine and lotion which didnt worked so i use the privious one, few months later the improvement level was declined and now in two years i i came to the earlier position that means the same baldness as i had earlier, please advise", "output": "Hi Dear, Understanding your concern. As per your query you have alopecia problem. Well the symptoms you mention in query can occur due to many reasons like genetic factor, fungal infection, covering head with cap and hormonal changes. Nutritional deficiencies and stress are additional factor. Need not worry. I would suggest you to maintain complete hygiene and avoid excessive use of chemical rich shampoos. You should consult dermatologist for proper examination and go for skin patch test, blood test and physical examination. Doctor may prescribe you Chat Doctor. Take biotin capsules on daily basis. Hope your concern has been resolved. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi i have been having lower back pains rhs for about 4 or 5 days. Yesterday I got a purple blotch like rask over the affected area it lasted a couple of hours and faded away and never returned. sometime i get jab like pains it feels like i am being stabbed sometimes a dull throbbing pain mu body feels like lead. I took duramine for about 3 months and think it could be from that. I am also menstruating at the moment usually i get some lower back pain but nothing as strange and long lasting like this instance.", "output": "I understood your concerns, I have gone through your question I feel that this is acute shorter duration pain that may be due to various reasons, most common cause is postural muscles spasm.... and due to that you may have decreased movement between two vertebrae joints....so due to that you may have constant jamming like sensation... and you feel stabbing like pain... there is need of applying ice over part to be treated.... that decrease pain and muscle spasm.... if you can reach to physio clinic take IT therapy for instant pain relief...." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir iam male 44 years old.I have gilbert syndrome, diagnosed 24 years ago.now I have fatty liver I used to drink alcohol till I found I got fatty liver. I only had 5 time alchol taken for the past 18 months.now I stopped. 6 months ago I had accute hepatitis e. And I revoverd from that .I had hepatitis b and c checked found negative. I have taken hepatitis b vaccine taken.but no antibody check done. Now for the past 3 years Ihave occassional stretching pain on my llver.other wise iam fine. Is it a worrying situation.pls answer me. Many thanks.", "output": "Hi welcome to Chat Doctor. I understand your query and concern. The occasional stretching pain in your case is linked to multiple liver pathologies, but all having one thing in common that is stretching of the liver capsule due to associated enlargement of the liver parenchymal. This pain can be a predominant sequel to acute hepatitis E which you earlier had. Since you had vaccination against Hep B, you need not worry about it. Alcohol intake can also worsen liver pathology by causing enlargement and thereby contributing to pain. Abstinence from alcohol is also strongly needed. Regarding Gilbert syn Chat Doctor. This pain usually subsides in 6-8 weeks after the resolution of the acute hepatitis phase. Right Now I advise you to have a detailed ultrasound examination of your liver along witChatDoctorplete liver functional test. If these are found abnormal then further interventions are needed. Avoidance of fatty foods is strongly recommended. In The Majority of cases this pain will gradually subside with good dietary pattern alone. Discuss the above with your Gastroenterologist. Post your further queries, if any. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a metal smell in my nose. This just started that I can tell right after I had bladder sling surgery. I noticed it before a little but it is foul now. I dont have tremors but I have noticed that I am suffering more from pain in my neck and back.", "output": "Hello! Thank you for asking on Chat Doctor ! Your symptoms could be related to chronic degeneration of the vertebral column. Regarding the metallic smell, it could be caused by anesthetic adverse effects. Anyway, I would recommend consulting with a neurologist for a physical check up. Performing a complete blood count and iron levels for iron deficiency is also necessary. If the problem persist, I would advise trying an antidepressant. Hope you will find this answer helpful! Best wishes, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Doctor i am 43 year old male. My gamma gt level is 93. My SGOT is 90 and SGPT IS 91. I dont drink alcohol or fizzy drinks. I had typhoid fever for three weeks. I was on antibiotics and paracetamol and ibuprofen. Could these medications be the cause for elevated liver enzymes in blood? How can i bring down these levels?", "output": "Welcome to Chat Doctor. My dear friend as you told that you had typhoid fever. I want to tell you that in typhoid also GOT, SGPT increases and take time to come within normal value. Paracetamol and ibuprofen can not increase SGPT and GOT to 91 and 90 respectively until uses in very high doses. No need to worry and repeat SGPT, SGOT and GGT after 1 weeks after approaching your nearest Physician. Avoid oily foods in diet which will also help you to decreases GOT and SGPT. Thanx for your query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I AM MATHEW,40 YEAR OLD, I AM DIABATIC .AM TAKING GLUCOFAGE 500 IN MORNING & NIGHT.BEFORE I WAS TAKING DIAMICRON ON MORNING BUT I WAS GETTING HUNGREY BY 11AM SO I STOPED THAT MEDICINE MY SELF BUT YESTERDAY & TODAY I TOOK DIAMICRON BECAUSE SUGUR WAS HIGH.MY HTS IS 185 CMS AND WEIGHT IS 97.5 KG. TO DAY MY SUGER LEVEL WAS 182 MORNING BEFORE FOOD.I AM LOSSING MUSSILS ON THE HAND BUT NOT LOSSING THE WEGHT. AND EVERY BODY IS ASKING WHY YOU LOST WEIGHT.I AME AFFRIED WHY I AM LOSSING MY MUSSILS. SO NOW A DAYS I AM HAVING TOO MUCH FOOD BUT NOT INCREESIG THE MUSSILS. I HAD SEX WITH TWO LADIES 8- 10 YEARS BEFORE. SO I AM AFRIED BECAUSE OF SOME DESISE I AM LOOSING MUSSILS. MY FAMILY IS HERE WITH ME AND 3 YEAR BEFORE MY WIFE WAS HAVING MEDICAL TEST AND SHE WAS NOT HAVING HIV. I AM TOO MUCH AFRIED. CAN YOU GIVE ME AN ANSER", "output": "Thank you user for your query on Chat Doctor.basically metformin (gluconate) 1000\u00a0mg, causes reduction in muscle mass to some extent. Your BMI is 28.35, which means that you are overweight. Avoid taking bulk diets in a single meal.Instead, you can take small and frequent diet (low carboy Chat Doctor. Design your meals in such a way that your meal should contain half of green leafy vegetables, curd or any milk products, but it should be prepared from skimmed milk, nuts, either take par billed rice or multigrain chapatis. Well so far as your HIV status is concerned, kindly get your status checked too. And yes do not skip your micron. Also mention the dosage of micron. Maybe you have to work up on your dosage too." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband went for a jog and now is having trouble breathing. Not serious, but is just not able to breathe fully. Is there anything he can do? Oh he is in Mexico and doesnt usually run. He works out regularly, but not jogging. He is 37 and 195 lbs.", "output": "Hello, The possibility is deconditioning, since he is not accustomed to such activities he may get this. Does he have chest pain or heaviness on exertion, is there wheezing, is there a history of cardiac illness? At this point if time is he is not any other symptoms the likely cause is deconditioning. Gradually increasing the exercise protocol will help. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor, im noticing some black lines or patch is coming on my forehead and i have so many pimples marks on my face its worse i start duac gel just 3 days ago for them...im taking vitamin a, e, c,d tablets as well everday...im worried abt my black patch on forehead .what should i do?my email is YYYY@YYYY", "output": "Hi dear if black patches come on its own it's called plasma. And if after acne it's called post acne pigmentation. The first condition is a bit difficult to treat. But post acne can be treated easily. Now the main culprit here is sunlight. But as u have acne problem u cannot use a normal sunscreen as it is oily. So I suggest u to use sun cote. It is water based sunscreen and very effective. Thank u." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,Im 32 Yrs age male suffering from OCD since 15 Yrs & on SSRI & SNRI & antidipressant drugs & now facing fertility.I have found normal SQA report during drugs stoped & found variation when taking drugs.I cannot stop taking drug as well as Im trying for baby.What should I do.whom should i contact i mean sexologist,urologist.", "output": "His understand your concern. Normally SSRI and SARI do not cause problem in fertility. You can have a baby while taking medicines. You do not have low sperm count and with this much you have a baby with medicines. So continue to take medicines and plan for baby. Identify fertile day acc. to your wife menstrual cycle and do regular sex in this day.If you require then consult psychiatrist who is also sexologist for better guidance. Best luck. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I got the depo provera shot about two months ago, and two weeks ago my period started and has had no signs o stopping anytime soon. Ive never had a period even close to this long! What can I do to stop my period as soon as possible? Ive heard of starting birth control pills, but is that safe if the depo doesnt wear off for another month?", "output": "Hello, Since you have symptoms of hormone imbalance, you may need additional hormone supplements to control your bleeding. Yet, you should get a proper evaluation first to see the exact cause of the bleeding. If the demo shot is the culprit, you may stop using it and switch to another form of contraception. Coagulation profiles, hepatic function assessment and urinalysis also may be needed. A hormone profile and a pelvic/trans-vaginal sonogram aid in the diagnosis. Hope your query has been clarified. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "In an obstacle course attached to a lead wire walking across swinging logs. Fell and one of the logs hit my right back. Three weeks later it is getting difficult to stand up straight and it still feels bruised. Could I have done something to my kidney or liver?", "output": "Though it is certainly possible you could've suffered internal damage to organs from that sort of injury....from your description of things it sounds musculoskeletal. Nevertheless, if you are becoming so uncomfortable this far out for the initial injury then, I must advise you to see a doctor sooner rather than later. They will determine if more in depth testing using ultrasound or MRI scanning of the internal viscus were necessary. Please rate this a 5-STAR encounter and do not forget to contact me in the future at: www.bit.ly/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am post op day 4 from open bilateral inguinal hernia repairs with mesh. I have developed an area of penile edema and am interested in knowing I this is normal, and is there anything that I can do to releave this? I also. Have some scrotal edema as well. The penile edema doesnt go all the way around, isnt painful, doesnt affect urination.", "output": "HelloThanks for query. It is not uncommon to get penile and scrotal edema after surgery of inguinal hernia. This is due to spread of inflammatory fluid along the facial plane of Carpal fascia. Normally it fades away gradually over a period of 2 weeks. Take antibiotics like Augmenting along with anti-inflammatory medicine Diclofenac and Serropeptidase twice daily. There is nothing to be worried about. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "IM HAVING PCOD I HAD AN FOLLICULAR STUDY ON 12 AND 17 DAY OF MY CYCLE THE RESULT IS RIGHT AND LEFT OVARIES ARE NMF AND CAVITY ECHO IS 8.7 IN 12TH DAY AND6.8MM IN MY 17TH DAY AND NO FREE FLUID IN POD WHAT MEANS IT EXPLAIN ME SIR HOW CAN I BECOME PREGNANT", "output": "Hi, Welcome to Chat Doctor. I understand your concern. Your USG shows absence of ovulation with lack of maturity of ovum till16th day of menses Endometrial thickness is less than normal. Indicating hormone deficiency due to absent ovulation. Lack of free fluid in pod indicates absent ovulation. *overall result favors ovulation problem. Likely to be due to pod. *You need to get treated the condition pod by a gynecologist (by 3 months contraceptive treatment/camphene to induce ovum maturity ovulation/Glyciphage for management of over weight management insulin resistance./ ovarian Chat Doctor. . As per need. Consult a gynecologist for help. Once ovulation starts you have good chances of conception. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i was diagnosed with DCIS this past january and my doctors said its cancer. after 5 months i went for pet/ct scan and no evidence of spreading out, i bumped it last month and i have this big hard lump about 2 to 3 centimeters, for 3 days was so painful but today theres no pain but it swollen and its like a bone that it hurting my skin.", "output": "Hi, dairy have gone through your question. I can understand your concern. You have history of DCI. You have high chance of metastatic breast cancer. Furthermore, you should go for true cut biopsy of that lump. It will give you exact diagnosis whether it is metastatic carcinoma or some other mass. Then you should take treatment according to diagnosis. Consult your doctor and plan accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Pls Help - a few hours ago I choked on a piece of Clif Bar, I inhaled and swallowed at the same time and it went deep into my windpipe - I coughed and coughed but I dont think I coughed it all out...ever since then I have developed sinus congestion and a pain in my right lung. I am breathing ok, but am nervous about falling asleep - will I wake up, will it get worse, do I have pneumonia? Any info will be helpful, thank you in advance.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. In your case, we need to rule out aspiration of foreign body (piece of cliff bar) into the lungs. This can cause chest congestion and aspiration pneumonitis. You are having right sided chest pain, so possibility of pneumonia is high. So consult pulmonologist and get done clinical examination of respiratory system, chest x-ray and Bronchoscopy. Bronchoscopy is not only diagnostic, but it will also take out the aspirated material (therapeutic) if present. So consult pulmonologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi , Wednesday evening i had a tender groin and a little swelling at the groin/top of thhigh area with redness. By the next morning the redness had started to go down my leg and it has been itchy and warm with some swelling where it is red . It also feels like i have a thick hard vein? Or something like that going down from top of thigh to where the redness stops . It was still a little red this morning and i thought it was going but by late afternoon it s started to get itchy again . It is warn to the touch . I got bitten by something on Tue afternoon on my calf and by wed morning and my calf was very swollen but that seems to be less hard and swollen today . Wondered if it was to do with the bite . Thanks Angela", "output": "Hi, Angela. Certainly this could possibly be related to the bite, but there are 2 other possibilities that require prompt evaluation. One of these is a blood clot in the deep veins of your leg. This can create swelling, redness, heat, and pain. An infection in the skin can create similar symptoms and eventually spread into your blood. If you are still having any of these symptoms or the thick hard vein, get checked at an urgent care center or emergency right away. An untreated blood clot or infection like this could progress into a life-threatening situation. Hope this answers your query. If you have further questions, I would be happy to answer them." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I have had the feeling of a lump in the back of my throat the past day or so and after looking in the mirror i found three large red bumps on the back of my tongue. My tongue is also sort of white, and the bumps do not hurt.Any ideas as to what they could be?", "output": "Hello he read your query.please specify your age and do you he any short of tobacco intake habit. If it is so den go to a dentist and get it checked. And for the whitish tongue it may due to poor oral hygiene. Clean your tongue properly and use a God mouthwash.sum times it can be due some fungal infection .in that case u he take sum medicines. Hope this ans ll be helpful. Take disregards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi! Im a 25 yr old girl, suffering from irregular periods since the time it has started. Last month I underwent sonography and I have been diagnosed a cyst in my left ovary and blood test shows I am suffering from TB also. I am unmarried and will soon get married. Kindly suggest if it could be aproblem in conceiving??", "output": "Hello, I have gone through the query and would like to offer my opinion. If tuberculosis is diagnosed, the extent of the disease should be assessed including any pelvic infection. Proper management of the clinical condition is needed and assessment is done periodically. Please maintain a healthy diet and adequate rest. Cysts of the ovary are managed depending on the size and associated symptoms. If there is no tubo-ovarian infection and the endometrial tissue is unaffected, your chances of conception are good once the treatment is complete. Please see a specialist for further information. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I am a 41 year old , 150 lbs. in general good health. I teach a fitness class 3 days a week with no problems. In the last couple of days, I have had flutters in my heart beat and now neck pain down the left side in the back, feels like a pinched nerve I don t know they are related. I have had palpitations in the past but it has been quite some time especially since I have been in to fitness. It makes me feel weird and tired and almost afraid to exercise. I feel dumb asking.......", "output": "Hilooking at your history you are having palpitations. Palpitations are feelings or sensations that your heart is pounding or racing in which you may have an unpleasant awareness of your own heartbeat. Feel like your heart skipped or stopped beats, palpitations can be associate with chest heaviness plan dizziness and fatigue. A thorough investigation is very important would suggest you to go for ECG24 hour HOLDER monitoring (record the episode of palpitation, and we can analyze whether it is arrhythmia or sinus tachycardia)get them done as soon as possible as we have to find out the cause of palpitations A 2d ECHO should also be done to see the cardiac functions and motion of the wall of heart as chest pain can be angina also, which is due to decreased blood supply take my advice seriously and get these tests done thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a pain in my stomach on the left side about 3 inches left and 3 inches below my navel. About a week ago I did some ab workout, but I noticed the pain yesterday. It occurs on certain movements (like when I turn over in bed). Is this just a muscle strain?", "output": "Hello! Welcome to Chat Doctor, Since you feel the pain only in certain movements, most likely it is caused from muscle strain. If the pain was a symptom of specific abdominal condition, you would feel it all the time not only in certain movements. If the pain doesn't seem to get better in 1 week or get worse you might need to consult a physician and get examined. Right now it doesn't seem something serious. Hope it helps. Kind Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi.. To all doctors im Chris and im 28 years old n im married my problem is while having sex my penis gets discharge fast like within 1min so my wife gets fedup of me please help me doctors and my penis is also bend in shape n my wife want my penis to make straight n strong n it sud b last for long while having sex and I think this problem is bcoz of masturbation bcoz I use to masturbation for so many years n im thin also some time back pain come after masturbation please help me to improve my sex life", "output": "Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. The condition that you are suffering is called premature ejaculation. Now it's a type of anxiety disorder and the person normally suffers from performance anxiety where in he is anxious if he can perform or not. First you can try the start stop technique. Your wife is supposed to start stimulating you and the moment you are about to be ejaculated she is supposed to stop all the stimulation and hold your penis head hard. Now this should be repeated. Perineal exercises also help. These are the muscle exercises that occur when you contract the perineal muscles like when you are trying to stop the urine or feces. You have to do this contractions repeatedly daily to tone up the perineal muscles. One solution is medications. Some patients are not willing to wait for these acts to produce results and instead demand medicines. I prescribe them 12.5 mg paroxetine at night, and they are doing good. Normally one should try until 25\u00a0mg of Paroxetine. If paroxetine is not effective then Duloxetine is an option. It has to be given 1 hour before having sex and will prolong the sexual interval. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, or want to know further details, you can use the below-mentioned link:bit.ly/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am on the second round of ChatDoctor. Last night I arose in the middle of the night to go to the washroom. however that didn t happen I ended up fainting?? I normally have very low blood pressure. Is this something I should worry about. This morning I just feel tired, and weak. I think the cause yesterday was due to doing to much..putting me into a calorie deficet? Should I see the Dr?", "output": "Hello! Thank you for asking on Chat Doctor! Your symptoms seem to be related to low blood pressure. Other possible situations (like chronic anemia, deny Chat Doctor. Coming to this point, I would recommend consulting with your attending physician for a physical exam and some tests: - a resting ECG-complete blood count for anemia-blood electrolytes- liver and kidney function tests-fasting glucose. You should discuss with your doctor on the above issues. Meanwhile, I would recommend increasing salt intake and take plenty of fluids to stay well HY" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here...I noticed yesterday after a bowl movement a big knot by anus that was extremely sore to the touch. I have been is pain and discomfort ever since, especially when sitting down. I have hemroids and this feels diffrent.", "output": "Hello appreciate your concern Looking at your description this might be related to infected hemorrhoids, Infected anal gland, fissure in anus or an abscess. If I were your treating doctor I would have advised you for a battery of tests like blood for hemoglobin, CBC liver function test and photocopy or endoscopy if need be.Meanwhile, please follow these guidelinesAvoid constipation by taking laxatives or stool softeners Have lots of dietary fibers, fresh fruits and vegetables. You can apply anesthetic ointment like lidocaine for pain on touch. Hope this answers your question, please feel free to ask for more clarification or fill up questionsWish you good heath" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been taking Trajenta Duo 2/500 mg two times a day and Glimestar M3 Forte also two times a day. The total quantity of Metformin is 4000 mg per day. My homeopathy doctor says that too much Metformin can cause kidney damage. What is your advise ?", "output": "Hi, Thanks for writing in. Trajenta Duo contains Linagliptin and metformin which is give to control diabetes. It should not be given if there is renal failure or dysfunction (CRC <60 mL/min). Creatinine clearance is a test that measures the functioning of the kidneys. If your creatinine clearance is more than 60 ml per min then you can take Talent Duo safely. This medication is to be taken under doctors supervision and in recommended doses. Take this medication after food. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 68 yrs old, 140 lbs. I came off HRT on doctors orders approximately 3 months ago. Apparently I had a small stroke but with no symptoms and I am undergoing tests to rule out (hopefully) heart issues. For many years I have had, difficult to describe, nightly chest discomfort (not pain). Since coming off HRT this discomfort has developed into pain. It always preceeds a hot flash and is happening many times a night. I get the flashes during the day but not the chest pain. Can you suggest anything to help?", "output": "Midair HRT is associated with increased risk of cardiac problems according to researches Your chances of heart attack go up by 20% if you are 60 or older when you start them or if you became menopausal more than 10 years ago. As you have not mentioned from how long have you started HRT post menopause, and you had history of small strokes would suggest you to go for an ECG 2D echo(to rule out any problem to blood supply of heart), a s many times' angina does not present as frank chest pain, but it presents as a chest dis comforts you say it precedes hot flashes again menopause and HRT with Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had a persistent yeast infection for about six months. Have tried longer courses of diflucan, canesten creams and pessaries to no avail. I take probiotics, eat live yoghurt, and follow all the usual intructions to help the problem. Have had several swabs come back positive for yeast plus have had all the other tests for underlying problems but there is nothing. Am not on the pill and dont have a partner. Any help would be greatly appreciated as it is really getting me down.", "output": "Hi, your history suggest that you have got recurrent candidiasis infection. If I were your treating doctor, then I would suggest1) To undergo a course of intravenous antifungal treatment, which you can discuss with your physician.2) To check your blood profile to rule out Diabetes (i.e. check your blood glucose levels) and other conditions that may reduce your immune level, that can be elaborately discussed with your physician.3) To maintain adequate hygiene, and keep the infected regions free from moist(dusting powder may help). Hope I have answered your question. If you have any further questions I will be happy to help" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have spodylosis in my lower back and also a bulging disc. I just noticed a bruise going across my back from left to right. Im 36 and my weight is 240 but not the obese size. Im 5ft3in. Female. Im on a 4medications to help with my pain. But nothing to correct my back.", "output": "Hi, thank-you for providing the brief history of you. A thorough neuromuscular assessment is advised. As you have spondylosis and disc bulge in the lumbar spine, you need to undergo physical therapy. As with the use of the therapeutic ultrasound therapy and TENS therapy your pain levels will be reduced. Post which with simple exercise you should respond well. As spondylosis is the aging of the spine and disc bulge occurs due to wear and tear of the spine. It is a normal physiological process.in my clinical practice I have seen cases with disc bulge, and they respond well to physical therapy.regards Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband has been having intermittent sharp pains in one spot on his inner left thigh about 2 inches above the knee for the last week. It feels like someone is pinching him. It is exactly the same each time. Lasts only a second or two then goes. It happens about 30-40 times a day. He is 64 had a stent put in his heart about a year and a half ago.", "output": "Here only symptom of sharp pain in inner thigh is not enough to do any evaluation or diagnosis. Need to check and evaluate with physical test. As well also need to know is there any numbness or burning sensation for inner thigh ? If no then nothing to worry but if yes then it might be related with nerve problem. In general I can just suggest to use hot and cold pack to have relaxing effect on soft tissue. This will also help to reduce inflammation of any and pain, for muscular pain. If the problem does not get over then do check is he having pain inn chest with breathing difficulty walking up hill.? If yes then again it can be something related to heart. If no then again don't worry. At any time for severe pain you can visit the doctor to evaluate it properly. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband has been feeling slightly fatigued, has had some dizziness, and has been experiencing some sweating from the head down through his neck, shoulders and half way down his back for no apparent reason. He is 67 years old and is very active with a small lawn care business. He takes low dose blood pressure medicine, Celebrex and a cholesterol medicine. He is 6 2 and weights about 150 lbs.", "output": "Hi, thank you for providing the brief history of you. A thorough neuromuscular assessment is advised. As you mentioned your dad is sweating a lot he needs a thorough neuromuscular assessment. Since he is losing a lot of sodium and water from the body, due to fluid and sodium imbalance he is having dizziness and fatigue. Also, the sweating can be related to other systemic issues for which a thorough assessment is advice. Also, he is 67 years old with low Blood pressure medicine and cholesterol medicine the concerned systems needs assessment. Based on the assessment the treatment will be planned. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a root canal that was done in 2004. I know present with an infection at the bottom of the root canal that needs to be redone. Im allergic to clindamicin and many other antibiotics. I have had blood sent to the Mayo Clinic for analysis and it comes back no known antibodies to antibiotics except clindamycin family. My doctor is suggesting infusion antibiotics but does say they may cause an allergic reaction. I work and can not take time off for daily infusions, pick line etc. What would you suggest?", "output": "Hi. Thanks for the query. From your blood test it is clear that you are allergic to Clindamycin family which means that you should avoid Vancomycin class of antibiotics. So it is better to go for other groups of antibiotics like Penicillin, Cephalosporins etc. In case of tooth related infections, taking oral antibiotics like generally sufficient, so do not worry about getting infusions done and can take oral antibiotics. So it is better to consult an Endodontist and get evaluated. Proper antibiotics under supervision can help in resolution of infection. Hope this helps. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Dr. Charles, I am Prashanth, an Indian, Male, 43 years old, 174 cms and 68 kilos. My LFT result (done by fully automated, bar coded, bi-directionally interfaced Roche Cobas Integra 400 Plus) shows the following abnormalities: 1. Total Biliruben: 1.4mg/dL(ref: Upto 1.3) 2. Direct Biliruben: 0.40mg/dL(ref: Upto 0.3) 3. Serum SGPT( ALT ): 89U/L(ref: 10-40) 4. A/G Ratio: 2.04(normal 1.3, Moderate 1.5-1.8, High1.8-2.4) The other abnormalities are: Lipid Profile: (Method: Enzymatic Colorimetric Assay done by fully automated, bar coded, bi-directionally interfaced Roche Cobas Integra 400 Plus) 1. TC: 226(ref: 125-200) 2. TG: 183(ref: 75-150) 3. HDL: 38(ref: 40-70) 4. LDL: 151.4(ref: 75-100) 5. VLDL: 36.6(ref 40) 6. TC/HDLC Ratio: 5.9(ref: 5) 7. LDLC/HDLC Ratio: 4.0 (ref: 3) Haemoglobin: 18.7(fer:13-18) Cervical Spine AP/Lateral Views: 1. Loss of Cervical Lordosis -- Para Spinal Muscle Spasm 2. Spondylotic Changes of C4, C%, and C6 vertebral bodies seen 3. I V Disc space of C5-6 is decreased I had a laser assisted removal of a prostatic uric cyst in 2009. Please let me know if I should be concerned about my liver mainly, and anything else : ) Thanks, Prashanth", "output": "Hi Prashanth, Thanks for the detailed description of your query. Your Liver Function Test (LFT) is slightly deranged from the normal. There is nothing to panic about it and as such no immediate management of it is required. Repeat the LFT after 3 months and check for the results. Your Lipid profile seems to be deranged and is concerning. You must start right away with dietary change and lifestyle modifications including exercises. Get an ECG done too. It seems like you may require lipid lowering agents (Medications) too for this. The cervical spine x-ray shows changes as you mentioned. But nothing needs to be done surgically for this as of now. You will benefit by physiotherapy and neck exercises. My suggestion to you is to get back to your primary care physician and seek his guidance about the management plan. Hope you are in fit health at the earliest. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I keep getting. A sore lump on the inside of my thigh close to my knicker line, it comes back every so often, uusually around my period time, sometimes it catches or gets to big it burst and fluiand little bloodd seeps out, this is a reccurong problem have u any idea what it could be? Many thanks x", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have some enlarged inguinal lymph nodes. It may be due to reactive hyperplasia, tuberculosis or lymphoma. You should go for biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I went to the dentist to get a filling in Tuesday. Ever since I have had unbearable pain. And could not get a hold of the dentist. He told me I would be sore but no pain In two days. I cant eat, drink, or sleep. Could I have an infection? What could be wrong? It has no been almost 6 days since I went to him.", "output": "Thanks for your query, I have gone through your query. The pain in the tooth after filling can be because of the infection involving the pulp. If the infection is involving pulp and the filling has been done over that, there will be severe pain following filling due to increase in intramural pressure. Nothing to be panic, consult an endodontist and get the tooth treated with root canal treatment and crown. Meanwhile you can take a course of antibiotics like amoxicillin and metronidazole(if you are not allergic) for infection and for the pain, you can take diclofenac. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am diabetic for last 14 years but my sugar level is fine I am taking Insulin for last one year as I had diabetic foot and in order to heal the wound doctor advise me to take insulin I was admitted in PGI Chandigarh for 15 days. Now I have a water retention problem which is very severe Yesterday I had given blood test for RFT and its result are not good my blood urea is 126 and creatnine is 3.4 kindly tell what do you advise in homeopathy", "output": "1. S. Creatinine concentration increases with age? And lean muscle mass (Weight)?2. As you are on Insulin it also causes retention of sodium and water.3. What about your blood pressure?4. Take salt in moderate amount i.e. less use of papal, paneer,ghee, oil,pickles, pop corn, Nasreen, Nasreen biscuits.5. Because S.creatinine is high and edema is severe, avoid protein rich diet6. Check for Albumin level and if low (biological protein-essential amino acids can be given)7. Carbohy Chat Doctor. 8. Serum Electrolytes Reports??? If Potassium comes out to be more avoid banana, tomatoes, fruit juices, potatoes, papaya.9. Calcium supplements can be given (guava, staffs, milk)" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "What is the prognosis of someone with a C5 fracture? The fracture was bad, C5 was in pieces and later C4-C7 were fused. I understand that SCI s are all very different, but I am wondering if this person could ever walk again? What about vent-dependency?", "output": "Hello, Please correct me if I am wrong in understanding your situation. It looks that affected person is on supported ventilation and was operated for comminuted fracture C5 vertebrae. It also looks that he had severe injury and compression or disruption of continuity of spinal cord. Our respiratory centers have supply from C3 TO C6 cord segments. If the present situation is due to edema of cord then situation will perfectly resolve with time but if there is complete disruption of cord then situation goes towards the dependency on mechanical ventilation more. Although medical science is developing day by day, so you should be optimistic for future. In my practice I have seen some patients improving up to a good level. At present, he/she needs supportive treatment with good physiotherapy. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My toddler swallowed a penny we just found out it s been stuck in his esophagus for seveal weeks (Mom was at chemo and when I returned after 3 weeks noticed the toddler was acting funny) Took to ER, did X-ray, found penny and pediatric ER doc did endoscopy with follow-up barium swallow a week later. My question is now 3 days after esophagram - my toddler is fussy again, getting up at night and coughing quite a bit, what is wrong with him now?", "output": "Hi....even though the foreign body is removed, sometimes the inflammation caused by it for staying so long can still linger on. The other possibility is that there could be a minor injury at the site of lodgment of the coin, and it could have got fibrosis. This could be the reason for the fussy behavior as the pain and feeding difficulty can linger on. I suggest you get the consultation of a pediatric Gastroenterologist. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, i have just picked up my ct scan of cervical spine & the conclusion reads...mild thecal sac stenosis is noted at c5/6 level due to left posterolateleft disc osteophyte complex. Mild narrowing of leftneural foramina is noted at c4/c5 & c5/c6 level. Mild facet jouint arthropathy is noted at c7/t1 and c4/5 levels. what does this mean??", "output": "It simply means your cervical sac has narrowed canal causing compression on spinal cord, and secondary osteoarthritic (degenerative) changes have occurred with bone spike formation, the nerve roots are being compressed by bone spurs, narrowing of fora min and cervical joints are in varying degenerative changes causing pain, stiffness and nerve root compression symptoms. Disc is prolapsed in one place and further impinging on the thecal sac(covering on spinal cord) may be causing cord compression symptoms. You need spinal fusion, removal of prolapsed disc, and osteophytes etc" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter joined a parade. Its too hot her dress it too tight after the parade she got sick. she drunk biogesic for her high fever and later in the morning her skin turns red i thought its sun burn but in 2 days it spread on her hands do you think she has an allergy in paracetamol or alcohol because i put alcohol in cotton under her arm or its just A SUNBURN please answer this thank you and god bless", "output": "Hello, I read carefully your query and understand your concern. The symptoms of your girl seem to be related to a viral rash. I suggest using anti-inflammatory medication such as Acetaminophen to treat the fever. I also suggest using a mild steroid cream Calamine lotion for local application. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards! Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ihave PCOD problem, what are the effects of duphaston tablets bp 10 mg, i m married from last 3 years,my age is 30 , i want to conceive baby...wht will be the solution, we tried IUI 3 times.... but no result..(my husbands semen count is 82%) ruchira-mumbai", "output": "Hi there, I have understood your concern. Phaeton tablets is a kind of progesterone hormone. It helps support early pregnancy. In case you have PCs, please don't panic. This is a lifestyle disorder. Please opt for a healthy diet and regular exercise regimen. Include more portions of fruits, salads and vegetables in daily diet. Chat Doctor. Avoid deep-fried foods, bakery products and refined sugars. Avoid substance abuse if any. Start on Folic acid, vitamin B 12 and Omega-3 supplements at least 3 months before you plan to get pregnant. This helps to prevent many problems during pregnancy and delivery. I hope this answer helps you. Thanks. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "infertility problemsI been trying to concieve for two years nothing never happens...I once had a cyst removed off one of my ovaries..is there any fertility pills I can buy over the counter that will help me concieve??..do you think ovarian cyst is stoping me from getting pregnant...can somebody please help me????...it hurts to see other womens having kids with no problem", "output": "Hi. The cyst does indicate a possibility for or has led to a hormonal imbalance. Please understand that such issues cannot be treated with over the counter medication. Pregnancy and conception is no joke and so although your problem is minor, with proper guidance and treatment you will surely be able to conceive soon. A thorough work up followed by control of cycles along with the initiation of medication like camphene can help your conceive soon. Best wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My mother fell down on floor n banged her head to sofa on left sid..n doctors told that she is having a blood clot in brain..she is not able to Speak as well her right hand and body is not movable or paralysed ...can you please tell me how to recover fast n how mutch time will it take", "output": "Welcome to Chat Doctor. As you told that she had stroke (clot in brain) then you should be aware that what medicine your doctor advice should not be missed specially aspirin, clopidgrel and statin. These will decrease chance of recurrence of clot. Second thing is that physiotherapy should not miss because it helps fast recovery of muscle function. Disolving of clot takes time and vary person to person. Do not worry about clot and attend your neurologist time to time and Decrease fatty diet to improve her lipid profile. Thanx for query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Doctor, I am 31Yrs old and suffering from psoriasis from the past 13Yrs. It started as a scalp psoriasis initially. I misunderstood it for dandruff firstly later on when I consulted a dermatologist he confirmed that it is psoriasis. Is there any cure for this problem. Regards,Sekhar", "output": "Hi, As you said you suffer from psoriasis from 13 years.... I would like to say few things about psoriasis. Psoriasis is a chronic relapsing and autoimmune disease. You may be having scaly plaques on various parts of the body, scaly lesions on the scalp. Exact cause is not known. Genetic tendency, autoimmunity, stress, Chat Doctor. .etc. may be responsible for precipitation and exacerbation of psoriasis. You consult dermatologist for firm diagnosis and treatment. I usually recommend cap accretion 10 mg twice a day along with methotrexate 15 mg weekly in three decided doses 12 hourly...for psoriasis. This may be taken for long time till good response. Blood tests may be done to monitor the treatment. For itching, you may take antihistamines like levocetirizine. You may apply mild steroid cream or calcitriol point on the lesions on the psoriasis lesions. You may apply moisturizer to improve the skin texture. For scalp lesions, have tar based shampoo daily along with night application of steroid with salicylic acid lotion. You should avoid soap bath for few weeks. And you should be free of stress and worries as that might worsen psoriasis. You might get good result. I hope you got my answer. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my dad has blood in hes stool evertime he goes to the toilet,its quite alot of light red blood,he has no other pain with it and in general good health.please advise me.", "output": "Hi;welcome to Chat Doctor Since it is painless bleeding & fresh blood it could be piles. Bleeding from piles if continued for longer time it could produce anemia, so please consult a surgeon & get his problem solved.Nowadays, piles are operated with minimal invasive methods so the recovery & hospitalization period is also very short. There are other causes of bleeding also, but this is the commonest one but consulting & examination will be better. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi , my father is 75 yr old , he is paralysed on right hand and leg before 2 yrs in 2010 january , he is suffering from weekness and walks with help of others and stick . is it cured or not in this age . sushma Agrawal Bhilai", "output": "Hi, Paralysis is caused due to damage to brain tissue in which tissue may not regenerate, so function may be achieved progressively, but function and control of distal components like feet and palm, may remain in some residual problem like skill and balance, coordination in feet and palm. I will say the first 6 months is very critical, if you do exercises well then we would have regained strength and power after 9 years in 2019, its already passed 9 years, function can be regained but JOINT control and skill will be a bit difficult, you need to continue physiotherapy treatment for years if you want to make him independent in his lifestyle. Hope I have answered your query. Let me know if I can assist you further. Hem ang S Jane, Physical Therapist or Physiotherapist" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Orange eye puss coming from corner of eye...and it s continual...went to eye doctor (of course wasn t acting up at time) and was told I have eye allergies...so told to get over counter Naph...it burns...since I had a bad sinus cold back in Feb this year my sinuses and major nasal drip have been the same...constant spitting and blowing nose...is this also related?", "output": "Hi thanks for using Chat Doctor ... Orange eye and pus discharge from the eye is due to allergy and secondary infection... Same allergy could be the reason for sinus problem and blocked nose... During allergy and infection the duct from eye to the nose called nasolacrimal duct will be blocked, and it causes eye symptoms. Causes watering of the eye...Similarly, the sinuses will be blocked and there will be heaviness of head Also causes nasal Chat Doctor. . Anti-allergic treatment can help both...thank you...." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doc, when i was five i was detected as a patient of epilepsy in very initial stage.....doc prescribed me mazitol 10mg for five years ......during this time and even till date i dint experienced any siezures........but i have started smoking from past two yearst wice a day.....nd i recently i learnt that smoking is not good for patients like is....so shouldi quit smoking?", "output": "Hi, Welcome to Chat Doctor, Smoking is not good for anybody. Smoking tobacco is not known to have any definite effects on seizure control, However, persons with epilepsy are not only susceptible to all the usual effects of smoking, but also to the increased risk of injury and death from fire. Thanks for trusting Chat Doctor and posting your query. Hope you found my response to your query informative and helpful. If you have further concerns in this regard, you can submit those with Chat Doctor as well. With good wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i wonder if you can advise? i have a long history of back problems. i have been a midwife for 10 yrs and recently changed working areas after being placed in an area with reduced clinical input due to my back. in april i was told i had to return to the ward area and by may i was again experiencing severe back pain, leg pain and what i can best describe as sharp toothache continually. i have not slept in months and the medication doesnt work if i done have enough and when i take it i am in the equivalent of la la land and cannot function. i had an mri last week and will find out what the results mean in 2/52. the report says as follows, what would this mean? i am struglling on the ward area and in antenatal clinic with partially clerical duties i have coped well with no problems in 3 yrs. the report saysClinical history:Previous discectomy in 1997. Recurrence of severe low back pain in May 2010 with right lower leg symptomsand suspicion of altered bladder function.Sequences:Sagittal T1 and T2 weighted images of the lumbar spine have been acquired with axial T1 and T2 weightedimages. Post gadolinium sagittal and axial images have also been acquired. For the purposes of this report theL5/S1 disc is assumed to be at image 701-03.Findings:The L1/L2, L2/L3, L3/L4 and L4/L5 discs are within normal limits. Mild facet joint hypertrophy is seen at L4/L5but there is no evidence of significant canal or neural compromise at this level.At L5/S1 the disc is degenerate with significant loss of height. There is a small annular disc bulge and there isminor narrowing of the lateral recesses but no evidence of significant root compression. No significant canalnarrowing is seen.The visualised spinal cord returns a normal signal and the conus terminates at L1.Conclusion:Degenerate disc at L5/S1 but no evidence of significant neural compromise.please would you be able to explain and even advise what a reasonable plan of care, treatment and options i may consider.many thanksdenise", "output": "HiT hank you for asking ChatDoctorI have gone through your query. Your MRI gives impression of intervertebral disc herniation without neural compression. For such problem in patients I treat with NSAIDs like diclofenac and muscle relaxants like cyclobenzaprine and neurotrophic Chat Doctor. I also send them for regular physiotherapy and muscle strengthening exercise along with this. Wearing lumbar supporting belts also will be helpful. Hope this may help you. Let me know if you have any further query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "36, non smoker. Clinically overweight, but exercising to lose weight. Blood pressure since Friday has been ranging systolic: 139-167, dia: 89-105. Would a physician consider this to be high or worrisome? I have been ill and am on my second bout of antibotics. I am taking cipro 2x day. Tussinex sus 1tsp every 12hrs.", "output": "Hi, dairy have gone through your question. I can understand your concern. Your blood pressure upper range is high according to your age. You should go for salt restricted diet. Check your blood pressure again after 15 days. If it is still high then start antihypertensive medicinal according to your doctors' advice. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been having a lot of pain in my stomach and back and bloating at the same time after I eat. I have had this since July. I got Lyme disease the end of June and took medicine for that for 10 days and my stomach has been hurting ever since. It starts within 15 minutes after I eat. The pain sometime goes in my right side and sometimes in my left side. When I lay down on my left side some of the pain goes away. I had scope down my throat in August. I have had 2 CT scans. The second CT scan showed a thickening in my stomach. I have been on Prilosec 40 mg 2 times a day, Maalox before meals and Nortriptyline 10 mg at night and nothing seems to help and the scope test showed nothing. I have been seeing a GI doctor but she doesn t seem t know what could be happening. I have no gallbladder, that was removed 15 years ago. I have lost weigh because I can t eat that much. I ate 1 french fry today and within 5 minutes my pain was really bad and has been that way for 4 hours now. Please do you have any suggestions what it could be.", "output": "Hi, thank you for posting at Chat Doctor Forum. Your problem is known like postcholecystectomy syn Chat Doctor. To solve your problem you need to initiate the following precautions:1. Complete blood test(CBC), sediment blood test and biochemical test.2. Esophagogastroduodenoscopy for examination of the stomach, duodenum and duodenal papilla. The above procedure can be followed by intravenous cholangiographic, this gives you detailed information. To relieve pain use Tuscan Plus that is combined with butylscopolamine and Megamole. As for the food you should eliminate coffee, milk, spicy foods, animal fat and egg yolk. You should contact an abdominal surgeon and gastrohepatologist, to respect the precautions that are mentioned above. I hope, I helped you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have an old back injury from nursing. Lately Im finding I get pins and needles on the left side (same as back injury) of my arm, along with very sharp shocks when I sometimes try to bend down. The most confusing part is I have been suffering from a buzzing feeling in my head and it seems to make me feel dizzy when I move suddenly. Is this possibly from my back issue?", "output": "Hello, Thanks for writing to us, According to your history it looks like there is lumbar disc bulge compressing your spinal nerves leading to pins and needle sensation in your legs. I will advise you to do x-ray spine and MRI spine. You may need muscle relaxant with analgesic, and neurotrophic medicine. Lumbar corset and hot fomentation will give faster relief. Physiotherapy like USG and SWD will give quick relief. Spine exercises done regularly will prevent endurance of such episodes. I hope that I have answered your query. Let me know if I can help you further. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good afternoon doctor, My mom in law went thru a surgery of her right breast as she is detected for the second time carcinoma 1st operated with the ovarian cancer in 2001 uterus is also removed & in oct 2010 detected on right side of breast.She will be going thru a 4th Cycle of chemotheraphy on saturday.my qt is she is turning fat at the moment & her food intake is also not so proper.Her tryglycerides rose to 1483 & cholestrol to 255 pllease can you help me to find out is it due to side effects as i am in doubt if the person undergoing chemotheraphy turns fat. Please advice.", "output": "Hi, Thanks for writing in. Chemotherapy is known to raise cholesterol and triglyceride levels in many people like your mother-in-law. Medical literature demonstrates increased receptor-mediated uptake of low density lipoprotein (LDL) in many types of malignant cells compared with normal cells. The person undergoing chemotherapy will not get fate. Increase in Chester does not mean becoming fat. It refers to the increased concentration of cholesterol in the blood with triglycerides. This pattern is seen as a result of change due to increased absorption of fats and also metallic changes leading to high circulating levels of these components. It also means that the patient might have increased risk to cardiovascular disease. Regular follow up is required. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Dr., I am deeply concerned as I have just been diagnosed with emphysema in the lower parts of my lungs, even though I am only 43 and have never smoked, I have had numerous chest infections which I have been treated for - so really cant understand it - hows this come about and what can I do to slow it down, also will I die fairly soon as I have a young toddler and a baby to look after, please advise. Kind regards,Ann.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Recurrent chest infections can cause emphysema without smoking habit. Get done PFT (Pulmonary Function Test).PFT will tell you about severity of emphysema and treatment is based on severity only. You will need inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone). Deep breathing exercises and incentive spirometry are also beneficial to strengthen your lungs. Adult respiratory vaccines (pneumococcal and influenza) are advisable to prevent recurrent respiratory tract infection.Don't worry, with appropriate treatment you can't live normal life. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "last Fri. my husband s inner left elbow became swollen, red, hot ..a patch about the size of the palm of your hand. Called doctor friend who said put cortizone ointment and ice...it reduced the swelling some, not all...next night it did the same thing..went to a doc in the box..he gave him an antibiotic ointment and pills...this is third night and it looks about the same. He is just about to start chemo and radiation for squamous cell cancer of the throat. Who do we see?", "output": "Hi, thank you for providing a brief history. The last sentence in your history makes a point here to discuss. Since your husband is prepared to undergo the first chemo you need to avoid a lot of the medication on a safer side to the chemo to be effective. On the other hand if your husband had a swelling and hot feeling sensation near the elbow you should see if he has not hit it somewhere by mistake. If possible an x-ray will give an input. Later on meeting a vascular surgeon will help you get some inputs too. Discuss all things along with your oncologist as he should plan the chemo accordingly. With the grace of God I wish your husband a speedy recovery and good health in future ahead." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 39 years old I have psoriatic arthritis and currently take methotrexate once a week, last Wednesday I took it like normal as I had been for 4 weeks. The day before I went to doctor & they said I had broncbitis. Well Wednesday night I felt short of breath & dull psi.s in upper chest & weird feelings down arms & legs. They did an eng & chest xray &bloodwork & said everything was ok. They wanted to give me atavan, I said no cause I was scared. Its almost a week later I have lost almost 10 pounds & still having the same symptoms, even feel lightheaded at times. The feeling goes across my upper chest to my armpit & shoulder. My doc told me to take prilosec and lorazappam in the morning & night I still feel the same. Was it possible I was misdiagnosed?", "output": "Hello rearward welcome to Chat Doctor.come have gone through your query in depth.* This seems in relation with underlying definite reason not being evaluated by the tests, which may be - deficiency of micronutrients, anti oxidants, trace elements, vitamins - underlying Pyrex with infection of some sort of virus or bacteria Hope this clears your query. Wishing you fine recovery from the same. Regards dear take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "dear sir/mami m 29yrs old with 184cm height n 81kg weight. my problem is that my chest is bulging from the center and there s lots of tissues in the nipple area, which looks like ladies breast. sir plz suggest some remedy 4 this problem...... i feel shy due to this problem.....!! i ll b thankful 4 ur reply", "output": "Dear serve understand your concerns went through your details. Your chest is not bulging because of hormonal issues. They are bulging because of lack of exercise. Do physical exercises. Include 20 to 30 chest push ups twice daily for tightness of chest muscles. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ive noticed that on my penis I have newly formed ugly veins under the skin that almost look like varicose veins. I only masturbate once a day on average, but I suspect this is what its from. Is this a dangerous symptom? Or will it go away if I resist the urge to masturbate", "output": "Dilated veins over the surface of penile skin is a normal happening. Yes, it can be aggravated by excessive masturbation. I would advise you to decrease the frequency of masturbation to once or twice a week and the vein size would decrease slightly. The engorged veins, however, would not cause any problem to you in the long run. Do let me know if you have any other queries, and also, please mention your age, height and weight when you do. Take care. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "not sure what to ask so i will tell u what is going on, for the past few months ive been haveing this drainage into my throught not every day but when i bend over i get the sence of smell like something dead then when standing back up straight it drains into my throat and taste as bad as it smells. could it be my teeth or something else. cindy", "output": "Hello, The mouth contains around 10 thousands taste buds all over, even in the back of the throat. Every taste bud detects five primary tastes: sour, sweet, bitter, salty, umami (salts of certain acids). All tastes come from a combination of these basic taste sensations. You might have damaged your taste buds, due to smoking, or have a vitamin or mineral deficiency (B-12 or zinc). But there is a third possibility, which has to do with a sinus Chat Doctor. So even if your taste buds are working well, your sense of taste may be impaired if you have a cold, nasal infection, sinusitis, allergic rhinitis or nasal polyps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, i am 38+3 weeks pregnant, and my white cell count it abnormal high. I have already finished one course of amoxicillin, but it had no effect on the white cell count, infatuated it doubled. My white cell count at present is1843 normal range between 0-40. My bloody pressure is fine, but the pain to my left kidney if horrendous at time. I am currently on second dose of amoxicillin but the pain isnt improving. Do i need to be seeing someone as kidney infections can be fatal.", "output": "HelloThanks for query. You are 38 pregnant and have severe pain in left kidney year with raised WBC count. These symptoms one most likely to be due to kidney infection secondary to impacted stone in ureter and need to be investigated and confirmed. Consult qualified Urologist for clinical examination and get following basic tests done to establish cause for pain and infection 1) Urine routine and Urine culture 2) Ultrasound scanning of abdomen 3) Renal function test. Take appropriate antibiotic that can be safely taken during pregnancy. Further treatment will depend upon the results of these tests and final diagnosis. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had symptoms of bloating side front pain and abdominal pain, frequent urge to urinate , foul smelling cloudy urine last week. Went to urgent care and had a dipstick urinslysis which showed high leukocyte and white blood cells. The culture came back clear for bacterial growth. I took macrobid for 5 days and now am having the symptoms returning. Could it be a kidney stone passed or a kidney infection? Why wild there be no growth if 1 day after I finished the antibiotics I am starting with symptoms again?", "output": "Hi and welcome to Chat Doctor. I understand your concerns. You have all symptoms of urinary tract infection and if there are recurrent infections then some underlying cause may be present. It can be urinary stones but also, some resistant bacteria may persist, so you need to do monoculture to see if I am right so macro bid may not be sufficient. Also, some fungal infections or STDs may have similar clinical picture. To exclude kinda stones you should do kidneys ultrasound and RTG images. I hope I have answered your query. Kindly regards. Wish you a good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My dad was diagnosed with myelofibrosis. He passed away five years ago and on his death certificate it says myelofibrosis Four years ago my nephew was born and he was diagnosed with G6PD Is it possible that my dad was misdiagnosed. Is it possible that he may have had G6PD as well?", "output": "Dear friend, myelofibrosis is a chronic condition of bone marrow, where normal blood cells are replaced by fibrous tissue. It can be due to any condition, like idiopathic, tumor, infection, autoimmunity and so on. God on the other end is a genetic condition that occurs in males, and it presents with acute hemolysis of red cells of our body. They break down in our blood stream esp when we take certain Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son has been sick for 3 days now, I took him to the er yesterday for coughing and sneezing and while we was there I noticed a flat red circle on his tongue. The doctor said it was a viral infection but now there is around 7 on his tongue. What could this be and is it contagious?", "output": "Hi, Many viral upper respiratory infections are associated with oral lesions, and need not be worried about. Yes, they are contagious, and others, especially child Chat Doctor. Most of these are benign and will recover in 3-5 days, and no need or use of isolating them (infectivity will start before symptoms) from others. If the fever is not coming down by 3rd day, or if there are painful oral blisters turning into ulcers, kindly review with your doctor to rule out herpes dermatitis, that may need anti-viral treatment. Meanwhile, continue paracetamol and give plenty of oral fluids. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a child April 11. , 2012. 4weeks after I had a Depo shot (first time ever) and bled for 5months straight. I did not continue on with the shots after the first injection. In addition, within 6weeks after havin my child, I had two kidney stones in my left kidney. They were surgically removed. As of January 2013, I now have three stones back again. Two in my right and one in my left. I have heard many stories that the Depo shot may cause kidney stones. Is it possible that this one Depo shot has caused my kidney stone appearances?", "output": "Hi and thank you so much for this query. I am so sorry to hear about these recurrent stones in your kidneys. Depo shot can cause kidney stones in people who have the tendency to form kidney stones. It does not happen to everybody. Because your occurred during your shot, it has enhanced an already existing predisposing factor to make these stone formed. Also, demo effects should have been long over after you stopped using it. Still having stones means we need to explore further. Factors like not Chat Doctor. I will like you to meet with your doctor who should look for the predisposing factor(s) and ad" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I ve been diagnosed with fibromyalgia and I also have muscle and skeletal issues and I do on occasion have spasms but this past week I have had some extreme fatigue and spasms to the point Im afraid to move around because I m cramping up so bad.I take zanaflex but truthfully this seems to make them worse.Could I be having an adverse affect to the medication?", "output": "Hi, thank-you for providing the brief history of you. A thorough clinical assessment is advised. As you have been diagnosed with fibromyalgia, this condition has the pain up and down due to the inflammation of the fibers of the muscle. A muscle contains numerous fibers and inflammation in the fibers lead to pain. Also, the fatigue is the early occurrence due to rapid metabolism and also the spasm and cramp is the end result.in my clinical practice such cases are recommended with physical therapy, meditation and breathing exercises. Physical therapy - Therapeutic ultrasound therapy and TENS therapy will help reduce pain and inflammation. Also exercises will help regain the strength and improve the metabolism and endurance of the muscle. Meditation will help reduce the anxiety and also help in Performing well during exercises. Breathing exercises will help improve the oxygen carry blood capacity by tissues and there by helps reduce the inflammation. As the metabolism is slower in patients with fibromyalgia, having breathing exercises, meditation and exercise does play a big role in overall help of the condition. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am suffering with fever since yesterday, having prescribed I had fibrex half tablet and exit 250 during the day yesterday. Not able to get down the temp, I had dolo 650 and taxim o 200 mg yesterday night. I felt better till morning and now I am feeling pain around lever area below chest.", "output": "Hello, i can understand your concern. The pain in the lower chest post paracetamol is due to gastritis which is a common side effect of pain and fever medication. I would suggest you to take tab pantoprazole 40\u00a0mg prior to taking the paracetamol tablet. Since you are feeling better now, continue the medications as advised by your doctor. Take the tablet taxi o for 5 days. Hope I have answered your query. Have a nice day" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I originally was on blood pressure medication when my son passed 10 yrs ago then they just left me on it. I had a hip replacement in March and my pressure was very low so they took me off my meds. I was going to the gym and so my pressure was excellent. now I havent been to the gym but was on this diet where I was eating bacon everyday well there went my pressure 150/74. 144/69 145/75 161/81 143/74 139/70 this has been the last 2 weeks should I call my internist I just had a physical on Dec 3 my pressure was 129/72. I am going for a echo on Monday Dec 16th what are your thoughts. Is there anything all natural to take without going back on meds? I am watching my salt", "output": "**1. If going for ECHO, just ask for Baseline investigations like Lipid-Blood sugar Thyroid Profile and urine for microalbuminuria for any underlying cardiovascular risk factor for blood pressure.2. Since blood pressure measurements are fluctuating, so ask for ultrasonography of a Chat Doctor. 3. Since on low salt diet thus five-step approach to the disease is:i. Exercise: brisk walk for 45 minutes every day, at least 5 days a week along with Yogasanas and Panama. Avoid complicated ones]ii. Stress Management: Meditation for 15 minutes every day [positive thinking] with relaxed mind.iii. Low fat Diet:. Avoid saturated oils [coconut oil, Dada, butter, ghee, cream] instead use monosaturated oils [olive oil] or polyunsaturated oils [sunflower, corn oil]. Avoid all deep-fried foods, unskilled milk, and meat. Increase fiber intake i.e. leafy vegetables, salads, fruits, pulses and legumes. Use skimmed milk or double toned low fat milk.iv. elimination of known risk factors: Smoking, Weight reduction [if overweight], high blood sugar, mental strains. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My left upper leg just above the knee feels like there is a band around it squeezing and is very painful. I have been taking 600mg of Ibuprofen once a day for the last 2 days with very little relief. My foot also began to swell last pm. I do exercise daily walking at a moderate pace (3.7-4.2mph) for 4-5 miles.", "output": "Hello, As this can be due to knee joint internal structures inflammation and an MRI is suggested. Once we get an MRI we should be able to understand the pathology of the soft tissues inside the knee joint. Using knee brace, hot water fermentation, keeping the leg over a pillow, ankle toe movements, static hamstring, static Qua Chat Doctor. Hope I have answered your query. Let me know if I can assist you further. Jay In" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "age 33, height 52, weight, 215, female. I have had a bad headache for the past couple of days and now there is a lump/bump on the back of my skull that is painful to touch. I did not hit my head on anything so Im worried about the bump...should I be going to urgent care?", "output": "Hello! Thank you for the query. Such lump is most likely a sebaceous cyst which has gotten infected. In such case the lump becomes very tender, swollen. If it's on the head, headache can be present. It is also possible that this lump is an enlarged lymph node. As an infection on the head can spread to the brain tissues and cause serious problems, I suggest you to consult general surgeon as soon as possible. If it's a cyst, should be incised and Chat Doctor. Hope this will help. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son had one testes removed, I think it was due to torsion. He now has schizophrenia, or schizoaffective. Is there any possible causal relationtship? As is in, could he have decreased testosterone that is impacting his mental clarity?", "output": "His understand your query but how can testis and brain related to each other!!!! No dear there are no chances of schizophrenia after testis removal. It is also not hormonal related. There special genes and biological origin which are responsible for schizophrenia. So consult properly and educate your self. Need proper treatment of schizophrenia as early as possible to get better recovery. Still have query then feel free to ask. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi there. About a week ago after having sex with my wife, I noticed a rash starting on my inner upper thigh. Didnt think much of that but then my left testicle started hurting, so I dealt with that for a day then it became both testicles that were sore. It wasnt too bad mainly bedtime where I couldnt get comfortable was where I noticed it the most. Next the tip of penis started hurting like a slight burning bit it was more so my actual urinary tract. Finally I went to emerg at like 2 am because I had just had enough. Showed him the rash which by then was almost gone. He said the rash was nothing at all. No discharge from penis so he ruled out STD which I was worried about because I read they can at times lay dormant for years and Ive been faithfully married for 3. Anyways he poked around my testicles and had me cough and I said it wasnt feeling any more or less pain it was just a constant painful sensation. So he said it was some kind of infection and put me on antibiotics for 2 weeks. This is only my second day on them but nothing has changed the pain and tingling just seems to be moving. From both testicles to mainly my left testicle and left thigh now have the same feeling. I find it all to be extremely odd and troubling. Any input would be great!", "output": "Hello, Rash on the thigh after sex is commonly due to Jock Itch(Tina courts). Jock itch can be transmitted from one person's groin area to the groin of their partner, it affects the other parts too as ringworm. You can apply ointment Clotrimazole in the areas affected. You can also take a course of oral antifungals. Avoid sex for a couple of days, take care of your hygiene. Keep your private parts clean & Chat Doctor. For safe side you can get STD test done to rule out any STI. Pain, tingling & discomfort in the groin may occur due to epididymitis, testicular torsion, hernia, UTI or Kidney stone/ kidney disease. You are suggested to get clinically examined by a Urologist. Get blood, Urinalysis & required imaging(MRI/CT) tests done to rule out the factor causing discomfort. Your treatment will depend on the pathology detected. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My five month old son has had a cough for nearly 6 weeks now. It is worse at night and he also becomes wheezy at night time. I took him to dr three weeks ago but they said he was ok but he is now coughing so hard he is bringing up lots of his feeds. Should I go back? Could this be early signs of asthma?", "output": "Hello, Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for your son as follows:1. There are many possible causes of wheezing in such a young age like viral infections, bronchiolitis, gastroesophageal reflux disease (HERD), etc.Hence, it is too early to say that your son has got asthma.2. As he has wheezing and cough at present, of course I would suggest you to get him examined by his doctor who will ask history in detail and listen to his chest with stethoscope and decide possible causes of wheezing.3. Sometimes for such wheezing, nebulization may also be helpful. 4. If he frequently vomits out feeds, your doctor also may think of HERD. In that case, an antacid also may help.5. Please avoid exposure to dusts, smokes, fumes, air pollution and cold air as much as possible. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish your son the best of the health ahead. Thank you & Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been having stomach problems for a while now. I ve had a basic exray and it showed that I have a cyst on either my spleen or pancreas . The pain is on my right side under the rib cage. I m scheduled to have a ctscan also. Which one do you think the problem is: spleen or pancreas? I ve never drank, but I did sustain a back injury and gave had for surgeries from that injury.", "output": "Hi and welcome to Chat Doctor. Thanks for the query. Ct is needed to verify exact size and position of cyst and then further diagnostic and therapeutic procedures. If cysts is seen on X-ray already then I suppose it is big one. But it still doesn't means that surgery is necessary. It must be removed if there is risk of hemorrhage or if this is symptomatic. Since you have some pain then surgery can be considered. Mostly such cysts are caused by trauma but so mother causes are possible such as chronic pancreatitis or congenital cysts. Wish you good health. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m pretty sure I broke my 4th toe 7 weeks ago. It still swells and is purple. I haven t stopped exercising (eliptical and walking). How do I know if it is the break that is causing the pain and swelling/bruising or if it is a tendon? An X-ray wont show that and if it is a tendon, then what???", "output": "Hi, thank-you for providing the brief history of you. A thorough musculoskeletal assessment is advised along with MRI/CT. As, you have injured your toes, and the swelling and purple taking an MRI or CT will be good to understand. Also, now understanding that what is happening in the soft tissues is important. Kindly avoid weight-bearing and have a check done. Due to million of fracture or any soft tissue Injury certain times swelling doesn't go and delay done by patient to undergo for checkup also makes some differences. Kindly get a clinical assessment along with an MRI or CT and have a proper examination. Feet are very important for the human body to keep the functionality. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a type one diabetic with sever seasonal allergies. I have tried all over the counter (claritan, zyrtec, etc) as well as homeopatChatDoctoredications and nothing works. I have seen many allergists that tell me that taking steroids for the allergies would be worse due to elevated blood sugars but they are the only thing that works (i tried them many years ago after begging and pleading) I feel as though my sugars are more out of control due to the persistent chest, nose, eye, etc problems caused by the allergies. Do you think it would be impossible to find a doctor to prescribe a type one with an a1c of 7 some steroids for seasonal allergies? Also do you really think it is more dangerous to take steroids and have my allergy symptoms go away rather than live with highs due to the symptoms? thanks!", "output": "Hello, Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for you as follows:1. I would like to know about your symptoms in detail like since how long, how often, what are your nose, eye, chest symptoms, which medications you used, which forms of steroids you used, dose of insulin for type I diabetes, any other medical conditions, any other medicines, your previous reports, etc. etc. This will help me to understand your complaints better and to make more specific suggestions for you. As you have chest symptoms, I would definitely like to know whether you have asthma, since when, inhaler use, etc.2. As long as nose/eye symptoms are concerned, I usually prescribe my patients' combination of levocetirizine + montelukast regularly.3. Regular steam inhalation also helps in a long run.4. I would like to mention here that there are many forms of steroids available, tablet, intranasal sprays, inhalers, etc. Most side effects, including weight gain, increased blood sugar, etc. occur with tablet/oral form. Sprays and inhalers are very safe as compared to oral forms, and choosing appropriate form may help to ensure minimum side effects with maximum health benefit. 5. Of course, Chat Doctor. 6. For diagnosis of allergies, I would suggest you allergy testing for common air-borne allergens such as house dust mites, pollen, molds, insect proteins, animal dander, etc. This will help you to identify the substances causing allergies to you as well as to know the measures to avoid them.7. Based on allergy testing, an Allergist-Immunologist may prescribe you allergen specific immunotherapy which works on immune system to gradually improve allergy symptoms.8. In general, please avoid exposure to dusts, smokes and air pollution as much as possible.9. Regular physical exercise including breathing exercise and a diet rich in vitamins & minerals also will help you in a long run by improving your lung capacity and immunity respectively. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you the best of the health ahead. Thank you & Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had numbness and swelling in my left hand for sometime - 4 mos worsened when I slept on that side. I had a severe auto accident so while I don t seem to have a pinched nerve - thinking perhaps it was a damaged nerve. Then my right hand started with numbing symptoms and continued for a couple months now. Within the last month I now have tinglin, numb and somewhat swollen feet. I have an EMG scheduled initially for my hands - arms. What is causing this. I m concerned. Could it be medicine. I do not have diabetes am relatively healthy and could lose 15 pounds. I m 5 5 150 pounds. I could exercise more.", "output": "Hello! Welcome on Chat Doctor ! The numbness and swelling in your left hand, which was triggered by sleeping on that side seems to be related to a pinched nerve and a wrong position during sleeping. While the swollen feel are not related to this issue. For this reason, it is necessary consulting with your doctor for a careful physical check up and some tests, to investigate for the possible causes of increased fluid retention: - a chest X-ray study- a cardiac ultrasound and resting ECG-complete blood count-blood electrolytes- kidney and liver function tests- a urinalysis. A Doppler ultrasound of the leg vessels would help exclude possible chronic venous insufficiency in the lower limbs. You should discuss with your doctor on the above issues. Kind regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "For the past couple of days I ve noticed a white ring around my mouth with a little redness around the outside of the ring. I recently went off birth control and have heard that can cause lightening around the mouth. I also had quite a few strawberries the other day and thought it could be an allergic reaction, but I thought that would have gone away by now. Help!", "output": "Thanks for your query, I have gone through your query. The white ring with red outline could be a symptom of erythema multiform, that is an allergic reaction to the strawberries. Consult an oral physician and get it diagnosed. Once it is diagnosed you can take anti-allergic tablets like cetirizine or rupatidine. If the lesion does not subside within 5-7days, consult a general physician immediately. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My serum amylase was 164, I am diagnosed with pancreatistis but in the CT scan no infection or inflammation was seen on pancreas. I had pain from last 17 days and the pain was unbearable so I smoked a weed joint 45 min prior to my ct scan-whole abdominal.Is weed the reason that nothing came up in the CT scan?", "output": "Hello Fairbanks for using Chat Doctor.come have evaluated your query thoroughly.* Different possibilities are there for negative CT scan - Primary diagnosis is incorrect. - CT scan report may be changed with another patient. - Error in CT scan reporting. - Actual absence of swelling at the time of CT scan. - Technical issue from the machine itself to focus on pancreas (maybe due to low capacity i.e.HZ)* Weed is not the reason for the same. Hope this clears your query. Welcome for any further assistance. Regards dear take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I sometimes get a severe pain/cramp in my upper left abdomen, below my ribs. The pain, like a charlie horse, usually occurs when bending or sitting in an awkward position. Standing up helps the pain decrease, but if i sit or bend again the pain will return. The cramp can last from seconds to minutes. The area will remain sore and tender to the touch for hours or days. I do not note any protrusion. I am morbidly obese, have had various abdominal surgeries. Could this be a hernia?", "output": "Hi. Thanks for your query. Read your history carefully and understood your problem. The commonest reason for the typical pain you have explained can be due to costo-chon Chat Doctor. In this condition the lower ribs get inflamed, remain dormant till the site is instigated - which in your case is due to bending. Once the pressure on it released the tenderness will go down. Noticing protrusion is very difficult in morbidly obese people. So we have to get help of ultrasonography or CT scan or an MRI-MRI will be the best as it will help diagnose the Costco" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my friend had a PTB 7 years ago but already had taken his medication. When he had his x-ray AP view , 2 weeks ago,, theres a fibrous something on his right upper lobe. The impression said its PTB. Could he still have PTB or it was just a scar? Thank you!", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Since your friend had tuberculosis in the past, possibility of scar tissue on recent x-ray is more. Tb lesion heals by either fibrosis or calcification. And it appears as scar tissue on chest x-ray. This lesion appears as it is for lifelong. So possibility of scar lesion is more in his case. But at the same time, tuberculosis can reactivate and cause active tuberculosis in the same lesion. So if your friend is symptomatic (fever, cough, weight loss) than better to get done sputum examination for AFB and CT thorax. If both these are normal for active tb lesion than no need to worry about tuberculosis at present and his x-ray is showing scar tissue only. Hope I have solved your query. Wishing good health to your friend. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a sinus infection and have great success being treated once a year with azithromycin...tonight a doctor prescribed a a tetracycline antibiotic by the name of doxcycline. I am disheartened by the specific conditions of taking this medicine and by the precaustions and side effects possible, and upon research, have not found any conclusive evidence that this antibiotic is commonly used for sinusitis. Your take...?", "output": "Hi and welcome in ChatDoctorI can understand your concern. There are several classes of antibiotics that might be use in sinusitis but the most preferred of them are the wide class of cephalosporins in which none of your antibiotics used belongs to. Azytromycini belongs to the class or accolades, doxcycline belongs to tetracycline group and in some situations might be used in ENT infections. So do not worry about this. Continue with the treatment and keep consulting with your doctor. Have a good health Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I m losing very large amounts of mucus from my rectum which tiny bits of blood in before passing a stool. I ve got abdominal pain, nausea and general feeling of being unwell. It s been going for four days now. My bowel movements are formed and regular. I am usually constipated. Recently been on 3 lots of strong antibiotics and then nystatin for oral thrush! Any ideas what s wrong with me? I also did a home test for detecting blood in stool which is positive. I also have antiphospholipid syndrome so inject clexane daily. Gave birth 6 weeks ago.", "output": "Hi. Thanks for your query. Read and understand your concerns. It all looks to have old problems, taking clean and now the problem of mucus and blood in the stool. I would advise you the following:Get the stool tested from a lab Get a course of antibiotics and metronidazole. See the results. If no relief, you may have to go for Colonoscopy and CT scan of the abdomen. Get a proper diagnosis and treatment." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a movable bean sized lymph node( Im guessing lymph node) on my upper left side of the neck near the crease below my jaw line. It is not painful, red, only noticeable when I touch it. This ha been there since december of 2010. I do not have any other symptoms no cough, fever, or congestion. I have this since I also have a bigger movable lymph node or cyst in armpit I had this checked by two places one said lymph not one said cyst I had an ultrasound for my breasts and underarm they said it was nothing it is still there and that was last year. Im getting really frustrated of noone taking me seriously Im so nervous about that it may be lymphoma I always get things checked right away and because of that they think Im not being serious and this on neck has been awhile now and Im scared if I seek medical attention they will be like it is nothing since Im 24 and it is not fixed but cancer is usually not painful and Im not feeling in pain what do you think it might be?", "output": "Hi, Dear Good Evening, and thanks for the query to Chat Doctor. Cause of the red lump on the neck-I studied your query and understood your health concerns. In my opinion the red lump is mostly due to the non-specific lymphadenitis in JD area. Its asymptomatic and hence you seem to be worried more. From the facts of the query, I assure you that it is not cancerous or of lymphoma. Else they would have done further investigations and told you the severity of it to you. I would advise you to consult ER Surgeon who would help you out by FNAC Biopsy if need be. Hope this would help in planning treatment with you Doctor. Welcome for any further query in this regard. Plz write a Good Review-without fail, as it would help other patients coming to Chat Doctor. With Regards. Chat Doctor. N." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I (29 yrs old, female) initially had pain occasionally in my left foot, which followed only after a lot of walking or carrying the kid for long. When I consulted the doctor, he said that I have a kind of flat foot. He adviced me to have Tendocare- once daily for 3 weeks. After I had the medicine for 5 days, the pain increased so much so that I am barely being able to walk properly now. Curving my left foot s thumb towards the body, makes me feel a sensation that is close to a pricking nail (at the point the foot has an arch). The pain is continous (even when I am not walking) , getting unbearable & disturbing. Please suggest urgently.", "output": "In flat foot the inside arch of foot is lost. This causes bearing of more load and stress on muscles and bones of inside the foot then their usual capacity. It causes pain on standing & walking. In advance stages due to swelling of muscles and soft tissue, pain may occur while resting.anti-inflammatory analgesic such as ibuprofen, icing and wearing of medial shoe raise (commercially easily available) inside the shoes while walking will give relief in pain and other symptoms. She raises will make artificial curve of foot and distribute the load accordingly. Hope this helps. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello. My new PCP is an ARNP. I was successfully treated with Effexor (I believe 150 Mg), and Ativan (1 Mg Prn) for MDD and Panic attacks. The prescriber was an Emory trained Psychistrist which whom I highly respected. The new nurse practitioner has put me on Wellbutrin, stating that it will combat the panic attacks and depression. She informed me that she would never prescribe benzo-diazapines . My panic attacks have worsened with Agoraphobic tendencies. I have stayed on this new antidepressant for six weeks now, and know that it is time to request the return to an SNRI. How do you feel is the best way to communicate this request? I find it odd that someone would change the anti-depressant that was found to be effective in a patient, and discard the former TX. of a specialist. Thank you for your consideration.", "output": "Dear serve understand your concerns went through your details. Please do not worry. Severe panic attacks are treated with Benzodiazepines, such as Asian, Valium, or Xanax and or Antidepressants, such as Pail, Prozac, or Zoloft. But these usually subside after sometime. Secondly panic attacks are always due to underlying anxiety disorder. Treatment is required for anxiety disorder. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My father had an angioplasty six yrs back, for last 3 months he has problem in walking, if he walks for 2 minutes, he is having sever breathing problems, his ECG IS ok, he takes his medicines daily and on time. should he go for one more angiography? if yes what is the risk? his age is 78 yrs.", "output": "Hiangiography is an invasive test breathlessness on walking is medically termed as dance on exertion and your father is having class 2 dyspnoeas on exertion at present which can not be neglected any how our aim in this patient is to find out if there is any new blockage if stents are working properly if left ventricle ejection fraction is normal stress m1b1 gated scan with aspects (aka stress thallium) is a great test to provide a reliable answer to all these question sits a non-invasive testangiography is an invasive test and some time fatality is also reported sensitivity of stress thallium is 97% I would not recommend angiography as of now go for a stress thallium firstly" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I am a 48 yr old female. I have had swollen lymph nodes on the left side of my neck twice now. First I had them 3 mos ago and the soreness went away. Now the swelling and tenderness is back. I went to a clinic and the Dr. put me on Bactrim after 3 days swelling still there. Now I went back to a different Dr. at the clinic and he put Cipro and ordered a CAT Scan. Why do you think the lymph nodes enlargement and tenderness comes and goes?", "output": "Welcome to Chat Doctor .1. Lymph nodal enlargement is because of inflammation / infections (Tuberculosis, high grade fever, breast inflammation) and seen in the underlying malignancies (different cancers) 2. So need to find out the cause and treat.3. An biopsy of the lymph node will give the cause.4. A CAT scan definitely gives possible diagnosis.5. Hope it helps you. Wish you good health. Anything to ask ? Do not hesitate. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi there, I m a 25 year-old female with persistent lower abdominal pain. It s usually on the left although some times its on the right. Its crampy pain that interferes with work. A week ago, the clinic prescribed T3s, which have helped the pain to a manageable level but not eliminated it yet. It may be related to possible PMDD. Sporatically, my bowel movements also involve little fluid filled mucus looking sacs with blood. I have had a few of these in the last week, which may or may not be related to the lower abdominal pain. Do you have any ideas?", "output": "HiT hanks for your query. The pain on both sides of the abdomen with the history of blood and mucus in the stool is suggestive of inflammation of the large bowel called colitis. This needs a course of proper antibiotics under the guidance and prescription of the Doctor, preferable Gastroenterologist. If the 5-day course solves your problem, great ! If not you may need further investigations like of blood, urine and stool and may be colonoscopy." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doc why is it that i have no pain or symptoms of syphillis but when i go for a medical my vdrl/tpha are reactive but this sickness was already treated ive done injectible by penicillin in 4 times once every wk in 1 mnth after this treatment my vdrl/tpha was non reactive my question why is it this sickness after a mnths it is reactive again?", "output": "You have got the wright medication Penicillin is the treatment of choice for all stages of syphilis, with the type of penicillin and dosing based on clinical staging of the disease. Latent syphilis (i.e., without symptoms) is detected by serological testing and is divided into early latent syphilis (acquired within the preceding year) and late latent syphilis or latent syphilis of unknown origin. Nontreponemal (RPR/V Chat Doctor. Successful treatment is associated with a 4-fold or two-tube decline in tier (i.e., from 1:32 to 1:8) 6 months after therapy for primary or secondary syphilis and 1 year after therapy for latent syphilis. RPR and V" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my uncle hospitalised due to vomiting of blood.after one day doctors said he is ok now.but after that bleeding occured and its not stopped and its happening intermittently,,and blood pressure is fluctuating(lowBp-96).. may i knw what is his current state?is there anything to worry?what can we do to help him out of this?", "output": "Hello, it depends on the cause of his bleeding. Re bleeding after initial improvement usually involves ulcers or esophageal varices. There are effective treatments for both conditions. A gastroenterologist treats them endoscopically. Hemorrhagic gastritis (another potential cause of upper gastrointestinal bleeding) usually stops even without treatment within a few hours and heals within 24 hours. If you do know which of the above conditions is the cause, I'll be able to give you more specific information. I hope I've helped! Kind Regards!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, i am 23 yrs old and want to concieve.I am trying for last 3 month and did intercourse during ovulation .My docyor Suggest me to have Fertly 50 md on the fifth day of my period as my periods are regular and i have done hormones test to which is normal.And Maintane tablet on the 16 th day till 10 days ..suggest me if i can concieve .", "output": "HI, As you are on taking treatment and planning intercourse at the time of ovulation there are high chances of getting pregnancy. You didn't mention whether your husband also undergone any investigations like semen analysis etc. If reports of both partners are normal, then there is high chance of success. So don't worry follow the suggestions of your doctor and continue treatment, you can conceive in near future. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband was diagnosed with prostate cancer 6 years ago and has been on Zoladex and Casadex ever since. These were no longer doing the job and his PSA started rising to 11 in June 2010. So he had a bone scan and Pelvic MRI which showed no spread. He then had 19 doses of Radiotherapy. After 6 weeks he had a PSA test which has come back at 42.This seems very high to us, is this normal. What reading should we expect after Radiotherapy", "output": "Thanks for your question on Chat Doctor. I can understand your concern. PSA (prostate specific antigen) is marker for prostate cancer. And its value correlates with activity of cancer. High PSA level suggests higher tumor burden. And after radiotherapy, PSA level should be decreased. But in his case, its value is increased. It suggests that tumor is not responding to radiotherapy. In my opinion, he should undergo PET scan to rule out local tumor size and distant metastasis. So better to consult oncologist and discuss all these. Hope I have solved your query. Wishing good health to your husband. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I experienced some mild discomfort om my cheek last wednesday evening and woke up with an extremely swollen and painful cheek in the early hours of the morning so thinking it may be an abscess took 2 x 500mg amoxycillin and a panedine forte (500mf paracetamol. 30mg codiene).. Took a further 500mg amoxylcillin at 6 hourly intervals but when swelling increased went to ER and was given 2 lots of IV antibiotics plus prescriptions for metronidazole and amoxyicillin and had to report back the next day for follow-up.. all is fine swelling is slowly going down not too much pain now.. Had xray which showed no signs pf abscess or cysts or bone lesion or cavitys.. all was normal.. so wjere could the infectiom have come from,?? also my blood pressure is normally 130 over 85 and is usually good but I do take 5mg of civersyl (perindopril arginine) but since this cheek problem my blood pressure is 182 oner 90 pulse 80.. Is this high should I have more follow up???", "output": "Hello, After going through your medical query I understand your concern and I would like to tell you that cheek swelling with high blood pressure indicates fluid overload in the body which requires proper evaluation and treatment. Kindly get a CBC, FT, Chest X-Ray, ECG and Echocardiography done and consult a physician with reports for proper management. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi thereMy periods started on 17 sep and finished on 24th sep. I am trying for a baby and than I had sex on 25 sep and on 28 th morning. After 30 to 35 minutes I started light bleeding back and lower abdominal pain. And till now on 3rd oct I am just spotting.I had regular periods this is first time in am facing this problem.Do I get pregnant or some other problem...?", "output": "Hi, Thanks for the query. In case of regular 28 to 30 days cycles, usually ovulation occur on 14th to 16th day. In that case the possibility of conception is somewhat less in your case. As you had bleeding immediately after intercourse, the possible causes are :- Post coital tear. - Local causes like cervical erosion, polyps etc. So, better to consult gynecologist once and get examined. By local examination the actual cause of the problem can be identified and treated. In case of post-coital tear, depending on the extent of the tear sometimes suturing may be needed. Cervical erosion etc. can be treated with medicines initially. In case of severe problem sometimes cryotherapy etc. may be needed. In the next cycle, track the ovulation and plan intercourse around that period. This will increase the possibility of pregnancy. For more details : http://srsree.blogspot.com/2013/07/infertility-1_8.html" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am suffering from back pain since 4 months. initially it was upperback pain,its gradually shifted to lower and hips.some times feel pain some times no.i used celebrex foe two months. after i been to all tests.nothing find.one doctor prescribed lorsaid8 and onother docter gave me hifenac mr. can i use both", "output": "Hi, Thanks for your query. After going through your query I came to know that you are having chronic backache. It may be due to vitamin and trace element deficiencies specially vitamin D and vitamin B 12. You need to do MRI to rule out other causes. Back exercises, neurotrophic such as mecobalamine and analgesics (you are already taking). Serum vitamin D test is advised if it is lower than vitamin D supplementation will be required. Avoid long continuous standing. Lorsaid8 and higher Mr both are analgesic and muscle relaxant. You can use one of them. Use one which best suits you. You can discuss with your treating Doctor about it. I do hope that you have found something helpful. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am a 50 year old woman and fractured my clavicle after falling off a horse 12 weeks ago. X-ray last week showed it may have started to heal but that healing is delayed so I will have another in 3 weeks. I also have quite a large lump on my upper arm on the same side and my shoulder is very painful with little movement in any direction. Should I also ask for X-ray of shoulder and where the lump is in upper arm? I have been wearing a sling for 12 weeks. Thank you", "output": "HI, Luke,Dear, Thanks for the query to Chat Doctor.1-I have studied your query in depth.2-DEar,IN my opinion, the lump on the side of fracture clavicle is of the head of the humerus, which is missed and needs shoulder X-ray study to detect it and treat it.3-Treatment for the Clavicle is continued till 16th wk, which though unusual as it has gone beyond 8 was of normal time, may be due to the age factor-and may take till 16 was or even more due to the unusual displaced curricular fracture ends.3-a- Treatment for the head fracture-would depend on the stability of the fractured segments of the humeral head.3-b-Treatments-would be decided by an ortho-Surgeon-after shoulder X-ray studies in various planes.4-Hope this would solve your query to your satisfaction.5-Wellcome for more queries to me On Chat Doctor.6-Thnks once again for your inquisitive query. Have a Good Day.!!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am 22yrs old. My period is now 14 days late. My cycle is usually 28-30 days. My husband and I are trying to concieve. I have taken 2 hpt and they botChatDoctore out negative. I have been having headahces and dizzy spells, nausea, lower back pain and abdominal pain . I am also very tired and have frequient urination . Is it possible that I am pregnant? Should I see my doctor? Should I just wait to see if my period comes?", "output": "Hi, Welcome to ChatDoctorUrine pregnancy test usually become positive within one week of missed period, occasionally more than this if cycles are prolonged. Another possibility is genital infection. That can be a cause of delayed period with all these symptoms which you are having just now. Have a fresh pregnancy test with morning sample of your urine, as this sample is more reliable. Any way you have to consult with your doctor for associated symptoms. Welcome for further quarry. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello i m female 44 yrs old, 139 pounds, 5 4 , hypothyroidism(under control 1.7), fibroids (heavy menstrual cycle) but in general healthy. My last period was sept.3 until sept 6(usually is more days).It was heavy on 4th and 5th. I had blood work yesterday the results came back : WBC 5.5(normal range 4-10),RBC 4.15(normal range 3.80-4.80), differential (all normal), hemoglobin 113, hematocrit 0.36(normal range 0.35-0.43),MCV 87(normal range 82-98), MCHC 315(norm rang 305-365),RDW 13.3(norm. range 11.5-14.5), hemoglobin 113 (normal range 120-150),MCH 27.2 (normal range 27.5-33.5) ferritin 25(normal 15-180) and platelets 439 (normal range in my lab 150-400). It is the first time that my platelets are higher. All the annually previous blood work were really good.......Also I have few days that I feel mild discomfort-pressure on my forehead and next to my nose too. i feel my eyes tired and I have sometime the unsteady feeling.what is your opinion? the higher platelets worries me a little a bit..", "output": "Hi, dear. I have gone through your question. I can understand your concern. No need to worry at all. Your platelet count is slightly high. It is seen in many healthy individuals as normal variation. It may be due reactive thrombocytes. Reactive thrombocytes is common after heavy blood loss. So no need to worry about your platelets count. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my husband hurt his shin a month ago and had a huge goose egg. His shin still has a bump but a week or so it started to turn red and now it is larger red spot and a deeper brighter red. his leg is starting to swell on the lower half and of course it is tender and hot to the touch. could this be a blood clot??", "output": "Hi, Your husband might be having secondary infection in hematoma. Trauma to shin has lead to hematoma formation over shin which is seen as swelling. Now infection in hematoma has lead to redness and pain. Local ultrasound of shin helps in confirming diagnosis. If hematoma is large, incision and Chat Doctor. If It's small, treatment will be with antibiotics only. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ive had a lump in my right armpit for quite awhile now Im currently a 15 year old female and Ive had this lump for almost over a year now it started out small about the size of a marble and was slightly painful to hold the doctor told me it was nothing, I saw the doctor again after some months since it seemed to get slightly bigger he said to get an ultrasound of it but nothing was seen, currently its slightly big and it feels like a piece of fat thats slightly firm about 3-4 cm big Im just worried since its still there any advice?", "output": "Hi.it is best if you consult with a doctor, preferably a general surgeon, for medical and physical examination. Based from your description, it could be hi Chat Doctor. These lesions usually occur on the underarm, especially after shaving or plucking and/or usage of deodorants with strong chemical contents. Hair follicles get infected. Inflammation and subsequent abscess formation occur. Other possibilities are cystic lesions, fibrous or lipoma (fatty deposit). Medical (proper antibiotic regimen) and surgical (excision or incision and " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "MRI L S SPINE IMPRESSION:- Early lumber spondylotic changes. Diffuse disc bulge eith posterocentral extrusion (L R) at L5-S1 level indenting the anterior thecal sac bilateral exiting nerve roots. MRI PELVIS Subtle hyperintense single intensity on T2W/STIR image in the left SI joint with preserved joint space .Features are suggestive of left sided sacro-ilitis. PLZ SUGGEST ME DR.", "output": "Hi, I had gone through your question and understand your concerns. MRI findings are suggestive for degenerative disc and column disease. Disc bulging means early stage of herniated disc disease, bones involvement means spondylitis. You need treatment with rest, NSAID Chat Doctor. There's no need yet for surgery. Appropriate treatment may subside need for surgery. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a slightly enlarged liver according to an Ultrasound. Blood tests show an GPT/ALT as 62 where the normal max is 42. All other tests for the liver are in the norm. 6 moths ago the same blood tests showed also GPT/ALT as 58 and Gamma GT as 68 where the norm max is 53. If though Im on a diet, the liver is still enlarged. Sometimes theres a little pain in that area. What do you suggest?", "output": "Hi. Thanks for posting query at Chat Doctor. Usually ALT or AST values higher than \"two times the upper normal limit\", is considered abnormal (in some countries, ALT or AST values of more than 100 are considered abnormal). So you should NOT be worried. Value of AST or ALT greater than 85 or above maybe investigated further. Alcohol ingestion and obesity are common causes of fatty liver disease. Advice for fatty liver:- abstinence from \"Alcohol\" - AVOID junk food and beverages-decreased oil consumption (oily food)- NO red meat-green vegetables should be ingested daily-use lemon juice (lemonade) once in a day-\"recheck liver enzymes after 6 to 8 weeks\" and/or ultrasound. Any further questions are welcomed. Hope to answer your concern. Wish you good health. Regards, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my head shaking is getting much worse. I went to see a nerologist and had an MRI done, he said some people just get this with age, and there was nothing that could be done. I was wondering if weight neck exercises might be helpful to strengthen the neck muscles.", "output": "*1. Since examination [neurologist] and investigation [MRI] is done, and there is nothing to be evaluated as told by your doctor, thus AGE [which is not mentioned] could be a contributory/provoking factor. [some people get this with age] probably senile/essential tremor [ET]2. Since MRI revealed nothing conclusive thus, shaking due to parkinsonism, multiple sclerosis or cerebellar disease can be excluded.3. Make sure to check with values of blood urea and liver function tests for any hepatic disorder or other metabolic abnormalities.4. Make sure it is not due to alcohol/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Yes, thank you My daughter has a friend, female, age 50 and GFR is 14% and Creatinine levels are 3 or 4. I do not know her BUN. She is having a shunt placed on the 17th of this month and should begin dialysis within six weeks. She is on a high mg of HCTZ or lasix because she is very swollen but, will not say if she has CHF or not. I do not get much information on her labs and she has been removed from the transplant list, from, Tulane, in Louisiana. I am an R.N. and it is very frustrating to not get any answers from someone who doesn t have medical knowledge as you probably well know. Could you please tell me what a prognosis is based on what I have told you? I know she is in Renal Failure and only God knows the hour and the time of our death but, any advice would be appreciated. Thanks, Christine", "output": "Hello Christine and welcome to Chat Doctor. As a Urologist, I can fully understand your concern. Your daughters friend has CKD(chronic kidney disease), that needs HD(hemodialysis). To be able to advise expert medical treatment, I would want the kidney biopsy report, ultrasound scan report, and the last electrolyte levels. Lasix will never be given to such patients. HLA mismatch/ HIV, or some cause, must be the reason for taking her off the transplant list. If you can send me the reports, as a direct question to me, I can give expert advice. Chat Doctor. Manga." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? PleasI have a pimple looking bump in my vaginal area it hurts kinda only when touched besides that its just there I shave regularly and neitherme or my boyfriend have any stds si what is this?", "output": "Hi.based from your description, it could be folliculitis. This usually occurs after shaving or when a hair is accidentally pulled out, and it gets infected. It could also be a cyst, or an inflammatory reaction which is starting to form an abscess. A consult with your gynecologist is best for clinical evaluation. Medical and/or surgical management will be directed accordingly. Hope this helps. Good day!!~ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "blob on ct scan lower lunghi, im 37 yrs old weight roughly 172.( havent lost the baby weight ) 55. had a ct scan with contrast done for kidney stones and was told I need to call my family dr. about a blob that was seen on lower right lung. should I be worried?", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. Since you are not having any respiratory symptoms, no need to worry much for CT scan report. Blob like thing in your CT scan report can be due to any of the following. 1. Simple benign lung cyst. 2. Sequestration of right lower lobe. 3. Fibrosis or absent right lower lobe etc. All these are benign conditions and thus no symptoms are experienced. As they are harmless to the body, no treatment is required. Lung biopsy is needed for confirmation of the blob." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello i am a chronic obssessed patient since 6years..and i am taking SSRIS since 6years like fluvoxamine(100mg) and clomipramine (25mg)..but still i dont find much effective in controlling my obssessions...only 50% is effective..s can you tell me which medicine is bes to control chronic obscessions..", "output": "Hi... thanks for writing.I have understood your concerns.so you were diagnosed as an OCD patient before 6 years.what I feel here is the dosage of fluoxetine and clomipramine is very low and ineffective...so you shut consult your psychiatrist and ask for increasing the dose of both these medications.with increase in dosage you will find further improvement.clomipramine can be increased to 225 to 300 mg in a day and fluoxetine to 200 to 300 mg a day...another option is to continue fluoxetine and add fluoxetine, which is very effective in OCD. Fluoxetine also shut be taken in higher dosage like 80 mg in a day.in my opinion, tell your concerns to your treating psychiatrist and ask for increase in the dosage.I hope this advice will be helpful to you.best luck..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I received my period on Sunday 24th February, and I had the implanon implanted in my arm on the 26th which was day 3 of my period. I m wondering how long would it take for full control of the implanon take to become use in the body? I researched it so many times and I m getting worried! When will I be able to have sex without worries of being pregnant?", "output": "Hello, If a female is not using any contraceptive in past one month then implant is inserted between 1st and 5th day of your periods, as you have inserted it, then you can have sex it hour get tinging worried of being pregnant.Similarly, if the female is using birth control pills in the previous month, then implant is inserted on next day of last active tablet taken. In such a case again one can have risk-free sex. However, if you deviate from this protocol, then an additional method of contraception is required for at least one week after implant insertion. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "10-11 years ago as a teenager I had tooth #8 extracted. I am an adult now living in Italy and was thinking to get a dental implant. Upon the initial x-ray the implantologist here was unsure if the extractionist had left some of the root behind. I contacted the office where the extraction happened and they said that all of the tooth was removed and he placed a an autologous and synthetic bone graft using Osteograf LD300. So I am okay for an implant with this bone graft?", "output": "Dear friend. Thanks for sharing your concern. Your history posted here requires few more details like the reason why you got your teeth extracted, due to decay or any trauma, etc? Do you have any partial dentures in your mouth or fixed bridges? Does your dentist see any leftover root piece in x-ray? What does your dentist say about the health of your oral tissues? Do you have any medical history or are you taking any medications presently? Please furnish all these details before I suggest you details on implant tooth. Please let me know for further query. Thanks. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son has complained about his left ball hurting and pain radiating up slightly! He s 12. He showed me his ball and sack area and there s a dark purple dime size spot or smaller! It s very painful when he touches it. He says it s not hard kinda soft????", "output": "HelloThanks for query. Your 12 years old son has pain in left testicle radiating to groin and have noticed painful lump over scrotal sac. This is most likely to be an infection of hair follicle (Boil) due to staphylococcal infection.However, it needs to be confirmed by clinical examination by a qualified General Surgeon. Give him broad spectrum antibiotic like Augmenting along with anti-inflammatory Chat Doctor. If it does not subside within a week consult general surgeon for revaluation. It may need to get it incised and " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor, iam suffering from severe psoriasis on my abdomen, buttock, legs and back. I also have severe scalp psoriasis and have been finding it extremely embarrasing to interact with any one. I always applied topical ointments like dovobet, dermobet or tenovate with hardly any improvements as they kept coming back in large areas over the body.For the scalp i applied Ionax T shampoo and propysalic lotion but within few hours they dried up againnow my doc prescribed me alaspan (once in the morning after breakfast) and Xevor at bedtime along with propysalic NFG for body application and saliben for scalp.iam too scared to try out new medicines as i fear larger outbreak.pls. help and advisedesperately seeking advisergds", "output": "Hello, Welcome to Chat Doctor, I understand that you have extensive psoriasis, and it is not coming under control with topical steroids and salicylic acid preparations. If more than 20% body surface area is involved you may even try systemic treatment for psoriasis like methotrexate, accretion under supervision of a good dermatologist. You may also try phototherapy (Narrow band UVB or PVA) for extensive psoriasis if you have not tried it before. Propysalic NF is a combination of topical steroid and salicylic acid and Alaskan and Never are antihistamine tablets. They are alright and don't worry about them causing outbreak. Follow up with your doctor as advised and discuss other options mentioned above. Do not take stress as it worsens psoriasis. Hope this helped, Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "ive been breaking out inside of my mouth with cold soars. They are small white dots and some of them are red soar type things, their mostly located behind my botttom lip inside of my mouth, they eventually go away and then new ones form in new places, its been happening for about 4 weeks now and their starting to get verry annoying, i need help figuring out what i could use for it, something sold over the counter would be great! please help!", "output": "Hello, the condition u had described seems to be oral ulcers. Most common are recurrent authors ulcers- it occurs mostly in movable mucosa of mouth... and is associated with stress, erratic eating habits and schedules, etc. And other types of ulcerative lesions includes-traumatic ulcers, nutritional deficiency dermatitis, herpetic dermatitis, infectious mononucleosis, lichen plans.etc. A proper clinical examination, history and exfoliating biopsy will confirm the diagnosis.if you have any skin lesion which you forgot to mention in your query then may be its mucosal presentation of skin lesions. If your mucosa being traumatized in the affected area by any of your sharp tooth or restoration then its grinding will solve the problem.recurrent nature suggests that your body is having hard time dealing with it due to compromised defense system. For pain in ulcers use any local anesthetic gel prior to meals, then have antiseptic gel or mouthwash after meals to prevent infection in eroded surface of lesion, increase your vitamin B and C intake either dietary supplements in form of fruits/medicines. This will help you.in authors ulcer case stress, smoking, erratic eating schedules should be avoided.consult oral medicine and diagnosis specialist if the lesion doesn't resolves in 7\u00a0days of treatment. Or it recurs again.take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My boyfriend had gotten a thorn in his hand earlier, then he tells me he couldn t feel his arm from his elbow down to his finger tips. He soaked it in hot water (not knowing what else to do) and thought that the hot water wasn t working because it was freezing when he put the injured arm in but he touched the water with his other hand and it was burning hot. Next, he started saying he was in A LOT of pain. At this point we havent done anything further and i am not sure what to do.", "output": "Hi, I had gone through your question and understand your concerns. In this condition I will suggest going for contrast bath, you just need 2 buckets 1 with hot water and 1 with cold water. You can check temperature with your normal hand. Start with dipping the injured part into hot water for 3 minutes and then dip it in cold water for 1 minute, repeat it 3 times and stop the process with cold bucket. It will stimulate the nerve endings. This is a slow and natural process to stimulate the nerves. I hope you will do it with patience and hope, neural process takes time. Start on these and result will be seen in 2 to 3 months. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have anxiety disorder .. i am very sensitive .. i get felt for very small issue .. i was emotional some times .. i didnt understand why i am very sensitive .. when ever i go to sleep or in a relaxed state i feel some sort of pinching in my hands and some time leg palms and some time my face also.can u pls tell me why this is happening to me and how to get ride of this", "output": "His understand your concern. Anxiety is fear which is pathological. Sensitive and emotional nature can be a part of normal personality. Basic temperament and personality is depended upon several factors most important among them is our born and brought up and its environment. You can learn all this while you were growing up. If it is controllable then no need of treatment. You have to learn how to face all these situations. Positive outlook and confidence will help a lot. Take support of family and friends. Need to consider all positive events that are boosted your confidence level and help you to become stronger and confidant. Relaxation technique like yoga, mediations, progressive muscle relaxation method will control your anxiety. Condition can be treated with medicines like Mizoram or mild dose of SSRI. But natural way to handle stress is very good and helpful to adjust you in daily routines. Hope for the best. I hope I have answered your query. Still if you have a query then feel free to ask. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My dad is 89 years old and has been placed on an oxygen tank for the past2 or 3 months. He is constantly using it, and is using more and more oxygen out of the tank. Is there anything he can do so that he wont need to live off the oxygen tank anymore?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Most common cause for breathing difficulty is bronchospasm. So inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone) can be tried in your fathers' case to see for any improvement. Another possibility is heart failure related breathlessness. In this, diuretics should be tried. So take him to doctor and start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wishing good health to your father. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "\"Hi...I am Melvie. My father now is experiencing an infection in his hard palate, its like a sore that spread around the hard palate and his gums is also bleeding sometimes.what can we do to cure it immediately?what kind of disease is that?what are the medicine for that?", "output": "Thanks for your query, I have gone through your query. The swelling on gums and soreness on the palate could be secondary to gum infection or tooth infection consult an oral physician and get a radiograph done to rule out these two. If there is gum infection get your teeth cleaned and if there is tooth infection then get root canal treatment done. You can take a course of antibiotics like penicillin and metronidazole combination. Do saline gargling. I hope my answer will help you take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just had a mri done and I suffer with a lot of lower back pain. My legs go out from under me its just that bad. My report said \"there is a nonspecific region of adnormal marrow signal seen anteriorly within the upper sacum demonstrating homogeneous low signal on T1-weighted images and homogeneous high signal on T2- weighted images measuring 3.6cm transverse x 1.6cm craniocaudad x 2.3cm AP dimension. What does this mean?", "output": "Hi, welcome to Chat Doctor. Such abnormal marrow signal in sacrum needs further evaluation. There must be something detail in report. It could be just an age related marrow conversion or any bony pathology. We need images to comment exactly. You need to visit your orthopaedician and radiologist again for examination of this. Dedicated scan for sacrum may be needed again. Hope I have answered your query. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,weight gain,bloating on noreithrasone Tds without a break to attempt to address severe anaemia - still bleed on this regime and had an adverse reaction to iron infusion so unable to have depot regime,waiting date for investigative surgery,my query is why am I still bleeding on noreithrasone regime.", "output": "Hi, Thanks for asking. Based on your clinical history and query, my opinion is as follows:1. Bleeding could be due to local or systemic cause.2. Local causes include fibroid, endometrial hyperplasia, or even tumors. Norethisterone could have prevented endometrial cause, so other causes needs to be investigated.3. Iron needs to be given through other routes, including diet to improve hemoglobin. If It's severe, packed cell transfusions might be necessary. Hope it helps. Any further queries, happy to help again." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My brother-in laws mother discontinued her dialysis because she was in excruciating pain.She now lays in a hospice bed, with morphine drip. I dont understand what toxins formed. His explation was crude and there was some Ca+ and or Urea which adhered to fatty tissues and caused lesions.", "output": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Extra amount of the calcium and urea in the body can cause such type of lesion which can be removed with dialysis. As dialysis is painful we should take the measures that can be non-painful, but dialysis is necessary. Dialysis can only remove this dirt from your body. I suggest you to take the regular Chat Doctor. This also help remove this from the body. I will be happy to answer your further concern on bit.ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctorMy kid is now 3month old....she is suffering with cold and running nose....i consult the doctor ..he suggested and given me taxim o cefxime oral ip suspension drops,nor metrogyl syrup,t-minic oral drops...suggested me to give with 0.5 ml with 2.5ml of water...above 3 medicines...i given as per doctor said...but she got more than before....what should i do for her now doctor...and i am eating mangos ..will it any cause cold for her? Doctor said that should avoid mangos etc...", "output": "Thanks for putting up your query at Chat Doctor. Your little kid is suffering from common cold. In most of the cases this is due to a viral cause rather than bacterial. In case of viral infections antibiotics are ineffective and hence may provide no relief as in your case. But when you have started antibiotics, it is preferable to continue them for the prescribed 5 days to avoid development of antibiotic resistance. You need not go to a new doctor. Rather give the baby steam inhalation. Sit with the baby in your lap and put the source of steam before you. The air that the baby breathes in would automatically contain steam and the baby will breathe that in. The water vapor or steam will help in diluting the cough and provide relief. In a hospital setup, nebulization could be given instead. What you eat affects the quality of milk that you produce. Thus, what you eat is what goes to the baby. Although in Ayurvedic medicine it is suggested not to take mangoes during cold, no evidence in favor of it has been demonstrated and there is no justification for the same as per modern medicine. So I would not stop you from taking mangoes. I hope that helps. Feel free to revert with further queries if any." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My15months old baby boy doesnt eat properly.He had running nose and dry cough a couple of weeks ago. He had been vomiting whenever I tried to give him his meds. He did not eat anything except for water and a little milk. He s an above avg baby he weighed 13,6kg last week. But now he has gone down without eating. How to make him eat? He becomes very tired without proper food. He also has signs of cutting his molars. His gums are a tad swollen but not red. He cries every night after giving paracetamol he calms down. He also had ear infection along with cold I gave antibiotics and I think he s ok. I can t figure out the reason for his break down. Pls suggest some relief", "output": "Hi..... I take this opportunity to tell you certain scientific facts and relieve your distress - At his age interest in play increases and interest in food decreases. This is quite natural. If he is active and playing around you need not worry. This age rather than the quantity of the food I suggest you concentrate more on the number of times you feed him and also make whatever you feed him calorie dense by adding good amount of ghee to it. I suggest you not to use appetite stimulants on long run as they may cause Chat Doctor. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husbands son has been an alcoholic for 20 years and has now in the last year or 2 progessed to meth. He appears to have jaundice ans about 6 years ago a pysician diagnosed him with some type of liver ailment.What in your opinion is going on and how long can someone who has been abusing their body last?", "output": "Hi thanks for asking question. He is on alcohol since 20 year. So it is quit big duration. With alcohol and its metabolite aldehyde is very toxic to liver. So alcoholic usually first develop fatty liver and if not taken care then progress to hepatitis. Before 6 year he might have hepatitis and do jaundice. If still care not taken then cirrhosis develops. So he should be searched for cirrhosis by USG abdomen and serum albumin. If still he will not take care then chances of cancer and liver failure or encephalopathy is there.... So although you have not asked I would like to give advice like stop alcohol, cut of oil in diet, fruits more, papaya useful if taken. Take care. I hope I have solved your query regarding effect of alcohol on liver.... Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Should I be concerned with ultrasound report reflecting liver 16 cm demonstrating multiple cysts, largest left lobe 3.9 cm, no solid mass. I have abdominal pain, swelling,fatigue, and bad pain when I try to tie shoe laces. Also have fatty liver without mass. Finally I also have complex upper pole 1.4 cm with thin septation. Thank you.", "output": "Hai, as multiple cyst liver disease or solitary nonparasitic cysts of the liver is indicated only in symptomatic patients. Asymptomatic patients do not require therapy, because the risk of developing complications related to the lesion is lower than the risk associated with treatment. Since you got the symptoms, should be evaluated properly. You need gastroenterologist opinion as well as CT scan abdomen to proceed further. Regards Chat Doctor. Sentilnathan" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My Son 8 Years old went surgery two weeks ago. Septoplasty and Adenoid removal. Surgery took 1hr and 20 min. He was under general anaesthesia. He stayed one night in hospital. Next day he was release from hospital and give antibiotic for 5days. After 2 days we noted that he go to toilet for urine frequently. He is drinking lots of water so we thought it due to excess intake fluid or antibiotic. It is 3rd week and still he frequently urinate, may be once in an hour. I took UTI test and sugar test which are negative. I try to research on google and i found that may be it is cause by general anaesthesia . is he nerugenic bladder or what? is this is the side effect of anaesthesia. He recover well from spetoplasty. no bleeding from nose. He has absorbable packing in his nose. He is very active. He start going school but i inform teacher let him pass urinate after 1hr. Is this condition stay for ever or there are some treatment.", "output": "Greetings. I am a bit concerned at this. As he was absolutely normal before surgery and his urine reports are also normal it could be psychological or neurometamolic cause. You need to do a water deprivation test from laboratory. In a holiday, limit his water intake if he feels unwell it could be a serious issue like diabetes insipid us but if nothing happens then it could be psychogenic polydipsia... You should consult an endocrinologist." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Last night I discovered that one of my upper wisdom teeth has sort of erupted (a corner is sticking out) and there was slight soreness in the inside gumline of the tooth in front of it. This morning when I woke up I had a small, painful bump on the end of my tongue that appears whitish and has developed though the day. Additionally the soreness of the gumline is still there, but that and one other place feels a bit rough. Are these things to be expected or should I be concerned that something else is happening?", "output": "Hi, Thanks fora king the query, Wisdom tooth is the last tooth to erupt in the oral cavity and is often tilted, maligned and impacted in the jaw bone, this area is difficult to clean and leads to food lodgment and bacterial accumulation leading to redness, swelling and inflammation of the overlying gums known as PERITONITIS. Best treatment of this is extraction of the wisdom tooth, I would suggest you to visit an Oral Surgeon and get the checkup done take an OPG x-ray and plan for the treatment. Start with the course of antibiotics and analgesics. Take lukewarm saline and antiseptic mouthwash rinses. Hope this helps out. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "For about 48 hours now, my head has been pounding and I ve felt extremely light headed. Also my back hurts as well as the upper part of abdominal. However sometimes it is my whole abdominal. I try to maintain a healthy lifestyle and I have regular bowel movements. Any idea what it could be? Should I see my local doctor?", "output": "Hello As per your symptoms there is possibility of gastritis leading to abdominal pain. I will advise starting antacids [proton pump inhibitors like] omeprazole 20 mg twice a day. Sucralfate will protect gastric mucosa and will give protective covering. MRI spine will help to confirm reason for back pain. If required you may need urine investigation. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I am a 19 years old, female.. Im having this mild pain in my left ear, a sharp pain when I swallow, and in addition, I also have two wisdom tooth on both side of my lower gum, but it havent grown fully yet.. Could the wisdom tooth that causes my earache ? And also, sometime, one of my eyeball on either side of my eyes felt a sharp pain, like someone is squeezing it.. Help is in need..Thank you in advance", "output": "IIN regard to your query, as such it is a myth that toothache leads to ear pain and eye pain however 0.1% chances are there for a toothache to result in so mentioned ear or eye ache due to irregular or UN expected course of nerve supply. Coming to your problem you had mentioned you have wisdom tooth in the lower jaw. So this is no way related in causing ear pain. There might be some other reason like presence of wax in the ear or unintentional entry of water into the ear or any other. I would suggest you to visit your ENT specialist for further treatment regarding your wisdom tooth status you can visit your oral surgeon. Hope this helps you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had pain within my right side near the lower stomach or appendix area, the pain the last three or four weeks has come and gone but the past few days its been the same. My stomach area is constantly gurgling but i m not hungry and i feel pressure on that same side sometimes the pain is up a little farther just between my rib cages and every now and then i get EXTREME sharp pains. I have also been quite tired latley and loss of appetite what could this be if anything? Also my stool has been a seaweed green color and its never done that before only these past few days it has been since the pain has been", "output": "Hello, Mariah.Astoria, Pain in the right lower abdomen, loss of appetite and change in footstool color, requires further work up. Green colored stool might indicate excess bile in the intestine. You need blood tests including complete blood count, liver tests, sonogram of your gallbladder and a CT-scan of your abdomen. X-ray studies of your small bowel may be necessary as wellCrohns disease can affect the last portion of the small bowel near the appendix. This has to be ruled out. Other infections such as Tuberculosis, Parasitic infections like amoebas etc. Hope this guides you to appropriate medical care. Wish you well." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a spell Tuesday morning and I ended up in the ER I was on my way to work and I started feeling light headed and some discomfort in my left arm by the time I got into town I was panicking and breathing hard from being scared and my whole body felt like I didn t have control over it like it was shutting down I had to call the rescue squad! They checked my heart at the hospital and my blood work and said I was fine that it had to be a panic attack! I came home and ever since that day my left arm has been achy and I feel a little soreness in my chest and my head and I just need to know what you think?", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. By your history and description, possibility of stress, anxiety and panic disorder is more. Since your cardiac work up is normal, no need to worry about major heart diseases. You're all symptoms are mostly due to stress and anxiety. So better to consult psychiatrist and get done counseling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. So avoid stress and tension, be relaxed and calm. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, the other day my whole leg went completely numb and i fell over, no warning like a pins and needles thingy. Then this morning i woke up again no dead leg feeling or pins and needles and i was falling every where. My balance seemed to have gone on one side and the whole of one leg seemed to feel wet yet every time i felt it it was dry. Hours later and it was still the same and i was having to pick my foot up and put it down purposely, , for if i didn t the foot/leg would stumble, no pain involved but feeling dizzy, and confused, and numb especially down one side.", "output": "Hello, If these symptoms occurred suddenly then you should be cautious because this can be due to:- Stroke-Sudden compression of nerve/s in your back as in case of disc prolapse-Diabetes- High blood pressure-Nerve injury or compression due to trauma Other unlikely reasons in your case may be due to:- Deficiency of vitamin B12- Naturopathies In your case I will advise you to not wait and have a consultation from your neurologist. He may advise you an MRI scan and some blood investigations to rule out the cause behind your symptoms. Till then, I will advise you to take rest and continue medicine (If you are taking for high blood pressure or diabetes). Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am male 27 years old, I had a symptom of Alopecia Barbie and the patch was very small, lets say less than a centimeter. My doctor suggested me to apply a rubefacient cream and fluticasone cream, but just within 3 days of application the patch started to increase and within a week or two it has grown to a size of an inch in diameter. I have currently stopped applying the rubefacient as it really used to give me a feeling that it was burning my skin, but i am continuing fluticasone. Do you have a solution for this kind of Alopecia Barbie", "output": "Hi, You seem to have alopecia errata on beard area. It is considered as autoimmune skin disease. Exact cause is not known. Stress might trigger the disease. You just relax and avoid anxiety. You will definitely get improvement. I would like to suggest...- steroid in tampering dose- immunobooster like camisole 50 mg at night-biotin 10 mg tab daily- application of mild steroid like mometasone - application of tacrolimus lotion - intradermal steroid injection in patchy consult dermatologist and have perfect treatment. I hope this would help you. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband cardioligist said that he has Advanced Coranary Heart Disease with unstable angina. He has had 3 stents in last 8 months. He is diabetic type one. He has worked the same job for the last 20 years and we are so surprised by what the doctor said. His left artery is so small there is nothing else they can do, said it looked like a string a pearls and bipass was not an option. Does this make him unable to go back to work in a factory?", "output": "Hello, I have gone through your query. Thanks for using Chat Doctor. If your husband has weak heart i.e. Low EF then he needs to restrict his activity. If his heart is not weak and has blocks in small left artery he can work with optimum medications prescribed by your cardiologist. If stent and Bypass are not possible then there is another therapy called EEC which can be offered to him. Please discuss with your treating cardiologist, he will guide you further best wishes Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ive been having abdominal pain (mostly around the belly button area) for about 8 days. Ive also been noticing a bad taste in my mouth for several days as well. Today, I also have a low grade fever. Anything here a cause for concern...or just to be written off as flu type symptoms?", "output": "Hi! Thanks for writing to Chat Doctor regarding your health concerns! Well, whenever someone approaches me with central abdominal pain especially mostly around the belly button area) for more than 7 days along with bad taste in mouth, I first like to know his/her age and sex and if any significant medical or surgical history! However, as per your description, it is possibly an infective / inflammatory condition like appendicitis, urinary tract infection, gut infection, intestinal gas formation or in worse case chronic pancreatitis.Therefore, a physical examination and USG of the lower abdomen is necessary before any medication!Therefore, don't worry but write to us with my queries or contact a local physician for detailed examination Hope you got your answer; please do not hesitate to write to us if still some confusion is there!all the best!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, i have been having severe pain in my back on right side, i have also had loose bowel motions every day sometimes more than once a day for the last 3 months. i am type 2 diabetic insulin depedant and have 2 gall stones, am a worrier and am getting really concerned, i am not sure if the back pain is kidneys, or something else, it seems to be from my hips up to my ribs,", "output": "Hello, Thanks for your query. The pain at the bottom center of the rib cage could be due to a renal infection or a stone if the pain does not seem to be muscular in nature. This can be ruled out after getting an ultrasound scan done. If the pain is aggravated with deep breathing or coughing then a rib injury or a muscular sprain is likely. The other causes that need to be ruled out include lung infections like pleuritic. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Report says I have L4-5 posterior disc hernia toon indenting the the cal sac in the midline. Also an annular fissure/tear within the protruded portion of the disc. A slight reduction of t2 signal is noted within the disc at this level. What does all this mean.", "output": "That means that one of the cartilage discs between your 4th and 5th lumbar vertebrae has undergone some damage and is bulging in the spinal canal. Now whether that causes any symptoms and needs any treatment depends on whether it is compressing any nerves, if I was to be based on that part of the report only I would say that is not the cause, and you do not need any procedure apart from physical therapy in order to strengthen your back muscles to better support the spine. I hope to have been of help." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Respected Doctors, my husband of age 40 has no bad habits but from ladt 1 month he has burning sensation in arms and foot we consulted neurologist he did nerve conduction study and said little nerve problem he is taking Narvax 75gm tablet .is this condition is serious further nerve wil be damaged .what precautions we must do now? He must continue medicine for how many days?please help us", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have burning sensation in arms & foot . Well the symptoms you mention in query can occur due to May reason like radiculopathy, cervical spondylosis, herniated disk, peripheral neuropathy, neuralgia and multiple sclerosis. I would suggest you to consult orthopedic surgeon for proper examination. Doctor will take history and order nerve conduction study. Doctor may recommend physical therapy and stretching exercises or may prescribe painkillers and anti-inflammatory medication, steroid injections or recommend surgical procedures. Keep yourself HY Chat Doctor. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "doctor i am arun ,from kerala plz understand me , my English speaking is very poor.then come to point i am very upset main reson is any lady person to speech time i am automatically see to her brust part .I am not interested to see .but automatically see this part .This problem for t Cont speech any lady person .This is not joke doctor .I am seriously telling plz plz replay me", "output": "Hello, all that I could understand is that you feel difficulty in talking to ladies as your eyes automatically move on to her breast portion, even though you don't want to look at their breasts. If this is true you seem to be suffering from a variation of Obsessive-compulsive disorder and there may be some reasons behind this behavior. You should contact a clinical psychologist or a consultant psychiatrist to get your problem solved. I hope you find your solution. Your further queries are most welcome." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I Had protected sex(also my first time ever having sex) about 1-2 weeks before my period and took plan b within 15 hours just In case I am 99.9% sure the codom didn t break but it was dark and was not able to tell for sure so I took it just in case and then had sex againthe next day but I made my boyfriend put 2 condoms on the second time and its been about a week now and I m feeling really gassy but I normally am before my period just not this gassy.... could this be a symptom of plan b?", "output": "Hello misunderstand your concerned plan B pill cause gas and bloating as it contain high dose of progesterone. Progesterone causes relaxation of smooth muscle of gastrointestinal tract lead to decreased motility and cause gas and bloating after taking Plan B pill. So it is a common problem after post plan B pill. It may be due to indigestion along with the Plan B pill. Take following advice:Take small frequent meal rather than large meal. Avoid spicy/fatty/oily food. Also avoid items made up of milk items. Besides avoid chocolate, tea and coffee. Take over the counter Chat Doctor. Capsule ginger. Do regular exercise like walking and yoga. Hope this may help you Best regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i was the patient of hc positive .now after treatment of sex month injection which is completed on 20yh april 2013 my hgb is 13.3;ast 20 alt23 what is ur opinion sirat this report of 6-9-.13 what should i have to do so that hc never reapeat again", "output": "Dear Friend. Hi, I am Chat Doctor, I have read your query in detail, I understand your concern. Chronicity is the Hallmark of Hepatitis C. It is good you are taking treatment. Monitor Viral Load. There are no special precautions to be taken, as if Hepatitis C is there inside you, and is not completely removed by appropriate treatment, you will develop it again. General Precautions to avoid contracting Hepatitis B or C are :1. Avoid unprotected sexual intercourse.2.Don't share needles.3. Get injections only from a registered medical practitioner.4. Get blood transfusions if ever required from a registered blood bank. This is my personal opinion based on details available here. If you want to discuss your issues further, you may please ask stay Healthy. Chat Doctor, MD" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had all 4 wisdom teeth removed a week ago tomorrow....after surgery my throat was severely sore I figured it was due to the sedation. And the next day it was harder to swallow and everything...the last 3 days under my right side of my jaw my neck and pain into my right ear.and under my tongue is on severe pain. Ibuprofen is not touching the pain. My mouth itself is not sore at all. I tried calling my surgeon and never got a call back. Any suggestions of what this could be or what I could do to get rid of this pain. Thank you", "output": "Severe pain after several days of extraction suggests the infection in the extraction socket which is called A Chat Doctor. This happens because of one or several reasons and is the most common complication after wisdom teeth extractions. Some tips for you:1. Use mouth wash to clean your mouth 3-4 times a day or use warm water (add 1 tbs of salt in a glass of water)2. Take your antibiotics' medication properly3. If.you smoke quite smoking until the extraction wound heals completely4. Please visit your dentist as only home care would not help you. Your dentist would clean the wound and give a " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello ,sir i m 16 years old & my height is 52.& my weight is 70kgsir i m feeling very shame on myself my all friends are taller than me.sir i hved joint gym but that also not making any type of change.what should i do please sir give any solution to me.", "output": "Hi...Don't worry you have still lot of time to grow height... Growing height depends on Genetics... Nutritious food. I recommend you to do a lot of... Hanging exercises.Don't miss weight heavy weights...Don't do vertical loading exercises... Good nutritious food you can take help of a good nutritionist...TOO WORRYING.... Things will automatically fall in place. You will grow till 21\u00a0years of age...as your bone will continue to grow till this age... Hope this is helpful for you. Kindly revert in case you need any more help in this regard" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My relative has developed blood clots in his shoulders. He is still recouperating from radiation and chemo for cancer (now in remission) done last winter. He is also t6aking Lovonox shots daily. What should we be doing or looking for regarding home care?", "output": "Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. Patients on chemotherapy are immunocompromised. So they are prone for opportunistic infections. So follow these home care to avoid infections. 1. Chat Doctor. 2. Ask patient to always wear mask.3. Eat only freshly prepared, homemade food.4. Avoid junk food.5. Avoid too many relatives in home. 6. Start multivitamin, anti oxidant tablets for strengthening of immunity. Also start protein powder." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am getting sharp chest pains when i go from laying down to sitting up. Also, when i cough and laugh hard. If I press on my sternum hard it feels sore. I feel like I went swimming for hours, like im water logged. When i deep breathe i have to cough, then the sharp pain comes. Any answers are appreciated", "output": "Hi, Thanks for asking. Based on your query, my opinion is as follows.1. You have probably exercised on your chest muscles or had a severe bout of cough.2. If you still have coughing without sputum production, try salt water gargling and lozenges to soothe throat. If still not reduced, you will require cough suppressants like codeine sulfate.3. If It's due to exercise, you can take muscle relaxants, it will reduce. Rest should help. Hope it helps. Any further queries, happy to help again." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, i have been taking the microgynon 30 pill for the last 6 years, I have recently turned single so stopped taking it. I ve had a two month gap and I haven t had a period. I would like to start taking the pill again though as I have become sexually active again. Can I just start taking it or do I need to wait for a period? Many thanks", "output": "Hi, You have not had census for two months. Were you sexually active during these two months? If you were not sexually active then you can start taking Microgynon right now. But you need to use additional contraception like condom or diaphragm for the first seven days until Microgynon effect is established. Since you did not have census for two months, the endometrial lining of uterus must have become thick. It may cause irregular bleeding/spotting once you start pills. So I advise you to first take progesterone to bring about Period bleeding and then start Microgynon. If you were sexually active during those two months, then it is extremely important to rule out pregnancy by blood pregnancy test. If negative, use progesterone for with Chat Doctor. I hope I have answered to your satisfaction." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "can i use kojivit gel for dark circcles or what is the best natural remedy i can i hav....since because of dark circles i look older dan ma age ! dark circles", "output": "Hi, Avoid working in front of the computer screen for long periods. Take break and do blinking exercises and shift your gaze from far to near objects. Also rotate your eyes 5 times clockwise and anticlockwise. These exercises will help your tired eyes. Apply raw grated potato around the eyes and wash off with cold water after 10 mins to instantly brighten your eyes. Almond paste can also be applied likewise. It will take about a couple of weeks to see the desired effects." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi I am pregnant and in the process of having my bloods tested for b12 deficiency. I just wondered if one of the side affects could be swelling to my face/eyes and lips as I wake up most mornings with bacd red burning swelling to my face. Im feeling very tired and down. thanks", "output": "Hi, welcome and thanks for asking. Looking at the clinical symptoms and suspected b12 deficiency, I am of the opinion that it does not cause. Edema of the face is usually of renal cause and here, the pregnant uterus could be compressing the renal arteries, causing the kidney to retain more fluid. As it appears more in the morning, try to change your sleeping position, it could help. Vitamin B12 deficiency does not cause swelling in face. Any further queries, happy to help again." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doc, my name is Anne, I m having a back pain, and I have pus cell in my urine, my doctor prescribe me antibiotic, but the pain still there... And my arms and shoulders get numbed. My sister was having an operation of kidney stone last 2000. And she felt same symptoms, could I possibly have kidney stone too?", "output": "HiT hank you for asking Chat Doctor. I have gone through your query. Kidney stones also can give same symptoms along with coexisting urinary infection also. In such case an ultrasound examination will help to rule out that. Urine routine as well as culture and sensitivity should be done and change antibiotic if necessary. Take more water. Cranberry juice or barley water will be helpful. In case of small kidney stones taking potassium citrate in water also will be helpful. Hope this may help you. Let me know if anything is not clear. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir My lower half of both legs have got black pigmentation which progressively increased and now almost coleased all together in about 10 years of duration.My mother ha also same problem and my two brothers have also in lesser qantity.there is no symptom like itching etc.except the cosmetic bad look. I am diabetic of 12 years duration and hypertensive of 30 years with control by drugs.I am 63 years old.", "output": "Hi, Thanks for writing in. The condition you are suffering can be macular amyloidosis/lichen plans pigments etc. Treatment can be given only after confirmation of diagnosis. Few procedures like skin biopsy can be helpful for diagnosis. They are available at dermatology clinics. Images will help a lot in establishing diagnosis. Images can be uploaded by users in premium questions area. Please consult a good dermatologist for proper examination and prescription medications. Hope this helps. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I acidently kicked a door frame with my 3 smaller toes. It was very painful at the time an still is quite painful 2 days on. However my main concern is that I now have a lump on the outside of my foot about halfway between heal an toes. Should I be concerned and should I get it looked at?", "output": "Hellos per your present condition I would like to assure you that there is nothing to worry about. What you are having now is a normal mode of wound healing in a post-traumatic condition. If I were your treating Doctor then I would have suggested you an Analgesic along with some other medicines as follows-Tab Attract - P 1 tab twice daily after meal for 3 days. Tab. Antacid 40 - 1 tab once daily before meal for 5\u00a0days. Tab. Erlangen 1 tab twice daily before meal for 3\u00a0days. Hope this would give you relief soon." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "helo, im idrees. i got my blood tests done and my ALT lvl came out at 92. i was reffered by a medical specialist to undergo an ultra sound of the abdomen and i was diagnosed with liver haemojima. my question is whether my raised ALT level is due to liver haemojima or otherwise. please advise measures to bring down ALT level as well.", "output": "Helldiver hematoma is a benign tumor of liver made up blood vessels. It is generally an incidental finding and usually doesn't require any treatment. This condition only need to follow up. It may require treatment if it is causing symptoms. Most likely liver hematoma is not related to raised ALT. Increased ALT may indicate liver injury. It may be due to many reasons like hepatitis, alcohol intake, altered lipid profile,autoimmune causes etc. You may need few more investigations like routine hologram, random blood sugar, lipid profile, renal function test, complete liver function test, viral markers. I suggest tablet ursodeoxycholic acid 300 mg twice daily for three months to my patients. It helps in regeneration of liver cells. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi...moey 23. Heroin user 2yrs. I recently started IV ing and due to unnoticable veins elsewhere, ive been using the vein at the crook of the arm on both arms around 3 to 4 times daily for 5 days now. my right arm got slightly swollen but was not painful as such after a shot 1 day ago but i woke up last night with it painful and with a bit of swelling around the injection site upto 2 inches away. i cant bend it as it is really painful, in my country, drug users are reported to the police by the drs so going in for care and being honest is not an option.(Kenya) But one can get most meds even antibiotics via the chemist wtht prescription. please advise. i will not hold u accountable for your advice. thx", "output": "Dear user chances are you have an infection at the injection site, and you need urgent treatment. You are running the risk of loosing your arm at worst or even dying of septicemia. I suggest you go to hospital and just show them your arm, and they will know how to treat you. The decision to tell them exactly what caused this condition is entirely yours. Most doctors will recognize the condition and simply treat you without judging you or digging too much in your personal life" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I HAVE BEEN SUFFERING FROM EOSINOPHILIA FOR 12 YEARS.&IHAD SKIN COMPLAINTS IN THE LOWER PORTION OF MY LEG WHICH IS NOW COMPLETELY CURED BY ALLOPATHY MEDICINES NOW I USE INHALER TWICE IN A WEEK , CAN I BE RELIEVED OF IT PERMANENTLY ,DR.PLEASE A VALUABLE REPLY.", "output": "Hi, dairy have gone through your question. I can understand your concern. There are many causes of high eosinophil count. Allergy, hypersensitivity, asthma, parasitic infection, pulmonary eosinophilic all can lead to high eosinophil count. Once you get cured of underlying cause eosinophil count will slowly come back to normal. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I ve been to the doctor three times for a cluster of lumpbs beneath my front bottom teeth , there seems to be about four of them, small, and can t be seen unless I depress the floor of my mouth with my tongue and then it looks like a pimple with a white head. Initially they instructed me to keep an eye on it and see if it got worse or doesn t go away. It didn t go away, so I returned to the doctor, who said it was an infection and gave me a Z pack. Several days later, I noticed a pain in the cheek area and went back, and he changed the antibiotic to Augmentin , which has relieved my cheek symptoms, however, it has not done anything to the lumps under my front teeth seemingly. They are small and moveable and seems to be roundish and very close together. I m concerned they re obviously something more serious. Any help or direction would be greatly appreciated.", "output": "Hello, I read your problem, you did not tell that do you have pain in these lumps?first I would like to inform you that if you do not have pain these could be normal anatomy of oral cavity which is lump like structures beneath the lower front teeth, but not painful, these are normal structures of our oral cavity. As you gave the detail I feel that it is the same. These are genial tubercles which are sifted tissue projections of mental spine on the mandible bone, these are 4 in number 2superior and 2 inferior. If you have more doubts I will suggest you please go to an oral surgeon and go for complete clinical examination done. Nothing to get worried. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, My cousin has low IQ rate(between 60 to 65). He is very slow in his basic improvements like stand, walk and talk. He is not able to identify the colors and also unable lock his shirt button himself. Please note that, he is at the age of 10. We had lot of treatments but no improvements in his activity. As Doctors suggested, he is going to the school where low children are getting trained. Our objective is to make him to live normal (in personal and social behavior) in this world. Please advice.", "output": "Dear, Welcome to ChatDoctorWe understand your concerns went through your details. Once the children IQ score falls down below 70, it is intellectual disability. Early identification of child Chat Doctor. The mainstay of treatment of MR/ID (mentally retarded / Intellectually retarded) is developing a comprehensive management plan for the condition. The complex rehabilitation plan for the individual requires input from care providers from multiple disciplines, including special educators, language therapists, behavioral therapists, occupational therapists, and community services that provide social support and respite care for families affected by MR/ID. The procedure is tiresome and the best place you can do it is in the special school your child already in. Written, verbal and pectoral forms of communication as well as gestures and demonstrations are helpful. Annual counseling and referral on these issues to community agencies and programs is recommended. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query. Further clarifications are welcome. Good luck. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I found a lump some time about March 2008 it got swollon. I went to see a doctor soon after and he thought it was just an infection, so he gave me antibiotics. The lump remained and it got bigger. In the last few weeks I saw a doctor again and I arranged to have an ultrasound scan. Then today I went to see a specialist. He examined me but he wasnt experienced enough to know what was wrong. He called in his boss, who also examined me, and then I was told that I would have to have my left testicle removed. Ive never had to have surgery before. I dont know what its like.Ive been so stressed out.", "output": "Welcome to Chat Doctor .1. The history suggest that there was a growth with in the testicle, slow growing over few years of time.2. With this we can think in terms of benign etiology - however biopsy will be confirmatory.3. You have not mentioned ultrasound done or not - if not chances of changes in plans might be there. As ultrasound will give the exact nature of the lump and where it is arising from and where all its extending to. A guided FNAC - fine needle aspiration cytology will help find out cell of origin in case of mass.4. Sorry you never had surgery - but it might be needed if its proven as mass lesion.5. Relax, get it done and good followup scans after the procedure. Good luck. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Height:5 5 Weight 175pounds Age:46 Female. I have been experiencing depression and anxiety for more than 5 years. None of the anti depression medications worked for me. Anti anxiety medications I was prescribed made me drowsy so I can;t take them regularly and I don t know why I get more depressed while on anti anxiety medications. The problem that is seriously affecting me at the moment is sleep. I can t stay sleep I wake up several times in the middle of the night. Medications such as Ambien or over the counter stuff do not help. I have given up discussing this with my doctor since we have been running out of options with anti depressants. anti anxiety and sleeping aides according to her. Any advise on what to do or any suggestions I can discuss with my doctor? Thanks.", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. The suggestion any doctor gives here is, provide all the above information to the psychiatrist you are consulting. Work closely with him and he knows your problems. He should be able to provide solutions to your problems. Exercise or work plays a major part in sleep. If you work more and exercise rigorously, you shall get sleep. Otherwise, also you sleep. But the sleep may not be fulfilling or satisfactory because of the effect of the medications you are having and the lethargy you are experiencing. Do talk to your psychiatrist. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 53 yrs male non-alcoholic. Height 164 cm & weight 84 kg. Total cholestrol 5.1 mmol/l with zocor medication. Recently my blood chemistry (liver function test) revealed that my SGOT/AST & SGPT/ALT readings of 132v & 232v respectively. My doctor explained that I am having fatty liver. He then prescibed me to take Livolin Forte capsules twice (morning & at night) daily. Can doctor explain to me more about the readings of my liver function test (SGOT/AST & SGPT/ALT) whether very alarming or not? What are the side effects of consuming Livolin Forte in the short & long term? Thank you. Hamzah Nassir.", "output": "Hi I hope you are very well The alteration that you present in your liver chemistry according to ALT levels is a moderate elevation, with a hepatocellular pattern. Your diagnosis may actually be a fatty liver, however, this is a very broad spectrum that includes hepatic stenosis and steatohepatitis. You have metabolic risk factors for fatty liver such as your overweight / obesity and dyslipidemia. You should have a checkup for suspected diabetes mellitus and systemic arterial hypertension. There are several non-invasive studies to evaluate the degree of fibrosis or even cirrhosis, the one with the highest diagnostic yield is the transient cartography (Protest), however, to differentiate between stenosis and stenosis hepatic biopsy should be performed. The importance of detecting a steatohepatitis is for prognostic purposes, since the progression to cirrhosis is greater. The treatment indicated in these cases is mainly non-pharmacological, the loss of weight is fundamental as well as a modification in the lifestyle, a balanced diet, increase in the physical activity. An approximate loss of 5-10% of weight is suggested in a period of 6 to 12 months, this is associated with an analytical and histological improvement. There are very few Chat Doctor. One of them is vitamin E in doses of 400,000 to 800,000 U / day especially in people who do not have diabetes mellitus. Other medications currently being used are statins like simvastatin that you consume, as it has antibiotic properties." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My questions i have pain accross the ovaries just above the pubic bone it feels like dull jabbing pain my outer pelvib bones is also hurting mr i do have a 50 mm * 40 mm which has not been identified what kind cyst it is could the cyst be causing me this pain", "output": "Hi, thank you for providing the brief history of you. A thorough neuromuscular assessment is advised. As you mentioned you have pain across the public region, the pain can be due to the cyst which is unknown or may be due to inflammation of the muscle. I will advise to keep the area clean and also do some pelvic floor Strengthening exercises as it will help the muscles to be strong to hold the Sacroiliac joint in position to provide good stability. Also, with the exercises it can be possible that the cyst may disappear too. It is even possible that there is a weakness in the spine and needs an assessment of the muscles. Post which performing exercises for the same will help further to reduce the pain.in my clinical practice I have seen cases with such issues. And with physical therapy they respond wellRegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my daughter lives and goes to college near a paper mill. she has been getting a lot of colds, she sounds like she has bronchitis. do you think her symptoms could be caused by the mill? I also want to mention she s a full time student and works part time. she has a lot on her plate and she is tired all the time. she went to the school nurse and she said my daughter might have athletes asthma yet she is not into sports.", "output": "Yes, her symptoms can be due to the paper mill. Small fibers generated during paper production are mixed into the atmosphere, which can then lodge in the lung tissue resulting in inflammation and obstruction to air. This gives rise to symptoms like cold, Chat Doctor. A definitive diagnosis can be made after some tests like X-ray chest, CT scan that will show typical changes of this disease. I would recommend changing her residence, a visit to a lung specialist and above-mentioned tests. Hope this answers your questions." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was just told my 10-year-old daughter has an enlarged artery in her heart and will see a pediatric cardiologist this Friday. This was according to a chest x-ray she had over the weekend in the ER. Are there any questions I should ask the Dr. I would like some information on this condition so I will be better prepared for the visit.", "output": "Hello! Thank you for asking on Chat Doctor! Regarding your concern, I would like to explain that chest X-ray study may reveal an aortic or pulmonary artery enlargement. These findings may be seen in some congenital heart diseases. The best way to clarify these issues is to perform a cardiac ultrasound. If such an enlargement is confirmed, then additional imagine tests may be required, such as ago CT. Anglo MRI, or sometimes even angiography. Nevertheless, the diagnostic work up will depend on echo results and the conclusions of the overall medical examination. You have to discuss with the pediatrician (cardiologist), if any congenital heart diseases are present, and if such is the case, to define the optimal diagnostic and follow-up schedule. Hope to have been helpful. If you have additional uncertainties after cardiologist visit, feel free to ask me whenever you need. Greetings! " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a squeezing pain in my chest today, it lasted for about 10 minutes but I still don t feel quite right (2hrs later? I felt breathless during this episode and when I tried to take a deep breath it increased the pain. Any ideas what could of caused this?", "output": "Thanks for your question on Chat Doctor. Sqeezing pain with increasing pain on inspiration with breathlessness is seen 1. Pneumonia2. Pleural effusion3. Tuberculosis4. Pulmonary contusion5. Pneumothorax. So please get done chest x-ray and consult pulmonologist to rule out above causes. If chest x-ray is normal than it must be related to stress and anxiety. So avoid stress and be relaxed and keep calm." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just noticed a small swollen area on the inside of my anus. It seems like it s filled with something pus or blood like. I ve been messing with it and it s gotten a little bigger. It hurts mainly when I cough or sneeze and when my anus contracts. I had sex the night before with a condom and it was not anal sex, but vaginal. I m concerned what this may be. Is it an std or is it something like a hemorrhoid or anal abscess? Please help", "output": "Helots swelling may be :1 Fissure in anus .2 Hemorrhoids 3 Abscess. But merely according to this history it is very difficult to establish any diagnosis. Physical inspection is important, so in my opinion consult a physician and get his opinion. In my opinion this is not an STD (protected sex vaginal) . Since this is very painful so may be anal fissure. Good luck. You can use lidocaine cream for local application for pain relief." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Below are the Lipid Details: -------------------------------------- Non HDL Chol = 197 Chol/HDL Ration 6.6 Triglycerides 201 HDL = 35 VLDL = 40 LDL Cholesterol (Calculated) = 157 Cholesterol Total = 232 No other past issues in reference, how do we identify risk level and what needs to be paid attention?", "output": "Hi, dear. I have gone through your question. I can understand your concern. You have low HDL cholesterol and high LDL cholesterol. It should not be there. You should take low fat diet with high amount of polyunsaturated fatty acids. You can take atorvastatin or pravastatin like Chat Doctor. So don't worry. Just be relaxed. Follow diet and repeat the test after three months. Then consult physician and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "doctor good day. I had a motorcycle crashed last thursday evening and up to this time my left face and eye are still swollen. My lips is swollen too. I only took two capsules of co-amoxiclav. I didnt go to the hospital or doctor for consulation to this injury because I dont have the money to pay for the doctor. I am not experiencing any pain from my whole head except for the swollen left face, eye and lips. What oral medicines or antibiotics you can recommend to subside or eliminate the swollen areas of my face.", "output": "Hope you did not have any loss of consciousness, vomitings, fits or bleeding from the nose or ears(indicates injury to brain) at the time of accident. And if there is any difficulty in opening the mouth it would be better to rule out any facial bone fractures are present. Continue with the antibiotics and Tab. Lyser - D(twice/thrice daily) along with Cap. Omeprazole(once in morning on empty stomach) for at least five days and it should subside and if you feel any giddiness or experience any vomiting consult a hospital immediately." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been diagnosed positive for cmv...after many misdiagnosese. My liver started hurting enzymes went up spleen enlarged and much memory loss or problems fuzziness in head, though mri only shows sinitus chronic mild? I have so many questions...I do not have aids.. Its negative...and ive been doing huperbarics and IV with vitamin c daily..i do not know what to expect for the rest of my life.... Can i spread it anytime or just when its active and how will i know? Will I need antivirals and if so how does my iv doctor even go about getting vancyclovir etc etc. no drs seem to even know much about this. Will my head clear yp eventually? 100 percent? Where can I find specialists in this? No one seems to know!,!", "output": "HiT hanks for posting on ChatDoctorCMV is a common virus that can infect anybody. Most people with CMV will never know and may manifest no symptoms if they are healthy. Once infected, your body retains the virus for life, but it may never disturb you. However, whether symptomatic or not, it is a cause for concern in pregnancy. It spreads from person to person through body fluids. There is no cure for CMV but Chat Doctor. The symptoms you present may signal an active CMV and when any of those symptoms appears, it's always good to see the Doctor for evaluation and management. I will advise you take an HIV test to confirm your negative status as it could be one of the things that can weaken your system and make you prone to developing an active CMV infection. Other thing can weaken your system and increase your risk of CMV symptoms are bone marrow or organ transplant, malnutrition, long use of steroids, chemotherapy/cancer. As for the idea of being misdiagnosed, I will suggest you take the CMV test again in a different laboratory. Management of people with very weak immune system like newborns and people with active infection is usually with antiviral " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello My name is umer(First of all sorry for my bad english)Yesterday night; i came home at night 11:00 pm(very cold), then i took my dinner at night 2:30 am at my bed and right after dinner, i quickly laid in bed and started using laptop on my lap and then I slept like at 4 a.m and sleep sound for 2 to 4 hours then awaken with lower right back pain. Changing position helps, sleep returns after 15-20 minutes but the cycle repeated again. (I drive bike too fast at night and there is hardcore winter season)When Im sitting or sleeping still Im feel ok, but otherwise have normal lower back pain on my right side. Not sure what it is? It hurt when I walk or cough. Any suggestions?", "output": "In my opinion all you need to do is give you back a little rest. For immediate relief have some painkiller along with a muscle relaxant and have proper bed rest for 2 weeks. Do not lie down on soft mattress use hard one instead, do not sit for longer durations and do not travel long distance for 2 weeks. You can also apply some good anti-inflammatory painkiller gel on your back. If the pain increases do some hot fermentation locally and make a routine of doing some back strengthening exercise daily. After 2 weeks start with some back strengthening exercise. It will help you build you back muscle, and you will be able to continue with your practice in few weeks but do not overlook at the symptoms right now. As it is still early days for you, and you can be fine and back in action with these small things. Good luck" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son has a swollen thumb and some bruising. He initially had fluid on the knuckle that was like a soft bump. That has somewhat dissipated. It happened while playing catcher in baseball. It s been 8 days now and the swelling is still quite significant with some remaining bruising. How long will this healing process take?", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query your son have swollen thumb. Well there can be many reasons for symptoms you mention in query like fracture, joint dislocation, hematoma arthritis, tendinitis, or bursitis. I would suggest you to apply warm compresses to it and take ibuprofen or acetaminophen or elevate your hand while lying down. If condition persist then consult orthopedic surgeon for proper examination. Doctor may order x-ray, CT scan or blood test. Doctor may give splint, plaster or prescribe anti-inflammatory along with antibiotics and muscle relaxant. Doctor may also prescribe vitamin supplement for quick recovery. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, I am 35, 55 and 60kgs, I am having one 10 years old daughter, earlier we are on planning but since 8 months we are trying to conceive but unluckily not. I am taking ova shield tablets from my 3rd day of period.i had regular period every month and my doctor had advised scanning and it comes normal. but then why I am unable to conceive plz help me.thanks.", "output": "Hello, Thanks for the query to Chat Doctor. Forum. No doubt you are a mother of 10 year child, but at present your age is 35 years and so many ovarian follicles has completed their life. Now you are taking camphene + nutritional supplement (ova shield) for stimulation of ovulation and in spite of 8 months you are not getting pregnant. In my opinion please take this as a fresh case. First get in endometrium test whether its thickness is able to receive fertilized ovum or not. Get in blood for L H /FSH ratio, Ultrasound of ovaries. If all tests normal then get in study of ovarian follicle (whether they mature or not mature, if maturer than they attain full size for ovulation and burst or not for release of ovum). Hope I have answered your question, and you understand all things. If further any question I will reply. Good luck. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 5 year old daughter says she is hungry constantly. As soon as well leave the restaurant or get up from the table she wants a snack. I am afraid of her becoming obese some day. Is this constant hunger normal? She is 4 foot tall and weighs about 65 lbs. She is solid.", "output": "Dear, Welcome to ChatDoctorWe understand your concerns went through your details. When child Chat Doctor. You must be able to identify which food the child is always craving for? Is there any association or patterns etc. Identify the food and include that food in everyday meal. Second reason could be, that they are making food association. TV and food, video game and food are great association they make. When they sit there, they ask for food. Some child" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have nausea but i have not thrownUp. I have nausea in my lower right stomach, with right testicle discomfort and I am also having very smelly stools that are small in diameter and sink in the toilet.... Any thoughts.... I am not in \"pain\" just feel very uncomfortable Thanks for any feedback", "output": "Hello, The causes of testicular discomfort are:1) Injury2) Testicle torsion3) Epididymitis4) Orchitis5) Inflammation due to sexually transmitted disease6) Give proper support to testicleTake tablet Broken, if pain occurs and do ultrasound of scrotum. Treatment mainly depends upon underlying conditions. Kindly follow with detailed history or consult with surgeon. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have recently gone through a general check up program whrein in the ultrasound it showed a 1.6 cm cyst in the right kidney . The consulting doctor says nothing to worry. Meanwhile I have been having mild backache for several days. The pain is also being experienced in the left side of my lower abdomen. My age is 59, female and have gone throught total hysterectomy few yrs back.. Kindly give me insight for the cause of thsi pain.", "output": "Hello welcome to ChatDoctorRenal cysts is a fluid collection in the kidney. The Majority of renal cysts are benign and can be monitored without any treatment. However, some are malignant and have to be removed by surgery. Simple renal cysts are found frequently in the elderly. The renal cysts have been classified into five categories by Bosniak Category I: benign simple cyst without septa, calcification or solid component. Category II:Benign cyst with few thin septa and contain fine clarifications Category IIF: Well marginated with a number of thin septa with thick nodular calcification and >3cms in size. Category III: Indeterminate cystic masses with thick septa with enhancement. Category IV: Malignant cystic masses with thick septa with enhancement and irregular marginsSometimes a CT scan is needed to distinguish between simple and malignant certain in the cyst may be due to hemorrhage or abscess with in the cyst, or it enlarges to compress other organs. The pain you might be having may be due to some other cause as it is on left side too or due to Tight your urine checked. Hope I have answered all your queries. Wish you Good Health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My friend is a 53 year old man with pancreatitis. He is in constant pain and has frequent attacks that last from 3 hours or more. He was tested, and says his lipase levels are off the charts high. What can he do to prevent this and get off of the many drugs he is taking for the pain?", "output": "Hello, Pancreatitis has happened when the enzyme of pancreas activate before they are released to the intestine and begin attacking in the pancreas itself. The cause if from alcoholism, gall stone, some kind of medication. You would experience nausea and vomiting, upper abdominal pain radiation to the back, abdominal distention, or fever increase heart rate. The management for mild acute pancreatitis is NPO (nothing by mouth) a couple of days to give your pancreas a chance of recovery and IV fluid for rely Chat Doctor. Avoid alcohol or fat food, or smoking, and medicine that cause pancreatitis. Pain relief medicine for mild pain we use paracetamol or Ibuprofen, for stronger pain relief we use codeine or tramadol. If not better you should go to a specialist doctor to help you. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi- I am sexually active but i have not had sex for about three months ago. A month and a half ago I noticed this bump like thing by my vagina. If i touched it to was kind of painful. Then i squeezed it cause it looked like a pimple and then it went away. The lump came back today..but in a different spot. What is it?!", "output": "Hi, Dear,Welcome with your query to Chat Doctor. Studied your query in full depth of its details. Reviewed it in context of your health concerns. Based On the facts, You should go to your doctor as You mostly seem to suffer from-Furunculitis of the pubic hair and Vaginal Labia Major. The recurrent boils indicate poor hygiene or from diabetes, for which you need to check blood sugar levels (FBS and PPS)This reply would reduce your scare, hope so. This reply would help you to plan further treatment soon with your treating doctors. Best of Luck and early recovery. Welcome any further query in this regard, which would be replied in next session. Good Day!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "yes hi ,i had a car accident 2 days ago, i am 7 weeks peregnanat ,thay took me to the hospital but thay did not do any x-ray on my chest beaucuse of peregnanacy ,today after 2 days i have more pain my chest ,i dont know what to do ,if in case i have broken part in the chest what are the side efect not to tacing care of?.thanks leily", "output": "Hello, Thanks for contacting Chat Doctor, Xrays is not done during pregnancy - except for life-saving cases. This will harm the baby. Nothing to worry. Even if there is fracture of rib - it will heal by its own. Nothing special is done for rib fractures. The only problem with you is that - you are not supposed to take much painkiller, that will harm the baby. Local application of pain relief creams, local hot fomentation, and paracetamol should be tried first to get rid of pain, if not then only any painkiller should be taken. You have to watch for symptoms like - blood in cough or sputum, if this happens visit your doctor immediately. Regards, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 22 year old woman and have been experiencing extreme lower back pain on my right side that comes in waves. It hurts, and the pain moves upward a few inches, and then goes away before coming back in a few seconds. This happens for half an hour and then goes away for a few hours. It doesnt feel like I pulled a muscle in my back. What do you think it is?", "output": "HiT hank you for asking Chat Doctor. I have gone through your query. The pain on the area which you mentioned can be due to kidney stones or pelvic inflammatory disease. A thorough physical examination is necessary and ultrasound of abdomen and pelvis might be needed to rule out the condition. Kidney stones if small can be managed by urine alkalizers like potassium citrate and increase water intake. If it is pelvic inflammatory disease then antibiotics will help you. Do you have any associated urinary or gynecological problems or discomfort.? I can help you if you give more details. Hope this may help you. Let me know if you have any further queries. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had unexplained rashes after having pituatary surgery for five years. Had shingles in July this year. Just found out I have hyperthyroid. Getting a 24 hour scan and uptake next week. Could the shingles have caused hyperthyroid? Also could the rashes be related to the rashes?", "output": "Hi I did review your concern. Rash can be or cannot be related to the pituitary surgery. One would like to see the type of rash before commenting on it. Shingles usually does not cause hyperthyroidismHyperthyroidism is caused either by toxic nodular goiter or graves disease. You would require antithyroid medication under doctors guidance like propylthiouracil or methimazole to curb the thyroid hormone synthesis. I hope this yellowish you all the Bethany you for using Chat Doctor " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, i have a little lump on my penis under the skin it seems to be on the edge of the sperm shaft and can only be felt when flacid. i also have a red lump on the side of my sack. the lumps are not similar. The lump on my sack is rd and sore. what could these lumps be?", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have some sexual transmitted disease or some other infection. You should go for examination and take course of antibiotics according to diagnosis. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, Im 15 years old, I weigh 115 lbs, Im 5 ft and 4inches tall, and the only big medical condition I ve ever had is asthma .That s about it. I have these big red spots on my thigh another on the side of my leg and I have two more on the same leg. The thing is that they re only on my left leg. I haven t gotten anymore, and they only itch if I accidently scratch it and whenver I press on one it feels like something sharp is poking me. I thought it was a bed bug bite but I looked at some pictures of bed bug bits and they don t really look like mine. Mine are bigger but have very small spots ( like razor bumps) inside the red part. I got my first one on 5/24/11 and the rest through 5/27 and 5/28 and I haven t gotten any since. My mom told me to put some Caladryl on and it seems to work but on the next day, when I wake up, it has grown back to the same size. I don t know what else to put on them. Please, if you could help, in anyway, I would be very much thankfull and happy! :)", "output": "Hi!, Welcome To Chat Doctor forum, Big red spots on thigh, seems to be a fungal infection. And it is also associated with itching. The second possibility I would say would be an allergic reaction (less likely). You can first start with using antifungal creams and tablets for first 2 weeks and then decide whether to continue it or not. The usual course is of 4 weeks. If you don't respond in first 2 weeks then switch over to a steroid cream. Along with this you can take any anti-histaminic tablet like cetirizine to relieve itching. But as these medicines are prescription based, so you should consult a dermatologist and should not try it yourself. I'll be available to guide your further if needed. Regards, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello My baby is 6 months old..we dont get drinking water.so we ger mineral water cans .i have read it is not safe to give mineral water to babies..can we give aquaguard or pureit filter water.which is better.i want to give her dal water..plz suggest..Thank you", "output": "Hello, Welcome to Chat Doctor. I understand your concern. Pureit is mostly RO+UV water filter while aqua guard is only UV filter. It is better to give Surat purified water as it will remove all bacteria & virus and excess of mineral while preserving minimum required quantity of mineral that is useful to body. Only RO purified water may remove excess of minerals leading to deficiency of certain mineral that are obtained by water. So, it should be second choice. Only aqua guard purified water will remove all bacteria with most viruses but will not remove mineral, thereby leading to high mineral intake if groundwater is used. So, it should be 3rd choice. Hope this will be helpful. Thanks for using Chat Doctor. Do ask if any further question is there. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I ate and took my 4 azithromycin after my dinner about an hour an a half ago. I didnt feel any side effects until about a 20 minutes ago when I vomited. Will I need to take another round of medication or did my initial dose have time to be absorbed? Thank you so much", "output": "Hello, I understand your concern. I am Chat Doctor, infectious diseases specialist, answering your query. Azithromycin has some different dosing schedule. It can be taken as 1 gram stat, but it cannot be taken as two 1 mg tablet a day. Dosage can be decided based on the type of infection you have. If you have STD than one mg stat is enough, there in no need for further treatment. But if you are taking it for URI than three 1 mg tablet can be taken once a day for three day. I will be happy to answer your further concern, you can ask me on bit.ly/ Chat Doctor. Thank you. ChatDoctorInfectious diseases specialist." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am a cardiac patient with DM II. angioplasty done in 2006. presently HDL is 30. Pls advise.Mu email is YYYY@YYYY . I am on regular medication.Presently taking Clopivas AP150 and Olmesar 40.For DM taking Guconorm fort before break fast.and gycifage 500 mg before dinner", "output": "Hello Sir, Indians per se has lower HDL cholesterol. HDL is the good cholesterol and in a male adult should be more than 40. So higher HDL it is better. Though 30 is not an urgency and will not put at immediate risk of heart attack, however we should treat to prevent future events all the medication you have mentioned there is no statin, which should be taken considering your past angioplasty so future new blocks don't develop and will also decrease your bad cholesterol LDL and increase HDL. Another way to increase HDL cholesterol is regular 45 mins of aerobic exercise every day. Hoping I could help you. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "3 Months before I was affected by jaundice. (Total bilirubin:2.3mg/dL direct 1.2mg/dL). As per a doctors advice, i am taking only Oil-less,Salt-less,mostly fat-less foods. I took only 7 days rest as i want to step into my first job(at starting state of jaundice). After that no bed rest, nearly 8hours/day i was sitting in-front of systems. Bilirubin level is going up and down for last 1 month. Now Bilirubin level is about 1.4mg/dL-Total(0.6mg/dL-Direct). In my testing report, it was mentioned that 1.1mg/dL -Total and 0.5mg/dL-Direct as normal. Is it true that it will take about 4.1/2 months to come to normal?. As medicine I am taking only LIV52 syrup only. How long it will take for bilirubin to come to normal? Now there is no disturbance in my body. I want to know whether i am in normal recovery or any problem with my bilirubin levels. My last 3 reports:Total(mg/dL) Direct(mg/dL) 15-Oct 1.4 0.6 25-Sept 1.7 0.6 11-sept 1.9 0.5 24-Aug 2.0 0.7 As per Lab: <1.1mg/dL<0.5mg/dL as Normal Suggest some foods that i can take without any problem.", "output": "Hello welcome to Ask A Doctor service. I have reviewed your query and here is my advice. You are having jaundice, and you are on recovery phase. Your bilirubin only slight high. The cause for that should be ruled out by viral marker study, USG abdomen and peripheral smear examination. You have to take less fatty food for another one month. Sugar cane juice and apple juice can be taken more. Refined foods, junk foods should be avoided for one month. Hope I have solved your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "43 female I have fibromyalgia. Conflictive to diagnosis I am also told I have High tolerance to pain! Had 2 kids 45 mins after arriving to hospital no drugs. Serious spinal damage that I thought was just muscles (firbromyalgia)until I was exrayed 10 yrs later! For at least 6 mos now I have had more fatigue and a oh well attitude! No self discipline extremely forgetful and just the last 30 days I have had 2 periods 16 days from each other. Each one very very heavy and lasting 5 days. Heavy FAST flow the first two days difficult to control. I have history of heavy fast flow only in the last year have I showed some irregular tendencies. Some hormonal changes less oily skin/hair, no mood issues except the apathy lately. I do take a vitamin capsule to combate becoming anemic. My iron levels are good. Additional D3 because my level was 19. Muscle relaxers as needed. My only regular medication is Nuvigil for a sleep disorder. It is used to keep me alert during the day. I sleep at least 10 hrs a day. From 10/11 to 8/9. Two periods in 2wks is too much???", "output": "Hi, As far as your periods is concerned it is quite common to have irregularities at this age, as it is the time for menopause. As far as fibromyalgia is concerned it is more of a psychological rather than physiological. It is not necessary for a fibromyalgia patient to have a lower threshold for pain as per your symptoms it appears to be fibromyalgia. You need to incorporate exercises in your schedule, go to bed on time, improve your sleep. Take care. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doctor, today noon, almost 7 hrs b4 me & my wife had a sexual inter cause, without precaution. as our first child is 18 mnt old only we r trying not 2 ve our second child now. what can we do now. is tre some tablets available now in market 2 avoid pregnancy?", "output": "Hi, There are emergency contraceptive pills which can be taken within 72 hours of unprotected sexual contact (more effective when taken as soon as possible)& should be taken under guidance of an obstetrician. Consult an obstetrician for continuation of contraceptive measures (IUD suitable for you) to avoid this kind of situation (unwanted pregnancy). Hope this ll help Thanks n regards (Chat Doctor. Com)" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "B/P at hospital where I work was 182/102 then got a primary doc because just moved to muncie in. Went for visit the same day and I didn t feel like she took my b/p accurately. (Went too fast manually). The nurse got 142/84. The doctor put me on catapress 0.1mg . Took b/p at 2000 and now 182/100. Took first dose of catapress around 1600. Suppose to take Bid", "output": "Hi I do care for your condition. The blood pressure will fluctuate according to a persons current behavior, whether calm agitated etc. But it will not vary to the extent that you have mentioned. I would advise taking at least 5 readings every 2 hours apart in a single day to confirm the correct blood pressure. And then taking medicines according to result will definitely help. Hope I have answered your question, if you have more feel free to ask. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "good morning dok... i have test hbsag negative after i diagnosed hepatitis b from june 2009, that day until dec 2009 undergo treatment for 6 months the result is good.. hbsag got negative i develop immunity to to antiviral, i use for treatment.. is it possible that hepatitis might be back ?", "output": "Hi thanks for contacting Chat Doctor .... Noted you had Bag positive.... After six months it was negative means you had free from disease... You have developed protective antibody that gives protection for long duration esp. Many years also sometimes.... But still now onwards try to avoid Bag infection....... You can do your anti HBS antibody title .... If it is more than 10 than it is protective. Happy to help further if you have further queried. Take care. Regards; Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my husband has a hart problem and he was a soker before and he has copd from that but ina catscan they see a spot my question to you is whether he should go to rdiation ad battle the side effect becouse thay can not do a byopsy do the hy risdk he is so they think it may be cancer or an infection becouse it has grown to 10 mm. in 2 years he is going to be 84 acording to the pulmary DR. he can refuse but i am thinking that if the side effect is not so bad maybe this will shrink the infection", "output": "Thanks for your question on Chat Doctor. I can understand your husbands situation and problem. One should not start radiotherapy only on the basis of CT scan report. You need to have diagnosis of malignancy before starting radiotherapy. Since he is smoker, possibility of malignancy is high for this nodule. But we need to have tissue diagnosis first. Biopsy is not the only tool to detect malignancy. Rather for detection of early malignant lung nodule, go for bronchoscopy and BAD (bronchoalveolar lavage) analysis to detect malignant cells. You can go for PET scan also. So first diagnose malignancy and then start radiotherapy. Ask him to quit smoking as soon as possible." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. Ive been in and out of the er 5 times since march for LLQ pain. I had a partial hysterectomy in 1997 due to cervical cancer. Hx of right kidney stones. PID as a teenager and am 44 now. My first pregnancy was a miscarriage but had 2 healthy live births following. I am in relatively good health until this issue. They have found that I have a bleeding cyst on/and a stone in left kidney, a ovarian cyst on rt ovary (now gone), hemangionomas in my spine, several small cysts on my liver that have slightly increased in size since march, and severe constipation (I don t eat enough fruits, I do eat vegies). All these things, Ive been told, don t cause the pain I feel. Went to the er again last night and they found that I now have prominent left gonadal veins and parametrial veins which can be seen with pelvic congestion syndrome and can cause pain and multiple pelvic phleboliths . The pain has increased the last few days with increasing dizziness and nausea. Was sent home and told to contact a GYN. My GP is out of town til the 10th (I need a referral) and am becoming increasingly nauseous and dizzy. Am starting to feel like Im crazy but the pain is very real. Do you have any suggestions or ideas that may help me? Please. Thank you for your consideration, Jackie", "output": "HIT hank for asking to ChatDoctorI understand your problem, you really have multiple health issues and you're really fighting well with all of them, for your nausea and dizzy feel, If I would be your doctor then I would surely put you on the Tab. \"Triflupromezine\" three times in day this is the very old tested agent gives very good result if the patient have nausea and dizzy feel along with some functional problems try it have nice day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, thank you for your time. For the last couple of days I ve had a sharp pain mostly on my right upper shoulder and back area. The pain comes and goes but is most evident at night. At times it goes away completely but will suddenly come back. It s the same kind of pain that you feel at the onset of the flu but it does not have the accompanying symptoms. It seems to move around from one part of my body to another.", "output": "Hi there. Pain over the upper shoulder and back region most commonly is myofascial in nature. That is there are these certain areas of the upper back that are known to act as trigger points. It feels like a dull aching, sometimes cramping pain. Low levels of vitamin D, Improper posture while sitting at work, sleeping on a hard pillow can cramp these muscles of the neck and upper back and can lead to this. So I suggest you get an appointment from a physiotherapist and ask for a trigger point release which is quite effective. Also get guidance for proper sitting posture and get your vitamin D levels checked. If the level is low you might need to take some supplementation for the same. Local analgesic ointments and sprays can alleviate your pain to some extent. Do look out for any numbness, tingling sensations or weakness in your hands for which you might need to see doctor and get yourself evaluated for a possible spine related problem. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello! I am 54 and generally in great shape and very fit. Last week I spent six hours scrubbing floors in a squat position at least half the time - my knees felt very sore afterwards. Since then my left knee pops without any pain when I walk and straighten it out. I have had this before but it has lasted one or two days; this time it has lingered 8 days. WHat concerns me is that I used to do squats at the gym for two decades until a few years ago and had very strong legs. My knees have been feeling weak even prior to this recent issue. Last month I was surprised that on a 2 mile hike down (2 mile distance and a 1 mile elevation drop) my knees felt very tired and in unusual pain. I have been know to be a long walker but jogging causes me knee pain. I don t know what these two events should tell me: do I need to go back and exercise my legs because of atrophy or is this a sign that I have permanent damage/arthritis and should use caution? Thank you.", "output": "Hello, Your symptoms are suggestive of early arthritis of knee, more towards the patellofemoral region. I would suggest you to take precautions in this regard- -Avoid excessive weight-bearing.-Take a mild analgesic like Advil or Tylenol.-Do exercises to strengthen vasts medial is oblique muscle.-Take some joint supplements like glucosamine sulfate, chon Chat Doctor. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello i have really bad pain on my upper left side in the middle of my belly it hurts when i try to push my belly out and hurt when i breathe it feel like a stabbing pain i do have gallstones but it affects the side and its a totally differnt pain as gallstones pain is unbareable please could you help me to no what this could be ?", "output": "Hi Dear Thanks for your question, your having Gall stone and pain in the middle of abdomen, which hurts while pressing, dear pain due to gall stone is dull constant ache, refereed to shoulder, unless , infection of gallbladder occur, the Gall bladder stone also cause dyspepsia and also a Chat Doctor. You might be either having dyspepsia or ch pancreatitis, Go for ultrasound abdomen to rule out chronic pancreatitis Hope I answered the answer" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter is home from rehab. She used meth and burnt her tongue very badly before rehab. She drank very hot coffee and burnt her tongue and noe there is a small area that looks just like the meth burn from before. Can this happen without using meth again? How can it e treated.", "output": "Hello, Meth users will lose their teeth, experience painful oral sores, and abscesses, and may even lose parts of their mouth like the tongue, tonsils, or parts of the lip. I suggest you to visit your doctor for her complete checkup and treatment if there is anything else like some bacterial infections or any ulcers due to other causes as well. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "dear sir,kindly note for fast one year i have left chest pain, chest tightness , headache,shoulder to finger neuro pain . Also i have consult more heart doctors,nuero doctors, sigalogist doctors,but i am still we have same problem. Also kindly note when the pain comes at the same time i feel to release the gas . i need ur help on this.", "output": "Thanks for asking your question if all the investigations regarding heart comes normal like ECG, 2 d echo, stress test, treadmill test and if you have already visited a cardiologist, and he rendered you with a healthy heart you should visit a general physician who can give you some medications for gastritis like proton pump inhibitors for e.g. pantoprazole consider getting a chest X-ray to rule out any organic lung disease thanks feel free to ask more questions may god bless you with good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, for the past 4 days i have had a LOT of pain in my stomach, i get a burning sensation in the lower part of my belly and cramps just below my ribs. i have been taking ibuprofen every 6 hours but it only eases the pain slightly, and today it has started becoming painful a few mins after i eat. My stomach is gurgleing constantly. I have been passing wind, and have has regular bowel movements please can you help me??", "output": "You could be having acid reflux and possible peptic ulcer disease. First stop eating oily, spicy food. Chat Doctor. Avoid smoking/alcohol. You should never be on an empty stomach for long periods. Start antacids before meals like omeprazole.Don't take ibuprofen before you take the antacids. Always after food. If the pain increases, you need an ultrasound and prescription antacids, so please see a doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi,i have been suffering from shortness of breath and numb hands,week feeling in arms and legs,knees feel shaky wen walking up any stairs,i had a car accident years ago and think nerves maybe getting pinched I also hav constant eye trouble,trouble focusing and always feel slightly dizzy,", "output": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you are mostly having viral bronchitis. Bronchitis is causing shortness of breath and viral infection is causing weakness, dizziness, shaky feeling etc. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. PUT (pulmonary function test). PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment is based on severity only. You will mostly improve with inhaled bronchodilator and inhaled corticosteroids (ICS). Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i was eagerly waiting for my periods coz av been using the depo injection for birth control ,,,i used it last on dec,,and my periods showed up yesterday,,but only yesterday,,and it was more of some black clots....and just lasted a day....im wondering wetha dat means im pregnant,,or do i have a bigger problem,,or is it normal?", "output": "Hi, Thank you for posting your question here, I will try to answer it to the best of my abilities. No normally women don't pass blots clots in their periods, it is caused by a number of problems such as fibroid, ectopic pregnancy, endometriosis etc. Each condition is different and has a different treatment, but the first that needs to be done is to confirm the diagnosis, for that you need to have an ultrasound done. From there we can start narrowing down the suspects until we have the diagnosis. So make an appointment and see an obs and gone doctor as soon as possible. I hope this answered your question." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been extremely tired, cant get enough sleep since October. My chest feels like someone is pressing on it with their shoe. I was diagnosed with low d and b. Am taking 40,000 units of D every two weeks and a shot of B every two weeks. I have no energy. I am 61 1 /2. Is it just all age creeping up on me?", "output": "Hello rearward welcome to Chat Doctor.come have evaluated your query thoroughly.* There are different possibilities for this condition as - low hemoglobin - low levels of vitamins, minerals, trace elements - cardiac origin as valvular problem or cardiomyopathy - stress or anxiety induced psychosomatic manifestation - uncontrolled BP, blood sugar, cholesterol levels - others Hope this will help you. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have pain all over my body, symptoms similar to fibromyalgia, but I think is something different because the pain always come with headache and a little bit of sore throat, sometimes my temperature rise up to 2 degrees. This happen often and in one occasion a test for mononucleosis come positive, almost 2 years later I start to feel the same and test for mono was positive again. Is it possible I get mono several times?, this is the third time I feel the same in about 4 years. In one of this occasion I was feeling very sick for about 10 months.", "output": "Hello, Welcome to Chat Doctor, Infectious mononucleosis is also called as \"kissing disease\" and glandular fever which is caused by the Epstein-Barr virus (ABV). Infectious mononucleosis is a contagious illness and the infection can be spread by saliva and the incubation period is four to eight weeks. This can be diagnosed by blood tests. People who have this disease continue to shed virus particles in their saliva throughout their lifetime. This can be best treated with antibiotics like penicillin or erythromycin and NSAIDs can be given for fever, headache and body ache. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter aged 36 has been diagonised with infection in the bladder. She has been having loose motions for the last couple of months. She cannot digest food properly and has motion soon after taking food. Other symptons are, very fast hear beat now and then, feels very cold, shivering, when the heart beat is fast feel numbness on the left side of the body. Doctors have also termed anxiety as one of the reasons. what should be the right course of treatment. what should be her diet.", "output": "Hi dear, thank you for your query. Sometimes due to long medical illness result in anxiety, and it is normal phenomena. But if anxiety affects your health in any way than you need to take treatment. At present, you need to take SOS antianxiety medication like clonazepam, Mizoram etc.once your medical condition improved than your anxiety also improved but if not improved you need to take proper treatment for anxiety. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. Ive irregular periods for awhile. I had one in Jan, Feb, skipped March and one in Apr. In May on the 17th - 20th I had light pink spotting only when I wiped. I wouldnt even call it spotting. I wore a pad and sometimes it would stain it but not often. I was sexually active before, didnt use a condom but we used the pull out method. On May 20th, the last day of this spotting we were intimate but he didnt pull out. We were intimate again on June 5th and yet again he did not pull out. What ate the chances of being pregnant before the spotting and what are the chances of getting pregnant now, after May 20th and June 5th. I have no idea when I ovulate because of this weird spotting. The first day of my last period was April 5th and lasted through April 10th.", "output": "Hi, Thanks for the query. I understand 0 your concern. Spotting you had could be due to- - It might be irregular period you usually have/pod having such irregular bleeding. - ovulation bleeding. There stands possibility of conception during the immediate unprotected sex on 20th of May (as you reported it) - Or it might be implantation bleeding caused unprotected sex you had in April before the spotting. * The answer to the problem will be given by pregnancy test of urine done at home...IIT can be +ve if you are pregnant... or USG pelvis after 5 works of pregnancy * USG pelvis would help in detecting cause of irregular period (pod/ovarian cyst). - Thyroid function test would find the causation due ti thyroid problem. -CBC&relevent tests would suggest other causes of irregular period (anemia, infection or Koch) Thus careful investigations under a gynecologists care followed by specific treatment would help you. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a tight pain in my lower left abdomen. GP thinks it s muscular but it seems more internal. It started about 9 months ago and has gotten worse. It s not a lot of pain but it s always there. It used to be relieved by laying down but that no longer makes a difference. Im worried and stumped. :(", "output": "Hi ! Good evening. I am Chat Doctor answering your query. If I were your doctor, I would advise you to avoid eating from outside if you do to avoid any intestinal infection creeping in from unhygienic-ally cooked food.Also, some component of the food you eat outside specially the fast food might cause some hyper-sensitivity reaction to your intestinal mucosa. In addition, I would advise you for a stool test for ova and cyst and treat them if positive. If nothing helps, I would refer you to a gastroenterologist for a possible endoscopic examination of your colon, and also a possible ultrasound of the whole abdomen. Further management would depend on the reports of investigations. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi , i have pcod in both overaies i am 29yrs of age and hav been suffering from regular but prolonged and heavy periods ,my doc has adviced me to take Obimet SR with a mulitvitae tab daily , pl let me know how this helps and whether it had any major side effects", "output": "Hi, Yes, it is safe to take while suffering from POD. Obi met SR (metformin) basically prescribed to treat type-2 diabetes mellitus is also found to be useful in women with polycystic ovarian disease. It helps in regularization of the menstrual cycles, reduces insulin resistance associated with POD thus improves the chances of pregnancy. It is quite safe to take this medication while you are trying to become pregnant and also found to be safe during pregnancy as well. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My WBC count was 4.7 in Feb April it was 3.4 My Dr. has me taking double does of supplements from now til December when she will have another blood test done. In the mean time she mentioned something about watching for Lukemia. It seems to me that she would want another test sooner. My iron, B12, and D are and have been low for the last year. She will not give me a referral to a hemotologist for a second opinion. What is your opinion? I am a 25 year old female", "output": "Hello and welcome to Chat Doctor, Leukemias are characterized by high WBC counts. However, there are some leukemia wherein the WBC count is low. Your history suggests that there is deficiency of vitamin B12, iron and vitamin D for which you are taking supplements. However, the history posted by you does not suggest malignancy. You can get another blood test to rule out leukemia since your doctor is suspicions regarding that. You can post me the reports of the tests for further assistance. Thanks and take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Husband age 44, this morning became dizzy after having coffee & being on computer for a few hours. Checked BP seemed ok 131/71 pulse 79 he is overweight and does smoke. Dizzyness then brought on throwing up clear mucus saliva. Seemed hot prior to throwing up now cold and sleeping.", "output": "Hi, Thanks for writing in. It is important to take your husband to the ER and then get investigated in detail for the possibility of a seizure like episode. The feeling dizziness and throwing up clear mucus saliva is more likely to be a seizure attack. This usually happens when there is an outburst of electrical activity in the brain. Seizure can happen due to many reasons and this needs to be investigated by doing an electroencephalogram and a brain scan such as Ct scan or MRI scan. It is to be conformed as to what led to the cause of the seizure like episode. There are cases where a structural abnormality can trigger a seizure while in some others a seizure can be caused by abnormal brain activity. In some patients the cause is unknown. Once he is seen at an epilepsy clinic then the will be prescribed medications to be taken for a duration of months to years after confirming his epilepsy. Please do not allow him to do activities like Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I ma having problems with losing my temper and feeling uptight stressed etc. 8 months ago I stopped taking poraxitine as i had used it for over five years and wanted to start feeling things again- great joy and even reasonable sadness ( cry when watching a sad movie). My daughter says im uptight and in a bad mood all the time and asked me the other day if I liked my life. This made mw sad and a little alarmed. I had a very traumatic childhood and had intense therapy for 7 years. I would like to feel more calm without being nearly numb. Is there something I can take that is calming but not as emotion altering/numbing? I have tried herbal remedies, exercising more and yoga with no results/success. please help.", "output": "First believe on yourself, try to strengthen will power.past is .it cant come back again.we've to made our future better by making present youthful.I'm sure you will definitely come out of this condition. If u suddenly stopped antidepressant don't do it gradually and at the same time do morning exercise which will secret hormones, endorphans that will help u to make your mind fresh. Empty mind is evils workshop. So get engaged all time. And think only positive. If u use properly vipassana meditation.(right now only Canadian).will definitely help u.u just made the habit to think only positive.i m sure it will take time but u will come out of it. Good luck" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "iam 42year old lady. 12years before i had renal stone and got it operated in the left kidney. now when i underwent the tests the report came like hydrouretronephrosis in the left kidney due to the formation of calculus.iam scared whether this will affect the function of the kidney. can i get the stone removed with out causing any problem to the kidney. do you have any medicine to remove the stone other than operation.", "output": "Hello welcome to Chat Doctor Thanks for your query. Yes HY Chat Doctor. . Normally kidneys produce the urine and flows from kidney, ureter, bladder and urethra. If any obstruction in the outflow like calculus flow stops and the created back pressure exerts its effect on the kidney. Due to this kidney enlarges in size and in due course of time kidney will go into failure. You didn't mention in the query about the size of calculusCalculus of less than 5 mm size,there is no medication required." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a nine year old boy that seems to get a nosebleed at bedtime at least two times a weeek. It lasts for at least ten minutes. I don t know if I should mention but he is a slow learner and he was a late walker and talker. Should I be concerned about these nosebleeds or are they just normal?", "output": "Hi, frequent nosebleeds in a 9-year-old child is most commonly due to nose picking, Chat Doctor. It is not related to delayed achievement of milestones in child. If your child is nose picking more frequently then you should counsel the child to stop nose picking. Apply lubricant cream like Vaseline inside the nose at bedtime. If nose bleed persist then an examination by ENT specialist doctor should be done. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am having a mucose discharge from my anus when I pass a bowl movement or if i try and am not able to have a bowl movement the muscose is still present. usually it looks like snot but sometimes it has a reddish tent to it. constant fatigue and usually constant nausea throughout the day", "output": "Hi there, and thank you for your question. I appreciate your concerns over this issue and that you made contact with us about it. Mucous in the stool, especially with a red color to it which I suspect is blood, should be worked up properly by your GP and you should be referred to a gastroenterologist or general surgeon. Your symptoms are caused by an inflammatory bowel condition which causes damage to the lining of the gastrointestinal tract. There are many such issues which is why It's important to be examined and assessed further to determine the cause. It is also concerning that you are fatigued as well which would tell me that you need immediate medical attention. I hope this helps and good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my doctor prescribe primolut nor 10mg And I m Brest feeding my 8 months baby I started it today at 9.30 am and by mistake igot it again at 7.00pm cause I confused it with my folicum medicine please doctors tell me if its ok to breast feed my 8 months baby tonight and shall I take it tomorrow or not please answer me", "output": "Hello, You can breastfeed the baby as this was only one episode and a short course of treatment, so this is not going to negatively affect the baby at the moment. Please make sure you avoid repeated episodes by making sure you take Primal only as the doctor prescribed it. I hope I have answered your query and have been helpful to you. I remain at your disposal in case further medical assistance is needed." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a small stone in the salivary gland under my tongue. Its been there since I had surgery 18 months ago and had a very dry mouth while having an antibiotic drip - for appendicitis and partial bowel recession. The hard lump is hardly noticible now but has become more like a soft sac of fluid the last few days. It fills up and looks like its got blood in it as its purple/black in colour. Its not there all the time but is up and down during the course of the day. My GP suggested I wait and see if theres changes when I saw him 18 months complaining about the lump and sore gland under my jaw. Ive had uterine cancer 15 yrs ago and have also had most of my thyroid removed due to a cyst and abnormal cells.", "output": "Hi. Welcome to Chat Doctor . The soft sac containing fluid is a MUSCLE which is formed either due to trauma to any minor salivary gland or its ducts or any traumatic injury to the duct of major salivary gland and as it is under tongue it can be due to either submandibular or Submental salivary glands which are major salivary glands. You can also have a Smallish or salivary gland stone, and it can cause swelling under jawline and floor of mouth, but a blue-black swelling is a MUSCLE most probably. You should consult a dentist and get evaluated.1. For Muscle mostly treatment is not required but if it doesn't resolve surgical removal has to be done.2. For salivary gland stone take more of citrus foods and candies that simulate saliva flow and small stones can be flushed off with saliva flow. Large stones need either manual removal by an expert or surgical removal has to be done. Hope this information helps. If you find the answer helpful please give me a Five-Star Review and click on found the answer helpful as a token of appreciation... Thanks and regards. Chat Doctor. ." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Dr. Samuel, My self Dasu residing in Delhi. One of my relative Ms. Suneeta Kumari, Female, Age 30 having less himoglobin issues, due to this she has stamoch pain also. Test done twice but himoglobin remains 8 only. Please suggest a Doctor in Lucknow, Uttar Pradesh, India for further treatement and also advice on the same.", "output": "Hi, dear. I have gone through your question. I can understand your concern. She has low hemoglobin. Now there are many causes of low hemoglobin. Iron deficiency, it b12 deficiency are the common causes. Other causes like chronic bleeding or hemolysis may be there. So first you should go for complete blood count and peripherals smear examination. It will give some idea regarding causes. Then if needed go for serum iron or b12 level. Diagnose the cause first and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I found out I have an auto immune disease called Beta Thalosimia and I have lost my vision as well I have constant anemia, tired, and many other symptoms. I was told that with new medicine that blood from the mother cord if I have a child will assist me to get a lot better. I am not sure if this may be true as my spouse and I are planning to get pregnant next year. Is this true?", "output": "Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Stem cells from umbilical cord could be helpful, if the baby is not suffering. HLA incompatibility will be low. 2. Beta-thalassemia is a hemolytic anemia and not an autoimmune disease. Regular blood transfusion along with plasma apheresis to remove iron could to be helpful.3. Yes, it is true. You can give a try in relation to stem cells. This is still under research. Do get fetal DNA analysis to confirm the baby is not suffering from Beta thalassemia - it's an inherited disorder. Hope it helps. Any further queries, happy to help again" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ive been having severe night sweats every night. Soaking me and the mattress. Had blood work and everything was fine except sugar. It was 59 at 10:30 am after 2 pop tarts and orange juice. This is the third time shes checked and its always really low. She just said to eat a high protein diet. Is this normal? Ive been having the nights sweats severely for about 2 months.", "output": "HelloWelcome to ChatDoctorSudden onset night sweats along with low sugar levels can be observed with some anxiety disorder or panic disorder. Sudden onset anxiety can present with low sugar levels, sweating, palpitations, weakness, impending sense of doom etc. symptoms. Hyper thyroid states can also present with symptoms of anxiety along with low sugar levels. I would advise you to increase her protein intake as you have been told already and to consult a good doctor for expert management. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My grandson was running high temperature and unwell last week, his paediatrician diagnosed flu. He was much better at weekend and almost his old self but last night he developed leg pain and again this morning. Doctor gave him urine test and only trace amounts of protein in the urine and he has been to the hospital for blood test. I ve never come across this before is this unusual", "output": "Hello, Fever of a few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15\u00a0mg/kg/dose (maximum ceiling dose of 500\u00a0mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was diagnosed with PCOS over 20 years ago. 1 year ago I am now type 2 diabetic. Last few months my ESR levels have been over 80. I have hot flashes on my face and a lot of join pain that wakes me up in the night sometimes. I have had 2 bouts of kidney stones over the last 20 years. I am in my early 40s. My right foot has swollen twice the size with no injury and I have been on anti-inflamatory medication now for a month and a red rash originally thought of as viral, but has lasted 4 weeks, so GP not sure now. Not hives.", "output": "Thanks for the questions I have found you have PCs, type 2 diabetes, with swollen foot also you had kidney stones. I would have also considered the possibility of gout simply because of kidney stones, you are diabetic then your kidney function might have been damaged for uric acid excretion.Also, PCs is generally found in slight overweight females. Also diet has big influence on uric acid. Get your serum uric acid checked am just considering another possibility, although I haven't examined anyway get well soon" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 27 year old son just called and said that he is having pain in his chest area. He has no other symptoms. He has had irregular heart palpations in the past. His doctor recommended a heart monitor. Should I be concerned and take him to the hospital or wait to call doctor in the morning.", "output": "Thanks for your question on Chat Doctor. Since your son is having heart issue in the past, in my opinion you should consult cardiologist and get done ECG and 2D Echo to rule out cardiac cause. He may have chest pain due to1. Arrhythmia2. Congenital Heart Disease (CHD)3. Anginal pain. So better to rule out all these by ECG and 2D Echo. If both are normal than no need to worry much. Chest pain may be due to muscular pain only." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir,im 29 years, my penis was itching,a white paste like thing was coming,its smells so worst its not sperm,red patches occur,fore skin of penis got cracked,i usually wash my penis with soap twice a day while taking bath,i used itch guard ointment but its not working,i masturbate every day,im virgin,no sex till now to get infections,plz kindly help me and suggest me a good ointment, thank u sir,", "output": "Hi welcome to Chat Doctor forum. It appears that you have blood sugar, means that you may be a diabetic. Or there may be a urinary tract infection. If you have a contact at least once, it may be the gonorrhea. I advise you to consult a physician for diagnosis and treatment. Take more of green leafy vegetables, pulses, sprouts, and protein rich foods to have a good resistance against such diseases. Wishing for a quick and complete recovery. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "best penless dpt vaccine and other vaccine for 30 days child kindly give the best company vaccine with price in indian rupees with vaccination chart.my son is is new born baby with age of 30 days , kindly do the needfull as soon as possible . my mail id is YYYY@YYYY", "output": "HiT hanks and welcome to Chat Doctor. If you give whole cell pertussis shot it will be painfulAcellular pertussis vaccine is painless. But IAP recommend whole cell pertussis vaccine even though painful as it offers better protection. Tripacel (Tap) vaccine by Events Pasteur contains 5 purified pertussis antigens combined with diphtheria (>30 I.U.) and tetanus (>40 i.u.) toxic. It is safer and painless and fewer side effects. Single dose vaccine cost is variable around 500 to 600 rupees. Hope this answer serves your purpose. Please feel free to ask further queries if any. Chat Doctor. V. Subrahmanyam." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 4.5 months ( 62 cms, 5.42 kgs) old daughter has been identified with Amebiasis in her stool examination. From what I understand Amebiasis is caused by intake of contaminated food or water. But my daughter is exclusively on breast feed. What could have caused this infection?Also, the doctor has advised metrolac 3ml thrice a day for 10 days. Does this have any side effects for my baby?", "output": "Welcome, It is very rare at this age, If your daughter tolerate oral it's ok otherwise iv route is best, One author report a case of neonatal meiosis presenting with vomiting, refusal to feeds, abdominal distension and mucoid stools. The diagnosis was made on the basis of clinical appearance of stools and the presence ofEntameba Histologic. The purpose of this report is to alert to the possibility of amoebas in newborns, if baby presents with NEC like picture in an endemic area and to send the stool sample immediately to examine for trophozoites, especially because the diarrheal stool starts automizing within 30 min of defecation. This 14-day-old newborn, who was possibly infected with orally given Jagger solution is presented. He was successfully treated with intravenous tinidazole. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have painful back , that seems to be locking or trapped nerve maybe , pain in middle of back . Struggling to wear a bra , it s worse when I do that . Have right pain in elbow (doctors tested for arthritis but not conclusive ) left arm upper I have an impingement which is also so painful . Help is it all related ?", "output": "Thank you very much for contacting Chat Doctor. You have problem of severe back pain that may be because of nerve compression or injury to nerve. Take one MRI that helpful for further diagnosis. Low calcium level and vitamin d deficiency may cause back pain. Check your calcium level also. Spinal nerve compression may cause back pain and elbow problem also. Consent physician for further diagnosis. Take MRI that helpful for diagnose. I hope my guidance is helpful to you. Take care. . Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir I am 68 years old man . I have no diabetes or HTN or any cardiac dieases. I dont smoke or drink alcohol .I have bilateral peripheral neuritis in all four limbs detected by the nerve conduction studies since few years, probably seconday to the intake of Tarcolimus tabs ( as immunosuppressive for Liver transpalnt in 2000) .But I have only very slight sensory disturbacnes . Recently I have been having weakness of the dorsiflexion of my left foot since 4 months with partial foot drops and difficulty in walking. No root pain or any form of sciatica. The MRI showed disc bulging with encroachement fo the nerual recess of the L45 root. Will be benifited if I go in for lumbar discactamy though I have no root pain. Please advise me PMK Nambiar", "output": "Dear Mr. NambiarThe weakness in dorsiflexion and foot Chat Doctor. Your MRI has indicated of disc bulge and encroachment to neural recess of L4-5 So this can be taken as tentative cause. Well Mr. Namibia I believe I will not recommend surgery as the first option in such cases. In Ayurveda there is a procedure which is called Kate Vast in which medicated oil slightly heated is kept over affected area for about half an hour to 45 minutes. These oils contain analgesic, anti-inflammatory and muscle tonic herbs. I have seen excellent response in such cases. More so it is non-invasive technique. In case the cause is with muscles then fomentation with herbs and oil massage is beneficial. I wish and hope that this will cure you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doc. The Doctor here told me that I have a fatty liver and advised mo to do diet and exercise. Can you help me in this matter? What are the do s and dont s and the proper choices of food. I made some research on the net but some are contradicting others (in terms of right food). Anyway, the utrasonogram result says Liver is normal in sizes and shows increased echotexture. No focal lessions seen. No evidence of any intrahepatic biliary dilatation. Portal vein measures 1mm and is normal. Common bile duct appears normal. Can you interpret it and give me an advise. Thank you so much.", "output": "HiT hanks for choosing Chat Doctor for your query. Age, gender, duration of the problem, alcohol or Chat Doctor. I have gone through your problem described in your case. Increased echo texture on ultrasound is reflected in the form of fatty liver (due to deposition of excessive fats). The first thing to be avoided is stopped consuming alcohol (if you are an alcoholic), foods to be avoided are oily vegan and non-vegan dishes, fast/junk foods, avoid using larger doses of Paracetamol. Your diet should consist of leafy green vegetables, fresh fruits, baked white meats like poultry, fish and eggs. You can also use olive oil, black seeds (Nigeria sativa) which have proven to be effective in preventing liver damage, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi...... i got dissolving stitches on my inner lip 2 days ago because they took out some growth. now there is suome white stuff on it......... what is it and should i be worried??????? and how can i also get the swelling to down????????? thanks. busted lip girl", "output": "Thanks for your query, I have gone through your query. The white stuff on the area where the stitches have been put is nothing but a soft tissue slough. Nothing to be panic, it is common after surgery. The other possible cause can be food debris over the stitches. Do saline gargling and keep the area clean. Rinse your mouth thoroughly soon after eating anything. Regarding the swelling, it will be there for another one day, because the damaged lymphatics will take 24-48hrs of time to recover so nothing to worry. You can take analgesic with anti-inflammatory Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have had groin pain that shoots down to my knee.. It happens more when I make sudden moves or at night. it also is discolored in that area. six months ago I had blood clots that are no longer there in my left groin. I have had ultrasounds done and they can t find anything. The pain is terrible, please help!", "output": "Hi, .as mentioned by you the pain radiates of on the groin to the knee you should perform two diagnostic tests to check it out. One is Ultrasound of the abdomen - to check any systemic pathology which is leading to the referred pain. Two is the MRI of the lumbar spine - to see if any nerve impingement is there. Based on that he next rehabilitation plan can be implemented. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my brother is suffering from obsession compulsive disorder. He is suffering of lack of confidence & insecurity. He checks his certificates again and again whether hey are properly placed or not. He checks daily his marks & his name & other data in certificates on regular basis. he feels insecure as if his certificates may be stole by some one and his future may be spoiled.he sometimes checks lock of door too.some times checks his ATM card whether data is correct or not...is there any dust that may corrupt his ATM card....sometimes checks again and again his purse....or mobile if all data is OK...as sms center no etc.....as if someone don t stole any no. from his mobile and disbehave with that person and may spoil his relation with that person. and this checking process may take two to three hours and no of repititions again and again he is basically a teacher on contract basis...and doing his job very well.", "output": "Hi, I do appreciate your concern for your brother. From what you have mentioned, your brother is having obsessions of doubts with checking compulsions. That's what is making his do things he is currently doing. You should seek a psychiatric consultation for him. Treatment with medications like fluoxetine would be effective for him. In addition, he can also consider option for cognitive behavior therapy in form of exposure and response prevention. This will consist of multiple sessions focusing on overcoming the obsessions and learning to control them. It is a highly effective treatment option for obsessive compulsive disorder. I do hope that I was able to answer your query. Wishing your brother speedy recovery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor, im 15weeks pregnant, and still vomiting like 1st 3mnths. Can you please tell me whether Digene or Pan d is safe or not during pregnancy? Should I take these to control acidity, heart burn, vomiting? And im taking another pill named Doxinate suggested by my doctor. Bt now he told me to stop taking Doxinate. Is there any problem if i continue with Doxinate, cz it hlps me to control vomiting. Plz reply... I need you precious advice. XXXX", "output": "Hi,1. Di gene and Pan-D are considered to be safe during pregnancy hence you may take these to control acidity and heartburn. Remember, Pan-D has to be taken on an empty stomach one hour before meals or snack.2. Dominate is also considered to be safe during pregnancy hence it is prescribed to treat vomiting, there is no problem in continuing with Dominate.3. I would recommend Dominate with Vitamin-B6 or Meclizine or Promethazine if the vomiting is not controlled with Dominate alone.Besides, other causes of severe vomiting should be detected and treated accordingly. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i think i missed 3 cerezette pills over xhristmas, the days on pack were not matching up so i took the 3 right away that morning i realised i may have missed then and then got back on track after that. the morning i thought i missed them my partner and i had sex... i took a preg test but so far negative how long to wait to take another one? my period is not regular on my pills at all... shall we use a condom even tho i am back on track with the pills?", "output": "Hello, Cerazette is a progesterone only pill. It is common to have an irregular period on this. The protection continues as long as one takes the forgotten pill within twelve hours of forgetting it. The chances of falling pregnant increase if there is a delay of more than twelve hours from when it was due to be taken. Up to two tablets can be taken together if one misses on one day. However, missing 3 tablets puts one at risk of becoming pregnant. It is recommended that one uses emergency birth control measures in such a situation. You could repeat the pregnancy test two weeks after the test that you have taken and tested negative. Or else do a blood test to check for pregnancy hormone level, if you are really worried. Emergency contraception is the other course of action if you realize you have had unprotected intercourse. It could give you 95-99% protection of pregnancy if taken with 72 hours of unprotected sex. Hope I have answered your query. Let me know if I can assist you further. Regard, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a Diabetic last 12 years and on Metformine sr 500 bd with Glipizide completing 75. HBa1c is raised ton8.00 sept 2014 report. Recently I have started taking 1 piece of ladies finger veg. okra.fasting and post lower down. Can I take live 52 Ds Himalaya herbal tablet along with above medicines as my digestion system is not proper having mucous and often gets loose motions followed by foul smell.suggest.", "output": "Dear friend, Liv 52 DS is herbal product having hepatoprotective properties against chemically-induced hepatotoxicity. It is good for liver health, increases appetite and improves health of digestive system. So you can take it simultaneously with your medicines for diabetes. There is no problem. You said that you're having complain of mucous and loose motion, in this you can use diary tablet which is also a product of Himalaya helpful in acute and chronic diarrhea, and as an adjuvant to the treatment of irritable bowel syn Chat Doctor. Hope this answer will be helpful to you. For more queries please don't hesitate to ask. Get well soon dear friend" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I got the contraceptive patches a few days ago, but I didnt wait til my next period begins to apply it on my skin as advised, instead I applied it on Feb 18th, then I had unprotected sexual intercourse with my bf yesterday Feb 19th, would the patch still work? What is the chance of me getting pregnant? Today is Feb 20th, and my period began on Feb 1st, usually my menstrual cycle is 29-30 days.", "output": "Hi there, I have understood your concern. I will suggest you the best possible treatment options. Please do not worry. Please wait for the expected date of cycle. If you happen to cross your dates, or if you don't get your periods 15 to 20 days after the unprotected sex act, then please get mornings first sample of urine tested for pregnancy. In case of doubt blood beta Chat Doctor test and USG will be of help. I hope this answer helps you. . Thanks. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi My daughter who is 30 years is digionesed with sarcadoisie. The doctor mentioned something abouth ear infections. She had grommits implanted three months ago I amnow wondering is there some reasion why she got this dease as it is not in the family history. Thanking you Mary", "output": "Welcome to Chat Doctor. Thank you for posting your question. I can understand your concern for your daughter. SARCOIDOSIS is multi-system disease involving the lungs (>95% cases), skin, lymph nodes, eye, spleen or heart. Ear infection is not associated with acidosis. The clinical symptoms are usually cough and breathlessness. Fatigue, fever, night sweats to start with. It is often due to lack of symptoms that ACIDOSIS is late to pick up. You are lucky that the diagnosis is made early. It can be diagnosed with a chest X-ray, PET scans and bronchoscopy. With proper treatment, it can be kept controlled. I would suggest you to consult a pulmonologist immediately and get your daughter examined. Do not worry. Post any other question. We will be happy to help. Have a nice day. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi..i am 25 years old weighing about 60 kg and 5ft 7 inches high.i am suffering from jaundice from last 15 days.my present bilirubin is 2.7 , just wanted to know could i start taking eggs and chicken which are cooked with very little oil and and less spicy.", "output": "Hello, the cause of this jaundice is more important than the symptom itself. It could be caused by various conditions - simple or more severe. Hepatitis is a common cause in young individuals, but there are also benign causes like the Gilbert's syn Chat Doctor. So it all depends on the cause. You've got to investigate it with your doctor. Other tests of the liver function are going to be needed for this purpose and perhaps also radiological assessment of the liver, gallbladder, pancreas and spleen. I hope I've helped!I'll be glad to comment on test reports if you can upload any! Kind Regards!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi my mum has been diagnosed with primary nsclc, and secondary tumour in her spine, and it has spread to her lymph glands. she has been taken to hospital and now has pneumonia, she is very weak, she is losing weight very quickly and has been on build up drinks for 4 weeks which are not helping. she has had a second dose of oral chemotherapy, no one seems to want to give us a prognosis, we want someone to just say how long we possibly may have left with mum", "output": "Hi, Thanks for writing in. Since your mother has been diagnosed as NSCLC with lymph nodes and secondary to the spine, this is stage 4 cancer. Unfortunately stage 4 NSCLC carries an extended survival of 2 years and eve n with most aggressive therapy, few patients outlive this period of survival.There are other problems like pneumonia, weakness, loss of appetite and the stress of chemotherapy which is affecting her general condition. Cancer chemotherapy must continue till the end with adequate care of pain relief measures. She should be given high protein liquid diets of her choice at regular intervals to help maintain her energy balance. During chemotherapy, there is a lot of destruction of the cancer cells and these circulate in the blood leading to further weakness. With expected response to chemotherapy and good support, her survival might be extended to 6 months to over a year. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I report to work at 7.30am. am usually alert and productive till 10.00 when i become sleepy, slowed down and cannot concentrate though am not tired physically, i only feel sleepy till around 1.00 when i take lunch, work for an hour then the sleepiness comes again. Please note that i go to bed at 11.00pm and sleep till 5.00. what could be the problem and how can i help it?", "output": "Hi there ~ What you describe to me is a typical circadian rhythm (day nighttime table) sleep problem. It is quite possible that you feel sleepy after meals as is normally the case. However, sleeping late like in your case and waking up early may result in fewer hours of total sleep time which may result in daytime sleepiness. It is also quite possible that you may be able to undo this by sleeping early and waking up at the same time. You would just need to put behind all those things you were doing closer to bedtime to an earlier time and start winding down early to go to bed. If this, and relaxation while trying to sleep are still not helping, you may need to consult a doctor. I hope this helped. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "im 54 im having breathing problems im always trying to catch my breath. I can be breathing normal but then i need to catch my breath. My doctor found a Benigne Nodule. Been having cat scans in the last year.... but cat scans keep coming back normal. I also found out that anxiety also causes it. what can i do to help my breathing.", "output": "Respected user, HiT hanks for using Chat Doctor.come have evaluated your query thoroughly.* Benign nodules' location, size is of importance to comment about the query. Kindly consult with the scanned copy of the report of CT scan.* Suggestions for better breathing - Deep breathing exercises - Regular walking in fresh air - YOGA - Avoid stress, anxiety - Have regular sound sleep of 8 hrs - Avoid noxious substances, house dust, pollen etc. Hope this clears your query. Welcome for further guidance anytime. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi sir,gud evng..this is my brothers medical reporthe is 10 yrs oldlast day he had severe pain in his abdomen nearly left kidney......today he consult a doctorhe askd to take ultrasonogram of abdomen testThe test report is as follows:Left kidney:Small 12*14mm simple corticalcyst is seen in interpolar region.Mild splitting of pelvicalyceal system with mucosal thickeninig is seen.Ureter not tracebale.is this cause a major problem??pls reply me sir...we r in need to take treatment immediately?????", "output": "Hi. Thanks for your query. Thanks for your reports and history. Simple cysts are common in kidney and do not cause any pain or symptoms until there is internal bleeding. Since your brother is just 10 years old, the cause of pain on the left side of the abdomen can be kidney infection as suggested by mild splitting of the pelvi-cayceal system. Get intravenous paleography done and CT scan if required to ascertain the cause and get an appropriate surgical / medical management as her the further reports. Get blood and urine tests done" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doctors!!! I a;m 26yrs old i have recent result of my sperm analysis: TIME RECEIVED: 8:00 AMTIME LIQUEFIED: 8:50AMABSTINENCE: 5 DAYSTOTAL VOLUME: 2.4mLCOLOR: PEARL WHITECONSISTENCY: SL. VISCOUSPUS CELLS: 4-6/HPFmLMOTILE UPON COLLECT: 50% -------NON MOTILE:50%AFTER 30mins: 30%-------------------------------------------:70%1hr.:10%------------------------------------------------------------:90%2hrs.: 5%-----------------------------------------------------------:95%MORPHOLOGY: NORMAL: 85%---------ABNORMAL: 15%", "output": "Hai, i will comment on your semen report. Liquefaction time -50 minutes (normal -within 30 minutes)- it indicates infection. TOTAL VOLUME: 2.4mL- (normally 2to 5ml)COLOR: PEARL WHITE-should be grant it is normal.CONSISTENCY: SL. VISCOUS-normalPUS CELLS: 4-6/HTML- pus cells normally not present in normal semen. Pus cells indicates infection.MOTILITY: more than 50 % of active forward progression sperm cells should be there after one hour.-normal, but in your report after one hour it is only 10%.MORPHOLOGY: NORMAL: 85%- more than 30 to 50 % is normal your report says motility abnormality in your sperm cells. Consult an infertility specialist to rule out the reason and further treatment. Thank you hope I answered your query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had an abscess in a upper tooth late last year and had a root canel and put on anitbodics. Yesterday I felt the bubble on the roof of my mouth and sent and seen the dentist today. Took xray and infection still there. Am being sent to an endontics dentist on April 12. Now this afternoon I have a nose bleed on that side of my nose where the infection is. Is this normal or not.", "output": "Hello, Well, nose bleeding may or may not be related to your tooth infection. As it can be commonly seen. If there is an infection in the upper front tooth. It can co-incidental however if there is repeated episode of bleeding then it needs clinical examination. For re-infection in your root canal treated tooth. You should consult an endodontist and a re-root canal treatment advised. Also, a course of antibiotics like Augmenting and painkillers like Ibuprofen will be advised. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my husband is diagnosed with bipolar, diabetes and in his past has used drugs. Recently he became jaundice and his ammonia and bilirubin levels are very high 18. His docs have taken him off most of his meds including depakote and Seroquel. His tests for Hep A B and C have come back negative but his ultrasound shows his liver is inflamed or enlarged. What could possibly be the diagnosis. Also his urine was very dark but recently has begun to lighten up. Any help would be appreciated.", "output": "Hello! Thanks for putting your query in Chat Doctor. I am a Gastroenterologist. Enlarged liver has many cause like Hepatitis B, C, Metabolic disorders, NAFLD, alcohol intake etc. Although Hepatitis B and C are negative as you have mentioned. It may be due to diabetes also. So I will suggest you to visit a Hepatologist for evaluation who will advise tests and then manage accordingly. Meanwhile, there are few medicines which I found very useful in my patients are ursodeoxycholic acid and vitamin E. Ask him to do regular exercise and reduce his weight if he is overweight, avoid alcohol if he Chat Doctor. I hope I have answered your query and this will help you. Wish you a good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I was diagnosed with bronchitis December 1, 2013 and am still dealing with the illness. Ive been on 3 rounds of antibiotics and inhalers and am still not better. How long will this last and is bronchitis truly what i have? I am coughing, exhausted, chills that come and go.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you should first consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Chest x-ray 3. PUT (Pulmonary Function Test). In my opinion you are not properly diagnosed, and we should rule out chronic lung infection like tuberculosis, fungal infection and chronic bronchitis in your case. So chest x-ray is needed to rule out lung infection. PFT is needed for the diagnosis of chronic bronchitis. It will also tell you about severity of the disease. You may require additional bronchodilators. So better to first diagnose yourself and then start appropriate treatment. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, 2 days ago I did a home pregnancy test as I was having symptoms. It came up with a faint but clear positive. I took another this morning to be sure and again it came up a faint positive but took a bit longer for results to be clear. Am I pregnant or could the test be wrong.", "output": "Hello dairy understand your concerning positive pregnancy could be due to1. Done very early in the pregnancy2. Done with diluted urine and Failure to follow instructions properly while doing test3. Chemical pregnancy/miscarriage4. Positive pregnancy test as some time pregnancy test will give false negative testPregnancy test will give positive result 8-10 days after the missed period. I would suggest going for blood Chat Doctor test after consulting the gynecologist for final confirmation of the pregnancy. Blood Chat Doctor is more accurate test and give positive result only 10 days after the unprotected sex.Meanwhile, avoid stress, take healthy diet, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Morning, I am not sure ...i slept verry difficult last n ight and this morning my arm feels lame .....but in the past i have been feeling discomfort inmy chest and breast but their is no pain at all.....about a month ago my both my calves swelled up and was tingly but that has gone now ....i stay tired and i do stress financially a bit.....coudl all of this be stress or medically ....i am so scared for blood clots they did do tests last year and it showed negative but i also have high blood pressure i am drinking tablets for that but today i have a headace ...i can feel that i am physically tired please can you asssist", "output": "Hi there ~I understand your concerns. Insomnia, lethargy, somatic complaints, Macedonia, depression, guilty feelings, stress, hopelessness are all symptoms of depression. There are affective medications for depression. I hope you start taking these medications with the expert consultation with a qualified psychiatrist. I hope this helps. The headaches are also related to your psychological condition. Take care and have a lovely day!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My blood pressure has increased to 151/104 pulse is 65. I ve taken Azor 5/20 and HCTZ (Hydrochlorothiazide) 12.5 for over a year and blood pressure stayed around 125/82. I developed swelling in my hand and middle finger and the urgent care doctor thought it was Gout and put me on Indomethacin 50mg and told me to stop taking the HCTZ. My lab came back negative for Gout, Uric Acid was 6.9 (normal range), but my blood pressure increased. Should I go to the emergency room?", "output": "Hello. Thank you for your question and welcome to Chat Doctor. I carefully read you query. Well, at this moment, I understand, you are on a triple therapy for fighting hypertension. First, the amlodipine, which is a constituent in razor, can cause swelling of limbs, most commonly the ankle area, but there are cases, although rare, that it causes also swelling of the wrist area and fingers. In my experience, I would also suspect a gout diagnosis. But, since the uric acid is within range, then this is excluded. Second, indomethacin is a non-steroidal anti-inflammatory Chat Doctor. At this time, my opinion is that this is just a side effect of indomethacin. However, blood pressure tends to get higher even if on medication, which controlled it in a pastime. I am certainly not saying that this is case. But, if even after two weeks off the indomethacin, you continue to get these blood pressure figures, then I would recommend you to discuss with your general practitioner or your cardiologist, to try to raise the now used medication dosage and/or add another antihypertensive to your therapy, such as a beta-blocker, which also be beneficiary for your heart, by acting on reduction of heart workload - prolonging the heart cycle - promote a better ventricular filling and a larger amount of blood to supply end-organs. I hope I was helpful with my answer. Wish you a good health. Best regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear sir,My mom is suffering from damage of saliva gland. There is two lumps behind her ear at present their is no pain but doctor inform us in future it would be painful and there is no treatement in allopathy.I want to know is it cancer. Is there any treatement in Ayurved please suggest so we give her best treatement. please sir.", "output": "Hello, It is important to make a confirmatory diagnosis of the lumps behind to hear which your mother has. It is likely that those are lymph node enlargement involving the retro auricular group of lymph nodes due to a condition of the parotid gland. If pain is there, and it is present from a few days, then acute infection is suspected. If no pain is there, then suspicion of chronic infection like tuberculosis or tumor that is slow-growing needs to be considered. Please get an ultrasound scan done and an FNAC needle test to confirm the diagnosis. Treatment is following confirmation of diagnosis. Please do not worry. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Can Klebsiella oxytoca by treated with Norfloxacine?My girlfriend age 71 is treated for Klebsiella Oxytoca with Norfloxacine, but after 10 days using it, she has now much pain in here uretra and bladder. Here doctor refuse to give here more Norfloxacine.", "output": "Hi. After having gone through the history given in your query, I am of the opinion that your beloved girlfriend seems to be suffering from Norfloxacin resistant urinary tract infection caused by Klebsiella species. The urinary tract infection caused by Klebsiella oxymora can be very serious since the bacteria have a greater possibility for resistance to antibiotics. The choice of a specific antimicrobial agent depends on the culture and sensitivity of the urine sample. Usually 3rd-generation cephalosporins (cefuroxime, ceftriaxone), carbapenems (Eminem/dilatation), aminoglycosides (gentamicin, niacin), & quinolones are found to be effective in Norfloxacin resistant infections. These agents may be used as monotherapy or combination therapy like a combination of Gentamicin & Ceftriaxone. If she is allergic to Ceftriaxone, Aztreonam or Quinolones are the alternative effective antibiotics. So, she needs an immediate culture and sensitivity test for her urine sample to select the most suitable antibiotics to eradicate the Klebsiella infection." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "MY daughter has found five lumps under her armpits right where you shave and they are hard and the size of marbles. She just had a checkup last week and they said she was ok. She has had ovarian cancer and uterus cancer and lymp nodes, they were all removed about five years ago. But, she has been fine since then. Is this anything we should be conerned about? She did talke to a doctor thatsaid it is probably a cyst. But, she kind of dismissed it. can we get a free answer or do we have to pay for this?", "output": "Hi, Dear,Good Morning. Thanks for the query to my Chat Doctor online-clinic. I studied your query in-depth.-In my opinion your armpit lumps are not cancerous and have no relation to the Cervical and Uterine Cancers of your daughter.-Cause of the Lumps-These armpit lumps-are the-Chronic fur uncles with Cystic Changes with infected fluid in it-due to the infection -post-shaving of the armpit and the use of sprays and improper armpit hygiene.-Treatment -a-Consult A ER Surgeon.b-Antibiotics for 5 days, c-With NSAIDs would regress these lumps. If need be -these chronic furuncle-abscesses need to be Chat Doctor. -Alerts/ Warning for couple consult your ER-Surgeon doctor and take treatment ASAP-is the Advice from me.-Hope this would resolve your worry-some query. Wellcome again to Chat Doctor. Have a good day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have a 48 year women that says she has a like a electric shock feeling in her heart she fells nauseated but has not pain in the arms or legs and no neck or back pain is it something that needs imediate medical attention or can she wait till morning when she has a doctors appointment", "output": "Hello! Thank you for asking on Chat Doctor! I understand your concern and would like to explain that her symptoms don't seem to be cardiac related. Is this pain modulated by body movements?These symptoms seem to be related to musculoskeletal pain, which typically worsens during respiratory movements or body movements. Another disorder that may cause this clinical scenario would be herpes infection pain, affecting the nerves of this region. This type of pain, is not modulated from respiratory movements, and appears before skin eruptions. Electric shock feeling is a typical characteristic of this disorder. Both the above-mentioned disorders are not medical emergencies. So she can wait till morning to consult with her doctor for a careful physical examination and some lab tests, to establish the diagnosis. Hope to have been of help! Best regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had uterine sarcoma and had an emergency hysterectomy 2 years ago My immunoglobulinM,QN,Serum is slightly high, (293) I know this is a blood cancer rare I am looking into D3, IP6, b complex and calcium, magnesium with zinc Is there something I should stay away from or add", "output": "Hi, Thanks for writing in. If you had uterine sarcoma which was treated by an emergency hysterectomy and are doing well then there is no serious concern. It is important to get a follow-up ultrasound scan or CT scan of abdomen and pelvis to know if there is any abnormality persisting. If there is no discomfort or pain in the pelvis then probably the wound has healed properly after surgery. Please continue to take a daily 1800 kcal diet containing vitamins and minerals. If required vitamin B complex and mineral supplement might be added. Taking normal diet is suggested and there are no restrictions if you do not have any other medical condition. You might require adequate amount of vitamin D3 and calcium to make your bones stronger. Fortified foods rich in nutrients is suggested. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 23 year old daughter has a herion addiction shes using intarvenously she hasnt used in 2 weeks she has been sick for 3 days ( not dope sick i know the difference) and her skin and whites of her eyes are yellow....what could be wrong she has hep c also", "output": "Assam album. Thank you for posting query at Chat Doctor. Yellow color of eyes (sclera) indicates due to high bilirubin levels termed as \"Jaundice\". Jaundice can be due to hemolytic anemia, hepatitis OR gall bladder pathology. Your daughter has a diagnosis of HEPA.you need NOT worry. HepC can be cured completely now. There are Chat Doctor. -your daughter also advice a special diet (fat free).- avoid alcohol and i/v " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Just found out that I have a precancerous contidition and the dr wants to do a d&c before my hysterectomy? I have been dealing with painful bleeding for pretty much 2 years non stop. Why can t I just go ahead with the hysterectomy and end my suffering?", "output": "Hi, Thanks for writing in. Cell multiplications take place continuously in us from birth until we die. This occurs in a programmed and regular way. At times the DNA in the cell gets changes due to many factors in a single cell, and it changes its features and subsequent multiplication of the abnormal cells causes a mass of abnormal tissue which is called a cancer. During transition for normal to abnormal, the cell goes through a transition period when it is neither completely normal nor fully abnormal. These cells retain features of both normal and abnormal cells. These are called precancerous cells. It is believed that you have these transition cells in your uterus and this might be causing your painful bleeding; the smear shows the presence of these cells. To be doubly sure about your condition, your doctor wants to do a D and C and then proceed with a hysterectomy. If hysterectomy is not done then the precancerous cells might transform into cancer cells and cause more discomfort and might become difficult to treat but confirmation I required before that. It is best to go by step wise method than go straight for hysterectomy. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doctor, Im 35 years now i started musturbating when was young and continued that since last year. I have noticed my penis is not getting hard during sex and the skin is moving towards the head of the penis. I have stopped masturbation and need your help", "output": "Degree understand your concerns went through your details. In your teenage, you can masturbate up to twice a day without any health problems. After the age of 20, you can masturbate once per day and the frequency reduces when you grow older and as you have other duties and physical stressors. So blaming masturbation for your mood disorder is not at all apt. Please understand, masturbation is harmless and healthy. You have anxiety disorder and obsessive disorder related problems which you attribute to your masturbation habit. Wrong. You are anxious because of your lack of correct knowledge about masturbation. I suggest you psychological counseling and if need be, psychiatric anxiety treatment. Consult a psychologist first. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my last period was startedon 18 april......during last 15 days i had sex wid my partner.for first 72 hours i took i pill then tried for protected sex by withdrawing penis.from 11 may onwards we have done sex with no protection as it was safe period.my period generaly starts before 2 to 3 days but it is not started yet.today i test on pregnency card...result is negative.wat should i do?", "output": "Hello, In above type of sexual activity, chance of being pregnant is quite high. With Chat Doctor. Here, you need to undergo one blood test for beta Chat Doctor after 7 days to confirm. Early pregnancy test may give negative result. TVS scan gives additional information. Following test report, you need to consult with gynecologist for next line management. Practice safe sex in the future. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doctor: i ve got my marriage on 2-sep-2011 and gave birth to a female baby by 24-sep-2012.but the baby died aft 3 days,so v r trying for the next baby.i m in the begining satge of pco so my periods als getting irregular and my doctor ask me to tk apcod powder.is tis powder enhance my pregenancy?is tis powder vil helpful for me to getting pregenant soon.", "output": "Hi, Thank you for choosing Chat Doctor. These are supplementary treatment, not medically proven. Only thing which is helpful is reduced your weight if you are overweight and take Chat Doctor. I hope this information has been both informative and helpful for you. In case of any doubt, I will be available for follow-ups. If you like my answer kindly rate my answer and write a review as well. Thank you, Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor i want some information to u that firstly i tell u that my age is 18 and i am always tooth the brush daily but some people said me that the smell is coming from mouth only in night and spread in the room so plz tell me that its this possible and when i meet with frds and relativies they donot say anything i mean the donot say about smell and i tell u i eat only rice,pizzas,chips, white peeta bread,tomatoes,chips and wings.howi save from this problem i am very worried", "output": "Hello, Thanks for consulting ChatDoctorRead your query, as you have bad smell from mouth in night don't worry I understand your concern this bad breath can be due to poor oral hygiene, deposits like plaque, calculus, material Alba causing bad smell, Chat Doctor. For this I will suggest you to consult dentist and go for oral prophylaxis, in meantime you do warm saline rinses in day and do chlorhexidine mouthwash twice daily or during night after meal. Hope this will help you. Wishing you good health. Regards " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have been running a low grade fever for over a week now. My temp usually runs about 97.3 and it has been around 99.0. I have been to the doctor and they couldn t find anything wrong. They checked my urine and found nothing and no bacterial growth. So I m not sure what is going on. I am a Type 1 diabetic and my blood sugars are mostly controlled with a few highs here and there. What could be going on?", "output": "Hello, Thank you for your contact to Chat Doctor. I understand your health concern, if I am your doctor I suggest you to get tested for typhoid and TB. I suspect the possibility of one from the two. Take the treatment and get healthy accordingly by your nearby doctors advice. I will be happy to answer all your future concern. Thank you, ChatDoctorInfectious disease specialist. Wish you the best health at Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi M / 37 have had tb (pleural effusion) - resolved suffer from allergic bronchitis - found a enlarged lymph node (under armpit) - esr cbc and blood work done - normal - xray chest P.A normal - on antibiotics to resolve a throat infection . please advise further course of action", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Bronchitis needs inhaled treatment. Inhaled treatment is best for bronchitis. So along with antibiotic, you need inhaled bronchodilator and inhaled corticosteroids (ICS). For allergy, oral combination of antihistamine (levocetrizine or fexofenadine) and anti-allergic (montelukast) Chat Doctor. So better to consult pulmonologist and discuss starting these " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I have been sick the last two weeks (going on three). It started rather suddenly. I went to the emergency room two times and the second time, blood work, urine sample, and an xray of my upper abdomen was done. The doctor said all tests were perfect and it was probably my gastritis acting up again. I m worried it may be colon cancer . I m a 28 year old female with no family history of the disease. I did have a colonoscopy and an endoscopy about 5 years ago. Am I just being paranoid? I m currently on sucralfate(for my stomach/ulcer, I just started this yesterday.) and fluoxetine (for my depression , began taking two weeks ago). My symptoms are constipation , although I did have diarrhea the other day; bloody mucus in stool; abdominal pain; rumbling noises like gas in my lower abdomen; and I ve lost weight (about 5lbs) because I haven t ate much lately. I m only starting to get my appetite back (thanks to the stomach meds). Before I got sick, I did have somewhat of a mental breakdown (why I m taking anti-depressants now). Are my symptoms related to my stress? Or should I be worried? Bowel problems run in the family, but not colon cancer. My mom has IBS. What are my chances it s colon cancer? Should I schedule another colonoscopy?", "output": "HELLO DO NOT HAVE ANY CANCER. Throw AWAY THE DOUBT AND START LIVING HAPPILY. SINCE YOUR MOTHER HAVE IBS, YOU SHOULD TAKE CARE OF YOUR EATING HABITS. U MAY HAVE A SIMPLE DYSENTERY AND NOTHING ELSE. BLOODY STOOL IS THE SYMPTOM OF DYSENTERY, PILES, FISSURES, CHRONIC ULCER, IBS....AND MANY MORE. THIS IS ONE OF THE MOST COMMON PROBLEM A DOCTOR RECEIVES SO PLS LEAVE THE TREATMENT ON YOUR DOCTOR. REPEATED COLONOSCOPY CAN CAUSE HARM. SO BE STRESS FREE. U HAVE IMPROVEMENT IN UR APPETITE THAT'S ALSO A GOOD SIGN. thank YOU." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 61 year old male I believe to be in excellent health. The only surgeries I have had is shoulder surgery. For the past several months I ve noticed a gradual limp with my left leg. It s fine in the morning. As I walk on it, it starts to become weak feeling. Left leg feels heavy, almost weighted down. When I lay on my back and raise my left leg straight out, it is weaker than my right leg. When walking rapidly, left leg seems to almost lose control and wants to turn outward. I have had minor chronic lower pain for many years, no surgeries so far (too many auto crashes). Rarely I have minor left knee and hip pain. I attribute this to regular age related pains. When standing to put on pants I can t raise my left leg as high as my right leg without minor discomfort. Help", "output": "Hi, I had gone through your question and understand your concerns. I think from your description of your problem, the probable diagnosis is lumbar herniated disc disease. I suggest you to consult a Neurologist and to discuss the possibility of imaging study of your lumbar column (MR scan). You need plain radiographs of lumbar column as well, since there been trauma, to evaluate any bone damage. The treatment depends on imaging studies results. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, am suffering from tinea on my upper arm, forearm and on groin area. the skin has darkened considerably..pl give me advice about natural treatment and how to get my normal skin color back..there is no oozing, itching or pain and hence went unnoticed for a long time..many thanks", "output": "**1. Since case is diagnosed which means you are under regular supervision and management.2. For widespread fungal infections one need to take oral antifungal treatments. [clotrimazole, fluconazole, terbinafine]3. Stay away from the sun during peak hours [11 AM to 4 PM] or ensure a good sunscreen applied on the area to limit damages.4. Potato acts as a very good bleaching agent, this would lighten the marks. Make a mixture of tomato juice and lemon juice, apply this mixture daily with a cotton ball. It lightens the skin tone and marks. Keep your body clean and Chat Doctor. Do not share clothing, sports equipment, towels, combs or other personal items [as it is highly contagious]. Use fresh sheets and wear light, loose-fitting clothing. If you suspect that your pet may have fungal infection, avoid touching them and bring them to see a veterinarian immediately. Garlic, apple cider vinegar, tea tree oil, colloidial silver, powdered licorice root are effective natural antifungal treatment but if the symptoms persist or worsen after more than two weeks of home remedy treatment, it is strongly advised that you see a doctor.PS. take a proper guidance and follow up with a good dermatologist, get your vitamin B12 level checked, as its deficiency can cause darkening of skin. . To get proper result, you are suggested to use any cream for 3 to 4 months. You may ask for prescription " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi im 17 year old female and my butt has been itching over the past few weeks im not sure exactly when it strted but it has been going on for quite some time. I do sweat alot down there even when im not exercising and somtimes that makes it start itching. It will do it at any givin time without warning so it can be very irritating but it doesnt do it that often.the skin has strted to have a white look as though it will strt to peel soon i am so lost on what to do please help", "output": "Hello, Welcome to Chat Doctor, The history and symptoms suggests me that you may be having fungal infection which should be confirmed by physical examination. As you have mentioned in your history that you sweat a lot and there is an itching in the butt area. This area is known for fungal infection as the fungus can sustain and multiply in the sweaty area and produce symptoms. For your symptoms I would suggest you to follow1. Keep the area Chat Doctor. Topical antifungal cream should apply over the affected area.3. Oral antihistamine to prevent itching.4. A single dose of Rifleman, 150 mg. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "crackling lungs I am a thirty yr old female who is 21 Weeks,pregnant. I am having done crackling in my lungs and i can here it When i breathe. I do not smoke, am not sick and have no sob. I was wondering if its something i should be worried about?", "output": "Thanks for asking your question I completely understand your problem in pregnancy there is increase in intro abdominal pressure and intro thoracic pressure due to growing fetus .some abdominal contents are pushed inside the thorax.no need to worry this is common with pregnancy if u experience it more and the symptoms increase then u can consult your gynaecologistthanks/ regards feel free to ask more questions may god bless you and your child with good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi.. I am 25 year old girl who is sufferring from sun light allergy. i ve itching on the top portion of my upper part of the hand. Tat too aft that area gets exposed to sunlight. Sun block creams are all a temporaray remedy. Is there any permanent cure for that? Thanks", "output": "Hello. Thank you for asking at Chat Doctor. I went through your history and first I would think of what is known as \"Solar urticaria\" (itching with rash due to sun exposure). I would like to suggest you as follows:1. Prevention is the best treatment for this type of allergy. Please try to avoid direct sunlight by suitable clothes.2. I would suggest you to apply sun block creams with SPF (Sunlight Protection Factor) 15 or more before anticipated exposure to sunlight.3. Personally I would suggest you to take foods rich in vitamin A (retinoids) like carrots, green leafy vegetables, mango, other \"yellow or orange\" colored fruits, etc. Retinoids can improve solar energy.4. In spite of above measures, if you develop itching and/or rash following sun exposure, I would suggest you to take an antihistamine like cetirizine or levocetirizine immediately, which will help. Hope above measures will be helpful to you. Sunlight allergy is usually a very benign condition. Sometimes it subsides by itself within a few months/years. It does not have any serious consequences. Please do not worry about it. Should you have any further query, please feel free to ask at Chat Doctor. Wish you the best of the health. Thank you and Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello I ve had a persistent cough for over two months now. I have been treated for whooping cough with antibiotics and for nervous cough and/or tracheitis with cortisone , both inhaled and tablets. I have a slight weezing noise when I inhale and a metallic taste in my mouth when I cough. I had an x ray on my chest and it came out fine. Nothing seems to work. Please help?", "output": "Hi, Thanks for posting your query. Presence of cough since 2 months with normal chest x-ray and wheeze may due to Asthma. Do you have some sort of allergy? Metallic taste may be due to antibiotics and phlegm production (common during asthmatic attacks). You should consult with internal medicine specialist and should get thorough check up. You should take complete antibiotic course along with bronco dilators and Multics. You should avoid cold Chat Doctor. Take care," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello iam 39 years old I have 3 kids very healthy beside that 10 years I was diagnose with deprassion I suffer from at for 3 years until they told me that it s biopoler , they gave me litium and celexa and after few week I got better, I took at for 3 years , and then I got preagnant with my baby , we stop the medication , I felt great now after so long everything came back iam feeling very bad , I went to my famliy doctor and he gave me the litium and the celexa again but it s not helping , iam very upset I went to the emergency room last week , I didn t sleep for weeks , they check my litium level and they say it s very low 0.5 my doctor say it s not make different and this not why I don t feel better do u think if the litium level low the deprassion can go away ? They had me now another medic ion the name is lamictal , I am very depressed and very worry , I don t know what should I do", "output": "HiT hanks for using Chat Doctor You are chronic case of depression. In that case you have to take medicine regularly. If you are not pregnant, in that case you can again start with lithium and any antidepressant. Blood level of lithium should be between 0.6 to 1.1meq/DL. Below that level, it would not show any effect. You should consult a psychiatrist to optimized your dose, so that you could get better response. In case you need our help, you can connect us. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a tiny bump on the edge of my labia minora that is not really painful but slightly uncomfortable. I had this before, squeezed it and a clear fluid came out. It then proceeded to spread along the edge of my labia and the bumps swelled up and were more painful. I do have HSV2 but none of my other outbreaks were anything like this so i dont know if its associated. If you think its HSV, it is safe to take acyclovir while pregnant?", "output": "Hello, Thank you for your contact to Chat Doctor. I understand your health concern, if I am your doctor I suggest you that your complaint is related to HSV type 2, there is no study which shows teratogenicity of acyclovir, but it is category B Chat Doctor. I will be happy to answer all your future concern. Thank you, ChatDoctorInfectious disease specialist. Wish you the best health at Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I developed a lump in my throat under my right jaw. It has been 3 days.I had a pain from time to time in the same area and my doctor said to eat something sour and the pain would go away. Now there is a lump in the same area. What could this be?", "output": "Thanks for your query, I have gone through your query. The lump near the jaw is because of the tooth infection(abscess secondary to decay. Nothing to be panic, consult an oral physician and get it evaluated, you have to take a radiograph like OPG to confirm the diagnosis. If I am your treating doctor, I would have prescribed a combination of amoxicillin and metronidazole combination for 5\u00a0days. You can do saline gargling. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, have hep c ,i have had the early interferon /riboveron,treatment for a year and was non responsive, i was trailed in the pegulated interferon treatment again non responsive,i have a history of depression and was subjected to ritilin treatment at the age of 6-10,during the interferon treatments i was suicidal and found it very hard,i have since been on several anti depressants..namely citalipram, venlafaxine ,both of which i weaned my self of to persue alternative treatments ,is my continued depression which seemed worse after interferon treatment made worse by these treatments, and the anxiety i feel because of liver problems likely to continue ,thanks Elliott", "output": "HIT hank for asking to ChatDoctorHepatitis C the, the virus (more precisely said the particle and not the exact virus itself) of this infection remains inside the body for longer period of time some time the whole life, but that does not show any sign or symptoms, body immune system taking good care of these particles, Interferon some time does not give satisfactory result more over in case of Hepatitis c the role of Interferon is controversial, in short you need not worry every thing will be key, Have nice day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My Father has fungal infection in left leg , we have consulted many doctors in bhubaneswar . due to infection the skin turns black and thick . He is being treated for more than 5 yrs . Can u suggest some surgery so that the skin will be normal .", "output": "HiT hank you for asking ChatDoctorI have gone through your query. A culture of skin scrapping should be done to rule out the causative agent/fungus. In case of suspicion of lichen plans a punched biopsy also should be done. A consultation with a dermatologist will be helpful to diagnose the condition properly and to treat it. If it is fungal infection then topical antifungal agents along with oral tablets of antifungals like terminating or fluconazole will be needed for long term to eradicate the infection. In case of lichen plans, moderately potent topical steroids will be helpful also. Hope this may help you. Let me know if anything is not clear. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Having heart palpitations (feels like extra or skipped beat) for last two weeks straight everyday more than a few times a day. Never happened before. In the past only getting an occasional palpitation once in a blue moon. After first week of palpitations started getting chest pain or discomfort also in upper back ( like how it feels after your muscles hurt from exercise) and dwelling anxious from it all. EKG yesterday said it was normal except for slower heart rate (59 compared to last years EKG 60). Had a physical 3 months ago and everything seemed pretty normal. Doc suggested a chest X-ray eventually and Xanax. She thinks its anxiety or stress and I would have agreed with her normally only with the heart palpitations I don t feel like its that since I ve had a lot of past anxiety over the years but I ve never had these consistent palpitations and its pretty scary. I feel like the anxiety im experiencing now is just due to being scared about the palpitations and the fear and paranoia of something more serious? I m 36 5 1 103 lbs. normally healthy no history of heart disease in family.", "output": "Hello and thanks for writing. I can understand your concern and would try to help you in the best possible way. Your problems do not seem to be of cardiac origin as your EKG and other tests are normal. Your doctor may be right that it is due to anxiety or panic attacks. One more possibility could be an overactive thyroid which can be ruled out by a thyroid profile testing. I suggest you can speak to your GP regarding that plan the test accordingly. I would also advise you that you are in a good health right now. Try to divert your mind away from illness. Start some exercise program like walking, gumming and also share quality time with your family. It would definitely help you stay fit and divert your mind of all unnecessary thoughts." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, on Friday I started pain in my upper right back.At night I started having pain in middle of my chest. I woke up and had to drink water and was able to sleep. some time later I woke up again and couldn t sleep in any way without taking water.I still have both things going on.It still hurts in the back when I try to take deep breath.What am I having?", "output": "Hello dear, thanks for your question on Chat Doctor. Since your back pain and chest pain is relieved by Chat Doctor. But better to rule out pneumonia first as chest pain deep breathing is seen in pneumonia. So get done chest x-ray. If chest x-ray is normal then no need to worry much for pneumonia. You are having acute gastritis. So avoid stress and anxiety. Avoid hot and spicy food. Avoid large meals, instead take frequent small meals. Start Proton pump inhibitors. Go for walk after meals. Keep 2 - 3 pillows under head in bed to prevent reflux. Don't worry, you will be alright." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 41. Had a colposcopy done 10 days ago with good results but for about five days now I have been having chronic muscle aches in my thighs and mild cramps (almost how my PMS used to be in my younger years)... overall nagging aches...why? Is this normal? I had a colposcopy done about 6 yrs ago with no problems. Now I m worried.", "output": "Dear friend, I understand your concern, no need to worry, see muscles cramps and pain may be due to many reasons, but most common will be fatigue and nutrition deficiency as you said there was history of colonoscopy so due intestinal erosion the temporary reduction in absorption of nutrients will occur, especially when there will be deficiency or lack in calcium and magnesium and vitamin D, then cramps may occur, so you just increase your intake of calcium and other vitamin by taking green vegetables fruits every day. Do every day Panama and yoga practice, so your muscles will be flexible and healthy, so no cramps will occur. I hope you are satisfied with this answer. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir,i had fever for 2-3 days.after 3 days of illness i got my platelets checked and it comes to be 163.now my fever got diminished today.i also got problem in stomach such as pain and hardness.i also feel that i am sweating.do i have dengue??please reply", "output": "Hello.I would like to know whether you have any bone pain, severe muscle pain, easy bruising, pain in the back of eyes, or any other issue you have forgotten to mention.the platelet count you mentioned is not very low.platelets go down to less than fifty thousands in dengue.if the fever doesn't subside even after three days, along with other symptoms, if you are in an endemic area for dengue I advise you to get dengue IGM and NS1 antigen testing to confirm diagnosis.approach your doctor for further help.hope my answer helps you if you have any more queries I would be happy to answer." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, i have had some dull chest pain on my left side. I become aware of the pain when a carry one of my children, i have a 3 year old an 7month old twins. I feel the dull pain on the left side of my chest/breast area. It feels to be under the breast area. No lumps . Could this be something serious? such as breast cancer . I have had an ultrasound performed on my left breast and, thankfully nothing was found however the dull pain remains. Would a mammogram rule out any possibility of cancer?", "output": "Hello dearmastalgia (breast pain) without lump is unlikely related to cancer. Hence need not worry. Mastalgia are of two type 1)CYCLICAL: starts one or two days prior to menstruation and relieves on onset of menstruation 2)NON-CYCLICAL: is not related to menstrual cycle. Cyclical needs only counselling, evening primrose 3gm/day in divided doses, avoid coffee and chocolate intake. Noncyclical needs only painkiller. Hence classify your pain into cyclical and noncyclical. And take decision. Hope this is helpful to you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My uncle who is 42 was diagnosed with prostate cancer a year ago this month. I was just informed their are more complications than I was aware of. I was told that the cancer could have possibly spread to other body parts. ( my uncle waited 9 months to remove the cancer) although, i m aware prostate cancer is a very slow growing cancer, it wasn t the smartest decision to wait 9 months to remove the cancer. My father, had mentioned that he wasn t going to discuss my uncles health until the results were distributed back to him. So my questions are, where is the most likely body part for prostate cancer to spread to? How will it effect his health? And if the cancer did spread to the body part you assume, should it be something to be conscious about?", "output": "Hi, answer to your 1st question-prostate cancer mainly spreads to axial bones and lymph nodes.2.the prostatic metastasis to bone is osteoblastic one, which will represent as pain or deformity of bones in later stages. Anaemia can also be a feature.3.if the above symptoms are present then definitely you should be conscious about it!visit the orthopaedicians or surgeon for the treatment as son as possible who will treat according to the stage of the disease. Just to alleviate the anxiety you may prefer to check bony alkaline phosphate level in the serum whose elevation is hallmark of osteoblastic lesions. Hope that helps!TC! :)" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I ve been having trouble with my legs swelling up, trouble breathing and some chest pain. I had a paracaditis surgery in 2011 because they said the sack dried up around my heart. The family dr. sent me to a heart dr. and I went to see him. He wanted a echocardiogram done so I had that yesterday. Before we got home the heart dr. called the house so I called him this morning. He said the pressure is high in my heart and wants me to get a heart cathiterisation done. He wanted me there today for it but I didn t have anyone to drive me home. What is the cause of high pressure in the heart and what could happen if I just let it go?", "output": "Thanks for your question on Chat Doctor. In my opinion you are having congestive cardiac failure (CCF). Uncontrolled hypertension can cause CCF. And the most common cause for CCF is coronary artery disease. So when patient is diagnosed with CCF on 2D Echo, we need to rule out coronary artery disease first. And to rule out coronary artery disease, cardiac catheterization and angiography is must. And if blocks are detected than coronary intervention should be done. So don't let it be as it is. Consult cardiologist and get done angiography and start treatment accordingly." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "yes please ... my girlfriend just recently went on the pill after child birth ... child now 16 months old. She has been dealing with alot of stress and not sleeping very well now she called me from work to tell me she is feeling dizzy and light headed and has been for about 4 hours. what can she do ?", "output": "His had gone through your query. Need to relax. Analgesic like paracetamol help to reduce headache. It is stress, and it can be reduced by making certain lifestyle modifications. Some natural ways to treat anxiety and daily stress exercise, meditationRelaxation like deep breathing and hyperventilationProper sleep and healthy diet.Stress-free activity pleasurable activityMusic and hobbiesPositive outlook and confidence All this will help you to counter daily stressMedicines like mild dose of benzodiazepine and mild dose of SSRI. Benzodiazapine will help in sleep and reduce stress due to its anxiolytic effect. In SSRI mild dose of Escitalopram and paroxetine like Chat Doctor. Best wishes. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "How quickly do we have to administer Anti rabbies vaccine after a dog bite? Is there any time period for which we can delay. For instance if the nearest vaccine is around 300 km away can we wait for 12 to 24 hours for the person to get the vaccination?", "output": "HAI, the earlier, the better, depending on the wound site, extent.your supposed to take antirabies vaccine with tetanus injection as early as possible not more than a gap of 24 to 48 hrs. Emergency of the injection depends on the, immunization/vaccination status of the dog, pet or stray dog, dog observation after the bite, site like face are a bit dangerous due to good blood supply and fast spread of the virus. Prevention is better than cure" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "ok - my mom, 58, recently had was is classified as a mini stroke. She has surgery about 12 weeks ago, and the stroke happened within the last 6-8 weeks. They are trying to pinpoint. However, now she has horrible stomach pains after eating. Some say that a stroke can bring on pains in other parts of the body. She gets the pain immediately after eating. She doesn t drink nor is a smoker. She was on a lot of medication and recently we ve been trying to get her off of the medicine. One medication we significantly lowered was Topamax (brand name). I m wondering if since the stroke, she has developed what some say could be stomach seizures and the Topamax was keeping the pain at bay. Thoughts?", "output": "Your mom might be already on antiplatelet (esprit) after ministroke. In such condition, stomach pain after eating can be due to:1. Gastritis2. Peptic Ulcers another possibility can be1. Mesenteric artery ischemia it is Abdominal seizure, it should happen without any relation with food. I suggest for her to undergo USG abdomen and upper GI endoscopy 1st. And proceed as per the findings. Consult Gastroenterologist" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I constantly bite my lower lip when eating. Its very painful and I would like to knnow why this is happening. One thing I would like to mention that it strted happening after I had three back teeth pulled and two upper front teeth cracked. Could my teeth shifted thus causing this to happen?", "output": "Hello thanks for consulting at Chat Doctor. You can blow air with mouth closed.so that your lip and cheek gets away from the sharp teeth surfaces.if empty extracted space is there, teeth tends to move into those spaces resulting shift in occlusion.please have a consult with an oral physician for a check-up and treatment. For empty spaces you can get teeth restored removable or fixed crowns, or you could also go for implants. You need teeth for chewing food also, thereby it will improve your general health also,Hope it helps,take care," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Last night, I got a mysterious pain in my hands, both in the lower palm area. Also, I ve lately noticed strange feelings in my back beneath the skin, and itching at the surface.The last part seems irrelevant to me, but they might be connected. I dunno.", "output": "Hello, Thank you for contacting me at \"Ask a Doctor\". I will try to answer your question to the best of my ability. Your symptoms are very nonspecific, and it is very difficult to give you a true clinical impression of your problems. From the sounds of it this is probably something very minor and will resolve spontaneously. If your symptoms worsen, or you develop any new symptoms I would suggest that you see your primary care physician as soon as possible. I hope this information is useful for you. Please do not hesitate to message us back if you have any further questions. Best wishes, A Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a small thumb sized lump on the front of my lower left leg. Half way between my knee and foot. It is jut to the left of my bone, and I can only feel it when I crouch down and put pressure on the leg. It doesn t hurt, but I have been having shin splint lately. Are they related? Could it be a tumor?", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have some hematoma formation healed with fibrosis or some soft tissue tumor like lipoma or neurofibroma. You should go for ultrasound study. If needed go for biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my name is Stephanie. I had a cataract removed August 26, 2014 and a Tecnis multifocal IOL put in. The surgery was successful but I am experiencing huge halos at night around any lights. I have not driven at night since the surgery. I am 60 years old and it is vital to me to be able to drive at night. The surgeon that did the operation is hesitant to remove the lenses since I am a diabetic. I also have hypertension. I am very near sighted so I do understand there is risks involved with the surgery. If I do this surgery what lens would you suggest for me that doesn t have any risks of halos. Also what are your thoughts on even considering removing the lens.", "output": "Howell come to ChatDoctorI really appreciate your concern, intolerance to bright light could be pretty common after cataract surgery otherwise it may not cause any other symptoms, as a matter of fact ophthalmologist takes the best decision for the patient which lens is better, removing lens may not be the option neither it is advisable unless have some clinical reasons for that hope this information helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir i m myself a medical student. I showed may dermat but al r giving various xplanation.i m havin recurrent infection and palpable not at al painful mass such as deposition of collagen like a scar tissue near mandible.it is sm mass.please help me it affects cosmetic status of mine", "output": "Hello, I understand your concern. I am Chat Doctor, infectious diseases specialist, answering your query. In some patient collagen deposition is extra abnormally. I suspect same in you. The only problem to your problem is applied steroid cream over the wound area. Whenever you have even slight injury you should start applying the steroid cream under your doctors' guidance. The extra collagen you have can only be treated is surgical excision. I advise you to visit nearby surgeon which will guide you regarding excision procedure. I will be happy to answer your further concern, you can ask me on bit.ly/ Chat Doctor. Thank you. ChatDoctorInfectious diseases specialist." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i had a extopic preganice last year and i only have 1 tube but it is damaged,wot are the chances of having a baby.", "output": "Hello Natalie;welcome to Chat Doctor If you lost one tube due to ectopic pregnancy still you can get pregnant with the remaining one tube the only thing should be that the remaining tube should be patent. So please consult a Gynecologist and get investigated especially get a HSG done to see that the tube is patent and if the tube is patent;your periods are regular ;you get proper ovulation then the chances of getting pregnant will be good. All the best. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi there, I have extremely thick blood due to excess fibrin, I have had an ISAC panel done at Esoterix to confirm, now we have very low testosterone even though I am taking 20 mg of sublingual DHEA and testosterone with Chrysin, my first two ISAC panel blood tests clotted with an anti coagulant in them, Dr. David Berg Pathologist had never seen this before, they put me on a product called Bolouke for the fibrin, then I had further testing at Igenex looking for Lymes and and other Pathogens and nothing showed up. Also my AST is elevated. I know this condition is not Hereditary, ruled out at Isoterix. I think that maybe the extremely low Testosterone is causing the blood problem, could you please advise, thanks Don.", "output": "Dear Don, There is no much literature on increased fibrinogen with low testosterone level, which leads to increased risk of thrombosis. I have not seen any such case so far. Blouse is not recommended in any of the guidelines so far. There is a study stating that when supra normal doses of testosterone was given to normal subjects, there was reduction in fibrinogen levels by about 20% over 52 weeks. Hope testosterone therapy will do the trick for you.Also, please note that fibrinogen is an acute phase reactant and its levels can be elevated in conditions such as Tissue damage/trauma, Infection, Cancer, Acute coronary syn Chat Doctor. Hope I have answered your question. If you have any further questions I will be happy to help. With regards," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "just had a stent placed in the left side of my heart in a vessal that was 98% blocked but my right coranary artery that was 100% blocked was not touched because the risk was higher, don t understand why both blockages were not cleared, can you explain?", "output": "Hello. I understand your concerns. I can only assume the scenarios when a totally occluded (blocked) artery is not opened. In my experience, there are several reasons we do not open a 100% blocked artery. In cases of a remote myocardial infarction, which was caused by a totally blocked artery, there is no benefit of opening an artery which, after opening, would supply a damaged territory of the heart. In other cases, the left circumflex artery is the dominant artery (8% of people worldwide) and the right coronary artery is a small, non-important, artery. The risk would be higher if the artery is opened in these cases, then the benefit would be. Another reason is, if the other artery (the one that was 98% blocked) was scented in a state of an acute myocardial infarction caused by this artery, then the other artery is scented in a second time. These are the major reasons why an interventional cardiologist has doubts of opening a closed artery. I hope I was helpful." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My girlfriend who is 25 was experiencing chest pains about a month ago. When she went to the doctor they did a CT scan which found a mass in her chest. They sent her to a surgeon who did a medianoscopy. Her lymph nodes were swollen but the biopsy came back negative for cancer, TB, and sarcoidosis. The only thing they were able to find was inactive fungal spores. We feel like we are back at square one here and looking for advice on what to do next. Her only symptoms so far have been chest pain. Any suggestions would be great.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Fungal spores on biopsy from mediastinal lymph node is seen with histoplasmosis. Histoplasmosis is fungal infection of mediastinal lymph node. It is chronic infection. So treatment is also prolonged. In my opinion, she should start amphoteric B and itraconazole for 3 months. Oral corticosteroid (prednisone) is also beneficial. Hope I have solved your query. I will be happy to help you further. Wishing good health to your girlfriend. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my x became increasing abuasive to me it started verbal then ended up with him going to jill but, the effects 4 and half years have on me is painful. he would call me all the nastiest names when he could not get his way, felt and acted as if I owed him the world and I was my own reason for him abusing me. would go from I love you to F2=9 you B*%*% if the slightest thing ANGERED HIM. I felt like nothing I did made him happy, if he didn t get the exact name brand or style for a gift , he act like its okay then flip out accusing me of not knowing of loving him or else I would buy the right things like he does (which isn t always the truth.. I just never say anything) what could I have done to make it work? he kept yelling after court while I was crying because I never wanted to see him in that position that I put him in jail when he indeed ran out the house and started punching me in the head before I could get out the car and in my house", "output": "Degree understand your concerns went through your details. From the given symptoms, it seems that your ex is troubled with some behavioral disorder or personality disorder. Proper assessment and diagnosis is required for treatment and cure. Please consult a psychiatrist. If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am female, aged 50 years. I exercise regulary and weigh 120 pounds.Today I have experienced significant pain in the left hand side of my chest that worsens with deep breaths or forward bending . Once I felt the urge to sneeze, and the pain become very intense. It has lasted now for 6 hours. I take daily hypertension medication (lisinopril-HCTZ 10/12.5 mg tabs), but otherwise am in very good health.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Your pain is associated with movements of chest wall, so musculoskeletal pain is more likely. But better to first rule out heart related pain because you are having hypertension and post menopausal age. So get done ECG and 2d echo. If both these are normal then no need to worry about heart diseases. Musculoskeletal pain is more likely in your case. So apply warm water pad on affected areas. Avoid heavyweight lifting and strenuous exercise. Take painkiller and muscle relaxant Chat Doctor. Don't worry, you will be alright, but first rule out heart related causes. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was diagnosed in 1984 with Hep C via biopsy . My SGOT/ SGPT have most always been slightly elevated. Just recently a cyst was discovered on the back of my tongue just over the clif with another suspicious nodule next to it. The cysts will be removed and nodule biopsied April 19th. The ENT doing the surgery ordered presurgery test, including a CT of my entire throat area. It came back multiple bilateral nodules on my thyroid gland . I also had presurgery blood tests done. The SGOT/SPOT levels are high, SGOT -253/SGPT-245. Could the thyroid situation cause the elevation in the LFTs?", "output": "Hi ADN welcome to Chat Doctor. Thyroid disorder shouldn't be related to your LFT except in some autoimmune disorders or after using specific Chat Doctor. . It is much more possible that Hepatitis cause causes it. Hepatitis usually has phases in which your symptoms and liver enzymes from time to time show aggravations and improvement. Focus on your planned surgical procedures and after that you can manage your liver problem(u should do ultrasounds and viral markers in blood) and maybe start with interferon therapy. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im 21 years old and have had chicken pox. I feel like I have them again, I first thought that I was allergic to something but the bumps arent going away. They are on my stomach, legs and feet now and have been spreading/Ive been getting more over the past 2 days. I also have a fever... I do not have insurance and was wondering if there was anything I could do at home to get healthy as fast as possible.", "output": "HiT hanks for your query at Chat Doctor. I understand your concern and situation. It seems like you have acquired viral infection. But usually the infection are self limiting and resolve within a week. You must visit the physician and get mammogram and serological and molecular tests to rule out certain common viral infection. Take plenty of rest, Chat Doctor. Eat protein rich balanced diet with multivitamins and calcium supplements. Hope I answered your query" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i was bitten by a dog around a year back. i took all the 5 doses of verorab. 20 days back a pet dog non vaccinated scratched me on my hand & blood came out. i again took2 doses of rabipur (0 & 3). but after 15 days the dog died. idont know the reasons of its death. Do i need to take more doses of the vaccination.", "output": "Hello, Welcome to Chat Doctor, As you was bitten by a fully vaccinated dog one year back for which you have taken all the shots of antirabies vaccine and once again you were scratched by a stray dog on your hand which led to bleeding from the site. According to WHO you were categorized into Re-Exposures and you should receive only two doses of vaccine on days 0 and 3. Even it is a Cat III bite there is no need of passive immunization. You will be having protective antibody titles and the vaccine on day 0 and 3 will boost up the immune system by anapestic response and protects you from getting rabies even if the dog dies of rabies. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor, A spot is detected in the lungs area of my mother her age is 55 years We have gone through various phase of tests, that are 1) X-Ray 2) CT -Scan Impression:CECT chest reveals hetrogenously enhancing mass lesion involving right lowe lobe with subcentimeter mediastinal lymphadenopathy possible mitotic in nature. 3)Bronchoscopy:Test is negative Now the doctor is suggesting for the CT guided biopsy Also We have gone through the MRI of head and the report is like this: Oblong ring enhancing lesion in the right fronto-parietal region associated with perilesional edema. the etiology is likely to be neoplastic and represent metastatis. But still the doctors are not able to conclude, what the exact problem is, they are now suggesting for biopsy can u suggest what the exact problem is ? weather we should go for biopsy or not? Is there is some better test which better then biopsy? Eagerly awaiting for your response Thanks Amit", "output": "Hi. Metastasis/primary lung tumor and infective lesions such as granulomas(tubercular). Hence, a histopathological diagnosis is essential to determine the plan of treatment, since the treatment will not be the same for both these conditions. So the biopsy is necessary. Other test that include the blood counts, contour tests are indirect evidences which can be useful, but not anywhere close to the biopsy. Discuss with your doctor for more details..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doc, my name is synn, im a female and currently 28 years old. Im suffering from a back pain since february and i have been consulting a general doctor, he said is a common backache wihout any disc slip symptons, hence i consult another doctor again and he said it is because of the tight ligament and claimed that the ache will go away some time. However i dont see any results of recovering. I have been doing exercise, yoga and even went for massage. Please help me. Thank you", "output": "Hello, Thanks for writing to us. You are suffering from what we call the industrial backache. The first step is to ensure that you maintain an appropriate posture while working on the computer. Take frequent stretch breaks and Chat Doctor. Discontinue using pillow while sleeping straight. Do not lift heavy objects, especially after bending down. Eat a healthy wholesome meal which should satisfy your minerals and proteins requirement. The most essential and long-lasting remedy is exercises. There are certain back strengthening and neck isometric exercises that you must learn from a physiotherapist and perform them at home or work whenever possible. Hope this helps you. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "do certain parts of the brain affect different functions like for instance walking and balancing is on part of brain? and talking another? therefore if youre diagnosed with multiple lesions is it directly related to the area of the brain the lesions are located?", "output": "Hello! Thank you for asking on Chat Doctor! Yes, it is true that different parts of the body are responsible for different functions. Neurology is based on finding the possible lesion in the brain, based on the neurological deficits encountered during the neurological exam. This is also called topical diagnosis, because we relate the type of dysfunction with the possible region in the brain, responsible for this. If many brain lesions are present (like in repeated stroke or multiple sclerosis), the patient has many deficits which can be motor, sensory, balance, cranial nerves, etc. Hope you will find this answer helpful! Kind regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I had an endoscope 5 weeks ago and becme very unwell after it with a high temp and cough then two weeks ago I was diagnosed with Bronchopnuemonia in my right lungI was given two antibiotics which I finished last week and steroids which finished yesterday. The cough finally stopped last week but I have a really bad pain in the top on my ribs on the left side and I got a cramp in my right ribs last night ... is this normal after all the coughing or should I be worried? Thank you", "output": "Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. There are two possibilities in your case. 1. Pain can be due to spread of pneumonia in left side.2. Coughing can itself cause musculoskeletal pain. So better to get done repeat chest x-ray. If chest x-ray is normal or resolving for bronchopneumonia then you are mostly having musculoskeletal pain due to coughing. But if x-ray is suggestive of worsening of pneumonia or new lesions then you may need antibiotic again. So consult pulmonologist and get done chest x-ray to rule out worsening of pneumonia." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "DEAR SIR, I M RISHABH DUTT FROM DIST. YAMUNANAGAR , HARYANA .. SIR .. MY SISTER HAS A DIFFERENT PROBLEM . SHE IS IN 19 YEARS. BUT 1 OF JANUARY SHE FELT A LITTLE PAIN IN HER LEFT LEG , & WE RUB A GEL. AFTER SOME DAY SHE SAID MY LEFT LEG IS NOT WORKING PROPERLY . WE TOOK HER TO A FAMOUS HOSPITAL OF OUR AREA (VERMA HOSPITAL, LADWA.KUK.) BUT DR.VARMA WAS NOT ABLE TO GIVE TREATMENT & SAID TOOK HER INTO LNJP HOSPITAL KUK.WE GOT TREATMENT TO A LADY DR. FROM LNJP. SHE SUGGESTED US FOR M.R.I OF SPINAL . WE FOLLOWED ALL THE TREATMENT AS DR. SAID. BUT PATIENT WAS NOT RECOVER . EVEN PATIENT LOSS HER BOTH LEGS NOW SHE WAS UNABLE TO WALK TOTALLY . SHE COULDN T MOVE OR SHAKE HER LEGS. ANOTHER THING THERE WAS NO PAIN . AFTER THAT WE MET TO A ANOTHER DR. IN SAME HOSPITAL (DR. O P SAINI). HE TREATED HER VERY GOOD . BUT HE SAID THAT U HAVE TO DO SOME IMPOTENT CHECKUP FROM CHANDIGARH BECAUSE WE DON T HAVE MUCH BETTER FACILITY . NOW WE WENT PGI CHANDIGARH 12 SEC... WE ALSO GOT TREATMENT FROM THEM . THEY DONE THEIR ALL TEST CHECKUPS BUT. THE ALL ARE USELESS . THE PGI DR. SAID PATIENT S BRAIN HAS PROBLEM . MAY BE PATIENT WILL GET RECOVER SOON OR NEVER ESCAPE FROM THAT ILLNESS .. NOW SHE IS IN HOUSE & WE CARE HER AS WELL AS WE CAN.", "output": "Hi, Thank you for posting your query. It is unfortunate that your sister has suffered serious neurological illness and is currently disabled. Moreover, a proper diagnosis ha not yet been made. In a young girl like her, the possibilities include multiple sclerosis and vasculitis. If you can upload her MRI brain and MRI spine reports, we would be able to help you more with diagnosis and treatment plans. Best wishes, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello, I have been to a few doctors about an anal rash that itches ans burns. I have been cleared of STDs. They tooks a skin craft to test if it was an std but didn t test past that.I ve been given antibiotics and told to use jock itch cream. Doing so didn t help. I also was told to use hydrocortizon cream by a difrent doctor. It helps slightly but not for very long.", "output": "Hi, thank you for putting up your query on Chat Doctor. As per your history, you have a fungal infection called Tina corporis.my treatment advise would be:1. Maintain hygiene, wear loose clothes.2. Take bath daily.3. Wash genitals and anal area thoroughly.4. Take a course of cap itraconazole 100 mg twice a day for 7 days. This cycle has to be repeated for at least 3-4 months.5. Take tab albendazole 400 mg once.6. Apply fluconazole 2% cream twice a day.that you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "yes please. I have been suffering from bad breath for years. However, it occured to me that I used to be interested in analingus and now my breath smells like poop. what bacterica could have caused this andwhat if any antibiotics could I ask my Gp to prescribe?", "output": "Helloi have read your query. Bad breath or halitosis is often caused by a buildup of bacteria in your mouth that causes inflammation and gives off noxious odors or gases that smell like sulfur.it can result from poor dental health habits and may be a sign of other health problems. Smoking or chewing tobacco-based products can also cause bad breath.it can be a sign of gum (periodontal) disease. Gum disease is caused by the buildup of plaque on teeth. The bacteria cause toxins to form in the mouth. Yeast infections of the mouth can also cause bad breath. Medical condition like Chat Doctor. I suggest you to visit a dentist and get it checked out. Hope this ans helpsRegards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a lump in the inside of my right upper arm. Swelling and tenderness have been present for over two years. I ve been ultrasound for clots and etc, nothing. What do you think it could be? I also have a small cyst in my left breast. any connections", "output": "Hi, dairy have gone through your question. I can understand your concern. You have cyst in breast. It can be some benign cyst or fibrotic disease. You should go for fine needle aspiration cytology or biopsy of breast cyst. If ultrasound suggest nothing in your arm then no need to worry. It can be some muscle mass. There is no relation in between your breast cyst and arm swelling. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Sir, My cousin was diagnosed with brain TB some 2 months back.She was admitted in Alleppey Medical hospital and her condition worsened over the period of time. TB tests were conducted with no positive result. Thereafter, she was moved to Chitra Medical Hospital, Trivandrum and her samples were sent to NIMHANS for further study. Meanwhile, this period my cousin was losing her vision. A brain surgery was carried out and it was found that the vein supporting the eye sight was blocked and it was infected. The doctors are saying that she will lose her eyesight in a few months or so because of the infection. We really dont know if it s TB.Is there anything which we could do to retain her eyesight?", "output": "Hi, Thanks for writing in. The eyes are vital organs, and it is important to treat any condition threatening eyesight immediately. TB is a condition that can present with unique symptoms and involvement of the vein supplying the eyes is rare. Since a brain surgery was carried out, it is possible that the doctors took measures to safeguard her eyesight, but little could be done as there was a lot of infection. When there is significant infection, certain decisions have to be taken by the operating surgeon to protect the life of the patient and avoid further complications. To confirm TB or not you can send slides to research hospitals elsewhere in the country but the hospitals she has shown are well known for brain disease treatments. Particularly for her eyesight, it will help if you can request the eye surgeon to have a panel discussion with her neurologist." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi..i m 26 yr old.n i have hypothyrodism..in may month periods also not came n had unprotected sex on last may(30)..still periods didnt come..15 days early..used a kit..it gave negative result.but today kit gives a positive result..i m confused with my periods activity..i dont want a child now...so plzzz suggest..what can i do???", "output": "Hallow Dear, Your first test reported negative, probably because you had performed it too early. Now that your pregnancy test is positive, you are pregnant. If you do not want to continue with this pregnancy, you may terminate it with medicines. You can use Tab. Mifepristone followed within 24-48 hours by Tab. Bisoprolol for terminating pregnancy up to 9 weeks duration. Usually the abortion process starts within 24 hours but not later than 72 hours of the last dose of Bisoprolol. These medicines have to be taken by Began Prescription. These medicines cause developmental abnormalities in the baby. Hence, if these medicines fail to terminate the pregnancy, it should be terminated by surgical procedure like MVA or so. Please report to your Gynecologist before it is too late. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI, when i was 6 i was diganosed woth diabetis. My whole life i have been short tempered, i cant finish what i start, no matter how hard i want to or try to. I cant pay attention in class for long, even when I have full intentions of doing so. But in spite of all this, I am on the A or B honnor roll every quarter, I am the best reader in my whole school, and I am in advanced math and lit. Is it possible i have ADHD? or somepthing else along those lines? my email is YYYY@YYYY , thank you!-S", "output": "Dear-thanks for using Chat Doctor. You might have ADHD due to what you described at school. Patients with ADHD have average or above average intelligence, they do very good at school but fight with concentrations problems, making them have low grades sometimes due to this. Diabetes does not have any relationship with this condition. You should have a basic neurological test for ADHD and will benefit from treatment. Medication will help you to focus better in your daily activities, school,work and social life. You should talk to your doctor about this and will get the referral for a neurologist. I hope my advice has been useful and feel free to contact me for any medical questions that you might have\u2019d" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi my sister has bowel,lung liver and stomach cancer is 50 years old has gone on driver last thursday and was taken in st johns hospice on monday she apeared her usual witty self but day after being in there she has been drifting in and out of sleep her life expectancy was 6 months but that was up in january", "output": "Hi, dairy have gone through your question. I can understand your concern. She has bowel, lung liver and stomach cancer. Treatment is very difficult with multiple cancers. She may have multiple metastatic cancers. So its late stage disease and no treatment will cure the disease. Only symptomatic treatment and palliative treatment is given. Chemotherapy and radiotherapy is given to control the disease. Despite all treatments prognosis remain poor. Life expectancy is very low. It is very difficult to say exactly about life expectancy. Consult your doctor and plan accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi , yes im a 28 year old female and have been smoking for 11 years i quit yesterday due to a slight wheezing when laid down which ive never had before also i have like a dull aching that rotates around my rib cage , could this be to do with my lungs? thankyou", "output": "Hi. I can understand your concern. Yes possibility that it is due to your lungs.Don't worry, you will be alright. It would be advisable for you to get a chest x-ray done. If it is normal then get a PFT done which will tell us how much your lungs are functioning and what is the effect of smoking on them. Consult a pulmonologist for the same. STOP SMOKING before it causes more harm to you. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My mother-in-law is in the hospital with hemoglobin level 5, high iron, low vitamin B-12. They ruled out leukemia and lymphoma but they are concerned about her blood tests and said she could have \"any number of bone marrow disorders\" and want to do a bone marrow biopsy. What are the possible disorders?", "output": "Hello, I couldn't establish any diagnosis with the information you've provided but I'll share some thoughts with you about her condition. Very low hemoglobin values in an otherwise fairly stable patient can be caused by low vitamin B12 values. Vitamin B12 is necessary for blood production. Without B12 the red blood cells become bigger (high mean corpuscular volumes - MCV) and the hematocrit falls. The white blood cells can be affected as well (low numbers and hyper-segmentation). Many patients (usually old) present with a very low hematocrit (and hemoglobin) moaning only about tiredness. If this condition is prolonged then neurological symptoms may ensue. This condition is easily managed with supplemental B12. Neurological symptoms may not be always reversible. Other potential causes exist of course, but I could not say for sure, with the limited data you've provided.I've just presented you a rather common situation (megaloblastic anemia). I hope I've helped! If you need further information, I'll be glad to help. Kind Regards!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a long history of treated hypertension but recently my blood pressures have been high in the morning (150/100) but better as the day goes on (122/80). I take Lisinopril 20 mg and Atenolol 25 mg in the morning. Should I worry about this? Does it make any sense to divide the dose and take some medicine at night?", "output": "Hello, You spaced out medicine, like take lisinopril in D morning and atenolol in the evening. Try to avoid to stress. You should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly. Regular exercises like brisk walking, jogging according your capacity at least 30 min a day and 5 days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity. Get your lipid profile and sugars tested once. If doesn't help then needs to increase dose of atenolol." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 24 year old male using vicadin for my severe tooth pain until I get a root canal tomorrow. I have been using it along with an antibiotic for about a week. My problem is every time I have sex I get a major headache before orgasm. Could this be due to the medication since I rarely use anything for any aliments at all?", "output": "Thanks for asking in Chat Doctor forum In Short: Your medication may not be the causeExplanation: Since you have toothache, that may be causing you headache. Or else if you are having headache only during orgasm, then its normal as many of the males get headache during or after ejaculation. It is of vascular origin and no need to worry. Take Paracetamol tablet if it persists after that and Chat Doctor. Hope this will help you. Please let me know." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, last weekend i got two pimples on my upper arm that were very itchy, so i started to pick them and intill they bled and got bigger. My mom noticed it so she gave me her some type of fugal cream to use and it only made the pimples worse because more grew on my arm. then today i found two on my stomach, one under my arm pit so i used eucrin calming creme, nothing has worked , what is this?", "output": "HI, thanks for using Chat Doctor It is possible that the lesions may be either fungal infection or impetigo which is a bacterial infection that can spread. Some persons may have a combination. Impetigo needs to be treated with oral antibiotics and fungal infections require treatment with topical agents for 2 to 3 weeks. Because they can be spread, contact with other persons may need to be limited. It would be best to see a doctor for assessment and treatment. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My nine year old daughter has had a cough since October. She has been on steroids, antibiotics, albuterol, delura, mucinex. Nothing is working and she is coughing up thick mucous. If you listen with a stethoscope she has wheezing in her lower right lung on inspiration but a chest xray shows normal. We are very concerned. What should we do?", "output": "Since you have already gone through a lot of oral medications, please consider switching over to inhaled medicines. These will be very likely to work. Inhaled steroids will also be needed as we need to prevent her from getting these attacks. Please visit asthma.uk site for more details on how to control pediatric asthma. If you are averse to researching on your own, you can always request for such information from her pediatrician." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am suffering from major tailbone inflammation and tenderness. It has become increasingly more painful the last few days. I recently flew overseas and was on a plane back for about 8 and half hours maybe it is just irritated? I have been taking Motrin every so often and icing on and off for 20 minutes. It does not feel like it is improving that much. At some moments it feels great and then an hour later the pain is back. I am a student and have many obligations coming up in the near future. Not sure what to do from here. Any suggestions?", "output": "Hello! Thank you for asking on Chat Doctor! Regarding your concern, I would explain that it is necessary exclude possible nerve damage or an infection in this region (including abscess). That is why, I would recommend performing a careful physical exam of the region and a CT scan, to exclude the above-mentioned possibilities. Inflammation tests (complete blood count, PCR, ESR) are also needed. If an infection is excluded steroids would be another treatment option. I would also recommend performing a lot of physical activity, in order to reinforce the muscles of this region. Hope to have been helpful! Kind regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had a rash all over my body,itching,swelling of legs and feet and hands,steriods make symtons go away but as soon as I,m finished with meds the rash and swelling come back ,the bottom of my feet are really scaly now I have been to skin specialist they can,t find reason for this nothing shows up on skin test", "output": "Hello, Thanks for the query, you might have developed acute urticaria. It is an allergic condition. Anything including food, cloth, change in climate, pollen etc. can cause urticaria. You need to find out the cause. Treatment can be with oral anti histamines. Steroids like prednisolone are also helpful but cannot be used for long. Please meet a dermatologist for exact diagnosis. Let me know if you have any other doubt. You can ask a direct question to me on this forum, following the below link.https://urldefense.com/v3/__http://www.ChatDoctor .com/doctors/ Chat Doctor. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, My husband has glioblastoma brain cancer and is on alot of meds; seizure, blood pressure, chemo, blood thinner, steroid. He was YYYY@YYYY phospha 250 neutral tab because his potassium level is very low. Is this safe to take with all the other meds?", "output": "Hi, dairy have gone through your question. I can understand your concern. Glioblastoma multiform is stage 4 brain tumor. Treatment depends on size, location and spread. In general radiotherapy is the treatment if surgery is not possible. Yes medicine for blood pressure, seizures, and blood thinner are necessary. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor , ive been battling anxiety and depression since i was 18 that started because of a very bad reaction and experience with marijuana. I took medicine when i was 19 and went to therapy when it was at its height and It helped and really calmed down and i didnt have very many scary and confused thoughts but now im 22 and here recently for the past couple of months and very much so with the past few weeks, it has come back strong and im really frightened by how im feeling and how out of it I seem at times. I am now taking paxil and have been for two days and am meeting with a therapist on monday. Im wondering if you have any suggestions or advice?", "output": "Hi and welcome to Chat Doctor. Thanks for your question... Many substances of abuse, like alcohol, marijuana cocaine, etc. are associated with different psychiatric problems. You have not mentioned if you are still continuing to take marijuana or if you have started again recently after quitting. If so, then it is likely that your current psychiatric problems are related to it. If, on the other hand, you have developed the current depressive symptoms while you have been clean since the last episode, then you may be having a recurrent depressive disorder. It is also important to understand if your personal and social circumstances are causing you stress, since stress can be a precipitating or perpetuating factor for depression. It is a good thing that you are aware of your problems and are seeking appropriate help for the same. I hope that you have been started on Pail only on advise of a doctor. It is now important that you continue medication regularly and have periodic reviews to monitor your progress. Also, as anti-depressant medication usually take a few weeks to bring about their full effect, you have to be patient and continue them regularly without stopping them pre-maturely. Since you seem to be having recurrent symptoms, your doctor may advise continuing medication for a longer duration this time. Psychological therapy can definitely improve the outcome in depressive disorders and often, a combination of medication and therapy yields best results. So, do go for regular therapy sessions as advised and stay completely off marijuana or any other substance of abuse. All the best.- " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, last week My dentist did some work on my teeth . I ve got 2 fillings and new crown .But since that time I am waking up every night in pain . the pain shoots straight up to my ear. I don t know what to do now. And right now Iam on my 2 week vacation overseas and certainly don want to visit dentist in foreign country.", "output": "Hi, Thanks for asking the query, Pain in the filled tooth can be because of two reasons, There could be dental caries left beneath the restored tooth, when it reaches the pulp tissue causes inflammation of pulp known as pulpits. Or there could be presence of high points if you feel pain at the time of chewing or other tooth movements. I would suggest you to visit a dentist and get an x-ray done, accordingly replace the filling with the Root canal treatment. Take tab Coquitlam 500\u00a0mg twice for pain relief. Hope this helps out. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, Someone was on top of me and had all their body weight from their palm on my chest right below my left clavicle and now there is a golf ball size lump. I have super sharp pain in my back and it hurts to breathe deep and coughing is almost unbearable. Its been about a week and a half and I need to see if this is dangerous to not see a doctor. It feels like a muscle strain in my back though. even though it was caused in the front from being pressed on way to hard. Any advice?", "output": "Respected user, thanks for using Chat Doctor.come have evaluated your query thoroughly.* Seems hematoma formation most likely with referred neuritic pain over back side.* Should immediately seek medical attention without delay as the symptoms' severity is much more according to the narration, take tab. Tylenol (500)mg stat dose for instant relief. Hope this clears your query. Welcome for further assistance. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have recently taken a Z-Pack for bronchitis. At the time I also had a runny noise, cough, and been spitting up mucus. It s been 3 weeks and my nose is still runny and my throat, on the right hand side, became very sore and the glands are swollen as well. It s been 4 days with this sore throat and my right ear is now a little sore. I took Tussin DM cough syrup 3 hours ago to help with the pain of the sore throat. Is it ok to take Alka-Seltzer Plus cold and cough medicine now even though it s only been 3 hours. Or should I wait for another hour which will be 4 hours before taking the Alka-Seltzer Plus? I was going to lay down for the night and my sore throat is coming back that s why I was wondering if it be OK to take another kinda cold and cough medicine within the 3 hours so I can get some rest.", "output": "Thanks for your question can completely understand your problem. First you can easily have that Alka-Seltzer tablet. Next is you are suffering from severe upper respiratory tract infection taking steam inhalation with sincerest vocal capsules added in water can help u a lot take tablet lifetime 200 BD for 5 days and tab montage FX once daily along with it and position nasal spray along with it that has to be sprayed in each nostril three times per day" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Just had a injection in my sacroilic 2 days ago and the pain on my right side seems continuous when it was only when I bend or have other motions, before. Am I just impatient. Three weeks ago I had an injection in the spine followed a week later by another, both for sciatica. which I was sure was not the problem as I have had sciatica before and the symptoms were not the same. but the DR. felt it was. What can I do?", "output": "Dear Patient, Welcome, and thanks for sharing your concern I went through your query, and I feel, the possibility of injection in or near the sciatic nerve should be ruled out, before anything else is thought of. The pain could be your back pain, but you do not agree to the doctor on that issue. Meanwhile, not if the pain has some radiation in the limbs, or it is localized. Also inform are you a known case of sacroiliacs, and when was it diagnosed, The answers to these questions can be helpful to reach to a conclusion in your matter. I hope my advice would have been useful, in decision-making regarding your treatment, still if you have any clarifications or doubts feel free to contact back. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son is having multiple vomiting and diarrhoea. He has had about 6 to 8 episodes since last night. It is very watery and no blood.. The frequency of passing stools is decreased now. We all had had our dinner outside last night.. Worried if this could be cholera?? please help...", "output": "1. because you have dinner last night resulting in vomiting and diarrhea, it could be more of Gastroenteritis (food poisoning) than cholera.2. If the place where you took the dinner was unhygienic, it could be possible Amoebas, Salmonellosis.3. Go for a Microscopic Examination of stool, which will help in diagnosing your condition better.4. Because there were multiple episodes, make sure he is under regular supervision of doctor, to prevent deny Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear consultant,My name is Nana-Oye Koranteng and I am enquiring about hair-pulling and tricophagia. I have had this disease since I was about three years old and I am now 32 years old. I am from Ghana in the West of Africa, I am 5 \"6\" inches and about 62kg. I have no details of hair-pulling in my family and do not know whether there is a gene, I have read about the gene SLIT... There are problems with high blood pressure and cholesterol in my family. I would like to know where I would get very good treatment for hair-pulling and tricophagia in India and specific doctors that can treat this disease. I have been pulling hair all my life and I do not want it to continue, which is why I want treatment. I am sure there is something terribly wrong with the chemicals in my brain. I really want to grow my hair, instead of having large bald patches all over the place that cannot be concealed.Kind Regards,Nana-Oye Koranteng.", "output": "Hi, You may be having trichotillomania and trichophagia. The conditions may occur due to psychological upsets. And it may be OCD .means obsessive compulsive disorder. Consult the dermatologist as well as psychiatrist. After thorough examination and investigations, they may give perfect treatment. For other symptoms, you may consult the physician. In India dermatologist and psychiatrist are available in all cities. So, you may visit them in any city...hope this helps. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "\"I have had severe hiccups throughout the day lasting about 20 mind and at least 11 times since this morning. And now, for the past housr Ive had a sever sharp pain on my lower left side. Almost breathtaking.... Have no idea what it could possibly be..? Thinking about going to the Er..?\"", "output": "Hi! Good morning. I am Chat Doctor answering your query. I would advise you to seek help in the ER of your nearest hospital, as it won't be possible to opine on your condition without a physical examination and related investigations. Take care and good luck. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have a question for neurologist, my brother is severing from diseases SSPE, his age is 15 year ,weight 25, that time his is on bed, he can not move and talk to any one and day by day his condition is going bad.if u have any solution plz reply me right now my email ID is YYYY@YYYY reply", "output": "Hi, Thank you for posting your query. I have noted your brothers' diagnosis of SSE- subacute sclerosis pan encephalitis. Unfortunately, there is no cure for SSE today. Despite medications, the disease continues to progress, however, the rate of progression differs in different people. Isoprenosine is a commonly used medication in SSE. For control of seizures and myoclonic jerks, sodium valproate can be used. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, Chat Doctor. Ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I fell down at the water park on my back the muscles were very stiff and sore but seem to be getting better and now when I sneeze or cough I have a sharp ripping or tearing pain in my lower left stomach area could I have I pulled a muscle there also it rips then too also if Im laying back and sit up", "output": "HI. The history of fall is noted.IT is possible that you have developed problem with the discs of the spinal column. Get an MRI of the thoracolumbar spine to see whether there is a problem with the spinal cord. You can also a study of the muscles which have got the sprain. The pain in the left lower Abdominal Pain can be due to muscle sprain or the referred pain from the compressed spinal cord due to disc or so." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I m 40 years old male. had a stent implented in my LAD last week. I m feeling well now. before the procedure i used to do body pumping exercise and lots of cardio (treadmill, steps machine, rowing). Would I be able to go back to the same exercises in the future, and approximately after how long. Thank you", "output": "Hi Charles you can go back to your old routine only If your cardiac function is completely normal which can be estimated by an Echocardiogram. If you are not a professional athlete then there is no need to exerted that much. What I would like to recommend you is that start going for daily brisk morning walk for 45 mins a day for 5 days a week, you can also go to gym for light weight lifting and cardio but for that wait for at least a month so that your body can recover fully. This routine will keep you healthy without exerting your heart much. Stop smoking completely (If you do)Wish You Good Health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a mild stroke last November with no real obvious side effects. I was taking atorvastatin 10mg daily but my Dr took me off 2 months ago because I was having cramps in my feed and hands. I am still having cramps but also in my calves now. I am having pressure in my head and for a couple of days now I am having what feels like vibrations in my left chest on and off. No pain with it though and no shortness of breath. I don t know if some of this is due to anxiety but I never have a day when I feel good. I have had my heart checked and blood work and have an appt for bloodwork on Monday. My Dr doesn t seem to have any real idea of what may be going on. I have an appt with a neurologist in a couple of weeks but I am really worried about what all is going on. I am a 62 year old female, I do not smoke, I weigh about 167 and exercise regularly", "output": "I read your question carefully, and I understand your concern. The symptoms you relate though don't seem to be related to the stroke it is more probable they are due to anxiety. It is good you have done blood work for some other potential causes, I hope thyroid function was included as a common cause of anxiety. As for stroke treatment it consists in identifying the cause and ad Chat Doctor. Most common causes are heart arrhythmias, high blood pressure, diabetes, smoking, high cholesterol. I suppose you have been evaluated for those. Also, you should take a blood thinner. I hope to have been of help." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter is 11 years and 5 months old. She is suffering from knee pain. She has ASO +ve, CRP +ve (28.8), ESR (40). Doctor prescribed Ezact 90 for her for 2 months. Is it antibiotic or pain killer? Should I give it to this small kid? Is there any side effect?", "output": "Hi, I had gone through your question and understand your concerns. Etoricoxib is a non-steroidal anti-inflammatory Chat Doctor. It is a selective COX-2 inhibitor, which belongs to painkillers. The most common negative effect on stomach, thats why better take strictly after meal and with milk to neutralize acidity; rarely it can cause allergy, but if he would have following upside effects you can stop giving him medication in any time. You also should give him antibiotic-Amoxiclave 500 mg twice a day for 10 days, Darla Z 1 capsule once a day, allegra 1 tablet once a day for 10 days. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my mom had an accident last sunday, was told she had a core muscle strain and she would be better in a few days. Had an MRI and yesterday and has l1 & l2 fracture, she been up and moving as much as she can. Do you think she did more damage over the week with no treatment?", "output": "Hello, As she was of late diagnosed with vertebral fracture. Complete bed rest is advised. Usually, the vertebral fracture doesn't lead to more damage if it's a non-displaced fracture. Taking proper bed rest in the initial stages and later after 6-8 weeks doing simple exercises will help her recover well. There is nothing much damage can happen, so you can stay relaxed. But please insist on your mother for more bed rest. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my name is Gary I m a truck driver.. I m having knee pain in both of my knees and lower back. also my ankle are swelling too.. now I have been having this pain for 3 months now stop.. I have not pull a muscle, I cant stand for a long time are set either. some time I feel pain while in lying in the bed..", "output": "Hello Gary. Went through your query. I would like to know the following from you1. Could you please tell me your age.2? How many hours of truck Chat Doctor. Are you active otherwise doing back exercises.4? Is there any fever that you are getting of lately or any loss of appetite.?5. Does the pain increase during nighttime when you are asleep.6. Is this the first episode of this kind. Kindly revert with the answers so that I can help you in a better way. Best wishes Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear DoctorMy daughter is just four months old. She has been suspected of Thalassemia beta major, and confirmed. The pathological result did not confirm due to her age. Her hemoglobin dropped to 5.6 %, so she has been hurriedly given two unit (each 75 ml) of blood when she was just three and half months old . The clinical report (HPLC) revealed Hb F was 96.5 %. Except that me and my wife are both beta Thalassemia carrier. I want to know the latest treatments of that including homeopathy.", "output": "Hello and welcome to Chat Doctor, Thalassemia major is characterized by deficient hemoglobin synthesis. It is managed by regular blood transfusion. Repeated blood transfusion leads to iron overload. Iron overload is cleared by iron ch elation therapy. Thalassemia causes splenomegaly or enlarged spleen. Splenomegaly is managed by splenectomy. Homeopathy does not offer any treatment for thalassemia. Thanks and take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a problem in my nose. It started about four weeks ago. I was driving and had a feeling like somebody was stabbing me in the nose with an ice pick. It felt like what shingles would affect me. It goes and comes without warning or with a very bad pain in the left side of my nose. I refer to the shingles because that comes in part to somebody under stress, and I was at that time four weeks ago. Lastr night it was very painful.", "output": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Only burning pain is not the symptom of the shingles. Shingles are associated with burning pain plus fluid filled blister on affected site. If you have such a symptom than you can think that it is shingles and requires a treatment. In such case I request you to take acyclovir under your doctors' guidance. Gabapentin and vitamin B 12 can also be taken as it can also help in prevention of pain in shingles. Please maintain good hygiene as it can help prevent infection. Completed treatment of shingle can prevent future relapse. Please wear cotton cloth as it can also help in shingles pain. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 53 year old male and had a sigmoid colectomy with bladder fistula repair towards the end of nov 2013, since the operation the bowels and bladder are working fine but I have constant lower back pain around the loins. I have been taking paracetamol but it does not seem to help much, any help greatly appreciated.", "output": "Dear friend you can take aceclfenac witChatDoctorbination of paracetamol. If severe you can also take muscle relaxant combination such as diclofenac+paracetamol+chlorzoxazon if needed.in your case physiotherapy and exercise will help you a lot on long term basis.-exercise for low back pain-raise your leg straight from hip joint without bending from knee after sleeping on back and then put down slowly. Same exercise for another leg and then raise both leg simultaneously. Sleep on abdomen and raise your head and chest backward. Do all these exercise 40-50 times per day by increasing slowly every day. Hope this answer will be helpful to you. For more queries please don't hesitate to ask. Get well soon dear friend Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I am currently off work with severe anxiety states - I have never had time off for this before although have had episodes over the years I have just 1 intrusive thought that scares me - time is constantly passing. No other thoughts. What I mean is that everything I am doing now is passing/has gone. I have seen a pyscho about this just once so far - useless! 5 weeks ago I was fine, but have dealt with a lot of stress recently. Is it a stress reaction? Have I sensitised my mind so much that this has become an obsession?", "output": "Hi there, thanks for asking. Preoccupation about the past could be a sign of depression. Depression has several kinds like major depression, minor depression, dysthymia, etc. and some need medication while others are treated with talk sessions. As you mentioned stress can provoke the onset of depression. It is very good if you practice some methods which reduce your stress level, like Yoga, etc. ADN if you still feel that situation is not getting better, you can take advantage of consulting with a psychiatrist. I wish you the best health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had abdominal tuberculosis 12 years back and has been cured. After 9 years of married i have not conceived yet. Also 3-4 iui s failed & one IVF cycle became failure at the primary stage itself i.e. after 48 hours of egg retrieval the eggs did not fertilise at all. Why the eggs did not fertilise is that due to tuberculosis i had earlier", "output": "Hi, Thanks for your query. I read your query and understand your concerns. Following is my reply: Failure of fertilization is not due to tuberculosis. There might be some problem with egg, sperms or the temperature of incubator in IVF laboratory. I suggest you change over to different IVF center in your next cycle of treatment. If same thing repeats, you may have to consider donor semen / donor eggs. I hope I answered your query. I will be available for any follow-up queries you have. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im having a mild chest pain. When I stretch arm or bend down, the upper part of my right chest hurts. It pains at a specific point. This pain has been on and off for the past 1 or 2 months. But over the past 3 or 4 days, it has increased. What should I do?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of musculoskeletal pain is more likely because your pain is associated with stretching of arm and movements (bending). So follow these steps for better symptomatic relief in musculoskeletal pain. 1. Avoid heavyweight lifting and strenuous exercise.2. Avoid movements causing pain.3. Avoid sudden jerky movements of chest.4. Apply warm water pad on affected areas of chest.5. Take painkiller and muscle relaxant Chat Doctor. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am in my day 17 of my cycle and my follicle is up to 28 in size, and there are some lining seen inside it, I was asked to meet a specialist as it might be dangerous. what must have caused the delay and have I ovulated. Nb:am taking some ovulation induction.", "output": "Hi there, I have understood your concern and I will suggest you the best possible treatment options.First do not panic. As per your USG reports, you have not ovulated as yet. Usually, with such reports, I will suggest you to stop follicle study. Such situation is usually seen when ovaries do not respond to internal signal of ovulation and might need hormone support from outside in the form of Chat Doctor injection. Please seek prescription support from your treating doctor for Tablet Micronized natural progesterone 200 mg twice a day for next 10 days. You will get your periods within 3 to 10 days after finishing the tablets. Please get day 2 USG done to know about the previous cycle follicle of 28 mm, if it has disappeared or is persistent. And also get information about ovarian volume and number of astral follicles. Usually, I suggest to my patients to take injection Chat Doctor 5000 IU once the follicle reaches 18 mm size. This helps to egg formation in 24 to 36 hours after the injection. Please opt for a healthy diet and regular exercise regimen. Start on Folic acid and vitamin B 12 supplements regularly. This helps to prevent various complications during conception, pregnancy and childbirth. I hope this answer helps you. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hey, im 23 year old male, its been 2-3 months that ive noticed that there are bumps on my testicles, not all over but scattered mostly to the left side, some are really small, ull have to stretch the skin to feel them while 4-5 are visible and are the size of a pimple. They are not red, just skin colored but a little whiter then the rest of the testicular color. I do not feel any pain, even if i touch or scratch them, although i feel a little itchy but that is for all testicular area not specifically that bump. Although they are bumps like pimples but i dont think they can be popped, they just feel like a part of the skin merely swollen a bit like a pimple. Ive never had sex with anyone so was curious that what is causing them, as this is the first time im experiencing them although ive has similar itchiness on testicles for years. No other part of my body is experiencing this. Thoughts?", "output": "Hi, As per my surgical experience, the multiple bumps over scrotum with this narration usually indicate possible sebaceous cyst development over the scrotal skin due to hyperactivity of the sebaceous glands. However, if you can provide a photo picture of the lesion, I can still guide further. If it is the same as per prediction, surgery is the best option to get cured on OLD basis minor procedure of excision under local anesthesia. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Please help! I have beens sick for 2 weeks. I have rapid heart rate, upset stomach, stuff going on with my sinuses, constant shakiness in my legs and arms, diareha after eating and weakness. Been to the doctor twice, they gave me meds for the rapid heart rate, it seemed to help for about 4 days then stopped. I am 38, 290 pounds and am also on meds for cholesterol, depression, and blood pressure", "output": "Get your ECG done and consult some cardiologist for palpitations. You also need to work out for the cause of diarrhea,maybe you need to take some antibiotics....and change your food habits for few days. Find it out if recently any new medication you have started....that can also cause diarrhea. Few antidepressants can also cause diarrhea....try to take antidepressants with food. Rapif heart rate/palpitations can also be due to depression or anxiety state. Consult you psychiatrist also in this regard" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi something real weird happened last night I take Zanaflex for pain muscle relaxer for the past month. But last night I had a extremely weird thing happen were I really feel that I saw a family of ghost in my room I was so awake I could even give a description of each family member. It started with me closing my eyes to go to sleep it started with my eyes close but I was not sleeping. I remember everything so clear but is obserd my husband was with me and witness everything. Is so surreal that the only explanation is this medication. Truth be told I took 3 after being in a car accident. NOt sure of what is going on??", "output": "Zanaflex (tizanidine) can cause hallucinations. It is especially likely to occur in certain situations like having very severe pain and also when you exceed the recommended dose. Since you took 3 tablets at once, it is possible that it caused the hallucinations. You can ask for alternative painkillers if the pain is severe. You also have good insight into your experience, which again indicates that it is a Chat Doctor. Furthermore, you may consult your psychiatrist if the hallucinations persist or are very severe or if they recur after resolving for a few days. Furthermore, you may allow a period of 1 to 2 days for it to settle. It should be reversible in all likelihood." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have sponge kidneys and have numerous tiny stones in the upper kidneys and larger ones in the lower left kidney. the last 24 hour urine test I took stated my oxalate was very high probably due to diet. what vegtables should I avoid ? do u have a list of low, medium and high oxalate foods. I am a 68 year old female.", "output": "Hi, Please avoid beet, spinach, celery, chard, okra and parsley. In addition, you should avoid chocolates, bran, peanuts, soy products, almond, strawberries and fiber containing cereals. Taking calcium citrate and/or magnesium oxide along with meals helps to bind excess oxalate in food and reduce its absorption. Please consult the website of analysis and hyperoxaluria foundation for a list of food with low, medium and high oxalate content: http://www.ohf.org/docs/Oxalate2008.pdfI am available to answer any more queries you may have, Wish you good health," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I was just told my son has an absolute neutrophil count of 3,700. He s 13 months old. The doctor said he has neutropedia and sounded very concerened. She told me not to leave the house with him until I get his blood work done on Tuesday (3 days from now). I am beside myself with worry. Does she really have cause to tell me that my son could die (her words exactly) if he gets any kind of sickness right now?", "output": "Neutropenia is a decrease in the absolute neutrophil count. The most common cause could be a viral infection which suppresses the neutrophil production. However, they start rising soon after the infection is gone. However, other ominous causes of Neutropenia are also there like aphasia of the bone marrow, some forms of leukemic leukemia etc. A Neutropenia patient runs a risk of being increasingly prone to bacterial infections. However, it could be a transient phase and come to normal soon. Please check with the report, because according to my reference ranges your children neutrophil count is appropriate for age" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been ill for 5 days with a fever between 100.8 and 101.8, a painful, unproductive cough and congested sinuses. The cough concerns me because of the pain in my chest when I cough and the fact that it is very unproductive for the amount of coughing I am doing. I started taking Mucinex DM today to help control the coughing fits as my chest and throat are very painful at this point. Any ideas?", "output": "Hi Dear !! Thanks for your query to Chat Doctor. Read and reviewed your query and health concerns. My opinion-IN the given situation, You seem to be having-Acute Bronchitis with unproductive cough. Postnasal Chat Doctor. Murine with antimissile dextromethorphan, alone would not help Acute bronchitis with sinusitis. You need to add antibiotics with-Bronchodialators-Like Theo-asthaline. Steam inhalations and enough HY" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "after i urinate the tip of my penis always seems to be wet. Then I started noticing that there was a clear sticky substance coming out from my urine which caused the urine to be stuck in my penis. It s hard to get the clear sticky substance out, but when i masterbate it usually does come out. Also, my digestive system has become weird and I have stomache cramps . Please help me relieve my stress , and tell me what s wrong.and if i am sexually exited it comes out but the quantity is too much than d normal precum. and i can see stains in ma boxers.i hav done all d possible tests and everything seems to be normal.been to urologist but he docent have helped uptil now.is been happening from past two years now", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. I can see your problem. The white sticky substance you see is actually the semen itself. Let me explain. Semen is produced whenever you get sexually aroused. The produced semen is stored inside your body till you masturbate or engage in sexual activities. Semen is a waste product and body wants to throw out. If you do not engage in sexual act or masturbation, body finds its own ways to throw the semen out. One way is Chat Doctor. Your case is not to be confused or linked with any diseases or unhealthy conditions. Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques for sexological problems which should help you cure your condition. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my child has sickle cell deases, recently suffered a chest infection and was given co-amoxiclv which made her better but soon after the medication was stopped the illness came back again, gp has refused to prescribe co-amoxicliv again and her usual pennicillin is not helping her", "output": "Hi, dairy have gone through your question. I can understand your concern. Sickle cell disease patients are prone to infection. He should take higher antibiotics and oxygen therapy. He should also take folic acid regularly. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My brother broke three ribs by the sternum L (aortic) and went to urgent care they told him he has to be off work 6 weeks but just started a new job. He is a heavy equipment operator and using aleve. He went to urgent care for the x-ray and that is how he was diagnosed. Now, no problems breathing, no blood, no discolored sputum and yet, he is having difficulty just maneuvering simple controls or turning side to side. He read he should not wrap because of restriction. He cannot take off work any suggestions on how to support his cage?", "output": "Thanks for your question on Chat Doctor. In my opinion your brother is having muscle stiffness due to injury. Ribs must be healed by now but due to immobilization muscles become stiff and initial movements are painful. So for few days he may have pinsetter to follow these for symptomatic relief. 1. Avoid heavy weight lifting and strenuous exercise. 2. Avoid bad postures in sleep. 3. Take good painkiller and muscle relaxant. 4. Apply warm water pad on affected site. 5. Wear chest belt to avoid mobilization of affected area." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "When you are diagnosed with calcification of the arterial vessels around the heart, is there anything you can do? 5 Bypass surgery done 30 years ago is completely closed. Other vessels on right side of the heart are 90% closed. Blood flow is being carried mainly by collateral vessels.", "output": "Hi, Bypass surgery grafts can get blocked by a thrombus or can accumulate calcium over a long period of time. As you are saying that all grafts are blocked and the right artery is also significantly blocked you will need further treatment for the same. I can only tell you better if you send me a detailed Angiography report. Angioplasty could be tried in a native blocked vessel or calcified vessel by a technique called as Rot ablation. So please send me the detailed report of Angiography if possible. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my mom has COPD and this morning she coughed up some blood ... not a lot but u could see it in the other stuff she usually coughs up!! she did this several times but she has a sore throat and thinks it s from that?? and it s getting lighter with each time... do u think it s her throat or more serious??", "output": "Thanks for your question on Chat Doctor. Your mother is having COPD (Chronic Obstructive Pulmonary Disease) and hemoptysis (coughing out blood). The most common cause for hemoptysis is COPD itself. But can be seen due to1. Infection like tuberculosis or pneumonia2. Malignancy. So it is always better to get done1. Chest x ray2. CT thorax gives much better idea about infection and malignancy. So consult pulmonologist and discuss all these." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "A gland under my tongue and in the throat (both seem connected) swell up most of the time when i eat something. Sometimes it also extends to itchiness in the palm, around vagina , and then when this subsides there is severe pain in the lower abdomen. The first time I had it there was bleeding from the vagina but never again. When the pain starts the itching subsides on its own. When this happens, i take a cetrizine tablet along with a tablet of metaspas. But I still don t know what is happening. If it is allergy what triggers it. Tried to have different combinations of food but could not find out. One common thing was that it aggravates during season changes. Vidhu Narayanan, New Delhi", "output": "Hello Video, Two separate things may be going on here - (1) food allergies need to be excluded with either skin prick tests or specific IGE blood test; (2) idiopathic urticaria/angioedema that may be a Chat Doctor. Blood tests are available to exclude some underlying causes for 2nd differential diagnosis. Long acting antihistamines like fexofenadine or cetirizine helps, but it is important that you get seen by an Allergist to exclude food allergy. Happy to help further if required. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "well im obese and schizoaffective (mental health is my major concern here) but social acceptance of both the obese and the mentally insecure are not there. its as if we are allowed to be hated and discriminated upon plyed to our own will be it as it may. anyway i do not like to take the medications as prescribed matter of fact i fed up with the results...i only get fatter but still hallucinate and am still delusional and am rather depressed and iritaed and irritable irate even that i am now being diagnosed with insulin intolerance. anyway the big deal here is that a sage that i know in jerusalem is telling me to go holistic, is that possible?", "output": "Hi. I have gone through your post. Let me tell you that having a physical or mental illness does not make you socially inapt. Both obesity and schizoaffective disorder are reasonably treatable. So do not pay much heed to what others say. Now weight gain is a common side effect of a number of medications used in schizoaffective disorder, and they might lead to the development of insulin resistance and metabolic syn Chat Doctor. So this must be taken care of and considered. There are a number of proven and scientifically established methods for dealing with obesity, as well as " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 33 weeks pregnant and yesterday morning I started getting a sharp pain in my buttox area. it comes and goes during the day, but when it does come, it is unexpected and It makes me jump and it is a very sharp pain when it does happen. it also feels like I am constipated and need to make stool, but I dont need to.what could this be?", "output": "Hello, and I hope I can help you today. Pain in your buttocks is likely caused by compression of nerves in your pelvis by the growing baby. The position of the head or a sharp body part (like a knee) can hit your sciatic nerve, which exits your pelvis in an area near your lower buttocks. Lying down and elevating your legs can help relieve this, or wearing an abdominal support (like a girdle or pregnancy \"belly band\"- sold in Western maternity stores) can support the baby and take pressure off your pelvis. I hope I was able to answer your question and that my advice was helpful. Best wishes for the rest of the pregnancy, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am 39 1/2 weeks pregnant. I am feeling a lot of pressure tonight, which is making me feel like I need to have a bowel movement. My last bm was about an hour ago and it had a black oily substance floating around it, what could that be? Thank u for your response.", "output": "Hi, Thanks for the query. I understand your query. Downwards pressure in 39th week of pregnancy along with feeling of urgency of deification suggests decent of fetus up to the rectum. Sign of labor. . More so because of the black (? Old blood from vagina) oily substance being passed while bowel movements.probably old blood from vagina which was caused by dilatation of cervix. You should get examined by your treating doctor for progress of labor & get admitted as per the findings. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My thumb started twitching yesterday and is still twitching today. I have had involuntary twitches before from some of my body parts - however, it has never lasted this long before. I have heart problems and I am on medication for such problems including Warfarin but I have been on these medications since January of 2007. Do I need to be worried about this thumb twitching?", "output": "Hi Their understand your concern as you are already have a heart issue. For your information I want to tell you that in some patients Warfarin do cause twitching or tingling sensation, usually it's not that troublesome to warrant the stop of warfarin. I would like to advise you to take multivitamin capsule bedtime for 2 weeks and see if it benefits you and if not and if you're twitching you is bothering you too much you can consult your cardiologist regarding switching from warfarin to Dabigatran. Wish you Good Health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am A 57 YR. old woman who had to have a Hysterectomy 15 plus years ago, after having # s of Female problems. I was left with one ovary for purpose of hormone. I haven t had intercourse for years and when I Attempted it was IMPOSSIBLY was painful. I have been having profuse sweating ,abdominal pain Spastic Colitis and bouts with Cold Sores primarily in & on mouth. Now I have had sores inside the nose felling similar to the cold sores on the mouth. I Have not noticed any discharge or odor. ,The Abdominal Pain isn t the same as Diverticulitis either Having several bouts with that..I don t have any income or insurance so I ve gone untreated at this for very long time So what do you think? Shall I call the HEARST!! THANK YOU FOR LISTENING TO MY PROBLEMS. Sincerely BEVERLY GAYDOS", "output": "Hi Ms Beverly, Thanks for your query. Firstly, painful sex was apparently due to Chat Doctor. Hormonal replacement therapy will certainly be of great help. Further, excessive sweating and abdominal problems are apparently due to Irritable bowels, which is commonly due to mental stress/anxiety. However, colonoscopy (if you can afford the cost) will confirm the diagnosis, while ruling out inflammatory bowel diseases and diverticulosis. Eat high fiber diet or, add psyllium husk/powder 20gms/day to your diet, which will be of great benefit. A regular course of anti-depressants + antianxiety " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "in 2009 i had two bulging disc s in my lower back L4 and L5 i believe. i have mild pain (5-6/10) every day. today when i woke up i felt normal sore but can still move around and do normal functions when i got to work i noticed when i bent to the right side there was a sharp pain like some stabbing me in my lower right back and my pain level moved up to about 8/10 since then. when i got home today i looked in the mirror with my shirt off and my right love handle was swollen.", "output": "Here are the symptoms what you have explain shows that there is increased problem at your back at spinal level. However the conformation will be done by MRI of your lumbosacral spine. Now based on this report I suggest visiting orthopedic doctor and take suggestion and treatment. If MRI reports showing mild to moderate issue at spinal level then orthopedic doctor will suggest for physiotherapy treatment with medication like calcium, vitamin D, muscle relaxant and painkiller. If MRI reports showing severe damage in spine at lumbosacral level then here or tho doctor will suggest for surgical correction and then physio treatment for further rehabilitation. In both above case you need to visit physio for postural advice and for spinal exercises suggestion and follow it to have long term relief as well prevention of recurrence. You can also use hot and cold pack at home to have some more relief as well to reduce inflammation and swelling in soft tissues. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, Im 21 years old girl. Im 178 cm tall and 62 kg. I have a psychic proble, I have no self confidence. The person I love has this problem too and he is always lost and out of feelings. I feel lost, confused and less confident. please i need a help", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. How can you say that you have psychic problems? The low self-confidence, confusion etc. are never psychic problems but simple life moods. You need to assess why? You are 21. The problems you face in your life could be the main causes. Please find out, and please do not carry the notion that you have psychic problems. Talk to a psycho-logic counselor if you cannot find out yourself. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have not been feeling good the last few days. I have been on my period for 10 days. I am taking birth control. The last three days I have had diarrhea and feel a little sick to my stomach. When every I try and stand up from laying down. I have severe cramps. The only way to describe it is by saying it feels like my lower insides are hard and stiff and when I am trying to stand up I am bending them a way that they should not. I may not be explaining it correctly. I am not sure if is just a bad period or if I should be worried", "output": "Hi. Thanks for your query. Read and understood your history. You have explained this nicely. You have a problem of gastroenteritis, the intestinal component is so much that you are loosing precious fluids and electrolytes through the loose stools. This may help the periods to extend as your hormones go into imbalance. I would advise you the following:First get the blood tests for : CBC, PCV, electrolytes, Urine and stool tests. Ultrasonography for the abdomen and pelvis, also helps for knowing the probable reasons for the extended periods a course of an antibiotic, Metronidazole, probiotic, symptomatic and supportive like Electoral powder ID there is no vomiting. If the vomiting starts or is the deny Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "A few days ago, one of my toes started itching, then swelled up and turned red at the tip. Then, 3 days ago, I developed a hives like rash covering pretty much my whole body. Today, I have blisters on the affected toe and also smaller ones in the area around it. Went to the doctor and she had me get a blood test for uric acid (testing for gout, I guess). The uric acid test is in normal range - 6.1. The toe is not painful, but itches like there is no tomorrow. I am a 60-yo male, and active - I do water aerobics and walk 2+ miles. Also have been hiking recently. Any ideas?", "output": "Welcome to Chat Doctor I have gone through your query and understand your concern. You can discuss with your doctor about it. I think you should exclude any cold exposure, diabetes and circulation disturbance. It can be something like cold allergy and circulation disturbances. You can get it clinical examination by general surgeon for better understanding. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "If Allergy is an overreaction of the immune system to a foreign substance such as pollen, dust mites, mold spores, food, insect stings, medicines etc. My Question is .. if I take antihistamine drug will it affect my immune system , that cancer cells will appear or grow ? Thanks :)", "output": "HI, thanks for using Chat Doctor Histamine is one of the chemicals made in the body in response to an allergic reaction. This chemical is involved in causing some allergy symptoms. Histamine is not involved in other aspects of the immune system. The immune system is vast and there are different types of cells that involved in an immune response. The part of the immune system involved in allergies is different from the parts that-fight viral infections, fight bacterial or parasites, reduce cell multiplying and cancer. So, no, the use of anti histamines would not affect the aspect of the immune system involved in suppression abnormal cell growth. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I took clomid 50 mg on 3-7 CD.got an US done on CD13,there were 3-4 small follicles in both ovaries,endometrium was 4.9mm thick.HSG report was normal.Hv irregular periods.taking oosure since last mth...dr has advised Evadiol and Meprate BD for 10 days now.what does this mean?Is there no chance of conceiving this month?", "output": "Hello. Thanks for writing to us. Since you had an HSG in this cycle and there are no dominant follicles seen, the chances of conception are very less. If your periods are overdue then you can test your urine for pregnancy before starting with me prate. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http://bit.ly/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been diagnosed with a kidney stone yesterday at ER was told that it was just above the bladder. I have pain meds but nothing helps still painful & burning. on my 7th day originally diagnosed with UTI. How long do I wait for this to pass? I have missed so much work and still miserable. Will I just get really sick before it passes? How do I know it is ready to pass", "output": "Hi, Thanks for writing in. You might be having a stone at the Mexico ureteric junction or AUJ. This is where the ureter just enters the urinary bladder and is a frequent site of obstruction. Alpha blocker medications are best suited for a stone in the AUJ. These medications inhibit the muscle tone and enhance ureteric contraction in the ureter. As a result the stone is pushed forwards and is exited in to the lumen of urinary bladder. When this happens you might experience severe sharp pain for few days and require painkillers for some time. Please continue Chat Doctor. Since you also have UTI it is important to take a course of antibiotics after urine culture and sensitivity testing." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "now i m on my 10th day did ultra scan...my egg is 1.2 cm...doctor told me to scan again on 12th day...to check whether the egg size is increased to 2.4cm...have i have a chance of getting pregnant...already one missed abortion is done before three months..abortion is due to egg formation wasn t proper...i m scade that again the same thing might happen...", "output": "Cellophane you for your query. As you have conceived before, chances of repeat pregnancy are good for you. I wonder how you were told that you aborted because egg formation was not proper, probably there was some genetic defect in the fetus, which could be due to chromosomal abnormality in the egg. However, your size of egg for day 10 is quite good, and you have good chances at ovulation. Please have a couple karyotype for genetic evaluation. Also, take adequate folic acid supplements. Rule out uterine anomalies, hormone imbalance, infections and autoimmune conditions as cause of missed abortionTake care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, i am on the pill and on saturday night (i began skipping my sugar tablets so i could skip my period for this month) prior to this i had missed a few pills in the previous week (took them late etc) and on the saturday night the condom broke when i had sex. I then took the morning after pill on sunday morning but on friday found the tip of the broken condom inside me. I am now concerned that i could still be pregnant. Since this i have been taking my pill relatively well and on time each night", "output": "Hallow Dear, You had taken your pills very regularly. You had only skipped your sugar pills which do not contain active hormonal ingredients. Hence, your pills have acted on your body successfully to prevent the egg release. Your sexual intercourse during which the condom ruptured happened during the phase of sugar pills. Please rest assured that this will not cause pregnancy. Still however, if at all you miss your period, you can get urine pregnancy test performed after a week on the overnight morning first urine sample. Earlier these test may give false negative results. Alternatively, you may opt for Beta Chat Doctor test which can give reliable results even before missing a period. And finally before I conclude, practical advice regarding the use of condom to avoid any further such accident. Usually condom ruptures because the air gets trapped in the tit in front. So when ejaculation takes place, the pressure inside the tit increases resulting into its rupture. Hence, while putting on condom, tit should be pinched in the fingers to expel all the air, and then it should be worn on the erected penis while the tit is pinched. I am sure, this will not only solve your query; but help you in future for proper use of condom also. If you are impressed with this information, you consider casting a Helpful vote for this communication. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I slipped walking down a small ramp coming from the shed when I fell I slipped with my right folk causing me to bend my left foot forward I herd a crack and fell to the ground. I got back up and could walk on it with some pain. But as time passed the pain went up. I got off my foot and soaked it in cold water. The big toe is black and blue the foot is swollen. I can t put any weight on the foot . I tried warm water but the pain went up , I tried elevation and the pain went up I took 292s for the pain what else can I do. I am 45 miles from the nearest medical help. And am by myself.", "output": "Brief Answer:Most likely Ankle sprain of left foot requiring cast to immobilize ankle and x-ray to rule out fracture. Detailed Answer:Warm Welcome. I appreciate your trust in Chat Doctor and assure you are on best portal on the globe for expert online medical services. I have thoroughly reviewed health query you raised, and well realize all of those concerns. Being your physician, I will take care all of them today and will extend my expertise to solve the problems. Based on what you said, it is most likely that you have an ankle sprain. It has caused your ankle to swell up. There is a slight chance of ankle ligament tear and does not come up on x-ray. It requires an MRI scan but I wouldn't that far yet. You need an x-ray ankle to rule out any fracture. To be on safe side, you may require a cast on ankle for 2 weeks to prevent it from mobilization. You use tab. Naproxen 20\u00a0mg once daily for pain and swelling. Hope I ad Chat Doctor. Let me know if you have further questions. I will be more than happy to clear any doubts. Keep a follow-up to see how you're doing. Regards!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Doctor, In the span of last month i am going for second time for kidney stone laser treatment.And the growth of the stone is little high rate.I did my first treatment in Nov 2013 .During that we crushed the stone and passed through a stent .It was of the size of 2 CM and recently report says that i have a stone of size 1 cm.Why this is happening frequently .what will be cause and how can i restrict kidney issue or stone formation from re occurring .I any of these case i didnt felt any pain Thanks Ras", "output": "Some people form stones again and are called recurrent stone formers. The most important thing in preventing stone formation is not to leave any fragments of stone behind at the operation. I would advise the following tests once the stones are clear - blood tests-serum calcium, uric acid - Urine tests- 24 hour urine collection to check as a minimum for pH, urine volume, creatinine, calcium, uric acid/rates, oxalate and citrates. This will tell us the cause for recurring stone formation, and we can institute further treatment. Meanwhile, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a doctor and perform HRV testing. When performing the orthostatic test, one of the paramaters that is measured is heart rate. For example, A 53 year old woman has a supine HR of 83 And an pright HR of 105. This is a 26% increase. My work is primarily in functional and optimal ranges of values, not merely patholgical states. My Question: What is the functional range of HR increase in an orthostatic test using HRV. I am concerned that she has insufficient vascular compensatory recovery or her heart is deconditioned.", "output": "Hello, A 30 beats per minute increase in heart rate from supine heart rate within 10 minutes of standing from a supine position along with symptoms of postural hypo-tension is indicated as significant and is labelled as postural orthostatic tachycardia. If the case is so (not in your case), you should work-up for its causes like hypokalemia, diabetes, autoimmune disease, autonomic nerve dystrophy, multi system atrophy etc. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I m experiencing burning stomach pains when I push to poop. The pain lingers after pooping. Stool seems normal and I m pretty regular. I do not feel constipated but I feel I have to go quite often. Just curios what this could be and the next steps to take.", "output": "Hi. Thanks for your query. Read your history and understood your problem. Burning in abdomen at passing motion with normal stool consistency, no constipation but feeling of having to go again and again. This is due to colitis or enteritis, meaning inflammation of the intestines. I would advise you to take a course of 5 days of an Antibiotic and metronidazole and I hope you will be fine. If there is no response after 5 days you obviously need further investigations like colonoscopy and other relevant tests of blood, urine and stool as per asked by a Gastroenterologist." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 7 year old has a red ring around his anus. He complains that it hurts and stings. He has had this same problem before. I have in the past put baby Desitin on it to help. I think it may be from sweat and maybe a wet swimsuit, but I m not sure. Is this the best way to treat it?", "output": "Hi, I had gone through your question and understand your concerns. You should be worried but not too much. It seems your baby has Candidiasis, that's why Clotrimazole or Candid powder also can be useful. Try to do air bath also. Avoid wet and synthetic clothes. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you and your child good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "79 years, Male. 177 cm 90 kgWhere in Bangalore can I get angioprim treatment, to cleanse arteries? Without Drugs, BP: 205/70 Pulse 60With Drugs, BP: 140/60 Pulse 50; sometimes 45Medicines taken:Aten 25 mg 1-0-1 Atenolol Beta BlockerNatrilix SR 1.5 mg 1-1-1 Indapamide For high BPFelogard ER 5 mg 0-1-0 Felodipine For high BPFlavedon MR 35 mg 1-1-1 Trimetazidine IschaemiaKorandil 10 mg 1-1-1 Nicorandil SR VasodilatorNitrocontin CR 6.4 mg 1-0-1 Glyceryl TrinatrateStorvas 20 mg 0-0-1 AtorvastatinDeplatt A 75 mg 0-1-0 Clopidogrel & AspirinDiamicron MR 60 mg 1-0-0 Gliclazide Glycomet SR 1 g 1-0-1 MetforminVasanth", "output": "Hellithanks for posting here.I have gone through you history and medications. Which suggest you have hypertension, diabetes and ischemic heart disease. I suppose that you have undergone a coronary angiography, and may be having blocks in your arteries. that's why I guess you are confused about the options of angioplasty or bypass surgery or angiogram. But being a cardiologist and been in practice for 6 years I would never advise any of my patient however old/young and whatever risk factors they have; to undergo election or angiogram. Coronary angioplasty and bypass surgery are the real treatment options for coronary artery disease and people can live a long symptoms free life after a bypass or angioplasty. The bypass grafts as well as angioplasty stents last well for 10-15 years at least. Angiogram on the other hand is very unpredictable and insecure procedure. I would not advise you to do this. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had a cough around 3 weeks now, which just feels like a tickle that doesn t go but due to the amount of coughing my ribs have a bit if pain in them. I discovered today I woke up with red blotches or patches on my tongue and am quite worried. I feel nauseous sometimes and very tired, what could this be?? Very paranoid!!", "output": "Hi welcome to ChatDoctorthis may be allergic AO viral infection the cough is due to that if you do not have fever I would advise you take SY Granicus DC 2 to 3 times a day you can add Cronin 650 if it hurts while coughing also taking hot water to sip and cough lozenges would help the b;notches and patches weakness are due to vitamin deficiency you can take becadexamine along with vitamin C tab daily hope this helps thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 90% sure I have ADHD and I plan to make an appointment with a psychiatrist. I ve taken vyvanse before and the side affects were minimal and it helped immensely. Would a doctor look down on me having taken vyvanse having not been prescribed? I don t want them to think I m just trying to get vyvanse for recreational use, I just know it works for me and would like to try that first before anything else.", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. I can assure you that if you go and meet psychiatrist and say that you have ADHD, they will surely think you are asking for Vyvanse for recreational use. Please tell psychiatrist your symptoms. Let him decide what you have and what medicines you need. That is their job. They use so many techniques including differential diagnosis to diagnose your problem, for which you are not trained. Self diagnosis can create anxiety. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good evening my name is Jessie, I went to dialysis t oday and durning treatment I started having a very sharp pain on my right side. It even hurt to take a deep breath. Is this something that need medical attention now or will it go away soon. My appendix have been remove. Thank You Jessie", "output": "Hello Jessie and welcome to Chat Doctor. As a Urologist, let me advise you, that such a sharp pain as you describe, must have a cause. To find out the cause for it, one has to do an ultrasound scan of the abdomen. According to the report, the doctor will advise you to regard further treatment. Such pains are not normally felt during dialysis. You may send a copy of the scan to me, for an expert opinion. Chat Doctor. Manga." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had awful pains everyday which I believe is trapped gas throughout my abdomen. I have also been having constipation for about 5 months. I also was diagnosed with an ulcer a few days ago but my doctor says that this is a seperate problem. I am going to a consultation at a GI specialist in a week. I do have endometriosis . My doctor thinks that it is possible I have developed adhesions due to the fact my pains started about 5 or six weeks after I had surgery. If I have a colonoscopy and endoscopy and whatever tests and they are fine. How can they figure out if I have adhesions?", "output": "Hello! Thank you for the query. The main problem with adhesions is that all tests and examinations can be negative and the only way to rule them out is surgery. Sometimes, abdominal CT with contrast (so called enterocolitis) can show some narrow areas of intestines but it doesn't have to. So it is advisable for you to have this CT scan and if it will come negative, you should ask a surgeon for help. Hope this will help. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello. I had surgery 7 weeks ago to remove 3 benign tumors in my abdomen . I had 2 large dermoid ovarian tumors (size of an orange and grapefruit) and my adrenal gland was removed due to the adrenal tumor being the size of a racquetball. Fast forward to last week and I suddenly began experiencing pain in my lower right side. Sometimes it is in my lower abdomen (similar to the feeling I had when I had the ovarian cysts) and sometimes it is in my right lower back. I am concerned that I am getting another cyst or that I have an issue with my kidney. Other than the tumors, I ve been a very healthy person. I m 5 3 and weigh 105 lbs. Could you provide any insight as to why I would be feeling this particular pain? Thank you, Keri", "output": "HelloThanks for your query. Based on the facts that you have posted it appears that you have undergone surgery for removal of ovarian tumor and a Chat Doctor. Most likely this pain may be due to post-operative adhesions in abdomen which develop due to surgery Most of the tie these adhesions get absorbed over a period of time. However, consult the surgeon who has performed the surgery for evaluation and further treatment. He may advise getting ultrasound scanning of the abdomen to confirm the diagnosis,In the meanwhile take painkillers like Broken available over the counter of medical store. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Dr. I have been having a lump in throat feeling for a couple of months now. My GP has given me acid reflux tablets but I still had the lump feeling no problem or pain in swallowing. He added metoclopramide 3 x a day. Still have lump feeling on one side also earache now and again on the same side can you help. Iam female 44 no real medical probs until now.", "output": "Hi, Dear,Thanks for the query to my Chat Doctor clinic. I studied your query in depth. In my opinion-dear, you appear to have pharyngitis -, which needs to be treated. I would advise you to -Add-Tb-Antibiotic and Tb-NSAIDs, with Tb pantoprazole-, which would relive the -Lump in throat feeling. Cause of lump in throat is the pharyngitis with Eustachian salpingitis-as you had -ear-pain on the same side of throat -lump feeling while swallowing. . Hope you have cleared your worry. Would welcome you to Chat Doctor for any more queries on it or on other health-problem." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi there, I have a hx of breast lumpiness and cysts which have previously been aspirated over last 4 years but now in same breast, I have the lumpy uneven texture with localised tenderness when I touch it and underarm discomfort which is intermittent. I am 47 and still have regular periods", "output": "Hi, Dear,Welcome with your query to Chat Doctor. Studied your query in full depth of its details. Reviewed it in context of your health concerns. Based On the facts, You would mostly need Sector Mastectomy to remove the recurring lumpy breast tissue, as the recent recurrence needs Excision Biopsy to work up on its malignant potentials. Prior Evaluation by Mammogram and USG / CT of the breast would help in planning extent of the diseased breast in your case. Other causes of such a complaint needs to be ruled out and treated if present accordingly from Second opinion from Surgeon. Hope that, This reply would help you to plan further treatment soon with your treating doctors. Best of Luck and early recovery. Welcome any further query in this regard, which would be replied in next session. Good Day!! Chat Doctor. N. Senior Surgical Specialist" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "turned over to right side in bed about 3Am Thursday, got sharp pain left upper abdomen. pain eased up rest of night. All day Thursday it came and went sharp to just soreness. Thursday evening noticed swelling in the shape of a ball inner upper L quad of abdomen. pain not going away just constant eases up a little lying down. noticing sharp pain if I press in midline. Bowels fine, eating ok drinking only water. Trying to wait to see primary on Monday?", "output": "Hi. Thanks for your query. Noted your history of sharp sudden pain on the left side of the abdomen at an on Thursday on turning to right. Continued on Thursday and now have ball like swelling on the upper left abdomen and the pain is continuous. There is sharp pain on pressing in mid-line. I would advise you the following:Rush to ER to have a proper clinical evaluation and investigations like:X-ray of the abdomen in standing and lying down position. Ultrasonography of the abdomen. Tests of the blood, urine and stool. This will give an idea and the probable diagnosis. Further investigations and treatment as planned after clinical evaluation and management." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am experiencing severe mood swings. I am happy and then ten to twenty minutes later I am crying my eyes out. I have terrible temper rages. I feel like I am going insane. I dont know which is worse, the tears for no reason or the euphoria. Please help. I have already tried two depression medications, Zoloft and Prestiq.", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. Please try to understand. You do have moderate to severe depressive disorder and do not take self medications. You must try to sleep immediately. Otherwise, try to relax and engage in some activities which interests you. In the meanwhile fix an appointment with a psychiatrist as early as possible. No self diagnosis or self-medication please, they are dangerous. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, thank you for taking my request! just got my CT if the thoracic and abdomen after my follow up from ca of the lung which was successfully removed ( upper right lobe only) no chemo or radiation needed thank the higher being.. it is compared to my previous one with no changes. It says my pancreas show mild atrophy. Did not see the first CT in Aug of 2012 but is this an issue? Otherwise feeling great and back to work full time.... :)", "output": "Hi and welcome to Chat Doctor. I am glad you feel better and that there is no sign of recurrence. This is nothing serious and pancreatic atrophy is part of human aging. Sometimes it can be sped up by alcohol and billiard stones. Pancreatic atrophy can cause abnormality in blood sugar levels, insulin and digestion so check your basic blood tests including lipase and amylase levels. If this is fine then you don't have to worry at all. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i have been diagnosed with a spermatocele. And is very painfull, the doctos has prescribed naprosyn 250 mg. And has booked me in for an emergancy scan . is this common practice ? how long do the scans normally take to come through? your advie would be appreciated . thanks.", "output": "Hello, It may be due to spermatocyte. For that I would suggest you to consult with surgeon for detailed clinical examination. You may require ultrasound scrotum after surgeon consultation. You may require surgical intervention after consultation. Till then for pain you can take tablet acetaminophen. Use scrotum support. Avoid strenuous activity Hope I have answered your query. Let me know if I can assist you further. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my boyfriend has a cough that dont go away it sounds like a dry tight cough, It seems he can barely breath at times, His voice sounds like he barely given out sound. He has been like this for a long while , times he says he feels nausia, what do you think he may have He says he read on conjested heart failure and he believes that is what he has.", "output": "Welcome to Ask a doctor service. I have reviewed your query and here is my answer. These are signs of heart failure. He needs to be assessed by local doctor by physical examination and chest X-ray pa view for making diagnosis. Ask him to reduce salt intake. If he is overweight or smoker or alcoholic then it must be controlled. I hope I have solved your query. Let me know if I can assist you further in this query. With regards," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "It started this morning when I was waking up. Whenever I rolled over there was a very fleeting sharp pain in my chest. I had had this feeling before but it would only ever happen the once, today it was every time I moved. When I got out of bed it seemed to go away, unless I moved too suddenly or something. Im a 17 year old female. It just seems odd. What would be the cause of this?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Your chest pain is associated with movements. So possibility of musculoskeletal pain is more likely in your case. So follow these steps for better symptomatic relief. 1. Avoid heavyweight lifting and strenuous exercise. 2. Apply warm water pad on affected areas. 3. Avoid sudden jerky movements. 4. Sit with proper beck support. 5. Take simple painkiller like ibuprofen. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello sir i have a bad habit mean hp during hp iam free within 1mnts next 3 month my maraige ceremony wiil be so i want to some informatiom from u that how i enjoy my marraige life i have no control in my this habit .can u give me some suggestion/advise to controll it", "output": "Hi, In my opinion to control masturbating you should understand the route cause for its addiction. Which is neurotransmitters like dopamine and endorphins are secreted during masturbation which is addictive. You can also produce these neurotransmitters by indulging in aerobic exercises and doing things that will make you happy like listening to good music and eating foods you like. Along with a good will power you can await an exciting married life after 3 months. Take care. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, im having problems breathing. i have to yawn so long in order to get a full breath. i keep thinking im going to die, like everyday i feel like im going to die. its to the point to where im just accepting the fact that i will pass on, but im only 20 years old. i dont know why i feel like this, but then i start thinking i might have a tumor because of headaches and when my throat hurts, that i have throat cancer and my lymphnodes are swollen so i probably have HIV and then im going to die. i dont know what to do.", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. I sincerely suggest that you are victim of your own negative thinking. You cannot term your current state of mind as clinical depression. In psychology, we broadly call it obsession. You had that disturbing sensation once. You expected it to happen again and tried. Then you started experiencing it as you were expecting it. Then your body brought the familiar symptom because you are expecting it. Then you started worrying that the symptom is coming again and again and expect it. Body brings it again as you are expecting it. You become worried and so on. That is obsession in simple terms. Ignore it and the problem vanishes. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi Every month, we try around my Ovulation days (2-3 days - back-to-back), during fertile window. Every time, I have noticed I feel so full like a balloon with bloated stomach and on&off abdomen pains too. I do go to pee very frequently for couple of days.. My eggs gets ruptured properly (got this checked during my TVS ultrasounds as well).. but I don t reach till implementation phase.. Every month, after observing above symptoms for 15-20 days, I get my monthly period on time (but for less number of days than usual) .. My Gyni. Doctor has given me some medicines to conceive naturally and for egg formation, along with Folic acid - which i am taking religiously for last 3-4 months.. Any suggestions to reach till conceiving / implantation phase ? Also, not sure of reason for bloated stomach immediately after sex... Kindly advice... Thanks.", "output": "Hello, thanks for choosing Chat Doctor for your query... I understand your concern...all decisions depend on your conditions. If you are less than 30 year old then it is advisable to wait for one year and if you are more than 3o year old then for six months, to conceive naturally. If you have done ovulation study, then you can go for tubal patency test, Hormonal profile, LH, FSH on day 2 of menses, AMH, S. PROLACTIN, ULTRA TSH USG abdomen and pelvis husbands semen analysis after three days of abstinence you have gone through all then I generally recommend my patients to go for Diagnostic laparohysteroscopy. About bloating, it can be hormonal changes in premenstrual timings or may be because of some digestion issue. You can give attention to overall nutrition and exercise to reduce such problems. I hope this helps. If you have any questions please feel free to contact. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello my 3 year old daughter is having cold and mild cough since 2 days. Her temperature is between 97.5-98.1. I consulted a doctor. He administered Ventrolin syrup - 3 ml if there is continuous cough and Calpol if temp rises above 98.6. I gave her Ventrolin last night as her cough became a little more frequent. But her cold has aggravated. She had a runny nose last day and tonight she is finding it difficult to breath due to blocked nose. She is scared of Nasoclear. I have T minic and Allercet with me. Will any of this address blocked nose issue?", "output": "Thanks for asking I have gone through your question. Your 3-year-old daughter having cough, running nose and block nose. And you're giving her syrup Ventolin. If I was your treating pediatrician, I would add t mini in your treatment. T mini will give relief in running nose and block nose and cough. If you have syrup t mini then give 3.5 ml per dose thrice a day and if you have T mini Chat Doctor. 7 ml per dose thrice daily. This illness appears to be viral. Body will heal it in 3-5 day time hope I answer your query wish you health family" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im Ahmed 27 years SGPT (ALT) = 70SGOT (AST) = 48Serum Triglycerides = 323VLDL Cholesterol = 56Serum Uric Acid = 7.00FAST BLOOD GLUCOSE = 99GLUCOSE AFTER 2 HOURS = 145PLZ Doctor read my medical tests with explained to me where there are high", "output": "Are you obese, smoker It appears that there is some fat deposition in your liver. To confirm get your ultrasound liver done. Not very essential. Your triglycerides level is high which suggest unhealthy high oily diet. Thirdly uric acid is borderline, so you should consume low meet diet. Sugar is borderline so consume low sugar, low fat diet and reduce your weight by regular exercises. So in short your reports are borderline which can b corrected by healthy lifestyle. Get one lipid profile done to look for details fat composition of blood" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am 74 years old male. for the last one month i had ocassional back pain.i do not smoke.not a regular drinker.1-2 pegs once or twice a week.mostly vegetarian.general health good.diabetic under controll on medication when i did a blood test for PSA the reading shows. total prostrate specxific antigen-PSA.observed value.8.08 what should i do. should i be worried.", "output": "Thanks for your question on Chat Doctor. Normal PSA level is less than 4. So you are having higher levels. In old age (more than 60 years) causes for higher PSA level are1. Benign Prostatic Hypertrophy (BPH)2. Prostatic cancer3. Prostate infection. So better to consult neurosurgeon and get done clinical examination and transrectal ultrasound. If needed transrectal biopsy of prostate is also needed." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i am 8 weeks pregnant I went for an ultrasound scan when was six weeks cause was bleeding when they did ultrasound could see foetus heart beat and lady said baby was fine I asked why I was bleeding and she said she could see a shadow and it could be that whats causing bleeding I have been spotting for 4 weeks now sometimes its bit more than others", "output": "Hi, I understand your concern. Bleeding in early pregnancy is mostly due to hormone (progesterone)deficiency. Bleeding stops if the hormone is supplemented in time... but continues if not supplemented to end in an abortion. You should consult treating doctor for hormone supple mentor alteration in dosage as per need. Somehow. Inspite of supplementation spotting of an old-black blood may continue. it's due to clearing of collected blood in uterus from previous bleed. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi iam 26 years of male .I am suffered depression and panic attacks last august .then I consulted the doctor he prescribed me zyven of plus 50 mg .after 3 months of taking this medicine I recovered from those problems one day I missed dose I feeling head ache very severely .then go the doctor he told me that do not stop it it should be taken at least one year .my problem was that there are side effects if taking it long term use .Hw can I get rid of those medication Thanking you sir", "output": "Hi Sir/MadamWelcome to Chat Doctor I can certainly understand your concern and. Worry about the side effects of desvenlafexine side effects, as it is SARI is serotonin norepinephrine reuptake inhibitor, due to which serotonin and norepinephrine increases which is very useful in depression. The main pathology in depression is decrease in serotonin, which causes sad mood, fatigue, lack of interest in work, sleep disturbances, decreased appetite, hopelessness, worthlessness and all, panic attacks mainly due to Norepinephrine imbalance, you have mentioned there are no further attacks ... But it is very important to continue these Chat Doctor. There is nothing to worry much about its side effects like nausea, vomiting, gastritis ... But these are present with any " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Greetings! My 5 month old baby has hoarse voice, mild runny nose and some dry cough(whether pretend or not..she is fond of coughing).Three days ago her temperature was around 37.8, gave her some panadol syrup 2.5ml then it was gone...all she has now are 1)hoarseness 2)dry mild cough 3) mild runny nose5) Some sound like chesty plegm sound but not wheezing...Please let me know if I should be worried. Or If i have to go to a doctor.", "output": "Hi, You did right by giving Paradox syrup for the fever. For the running nose you need to give an antihistamines such as cetirizine once per day before going to bed. For cough, you need to make her Chat Doctor. You could use an expectorant that contains guaifenesin such as Murine. You should also add a cough suppressant such as Dexomethorphan. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello sir, I am 24 year old and diagnosed with lichen plasus pigmentosus. It is at its early stage with few spot on neck and face . I have family history of this disease. I am prescribed with skinlite cream containing hydroquinone . I want to know that whether my condition is curable and how long it will take to cure. Please help me out.", "output": "Hi! Neha, Welcome To Chat Doctor forum, NEA, LPP is a chronic problem and sadly its response to the treatment is very variable. I am sure your treating dermatologist would have told you. It appears as ash colored patches over flexes of body and chest. You can apply skin lite if you want, but the more specific medicine is oral it A. We usually give it for 2 weeks, once a month and then repeat it next month too. Similarly, we can 3 such cycles. In resistant cases even oral retinoids can be tried. But for that you should consult a good dermatologist.Also, before giving retinoids one needs to undergo certain blood investigations and take specific precaution (esp in females). So discuss the possibility of retinoids with your treating doctor.It's an excellent tablet for pimples, but works good for pigmentation too. If you are using skin lite over exposed areas of body then don't forget to use a good SPF sunscreen in daytime. I hope this answers your question, if you have any further query you can write back to us. Regards, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here... My Hb was 107, took iron for 1 month, hb now 128. CBC describes RBCs as having anisocytosis, ovalocytosis and occasional pencil cells. My RDW is now high at 18.9%. I have red pin point dots on my body. I am very tired. WCC and PLTS were normal.My doctor says that I am OK. I do not agree.", "output": "Hi, dairy have gone through your question. I can understand your concern. You have mild iron deficiency anemia. So your raw is slightly high, and you have pencil cells. Continue with iron treatment. Pinpoint rash may be due to some skin disease. You need examination for that. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had a weak, painful spine for over 15 years. Nothing showed up on last MFI but everytime I try to be active, my back/buttock/ neck muscles spasm , pain in groin , hip and rib cage and the stiffness is so bad in my legs I can hardly walk. My legs feel like two blocks of wood. I am managing the pain, but worried about the lack of function everytime I move about. As it has gone on for so long, should I consulant a GP? Been down the road of investigation about five years ago and was told bones good, minor degenerative discs, so reluctant not to waste anyone s time. The morning stiffness increases all day when I am up and about. Should I rest more?", "output": "Hello. Welcome to Chat Doctor. You have not mentioned your age.... considering you having pain for last 15 years, it is probably degenerative disc disease-which includes disc prolapse, bulge as well as lumbar canal stenosis. Best approach for you will be to visit a neurologist. Some minor physical tests and investigations will reveal the exact situation. Thereafter, you can go in for physiotherapy or minor surgical procedures whichever is best. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had my annual mammogram in which they noticed something a little different behind my left nipple. I then had an ultrasound and then a MRI in which they determined to be nothing. I was then having a slight clear sticky discharge but now it is bleeding spontaneously. They want to perform a galactogram(?). Can this mean cancer?", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have some breast disease or nipple pathology. You should go for biopsy or fine needle aspiration cytology of that lump. It will give you exact diagnosis whether it is cancer or other pathology. Then you should take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Is this depression? I had a heart break 2 years ago, I cried a lot over her and after that I am not able to feel anything inside. I cannot feel things the way I used to feel earlier, I m just dead inside. How do I become a normal person again who could feel I things!? Please help!!", "output": "Hi Siri have gone through your question and understand your concerns. Separation from our loved ones is a heartbreaking situation for any human being. But, you should goof. Life and time waits for none. Presently your depressive state with features of loss of pleasure in daily chores, no feelings for anything, feeling low most time, sleep disturbances which all indicate your present pathetic situation which ought to be treated immediately. If I were your treating psychiatrist, I would recommend an antidepressant like SSRIs along with counselling techniques like cognitive behavioral therapy." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "a child of 2/3 yrs supposed to have ITP or low platelets after a period of Diarrhyea/vomiting her mother found some traces / spots/stains of violet/pale blue over part of her body .BLOOD TESTS HAVE BEEN CARRIED SEVERAL TIMES AND PUT ON CURE OF cortisons/antbiotics. Several attempts increasing the dose and there has been a factor of low and high platelets. SHE HAS TAKEN WEIGHT AND FEELS HUNGRY AND WANTS TO EAT SWEETY FOOD. kindly provide us with your wise advices.", "output": "Hello ITP is immune thrombocytopenic purpura. Here no diet restriction is needed. You may give whatever the child wants. In most of the cases platelet count increases over a period of time without any specific treatment. I suggest you to get repeat test done after 7-10 days to know the platelet count. In very few cases low platelet may persist for longer duration. In that case I would suggest you to consult your pediatrician for management. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im a 54 year old male. Went to doc today and he said I have a small hernia on my left side near my scrotum. With this type of hernia is it normal to have testicular pain? Should I have the hernia repaired? Does having a vasectomy approximately 25 years ago have any impact on my current condition?", "output": "HelloThakss for query. You have been diagnosed to have Lt inguinal Hernia. Please note that it is in noway related to or due to vasectomy that you have undergone 25 years back. Testicular pain that you have is likely to be due to hernia itself. Surgery is the only treatment option for hernia. Please consult qualified General Surgeon for clinical assessment and get it repaired at earliest as per your convenience. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, My name is Samantha. Sometime between sunday afternoon while being outside to Monday morning something bit my ear lobe area. My gland behind the ear is swollen and my earlobe is swollen and red. I took a few antibiotics i had on hand and tylenol. Today is the third day of the symptoms. what should i do?", "output": "Hello, Welcome to Chat Doctor, I can understand your concern for insect bite. After reading your query it appears that you have developed insect bite hypersensitivity. This basically caused by hypersensitivity to the insect bite which can cause acute aggravation of the problem and flare up of the lesions. Thank you. As you are not getting relief from the steroids an antihistamine, so I suggest you to meet a dermatologist and get your skin examined to get proper best treatment. You can apply steroid creams of higher potency for the early resolution of the lesions. You can take oral anti histamine like loratadine or levocetrizine under medial advice. If you have pain and irritation then you can take a tablet paracetamol or diclofenac. Do not scratch or rub the skin as it can lead to further aggravation. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have suffered with swollen knees for many years and I have also recovered from a ruptured patella tendon which changed my dancing career. I have a lot of scar tissue on my left knee after the major operation- knee cap stitched without any pins, but I can no longer bend as well as before or sit evenly on my knees and the pain is still as excruciating as the time my pattella ruptured. My right knee works well but I did an extremely rigorous yoga work- shop this weekend and it has so much fluid surrounding the knee cap I can barely sit,walk or stand. Are there any exercises I can do to give my knees relief?", "output": "Hello, Thank you for your query. The prognosis of the surgery varies with the location and severity of the rupture. There are other factors which needs to be considered like the age and weight. The knee swelling of the right knee might be due to the acute injury caused due to the workout, may be a meniscus tear or ligament sprain. If the pain is too severe and swelling not subsiding it is advisable to take an x-ray of knee. Physical therapy helps in return of the natural strength and stability of the knee after the surgery. You can follow basic instructions like 1- Avoid rigorous work-outs till total recovery 2- Have cold and hot water application of the knee to relieve the pain and discomfort 3- Can do simple knee exercises Building muscle strength takes time. As you get stronger, gradually increase the number of exercise repetitions or add weight to an exercise." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am suffering with right side jaw pain some difficulty in right ear ,neck pain ,shoulder pain ,back side of right ear and tenderness under jaws and I observer that small lump above the right tonsil.please suggest me some things suffering from 6 months.went to dentist and ENT also they told me the I was suffering with TMJ.", "output": "Hello and welcome, Since you had pain around the right ear, there may be TMJ dislocation/pain/inflammation. I would advise you to visit an oral-maxillofacial surgeon and get clinical examination like palpation done at the region of condoles to rule out any disk displacement is associated. An OPG of the area will help to rule out any anomaly underlying. Take complete course of antibiotics and analgesics along with muscle relaxants. Avoid mouth opening too widely. If there is dislocation /fracture of jaws/condoles, then jaws has to be immobilized and splinting has to be done. Physiotherapic exercises has to be done. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Respected sir i am 22 year old i am suffering from skin itching nearly 2 months , i had took antihistamine tablets ,that tablets gave me temporary relief when i stop medicine again i feel severe itching in my whole body ,but my skin looks normal , i could not found the reason my RBC level low due to typhoid (7 months back) .please help me.", "output": "Hello, The itching that you are suffering from could be related to the previous infection, a condition known as infection-related urticaria. However, if your skin appears completely normal, then you will need several tests in order to ensure there is no specific organ related pathology.Some tests include liver function tests with gamma GT, liver autoantibodies with ANA if Lots including ALK for very abnormal (and raised bilirubin); thyroid function tests. Typhoid and a viral hepatitis can very rarely co-exist or happen, so it is important that viral entities are excluded. The treatment will then depend on the results." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been having pain and aches in between my shoulders since yesterday and my lower back ,bad headache today chest and stomach pain and leg cramps bad. sometimes its like a knife being pushed in between my shoulders ,some blured vison, just don t feel right.", "output": "Here as per your explanation looks like pain in between your shoulder could be due to muscle weakness for the same place, or it can be due to spinal curve loss at cervical level. Again you also have pain for your Lowe back means either it can be spinal muscle weakness or loss of curve at lumbar level. Along with this spinal pain if you have anything like numbness or tingling sensation then it could be nerve compression at respected level with disc problem also. But if you have pain only at spinal level and there is no radiating pain to hand or leg then it can be related to bone weakness, muscle weakness or there is something called as ankylosing spondylitis. However the conformation can be done only with MRI and blood test for Ankylosing spondylitis. As per the report you can visit orthopedic and plan for your treatment. For severe cases here he will suggest for surgical option and for mild issues he will suggest for physiotherapy treatment with spinal exercises and few medications.However even after surgery also physiotherapy advice for posture and spinal exercises advice is very important so go ahead and follow it. Along with this you can also use hot and cold pack at home for some more relief. Headache also can be related with spinal problem and should improve along with this treatment. Apart from this for your gastric issue it may or may not be related with this. In case if it is relates with your spinal health then that will also improve with spinal health. And if it's not improving then I suggest changing your lifestyle and diet habits TK healthy habits. And even after that if there is no result then you need to visit a specialist for this for proper evaluation and treatment. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi my wife used to complain about the noise of hoovering from next door,or like she used to think that next door guys is keeping eyes on her throughout the day and later on she starts forgetting things like cooking shopping like most of the social life she is under treatment now she dont complain about noises and the guys following but keep forgetting things to do in just a seconds..is she will be cured?", "output": "Hello, The symptoms of your wife are not related to anxiety or panic or depressive disorder. They are just part and parcel of her psychosis. She is recovering from her illness and the voices and auspiciousness have reduced, but the distraction or inability to concentrate is still there. Many patients when get free from their positive symptoms (like hearing voices etc.), develop negative symptoms-memory problems, lethargy, inability to work properly and lack of motivation for most things. This also gets better with time and treatment. Patient should be motivated for doing all kinds of household works, and encouraged by others. She should bot be nudged and insulted for her declined performance (negative comments only deteriorate them). Then gradually, with continuous efforts, she will definitely become better. Donot worry, most of the time there is no permanent memory loss. Wish you good luck" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a c section 7 months ago and after 2 months of giving birth I started taking birth control pills, then I noticed that my urine has a very string and foul smell. I have taken this pill before for 3 years before getting pregnantand urine didn t smell bad before.", "output": "Hello, Thanks for your query on Chat Doctor\"As\" per your clinical history is concerned please follow like this -1)Do a clinical examination by your Doctor[urologist] and to confirm it do few investigations like [Urine RE/ME/Culture] and [cystoscope].2)If infection suspected then discuss with your Doctor about prescription medications like [Nitrofurantoin]. Do follow lifestyle modifications like this -1)Try to Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hellow...ChatDoctor !Im from Nepal. I am 19 years old and I have done my high school 2 years before. now I am doing bachelor in science but I couldnt continue it anymore due to my problem. the problem that I am facing is that...I cant do anything myself. I mean I feel very lonely and depressed when I find myself in a new place. each and every time I need someone by my side in a new place. I cant make friends so easily and I cant talk with unknown person. I dont know what happens to my mind and me... I cant thing anything. my mind goes empty. so due to this I left to go my college since first year. I dont know what to do. some time I think I cant do any thing myself wihout my frnd or anyone.I dont know how to get ride from this. will u please help me......???", "output": "Hello read your statement and I understand your concern about your conditioner history suggests that you are suffering from Depression with Anxiety component present. Here are things to do> Start Tab Alprazolam 0.25\u00a0mg one at night for 8 days (Stop after 8 days)> Start Tab Federal 10\u00a0mg twice a day for 14 days> Start Tab Fluoxetine 20 mg one tablet at morning for 6 months. In last one month you will have to taper this> Go to psychological and start Cognitive Behavioral Therapy session, about 8 session> Use you bed only when u sleep, do regular exercise and play sports. Try to meet your friends and go out with them to market, movie etc Hope This will solve your issueThanks Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im 14, I used to masturbate a lot when I was little when I would finish my balls would hurt but i read somewhere that its because theres no sperm producing... Now im 14 I have pubes and almost all signs ,but when I master bait my sperm is sort off clear and cloudy with a yellow tint. Should i be concerned. Should I wait a little longer or go to the hospital. I really want to have kids and im worried.", "output": "Hi.welcome to Chat Doctor.I understand your problem.my opinion is that, masturbating more than twice in a day can cause pain in the testis and penis. So if I were your treating doctor, my advice is that,1.masturbate twice in a week.don't do more than that.2.avoid cigarette smoking and alcohol intake.3.avoid stress.4 take healthy foods.5.do yoga and exercise. Thank you. Hope my answer will help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my 12 year-old brother has mild abdominal pain in the umbilical region that is localized above the belly button. The pain was felt yesterday about 30 mins after eating fried chicken and dessert that contains milk. Later that night he vomit. Up to this time, he felt mild pain still in the umbilical region accompanied with a 37.7 C of fever and mild headache. He only vomit once. What is it? Could it be gastroenteritis or an early sign of appendicitis? Thank you for your help.", "output": "Hi ! Good morning. I am Chat Doctor answering your query. Yes, this could be a gastroenteritis, but as doubted by you could be an early sign of appendicitis specially a pelvic/post ideal appendicitis. This can be differentiated not without a clinical examination and related investigations. Therefore, I would suggest you to report to the ER of a nearby hospital in your area, so that appropriate diagnosis and management could be instituted. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have an elevated PSA for the first time and follows taking allopurional to help control my uric acid levels. I am asymptomatic for gout, but have had calcium oxylate kidney stones. The allopurinol was prescribed as a prophylacti for kidney stone formation. Could the elevated PSA level be a result of taking allopurinol?", "output": "Hi, I went through your query. PSA or prostate specific antigen as the name suggests is raised in diseases of the prostate. Common causes are benign hyperplasia of prostate, prostatitis, prostate cancer. Allopurinol is not usually known to cause elevated PSA levels. However, the test often gives false positive results. So I would advise you to repeat the test and undergo a transrectal ultrasound accordingly. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am suffering from heavy head after I talk for 5-10 mins. I can t talk further and I feel irritation in my head. I am taking following pills 1. Szitalo Plus 5 mg, Flunil 2.5 mg but it didn t helped me so I visited Nurologist who prescibed me Felicita OD. Whats the use of this medicine?", "output": "Hi, Felicita OD is a vitamin and mineral supplement used in addition to other medications. It is useful in case of cardiovascular disorders and facilitates healing of nerve damage since it contains Alpha biopic acid, Benfotiamine, chromium, Inositol and Mecobalamin. Benfotiamine is an essential nutrient for development of the nervous system. Mecobalamin is an essential nutrient that helps the body make healthy red blood and nerve cells. Alpha-lipoic acid is an antioxidant that prevent cell damage in the body, and also restores vitamin levels such as vitamin E and C. Hope I have answered your query. Let me know if I can assist you further. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have a quick question on bladder infection in men I have a really strange feeling down below clear puss and tingling I am happily married four year now no other sexual partner on either died since we met 6 yr ago. Could this be a bladder infection or something else very confused", "output": "Hellos discharge from penis may indicate infection(UTI). You need proper clinical examination and routine investigations. Investigations include routine hologram, random blood sugar, renal function test, ultrasound of abdomen, urine RE/ME. Gram stain of pus material and culture/sensitivity should also be done. Further investigation depend upon findings. You may be prescribed antibiotics depending upon findings. It is important to rule out STD. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my son has cough variant asthma, he is on a controller med of symbicort and recently was given duoneb in instead of albuterol for a flair up he had that was not improving after oral steroids. He again has began having a more wet cough and instead of starting albuterol, i started duoneb treatments one to two times a day as needed, they seem to be working much better than the straight albuterol, but i was wondering if duoneb is only supposed to be used when his flair up is more severe or if it is okay to start initially. I feel like the duoneb has kept his symptoms from progressing. Thank you for your time", "output": "Hello. Thank you for asking at Chat Doctor. I would like to know age of your son. However, I guess he is having childhood asthma. Albuterol is usually the most important medicine to be used in flair up. Even Done contains two Chat Doctor. So it can also be used initially for asthma exacerbation. However, it cannot be given so frequently as albuterol alone. Also, if your son has frequent flair ups, I would suggest to increase controller medications (increase dose of inhaled corticosteroids or add montelukast) as need for frequent albuterol indicates asthma is not under good control. Hope this will help you to solve your query. Wish your son best of the health. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been diagnosed with clinical depression say 4years ago but due to lack of funds, nothing have been done as per treatment. None of my folks believed my need for care and companionship. My daily life has seriously worsened. Now I have acute malnutrition leading to acute deficiencies in vitamin A, B6, C and E. I could sleep all day too weak to do anything, and since I have been socially isolated from childhood, there s nobody around. I experience headaches, down to my eye balls. I also just recently noticed bad breaths and whitish tongue, my genitals scrates me, looks whitish and produces foul odour. I am 26yrs old and I have never been close to a woman to experience sex, but when I am all tensed up, I watch porn and masturbate. I don t know what frequency is okay. I feel painfully alienated from mainstream of the society. I hate that I could be awfully quiet and aloof, unnoticed and too poor to do anything about it. I don t want to die!", "output": "Dear serve understand your concerns went through your details. If you have been diagnosed as clinically depressed, all I can say is to get psychiatric treatment immediately. Lack of funds should not hamper your treatment. You should talk to charitable institutions working on your area regarding this. Secondly malnutrition is due to lack of proper nutritious food. This area you have to look into. Get those foods that provide you nutrition. Your doctor can help you on this. Masturbation can be done thrice a week at the max. As an interim measure, try to be with your family and friends as much as possible. Do not stay alone or do not sleep alone. Try to engage in some activities including sports. Get some sunlight. If you require more of my help in this aspect, please use this URL. http://goo.gl/yyyyyyy. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been having overwhelming feelings of violent thoughts no self harm just to others. these events only occur under a peaceful mindset rage and anger dont set them off. When im hyper aggressive or angry thought become blank. im 3o years old male caucasian no family history of mental illness on either maternal or paternal side. This thoughts encompass harming severely anyone around me and have gotten so bad ive broke down into tears and suffered hallucinations of the act being committed. my hands will shake and ill remove my self from the room im in so as to not potentially harm anyone. i really dont think i would but these visions are becoming worse and worse", "output": "Hello and welcome to Chat Doctor. Thanks for your query. I understand that you are extremely distressed by your symptoms. These intrusive violent or aggressive thoughts / images could be part of a psychiatric disorder called obsessive compulsive disorder (OCD). The important features of obsessions in OCD are that the person is able to realize that these thoughts are unwanted and intrusive, but despite attempts to stop these thoughts, they keep coming repetitively, leaving the person very distressed. However, you need a detailed psychological assessment in order to confirm this diagnosis, as well as rule out any other psychiatric disorder such as a psychotic disorder. So, I would advise you to seek professional help urgently - please consult a psychiatrist for a detailed evaluation and further treatment." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 7 year old daughter has woken up during the night vomiting. she did the same just over a week ago, and the same a week before that so it s been 3 times in 2 weeks. about 8 months ago she did this on and off (once a week) for about a month but then was fine for the 8 months. she is otherwise perfectly well, no other symptoms, no headaches, although she did have abdominal pain and diahorrea with the last episode. I myself suffer from migraines if that helps.", "output": "Hello, It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic-associated diarrhea. I suggest you use zinc supplements (Z&D Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My partner has experienced rigors since yesterday , he is now in hospital and is on antibiotics, his temp went to 40 degrees and he was delerious in hospital. He is in the best of care but is there anything else I should know? Can exposure to mould be a contributing factor? He is 60 yrs, 6 foot tall, approx 75kg and is generally well,on a saline drip with antibiotics every 4 hrs. Bloods are ok but inflamitoray marker is high. Would appreciate advice. Thanks Suzi", "output": "Thanks to Chat Doctor I can understand your concern there are many etiological factors for Pyrex associated with rigors it may be a bacterial, viral or fungal infections. So please check once all basic investigations like CBP, ESR,LFT, RFT. Widal test for typhoid, Rapid malaria test.blood culture, cue, urine culture generally in old age.inflammation over joints leads to high grade fever with chills rigors as you said serum markers are raised, please continue the antibiotics, antiinflammatory Chat Doctor. don't worry it will subside, take care of deny" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a hemotoma after or during the delivery of my child 28 yrs again.(while inthe labor room duaghter head came out sooner .than expected ..- no pushing lol)..everytime I take a blood test they say that I am anemic ...is this the reason for the abnormalicy or what else can be done..no other problems....no high blood pressure no other heath issues....how else do I explain this or is this common with a hemotoma", "output": "Hi, Thanks for asking. Based on your clinical history and query, my opinion is as follows:1. Hematoma, if large, can cause anemia at that time. Not any time after that.2. Females commonly have anemia, due to decreased nutrition and monthly periods' loss.3. Improve your nutrition and take supplements of It B12, folic acid and iron, your hemoglobin level will improve. Hope it helps. Any further queries, happy to help again." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "How can I help my daughter with Bipolar and possibly a personality disorder when she is in a low, depression? We are supporting her and we were trying to get her to job hunt after losing her job 6 months ago. She is trying but she is so depressed that her goal is to get out of the apartment once a day. She doesnt take care of herself, and last week her doctor dropped her from his practice because she was not being compliant with her meds and missed some appointments. Now she feels even more depressed, we dont know how to help her. What can we do to get her moving again?", "output": "Hi, The first thing that you should do is to find her a new psychiatrist or request her old one to take her back again. I think he will agree if you take the responsibility of supervising her and ensuring compliance. After this try being a bit more assertive with her when issues related to her treatment are in question. Praise her and reward her for all the efforts that she makes to get well and to follow her doctors instructions. The best you can do for her is to ensure that she takes her treatment properly. Best wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im 46 Keep in mind I have never had this b4. Ok so under my belly above the happy place, in the center I keep getting like a butterfly feeling since Tues. which happened to be the start of my period. it comes on more & more, after dinner tonight I had my boyfriend listen to it, since he cant feel what Im feeling from the outside, he said it sounds like running water, then slows down to a dripping coffee pot cooking. I have NO PAIN, but I dont think it is normal, anything you can think of, Thanks & my b/f is fixed, & I pee & poo & pass gas just fine also.", "output": "Hi welcome to Chat Doctor forum Thanks for writing to Chat Doctor. F. As you describe you had a feeling of butterfly in the supra pubic area. It is not a pain, but a feeling. Your boyfriend described as flowing water, and remission, yes both of you are correct. To the nerves of that area it feels as you feel. But for the hearing and hand sensation it will be felt as flowing water. They are the sounds of the gut. When the nerves of that area are intact and busy we won't feel the sensation. But when the nerves become somewhat weak they become stimulated and feeling is felt. When the nerves are intact also when the intestines are irritant due to irritant food the sounds may be felt. During examination with the stethoscope are direct hearing we feel like flowing water, it goes on increasing and decreasing hence we feel it. There is nothing to worry, but if they are accompanied by loose motions or pain you should consult a doctor as it signifies infection, and don't come down without treatment. Wishing that everything will be fine. Best regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my son 23 years old son has got a awelling on his right side chest wall with pain. On FNAC pus was detected. On CT Scan TB was suspected. But all other anciliary tests are negative for TB. there has been weight loss, evening fever and weakness. Please suggest.", "output": "Hi thanks for contacting Chat Doctor.... Noted you have abscess like lesion over chest. CT scan suspecting TB.... So here tuberculosis confirmed by sputum examination by Zn stain or sputum culture in ACTED system... Which ancillary test you done???? Genetic testing helpful for tuberculosis like PCR or fluorescence... If tuberculosis not present treat abscess with antibiotic..... Weight loss, fever (prolonged) can be by HIV or any other chronic illness ... Rule out it.... Diabetis also should be ruled out by sugar estimation... Take care. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my report is as below USG_Liver- The liver is enlarged in size(144mm)shape and confugration. The hepatic parenchyma exhibits increased echologenicity and echoattenuation. The IHBR &EHBR are not dilated. There is no sign of focal lesion is sseen. The hepatic veins are also normal. My age is 58 years (Male)", "output": "Hi, How are you? My name is Chat Doctor. I am a Liver and pancreas specialist and I hope to answer your question today. It seems by your ultrasound report that you might be suffering from fatty Liver. Fatty liver can be caused by excessive alcohol intake (Alcoholic SEATO hepatitis, ASH) or due to excessive fatty food intake and sedentary lifestyle (Non-alcoholic SEATO hepatitis, NASH). ASH is usually the beginning stages of alcohol induced liver damage and is completely reversible if the patient refrains from alcohol. NASH is being much more commonly diagnosed currently owing to poor dietary habits and sedentary lifestyles of people. High caloric intake, high fatty food intake and poor exercise regimens lead to deposition of fat goblets in the liver tissue leading to fatty liver (which shows up as increased echo texture on USG). This is also completely reversible in the initial stages if caloric intake is limited and exercise regimens are adhered to. If left unchecked, patients usually become obese, diabetic and in final stages may lead to cirrhosis of the liver which will necessitate a liver transplant. I would suggest a healthy diet and exercise regimen. Although there is no time limit on when to get a repeat scan, I would suggest one, once you have succeeded in losing some weight. Hope this helped and hope you start to feel better. Please do not hesitate to contact me for further details. Have a great day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a dream that i had pain in my heart and that too twice. The pain was too strong in dream itself, it was more like stretch in muscles nd as if my heart were split into two pieces. When i woke i could still feel the lil pain on heart side. And one thing i forgot to tell that there has been a constant pain in my left arm from shoulder to Fingers for like 2-3 years and i always ignored that. Now i am feeling worried that it can be related to some heart problem. I can t stop thinking about that dream, what could it be? I still don t know if I felt the pain in real or it was just a bad dream.. btw i am 22 years old", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Considering your symptoms and your young age (22 years), possibility of panic attacks is more. But better to rule out heart related pain first. So get done ECG and 2d echo. If they are normal then no need to worry about heart diseases. Consult psychotherapist for bad Chat Doctor. You need counseling sessions. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Last Friday I fell off an obstacle on an obstacle course about roughly 6ft tall and I landed on my back and hit my head on the ground. When I got up my back hurt and I was dizzy and at first everything looked like tunnell vision. I had a headache for a bit after that but it went away. I have a history of sciatica and my lower back had been hurting minimal before the fall but now my lower back, reaching up to below my ribs on the right side and inbetween my shoulder blades hurts alot and is hard to move. as well as having a sharp pain near my tail bone. I am a 21 year old female in the Army.", "output": "Hi Welcome to Chat Doctor After going through your query I concluded that you are having acute backache. Cause of it likely to be disc prolapse or muscular pain along with coccyxdynia. Its treatment is rest and analgesic such as ibuprofen for pain relief. Position of resting is rest in lateral position with both hip and knee flexed. Mecobalamin is helpful in recovery. Hot sits bath is helpful in reducing coccyxdynia. You can discuss with your Doctor about it. Hope your query get answered. If you have any clarification then please don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was diagnosed with bronchiectasis 11 years ago. This is my primary diagnosis I had a Ct scan a year ago that should a right middle lobe nodule and 6months ago I had a follow up of this CT scan and it should multiple tree bud nodules. Are these nodules just from the consolidation of mucus? Do t hey ever go away? I have been had genetic testing and sweat test done for cystic fibrosis and it is negative. i had the blood work done for aspergiullius and it was positive but the pulmonnlolgist said it was contaminated I then had a bronch and it came back positive and he said that to was contaminated. How does blood work and bronchoscopy cultures come up contaminated?", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. Tree in bud appearance on CT thorax seen in1. Tuberculosis2. APA (Allergic Bronchi Pulmonary Aspergilli). So I don't think your BAD (Bronchi Alveolar Lavage) report is contaminated. This might be true report. Yes, the pulmonologist was right about sputum report as contamination is common in sputum. But not in BAD. And bronchiectasis is seen in both, tuberculosis and APA. So I advise you to consult another pulmonologist and discuss all these." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "here it is. I have a non-productive, shallow cough that seems to only come around in the evenings for the past week. I have tried all things over the counter; 3 types of cold medicine, cough syrup for chest congestion, flonase (simular store product), and tried 30mg of sudafed prescribed by my GP. I am battling it again tonight. Wheezing as soon as I lay down, gunk going down my throat and I can t cough it up. I cough till I can clear my windpipe and breathe which can take some effort. Enough effort to make me leak a little on the oppisite end (pee). The minute I try to lay down thinking all is ok and it starts all over again. I take night time cold medicine so I can sleep and so can my husband. I still have to stay propped up to do that.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of bronchitis is more likely. Best treatment for bronchitis is inhaled bronchodilator. Since you are not taking inhaled treatment you are not improving. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment is based on severity only. You will definitely improve with inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "MY FATHERS FATHER DIED FROM A HEARTATTACK-MYDAD DID TOO. NOW MY BROTHER IS IN THE HOSPITAL FOR HEART RELATED ISSUES, AND I CANT MAKE THE DOCTORS DO ANYTHING BUT A STRESS TEST & THEY ALSO SAID STAY AWAY FROM FATTY FOODS. HE CAN RIDE A BIKE ALL DAY, THEY ARE MISSING SOMETHING, I KNOW OF PROCEDURES, B/C OF WHAT HAPPEND TO MY DAD, ECHOCARDIOGRAM, ANGINA, TACKACARDIA IS WHAT HE MY FATHER WAS DIAGNOSED WITH JUST BEFORE HE DIED. NOW MY BROTHER IS IN THE HOSPITAL, AND ALL THEY CAN TELL HIM TO DO IS TOO STAY AWAY FROM FATTY FOODS. HE IS MY ONLY BROTHER I DONT WANT HIM TO DIE, AND B/C THE DOCTOR IS MISSING SOMETHING, THAT I AM SURE OF. WHAT CAN I DO, BEFORE THE UNTHINKABLE HAPPENS?", "output": "Hello! Welcome and thank you for asking on Chat Doctor! I passed carefully through your question and would recommend performing a nuclear perfusion cardiac stress test in order to exclude coronary artery disease. If this test results abnormal, a coronary angiogram would be needed. In the meantime, I would recommend taking daily baby aspirin. Statins may be needed if he has been diagnosed with dyslipidemia. You should discuss with his doctor on the above issues. Kind regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son aged 18+ has been taking Paxidep CR25 for two years for anxiety, depression and OCD. After one year he stopped the medicine, the problems relapse. Dr. advised him to continue the medicine. He has also taken counseling for one year but to no avail. Now, he has concentration problems, not performing well even after hardworking, getting annoyed on small things, feeling headache, nausea, dry mouth, loss of appetite etc. Kindly guide me on my following queries:- i) How long he can take Paxidep. ii) Whether side effects of paxidep are temporary or permanent iii) whether OCD is curable or the patient has to take the medicine throughout the life.", "output": "His understand your concern. OCD is very difficult to treat, and its prognosis is varied from subject to subject.30% of the cases will improve with medicine and do not require taking it further. Around 50 to 60% cases has many recurrences and have to take treatment for longer period of times.10 to 15% cases require lifetime medications. With that much of dose he usually does not have any side effect, if any then it is temporary. OCD is curable in certain extent but not always. It is different in every subject. But regular treatment and good compliance will increase the rate of recovery. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "DEAR MAM I AM RAJI I HAVE PCOS FOR PAST 7 YEARS I HAVE 6 YEARS DAUGHTER I HAVE A PROBLEM LIKE BLEEDING ON ALL DAYS AFTER 5TH DAY ALSO DOCTOR TOLD ME TO SUGGEST DEPOPROVERA AND IN MY BODY TABLETS ARE NOT ACCEPTED IAM CONTIONOUSLY GET VOMITING SENSATION.BUT OVRAL TAKEN WITH DOCTOR SUGGESTION .NOW I NEED 2 ND BABY NOW THE DOCTOR CHANGE MY TABLET AS BENFORCEM IS THIS TABLET IS USED FOR MY PREGNANCY KINDLY SUGGEST ME", "output": "Hi, enforce tablet is basically an insulin sensitizer. In pod the main reason of disordered ovulation is insulin resistance. So it can help you in ovulating. But alone it will not work. You can take some medicines like camphene for the growth of your eggs and track your follicles' growth by repeated ultrasound. When follicles reach more than 17 mm size, take an injection for rupturing the follicles. Be in contact with your husband for next 2 to 3 days. Take progesterone for next 2 weeks to support the pregnancy. Do a urine pregnancy test after that. You can try like that for 3 to 6 months. Hope I have answered your question. If you have any other query I will be happy to help. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a CBC recently as art of a physical. Everything was normal except the doc said I was severly anemic with microcytic cells. A subsequent test for iron levels found my iron to be normal at 47 (30-170 quoted as he normal range). I am 42 (female) so I think it would be odd that this could be thalassemia (the doc mentioned this as a possibility). I am now being referred to a hematologist. Thoughts about what this could be? My other symptoms include brittle splitting nails, pica (ice), fatigue, dizziness and breathlessness on exertion, pale inner eyelids and gums. Currently I also have a sore throat, I also have severe allergies and recurring sinus infections.", "output": "Based on your query and lab findings my opinion is1. Your symptoms of giddiness, fatigue, pica are all pointers for anemia. That does not necessarily mean you have thalassemia.2. Severe anemia with microcytic RBC's is commonly caused by iron deficiency. 3. Other causes of microcytic anemia are Chronic diseases/ thalassemia.4. In your case iron levels are normal but still on the lower limit of normal, so get iron stores, iron saturation and TBC done to rule out or confirm iron deficiency as cause of anemia.5. Thalassemia could be a possibility, which can be ruled out or confirmed by Hemoglobin electrophoresis. Hope this helps. Wish you good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a pain in my chest centre, it feels heavy like sombody is pushing on my chest, I was drinking alcahol last night, quite a lot, I am over weight but I keep quite fit from walking, I only drink once a week, but it is normally quite a lot, and its the next day in the afternoon the pain starts, I am starting to get a bit worried can you help me please.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Alcohol causes acute gastritis. And this causes chest pain, tightness etc. So better to avoid alcohol in the future. Take pantoprazole tablet on empty stomach twice daily. Avoid stress and tension, be relaxed and calm. Avoid hot and spicy food. Avoid junk food. Avoid large meals, instead take frequent small meals. You will mostly improve with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My boy friend has a lump that appears under the skin its kinda soft on the botttom side of his penis and sometimes he also gets small clusters of tiny hard bumps on top of skin he says hes been tested and its not an STD ... What could it be how do I bring it up without hurting his feelings ?", "output": "Hi! Good morning. I am Chat Doctor answering your query. The history suggests that he might be having multiple sebaceous cysts of the skin which is a benign but annoying condition. I would advise you to counsel him to see a dermatologist or a general surgeon in your area who after a clinical examination and related investigations could solve your boyfriends problem. I hope this information would help you in discussing with your family physician/treating doctor in further management of your boyfriends' problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am28years married 13 months back. i want child for which i made semin analysis which shows semin motality 40%. then i take COQ 10 300mg for 45days but my wife is not still conceiving. the reports of my wife are normal.Muneer Ahamd Khan Anantnag Jammu and Kashmir", "output": "Hi, Thanks for writing to Chat Doctor. Sadly medicine has not come up with such treatment which has Chat Doctor. Only multivitamin and zinc supplements are prescribed which improve sperm quality. I would suggest you some lifestyle modifications-stop smoking and alcohol and caffeine.- regular exercise, ware loose undergarment.- healthy food intake and avoid stress.-maintain ideal weight. I would suggest you to discuss with your doctor regarding use of ovulation inducing " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I get anger when people dislike my words whether it is right or wrong. I have got the habit of talking to myself/scold others. Is it serious problem? Should i consult any doctor ? I am heart patient with cholestol problem also, i am 95 kgs ( 56yrs)", "output": "Hi Rebuke, It is perfectly normal to get angry when someone disagrees with us. It is a normal human nature. What is required is to learn to control our anger. The first step is to realize that our emotional response is not correct, for which we repent later. Our anger and irritation increases when we have a very stress full situation. Try to do some meditation, learn to smile with every one whether we like that person or not. Smile does not cost us anything, and we do not lose anything but the gain from it is tremendous. Even our enemies will learn to smile back, and in the process all our accumulated tension will disappear and with it our anger will also vanish." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son is 14. On Saturday, he woke up with flu symptoms, throwing up, diarrhea and a 101.8 temperature. He was fine Friday went he went to bed (after eating Mexican food. I did not eat the same thing). By Sunday afternoon he had a low grade temp and most of the vomiting was over. By Monday night he was stating his stomach hurt. It is still hurting today. I m not sure if he got food poisoning Friday night, or if he truly had the flu. And not sure if we should go the doctor or not. (I just started a new job and am currently without health insurance until May 1st)", "output": "Hi, Welcome to Chat Doctor, All these symptoms are indicative of food poisoning. Food poisoning is nothing but acute gastroenteritis due to toxins of contaminated food from infections like bacteria, virus, parasite etc. Symptoms usually starts after 12 to 24 hours of eating, like nausea, vomiting,abdominal pain, loose motions, fever,weakness, fatigue, headache, abdominal cramps due to water and electrolyte imbalance. As per your symptoms, you have this gastroenteritis and will require antibiotics(ofloxacin with ornidazole), antispasmodics, antiemetic, probiotics and other supportive treatment as per your symptoms. So, consult physician for proper treatment." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "question I have a large lump in my tummy right at my belly button ... not sure if its a hernia or not but my feet are also swelling daily and not going down and I feel winded having to take walks. or anything and feel as my back is killing me with agonizing pain like I could cry is this all because this could be a side effect?", "output": "Hi, dear. I have gone through your question. I can understand your concern. You may have umbilical hernia or inguinal hernia. Your description sounds that. You should go for examination of your swelling whether it is hernia or not. If it is hernia then go for hernia repair surgery like meshplasty. If you don't have hernia then go for fine needle aspiration cytology. Then take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i had a baby 3 months ago. Ive been exercising ,but my tummy still looks as though im 5 months pregnant . I think maybe gas and bloathing can be the cause.What can i take to help?", "output": "Hi! Post delivery the abdominal wall and muscles become flabby and loose. The most effective way to lose that extra baby weight around the belly is to eat right and exercise. Eat a nutritionally balanced, low-fat, high-fiber diet. Choose plenty of fresh fruits, vegetables, and whole grain bread and brown rice. Do low-impact aerobic exercise to burn calories. Riding on a stationary bike is an excellent calorie-burning exercise. Take your baby on a walk in a stroller around the neighborhood or at the park. You will be burning calories and spending quality time with your baby. Do sit-ups to tighten and tone abdominal muscles. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi , i am not sure whether i had proper sex with my husband. cuz firstly it did no go completely inside and plus there was no ejaculation. but still i have read that even the contact can cause pregnancy. i am scared. so my husband asked me to take a pill within 72 hours. but i am scared as i dont want to take the pill.. what should i do. ? cuz i am not even sure whether the way we did(which was hardly anything) it can cause pregancy but again there is a risk .", "output": "Hello dairy understand your concernThere is always some chance of the pregnancy in unprotected sex. Sometime pre-cum enter in to the vagina unknowingly before the ejaculation. So you have penetrative sex and so there is chance of the pregnancy. So better to take I pill with in 24 hours of sex. But it can be taken up to 72 hours of the sex to prevent unwanted pregnancy. So main thing is the day of menstruation when you did sex. If you have done sex in safe period of the cycle then no need to take pill. If you have done sex in fertile phase of the cycle (10th to 20th day of cycle) then take pill.No, any harm in taking emergency contraceptive pill, and it has just few minor side effects in some cases. If you do not want to take pill then only option is wait for the period to come. If you will pregnant then you have to take abortion pill to terminate the pregnancyAvoid stress, take healthy diet, Chat Doctor. Hope this may help noncontact further if follow up needed Best regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doctors,i am writing this for my brother .he is 27 .he is planing to marry .but i know that my brother and sister they both are having hepatitis B. no medicine taken yet .is there any problem in his marriage ..what all the precaution he needs to take ?", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query your brother is having Hepatitis B disease and his marriage is getting planned, as Hepatitis B is sexually transmitted disease and virus is transmitted through blood and body fluids infected with Hepatitis B virus. As Hepatitis B is sexually transmitted, so after marriage there are chances that the spouse be infected. I would suggest you to visit Hepatologist once and get examination of levels of HBV done. Follow all the instructions given by Hepatologist and then take decision as it varies from person to person the levels of enzymes and its effects on body. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "iam male 34/176cms/85 kgs.recently i went for my professional med check up .my bp came out to be 148/107! i have left smoking for 11 months now .when i used to smoke it was 140/90. but last year it was normal. however i was on gm diet for one week. i am a social drinker and non veg. pl advice", "output": "Hello, I understand your concern and would explain that your symptoms could be related to anxiety or any other metabolic disorder. I don't think that stopping smoking is related to this clinical situation. For this reason, I recommend performing some tests in order to investigate for other secondary causes: - complete blood count, PCR, ESR- a chest X-ray study-kidney and liver function tests-blood electrolytes- fasting glucose-thyroid hormone levels for possible thyroid gland dysfunction. You should discuss with your doctor on the above tests. Starting antihypertensive therapy may be needed. In the meantime, I recommend reducing salt and caffeine intake. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor, My name is Relton and i am 29 years old. Today i had been for a master health checkup and i was diagnosed to have fatty liver . How can i get it to normal condition? Also my doubt is i take Seacod Codliver capsules, per day 2, as i at times tend to have high BP , so was suggested to have seacod capsules. Does comsuming seacod cause fatty liver, as i am non-alcoholic and do not smoke .", "output": "Hello, Elton. Alexander, Fatty liver is caused by various factors. Number one in western hemispheres alcohol excess. The one we are seeing more commonly is a condition called \"Metabolic Syn Chat Doctor. This is associated with overweight. Type-2diabetes or insulin resistance, high lipids and fatty liver of various grades. Codliver oil supplement is actually good for the body. It supplies Omega-3fatty acids which are anti-oxidants and prevent cancer and boost your immune system. I recommend that you get a complete metabolic panel, lipid levels. Thyroid function tests and an ultrasound examination of the liver if you have not had that. Losing weight is important along with regular exercise. Cut back on fatty foods, increase proteins in your diet. Take Vitae supplement 800i.u. daily along with Vital 1000\u00a0mg. Daily. I am very glad that you are not a " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, i have a small white lump just smaller than the size of a pea on the inside of my cheek? Its not painful and i dont really know its there until i run my tongue over it. Its quite hard and sometimes gets in the way of things, and ive never noticed it before, any ideas on what it is?", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have some tumor in cheek or some other lesion. You should go for biopsy of that lump. It can be squamous cell carcinoma or hyperkeratosis lesion. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "We cant seem to get my 3 year old Grand Daughter to eat much and she was sick a week ago but now all she seems to have is some diearah and a swollen stomach and all she will eat is yogurt and a some Gatorade and milk. she is still very active should we take her off the milk for a few days.", "output": "Hi... I take this opportunity to tell you certain scientific facts and relieve your distress - 1. An active is a well kid even if she/ he is not eating well. 2. Development of a kid is as important as, or I would say even more important than growth alone.3. As the kids grow their interest in food decreases and interest in play activities increases so that they eat small quantity and run away to play. As parents, we need to be more patient and feed than less quantity but more liquors per day.4. This age rather than the quantity of the food I suggest you concentrate more on the number of times you feed her and also make whatever you feed her calorie dense by adding good amount of ghee to it.5. I suggest you not to use appetite stimulants on long run as they may cause Chat Doctor. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am nursing mother my daughter is 3 months old and she is on EBF. since her birth I am feeling pain and burning sensation in my left breast. from last 3 weeks I have pus filled bump on my nipple. I am in great pain. doctor recommended me antibiotics which I took but no relive. now she has suggested me to go for ultrasound for cancer. please guide me what is it and how I get rid of pain and bump.", "output": "Dear Ma'am, Sorry to hear about your problem. You are probably suffering from a lactational breast abscess, which needs to be treated with antibiotics and Chat Doctor. Sometimes a breast abscess can mimic a breast carcinoma as well and there is no harm in getting it evaluated by an ultrasound and a biopsy of the lump. You should visit a surgeon and have it evaluated immediately. Hoping for the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi My Names Erica Im 17 Years Old AndI Will Be 18 In July. I Have A Question About Pregnancy!? Well Let Me Start Off By Telling You My Situation, Me And This Guy I Have Been Seeing For About Almost A Year Now Had Sex On November 27th Around 10:00 At Night , And He Ejaculated In Me. Im Going To Take It Back Now, I Started My Period On The 17th Of November And Ended On The 21st My Cycle Is Only 5 Days And Im Pretty Regular. I Noticed That I Was Starting To Get That Mucas Stuff ( Ovulation ) It Was White Thick Looking About 3-4 Days After My Period Ended. The Day After We Had Sex My Mucas Turned Egg White.. I Been Reading That When It Looks Egg White Your Most Fertile , AndThat Sperm Can Live In You For Dayss Especially If Your Ovulating An Fertile. Is There Any Channce I Could Be Pregnant?!?", "output": "Hello, Thanks for writing to us. You involved in unprotected sex close to your fertile period and there is quite chance of being pregnant. I suggest you to undergo one home pregnancy test if you miss your next period. Common symptoms of pregnancy:a) Missed period, nausea, vomiting, tender and swollen breast.b) Increased frequency of urination, fatigue, food craving.c) Slight vaginal spotting, cramping, mood swing, constipation etc. Hope, I have answered your query. Good luck and take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m 19 years old and I went to the hospital 2 weeks ago for inflamed ribs, the medication has worn off and I still have inflamed ribs, the medication I took was Celecoxib, and my inflamed ribs appear to be getting worse. Anyways I took a shower and noticed I get light headed and sore all over my back and chest when I stand for to long, I also noticed my left upper body was red, Spot like when I stood for 20 minutes at a time, Can this be poor circulation because I am skinny (130 pounds 6 feet tall) or can this have to do with my inflamed ribs or a heart problem? Another issue is when I sit for to long my inner legs start to hurt and my feet become numb Oh and before I forget my inflamed ribs are worse on my left side. Thank you to anyone who helps.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of vitamin B12, calcium and vitamin D3 deficiency is more. Chest and back soreness is commonly seen with calcium and vitamin D3 deficiency. Numbness in lower limbs is commonly seen with vitamin B12 deficiency. So get done blood levels of vitamin B12, calcium and vitamin D3 and if deficiency then you will need supplements. Also avoid movements causing pain. Avoid bad postures in sleep. Avoid heavyweight lifting and strenuous exercise. Apply warm water pad on affected areas of chest and back. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son is 14 and had his well visit yesterday. The doctor said he had a high blood pressure and that I should take it for 3 weeks and send him the results. His father has high blood pressure and is on medication and his Paternal Grandmother had high blood pressure was on medication and suffered from several strokes before her passing. Should I be concerned??", "output": "Hello, Thanks for writing to Chat Doctor, I am Chat Doctor. Yes you should look into this matter closely, usually even if there is family history still high blood pressure in an age this young needs to be looked at. Yes your doctor advised you the right thing to do. Take a diary and start writing his blood pressures three times a day with dates and then take this record to his doctor. In this age there can be a number of causes of blood pressure rise, renal artery stenosis can be one of them hormonal issues can cause it too but first best step to take is making a blood pressure chart. Till tour next visit to doctor reduce salt intake of your son, only if BP is consistently on a higher side. If BP stays on a higher side on checking the record, your doctor might run some more tests on him like catecholamine levels, renal artery Doppler, ultrasound abdomen, MRI brain, what ever he deems necessary, to rule out different causes of early onset hypertension. I hope this answered your question, If you have more queries I am happy to answer you. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my son has just turned 4. For the past 6 weeks he hasnt been his usual happy confident self. He is pale and looks washout all the time.. His appetite is not as good as it is normaly and he is always complaining of being tiered. He has a VP shunt.. Can it be normal to be unwell for such a long time? His main complaint is a pain in his stomach..regards Lauren", "output": "Hi Lauren ! I would like to know if your son is getting fever either low or high grade in between. The symptoms you have mentioned are pointing to infection in the course of the shunt. It could be the peritoneal cavity (abdominal cavity). I would suggest you to contact your doctor/pediatrician at the earliest, who may apart from clinically examining him suggest some blood tests for your son to see if there are any features of infection. I hope this should help you in dealing with the situation. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m 17+ my sperms ill come out while i sleep at n8 1/2 times in a week .. this happening wd me almost 2/3 years ... i dont want to do hand job because i m a Muslim!!! Plzzz some dr tell me what i do!!! I m really vary worried! I m getting weeker .... plz help me otherwise i ill socite! : ( plz reply me on my gmail id YYYY@YYYY i dont have any money!!! Plz dr its.for my life", "output": "His understand your query. Please read and educate your self. Semen production occur 24 hourly and stored in scrotum. It has limited capacity for storage. If you do not do masturbation or sex then nightfall is a only way to come out of stored semen as its production is continuous process. It does not lead to weakness it is natural process. We can not do anything with it. So do not think and accept this fact that it is normal, and it does not lead to any bad effect on body or health. Still have query then feel free to ask. Thank you. Wish you a good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI I have a diagnosis- severe dysplasia and Carcinoma in situ of the cervisis. ( PAP 18). I had a conization two weeks ago, the result was, that the edges were clean. But for 4 months I have had pain in my tailbone. Only accurs while sitting. I dont feel any pain while walking, sitting, lifting things, going to the toilet, having sex etc. When leaning forward while sitting- again no pain. The harder the chair, the more pain. It just appeared at work in the middle of the day and does not improve. But I am still concerned. I am scared about the cancer , maybe its already everywhere. I am 32 years old. 1 child born in 2002. My job includes both- long periods of sitting and some weeks a lot on lifting heavy things.", "output": "Hello dear, The biopsy showed carcinoma in situ with clean edges, which says that the cancer was removed completely. Still if it wasn't, then it would first present in vagina or uterus and the symptoms would be abnormal bleeding or dirty discharge. Pain in the tailbone occurs in many people who have slightly longer tailbones and sit on hard surface, because the tailbone presses against the hard surface. In my opinion, this pain is not because of cancer spread. Try using a soft mattress when you sit on something hard. You can do hot fomentation for pain relief. I'm sure the pain will be relieved. If it still persists, then you can consult a gynecologist. Hope I have answered your query. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my name is Carmen 22, and recently Ive been having some front bottom teeth irritation and they started to receed not to long ago.. But how do you explain the mouth full of blood when I wake up and theres a clot forming where the gum line receded ? HELP", "output": "Thanks for your query, I have gone through your question. The receded gums and bleeding is because of the gum infection secondary to deposits. Consult your dentist get your teeth cleaned. Maintain oral hygiene, use mouth wash, brush twice daily. Whatever damage has occurred till now, but further damage can be prevented. Once in a year get your teeth cleaned. I hope my answer will help you. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi..can i ask, what is hazy densities which are noted at the right lower lobe? and it says the rest of the lung fields are clear. Lateral c-p sinuses are blunted. And impression given was Pneumonia and also consider pleural fluid, bilateral. Thank you.", "output": "Hello Thanks for writing to ChatDoctorHazy density in the right lower lobe may be due to infection. Both lateral CP angles are also blunted, it may be due to mild pleural effusion. Ultrasound of thorax can be done for confirmation of pleural fluid. It is important to rule out infective etiology. You need clinical correlation. Broad spectrum antibiotics should be prescribed after evaluation. You also need further tests like routine hologram. Hope I have answered your query. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a history of kidney stones. Right now I have a 4 mm stone in my right jidney that showed on a CT scan. This stones hurts but my doctor doesnt believe that. I am alao having sharp pains in my right lower stomach, back and groin. The dictor said CT scan shows no stone here. Am I crazy??", "output": "Hi, Thanks for writing in. A kidney stone measuring 4 mm can hurt and cause pain. If such a stone is seen on CT scan which is causing obstruction, and you are feeling pain around the location then a pain due to the stone cannot be ruled out. The CT scan images are to be seen to discuss in detail. Rarely, such a pain can also be caused by another problem in the same area. The presence of the stone causing any obstruction is the most definite sign of pain due to the kidney stone. It is also possible that rarely stones less than 2 mm can be missed on CT scan and such a stone or any other recently passed out stone before taking CT stone can cause such a pain. Please discuss this matter in detail and continue to Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Can penicillin cause inflamed gums and sores? 24 hours after starting treatment with Penicillin for strep throat, I started with inflamed gums that bleed with brushing and small sores throughout my mouth. Wondering if its caused by the penicillin or the infection. Throat is improving, mouth is worsening.", "output": "Hello. I read through your query and I must say that as such the penicillin doesn't have side effect on the gums, but it can cause change in taste of the mouth ulceration in some cads, but these are all seen in long application of penicillin. For some people there can be allergy to penicillin which can result in some sort of probs like this, but it can result in skin rashes etc. so I think it won't be due to allergy. I suggest you to Chat Doctor. Be cool and stay happy.That's the best medicine for any disease. Hope your benefitted something from this reply. Have a healthy day!!!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Can high uric acid level onset stomach upset and arrhythmia on a patient having medication after a heart surgery?, if yes what makes the UA levels elevated, any of the medications?Rajan, 169 cm, 56kgs, had a mitral valve repair with CE ring placement and 5 CABG grafts some 3 yrs back. on medication now. starpress xl 50,TelsartanH,liponorm,clopitabA75", "output": "Hello, uric acid won't cause any symptoms in itself. This is particularly so for stomach upset and arrhythmia. Diuretics like the one contained in Telsartan-H may increase blood uric acid levels. Increased uric acid levels need treatment when one of the following conditions exist:- history of gout-uric acid renal stones-uric acid skin nodules-after treatment of tumors/hematologic malignancies which cause a very high level of uric acid in the blood. I hope I've been clear and helpful! If you have further questions, please ask and I'll be glad to help more. Kind Regards!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have had a pain in my gum which has now spread, I have a swollen ulcerated area under my tongue my gum at the back of my bottom teeth is going a dark colour and is sore and under my Jaw into my neck is sore and swollen, I feel sick and hot. I had hysterectomy 3 weeks ago. I have had these occurances before but nothing for the whole of last year. What could be causing this?", "output": "Hi, Thanks for asking the query, Swollen ulcerated area beneath the tongue can be ulcerations, cystic swelling, salivary gland swelling, cystic lesions, manual, or some kind of infections arriving from the adjacent tooth or jaw bone. I would suggest you to visit an Oral and Maxillofacial Surgeon and get a clinical evaluation done. Take an OPG x-ray, which will give the periapical condition. You can undergo Biopsy of the lesion. Meanwhile, go for symptomatic treatment with warm saline gargles, use antiseptic mouthwash gargles twice daily, maintain a good oral hygiene, avoid eating of hot and spicy food stuffs. Hope this helps out. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "is there any whole body checkup package and if, yes what is the cost. high blood pressure . migrain, yellowish face , lower calciumlevel", "output": "Hello,You can check in with your nearest hospital, and they already might have designed a package which would be suitable for you. But generally these type of packages are very costly and if done through corporate or your center of employment, they offer special discounted rates. Further I would like to advice you to go for physician check up and get only those tests which are needed for you than for all the tests. Hope this helps and clears your doubts, thanks Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am male,aged 63. during sep 12 i underwent thorough body check up in a reputed hospital at .i do not have bp problem. there is no traces for diabetes. weigh is reported as normal.one observation is as follows left kidney measures11.7x4.9cms.a simple cortical cyst measuring 3.1x3.1cm in the inferior pole extending exophytically.it shows normal echopattern with no evidence of calculi or calyceal dilation. I have not taken any medicine so far.Whether the cyst can be dissolved without taking any allopatChatDoctoredicines.Pl suggest .", "output": "Simple cortical cyst can occur normally as age advances. Only when it is multiple or the cyst is large enough to compress the renal tissues and impair its function, or when it gets infected or a hemorrhage occurs inside it, it needs intervention. Else, it can be followed up with USG by the same radiologist every 6 to 12 myths. Provided, your urea, creatinine levels are normal and no evidence of proteinuria, u don't need to take any medications. Just a periodical follow up is enough" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "yesterday i was very dizzy and very weak and it started getting hard to swallow. Today i am still dizzy and my lymph nodes are very swollen. Ive also been wheezing, I coughed up a little blood today also. Ive been coughing up mucus and my nose has been runny. I have also had a fever of 101 and i still get dizzy and weak. My chest hurts very bad when i cough too. I am 14 years old.What do i have??!?! :(", "output": "Hi dear. What you have, could be a simple respiratory infection caused by a virus, like Jackie for example, which has tropism for respiratory tract. At first, many viral infections cause, fever, cough (with a little of blood, because of the force, when you cough) and chest pain (because of a viral pericarditis, which is normal in some type of virus). But if you keep with symptoms, and fever for 5 days or more, you should make a blood test (hologram), and a radiography to find out the severity of the infection. I hope this helps you, and get good soon! :)" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I sometimes feel angry and capable of doing anything bad. I hate the whole world and everybody in it. Mom says she loves me but I over heard her telling grandma I am responsible for my kid sisters death. She also often tells me that I am an only child because I killed all the children before they are born. Dad left mom because I was not born a boy. I hate myself, my parents and everybody else.", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. I suggest you should talk to your mother regarding this. Your problem could just be obsessions and assumptions. No mother can tell like that to her own child. Secondly, even if it is like that, why you are worrying? Every one of us are loners. We come alone, live alone and go alone. Who ever comes in between are just passers-by. We are here to live our life perfectly. Do it. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 90 years old - just saw my own doctor last week and everything was fine I dont have to see him again until October. I have suddenly been dizzy getting up from sleep all night. I always get up very, very, slowly. But my head starts spinning. Also I have noticed when I have laid down and my head is on my pillow I feel like the room is spinning. Do I have Vertigo? I have never felt this way before.", "output": "Hello, Thanks for the query to Chat Doctor. Forum. This is disturbed ambulation due to this patient feels dizziness, This is actually mild degree lightheadedness with impaired sensation from the feet particularly in elderly patient. Even we call it benign disequilibrium of aging. Otherwise, there are no problems of deafness or related to ears or nausea, so most probable reason is dizziness. Consult a geriatric physician and get his opinion regarding about this. However, blood for lipid profile, sugar, may help you. Good luck. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir, I underwent by pass surgery during March 1996 for a triple vessel disease. By pass done 1. RIMA to RCA, LIMA to LCA.& OM2. Last month I took CT Angio, it shows RIMA to RCA have block, OM2 has 50% block & LIMA to LCA is normal. Cardiologist was consulted and advised to take aspirn & astravatsin. Pl. advised non surgical methods to remove blocks completely. Bakirathan", "output": "Hi, I can understand that one of the graft is completely occluded and other is 50% blocked. In such a case we generally advise angioplasty of the blocked graft which is done non surgically. If you have no symptoms, you can be put on optimized medical therapy and observed. You should continue Esprit and Atorvastatin as advised. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I often have pain on my right abdomen area I am a gassy person. This pain comes and goes close to my menstral cycle it s more prominant. I have had a cyst on my ovaries that has been removed. This pain is barrible it s not extremely painful. It only becomes extremely painful once in a while. Once in awhile when flipping over in bed at night I get a sharp twisting feeling in my abdomen it s painful.", "output": "Hi. Thanks for your query and an elucidated history. Your history is definitely indicative of an inflammatory pathology going on in the abdomen; this is the reason the pain is more near menstrual periods and increases on flipping over. You need a physical / clinical examination by a Gastroenterologist and contrast enhanced CT scan of abdomen. This will give the exact diagnosis and guideline whether you need a medical treatment or surgical treatment." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had my wisdom teeth extracted with IV sedation and just recently after found out I was pregnant. I ve had irregular periods my whole life so I didn t know but I am about 13-14 weeks pregnant. Very scared my baby is hurt and since it s Friday my doctor isn t in her office. Please help", "output": "First, congratulations! Second of all, don't worry. By 13 to 14 weeks, the large majority of the organs have formed. The best time to have surgery (like wisdom teeth or appendix or gallbladder) is the second semester, which you are officially in now. At this point, sedation does not pose a large risk to the baby. Potential hazards that could harm your baby more than sedation for wisdom teeth extraction include alcohol, tobacco or Chat Doctor. I wouldn't worry about a bit of sedation. Now, It's going to be important to establish prenatal care and stay healthy for the rest of your pregnancy. Again, congratulations!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my daughter is 34wk pregnant her blood pressure is 14o by 100n there is protien present in her urine her doctor has put her on tablrt gardinal i/2-1/2-1 and l-arg9 granules three time i want to knew docter how this will bring her pressure down and the effct of gardinal on her pregnancy", "output": "Hi, Your daughter has pregnancy induced hypertension. And we need to keep her blood pressure below 140/90. The usual tablets used for this are Labetalol and alpha methyl dopa or Devin. Gardinal is used just to alleviate anxiety and is usually given at nighttimes, so that she has a good sleep. L-arginine are amino acid granules to help in babies growth, it's a supplement and not compulsory to take it. I would advise you to discuss the prescribed antihypertensive with her doctor and also keep a detailed chart of her Blood pressure values every 6 hours. Also, I assume her blood test and ultrasound examination have been done and are normal. NST(fetal heart trace) is also recommended. Hope this helps. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? I have been experiencing back pain in the upper left shoulder blade for 2 weeks, pain is now traveling down my left arm and arm is pulsating. I am thinking the pain in from a new workout i started 2 weeks ago (kettle ball) but want to make sure I am not having a heart attach. I have a chiropractic appt tomorrow to work out kinks in back.", "output": "Hi, thank you for posting. I have gone through your query and I understand your concerns. I think that the pain is related to physical exercises, and it's not caused by heart problems.However, if you experience this pain for a long period time you should go to the hospital for some tests. The tests you need are:1. Electrocardiogram.2. Vertebral column X-ray.3. Fibrinogen test.4. Complete blood count.5. Urine test. Ask me for anything unclear. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir my daughter 9 years old girl suffering jaundice for last 45 days ...at the begining her bilrubin rate was 2, then 10 days back it increased to 9.9.......3 days back it was 9.6..........during this peroied one doctor adviced to give B..complex syrup and one ayurvedic medicin named Liv.52 ( himalaya).............then 3 days back i consulted a gastro enterologist doctor. he advised to give omnacortil 20 mg for one week and omnacortil 15 mg for next one week........she s sffering hepatitice A.............is ther any problem with give that tablet......any hight or weight problem or any other side effect.........please advise", "output": "Hi thanks for your query as per discussion your child is a case of chronic active hepatitis and there is beneficial role of steroid like omnacortil (prednisolone) for decrease progression side effects of prednisolone are --swelling, rapid weight gain, feeling short of breath;severe depression, bloody or tarry stools, coughing up blood;report to your doctor if any of them occurs dose of prednisolone are given as per weight and the doses your daughter have are adequate. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello .. 6 years ago .. it was 4rth day of my period..bathing time i used my finger just like master bating but i didn t want to do such type of bad activity ..so when i felt that it was orgasm (excitement ) time i tried to stop such activity...orgasm time i tried to stop my excitement & that time i felt something strange . after that i felt my urine was not coming out clearly & flow was so weak & slow...i felt that it was coming slowly & it comes only from my right side of vagina ...at the same time i felt some abdominal activity in my stomach( thorax side area).. & after that activity it made a swallow area( in my lungs side area) for that i feel obstruction in taking breath in the middle of my thorax ..i am 25 year old girl & that condition is still remained..& this condition has created a lots of problem for me like- can t taking breathing properly,feeling heavy in my thorax,weakness, blood deficiency ,tiredness , stop growing with age prob,.neck beating , feeling always obstruction in taking breath& yess urine is not clearly come out still now.. but my period is at time..thanks waiting of ur reply", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. By your history and description, possibility of stress and anxiety related symptoms is more. But better to rule out Pulmonary causes for your symptoms. So get done chest x-ray and PFT (Pulmonary Function Test). If both are normal then no need to worry about Pulmonary causes. Possibility of anxiety related symptoms is more in your case. So better to consult psychiatrist and get done counseling sessions, try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. So avoid stress and tension. Be relax and calm. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have 3 liver enzymes that are slightly elevated what foods will help to lower them. I have a good diet already consisting of fruit, veg, grains etc....no red meat just white meat with plenty of fish. I also consume approx 1 litre of water a day. alcohol consumption is a bottle of wine shared on a fortnightly basis.", "output": "Hi, Welcome to Chat Doctor. It would have been better if you had mentioned names of enzymes and levels of enzymes. Still any rise in liver enzymes indicate inflammation to liver. Many reasons are behind it. Commonest is alcohol intake or medicines like statins, Tylenol hepatitis is also one of the common. If you do not experience any symptoms then no need to worry. Most of the time it might be Chat Doctor. Repeat test after 6 months and keep follow up. If still enzymes remain high, you need to rule of cause by consulting physician. Your diet is good. No need to worry about diet. Cut down/ stop if possible your alcohol intake. Enzymes will come down to normal. I hope I have answered your query. In case of doubt I shall be happy to help you. Best regards," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my baby is 10 months old and she was having fever from last one week. she doesnt have fever now but she has a full blown cold. from today morning onwards her sound is changed and she is having cough also. please tell me some remedy for cough and sound change", "output": "Hello, Cough and cold are viral 95% of the times in child Chat Doctor. For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. For cold, you can use Cetirizine. For the nasal block, plain saline nasal " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "ok i am a 200lb 36y Latin women i have asthma . Ok about 2 week ago i was getting in the the bed. i bent my leg letting my knee touch the bed first and then i felt a sharp pain. i tought nothing of it at first. but as time go by the pain has increased. it hurts to walk and i now have like a small swelling pouch inside what should i do?", "output": "These are symptoms of trauma and the blood form hematoma below skin causing swelling and paint may take 3 wk to go take of lox 200 mg BD for 3 days to prevent infection take pyloric BD for 2 wait might not increase any complication on asthma this will clear pain and swelling apply sensor oil on the affected portion and heat therapy by cotton pad it will go slowly when the swelling and hematoma resolves" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a friend who s daughter just had a baby yesterday. The infant boy has 2 holes in his lungs. He was 8lbs 9 ounces. They took him by C section 2 weeks early. He is currently in the NICU and the doctors say he will reamin there for 2 weeks. Is this something the infant can die from? He is currently not on a respirator.", "output": "Hi, Welcome to Chat Doctor, Your description of problem doesn't project a clear picture. Lungs normally have the lot of tiny holes inside which gas exchange occurs, but I am sure you are talking about something different here. However, the point that child is not on ventilator is very encouraging and so this might not lead to death in the child. But, till I know what the exact problem in the baby is, It's hard to predict. At this point, I think you should just trust the caring doctor. It seems like the baby is getting good care. Happy to clear further doubts. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 29 years old,single. I masturbate daily 2 to 3 times. Whenever I masturbate before ejaculation, I hold my breath and move penis fast for ejaculation. My hands feel pain during that time and shoulders too. Assuming it is due to fast masturbation. I stops somedays masturbating and starts again in the sameway. From fewdays, I feel mild pain in right testicle and now its paining in glans penis during masturbation after erection and pain spreads to right lower abdomen. I completely stopped masturbating from few days. I also suffer from frequent urination and I cant hold urination morethan five mints. I would be very glad, if any one can help me out. I am really worried about itThanks", "output": "Hi, There can be 2 reasons for your issue. 1. It can be due to urinary tract infection - doing a urine complete test can help diagnose the cause. 2. It can be due to frequent masturbation with inadequate nutrition - taking proper nutrition food and exercise can help ease away from pain. Masturbation 2 to 3 times a week is normal more than that can cause complications. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. R. Raveen" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have florescent thick blue drainage coming from my left breast, I also have a elongated lump in my left breast about 2 inches going from the middle of my breast stopping just before my arm pit and I have a scaly rash all over both of my breast. Can you help me and give me some answers? I hada lumpectomy two years ago but the drng never went away, now the lump is back and bigger than before. I also have thick yellow brownish drng from my right breast but no lump.", "output": "Hi ! Good evening. I am Chat Doctor answering your query. You have not given any information on the biopsy report of the lumpectomy done two years back. Although it might be difficult to give opinion without the earlier biopsy report in hand, I would suggest having a cytological examination and a culture sensitivity test of the discharge from the breast, a fresh mammogram of both breasts, and a review clinical examination by the same surgeon who operated on you or some other surgeon if he is not available. All the combination result of the physical examination of your breasts and maxilla, along with the investigation reports would help the treating doctor to decide on the further management of the condition. So take care and get yourself reviewed at the earliest possible. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Herpes or not? YIKES! This has happened twice to me while wearing a pad-my skin breaks open.The first time-My partner was being rough on the outside of my clothes trying to turn me on by rubbing the outside of my privates over my clothes. The next day it hurt and I had a tear in my skin.Recently when wearing a pad something hurt in the same area. When I examined the area I had 3 tiny clear bubbles and one cut looking spot. The bubbles popped clear fluid and now the spot has turned into an open wound with a red border. It never scabs or crusts, it heals and goes away..when I try to take a picture to examine its too shiny.", "output": "Hereafter reading your history in this query, these bubbles filled with clear fluid and cuts may be due to these reasons, these include>1 Abrasion or bruise, as you mentioned that your partner was rough on your private part, so this might have developed abrasion or bruise. You mentioned that there is an open wound, so this may be the result of bruise .2 Herpes zoster, as there is small multiple bubbles with clear fluid and shining appearance indicate Herpes, so physical examination is important. As you mentioned that open wound healed and goes away so in my opinion this is a case of mild abrasion due to rubbing. If it don't spread then no need of any consultation. If spread then consult a dermatologist and get his opinion. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have episodes or spells to where a numbness tingling that goes from my head to my arms all the way to finger tips but no further not below chest area then pass out ive had two or three episodes where my daughter in law finds me in floor, then i have diarrhea and vomiting after or while im out i have diarrhea", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have intermittent numbness spreading from head to arms, vomiting and diarrhea. Well there can be many reasons for symptoms you mention in query like peripheral neuropathy, food poisoning, gastroenteritis, irritable bowel syn Chat Doctor. I would suggest you to consult gastroenterologist for proper examination. Doctor may order stool test, ultrasound along with taking history. Doctor may prescribe anti-emetic " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my 2.5 year old is running a temperature of 102. We gave him crocin before 5 hours and now the fever is high again. Should i continue giving crocin? the pediatrician said that it will take 2-3 days to feel better and that we should continue giving medicine.", "output": "Hi... Thank you for consulting in Chat Doctor. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have just been to BP clinic and the nurse said she could hardly hear my blood pressure with the stethoscope? But she took it with an electronic one and by that time my BP was 152/80? She said I may have become tense which would account for it. But what is the reason for quiet BP?", "output": "HIT hanks for posting your query. Quiet sounds or difficult to auscultate (hear) blood pressure sounds could be either due to low blood flow through the arm or due to stiffness of the blood vessels through which blood flows. Low blood flow can be due to low blood volume due to deny Chat Doctor. Stiffness is due to normal aging process. I would say that there is no need to give any importance for quite BP. Just get your cholesterol checked (if not checked recently) Hope this information was useful to you. Any clarification feel free to ask ." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had an erythematous widespread rash. itching, low grade fever. Started 3 weeks ago with stiff neck. high wbc, and inflam markers. low iron count. fatigued. dexamethasone shot settled stiff neck, hands and knees. now I have a new rash which resembles chickenpox. (I have had chickenpox as a child). this doesnt seem to be as widespread. the stiffness is returning slowly. stiff hands have been for approx. 1 yr.", "output": "Hi, Thanks for writing to us. Fever, itchy erythematous rash, stiff neck, high WBC count points towards a viral etiology. At this stage when the diagnosis is not confirmed I would advise you to avoid steroid shots. Fever with stiff neck may be a sign of impending meningeal involvement. Another possibility could be autoimmune connective tissue disorders (systemic lupus erythematous, rheumatoid arthritis etc.). I would advise that you meet a physician and dermatologist for proper evaluation and treatment. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir, I am a an engg. student . I want to know whether masturbation can cause any harm to my memory or my thinking capabilities . I masturbate 4 times a week and that too just once every day at night ( just saying so that i can clarify that masturbation is not consuming my productive time). Not that i have experienced any difficulties . Infact this habit helped me in relaxing myself during board exams and helped me in acquiring good grades.", "output": "HelloThanks for query. You have been indulged in masturbation since many years and now facing problems related to general health.First there is myth in a mind of common man that excessive masturbation is the reason of all sexual problems But I would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ or system in the body. All the problems that you are facing now are mind related and due to anxiety. Following measure will help you to boost up your confidence and improve your general health and memory.ejaculation.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc3)Take anti oxidants like Almonds 5-6 every day.4) Avoid alcohol and smoking. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "im two and half months pregnant and have a serious head cold. Ive had it for over a month now and doesnt seem to be getting better. My nose is either constantly or running. I was just wondering if there was anything i could take to help relieve some of the pain and discomfort.", "output": "Respected user, Welcome to Chat Doctor.come have evaluated your query thoroughly.* This seems in relation with sinusitis following viral infection.* Suggestions for better recovery-Inhalation of vapors of boiled water added tincture Benson or Karol plus capsules 3 times a day 5 min. Each with blanket covered over the head gives excellent results.- Oral intake of basil leaves, turmeric powder in boiled milk are the best herbal remedies.- Deep breathing exercises , YOGA, walking in fresh air support a lot. Hope this will help you. Wishing you fine recovery. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have swelling in the left supraclavical (sp) area. I am over 50 and am a thyroid cancer survivor. My grandfather had colon cancer, my aunt had stomach cancer , I myself have low b12 levels. I go for a CT scan in a week. I did have bad acne on my arms for months, which did get infected somewhat. Is it possible that the swelling is from the problem with my arms, or, should I mentally prepare myself for cancer again....(90% chance). There is only swelling, the doctor is not sure he is even feeling node on second examination, might be some kind of heart artery he said. I have no other symptoms and feel well.", "output": "Hello and welcome to Chat Doctor !!! From the history that you have given of thyroid cancer it would be better if you got a FNAC done of the swelling because you are at risk of having a metastasis or since the supraclavicular area is the Chat Doctor. The low B12 levels are a concern too if they are persistently low despite supplements ask your doctor to test for the intrinsic factor deficiency along with the FNAC. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I HAVE A SORE ON THE BACK OF MY NECK/HEAD THAT IS NOT BLEEDING BUT CRUSTY AND OOZING. I THOUGHT IT WAS A SPIDER BITE OR PIMPLE AND WAS TRYING TO POP IT BUT ENDED UP WITH THIS SORE. NOW THE OTHER SIDE OF MY NECK FEELS LIKE IT IS BRUISED BUT THE PAIN IS NOW SPREADING UP INTO MY HEAD BUT THERE IS NO BRUISE. COULD I HAVE A STAFF INFECTION OR IS THIS SOMETHING ELSE? IT DOES NOT LOOK LIKE RINGWORM.", "output": "Hi. I did review your concern the sore lesion on your neck could be an infection or an irritant dermatitis. Due to wearing some new necklace or ornament or shirt material or shampoo. However, to be exactly sure I would advise you to consult your dermatologist who can then look at the lesion personally, examine it and begin the treatment. If It's dermatitis, keeping the irritant away and steroid creams would help. If its infection like a boil or fur uncle or a carbuncle due to staphylococci as you suspect it would require local antibiotic cream application. Meanwhile, keep that area clean. I hope this helps Wish you a very healthy life ahead." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir, my six months old baby has 3 colours on her body ,face is fair and legs and knees are very dark..and if we see we can recognize two lines exactly one on buttock and other on neck which are deviding the body colours. Please suggest me how to even out the skin colour.", "output": "Hi... Thank you for consulting in Chat Doctor. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "father is 87 suffered mild heart attack two weeks ago. heart is functioning at 15 per cent, kidneys are producing very small amounts of urine. so they are failing. he is on oxygen at around 8 per cent. not eating drinking very little. How long can we expect hime to have to hang on thru all of this. thankyou", "output": "Greetings! Thank you for your question and welcome to Chat Doctor. I understand your concern. I am assuming he had a major heart attack, or at least, a prior heart attack and a second, mild, heart attack happened now. A heart functioning at 15% is accompanied by a poor prognosis. This means that heart pumps only 15% of its content, and this is not sufficient to provide enough oxygen and nutrient supply to the end-organs. Kidney is suffering from this phenomenon, because, as a compensatory mechanism, the organism \"sacrifices\" other organ supply to keep the brain going. Also, the pressures in the pulmonary circulation will be very high, since the pulmonary veins cannot Chat Doctor. This can easily produce life-threatening situations, such as pulmonary edema. At this point, all the measures to prolong his life are mandatory, such as careful adhering to the treatment, which should include, among others, two diuretics, oxygen and an angiotensinogen converting enzyme; totally withhold salt from the diet, and confine to only minimal ambulations within the house, to perform necessary duties. I hope I was helpful with my answer. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 27 year old son had been attacked by a guy who used a pipe to beat him the guy broke both upper and lower gums he had his jaws wired shut this was 7 years ago his teeth are starting to discolor and it looks like he has perodontal disease only on the upper teeth can his teeth and health be treated to somewhat normal?", "output": "Thanks for your query, I have gone through your query. The discolored teeth could be because of the trauma. The teeth will lose its life following impact, the teeth starts becoming yellowish or reddish brown. These teeth can be treated by doing root canal treatment and restoring with ceramic crown. Consult an endodontist and get a radiograph done to rule out any infection within the bone and later get the teeth treated. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doc Wonder if u cud help me Am a 53 yr old Asian lady! In April last year, was diagnosed with piagets disease (very very early stage)! An operation was done in April n my anus was like reconstructed n I had a colonstonomy bag near my belly button! Tis was to give time fr my anus to recover , I rested fr abt 6 mths n then in end aug a reversible surgery was done! Everytin seems ok but frm time to time I hv gas n if I hv hard stools, ahh, lots of discomfort! If stools are soft, not a problem, my splinters hv not worked so well but wt kegel exercise, it s good , I m able to carry on wt my normal life, no pads, etc etc, even when I pass wind, no problem, My methyl checks wt my doc is good but they hv made me a case study n monitor me, so fR, they r very positive, I travel quite a bit, stress n foods tends to cause the hard stools, not all the time, but so stiles, Like the last two days, I did go to toilet, but it was not the easy poof n hv the uncomfortable feeling I never take laxatives as I don t want habit for I g, I try all kinds of fruits n vege! I m ok but jus thought to ask u abt it, Thks Jane", "output": "Hello, Pages is usually associated with gastrointestinal cancers only in Asians. I am not so sure about the issue. If it is hard stools, then there are a lot of foods and near foods that soften them. Solace is a soap. MiraLax is one of many sugars that do not get absorbed and just turn into soda by gut germs. Adequate water intake. Green tea is a mild stimulant. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my husband is 30yrs old and he has been complaining with is arms and legs feeling like they are being frogged over and over he cant slept hardly ever it has been going on for alomst 3 weeks he also had been saying his testicles and stomach has been hurting really bad and he started throwing up this morning, he does not have insurance for 3 months and he does not know what it might be or anything.", "output": "Hi Welcome to Chat Doctor. The symptoms you mentioned are not clear enough to give a specific advise. We would like more details from you. Let's assume with these symptoms put together, if he had any trauma to back he might be having disc problem. If he has any swelling over his lower abdomen which increase on cough, he might be having a hernia. These symptoms can be due to vitamin deficiency also. Please arrange your insurance and visit a General surgeon for further evaluation. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have fever last week but only for one day, because of stomach pain after that next week again fever come and first day temp is goes upto 101 F and second day goes upto 103 after that it low down on 3rd and now no fever,My widal test report shows to-1/80 and th-1/160 and doc give me azythromycine tab,pantop and isabgol .i have 97.4 F fever now bt sometimes pain occur in forehead and there is itching in my stomach whenever i eat spicy food and than fever also comes, so plz tell me is this serious condition of typhoid", "output": "HIT hanks for posting your query to Chat Doctor . See Typhoid without fever is less likely. Presently you don't have any fever. SO I personally don't feel you are having Typhoid. You can take a paracetamol for your headache and Rabeprezole for stomach Irritation. If in case there is any fever, you should get IGM Ty phi Dot test and revert. Any clarifications or Queries feel free to ask. Happy to help you. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I have had 5 episodes recently of severe abdominal pain. Each time the only thing in common is that I have eaten something containing almonds. I have been eating almonds for years...how is it possible that they suddenly are causing me so much pain??", "output": "Hello. Thank you for asking at Chat Doctor. I went through your details and would like to make suggestions as follows:1. Allergy to almonds is common, and it can develop after years of symptom free exposure.2. I would suggest you to get allergy testing for almonds as you have always noticed symptoms related to almond consumption. If it is positive, the best strategy is to avoid almonds. Hope above suggestion will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you the best of the health. Thank you & Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have 2 bumps one is on my scrotum it goes from where my testicles end and goes About a finger length up towards my testicles. The other one it right where my leg meets my thigh its not quite as big.I squeezed these two and white pus came out but after it ran out of pus it started bleeding.Please help me I am very scared and embarrassed to tell anyone is there anything I can do to get it to go away", "output": "HIT hank for asking to ChatDoctorI can understand your problem this might not be pus but could be sebaceous material medicine has got no role if these are the sebaceous cyst, you have to excise this surgically, but this is not emergency, you can go and get it confirm whether this is sebaceous cyst or something else because clinical examination can clear the picture hope this information helps you take care and have nice day. (Do not try to squeeze the lesion)" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my Name is bjdbe . I have had heart burn for sometime the Doctor put me on tecta back when it did work but no Infer works and I have a different medication now .. I have stomach pain more so when I have milk or dairy and use to have bloating it went away .. I have Diarrhea sometimes nausea not to often I still have a good appetite not sure what to make of it .. My family Doctor is sending me for a scope to see a specialist soon .. I am scared I he it isnt nothing serious", "output": "Hello dear, The symptoms as mentioned in your post is attributed to either infection or inflammation in the Gastrointestinal tract. Presenting with such symptoms, I usually treat my patients with:1. Tablet Pantoprazole + Risperidone twice daily (to be taken half an hour before food)2. Anti spasmodic like Dicyclomine preparation twice daily (to be taken after food).3. Antibiotics like Ofloxacin+Ornidazole preparation twice daily (to be taken after food)4. Oral Rely Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor,I have been taking Depran-10 for the last 30 months to cure my OCD as my physicist prescribed . As soon as I decrease the dose, the symptoms like sleeping disorder, anxiety start coming back. Till how long, would I need to take this medicine ?Thanks & Regards,ABC", "output": "His understand your concern. I had gone through your question.1st Dean 10 mg is very low dose to treat classical OCD. If you have anxiety sleep problem and mild obsessive features then it can help.2nd Dean 10 mg is very safe dose, and you can take it for long/. It has very minimal side effect and no need to worry about that. If you are better and all your symptoms are under control then need to take it properly for better outcome. Thank you. I hope I have answered your query. Still have a query then feel free to ask." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just noticed this really round ball like lump on one side of my belly. Its noticeable when I touch under skin and it hurts. My belly button has hurt in the past but I never has this. Now the pain radiates a little to the left. Ill go to my physician on Tues because of Memorial Day weekend but Im very worried now. What could it be?", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have some soft tissue tumor like lipoma, neurofibroma or muscular origin tumor. You should go for examination and then if needed to go for fine needle aspiration cytology. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My right cheek has been swollen for what has been close to a year. You can only tell if you look for it. Saw a dentist said no oral cancer. Its right near my jaw. No pain, feels slightly tender though. No teeth problems either. Blood tests 2 months ago came back normal. Any ideas?", "output": "Welcome to Chat Doctor I have gone through your query and understand your concern. Some abnormality of cheek can be there. It may be normal without a disease. Its cause can be facial nerve palsy. You probably need clinical evaluation by a physician, plastic surgeon and neurologist. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son has a Pineal Cyst 1.3 cm, it was found when he was 10 and 4mm, he is 19 now, he has seizures that just started about 6 mouths ago, real bad head aches and vision problems, to name a few, the doctor said that the cyst is nothing, but he is getting worse, is this something to worry about should i get another doctor?", "output": "A Pineal cyst (fluid filled sac) is a growth with smooth sides that appear on or near the Pineal gland. It occurs commonly and usually small. Pineal cysts are mostly benign and so usually ignored. Treatment is usually required in rare situations where the cyst has grown in size and when it starts to hinder the functions of other parts of the brain. Sometimes it becomes symptomatic. Usually due to increase in size and pressing onto other parts of the brain. Symptoms range in severity from nausea, severe headaches, seizures to coma. Large cysts can also cause visual problems. I would suggest you to take these symptoms seriously and consult a doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a boil on the back of my neck. It is very painful to the touch. I applied warm compression to it and it drained a little witChatDoctorpression but its still hard and painful. My assclown doctor wont be in until 1 week from tomorrow and er cost on my insurance is crazy is there anything I can do from home.", "output": "Hello! Thank you for the query. Swollen and painful lump indicates an infection. Most likely it's a kind of abscess. Can be caused by infected sebaceous cyst. There should be a lump present in this area before. Waiting a week is too long if it's an abscess. And It's hard to treat it at home. It should be incised and Chat Doctor. So you should rather consult a surgeon with it. Hope this will help. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 33 years and have been taking Telma H for the last 5 years. Recently my dose was increased to Telma H 80Mg. However towards the evening my BP is again shooting to 130/100. I may need to take another medicine in evening. My weight is 95kg and my work is stressful. The rest of my Lipid profile reports are normal. Will taking BP medicines from such an early age have an adverse effect and in what ways?", "output": "You have to control your blood pressure with or without medication, rather if it stays on the higher side there is higher risk for heart issues, stroke and kidney problem then taking medications. So do continue the medicine, Your blood pressure is still high, if your baseline pulse also remains more than 80 consider adding a beta blocker. You are overweight and need to lose weight for better control of blood pressure. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a very painful lump on my inner leg/but area. I ve had this twice before and they have ruptured on their own but it takes a couple of days to rupture. The pain woke me up around 3 this morning and now can not go back to sleep. I ve taken sitz bathes and have been taking aleve for the pain. I can barely walk because of the pain and now just laying in the bed is uncomfortable. Can anyone tell me what this might be and if I need to go to the doctor ?", "output": "Hi. You do need to see a Doctor as the pain is severe, and it has already happened twice earlier. By the history you give it seems like an abscess of some kind. Might be a perianal abscess. Therefore, you might need a course of antibiotics and a minor surgery to remove the pus inside if any. Do not worry, but please see a Doctor who can examine you and advice the best treatment. Take care. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, I have a question, what could that be and what I should do about it? My toes, rather between toes on one foot , the center of my palms, the back of the neck, where neck meets head get very itchy every day. Ive had this condition on and off for a few years, but now it became unbearable. Could that be an allergy, lack of vitamins? Please, help. thank you", "output": "Cellophane You for contacting Chat Doctor. Your symptoms could be because of allergy OR scabies. I would suggest you to visit a dermatologist once for detailed examination. If its scabies then simple lotion application for 3 consecutive days will help you. In case of allergy I would suggest you to undergo allergy testing at allergy clinic as you have chronic allergy problem. It will tell that you are allergic to what specific thing. The results will help an allergist to prescribe you immunotherapy to that specific allergen, and it will improve the problem. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "when you have had a bp of 150/90, is it normal just to go back to a normal reading. I was on bp medicine for about 1 year. My current reading is 135/64. My dr has asked me to stop taking the medicine for 1 month and monitor the reading at home. Please advise", "output": "Hello! Thank you for asking on Chat Doctor! I understand your concern and would explain that it is not an abnormal finding for the blood pressure to lower. This happens if you modify your lifestyle (a healthy diet, weight loss, physical activity), or treat the cause of a possible secondary hypertension. Sometimes, especially in young persons, high blood pressure can also be reversible. What is your actual BP therapy? But 135/64\u00a0mm Hg, are not too low blood pressure values. You should not forget that these values are measured while you are on an antihypertensive therapy. That is why, I would recommend to closely monitor your blood pressure and gradually decrease the dose of your BP medicine if needed. But I would not recommend stopping taking it, because you may be at risk for any uncontrolled high blood pressure episode. Hope to have been helpful! Feel free to ask any other questions, whenever you need! Greetings!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hey am 24yrs, weight 105, 5ft, I had an open myomectomy last year december, right now am around 5months since then. I have pains along myback at the wasteline and also at the edges of my abdomen. I tried getting pregnant this but unsuccessful. PLEASE ADVICE ME. Thank you", "output": "Hi, I think you can try naturally for 6 months to one year because mastectomy doesn't affect conception. But if it doesn't work in 6 months, get yourself evaluated. Do a thyroid profile and prolactin levels and an ultrasound for your uterus and ovaries. Also do a HSG to see the tubal patency. A semen analysis of your husband should be done. If everything is fine, you can try for 6 more months. Be in contact with your husband every 2 to 3 days after your periods stop. IT will increase chances of your pregnancy. Hope I have answered your question. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a hard knot on my upper thigh area in the crease of my thigh and pubic area, it s the size of a golf ball and is starting to get more painful everyday. Iv had it for about 5 days now and I have noticed a smaller lump forming on the other side in the same spot, it s not as hard yet. Also I have a small raised rash with a few little bumps/bubble looking things filled with liquid on my scrotum and base of penis that gets itchy an even if I lightly scratch it the bubbles bust and the liquid drains for a little while, but what could all of this be whether it s connected or not? Please help its very scary", "output": "Hello, Thanks for the query, You might have developed sebaceous cyst. It is a collection of dead material under the skin. When you press this material comes out as black debris.Don't worries its not a dangerous condition. Treatment is mainly surgical. It can be removed with the wall of the cyst, through a small incision. Please meet a dermatologist for exact diagnosis. Let me know if you have any other doubt. You can ask a direct question to me on this forum, following the below link.http://www.ChatDoctor .com/doctors/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi! I m married 2 1/2 years ago. I m planning for a baby for past 6 months. My menses are delayed for 15 days this month but I m in menses now. How do I get pregnant. I was not on any medication or taken any contraceptive pills. Please give me a solution.", "output": "Hello dairy understand your concertgoer delayed period could be due to hormonal imbalance. Normal hormonal imbalance, adequate maturation and rupture of follicle, patent fallopian tube and normal semen analysis will require to become pregnant. If you does not become pregnant then your both partner require infertility specialist consultation and undergo following investigations:reproductive hormone analysis, USG scan, ovarian follicle study, HSG test to confirm any problemSpecific treatment depend on problem can take tablet acre plus: it maintains reproductive healthy can also use progesterone in second half to regularize periodAvoid stress, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello. I had been diagnosed with a kidney infection. I had pain in my lower left back. Pain had subsided for most part but now has traveled to lower middle back. Hurts most when turning over at night but is now hurting during the day. Same pattern during kidney infection, only in different part of back now. What could this possibly be?", "output": "Dear patient pain in middle lower back can be due to kidney stone or back problem. Since you had taken treatment for kidney infection possibility of renal inflection is there and needs to be ruled out. Do u have urine problem like burning sensation ? Is urine frequency Is increased and there is need for urgency? If yes then renal infection is likely. Please do not neglect this and visit your urology as soon as possible. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi please help im only 13 yr old female and iv got pains in my bood and sometimes goes under my boobs like a chest pain iv got it not and iv had lumps on my underarms and now iv got one on my vagina. im really scared im in tears, i havnt got the nerve to tell my mum. is their somthing soriously wrong. im so scared", "output": "Hi, Dear thanks for the query to Chat Doctor. Cause of the lumps you have is as follows-a-You have Nostalgia with dysmenorrhea-which is very common at this age. You please don't worry as this will subside once you grow up in next few months. Till the time -as its painful, Please take anti-spasmodic Chat Doctor. Hope this would help your worry to take proper steps for health. Wellcome again if you have any more query in this regard. Have a Good Day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "35 yo female in good health. Been having leg pain, presumably sciatic pain, off and on for about 2 years. It has progressively gotten worse. The pain does seem to be more intense during my menstrual cycle but it s still pretty bad at other times. Definitely seems to be worse at night and after sitting. Pain is on my right side and begins deep inside my hip and right buttock and radiates down my leg sometimes into the foot. I can t exactly pinpoint where the pain is because many times it feels as if my entire leg is throbbing. Both of my knees pop as well. I did visit a chiropractor twice and while it did help for immediate pain relief, it hasn t corrected the issue and the pain comes right back after a couple of days. Does this sound more like sciatic pain or arthritis? About 5 years ago, I tested positive for ANA test twice and my OB/GYN sent me to a rheumatologist after experiencing hair loss, weight loss, and a strange rash on my backside. He couldn t find anything wrong then and all labs were normal. After many months, my symptoms finally disappeared.", "output": "Dear patient Considering your symptoms you are mostly having disc prolapse with nerve root compression. This needs to be investigated with 1. X-ray of lumbosacral spine anteroposterior and lateral views to rule out bony abnormalities 2. MRI of lumbosacral spine with screening of whole spine. MRI gives detail information of discs and nerves so helps in confirming diagnosis and exact level of pathology which is helpful in planning treatment. Visit radiology center nearby you and get it done. You need to consult expert spine surgeon with report." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have a terrible pain in mouth..on touching the top if my mouth behind the last tooth and between cheek and tooth I can feel a fleshy wobbly skin which has just popped up randomly. At first I thought it was an ulcer but it doesnt seem like that now..pain comes and goes so dont know if its an infection or just soreness. Please help", "output": "Hello:) Thank you for trusting Chat Doctor. You are suffering an infection in the last tooth. The tissue you can feel can be an abscess site. I suggest you get the x-ray work done with your dentist. Take antibiotic(Flagyl, Modified CV) and painkillers(Idol Plus)Use a saline gargling twice daily. You might require a root canal or extraction after a thorough examination clinically and your x-ray. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Result: Fibrohaze densities in the left upper lung(overlying the left 5th-6th posterior ribs. The rest of the lung fields are clear. Heart and great vessels are within normal size and configuration. Other chest structures are not remarkable. Impression: Consider PTB, left upper lung. Please compare with previous study.", "output": "Welcome to Chat Doctor .fibrohaze densities in upper lobe points towards TB of lungs as there is no any other abnormality detected .the final diagnosis of tb is made by sputum examination for AFB under microscope and blood tests as TLC DLC ESR etc. probability of tb is more if person is smoker diabetic or on steroids and is having cough.fever .sputum...breathing difficulty .decrease appetite or weight" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Had one abortion one and half years back, since trying to get conceived. Taking evatone 2mg daily twice and taking injection to induce ovulation and strenghten the eggs... also taken Letroze from the second day of my periods for 5 days.Kindly suggest me to get conceive at the earliest", "output": "Hi, metro tablet is given to increase the size of the follicles. So, you can track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles. Be in contact with your husband 2 to 3 days after your periods stop. Take progesterone for next 2 weeks after the rupture of follicles. Do a urine pregnancy test at home after that. You can try like that for 3 to 6 months. It will increase chances of your pregnancy. Hope I have answered your question. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor! On my left hand on the outter side was hurting for about a week really bad until last night. then my pointing finger and thumb is VERY numb. I am concerned a lot due to my grandmothers history with the same symptoms and later had a massive stroke!! Please help meThanks Cammy", "output": "Hello Tammy! Thank you for asking on Chat Doctor! Your symptoms seem to be related to a peripheral nerve damage to the median nerve. But, you should not worry about any possible stroke, because your symptoms are not related to the central nervous system. For this reason, I recommend consulting with a neurologist for a physical exam and performing a nerve conduction study to exclude possible pinched nerve. Hope you will find this answer helpful! Kind regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have pain on the left side. I recently had a MRI for the lumbar spine. Something showed up at the head of pancreas, (not sure I spelled it right). I have testing done for gull bladder stones and for the gull bladder. All testing came back fin. I have pain, bloating, sick felling and after I eat or drink something I get full fast and the bloating comes on. Can you tell me what might be causing these problems and what other testing I might need to have done? Thank you", "output": "Hellos there is doubtful lesion in head of pancreas, I suggest you to go for further investigations. Contrast CT scan of abdomen should be done to assess pancreas properly. It is the investigation of choice for assessing pancreatic abnormality. It may be the reason for your symptoms. You also need routine blood investigations, and it includes routine hologram, random blood sugar, liver function test, serum amylase, lipase. Proper treatment depend upon findings. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my name is Danny Francis, I am from Ascension Island, I have been going to the doctor on the island but dont seem to get any suitable answers thats why I am online looking for a doctor what can help me. For the last 6 months I have been troubling with a pain in my neck, going down my right arm and pins and needles in my hand, could you please tell me what could be the problem and what medication can I take to help me. Look forward to hearing from you. Im sorry I dont have a credit card and I really need some answers.", "output": "You are probably suffering from compressive radiculopathy in which there is compression over exiting nerve root in neck. Compression may be due to bulging disc or any lesion or die to age related changes. You require MRI cervical spine for the correct diagnosis and treatment.Meanwhile, take Tab veteran 50 mg twice a day and tab gabapentin 150 twice daily along with Tab panto 40 mg be. Follow up after MRI." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My four year old son woke up during the night and said he couldnt move. He was up off and on all night cplaimimg about his neck hurting. He cZnt move his head to the right without crying. He does not have any temperature. We have been swimming a lot lately. Could it be swimmers ear?", "output": "Your concern is suggestive of tortillas which in simple terms mean sprain on the neck. Treatment for tortillas is targeted to relax the contracted neck muscles involved. Treatments include medication, physical devices,, physical therapy, stretching exercises, and surgery. In most people, tortillas resolves in several days to a few weeks. A few people will develop continuing neck problems for months to years. Persistent neck muscle spasms may require referral to a neurologist or surgeon. I cannot say this is due to swimming but awkward positioning while sleeping could be a reason. I would give local heat and gentle massage and NSAID Chat Doctor. Take care and regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,Female Age: 24yrs WorkingI had a severe abdominal pain for about 2 days and i went to allopathic doctor on the second day of pain. she diagnosed as Ameobiosis and prescribed O2 and other tablets. On that night itself i got severe pain on right side of stomach and vomited 2 times. Then i went to Siddha doctor and she diagnosed it as Appendicitis and she told it is initial stage and added it can be cured completely in her medicine itself and she gave siddha medicine. The pain was now subsidized and i have pain sometimes lightly. My doubt is will the siddha medicine cures it or i might have to take any other tablets? What things i have to follow? Am afraid of operation for appendictis. I want it to be cured by tablets only. My weight is 37kg only it was reduced from 41 to 37. Need to increase weight too", "output": "Hi! Good evening. I am Chat Doctor answering your query. Once you are diagnosed with an appendicitis, the ideal treatment should have been a surgery for confirmation of diagnosis and a cure. However, in modern medicines, strong antibiotics available in the market not unusually control the infection of the appendix and the patient might be relieved of his symptoms. Moreover, I would also advise an abdominal ultrasound mostly in female patients to rule out any pelvic pathology on the right side. I am not aware if the Buddha medicine would cure appendicitis or not. Only time could justify the effectiveness of this medicine. If the pain recurs, I would definitely ask you to report to a general surgeon for an appropriate diagnosis and proper management. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir namaste, my brother was suffering from nevine debility.he was taking oleanz(spelling not conform) from scb,cuttak .as did not get recovery he suddenly stopped this pilwithout consulting the concerned doctor.now for the past 15 days he is repeatedly telling that the neighoubrs are scolding me,they have planned to kill me within 6 months,now for the last 2 days he is not sleeping and telling that during night they will come with an peace of iron rod so that any devil sent by the neighbour could not harm him.i want to know what is the problem and its solutionhe is unmarried and 30 years old,weight is below 35, body is detereoreting day by day.i think reaction of medicine ,and some sort of enmity have made him mentaly disordersir, i am helpless nowplaease help me so that i will be highly obliged of your generosity", "output": "Namaste, Thanks for mentioning the symptoms nicely and the name of the Chat Doctor. It's an antipsychotic. If your brother has not responded to it, you can shift to another antipsychotic like risperidone 4\u00a0mg. From your description it clearly appears that your brother is having a psychotic disorder. This is not the reaction of the medicine but his illness. Don't stop this medication. He urgently needs this. However, I may tell you that this medication require 10-15 days to show their effect, so you should not stop these medicines prematurely. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello. So this is an issue that requires a lot of background info, so here we go. In January of 2013, I had a mysterious and large mass appear on the right side of my neck. There were two parts to the mass, one solid and one filled with pus. No known cause, but whenever I had a needle biopsy done there was nothing coming out of the solid half of the mass so there were never any conclusive results. I had a CT scan done and there was another mass found on the outside of my lungs, but this one was benign. ENT surgically removed the neck-mass and the mass in chest was overlooked due to benign status. So, fast forward to January of 2014, I had to get a follow-up CT scan on the chest mass, and when I got the results a month later I was told that it was now about half the size than it was a year sooner (Good news!). In April, two lumps appeared on the back of my neck, one on the back right side and the other on the back left side. Along with this, there was a bit of swelling on the outer side of my right arm. I was given some antibiotics and sent home. The two lumps on the back of my neck are still there and very solid, but never hurt. The swelling on my right arm has never gone away, and it sometimes has small bursts of pain but nothing to stop me from any regular activity. Finally, recently, there has been some swelling on the left side of my neck, but it isn t similar to the lump I had on the right side of my neck. This swelling seems like soft tissue. Any idea what this may be? During the multiple biopsies and tests the hospital I was with had ran, there were zero signs of tuberculosis and lymphoma. An infectious disease specialist said that it may have been kikuchi disease, but there were no tests to run for it so it was only a theory. I didn t think it would be kiuchi, because I had fit none of the symptoms. If you re able to help, I would truly appreciate it. Thank you.", "output": "Hi, as per your history, Kikuchi-Fujimotos disease is the best possibility in your case and biopsy is the confirmatory test in such cases! Sorry that sometimes all symptoms might not fit due to partial therapy! There is no other specific tests available; However, it could be some acute lympadenitis or toxoplasmosis also! Kikuchis disease just needs NSAIDs group of Chat Doctor. Wish you good health!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have high blood pressure and take lizenopril for it. My doctor said my stress level is high, but I can not tell him why because I am very afraid of my husband. What should I tell him? I can not tell him the truth because my husband will hurt me. Please tell me what to say without telling the truth about about why my stress and bp is so high. Thank you! Stacy Pegram", "output": "Hi you can just tell you husband that you are having some multivitamin medications for few months or calcium tablets for low calcium level, don't tell him about psychiatric medications, if he beats you contact to the nearest police station, police will take care of him, start you machines for anxiety and blood pressure, if over poked tell him that I use to have headache which increases my BP a bit." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband is 34 years old has always been healthy but once was once a smoker on and off since he was a teen. 2 months ago I finally got him to go see a doctor about a cough he had for 6 months or so. Just a dry cough not productive a productive one, also he was always clearing his throat like something was there. Doctor sent him for X-ray after seeing what she first described as a mass we got A ct done and was sent to a Pulmonolgist. While waiting to see lung doc she put him on Albuterol breathing treatments times 4 a day, Levaquin 750mg. Doctor told her looked like He had once inhaled something and got a fungus , they was quit a bit of fluid in right lung along with what he described as dead lymph nodes at the opening of airway He seemed much more concerned about fluid, he prescribed another round of Levaquin and inhalers along with a repeat ct scan . We went back yesterday he said there wasn t much improvement and fluid was still there. He is Scheduling my husband to have a lung scope run to collect samples for a biopsy then he will flush the lung out. My husband has had no symptoms other than the dry cough. He works hard, hasn t lost any weight, eats at least 3 times a day and works out. He has no wheezing or shortness of breath. We are worried sick. We have 5 children all together and I m a stay home mother to 3 of them. Please If you have any insight we would love to hear it. The waiting and not knowing is killing us.", "output": "The diagnosis can be fungal or other many diseases presents like this lesion is small and only gives irritation when you breathe leading to cough and irritation but we cannot have risk of lying this to spread the idea to clear lungs is to clear obstruction to full blow of lungs and biopsy to diagnosis the cause of lesion so that we may go in right tract instead of imagining and hit and trials there is no worry in these and not likely to come serious disease" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My boyfriend had a celiac arterial dissection in June 2010 and before they were able to diagnose it, his spleen was cut off blood supply...so half his spleen is dead. In the last month he has had two stents put in...LAD and Right artery (around the back). He has complained of sharp pains in his spleen area and has described it as feeling like spasms. I don t believe it to be related to the stents because he said they were present before then. Is this a common symptom of having a partially dead spleen?", "output": "Hi, Thanks for posting your query. Is he getting watery diarrhea/ nausea and vomiting/ frequent urge to use washroom? Is he able to pass stools and flatulence? Is he getting bleeding per rectum? With the available described symptoms, there appears to be possibility of acute gastroenteritis or blockage of stents. Presence of spasmodic pain suggest the possibility of gastroenteritis. You should consult with internal medicine specialist and should go for thorough check up. Presence of abdominal sounds may help in ruling out possibility of blockage of stents as intro abdominal pathology may be associated with absence of bowel sounds. He should go for ultrasound imaging studies of abdomen along with color Doppler for evaluation of blood flow in stents. Treatment depends on the diagnosed disease.Meanwhile, he should take antispasmodics along with tramadol for relief of pain. Take care," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "im17yrs old my weight is 64 k.g., height is 5 feet &under treatment for1yr but im having headach. pls, suggest me what will happen after the treatment? is omipital tubroculosis totaly curable or is there any chance of its reprtition in future?what precautios should i take because im becoming down.", "output": "Hi, Tuberculosis is a bacterial infection and totally curable. One year treatment should be adequate. Discuss with your doctor for multi Chat Doctor. Improvement of immune system with nutritional diet and exercise is important. Immunodeficiency diseases can reactivate the disease. However, there is no terminology of occipital TB, check the correct terminology and get back. Any further queries, happy to answer again." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my mother in law is 74 years old, she is having mouth sore for more than 1 month. she has been checking with a few dentists on her case and was referred to the oral specialist. She was told by the oral specialist that the pain is due to the veins in the mouth. She need to go through another CT scan to double confirm the situation. i wish to know what are the causes and is this a kind of disease? Thanks", "output": "Hello, Phelbitis is swelling, inflammation of the veins. The oral conditions associated with this include a tooth abscess, sinusitis, siaiolithasis, neuropathy, viral, shingles, bacterial, and fungal. Your initial dental visits should have evaluated your mother for these conditions. When the situation doe not resolve, second opinions and your referral to specialists is the best way to proceed. Were you told there are vascular malformations often called VM or AVM? Hematomas may have been a prior condition. There are various treatments directed at the location of these malformations to stop the flow of blood. This treatment is called embolization. Any deficiencies or organ malfunctions? Blood tests and other diagnostic information are important to your mothers correct diagnosis. I encourage having additional tests that will provide or confirm a diagnosis. I believe you are proceeding in the right direction and your surgeon should be able to answer your questions or will consult appropriate medical specialists. Your mothers overall health and dental history needs to be considered. I would be glad to answer additional questions with more details concerning your mother. Thank you for your inquiry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "if a persons report for tuberculosis after medically treated is found to be negative after 5 months, yet the medicine is supposed to be continued till 9 months, does that mean the person is completely cured and is it safe for small childrens to live in the same house?", "output": "Hello. Thank you for asking at Chat Doctor. There are many types tests for tuberculosis. I assume you are referring to sputum examination for tuberculosis, which is most commonly used for diagnosis of tuberculosis. If a persons' sputum has turned negative after 5 months of treatment, it does not mean he/she is completely cured. He needs to complete the full course of anti-tubercular medicines suggested by his physician. Negative sputum means the person is no longer excreting tuberculous bacteria in his sputum. So it is considered safe for other persons coming into his contact. So, yes, once a person is sputum negative, it is safe for child Chat Doctor. However, this does not apply to other tests for tuberculosis. Hope this will be helpful to you. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have a foot infection which is fortunately getting better after 5 weeks (it started during holiday in Thailand and China). Received now results from the hospital laboratory that I had 3 bacteria, of which one was a normal skin infection, but also Pseudonomas and ecoli. I have walked barefoot a lot (mainly beach). Had different kind of antibiotics and Clindamycine has finally worked. My question is how I can be sure, now that the wounds start healing, that these bacteria have only been in my wounds locally and did not, or will not cause damage in other parts of my body? Is a bloodtest a good idea?", "output": "A blood test will not be helpful. Pseudocodes and E. coli are common inhabitants of the colon. When you were walking on the beach barefoot, you might have been walking on sand contaminated by feces. If you are feeling well now and the wounds are healing, the bacteria are not likely to be in your bloodstream or organs where damage can occur (except in the colon which has mechanisms to prevent damage from the bacteria normally present). If the bacteria have gotten into your blood or organs, you will be sick and have symptoms, most likely very severe. Since you are doing okay, you don't need to worry about it. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my son has ehlers Danlos syndrome. hes 30 and already suffered an anuerism in his aorta we didnt think he would survive it. they drained 2 pints of blood from his right lung and fluid from his chest, could do nothing foe the bleed but said it must have scabbed over because he was improving. this is frustruating as most doctors have never heard os it. My question is....can he fly in an airplane for a few hours 2 months after surgery or ever for that matter", "output": "Hi, I did review your concern.EDS is a genetic disorder affecting connective tissues of our body. There are many types but from the problem your son is having it seems that it is vascular type which is more often severe in presentation. The best way to go about it is to give him symptomatic relief and avoid blunt trauma to his body as much as possible. I will not recommend a flight for him simply for the reason that there will be no immediate medical attention for him in the air. As far as air pressures are considered it is not a great issue as carriers are pressure controlled, but he needs a doctor with him to travel with him to stop bleeding in case it happens. I hope this helps. I wish your son a happy life ahead." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my age is 32 Years, I had a follicle study done. It reads as follows ; 9th Day - ROF & LOF : No DF - ET : 5.6mm, Collection in POD : Free 11th Day - ROF & LOF : No DF - ET : 7mm, Collection in POD : Free 13th Day - ROF & LOF : No DF - ET : 8mm, Collection in POD : Free What does the above report indicate ? Is there any chance of getting pregnancy ?", "output": "Hi, I appreciate your query would clarify the report of your follicular study to you. On the 9th day, in the right and left ovaries (OF and LOF) - there was no DF - which means, dominant follicle. Again the same findings persisted till the 13th day, that is there was no dominant follicle in any of the ovaries. ET - refers to endometrial thickness which was 8 mm on Day 13. Collection in POD was nil, which is normal. Now, to explain a normal follicular study to you. By day 9, the ovaries start producing dominant follicles, that is among the many eggs present in the ovaries, one starts maturing to develop into the dominant egg for that month. By day 13 generally, if you have a regular 28-day menstrual cycle, the dominant egg reaches a size of 20 - 22 mm. Generally on day 14, ovulation occurs, that is the mature dominant egg is released from the ovary, and it is then ready for fertilization by the sperm. This is the normal studyHowever, in your case, there is no dominant follicle seen till day 13, which means that you are having an ovulatory cycle. That is, no mature egg is developing for ovulation this month. Anovulatory cycles are a major cause for not being able to conceive.POD (Polycystic ovarian disease) is one of the leading causes of an ovulation, apart from other conditions. You need to consult a gynecologist, and undergo further investigations for POD to rule out the cause of this follicular study. Also, you might require treatment and ovulation induction (medicines to stimulate formation of follicles in the ovary). In case your cycles are delayed (longer than 28 - 30 days), there is a minor possibility that your follicles are maturing later than normal, for e.g., in a 35-day cycle, the day of ovulation would be 14 days before periods, that is on day 20 or 21. Hope this helped you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I use Ortho Evra birth control patches. usually my period is only 4-5 days. however recently having sex with my boyfriend, after him ejaculating inside me, my period randomly came on 2 weeks in advance.But before my boyfriend and i had sex i wasn t wearing my patch when he came inside me. i put one on 2 days after us having sex.. the weird thing is my blood is dark red and clumpy and my flow is heavy. after a couple days upon me removing my patch the blood started to go away, however when i put on a new patch it started bleeding again and this time heavier, and it has been 7 days now of bleeding. im afraid im going to become anemic with all this blood loss. Am i pregnant? or sick?", "output": "Hi dear, I have gone through your question and I understand your concern. Ortho Era is a contraceptive skin patch containing a combination of female hormones (ethanol estradiol and norelgestromin) that prevent ovulation (the release of an egg from an ovary). So firstly your cycles are ovulatory- no ova, no fertilization and no pregnancy. Secondly as per your details as you removed patch, hence it leads to with Chat Doctor. Thought the flow is heavy with clots, but you must not worry because this is not pregnancy and this is due to hormonal fluctuations as you removed patch. You may take iron folic acid supplements if you feel so much lethargic and pale looking .and take plenty of water and green veges.advice:-If an Or tho Era patch is partially or completed detached for less than 1 day (up to 24 hours), reapply it to the same place or replace it with a new patch immediately. No backup contraception is needed. If this event occurs for more than 1 day (24 hours or more), or if the woman is not sure how long the patch has been detached, she should stop the current contraceptive cycle and start a new cycle immediately by applying a new patch. Backup contraception, such as condoms, spermicide, or diaphragm, must be used for the first week of the new cycle.don't worry you will get well soon with reapplying patch and starting new cycle. Hope you find the answer helpful, please do get back for further queries I will be happy to assist you. Rate 5 stars for answer if you are happy. Wishing your good health. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son had an asthma attack a couple of days ago. They picked his finger three times before they could get a blood sample. He has clubbing on his fingers and his doctor checks his chest regular. The ambulance people told me to get him tested for reins coz they couldn t get blood and coz of his fingers. When he puts his thumbs together there is no diamond. How do I go to my doctors and ask them to test and should I ask. He s 13", "output": "Thank you for asking on Chat Doctor. Veins of many child Chat Doctor. Clubbing can sometimes be a normal finding though it is also seen in patients with respiratory diseases like asthma. The manifestation of clubbing is that there is no diamond. No test is usually required for the clubbing though tests might be done for the underlying cause. Since he already has a diagnosis, I would insist you not to get worried. Hope that helps. Feel free to revert in case of further queries if any." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my heart or chest starts to to palpatate and I get dizzy and light headed. This will happen during a normal conversation and sometimes I have to stop talking or I feel like I will pass out. This started about 2 months ago but went away for a while. Over the last week it has been happening again. Even when I am just sitting around it happens from time to time. I am 51 years old and although over weight I am pretty active. This is driving me nuts", "output": "HelloThanks for posting at Chat Doctor. Your symptoms do need evaluation. Please do an ECG during the time of the palpitations. I would also recommend a 2 D echo to see the functioning a structure of the heart walls and valves and hence evaluate for a cardiac cause of your symptoms. Another cause of your symptoms can be thyroid abnormalities. Please get a thyroid function tests done. Please get It D and It B12 levels also checked with the above. Kindly revert with the above tests. Wishing you good healthRegards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am 27 year old female. I have extreme back pains, especially around the lower back region, more specifically on the left side, just to the side of my spine, and around my waist/above my hip area. I dont think its a cyst nor is it a lipoma, as there is nothing visible on the skin; but I can feel the bump when I press down on the area that hurts... Please could someone let me know what this could be?? It really really hurts, and Im just hoping its some kind of cancerous internal lump..... Thanks in advance!", "output": "Welcome to ChatDoctorAfter going through your query I concluded that you are having chronic backache. You are a swelling, it is likely to be subcutaneous fat. Treatment of backache is analgesic and back exercises. You can get vitamin D3 test as vitamin D3 deficiency is an important cause of backache. You are worried about cancer. So it is best to get your MRI done to rule out cancer and relieve your worries. You can discuss with your Doctor about it. Hope your query get answered. If you have any further questions then don't hesitate to writing to us. I will be happy to help you. You can also write to me directly on below link:https://www.bit.ly/ask Chat Doctor. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My father has severe CHF. He is awaiting open heart surgery for two valve replacements. Last night he was taken to er because he couldnt breath well due to fluid build up in his lungs. He was bleeding form his mouth and nose. They said he might not make it through the night. But he did and is in critical care unit. He is 74. What does the bleeding indicate?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Bleeding from the nose and mouth in CHF (congestive heart failure) patient is mostly due worsening of pulmonary edema.CHF causes fluid accumulation in lungs. When this is severe, it can damage lung and cause bleeding from mouth and nose. So he should receive urgent treatment for pulmonary edema (diuretics and digoxin). Hope I have solved your query. I will be happy to help you further. Wishing good health to your father. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My right ankle has pitting edema and pain, hurts to walk for past week. I am 6 3 , 233 lbs, non smoker, no other medical issues, 62 yes old. This started out with foot pain bottom of heel and bottom of arch- this remains and now ankle pain with swelling and end of day up to my hip. The swelling has reduced a little as well as the pain- and hoping whatever the cause, it is going away ?", "output": "Hi, thank-you for providing the brief history of you. A thorough musculoskeletal and Neuromuscular assessment is advised. As the swelling is of putting in nature you need a thorough assessment. Also, your age is 62, so there will be reduction in the metabolism. Since the pain is up to the hip you surely need an assessment. Because any pain travelling in nature is related to the neuropathic pain and post asses it will be easy to comment on the same. The treatment of choice can be physical therapy for the pain and pitting edema. Using hot water fermentation for ankle and performing ankle toe movements can help reduce the edema. Using of an android or stocking should further add an advantage. In my clinical practice majority of patients have responded well to physical therapy and exercises. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I think it s a rash but it s on my hands it looks irritated and ichy they look Like red marks and pimply red. I used a hand cream for the first time as I should be looking after my hands they do get very dry can you recommend me a good hand cream . So I m thinking it s from the cream it s just so ichy and red it looks weird and prinkly .", "output": "Hello and welcome to Chat Doctor forum, i would like to inform you that rashes which occurred after cream application is due to an ingredient to which you are allergic, you have not mentioned if you have had any history of allergy before.I assume this is the first time, you had an allergy.I would suggest you to use a medicated hand cream rather than cosmetic creams, Chat Doctor. But for now, kindly visit a dermatologist who will prescribe you some anti-allergic tablets, for treatment of rashes.I hope I answered you query, i wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have a hard lump on left side of neck next to my throat that will not go away. dr. said my throat was swollen and put me on anti-biotics. didnt really help, she said my throat looked better but was still red and the lump is still here. it has been around 7 weeks now. what could it be", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have enlarged cervical lymph node. It can be due to reactive hyperplasia, tuberculosis, lymphoma or metastatic carcinoma. You should go for fine needle aspiration cytology or biopsy of that hard lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a 3month old daughter that has developed an hemangioma on her her adjacent to her fontanel. I am worried whether it should be removed or left alone. I am also wondering what type of Dr. I should take her to have hemangioma accessed. I have already taken her to one surgeon and he seemed to be very radical in his ways and suggested immediate remove w general anesthesia etc. However, I asked a pathologist (a professor of mine-in dental school) and his suggestion was to leave it and will regress w time. Do you have any suggestions??", "output": "DONOR DO ANYTHING for a small hematoma. Except a cosmetic problem it doesn't cause any problem and MAY NOT reduce on its own. You can do following1) leave it alone till 2 to 3 yrs age2) one can use Steroid cream or inject steroid which will RETRACT the size of hemangioma3Laser treatment can be considered after 4 to 5 years age DONOR WORRY it's just a cosmetic issue and better not touch at 3 months age" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "At last I got my first prega news on 30th march 2014.im happy.but after 10th week pregnancy I see in ultrasound that my baby has no heartbeat. Unfortunately I had got missed abortion on 4th may 2014.and now aftrer 15th day I want ans from you for help.so pls give me an ans for my question.now! Which time is safe and good for i got my next healthy pregnancy.when should I trying to concive.because the next time I want a perfectly healthy pregnancy..", "output": "Hallow Dear, After abortion, theoretically, the egg release may start anytime after 5 weeks. However, whether to go for next pregnancy so immediately is a question; particularly when you had missed abortion. I feel primarily after any type of abortion, due time of about 3 months should be given for the organs and tissues of reproduction system to regain normalcy. After that pregnancy may be attempted. However, since you had missed abortion, I would advise you to consult a fetal medicine specialist to find out the probable cause behind the missed abortion. Maybe both of you might have to get your chromosomal study done. If any cause is detected and is curable, first get it treated before you attempt next pregnancy. Right from now, in the preconception stage, start taking Folic acid tablets daily and high protein diet also. This will help release of healthy egg and healthy implantation of fertilized ovum. Please consult your Gynecologist before attempting the pregnancy. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 36 years old, on Jan 4th 2013 I had an abdominal hysterectomy , after a couple days of being discharged I was readmitted for ileus , I am still having issues with intestinal pain same area that was bothering me before. upper large intestine close to stomach, when I eat I can feel material going through intestine, BM are loose no form but intense pain(almost like labor contraction pain) also feel this pain when urinating (all urinalysis comes back normal) Im still nauseated dont eat alot, feels full all the time when I do eat it feels like its pushing on diaphram and causes breathing coughing spells", "output": "Hi welcome to Chat Doctor forum. Thanks for choosing Chat Doctor. Forum. You had abdominal hysterectomy on 4-1-2013. And in 2 days after discharge got readmitted for illus. It must be a secondary to obstruction. So it may be a side effect of the surgery. Of course if it is illus it must be there since long before. I advise you to consult a gastroenterologist for diagnosis and treatment. For illus long term and continuous treatment may be recommended. If it is secondary to the surgery if the problem is corrected, there is a possibility of complete correction. Wishing for a quick and complete recovery. Best regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Had my iud taken out first day of my period last month my period then only lasted 2days which is short compared to the usual 5-7 days... Had unprotected sex approx 4 times since and about a week ago started having classic pregnancy symptoms.... Took a test 3 days ago in the morning with neg results then later that day started period. Wasnt normal from the start... Had thick stringy mucus when going to the bathroom that was so thick it wouldnt come out until I had to wipe it away... Thus went on the whole first day with nothing in the pad... Second day was normal flow and day 3 nothing but when wiping just on tissue... Could pregnancy be possible? Still having all the symptoms", "output": "HelloThanks for your query. Pregnancy could be a possibility, though it is low with 3 negative pregnancy tests. There could still be the possibility of a pregnancy related complication - such as an ectopic pregnancy or a miscarriage. This is often not picked up a conventional home pregnancy test. It is better to have a blood B Chat Doctor test or a pelvic ultrasound to confirm these conditions. Please have a gynecological opinion to rule these out. Conditions like stress, anxiety, hypothyroidism, polycystic ovaries etc. - all could also lead to such menstrual irregularities. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter was at the ER last night with severe stomach pain and vomiting only when standing. Ultrasound looked okay, white blood count 13000 but she has a uti. She has a brown spot in her blue eye that she was born with and was constantly fighting constipation and fecal impactions when she was little.......could any of this be the result of hershberger (?) syndrome?", "output": "Hi. Thanks for your query. This is called Hurshprung Syn Chat Doctor. This can be confirmed only by biopsy of the colon on colonoscopy of the suspected area. Get tests for UTI like CBC, urine culture and sensitivity and get started for 3-week course of the antibiotic, ; Getting ultrasonography and MVP is needed to see if there is another organic / somatic problem. The constipation can be tackled well by suitable laxative." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi.....my father has got by pass surgery in 2012 year, now a days he is suffering from ashtama. He is taking deplatta a 75 and rosulip 10 and dytor plus 10 medicine. We are giving him nebulisation and inhaler formoflo 250 also.he is now 63 years old. Plz give a better solution for ashtama and a good prescription also.", "output": "Dear, management of Asthma from your part is ok. But I need to see 2 things- 1. Is it asthma or cardiac ash asthma, means patient with pre existing heart disease may present with asthma like symptoms which are controlled by controlling heart disease only and role of nebulization or inhaler is secondary. 2. Possibility of some fluid secondary to heart disease or lungs infection in lungs. He needs chest X-ray, after that we can talk about prescription change" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i think i might be pregnant, i had my period 3 weeks ago, and have had sex recently... for the past week i have had increased amount of discharge, more frequent urination, a feeling of bubbles in my lower abdomen, slight back ache at times, and have also gained weight. Does it sound like i am pregnant?", "output": "Hello dear, understand your concern. In my opinion the symptoms of pregnancy doesn't start this early. The first sign of pregnancy dismissed period. Other signs are nausea, vomiting, increased urination, sore breasts start 2 weeks after missed period. A urine pregnancy test confirms the pregnancy. It needs to be done a week after missed period for accurate results. It is too early to feel any pregnancy symptoms. So relax. Avoid stress. Nothing to worry.3 weeks after periods comes under safe period in case of regular cycles. The weight gain also doesn't occur this early due to pregnancy. The stress regarding the thought of pregnancy also makes one to feel pregnancy symptoms. So avoid stress and check for the period. Best regards..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a very over sensitive of smell and it s making me suicidal. Don t no how longer I can take this tried suicide twice no look. I also suffer sliding hiatus henia and something wrong with gallbladder. I have Fibromyalgia also so my pain level has now taking over my brain. I hardly eat or drink as I am always sick after the little I put in. I need to put weight on. But my over smell really hurts my nose and soft pallet in my mouth.My saliva is thick like glue. Ineed help fast. Thankyou DIANE.", "output": "Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor and I will try to help you as much as I can. First, if you have any thoughts of suicide, please try to find professional help and don't think of it. These are not reason for anything like this and there are much more serious diseases than you have. Hiatus hernia can be surgically corrected and fibromyalgia is benign disease which may be caused by hernia. You should see gastroenterologist for further evaluation. I hope I have answered you query. If you have any further questions you can contact us. Kindly regards. Wish you a good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi there i have short breathless an pain in my upper abdomain, i have gallstones a fatty liver, cyst on my kidney and an umbilical hernia, i feel very bad and bending over is a huge problem, which of my problems could be caussing me to feel full and breathless", "output": "HI. A combination of gall stones and an umbilical hernia can cause you abdominal pain and fullness, which in turn can cause you to become breathless. Get your gall bladder and hernia operated, may relieve your problems. Fatty Liver and a Cyst on the Liver can not cause such symptoms so nothing worry about them at the moment for the problems you are facing. I am wise to get an opinion of a Surgical Gastroenterologist and get investigated and treated accordingly." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have undergone a nano peel the aesthetician steamed my face then started pricking the pimples which was really painful then after that the actual nano peel began using a machine with corundrum and crystals. After the procedure my face was very red. When I wake up this morning my face is still red and I feel like I ve got even more pimples and pimple marks on my face. Is this normal with that procedure? What do I do?", "output": "Hello. Thank you writing to us at Chat Doctor You seem to have developed irritation to the procedure. If I was the treating doctor I would suggest you to use a moderately potent topical steroid e.g. fluticasone propionate 0.05% cream, twice daily. Use it for 3-5 days only and then stop. That should make it fine. This is a prescription steroid and I suggest you to talk to your dermatologist for a confirmatory diagnosis as well as the needfulAvoid using soap on face. You may use a gentle cleanser for face wash e.g. detail cleansing procedure, twice daily. Always wear a sunscreen whenever out in the sun. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had a cold for over 3 weeks now and still have nose congestion along with a good hefty cough (which for me means the end of a cold and loosening up) but I still cant breath what over the counter medicine can I use besides Alavert D-12 and Alka Seltzer Plus?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of post infectious bronchitis is more likely. Bronchitis causes bronchospasm and this in turn causes cough, expectoration and breathing difficulty. So consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment is based on severity only. You will improve with inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone). Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been suffering stomach issues for almost 8 years now, I had my gallbladder removed due to it not working, I had a complete hysterectomy due to endrometrosis which had spread to my intestines and rectum and could not remove it, i also had my appendix removed. This particular episode has been going for over a month. I have been seen in the er 4 times and was admitted once. They did a colonoscopy and endoscopy, they removed a wart size polyp and sent it to be tested, I havent gotten those results yet. Also while in the hospital I was diagnosied with C-Diff, as well as told that every time I have been seen in the ER over the past 7 years my calcium levels have been very high (10.9) and had an endocronologist come see me, he said he was running another blood test for my pth levels, and i am still waiting on those results as well. I am almost finished the antibiotic, but not feeling much better. I am extremely dizzy, nauesa and have a bad headache constantly (only on my right side though). While in the hospital the dr mentioned this could be parathyroid disease. I have never heard of this before the dr mentioned as I had no idea my levels were high. Everything I have read on parathyroid disease can turn to cancer, Im extremely worried. As I am putting odd things together, Over the past 7 years or so I have been told I have 2 kidney stones in my left kidney but have never moved, also I have a nodule growing in my right lung, which drs made sound like no biggie and probably a calcium deposit. I have had issues with my stomach for years, and recently I have been keeping track of how often and all that. It seems like i get episodes where Im extremely sick, vomitting everything, theyve done endoscopes a few times and always say its normal but my body produces too much acid. Since August 2012 I have lost 75 lbs without trying. What do i need to do? All I want is to feel better and live my life!! I am only 32 years old and this all started when I was 25 years old. Please help!!!", "output": "Hi, You are 32 years, got gall bladder removed, hysterectomy done, appendix removed,2 kidney stones, in left kidney, para thyroid disease, nodule growing in right lung. Got frequent vomiting. For the vomiting and kidney stones I usually prescribe to my patients a combination of omeprazole and risperidone, and near tablets, for relief of the problems. Practice yoga, meditation, reading books, and hearing music, and never think of the diseases. Avoid taking spices, junk foods, and oily foods. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor, I am the mother of 11.5 month old boy. He had fever since sunday afternoon. Even after giving calpol drops, fever reduces only slightly. With thermometer under armpit, i measured 104 deg. I continued giving calpol every 4hrly, still fever didnt come down. Yesterday night, i gave him meftal-p on a friend doctor s advice and baby was instantly much better and slept well. Today morning, i gave him snother dose of calpol and meftal-p and baby is sleeping peacefully. I am giving calopl drops 1.5ml and meftal-p 5 ml . Baby weighs 10- 10.5 kg. shall i continue this medication for 2 more days? Pls advice.", "output": "Hi thanks for posting your query at Chat Doctor For a 10 kg baby max dose allowed in 24 hours is 600 mg of paracetamol, Cal pol Chat Doctor. You can give max four doses in 24 hours. Regarding Fanatic acid, Metal P you can give 3 doses in 24 hours. If fever us not coming down you can do tepid sponging(not cold sponging). But fever is high you need to consult your pediatrician to rule out any serious issue. Hope I answered your query thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im 29 years old male and had a recent CAT Scan show that: Calculus at the upper portion of the left kidney, measuring 1mm. No Hydronephrosis or renal mass. Unremarkable ureters and urinary bladder . What does this mean?", "output": "Hi DarrienWelcome to Chat Doctor. The report mentions that you have a kidney stone in your left kidney. The other parts of kidney are fine. If you have symptoms like pain, burning micturition I would advise you to visit your Urologist / Physician and get treatment for the same. You may need to take a course of antibiotics with plenty of water. If you have no symptoms, You can have 5- 6 liters of water per day and the stone small, will pass out in urine. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "the other night i was laying down, my heart started to beat extremely fast and hard. i could hear it as clear as day and i could feel it pounding out of my chest. i couldnt breathe and then caught my breath. it hurt and it was really scary. what could this be?", "output": "Hello! Welcome and thank you for asking on Chat Doctor! Your symptoms could be related to a panic attack. But, cardiac arrhythmia can not be excluded either. For this reason, if this situation repeats, I would recommend consulting with your attending physician for a careful physical exam and some tests: - a resting ECG and a cardiac ultrasound - an ambulatory 24-48 hours ECG monitoring-thyroid hormone levels-complete blood count - blood electrolytes. If all the above tests result normal, you should consider anxiety as the main cause of this clinical scenario. Hope you will find this answer helpful! Kind regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi! Dr. I am researching treatment for symptoms that I have had all my life. I apparently have trouble fighting off cold and respiratory illnesses or an UTI. I feel run down about 80% of the time, as it feels like my body is constantly fighting off some type of bug or virus. exercise seems to exacerbate the problem. I feel it is due to either some type of immune or allergic problem. Do you know of any tests that could determine what the problem is? I was looking to possibly take Echinacea to treat this and maybe strengthen my immune system. But being unregulated by the FDA it s hard to know which brand or how much Echinacea I would need to use safely.", "output": "Hi I do care for your concern. The recurrent infections may be due to decreased immune response or poor hygiene conditions. I would advise having checked your blood glucose levels and if found high consult your physician and get appropriate medicines for that. Taking multivitamins such as zirconia and fresh green leafy vegetables and fruits will help to increase the immunity level. Regarding the medicine it's better to consult with your alternate medicine doctor. Hope your condition improves soon. Hope I have answered your question if you have more feel free to ask. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor i m soni 29 yr old female, i have pain in my left side of whole body from head to toe from last 9 yrs, always my left eye is swelled , n temp. difference , cold on left side, most of the time i feel itchy on my left side of body, i ve done neck x ray a week ago, there is a cervical rib present on my both side, i had birth trauma on my left side of head. last year i done a brain mri also , impression is bilateral fronto-parietal subcortical n left parietal deep white matter / centrum semivale-T2W/ flair hyperintensities. n last week i ve done blood test ESR =44. i m fed up from this terrible pain all the time. please help me.", "output": "Hello, I have noted your symptoms and MRI brain findings. Based on that, we need to exclude multiple sclerosis. Please get the following additional tests done: 1. MRI spine, 2. Visual evoked potential 3. Lumbar puncture to exclude oligoclonal bands. We also need to exclude collagen vascular disease and vasculitis. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband has been getting what he thinks is chest pain for the past 5 days. He is 60 years old. What he does to help is lay down with a heating pad, take Gas X pills and this usually helps. This happens the same time every day. Between 3:00 in the afternoon until maybe 5:00 PM. After he does his routine, he is better. He did make an appointment with his physician for tomorrow. His doctor said on the phone it doesnt sound like something to really worry about. He has been seeing this physician for many years and has faith in him. What do you think? If there are any other questions you need answered, feel free to ask. Thank you", "output": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, his chest pain is mostly due to HERD (gastroesophageal reflux disease) because it is improved with antacid (gas x pills). But better to rule out heart diseases because he is 60 years old, and heart diseases are common at this age. So consult doctor and get done blood pressure monitoring, ECG and 2d echo. If all these are normal then no need to worry about heart diseases. His chest pain is more likely due to HERD. So ask him to avoid stress and tension, avoid hot and spicy food. Avoid large meals, instead take frequent small meals. Take proton pump inhibitors and prokinetic Chat Doctor. Quit smoking and alcohol if he has these habits. Don't worry, he will be alright. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir, my husband is suffering from chronic kidney failure and now he is suggested kidney transplantation . Now I heard abt the key hole surgery kidney transplantation was held in your hospital . What is its cost ? How much safe is this process ? What are the benefits comparing ordinary process? Ii this is safe for diabetic patients?My husband is a diabetic patient for 16 years.His height is 165 cms and weight 65kg", "output": "Welcome to Chat Doctor Key-hole surgeries can be done. They will be helpful by early recovery and return to work, smaller scar. The process is generally much safer than there will be less tissue reaction, bleeding, chance of infection. It will be more expensive though. Diabetes needs to be controlled before the procedure. You may discuss the procedure with your Urologist who will provide you the success rate and risks associated according to their regimen as well." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, Im very scared. I have a black lump above my anus, right at the top of the crack. It always itched there but I never noticed the dot-ish black lump. Since soon ago, it started slowly (embarrassingly, I could see very faded yellow spots on my underwear) leaking yellow goo. I felt the lump and I can feel a hole in there. Today, it got worse. I had blood come out of it. I really have no idea what it is and I am very worried that it could become bigger.", "output": "Hi, Welcome to Chat Doctor. Based on the facts of your query, the painful black lump in the top of the butt crack, which used to itch, but lately with yellow discharge, with a hole there, and today blood discharge, could be due to a-Acute on Chronic Fur uncle in the butt crack/or could be due to Colonial infected and burst Cyst. The only thing to worry is the black lump above your anus, which got infected. In that case I would suggest you to take Second Opinion and Consult Dermatologist /and Surgeon to rule out the melanoma with an infected colonial cyst/or fur uncle underneath it. Till the time you get confirmations about the cause of this lump, assume it as infective treatable lump, which your Surgeon would treat it by proper antibiotics/Tab Motrin/and proper surgical Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Oncologist needed: I am a 49 yr. old cancer survivor. I had an adenoma carcinoma pulp of the colon stage 0 when I was only 35, 1998.. I need help now: My most recent breast biopsy results were not benign. The microcacifications were: Adenosis with columnar cell changes and hyperplasia. Also, Flat epithelial atypia , and PASH cell changes. I was told to have a lumpectomy, or double mastectomy. I would like the later of the two. That was my 6th breast biopsy and my risk for breast cancer is very high. Next, a lesion in my left ovary was just found on my current ultrasound. 4.0/2.7/3.7. I have severe gyn pain doubled over, unable to walk, stand. I have bloating, vomiting, frequent urination. I want to seea GYN oncologist now. Hard to find. Next, I really need and want to go to a Cancer treatment Hospital but only told I was not diagnosed with cancer yet. Which organ goes first? Thanks, Anita", "output": "Hello and welcome to Chat Doctor, Your history suggests that you had a cancerous adenoid of colon 15 years back. What treatment did you receive for this problem. I guess the cancerous adenoid along with apart from adjoining colon was surgically removed. Secondly, the breast biopsy suggests changes of malignant in the lining epithelium of the ducts of the breast. Bilateral mastectomy is a better option as compared to lumpectomy. Thirdly, an ovarian tumor is detected on USG. Associated bloating, vomiting, and frequent urination are also present. Bloating and vomiting appear to be due to indigestion. Frequent urination can be due to urinary tract infection. It could also be due to ovarian tumor compressing the bladder neck. The ovarian tumor needs to removed first. Histological examination of the ovarian tumor needs to be done to know its nature = benign or malignant, its histological subtype, and its stage. Further management, radiation therapy and/or chemotherapy will depend on the histological subtype and its stage. Mastectomy can be performed after removal of the ovarian tumor. If the ovarian tumor turns out to be malignant, a genetic test also needs to be done. Since, multiple tumors are present, a genetic cancer syn Chat Doctor. Consult your oncologist for genetic testing. Thanks and take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had one of the upper-jaw tooths root canaled.Post treatment, I used tove food lodgment problem surrounding the cavities adjoining the gums of treated tooth i.e: small slices of food teer into the gums and cavities. When I went to see a Dr, she removed the cap along with which the tooth part came out.Dr. has suggested me 2 options :1) Have an implant of metal by removing the root.2) Have a bridge by cutting the left-adjacent natural tooth and removing the cap of right-adjacent root-canaled tooth.Which one would be better option to prevent food lodgment? 1 or 2?Would you suggest 3) a replacement of cap? or 4) leave the root-canaled tooth without a cap", "output": "Hello, I went through your query. If more than 75% of tooth structure is lost then placing a crown (cap) on the broken tooth is not recommended. Otherwise, there is a possibility of placing a Post and Core on the tooth. That has to be decided by your dentist based on the condition of the tooth. Also, I would not recommend leave the broken tooth without a crown. And between dental implants and bridge, I would recommend a Dental implant, if the condition of the bone is sound, because it does not involve preparation (cutting) of the adjacent teeth. Hope you are benefited by the answer." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son suffered from Epilepsy symptoms 2 months ago. All his reports as per dr. show normal condition however Dr. has prescribed tab Valparin Chrono 500mg daily one for 3 yrs. continuously. I want to know that should I continue with this medicine for my son & if yes are thier any side effects of this med. Please advice.", "output": "Hi, If your son had a seizure, then it is imperative that you continue the medicines without fail as the consequence of not taking the medication could be a relapse of the seizure. While this is one part of the treatment, the other part is to find out why he had the seizure in the first place, and if there is any correctable cause. This will require further tests which would be done by a specialist in this field. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was diagnosed with a viral infection and given doxycycline. I was hospitalized three weeks ago for almost a week with a high fever, swollen eyelid, and I had two focal seizures. Could the viral infection have something to do with the hospitalization?", "output": "Hello, Very high fever can sometimes result in seizures, though this is more common in child Chat Doctor. It is possible that the infection was associated with the symptoms mentioned, but you would need to clarify this with your doctor. Your doctors may want to do an EEG (looks at brain waves), to further investigate your seizures. Imaging may also be suggested, such as a CT scan. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am from Asia, male and of age 34. My wt is 68kg and ht is 1.65m, with no known health problems.My issue is my allergy reaction after drinking alcohol. I have rashes on my back, the rear of my arms, my torso and back of my neck. These rashes are small little red dots, and they are really painful when I sweat. Typically takes about a week before I get well. I came across articles on miliaria and after seeing pictures and reading of symptoms, sounds exactly like what I have! So question is if miliaria can indeed by triggered by consuming alcohol? And if indeed so, can I conclude I am actually not allergic to alcohol, but merely that my skin was unable to handle the heat involved with drinking, or that my pores are clogged? Id like to know that these rashes are limited to my skin and not a symptom of some bigger problems internal to the body. Lastly, please do advice if there is something I can do to prevent these rashes.. They are rally painful (like needles poking) when I sweat, which is really often here in hot and humid Singapore.Thanks for all your kind advice.Alex", "output": "Hi, This reactions is known as alcohol flush reaction. When we consume alcohol, it gets metabolized in body by liver enzymes into acetaldehyde and then into acetate. Alcohol causes vasodilation of small blood vessels and capillaries and sometimes bursts these capillaries under skin leaving behind broken capillaries and red spots. Also, alcohol causes diuresis by suppressing desmopressin release from kidney leading to extra work to the kidney and by this water comes out in bladder leading to depletion of water in body leaves skin Chat Doctor. This all is direct effect of alcohol in body when consumed in excess, you can consider it as an allergy. The best way to cure allergy is avoidance of contact with allergen rather than taking antiallergic " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a three year old little boy who I ve taken to the Dr. And have a follow up with on the 8th however I feel that there is something else. He has had a discolored on his left breast since April that just appeared, thinking it was a bruise I have kept an eye on it. Its not tender to the touch he doesn t complain and there aren t any bite marks etc, however this morning it s swollen approximately a half inch", "output": "Hi....by what you quote I feel that the kid might be having a bleeding disorder, either congenital or acquired... Mostly congenital, considering the age of presentation. The bluish discoloration you are noticing is a subcutaneous bleed or bruise and the small lump you are able to palpate is a subcutaneous blood clot. Your grandchild needs evaluation and I suggest you take her to the nearest emergency room as soon as possible. This I am suggesting because - if the kid has a spontaneous bleeding like this internally, as she might require emergency blood products. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a cavity under the gum line of upper rear molar. Very hard to reach. Drilling was quick but due to gum bleeding and saliva duct, dentist and assistant took nearly an hour to fill the cavity. After multiple attempts, dentist cauterized the gum to stop the bleeding. Filling finally held. Now after a week to heal, the gum does not appear to be growing back, and in fact, has a large enough gap that I can feel the root of the molar with my tongue. Is this permanent or do I need to give it time to close around the tooth?", "output": "Hello, Well, first get an x-ray of the tooth done to check the depth of decay and whether the tooth is in a position to be saved or not. If at all the tooth can be saved then it should be treated with root canal treatment followed by a script of antibiotics and painkillers. After that at least after 15 to 20 days post root canal treatment the tooth should be properly prepared for capping and should be capped for proper coverage and strength of tooth. But, first get an x-ray done and send it to me for further guidance. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have Type1 diabetes and i was diagnosed 8 months ago i take meal time insulin before i eat my dinner i wouldtake number 3 on the pen, two hours later i would test and it would be 120 so i thought the mealtime insulin was working then i would start to feel tired an hour later i would test and it would be high at about 194 can you tell me why its going up even with the meal time insulin even when i dont eat anymore that night?", "output": "Hello and Welcome, First, were you given blood sugar guidelines? Did you see a dietitian? I truly cannot answer your question without seeing the type of insulin you are on, your blood sugar trends and your food plan. If you were my patient, after assessing you and your medication, I could get a better idea of the issue. Your 2 hour pp is in range. I don't know if you are dipping too low and then overcompensating. Another reason could be the Dawn Phenomenon related to the shift in hormones during the evening. I do not know your routine, but your insulin may not be holding you as long as needed. To tease out the cause keep a log of your meds, blood sugar and meals for one week and ask your doctor if you need a med adjustment and a referral to a dietitian if you have not already seen one. A dietitian can go over a nutrition plan that work with your blood sugar to keep it stable and complications to a minimum. There is a lot to learn about avoiding future problems when you have diabetes, please make an appointment to learn more by talking to a dietitian. Respectfully, Kathryn Shatter, BS, MS,RUN" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My thumb is infected from a puncture bite from my puppy. I am on antibiotics, but my thumb is still very sore and the skin is peeling off a large section between the base of the thumb and the joint. Might I have MRSA and how should I protect myself and my family?", "output": "Hello, Welcome to Chat Doctor, Your history and the symptoms suggests me that you are having cellulitis following puppy bite. The bacteria like staphylococcus and streptococcus will survive on the surface of the skin whenever there is a break in the skin these organisms will gain entry into body and release there toxins and produce symptoms like cellulitis. If the wound is infected you may require injectable antibiotics to cover staph and strep to. The antibiotics like In CAVAM or In Piperacillin + Tazobactam combination is very effective in controlling this type of infection. As part of the post exposure prophylaxis, continue and complete the course of antirabies vaccine. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "left brain painim suffering from pain in my left side of brain from few days. It happens 1 or 2 times a day for few seconds or 1,2 mins. I noticed mostly it occurs when i playing games on my phone. Is this a eye disorder?? or something else??.. kThanx", "output": "Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. This can be due to refractive Error. Please consult your ophthalmologist first and neurosurgeon after that Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in Chat Doctor at http://yyy.ly/yyyyyyyyyy Best Wishes for Speedy Recovery Let me know if I can assist you further. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Had a heat stroke, doctor prescribed combiflame and antibiotic medicine course for 5 days...and following that there has been constant fever (100,101) whicChatDoctores almost daily or alternate days towards evening. There was a mild back pain on the left side and going towards Hip and leg. And now it is growing more painful and frequent. Weakness has never gone completely, mornings are ok, but towards end of the day body seems to be drained out. Pneumonia, typhoid, Malaria test are negative. Hemoglobin is 10.2 and even having iron tablets for past 20 days it hasn t increased. ESR cam 120 which alarmed. Right now Mantoux test had been done in almost 40 hours there is no visibile change in the skin. Please suggest... thanks !", "output": "Dear Sir/Madam have gone through your query and read your symptoms. In my opinion, your symptoms are an indication of a chronic infection, and in our setting in Indian subcontinent it would have been diagnosed as Tuberculosis, I would recommend you to talk to your doctor regarding this and get TB gold test done to see if this comes out positive. Other such infection include atypical mycobacteria, acidosis, etc hope that answers your query. If you want any more clarification, contact me back." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a painful feeling in my mouth but my gums almost feel numb. I have had a cold for a day, have been taking nyquil and i have a cold sore that i have been taking lysine for and putting abreva on. it is really very painful more than numb now, i havent taken nyquil since 8 this morning and it is now 6pm", "output": "Hello he read your query. Pain and swelling in gums may be due to gingivitis. You have NT mentioned your age. Gingivitis can occur due to any reasons.BT mostly due to poor oral hygiene. I suggest u to have a complete mouth scaling(cleaning) done. Meanwhile you can take metronidazole tab and amoxicillin plus calvulonic acid tab it'll help you with the sore throat also. Rinse your mouth thrice with a God mouthwash. If pain is more painkiller can be taken. Hope this ans helpsRgards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "mesenteric panniculitis....dangerous...???? what is that means. my ct abd shows that but otherwise unremarkable as an impression.no other findings was seen.thanks.i m really concern", "output": "mesenteric panniculitis is a nonspecific inflammatory and fibrotic process affecting the fatty tissue of the mesentery.-locate near intestine. The term retractile mes enteritis has been used to describe this process when the predominant component is fibrosis, and mesenteric lipodystrophy has been applied when the primary component is inflammation. Most cases are idiopathic. The age range of patients is wide with the peak incidence in the sixth and seventh decades. The male to female ratio is 1.8:1. Criteria for the diagnosis require exclusion of pancreatitis, inflammatory bowel disease, and extra-abdominal fat necrosis (Weber-Christian disease). Symptoms are variable and include abdominal pain, fever, nausea, vomiting, and weight loss. Symptoms often persist for a year or more. Physical examination may be unremarkable or may reveal abdominal tenderness or a palpable mass. In your case there is no other significant finding. Is there so u don't need to worry" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doctor am 2 months pregnant, am working and daily i have to travel in bus in the morning as well as evening. Most of the time i stand in a bus which takes 1 hour to reach office and while returning the same distance ,so i get back pain also. i am not able to take of my health since i got to office at 8.30 and reach home in the evening 8.00. how do i take care of my health and take care of myself .", "output": "Hi, Thanks for your query. After going through your query I came to know that you are having backache. It is related to your long-standing in bus. I will advise you to avoid long-standing in bus, requesting someone to give you seat. Medicines are not advisable because you are pregnant. However, you can take calcium supplements which are safe. Sit in a straight posture. Take milk and green leafy vegetables daily. You can discuss with your treating Doctor about it. I do hope that you have found something helpful. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i got a ecg report am 35 male they said i have and enlarged heart my ecg says this vent 73bpm pr interval 182ms ors duration 82ms QT/QTc 346/381ms P-R-Taxes 8 86 50 BP137/97mmHg normal sinus rhythm low voltage QRS Septal infarct,age undertermined abnormal ECG", "output": "Hellothabks for posting here at Chat Doctor.enlarged heart means the chamber of the heart have dilated or enlarged due to wither excessive pressure or excessive volume. U can have an enlarged heart after a heart attack. Enlarged heart can also be seen in dilated cardiomyopathy which is a weakness of heart muscle fibers. There are other causes of enlarged heart like fluid overload, pulmonary hypertension, high BP for a long time can also cause an enlarged heart, heart valves narrowing or leaking, kidney failure all can cause enlarged heart. My advice to you is to get a 2d echo which will give an idea about the cause of enlarged heart. Further course can be decided after 2 D echo findings. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello 2-3 months ago i jumped and landed on the outside of my right ankle..i finished the game and i iced it when i got home i didnt see a doctor....it still hurts im in track i have my trainer wrap it but it still hurts...what could it be? should i see a doctor? What if my mom doesnt believe me?", "output": "Hello dear, The symptoms as mentioned in your post can be attributed to musculoskeletal injury.X-ray of the right ankle will be helpful to rule out any fracture or other pathological causes. Symptomatic relief can be obtained by heat therapy, application of analgesic & muscle relaxant gel, intake of analgesics like Diclofenac (to be taken after food) + Pantoprazole (to be taken 30 minutes before meals). Supplements of Calcium & vitamin D can be included in diet which will help in strengthening of bones. Physiotherapy exercise will also be helpful. If symptoms still persist, kindly consult an Orthopedic for proper clinical examination. Also, maintain adequate HY Chat Doctor. Wishing you a Good Health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ok so on Saturday my girlfriend came over to my house. We did some freaky things and she stuck the tip in. I didn t have an orgasm but I m still scared. The next day she had her period. It is now Wednesday when I am typing this and she said she feels sick. Since she left my house she said she had heart aches., felt dizzy, wanted to throw up, and says shes never felt a stomach ache like this. Can my girlfriend be pregnant? She also says that she thinks she s sick because she accidentally ate old candy on Monday, but I don t think its the candy. She is now telling me she had heavy blood flow on Monday morning, like she stained the bed.", "output": "Hello dairy understand your concernPeriod followed by the unprotected sex does not cause pregnancy. Heavy bleeding after the sex could be due to infection/inflammation in cervix, vagina, polyp or any growth in cervix and uterus, cervix/endometrium dysplasia. Throw up, stomach ache could be due to stomach infection. Dizziness could be due to blood loss. I would suggest consulting the gynecologist and undergo vaginal examination, vaginal swab test, USG scan, PAP smear/colonoscopy to rule out the cause. Specific treatment will depend on the cause. Bleeding can be reduced by the progesterone pill. Take tablet metal spasMaintain proper pelvic hygieneTake proper rest, eat healthy diet with iron supplements. Hope this may help noncontact further if follow up needed. Best regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dr. I used to masturbate daily and i am losing all my concentration and interest in studies because of this , i am trying to control it but i couldnt able to do so ,any women related things are instigating me to masturbate .,i think it is time for me to stop masturbating give me a suggestion or help to stop masturbating.", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. You have not given your age in the query. Please understand that masturbation habit is not unhealthy if done moderately. Below the age of 20, one masturbation per day is considered OK. After that age, the habit lessens because there are other commitments in life. Concentration and interest are not related to masturbation and is more related to your attitude. The best way to stop masturbation is to engage in other physical activities. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 54-year old woman and have had a chronic dry cough since Spring; everyday I get at least five bad coughing jags. Last fall I had a similar cough (though I seem to recall it as a wet cough) but my doctor concluded that the cough was attributable to post-nasal drip and it resolved during the winter. I m concerned that this has been carrying on every day for at least five months. No other major symptoms exist except perhaps tiredness and achiness. How might you proceed with diagnostic procedures?", "output": "Hi, Thank you for your query. I can understand your concerns.it seems that you are suffering from seasonal naso-bronchial allergy. Most common allergens for naso-bronchial allergy are dust and pollen. Do blood test for absolute eosinophil count and serum IGE level. Try to avoid possible allergens. MonteluKast 10 mg orally and Fexofenadine 120 mg /Levocetrizine 5 mg daily orally may help. Consult your physician for review. Regards " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I fell and hurt landed on my rib cage under my breast 3 weeks ago and the pain seemed to go away a bit and now has come back on the front and back of my chest area and it hurts when I breath and sneeze. I haven t had any medical advice as I just though I d bruised them should I go to get them x/rayed? Thanks Laura", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have pain in ribs post injury. Well there can be many reasons for symptoms you mention in query like soft tissue injury, muscle spasm or fractured rib. I would suggest you to consult orthopedic surgeon for proper examination. Doctor may order x-ray or do physical examination. Doctor may recommend complete bed rest, physical therapy, prescribe muscle relaxant, anti-inflammatory along with vitamin supplement for quick recovery. For now take ibuprofen or acetaminophen for pain and apply warm compresses. Avoid lifting heavy things. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,Im a 45 old male, quite healthy and athletic, playing competitive tennis three times a week and running, doing sit-ups and push-ups almost every night for 30 times each, non-smoking.About 7 month ago, I felt sudden stabbing pain in my left chest area, followed by a feeling of warmness rediating and releasing from where the stabbing pain originates, followed by nausea and fatigue. This happened three times in a period of 40 minutes. I had ECG and Holter monitor on the next day and everything came back fine. Since then, there has no more stabbing pain, but it develops into a pattern of sudden onset of severe chest, back and sholder pain with slight nausea, very deep and dull, worse off when I stretch or tilt back or trun my head left. Had my blood test, stress test, ECGs a few month ago and Dr dont think I have heart problem. One thing I want to mention is that I did have tremendous pressure in life and some anxiety issues when this first happened, could this pressure and anxiety cause my problem?I have been trying meditation, relaxing techniques since and i do think I am really relaxed now, sleep well and enjoy life more. But this sudden onset of deep chest and back pain (at the bottom of my left shoulder) happens almost once a day, lasting about 30 minutes each time with slight nuasea.I now know this deep chest pain will not kill me but still get worried and annoyed when it comes on.Can you please advise as to what it is and how I can get rid of this completely.Thanks heaps,Dave", "output": "Thanks for your question on Chat Doctor. I can understand your concern. No need to worry about heart diseases for your symptoms. Since you are having stress and anxiety, your chest pain is mostly due to these only. Counselling done by psychotherapist is best to treat stress and anxiety. So consult good psychotherapist. Try to identify stressor in your life and start working on its solution. Anxiolytic Chat Doctor. Don't worry, you will be alright. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi i have had a itchy rash that started on my face and neck.Now it seems to be all over and it itches more in the evening.Also have little bit of hair falling out everyday.Have headaches at times and almost like the flu.Little bit of sore throat and feels like mucus draining in my throat.Ears also have water in them constantly.", "output": "Hi Dear, Understanding your concern. As per your query you have symptoms of itchy rash on face and neck which can occur due to our environment factors, bodies response to the trigger factor and due to certain systemic causes. Need not worry. I would suggest you give cold compresses to rash several times a day to prevent from swelling and itching and take over the counter antihistamine Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my mother fell backwards almost a year ago. since then she has had sever stomach pains and thinks it may be somehow related. she has been to several doctors, had colonoscopy , xrays, bloodwork, checked her gall bladder etc. is it possible for the fall to have done something? she has lost aprx. 60 lbs. and at first they thought it was gastritis but nothing is helping her.", "output": "Hello! Thank you for the query. It is possible that such trauma could cause severe abdominal pain. In some cases back trauma causes extraperitoneal hematoma which can stay there for a very long time if not infected. Usually it appears around the kidneys. Usually it gives abdominal pain and back pain. Fever or burning when urinating can be present as well. Such significant weight lost should be also explained with cancer. It can be stomach cancer or pancreas cancer. To have it diagnosed upper GI should be performed and abdominal CT with oral contrast. Such CT will also answer if there is any hematoma caused by mentioned trauma. Hope this will help. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 87 year old mother has recently been diagnosed with Parkinsons Disease. After a full day of activities Saturday, she had what doctors are saying a seizure and heart attack. Her system has not completely awakened. She cannot open her eyes or speak. She can be stimulated to awake and do simple commands....stick your tongue out, say uh-huh, ok. She tried to sing the abc song (garble) but the tune recognizable. We have been playing music and she hums. After visits or during long visits she goes back to sleep. I cannot find anyone who can explain this. Her doctor says be patient but she has never seen anyone do this either. Any insight or explanation would be appreciated.", "output": "Hi, Thank you for posting your query. The description seems to suggest that she has impairment of brain functions. This most likely could result from a brain stroke. If you can upload a copy of her CT or MRI brain scan report, it would be helpful. Seizure is a temporary event, and the person completely recovers in a few hours. Heart attack would not explain her brain dysfunction. Parkinsons disease causes motor disability and not cognitive dysfunction. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI SirIm from India bangalore.Im suffering from left side stomach pain past from 1 year 8 month.Did the scanning before 6 month endoscope, ultrasound and urine cultivation test. IM taking the treatment past from 1 year 8 by changing the doctors because it is not getting curable. 22-Mar2012 upper gastro intestinal endoscopy:: Impression :Duodenal erosious (Post bulbar) 6/4/12 Before 12 months back, i went to concert the gastoenterities doctor, he did the scanning of ultrasaound and urine cultivation test. Ultrasouund will be normal and urine cultivation test is e-Coli bacteria 1 lakh count.Then he sugest for urologist, urologist give a treatment to urologist test: ultrasoung KUB, trasrectal sonography, uroflometry16:04:2012tablet Cefoprim 500mg 1-0-1 7 daystablet unirub 20 bg 1-0-1 7 daystablet cranpac 1-0-0 30 After 2 weeks i got motion in blood then he suggestted looz syrup 17-5-2012t niffutin 100mg 0-0-1t cranpac 1-0-0t unirub 20mg 1- 0-03-7-2012t Sepmax 1-0-1 7 dayst pantazole 1-0-1 7 dayst lactogent 1-0-0 30 Doctor he is not able to cure the disease, my immunity power also gone low after taking the too many antibiotic.He again tell the scanning of CT SCAN---KUBMCUCYSTOSCOP and he told the scanning to my wife Gyac opinionpap smeacu/scan abd+pelvis i did not done any of the scan because he is not given the clear picture.i suffered him a lot from the doctor.Please help me on this, how do it has been diagnise", "output": "Hi welcome to Chat Doctor forum. Thanks for calling Chat Doctor. Forum. You are suffering from left abdominal pain, changed many doctors, and used many medicines. No cure since one year eight months. The causes of left abdominal pain are, gastric pain due to peptic ulcer, irritation by irritant foods. Pancrias pain, worms in the intestine, infection of the kidney, writer, or bladder, or stones in the ureter, or bladder. The other causes could be psychological due to long-standing problem, and it is secondary to the actual problem. I advise you to practice yoga meditation, reading books of your interest, hearing music, and internal or external gardening. Try to take more of curd, bland foods like bread etc. Avoid UN timely food, spices, junk foods, and oily foods. Wishing for a quick and complete recovery. Best regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am married n m missing my periods by 8 days;i ate so many papayas but no use i did pregnancy test but its negative but no periods yet n it never happnd b4 ,i dnt wna get pregnant please suggest something .. i dnt wna get pregnant m so worrired pls helo", "output": "Hallow Dear, Papaya causes termination of pregnancy is a myth and misconception. In fact, it is a very good digestive food and should be consumed during pregnancy. Urine pregnancy tests are reliable after about 8-10 days of pregnancy. You may repeat the test after a couple of days. Still if it shows negative results, you have the following options:1. Beta Chat Doctor tests are very specific and sensitive tests. You may try it. 2. By this time ultrasonography will give you direct visual evidence of the status of pregnancy. If you are pregnant and do not want to continue pregnancy, there are simpler, safer and easier ways to terminate the pregnancy. Mifepristone and Bisoprolol are the two medicines taken in combination is a good, reliable and safe method to terminate the pregnancy up to 9 weeks of gestation. However, these are not over the counter medicines and need to be taken only with a Gynecologists advice and prescription. If you are not pregnant, take some Progesterone preparation like Devilry for 5 days with doctors prescription. Within 4-7 days after that you will get with Chat Doctor. Please follow scientific methods. Wish you best of the health," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor, I am 35,female, 5 ft 4 inches -75 kg. and am having frequent tremors in my limbs.I also feel rigidity and mid, sweet pain in wrists, finger joints and stiffness (not painful) in knees while walking DOWN the stairs but not when walking up. I am a homemaker from past two years but am not sedentary .Is neurobin forte good fro me ?", "output": "Hello dear, The symptoms as mentioned in your post can be attributed to:1. Entrapment of nerve fibers at the Lumbosacral region.2. Inadequate HY Chat Doctor. Dietary deficiencies of certain nutrients like Iron, Calcium, vitamin D, Vitamin B12, Folic acid, etc. which help in blood formation & nerve conduction.4. Peripheral neuropathy caused due to any fluctuation in blood pressure or blood sugar level. Symptomatic relief can be obtained by intake of cervicogenic agents (like Vitamin B6, Vitamin B12, Folic acid) as well as multivitamin & multimineral supplements including iron, calcium & vitamin D needs to be added in your diet. Physiotherapy & postural exercise will also be helpful. If symptoms still persist, kindly consult a Neurologist & get a complete Neurological examination done. Certain investigations like complete blood count, serum electrolyte estimation, fresh estimation of blood pressure & blood sugar levels & nerve conduction studies will be helpful to rule out any pathological cause for the symptoms.X-ray & MRI of Lumbosacral spine can also be carried out to detect any nerve entrapment. Wishing you a Good Health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hii.i m 24yrs old i gotmarried in may2010 nw i want to conceive. i hav gone through ovulation study twice everything is normal. so now my doc advises me to undergo ChatDoctor test. she says its an x-ray done wherein they put radio-opaque dye. bt i want the detailed info. about this with some diagrams to know what is it exactly.", "output": "Hi, it is HSG test. In this a radio opaque dye is instilled into your uterus. It is basically used to see the patency of your tubes. If the dye comes out through the tubes, it will be visible on the X-ray. If block is there, spillage from tubes will not be seen. It is a minor procedure. No side effects will be there. You can see a video of that on internet. Hope I have answered your question. If you have any other query I will be happy to help. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor,I am having constant stomache ache from 1 week. And am getting thinner also while I eat much, someone suggested me to take zentel as a course for worms.Today morning I had zentel, but the stomache ache has increased now. Can you please let me know if it is a side effect of zentel?What would you suggest me to do?Thanks.", "output": "Hi and sorry to hear about all what you are going through. Zentel is rarely a cause of stomach ache. Also, because this pain was already there before you took zen tel, it makes it even less likely. I will suggest that you visit your doctor for the following reasons:1. The pain is increasing2. You have been losing weight despite increased eating3. Zen tel seems and unlikely cause and there are many other causes of abdominal pain. Your doctor would ask more questions about this pain and will examine you. He may also ask for some test if necessary. Hope this answers your worries. If not, please feel free to contact me again. I wish you a speedy recovery" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my brothers chest ct scan reportimpressionArea of coalescing linear consolidation with air bonchogram in biletral lower lobesplease suggest whats this and what is the persentage of life risk does this situation is criticalwe had done this ct scan due to he had hospitilised for nimonia so suggest", "output": "Hello CT scan findings suggests consolidation in bilateral lower lobes(pneumonitis) of lungs. Pneumonia is indicated by air bronchospasm which is typically seen in pneumonia. Patient may empirically need broad spectrum antibiotics after clinical evaluation. This condition also need to follow up. This is not a very critical finding. Patient usually get cured by antibiotics. Patient may also need routine investigations like hologram, etc. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 15 year old daughter was diagnosed with Cerebral dysrhythmia and borderline personality disorder. she spends 50 percent of her time home and is sick frequently. School is a trigger for her and she ends up back in the hospital when pushed to go by LAW. It s an endless cycle and she is tired of living this way and is desperate to kill herself. When she is just with me helping to cook, shop or relax she does so much better. What can I do to help her when I m constantly caught having to push her back to school, forced to take to hospital and a child crying for it all to stop", "output": "HelloI don't understand the paradox of sending a sick child to school. Are we educating the child by sending to school or punishing and sending to prison? I get upset with all this. Anyway. It appears she has seizure disorder, may be aggravated by stress. You can consult a child Psychiatrist and try and find what is wrong. These symptoms of trying to kill her are worrisome and needs urgent attention. There could be some problem at school also like bullying or learning problem. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Why does the left side of my stomach underneath my ribcage hurt so badly when i breathe? It hurts no matter how I am sitting or laying down. I already have used the bathroom, no diarrhea or anything just a normal time. I have no idea what it is but i may have slept funny on it I m not sure, but it feels like getting stabbed in the stomach every time I take a breath in.", "output": "Hi Chase mess, Thanks for writing your query. In addition to muscular pain, your pain can be due to increased acidity and gas production. You can follow some precautions like :-1. Avoid spicy/oily foods.2. Donor miss a meal.3. Avoid mental/emotional stress.4. Chat Doctor. 5. Donor self-medicate especially painkillers and steroids.6. Avoid gas forming foods like peas, legumes, cabbage, etc. You can take antacid like Omeprazole 20 mg once a day with Risperidone 10 mg. If the problem persists, get yourself examined by your doctor. I hope this is helpful to you. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doc, my father is 68 years old and now a days suffering form thyphiod and also he is a patient of high blood pressure and diabates. now regularly there is a bleeding from there nose. how he can get rid from that? pl. also suggest some diet for him ? waiting for our reply ?", "output": "Hi, typhoid is temporary Illness, it can be very cured with antibiotics like definite or ceftriaxone. Now for blood pressure very good medicine are available like telmisartan 40 mg once day, amlodipine etc., which you can get it prescribed from any doctor. Consume low salt diet and regular exercises which will help to reduce BP. Also get sugar, lipid profile test. Monitor blood pressure frequently three times a day for a week then once or twice a week once controlled. Nose bleed may be due to high blood pressure or frequent nose fingering. Also, you nee dent examination for ruling out other problems. If you have questions you may ask." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just noticed a small bump on both of my nipples and also in my right armpit. I can just make out the small bumps but more noticeable is the sore feeling associated with each bump - I should mention that I am male. The symptoms began today. The pain is akin to a large pimple.", "output": "HI, Dear,Good Evening from INDIA, and Thanks for your query to Chat Doctor. I studied your query in-depth and understood your health concerns. Cause of the small sore lump on nipples and in armpit-Though your age is not mentioned in your query, from the facts given in the query, its my opinion that, In your case it -is -mostly -pubertal gyanaecomastia-as its noticed today and it's sore to touch or Acne of the nipple or could be Boil with low infection as the armpit sore lymph nodes, are present. This would help you to resolve your issue. Welcome for any further query in this regard. Wishing you earlier recovery. Good Day. With Regards Chat Doctor. N." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was ice skating (first time) and I fell and hit the back of my head. It s been almost an hour but I m feeling rather sleepy though they told me I shouldn t sleep until maybe 6 hours. I m not feeling dizzy at all or nauseous, just sleepy, like my eyes feel a little heavy... Should I be worried?", "output": "Hello! Thank you for your question on Chat Doctor! I appreciate your concern. I think that feeling sleepy is normal after a head concussion. It is caused by a temporary dysfunction of the brain, and may be a sign of brain swelling. Nausea, headache and dizziness are common symptoms too after a head concussion. I agree with your doctors who are telling you not to sleep, because they are monitoring your conscience status. I would recommend you to have a little rest and do not worry about it. It will get better. If these symptoms get worse, or you feel other symptoms like numbness etc., a bran CT scan would be necessary to exclude an intracranial hemorrhage. Hope to have been of help! Greetings!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Why do I have a bouncing blood pressure, prefer not to take any blood pressure medicine since I am very sensitive to certain kind of madicine, and never know when it affect my head, I loose my memory when I take muscles relaxer medicine and certain other medicine", "output": "Hi, dear. I have gone through your question. I can understand your concern. You should take antihypertensive medicine regularly. Without medicine It's common to have fluctuating blood pressure. If you have allergy or hypersensitivity then take go for Chat Doctor. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, my father is receiving oral surgery soon in order to make way for dentures. He was hoping to find some sort of temporary cheap false teeth he could use while he waits for said dentures in order to be able to speak and smile properly. they wouldnt have to bee too comfortable, but at the same time i don t think novelty items are the way to go. does anyone have any ideas? sincerely, Greg", "output": "Hi Greg, Usually patients who are undergoing full mouth extractions or major surgical procedures that require healing for longer periods are provided with Temporary dentures/ Immediate dentures. These dentures are placed in the mouth directly after the remaining teeth are extracted. This approach is utilized when a person does not want to be without any teeth for several months. It also helps for the extraction tooth sockets to heal while a denture is fabricated. These Immediate dentures are the first denture of a two-denture process and should be considered as a temporary interim prosthesis until a second refined and esthetically enhanced denture may be constructed after complete healing of the sockets." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI, i have been off birth control depo shot since March, only took the shot for 2 maybe 3 months and i cant seem to get pregnant? hi, i took the depo birth control shot 2 months maybe 3, but the last time i took it was March and i wanna get prgnant and i cant?", "output": "Hi Welcome to Chat Doctor Forsythe effect of demo shot lasts for 3 months, since you have taken 3 of those, it was effective from March to November. After stopping its use, it takes a while to conceive, 6 or more months. This is the time when your body starts producing natural hormones again and ovation resumes in normal manner. So please be patient and keep trying at the right dates. If you are still worried, get yourself and your husband examined and tested by your Chat Doctor. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my son is 4 years old and having problem of vomiting during eating anything. doctor advised for tests of LFT, KFT Ultrasound. all are normal report. barium shallow has been done inwhich it is found that foodpipe is become narrow at downside also doctor has taken sample for biopsy. now i have been advised to go through CT Chest (contrast) in which doctor wants to see is there anything which is compressing the foodpipe. kindly advise", "output": "Hi, Thanks for writing to Chat Doctor. Food pipe becoming narrow at the lower end may be due to any reason either inside, outside the wall of the food pipe or withing the wall of the food pipe. So It's important to find out where is the lesion, to form a management protocol for your child. I feel an imaging study like CT or MRI is imperative, Thanks. If you have any more queries I am happy to answer them. Else, please rate this answer and close the discussion" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello I just stopped taking chemo therapy for testicular cancer and while i was on taking chemo it was suggested that i smoke marijuana to help with the nausea which i did, it has been two weeks since i smoked and am trying to get a new job. Im worried that i will test positive on the drug test what if anything can i do? Im around 200lbs but not much fat percentage.", "output": "Hi, Youre taking the marijuana because it was prescribed to you, it's not for recreational purposes. As such just tell your employer beforehand that you smoke medical marijuana and show him the prescription from your doctor. Since you are smoking it legally and because of medical reasons I am quite sure that you're employer can't use that against you, well unless you start smoking the medical marijuana while you are working, then he can fire you and there is nothing you can do about that. So be honest and just tell him/her the whole situation and show him your prescription. I hope this answered your question." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was on chloroquine for about two years to treat lyme disease and since then I have developed what my dermotologist diagnosed as keratoderma on the soles of my feet. If this is a drug induced disease, (I am otherwise 56 and in excellent health), do I stand a better chance of getting rid of it? No family history of it.", "output": "Hi, Keratoderma is thickening of skin that occurs commonly in palms and soles. This condition can be genetic or can be induced by chronic diseases and use of certain medications. Chloroquine can cause this condition. Keratodermas are not curable, but symptoms can be controlled. Treatment options include regular use of emollients, keratolytics such as salicylic acid or urea and topical/systemic retinoids. Take care. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 26 year old male with a blood pressure reading of 150-80 but around last year march i was 130-80 and since my current reading every time i go to the hospital my blood pressure is high for some time and goes down later but some times it doesnt go down. i am an anxious person too. i got to know this from my sex life. i lose my erections when about having sex and when i am relaxed i get it back. i will be going for a pre employment medical exams for an oil rig engineering position and i want to know if it will affect my chances of having the job", "output": "Blood pressure at your doctor's office or a hospital is often much higher than your average. That's not to say that you shouldn't ad Chat Doctor. To get a real idea, get your own cuff. Record your blood pressure on a schedule every day for two weeks. It should be taken seated after a 10-15 min period of relaxation. When you meet with your doctor again, bring the record. That trumps what the nurse gets in the office. Look to your diet. Limit sodium intake to Exercise should be anything that is maintained for longer than 20 minutes. Exercise every day. After lifestyle measures are instituted, reassess the impact on your blood pressure. If you've been successful, stop measuring regularly but stick with the lifestyle changes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was diagnosed with Hypoglycemia last year, which explained my blurred/tunnel vision when I stand or sit up, but I still have muscle twitches, weird tastes and smells is my mouth and nose, and I often feel detached or out of my body, I also have crazy thoughts.", "output": "My advice is to also get the following tests done if they have not been done before. The tests are serum C- peptide, Serum insulin, Insulin/ C peptide ratio and an abdominal CT scan. It is important to rule out the possibility of an insulin which is an insulin secreting tumor which causes hypoglycemia. Please note that insulin is a rare tumor. However, it is important to rule out this type of tumor in patients with hypoglycemia. Regarding the fatigued feeling & other symptoms of hypoglycemia you may try to eat frequent small meals witChatDoctorplex carboy Chat Doctor. Best regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter has a 2cm blood filled lump on the posterior aspect of her ear. I cleansed the area with alcohol and then poked it with a needle. Lg amounts of blood returned, no puss, no odor, not painful but as soon as she stood up, the sac filled again. What may this be? What should we do with it?", "output": "Hi, dairy have gone through your question. I can understand your concern. She may have some vascular tumor like hematoma or myogenic granuloma. She should go for complete excision of lump. Then go for histopathological examination. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am still having pain in my right bottom calf leg. I have had land therapy, three cortisone shots, and am now in water therapy. I am slightly better but am still plagued by not being able to stand for more than ten minutes in a shoping line nor walking for more than fifteen minutes before pain in calf returns. I have been seeing my regular orthopedic surgeon who does not recommend surgery due to two discs, L4 and 5 protruding and my stenosis condition. Will continuation of cortisone shots repeated this September compromise the tissues or muscles in my spine do harm? Should I get second opion from neurosurgeon?", "output": "Yes you vocal visit a euro surgeon and take secondary opinion about surgery. If the problem is too much then need to take a chance and euro surgeon is the best doctor to take opinion in your case. Apart from this you can also have omega 3 and vitamin C and do tablets to support the bone as well as circulation in body. Omega 3will help to support the spinal cord too. Hope you got your answer. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I took levonelle about 4-5 weeks ago, only about 4 weeks after having a termination (I know, I ve sorted contraception now), but I m having terrible hormonal side effects. My skins broken out, I feel hormonal and stressed, tense, my memory s awful, I ve lost about 9lb in 3 weeks, I m tired and feel restless and agitated. I m also angry and weepy. I m pretty sure it s from both of these things but I need to know what s going on with my hormones.", "output": "Dear, sudden stoppage of hormonal pills have invoked a with Chat Doctor. Your body mechanisms would need time to tune itself in absence of hormonal supplements to function, which may take the couple of months around. A gradual tapering off of the hormone would have prevented it.a setting up of secondary depression is quite evident. I would like to advice you to undergo a course of anti-depressant for a couple of month. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a 28 year old niece that had her whole colon removed as it was dead . They attached her small intestine to her rectum. This was about 3 months ago. Now she still has abdominal pain and when she eats bloats to the point where she looks 4 to 6 months preg. . Is this something that is to be expected with this surgery?", "output": "Hi and thanks for the query, I do think you really not be so bothered, for this is a common feature seen after such surgery. It will for sure take some time for things to get back to normal. It is important to note that he might not have normal digestion as others with colons present. Advice on a diet scheme to avoid such anomalies would be required from a nutritionist. The opinion of his doctor and a nutritionist, in my opinion, are very important. Kind regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 45years old. Two weeks ago I went for a vaginal ultrasound due to heavy periods with large clotting. For the past 6+ months my periods came with bad headaches and severe cramping. My last period even caused nausea and vomiting. I am extremely fatigued. Within the past few months I even have pain with urination (which is frequent) and bowel movements (which alternate between diarrhea and constipation). Some of the recent pains remind me of labor pains... The result of the ultra sound says: Bulky and heterogeneous uterus measuring 9.6x5x5 with coarseness echo texture and myometrial cysts measuring 8mm in the anterior body. Endometrial thickness is obscured by this heterogeneity. I am now waiting for my NEW insurance to start in 3 weeks (may 1) before I see the dr. I alternate between being at peace and being fearful. My mom was diagnosed with ovarian cancer at age 48 and died 2 years later. My maternal grandmother had breast cancer at an early age. Just wondering what that medical jargon means and what the issues might be. Thank you.", "output": "Hi, Thanks for asking. Based on your query, my opinion is as follows.1. The uterus contains multiple adenomyosis loci. 2. This adenomyosis causes severe cramp pains, particularly during periods, when the uterus contracts.3. Check hemoglobin levels. It could be low due to heavy periods. Will required It B12 and iron therapy to improve levels. 4. No ovarian problem at present. You might need hormonal therapy at present, however, if uncontrolled, hysterectomy will be necessary. Not much of an issue, other than possible low hemoglobin and cramps due to adenomyosis. Hope it helps. Any further queries, happy to help again." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i had a car accident 2 yrs ago, which has left me with disc bulges on c5 5-6 6-7, i am having quite alot of time off work for appointments and work are saying that if it is classed as a disability, then they will credit my flexi time. is this damage classed as a disability? thanks", "output": "Hi, thanks for posting the concern in the Chat Doctor. Disc bulge or prolapsed intervertebral disc can cause disability. By definition, disability is the consequence of any loss or abnormality of physiological, psychological, or anatomical structure or function, whether permanent or temporary. But, different formal sectors of employment in different countries have different policies for people with disability. That policy not only varies across the countries, but also among different organization of same country. The concerned employer has a list of disabilities for which the employees would get benefit. If an employee is disabled by definition, but that disability is not included in the list of the concerned employer, he or she won't get the benefit. The benefits also vary from financial support to work environment modification or some other compensation. However, when a disability is temporary or correctable either by rest or treatment, the employee may be benefited with leave from work for the period of treatment. In your case, even severe PIED is often correctable surgically. So, whether you would get a benefit of flextime or not, depends completely upon the employers pre-set policies. You need to consult the Human Resource Department and the Chief Medical Officer of your company to know whether you would get a benefit. For any further queries, please write back to me directly. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir, i am 30 years old male.. i am suffering from low back pain along with both heel pain for the past 5 years since than i have been consulted several specialist and according to their advices i had been gone through many physical examination out of them i have done MRI scanning 4 times but it could not diagonised my disease from where the pain is generated. At present my condition is very worse as i cant stand more than 5 minutes at a time due both heel pain but i can walk smoothly. Specially my pain is generated from my left side and whenever i stand my both heel started paining. Doctors says nothing is serious problem in your spine but my pain is killing me 24 X 7 hours. So i am confused what to do or where shall i go.My pain is different from others LBP patients... please advise..The following are the result of MRI:-1) Mild diffuse disc bulge in L4-L5 2) Sugar, Blood Pressure, uric acid are in normal level3) Vitamin A, B, C, D levels are normal4) Heel x-ray normal5) Thyroid normal6) HLA B-27 normal", "output": "For low back pain you start with lumbar traction short wave diathermy and back extension exercise along with mild analgesic. If this does not help you can take low dose steroid and then should be tapered. And if still you have you need to be given epidural injection. Avoid forward bending and weight lifting. For heel pain you have plantar fasciitis, so you wear soft foot ware dip your leg in hot and cold water for 15 minutes 2 times a day. And mild analgesic. If pain does not subside local HY Chat Doctor. Hope above treatment will surely help you. Get well soon. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have been on Perlacet for two years for Chronic neck and back pain from an injury, Is suboxtin a choice for me ? I hear some people dont do well on Suboxtin but do very well on subutex, why is this ? Does the additive in Suboxone have side effects in some people and there for they do well on subutex as it does not have the additive /", "output": "HiI have a view that physical therapy works well for chronic pains and narcotic or related Chat Doctor. If some nerve is implicated in back or neck due to osteophytes then surgical removal of nerve irritation/compression offers a better choice than to depend on pain medication. It is best to leave the choice of medicine/combination to treating doctor as additives are often necessary in some patientsRegards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My girlfriend is about a week late with her period. Weve had sex several times (always protected). She has been under a lot of stress for the last few months and now that she missed her period shes getting histerical. I feel like she missed her period because of the large amount of stress since the condoms didnt break (I check them when I take them off) and we are careful afterward to clean up everything, including ourselves. Shes been telling me all of her symptoms that might suggest pregnancy. However, I found that all of them are also related to anxiety disorders. Please help me and my peace of mind.", "output": "Hello dear, I understand your concern. In my opinion the risk of pregnancy is less than there was no tear of condom. But as the period is delayed I suggest you to take q urine pregnancy test. The test usually gives accurate results a week after missed period. So if the test is positive the pregnancy is likely. If the test is negative the delay in period is due to hormonal imbalance due to stress. So relax. Best regards..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been experiencing an array of symptoms for some while now but especially severly in the last three weeks. I have face and jaw tightness, chest aches and upper back aches. I sometimes get fluttery feelings in my legs. I have had an ECG and no problems were detected. Does anyone have any idea what might be wrong?", "output": "Thanks for your question on Chat Doctor. I can understand your concern.You're all symptoms are more suggestive of arrhythmia. ECG can be normal in arrhythmia (rhythm disturbances in heart). So normal ECG can not rule out heart diseases in your case. So get done 2d echo and Holder monitoring (24 hours continuous recording of ECG). If both these are normal then no need to worry about arrhythmia or other heart diseases. Sometimes undiagnosed stress and anxiety can also cause similar symptoms. So avoid stress and tension, be relaxed and calm. You may need anxiolytic Chat Doctor. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my daughter about 10 yrs having high fever since 5th june 2011. i could know it is typhoid. i got bl test on 7th confirming typhoid and paratyhi present. treatment started with cefuroxime 250 m bd. no results seen till 13th june. then cefixime 100 and ofloxacin 200 started on 14th till 26th june. even intensity of fever lowered but on 26th fever was 101.5 deg centegrade. hemoglobin is 10.2%.now amoxycillin and clavulanic combination along with ofloxacin 200 is started since 26th night. child is not cheerful and fever is not coming down.it is now more than 22 days. i am worried. child s weight is 30 kgs.approx. pl advice", "output": "Hi, Welcome to Chat Doctor. Your child has fever for 22 days, and you have given cefuroxime for 7 days followed by definite and ofloxacin and now child is on amoxyclav and ofloxacin and still child has fever. In typhoid, complications of gastrointestinal system starts appearing in 2 to 3 weeks and central nervous system complications in 3 to 4 weeks. This is an alarming situation. You should immediately admit the child in hospital. Intravenous antibiotics and blood culture will guide further treatment. I hope this will help you. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi my husband had a sore stomach last night and woke up with a cold sweat , he eventually went to the toilet and had olot or diarreha. today he was feeling better but tonight has a fever of 37.5 and had a small amount of blood when he went to the toilet he is feeling weak. should i take him to the hospital tonight or wait to see whats happening tomorrow?", "output": "Hi, Thanks for posting in Chat Doctor. I understand your concern. From the description you have given, it appears that your husband is suffering from infective diarrhea. Kindly do the following to overcome it. 1. He needs to take antibiotic course of Tablet. Ciprofloxacin with Tinidazole combination - at 12 hourly intervals after food for 5 days. 2. He needs to increase the fluid intake by consuming good quantities of water, fresh fruit juices and oral rely Chat Doctor. 3. He can Take tablet. Acetaminophen when he has or feels feverish. In case his condition does not improve, or his weakness continues, he may require hospitalization and further treatment with infusion of intravenous fluids. Hope the information provided would be helpful. All the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a total hysterectomy at age 38, I have been taking premerin for 20 yrs. I am very concerned about health risks. I have tried a few times to get off this medication. having severe mood swings, crying jags, anxiety, headaches, severe dry eyes, mental confusion, other symptoms on a reduced dosage. after months of those symptoms I went back to the 1.25 mg. dosage. and all those symptoms stopped. it works, but is very expensive. I don t want to take it. is there any alternatives?", "output": "His understand your concern. I guess you have generalized anxiety that affect in all area. Anxiety with low mood can affect daily routine more and should be treated. Premerin is estrogen supplement. You have done hysterectomy, so it produced mix anxiety depressive symptoms and estrogen supplement is useful. I prefer low dose of SSRI like Escitalopram 5 mg or tab sertraline 25 mg along with Mizoram 0.5 mg to control both anxiety and mood swings. But it is necessary to evaluate 1st before start these medicines. Take regular sleep. Eat healthy food and antioxidant. DO exercise and meditations. Avoid smoking and alcohol.If you require than consult psychiatrist. Get well shorthand you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Dr.My Aunty 70yrs old is having right side facial numbness and paralysis like symptoms.She is able to talk properly. But has been forgetting things and feeling weak. I performed an ultrasound study on and noted calcified plaque in botChatDoctormon carotid arteries and 2d echo study revealed altered diastolic function of LV and mild pericardial effusion. What can be done next?", "output": "Hello, It seems she has stroke leading to one-sided (right) facial weakness and limb paralysis (Ischemic stroke). Calcified plaque in carotids indicates advanced atherosclerosis. LV diastolic dysfunction is age-related. Mild pericardial effusion needs exclusion of Hypothyroidism. Go for serum Free T3, Free T4 & TSH and serum lipid profile, Blood sugar fasting and postprandial, BUN, serum creatinine, serum electrolytes, complete blood count, urinalysis as work-up for stroke. MRI brain(plain) needs to be done to delineate infarct. Treatment follows after workup is complete. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had to be intubated when I went into heart failure three years ago and since then I have been bothered with a persistant cough from my throat, a tingling sensation that makes me cough constantly as it feels as if there is something there, in addition there are times when coughing it feels like a piece of skin or something flapping in my throat. Then there is when I eat and the smallest crumb can cause a fit of coughing, then there is the changing of my voice at times making me sound like I have a hoarse throat. Could this be related to my being intubated? In addition I take .05mg of levithroninxe for my thryoids.", "output": "Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. Post intubation following are the possible complications that can cause similar symptoms. 1. Bronchitis2. Tracheal injury and stenosis. So get done chest x-ray and PFT (pulmonary function test) to rule out bronchitis. Get done Bronchoscopic evaluation of trachea to rule out tracheal injury. So better to consult pulmonologist and discuss all these. Possibility of tracheal stenosis is more in your case. So get done bronchoscopy." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My sister in law burned her brain on drugs as a young woman the doctor had a name for it im trying to explain the term to a social security worker. she has been on ssi disability for years then one day decided to contact ss on her own we are trying to undo the damage/", "output": "Good Afternoon, I'm sorry to hear of you and your sisters difficulties. This must be a very hard experience to have and go through. Unfortunately brain damage is very difficult if not often times impossible to reverse. Nonetheless, there are options to seek improvement. Physical therapy, occupational therapy, speech therapy and comprehensive brain injury rehabilitation services can be utilized to help increase the activity and function of your sisters brain; and as a result, this therapy may recruit more areas of the brain which are active to take over the portions of the brain which have been damaged beyond repair. In some cases with this therapy, some portions of the brain-damaged, but still with adequate blood flow and or some semblance of remaining function can be brought back to higher if not near-normal to normal function. Nonetheless, there are no medications or surgeries which can reverse portions of the brain with definitive damage. If your sister experiences symptoms that result from this brain damage (pain, loss of function, spasms, seizures, neurological changes), there are of course medications and targeted therapies which can be used to help; but the damage itself, as stated above, is more difficult to treat, and I recommend seeking the above listed therapies. I wish you and your sister the warmest and happiest of holidays; and trust even with such difficulties, that there will be happiness and things that can give you comfort and enjoyment. Family, friends, conversation and of course therapy will all in my professional experience lead you in the right direction. I hope my experiences and advise matches well to your personal case; and will lead you in the correct direction. If not, I, and other physicians are always available for further discussion." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Every day at some point I am light-headed usually when I stand up. I feel as if I am about to pass out. I just stand there for about 5-10 seconds and the feeling passes. I am on medication (Crestor, Amlodipine, and Lisinopril. I am trying to get in touch with my Physician. He has not called back yet. Any ideas? I am drinking a lot more fluids than usual - water, fruit juices, tea.", "output": "Hello! Thank you for asking on Chat Doctor! I read your question carefully and understand your concern. Your symptoms seem to be caused by orthostatic hypotension, which means that your blood pressure falls during standing up from sitting position. This may be an adverse effect of the antihypertensive therapy you are taking. So some changes in your therapy may be necessary. I recommend consulting with your attending physician and measure your blood pressure in sitting and standing up position. In case of a decrease more than 20\u00a0mm Hg of systolic blood pressure during standing up, this would be in favor of the diagnosis of orthostatic hypotension. A head up tilt test is needed to determine this diagnosis. Hope to have been helpful! Greetings! " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I m a 68 yr old female patient of Steven Hashiguchi, MD in Lake Oswego, Oregon. I was about to write a note to him tonight as I continue to have chronic back pain following 3 back surgeries over the past approx 10 years. I have been to pain management clinics and do all I can at home with exercises, stretching, etc but have been fairly successfully treated with Oxycodone 20 mg, 2 tabs, tid (by Dr. H) for the past several years. We have a pretty good relationship regarding this, however I know he is very watchful and must be careful regarding the prescribing of opioids. The difficult part for me is that some months the prescription is enough to control the pain and other months, depending on activity - it is not enough. I honestly don t feel I have side effects after being on the meds as long as I have and infact, if the pain is controlled I am so fortunate to be able to do the things I love, i. e garden and travel and hold my grand children!! Its a bit depressing not to be able to live a full life when the pain is not controlled, especially because I am lucky to be healthy in every other way. I m always embarrassed if I have to tell my physician I ve run low on the medication and it puts him in a tough spot prescribing meds sooner than scheduled. I do not above the meds. I m careful with the timing of them and am quite aware of the risks involved. Basically, some months are just much easier than others. I d appreciate any advice you can give me and I d also be fine if you felt like contacting my physician with your ideas. At my age I m honestly not interested in starting something totally new as this has worked for me for quite some time,, Thanks, Suzanne Schrinsky", "output": "Hello, Thanks for your query on Chat Doctor\"As\"per your clinical history is concerned please follow like this -1)Do a clinical examination by your treating Doctor[Neurologist]and to know current exact status do an MRI scan.2)Discuss with your Doctor about [gabapentin], [Cortisone injections] and discuss with your physiotherapist for specific exercise plan with heat and ice therapy]Do follow lifestyle modifications like this -1)Do exercise. Strengthening the trunk muscles helps stabilize and support the spine.2)Try to maintain good posture. Good posture reduces the pressure on your spine and disks. Keep your back straight and aligned, particularly when sitting for long periods. Lift heavy objects properly, making your legs not your back.3)Try to maintain a healthy weight. Hope that helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband just recently had a psa test done. he is a 42 year old black male. his results came back with a score of 36..5 We have been having sex everyday for the last month twice a day. With oral sex and penis manipulation. Will this cause levels this high. No other symptoms as well. Will repeat test on friday with orders of no ejaculations Concerned wife", "output": "Hi, Thanks for writing in. The PSA level is an indicator for possibility of prostate cancer. However, there are additional reasons for having an elevated PSA level, and some men who have prostate cancer do not have elevated PSA. It can be elevated in conditions like infection of the prostate. Repeating the test is necessary for your husband. Most men with an elevated PSA level turn out not to have prostate cancer; only about 25 percent of men who have a prostate biopsy due to an elevated PSA level actually have prostate cancer." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Doctor, My wife has taken Herwont kit to control early pregnancy. she took Mifepristone on day 1 and after few hours started bleeding heavily and the very next day she took Misoprostoll tab 1 in the morning and 1 in the evening and she is having lot of stomach pain and she is bleeding. She took one more Misoprostoll tab this afternoon and lot of stomach pain. Can you please advise. Thanks in advance", "output": "Hello, Thanks for sharing your health concern with us. I would like to know if your wife has been under medical surveillance while taking the medication for induction of medical abortion. If not, I would ask you to contact a specialist right away. Uterine contraction caused by the medication leads to the pain. Though bleeding is a feature of the abortion, heavy bleeding should call for concern. Also, medical abortion is to be done until 9 weeks of pregnancy only. Better results are seen until 7 weeks. Inadequate dosage can lead to an incomplete abortion and heavy bleeding, infection and infertility problems in the future. Please get further help from your health care provider. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am 29 years old and a mom of two and a half old son. I am planning to conceive again but my periods have been always irregular. When I wanted to conceive first time I was in India and My Doctor asked me to take folic acid tablets 5mg dosage once a day and glucophage metformin tab thrice a day and also letoval 2.5 mg letrozole tablets starting from day 3 of my periods til 7th day. And I have conceived in 5 months. Should I start taking it again to conceive.", "output": "Hello, Above medications are quite helpful to get regular period with proper ovulation and facilitating chance of conception. But, you must consult with your doctor for overall check up with relevant investigation before taking this medication. Do unprotected sex close to ovulation day (14 days prior to due date) or within fertile days for high chance. Use ovulation prediction kit to tract ovulation day in mid-cycle. Take vitamin-E and folic acid supplements for 3 months. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my total serum bilirubin is 1.0 which is normal but my serum sgpt(alt) is 84 and serum sgot(alt) is 42 both of which are above normal.I need some suggestion regarding this, is the condition of my liver is dangerous or i have any form of jaundice or any medicine have increased this sgpt and sgot level because for last 3 months i was taking penicillin tablets", "output": "Hi thanks for contacting Chat Doctor. You are taking penicillin since 3 months. So Chat Doctor. Second it could be by fatty liver. So rule it out by USG abdomen. Sometimes viral hepatitis or Bag carrier might because. Do viral marker for that. Do you have history of any heart problem or muscle injury or myositis like condition?? As they can raise liver enzymes. If you have history of outside food then also hepatitis A or Hepatitis E can cause. Viral marker useful for it. I have given you few possibilities but " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 92 yr old mother has dementia and lung cancer that has begun to spread to other organs. she is in a nursing home and also have Hospice involved. she is very affixed to me, I am her only family member left and she cries a lot when I am with her especially when I get ready to leave, It upsets her so and tears at my heart to see her like this. Is there anything I can do to help her through this, I visit her each day, should I maybe go every other day or what. I need some help, Please", "output": "Hi, as you mentioned your mother has dementia, emotional outburst is common in this disease. The only way is to take a treatment for dementia with a good neurologist and make her feel comfortable. The presence of lung cancer also make her depressed and which will add to the emotional outburst. So if you have a biopsy of the lung cancer lesion, can go for EFR testing. If it comes positive she may be started on oral tablets with SKI inhibitor with medical oncologist opinion. She may also need counselling with antidepressants. Try to continue meeting her every day till some these medications take action and then gradually you can reduce the number of visits." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I feel like I have shortness of breathing and as if my heart is pumping awkwardly I also a tingling or dizziness sensation throughout my body for a brief second or two then goes away it does make me feel as if I m gonna pass out. At other times I feel like vomiting please help what do you think it could be... I ve also just started feeling this way for maybe about a week now", "output": "Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion we should rule out cardiac cause first for your symptoms. Because hypotension can cause breathlessness, giddiness, dizziness and vomiting. So better to get done1. Ecg2. 2d echo. If both are normal then no need to worry much for cardiac cause. Get done chest x-ray and PFT (pulmonary function test) to rule out pulmonary cause like bronchitis. So better to consult doctor and discuss all these. First diagnose yourself and then start appropriate treatment." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Is it wise for a daughter to tell her mother that she has borderline personality, and point to behaviors the child remembers from growing up (i.e. telling the mother that she thinks her mother has lived her life in emotional turmoil, when the mother does not feel that way at all)", "output": "Degree understand your concerns went through your details. I can understand your emotions. I assume that you are the mother and your child abused you. In any case, mother and girl child relationship are always thorny during the girl children teen and young adult age period. You have not mentioned the children and the mothers age. So I assume that too. There are many occasions where the child uses foul language and the mother retracts and the same happens in the reverse too. Both mother and child could fight each other using words and using hands sometime. All the above behavior are normal up to an extent. Limits should not be crossed. For that either of one should adjust. Don't worry. Everything will be alright. Keep your faith. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have found a indention in the crown of my head that is tender to touch and feels puffy. I suffer from migraines since age 12 and am now 41. I am concerned because I have other symptons like shooting pains in upper legs, my jaw seems out of alignment and often causes intense pain especially when drinking citrus drinks. I have a back issue and nerve damage in neck. Read up some on pagets disease?", "output": "Hi, Thanks for writing in. Having a puffy swelling or indentation in the crown that is tender requires clinical examination. Please consult your doctor and know if it is a mild infection as it is tender or something that need detailed evaluation. Pages disease is a condition that evolves over time and unlikely to present acutely. Since you also have a migraine, it will help to do an MRI scan of brain and cervical spine should your symptoms be of a severe nature. The nerve damage in the neck region that you have mentioned needs a little more detail. Since you say nerves are damages, the cause of such damage and its location is important to guide your treatment. In the next few days please schedule an appointment with your neurologist. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, my name is justin and i suffer from chronic pain for several different reasons and i take creams, do physical therapy, exercise, and take medications. my question is what i can take that is equal to or similar to dilaudid 8 mg tab? I take methadone primarily but sometimes (mostly at night) I have to take another medication for breakthrough pain and i am prescribed dilaudid 8mg tablets and they don t seem to work very well.", "output": "Hi, Okay, the methadone does not appear to be prescribed. Taking opiates that are not prescribed is dangerous, illegal and signals more of an issue than just pain. The other key point is that the system gets used to opiates and more and more is needed for the same effect. The fatal dose does not increase to the same degree and this, of course, leads to a dangerous situation. Addiction treatment with methadone is usually helpful with pain. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i feel unstability on my head and body during walking and sometimes during sitting on chair and working on laptop and sometimes during movement of head is xet cr 12.5 is ok for me i feel jerk in ,my body while sleeping", "output": "Hello! Welcome on Chat Doctor! I carefully read your question and would like to explain that your symptoms could be related to an inner ear disorder. Get CR 12.5 can be helpful in such cases. But, if you do not feel relieved after a month on this medication, I would recommend consulting with an ENT specialist for a physical exam and labyrinthine tests, to exclude an inner ear disorder. Dimethyl Chat Doctor. Hope to have been helpful! Wishing all the best, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i took a round of chlomid as directed by my doctor. the day before my next period was due I was supposed to take a pregnancy test but I started my period that morning so I did not do the test. I went ahead and did the next round of chlomid starting day 3 of that period. I should be ovulting today, but instead found out that I am pregnant. That means that I took the second round of chlomid and was already pregnant. I assume I am about 6 weeks pregnant now. What if any effects will this have on my pregnancy?", "output": "Hello, and I hope I can help you today. Clomid is a medication that acts on your pituitary gland helping to stimulate ovulation. This has been shown to have affects that could cause abnormalities in a fetus. Furthermore, animal studies suggest that taking Closed while pregnant can cause birth defects. However, if you only took it for 5 days, there may have been little effect. You should promptly see an obstetrician who can refer you for an ultrasound to check the fetus and discuss the risks and benefits of continuing the pregnancy. I hope I was adequately able to answer your question today, and I wish you the best of luck with your situation, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am 58 years old male. Recently i removed tumor from small intestine with a size of 6x5x4 cm.My IHC report was, CD117 positive and CD34 with focal positive, while SMA is negative and ki-67 is positive with 1%.Based on these data our physician diagnos as it was GIST and start imatinib. My query is that is it sufficient data to diagnos for GIST and as per the data how long I have to take imatinib.", "output": "Hi and welcome to Chat Doctor. Thank you for your query. It is never 100%,but it is enough for right diagnosis. Also, GIST can be easily recognized by morphological characteristic which can be seen during the surgery and by clear borders and non-infiltration of surrounding tissue. If imaging is used just for prevention of receive then it should be used only short time. If there is still evidence of tumor then it has to be taken for 6\u00a0m-1 year. Wish you good health. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am 15 years old. I am a female, and I am ppretty healthy. I m really never sick. About a couple months ago, maybe, my chest just started to hurt badly. The pain is in the center of my chest, right between my breasts. The pain radiates to my back, and it kind of numbs my shoulders. It s kind of hard to explain. The pain feels like someone is sitting on top of my chest. It s like I m being squeezed really hard, and it hurts really badly. I have to move around to relieve it, but it only lasts a couple seconds then it s back. It comes and go s at random times, and lasts about 20 minutes. I can breathe, but there s a lot of pressure. Should I see a doctor, or is it normal? Thanks for the help, I appreciate it a lot.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Yes, you should definitely consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). Central chest pain, chest pressure on Breathing etc. are seen in bronchitis. So PFT is must for the diagnosis. If PFT is normal than HERD (gastroesophageal reflux disease) is another possibility. It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms of Central chest pain, pressure in chest etc. So avoid stress and tension. Start proton pump inhibitors. Don't worry, you will be alright. But first rule out bronchitis. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 5 1/2 year old granddaughter has developed a bump on her spine about halfway down her back. It would change colors. She went for an ultrasound and they found that one of her vertebrate (?) was split maybe and one piece was growing on top of the other. She also has frequent growing pains in her feet (her words). She will be going to the pediatric orthopedic doctor but I could find nothing on this. They said biped spinal process.", "output": "Welcome to Chat Doctor .1. The history suggest spin IFID - it's a congenital defect (with birth) generally detected before birth antenatal.2. Frequent pains are due to the involvement of the nerve - possibility of compression can not be ruled out.3. In this case MRI spine would give good anatomical delineation of the lesion and extortion can be assessed.4. I think you need to see the neurosurgeon or a pediatric neurologist for better evaluation. Is involvement of nervous system is there. 5. Cn not b ignored or dallied, and it may progress and complicate, the defect has to be closed. Good luck. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good Day! I have a 5 year old nephew. Since he was 2 years old, he used to throw things that he handles everytime he is mad and everytime we don t follow whatever he wants. And when he does, we beat his hands. But still, he keeps on doing so. I even used a hot spoon once and tap it on his hands just to let him feel the pain but it didn t even work! And now, he even gets worst. If you scold him he will just cry and respond I don t love you anymore and sometimes he ll shout You are ugly! while throwing things! And when we tell them to stop doing something, he ll just stop for a while and do it again! I am thinking if he lacks attention because most of the time, his mother which is my siste, is not taking care of him and is not putting attention to him. By the way, his parents are already separated. I just need your help so badly. Please advise on how can we discipline this kind of kid and what should we do in order for him to change that kind of attention. Because his attitude is too much! What I am trying to say is that, we don t know already how to handle his attitude, even his nanny is giving up! Thank you so much and PLEASE help us!", "output": "DearWelcome to ChatDoctorWe understand your concerns went through your details. From the given information it seems that the child is suffering from Attention Deficit Hyperactivity Disorder spectrum disorder and related aggressive hyperactive behavior. I strongly suggest the child to be examined and assessed by a psychiatrist for further treatment and advises. Please consult a psychiatrist ASAP. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query. Further clarifications are welcome. Good luck. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "most morning when i wake up i cant fell my legs as they are numb and have constant pins and needles , i also get bad pains within the joints , legs ankle fingers and hips , i keep getting sick when i eat and its been going on for a long time now but seems to be getting worse . any help would be much aprrcieated", "output": "Hello, Have u met any accident or fell down before? It seems to me there is nerve compression over lumbar region or sciatica pain.in sciatica, the pain with low back referred to lower limb with foot ankle and thigh and sometimes along with numbness and tingling sen sating whole lower limb due to nerve compression. There are many other causes of nerve compression or tingling sensation as lumbar stenosis, fracture,lumbar radiculopathy, herniated disc, diabetes,nerve root injury. Usually, the non-surgical treatment for the lumbar radiculopathy or sciatica are physical therapy, massage,acupuncture, medicines and some spinal injections. You can take hot/cold therapy, apply ice packs or hot water fomentation either therapy is convenient for you for 20 mins. Take massage therapy. Take medicines as ibuprofen or naproxen which reduces the pain with spasm. Avoid long sitting or standing, avoid forward bending or heavy weight lifting these can aggregate the pain. Although you don't get the relief get MRI or X-ray." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am getting more and more into shell everyday.. Depression, I am certain.. How severe I dont know.. I am not been able to complete even smallest of jobs. In fact any responsibility I get, gets minimum or no work.. Have started taking leaves every now and then.. And I was among top 10 % performers last year..", "output": "Hi, Although you have mentioned that you are certain that you are suffering from depression, as a psychiatrist, I would like to explore other symptoms of depression as well as your predominant mood state, sleep, appetite, body energy, confidence, etc. In any case, you should consult a psychiatrist. In case you have depression, you can be treated effectively with medications. Medications like sertraline, Escitalopram are effective as well as safe. In addition, you can start doing exercise on a daily basis which will help you feel better. Best wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 10 year old son fell this evening on the ice and hit the back of his head. He was knocked unconscious and for an hour or so could not recall the fall or the fact that earlier in the day, he had shot his first deer. There is also a large bump on the back of his head. No dizziness, pupil irregularity, headache or nausea. What should we look for from here on out?", "output": "Hi, I am Chat Doctor. I have read your question and understand your concerns. Let me try to help you Question : Suggest treatment for short term memory loss after head injuryAnswer : No Treatment is needed since no treatment is effective. After few days, he will be fineQuestion : What should we look for from here on out? Answer : Look for Vomiting, Headaches, Dizziness, Blurring of vision Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. Let me know if I can assist you further. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 13 year old boy and I am very concerned about my penis, many times when it is not erect it gets very small. When it is erect it s fine but when it s not I see that I can turn really small and it has me worried a lot, is this normal?? Can I do anything to prevent this? Please help ASAP thank you!", "output": "Hi, Thank you for asking question on Chat Doctor. Yes, this is normal, nothing to worry about Lt. During erection the muscles will enlarge, the size becomes big and hard. After that the muscles relax, the size becomes small and soft. Hope this answer will serve your purposeless feel free to ask any more queries if requiredTake care Chat Doctor. V. Subrahmanyam MD;Disassociate professor of pediatrics" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, Two days ago I was bitten by a dog where I work. I work at a kennel. It is only a little wound on my hand in between knuckles. Last night I started to see a little bumps that itch on my wrist going up the arm. If this is related to the bite what can it be and what can I do. I have taken benedryl but I want to know if it could be serious.", "output": "Hello there, Sometimes a dog bite may be complicated by microorganisms growing in the would that are introduced by the dogs teeth into your skin. The little bumps are your bodies defenses reacting to fight the microorganisms. Ideally you should go to a doctor and get it checked. He would prescribe you a course of antibiotics and give you a solution to clean and sterilize the wound. Hope this helps, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi my name is Keira. I would say for the past three months,I ve developed a rash on my hands,red raised itchy bumps under the skin and, then they dry up and my hands begin to peel.I have seen a dermatologist for the past 3 months and they haven t figured it out as well.They seem to believe that it s an allergic reaction ,but here s the thing the same rash on my hands,are on my feet know itching just peeling and it looks to me as if, they are turning darker.Can anyone help?????", "output": "Hello Kara, Thanks for the query. Yes it can be an endogenous eczema. Another possibility is psoriasis as you mentioned there is peeling off of skin. A biopsy may be needed to differentiate this. Please meet a dermatologist and discuss regarding this. Let me know if you have any other doubt. You can ask a direct question to me on this forum, following the below link.https://urldefense.com/v3/__http://www.ChatDoctor .com/doctors/ Chat Doctor. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a breastfeeding mother, I got the Mirena IUD in 7 weeks ago, and have been non-stop bleeding since. Before I got the iud there was a possibility I was pregnant, but the pregnancy test in the doctors office before insertion of the iud was negative. I have endometriosis , so long, irritating periods dont usually concern me. What does concern me is that that last few nights, I have been having some small blood clots, and dark brown sledge for discharge, as well as, your typical period.", "output": "Hi, thank you for your query. Mirena is an intrauterine device (IUD) with progestin and is a hormonal intrauterine device. What you are experiencing are classical effects of IRENA seen in some people. Mirena acts by inducing cyclical shedding of the endometrium. As you have endometriosis the uterine lining gets thickened and hence when IRENA is placed, due to the hormonal action the lining is shed as clots. And since you already got the pregnancy test done it is the endometrial cast off. All these symptoms are harmless if they are not accompanied by other symptoms such as dizziness and pain in abdomen. I would advise you to consult your OB/GUN if the symptoms persist for more than a week. And get an ultrasound done to check for placement and condition of endometriosis. Thank you, wishing you good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 56 and have just been diagnosed with a compression fracture of the T12. I was in the shower doing a cat stretch with hands on knees when my back locked . I hadn t done anything more strenuous apart from tennis the day before. Osteoporosis and even possible tumours have been mentioned but I can t get to see my GP until next week. I have had this pain now for 2 1/2 weeks with pain radiating to the lower abdomen just above the pelvic bone and also into my ribs.", "output": "You may consult a spine doctor or an orthopedics surgeon. Compression fracture has to be treated preferably with a spinal brace immobilization along with anti-inflammatory medicines for few days...this has to heal with avoiding forward bending, and avoiding weights . You can obtain over the counter pain medicines like Advil or Tylenol for relief till you get appointment for prescription meds. Avoid all movements, bending, especially. Best wishes" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i got in a bad horse back riding accident and i had a very bad panic attack after that and now i get cold chills back pain and tightness and stomach aches head aches i feel unreal like iam not there. i have very unrealistic thoughts and i feel emotionless but especially towards my boyfriend and things that used to bring me joy.", "output": "Thank you for the question. I can understand that the trauma of accident has left deep fear experience behind, and it would be some time-consuming to get over it, but it would be settled that is assured. Try devoting more time to music melodies, gardening, leisure walk in peaceful places like gardens, mountains. Try to sleep well with some medicine support like clonazepam 0.5\u00a0mg at night. Try to avoid moving on vehicles and rush in traffic. Panic disorders respond well to meditation for relaxation, so join some well-being clinic hosting yoga/meditation classes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "About a year and a half ago I had my IUD changed, it did not feel right when she replaced it. I called a couple times and she said that it was all normal side effects. Ever since I have had stomach cramps, feels like gas but way worse and back pain going into my sides. These were random up until about 4 months ago and now they are more then not. I get really bad headaches and my periods happen a couple months then I dont have them for a couple months. I have had random itchy spells. They have done blood and urine tests and have not found anything. They say it is not my kidneys, gallbladder, appendix. Could this be side affects of the IUD?", "output": "Hi Hope this message finds u in good health. I have gone through your msg and understand your concern.it may be due to some sort of hormonal imbalances or variations in the body, though there may be other reasons as reclothing to worry about, You should eventually get back to normal. Take multi vitamin and calcium supplements Do consult a gynecologist if symptoms worsened back to me for any FOLLOW-UP QUERIES anytime. Chat Doctor. .(MBBS, MS,MCH)" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, Tonight as I was making dinner, my tongue and the roof of my mouth started tingling. A moment later I lost the ability to form sentences easily, and was confused on the meaning of words for about 10 minutes. I than started feeling quite weak, and within about 30 minutes I was nauseous with a head ache. I NEVER get headaches! I am 30 years old. Is this something I need to worry about? Thank you, I do hope you can offer some input.", "output": "Can you elaborate on any dental treatment that you ever got done, and has any member of your family had any similar symptoms or medical complains? If you haven't got any dental treatment done before and with the kind of symptoms that you are giving which is confusion, headache etc. it suggests a neurological problem rather than related to dental, though the problem may be minor, so you need not worry and better consult a neurologist as early as you can, because sometimes due to minor lesions in brain such seizure like symptoms may be seen. And the earlier you rule these out and start taking medications for such a thing the better. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor. I have seen very good answers that you have given to other parents/guardians with regard to edenoids. My son is 3 yrs and 4 months and for the last about 3 months, we have been in and out of hospital because of multiple problems; colds, flu, cough, tonsilitis, pharyngitis and fever. I decided to consult an ENT specialist who requested for a PNS x-ray. The X-ray has shown adenoid hypertropy and the ENT specialist has recommended for the removal of the adenoids. Of course I m jittery about this especially when I think of General anethesia. Do you think the surgery is important? Thank you. Esther from Tulaga, Kenya", "output": "Hi. Sorry to hear about the problems of little kid. As far as your question is concerned, if the diagnosis of adenoids has been confirmed by an ENT doctor and surgical removal has been advised by a specialist then it's better to go with that. In the other scenario, the kid may have these problems repeatedly. Secondly you have concerns about general anesthesia in a kid. Let me tell you that nowadays due to advancement in medical sciences, general anesthesia in kids is a common practice and routinely given by qualified anesthetists. So I would suggest you to stay assured and go for the surgical option. It would be better for the health of kid. Wishing you and your family the best of health. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had my wisdom tooth pulled bottom right 2 weeks ago and I am still in pain. The only thing that seems to help is salt water and that only last a couple of minutes. i seen my dentist a week ago and pescribed me penicilan.. Im finished and it still hurts. Is this normal? What should i do?", "output": "Thanks for your query, I have gone through your query. The pain after extraction of the wisdom tooth could be because of the sharp bony margins in the extracted site, or it can be pain from the injection site. Consult an oral physician and get it ruled out. If there is a sharp bony margin, then get it rounded off. If it is pain from the injection site, then it takes time to reduce(2-3weeks), do saline gargling. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor, I am a 25 year old mother. My husband and I live a healthy lifestyle. Go to the gym 3-4 times a week. For the past two days Ive been feeling extremely weak. Dizziness, feeling cold, gas and today a little nauseous. I have no energy to do anything. All I want to do is rest. I have also had a little Sharp pain on the right side and middle of my chest. What can this be?", "output": "Hi welcome to Chat Doctor.... Here according to history you can have viral gastritis like condition along with digestive problem... Along with doing Jim Chat Doctor. ... Fruits more ... Gastric condition can lead referred chest pain.... Take omeprazole for few days... Check your blood sugar level also along with blood pressure monitoring.... These two factors can lead dizziness, so this two investigation done ... Sometime viral flu also can lead these symptoms... In which congestive symptoms also present ...like rhinitis, cough etc.... Avoid gas forming foods like cabbage, cauliflower and onion. If chest pain increasing chest x-ray and ECG done.... Also investigate with CBC and CRP... Take healthy and balanced diet and avoid heavy exercise for few days.... Consult physician with keeping this in mind. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi i have a raised bump on the highest point of my inner thigh. It is not round, kind of spreads. If i squeeze it, light brown, dark yellow puss comes out until it starts to bleed . After squeezing it does feel slightly less swollen. But then after a day or 2, it is completely filled/raised again. What is it And what should I do?", "output": "Hi! Good evening. I am Chat Doctor answering your query. Although this requires a physical examination of the lump for a proper diagnosis, this could be a benign cyst over the thigh, which got infected repeatedly resulting in discharge of pus temporarily till it got filled up again. I would advise you to take appointment with a general surgeon in your area who after the acute phase was over, might advise you for an excisional biopsy of the lump both for diagnostic and therapeutic purposes. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am experiencing severe pain in my left hip that travels down my leg, also numbness in my left foot. I have MS, but have never had pain like this before. I find it difficult to walk and stand. Also have lower back pain, doctor says its degenerative disc in my back. Had x-rays on my hip 2 weeks ago..no fractures. Doctor thinks its a pinched nerve. Tylenol is not helping. Any suggestions please.", "output": "Hi, thank you for providing the brief history of you. A thorough neuromuscular assessment is advised, post which an MRI may be needed to take assistance for seeing the pinching of the nerve or the soft tissue status. Also, due to aging factor there is always a degenerative change happening in the spine and may lead to disc degeneration and pinch of the nerve. Since the symptoms are classical for the disc degeneration and pinched nerve, your doctor is right. Also, you need to undergo physical therapy like, therapeutic ultrasound therapy and TENS therapy for the same which will help to reduce the pain instantly. Post which exercises will be taught to strengthen the spine and the stabilizing the spine to avoid recurrent pain. In my clinical practice, patients recover 99% with the combination of medicine and physical therapy. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My father is 76yrs. He is having high bp 190/90. Yesterday he saw a doctor and he was prescribed telmikind 20mg. On taking the medicine he is feeling very uneasy and also dizziness (feeling as if his head is reeling). Can u pls suggest what we should do? Thanks.", "output": "Hello, I have gone through your query. Thanks for using Chat Doctor.First please measure BP when he feels dizziness and uneasiness. If it is due to low BP then you may need to change the medicine,20 mg is as such quite low dose however we can decide only after you measure BP. If you are very sure that symptoms appear only due to Telmikind you may report to your treating doctor to change the medicine. My best wishes Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello i have twins they are going to be 2 months in 10 days they have been pooping green with white little balls they are very crancky at night they cry and cry they act like they are hungry i give them the bottle but they cry with it in their mouth like if something hurts", "output": "It is happening at child in different cases:taking formula, iron, hungriness, disbacteriosis, St. aureus enterocolitis, rapid transit, intake of colored vitamins, problems with bile secretion, malabsorption, allergy. If babies have cramps it can be infection also. So, we should find cause and do additional stool analysis, stool culture and sensitivity to antibiotics. At the first you can start to give them eco norm (saccharomyces) 1 Sasha 1 time 5 days, colic aid 10 Chat Doctor. Best regards. I will review you after 5 days" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi sir I have problem in stomec,my age is 27 year frequently I feel that push type coming in my latrine and sometimes its OK at ur own it is going on for last one year if I take medicines I feel its OK but as I left medicine situation comes back as it is.", "output": "Though m not sure what u mean by \"push\" but I think u mean to say u have to apply force to pass stools and your stools are quite hard. In that case you are suffering from constipation there can be many reasons for constipation, u need to increase the fiber content in your diet and should eat salads, vegetables like cabbage cucumber carrot zucchini fruits like apple oranges berry to increase the roughage content. Occasionaly in case of severe problem you can take syrup lactulose 20ml but should not make this a habit. Show your surgeon to find the root cause of your problem." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I am a 22 year old female. I just recently noticed a vertical indentation from the very top of my head down maybe an inch of my crown. It doesnt really hurt, but because I have been touching it a lot and allowing family members to feel it, it seems a little soar or sensitive now. I just got my hair dyed last week where I sat under a heater for a while. I have not had any injuries, but I have always had crazy allergies. I wake up nearly every morning with a runny nose, congestion, and sometimes a sinus headache. I use to get allergy shots once a week for a while, but that was years ago. I have also lost about 10 lbs, I have been trying to eat healthier and exercise. But this past week or 2 I have been eating junk food. What is this seemingly sudden indentation on my head? Should I be concerned?", "output": "Hello Dear! Thank you for asking. I read your query and I want you to know that if the indent on your head is not proceeded by some trauma or fall then it is probably innocuous, and it will go away. If it doesn't in a week you can see Nearby GP to assess this bump and sort out the etiology for you. If it hurts simple acetaminophen or topical NSAIDs will be enough. Now your main Concern. Allergic rhinitis with allied morbiditiesyou need 3 phases for management1)Avoidance:Avoiding exposure to allergens such as pollen, dust mites, and mold to a minimum and all other environmental control measures.2)Medication therapya-Second-generation antihistaminesCetirizine (Zyrtec) Levocetirizine (Rizal) Cetirizine and pseudocode Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i started masturbation in the early age of 12. now i am 26 years old. I have following problems: Semen leakage: if i touch any girl or think about any girl for 1-2 minutes then semen just start to come out from my penis even without the tightness of penis. Weak Erection Premature Ejaculation Night Fall Less quantity of semen Digestive Weakness Now i want to know that all these problems are curable?", "output": "Masturbation is a perfectly normal way of self gratification when there is strong sexual urge in the absence of partner. Problems arise only when it becomes a preferred mode of sex even in the presence of a partner. When you touch or think about a girl, the fluid coming out is a fluid which is watery and meant for lubrication. IT IS NOT YOUR SEMEN. When you start developing guilt, you have anxiety, resulting in poor erection which in turn enhances anxiety, so this cycle goes on. Night fall again is a normal discharge of semen during sleep and causes no ill effect. These are curable if you consult a good qualified sexologist Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a normal blood pressure of 120/80, and I have been under a lot of stress last two months-marriage, and went to the doctor yesterday and my blood pressure is 126/63 and BP is 64. Is this ok? I also lost 15 pounds and am now 105 pounds. Oh, and Im 50yrs. old.", "output": "Hello, Few strategies to reduce the stress and I hope once you follow these things you will ace to overcome stress1. Diet: Ensure intake of an adequate quantity of fiber. 2. Servings of vegetable salad and two servings of fruits (One preferable citrus fruit). A proper diet does miracles and rejuvenates. Orange is a good source of anti-oxidants. Avoid junk food and fast food especially pizza, burgers and excessive sweets.2. Ensure adequate water intake: Follow the rule of one which I usually advise. One glass of water one hour before and one glass of water one hour after every meal will ensure adequate consumption of water. The recommended intake of water is two to three-liter in a day.3. Early morning Exercise: Brisk walking for 30 minutes at a stretch preferably in the garden will be very helpful. Walking is the best exercise, it also promotes the release of endorphins (naturally occurring painkillers released in the brain) which causes mood elevation and a generalized feeling of well-being.4. Avoid tea or coffee or nicotine and alcoholic beverages5. Start your day with a glass of lemon water with two spoons of honey added.6. Don't take work so seriously: We all have the feeling to excel in our respective fields and don't spend adequate time with our self trying to understand our own needs. Spend time with your family and friends.7. While working takes frequent regular breaks: Taking regular breaks will not waste the time, but it will increase productivity, concentration, and reasoning.8. Avoid late-night socialization9. Avoid starring for a longer time at the computer screen or TV for a longer time10. Steam inhalation before going to sleep will be very refreshing.11. Multivitamin and calcium supplement. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello sir, how r u doing?please help me out since i have been suffering from this disease from approx five years. condition. five years before when ever i take sugar,pepsi,coke etc any kind of sugar, carbohydrate ingredients items i feel sudden weakness through out the body & feelng that my body inotollerate sugar & i feel ant is biting inside my body,pins needles type of feeling & hair loss i got a test for serum ige & the test result is 214 consequently i take atarax then i pass 2 or 3 days with tollerance & i lost my hair. i am helpless from a long time which is effecting my whole life be it social,official aur personal life i would be very thankful to you if you solve my problem.", "output": "Hello Mr. Rizal, Thanks for writing in. It seems that you are allergic to some ingredient in Pepsi or coke, and I am afraid the only way to prevent this is to stay away from it. You can consider a regimen of oral steroids in consultation with your physician but the only way to prevent it is to stay away from it. Staying away from this along with a course of oral steroids can help you regain your hair. Please consult an allergist or an internal medicine specialist for this. Hope this helps regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My question is regarding possible lyme disease or coinfections. I have been having horrible symptoms since january that seem to be attacking my nervous system and joints and muscles and tingling on my left side of face and leg balance issues and random anxiety attacks. Also had some high heart rate issues for about 3 weeks back when i first started feeling bad and then the other above symptoms all came afterwards. So would a western blot test or another late stage test need to be performed or do i need ot see a neurologist or infectious disease doctor. I havent felt 100% better in the last 5 months but better from when this all started but have no energy or as active as i once was. Thanks for your feedback", "output": "Hello, Welcome to Chat Doctor, As you were diagnosed to have Lyme disease which is an infectious disease caused by Cordelia bacteria, and it is a tick borne disease transmitted to humans by the bite of infected ticks. The symptoms are suggestive of the Lyme disease. I would suggest oral doxycycline, if you have taken this and if there is resistant to this you can take either cefuroxime or azithromycin. These medications should be taken for at least one to four weeks. The Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Sir, In December 2013, My younger brother met an road accident. After the Diagnosis in nearby hospital, He is suffering from brachial plexus.After the operation of brachial plexus, Now he is continuously going for physical therapy. The Doctor suggest me it will take 8-9 month for recovery as operation is done on March month. If he took Neurobion forte tablet everyday. It will be useful for quick recovery without any side effect.", "output": "Hello. I have been through your question and understand your concern. The mos important thing in these cases is the physical therapy. Other treatment have not shown any clear benefits, but are routinely recommended, because they sometimes can help. Still, if any side effect appears you should stop taking them. Till then, you can take them with no problem at all. Hope this helps. Please feel free using MHC again" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ive recently watched a documentary (what if cannabis cured cancer) and even read some medical newsletters on the beneficial effects of Marijuana on the human body, In the documentary they talked about the possibility of cannabis curing cancer, due to the cancer killing agent in THC cannabidiol (CBD) , just wanted to get your views on this topic", "output": "The research on this matter is highly controversial, and I would say, in its incipient stage, Cannabis are not used to cure cancer but they are used for palliative care in cancer as they improve hunger and give a sense of wellbeing. Medicinal Marijuana has some modifications and is being studied under medical supervision for use in debilitating conditions like HIV and certain cancers.I hope this helps sir. Chat Doctor. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 73 years old woman, my blood pressure today was 122/70. About a month ago, I was 140/90 and was put on a blood pressure pill and a week ago on a small diuretic. Since starting to take the diuretic, my body temperature has been 95.7 to 97.5. Been very weak. My doctor feels I picked up a bug and just coincidence since just starting the diurectic. Should I be concerned over the lower blood pressure, lower body temp., weakness etc.?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Blood pressure of 122/70 MMH is not considered as low. It is normal blood pressure. In my opinion, your low temperature and weakness are mostly due to diuretic Chat Doctor. Diuretic causes excessive urination. So this can cause low sodium level. And this can cause weakness and lower body temperature. So if you are maintaining normal blood pressure without diuretic " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "When i sneezing or cough i have a hard time breathing right after and start wheezing which last 5mins to a couple of hrs.. it feels like there is mucus stuck in my throat but i cant cough anything up. i don t have a fever, sore throat or vomiting.. i am 25 yrs old and i am a non-smoker.. what could this be??", "output": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of allergic rhinitis and asthma is more. You might be allergic to dust or pollen or pollution or smoke. On exposure to this, you are getting sneezing (allergic rhinitis) and cough, wheezing (asthma). So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Allergy testing for the identification of causative allergen. 3. PUT (pulmonary function test). PFT will not only diagnose asthma, but it will also tell you about severity of the disease and treatment is based on severity only. You will improve with inhaled bronchodilator and inhaled corticosteroids (ICS). Oral combination of antihistamine and anti-allergic Chat Doctor. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I just left my Doctor an hour ago who was OBVIOSLY having a bad day. I m being treated for HBP and was giving something I ve never had before. She gave me 4 different pills, the one in question is Vasotec. I m online to see what exactly it is. When I read the side effects, I fit all of them. I was feeling these before I took this new one, the other is Atenolol. Is it really important to notify her, cause I feel just fine other wise. It s not like her to give me something & not tell me what it s for. Thanks, Greg L.", "output": "Hi, thank you for quarry. As you mentioned that your doctor prescribe you antihypertensive medication, and you are feeling not good with vast due to its side effect. According to recommendation before the age of 60 year ACE is the first Chat Doctor. But if not tolerated the second group is calcium channel blocker like amlodipine 5 mg once daily. Beta blockers like atenolol are not recommended these days. If such patient came to me, I will prescribe tab. Amlodipine 5 mg PO once per day. And titrated according to BP reading. Hope the answer will help you to assess your condition. Wish you a good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ive had a lump around my anus which is about the size of a 10 pence peace, it itches at times and was very painfull to sit bend and walk, I opened my bowels last nite which resulted into it bleeding, I applied some Germaloids in which it eased and not so painfull, but it s still bleeding through onto my underwear, and it s not gone down in size, Ive no fever an no other pain any where else what could this be", "output": "As per your complain .it is very much suggestive of bleeding piles.... at hone u can try some measures like hot water fomenting by sitting into tub filled with mild hot water with 10-15ml settle or salon poured in it... Change your diet more towards green leafy vegetable.... U can use laxatives if u feel constipated or having hard stool... Simple painkiller if u having pain... Local ointments for piles available in market containing calcium and lidocaine... applications would be very useful..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was hit in the shin with a discus today at a track meet. It swelled immediately with little pain. When I got home 4 hours later, it was considerably swollen and I saw that the discus broke the skin slightly with minimal bleeding. I iced immediately and took ibuprofen. I have had my leg elevated. Anything else to do?", "output": "Hello. Thank you for writing us here.it doesn't seem to be too serious though, but I would suggest you to make sure the wound doesn't get infected. You can take ibuprofen which is a good analgesic. And also make sure you don't exert too much pressure in your leg or do heavy exercises or get indulge in sports which could cause injury again at the same place. Take some rest and you'll be better in a couple of weeks. Best regards, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. The last two mornings I wake up and feel dizzy. When I stand to walk I drift to the right. It is not vertigo, it is lightheadedness. It takes a few hours to go away. When I turn my head right to left I can feel it linger. Have not checked orthostatic b/p yet, however, it seems to last too long after remaining upright to be a b/p problem. Started a Z pack yesterday at 3:00 p.m. No real sinus infection symptoms. I do have COPD. Any ideas?", "output": "Hello, Actually, if you were truly orthostatic your condition would likely get WORSE as you continued to stand and walk not better. However, it is possible that you are NOT orthostatic but have another problem which could be what is referred to as VERTEBROBASILAR INSUFFICIENCY which is a transient loss of blood to a portion of the brain stem and cerebellum that involves the function of balance and gait steadiness which explains the veering and feelings of dizziness. Z-packs are felt to be overused these days for simple infections and are recommended not to be prescribed for simple infections. If you've no real sign of infection then, even less reason to use the antibiotic. I would definitely recommend getting your blood pressures checked for orthostatic Chat Doctor. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a pain just under my left ribs on my side, it came and went (almost a spasm or pulsating pain) for about 5 hours a couple of weeks ago. Have had some sharp pains a couple/few times a day since. Now it seems that the lowest rib on left side in back is VERY tender.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Possibility of musculoskeletal pain is more likely. So follow these steps for better symptomatic relief in musculoskeletal pain. 1. Apply warm water pad on affected areas of chest.2. Avoid movements causing pain. Avoid sudden jerky movements of chest.3. Avoid heavyweight lifting and strenuous exercise.4. Take painkiller and anti-inflammatory Chat Doctor. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir,My name is Parul Arora and i am suffering from very bad and pricking lower right back pain since 4-5 years. Earlier the pain was there but it was not so disturbing that it has become now. I have been suffering from this increased pain since one year. The problem has so worsened since last one week that i cannot even sit for 10 minutes. I cannot sit at all. My studies and work are suffering due to this. I feel so crippled. Please help me sir. I am in so much pain help me.", "output": "Welcome to ChatDoctorAfter going through your query I concluded that you are having chronic backache. Most common cause of backache is weakness of muscles and bones. You need to do your vitamin D3 test as vitamin D3 deficiency is important cause of backache. Back exercises and vitamin and trace elements supplements are advised. If vitamin D3 level is low it can be supplemented. For details examination you may need MRI of the region. You can discuss with your Doctor about it. Hope your query get answered. If you have any further questions then don't hesitate to writing to us. I will be happy to help you. You can also write to me directly on below link:https://www.bit.ly/ask Chat Doctor. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "about an hour after eating scrambled eggs i became very bloated and developed an abdominal pain which became severe . Felt I was going to faint. Lay on the floor in a flow of cold air and it passed in 15 min . Was fine afterwards. I sweat so badly from my forehead during the episode that it soaked my shirt where my head was resting. Any ideas", "output": "Hi. Hi. It sounds to me like gastritis attack especially if this already happened. Also, HERD or hiatal hernia. You can do gastrostomy to evaluate how serious it is. Till that just avoid hard food and alcohol, coffee. Eat milk products and fruit. Also lay with your upper body elevated. You can try taking some other antacid Chat Doctor. Also, your IBD should be considered. You simply need to find what food triggers these symptoms and avoid it. If pain persist then some more serious disorders need to be ruled out. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 11 month old daughter has a runny nose, cough and has a fever of 101.5, should i take her to the emergeny room or wait for her nurse appt for her 2nd round of the flu shot? she is acting normal, and is asleep now, im just concerned about the fever and cough.", "output": "Hello dearWelcome to Chat Doctor.come have evaluated your query thoroughly.* There is no need to rush to ER.* Suggestions for better recovery-Syrup paracetamol every 6 hourly according to the weight of the child.- Maintain room temperature.- Homemade juices from basil leaves, turmeric added in boiled water, honey every 6 hourly give fantastic natural recovery with herbal aspects.- Maintain body temperature chart.* Consult later doctor if required. Welcome for any further assistance. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello my daughter has a sore throat and a painfull ear only one side the left side she went to the doctors and was told its viral not bacterial so nothing was prescribed she has been taking ibuprofen and paracetamol these have not helped shw says when she swallows it feels like razor blades she had her tonsills out when 19 years old but if anything is going around it always go to her throat, its so painfull that she cannot go to work the doctor said just go to bed and rest shes had it for 3 days so far and its not improving what else can be done ? thank you her mum", "output": "HI Your daughter from your history may be having infection of the pharynx .the ear pain may be related to the closure of a tube connecting the mouth to ears for maintaining air pressures, which get blocked due to cold and cough. Best remedy is try saltwater gurgling frequently and soft bland diet with more amount of liquids. Take rest and if still persisting to visit local doctor to r/o any superimposed infection." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 28yrs old, female. I have been diagnosed with mitral valve prolapse. On and off high diastolic blood pressure recently 80-93. I have significantly cut back on caffeine. However, today I had a cup of coffee in the morning and two fountain glasses (small ~32oz) of mt dew at lunch. My BP was 115/83 this morning before full consumption of coffee, currently the 116/92. Would the soda at lunch increase my diastolic this much?", "output": "Hello! Thank you for asking on Chat Doctor! Regarding these diastolic blood pressure values, I would explain that they are a little high and may indicate possible tendency for high blood pressure. Caffeine and salt intake can trigger these changes in diastolic blood pressure values. For this reason, I would recommend you to reduce salt and caffeine intake. I would also recommend avoid smoking contacts and perform a lot of physical activity (walking, aerobics, yoga, etc.), which can help reduce your blood pressure values. Hope you will find this answer helpful! Kind regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I havnt been feeling too well for the couple weeks and I really don t now what s. Wrong with me I don t now if its the deppression tablets I took if It might be I don t. Now but since I took it I ve been feeling extemley bad I ve been feeling sick,dizzyness,dry throat ,I ve also been hving pain in my abdomen and feeling very sore down below,which I m still hving know,I. Only just starting just started taking my deppression tablets a week ago I hv been on it for monthes know I only recently stopped taking it cause it was making me have suicidel thoughts so thts why I decided to stop taking my tablets,maybe it could be something else wrong with me I don t now", "output": "Hi angelclrk. Thanks for your question. After reading Your problem it seems that you had been episodes of depression for which you are prescribed antidepressant, and now you have the side effect of it. All antidepressant particularly TCA and sometimes SSRI have got anticholinergic side effect, so you have Chat Doctor. About your suicidality I can tell no antidepressant produces suicidality it may be due to your disease process which can not control properly by " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my name is jim. A few days ago I got a really bad headache behind my eyes and then my nose started bleeding like crazy. The next night I woke up just soaked. I got really bad cold sweats. Since then I ve been getting headaches and the sweats. What could this be.", "output": "Hello Jim! Thank you for asking on Chat Doctor! I understand your concern and would like to explain that the most common cause of nose bleeding associated with headache is uncontrolled high blood pressure. Have you measured your blood pressure during this episode? The sweating may be related to an autonomic reaction to a high intensity headache. But I recommend consulting with your GP for a careful physical examination and some lab tests like : complete blood count, thyroid hormone levels, fasting glucose, kidney and liver function tests, coagulation tests and blood electrolytes to exclude possible causes of headache and nose bleeding. It is necessary to closely monitor your blood pressure during these days and especially during the episodes of headaches. A brain CT scan may be needed, if suspicions are raised for an intracranial cause of headaches (an infection, a brain tumor, etc.). Hope to have been of help! Best wishes, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I suffered from anxiety , depression and panic attacks some 12 years back and was treated. I have developed some of the symptoms at present like feeling nervous, hallucinations, vertigo , depression etc. Mine is a happy family 2+2 and everything is OK. I am not getting as to what has led to such disorders in present situations.", "output": "Hello and welcome to Chat Doctor. Thanks for your query. Many psychiatric disorders, including depression and anxiety, have a high chance of relapsing. It is possible that your symptoms could be indicative of a relapse of your previous psychiatric problems. However, you need a detailed evaluation / psychological assessment - since your present symptoms are quite varied. I would advise you to see a psychiatrist as early as possible for a detailed evaluation and further treatment. Wish you all the best. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doctor my name is zakir hussain and i am from karachi ... about 1 year ago i used cough alot and i used to spit pleghma very much. i went to the doctor he told me that it was ok he just gave me some tablets and a syrup, and told me that to not worry . after taking that tablets and syrup i got better . and the pleghma was stopped . but after one month i coughed blood once again and i felt a sharp pain between da both chests and right under the neck . i went to another doctor he advised me to do x-ray and da xray result was fine. but again after few months i coughed blood again and this time it was countinously blood coming from my mouth and nose .. and i had to go for emergency in da hospital. they did xray of my chest and diagnosed that i may have tb infection.the doctor prescribed me some tablets . names myrin p fort and vita 6 and a syrup hydrylin . i am taking that now for 1 and half months and they also told that i have water in my right lung because i feel so much pain at my right lung side . what do i need to do now for the water in my lungs . will the tablets help decreasing da amount of da water in my lungs or i need some thing else to do ... and i feel various pain at chest sides and under neck between the chests and also at the abdominals sides ... help me please", "output": "Sir according to the information you gave to me, it looks like tb, because of that infection you got water in your lungs, when the infection subsides that water get absorbed into the lungs no need to do any separate intervention for that, you should continue the treatment, to reduce the pain you can use painkillers prescribed by your doctor, when the infection subsides your pain will also go off, just continue the treatment" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I suffered a fall 2 weeks ago which resulted in half of my front tooth being broken and also damaging my lip. I didnt black out on the fall but some 2 days later I started to suffer with headaches. By the 6th days caouldnt bear the headache any longer and visited A&E. I was advised to take a few days rest and ibuprofen and paracetamol and advised that should the headache worsen to return.Whilst the headaches have not worsened they have still been debilitating and I am still taking painkillers as advised. It seems to ease when I rest but otherwise no real let up.I am concerned as to whether I should go back to A&E as I hate to waste anybodys time but I have an ache in my left cheek and ear and today an ache in my left arm. I would have thought that concussion would be over by now so just want to feel better!", "output": "Hello and welcome to Chat Doctor forum, Since your front teeth has broken, i would advise you to visit a dentist to check the tooth clinically as well radiologically. If the fracture involves pulp or periapical region, root canal treatment or pulp capping has to be done. Take complete course of antibiotics too. If the fracture has not involved pulp, please do get the tooth restored using tooth colored filling materials. If the fracture portion has left untreated, it can lead into dentin sensitivity. Avoid biting on hard objects using the tooth. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i frequently urinate and when i pass the urine there s this painfull pain on the left side below my belly and a back pain on the same left side which nnever gose away, and when i urine it increases with the sharp an painful one below my belly on the same side, i went to 2 different doctors, one side i had PID, the other side kidney stones , all the different medications never worked, i did x-rays altru sound, scan my whole body , all my organs, with a contrast, and dye, an still they all side the same thing, they dont kno what s wrong , because all my organs or fine, and i have no infection, i did STD S TEST, BLOOD TEST AIDS test everything keeps comig back normal, now the problem is, that when ever the pain eas down , it dont ever go away, it comes back with the same sharp and painful pain everytime i have a period, and stays for 2 to 3 weeks untill it comes to a mild pain and it stays till i have another cycle, which always comes and last the same 3 days every time, so can you tell me what my problem is, what my doctors or missing. plz..", "output": "Hello, Welcome to the forum. Since you have PID, you can be infected with (E. Coli) Escherichia coli infection. When infection gets chronic and spreads in the urinary tract, patients generally complain of such symptoms. Just take care of your hygiene and sanitation. Avoid swimming and using public toilets. Avoid having sex till you are not fine. Wear cotton undies and treat them with salon, wash them regularly. You should have an R/E urine test and also a C/S of urine to confirm your infection. Keep yourself HY Chat Doctor. Take soups, juice also. Antibiotics like Norfloxacin and taking Alkacitran with water can help you get better. See a doctor and get examined before taking any medicines. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doc, my problem is that I am trying to conceive since last 2 yrs. I had got pregnant in 1st year of my marriage, but got miscarriage, due to unknown reasons (as per my doc). In these 2yrs., I have gone through Folliculometry - 3 times, then an IUI. But, all these tests didn t gave me result. Then my Gynaec informed me that as my cervix is tight, hence she dilated it. Also, I have already got my fallopian tubes checked, and it is clear. Last December, I got Laproscopy done, to check if there are any other issue. But, overall the result - NO ISSUE. My Gynaec is calling it - An Unexplained Infertility. Now, the problem is, that after the laproscopy, I have started getting irregular periods. I am having a 28days cycle, but in 1 month it came 12days before, and now since 3 months its 30 days cycle. I really don t know now what to do. Even bcoz of the menstrual cycle disturbance, I am unable to calculate my Ovulation Cycle. I am also now afraid and tired for taking so much medications. Some of my friends around me, have even told me that I should not have gone through so many test. And are advising me to take break from all this medications. Pls help. Need your guidance.", "output": "HIIT appears that your doctor has done all necessary investigations and now concluded that infertility is unexplained. How young are you? You have done the right thing by undergoing these investigations. Don't get concerned with your friends comments. I want to make it clear to you that laparoscopy you had is not going to affect your menstrual cycle. Having 28 or 30 days cycle is normal. It does not amount to irregular cycles. Once in a year or so if you had one irregular cycle, that is also fine. Now coming to treatment of your unexplained infertility. If I were your doctor first I would recommend six cycles of gonadotropin stimulated GUI. If you don't conceive with this I would advise IVF treatment. Take one tab of folic acid daily. Maintain normal BMI. If you both are smokers you need to quit smoking. To increase your chances of conception you need to have regular intercourse 2-3 times in a week and not just during ovulation period. Good luck. If you have any further concerns, do write to me." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband suffers from severe anxiety and panic attacks. Whenever he hears about some bad things happening around like a death of a distant relative, illness etc he becomes very depressed and gets these panic attacks. He starts crying and screaming. Of late this behavior is repeating quite frequently and in public places also. Is there any permanent solution for this.", "output": "Hi there, thanks for asking. Panic attacks are treatable. There are good medications and also talk sessions can help for this purpose and also would be the ultimate choice in order to stop the medications after a year or so. There are good medication to control it acutely and there are medications that would be the main part of therapy and are not addictive and are without side effects or with very little ones. I suggest that he sees a doctor and tell about the issue. I wish him the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,My daughter (12 yeas old ) went for an Xray yesterday for her spine at the orthopedic. Her back is fine. But the doctor called me an hour later to let me know they saw a mass or calcification on top of her left kidney.She said she wants us to come back in a week to take another xray because it might be something she ate and it might be gone in a week. I wanted to go earlier but she said it would be too soon to show if it is gone.I am very worried. Should I take a differerent action ?", "output": "Hi,X-rays may sometimes show suspicious shadows of calcification which are not confirmatory. Many of these shadows can be non-existent and an artifact while some may be showing something that has been ingested. As the X-ray shows an opacity in the area on top of left kidney, doing another X-ray or an ultrasound scan will confirm the presence of any abnormality should anything be present in the region. Please do not worry and get an X-ray done after a week. It will also help to discuss the finding with clinical examination and any symptoms that your daughter is complaining of. Some shadows can also appear due to clothing or articles imaged when doing the X-ray. Next time if X-ray has to be repeated then please make sure to confirm that there are no objects in the concerned area which might cast a false shadow on the X-ray." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. About 2 years ago I was diagnosed with a bruised bone in my right knee. Over the course of time and rehab, I still suffer a tremendous amount of pain. It feels as if there s no cartilage in between the bones in my knee and that the bones are scrapping each other. What is happening?", "output": "Hello, As there is an injury of the knee, and you feel no cartilage meaning there will be friction or bone touching feeling for you. If so, taking up an x-ray or MRI will be of choice. As the MRI is mainly for understanding the soft tissue injury like the ligaments and cartilages and x-ray for the bones we can figure out what is the status of the bone and soft tissues. Post which we can advise you exercise like - static Qua Chat Doctor. Also, a knee brace will be advised to act as a muscle supporter. Most cases will respond to exercise and conservative therapy. May take around 6-8 weeks of time to get full function of the knee and strength. Hope I have answered your query. Let me know if I can assist you further. Jay In" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have an mri that staes at c5-6, a disc protrusion in the left foraminal zone measureing 0.4 cm AP by 1.1 cm TR is present and demonstrates an annular tear. this disc protrusion appears to contact the exiting left c6 nerve and results in mild to moderate left neural foraminal narrowing. there is no significant right neural foraminal narrowing. at c6-7 the disc protrusion within the right foraminal zone measuring 0.4 cm AP by 0.8 cm TR results in server right neural foraminal narrowing and possibly impinges upon teh exiting right c7 nerve. the superimposed disc bulge along with dorsal ligamentous hypertrophy results in mild to moderate canal narrowing, decreasing the AP diameter of the spinal canal to 7 mm. the disc bulge also results in moderate to server left neural foraminal narrowing. What does this mean? what treatments or surgery will have to be done to correct this? me", "output": "Hi, Thank you for posting your query. Your MRI of cervical spine shows features of degeneration of discs (soft tissue located between the vertebral bodies), which has bulged at two levels. This has resulted in compression of the cervical nerves, which take care of sensations and strength of arm muscles. Common symptoms are pain in the arms, weakness or numbness of arms. Usual treatment is with medications such as pregabalin and physiotherapy. Surgery is required in about 10% of cases, to relieve the pressure from the compressed nerve. Best wishes, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, i recently developed a problem of spitting sputum with blood stains, and pain in my chest. i went for T.B test and the results came back negative. i then proceeded and bought augmentin antibiotics and took the full dose, though the blood stains in the sputum dissappeared and the pain bacame less there is still some little pain in my chest. i wanted to know if there is any other medication you could advice me to take. this was about 3weeks ago, thank you.", "output": "Hi thanks for contacting Chat Doctor ... What was your diagnosis??? You have taken antibiotic and responded to it... So it could be by pneumonia like infection ... Let me know you spitting blood in sputum may be by pneumonia, bronchitis, mitral stenosis like cardiac condition, pneumoconiosis etc... But the common cause that is bronchitis and pneumonia ruled out first. For that chest x-ray done to rule out consolidation and prominent vascular marking... By such infection pleura can be involved and so there might be pleuritic chest pain... If needed ECG and PFT done... Take rest ... No need for further antibiotic... Keeping these work up in mind consult physician.... Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My mother has had dentures for about 11 years, she is 80 years old. She has always told me that they hurt. especially her upper plate. She has been to several dentists that have told her that her bone structure isn t great, and that is why it hurts, so she leaves them out all of the tim,. therefore she never goes out of the house. Please help!!!!", "output": "Hello and welcome, Since your mother is using the dentures from a long time almost 11 years now we can expect few changes in the bone structure so far. Regressive changes do take place in the jaw bones with growing age and if she is diabetic, bone degeneration is seen more. Due to change in the dimensions of the jaw even the measurements of the denture changes, and such overextended dentures gives pain and discomfort on placing due to disharmony with the oral tissues. I suggest you to visit a prosthodontist and check if the denture is overextended and replace it with a new one which will definitely comfort your mother. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "yes i was diagnosed with staph infection yesterday.but why did they think it was mononucleosi at first.now what will go on with this infection.they have put me on bacterrim 2 tablets twice daily.will it ever heal.i have been the most sickest in my life.", "output": "Hello, Thank you for contacting ChatDoctorI understand your concern, I am Chat Doctor, Infectious Disease Specialist answering your query. It may be possible that you have both the infections Infectious mononucleosis and Staphylococcus aureus, or you have secondary infection of S. aureus. I advise you to take the tablet of bacteria as prescribed by your doctor. Hygiene maintenance is equally important as it will take same part in infection treatment. Please avoid sharing your household with other members. As it may transfer the infection to other members of the family also. I also advice you to test for MRSA. As this MRSA is highly resistant to routinely prescribed Chat Doctor. If you have MRSA other members will also get colonize with MRSA and in future further treatment can also become problematic. You can ask for further queries here on bit.ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i,m suffering from type 1 diabetes last 10 year when i was 19 years old nw im 29 .but last one week my diabetes is continue high. im taking 3 time insulin in a day in the morning 14 unit humansulin regular same in the afternoon and in the night 14 unit humansulin 30/70 but still my sugar fasting report is 280,256 what should i do....please reply", "output": "HI, I agree your fasting glucose levels are very high. There can be 2 reasons why the morning glucose level is high. One possibility is that your night dose is not adequate (we call it dawn effect). The remedy for this is that we increase the night dose of insulin. The other possibility is that your night insulin dose is very high than needed and because of that your sugar levels become very low in the midnight when you sleep and your body tries to compensate for this low sugar by breaking down complex stored sugars from your liver into blood. (we call this osmosis phenomenon). For this effect, we need to check the blood sugar at midnight around 2am or so. If this midnight glucose level is very low, then we have to decrease your night insulin levels. Therefore, the best for you is to go immediately to your treating doctor and adjust the insulin dose you are taking. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was hit in the chest very hard with a shoulder. Now i have none stop sharp pains and shortness of breath in that area of my chest. Bending down to pick up anything brings a very sharp pain. Also things such as applying deoderant and raising my arms brings about the same pain. What could have happened to cause such affects? What should I do?", "output": "Thanks for your question on Chat Doctor. . You are having blunt chest trauma. And the complications of this are as follows. 1. Rib fractures2. Pulmonary contusions3. Pneumothorax4. Muscular injury. Since you are having breathlessness, chances of pneumothorax are high. So better to get done chest x-ray to rule out above possible complications. If chest x-ray is normal than you mostly have muscular injury only. So for better symptomatic remain try to follow these steps.1. Avoid heavy weight lifting and strenuous exercise. 2. Avoid bad postures in sleep. 3. Take good painkiller and muscle relaxant. 4. Apply warm water pad on affected site. 5. Wear chest belt to avoid mobilization of affected area." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi myself pramod sharma recently my son age 11 yrs has diagnosed fatty liver grade 2 and his sgot and sgpt is 79 and 111 respectively. doctors of ilbs advised us to go for liver biopsy for exact reasons other reports like ldl and vdl etc are normal. he is taking evion by doctor advice. my question is : is liver biopsy is safe he is already taking strict diet as per doctor advice his weight is 69 kg.", "output": "Hi there, Thanks for using Chat Doctor. Before doing liver biopsy, certain tests are done to assess the bleeding and coagulation. A good platelet count (count more than at last one lakh) and a normal PT/INR test makes the procedure safe.PT/INR is to check how good blood can coagulate. So if these tests are already done and if they are normal, then I would say liver biopsy is safe for your son. Is this answer helpful?" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "During scan for stomach probs, apparently i have been diagnosed with a polyp on gallbladder, and am awaiting hospital appt for further tests. In meantime, when the stomach tightens, somehow it seems to cut off air supply and makes me lightheaded as if im in trance!", "output": "Hi and welcome to Chat Doctor. Thank you for your query. This is not usual sign of gallbladder polyp and I think that you should look for some other causes of your symptoms which may include neurologic and cardio logic issues such as arrhythmias or vertebral vessels' obstruction. So you should consult neurologist first for further management. I hope I have answered you query. Kindly regards. Wish you a good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 6 year old daughter has a heart murmur...was checked out by pedi cardiologist when she was three, but lately she complains her heart hurts. Her heart murmur was ruled \"normal\" at the early age, but I am wondering what she means when she says her heart hurts now? Should I be concerned?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Since you have consulted pediatric cardiologist for her murmur, and it was said two be normal, no need to worry about major heart diseases for her chest pain. Some heart murmurs are common in pediatric age group. With age, they will resolve. You have consulted cardiologist for this and nothing found to worrisome. So her chest pain is not due to murmur or other heart diseases. Chest pain can be due to simple musculoskeletal pain. Application of warm water pad on affected areas will be helpful. Don't worry, she will be alright. Hope I have solved your query. I will be happy to help you further. Wishing good health to your daughter. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here... I have had a partial and since then I have had many urinary tract infections and yeast infections and white discharge that is thick but no odor or pain or itching. What could it be Menopause?", "output": "HI, thanks for using Chat Doctor Menopause and the associated change in hormone status can affect the risk of vaginal infections, would not normally be associated with increased urinary tract infections unless this is also linked to vaginal Chat Doctor. A swab of the discharge and a sample of urine should be sent to the lab to determine the exact pathogen. You may also need to be assessed to determine if there is anything affecting your immune system e.g. diabetes, infection, autoimmune diseases hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi I think may have sciatica. my lower back, spine, my left buttock, all the way down the back of my left leg and left ankle are incredibly painfull , my doctor as prescribed 400mg ibuprofen and 50 mg tramadol but neither are easing the pain. ive tried excercises on this website but I cant do any of them at all such is my pain I also work as a cleaner so im bending for approx. 4 hours per day which is agony. im on 12 week waiting list for the hospital checkup but I fear I will be crippled within days. This as been ongoing for 2 months now and is getting worse each day.", "output": "Hello, I have studied your case and I think that you are having disc herniation in back and that is causing severe pain due to nerve compression. I would recommend you to get MRI to see what is the severity of course. If there is more than fifty percent disc herniation than you might need surgery. If there is less than fifty percent herniation then medicinal treatment can be offered. It contains rest and tablet Pregabalin m one at nighttime. Physiotherapy should be started only when pain is controlled. I hope these steps will be helpful for you. Let me know if there is any other followup questions. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My boyfriend and I have been together for 3 months. After sex he is complaining of redness and soreness on his scrotum area. There is no rash or sores or anything visible on the skins surface. If we abstain from sex for awhile everything clears up and again after sex it comes back. He does construction type work and says at work it is painful with rubbing in his pants. I have had myself tested and nothing appears to be wrong. I have also done a treatment for thrush despite not having any real symptoms but the problem persists", "output": "HelloThanks for query. Redness and soreness of scrotal skin after intercourse is mostly due to allergic reaction to vaginal secretion which are acidic in nature. Ask him to wash his genitals immediately after intercourse. Maintaining a proper personal hygiene by cleaning the vagina before sex is important to avoid getting soreness and allergic dermatitis of the scrotum. Ask him to apply topical steroidal cream like Renovate cream over scrotum. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi my fallopian tube are blocked so that we finish the operation .operation is fail what to do next my fallopian tube was blocked so that i was done the operation .that operation is fail what to do next", "output": "Hello, welcome to Chat Doctor thanks for the query cases, laparoscopic surgery can open blocked tubes or remove scar tissue that is causing problems. Unfortunately, this treatment doesn't always work. The chance of success depends on how old you are (the younger, the better), how bad and where the blockage is, and the cause of blockage. So you can go for options like IVF procedure. Consult your gynecologist about it take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "White Skin Tab under tongue floor of tongue - what is this I was brushing my teeth and I noticed under my tongue on the floor of my mouth what looked like a white skin tab - i guess u would call it. I started going on line and looking this up and found all these things about tongue cancer and I am making myself nervous and crazy. I also started taking antibiotics last Thursday because I had a route canal done on Monday. Can you please tell me what you think it is - I am very nervous. Thanks in advance for your help.", "output": "Hi; the white skin tab need not be cancer. You noticed it recently secondly there is no severe pain. It can be an oral thrush (infection)which occur due to some infection or sometimes with even antibiotic. I think there is no need to worry. Cancer is when you have any prolonged ;painful ;affection which is not going by any treatment.Don't worry you can apply borax glycerine also take some multivitamins & it should settle. If you are still worried consult your dentist he will guide you. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Since past 4 days my throat is so tight its like blocked iam suffering from shortness of breath i feel lots of pressure in my both ears and nose and cheeks when i liying down either side i cant breath....i get pain in my tummy or abdomein because i cant get enough breath i have to take it deep and when i take it i feel pressure in my ears i went er they said i got acute sinutisis and gave me azithromysin for 6 days she also found so much wax in my ears and tried to clean it butit was so dry they couldnt get much out should i see ent for this or whatelse should i do???can you tell me what is going on with me???", "output": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion you are mostly having viral upper respiratory tract infection (URI) and complicated by bronchitis. You're all ear and throat symptoms are due to viral URI and your shortness of breath is mostly due to bronchitis. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT will also tell you about severity of the disease and treatment of bronchitis is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS). Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have an excruciating pain only when I raise my left eyebrow. Started maybe 6 days ago and has progressively gotten worse. My left forehead feels swollen and I have slight tingling feeling coming down beside my eye and it feels that the pain has slowly grown towards my temple. Any help in diagnosis is appreciated. Thanks", "output": "Hello! I understand your concern. Your symptoms are more likely to be caused by a disorder called Trigeminal neuralgia affecting the ophthalmic branch of the trigeminal nerve. This is the main nerve responsible for our head sensitivity. It is an inflammation of this nerve causing sharp pain like electric shock. The fact that it happens when you raise your eyebrow is typical, because the pain is often triggered by face movements. I would recommend you a head MRI to find out the cause of this disorder. There are different causes like tumors, vascular problems, cysts, infections, etc. The treatment would be antiepilepsy Chat Doctor. If a lesion is diagnosed in MRI surgery may be needed. Hope to have been helpful! Thank you for using Chat Doctor! Best wishes " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "When I was 4 yrs old I was knocked in the head accidentally with a softball bat. The location is on the upper left hand part of my forehead, this left a small dent. I am now in my early 20 s and sometimes wonder could this have affected something in the front part of my brain? The dent doesn t seem very deep, I had to have 6 stitches to close the wound. Could this have affected me long-term in any small way?", "output": "Hello, If there was no brain injury (this is presumed since you had no significant symptoms at the time), it is very unlikely that this episode affected your brain function. The small dent is probably a partial compression of the bone (at that age is very soft). So, don't worry about any serious impact from that episode of head injury. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 62 yr old father has had a constant cough since Christmas. He is a life long NON-smoker. Wont go to dr. because he has no health insurance. Other symptoms are not sleeping well at all and feels cold even when the rest of us think it is quite warm in the house", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Chronic cough is commonly seen with lung infection and bronchitis. And these diseases can't diagnose and manage a home. You need to take him to hospital and get done chest x-ray an PFT (Pulmonary Function Test). On the basis of reports he will need antibiotics and inhaled treatment. Don't worry, he will be alright. But first diagnose him. Hope I have solved your query. I will be happy to help you further. Wishing good health to your father. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had this very itchy rash up on the inside crease of my leg for about a 2 weeks. it doesnt really bother me until I touch it then it starts to itch so bad! There are tiny bumps in a patch where it is itching and it kind of flares up when im scratching it. When im not messing with it I dont feel any bumps. I hate to have to go to the doctor. Oh there is no burning when i urinate or redness or itchiness in my vagina just on the crease of my inner thighs. And the itchiness comes and goes only when I scratch. I often wear spanx and have picked up some weight. And I ve had a weak bladder recently making it difficult to get to the bathroom fast enough. I find that this region has been moist recently due to sweat.", "output": "Hi, The rash could be a Tina infection (fungal infection of groin) or intertwine (Inflammation of skin folds which could be due to a variety of causes). Tina infection is usually treated with antifungal medications and intertwine is usually treated with mild steroid medications. Steroids can worsen Tina infection. So, it is advisable to consult your Dermatologist to arrive at a proper diagnosis and for initiating the treatment. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here... Hello. My friend is 4 weeks pregnant. Her doctor wants her to terminate because she is hypertensive and because she has had numerous abortions. She really wants to have this child. What can she do to have a healthy baby? Thank you.", "output": "Hello dear, I understand your concern. In my opinion any pregnancy witChatDoctorplication is continued only if the complication doesn't hamper the health of the mother. Presence of hypertension at this early pregnancy might be very difficult to control and also to ensure the proper growth of the fetus. So maybe it was suggested for termination.Don't worry. The BP should be controlled before conception and then pregnancy should be planned for better results. Avoid stress.Also, as she had previous abortions the investigations like antiphospholipid Abs and anticardiolipin Abs might be helpful. Best regards... Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am Rajat and 19 year old and i m suffering from stomach problems like too much gas creation and semi digested brown stool . when i visited to doctors, every time my blood report stated, increased SGPT and alkaline phosphate . now i m taking Sorbiline syrup(- Sorbitol Solution and TR1 Choline Citrate) 10_20 ml daily without prescription and it is causing me dizziness , sleepiness all time hungry and shitting 2-4 times and its yellow now. should i take it?", "output": "Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. Only a raised SGPT doesn't convey much information. It depends on how much the SGPT is raised. I request you not to self prescribe. Get a USG abdomen done to rule out any hepatitis and mild SGPT elevation should not bother you. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Asalam o Alaikum Dear Hakeem Sb hope you will fine i am your old patient for hepatitis type disease from last some days i have some huge problems with me in this regard Hepatitis C Positive in my reports with with 10.94 value plz reply on my email then i mail to u my reports my e mail is YYYY@YYYY , YYYY@YYYY best regards Ameer Abdul Ahad Lahore. 15.04.14", "output": "Hi thanks for asking question. Noted you have hepatitis c since long time You might have chronic hepatitis or cirrhosis of liver.USG abdomen witChatDoctorplete liver profile done.Meanwhile, take care to avoid complications .... Fruits more. Green leafy veg more. Fatty diet taken minimum. Avoid alcohol Chat Doctor. ... One tsp crushed cumin and carom seed with water taken... Papaiya take more. Consult surgeon for your case.CV DNA done. If chronic active stage then " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have undergone ivf frozen embryo transfer on the 26 th of April. I am having regular cramping since day of the transfer. I feel bloated,constipated,burping, and gassy,high body temp,and a altered taste. I did the urine pregnancy test today on 3 rd which is 7 days post transfer and it showed negative.please advice", "output": "Hello, Cramping (abdominal pain mostly on left/right sided pain) is usually due to the movement of your tubes after the procedure. Its normal. Constipation and bloating is due t the procedure. Taking high fiber in your diet like oats, fruits, vegetables can relieve your symptoms. Do not strain while defecating. If you suffer from severe constipation, take advice from your doctor on which on the counter enema you could take. Urine pregnancy test does not show results before 2-3 weeks. Wait for a week or 10 days before you take another UPT." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 63 year old male, I developed pain on the right side of my back 3 days ago now it has spread to my right arm and a bit in my neck all on the right side. Does not hurt to breath, its kind of like a toothache pain a little throbing but constant it keeps waking me from sleep at night", "output": "Hello, I am Chat Doctor. I have read your query. I think considering your age and the pattern of pain which you have mentioned, you are having Degenerative Spondylosis of spine. You must obtain radiographs of your spine and consult an orthopedic surgeon. As for the pain, you can take a painkiller and muscle relaxant for 4-5 days, along with a topical gel for local application. The proper treatment for your spine can be only started after a proper workup. If you have any further query, feel free to ask." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My question is, my left wrist is sore but not real painful, has been for a few days. My fingers are fine, no pain or soreness in them. Did I possibly just hurt my wrist somehow? I also have no swelling. I wonder if this is a symptom of carpel tunnel or just something else? The most is that the soreness is on the top of the wrist, not underneath!", "output": "Hello, I have studied your case. As per your history there is possibility of TFCC/ligament injury to wrist. It may subside with time. Pain indicates inflammatory process or nerve compression. I will advise you to do MRI and Ultrasound of wrist. Till time, you can start analgesic and cr\u00eape bandage support. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Iam 76 years old known Type II diabetic with nephropathy & mild hypertension. Current medication, Iam taking is - Insulin, Glimipride, Clopidrogl & dilzem. I underwent polypectomy 3 & half years back. Histopathology & PETscan showed adinoid with slight bony erosion. 2 months later, I underwent partial maxillectomy. Biopsy of bone has shown no malignancy. Currently there is recurrence of Polyp from the same site. It is about 2.5 X 2.75 PETscan revealed no metastaysis, no bony erosion & no Lymphnode involvement. Biopsy report revealed adinoid carcinoma, high grade. What is the current modality of treatment? Please suggest.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Since you are having diabetes and nephropathy, surgery for cancer is very risky in your case. Palliative chemotherapy, radiotherapy, nutritional support and pain management are the option for your cancer. So better to consult oncologist and discuss all these and start appropriate treatment. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Respected Doctor, Ive had 3 miscarriages , one natural abortion, next a D&C was done and third was an ectopic pregnancy because of which right fallopian tube is removed. Both myself and my husband have taken all the required tests are all of them have come out normal. We have done karyotyping too and Ive undergone HSG and the left tube is patent. Currentl,Im taking the following medicines: Argin,Antoxid,ASA and Folvite. We are trying to get pregnant last 2 cycles. Can you please advise me on if I should be taking any other medicine to increase my chances of conception? Thank you very much, Lakshmi.", "output": "Hello, It is very unfortunate that you had to go through 3 unsuccessful pregnancies. Yet, you can still be positive and hope for a successful outcome this time since all your reports are normal, and you are being given required prenatal medication. Please wait for 6 months before you go for assistance in conception. Have regular intercourse during the fertile period of the cycle. Rest flat for 30 minutes after the intercourse. Do not douche or use strong soap solution to clean the genital region. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here...Hi, My husband yawns excessively; he is often very tired. He also has problems with body temperature regulation- gets cold easily, sweats a lot. Even during the coldest night he will fall asleep with just one blanket but then wakes up feeling cold and needs more bedding. If he falls asleep with too much bedding, he wakes up overheated very soon.He also suffers from high blood pressure despite being very slim, eating healthily, not smoking or drinking. Can all of these be linked?", "output": "Hi! I can understand your concern for your husband. If a patient arrives in my clinic, I would advise and suggest:1. Yawning is many times a sign of low blood sugar. As you say, he feels tired, which indicates low sugar levels available to the brain .2. He has frequent body temperature changes. Normally, the body temperature varies with day and night, but the changes you mention are more than normal3. As you rightly said, slim stature, temperature changes, high blood pressure can be directly or indirectly linked.4. Slim, non-smokers can also have High blood pressure.5. Please get him examined for his blood pressure control. It should remain within normal limits. If needed, his medicines can be changed.6. Please check his blood sugar levels. The tiredness may be related to insulin insensitivity, i.e. Diabetes. Though he is slim, there are lean Diabetics also.7. Please check his thyroid levels. Thyroid problems can also have tiredness, fatigue, temperature changes. 8. Please consult your local physician with the reports. If there are any other health issues, they also need to be corrected with blood pressure. With the control of these factors, his complaints will definitely reduce. Please feel free to consult. Wish him a speedy recovery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I fell really bad on my upper thigh a could weeks ago and got the worst bruise i ve ever had. Now the bruise is getting better, more yellow finally, but the middle of it is hard and kind of numb. The area around it is more tender, and if i ve been sitting for a while my whole upper leg is sore as if i ve worked out.", "output": "Hello, Bruise is and external manifestation of subcutaneous injury that results in hemorrhage under the skin. Bruise will gradually clears on it own in 2-3 weeks. Pain you are having is not because of the bruise but because of the original soft tissue injury that results in bruise. All you need to do is to do some icing over the painful site and give rest to the part, if not improved in 3-5 days go for an ultrasonography. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "About 3months ago I was cardio-verted by defibrillator due to sudden onset of rapid AF which did not respond to drug therapy. In the past 4-6 weeks, I have had several bouts of severe, debilitating rib pain (at about level 5-6th rib) both anterior and exterior (much worse exteriorly) which seems neuropathic in nature (Ive had shingles about five years ago). Heat packs and analgesia brings relief but it keeps recurring. Has the defib caused some musculo/skeletal damage that will eventually go completely?", "output": "It sounds like you had significant trauma due to being shocked. I would recommend continuing heat, ice, and taking some anti-inflammatories like ibuprofen or Tylenol. You may want to see your cardiologist and get some steroids to help with the inflammation. If it has been this long, but it sounds like it might need something strong like steroids. Your primary care doctor can also prescribe a local anti-inflammatory or lidocaine patch." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I went to an Orthopedic Dr two days ago and they think I have strained the internal/external abdominal muscle in my left hip. I started physical therapy yesterday, but I am feeling a burning/stinging sensation that runs on the front of my pelvic bone (I have also been using a heating pad). I have also been taking a prescription anti-inflamatory. It is hurting just to wear pants since they rub on that spot. They took an x-ray and there is no fracture. What can I do for the pain?", "output": "Hi. Thanks for your query. You have got a typical sensation called paresthesia. This can occur due to entrapment of the serves supplying this particular area. I would advise you to undergo the MRI of the area as suspected by your Orthopedic Surgeon and also of the Spine to rule out any disc or related problems. You can request for the gabapentin like medicines for this type of pain; plain anti-inflammatory medicines may not work in such cases." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Was in the ER Saturday with excruciating pain in my right lower back and lower abdomen. Was vomiting and could not lay still. They did labs and found my white cell count up. Did a CT scan with contrast to check for kidney stones but was OK. Did see that my bowels were compacted. They had to give me percacet for pain several times and fenergan for nausea cause I continued to vomit. Decided I was constipated and told me to go home and take an enema and drink Magnesium citrate and if not better in 12 hrs come back. Before I got to the store to buy the meds, I was in so much pain I had to go back to the ER. They had already ran a bag of IV fluids but I was dehydrated after that and I had to have more pain meds, this time morphine. They did a vaginal ultrasound to check ovaries and they said left was OK and couldnt find the right one. I am 52 and had a hysterectomy about 20 yrs ago. Not sure if they took that ovary or not. I also had a rectal prolapse surgery about 15 yrs ago and they removed 18 inches of my colon because it was twisted. I have Crest Syndrome and am on medication for that. The pain subsided enough for me to go home and I did the enema and drank the Mag citrate. Didnt get much results. Sunday morning around 5 am I did have a runny stool and quite a bit of it. The pain seemed better but not completely gone. I had Tylenol 3 with codeine and took that Sat nite and Sun nite for pain. Monday, I still felt very tired and groggy and crampy so I stayed home from work and rested. Today is Tuesday and I went to work this morning but still feel groggy, crampy and not sure what I should do. My rheumatologist started me on colace today and thinks I should see a colo-rectal specialist. I had a colonoscopy around 2 yrs ago and it was normal. I dont know what I should do now. Can the pain I am still feeling be due to the ultrasound? Or could there be something wrong with my colon? I took a laxative last night and drank prune juice last night and this morning. Drank a lot of water today and ate a salad for lunch and did have a normal bowel movement this afternoon. Had another when I got home this evening but was painful.", "output": "Hello. Thanks for writing to us. Ultrasound examination does not cause any pain., The pain that you are having is more likely to be related to the renal calculi that you are already having. You need to take plenty of fluids orally and antibiotics to wash off the calculi and to avoid any further infection. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http://bit.ly/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my name is amanda muse i have a story to tell i had to babies already one was born march 6 2012 and the other may 1 2013 well two days before christmas i had found out i was pregnant again and in feb. i found out i had lost the baby at nine weeks so i decide to get on birth control and i switched over to the depo shot and didnt think i could be pregnant again until i decide to so my question is why am i pregnant again??", "output": "Hello Amanda MuseDepot shots are hormonal injections which has to be taken every 2- 3 months(depending upon the type of progesterone). Sticking to the dosage schedule is necessary to avoid failure of contraception.Also, intake of certain Chat Doctor. Please note that one of the mechanisms of depot injections is altering the motility of your fallopian tube and so it would be wise to get an ultrasound for pregnancy localization done to rule out ectopic pregnancy. Hope your queries are cleared. Take Care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, Im a 49 year old woman with three stents following an MI in 2006. I dont smoke and drink moderately. I am 5 feet 1 inch in height and I weigh 8.75 stone. My GP and Cardiologist are not currently available and given the poor state of our A & E I have no wish to go there but at one point whats happening now was an issue but I was in Cardiac Intensive Care so I didnt pay much attention. My blood pressure is 95/64 but my pulse is 92 which given the medication Im on is fast for me. Have I anything to worry about?Kind RegardsMary", "output": "Hi, Thanks for writing to Chat Doctor, I am Chat Doctor. It would be helpful to know which medications you are on. If you donor feel any dizziness especially on getting up with this blood pressure, no need for change in blood pressure lowering meds is required. However, if otherwise, the dose of your blood pressure med will be reduced and use will be switched to nighttime. As for your heart rate, 60-100 beats per minute is normal. If it becomes irregular, or increases more than that then you'll need to get back to us or your physician hope this answered your question, if you have more feel free to ask. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "If my heart hurts when I breathe, not while Im active, just laying down, though it gets more intense as I get more active, is there something wrong that I should get looked at? Sometimes it has really sharp pains. I dont smoke or drink and Im 20.", "output": "Hello Welcome to Chat Doctor ! The symptoms that you describe is more suggestive of pericarditis. It is inflammation of the sac surrounding your heart whicChatDoctormonly presents with sharp chest pain that usually comes quickly. Variety of factors may cause pericarditis such as infection, trauma, certain Chat Doctor. The pain is located mostly on the left side (or behind the breastbone). Pain is relieved by sitting up and leaning forward and worsened while lying down and deep breathing. The diagnosis is confirmed with EKG and Echocardiography. The other possible condition that causes chest pain with deep breathing and lying down is pleurisy (pleuritic). It is inflammation of the lining of the lungs. If the inflammation on the left side the pain may locate in the area around the heart. To confirm the diagnosis your doctor may prescribe x-ray or CT scan according to the initial physical exam findings. I hope the above information will be helpful for you. Please, feel free to ask me if there is anything else you need to know. Thank you, Malik Among MD" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, i am a 19 year old male and i have had a little bit of pain in my upper right abdomen for a few days, and recently some muscle twiching their as well, i was told i have a slightly fatty liver and my ensimes were a tiny bit high last time i got it checked a year ago, since then i have given up fast food and most soda.. help me?", "output": "Hi. Thanks for posting query at Chat Doctor. Firstly, Liver enzymes values should have been posted. Usually ALT or AST values higher than \"two times the upper normal limit\", is considered abnormal (in some countries, ALT or AST values of more than 100 are considered abnormal). Value of AST or ALT greater than 85 or above maybe investigated further. Viral hepatitis (HAD, HBV, HCV) are common cause of elevated liver enzymes. These should be ruled out. Advice :- abstinence from \"Alcohol\" particularly if Liver function test reveal abnormal values - LOW fat diet should be followed, AVOID junk food and beverages-decreased oil consumption (oily food)- NO red meat-green vegetables should be ingested daily-use lemon juice (lemonade) once in a day-reduce weight if overweight/obese any further questions are welcomed. Hope to answer your concern. Wish you good health. Regards, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doctoriam banu 28 years old ihave 2 male kids iam married in 2003.4days before i had throutinfection throut paining but now its cure.lost 3 days ihaving continous cough without sleep. check my docter chek me and told siviour veezing and give medicine. this is first time veezing for me.so iam doubt about veezing.pls clear my doubt about veezing", "output": "Hello Band, Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for you as follows:1. Wheezing can only be confirmed by listening to chest by stethoscope. So if your doctor has diagnosed wheezing, you can trust him/her for diagnosis.2. As you have first episode of wheezing, it can be due to viral infection. So you should not worry about anything serious at present. Such episodes improve with medicines and usually the patient completely recovers within 2-4 weeks. So I would suggest you to complete medications prescribed by your doctor.3. If you have repeated episodes of wheezing, in the future, then only one has to think about chronic diseases like asthma, etc.4. To make you understand \"wheezing\", it means whistle like sound coming from chest due to narrowed respiratory tubes (bronchi), which can be due to infections, bronchitis, asthma, and many other possible causes. Actually, wheezing is a sign and not a diagnosis. Hope above information will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you the best of the health ahead. Thank you & Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, My sister in law back in Bangalore, INDIA is pregnant with her second baby and is 32-33 months pregnant. She started having itching in her palms and legs 2 weeks back and it didnt go away. She also gained weight of 6 Kg in a month. Doctors did some test and found elevated levels of SGOT (56) and SGPT (92) on 24-Jan-13 and prescribed her Udiliv 300 MG. However it didnt go away and Doctors repeated test and found very high levels of SGOT (194) , SGPT(289) on 3-Feb-13. The immediate diagnosis of fatty liver does not seem to hold true because her other levels are normal and there is no jaundice or vomiting etc. Viral Hepatitis Test is also negative. One of the options being discussed is to give steroid injections to fast develop baby lungs and get the baby prematurely out. What is best course of action for her and the baby including but not limited to medicines, natural foods , avoidance etc. Is it necessary to have the baby prematurely out with help of steroid injections ? Are there any side effects of steroid injections ? Can she take Liv 52 Syrup for liver health while taking Doctor prescribed medicines. Any pointers from you will be appreciated , please advise. -Sincerely", "output": "Hi, From the description given it appears to be a case of HELP syn Chat Doctor. The patients need to take liver protective agents like orbiting containing preparations along with sorbitol or trampoline citrate. Ad\u00edlio will not help. Steroids will have deleterious effects on the Hi tract rather than the liver. A close watch needs to be kept on the liver function. Liv 52 is an ayurvedic liver tonic which may not be of significant help. I would advise you that she should be kept under close supervision of team of doctors comprising a gynecologist, pediatrician and a gastroenterologist. This will reduce the chances of missing out on any complication. I hope this answers your quarry. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my husband has had five way by pass surgery, several heart attacks, and diabetes, high blood pressure and now is in stage5 renal failure, how eminent is dialysis, one doctor talking about putting box in arm now, He also has a new area in heart not receiving proper circulation, the heart doctor was going to do catherization and put in stents, but looked at kidney tests and said no it would throw him into immediate dialysis. dyalsis causes heart attacks some articles say, how long can he exist without dialysis at level 5 sorry I cant spend any money on anything also working with 855 a month income", "output": "Hello and welcome to Chat Doctor. As a Urologist, I can fully understand your concern. You should've understood by now, that dialysis is an artificial kidney. Dialysis is needed thrice weekly, in patients with very poor kidney function, as in stage 5 failure. With so many vital parameters, like heart function, diabetes,age also is important, his general condition is compromised severely. It's impossible for any doctor to predict, how long he'll survive without dialysis. You can get it done free of cost at government hospitals. Chat Doctor. Manga." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 7 year old daughter has an allergic cough, and it happens in some periods and increase at night and it becomes very annoying that she couldn t sleep well at night. The doctor told me to use Clenil inhaler and ventolin inhaler. I used them but in vain. I also tried vaporisation and different cough syrups. I also used Vicks Vaborub but I failed. When she has cough, she also suffers from phlegm. Please, tell me what to do...?? Especially, I am afraid that a decrease in sleep could affect her growth. Thank you for your help and efforts. A SAD MOTHER", "output": "Hi, Thanks and welcome to Chat Doctor. Severe cough throughout the night may be whooping cough, allergic cough and even asthma. Ebastine syrup controls allergy. Moteleucast will prevent asthma attacks. Deflazacort syrup 2-3times daily gives relief from spasmodic cough. Better consult pediatrician to arrive at a conclusion and for proper treatment. Hope this answer serves your purpose. Please feel free to ask further queries if any. Chat Doctor. V. Subrahmanyam." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my daughter is anemic and has been taking iron supplement, iron biscglycinate 50 mg 2 x day. what is difference between iron ferrous sulfate and biscgycinate. does this dosage sound correct? how much elemental iron does this have in a 50 mg dose of biscgycinate?", "output": "Hi I did review your concern. Both iron sulfate and bisglycinate have different amounts of elemental iron and that relates with toxicity and abdominal side effects as well as amount of response that occurs. Higher the elemental iron, higher the toxicity but higher the response. So a balance is required. Iron bisglycinate 50 mg bid is a right dose to start with and the best way to measure response is to get a reticulocyte count at 1\u00a0week after response. It should rise in response to iron therapy. Also iron bisglycinate has 20% w/w elemental iron in it just like ferrous sulfate. It has more bioavailability and known to cause less Gastrointestinal disturbances as compared to ferrous sulfate. I hope this yellowish you all the best Thank you for choosing Chat Doctor " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 21month old baby boy is in good health,is average weight and height, he has got like a puss pocket at the side of the head of his penis, i have to pull his skin back slightly,to see it ,this has happened four times now,the first and last time his penis swelled up twice the size and when in the bath i put slight pressure on the spot head it bursts and greenish puss comes out after four or five sqeezes it all out but theres quite alot of it, then the two other times it has been in the same area but on the other side of his penis it was like the puss had gone hard and was more like whitesh stuff you would get from a white head,one of those two times it came out like a stork which i pulled out,each time there a pinhead hole left behind? can help me please", "output": "Brief answer:Pyoderma. Detailed answer:Hi, welcome to Chat Doctor. By what you quote it seems that your child probably has got pyoderma at penile region. For pyoderma, we need to give antibiotic like amoxyclav for 5 days and have to apply mupirocin cream at the site. For proper dosage of antibiotic, we need exact weight of child. I advise you to revert with exact weight of child and a few good pictures of lesions. Wishing your child good health. Take care. Regards: Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear sir, I am Munish Sharma resindent of Ludhiana working in a marketing Job for TATA my concern is about my hairloss, i had lost my hair by almost half in recent four years. What to do?Also is there any relation of smoking with hairloss?(not a chain smoker but usually take 2-3 a day)", "output": "Hi, As per your query you have symptoms of hair loss which seems to be due to fungal infection, hair follicle infection leading to folliculitis, side effects of any medications or allergies to certain shampoos or hair cosmetics. Need not worry. I would suggest you consult a Trichologist and get evaluated, and he can advise you treatments depending upon the exact cause of the problem. In case of fungal infection, antifungal shampoos along with steroid lotion massage can relieve. In the case of Folliculitis or Impetigo, antibiotic ointments and oral antibiotics can be advised. Maintain cleanliness of scalp. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi my baby is 8 days old and he has Serum Indirect Belirubin = 185 Serum Total Bilirubin = 197 He born prematurely (early) with 3 kg weight Moreover, he remains very tired and sleeps almost for 22 hours a day and hasn t pooped for last 5 days ... what should I do?", "output": "Hi, Welcome to the ChatDoctorSince raised indirect bilirubin level is almost because of some pathological cause, it could be liver disease, obstruction in lower intestine, cystic fibrosis TCAS he has raised indirect bilirubin level and constipation both, first he has to be ruled out for cystic fibrosis and bile duct obstruction and congenital biliary tree sclerosis. My opinion would be got some routine blood tests done, and ultrasonography and x-ray of abdomen done to rule out any intestinal obstruction and discuss further with general surgeon. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am diabetic and am having dizziness when I get up from bed and from siting. as I get older it is getting to be a daily thing. I go to the V A for my health care. SORRY, SORRY, SORRY! I discussed this with the doctor so he gave me meclizine. It is making me weak and causing my diabetes to go higher. I finally happen to realize it had to be this drug. Your thoughts please.", "output": "Hello and welcome to Ask A Doctor Service. I read your question and here is my answer. It looks like you have a postural Chat Doctor. From how long you have diabetes and is it well controlled? If u have diabetes from a long time and have not a good control then maybe you have developed autonomic dysfunction, one of the complication of diabetes. You need to check your b.p while lying, sitting and standing. Talk to your doctor about this and he will examine you for postural " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had copper T inserted some months back. I guess it had fallen down and had to abort since i have a small kid. Now again i wanted to insert. I am already having lot of itching before my period s after abortion. Is it safe to insert copper T again......if yes should itr be done only within 10 days of periods?", "output": "Hallow Dear, The important precautions before inserting Copper T (Cu-T):1. You must be sure that you are not pregnant. Therefore, the Cu-T is to be inserted only in the post menstrual phase of the cycle, preferably within first 10 days. 2. You should not have any infection in the genital tract. Cu-T may flare up such infections. Your complaint of itching before the periods is suggesting some sort of infection. Please get it detected and treated by a Gynecologist.3. The uterus should not have any tumor like fibroid in the uterus. Clinical examination by a Gynecologist and Ultrasonography can check this possibility. Please get yourself thoroughly examined from a Gynecologist for fitness for the Cu-T before you get it inserted. I hope this helps you. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a blackout Wed. a week ago and fell head first going up the stairs of the metro station in Paris,(was not on the menu), hit my hesd, hurt my knees and ribcage and ended up in the hospital it was the second time in 6 months that i lost sudden consciosness & fell forward just to come to myself when hitting the floor. in this case the concrete. Had 6 stitches on the forehead, very fashenable in Paris.... My doctor here in sfo put me on a heart monitor for the rest of the month....I take Atenolol, 025mg for a long time. Should i ask for a Brain Scan to see if this was due a stroke??? thanks you", "output": "Hello! Thank you for asking on Chat Doctor! Regarding your concern, I would like to explain that there are many causes of loss of conscience. The two most common reasons are : 1. A cardiac arrhythmia. I agree with your doctor about the heart monitor, to exclude this possibility. 2. Epilepsy seizures. To exclude this possibility it is necessary to consult with a neurologist for a careful physical examination and perform an EEG. A brain MRI may be needed to exclude possible intracranial causes like; a small stroke (vascular epilepsy), a tumor, etc. Hope to have been helpful! Best wishes, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Bilateral mastectomy for breast cancer, cancer of 4th rib and now diagnosed with cancer of the sternum. Dr. is suggesting radiation. I have been on long term care of Fasolodex injections monthly & X-Geva every 3 months. What is the prognosis for sternum cancer & do you think radiation would be in order? Suggested Ibrance capsules, took for 27 days, but copay of $3,500 is something I can t afford and patient assistance has been denied by Pfizer.", "output": "Taking radiation treatment is recommended for sternum cancerRadiation therapy uses high-energy rays or particles to kill cancer cells. External beam radiation therapy uses radiation delivered from outside the body that is focused on the cancer. This is the type of radiation therapy that has been tried as a treatment for bone cancer. Most bone cancers are not easily killed by radiation, and high doses are needed. These high doses can damage healthy structures like nerves in the nearby area. This is why radiation therapy is not used as a major treatment for most types of bone tumors, (except for Ewing tumors, and these are discussed in a separate document). Often radiation is used to treat bone cancers that are unresectable (they cannot be completely removed by surgery). Radiation may also be used after surgery if cancer cells were present in the edges of the removed tissue. Another term for this is positive margins (this is discussed in the section about surgery). In this case, radiation may be given to kill any cancer that may have been left behind. If the cancer comes back after treatment, radiation can help control symptoms like pain and swelling. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, i am lakshmi from chennai, tambaram. i am suffering with dust allergy since 8 to 10 yrs. if i expose to the dust and if i inhale any strong smells like perfume.. and dhoob sticks.. immedaite reaction occurs like running nose and sneezing continuiosly for half-an-hour. Now a days even i am getting cough with flom. Really i am suffering alot. please suggest me.", "output": "You are suffering from allergy which can present in many forms and in your case it is in the form of Allergic Rhinitis. First you should avoid dusty, smoky atmosphere and strong smells as much as you can. Take antihistamines like cetirizine or Allegra or loratadine. Also take montage 10 MGM once a day, fluticasone nasal spray 1 squirt per nostril twice a day. Avoid junk food and foods and Chat Doctor. Go out in the fresh early morning air and do some deep breathing exercises." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "How can i get rid of blackheads which appear in hair follicle on legs? How do you get rid of blackheads which appear in the hair follicle on the legs. When I pull them out I can clearly see the blackhead with hair extending from it leaving a tiny hole in my leg", "output": "Hello. Thanks for writing to us at Chat Doctor Blackheads form as a result of keratin accumulation. You may use a product like benzoyl peroxide gel, twice daily. It is keratolytic and is also commonly used for acne. Alternatively you may use glycolic acid based cream, twice daily. Glycolic acid is an exfoliant and therefore would be beneficial in this conditional vitamin A is also an option if they involve extensive areas. Vitamin A in megadoses (25000 IU to 50000 IU daily) normalizes epidermal keratinization and therefore helps in this condition. I will suggest you to visit a dermatologist. You dermatologist will assess and appropriately recommend the form of therapy best suited for you. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, About three weeks ago, I had all my upper teeth pulled. Just after that i had and still do have a sinus infection . From being clogged up in my sleep, and sniffling i have sinus draining out of the last hole in the back on my left side now i am getting these little pus like spots next to my gum and on my cheek on the inside of my mouth", "output": "Hi, i read your problem. You have infection in your teeth which has been reached to roots, in the absence of treatment pus has been formed and pushing your teeth because of that your teeth became loose......now by sinus formation this is coming out, so need to get worried.I will suggest you please go to an endodontic and follow all the given instructions and take after whole mouth examination go for a proper treatment, please do not leave the treatment in between as you will get relieve...........take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Dr santosh.....My baby is one year old and she is a very fussy and poor eater...I find it very difficult to feed her even milk from bottle...Should I give her some kind of an appetizer...like digestive enzyme.. Her birth weight was 3.105 kg now she measures around 8.7 kg is this normal", "output": "Hi.... At her age interest in play increases and interest in food decreases. This is quite natural. If she is active and playing around you need not worry. This age rather than the quantity of the food I suggest you concentrate more on the number of times you feed her and also make whatever you feed him calorie dense by adding good amount of ghee to it. PLEASE DO NOT GIVE ANY SO-CALLED APPETITE STIMULANTS AS THEY ARE NOT VERY SCIENTIFICALLY PROVEN AND THEY HAVE THE SIDE EFFECT OF EXCESSIVE Chat Doctor. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was wondering what a possible elevated alk phos 183 and slightly elevated alt numbers might mean? I have a history of thyroid cancer and I recently had a rt knee medial meniscectomy. Would any of these have something to do with the test results? I had an abdominal sonogram on friday and am awaiting the results. Thank you.", "output": "Hi thanks for asking question. These both can be elevated in bone disorder or bone disease or bony trauma. You have done knee meniscectomy that can lead to elevation of these enzymes. Liver problem can lead to elevations of these enzymes.USG will reveal if fatty liver, hepatitis or other liver pathology if present. Osteomalacia, vitamin D deficiency or renal disease can lead to elevated alkaline phosphatase. Wish you good health. Monitor both this enzyme level for next few months. Take care..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello.i just gave birth last august 22. my daughter is two months old right now. i breastfed my daughter for one month. my husband and i had unprotected sex today. i still have not had my period. what are the chances of me getting pregnant? will emergency contraception work since 24 hours had already passed?", "output": "Hello mam, thanks for trusting Chat Doctor .in 10-20% of cases ovulation occurs within a couple of months of delivery in case patients stops breastfeeding her baby. Emergency contraception works within 72 hours of unprotected sex. You can take it as soon as possible but switch to a safe method of contraception from next cycle. In case you have further questions you can consult me on Chat Doctor forum and I will be happy to help My URL is http://bit.ly/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I ve had a nightmare this weekend. I took my pill (cerazette) on Thursday night, then the next morning couldn t find my pill packet and couldn t remember taking it and took another Friday morning from my spare packet. (Later I found the pill packet and realised I had taken Thursday night) On Friday I was travelling home from holiday and my airline lost my luggage with my pill packets inside. So I could not take my pill Friday night. I got an appointment on Saturday morning to get a new pill packet and took a pill around 11am and then one again Saturday night. I last had unprotected sex earlier in the week, maybe Tuesday? And I plan to use condoms for 7 days Should I have taken the morning after pill? Any chance of pregancy Kind Regards", "output": "Hi, I see that you have a problem with a missed pill. It is good that you were able to take the pill as soon as possible. An important note to remember is that if you forgot to take it less than 12 hrs late, taking it as soon as you remember and taking the next one at its usual time will still protect you from pregnancy. If you are more than 12 hrs late and missed one pill only, same rules apply but if you missed more than 2 pills, continue taking them as usual and use an extra method like as you mentioned using condoms for next 7 days. You said you were able to take the pill on Saturday morning which is good. Continue taking the pill as it is. If you are not confident, there is no harm in using an extra method. There is no need to take a morning after pill as you did not have sex the night you did not take the pill. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a hard lump on the helix of my right ear. It is causing pain. I told my primary about it, but I didnt know exactly where the lump was when I went because I couldnt see it - I now can see it - he told me he thought my glasses needed adjusted.", "output": "HI, Dear,Welcome to Chat Doctor. Based on the facts and data of your query, You seem to be had Chen Chat Doctor. For the first visit it wasn't yet discrete to be seen and was confirmed by your doctor also. Is mostly due to pressure necrosis from pressing glasses on the helix. Treatment-Change the pressing glasses if any. Hot fomentation / Tab Anti-inflammatory may resolve. If recurs with increasing lesion and tendernessMupirocin cream locally if infection is more in frictioned areas. Emolients like Vaseline locally.2% Nitroglycerin-to increase the blood supply would help also. If resistant lump-Surgical treatment by-Wedge Biopsy with full thickness graft of the helix is the treatment. Hope this reply would help you to resolve your sever anxiety. Welcome for any further query in this regard. Will appreciate writing your feedback review comments, to help the needy patients like you at Chat Doctor. Good Day!!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had abdominal pain, like a dull pain where my ovaries are located and my lower back for the past few days. My period is not due for at least another 10 days. I ve also been very emotional recently. Starting to tear up from minor things and unable to control my mood.", "output": "HI. Thanks for your query. The pain in lower abdomen along with lower back can be due to the following reasons:Enteritis ColitisSalpingitisOvarian cyst or its torsionIBSYou have not mentioned any other symptoms either related to intestinal or bowel habits. Consult a Doctor to get examined and get ultrasonography done just to rule out some reasons known to cause problems as mentioned and get treated accordingly, May is for the emotional upset or so." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just received results of abdominal ultrasound & Pelvic Ultrasound, which were done because of a varying degree of pain in my lower left abdomen over the past week or so & which is now very vague & sometimes non-existent. All clear except notes of trace free fluid in the pelvic cul-de-sac & mild increase echogenicity of the liver. No masses. All else unremarkable. Should I be concerned about this?", "output": "Hello,1) you mentioned two different finding which might not be associated with each other2) Minimal fluid in cul-de-sac suggest inflammation in pelvic organs (commonly in females). Amount of fluid roughly correlates to degree and extent of inflammation. But in any case it requires medical attention3) Increase echogenicity of liver without increase in size of liver suggest either early changes of fatty liver or minimal hepatitis. Both of these conditions can be differentiated based on results of liver function test.4) Therefore, you need further evaluation with 1) liver function test, 2) CT scan abdomen." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "im 26 years old, some times, i put my legs up on chair and watch movies, and when i streach back, i will have a pain at bottom side of heart, its like poking by needle, its not constant, but when steddy without harsh move, its become okay. what this could be?", "output": "Hello! Welcome on Chat Doctor! Regarding your concern, I would explain that your symptoms seem to be related to a musculoskeletal pain. The fact that your symptoms are triggered by a certain body position or movement is a strong argument in favor or musculoskeletal issue. Anxiety can also mimic this clinical situation. But, I would exclude any cardiac disorders, because your symptoms are not typical of any heart disorder. So, relax and do not worry about it! Hope to have been helpful! Kind regards!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor, m married and 23 years old and trying to have a baby but no positive result. My husband semen analysis test was not good He has a low sperm count. and doctr suggest some multi vitamins. I just wanted to know that these medicine helps or not. Is this severe problem or not? Plz I need to no", "output": "Hi, please share his Semen analysis report with us for detailed advice. Multivitamin tablets might help, but you can also try many a Ayurvedic preparation like Speak which have to be taken for three months and have a good result with increasing sperm count. Also, get a Semen culture done to rule out any infection which might cause the count to be low. Diagnosing it and treating it would help. Take care, and please do ask again if there are any more queries. Also do let us know if we have been able to help you, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter just vommitted what seems to be a lot of mucus with 5 blood clots. The emergency services here in Holland seem to think that it is related to her cold and her cough, and they only ask us to keep monitoring here. She has no fever but she has complained of a sore tummy. She now looks well. Does this diagnosis make sense?", "output": "Hi, dairy have gone through your question. I can understand your concern. She has vomiting with blood and mucus. It may be due to cough cold or may be some gastrointestinal tract pathology. You should monitor for few days. If she develops some thing again then you should go for upper gastrointestinal tract endoscopy. Right now only monitoring is ok. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i went to the clinic and got diagnosed with a mild kidney infection and was given 3 days worth of antibiotics and it is getting to the last day and my back, although it has lessened, still throbs from time to time. However since starting the antibiotics i have been feeling tired. I also have been getting the sweats at night and have flu like symptoms", "output": "Hi, I am afraid an infection of the kidney mild not actually be classified as mild, and taking an anti-biotic for 3 days might be insufficient. The kidney is a noble organ of the body. A specific diagnosis and appropriate treatment of kidney diseases is compelling. In proper contexts, a presumed kidney infection should ideally be accompanied by a urine culture and sensitivity tests to decide on the appropriate anti biotic. Persistence of symptoms as you describe might deserve a more invasive watch and maybe an abdominal ultrasound. Kidney function tests could also be worth performing to ascertain actual level and function of the kidneys. Persistence of symptoms might warrant booking a visit with the nephrologist for a proper evaluation. While waiting, complying with the antibiotic plan and Chat Doctor. Hope this helps as I wish you the best, Thanks and best regards, Luchuo, MD." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my son is 3years and 5months old we live in cambodia only his been here for 2months now.he developed a terrible rush on his body which spreads very fast as the temperatures get hotter.the locals say i should help him take as many showers as possible and it is a normal occurance in children in south-east asia.however he cant sleep well at night Dr how do you advise me?is there medication?", "output": "Dear Parent, Heat rashes are very common in summers and in humid environments. They usually subside by exposure to cooler environments, wearing light cotton clothes, using cool packs and cool showers. However, if your rash is not going away with home treatment above or getting worse after 3-5 days you should consult a pediatrician who can examine your child and make sure there is not a bacterial infection or other cause. If your child has fever, headache, nausea, dizziness, or vomiting, you should immediately seek medical help." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I chew caccutta 420 zarda tobaccoo for 5 or 10 minutes daily before bed and wash mymouth thoroughly before sleeping. This I have done for years. Now my left side back of my tongue tenderness is there. I get tingling sensation on different areas of tongue. Lift side back of my toungue some three or four very ssmall pimple like bumps have come. They are there since 3 or 4 years. They are so tender I cannot use my tooth brush for cleaniing that part of my tongue. Some verticles lines also seen in the area. Is this cancerous development? If so then what shouuld I do next?", "output": "Hello, Painful bumps can be due to inflammation of tongue papillae or can be due to ulcers on the tongue. As you are tobacco chewer, you should consult an oral physician and get evaluated. If the bumps look suspicious a biopsy can be done for confirmation. For now, apply Lidocaine gel over it to reduce pain. Avoid chewing tobacco completely. Do cool compresses over the bumps. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi . I am a 40 year old female. 2 days ago i began to have sore/tenderness to the inside of my right thigh. It moved down to my knee and onto my foot. It also traveled to right side of my genital area. Its now 2 days later and the genital area feels raw and painful to touch. I see no abrasion or cuts. What could be causing this discomfort?", "output": "Hi, thank you for providing the brief history of you. As the pain is radiating in nature and there are no abrasions and cuts a thorough neuromuscular assessment and musculoskeletal assessment is advised. Post which we can conclude as the pain is due to which factor as well. Usually such radiating pain nature is possibly due to pinched nerve in the lumbar spine for which a clinical assessment can help along with the assistance of the MRI scan an exact soft tissue status is understood. Undergoing physical therapy like therapeutic ultrasound therapy and TENS therapy will help reduce the pain. Followed by which performing exercises so strengthen the weaker muscles will help stabilize the joints and reduce the pain levels. In my clinical practice such cases respond well to physical therapy and near normal functionality is achieved soon. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My dad is end stage liver desease and was in the hospital for over medicating himself. He has chronic pain and see a pain mangment doctor. He hate more than a safe amount of different prescriptions and ended up in the er. 5 days later in the hospital. The doctor prescribes him cymbalta( at this time he was looking fine. Ammonia levels were about 60 and could walk and talk just fine.) They gave him a dose and than after he told us we told him not to take it. Knowing it is highly toxic to the liver. A day later he is having seizures about 4 of them and now is constantly moving his hands and is rambling ridiculous things. Just wondering your opnion on this situation.", "output": "Hello! Thanks for putting your query in Chat Doctor. I am a Gastroenterologist (DM). I appreciate your concern regarding your father. It seems that your father is having hepatic encephalopathy. There are many reasons for it in patients of end stage liver disease:1. Take antidepressants and sedative. In his case may be overdosed of cymbal ta. So avoid them2. Dyselectrolytemia so check his electrolytes like serum sodium, and potassium levels and do correct them 3. Constipation: Avoid constipation by giving him syrup lactulose and titrate its dose to make 2-3 stools/ day4. Any infection: Check his WBC and if it is elevated give him antibiotics5. Any GI bleed: see his stool color if it is black then he needs urgent endoscopy examination and endotherapy6. Root cause of ESL to be found out and should be treated accordingly like hepatitis B and Hepatitis C7. Anemia: Requires blood transfusion think he should be hospitalized as soon as possible as he is also having seizure hope I have answered your query and this will help you. If you have any further query I will be happy to answer that too. Remain in touch and get-well soon." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, 5 weeks ago I had surgery to repair a fibula fracture. The surgery required some metal hardware for repair. Now, I have some firm tissue that has gathered into a lump approx 45% up my tibia. This lump is directly under a red wart that I have had on my chin for about 18 yrs, I am 34. Just curious to gather any ideas of what it may be. I will be following up with my ortho, but curious and anxious about this development. Any info or references to read up on what you think it could be are greatly appreciated. Thank you and best regards, Harold", "output": "Welcome to Chat Doctor. 1. The changes what you have observed at the post-operative site can be hematoma formation with features of cellulitis.2. In other possible thing could be edema post-operative site - but generally not seen after 5 weeks time. 3. I think in terms of bad healing process - it may need as small incision and cleanup the wound and a course of antibiotics would be helpful.4. And an imaging study CT / X-ray to see the status of the bone and implant and any infective features.5. If it is there for so long and not causing any discomfort - possibilities include lipoma - fat cells containing lump. Good luck. Hope I have answered your query,anything to ask ? Do not hesitate to ask.http://doctor.ChatDoctor .com/doctors/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am 24 weeks pregnant with a recurring pain just under my ribs. The nurse at the local surgery did a urine test a few days ago and the test said i had blood and protein in my urine. They sent the sample off and the sample has come back marked as normal by the doctor. the pain in my side is making me feel very unwell, I have been very nauseous (morning sickness stopped at 15 weeks) and tired. The pain in my side became very sore last night when my husband put his arm around me and I was awake for three hours. Please help!", "output": "HI, I understand your concern. The pain you have under your ribs along with your urine test report few days ago. Suggest the symptom to be due to urine infection. I would suggest culture & sensitivity test of urine (the sample being collected in a sterile bottle, 1st morning sample)This will confirm urine infection./ X-ray of back can revel urinary stones (which also can cause such pain)should also be done. Consult your doctor with the report & take regular specific treatment to get rid of your pain & infection too. Urine infection in pregnancy must be sufficiently taken care of. For it may turn risky for child & mother too. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had bad chest congestion for a little over two months now.. I have been to the doctor twice and they gave me two different antibiiotics, nothing has helped. I am 14 weeks pregnant and I am worried it will affect my babys breathing. What can I do?", "output": "Hello rearward welcome to Chat Doctor.come have evaluated your query thoroughly.* These are best remedies to get better - Deep breathing exercises, walking in fresh air, YOGA regularly.- Gargles with salted lukewarm water added peppermint oil 3 times a day.- Strict dietary control with avoidance of excess sugar, oily, spicy.- Avoid exposure to excess cold.- No smoking ( active / passive) - Basil leaves , turmeric powder in boiled water have excellent herbal properties to control any dam cough. Hope this will help you. Regards dear take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I was diagnosed with glandular fever 1 1/2 weeks ago. I was advised not to kiss or have initimate relations for 3 weeks by ENT dept. Would this have been 3 weeks from diagnosis or onset? My symptoms started 4 weeks ago and all have been resolved apart from variable fatigue.", "output": "become to ChatDoctorI can understand your concern. Glandular fever is a viral fever, it will reduce on its own. Antibiotic doesn't act on viruses. You should wait until your body develop immunity against it. Yes you are advised for not kissing, as the virus is present in body fluid like saliva. Usually it takes 3 to 4 weeks to reduce. Tips to reduce your fatigue1. If you are having fever take Tab PARACETAMOL 50\u00a0mg sos2.take plenty of fluid stake proper rest thank you take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, im a teen and ive recently had sexual contact. Soon after I have noticed little black and dim flat spots that become more noticable when I have an erection, these spots are located all around the tip of my penis mainly near the hole and on the top. I am almost certain my partner is free of STDs. Is this something I have to be worried about and if so what must I do.", "output": "Hi, Welcome to Chat Doctor forum. It appears that you must be having these spots, even before the intercourse. They would have been unnoticed, so for. The spots may be due to the fungal infection. I advise you to consult a dermatologist for diagnosis and treatment. I usually prescribe to my patient with such symptoms grisofulvin, and mixed steroid ointment for local application. Wishing for a quick and complete recovery. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "5 weeks ago my boyfriend passed a skin infection from his face to mine. We thought it could be impetigo but we treated it with antibiotic cream ourselves and it went. a week or so later, it came back! whenever I get a spot and I squeeze it the itchy scab appears and then spreads to other areas of my face. I wonder if you have any ideas as to what it could be because it has returned again.", "output": "Hello. I'm sorry you and your boyfriend are having problems. You're undoubtedly already aware that impetigo is a superficial infection of the skin, most commonly due to Streptococcus or Staphylococcus. Over-the-counter antibiotic creams are often effective, but many of the organisms responsible for impetigo have developed partial or complete resistance to these preparations. Therefore, you might see partial or temporary clearing of your skin after using an antibiotic cream, only to have the infection recur within a few days to weeks when resistant organisms begin multiplying in your skin. I would suggest that either your or your boyfriend (or both) see your physician to confirm that you're really dealing with a bacterial infection and, more importantly, to characterize the organism that's causing this problem. (This can be done with a culture of one of the infected areas on your face.) You'll probably need an oral antibiotic to get this situation under control. Keep in mind that if you've been colonized with methicillin-resistant staph, this problem could recur from time to time in the future; antibiotic treatment will typically quiet MRSA infections down, but it usually isn't possible to completely eradicate these organisms. I hope that helps, and good luck to you!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "what syptoms and side effects should i expect to feel after snorting meth. I have been on it for about four months and i usually binge for 2-3 day then crash for a day then tart over. This time it been 5 days almost what can i expect to feel? and what can i do to take better care of myself while in it?", "output": "Hi, Snorting meth can lead to an array of physical and psychological problems. With chronic use, a person may develop delusional thinking including paranoia and hallucinations. Meth psychosis can result in violent or self-destructive behavior. Some people who snort meth hallucinate that bugs are crawling on them. To get rid of the imaginary insects, they frequently pick and scratch their skin, causing \"meth sores\". Other long term side effects include:Deterioration in thinking and motor skillsDifficulty concentratingMemory lowlight loss Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "After semen analysis, i am very dishaerded and depressed when i came to knw that my dead sperms are about 60% and Active are just 25% and 15% are slugish one. now kindly tell what should i do. First of all i want to know that is there any possibility to activate them.", "output": "Dear patient! Don't be so depressed and disheartened. Please visit an infertility doctor to find the cause. As knowledge of the cause of dead sperms will help to ascertain a line of cure. If, it is due to an infection, it can be cured by using an antibiotic. Tab. Doxycycline 100\u00a0mg (1+1) for 14 days The following medicine will help in activating and increasing sperm counts once any underlying infection is taken care of. Tab. Fertile/Vertical/Fertile (2+2 - for 1\u00a0week) and then (1+1 - for 1 month)But, if you kindly send me your sperm count, it will give a better idea of your situation. Hope this will help your cause. Awaiting your precious feedback." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am a smoker for almost 10 years. I almost consume 20-30 sticks per day. Recently, I got back pains and started to smoke little less, almost 10 sticks only for the past 3 days. I noticed that Im coughing out phlegm with blood. What can be the cause of this? Need help.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. You are having hemoptysis (blood in sputum). Common causes for hemoptysis are bronchitis, lung infection, tuberculosis, lung cancer etc. And all these diseases are predisposed by smoking. So your smoking habit is directly associated with your symptoms. So better to quit smoking as soon as possible and consult pulmonologist and get done chest x-ray, sputum examination and PFT (Pulmonary Function Test). Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hey I been feeling strange lately my sides have this pinching pain and my stomach always hurt when I eat or drink I burp a lot and it will feel like my food won t go down and when I use the bathroom I will kinda force and blood witChatDoctore out and after the bathroom my stomach will hurt again I don t know what is wrong with me", "output": "Dear Friend. Hi, I am Chat Doctor, I have read your query in detail, I understand your concern. This might be due to Acid Peptic Disease. I advise you to follow:1. UGI Endoscopy.2. USG Abdomen.3. A combination of Pantoprazole and Risperidone once a day.4. Soft, Bland diet.5. Avoid Heavy meals. This is my personal opinion based on details available here. If you still have any query you may please ask me. Stay Healthy. Chat Doctor, MD" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My father is diagnosed with COPD, Micro Aspiration. He was given Deryplyllin Retard 300 twice a day. (Took it for 15 days) I have move to another city. New doctor stopped Deri Ret 300 and have put my father on foracort rotacap 400 (twice daily used through Rotahaler). He is not showing any signs of improvement and still complains of breathlessness at times. We also give him Seroflo/ Asthalin pump when he feels breathless.", "output": "Thanks for your question on Chat Doctor. I can understand your fathers situation and problem. He is taking optimum bronchodilators for COPD. But still he is not controlled. The most common cause for this infection. He is also having micro aspiration. So possibility of aspiration pneumonia is more in his case. So get done chest x-ray to rule out pneumonia. And if present, he needs appropriate antibiotic treatment for pneumonia. Once his pneumonia is clear, his COPD symptoms will mostly control. So consult doctor and discuss all these. Hope I have solved your query. I will be happy to help you further. Wishing good health to your father. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just had my CBC done to check my Hb level which is normal 12.9 g/dl and other values are also in a normal range but i had a raised MPV thats 12.7, can it be due to mentrual cycle because its my due date.I actually dont have periods now but its my due date cause my ESR is also raised 23mm/1st hour???If MPV is not raised due to menstruation then what are the possible causes??is it serious?", "output": "Hello, Thanks for your query. A high mean platelet volume is an indication that something is causing the destruction of the platelets or that the production of the platelets is increased. Platelets play an important role in our blood clotting. A high mean platelet volume also means that the blood will clot faster, which can lead to thrombosis and stroke. Leukemia and idiopathic thrombocytopenic purpura can both cause an increase in the mean platelet volume. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "After having what u thought was the flu--fever around 100 for about 4 days--I felt good for a day and then got a sore throat with probably allergy symptoms--hay fever. My sore throat lasted for about 3 weeks. I started taking Claritin and after about 4 days, my throat stopped hurting. However, my tonsils have stayed red now for about a month and a half. The sore throat happens now and then even with Claritin. My doctor tested me for step whicChatDoctore out negative. Ive never had my throat like this before. My throat hurts tonight, and I have a low grade temp of 99.2. Does this sound like run of the mill allergies--they are bad in California this year, or should I check back with my doctor? I dont want to sound like a hypochondriac to her...", "output": "Hi welcome to Chat Doctor forum. You had fever, relieved in 4 days, got sore throat, relieved, but red tonsils are persistent, with occasional sore throat. Probably sore tonsils have become chronic, and infection became persistent. I advise you to consult an E.N.T.surgeon, for diagnosis and treatment. You may have to go for culture and sensitivity of the throat swab for confirmation of the organism and its sensitivity to the Chat Doctor. Gargling with salt water can give you a good relief, in the meanwhile. I wish you a quick and complete recovery, and thanks for choosing Chat Doctor. F. Best regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "In May of this year, I spent 5 days in the hospital with cellulitis (sp) in my left lower leg. The antibiotics seemed to work, but I don t think that the swelling ever completely went away. Now, over the last couple days, I ve noticed a warm, red, very tender, even painful area above that knee & continuing up my inner thigh. It has become painful just to walk & I can feel it when I m just laying down.", "output": "Dear patient Painful red and tender swelling suggests of cellulitis. You have got recurrence of cellulitis which is common in diabetic patient. You need to take urgent visit to surgeon nearby you and start antibiotics intravenously for 7 days. Also reason for recurrent cellulitis should be searched. Besides take tab diclofenac plus serratiopeptodase combination twice a day for pain and swelling relief. All the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a 31/2 year old granddaughter who began today of exhibiting a head tilt to her left side. She complained that back of her head hurts. Ibuprofen seemed to releive the pain but did nothing for the tilt. What could this be? I worry about brain tumor.", "output": "Hi, This is what we call tortillas. Usually, this occurs secondary to infection / inflammation in and around neck, mostly with associated lymph node enlargement. I would prefer to see such patients directly to look for any infective focus (like teeth, throat, ear, salivary glands) and lymph-adenopathy, because this will need antibiotic treatment. If no infection focus, this just needs analgesic like ibuprofen and muscle relaxants for 5 days. No need to worry of brain tumor at this point of times. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a very very very large gap in my front teeth and the rest of m teeth are also spacy at the top. I have lost a about three molars and the lower teeth has some gaps as well. how can the gaps be closed especially at the top without braces. I also have protruding teeth due to tongue thrust. is there any help for me without braces.", "output": "Hello, Thanks for writing to us. The spacing between front teeth is due to high renal attachment resulting in midline asthma. In such cases, frenectomy has to be done initially to relieve your renal attachment. Z-springs along with orthodontic appliances are placed in such cases. To prevent tongue thrusting habit, tongue cribs are given. Without using orthodontic treatment, the defect cannot be corrected. Tongue cribs/z-springs are placed palatially/lingual. Maintain good oral hygiene. Please try to close your mouth properly while sleeping. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have just found out my daughter aged 31 has had a catscan, then mri with and without contrast resulting in the findings of a 3mm cyst in her pituitary gland. 10 years ago they found she had had bleeding in the brain from the pituitary gland. She is a lactating mother. I was searching for some knowledge and found Rathicke . Her symptoms have been a dull ache in the head, dizziness and she has almost passed out a few times. This concerns me as she is a nurse and works with newborns as lactation consultant. We are still waiting for the PCP to get back to her.", "output": "Hello, I will suggest you to look for some other causes of these symptoms as it's a very remote possibility for a very small pituitary cyst (a 3\u00a0mm cyst). Mild headache dizziness and feeling of passing out needs work up like checking her blood pressure, electrolyte (sodium potassium magnesium and calcium levels) and then correlating it to a primary disease of a Chat Doctor. But this all needs a careful detailed history and physical examination. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi..my son who is 4.6 yrs old and has Autism. last week on his diagnosis, he had improved a lot with Social, Communication skill except for speach. For speech the doctor told that he has got Apraxia . he was prescribed SYNDOPA .25 mg.After the tablet was started he showing his old behavior whne he was small kids", "output": "Dear, Welcome to ChatDoctorWe understand your concerns went through your details. Autism spectrum disorders are like that. Improvement will be for the time being, and past behavior ought to come back on several occasions. But there is nothing to worry about the behavior changes. There will be study positive changes with occasional backward Chat Doctor. In any case, you should contact the treating doctor and appraise him of the latest development. I suggest you to allow the child to mingle with child" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi four month ago one night I am sleeping I dont know what happend to my testest next morring when I walk up I see some thing in my trouser like water then I feel too much pain slowely slowely pain is finish now my testes is loose hang when my body is cold then they go up and normal", "output": "Degree understand your concerns went through your details. What happened was a month ago. Any condition that causes inflammation or an infection of the structures that contribute to ejaculation or in the surrounding area may result in painful ejaculation. The incidence of painful ejaculation is more common among men older than 50. Possible Causes of Painful Ejaculation are orchids, prostates, Urethritis etc. I suggest you to consult a urologist for detailed investigation. I don't see anything wrong with you now. Don't worry. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my daughter is 4 months oldshe is having loose stools since yesterday. it is sticky, yelloish green in colour and very watery. I, myself, m having throat infection and so i am taking azithral for two days as recommended y the doc.Can you suggest me some remedy?", "output": "Diarrhea in child Chat Doctor. Unless associated with bloody stools, the cause does not require to be treated. All you have to do is to give ORS or continue breastfeeding in order to replenish the salt and water lost. Let me mention that for an exclusively breastfed baby, simply continue the breastfeeding and nothing more. If the frequency of urine is ok, you will know that things are fine. Let me mention that in case of a child of this age, passing stool 10 times a day is as normal as passing stool once in 10 days and in either case you need not worry. For your throat infection, take steam inhalation along with literal and some antiallergic like levocetirizine." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 61 year young female. I have been waking up with tingling in the chest radiating to both arms. This started about two months ago. I wake up often during the night and have this going on. I do not have pressure, just the tingling. I do not have any major medical problems. I do take a blood pressure pill daily.", "output": "Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. I will try to explain you something and give you my opinion. This tingling sensation has to do with a rhythm issue. There are some electrical impulses that generates from parts of the heart different from normal sinus rhythm. They cause a premature heart contraction that you feel like a tingling sensation, you might experience palpitation, dizziness,difficulties in breathing deeply. This rhythm issue might happen for different reasons like stress, pathologys like anemia, hyperthyroidism,electrolyte imbalances, ischemic heart disease, cardiovascular anomalies etc. So, to better understand what we are dealing with, if I was your treating doctor I will recommend some examination like an electrocardiogram, a cardiac echo to evaluate heart function and valves, a full blood analyze to exclude anemia, hyperthyroidism and the most important one a holder rhythm monitoring to evaluate your rhythm tendency and a street test if it is possible to exclude ischemic heart disease. Only after this we can understand what is this tingling sensation and how to treat it. Hope I was helpful Best regards, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I suffered a concussion after an MVA on 10/9/12 and have been diagnosed with post concussion syndrome. I am supposed to fly (OHIO to CA.) on 11/20/12, and was wondering if I should take any precautions. I still experience headaches (Mild-moderate)and heavy pressure in my head with strenuous activities. Thank You", "output": "2012? You are 5 years beyond those dates. PCS is said to generally resolve over a period of several weeks to several months. In rare instances patients can suffer from some symptoms up to a year and in extremely rare instances up to several years. You are MORE than cleared to travel in the year 2017 if your injury was in 2012. Please rate this as a 5-STAR ENCOUNTER and write me at: www.bit.ly/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am experiencing a sharp stabbing pain in the medial area of my L knee. It feels weak when I step, like it s going to give out, and is tender to touch. I didn t have specific injury but have been doing a lot of walking on concrete. I have also tried different shoes but the pain remains. What could this be?", "output": "Your symptoms suggest that you are suffering from hamstring spasm and pes-anserine bursitis.it occurs due to excessive strain on knee that may be due to your walking on hard concrete surface. Rest, icing local application of non-irritant analgesic gel, analgesic such as ibuprofen and muscle relaxant will give instantly relief. When pain decreases, start hamstring stretching exercises to strengthen hamstring muscles. Hope this helps. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been diagnosed with autoimmunate antibody negative cholangiopathy which I understand is a rare disease. I cannot find out much information. I think it is a problem affecting the bile ducts. I have been prescribed ursodeoxycholic acid. Is this similar to primary biliary sclerosis?", "output": "Hi there, This is a diagnosis that is a combination of primary biliary sclerosis and autoimmune hepatitis. The treatment is exactly what you are taking, and if it becomes worse, steroids can be used. You're right, there isn't a lot of data on this disease, and its variable as to how many patients end up ultimately need liver transplant. I'd recommend you try to avoid alcohol and fatty foods, and exercise as much as possible, and continue to follow up with the specialist who prescribed you ursodeoxcycholic acid. I hope I have answered your questions. Please feel free to contact me should you have any further questions." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello iam 21 years old and of average size. Iam experiencing sharp chest pain and find myself out of breath just from going up the stairs. Im worried because heart disease does run on my family. my aunt was only 26 when she passed and my mother had an aorict disection in her early 30s. I could really use some help! thank you", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Climbing stairs is considered as heavy exertion. So you are having chest pain and breathing difficulty on heavy exertion. You are also having strong family history of heart diseases. So better to first rule out heart diseases in your case. So get done ECG, 2d echo and stress test. If all these are normal then no need to worry about heart diseases. Sometimes lung disease like asthma or bronchitis can also cause similar symptoms. So get done clinical examination of respiratory system and PFT (pulmonary function test). Don't worry, with treatment, you will be alright. First diagnose yourself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Doctor;male 33 , 178 , 82 kg.I have consulted doctor 3 years back for pain (when I press)on left side of Abs , just above the pubic side. Done scanning and found spleen enlarged , I also have backpain. Doctor said nothing wrong on me. Now I noticed that my erection cant last long.Also feeling mild pain on left leg when I sit. I am an IT consultant who sit for 8-10 hrs infront of Monitor daily. I need to know my exact problem.regardsSAM", "output": "Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. Enlarged spleen is called splenomegaly and there are various causes possibly leading to this. In first case these are infections such as mononucleosis Parasitic infections, such as toxoplasmosis or Bacterial infections. It means that any infection in your body may lead to spleen enlargement. Second most common causes include autoimmune diseases such as thrombocytopenia. If this is ruled out by specific tests then some other causes may be considered and some are more or less serious such as Leukemia Lymphoma, or noninflammatory diseases such as acidosis, lupus, and rheumatoid arthritis. In every case, infectious causes are treated with antibiotics and other causes may require surgical removal of spleen. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my name is Terry, I have DVT in my left leg, the clot was behind my knee. I was placed on Xarelto 15 MG on the 4th of this month. The pain and swelling has gone down. However, today I have a bruise on that foot and one side of the ankle is a little swollen. As I can recall I did not bump the foot, I get up and move around once an hour but nothing too much. At night and when I prop up the leg, I have been positioning the foot/leg to the left, Just letting it lie there. That is the same side the bruising and the swelling is on, could the be the reason for it.", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have bruising and swelling in left foot. Well there can be many reasons for symptoms you mention in query like peripheral neuropathy, injury, gout, corns and callus, soft tissue injury or venous insufficiency. I would suggest you to consult podiatrist for proper examination. Doctor may order CT scan or x-ray along with blood test and urine test and physical examination to confirm the diagnosis. Doctor may also refer you to orthopedic surgeon for foot problem, who may prescribe diuretic along with muscle relaxant, anti-inflammatory. For now keep your legs in hot water tub with Epsom salt for 15 minutes daily and take proper rest. Doctor may recommend orthotic devices like special shoe. You should reduce your weight by doing light exercises like yoga and altering your diet. Take ibuprofen or acetaminophen for pain. For DVT you should consult cardiologist, who may prescribe anti coagulant. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 58-yr old female, with a tooth abscess of a root-canaled, crowned tooth for over a year now, and have been self-draining the gum boils when they appear. I went for several months without pain and thought it had healed. However, the infection continues. I have been in the process of moving, changing jobs, and dealing with lots of stress, so I have put off going to a dentist. I have always been active, though, (former runner, etc.) and have noticed shortness of breath-- particularly when carrying a load upstairs--that is totally uncharacteristic of me. My doctor thinks its asthma, but Im wondering if the long-term abscess is to blame for the SOB. What do you think?", "output": "Thanks for your query, I have gone through your query. The abscess could be because of improperly treated root canal or secondary to gum infection. The abscess is not related to your breathlessness. Consult an oral physician and take radiograph of that tooth to confirm the pathology and if there is any defect then redo the RCT or if gum infection is there then take a course of antibiotics and cleaning can be done. I hope my answer will help you. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My mom 64 years old had a catheter closure of an asd 1mo ago and has been experiencing dizziness in the am upon awakening... Going from lying to standing?? Her Bp is normal as well as her heart rate. She also gets nauseated from from the dizziness?? Is this normal? How long does it take to resolve?", "output": "Hello, I have gone through your query. Thanks for using Chat Doctor. Your mom may have cause other than heart and closure of ASD responsible for her symptoms. Usually such symptoms if due to heart may show fluctuations of BP. As you mentioned that her BP is normal all throughout. Is she on any medications, sometimes Chat Doctor? Please give me feedback to enable me to guide you further, My best wishes" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my doctor has told me to go for 2d echo test and PFT, i can hear my own heartbeat, i have a bloating abdomen, fatigue. i am 34 years female. 5 feet 2 is my height, with no family history of heart problems. please suggest me that how is this test beneficial for me?thanks....", "output": "Hello, 2D echocardiography is a sonography of your heart. It sees the anatomy of the heart and you van see the heart beating in real time. So one can get information anatomy bout any structural abnormality, the pumping of the heart, valves and there function. The great arteries and veins near the heart. Basically it helps us identify the structural defect of the heart which may be the cause of your symptoms. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i am 55 years old lady weighing 75kgs. i have severe upper and lower back pain extending it to right thigh. my MRI report says i have L5-s1 disc shows posterior bulgee with a postero central herniation mildly indenting both traversing s1 nerve roots right more than left. please suggest cure. thanks.", "output": "Hi...what u have is intervertebral disc prolapse at L5-S1 level. MRI shows posterior bulge which a early stage of prolapse. Things to do.1) bed Rest for 3 days.2)Avoid lifting weights, bending down, squatting.3)Take painkiller(diclofenac 50\u00a0mg twice a day)4) physiotherapy- most heat, TENS and once the pain subside then start physiotherapy to strengthen the core back muscle and abdominal muscle.5) If the pain doesn't subside in first 6 months with medication then steroid injection can be taken.6) if the pain persists even after steroid injection and if the radiating pain is more than back pain then surgery(disc removal) is the next options. As of now start on non-surgical management and physiotherapy the pain will subside." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir my mother has 72 years old she has got meta bone cancer his origin from lung and already spread different type of body at that moment no treatment started but vomiting not stopped so plz tell me what should I do bcoz I cannot afford chemo or just like radiation. Plz suggest some to stop vomiting and abdominal pain.", "output": "Hi, Thanks for writing in. Cancer is a difficult condition to treat, and the treatment changes with course of disease. Sorry to know the progress of cancer in your mother and hope she is not having much discomfort. It is best to start treatment as much possible by consulting a cancer help group in your place. She is most likely having stage 4 cancer and in this condition a patient might survive from 6 months to 2 years. We have to fight cancer till the end. Vomiting can be due to many causes, and it is important to take her to a local doctor and get treated by injections to stop vomiting. There are many self-help support groups for cancer and these might help you get support for treatment. You can also approach government facilities for treatment options and slow the disease process. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son has been sick for three days..on the first day he threw up and was running a low grade fever .. the second day he ran a fever of 104.3 under the arm and we couldn t get it under 100.0 at all that day .. the third day he still has a fever and has a really nasty cough .. in those 3 days he has has a quarter of a samdwhich and a few bites of soup .. what should I do ?", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query your child have symptoms of low grade fever, vomiting and cough which are of viral infection. Yes you should be concerned about 104.3 degree temperature as it's not a low grade, actually. Your symptom of fever off and on is because your immunity is lower down because of infection. I would suggest you avoid intake of outside and spicy sharp food substances. Antibiotics will not give much relief to you as yours symptoms are more like viral infection. You should take paracetamol to prevent fever and combination of decongestants and multivitamin tablet. Your symptoms will resolve in 5-7 days. Avoid touching eyes, nose again and again. If your symptoms keeps on persisting the visit physician and get vaccination done. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "For about a week now I have an increasing stabbing pain between my shoulder blades with stiff neck and left sided migraine. I am experiencing some tightness around my ribcage. I have some shortness of breath and dizziness. I do not have a fever or high blood pressure.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of stress and anxiety related symptoms is more but better to rule out Pulmonary causes like asthma or bronchitis first. So get done PFT (Pulmonary Function Test). If this is normal than no need to worry about major lung related causes. Your symptoms are mostly due to stress and anxiety. So consult psychiatrist and get done counseling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Don't worry, you will be alright. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My mom has bronchitis. She is 65. She got a steroid shot and was put on antibiotics Saturday night. It is Wednesday and she feels better but her throat hurts and she cant stop sweating. She wants to go to work tomorrow but is embarrassed by the sweating. Is this normal?", "output": "Hi thanks for contacting Chat Doctor.... Noted you have bronchitis. For that steroid and antibiotic given.... Bronchitis could be bacterial, viral or allergic.... You have given treatment for both bacterial and allergy....CBC useful for looking necrophilia or eosinophilic for bacterial and allergic diagnosis respectively.... Any way now she can resume duty in day one or two.... Increase sweating is because of steroid shot. Hope your concern solved. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello,Last week my frnd was bitten by a streetdog, he forgot to take vaccine and after a week he had Arv nd rav vaccine nd now hes undergoing with dog vacines wich is of 5 doses wich is given evry week.so can he hav alcohol during this course.?Please tell is drinking alcohol during this course affect him?", "output": "Hi & Welcome to Chat Doctor. I can understand your concern. Alcohol consumption may reduce the efficacy of the anti rabies vaccines. Although there's no dietary restriction as long as the anti rabies vaccine is given, however it is advisable to stay away from alcohol because of the following reasons:1. There may be unexplained interactions between efficacy of the vaccine & alcohol intake.2. Rabies vaccination provides immunity against rabies infection while consumption of alcohol decreases the body immunity.3. Individuals who receive the anti rabies vaccine may experience symptoms such as headache, nausea, dizziness, etc. which are similar to the symptoms experienced by intake of alcohol.4. The symptoms of alcohol intoxication can mimic the symptoms of rabies infection: confusion, agitation, anxiety, muscle issues. It would be hard to tell if your symptoms are from the alcohol or due to rabies infection itself. Based on the above-mentioned facts, it is better your friend should avoid alcohol consumption. Best of your health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I did Siemens test,and found coliform, motility active 20% sluggish 20% and dead 60%, count is 35*10 over 6 cell/ml. Pus cells 3-4hpf,volume 5.0ml,viscosity viscous,, I was treated with antibiotics to fight the bacteria and now taking oligocare,do I have to carry out another test to confirm the position", "output": "HiT hanks for using Chat Doctor All healthy males have some level of bacteria in their semen. These normally occurring flora colonize in the reproductive and urinary tracts and typically do not cause any harm. In males who aren't circumcised, bacteria may also colonize behind the foreskin. Overgrowth of these bacteria can be prevented through proper hygiene. Colonization of bacteria is not considered an infection. An infection is typically related to additional symptoms, such as urinary frequency or urgency. In your case, your semen analysis is not normal. There is no harm in checking status of sperm after one month of antibiotic course. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. My 13 year old son was in pe wrestling and was kicked very hard in solar plexus in middle of chest. His chest was also sat on by a larger kid helping the first boy trying to pin my son. He had a red/bluish mark shortly after that is now totally gone. However, he has a noticeable bump on right side near center of chest. It has been approx 4 hrs and he just showed me. We are now icing it. He has no pain to the touch but hurts when he inhales deeply only. Should I take to er?", "output": "Hi dear thanks for the query on ChatDoctorYou need to take your child to a physician. There may be injury to the ribs or muscle contusion He will do a clinical examination and may suggest a chest X-ray pa/ app view to see if any internal organ injury(lungs) or the musculoskeletal involvement. Based on the above he needs treatment. Better to take at the earliest. Or else he may have a lump permanently in the region Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am 24,female with no medical complications.i take no medicines at present.i have good general health.i have been having abdominal cramp when i ovulate ever since my periods started.i have had it checked by a doctor and she said it is normal.i have seen that from the day of ovulation i have my next periods after 16 days.that is when i ovulate on the 11th day of my cycle i have my next period on the 28th day and when i ovulate on the 15th day then my periods start on the 31st day.in February i had my periods 7th feb but i had my next ovulation on 26th feb that is the 20th day of my cycle.therefore my periods started on the 13th march instead of on 6th march which was the 28th day.however i had a normal to heavy flow like usual with usual cramps for 4 days.i am very worried about this sudden delay.can i be pregnant even after having my period?i have tested with a home pregnancy kit and every time it has been negative.now i am having nipple tenderness(which i often get a week before my periods) and i am expecting my periods on 12th of april since i had my ovulation on 27th march(the ovulation cramp).please help me at the earliest.i am very worried and scared.thank you", "output": "Hi, How are you doing ? At this young age with no complications, I can think of 2 possibilities.1. Pelvic Inflammatory Disease (PID) - infection arising from vagina, after sex. this infection can affect all the structures around uterus - this includes the tubes, ovaries & adnexa. 2. Endometriosis - can occur at any age. Bleeding from the uterus during periods is to the exterior, but a small amount of blood enters into the abdomen, through the tube. This blood forms clots & adhesions around the uterus. Both these conditions around uterus cause increase of blood flow to structures like ovaries, tubes, muscles & ligaments around uterus. So when ovulation approaches, this cause congestion & pain around the lower abdomen, thighs, lower back. Both need evaluation by gynecologist. PID needs treatment with antibiotics & antifungals, both husband & wife endometriosis- have Combined oral contraceptive pills cyclically will stop ovulation & will stop pain & progress of endometriosis. If you are seriously trying for pregnancy, do have tubal patency evaluated - HSG or SSG or Laparoscopy, do rule out tube block, which can hinder your chance of pregnancy. Hope I have cleared your overall the best" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a staph infection in the crease of my leg, in the groin area. I have had it twice before on the right side now on the left side. I have a pretty large hole in my leg which has been there for awhile. Ive been to several doctors and through loads of antibiotics but this hole will not completely close. Last time on my other leg they ended up cutting it out. Is this my only option? Is there anything I can do to help this hole close? How can I prevent a fourth infection whenever I get rid of this one?", "output": "Hi, it appears that it is the mixed infection, probably with a bone infection, like osteomyelitis. It is on both sides means and if bone infection it might be along the length of the pubic bone. You may need to get irrigated the bone infection, get the product culture and sensitivity, and treatment accordingly. So I advise you to consult an orthopedic surgeon for diagnosis and treatment. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I had diffuse large B cell lymphoma in my tonsil 8 years ago..I have been clear and deemed cured..to you believe in a cure of that disease, however I had a sore breast yesterday and my Dr. sent me to a surgeon to I asked if he could guarantee I wasnt full of cancer as I have an anxiety disorder and phobias and my cancer was missed by 13 drs. in the beginning..he said he could not guarantee it....I have had scans and all is clear blood is good..why would a surgeon say this to me................it has tramatized me so badly...........do you think I should report him", "output": "HI, Thanks for writing in. If it is acute soreness of breast since yesterday then it may not be a cancer. However, any breast condition needs to be examined by a surgeon and treated accordingly. Acute sore breast generally does not need any immediate mammography because of pain. If there is persistent doubt, an ultrasound scan of breasts may be done after a course of antibiotics if necessary. Hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi dr samuel, firstly thankyou for your time, iam a male my name is ben 42 years of age 6 months ,ago i caught pneumonia, which in short gave me gave me heart arrythmia, take anitbiotics, i.v. which fixed the pneaumonia , but then had cardioversion , heart back into normal rythym now, never had high blood pressure , but doctor put me on beta blocker and bisosprol and coversyl, iam experiencing side effects from , the tablets anxiety , impotence, and just not feeling myself, iam wondering why i need them if my heart is in normal rythm and dont have blood pressure , he said just as a preventive , to keep your heart healthy, so it never happens again , i was very active and it has just slowed me right down , lost alot of drive and enthusiasam , is there any natural alternatives , should i seek a 2nd oppinion , he said we dont have any journals or references we can look up to c how people go off them , so just keep taking them ,", "output": "Hi, Arrhythmia especially Atrial Fibrillation (irregular heartbeat) is pretty common, especially during Pneumonia. The episode is generally paroxysmal i.e. it occurs during that time only and mostly doesn't recur back. If it is treated at that time we generally do not give any medication but if there are certain risk factors like dilated heart chamber (Left Atrium) or heart dysfunction we continue it for prophylaxis. You can stop the medication if you don't have risk factors or the arrhythmia has never recurred again. If it has, and you are feeling side effects of beta-blockers than for such patients we can start on another type of anti-arrhythmic called calcium channel blockers (Tab Diltiazem). For BP, you have to check your BP daily and if it is normal on medication than you definitely need them if the BP is lower than 110/70 you can try tapering the dose to half tablet and gradually stop it. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, I am 22 years old. My blood group is B negative. My problem is that my last period date was 1st aug. I was with my partner on dated 11th sept, Before it and after it we were not together. That was my first time, I thought that due to pregnancy, my period has not come, si i have taken some birth control pills without any pregnanct test. but it was worthless. then i consult a doctor. she has done pregnanacy test , but it was negative, but she didnt tell me waht is the exactly reason of not coming of perioda. After it, before one week ago, i myself done a pregnanacy test but it was also negative.The name of tablet that i have used, is herwant kit. Can u please tell me waht is reason that periods is not coming while i am not pregnent. what is the reasons for it. Please help. Thanks a Million.", "output": "Hallow Dear, If after so many pregnancy tests the result is negative, you are not pregnant. Your periods could have got delayed due to the stress of pregnancy you are harboring in your mind. Any physical or mental stress is known to alter the regularity of menstrual cycle. Please shirk off the stress from your mind. You may take Tab. Devilry for 5 days. After discontinuing the pills, you should get with Chat Doctor. I hope this helps you. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello my name is chris lane and i was born with CAHD salt wasting form it causes a lot of problems for me as well do my ongoing permanent medication(dexamethasone, and fludrocortisone) the chronic pain and dizziness have always been apart of my disease and I am desperately seeking to find out if I would qualify for medical marijuana.THANKS!! Chris", "output": "Hello, Medical marijuana is not the best treatment option for chronic pain because it can cause addiction and tolerance if used for a long time. For this reason, I would recommend discussing with your doctor on the possibility of other treatment options for the management of chronic pain, including Duloxetine, Amitriptyline or Gabapentin. Hope you will find this answer helpful! Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir/Madam,Ive been diagnosed as having mild lvh. My ldl/vdl ration is just a point below normal, that is, 4.8 against the normal level of 5.10. Im using ismo 20mg and losar h in the morning, atrva 20 mg in the afternoon and stamla beta along with ismo 20 mg before going to sleep. Ive been doing this for a fortnight now. My othe blood and urine reports are quite normal. Im walking a bit (3 km in the morning and evening). My diet has highly restrict or nil salt levels. Im drinking a glass of buttermilk made of milk containing 1.5 fat level. I feel ok with this regimen but when BP is fluctuating between 140 & 160 sometime in the evening i get abit scared. When I take Stamla beta I feell ok in half an or so. Ido a clerical job on an eight hour shift. Itll be a great help if a cardiologist can be kind enough to reply. I want o be anynymous.", "output": "Hi Charts a pleasure answering your query, I have gone through the medical details provided by you and I want to tell you that all the routine you are following is pretty good, it only needs some minor adjustments. As you have mentioned your Blood pressure go high generally in the evening so I would like to suggest to start taking your Stable beta and IMO in the evening around 6 pm instead of taking it in the night and YOU will be good. Left Ventricular Hypertrophy is not a disease its is a sign that patient has Hypertension. Good Luck" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi: Today, from out of the blue, my sinuses went from great, no problem at all, to the right nostril flowing like a faucet. A series of about six sneezes proceeded this. I have no allergies that I know of. The excessive flowing of the right side of my nose has persisted for six hours. What would be my best course of action to stave off a cold or sinus infection. Thanks, bnbm", "output": "HI, thanks for using Chat Doctor Sinus and nasal congestion can be related to different causes, but the most common are infection (usually viral or bacterial) or allergies. If you have no history of allergies, then your symptoms are likely due a viral infection. There are medications that may help you such as oral or topical decongestants. Examples of topical decongestants are striving and normal saline. The oral decongestants are usually sold in combination with anti histamines that are also useful. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 16 year old female, I am 7 and a half stone and while disabled suffer no other illnesses. I have had spells where my vision blurs, my hearing changes so that the pitch of the people talking around me is painful, I sweat excessively and my heart races. These spells happen for 15-20 minutes at a time and I have suffered from them since I was a child however it is only recently when they happened during the day (while I was in lessons). Any suggestions toward the cause?", "output": "Hello, Your symptoms are consistent with panic disorder where there is excessive sweating and palpitations. SSRIs especially fluoxetine(Prozac) is the treatment of choice for long-term management of Panic disorder. You should consult a psychiatrist on your problem. Acutely when the panic attack sets in, you should breathe deeply and a benzodiazepine can relieve the attack. Thanks for asking question on Chat Doctor. I hope this information helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am a 68 yr female. Quit smoking in 1988--at 1 pack cigarettes/day. General History: bronchitis and pneumonia 1975. I have walked over a mile every day up until 2005. Chest has been clear with no cough or sputum. I saw my family Dr 2 weeks ago with the problem of chest pain and shortness of breath with moderate exercise/activity. Chest was clear and no cough.I have been experiencing this for 1 year but on a lesser degree...it has been getting worse the last 4 months. EKG in office was normal. Chest x-rary displayed HYPERINFLATION OF LUNGS. I was diagnosed with ADULT ONSET STILL S DISEASE in 2006-- 1st symptoms extreme wrist pain lt wrist started in 2003-- which carpal bones had bone loss about 30% and complete fusion of left wrist by 2006. I was started on KINERET INJECTIONS od s/c---- July 2006. My symptoms at this time were extremely severe. I had been sleeping in a recliner chair for over a year as I could not get my breath laying down.I could only walk 50 feet with dyspnea.I had difficulty swallowing,laryngitis daily,swollen lymph nodes all around my neck----- felt like suffocating . I was hospitalized for 2 months --- May 2006 to July 2006--- hi spiking temperature 104F, salmon raised rash lower trunk and thighs,weight loss over 1 year 55 pounds(dropped to 90 punds),blood tests showed up indicative as a severe infection(but no infection was present),low RBC count(required 2 blood transfusions). I became almost symptom-free after Kineret injections commenced--- blood work was normal within 24 hours. My breathing was normal after starting Kineret. I experience most of the systemic symptoms of AOSD --- almost daily sore throat,extreme fatigue,joint and soft tissue pain,especially wrists and feet. WHENI stop taking my Kineret injections all of the above symptoms become extremely bad within 40 hours of missing 1 dose.--- especially breathing and swallowing. Can this HYPERINFLATION OF LUNGS be related to my ADULT ONSET STILL S DISEASE?? Sheila H", "output": "Thanks for your question on Chat Doctor. I can understand your concern. No, hyperinflation of lungs on chest x-ray is not related to still s disease. Your hyperinflation is due to smoking history. Smoking causes chronic bronchitis. And this is the reason for your symptoms like chest pain and breathlessness on exertion. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT will also tell you about severity of the disease and treatment of bronchitis is based on severity only. You will definitely improve with inhaled bronchodilators and inhaled corticosteroid (ICS). Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My fourth toe on my right foot has been numb for 3 days. I have not been wearing different shoes or running long distances. Should I be concerned? What are some possible causes? It is only one toe, I do not have any symptoms, markers or history of diabetes.", "output": "Welcome to Chat Doctor I have gone through your query and understand your concern. Some swelling in the area is important cause of numbness. Elevation of limb is helpful. Mecobalamin is helpful in recovery. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "24 yrs primi with 5 month pregnancy presented with lower abdominal pain and high grade fever with chills 15 days. Initially treated on line of UTI as urine R/M shows pus cells and culture revealed yeas cells. But fever of high grade persisting with abdominal distension . USG abd. revealed mild to mod ascites with omental thickening and ascitic fluid shows exudative fluids with raised ADA & LDH. Mx negative but TB Gold +ve. Her initial TLC 10,640 and Normal KFT.", "output": "Welcome to Chat Doctor .... Ascities with an oxidative picture on ascetic fluid analysis - suggests infection. Now what infection is the issue ?? 1) Bacterial - yes possible, Fever with chills, oxidative picture on ascetic fluid analysis is supportive. But counts TLC is not very high that's against. I would have liked to know what is the Ascetic fluid cell count and the cell type-if predominant neutrophils (PMN s) and count > 250 is strongly suggestive of bacterial infection - treatment would be with a third gen cephalosporin like ceftriaxone and metronidazole. 2) Second possibility is TB Abdomen, Raised ADA, Tb Gold positive are supportive and manitou negative is against Tb. I would like to know if ascetic fluid was examined for gram stain and AFB, if AFB is positive then it's a definite Tb and requires anti tubercular treatment with 3 Chat Doctor. I would like to know 2 things 1) What is the Cell count and cell type report of ascetic fluid analysis?2) What is gram stain and ZN stain for AFB report of ascetic fluid analysis ? These can help me. Help you with the diagnosis." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am receiving Chemo for tongue and throat cancer. A doctor told me that I need to taper off chemo gradually. i.e space out the remaining treatments over several months. This is low dose IPT chemo. He said that the cancer can come back with a vengeance if I just stop abruptly. I have never heard of this before. Is it true?", "output": "Hello there, thanks for the question. I'm an maxillofacial diagnostician, I saw your quarry, I agree with your doctor regarding recurrence of your cancer, if you stop your chemo abruptly. So kindly consult your oncologist before taking any decision. Please feel free to get back with more history regarding your cancer like staging of cancer and any pain or difficulty regarding this. Hope this helps. Many thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my mother has just been diagnosed with cervical cancer, we are awaiting the stage result. My father had kidney cancer and died, my grandmother on my mothers side died of lung cancer and my grandfather on my fathers side died of bowel cancer. I am very worried I will get it too. Is there anyway i could be tested for this? I am 27 year old female.", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. Cancers can be hereditary and runs in family. But it is not always true. But chances of cancer is high if family history of cancer is positive. You can do annual health check up every year to detect cancer early. Health check up should contain1. Chest x-ray for lung cancer2. PAP smear for cervical cancer.3. Ultrasound examination of abdomen to rule out liver, stomach and kidney cancer.4. Routine blood investigation like CBC (complete blood count) to rule out blood cancer. So consult your nearby hospital and discuss these tests. You can also get done genetic testing but very few centers are doing this. No need to worry much as all offsprings don't develop cancer." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor,My father is suffering from kidney failure. He has been suffering from diabetic for many years.Is there any means we can rescure him from complete kidney failure? I will appreciate for your guideline and suggestion. Kind regards, John Matau.Tel : +255754 710082Email: YYYY@YYYY Tanzania.", "output": "Hikidney failure is very common in diabetic patient if they have poorly controlled diabetes and in my opinion your father is suffering from diabetic nephropathy.it is very difficult to say anything with this much information, I would like to know your fathers age, his onset of symptoms and his current renal function tests. Once kidneys are damaged it is very difficult to get back complete renal function, what can be done IDs to prevent further renal damage by medication and once complete renal failure occurs then there is only renal replacement therapy in the form of dialysis or renal transplant." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, we took my 8yo son on a roller coaster ride today and although he felt fine when it finished he started to feel sick and vomited 5 minutes later. He has been vomitting every half hour since and also had diarrhea half an hour after the ride. Is that all due to motion sickness? He has now developed a fever and I am very concerned since we are currently on holiday in Malaysia far from home. I have sent my husband to get gastrolite but want to know if there is anything else I should do. I keep giving him water also but he throws it up.", "output": "Hi there, It is unlikely that it was due to motion sickness, because of the diarrhea and fever. It is probably a virus, or food poisoning. The most important thing to do right now is to control the vomiting, because he can't keep deny Chat Doctor. Get an anti-vomiting medication like risperidone or metoclopramide from a local pharmacy, and give it to him immediately after an episode of vomiting to minimize the chances of him throwing it back up. If he can keep it down for at least 30 minutes then it has a chance to work. Don't take anything else in the meantime. Once that is controlled, get him to sip small amounts of plain water or rely" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my granddaughter has constipation and her stomach is always bloated. she is 9 years old. she has been to the doctor and they give her miralax. she has had this problem for about a year. I haven t seen any results with the miralax. is there anything we can give her.", "output": "Thanks for the query. It is the common problem to have constipation which is not responding to oral medicines. I would suggest you to try more natural remedies like eating lot of veggies, fruits, high fiber diet. Also let her Chat Doctor. Daily walking, and outdoor sports should be encouraged. If the constipation is not responding to above treatment then try glycerin suppository. Hope I helped you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Doctor,My daughter have fever and throt infection. We went to doctor for this and he told to test the blod. The value of aso titre is 210 and ESR is 60. is this a dangerous sistuation,Her mother have rhemuatic herat disease and valve has been replased. Please help me in this regard. Thanks .", "output": "Hi, dairy have gone through your question. I can understand your concern. She has upper respiratory tract infection by streptococci. She should take a course of antibiotics like azithromycin or amoxy-clav. For fever, she can use paracetamol as and when required. Warm saline water gargles are useful. These antibiotics are prescription based medicine so consult your doctor and take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doc First some info about myself. Sorry if this is long. Female 24 years of age Height: 5 2 Weight 160 Has a child that is 3y 7m approximately Previous surgeries: Toe surgery, C-section. Medicines: Lamotragine, Seratreline, an sometimes Benadryl Conditions: Mild cerebral Palsy, Anxiety Disorder, ADHD, and depression. Let me first start from the beginning. This all started shortly after my child was born. I thought it was just after birth symptoms. After a while I got diagnosed with anxiety disorder. My doctor rarely takes me seriously. I feel like it is because of my mental status. However I know the difference between a anxiety/panic attack, and when something else is wrong. No to mention over time these symptoms have grown worse, and more frequent. I also notice Also my meds almost completely stop them from happening. I have been a lot better while on them. I have been taking them for 3 years maybe a little longer.My weight has stayed the same pretty much. I tried eating healthier, and they got worse. I also excursive more regularly. Symptoms: Random pain in different spots Trouble breathing when exercising. Excessive sweating at random times of the day. Getting overheated easily. Feeling sick, and slightly faint if I do not eat regular meals with snacks in between. Almost always have some sort of mucus build up in my sinuses. Feeling hungry sometimes even after big meals. Fluctuating blood pressure that goes up and down. Heart palpitations when exercising. I have been tested for Diabetes. I do not have it. I have had my cheat x rayed to look at my heart. Cat scan to. I am tired of feeling sick almost all the time. These symptoms do not fluctuate around my period. So it is not my menstrual cycle. I hope you can help me figure this out. Thanks Alora", "output": "Hello Welcome to Chat Doctor, and thanks for providing detailed history. I can understand your problem. A lot of females develop symptoms of anxiety and mild depression following childbirth. In most of the females these symptoms improve by own but in some they may persist in form of anxiety, restlessness or depression. The symptoms like random pains in different spots, breathing difficulties during exercise, sweating, feeling of sickness and fainting etc. could occur due to anxiety but before making anxiety as diagnosis we should rule out medical causes like hyperthyroidism, hypoglycemia etc. In hyperthyroidism such symptoms can occur so first you should get your thyroid levels checked to rule out hyperthyroidism. If medical causes are ruled out then anxiety is most likely the cause of your symptoms. You are taking Aborigine and Sertraline already and as per my opinion these are right Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have chronic bronchitis, bothers me worse in November & February....having trouble breathing, doctor doesnt seem to be concerned with it, cant breathe properly, cant sleep much, feel like Im suffocating, I am using my deceased husbands oxygen machine right now, but dont know what should I be doing?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you should definitely consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment is based on severity only. Best treatment for bronchitis is inhaled treatment. You will definitely improve with inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "1) my wife is 0 negative and am positive, she delivered a baby boy but died shortly after delivery due to essesive loss of blood. Pls I will like to know if her blood group has anything to do with these. 2) We had over 2 years delay before this conception. I will like to know if it has anything to do with 0 negative", "output": "Hi, dairy have gone through your question. I can understand your concern. If moths blood group is negative and babies blood group is positive then it leads to Rh incompatibility and chance of hemolytic disease of newborn. Mother should take anti D injection to prevent that. Delay in conception has no relation with any blood group. Consult your doctor and plan accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My blood pressure ranges from 138/98 to 165/111 and I am currently on Lasix , amlodipine 5mg so I have been taking my b/p am s pm s and at least 3x each to get an average, since I am at end stage renal failure I know this can damage my kidneys . Also I am cycling at least 30 m. a day and have a very strict diet, what else can I do.", "output": "The blood pressure varies from time to time in a day. The target blood pressure should be-between 120/80 to 130/85. You need to increase the dosage of your BP medicines if you cannot achieve this target. You also need to decrease the protein loss in urine if any and control phosphorus level and Hemoglobin. Also, if you are nearing end stage renal failure you should start planning for the type of renal replacement therapy you would opt." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have about a 3-5cm bump on the inside of my cheek about a inch or two away from my anus. It s not really painful but it s bleeding a bright red and the color of this lump is redish purple, almost as if it s bruised or a blood blister. What could it be and what should I do?", "output": "Hi! Thanks for sharing your health problem with us! Well, this is a fairly common problem in people with chronic constipation or perineal infections and after careful detailed examination in such cases usually I get few possibilities like:1. Inffected perianal or anal fistula2. An infected inclusion cyst3. Pyogenic granuloma or infected hemangioma4. Infected sinus or skin therefore, a rectal examination is necessary for confirmation; please see a surgeon and there is nothing to worry much as this is infective only never malignant. Regards," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i am a 28 YEARS OLD FEMALE from pakistan. i am having normal to low grade fever. also there is frequent urination and abdominal discomfort like a nervous feeling. i also have stiff neck and mildly aching body with a burning and tingling in my hands and feet. i wanna know if i am suffering from dengue as it is endemic here. thanx", "output": "HELLO ! Your symptoms are inconsistent with dengue and information is incomplete to provide my opinion. To provide you my best opinion as I give to my own patients, I would ask more questions like:-When did fever started, for how long, and what is the pattern of fever?-have you got joints pain?-Are there any rashes on your body?-Are you diabetic?-Is your menstrual cycle regular? What is the pregnancy status-have you have been to any endemic area recently?you can perform -dengue serology-CBC, Lots/S ABDOOMENHOPE I HAVE ANSWERED YOUR QUESTION. PLEASE FEEL FREE TO CONTACT IF YOU STILL HAVE QUERIES. PLEASE RATE THE ANSWER AS YOU LEAVE. WISH YOU BEST OF HEALTH!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my dad had a seizure he was rushed into the hospital in the hospital they reveal that he had blood clots in his brain then he was transfer to another hospital who are fully equipped doctors have performed numerous of tests on my dad and he haven t had any falls or injury since last year but recover fine doctors have done image tests on my dad n told us that he has several blood clots in his brain they say that they were going to treat him with a medication that it wil make his blood thin n see if the blood clots can flow again n that this medication consist in phases today the neurosurgeon informed us that there is a procedure that they can drain the blood clots from a vain from his leg n basically he calls it a roto rooter like when your toilet is clogged up u use a roto rooter and flushed it away so they did that now my dad has been in SICU for 5 days already n he is still uncountious I ask the doctor is due to the medication n doctors says that he I not medicated n he is not sedated if he doesn t wake up Is because the pressure of the blood clots now he moves his arms n legs but doctors says that is due to the brain nerves but that isn t my dad my question is how long is he is going to b uncountious n what have happen to people who haven t been uncountious for so long?", "output": "Hello, Your father seems to have suffered multiple strokes. It is not a good sign that he is unconscious for 5 days. Something has gone wrong again in the brain and maybe he has suffered more strokes. He is likely to require a long period of recovery following regaining consciousness. The extent of brain damage may best be commented upon by the doctor who has seen the images. The prognosis for him at the moment is uncertain because of such long period of unconsciousness. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "localised barely half to one cm rashes - second-last finger top side, on eyelids - come and go -- get treated with Lobate -GM ( in 4-5 days ), I am looking for permanent cure. My age 43, suffering from this from very young age - is this mild psorasis - esp since it gets cured by use of _ Dipsalic tube also - I am not looking for a freebie on a serious matter like health but at present I am not confident on the matters of on-line paid consultation - I am sorry since my mindset is not right for getting paid medical consultation without having some rappo building with the doctor", "output": "Hi.thanks for your query. Most people with psoriasis have thick, red skin with flaky, silver-white scales. Patches are most often seen on the elbows, knees, but can appear anywhere including the scalp. Do the patches look like the above? Steroids like Locate may reduce symptoms of many conditions ranging from eczema to psoriasis on skin. The only way leading to an accurate diagnosis is histopathological examination of tissue from the lesions. There might not be any permanent cure of many of the skin disorders, but with accurate diagnosis and timely management, most of them give you a good remission. Hope this helps. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I fell on the front of my right leg/knee on some hard rough concrete a few days ago. i have a small wound 4 inches below the knee cap. I felt sick to my stomach for about an hour but was able to walk on it. It never turned black and blue. The next day it felt great. Now the front of my leg is simi numb and tingling but my calf is fine.", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have numbness on the leg after falling down. Well there can be many reasons for symptoms you mention in query like nerve injury, hematoma, inflammation or fracture. I would suggest you to consult orthopedic surgeon for proper examination. Doctor may order CT scan, or X-ray along with physical examination. Doctor may give plaster, prescribe muscle relaxant, anti-inflammatory. Doctor may also Chat Doctor. For now apply cold compresses and keep your leg elevated. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "So yesterday every time I would breathe in or move it would hurt right under my sternum,and today it was not so bad, but today I was just sitting and if felt like someone hit me under the collarbone and it made my whole body jruked and it only hurt for a second. So what is wrong and do I need to go see a doctor?", "output": "Hi, Dear,Thanks for your query to Chat Doctor. Dear I read your query and reviewed it with context to your query facts. I understood your health concerns and feel Concerned about them. Based on the facts of your query, you seem to suffer from-Acute MI(Myocardial infarct)? Hepatitis ? Pancreatitis? Acute Duodenitis. These possibilities need to be kept in mind besides other which cause similar complaints under the sternum. Pre-cordial Catch Syn Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 70 years of age. Today, I was stripping a pipe of old paint from a pipe ---- paint that I suspect to contain lead. Tonight, I notice a tingling and numbness in my right heel. Can such tingling and numbness be related to my work on taking off the paint from the pipe today?", "output": "Hi, thank-you for providing the brief history of you. A thorough clinical examination is advised. As per the understanding of the history I do not think the tingling and numbness can be because of the lead. This tingling and numbness can be due to the pathology of the nerve irritation in the lumbar Spine. Since your age is 70, there is a possibility of degenerative changes in the body and there will be even wear and tear of the lumbar spine. As tingling and numbness are a nerve related sensory issues getting a thorough check from an Orthopedic will good on a safer side. Treatment:Simple medication along with physical therapy. Regards Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 5 yr. old daughter has a rash that just appeared over night. It s on her lower back, bottom and upper legs. They are red bumps with a head on them and they itch really bad. She has never had chicken pox but I can t figure this out. 4 nights ago she dumped my husbands shampoo in the bath to make bubbles but the spots just showed up today. Other than that there have been no changes in her diet or soaps.", "output": "Hi, Welcome to Chat Doctor, The rashes can be due to allergy as she used the shampoo that she should not have used. Child Chat Doctor. Antihistamine Syrup and mild medicated lotion/cream can be of help. Do not let her scratch. It is important to rule out any fungal infection, viral infection. Get her examined clinically by a doc. Diagnosis should be made early to start the treatment, she will need antibiotics and ointment surfeit to be applied locally if ring worm infection is detected. If it is measles, symptomatic treatment should get started as it is a highly contagious disease. Maintain hygiene, get her treated, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was having hyperthyroidism sometime March this year, after a few months medication on carbimazole 5mg prescribed by my doctor, since my last blood test result in Oct, 2011, my condition has gone back to normal, the TSH, T4, T3 all gone back to normal range, but advised by my doctor to continue with 1 tablets of carbimazole daily till Jan 2012, thereafter to do another blood test... On the other hand I have been having stiff neck with pain though not really severe by irritates me & I can t concentrate properly in my daily jobs, get agitated easily at times... to overcome my stiff neck problem, my husband advised me to consume omega 3 fish oil for inflamation to ease pain), Vitamins B1, B6 B12 for nerve function, after consuming these for about 2 mths I felt better, but still at times recurred , wonder it is wise to consume ginkgo billoba and L-Arginine which will also helps in blood circulation and arginine to helps produce nitrate oxide for the flxibility of blood vessels....and since as informed I am currently still taking carbimazole (for thyroid) can I consume all the above ? Pls advise", "output": "Hello, I read carefully your query and understand your concern. The symptoms seem to be related to muscle spasms in the neck. I suggest using a muscle relaxant such as Baclofen three times a day. I suggest using warm compresses for local application. Furthermore, I also recommend taking a magnesium supplement along with the supplements that you have already taken. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards! Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi sir i am 22 years old and not married. usually i use hand pumpng when i got sexual desire.now for the first time in my sperm some yellowish rice size chunks are coming .so please suggest me whether is there any serious and suggest me what i have to do to get rid of it", "output": "Degree understand your concerns went through your details. The condition you are mentioning here could be pretty Likely normal. Normal semen can be jelly-like, or you may see grain like parts. But when you try to hold it with your fingers it slips off. You can do the experiment yourself. Some urine staining can account for the yellow color. It is most probably normal. Therefore, there is nothing to worry about. The present color and the appearance should change sometimes. Observe and be satisfied. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query. Further clarifications are welcome. Good luck. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have lower back pain that has gradually gotten worse over time. doing household chores, walking, going up and down stairs. I also have had muscle spasms. Saw my ob/gyn no problem there. Went to physical therapy , relieved pain for a minute. Still continue to do exercises they recommend but pain is still there. Insurance wont pay for MRI . Is there anything else I can do?", "output": "Hi I am Chat Doctor. . In my opinion I recommend physiotherapy with a chiropractor, spinal straightening exercises, maintaining good sleeping and sitting postures, avoid overweight, heavy lifting, vigorous movements will be effective in most of the cases. You may use painkillers like Advil tabs when needed, hot massages with topical gels, B12 vitamin supplementation, muscle relaxants and in sometimes steroid pills or injections are prescribed for some patients. If pain persists you have to follow up with your neurosurgeon and MRI will show if you have any spinal injuries or disc herniation for proper evaluation and management. Please click and consider a 5-star rating with some positive feedback if the information was helpful. Wish you good health, Any further clarifications feel free to ask." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "doctor, my wife is suffering with Tuberculosis. i myself took the test to ensure i did not contract it from her. my TB Elisa test report states:MTB IgG: 146.2 U/mLMTB IgM: 1.51 U/mLKindly interpret it for me. does this mean i am suffering with TB too?Thanks for help.", "output": "Dear Friend. Welcome to Chat Doctor. I am Chat Doctor. I have read your query in detail. Furthermore, I understand your concern. This is a non-specific test. Even if this is positive, we can't say that you have Tuberculosis or not. However, by analyzing this report it seems you don't have TB. I would recommend you to get your wife proper treatment. If you show any symptoms like weight loss, fever, cough with sputum, get tested :1. Chest Xray2. Sputum for AFB.3. Hologram with ESR. This is my best advise for you based on available details. If you have any further query please ask me. Stay Healthy. ChatDoctor, MD" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 6 yr old son was sitting on floor and by mistake I spilled boiling water on floor. His buttocks and legs got burned 4 days ago. Taking him to casuality every day and they are peeling the white skin from burnt part every time saying it will cause infection. He is unable to bear that lain. Also they popped the blisters. I would like to know if peeling off the skin is the correct procedure? This is in India. Plese anwer", "output": "Welcome to Chat Doctor, I have gone through you query and understood your concerns, I advise you do not peel off the skin, the old skin is a protective barrier against germs if you're peeling off you make more susceptible to bacterial infections, let the process works in the natural way, I suggest applying some light moisturizer like Aloe Vera gel to keep the skin HY Chat Doctor. Please kindly rate if my advice has been helpful Wishing you a good health " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Test Name HSV 1 IGG, AB HERPESELECT In Range Out Of Range Reference Range Lab TBR HSV 2 IGG, AB HERPESELECT 0.14 0.00-0.89 INDEX Interpretation -------------- Negative Equivocal Positive TBR Value ----- 0.90-1.10 1.10 This assay utilizes recombinant type-specific antigens to differentiate HSV-1 from HSV-2 infections. A positive result cannot distinguish between recent and past infection. If recent HSV infection is suspected but the results are negative or equivocal, the assay should be repeated in 4-6 weeks. The performance characteristics of the assay have not been established for pediatric populations, immunocompromised patients, or neonatal screening. This assay utilizes recombinant type-specific antigens to differentiate HSV-1 from HSV-2 infections. A positive result cannot distinguish between recent and past infection. If recent HSV infection is suspected but the results are negative or equivocal, the assay should be repeated in 4-6 weeks. The performance characteristics of the assay have not been established for pediatric populations, immunocompromised patients, or neonatal screening. PERFORMING SITE: TBR Quest Diagnostics, One Malcolm Avenue, Teterboro, NJ 07608 Laboratory Director: Janet Piscitelli, M.D., CLIA: 31D0000 what does this mean", "output": "Herpes Simplex Virus (HSV) is the virus that causes cold sores around the mouth and also can cause sores in the genitals. Type 1 tends to live near the mouth and type 2 tends to live near the genitals, but they can live in either place. The symptoms are usually burning or pain followed by a sore which can look like a little collection of bubbles or bumps with some redness around it. The sores will heal on their own, but you can take medicine to help this along. The sores can come back and tend to do this when you are run down, tired, stressed or the immune system is not working right. Some people take medicine every day to prevent outbreaks of the sores. You can have a positive blood test for herpes but no sores. This means you have been exposed to the virus and may be carrying it. Everyone is different. Some people get lots of sores and others may never get an outbreak again after the first one. The best thing you can do is take care of yourself. Minimize stress, get enough sleep, eat well, etc." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type My son has developed a dime-sized soft moveable knot on back of his neck by the hairline? He has been doing some strenuous running in cross country-could this be the cause or should I have it checked out?", "output": "Hi, dairy have gone through your question. I can understand your concern. He may have some enlarged lymph node due to reactive hyperplasia or some soft tissue tumor like lipoma. He should go for examination and if needed go for biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have taken an injection of cortisone to treat anaphylaxis from antibiotic and after one month I had the same attck from another antibiotic then I mad liver function teste after one month from the second injection and I found iT High Is it from this 2 injections?", "output": "Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. Steroid injections are known to cause such liver changes and abnormalities in liver markers, so this is not uncommon. In most case there is no serious damage and after few weeks markers should stabilize. If there is still high liver function tests then ultrasound should be done. I hope I have answered you query. If you have any further questions you can contact us in every time." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir or Mam,My wife is 32 yrs old n we are married from last 7 years n we dont have a child and day before yesterday we had visited a Dr n she asked for a ultrasound and the report came that she has a complex cyst ,most likely maligntant in her left overy measuring ard 3.5 cm and a ployp n her blood test were also done CEA and CA-125 which both are normal,i like to now how to get it remove with surgery or will it resolve with medicines and can it be cancer also.pll tell i am worried", "output": "HelloOvarian Cyst Complex is a more severe forms of ovarian cysts that are found on the cysts of females. Usually the content of a cyst is fluid; however in the case of ovarian cyst complex the cyst also has some solid content in it which makes it really dangerous. Surgery to remove the cyst or ovary may be needed to make sure there are no cancer cells. Surgery is more likely to be needed for: Complex ovarian cysts that don't go analysts that are causing symptoms and do not go awayAlthough ca-125 is normal, but the cyst can still be malignant. Get the surgery done as early as possible. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, i m a kidney transplant patient.years back i had been operated on testis & had removed my right testis.because of which there is no production of sperms in my left testis. doctors suggested me to take fertamid 25 or lycobel od.which one should i take & which one is safe for me ?", "output": "Hi, The certain contain camphene content within it. This tablet increases your FSH and LH. So your sperm count increased. It is to be prescribed usually when serum Testosterone is low. The label contain multivitamin tablet and can be taken off no other specific cause found. So both having a different mechanism of action. Discuss with your doctor about which Chat Doctor. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 10 week old has been having what appears to be bloody stools for 4 weeks. Stool sample was taken to lab and found negative for blood??? Stool was found to be high in fat. Bright red substance is definately there in nearly every bowel movement. What could this be?", "output": "Welcome to the ChatDoctorI have gone through your question and understand your concern. If the poops are negative for blood or RBC, the red color on diaper can be due to rate crystals. Rate crystals in urine also give an appearance of bright orange or red similar to blood in diapers. This is a normal finding and is many a times' indicator of deny Chat Doctor. So, I would recommend you to give your baby regular feeds to keep him well HY" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am married for 6 mnths now.I am 27 yrs old. I did not have much menstrual issues in the past years. But last month i had my 10 days delay in my period and again now it is 16 days now but my period has not yet started. Please help me on this. Is this my pregnancy or any hormonal issues. If this is not pregnancy then will it call cause any problems for my pregnancy later. Currently i m feeling very tired and low in energy. Feeling very pale and drousy all the time. please suggest.", "output": "Hello dear, I understand your concern. In my opinion there are different causes for irregular periods like:-1)Thyroid abnormalities.2)Polycystic ovarian disease (POD).3)Overweight or obesity.4)Stress.5)Anemia.etc. So all the above causes should be evaluated by getting done physical examination and necessary investigations. Ultrasound helps to rule out POD, thyroid profile helps to rule out thyroid abnormalities and HE to rule out anemia. If overweight or obesity weight reduction helps in regularization of cycles. Weakness, tiredness and paleness symptoms are suggestive of anemia.HE helps to rule out anemia. Avoid stress if any. Nothing to worry. Once the cause is treated the cycles become regular. Relax. Hope this helps. Best regards....." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my age is 55 male wieght 82 kg height 5.6ft. I took erythrodar thrice daily for 3 weeks to treat burning in urine and possible prostatis. prostrate slightly enlarged. I did my blood test right after the erythrodar antiobiotic course. My SGPT is 356 SGOT is 270 and alkaline phosphatase 117. Is it due to this medicine? I have very significant allergy problem from food.", "output": "Hi thanks for contacting Chat Doctor .... I have gone through your query.... Following can be possibilities .....-erythromycin Chat Doctor. So if hypersensitivity to gluten containing diet like rye, wheat etc. then celiac disease can there, and it can lead elevated enzymes.USG, complete LFT profile with HIDE scan might useful. More fruits taken with less fatty and fried food.... Green leafy salad more.... For celiac antiendomysicial antibody screening done.... One tsp licorice with honey taken.... If still cause not clear then after prostatic treatment CT scan or liver biopsy might be needed if gastroenterologist need it. Hope your concern solved. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have pain initial in my right Knee that is slowly growing to right shoulder and hand. I think it will be related to do witChatDoctorputer/laptop usage. I am doing my physiotherapy and just started putting the neck belt. I am worried, should I do some additional test or take some medicines?", "output": "Hi, as mentioned by you, about your symptoms it is prior needed to have a thorough assessment of you. Also, getting treated symptomatically will provide temporary relief in the physiotherapy department. Also to understand the root cause of injury is more important for the better help in the future to avoid any workstation related injuries.Also, as you mentioned, for shoulder and wrist pain an MRI of the neck and the NCV will help input. Since the pain in shoulder and wrist can be due to two reasons. One is nerve impingement in the cervical spine or may be carpal tunnel compression. Also for knee, need to check if you lower spine is fine or any knee ligament issue is there. Also, sometimes the pain understanding is more important which helps to find the root cause. Like the nature of pain, like the intensity of pain, the frequency of pain, the position in which pain is more and the position the pain is relived. For more questions you can ask me directly.regards Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctors, This is Ahamed aged 31, Male, suffering from lower back pain. MRI shows Diffuse disk bulge at L4-L5 and L5-S1 levels mildly indenting the thecal sac with mild abutment of bilateral existing nerve roots. Doctor prescribed me tablets for 10 days and advised to take rest( Not to lift any weight or bending back) for 10 days. Can this issue be cured by medicine and exercise? Also Shall I have sex during these period of 10 days? Will sex affect my back by any chance? Thanks Ahamed", "output": "Dear; thanks for using our service, I read your question with care and will give you my advice. First, you have multilevel disc problem witChatDoctorpression of the canal. That is why you have back pain. The oral medication can help, but rest is very important too. Not only to avoid bending and lifting weight but also to avoid sexual activity during this time because it can aggravate the pain. There is no medicine to cure this, exercise can improve the strength of the back muscle but need to do it with care and supervision. You might need to have an evaluation with a pain management to consider epidural block. I hope that my advice has been helpful Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Last night, I had sudden stomach and lower abdomen. I have never experienced the pain before, and it was almost unbearable. I started to become dizzy and thought that I would faint. The pain worsened when I tried to move, go to the toilet and stand up. This morning, my stomach still aches, but the pain is not as severe.", "output": "Hi, thank you for posting. I have gone through your query and I understand your concerns. Based on what you refer I can say that you suffer from colonopathy. To treat this disease you should take proton pump inhibitor medications. But, before starting the treatment you should confirm the diagnosis. To do that you need liver function test, abdominal ultrasound, complete blood count and urine test. Consult your gastroenterologist. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "12 yr old super fit girl having high temp 39+ for past five days. Many bloods done, both while having fever and not, chest xray, sugar levels, MRI, urine testing, throat swab, spit swab, nothing at all wrong. So do you have any idea what else could be causing this....in first two days she also had 4 fainting episodes, first one she was out for ten min and not responding to questions for another 5 minutes after waking up.", "output": "Hellos you mentioned that all tests are normal, so hormonal imbalance is the main cause (because her age is 12 years and puberty may the reason i.e. hormonal change and this is normal, not a cause of concern).2nd reason of such cases may be stress or anxiety or tension (maybe of study) . So in my opinion there is not a cause of concern and don't require any further investigation. Wait for another 4-5 days but if still fever persist then consult a gynecologist & physician and get their opinion. Hope this will be useful for you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I am a 53 year old African American. 4 months ago I have been experiencing chest pain so I went to the emergency room they ran tests on me ultrasound stress test on me, the Dr told me my heart runnig 35 cents my left valve is not working good.so here referred me to a specialist and put me on a whole lot of medication. so I went to the heart specialist they told me that I m going to need a pacemaker cuz my heart is only running a 35 dut he going to see if the medicine going to work first... My BPM is 120 today and I am so tired all the time!! I was at Pizza Hut four days ago getting a salad and I fell off leash sharp pain in my chest enough of this running down my left arm for about 2 minutes that is so nice of breath!! I call my doctor it up and he made me appointment for August 6 come in to get checked 10 days since I had my episode.. is there any way that I can know if they can do anything for me then just lay here in the bed all the time tired 24 hours a day", "output": "Thanks for your question on Chat Doctor. In my opinion you are having cardiac disease. And most probably coronary artery disease. Risk factors in your case are1. Heart function is very low only 35%.2. Heart rate very high (tachycardia)3. Age more than 30.4. Recurrent left sided chest pain which is radiating towards left arm. So get done 2D Echo and TMT (Trade Mill Test) to rule out heart disease. Also get done coronary angiography to rule out coronary artery disease (CAD) as chances of CAD are very high in your case." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have lupus S.L.E. which has caused a rheumatoid arthritis in various joints of my body, knee and elbow replacements were necessary. The latest is my Cervical spine, In February 13 I had Anterior decompression and fusion of 4 vertebrae C7 - C4 and synthetic discs. My C1 - C3 are already showing signs of deterioration, C3 looks like a triangle, I have severe neck and ear pain and my GP is treating me with muscle relaxants and anti inflammatories. My question is; How does lupus attack bone and cause it to disintegrate? Same question for discs I suppose. I ve had bone density tests, no problem there and I ve been told not to take calcium pills, as more calcium would cause more problems. I m an active person but this is slowing me down.", "output": "Good evening sir. Well I really doubt the diagnosis of SHE here as SHE never causes joint destruction. It can cause various joint pains and occasional swellings, but never destruction. You may be having an overlap of SHE with Rheumatoid Arthritis, but Rheumatoid Arthritis is the disease which can be very destructive if left uncontrolled. IT can affect your cervical spine, elbows, knees, hands and wrist causing deformities in most. What I will suggest is that you need to start treatment for it. I am not sure if you have taken Methotrexate before, but you need to consider it after consulting your rheumatologist. Also, there are new biological Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi I have a pink bump on my face that has been there for the last two months .now I m getting little red single bumps that itches on my belly and back that comes and go with in a hour my big toe is now swollen but the swelling is going away after 3 days", "output": "Hello Thank you for trusting Chat Doctor Possible causes of red itchy bumps :1. Allergic reactions to personal care products :think once have stared any new soap or skin care products. Paracetamol in sunscreen cause reaction. 2.eczema. Found anywhere on the body but most commonly found in the back knee, elbow crease. 3.keratitis Polaris 4.rubbing from fabric s5. Bug bite 6.heat rash 7.allergic reaction to some medicine. Possible of gout cause your great toe swelling. Avoid allergen, take tab. Montelukast and levocegrizine, use moisturizer. Still symptoms not improved consult your doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor, I am 31 year old,married 10 month before. my report detail. volume -7 ml ph - 7.5 sperm concentration - 17 million/mlrapid progressive : 29 %moderate progressive : 41 %sluggish motility :00%Immotile : 30 %Total Motility :70 %Total Sperm Count :119 mil /TSENormal Form 8%Head defect :55%Midpiece defect :5%Multiple Defect :32 %Please suggest me may i fertile?", "output": "HelloYour semen analysis findings may indicate low sperm count and excess abnormal morphology sperms. You may need clinical correlation and few investigations like routine hologram, random blood sugar, ultrasound of scrotum. Sperm count is low. Normally it should be at least 20 millions/ml. Normal morphology sperms are also low. At least 16 % sperms should have normal morphology sperms for natural fertilization. Motility is normal. Normally it should be at least 55 %. Your findings suggest over all 70% motile sperms, so it is normal. You should take healthy and nutritious food. Avoid smoking and alcohol if you take it. Take antioxidants and go for regular exercise. Avoid wearing tight undergarments. If infertility persists then you may need assisted fertilization technique. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Its been 2.7 years of my marriage...trying to conceive frm 1year...my husbnd was in touring job but nw frm 6 7 mnths he hs chngd his job nd nw its nt touring..last year I got my periods late 15 20 days nd severe backpain...I got tensed bcz my periods r always regular..went to doctor..urine test negatve.doc.sugstd me to cum after one week nd adviced me to take folic acid nd progesterone aftr one week still urine tst negatve.in blood test I got ChatDoctor around 70..nd d nxt day I got my periods..doc.said it ws weak pregnancy dnt thnk much...dnt tak tns...I want to ask dat I ws pregnant? And if I was den why now m not getting preg?", "output": "Hi, Thanks for using Chat Doctor. Your last year status with Chat Doctor 70 suggested pregnancy, but UPT negative is contradicting it. Did you get done any investigations after it, how was your periods after that episode? Get done one USG abdomen and pelvis once and tell us if there is any problem and also about your periods. With these we can be tall if any problem. And not always you can become pregnant. Intercourse during ovulation period increase the chance of pregnancy. Hope I answered your question. Feel free to ask me if you have any further queries. Wish you good health. Take care. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Not sure if I have an umbilical hernia or not; saw my internist today and she ordered an ultrasound which Im having in a few days. She thinks its either that or possibly some sort of cyst. In the meantime, would flying on a commercial flight across the country possibly make it worse?", "output": "Hi, Thanks for posting your query. I am Chat Doctor. K and I am pleased to assist you. No ultrasound scan is not necessary to diagnose umbilical hernia. A good clinical examination itself is enough to diagnose it. But sometimes when the swelling is too small, then the doctor may have doubt regarding the diagnosis and may order for an ultrasound scan to confirm the diagnosis. Regarding the second question, the answer is - NO flying across the country does not make it worse. I hope that answers your question." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have been experiencing dizziness, nausea and blurred vision for several years. It is worse around 3 am best in evening. Getting incapacitating. Had MRI to rule out MS. Lesions in brain but not spine. Neurologist thought it was normal 52 yr old brain. Saw an ENT, did all the tests. No answer. Quality of life terrible. Have tried every anti nausea med, Serc, .. I also have very labile BP. Diastolic from 40-110.Suggestions?", "output": "Hello! Thank you for asking on Chat Doctor! I carefully read your question and understand your concern. You should know that blood pressure fluctuation can cause these lesions in the brain. They are related to low blood flow to the brain and damage to the small vessels. Migraine can also cause similar troubles. For this reason, I would recommend consulting with a cardiologist to help you maintain stable blood pressure values. I would recommend taking flunarizine for your troubles. Sertraline can also help. It is also necessary taking aspirin 80-100\u00a0mg daily to help prevent future strokes. Hope to have been helpful! Wishing all the best, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am 35 years old male, i ve been facing itching problem from last 6 months, Before the itching starts I feel acidity very badly. i ve been to several doctors so far nobody have had able to diagnosis my problem, i have done my full body test and all of them were normal. To get temporarily relief I am having one tablet everyday (cetirizine hydrochloride) which keeps whole body in normal and had a feeling of 100% relief, but it will last only for 24 hours. my symptoms are below I feel acidity issue and the itching starts through out my chest and arms with red rashes.", "output": "You are having generalized pruritic. There are many causes of generalized pruritic. But in your case, no cause is still found. All investigations are within normal limits as you said. If no reason, then it is idiopathic or psychological origin. You avoid stress, anxiety and worry. Keep the body moist. No soap. Cotton clothes should be wore. Take good sleep. Apply moderate potency steroid daily at night and good moisturizer after bath... Take HY Chat Doctor. . I hope you will improve. . Ok" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son aged 12 years is suffering from Asthama he is taking startline puff as and when required in addition Montair 5 mg has been advised.For the last two years we are doing this .He is getting relief by medication but should he take continous medication or as and when needed.Alternate therapy like Homeopathy has claimed for complete cure of asthama with in 8 to 10 months What is the advise for us", "output": "Hello, Thank you for asking at Chat Doctor. I went through your sons history and would like to know details about his symptoms' life nose symptoms, sinus symptoms, skin symptoms, eye symptoms and asthma symptoms, aggravating factors, seasonal factors, etc. At present, from your given history, I would like to make suggestions for him as follows:1. Apart from medications that you are using, I would suggest him allergy testing for common air-borne allergens such as house dust mites, molds, pollen, insect proteins, animal dander, etc. This will help you identify the substances causing him allergies as well as the measures to avoid them.2. Based on allergy testing report, an Allergist-Immunologist may prescribe him allergen specific immunotherapy which works in immune system to gradually improve his allergy symptoms and would reduce requirements of other medications.3. Regular breathing exercises and healthy diet rich in vitamins & minerals will improve his lung capacity and immunity gradually over a long run.4. In general, please avoid exposure to dusts, smokes and air pollution as much as possible.5. Alternative medicines like Ayurveda, Homeopathy, Herbal medicines, etc. may be beneficial and may reduce medicine requirements gradually. I usually suggest my patients to consult an experienced alternative medicine practitioner for alternative treatment. However, please do not discontinue Montage and inhalers without consulting your allopathic doctor as sudden discontinuation can lead to worsening of symptoms. In nutshell, instead of self-treatment, please consult allopathic doctor for inhalers and medicines, and you can simultaneously also consult an alternative practitioner for alternative treatment. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you the best of the health ahead. Thank you & Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 47 year old heterosexual white male in fourth stage kidney failure due to IGA Nephropathy. For around 3 weeks now, I have had an irritation in my butt crack from my anus upward. It has begun to bleed just a little bit and I was wondering what I can do to alleviate this problem.", "output": "HIT hank for asking to ChatDoctorI appreciate your concern the problem that you have could be edematous lesion and nothing to take anything with your kidney failure, in my opinion it would be good to see the dermatologist for the conformation of diagnosis, as such you have renal problem suggesting any medicine without clinical examination is not advisable, hope this information helps you, have a nice day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have had chronic knee pain that was recently made worse by helping a friend move. Previously I could treat with ice and compression. I am a reasonably fit 55 year old- spin twice a week and lift weights, walk my dogs. Now very bad. Which kind of doctor do I see- surgeons answer the question with surgery so, do I start there or see a sports medicine specialist.", "output": "Hi, thank-you for providing the brief history of you as your age is 55, it can be suspected that there might be possibility of degenerative changes in the knee joint due to weak and tear. Also, you do weight training this might lead to compression on the joint soft tissues and wear and tear as well. Taking an MRI of the knee should provide some inputs along with clinical examination by an orthopedic. Treatment physical therapy has been beneficial to many of my patients with knee pain and I advise you the same. Understanding the biomechanics and pathomechanics of the knee joint can help understand planning a good knee rehabilitation program. Regards Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband and I have tried sex and our main concern was to get me pregnant. But whenever we had sex I see that he is not able to insert it properly and I have heard that it is painful. So kindly suggest as to how much of penis has to be inserted inoreder to get me pregnant.", "output": "Hello dairy understand your concernPenetration up to vaginal introits/entrance is sufficient to become pregnancy. But more the deeper penetration, more chance of pregnancy. Penetration does not cause pain every time. Once penis enter into the vagina easily then chance of the pain is less. Pain could be due to: Vaginal Chat Doctor. I would suggest consulting the gynecologist if you have pain during intercourse if you will face the pain. Take following advises:Use K-Y water based lubrication gel use vaginal moisturizing agents like VAGINAL after bathing Spend more time in the foreplay before the semester the penis very slowly and then tell the partner to go forward till you do not feel the pain. Maintain proper pelvic hygiene regular exercise like pelvic exercise, walking. Take healthy diet and " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband was pulling weeds under our deck and thinks he got a spider bite yesterday? on his finger, he woke up this morning with his finger oozing and looking like a blister and is now turning a purplish color. Is this serious? He does keep draining his finger", "output": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint due to spider bite there is allergic reaction along with infection at the site of spider bite leading to ABSCESS formation due to which there is discharge and blister like appearance. Your husband should take a Broad spectrum antibiotic like Augmenting antihistamines like Allegra. For pain, you can take anti-inflammatory painkiller Ibuprofen (Advil or Motrin). Apply TRIPLE ANTIBIOTIC Ointment over the lesion after cleaning it using Betadine solution and Chat Doctor. . It will start healing in three to four days but if there is no healing or the symptoms worsen consult a physician. Hope this information helps. Thanks and regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i had a baby 3 yrs ago after being diagnosed with pcos, i dont have the syndrome just the overy problem. i got pregnant naturally and very out of the blue! i was just wondering what my chances of concieving again would be? i did an ovulation test last month and dont think i ovulated? thanx x", "output": "Hi, I think you can get pregnant naturally becaus4 occasional ovulation occurs in PRO. But there is no surety of that. So, you can take some medicines like camphene for the growth of your follicles and track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles. Be in contact with your husband for 2 to 3 days after injection. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. You can try like that for 3 to 6 months. Hope I have answered your question. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I get a pain in my chest and my mouth starts building up with saliva. Im 17 and have had this for a long time, I cant remember how long. I dont really know my height and weight, I just want to know possible solutions to what the problem is. I think it is heart burn but never really known.", "output": "Hi welcome to the Chat Doctor Here your clinical history of acid reflux, Chat Doctor. . Your Auscultation should be done and then x-ray done for primary work up as problem since many months... If specific respiratory cause found than treated accordingly If you are having acid reflux problem as mentioned in history than omeprazole capsule can be prescribed Acid reflux can lead burning chest pain and " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had my gallbladder removed on Jan 25 2012. After being released I had blood work done. I received a call on Feb 15, I was told my alt was at 84 and I need to see the doctor. My appointment is on monday but I am very worried. Should I be? I dont do drugs, or drink a lot, no hep. Or jaundice.", "output": "Hi, dear. I have gone through your question. I can understand your concern. Your alt level is slightly high. There are many causes for that. You may have some mild liver insult. It's not a cause of big worry. You just consult your doctor and go for complete liver function test. Then if needed to take treatment accordingly. Just be relaxed. It's not serious. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI my mother is 52 and she has been put on dialysis . her creatinine levels are 5-6 and have no diabetes or high blood pressure. People have recommended ayurvedic or homeopathic treatment for her rather than dialysis. She has gone under dialysis 3 times but mentally not able to accept the fact and thinks its a really big thing. Can ayurvedic or homeopathic treatment help her?", "output": "Hello At the outset, I wish to say that I am all Allopathic specialist - and I do not know about other systems of treatment. I will not comment. From our point of view - the only alternative for dialysis is kidney transplant. Dialysis itself is a temporary - an arrangement until transplant. She MUST continue the dialysis. Reactive depression is well known in this situation - and it is the responsibility of family and friends - to help her to tide over it. We have seen several such instances - they finally got well and regretted their opinion. Better be safe than sorryTake care Good luck" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi there,I have been having some sharp pains in my chest, on Tuesday I was told its Pleurisy, I am now on my 3rd day of anti biotics but still in a lot of pain which I believe is getting worse. Also I appear to have a rash on my chest (as from today) is this normal ??", "output": "Hello! Thank you for being wit Hus on Chat Doctor! I understand your concern, and would like to explain that for pain relief you need to try any anti-inflammatory medications, like naproxen, fetoprotein, etc would recommend a careful physical medical examination coupled with eventual chest X-ray study to rule in/out the first diagnosis of Pleurisy, and to differentiate with other possible etiological causes, as it may be shingles:Herpes Zoster (cutaneous rash is suggestive of such a disorder), etc. Some additional lab tests may be necessary, like complete blood count, PCR, etc. Hope to have been helpful to you! Greetings! " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ive been a hairdresser for 8 years and past few ive been suffering with lower back pain but more recently the top as well with cold shooting pains.i work 9 hours a day 6 days a week.any suggestions to help ease the pain?ive exercised,applied heat,applied cold,rested,massaged nothing helps", "output": "Hello, It is my privilege to help you, I have gone through history, your profession has led to this problem. Prolong standing with abnormal posture of the body as led to this severe lower back pain. What ever the medicine you take it will be for shorter during of time. I would advise meeting a Spine specialist for through examination to find out that exact cause then proper solution can be given. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "doc,please healp me! i used to be strong and energetic,had strong heartbeat that makes me xcited of what im doin.i can say that my heaqrt n mind coordinates so well,.but now after that palpitations that i feel that lasted a month and more,.it left me numb,cant feel my heartbeat, cant feel my xcitement had difficulty breathing and my eyes grow dim... feel weak all the time,my body feels cold,.my chest congested my stomach seems full.,please help me.please advice,.", "output": "You had episode of arrhythmia DAT lasted a month .now the symptoms .guy your heart is not working properly .most probably the EJECTION FRACTION has decreased.it means that your heart pumping mechanism is failing ...the reason is can be the high BP or the arrhythmia itself or anemia or your thyroid may be troubling you ...please see your general physician ...you need chest x-ray ...ECG AMD echocardiography...usually the cause OS found easily and treated easily with Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doc,I m suffering frm epilepsy.At start, doctor advised me to take levera 500 2per a day.day by day it became 4 per a day.sevior seizures are controlled bt still its thr as absence seizure.now my doc prescribed me epilex chrono 300.If once i ll take this medicine then would i have to continue this for the life time???? I am of 30,female,Ht- 5ft 2inch wt. 65.", "output": "Hi, First, the patient with epilepsy can stop taking the medications after two-year normal EEG and there is no symptom during this period. If the EEG findings still occur, or you have the symptoms you cannot stop the medications. If you cannot tolerate the side effect s of the medications, you can ask your doctor about other methods such as vagus nerve stimulation, ketogenic diet and a surgical operation. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was diagnosed with an enlarged heart this year. I do take medication for stress and high blood pressure, and I suffer with Rhuemtoid arthrithis, and take medication for this also and IBS. At one time I was diagnosed with Lupus SLE and also type 2 diabetes.", "output": "Hi, I had gone through your question and understand your concerns. An enlarged heart, often referred to as cardiomegaly is commonly a result of high blood pressure or hypertension. Do not worry. I would suggest you to - Avoid oily, spicy food-Restrict salt intake to - Avoid smoking and alcohol-Avoid sweets- I would start Tablet Colo spa (Mebeverine) for the irritable bowel syn Chat Doctor. - I would also start tablet Pantoprazole and tablet Risperidone. Your doctor can guide on the exact dosage.- Continue the medication for diabetes.- Get your blood glucose, HBA1C done.- Also get your blood pressure checked regularly. I would also suggest you to visit a physician. He/she can examine you and correlate clinically. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i sprained my ankle 5 weeks ago. I try to stay off it and my job is a sitting one. I also wear a wrap to secure the ankle and help with the swelling. I originally had an xray that showed no break and I iced it and kept off the foot for a week. However, the ankle swells quite a bit each day and if I stand too long or walk to much, the swelling increases and the leg hurts. I ve also noticed a little bit of tingling in the top of the foot, along with a little pain above the heal and quite a bit of tightness from the heel to the calf. Another item I ve notice is that the leg seems to be cold to the touch. Is this normal for a sprain? I did not have an MRI but I have called by family doctor to look again at the xrays. I m not thinking that the sprain was more than a stretch of the legaments.", "output": "Hello, Thanks for writing to us, I have studied your case with diligence. As per your history and injury pattern there can be tear in ankle ligament leading to pain and swelling. Instability may increase due to laxity of ligament. I will advise doing MRI ankle for soft tissue involvement. Till time, you can continue use supportive splint or brace. Physiotherapy like ultrasound and TENS will help in early healing. Persistent pain after ankle injury is common and may take 6 months to heal. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor i have mvp in my heart my father dead early 50years his age by heartattack.i have thyroid also and high prolactin and i am taking medicines for thyroid 100mg daily and for prolactin cabgolin medicine twice a week.some times i feel my heart beat is slow and my left hand full paining i scared because of mvp is it possible for heatattack and my age is 37 doctor told no need for medicines for mvp(mitral valve prolapse)now can u pls help me in future can i take any precaution for this mvp problem.", "output": "Hello thanks for posting here.I have gone through your complaints. First when you say slow heart beat we need to confirm whether its really slow or u feel that way. For this you have to measure count your heart beats or pulse or alternatively take an EKG, when you have such symptoms. It can be counted by placing two fingers on the forearm just below the wrist on the side of the thumb. Count the pulse for at least 20 secs and multiply the figure by 3 (to get one minute reading). If this figure is above 55 then you need not worry. Since you have hypothyroidism, your heart beats can be slow when you are on medications. You can do a thyroid function test to check your thyroid levels and to ascertain whether the doses you are taking are proper. Regarding MVP, usually teams no treatment unless there are other complication associated with it. MVP can cause leak from the valves - which needs no treatment if mild. If valve leak is moderate or severe, then you should be put on diuretics. This leak can be ascertained by a 2 D echo. However most patients of MVP I have seen have non-significant or no leaks and require no treatment. Also, it does not put you at the risk of heart disease. Your site pulse maybe due to thyroid issues. don't worry even if complications raise, everything can be treated with medications and you won't require any surgery. Regarsing precautions which you asked, there are no specific precautions, but you must be regular with your follow-ups and 2 D echo must be done every year. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good Day.A friend of my was diagnose with terminal cancer. The doctor said the cancer spread very quick. It is being tetected in the left side of the brain and behind the left eye. It is also in her lungs and back. Can it be cured or stopped and how long will she live. Thanks", "output": "Very sorry to hear about your friends' illness. You have not mentioned the site and type of primary cancer which has now spread (metastasized) to other parts of the body. It is stage 4 disease. Stage 4 cancer is generally not curable (other than in few cases like lymphoma) with dismal prognosis and limited survival. The intent of treatment is palliative that is to improve quality of life and provide symptomatic relief. Palliative treatment measures include radiation therapy, palliative chemotherapy or palliative surgical procedures (if required). I would be better able to comment on the expected survival if I know the type of primary cancer, the existing performance status of the patient and the treatment being received by the patient. I hope it helps. Furthermore, I would be happy to answer any further query, if any." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Im 28 years old last night for the first time after eating my dinner I went sit at my computer desk and after a Lil while I started to feel really hot and my hands and feet started to sweat and also I couldnt breath easy and my eyes was trembling and I felt like I was going to faint I went and check my BP and I had 156/96 with I think pulse 100 and it last for a long minute I had to laydown take long deep breath in and out.. Took an anxiety pill to calm me down to see if could help bring the pressure down and after hours everything went back to normal.. I forgot to say that I been having headaches for the past 3days and I thought was sinus or just normal headaches .. Should I go to the ER ? Or is it Normal ? Never had no BP problem in my whole life.. This morning I checked I have 119/80 pulse 93 still Lil headache n dizziness but ok...? Should I take water pills? I dont eat junks, I quit smoking 5 years ago, I dont drink my life pretty healthy.. Just lack of sleep and maybe alot stress (financial problems) and families problems ) I would like to have an answer.. Thank you", "output": "Thanks for your question on Chat Doctor. I can understand your concern. No need to urgently visit emergency room because possibility of stress related symptoms is more. At your age of 28 years, heart diseases are less likely. You are having financial stress, and you are improved with antianxiety pill, so possibility of stress and anxiety related symptoms is more. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Along with " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i m having current in my right side of chest which goes up to my mid. fingure of right arm .there is no tikling no numbness and it happens occationaly but is bad please help? i m 28 years old..hight is 56 ft and weight is 59kg.i suffer from high prolactine levels but proper medication has been started..cabgoline.5mg", "output": "Current sensation usually occurs due to some nerves' problem. Do u have any neck pain, trauma to NEC, diabetes etc we need to run some test like x-ray cervical spine app and lateral view to look for cervical problems. I would have run some test if These are negative to detect the cause. I would have tried tab pregame 75 mg at bedtime have to my patient in a clinic after ruling out risk factors and seeing side effects." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "BEFORE MY MOTHER DIED. WE TOOK HER TO ER FOR LEFT LEG PAIN WHICH HAD BOTHERED HER FOR A WEEK. THINKING IT WAS JUST A CRAMP. I MASSAGED HER LEG AT ALL HOURS. AFTER TALKING WITH FAMILY DOCTOR. HE TOLD US TO TAKE HER TO ER. AT ER THEY FOUND THAT HER BLOOD COUNT WAS LOW 5 AND THAT HER PLATELETT LEVELS WERE CRITICALLY LOW ALSO. SO THE HOSPITAL ADMITTED HER. A FEW DAYS LATER I WAS CALLED TO THE HOSPITAL. THE HOSPITAL STAFF HAD GIVEN MY MOTHER TOO MUCH FLUIDS IN HER IV AND SHE WAS COMPLETELY SWOLLEN AND STRUGGLING TO BREATH. THEY SAID SHE HAD ASPIRATED PNEUMONIA. EVEN HER EYES HAD A FILM ACROSS IT FROM THE SWELLING. SHE WAS NOW ON OXYGEN, DIURETICS AND ANTIBIOTICS. PRIOR TO ENTERING HOSPITAL. MY MOTHER COULD TALK, LAUGH, SIT UP, SING, MOVE HER ARMS AND LEGS AND WAS TOTALLY AWARE. AFTER THE ASPIRATED PNEUMONIA, SHE NO LONGER COULD DO THESE THINGS. SHE WENT DOWN HILL FROM THERE. THEY TRIED BLOOD AND PLATELETT TRANSFUSIONS NUMEROUS TIMES AND SUBJECTED HER TO NUMEROUS SCANS. AT ONE POINT KNOWING OF HER RADIATION TREATMENT PASS. I ASKED DOCTOR IF SHE HAD LEUKEMIA. HE SAID NO. ABOUT ALMOST A MONTH IN THE HOSPITAL, THEY COULD NOT LOCATE PROBLEM, WOULD NOT TRANSFER HER, WOULD NOT CALL IN OTHER DOCTORS, TOLD ME, IT DOES NOT MATTER IF SHE HAD 5 MILLION DOLLARS WE STILL WOULD NOT DO THESE THINGS. THEY SENT HER HOME AFTER NOT BEING ABLE TO LOCATE PROBLEM. SHE WAS SENT HOME IN HOSPICE. WITH INSTRUCTIONS, NOT TO PROLONG LIFE AND NOT TO FEED HER. I WAS NOT TOLD THIS TILL RIGHT BEFORE SHE DIED. BY THEN IT WAS TOO LATE. SHE DIED 4 DAYS AFTER COMING HOME. THE DAY BEFORE SHE DIED, I FAILED TO RECOGNIZE THE SYMPTOMS OF DEHYDRATION. THE DOCTOR DID NOT ORDER A CHECK TO SEE IF THERE WAS BLOOD IN MY MOTHERS STOOL, EVEN THO SHE WAS APPARENTLY BLEEDING INTERNALLY FOR 3 WEEKS. THE DOCTORS WITH NO ANSWER SAID THAT ALL SYMPTOMS POINTED TO LEUKEMIA. THE SAME ILLNESS THE DOCTOR HAD SAID MY MOTHER DID NOT HAVE 2 WEEKS EARLIER. IN FACT WAS DEFINATELY SURE SHE DID NOT HAVE. HE REFUSED TO DO PROCEDURES ON MY MOTHER BECAUSE SHE IN HIS WORDS WAS THAT SHE WAS TOO OLD AT THE TIME 76 YRS AND THAT HER LOW PLATELETT COUNT MADE ANY INVASIVE PROCEDURES DANGEROUS.NEVEN THO IN CHECKING I HD FOUND SURGERY ON A PATIENT AS OLD AS 84 AND THE PATIENT IS OKAY NOW. I AM LEFT WITH SO MANY QUESTIONS. I NO LONGER TRUST THE DOCTORS OR THE HOSPITAL. I AM LEFT WITHOUT A MOTHER AND MANY UNANSWERED QUESTIONS. ( that is okay, no need to answer question. don`t have credit card ) $15.00 is a cheap price for advice from a doctor, but it does not matter. my mother will still be dead, no matter what you say. the question was for me, because I was not sure I did everything possible. I have been depressed and am contemplating punishing myself by killing myself. I failed to protect my mother. therefore I need to be punish. I just needed to know, if I did everything possible. sorry to have bothered you. )", "output": "Hello and thanks for your writing in. I understand that this must be a very difficult time for you. I know it can be very frustrating to come to terms with the fact that your mother passed away despite being admitted in a hospital for a month, a bit unfortunately did not receive proper medical attention and care. I completely agree with you that old age is not a reason to deny a proper evaluation and the necessary treatment. It is not right to brush aside genuine concerns of patients or their relatives, especially when the patient is very sick. But I would advise you not to blame yourself for this because, as I can see, you have done your best. There's nothing more you could have really done. It was just very unfortunate that everything turned out this way. So, please stop feeling guilty and try to put behind this harrowing experience and try to move on. If you are feeling very depressed or suicidal, then I would advise you to seek professional help." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im 23 years old and only have one functioning kidney (on my right). Due to scarred tissue my left kidney does not work. I have pain in my left side when I urinate, but my specialist has said this is normal. However, it has become more frequent in the last few weeks and today I have pain in my left side when I sneeze, cough, or touch it. Please advise. Thanks.", "output": "Hi and welcome to Chat Doctor. As a Urologist, I can understand your anxiety.First, if your left kidney is non-functioning, you cant feel any pain in it. If the left kidney is non-functional, then it should be removed. The non-functioning kidney can get infected and affect the right one. So consult your Urologist, and follow the guidelines given above. Thatll relieve your symptoms and give you relief. If you've any doubts, send your doubts as a direct question to me. Chat Doctor. Manga." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am brushing my teeth with sensodyne whitening toothpaste{ with potassium nitrate ans sodium flouride as the min ingredients and my 8 month old swallowed a bit of it... now she has a husky voice and it gets worse everyday... will she be okay.? she is cranky the whole day after that and lasts for 2 days... her voice is not back yet.? am i killing my baby.?", "output": "Hello there, Thank you for posting your query with Chat Doctor, first, I would like you to see a pediatric/general dentist who can show you the amount of toothpaste we should use for kids under 3 years of age as they cannot spit into the sink while tooth brushing.Toothpastes contain fluoride in them which can cause upset stomach if swallowed in large amounts, also it may affect the tooth formation in babies, rarely though, but we just have to make sure we are not overdosing them with fluoride. A size of a grain rice is the amount of toothpaste which we as dentist recommend on the toothbrush for babies teeth. If you have any further questions, feel free to post them here. I hope I answered your query, thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Last two nights my child woke up with quivering bottom lip, mouth full of saliva,unable to speak and in a trancelike state for several minutes until he becomes aware of his surroundings. He tries to speak but cannot and after several moments when he can it is garbled sounding. His lip quivering is not controllable and he spits out large amounts of saliva. Both times these episodes lasted 20 mins until normalcy returns. This May or may not be related but he often makes a clicking noise while he is sleeping.", "output": "Kindly mention age of your child. Is he attending school?These episodes are recent - speak with him if he has some bad Chat Doctor. Reassure him. Child may not open up in one go. Spend some time with him to find what is happening in his life. If he tells some things believe him and let him know that you truly believe him. Clicking noises made are quite possibly due to the same reason, or you may even check for worm infestation. Keep a close watch on him and his surroundings. If any the symptom arises consult a local doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, for about 2 months, i have been having rashes similar to mosquito bites on some particular part of my body, mainly the upper arn, back on my thigh, back, buttocks and sometimes in my lower legs. This seems to happens especially at night and very rarely during the day.The worst part is the constant itch. Initially, I thought they were allergies and took some zyrtec. This seemed to calm the itch and rashes initially. But lately, the effect of zyrtec seems negligible. I had the same problem a couple of year ago but it subsided in around 1 month (in autumn)I have been through many website and read about scabbies and other potential dermatological disorders but the systems seems to be different from what others have been describing and different from the pictures. please help.34 yr old male of indian origin living in South Africa", "output": "Hi thanks for writing here. You are having nighttime itching which is not relived by cetirizine, it may suggest scabies, but it has to be confirmed. Go through following points which will give you a clue for diagnosis. 1. See whether there is itching on your palms and soles because adult scabies never involves palms and soles.2.whether there is itching on your face, adult scabies will never involve face.3.see for lesions in genitals, in almost all cases scabies have genital involvement.4.ask other family members or household members for history of itching. From these clues you can find out whether it is scabies or not. If you have scabies then you can apply permite5% cream to whole body starting below the neck, apply entire cream in a single application, and continue with tab.Atari 10 mg at night. If you think it is not scabies then it might be allergic rash, in that case you can continue with tab.Allegra 180 mg at day, and tab.Zyrtec at night. If still no improvement then it will be better you consult a dermatologist." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I ve been diagnosed with a couple things such as anxiety, depression, and sleep disorder. I ve noticed a lot lately that I m having a hard time telling weather or not I m dreaming. How often it happens is increasing. What is it? What do you suggest I do?", "output": "Hi. I had gone through your query. Sleep disturbance or insomnia is common in depression. It is one of the main symptoms along with mood variability. Depression can be treated witChatDoctorbination of medicines that improve depression, anxiety and insomnia. Medicines like Escitalopram/sertraline and paroxetine can help in depression. Benzodiazapine group like Mizoram/lorazepam/clonazepam etc. will help in anxiety and insomnia. But do take advise from psychiatrist before taking any medicines. Detail psychological work up will give better treatment. So consult and get help. I hope I have answered your query. Feel free to ask. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My two year old daughter and I were recently hospitalized with bacterial pneumonia. We also both had low levels of potassium. Mine was low enough that they gave me potassium thru IV. Is this common (low potassium) when sick with pneumonia, or should I follow-up to see if we, under healthy conditions, have low potassium and try to find cause. Thanks!", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Yes, pneumonia can cause low potassium level. Pneumonia actually cause septicemia (blood stream infection). And this can affect kidneys to excrete more potassium. So pneumonia can cause hypokalemia (low potassium). And yes, you should check potassium level during your healthy time. And if this is also lower than consult nephrologist to rule out kidney problems. As kidney diseases are common cause for hypokalemia. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i am 30 years old married woman with 165 height,69KG weight,married before 6 month but not to be pregnant,menstruation is regular 30 day cycle.i consult a gynaecologist and she gave me foli next tablet and waiting for my next month period,if period continues she adviced me to check tube block", "output": "Relax.every person is different.sometimes only treatment is to relax, wait and try correctly. Try to love with your husband from d14- 18 days of your period. You can wait for another 6 months before getting investigated. If you are in hurry than go for tubal patency test and if tubes are patent go for ovulation induction. Get your Husband seminal analysis report also before jumping Run to tubal patency test.thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Every year, I get an annoying cough that can last anywhere from a few weeks to a few months. I waited it out the first few times before going to a doctor who told me it was a postnasal drip. I took the nasal spray he prescribed me and it disappeared after another week. This year, though, I picked up some new symptoms and a new doctor who gave me 3 different prescriptions that were supposed to get rid of the cough. It s been a week of taking prescription allergy pills, using an inhaler, and using the usual nasal spray... I m still coughing and it hasn t even decreased in frequency. The symptoms are: A constant cough lasting a month (wet cough in morning, dry cough throughout the day), no pain other than the soreness from constant coughing, yellow bumps in back of throat, overall yellow tint in throat, and dark red veins in throat. Please help me figure this out! I m so exhausted", "output": "Dear Friend. Welcome to Chat Doctor. Hi, I am Chat Doctor, I have read your query in detail, I understand your concern. Following are the possibilities:1. Allergic Bronchitis.2. Bronchial Asthma. I would advise you to get investigated, before we discuss the treatment, since you have already taken a lot of medications. Get following:1. X-ray Chest2. Pulmonary Function Test3. Hologram with Review with the reports. This is my personal opinion based on details available here. If you still have any other query, you may please ask me. Stay Healthy. Chat Doctor, MD" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am a 26 year old female and i have a throbbing pain in my upper abdomen..i went to the er today and they said i have bronchitis but i know theyre wrong...sometimes it comes every minute and sometimes it comes every hour...i have no appetite whatsoever but my stomach is swollen and i constantly feel full", "output": "Hi. You may be right. But in occasional cases there can be a referred pain from the lower lung / pleura. You have to undergo X-ray chest and X-ray of the abdomen in the standing position and ultrasonography to determine the cause. Get another opinion of another Doctor to get a clinical diagnosis. And a prescription for the treatment. This can be due to gall stone disease or intestinal obstruction as the pain you are suffering from is of the nature of spams." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. Around the end of August I ve been feeling pain in my lower back. This happens when I m laying on my stomach or sitting for about 2 minutes. The pain only stops when I lay on my back. I recently went to the doctor and he prescribed Cataflam. I ve been taking it for 2 weeks now and there is no change. What should I do?", "output": "Welcome to Chat Doctor. If not improved with first line treatment then go for certain investigations like CBC, fbs, ppbs,b12,calcium,d3,urine, thyroid profile. X-ray app/lat. Of lumber region is also required to find out the local cause. Take nsaid with muscle relaxant. B12,d3,folic acid, calcium,l-arginine and other supplements are advisable. Apply NSAID gel locally. Take intro muscular injection of NSAID to subside the severe episode of pain. Avoid any exercise. Be conscious about proper posture during sitting, sleeping,working. Physiotherapy is advisable. Consult orthopedic for proper guidance, diagnosis and medical management." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My friend was cleaning out their water cooler and let bleach soak in it. I didn t know and drank from it. I swallowed three or four gulps before I felt it. I m pregnant and I was terrified. I immediately puked. What risks did it have to my baby. Is there anything else I can do", "output": "Hello, thanks for choosing Chat Doctor for your query... I understand your concern. By knowing your history you swallowed very small amount and diluted bleach. So it is most likely you will not have to face any serious complications. Most probably your baby will be completely safe. But bleach is corrosive.it can injure food pipe(esophagus) and airway pipe(trachea). IT IS HIGHLY RECOMMEND TO MEET DOCTOR IN PERSON IMMEDIATELY. I hope this helps. Feel free to ask any further queries. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Been having pain in the back on the lower left side.radiates to the front lower abdomen. Also have been having some slight painful sensation followed by sensation of heat in vaginal area along with a feeling of pressure in the vagina. when bending down and pressing on the left abdomen with thighs firmly felt severe pain/sharp pain sensations on the front left lower abdomen too What could this be from?", "output": "Hi. Thanks for your query. Read the history and understood the problems. You have a pain on lower left back, radiating to the front lower abdomen, pain and heat sensation and pressure in the vaginal area, on bending down or pressing on the left abdomen. The post probable causes can be: Pelvic pathology - Ovarian cyst with or without torsion / Salpingitis, PID, Cystitis of urinary bladder, IBS / Enteritis of some nature. I would suggest you the following :Tests of blood, urine and stool. The best is to get the ultrasonography and then CT scan to confirm and plan for the treatment." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Yes, i have had problems with high blood calcium, fluctuating up and down over the years. Have had a parathyroid issue, had a small tumor removed, non cancerous. Read something on the internet that said you should not take calcium supplements if you have high blood calcium. Would like to know your input on this.", "output": "Hi, dear. I have gone through your question. I can understand your concern. Your calcium level is high and its due to parathyroid problems. You should not take any calcium supplements. Calcium supplements should be used only in low blood calcium level. So you should not take it. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have had diabetes for 46 years and here recently i take my regular dose of insulin but when i go to eat lunch my blood sugar is to high so i can t eat lunch i eat 2 cups of rice crispy and that s is i work hard and usually that brings my blood sugar down to low but now it doesn t matter how hard i work , my blood sugar stays up ????? i need help trying to figure this out because i m losing my mind !!!! Thank you for any help i can get , Steven C Weir- YYYY@YYYY", "output": "Hello Steven. I am Chat Doctor. I have read your message. I can help you. You need to understand that diabetes is not a static condition. It is an ongoing condition. The insulin need would rise gradually. Sooner or later, the dose of medicine being taken has to be modified. This occurs because the capacity of the pancreas to secrete its own insulin changes. As that happens, the lower insulin produced by the body needs to be supplemented by higher doses of insulin given externally. So you may need higher doses, and you can meet your dietician for modified doses of insulin. Alternatively, you can tell us the exact readings of sugars, and we may be able to suggest part of the modification. Best of luck, Feel free to ask another question." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I fell about three weeks ago and it hurts to sit which is to expect, but just recently noticed that the pain is coming from a lump or swollen something that is hard, next to my anus. It hurts to touch and iI have to sit just right. It is only on one side. What could this be.", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have hemorrhoids (piles). You should go for per rectal examination by general surgeon. Chat Doctor. Take high fiber diet. Avoid constipation. Local anesthetic gel like Xylocaine can be used for pain relief. If medical treatment does not help then surgery is the treatment of choice. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "SIr, my mother is about 50 years of age and she has been suffering from severe headache behind the left ear and severe neck pain since 25 days and seizures as well. She was fainted for 15 minutes and nerve cramps occurred. The CT SCAN of brain has shown CALCIFIED GRANULOMA IN left lobe. Please suggest the better diagnosis and treatment.", "output": "Dear Shankar, The calcified granuloma is the most probable cause for your mothers seizures. As far as the granuloma itself is concerned, it in all probability does not require an operation to be removed. The treatment is with anticonvulsant medication which are to be started. The headache is unlikely to be caused by the granuloma especially of it is a small calcified granuloma with no pressure effect on the surrounding brain. The neck pain is unrelated to this. Both will need a careful evaluation and management." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "As an athletic 57 year old, I play competitive tennis 4 days a week and I run 3 days a week about 3 miles. Within the last 3 days I ve had ear pain ( throbbing ) and lightheadness on and off during the day.. My doc cleared out the ear wax but it didn t help. It just pulsates with pressure. Today I played tennis and had shortness of breath by the end of the hour. Could this all be due to allergies to pollen? The pollen is high here in Dallas. I played tennis yesterday and was fine. I also took 2 Mucinex tablets before I went to play today. Could that cause a shortness of breath? No stuffy nose but headache pressure and ear pressure. Help, Becki", "output": "HI, thanks for using Chat Doctor The headache pressure and ear pressure may indicate that you have a sinus congestion (which can be caused by pollen) and possibly an ear infection. The use of anti histamines, decongestants and possibly medication for an ear infection, if present, may be needed. Mucinex is not known to cause shortness of breath. If this associated with chest pain, palpitations, then you may need to see your doctor. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 85 yr old mother is having severe neck/shoulder pain along with headache, shivering, and complained of being very cold. Could she be having a stroke?? We have been dealing without a lot of stress talking about a retirement center for Alzheimer s - so last few weeks she has been very stressed.", "output": "Hello, I have studied your case. Due to compression of cervical nerve root there can be pain in arm shoulder and head.Also, there can be large disc bulge which is compressing over spinal cord. For these symptoms analgesic and neurotrophic medication like gabapentin can be started consulting your doctor. Till time, avoid lifting weights. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give you relief. I will advise checking your it B12 and it D3 level. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 5 1/2 month old daughter has a whitehead pimple lookin mark on her left nipple. It is red, swollen, and feels like a lump is inside. It doesn t seem to bother her or cause her to run a fever, but it is warm around the area. What could this be and what should I do for her?", "output": "Hi... Thank you for consulting in Chat Doctor. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, My name is Batool. I got married in january 2014. I had been trying to concieve since six months. Then we went for fertility tests of my husband and mine too. My FSH, TH and Serum insulin reports were normal. In my husband s first semen report (gap of sexual intercourse was 5 days) the total sperm count was 8 million and the normal forms were 25% After two months we again went for my husband s semen analysis. this time the gap of sexual intercourse was 2-3 days, total sperm count was 1.9 million and normal forms were just 1%. I was very upset at that. before the second semen analysis my husban was taking Gonadil-F, but now he has stopped it. We thought that his sperm count was lower down due to the use of Gonadil-F. Please tell me why is there a huge difference between two semen analysis?", "output": "Hi, Thanks for writing in. Semen analysis results can vary with the amount of semen ejaculated and the time between masturbation and analysis. This can cause a lot of difference as mentioned by you. The normal values for semen analysis reappearance: normal Volume: > or =1.5 mL pH: > or =7.2 Motile/mL: > or =6.0 x million Sperm/mL: > or =15.0 x million Motility: > or =40% Grade: > or =2.5 Motile/ejaculate: > or =9.0 millionViscosity: > or =3.0Agglutination: > or =3.0Supravital: > or =58% liveFructose: positive" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 27 yrs old with kidney pain. I have had blood in my urine and kidney infections for 3 months now. I have been on two different antiobotics and I drink 64 ounces of water a day. No caffine. I also have a history of reflux, and kidney stones. I had an IVP and CT done and it shows a stone in my left kidney. I also notice white particles in urine and 2 days ago and today I noticed tiney black specs a little larger than the size of a grain of sand. Been to 2 drs and they want to run more and more tests. My next appt isnt until a month away and I have pain in my kidneys and back.", "output": "Good Day, and thank you for being with Chat Doctor ! I believe you may be passing out some kidney stones (small fragment) thereby causing pain on the flank area and sometimes in the abdomen at the lower qua Chat Doctor. You may need to do an urinalysis to check for blood and to rule out UTI. A ct SONOGRAM would be the best imaging choice for you since it can detect 90% of stones in the urinary tract. If the stones are small then you may be able to pass it out spontaneously with just fluid HY" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I want your help and valuable suggestion for my father s treatment to make decision about treatment by plasmapheresis . Case History: On 26th Dec my father hospitalized after 2-3 vomiting , fever and motion at my native (Madhya Pradesh) in CHL-Medical center ( Hospital affiliated to CHL- Apollo Hospital Indore, MP). upto 4 days in hospital he was conscious & moving his left leg and hand on command. presently he is unconscious and only eyes are open. As per Doctor diagnosis for Acute Disseminated Encephalomyelitis (IVMP & IVIG ) as well as antibiotic treatment is on. I want to know about possibility of treatment through Plasmapheresis and approximately cost of the treatment.", "output": "Hello and welcome to Chat Doctor .ADAM is a desalinating disease of central nervous system characterized by abrupt onset of neurological system preceded by infection. The goal of treatment in ADAM is to arrest the CNS inflammation as soon as possible. High dose corticosteroid are the first line of treatment, however plasmapheresis and iv immunoglobulin are used in cases where there is contraindication or resistance to steroid or in cases of treatment failure." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "A close friend of mine is in hospital following surgery for a type 1 aortic dissection. he was transferred from intensive care after 9 days to the cardiology ward where hes been for a week. He is now suffering from a regression in mental capabilities. Unable to speak properly or understand what is happening to him. Is this normal post operative?", "output": "Hi There After going through your query I understand your concern. I would like to tell you that a wide range of behavioral symptoms may occur following surgery, including depression, hallucinations, true psychosis, mania, and impulsivity. It can be called as ICU Psychosis that is a temporary condition and can be treated. Kindly consult with treating doctor regarding this. Hope to have been Helpful. Kind Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hy i am darmesh suffering from copd , my problem is regular cough , fatige and breathing conjetion. i am enable to work since last 6 months and have symtoms since last 12 years when i was 28 years old , i started smoking at early age at 14 year , i left smoking 5 year back but no improvmentplease advise", "output": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, you are having uncontrolled COPD. COPD needs multidisciplinary approach. First get done PFT (Pulmonary Function Test).PFT will tell you about severity of the disease and treatment is based on severity only. You will need long acting inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone). Enroll in Pulmonary rehabilitation center where chest physiotherapy and deep breathing exercises are done. Vaccinate yourself with pneumococcal and influenza vaccines to prevent recurrent respiratory tract infection. So consult pulmonologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello. Thank you. A new neighbor, very nice Vietnam vet. Looks like walking dead. Not one sign of meat or fat. Bones on face all protrude. Bones under butt checks are all there is. He informed me today he has hepatitis B. I dont know about B, but its contagious! This man goes to V. A. Hospital. He goes also, EVERY OTHER DAY, to attempt to give blood for tests. They poke him over and over but get NO BLOOD. They DO NOT KNOW WHY HES DYING, HELP. Sincerely Erin", "output": "Hi;It looks like your neighbor has a serious malnutrition along with an uncontrolled chronic infection (hepatitis B) for a long time. He must be thoroughly evaluated for active hepatitis B infection and its long-term complications (liver damage, malignancies, concomitant hepatitis C or sexually transmitted diseases etc.). If patient is rapidly deteriorating, parenteral nutrition and examinations must be performed after hospitalization. You must also be cautious for physical contact with his body fluids while visiting him due to possible active hepatitis B infection (and other possible viral infections). If he is unable to take care of himself, or he has no relatives, you must call and inform social services. Hope your neighbor recover soon. Hasan Multi, MD" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HelloI have had a cough for 2-almost 3 weeks now.the phelgm is gone and i dont cough very often but when i do it hurts my heart.its not my lungs, its specifically the area where my heart should be.im worried it might be infected chest/lung, but if its just bruising from coughing too much then how do i get better?thank you.", "output": "Thanks for asking your question I completely understand your question yes it can be chest infection or a lower resp tract infection earlier cough was productive with yellow sputum then it was infective it is now associated with chest pain u need to get a chest X-ray and rule out any disease like pleural effusion, tb, other resp tract infection you need to consult a pulmonologist for accurately diagnose your situation after some simple investigations thanks/ regards feel free to ask more questions may god bless you with good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am 31 years old now, I have a son who is 4 years and he is diagnosed to be asthmatic. I am asthmatic since 20 years. If I have second child, will that also be asthmatic ?", "output": "Dear Patient, I totally understand your concern. As far as Asthma is concerned, its mode of inheritance is polygenetic, that means, more than one gene is responsible for inheritance of asthma from parents to child Chat Doctor. This certainly puts the child in a higher risk group for asthma. But this DOESN OT mean the child will be asthmatic for sure. The genes for asthma are mostly triggered by environmental factors, (like smoke, dust, pollen, cold air, strenuous exercise etc.) and protection of child" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my symptoms are (as diagnosed by my doctor) degenerative arthritis, sinusitis, forgetfulness, sleep apnea. steroids do not help, and inflamation does not happen. my doctor has all this in my records, i am wondering if they have overlooked a link between all of it. always being tested, but no diagnosis for cause. i am in constant pain i all my joints, and have muscle spasms. i weight train 1 to 2 times a week trying to keep blood flowing, but it takes alot of those nitric oxide pills to motivate me. i will answer any question. i used to be an athlete, now i am on temporary disability and about to lose my welding job. insurance is about to run out and i have no diagnosis.", "output": "Hello, Your symptoms could be related to arthritis and depression caused by chronic disease. The forgetfulness could be related to depression or the sleep apnea. Coming to this point, I would recommend using a CPAP device during sleeping if the diagnosis of sleep apnea is confirmed by polysomnogram. If this does not help improve your forgetfulness, I would recommend starting an antidepressant like amitriptyline or duloxetine, which can help improve your mental situation and also against the pain. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello I have had pain on and off high up in my abdomen left side especially if I curl up in chair or sitting. Feel queasy with it. Its a dull pain but I have to undo anything around my waist to ease it. It can give me back pain. If I press on area I cant find the exact pain area seems deeper inside. Im 70 yrs old female and have had the achy pain for over 30 yrs! Its just more constant now. I do suffer relux but dont feel this is connected . Feels worse after eating.Thanking you Joan", "output": "HelloThanks for writing to ChatDoctorYou need proper clinical examination and investigations. There may be various reasons for pain. You need investigations like routine hologram, RBS,LFT, Lipid profile, urine RE/ME, Ultrasound of abdomen, upper GI endoscopy, CT Scan can be done if needed. Investigations will exclude many conditions. Better you consult your surgeon. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am having severe pain in my right leg from hip to calf...Keeps me up at night. Have seen an orthopedic doctor 3 times with no improvement. Had cortisone shot in right hip, put on motrin, and muscle relaxers. Not a real big pill person. then say it MAY be bursitis but I have mentioned 3 times that I have lumps on my thigh that is sore to the touch as well a few on my side of my right leg and they never bothered to even look at them let alone touch them, My concern is that I fear a blood clot somewhere. Any advice", "output": "Hello, The location and movement of a pain give clues as to what is going on. And It's usually pretty obvious if it is the joint or the muscle or the butt or the hip joint. There can be irritation of the sciatic nerve with nerve type pain the goes from the back down the buttock and down the back of the leg. There can be muscle tone changes and this is the most common cause of nocturnal leg pain. Sometimes potassium and/or magnesium supplements may help but muscle relaxants or Parkinson's disease Chat Doctor. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "How long before I can exercise after an open cholecystectomy? I had my surgery last June 5, 2010. I am now trying to jog but can I already lift weights or what kind of exercise can I do since I do not want to gain weight since I lost weight after the surgery.", "output": "Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. We recommend rest for 3 weeks and then low intensity sport can be started for next 2 weeks. After 4.-5 weeks you can do all exercises as before unless there are complications. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been diagnosed with non Hodgkin s lymphoma, low grade b cell. I have been treated with mabthera x4 infusions. I have one abdominal lymphoma, diagnosed by a scan. what do you think my prognosis would be. I had an extremely low haemoglobin count, but now it is the best its been. I feel healthy.", "output": "Thanks for your question on Chat Doctor. Usual five year survival for early non Hodgkin s lymphoma is 70-80% if regular follow-ups and chemotherapy is taken. Life expectancy with standard treatment is more than 5 years. So if you are following regular health check-ups and chemotherapy regimen than life expectancy and prognosis is good. So vigorously follow your chemotherapy schedules and health check-ups for better prognosis." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Sir My wife is pregnant for 4 months now and her hepatitis b is in active state. the test done day before yesterday counted 250, but the normal figure i suppose should be 0.05. Can you please tell me the seriousness and if it is curable and won t harm the baby? If yes, also please suggest some hospital (Govt.) where I shall take her and get treated. I am not in a position to go to a private nursing home as my financial position is not good. Please advice.Thanks & Regards Raman", "output": "Hello and welcome to Chat Doctor, Mr. Reimann am I assuming your wife is in infective state because all the necessary blood reports have not been uploaded. Infective hepatitis is treatable, but there is a risk of transmission to the newborn. Please consult your local physician and gynecologist to determine the treatment for your wife. If your wife remains infective till delivery the baby may require a hepatitis B vaccine as well as an immunoglobulin injection. I would suggest a hepatitis B screening for you too. Please get back if you have any more questions." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Fell hard on my knees. Left knee didn t hurt much at first, but pain is getting worse. Knee to ankle is slightly swollen, and I get a painful burning feeling around my shin. Pain is worse when I first stand up. Pain also gets bad if I stand on leg too long.", "output": "Hello, As you had a fall directly over the knee, there might be inflammation in the knee joint due to ligament sprain. You should immobilize the knee and use hot water fermentation, keep it elevated over a pillow while in a lying position. This procedure will help to reduce the pain as well as the swelling. In case if you are not diabetic then you can even use ice for reducing pain. Only people who don't have diabetes we advise icing or else only hot water to avoid complications. Pain will be present and so does the swelling, due to the impact to the joint there will be a soft tissue Inflammation. In case by doing the above mention procedure the pain & swelling don't come down then you should take an MRI or x-ray of the Injury to figure out if any fracture or which soft tissue is damaged. But if the pain & swelling comes down than doing static qua Chat Doctor. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had a hoarse voice for 3 months and a pain in my mid to upper back (feels like my lung) for almost the same length of time. The pain is now unbearable in my back and the last few days have experienced pains running down the tops of my arms. I am also starting to get the same lung pain on the left.", "output": "Thanks for your question on Chat Doctor. Hoarseness of voice with chest pain can be seen in many conditions, but the common causes are1. Lung malignancy2. Endobronchial tuberculosis3. Lung abscess4. Phoenix nerve palsy with recurrent laryngeal nerve palsy (vocal cord paralysis)So better to consult pulmonologist and get done1. Chest x ray2. CT thorax3. Bronchoscopic evaluation of vocal cords and trachea to rule out above-mentioned causes. Examination of vocal cords is very important in hoarseness of voice. Its movement, nodules on surface, ulcers etc. can be very informative to reach the diagnosis. So consult pulmonologist and discuss all these." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Do you know any doctors who are familiar with the peho syndrome. My boyfriends daughter of 5yrs has peho but becuase it s such a rare desease there isn t much information on it. I m curious to know if we have a child that our child might be born with this syndrome as well.", "output": "Hi...coming to your query directly - PESO syndrome might have an - Autosomal recessive inheritance. For you to be clear I will explain what an autosomal recessive inheritance is - a characteristic or condition that appears only in individuals who have received two copies of an altered gene, once copy from each parent. People with two copies of the altered gene are called homo zygotes. Their parents, each with a single copy of the altered gene, appear normal and are called heterozygotes or carriers of the altered gene. A person with an autosomal recessive condition must have inherited one gene alteration from each parent. In autosomal recessive inheritance, people with one copy of the gene alteration do not have the condition. They are said to be carriers for the autosomal recessive condition. So if you do not have that gene mutation in you - then it is unlikely that the kid born to you and your boyfriend will get this PESO syn Chat Doctor. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I think I might have skisafrenia but I don t know. I ve looked up some signs and causes of it. I related to the fact if having an alternate perspective on life but the line isn t as blurred between that and reality as it seems it would be if I have skisafrenia. In my alternate life it s like a different world where everything goes as I say and think. I play the role as a big some what hero. Aside from my alternate world I sometimes start acting like I m on a talk show as if I m famous or something but it takes me a minute to realize it. I saw one if the cause of skisafrenia being early separation of parents and stressful environments. My parents split when I was 2. Then my mom got a boyfriend a few months later and stayed with him till last Oct. He was a very mean drunk he never hurt me in anyway but it was still scary to be near him. It was very stressful living with him. I m only 13 and I m a bit scared that I might have skisafrenia. I ve also been told by my dad I have a bit of OCD to where I can live with a mess but certain things of mine must be straight but it s not always bothering me. And something s must be aligned the same way. Any answers?", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. Please understand that schizophrenia is a mental disease. For a layman who reads the symptoms of schizophrenia, he may think that he has those symptoms, In actuality those symptoms could just be normal disappointment symptoms. Moreover, from the given details it is very difficult to diagnose your problem. Please do consult a psychologist for proper diagnosis. Self diagnosis can create anxiety. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a hx of herniated disc L5-S1 and got 2 epidurals 3 yrs ago. Last week I ad such a bad dry cough and accidentally squat on the floor. I had a lot of pain trying to get up and since then Ive been having low back pain left gluteal and leg pain going down to the calf. Does this mean I have triggered the herniated disc when I had the accident?", "output": "Hello and thanks for using Chat Doctor. I have read your question and understand your concerns. I think you are right, you probably worsened your condition (herniated disc disease). This because after excessive coughing there is a significant increase in intestinal pressure. In my opinion, a lumbar spine MRI is necessary to get a correct understanding of your condition. Hope you found the answer helpful. Kind regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im a 27 year old female, and Im having issues with my right lower jaw, and the right side of my neck. Im pretty sure its my right lower wisdom tooth thats causing my jaw pain, but, Im not so sure about the neck and throat pain. My neck/throat isnt too painful, just mildly uncomfortable when i swallow. When I turn my head to the left, thats when the pain hits. There is also a small lump on my esophagus/trachea. Im not really sure what its called so dont quote me on what it is :) But I can feel it when I swallow, feel it with my fingers, but, it cant be seen. I have a strong history of cancer in my family, and Im a smoker. Ive been noticing this pain and lump for about 2 months now. Ive had no cough, or fever, and only a mild sore throat where the lump is, only when I swallow.", "output": "Hi, Dear,Thanks for the query to Chat Doctor. I studied your query in depth. I feel concerned about it, as you have a family history. In my opinion, it's a case of -Gingival Peri-Coronitis with inflammation and Cervical-node lymphadenitis, cuased by the partially erupted impacted 3rd molar-with Trismus-the spasm of the neck muscles. The swelling on the trachea/oesophagus-felt is due to the lymphadenits of the regional nodes which Chat Doctor. Treatment-REmedy-a-I would have treated it-with Tb-NSAIDs-, and Antibiotics, with good oral /throat gargles with Listerine-. Once the infection and peri-coronitis reduced-then, X-ray of the 3rd rt molar with biopsy of the gingival tissue-to rule out any cancerous growth simultaneously needs to be ruled-which is the remote possibility almost to nil. Hope this would relieve your worry and pains. But for this I would advise you to take-Dental Surgeons opinion ideally. Thanking once again. Have a good day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Gamma gt results and date; 294 in Nov 2014, 150 in Feb 2015, 174 in April 2015, 132 in May 2015, 157 in July 2015, other factors are okay as at July 2015 including those that were not okay before. Biopsy result confirmed that i have mild fatty liver. Pls with info on what to do on the fluctuation of gamma gt, Im worry?", "output": "Hi thanks for contacting Chat Doctor.GGT present in intrahepatic biliary calculi. So by fatty liver it can affect hepatocytes and so GGT level can high... Do following steps for treating fatty liver. Low fat diet. Use very less oil in cooking and sunflower like good oil taken. Regular exercise. Avoid alcohol. Fruits taken more.like berries, grapes, papaya etc... Green leafy salad more. Take Ad\u00edlio tablet 150 mg in morning. Within few months you will recover. You can discuss all these to your doc which is helpful... Chat Doctor. Part" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a fresh graduate from college. after I graduated I searched job and finally I found it. but the medical results of Xray is that I have a minimal PTB. Is this serious? Can I cope from this disease? Can I still have a chance to work? thank you for asap reply. I am 20 yrs old, 54, 110lbs, I dont have any medical history. My only sick is fever or flu.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Since you are not having any symptoms like cough, fever, weight loss, no need to worry about active TB infection at present. Your minimal PTB on chest x-ray can be due to previous lung insult like infection or trauma. This is not serious condition, but many authorities fail their employees in fitness and don't give job. So to avoid this mess, better to consult pulmonologist and get done CT thorax and bronchoscopy with BAD (bronchoalveolar lavage). If both these are normal then no need to worry about tuberculosis and so you can argue with your authority about your job. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my hunsband vomited blood last year august and even has blood in his stool.Doctors says its anul vissure.Ive notiecd lately that he passes a lot of wind in his sleep.He also has hiccups contantly and a lot of abdominal pain.Alos his letf leg is staring to swel", "output": "This combination of symptoms is concerning as it could be due to serious abdominal problems. He could have digestive problems or even cancer in his stomach or colon, especially with the blood. Hiccups could result from irritation in the digestive tract. He might be having problems with his liver such as cirrhosis. The leg swelling can be from cirrhosis or blood clots. Blood clots can occur by themselves or in combination with cancer. If he were my patient, I would want to see him immediately and start testing for these possibilities. Hope this answers your query. If you have more questions, I would be happy to answer them." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctorI am 27 year old, and recently noticed an extra growth on my anal there was a small one before a bit inside and recently there is a slightly big one on the out side, it does not pain or itches its like a piece of extra meat and I am really worried on what should I do, I have been riding bike a lot for the last one month and my butt did pain a lot as my seat was not comfortable plus I had bad acidity in which iy pained once when I passed gas.. Please let me know on what is it.. Plz", "output": "Hello, Welcome to Chat Doctor, There are conditions which can leads to these problems, it can be concluded only after the through physical examination.Some conditions like External Hemorrhoids, skin tag, anal wart and sweat gland enlargement can present with these symptoms. So you require physical examination to confirm our diagnosis. As you are not indulged in any of the unnatural sexual practices you may not be having anal wart, but other conditions should be ruled out. If it is a external hemorrhoid, the stage of the hemorrhoids should be determined and treated appropriately. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Have a hx of sinus tach n take Lopressor to control. Had flu 3 weeks ago, then secondary infection, still having aches n low grade fever yesterday. Took Tamiflu, then Levaquin and Prednisone for a week. Went back to dr. today n told it was bronchitis. Having inspiratory wheeze, bronchospasm, and resting HR of 131. Dr. Gave me Biaxin p.o., Rocephin IM, Decadron IM, Albuterol, and on 2nd round of Prednisone. I can feel left side of chest with the tachycardia. Could this secondary infection have affected my heart?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. You are mostly having post infectious bronchitis. It is common after viral upper respiratory tract infection (flu). And bronchitis can cause chest tightness, chest pressure and tachycardia. So your current heart symptoms are mostly due to post flu bronchitis. And for this you need to treat bronchitis. So consult pulmonologist and get done clinical examination of respiratory system, PUT (Pulmonary Function Test). PFT will tell you about severity of the disease and treatment of bronchitis is based on severity only. You need inhaled bronchodilators and inhaled corticosteroid (ICS). Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir i have urine problem last 3years ..It is not fully stoping after one hour it will come ...what do i do..plz sir suggest me", "output": "Hi, Nitu, thanks for query. What I understand is that you are having increase frequency of urine, and you need to every hour. From name, I expect you to be a female. In females the commonest cause of this urine infection. The best thing you need to do it, get urine examination, ultrasound of pelvis done after consulting your doctor. After that if the infection comes you need to take a course of antibiotics. Please repeat the test after you complete the course. Chat Doctor. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a teenager and lately I have been experiencing pains in the center of my chest. At first it was discomforting and shortened my breath a little but the last time it increased and made my chest very tight and made me unable to hardly breathe. I laid down and the pain settled although I was unable to get up because the pain was so bad. Lately I have taken up some exercising. Could that have a reason to why this is happening?", "output": "Thanks for your question on Chat Doctor. In my opinion it is musculoskeletal pain only. As it was aggravated by exercise. But as a rule in chest pain, we have to rule out cardiac causes first. So better to get done ECG for cardiac causes. If it is normal than it is mostly musculoskeletal pain. So try to avoid strenuous exercise, avoid heavy weight lifting and take good muscle relaxant and painkillers. Stress and anxiety can also cause these symptoms. So better to avoid stress and anxiety and keep calm and be relaxed." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 47 y/o. I take potassium 2 times a day, and never any cramps or swelling. 15 minutes ago, I was sitting at my desk and my abdomen, back, along with my calf and thigh muscles cramped so bad, I became nauseated. I have never had such intense cramping or pain before, and now I am a little scared. It has subsided as of 3-4 minutes ago.", "output": "Hi, You may have too much potassium, and taking potassium and/or magnesium will make your cramps worse (magnesium increases the retention of potassium). Sometimes, people on these medications have normal potassium, but still are getting unexplained cramps, even after supplementing with magnesium. In my experience of talking to Hun Chat Doctor. It's not clear how, but I suspect they are able to cause cramps. Also check for other possibilities like iron deficiency or panic attack or restless leg syn" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i took a cross check to the face about 2 months ago and ended up getting a whole right through my mouth requiring 10 outter and 6 inner stitches . to the right of the cut is what appears to be a large ball. I went to dermatologist today where he said he thinks it could be a keldoid scar excuse spelling but as i search the keldoid scars it appears to look nothing like them, just a fairly large ball type blister that wont go away. He injected cortizone this morning hoping to make it smaller.. Any ideas what this is?", "output": "HI, Welcome with your query to Chat Doctor. Based on the facts of your query, after its review, In my opinion you Your dermatologist in his diagnosis and cortisone injections treatment. What you see an active keloid lumpy red blisterlike lump and not a blister in real terms. Such blisterlike lumps are of active keloid growths of fibrous tissue, which could indicate FB of the stitched thread in it. You have to keep this second possibility of FB granuloma in external cheek scar in mind, at the red lump you have. In that case Surgical Excision after The USG lump study would fix FB in that lump and would fix your problem. Hope this reply resolves your worry with your queries. Will appreciate writing your feedback review comments, to help the needy patients like you at Chat Doctor. Good Day!! Chat Doctor. S. Genl-CVTS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My knees have ached since childhood-on and off. The doctors told me it was growing pains. I have had an x-ray and blood tests but nothing shows up. I am now 28 and still experience these pains and also in other joints. It seems to be more painful when I am on my period. Ibuprofen helps and paracetamol does not-so I assume there s inflammation. Weather conditions also can bring pain on.", "output": "Hello, I read carefully your query and understand your concern. Painful joints can be related to arthritis. I suggest checking the rheumatoid factor level for further evaluation. Meanwhile, I suggest to use anti-inflammatory medications such as Acetaminophen to relieve the inflammation. Cold compresses can also be helpful. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards! Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "So I just got diagnosed with a UTI and Im on antibiotics for it.... but now I have very very itchy labia lips and even right inside my vagina... my mom suggested a yeast infection and even the doctor mentioned that my meds can cause a yeast infection... the itching is so intense and I itch it every once in a while and then my skin get sore... Ive only had symptoms for 3 days now... I dont know what to do I need some relief... oh and I should probably tell you I have genital herpes... have had it for a year and a half now... my first outbreak was really bad and painful but every outbreak (which have been just a few since Im on daily med) have just been really minor... I have had a new sexual partner for the last 4 months now and weve pretty much used a condom up until a few days ago actually... Im really stressed about all this and Im wondering what it all means... if there is any connection between any of the above and what my next move should be....Thanks a lot", "output": "Hello, From your history and symptoms, your vaginal intense itching may be due to two reasons one is as u suspecting vaginal fungal infection other one is as per your past history genital herpes. You didn't mentioned your age, and you are having vaginal discharge or not. Vaginal fungal infection is common in diabetes, you may check your blood sugar level. If you are not taking medicine for genital herpes, start taking medicines regularly. You may use monist at vulval cream (fluconazole cream) for itching vulva, you have to use for seven days, if you have vaginal fungal infection you will get relief even with in one day but still you have to use this cream for 7 days. If you have vaginal discharge, Keep your genital area clean and Chat Doctor. Avoid douching yogurtAvoid using feminine hygiene sprays, fragrances, or powders in the genital area. Use pads and not tampons." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a very active 10 y/o daughter. After any meal she eats she goes right to the bathroom within 3 minutes and has diarrhea. She then becomes extremely pale and weak. It does not matter what she eats happens with all kinds of food. She can drop 5 lbs easy in a week. Peds Dr has already done blood work and stool samples nothing shows up. No allergies to foods, no celiac, IBS, crohn s, lactose, gluten, glucose absolutely nothing wrong with her. Does not take any meds and weighs about 64 lbs. Please help!", "output": "Hi... Thank you for consulting in Chat Doctor. What your kid is having is not a diarrhea and is only a gastronomic reflux. It is quite common for kids to pass small amount of diarrhea or loose stools soon after feeds. This need not be treated as diarrhea and especially antibiotics are not indicated. When some kids take food, the stomach expands - then when it is contracting it sets off a wave form which moves down the intestines and when that wave reaches the lower down rectum, a small quantity of the stool is evacuated out. This is the basis for gastronomic reflex. Do not worry. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "What can cause a sudden change in hemoglobin levels in a 65 yr old man. He is pale, no energy and has lost 10 pounds in 2 weeks. His level went from 15 to an 8. He also has had no injury that caused blood loss. He is set for a colonoscopy and a GI study Tuesday. There has been no blood in his stool and had a normal colonoscopy 10 years ago and also has had no stomach problems. I have ideas but looking for input.", "output": "Hello and thanks for the query, It is possible that somewhere in the gastrointestinal tract that he is having a slow and gradual loss of blood. This can come from ulcers, diverticula, inflamed blood vessels, or possibly from a cancer. This is why the endoscopy is indicated. If the endoscopy is normal - a workup for hemolysis is indicated - this is where the body is somehow breaking down blood cells causing a Chat Doctor. This can sometimes be an autoimmune process. Lastly, if all else appears normal an examination of the bone marrow may be indicated. This would require a referral to a hematologist. For now - proceed with the endoscopy and then the doctors can determine the next logical step in helping to improve the hemoglobin. One other thing - diet - can affect hemoglobin. In cases of low iron the hemoglobin will be low. All of this can be assessed with simple blood tests at the discretion of your doctor. Sincerely," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 27 year old male. About 61 and 300 pounds. My medical history consists of nothing more than a routine battle with bronchitis about once or twice a year. Ive had surgery on my knee and for a hernia. My question is lately when I ejaculate I appear to be discharging a mucus like substance. There is the normal stuff, but there is some rather solid looking mucus substance. Is this normal and what is it?", "output": "Degree understand your concerns went through your details. I suggest, while checking your semen, just check it for its color. As long as it stays white or whitish cream, there is nothing to worry. The thickness of sperm cells vary according to many factors and such variations results in sperm clusters and some thick sperm experiences. This has nothing to do with sperm health or effectiveness. You may consult a urologist or infertility specialist if you wish to do so. If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail. Hope this answers your query. Please feel free to post follow-up queries. Available for further clarifications. Good luck. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have chronic strong halitosis and my doctor wants to test me for h pylori. ive been to many doctors over the years and nobody ever mentioned this. i saw several specialists, ent, had tonsils out. tested for food allergies. is this something new. i need help", "output": "Hello, Read your query, understand your concern see as you have halitosis there is nothing to be worried so much this halitosis can he is due some reasons which include not having proper oral hygiene, Chat Doctor. You can do is maintain proper oral hygiene, properly brush your teeth twice daily, do chlorhexidine mouthwash twice daily, Do Luke warm saline gargle two - three times a day, clean your tongue properly using tongue cleaner. Consult dentist and go for oral examination and oral prophylaxis for healthy gums. Hope it will help you. If you have further queried I will be happy to help. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi i just had a abdominalpelvic ct with oral and iv contrast and it said Small non specific nodular densitiy in the right lower lobe Colonic diverticulosis Mild mesenteric panniculitis Non specific retrocrural lymph node Can you please let my know my dr is in vacasion for two weeks thanks", "output": "Hello user, Your CT scan report has 2 conditions which need to be treated and might require surgical resection as per your gastroenterologists' advice. The CT scan report suggests you are having some inflammatory focus in a part of your intestine which gives nutrition to intestine, but the presence of lymph node is not good sign, that's why you are requested to move to another surgeon and get your CT scan reports checked. Hope my info helped you regards, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "What is the symptoms of spinal meningitis. Our grandson went to the hospital this morning. They said he had spinal meningitis then sent him home saying he did nt. Now the hospital called and said he does have it and to bring him in. Now they don t know if he has it or not. He has a fever and aching all over. 8 years old.", "output": "Hi, I am Chat Doctor. I have read your question with care and understand your concerns. Let me try to help you Question : What is the symptoms of spinal meningitis? Answer : 1. Weakness of Limbs2. Stiffness of Limbs 3. Numbness of Limbs and Trunk Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. Let me know if I can assist you further. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter is 10 years and has had her first period two months back, but the 3rd time round, the flow was very very heavy. I have seen a doctor, who has put her on Primolut-nor 10mg - 2 tablets a day for three days till the period stopped and one tablet a day for 15 days. What is this tablet for and how does it affect her. Please let me know", "output": "Hi, Primolut contains Norethisterone similar to the natural female hormone progesterone. It is used to treat irregular menstrual periods with heavy and / or persistent bleeding that has no identified cause. During the starting of periods known as monarch, the cycles may be irregular for a few months. The body adjusts to the rising hormone levels and needs time regularizing the levels. Chat Doctor. Irregular bleeding, abdominal cramps, dizziness or fatigue can occur as common side effects of the " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am on pain management for severe back injuries and back surgeries from being a nurse. approx 8 months ago I had typical blood work done that included lipid panel and everything was with in norm limits. I just recently had blook draw again and trig. were 315!! I also had extemely elevated inflammatory such as sed rate etc. This in combination have caused me to have very high cardiac enzymes. I am taking neurontin, percocet, and zanaflex which is presribed by dr. Is is possible that any of these medications can cause such elevated lipids? I have not changed my diet and if anything I have actually been eating healthier. I cant seem to lose any weight and have frequent swelling of my stomach. HELP!!!", "output": "Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Triglycerides of 315 is very high. The medications Neurontin, percent and Zanaflex can all affect liver. Particularly percent can damage liver in high doses. This could be one of the cause of high triglycerides.2. More common cause would be increased bad fat intake in diet. Medications alone cannot be the cause. You need to get into a low fat, low carboy Chat Doctor. Include lots of fiber to reduce triglycerides levels. 3. Zanaflex can affect cardiac enzymes levels. Not to worry. Its only short term. Weight reduction is essential along with medications like vibrates to reduce triglycerides. Get on a diet along with moderate exercises to lose weight. Hope it helps. Any further queries, happy to help again." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I had my both overies removed and a membraine repaired on my right lower groin 3 months ago. I felt fine for three weeks and started having pain to the right of my belly button about midway to the groin repair. I went back to the doctor who did the surgery and also a surgen . They both said it maybe adhesions from the surgery. I realize you dont know till you get in if that is the case. He said he would go back in to see if they are there and can be cut out. I am then to have a colonosopy right after him in the OR. I dot want to create a situation but , well, already have one with this pain.Any opinon?", "output": "Hola. About his pain to the right of belly button;adhesions from the surgery is a possible diagnosis. Another diagnosis to consider, by the location, it is appendix inflammation (but would have other symptoms such as low fever, fatigue, loss of appetite). Your surgeon will decide, but I think it is necessary to request a blood test (to see the level of leukocytes) and an ultrasound to rule out these pathologies. I wish you good health.(In case the answer would have been useful please indicate this)" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I have had problems with concentration, memory and irritability for some time now. I am generally healthy and active and have no other major health issues. I am able to concentrate ok at work but have difficulty with studying and exams. I cannot seem to maintain concentration or retain information when studying. Also I get episodes of irritability. I take vitamin b supplements and fish oils which help somewhat but dont eradicate the problem. Any advice ?", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. You are supposed to refer to concentration and attention as two. Attention span for any adult is maximum 30 minutes. Sometimes, a person can be attentive to an interesting thing for more than 30 minutes, such as movies or games. Concentration is attention plus understanding. For this too, span OS below 30 minutes. If you are able to make your studies interesting and based on variable principle, your concentration level can be increased. It is also possible to improve your concentration level with the help of yoga, meditation and breathing exercises. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am suffering from diabeties from last 12 years, my father was also having diabeties, I am 47yr old My weight is 59 kg.From last 18 months my Sgpt level increase by 90 to 122 and now it is 102.I have done all Hepitisis virus test all are normal. How and What I have to do to reduce the SGPT level.", "output": "Hi thanks for asking question. Let me know you.... Do you have high cholesterol?? Is USG suggesting fatty liver?? Alcohol history??? Mostly your enzyme elevation might be from fatty liver like condition. If you are overweight lose weight. Take low fat diet. Fruits more. Regular exercise. Refined food avoided. Alcohol not taken if habit of it... Junk food, cheese, butter taken very much less.... If still no benefit then search for other cause of enzymes elevation done like myositis, heart problem, celiac disease. These are followed first .... If still enzyme elevation liver biopsy needed for searching unusual causes. Take care. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I woke up and the right lower side to the middle of my bottom lip is swollen it hurts to the touch and feels as if its about to split open. There is no marks of it being chapped or like I bit it. Its just red and all bushy. Should I be concerned about this? I am allergic to penicillin, mold, and citric acid but as far as I know I havent been around any of this.", "output": "Hello and Welcome to Chat Doctor ! If you haven't been around any of those allergens it might be possibility of an insect bite or just any food which might have an allergen, do you remember the food you had last night. Try taking homoeopatChatDoctoredicine APIs mollified 30 every three hours six pills for a day. Wash your lip with warm water and apply milk cream or fresh cold yogurt. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My duaghter, age 11 went to the dr s twice last week and was tested for flu or bacterial infection but only had a virus. She had a cough that still lingers and fever. Her fever has disappeared and we thought she was recovering, but today she has been dizzy and lost her balance. Is this something that can be attributed to a virus or should I be taking her to the drs for another checkup?", "output": "THANKS FOR YOUR QUERY. Everyone has a flu or a bad cold once in a while, so a viral infection usually isn't serious. Of course, it can be very bothersome and unfortunately there isn't any properly effective medication to cure viral infection, antibiotics aren't effective. Only Contact a doctor:Complaints lasting more than 7 dissever longer than 5 days do not link this with the previous episode. You should take her for examination. HOPE THAT HELPS." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my right testicle is has become stiff and swelling for a few days now,it happened the day after i worked out my abs and chest at home,i usually workout on regular basis but i haven t been working out for about 3 weeks,so my question is what s going on down there? it s painful and my lower back hurts and i feel like someone is squeezing my kidneys", "output": "Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. The kind of pain that you are describing could be for trivial reasons as vague muscle aches, or it could be a serious concern as well where in your might have rotated your testis. Then this condition is called torsion of testis.You need to get the testis examined by a doctor. If it is a torsion testis then you need to get a Doppler test done, and it could be an emergency as well. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "How can I help ease the pain of incoming wisdom teeth? I currently have a wisdom tootChatDoctoring in from my bottom right jaw. It hurts enough that it kept waking me up through the night. It s a kind of throbbing pain that s really annoying. Does anyone have any suggestions on how to make the pain go away? Thanks in advance!", "output": "Hello and welcome to Chat Doctor An erupting tooth is associated with pain in the gums, but throbbing pain does not occur. Throbbing pain indicates infection and pus accumulation. You can take over the counter analgesics, but you should consult a dentist at the earliest. If there is pus accumulation, it has to be Chat Doctor. Wisdom teeth eye associated with importation, growth in different directions and infection. So, a clinical examination, X-ray of the wisdom tooth area is required. Surgical removal of the tooth and " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "red shiny spots on both sides of penis, very itchy at times, dry skin on scrotum directly where red spots would sit when penis isnt hard, i work in a warehous, and wear boxer briefs and jeans everday, i so get pretty sweaty down there. femenine wash, and monistat 7 seem to make the itch go away, sorta clears up the skin, but it diesnt seem to go away", "output": "Hello dear, The symptoms as mentioned in your post can be attributed to Ringworm (Tina) infection. Management includes:1. Keeping the area Chat Doctor. 2. Antihistamine preparations like cetirizine to reduce the itching sensation & provide symptomatic relief.3. Application of topical antifungal cream like Clotrimazole to tackle the causative organism. If symptoms still persist or aggravate further, then it will be better to consult a Dermatologist & get a proper examination done to find out the actual cause. So that appropriate management steps could be taken. Also avoid wearing tight trousers & underwear...as it will cause sweating & predispose to fungal infections. Wishing you a Good Health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello im asking this help for my sister. around the age of 1 she had phenomia, asthma and allergy s. from the outcome from phenioma, the bottom of her left lung collapsed. she is now 24 still has asthma, and now the area where her lung collapsed is hurting and she feels alot of pain in her chest and lungs. she is a non smoker is not around any areas to alert her allergy s.what could be the problem /", "output": "Hello, Please correct me if I am wrong - your sister had a bad episode of pneumonia at the age of 1 year, and not since! She however has developed allergic asthma and gets pains in the chest where the pneumonia had occurred. It is unusual for the pain to be related to the previous pneumonia episode, unless she has had further lung problems and has left lung scarring, in medical terms this is known as fibrosis. Lung fibrosis can lead to several complications, and if there is evidence of bronchiectasis on HRCT scans, pain in that area can happen as sputum production continues and the constant cough leaves one with pain. My suggestion would be to get proper investigations done, such as HRCT Chest, lung function studies with DCO (that shows the current lung function with regard to oxygen diffusion) and get these reviewed by a Chest Physician. Rib pain can also be a possibility if there has been a recent fall, and the CT will pick this up as well. Please ensure that the asthma is also optimally controlled. You can ask her to do the ACT (Asthma Control Test) online to see the level of control. Hope this helps. Best Wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, For about the past week now whenever I urinate I have a sharp abdominal pain right as I m finishing. the pain is very weird to describe but it isn t like a burning or itching sensation, it s very sharp. And for a moment it feels like I have to urinate some more, I try but am finished. It doesn t occur until I am very close to finishing. I have been researching it and the only infection that I have identified the most with are kidney crystals, and also I have looked up on how they are formed and it does kind of seem to fit the puzzle because I do tend to have a hold on my bladder until break, lunch or I get home from work.", "output": "Hi there, This could be a case of urinary tract infection or renal stones. First thing is to get a urine routine and microscopy examination. It will say whether there is pus cells /crystals etc. Visit your doctor who might also ask you to get an ultrasound of the abdomen to look for any renal/bladder calculi. Meanwhile, Chat Doctor. Follow good perineal hygiene. Pass urine at regular intervals. Get well soon :)" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my brother recently got sick with a persistent cough and then it was discovered his heart is enlarged. He suffers from type 2 diabetes and high blood pressure do you think that caused his heart to enlargen or another factor? At present he is in the hospital under oxygen because he suffered a seizure and is alos heamorraging in the head and brain.", "output": "Hi, Thank you for posting your query. Enlarged heart is often a sign of heart failure. Heart failure is more common in people with diabetes and high BP, especially if they are not well controlled. Another cause can be hypertrophy (thickening of heart muscle wall) due to high BP. An evaluation by a cardiologist along with echocardiogram would be able to sort out this problem and establish the correct cardiac cause. Best wishes, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir, I am 29 years old, my sperms will comes automatically while watching porn movies or think or speak about them in a minutes. I cant able to control it.. So can you please guide me to resolve this issue or should it creat any problem in the future. Please advice...", "output": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. It is a premature ejaculation. Because you are not performing regular hand job. Regular masturbation can free you from such a disaster. In my advice you should do it once daily. This has many advantages. You can control your act of ejaculation. Once you ejaculate all your problem will go. Masturbation relieves your thirst of desire and stress. You can also enjoy good life. This is the natural way of act. This regular act relieves all your problem. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi , i want an advise. My dad fell in the bathroom on 30th Nov 2012 and was hospitalized . he was diagnosed for Brain Hemorrhage and right side weakness. we performed EVD extra ventricular drain to drain the excess fluid . according to the doc my dad was not stable enough for a shunt . he was in the hospital for 36 days and the docs requested to take him home . now he has been discharged he is awake but no movement as such .. can you advise what treatment should we go for", "output": "Hi, Thank you for posting your q Urey. At this stage, your dad requires regular exercises under the guidance of a physiotherapist. He should be made to sit, stand and walk with support. He would also benefit from cognitive stimulation. Family members should talk to him, tell him about various events in the family, etc. He should be also made to listen to songs, Bajans, etc. In addition, you should take care of his food and nutrition, with the help of a dietician. Best wishes, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have a rash only on my tail bone about the size silver dollar. That is the only place that it is. Raised with red bumps , but not pussy , has gotten a little bit larger over the last 24 hours. I also had a massive headache today as well. Not sure if they were connected. Headache went away with taking Advil . Rash is mildly itchy.", "output": "Hello, Thanks for the query, I don't think these two conditions are related. You might have developed fungal infection. The area of groin around groin is very moist and is prone to develop these infections. Treatment can be with oral antifungals as well as with topical antifungals. Various antifungal powders like candid are available. These can help reduce the moisture as well as control the infection. Please don't use any steroid, it can worsen your conditionPlease meet a dermatologist for exact diagnosis. Let me know if you have any other doubt. You can ask a direct question to me on this forum, following the below link.https://urldefense.com/v3/__http://www.ChatDoctor .com/doctors/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Im a thirty year old female. I really need help. Im so stressed out and confused right now. For the last few months Ive been to the hospital and clinic. I live on a small Island so theres not much option. It all started by this tightening of my chest and heart palpitations. I went to the hospital and the doctor told me it was anxiety. It eventually went away on its own. Then I menstruated twice for 2 moths, so I was sent for blood work and a gynecologist. Pap test and exam was normal, but my blood came back as having a little bit of low iron. The doctor suggested I take iron pills. I didnt take them for a month and ended up back at the hospital for another reason and they took my blood again which showed my iron was still low but had went up a bit without the iron pills. I started the supplements afterwards and went back to the hospital a month later cause my knee swell up a bit and I got a bruise on it as well as other smalls ones on my other leg. They ran another test and said that my everything was normal except my red hemoglobins were a little small. I then went to the clinic and the doctor ordered more tests ( lupus, monopost, rheumatoid arthitis ) cause at this point I was getting aches and pains in my bones and joints as well as a few small bruises on my arms. Everything came back normal except my red blood cells are high and the mono came back positive. I asked the doctor why I tested positive for mono if I have no symptoms and he said I probably had it a long time ago. He also said that my pains were probably cause of Fibromyalgia and the bruises were just the way my skin is. Also in the course of these few months my gums did bleed a few times when I brushed my teeth, but not recently. Ive been doing research online and Im really scared I have Leukemia and I feel trapped and dont know what else to do. Please any advice would be appreciated. Sarah", "output": "Hi, dear. I have gone through your question. I can understand your concern. You don't have any leukemia. So don't worry about that. You just have some iron deficiency and fibromyalgia. You should take regular treatment for that according to your doctors' advice. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a 11 month old son here for the past week he has has horrible smelling breath to the point it makes me gag, he has a runny nose which he always does and has been having watery yellow poop to be honest kinda smells like his breath also in three diaper changes he had.blood", "output": "Hi dear, I had gone through your question and understand your concerns. Watery stool, blood are signs of enterocolitis. Bad breath are caused by acidosis, dehy Chat Doctor. I see similar cases amongst young people who visit my clinic. In the first meeting, I advise my patients to go on antibiotic therapy to kill infection. I suggest:- Taxi(Definite) 4 mg/kg/dose twice a day for 5 days.- Enterogermina 1 sachet daily for 5 days.-ORS, plenty of water.-Z&D syrup You can discuss this with your treating Doctor. Start on these medicines and get back to me in 5 days. Wish your baby good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband has a swollen knee and has had a pain in the mussel in the back of his leg for a week now. HIs dr. gave him a mussel relaxer.. I have given him Alleve as well. he is not getting better DO you think there is water in his knee? Dr. said if he doesn t get better he will need to see a specialist.. DO I take him to ER or wait until Monday to call Dr again?", "output": "Hello, I am understanding your concern, this either can be due to some injury to ligament, cysts inflammation, infection in knee or arthritis. If it is due to accident or injury rest and avoid activities that cause pain. Avoid putting weight on your knee. Apply ice. First, apply it every hour for up to 15 minutes. After the first day, apply it at least 4 times per day. Cover your knee with a towel before applying ice. DO NOT fall asleep while using ice. You can leave it on too long and get frostbite. Keep your knee raised as much as possible to bring down any swelling. If there are some other reasons u must consult to doctor. They may recommend you x-ray or MRI. After than treatment will proceed for the specific diagnosis. Thanks I hope you will get help with this." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "helo doc my son is 2 n half tr old n had boils in his forehead initially n nw dey r spreadin on his nose below eyes wch is causin irritatn n bleeding wen scratched. his doc hv told us dat he iz havin bact. infctn frm streptoccocai n hc recomended us RINIFOL dry syrup CLAMP-KID FORTE N TEDIBAR BATHING SOAP....so v want ur opinion sir... wat wud u sugst..................", "output": "Hi. Boils over face have to be treated with antibiotics as there is a small change that they may spread into the brain. Apart from oral antibiotics like Camp kid I also give TB act ointment over the boils twice daily for faster healing. Also, I feel detail soap is better until boils come down. Avoid scratching the boils as much as possible. If they are not coming down in few days (at least they should not become more), pls visit your doctor again." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "due to masturbation , i feel memory loos. easily forget many thing which never strike wht r thy . To think or apply mind after ejaculation i need have a sleep. orelse things i do are with half minded . Is masturbation s the exact couse? I felt impresive work by thinking and doing the work whn no masturbation. i dont feel stable mind to think and do work after masturbation till i wake up from sleep. remidies fo this instability pls?", "output": "Hi, welcome to Chat Doctor forum. You are in a sin feeling of the masturbation. Many people in the beginning of masturbation may feel that they are facing many problems, like lack of concentration, weakness etc. One need not masturbate, if at all someone is doing it is not a sin. One should not do it several times a day. Take more of green leafy vegetables, pulses, sprouts, and protein rich foods to have a good health. Wishing for a quick and complete recovery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello i am 51 yrs old male smoker i woke up the other morning and after about on hour i started feeling painin left shoulder blade very intense and left part of chest hurts bad when i cough i feel the pain real bad in shoulder blade it hurts real bad if i try to bend over and when i take a deep breath it hurts on left chest area any advice would be helpful", "output": "Hello Sir, Thanks for your post. Well, the pain that you are describing can be related to the heart but in this case it looks more like a lung condition. Did you suffer from cold or any respiratory tract infection in the recent past? But in any case the strong suspicion of any coronary event should be ruled out. You should go for tests like ECG, echocardiogram, and blood tests like Troponin T quantitative analysis. In case the tests results are negative then you should proceed with a physicians help for any lung infection." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 31 year old female. I am currently taking nortrel 28 birth control and spironolactone, both for PCOS. I am not over weight, I am very active and I eat a healthy diet.Recently I started having right side lower abdominal pain. It was quite bothersome for several hours, for three consecutive days. I also noticed that my mood swings increased ten fold. I started my period and everything subsided for a day or two. I woke up in the middle of night and the stomach pain was back and I had blood in my stool twice this morning. Any idea what could be going on?", "output": "Hi, For persistent pain located to the right Iliad fossa, the possibilities include ovarian enlargement mostly due to cysts, constipation and bloating, chronic appendicular inflammation, premenstrual pain due to engorgement, and pelvic infection. Mood swings are usually due to the hormonal surges prior to the onset of menstruation. Blood in stool can be due to local causes if it is fresh. These include mostly fissures and hemorrhoids. Bleeding higher up alters the color of the blood to black or greenish black. Passage of hard stool can erode the mucosa and can lead to bleeding. Infections also can lead to fresh bleeding associated with diarrhea. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Am trying to conceive and failing over last 6 months, fine, but over last 2 months spotting last month at 6dpo that eventually turned into a period at 12dpo, and now am 4dpo and have just noticed am spotting again, already. I always spot a few days prior to period but this is crazy. Smear clear 3 months ago also.", "output": "Hi, I think you should go for evaluation first. Get yourself examined by a gynecologist. It can happen due to various reasons, may be infections or something other abnormality. Do a thyroid profile and prolactin levels and an ultrasound for your uterus and ovaries. You may need some medicines for growth of your follicles. Talk to your doctor regarding this. Hope I have answered your question. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "This morning I woke up with pain in the back part of my thighs and buttocks as well as pain in the back of my upper arms. I just turned 70 yesterday and was marveling that I have no aches and pains. And today I received a reminder. Any idea what would cause this?", "output": "Hello, I appreciate your positiveness and your work to maintain your body. At this stage this pain in absence of any other disease can be due to strain due to work or due to improper rest. If you find any of these factors then please rectify those. If such pain continue to persist then I shall advise you to have a complete routine check up. Take care. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doc..... i am 31 yr old , had a daughter 5 yrs old.....had one missed abortion last year ( in 6th week).......now i am 5 weeks pregnant ......my doctor had suggested me injection of ChatDoctor weekly for 4 weeks.....and fulgest for 4 weeks..... i wanted to know if there is anything else i had todo.....actually we are little afraid this time......plz suggest......thanks", "output": "Hi Deepti, Welcome to Chat Doctor. You are doing much more than required. All those medications are the routine regimen followed by obstetricians. How effective they are, is debatable. Pregnancy is a natural process and the best thing that we can do is, not to interfere with that process. Avoid over exertion, bumpy travel, heavy work etc. Be relaxed, watch T.V. and enjoy the current situation rather than worrying your head off over imaginary calamities. Adopt POSITIVE ATTITUDE and have confidence in yourself that every thing is going to be just fine. Previous abortion was due to incompatibility of the child to survive and no amount of treatment would have prevented it. Wishing you a very healthy and chubby child." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doctors ,i am 33 years old my husband is 40 years old , marriaed scince 1998 our proplem is infertility . We have 14 IVF 4 were succed but always misscarregs happend in the early weeks befor 10th weeks. every time I took baby Asbrin and hebareen injections. we are insist to try more what is your advice.thanks Areej", "output": "Hi welcome to Chat Doctor. I have gone through your question.4 times you succeed from 14 and had early miscarriages, then I would suggest doing chromosomal study, rule out TORCH inf(toxoplasmosis, rubella, cytomegalovirus, and herpes), Rh incompatibility for early miscarriage. After these investigations go further after discussion with gynecologist. Hope I answered your question. Would be happy to help you further. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my friend and i are currentlt travelling the world. She has ITP. She had a splenectomy a few years ago but her spleen actually grew back! She had a relapse and her platelet count dropped to 9k last year. A month or so ago she got salmonella and they dropped again to 40k. She recovered and they went up over 150k. Recently she had another drop and they went down to 53k, then a week later 29k. She just had another blood test (these were all in the last 3 weeks, one a week) and it is 530k. No-one could explain how it could of risen so much with no medication? She has been eating slightly better the last week or so and been doing gentle exercise but could this affect it? everyone is baffled. We are in New Zealand and she wants to do a skydive. Is this recommended because we are worried that they could reduce quickly like they have risen?she had 2 blood tests to make sure the 530 was correct nd it went to 505 after 1 hour which is normal they say?and shows they are correct? what could the reason be and then maybe she can do something to try and keep them up??can she??she has also had mild nose bleeds while the count is high and this is normall sign of low count??", "output": "Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Bone marrow biopsy will confirm the increased platelet count.2. Yes, such recovery is rare and indicates good marrow capability.3. Nose bleeds could be due to Chat Doctor. Bleeding is usually not seen with normal platelet count. 4. During periods of sepsis platelet counts are known to fall. However, they do not fall on their own. Previously it was autoimmune disease or sepsis. Now, not to worry, she can skydive. Hope it helps. Any further queries, happy to help again." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 8 weeks pregnant. this is my 3rd pregnancy in a year miscarried the first two at 6 weeks. Last week I went in for some minor spotting and the heartbeat was 157 bpm and dr said baby looked great. I am still bleeding a little nothing major and scared. Is it common to miscarry after seeing and hearing a strong hb?", "output": "Hallow Dear, I empathize your feelings. You have miscarried twice in the past and hence are naturally stressed out due to the current situation. It is good that your scan has revealed that the fetal heart is normal and fine. I would have appreciated if you were informed about the site of the bleeding; however, since your doctor has not made any of the mention it, it should not be from the chorionic tissue. Since you are having spotting/minor bleeding, I would advise taking some natural progesterone preparation from your Obstetrician. Also restrict yourself to the bed till your bleeding stops completely. Repeat the ultrasonography after a week to find out the status of pregnancy and baby. Depending up on the findings of this ultrasonography, further management can be planned. I hope this helps you. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor. I am very terrified of viruses. I do not know what to do anymore. Im afraid to eat food outside or drink from a can. Today, after buying a can of pepsi, and after taking a sip, I saw some dust-like dirts, size of an ant, on my can. My friend scared me, and he said that it could be virus. I got the pepsi from a fridge of a store. Do I get virus that way?", "output": "Hi, Thanks for writing in Chat Doctor. Viruses and bacteria are very small organisms that cannot be seen by naked eyes. You need not get scared by the fact that your friend has told about it. But, any dirt ingestion can cause bacterial or viral infection of GI tract, which manifests in the form of fever, nausea, vomiting or diarrhea. But these things can be prevented by taking antibiotics and other medications. Hence, don't be worried as of now. If you get any or few of the above symptoms, seek medical help immediately. Hope the information provided would be useful." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have stage 4 cancer and had a double mustectomy Jan 2012,.. Went through chemo and radiation last year... I am on blockers and a CT scan will be done in July cause the cancer has spread to the bones and picked up 27kg.. I live on veggies and fruit but still picking up... I dont know what to do anymore... I buy clothes just about every 2nd week... Could somebody help me and tell me what I can use????", "output": "Hi, Thanks for writing in. The aromatize inhibitors that you are currently taking are steroids and could be responsible for the weight gain. In addition, the stress, lack of physical activity and dietary habits could have led to weight gain. In addition, I would also like to rule out hypothyroidism by doing a TSH, free thyroxine and free thyroxine level in your case. But I would suggest you speak with your treating physician. A sensible eating and exercise plan should be started only after you have seen your physician. Hope this helpsRegards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello sir, my mother is 92 years old ... she s been in the hospital almost a month now..because of her pneumonia absena .. now her lungs is cure..and doctor found that her a creatinine is high at 800.. and needs to dialysis . doees she need to go dialysis? is that critical? her heart is good and the neurologist said her brain also okay..", "output": "Cellophane you for getting in touch with us. As I see, your mother has creatinine level which is really high. Normal creatinine levels in the human body are less than 1.2 mg/DL and a level of 800 is really high. It would have been better for us if you had told us the Blood Urea Nitrogen levels as that would have helped us in recommending some suitable treatment for you. If you have those values, please feel free to share with us. As she is also suffering from pneumonia, it might be a case of multi organ failure. She needs to be kept under observation. Hope this help Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I recently had a yeast infection and now a bacterial infection( I think). My boyfriend is experiencing a white film on the head of his penis and mild itching. He is uncircumcised. Could he have a yeast infection? How would we treat. Over the counter?", "output": "Hello, Welcome to Chat Doctor, Balanitis can be recurrent specially if both the partners are not treated simultaneously. Itching is subjective and may be absent. Does your partner suffer from vaginal discharge or Vulval itching. I would suggest that you use a topical antifungal e.g. clothing cream twice daily for 7 days and that should be enough. A single dose of an oral antifungal e.g. fluconazole 150 mg is also curative. I would suggest you to avoid using soaps altogether for cleaning the delicate genital skin. Use plain water rather. Thank You." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "WENT TO ER 2 NIGHTS IN A ROW. PAIN IN ABDOMIN AND AROUND THE BACK WITH BURNING IN THE STOMACH. THROWING UP (TO ME IT LOOKS LIKE BILE) EXRAYS SHOWED APPENDIX OK AND SMALL HERNIA AT BELLY BUTTON. IT DID SHOW STOOL IN LARGE INTESTINE,THEY TOOK CAT SCAN, GAVE ME AN ENEMA.BACK HOME, BUT STILL NEXT DAT HAVE SAME PAINS ETC. TRIED EATING LIGHT BUT STILL INTERMITTEN PAINS, ENEMA DID WORK (ALL STOOL REMOVED????) WOULD YOU SUGGEST A GASTROENOLOGIST OR I DO HAVE A COLON RECTAL DOCTOR? SINCE THE ENEMA AND VOMITING SAT. NIGHT AGAIN,NOT AS BAD, BUT STILL COMES AND GOES. I THINK THERE IS SOMETHING ELSE GOING ON..", "output": "Hi ! Appendicitis can be excluded more confidently by clinical examination than with any kind of investigations like X-ray. Sometimes gall stones and kidney/ureteric stone may also give rise to such symptoms, and an ultrasound abdomen is considered to be a better modality in detecting stones, which you can go for after discussing with your treating physician. Also, you can discuss with him for a liver function test with serum amylase and lipase. In the meanwhile, you should stop eating from outside like fast and fried food or alcoholic beverages, if you do. You can also go for some kind of prokinetic Chat Doctor. I would suggest not to go frequently for enemas unless your treating doctor advises for it. Wishing you an early recovery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am taking treatment from 5 years but my sperm count is not increasind rapidly. I tried difeerent medicine to increase sperm count , but everything is turning negative for me . I am not having a child from 10 years, my age is 38 years.please suggest me", "output": "Hi, Welcome to Chat Doctor. If sperm count has not increased after 5 years of treatment, it's better to go ahead with some form of assisted reproduction like GUI (Intrauterine insemination: Husbands sperm processed & placed directly in wives uterus) OR IVF/CSI (test tube baby). Which treatment is suitable for you will depend on your sperm count & motility. Kindly consult your doctor foe the same. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had my gallbladder removed about 2 weeks ago, and have found that my appetite has increased and I am eating constantly. I have already gained about 5 pounds. I have a prescription for phentermine, and Im wondering if it is safe to start taking it again.", "output": "Hi there, It sounds like your gallbladder removal went quite well, as you're likely eating without any pain! That's great news. Your weight gain is probably something you did not want, so the best thing here is to evaluate your eating habits and adjust your diet. It is safe for you to take determine, however, I'm not a big fan of using determine for weight loss. I don't mean to preach to you, but the effects of determine may help you to lose a few pounds, but adjusting your lifestyle and eating habits will have positive effects on your health that will last a lifetime. I'd recommend at least 30 minutes of exercise each day if you can, as opposed to taking determine. But to answer your question, yes its safe to resume all of your home medications at this point as related to your gallbladder surgery. I hope I have answered your questions. Please feel free to contact me if you have any further questions or if you feel I haven't ad Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Doctor I am 34 yr old male, 2 months ago undergone a surgery for Soft tissue sarcoma in my left thigh.Reports are attached.Now I am observing a swelling in my chest( Its xray and U/S report is also attached). Is this swelling related to My Soft tissue sarcoma?what should i Do?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Possibility of recurrence of sarcoma is more in your case. Sarcoma can recur after surgery. And Chest wall is common site for recurrence. Chest x-ray and ultrasound are not confirmatory for sarcoma. You need to get done biopsy from this chest wall swelling for diagnosis of sarcoma. So better to get done biopsy first. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am due an ultrasound on my right arm, there is a large swelling on the top of my forearm with multiple lumps underneath, the lumps started a year ago but the swelling is a recent development there is pain but my consultant said he has no idea what it is.", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have some soft tissue tumor like lipoma, neurofibroma or dermatofibroma. Or you may have some benign cyst like ganglion or other cyst. You should go for ultrasound study and if needed go for biopsy. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "About 5 weeks ago I walked into a large plate glass door and hit my brow bone. Came out immediately into a large lump and had a black eye for over a week. Although swelling has gone down, there is still a lump on the eyebrow bone which feels like solid bone.", "output": "Hi, dairy have gone through your question. I can understand your concern. You have hematoma formation due to trauma. Black eye is common after any injury to scalp region. If you don't have any other symptoms then no need to worry. Your lump will gradually reduce in size. You can take analgesic and anti-inflammatory Chat Doctor. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have a back pain since 2 month ago but not getting well also i have a concelt doctor here and have a investigation for total count ,differential count, haemoglobin ,RA factor , uric acid & CRP where as all the investgated result are normal except CRP Positive , ESR is high after the course of medicine CRP gets negative but ESR is high not getting down so whate i have to do get relief from back pain . name samjana khatri,age 23 female height 5 feet weight 56 kg", "output": "Hi there, a low back pain in itself if not significant and does not point to any particular condition but with a raised ESR could indicate some disease process going on in the body. One of the most common case in India could be Tuberculosis and for that you need to get an MRI done which will help to rule out bone TB. Or they could also send your CSF for TB PCR which will SLO help in ruling out this condition. If these are negative then you may list a physiotherapist and get exercise done for strengthening of the back muscle which tends to take the toll when you sit with bad posture for a long time especially if you are into sedentary work like in front of the computer or any such work. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi for the past 3 days I have had a pain in lower back on my right side just at bottom of the ribs. It feels all stiff and tight and I get spasms if I move around. It also hurts to stand straight,bend down and stretch. It takes me ages to sit down or get back up. The pain relieves for a while with heat and paracetamol. I also have tight neck muscles and upper shoulder pain.", "output": "Hi, I had gone through your question and understand your concernsWith such presentations in my clinic, I would first reassure the patient and I prefer to exclude certain problems as : First condition: Myositis and generalized musculoskeletal spasm due to overactivity and for this condition I suggest rest and muscle relaxant medication before sleep, Warm fomentation and NSAID when needed. Second condition :Cholecystitis as the pain usually radiates to the back and shoulder and I suggest doing abdominal ultrasound to exclude gall bladder problem Third condition :Renal problem as real stone or Infection also should be excluded by doing abdominal ultrasound" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just had lab tests this past Friday. The dr. called and said she needs more blood and urine for further tests. Since 2002 everytime I have tests I have an elevated white blood cell count. My temp runs around 97.4 F. What could be causing this since its been the same everytime I have lab tests?", "output": "Hi, I M Chat Doctor. It also produces, transports and distributes antibodies to various foreign antigens. Its estimation serves as useful guide to severity to disease process. Specific pattern of increase or decrease in types of ABCs help recognize various disease. Looking to your problem, slight fever. Just wanted to know whether you have any complaints like cough, sore throat, burning micturition or any other significant complaints. Your doctor wanted to look for how much exactly the count and pattern of your complete blood count. If I had been your doctor I would have your Complete blood count with peripheral smear examination, urine examination to look for infection by pus cells and red blood cells in urine. Would have considered the most according to your complaints and your investigative profile first. So have your tests done. Follow with reports and complaints. Thanks for asking Chat Doctor. Take care. Ask freely to clear your doubt." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have recently started taking the contraceptive pill Noriday 28 eight days ago, i had a bit of diahorria two days ago and had sex the following day. They say that if u have a upset stomach or diahorria the pill might not be as effective. I was just wondering if that is true and should i be worried about pregnancy?", "output": "Hello, Thanks for letting us know your health concern. If diarrhea or vomiting occurs within two hours of consuming the pill, efficacy of the pill is lost. Beyond this time frame, there is no need to worry about lack of pill effect. However, during the initial couple of months after commencing hormone contraception, additional protection is suggested to avoid failure. Please go ahead with your course of oral contraceptive. You should use additional protection since this is your first cycle. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I ve been feeling blah and a little achy all over for a week. Yesterday I had severe achiness in my legs and had a low grade fever of 100.8. Today my legs are a little less achy, but still feel a general overall feeling of blah ness. Can you have the flue with just these symptoms? I have not had any other symptons like cold, sore throat, congestion etc. thank you, Cathy", "output": "Hi, I value your concern regarding the symptoms. I have gone through your symptoms, and in my opinion such symptoms suggest viral infection, just take the lot of fluids, and analgesic medication, and help the body to heal itself. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. Special note-Any medication prescribed needs to be taken after consultation with your personal doctor only." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hey doctor i have a concern and my concern is that back in 2012, whenever i have a bowel movement or poop, especially when i push hard, i notice semen coming out pf my penis and recently, when i urinate, i see some semen floating around my urine they look like jelly fish that they float and they stick to the toilet like they are drooping down..... I mastubate frequently as well... Could this be a sign pf a serious problem? I have my urinalysis conducted today i am waitig for the result.... I am extremely worried right now :( im freaking out could this be a problem? Please help me", "output": "Thanks for contacting Chat Doctor with your health care concerns. You have been seeing semen coming from your penis after straining for a bowel movement or after masturbating. This is not a real problem and a more normal thing to happen. Semen is stored at the base of the penis in the seminiferous tubules and when you strain the pressure will actually push some semen out of the tubules and into the penis. While urinating it may also leak out into the urethra. I can reassure you that what you have been experiencing is normal and nothing to be concerned about hope I answered your question. Please contact Chat Doctor again with your health related concerns and questions" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I lost my virginity on June 27,2104 around 7 days ago. We didn t use a condom for the first few pushes but We used a condom the rest after that. He doesn t know if he pre came inside me. Can pre cum get you pregnant? I know stress delays your period. I just want to make sure. Ive had a few symptoms but i read you get them also from your period. 1. I threw up 2 days after (due to stress)2. I have a faint pain in my lower right side of my back 3. Im bloated I just need to make sure to see if i need to buy a pregnacy test", "output": "Hallow Dear, Yes dear, pre-ejaculation fluid (pre-cum) does contain some sperms which can cause pregnancy. The pre-cum is deposited in the vagina unknowingly. However, from your narration it is not very clear whether you have missed your period, and if so, for how many days? Vomiting can be a symptom of early pregnancy after missing a period; though, the other two symptoms you have mentioned are not characteristic of pregnancy. If you have missed your period, please get your pregnancy test done on the overnight first morning urine sample about a week after missed period; earlier the test may report false negative. Alternatively you may opt for Beta Chat Doctor test on blood 10 days after the last unprotected intercourse. I hope this provides you guidelines to resolve your query. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had wisdom teeth pulled yesterday and i was prescribed oxycod and ibuprofen. i take the oxycod when the pain is unbearable and the ibuprofen when the pain is manageable. Ive been experiencing heat flashes occasional shortness of breath and dizziness do i need to see a doctor?", "output": "Hi, Thanks for posting the query, I would like to tell you that nausea, dizziness, fever, pain, swelling are common symptoms after tooth extraction don't worry it will subside after sometimes. If the medications are not suiting you take Tab Almost 500\u00a0mg tab Mimi BD for 3-5 days instead of the medications prescribed to you. Take tab Omen BD half hour before meals. Take lukewarm saline and antiseptic mouthwash rinses. Take complete rest for 3-5 days, and you will be fine. Take care!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my mother must be having a sensation like there are nails in her head and she is says that she can pull them out and it feels better but they disappear when she pulls them out. It starting with her scratching. She has rheumatoid arthritis and this started after going on medication for it.", "output": "Hi, I can understand your concern regarding your mother. The symptoms that you have mentioned are suggestive of somatic delusions/ tactile hallucinations. I would have wanted to know if she is on any steroids as part of treatment of rheumatoid arthritis. The symptoms your mother is having can be independent or as a result of steroids. Please consult your physician who prescribed the medications regarding the same. Further a psychiatric consultation will be needed. Brain scanning might be needed to rule out any other underlying disorder. Your mother will respond to anti-psychotic medications like risperidone, quetiapine, etc. Hope this information was helpful. Best wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ask a doctor about I fell on my back and now have stomach pains. ... and lower left side of back. it last for about 4 days and fells like a dragging pain, ... left side of my stomach it has got more often since i fell of a horse and twisted ... Burning sensation in chest , back pain , occasional stomach pain with head ... Injury to kidney?", "output": "HelloThanks for your query. Based on the facts that you have posted it appears that you have sustained injury to your back due to fall from horse. Since then, you are getting pain in back and abdomen. Since you do not have hematuria (Passing blood in urine) it is most unlikely to be kidney injury. Please consult qualified general surgeon for clinical examination most likely it looks likely that you have muscular pain due to blunt trauma. Please take anti-inflammatory medicine like Diclofenac twice daily will painkiller like Broken. I think it will get cured within a week. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have a lump a little bit under my right butt cheek closer to the inside of my leg and it hurts to the touch. It is large, I tried to squeeze it but nothing came out and it pushes my skin out a little. I estimate it is about the size of a large marble. And I am only 16 and physically active everyday.", "output": "Hi, Dear,Good Evening, and Thanks for the query to Chat Doctor. I studied your query in details and understood your concerns.@My impression of your painful lump on the buttock-is as follows--Could be-Cellulitis of the bruised right butt cheek? Boil in the bruised area? Abscess in the fatty butt cheek with Cellulitis? Treatment Suggested-a-Conservative treatment-With Cold comprises / Tab-NSAID-like Voltaren-x 5 days /Antibiotic-like Amoxicillin x 5 day.b-If no relief in 5 days time, FBS and PPS, with planned I and D-Incision and Chat Doctor. This would help you to plan treatment with your doctor.@Hope this would resolve your worrisome query. Welcome for any further query in this regard, and would love to help you to resolve this problem till it is solved to your satisfaction.@ One Small Request to you to Write strong recommendations promoting my services for the benefit of my new and old patients at Chat Doctor clinic. Wishing you fast recovery.!! Have a Good Day. With Regards," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had the contraceptive implant for nearly 2 years, in the last 2 months ive had my first period since the implant was inserted and been having irregular periods since. my breasts are sore also, is it time to change my implant and also if i was to have the implant removed what alternatives that are similar to the implant could i have that would stop or regulate my periods?", "output": "Hi thanks for the query. Irregular bleeding is one of the main side effect of contraceptive implants. As this is your first episode no need to remove the implant. Implant should be changed at its due time. For this bleeding you can use homeostatic. If not controlled with that you may require estrogen supplementation. Hope this helps. If you have any further query you can directly reach out to me on the following URL:http://doctor.ChatDoctor .com/doctors/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi...I have had a terrible cough it is not letting me sleep at night, also I have congestion, and I wake up feeling like I am spinning, I will feel dizzy until I eat something, that is only sometimes, also my eyes, face, and well the whole side of my face hurts even my ears.", "output": "Hello You didn't the duration of these symptoms as diagnosis of many diseases depend upon this. But you mentioned that there is severe cough with congestion, may be due to these reasons, these are:1 Allergic bronchitis, diagnosis can be confirmed by physical examination by a physician .2 Allergic rhinitis, sometimes due to allergy in nose is one such cause .3 If the duration is for prolong period(>25 days) the reason of such cough and congestion may be tuberculosis. Diagnosis can be confirmed by X-ray chest. I advise my patient to take montelukast+levoceterizine, one tablet, once in day, if period of cough is not more than 3-5 days. Also take some dextromethophan cough syrup. If no relief within 3-5 days consult a physician and get his opinion." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had an infected Montgomery gland a few months ago and I regularly have to drain it because it becomes too full of puss like fluid. I went to squeeze it a few days ago and it started bleeding. Then today I squeezed it again and a brown almost black fluid came out. What could this be?", "output": "Dear user you had bacterial infection of Montgomery gland or breast abscess ...in this case sincerely you should not squeeze it...squeezing is contraindicated in breast abscess or infection as it will lead to spread of infection in the tissues and get worse then....you need to take appropriate antibiotic for the underlying infection causes pus and bloody discharge...if you take the appropriate antibiotic and bacterial infection rolled out then pus and bloody discharge will end, and you will feel improvement .you need not to carry about that as the cause is determined and just treatment of the cause will end that all.....but please don't squeeze it again as it will be worse after squeezing .....you should refer to specialist to treat this infection with simple antibiotics such as amoxicillin and will give good results.......wish you healthy life" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here... My son is 6 years old, earlier today he had some itchy small bumps on both of his forearms. I put some lotion on them and he did not say anything else. We finished our evening routine and he just woke up, covered in sweat with the small bumps now spread to his chest, upper arms, face and some on his legs. I tried to take his temperature but the reading twice only went up to 95. He is scratching and crying.", "output": "Hi, Welcome to this forum. Can understand your concerns. This type of Rash can be due to insect bite, measles, are chicken pox. The Rash due to insect bite usually occurs on exposed parts of body like hands and legs, there is itching on the rash. In measles, the Rash appears all over the body and there is associated fever and itching. In measles, there are fluid filled rashes which increase overtime and there is itching. You should attach a picture of the skin lesion for proper advice. I hope this will help you. Wishing your childhood health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I rolled my ankle yesterday morning playing basketball it wasn t from a really high jumped, but it was quick and unexpected. The first day I couldn t really put walking pressure on it today I can, but only on the balls of my feet. It s swelling has gone down a lot, but is still very noticeable I can feel and wiggle my toes and my ankle has a slight burning sensation scale of 1-10 (4) Lower than yesterdays (8) and a pea size bruise in the middle where my chin meets the ankle. What do you think I did to it is it a normal high ankle sprain as it seems or is it more?", "output": "Hi, Since you have a history of trauma and complaining of pain since a long time after the incident there is a chance that you may have mild sprain of your ankle ligaments whicChatDoctormonly causes such pain.* The best way to treat it would be to give rest to the leg for few days and apply an elastic ankle support while walking. This would be sufficient for a mild grade of shear. But if the problem persists for long and pain too increases you need to get thorough examination, as delaying would lead to aggravating the problem.* If the pain is mild get an analgesic like paracetamol prescribed or use counter irritant gels and take rest.* Do not message rigorously as it causes more damage, report to a doctor if severity increases. Do not worry now that you got an idea of your condition and consulted a doctor you shall be alright soon. Take care. Hope I have answered your query. Let me know if I can assist you further. Best regards, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I AM ON IMPLANON AND I BEEN ON IT FOR 2 ALMOST 3 YEARS NOW AND I HAVE HAD INTERCOURSE EVERYDAY MAYBE 3 TIMES A DAY SINCE OCTOBER 2012 . I FEEL MOVEMENT AND SEE MOVEMENT IN MY ABODMAN AND NEAR MY BELLY BUTTON . WHAT DOES THIS MEAN . I VE NEVER HAD ANY ISSUES WITH MU BIRTH CONTROL .MY BODYHAS BEEN CHANGING I M LOSING AND GAININH WEIGHT", "output": "Hello, Implanon is sub dermal contraceptive method, used for 3 yrs and effective more than 99%. It has some side effects & it varies from woman to woman like irregular period with prolonged amenorrhea, headache, Wt change, DVT, abdominal discomfort, nausea, fatigue, mood swing etc. Do a USG lower abdomen with some hormone test to rule out underlying pathology along with some clinical examination may be needed. Avoid stress, take healthy diet, control body wt by regular exercise and need proper sleep. Do periodic health checkup to your doctor. Be well." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Dr Grief, a good friend of mine was told that he has dormant hepatitis, but he wasnot told if it is A,B, or C.The Doc (brazil) is now going to give Veni some \"pills\" with no info on the meds. Now, I guess they operate a little differently than in our USA,but can you shed a little light on this. Veni has no symptoms. Thank you, Diana", "output": "HI, thanks for using Chat Doctor Latent hepatitis most commonly occurs with hepatitis B or C. Hepatitis A does not normally cause chronic infection. It can lead to permanent liver damage in some persons, and it is also rarely associated with a risk of liver cancer. There are criteria for determining who would benefit from treatment of this condition, and it is possible that his doctors, based on examination and lab test results, have determined that he fits the criteria. If he is unsure about the treatment, he should consider discussing his concerns with his doctors. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doc, I been having stoch aches and I do not have any idea what is happening, I have not change my diet, wich consist mostly of vegies and protein, very little carbs, because my sugar is a little high, I am trying to controlled with diet and exorcise.Thanks", "output": "Welcome to Chat Doctor .1. There are several causes for your stomach ache.2. Your symptoms are more towards acute gastroenteritis.3. Other causes could be cholelithiasis / cholecystitis / renal calculus / bladder infection.4. If you are my patient I would first examine and then ask for an ultrasound abdomen, depending on symptoms the treatment depends upon.5. I would recommend you to get an appointment and do needful investigation as your doctor asks. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m 58, 162cm, 70kg, fit and active. Have hypertension, diagnosed 10 years ago but blood pressure usually very well controlled. About two weeks ago, following a brief period of unexplained elevated blood pressure, and during a workout session, I noticed a mark appearing in my peripheral vision in my right eye. I thought I had perspiration in my eye but it hasn t gone away. My blood pressure is back to normal and there has been no answer to the cause of the spike. However, this strange mark, like a hair in your eye remains. Hasn t gotten any worse in fact, think it may have diminished slightly. Are you able to provide and clues as to what this may be?", "output": "Hello! Thank you for asking on Chat Doctor! I read your question carefully and understand your concern. I would like to explain that your symptoms seem to be related to an eye disorder. You should know that chronic uncontrolled high blood pressure can cause chronic changes to the blood vessels supplying the eye and the retina (known as hypertension retinopathy). This disorder can lead to small hemorrhages in the eye, which can cause this symptomatology. Other eye disorders (like a corpus vitreous detachment) could mimic this clinical scenario. I recommend consulting with the ophthalmologist and performing a fundus oculus (which is part of the ophthalmological physical examination), to establish the diagnosis. Hope to have been of help! Best regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HiDoctor, I feel my feets are slepping every time and some current at feets, like there is less blood circulation. Sleepness of feets increase when i lie on bed.....i was having jaundice during april 13 and billi rubin reports is 0.9. problem of feets started just before jaundice and still like this.....i dont have any other sign of jaundice like fatigue etc.....my age is 36 and weight is 85 height is 511. please guide. sugar is 84 (latest test)", "output": "Hi and thanks for the query, I think you might need a more critical and in depth review. Liver function tests and screening for viral hepatitis could be useful. An abdominal ultrasound to get a good idea of the nature of the liver could be also very useful. A complete physical examination and exclusion of common causes of fatigue like low hemoglobin levels or anemia, electrolyte abnormalities, vitamin deficiencies should also be carefully considered. Thanks and hope this helps. It would be important to consult a gastroenterologist. Bain LE, MD" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "yesterday night i take 1 beer and finished it at 9:30 PM. Then around 11 PM one street dog bites me in my leg (near around foot).At what time should i take rabies injection. Can i take around 1 PM today. I had listen that after drinking alcohol we can not take injection.kindly clear my doubts.", "output": "Hello, Welcome to Chat Doctor, Rabies is a disease transmitted by dog bite which is 100% fatal, but it is 100% preventable by proper and adequate treatment. As you were bitten by street a dog on your leg which has led to bleeding from that site, according to WHO it is categorized into Cat III which requires following treatment.1. Wound should be properly washed with water 2. In TT3. Active immunization with antirabies vaccine on days 0,3,7,14 and 28. You can take the anti rabies vaccine as early as possible, and you need to avoid consumption of alcohol during the course of treatment as it may interfere with the antibody production.2. Passive immunization with Rigs around the wound.3. Oral antibiotic like Tab Augmenting, twice daily.4. Topical Tract ointment. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi. i am mary ann from the philippines. i dont know how to start this but the problem is is tarted having back pains during the last few days of my training in Manila for a job. at first i really didn;t think it is a serious matter. but, when the doctor asked me to have a urine test which i repeated twice after i have taken antibiotics showed same result. my urine contains ALBUMIN. with all honesty i really don;t know what is happening. but awhile ago when i urinated there is a blood as well.", "output": "Hi and welcome to Chat Doctor. Albumins are often detected in urine and this can be sign of kidney glomerular damage or reinfection. Blood is sign of infection or kidney stones. You should do ultrasounds to evaluate is there stone or kinda damage. Also, you should check creatinine and urea levels. You shouldn't be worried, this can be easily treated by antibiotics and certain medicines. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor my 4year old son has cough problem fro 1 year and alway doctor give him normal medicin and salbuta mol now i pressure on doctor for blood test and now they noticed my son has asthma problem ,,and now few hour ago i noticed that my son has left rib cage swelling i am worried about it please suggest me.", "output": "Hello, Thank you for asking at Chat Doctor.I went through your sons history and would like to make suggestions for your son as follows:1. First, I would like to mention here that childhood asthma is very different from adult asthma. Any blood test cannot diagnose or rule out asthma. Of course, blood tests can diagnose allergies, which may be one of the causes for asthma.2. Asthma is best diagnosed by spirometry with post-bronchodilator reversibility testing. However, usually child Chat Doctor. Hence, diagnosis of asthma at 4 years of age remains more or less of a judgment of the doctor. Detailed history of all the symptoms since infancy as well as physical examination is required for proper diagnosis.3. Regarding left rib cage swelling, I would like to know its exact location, how it appeared, when appeared, whether painful, hard, soft, moving, etc. details.4. If it is painful, I would first rule out rib fracture as your child has cough for last one year. An opinion from orthopedic surgeon and an X-ray will be helpful.5. If it is not painful, there are many possibilities. Hence, I would suggest you to get him examined by his doctor and then decide further. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish your child the best of the health ahead. Thank you & Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am of 29 years,married ,female.I am suffering from hair loss since 2-3 years for which I took homeopatChatDoctoredicines which gave me temporary benefit.Since then I suffer hair loss(through the roots) every 3-4 months even if recovered in a month.I got my blood tested and it showed hypothyroidism and Hb count 10.I am on medication of thyroid for the last 6 months but my hair fall problem is very severe.I have just started using tugain solution 2% and shampoo ketoconazole 2% along with a capsule 2 B 12 as precribed by dermatologist.I am not able to figure out the reason for this hair loss .Plz help me out with this and kindly advice if this prescription would help me and how much time it wil take to cure permanently.", "output": "Hi... It seems that you may be having a condition known as halogen effluvium. It is condition in which the hairs fall in halogen stage of hair cycle. In your CSAE, causes may be many like. ...tension, anxiety,thyroid diseases, anaemia, nutritional deficiencies..... etc. that might precipitate or exacerbate hair fall. Excessive sun exposure may be responsible for the disease. Dan Chat Doctor. .it should be ruled out. If it is there, ketoconazole shampoo may be done. You consult dermatologist. Investigations may be done to rule out thyroid disease, anemia, and other internal diseases. If they are there, proper treatment may be taken. Nutritional diet may be taken. You must continue treatment for hypothyroidism like throw tab in proper dose. And for anemia, iron and folic acid may be taken daily. Tab Biotin 10 mg daily may be taken for long time with other vitamins and minerals. And also vitamin E cap 400 mg daily may be taken. Mild steroid lotion like mometasone may be applied on the scalp daily at night. Mild herbal shampoo may be done twice a week. Oil like almond may be applied on hairs to improve hair shaft quality. Be confident for good result. Have patience.as the good result takes time. Avoid tension and worries. Be positive. You may feel better after few months' treatment. I hope you got my answer. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor, I have not got my menses for the past 8 months. It has been very irregular for past 6 years. I went to consult a gynaecologist and she gave me the tablets those stimulate periods after eating for 6 days. I underwent follicular study and was diagnosed that my follicles are very very small around 6-8 mm only. Im trying to get pregnant and it is very frustrating. Kindly advice", "output": "Hi, Your irregular period could be due to hormonal imbalance, ovarian dysfunction/POD and thyroid dysfunction. I would suggest taking proper treatment under advise of gynecologist. You have small follicle. Following Chat Doctor. It causes induction in ovulation. Metformin along with Compete can be useful. After taking it, go for follicle study. If ovarian follicle will still be smaller than Chat Doctor injection will help you to induce ovulation. Avoid stress, take healthy diet, reduce 10 to 12% body weight by regular exercise, and avoid excessive diet. Hope this may help you. Let me know if I can assist you further. Best regards," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "18 yr old female. I have a lump on the back of my neck that is sore to the touch and makes it uncomfortable to move my head. I think it is a swollen lymph node. Is there any way I can get rid of it. I am on holiday at the moment so there is no way I can get to a doctor for the next week or so.", "output": "Hi, If it is an inflamed node then you need to take a course of antibiotics and anti-inflammatory medicines. I usually advice my patients Tab Augmenting thrice a day and Tab Coquitlam thrice a day both full stomach for 5 days and then the swelling and inflammation would come down. You can also apply warm compresses over the node. But, please your Doctor once you get back and get examined. Take care, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "last one year my son diginose as medullary corcinoma he is 31 year old weight about 127kgs in 2001 he had operated gientcell tumour in his left hand in bombay he have throid problam taking 2 tablet of eltrocin his calcitonin is 14000 and cea is 800 please advice what to do thanks", "output": "Hi, Thanks for writing in. Medullary cancer thyroid should be treated with a total thyroidectomy, unless there is distant metastasis at the time of diagnosis. Complete evaluation must be done to rule out spread of disease to other areas. Neck lymph nodes also need to be evaluated and operated during surgery. When cancer is limited to the thyroid gland, the prognosis is excellent. External beam radiotherapy and palliative chemotherapy are recommended in advanced disease. External radiation therapy has been used for palliation of locally recurrent tumors. Chemotherapy involves giving more than one medicine and this can help is stabilizing the tumor and preventing it from spreading fast. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 31 years old lady when take scan of my abdomen it shows the following features about my liver please give the suggestions. Measures 15.0 cms in long axis Mild increase in parenchymal texure seen in both lobes. no focal lesion seen portal and biliaryradicals are normal. Gall bladder : Partially distended. Wall and lumen normal. CBD : Normal Portal vein : normal Spleen Normal in texure. Measures 10.0 cms", "output": "Dear patient, I think that you are talking about the ultrasonographic (USG) Scan findings of your abdomen, i don't know the reason why you have got it done but the USG findings that you have mentioned are suggestive of FATTY LIVER. Fatty liver is a condition in which there is accumulation of triglycerides (fat) in excess amount than normal inside the liver parenchymal cells due to various reasons. It is a reversible condition provided the underlying conditions that cause it are treated, removed or controlled. If left untreated it may remain static, or may lead to liver cell injury causing hepatitis which we call steatohepatitis and may even progress to end stage liver disease known as cirrhosis of liver. Common causes of Fatty Liver include Alcoholism, Viral Hepatitis especially Hepatitis C, Metabolic syn Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doc me and my patner did unprotected sex on 16 jan and then within 24 hrs i took ipill and today even after 20 days i didnt got my periods as my cycle is abt to cum with 2 days and i did home pregnancy test 5 time sumtime it show 2 proper lines and sometimes it show one proper and one faint line plz help to m i pregnant", "output": "Hi there, I have understood your concern. I will suggest you the best possible treatment options. First, as you have taken emergency contraceptive pills within 24 to 72 hours of unprotected sex act, it offers adequate protection to prevent the pregnancy. Secondly, as you have doubtful results of the pregnancy tests, I will suggest you to get mornings first sample of urine tested for pregnancy. In case of doubt blood beta Chat Doctor test and USG will be of help. Even if you are pregnant, you can opt for termination of the pregnancy with medicines safely till 9 weeks of pregnancy under medical supervision. I hope this answer helps you. Thanks. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "31 yr old female - I have had a dull aching in my lower back, and slight pain in my abdomen for almost a week now. The pain has now moved to the lower left side of my back and I have a numbness down the whole of my left leg. The pain doesnt ease when sitting, standing or lying down and I am also bloated in the lower part of my abdomen. I have a history of ovarian cysts, PID, POD and have had my tubes removed and two operations for adhesions. I am waiting to now be refferred to a gastroentriologist as I have suffered with abdominal pain for many years although this pain I have at the moment is not a pain Ive had before.", "output": "Dear patient you are already diagnosed with pelvic inflammatory disease which leads to both abdominal pain and back pain. Plus u have undergone abdominal surgery which might lead to adhesions of peritoneum. Since you are getting numbness in left lower limb associated with back pain The is possibility of nerve compression at back due to disc prolapse. Kindly get yourself investigated for MRI of lumbosacral spine to rule out possibility of disc prolapse and also visit gastroenterology St to treat your abdominal pain." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 46 year old female, standing at 1.57 cm and weighing 51 kg. Received my health screening report- my liver profile is normal except for an elevated GAMMA GT reading at 66. Is there any reasons that would caused the elevated reading? I have been advised to take another test in 3 months time. Thks Sally", "output": "Hello Thanks for writing to ChatDoctorIncreased GGT indicates liver injury. It is important to know about other parameters of LFT like SGPT, SGOT, bilirubin level etc. It is important to know about alcohol history. You need proper clinical examination and few more investigations. Other investigations include routine hologram, RBS(Random blood sugar), Viral markers, Ultrasound of abdomen. Further investigations can be done if needed. You may need medicines after proper checkup. You should avoid alcohol if you take it. Hope I have answered your query. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a fungal rash behind my knees. It developed last June, but went away with treatment of Ketoconazole Cream 2%. This time, the Ketoconazole doesnt seem to help. My doctors said to try Nystatin Cream, but that seemed to make it worse. What should I do?", "output": "Hello, Thank you for posting on Chat Doctor. It seems you are suffering from Tina corporal, a kind of fungal infection. Fungal infections need proper treatment otherwise they keep on recurring. I usually recommend proper course of oral antifungal Chat Doctor. You can additionally use antifungal dusting powder containing ketoconazole during daytime and a soap containing ketoconazole for rinsing of affected areas. Take oral antihistamines for itching as required. Maintain hygiene over those areas and avoid wearing tight undergarments. Hope your queries are resolved and wish you best of health. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Often when I wake up in the morning I have several lumps in my butt cheeks and sometimes along my spine. They give a dull ache, but not much real pain. After I m up and about they disappear. They always in the same place when I get them, but they can t be found during the day. Any ideas?", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have some hemorrhoid (piles). Whenever you get constipated lump sapper near anal canal due to pressure. You should go for per rectal examination. If it is due to piles then you should take soft diet. Avoid oily and spicy food. Take high fiber diet and plenty of water. Hot water bath is also helpful. If medical treatment is not working then surgery is the permanent treatment. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor, my father is 65 years old and he is suffering from Diabetes from 15 years now he has problem in his both kidney and creatinine level was 7 and he is under haemodialysis twice a week, is there any treatment for kidney so my father can be free from haemodialysis, your suggestion will be great help for us....", "output": "Your father should be diagnosed DM, DM NEPHROPATHY, CRFHE SHOULD BE ON MHD There is option of kidney transplant, but it doesn't look possible with age and other factors, u should continue dialysis as per advise of your nephrologist, by the time for his better health get investigated by ophthalmologist for funds investigation to rule out diabetic retinopathy, This patient are usually with high blood pressure too should be care with it too, it can even cause some other complication" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 31 weeks pregnant and haven t had any problems with nausea or vomiting for atleast a month now, well I just threw up and noticed it had a little bit of a pinkish tint to it and thought it might just be from some candy I ate earlier. But at the very end I threw up something dark red, I think it might be blood. But twice today I had pieces of cake and there was a little bit of dark red in the cakes. So I wonder if it could just be from that. I feel okay and the baby has moved a little since then so I feel like there s nothing wrong with her. What do you think?", "output": "Hello, I have gone through the query and understood your concern. Your description suggests fresh bleeding. This is likely to have originated either in the esophagus or the oropharynx as the mucus membrane may have got eroded due to retching. If the blood is from the stomach, it will have altered color. Please inform your consultant and get properly managed. If you have any indigestion, you need to attend to it. Any gastritis also should be treated simultaneously. Please do not worry and continue taking adequate rest and monitoring fetal movements. Wish you safe motherhood." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "The bottom of my feet hurt if I am standing or sitting with them on the floor. I also get a sharp pain that runs up through them sometimes for about 5 - 10 seconds. When I put them up they are pretty good except when I first put them up I get a few sharp pains through them. Verna", "output": "Hello your pains are mostly heel pains from a tight plantar fascia which is a flat band under the heel and the sole. Though not a serious condition this can cause disturbing pains esp on walking first in the morning. Please do regular ankle stretching exercises by lifting the forefoot up as much as it will go when. This can be done while sitting or standing. Physical therapy by shock wave give good relief. A local steroid injection at the site of the pain is another option if this persists.Meanwhile, check your uric acid level in blood and if diabetic make sure its all controlled" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I went to the doctor and was prescribed augmentin. I had been running a fever for several days after visiting the dentist and getting four fillings. This morning I finally went to the doctor. In the office I had 101.4 fever; now 8 hours later my fever is up to 102.", "output": "Hi... Welcome to Chat Doctor. As you mentioned you have problem of fever during dental treatment that mostly because of infection. Complete treatment of tooth help to reduce an infection.X-ray of affected tooth and diagnose a problem. Complete history and clinical examination of mouth give exact idea about problems. Start a treatment as per reason behind it... Antibiotics courses help to reduce an infection. Consult a dentist for oral examination and treatment plan. Blood test and microscopic examination is helpful for further diagnosis. I hope this will help you. Get well soon. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "After beginning progesterone 200 mg capsule. Ive developed a lingering menthol , sweet like taste , smell . I was treated for sinus infection but antibiotics after 4 days are not receiving this symptom.i vomited in my sleep 3 nights in a row. Was given dexilant .. I have a fatty liver also. What would cause this minty , almond, sweetish taste and what can I do to get it to go away , please ? Ive asked for labs work. My request was denied by GYN and family dr", "output": "Howell come to ChatDoctorI really appreciate your concern, if the test of the mouth is the matter of concern then it may not be due to the progesterone, neither it could be due to any other medical condition presently you are having, but it seems to be nonspecific, it could be psychological condition, and it could be \"Gustatory hallucination\" try to control your self try to forget the feeling of smell later of sooner you would not feel it, hope this information helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello there, I have contracted a case of Chicken-Pox from fellow family members, and I have been growing concerned about it. Yesterday (Which was day two of my present condition) I found two small blisters inside of my vagina, they didnt have the exact same pearly effect that the blisters had on my stomach, but they itch all the same. They are small, and are a cloudy white? This concerns me greatly, but I have never had anything like this on or in my vagina before I caught the Chicken Pox virus. I am Twenty and this is the first time Ive knowingly had this virus. Any answer is appreciated, thank you!", "output": "Hello, Thank you for posting your query to Chat Doctor, So, what I am understanding you are in your second day of blisters from the chicken-pox infection. At this point, It's difficult to say if those blisters have been there before the infection, of have appeared with the infection. My guess is, you have those blisters from the infection, which in normal to have in the mucosa. They will last for about a week, and should heal after. If you still have them after 2 weeks, then consider seeing a gynecologist and doing the appropriate labs he will recommend ruling that out. If I was your caring doctor, meanwhile, I would recommend trying not scratch the blisters, apply anti-itch powder on them, a take any antihistamine medicine like cetirizine, clorpheniramine, etc, to help with the itch. Hope this is helpful. If you have other questions, let me know. Take care," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi , my wife(31) is suffring from mouth ulcers from 4 years .any time they come up ,lasts for 7-10 days and then goes back. some times they are very painful that she cant even eat properly .we have taken so many tmts.like dentist , desi , aayurvedic , physician , ent , homeopathic etc but no relief .please guide us what should we do", "output": "Hello! Welcome to Chat Doctor. You did not mention if she is under any medication for general health like hypertension. Many of the Chat Doctor. In that case she can consult the physician for a change in the prescription. A clear cause for ulcers has not been given yet, however poor oral hygiene, stress, deficiencies can attribute. She can use a lidocaine based gel like GEMSTONE before food(this makes the area little numb, so that she can eat). Gargle thrice daily with warm saline water. Use a soft tooth brush. Have a stress-free lifestyle. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a rash that started on my buttocks near my thigh and has spread in 2 other places on my leg. It doesn t really itch as much as it is tender feeling. Like a bruise , but it is not purple in color. It looks pink and the spot on my buttocks is one large bump with a bunch of little ones around it. The ones on my leg are a little group of maybe 3-5 bumps. Not feeling ill or fevered. It s just irritating. I ve been putting neosporin on it since I realized it was there, which was yesterday. Doesn t seem to be helping at this point. Any idea what it could be and how I should treat it?", "output": "Hello, Thanks for the query, You might be suffering from a fungal infection, In this area it is called as Tina courts. It usually as itchy rash but soon gets infected and develops pain. Only newsprint won't help. Treatment with antifungals might be requiredPlease meet a dermatologist for final diagnosis and treatment me know if you have any other doubt. You can ask a direct question to me on this forum, following the below link.https://urldefense.com/v3/__http://www.ChatDoctor .com/doctors/ Chat Doctor. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have recently been canceled my neurologist because they didn t know how to control my seizures I have been in search of another neurologist but no one seems to be available when I tell them of my medical history. I have seizures 6-12 times a day, now I have no neurologist and no medication and am scared. what should I do?!", "output": "Hi, Thanks for writing in. Seizures are caused due to electric disturbances in the brain which trigger them. Seizures should investigate by doing EEG and brain scan (CT scan or MRI scan) and doing complete neurological examination. Please consult your doctor who can refer you for the above investigations and then get examined by a neurologist. A detailed history regarding the seizures is essential. Please have a close family member or friend around you at all times. You should avoid high risk activities like swimming, Chat Doctor. Hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "m actually really scared...=[ Its over a year since i discovered this lump near my vagina, well it in the crease between my vagina and my thigh. It started as a small skin coloured lump and it just got bigger. Within the last month or so this lump has become red and today it has changed completely. It is now an actual whole in my skin, its bright red inside and is oozing a liquid a bit like puss. Im sorry for being so graphic im just really scared and would like some answers.", "output": "Welcome to Chat Doctor. 1. Lump with redness and discharge - possibility of infective cause, might be hair follicular infection.2. In this case you may need to get a course of antibiotic to treat the process, if quite bigger - a small incision and Chat Doctor. 3.Meanwhile as a remedy - do not scratch, press or disturb the area - it will only complicate.4. Maintain local hygiene, clean with antiseptic liquid. Avoid cloths that cause friction in that area, try soft nature cloths for quick healing.5. Get an appointment with your doctor, and let examined and needful treatment. Good luck. Hope I have answered your query.Anything to ask do not hesitate. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "A red lump/bump appeared on the bottom of my left breast yesterday. It is tender to the touch and slightly warm. It seems to have possibly decreased in size from yesterday - slightly. What could have caused this and should I be concerned? How long should I wait before I get it checked out?", "output": "Hi.how old are you? Do you have a history of breast cancer in your family?it could just be an inflammatory reaction secondary to an infection, a bite, a sting, etc. If the lesion persist and doesn't disappear in a few days time, it is best if you consult with your doctor and have it checked. Physical examination will be of great help. Breast ultrasound or mammography will be directed as needed. Hope this helps. Good day!!~ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my name is Kimberly and lately I ve been very down, and I don t enjoy things I used to anymore. I also get irritated easily over small things everyday and I don t know why. Im also very fidgety and i have times when i cant breathe or just start cryig for no reason or all reasons, really. Can you please help me figure out what s wrong with me?", "output": "Dear Kimberly, I went through your query and can understand what you must be going through. Feeling sad and irritable, not able to enjoy things and anxiety are symptoms suggestive of a depressive episode. You should consult a psychiatrist for undergoing complete evaluation of your symptoms and initiating treatment. Treatment with anti-depressant Chat Doctor. These medications are slow to act, and you will have to be patient about the response which will need at least 2 weeks after starting the medications. In addition to medications, you should also start exercising daily. It will help you relax and feel better. I do hope I was able to help with your query. Best wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi this is juher pathan looking for answer the treatment duration for my abnormal seminal report ,Questions related to - seminal report Dear Doctor my age 28 yearsheight 6 fitweight 58 kg i Q : Dear Doctor my age 28 yearsheight 6 fitweight 58 kg i have TB in my past Presently iam healthy seminal report is quantity 20mlcolour milky whiteconsistency thick liquidreaction alkalnePH 70 total cout of sperms 10 million Dear Doctor my age 28 years,height-6 fit,weight 58 kg, i have TB in my past Presently iam healthy seminal report is quantity 2.0ml,colour-milky white,consistency-thick liquid,reaction-alkalne,P.H-7.0, total cout of sperms 10 million/ml of semen Motality after 1/2 hours total motile-10% active motile-10%,moderatelymotile-10%,sluggeshly motile-20% ,non motile-60% after 1hour total motile-8% active motile-5%,moderatelymotile-10%,sluggeshly motile-25% ,non motile-60% after 4hour total motile-2% active motile-00%,moderatelymotile-5%,sluggeshly motile-15% ,non motile-80% micro scopic morphology-10 to15% immature forms 08 to 10% tail less-02 to 04 %,pin head 01 to02%,W.B.C-4-6/hpf,R.B.C-no found, epithelial cell-not found,trichmonous-not found so pls tell sir i can be a fatheror not if not treatments are avilable for me.and duration of treatment.", "output": "Hello her ;welcome to Chat Doctor Sorry to say, but your semen analysis report is not good. The motility is bad and morphology is also not good. It will improve with treatment, but it will take time, so you have to be patient and take medicines regularly as advised. You should consult a Urologist for detailed explanation and treatment. Please consult as early as possible so that you can be treated accordingly." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor, I ve been experiencing pain in my ankles for the past three months and recently for past 10 days I feel pins piercing on my left foot an d cold feet,, I have been prescribed coenzyme -T and Zix-R OD I want to know is it the right medication . I am 48yrs of age", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have ankles pain. Well there can be many reasons for symptoms you mention in query like arthritis, gout, nerve damage or injury, such as sciatica, blocked blood vessels or infection in the joint. Your doctor has prescribed you right medicines, continue taking then as per prescription. If condition doesn't get well then consult doctor again for proper examination. Doctor may recommend physical therapy, prescribe muscle relaxant along with stretching exercises. For now keep your feet in hot water tub with one spoon of water. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had a sudden bright red rash on face and chest, taste perfume and feel really dizzy with neck ache and headache - never had it before and dont know whether to be worried or not! I have had a few strange spots lately but Im too old for spots at 36!", "output": "Hello, Thanks for the query, You might have developed acute urticaria. It is an allergic condition. Anything including food, cloth, change in climate, pollen etc. can cause urticaria. You need to find out the cause. Treatment can be with oral anti histamines. Steroids like prednisolone are also helpful but cannot be used for long. Please meet a dermatologist for exact diagnosis. Let me know if you have any other doubt. You can ask a direct question to me on this forum, following the below link.https://urldefense.com/v3/__http://www.ChatDoctor .com/doctors/ Chat Doctor. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "If one became addicted to large doeses of oxycotin prescribed because of pain associatied with a fracured pelvic (misdiagnosed as bone cancer), then had to take methadone to treat withdrawal symptoms, is it OK to take hydrocodone with tylenol 3 years later without becoming addicted again?", "output": "Hi, thank-you for providing the brief history of you. A thorough musculoskeletal assessment is advised As you had a bone fracture which was misdiagnosed with bone cancer and on a medication for long it is not advisable. As medication should be utilized only when the pain is unbearable. Also, too much medication will lead to kidney damage and I fear the physician will take a chance. Physical therapy is a parallel treatment for reducing pain and the majority of patients in my clinical practice have been helped. I wish you the same from you. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am an Asian, 5 foot 1 138 pounds, and suffering from hypothyroidism. right now, my concern is my erupting wisdom tooth. its painful and i have trouble opening my mouth and chewing...are there any remedies which i can ease the pain? also i have painful swallowing. like that of a tonsillitis. Thank you", "output": "Hello, Thank you for consulting with Chat Doctor. It looks that your wisdom tooth is creating the problem. You can start with the medication named-an amoxicillin 250 mg three times a day, -a paracetamol with muscle relaxant three times daily.-a multivitamin once daily these medications for 5 days the medication is the temporary treatment only. You have to visit a dentist and get the treatment done for complete relief." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I get full body paresthesia when lying down after around 45 minutes. Mainly during sleep. It wakes me up at around 4 in the morning. It goes almost instantly when I get up. The paresthesia can be removed from a part of the body - say the torso - by rubbing it. It then increases it in other parts of the body. I can progressively isolate it simply to the hands, Rubbing the hands together will remove it altogether for around 5 to 10 seconds but then returns usually back to the hands but sometimes back to other areas of the body. It cannot be removed totally without getting up. It s often accompanied with mild tinnitus which also only occurs when lying flat. Have spoken with 3 GPs a cardiac specialist (referred by a GP) and no one has a clue of the cause. I say paresthesia but there is no pain, no numbness - just a sort of high speed vibration and warmth inside the limbs.", "output": "Hello! Thank you for asking on Chat Doctor! Your symptoms seem to be caused by anxiety or a neurological disorder. I recommend you to consult with a neurologist for a careful physical examination. A nerve conduction study may be necessary to exclude a possible neuropathy with liability to pressure palsies. Although this disorder would cause pain and numbness (which you don't refer to experience). Thyroid hormone levels may be necessary to exclude a possible thyroid dysfunction, which can cause similar symptoms. Hope to have been helpful! Greetings! " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Dr, I am a 32 yr old women, and quite recently in started feeling a pricking pain on right side of my abdomen , just besides navel. The pain is more is more severe when I bend my self to pick something or get up from bed even. I feel something sharp is hurting me from inside. I need help for this. What it could be and what shall I do?", "output": "Hi ! The symptoms you have mentioned goes more in favor of appendicitis. Do you get nausea or vomiting ? Any fever ? Any urinary symptoms ? When was your last menstrual period ? You have to go for an ultrasound if you have got any history of a missed period. I would suggest you to get yourself examined by your family physician/surgeon, who may advise you for some routine blood and urine test apart from an ultrasound abdomen. Wishing you an early recovery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ive been having left lower abdomen pain and was first diagnosed with diverticulitis and given strong antibiotics. A later ct showed negative but a fibroid tumor 2.6mm on my uterus. Im still having consistent pain and dark greenish brown very muddy like bowel movements almost immediately after eating, and no appetite, and a low grade fever.", "output": "Hi, Thanks for writing in. Diverticula are small finger like projections from the intestines. Presence OD multiple diverticula is known as diverticulosis. If food particles get impacted in diverticula and get infected, it causes diverticulitis which is a very painful condition. You might be having the greenish stools and consistent pain because of diverticulitis. The fibroid in your uterus is 2.6 CMS and is very small to cause any significant problems to you as far as consistent pain and stools are concerned. You can get another ultrasound scan done after 6 months to evaluate the interval growth. Hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello I have an itchy rash on the instep of my left foot . it is not red. it is a 2 patch, darker colour to my skin . it appears dry and a little scaly. it began when after removing my sock at the end of a days work i scratched the spot because it itched. i scratched until i removed the upper layer of skin. the spot became irritated and turned into this.", "output": "Hi.thanks for the therefrom what you describe, you might be suffering from foot eczema. You can follow the following steps:1) Use ample emollients or medicated moisturizer multiple times in a day to keep the area moist and HY Chat Doctor. 2) Use only pure cotton socks3)Have oral antihistamines like Tab. Allerga to relieve the itch. It is important not to scratch.4)Topical corticosteroids may be required in your case. These relieve the itch and reduce the eczema pathology. It is important to remember that the lesions are recurrent, and it is important to do follow-ups for reviewing treatments from time to time with your dermatologist. Hope this helps. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was diagnosed with a thymoma or germ cell tumor last week. the size of tumor is 5.1x4.9cm. the mass was seen within the superior mediastimum abutting the superior vena cava and ascending oarta. My question is.... Is this a cancer type of tumor? thanks", "output": "To know exactly whether its Thomas or germ cell tumor, a biopsy and histopathological examination will be required. In germ cell tumor, tumor markers including serum AFP, serum beta Chat Doctor and serum LDH are sometimes also raised and will aid in diagnosis. Germ cell tumor is a cancer and Thomas has subtypes ranging from benign lesion to thy mic carcinoma which is malignant. Biopsy will give the exact diagnosis. I hope it helps. Please discuss with your doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am mukesh. i have gone through semen analysis and result come out as follows volume 3 ml, appearance pearly white, liquefaction time 60 min, consistency normal, sperm count 50 M/ml, active motile 50, sluggish motile 15, non motile 35, normal morphology 60, abnormal morphology 40, RBC nil, pus cell 0-1/HPF, Fat laden morphology 0-1/HPF. my consultant gyn indicated that pus cell is appearing due to this may be coming in obstacle in pregnancy. pls guide me whats says this result and its pus cell is affecting in pegnancy. thanking you", "output": "His had gone through your semen analysis. Pus cell cause decrease sperm motility and may also affect sperm count.1st you have required treatment of it. It can be treated with antibiotics like doxycycline and ciprofloxacin. After proper treatment again go for semen analysis. Female fertility factor is also necessary. Evaluation of female factor will also give idea about status of being fertile. So consult gynecologist and get help. Still have query then feel free to ask. Thank you. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Years ago I felt a kind of tear (felt like a zipper being unzipped up my abdomen ) when I was reaching over my head to grab something. Not full blown hernia but was told it was a pre-hernia. I now have a bulge when I do sit-ups but not otherwise though I often have an ache in the area. When I have to push hard during a bowel movement I also feel like something is trying to push out through my belly button but it goes away after bowel movement is done. I ve been told that I have to wait for it to finally rip and push through before anything can be done. Is this true? are there exercises or other things I can do to help prevent this? Should it be affecting my ability to perform sexually? I am 46 yr old, Caucasian male, 6 1 , 255 lbs, w/ good health history otherwise other than elevated blood pressure and cholesterol . I work as a corrections officer and wear a duty belt if that is relevant.", "output": "Hello, pirate, From your description, it appears you have a gap between two portions of the abdominal muscle called the Rectus muscle. What is happening is, you have developed a condition called\"Variation Recto\" which is a kind of hernia that gets aggravated with any activitivity that increases intro abdominal pressure, like heavy coughing, sneezing or lifting weights, or build up of intestinal gas. An abdominal binder (Velcro) will be helpful when you do any exercises such as weight lifting or push-ups. In some cases, if the bulging from internal organs get stuck, that could create a problem and that is an indication for surgery. They can do a mesh repair. Sexual activity, again can make the hernia worse. But the abdominal binder should help. Hope this helps. I wish you well." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband inhaled clorox professional strength outdoor bleach for a period of 1hour. He started coughing profusely... So he stepped out for fresh air. After 5 hours, his throat is irritated and causes him to cough. Should he see a doctor or is there a home remedy to treat this.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Clorox fumes are very irritant in nature. On inhalation, it can cause inflammatory changes in throat, trachea and lungs. 1 hour exposure to these fumes is not very serious. But this can lead to bronchitis in some cases. At present, no need to worry about bronchitis in your husbands case, but if coughing worsens, or he develops breathlessness then immediately consult pulmonologist to rule out bronchitis. Ask him to avoid stress and tension, be relaxed and calm. Take deep inhalation of fresh air. Start oral anti-inflammatory Chat Doctor. He will mostly improve in 1-2 days. If not improving then immediately consult pulmonologist. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "dad has end stage pancreatic cancer..urine now turned orange. he is on rifampin fro itching (bilirubin), but has been on it for weeks. Is the urine orange because the tumor blocking the bile duct? or maybe from chronic rifampin use? Just wondering if this is a sign of the end nearing or if it was from med", "output": "Hi, dairy have gone through your question. I can understand your concern. Orange color of urine is due to chronic use of rifampicin. Bile duct obstruction may be a cause. It causes obstructive jaundice and high conjugated bilirubin excreted via urine causing orange color. You should go for ultrasound abdomen or ct scan abdomen to rule out bile duct obstruction. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been experiencing horrible back pain at night time and I did go to urgent care yesterday to see if I had a UTI but it came up negative so I m not really sure what it is and it s getting really bad I ve been experiencing also night sweats and I accidentally Peed myself last night and when I woke up I Felt very very weak like someone you had just pushed me down really hard", "output": "Dear patient. Thank you for the question. Let me start by saying that the main reason for your night sweats and loss of bladder control with back pain is nerve impingement. While there are a number of causes of nerve impingement the most common is acute spondylosis where the jelly between your vertebrae protrudes/herniates out. Other causes could be1) Caudal equine syn Chat Doctor. In the meantime to decrease symptoms I suggest ibuprofen 800\u00a0mg twice a day" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "On this past Wednesday I could not move my legs. I had to call 911 and the emts took me to our hometown hospital and then I was transferred out to Chattanooga but the finally said i have herniated disc in neck and back and i had a disc compressed on the nerve and i had no use of my legs. I am in horrible pain days and especially nights that I am actually crying when the pain is that bad. Can I be fixed?", "output": "Hello, Thank you for using Chat Doctor. I read your question and understood your concern. I think you have done the MRI of the spine, and it shows the herniated disc that you mentioned. Since you are in a lot of pain, and you could not move the leg which means the nerve is compressed from the disc, then I think that you should discuss with your doctor for surgical treatment as the next step of treatment. Wish you quick recovery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have hypertension. I have been taking amlodipine/benazepril (Lotrel) for years. This year my insurance changed, and this medications cost jumped up high. So my doctor changed it to amlodipine besylate 5mg tab and losartan potassium 50mg tab separately to reduce the cost.My question: will there be much difference between the two? and will the new med be better or worse?", "output": "Hi, There is not much difference in two treatment regimens. In second regimen amlodipine is continued separately and benazepril is replaced by locating. Though Benadryl (Angiotensin converting enzyme inhibitor) and losartan(Angiotensin receptor blocker) are of different classes, but mode of action, potency in reducing blood pressure, effects on kidney are almost same. Safety profile of two regimens is also same. Other important factors that may help you - 1) Salt restricted diet. 2) Intake of fruits and green leafy vegetables. 3) Regular checking of blood pressure, lipid profile, blood sugar levels and keep them under control." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir i am using foracort inhaler 200. can it cause hands shivering after taking it through mac spacer my heart beats (i think) increases & my hands starts shivering. i take twice at morning & in the night", "output": "Hello;welcome to Chat Doctor Yes you are right in saying that you have tremors or shivering of hands and increased heart beat. The reason is you are taking a combination of Foretell+Budesonide where foretell is a bronchodilator and budesonide is a steroid. The problem you have is due to Foretell and the common side effects are headache;tremors;FM like symptoms;dizziness;palpitations;increase in heart and pulse rate;nausea;muscle cramps etc. Please consult your doctor, and he may either reduce the dose or shift to some other medicine. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I m Sheryll, 32 yrs old i was diagnosed bilateral polycystic ovary . I ve tried pills for 5 months to regulate my menstrual cycle but on the 8th month my cycle becomes abnormal. I tried pregnancy test but the result is negative & I was advised to undergo Transvaginal Ultrasound again but still i have PCOS. I also tried taking Metformin but still no effect. I am desperate now. Does a person diagnosed to have PCOS wont get pregnant? Pls help me & enlighten me... Thanks...", "output": "Hello Sheryl, Thank you for your query. People diagnosed with PCs will face difficulty in conceiving, but it is not impossible. You need to consult a proper infertility specialist. Diet and weight loss with regular exercise is the backbone of therapy for PCs. Moreover, just taking Metformin might not help you conceive. You might require the help of medications which help you ovulate. Also, you should not waste further time, but consult a Fertility specialist for adequate treatment. Since you are 32, do not waste more timetable care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HiI have a couple of spots of dry skin that are starting to concern me. The largest spot is about 2 inches in diameter on my left leg. It is over an old childhood scar from an injury that caused a dent or missing bone in my femur. I have a couple of other dry spots on the same leg and one on the other leg. The other spots are only about a 1/2 inch in diameter. There is also dry skin on my hip bone, right around my jeans waistline. All of these spots are incredibly itchy and scaly, but do not have any puss visible. Itching inflames the skin. My back is also very dry and occasionally itches. A cream with cortizone calms the itching, but it concerns me that the skin hasnt healed in over a month. Im not sure if the location of the main spot is of any importance. I have not seen a doctor for this. It seems different than eczema, but I am not sure. I have not started any new medications and not made any changes in my diet. I do not take any medication regularly. I have been told that I am anemic, but am not on any medical regime.", "output": "Hello and welcome to Chat Doctor, I read your query and understood your concern about the itching spots. It is very difficult to make a diagnosis without a picture, but your description points towards psoriasis. Around the jeans' waist line psoriasis like lesions are commonly seen due to phenomena called owners. Cortisone is a topical steroid commonly used to relieve symptoms of itching. I'd suggest you to continue it. Apply a lot of moisturizers over the skin when the skin is still damp after a wash/ bath. Consult a dermatologist as soon as possible to assess the severity of existing lesions and directing on the proper treatment modality." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "have flu like symtoms, with acheing all over body. Coughing, whezzing, running nose. Left ear stopped up like Im in a tunnel, and my eyes are running, red, and swollen with alot of pain. I have also been running a fever od 102 now for a week. What can I take to get rid of this yuck?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of post infectious bronchitis is more. It is common after viral upper respiratory tract infection. Your symptoms like coughing, wheezing, breaking etc. are due to bronchitis. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT will also tell you about severity of the disease and treatment of bronchitis is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS). Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have just been referred to an ENT because of dizziness and I looked him up to get directions to his office. What I found that there are only two good reviews and I hate to tell you how many bad ones. My question - will it be a problem to phone my GP and get a different referral?", "output": "Hello, Dizziness is a fairly common problem, and it depends on various factors too. Also associated factors play a role in determining the location of the pathology. It can be caused both by abnormalities in Inner ear or Cardiovascular system. My suggestion would be to consult your nearest Doctor in Medicine, MD or a General practitioner and rule out any Cardiovascular cause before consulting an ENT specialist." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Not sure if I should be concerned. I was dizzy, tired and while I was laying my heart rate was 120 My oxygen level was fine however I felt out of breath. I took a couple aspiren and now I am feeling better. The part that had me concerned I could \"Hear\" my heart beat.", "output": "Hi, Thanks for your question. After going through your question, I want to know-1) Your age and gender.2) Presence of Diabetes, Heart disease, Blood pressure and cholesterol problem and if present treatment for it.3) Habits like smoking.4) Any associated symptoms like fever, vomiting, loose motions. Whatever the symptoms you have mentioned is called as palpitation. There are following causes for it-1) Cardiac arrhythmia : Abnormal electrical activity of heart. It may be due to heart disease electrolyte abnormalities, Degenerative changes in conduction system of heart. 2) Postural hypotension : fall in blood pressure on standing may cause similar symptoms. It may be due to medicine for blood pressure or due to autonomic neuropathy or severe deny Chat Doctor. Other causes of palpitations which are unlikely in your case are-1) TIA (Transient Ischemic Attack) : Transient decreases in blood supply to brain due to occlusion in blood vessels may cause similar complaints. 2) Hypoglycemia : (low blood sugar) this is possible in patient with diabetes on treatment. In such cases, There may be need for - 1) Detailed clinical Examination. 2) ECG, electrophysiologist study of heart, Holders monitoring, 2DEcho of heart. 3) Blood tests : Complete blood count, kidney and liver function tests, serum calcium, magnesium. 4) Brain imaging with angiography. Hope this helps you, if so do vote." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I felt lightheadeness and fainted--and was, infact, unconscious for about a minute or so while doing exercise over three weeks ago. I did all the necessary tests, including my blood pressure , sugar, and heart. I was told all tests were fine--so I don t have to worry. I decided to see a neurologist just to be certain. He told me I have no neurolgical problem, but should take an EEG test and Brain scan, which I did. My brain scan was normal; but was told that my EEG shows some signs of epilepsy . I was then advised to take the medication for epilepsy if I get similar symptoms in the future. By the way, I also went to an ENT especialist--eventhough he didn t think I have an apparnt vertigo symptoms--he still prescribed medication for vertigo. I have been taken the medication for the past ten days. What should I do next? Should I wait for few weeks and take an EEG test again? Or do something now. By the way, this is the first time I felt these symptoms. And I am in my late fifities.", "output": "Hello Welcome to Chat Doctor Sudden onset lightheadedness, fainting attack, loss of consciousness etc. should not be ignored. This may happen because of Epilepsy, Syncope attack or some vertigo. But as every blood investigation is normal, BP, ENT and heart is also normal, so possibility of epilepsy is high. Even neurologist has confirmed epileptiform discharges on EEG, so this episode was definitely due to Epilepsy. Repeating EEG may or may not detect epilepsy as it is most useful during episode only. I advise you to visit your neurologist for opinion. As he has asked you to wait for next episode then you can wait. But you have to take precautions as-- Try to avoid bright lights, loud sounds.- Fix your time to sleep, never remain awake late night.- Avoid taking alcohol for now.- Visit your neurologist if problem occurs again Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I have questions ragarding ache or itchy pain in the lower abodomen top of my right testicle. It hasnt gotten worse but it hasnt gotten better. It feels like my vas deferans is swollen, no pain during ejaculation or urination but it seems to agrevate the feelings for a day after", "output": "HelloThanks for query. Pain in lower abdomen and testicle cis most likely to be due to infection of Epididymis (Epididymitis) However diagnosis can be confirmed only on clinical examination by either General Surgeon or Urologist, and doing Ultrasound scanning of Scrotum and abdomen. In the meanwhile start taking antibiotic like Augmenting and anti-inflammatory medication Diclofenac twice daily. Ensure to Chat Doctor. This should work and give relief from pain." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "glad to. Most of the time I experience thoughts that bother me. I find them distractive and troublesome. From out of nowhere, I find myself wondering what women that I encounter in social situations, both young and older, would look like in or out of their underwear. I know this is pointless as I am a diabetic and could not act on any of the thoughts, but the thoughts/distractions are there anyway. Also, I find myself keying on peripheral details like details in movies that have nothing to do with the plot. eg: the number of rungs on a fence, or the numbers in an address etc.I have difficulty finishing projects though I start well. Often, I am not satisfied with my results. Any ideas?", "output": "Hi, I read your query and can understand your distress associated with your condition. The repeated thoughts that you are having are suggestive of obsessions, and it is likely that you are suffering from Obsessive Compulsive disorder. In addition, you concern for excessive details and wanting to do things perfectly, not being satisfied with end results is suggestive of anaplastic personality traits, I would suggest that you seek a psychiatric consultation for detailed evaluation and initiating treatment. Medications like Fluoxetine will be helpful in controlling the repeated thoughts. In addition, you can consider cognitive behavior therapy as an option for both obsessive compulsive disorder and correcting the personality traits which is leading to distress. You can discuss regarding the same with your psychiatrist. Hope this information was helpful. Best wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor, am 20 years old, am having a big problem with my skin, am a dark girl but my thighs are full of dry patches, pigments i would say, that turn to white when sratched.They dont itch in any way but make me feel uncomfortable. They normally tend to reduce when i use an anti-dry cream but eventually come back when usage is stopped. Please help me out in anyway and give me a solution that will help me get rid of them entirely so i can have a smooth skin thruoughout. My other body parts are very smooth with no pigments, no acne.Thank you very much", "output": "Hello, Welcome to Chat Doctor. Do you have a family history of similar lesions? From your description, it sounds like severe Chat Doctor. The medical term used is necrosis. You have to continue using moisturizers and body butters. Apply them within 3 minutes after a shower on damp skin to seal in the moisture. You could consult a dermatologist who could rule out eczema. Hope this helped. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "broken finger I am a 46 year old male. I broke the tip of my right middle finger bone all the way across. When I went to urgent care at the beginning of May, they took an xray. I went to an orthopedic surgeon right away afterwards where the doctor applied a splint. I was supposed to keep it on for 6 weeks, but it was way too difficult, so I made another appointment. The same doctor removed the splint and recommended surgery to pin the bones together through my finger. It would take about an hour and I d be knocked out. I decided to get a second opinion and scheduled an appointment with a more senior doctor in the same practice. He reviewed another xray of the finger and gave me his take on the situation. His conclusion was that if this were him, he would not have the surgery. So, now after around two months since the injury, I m still in pain. My finger is still swollen and it is bent and slightly deformed. Every time I use this finger it hurts. Every day there s pain because anything I do with my hand involves putting pressure on the wound. The doctor s suggestion was to flex the tip of my finger, holding the majority of the finger, allowing the tip to be exercised. At work I just irritate the injury by typing the keyboard of my computer. Every time I write, open a door, lift my son, grab items, use silverware, tie a shoe, etc. it becomes painful. I don t know how to alleviate the pain and stop the swelling. What can I do? How can I prevent permanent damage? Should I see another doctor? Should I just accept the fact that it s never going to heal properly and the pain will continue? What other options do I have? I m tired of the non-stop dilemma I face consistently. Please help!! Thanks for any help you can provide!", "output": "Hello, As the history indicates there will be an avulsion fracture of the phalanges for which the splint was advised. As in most cases, the bone heals with the immobilization and doesn't need surgery. In case if the patient insists more for other options than surgery is guided. But as per my clinical practice of over 12 years, most of the cases with a fracture to phalanges have to be resolved well with conservative management. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, i have mild fever from two days with red rashes all over the body which on touching feels hot.the atmospheric temp. of this place is 42c. i am having crocin with tetracyclin and cetzinebut no improvement. i have not consulted any doctor yet. i am worried as a friend of mine told me it may be because of kidney disorder.once i had heat stroke on 14th june 2004, after which only i discovered itching which continues every summer when i consulted doctorhe adviced me to go for cetzine . which i was taking every 3-4 days but now its severe.", "output": "HI, thanks for using Chat Doctor Kidney disorder is not one of the most common cause for your symptoms. Viral illnesses are commonly associated with rash. With your history of fever, it is possible that you are experiencing a viral illness with a rash. There are a number of different viral illnesses that can be associated with rash such as (1) some cases of the common cold (2) dengue (3) there are also others that can be seen You should consider visiting your doctor for an assessment. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son of 43yrs old home on leave has been described with a chest infection and prescribed with penicillon and an inhaler with ventolin is not improving after 4 days prescribed by nurse at walk in centre in Blackpool has not been out of house and his cough is horrendous says its worse. What now take him back?", "output": "Thanks for your question on Chat Doctor. I can understand your sons situation and problem. In my opinion, you should consult pulmonologist for him and get done 1. Clinical examination of respiratory system. 2. Chest x-ray 3. Sputum culture and sensitivity. Chest x-ray needed for the diagnosis of lung Infection. Since he is not improving with penicillin, better to start antibiotic according to culture and sensitivity report. Sputum culture will isolate the causative organism and sensitivity report will guide about the effective antibiotic therapy. So by this, we can avoid haphazard use of antibiotics. As haphazard use of antibiotics can cause delayed recovery and increase chances of Chat Doctor. So better to consult pulmonologist and start appropriate antibiotic treatment." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Iam a male.While Iam in 12 years old from being Iam doing masterbution.Now I want to get for marrige.but having fear.during 40 seconds sex out.How can I control my wife.pls give me suggestion.whats the way I can removed my bad habit & increase the duration.where is my query answer.pls reply to me?", "output": "Hi, You can practice more yoga and meditation for your excess masturbation problem. I suggest you watch less porn videos if applicable for you. The premature ejaculation problem is commonly due to performance anxiety for the initial few sexual acts. If after few sexual intercourses it persists then you can apply topical Lidocaine jelly over penis after erection to delay ejaculation. If you have excess anxiety history than fluoxetine can be prescribed for you. You need to learn when to slow down sexual stimulus during sex. You can take help of psychiatrist or sexologist if needed. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my daughter had what looked like a second tongue but after some research I have found out that it is the epiglottis. She has been drooling a lot lately not sure if it could be from that or teething and also she has been very unhappy and was wondering if I should take her to our gp or if it is normal? Thank you", "output": "Hi, Welcome to Chat Doctor, I had gone through your question and understand your concerns. Epiglottis can be seen in some, epiglottis is acute inflammation, it's an emergency, with severe pain and fever, requires admission, antibiotic and oxygen. I do not feel its epiglottis. Anyway, visit an ENT surgeon for proper evaluation and treatment. Hope, I have answered your query, all the best, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi - I fell down stairs on Saturday and landed on my lower back. It has hurt since, with mixture of numbness. I went to the emergency room on Sunday and after xrays it was diagnosed as a sprain. The numbness is starting to subside, and now I have very sharp pains that radiate ONLY when I touch the area. Other times, just a dull pain. I have been taking Motrin (perscription level) and icing it. BUT, I do sit at a desk most the work day. Is there anything potentially serious with the sharp pain?", "output": "Hello, I read carefully your query and understand your concern. The symptoms seem to be related to a fall. I recommend doing gentle stretching exercises. I also recommend using anti-inflammatory medications such as Acetaminophen to relieve the pain. If the symptoms continue, you should consult a neurologist and get evaluated. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards! Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi My adult granddaughter was just diagnosed with whooping cough. She got it from her son who was diagnosed by the Dr. He had the vaccine last year. He is now 6. She said her Dr told her she can go out into the public once her fever comes down. She has been on her antibiotics one or two days. I am just concerned that she is still contagious.", "output": "Hello, whooping cough is very contagious and transmission may occur even three weeks after the first symptoms. The antibiotics may reduce the risk for transmission but sometimes they don't! When the temperature is normal for at least 24 hours (without paracetamol-acetaminophen-ibuprofen or other Chat Doctor. At least 5 days with an appropriate antibiotic regimen should have been completed before considering to with" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 11 years old daughter complains she feels weak and agitated and begins to cry almost every other day. Time to time complains about breathing problem. We have had her checked for asthma and other but no result. She is not worried about anything. She is a Beta-Thalassemia carrier and her mother diabetic. Confused!", "output": "Hi, please get a complete blood count, urine routine test and a random blood sugar test done for the child if these tests have not been done before. Tiredness may be due to anemia or blood sugar related issues, so these have to be ruled out. A spirometry test may also be done to test for lung function. You may also get a test called TSH done which is a screening test for thyroid function. Is the children height and weight OK. Based on the above I could give you a more comprehensive opinion. How is the school environment and academic performance of the child. Are there any issues at school that are distressing?. Child Chat Doctor. You may have a friendly discussion to explore if there are academic or interpersonal issues at school or home. Please post the test results here so that I may assist you with more information. Warmest regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi..my aunts both kidneys hv reduced from their original size, docs hv suggested her to go for dialysis, but she is scared for it after affects..can anyone plz suggest any solution. My uncle wants to take her to vellore, but he has no clear idea to move forward", "output": "Hi. Thanks for asking on Chat Doctor. In my opinion your patient is suffering from small contracted kidney which is associated with chronic renal failure. Since kidneys are involved in removing metabolic waste products from the body like urea and maintaining electrolyte balance, it is imperative to maintain such detoxification by dialysis where the function of the kidney is taken over by dialysis machine. If dialysis is not undertaken the wastes in the blood can rise to alarming levels and affect various organs of the body and can cause coma by affecting the brain. The side effects are not of dialysis but actually of kidney failure. So please go ahead. Creatinine above 6 is an indication for immediate dialysis. Hope it helped." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor My father is having UTI with Klebisella Pneumoniae bacteria for almost 2 weeks. I have been on Co-trimoxazole tablets and Nitrofurantoin tablets for last 4 days but of no use as I still get fever in evening which goes away by morning. Please advice", "output": "Hi, Welcome to Chat Doctor! Sorry to hear about your fathers' health.First, I'd advice to complete the course of the antibiotic that he is taking. Don't change in between as it is this practice which gives rise to resistant strains which become very difficult to treat then. After you have completed the full course and if there is no recovery, he may be started on:1. Beta-lactams, including penicillin and cephalosporins (for example, Amoxicillin, Augmenting, Reflex, UNICEF, Certain, Lora bid, Rocephin, Cephalexin, Supra, and others).2. Aminoglycosides (for example, gentamicin, niacin, and tobramycin) usually used in combination with other antibiotics to combat severe Otis. You can help reduce the discomfort by taking the following steps:1. Follow your health-care providers treatment recommendations.2. Finish all antibiotic medication even if you are feeling better before the medication is gone.3. Take a pain-relieving medication.4. Use a hot-water bottle to ease pain.5. Chat Doctor. 6. Avoid coffee, alcohol, and spicy foods, all of which irritate the bladder.7. Quit smoking. Smoking irritates the bladder and is known to cause bladder cancer. Hope this information helps. Feel free to ask if you have any other doubt. Wishing your father a speedy recovery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i have got married in 2010 nd befor my marriage i used to have irregular periods nd even now i have taken so many tablets nd injection for 6months it resulted me a cyst in right ovary then i used novelon for 2 months now everything is ok but i want to get pregnant nd my doctor gave me siphene nd lynoral 0.01mg nd folic acid tablets,can u tell me by using these tablets i can concieve this month?please tell me", "output": "Hi, siphene contains camphene citrate which will help in induction of ovulation in case of ovulatory disorders and irregular periods, folic acid will help in the fertility and also for the brain development of baby if pregnancy occurs, but the chance of getting pregnancy with one cycle of treatment is around 35 to 50%,if you trace ovulation and plan intercourse around that time then there will be more possibility for pregnancy. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello, My daughter is 2 years and 9 months. This year she has been suggested to many nasal infections which later revealed that her adenoids got bigger. the pediatrician recommended Nasonex spray every morning and Aerius syrup for allergies every night. I always seem to notice that she breathes through her mouth (i can hear her breathing when she is next to me), she drools (sometimes during the day but mostly at night) and her cough is still present. Add to that, I see her rubbing her eyes and she has puffy eyes especially in the morning (which proves that she does have allergies). How long should we undergo the treatment to feel the difference? Should we seek an ENT specialist for further investigations or just give it time since no complications are there? Thank God she is growing as she should, she eats well and plays also but some phoenics when she speaks are not very clear, and sometimes she stops in the middle of the word to breathe", "output": "Hi, thank you for choosing Chat Doctor. Your child is having adenoids which are causing obstructive symptoms. How is your child in mornings, is she hyperactive or excessive sleepy?, if so she is not getting enough sleep in night because of the obstruction, and also she is having symptoms in night, so its better you consult ENT specialist to look for the degree of obstruction. The adenoids grow till they are six years old and slowly regress, but as your child is having obstruction she is a candidate for adenoidectomy for which its better you consult your ENT specialist. Hope this has been helpful to you, kindly feel free to contact again for any queries. Kindly rate the answer if so. Take care. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband has been under chemo treatments for 6 months now after colon cancer was found after obstruction and removal of colon and in the last 2 weeks he has not ate well been having trouble with dehydration and anxiety. The last 3 days are of him non-stop talking, from things he wants to do to god knows what. Not a person can get a word in and if you try he will walk away and get sick.... I told him it was like dealing with a spoiled rude baby... he just kept on talking about the sewer system. Is this a sign the cancer has spread to his brain - He said he will not go back to the Dr. cause the chemo is the problem.", "output": "Hi, Thanks for writing in. Cancer is a difficult condition to treat and depends on the individual case. Your husband had a surgery followed by chemotherapy that has been on for last 6 months. It is possible that due to side effects of chemotherapy he is unable to have a good meal because of lack of appetite. Along with inability to eat there is also decreased liquid and water intake in many people on treatment with chemotherapy. In this situation you must see that he has an adequate fluid intake of 2.5 liters every day to keep his HY Chat Doctor. Since a colon cancer can cause liver spread in half of the patients therefore complete follow up is required and ultrasound scans and CT scan might help. Regarding his talking irrelevantly, it is important to know if his serum electrolytes are normal as you have said about his possibility of deny" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a neck fusion c5 6 7 in 2011. I am still experiencing pain in my right arm. Tingling andnow my left arm is tingling and my neck feels like its being shocked or hundreds of needles being pocked. Im extremely tired and this is really taking a toll on me. Any suggestions?", "output": "Hi, I value your concern, and empathize with the fact that you still have pain, despite fusion surgery, but let us face it, fusion at one level does not do anything to prevent other disc from herniating. Now what prevents, its strong muscles and good lifestyle. Second despite fusion nerve can show compression due to degeneration changes, which will need repeat surgery, consult a good spine surgeon." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Female 10 yrs old c/o right side pain x 4 days. Checked by blood work ultrasound and urine test which all came back normal. Still c/o pain in right side increases with activity also c/o of back pain just recently Pt stated the pain didn t increase since it first start but more frequent. When at rest rates what she says 2-3/10 Normal activity rates 5 and exercise rates it at a 8. Just confused and wondering what this could be", "output": "Hi, If the urine test of your daughter was normal; then, the pain on her right side could be: - bowel problems (constipation, parasitic infections)- liver/gallbladder problems (sludge, stones, etc.)- appendicitis (chronic)- cyst in ovaries or maturity of the ovaries for the periods suggest to : - consult a GI specialist to rule out GI problems-consult OG specialist to rule out ovary problems-do examination of feces for ova/parasite sin order to define the right treatment. All the best! Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had laproscopic gall bladder surgery over two years ago. There was constant pain under my right rib. I went to PT and when she touched the area there was a big pop. I thought there may have been some attachment to the rib. However today I still feel light pain in that area. If I move in the wrong way, the pain is sharp. Doctor couldnt find anything, but something isnt right.", "output": "Hello, Thanks for the query to Chat Doctor. Forum. If I were your treating doctor for this case of severe pain on the right rib area, I would come up with 3 possibilities, This includes,1 The first possibility is of liver enlargement or infection in liver. Can be confirmed by ultrasound of liver. Consult a physician and get his opinion. 2 Since pain is from last two years, so may be due to thickened pleura or fluid in pleura, so for this get in a X-ray of chest. Physician will examine it, if disease present get s treatment. 3 Disease in the inter coastal ribs or space, again physician will find out exact reason after physical examination. Since 2 years back, you were operated for gallbladder surgery so most probable cause may be liver involvement. Physician will help. Good luck. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 8 year old grandson was jumping rope in school when he got a headache and subsequently couldn t see the words on the page. Is this a migraine. The doctors were concerned because he was jumping rope when it began, and they want him to see a neurologist as soon as possible.", "output": "Hi... Thank you for consulting in Chat Doctor. Headache in kids need to be considered serious only when the below symptoms are there - 1. Vomiting continuously2. Seizures/ Fits3. Watery of bloody discharge from ears and nose4. Unconsciousness5. Altered sensorial or behavior. Without the above red flag symptoms, just feeling low energy levels points out towards Migraine and other sorts of tension headaches which are on the rise in current scenario due to excessive academic and peer stress the kids are experiencing. I have a few questions for you -1. How long has the headache been there?2. Does it always occur on forehead or keeps changing?3. Is it associated with blurring of eyes or double vision or giddiness?4. Is there any family history of migraine or single side headache?5. Is he very angry when he gets headache and does the ache get better after a good sleep?6. Does he vomit when there is headache? Kindly get back to me with the answers to above questions and also mention his weight so that I can suggest you the formulations which are good. But as of now - you can give oral Paracetamol in the dose of 15\u00a0mg/kg/dose(max ceiling dose 500\u00a0mg) every 4-6th hourly. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,I am 32 years old and I am having allergic Asthma for the past 15 years. My Asthma gets triggerred mostly due to food and/or environment. Most of the time it starts with a lower respiratory infection and I would need to take antibiotics like Levoday 500mg to control it. Oflate I have seen this happening once in every 2 months. Many times I notice that whenever I have a sweet lassy (sweet yogurt) the infection happens within no time. Why does this happen?", "output": "Hi, It seems that you might be having allergic asthmatic bronchitis giving rise this problem. Try to identify the allergen causing this problem and avoid them. Pollen bodies, scent, spray, cosmetics and atmosphere can cause this problem. Take respiratory antihistamine like Monte LC tablet for 2-3 weeks. Do deep breathing exercise daily. When you get attack, take nebulizer or Stalin inhaler. Ok and take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doctor good morning. I was bitten by well-vaccinated dog yesterday morning.I was wearing jeans at that time.The bite left the area swollen and sore and left a tooth mark (a break in the skin but no bleeding) This morning there is a bruise in a ring shape around the tooth mark. Should I be worried. Do i need to have any vaccination", "output": "Hello, Welcome to Chat Doctor. Thanks for writing. I am Chat Doctor. I have read your question completely, I understand your concern and will try to help you in the best way possible. The post Exposure Prophylaxis of rabies depend upon the degree of exposure, and the prophylactic measures may vary from simple antirabies vaccines to the use of passive immunity, in the form of anti-rabies serum or immunoglobulins, but since rabies is a potentially fatal disease and its post exposure vaccination have shown to be having almost 99.9% efficacy, so normally doctors don't recommend taking chances, so even for trivial scratches the vaccinations are suggested quite often. But in your case, since dog is well vaccinated, and since you know the vaccination status of the dog, then it must be, a pet dog likely. So it would be still encouraging if you reconfirm the exact booster dosages and whether the vaccines schedule was followed, as per protocol. If dog is available, it can be examined by a vet to reconfirm whether it has any signs and symptoms of rabies? Also, the history that, whether it was a provoked bite or spontaneously unprovoked incidence is very important, in case of stray dogs mostly. The kind of wound you inflicted is a category 2 wound, which needs rabies vaccination normally, without any need of antirabies serum. But since dog is well vaccinated as you have described\u2019t hen need of vaccination declines. I would still suggest you, that even if there is a little of ambiguity, regarding the dogs' status, you can start anti rabies vaccination according to regular schedule of day 0,3,7 and 21. And meanwhile god can be kept under monitoring. If the dog doesn't show any kind of symptoms in 10 days, then the vaccination can be stopped. I hope this answered your question. If you have more queries I am happy to answer.Otherwise, rate and close the discussionRegrads." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "light headed and dizzy after wisdom tooth removed, I have had benign positional verdigo before but not recently. not much pain or swelling feel good except for dizziness. I am taking antibiotic, which I have had before with no problems and taking Ibuprofin for light pain.", "output": "Hellothnx for your query. Feeling dizziness can occur after some surgical procedure.It's not much of a thing to worry about as long as you don't have any other complication. Take the antibiotic course properlyRinse your mouth with warm saline mouthwash. Chat Doctor. Take a proper nutritious diet multivitamins and iron folic acid tablets can also be taken. Mostly the symptoms goes away in a week. Wishing for your speedy recoveryRegards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,I am on yaz birh control pills and have never missed a pill or taken one late. However I was on apo-clindamycin (300mg). I had sex 5 days after being off of the antiobiotics. He did not ejuculate at all, however I understand that precum may contain sperm but I am pretty sure he urinated prior to having sex. Should I be worried about being pregnant?Thank You", "output": "Hi there, I have understood your concern. I will suggest you the best possible treatment options. As you have mentioned that you were quite regularly taking the birth control pills, you need not worry about the pregnancy. Your concern about consumption of antibiotics is also right. But taking antibiotics for 5 days should not interfere with the action of oral contraceptive pills. So please wait for the expected date of the cycle. I hope this answer helps you. Thanks Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Five days ago I slipped on a tile floor and landed on my back hard. It knocked the wind out of me. I also hit my head. Had my back x rayed no new injury. The stiffness is improving but now I have sharp pain in my chest right side front if I stand or sit long. If I lay on my back I feel fine. Any ideas???", "output": "Howell come to ChatDoctorBecause of the fall chances of soft tissue injury may be likely particularly in rib area and this could take little more time to come around, and for the pain you can try the medicines given below.1) Tab Diclofenac 50 mg sustain release2) Tab Chlorzoxazone once in day3) Tab Acetaminophen 500 mg once in day You can have this medicine at the time of pain and no need to take this without the pain, hope this information helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi i am 21 years old, i weigh 54kgs and my height is 5 3. I used to be very fair when i ws young, but after the age of 5, i started getting tan and my complexion is very dull now , is there any way to get my complexion back as in a fairness treatment ??", "output": "Hello, Thank you for posting on Chat Doctor. Generally, in my patients of sun tanning I would advise then to get series of microdermabrasion followed by chemical peeling. Microdermabrasion is a procedure that removes the superficial layers of skin, and it is done with a help of machine. Then after a week or same day itself I would carry out another procedure called chemical peeling. Chemical peeling is again a similar procedure where superficial layers of skin is removed but here the effect is more profound, and it stimulates new skin generation in much better way thus giving you more youthful and radiant skin. Several options are available in chemical peels like glycolic acid, salicylic acid, TCA but my personal favorite is retinol peel or also known as Yellow peel. The rationale of combining this procedure is to get better and long-lasting effects. I am sure 6-8 sessions will bring out a pretty gratifying results. At home the results can be maintained with antioxidant tablets like Antonio HC once daily in morning (It can be safely taken for months together) and night application of cream containing mixture of glycolic acid, albumin and Comic acid. In morning, you can apply a good quality sunscreen with additional skin lightening ingredients (NIL TAN SPF). Use a good quality face wash like Fast face wash gel. Take plenty of fresh fruits and vegetables in your diet and indulge into regular exercise for healthy skin and body. Hope this was useful. Let me know if I can be of any more assistance. Thank you and take care, Chat Doctor. D Dermatology" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello . my shoulder feels like i have pulled it , same time as this caused me discomfort i found the tiniest lump just below my collarbone feels like a bruise when touched . its on the same side as my bad shoulder are these conected and what are they x", "output": "Hi, Dear,Thanks for your query to Chat Doctor virtual Clinic. I studied your query in all the details put forth by you. I understood your health concerns. Cause of the health problems you queried-There are many causes of the lump below your collar bone.It's sore to touch and is with history of pulled shoulderCause in your case-With the above data, you seem to suffer from--Coraco-clavicular ligamenta contusion with shoulder pull. The lump and the bruise are due to the shoulder pull causing coracoid trauma by the pull.-Possibility of coracoid fracture also needs to be ruled by X-ray of the shoulder part.-Other possibilities of acromioclavicular associated trauma needs to be ruled out, as it could be missed.Hence, would advise you to consult ER OrthoSurgeon, who would rule out other causes of such a lump and would help you out with the fist hand information. So take his Second Opinion, on the above suggestion, as he would advise you with fist hand clinical information. Hope this would resolve your query with full satisfaction. Welcome for any further query in this regard to ME by direct question at Chat Doctor. Write excellent review and hit thanks, to narrate your experience, which would improve my rating for many other visitors to Chat Doctor. Wishing you fast recovery. Have a good day. Chat Doctor. N. Senior Surgical Consultant. M.S. Genl-CVTS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m a 54 years I had surgery a week ago an I was there for 4 days , right after surgery they put these stockings/ socks on my feet an I felt like they were really bothering me. An now it is very painful to walk as my right foot hurts to the point I need a cane to walk", "output": "Hi, thank you for providing the brief history of you. As you mentioned the history you did not mention what surgery you have undergone. Also, to understand here is, the stockings are provided to avoid swelling of the lower limbs, i.e. legs. As due to lack of mobility post surgery with the age of 54 possibly hypertension, needs stockings to allow the proper venous return. Also, due to the lack of mobility which may lead to swelling may also, lead to Deep Vein thrombosis, so the stockings are just provided on a precaution. If you feel you can walk better and every hour, than you can discuss with your surgeon about not using the stockings. Also, based on the location where you have undergone the surgery will be important to understand here. You can take physical therapy for the foot and your pain will be reduced. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, iam 33yrs old and single... i am having pain i My both breast and doctor suggested my to have meprate 10mg 15days after my period start and have it for 10days twice a day... i just want to know whats the use of meprate and is there is any side effect for this meidicine? please help me on this", "output": "Hi, Me prate is a synthetic form of female hormone progesterone. It is found to be useful in the treatment of fibrotic breast disease as it reduces the pain and swelling before the periods. Its common side effects include spotting or breakthrough bleeding, vaginal itching or discharge, mood changes, and swelling of the limbs. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son just started coming up with red bumps and in the middle they have like a black dot ,not itching or bother him and just right now I saw he has a red bigger bump with white in it? What could it be I checked for bed bugs and we have no spiders or anything else that could of possibly bit him.", "output": "Hi.... By what you quote it seems like an insect bite allergy to me. But it could a;LSO be urticaria or simple skin allergy. You can use HY Chat Doctor. Most important thing to be remembered is that it has a propensity to recur (called as second crop) within 10-14 days. But, Skin and conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I ve been having anxiety for the past 7 months and recently I ve been getting mild headaches and weird sensations all over my head. I also get these weird feelings like numb-like waves that happen only for like 2 seconds. I also have tension around my neck and back/chest on the left side of my body. I really hope it s nothing really serious...", "output": "Earle understand your concerns went through your details. I suggest you not to worry much. I sincerely opine that these could be signs of anxiety and apprehension. These could arise out of obsession also. You had that disturbing sensation once. You expected it to happen again and tried. Then you started experiencing it as you were expecting it. Then your body brought the familiar symptom because you are expecting it. Then you started worrying that the symptom is coming again and again and expect it. Body brings it again as you are expecting it. You become worried and so on. That is obsession in simple terms. Ignore it and the problem vanishes. I sincerely think, you need expert medical / psychological advise. Please consult a psychologist. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Dr., I am humaida, suffering from authoritic problem since three year, feel very pain from back of the neck, some day when I feel much pain then only take medicine, So please tell me some proper solution to throw away this problem. regards humaida", "output": "HiT hank you for asking Chat Doctor. I have gone through your query. Your problem of pain on back of neck can be due to cervical spondylosis. An orthopedic examination followed by an X-ray can rule out this. I usually advise NSAIDs like diclofenac muscle relaxants like cyclobenzaprine and neurotrophic Chat Doctor. I also send them to physiotherapy along with this. Cervical collar application and cervical traction are helpful for this also. Hope this may help you. Let me know if you have any further queries. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "For many years I have been diagnosed with fibrocystic breast. I get mammograms each year but for the last few months I ve felt a new lump in my my right breast it feels different from my normal cyst it moves but it concerns me. I m on birthcontrol pills have been since I was 22 when I got married I m now 43 yrs old should I go to doctor?", "output": "Hi! Good evening. I am Chat Doctor answering your query. If I were your doctor, after a general and local physical examination of both side breasts, I would advise you for a FNAC (fine needle aspiration cytology) of the newly developed lump. Further management would depend on the cytological report of the FNAC. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have a lump on my back towards right side which gives me severe pain when i get evry tired because of over-exersion. What could it be. Have consulted doctors but all say it is lipoma. However, i have heard that Lipomas dont give pain. Request your advice on what could it be", "output": "Hello! Thank you for the query. Lipoma does not give pain indeed. However, in some cases if lipoma compresses nerves can give pain especially when lying down. The other possibility is that you have a debacles cyst. This lesion if infected will give pain and swelling. The best you can do at this point, is to have soft tissues' ultrasound done. This test can tell what kind of lesion you have. Hope this will help. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my husband has recently been diagnosed with bowel cancer, following an mri scan we were told that it has pread to both parts of the liver. We have been told that it is inoperable and he is due to start chemotherapy next week, 8 and a half weeks from initailly being told that he had a cancerous growth in his bowel. We have been given no prognosis, we were told that is not possible until his next ct scan after 3 months (4 cycles) of chemotherapy. Iamhaving a really hard time dealing with all the uncertainty and no matter how dire your answer I feel that I, at least, need a guideline as to what my husband s life expectancy may be? He is 53 years old around 20 stone in weight and is 6 foot 2 inches tall. No previous history of cancer", "output": "Hi, dairy have gone through your question. I can understand your concern. He has colon cancer with metastasis in liver. So it is already in stage 4 where surgery is not possible. Only treatment of choice is chemotherapy. And despite treatment prognosis is very poor. Sorry to say, but his life expectancy is not good. So consult your doctor and plan accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am 36+ and my wife is 37+.we are planning to have our 2nd baby.few nmonths back she had a mesuration dis order which is supposed to be normal from this month.i have not done the sperm count test of mine.should i do the test and if it is less ,will siphine M may help in this regard...", "output": "As a doctor I will advise you to not think of decreased sperm count on your own without any reason. Males are fertile till old age and can produce healthy offsprings. Your age is a very young age and if you do not have major health problems than you should plan your baby without thinking for any medications. Regarding the Chat Doctor. Even if all the above conditions are fulfilled you should get it prescribed from your doctor in correct dosage." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello,Three years ago; I had my wisdom teeth removed. I bled a lot and it was extremely painful for weeks. The surgeon had difficulties extracting them as they were big and werent growing in the right direction (too big for my mouth) some of my teeth began moving, re-adjusting into my mouth, creating a gap between two of the top back teeth whereas I lost the temporary bandage I had on the bottom back teeth. I had a check up a year or so later and everything was fine. But then, my jaw began making incredibly loud noises when I chewed, opened my mouth and often began to crack while the side would hurt a little but nothing major. I never had any real pain, just mainly my jaw cracking and making noises. Later again, my tooth began being more sensitive to cold, showing a deep hole where the bandage used to be. Until recently, the side of the tooth seemed to have weakened, being loose. One evening, I ran my tongue over it and it fell into my mouth. I didnt bleed, it didnt hurt or anything. The inside was a little darkened and the piece that broke wasnt big, shorter than a pinky nail. Now, it hurts a little and I looked into the mirror and the inside of the tooth is gone, leaving my flesh/gum bare... I think it is the sensation of having no tooth when I move my tongue or it being exposed like that that hurts, but it goes through phases... Sometimes it will, sometimes it wont. How can I stop it from being like this? It brings me more discomfort than pain, as if something was stuck when it isnt. I live in the country side and my car broke down, leaving me unable to travel far. The dentist near my house cant give me an appointment until mid-August... will it be okay until then? I feel it is already partially late but I have tried many times to get dentist appointments and with life getting in the way and all the waiting for appointments, moving out, exams, it was simply impossible. Could the tooth breaking be a result of it getting damaged when I got my wisdom teeth removed? Is it possible to fix the tooth so I can not lose it as it is my second molar. I know it may sound silly but I am really scared and one of my fears is to lose my teeth. Thanks for your kind response.", "output": "Hi. Welcome to Chat Doctor. I have gone through your query and can understand your health concerns. As per your explanation I have come to a conclusion that the second molar which is bothering you got fractured not due to any trauma but due to loss of bandage[filling] and infection leading to caries due to which the tooth got weakened and a part of it has got broken. Due to fracture of the tooth the inner portion of the tooth that is the inner dentin is exposed and the central portion of the tooth that is PULP which contains nerves and blood vessels has got a thinner covering on it now, so whenever you eat or Chat Doctor. . As per the symptoms I can evaluate that the tooth can be saved, but it needs treatment and consulting a dentist is needed. The dentist will take an x-ray and evaluate the condition of the tooth. In case if the Pup is not exposed and there is a considerable layer of dentin over the pulp then filling of the tooth with a permanent filling material followed by Capping of the tooth is the treatment to be done. In case if the pulp is exposed then the Root Canal Treatment has to be done and then the tooth has to be capped after 15 to 2O days. As of now if there is pain you can take Advil [Ibuprofen]. You should not wait and get appointment with a dentist soon as more the time will go off more will be the decay and there are chances that the tooth can fracture completely as well as there can be an outbreak of severe pain. Hope this information helps. If you find the answer helpful please give me a Five-Star Review and click on found the answer helpful as a token of appreciation. Thanks and regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello My mother is a very hard working women, few years after giving birth to my small brother she had her womb removed...eversince, she has experianced many problems It started with a vericose condition on her legs and since she was not treated in time, her problems have extended during the years... Now she suffers from - back pain - a continous pain from her back, down her thighs to her ankles -her ankles swell up on days she doesnt exercise - her joints ache and she cannot sleep to a side on the bed, if she does within 5-6 mins a unbearable pain arises so she sleeps straight and that causes backpain early in the morning - and recently she complains that she feels a tingly feeling on her legs ...she compares the feeling to mice running on her legs but from the inside We have consulted doctors but none of the medications have helped her ...i was hoping someone can explain to me what might be possible wrong with my mom. Note- my mom is overweight ...height 5 foot 9, weight 90 kg, age- will become 50 mid october Please do reply Melansha My email YYYY@YYYY", "output": "Hello, Your mother is perhaps suffering from osteoporosis, a condition of thinning of the bone material causing pain in the bones. This usually occurs after the menopause but in her case it might have started early owing to the hysterectomy. She might also be suffering from problems in her spine causing the pressure symptoms like tingling and pain. Pain in joints is usually due to arthritis and since she is overweight, it is common for joints to take the extra strain. She needs a complete orthopedic assessment and so, I advise you to take her to an orthopedic for treatment. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I went to the hospital day before yesterday for dehydration due to stomach flu. I am able to keep down water and gatorade and crackers and toast. 3 days ago I was sick from both ends(sorry for graphics) no more vomiting but diarrhea in the am today. I am continuing to have shortness of breath...is this normal? What should I do??", "output": "Respected user, HiT hanks for using Chat Doctor.come have evaluated your query thoroughly.* This is in relation with reflux of stomach acid due to stomach flu, electrolyte imbalance giving rise to short breath.* Recommendations for better recovery - Deep breathing exercises , YOGA-Remain ambulatory with walking in fresh air.- Avoid oily, spicy stuffs.- No smoking. Hope this will help you. Welcome for further doubts. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 21 year old female and my partner is 36 years old. We are trying for a baby but nothing has happened yet. Could this be down to a low sperm count? I have been pregnant before and had a termination. He has 2 children. So i know we can both concieve, but i think he may have a low sperm count, what is the best thing to do?", "output": "HelloInfertility may be due to many reasons. It is important to evaluate both partners. Besides clinical evaluation, both of you need routine investigations. It includes routine hologram, random blood sugar, liver and renal function test, urine RE/ME, thyroid profile, ultrasound of abdomen.Additionally, your husband may need semen analysis, and you may need follicular study. Hormone estimation may be advised after evaluation. Avoid alcohol and smoking. Wish you all the best. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here...my boyfriend usually has high blood pressure he went to play golf today almost passed out 3 times came home and blood pressure is 97/57 which is extremely low for him is this something we need to go to Dr or ER about?", "output": "Hello, thanks for posting a question on our site. I can understand your concern towards your boyfriends' health issues.- His blood pressure at 97/57 mmHg is a little low. Usually, hypotension is a blood pressure below 90/60 mmHg and most patients do not have complaints.- Hypotension can be caused by diseases like thyroid diseases, heart issues etc. Symptoms can worsen in event of deny Chat Doctor. - I advise that he goes to the hospital for full evaluation, to know what is causing his low blood pressure. Warm regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my aunt is having type 2 diabetes .above knee amputation was done last Saturday.now her urine out put is very low.she is on hemodialyz e once per 2days.can she recover from renal failure? please help us.yesterday her blood urea level was 108", "output": "Hi;welcome to Chat Doctor Diabetes is a disease which itself causes nephropathy (a degenerative condition) of kidneys leading to failure of kidneys but in your aunt case it could be acute renal shut down caused due to major surgery ;it is a common complication & cannot be avoided. Haemodialysis & other treatment going on is fine her blood Urea is 108 but the S. Creatinine is the main deciding factor you have not written the level of it. Presently it will be a wait & watch situation for you as well as the doctors. Once she stabilizes then maybe she can recover but prediction of recovery beforehand is not possible we have to take every day as it comes till she shows signs of recovery. Please let the treatment continue & hope for the best. Wish her a speedy recovery. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi... m 23 year old, n m having a lump in ma left breast.... doctors said its fibroadenosis.... hvng medicine since then but no relief.... fear dat it may not turn into adenoma.... can i get rid of it forever??? with or without surgery??? n if i go for surgery i fear dat i dnt get ny permanent deformity in ma breast", "output": "Hi. This is the most common worry a lady/ girl has. Well to simplify: fibroadenomas never transform into a fibroadenoma or cancer. This is for sure. Medicines never really work well to get you relief, if at all someone getting it, this indicates her body and stenosis getting adjusted to the hormonal levels and nothing else. Next point is it all depends upon:: the site / size and symptoms you have/ whether you are married or unmarried / I'd married what is your consciousness and your husbands' opinion/ If the lump is large enough to cause deformity on removal- it is a choice between the pain relief and psychological effect of no pain but a deformity if at all it occurs after removal. Now-a-days we do multiple incisions on the lump to relieve the edema that develops with hormonal changes during cycle to cause no or minimal pain. You must have noticed that if you are under stress, the pain is also more than usual. I hope I have tried to explain this to your satisfaction, please contact me/us if you have further query or explanations to the questions I asked." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 63 y/o and play lots of softball tournaments (sometimes 4-5 games per day). I seem to get leg cramps (usually the calf) not only playing ball, but at the gym and also in bed. What type of potassium and how much is required. Also, what type of magnesium and how much is required. Thank You Rich", "output": "I admire & appreciate your physical fitness to be able to play 4-5 games of football every day even at this age of 63 yrs. Muscle cramps is a multi etiology pathology. Not only Potassium & magnesium but vitamin E, co enzyme Q10 & other factors are involved. This treatment is being suggested on bases of the information provided. I would like to examine & investigate you in detail. Rule out Hypertension, Diabetes or any other metabolic disorder. Any way you may try---. Looking Plus (Mankind) [Diclofenac 100\u00a0mg +Paracetamol 350\u00a0mg] 1 tab. OD & SOS. X 5days.--. Calcified plus (Mankind) 1 tab OD x 10days.(You may need help of your local doctor to get these medicines.)--. Fomentation with warm water.--. Sleep on a hard bed with soft bedding.--. Use no pillow under the head.--. Avoid painful acts & activities.--. Cut down your physical activities for some time.--. Do mild exercises for Knee & Legs & Foot & ankle. --. Take a balanced diet rich in minerals & vitamins. --.(Take help of a physiotherapist or visit WWW. Chat Doctor. Com). Do not ignore, let it not become beginning of a major problem. Do ask for a detailed treatment plan. If no relief in 2-3 days, contact me again. (Through this platform.) Kindly make sure, there is no allergy to any of these medicines. (Contact family doctor, if needed). For emergency treatment visit the nearest hospital.-Hope I have answered your question, If you have any further question, I will be happy to help.-Kindly rate the answer.-Wish you a quick recovery & good Health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have got a very tiny white spot on my arm from about 1 month. I consulted 2 dermatologists and both said its hypo pigmentation because of some injury or mosquito bite. One has prescribed me melgain for a month twice a day and other for 15 days once at night. Can you guide me as to its usage", "output": "Hello and welcome to Chat Doctor, I read your query and understood your concern. Mel gain lotion is peptides that stimulate the formation of melanocytes. I advise the patient to apply Belgian at night for better compliance. There is no study that states twice a day application has better results. However, you may not see desired results in just 15 days. Results are usually seen in about 1-2 months. Continue applying it. Hope I helped." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am several different meds. Usually I won t try something without what the side effects are. I am bipolar at least that s what I m labeled. Along severe anxiety and manic depress. I still a lot of days wherebI freak out or blow over stupid things.. I ve always had a short fuse. How do I deal with a child whom refuses to take ADHD?", "output": "Hi. I understand your concern. Bipolar disorder has two different phase 1. Depression 2. Manic phase. Treatment depend upon type of bipolar disorder and its phase. Detail psychological evaluation and history will help to reach proper diagnosis. Mood swings are common and require stabilizing it with mood stabilizer like sodium valproate / lithium /olanzapine. Selection of medicines are depended upon clinical symptoms. Treatment will go long as it has episodic course. Consult psychiatrist and get help. Thank you. Get well soon." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i always have blood from vaginal from one year espacialy when i carry some thing and when i press on any thing ihave very low vitamin d and knee pain its difficult to me to go on the stairs i feel that the blood come from my back i dont bealeave there is nothing thats what the gb told me after he take the result for all tests my period is noramal and i dont have sexsual relation thank you", "output": "Hi I am Chat Doctor. . I think you may avoid overweight, heavy lifting, vigorous movements, use painkillers like Advil pills when needed, B12 supplements, hot massages with topical gels, avoid bending your legs, bad sitting or sleeping postures and wear a knee support will be effective. If pain persists I suggest X-rays and MRI for proper evaluation and management. Please click and consider a 5-star rating with some positive feedback if the information was helpful. Wish you good health, Any further clarifications feel free to ask." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a friend who is presenting with extreme happiness and excitement then goes to crying. He doesnt make sense when he talks and when he types he sounds like a kid whos so excited they tell all the different great parts of a story at once but still sticks to that one story. He was physically abused as a child but could this be more than suppressed emotions overwhelming him all at once? He did keep telling me he can finally feel again and feels amazing.", "output": "Degree understand your concernsYour friends diagnosis can be done only with the help of detailed case study comprising past events, traumatic events, family history and present details of problems he is facing. Primarily it appears to be mood swing, but it could be something more deep. As him to record the mood swings in a diary for a fortnight along with what caused it or what he did prior to that. Don't assume anything, no presumptions. Then consult a psychologist / psychotherapist. Wish speedy recovery" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Thanks Dr. Grief-----my sister is a non-smoker, never HAS been a smoker. She recently had a standard chest xray (AP and LAT) which was reported radiographically as hyperlucency with expanded lung fields but no focal airspace consolidation. I guess this is suggestive of emphysematous change. She does have a strong history of allergies. She is 53.....and in fairly good health otherwise. There is no indication of heart disease or kidney disease. OUESTION: would it be helpful to consider the pulmonary changes to be allergically mediated and treat accordingly ????", "output": "Thanks for your question on Chat Doctor. In my opinion it is nothing but age related changes. And if she is asymptotic than no need to worry at all. I advise you to get done Pulmonary Function Test (PFT) for the diagnosis of chronic bronchitis. If PFT shows obstructive pattern than and then your sister needs treatment. Otherwise, no need to treat emphysematous changes on chest x-ray. This can be a normal finding in some patients. So no need to worry much. Get done PFT." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello sir, my daughter 5.8 yrs old had cold and cough two days before, yesterday after noon she had fever, when we consult our doctor he gave combliflame suspension, vozet , cefixime 100mg. two doses is over. she is having tonslitis too. does this medication works for her.", "output": "Hello, I can understand your concern. Based on the symptoms of your daughter, the prescription given by the treating doctor seems to be adequate to eliminate the infection and getting relief in symptoms of cold and cough. When antibiotics are prescribed, it takes 24-48 hours for the medicines to reach the desired blood levels and show desired effects in the body. As the antibiotics are started from yesterday only, I would advise you that you wait one more day for them to work in the body and help with the infection. Till then, Coquitlam suspension will relieve in fever and other symptoms. If your daughter does not feel better after tomorrow, I recommend that you should consult the treating doctor again. I hope this information helps you. Thank you for choosing Chat Doctor. I wish your daughter feels better soon. Best," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "29 year old male, normal day to day activities, 59 175 lbs..no family known family history with hypertension, medical background is normal for age, surgery on broken foot. blood pressure is reading 136/90 at pharmacy...this is staying consistent. Normal diet. Is this something we should worry about?", "output": "136/90 is not a reading that should make you worry. Instead, you should be cautious and start taking precautions. I would have advised my patient to bring the blood pressure down to around 120/80. The measures include regular physical activity with cut down on sedentary activities, a well-balanced diet with reduced intake of salt and activities that reduces stress in life like meditation and others. I would follow up my patient for 6 months after lifestyle modifications. If the blood pressure remains the same despite intensive lifestyle modifications, I would suggest medications at that stage. Hope I have answered your concerns. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My kid is 2 1/2 years old, since yesterday evening suddenly he started vomiting and loose motion, even water also he is vomiting. I have taken him to pediatrician yesterday and he gave non metrogyl. but no effect till no. baby is passing motion like water.Pls help", "output": "Hello, Your baby is probably suffering from gastroenteritis resulting in diarrhea and vomiting. Most of the cases are due to viral infection. You will have to make sure that your baby doesn't get deny Chat Doctor. Continue ORS solution and feed as frequently as possible.ORS is the most important part of treatment. For vomiting, you may add syrup Ondansetron. If baby is becoming weak and lethargic you should consult your pediatrician and ask of intravenous fluids. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 9 year old daughter has been complaining on and off of stomach ache for some time - we went to see a peadiatrician who has told her to eep a food diary for 2 months - we are due to go back in March - she was also constipated but this has eased and she is now suffering from really bad dizzy spells and headaches - she says her head is spinning faster and faster and it makes her feel sick as well as stomach aches . . . any ideas?", "output": "Hi...by what you quote I feel that your kid might be having a vertigo which is related to a middle ear problem. I don't think this is related to the pain abdomen or constipation she had. If it is vertigo her head will feel dizzy, and she feels like spinning every time she changes her position like standing from sitting position or turning her head sideways etc. If this is so - I suggest you seek the consultation of an ENT surgeon with pediatric experience. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "2 weeks back, my son 9 years, complaint pain in lower abdomen and burning urine. Later, he suffered from fever 100 F bad throat. U/S indicates mesenteric lymph nodes are inflamed with larger 21x10mm. Rocephin IV for 3 days were injected. Fever vanishes and WBC & ESR results before & after treatment are: WBC before 28,000/ul and after 10,000 u/l ESR before 40 mm/hr and after 95 mm/hr Why ESR become more after infection is over and what is treatment? Regards/Arshad", "output": "Hi Welcome to ChatDoctorAs per your son history, he is suffering from mild fever / Pain abdomen and his ESR is still 95\u00a0mm/hr (raised) and WBC 10,000 (normal)But his USG abdomen mesenteric lymph node is 21X 10 mm is suggestive for ABDOMINAL TUBERCULOSIS. Review with these report to pediatrician or Tuberculosis Doctor for treatment. Duration of treatment is 6 to 9 months according to weight and Only First line Chat Doctor. Second line " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a constant toothache like hip pain in left hip, being going on for over a year, started off and on, now is pretty much constant. Not sure what it is, have low back pain also, and surgery on right knee 30 yrs ago. What are all the possibilities it could be, what kind of doctor should I see?", "output": "Hello, Read your query, as you have toothache it can be due to carious tooth, decayed tooth, or due to trauma in tooth. Don't be worried so much I will suggest you to consult dentist and go for examination of oral cavity to rule out the cause of pain if you need go for investigations. For pain, you can take analgesic like painted or paracetamol tablet by consulting with your doctor, do warm saline gargle. Hope this will help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 46 yr old female, I have scolisis, I wake up every morning with stiffness in both hips, my right wrist aches so badly that I put hot towles on it to keep the pain manageable, I keep yellow discharge from my lungs year round... I feel exhausted...... please advise.", "output": "Hi, In severe scoliosis, the rib cage may press against the lungs and heart, making it more difficult to breathe and harder for the heart to pump. For now, I suggest some physiotherapy, massages with topical gels and hot commendations and even yoga will be helpful. Advil tablet, muscle relaxants like Thiochochicoside is highly recommended, long acting Tylenol will help till you get rid of your lung infections and follow up with your neurologist if all medical treatments fail for proper imaging and evaluation. Hope the above information helps you. Any further clarifications feel free to ask." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had unprotected sex on the 22nd of July 2012 and he came inside me, I checked a ovulation calendar to find that my ovulation day was on the 23rd of July 2012 so I had sex a day before I ovulated. Just want to know what is the likelihood that I could be pregnant if at all.Thank You.Leticia", "output": "Hi dear, and thanks for your query. If you have unprotected intercourse one day before the day of ovulation, chances to conceive are very large. Wait until your expected date of your periods, if you will have breakthrough periods, you aren't pregnant and if you will have delay periods than take a pregnancy test to confirm/rule out pregnancy. If it is with two lines it is positive, hence you are pregnant. If it is with one line, it is negative, hence you are pregnant, you only have delay periods. All the best" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "m hvng PCOD.n m takng nw obimet n folic acid tab bt i undrwent my follicular study on 12th day aftr periods,,,,bt thy didnt find any DOMINENT FOLLICLE.so doctor told to take latsi tab n nxt periods on 3rd day..my husband s cumng n sep.i want to conceive,,,,,,,whethr i wil becom pregnant....m takng medicin frm long tim......", "output": "Hi, actually the problem is with your follicles. So, you have to take medicines like lets or camphene for the growth of your follicles. Track your follicles' growth by repeated ultrasound and when your follicles is more than 17 mm, take injection for rupturing the follicles. Be in contact with your husband for next 2 to 3 days. Take progesterone for next 2 weeks. Do a urine pregnancy test after that. You can try like that for 3 to 6 months. Hope I have answered your question. If you have any other query I will be happy to help you. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had very bad cramping problems for about 2 months every time before I go poop. It feels like minstrel cramps and sharp stabbing pain. What can this be a cause of? I have been getting dizzy easily the last two months, overly tired, my stomach hurts when I eat some foods, and it all seems to be triggered randomly, along with back pains.", "output": "HI. Just to recapitulate- you have cramping pain like sharp stabbing, before you to poop, getting dizziness, tired and pain increases on eating something. This is more suggestive of an intestinal infection or diverticulitis or any inflammatory process, his can be due to an irritable bowel syn Chat Doctor. Get a course of an antibiotic and see the results. IF no relief, please go for investigations of blood, urine and stool in particular, both endoscopies, ultrasonography. Get a proper diagnosis by a Gastroenterologist and get properly treated." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I jumped off a chair lift at my local ski hill about 10 feet from the ground. It hurt my back and now when I jump or walk with a spring in my step I get a sharp pain in the middle of my back but slighty to the left. I was wondering if it s serious and I should go see a doctor or just let it heal on its own", "output": "Hello, I have studied your case. Fall from height may lead to vertebral compression fracture. You may need to see doctor and do further investigation. You need decompression if fracture is compressing spinal cord. If there is no neurological involvement then conservative brace or rest is sufficientLater on follow rehabilitation and physiotherapy. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "yesterday i suddenly vomited with blood in it after getting a tight feeling in my chest. the feeling continued and i was extremely short for breath. i went to a&e but they couldnt find anything wrong with me. the sick feeling is still here and my chest still feels restricted. what should i do/what could this be?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Tightness in chest and blood vomiting are seen with gastric ulcer and gastritis. So you should definitely consult gastroenterologist and get done upper GI (gastrointestinal) copy. You may need combination of pantoprazole and levosulperide twice daily before food for 1 month. Avoid stress and tension, be relaxed and calm. Avoid hot and spicy food. Avoid junk food.Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have alot of pressure on my right front, lower back (pressure like when you are pregnant) I always have the sensation I need to urinate, it makes my right leg go numb and causes shooting pains in my groin area. I have pain between my shoulder blades,and tightness that migrates from side to side in my chest. The pain/pressure sometimes shoots up my neck to my jaw and my blood pressure is ranging between 154-180 over 105-132.", "output": "Hello! Welcome and thank you for asking on Chat Doctor! I understand your concern and would explain that a careful physical diagnosis of different disorders that may lead to this clinical scenario is necessary to be done: - an autoimmune disorder like rheumatoid arthritis, lupus, etc.- a backbone disorder, like possible degeneration, slipped intervertebral disk, etc. - a chronic inflammatory disorder - Fibromyalgia- psychological disorder, like possible somatoform disorder. I recommend consulting with your GP for a careful physical examination and some tests : -resting ECG-chest X-ray study-urine analysis-cervico-thoracic-lumbar column chest X-ray study-electromyography and electroneurography to examine the nerves and muscles-blood lab tests (complete blood count, PCR, sedimentation rate, blood electrolytes including calcium and phosphorus, kidney and liver function tests)Further immunological tests (rheumatoid factor, ANA, ANNA, ENA, etc.) should be done if suspicions are raised. Hope to have been helpful! Feel free to ask any other questions whenever you need! Greetings!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i have undergone dermaroller traetment in well reputed skin hospital.i saw them searching for a microneedle of mine infront of me.then they started thire procedure with one microneedle which was without name.am really scared if i would get any infection because of the thought that doctor had used someothers microneedle.Will i get HIV if doctor has used someothers", "output": "Hello, welcome to Chat Doctor. Yes chances are there. HIV spreads when secretions of the patient touches the blood circulation of others. Injection needle definitely reach the blood. You can start with prophylactic treatment and Kindly get the tests done once the incubation period is over. This is a period during which time the disease cannot be detected by laboratory tests. Best of luck. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi gud evening.im 9 week pregnant and finaly have ultrasound my doctor said that may yolk sac is bigger than the embryo the size of my yolk sac is .70cm and the embryo is .19cm no heartbit.please answer me what happend to my baby is he or she safe?", "output": "Hi, Presence of embryo is a positive finding, usually we expect a heart beat to be seen once embryo size is 7 mm. So it would be best to repeat scan after 10 days and check for heart beat. Yolk sac more than 5\u00a0mm are known to be associated with miscarriage, so I would advise you to have a regular ultrasound scan to track the growth of the embryo.Also, I would like to ask you, are you sure of your dates and do you have a regular cycle? As usually fetal heart should be present by 7 weeks. But it's possible that the conception occurred later or cycles are not regular. Only a repeat scan after 10 days of this scan, will tell us about the growth and prognosis. Hope this helps. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi,my daughter is 4yrs old and havind severe fever (38-40c)and is reducing after paracetamol intake,thn again she feels cold and after 1-2hrs fever is raising up,with running nose,decreased urination,it started on saturday last week,an dit was constipation at first,but now its diarrhoea", "output": "Hi Thanks for writing to Chat Doctor. From your description your child seems to be suffering from Gastroenteritis which is mostly viral. And seems to be deny Chat Doctor. Is there blood in motions? Kindly give fever medicine as required and give 1 glass of ORS after each loose motion. But if she hadn't passes urine well, she needs to be seen by pediatrician. Thanks. In case you have more query I am happy to answer else rate this answer and close the discussion." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Yesterday when I was walking to my car from grocery shopping by the time I got to my car I could barely breath. I was sweating something awful. Before I could even begin to take any groceries out the car I had to sit down and rest. It took me 30 min to get the groceries in the car cause I had to keep stopping to sit down in the air conditioner. Made me shake a lot. I ended up having to call my sister to come drive me home. Feels like something heavy is sitting right above my stomach and when I press down right below my rib cage between them it hurts and feels like a lump is sitting above my stomach.", "output": "Thanks for your question on Chat Doctor. In my opinion you should immediately consult cardiologist and get done1. ECG2. 2d echo to rule out cardiac cause. Your symptoms like sweating, shortness of breath and chest heaviness are seen most commonly in congestive cardiac failure or myocardial ischemia. So get done above-mentioned investigation s to rule out these. If both are negative than no need to worry much for cardiac cause. This may be due to acute gastritis also. So avoid hot and spicy food. Take proton pump inhibitor. But first rule out cardiac cause. So consult cardiologist and discuss all these." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had to undergo Cholecystectomy , hence gone for Scannning, where i got an additional comment as Bulky Uterus , the Doctor said that there is no problem. I have a son age 5 years , i have normal pain during periods. I have not got sucChatDoctorment in the previous scanning done 3 months ago. The Doctor said there is no problem, may be after having another baby, some years later the uterus can be removed. Is this the only way to get rid of this problem. Plz suggest whether this can be solved through medicine, exercise or any other things other than surgery . I am aged 31 years.", "output": "Hello, Welcome to Chat Doctor forum, surgery is last option for disease when it is not possible to treat by any means. Bulky uterus is not like that. It may be due to any cause, it can well be treated with homeopathic treatment. Uterus is not only to produce child that after having child remove it. After removal of uterus there are many hormonal disturbances happen in later life. So avoid surgery for better future. Homeopathy is very good for these type of problems. But be sure that, HomeopatChatDoctoredicine must be selected after taking detail history of your physical as well as mental makeup. Then n then you will get satisfactory result. So consult good classical homeopath. You will surely get benefit with homeopathy." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, am 31 year old male. Hace been feeling some sort of pain while sneezing and coughing for the last couple of days. I recently started execercising(just 4 days before after a long break) and feeling the pain since then. Could you please help me. It hurting even when I try to sit on a chair.Thanks", "output": "Thanks for your question you need to consult a Pulmonologist who can request for some blood investigations and a chest X-ray to rule out some causes like infections it can be due to bacterial or a viral cause better to get evaluated nothing to panic if there is some infective because it can easily b e dealt with by taking some antibiotics which will be prescribed by your physicianthanksfeel free to ask more questions" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi everyone. i have always been a worrier my whole life mostly about sickness, diseases, and death. so over the last month i had been suffering intrusive thoughts about harming my girlfriend of 8 years who i love so so much which caused me to be depressed and having panic attacks. so i found out today i have ocd and my psyciatrist has perscribed me zoloft. but im scared they might make me wanna act on my intrusive thought or become suicidal...note: i have never been suicidal ever i am terrified of death. i am very unsure about medication please help!", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. The basic symptom every OCD patient shows is that of a doubtful approach in anything and everything. You are also showing the same. You should never worry about sickness, disease and death because you have no control over them. Furthermore, you can hope for the best and do your duty like doing exercise, being fit, eat good and nutritious food etc. But still you cannot control these three and also your future. That is basic. In OCD, you are always obsessed to thoughts and activities. Minor OCD, everyone has. When it goes beyond control, it is bad. Medicine Zoloft is good for OCD, prevents intrusive thoughts. Therefore, you should obey your psychiatrist and starting the Chat Doctor. Your psychiatrist knows your condition well, and he is good judge. Trust him and you will be alright. Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have staph inviction under my arm it keeps repeating i wash it with special soap they are very painful every time i go to the doctor he does a culter then puts me on meds and it dosent help iam young and they are leaving ugly scares how do i get them to go away????", "output": "Thanks for posting you query to Chat Doctor. Staphylococcus are normally present over our skin so any break in skin increases chances of skin infection. Use of bad or any kind of sharp to remove hair should be avoided as it causes minor cut .send me yr culture report so I can suggest you right remedy as proper dose and duration is important .hope you would be satisfied with my answer. Feel free to communicate if any query.regards, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son is 10 and I have spoke with his pediatrician about the flat spot on his head when he was younger and I was told there was nothing to worry about. But now that he is older it is becoming even more noticeable. Is there anything I should worry about with his growth and development especially with his brain? He has good grades in school A s and B s.", "output": "Welcome to the ChatDoctorI understand your concerns but don't worry. It seems that your child has positional plagiocephaly. It is caused by pressure on soft skull bones during infancy. Furthermore, it usually improves with age or gets hidden by hair and face growth. It's not associated with any restriction of brain growth or developmental delays. It doesn't require any treatment. Hopefully this will help you. I would be happy to help you in any further questions. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was just told I have an enlarged liver. I am 47years old and in good shape. I have slight pain below my ribs. The enlarged live was found on an ultrasound and when my md dd a physical palpating he did not notice an enlarge liver. Otherwise I am energetic training for a 30 k race.", "output": "HIT hank for asking to ChatDoctorI really appreciate your concern if the liver enlargement is suspected clinically the need to be confirmed with scanning, if you have rib pain then this might be muscular pain and not related with the unconfirmed liver argument, if this it could be liver enlargement the also it may not cause any rib problem unless have some serious pathology, just forget about this, take it easy, no need to worry about the pain this could be functional pain, hope this information helps you have nice day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Diagnosis: Seconday Infertility for hysterolaproscopy Indication: Seconday sterility Findidng & Procedure: Diagnostic Hysteroscopy: Uterus cavity entire. Both Ostia visualized. Normal endometrium. No adhesions, No polyps. No fibroids. Normal Hysteroscopic findings. Laproscopy: Routine entry Uterus bulky. Both tubes normal. Both ovaries normal. No adhesions. No endometriosis. On chromotubation both tubes freely patent to dye. Hello doctor, I had a surgery of hysterolaproscopy on 26/6/2014 (4th day of cycle) and its already 26/7/2014 (34 days) till today I didn t get period? what does it mean", "output": "Hello there, thanks for the query. Few things you have mentioned here is reassuring. Firstly, you already have a child from natural conception. Secondly, your tubes are functioning fine and the inner lining of uterus (endometrium) and cavity look fine. And there are no other issues on hysteria laparoscopy. Rather terming this scenario as secondary infertility I would just call it subfertility which means the ability to conceive naturally in on the lower end of time frame needed for conception. In simple words, it may just take a little more than longer for you to conceive on your own. Having said that, if you are past 30 years of age and have been trying for more than 2 years, I recommend you to opt for ovulation induction Chat Doctor. Delayed periods once in a while are not concern If you are a previously regularly menstruating woman. You can choose to wait for 10 more days for your periods or take Tab. Regesterone 5\u00a0mg twice daily for 5 days. Periods are expected to happen 2 to 7 days once you stop medication. Hope you have been answered satisfactorily. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "At night when I lie down my toes on both feet feel as though I have rubber bands tied around them and they hurt. Morton s Neuroma was ruled out. I was told it may be coming from my back and take 900 mg of Gabapentin at night. If I don t take it a few hours before I go to bet I am in a lot of pain.", "output": "As per your explanation if there is nothing related to neuroma then you need to check the vascular it of you lower limb. I suggest doing dappled test for both entire lower limb and check the blood circulation in legs. And based on that take few medications as per the suggestion of vascular surgeon. Along with this keep your feet warm by using socks in night as well do toe stretch exercise frequently before you go to sleep. Hope this was useful for you. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I gave for a baby girl for about 1 year and 2 mons now.. last august 10, 2010..... While Im teaching I cant breath and my left arm starting to feel numb and heart has fast rate..and about to faint... Im hospitalized... bacuase my bp is 150/110 ... after a while my bp is 110/70. the doctor said its stress and over fatigue and panic.. im 25 yrs old... after that incident im having panic attacks and disorders..somtetimes i cant sleep because my heart beats fast... whats happening to me..", "output": "Hello, I hope your physician has investigated you properly, I mean your cardiac and thyroid functions. If not, please get your ECG and thyroid function tests done immediately. Also, keep monitoring your blood pressure and blood sugar levels. If the tests are normal, then you are suffering from panic disorder. The medicine of choice for this condition is paroxetine. This will relieve your anxiety as well. Usually there is autonomic hyperactivity in panic attacks which cause b.p. to rise. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Doctors, my sister( age 18) is right now experiencing problems with breathing. It started for the first time in the morning, and now we are trying to fall asleep, and every time she falls asleep she wakes up due to shortness of breath. She doesnt have asthma or allergies, and today we went to the hospital and doctors checked her heart and lungs, and did blood tests, and everything was perfect, so I need some immediate solution right now to help her breathe normally. I am 19, and our parents are out of town, so I need some help, because we dont know what to do and I am pretty scared. Thank you for your help in advance!", "output": "Thanks for your question on Chat Doctor. I can understand your concern. No need to worry much for her breathlessness because her heart and lungs are checked by doctors, and they are ok. Sometimes, stress and tension can also cause similar symptoms. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in her life and start working on its solution. She may need anxiolytic Chat Doctor. So don't worry, she will be alright. Ask her to avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wishing good health to your sister. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Over the past 4 days I have experienced back and abdominal pain, my body aches, at times difficult to get out of bed, fever comes and goes, I m nauseous most of the time, especially after trying to eat, I have a loss of appetite, I feel better in the morning after sleep and quickly decline when I try to eat, my head feels a little fuzzy and I am tired. It has been a few days and I have no idea what is wrong with me.", "output": "Hello the last 4 days, you are having back 7 abdominal pain. Also, nausea and loss of appetite. While you had also tiredness which worsen after wake up. Such type of symptoms may be due to these reasons, these include:1 Jaundice, diagnosis can be confirmed by blood examination for hepatitis, serum bilirubin and GOT, SGPT level.2 Typhoid fever is another such reason. Diagnosis can be confirmed by Tidal and serology test.3 Viral fever is another reason of such symptoms. As you stated that you are having, this is due to hyper acidity caused either by disease or by Chat Doctor. So please consult a physician and get his opinion. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i am sanjay from India my daughter having child Asthma, when weather changes she become ill and she face problem while breathing due to heavy cough.Actually i can t afford her treatment and regular nebulization charges. Is there any alternative for this", "output": "Hello Sanjay. Thank you for asking at Chat Doctor. I went through your daughters' history. I would like to ask you a few more questions to make better suggestions like - What is the age of your daughter? Since what age she has been having breathing problems? How many episodes does she get in a year? How is she in between the episodes? Does she have nose symptoms like nasal congestion, running nose, sneezing etc.? Does anyone from home smoke? Does anyone from her family have allergies or asthma or both? However, from your given history, I would like to make following suggestions to her:1. Were I treating her, I would prescribe her montelukast for at least 7-14 days when she has an episode.2. If she has nose symptoms also, I would add an antihistamine like levocetirizine or cetirizine.3. If with above treatment, she is getting wheezing, I would suggest you inhaled albuterol or levosalbutamol for her in appropriate device. However, suggestion for device can only be made after knowing her age.4. Please try to avoid exposure to dusts, smokes and air pollution for her.5. A healthy dietary habit (adequate green leafy vegetables, fruits, sprouts, etc., minimizing cold Chat Doctor. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish your daughter the best of the health. Thank you & Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have hsv-1 and have been prone to oral cold sores since I was a child. I have recently started taking Microgestin birth coontrol pills. It has been 3 months now and I seem to get cold sore more frequently. Anything I can do? Will this subsdie after being on microgestin longer?", "output": "Hi, Thanks for posting the query, Cold sores occur due to trauma physical or chemical, I would suggest you to plan for some other methods of contraception by discussing with your ORGAN. Apply Hegel oral ointment topically over the affected area, take lukewarm saline and antiseptic mouthwash rinses. Take multivitamin supplements, antioxidants, take plenty of fluids which are rich in vitamin C like lemons, oranges. Maintain a very good oral hygiene. Hope you find this as helpful, Take care!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had for 5 years productive coughing. not an infection, they now found a hiatal hernia, small. I read about diet and dos and don ts. Could I exercise in the form of dance like Zumba without worsening the uncomfortable symptoms I already endure? thank you. Miriam", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Yes, you can do exercise like Zumba, no harm in it. Hiatus hernia causes HERD (gastroesophageal reflux disease). Obesity, excessive abdominal fat are risk factor for hiatus hernia and actually worsen HERD. So weight reduction by diet control and exercise like cycling, swimming, Zumba, jogging etc. is advisable. So you can definitely start Zumba without worsening underlying symptoms. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "In the past 3 days im having tachycardia mostly triggered by eating and a lil bit of alcohol. Im also experiencing palpitations, pressure in chest close to neck, pulse feeling in throat, feeling like having a fever while i dont, anxiety and restlesness, very brief episodes of shortness of breath, stomach pressure like my stomach turns into stone, mild intestinal pain, weakness in both knees, and a feeling of malaise.Have been tested recently for a bowel obstruction and gastroenterologist ive visited told me it was IBS. No colonoscopy was performed cause doctors didnt find it necessary. That happened 10 days ago.Visited the hospital 3 hours ago and i had a cardiogram and a troponine test. Cardiogram was normal and troponine was 0.000% and so they let me go saying its anxiety or cold.I came home and after i ate same thing happened again and right now having these symtpoms and im feeling scared and unsure of what to do.", "output": "Brief Answer:Take 20 mg of propranolol (beta cap). Detailed Answer:Hello, Thank you for using Chat Doctor. I understand your concern, and I hope I may help you. First, take a breath, because serious health problems which are related to the heart are excluded by electrocardiogram and troponin. It is an embarrassing situation, but not without a solution. You can take 20 mg of propranolol (Beta cap). And then 10 mg each day. Propanolol is effective in these situations and has less side effects than other classes of medications given against anxiety. Remember not to consume alcohol, don't smoke and don't use energetic Chat Doctor. Hope this is helpful. Let me know if you need more clarifications. Otherwise, please close and rate the answer. Kind " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 14 year old girl with a history of unexplained medical issues. I am 5 5 and 120 pounds. Recently I have had shortness of breath along with chest pain around my rib cage. My abdomen has been rather uncomfortable with some pain as well. I have been slightly nauseous, and have started having night sweats about every other night. Also have been itching all over my body. Any answers?", "output": "Hello! Welcome and thank you for asking on Chat Doctor! I passed carefully through your question and would explain that it is necessary performing a comprehensive differential diagnosis between different possible causes that may lead to this clinical scenario: a lung disorder, an allergic reaction, a metabolic disorder, an infection, etc. Coming to this point, I would recommend consulting with your attending physician for a careful physical exam and some tests: - a resting ECG- a chest X-ray study and pulmonary function tests-complete blood count, PCR, ESR for inflammation- thyroid hormone levels for thyroid dysfunction- blood electrolytes- an abdominal ultrasound- a urinalysis - allergy tests. You should discuss with your doctor on the above issues. Hope you will find this answer helpful! Kind regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Dr. Kumar, I am a 28 year old male and have suffered with progressively worse neck an upper back pain for about 8 years now. The pain seems to be originating from an irritated nerve in the c8 or T1 area of the spine. There is also a noticeable shift to the right in my vertebrae at the T1/2 spots that can be seen and felt. I have had x-rays and a CT scan but my GP says there is nothing out of the ordinary, even though she was initially shocked by the displacement of my vertebrae from a physical inspection. Lately, symptoms seem to be getting worse with more neck pain, restricted neck movement, referral pain in my left arm, muscle weakness, chronically cold hands, and a moving/crawling sensation near my right temple and eye. I don t know exactly what to do since my GP doesn t seem to be taking my pain very seriously. If you have any advice it would be greatly appreciated. Sincerely, Sean Patterson", "output": "Hello, I have studied your case. Due to compression of nerve root there can be pain.Also, there can be large disc bulge which is compressing over spinal cord. For these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give you relief. If nerve compression becomes symptomatically severe then surgical decompression will give permanent relief. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi sir good morning,my brother is suffering from bone tb,please tell me,is it possible to cure by this desease and where is the good hospital and how much time will take place and also tell me,is it possible free treatment under government hospital or trust or institution or low cost bust best treatment", "output": "Hello, Sorry to hear about your brother. TB is curable if proper measures are taken by the patient and the doctor. Sorry, but you didn't mention your location or any region so difficult to guide you which hospital would be best. But to give you a brief idea, that TB of bone is curable and for this, you need to visit the right specialist at the earliest to avoid getting complications due to TB of bone. As it may do other complications, it's better to take the urgent call. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husbands hemoglobin is 7.1. He is having his 5th transfusion tomorrow. He has type 2 diabetes and had part of his foot amputated recently. Are all these things related to his hemoglobin level? Is this hemoglobin level dangerously low? Can a low level br fatal?", "output": "Hi, Hemoglobin of 7.1g% is low. Normal level would be around 12-14g%. Low hemoglobin leads to increased load on the heart to pump and at advanced age can be serious leading to cardiac failure or arrest. Diabetes is not related to anemia, and it is more genetics, insulin resistance due to obesity and low insulin. Diabetes could have led to amputation due to gangrene formation. Improved nutrition, weight reduction, supplements like it B12, folic acid and iron is necessary. Any further queries, happy to help again." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I yawned three days ago and the right side of my jaw cracked very loudly. Shortly afterwards I felt some discomfort and when I moved my jaw, it felt tender and made a sort of squishy sound. Woke up in searing pain the next day and have been feeling it ever since. Should I go in any get seen?", "output": "Hello dear, This sound is due to stretching of muscle at jaw joint (known as TM joint). This usually happen during loud yawning or other activity which lead to excessive mouth opening. This disorder is known as MPDS in dentistry. In most cases it resolves in 3-4 days by doing following -- avoid mouth opening as far as possible-eat soft food-avoid eating on affected side-analgesic and muscle relaxant medication for relief of symptoms In extreme cases such yawning may lead to joint dislocation which causes excessive pain. But in your case there are the least chance of dislocation. If your symptoms does not improve in next 2-3 days even after following above-mentioned advise then you should consult dentist. I hove this will help you. My best regard for early improvement." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had abdomen pain ON 05-02-2013 and when i tested LFT my SGOT-76, SGPT-113, GGTP-416 & ALP-265 16-02-2013, GOT ADMITTED IN HOSPITAL AND NOW AFTER THREE WEEKS OF REST AND MEDICATION IT IS NOW SGOT-47, SGPT-52, GGTP-123 AND ALP-135, BILIRUBIN DIRECT-0.21. I STILL FEEL HEAVYNESS IN RIGHT ABDOMEN AREA ( LIVER ) AND WEAKNESS WITH LOTS OF ANXITEY. PLEASE SUGGEST THE REASON FOR INCREASED VALUES OF LFT TEST AND MY PRESENT CONDITION.I AM VERY WORRIED AND STILL ON BED REST. REGARDS", "output": "Hello, welcome to Chat Doctor, Dear patient, you had slightly deranged liver function tests earlier which have now improved, so you need not worry much. Such mild arrangements can be seen in mild hepatitis, early stages of alcoholic liver injury, fatty liver disease, cirrhosis of liver, metabolic liver diseases like Wilson disease etc. Since your liver functions have improved, it is a very good sign. Some more tests that you can get done to make it sure that every thing is fine include USG whole abdomen especially hepatobilliary system, HBS Ag TEST, HCV serology and ECG Your epigastric heaviness can also be due to acid peptic disease, so you consult a gastroenterologist who will review your reports and will advise you accordingly Hope every thing is going to be fine with you and wish you good luck and speedy recovrythanks Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have been told i have molluscum and i know that there are ways to get rid of it because its a virus and every single doctor ive been too says it will go away on its own but i dont wanna wait because it can take up to four years to go away. will you please help me?", "output": "Hello, Welcome to Chat Doctor, As you are aware that it is viral infection, and it will subside by itself in few months to years, it is true, but there are some remedies which helps to control the infection and fate the recovery. But they do have some side effects1. Freezing the growth of molluscan.2. Curettage of the fluid from the lesion, but it is painful and may leave scar.3. Application of creams like podophyllin, retinoid, and cantharidin These are the measures followed in some settings, but it requires a lot of skills and there will be minor complications following this. Thank You." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 28 years old and extremely active. A minimum per week of high intensity exercise in: 1 hour bike 3 times, 40 min swim 3 times, and tennis or running. I am carefully consider my food. and yet, I consistently have high blood pressure at the doctors office: 130/80. Hypertension runs in my family, but usually starting in 50s. I think perhaps all the swimming in the sea, and exposure to its high salinity, is affecting my bp. What do you think?", "output": "Hello, 130/80 is pretty normal pressure and you shouldn't be worried about it. However, as you have strong family history of hypertension, do monitor it serially to know the trend. If you don't not gulp down significant seawater its fine enough if you swim. But yes It's important to keep salt in your diet really low i.e. Less than 3 GMS per day, so by all means it should not exceed this through any source" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here...hi i am 5 weeks pregnant and at night my anus and vagina itches why is this? It feels almost like I have worms. I get it a little during the day but at night it is so bad i cannot sleep.", "output": "Hello, and I hope I can help you today. During pregnancy, the hormones of your body change, even as early as five weeks. The hormonal changes of pregnancy make the vagina and surrounding skin more susceptible to candida, or yeast infections. Frequently these infections can cause itching of the skin around and inside the vagina, and even on the perineum and anus. There over-the-counter creams that may be purchased in a pharmacy that are designed to treat yeast infections of the skin. The active ingredient should have the word -above at the end as this indicates that it is an antifungal product. Examples of these are clotrimazole, fluconazole, and fluconazole. These products can all be used externally on your skin safely during pregnancy. When you see your prenatal care provider for the first time, if you are still experiencing these symptoms they can perform a vaginal examination and prescribe a different treatment if necessary. In the meantime, try very hard not to scratch the area and where loose fitting, cotton undergarments to sleep and that will not constrict airflow around your perineum. I hope that I was able to adequately answer your question today, and that my advice was helpful. Best wishes, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter age 22 months My daughter has been running a fever all day doesnt want to eat hardly drinking one wet diaper one poop throughout day and one when she first woke up shes been lying around wanting to sleep I have no money for medicine Ive tried cool bath and rags naked and popcicles? ?? Her last fever was 102.9 and I used brothers sons med there was only enough for like half dose if that should I have her seen also lately Ive noticed these white bump looking thing on her eyelids and face? ?? Help please", "output": "Hi... Thank you for consulting in Chat Doctor. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15\u00a0mg/kg/dose (maximum ceiling dose of 500\u00a0mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been spitting up brown yellow phlegm for about a year and a half, I dont smoke im 22 and recently ive been having dull pains in my left arm, The dullness is maybe a inch long and it comes and goes, also when i eat alot both my lower sides by the kidney area has a dull feeling but goes away when i dont eat much, my right arm never feels weird, I also eat out \"junk food\" every day. Im not over weight. These have been going on for about a month on and off every day or so. I dont have health insurance and need to know if this is a doctor visit asap. please help me out in what this could be.. i also have maybe 2-3 small red dots on left are called something like Picate but my mom also has those", "output": "Hi, thanks for post, phlegm for a year could be some serious disease, especially if fever, decay, loss of weight are present; bronchitis, interstitial lung disease, tuberculosis, pneumonia, bronchiectasis, are examples of illnesses which cause long duration phlegm, with respect to pain, it is common in lung diseases pain with similar characteristics, but it is something to investigate could be necessary chest x-ray, tomography or magnetic resonance, blood tests, to begin, anyway you have a disease to study, because every illness has a different treatment, and I recommend visiting your physician, he'll examine you and tell if you have secretions or any anomaly in medical physical exam." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Dr. Im from Sri Lanka. My mother is 68+ & having PKD. It was found in 79 and was under medication for High Blood Pressure since 85. She started hemo-dialysing April/09 once a month and at present doing dialysis once a week. But she is continously having disnia. What can be the reason behind it ? What can we do about it ? Is this her final stages ?", "output": "Hi, 68-year-old polycystic patient will have by now developed renal failure. As she is on dialysis one can assume her kidney are not functioning to the extent to remove waste products from blood. In addition, she will also have high blood pressure and bone pains due to low calcium levels. One option would be to do renal transplant, but the age would not permit. Secondly, you can opt for peritoneal dialysis, provided if doctor deems it right. And Lastly, you have to do Hemodialysis which you currently are doing thrice weekly. You will always be given medications for high blood pressure and calcium supplements. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have extremely bad back pains which is making my arms quite sore too. It s been very hard to get out of bed the last couple of days and the pain is getting so intense that it wakes me up and I can t get back to sleep. It gets worse when I sit upright and it cause loss of feeling in my legs when the pains at its worse. I m 23 years old and it s been this way for three days after I had an accident at work hitting my back. Can any body tell me what the problem may be?", "output": "Dear patient It seems you have met with serious accident to your back and your symptoms suggest significant trauma to your back. Back pain even with rest and increases with sitting indicates vertebral trauma and either compression or fracture. Kindly get yourself investigated for radiograph of lumbosacral spine anteroposterior and lateral views. I would also like to advise MRI of spine to rule out disc problem." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, ive had to much amphetamine speed. my heart is really going and im gettin a tad scared. is there anything i can do to try slow the heart rate.?... i dont want to go into hospital or anything, i just want to enquire what advice you can give me... thanks, ashley pitts", "output": "Hello, I would explain that the rapid heart rate is related to amphetamine overdose. This could be really dangerous for your heart and as a cardiologist, I would recommend going to the nearest ER service in order to get professional help. Some natural maneuvers to slow your heart rate would be pressure on the eyes or on the carotid arteries, Valhalla maneuver, etc. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My wife recently started propafenone 325mg she also suffers from early stage alzheimer s. She is experiencing increased memory problems accompanied with more confusion. She has been on 325mg 3 days, before she was taking 225 but her arrhythmia was occurring 67% of the time. What antiarrhythmic medication would you recommend we ask our doctor to try? On March 24th she had a pace maker implanted due to episodes of slow or no pulse for several seconds when the heart was transitioning from arrhythmia to normal rhythm. Multaq 400mg successfully controlled her arrhythmia for a year but then stopped working in March. thank you, Larry", "output": "Hi There After going through your query I understand your concern. I would like to tell you that Propafenone has a tendency to cause arrhythmia and can be the reason of new onset of arrhythmia. Arrhythmia can be controlled by changing the dose of propafenone to 225 or to start another alternative Chat Doctor. It's highly recommended to personally discuss this issue with the Neurologist and Cardiologist for the dose adjustment or another alternative. Hope to have been HelpfulKind Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a late-teenage girl who has been diagnosed with anxiety , depression , agoraphobia , panic disorder and SUSPECTED, (but not diagnosed) personality disorder and body dismorphia. recently i have become so obsessed with my weight, (i am overweight , let me add) that it is now all i can think about. i have limited myself to 800 calories a day and do sit ups each day too. after finding out a friend is on 500 i now feel 800 is way too much and want to try and get down to 500 too. i weigh myself 2 or 3 times a day and i get so angry and disappointed if i have put on weight or not lost any. i have recently lost 10lb in 10 days. i think about making myself sick all the time but have a real phobia of being sick that i dont. i am constantly searching the internet for diet tips, taking diet pills and finding out what foods i can eat with little-no calories. does this sound like an eating disorder? or the beginings of an eating disorder? with being so overweight before i never ever looked into eating disorders so i dont know whether i do or don t. i am obviously not expecting a diagnosis from anybody, but just anyone who may be able to suggest whether it sounds like something that they recognise as an issue... i feel like it has taken over my life and it is all that s on my mind these days, but similarly the power i get from being in control of what i eat is amazing.", "output": "This sounds like it could be brewing into an eating disorder for you for sure. Diet and weight loss are important when one is overweight, but one has to be careful not to go overboard when it comes to caloric restriction. Consulting a good dietician/nutritionist would be a very valuable exercise in your case, because this clinician can help you develop an excellent diet and exercise regimen that will help you achieve your goals safely and expeditiously. Doing it your way may get quicker results, but it may also take a negative toll on your body for obvious reasons. Best of luck with your situation. Feel better! I hope this information helped guide you to some information and help you may not have had previously." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "This is toni aged 33 yrs from bangalore.I have little pain right below the ribs on the right hand side.I have consulted the doctor and tool xray and ultra sound scaning. Doctor says everything is fine and advised for a oilment to apply.I am applying it for the last 2 days. since i have some pain coming and going and sometinmes feels in some other parts of the right stomach(middle)..is there anything to worry. I ahve piles. and some friends told i may have worms ..pls advise me.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. No need to worry about major lung and intestinal diseases because your chest x-ray and ultrasound abdomen are normal. Also, don't worry about worm infection. Possibility of musculoskeletal pain is more likely. So avoid movements causing pain. Avoid heavyweight lifting and strenuous exercise. Avoid sudden jerky movements and forward bending. Apply warm water pad on affected areas. Take simple painkiller like paracetamol or ibuprofen. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Both my 16 year old daughters had all four wisdom teeth removed a week ago. The first day the both took Hydrocodone/acetametophen 7.5-750 for the pain and ondansetron ODT 4mg tablets for the nausea, they constantly threw up. So the next day the doctor prescribed 600 mg ibuprofen which they took for for five day, 3 - 4 tablets a day. on the sixth day they took 200 mg ibuprofen tablet, over the counter, One in the morning, one in the afternoon and two (400 mg) at bedtime. Today they woke up feeling ill and vomited blood. One daughter threw up twice with blood and the other once with blood. No medication was given at all today, They are both feeling very sick and queezy, but no vomiting since this morning. They said they were feeling a little better this morning and drank a banana smoothie, but after they starting feeling ill again, but no vomiting. Now there are afraid to try to eat anything in case it make them feel worse. I took them to the oral surgeon this morning and he said everything looked fine with their teeth. I wondered if the ibuprophen did this to them and he said its a possibility. What do I do the help them?? Should I take them to the ER?", "output": "Hello, Thanks for posting your query in Chat Doctor forum. Vomitting as well as dizziness are the symptoms usually associated with post-extraction of wisdom tooth. I would advise you to take plenty of fluids as well as nutritious diet to keep yourself nourished. Take rest for 4-5 days, avoid anxiety and stress. Since you are c/o body discharge while omitting, you must consult a GP as soon as possible. Meanwhile, gargle frequently with lukewarm saline. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Yes, its been a couple of days now & for a moment, I thought my breast were sore well I took a look at my nipple & saw a red bump in the areola area. Its been there for a couple of days & the pain would come & go buy today, its just been hurting. Its super painful, I cant even touch it. It feels like theres something under the bump. Any suggestions on what it might be?", "output": "Hello! Thank you for the query. As the pain is strong, and the redness is present, most probable reason of your symptoms is a small abscess in the nipple area. Don't know if you are male or female, but this can be due to gynecomastia, some skin infection, breastfeeding, or even an inflammatory type of cancer symptom. I suggest you to visit a surgeon with this issue. An ultrasound should be done at first. If it's an abscess, needle function or incision might be necessary. Hope this will help. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor.... im diya.. i heard abt this skin lite cream frm my frnd... bfr using dis cream she was very dark... n nw she s totally changed she luks awesome... seeng her result im very eager to use dis cream... but im afraid of its side effects... is it adviceable to use dis cream?? if at al i usd cn i use fr a month n stop it??", "output": "Hello Welcome to Chat Doctor Forum Skin lite cream contain shy Chat Doctor. .it is a triple combination commonly used by dermatologists for treating hyperpigmentation,,,but one has to use this cream with caution. It is to be used only under medical supervision and that too only for a limited period of time It has to be applied only at night... Moreover, it should not be rubbed over the skin .and very small amount has to be applied... At a stretch, this cream is not to be used for more than 2-3 months... So this should not be taken as an Over the counter " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I cut my finger at the knuckle with a razor when trying to cut a piece of fuel line on my motorcycle. The skin was previously broken due to a different incident.(I m accident prone) there didn t appear to be any extra damage at the time but since it heal it deals funny.. Could I have nicked a tendon of something? I ve had my share of cuts but none of them felt like this after they healed.. Thanks. Jordan", "output": "Hi, thank you for providing the brief history of you. As mentioned that you had a cut, and now post healing you feel an awkward movement of the finger joints. It will be good to undergo a complete assessment and then an MRI to expose the soft tissue. Usually the tendons have grades of injury so at what grade the injury can be is unpredictable from outer surface. Also, if the grade of injury is Lower than with physical therapy you can achieve the optimum results.my personal experience with hand injuries always taught to learn the deeper and superficial aspect of the hand. As hand is a complicated structure and Rehabilitation of hand is a most enjoyable one. With hand injuries, I have found 99% hand functionality by proper steps to rehabilitation. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I get really sharp sudden stabbing pains on the right side of my head.when it happens it could be anywhere on the right side of my head but most of all behind my eye this pain is exscruciating behind my right eye and ear which cause temporary blurred vision in my eye and dizziness this happens most times this can happen 2-3 times a day some days or 10-15 times other days I ve been to docs and to hospital and have been told it s cluster headaches but I felt like I was told that just to get rid of me from the hospital can u help me I m really getting worried about this", "output": "Cluster headache is usually present in male with onset in young age. It is very disabling unilateral onset and may be associated with ocular or retroorbital pain. A close differential diagnosis to be looked for is glaucoma which sometimes presents with ocular pain, redness, blurring, pupil dilatation and severe frontal headache. Your case seems to be cluster headache if it has above features with periodicity. Patients improve spontaneously after few days and may be asymptomatic for months. Few may require prophylaxis. Consult a nearby neurologist. Hoping for your recover." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am having severe pain in the region of neck and shoulder which radiates to the arms(right side). three years back i was diagonised for cervical spondilitis and took I.C.T and I.F.T along with short wave diathermy treatment. i took ultracet tablets also at that time.after 15 days time i was relieved from the pain.now i have taken once I.C.T and I.F.T due to that the pain was reduced 40 percent.what is the immediate relief for the pain.", "output": "Hello, I read carefully your query and understand your concern. Your symptoms seem to be related to pain due to cervical spondylosis. To treat the pain I recommend using painkillers such as Ibuprofen three times a day. If the pain continue I recommend prescription painkillers such as Oxycodone. Physical therapy can also be helpful. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards! Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am suffering from a stumic pane that feals like a lighter is trying to burn its way out ive gon to the er befor and thay gave me something in an iv and som of that stuf to see ulcers but did not find anething thay decided to treet it as such aneway but it keeps returning Suggestions as it really is paneful. 23 year old mail 5-7 235 pounds Also its going on right now!!", "output": "Hi. Burning pain in abdomen is usually due to acid peptic disease. It looks you have undergone endoscopy to rule out ulcers. Is there any history of trauma to your back or a rash on lower thorax and upper abdomen like one gets in herpes infection ? If no I advised visiting a neurologist once if the Surgeon says everything is OK. You may have to undergo an MRI of the spine. Sometimes few nerves supplying the area of pain get trapped and cause this burning pain. Feel free to contact us if you have any further queries or want a follow-up after your investigations." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 33 year female.I have no bad habits of eating anything. i have a painless swelling inside my cheek..4 months before i did root canal of my wisdom teeth and cavities where filled in the next two teeths. Now when i touch that vein like thing in my cheeks my filled tooth is aching. What will be my problem", "output": "Hello, thank you for consulting with Chat Doctor. Actually it looks that the tooth which is filled is infected till its root, means when the tooth has infection till the dentin it is filled normally, but when the infection is till roots a root canal treatment is necessary. In that case an abscess is formed in relation to that tooth. This swelling can be this abscess only. So according to me, you should go for root canal treatment of that tooth. Hope it will help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I received the tetnas the next day i felt like my heart or something was really sore..i had also stated running alot recently...today the opposite arm of where i got the shot is in soo muchon my shoulder, and i cant relaly mover it too much cause it hurts so bad", "output": "Hello, Sorry to hear of your ill health. Normally patients that receive tetanus shots in my experience complain of pain at the site of the shot. It is possible the pain is from the site of the shot, not your heart. For now, there is no cause for worry. But if you begin to develop additional symptoms like shortness of breath, fever, or you feel your heart is beating fast. You should call the emergency line. Warm regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have hpv the cancerous kind. Have had it since I got with my husband 5 yrs ago. Just had a LEEP procedure done. But now my husband is having issues and got diagnosed with prostasis and given Cipro. It doesnt seem to be helping. Could his issues be because of hpv? Should he let his doctor know about hpv on the follow up?", "output": "Thanks for contacting ChatDoctorI am sorry to hear that your husband has prostatitis. We are not exactly sure how men get prostate infection. It maybe that bacteria collect in the urethra and then start to grow within the prostate. To treat prostatitis it sometimes takes a full month of antibiotics to cure. So he may need an extended treatment course or change his antibiotics. HPV does not cause prostatitis. The doctor should know about the HPV, but it will not impact his current treatment. Hope this answers your question. Please contact us again with your health care concerns and questions" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI SIR, MY MOTHER SUFFERING WITH KIDNEY PROBLEM. HER BOTH KIDEY HAS FAILED. WILL YOU PLEASE TELL ME ABOUT THE COST OF KIDNEY & KIDNEY TRANSPLANT FACILITIES HOSPITAL IN JABLPUR & KATNI MADHYA PRADESH. PLZ. ITS ARGENT. ANIL KUMAR CHAUDHARY VIKAS NAGAR KOTMA DISTT. ANUPPUR MADHYA PRADESH 04658 EMAIL ID YYYY@YYYY & YYYY@YYYY", "output": "Hello Anil and welcome to Chat Doctor. As a Urologist, I can fully understand your problem. After kidney failure, how frequently is she on hemodialysis treatment.If you need for kidney transplant is there, surgery and cost for medicines, to prevent rejection of transplanted, vary from hospital to hospital. Its costlier in private hospitals, as they usually have better treatment facilities. What you should understand is that, a kidney transplant should be done from a donor, who has a matching kidney, after doing the tests.(HLA). You may contact me with reports, if you've any other doubts. Wish her well." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Difference between zoldonat inj & shelcol-os 500 tab How much does is required for breast cancer piatents. We have done pet scan which says a doubt & then after MRI dorocell which again reveals nothing in the bones. My mother had fallen from tearus past 15-20 years before due to which a gap between d bones is seen Area is somewhere in D3, backbone. Normal x-ray does not reveal anytng. We have given 15 dose zoldonat inj till date on regular basis month on month. Plz adice how much does is actual required.", "output": "Hihope this msg finds u in good health. I have gone through your complaints and understand your concern. Actually d dose of Moldova should be titrated against the blood calcium levels and the actual calcium in bones. Bone calcium should be evaluated by DEXA scan or bone mineral denditometry. These test will indicate his much calcium is deficient. Hope your question has been answered. If u have any follow-up queries, feel free to consult me anytime. Thanks Take care god bless" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I am 29/f and I have major pain in the lower side of my gut. it came on rather suddenly last night and I thought it may have been constipation as I hadnt had a bm all day and usually I have runny stools at least 2 times a day. Last night I took stool softeners and this morning I took stool softeners too. I was still unable to go, so I took an enema and had some success but not much. This afternoon I took a laxative because I was still in a lot of pain. I was finally able to go, and it was runny just like it always is (sorry for the details). I am still having severe pains in the lower left part of my abdomen or gut area. I havent had any recent surgery, I havent changed my diet or done anything strenuous. If I dont move the pain is just kind of throbbing or a kind of bloated cramping feeling kind of like menstrual cramps only more targeted to my left side. When I move however it is a sharp almost tearing feeling on the left side. When I cough, or blow my nose it has a sharp sudden pain too, though when I sneeze it isnt as painful as the cough. I hope this is enough details for you. I am thinking I will have to go to the clinic tomorrow when it opens. I just dont want to go and have them say that I just really need to poo. Thank you for your help", "output": "Hello dear, The causes of constipation can be:1. Any pathology/ sub acute obstruction in the Gastrointestinal tract2. Irritable bowel syn Chat Doctor. 3. Functional cause-due to decreased gastric motility4. Inadequate intake of fluids and fiber rich diet.5. Hormonal & Metabolic causes, etc. Though symptomatic relief can be obtained by intake of Laxatives, their regular use is not advised. And as long as the underlying cause is not treated, symptoms will keep recurring. So, kindly consult a Gastroenterologist & get a proper physical examination done. Investigations like complete blood count, Ultrasound scan of abdomen, Colonoscopy & contrast studies will be helpful to rule out any pathological cause for your symptoms. There is no need to worry, you will be fine. Till then, maintain adequate HY" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello,I have been having palpitations and skipped beats,it has not happened in months,I had event monitors,was in er last year,and it happend last august when I lost my grandma,I also started to get panic atttacks.It has been on and off for 4 days,it is scary,my dr and cardiologist say I am fine,I hate living like this,it even happens with no anxiety,I am also a manicurist,around alot of fumes,could this be,I have not worked in 4 days I am going on day7 with this.Is it anxiety or should I go bac to my cardiologist?", "output": "Hello, I understand your concern and would explain that your symptoms could be related to anxiety. The aspiration of toxins (due to your job) could trigger this situation too. Anyway, I recommend consulting with your attending physician for a physical exam and some tests: - a resting ECG - complete blood count for anemia-thyroid hormone levels for thyroid gland dysfunction- blood electrolytes for possible imbalance. An ambulatory 24-48 hours ECG monitoring would help examine your heart rhythm trends for a prolonged time and investigate for possible cardiac arrhythmia. If all the above tests result normal, you should consider anxiety as the main cause of your complaints. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I am 20years old I have been a victim of polio virus since I was 2 and it affected my left leg, my thighs are normal, but below my knee to my foot looks smaller than my right leg, the lenght of my legs are normal, my foot cannot function as well as my other foot, I can walk okay without pains, doctor is there any chance or surgery to correct this for me to be normal again?", "output": "Hello, I understand your concern. I am Chat Doctor, infectious disease specialist, answering your concern. There is a dictum called once a polio always a polio. But some corrective surgeries are available. You can choose one from the available options which suites your physical condition. Though they won't complete your defect but surely supports your physical ability. There are no complete cures for polio, only supportive treatment or rehabilitation can be given. Glad to answer your further concern. We wish you the best health at Chat Doctor. Thank you, ChatDoctorIf you are satisfied with my answer rate me as five star and close the answer" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have several Mosquitos bites with this I have been experiencing, swelling of my left ankle and blistering of the bites there. Blistering and pus coming out of many of my bites all over my body. Tightness and tenderness in my skin, been nauseous and also have pins and needles in my left arm. What could this be?", "output": "Thanks for contacting ChatDoctorYou are concerned about getting an infection in the area of prior mosquito bites. This is actually a common occurrence. When the mosquito bites, and you start scratching the area you cause small cuts to occur on the skin and that introduces bacteria into the wound. This progresses to infection and small abscess. I recommend that you seek medical attention where they can give you oral antibiotics. I also recommend1. Elevating the leg2. Using warm compresses3. Tylenol for that pain and burning Hope I answered your medical question. Please contact us again with your medical questions and concerns" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi friends, I am new to this blog,i just need some information about Penis massage,i read some Penis massage oils information for this site http://www.ayurvediccure.com/best-oils-for-stronger-penis/ I just wanted to know,is this safe to use mixture of olive oil and levender oil for Penis massage. The purpose of massage is for healthy penis to make is strong.", "output": "Degree understand your concerns went through your details. The information given in that website is true. You can use any oil as a lubricant to massage into your penis and after some time, you need to wash it off. Oil massage improves the blood circulation on your penis, and it becomes healthy. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Today in St John s Newfoundland there is a bizzare criminal case where a petite young girl age 35 robbed ten stores in a row without violence or injury totally out of character for her usual, mother of one, kind and sweet personality. Later, after being released on bail she collapsed (exactly 30 days) of total hepatic failure. Her liver was damaged by acetaminophen ingestion over several years and extreme hair loss and mental confusion had been noted in the weeks prior. This poor young girl desperately needs intelligent educated people on her side who can prove beyond a doubt that ammonia poisoning is the most likely cause of her irrational behavioral changes. She has been treated...is recovering nicely (including re growth of hair) and awaits a trial facing life in prison. Any insight you can offer this poor victim of brain disease would be priceless.", "output": "Hello there! Thank you for asking, Liver modifies ammonia to urea thus detoxifies it. Ammonia is lipid soluble and it crosses brain, so yes this ammonia cause encephalopathy and alopecia. But if the stimulus is not persistent. Liver can compensate by regeneration, Rest i didn't get what to say about prison and robbery thing, More like a human resource thing. But as far as ammonia is concerned it caused those symptoms leading to encephalopathy but liver failure can let that happen only, healthy liver cantRegardsS khan" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am five weeks post bunionectomy where in the growth was removed on the side and the toe bone straightened out. The toe seems to move fine with flexion but I can t bend it down at all. It still tingles a little and is slightly swollen as the bone is still healing. When can I expect to be able to bend my toe down again?", "output": "As you rightly said, the bone, that is the operated 1st Metatarsal is still healing. It would take a minimum of 6 to 8 weeks for complete bone union at the operated site. By then your toe movements would become normal, the swelling and tingling would resolve, and you would be normally active once again. Please give rest to the operated toe and foot, minimize ambulation for another 3v weeks, and this would hasten healing." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My speech is extremely nasal and i amnhaving difficulty speaking normally without having to pause intermittently to catch my breath. I also have difficulty chewing normally as i have to keep my mouth open and fight to move the food around in my mouth.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of Upper Airway obstructive lesion is more likely. You are having difficulty in speaking (more nasal voice), chewing and swallowing. So possibility of abnormal upper airways like epiglottis, pharynx, larynx is more likely. So consult ENT doctor and get done endoscopic evaluation of upper airways. If there is any obstruction then surgical correction is needed. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband was just at a Health Screening. He had an abnormal ECG They called it critical and called it a marked sinus bradycardia. his vent rate was 40. They told him to see his physician within 24 hours. Earlier he had hus pulse taken and it was 49. He doesn t think he needs to see the Dr. He has always had a low pulse but never this low. What do you suggest?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. If he is asymptomatic then no need for emergency. Some people tend to have sinus bradycardia from birth. Nothing should be done if he is not having any symptoms of syncope, giddiness, breathlessness, chest pain etc. But better to take appointment of cardiologist and get done 2d echo, stress test (trade mill test) just to confirm that his bradycardia is benign. If all these reports are normal then no need to worry this bradycardia. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Doctor, My father in law aged 73 about one and half months his urine is not in control and he is facing too much problem. He passed urine in day or night and not wiling to change the sheet or cloths,presently the same with the stool even he can eat the food while wet with urine or having fa ecus in his cloths,please guide me, which doctor will b beneficiary for him either neurologist or psychiatric? My father in law is 73 years old and staying GK Delhi alonge with his wife aged 69.will you please tell me what is the problem with him and how it can be cured as the earliest? ajay agarwal", "output": "Dear Mr Agarwal, From the description here, it seems your father-in-law may be showing signs of Dementia (most probably Alzheimer's Disease) as well as BPSD (Behavioral and Psychological Symptoms of Dementia). Dementia is a progressive condition of the brain. It involves loss of functions of a number of important brain areas and there is an over all reduction in the size of the brain, too. You may need to consult a Neurologist and a Psychiatrist. The combined approach will help him with the symptoms of Dementia as well as the behavioral problems. The clinical evaluation will help you and the doctors understand the severity of the condition and diagnose any additional problems. As mentioned above, Dementia is a progressive condition. This means the damage to the nerve cells in his brain (central nervous system) will be on going. There are a few medicines that can help him slow down the progress of the illness, but it is expected to progress further. You may need to make arrangements for a caretaker for him, as his wife is also aged, and may not be able to take care of him alone. It has been a common observation that the caretakers of Dementia and BPSD patients show signs of burn-out frequently. I hope this helps a bit. And I wish you good luck with the process. Please let us know if you need more help. Take care. Abhijeet Deshmukh, MD" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I used to have really good hair but lost most of it during puberty. I am now 46 years old and have severe hairfall also caused due to chemical treatments. My doctor advised me Follihair and have just started using it along with Becosules . I have noticed my urine has turned really yellow and I wonder if that is due to Follihair. Can you advise if that is the case and is that something I should worry about? Any advice on how to control my hair loss?", "output": "Hi, It may be halogen effluvium. There may be some cause like anemia, vitamin and minerals deficiencies, stress, thyroid dysfunction or other internal diseases. Consult the dermatologist for the perfect diagnosis and proper treatment. He might examine and investigate for the definite cause. Take tab. Biotin. Take multivitamin and mineral tablets. Take vitamin E cap. Apply mild steroid lotion on the scalp. Ant-Man Chat Doctor. Oil the scalp with almond oil. Relax and do light exercise. Have nutritious food. Get enough sleep. You might get a good growth of hairs. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Age-73 Height- 5 ft 8 inches weight-62 KG Medical history- Diagnosed for (i) Cervical & lumber Spondylosis (ii) RA (iii)crack in right platelet-pain and swelling . Pathological report -SGPT 47 UL-Uric acid-4.82 mg- glucose fasting- 102 mg ESR- 14 mm-Platelet counts- 2.3 lacs/cmm Medicines prescribed-(i) Folitrex 7.5 -one tap on Saturday/Sunday (iii) Etova P400 twice daily (iv) Folvit- one daily(v) sammy 400-one daily(vI)Sazz 500 (vii) Fosavance -one in a week (viii) Udiliv 300(ix) PAN - D Physiotheraphy i get pain in the right abdomen- Less apetite Should I continue", "output": "Hi. Thanks for your query and an elucidated history and reporting. You have been diagnosed for (i) Cervical & lumber Spondylosis (ii) RA (iii)crack in right platelet-pain and swelling, now have pain in the right abdomen and less appetite. You have been under the following medicines:(i) Foliage 7.5 -one tap on Saturday/Sunday (iii) Nova P400 twice daily (iv) Folio- one daily(v) Sammy 400-one daily(vi)Jazz 500 (vii) Fosavance -one in a week (viii) Ad\u00edlio 300(ix) Parkland Physiotherapy The lab reports are:-SEPT 47 UL-Uric acid-4.82 mg- glucose fasting- 102 mg ESR- 14 mm-Platelet counts- 2.3 lack/CMM Yes, you should continue medicines. And undergo further tests:-CT scan of the abdomen.-Colonoscopy.-Clinical evaluation by a General Surgeon to understand the clinical diagnosis and to get a proper treatment." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor My mom is about 62 Yrs and is under medication for Hypertention. She is seeing a cardiologist and he has put her on Losacar 75 mg, Nebuvas 10 mg and Rosuvastatine. But lately she has noticed that her pressure is always around 150/98 max and usually around 140/92. Should we be alarmed?", "output": "Hello, Thanks for writing to Chat Doctor, I am Chat Doctor. High BP is major risk factor for major diseases like HD, stroke,.HTN can be due to many reason but most time it is due to idiopathic THT there is no cause n called essential hypertension.some causes can be renal, metabolic,endocrine etc....ideally in high BP pt need BP caring twice daily for ate last 5 days n then consider that it is high BP.in high BP 1st need to do lifestyle modification include take low fatty diet n low salt diet with DEC wait n inc exercise n monitor BP for up to 6 months n still inc BP then need to be put on med n then need monitor bps til to adjust dose...it is done for pt who are recently DX...as your mother is already known pt of HTN n having high BP need to optimize dose n still have high readings then add on TX need to be considered n if there underlying factor that increasing BP may need to eliminate too...in old pt vessel become thick n hard n lead to inc BP while in young it dilates/constrict Sacco" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had raw almonds last night, and I have never had a problem with them, however, I noticed my lips started to tingle and my throat began to get sore. I noticed it an took benedryl (since I do have other food allergies, I new the symptoms). I then slept for the entire next day...as in 24 hours. Every time I have an allergy flair up, I am usually exhausted. Is that normal for someone to experience?", "output": "Hello, Welcome to Chat Doctor, The allergic reaction means when you are exposed to the triggering factor like dust, mite, pollen and food to which your allergic, there will be release of mediators of allergy like histamines which will produce all the symptoms of allergic reaction. As you are known case of allergy these are the routine phenomenon to occur in your body, when these symptoms occur it will make you exhausted and tired. If you test your blood for absolute eosinophil count during the allergic reaction there will be increase in the count. The medicine like been Chat Doctor. So I would suggest you to undergo skin prick test for the most prevalent allergens and identify the allergen causing all these symptoms, and then you can avoid the allergen, or you can take immunotherapy. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 5 years old son is under medication for typhoid for past 7 days. He is on antibiotics which will last till the 14th day to complete the course. He is complaining about pain in the knee and the joint area of his hand and shoulder. What should we do.", "output": "Hello Since, you mentioned that your son is having typhoid fever for 7 days and prescribed antibiotics for another 7 days (total 14 days course). Now your son is complaining pain in various joints (knee, joints of hand and shoulder) . But don't take tension because after typhoid fever few patients develop other complications like malaise, ARTHRALGIAS (pain in various joints) , and many others. So, once typhoid fever cured, your son will get relief. Beside prescribed antibiotics also take some diclofenac tablet after consultation with your physician. But take a complete course of typhoid fever. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My girlfriend recently found out she is pregnant. She is no more than a month pregnant, more than likely she is 3 1/2 weeks. Today she got punched in the stomach by a friend and she told me it hurt and she began spot bleeding afterwards. She then told me that she had a flow bleed with light blood first, then dark blood. The flow only lasted about a minute. Is there any possibility that she can miscarry? And also, is there any chance that the baby could have been harmed or gain any physical/mental disabilites from this?", "output": "Hi dear, I have gone through your question and understand your concerns. Abdominal trauma in early pregnancy can lead to miscarriage. Spotting or bleeding are present in miscarriage or chorionic hemorrhage. She should get a transvaginal ultrasound to confirm the diagnosis and get appropriate treatment. Trauma at this early gestation do not lead to mental injury in fetus. Hope you found the answer helpful. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My left side feels heavyier. I can still move it just the same as my right side but it is such a strange feeling. I went to the doctor when it first started happening. To make sure that I wasnt haveing a heart attack r anything. everything was fine. I even went and had a stress test. I am 43 yr old Female", "output": "Hi thanks for asking question. Here you can do ECG to rule out ischemic heart disease. Usually in this case pain is severe and radiating to arm with sweating. So chances of ischemic heart disease is less. Mostly you might have simple musculoskeletal pain, may be because of wrong posture while in sleep. Take simple analgesic for that. If still pain not relieved then do further work up with x-ray chest to rule out infective etiology if associated fever is there.CRP and CBC also will be helpful in further work up after few days if pain is getting increased. I hope I have solved your query. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi I recently went for my mirena coil to be replaced the doctor told me I had a polyp on my cervix and has arranged for me to have it removed. They replaced my coil. Can you tell me is there a risk of cervical cancer, all my previous smears have always been clear I am 39", "output": "Hi, Thanks for writing in. A polyp is usually a benign finger like outgrowth. It is at the cervix in your case and should be removed and seen under the microscope. While over 95 percent of polys in the cervix are benign and harmless in nature still 5 percent can get converted to a malignancy. Your doctor has suggested right to get the polyp removed and then checked for any signs of malignancy. Please get the polyp removed and discuss the histopathology report with your doctor. It is most likely that your polyp will turn out to be benign and harmless. Surgery is advised in every patient with a polyp so that in the rare event of a malignant polyp, treatment ca be given at the earliest. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Dr,Self Yogi 30 years old married for 3 monthts & planing for baby but not sucessful, i got low volume of sperm ejaculation, we have daily intercource some time its very hard to sperm ejaculaction but the erection is fine. is the amount to sperm ejaculation is problem? can u sugesst any pill to improve.", "output": "Degree understand your concerns went through your details. Low semen volume is a relatively common issue for men of any age, although this problem does appear to become more prevalent as a man ages. Hormone problems such as low testosterone levels account for the majority of cases. Additional causes may include frequent sexual activity, nutritional deficiencies, or injury to the testicles. Tight clothing, heat, or infection may also affect the normal production of semen. Any questions or concerns about low semen volume on an individual basis should be discussed with a doctor or other medical professional. Please consult an infertility specialist face to face. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my daughter is almost 2 and a half and she developed a rash on her chest...if you feel it it feels bumpy and raised...last week she was sick with a cold I believe...runny nose cough..she still has slight cough...I was using baby vicks rub and cold and cough hyland s for kids 2 years+ she was fine all week and started saturday a rash developed on her stomach. She is itching it at times.", "output": "Hi, Welcome to this forum. This type of rice can be due to insect bite, measles, are chicken pox. In insect bite, there is usually occurring on exposed part of body like legs and arms. It is associated with itching over the rash.in measles, the Rash appears all over the body which last for 5 to 6 days. It is usually associated with fever. In chickenpox, there are fluid filled skin lesions which appear all over the body and persist for 5 to 6 days. You should attach a picture of the skin lesion for proper advice and diagnosis. I hope this will help you. Wishing your child good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my mom is currently being treated for myleofibrosis. Has shown symptoms of the disease for approx 20 months. she is having transfusions at this stage every couple months. She has been taking Jakafi for the enlarged spleen, has helped greatly. She now is showing signs of extreme gout. Her left foot,ankle, arm, elbow and shoulder are effected. The family wants to know is the disease progressing, is the Jakafi not working, what will happen from this point?", "output": "Hi! Welcome to Chat Doctor and I'm feeling sorry for the medical history of your mother. As per standard protocol, only bone marrow transplantation can cure myelofibrosis and splenectomy is also required for symptomatic management otherwise the disease might progress to leukemia! Therefore, please discuss the possible line of management with a hemato-oncologist and revert to us if any more clarification is required!regards!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have constant dull ache in my lower back. I can`t stand for long and find sitting on a hard seat for long very uncomfortable. Even walking is hard as I feel very stiff. I was in a car accident last year and did major damage to my lower leg. This meant I had to sit for months with my leg up as it was non weight bearing. I am wondering if this is a muscular problem or perhaps arthritis", "output": "Hello, Welcome at Chat Doctor. I have read complete details of your question. It looks from your details that you had previous injury to your leg. Most probable reason for your present back pain is taking rest for long time. This had lead to decreased power in your back muscles. At present, you should do following to have relief in this--At least have an x-ray of your back, so that you may know if there are early changes of arthritis at spine. This may be there due to increased load over your spine.-Take a good analgesic like Advil or sleeve, These are OTC medicines.-Do warm fomentation over your back.-Take help of a good physiotherapist. He may apply some modalities like ultrasonic therapy,infra-red therapy,galvanic therapy for relief.-Learn some exercises to strengthen your back, like-http://orthoperson.blogspot.in/Hope this all will help you. With best wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, sometimes when im drinking alcohol my chest goes all tight and it can be quite hard to breathe. i have to go into the fresh air and breathe slowly until it passes or i feel i will start hyperventilating. do you know what this could be? it doesnt happen everytime i drink alcohol.", "output": "Hello! Welcome and thank you for asking on Chat Doctor! I understand your concern and would explain that your symptoms may be related to a gastroesophageal reflux or just anxiety. You should know that alcohol can trigger both these disorders. I recommend consulting with your GP for a careful physical examination, a resting ECG, a chest x-ray study and some blood lab tests (complete blood count, kidney and liver function tests, fasting glucose, blood electrolytes, etc.). A fibrogastroscopy may be needed to exclude possible gastroesophageal disorder (gastritis, esophagitis, reflux, etc.). If all the above-mentioned tests result normal, you should consider anxiety as a possible cause of this clinical scenario. Some tips like : - Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Dr, I have been suffering from high body temprature for past 4 months. This comes and goes during the day. I have visited the local GP few times and have had few tests done but we are not sure of the problem. This started with dizziness, unusual headaches and fever. The dizzines and headaches have improved but the body temprature still comes and goes? We did 1 testostrome test and that was low. As per my GP I have been asked to get a second reading to ensure it is a testostrome problem. Please advise if you think this can be something else? Thanks", "output": "Hello and welcome to Chat Doctor, High body temperature occurs due to many reasons like infections, connective tissue disorders, neoplastic conditions. Infection is the most common cause of high body temperature. If no focus of infection can be identified, you need to get blood culture to find out the cause of Pyrex of unknown origin. You need to consult your doctor for clinical assessment and for blood investigations to find out the cause. Thanks and take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am a 23 year old female, fit, active, eat healthy, when i was little i did have a lump on my brain, but no further problems. Recently i have noticed a small hard lump about the size of a pea on my neck, its up towards my earlobe and jaw. It has been there for a few weeks now. I also have a few small ones on the back of my neck that have been there for about a year and tend to come and go... the one on my neck hurts a bit sometimes... any ideas?", "output": "Hi, Dear thanks for the query to Chat Doctor Virtual Clinic. I studied your query in all the details given by you. The lump you have seems to be chronic Lymph amenities. Cause of it could be scalp infection, or infestation with lice. Other causes of lymph node enlargement as TB Amenities need to be ruled out by consultation with your doctor. The one which hurts you needs attention, hence I would advise you to consult Er Surgeon. Hope this would help you to act fast and plan treatment with your doctor. Hope this reply would satisfy your query. Write excellent reviews if you like this reply and find it helpful to you, as your comments and reviews would improve my rating for the visitors of the Chat Doctor clinic. Welcome for any further query in this regard to Me. I would love you to help out of this intricate problem of lump. Wishing you fast recovery. Have a good day. Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I have a 2 month old baby and he is passing motion 4 to 5 times a day and we have already consulted doctor and he has advised to give the baby C tax, O but I don t see any improvement. Is there anything to worry about now or wait for the full course of 5 days to get completed. His puss count is 26 to 30, no blood trace found in the stool....", "output": "Hi... Thank you for consulting in Chat Doctor. What your kid is having is not a diarrhea and is only a gastronomic reflux. It is quite common for babies of this age group to pass small amount of diarrhea or loose stools soon after feeds. This need not be treated as diarrhea and especially antibiotics are not indicated. When the baby takes milk, the stomach expands - then when it is contracting it sets off a wave form which moves down the intestines and when that wave reaches the lower down rectum, a small quantity of the stool is evacuated out. This is the basis for gastronomic reflex. Do not worry. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My kidneys hurt wen Im on my feet to long or wen Im laying down. They randomly hurt at times and usually its only one side. Yesterday it was both and it was sharp pulling pains. I almost couldnt stand anymore. Im not peeing blood and it does not hurt when I urinate. Im an 18 yr old female. What can it be?", "output": "HelloThanks for query. Pain in kidney area could be either due to spasm of back muscle or stone in kidney. Since you do not have any other urinary symptoms or hematuria or vomiting the possibility of pain is more likely to be due to muscle spasm.However, this has t be confirmed by clinical examination by a qualified urologist and doing ultrasound scanning OG abdomen and pelvis. Taking painkillers and antibiotic should resolve the issue. Further treatment will depend upon result of these tests and final diagnosis Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my daugther is 5 years old, two months ago she weak up in the middle of the nigth with terrible headache. i stay awake with her and prees her head for almost 1/2 an hour until the pain went away. two months later she had afever and again a terrible headache. What that canbe?", "output": "Kids will often refer to their head when they have sinus pain. The sinuses are located under the eyes, along the cheekbones and the forehead. Where is your child saying it hurts specifically? The fever indicates some sort of virus or infection, so it leads me to believe your child has a sinus infection. If you press on those areas I mentioned above and your child says it hurts, that would be a sinus infection. Nasal Chat Doctor. Hope that helps!!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi my name is Tosha i am 18 i had a very bad car wreck almost 2 years ago it broke my back in 2places and my neck.recently got married and i have ben trying to get pregant for almost 6months and not haveng any luck.could this have something to do with my wreck", "output": "Hello Mrs OSHA...I guess your concern is whether that accident is hindering u from becoming not pregnant....I got it.well dear my straight forward answer is -NO ...NOT AT ALL.....let's discuss pregnancy part n accident part one by one....pregnancy.well dear try to focus on term FERTILE PERIOD, it starts from 10th -16\u00a0day of menses cycle.here ovulation occurs...so ovum meets sperm n women booms pregnant....so Tate y it is called fertile period...so having more episodes of sex during this golden period chances of pregnancy will be doubled...but u haven't shared info about your menses.....whether its happening regularly or not????if not don't worry ....every problem has a solution in this 21st century...now accident thing...u told u got operated at 2 places of your back n neck region...usually Jen women become pregnant baby grows in the womb of mother...Jen baby starts growing slowly the belly of mother swells forward n to withstand the weight of baby mothers spine bends......it's called lordosis......this natures natural process.....but in your case as u have been operated at back region...Jun to have a safe pregnancy consult your doctor who operated on u to know the pro n cos of become pregnant on spine and discuss lordosis(Jun to throw light on was your trying to convey to surgeon)well with this small discussion try out my suggestions:-1.try to visit your surgeon who operated on u....or u can also visit a nearby neurosurgeon to discuss this n get green signal.2.try to do more episodes of sex in fertile period(scientific mean told ABV)for next 4-5 months.by this hopefully u get results...3.visit nearby gynecologist if u don't get results in 5 months or if you have problems related to menses.I hope this was informative enough, helpful n useful for your query.regards: Chat Doctor. .not successful...so tensionfull mind....u in past u had accident...so that has doubled your tension...I can understand your psychology....I pray god u get blessed with baby as fast as possible hopefully, TWINS!!!!!!)" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Yes what does the following mean? A tubular airspace opacity measuring 2.0 x 1.0 cm in the inferior right upper lobe corresponding to the chest x-ray abnormality. The appearance is suggestive of postinfectious or postinflammatory etiology, however given persistence since October 2017, other process cannot be excluded.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. I have gone through the x-ray report you have mentioned. This report clearly suggestive of tubular opacity in right lower lobe. This opacity is persistent since October 2017. So possibility of fibrotic lesion due to previous lung infection (tuberculosis or pneumonia) is more likely. In my opinion, you should get done CT thorax because CT is more informative than chest x-ray. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi , my baby is 8 months old, and she had septic enteritis at 1 month age, and had blood stool. She get recovery from that time, and now it comes again after 2 days diarrhea. We did the Rotavirus test, it shows negative. She looks fine everyday, so i dont know how i could do for her.. what do you suggest?", "output": "Most often loose motions in child Chat Doctor. Rotavirus is one of such viruses, but not the only one. But presence of some amount of blood could indicate a bacterial infection that might need treatment with antibiotics. If the child is active and fine there is perhaps less cause to worry, but I would insist you to get a routine microscopy of stool done. If the results indicate increased pus cell count, it could indicate a bacterial infection and could require to be treated with antibiotics like Ofloxacin. But in case pus cell count is normal, there is no need to give antibiotics and there is less to worry about. Giving ORS (oral rely" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi...i m 29 years old...i had a swollen lymph node on my groin on the right side...did biopsy and chest x ray..went to the doctor and was put on antibiotics and the lymph node went away in a week...the doctor told me that it was an infection...this was 2 year ago...now i have swollen lymph node on the right...went through biopsy again...and chest xray ..now i have been told that the lymph node is abnormal and was recommended to a specilaist...is this lymphoma ...my blood test and chest x ray is normal...i have no pain anywhere...please advise", "output": "I would have preferred to know what exactly does the biopsy say because an abnormal biopsy could mean a number of things like tuberculosis, filariasis, lymphoma, other cancer etc. The chest x-ray and blood work maybe normal in a number of these and don't contribute much. If your doctor says it is abnormal then I suggest you do as he says and meet the specialist. No point wasting time over something that is definitely not a simple infection." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My heart beat makes my body move. It s like a slight pull to the left with every beat. I usually only notice this when I have to be very still. The first time was about 5 years ago during a mammogram. Another time at the ophthalmologist for a test to measure pressure within the eye. But now it is most anytime when I am quiet and still. The beat makes my upper clothing move and is very visible. I m 67, female.", "output": "Hello! Welcome on Ask a Doctor! I understand your concern and would explain that your symptoms could be related to a cardiac arrhythmia. For this reason, I recommend consulting with your GP for a physical exam and some tests: - a resting ECG-complete blood count for anemia-blood electrolytes for possible imbalances-thyroid hormone levels for thyroid gland dysfunction- an ambulatory 24-48 hours ECG monitoring for possible cardiac arrhythmia. You should discuss with your doctor on the above tests. I remain at your disposal for any further questions whenever you need! Hope to have been helpful! Wishing all the best, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi.., I m Junejo from manipur. I ve been suffering from angina.My lower part of both chest are pain since last month.When i got it i paid a doctor, he advise me to stop my game untill recover it.And i took many drug but there is no any progress to me.Doct. Tell me some advise what ll i do", "output": "Hello Mr. Junejo, I have gone through your question. Actually I need to review your ECG and other reports to give you proper guidance. But ad you mentioned that you have anginal pain, then you need to undergo further evaluation. As per your history your anginal pain is persistent inspire of medications. I presume that you are on optimum medicines. In that case you must undergo coronary angiography to decide further line of treatment. My best wishes, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doc,I am having a panic attacks daily, like my heart stops and feel like head is blowing up. i have thyroid issue. I suffered a lot of stress as a result i got thyroid. ALso i have a bicuspid arotic valve, but docs say there is no problem as of now. Please tell what is the problem.", "output": "Hi, First, thyroid gland diseases can disturb the function of the normal heart. In addition to this, the bicuspid aortic valve you have can put further strain on your heart. So you should do an ECHO and an ECG on your heart in order to know the ejection fraction of the heart. The normal ejection fraction between 52-72. If your ejection fraction below 52, you should ask a cardiologist for help. Second, we cannot diagnose a patient with a panic attack if he / she has a cardiac disease even if it was asymptomatic. Third, you should take the medical treatment for thyroid disease you have, measure your blood pressure and ask a cardiologist for help. Finally, the hormonal therapy for contraception or replacement therapy for women and stress can aggravate cardiac disorders, so if you take it you should ask a gynecologist for help. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My Aunt has polycythemia secondary (non-vera) I m trying to help her find out more information about it. The doctor s don t seem to know much of what causes it. She is having a pint of blood drawn every other month when her count is over 18. However, now they want her number 12 and under. Her numbers this last year have been between 15.8 and 19.3", "output": "Hello. Thanks for asking on Chat Doctor. Polycythemia is persistent increased RBC and hence increased hemoglobin levels in the blood. It could be primary i.e. Vera or secondary to certain causes. Polycythemia Vera has low erythropoietin levels and on cytogenetics Jak2 mutation is found. In secondary Polycythemia underlying causes may be those causing chronic hypoxia which increase erythropoietin production like sleep apnea, obesity hypo ventilation syn Chat Doctor. EPO secreting tumors like hepatocellular CA, renal cell CA, a" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Is it normal for a girl to miss her period when on birth control ? my girlfriend jus started take birth control for the first time and they finished on satuday and the is the week she should get her period, but today makes 4 days now and she still havent got her period. Since she been on them we had sex only once and we used a condom.", "output": "Hi, Thanks for query. Yes it is normal in disturbances in menstrual cycle when she is on birth control measure because they are having estrogen and progesterone hormones and causing menstrual disturbances. Delay in period for 4\u00a0day not a worry, wait for at least 10\u00a0days,than go for pregnancy test, and consult a gone. Chances of pregnancy in your case is nil because she is on pills, and you are using condom. So don't worry. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My mother is suffering from Pnemothrox . Doctor was insurted one tube in the chest for removal of air . After that she is filling well. then Doctor started ATT along with Unicontin e400 and Xonez-200 . Some times she is filling some pain in her stamoch and she is not taking food also. pls suggest us.", "output": "Hi ! Good evening. I am Chat Doctor answering your query. If I were her doctor, I would advise a liver function test for her, as the ATT could affect the liver function. As such the tubercular infection would cause anorexia, which would gradually be alright once the ATT starts having its effect, which might take some time. Please see that she gets proper diet consisting of high protein and fresh fruits. You could add a proton pump inhibitor Chat Doctor. If medically fit, it would be wise to encourage her for some regular light exercise like a morning or evening walk. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have cardiomyopathy and sleep apnea. Four years ago, I was implanted with a bi-ventricular pacemaker with 3 leads to the heart. Recently, I have been diagnosed with ischemia. My beta blockers have been doubled to 25 mg. twice a day. What does that do to my life expectancy?", "output": "Thank you for choosing ChatDoctorHaving cardiomyopathy can significantly affect your life expectancy. The medication that you are on is correct, and I do not think that you should worry. The best way to know the function and the effectiveness of the heart, you will need to get the heart checked up. You should see a Cardiologist to get an Echocardiogram and Technetium scan which will help find out if the heart is working properly. Please follow up after the results of the ECHO and the scan are back. All the best. Hope this helps you. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I came off my pill start of august for me and husband to try for a baby. Since Ive stopped taking my pill after taking my pill for 8 yes my periods are heavy painful. My stomach cramps are lasting for 3 days and cant sit down properly. Is this normal? How long does it take for the pill to get out my system? Im desperate to gave a baby.", "output": "Hi. Thanks for your query and an elucidated history. Since you have taken pills for 8 years, the artificial hormones had taken control of the body. After 8 years of use of the pills, the hormonal axis of the natural body will take time to adopt. This is why you have different kind of bleeding causing more clots and the uterus trying to adjust to the new hormonal environment. Normally it is seen that it hardly take 3 to 6 months to have a normal pattern without any symptoms related to menses after stopping the pills. Please do not worry, you will get adjusted very soon. Go for ovulation study, a consultation of a senior Gynecologist. Treatment for the stress and anxiety." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "They found a. 9.5 cm lymphoepithelial cyst on a part of a ovary left from a hysterectomy when I was 27. I am 53 now on a lot of pain at times .they found it on a MRI I was having of my left hip for a torn tendon . My doctors said it need to be removed considering age and size . Could it be cancer ?", "output": "Thanks for your question on Chat Doctor. In my opinion you should not worry much about cancer. Torn tendon does not suggest malignancy. It may be due to MAL union or non-union of the injured tendon. And pain is also due to this. So better to get it removed surgically. And send the sample for histopathological examination to rule out malignancy. In my opinion it will not come malignant lesion. So no need to worry much." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi i have a history of polycystic ovary with irregular periods, i got married last year, tried for a year to concieve but failed, this feb i have done a laproscopy and ovarian drilling and fallopine tube clearing too....can you you tell me by when generally conceiving wil happen after thsi operation?", "output": "Hallow Dear, I have gone through your anxiety. It is very difficult to predict when a woman conceives after ovarian Chat Doctor. However, it is noted that most of the women conceive within six months, some up to 1 year. More delay is not a good omen for conception. It is better you opt for ovulation monitoring and accordingly try for conception. Usually a follicle ruptures and egg is released after the follicle is 18 mm or more. Accordingly, you may plan the intercourse. Follicles more than 21 mm are not supposed to be good for ovulation or healthy egg and the success rate for conception with such follicles is not encouraging. I hope I have answered your question." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 33 year- old woman. Not sure if it is affiliated with allergies (been having a horrible allergies and sinus congestion all week), but in the last few days I feel that I have had shortness of breath. Wondering if my heart seems to be beating really fast. I also had a half a cup of iced tea several hours ago and still feel jittery (and i m not usually that sensitive to iced tea...it s something I drink regularly). any idea what may be going on?", "output": "Hello and thank you for using Healthcare magic. Sinus congestion may be due to many causes, allergies are one of them. If you have allergies you should be tested for them and find out the cause of your allergy because than you can take proper medication and makes lifestyle changes to ease your problem. Shortness of breath is a common allergy symptom, and it is a sign of airway reaction to an allergy. Also, rapid heart beat OT tachycardia is an associated symptom with airway obstruction. There are many other causes associated with your symptoms, and that is why you should get a check-up by your physician as soon as possible and see what is the cause to your problems. Feel free to contact me again if you have any questions." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 54 year old female that has had allergies and asthma for over 20 years. We recently moved to the Northwest and had to change doctors. The allergist that I went to took me off the Flovent that I was using and put me on shots. After two years of getting 6 shots a week for all the allergies that I have, I was not improving at all. So I went to another allergy doctor, who put me on a maintenance level of Prednisone, This worked wonders but I gained a lot of weight and my gynecologist was worried about bone density. Now I m at a point where I m not sure what to do. I am taking Singulair for the asthma and Nasacort for the allergies. I currently have no allergy doctor, just my Primary. She has suggested that I go back on Flovent and has written a prescription. Does this seem like the right course of treatment or is there something better that I should be doing?", "output": "Hello. Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for you as follows:1. I would agree with your current treatment with Montelukast (Singular), intranasal corticosteroid (Escort) and Flutixasone propionate (Flo vent). If above Chat Doctor. 2. In addition to above, I would suggest you regular breathing exercises and a healthy diet rich in vitamins & minerals to improve your lung capacity and immunity respectively.3. As you already have had allergy testing and allergy shots, I would suggest you to avoid the substances you are allergic to. In general, I would suggest you to avoid exposure to dusts, smokes and air pollution. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you the best of the health. Thank you & Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have been on microgynon 30 for a number of years. Have just got back from Kenya and have been taking malarone. I was on my pill break and due to come on Friday, am regular as clockwork and have still not come on. Due to start taking pill again tonight. Did not have sex in the 2 weeks I was away as bf not with me. Came back tues night and had sex with condom but it split. Have a done a pragnancy test which was negative. Do I take my pill as normal tonight or wait for period. Also what are chances of being pregnant? Thanks, Vikki", "output": "Hello, I have gone through the query and understood your concern. Any antibiotic or antibacterial agent can affect the performance of an oral contraceptive pill and cause failures. This may be applicable to the anti-malarial preparations also. Yet, I do not think you could be pregnant since you had the intercourse after your expected period. Home pregnancy tests read well when performed 3-7 days after a missed period and not earlier. You should get a blood test done to exclude/confirm pregnancy before you decide whether to continue with the pill. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doc, may i ask about my husbands situation? he had uti, for 4 days already. took ciprofloxacin but still has this burning sensation when urinating. now he finished all the tablets. does he have to take another tab of ciprofloxacin? hope to hear from you, thank you so much.", "output": "HelloPersistent UTI may be due to resistance to ciprofloxacin. Though empirically it is a good choice but nowadays, many germs has developed resistance against it. Your husband may need antibiotics based on culture and sensitivity report of urine. I also suggest routine investigations like routine hologram, random blood sugar, renal function test. He should Chat Doctor. He may also need alkalizing syrups. Your husband will be fine with proper antibiotics. Get well soon. Take Care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i m 32 years old.i had a lump in my armpit.went to see a doctor who had me get a breast ultrasound.which showd no mass in my breast.but dignosed lymphadynopathy bilaterally.now she asked ne if i had a tb family history.the answer was neg.but i do get these coughs very frequently.so i have to get a blood cp n esr...can please tell me whats going on n is this lyphadenopathy something to worry about....i m married n have 2 kids ..one is 11 n the other is 4.5 years old..", "output": "Hi, Dear Thanks for the query to Chat Doctor virtual Clinic. I studied your query with available details given in your query. I understood your health concerns. Cause of the armpit lump with Cough-AS your breast on USG study showed normal, the bilateral lymphadenopathy in maxilla/armpit, could be due to -Pulmonary TB with general debility or With Hodgkin's Lymphoma/or NHL. Update more information-of accompanied malaise, fever,joint pains, and any weight loss lately with this cough and armpit lumps.Hence, I would advise you to Consult ER Surgeon /Onco-Physician, who would investigate it by-CBC(Complete Blood Test) with ESR, IGRA (Interferon Gamma Release Test -to find out any evidence of old or current TB infection in the body. X-ray Chest, FNAC Biopsy with HPR study of the armpit lump, would confirm the nature of the lumps and cause of the accompanied Cough with it. So Don't worry till you get the FNAC Biopsy of the armpit lumps, to rule out other causes of such a lump. So consult an ER Surgeon.Don't Self-treat or medicate in your case as the case may go in to further complications. Hope this reply would resolve your query and would help you to plan treatment with your doctor. Hope this would relieve of your health concerns. Welcome for any further query in this regard before final suggestions are given in your query. Wishing you fast recovery. Have a good day. Chat Doctor. N. Senior Surgical Specialist." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "a student of mine had severe right arm pain about 4 days ago and when he was in karate class he had severe chest pain and was winded and his right arm was in severe pain. He was taken to ER and they kept him in Childrens hospital and ran all the test and said nothing was wrong, could this be true?", "output": "Hi...it could be a myalgic or a muscular pain. Moreover, when you quote that he is involved martial arts, this carries all the more importance. The hospital would have been doubly sure before clarifying it as normal. So do not worry about it. Paracetamol can be given in the dose of 15\u00a0mg/kg/dose (maximum ceiling dose of 500\u00a0mg) every 4-6th hourly that too only if pain in intolerable. I suggest not using combination medicines for fever, especially with Paracetamol. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my husband complained of having blisters on his penis after we have sex. So we went to a lab and they took urine samples and said they found pus cells and we were placed on antibiotics for a week. 3 days ago we had sex and this morning he has a blister again on his penis....what should we do?", "output": "Hi, For a married man having genital ulcers, the most likely cause is that his wife is carrier of the organism and having asymptomatic infection, if his only sexual partner is his wife. You and your husband both should be tested for the typical bacteria causing genital ulcers' chlamydia, and as well as PCR for herpes simplex virus and genital secretions for fugal infections. Syphilis doesn't cause recurrent genital ulcers, so in my opinion it is not prudent going for syphilis testing. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am a 31 year old female and I have had a headache for three days now. At first it was my whole head with vomitting. Then I woke up at 5 this morning coughing so bad that I vomitted. During the coughing spell I did cough up whitish flem. I have not coughed since but my headache then moved to just the left side of my head. It radiates from the bottom all the way through my jaw and around my eye. I cannot get rid of it no matter what I take. I was thinking it was a migraine but am not so sure. As for my heath history I have had a mytro valve prolapse that healed itself, Rheumatoid arthritis, and a history of emphysema. That is all I can think of at the moment. Oh and I am five foot four and I wiegh 167.", "output": "Hello! Welcome and thank you for asking on Chat Doctor! I carefully passed through your question and would explain that your symptoms are not related to mitral valve prolapse. A migraine attack could explain the headache and vomiting, but the cough could be related to emphysema of an infection. Coming to this point, as your symptoms are lasting more than three days (which is beyond the limits of a migraine attack), I would recommend going to the ER for a careful physical exam and some tests: - a chest X-ray study - a resting ECG- a brain CT scan - complete blood count for infection-ESR and PCR for inflammation - blood electrolytes (an electrolyte imbalance may be present because of vomiting). Hope to have been helpful! Kind regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i want to know the good side and negative side of taking eleron. i want a good medicine that i can take in order to gain weight, i have lose weight in some few months now because of some family problems and i wan to gain a normal weight. Thank you and hope to hear from you soon", "output": "Hi, Electron Capsule is used for treatment of megaloblastic anemia due to a deficiency of folic acid, treatment of anemia of nutritional origin, pregnancy, infancy or childhood, iron deficiencies etc., nausea, vomiting, trouble sleeping, dizziness, headache, or nervousness may occur. If any of these effects persist or worsen, tell your doctor promptly and temporarily stop taking the medication. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "The other day, my mom woke up, in great deal of pain. She couldnt see anything, but a bright light. And she had a weird hurtful, sensation, of the feeling of being electrocuted, though out her entire head. It lasted for a few minutes, and went away.", "output": "Hello, In such cases, or, in other words, the worst headache ever, subarachnoidal hemorrhage should be considered and evaluated further. So, it is necessary for your mother to be evaluated by her Doctor and by imaging tests such as CT scan of the brain, right away. Discuss with the Doctor for these issues. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im, 18 years old, 132 pounds im 52 i have a histery of bad headaches well my pain started of with a very badtooth ache in the back where my wisdom teeth are on my left side went to a oral surgen yesturday and he gave me some meds called clindamycin so on da way home i started developing this werid feeling in my head just on one side of my head in the front near my eyes so wen i got home i ate and took two clindamycin and drank plenty of water but this morning i woke up with that same feeling in my head and a funny feeling in my stomch i been to the bathroom 2 time this mornibg its normal like stool. Its no pain my stomach but it feels like pressure or somethingi feel like i gotta vomit but i dont that funny feling in my head i only geag dat when i sit up or lay down so rite now i am laying down cause either way i het it", "output": "Thanks for using Chat Doctor. Read your query. Symptoms you have described suggests the side effects of clindamycin, the antibiotic may not be suiting your body. I would advise you to call your dentist office or visit him and get the antibiotic changed. Take the antibiotic on full stomach and have lots of fluids. For the pain you can take ibuprofen (if you are not allergic to any medicine)Hope this was helpful. Thanks and regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My white blood cell count is 3.1.My red blood cell count is 3.92.My platelets are 8.2I have no energy and run fever up to 105 at times. I have diabetes and on insulin and also have psoriasis of the liver. I am being sent to a infectious disease doctor. What could this be...cancer?", "output": "Hello Thanks for the query. According to your blood report and history of illness (diabetic) I can say that you are not having CANCER. Fever, may be due to some sort of infection o r due to complication of diabetes (secondary infection). Psoriasis is also a form of infection, so don't take any tension. Just deal as your treating physician advise. Hope this will be useful information for you. Further, if any question, I will reply happily. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My grandson, 20 months old ran a low grade fever with cough and congestion. Fever is gone but he has developed a rash on his hands, knees and elbows. This iis the second time this has happened. The first time the doctor said it was not hoof and mouth disease. It disappeared on it s own. What is this?", "output": "Hi welcome to Chat Doctor Rashes after fever and cough are mostly due to viral illness itself. Usually they appear after subsiding of fever and resolve in 3-5 days. Mostly create doubt of Chat Doctor. Usually child is active and playful. They are to be taken seriously is baby is dull, there is pain abdomen, vomiting, cold extremities, bleeding from any part of body, baby is passing less urine. Hope I answered your question revert back if any other querythankd" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, my name is Tania. I want to I m sorry for my english. I hope you can answer my question. My child was 6.5 months. Today, when I bathed the child I saw a dark stain on the back of the right circle, about 2 inch. What does this mean and where it came from so quickly?", "output": "Hi, Do not feel sorry for language or grammar problem. Anyway, I think the stain is on children buttock. Usually there are some stains on body of infants. It may be some infection as ringworm or simple nappy rash. Take your child to the nearest emergency or local doctor as he will observe and examine to make diagnosis. Do not worry. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My heart rate has been at 110 for the last 2days. I have a cough and a low fever. Would this usually make your heart rate go up. I had also been tested for svt recently because I have palpitations and a shots run of svt... Is it just the cold making my heart race?", "output": "The reason for your heart rate shooting up to 110 in the last two days is infection resulting into fever. It is natural for the heart to increase its heart rate to meet increased oxygen demands of the body due to fever. So as soon as the fever and infection settles the rate will come to normal. In SVT the heart rate is generally more than 150. However, if the rate remain high even after the fever subsides do get an EKG" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Yesterday I used a lot of clorox while cleaning my sink. I later watched a movie in an area near my kitchen. I had my windows closed and the AC on until it got cooler last night and I opened the windows. Today its like my lungs hurt especially when I inhale. It seems to be getting worse as the day progresses.", "output": "Thanks for your question on Chat Doctor. In my opinion you are having chemical fume induced bronchitis. Your symptoms like chest pain on inhalation is typically seen in bronchitis. And since you have enough exposure to Clorox cleaning solution (chemical) fumes, possibility of chemical bronchitis is more. So take fresh air. Avoid that cleaning solution. Start antihistamine and anti-inflammatory Chat Doctor. If not improving in 5 days than consult doctor and get done chest x-ray to rule out infection." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have excessive P waves on my EKG and a resting pulse that has begun to stay between 104 and 120. I have excessive sweating, fatigue easy, chest pains palpitations etc. I had a stress echo and they didnt see anything obvious. My bp was 117/57 and my pulse was 120... They said that my test was clean. But that i definately had the symptoms but there is nothing that says my heart has something to do with it. Said to push my Dr to find out what is going on. I am wondering of there is a next step I should try.", "output": "Hi.although your BP and echo are normal, still something is going on as you are experiencing palpitation and chest pains.excessive P waves may be due to some atrial arrhythmias.may be some supraventricular ectopic beats are intervening.so just visit your cardiologist and report regarding your discomfort.there are so many anti-arrhythmic Chat Doctor. .also it's to be discussed whether some intervention like pacing may be required in near future.don't worry much.have a good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor , m 21 yrs old female n has some problem regardin my mensuration cycle,they wer nt regular so d doctor gave me d femilon tablets n later gave me novelon tablets,after few months i had a severe headache n my head used to spin n i used to feel low,i did my hb test n it was 8.57 n i was diagnosed as anemic,n thn did pbf test which showed rbc s as hypo microtic. now which medicines should i take n uat could be d possible reason for my low hemaeglobin? please help. thank you", "output": "Hi, There might be having few reasons for having anemia. Common cause is having chronic blood loss from the body. Possibility of having worm infestation should be kept in mind. Nutritional deficiency can cause anemia as well. Go for,1, bleeding time, clotting time,2, stool test for worms,3, get examined for having hemorrhoids, Take branded iron, folic acid tablet for 2-3 months. Take nourishing diet, green veggies and high protein diet. Ok and take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Today we had our first ultrasound. I did not like the results. My gf is 8 weeks and 2 days since first day of her last menstruation. The ultrasound showed a Sack of diameter 24mm, but no embryo. The ObGyn said it looked like a typical pregnancy of only 6 weeks. At 8 weeks there is usually an embryo visible with a visible heartbeat as well. What could this mean? Is it highly likely that the baby will be born handicapped, deformed or permanently ill? What does it mean that my gf s pregnancy is slow?", "output": "Hallow Dear, If she is 8 weeks pregnant her ultrasonography should show the embryo with heart activity too. Her gestational sac is of 6 weeks size only and there is no embryo in the sac and there are no heart activities of the baby noted. These are the typical findings of Blighted ovum. Blighted ovum is a condition wherein there is pregnancy without the baby (embryo) in the gestational sac. Usually such sacs are having irregular margins. Please repeat the scan after a week. If still the embryo is missing from the gestational sac and there are no heart activities noted, the diagnosis of blighted ovum is confirmed. Blighted ovum pregnancies do not continue and grow. If the pregnancy does not get aborted spontaneously, get it terminated from an Obstetrician ASAP. Delay may invite complications like infection or excessive bleeding. I hope this helps you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "an ultra scan has revealed I have 2 frayed tendon,s in shoulder, plus a bag of fluid under armpit, you cannot see it, but feel it, and it is the size of a small plum,now they say I need a mri scan,which has come through pretty fast.could you tell me what it is, my shoulder is very painful to move, and the swelling under my armpit causes me to have pain to, also i have swelling round the ( mid arm) .i have had the trouble for 3 mths,had steroid injections first,but they did nothing .", "output": "Respected Sir, hi I evaluated your query thoroughly. This is tenosynovitis with secondary infection in Chat Doctor. Presently you can try following till MRI and definitive treatments which ranges from higher IV antibiotics, anti-inflammatory agents and in certain conditions surgical correction of frayed tendon through copy procedures.-- take analgesic tablets for pain relief for and eve after meals.-- avoid excess computer work / strenuous work / weight lifting.-- avoid excess pressure under the same shoulder while sleeping also. Hope this clears your doubts and query. Thanks for using Chat Doctor and reviewing my answer. Wishing you a fast and speedy recovery from the same. Regards Bye Dear Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had the flu recently which lasted longer than normal for me (3 weeks) but 2 weeks ago I noticed my lower ribs hurting. I assumed I strained them coughing but we are now 2 weeks later and the pain is getting worse. Is there anything I can do or do I need to see my gp?", "output": "Hello, More information is needed for a complete answer. I'll try to guess what's missing and give you the best answer that I can. You mentioned having flu, but you did not say anything about laboratory investigation. Was there a positive flu test? Did you have an X-ray? Is the pain one-sided? Is it worse when coughing or taking deep breaths? Do you have shortness of breath? What about fever? I would be more worried if you had ongoing fever (even low-grade), one-sided pain, getting worse when breathing particularly if you also felt you can't get enough oxygen. Sometimes inflammation may spread to the outer layer of the lung and cause pleuritic. The same can happen to the hearts lining layer (pericarditis). Besides the above, other serious complications may cause worsening rib pain. You definitely need a GP visit. If the aforementioned symptoms describe your case then you should see your GP right away. I hope you get well! Kind Regards!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Gudpm,Doc here s my results.. Estradiol - 186.90 pmol/L, FSH - 7.22 IU/L, LH - 5.81 mlU/ml, LH/FSH ratio - 0.8 prolactin - 468.00 progesterone 19.85 nmol/L. my ultrasound Endometrical thickness is 4.5 mm.. uterine Echo pattern - wc AVR NS.. pls help us.. tnx! waiting for your reply... Edit | Delete", "output": "Hellowelcome to Chat Doctor. Your prolactin levels are very high, please get it repeated once. Get it done in the morning around 7 to 8am because prolactin has a variation through the day. Also get your thyroid profile done. Sometimes thyroid disorders cause raised prolactin. Depending on the reports you will need some treatment for your prolactin. Also what is your basic problem? Irregular periods or inability to conceive?" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I has a laproscopy to have my appendix removed on the 6th. And I am currentlt still in so much pain in my abdominal area as well as swelling and pain in my left foot. I can barely move. I have already taken all my medication and followed doctors orders, but i dont think i shd be in this much pain still. Should I?", "output": "HI. Thanks for an elucidated history. The probable reason for your problems are 1 > Swelling and pain in the left foot can be due to deep vein thrombosis, a known complication of laparoscopic surgery. Get color Doppler Examination done to ascertain the cause and get treated accordingly. Till then keep the left foot and leg elevated above the heart level in lying down position. 2 > The pain in abdomen after appendectomy can be due to development of an abscess, mass or peritonitis. This can be best diagnosed a by a preliminary CT scan to find the cause and be treated either by medicines or surgery if indicated." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Have just been told I have acute cholecystitis and innumerable gallstones from an ultrasound and have been avoiding fatty foods, large meals at night etc, but we are getting visitors and was wandering if it is possible to have alcohol. I normally drink scotch and diet dry, what do you think, also what exact foods/drinks etc should I avoid, would be most grateful for any information", "output": "Hi welcome to Chat Doctor forum. It appears that you are diagnosed with the cholecystitis, due to the numerous gall stones. If advised you can have the stones removed, by scope, without surgery. With this you can have relief for some time. But you may have relapse. Take more of green leafy vegetables, pulses, sprouts, and protein rich foods for healthy maintenance of the gall bladder. Avoid alcohol, fatty foods, oils, fry foods. Etc. But may not be very strict absence. Strictly avoid spices, junk foods. Wishing for a quick and complete recovery. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "respected sir,i am mr.patel.i m 58 years of age suffering from diabetes since last 5 years.also suffered from hypoglacemia 4 months back.recently i have developed swollen gums which are bleeding sometimes and there is presence of pus also in it.i am a regular bidi smoker.please guide", "output": "Thanks for your query, I have gone through your query. The swollen gums, the bleeding and pus could be because of the gum infection secondary to deposits over the teeth. The incidence of gum infection and periodontal abscess is more in case of diabetics. Consult an oral physician and get yourself examined and get the teeth cleaned. You can take a course of antibiotics and analgesics like amoxicillin 500\u00a0mg and metronidazole 400\u00a0mg TID for 5 days (if you are not allergic). You have to get your blood investigations (to check the blood glucose level) done and radiographs like OPG done to rule out any tooth infection and see the status of the surrounding bone. Then you can get the scaling and root landing done, and if there is abscess that can be Chat Doctor. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Sir,my semen analysis says iquefaction time : >60 MinutesPh : 8.5 Microscopic examination:Sperm concentration : 30.0 Millions Sperm total count : 105.0 Millions Motility Grade:IV (Rapid forward progression) : 03 % forward progression) : 08 %II (Slow forward motility) : 15 %I (Immotile spermatozoa) : 74 %Morphology:Normal forms (%) 30 % >= 4.0 %Vitality 40 %.With this,what treatment choices do i have ?Thanks in advance", "output": "Hello, Your semen agglutination time high and your sperm motility if abnormal. You are having immobile sperm more which should not be present normally. You need further evaluation by ultrasonography pelvis, serum testosterone and prolactin estimation. The smoking habit is present need to be stopped. You need to be prescribed multivitamin tablet and hey Forte like a tablet to increase sperm motility. I suggest you consult an Chat Doctor. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am 31 years male ,last 3 months grade 2 anterolisthesis of L5 over S1 with bilateral spondylolysis at L5L5 S1 disc dessicstion pseudobulge indenting the thecal sac and causing neural foraminal stenosis leading to compression of bilateral exiting L5 nerve roots", "output": "Hello. I have read your message. I would love to see the scan and not just the report. However, having read the report, I think you need to start a medicine like pregabalin. Meet your neurologist for a suitable prescription for the same (as per your body weight).if the compression is too severe (for which the scan needs to be reviewed), a neurosurgery/spine surgery consultation may be needed. I hope you get well soon. I would like to help you further if there is any possible way you can upload the scan. Best of luck, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi , I am 26 years old girl i have a gum swelling problem form last 4 days whn i touched tht gum some yellow colur peep is coming out frm tht swilled gum, this prolem is in the same teeth which i was opertaed from root canal before 7 years ago. i have taken Moxikind CV-625 MG Today. Should i go to to doctor. Wht do u Suggest.Akanksha", "output": "Thanks for using Chat Doctor. Read your query. Pus from the tooth and the swelling in the gums suggests reinfection in the root canal treated tooth and formation of an abscess. If I were your treating dentist, I would advise a radiograph and if all was favorable would proceed with the re root canal treatment followed by a crown. Antibiotics like amoxicillin 500\u00a0mg along with Metro lag will be beneficial. Salt water gargling can be done. I would advise you to visit your local dentist and have it treated as early as possible. Hope this was useful. Thanks and regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a ultrasound done of my liver, found a whitish area the size of 5.4 cm on my right lobe, I clearly saw it with my own eyes, now I had a MRI done and doctors say theres nothing on my liver when you can clearly see it on an ultrasound. Im 21 weeks pregnant. What can it be or why cant they see anything on the MRI?", "output": "Hi, thank you for posting. You don't have to worry... Ultrasound is a widespread method all over the world. It is cheap, fast and harmless method. But it is not an exact method. Ultrasound images sometimes are fallacy, like in your case. An ultrasound technician with work experience can easily find mistakes. MRI is a sophisticated and exact method. If MRI is negative, there is no reason to worry about. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am a seizure disorder patient presently on oxycabazepine.i am pregnant but the growth is slow. my LMP was on 19/12/2009 (have irregular periods).according to that my baby shud be 9 weeks 06 d.but the recent usg shows 6 weeks 6 days.last week also had a usg which showed 6 weeks 2 days.fetal pole has appearedthis week but no heart beat.moreover i culd have conceived only after 6 of jan since had intercourse only after that.my doctor says to go in for D&C.please advice.", "output": "Hi there,Since you have irregular periods its possible that you must have ovulated late and that's why the pregnancy is 6-7 weeks at present. So do not worry about the dating of the pregnancy. More importantly since the fetal pole has appeared when compared to the previous report it would mean that there is some progress in the pregnancy. I would advise you to wait and get another scan done to check for fetal heart after 10 days of this one. This will tell for sure if the pregnancy is viable or not. Also since you have a seizure disorder and taking medications for the same, you need to consult your neurologist and see if the seizure disorder is under control. It is very important that your medical condition is under control, do not stop taking the medication as seizures during pregnancy can have an adverse effect on the baby. You are also more likely to have a child with birth defect a slightly more chances about 35 more. So it is very important that you get regular scans and tests done to check for neural tube defects, heart defects. This risk can be decreased to a certain extent by taking high dose 5 mg folic acid. I would advise you to visit a neurologist and repeat the scan after 10 days before deciding on discontinuing the pregnancy. Hope this helps. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello our baby is now 1 year old. He is in fine health, eats solid food, has 6 teeth and plays in a whole day. But we have a problem when it is his sleeping time. He can not sleep without breast feeding. He needs in compulsorily. It is getting difficult now, as milk is getting reduced. Plus because of teething, he bites many a times. Wha is the solution on this? How can we make him sleep without breast feed? Is there any other way? If we don t feed him, he keeps on crying, without stopping. He feels drowsy, his eyes feel sleepy, but he does not sleep.", "output": "Hello! Welcome to Chat Doctor ! Most of the moms face this problem. Best solution is to hand him over to his father to make him sleep or someone else. Be very firm and tell him that you can not feed him anymore. That he is big enough. Don't think he doesn't understand. Kids are extremely intuitive and understand almost everything you say. Apply bitter gourd juice on nipples and keep putting some more if he persists suckling. I feel first method is best. He may cry for a few days, may through tantrums, but overlook it. Don't give in to his tantrums. Otherwise, no one will be able to help you. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a medial menisectomy in 1971, I have since favored my stronger leg. I am now experiencing back pain with degeneration in discs L2 through L5. Is it possible that the back problems originated or were exercabated by favoring one leg over the other?", "output": "Hello, Thank you for using Chat Doctor. I read your question and understood your concern. I think that you are right, the back problem has origin by the way you shifted the balance and weight of your body, thus contracting more muscles on the back of one side more than the other. The muscle spasm over the year has favored the spine arthritis and degeneration of the discs. I would suggest you to do physiotherapy and water aerobic exercises, swimming and exercises for strengthening of the back muscles. Wish you quick recovery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have kidney infection 1 week before my period. the doctor gave me tavanic 500mg as an antibiotics for 2 weeks. I am now 20 days delayed in my period but I have done pregnancy test when I was 10 days delayed and it was negative. Does the infection or antibiotics causes the delayed of my period?", "output": "Hello dear, I understand your concern. In my opinion the infection causes stress in the body leading to hormonal imbalance. This hormonal imbalance might cause irregularity of periods. So don't worry. Take adequate fluids up to 3 liters per day to prevent urinary tract infection. Wait for spontaneous onset of periods. Take healthy nutritional diet to strengthen the body to fight against infection effectively. Best regards..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have SGOT 55 and SGPT 105, BS - Fasting 106 and PP 130, Uric acid 6.7 and Triglycerides 214. Should I take medicine or diet control and regular excercise will do . I was taking alcohol and now sopped it. Regards Rum,n,kmma YYYY@YYYY", "output": "Hi ..... Your cholesterol level high and elevated liver enzymes.... You might have fatty liver or gall stone.USG done ..... You have to improve lifestyle measures.... Take low fat diet dear. Transfat food like butter, cheese, pork meat, beef meat, etc. avoided. Fruits more..... Do one hour swimming or running.... Regular follow up. For short term Ad\u00edlio taken if fatty liver present..... Follow above measures and inform follow-up report if needed.... Chat Doctor. ...." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have pain in my kidney area for 3 weeks when i sit it brings in on. I went to chiropracter yesterday and they relieve a pain above it which is much better now but my kidney area still hurts. No pain to urinate usually helps to lay down only last night it ached for awhile after I went to bed.", "output": "Hellman in kidney area need proper evaluation. It is important to know side involved. Pain may be due to renal calculus, colitis etc. You may need proper clinical evaluation and investigations. You may need routine hologram, serum urea and creatinine, random blood sugar, urine RE/ME and ultrasound of abdomen. Ultrasound of abdomen can exclude many possibilities. It is very helpful in diagnosis and treatment. You should consult surgeon for proper evaluation. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "we are trying for a baby for the past 3 years, my wife last hormone test results are:LH=8.7FSH=8.2These were taken on the 3rd day of her period which was 5/7/2010 my semen results are:count=70M15% is normalcan you please advice and help?Rgds,Ali ZayedLibya", "output": "HelloYour wives report are normal. FSH and LH values are within normal limit. But, your semen analysis report shows borderline low normal morphology sperms. Sperm count is normal. Normally it should be at least 20 millions/ml. Normal morphology sperms are mildly decreased. Only 16 % sperms with normal morphology is required for natural fertilization. Your findings suggest 15 % normal morphology sperms. You should take healthy and nutritious diet. Take anti-oxidants also. Avoid wearing tight underpants. If findings persists then you may need assisted fertilization technique. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "am a 39 year old male and keep on crying and cant relax my moods keep on changing one minute feel fine next minute snap am like a jackyl and hyde feel like i am leeting everyone down work shifts as a fll time carer and worry alot what can i do to make me feel better, have been to couselling but been told cant help me no more.", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. You have to understand yourself first. Are you really unable to correct your behavior? Are you employed? During work, do you have these mood change problems? If the counselor cannot help you, then the counselor is totally wrong. A counselor, if it feels that he cannot help a case, he is supposed to get professional help by referring to psychologist / psychiatrist. I think the counselor you met has no professional capability. Any way, you should consult a psychologist / psychiatrist to get diagnosed and to start proper treatment. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a hip surgery after an car accident (Feb. 18, 2012) and after a month and half (April 3, 2012) I got DVT in my right leg and then I started taking Warfrain so now I am on blood thinners and keep my INR between 2-3. My question is my right foot had regular swelling although I excercise, swim and have medication on a regular basis. Do I need any medication for swelling or what else I could do? AT present I am in west coast Canada.", "output": "Hi The legs have two sets of veins, deep veins and superficial veins (close under the skin), blood goes from the superficial to the deep veins. Clots usually form in the deep veins though they can occur in the superficial veins as well. Whereas the arteries in our bodies have thin muscle our veins do not, and they rely on the contractions of the surrounding muscles to return the blood to the heart. Some persons with a history of DVT can have a complication called post thrombotic syn Chat Doctor. Some symptoms of this include: swelling of the leg due to a build up of fluid, varicose veins, heaviness, itching or tingling, discoloration. Initial treatments include leg elevation and the use of compression stocking, in some cases medication can be used. You should speak to your doctor so he or she can assess the swelling and initiate appropriate treatment I hope this helpful to you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, my question is regarding blood in urine. i never had a problem with it, but today i thought i saw it while showering. and i should mention i did get hit in the genitals with a soccer ball very hard prior to the shower. i still feel pain in the lower abdomen and occasional pain while walking in the area between the anus and the testicles. should i see my doctor or will it get better with time?", "output": "Welcome to Chat Doctor. 1. The history and symptoms suggest there is possible cause of trauma. 2. Hematuria cause should be evaluated - otherwise it may complicate and stricture formation can occur.3. I would recommend you to see your GP and get examined and request for an ultrasound scan.4. Ultrasound of scrotum will help to assess if there is in infarct of the testis, blood supply, vascular inexactness. And pelvic scan will help to analyze possible causes of hematuria.5. It will not heal on its own - need to evaluate the cause and treated accordingly. Good luck. Hope I have answered your query,anything to ask do not hesitate to ask.http://doctor.ChatDoctor .com/doctors/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "can u pls tell the side effects of colicaid for 20 days old baby. I mean 2 ask weather colic aid has any side effects if given 5 times daily for 20 days old baby. sometimes he faces sever gas problem because he is 80% formula fed baby. Email YYYY@YYYY", "output": "Hi, There are no reports of any side effects due to this medication. However, tell the doctor if your child experiences any unpleasant effects while taking this medication. A very serious allergic reaction to this product is rare. However, seek immediate medical attention if you notice any of the following symptoms of a serious allergic reaction: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing. Hope I have answered your query. Let me know if I can assist you further. Take care. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Docs,I am living with Sideroblastic anemia (RARS per FAB) for the past 10 years. My hemoglobin went down from a steady 6.0 to 4.0 and that was due to Revlimid. Azacytidine temporarily boosted my Hg to 11.5 in 2004, but after that, it too failed. My first doc put me on Thyroid tablets (100mcg/day) to improve my hypothyroidism. As a result of RARS, I developed secondary hemachromatosis. Mainstream medicine gave up on me.But I did NOT! I have been keeping myself updated with research on this condition and a few weeks ago stumbled upon the Fungii aspect of cancers and how Iodine is efficient in killing all pathogens including Bacteria, Virus and Fungus. I delved further into that angle and started supplementing myself with Kelp tablets, providing my body 1mg to 1.5mg of Iodine. In that past 2-3 weeks, my energy levels have improved considerably and I feel energetic throughout the day. My feet skin which was very dark now has become at least 50% lighter and I feel very lively. Interestingly, I did not have even a quarter of this energy while on Thyroid tablets all these years. I am now able to run up and down the stairs and lift heavy items like suitcases and grocery over longer distances without exhaustion.I strongly feel that this has got to do with increased Iodine intake because I am seeing this radical improvement only within the past 10-15 days. Id like to know your expert thoughts the role of Iodine in curing RARS.", "output": "Hi! RA-RS is an acquired or congenital disorder in the stem cell level and is a dysplasia or pre-neoplastic condition; here there is disturbance in the iron metabolism in the level of kitchen Chat Doctor. . Your treatment was going on the right way; but treating this condition would just be a chance factor or the mechanism is unknown; it could have some enhancing effect on thyroid and thereby hematopoiesis; not more than that; please see your hemato-oncologist for an open discussion ...regards!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am a pitcher and got hit by a line drive off the bat that im guessing was around 90 mph. I was hit just off center of my shin. The area swelled for a while but almost immediately went away after icing the area. To my surprise the area never so much as bruised even a little. I now have this hard mass that is probably 3 x 5 and hurts to touch. The incedent was 2.5 weeks ago. should I be concerned?", "output": "Hi, i appreciate your concern.it seems you developed blood collection at the site of hit on shin. When it is hit by hard object with a high speed, possibility of injury to bone, as well as covering of bone called periosteum is sure. This blood clot starts consolidating and calcification is started. After few weeks time it will be calcified more and periosteal reaction will lead to new bone formation. This new bone when calcified in due course of time, hard bone like feeling will be there.thanks.I will be happy to answer more future quarries." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,I have been having a icy hot burn around the tip of my penis and low intense burn on the penile hole very mild with small spots of light green mucus coming out the tip of my penis hole. There has been a few small pimple bumps appear n but seems to go away over time...could you explain to me what this could be?", "output": "HelloThanks for your query, based on the facts that you have posted it appears that you have not mentioned your sexual history in your query, The pus filed bumps on tip of the penis are likely to be transmitted through unprotected sex. Please consult qualified dermatologist or specialist in sexual medicine and get following tests done to rule out STI.1) Routine urine test 2) Swab test and culture of pus from the bumps.3) Basic blood test to rue out STI.In the meanwhile take Erythromycin twice daily. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello, iam 32 yrs old and all my muscles have become loose due to severe vomatings in both my pragnancies all the time although i didnt put on weight during that time ,so it is not coz of weight loss.my ques is will these muscles again toned up after healthy eating or not?", "output": "Hello, Based on your question about toning your calf muscles, in general the skeletal muscles of human body require both nutrition and exercise to keep them toned. The calf muscles are powerful antigravity flexor muscles which require to be kept toned for optimal function. I would suggest you to first get your diet back in track again and then consider exercise. You can also consult a dietician and then after 6 weeks of proper diet you can start exercises. There are various types of exercises for the calf, like calf press calf lift, heel raise etc. You can start these slowly and build up gradually as time progress. Always do calf exercises alternate day. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir, I have neck pain and tingling/pain/numbness in left are since two months. I consulted a Orthopaedic doctor. After treating with NSAID and complete rest for a week, the symptoms did not subside. I got MRI of C-Spine done and the report says: (I am 37 years old) 1. Straightening of cervical spine noted - suggestive of paraspinal muscular spasm 2. Osteophytes are noted from the vertebral body margins - suggestive of early degenerative changes 3. C3-C4 level left side postero-lateral ostephyte is indenting the corresponding exiting root nerve 4. Small postero-lateral ostephytes at C4-C5, C5-C6 level without significant nerve root compression 5. C3-C4, C4-C5, C5-C6 show mild diffuse bulges without cord compressionDoctor said, if a neuro surgeon is consulted, they may immediately suggest surgery. He advised me to do neck exercises for a month and review.Kindly let me know what is this condition called medically and what is the best possible treatment.", "output": "Dear patient you have got muscular spasm in the cervical spine leading to straightening of spine in that area. Normally there is mild curving anteriorly in cervical spine. Osteophytes are extra bony Projection which is there between third and 4th cervical vertebra and is leading to compression of the nerve at that level. Mild disc bulges at other levels are not significant. First line of treatment is medications. You should start tab regain x 75 mg one at bedtime. Use low height soft pillow. Tab moral 4 mg twice day should also be taken. Continue this fir 15 days. If not relieved cervical epidural injection of depose Chat Doctor. You need to consult pain care specialist around your area with report." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My mother is 71, diabetic, her creatinine is 1.4, microalbumin 22.79 and urea is 86 and GFR 28. Her Fasting sugar is 169 and PP 220. She has water retention and whole body edema problem and shortness of breath and extreme fatigue. What could be cause and how to treat", "output": "Hi welcome to the Chat Doctor Here don't neglect this condition and consult physician or nephrologist nearby for examination...GFR here is only 26 that is very low (normal 120) and edema present suggestive of chronic kidney affection.... There might be acidosis that can lead trouble breathing For fluid retention diuretic might prescribe And if needed dialysis might have done only if nephrologist feels that So no need of become panic, I have here given opinion as per history but ultimately depending on your clinical situation further work up planned Take care Consult physician nearby for examination without delay" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have pain under my left rib cage. The best way to describe it is like a quarter moving around. I have some chest pains from time to time. I also have alot of gas and have been dizzy lately. Can you tell me what this might be. The pain is left not right. Thank you.", "output": "Hi Thereafter going through your query I understand your concern. I would like to tell you that Chest pain can be because of many factors like, heart disease, lung problems, of gastric reflux. Heart and lung disease depends on your age, family history or any structural abnormality. Your symptoms are due to Gastric Reflux. It's recommended for you to take over the counter antacids and stop eating spicy and junk food. Kind Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, firstly id like to start off by saying the sensations im feeling are a bit hard to describe or put into words. Occasionally when im sitting down and i close my eyes, it feels like my body or soul is being sucked out, ive found it impossible to keep my eyes closed during this state ive tried to hold it as long as possible to see what would happen but at some point i have to open my eyes or even forced to open them back up, after that everything is normal.Im not tired when this happens, it can occur anytime really, but not offen, theres no sign or signal that my body gives me to tell me somethings going on. Ive met one other person that has exactly the same symptoms as I do, he likes to call it warp speed. It doesnt hurt or anything the sensation is just a very strange one, should i be worried to many people have this? I hope ive described it well enough. Thanks, Andy", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. As you yourself are aware, such phenomenon cannot be explained by any scientific branch of science. But in psychology, we broadly call it obsession. You had that disturbing sensation once. You expected it to happen again and tried. Then you started experiencing it as you were expecting it. Then your body brought the familiar symptom because you are expecting it. Then you started worrying that the symptom is coming again and again and expect it and close your eyes. Body brings it again as you are expecting it. You become worried and so on. That is obsession in simple terms. Ignore it and the problem vanishes. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My ultrasound result reads as follows: The liver measures 13.7cm at the midclavicular line and demonstrates increased hepatic echogenicity.. No focal liver lesion. The main portal vein is patent and demonstrates a systolic flow velocity of 17.0cm/second. Flow is hepatopetal. Hepatic steatosis. No focal liver lesion . It sounds like a fatty liver; but the size is too enlarged?", "output": "Hi. Thanks for your query. Noted your history and understood your concerns. Note the reports of your Ultrasound showing liver of 13.7 and is within normal limits. The echogenicity is increased due to deposition of fat in the liver which is usually normally devoid of fat and hence the condition is also called as stenosis or fatty infiltration. The exact cause is not known the possibilities are:Alcohol if you are taking. Fatty food and junk foods. Lack of exercises. There is no definite treatment as such, but the following things help a lot in reversal:Diet control of oily fried foods. Exercises. No alcohol if at all you are taking. Start all these things and review the ultrasonography after three months. Also go for liver function and lipid profile studies in blood. Take care and you will be fine." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my niece is 15 years old and when she walks her legs bones make sound and it s very loud even I can hear it from long distance. Is it harmful ? She likes Ice skating and she always stay long at the ice ring. She said there s no pain but last week she had massive back pain. Can she continue play ice skating? Shall I bring her to orthopedic? thanks", "output": "Hi, thank you for providing the brief history. As the bones are making knocks sounds it is advisable on a safer side to meet up and or tho.Also, some people have too much laxity of the joints and such nice is common. If she is performing ice skating than it is not an issue she can continue the game. Also, in my clinical practice we teach some general exercise to strengthen the muscles where the sounds keep coming. It is not at all a dangerous situation, and it is just a normal musculoskeletal action.Also, for back pain she is suffering currently taking an x-ray will be good to understand the anatomical positioning of the bones. Treatment:Simple painkillers and exercise. Regards Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, Im 18 year old female, Ive been having abdominal pain for a little over a week & now showing some small blood clots in my stool. What do you think it may be. I do need to say I eat everyday where I work. Its cheeseburgers & fries, do you think that may have something to do with my problem", "output": "Hello, welcome to Chat Doctor forum, It looks like you have infection in stomach, we call it colitis due to any cause either bacteria, protozoa,fungus, helmets.etc., most commonly observed in people eating outside stuff like you eat where you work, so in this situation I usually prescribe my patients with Tab-Oflox-OZ, and advice them not to eat outside food, prepare food at home and eat, or eat food which is cooked and served hot, and water as well Chat Doctor. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "A year before i was encountered with psoriasis well it has not fullly gone it comes & goes after that i started losing my hair from side so doctor prescribed me minoxidil 5% ans finax tablets but there was no such change instead i was losing more hair from side.What should i do ?", "output": "Hello, Welcome to Chat Doctor, Finasteride and Minoxidil are not treatments for psoriasis, they are treatments for male pattern baldness. They take time for action. Psoriasis can be controlled, not cured, and so is male pattern baldness. I recommend you to consult another dermatologist who explains each disease and treatment plan to you in detail so that you will be well-informed. Hope this helped, Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My relative (29 years old) is diagnosed cml positive.Bone marrow biopsy examination revealed Myeloproliferative disorder, consistent with CML chronic phase.Chromosal analysis observation is : 46,XY,t(9;22)(q34;q11).Right now he is taking one dose of Imatinib 400 mg daily since last 40 odays & well stable.pls let me know the further conseqenced of this disease. Can he get married & have healthy offspring. How long will he survive.", "output": "Hi, dairy have gone through your question. I can understand your concern. Survival rate depends on phase of chronic myeloid leukemia. He has Philadelphia chromosome positive, so it is good prognostic indicator. His age is also favorable. So if he takes proper treatment then 5 year survival rate is high. It has good prognosis then the acute leukemia. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Sir, My mother is 60 years old and she is suffering from CKD (Creatine 3.1) and she is diebatice for last 15 years now every time she has numaiour type of complain & for last 3 years she is really very apset only becuse of pain and all these problems sir I am looking for some good solution plz help me. Regards, Satya", "output": "Hi, Chronic kidney disease affects most people with diabetes in those having the condition for more than 10 - 15 years. The early stages cause an elevated glomerular filtration rate with enlarged kidneys, but the principal feature of diabetic nephropathy is proteinuria. This develops insidiously, starting as intermittent microalbuminuria before progressing to constant proteinuria and occasionally nephrotic syn Chat Doctor. Diabetes also affects the nerves and eyes. Presence of high blood pressure also worsens the disease progress. Your mother should follow strict blood sugar level control. Doing HbA1c test will give a better evaluation of the control. Dietary changes need to be made, and a renal diet needs to be followed. Consultation with a planetologist and nephrologist (kidney specialist) is important with regular monitoring of creatinine levels and urinary excretion of proteins." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter has a condition called Selective Mutism. Its an anxiety disorder. For the past couple of months (twice only in school) the office calls me to tell me that she cant see. I took her to the ER and nothing, even a eye specialist, and they said it was in her mind. Im worried.", "output": "Hi, I can understand your concern regarding your daughters symptoms. I would have liked to know if she is on any treatment for selective mutism. The current set of symptoms of not being able to see for some time, even though her eye examination coming out to be normal might be due to another anxiety related disorder termed dissociative sensory loss. You should consult a psychiatrist for complete evaluation of her condition. One of the possible reasons is that she is facing some kind of stress at present and not expressing it to anyone. It might take some time to take her into confidence and make her express her difficulties. In addition, treatment with medications like Escitalopram will help her control her anxiety and reduce stress. I do hope that I was able to answer your query. Wishing your daughter a speedy recovery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I recently started taking the birth control Beyaz. I have been bleeding for 15 days. It is heavy enough to require wearing a pad. I have also been nauseous and have had cramps. I have been religious about taking the pills on time and every day. I have a half marathon coming up, so I would really like to be period free for that race! Is this normal?", "output": "Hi, Though it is common during the initial months of any birth control pill for menstrual irregularities to happen, I would ask you to see a specialist since you have had persistent bleeding for the past fortnight. Most often, such bleeding is a consequence of the altered hormonal milieu induced by the pill intake. Coagulation profiles and blood work is necessary to exclude any vascular factors secondary to the pill. You may need styptics and additional hormones to control the bleeding. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi me and my partner are trying for a baby. i used a ovulation kit to see wen i was goin to ovulate an when i used it showed in the next 24 - 48 hours me and my husband had sexual intercourse in the 24 hours, 5 days later i am having mild cramps in my pelvis area ( like period pains ) but i am not due on till anoter 9 days . Could i be pregnant ???", "output": "Hi, Welcome to Chat Doctor forum. Sexual intercourse on and around the day of ovulation is more fruitful. However, it is too early to predict whether you are pregnant. Presuming you and your partner do not have any associated condition which impairs chances of conception, I would say that you have plenty of chances of becoming pregnant. Yet, you need to wait till your expected date of period. Get the urine pregnancy test if your periods do not happen on time. In addition to this, I also recommend you to take 5\u00a0mg folic acid pills. One tablet a day is to be taken each day. And stay relaxed. I wish you all the best Warm regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 2 year daughter reveived nebvent treatment and was prescribed predcort ds 10mg/5mls to be taken 1 and1/2 teaspoon full daily . hawever when we got home she started itching all over her body and and red blotches developed on her skin. I think she is having a reaction to the medication . What should i do and what should i give her to stop the itching.", "output": "Hi, Welcome to Chat Doctor, There is a good possibility it's a reaction to the Chat Doctor. First thing to be done is to immediately stop all medicines. Give plenty of liquids for child to take orally. As far as itching is concerned, you can apply lactocalamine lotion over the red itchy areas that would comfort. Before starting any medicines to reduce itching, I would advise you to consult a doctor so that those lesions can be seen. Hope your child recovers soon. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "female, 42 years old, 58, 145 lb. Ive noticed an oval red spot on my chest few days ago and didnt pay attention to it. I thought that it might be a bug bite. This morning I got a rash in my legs, arms, stomach and back. Im trying to figure out what kind of new food I ate, but cant really tell. everything was normal. It does itch. need your advise pls.", "output": "Hello, Thank you for posting on Chat Doctor. The condition you have referred to is called Urticaria or hives. It's an allergic manifestation of skin, where an allergen leads to release of certain substances from your blood, leading to itchy skin rash and swelling over soft tissues. Its proper management requires thorough history, clinical and laboratory work-up. You may have to go for specific tests like patch test, food prick test, IGE antibody levels etc. As for treatment part, best would be the avoidance of allergen as far as possible. Try to eliminate possible triggering foods from diet. I would also advise you various antihistamines for long duration(at least 3 months) with or without oral corticosteroids. For non-responding cases there are many other Chat Doctor. Hope this will help you in resolving your query. Thank you " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 33y/o and have had several short reoccurances of A-fib triggered at night as well as with a deep inhilation most recently, which self converted back to sinus rhythm after 60min. and a hot shower. I have been using a albuterol inhaler for many years. Could the affects of improper inhaler use have caused my A-fib??? I am following a cardiologists regimine of cardizem but am relucant to start flecanide as I have no occurance of flutter/a-fib since stopping the albuterol. With elimination of causes, can my heart repair itself via consistent exercise and lifestyle modification???? or are the improper eletrical channels permanent and ever-present???", "output": "Lifestyle modifications help to improve risk factors for heart disease. However, cardiac arrhythmia like Atrial Fibrillation needs to be evaluated and find the reason for it. The electrical channels in the heart can not be changed with lifestyle modification, but it helps specially if you lose weight that will help the heart to work less. The heart muscle repairs when you have a good aerobic exercise." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my sister-in-law is laying in the hospital dieing of what they think is Colitis, but the anti-biotics they have tried are not working. She also has head and neck pain. She is 45 years old and has been dealing with this for over 5 weeks and been in the hospital for a week. Her sister went to see her last night and said shes just a shell. What are they missing and why arnt they doing more?", "output": "Colitis is inflammation of the colon which could be caused by an infection, inflammatory bowel disease, ischemia or allergy. Its treatment depends on the cause. Antibiotics alone will not solve the problem if it is not of infectious origin. A stool exam/culture/sensitivity test, a colonoscopy and other blood tests will be needed to bring out the cause. I suggest you request the opinion of a gastroenterologist. Best wishes" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello. Ive had chronic fatigue/Lyme disease for 8 years. Got sick at 13 and Im 21 now. I was on anti biotics for 8 months with moderate relief. However when I got on the paleo diet and started supplementing high doses of zinc and b6 as recommended by a naturopath I felt 90% better within weeks. Im not sure why though. Is there any connection between the two supplements and disease?", "output": "Dear friend, Greetings from Chat Doctor. I read your question . You were diagnosed to have Lyme disease . It is due to rare bacteria borrelliia ... it is transmitted through tics ... it could affect mainly joints (mimics rheumatoid arthritis), nerves and heart too ... treatment : antibiotics are primary doxycycline is preferred...in addition, since it involves nerves it may cause nerve damage to prevent that we usually supplement B12, folic acid, B6, and minerals... please take care of your diet take more of green leafy vegetables, fruits, and protein rich diet you will be alright soon ... THANK YOU" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello. Thank you so much for being available. I am 66 years old and just started taking glimperide (smallest dose) for diabetes. I started feeling weakness and pain in my lower limbs that is really uncomfortable. I stopped taking statins because of this pain, and I wonder if it comes from the glimperide it is not on the common list of side effects. I am under doctors care for high blood pressure as well, but I do not have any trouble from the Toprol and Benicar I take daily. I am taking glimperide for the past 6 weeks. Thank you. Esther D", "output": "Hi, thank you for providing the brief history of you. Since you are diabetic and Hypertensive, you are already on the symptomatic management. Your age also is 66 so how long you being diabetic or hypertensive is not mentioned in the history. Also, I will recommend a thorough musculoskeletal assessment. This will help us understand the weakness of the muscles in the lower limbs as well as if it is due to the spine Pathology. Based on the symptoms and diagnosis, the special test will be performed clinically as well as the diagnostic procedures may come to affect if needed. Based on this, you will be advised to undergo physical therapy. As with physical therapy you will be taught the exercises for strengthening the different muscles of lower limbs and also the overall body conditioning. With physical therapy you will be benefited with improved metabolism, reduced blood glucose level, energetic, confidence, strong bones and muscles, improved cardio respiratory endurance as well. I recommend you to consult a close by physical therapist who can assist you further. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "good evening sir: 5 months old male child is suffering from cough on/off, Runny nose, diarrhea 5-6 times since this morning, passes urine as before, takes breast feed well, got irritated due to diarrhea, redness noted near the anal area due to constant cleansing. we have been giving him ors solution and some lactobacillus sachets. should we start the baby on ofloxacin and ornidazole susp? thanks", "output": "Most of the diarrhea in child Chat Doctor. Please continue the Lactobacillus sachets and ORS and also give a reasonable amount of curd/yogurt. The perianal area has got exfoliated thus giving rise to the redness. Applying Silver Mini ointment topically over the area for a few days and keeping the area open will help in fast healing. Please be patient as the diarrhea should stop in a few days time. Since the child is otherwise fine, I would not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son is 3 yrs 3 mts old he is always suffering from cold cough fever everymonth i am worried i stay in kuwait doc say that it is due to climate here his blood was taken in dec and everything was ok he is 16kg weight why is fever coming every month is it any major prb please let me know Thankyou", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Recurrent cough and cold in child Chat Doctor. So better to consult pediatrician and get done clinical examination of respiratory system to rule out asthma. If asthma is there then he needs inhaled bronchodilators and inhaled corticosteroid (ICS). Another possibility is recurrent Influenza infection. So better to give him annual Influenza vaccine. This will protect him for 1 year. So better to first consult pediatrician and discuss all these. Hope I have solved your query. I will be happy to help you further. Wishing good health to your son. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, doctor this is sameen from lucknow. my mother s b p is fluctuating regularly. today at morning it was round about 110/60 & at evening it rose upto 170/80. she suddenly starts crying like an infant. her femur bone is also fractured screw plate operation had been done in jan 2009. she is unable to walk & cannot go downstairs. this fluctuation is from about 3 or 4 months. she also has a problem of hypertension. kindly give me any suggestion regarding this or diagnose. email : YYYY@YYYY", "output": "Hello, After going through your medical query I understand your concern and I would like to tell you that blood pressure more than 149/90 needs a treatment and in your mothers' case he is physical activity will not be much which is another causative factor for hypertension. It's recommended for you to decrease her diary salt intake and monitor her BP while sitting relax for around 15-20 min. If her BP comes high again then she needs to take antihypertensive Chat Doctor. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my husband is having his right cancerous kidney removed at 7:30 tomorrow morning. He started his bowel preparation at 3:00 PM today with 10 oz. of magnesium citrate. So far, he has not had any action, is that typical? or do I need to call the hospital and ask what to do?", "output": "Hi, Thanks for writing in. The magnesium citrate is given to patients to help empty the bowel before a scheduled surgery. Magnesium citrate is a liquid preparation used to cleanse the bowel in preparation for abdominal surgery. It is a very salty Chat Doctor. In some people the bowel movements can be delayed. Please do not worry about it and there is no urgent need to call the hospital for this reason. He can be allowed clear liquids after the magnesium citrate up until midnight, at which time he cannot have nothing to eat, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I fell into desk top and bruised my rib on the right side near my waist This happened about one week ago and I don t see any bruising but feel deep pain. I am 84 and a healthy woman normally. Could I have bruised my lung or what is behind a lower rib? Do you recommend an xray?", "output": "Thanks for your question on Chat Doctor. Since your age is 84, there are high chances of rib fracture. Because of osteoporosis, flat bones like ribs are easy to fracture even with minimal pressure. So we need to rule out rib fracture in your case. Another possibilities in your case are1. Pulmonary contusions. 2. Pneumothorax3. Muscular injury. All of the above including rib fracture can cause deep pain. So better to get done chest x-ray to rule out all these. If chest x-ray is normal, you should not worry much. You are having muscular injury only. Better to follow these for better symptomatic relief. 1. Avoid heavy weight lifting and strenuous exercise. 2. Avoid bad postures in sleep. 3. Take good painkiller and muscle relaxant. 4. Apply warm water pad on affected site. 5. Wear chest belt to avoid mobilization of affected area." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I got some bloodwork tests back in the mail and it says that the test for ANA direct came back as positive abnormal and then across the line it says -01 I m kind of confused on what this means I kind a got an answer from the doctor that I might have lupus and then I need to go see a A certain kind a doctor but I was just wondering if this means that I have lupus and what kind", "output": "Hi, dairy have gone through your question. I can understand your concern. You have ANA positive for immunofluorescence test. It is screening test. It can be seen lupus, but sometimes it is positive in many healthy individuals also. Please send me your ANA profile line immunoassay reports. So that I can help you to give exact diagnosis. Then you should plan accordingly. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my husband seems to be having a fatty liver.he recently got his tests done and the results were --cholesterol 219 mg/dl triglycerides 214 alkaline phosphatase 214 u/l bilirubin 0.3 mg/dl protein 8.44 g/dlcould u pls advise what do the reports indicate and what should be the course of action now?thanks in anticipation.", "output": "Hi, You should have indicated the grade of fatty liver grade, 1 fatty liver is a normal thing and is a normal finding in adults. Usually cholesterol and triglycerides are mildly deranged a statin should be taken for 3 months like Atorvastatin to lower the level of cholesterol and triglycerides. The overall reports are not that bad. Maintain a healthy lifestyle. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here...Dear,sir my age is 32 years. i am suffering from infertility problem.i am not able to pregnent my wife.it is about 14 months of our marriage.what shuld i do?thanks.Regards,Rajesh.", "output": "Hi, Welcome to Chat Doctor . To know exactly what is the cause of your infertility you should get your semen analysis. And also checkup of your wife. If you have got semen analysis done already you may give the details of it. If your counts are low you may go for GUI. It is intrauterine ingestion of sperms. Here sperms are washed, and healthy sperms are placed in uterus. If there are no sperms in your semen then you need to take testicular biopsy. Hope I have answered your query. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Does excessive masturbation(over 10 times a week) cause memory and hair loss on the head? What has the body lost if this pace is carried on for 10 years plus? I read about cerebrospinal fluid being a main component in semen and excessive loss of it through successive ejaculation could severely affect moods and memory. Is this true? I cant retain anymore, and it feels like a whole portion of my life just vanished from my head.Why do I get frequent erections?How does one recover mentally and physically from excessive masturbation that has lasted over 10 years? Please help a desperate person...", "output": "HelloThanks for query. You had been indulged in masturbation since many years and now facing problems like loss of memory and hair loss etc. First there is myth in a mind of common man that excessive masturbation is the reason of all sexual problems But I would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ or system in the body. All the problems that you are facing now are mind related and due to anxiety. Please note that semen does not contain Cerebrospinal fluid at all. Though it is harmless, excessive and frequent habitual masturbation does affect quality of erection and delays ejaculation. Please try to reduce the frequency of masturbation by keeping yourself busy in activities like sports, reading, social work etc. so that you will not get free time to masturbate. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "For two days now I get up and feel jittery all over and stomach a bit unsettled, almost throw up feeling. It goes away later on in the day. Some kind of nervenous. I m on zoloff 100mg and clonazapan 1mg. Hands are tingling and feel like they are going to start tingling..65 yrs old", "output": "Degree understand your concerns went through your description. I suggest you not to worry too much. Panic disorders are usually associated with underlying anxiety disorder. Anxiety is fear of a future event which may or may not happen. Stress and depression may also cause panic disorder. Proper assessment is required to have proper diagnosis and treatment. Please consult a psychologist for psychometric assessment and advise on further treatment methodology. If you need more of my help in this regard, please post a direct query on this portal. I am happy to help you. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my girlfriend in the Philippines has fibronodular opacity in the upper right lung field..the rest of the lungs show clear.. conclusion is chronic inflammatory process right upper lung field judged to be inactive.. does that mean she still has tb? can she pass a physical to come to the usa for marriage???", "output": "Respected user, HiT hanks for using Chat Doctor.come have evaluated your query thoroughly.* This seems to be other pathology than TB most likely till the narration of the report suggests, still clinical co relation with all symptoms and examination is must for final decision.* So far as clearing of medical physical fitness, I do not think before resolution of the condition, she may clear the test. Hope this clears your query. Welcome for any further guidance. Regards dear." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been rejected for the M6 ADR because I have severe stenosis and degenerative disc disease; right now I have 2 options open; Kelowna BC Fusion C5-6-7 Germany C4-5-6-7 decompression by anterior fusion with cage (Fidji by Zimmer) and plate Atlantis by Medtronic with introperative decision on hybrid intervention with DCI by Paradigm Spine . Questions OPTIONS?", "output": "Hi my name is Iranian Keypad. I am a spine surgeon. The pathology can be better appreciated by looking at the images but if the stenosis is at so many levels as you have described, disc replacement is definitely not the best option. Your options depend on what your symptoms are. Cervical stenosis can lead to myelopathy, radiculopathy or both. Myelopathy is a compression of the spinal cord and leads to changes in the gait pattern. The gait becomes wide based and spastic. Fine hand functions decline and grip strength worsens over time. Radiculopathy is a symptom of nerve root compression and leads to pain and numbness in the arm. With multilevel stenosis like yours symptoms and signs usually point to myelopathy. Early surgery is recommended in myelopathy and has been shown to arrest the progression of myelopathy and worsening of symptoms. It is unlikely but if your symptoms are of radiculopathy you can choose to wait and tray pain management. Regarding surgical options, again viewing the images is necessary but generally if the cervical spine is lordosis which means the neck is swayed backwards with the convexity of the curvature in front and 3 or more levels are involved approach from the back of the neck is preferred. Again to be honest each case is different, and the decision needs to be individualized based on evaluation of images." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ive been having off n on back n neck pain 4 about 2 Months now. I sneezed n my neck got stuck n could not move it n was n pain.. that was about a month ago but still hav stiffness every morning. Then tonite while horse playin my neck cracked about 4 cracks n lots of pain cant move much w/o hurtin what should I do cant sleep", "output": "Hello, Welcome to Chat Doctor. I have gone through your query and understand your concern. I Suspect you may have Muscle strain or arthritis. My advice is to take bed rest for 3 days. Please lay flat without using bed or pillow. In addition, take some painkillers like aspirin or diclofenac. If the pain persists, then consult an orthopedic with x-ray neck. If he advises please take CT or MRI scan neck for further management. Hope this helps. Please reply for further queries. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I just had gallbladder surgery earlier today. I have mild pain in the incision sites, still slightly drowsy from pain meds & slight sore throat from intubation. Taking Norco every 6 hours for pain. Within the last hour, both of my hands up to my elbows have become numb. Should I be concerned.", "output": "Hi.noted history of gallbladder surgery associated with postoperative pain and numbness on upper extremities. Post-operative pain is expected at this early phase of your recovery. The important thing is it could be controlled and decreasing as you go through your recovery period. Even some of those who have been operated on years ago still experiences discomfort or mild pain from their operative sites, which doesn't necessarily mean that there is something wrong. Re the numbness in your upper extremities, it may be positional. You could start to move around as tolerated and not just lie in bed for faster recovery. It is also best for you to do a follow-up consult with your surgeon and let him/her know about these concerns. Diagnostics and management will be advised accordingly. Low fat diet is also recommended. Hope this helps. Good day!!~ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doctor..me and my husband are trying to conceive for 3 months now..1st month my period was 2 days late and the secnd month it was one day before nd then on last month I had my periods 5 days late and lasted only for 3 days.. i did HPT and it was negative.. i sometimes feel pain in my breasts. Is there any problem with me getting pregnant?", "output": "Hi, I think you can try for pregnancy for 3 more months. Try from day 7 of your periods till 21st day every 2 to 3 days. Your periods are normal as the cycle normally may come 5 days early or 5 days late. Even after 3 months if you don't conceive, do some basic tests like thyroid profile and an ultrasound for follicles. Semen analysis of your partner should also be done. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im 17 years old female and I get very turned on over even the smallest of things. I masturbate about 7 times a day and sometimes I ask the teacher if I may go to toilet so I can masturbate. I like to touch myself in public and in public toilets, knowing that someone is so close to me in another cubicle while im touching myself and even talking about it now really turns me on. Is this weird or will i grow out of it?", "output": "Hello, The behavior pattern and masturbation habit needs to be stopped. Seven-time masturbation in a day is too much. A person should not masturbate more than 4 times a week. In your case, you are masturbating almost more than 25 times in a week. This kind of frequent and vigorous masturbation can damage the skin of your penis and can cause physical and mental stress. You must quit masturbation for a while to regain your strength. Therefore, I suggest consulting a psychologist for physical examination, diagnosis and treatment. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. On monday me and boyfriend were having fun. Later he got so turned on that he had put his penis inside my vagina for 10 seconds. Though he did not ejaculate in me. I still got scared and took ipill the next day (tuesday). Still chances of me getting pregnant? And now after 3-4 days can i finger myself?", "output": "Hello dairy understand your concerned have done intercourse for the 10 second. But it causes pregnancy as pre-cum enter int to vagina before the ejaculation you tool I pill with in 24 hours of the sex, and it is highly effective in preventing the pregnancy. It is around 90-95% effective in preventing the pregnancy. So there may be 0-10% chance of the pregnancy if you did sex in the fertile phase of the cycle. Your next period can be delayed/earlier and occur with excessive bleeding. If your period will delay by the more than 12 days then go for urine pregnancy test and or blood Chat Doctor to confirm the pregnancy after consulting the gynecologist. Avoid stress, take healthy diet, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "DR i am sufering with pain in my left side under rib,and i have a problem of weezing when i am sleeping and when i walking up the stairs and pain in my heel, and my blood pressure is up and downand my feet swallen , i went to hospital the Dr gave me furosemide 40g,amtas 5 cipla simvastatin 20,aspirin soluble 300g tablets and tramadol for pain, my problem is when i took them alys i feel dizzy and drawsness and tired.is these is the right medication for my situation? Thank you", "output": "Hi, Thanks for your query. Left side chest pain is what we are always afraid of as heart issues can give such symptom.However, if the pain has appeared suddenly with shortness of breath and some radiation to the arm, pneumothorax is possible. This condition can appear with no reason. Sometimes sudden cough or sudden lift of heavy object can cause it. It is more possible if you smoke or have chronic lungs' disease like asthma or bronchitis. If nothing like that is present, strained muscle is the most probable reason. Strained muscle usually appears only when the chest is moving, and should be completely gone when lying down and not breathing. If the pain is sharp and well localized, more intense when breathing, rib nerve issue is the most probable reason. In both cases, rest and anti-inflammatory medicines like Diclofenac should help. If the pneumothorax sounds possible, you should have chest x-ray done as soon as possible do hope that you have found something helpful, and I will be glad to answer any further query. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had a lump on my head for a couple of years, it formed on my head after a stone wear loaf pan fell out of a cabinet and hit my head, recently I noticed it was a little bigger, it is soft but almost feels like it s filled with fluid or it feels similar to a lipoma, today I as poetically poked it with a needle and it started leaking clear non odorous fluid, it shrunk a bit, as I palpated the area I can feel a hold in my skull which the bump has covered up, it s a hole the size of a fingertip. Is it possible it was CSF leaking and I have a serious problem?", "output": "Hi, thanks for sharing your health concerns with Chat Doctor! If I were your treating Doctor for this case of a head lump, I would come up with only one and one possibility that is a sebaceous cyst! Nothing to worry about this and try not to get infected there! Well, this is a fairly common benign disease of the skin/skin appendages and CSF has nothing to do with it; however, in worse case it could be some parasitic cyst also! I suggest you to go for an FNAC test of the lump for confirmation and to relieve your concerns! Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello please help my 8 year old son has a lump on the right side of his neck. I noticed it a few months ago. It almost reminds me of a broken vein. In the shape of a swooshy soft ball. I can kind of move it. Unlike a boil. I am very concerened. What can it be? About a year ago before the lump was noticed. His doctor thought she heard a heart murmur. After a test was done she ruled that out. I am going to try to get him seen asap. We have moved and I hope the new doctor will see him and find answers right away. Di you have any advice... please help.", "output": "Hi, dear. I have gone through your question. I can understand your concern. Your mat have some tumor or other lesion like tuberculosis or reactive lymph node. So you should go fine needle aspiration cytology study once. It will give perfect diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I had a throat infection a month back and was treated with antibiotics. Along with the infection i also had a small pain spot near my right upper rib. The infection went away but the pain spot did not. I went to the doctor again and he told me i probably had a secondary infection in my bronchial system and prescribed me some anti allergy drugs . The problem didnt go away and there was a dry cough also developing so he got an x ray and pulmonary function test also done. The xray was ok except for small bronchila spots and the pulmonary test showed some congestion and reduced lung strength. At this time i was also having feeling of tightness in chest and some back pain specially on the right side upper portion and a feeling of unwellness. The doctor advised some non antibiotic medication including a inhaled capsule steroid powder. This was 10 days back. Today the feeling of tightness is gone and the cough is limited and almost gone but as dry as ever. I had a mucus only one day and that also with great effort. but that slight pain on the right side at time returns although not there the whole time. No discomfort while sleeping. The doctor had told me that it is something called naso bronchial allergy but shoudnt this have gone away completely by now? Pls advise what are your thoughts on this and what i need to do now", "output": "Hello Dear. You are probably having hypersensitivity pneumonitis. I will tell you in brief about the condition and what precautions you need to take. Hypersensitivity pneumonitis is inflammation of the lungs due to breathing in a foreign substance, usually certain types of dust, fungus, or molds. Causes:Hypersensitivity pneumonitis usually occurs in people who work in places where there are high levels of organic dusts, fungus, or molds. Long-term exposure can lead to lung inflammation and acute lung disease. Over time, the acute condition turns into long-lasting (chronic) lung disease. Hypersensitivity pneumonitis may also be caused by fungi or bacteria in humidifiers, heating systems, and air conditioners found in homes and offices. Exposure to certain chemicals, such as isocyanates or acid any Chat Doctor. Examples of hypersensitivity pneumonitis include:Bird fanciers lung: This is the most common type of hypersensitivity pneumonitis. It is caused by repeated or intense exposure to proteins found in the feathers or " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been having some discomfort in my back. Its been going on for a couple of weeks. It feels like someone has their knee in between my shoulder blades. Yesterday morning I had a little blood in my stool; it appeared to be one clotty dime size. Minimum! Today the back pain is unbearable and their was a little stipe of blood on some of my fecial. Whats going on?", "output": "Hello, Thanks for the query ..... Urine containing blood and back pain are suggestive of involvement of urinary tract system. May be calculus or infection. Stool also having blood, so may be a blood disorder. Get in an ultrasound of abdomen as well as blood examination for any disorder. If fresh blood present in stool than may be due to hemorrhoids. Colonoscopy help in evaluation of any disease in large intestine. Good luck. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am aged 26,ht 151 cm weight-44 kg. i am diagnosed with hyperprolactinaemia and infertility on account of it.i am taking bromocriptine 2.5 mg twice daily and doctor asked to continue it for 3months.she is asking to take iui for conception .but i want to become pregnant naturally.is there any chance for me to concieve naturally without taking injections(ivf) and iui", "output": "Hi, I think you should do a repeat prolactin levels after 3 months. If it is normal, and you are getting regular periods, you can become pregnant naturally. In fact, you can start trying now also and can try for 6 months. Be in contact with your husband every 2 to 3 days. It increases the chance of pregnancy. Hope I have answered your question. If you have any other query I will be happy to help. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had ED suddenly in November 2013 (writing this in June 2014). Since then morning erections have also gradually gone down to almost none or very weak. The size of the penis has also shrunk. I ve recently read about Peyronie s disease. Though there s no curve, and no hourglass shape when erect. When flaccid, very rarely the hourglass shape is slightly visible. I had an excruciating lower back pain which led to sciatica like pain in the buttocks and down, and it troubled me for quite some time -- at the moment it s relieved because i have been taking some homeopatChatDoctoredicine since last 3 months. We have no history of diabetes, heart trouble in the family on both maternal and paternal sides. I m 35 right now, 5 8 , and weigh about 73kg. I was once married and had a daughter but now divorced since 6 years. Will really appreciate any help. Thanks", "output": "When I have any patient with symptoms what you have given I will check whether the patient have complained of radiating pain from back to legs along with numbness or tingling sensation or not. If yes then it shows me there is a problem at lumbar spine level. This could be lumbar disc issue with loss of normal lumbar curve. However, the conformation will be done only by MRI scan. When there is no radiating pain to legs and no symptoms like numbness or tingling then the problem could be only as back muscle weakness or very mild issue at spinal level. Here the conservative treatment will be with few of pain relieving medication along with muscle relaxants as suggested by your orthopedic doctor and also take physiotherapy treatment along with do spinal exercise to strengthen the spinal muscles. For major damage showing report in MRI spine, orthopedic surgeon will suggest for surgical option. You can discuss details with him. I am sure you will be fine if you follow step-by-step process as given above. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "How to use Godanti Bhasma and Brihatvata Chintamani Ras tablets, dosage.I have been prescribed the above medicines along with Sinhanad Guggulu for sciatica and severe leg and hip pain. The doctor who prescribed these has shifted his clinic. Please advise. I am 50 years old male", "output": "**1. If the said doctor has shifted his clinic, consider second opinion regarding the dosage and medicines since he will be in better position to handle your case and pathology and will treat on the line of Gridhrasi 2. Although both the said Chat Doctor. 3. You can incorporate following prophylactic aspect also:. Sleep on hard bed/mattress. Wear heavy shoes and warm socks. Massage of olive oil is beneficial PS. Acupuncture has been approved by the U.S. FDA as a treatment for back pain, and the National Institutes of Health has recognized acupuncture as effective in relieving back pain, including sciatica. Take 4 SF holy basil juice 4 SF ginger juice 4 SF honey and " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Sir/Madame My mother was diagnosed with breast cancer end of February 2011. On september 2010 had a mammogram and an ultra sound, but didnt show anything. She is 43 years old. Her tumor had 8.5x8 cm size. She is ER-, PR-, Her2+3, grade 2. Lymps were clean on MRI, but doctor said he is touching something by hands. Her body was clean from mets, but they found a suspicious spot on her back bone, which no doctor coul be sure of what it is. They say probably it is cancer, maybe it is not, it was very small (notice that my mother had always pain on that spot, many years now). She gave the results to many doctors for diagnosis, only her oncologist believes that this spot is for sure a metastasis, but he is calling it micrometastasis. All the rest doctors said that her illness will be determined at/or after 2 years, except her oncologist who saddenly few days ago announced to us that my mother has only 2 years of life. She never had a biopsy on her bone. I m wondering how much true this can be. Can he determine by so absolut way the progression of her health? My mother has only 2 years for living? if not, whats the susrvival rate for the first 2 and 5 years? I forgot to say that my mother just finished her chemo , 4 FEK and 4 DOC plus herceptin. Her tumor cannot be found at all, zero, clinically dissapeared. She will have surgery in few weeks Thank you in advance", "output": "Hi, dairy have gone through your question. I can understand your concern. Your mother has breast cancer. She complete chemotherapy and now going for surgery. In general prognosis is very good. 5 year survival rate is high. But it all depends on whether she has metastatic lesion or not. If she has metastasis in bone then 5 year survival rate is very low. Consult your doctor and plan accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health to answer. Thanks for using Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, i ve recently been experiencing Headaches (the headache felt like it was right behind my eye but all the hedaches i ve ever felt are like that) , Neck stiffness, and slightly in the back too and today some pain when i tense the inner part of my thighs (the parts that touch and rub sometimes but the kind of pain you get when you ve done too much exercise). (In that order). My neck easily cracks when slightly moved from left to right. My back i have to actually crack it like normal people do by sitting down n twisting . Theres really not that much pain unless i bend my neck/back in a certain ways and even those pains are barley there and i think they only are there because the excessive cracking. I ve recently turned 15. this problem started this week starting with the headache. I had lower back pains on the lower right side but that went away for while now. I don t think I have Arthritis because i/m really young and i m not experiencing the slightest bit of excruciating pain. But could this be the start of it? Or is it just Headache and some stiffness cause of not sleeping right/enough or eating right etc? I hope its not Arthritis.", "output": "Hello, With history, it does not sound to me that it is arthritis. So you can be relaxed for the same. Now the cracking sound is actually the unlocking of the facet joints, which is once in while common for some. But if it is always associated with relief of back pain and neck pain than it's a muscle weakness of the spinal column and an exercise will be of good choice to work behind it. Headache can be cervicogenic headache or due to stress as well. Since you are 15 and having no major traumatic injuries I do not think you will have any major symptoms. But you can get your eye checked once if anything related to the same. Of course sleep is a must to look for, because if you do not sleep well, the body will enter the fatigue state soon and may lead to muscle weakness leading to pain. At the age of 15 doing regular physical aerobic exercises are recommended. Because lack of exercise can cause pain and aches, and at the age of 15 its is hardly acceptable that one will have headaches and back pains. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 45, female, weight is 110 lbs, height is 50. Recently I have difficulty breathing when I walk...my arms hurt and my chest hurts. I have already been to the cardiologist and all tests were done and everything is fine. If I take Zyrtec I feel a little better...could it be allergies? or something wrong with my circulation? Thank you for any advice you can offer...", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Yes, this can be due to allergic disease like asthma or allergic bronchitis because you are improving with Zyrtec (cetirizine). Cetirizine is antihistamine and used widely for allergy. In my opinion, you should consult pulmonologist and get done clinical examination of respiratory system and PFT (pulmonary function test). PFT is must for the diagnosis of asthma and allergic bronchitis. It will also tell you about severity of the disease and treatment is based on severity only. Combination of anti histamine and anti-allergic (montelukast) is more beneficial than antihistamine alone. Inhaled bronchodilator and inhaled corticosteroids (ICS) are the mainstay of treatment for breathlessness. Don't worry, you will be alright. No need to worry about low circulation. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Red circle spots on trunk/stomach/sides/chest/ Few at first. Three days later, more - about 18 or so. Some have just faded, No itching, pls advise this come and what should i do??", "output": "HelloWelcome to Chat Doctor. It could be a rash due to viral infection or Chat Doctor. But if you have no itching no pain or fever it is difficult to diagnose without seeing it. Since they are increasing in number it's best to consult your dermatologist for exact diagnosis and treatment. Till then you can take an anti histamines tablet like cetirizine for relief.please do not scratch the spotsThank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I bumped my head on the cieling going down some steps and it startled me as I was walking fairly fast. This was an hour ago. There is a bump now, and I feel not as energetic and a little restless, I dont want to do very much just sit..which is weird for me. Do I have a concusion?", "output": "Hello, It may be a mild concussion that is causing your issues since there was no loss of consciousness or amnesia. Your situation seems not serious in the terms for seeing a Doctor, and you should improve with time. If there are or will be other symptoms such as headaches, pressure, nausea or vomiting, etc. you should see your Doctor. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 76 year old sister has secondary parkinsonism, she walks very slow, has fallen several times, history of mini strokes, speaking is a problem and dementia type problems. Her Dr. told me all I could do is keep her nourished and safe. What am I really looking at here in terms of her health and well being? Does parkinsonism have stages?", "output": "Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. Yes Parkinson disease has stages. And mostly the secondary Parkinson do not have a specific cure except for trying for Semantic and Biracial. Your sister will require supportive care. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hiis it a sign of depression when i talk to myself very frequently. i kind of did something i should not and ever since i have been having trouble to sleep as i think i am going to die. i also get these head aches and its really annoying me now because in school i lack concentration and my mind wanders off very often these days.", "output": "Hi, Going by what you have mentioned, you are under stress definitely. Whether this is because of depression or anxiety disorder will need further information like duration of these symptoms, how you feel, whether you have lost interest in doing things which you liked once, appetite loss, etc. In any case, you will be needing treatment either in form of medications or therapy sessions. I would advise you to consult a psychiatrist. You might need treatment with one of the SSRIs like sertraline, paroxetine, etc. You can also start to exercise on a daily basis. Best wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im a 48 year old healthy male, havent had sex in a while, had sex with my girlfriend about 10 times in two nights, which I know is a lot. We got a little carried away, and left a raw spot on the bottom of my penis. Now when I urinate it burns about half-way down the shaft of my penis.", "output": "HelloThanks for query. The symptoms of pain in penis, burning urination and presence of raw spot on penis are due to inflammation of urethra due to excessive and vigorous sex over a short period of time. You need to take broad spectrum antibiotic like Definite along with anti-inflammatory Chat Doctor. Along with topical antibiotic ointment like Newsprint twice daily to be applied over raw area . Ensure to wash your genitals with warm water twice daily. Ensure to avoid sexual encounters till it heals up completely." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I wanted to know about best gynecologists in bangalore. my wife was pregnent and delievered on 1st March 2011, but due to some complications baby could not survive for more than 20 minutes... as advised by the doctor i got the autopsy and biopsy test done and there few more test for which i am waiting for the report. We want to consult other doctors now. Can some one suggest the best and experiences doctors?", "output": "Hello, I have gone through your query and understood the concern. I will be able to comment better if you can provide me details of the autopsy and the biopsy reports. Several factors like genetic defects, congenital malformations, hormonal insufficiency, infections, uterine anomalies, trauma and so on are responsible for an abortion. A complete evaluation by a specialist in high risk pregnancy is necessary to prevent future complications. I would suggest " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctor, i am priya from Chennai. i am 24 yrs old . i completed my BE degree on may 2008 and i got married on march 2008. my husband is working in MNc.we had a boy kid of 1 yr old. now a days i have many confusions , i cant do my work properly.there is a mistake in everything.even i am housewife i cant sleep well. in college days i was bright but now everything is changed. i dont know what i am doing. i cant love anyone. i like to sit idle for many hours. i dont know what to do? i am not laughing now a days. everything is changed. i want to be happy and energetic but something is restricting me. suddenly i free zed out. i dont know what is happening around me.please help me doctor.i want to be i was in my college days.in those days i counseled for many of my friends but now i am not . please doctor help me.", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. The symptoms you provide here are actually serious introspection. This does not mean that you are having some serious mental disorder. These symptoms can also be present when you are disappointed. Disappointment brings on sadness, lethargy, inactivity, loss of sleep and total inactivity. I repeat, this could be disappointment. Now, think, what was those occasions, after your marriage, you got disappointed? Write them down. Analyze them and do the need full to overcome those disappointments. If you have the ability to study more and if you wish to do it, then do it. If you want to go for a career, do it. That way, you can free your creativity and lessen your negative thoughts. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "43, non-smoker, white, eat pretty well, fairly fit marathoner, high cholesterol but maintained with Niaspan. Just had echocardiogram and results are mild aortic sclerosis. Reading about this..wow..what more can/should I do? Have not been back for follow up yet..", "output": "Hello! Thank you for asking on Chat Doctor! Regarding your concern, I would recommend taking a statin (atorvastatin, simvastatin, etc.) and daily aspirin 80\u00a0mg, to prevent the progression of atherosclerosis and prevent for possible ischemic events. From the other hand, I would recommend periodically scheduled follow-ups with ultrasound every 12 months and routing check up (blood lipid profile, resting ECG, chest X-ray study and further lab tests) every 6 months. It is important avoiding possible risk factors: - diet modifications (low salt and fat intake)- control better high blood pressure - avoid smoking and alcohol intake. Hope to have been helpful! Best wishes, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here... My grandson (1 year 6 months) has been dignosed with congenital growth hormone deficiency. We are based at Mumbai, India. I wish to have an idea about the approximate cost of treatment and the duration of treatment. I shall be much obliged to receive this information, doctor please. My email id is YYYY@YYYY Thanking you and with regards R Vijaynathan", "output": "Hi... I am a consultant in Kan chi Bamako CHILD Trust Hospital in Chennai. YOU NEED TO HAVE THE GROWTH HORMONE THERAPY UNDER THE GUIDANCE OF AN ENDOCRINOLOGIST. THE APPROXIMATE COST WOULD BE AROUND 10 LACK PER ANNUM. This is just an approximation. If you could come over to Chennai and meet me, I will put you on to our Endocrinologist who is very good and experienced at this. We might get the medicine also for a lower cost. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i experience excessive hair loss and patches all over my scalp that why i decided to shave my head i still have hair growing in my head but most of the parts are totally bald and base on the symthoms it is alopecia but i really dont know what it is!", "output": "Hello. Thanks for writing to us at Chat Doctor These bald areas are most likely patches of Alopecia Area ta(AA). Alopecia Area ta(AA) is an autoimmune condition. It usually presents as smooth bald patches of hair loss, most commonly over the scalp. The patches of Alopecia Area ta are smooth, and usually there is no evidence of inflammation like scaling or erythema or itching. Intra-lesional depot preparation of Triamcinolone acetone is the treatment of choice in adults. Patchy alopecia areas is a self limiting though new bald patches may appear, which may also need to be treated in the same way. Other topical treatments that have been tried either alone or in combination with intraluminal steroids are Topical Potent steroids (e.g. Mometasone Furnace, Clobetasol propionate); Topical Minoxidil solution; Topical Anthracite; Topical PVA(Morales +UVA therapy) etc would suggest you to visit a dermatologist for a confirmatory diagnosis as well as discussion regarding the most appropriate treatment for the bald patchesRegards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my name is Shane and Im 19 years old. After a bad experience huffing gasoline, which was stupid and Ill never do it again, Ive been worrying about my heart, if i damaged it, and been having a lot of anxiety thinking I might have a heart attack. I keep having symptoms of having one but they just come and go, its been like that for 2 months now, I had an EKG test and the doctor said my heart seems fine but i still worry..Had a halter monitor which i wore for a day, that was a week ago and still no word back about the test results..Could huffing gasoline really have damaged my heart? Ive been told all this is just Anxiety..", "output": "Hi, I can understand your concern regarding your symptoms. You are having symptoms suggestive of panic attacks which is causing sudden anxiety with feeling that you will have a heart attack. I don't think that you are having any cardiac problems as of now. It is just a manifestation of anxiety, which got precipitated by s. You need to consult a psychiatrist and initiate treatment for anxiety. Medications like paroxetine would be very helpful in your condition. Another important thing to remember is that gasoline and similar products can cause dependence on them leading to many physical, mental and financial problems later on. So, it would be a good option not to huff it again and try to be abstinent from any addictive substance. Hope that this information was helpful. Best wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a lump, on the left side of my neck thats been causing pain in my ear, and below it but the lump itself does not hurt, it can be pushed and has like a hard knot, but soft at the same time and its gotton bigger. Ive had it for about 2 months, is it Non- Hodgkin?", "output": "Hi! Good evening. I am Chat Doctor answering your query. The pathology of the enlarged node might not be possible to confirm only clinically without a FNAC (fine needle aspiration cytology) or a biopsy. The pain to the ear might be due to involvement/pressure of sensory nerve supplying the ear due to the enlargement of the nearby lymph node. Till the diagnosis is confirmed, I would advise you to go for an anti-inflammatory Chat Doctor. However, I would also advise you to get it assessed by a general surgeon at your earliest. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor,My wife gave a blow job few months ago and from the next day, i feel burning in my penis after urinating and after having sex. I used fucid cream but it doesnt work. I did vdrl with titer but the result is negative, i even did urine routine and culture test but all in vain. I need your suggestion to relief from this", "output": "Hello misunderstand your concerns I'm treating doctor, I would think possibility of urethritis and or friction injury. I advise you to go for urethral swab test. In this test cotton swab should be inserted in to the urethral meats about 3-4 cm and then microscopy and culture should be made to fond the exact cause of urethritis.>=5 granulocyte/HP suggest urethritis. Most common cause of urethritis is bacteria like gonorrhea. Antibiotic should be given according to culture report like azithromycin, doxycycline. Maintain hygiene, avoid use of chemical irritant, use condoms while having sex, avoid sex till you get better. Prostate inflammation should be rule out. Hope this may help you Best regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am trying to conceive a baby but no luck since last 1 year. So i started a treatment. Doctor studies my whole cycle starting from day 11th. After egg came to 17mm size, it still didnt ruptured so my doc gave me an injection for this and egg ruptured after injection. She told me to take dubagest-200 (progesterone soft gelatine gapsules 200mg) for 10 days asked to test pregnancy after another 4 days whicChatDoctores out to be 30th day of my periods. Today i tested and is negative. Is it possible that i might get positive result after 1-2 days? or will i be able to conceive baby?", "output": "Hi I think you can wait for 1 week and redo the test again. There is a chance of pregnancy in this cycle but its low around 5 percent. If egg has ruptured you can definitely become pregnant. Just do a semen analysis of your husband. You can try with medicines for pregnancy after consulting your doctor. These increase the chance of pregnancy. Hope I have answered your question. If you have any other query I will be happy to help." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "For about 2 months i have had a small lump on my left side of my forehead. Recently in the past month another lump has come up and i have been experiencing bad headaches. I went to the doctors and he said it was bone-related and i am due to have an x-ray sometime soon but he didnt tell me anything about what it could possibly be. im a 17 year old female, rarely drink, dont smoke and wouldnt say i suffer stress. any ideas on what it actually could be?", "output": "Hi! Good morning. I am Chat Doctor answering your query. To let you know about the bony lump, it needs to be both clinical and radiological assessment due to which your doctor did not opine on the swelling excepting for saying that it is related to the bone. So, be patient, and listen to your doctor when he finishes all the investigations for the lump. Do not be apprehensive. Till then, you might go for a paracetamol/acetaminophen for your headache after consulting your doctor. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, my husband has had a persistent rash on and off for about a year now. It starts to appear on his neck and then within a day will have spread to cover his chest, stomach, arms and part of his back. It looks like a bad sunburn. He says it itches very bad and when he takes warm showers he says it feels like pin pricks all over. Hes gone to the er and they gave him an antihistamine but it didnt help. Please help. ~Kasandra", "output": "Hi Kazan Chat Doctor. After reading your query it appears that your husband has the problem of \"Actinic dermatitis\" or \"Contact dermatitis\". Sometimes both can coexist together. Actinic dermatitis is due to exposure to sunlight wile the contact allergy is due to exposure to certain day-to-day life chemicals. WE need to have detailed examination for the best possibility. You can meet a dermatologist who can guide you best for the problem. For the betterment kindly follow the suggestions below:-Apply over the counter calamine lotion 3-4 times a day.-You can do cold water compresses to reduce the intensity of itching.-Do not scratch or rub the skin as it can lead to further aggravation.-The best measure is to take oral anti histamine like loratadine or levocetrizine under medial advise. Hope this information will help. If you have any further queries I will be happy to help.\" With good health wishes\"" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Yesterday, I ran more than I usually do and was tripped, so afterwards it was hard to breathe and I had a lot of pain. I ve smoked for two years, I am not quitting, which is surprisingly easy for me. But today, when I smoked, I felt some pain in my jaw. It only occurs when I smoke and it just started. What could this be from?", "output": "Hello, Thanks for consulting ChatDoctorRead your query as you have pain in jaw this can be due to habit induced it leads to lichen plans, licensed reaction, leukoplakia or due to poor oral hygiene deposition of food and calculus in sublingual region of gums. I will suggest you to consult oral surgeon and go for oral examination of gums and oral cavity in meantime do warm saline gargle two - three times a day, you can apply ointment stolen gum paint on gums. Hope this will help you. Wishing you good health " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My grand daughter aged 4 is suffering from severe cough for the past 3 days had slight fever but treated with parasitomal syrup Alex-P+ fever subsided but cough continues and we are on vacation travel in India. please advise whether Azithal can be given. If so the dosage. she was born in US. She often gets cought even while in US. Thank you", "output": "Hi... Thank you for consulting in Chat Doctor. Cough and cold are viral 95% of the times in child Chat Doctor. THIS SEEMS TO BE VIRAL IN YOUR KIDS CASE TOO. LITERAL IS AN ANTIBIOTIC. I SUGGEST YOU BETTER NOT USE IN UNNECESSARILY. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "What causes me to feel slightly breathless, momentarily when I lie down on my right or change sleeping positions in bed or if I walk too fast or much, like climbing stairs. Also there is a pain in my right rib cage when I try to breath more deeply. BUT all these symptoms only last a minute or two, not longer. As long as I am not exerting myself, I seem to breathe normally, . . .", "output": "Hi thanks for contacting Chat Doctor... Noted here pain and dyspnea mainly on exertion that you are mentioning. First get your total hemoglobin estimation with peripheral smear examination... If anemia is present corrected with iron or vitamin B12 and folic acid tablet whichever requires. As anemia can lead dyspnea... If you are having cardiac history then dyspnea can occur... For that ECG or ECHO done... Measure your blood pressure also... If you are taking excess stress then also slight dyspnea can occur... As far as rib pain is concerned, if ribs are tender to touch it could be Costco Chat Doctor. .Here is no need for worry. Consult physician. If needed after examination then for respiratory causes x-ray or PFT useful. Take care...." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hey my 3 year old daughter had a submoucs cleft palate repair four weeks ago an since has had a large lump in in her right cheek brought her to gp he don t know what it is and.has referred me back to kids hospital appointment could take months and ideas??", "output": "HI, Dear. Very Good NOON from India. Thanks for your query. I understand your concerns. I studied your query in depth.-I would advise you not to worry still. In my opinion your granddaughters cheek lump-is -mostly a -post-surgical organising-hematoma-of the cheek and would take another may be 2-4 was to resolve.-Treatment-Would be to Consult a Plastic Repair Surgeon with ER Pediatrician as a team would help its management.-Syr-NSAIDs,-Syr-Antibiotic for 5 days time.-Syr-Serropeptidase-Proper liquid feeds supplements by Tube feeding.-This would resolve this cheek lump to recover fast.-Hope this reliefs your worry-some query. Welcome for any more queries in time to come. Have a Good Day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello! I have been having bad head aches, and I usually smoke pot for my anxiety but have been trying to quit. I am having trouble getting full breaths, I am paranoid, and my jaw is in severe pain from grinding. I actually need a brain scan, is this possible to get without having like a tumor? Please help", "output": "Hi, Thanks for writing in to Chat Doctor. I understand your problem and will try my best to help you out. Firstly kindly donor panic about tumors and all such diseases. You need to visit a neurologist, and you need to give him the history of smoking pot. It could be due to that or with Chat Doctor. The other possibilities are infections if it is accompanied with fever that is. A thorough central nervous system examination along with certain clinical tests shall help in the diagnosis and the treatment. For your anxiety you may also need a psychiatric consultation for antianxiety " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter came home from day care with what looked like a small bruise on her face. She is 18 months and it won t go away. It s not something n the surface like a scalp, but it looks like a dark spot. It s been three weeks and it s still not blending. Should I be concerned?", "output": "Hi... Thank you for consulting in Chat Doctor. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor, I have a white patch on the tongue, intialy it was small in size but now after 1and half year it increased. I have couslted to cancer doctors, as per his it not cancer and not serious but I am worried as it is incresing in size. Any madicine can halp me for this.", "output": "Hello! Thank you for posting here. This can be a lesion of the mucosa. I suggest you to get a biopsy done for the lesion. A constant irritation of the area may cause increase in the size of the lesion. Check if there is a sharp tooth hurting in the site. If you are a smoker. Quit immediately. Do not take alcohol. Avoid tobacco in any form. Avoid spicy foods. Maintain a healthy lifestyle. A steroidal gel will be suggested by your dentist after a clinical examination and biopsy. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been suffering headaches for the past 4-5 months, I had a collapse and seizure at work ending in hospitalisation where a CT and spinal tap were done, they were both clear (unsure what they were looking for) I returned to my doctor just wanting answers. She has told me I have Tension Type Headache and prescribed Amitryptiline. I don t believe this is the cause because it does not explain the deterioration of my vision, numbness and tingling in arms & hands, loss of balance and inability to concentrate. I want a second opinion but we live rurally and doctors are scarce. What are your thoughts?", "output": "Hello! I read your question and understand your concern. I would like to know more about your headache: the location, throbbing or like pressure, the duration and if you have nausea or intolerance to noise and light. Furthermore, I would also like to know your age. There are many disorders causing a collapse, like : cardiac problems, metabolic problems, neurological problems, etc. The numbness and tingling in your arms, blurring vision, inability to concentrate and loss of balance, put all together with a normal CT scan, make me think of psychological problems and anxiety. Tension type headache would be associated with this situation. It is typically a diffuse headache like pressure or tightening. Although I would recommend a good neurological examination and a brain MRI just to exclude any other neurological disorder where the CT scan has a low sensitivity. If everything results ok, I would recommend an antidepressant like sertraline or Escitalopram. Hope to have been helpful! Thank you for using Chat Doctor! Best wishes!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been under some stress this week. Yesterday I was having some soreness in my left shoulder area. Today I seem to have a lump in the area of my bra strap and it is very tender. Could it be a blood clot. My blood presurre is 116/64 cholesteral is within limits?", "output": "Hi, Dear,Thanks for your query to Chat Doctor. Studied your query in full depth of its details. Reviewed it in context of your health concerns. Based on the facts of your query, You with stressed shoulder, seems to suffer from-friction induced bruised lump inline of the bra strap. Take care with your doctor, before it complicates in to infected swelling leading to abscess. Possibility of blood clot is very less, as its in tender stage after the friction, suggesting acute inflammation with ? Local infection at the frictioned area. Hope this reply would satisfy you and would help you to plan further treatment with your doctor there. Welcome any further query in this regard, which would be replied in next session. Will appreciate YOU, to write your excellent review feedback comments of this service experience, to help the needy patient visitors like YOU, at Chat Doctor services. Good Day!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m suppose to get my reverse pull headgear this Sunday (the only day my doctor is in) and today my expander snapped a little! I m really really scared that if my mom tightens it this afternoon it ll snap fully! And if I didn t my teeth would go back normal and everything would be for nothing! I have my expander for 2 weeks now and this Sunday I m getting the headgear I have to tighten it twice a day once in the morning (I did that) and once in the afternoon which is still to come! I don t have my doctors number. What should I do? Should I tighten it normally or?", "output": "Hello, You must contact your dentist an explain the situation to be told the proper steps. If you are sure there is a crack, I suggest that you do not adjust any further until you contact the dental office. Maybe there is another dentist that can see you before your scheduled visit, or you can be seen sooner. Look for contact information. You must know the location of the office and the dentist that specializes in braces is an orthodontist. I thank you for your inquiry. I hope my comments are helpful." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor,5 years back i had a severe headache followed by visual disturbance in my left eye lasted for few minutes.i am diagnosed with a calcified lesion at right occipital lobe. taken albendazole for a month and oxetol for 2 years. recently i had a visual disturbance again without headache. During last 4 months i have a feeling of right knee tingling intermittently. Why is this tingling happening. Should i have to continue oxetol.. then for how much time. Is there any procedure to remove lesion. Till today i dont have any record of seizure.", "output": "Hi, Thank you for posting your query. A calcified lesion is most often due to a healed tape worm infection, called as neurocysticercosis. Since the worm is already dead, as suggested by calcification, albendazole is not necessary. The visual symptoms could be a sign of seizure, and it may be due to the location of lesion in the occipital lobe. So, Extol may have to be restarted and continued for long. Tingling in knee is an unrelated problem. Best wishes, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good day, I have a problem with my 7 years old boy who produces too much saliva which resulted frequent spiting. He just experienced it two to three weeks ago. When asked he is saying he is tasting something in his mouth that is why he keep on spitting. We brought him already to his pedia and to a eent but none of them made proper recommendation. Currently my boy is keep on spitting and he always make wet of his dress due to this saliva problem. His lips is starting to swell due to constant wiping of his mouth. Let me know your opinion about this as our family pedia told us to bring my kid to a neuron specialist. Please help me by giving your opinion on this matter. Thanks", "output": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint excessive salivation in kids can be due to causes like throat infection, sinusitis, peritonsillar abscess, oral infections, mouth breathing, allergies, side effect of medication if he takes any, multiple sclerosis, autism, downs syn Chat Doctor. . You should consult a Medicine specialist and get evaluated and a through clinical evaluation and investigation as per suspected cause can help in diagnosis and treatment can be planned accordingly. As of now make him gargle with antiseptic mouthwash as it has a " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter who is 44 years old, who has Spastic/Athetoid cerebral palsy,was diagnosed last Monday,with pneumonia in the lower lobe of her left lung. She is on antibiotics and cough syrup. She still has horrible cough, and starts coughing every time I try to feed her. Do I need to take her back to the doctor, or wait until she finishes taking the antibiotic she is taking now?", "output": "Hi, I am Chat Doctor. I have read your question with care and understand your concerns regarding caught. Let me try to help you Questions : She still has horrible cough, and starts coughing every time I try to feed her. Do I need to take her back to the doctor, Answer : If she is coughing every time you try to feed her, it is possible that the food you are giving is entering her windpipe (Trachea) instead of her food pipe (esophagus)? She needs to be evaluated by a doctor. Please take her to doctor now. Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. Let me know if I can assist you further. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I noticed what appeared to be a single pimple on the side of my penis. It was rather hard and of course freaking out... I popped it. Today as I went to urinate, I noticed a discharge from the urethra. I am not sure if either of these have anything in common, but would like someones opinion on what it can be...", "output": "Degree understand your concerns went through your details. The discharge you had from your urethra, may not be having anything to do with the popped pimple like eruption. The discharge is simply your semen itself which is escaping through your urine. This is a natural procedure and happens many times. You just noticed now. Don't be alarmed and don't relate it with any other health conditions. Take care. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query. Further clarifications are welcome. Good luck. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have: lower right back pain, headaches, hungry, lower abdominal pain, hot flashes, small fever, fatigue, insomnia, discharge, but no bleeding. I feel like my period is coming but it wont started having unprotected sex on Feb. 5th up until last week.", "output": "Hi, If you have had unprotected intercourse around the fertile period, then you have very good chance of conception though your symptoms are not clearly suggestive of the same. Please wait for your next period and go for a home pregnancy test with a fresh early morning sample of urine 3-7 days later if you miss your period. Else, you can get the serum beta-ChatDoctor titles assayed coupled with a trans-vaginal sonogram and see a specialist for further appraisal of the situation. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Have a reoccurring small bump that forms about gum level, but on the inside of the cheek, near my molar, or directly below the corner of my mouth about a half inch down. The bump never hurts, but a pin-point sized area below the bump has a metallic taste when I probe it with my tongue. And if I press my thumb against the outside of my cheek, and squash the bump against my teeth, rolling it with pressure from back to front, a liquid distinctly slimier in consistency than saliva seems to come out of it. I thought I should make sure this is not a sign of something more serious. It never hurts, and seems to only happen every couple months.", "output": "Thanks for your query, I have gone through your question, the small bump on your inner side of the cheek could be an inflamed salivary gland duct.if the gland duct is infected then pus coming from the duct might taste like salty...or if the swelling is on the gums then it can be because of tooth infection which has resulted in puss formation and Chat Doctor. . Consult an oral physician, and you need to take some radiographs to rule out these two conditions... I hope my answer will help you...with regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Just below my chin on the right side, I m experiencing pain. It hurts when I press on it and when I sleep on it it hurts to swallow. But when I sit straight there s no pain and I can swallow normally. Please answer this I m 16 and very afraid of cancer. I don t know what s wrong with it, because it only hurts on one side and not like a normal soar throat", "output": "Hi Dear, Understanding your concern. As per your query swelling under chin along with pain in it. The symptoms you mention in query are pointing towards a condition known as dental abscess. Sometimes infection travel down the tooth and cause pus formation at the tip of the root and surrounding tissues. I would suggest you to consult Dentist for proper checkup. Doctor may order x-ray, CT scan or other test to confirm the diagnosis and rule out condition like muscle, swollen lymph node or a cyst. Doctor may perform complete oral prophylaxis, perform root canal procedure and may refer you to ENT specialist. For now give warm compresses to swelled area and do not panic. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "collided with my friend playing softball. I knew right away it was gonna be a bad, I took the blunt of the collision in my right thigh. now a week later the bruise has spread to my knee cap and my enitre thigh inside and out is bruised. But what concerns me is the the pain at night. it keeps me awake sometimes it hurts so bad.", "output": "Hi dear. I can understand your pain regarding your knee injury. I think you might be having a meniscus tear. I will advise you to get an X-ray done. You may need to meet with an orthopedic surgeon for more testing. These tests may include an MRI, which can give a clear picture of where a tear is and how serious it is. You can take a NSAID like diclofenac for symptomatic relief.please rate my answer if you found it helpful. Best wishes. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "In July my husband had an MRI after loss of immediate memory and it showed that he had a stroke (silent).Then after a couple of weeks he felt bad s he went to the hospital and they found a blood clot in his left lung, and he was hospitalized for a week and he was kept on intrevinous blood thinners. He was released, and has been on warfarin since then. His memory has not improved and he is disoriented and feels bad most of the time so the doctor ordered another MRI of his brain. The report shows that he has a chronic lacunar infarct involving the right thalamus which was subacute at the time of the previous examination. Can you give us any information that might help us understand this report?", "output": "Hello memory problem could be due to minimal brain damage after mini infarcts. It could be after high blood pressure which has been poorly treated. Or the clot in the lung which could have been in his legs could also have affected his brain. He should be assessed why he has hyper coagulation state (some people may have sleep apnea, or protein C or factor 5 deficiency, etc. Consult with his doctor to see. Best wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am severely itchy on my legs, arms, back, and stomach. I get a rash from itching so bad and the sores tend to bleed sometimes. I have tried zyrtec, and benadryl, i have been treated for scabies twice and after each treatment i have gotten worse. I have been to 2 doctors and neither one know what is wrong.", "output": "HiT hank you for asking ChatDoctorFor itching you can apply soothing lotions like calamine lotion. If it is allergic rash antihistamines like cetirizine (Zyrtec) or Ben Chat Doctor. Some cases corticosteroids will be necessary. First your condition should be diagnosed. Approach a dermatologist for that. If not scabies it can be psoriasis, or fungal urticaria etc. All have to be ruled out. Let me know if you have any further query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. Im 32 and I have extra weight. In my blood test results, I got elevated SGPT(86) and neutrophils count (70). Is this a sign of any damage in my liver? Shall I get any further tests? I will be starting acne medication, should or shouldnt I? please advise", "output": "Hi, dear. I have gone through your question. I can understand your concern. Your liver enzyme level is high. It suggests there is some liver damage. It may be due to some infection, alcohol, diet or Chat Doctor. You should go for complete liver function test before starting medication for acne. Any hematologic medicine should not be taken. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter started last October 2013 with neck pain, back pain and headaches. We went to the doctor and she ruled out Meningitis, but she was unable to determine the cause of her pains. The doctor ordered multiple blood tests and in the results there was Raised antibody titer ANA 1:80. She sent us to see a Rhuemetologist, and because my daughter is 17 we had to go to a Pediatric doctor who dismissed the elevation as being because she was a teenage girl and sent us on our way. Here it is June 2014 and she has gone through multiple tests, did get another ANA result which was the same titer 1:80 but a different shape . My daughter has lost 18 pounds since this all started and can not seem to gain weight and just keeps loosing. She will turn eighteen in 3 weeks and then I can take her to MY doctor, but in the mean time.... What can I do? I KNOW Something is NOT right with my girl. I hope you can give me an idea of what to do or who to call or something. We live in St. Charles Missouri. Thank you for your time. Mrs. Chris Reinhart", "output": "Hello Mrs. Reinhart, I understand you and your daughter are going through a difficult time. This seems like an autoimmune condition. And I recommend you take her to a Rheumatologist when she turns 18. ANA title is very sensitive. According to the history you have given it seems like Lupus. To confirm lupus, I recommend an Anti-Sm title. The treatment is usually steroids during these acute attacks and will taper it off slowly. Hope this helps!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my fience says he has carpel tunnel and is pretty sure he has arthritis, but he has this intense throbbing that he says it feels like its pulling his index finger and thumb together and it sends shooting pains up his fore arm!!! what can i do to help him ease the pain cuz it makes it really hard for him to work and he is constantly dropping stuff and i really hate seeing him hurt like that?", "output": "Hi, thank-you for providing the brief history. A thorough neuromuscular assessment is advised. As the pain is in the index finger and thumb which is pulling in nature and radiates to the forearm. It can be due to two factors. Either a nerve pathology or a muscle pathology. Also, for clearing the doubt in RA and Carpal tunnel two test can be performed. For RA - laboratory test for RA factor and For CTS - Nerve conduction velocity study. Also, if both reposts come normal or such then an MRI of cervical spine is advised. As the pain is radiating in nature. Now, for all the CTS, RA and Cervical disc pathology - physical therapy is recommended to improve the physical abilities and strength. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear doctor,I have make consult my personality behavior to phsyciatrist, he analyze maybe I got OCPD personality. I have problem with masturbation for almost 3 years. I want to get rid of my behavior one by one. Can you give me suggestion about what kind of exercise and food that can boost my dopamine naturally?", "output": "Hello thanks for asking from Chat Doctor for your health related queries can understand your concern. First I would like to tell you that masturbation is not a bad habit, and it is not associated with any serious side effects. If you are doing excess masturbation then I would advise you to reduce the frequency of masturbation by self. Dopamine is a neurotransmitter in brain and its balanced amount in brain is responsible for feeling of pleasure and reward. The release of dopamine occurs through a complex processes. Heavy exercise result in release of endorphins which are natural opioids in body. These chemicals result in stimulation of reward system and individuals feel the pleasure. Take diets rich in aromatic amino acids and proteins and low in fats and your serotonin concentration in brain will increase. Visit a doctor for detailed help and for treatment of CPD. Thanks, Hope this helps you. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have a problem sleeping on my back and putting my two legs together usually when i sleep. I also can not jump nor run and walk with pain. Recently it was detected from an MRI test that i have a tumor in my spinal pathway which is pressing against the nerves that controls my movement. They want to open my back and take sample for a biopsy and some friends are advicing i should find an alternative means. May i know what your advice will be. Thank you. I am 47 yrs and 1.75m high, weighing about 96 kg. Charles", "output": "Hi, dairy have gone through you question. I can understand your concern. You have some spinal tumor. It is very important to know the type and nature of tumor. You need decompression surgery and for that biopsy is must. It will give you exact diagnosis regarding your tumor type, grade and other details. Band on that you should plan your treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a large lump in my lower right abdomen , just to the right of a very long appendectomy scar that is almost 40 years old. I was experiencing acute pain in the upper right abdomen, below the rib cage. The pain gradually went away and I noticed the lump yesterday. It s more noticeable when I m standing, tender but not painful.", "output": "Hello! Thank you for the query. This lump is most likely a hernia in the scar post appendectomy. You can perform simple test. Put your hand in the lump area while standing and try to cough. If this lump is moving when coughing, the hernia it is. Upper right abdominal pain is most likely caused by gallstones. It can also give pain radiating to the back, nausea, vomiting, especially after a meal. It is advisable to have abdominal ultrasound performed and if hernia will be confirmed, surgery is advisable. Hope this will help. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "good afternoon sir...my complexion is dusky...could u prescribe me a cream to get fair skin", "output": "Hi!, Welcome To Chat Doctor forum, If your complexion is genetically dark and even your rest of the body part is as dark as face then you may not have a good result. But if not, so then you should go for CHEMICAL PEELS from an experienced dermatologist. One requires multiple sittings at 2 wk intervals. It save and effective. Along with this you should also apply creams like glycolic acid or retinoid cream at night.It's mandatory to use a SUN SCREEN daily three times.Sunscreen itself would help you a lot. For maintaining your self you can use comic acid cream daily later.take care, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I drank 3-4 glasses of wine almost every night this summer. I have just been diagnosed with diverticulitis. I am 56 year old female and the ER did a liver tests as routine procedure. My liver enzymes were 70 on one test and 49 on the other. I have stopped drinking now. Will my liver enzymes return to normal?", "output": "Hi there, Thanks for using Chat Doctor. Alcohol intake can elevate the liver enzyme levels. Usually the AST level is more increased than the ALT. There are other causes as well for elevated liver enzymes like viral infections (Hepatitis B & C), autoimmune causes, metabolic causes and toxins and Chat Doctor. All these causes should be ruled out in your case. Yes you liver enzymes can return to normal. If the elevated levels are only due to alcohol intake, then the enzymes would return to baseline levels in 3-6 months time after stopping alcohol. Is this answer helpful?" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, got scratched by the puppy, while being in Bali 2 weeks ago. The owner said that the dog was vaccinated against rabbies. Today I feel pain in that place in arm, where the dog scrached the arm. 3 years ago I got rabbies vaccine, but i didnt have the revaccine after 1 year. So now I am getting paranoia about it. Is it too late for me now to get the vaccine? Thank you very much for your answer. BR Irene", "output": "Hello, Welcome to Chat Doctor, As you were scratched by vaccinated pet dog and also vaccinated against dog bite three years ago, you will be identified as re exposures under WHO categories of animal bite. According to WHO categories of animal bite Re-exposures should receive two doses of antirabies vaccine on days 0 and 3. As it is a pet dog and available for observation still you can take two doses of vaccine. If the dog shows any symptoms of rabies you need to take the rabies immunoglobulin in and around the scratch site. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ive had eplipseygrand mal seizures since I was 12 had seizure about 5 yrs ago but now had two others about 4-5 hrs apart they were way worse I am now 57 yrs old I screamed at the beginning of seizure and had seizure wed 4pm and started being myself and pretty much know what was going on by sat afternoon do you know why they would be worse like that m.plamann@", "output": "Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. Q1 : What makes seizures worse with age? A1 : As a person grows, the liver and kidney functions change. Brain Functions change. These are the reasons for making seizures worse with age. To solve this, you need to change the " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Himy mother recently have squint in her eyes..she is a diabetic patient.according to doctor suggestion we had a MRI of brain.the report says;-acute lacunae infarct in the facial colliculus-Old lacunar infarcts in bilateral basal ganglia internal capsule and thalami, bilateral periventricular white matter and pons.-old microbleeds in left parasitical occipital lobe, bilateral thalami and left basal ganglia.-age related cerebral atrophy with sub cortical and periventricular white matter ischaemic changes. please suggest diagnosis and remedial measures.thanks", "output": "Hi, Based on the details your mother is diabetic, and MRI brain revealed multiple infarcts in brain the acute one being in facial calculus (brain stem) which is producing squint, with old microbleed, with small vessel disease of brainSuggestions for her are1) control of diabetes strictly2) diabetic diet3) esprit 150 mg daily post lunch4) Statins 40 mg bed time5)Anti-hypertensive ideal covers plus once daily6) citicholine 500 mg twice daily 7) fluids 3 l/ day8) exerciseCheck her cholesterol levels, thyroid functions and kidney function You should consult neurophysican for further management and treatment planRegards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am Type II diabetic individual, a uretheroscopy was performed on me 15 days back for kidney stone and DJ stent is placed in the bladder and kidney. Doctor had asked me to do a a urine routine, CBC and a fast and post sugar report. The sugar reports 158.6 fasting without trace of sugar in urine and post with 220.2 with sugar present in the urine. Also the urine shows protein present (+) as of now i am not on antibiotic and having zyloric, buscospan, fruselac and ganaton and patoacid(gas probelm). I now feel slightly feverish and low in the night. Please advise reason for protein and whether the treatment is in the right direction.", "output": "Hello, Protein in the urine in your scenario is more likely due to your underlying type 2 diabetes rather than following the DJ stunting procedure. It is however as a possible following DJ Stenting due to small injuries to the urinary tract because of the foreign body causing protein in urine. Ankther possibility given your complaint of fever could be due to infection. I would ask you to review with your doctor if fever persists. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my gum is swollen and i had a teeth pulled like 2 years ago and thats the spot thats swollen and it is almost covering the teeth behind the one that was pulled and I brushed my teeth and it started bleeding and it looks like a sore is where the teeth was pulled at.", "output": "Thanks for using Chat Doctor. Read your query. Was the tooth extracted completely ? Was any part of the tooth left behind. If I were a treating dentist, I would have advised a radiograph to rule out if there was any tooth piece left behind. If yes, removal of the tooth is to be done. Antibiotics like amoxicillin 500\u00a0mg along with Metro lag 400\u00a0mg on prescription will help. Consult a good oral surgeon and have it reviewed. If necessary the abscess has to be Chat Doctor. Do salt water gargling. Hope this was useful. Thanks and regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my husband had chemo for acute luk in remission but will take oral med ayear his balance an memory and personality are so different just sats an watches tv I wanted him in remission but never expected this he is not same person what can I do and will this ev er go away i can understand the tirdness started in May an last treatment in Sept strong treatments", "output": "Hi welcome to HC mi have gone through your query and can understand your concern for your husbands sufferings Dear , while undergoing chemotherapy or any medication one has to undergo its lots of side effects also. To overcome of these side effects, he has to increase his activity level . Turn to Regular mild exercise, yoga - Panama - Deep Breathing, meditation will help guide him to overcome the difficult time. And inclusion of essential nutrients -proteins, vitamins, minerals and antioxidants like ginger, garlic, Turmeric powder 1/2 spoon + almond oil 1 spoon in a cup of hot milk at bedtime . Aloe vera Juice35 ml + AMLA juice 1 spoon lemon juice with water before all meals Butter milk in lunch Juice of bitter gourd helps kill disease cells rapidlyAvoid processed foods carbs, sugar, fried, fast foods, Tea, coffee, alcohol and smoking Sleeplessness and Constipation, all will produce biochemical and metabolic conditions in your body that will decrease your immunity, so avoiding is definitely the first step in the right direction to detoxing the body, boosting the immune system Taking North pole water & Applying North pole of magnet on effected area is helpful in destroying the disease cells on m ass baseball above will strengthen his immunity help him in early recovery. It is important to visit your physician for further advise Hope this helps solves your query. Take care. All the best .wish you early recovoeryDont hesitate to come back in case of any further query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI, I am getting pins and needles in my chest and lower back when I have bad coughing spells. After the pins & needles go away, I am left with an ache in my chest. I have been coughing from Bronchitis for a little over two weeks now.My e-mail address is YYYY@YYYY", "output": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of either worsening of bronchitis or lower respiratory tract infection (LETI) is more. So better to consult pulmonologist and get done clinical examination of respiratory system, chest x-ray to rule out lung infection and PFT for the diagnosis of worsening of bronchitis. You may need antibiotics, antihistamines Chat Doctor. So first diagnose yourself and then start appropriate treatment. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Four days ago I had a lump on my right forearm beneath my elbow swollen but now it s gone. WOKE up this morning I have another lump near crease on same arm but out above elbow and it s hard and itching what should I be worried I put ointment on it after washing the area to stop the itching", "output": "Hi. Thanks for your query. Noted your history and understood your concerns. The presence of a lump at the elbow that vanished completely and occurrence of another nearby after a few days and the itching indicate that this may be due to an insect bite as the most probable reason. Another possibility is urticaria meaning an allergic skin eruption. I would advise you the following in such a situation:Consult your Doctor to get a clinical evaluation. Get an antihistamine and oral steroids as needed. Do not self-treat as a proper diagnosis is very important in the beginning only to get a proper curative and preventive treatment." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hey. I have had abdominal pains for over 2 years. Usually always locallized to a specific area and wierdly in 3 places. 1) just under my peft side rib cage. 2)under my right side rib cage. 3)in my lower left quadrant. Of recent ive encountered new symptoms. A jelly like feeling just behind my tongue. chest pains at onset moments. I cannot eat fried foods without feeling ill immediately after. More frequant bowel movements for 48 hours every time. Was given mebeverine 135mg for ibs but they did not work at all. was given lanzoprazole 30mg and after 13 months they finally stopped being helpful like they was. my gp asked me to do a colonoscopy but I refused because of how dreadful my abdominal pains can be and tje thought of a colonoscopy while awake to me, is extremely invasive. please help? My nights are restless from the pain that develops and worsens each day until I wake up the next morning. Then it repeats itself. I have lost an otherwise usually perfect sleeping pattern because of this. I need advise. I need a private doctor in the UK as the NHS service is terrible. is there any chance I could be leaded the right way, please?", "output": "HI. Undergone through your history and is quite interesting and typical brain-teaser. The spots/ area are fixed you say. It is wonderful that the Mebeverine did not help you nor Lansoprazole. See- if a particular medicine has not helped you for a clinical picture, we have to think in a different direction. What worried me is : see you have been suffering for such a long and yet not ready for Colonoscopy. This is a very simple procedure and if done by an expert - causes no pain at all. Another option is Virtual colonoscopy (done by a CT scan and no need to put any instrument in the colon other than air). You can opt for this. You have to have this as there may be strictures or some pathology that is causing pointed pain (fixed area)There can be a treatable cause which will be missed if you do not undergo further tests. A contrasts enhanced CT scan also can give some ideas. There has to be a cause that has to be found out so that further treatment can be guided to the cure." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a boy 6 yrs 8 months old ( 25 kgs weight).When he starts to sneeze he continues for 5 to six times with white thick nasal discharge coming out after two or three discharges.This condition is present in him for about three years.Of course, this does not mean that he sneezes frequently.But when he starts to sneeze it does not stop quickly.Three years back once when he had fever with cough and cold he started wheezing particulary after repeated coughing.So far I have seen four episodes in him with rougly eight months to one year gap between each episode.During the second and third such episodes he also complained about slight pain in the chest muscles and shortness of breath.During the first episode I took him to a pediatrician who told to my shock that he may have Asthma.He asked whether anyone in my family has it or not.My mother developed Bronchial Asthma at the age of 45+ due to over load of work and climbing of stairs and also because we used to have pet dogs and later cats in our family.She is still having the same problem.However, now netiher we have any pets in our house , nor there is any chance of vehicular pollution or cigarette smoke.I don t know how my child could get asthma.The doctor gave salbutamol to him and some antiboitics also.But I did not give the salbutamol tablets to him fearing that once it is given it may permanently damage his lungs.During the second such episode after about one year.I took him to my company hospital where the doctor suggested to give nebulizer with asthaline for 5 minutes.This time I obeyed and my son told that he felt releived .During the third time also as per the advice of our Company s doctor I gave him nebulizer for 5 minutes .Recently, he had fourth such episode after about one year gap.This time the doctor sggested nebulizer for 5 minutes at Hospital and also 2 salbutamol 2 mg tablets daily for five dyas along with Cefpodoxime 100 mg for 5 days ( 2 daily).When he was a small baby we used to keep him near to our closed wodden window as our bed was situated near the window) during sleeping after covering him with sweater and all other precautions during cold seasons.Is it that due to exposure to cold her lungs got damaged.The place where I used to work then used to get very cold during cold season.Anyway I used to keep a room heater below him also.Please confirm whether my child is asthamatic or not.Earlier to this episodes I used to give him cetrizine cough syrups on some occasions when he had cough and cold.", "output": "Hi, I have gone through the detailed history you have given. A possibility of asthma is more likely in his case. In my opinion, you should definitely get done PFT (Pulmonary Function Test) with reversibility testing. If there is significant reversibility then asthma is confirmed. In my opinion, he will need intranasal spray containing steroid (fluticasone) and antihistamine (elastane). Oral combination of antihistamine (levocetirizine or fexofenadine) and anti-allergic (montelukast) is also beneficial. So consult a pediatrician and discuss all these. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor , can i know whether fertilisation has taken place through the follicular study. I m asked to take Letrose from the 2nd day of my periods and to carry out a follicular study next month. Now i m under Regestrone and i had a miscarriage once, so i m a bit worried, is that caused by Letrose", "output": "Hi, Letrose, used to be taken for ovulation induction, it is not advisable anymore. You should prefer another ovulation inducting agent(egg forming agent) like camphene. I would like to know if you have any indication for ovulation induction like, have you been diagnosed with PCs or not? Regestron is a progesterone hormone containing tablet, it is given after fertilization. But not unless there is reason to believe that there is luteal phase defect or decrease in progesterone levels. Hope this helps. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Maybe pregnant?Okay I was ovulating between 11/17 _11/25 had positive test smiley face & w also started on metformin 500 mg 2 x aday...ive started having nasua and milky thin no odor discharge..and now im 2 days late on my period but I tested \"negative on pregnancy test a wk ago.. My question is how soon should I test positive or do I sound pregnant?", "output": "Hi, The earliest a positive pregnancy test can be detected is 8-11 days after ovulation. Blood test is preferred at this time as it is more sensitive and reliable than urine pregnancy test. You do have symptoms suggestive of pregnancy. But these symptoms are not specific to pregnancy. These symptoms do occur before a period also. Now that your period is 2 days late you can do a urine pregnancy test today. It should usually be positive if you are pregnant. I hope I have answered your concerns." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Yes I am a 32yr old male. I am having difficulty urinating and have been having difficulty for some time now. When I do go and think I am done I continue to have a small amount come out. I am also unable to get an erection. For the past couple of weeks I have been experiencing pain in my lower back and hips that seems worse at night. My father had prostate problems and I am concerned..... However I know it would be very rare at my age...... Is it possible? I see my doctor next week Monday", "output": "Hello misunderstand your concerns think you have enlarged prostate that cause difficulty in urinating and erection problem. Enlarge prostate compress the urethra and lead to difficulty in urine. And it causes sometime erection problem and delayed/retrograde ejaculation. I advise you to consult the urologist and get the done proper investigations to diagnose prostate problem. Blood PSA level, USG, rectal examination should be done. Doctor may give tamsulosin for treatment. If not responds to Chat Doctor. As prostate problems resolves, erection problem goes away. Other case of erection problem like psychiatric problem, diabetes, hypertension, alcohol and smoking, obesity should be rule out. Start regular exercise, take healthy diet with high protein, antioxidant items like almond, fresh fruits and Tablet Co Q. You can also take siledenafil tablet for erection after proper evaluation. Hope this may help you Best regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "dear sir i m using melawash face wash gel for past 3 months (daily 1 time for face 1ly) and also i m using Venusiya moisturising cream(Dr.Reddys) i got good result..I have oily sensitive face..now good improvement..face wash gel contain 6% glycolic acid any problem wil come in feture", "output": "Hello. Thanks or writing to us at Chat Doctor The face wash that you mention is quite good and can be used as long as you desire. It contains 6% glycolic acid. Glycolic acid is an exfoliating agent as well as a skin lightening agent. It helps with Oil control as well. Glycolic acid is an excellent peeling agent in those who have sensitive skin. It has no negative long term side effects on skin. In fact glycolic acid is a natural product and is derived from sugarcane. Glycolic acid has many advantages for maintaining the youthful appearance of the skin by its antigen, skin rejuvenating actionsRegards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a diabetic and I had a knee replacement Aug 12. I am normally on medication. I have been taking a 325 aspirin twice a day. My blood pressure yesterday was 127/79 pulse 81 then 106/62 pulse 86 in the evening. Today a.m. 121/74 and p.m.114/70 pulse 84 a.m. And 77 p.m. I have had weight loss and low energy. Sweats at night for the past 2 nights. Should i be going to the Dr.?", "output": "Hi there. I think it's a very high dose of Aspirin you are currently taking and i didn't find any information as to why you are such a high dose. Also, yours symptoms can be explained by overactive Thyroid gland and I suggest you start from there although your blood pressure and pulse seem to be normal. First get a blood thyroid hormone levels checked. That includes Free T3 T4 and TSH. If it is abnormal you need to take therapy for that.Also, you need to speak to your Physician as to cutting down Aspirin dosage and if you need it at all as you run a high risk of Stomach ulcer with that. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just hit my head very hard on the centre near my forehead on a metal shelf. I m feeling tired and I know just in case I shouldn t go to sleep. It instantly hurt but it went away, now it feels numb and I just feel very tired. Should I go to the emergency or get an ice pack?", "output": "Hello, As due to direct impact there will be mild cerebral edema and due to which you will feel tired and numbness. Wait and watch for any symptoms of brain injury like redness of eye, clot formation at the forehead, etc. If the symptoms of brain Injury are negative then with rest and good fluid consumption you should be fine. I don't think about the history you need to visit the ER. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a an adult foster care home and a new client of mine has recently been put on clozapine which I know from experience is a pretty strong medication and needs a lot of monitoring. Since he moved in with us he has not been stable enough to stay at home for more than three days and he starts getting really delusional. He is on 700 mg. The other psychotic medications are zyprexa and affexor. Can there be a contraindication happening here?", "output": "Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. There is no significant interaction between the Chat Doctor. But looking at the medications, and their dosages it appears that the patient is probably having resistant schizophrenia and it's a difficult to treat illness. If he is still having delusions, then it would be wise to get him admitted. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband fell down the stairs and landed on his left buttocks and upper left thigh. Now is upper left thigh is very swollen but no bruising. He has been taking advil for pain...anything else he should do? Put on ice it even though it happened yesterday???", "output": "Hi, One thing I want to ask you that are any bluish coloration or joint inability or credits there? So that we can suggest proper treatment about this but accordingly your description it seems to me muscle strain or ligament sprain or may be back nerve compression due to fall which radiating the pain down to the thigh so take some precaution as don't put the weight on that injured leg. Take rest. Do not walk for 2-3 days because the strain on injured area may increase the swelling and pain. Take ice therapy for 20 mins which should be applied during the first 48 to 72 hours after injury. Don't apply the ice directly on the injured area and don't use warm therapy until 72 hrs of injury. Use compression bandage or stockings for the swelling reduction. Keep your affected leg raise from the heart for the swelling reduction. If you don't get the relief consult your doctor and get X-ray or MRI scan to rule out the exact cause. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am getting electric shock on and off whwenever i touch some items. I am a 23 year old male and have no history of any disease or medication. Electric shock symptom lasts for 5-10 seconds and experienced only since last 30-45 days. Why this is so? What is the treatment?", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. The symptom you are mentioning here is definitely peculiar. This may be related to psychological symptoms of obsession. But for the time being, you should consult a physician. Before that you should be able to explain the problem much better than this. The shock could be due to your touching metal objects of your house, rain may soak every part of your house, current must be leaking somewhere, and you feel it when you touch any metal objects attached with wall. Try to reason your experience. If you cannot do it, get help from wise people. Only then approach physician. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I seem to attract mosquitoes lately though I get quite sick from them. Yesterday I was bitten 4 times in my right arm and on my right hand. I had very generously covered myself in bug repellant too. Last night as usual after a bug bite I came up in big hard hot lump where I had been bitten. Today my arm is agony I can hold a cup without it hurting. It is a dull ache my joint ache in my arm and its hot to the touch and swollen. I also feel weak and unwell this is normal for me if I am bitten more than once. Can you suggest something I can take to ease the symptoms. Thanks", "output": "Hi. This is very uncommon presentation. This indicates the hypersensitivity you have to such trivial bites. I would advise seeking a Doctors help to rule out any medical condition which is enhancing this response. As far the present problem, I would advise you to take antihistamine and steroid if necessary under the prescription of a Doctor. You have to take extra care. You may consult a Doctor dealing with allergy, he can tell you the ways to desensitize this problem." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am a 22 year old girl . ive lately become very emotional and i take things to heart very fast. the smallest of things hurt me and i end up arguing or fighting with my mom. i find my mom very irritating and she just does not trust me and when she looks at me its like as if she sees a total failure in me. why am i assuming such things?.. why have i become like this?..", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. You are young. You have so many things to learn. When you think that you are an adult, your mom treats you as if you are a child. In fact, you are a child, because you are not matured. A mature person cannot be irritated and be emotional towards silly matters. You are emotional and therefore you are immature. Accept you are immature and deal with your mother as if you are an innocent girl. Your problem will be solved. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, My right arm has been sore for the last two days, and when I got undressed, I thought I felt a lump and im trying to find it i cant. I have breast cancer on the left side, and im in remission, and I have the her2+ and it was in nodes. Does cancer hurt? my last spot was on my chest wall and didnt hurt, but Im not sure", "output": "Hi, Thanks for writing in. It is important to do a complete evaluation for the sore right arm. There are many possibilities including an infection or a clot in the veins of the arm. This requires a Doppler scan of the affected arm. Please consult your doctor and get a clinical assessment done. Should you require a Doppler scan then please get it done immediately? Ant serious cause should be detected at the earliest and treatment started without delay or progress of the condition. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 21 month Old son has suddenly come out in a really blotchy rash, I thought it was chicken pox at first as they started out as spots, now they are mostly massive red blotches, as though he has been hit with something or scalded.. it is not on his face, just his torso down? He also seems well in himself apart from last night he was screaming and crying for about 2 hours, but today he is fine.", "output": "Hi... Thank you for consulting in Chat Doctor. By what you quote it should be an urticaria or a simple skin allergy. You can use HY Chat Doctor. Most important thing to be remembered is that it has a propensity to recur (called as second crop) within 10-14 days. If this happens, you can start using the same medicine, but I suggest you get the kid evaluated with your pediatrician. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 45 years old with controlled type 2 diabetes , pco, pain in left top side of my back. I have been having severe headaches. My esr increased from 35 t0 55 even when i had taken 250 mg proximexa as advised by my doctor since he suspected infection. why did my esr increase after 3 days of antibiotics?", "output": "ESR is a nonspecific test indicating the presence of an inflammatory condition. This could be due to an infection or to many other causes. The inflammatory process and the change in ESR could be due to the infection and would occur regardless of antibiotic treatment- it is part of the bodies response to the infection. If the infection clears up with treatment, the inflammatory process will start to clear up, but signs of it such as the ESR may take some time to return to normal. The ESR is not useful for take the courses of an infection. Again, it may also be due to an entirely different condition from the infection, such as arthritis, lupus, response to injuries, etc. etc. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "58 year old male, 250 lbs, for the last 8 weeks he has feelings of being very hot that lasts for hours(but has had no fever and does not sweat) , not able to sleep, difficulty breathing, and shaking. Recently diagnoses with mycoplasm pneumonia by blood cultures in ER. Doctor gave the all clear yesterday. As a precaution doctor set up a cardiologist appointment this morning, he coded while having an EKG. The girl performed CPR and revived him, Emergency Heart Cath gave a an all clear report. Any ideas???", "output": "Hello, I would explain that his symptoms could be related to an infection or a metabolic disorder. For this reason, I would recommend performing another blood bacterial culture and a urine bacterial culture. It is also necessary for checking CRP and ESR for inflammation. I would also recommend performing thyroid hormone levels in order to exclude a possible thyroid gland dysfunction. In the meantime, I would recommend to closely monitor blood pressure values. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have developed some skin allergy from last 3 months and today there is a red inflammation on my hand and its itching.my doctor today prescribed wysolone 10mg for 10 days(3/day for first 5 days and then 2/day).i just read about the drug thats its a steroid and has several side effects...now should i take the drug or not. Also ever since this allergy developed i m takin levocet 5mg every night...", "output": "Hello, Welcome to Chat Doctor forum. Yes cyclone(prednisolone) is an oral steroid and has many systemic side effects.However, a short course (5 days) is not very harmful and prescribed in many allergic conditions if other anti allergy medications especially local steroids' antihistamine (levocetrizine etc.) have failed to provide relief. So please discuss your fears with your doctor and if that is the last alternative treatment for your condition then do go ahead with it. Hope I have answered your query. Wishing you good health. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "yes,,,,my stomach is very swelled up, and has been for several years so I didnt notice putting on more inches the past few months until my grandaughter mentioned it ,,and now I am feeling movement in my stomach, I am 53 and was still having monthlys however for about 6 months I did not and assumed I was goin thru menopause and then I started back in Dec. but havent since then. I was only intimate once in the month of April........I did 2 test and they come back neg.I was thinking I might have a tumor but now with the movement I just dont know", "output": "Hi ! Good morning. I am Chat Doctor answering your query. If I were your doctor, I would go for a serum Chat Doctor and an ultrasound of abdomen to arrive at some conclusion on your condition. So I would urge you to visit your family physician to start with and get yourself assessed. It might not be possible for us to opine further on this over the net without a clinical assessment and related investigations. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "im 28 years old 180 ilbs woman, I had numbness in my face for a day and half I decieded to take my bp and it was 133 over 79 with 80 beats is this normal or could it be I have a serious issue i dont have insurance and Im trying to see if im over reacting", "output": "Hello, Thank you for your query. Your Systolic pressure (133)is a little high. Diastolic pressure and heart rate is normal. Numbness, however needs to be further investigated, even though it does not persist. Moving clots in the blood supply of the brain can cause transient symptoms. This is a precursor for stroke which is not treated on time can lead to nerve damage and paralysis. - do you have any family history of heart disease, high blood pressure, high cholesterol, diabetes, stroke? -do you have any other medical issues?or take any medications? -any other symptoms like giddiness, breathing difficulty, muscle weakness, headaches, palpitations, digestion troubles? -do you smoke or consume alcohol? I recommend :- a physician consult -assessment of risk factors and current status of heart, lung, vascular and kidney function. - blood tests (complete blood count, Thyroid panel, lipid profile, blood glucose panel, ) -carotid Doppler. MRI angiography of brain if required -electrocardiogram and stress test. Please seek medical attention to catch any Impending stroke and treat early. I understand that without Insurance, costs can be difficult to cover. However, try to get a basic work up and assess risk. If you have any facial expressions' asymmetry, weakness of muscles or limbs, unexplained headaches, giddiness or breathing difficulty, or numbness again, fainting spells, go to the ER right away. Hope this helps. Please let me know if there is anything else I can help you with. Wish you good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Inm a 38 year old female and just had my cholesterol levels checked for the first time. My LDS is 124.2 (they said normal is <100), my Non-HDL is 150 (they said that 60-100 is normal). My overall cholesterol is 200. Should I be concerned?? What should I do to lower my levels??", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Yes, you should definitely concern about your altered lipids. LDL is the main lipid which accumulate in arteries (specifically Coronary artery) and cause blockage and subsequently heart attack. And risk is even more when you approach menopause. So at this age of 38 years, you should definitely do following things to lower LDL. 1. Avoid fatty and oily food. Take high fiber diet more. 2. Avoid stress and tension, be relaxed and calm. 3. Do regular aerobic exercise like running, cycling, swimming etc. 4. Quit smoking and Alcohol if you have these habits. 5. Start sunflower oil for cooking. 6. Start low dose of rosuvastatin or atorvastatin (lipid lowering Chat Doctor. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Have severe pain in T6/7 vertebrae and shoulder pain. Been doing the tennis ball pressure point massage. This turns the tennis balls in to egg shape. My muscles contract and relax and never stop doing so. It does help soothe the pain but why are my muscles doing this and will it be a problem in the long run. Fyi...was injured in rear-end car accident 2005 and will be having cervical disc surgery in 2 months.", "output": "Hi... The problem is due to less movement in thoracic vertebra. In addition to tennis ball point massage I recommend you.to dolor of icing frequently ... Roll a foam roller in your back bullying on too of it with your back.go for back arches.while doing slowly move upwards and downwards.along the thorax...cat and camel exercise will help to maintain the mobilization... Hope this is helpful for you. Kindly revert in case you need any further clarification..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have the flue, very blocked up sinus, sore ears, hot and cold chills, cough etc. my question is i am going into have surgery next Wednesday to get my wisdom teeth removed and an abscess removed from my jaw, i have a a course of Amoxil antibiotics, and was wondering if i should take them to help me get over this flue before surgery next week? Thanks, Abby", "output": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint Flu or Influenza is a viral infection and treatment is mostly too symptomatic to relieve the symptoms of congestion, cough and fever. You can very well start taking Mobil which is antibiotic amoxicillin which will prevent bacterial infection which occurs commonly secondary to viral infection. You can take Tylenol for relief from pains and aches and fever. Take decongestants like Pseudopod Chat Doctor. . If there is phlegm formation you can take Multics like Aerosol. For congestion, you can also take decongestant nasal sprays, saline irrigation, steam inhalations and use a humidifier in your room. Do warm saline gargles and avoid spicy and chilled foods." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I have Addisons disease. I also have hypothyroidism, high blood pressure, high cholesterol, and diabetic. I experience chest pains and shortness of breathe,. Had an EKG and Chest xray showing its normal. Pulse rate for some time has been very high . Can go up to 158. What could be the problem?", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion you should consult cardiologist and get done 1. Stress test 2. 2d echo 3. Coronary Angiography if required. You are having many risk factors for cardiac disease like high blood pressure, high cholesterol, diabetes etc. So possibility of either cardiac failure or coronary artery disease (CAD) is high. Above-mentioned tests are useful in ruling out these two possibilities. If all are normal then no need to worry about cardiac disease. Get done PFT (Pulmonary Function Test) to rule out bronchitis as a cause." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i just had twins 5 months ago.. recently i cry all the time for no reason, if my babies cry i cry, sometimes i get very angry and frustrated. some days i cannot do anything just lie there and think about things, i know i am overthinking but i still do it. i just dont feel like the same person i was 12months ago. i dont know what wrong with me.", "output": "Hello, You are most probably having full-blown depressive episode, and you need treatment else it is difficult to get better soon. Chat Doctor. They are mild and non-sedative, and you can continue taking care of your twins effectively. Within few days you will feel better and will be able to have grip over your thoughts. Usually postpartum depression starts early after delivery, but it can be late in many cases; generally it can be a relapse of past depressive illness or a new illness itself. Reasons can be - altered chemicals and hormonal levels after delivery ; added emotional and work stress of newborns, etc. So, start medicines and get well. Hoep the reply is useful for you. Wish you speedy recovery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "So Ive been having problems for about 10 months now. I get these stomach aches whenever I eat food. It use to be just that but now its stomach aches all the time, and today I just saw some mucus in my stool, Im not certain what really is wrong with me", "output": "Hello! Thank you for the query.It's hard to give precise answer not knowing the pain location. If your pain is in the upper middle abdomen, does not radiate to the back, nausea is present, peptic ulcer is most probable. If you have upper right pain radiating to the back, nausea and vomiting, gallstones or pancreas issues are most possible. If your abdomen gets bloated, you get occasional gas and stool obstruction, there is a blood in the stool, partial bowels' obstruction is most probable. Is suggest you to visit your doctor. Abdominal X-ray, abdominal ultrasound, blood work, liver tests, pancreas tests and urinalysis should be done at first. If peptic ulcer seems most probable, gastrostomy should be done. Hope this will help. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi. i have 2 kids and am worried about the x ray result. both of them have pheumonitis right accdg to their x ray result. my kids were 5 year old and weight 14.5 kilogram and he had sepsis when he was born and treated for months.... the other one is 1 year old weighing 9.5 kilogram just have flu and coughing... what does it mean? need your medical advise doctor... thanks", "output": "Hi I can understand your concern.... Let me know you your both child diagnosed pneumonitis means inflammation of lung tissue .... If consolidation and exudation present then it could be pneumonia .... But here consolidation not present ... Cause has to be searched like ...../Viral infection which seems most likely here /Passive smoking exposure /Hypersensitivity pneumonitis means allergy to certain substance like animal gender/Bacterial infections etc...... Your child should be examined and treated accordingly with steroid or antibiotic usage .... Consult pulmonologist for this.... Hope your concern solved .... Take care... Happy to help you further...." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had foot surgery approximately 7 weeks ago to remove a bone spur and cyst on the top of my foot. It went well until 2 weeks ago, 5 weeks post surgery go infected. I am on my second round of antibiotics. It is healing but I still have fluid and swelling around the incision. Do you think this time frame of healing an infection is normal? At what point would you consider getting a second option?", "output": "Hi Having fluid and swelling around the incision means there is still inflammation present. You still need to continue antibiotics and anti-inflammatories. You also have to consult the surgeon again if swelling persists. You also need to do your sugars and complete blood count. You can discuss with your doctor if it needs to be investigated further in terms of scaling the foot to review any cyst or Chat Doctor. Thanking you ...." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I ve had this small bump on my triceps for about 3 months, it fills up with a small string like strand of white puss. I squeezed it out every time. Recently I squeezed the puss out and blood came out follow by minor swelling, and a bruising sensation on the bump", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have some abscess formation or some inflammatory lesion. You should go for Chat Doctor. If needed go for culture and sensitivity testing. It will give you exact diagnosis. Then you should take antibiotics treatment accordingly. Consult your doctor and plan accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my mom is suffering from abdominal pain from last few days & doctor said that its due to the extra things which got deposited in the place of her uterus & ovaries after her uterus removal last 8 years. so doctor is asking for surgery, is it true & is it the right way to treat this?", "output": "Hello! Have you done any investigations? In my clinic, for pain in abdomen, I advise ultrasound abdomen & pelvis, CBC. Some specific investigations are advised according to clinical findings in abdominal examination & depending on history as duration of pain, fever, stools.treatment is done accordingly. Before planning any operative procedure, diagnosis must be clear in mind. Hope this information is useful. Wish you a good health. Thanks. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My big toe feels just like Ive gotten stuck with a large needle. It keeps happening out of the blue over and over. I read online some folks talking about fibromyalgia, but I have never been diagnosed with it or had any of the other symptoms. Very healthy otherwise! This just keeps happening.", "output": "Hello, and thank you for your question. Fortunately, you probably do not have fibromyalgia. There are several possible causes of pain just in the toe. If there is a pinched nerve in the lower spine, it can cause pain that can be just in one toe. If this is the case, you may find that the pain is worse with change in position, such as lying flat or standing up. Pain in the toe, typically the big toe, is common in a disorder called gout, in which the body has too much uric acid. The pain usually lasts a few days at a time, and is usually associated with redness and swelling. Pain in the toes can be caused by corns or other skin problems that look small but feel very severe. Pins and needles, shooting, on-and-off pains can be caused by irritation to a nerve by diabetes, by lack of vitamins such as B12, or by pressure - similar to the \"foot falling asleep\" feeling we sometimes get if we cross our legs too long. Fibromyalgia, on the other hand, is usually a \"pain all over\" problem - back pain, neck pain, arm pain, knee pain, without another cause such as arthritis. It usually does not cause just one part of the body to hurt - most patients say that \"everything hurts\". In my practice, I start with finding out as much as I can from the patient about how the pain feels and how long it has been going on, and if it seems related to anything else. Then we examine the foot to look for anything going on with the skin, check if the nerves of the foot are normally sensitive, not as sensitive as usual, or more sensitive, and then we may check blood tests to detect diabetes or vitamin deficiency or other problems as needed. Fibromyalgia is diagnosed by obtaining a careful history of where the patient is having pain, other medical problems, and completing a physical exam including what is called a \"painful point\" exam where the doctor pushes at certain places in the body - on the back and near the joints - to see if this causes pain. I hope that my answer to your question is helpful. If you have any further questions, please check back with us. I hope your toe is much better soon." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have masturbated to porn everyday for about 10 years now, Ive noticed it takes quite a lot to get me excited and morning erections are weak. If I just stop masturbating so much will I get more excited and have a harder erection? After masturbating for a while I do get a hard erection that will stay up but I dont really get sporadic erections at all anymore? Ive seen this whole thing about over stimulation affecting the brain but this doesnt seem to explain the weak morning erections?", "output": "Thanks for contacting ChatDoctorI am sorry to hear that you are having problems with erections. I am concerned that you are masturbating so often and to porn. This will interfere with your ability to have and maintain erections. I recommend that you reduce your masturbation and reduce use of porn. In a few days you will see a difference. Hope this answers your medical question. Please contact us again with your health concerns and questions" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have just found out I have to have Chemo with no actual start date and I am looking for ways to boost my body before I start. Do you have any suggestions. I have been told all the bad things that are going to happen but sadly no very much about how I can help my self thank youBev", "output": "Hi.it is best that you're in optimum health (mind and body) prior to your chemotherapy. I suggest you consult with a clinical nutrition to help maximize your diet and nutritional needs, also to help you prepare during and after chemo, if the side effects of the chemo Chat Doctor. A moderate exercise/ walking would also help you keep in shape. For some people, a psychiatric/psychologic consult will also be of great help to emotionally prepare you for the situation. Hope this helps. Good day!!~" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I rolled my ankle 2 weeks ago, and it swelled all over my foot and mid way up my shin. It is still bruised on both side of my foot and up the front part of my shin and the back of my calf. The only part that is swollen is the outside of my ankle on my left foot. My two smallest toes on my left foot have also been going numb frequently and there is still quite a bit of pain. I thought because I could walk on it, it would be just fine. I didn t get it x-rayed. Could it be broken? How long should it take for the outside of my ankle to look normal again and not be so swollen? Should my toes be going numb?", "output": "Hello, You seem to have sprained the ligaments of the ankle.However, since its 2 weeks and still you have swelling and pain you will need an X-ray of the ankle and the foot to rule out avulsion injuries in which bony fragments can get pulled off. Numbness of the two small toes is from pressure on a small nerve which runs along the outer border of the foot to the toes. This will get better with time. Apply an elastic bandage and elevate while at rest" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Just researching as within the past few months I have been experiencing slight vibrations in my groin, like most people ive been reading about here, This increasing trend of this experience is caused I believe by the ever increasing amount of microwave antennas all over, I am an electrical engineer and I now how microwaves (even low amplitude) can cause this, but who is brave enough in our government and especially doctors to go against telecommunication corporations, We all know health care has nothing to do with health, Its about the business and pushing pharmaceuticals, so don t waste my time with your bunk", "output": "Hi there. You could be experiencing myopia or involuntary muscular contractions. Eat a healthy diet with plenty of fresh fruits and vegetables. Keep well HY Chat Doctor. Get 6-8 hours of sound sleep. Stress, electrolyte imbalance can cause myopia. Exercise regularly to stay fit. If the symptoms do not resolve, consult an Internist to look for possible electrolyte disturbances. Wishing you speedy recovery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doctors, I am suffering from pyria.bleeding from gum, swelling,plaques which can not be removed by brushing.i scared about its treatment.please doctor tell my what kind of treatments are availble for this disease?is it a painful treatement or need any kind of surgery or injections?and please also tell me approxmately how much can be the cost and how much time is required ?is that disease is completely curable if the case is very severe?i wll be very thankful to you for these information.", "output": "Thanks for using Chat Doctor. Read your query. Gum bleeding, swelling and plaques formation with or without pain suggests chronic periodontitis. Perodontal abscess can also be present. Improper maintaining of your teeth and gums associated with any systemic conditions can lead to this. I would advise you to visit a good periodontist and get your teeth cleaned, following which you have to maintain it well to prevent recurrence of the same condition. Surgery needed or needed can be decided only after having a look at it and based on the severity. The cost of the treatment will vary from place to place and from dentist, so please visit and plan your treatment. Use Chlorhexidine mouth wash. Brush your teeth with proper method. Hope this was useful. Thanks and regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have tenderness -similar to a very tender bruise under my LEFT (not right), breast, and it extends to under my left arm (cancer in lymph nodes?! -hope not). I also got some shooting pains in that area yesterday but today they are gone. I dont feel the tightness of chest described as signs of a heart attack - just the shooting pain thats pretty much gone and the extreme tenderness that persists. I should also add that it feel like theres a kind of numbness all around the left shoulder blade -skin has totally duller sense of feeling than anywhere else. Bad news -Im a long term smoker. My guess is this is an inflammatory repsonse to plaque buildup in my heart valves/arteries. Whta do you think I should do, (besides not smoking)?", "output": "Howell come to ChatDoctorI really appreciate your concern, I had gone through the history given here, I would like to say you that stop getting different weird ideas about the pain that you are having it is not the pain due to what you are thinking, but it seems to be a muscular pain, most of the time it is due to anxiety and stress, so try to come out of this, better to stop the smoking it is not good for health, right now it may not be the cause but better to stop it, hope this information helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been having stomach pains and lower back pain when standing up. Also been nausea and diahea for about 3weeks now. In a lot of pain. Cant do daily activities. Been diagnose with a stomach virus, ovanian cysts and even told i am having bladder contractions. I dont believe it us bladder contractions. Please help me and let me know what i should do because i cant take this pain anymore.", "output": "Hi. Thanks for your query. The causes of pain in abdomen with backache when you stand have been noted by you in your history itself; stomach virus, ovarian cyst and bladder contractions. Yes, the bladder contractions can be secondary to the intestinal infections you have. This looks to be severe enteritis; colitis giving you the backache. I would advise you the following:Get the blood, urine and stool tests done. CT scan of the abdomen A course of an antibiotic and metronidazole. If the condition is bad, get admitted to the hospital." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "dr. 17-18 days ago i went to have sex with the call girl ..i was having protective sex but suddenly during intercourse the girl said that condom break down from the head of my penis .i immediately take my penis out and i saw there was no blood on it.she replaced it with the new one and after i came home i was very nervous..i couldnt sleep at night cant work have lot of pain in my body after that..what should i do and how much risk is in myself pls help i m very tensed :(", "output": "HelloThanks for your query, based on the facts that you have posted it appears that you have body ache and varied symptoms after having unprotected sex with a call-girl. In view of circumstances possibility of acquiring STD or HIV can not be ruled out. Please get basic screening tests for STD and repeat these tests after four months to be rest assure about free from acquiring STD and HIV. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have on three separate occasions tingling in my left tongue, left side of lip and left arm. Lasted about 30 seconds then all gone. My back and neck are misaligned and in need of an adjustment. Your thoughts please. I am 65 years old and in good health.", "output": "Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. Tingling sensation in on tongue, lip and arm can be due to 1. Neuropathy2. Parietal Cortex involvement We need to do MRI Brain and NCS to narrow down the diagnosisTreatment depends on the exact cause of the problem Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in Chat Doctor at http://bit.ly/ask" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My new boyfriend suffers from cornice bad breath. Some days it is unnoticeable but others it is very bad, sometimes it last for days sometimes it just comes and goes.. It is an awkward thing to address, its never been spoken about. I have noticed over the months an unusual foul odor randomly after we have sex. The strength has ranged fair to low and went away after a day or 2 or before i had the chance to take action. With no itch, discharge or other symptoms its gone unmentioned. The smell returned 2days ago directly after sex in the a.m. and I clearly recall he had very bad morning breath, i distinctly know the smell. I recognized that exact smell while trying to douche the foul odor out of me. He preformed oral sex on me that morning, explaining the reason i don t have this problem each time we have sex immediately symptoms after oral sex. How do I treat it now? Is this common? is there a name for this? is it considered bacterial vaginosis? Is this caused by a certain type of mouth bacteria? He will be seeing a dentist/doctor right away. What should i do?", "output": "Thanks for your query, I have gone through your query. Usually the halitosis or bad breath will be there in the morning time because of the diminished action or reduced secretion of saliva during sleep. The other possible causes for the bad breath could be the gum infection or deposits, pus discharge. Consult an oral physician and take an opinion to rule out these causes. These causes can be treated by getting your teeth cleaned and maintaining oral hygiene. If it does not subside after getting the teeth cleaned then, it can be secondary to respiratory disorders like sinusitis or gastrointestinal disorders. Consult a ENT and Gastroenterologist to rule out these causes. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have been suffering from anxiety as it proved from the below symptons in me. 1.I feel anxiety and hands get shakes all the time. 2.I never used to give the seminars in my studies when i had seminars i used to escape. 3.I have got the job when the time i have to give my self introduction i really get high scared and my hearbeat gets increased at the max and i even dont know the time what i was talking. i keep to avoid public meets and seminars. 4.I feel myself die is the small deal than giving public talks. 5.I bother and scare about future public meets and so on.. 6.I feel uncomfortable in public and always try to be away from public. 7.I have many long term goals but my anxiety and fearness not letting me reach there. even i cant think about those. 8.I do work in office more than my colleques but they only get more appreciation than me. 9.I dont like many people look at me same time.I dont want to recognize in many people. 10.I have good knowledge but without expressing it is going to waste.sometimes i feel better to go for sucide. Please how do i get rid from this hell anxiety. Thanks,", "output": "Hello srinivas9912Welcome to Chat Doctor I can understand your feelings, and for you reassurance I just want to tell you that this is not Depression, a lot of people have anxiety while facing public or while presenting a seminar. This thing is occurring in out of proportion. It is also called Social Phobia or Phobic Disorder. Individuals with social phobia usually have problem in facing public, in presenting seminars, in asking question in class or in group discussion, in expressing themselves to any person of higher status, sometimes they face difficulty in talking to female colleagues also. They can't face new people. In any of situation shakiness, restlessness, palpitations, sweating, Chat Doctor. But treatment is available for this problem, both psychological and medicinal treatment are available. Combination of these is best for early recovery. - Psychological management includes, Relaxation exercises, breathing exercises, yoga, meditation, assertiveness training. Try to practice the presentation at home alone again and again, then gradually present in front of some close friend, increase the level by presenting in front of small group. Make small goals in small steps and gradually proceed.- Medicines like Benzodiazepines like clonazepam can be taken in low doses for episodic control of anxiety. Some medicines like Propranolol are very effective in social phobia, they are taken just 1 hour before any presentation and help to diminish the signs of anxiety. Before starting any medicine kindly consult a good Psychiatrist. Handshake Care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have lost interest in damn near everything, except my wife. After 30 years of marriage it remains solid, in fact we have become alot closer in recent months. I used to love sports, now I really don t care that much. Travel, I have no interest in and my drive to succeed at work seems to be tempered. What is going on...no interets? That s just not me", "output": "Hello Gentleman! It's wonderful to hear that you admit all your Chat Doctor. Our basal metabolic rate slows down, so our body needs less food, digests slowly, feels tired soon and always wants limited activity. I suggest you to go for a wellness health package to check your BP, sugars, heart screen and all the relevant investigations for a whole body check. If everything is in place and doing good, you only need the guidance of an instructor either moral or physical to kick start your activities again but in moderation as suited to your age. Do not forget to include your wife in everything!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 7 yr old grandson is still wetting the bed. Recently he is also having night sweats. Is there a possiblility that these two happenings are connected. He is slight built and very active. I have had concerns about his breathing at night also. Apnea? Should he see a doctor?", "output": "Hi Dear !! Thanks for your query to Chat Doctor. Read and reviewed your query and health concerns. You seem to suffer from --Chronic PUB with Low weight with OSA(Obstructive Sleep Apnea) mostly-Cause of this PUB leading to night sweats could be from Adenoids with Sinusitis. Weight loss is mostly the result of hypercatabolism with Chronic unnoticed PUB causing night sweats. The night wetting in the bed is mostly due to the low grade Pyrex with night sweats. The apnea during night is mostly from the accompanied Adenoids with hidden accompanied sinusitis. Other Causes of this low weight needs to be ruled out -by X-ray Chest and IRA test of sputum and of the Blood. Stool tests for ova/ cyst to rule out the worm infestation with PUB with low weight and bed-wetting needs to be ruled out. Blood tests for anemia and Sinus X-ray study to rule out hidden frontal sinusitis is needed. Consults with pediatric doctor / with chest-Allergy specialist/ and ENT specialist would fix the causes of the undiagnosed apnea with low weight and bed-wetting with night sweats. Hope this reply would help you to resolve the health issues with help of doctors attending on you. If need be, update any health issue 24 x 7 by a direct question to ME, at following Chat Doctor link-Dear, if satisfied, Dont forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at Chat Doctor services. If you want to update more details and ask more update queries, You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "About 2 years ago I noticed I became quite sad , my mood deteriorated quickly, i was harming myself many times a day and writing suicide notes, things got out of hand and eventually my parents found out (We didn t talk much about it). Soon after things got okay for a little while then went back down again, August this year I got a job and I couldn t of been happier. Its been a month and now I feel worse than ever, I m constantly thinking negatively. I m so wrapped up in what everyone thinks. This job is with children and they re all so great, I wouldn t want this to get in the way. I m a very private person and I can t bring myself to talk to a doctor face to face ( I have tried, it didn t go well and I ended up telling the counsellor I was refereed to that everything was fine), I just want to understand what is happening with out having to go see a doctor :/ can you help me please!!", "output": "Degree understand your concerns went through your description. I suggest you not to worry too much. Behavior of people change according to their circumstances and most of the people come out of that situation with the help of other circumstances. Life experiences, advices from elders and support from family members also help. To happen so, the victim should try wholeheartedly. Try and try and try. Thinking about what negatively happened in the past is foolishness. Carrying it with them even more foolishness. We need to learn positive lessons from the past event and forget the event itself. We need to pledge our self that we will come out and lead a successful life. You need psychotherapy and other cognitive behavioral therapies. I can help you through telephone. Please do contact me through customer care of www.ChatDoctor .com for a telephonic consultation session. Hope this clears some of your doubts. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have just been diagnosed by grade 3 fatty infiltration of liver. How serious is the matter?and what kind of treatment is required? I am also suffering from thickend bowel paraumblical region and left renal cyst. I am non alcoholic. Please advise as soon as possible as my family and myself are quite worried.", "output": "Hi. Thanks for posting query at Chat Doctor. Usually ALT or AST values higher than \"two times the upper normal limit\", is considered abnormal (in some countries, ALT or AST values of more than 100 are considered abnormal). Value of AST or ALT greater than 85 or above maybe investigated further. Alcohol ingestion and obesity are common causes of fatty liver disease. Fatty Liver disease is reversible. Advice for fatty liver:- abstinence from \"Alcohol\" - LOW fat diet should be followed, AVOID junk food and beverages-decreased oil consumption (oily food)- NO red meat-green vegetables should be ingested daily-use lemon juice (lemonade) once in a day-reduce weight if overweight/obese-\"recheck liver enzymes after 6 to 8 weeks\" and/or ultrasound. Any further questions are welcomed. Hope to answer your concern. Wish you good health. Regards, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doctor. My mom was just bitten by our house dog. the dog was previously vaccinated but was not able to renew its anti rabies vaccine. My mom was just given an anti tetanus shot and advice the the anti rabies vaccine willbe given 3 days after. is this the right? thanks..", "output": "Hello, Welcome to Chat Doctor, Rabies is 100% fatal, but it is 100% preventable by proper and adequate treatment. As your mother was bitten by your partially vaccinated pet dog following which your doctor has given a shot of TT injection. I would suggest her1. Wash the wound thoroughly with soap and water.2. Take active immunization immediately with 5 doses of antirabies vaccine on days 0, 3,7, 14 and 28. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello Doctor , i am from INDIA , my mother underwent MRI scanning we found a blood clot at spinal-cord ,the Doctors said no problem they can cure by medicines and today they asked us to check with Hematologist , is there any problem regd this kindly let me know wat to do ....", "output": "Hello, It depends on her clinical situation. A spinal cord stroke can lead to paralysis, if not treated at the right time (as early as possible). Regarding the hematologist, I agree with the doctor recommendation, as most of the time, spinal cord stroke is related to hematological disorders, which lead to increased risk for stroke. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Okay so I have mild Hemophilia Type A and Ive gotten several piercings in the past and been able to manage the bleeding. Now I have my tongue pierced and its been bleeding on and off for 2 days now. It stopped for about 6 hrs and then came back. I used amicar before to stop the bleeding when my wisdom teeth were pulled. I dont feel like spending $80+ on another scrip. Now, Ive tried the sea salt water, gauze, and applying ice, Im wondering if theres anything else I could possibly do to stop the bleeding or if I should go in and get another scrip. (ps its light bleeding but still produces small liver clots.)", "output": "Hello,First I would advise you not to undergo such unhealthy practice. Please do consult with your physician prior to administration of Avatar tablets. Always inform your dentist regarding this prior to any dental procedure. Vitamin c as well as iron supplements has to be administered. Plenty of fruits as well as nutritional supplements has to be ingested. Also monitor your bleeding time as well as clotting time regularly. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "have gone to Dr for acute abdominal pain, tender to touch when palpated (sp?) . had blood drawn, and ct scan. platelets came back low, 98000. Ct ok. have endoscopy scheduled tomorrow and waiting to hear when to see hemotologist. 55 yrs old. 5 . 117 lbs. very good health. active. problems manifested about 2 months ago. Colonoscopy 2 years ago was clean. Periods monthly but not as regular (used to be every 28 days) now 21-35+ and are dark and pasty. some spotting. Are these symptoms related or incidental?", "output": "Hi. This is just an incidental finding. If you do not have heavy periods, or bleeding from any other sites, there is nothing to worry about. You may have a problem in the abdomen such as colitis and so, which is not directly connected with mild reduction in platelets. Get an antibiotic course and wait for the investigation reports. The probable causes are:: FluTyphoiddengue and such infection can cause low platelets." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "This morning I had a carton of tart yogurt. As I ate it, I felt the tingly feeling you usually get in the corners of the jaw when eating something tart/sour. Only it was ridiculously strong on one side, almost painful. My jaw on that one side (left) felt tingly and almost numb. When I looked in the mirror a few minutes later there was a large lump there, right in front of my left ear. It had not been there before. Since it s Sunday, I decided to wait a bit before rushing to urgent care. It s been six hours, the swelling has gone down but is still there a little when I touch or look closely. It s also tender there and below the jaw. Should I go to urgent care today? Or wait until morning? It s now 3:30pm. I m afraid of an infection or bells palsy or something scary. I should mention I went to the dentist for a cleaning 6 days ago and recently switched to a powerful toothpaste (which seems to have burned my tongue, affecting my taste a little ). Please advise.", "output": "You can wait till morning to report. The swelling needs an appropriate examination since you already visited your dentist just a week back this would not be due to an urgent dental complain as if so you would have been treated or informed of the same. Of the swelling in the external it appears to be due to some little blockage in one of your salivary glands or a rare thing can be allergy due to the toothpaste that you have been using. Since your toothpaste has already caused you problems I suggest you to revert to your original paste also avoid any sour and spicy food, eat plain salted things till you get your problem diagnosed." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Frequent urination 10-13 Times a day. Slight burn in tip of penis after for a few minutes. Foamy/bubbles almost every time. Sometimes white or Brown particles in urine. 29yr old male has Chrons disease and had testicular cancer 10yrs ago. Currently taking Asacol 400mg 3 pills a day. Urine culture came back normal as did blood tests.", "output": "Hello, Thanks for the query to Chat Doctor. Forum. I would come up with these possibilities for urine related symptoms, This includes.1 Chronic renal failure, diagnosis can be confirmed by ultrasound of both kidney with serum creatinine and blood urea examination. As you mentioned that you were treated for testicular tumor 10 years ago, so it is very necessary to rule out involvement of kidney for metastasis.2 Brown particles in urine may be due to renal stone or urinary tract system. As you mentioned that there is foamy urine. Once again get in urine complete for phosphates and protein particles.3 As you are taking ascot 400 mg i.e.melamine. This is indicated for Crohn's disease (ulcerative colitis). Sometimes side effect of melamine causes kidney damage in few cases. Diagnosis can be confirmed by renal function test. In my opinion consult a nephrologist and get his opinion witChatDoctorplete renal function test. Good luck. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi there,I went to the Dentist today because of severe toothache,I had a full exam of my teeth done, and the tooth that is bothering me terribly is not infected and is hurting because the nerve is exposed. I have been up for 44 hours now, I need to know if I pull this tooth out myself while taking my prescribed anti biotics will I be fine or do I need to infact go to a dentist, my dentist says we should do a open and drain or drain and pump im not sure I cant remember. but it is temporary until I can get a root canal done. However I would just like this tooth removed. Not sure if this helps but they classified the tooth as #16. Please help", "output": "Thanks for using Chat Doctor. Read your query. Removal of the tooth by your own is not possible and absolutely not advised. Tooth extraction is to be done under anesthesia which needs supervision. For the pain continue with the medicines as prescribed. Having the tooth treated by root canal treatment is the best possible advice I would give if I were your treating dentist. Once the treatment is started, the pain will subside. Hope this was useful. Thanks and regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am from India, I feed buscuits to stray dogs in my industrial area, The dogs behaviour is normal, But I feel that my fingers may have been scratched by their teeth, though I have never had scratch marks on my fingers, should I take rabipur vaccination", "output": "Dear Friend. Welcome to Chat Doctor. I am Chat Doctor. I have read your query in detail. Furthermore, I understand your concern. If your dog is a Rabid dog, you can get Rabies. However, the bite you had is Grade 1, so you should get Rabies Vaccination done. You can go to a government hospital in India and get it for free. Keep a watch on your dog. This is my best advice for you with the available details, if you have any further query, please ask us. Stay Healthy" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am Zehara, 32 yeare old, 64 Kg and I have been suffereing from chest pain and diagnosed for costochondritis before six mounths and were positive. some time the pain go and back especially when I took Depo injection. Now I start thinking about the contraceptive I took in parallel has some thing to do with the costochondritis I am suffering from. Dear doctor, is my suscpect is correct? if so what should I do?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Yes, your suspicion is right. Contraceptive pills can actually worsen Costco Chat Doctor. These pills can cause hormonal imbalance and this intern cause worsening of inflammation. So better to stop contraceptive pills and start barrier contraception like vaginal condom, male condom etc. Also follow these steps for better symptomatic relief in Costco" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I have a desperate question, maybe you can help me.. Just to quickly explain, i used to be pretty overweight when i was about 15-16, i am 20 at the moment, i lost all the weight at about 17 and have been very healthy since. during the time i was obese i gained alot of scarring and stretch marks over my body, i have ever since assumed that the stretch mark like marks on my shoulders, close to my armits.. are in fact stretch marks. However I have just now for the first time read about Hidradenitis Supprativa since i have a small black pimple like (slightly hard) bump in the middle of my pubic area. After reading more, i realised that the scarring on my inner thighs is likely also a cause of Hidradenitis Supprativa and not just a rash which caused this as i thought previously. After reading more about Hidradenitis Supprativa I have become extremely concerned as i read that these things i thought were just stretch marks will eventually burst with puss and become extremely painfull, if i am reading correct information. Currently i have luckily no pain at all, only slight itching on this bump in my pubic area which is why i stumbled on this in the first palce, however im reading about people in alot of pain. Pls tell me what you can, do i have Hidradenitis Supprativa? will i get more symptoms and will they becoem painfull? as i mentioned i have had alll these things for a few years alreadz but always thought it was because i used to be overweight, it never really botehred or hurt me at all, besides the obvious (visually). never any discomfort since. The visual bothers me less, i care about being healthy and these things becoming painful, i do not understand why this would be fine for atleast 3 years and all of a sudden become very painful and my stretch mark like things would burst?? please let me know what you can, thank you very much!", "output": "Hello, Treatment of black public lumps-You mostly have keratitis with acne in a pubic area with blackheads due to excess keratin blocking the follicles, and not hi Chat Doctor. It needs treatment with proposal ointment of steroids and salicylic acid and with skin emollients like -aloe vera gels or creams. Visit emergency room dermatologists, if it recurs and worries you more. So you should not worry much. So keep cool and consult your emergency room dermatologist, if need be, who would treat it accordingly. So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "dear dr, we r looking for a psychiatric centre or home for my brother who is diagnosed with schizoprenia and it is been for morethan 8years, where i can find a good psychiatric home or rehabilitation centre to make him do his own daily activities,,please help me", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. From the description, you gave, it is not clear where you belong to. You will get good psychiatrists in almost all state run medical colleges and some privately owned medical colleges. The best way is to search through web. Rehabilitation centers need to be chosen wisely. Because there are some quacks and cheaters out there. If you still need my help, please describe the whole problem in detail and post a direct question to me. I shall definitely help you with psychotherapy techniques to overcome your problems. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor? My daughter went in to have her wisdom teeth removed. She was in theatre for around 4.5 hours. I was informed that there was a complication, 3 teeth were removed, the forth tooth was lost between the cheek muscle and skin.The Doctor closed her up. She was taken back into theatre 2 days later and the forth tooth was removed. 3 Days after her last surgery my daughter has developed a large lump on the back of her head and another lump in her lump node in her neck. What is this? Should I be worried? Regards,Jenni", "output": "Respected Jenny, Hi thanks for using Chat Doctor.come have evaluated your query thoroughly.* This seems in relation with hematoma formation following procedure.* Lymph node enlargement is reactionary to the hematoma formation.* Suggested to get an ultrasound examination of the same to get precise diagnosis and further management accordingly. Hope this clears your query. Welcome for further doubts. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi! Im a guy ( 18) years old, and I have an issue. For about one week ago I got a cold . I had sympthomes such as fever , hoarseness, and other cold sympthomes. I went to practice after 2 days of total rest and practiced lightly, around 60%. Now I feel short of breath, chest tightness. What could it be? Is it common to have breathing problems during a cold? And I don t have asthma or any lung/heart disseases.", "output": "Hi and thanks for the query, The onset of these symptoms especially under cold conditions could still suggest an asthmatic or allergic terrain. It's true you do not have a history of asthma. BT it would be worth investigating and knowing whether you do not have a family history of asthma or other allergic conditions like allergic rhinitis and conjunctivitis. A clinical examination in search of wheezes and other respiratory symptoms' lung crackles and a condensation syn Chat Doctor. Blood tests could reveal either raised white blood cells suggesting an infection or high eosinophil bloods counts, pointing to an allergic or asthmatic terrain. A chest X-ray could be useful in ascertaining the nature of the lung tissue and size and aspect of the heart. Lung volume measurements could be asked to ascertain and further investigate asthma. Consulting a pulmonologist for proper evaluation and management is my advice. Thanks and best regards, Luchuo, MD." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a survivor of lung cancer with a family history of colon cancer. My blood tests came back normal and Im being referred for colonoscopy due to my symptoms. Does normal results mean that there is no risk for cancer? My first diagnosis was prompted due to elevated white blood cell count.", "output": "Hi, dairy have gone through your question. I can understand your concern. You high WBC count may be due to some infection. Your blood test is normal, so there is no evidence of cancer in that blood test. But it does not mean that you don't have any cancer at other site. You should go for colonoscopy to rule out Colin cancer. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I ve been experiencing a smelly order from my vagina sort of a musky smell and it started to go away and then I had sex with my partner and the next day my vagina felt very irritated. I took a shower to clean it and everything and it didn t go away it s a burning intense itching feeling all over my vulva (I think that s correct) Its so intense I can t stand it . It s been like his for about week. My partner has a foot nail fungus and I remember him messing with his feet around the same time this happened. a few day ago he said his testicles started having a tingling sensation and I brought up maybe he got jock itch from his feet. Then I thought maybe that s what is happening to me. I do handle his dirty socks as well.. is this possible? Please help!!", "output": "Hi, Thanks for posting in Chat Doctor. I understand your concern. Foul vaginal odor and itching in vagina are symptoms suggestive of yeast infection, which could have been caused due to poor genital hygiene. Kindly do the following to overcome the same. 1. Cleanse the area with mild antiseptic solution like Salon twice daily. 2. Apply antifungal vaginal pessary or cream containing medication like fluconazole or fluconazole. 3. Take Tablet. Levocetirizine once a day to counter itching. 4. Wear loose fitting undergarments preferably made of cotton. 5. Abstain from sexual activities till the symptoms subside completely. Maintain good personal hygiene. Gradually, you should be able to overcome the symptoms and be back to normal. Hope the information provided would be helpful. All the best. Chat Doctor. S., MBBS., MD." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my creatininewas 1.6 3months back .ihave one kidney today my creatinine was 1.1 but uric acid is 7.7 iam also taking cholesterol lowering &anti hypertensive drugs my dr has prescribed zurig 40mg 1perday but i am scared about the side effects ihave only one kidney working aboyt 55% advise", "output": "Hi, dairy have gone through your question. I can understand your concern. You have only one kidney. Your serum creatinine level is ok. But your uric acid level is slightly high. You should take Chat Doctor. It will help to excrete uric acid. There is no harm in that. Avoid high protein diet. Because it increases the uric acid level. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Lower teeth: on sept. 3, I had 7 extractions, they had to sand down/remove bone all the way across & then placed 6 implants, attached healing plate (fake teeth)...swelling was gone as of last weekend but now I have a large lump/swollen area on left jawline (painful to touch)...should I be concerned enough to call after hours (its Saturday but I do have appt this coming tues) just worried about the implants", "output": "Hi, Thanks for asking the query, There could be presence of any broken tooth piece or infection an x-ray of the region is required. Take a course of antibiotics and analgesics under the prescription of your Dentist. Take lukewarm saline and antiseptic mouthwash rinses. Based upon the x-ray the type of treatment will be decided. Avoid smoking and alcohol consumption as this may worsen the condition. Hope you find this as helpful, Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have stomach, chest and shoulder pain. Stomach pain is usually in the upper central portion of the abdomen and sometimes in the back. The pain seems to go right straight through. My stomach pain is like burning, aching soreness and sometimes very sharp pain. When i take tablet vitamin and after i eat some certain food i have shoulder pain and nausea . After i eat meat, butter and pie i have stomach pain and shoulder pain. Specially after pizza i get very sharp stomach pain. After i drink cold milk and orange juice i have diarrhea . Another weird thin is my spit gather in my mouth a lot i guess after i eat. Now i have bad hives since last November (it is over 2 months.) 3 or 4 months ago I ve done x-ray for my heart and my upper body except my stomach. Everything was normal. Can you help me what stomach problem do i have.", "output": "Hi welcome to Chat Doctor forum. Thanks for choosing Chat Doctor. Forum. You have got stomach, back and shoulder pain, more on eating certain foods. You are also having diarrhea after eating some foods. The cause could be peptic ulcer, gall bladder pain, in tolerance to certain foods like casein, gluten etc. Other causes could be cervical spondylosis, or some other orthopedic causes. Wishing for a quick and complete recovery. Best regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a lump on the back of my left ear. I ve had since puberty (so 8 years now) and I ve always been curious as to what it was. I ve poked it with a disinfected needle and no pus or anything has come out, it seemed to slide through with minimal pain at all.", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query lump at back of ear with minimal pain could be because mastitis, sebaceous cysts, throat infection, and it could be due to lymphadenopathy. Need not worry as it is mainly harmless. I would suggest you to visit ENT specialist once and get it examined. After proper inspection you can go for medicinal as well as surgical treatment. Donor chew very hard from that side if it is painful. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter was having back pain for a while. Now she has some nub ness in her left hand but mostly left foot. She does nos not have full range of motion in her ankle and it is hard for her to move her foot In an upward motion. She has a bad diet and does not take vitamins. Could she has b12 deficiency?", "output": "Yes, chronic back pain, nub less in her left hand, left foot and decrease range of motion at ankle might be due to vitamin b12 deficiency. But If I were your treating Doctor for this case I would suggest serum uric acid, fasting blood sugar and vitamin d3 level investigation along with it b12. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 1 yr old son had a feverf 104 for 3 days with swollen red gums his fever is now gone and he acts normal but his gums are still very swollen and red and bleeding now I dont know what i should do the drs said might need to take him to a dentist what could be wrong his gums r only swollen where his 4 teeth are on the top and bottom", "output": "Hi welcome, A teething ring is generally a soft plastic device that can be chewed on and allows the baby to break down some of the gum tissue which promotes the growth of the teeth out of the gum..... Placing a wet washcloth in the freezer for a few minutes and then applying it gently to the gums can be effective, but care must be taken not to expose a babies gums to coldness for too long.... Suggestions for chilled foods that might appeal to a baby include applesauce, yogurt, and pur\u00e9ed fruits. Thanking dentists recommend brushing infants teeth as soon as they appear. It is not advisable to wait for the teething process to be complete. Dentists may recommend against the use of fluoride toothpaste during teething. Not all parents are comfortable with the idea of using medications, and the U.S. Food and Chat Doctor. Instead, to treat the pain, parents should use teething rings and gum massage." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "This morning I coughed up a small amount of blood,im an A L S patient , on a number of medicines,also on oxygen 24 hours a day at 4.5 liters. im on warafin 5.5 mg a day,checked my INR today which is 1.9. informed my family doctor and waiting for a return call. yesterday morning and the afternoon I coughed and spit up blood. Im not able to walk.Could I possible have a blood clot forming the warafin is breaking it up?", "output": "Hi, Thank you for posting your query. Yes, the most likely cause of coughing small amounts of blood in your cases, could be warfarin-related. Warfarin makes the blood thin, which results in bleeding at times. The reason for your warfarin use in not clear from your description. The dose of warfarin depends on the indication for using warfarin. I feel the dose may have to be reduced for a few days, after which you should recheck the PT, INR; and then adjust the dose of warfarin appropriately. I hope it helps. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor, Our 7 year old son has been complaining about his stomach hurting off and on all week. We made sure that it wasn t his appendix by applying pressure to that area. He doesn t have a fever and doesn t have diahrea. He s very active and to see him down like this is mind boggling. Is there anything else going around attacking children?", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query your son is having symptoms of recurring stomach pain. Well there can be many reasons for symptoms you mention in query like gastroenteritis, food poisoning, poor food absorption, irritable bowel syn Chat Doctor. Need not worry. For now eat light and non-spicy, avoid food like nuts and keep her head elevated while lying down. You should avoid intake of outside food. I would suggest you to consult gastroenterologist for proper examination. Doctor may order stool test, ultrasound, endoscopy along with that take history. Doctor may prescribe Ornidazole or albendazole along with sanitizing. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i am shaheri i am 36 years old.i have been married six years. still i donot have kids my sperm count is eleven and rapid linear is 0 now this time my wife has high prolecton what would you suggest me i live in pakisatn plz suggest me i am in trouble", "output": "Hi welcome to Chat Doctor. I have gone through your question. Your sperm count is 11 million/ml, and 0 linear motility. I would suggest doing color Doppler ultrasound of scrotum to rule out any pathology such as varicocele or to see vascularity and structure of testes. With 0 motility is not possible to conceive. High prolactin level should be screened with LH/FSH ratio and follicular scan to rule out POD polycystic ovarian disease. As pod is common cause of infertility in women due to lack of dominant follicles. So consult gynecologist for the same. Hope I have answered your question. Would be happy to hello you further. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My baby is having skin infection doctor confirmed scabies puz filed bubles created in the palm tip of toes fingers too much of itching we gave cetrizine and phexin to fix it as per doc sugestion we stopped cetrizin stday again itchng startd from the month of march she is facing d isue she is 9 month baby", "output": "Hello. Welcome to Ask A Doctor. I have read your query and here is my advice which I trust will make your infant more comfortable. The best treatment is 5% permethrin cream which should be applied from head to feet. Leave it on her skin for 12 hours before you rinse it off. Permethrin needs to be applied thoroughly in thin, even coat especially to webspaces between fingers and toes, navel, genitals, and the crack between the buttocks. Give a second treatment with permethrin one week later to kill any remaining insects. Be aware that itching can persist for several weeks after treatment. It can be treated with anti-itch(e.g. Prey or Preimage) or 1% HY Chat Doctor. All available over-the-counter. Three more bits of advice, please:-Clothing, towels, and bed linen need to be machine washed in HOT water and " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My larynx is painful in certain areas. When press down in areas, it feels like a bruising pain. I ve felt this for months. It hasnt gotten worse or better. But I also get frequent heartburn so that may be it but I m not sure. No coughing or hoarseness", "output": "Hello I have studied your cases per your history and symptoms it looks like lower respiratory tract infection or laryngitis. You may need blood investigation, endoscopic evaluation, and clinical examinationTake precaution to avoid spread of infection. Betadine gargle may help you in reducing symptoms. Decongestant can be started consulting your doctor. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My girlfriend is 19 years of age...recently she was in stress....she did not sleep for 2 nights...and after that her abdomen started to bloat around navel area....I am very tensed...what could it be...she is also having light headache on forehead..and eyes....please help!!!!..we had sex on 15th March....she had taken ipill on 16th March before 24 hours and had bleeding(which got heavier later) starting from 29th March 2011 which lasted upto 5-6 days.....she had her LMP before taking ipill on 5th March 2011......could she be pregnant???.....I am very tensed....why is she bloated??.....", "output": "Welcome to Chat Doctor If she had periods for 5-6 days after taking emergency contraceptive then is there is hardly any chance of pregnancy. If you have any kind of doubt you can confirm it by doing urine pregnancy test. Headache could be due to extreme stress. Bloating is not specific of pregnancy could be due to digestive disturbance aggravated by stress. Consult a doctor to be relieved completely. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Im a 40 year old woman experiencing quite severe pain in my lower abdomen on the right, kind of near my hip. Its deep inside and clearly not my hip. I feel I am frequently urinating and my appetite is not very good. I seem to feel full even though I only eat half of what is in my plate and sometimes less. I also sometimes feel a bit bloated. Im more concerned that the pain is connected.", "output": "HI. The causes of the pains as per your history may be related to the appendicitis or other structures in the right lower qua Chat Doctor. You have a pain on the right lower abdomen, frequent urination, inability to eat and feeling bloated even on half of the diet you take can be related to other causes like :Urinary tract infection, cystitis. PID or IBS. Get investigations of endoscopy and CT scan of the abdomen along with routine blood, urine and stool. The further treatment will depend upon the reports." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am having troubles when i smoke 3 puffs hits of marijuana after 5 mins my heart starts to pump so fast and i can feel my heartbeat rushing in my chest then little stabbing feeling is going on in my chest then when i close my eyes i start t faint away like blackout what is this?", "output": "Hello! Thank you for asking on Chat Doctor! Your symptoms seem to be related to cardiac tachyarrhythmia, induced from marijuana. Marijuana smoking can lead to marked increase in heart rate, lesser increases in supine blood pressure and frequent occurrence of postural hypotension. The latest would explain the feeling of fainting. On the one hand, these effects seem to be dose dependent, but on the other hand, the frequent use over a relatively short period of time results in tolerance. This means that after smoking regularly for some time, your body gets used to marijuana effects and you don't experience such symptoms when smoking marijuana anymore. But, I would recommend consulting with a GP for a careful physical examination, a resting ECG, a chest x-ray and some blood lab tests (complete blood count, thyroid hormone levels, blood electrolytes, fasting glucose, etc.), to rule out any possible underlying conditions. Meanwhile, I would advise you to avoid smoking marijuana, because of these side effects on your cardio-vascular system and other side effects on different body organs. It can lead to tolerance (you need high doses to have the same effect) and addiction (you can't live without that). Hope to have been helpful! Best wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, right before I put my 8 month old baby to bed, I noticed she had a dark reddish-purple mark on the fron left side of her tongue. She is teething (one breaking through and another on the way). She sucks on her lower lip a lot as well. Could she have bruised it, or bit it? Could this be something else? She s never had this before.", "output": "Thanks for your query, I have gone through your query. The dark purple mark on the tongue can be because of the ecchymosis or hematoma secondary to trauma by biting caused by the erupting teeth. Nothing to be panic, consult an oral physician and get it evaluated. Nothing to worry, it is a self limiting condition. If there is any change in the size of the lesion them, immediately consult the oral physician. I hope I have answered your query, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My Daughter is 17 and is now experiencing painful popping and grinding feeling in her low back. She had an xray and the image according to radiology showed a L5 pars defect. Had an appointment with orthopedic he spent about 10 minutes during the examine said the xray looks nornal did a second xray and normal, told her to start running and doing core exercises for strenghthening. She tried, but to painful. Now she is begininng to miss school because of back pain and we are seeking a second opinion. Are there any specific x rays (flexation) or imaginging we should request.", "output": "I suggest you to go ahead with MRI of back (lumbar)spine and check the report in case if there is a severe damage or degeneration going on in spine then take a view with orthopedic doctor and if there is no much problem detected in MRI scan also then I recommend you to visit a physiotherapist. Here with physiotherapy treatment it will help to relax the soft tissues as well as it will also help to reduce pain. Physiotherapist will also suggest for different kind of back exercises like strengthening, stretching twisting, and combinations of all this exercises will again help her to increase the strength and stamina of her back. Here you are also talking about the constipation problem, I suggest asking for regulating her food habits, like have more of vegetables and fruits in her diet. Keep your breakfast good, lunch average and dinner minimum before 8 p.m. Also do regular walking before going to sleep for at least 15 minutes. All this in combination will help her so just ask her to follow and if there is any issue post it again here or talk to your available specialist. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my father is 79 years old and suffering from a shuffling gait and urinary incontinence. he has been put onto syncapone 100 (3 times a day) and duprose (morning only) , roliten 2mg (twice a day) and duprost (morning).in addition he is also taking amlong (morning) and ecospirin 75 (night).we have noted that besides the fact that there is very little improvement, he is extremely drowsy all the time and is ending up sleeping almost 14-15 hours a day! he has also become a bit of a recluse and not taking interest in almost anything.i wish to know whether these symptoms are to be expected and whether there is some risk that he is being overdosed? if we decide to reduce syncapone to see how his condition alters -is there any risk?", "output": "Hello, It is not surprising that your father is having these Chat Doctor. Typically, a medication such as Singapore is already mixed in proper proportions with the elemental ingredients for adequate dosing to take place. However, it just may be that the 100\u00a0mg. Dose 3x/day is too much for his body. Check with his doctor before making any changes, but they may authorize trying him on a lower schedule of 1-2x/day to see if he is less fatigued. Of course, if he is not responding adequately to the medication then, that is another problem, and you should report this to the doctor as the diagnosis may have to be rethought, or another agent may have to be tried. Always check with the primary prescriber before making any changes to a patients' medication dosage or frequency of administration. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor,I am 33 year old single, I am doing masturbating from 2-3 times in a week from past 3-4 year.From lats one year when ejaculation happen after masturbating I feel my legs very weak like something energy or strength is going out along with ejaculation. And now from 1 month I feel problem in erection its not proper like before its not strong & early ejaculation.Dr. please hepl me I dont know who to ask I am getting marry next months please help me. I am so much afraid. Regards,Satish", "output": "Degree understand your concerns went through your details. Masturbation, if done with moderation, is natural, healthy and actually a stress buster. At your age, 3 or 4 masturbation per week is certainly considered moderate and due to that you could not possibly have any direct health problems. But wrong knowledge about masturbation and its effects can have obsessive thinking and therefore anxiety disorder. Such anxiety disorder can trigger psycho somatic disorder like what you are feeling. Such anxiety can also cause premature ejaculation. Please consult a psychologist for sexual education and counseling. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am Nitin 29 years of age and having weight 50 kg.I am suffering from acid re flux since around 5 years.But as per doctor advised changed routine helped me to reduce it.Can reflux cause cancer?", "output": "Hi. Acid reflux also called HERD (gastroesophageal reflux disease) can result in Barrett's esophagus. Barrett's affects lower esophagus and gastroesophageal junction with change of epithelium (inner lining) of esophagus to that of stomach. This is called metaplasia which can also lead to dysplasia and adenocarcinoma. The recent increase in adenocarcinoma (cancer) in lower esophagus observed in western population is because of it. The good thing is that you have adapted lifestyle changes and your doctors' advice to settle acid reflux. Discuss with your doctor whether there were any Barrett esophagus changes and any biopsy done. If yes a follow-up endoscopy should be done to see improvement if any. I hope your question has been answered. I would be happy to answer any further questions if any. Thank you for choosing Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am a man of 43yrs,11months ago i was diagonised to have severe oligospermia,4 months later it became cryptozospermia.my fsh 20.4ng,lh 10.6 testoterone 2.1. ecosonography revealed small testis,with cyst and calsification at head,tail and body of left epididymis,and small cyst at the head of the right one.i stopped all medications and after 3months result read azospermia,fsh 20.4,lh 6.4,testosterone 1.9,csyst increased in size.am confused and we are trying to concieve.what your humble suggestion pls", "output": "HelloThanks for query. Based on the facts that you have stated your Azospermia is not related to FSH or Testosterone levels. It is basically due to pathology of the both the testicles and epididymis. In a given situation there is no ray of hope to improve quantity of sperms in semen and having normal and natural conception. You need to consult qualified Infertility specialist for clinical assessment and to confirm whether testicles are producing sperms or not? If there is production of sperms by testicles he may suggest you to go for In Vitro Fertilization (IVF) or CSI by using sperm being aspirated (Sperm Aspiration) directly from the testis. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,I am suffering from Low Back pain since 5 months on right side contineously and left side alternately.Already i m suffering from Ankylosing Spondylitis since two years as told by Rheumatologist.But earlier i had pain alternately on both side but since 5 months i have continuously pain on right back side radiating upto my right thigh, leg and foot. Is there is any requirement to operate it? Please suggest me some exercises for remedy", "output": "Hello, thanks for the query to Chat Doctor. Forum. As already disease is diagnosed, so I would like to tell you something as, Sacro-iliac joint is the first joint affected by Ankylosing Spondylitis. If deformities formed in the joints than there is need for surgery. In your case a surgeon will decide whether to operate or not. Please consult a physiotherapist and take proper guidance for exercises. A wrong exercise may aggravate the pain. Good luck for you. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My mother has been diagnosed with small cell lung cancer. She continues to smoke and she refused treatment. Her health is starting to fail her lately. If this cancer has spreaded to her brain, can this cause confusion and how serious can she become once it has spreaded to her brain. She complains about constant headaches that wont go away.", "output": "Hi, dairy have gone through your question. I can understand your concern. Your mother has lung cancer. It can spread to the brain. Non-small cell cancer has high chance of spread. Once its spread to brain it becomes stage 4. Then there is no chance of cure. She should stop smoking. Go for MRI brain. Chemotherapy and radiotherapy is the treatment. Consult your doctor and plan accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I am scheduled for surgery to have a partial pariodectomy for a pleomorphic adenoma. I am worried about facial nerve paralysis following this and would like to know would it be possible to use a EMS device which exercises the facial muscles following this surgery to help the facial nerve get back to normal?", "output": "Hello, I can understand your concern. As you are going for partial parotidectomy, there is a chance that facial nerve can be saved by the surgeon if it is not involved by the tumor. In that case, you will not face any symptoms of facial nerve paralysis. However, if the nerve is involved in the tumor, then it will have to be removed by the surgeon. Even if it will not be removed, there is a chance that the tumor may press on the nerve in future and may cause facial nerve paralysis. If the nerve is damaged, you can give it about 6 months to regenerate on its own. Sometimes it takes about a year or longer to get the sensation back. In any case, facial massage will sure help to regenerate the nerve faster. You can use EMS device after the initial healing of the surgical site (about 3 weeks) and consulting with your surgeon in the follow-up appointment with the surgeon. If the tumor reappears, as that is the case with partial parotidectomy, you may have to go for total parotidectomy in future to remove the entire parotid gland to eliminate the chances of recurrence. I hope this information solves your query. Thank you for choosing Chat Doctor. I wish you recover soon! Best," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, my left heel has been numb for a couple of days, no pain and no other symptoms but this started the morning after a heavy day of exercise. Is this something i should be worried about? also i should mention i have a varicus vein in the same leg, please help.", "output": "Hello, As the numbness is present from a few days I will advise taking up a Doppler scan for the varicose veins and MRI for the lumbar spine. As due to nerve root entrapment there is a possibility of the numbness in the heel and also due to the reduced blood supply in the varicose veins. Having it ruled out that what causes the numbness the treatment will be guided accordingly towards the rehabilitation plan. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Dr!my name is Naseem and i am suffering from spinal muscular .at the age of twelve i had pain in left leg,it s gradually increased and now i have pain in my both legs and in both hands,and also sometimes i severe pain in my back head and neck,and also respiratory problems.Now my age is 31 years.however i can walk in home only.will u suggest me,is there any treatment for it.", "output": "Hi, Thanks for writing in. Your condition requires the pain to be treated with strong pain relief options. There is spinal muscular atrophy which is slowly progressive in nature. The pain is to be controlled as per the discomfort you are having. Please consult your neurologist and express your symptoms in detail. There are many pain relief methods available, and you might increase your pain relief when there is neck and back pain. At other times you might continue on lower dose of pain relief. Please have a strong will power to use your muscle as much possible. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I got married before an month.my period has been delayed for 10 days. We both have planned for kid only after an year. Am I pregnant? If i have lots of papaya and pineapple, is there an chance to get my period regular? please help. I really don t want to get conceived now.", "output": "Welcome to Chat Doctor Have you been having irregular cycles. Delayed periods could be due to many reasons like stress, hormonal disorders as well. Anyway get a Pregnancy test to rule out pregnancy. If the test is negative for pregnancy you need to get yourself evaluated by Gynecologist for hormonal disorders. Usually for such hormonal disorders, you would be out on oral contraceptive pills to regularize your cycles, but this is not the treatment for every case as specific management is warranted in certain conditions. Try to do relaxation exercises like Yoga, Panama. Avoid stress at work or home, try to relax more. Eat plenty of fresh fruits and green leafy vegetables. Chat Doctor. Exercise every day to keep fit and for good stress relief." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been having problems with my breathing, its just under my bust, I feel like I cant get enough air and it aches. I also get a weird feeling in my head and body when I take a breath in, Ive had a chest x-ray when I had a chest infection, it came back clear, the dr has checked my chest front and back, they said it was clear, but Im still having so much trouble with it, I dont know what else to do.", "output": "Hello rearward welcome to Chat Doctor.come have evaluated your query in details .* This is in relation with the systemic manifestation of underlying stress condition or anxiety issue.* Guidelines for better outcome-Maintain HY Chat Doctor. - Consume balanced nutritious diet.- Regular walking in fresh air, deep breathing exercises, YOGA are major recovering agents.- Avoid smoking, alcohol if using. Hope this clears your query. Wishing you fine health ahead. Welcome for any further guidance. Regards ." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Do you know of any good traetment for Aplastic Anaemia ? Patient has undergone ATG Treatment recently, wish to know the response. Is it a form of cancer ? what about prognosis ? treatment? alternative therapy ?", "output": "Aplastic anemia is a leukemia of boneyard bone marrow is centrally located in the bone it forms all the blood cells like red blood cells, defensive white blood cells and platelets etc. prognosis is improving nowadays with lot of supportive therapy given usually the prognosis is given in terms of five year survival rate in medical jargons it is around 80% sometimes the patients recover spontaneously however they need the supportive care till even in immunosuppressive therapy like ATG there are chances of recurrence and supportive care continues even then The definitive treatment is said to be bone marrow transplantation which has 90% success when given from a matched donor" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 16 year old daughter has a mass on the back of her shoulder. It is painful ( pains getting worse), growing, and she is now passing out ( and has ringing in her ears) and fatigue. Any suggestions? She has seen 7 doctors...this has been going on for 10 months.", "output": "Hello! Thank you for the query. The mass should be diagnosed at it is really hard to tell what exactly it is without seeing it. Shoulder mass rather does not cause passing out. There must be something else responsible for this symptom. The lump should be diagnosed with ultrasound and MRI (if necessary). Passing out can be caused by low blood pressure, heart issues, low glucose level and many more. Proper diagnostic is necessary. With the lump I suggest you to consult general surgeon. With passing out please consult neurologist and cardiologist. Hope this will help. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "This question is for my girlfriend. She got through with a surgery onher buttocks for implants not long ago and it got infected and she had to have the implants removed. After about 4-5 weeks in the hospital she was removed because the infection was gone, but right now theyre worried that the infection might have returned and are waiting for the results on monday. My question is this, after having a surgery like that, is it really difficult to overcome an infection and how long does it usually take and do you have any suggestions on medications she should be taking? I ask this because she lives in Mexico City and Im in the US. Shes been going to one of the best hospitals in Mexico, but would there be a difference in quality and what are your recommendations??", "output": "Hello there, I am Chat Doctor. I suggest you to ask whether the culture report has been done or not. As you have said it's a one of the best hospital, so they have surely done. If infection is sometimes persist we need to remove that implant that happen in this case. Now you go for culture report of any discharge from that wound and also go for blood culture by a reliable microbiology l;ab and by a qualified Microbiologist doctor. Once you have cultured and if any organism is derived you need to follow just sensitivity pattern under guidance of your physician. So, some organism need long term treatment for complete clearance. If it is not given for proper period they may come back and make you infected again and again. So just go for culture & follow a good physician advise. Hope I have given appropriate guidance to you. If you have any query you can consult me anytime. Give me star rating, helpful vote & thank you according to your satisfaction level. Thanking you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor, my wife has astma problem, because of dust alergy, so everyday she has been Sneezing . When sneezing start, she take medicine [Citric tablet]. Doctor any side effect of this medicine. Doctor, I hope, I will get a good advise from your side", "output": "Hello, Thank you for asking at Chat Doctor. I went through your wives history and would like to make suggestions for her as follows:1. For symptom relief, I would suggest her montelukast + levocetirizine regularly. I would also suggest her to use albuterol or levosalbutamol inhaler on as-and-needed-basis for asthma attacks/wheezing/breathing difficulty.2. For identifying allergies, I would suggest her allergy testing (skin prick test) for common air-borne allergens such as house dust mites, molds, pollen, insect proteins, animal dander (if you have pet). This will help her identify the substances causing allergies to her and also to know the measures to avoid them.3. Based on allergy testing, an Allergist-Immunologist may prescribe her allergen specific immunotherapy which gradually reduces her allergy symptoms by working on her immune system.4. In general, I would suggest her to avoid exposure to dusts, smokes and air pollution as much as possible.5. Regular physical exercises including breathing exercises and a healthy diet rich in vitamins, minerals and antioxidants will also help her in a long run by improving her lung capacity and immunity respectively.6. I would like to mention here that allergy is a chronic disorder and requires regular treatment with a lot of patience. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish your wife the best of the health ahead. Thank you & Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor. Im 25. I have been feeling weak and i feel i have no energy to do anything. I had chest pain and i felt i could not fill myself up enough with oxygen. My throat feels blocked the whole time. I did gastroscopy and they diagnosed me with Gerd( acid reflux) cos my stomach doesnt close properly. Im since 2 years on nexium and lansoprazol. Still feeling pain in the chest and i have a bit of breathing problems. I went to specialist, xray and all breathing tests came back normal. I know these symptoms feel like i have anxiety problems or i might sound depressed but i feel past 4-5 months my body changed and something doesnt feel right. My doctor did all blood tests and are all normal except my kolesterol is a bit high . I dont know what to do else. Can you give me an idea of what it might be please? Thank you", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. Since your all reports are normal, I think your chest pain is mostly related to HERD only. HERD is chronic disease. You need lifestyle modifications along with Chat Doctor. So try to follow these steps along with proton pump inhibitor. 1. Avoid hot and spicy food. 2. Avoid large meals, instead take frequent small meals. 3. Avoid stress and anxiety. 4. Go for walk after meals. 5. Keep 2 - 3 pillows under head in the bed. 6. Quit habits like smoking and alcohol if you have." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 50 year old white male, who has received an elevated liver test result of: ALT - 88 and AST - 65. My doctor recommended I retake the test, the results were: ALT - 51 and AST - 67. I do not drink alcohol -- I stopped 14 months ago. I lift weights almost every day. Would the elevated AST be a result of exercising? I do ingest approximately 100 grams of protean each day as a part of my workout program. I take Lipitor, vitamins, and propranonol for migraine headaches.Thanks,Jeff", "output": "Hello Jeff, Thanks for posting on Chat Doctor, Well they are various causes of elevated liver enzymes (transaminase) which could be infection, Chat Doctor. Stress factors are not known to elevate liver enzymes, but dietary changes can affect. If you are not presenting with any signs of infection probably hepatitis or others then it will be wise to look at your medications. Lipitor is known to increase liver enzymes (adverse effects). You may indicate this to your doctor, who will probably ask you to stop using Lipitor for a while to see if your LFT normalizes. If it does not, then Lipitor is not the culprit. Your doctor will have to also do tests for viral hepatitis and do other liver enzymes such as alkaline phosphatase. Hope this helps and wish you the best" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am asthaamatic patient, my ge is 66 years. Last one week i am having breathlessness. i use ventroline inhalar, as sos. i also take two pufs morning , evening. i am periscribed DOXOLIN 400 mg.1/2 morning -evening.i would lile to now what is the adventage over Deriphyline150 mg. and what is the side effect of Doxolin 400 mg.will the tablet help in reducing breathlessnwess?", "output": "HI, thanks for using Chat Doctor Deriphyllin is the same as a medication called theophylline. It is used to help relax the airways. Doxolin is similar to theophylline but is thought to have fewer side effects. If you are having recurrent attacks, you should also consider increasing your preventer medication. This means that your steroid inhaler dose may need to be increased. If it is at its maximum then you should be using a combination inhaler (a steroid inhaler plus long acting bronchodilator)This would be the best way of controlling your asthma hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have two severe bulging discs between L3-L4 and L4-L5 to the point where I cannot walk (and have been bed-ridden for three months). I have been on pain pills this entire time. I am worried because, in the last month, I have lost the ability to feel temperature and most pressure in my lower back. I have already had 2/3 epidural shots that did not help so the third was canceled. I know have an appointment in the first week of December for a possible signature. Should I be worried that I have very little feeling in my lower back?", "output": "Hi, As you have said that you are bedridden for 3 months. Most commonly it causes Pressure ulcer(Bed sores) over the prominent parts at back. It starts with loss of sensation (temperature, pressure or touch). For this you need to change position frequently by sleeping on either sides. As your nerve compression is much and pain not relieving by medication, surgical interventions may be required. This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a constant pain in my right buttock and the outside of my right calf. I have pins and needles in my right shoulder intermittently. the pain is not present when I run or walk. I am 69 and run and walk regularly over long distances 30 to 50 miles.", "output": "Hello, I have studied your case. There is possibility of transient ischemic episode leading to pins and needle on right side. You may need clinical examination to confirm neurological weakness, BP and other vital parameters. Another probability is due to compression of this nerve root there are pins and needle in shoulder. You may require MRI brain and spine. For these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, you can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my kid fell off the bed 1 & half feet high lost conciousness for 2-3 mins then cried for 5 mins & slept we rushed her to local area doc he asked to consult a pedriatician after coming home from there my girl vomiitted twice 1 small the second a bigger one then we moved to pedri.. he asked us to observe her for 48 hrs & notice any change of behaviour the other morning she vommitted again we now rushed her to hospital took a CT scan there was a 4mm clot on right skull we got her admitted in icu & she was under observ.. they were givin her pain killers and injected to prevent her from vomitting yesterday i got her back home but she is crying continously when awake what do ido", "output": "Hello. Your child seems to have an extramural bleed due to the injury. She was kept in the ICU to observe whether the size of the clot may increase due to an ongoing bleed. Since she was discharged and allowed to be at home, I am assuming the risk of bleeding is significantly over. It may still occur though, and you have to look for warning signs like vomiting, unconsciousness, Chat Doctor. If she is crying continuously when awake with no normal intervals when she is conscious, alert and understanding things, you need to get a repeat CT scan to look for rebleeding which may then either be managed conservatively or by surgery. If the crying episodes are few, and she has normal behavior in between, I would suggest to wait and watch as there is not much to worry about at this stage. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i cant put my finger on it but I keep breathing and smelling a smell of emissons like from a car it has been going on for a while I got my car checked nothing wrong I checked my house for anything nothing my feet itch at the bottom a lot and they are not dry my doctor said I had high level In my liver number 46 and it should be 36 I take norvac for blood pressure 2.5 and thats it Ive been primarily healthy otherwise very active I started juicing and I dont understand what this smell is I keep breathing it comes and goes I dont know if maybe I am allergic to something", "output": "Hi, thank you for posting. After I read very carefully I understood very well your concerns. I think that many of your symptoms are related with Nor vac side effects, like skin allergy. But this doesn't solve all your problem. In fact your problem is related with liver, I think you suffer from Liver Cirrhosis. The bad smell you are smelling is caused by this disease. You need to make the following tests: 1. Liver function tests (Lots or LFS), liver transaminase AST/ALT/GOT/SGPT and bilirubin level. 2. Ultrasound of abdomen. 3. Endoscopy (Gastrostomy). 4.CT scan. You should contact your hepatologist. I wish you a fast recover." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello sir i want to ask about my mom .she have infection in stomach so much plz tell me best about best dr in moga and their address .she has lot of pain now .please help me . THANK YOU MOGA", "output": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. You have not mentioned the exact problem your mother is having. But I can predict she must be having pain. I advise you to take pantoprazole and dicyclomine. This will prevent the pain and discomfort. Please avoid the spicy food, it can cause further pain. If you are having mild pain than you can take the full glass of cold milk. It will neutralize acid in the stomach. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I quit smoking recently and now a large area of my gums are extremely sore and when I brush my teeth its extremely painful. My Luke also quit smoking and he is experiencing the same problems with hurting swollen gums. It is sooo bothersome because I know if I started smoking again it would go away because it has in the past, but I just cant bring my self to start again. I was wondering, why is this happening? And when can I expect this to stop??", "output": "Hello:)Thank you for posting on Chat Doctor. You did not mention how long you were smoking. I appreciate your decision to QUIT smoking. It is a wrong concept that it will go away if you start smoking. It will get worse. You must be suffering a leukoplakia. I suggest you to get it checked with your oral surgeon for a clinical examination immediately. Maintain good oral hygiene. Go for a complete scaling and dental checkup. Use a soft tooth brush gently. Lesion will subside on reducing irritation from tobacco. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "due my all respect to you sir, my father has a known Asthma and both knee pain,High BP and his ECG has shown that he has an old inferior wall MI and he 68 years old please tell me how his future and do we need a MI managememt for him or not? all other systems are in good conditions. and about myself : iam a medical st.thanks & regards.Nabi", "output": "Hi, Your father is having asthma, arthritis( both knee pain), HTN and HD with 68 years age. First, you can continue treatment for asthma like inhalers (MDI or Rota cap) of steroids, alpha agonists, anticholinergics etc. I have assumed arthritis for knee pain, so you can take treatment from orthopedic after confirmed diagnosis. Now, if he has old history of inferior wall MI with hypertension then you can continue antihypertensive, antiplatelet or anticoagulants(esprit, clopidogrel or heparin), hypolipidemics(statins or vibrates), antiarrhythmic if required etc. but after the consultation of cardiologist. His prognosis will mainly depend on his cardiac ejection fraction (EF- on 2D echo)and its activity during rest and exertion. So, better you do a regular follow-up at cardiologist every 6 monthly at least. Other factors are not a big issue in an otherwise healthy individual. He can continue with the treatment." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was stricken with Bells Palsy nearly 3 years ago. I did see my doctor to confirm the diagnosis, but was not treated with any medication. For the past year or so, I have had problems with occasional moderate to severe cramping along my jawline on the palsy side (left). Is this a normal side effect of Bells Palsy? Thank you.", "output": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concern.... As per your complaint Bells Palsy is caused when there is some disorder [like compression by a blood vessel, physical trauma, viral infection, compression by tumor or cyst, multiple myeloma] related with the seventh cranial nerve known as FACIAL NERVE which supplies muscles of face. Musculr spasms or cramps known as BIFACIAL SPASM is seen in many cases of bells palsy and the condition should be treated and is not to be left untreated. You should consult a NEUROPHYSICIAN and get evaluated and get an MRI done to rule out the exact cause of the nerve palsy and get treated accordingly. The physician may prescribe you with anti consultants like Gabapentin, Carbamazepine for preventing over firing of nerves which causes spasms. Muscle relaxants can also be advised. At times if the medical treatment fails surgery is the left out choice, and you need to be treated accordingly under supervision of Euro surgeon. As of now you can do warm compresses over the affected region. Hope this information helps. If you find the answer helpful please give me a Five-Star Review and click on found the answer helpful as a token of appreciation. Thanks and regards. Chat Doctor. ." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Mr. Black age 89 has multi-infarct dementia with severe memory loss ,impaired judgement and mood swings. He is also profoundly deaf and has some visual problems. He is increasingly weak and unsteady on his feet and needs to be supervise and assisted living centre in a long term care facility. He won t join any activities and often refuses to go to the dinning room for his meals.sometimes he expresses angry outbursts and is often found crying in his room. He says that he should be able to go out and have a job again.he feels that everything has been taken away from him and often expresses that his life is worthless and he wishes he die. Mrs. Black visits her husband everyday and attempts to rationalize with him and talk him out of his bad moods she appears to care for him very much and often tidies his room and changes his clothes. He usually unloads all of his feelings on her and she goes away feeling frustrated and guilty..how failing physical health brain damage ,institutionalizations and loss have affected mr black mental health and promoted a cycle of deterioration.", "output": "These symptoms seem behavioral and psychotic symptoms associated with multi infarct dementia. Its need multimodal management including medicines + good nursing & home care.1. For prevention of further infarcts- Esprit & lipid lowering Chat Doctor. Management of risk factors of multi infarct - Hypertension, diabetes mellitus etc.3. Antidepressents as you say that he expresses his life worthless4. Antipsychotic medicines if he has some self harming behavior or aggressive behavior" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a female 73 yrs. I have high blood pressure{under control] with norvasc and water pill. No other problems. For the last two weeks Ive been breaking out in sweats day and nite. No anxiety issues. Sweats last 3 0 minu tes or longer. Should I be concerned?", "output": "Hi, dear. I have gone through your question. I can understand your concern. But sweating is quite common in high blood pressure patients. You should consult your physician and check your blood pressure. If it is increased then take treatment accordingly. Otherwise, no need to concern. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am taking 2.5 Ramapril, 2.5 Bisoprolol, 10 Prasagrel. I had a STEMI July 12, got emerg stent in LAD. Trop was .25 (it was .01 4 days later). T was inverted until ECG on 09/19/2012 then resolved to normal ECG. What causes sensation of pounding heartbeat o", "output": "Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. I will try to explain you something and give you some advises. My opinion as cardiologist is that we are dealing with a rhythm issue. You might experience fast heart beats or pounding sensation for different reasons. It may be a simple sinus tachycardia. This mean that your heart beats over 100 beats for minute. Its normal range should be between 60-100 beat for minute in resting situation. It may happen for different reasons from simple emotional stores to different pathologies like anemia, hyperthyroidism etc. This pounding sensation might happen because of extrasistoles.These is electrical impulses that generates from different parts of the heart different from that of a normal sinus rhythm. This houses an ectopic heart beat that you feel like a skipped beat or as a palpitation Extrasistoles might happen for the same reasons as sinus tachycardia. All sow that might be frequent in ischemic heart disease or in patient after a heart attack because of changes of the heart muscle. In fact, you take medications to prevent this rhythm problems. Bisoprolol is a medication that gets down your heart frequency and extra systolic beats. But if you feel your fast heart beasts and this begins to interfere with your normal daily life it means that the medication might be insufficient. So, Bisoprolol helps you not to feel this heart beats but if you do, it means that you need to do a simple check up to see what's happening with an electrocardiogram and a holder monitoring. After judging the results we might talk for the treatment Hope I was helpful. Wish you good health. Best regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I landed on my tail bone and went to urgent care to check for broken tailbone which x-ray was negative. I still have a lot of pain while sitting and a lump on my right butt cheek. When I slouch it really hurts especially coming from area of bump. What is the bump and is the pain coming from?", "output": "Hi, The injury you sustained can lead to quite a lot of pain even though your X-ray was normal. This is due to soft tissue injury and hematoma which is a collection of blood that spreads in the surrounding tissues. This will cause a lumpiness to develop in the area which can be very sensitive. It will return to normal, but this may take a few weeks. In the meantime, take paracetamol and ibuprofen for the pain and swelling. You may benefit from sitting on a padded support under your tailbone. Avoid activities which make the pain worse. I wish you a speedy recovery. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 13 month old baby boy was lying on his back falling asleep and I was rubbing his tummy. I could feel a round kind of lump, very soft, thought it was maybe one of his muscles but it moved slowly to one side then back to the other side again. It was below his rib cage but above his belly button. Could it be winds or something else. Or am I just being paranoid?", "output": "Hi, Welcome to Chat Doctor Clinic. Ans-Your 13 MTV baby seems to have Epigastric ventral Hernia, due to congenital defect in the Line Alba, central crisscross fibers of aponeurosis tissue. To resolve any doubts about its cause, get Second Opinion from Surgeon and get the USG under his guidance. Further directions for needful treatment would be given from your Surgeon accordingly after full physical examination and investigation.Thus, it's not the winds. So don't get paranoid. Start planning the treatment with your Er surgeon at earliest, as negligence may cause more complications of obstruction/incarceration/or strangulation of the hernial contents, as the babies are quite agile and active. Hope this would help you to plan your treatment with your doctor and resolve this problem at the earliest. Hit Thanks and Write Review if this reply helps and satisfies you, for the benefit of the needy patients at Chat Doctor like you. Chat Doctor. N. Senior Surgical Specialist" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doctor, My insurance will no longer be covering my birth control pill at a reasonable copay (orthotricyclen-Lo). I have severe endometriosis, and this helps with the pain. What would be a comparable alternative, or a pill that is good for endometriosis?", "output": "Hello, and I hope I can help you today. Any oral contraceptive can help with endometriosis, as long as it reduces the length and amount of your menstrual cycle. If you like the formulation of Or tho TRI Cycle Lo, North TRI Cycle Lo is no longer made by the manufacturer. However, the active ingredient Norgestimate is present in many generic pill formulations. There is a generic of North TRI Cycle Lo, called TRI lo Sprinter, which may be covered under your plan. In addition, Or tho Cycle, which is the monophasic regimen (same dose all month) has a generic. The name can vary, but some brands available in the US are called Sprinter, Fondness, or Estrella. Your pharmacist could recommend an alternative for your doctor to prescribe. I hope I was able to adequately answer your question today and that this information was helpful. Best wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I feel feet numbness, itchiness, and swallen i spoke with the nurse to give me an appointment she told me I have a nerve shock ( I suffered a great deal of stress for the past 5 months). Can someone tell me what is it and what is the treatment. Thank you, Kim", "output": "Hello Kim! Welcome on Chat Doctor ! Your symptoms could be related to peripheral neuropathy. For this reason, I would recommend consulting with your doctor and performing a nerve conduction study (electroneurography) to exclude this possible cause. Other blood lab tests are necessary too : complete blood count, iron plasma levels, fasting glucose, kidney and liver function tests, blood electrolytes, etc. If all these tests result normal, you should consider anxiety as a possible cause of your complaints. Hope you will find this answer helpful! Kind regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I just ate some hot popcorn then laid down now Im having heat burn and my left arm feel weird. But this isnt my first time feeling this way. I Google heart attack symptoms and it freaked me out so now im even more scared. Can i be having a heart attack, panic attack or just regular heart burns?", "output": "Hello! Thank you for asking on Chat Doctor! Regarding your concern, your symptoms seem to be related to gastroesophageal reflux or gastritis. These disorders could also explain the feeling in your arm (irradiated pain). I recommend consulting with your GP for a careful physical examination, a resting ECG, a chest x-ray and a routine blood check up (fasting glucose, complete blood count, kidney and liver function test, blood electrolytes). It is necessary to perform a gastrointestinal endoscopy to rule in/out the above-mentioned disorders (gastroesophageal reflux, hiatal hernia or gastritis). You should discuss with your attending physician on the above issues. Hope to have been helpful! Greetings!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I am 18 years old and recently I have had difficulty with sleeping. I have this problem for over a year now...It usually happens when I am about to fall asleep I get a feeling that there is something in my room that I can only describe as evil and wants to hurt me. Sometimes I am unable to move (this is not always the case) and have an intense feeling of fear. I have also heard this thing in my room whisper my name and sometimes whispering. I have also felt a pressure on my mattress and something touching me. This has also happened to me when i woke up from sleep. This has happenes to me before when I was around the age of twelve...I can t talk to it about anyone not even my own GP incase they tell me I think I m crazy or imagining things. I am now afraid to go to sleep and am also extremely tired during the day even when i do manage to get some sleep. Please help me. S.", "output": "Hi chemicalcheez, I am NOT starting out telling you that you are crazy. Although I am not familiar with parapsychology, unexplained phenomenon occur daily. So, I am not going to attempt to puzzle this out. I will state, there are certain medications (prescription and illegal) that can induce these symptoms. Also, if our brains' chemistry is not balanced, you may experience these types of symptoms. You are giving me descriptions of paranoia along with auditory and tactile hallucinations. Have you attempted to change your sleep routine? Have you attempted to sleep in a different location (both within your home and outside your home)? Are you a very spiritual-based person? Have you attempted to enlist help from your local clergy? No family physician should make you so uncomfortable that you cannot confide in him/her. If you do not trust your own physician, see another. I believe you could benefit from seeing a therapist in addition to a clergyman. I'm trying to ad Chat Doctor. If this is a medical problem, the sooner you find out and begin the correct medications, the quicker the symptoms will abate. If this is a spiritual situation, I hope you have a clergyman that is willing to help you. Attempt to speak to a catholic priest. Be well," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was bit by my iguana on my thumb a few days ago. I cleaned it really good and have taken care of it with peroxide and neosporin etc. It seemed to be healing but it is now turning whitish with a bit of purple and is swollen but the skin where the cut is has turned not only very hard and sore.", "output": "HIT hanks for posting your query to Chat Doctor. I think it is getting infected. You should not self-medicate yourself. I advise you to consult your doctor as early as possible. You may require Oral Or Injection Antibiotics and may also require debridement of the wound with proper antiseptic Chat Doctor. Kindly get it done. If you have not taken a shot of Tetanus kindly get that also. Hope you find this information useful. Any clarifications or Queries feel free to ask." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had a bad cough for a week now. My symptoms were getting worst everyday.. fever, runny nose, lungs full of fluid, itch that I had in my lungs that I couldn t scratch and my mucus ranged between yellow to green the doctor I went to said it was respiratory infection and prescribe me amoxicillin but I feel it is pneumonia I still have a terrible cough on a ten day prescription.. Did they prescribe me right??", "output": "Hello, Thank you for your contact to Chat Doctor. I understand your health concern, if I am your doctor I suggest you that you should think of doing sputum Grams staining and culture sensitivity. Take treatment according to sensitivity. Amoxicillin is resistant to routinely find organisms causing respiratory tract infection. I will be happy to answer all your future concern. Thank you, ChatDoctorInfectious disease specialist. Wish you the best health at Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "for a few days I ve had pain in my left eye the eyebrow and left cheek but the pain also goes up into my head and it feels like the bones in my head are pushing against each other, and the left side of my neck is sort of stiff - I m not usually ill and this bothers me a lot. Thanks.", "output": "I believe that a neurological examination by a qualified neurologist is in your best interest. Although it is a very low likely possibility something such as a meningitis process may be a consideration for the symptoms you present. On the other hand you may also have some type of obstructive process of the sinus Chat Doctor. A set of frontal facial or SINUS films (CT SCAN) should easily show any type of congestive or infectious process." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "im in south korea been here for over a year, and lately, for the past week or two ive been having this burning sensation starting from my back then stops at my chest. Ive also caught myself wheezing after a light jogg! I was working out just doing alittle dancing and my throat felt like it was closing to the point and it was very hard to breath i had to exstend my neck to get just enough air into my lungs. I had asthma when i was lillte but i grew out of it. what do you think is wrong?", "output": "Hi thanks for contacting Chat Doctor... You have here bronchoconstriction that could be from allergic bronchitis or asthma precipitation.... Heart condition like CHF also can lead such symptom... But here most probable diagnosis is precipitated asthma, although you had no symptoms since many years. This can happen in asthma... Get your chest x-ray and spirometry pulmonary function test to confirm it and assess severity..... If needed nebulization with levosalbutamol and budesonide given... Keep albuterol inhaler handy taken SOS. If repeated attack maintained inhaler started.... Also do ECG and blood pressure monitoring... Dust, pollen, environment pollution kept limited... For reflux omeprazole can be given... Take care. Consult physician for this...." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "On July 30th my husband was out side most of the day, it was quite warm, we had been doing some music for a picnic and he was a little active, he is about 300lbs. 6 foot tall. when we were done with the music and putting away the equipment he became dizzy, light headed and felt sick, well ever since then he has the same symptons and he canr stay up for very long, what could be wrong?", "output": "Hi, welcome to our site. I am Chat Doctor, MD. Read your query. That is a very significant question and I appreciate your problem. I will try my best to answer your Quertle chances are that his fluids and electrolyte status has been disbalance. A good fluid and electrolyte replacement regime may help him. The fluids are important in maintaining the blood pressure. When the fluid is low, one may develop orthostatic hypotension- a condition in which the blood pressure may fall when a person gets up to a standing position from a resting position. It is of course in view that other systems are not involved, and he has no other symptom. Getting an ECG, Echo and FBS would be a good idea. I hope this helps you. Inform the reports mentioned above/if any other, so I can be of help further. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you. Please do understand that some details could be extracted from a detailed history and examination. Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further. (If the answer has helped you, please indicate this)Best of luck. Chat Doctor. MBBS, MD (Internal Medicine), CC (Diabetes Mellitus), DNB (Neurology)Consultant Physician and DiabetologistJS Hospital Apollo Hospital, Delhi Baileys Hospital, Noida" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ive got this boil or lump in my anus that doesnt hurt but its as big as a nut...am really scared because Im also experiencing aches in my joints and I have a strange but recurring cold since I noticed this bump...I really want to be sure about whats wrong with me.", "output": "Hi, thanks for writing to Chat Doctor. Well, if I were your family physician and had you presented this painless anal lump, I would consider following possibilities:1. A rara-rectal cyst2. An internal piles3. A rectal polyp4. A skin tag / papilloma5. A tumor even could be malignancy! And, the joint-aches or cold has nothing to do with the lump; they are separate issues...therefore you need to get to your doctor for a simple per-rectal examination and relevant tests like photocopy, stool examination, etc. if necessary! ... Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 17 old daughter has had ongoing lower abdominal pain for approximately 4 years. Her appendix have been removed but was found to be healthy. They thought she had endimetriosis but gynecologist said she didnt. Her pain does not necessarily occur with her periods and is increasingly getting more severe. Pain killers no longer work and she is unable to pick anything up, bend over or walk without crying in pain. Do you have any suggestions please as our doctors seem to be at a loss.Thankyou,Stacey.", "output": "Hi. This is for sure that she has been seen many specialists and the conventional investigations must have been normal. There is a saying if the normal course you do not find the common reasons, it is possible to think of uncommon:: Psychological overlay has to be thought about. Maybe you should collect her urine in a glass and keep in sun to see a change in color and tell your Doctor the changes. Tablet Gabapentin may be tried under medical supervision. And it is better to go for MRI study of the spine." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My inner side of the left knee has been progressively getting worse over the last few weeks. When stepping and my knee is in the suspended portion of motion, it s extremely painful. As well, when walking up stairs where weight is being applied to my knee. At rest, no discomfort. Feels at times like it s going to come out of joint.", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have progressing severe pain in the knee. Well there can be many reasons for symptoms you mention in query like ACL injury, torn meniscus, knee bursitis, patellar tendinitis or arthritis. I would suggest you to take proper rest, apply warm compresses several times a day, take ibuprofen or acetaminophen for pain and do gentle message with almond oil. Consult orthopedic surgeon if condition doesn't get better. Doctor may order blood test, CT scan, MRI along with physical examination. Doctor may prescribe muscle relaxant, anti-inflammatory, methotrexate along with physical therapy. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir, on feb i go through DndC on march i get my periods But on april and may i didnt get my period then i take mendate as my gnae suggested and on june 3rd i get my periods by on july i again didnt get my period and i want to conceive what should i do plz help", "output": "Hi, Thanks for writing to Chat Doctor. First you should find out the cause why you are having irregular cycles. I suggest you to get done hormone test. These include serum prolactin levels, thyroid hormones and LH, FSH. If these hormones are high then it can be treated with medications. I would also suggest you to undergo ultrasound of abdomen to diagnose polycystic ovary disease. This is very common nowadays and causes irregular cycles. Emotional stress also cause irregular cycles. So first you should be stress-free and happily plan for pregnancy. Hope I have been helpful. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good Afternoon Doctor. I, male, 25yrs aged, suffering with chronic sinusitis. Severe headache(above the eyes), breathing problem through nose, and mucous from mouth sometimes. I also have high B.P since 2yrs, taking metxl 12.5mg daily. Please give me a solution to this problem.", "output": "The sinuses are small cavities in the skull that are normally filled with air. They produce mucus, which helps keep the nasal passages clear of allergens and pollutants. Sinusitis is an inflammation of the tissue that lines these cavities. In some cases, this swelling blocks off the sinuses, trapping mucus and air inside their you have sinusitis symptoms for more than a couple of days, check in with your doctor. With a good exam -- and sometimes imaging tests, like X-rays, CT scans, or MRIs -- you may be able to figure out exactly what's causing the problem. Often, the best sinusitis treatment is a combination of different approaches typically medication combined with self-care. The goal of treating chronic sinusitis is to:1. Reduce sinus inflammation2. Keep your nasal passages Chat Doctor. Eliminate the underlying cause4. Reduce the number of sinusitis flare-ups you overtreatments to relieve symptoms1. Saline nasal irrigation2. Nasal corticosteroids3. Decongestants4. Antibiotics if it is due to infection5. Analgesics for the painSurgeryIn cases that continue to resist treatment or medication, endoscopic sinus surgery may be an option. For this procedure, the doctor uses an endoscope, a thin, flexible tube with an attached light, to explore your sinus passagesFeel free to ask if you have any other doubtsRegards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello i am a 37 year old mother of five. I was diognosed with non hodgkins lymphoma and under went over 160 broadband radiation treatments. For years now ive suffered with severe bowel pain. Last year i got very ill with stomach issues and lost huge amount of weight recently. i feel so sick , tired, lethargic really. When i went to the doctor he told me i had a serious stomach infection that can progress to cancer if not treated. i was put on huge amounts of antibiotics. It got a little better but im sick still. my stomach and bowel is not right. Everytime i eat i either throw up or feel like my stomach is gonna explode. I recently found out that my grandma died of stomach cancer as did a few others in my family. For the past year my rectum hurts. stabbing pains and i have had a large lump inside for sometime now. Today i had a bath and the old familuar stabbing up my bum visited me. I looked in the mirror to see why and noticed i have three white hard lumps size of a pea just at the entrance of my rectum. the skin surface doesnt hurt but it hurts up my anus. Also since the radiation ive suffered with itchness in that area and all my skin around my anus is very very dark. i am white. but my but crack is very dark. Ive never had an std. nor do i do anal sex at all. I wouldnt be able to if i wanted to anyways..which i dont want to lol. about 7 years ago i suffered severe bowel pain and when the emerg doc looked he said my bowel was collapsed. when i went to another doctor to get it checked he didnt notice my bowel colapsed...im sick. my bowel and stomach are just so upset..what do you think these white hard lumps are? i was tested for HPV a few months ago because i had an irregular pap result and was told i have displasia ..i went to doc about it and she tested me for all vd but it was clear. i just noticed the white lumps today..however i have had a large lump in my rectum for long time and it is getting quite large. Im not going to do anymore treatments or anything im tired of it alll however i would like to know what this could be", "output": "You first need to stop examining your anal and rectal regions yourself and in case you have discomfort in perianal region please consult qualified gastroenterologist and get photocopy or other necessary copies done. You fought against cancer and won and these small issues shouldn't be of any concern. Its children to say that you don't want to get treated. You have won a hard battle and small things should upset you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My radiology report suggests some foci of chronic ischemic white matter disease. I am 65 have hypothyroid, allergies PBC and received this today. My father died of alzheimers and I have had multiple spells of like heart attack that was on rt side radiated to jaw and head. could this be alzheimers.", "output": "Dear User, Thanks for using Chat Doctor. Generally Alzheimer's do not present with white matter disease. The most common cause of white matter disease is ischemic injury. It is quite possible to have multiple small strokes if you are having ischemic disease risk factors like family history, hypertension, diabetes, smoking, factor V laden mutation. If you are having any risk factors you need to post again or contact your PCP for assessment of vascular risk factors and to find out the cause for white matter changes. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im concern because I have a lot of mucus in my throat and nose. My left eye is also running tears. I take Zyrtec and sometime it help. Every now and then I get chills, I cover up and turn the heat up often. I thinking something is going around or do I have pneumonia? I havent been to the doctor yet because I just had surgery. I have been sleeping a lot and just concerned!", "output": "Hello! Related your concern I think the is a viral situation (flu). Usually after a surgery immunity is weaker and susceptible of viruses. So, if you get chills you should see for the fever and the increase production of mucus in your throat and nose is the response to the virus. Usually if a person have pneumonia should have a high fever, a lot of cough with green sputum and chest pain but in your case for the moment you don't have mentioned it, so don't worry. What I suggest for you is to use ibuprofen if you have fever, decongestionnant solution, saline solution, steam therapy, control for a surgical site infection and if this situation last more than 4-5 days meet a doctor to see for a post viral complication. I hope my answer help you. I wish you a quick recovery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 3 months pregnant. I had my last ultrasound after 9 weeks which showed everything to be fine. After that i have started feeling sexually excited. Its been 13 weeks now. I didnt have my ultrasound after that. I masturbated many a times after that. Please suggest if there is anything wrong in masturbating and if my babay is fine ir not?", "output": "Hello, and I hope I can help you today. Changes in libido, due to the hormonal fluctuations during pregnancy, are very common, and many women report increase sexual desire during pregnancy, especially in the second trimester. The reason for that is that nausea and vomiting have largely resolved by this point, and yet you are still not large enough to feel physically uncomfortable. Sexual contact, by intercourse or by any other means, is safe and healthy during pregnancy. Masturbation itself is just one form of sexual activity and therefore will not hurt you or to your baby during pregnancy. Some women occasionally feel uterine cramping after orgasm, but this is normal and usually goes away in a short period of time and is not harmful. So in summary, masturbation is not a health risk for you or your baby during pregnancy. I hope that this adequately answer your question today, and that this advice was reassuring. Best wishes for the rest of the pregnancy, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I cut the top part of my thumb very very deep by the crease with an electric wood blade I was using to renovate my cabinets. went to the urgent care the next day, but was told it was too late for stitches. Was told not to bend my thumb and given a splint. But now 4 days later, my thumb is extremely swollen and almost numb to the touch. extremely painful to bend it and the thumb seems to be frozen.", "output": "Hi, Thank you for providing the brief history of you. A thorough neuromuscular assessment is advised. As you are using the spent the numbness is because of lack of circulation and restricted neurological impulses. Also, try performing quick icing for the area around the thumb region, like the dorsum of hand and palm to reactivate the neural signals. Pain will also come down with quick icing and also the swelling will be reduced. Kindly keep patience as you might have made a deep cut, so soft tissue healing will take some time. Once healing is completed, the movements of the thumb can be performed. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello sir, Iam Madhav from Hyderabad, IndiaMy father aged about 65 years, he is suffering with lungs + heart problem since 6monthwe joined in many big hospital but only one week best after same problem facing.please give me a good suggetion, how to cure the dieses", "output": "Howell come to ChatDoctorThank for choosing Chat Doctor, I really appreciate your concern for your father, but you have not mentioned what kind of disease he has you have just stated problem and disease but did not mention the name of it and without this nothing could be said in specific still if this is the cardio-pulmonary pathology then great care need to be taken it could be team work can be done with concern faculties, your detail query would be appreciated, hope this information helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Sir, I am 39 years old, get married in 2001 but due to early release problem, I am not able to satisfy my wife even for a single time. She never reach her orgasam due to continuous problem now she feel swere body ache after intercourse. In the beginning she was very fond of this thing but now hv no interest at all. This make me feel guilty every time. Pls. help me! One more thing, what I seen on internet, in case of erected panis, foreskin should rolled back and head should be un-covered but it is not like this in may case. Moreover, every time( since beginning) I hv to use condom without this first of all I feel pain at the time of insert as it put strech on my foreskin and it result early release even at the time of insert. Due to shy nature I never go to doctor except once( at that time he, without my physical examination, ask me to take paxidap tablet for some time, but it not helped me at all.", "output": "Hello, From the available description it appears that you are dealing with primary premature ejaculation, which is treatable disorder. You need to visit a doctor as a prescription of medication can not be made without examining the patient. I must assure you that there is good hope for you, but its results can not be achieved without consulting an expert. If you happen to stay in western Rajasthan you can visit me at Jodhpur on any day. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Is Rifampin useful in treating bacterial cellulitis? My mother recently got a prescription for Rifampin and Doxyclline, both BID x 10 days. I am a pharmacist, but am not familiar with Rifampin and cellulitis. She has already been on Clindamycin and Keflex, both of which helped. The redness has almost subsided, but she still has swelling between the knee and ankle. Thanks for your response.", "output": "HelloSign you are a pharmacist, so I am writing pharmacological action of RIFAMPICIN, so that you will understand in better way. Rifampicin is bactericidal to MCO tuberculosis and many other gram positive and negative bacteria like Staphylococcus aureus (maybe the reason for cellulitis in your mother case), N.meinigitidis, H. influenza, E. coli, Kelbsiella, Psudomonas, PROTEUS & Legionella. Doxycyclin is a bacteriostatic and also broad spectrum antibiotics. So your doctor prescribed this medicine for broad spectrum coverage. I mentioned in detail because, you are a pharmacist and this will be useful for you. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Doctar My wife is suffering from anemia with fever . his hb counts falls all of a sudden and it decrease to 3.2 and after 10 unit of transfusion her hb count is still 7.4 . she is admitted in big hospital and they examine bonemarrow , pet scan , ana dct , ama , all these reports were negative . only thing come positve is parvo virus . we have given her IVIg treat ment and still nothing clear . kindly guide me what to do next", "output": "Hi, dairy have gone through your question. I can understand your concern. Your wife is suffering from part virus infection. Pancytopenia is common in part viral infection. No, any specific treatment is there for viral infection. Just take symptomatic treatment. She will be normal after times when viral infection is over. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "The main symptom is moderate abdominal pain/discomfort for nearly 3 weeks. It started off as minimal but has increased of late. At times it feels near bottom of sternum but other times more into the abdomen. Eating or not eating does not seem to make a difference. Seems to be more noticeable when sitting at desk or in car. Lately have slight feeling or tendency for shallow cough. Other symptoms include pain emanating to lower back and dull in ache in right arm. No heartburn, acid issues, or other digestive complaints. Doctor did bloodwork and everything appears normal. Endoscopy scheduled in 3 days. Possible causes?", "output": "Hi. Thanks for your query. Possible causes : of the pain in abdomen in the upper area spreading to the other area, without any other symptoms of heartburn, acidity or digestive problems is suggestive that the pain may be of the origin of the lower lungs or pleura, or a local problem of the abdominal wall like epigastric hernia. I would advise you to get the X-ray of the chest, ultrasonography of the abdomen, Physical examination by a General Surgeon. This will help to get a proper diagnosis and proper treatment ...." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My wife is 28 years old, weighs 56 kilos, is 1m 63cm tall, and for the past 5 years she experiances every 2 months a sudden rapid elevation in her heart rate. It forces her into the fetal position, she has to fight to breath, loses most of her sight and these episodes last about 20 minutes. They are not panic attacks, can you tell me what heart conditions she may have?", "output": "There are various conditions like paroxysmal supraventricular tachycardia or atrial fibrillation which are likely possibilities. These are not the life-threatening conditions and can be well managed. Next thing is to diagnose exactly the condition. This can be diagnosed with ECG during the episodes. It is advisable that you should seek cardiologist who can also perform electrophysiologist studies and diagnose, treat the condition with ablation permanently. He can also manage on Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor, My 5 month old baby is suffering from loose motion for the past 5 days.Vaccines for diarrhea has already been given and she has got lactose intolerance problem.Is it advisable to give enfamil or nestum rice?She is taking my milk and enfamil now but problem has not reduced.Please advise. Thanks.", "output": "Hi... Thank you for consulting in Chat Doctor. It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I HAVE JUST BEEN PRESCRIBED THIS MEDICATION, DUE TO HAVING A SLIGHT LEAK FROM MY KIDNEYS? I HAVE TYPE ONE DIABETES WHICH I HAVE HAD FOR THE LAST 27 YEARS, BUT I AM VERY FIT AND RUN SEVERAL TIMES WEEK AND DO NOT HAVE HIGH BLOOD PRESSURE?I AM VERY HESITANT IN TAKING THIS MEDICATION DUE TO THE SIDE EFFECTS I HAVE READ, AND ALSO DUE TO THE CHECKS THAT IT INTAILS? PLEASE ADVICE?", "output": "Hi and welcome to Chat Doctor! Thanks for your question. Your doctor would've diagnosed you with diabetic nephropathy (complication of uncontrolled diabetes) more common in type 1 diabetes. In this condition along with good blood glucose control, medications for reducing protein leakage is very essential to decrease the progression of kidney damage. These medicines are generally prescribed for blood pressure but even if your blood pressure is normal you need to take it regularly. Any medication has its known side effects and adverse effects shouldn't get confused with information on Google or on the medicines. Discuss with a concerned specialist and clarify your doubt. Hope this helps. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 38 year old lady, healthy and been having night sweats for the last one year. I don t have a fever, cough and have not lost any weight. I exercise often, eat well but I am naturally slim, I was found to have latent TB 4 years ago but was advised that I do not need treatment for it. I have a sister with type 1 diabetes mellitus. I am concerned about the night sweats and I do not believe they are due to environment. What is your advise?", "output": "Hello. I have gone through your question. As I see you are worried about Tuberculosis. Latent TB does not require treatment as it is the active TB that requires treatment. It is very rare that you have developed Type 1 diabetes mellitus as 95% of people develop type 1 diabetes before the age of 25 years. Now for your night sweats I need more information from you:-1. Are you taking some depression medications?2. Are you taking Chat Doctor? Are you taking any diabetic medications?4. Are your menses normal? Please provide me with the answers to above-mentioned questions so that I can help you. Please feel free to contact me. Thanks and wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "what can be done to help stop facial seizures when in vegetative state My friend has been in a vegetative state for 11 weeks and there are big yellow bumps on her tongue, mouth stays open with continous twitching of the face which they said is being caused by facial seizures and also bed sores on her foot. She is 45 years old, weighs about 200 lbs, she is hypertensive complained of a headache went to hospital slipped into a coma and had to undergo brain surgery because brain started to swell. She is now only being feed through tubes ensure i think, has trach in throat , out of intensive care and sometimes she seems responsive if I talk to her she opens eyes and moves mouth as if talking. Please help me to understand what is going on and what can been done to help her now in terms of care.", "output": "Based on the description, your friend seems to be suffering from brain damage resulting into unconscious state. The exact state of brain dysfunction can be assessed by clinical examination by a neurologist, electroencephalography (EEG), evoked potential studies and positron emission tomography (PET) studies. These tests can be ordered and interpreted by a neurologist. Regarding treatment, it is mainly supportive with good feeding, oxygenation, maintaining BP, prevention and treatment of bed sores, deep vein thrombosis prevention, physiotherapy. Antiepileptic Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my husband has been diagnosed with an expansile mass enlarging and eroding the left neural foramen at C2-C3.It extends into the spinal canal and is not clearly distincly visualizd from the spinal cord on CT. Surgery is recommended to remove. How can we know the best available neurosurgeon in our market, El Paso, TX? Or, should we have it done in a larger market such as Dallas or Phoenix with more experienced neurosurgeon?", "output": "Hi, Thank you for posting your query. The mass or tumor in the cervical spine can be best visualized on MRI. So, please get a cervical spine MRI with contrast. Regarding the best neurosurgeon, you can visit the websites of local university hospitals, and then, find out the best neurosurgeon. It may be better to get it done in larger market such as Dallas or Phoenix. This is because they would have more experience in dealing with these surgeries. I hope it helps. Please get back if you require any additional information. Wishing you good health, Chat Doctor. Ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have some pains on the upper side of the ribs near the chest. No nhuemonia, sometimes I feel like I have difficulties with breathing, I have been prescribed with medications like myospaz, omez, prenidisol, allucid plus,Zulu. feel like there is a brokage on my oesophagus, pain on my shoulders. No traces of malaria or kind. What could it be? Doctor", "output": "Hello, I have studied your case. Difficulty in breathing can be due to thoracic nerve involvement or lung parenchymal disease. You may need to investigate like HRCT, pft, MRI spine, EMG-NCV [nerve conduction study]. I will advise consulting orthopedic surgeon for clinical examination and further investigation. For these symptoms bronchodilator and neurotrophic medication can be started. I will advise checking your it B12 and it D3 level. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "SIR MY MOTHER IS HAVING A KNEE PAIN FROM LAST 4 MONTHS ..SHE CANT EVEN WALK PROPERLY !! WE HAVE CONSULTED MANY DOCTORS ,THEY HAVE GIVEN LONG LIST OF MEDICINES BUT NO USE OF THEM !! WHAT TO DO ?? I NEED YOUR HELP ?? SOME DOCTORS SAYS THAT SHE WILL BE FINE AND SOME SAYS THAT THERE WILL BE A OPERATION OF KNEE !! I NEED UR HELP THAT WAHT SHOULD WE DO ??", "output": "Hello, As history directs my thoughts towards the Osteoarthritis of the knee for your Mother. I can understand the pain is high and there is difficulty in walking. I will help you with some therapy part, and you can try this which should yield good results. Try taking help from a physiotherapist who can help your mother with physiotherapy management of the knee. The knee treatment includes - a therapeutic ultrasound for reducing the joint inflammation, TENS therapy - for reducing pain, knee braces, exercises - static hamstring, static qua Chat Doctor. With the above-mentioned therapy of knee, your mother should find the change in the overall muscle strength of the lower limbs and will help improve their pain and walking. Hope I have answered your query. Let me know if I can assist you further. Jay In" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my two year daughter has loose stools very frequently and peadilyte has to be administered regularly , as frequent as three to five days per week. she also suffers from upper respiritory problems very frequently, we have stopped giving her milk and milk based products and soy milk but to no avail, what could be the problem.", "output": "Frequent occurrences of both respiratory and GI infections do point to something unusual. You should get her investigated for an immunological problem. One of the most common among these problems is common variable immunodeficiency (AVID), which can be easily managed with gamma-globulin infections and a few other interventions. If her immune functions are normal, you can still try some things like greater attention to hand-washing, giving her multivitamins and a protein-rich diet, avoiding going to crowd places, avoiding a cr\u00e8che or a day-nursery where she is in constant touch with other, better-abled child Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I recently had a liver resection for a giant hemangioma. I also have a history (long ago) of thyroid cancer with a thyroidectomy and resultant hypoparathyroidism/hypocalcemia. I am 4 wks out from my liver resection & my AST & ALT are both greater than 4 times the upper limits of normal. I m wondering if there could be a connection between the thyroid/parathyroid issue & the elevated LFTs?", "output": "Hello, I read your question carefully and I can understand your concern very well. I would like to tell you that because you had thyroidectomy years ago and now suffering from hyperparathyroidism, which is a common complication after thyroid removal, in my opinion these two (thyroid/parathyroid and elevated Lots) are not related with each other. You had elevated Lots may be due to recent liver resection and so remaining liver tissue is responding to work efficiently and that can increase Lots for initially few months. You can go for ultrasound of abdomen and discuss with your surgeon to rule out any complication of your liver surgery. If nothing is significant, then mostly your Lots will be normal within a month or so. Otherwise, connection between thyroid/parathyroid and 4 times higher Lots are unlikely. Hope this answers your question and let me know if you have any further relevant queries." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I ve been diagnosed with pituitary gland tumor 3 months back, consulted with a gynecologist and she asked me to go for prolactin test which was 178ml then she asked me to go for MRI where 1.5*2mm tumor was found. since then i was taking caberlin 0.5mg twice a week for 1.5 month. Now my prolactin level is 0.37 and MRI is still have to be done. Now I am no longer taking caberlin but i feel very dizzy, light headed and blur vision all the time,acute knee pain and heel pain in left leg, my BP is also 90/60. few days back I consult an endocrinologist and asked me to start caberlin 0.25 again and start taking 500mg shecal twice a day with 60000 vitamin D once a week. its been 4 days taking all these medicines but feeling no good. please suggest what should i do? there is also little swelling on left leg feet. Regards aarti", "output": "Hello and welcome to Chat Doctor, The hormonal treatment (Berlin) has controlled the high prolactin levels. Dizziness, light headdress and blurring of the vision is occurring due to the pressure effects of the tumor. The tumor is compressing the optic nerves thus the blurring of vision. Further the tumor needs to be removed to remove the pressure symptoms. You need to consult a neurosurgeon for surgery. Vitamin D deficiency is associated with body pains. The pains that you are experiencing can be due to vitamin D deficiency. Your doctor has prescribed vitamin D so the symptoms due to its deficiency will disappear. Thanks and take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi - I saw my family doctor in October and showed him a small bump at the top of my forehead, where the hairline starts. He ordered an x-ray of my skull which showed density changes suggesting possible metabolic bone disease, and has ordered a bone densitrometry test and extensive bloodwork. He is ordering these as he thinks it could be that the parathyroid gland is overactive, and if that is the case, that would be removed. I asked him if there is any possibility of cancer, and he said possibly, but that he feels it is more related to the parathyroid gland. I asked him if I am diagnosed with cancer, what type of cancer could it be? He told me it would bone cancer. What are your thoughts?", "output": "Hello and welcome to Chat Doctor, Overactive parathyroid glands lead to formation of brown tumor in the bones. Brown tumor are formed due to over activity of bone forming cells. Brown tumor is a misnomer since it is not a tumor, and it is a manifestation of metabolic disturbance caused by hyperparathyroidism. A couple of investigations are required before diagnosis can be made and management can be done. An aspiration cytology of the swelling is required, and this investigation can differentiate between a bone tumor and brown tumor caused by hyperthyroidism. Thereafter, blood tests for calcium and parathormone also need to be done to assess the function of parathyroid gland. In case these investigations suggest any abnormality of parathyroid gland, specialized scan for parathyroid will be required to assess whether there is enlargement of all parathyroid glands or enlargement of single parathyroid gland. You need to consult an orthopedic for these investigations and thus further work up. Thanks and take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m currently 31 weeks and 5 days pregnant. Today for no apparent reason I am nauseated (at times to the point I m sure I ll puke any second) suddenly dizzy and my mid to lower back hurts so much that I almost want to cry. I m also VERY exhausted and don t want to go to the hospital unless absolutely necessary. Should I?", "output": "Hi, I have gone through your question, and I think I have understood your concern. I will suggest you the best possible treatment options.First do not panic I will suggest you to have non-spicy diet. Have small, frequent meals. Avoid deep-fried foods and bakery products. Capsule Pan D once or twice 30 minutes before food will be of help. For low back pain, please adopt correct posture. Tab Cal pol 650 mg can be taken as needed. I hope this answer helps you. Thanks Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "there is a problem for my uncle who is suffering from depression from the past seven years.my aunt is so worried about my uncle s condition.frankly speaking my uncle used to be the best business men in my home town,but unfortunately from the past 7 years he is not going to the store.business is being done by my uncle s brother.every one in my house are worried.my aunt is worried a lot.she even wants to take divorce which i dont like.i want to see my uncle normal again.i wil just give my uncles time table below { every day he wakes up at 10 am in the morning he eats his breakfast after the break fast he again sleeps till 2 pm in the afternoon.he barely eats lunch and again he sleeps till evening 6 pm.he wakes up at 6 pm and he will be active for 6 to 7 hours and again he sleeps. } we have consulted all most all psychologists in town and there was no fruitful answer. my uncles s condition havent changed till now.his condition is becoming worse day by day and my aunt is feeling very bad.i hope i get an appropriate answer from the concerned doctor.", "output": "Hi, thank you for using Chat Doctor. I can understand about your concern regarding your uncles' health. As you mentioned your uncle is suffering from depression and not getting better. You have also mentioned you have consulted psychologist. I would like to ask have you consulted psychiatrist? If not then get one consultation with psychiatrist. If yes then I assume The treating psychiatrist must have used antidepressant at least. Depression not responding to Routine antidepressant should be treated as resistant depression. Need to be certain about diagnosis whether it is uni-polar depression or it is a bipolar depression, as treatment differs in bipolar depression. Need to rule out hypothyroidism by doing thyroid function test. If still depression persist then one may go for Electroconvulsive therapy. Few more method like RTMS is also available. Discussion about all this would take few more pages here but I am sure treating physician would take care of it. But the point is treatment for depression is more advance nowadays, and I am sure your uncle can be helped. Hope this will help you. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My boyfriend was diagnosed with Left Hypopharyngeal carcinoma two years ago. He went through surgery, two rounds of radiation, and two rounds of chemotherapy. January 23rd, he was sent home with hospice, he died February 16th. Did it grow that fast or was it the morphine that ultimately killed him.", "output": "Hi, Thanks for writing in. Sorry to hear about the death of your loved one. It is possible that he had stage 4 cancer of hypopharynx. This is a delicate condition and usually the patient is unable to maintain a good general health condition. Since they had released him from the hospital, nothing much might have been possible from treatment point of view. Hospice referral is for those cases who can be made to stay comfortable with opioid pain relievers like morphine. The goal is to give them peace and comfort. Morphine will not have caused any significant event resulting in death of the patient. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Dr.s. I had a broken nose and a dns(towards left) after which my septoplasty was done 2 1/2 months back.Immediately after septoplasty i couldnt breathe through my right nostril.After further ct scans & endoscopic observations I was told that my turbinates are hypertrophic and my right side one was touching my septum and thus blockage in right side.My ent surgeon adivised for another surgery for turbinate reduction.I have already used steroid sprays and antihistamines to avail no improvement.Kindly suggest 1.Is there any alternate medicine(homeopathic,ayurvedic oths) i can try to reduce my swollen turbinates.2.What are the risks of surgery(i am told i will be undergoing smr sub resection procedure.3.How much time will I take for complete recovery?", "output": "Hello and welcome to Chat Doctor, As you have mentioned that the turbinates have undergone hypertrophy and are touching on the septum, surgery is the only solution to this problem. Steroids can cause atrophy of the nasal mucosa, but it will not cause atrophy of the turbinates. The surgery is safe. Time required for recovery is the time required for the wound to heal up. Thanks and take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HelloMy brother is 44 years old and is diagnosed two years before with GBM.He had surgery, chemo, temodal and avastin these week, but his health seems worsening.He stays in sleep for all the day, ( opens his eyes mostly when eating) and i would like to know if he is going to be better, if the treatment will have positive effects on him ( he had temodal two years before, when diagnosed with glioblastoma) and what to do.Actually he is taking dexamethazon and tegretolthank you", "output": "Hi, dairy have gone through your question. I can understand your concern. He has nuroblastoma multiform. If is very aggressive cancer and comes in who grade 4 tumours. Prognosis is very poor. Treatment of choice is of course chemotherapy, but chances of recovery are very low, and life expectancy is also very low. So you should plan accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor, Ive had recurring swelling around my right parotid gland for years. Every time I see a doctor, they tell me its infection. Recently, I noticed that the swelling doesnt go away at all, no matter what anti biotics I am on. In the past 2 months, docs put me on anti biotics for 5 weeks and realized that the swelling isnt subsiding. So an ultra sound was done, and was told that the duct on the right side is enhanced - twice the size of the left one and has a very irregular shape however theres no stone or calculus. Now my MRI says that there are multiple enlarged superior cervical nodes inside the parotid gland... some measure upto 2 cms. What does this all mean and why are they suggesting biopsy?", "output": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concern... As per your complaint and presentation of symptoms if you are suffering from recurring infection of the parotid gland and the antibiotics that you are taking is not providing you relief that means the infectious organisms are resistant to the antibiotics or the infection is not bacterial in nature and the antibiotics can only treat bacterial infections. The enlarged cervical lump nodes are due to infection itself, and you need to consult an ENT expert and get evaluated, and he can advise you to get a blood investigation as well as saliva investigation done to rule out the causative organisms. Culture and sensitivity testing will also be advised to rule out the exact stain of bacteria or virus causing the infection and treatment can be done targeting the same. Biopsy is commonly advised to rule out the exact cause of swollen lymph nodes which can be benign or malignant in nature. Hope this information helps. Thanks and regards. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor,I have got cold and cough and my doctor prescribed Bricarex syrup and now I have got stuffy nose and chest congestion. Shall I take Bricarex continuously until my cold problem resolved or any other medicine I have to take?Please give your suggestions.Regards,Raja", "output": "Hello are having cough, cold and congestion and now stuffy nose and taking BRIGADE syrup i.e. Terbutalin, guaiphenesin. Yes, in simple words to say as this causes bronchodilator and provide relief in cold, congestion, stuffy nose, cough provided if you are not having infection. If infection present then you should take some antibiotics. I prescribe my levofloxacin 750 mg / day for 3-5 days (one in day). Within 3-5 day, you will be symptom free. Hope this will help you. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had allergies all my life ,in fact i would resort to wearing a dust mask all day i would sneeze repetily one after another and still do im sick and tired of it all it has caused me alot of problems i have reached the ripe old age of 49yrs the only thing that ever helped was sudephedephedren can you help.", "output": "Hello, Thank you for asking at Chat Doctor. I went through your history and would like to know more about you like nose symptoms apart from sneezing, eye symptoms, cough/chest symptoms, stomach symptoms, skin allergies, other medical conditions, whether you smoke, your environmental conditions, any medicines, etc. etc. However, at present, from your given history, I would like to make suggestions for you as follows:1. I usually suggest my such patients regular montelukast + levocetirizine for 2-4 weeks, depending upon response.2. I would also suggest you allergy testing for common air-borne allergens such as house dust mites, pollen, molds, insect proteins, animal dander, etc. This will help you identify the substance causing allergies to you as well as to know the measures to avoid them.3. Based on allergy testing, an Allergist-Immunologist may prescribe you allergen specific immunotherapy which works on immune system to gradually improve allergy symptoms.4. In general, I would suggest you to avoid exposure to dusts, smokes, air pollution and cold air as much as possible.5. Regular breathing exercises might help. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you the best of the health ahead. Thank you & Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been sufferring from viral hepatitis since august end.I had a blood test on 30th Sep,2011 which indicated my SGPT-142 SGOT-67 and SB-2.0 (Direct-1.44;Indirect-0.56). Now after 15 days i again had a test with results as follows:- SGPT-310 SGOT-288 SB-1.8(Direct-1.04;Indirect-0.78)May i know how to reduce the levels of all three through natural medication because i have been intaking many alopetChatDoctoredicines since last 1.5 month? P.S- I have been resting since last 1.5 month,so no exertion and have been intaking oil-less food. No fatty food intake. I dont drink alcohol. And my body is little loose indicating fat.", "output": "His would suggest you to the following:-Amrita Fatwa - 1/4 tsp with warm water-first thing in the morning, empty stomach. Liv 52 (By Himalaya Pharmaceuticals) - 2 tablets thrice a day after food. Kumaryasava - 2tsp thrice a day after meals (without mixing water. Though few would recommend with water. However, you can consume water after the intake of the syrup)The above recommendation is in effort to increase the \"Liver Health\" and to help the liver restore its default functions. Continue the medication for a month, followed by a blood check. The change s in your blood level may help decide the time you may have to continue your medications. My assumptions are that you may require to continue it for a time period of at least 4 months. You seem to be taking required precautions in terms of food and lifestyle. I advocate you continue following the same. As an addition I would advise following Indian GooseberryPapaya White RaddishBeetrootBitter Gaul Chat Doctor. Have a great day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I believe I have a spider bite in my ankle which has become infected. Skin is very red and seems to have a blister like bump in centre. An antibacterial cream does not seem to have helped. I have had this for about a. week. Can you please give me some medical advice. Thank you.", "output": "Hi I do care for your concern. The history suggest of an infection, which may also be caused due to insect bite. If I were your treating doctor then I would suggested take oral antibiotics such as Amos with antacids for three days along with application of topical antibiotics. If still bump persist it's advisable to consult a physician and get the fluid Chat Doctor. Hope the condition gets well soon. If you have more doubts feel free to ask. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband has had back pain and a horseshoe kidney for years there is some type of blockage drs are not sure why. He had a stent placed today to see if it would help with pain if it drained properly. Ay other suggestionsAre you serious I thought you were a real dr trying to help! Wow what is ti world coming to go read your hypocritic oath I might not know ho to spell it but I know what it means", "output": "Hello and welcome to Chat Doctor, Horse shoe kidney is the term used for condition in which poles of two kidneys are fused together. This is a hereditary condition. The fused poles may compress the underlying ureters. Blocked ureters may cause urine stasis, urinary tract infection and / or pain. Stenting may help to clear away the blockage and allow free flow of urine. You will have to wait to see the results. It may take some time for the symptoms to resolve. Thanks and take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am 25 and I recently have hit a really busy time in my life. I m not sure if I m having anxiety or heart problems but I have shortness of breath, tightness in chest, dizziness when sitting and I cough for no reason every once in a great while. Although I do have insurance I don t want to go in and have a Doc tell me, oh it is just anxiety. Also, a couple of nights ago I felt like I couldn t breathe when I was in bed and it felt like bubbles were blocking my air way trying to breathe. However, once I stood up and then laid back down it went away and I could breathe fine. Recently my right harm has been in pain when every I move it. The when I message the lymph not between my collar bone and arms it helps. Is this all dealing with anxiety or what? Please help, Thank you.", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. Since you are young (25), possibility of cardiac cause is very less. But better to rule out this first. So get done ECG to rule out cardiac cause. If ECG is normal than no need to worry much for cardiac cause. Asthma can also cause similar symptoms. So consult pulmonologist and get done PFT (pulmonary function test) to rule out asthma. If both are normal than no need to worry about any major illness. Your symptoms are mostly due to anxiety only. So avoid stress and tension. Be relax and calm. Consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on it.Don't worry, you will be alright." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "It all started with a really bad gout flare up and now I have the worse swelling in my legs and ankles. Have been given series of medications such as high dose of prednisone with indomethicin and than given Cochin. They raised my lisinpril and changed my water pill to lasix. Nothing seems to be working for the swelling. Any suggestions?", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have swollen and painful leg and ankle. Well there can be many reasons for symptoms you mention in query like taking estrogen or testosterone, taking certain antidepressants, blood pressure medications, blood clot of the leg, venous insufficiency, organ failure, particularly in the heart, liver, or kidney. I would suggest you to consult general practitioner for proper examination. Doctor will examine physically by pressing with thumb, order certain test like liver function test, kidney function test along with check vitals. Doctor may prescribe diuretics, beta blockers or refer you to gastroenterologist for liver problem or nephrologist for kidney problem. For now keep your leg elevated while lying down, lower salt consumption and eat healthy. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have melasma and my the dermatologist said he can not treat it then he gave me Ratin a- micro 0.1 to just try it. I tried for six weeks ma face became darker and I have no result but my face became worse. what should I do and what is the best treatment for melasma? I tried so many types of treatment ,I also tried remedies and Obagi cream. My face getting worse and the dark spots even increased.", "output": "Hello, Melasma is a kind of hyperpigmentation seen mostly in females of middle age and is dictated by hormones and sunlight. It treatment is challenging but with proper regimen good results can be achieved. Usually the treatment is divided into clinic based treatment and home based. At clinic, I suggest series of chemical peels like glycol, Lesser, TCA with or without microdermabrasion. At home, you can apply cream containing comic acid, albumin, etc. and vitamin C serum for maintenance. Use high SPF sunscreen on regular basis. Use glycolic acid based face wash. Hope this will take care of your issue. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband is on peritoneal dialysis and he has most of the symptoms for dehydration, has no muscles, he is just skin and bones. But dialysis doctors apparently do not believe there is such a thing as dehydration in a person doing dialysis. He recently went through and still is going through a long bout with diarehea. It has lasted over a five weeks, but the dialysis dr. isn t concerned about it, and the primary care dr. refers him back to the dialysis dr. He is 5/8 and is down to 130 lbs. which the dialysis drs. say is a good dry weight for him... He is slipping away and no one cares. What do I do? Even the ER bows down to the dialysis drs...", "output": "Hello and welcome to Chat Doctor. As a Urologist, I can fully understand your concern. Your husband has got CKD(chronic kidney disease), for which, he's was on PD(peritoneal dialysis), after an initial HD(hemodialysis). What you should know is that, with kidney failure, the bones do become weak, and protein loss occurs in urine(proteinuria), causing muscle weakness. PD does cause frequency of stools and deny Chat Doctor. His electrolytes will need to checked, with urea and creatinine. You may send a copy of his reports to me, for an expert opinion. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I ani had an ultra sound yesterday i am 19 weeks pregnant. they found a couple little problems and i was wondering if you could inform me about them a little more the first is they found a membrane attatched to each side of the placenta and said its something they will monitor becasue the baby could get an arm intertwined in it and the baby could loose circulation. What is this called? and the other they found a blood vessel at the bottom of my cervix does this mean i will have to get a c-section?swer your healt", "output": "His have gone through your description. The description saying membrane attached with placenta with possibility of loss of blood supply to intertwined part signifies it is amniotic band.it is fibrous band with in amniotic cavity.sometimes if it passes through baby parts like intertwining it cuts that part.It's important to monitor baby. A blood vessel at bottom of cervix may be filamentous placenta .it bleeds heavy and causes fetal blood loss if normal delivery is allowed.it is best to go for Caesarion section as due to both factors like amniotic membrane and filamentous placenta. Thank youth best regardsVasundhara" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a pain on my right side in my upper rib cage. It is painful to move a certain way, to sneeze, blow my nose etc. It is not painful to breathe unless I take a deep breath. I had this same pain about a year ago, I thought maybe it was a broken rib but had x-rays that were negative. What might be causing this? Thank you", "output": "Hi, thanks for providing a brief history. If it's Not a fracture then you should try to do some breathing exercises. In fact if there is muscle weakness then the pain prolongs longer. But kindly see if breathing exercises help you. If Pain still persists after a week or so then you can surely take advice from pulmonologist and undergo a scan of your lungs and see if pathological issues are there or not.?thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i m 19yrs, 48kg n 5.4 inch in height and i have a huge gap may b of 1cm between my front two teeths n i have put braces for it but now it seems more increased. Plz suggest me some treatment bcoz m going to get married in this year. R veneers effective?", "output": "Hi! Welcome to Chat Doctor. I read your query. As you mentioned the gap between your front two teeth, this is called Disaster. You also mentioned getting orthodontic treatment via braces. Braces treatment usually takes 9 months to more than a year for proper alignment of teeth. However, if you are in a hurry, consult your Orthodontist. Force and frequency can be adjusted in moderation for achieving results a bit fast. Post treatment, a retainer will be put on inner surface of your teeth to prevent relapse. Veneers, laminates are also helpful in gap closure if it is minimum. But since you are already in middle of orthodontic treatment, I suggest you to get it completed for a stable permanent treatment. Hope the answer helps you. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have lupus sle and was diagnosed in 2008. I was just told today that my ct scan shows i have emphazema and copd. I just got over a terrible case of pnuemonia where i was hospitalized for a week. i havent smoked in over 8 years. Is it the lupus causing all of this and what do I excpect now, health wise?", "output": "Thanks for your question emphysema is the dilatation of alveoli. Alveoli are the gas exchanging structures in the lung there are millions of alveoli in lung alveolar dilatation is causes by smoking from the last 3 you have not smoked but maybe you have earlier been smoking other causes of emphysema can be environmental smoke and alone intrinsic deficiency that is an enzymedialatation causes emphysema or COPD is a disease of lungs which causes emphysema in my patients I diagnose COPD by a chest X-ray and confirm it by a spirometryafter diagnosing I start them on inhaled medications which is the standard treatment for copddisscuss these points with your pulmonologist so that u get the best treatmentthanksfeel free to ask more questions may god bless you with good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have recurrent infections in my belly button, sometimes they go away on their own and sometimes they fill with a foul smelling fluid. What can I do about this. I also have discharge from inside my belly button, ive examined this myself and there seems to be an abnormal opening to the inside of my body.", "output": "Hello, It is very common to get bacterial and fungal infection of belly button because it is ideal place for infection to thrive being moist. Other reason could be presence of some umbilical cyst getting infected. You must get the culture of discharge and a CT abdomen to know the exact cause. If it is just simple infection, it can be treated by antibiotics and antifungals. In case There is some infected cyst, then it can be removed surgically. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My mother has pancreatic cancer and is being treated palliatively (ie., has a metal stent; pain relief - fentanyl patch + endone for breakthough; and has just commenced on dexamethasone). Her stomach is constantly grumbling (which you can hear from quite a distance + easily feel when you lay your hand on her abdomen) and she has a lot of wind, primarily flatulence but some burping. Is there anything that might help with these symptoms as they cause her some distress?", "output": "Hi Welcome to ChatDoctorI have gone through your query and felt concerned about your mothers distress. The goal of palliative care is to improve quality of life not just in the body, but in the mind and spirit. Palliative therapies are clearly appropriate at the very advanced stages of the disease. Bur dear, our body never easily accept any foreign body, so the vague symptoms come out as constantly grumbling, and she has a lot of wind, primarily flatulence but some burping. Her food should be simple nourishing easily digestible.appetite does not allow you to eat large meals, aim to eat several small meals throughout the day instead. If you simply cannot manage to eat many solid foods, use liquid meal replacements as a substitute. Proper nutrition helps enhance the immune system, improve strength, rebuild body tissues and decrease your risk of developing dangerous infections. Even if you do not feel hungry, it is still important to fuel your body with high-calorie foods throughout the day will suggest to administer a mixture which has helped many patients in prevention as well as cure, in such situation. The Mixture of extract of Lemon, Ginger, Garlic, Bark of Maring\u00e1 tree, Vinegar of coconut water & Honey. Mix all well in equal quantity. Give her dose of 20 ml with same amount of water twice before meal for 2 -3 days, and without water for 31 days or 41 days as required. Is a great antioxidant , will help her in her problem and much more. Hope this helps you in solving your query. Take care All the best Don't hesitate to get back if you have any further query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "the past 2 weeks Ive been extremely disoriented and dizzy. Ive also been getting this tingling sensation in my fingers, lips and left leg. but not a numb feeling. it happens at random moments when Im standing still or moving around. am i just tired and stressed? should i be worried?", "output": "Hello thanks for asking from ChatDoctorTingling sensation in fingers, feelings of disorientation (or brain fog), dizziness etc. symptoms can occur due to a number of reasons in a healthy male-- First possibility is some nutritional deficiency. Low hemoglobin levels or anemia is one of common reason for such symptoms along with tiredness. Low vitamin B12 levels can cause dizziness and tingling in fingers and nerves. I would advise you to get your He, Vitamin B12 levels checked to rule out these possibilities.- Hyperthyroid state can also cause such symptoms. You have to get your thyroid levels checked to rule out these symptoms.- Other possible cause can be due to anxiety or depression. In severe anxiety symptoms like dizziness, stress, tingling in fingers and lips can be seen. I would advise you to consult a good neuropsychiatric for proper evaluation and treatment. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Why is it everytime i eat my chest and and esophagus tighten and become very painful making breathing very difficult it also causes me to vomit and usually will stop after that. It sometimes happens right after the first bite or a couple bites in but i always have this issue when eating", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. By your history and description, in my opinion you are having HERD (gastroesophageal reflux disease) mostly, because your symptoms like vomiting, burning pain and mild breathlessness after eating is seen in HERD. It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms. So try to follow these steps for better symptomatic relief. 1. Avoid hot and spicy food. 2. Avoid stress and tension. 3. Avoid large meals, instead take frequent small meals.4. Start Proton pump inhibitors. 5. Go for walk after meals.6. Keep 2-3pillows under had in bad to prevent reflux.7. Lose weight if obese.8. Avoid smoking and alcohol if you are having these habits." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had pain in my lower stomach for sometime and had been treated of the UTI sometime back. I did stool test and it show pus in the stool. The pain is too much and the urine is deep coloured. The back of the waist is also paining. The endorscopy did not show anything,what could be the problem. Jay P", "output": "Hi. The pus cells are just indicating that you had / have gastroenteritis and the endoscopy can be absolutely normal. And if it is normal, this is a good thing that you do not have any mass or ulcer, which can precipitate worst attacks. Due to Castro Problem you can lose lots of fluid and in turn can cause deny Chat Doctor. Both the infections can give one the back-pain and other symptoms. A correct dose and course of an antibiotic and metronidazole can help you come out of this problem." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am suffering frm BPD idont know wat to do?iam very frustrated my husband didnt support me always blame me i often feel 2 kill myself i feel very lonely nobady listen me iam 28 yrs of age i hve 2 kid i am very short tempered iam nt like tat before. i feel rejected by everyone,all are gossiping abt me i always feel tat i cant control myself if anyone say ill things abt me.i want 2 get rid of every releationship i cant eat n sleep well suggest me", "output": "Hi, I can understand the distress you might be facing in view of your current situation. I do hope that by BPD, you meant borderline personality disorder and not bipolar disorder. Borderline personality disorder is characterized by chronic feeling of emptiness, unstable mood and difficult interpersonal relationships, impulsivity and suicidal ideas and attempts. I would suggest you to consult a psychiatrist (I do hope you have already done that). The best treatment recommended in your case will be Dialectical Behavior Therapy. It will take time, and you will have to work hard, have frequent sessions and if done properly, you can significantly reduce your distress. You can discuss regarding this with your psychiatrist. Hope this information was helpful. Best wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Was diagnoised with angina and right bundle block around 25/30 years ago. Am 52 now and whenever i walk a short distance also am suffering from breathlessness. what could this be ?Also, the ECG, and echo results are normal - what could i be suffering from?", "output": "Sir, breathlessness on exertion with a history of angina is a strong indication of underlying heart disease particularly in your case after ruling out other common causes like decreased hemoglobin and other common condition. A treadmill stress test will help you evaluate the same. Normal echo and ECG doesn't rule out an underlying heart condition as they are taken at rest. Hoping I could help. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im 16 years old and over a period of time Ive had moments where I get a somewhat sharp pain in my chest, in the middle to be exact and with it, it gets a lot of pressure too and Its very difficult for me to breathe. It only lasts for a few seconds every time it happens.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. At your age, stress and anxiety are more likely causes for your symptoms (central chest tightness, pain, breathing difficulty). But better to get done ECG, 2d echo and PFT (Pulmonary Function Test) to rule out heart and lung diseases. If all these are normal then no need to worry much. Consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Don't worry, you will be alright with all these. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, this is the result of my semenanalysis. I want to see if there is any problem.volume: 5 cc, ph; alkaline, viscosity: normal, liquefaction time: 30, sperm count: 60,000,000, motile:70%, active motile: 40, sluggish: 30, non-motile: 30%, abnormal shape: 20 %Thanks in advance.", "output": "Thanks for contacting Chat Doctor with you medical questions. You are concerned about your recent sperm analysis. The number of sperm is very good and indicates that you have a very normal sperm analysis. You should have no problem trying to conceive a child. The abnormal shape sluggish motility and non-motile numbers are all within normal limits hope this answers your question. Please contact Chat Doctor again with any of your health care concerns" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, Just this week, the area between my toes has been feeling tingly, not painful though. Its as though I put Bengay between my toes. I have not changed any habits, no new shoes. I am healthy, eat right, and workout daily. I am a 41 year female, and I am at a healthy weight - 55 and 130 lbs. The tingly feeling lasts most of the day. Its very odd. Do you have any advice to what it could be? Thank you for your help. Kristin", "output": "Dear Kristin, The symptoms as mentioned in your post can be attributed to:1. Compression of nerve fibers at the lower limb due to maintaining inappropriate posture.2. Inadequate HY Chat Doctor. Dietary deficiencies of certain nutrients like Iron, Calcium, vitamin D, Vitamin B12, Folic acid, etc. which help in blood formation & nerve conduction.4. Peripheral neuropathy caused due to any fluctuation in blood pressure or blood sugar level. Symptomatic relief can be obtained by intake of cervicogenic agents (like Vitamin B6, Vitamin B12, Folic acid) as well as multivitamin & multimineral supplements including iron, calcium & vitamin D needs to be added in your diet. Physiotherapy & postural exercise will also be helpful. If symptoms still persist, kindly consult a Neurologist & get a complete Neurological examination done. Certain investigations like complete blood count, serum electrolyte estimation, fresh estimation of blood pressure & blood sugar levels & nerve conduction studies will be helpful to rule out any pathological cause for the symptoms. Wishing you a Good Health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ultra sound just found a liver nodule?? Primary reason for having the ultrasound was possible gallstones.....yes the nurse said I had gallstones....had MRI on abdomen and am awaiting results. What IS a liver nodule and should I be scared? Was told years ago that I had a fatty liver?? Do not drink alcohol. What are the possibilities here?", "output": "Hello Liver nodule may be due to both reasons benign and malignant. You need clinical correlation and further investigations. You are rightly suggested for MRI. It helps in better characterization of nodule. Tumour markers and FNAC can be done if needed.FNAC/Biopsy can exactly assess nature of nodule. You also need operation for gallbladder calculus.Don't worry about fatty liver. Fatty liver is a reversible condition, but underlying cause should be searched and treated. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "is there anythind that can be done to improve kidney function?I was taking 5mg glipizide one time a day but now 2.5mg twice a day depending what my blodd glucose reading is.I tend to run between 60 to 110.If the reading is below 110 then I do not take glipizide in the morning and my a1c is 6.3.", "output": "Hi, Thanks for writing in. A HbA1C level of 6.3 is at upper limit of pre-diabetes. It shows that your diabetes is under satisfactory control, and you are taking medications oral hypoglycemic agents properly. Kidneys always get affected after some years in diabetes. This cannot be totally avoided, but you can delay it by having balanced diet and taking medications regularly. A normal level of blood glucose will help in maintaining the balance. Please get your eyes and kidneys checked regularly. Kidney must be assessed by doing serum creatinine test and urinary proteins. This will guide you through future treatment. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a really strong odour that comes from my mouth. It always has different smells like poo or somthing dead. ive been to the doctors dentists. Had a gastrophase been tested for so many things. When cars drive past there heads turn like they smelt me. Everywhere i go people cough around me like they gag. I dont no what to do and i hate to say it but im close to giving up. Every second of every day is uncomfterble. It started when I was about 18 and slowly got worse and worse and im 21 now", "output": "Hi in regard to your query, you have mentioned that you had visited doctors and dentists, but you have not mentioned what did they say. Basically bad odor from mouth is of many reasons either because of poor oral hygiene or any systemic diseases like diabetes, liver insufficiency, kidney diseases etc... since you have mentioned something like dead I would suggest you check your diabetic status since you are healthy with your gastric status. I would suggest you to undergo complete health check up with your systemic status and make sure you are healthy and go for dental check UPP to confirm that your oral health is good too. Hope this is helpful. Without treating the systemic cause treating the only oral causes will not help. Hope this is helpful." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 38 years old, having 85 KG with 176 inches height lives in Melbourne. Last week I fainted unexpectedly on the floor and being transported to hospital. ECG/X Rays and CT scans along with blood test done all results are normal. Later on found sever back pain/ a kind of back strain. What could be the reason for this? Please advice", "output": "Hello, Thanks for the query to Chat Doctor. Forum. The reasons may be as followings, 1 Postural hypotension (low blood pressure),2 Hypertension (high blood pressure), when in hospital, they examined and found normal blood pressure, because of faintness (after syncope) there develops sudden fall in blood pressure due to collapse.3 Excruciating pain also develops faintness,4 Acute gastritis is another reason. If at present, you are feeling any problem, than consult a doctor, if no problem than wait and watch. Hope I have answered your question. If further any question I will help. Good luck. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have question on my look of my chest ,i am doing my gym regularly with my all cardio workouts also.i need to get my chest flat,square and good look.it looks like some fat muscles accumulate under my chest and its not going away.so it gives puffy appearance which i dont like.i checked in internet that for this problem we can take gynexin,gynemax,should i need to consult any doctor before taking this pill.whether this pill directly acts only on chest muscles?or is that purely herbal without side effects?", "output": "Hi, Based on the history you seem to have developed gynecomastia or fatty breast tissue. You should consult your doctor for proper clinical examination and to determine any underlying cause. Although a number of medications like clonidine, tamoxifen and anastrazole are claimed to be effective however FDA has not approved them for this condition. If enlarged breasts are bothersome your doctor may advise liposuction or mastectomy. Genetic is a herbal formula claimed to be effective in reducing the fat tissue in the chest however its efficacy and safety has not been proved on any clinical trials. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I Im hbv positive carrier. It was found on 28.1.2011. since then I underwent homeopathi medicine. Before diagnosis I had no symptoms except burning of palms,sole and warm air came from mouth. While getting treatment I have been experiencing some crap just bellow the right side ribs, fitigue,tired, ligh cola cloured urine and eyes were shrunken. I have been taking plenthy of water. less Nonveg meals and I had no other habits like drinking and smoking. When checked my wife she found hbsag negetive. Immediately gave her vaccination two shots were completed and third shot sheduled to be on 4.8.11. I have been participatinng sex by using condom. My children were also HBs ag negetive.( HBS ab not tested so far) They were vaccinated after their birth . I am worried about while treatment, is the virus activated? if so, the virus harm my liver? ( my previous SGPT-18 IU/L). I heard that hbv trasmitted through sweat, is it true?", "output": "Dear PonduruYour being positive for HBO is sufficient to call for proper care in diet and regular medicine. The way have explained your condition I believe homeopathic remedy has not offered the desired results, either it calls for re selection of medicine or you should look for other alternatives. Ayurveda offers good help in such cases There are some Chat Doctor. Tab. Ironic and SY lion for the baseline treatment. I also use punarnava star in such cases. You can take your decision." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "is there any hospital that will perform a liver transplant if the patinet does not meet the Milan Criteria? Hep c and HCC..resection of 3 cm tumor on Aug. 2, 2010. Cancer returned as 7 lesions..I round od chemoembolization. Scheduled for 2nd treatment Jan. 20 & Oral Nexavar.", "output": "Hi, I had gone through your question and understand your concerns. Generally yes. There are some other criteria such as San Francisco which is extended and involves more patients than Milan criteria since even patients with 8\u00a0cm large tumors may be capable for transplantations. However, if there are 7 lesions then the benefit of transplantations is questionable and I would say this would be useless, unfortunately. Wish you good health. Kindly regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have very irregular menstrual cycles. I can go two months without one then once I menstruate it will be for instance Ill start the beginning of the mnth then the next month start in the middle of the month then I ll start at the end....Then go without for a few months. Is this normal since I dont currently take birth control and havent in five years.", "output": "Hi, It is not normal to have irregular cycles, and you cannot keep taking pills to regularize cycles lifelong. So I will advise you to get Thyroid profile tested i.e. Free T3, T4, TSH and Serum FHS, Serum LH and Serum Prolactin as thyroid and hormonal imbalance are common causes of irregular menses. Also, you need to get a sonography of your pelvis done to rule out any fibroid as a source of irregular bleeding" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have pulmonary sequestration, I am 54 years old, it is located on my lower left lung. One professor is anti operation as he states: you have only had pneumonia twice in 54 years, you will put on weight after the operation, you will need someone to look after your child, you will have time off work and you will be coughing up blood. Another lung specialist is pro the operation as he states I will get pneumonia again and it will be harder to deal with as I get older. I have had pneumonia for 70 days now. What are the pros and cons of this operation to have this removed? Thanks JB", "output": "Thanks for your question on Chat Doctor. I can understand your concern. If pulmonary sequestration is an accidental finding without any symptoms then nothing should be done. But if recurrent pneumonia, non resolving pneumonia at same sites occur then surgically removal of sequestered lung is the treatment of choice. It is similar to lobectomy surgery. No post-operative or long term complications of this surgery. So in your case, surgery is indicated. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I recently had a TB skin test for nursing school, the doctor said I have the TB germ so I had an x-ray did, my chest x-ray is normal. My doctor has prescribed me 300mg of Rifadin twice a day for 4 months. I am 47 years old and not sure as to what to expect.", "output": "Short answer: Ritalin is rifampicin it is one of the anti-tubercular Chat Doctor. Rifadin alone is not effective. But the treatment for anti-tubercular treatment is different. Detailed answer: all the extra pulmonary tuberculosis like skin TB has to be treated with isoniazid+ rifampicin+pyrazinamide+ethambutol+ with or without streptomycin for the first 2 months initially later for the next 4 months it has to be treated with rifampicin and isoniazid all the " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a lump in my neck about six years ago. It is still there has grown slowly it is on my left side slightly Right of my clavicle I can move it slightly. It is probably the size of a marble it doesnt feel like its connected to anything as if its between my neck and my skin", "output": "HI. By the position you have mentioned and the duration - this looks to be a solitary nodule of the thyroid gland. Get this confirmed by ultrasonography and go for an FNAC to get the right diagnosis. Even a good clinical examination by a Good Doctor can give you a diagnosis. Also go for the blood tests particularly thyroid function tests. You may need removal for the histological diagnosis to rule out a sinister problem." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was weeding in my yard and was using rubber gloves, the next day I had a rash on my upper left arm and then I noticed it on my penis. Is it safe to use Benadryl Itch stopping gel on my penis? I am not sure if it is poison ivy or just an allergic reaction. I have allergies and am sensitive to these types of things. But never experienced this before....thank you.", "output": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Yes, it looks like allergies to the grass. Allergies can be handled by Ben Chat Doctor. Please take the medication under your doctors' guidance. This will relieve your rash immediately. In future please wear good protective equipment that can not expose you to the risk of allergies. Please do not scratch the skin hardly otherwise injury can cause the infection over the skin. I will be happy to answer your further concern on bit.ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, this is Zak here I am a barrister in london. about 3 years back while talking on phone with my fiance i accidently put a cut inside my bum cheek by a sharp nail of my finger. now after 3 years it has taken the shape of a wound and when i apply betnovate -n on it, it remains ok . in case of pressure water on it the wound get swell and bleeds and pains, but after applying medicine on it becomes ok. now it did not bleed from six months but do swell and pain when i wear tight pants or in case of presser water on it.", "output": "Hello there, I am Chat Doctor. So you need to go for local examination by a surgeon, so he can diagnose is there any collection of blood or pus. Sometimes if some foreign body like piece of nail is remain inside it also not allow the lesion to become normal. Further diagnosis is done after examination. So please visit your nearest surgery specialist. Hope I have given appropriate guidance to you. If you have any query you can consult me anytime. Give me star rating according to your satisfactory level. Thanking you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello i am really confused about what it is i have.it started with boils under my armpits iwent to the doctor and was given antibiotics.then i developed 2 ringworms and which i started using blue star.now i have alot of bumps on my stomach and breast.what could this be?", "output": "Hi, I understand your concern. 1. The boils you had under your armpits are due to possible skin/hair infection. That's why your doctor prescribed antibiotics. 2. Ringworm are fungal infection of the skin. Here, there is a case for discussion. As the ringworm skin eruptions started immediately after starting antibiotics, my suspect go for possible allergy reaction to that antibiotic. As you have developed a lot of bumps on your stomach and breast, then, this for me, confirms allergy. I suggest stopping that antibiotic, and to report to your doctor as side effect. 3. You can also provide a photo of the bumps to me if you need further specific opinion. Hope it helped! Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. Am Harriet nd my doc says I got apendix. I have canceled sugery several times due to various things.Now d pain is so hurtful and constant.like my lower right side is burning.could it be that the apendix is about to burst? Can t operate now till 3 weeks time cos I got somtin I need to do.do u tink augmentin m might help. Am scared cos am just 21.", "output": "Hello. Thanks for using Chat Doctor. Firstly you have not followed the advice for surgery which would have removed the appendix once and for all. However since the appendix still remains, It's prone to repeated attacks of inflammation and causing symptoms which you are having over and over. Complications such as bursting of appendix can occur considering the appendicitis progresses to further stage. Advise would be to consider a near date for surgery, since avoiding it would pose more problems for you rather than a solution. Only taking Augustin would not help fully. Feel free for further queries. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "recently got out of hosp. my feet are motley colored red and white, tho some of the red may be due to my psoriasis, tho Ive never had it on my feet before . being diabetic for 20 yrs tho proly makes for some changes. legs and feet cold all the time now. what can I do to stay warm and get rid of the redness?", "output": "Hello, When diabetes continues for a long time (over 20 years plus), whether well controlled or if control is not good, it does affect small and large blood vessels. Affection to small blood vessels causes problems with retina, kidney and erectile dysfunction. Whereas large vessel affection invariably leads to improper blood supply to lower limbs. This along with peripheral neuropathy can make limbs feel cold, numb and there may be altered sensation. Plus due lack of blood supply and hyperglycemia wounds do not heal quickly, leading to serious consequences. To overcome this maintaining a strict blood glucose control with fasting closer to 100 mg, PP 160 to 180 mg & HbA1c%<7, is necessary. Plus if the problem is severe, causing intermittent claudication (severe cramps on walking), then a color Doppler test or angiography may have been done. But most important is strict blood glucose control. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 18 month old has has a unilateral lump in her left breast. I m not entirely happy with the results I got, I was told it s either a fat deposit or a fibroadenoma. I ve been doing a bit of reading and as they have suggested biopsy in 6-8 weeks if it has increased in size, I am worried if these could be mistaken for thelarche? Or if there is something in the iages that rule that out? I have no doubt a biopsy would be traumatic for my 18 month old, the ultrasound itself was bad enough. And I am also worried if it is just a benign lump that the biopsy could cause some sort of damage? She is also still breastfeed, she eats food, but also has breastmilk throughout the day. The lump has been there for a month that I know of. It definitely has not shrunk, but I am also unsure if it has increased in size.", "output": "Hi...if I were your pediatrician or pediatric surgeon I would definitely have advised you the same thing - to go ahead with biopsy. Biopsy would be done under anesthesia unlike an ultrasound which is done when the kid is awake. So it would not be traumatic to the kid. D\u00e9marche should be bilateral that is both sides - but as this is unilateral I definitely suggest doing a biopsy and arriving at a diagnosis as soon as possible. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am suppose to have surgery but doctor wont clear me unless I have a stress test, he said i have 2 tumors each one on the kidnesy I am afraid, had cat scan done, he wrote I have reviewed with patients results and rec renal u/s to eval lesion. d/w patient rec pelvic Angina of effort (413.9) multiple risk factors including dm, lipids, htn and change in pattern where she now had with stress", "output": "In case of a high risk surgery due to presence of cardiac risk factors, surgeons and anesthetists need a clearance or approval from physicians or cardiologists before doing surgery. Same is a case with you. You can consult a cardiologist as advised and if a stress test is required, a dobutamine stress test can be performed using infusion of a Chat Doctor. In this test you don't have to walk on a treadmill. Alternatively your cardiologist can examine you and have a word with the surgeon or anesthetist. Of course you will have to sign a high risk consent showing that you understand the risk posed by cardiac disease or risk factors if present." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have fungal infection in my scrotal area and in penis portions and i consulted a doctor and he prescribed the zolefung cream for 1 month and i used it.Then also it is not curing,what i have to do?Please give me suggestions? Is there a faster Oilment which can cure me?", "output": "Hi. I understand your concern. Fungal infection can be treated with medicine like antifungal group. Medicines like fluconazole 150 mg once a week for 1 month and terbenafine ointment can be useful. But treatment depend upon type of fungal infection. It can decide only after proper examination. So consult dermatologist before taking any medicine and get help. Still if you have a query then feel free to ask. Happy to help you further. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "The past few days I ve had this weird throbbing, pulsating feelin on my lower left abdomen, where my uterus is. It almost tickles and it s really annoying. There is no way I could be pregnant because I m currently on my period, as well as birth control and haven t had any kind of sexual activity in months.", "output": "Hi. Thanks for your query. Such type of pains are suggestive of a mass from the fallopian tube and / or ovarian mass. Since you are having periods the congestion would give you this type of feeling. I would advise you in such a situation the following:::Since you are having periods, per-vaginal examination is not done. Ultrasonography with color Doppler can give a good diagnosis and this has to be confirmed by CT scan to see the complexity of the problem. CT will also help to confirm or rule out other problems like aneurysm and so on." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I keep experiencing intense deja vu, this has increased significantly in the last few months or so. I get this feeling of warmth and familiarity which is then followed by an increased heart rate , intense fear which is almost unbearable, nausea and dizziness . It mostly passes after about a minute but I do feel strange for a while afterwards. I am taking sertraline and have been doing so for around 1 yr (no side effects apart from yawning and some nausea right at the start), I was diagnosed with depression about a yr ago but was fully discharged by the community health team late last year after a course of CBT ...my meds are also reduced...the last reduction was around 5-6 mths ago (from 150 to 100mgs). I do not take any other medication. I ve just had one of these turns and feel very hot and a bit shaken and tired now. I ve had 2 today so far. I don t feel scared of the dejavu, it s like the anxiety & all the other symptoms just come with it, I ve tried to explain it to people but it s very hard to describe, what do you think could be causing this?", "output": "Hello and welcome to Chat Doctor. Thanks for your query. Your symptoms seem to be indicative of an anxiety-related problem, probably a panic disorder. I would advise you consult a psychiatrist for a detailed psychological assessment and further treatment. There are effective treatment options - in the form of medication or counselling / psychotherapy which will help you overcome your problems. Wish you all the best. - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a hard lump on the outside of my left kneecap-feels like its on a tendon and sometimes it gets stuck and I can t bend my knee until the lump pops into place. almost as if the lump gets in the way of normal tendon movement. also there are more hard but painless knots that seem to have grown on knee tendons and /or ligaments. what could they possibly be? anyway to improve and shrink these lesions without surgery?", "output": "Hi, thanks for sharing your health concerns with Chat Doctor! If I were your treating Doctor for this case of this knee lump, I would come up with two possibilities:1. A partly dislocated patella !2. Synovial effusion, reactive synovitis, loose bodies, bursa or tendinitis etc.! Well, this is a fairly common benign disease of the patella and knee joint ! I suggest you to go for an X-ray and FNAC test of the lump for confirmation and to relieve your concerns! Regarding treatment, physiotherapy and limited exercises are recommended under orthopedic supervision! Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i hav PCOD complaint n now tat we r planning for kids, my doctor suggested me to take bigomet sr 500 n duphaston 10 mg twice a day. i started having pain in my lower abdomen after taking these medicines. wat culd b d reason n is it going to effect.", "output": "When you start taking hormonal pills, you might not see regular periods for a few months. You might see abdominal pain, irregular spotting, lighter periods than you are used to or a heavier flow. Your body needs to adjust and regularize the hormone levels. You can wait and watch the bleeding pattern in the next few cycles which will regularize with time. Hope I have answered your query. Let me know if I can assist you further. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Woke up this morning with severve back pain and very sore to take deep breaths.Last night was out walking the dogs with no pain what so ever.Last week in the heat of the night i lay and fell asleep on the concrete to cool down.I haved taken 3x tramadol tablets 150mg,2x voltaren tablets & nurofen but pain still there.defientely not as bad ???", "output": "Hi there, Thanks for writing in. Any history of associated cough/ high grade fever? Any history of trauma or fall? Upper back pain or lower back pain? Any stomach pain? With the brief history you have mentioned, the possibilities I can think of are sprained(pulled muscle) back, peptic ulcer, gastritis, pleurisy or pneumonia. Kindly provide further details for a more thorough assessment. I would advise you to visit a doctor for a detailed examination and evaluation. In the meantime, Chat Doctor. Apply voting (diclofenac) gel at the site where it hurts. 15 minutes later apply hot fomentation intermittently. Do this routine 3 times a day. Please do not take so many pain relief medications. You might end up with side effects like gastritis. Take pain relief medication after food. Wishing you a speedy recovery. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My cousin had a fever or 102 yesterday and she feels a little better today, shes 21 years old,but she feels like her palms are burning and the soles of her feet burn also and she feels kind tingly. Is this an emergency that she should go to the hospital now?", "output": "Hello, I read carefully your query and understand your concern. The symptoms of your cousin seem to be related to an infection. I suggest using anti-inflammatory medications such as Acetaminophen to relieve the fever. I also suggest checking the body temperature frequently. I recommend to Chat Doctor. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards! " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi,i am 21 years old male and a medical student. 7 months ago i developed gynecomastia. initially it was unilateral but now it is bilateral. i have palpated it, its glandular. my height is 5,10 and weight is 80kg.i have lumps in my scrotum for 5 years, which are not tender. is my gynecomastia due to obesity (i have gained 7 kgs in last 2 years)?? or it is due to scrotal lumps?? please.", "output": "HI, Dear,Welcome to Chat Doctor. Based on the facts and data of your query, You seem to be having complex hormonal imbalances, the cause of which could be in the scrotal lumps, as the lumps are for 5 yrs and are painless. Being at 21 yr-a younger and active age group, possibility of Seminoles need to be ruled out by CXR and by Scrotal Doppler Studies. Painless lumps lead to the possibility of Varicocele as TH cause of Scrotal Lumps. In this scenario, as there are no chest complaints and as Gynecomastia followed after 5 yrs of bilateral scrotal swellings, a slow process of testicular damage, leads the cause to Bilateral Varicocele with Gynecomastia lately in last 6-7 myths time, which was unilateral and later involving other testes also. Dopplere study of the Scrotal swellings would fix the Varicocele, as its cause. Early age of the Gynecomastia with bilateral tumors indicates more of Bilateral Varicocele, as Seminoles occur in 30-40 yrs mostly. Get checked from Surgeon, who could grade it by Valhalla maneuver. Besides this hypothyroidism with high TSH levels/Low testosterone with high LH levels/ High prolactinemia would indicate SOL of the Sell Turkic, mostly of Prolactin, would need to be ruled out before the Gynecomastia is evaluated for the Scrotal lumps. In the above scenario, you need to be very cautious and take the needful treatments for the varied unknown health issues you may have, which requires thorough evaluation of your case. Hope this reply would help you to resolve your sever anxiety. Welcome for any further query in this regard Will appreciate writing your feedback review comments, to help the needy patients like you at Chat Doctor. Good Day!! Chat Doctor. S. Genl-CVTS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a lump on my butt and its painfull to walk and specially when I sit it looks like its swollem around it I also notice its moved down I m not sure if its due to when I sit I try to sit in a position where its pushing it down PLEASE HELP should I get it check or would it go away on its own?", "output": "Hello! Thank you for the query. The pain indicates some pus presence due to inflammation in the lump area. If this lump is located between the buttocks, colonial cyst is the most probable reason. If the lump is in the other location, sebaceous cyst or other benign skin lesion is the reason. In all mentioned cases, the lump needs to be incised and the pus Chat Doctor. Otherwise, it won't get healed by itself and the pain will become worse. Please consult a surgeon with this issue. Hope this will help. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, my baby is 5 months old now i am following lactogen along with breast feeding. i am giving 2scoops with 60 ml of water for each feeding in a interval of 4 hours(5 times a day). but she is fussy and cranky after consuming also. why is it so. does she feels hungry? should i increase the amount or no. of feeding? can i introduce any other food like cerelac or raggi mix.", "output": "Mothers milk is the best possible feed for a baby and there can be no alternatives for the same. It is produced in response to the babies demands. Most formula milks are cow milk based and hence difficult to digest. Do not give the formula that the child cannot tolerate. 60 ml is unlikely to be adequate for a child of this age. You may also try increasing the amount of feeds and see if that satisfies the child. It is best to give the child feeding on demand and as much as the child demands. Often the child ingests air along with feed. This air can distend the stomach giving rise to discomfort and the child this could be the cause of your child crying. Proper burping and giving Climax Chat Doctor. Although weaning to semi solids is suggested from 6 months of age, you can start them at 5 months if the demands of the child is not met properly. So you can introduce other foods like Carla or ragga mix." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was subjected to an electric shock today through my left hand and arm. My symptoms are pain, slight swelling and regididty in my left wrist and tendons extending up to my left elbow. How long will this last and what can I do to help it heal faster? This happened at work.", "output": "Hi, You are lucky that you do not have any heat-related symptoms in electric shock. As far as your symptoms are concerned, it will depend on the strength of shock. But as a normal expectation, we expect a recovery in about 3-4 weeks time, if there is no major damage. The acute problem should be over in about 10 days. You can take painkillers and muscle relaxants for faster relief. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, my 3year old son has fever accompanied with cough since the last 7 days, for the first 3 days, augmentin duo was given, he didnt respond so we took him to a paedtrn she suggested a blood and urine test, mild traces of urine infection was detected. So Doc suggested Keflor and Bricarex for the cough. my son was fine without fever for 3 days( antibiotic is still on) but 4th day fever upto 101.8 F is back and has come down with a crocin, but i dred it will shoot up again. Pls advise.", "output": "Hi madam, cough and fever suggest either an upper or lower respiratory tract infection, which most of the time its viral, that's why the antibiotic didn't help with Chat Doctor. But before that I recommend doing a chest x-ray to exclude emphysema or abscess into the lungs .if your child exhibits a symptom of upper respiratory tract infection like runny nose or snoring he might have sinusitis which requires high dose and prolonged cause of antibiotics. I hope this is helpful" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, My mom currently suffering with H pylori IgG infecetion & she has completed the 14 days course of H pylori - Kit but still she is not feeling well & also inform u that allopathy treatment not suitable to her body can you please inform any other which can help it out to get cure from it Thanks & RegardsSandeep G.", "output": "Hello and welcome to Chat Doctor, An infection in the body is followed by increase in IG M antibody. After the infection is treated and/or the infection dies out the IG M is followed by increase in IG G levels. The H pylori infection can be efficiently treated with anti-H pylori Chat Doctor. After clearing of infection, the levels of IG G increase. Increase of IG G levels is not a disease state. It suggests infection control. If again there is increase in levels of IG M antibody against H pylori, a re-infection with H pylori is present. Thanks and take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "good morning DOCTOR My name is khalid khan, I adopted gutkha before 18 months. but my mouth is not full open properly. only 2 finger are feet in the mouth. and a major problem that sometime (in 1 time in a Month) mouth are starts side RED patches and some pain. but after only 1 day it is clear. 2 times i do exercise with wood spoon which 20 spoon are set in my mouth but after 15 days my upper jaw teethes are feel pain so i adopted that exercise. so Doctor plz consult me that What i Do...", "output": "Hello, thank you for consulting with Chat Doctor. The symptoms which you are mentioning it looks that you might have a disease which is known as oral submucous fibrosis, it occurs because of habit of chewing tobacco and Gurkha and there will be gradually decrease in mouth opening with burning sensation to spicy food. For the treatment you have to start with an antioxidant like lycopene twice daily for two months and topical steroid ointment in both the cheek mucosa. Hope it will help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have psoriasis on my elbow and its not that much, I actually bought some sort of cream for it and put it on every night and it keeps it down, if i dont put it on for a few days it starts getting worse but as long as I just put the stuff on again it makes it go away a bit but I can never get it to completely go away, and as Ive read theres no actual cure for psoriasis. But I was wondering if a doctor actually cut the skin off that its on, would that get rid of it? not just the scaly skin, but the skin thats under that even.", "output": "Hello dear, Welcome to Chat Doctor. I have read your query and understood your concern. Psoriasis as you read correctly is a controllable disease but not a curable disease. For limited area involvement, topical moderate to strong potency steroid with or without salicylic acid is advised. That will control the flare, but won't prevent it from recurrence. Trauma is a triggering factor for the same. So any kind of surgery will augment the disease only. Put a good amount of moisturizers over body to prevent Chat Doctor. Stay healthy." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 18 years old, have been on seasonale for almost a year. i am on day 57 of my cycle, three weeks to go of pink pills before the white pills. I have been bleeding a lot for a few days and this is the third time this has happened around the same time while taking Seasonale. Would it be possible to stop taking the pills for a few days to let the full period happen, or should I continue to finish the other three weeks of pink pills and one week of white?", "output": "Hi Hope this message finds u in good health. I have gone through your msg and understand your concern.it may be due to some sort of hormonal imbalances or variations in the body, though there may be other reasons as reclothing to worry about, You should eventually get back to normal. Take multi vitamin and calcium supplements Do consult a gynecologist if symptoms worsened back to me for any FOLLOW-UP QUERIES anytime. Chat Doctor. .(MBBS, MS,MCH)" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have whitish , painless discharge from my penis. I began to see the discharge after an intercourse with my girl friend. We both tested negative for Gonorhea and Chlamydia . We were given anti biotics and discharge cleared of. But we hard sex again and I began to see the discharge again. I have gone to my doctor and a another test was carried out but it was again negative. What could be the course of the this? There is no pain. I only see the discharge when I squeeze my penis. I have no fever , no heachache, no flu like symptoms although I have a mild muscle ache and feel cool inside the body.", "output": "Thanks for contacting Chat Doctor with your heath care questions. I am sorry to hear that you continue to have a whitish discharge from you penis after having been treated for either chlamydia or Gonorrhea. Is this discharge there just after having sex or is this discharge present throughout the day. If it is just after having sex then this may be residual semen. If the discharge is throughout the day then I would be more concerned for ongoing infection. This infection may not be a sexual transmitted disease but prostatitis. I would recommend you seek medical attention again and have them check your prostate. The treatment for prostate infection is a long course of antibiotics sometimes up to 1 month. I hope this answers your question. Please contact Chat Doctor again with any of your health care concerns" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I went to the dentist last Friday because I wanted to get my teeth checked out. She gave me a filling in two teeth...both the second last molar from the back on the upper left and right side. The filling on the left has given me no trouble since but the one on the right has been painful ever since, not all the time but when I am eating food. I went back to a different dentist on Tuesday (as the other one was a few hours away from where I work) and he filed down the filling for me as it was a little high. However, it is still hurting when I eat...could you advise as to why this is? Could the filling have irritated the nerve or something, or do you think it just needs a while to settle down?", "output": "Hello and thank you for your question. You have little ligaments around the tooth called periodontal ligaments. This flex up and down when you bite firmly against them. When you get a filling that is high, you have more pressure onto these ligaments leading to pain and inflammation. The longer you have this trauma the longer it takes to heal. The tooth may be adjusted correctly, and you need to have the inflammation go down. Give your tooth some rest and allow it to heal for several weeks. It can take 3 weeks for this pain to subside. If it doesn't get better or gets worse, do not hesitate to be reevaluated. Best wishes. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi! My baby is one year and seven months. I just would like to ask if fat globule in his fecal exam result says few, is it normal? The color is yellow, the consistency is soft. WBC, RBC, ova and parasite result is non seen. Yeast cells result is few. What does this indicates? Than you.", "output": "Thank you for posting your question. Fat globules in stool examination is a normal finding in stool. It is related to the fat content of the ingested food. This finding may rarely be considered significant in a child with a liver or pancreatic disease. But in the face of a healthy child, this finding can be ignored.Similarly, few yeast cells in stool examination could also be an incidental finding with not much significance. Also, any laboratory report needs to be correlated clinically to decide whether it is significant. Thus, if your child is healthy and not showing any bothersome symptoms, these changes in the report may be ignored." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just got my wisdom teeth removed as of last Friday I had one extra wisdom tooth a total of 5. My jaw is locked where I cannot open it more than half an inch, I have a black eye and an extremely swollen cheek is this normal and what should I do about the locked jaw?", "output": "Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have undergone extraction of wisdom tooth now you feel like swollen cheek and locked jaw, after extraction of wisdom tooth swelling happens wait for one week if it is remains same then consult your dentist for oral examination. Do follow post-operative instructions given by your dentist Take proper course of antibiotics prescribed. Hope this will help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My doctor has recently put me on 5 mg of Norvasc at night, and I am on lisinipril 24/20 in the morning. Is it okay to take a potassium supplement and a magnesium supplement with these meds? I have legs cramps almost nightly, but do not want to keep taking the supplements if they don t agree with my BP meds.", "output": "Hi, It is not safe to take potassium while on Lisinopril. Taking potassium supplements while on BP medication lisinopril may cause hyperkalemia (increase potassium levels in the blood). Hyperkalemia can lead to kidney failure, muscle paralysis, irregular heart rhythm, and cardiac arrest. You may be more likely to develop hyperkalemia while using these medications if you are elderly, deny Chat Doctor. It is better to avoid potassium supplements while taking lisinopril. For the leg cramps occurring at nights I advise you to:* To do frequent stretching your leg muscles or riding a stationary bicycle for a few minutes before you go to bed* Flex your foot up toward your head* Take plenty of fluids to avoid deny" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "mam, im 31yrs old.after clomid my dr has gave hmg 150iu in alternative days on 8thday and 10thday.right fallopian tube is opened.my right ovaryfollicle size is 22x18mm endometrium 10.9mm on day14 impression: minimal fluid seen in pod and dominent follicle is slightly irregular.so egg is about to rupture so done iui on that day itself.ask to take usg again on 16th day.but follicular study on day 16 shows same findings follicle size is 22x18mm endometrium 10.9mm on day14 impression: minimal fluid seen in pod and dominent follicle is slightly irregular.so she give(ChatDoctor) pebergenjo 7500iu for follicle rupture on day16. and ask to have intercouse. again take usg on day 18.is this condition is normal?does my iui works.waiting for ur valuable suggestion.", "output": "Hi, Ovulation may occur as soon as 5 days after treatment for induction, but it could be as late as 14 days also. You need to wait for a couple of cycles before you get to know the way your system reacts to the Chat Doctor. Ovulation may fail to occur sometimes if the body is not responsive to the dosages administered. You should follow your doctors advice and wait patiently as treatment for infertility needs a lot of will power, and I am sure you will definitely find luck. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i have a 9 years old doughter she is very active and sometimes very quite last night she was at her class doing kung fu she and her teacher came up and she told me her heart beets very very fast and she can not do any more activeties i toldher to sit down and relax this is actualy her 2 time complaing about her pain what do u think i should do", "output": "DearWelcome to ChatDoctorWe understand your concerns went through your details. Palpitations could be due to many problems including heart related problems and anxiety. But you should not waste your time, and please consult a child specialist immediately to have an expert opinion. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sizeable redness and 6 x6 swollen area on forearm that has grown to include elbow from friend s indoor cat bite last night at 10pm Doctor appointment today confirmed cellulitus and am taking Amoxy 2x s day. This swelling is increasing to more than inch on half of it, towards shoulder. Dr said if increasing swelling and fever to call immediately. office closed ? is ice counter productive to fighting the infection?? when do I go to ER? hurts a lot and very hot, lymphnodes in armpit fine, and maybe a slight temperature rise on body.", "output": "Cat bites get infected quickly, and the infection can spread rapidly. If it is just plain amoxicillin you were given, that is not adequate treatment for a cat bite. Augmenting (amoxicillin with clavulanate) would be adequate. Ice will not provide much benefit. If you can't get hold of a doctor immediately (there is usually a doctor answering emergency calls at night if your doctor isn't available), then you should go to the ER now. You might need more aggressive antibiotic treatment and if an abscess has developed, it will have to be Chat Doctor. Good luck. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have two teeth at the back of my mouth one top and one bottom waiting to be removed surgically. I have had tooth ache on and of now for two weeks and my ear has been hurting on that side of my face aswell the back of my tongue seems a bit swollen and I have had a metallic taste for the last two days aswell. What do you thin this could be? Thanks", "output": "Hello friend if your dentist has planned extraction then he might have prescribed you some medicines.if yes then these medicines may cause metallic taste.also the tooth pain sometimes radiates to ear and face, so maybe you are having all such problem because of your teeth only.... another chance of pain in ear and back of tongue is throat infection as you know throat and ear are connected...so to rule out the cause you can consult a general physician also...throat infection also causes pain in throat... but I feel the more possible chances are due to infected teeth. What you can do is start warm saline rinses 3-4 times a day...and if not taking medicines you can start antibiotics and painkillers after consulting your dentist.... thank you follow up is invited" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have lei protein a. My count was 80 when the blood test was done . I had a Small TIA two weeks prior. Had many tests, and Doc put me on a statin drug, niacin,a blood thinner and aspirin. Determining I had arteriorsclorosis. Many of the statins do not agree with me and now trying Livalo which des not agree with me (muscle weakness and cramps). Question: I have been having bad pain in left side of neck where apparently as lordosis is located, Doc out of town no one else to ask if important, Thank you", "output": "Hello! Thank you for asking on Chat Doctor! I carefully read your question and would explain that the neck pain seems to be related to the chronic degeneration son your cervical spine. A bulging disk can not be excluded. So, I would recommend holding a cervical collar until consulting with your doctor. It will help relieve the pain. A cervical spine CT scan may be needed. I would recommend taking acetaminophen for the pain. It has no interactions with your current therapy. Regarding statins, I would recommend checking your liver and muscular enzymes periodically. Stopping for a short time (a month) and restarting in low doses and increasing slowly may help avoid these adverse effects related to statins. Hope to have been helpful! Kind regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. Me and my family recently moved to a different province and since we have moved ive become very restless, anxious and overly emotional. I also feel trapped in my own house, but once i get outside im better. I have lost interest in most of my tv shows and cant seem to sit for long periods, i always have to be doing something. I am having trouble sleeping because i feel like my room is too small and i feel trapped. I also started a new job yesterday and called in sick for the rest of the week because it too made me feel trapped. What can i do? Are these signs of depression or something else?", "output": "Hello, from what you describe it seems you are suffering from Adjustment Disorder rather than frank Depression. There are two changes in your life in recent time the job and change of residence which will require some time for you to adjust to your new environment and changes. Just try to engage yourself with something productive, move around and know your neighborhood. Try relaxation techniques which shall help you to overcome your bouts of anxiety i.e. feeling of being trapped and restlessness. Try hot water bath and warm milk before you go to sleep and maybe some soothing music to help you sleep. Do not take tea/coffee/caffeinated Chat Doctor. If your restlessness and anxiety persists, visit a Psychiatrist, a short term antianxiety meds would help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi - I m I m hospital having been diagnosed with viral meningitis and have a couple of questions: On my fourth litre of intravenous fluids. Anti sickness and painkillers. Hope to go home tomorrow BP has just measured 107 / 49 is that an issue? Also waiting to have a rash I have developed looked at by the Dr. How long should I be telling work to expect me to be at home ? Thank you", "output": "Hello, hope you are feeling better now. BP being on the lower side, without a high heart rate is normal in some individuals as is not a cause for concern. More important is how you feel overall, any giddiness or Chat Doctor. Rash is a part of the viral illness and will go away on its own. Take rest for 3 to 4 days at home, and then head to work if you are feeling better. Take care ! Hope this answers your questions" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "If there is a gap during radio therapy due to machine not working, please suggest My mother is going through RT she got breast cancer stage 1 and going through RT, some times machine does not not works and three four days gap accures. please sugest is it problemI am not getting any response", "output": "Hi. Ideally radiation therapy (RT) should be completed within the stipulated time. Since RT MegaVolt age machines have sophisticated electronics, machine breakdowns do occur and are common world over. To overcome the detrimental effects of gaps during RT, different institutes follow different SOPs. Some are:1. Treat on closed day/ bank holidays to cover for gap.2. Give two exposures of RT per day with a gap of at least 6 hours in a day.3. Increase the dose per exposure to compensate for the gaps.4. Shifting patient to a mirror machine in case of long breakdowns. Fortunately breast cancer has a slow doubling time and time to kick off (radio biological terms which I will not be able to explain unless you have a sound knowledge of radiation biology) and so gaps are not as detrimental as in Head & Neck cancer or cancer of cervix. I will still suggest that you discuss with your oncologist regarding gap compensation strategies. I hope your question has been answered. If you have any further questions I will be happy to answer. Thank you for choosing Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "After recently having a abdomal spasm im having some very anoying and sometimes painful pains in my lower left part of my stomach, im not sure of what it is But im getting very anxious And depressed during the night, im not sure of what this is but im worried that it might be a fairly rare disease called alziemers, i know this sounds silly But i would like to know what the real cause of these pains are...", "output": "Hi dear I understand your concern. Alzheimer means in ability to recall past event and in ability to learn or register new things. It is one of the type of dementia means memory loss. Symptoms that have you mentioned is not suggest dementia. It can be a part of somatic presentation of depression. Abdominal pain need to be evaluated in detail. Ultrasonography will give better idea. For depression, you can consult psychiatrist for further assistance. It can be treated with a SSRI and benzodiazepine. In SSRI sertraline / Escitalopram will be useful. But take it according to your doctors advise. Still if you have a query then feel free to ask. Happy to help you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 23 year old is just getting over pnemonia but has a bad headache that has been going on for days due to Lortab. Lortab gives me migraines too so I ve been watching her. She now has depth preception issues. Is that something she needs to check asap? A little background: I have migraines, vertigo, altitude sickness, a small non cancer tumor & seizures. Her grandmother (my mother) has (can t remember medical name) shrinking of the brain in the front temporal lobe. So we do have family issues & not even sure that matters but I m concerned that she should see a doctor.", "output": "Respected user, hi I evaluated your query thoroughly.*Portal is not responsible for headache & depth perception issues.*It's related to separate underlying pathology.*Not emergency but requires definite evaluation by Neurophysician. Hope this clears your doubts. Thanks for using Chat Doctor & giving me an opportunity to assist you. Wishing you fast and speedy recovery from the same. Regards dear take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi my name is samina, i wanted to ask about my lower abdominal pain i keep getting for a couple of months everytime me and my husband have intercourse, but all tests have come back negative the pelvic inflammatory disease, chlamidya and urinary tract infection i have also taken a full course of antibiotics, but no solution, i only get this pain during sex and while im urinating when being on my menses other wise dont relise i have this pain i.m normal ca you please help me, im confused!", "output": "Hi! Good evening. I am Chat Doctor answering your query. As all the tests mentioned by you came out to be normal, if I were your doctor, I would advise you in addition an ultrasound of the abdomen to rule out chances of any endometrial deposits outside the uterus which might give you such discomfort during menses and urination. Also, a urine culture and sensitivity report could be helpful in deciding on the appropriate antibiotics. The management of endometriosis (if positive) would need a consultation with a gynecologist, and so I would advise you to fix an appointment accordingly. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "3 weeks ago someone used my roll on / after I used it, within a 2days I felt a lump under my armpit only to Released I had a boil / in a week time it became bigger and painful, pus came out but there was a lump that had a hole inside , then after 3day I felt another lump now it much bigger and I don t know what to use or take", "output": "Hi, dear. I have gone through your question. I can understand your concern. You may have sebaceous cyst, enlarged lymph node with acute inflammation or some soft tissue tumor. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a problem with my back which I have had for years. I was told that I had a slightly curved spine. In the last months it has got worse. I have been getting a lot of pain. Like when sitting down and then I get up and I can not stand straight. I m all bent over.", "output": "Hello there ! Curved spine or Scoliosis is a condition where your spine shows a C shaped or an S shaped curve when observed from the back. In a C shaped curve, the concave side muscles are shortened and weak, while the opposite side muscles are lengthened and weak. Some curves are reversible, others are structural and cannot be reversed. In either of the cases, the aim is to strengthen the para spinal muscles, to help reverse the curve in the former case, or prevent worsening of the curve in the latter. If left untreated, it could cause symptoms similar to yours, due to undue pressure on the joints above and below the curve, including the pelvis, knees, and higher up in the shoulders, neck etc. ! There are very specific exercises for scoliosis, which you physio will be able to guide you with. You will need a full-fledged back rehabilitation program. In addition, your physio will also be able to tell you if you may need any kind of footwear modification. Also, check your posture often. People generally tend to sit in a position which aggravates the curve, as that itself is the most comfortable position for them! Check with your physio about workstation ergonomics. Taping, pain relief modalities, and intense exercises will help you in this condition. Do seek a physio opinion. Tc." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doctor .. my penis color chnages and now its getting black i feel do dirty can u please suggest me to get rid of getting black skin though i m fair and even earlier my penis colour was not like this but now its chnaging and its getting black so please suggest to get back my earlier colour my email address is YYYY@YYYY", "output": "Degree understand your concerns went through your description. I suggest you not to worry much. Your penis is loosing color because it normally happens to everyone whether they are in tropical region or not. Penis requires more blood supply to keep itself erect during sexual intercourse and to do so it needs more blood vessels and sacks. The concentration of veins makes it darker than other part of the body. That is normal and there is nothing to worry. There are a lot of skin whitening creams available in the market which can be used externally. But I suggest it is not necessary. Ladies like brownish dark penis, not baby whitish one. You might need psychological counseling., I am more than happy to provide telephone psychological counseling through Chat Doctor. Contact me through customer care, www.ChatDoctor .com. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 12 year old brother is having middle stomach pain. This has been going on for about 7 months now. My mom has taken him to the doctor and the have done tests that haven t shown anything out of the ordinary. He has asperger s syndrome and that comes with hypersensitivity issues so this might be hurting him worse then it would someone without these issues. He likes to sleep on the couch at night. He says his stomach hurts more when he sleeps in his own bed. He takes prozac for the asperger s and clonidine to help him sleep. They also put him on Lorazepam because they thought that the stomach pain might be from anxiety.He weighs about 140 and is about 4 9 . We just don t k-now if it s anxiety or something actually physical. Can you help?", "output": "Hello, As you already consulted with doctor, still has abdominal pain. Do ultrasound abdomen and endoscopy. You can give tablet Norfolk TZ, tablet Cyclops, and tablet Albendazole as per his weight. Did he have history of vomiting and diarrhea? Give him boiled or RO water. Maintain proper hygiene. I will suggest you to follow up with detailed history or consult with pediatrician for detailed examination. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My kids and I was outside for a while and suddenly noticed a lump swelling on my almost 13 yr olds forehead, but he swears he didn t hit it on anything and it doesn t hurt. I gave him an allergy pill in case it s from a mosquito but I m am unsure of what it is or what to do.", "output": "Hi. Thanks for your query. Read and understood the problem your son of 13 years is having. Since you were outside and your son swears there was not any direct hit on the forehead, the most probable reason can be an inset bite. Some stings may not cause pain but can have sudden swellings like your son has. IT is good that you have already given him an anti-allergy pill. He may require oral steroids. Consult a Doctor to get further treatment in the form of oral steroids if your Doctor feels so. Till then apply cold compresses." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my partner had 2 ChatDoctor tests done they showed they where slightly dropping.the doc was sayn sorry like baby wasnt goin to make it but we had a u/s the next day and it showed it was normal size for 8 weeks heart rate was healthy just wondering if we will still have a healthy baby.", "output": "HI, I understand your concern. With USG finding of a healthy 8 weeks fetus, with heart beats. You do have chance of having a healthy baby.but. Both the findings of investigations done do not match. * weeks fetus, normal growth must have corresponding Chat Doctor level. This has created a state of confusion. To relieve, I would suggest-repeat USG scan by different monologist. This would remove the dilemma. & give you satisfaction. IF there is some doubt about fetal development in it, you can consult a gynecologist for further evaluation/ management. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a bruise on the lower portion of my left leg. It is just above the fold of my knee and I have had this for 10 days, It hurts more today than ever. It now has a yellowish VERY SOFT center and blue and purple around it. It also has small knots inside the yellow area. I recently had heart surgery Jan 7th. Could this be a blood clot that just hasnt moved?", "output": "Hi, Dear thanks for the query to Chat Doctor Virtual Clinic. I studied your query in all the details given by you. I reviewed all the data and in my opinion the cause of the purple bruise on left leg, with yellowish center after 10 days, with pain, seems to be boiled in the fold of the knee. Impression-I don't think it to be due to the blood clot, but due to your immobility and compromised body defense due to recent surgical strain. Hope I explained what the lump is and hope you would be satisfied with it. Write excellent reviews if you like this reply and find it helpful to you, as your comments and reviews would improve my rating for the visitors of the Chat Doctor clinic. Welcome for any further query in this regard to Me. I would love you to help out of this intricate problem of lump. Wishing you fast recovery. Have a good day. Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello...since I ve been diagnosed that I have TB, my life has been miserable then..I veen unemployed because everytime I am looking for a job and when the medicalt result will come out, they rejected because of the spot or scar they saw in my xray..From then I feel so hopeless and worthless because they always rejected me..thats the reason why I cant reach my dreams..feeling very down..pls help me and give mesome advise..thank you..", "output": "Thanks for your question on Chat Doctor. In my opinion you should consult pulmonologist. As tuberculosis heals by fibrosis and this is seen as spot on x-ray. And this will remain as it is throughout the life. So you need to complete the full course of treatment. Get done CT THORAX as CT gives better idea about the lesion. You can also go for Bronchoscopy and BAD analysis. If both of these are not suggestive of TB than you are not having active TB. X-ray spots are due to old healed lesion. So better to consult pulmonologist and discuss all these." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 58 yr old married female. I have had two knuckles on my right hand that are very, very itchy, red, raised, inflamed. If I scratch them it feels so good while I am scratching then after its a mess. Redder, scaly, inflamed, dry. I thought it was allergy , so I stopped all kinds of things, but it has persisted daily. Much worse in last 6 months. Help!", "output": "Hi, It's tough to tell without looking at the lesion but you symptoms suggest you may have psoriasis. In this condition lesion is very itchy, after scratching you will see white powder like flakes, this condition becomes worse when you're in stress, then summer. You will have to visit a dermatologist .he will inspect the lesion and guide you further. Till then, you apply moisturizing lotion on it and take antihistamine for the itching. Thank you Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a TAH on Dec 16 and my belly still seems swollen is this normal and I am wondering if possible around certain times of the month your body can still feel like it is going through PMS and would you have bloating and cramping, even though I had a TAH", "output": "Hi. There may be a collection either in the abdominal wall like a Serbia or there can be an intestinal problem due to adhesions. High resolution sonography along with Standing abdominal x-ray can give an indication about what is going on inside. Please consult your Doctor and ask for any investigations like CT scan of the abdomen if he/she feels so. Feeling like PMS and bloating and cramping can sometimes be just a psychological thing if you are sure that the whole uterus was removed." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Last week two Honey bee has bite me in two place, one on forehead and other on ear. Within 10 minutes I was badly suffocating and could not breath and was unconscious. My pulse rate was down and my heart beat was 35 to 40. I was admitted to hospital and Doctors were saying that if I was late by 5 mins I would have lost my life. Kindly guide in this", "output": "Hi, Thank you for posting your query in Chat Doctor. The condition you suffered was Anaphylaxis due to bee sting. The venom pushed by the bee into your blood causes mast cells in your body to release histamine which causes bronchospasm, vasodilation,hypotension and many multifactorial reasons lead you to suffocation, unconsciousness,bradycardia(low heart rate). Though a bee sting is not always fatal, but again it depends on the type of bee and a human body. There are few insects you need to be aware of for now which can cause these symptoms are honeybees, bumblebees,wasps, yellow jackets and any stinging ants. Now that you know you are sensitive to these insects carry antihistamine Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i took ipil on 15.9.14 after 15 hrs of my unprotected sex. as my partner s best knowledge,he didn t ejaculated sperm inside,but for safety i took ipil. is there any chance of pregnancy? how much time it will take to strat bleeding after taking ipil. my period due date is on 18.4.14. age-19,height~5.5ft,weight~69kgs.", "output": "Hello misunderstand your concerned I pill is 95 percent effective in preventing the pregnancy if took with in 24 hours after sexual intercourse. Sometime with Chat Doctor. (it is just like spotting and very light bleeding), Your normal period may be delayed by 5-7 days because side effects of I pill as it cause prolongation of second phase of cycle. If period will delay by 10-12 days then go for pregnancy test to confirm the pregnancy as it has a 5 percent failure rate. If you do not want pregnancy then still you can terminate the intro pregnancy by using abortion pill after getting advice from gynecologist. Hope this may help you]Best regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had Low Blood Pressure(100/58-normal120/80) my entire life until 6months ago when my BP went High, ranging from the 170/high80s to last night (and occasionally prior) 222/101. I have crazy headaches for days and last night heart palpitations or fluttering for about 90second durations. My doctor has prescribed Metoprolol 50mg. and recently Lininopril 10 mg. to No avail....I also take 12.5mg of Coumadin for chronic DVTs and have been told I have Reynards Syndrome without any diagnosis or treatment. I am a 54 year old woman and at times I feel 75.", "output": "Hello! Welcome and thank you for asking on Chat Doctor! Regarding your concern, I would explain that your symptoms seem to be related to a metabolic disorder. Inflammation or an immunological disorder can not be excluded either. I would recommend consulting with your GP for a careful physical exam and some tests: - a chest X-ray study- a resting ECG and cardiac ultrasound to examine your cardiac structure and function-some blood lab tests (complete blood count, thyroid hormone levels, PCR, sedimentation rate, blood electrolytes, kidney and liver function tests, fasting glucose). You should discuss with your doctor on the above issues. Hope you will find this answer helpful! Best wishes, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have only had one grand maul seizure back in 2007. The doctors discovered an old brain injury behind my left eye. I have since been getting Auras some very close to grand maul, but I get a physical heads up when they start to come unlike my younger brother who is a severe epileptic. And since I also suffer from severe ptsd my family doc started me on 150 mg one daily of Welbutrin for depression. We discovered through a friend that the reason I had begun to have more frequent Auras was most likely due to the new med Welbutrin . So, I contacted my doc and now he is prescribing 50mg one daily of Zoloft. Are you aware of any anti-depressants that will not cause seizures?", "output": "Welcome to Chat Doctor! I have gone through your query carefully and see that you have history of epilepsy and now have increased complain of aura after you were being started on Wellbutrin for PTSD. You also have a family history of seizure disorder in your brother. Due to increase in aura you were shifted to Zoloft by your treating doctor. Now you are looking for some better alternative for PTSD which is safe for seizure patients. I can say from my experience that Wellbutrin, I.e., bupropion is not a Chat Doctor. Even a normal person who never had a seizure may develop one when put on any dose of Wellbutrin, especially dosage above 300 mg. So, it can be directly related to increased complained of aura you had after starting this medicine. As now, you have been shifted to Zoloft, which is a very safe medicine, and is not known to be associated with any significant potential to increase to cause seizure, I think you can proceed with it. If I have any such patient in my clinic I usually go for Escitalopram or sertraline (Zoloft). Both are ok in cases similar to yours. For as and when required basis, I find clonazepam effective in such cases as an additional medicine. Hope the reply is useful feel free to ask more questions" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter started developing intermittent swollen glands in her neck in middle school. She s had them off and on since (she is now 20), but now she finds that she also has intermittent swelling and tenderness in her armpit areas. What should be done?", "output": "Hi, Thanks for your query. Lump in this location can be enlarged lymph node, infected sebaceous cyst or ganglion cyst. Lymph node is usually movable and rounded. It is not quite soft, rather hard. Can be painful. Infected sebaceous cyst is a kind of benign soft tissues lesion. It tends to get infected. In such situation it becomes reddish, swollen and painful. Fever can be present as well. Ganglion cyst is connected with a joint (shoulder in this case) and filled with joint fluid. Pain is characteristic for this lesion especially when moving the limb. I suggest you to consult general surgeon with these issues. Soft tissues' ultrasound should be done to diagnose it. Cyst or ganglion can be removed. If it's a lymph node, biopsy should be done. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a five yr old granddaughter, who is being raised as a vegetarian, but is living on breads, pasta, sliced cheese and cottage cheese. She sucked a soother till four when the dentist suggested it was doing damage to her teeth and her mouth. I was wondering if she also may have a sensitive palate. What foods could I encourage her to eat?", "output": "Hello, I wonder if the soother has caused an open bite? Please look to see if her teetChatDoctore together when she bites down. Often, these can put pressure on the upper front teeth causing the teeth and upper arch to move forward. She may then breath through her mouth and Chat Doctor. This can cause soreness. This can result in a tongue habit of pushing against her teeth or tongue thrust. Plaque will " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My mom has bee n taking instaflex for 2days. We noticed that every time after she took the medication , her heart beat increased to around 100 per minute Is this normal. It helps on her keen pain, but we worried it will overload her heart Is this normal? Would it be a problem? Suggestion?", "output": "Hi, Instaflex consumption is not associated with increased heartbeats. Installed is a dietary supplement consists of natural ingredients like hyaluronic acid, type-2 collagen, black pepper extract, Boswell serrate, and resveratrol. It is commonly used for the symptomatic relief of painful joint conditions. Its common side effects include heartburn, nausea, abdominal pain, bloating sensation and headache. It is not known to cause increased heart beats. Your mother should be clinically evaluated to rule out other causes of increased heartbeats. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir I am suffering from skin allergy do not know the specific reason for it went to doctor they gave two injections and tablets but it reduced for a day and again the rashes started now they are on my face too it is swollen all over what shall I do any home remedy can help", "output": "Hi, thanks for using Chat Doctor You may need to consider allergy testing to determine what is causing your allergic reaction. Allergy testing can be in the form of blood test or skin prick testing. If you can determine the source of your allergies then you would be able to eliminate or reduce your exposure to it. This should decrease your allergies In the interval, you can obtain oral anti histamines from your local pharmacy to help reduce your present reaction. These are available over the counter. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Thank you, I have been prescribed azithromycin tablets USP 250 mg by a dentist due to an infection in a tooth, since ive been suffering from stomach issues lately, im kind of reluctant to take this. I suffer from Hypothyroidism and Glaucoma. Do you think I should take this medication, also, around 6 months ago, i took an antibiotic for the same reason, since inflammation disappeared I assumed It was no longer there, unless it reappeared. Anyhow, I dont know what to do, Im desperate, pls help me.", "output": "Hello, Read your query, as you are having infection in tooth there is nothing to worried so much this infection intuit can be due to caries or periodontal problem, this can lead to on formation of periapical or periodontal abscess. For this you Should consult your dentist and go for investigations IOWA X-ray if it is carious you should go for Root canal treatment AMD if it is periodontal problem then you should go for Root canal treatment, and you can take Medicine for infection like Amoxicillin or Azithromycin and painkiller like Diclofenac sodium by consulting with your local doctor. Hope this will help you. Regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am MD FARUK ANSARI,AGE 21+,74 KG WT & 5FT 8 INCHS HEIGHT.LAST 5 MONTHS I FACE SOME SEXUAL PROBLEM .NORMALLY I AM OK.BUT WHEN I GET A LITTLE SEXUAL EXITEMENT,SEMEN IS COMING OUT .ONLY SEMEN NOT SPURM.BUT MY SEXUAL POWER IS VERY STRONG AND SEXUAL EXCITEMENT GROW MORE TO MORE NOW.SO,I WANT TO KNOW ,IS IT A PROBLEM OR NOT?", "output": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. No Farouk it is not a problem, but it is lack of masturbation. If you regularly practice masturbation you will ejaculate your sperm. But if you do not do than it will accumulate and will discharge with slight arousal. So in my advice you are not having any disease. Regular masturbation practice can solve all your problem. Masturbation is not at all harmful indeed it is beneficial. So start doing it. Only thing you have to take care for is the hygiene. Please do it with clean hand. You can eat the antioxidant food like fruits green leafy vegetables etc. This will help boost the semen and sperm count. Take enough sleep, avoid stress. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter is 3.6 year old. She is suffering from loose motions and complaining of stomach pain. We consulted the doctor and he suggested Darolac sachet, but my daughter is not taking it. Can you suggest the way for preparing the solution so that my daughter takes the medicine.", "output": "Hi... Darolac is only a probiotic and not an essential medicine for lose stools. Sometimes it is very unpalatable and foul smelling and the kids will not take it easily. But you need not worry as it not an essential medicine in diarrhea. But if you still want to use it you can mix in 5-10 ml of plain water and administer it. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. I suggest you use zinc supplements (Z&D Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have came out in a very severe rash all over my chest and stomach very red and has little white lumps I was just wondering if you could advise me whether or not I should seek hospital treatment as this appeared on Sunday evening and is rapidly getting angrier", "output": "Hi. Thanks for posting your concern at ChatDoctorYou seem to be suffering from Hives OR urticaria would definitely advice that you visit a dermatologist for a proper assessment of the rash. Urticaria OR hives can occur due to various causes like(to name a few) infections(bacterial, viral, fungal), Chat Doctor. A few cases have no underlying cause and are known as idiopathic urticaria. I would advise you to get few basic lab tests like Hologram, stool for ova/cyst, Urine routine, Chest X-ray. An oral antihistamine like Fexofenadine OR Loratadine once or twice daily for a week would be suitable. They are non-sedating and won't affect your alertness level.a topical soothing lotion like calamine would help you symptomatically. If your Urticaria still doesn't get better you might require a short course of oral steroids. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am female, 36 yrs. Since last 2 months just when the periods start, I have intense pain in middle lower abdomen. Last month when I visited doctor, she advised for a USG(Pelvis). Got it done, but nothing was found. The pain went off in 5 days last month. This month again, when my periods started, the same pain re-occurred. But this time the pain did not go off. Went to the same doctor and she has again asked for a USG(Pelvis). It makes no sense to me to take the same test when the result came negative once. My question is if USG doesnt show any result, what is the next step of test to find out the pain.", "output": "Hi, Thanks for the query. I would like to say that you got an ultrasound of effected part and there was nothing wrong, that's good thing. As age grow in some women there is a dysmenorroea (pain during period). You asked that pain is continue even after period is over, that's a worry. Now note down that this is also related to yours period and due to frustration of pain you develop anxiety and that is the cause that still you have pain. So first consult a Psychiatrist, and he will advise you proper thing. Thanks. Good luck. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am of 70 years. I have tremendous weakness. I cant even feel like walking and feel that I am sinking. I have high BP & Sugar (in control with Med) and TSh = 12.5. I have not yet started taking medicine for TSH. Please advise.", "output": "Hi, Welcome. This is Chat Doctor. Persistent weakness could be because of thyroid & you definitely need medicine for it. For such patients we Start with 12.5mcg of Thyroxine & than increase it to 25mcg after a week. Continue following up with your physician so that dose could be increased further. Also test your It D3 level to see for any deficiency & treatment accordingly. Come back if you need any more help. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "What would be the cause of a person having had a white blood count upon being admitted to hospital at 0.2 now up to 0.8 but still has a low level of blood nufrafills,He was given doses of vancomycin & piperacillin tazo & also given neupogen After 5 days saline IV & 2 antibiotics were taken off but he took his 5th needle of neupogen today what could be the diagnosis and the cure in yoir opinion what are the Doctotrs looking for", "output": "Hello there, I am Chat Doctor. You have given IV saline and antibiotic for any of infection which you have not suggested. So long term iv vanilla is also one of the cause of elevated blood white cells. Some skin bacterial flora might have gone inside via canola. So now you should go for culture report of that IV canola along with 3 blood culture set to diagnose which causing this elevated white blood cells count. Iv vanilla should be removed every 3-5 days ideally. So ask for this investigation and follow advise of your doctor. Hope I have given appropriate guidance to you. If you have any query you can consult me anytime. Give me star rating, helpful vote & thank you according to your satisfaction level. Thanking you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have a sinus thing going on for more than a year. I live in a cold climate, have taken all rugs out of my house. Have just laminate flooring and leather furniture. My sinuses continue to feel congested. Blowing my nose constantly. I also have very itchy eyes and skin. I take a anithisimine but it seems to only work sometimes. I am so tired of this.", "output": "Hi, Welcome to Chat Doctor forum. It appears that you have sinusitis of the more bones, mastoid, frontal, etc.the other cause may be the eosinophilic. I advise you to consult an E.N.T. surgeon for diagnosis and treatment. You may need to have C.T.scan for diagnosis. I usually prescribe to my patient with such symptoms lifetime, phenylephrine HY Chat Doctor. Take more of green leafy vegetables, pulses,sprouts, and protein rich foods to have blood, general health and resistance against infections. Wishing for a quick and complete recovery. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am diagnosed with MVPS and I am taking Ciplar LA 40 (once a day). For the past 4 - 6 months i had wheezing periods once in 2 months.I had been consulting a Asthma specialist who tried lot of treatment and atlast he prescribed me witChatDoctorbitied 250 inhaler. Is it safe to take the inhaler as I am having MVPS", "output": "Hi, ToIt is not safe to use combitied-250 inhaler while one Collar LA-40. Based on the history the symptoms of wheezing seem to be due non-selective beta receptor blocker Collar. If you start using Combined inhaler while on Collar you may not get relief from wheezing. So, ask your doctor for an alternate effective but a safer medicine for MVPS instead of Collar so that wheezing will not occur. Hope I have answered your query. Let me know if I can assist you further. Take care. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "burning red raw soreness inside left jaw beside tongue gets a white-ish buildup on side of tongue, near back. gum seems slighly swollen inside near tongue below molar. Using Listerine Total Care to keep area clean...what is this? should I be concerned", "output": "Hi. Thanks for the query. Redness and soreness of the beside the tongue looks like gum Infection or gum inflammation. It can be due to either tooth decay or deep Infection in gum. White buildup and soreness of tongue at the back is appearing to be due to fungal infection over tongue causing Oral Thrush. So my advice to you is to consult a Dentist and get clinical examination done. If there is it gum Infection then localized scaling of the gum can help in reducing inflammation, pain and swelling.Also, anti-inflammatory painkillers will be given with antibiotics for relief. For fungal infection on Tongue gargle with antifungal mouthwash like Statin and suck Clotrimazole lozenges. Hope you get well soon. Regards. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, Ive had an ultra sound and my liver is enlarged. A lot of bacteria in my urine (chronic), and some blood, but ALOT of abdominal and lower back pain. As of two days ago, I have alot of pain on my left side, and all of a sudden when I urinate... Thanks!", "output": "Hi.noted history of enlarged liver, bacteria and blood in your urine and abdominal and back pain. It is possible that you have a hepatomegaly (enlarged liver) secondary to a fatty liver and or infective causes. Are you experiencing any other symptom like abdominal pain, nausea, vomiting, jaundice? If none, observation and regular follow-up re your hepatomegaly is advised. Low fat diet is recommended.in regard to bacteria and blood in your urine associated with abdominal and low back pain, it is best if you consult with a doctor first, preferably a urologist, for complete physical examination and clinical evaluation. It is possible that you have a urinary tract infection. But, kidney or urinary tract stones must also be ruled-out, as this could also cause your presenting signs and symptoms. Diagnostics (such as ultrasound of the abdomen and PUB) and management (medical and/or surgical if indications are found) will be directed accordingly. If there is indeed a stone somewhere along you urinary tract, low salt diet is also recommended. Hope this helps. Good day!!~ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had Parkinsons disease for 20 years. Now (diagnosed in 2008)have breast cancer, had mastectomy, chemo, & radiation. Now the breastcancer has spread to my bones. With the PD I fall alot.. I thoughtthat the bump on my elbow was from falling all the time. Now I readon computer that there is such a thing as elbow cancer. Mine is on]the left elbow ( doesnt hurt at all), but ios geting bigger and smootherevery day. What should I do?", "output": "Hi I did understand your concern. There is no such thing as elbow cancer, however there can be several types of growth that can present as elbow swelling. They can be benign or malignant. It can be reactive due to soft tissue swelling. It can also be due to lymphatic removal from the mastectomy you had if the cancer was on left breast. I would recommend you to consult a doctor and if needed to get a fine needle aspiration cytology or a biopsy done to see what are cells making up the swelling. Also, if required the doctor may order an imaging study like an MRI of the left extremity to know from where is the lesion arising(bone, muscle,soft tissue). I HOPE THIS HELPS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi may last year I got diagnosed with fibrodenoma in left breast at the side i had a biopsy done while there. Due to have it removed a month ago due to pain, but while there chickened out. Since my breast is in loads of pain, breast looks bigger than right breast. I m really worried due to loosing my dad last year to cancer I ve been panicking and googling none stop.", "output": "Dear Ma'am, Sorry to hear about your problem, but I am glad that you are seeking medical attention for the same. A fibroadenoma is a benign lesion of the breast and is rarely associated with cancer. You should monitor the lump for a few months and if it is increasing in size, you should get it removed. Sometimes fibroadenomas subside with time. Please consult a breast surgeon for the pain in the breasts. Usually it is due to fibroadenomas which is caused by hormonal imbalance, and it responds well to medications. Hope you get well soon. Rohan KhandelwalBreast Surgeon" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi There What the most likely injury when someone presents with low back pain which causes him to be unable to stand up straight. Bending forward gives him relief. There are no nasty symptoms involving the bladder or the legs.He started experiencing his pain 36 hours after lifting a large heavy box on his own when fatigued. he was largely pain free before that.", "output": "Hi, It may be due to some bony or soft tissue injury at spine level. It may be due to injury / spasm of extensor of spine muscle or other soft tissue ; or due to some bony injury with or without nerve involvement which need to be diagnosed (through clinical examination n investigation including X-Ray, MRI) and treated on urgent basis. So visit orthopedics clinic for further management. Till then strict immobilization through corset belt, cold compression, analgesic (NSAID) , MUSCLE RELAXANT, PPI . And should be transported with LOG ROLLING TECHNIQUE. You may also require steroid course. Hope this ll help Thanks n regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Yes, thank you. Which Hepatitis comes from eating contaminated shell fish? For instance, I had hepatitis fromeating raw oysters that had come from warm waters, when later I was hospitalized and diagnosed with hepatatitis.Was it A, B, C, ? I need to know so that fill out medical forms correctly. Could you please answer for me?", "output": "Hi, Thanks for using Chat Doctor, There are various type of virus which cause Hepatitis commonly contaminated food and water cause hepatitis A & E, in your case it should be one of them it is not possible without proper test to say definitely. Other virus B, C & D are transmitted by blood parenterally and even sexually. You need to go to hospital where you was admitted and if it was tested then you may be having reports of viral markers. Hope this keepsake care. Good Luck. Chat Doctor. D" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im 28 years old, weigh 150 lbs and am rarely sick. I got a cold recently and feel pretty darn good now during the day but have a cough in the evening, through the night and this morning when I woke up I barely had a voice. Wondering if I can get some information on if this just goes with the cold or could be something more severe? I have not run a fever.", "output": "Hi thanks for asking question. Here on preliminary history provided by you, it seems to be laryngitis or case of pharyngitis. Mostly it will be viral infection. Treat your condition symptomatically. Do your complete blood examination. If it shows more lymphocytes than chances of viral infection. If total count high with more neutrophil than bacterial infection may be there. Chat Doctor. Take fried and fatty food to a minimum for few days. You also can examine your larynx by direct laryngoscopy examination. I hope my suggestion will help you. If still no improvement then further examination is done and accordingly investigated." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Yes, I have recently recovered from a cold and during the cold I was given a antibiotic that I soon found out I was allergic to. I was treated for the allergy in the ER and given a different antibiotic. The reaction I had was a narrowed esophagus and I could bearly breathe. That was a couple of weeks ago and I have since recovered from the cold but now I am experiencing severe pain in my chest if I sneeze , cough, and I even get short of breath easily when climbing a single flight of stairs. I m not sure what to make of this but it feels like my lungs are going to explode when I cough/sneeze???", "output": "Hi, Let me ad Chat Doctor. 1. I hope you have completed the course of second antibiotic, which you are not allergic to. 2. If you have completed the course, then make sure that you are not taking any other medications. Since, medications usually cause heavy breathing, shortness of breath, it is better to avoid any medicines as such unless they are required. 3. I do not know your age, I am sorry. However, it is advisable to get an EKG done to look for the cardiac status. 4. Repeat a chest X-ray now and look for signs of residual congestion on the lung fields. 5. It is better to consult a pulmonologist and get bronchodilators prescribed (IF required only). Hope this helps. Get well soon. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "A patient aged 77 years in critical health for kidney failure undergoing hamoe dialysis for Creatinine ( 8.0 to 8.5 ). Last 3 dialysis carried out on 19th Aug , 23rd Aug & 27th Aug. Patient in Amritsar India. Pl guide on sos on Contact Mobile 0000", "output": "Hi, Creatinine level 8.5 is suggestive of severe degree of kidney affection. In symptomatic patient of such chronic kidney disease patient, dialysis is the only treatment. The other mode of permanent treatment is renal transplantation if suitable to your case. Diabetes and hypertension should be under control with medication. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "What is an actual bent back bone because i have been to the doctors an got told i had a bent back bone an since then just got on with my life but recently its starting to hurt me, when i walk short distances should i go to the doctors an let them have a look?", "output": "Hi, By saying bent back doctors means that a person is having scoliosis. Scoliosis is of three types and its progression depends on the type as well as on initial degree of the condition. Treatment of scoliosis is conservative with braces in initial stages and operative in later stages when scoliosis starts causing additional symptoms. You need to visit a spine surgeon to evaluate you clinically and to guide you regarding further management. Take care. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I had a pain above bellybutton(2 inches or so) in a small section precisely in the center. Not hungry, slight fever. Can only lay. hurts when I stand or sit. Currently still have fever, hard to go to the bathroom, but pain is not there, but feels uncomfortable(hard to explain)", "output": "Hi, thanks for sharing your health concerns with Chat Doctor! If I were your treating Doctor for this case of uneasy abdominal wall nodule with recent fever, I would come up with three possibilities, these include: 1. It is possibly a hernial condition that has been inflamed! 2. Second possibility is a small parietal abscess or3.an infected cyst! So first, a physical examination is must and USG for confirmation In worse condition an FNAC test can diagnose it accurately! Hope you got the answer; if still not convinced don't hesitate to write to us! I shall be happy to help you. Wishing you good health!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello. I am struggling with sleep. I feel anxious all the time. Im also constantly cold even though the weather is warm. I have lost my appetite and cant really taste food. I also seem tired constantly and have no desire to get up or do much when I am up. I just want to sleep forever. What do I do. I want to make sure its not my imagination. I have lost weight and cant concentrate on anything including books. My favourite hobby is reading. Im 43 female", "output": "Hi, I read your query and can understand the distress you must be having due to your symptoms. From what you have mentioned, it seems that you are suffering from a depressive episode. Feeling low and anxious, sleep and appetite disturbances, getting tired easily are symptoms of depression. However, some of these symptoms as well as depression itself can be result of hypothyroidism as well. I would recommend that you seek a psychiatric consultation for complete evaluation and initiating treatment. Blood investigations in form of thyroid profile and complete mammogram would be required to rule out any underlying medical condition. You would treatment with anti-depressants for your depressive symptoms. Other than medications, you should also start exercising daily, as that will help you feel relaxed. Best wishes for a speedy recovery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my grandson is 6 yrs old and has cerebral palsy. He is having excessive amounts of foamy saliva. He has a G-tube, a partial fundoplication, and is having Albuterol treatments and wears a vibration vest. He currently is fed a liquid Nutren and supplemented with baby food and yogurt by G-tube. He also has popsicles by mouth and some pudding. What can be causing this?", "output": "Hi, Foamy saliva suggests that there is a lot of air in the secretions. Since he has a G-tube then, there is the possibility that there could be an incompletely sealed connection where the G-tube is inserted through the skin and this could be letting air into the stomach which eventually can find its way in the esophagus and come through the mouth where it aerates the salivary secretions causing the foaminess you mention. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Doctor, I was diagonised with PCOS 3 years ago. I concieved and have a baby boy of 1 year and 10 months. I have been having regular periods after birth until last month when I missed my periods. I had all signs for pregnancy but I tested and i wasnt pregnant. I visited a GYN who prescribed duphaston 10mg for me. he doesnt know my history of PCOS, HE thinks that since i gave birth by C-Section, they could have blocked my tubes. I am afraid of taking the duphaston 10gm because i am still breastfeeding and also have herpetitis B. wont this medicine affect me and my child. I badly want to concieve. Many thanks JY", "output": "Hi. Duphaston is a hormonal pill that will help regulate your cycle, and if at all you are breastfeeding, fluctuations in your menstrual cycle are normal, and I would not worry too much about it. As for the C-section, the procedure cannot block your tubes, and you should be safe to conceive, it may just be a slight fluctuation in your hormone levels that is making it a little difficult. Continue to try to conceive, and write to me using our premium service, so I can guide you in a more accurate manner with some fertility tips and medications. Best wishes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doc! Whenever I get up in the morning my right palm feels numb and with no strength left.Upon moving the hand it starts feeling tingly.Heat seems to relax but temporarily. This feeling stays for an hour or so though i try to work normally. Is this an indication for something big as i do not have any chronic illness .What precaution should I take", "output": "Hello! Thank you for the query. First you should try not to sleep on your right hand. The most common reason of such symptoms is nerves ischemia due to compression during the sleeping. The other reason of such symptoms can be carpal tunnel syn Chat Doctor. This condition is caused by nerve compression in the carpal tunnel. You can perform simple test to have it checked. Flex your wrist gently as much as possible and keep it for one minute. If numbness or pain appears, this might be carpal tunnel syn" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 84 year old father has multiple myeloma, stage lll and bladder cancer. Recenly he has developed difficultly in swallowing. I took him to the Drs. yesterday and the Dr. indicated he had swelling in his neck, throat area. His legs in the last couple of days have also started to swell. Actually, quite swollen. What am I to think?", "output": "Hello dear. Sorry to know that your father is suffering from double cancer. Difficulty in swallowing can be due to various reasons like oral ulcers, infection of the throat. The reason for swelling lower limbs could be due to renal dysfunction due to myeloma or bladder cancer, venous thrombosis or due to low protein levels in the body. You must consult your physician as these conditions can be treated. Hope I have solved your query. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my daughter has sarcoidosis and recently had MRI of brain as she is having bad headaches and some mental loss (forgetting to finish tasks and being foggy with instructions). she is on Methotrexate . MRI result says multiple foci of abnormal T2/FLAIR signalhyperintesivity ... both cerebral hemisheres, predominantly in periventricular and deep white matter . What might we be looking at?", "output": "Hi, Thank you for posting your query. Multiple white matter lesions as described in your daughters MRI brain report do not represent any serious illness. They are non-specific findings and can occur in a variety of conditions, such as migraine, lack of blood flow to brain, etc. They can also occur in acidosis. So, as of now, no specific treatment is needed for the MRI abnormalities. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "am a 41 year old woman, 3 kids 2 of them not living with me because drug problems in my past. I have a six year old daughter with me. I have history of cronic depression and being diagnosed with PTSD and borderline personality disorder also, i was diagnose bipolar but i came to think that was at the time of my drug use so i dont think i have that. Lately ive been obsessing with death a lot, i mean is really bad. I can watch videos of persons that died and their stories and i want to know how they die and why. I saw lots of pics of dead people too . I watch documentaries about cancer and other diseases that kill people in a horrible way. I read a lot about suicides etc. is just too much, Im worried i dont what that means. I think i am afraid to die cause i dont think i was a good mother i feel no worthy at all. I am agoraphobic and not social at all. I dont even like to answer the phone. I dont like contact with people besides my husband and my daughter is almost hard to spend time with my other two kids cause i feel that i dont deserve them. Right now i just want to know what is this deal with death. pls help me.,", "output": "Hi there ~I understand your concerns. PTSD and Chat Doctor. Depression is a part of bipolar disorder unless you have dysthymia which is depression from childhood. I am sorry that you have had to deal with all the things that you mention in your summary above. I also think that it might be best to switch your psychiatrist if you are seeing one already and to start consulting a counselor to vent your feelings with that person. Furthermore, I hope this helps with allaying many fears about guilt and hopelessness. Furthermore, I would also suggest that you do yoga and Panama on a daily basis and Dayana too. However, consulting a psychiatrist would be the priority here. I hope this helped. Take care of yourself and have a lovely day!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 23 year son has had back pain for a few weeks since doing a dumbell lift at the gym and Xray showed Grade 1 anterolisthesis of L5 as well as a chip off the L4 spinous process. He works as a carpenter. Do you think there is going to be a problem for him to continue this career, what can he do to protect it from progressing and is there anything he needs to avoid?", "output": "Hi welcome to Chat Doctor Your sons back pain while working in Jim is not a serious problem. Only he has to be on rest for few days. Human body has thermostatic power and has self-healing capacity . Stop exertion for the time being. Over exertion is dangerous. Should take rest as long as he can. There will be no problem in continuing his career. Only thing is , he avoids bending backward & jerking of his body too much . A teaspoon of turmeric in cup of hot milk at bedtime, helps to strengthen the bones .and give resistance to body. Occasional check up is must, from your treating doctor. Hope this helps in solving your" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doctor.in childhood i suffered from pneumonia till the age of 11 year...after that i had no symptums of pneuminia till the age of 25.,but now i am 26 and i am suffering the asthma problems including wheesing cough,difficulty in brething,backache,difficulty in sleeping..plz tell me docter what was may be the reasons of this that it appered after along time?? is this apper in future also??", "output": "HI, asthma is a type of hyper responsive and hyper sensitive respiratory tract to stimuli like cold, pollutant, fumes and even house dust, it may be a result of prolong inflammation of respiratory tract leading to some pathological changes like edema, increased mucosal thickness, impaired mucociliary movement. But you need to regret or worry this mush about it rather you should try to cure it completely, it can be cured completely by regular treatment. There are many Chat Doctor. Wish you all the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have an uncle in hospital he is in a comma he has been for about a month. His brain is like a balloon. He has so much problems going on do you think he will be safe to transfer him to another hospital ? He ended in the hospital due to pheamoina and seziure he was good in the cast cane but he ended up being stabilized. Its so much to it. Do u think he will make it or even have a change ??", "output": "Hi, Thanks for writing in. If your uncle is being taken care of by the nurses and doctors then better to allow him to stay at once place. However, if the facility is causing him to worsen then better to shift him out, but before shifting have a consultation with doctors and be sure the other hospital has better facilities and is well-equipped in case of an emergency. Brain swelling or edema is a condition when there is water accumulation in the brain. This can happen when there is an infection or inflammation in the brain. Anti edema measures are started but in some patients brain swelling takes time to respond to medications. It is important to know how much is the coma score of your uncle. The coma score is based on an international scale and graded from 3/15 for a patient who is dead to 15/15 for a normal person. If the coma score is more than 7/15 then it is likely that your uncle might make a recovery. Please discuss this score with nurses and doctors. Wish him a quick recovery." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hey. Im a teenage girl. Sometimes i feel im not getting enough air so i have to take a deep breath. One usually does it. I feel maybe its the chest, neck area. Im healthy and active enough! i had a heart mumour when i was small, very minor though. Sometimes i feel i breath faster. Its nothing major as of yet. Thanks", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Possibility of stress and anxiety related symptoms is more but better to rule out heart diseases because you had murmured in childhood. So get done ECG and 2d echo first. If both are normal then no need to worry about heart diseases. Stress and anxiety can also cause similar symptoms. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Don't worry, you will be alright. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am a 30 year old female.. I have found a lump on my upper arm right side about a year ago it is about the size of a pea.. here recently about 6 month ago I found anoth on my right arm forearm just below elbow tonight I found another close to the one by my elbow ....should I call my dr? my uncle had lymphoma just not sure which kind and there are other forms of cancer in my family as well...should I be worried?", "output": "Hi, thanks for writing to Chat Doctor. From your given description, I don't think that the swellings are of malignant nature. If the swellings are rapidly growing with change in color and consistency, then they need to be investigated for any possibility of malignancy. Tissue biopsy and histopathological examination will confirm the nature of the swellings. To be on the safer side, I suggest you to consult your family physician for a detailed clinical examination and further evaluation, if needed. Hope this information is helpful. Good day" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had what looked like a small pimple on my bottom but not it is hard, red and painful. I was able to squeeze it to relieve some pain. It does not appear to have pus. I have been applyin peroxice and neosporin. Cuould this be a staph infection? I have had one before. Should I get medical attention?", "output": "Hi, I had gone through your question and understand your concerns. It may be a staph infection, or it could due to worm infestation. Use antibiotic AMOXICILLIN 500 mg twice daily 3 days and ALBENDAZOLE 400 Single dose(for warm infestation). To decrease the inflammation use painkiller like IBUPROFEN. If it gets repeated continuously check for BLOOD SUGAR levels, because FRANCES are more common in diabetics and malnutrition. Use a multivitamin tablet daily. Maintain hygiene. You can also use alternate cold and warm compresses which will fasten the healing process. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, my name is Nadine. Im 32. 3 children. I had twins 10 mo ago. It was a complicated peegnancy. I had high blood pressure 145/90 at the end with high protein level in urine. I had a c section the day I broke my water. At 34 weeks exactly. Babies were doing great though. Anyway 10 months later, as today, I still have high BP. 145/90. My family doctor advised me to lose some weight and get on a more healthy diet (less salt and sugar) and avoid any medicine right now. Instead he prescribed me deanxit, being very stressed, feeling low and sad for a very long time now. Is this a good idea? Will this medicine help me get my BP lower also? Im also subject to tachycardia and I forgot to ask my doctor if deanxit will affect my heart beats. Im also about to start a treatment with isosupra for acne , is it compatible with deanxit? I know that isosupra affects the mood.Thank you for reading and answering me.Regards", "output": "Hello, you had pre-eclampsia during pregnancy. It was wise decision to have a CS as soon as the water broke. Btw about 10 -20 percentage of patients who had hypertension during pregnancy may have persistent hypertension throughout and these are the patients who require long term medication for blood pressure. However, as your pressure are just borderline we may wait and give diet and lifestyle changes RO take care of the slightly higher pressure. Also yes anxiety does push the blood pressure high and so treatment for the same may decrease the pressure is that's the predominant cause. What you are feeling is called post part um blues and its very common after a complicated pregnancy. Peer support would be ideal here. Isospin can be taken with Density. However please note that Isospin should NOT be taken if you are breastfeeding. Also, the reason for acne in you would be hormonal imbalance and ISO treating in is not the best Chat Doctor. Hoping I could help. Regards " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I had a cortisone injection in my left Shoulder about 3 hours ago and my doctor tried to manipulate my arm (I have frozen shoulder and rotator cuff tendonitis) and Im in absolute agony in my shoulder, arm and injection site. Im in tears and wondering when the numbness kicks in and the pain eases", "output": "Hello there, Thanks for your post on Chat Doctor. I carefully read your query and understand your point of concern. Frozen shoulder also called adhesive capsulitis, in which range of movement are restricted, I think after injection your doctor manipulated your shoulder for release of some adhesiveness which will increase your range of movement. And by the nature of illness you fell pain due to stretching effects of capsule. My advice is change your shoulder joint position and find the comfortable position in which capsule remain relax. It can ease your pain.Also, you can take analgesic like ketotolac, or ibuprofen along with omeprazole or omeprazole. If no improvement occur then please consult with your treating doctor. Hope it will help you. Wish your good health. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. My daughter, 18, began not feeling well on Tuesday. She was achy & tired. On Wednesday morning she woke up with puffy eyelids & still not did not feel well. On Thursday, eyes still puffy, body aches, and she had a mild fever of 99-100, & then it went up to 102 in the evening. Same symptoms remained on Friday with fever remaining between 99-100 when using tylenol. I took her to the Dr. on Friday. Dr. wasn t sure what she had - something viral? Flu? NO blood work was taken. Although we are not aware of any tick bite (we are in a high tick area), we discussed the possibility of the tick disease, anaplasmosis because 2 of our close neighbors were recently diagnosed. Dr. suggested waiting things out through the weekend to see how she did and wrote us a script for Doxycycline and left if up to us on whether we wanted to start it. Fever went up to 102 again on Fri. night. Saturday morning we gave her 1 doxycycline & tylenol. Thoughout the day, fever averaged about 100.6 then went to 101+ during the night. Before bed we gave her a 2nd dose of the Doxyclycline which she threw up within just a few minutes of taking. Eyes seem to get more puffy the higher the fever. After throwing up the Doxyclycline, we did not give it to her again and have continued with tylenol or ibuprofen to try to keep the fever down. Tonight follows the same pattern, fever up, body aches worse (legs feel crawly to her at times), & eyes more puffy again. Cool compresses do not bring down the puffiness of eyes. We re not sure what to do next. Start her back on Doxy, take her in tomorrow for blood work? She is visibly uncomfortable. She has also had a decreased appetite. At times, in addition to the puffy eyes, her face looks somewhat swollen. No sore throat but some swollen glands in neck. Please help. Thank you", "output": "Hello, her symptoms seem a lot like influenza although other illnesses (viral or bacterial) could have caused the same symptoms. Since there are not many symptoms to guide the diagnostic procedure, you've got the choice to wait and see or to do some tests. Some useful tests include the complete blood count and the c-reactive protein (CRP). Increased white blood cells (with polymorphonuclear renomination) and high values of CRP likely indicate bacterial disease which needs antibiotic treatment. Low CRP values usually accompany viral illnesses, although none of the above is 100% error-free. Worrisome symptoms and signs include faintness or orthostatic hypotension, very high pulse rate, decreased urine output, shortness of breath, too many breaths/minute and decreased cognitive functions. I hope I've been clear enough, without too much medical jargon.I'll be glad to provide further clarifications though, if you're still left with questions. Kind Regards!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Sir.. 24yrs old and diagnosis with Hepatitis A Jaundice. But my LFT reading is concerning me.. SGOT 922 u/l. SGPT is 2446u/l... total bilirubin 4.58. Direct bilirubin 4.286 Hospital discharged me with Uidilv 300, silyborn 140, pentocid dsr, Ebast DC , Mucolite Do i need to get admitted to another hospital as above readings are alarmingly high or just rely on this tablets? How long approximately will it take for these readings to come to normal Thanks alot in advance.", "output": "Hello, Liver enzymes may be raised because of various causes. In your case, some may be more possible but in every case, it requires evaluation of the cause. Most common causes of such liver derangement are Alcohol, Viral hepatitis, Nonalcoholic fatty liver disease, Chat Doctor. Gamma GT is most commonly raised due to alcohol intake and in case you take alcohol, you need to keep control over it. If you don't take it, you need the following tests: hepatitis virus markers, Ultrasound Abdomen, and HIDE scan. A lot many times, liver dysfunction is due to Non-Alcoholic Fatty Liver Disease (NAFLD). So, if you have any evidence of fatty liver in Ultrasound and your other tests are negative, this rise is liver enzyme would be attributed to NAFLD. For this, you need to reduce your weight, reduce fat in the diet. This is my personal opinion based on the details available here. If you still have any other query, you may please ask me. Stay Healthy. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a question for you. My sister has a severe gambling problem that her husband & her been kick out of houses cause of non payment. She goes online to cash advances gets the money and gambles the money away. Also she is an diabetic and uses it for her benefit for us to easy up on her. Does not take her medication and b ecomes a life threatening situation for her and others! My question is can her husband have her committed or speak to a doctor even she refuses?", "output": "Hi After going through your sisters' scenario two important problems needs to be tackled. Habit of gambling and taking money in advance for that it indicates psychiatric disorder which needs to tackled first. Second is her Diabetes:For diabetes management patients active participation is very important, though family support is also important. Though her husband can take opinion of planetologist against her will, it may not be fruitful. Before head, it is really important to take opinion of psychiatrist regarding her gambling problem and neglect of diabetes treatment, she requires psychiatric counseling. During whole process she needs family support and active participation of her husband and yourself in treatment." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "When Im In School Or Around Other People I Get This Feeling In My trouth That Im Goin to Be Sick I No Im Not But I Start to Panic And Have to Leave Class Or Walk Away On My Own And Sometimes When I Eat The Food Comes Back Up But Im Not Properly Being Sick :( Its really Annoying Cause I Have Missed So Much School And Im Doin My Leaving Exams This Year I Also Have A Fear Of People Vomiting Can You Please Help :)", "output": "Hello, Thanks for using Chat Doctor. You seem to be suffering form agoraphobia or Social anxiety disorder(Social phobia). These are common anxiety disorder. Almost 4-6 of people suffer from this in lifetime. When person is surrounded by many people or when person has automatic thoughts of being watched by people and fear of criticism, sympathetic centers in the brain got activated and features of anxiety occurs. This includes palpitation, tremors, nausea, vomiting, impending doom, sick feeling and avoidance of such situation. Avoidance of situation may affect work, study performance. This disorder is treated by medicines and/or psychotherapy. Medicines: SSRI group of medicines)Escitalopram, escitalopram, paroxetine,sertraline) can be used.Antianxiety medicines from benzodiazepines group can be used for short duration. Psychotherapy: Psychodynamic psychotherapy or specifically CBT(Cognitive behavior therapy) would be quite helpful. So consult a psychiatrist soon and get rid of your problem. Hope I have answered your query Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 35 and have never been on birth control pills. My partner and I decided to try IUI to conceive with donor sperm. I have a normal egg reserves and the Dr want to put me on birth control before he does the procedures with a saline irrigation, biopsy, and the dye (i think to check the fillopian tubes). Why is it necessary to put me on birth control before my first IUI prodecure?", "output": "Hi, I guess your concern is about is it necessary to put you on birth control before your GUI procedure. Well you missed one information to share with us, about menses. So whether your menses is regular or not? Without this information my answer of your question is 50% NO and 50% YES. I can justify for this 50%. If menses are regular then no need to be on birth control. If menses are not regular then it is really necessary to put on birth control. GUI is done around the ovulation (ovulation means the period during which dominant follicle is rupture and ovum is released). Sperm in GUI needs to fertilize this ovum to getting pregnant. If menses are not regular then ovulation can not be predicted, GUI will be not successful. As you have not provided the info about menses, I can't give you pinpoint answer. I guess this was informative enough, useful and helpful for query-is it put on birth control before GUI procedure. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am 27 years old,an i have chronic candida , this affects the right side of my stomach and my right leg as well for almost two years now.i was told antiboitics worsens it if i take some.so what can i use.i have tried taking yourghurt,brown rice and other sugar free food for some time now,and i am tired of eating this limited food and some people say it can affect my womb if not weell treated.please i need help", "output": "Hi, As you have chronic Candida infection, you require one course of antifungal medicine like Fluconazole 150 mg once in a week for 4 weeks. Without taking oral course of antifungal medicine it might not respond. Apply antifungal cream locally as well. Keep local part clean and Chat Doctor. Antibiotic medicine has no role in treating candida unless there is super added bacterial infection. Ok and take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i had a root canal treatment done and crown treatment in the last 3 months since then i have another apsus on the tooth beside it the dentist gave me pencillen which didnt clear it up he told me its possible another root canal is it coming from the first treatment or what can i do", "output": "Hi.... I would suggest you to have x-ray of suspected tooth. By this only your doubt will be clear. If abscess is with act treated tooth only then you need to undergo re root canal treatment. And if abscess is with other next tooth then that tooth need root canal treatment. Without finding cause and taking antibiotics is not advisable. So do professional investigation then have treatment. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "When ever I take a large gulp of water I can feel it going down my throat and into my stomach. Suddenly as i am breathing normally a bad smell araises from what i think is my stomach. I sense the smell when I exhale. It stays for a little while and then goes away until i take another gulp of water. Until now i dont notice it when i drink anything else. Only with H2O. This is something thats been happening to me recently. How come???", "output": "HI. The smell which you are getting from the abdomen while Chat Doctor. Another reason :This is called Foe tor in medical language. You have a history of blockage of one nostril. SO this can be Due to Chronic Sinusitis, the sinus can have pus which gives you the feeling of Weird smell. I would advise you to have a consultation with an ENT Surgeon, get Clinical examination done; CT scan of the Sinuses and an X-ray of the chest is mandatory. Get the treatment according to the reports. IF the CT scan is normal we can consider the possibility of a problem in the Sensory System and you may need an opinion of a Neurologist." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 17 year old son was diagnosed with Bronchitis. His pulse is rapid 145 beats per minute. No fever, but of course a cough and body aches. This came on suddenly, yesterday he was fine. He has antibiotics, cough medicine, and an inhaler. Im concerned that the cough medicine and inhaler may raise his pulse further.", "output": "Hello understand your concern. Bronchitis is an infection of the airways. And usually the treatment is with antibiotics mucositis and sometimes inhalers. The medication for preventing cough are not so indicated unless in particular cases because the cough is a normal reaction of the lungs against the microbes. One of the side effects of the inhalers are sometimes the excessive cough or the raised cardiac pulse. If this lasts for several days better the doctor reevaluate his situation and change the inhalers. I wish your son a fast recoveryThank you Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was working out and I fell backwards onto the ground from an elevated area (5ft fall) . There was a metal pole that my left lower back fell on and I hit my head, which caused a medical concussion that a doctor verified. Now, when I move my left hip or even slightly switch positions I have an extremely sharp pain in the inside of my hip. Could this be bruise or something else. Also, where my left lower back hit the metal pole a laceration formed and also tissue damage caused a lump in my back", "output": "Hi, thanks for providing the brief history of you. As you mentioned you had contusion and have been treated for the same. Also, have you undergone any MRI or CT of your lower back since the injury was directly on to the region of the pole. Also have there been any x-ray take for the hip region. Usually the nature of the mentioning may be due to the nerve getting pinch either by the gluteus muscle or may be at the spinal level. For the confirmation of it an MRI is advised. Post that, a physical therapy is advised, and you will be put on a mild to moderate exercises which will help you strengthen the muscles and within a short time. All you need to focus is to strengthen the muscles. With the grace of God I Wish you a good health. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, i used a needle to pick my teeth and later realised i didnt know where it came from, also it scraped my gum and when i looked at the needle, it had a tiny bit of my blood on it, if the needle had HIV, would i be able to contract the virus this way? Seen as i didnt inject deeply and the needle looked clean, ( the needle didnt have a syringe attached to it ) it was a hollow needle nurses use when doing home visits to collect blood. ( My mother is diabetic) Thankyou for your time", "output": "I think we should ask first family to whom belongs the needle and if it is used by them. Diabetes is a disease that is not transmitted through the blood. A way in which the disease is transmitted use of the same needle, and therefore nowadays are disposable needles. Should be careful when using needles and have to throw down after the use. If the needle has been used previously by a person infected with HIV then it becomes a source of infection for other people." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "IM 57 YEARS OLD AND HAVE HAD THIS PROBLEM FOR ABOUT 3 MONTHS. HAVE SEEN MY DOCTOR ABOUT 3 TIMES AND AM LOST. I GET SHORT OF BREATH WHEN I DO THINGS AND ALSO WHEEZE AT NIGHT JUST WHEN IM LAYING DOWN. MY CHEST FEELS LIKE I PUT VICKS INSIDE OF IT, I ALSO FEEL LIKE COLD AIR WHEN I BREATH IN.I COUGH MANILY AT NIGHT WHATS THE PROBLEM, I AM FED UP", "output": "HelloWelcome in ChatDoctorI have gone through your concern and I will try to help you. According to the history you have difficulty in breathing mainly during the night and laying down. I strongly recommend you to do some tests for the lungs especially:HemogramCRPChest x spirometry test with b/dilatatorsEKGPrick testator having the results the pulmonologist will for sure prescribe to you some medications like inhalers (Ventolin + Sere tide) maybe oral corticosteroids for several days, some mucositis, and you will feel better again. If you smoke you have to stop it immediately. If you are obese you have to lose weight to do some exercises physical activity, a lot of liquids. So consult a specialist please. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have intestinal swelling acording to my physicians and my abdomen pains so bad, i got stomach ulcer 2 years back , it was due to excessive acid production, my question is inspite of taking proper medication why do i get pain oftenly in stomach and in abdomen? Is there some other issue as well... And what can be the other possibilities for this pain?", "output": "Hi ! Good evening. I am Chat Doctor answering your query. If I were your doctor, I would first ask you not to eat food from outside specially fried, spicy, and fast food if you do. This might give rise to some intestinal infection causing the pain in abdomen not necessarily due to acid production. Some components of the fast food also could give rise to sensitivity reactions in some individuals who are allergic to these, and could be a possible cause of pain and discomfort in the abdomen (example= gluten sensitivity). I would suggest you to get a routine stool test done for ova and cyst, and get them treated by your doctor if it is positive. Also go for more roughage in your diet along with fresh fruit and sufficient liquids. This along with a regular exercise might help you in getting relief from your problems faster. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello i am 18 years old and for 3-4 years now i have had two circle lumps under my nipples that when i touch them they hurt, i have been eating healthy and drinking only water for 2-3 months now and i have lost alot of weight but not the male breats?? i also have really big puffy nipples that stand out i know they say about puberty and stuff but i feel this is not puberty since it has been part of my life for ages and im quiet old now", "output": "Hi, Dear,Welcome to Chat Doctor. Based on the facts of your query, You seem to suffer from-Gynecomastia with ? Low Testosterone Levels. Inj. Depo-Testosteron would help it out to reduce the male Gynecomastia. Get LH/FSH/ testosterone levels. Contact with a Followup Premium question to ME. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. suggests Good Day!! Chat Doctor. S. Genl-CVTS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am suffering from severe mood swings. Sometimes I get really depressed and cry but also lash out and get really angry. I also get really hyper and I feel like I m going to explode, I used to really enjoy being like that but now I know I ll plummet down again. I regularly go out drink far too much and act very silly, especially sexually. I have always been like this but I m 21 now and it effects my daily routine. I don t know what s wrong with me but it drives me mad and it s affecting my relationships. Please help!!", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. The symptoms you are mentioning here neither warrant any depression related disorders nor any bipolar disorders. You could just be a victim of Chat Doctor. You are just 21. You have enough other activities to do in the field of education and career. You cannot overlook your career/education/life and indulge in negative activities and thinking. You should consult a psychologist for expert opinion. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I took MRI and they gave result as degenerative changes in l3/l4 and l4/l5 discs with posterior disc bulges causing thecal sac indentation with pressure over right neural foramen at l3/l4 and bilateral neural foramen at l4/l5 levels kindly tell me remedy for this", "output": "Hi, By seeing your MRI report it confirms that you have intervertebral disc prolapse at L3/L4, L4/L5 which is causing compression to nerve roots which are emerging from vertebral foremen, you need to undergo discectomy surgery the earliest possible, before surgery limit your activity, take bed rest, continue with vitamin supplementation and analgesics. Consult neurosurgeon or orthopedic at earliest. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Dr. Grief, So my iron levels are very low. Ive been taken supplements over the counter and have f/u w/my physician and he has recommended that I have an infusion. Cause I have not gone yet, my urine is of a dark orange/red color. Does that mean my kidneys are failing. can I do something besides drink a lot of water and double up on my iron pills?", "output": "Dear Mr/ ms non-compliant, welcome to Chat Doctor. If oral iron is not sufficing for what ever reason, you need i.v infusion, so don't delay, especially if your hemoglobin level is low. B complex supplements can cause change in urine color. The color of urine does not indicate kidney failure, you need to have tests (KFT blood test and urine routine test) to confirm that. I also suggest you get your liver function tests (blood test), and hepatitis virology (Bag and anti HCV antibody) done as well. Do let me know if I can be of further help. Best wishes. RB" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son - age 14 - with no other health problems - has suddenly (overnight) developed swelling between 3 of his lower front teeth and two painful marble-sized lumps on his neck. One of the lumps is directly under his chin, in the middle, approximately beneath where the problem with his gums is. The other lump is directly under the end (farthest back) part of his jaw. I assume its the lymph node there. He gets regular dental checkups and had dental xrays done only 2 or 3 months ago, with no cavities or other issues. Does this sound like a tooth or gum infection and would it be better to see a dentist or a doctor? Thanks.", "output": "Thanks for using Chat Doctor. Read your query. The lumps can be due to abscess in relation to any of the three anterior lower teeth mentioned (periodontal abscess) thus triggering the enlargement of the lymph nodes in the sub mandibular region. I would advise you to visit your dentist and get it checked to rule out the abscess, thus getting the needful treatment done. For the pain, broken can be given, He may also require a dose of antibiotics. Do saline gargling. Thanks and regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello, My daughter was complaining of stomach pains. When I touched her belly there was a lump in between the ribs on the right side of her body (right side when looking at her so the left side of her body). She has a fever. The funny thing is we went to see a doctor this afternoon and he found nothing wrong with her. What might it be? Should I be alarmed?", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query your daughter is suffering from abdominal pain and fever which seems to be due to viral or bacterial infection. It could be due to food intolerance at times. Need not worry. I would suggest you to visit general physician once and get it examined. You should get blood tests done and start treatment after proper diagnosis. Do tepid sponging as well to lower down fever. Take diet rich in fresh juices and fruits. Chat Doctor. Take multivitamins to booster immunity of body. Abdominal pain could be due to excessive suffering from fever, and it could be due to stomach cramping. You should take a muscle relaxant as well. Hope your concern has been resolved. Get Well Soon. Best Wishes, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi...Im a 59yr old female on norvasc for almost 20 years 5mg to treat a moderate hbp number that use to swing up and down. Ive been more stable on the drug but the bone popping and grinding is not consistent with my age and health. Im in pretty good shape and excercise on and off and a little overweight at 158lbs..54. I also get a chest fullness sensation and that is only relieve when I allow myself to MISS the drug a night or two. I really want to come off this drug now. What do you suggest?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you should not stop the Chat Doctor. Since you are above 50 years of age and having hypertension, better to first rule out heart diseases for your chest fullness and tightness. So get done blood pressure monitoring, ECG and 2d echo. If all these are normal then no need to worry about cardiac diseases. Sometimes, stress and tension can also cause similar sensations. So avoid stress and tension, be relaxed and calm. Don't stop your blood pressure medicine by your own. This can be serious. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 10 mibtj old daughter has been throwing up on and off for 2 days now and having bowel movements about 3 time a day..she has been acting a little strange but Im not sure if I should take her to the hospital seeing as how she hasnt been crying and has no fever..SUPER PARANOID MOTHER..!!", "output": "Hi... Thank you for consulting in Chat Doctor. It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doc i have no problem but i need to know the diferant between Cycatrist and psychetrist . I have no problem with my hormons and evrtything is good in my health just a little bit feelin body eaching like an allergique at night . And some time feel like i am out of mood nervice fasty i can not hold the fault from the people around me exact ho has less smarty mind. I have 43 years old . My second husband i very younger then me but not looks like younger csuse i still have a good shape and good skin . And is make my mood up and down. He is very lovely this is nice love me also very good but he is not an educated man and he wont be or he can not get the points direct and he wana me cool and repet the information even 20 50 time no problem but don t nervice . Also he like to make sex more then 2 times every day . If i stop it him mean i heat him . I don not know ho need a doctor he make me feel like i am close to monopose .", "output": "Hi there ~ You have your spelling wrong both times in the content of your questions. Assuming that you want to know what the difference between a psychiatrist and a psychologist is, I will let you know that psychiatrists go through medical school and complete training in psychiatry to be able to prescribe psychotropic medications. While there are many ways that one could become a psychologist (most of the time not being able to prescribe medications) the doctoral psychologist is considered or repute and a masters level a step below and so on and so forth. However, the skill level depends on the experience with patients, either for psychiatrist or a psychologist. I hope this answered your question. Take care and have a nice day !" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have on c5-c6 central disc protrusion/extrusion measuring 4mm AP in combination with more dorsal lateral posterior ostteophytic spurring results in severe central canal stenosis . No frank spinal cord compression or cord edema . Moderate right neural foramina narrowing and mild left left neural foramina narrowing are present due to uncovertebral hypertrophy. C6c7 posterior disc osteophyte complex results in moderate to severe central canal stenosis. Near complete attenuation of CSF around cord is present . Moderate left neural foraminal narrowing and mild right neural foraminal narrowing are present . Neurologist said I need surgery right away. Is surgery my only option?", "output": "Hello are right in asking the question. The radiological report does indicate a status in which many physicians advise surgery and many patients get operated upon. However, the decision of surgery is not made completely upon the imaging findings. The clinical history and examination findings are the foremost things a physician keeps in mind. A patient with neurological deficits, like weakness of hands or feet, constipation, urinary complaints etc., is usually advised surgery straightaway. But patients who come only with pain and no compression of the spinal cord on MRI, are put on physiotherapy and medications first. Only if this conservative line of management fails, then surgery is advised. Most patients who comply well with the conservative line management are able to delay surgery for a significant period of time, or even totally prevent the need of surgery sometimes. Hope this solves you query... But remember, the physician who has seen you and examined you is usually the best judge... Take care..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello. I have low iron levels but the tablets that I am on are horrible so havnt been taking them. Last night I was really breathless before I went to bed. I woke up at 4.30 in the morning not being able to breathe properly. My chest was sore. My pulse as i woke up was 116bpm. Will this be related?", "output": "Hello, Thank you for contacting ChatDoctorI understand your concern, I am Chat Doctor, Infectious Disease Specialist answering your query. No iron therapy never causes such a problem. In fact when you have low hemoglobin such problems may happen. So breathlessness is because of severe anemia. I advise you to continue your therapy with iron. Iron therapy takes long time to get its effect. So please continue the medication. Take the medication till your hemoglobin sets to normal level plus three months. This extra three months will replenish your storage of iron. You can ask for further queries here on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious Disease specialist wish you the best health at Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, Back in December 2010 i had severe pain in the top of my head basically left side of the skull and my left nose was blocked and when i went to the doctor told that might be sinus.It went away but that pain comes when i am exposed to extreme cold or heat.2 weeks before i found a pea size lump behind my right ear, but it does not hurt just that it worries me that it should not be anything serious as at times I get boils in my scalp that look like swelling and at times get pain behind ear and neck.Please suggest,", "output": "Hi, dear thanks for the query to my Chat Doctor virtual online clinic.It's my pleasure to help you. My diagnosis-You should not worry of the lump behind the rt ear as its due to the-Lymphadenitis due to the Scalp infection. This lump is not related to the left-Sinus infection with Lt nasal blockage. Treatmenit-a-Consultation with Surgeon for the rt ear lump and sinus infection. Ent Surgeons opinion is also needed.b-For the lump behind rt ear-Antibiotics with NSAIDs tb would resolve scalp and lymadentis lump. Sinus infection would also get relieved with this. If it doesn't in 1 was time ENT Surgeons opinion is needed.Don't worry and act fast. This would solve your worrisome query. Hope this would solve your query. Wellcome to my Chat Doctor clinic once again. Have a Good Day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I ve noticed a hard lump on the right side of my cevicle near the hollow of my neck but on the top of the bone. The left side does not have this. There is a slight weird throbbing pain and it is mildly sensitive to touch. Compared to the left side it is noticeably harder and larger. No lump on the left side at all. Any suggestions?", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have some lump in bone or there can be some enlarged lymph node. You should go for x-ray. If there is no bony lump then you should go for fine needle aspiration cytology or biopsy of that lump. It can be due to reactive hyperplasia, tuberculosis, lymphoma or metastatic carcinoma in lymph node. FNAC gives you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "In the morning my ankles and feet are not swollen but by afternoon they are swollen. Not huge but noticeable. The problem I am having is not so much the swelling as much as now petechiea has appeared on the front of my legs. I am a nurse and don t drink a lot of water at work and have had swelling before but not the petechiea. Is there more I should be looking at?", "output": "Hello welcome to ChatDoctorSince you already have a lot of medical understanding it is quite easier to grasp. You have dependent pedal edema which is due to long duration of hours you stand and work. The small petechial visible are due to distension of small capillaries and venues and their rupture. I have a few questions for Louis there any other condition you suffer from? Do you have varicose veins as well? Any past history of malignancy? Any family history of cardiac disease? You should visit a surgeon to get yourself examined for varicose veins and also rule out cardiac condition by visiting physician. Temporary treatment in form of lifestyle modification and compression stockings and limb elevation will help, but these are temporary measures only. Visit the doctor and get yourself examined. Follow me at Chat Doctor for second opinion or further query. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have typically had an average blood pressure of about 120 over 68-70. In the last week I have felt very faint and was very white in the face. I took my blood pressure and it was 80 over 44 on Sunday. Yesterday, Wednesday, it was higher - I think 90 over 45. I have never had low blood pressure like this and I just don t feel good. I have no idea what would cause my blood pressure to dip like this. What are some causes of low blood pressure? Are the latter ratios too low? Thanks:)", "output": "Hi, After going through your medical query I understand your concern and I would like to tell you that most likely insufficient diet or nutritional deficiencies and less liquid intake can be common cause of low blood pressure. It's recommended for you to take plenty of liquid intake with extra salt in diet .if it doesn't help then kindly a physician for proper evaluation and treatment. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i lost my virginity to my boyfriend. he wore a condom and even pulled out before he came. this was in july. my periods in august and september have been a little abnormal. I have bled heavy but for only 2 and a half to three days. my periods usually are heavy and last any where from 4-5. Can losing your virginity cause a change in your period, or could i be pregnant? I have had trouble with cysts and missed periods occasionally before but nothing like this.", "output": "Hello dear, I understand your concern. In my opinion though the period was different from usual it can be considered as normal. This difference could be due to hormonal imbalance due to stress or any. But nothing to worry. There is no chance of pregnancy as the period has come regularly. The loss of virginity might not affect directly, but it might induce the stress regarding the thought of pregnancy leading to alteration in bleeding. So relax. Overall there is no chance of pregnancy. Best regards..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "what does it mean if my daughter is underweight (23 years old, 80 pounds) has not slept much in the last 2 days due to stress, and is not using drugs of any kind. Her vision blurred, uncontrollable fast heart rate while all her muscles were shaking and at points could not communicate back with me even though she could hear me. Had a hard time breathing and walking. She is extremely active and healthy ..please help", "output": "Thanks for your question on Chat Doctor. I can understand your concern. By her symptoms, possibility of stress related symptoms is more. But better to rule out hyperthyroidism as this can cause all such symptoms in young females. So get done serum TSH, Free T3 and free T4. If all these are normal then no need to worry about thyroid diseases. Sometimes, uncontrolled stress and anxiety can cause such symptoms. So consult psychiatrist for her and get done counselling sessions. Try to identify stressor in her life and start working on its solution. She may need anxiolytic Chat Doctor. Don't worry, she will be alright with counselling sessions and anxiolytic " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Yes, 7 years ago I had a seizure from taking diet pills, I have been taking seizure medication for 7 years my doctor now says the diet pills are out of my system and I problably don t need the medication now, she has told me to look for a neurologist for testing because she would give me any more medication until I do. One doctor said I would be on the medication for the rest of my life. What should I do?", "output": "Thanks for query. Generally discontinuation of medication is considered after a person has been seizure free for typically 2-5 years, neurologists use the risk factors for new-onset seizures to assess patients for discontinuation of anticonvulsant. Normal findings on an electroencephalogram (EEG) and a brain magnetic resonance imaging (MRI) scan lower the risk of relapse after Chat Doctor. So consult a neurologist as your doctor advised. As you mention your seizures were acquired due to diet pill your EEG and MRI would probably be normal, and he may ask to taper and stop the " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doctor Grief - I have had a slight pressure just below my left rib . could it be the pancreas as my diabetes count is for 3 months 6.6 .It used to be 5 years ago 5.1 the doc here says it is still ok bur I disagree. I m 89 and still quite active . Been all my life playing hockey skiiing tennis and still golfing . What can I learn . I. m learning to play guitar and can belt out a few tunes . robert Irvine live in B. c. Can.", "output": "Hi, thank you for providing the brief history of you. A thorough abdominal assessment is advised. As the pain is in the lower part of the ribs on the thorough abdominal assessment is advised. Also, performing a diagnostic ultrasonography of the abdomen should help to understand the systemic organs and other pathologies. The pain can not be because of pancreas as any pathology of pancreas will be detected by high sugar levels and abdominal scan. Just get an ultrasonography done and wait for the results. It could be even the muscular pain as well. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am having major pain in my adimon and its going to up to my chest. ive gone to the hospital but they said all i my test say is my inflamion levels were up. ive been in pain for about 3 to 4 weeks now and im eating ib profen like candy and i have no insurrance. what do i do", "output": "Hi! Good morning. I am Chat Doctor answering your query. If I were your doctor, I would first ask you to discontinue the Ibuprofen tab which might by all means have caused severe gastritis and peptic ulcer syn Chat Doctor. I would advise you to avoid any kind of alcoholic beverages or smoking if you do, which would increase or precipitate your pain abdomen. In addition, I would advise you for a proton pump inhibitor along with an antacid gel, and to go for a very much bland diet without much of chili in that. Go for a regular exercise depending on your medical fitness. In case of no relief, or increasing problem, I am afraid you might have to see a gastroenterologist in your area irrespective of your insurance status. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "A couple days ago I noticed a pea-sized lump on the outside of my elbow, beneath the skin.. it is fairly hard to the touch and painful when my arm is resting on my desk or when it is gently pressed. When I extend or retract my elbow to its full range of motion there is some discomfort in the joint. When my elbow is bent all the way the lump is very hard to find, if at all. It sort of aches after it is touched. Any ideas? I cant seem to find anything about it online.", "output": "Hi, Dear,Good evening. Thanks for your query to Chat Doctor. I studied your query in-depth. In my opinion the lump on the lateral side of your elbow-Could be -? A lump of the Tennis Elbow- ? Or it could be French cellulitis-as its hard and painful to touch. Bending vanishes the Lump -but aches on touch. Treatment-a-I would suggest consulting a Surgeon and Ortho-Surgeon both-who would differentiate the 2 possibilities.b-If its -Tennis Elbow-Tb NSAIDs, Rest, if recurs -In. Steroid local would relieve chronic Tennis Elbow-. But if its -Boil on outer elbow-then-Antibiotics, Tb NSAIDs, cold compresses would reduce the lump. If it doesn't, and increases, then Proper Surgical I & D-incision and Chat Doctor. Hope this would clarify the worry you had. Would love to Welcome your queries to Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was diagnosed with acute pericarditis about three weeks,and i am currently on colchicine and aspirin . I appear quite stable but do experience occasional chest discomfort. Can i know the usual duration of therapy and also if i can engage in sexual activity.", "output": "Hello! Thank you for asking on Chat Doctor! I understand your concern and would like to explain that therapy duration, when we are facing with acute pericarditis depends on: (1) need for symptomatic relief (treatment of persistent disturbing and restraining pain); (2) treatment of pericardial effusion (avoiding such way the risk for cardiac function compromise), (3) treatment of potential obvious etiological factors (for example, a thyroid disorder, any possible infections, inflammations, etc.). Regarding your actual therapy, I would explain that colchicine duration will depend on the actual clinical and echocardiography results of treatment (that is, if fluid accumulation is disappeared and bothering pain has almost faded, then it would be recommended a change of colchicine to any anti-inflammatory Chat Doctor. Colchicine has the potential to show dangerous side effects (hematological, digestive, etc.). So I would recommend a safer option. I recommend you to talk with your doctor about that issue. Regarding sexual intercourse, you are free to that, but only if your pain is not limiting. Hope to have been helpful to you. Greetings! " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 39 years of age and am trying to conceive. My doctor called with the results of my bloodwork and stated my prolactin his high. She said it is at 13.6 and has recommended I see a fertility specialist. Im afraid that I wont be able to get pregnant. What are my chances with this condition?", "output": "Hi, if your prolactin levels are high, repeat it in fasting state if not given prior in fasting. If its high again, medicines are available for its treatment. So, it can come back to normal, and you can conceive. But, your age is slightly on a higher side, so you can take some medical help in conceiving fast. You can take some medicines for growth of your follicles and track your follicles' growth by repeated ultrasound. When follicles reach a size more than 17 to 18 mm, take injection for rupturing the follicles. Be in contact with your husband for next 2 to 3 days. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. You can try like that for 3 months. If it doesn't work then you can go for GUI. Hope I have answered your question. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "x-ray chest show : bilateral hilar congestion of chest with accentuated bronchovascular marking of both lung fields . what is the favor medications? age 25 year height 160 cmweight 63 kgmedical history : dry cough for 3 weeks . high temperture during night ,", "output": "Hi welcome to Chat Doctor.... Here you are having acute bronchitis as per x-ray report and clinical history.... Your auscultation also has to be done.... Here I would like to suggest you to investigate with spirometry to detect severity according to which treatment guided. Take cefuroxime protein antibiotic two times per day for 5 days.... The tablet will be somewhat bitter ... Chat Doctor. .... For congestion relief take antihistamines " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello, pt has bleeding on the brain can t drill to relieve pressure they say. like in a coma state but he has tears in his eyes running down his face when talk to him but doesn t move , feels his hand squeese your finger once in a while not a strong grip. nurses says its not a anurisom not a heart attack tests show. what could it possible be? i am 5 hours from the pt to go see him. i work in a medical field and i am checking things out on the computer. pt is on a breathing machine at this time also.", "output": "Hi, I am Chat Doctor. I have read your question with care and understand your concerns. Let me try to help you Question : What causes bleeding in the brain? Bleeding in Brain occurs more commonly due to 1. Injury to Head 2. Problem in Blood Vessels. This can be congenital problems like Anterior Venous Malformations or acquired problems like Atherosclerosis.3. High Blood Pressures times it can be a combination of various factors Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. Let me know if I can assist you further. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had unprotected sex with a girl who went and had the birth control stick implanted in her, after only 3 days and may have came in her. Since she is on th birth control she probably insnt pregnant right? The doctor said that it worjs right away but we should wait a week and did not.", "output": "Hi, I understand your concern. The implant stick (explain) is to be inserted within 5 days of menses ideally, if not so 7 days of back up contraceptive. For Explain is not active till then. So your friend did not have contraceptive protection, and she does have risk of conception. In case the day of sex co insides with her ovulation. At the moment, you should wait till its 8 days deal in menses & then go for urine pregnancy test(in case she does not get her menses.). It will confirm/ exclude pregnancy. Even if she is pregnant, it is advised to get it removed by MTP... as hormone in explain may harm baby. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Our 18mo twin daughters both have a large dull bruise on the upper, inner, left thigh. Groin Area.We can t imagine what would cause this. Before we start asking serious questions with the daycare, we want to be sure this isn t something associated with growth or some others common thing.", "output": "Hello, Bruise in a girl child of 18 months age in groin area that too without an antecedent history of trauma points towards something grave though not towards a disease but towards a heinous crime or some sort of sadistic behavior. But since the injury is present in both of your babies that decreases the possibility of such events. You need your children to get thoroughly examined. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir,iam 37 y female.i have recurrent uti.atpresent i take cefxime-5days.my urine result as follow.reaction-alkaline,albumin-faint trace,sugar nil,bilesalt,pigment-negative,puscells-2-3,redcells0-1,epithial cells4-6,bacterial rods nil,mucus threads nil,.is this normal or not sir.iam worried.", "output": "Hello band ;welcome to Chat Doctor The report you have posted is normal, but it is also important to see that you have no symptoms like before :-frequent urination;fever;burning during urine or any other symptom you had. If there is no symptom, and you are feeling better and since the report is also normal you should continue the medicine for the period as recommended by your doctor, and you will be fine. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband and i have been trying to have a baby for the past 2 yrs, but unsuccessful. I have been to the doctors but nothing happen, i also did a HSG test but still nothing. My husband refuses to see a pathologist to test is sperm. Doctor tell me what else can i do?", "output": "Hi, Welcome to Chat Doctor. Before you start any treatment it is important to know your husband sperm count is normal or not. If that is not normal then he needs treatment. Whatever you take treatment it will do in vain. I suggest you to convince him, and also you may go for ovulation inducing Chat Doctor. This will help multiple follicles to mature and rupture. Thus increasing chances of pregnancy. Hope I have answered your query. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "yesterday I had toast and juice for breakfast and then lentils with white rice and lettuce salad for lunch. Prior to lunch I suffered a migraine headache, took some tylenol and it helpped a bit but it left so tired. After eating I got a stomach pain. I thought I ate too much, when I got home I napped and when I woke up I had a very bad stomach ache and my abdomen was swollen. I tossed and turned for a couple of hours until I vomitted. It left me shaking and with a sored lower back and limbs. Today I woke up with a very mild stomach ache but my body feels as if I was ran over by a truck. Specially my legs, it makes it difficult to walk.", "output": "Such a severe pain causing tossing in bed is usually due to ureteric colic. Stone in ureter causes obstruction to urine outflow and smooth muscles in ureter contract excessively to overcome this obstruction & this causes severe pain. In such cases, I advise X-ray KU BU, ultrasound of abdomen, renal function tests, serum amylase & lipase. Empirically I give antispasmodics, painkillers & diuretics. Advise to Chat Doctor. 5 liters of water in 24 hours. Definitive treatment is according to reports. Hope this information is useful to you. Thanks. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 34 years of age and recently diagonized with a gland tuberculosis. I had swellings under in left armpit for about two months now. What kind of medical intervention will help me? what caused in the first place? and what shall I do? Pls help me understand it better. Thankyou very much!", "output": "Hello and Welcome. Thank you for your query As you were recently diagnosed with gland tuberculosis, I am sure you are under treatment for the same. Regarding your worry about the swellings under your armpit, they are nothing but the swollen or enlarged lymph nodes due to tuberculosis. A lymph node is an oval-shaped organ of the lymphatic system, distributed widely throughout the body including the armpit and stomach and linked by lymphatic vessels. They become inflamed or enlarged in various infections and diseases, for example in your case, in tuberculosis. I recommend you to complete the course of your tuberculosis treatment, and check for the decrease in the size of those swellings. But if they still persist, you need to check it with your doc, he may recommend a biopsy for the same. Thank Outstay Healthy." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had bladder cancer in 2000. Treated as outpatient. No chemo. I noticed blood in my urine yesterday morning. Saw my internist at 11:45 AM. Gave me a referral to see a urologist, next Thursday. At 2 pm, same day, I checked my urine, which was clear of any blood . Subequent urine samples show no traces of any blood. I am 88 years old and ride the stationary bicycle for 30 minutes daily. I also had ba ck surgery for spinal stenosis about two years ago. What is the probable cause of the blood and should I still see the urologist and undergo a cat scan and other tests.", "output": "Thanks for your question on Chat Doctor. Yes you should definitely consult urologist and get done PET scan. Since you are patient of bladder cancer, there is high possibility of recurrence of bladder malignancy. Blood in urine is the most common and earliest symptom of bladder cancer. So you may have recurrence. You would first get done urine microscopy and ultrasound examination of abdomen. And PET Scan is needed to rule out distal metastases. So consult urologist and discuss all these." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HELLOI HAVE BEEN USEING TRAMADOL & SR 50MG ONE TABLET A DAY.i HAVE STENOSIS IN MY BACK AND A CHRONIC BACK ACHE IN MY L5 VERTTRAMADOL IS THE ONLY PAIN KILLER WHICH WORKS FOR ME. BUT I GET THIS ITCH IN THE END OF MY NOSE & DRIVES ME MAD EACH & EVERY TIME I TAKE THE TABLETCOULD YOU RECOMEND A SAME TYPE TABLET - WHICH DOES NOT HAVE HYDROCHLORIDE IN IT AS, I ASSUME IT IS WHATS CAUSING MY NOSE ITCHREGARDS SB", "output": "Hi, Based on the details, you seem to have chronic backache with spinal stenos is and Tramadol induced allergic reaction (nasal itch). This requires confirmation by clinical examination (local examination of nose by ENT surgeon). It is advisable to stop tramadol, and start analgesic flupiritine male ate. You may also require neuralgic Chat Doctor. You should consult neurologist for further treatment of spinal canal stenosis hope this helps regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "For the past 3 days ive been experiencing sharp stabbing sensations in my right side of my abdomin and also for about a week ive been getting fluttering sensatiins too in my middle of my abdomin ... tonight the pain was a bit more painful but once calmed down after about a minuet i started to get sharp pain in my right hip and leg .... are all these linked or is it all in my head?", "output": "HelloSign this type of pain, you are feeling may be due to these possibilities, these include.1 Renal calculus, as this is the most common cause of such pain. Get in ultrasound of urinary tract system.2 Urine infection is the another most common cause. Diagnosis can be confirmed by urine culture examination.3 Chronic appendicitis is another such cause. Ultrasound of abdomen is an important examination in this case. However, there are so many reasons of such pain as, ovarian cyst (if you are a female patient or salpingitis) , amoebic colitis or intestinal infection. I recommend you please consult a physician and get his opinion because first physical examination is important to locate the site of pain as this pain is also radiating toward lower side as in hip and leg, so may be a pain bone related. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have sharp stabbing pains originating in my lower abdomin sometimes pelvic region, traveling up to just under my chest. Unsure of what it is, I am 19, 54, weigh about 137 lbs, and have depression/anxiety history and am taking sertraline 100 mg.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Yes, uncontrolled stress, anxiety and depression can cause similar kind of stabbing abdominal pain. But better to first rule out abdominal pathology for your symptoms. So get done ultrasound examination of abdomen. If this is normal then no need to worry about abdominal pathology. Uncontrolled stress, anxiety and depression are likely cause for this. Sometimes, only Chat Doctor. Counselling plays very important role in management of these psychiatric illnesses. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. Don't worry, you will be alright. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am having strange prickling in my neck that move up I feel dizzy and nausea 3 weeks ago was so severe I lost consciousness. My arms also have sort off electric like feelings my neck and face get red also. Every day after I have been up awhile These symptoms start and progressively get worst. I have had a neuclar stress test and was fine also have had ct scan but have not gotten results as of yet. I get very tired easily and am not functioning well at all. I am 60 female, have had 3 stents in LAD and have left internal occluded temporal artery. Ex smoker for over 4 years have excercised and tried to eat well and just keep have one ironic problem after another. But have never passed out until recently. My weight is 126 at 5 ft 2. What kinda of test do I need to be seeking?", "output": "Hi, First, you should measure your blood pressure and if it were high, you should receive a medical treatment and do an ECG and an ECHO on your heart to assess the ejection fraction. Second, if you took oral contraceptive pills or a hormonal replacement therapy, you should ask a gynecologist for help. Second, you should do ESR to assess the left temporal artery occlusion. Besides taking medical treatment for your heart condition, you should change your lifestyle by stop eating too much fat and salt in your food. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I have a newborn 3 weeks old. 6 lbs 4 oz. He keeps spitting up and choking to the point he can t breath within an hour or two of eating. The doctors say he has a protein allergy but I don t think so. We have already had to call an ambulance once before because he wasn t breathing. What do you think is wrong?", "output": "Hi, He could be having HERD or gastroesophageal reflux disorder. While lying flat some milk may be returning from the stomach to the feeding tube and into the throat. A few Chat Doctor. The solution is to keep him in an upright position for as long as possible after feeding, and when you keep him down, maintain an angle of 45 degrees, using pillows. Antiemetic medication like Risperidone would also help. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Vaginal hysterectomy was performed in 2009 with removal of uterus and cervix. Recent vaginal spotting caused concern and an ultrasound was performed. Ultrasound report states: exophytic hypoechoic mass lesion arising from the vaginal wall interposed between the vaginal cuff and the posterior aspect of the urinary bladder wall. This measures 4.4cm and demonstrates vascularity. There is a closely adjacent smaller lesion measuring 1.5cm. Gynecologist recommends removal of lesion. Should further testing or imaging be done to determine any other conditions or should a second opinion be sought to see if other options are available?", "output": "Hello me, Good noon, Mem, I read your history thoroughly n you said that that lesion is clearly diagnosed by imaging test n other histopathological examination... Now I don't think that you should do it again for confirmation n second opinion that you have that lesion or not... You have problem that you cannot accept it that you have that lesion after surgery...but this is fact that you have...n every investigation are positive again if you did repeat them n just waste your money... N I am also sure that your gynecologist also provide all option suitable for lesion n your health condition...so keep faith IIN your doctor n just go through his advice if you are anxious n cannot adjust with n have excessive thought about that than you should consult psychiatric physician also...they help to reduce anxiety about lesion n surgery... Even I think you are diagnosed in early stages so just remove that lesion as it is vascular n may be malignant n still it in low grade n not spread in other sites... Once spread other site that it is difficult to treat..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Male, born 27.6.30 ; Ca. late 1990s, following occasional dizzy spells, leading to almost passing out, i was, following suitable tests, diagnosed with mild brain shrinkage.Over last 2 - 2 1/2 years, the conditioned worsened, to be recently confirmed. At the moment i am booked in to a specialist.I have an important family project to complete.Prize question: Can the condition be treated? Stopped? Reversed? Future prognosis?", "output": "Hi, Thank you for posting your query. I require more information before commenting on the diagnosis and treatment. Most importantly, I need to examine you. Somehow, the MRI brain findings do not correlate with your symptoms. If you can upload the complete MRI report, it would be useful. So, as of now, I feel your problem can be treated. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, my six year old daughter used to drink milk normally but since last three weeks , she vomits a little milk in the morning...while drinking....and then finishes the whole glass..And she doesnt vomit after that. She is normal whole day and eats n drinks normally and is perfectly healthy. She has always been a fussy eater and takes time to eat and drink .Hence i usually reserve 30 -40 minutes in morning for her to drink milk and then she carries breakfast to school which she eats without an issue. But dmaking her drink milk in the morning has become a problem coz of this.I cannot skip milk coz she eats bf from school only at 9 and she refuses to eat early morning since she was never used to it.She has been drinking milk early morning ever since she was 3.", "output": "HI...by what you quote I feel that the infant is having severe form of GER (gastroesophageal reflux). Your daughter will need - 1. Antireflux therapy - Proton pump inhibitors + antiemetics2. Always make her lie down in a propped up position - as in the care seat. She should not be sleeping completely flatly.3. Avoid heavy feeding and feeding more times and in small liquors.4. This type of GER is the root cause for the constipation she is having. She needs expert gastroenterology consultation. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "MY HUSBAND HAS FATTY LIVER DISEASE AND GETS CONFUSED AFTER EATING. WE WERE TOLD THEY THINK HE HAS HEPATIC ENCEPHALOPAGTHY. HE IS A NON DRINKER. WAS ORIGINALLY DIAGNOSED WITH DEMENTIA , NOW THAT THE AMMONIA LEVELS ARE HIGH AND BILLERUBIN UP, THEY SAY ITS MOST LIKELY THE LIVER. EVEN WITH LACTOULOUSE AND RIXFAXIMIN HE IS GETTING WORSE WITH CONFUSION. WHAT OTHER POSSIBILITIES COULD BE GOING ON.", "output": "Hello and welcome to Chat Doctor all the findings in your husbands case-increase in levels of ammonia, high bilirubin, dementia, confusion after having food point towards the diagnosis of Hepatic Encephalopathy. This diagnosis is already made. However, now there is no response to lactulose. It is due to the progression of the disease process going on in the liver. Now, the condition has progressed from simple fatty liver to more serious state. You need to get a liver biopsy to know the exact picture. In case of end stage liver disease or liver failure, liver transplant is the next step in management. Thanks and take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, my ultrasound result says: mild fullness of the left pelvocalyceal structures, consider obstruction from distal ureteral lithiasis vs atony from infection or recent passage of stone non-obstructing nephrolithiasis, right sediments/crystals, left kidney", "output": "Hi, Thanks for writing in. The ultrasound report means that the collecting system of the kidney on left side is swelled up mildly. This can happen due to two main causes.1. There is a stone in the lower end of left ureter (tube connecting kidney to bladder). When this happens there is obstruction to flow of urine and the kidney swells up. There is severe pain in lower abdomen.2. Another possibility is due to infection in the ureter or a recently stone which was initially stuck in the proximal ureter and has subsequently been washed out. The stone in this case can scratch the ureter and cause inflammation leading to swelling of the kidney." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been suffering from severe tiredness for the last 3/4 days, am getting very short of breath just doing things like making a cup of tea or just walking about the house,my ankles are swollen and I am having trouble sleeping due to my chest wheezing, I do have Asthma although I usually have no wheezing. I had a heart attack 2 years ago and have AF although I don t have any chest pain I am feeling a bit anxious about my other symptoms.", "output": "Thanks for your question on Chat Doctor. In your case we need to rule out both cardiac and pulmonary causes, as you are having both diseases in the past, asthma and heart attacks. In my opinion it seems cardiac more as you are having AF, Ankle edema and 2-3 days history. All favors congestive cardiac failure. So better to get done ECG and 2D Echo to evaluate heart function. You should also get done chest x-ray and PFT (Pulmonary Function Test) to evaluate asthma. So go to emergency room as soon as possible and start the treatment." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ive an employee whos found to be very poor in performance. Im a manager for a helpdesk, handling team close to 40 staff. Out of which Ive noticed one employee to be very poor in job. Id paid close attention to this employee and my finding was bit disturbing. His analytical skills are poor. Any queries he handles would take a lot of time for his own understanding first and then addressing. I was under the impression that hes lazy or not interested in the role but my recent finding really shocking. Theres a new frame work implemented and theres a bit of theory part to learn first on which assessments would happen. During a Q&A he turned out to be very knowledgeable and answered almost all answers. Why shocking for me is, he was found to be the bottom performer for past two consecutive years. We had tried to put him on training under several trainers but didnt find any improvement. Right now hes under a critical review failing which he might be asked to resign from the company. Maybe Ive mentioned a lot but I thought this might give you a start to understand the patient.", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. I sincerely suggest you that he is not a patient at all. This is where we use IQ test to categorize people under what they are and where do they fit. People with more theoretical ability should always fit a career where teaching / managing is upper hand. I think your employee is a misfit in this career. I suggest you to ask that employee to take an IQ test for analyzing his skills and abilities. Then, if the problem is minimal, corrective measures can be taken. Otherwise, the employee should be looking for a job which is for him. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "was climbing a tree when slipped and took a nasty hit against the trunk, scrapped arm on a limb but mainly experiencing pain in left side especially when turning over at night in bed or when twisting at waist. no bruising or outward marks. pain is about at waist level and a little above on both front and back side.", "output": "Hi, Thank-you for providing the brief history. As you had slipped over or say it was a fall this can be just a mere muscular pain and will go off on its own. In a safer note-taking up an x-ray to rule out any bony pathology should help us more understand the causative factors. In most cases it is just a muscular and with thorough clinical examination and some diagnostic test if required the Chat Doctor. Regards Jay In" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My Mother is 74-years-old and said she has dark black spots with lumps underneath her skin. She was not sure of the spelling but, she tried to spell something close to what I just found. Just looking for answer, I found Lipoma. Want to know how to cure it?", "output": "Hi, Good afternoon from India. T-Thanks for your query to My-ChatDoctor Clinic.-I studied your query in depth. I understood your concerns.-My opinion -Your mother is having -mostly-Mole ?dermatofibroma ? Lipoma?-Consult your family doctor and confirm that is lipoma-as felt by you.-Cure -is by-Surgical Excision Biopsy by ER Surgeon.-Hope this would help you to recover from worry-some query. Wish you a Fast Recover. Wellcome to Chat Doctor again." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a lump on my left ribcage. It is painful. Ultrasound technician says its a lipoma. I am hesitant to have it removed because it is painful and my upper stomach area is also painful and it feels like there is something there connected to the lump on my rib. I don t want the doctors just cutting to get the lump out without knowing if it is attached to something. I really want an MRI. Am I being unreasonable? The area above the lump is bruised also, it has been like that for at least three months. The lump showed up last April, also bruised and the bruise was gone for about two months but came back. What should I do?", "output": "Hi ! Good morning. I am Chat Doctor answering your query. The best way is to go to a general surgeon to get yourself examined clinically and take his advice on the investigation needed to confirm your diagnosis. Usually lipoma is easily diagnosed clinically, and at best by a FNAC (fine needle aspiration cytology). Whether it has got any internal connection or not could be decided by the clinical examination and ultrasound as well. However, in case you are too much apprehensive about this issue, you can consult with the surgeon at the time of clinical assessment on the need for MRI for a lipoma. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have pitting edema that is only located on a small area on both chins in the same place on both legs. It is more pronounced when I am standing for long periods. In the morning and other times it totally goes away, but returns later. Any ideas what s happening?", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have recurring edema in legs. Well there can be many reasons for symptoms you mention in query like acute kidney failure, cardiomyopathy, chronic kidney disease, cirrhosis, deep vein thrombosis, heart failure or lymphedema. I would suggest you to consult general practitioner for proper examination. Doctor may order kidney function test along with ECG and take history. Doctor may refer you to nephrologist for kidney problem or cardiologist for heart problem. For now keep your legs elevated while lying down, lower your salt consumption and do not seat for longer time with your legs bend down. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 47yr old female, im 5ft 6 tall and weigh 8stone 7lb. I have been suffering nausea on and off for about three weeks, i think i may have lost some weight, even though i am still eating. My skin has become incredibly itchy the last few days. I have been suffering abdominal pro for the last year on and off. I have been seen by my gp who was convinced i have gallstones, i have had a scan and x-rays and no stones have showed up even though i get occasional discomfort under my upper right rib the pain raidiates through to my back.", "output": "Hi, rom your history it is most likely issue of Gall bladder or pancreas. A proper ultrasound examination, Liver function test, amylase in blood to be done to rule out that. Taking Proton pump inhibitors like Omeprazole (Medium) will be helpful to some extent. Avoid fatty spicy and oily foods. Cakes and yolk of egg should be avoided also. Take care. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi I m 26. I get allergy from some kinds of food (beef, prawns and some vegetables like green beans, peas)and very few times from hot weather specially on my both cheeks. I have been suffering from 2002 and I got many treatments from Doctors in Bangladesh. first it get red then black. sometimes I use BETAFUSIN ointment and LORATADINE pills now to just get rid of pinching on that place. b4 I used UMOVET CREAM. I need to get rid of this blackness spot also. could u give give me any good suggestion please??? I will b grateful to u.", "output": "As you have said you are disturbed with dark spots on both cheeks specially during hot weather. For this you have to take some antibiotic preferably cap doxycycline 100 mg twice daily for at-least 10 days along with some anti-oxidant like cap Evian 400 mg once daily after meals with multivitamin like tab metilda-forte or tab neurobion-forte once daily preferably in afternoon. You have to use mellow cream or clear ultra cream or glam-up cream for local application as it is effective to remove dark spots. Avoid direct exposure to sun and other places where excessive hot environment is there." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I was diagnosed with enlarged liver and have the following resultsTGO79 U / LTGP102U / Lmention that I do not eat fat, I do not drink alcohol, I do not smoke. I am always sick. I have 1,70 m and 87 kg. My doctor gave me Rosuvastatinum amd some homeopathic pills like golden Yacc.", "output": "Dear FriendWelcome to Chat Doctor. I am Chat Doctor. Yes, your Liver enzymes are raised. Since you are not an Alcoholic, following are the possibilities :1. Viral Hepatitis.2. Rosuvastatin Induced Hepatitis.3. Non-Alcoholic SEATO Hepatitis At present, I would advise you to stop Rosuvastatin under your doctors' guidance. If your liver enzymes, still don't settle down, you would require testing for Viral Hepatitis. Based on the available details, this is my best advice for you. You should discuss with your doctor and share my opinion, I am sure he/she will agree to my opinion. Good Luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have frequently and for a long time had a pain in my lower front left side. Feel sure it is gastro and or connected with bowel movements and gas. Lately it is worse. Today so bad I could cry I am home in Texas after a long and difficult flight from Hawaii. Two years ago I had hiatal hernia surgery and this may be part of the change. Summer of 2014 I many tests and was told it was nothing. Please help. I am in misery.", "output": "Hi I am Chat Doctor, I will help you with your problemWhat I gather from your question-pain in left lower abdomen-there is previous history of such pain- it is sever in intensityBased on given information, it looks like LEFT URETERIC COLIC. But this definitely needs further history taking, clinical examination and some lab test. History will include your gender, age, onset of pain, nature of pain e.g. colicky? , radiating to penis or scrotum, burning micturition followed by clinical examination of abdomen and pelvis. If such a patient walk into my clinic I recommend urine routine examination, blood complete picture and ultrasonography abdomen and PUB (kidney, ureter and urinary bladder). I hope this will help you and wishing you rapid recovery. Do rate my answer if you like it. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear doctor, My sone is 2years 9 months now. Now a days he is showing discomfort while passing urine. We did a Urine test,culture but results showed normal. Consulted a doctor and he gave antibitoics for 5 days. After few days, again he is now showing the same problem.We consulted a urologist and he suggested to have Circumcision.He said full anaesthesia will be needed since it will difficlult to control kids at this age. We are confused, whether we should make circumcision done at this age. Whether it is fine to wait until he reaches atleast 5 years.Anaesthesia can be done at this early stage? Please advice. (He had Urine infection at age of 5 months. And we did MCU ,Scan etc but it showed normal.)", "output": "Hi, From history it seems that he might be having pinpoint foreskin opening causing discomfort while urination. This might lead to some infection on glans due to not cleaning properly. In such case circumcision operation is a must. But as age is the problem, so initially one can do some widening of fore skin opening with forceps by which he will get temporary relief. Afterwards you can go for circumcision operation. Consult urologist and discuss this. Ok and take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a kidney infection about 2 months ago, I was vomiting and felt very unwell but took antibiotics for a week and then felt better. About two weeks after this the symtoms (besides vomiting) came back. I sent off a urine sample and took another weeks worth of antibiotics however when I got the results back there was no sign of an infection. I am now still getting symptoms, such as nausea, stomach pains and I am bleeding from where I pee, not as a result of my period. I am not having symptoms such as pain when I pee but I didnt have that symptom when I first had a kidney infection. Please help, what could be wrong with me? Im finding it very difficult to eat and need advice!", "output": "Hello, Thanks for the query to H.CM. Forum. From last two months you are having nausea, stomach pain, bleeding in urine. Treatment took for renal infection. In my opinion these may be due to .1 Chronic renal failure, diagnosis can be confirmed by ultrasound and M R I of both kidneys as all symptoms are an indication of renal involvement. 2 Stone or calculus may be in the kidneys, diagnosis can be confirmed by ultrasound of kidney. In my opinion as you were a patient of renal infection, which don't treated completely. This recurrent infection causes bad impact over kidneys, so consult a urologist and get his opinion. Good luck, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi! I have a low-grade fever of 99.9 with a very sore throat plus I m spitting up thick green phleghm. I m starting to get the elephant on the chest feeling. I sneeze and cough. I received the flu shot in November but somehow feel that s what I m dealing with. Is that possible? I m taking an antihistimine with Mucinex DM + I m drinking lots of water. Is there anything else I should be doing?", "output": "Hi Terriburton, Thanks for writing your query. Sore throat can be due to some bacterial infection in the throat region. You should first get a Throat swab culture done along witChatDoctorplete Blood Count(CBC) to know more about your infection and the appropriate antibiotic. Doing warm saline gargles will relieve throat discomfort. Antihistamines will reduce the sneeze and the cough. Mucinex DM will help to break down the mucus and help in its expulsion during cough. You will need antibiotic if the culture report is positive. Also get yourself examined by a Physician and an ENT specialist. I hope this is helpful to you. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a small lump on the lower left back side. of course my first thought was I have cancer!! but it hasnt changed size and it moves around easily. its on top on my hip bone and i think its on a nerve because sometimes theres a shooting pain that goes thro my leg. but then again it could just be my arthritis. it also feels restless when i try to go to sleep. i know i should see a doctor but right now i need to know what it most likely could be because im freaking out!", "output": "Hi, Dear,Welcome with your query to Chat Doctor. Studied your query in full depth of its details. Reviewed it in context of your health concerns. Based On the facts, You mostly seem to suffer from-Lipoma / or the Sebaceous Cyst on the lower left side of back. Pain in the leg seems to be from Sacroiliac Arthritis or from Sciatica or from arthritis accompanied and needs to be treated by Ortho-Surgeon accordingly. Treatment-This would not need any medicines, but Only Surgery. So Second Opinion from Surgeon prior to Surgery is advised for you. Surgical Excision with or without marsupilisation is needed to treat it.USG of the lump with FNAC Biopsy would help to fix the diagnosis prior to surgery. Hope that, This reply would help you to plan further treatment soon with your treating doctors. Best of Luck and early recovery. Welcome any further query in this regard, which would be replied in next session. Good Day!! Chat Doctor. N. Senior Surgical Specialist" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was given Cipro for a UTI and after 2 days starting having bad stomach pains and gas. Stopped taking it but still have some pain on my left side. Also, still have some urinary tract symptoms and read that Cipro can cause the same symptoms as a UTI.", "output": "Hello. Thank you for the query. Your symptoms are caused by antibiotic intake due to intestinal bacteria eradication. These bacteria normal cover intestines are extremely important for proper intestines function. Lac of this bacteria can result with abdominal pain. You may also have stomach irritation by antibiotic. I suggest you to start probiotic intake. If it won't help in few days, please consult your doctor. Hope this will help. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 15 month daughter is passing yellow poops once a day for the last week, the stool its self looks quit formed on the begin and after comes out loose one not watery but is not solid.She does not suffer from fever,she does not have rush or skin color changed, looks really healthy but we are concern about off color stool also she is teething ,hers big teeth are coming up,she takes normal balanced diet.Could you please give as an advaice. Thank you very much.", "output": "Hi...this is not related to teething. During the eruption of new teeth the kids feel an urge to keep everything in the mouth to sooth the sensation of teething and bite them. The impurities in the objects may go in and cause diarrhea. It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. I suggest you use zinc supplements (Z&D Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had TB before 1o years and completely cured after six month treatment. four years ago i got a visa to Qatar and I had undergone a medical test before leaving my country (India). It was OK . After I reached in Qatar, there was again a medical test and I compelled to return because of TB SCAR. After returned to India, I consulted with two doctors and they said it is only TB scare and nothing to worry. May I know how long tb scar exists in my lungs. Now I got a chance to Abhu Dhabhi. Is there any chance to exists the TB scar in my lungs.", "output": "Hello T. B scar will remain as such for life long. It is generally in the form of fibrotic patches and calcifications. In natural course, infection heals by fibrosis and calcifications. Amount of fibrosis and calcification depend upon severity of infection. It is a healed stage and doesn't require any treatment unless it compromises pulmonary functions. Decortication(surgical removal of scar)can be done in severe cases. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter is 9 yrs old is developing her breasts early. Friday she noticed a bump on her areola and said that the area around her breast was itchy and then the bump started to burn . After her shower last night, she dried her body and the skin fell off the bump (like a scab I suppose). It now looks deep red like an open soar and it burns she says. What could this be?", "output": "Hi, Dear,Thanks for your query to Chat Doctor. Studied your query in full depth of its details. Reviewed it in context of your health concerns. Based On the facts, Your daughter seem to suffer from-Cracked / Scored Nipple / or Pimple /acne / or Boil of the Montgomery lump with Sub-areolar Abscess -as the lump is painful and itchy. Duct papilloma with adenoid or adenocarcinoma need to be ruled out due to its situation. But is remote possibility as it painful and the age negates its possibility. Mammography / USG with / CT study of the breast with FNAC Biopsy would fix the cause of the lump on the areola of the daughter. Welcome any further query in this regard, which would be replied in next session. Good Day!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i had blood in my urine and low throbbing back pain..it feel like siatic pain right now...the pain has shifted mostly to the front of my lower tummy way low around the overie into the fold of my leg area and the pain shoots down my leg...it spreads toward the hip eases up then comes back stronger", "output": "Hello, Thanks for your query. The presence of blood in urine with a back pain could be due to a renal infection or a calculus in the kidney. An ultrasound scan and a urine examination will help in detecting the cause. Resting your back is a vital part of treating back pain. You can apply an ice pack covered in cloth for 10 minutes at a time the first three days after your back pain appears. After 72 hours, you may apply heat. Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can relieve pain I do hope that you have found something helpful, and I will be glad to answer any further query. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im having pvcs constantly! They started in late june 2011 but now i am having them all the timePvcs including shortness of breath.My cardiologist performed an ultrasound,Ekg, and a heart scan with calcium score and said my heart was strong And not to worry but i feel something isnt right.is there amything i can take to rid the pvcs?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. PVC s(premature ventricular contractions) are diseases of conduction system of heart. So routine heart tests will not identify the cause. For diagnosis, you need to get done Holder monitoring (24 hour continuous monitoring of ECG) and elecgrophysiological study (EP study). You may require anti arrhythmia Chat Doctor. So better to consult cardiologist, discuss all these, first diagnose yourself and then start appropriate treatment. Anti arrhythmia " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hai docter iam 21 years old guy.16-20 in between gap i hope very very over hand job so my penis is sudenly not temper. And after temper liqer is very fast out...........normaly my penis is 2inch-after 5inch....normaly penis ingrese lenght and strong any ideas....and weight loss my weight-54 so what type of food eat sir.", "output": "Hello, There are many methods to improve your sexual energy and libido. The best among them is physical exercise. If you be physically active and exercise for one hour per day, your whole body functioning will become perfect, and your general stamina will improve. You will become healthy. This general stamina and health converts into sexual stamina and sexual health. This should also clear your erection issues. Please make sure that you masturbate only thrice a week. Therefore, I suggest consulting a psychologist for physical examination, diagnosis and treatment. Hope I have answered your query. Let me know if I can assist you further. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Had sex on d 12th of december and the condom slipped,I took postinor 2 3 hours later and d 2nd pill 12 hours later.on the 17th of december I bled till the 21st and now I was meant to get my last period on the 2 of jan but had it on d 8th of jan with my normal blood flow.Do I still need 2 get a pregnancy test?", "output": "Hello, thanks for sharing your health concern with us. In the current scenario, there is no need to perform a pregnancy test since you attained your natural period, though delayed by a week which often happens when an emergency contraceptive pill is taken. The bleeding you observed soon after the pill intake was the with Chat Doctor. The pill offers 85-98 percent protection depending upon the time interval at which it is consumed after the unprotected intercourse. Please make sure that you restrict the use of the emergency pill to one or two occasions per year in order to avoid hormone disturbances. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello dr. i am senthil from chennai,i am a body builder,i take some pre work out supplement ,and protein supplement also,for last 4 years ,last monthi susuffered ower abdome pain,i consult my family dr,the dr.told to take 3d scan for whole abdomen , blood and urien test ( KFT,LFT, CREATININE ). THE TEST RESULT COULD BE NORMAL.CAN I TAKE NEERI SYRUP FOR SAFE ZONE FOR KIDNEY...", "output": "Hello Entail, Thanks for writing in. As you have said, last month you had an abdominal pain and got yourself examined by your doctor. Blood tests were normal, but you have not written anything about the ultrasound scan findings. If your ultrasound scan is also normal, there is nothing to worry. Neeri syrup is an ayurvedic medicine generally prescribed for urinary problems. I don't see anything wrong in taking it as long your blood tests are within normal ranges. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have sharp pain in chest under left arm and cough up brown mucus in the morning. Just recovering from pnuemonia and have copd for the last 17 years. Taking predisone and prilosec. Have to have my oxygen on full 3 ltrs. Can this pain be more infection?", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. COPD patients are at risk of heart disease and lung infection (pneumonia). And in both these conditions, chest pain is seen. So better to first get done ECG and 2d echo to rule out cardiac diseases. If both are normal than no need to worry about heart diseases. Get done chest x-ray to rule out pneumonia. If chest x-ray is also normal than pulmonary embolism and infarction can be the cause. Both are common in COPD patients and can cause severe chest pain. So get done CT Pulmonary Angiography. So consult pulmonologist and discuss all these. First diagnose yourself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I found a lump in my neck in the front about 3-4 months ago and i am so scared to go to a doctor. I wanted to know if i should be worried, it doesnt hurt, but it was aching me for a while then it stopped. what do you think it is. i am really young do im very scared.", "output": "Hi! Good evening. I am Chat Doctor answering your query. The lump in your neck needs to be assessed clinically by a general surgeon/ENT surgeon to rule out any swelling of the lymph nodes of neck or any gland around it. I would advise you to visit your nearest doctor to get the treatment initiated earlier to get the best result. Delay would not cure it excepting for making things worse. You have already delayed for 4 months by not going to your doctor. So please do not delay anymore, and get it assessed and investigated for an early relief of the problem. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been just told that I have mild signs of a fatty liver accidentally noticed in a recent CT scan. Alcohol could be a cause but although I am no where near an alcoholic, I probably have 6 standard drink per week. I also have some scarring in the right lung. This may be caused by an old infection, but maybe exposed to passive smoking many years ago (I have never smoked) or I am on the road as a sales representative for many years (exhaust fumes, asbestos fibres from car brakes?) Your thoughts? Should I consider giving up my current job.", "output": "Thanks for your question on Chat Doctor. I don't think you are having active infection. As CT Scan clearly indicates fibrotic scar like lesion. In lung tissue healing occurs by either fibrosis or calcification. So any past insult to the lung either infection or trauma heals by either fibrosis or calcification and left the scar. This scar will remain life long. So presence of scar tissue does not mean that you are having lung infection. So no need to worry. Continue your job. Avoid alcohol if possible." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My fiance is 78 and he is allergic to soy. He gets itchy after eating seeds and nuts and some fried foods. My question is what is the best to use for frying? I use vegetable oil most often. I don t fry many foods. Is shortening a better choice? What works best on the itchy rash that he gets? Thank you", "output": "Hello, The frequent itching after eating seeds and nuts and other stuff indicates allergy to that food and allergy leads to a reaction which may cause rash, itching and burning sensation in skin etc. symptoms. So try ti*You can use olive oil, sesame oil, coconut oil, butter etc. for frying instead of vegetable oil for frying.*On itchy rash apply lactocalamine lotion as it will help in smoothening of skin. Also give him anti-allergic tablet too after getting a rash, you can give him a tab. Cetrizine in a stat dose.*If problem is troubling him more than do visit a nearby dermatologist.*I hope you find my answer helpful. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Do I need to see a doctor? I am experiencing rushes of heat and sweating every time I bend in the middle, diaphragm area. The sweating also increases after I eat a meal. Sometimes this lasts for 30 minutes, after a meal and the sweating upon bending generally stops within a few minutes if I sit still. I am 53 yo, overweight 175 lbs, yet walk daily and use weights in exercise. I eat healthy, fruits veggies, fish, some chicken. Family history heart disease and aortic aneurysm, CA and Alzheimers disease. This is a new symptom within the past year. Had a stress test and heart monitor, ekg, all normal. I am concerned. Is this normal?", "output": "HAI I'm Chat Doctor. Excessive sweating can happen in quiet a few conditions ranging from anxiety to heart ailments and endocrine problem. If it is associated with palpitation it is a matter of concern. As your history suggests It's aggravated after a meal and family history of heart disease.....considering your age too.....first thing to probe my mind is to investigate with basic cardiac screening. Fortunately its normal....u can be bitten relieved. Get done your blood sugars, lipids and thyroid profile too.....even that is normal nothing to worry. Continue with your daily exercise and healthy diet. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "can lymphoma caused upper abdominal pain . All CT, MRI and Endoscopy have returned within normal limits and no obvious causes of pain. I do have a painless lump under my armpit that has been there for approx 8-10 months. It s about 1 in in size and is hard on the bottom, soft on the top. I have all B symptoms, which are getting worse on a daily basis. Thyroid and cortisol levels are normal. No know infections or bacteria. wbc at 8300 - usually run in 6 range. PMNs at 71.4%. Pre cancerous polyp removed in October via colonoscopy. No appointment with endo for 2 more months and have had symptoms since June. Very concerned.", "output": "Hi there, yes lymphoma may present with pain in the abdomen. Do not go to such extreme conclusions just because you have pain. The lump in your armpit however needs evaluation. As you are saying it is soft too hard to touch and painless you will need to get a FNAC done of the same and find out the nature of the lump. Accordingly, it can either be excised or other mode of therapy can be given. Do get evaluated for peptic ulcers or gastritis from your GP and try a course of antacid as sometimes worrying too much about something can lead to stress ulcers and hence the pain. You need to only concern yourself now with knowing the nature of the swelling in your armpit and if it is something benign then you have to relax and stop worrying till your next appointment with your doctor. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I wake up in the night with servere pains down the centre of my stomach, (from just under my ribs down to aroubd my belly button) the pain is so strong for the first few minutes I cant move or turn over. I am able to go to sleep after around 5 mins. What can cause this!?", "output": "Hello! I read carefully your query and understand your concern. A severe abdominal pain that awaken you from sleep is a complaint to be taken is consideration, it can be serious. Possible causes can include:-gastric or duodenal ulcers- gallbladder disease- pancreatitis-renal stones etc. If it was a single self limited episode that resolved then can wait to see if recurs, as long as you don't have others concerning symptom. If this severe pain persist, or you have other episodes like this one, you need evaluation. A detailed medical history, complete physical examination, abdominal ultrasound and probably upper endoscopy are needed. Hope my answer has helped. Take care. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "since the morning (8:00 am & now 10:00) i have had severe lower abdominal pain, as if at the bottom of my uterus, with pain as i press on it and rub it - perhaps more on the lower left side. it is around time for mentrual cycle to start, but i have never experienced pain like this-so severe to affect walking. also have chills, body aches abd headaches....", "output": "Hi. Thanks for your query and an elucidated history. The combination of the pain in lower abdomen, tenderness left lower abdomen, shills, body ache and headache is suggestive of some infection:Mostly PID, pelvic inflammatory disease, Salpingitis or Ovarian problem. The pain gets enhanced due to the congestion one get just before menses. I would advise you the following:Ultrasonography. Gynecologists examination and opinion. Start appropriate antibiotic cover. Bed-restI hope this answer helps you, you have not mentioned any urinary or bowel symptoms hence not suspected to have Gastroenteritis or colitis." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI this Poornma 28Years.SInce i was having irregular periods since last three months, i went to gynecologist doctor for check up. They gave some tablets to get a period, asked me to come after I get a period. I got my period two days ( finally ) and went to meet the doctor and again they gave me two types of tables i.e 5 tablets of. Clomifen ( clome 100) for 5 days and folgel plus tables every day till I get pregnant. And asked me to come after 11th day to conduct folecular scan. Just wanted to know about these new tablets and i am approaching the right way to conceive. Thanks in advance.", "output": "Hello, I would be happy to help you with your question. In patients with irregular cycles that is related to either absent or irregular ovulation, it is not uncommon to have to use progesterone to induce a cycle, and closed to induce ovulation. The usual method is as follows: 1. The start of your cycle is day#12. You take closed on days 5-93. You time intercourse on days 10-164. Furthermore, you can track if and when you ovulate with over-the-counter ovulation kits As far as I can tell, the Fol gel is a supplement that has little effect on your cycle. The use of the ultrasound to assess your ovaries and follicles is useful, but not necessary during the first three months on closed. I hope that this helps. If you have more questions, please click on \"ASK ME A QUESTION\" link above to directly ask me a question!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am KC Das from Bhubaneswar. I have few white spots in my both of the arms. Doctor told me it is vitiligo and treatment will be done for long period. Is there any treatment method, in which I can recover very soon. Is there any surrgical method to cure. Thank you", "output": "Hello dear, Welcome to Chat Doctor. I have read your query and understood your concern. There are various modalities of treatment for vitiligo including phototherapy, Various oral and topical medications like Morales. But it is a long term treatment with pigmentation showing effect within 2-3 months. It is a not a completely curable disease but can be controlled with medications. Surgical advise is given in case of limited and stable vitiligo. You may discuss this with your doctor. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my daughter 5+ year has a stone in common duct .59cm. when she was suffering in stomach pain then we meet a child doctor then he gave us medicines but sometimes pain has come after that with his suggest we go to the dignostic lab and the result is that. now please tell me what can i do ?", "output": "Hi.noted history of choledocholithiasis (stone in the common bile duct). If the stone is obstructing, her symptoms will be persistent and eventually progress, jaundice, fever and other signs of infection may ensue. It is best if you bring your daughter to a doctor with urgency, preferably a pediatric or a general surgeon, for physical examination and clinical evaluation. I stressed out on the point of urgency, since progression of symptoms of cases like this may be severe, wherein you have to do the management emergently. An elective procedure has fewer risks and less chance of developing post-operative complications, since the patient is properly prepared preoperative. Diagnosctics (such as ultrasound, ct-scan, blood exams, etc.) and management (medical and/or surgical if indications are found) will be directed accordingly. In cases of choledocholithiasis, definitive treatment is biliary exploration and surgery. Hope this helps. Good day!!~ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I went to find out the sex of my baby yesturday and I noticed that there was a black sport on the babys chest. I no its not the heart because I can see the heart beating and the black spot is on the side of it but comes and goes as the ultra sound contiunes. Is this normal?", "output": "Hi... Thank you for consulting in Chat Doctor. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir,this is naresh, iam frm india, andhra. iam sufferinf from severe itching in inner part of thighs. my weight is 70. my thighs are almost sweatty always.i applied epidermal and anti fungal creams and tablets also but no use. so pls prescribe proper medicine", "output": "Hello, Thank you for posting on Chat Doctor. From your description, it seems you are having Tina crisis, a kind of fungal infection. Fungal infections are notorious for being persistent and recurrence if not managed properly. I would recommend you consult your dermatologist for proper management. I usually suggest a proper course of oral antifungals like fluconazole or itraconazole along with antifungal cream like fluconazole for local application. Additionally, use antifungal dusting powder to keep those areas Chat Doctor. Take antihistamines as required for itching. Maintain hygiene and avoid tight undergarments. Hope this will take care of your problem. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "(34yo Female) MRI showed well-circumscribed, low attenuating, hypoechoic liver mass. Grew from 1.2cm to 1.8cm since last MRI (18 months ago). Initially my dr wasn t concerned (it was found accidentally during an MRI for kidney issues) but he wasn t thrilled that it had grown on my most recent scan. He is debating sending me to GI. Thoughts on what this could be? Hemangioma? Can cancer be ruled out due to the characteristics?", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion it is more favoring benign etiology. Following are the benign causes for slowly enlarging liver mass. 1. Liver cyst2. Liver abscess3. Hematoma etc. Possibility of malignant lesion is less likely because mass is well circumscribed and low attenuation, hypoechoic. This is less likely finding in malignant mass. But we need to get done biopsy of the lesion to confirm the etiology. So consult GI doctor and get done biopsy to rule out above-mentioned causes." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I went to the Urgent care and they said I had a bad kidney infection. They gave me a shot but nothing has happened I still feel the same. I have the chills, fever, migraine that cant go away, my back hurts bad! The only thing the shot took away was pain when I pee. Whats wrong with me", "output": "Welcome to Chat Doctor. I read your question carefully, and I understand your concern. From the signs and symptoms you prescribe it is a possibility that you have a Pyelonephritis. That was also the suspicion in the ER. I would like to know if you did any lab or imaging studies or did in the ER prescribe medication for further treatment? I also would like to know your age and if you have any chronic disorders that would complicate the treatment like diabetes, chronic lung or heart diseases). This is important because if your diagnosis is confirmed, in some cases there is a necessity for hospital admission. I recommend to you to do the following workup: urinalysis (with microscopic analysis), urine culture, CBC and ultrasound of the kidneys and bladder. Regarding the therapy, if the diagnosis is confirmed and if you will be selected for outpatient treatment, you require initially a vigorous IV or oral fluids, paracetamol for fever and a dose of parenteral antibiotic. Then you need an antibiotic therapy at least 7 days in uncomplicated cases and the recommended first line therapy is ciprofloxacin. I hope my answer was helpful to you. And I wish to you a fast recovery and a good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have an issue that I ve encountered over the past year. I keep smelling gasoline and its making me very nauseated. Just went to the dr and have a sinus infection and bronchitis. This past year my husband passed away (very stressfull) but was not sick at the time, smelled it real bad then. On another occassion it lasted about 3 weeks then goes away as fast as it comes in. Getting real tired and frustrated with this issue. Should I seek an ear, nose and throat specialist? What do you suggest? Thank you for any help you can give me.", "output": "HiT hank you for asking ChatDoctorI have gone through your query. Sinus infection can have a chronic course. Antibiotic therapy will be required if infected. A paranasal sinus x-ray should be taken if not responding to antibiotics and puncture and Chat Doctor. ENT specialist can help you in this. You should also take vitamin C regularly. Studies have shown that taking vitamin C regularly can resist recurrent sinus infections. Steam inhalation will be helpful in giving short relief. Hope this may help you. Let me know if you have any further query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My mother has a rash around her midsection. It goes from her stomach around to her back all along her waist. She is 77 and had shingles about 3 years ago. It itches and is bumpy sort of like when she had hives before. There are no blisters or liquid in them but they seem to have a definite bump in the middle of each one. It started 4 days ago. They range in size from a pencil eraser size to about an inch across. She went to the doctor and he said he didnt know what it was and gave her a topical cream. He said it didnt look like shingles. It is just on her waist in about a 4 inch band from back to front going from the right side of her spine to the whole front across.", "output": "Hello. Thanks for writing to us at Chat Doctor Your description of the rash and its distribution does seem to suggest that it is Shingles; it is arranged in a stripe like pattern across one half of the body, with a sharp mid-line cut off. I would suggest that you visit a dermatologist for a confirmatory diagnosis. A dermatologist would be better able to confirm it or rule it out. Shingles may initially start either as red raised bumps or as raised patches and subsequently may develop fluid filled lesions. Therefore, absence of fluid filled lesions from the start doesn't rule out shingles. There is usually associated pain and burning sensation. If this is confirmed to be shingles on visual inspection, treatment would be with an oral antiviral e.g. acyclovir or val acyclovir. Associated pain also need to be managed appropriately because it is usually severe, specially in old age group. Treatment options for pain include Oral NSAIDs, Tricyclic antidepressants like amitriptyline, Antiepileptics like carbamzepine, gabapentin and pregabalin. First step would be to visit a dermatologist for a confirmatory diagnosisRegards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "What is the best way to care for a mentally sick loved one? We cannot keep her permanently in an institution and if we bring her home she makes everyone misrable. She will not take medicines at home (because she feels she is well and does not need them). Please Help.", "output": "Hello, If you have taken her to a psychiatrist and have a diagnosis-then you can ask the doctor to prescribe liquid formulations of the Chat Doctor. ) refusal to take meds and to go to a psychiatrist is a common problem in psychiatric patients. Many a time a psychiatrist can be requested to make a home visit and talk to the patient indirectly-thereby examining and interviewing her. So, try to take her to a psychiatrist once (may even require force to dose) and then one may give meds mixed in food for some time. With proper meds taken regularly for some time, patient shows good improvement and many times starts accepting the oral meds. Hope the reply is useful for you. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "recently a songram revealed i had 2 liver cysts one about 2cm and a smaller one. i didnt have any symptoms till they told me they were ther. now I have pain in my right side. What should I do I am 61 yeass old and is afraid of any surgery or invasive proceedure.", "output": "Hi, I am sorry to hear you are having pain. Cysts in the liver are a fairly frequent finding on USG scans. Most often these cysts tend to be \"simple cysts\" and do not cause any trouble whatsoever to the patient. That is one of the reason why they can grow up to 25 CMS without the patient being aware of it. Some other causes for cysts in the liver include certain hereditary diseases (where there will also be cysts in the kidneys) and infections (Amoebas). Rarely malignancies can also appear as a cyst. But in all of these conditions, the patients will usually have symptoms from the disease. In your case, it appears to be a simple cyst (based on what you have written). Although mostly asymptomatic, simple cysts can also produce symptoms when 1) they enlarge to a big size 2) when there is bleeding into the cyst or 3) when they develop an infection in the cyst. In your case, none of these explain the pain. Since both the cysts are small, I would recommend a followup scan at a later date to see if the cyst is enlarging. Hope this helps and hope you start to fell better soon. Please do not hesitate to contact me for further details - rxsuresh@gmail.com" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Sir, I am masturbating since i was 7 and now due to excessive masturbation i lost sensation on the tip and nearby are of my penis. Now i firmly decided to leave masturbation. I want to know whether i will be able to control my ejacuation time and regain my sensation by leaving masturbation??", "output": "Degree understand your concerns went through your details. Please do not leave your masturbation altogether. You should masturbate once or twice in a week. The numbness could be just because of continued friction. Ejaculation time can be controlled by diverting your thoughts to more serious things while having sex. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Please write your question here hello doctor me & my wife have same blood group b+ve.is it a problem for pregnancy.?last time my wife have a pragancy bt we have to abbort our child due to baby suffering from cystic hygroma.is due to same blood group?pls give me ans with clear reasons..", "output": "Hi, dairy have gone through your question. I can understand your concern. You and your wife both have same blooded group. It doesn't cause any problems in pregnancy or childbirth. Cystic aroma can be due to congenital developmental defect. It has no relation with blood group. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Doctor I am Latha 39 YRS, Since from last 2 month i have lichen planus pigmentosus on the face , i have tried ALOEDERM & BECNE cream and daily i used to apply sunscreen lotion. In spite of this its not getting cleared. can u please suggest me any immediate remedy for the above mentioned condition", "output": "Hello, Welcome to Chat Doctor, Lichen plans pigments is a rare type of lichen plans and is characterized by the presence of hyperpigmented, dark-brown males in sun-exposed areas of the body. The lesions usually do not cause any symptoms. The exact cause of Lichen plans pigments is unknown. There is no treatment which is effective for lichen plans pigments. I would suggest you to take vitamin A therapy Tacrolimus ointment-This can be used only after consulting your dermatologist. I suggest you to consult the dermatologist for complete examination and appropriate treatment. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I get dizzy everytime I stand up, can t eat anything cause it makes me nausated if I force myself to eat I will vomit, mucsle aches, maybe bones too so bad i feeling restless and want to scream (i do scream) mostly at nt I ll wake up and feel like I m crawling out of my skin. I have panic attacks, & irregular heart palpurations ( that I was hospitized for) they said it was probably stress related, but wanted me to see cardiologist.. I did NOT! This has been going on for over a month. losing too much weight. no ins. What do I do....I can not function like this...I am 50 yrs old...and a single mother....Please what is the problem", "output": "Hello, Dizziness associated with nausea commonly is a symptom of Vertigo though medical conditions like Hypoglycemia, Blood pressure issues, deny Chat Doctor. Since you are having irregular heart palpitations & panic attacks, you are suggested to get examined by a GP. Get clinically assessed, get all investigations (Blood, Stool & Imaging tests done) to rule out any developing CAD (Coronary artery disease). To detect Vertigo, get physically examined by an ENT, get audiometry teat done. Your treatment will depend on the severity of the symptoms & pathology detected. Since you are dizzy, avoid " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 53-year-old and I am circumcised. I have a 4 x 4 mm reddish flat area below the penile head, it does not itch or have pain, sometimes it almost appears normal in color but at other times it becomes more reddish, there is no discharge and does not appear to have any bumps, I have not had a sexual partner in two years and as far as I know I do not have an STD, any thoughts?", "output": "HelloThanks for query. The red dish flat area beneath glans penis is mostly due to infection of glans penis (Atlantis). It could result from contamination by inner wares or due to masturbation. You need to take broad spectrum antibiotic like Definite along with anti-inflammatory Chat Doctor. Along with topical antibiotic ointment like Newsprint twice daily. Ensure to wash your genitals with warm water twice daily. It should get cured within a week." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "A juice carton fell on my head a couple of days ago. No pain, just a feeling of weariness and feeling a bit off it. I notice that the more I panic the worse I seem to get it. Not just with this, but with everything health related. Wen ie had my mind on things the last couple of days, its seemed less of a problem", "output": "Hello and welcome to Chat Doctor. Thanks for your query. I understand that you are excessively worried about the recent event. From the description of the event, it doesn't appear that you have had any serious head injury. It seems to be more of an anxiety-related problem. Since you say that you have also been having other similar health-related anxiety problems, I suggest that you seek professional help. Please consult a psychiatrist for a detailed evaluation and further help. Help is available in the form of counselling and sometimes, medication. Wish you all the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a vertical lump on my rib cage under my left breast. Originally felt like a bruise and then a week later the lump showed up. Very sensitive to the touch and about 3 inches in length. No lumps in the breast area or armpit. The lump is about 2 inches under the left breast.", "output": "Welcome to Chat Doctor. 1. The symptoms and description of the lesion seems like an infective etiology with collection within.2. But needs to evaluate the source, in this case after examining the lump, I would have asked for an ultrasound lump area.3. Ultrasound will help in assessing the nature of the lump, its extensions (bony involvement, chest wall involvement), its source - where it is starting from.4. A lateral x-ray to rule out bone pathology.5. After that if It's infective without involving the chest wall - a small incision and Chat Doctor. If there is involvement of chest wall further CT might be needed. So get the investigation down and needful treatment. Good luck. Hope I have answered your query.Anything to ask do not hesitate. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have CHF and PHT , diagnosed in april. Medical accepted me then canceled me then reaccepted me just to cancel me again. Now I stopped go to doctor ,cant work and one my meds costs $1700.00 a month so I cant afford my med. so I know I m going to die soon if I cant get this fixed. What can I do? My name is Eric Laughlin and I m only 41 years old", "output": "Hi There I understand your point and your worries and I have an idea for this why don't you come to India for your treatment as its cheap here with quality maintained, discuss this option with your cardiologist there and think over it. I can give you the names of two very good cardiac centers in Bangalore you can search on Internet regarding these hospitals and make up your mind. 1. Sari Pasadena Institute of Cardiology, Bangalore 2. Narayana Institute of cardiac sciences, Bangalore. Both are tertiary Cardiac centers. I wish you Long and Healthy Life. Good luck Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I get alot of abdominal pains and feel like im so bloated and there is a constant dull, throbbing ache. I also have a lump down below but when doctor examined me he told me i had a lower bowel, but told me to have a smear to be on the safe side. Which i did... Then i got my results back within 8 days which was severe dyskaryosis. I have an appointment for a colposcopy in 5 days. Now im slightly worried because i have been to my doctor about these pains before and he told me they were stomache spasms. Ive also had problems with my hormones, they have been hitting through the roof, and i dont know if im coming or going??? Ontop of all this i had blood test on my hormones a few month ago to which they came back abnormal and that i wasnt fertile, then when taking again the next montChatDoctore back fine??? I have also had to have treatment for facial hair (which i had to pay hundred of pounds out of my own money for) which has layed heavy on my confidence.... I get constant back ache too, i feel my body is a complete mess right now and everytime i get these throbbing/dull ache pains (On a daily basis) i worry more incase these cells are spreading? Please can you give me some advice im only 23 years old and i know that my body doesnt right i feel. Much appreciated. thank you", "output": "Hi! Good evening. I am Chat Doctor answering your query. If I were your doctor, I after a clinical assessment of your abdomen would advise you for an ultrasound of the abdomen apart from the hormone analysis. With your symptoms of virilization and history of lump down, you might be having POD (polycystic ovarian disease) which is treated might give you relief in your symptoms. I would advise you to take appointment with a gynecologist and consult on your problem with all your reports. Till then, I could advise you for simple anti spasmodic only for relief of your pain in the abdomen. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ive taken Cephalexin, 500 MG, 4 times a day for 11 days now. Persicibed by an oral sergeon for swollen gums, infection. Suppose to go under and get some teeth extracted in 6 days. My problem, its Sat. after midnight, cant talk to my Dentist till Mon. My jaw is still swollen, painful, cant hardly eat, so still have infection, is there a stronger anti-biotic he an give me? Have taken med faithfully every 6 hours, swelling seems to move around alittle and swelling goes down then is back. Getting lots of sleep too. Thax for wasting my time while Im in such pain, nothing was ever mentioned about $ for an answer, till the very last click. Your just another scam on here.", "output": "Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, you have swollen painful gums, Don't worry you do warm salt gargle two - three times a day, Do Chlorhexidine mouthwash twice daily, Take antibiotic Amoxicillin 250 mg three times a day for three days One tablet Metronidazole twice daily for 3 Dawson tablet vitamin B complex once daily for three days Hope this will help you To wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Daughter has flesh colored skin rash in various places. Patch on back and one behind her knee. Slight itching which abates during the night. The rash appears in different areas then goes away and appears in other areas. No other symptoms. Only change in her life is that she returned to work just before rash appeared.", "output": "Hi, The rash is most probably due to urticaria (hives). Common causes are food, Chat Doctor. Ideal treatment is finding and avoid the aggravating factor along with antihistamine tablet. You can take an antihistamine tablet. If you do not get any improvement in a week, you must consult your Dermatologist as soon as possible. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I got root canal done in 2 sittings. The 2nd sitting was on Sept 1, 2012 and have called for capping to be done on this thursday (Sept 13). Though after first sitting I didn,t experienced any pain or discomfort, but 2 days after the 2nd sitting, I m feeling pain and discomfort in surrounding area (For 2 days I was prescribed Esgipyrin). What is the reason? Can I continue with Esgipyrin till my next sitting? Moreover, I feel rough and uneven surface at the back of my tooth which is very annoying when felt with tongue . What is the reason for the rough surface? Will it be overcomed by capping?", "output": "Hello there, Thanks for writing your query. Pain after root canal treatment indicates few remnants still left in the affected tooth which need to be clean. So I would suggest you visit back to your dentist and get thorough clinical examination and x-ray of the same tooth and adjacent teeth to be done to rule out the cause of pain and take a symptomatic treatment, if pain is in the same tooth, it needs re-root canal treatment. Hope this will be helpful. Take care " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Im 35 yrs old I have 4 childrens open my stomach five times my back always hurt me my legs also I made complete blood picture ,my haemoglobin is 10.6,hematocrit is32.9,red cell count is 3.79,platelet 272,000 ,my blood pressure is very low and I want to sleep all day", "output": "Hi, dairy have gone through your question. I can understand your concern. You have mild anemia. You should go for anemia profile. Then you should take treatment with iron or it b12 accordingly. You should consult a physician for your low blood pressure. Need to measure the blood pressure and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im very worried because my dog died 3 days ago the dog showed symptoms of rabies before he died he attacks my other dog and his throat is paralyzed lose of appetite until he died , and i remeber almost 2 months ago he bit my cousins foot , it was a lil wound but it bled, last friday the after the dog died my cousin received vaccine, including RIG, today is the day 3 or the second dose, he is in the process of completing the series, my question is... is he now protected? even though its almost 2 months ago when my dog bit him, my cousin is healthy right now, but im still worried.", "output": "Dear I can understand your concern. I would like to inform you that the incubation period that is interval between exposure and the onset of clinical disease for rabies is usually 20 to 90 days. This disease is almost uniformly fatal but is almost always preventable with appropriate post exposure therapy by vaccine and RIG during early incubation period. As you have mentioned dear about 2 months has passed we can't say for sure how effective this therapy will be.but we have still a large hope as he has not developed any features suggestive of rabies this means he is in incubation period. So continue with full vaccination and RIG schedule. Hope for the best dear. Hope this will help you. If you have any other concerns please feel free to message me. Thanks for contacting Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I m 28 yrs old, I ve never had this pain before. I have this pain in the upper left stomach , right below the ribs. It caused me to have loss of appetite , nauseous, vomiting bitter liquid, pain , dizzy. This been going on for 2 days now and today its worsen. Please help me, I have no clue what s wrong, I thought the pain was from being too hungry, but when I ate it still hurts", "output": "Hello, dung,From your symptoms it sounds like you have acute inflammation of the lining of the stomach or even an ulcer. Think back and see if you ate any bad foodlike contaminated poultry or dairy products. If you used any painkillers like aspirin or ibuprofen or similar NSAIDs, they can cause acute inflammation. Especially, nausea, vomiting, pain worsening after food makes the possibility of \"Gastritis\"on top of the list. If you also start having diarrhea with this food poisoning is a distinct possibility. Try to stay on clear liquids like apple juice or white grape juice. Bland diet with rice, mashed potato, pasta without much seasoning will be O.K. if you can tolerate it. Take over the counter Cimetidine or Sanitizing or even Omeprazoletwice a day till symptoms get better. If you continue to have severe pain, vomiting, you may need intravenous fluids and may be further work up to include blood, stool and x-ray studies of your stomach. Hope I have given you what the possibilities are. I wish you well." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Sir,My friend has 2-3 boils/lumps below his penis, i.e, on the balls/scrotum/testicles. what is this? Is this an indication of some serious problem like std diseases or simply bacterial infection? pls advise. Is their any danger for others if they have sex with him?", "output": "HelloThanks for query, Lumps on the scrotal sac are mostly Sebaceous Cysts over scrotal wall. The Scrotal skin is rich in sebaceous glands and hence prone to get more sebaceous cyst due to accumulation of sebum beneath the skin. Normally they fade away without treatment however they need to be treated if increase in size or get infected. Please consult qualified General Surgeon for clinical evaluation and further treatment. If needed some of them which are bigger may need to get excised in Toto (Completely along with the sac) Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi doc,i have a 7 years old daughter and she s having a cough for 10 days now i gave her solmux and tempra forte because she had a fever 2 days ago.we went to her pedia today and he gave meptin and klaricid and she took it around 2:30 pm after 3 hours she vomitted she said she don t like the taste of klaricid is it okay to take the 2 med at the same time?r just need to change the med?", "output": "Hi... Thank you for consulting in Chat Doctor. Cough and cold are viral 95% of the times in child Chat Doctor. I DON'T THINK YOU NEED TO USE AZITHROMYCIN AN ANTIBIOTIC. YOU CAN STOP CLARIFIED. For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15\u00a0mg/kg/dose (max ceiling dose 500\u00a0mg) every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. For cold, you can use Cetirizine at 0.25\u00a0mg/kg/dose every 12 hourly for 3 days. For nasal block, plain saline nasal " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, iam 65 years old. i have severe tremors both hands for many years, getting worse, my dr diagnosed me with parkinsons disese and started me on sinemet 25/100 tid, however i have abdominal pain and headaches so I stopped , dr says it will get better with time, what should i do?", "output": "Hello am Chat Doctor. I have read your message. I think I should tell you that your doctor is probably correct. You see the abdominal symptoms and headache are also a part of Parkinsonism. The features are broadly known as Non-Motor Features of Parkinsonism. The stopping of medicines is not going to help you. In Parkinsonism, the dose of the medicine needs to be individualized. There is no standard dose that fits everyone. Therefore, I think you need to restart that medicine, and meet your neurologist again for dose modification. Best of luck, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have not been able to talk for 2 days and my nose has started to run just in the last couple of hours. I did not yell or do anything to cause me to lose my voice. I have made every effort to not try and speak. Is there a product that I can buy at the drug store that would be good for my throat and runny nose?", "output": "Hi, Thanks for posting in Chat Doctor. From the description of symptoms, it appears that you have contacted with upper respiratory tract infection. You need to take the following medications to overcome the symptoms of sore throat and running nose. 1. Tablet. Azithromycin 500\u00a0mg once a day for 3 days.2. Tablet. Levocetrizine 10\u00a0mg once a day for 5 days.3. Syrup. Ambrosia two teaspoons thrice a day for 3 days. Kindly avoid cold items and do salt water gargling with warm water twice daily for 5 days. Your symptoms should subside in a day or two. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hey I have been having chronic cough and yellow mucus in my throat and nose for three weeks now. I used to smoke 1 pack of cigarettes each day but for 2 months have cut down it to less than half a pack each day. This is the first time I am feeling so. Havent had any such problem earlier. Can it be lung cancer ??? I am really tensed have taken tried antibiotics, cough syrup and nasal spray. I have been on them for 3 days. The mucus is still building up in my nose but seems to get settled in my chest as I cough real hard but very little mucus comes out.age : 21 yrs (male)Weight : 68 kghave been smoking for 4 years.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Possibility of lung cancer is very less because lung cancer is uncommon at your age of 21 years. Possibility of bronchitis is more because you are smoker. Smoke irritates airways and cause inflammatory changes (bronchitis). So better to first quit smoking. This is the most important thing in treatment. Also consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Chest x-ray (to rule out lung cancer) 3. PUT (pulmonary function test) for the diagnosis of bronchitis. PFT will also tell about severity of the disease. And treatment is based on severity only. You may need inhaled bronchodilator and inhaled corticosteroids (ICS). Don't worry, with proper treatment, you will be alright. But first quit smoking. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi I have had abdominal pains/discomfort for 2 months now plus a continual restless legs feeling within the abdomen and groin . The pain affects the left flank and lower back , but the worst is just above the belly button which is very tender. When this area is pressed with finger tip pressure it causes a very sharp pain that radiates to the back. I m waiting for an ultrasound in two weeks but it can t come soon enough", "output": "Hi. Thanks for your query. Read the history and understood the problems. You have pain and tenderness in the upper abdomen which on pressure causes pain in the back. This means you have some problems related to the Gastric Ulcer, Gastric cancer or pancreatic problem such as pancreatitis or a Pseudo-cyst of the pancreas. The other symptoms may or may not be related to these problems. I would advise you the following:Do not wait for the appointment for the ultrasound which is 2 weeks away. Go to the ER, get a CT scan of the whole abdomen to find the reason, upper GI Endoscopy and get a final diagnosis. Start PPI, and get symptomatic treatment till you get the reports and go for the definitive treatment as per the reports and the clinical evaluation by a General Surgeon or a Gastroenterologist." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "For the past week I get a dull ache in my right lower back and around to my side when I begin to urinate. I drink over 64 oz of water a day and urinate frequently. I do not have a fever or feel ill except for a headache for the past two days. Should I be concerned? Beverly.", "output": "Hello. I have gone through your complaints. Ideally in females with similar symptoms I would think of Urinary Tract Infection. And advice a urine examination to rule out the condition. Alternatively I would next think of kidney stones Not to worry much. I usually advice my patients to increase fluid intake to as much as they can this will help in case of UTI(which is due to inadequate water intake)and stones(fluid HY Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been on microgynon 30, I have started my 7 day break. I went to the doctors yesterday and was given rigevidon. I was told they are the exact same pill. But I looked at the information leaflet for the Rigevidon, and it says when starting a new pill you must carry on the pill and not have a 7 day break, but i am already on the break. Will this effect me? And could i be at risk of being pregnant?", "output": "Hi. Thanks for asking in Chat Doctor. Both Microgynon and Evidon contain 21 active tablets of 30 micro GMS of Ethanol Estradiol and 150 micro grams of Levonorgestrel respectively. A 7-day free period is allowed for the menstrual cycle. All the OCS when you start them for the first time, if you are not under the protection of any other OCP on the previous cycle, should be started on the first day of the menstrual cycle but not otherwise. Since you are already on Microgynon and this 7 day gap is the routine gap left for mensuration, you need not worry. As you do every month you can start Evidon on the usual 8th day after the last pill of Microgynon. I hope this is useful." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I hve been married since 3 years and no kids.My sperm analysis showed Colo:Opaque grey,Visc:high,Reactn:alkalaine,Liq: 2 hrs,Actv motile:15,Sluggsh mot:60 and Non mot:25 Pus cells:8-10/h, Testicular cell :present,Nature of sperm-Normal size:70 Long tail:10,Elongated tail:10,Pin head :5,Giant head -5 Iam really worried plz help .I had taken 4 months of lycopene and vit c.still no change again now put on zinc ,vitaminb complex ,a,c,e.", "output": "HelloThanks for your query, You have not mentioned total sperm count in your report based on the facts and report of your semen analysis that you have posted it reveals presence of 8-10 pus cells suggestive of infection of either seminal vesicle or Prostate. Please get your semen culture done to find out the organisms causing this infection and antibiotics to which they are sensitive to. You need to take appropriate antibiotics for 4-6 weeks to eradicate the infection completely. Repeat your semen analysis after completion of treatment. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My wife has been suffering from what started out as back pain several years ago, it has now progress to severe shooting pains down her left leg to her knee as well as numbness tingling feeling in her foot.We have seen doctors over years the pain is now constant day and night even with her medication the doctor say her pain is from the L4 area , what i would like to ask is there other ways getting this pain other than the sciatic nerve , could there been a combination of different things that her this amount of pain.We been told that her sacroiliac joint is approx 50 millimetres out of aliment with restricted movement. Regards John", "output": "HiT hank you for asking ChatDoctorI have gone through your query. The back pain which radiates to knees, foot and tingling feeling is most likely neuropathic pain sciatica. It can be due to compression of nerve root by lumbar disc herniation like you mentioned, from L4 area which is a common place. But conditions like sacroiliac joint dysfunction can coexist. In such case local corticosteroid injection will be helpful. If you were my patient then I would recommend muscle relaxants like cyclobenzaprine, NSAIDs like nimusulide and neotropic Chat Doctor. I also advise physiotherapy and muscle strengthening exercises along with this. Wearing Lumbar supporting belts also will be helpful. Hope this may help you. Let me know if anything is not clear. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son is 7 and complaining of toothache over the past week or so. He has a pea sized firm lump at the back of his lower gum and I suspect a molar erupting. Hes in a fair bit of pain and rarely complains. Should I be concerned or is the lump normal. Im worried in case if infection?", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have painful lump on the lower gum of a child is normal during time of tooth eruption. Need not to worry. I would suggest you to maintain complete hygiene of child. You should get clinical check up done by a dentist and get a X-ray done so that it can be ruled out what is exactly causing you the lump. Do brushing a flossing regularly. Avoid intake of sticky food. Get scaling and cleaning done in that area. In case of pain take proper antibiotic course. Massage with colonel as well to increase blood flow. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Dr.Samuel I have frozen shoulder due to partial rotator cuff tear in October 2013. I am under waiting list for manipulation of right shoulder in hospital. My shoulder is in frozen stage now and there is no pain unless I do stretching exercises. I am taking natural anti-inflammatory tablets and fish oil. Please provide any tips that may speed up recovery so I can return to work soon. Thank you Regards Suman", "output": "Hi, thank-you for providing the brief history of you. A thorough clinical Musculoskeletal assessment is advised. As you have frozen shoulder you may be having restriction of shoulder mobility. Also, you are taking Anti-inflammatory Chat Doctor. Now pain is only when you stretch, so you must be avoiding it. You are even waiting for the manipulation of the shoulder under GA which is also a good choice. Trying out a tuff Shoulder rehabilitation under a physical therapist should help you regain the mobility earlier and faster. Remember \"No Pain No Gain\". A thorough rehabilitation will help you regain full shoulder mobility and also strength in the muscles. Physical therapy required - Mobilization, ROM exercises, Strengthening exercises, MFR, TENS, Ultrasound and Hot packs. Also, in my clinical practice such cases respond well to physical therapy and does not need Manipulation under GA. In around 6-8 weeks of time complete shoulder mobility is regained. RegardsJay In" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter was in urgent care last night for abdominal pain. She has had the pain for 3 days...can t sleep well with it, can t find a comfortable position standing, sitting or laying down. If she does find one, she can t move without discomfort. She had a ct scan done and the doctor said that it was probably menstrual related and sent her home. She is now having diarrhea (from the barium sulfite?) and is light headed. The pain is now in her back as well. Any thoughts? She has a doc appointment for Monday with her regular physician. Thanks! a", "output": "Hi. Thanks for an elucidated history. The inability to change the position itself is suggestive of a need for exploratory Laparoscopy to determine the cause and deal with it. This can a perforated appendix or a lymph node mass or PID or Salpingitis and Mittelschmerz syn Chat Doctor. It is best to get a diagnosis and treatment accordingly. I think, you must visit the ER and get the proper treatment done." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Two weeks ago my 60yo brother was life flighted for probable Budd-Chiari Syndrome (I m assuming). He was c/o abdominal pain of three days and found to have a thrombosis of the right Hepatic vein and ascites. His face was almost unrecognizable due to the severe swelling. One year ago he was dx with a DVT and was treated in the hospital for a myeloproliferative disease. Amongst the many other delimas and treatments a ureteral stent was placed today. I am wondering if that was done for kidney stones or something more serious. I know this is not a full picture but am wondering if you can give me some other reasons for the stent. Thank you.", "output": "Hi, thank you for providing a brief history of the case. Well stents are used to maintain hemodynamics. So when ever a stent is used the ideal concept is to get the normal hemodynamics. let's talk about DVT and swelling of the face. As you know DVT is the deep vein thrombosis where the rhombus leads to obstruction in the normal hemodynamics, so it is preferred to use stent for easy flow. Next coming stent in the kidney is used to think for the normalcy of the kidneys to function and do proper excretion. People with DVT should perform regular physical exercise to maintain the hemodynamics. And once the body adapts to this physical exercise the hemodynamic comes closer to normal. With the grace of God I wish a speedy recovery" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My Alt was 63, AST 52. LDL 129.46, Lp cholesterol 11.41 and cholesterol 248. Trig 61, vLDL4.96, HDL 101.93, LDL, HDL chol 1.27, I am so confused? I am 49 turning 50 in Dec. Gone through menopause. Drink an Alive shake every morning during week with flax seed. On low carb diet with my husband who had lost 30 lbs in last 6 mo. 58 and weigh 140 lbs. In good shape but excercise has fallen off in past year due to work schedule. Been under more stress. What do you think?", "output": "Hi thanks for contacting Chat Doctor ... Your liver enzymes are slightly high ... Your cholesterol values are not much higher . It is borderline.... Here you can consult physician for your examination and accordingly investigation. Your USG abdomen done.... If it shows fatty liver or gall stone like condition then it might be the cause. For which more fruits and green leafy veg taken... Udiliv tablet can be given... If you have any positive cardiac history, muscular problem, cytomegalovirus like condition then also it can be high. Hope your concern solved... Avoid alcohol if habit... Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here...dear doctor my son has age about 3 years dhe cant walk properly due to minor cp problem now he will joion school in september so m very upset due to his walking condition please suggest me what can i do", "output": "Hello, welcome to forum. I understand that your child has CP, may be only legs are involved, the child must be normal intelligence wise, (please correct me, if any of my envisaged facts are wrong). You have to stress more on physiotherapy for the child. I feel you are more worried if mocking by other kids due to your children walking style. As a parent we need to first accept our child the way he is and try to build the child on capabilities he has. Please have a word with school teacher and inform them that child needs special attention as far as peer mocking is involved. Remember special child Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I don t know if any of these things have anything to do with the other.... I have had a cold for about a week. I lost my voice. My ears are ringing. My neck started hurting around noon today and now my hands are both very painful and somewhat swollen. I have not had any cold medication in over 48 hours, so I think an allergic reaction to medication is out... What can this be?", "output": "Hi Lambert, Thanks for writing your query. After reading your post, it seems that your symptoms are due to upper respiratory tract infection. You should get yourself examined by an ENT specialist. Following investigations will be helpful in planning your treatment :-1. Throat swab culture.2. Complete Blood Count. You can take antihistamines like Fenofexadine 120 mg once a day along with decongestants like phenylephrine. Pain in the body can be due to fever, and can be relieved by taking paracetamol one tablet for pain. If the problem persists, get yourself examined by your doctor. I hope this is helpful to you. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a root canal done maybe 8 years ago & the dentist capped it with a silver tooth (I guess that s all Medicaid would cover). Well, the last few years, there s been a gap between the top of the silver cap and my gum and it s hurts all the time. Yesterday I ran my tounge across it & in between my silver capped tooth and the tooth behind it, my gums are really sore & it felt like there was something hard and pointy in my gums between my teeth . (like maybe popcorn got stuck in between my teeth). So I tried to get one of the stick flossers and get the thing out of my gums. When I went to dig in between these teeth, my gum came up and there s a hard, dark red spot on the end of the gum...what could that be?", "output": "Dear Glorianicole11 I feel that there is calculus formation between your cap and gums because of which the gums have been pushed down. Because of constant irritation from the calculus there would be inflammation of gums. The gums would have become red and swollen, and also it would bleed when you brush and floss. You need to visit dentist at the earliest and get the area cleaned (by scaling). Get a radiograph (X-ray) done so that any changes in the tissues (especially bone) beneath the cap can be seen. If necessary get a new cap done. Take care and wish you a speedy recovery Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I recently had a sudden outburst of anger at my brother in law in a restaurant. I have also been depressed lately for no reason. I have been on bystolic for 3 weeks and was drinking alcohol. I feel awful about the outburst. Now my brother in law wont accept my apology. I dont normally act this way. Was it the medication and the alcohol together ?", "output": "Hi there ~ I understand that you have been having some problems with your work and personal life, and it is affecting the way you are functioning. I am sure you need help with your alcohol addiction since it can complicate the picture. Once you are off of alcohol, you will need to be assessed if you really have anger management problems, bipolar disorder, depression or any other condition that needs to be looked into. I feel like there is a scope to elaborate online, but you need to see a substance abuse counselor who will refer the patient to a psychiatrist if appropriate. I am glad I could be of some help. Take care and have a lovely day !" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, My father is 61 years old and was recently diagnosed with metastatic lung cancer. It traveled to his brain and had 2 tumors. One tumor was removed surgically and the other was treated with the Gamma Knife radiation...A few months later his MRI showed good results on original tumors but showed 11 new tumors(very small). We did the gamma knife again. He then started chemotherapy for the lung cancer. After his 2nd round(14 days after) he was feeling terrible, no energy and fatigue. We then took him to the emergency room and they said that his hemoglobin was at 5.9. They then admitted him into the hospital and did a blood transfusion. Throughout this process he was having headaches and such. The doctor gave him an IV of dexamethesone(which he has used quite a bit before) but I noticed that dad was not acting normal and seemed very disoriented/confused/not speaking clearly/not understanding. We left the hospital when the doctor said that if he felt ok he was ok with discharging him. Dad wanted to leave and he was prescribed dexamethesone for the headaches. We then went back to the neurologist for an MRI and the MRI showed 8 new spots. I have no idea on exact placement but would his confusion and forgetfulness be from dexamethesone side effects of tumor adema on certain parts of his brain?", "output": "Hi, I had gone through your question and understand your concerns. The symptoms of your father arise from tumor metastases in certain areas of brain (frontal and temporal lobes) and their surrounding edema. Dexamethasone is used against edema with the goal to improve symptoms, so these symptoms are not side effects of Dexamethasone. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 33years old and female. I have a lump behind my right ear that I discovered yesterday. It is flesh colored and feels hard and bony. It is the size of a dime right on my mastoid bone. I have not been feeling Ill. Am wondering if my glasses could be rubbing on the bone causing inflammation or if it is more serious.", "output": "Hi! Welcome to Chat Doctor! Well, if I were your family physician for this complaint of a flesh colored and feels hard and bony lump behind the right ear, I would just think of some benign conditions and convince you not to worry at all! However, possibilities are : 1. Neurofibroma/dermatofibroma2. Enlarged lymph node due to chronic infection in the scalp, Dan Chat Doctor. Benign osteomaOnly a microscopic examination and clinical assessment can confirm what is it therefore pleasing don't worry and see your doctor for relief or revert to us if necessary!wishing you good health!w" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "dr. before two months ago , i made a unprotected sex two time with my wife.first Monday and i gave her unwanted 72 on Wednesday.second time Friday in same week and unwanted 72 gave her Sunday.after that she told me that menstrual cycle not come on time and when it come then sever pain & more bleeding occurring . i am very afraid of this , please suggest me some medicine and ideas.i will highly obliged.", "output": "HelloThanks for writing to us with your health concern.IT is not recommended to take unwanted 72 so frequently. It causes menstrual irregularities. It can cause with Chat Doctor. Furthermore, it can advance or postpone your normal menstrual cycle by a week, or more.Hence, what she experienced is pretty normal, after the emergency contraceptives. Right now, please do not take any more medications. It will worsen the problems. You should be taking regular contraceptives. Emergency contraception is not a substitute for regular contraception. You can start birth control pills from second day of cycles. It will regulate cycles also. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, half a year ago, I had found minor blood in my semen, followed by a few days of left testicle pain, radiating to my lower left pelvis area. I went to the doctors, did a urine test, ultrasound on my testicles and prostate. All results came out normal, so doctor concluded that I was being too rough and might popped a vessel. Then everything was normal, pain were gone. However, 3 days ago, I think I might have went too rough during masturbation, and I did a forceful ejaculation. I felt pain when I ejaculated, in my urethra, then radiated to my lower pelvis. And now, I would feel pain in my lower left pelvis area. I have no fever, urinate regularly and normally, no swelling in testicle area. So I m wondering if the pain is simply just because I masturbated and ejaculated too roughly, or there s some other problem?", "output": "Good Day, and thank you for being with Chat Doctor ! Chances are you are suffering from pain because of your habit of masturbating roughly. This is not good because it causes microtrauma to your genital organ. Take it easy for a few weeks and abstain from masturbating. This would allow your body to heal and get back to normal. If the pain persists then see your urologist again. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: http://www.ChatDoctor .com/doctors/ Chat Doctor. Best wishes" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a hemi arthroplasty after. A bad fall. The surgeon put in a ball and stem. I was just discharged from physical therapy because I am not making progress. There is something definitely wrong with my arm. The doctor doesn t want to see me unless I have a problem. I went to him with this problem. He just said pick your arm up with other hand. Anyway I want another surgeon to see me but they won t get involved. All I want is to be fixed. Can you help me. I am so depressed", "output": "It seems you had shoulder semi replacement after a fracture. There are chances of Complication in every case and many times there is nothing a doctor can do about it. There are many advances in Shoulder surgeries now. We had organized a shoulder course recently for other doctors to showcase what are advances. In your case, there may be rotator cuff deficiency because of accident. If you can share the x-rays with me, I would be able to guide you what can be done now. There are options available. What is your age?" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a stroke in Feb. of 1996, told I had MS, had another spinal tap, after taking Beta Feron for three months, tap came out neg., started on warfarin in march 1966. Did great for years, then my hemoglobin dropped to 3.7 and was put in the hospital to get some blood, it took 24 hours to get my blood because I have antibodies. Was told I had autoimmune hemolytic anemia and put on prednisone, my Dr at the time started telling me I had Systemic Lupus. Then after awhile something happened and I couldnt sleep, had NO energy, racing heart, nausea, NO APPITATE, loose stools, dry mouth, lost over thirty pounds while on 80 mg of prednisone. Say a Rhumitoligest and tested for Sjogrens, which I have. Everything is starting again. What is going on?", "output": "Hi! Thanx for asking you query. Well you didn't mention your age when you had stroke because young age stroke can be a manifestation of connective tissue disorders You didn't give an account of which antibodies you are positive and on which grounds your diagnosis was made of progress syn Chat Doctor. Sudden fall in He can be due to autoimmune hemolytic anemia but you didn't mention whether after starting steroids it showed an improvement and by how much. If you suffer from progress syn" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I recently suffered chest pain radiating to both arms. Arms were very painful to the point of feeling my pusle in both. I went to the ER and had a Nuclear Stress test, chest x-ray and enzyme blood tests every 6 hours. All tests were fine showing no significant relation to a cardiac issue. I am still having this problem and following up with my doctor next week. The pain in my chest is a burning stabbing pain that goes down bothe arms, but more to the right than left.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Since your extensive cardiac work up is normal, possibility of HERD (gastroesophageal reflux disease) related pain is more in your case. HERD is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms of burning, stabbing chest pain. So do following things for better symptomatic relief. 1. Avoid stress and tension. 2. Avoid hot and spicy food. Avoid junk food. 3. Avoid large meals, instead take frequent small meals. 4. Start proton pump inhibitors and prokinetic Chat Doctor. 5. Go for walking after meals. 6. Quit smoking and alcohol if you have these habits. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi I am 22, have noticed a slight discomfort in my abdomen on the right just above the groin area..no pain...and also sometimes I feel like my testicles are swelling to a bigger size size sometimes....is this even normal? Also there is no pain when I examine it...what should I do?", "output": "HelloNormally two testis varies in size and this is natural. But, you may need clinical evaluation and routine investigations. You may need routine hologram, random blood sugar, urine RE/ME, ultrasound of abdomen and testis. Ultrasound is very important, and it can exclude many possibilities. It will assess cause of discomfort in abdomen and testicular swelling. Treatment depend upon clinical findings and investigation reports. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here...Hello,I have Chronic bacterial prostatitis caused by bacteria Proteus mirabilis. I am 33, male. I dont have another health problems except ch. sinusitis. What should I do to get rid of the bacteria - Proteus mirabilis? Thanks, Igor", "output": "Hi, dairy have gone through your question. I can understand your concern. You have chronic bacterial prostatitis. It is caused by gram negative bacteria Proteus Mirabilis. You should take a course of antibiotic like levofloxacin or cephalosporin. It is prescriptions based medicine so consult your doctor and take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been diagnosed with sludge in my gall bladder. Pain has been fairly well controlled via a low fat diet, but since last night I have been having a burning sensation that has been fairly constant in, the same place as always - upper abdomen slightly to the right side - no other symptoms. I take omeprazole for acid reflux, and blood pressure meds.", "output": "HelloYour symptoms may be due to gall bladder sludge. It is a mixture of particulate solids that are precipitated from bile. Gall bladder sludge may be seen in pregnancy, rapid weight loss, after surgery etc. Clinical course of biliary sludge varies. It often vanishes with treatment of underlying cause, other cases wax and wane and some form gallstones. Asymptomatic patients with sludge or small calculi require no therapy whereas symptomatic or complicated cases may need cholecystectomy. You need proper clinical evaluation. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had back surgery in September to repair a budged T-11 disk. Mostly my left leg suffered paralysis, as well as my bladder. Now, I had some intense pain in my right leg. The skin around my large & second toe are blacken on the right foot. Could this isuue be associated with additional disk issues?", "output": "Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. Blackening of the skin around large & second toe is a sign of disturbance in blood flow. This need intervention by a Vascular Surgeon. Problems with nerves may not cause blackening. Please consult a vascular Surgeon at the earliest. Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in Chat Doctor at http://bit.ly/ask" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a several bumps come up between my eye and nose and several more popped up towards my eye brow. My eye is swollen and woke up this morning my left side of my face swollen. This started Thursday and seems to be getting worse. Ive put antibiotic cream on the bumps that have opened up and warm compress. What is this?", "output": "Hi ! Good morning. I am Chat Doctor answering your query. From your history, it seems you have contacted some kind of infection of the skin which could either be a viral infection (herpes) super added by bacterial infection. For a definitive diagnosis, and proper treatment I would suggest you to consult a Dermatologist/general surgeon in your area soon so that further spread and complication could be avoided. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Been on lutera for 8 months now and I have had regular periods that last 4-5 days, this month I started spotting on my active pills this has lasted for 5 days and now I am on my second sugar pill and I am still spotting, I take my birth control properly everyday at the same time what could this mean?", "output": "Hi, Thanks for the query. Hormonal pills can present with side effects like intermenstrual spotting, irregular bleeding etc. Usually they will subside soon without need of medication. So, possibly in next months you may not have the problem. If the problem persists, you once consult gynecologist and take symptomatic treatment with anti-fibrinolytic Chat Doctor. And along with them, you can continue with pills. If the spotting persists or increases, better to go for higher dose hormonal pills with your doctors' advice. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 2 yr old is having vomiting, reflux, distended hard stomach that starts out in the AM flat and normal and by night is big and hard and sometimes is distended all day and night. No food allergies. Is on reflux meds and stool softener. just started stool softener. been on reflux meds since birth. Sometimes a high fever and rash around neck", "output": "Hi... Thank you for consulting in Chat Doctor. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15\u00a0mg/kg/dose (maximum ceiling dose of 500\u00a0mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had an allergic reaction to nair cool gel hair remover a few weeks ago. I went to the doc and they perscribed predinstone. It cleared up. A week later I was at the beach and used a spray on sun block. The rasChatDoctore back, not as bad. This other doc put me on allegria an another allergy medicine. I stopped taking the allergy medicine, now I am getting what looks like a puss filled pimple on my leg. They hurt at times. What suggestions do you have.", "output": "Hi, Welcome to Chat Doctor ! I think you are quite devoted for beautification. Please try to avoid the cosmetic adventures and try to stick to a straight forward make up avoiding many chemicals. If that is difficult then you can use herbal preparations which are more near to nature like Himalayas preparations. Lastly get the contents of the cosmetic preparation during the two events and single out the content the was there in both. This is the content to which you are allergic and avoid it forever. I hope this advice would be helpful for you. Still if you have any queries or doubts, please write me back, I would be happy to solve them. Wish you a great health!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, my name is khalil from tunis and i have Disease name s volkmann It is the result of swelling of the body fat and fat, which cause such materials to the blockage of the arteries carrying of albumin is located swelling of the artery, which leads to the loss of the amount of albumin and Fattaminac", "output": "HelloThanks for posting at Chat Doctor. The symptoms you mentioned are hard to understand because of language issues. But I can get a raw idea that you are suffering from blockages in the arteries and swelling of the body. Blockages in arteries causes decreased blood supply to the organs causing disturbances in the normal functioning of these organs. Such blockages when they affect the heart and kidney can lead to fluid overload and accumulation of fluid in legs and face causing swelling. You also mentioned albumin being low. Albumin is a protein and deficiency of albumin can also lead to swelling all over the body. The treatment for the condition includes diuretics to remove excess water from body and protein supplements with high protein diet. Also finding out the blockages by angiography and if significant blockages are there, treating them by either stenting or bypass can help get rid of the cause of the swelling. Wishing you good health. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I got stung by a jelly fish in SC on vacation. The last few weeks, I have sweating and feel hot all the time, arthralgias and myalgias. I have fibromyalgia and a connective tissue disease, could this be related to the jelly fish sting, I still have the marks.", "output": "Hello, I understand your concern. I am Chat Doctor, infectious diseases specialist, answering your query. Yes, it can cause such type of reactions I would like to suggest to you that you should undergo blood testing. Without testing, it will be very difficult to diagnose such condition because you have connective tissue disease also. Jelly bean sting can be associated with such a reaction because it can be image myoglobin in the muscle. I will be happy to answer your further concern, you can ask me on bit.ly/ Chat Doctor. Thank you. ChatDoctorInfectious diseases specialist." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have probable ms and recently I have been having thoracic pain, I get light headed abd bloating and a lot of gas and sometimes get short of breath during these times. I do have reflux also and a hiatal hernia . I had echo about 2 years ago and only showed slight tricuspid regurgitation. I am on Zantac but lately I am thinking it is not working any ideas?", "output": "Hi I did review your concertgoer problem seems to be due to gastroesophageal reflux but just as a caution I would advise you to get ECG for ruling out any heart problem Santa does not work I would advise you to start Omeprazole OD 20 minutes before lunch or dinner, and I am sure the results would be encouraging. Also do not sleep immediately after eating food and use 2-3 pillows at night while going to sleep to keep your head high and prevent acid reflux" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 2yr old daughter has small pink slightly raised bumps on her trunk, arms, back of knees, back of neck up to her hairline, and hips. It got worse with hydrocortisone cream and we tried antibiotics prescribed from a dermatologist, which has had no results. She is itching to he point that she will bleed. Any ideas", "output": "Welcome to the ChatDoctorIn my opinion, your child seems to have an allergic episode or scabies. Both can give red itchy bumps. Don't worry. You may try following measures to treat her:1. Apply permethrin 5% cream over whole body below neck at bedtime and give a good soap and warm water bath in the morning. Wash all the clothes and linen used with soap and water. Do the same after 2 weeks. Also use it on other family members as well to eradicate the parasite completely.2. Use calamine lotion and promoting lotion thrice daily for itching.3. Start her on an antihistamine such as Spy Ben Chat Doctor. Hopefully this will help you. For further questions, you may contact me." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have adhd and i started taking my medicine but its not helping me focus. My mom thinks im faking but the doctor prescribed it to me. Its a dosege of 12.5mg if i take two of those in the morning instead of one would that make the effects stronger or just keep me awake longer?", "output": "Hello, In my opinion, it is necessary to continue medications; try splitting issues into parts also try scheduling stuff. It is also important to do some letter cancellation techniques say for example. If you choose letter A, try cancelling that letter at the end of time, check how many A and how any other letters are cancelled this will lead improve attention. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello first of all, I m Paola, i need help urgently. I m 18 years old and I ve just started college, my boyfriend and i think i m 2 week an 3 days pregnant, we are scared to go to a doctor, because of what might people say in my town as everyone know each other. So I ve been having this weird symptoms which i don t know if they are normal and they ve just started 3 days ago, first: -i bleeded a little dot on my panties -then i went to the bathroom and pee and a little brown mucus came( i read its normal during pregnancy and that its also normal during my ovulation time but it has never happened to me) -then today i went to exercise and when i got back home i had a spot again on my panty and again a mucus came out but it was white. my boyfriend and I have accept the fact that its a big responsibility this child, and we are going to have it if i am pregnant, and we have great illusions and i don t want to miscarriage, cause it will destroy us and also make me very ill as i am an anemic person. I would like to know what do you suggest we should do, we really don t want to go to a doctor until we know i m pregnant and i don t trust pregnancy test. Thank you, please please answer asap", "output": "Hello dear, I understand your concern. In my opinion the confirmation of pregnancy can be done by 3 tests like urine pregnancy test, serum B Chat Doctor and ultrasound. The first sign. Of pregnancy is missed period. Other signs of pregnancy are nausea, vomitings, increased urination, sore breasts which start 2 weeks after missed period or around 6 weeks. The spotting just seen around the expected date of period can be due to implantation bleeding in case of pregnancy. As you don't want to go to doctor only way to confirm pregnancy is doing a urine pregnancy test by yourself. This test usually gives accurate results a week after missed period. So consider doing the test. The spotting in case of pregnancy might suggest abnormal pregnancy like miscarriage due to hormonal abnormalities. Nothing to worry. If the cause is corrected it can be prevented. Best regards..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Iam having problems.I have been producing some excessive throat mucus everyday for the past two years and i often find some bumps on my labia, They used to have pus but recently have been just painful with no pus. They jus harden and scar.WHAT COULD IT BE?", "output": "Hello and welcome to Chat Doctor, Presence of bumps on the labia filled with pus suggests presence of infection-bacterial infection on the skin covering the labia. The pus filled lesions can be due to folliculitis, boils etc. A clinical assessment and antibiotic therapy is required for treatment of these lesions. Production of excessive mucus in throat can be due to inflammation of throat mucosa. Infection is the most common cause of production of excessive mucus. Thanks and take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "am 38 years married with 4kids, since a year am getting spots on my face, and small acnes as well, when acne is gone it leaves the mark,which never fades and now my face is full of brown and black marks , it looks that they are brown moles but they are the marks of previous acnes. plz help me to remove the marks from my face.", "output": "Hi there amhere313. Thanks for logging onto Chat Doctor. I understand your distress reads the marks. At the outset, please try using an Darlene based cream on the eruptions/acne. Many creams exist for pigmentation, but the gold standard remains 2% or 4% HY Chat Doctor. Do visit your local dermatologist for a more detailed assessment & further management. These things have to be seen to deliver best results. Cheers & good luck" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 45 years old. My gums bleed whenever i brush my teeth. They are also receding of late. The dentist i met is telling me that i have periodontis and requested me to get it cleaned. I am afraid that further cleaning would leave gaps in my teeth. Please suggest a easy home remedy and the brush and paste i need to use. Can i use neem leaf powder to solve this problem at home itself for i am afraid of the pain at the time of deep cleaning of my teeth.", "output": "Hi there, thank you for posting your query on this forum. Bleeding gums after brushing teeth & gingival recession suggest periodontitis. Don't be afraid your Dentist has told you the right thing by telling you to go for cleaning, it won't leave gaps in your teeth either. If left untreated it may lead to lose teeth, more gingival recession making your teeth appear longer, bleeding gums & ultimately weak teeth.1. Stop using a hard bristle brush if you are using one & start using one with soft bristles.2. Brush your teeth twice a day for not more than 2 minutes3. Flossing daily will help remove stuck up food particles4. Use a good antiseptic mouthwashAlong with these measures you may use need leaf powder for cleaning teeth. Thanks & " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have rosacea and its been real bad lately and its flared with numbs and real dry skin I want natural pills and skin cream what can I buy at a natural health store, the pills and creams doctors prescribe have some type of steroids and I do not like it. I live in Odessa, texas", "output": "Howell come to ChatDoctorI appreciate your concern, if this is the rosacea may not need any steroid, but it can be well managed with antibiotic like Tab Doxycycline 100 mg once in day, and it needs to be taken up to 10 days, it is most advisable to keep the face clean the condition is highly related with hormone changes, and it is the self limiting condition in very rare case it requires the medication but not the steroid, so better not to take this, hope this information helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im having a lot of gas, both ends started about a week ago. Ive been takeing flax seed for about a year. Ive been having some pain in my chest along with the gas. Im also on meds for my heart.I tried a nitro, it didnt seem to do much other then put me in a daze for a min. or two. I also have much pain in joints and I need a hip joint replacement. I had trigger finger operations for all most all my fingers, had a joint taken out of my thumb, both knee replacement. I ride a bike and try to get five miles in a day for excerise, easier then walking. thank you P T", "output": "Respected user, hi I evaluated your query thoroughly.* This is in relation with intestinal motility disorder associated with variety of clinical conditions, chest pain may or may not be related with this.* Your case needs thorough clinical assessment in presence of many co morbid conditions and detailed evaluations for final judgement but still with this narration I recommend certain guidelines for you - take small amounts of light diet at regular intervals - diet should be balanced containing all nutrients with less of fat content-avoid oily / spicy / non-vegetarian stuffs / beverages / junk foods-chew your food thoroughly-avoid sleeping for 2 hours after meals - avoid smoking / alcohol / abuse substance use in any form - avoid painkillers till possible, if needed always take with Proton pump inhibitor-physical activity in form of body part movements (not bike riding) is must in form of light exercises, walking till possible, YOGA at home-avoid stress / anxiety - regular sound sleep of 6-7 hours - in our clinic we recommend certain motility related molecules for gut depending upon the clinical severity & supportive data of laboratory, ultrasound findings if any Hope this clears your query. Welcome for any further assistance. Thanks for using Chat Doctor .com & giving me an opportunity to assistRegards dear take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a bulging disk at l4and degenerative disk at l5 and s1, also a little in my neck. Can this cau Se shoulder pain and my whole arm being painful? Also just to the right of my spine halfway down my spine to be so painful I had trouble breathing and was taken by ambulance to hospital. They gave me an injection of anti inflamitory a and ether which made me better for a while then I was put on to morphine patches. What are your thoughts?", "output": "Hi, first thing that your neck and arm pain not coming from your lower back or lumbar spine.a bulging disk at l4 and degenerative disk at l5 and s1 is degenerative process of your lower spine and same process is going on in your cervical or neck area. First you have to do a MRI of your cervical spine then we can go accordingly. Till then take hot water fomentation, ointment message, gentle exercise of neck and lower back. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doctorWe got married bfore 2 years ago.My husband want me to slim til that time he can t do sex with me. So i feel he loves me or not. I depressed a lot bcoz of that. Otherwise he cares for me .But bfore few days ago i knew he did masterbation and i got to depressed. so is it good for him and our relationship tell me and what can i do to close him.Bcoz he also said that we dont have cofordability. Please help me..........", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. From the given description, if the information is correct, I feel that your husband is avoiding you sexually. The reason could be his anxiety about sexual relationship. He is not interested in sex with you. But he finds satisfaction in masturbation. Means he enjoys and knows what is sex. But he avoids sex with you. He's also diverting the embarrassing situation with mention your physical condition. This could happen due to some negative information and knowledge. I suggest your husband needs psychological counseling. If you need more of my services in this regard, please post a direct question to me with every detail. I am glad to serve the purpose. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I take Covance 25mg (Losartan) for BP .BP is not because of any other problem (like with kidneys).I am now 28 M and have been on medication for last 2 years.My BP reading these days range from 130-90 to 110-70.Is there any way where I can stop medication.Is there any other alternative to medication for me ?", "output": "Hi Welcome to ChatDoctorThis is Chat Doctor. This reading you have given, must be along with medication you are taking since last 2 years. I have observed that your BP is quite controllable. Now you want some alternative therapy to take over. No harm in this. In the beginning you can add it to your present medication ---1. I will suggest you to take fresh garlic about 3 gm. Cut into small pieces , swallow with glass of water early morning. 3 gm of it made paste, take with buttermilk in lunch. Garlic is an excellent " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son (8) has bad allergies right now, itchy eyes and runny nose. He is now complaining of a sore itchy throat. When I looked in his mouth he has a cluster (the size of a dime) of little red pinpoint spots. It is on the roof of his mouth just in front of the uvula.", "output": "Hi, Thank for asking to Chat Doctor. As per clinical history it appears as your son are having allergic rhinitis. If I were your son treating doctor, I would advise him Antiseptic Mouth Wash, Steam Inhalation & Steroid nasal spray with antihistamine. Your son will get relief. Certainly above treatment will give you much relief but if relief is not up to satisfaction level then consultation with your ENT doctor will become essential. Hope above information helpful to you, take care. Regards - Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have panic and anxiety disorder and my doctor just switched me from paxil 60 to lexapro 20. I also take Klonipin .5. I just had the worst anxiety attack that I.was shaking. I took .5 Klonipin and that didnt help so I took 2 mg Ativan that was prescribed a week ago for emergencies. How long before the lexapro helps with all this and how long b 4 the Ativan helps me stop shaking?", "output": "Hi you have either GAD with Panic disorder or OCD. I have not understood the logic of exchanging one SSRI with another, although theoretically this may work. I would change the category from SSRI to SARI (venlafaxine or duloxetine) or a tricyclic or clomipramine if someone does not respond to a trial of adequate dose of SSRI for adequate period. Generally, Asian should work immediately but this is highly habit-forming TAKE CARE Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. My girlfriend recently got her belly button pierced and now has a small rash which hadnt appeared until a few days after it was done. Its not itchy she says, but it is sore all around her belly button, not sure if this is just a result of having it done and part of the healing process or if she is elergic to either the metal or possibly the savlon she is using to clean it? Any help would be much appreciated Thanks AAAA", "output": "Hello, Welcome to Chat Doctor An allergy to metal will manifest as itching. The rash you mentioned is sore. So it could be an infection or irritant contact dermatitis to salon. Without an opportunity to closely examine the lesion, I would not be able to accurately specify the condition. You might need to consider a consultation with dermatologist for assessment and work up. Infection will require a course of antibiotics and anti-biotic cream. It is better to stop cleaning with salon. Just use warm salt water instead. Hope this helpedTake care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. Ok here goes. I have been having chest pains (cardio work up done all negative) elevated sed rate, elevated c-reactive rate, unknown abnormal white matter on brain mri( neuro dr ruled out ms) low grade temp, headache , fatigue/worn down feeling and swollen lymph nodes and ankle /knee pains. I have been to a total of 6 different dr and no answers. This all started a couple months after finding a tick that was attached on my hip area which has been a 11 months ago. . Eliza lyme test was negative. So any other suggestions would be helpful to maybe discuss with one of those dr. I live in Florida", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Your symptoms suggest scrub typhus, I am not sure if this is prevent in your area, and also it could be tuberculosis. You can discuss these two options with your doctor as both are treatable causes. The lymph nodes can be examined by an FNAC for finding out the cause as well. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Why do I now have a small lump in neck by jaw.Was treated yesterday for outer ear infection with drops. Pain hasnt gone away. Still have a slight fever. Head feels like its going to explode. 51 yr old female , history high bp, high choles.. heart attack a yr ago.. weigh 168 lbs, diabetic ..", "output": "Hi, dairy have gone through your question. I can understand your concern. Your small lumps are enlarged lymph node. Mostly it is due to reactive hyperplasia of lymph node as a result of some infection in Chat Doctor. You should take a course of antibiotics. If it doesn't respond to treatment then biopsy diagnosis is advisable. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been having abdominal pains off and on for the last week. They are always in a different place...right upper, back, left upper, lower back right, once on awhile in middle but not much just always in a different place. Appetite is fine and actually usually feel better after eating. Pretty regular with BMs once a day. Occasionally a split second sharp sting but most just achy side pain, again in all different spots.", "output": "Hi welcome to Chat Doctor forum. Thanks for choosing Chat Doctor. Forum. You have got abdominal pain, it is not constant and mot in one spot. Appetite and bowel moments are normal, feel better after eating. It appears to be gastric irritation due to peptic ulcer, or irritant foods, or due to worms in the intestine. I advise you to consult a gastroenterologist, for diagnosis and treatment, You may need to have gastrostomy, besides other routine tests for confirmation. Wishing for a quick and complete recovery. Best regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a cyst and the doctor said it might be a endometriosis, she said not sure. I want to get preganat but im afraid the surgery might cause me to fail to have a baby. The doctor said she wasnt sure and i should get rid of it...its really big 57x31x49 mm she said it can risk to have cancer if i leave it. im scared to have a surgery my question is My husband lives in america and i in canada soo its difficult to try to have a baby but i will move there soon. on my reprt it says i have 21 mm posterior fibroid. the endometrium and left ovary are normal.will i have problems getting pregant? will it be worse if i i had the baby and then got my surgery..or might that affect my baby?", "output": "Hello, Welcome to Chat Doctor. Thanks for writing. I am Chat Doctor. I have read you question completely, I understand your concern and will try to help you in the best way possible. Starting from first point how many opinions did you take like did you took any second opinion like always try to take second opinion regarding any surgery .....plus if your cyst is endometriosis than you should defiantly remove it because it is NT a favorable condition for uterus and makes having baby difficult get rid of it and let's say if u cocaine with the cyst it will NT affect baby DNT work in THT aspect also secondly if u want cocaine n u hunt the big reason might be THT your husband is far FRM u and u need to stay for long together to he a baby secondly fibroid is a v benign condition many ppl have it and cocaine with it but natural free uterus will increase chances better and you will be fine soon DNT worry plus there is no harm in surgery every second patient goes through it with better out CMS I hope this answered your question. If you have more queries I am happy to answer.Otherwise, rate and close the discussionRegards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am 40 years old, female and slipped and fell on my back and landed on the corner of the stairs, the bruising is all gone but I still have a lump the size of a cantelope on the lower part of my back about the waist line it doesnt seem to be shrinking. it was approx 3 weeks ago what might this be?", "output": "Hi, Dear,Good Morning. Thanks for the query to my Chat Doctor Clinic. I studied your query in depth. I am concerned about the worries you have. In my opinion, antelope sized lump -is mostly -Organized Hematoma. Treatment-I would suggest consulting a Surgeon-from whom-this needs to be-either treated for 2 was, with-Tb-NSAIDs, Antibiotics to avoid any infection in it, Tb Serropeptidase, and Cold compresses, with rest, and high protein bland diet with plenty of citrus fruits.FBS, PPS, CBC needed to rule out the diabetes -before planning its Excision after reduction after 2 was size. This treatment is advised, as the Lump is not acutely giving problems to you, and you have enough time to treat it on the above lines under cover of an ER Surgeon. So, I would advise you to URGENTLY consult an ER-Surgeon, who would relieve you soon. This is the remedy for your lump. Hope with this you would be relieved of your worrisome query. Wellcome again to Chat Doctor. Have a good Day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, Maam Actually i 27 year old and next 2 month i am going to marry but i have a problem related to panis.within 2 mintue i discharge. when i try to do with hand practise so i realise this. so kindly tell me how will i increase my satimna. and also cum is not much thick. also suggest me which type of food i need to eat. one of my friend tell me dates & honey with milk you drink every night. is it ok.. please reply me. thanks", "output": "Hello there! You are talking under the influence of internet ports where average time is shown as hours and so but you should know that average time for ejaculation is 2 minutes once rubbing starts. If the issue of erectile dysfunction persists or premature ejaculation has some etiology which I am sure age of 27 is too young to have. So all you need is not to worry you are good to go, let the girl come, hand practice is different from the vaginal intercourse. The time will go itself. Plus you need a good diet and avoid these pervasive ways to increase intercourse time. Stay natural act natural take vitamin supplements good diet and stay out of troubleregardss khan" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Esophagus cancer. 1mm cancerous lesion removed from esophagus. 4 inches of high grade long-segmented dysplasia. Oncologist said that area is high risk for turning cancerous. He recommends removal of entire esophagus. I am very active. Personal trainer. No symptoms. Is there alternative treatments?", "output": "Hi, dairy have gone through your question. I can understand your concern. You should go for surgical removal of esophagus. You already have esophagus cancer with longs segment of high grade dysplasia. Sooner or later it will turn in to cancer. So you should go for surgery followed by chemotherapy or radiotherapy according to need and type of cancer. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im 66 and had my spleen removed 5 days after I had a hyatal hernia repaired and my esophagus stretched. The spleen bled during the first surgery, but she stopped the bleeding. After a few days my stomach blotted up and my blood pressure dropped. Went for a CT scan and saw that the spleen was bleeding and I lost 3 pints of blood, so she had to remove the spleen. This was in January 2013. What is my recovery time and what foods should I not eat? I did the vaccines required.", "output": "Hi and welcome to Chat Doctor. Thank you for your query. So 5 months passed. This is more than enough for such conditions. There shouldn't be any limitations in your everyday activities including food. Just take iron and b12 rich food, avoid coffee, alcohol, fats, spicy and hot food and smoking. Blood volume recovers 2 months after act loss so if your blood picture is fine u have no reason to be concerned. Wish you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have been experiencing dizzy spells lately and have never before. I sometimes feel nauseated and have been experiencing stomach pains. My stomach pains hurt more when I am walking. The pain feels like there is something pushing down on my stomach.", "output": "Hi, thank you for posting. I have gone through your query and I understand your concerns. According to your symptoms I can say that you suffer from gastritis. Gastritis is the inflammation of the mucous of stomach. To determine the causes you need:1. Fibrogastroendoscopy.2. Liver function test.3. Abdominal ultrasound.4. Complete blood count5. Urine test. To improve your health condition you should follow these guidelines:1. Eliminate spicy and acidic foods from your diet.2. Do not Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, My friend had delivered a baby couple of days ago. Her baby is in NICU. It was a normal delivery. The umblical cord got wrapped around the baby s neck. She hasn t seen the baby yet. We are all scared. The baby is under artificial respiration. Doctor has not given a clue of baby s condition. All of us are a littke panicky. Could you please tell me how could this be approached?", "output": "Hi, thanks for the question. It looks like the baby has suffered from birth asphyxia which has resulted from failure to breathe after birth caused by the cord around neck resulting in decreased oxygen supply to the brain causing injury to the brain resulting in improper functioning of the brain. As Brain is the main organ controlling all other body functions, brain injury might cause difficulty in breathing necessitating artificial respiration. Recovery mostly depends upon the extent of damage." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My stutum taste like rotten flesh. When in for an pmamona ask the doctor to test my sputum for mersa as I ve had this before he would not went back to the er gave me a z pack this time and still refuse to test my sputum found a mass in my right lung thru cat scan. Send me to a pulmonologist who is on vacation this week. The er doctor thinks the mass is cancer . please help me", "output": "First question is are you a smoker or tobacco user ? A mass in the CT Scan is highly suspicious of malignancy (Cancer). You should see related expert and get your investigation done like routine blood count sputum for Gram stain and culture and sensitivity and Cytology study to know type of malignancy. You may be required to take a biopsy by bronchoscopy or needle biopsy by CT guided as the case may be. Once type and stage is confirmed treatment would be planed accordingly." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HiI have abdominal pain just below my navel. The pain gets worse in waves, approximately every half hour to an hour. I have cloudy, strong smelling urine and back ache. I dont have a burning sensation when I pee though. I have headaches and have started drinking more water. Do you consider this a UTI ? I am a 44 yr female.Hayley", "output": "Hi ! Good evening. I am Chat Doctor answering your query. Yes, it could be a silent UTI without causing any urinary symptoms and the headaches could be due to mild fever you might be having. If I were your doctor, I would advise a urine routine/microscopic and culture/sensitivity test and treat the infection if positive. At the same time, I would also advise you for an ultrasound abdomen and to get your self assessed by a gynecologist to rule out a PID (pelvic inflammatory disease) specially if you are sexually active. Further management would depend on the physical examination and investigation reports. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, i just want to ask if i can change my powerchain by myself? Its been 4months since it was replaced. My dentist told me that i will be removing my braces already but i still dont have enough money for retainers and i dont want to remove my braces yet fearing that my teeth will move without the retainers. My powerchains turning yellowish and i think its kinda gross. Thanks in advance for answering.", "output": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concern.... As per your complaint in case of Orthodontic treatment there is a limit of time for which the braces are to be worn by the patient and once the treatment is successful and the orthodontist assesses the outcome of the treatment and if he finds that proper tooth movement has taken place and now the relapse will not take place the braces are removed, and the retainers are placed. Power chains are placed on adjacent teeth and are used to close space. Power chains are removed and replaced at each appointment, so we can continue to provide light, continuous pressure to efficiently move teeth. As the tooth movement occurs sufficiently the power chains become loss and as they apply pressure which helps in tooth movement therefore their placement and removal is purely the decision of the orthodontist, and you should not put any efforts in putting the power chains yourself as unwanted and unequal pressure application can lead to defects in your already successfully commenced treatment. Better visit your Orthodontist and continue the treatment as he advises. Hope this information helps. If you find the answer helpful please give me a Five-Star Review and click on found the answer helpful as a token of appreciation. Thanks and regards. Chat Doctor. ." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Ive had two cats going on 6 months. This past week I started breaking out with a rash starting with my ears. Now it is mostly on my neck and its started spreading to my arms. The only thing thats new is the younger of my cats is shedding the last of his kitten fur ( also he sleeps next to my head at night)", "output": "Hi, There is a possibility of contact allergic dermatitis due to cats hair. However, you consult dermatologist for FIM diagnosis. I think you should avoid contact with your cats. You may take antihistamines like desloratidine till you get good results. If needed, you may take steroids in tampering dose. And apply tacrolimus point or pimecrolimus cream on the lesions. Avoid soap bath. Detail liq may be used for bathing. Avoid woolen clothes. House dust mites, pollens and cosmetics may be kept in mind as other allergens, which can cause such allergy. I hope you got my answer. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i had a medical abortion about 2.5 weeks ago, and about 2 days after i took the 2nd pill i noticed it became difficult for me to breath. i am very short on breath and am very fatigued, its also hard to sleep and i do not feel well rested when i wake up. i went to my doctor and my oxygen levels were very low. i was 86 then after walking for about 40 seconds my level was 76. my doctor couldnt believe it so we did it again and i started at 77 and my level then dropped to 66 after walking for under a minute. i had a ct scan and he said it was normal also my lungs sounded clear. my blood work showed i am not anemic. any ideas as to what it could be? i m trying not to become anxious however its hard not to be. I am to the point where I am yawning just to get a full breath of air.", "output": "Hello, As per your history and description, we should definitely rule out pulmonary embolism (PE) for your symptoms. Pulmonary embolism is known complication of medical abortion pills. And your fall in oxygen saturation on walking also suggests PE. For the diagnosis of PE, you need special CT scan known as CT pulmonary angiography. So, meet your pulmonologist again and ask for CT pulmonary angiography. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have a rough mole most circular in shape, light to slightly dark brown in color, rough and bump about the size of half a pencil eraser. it is red in the middle and often itches and feels strange. Like I said it is rough and bumpr unlike other moles that are smooth to the skin. It is located in the center of my chest between my deltoids...", "output": "HIT hank for choosing ChatDoctorAs you described here the location of this lesion it seems it could be the wart, or a simple mole, the final diagnosis is depended upon the clinical examination, in either of conditions it needs to be excised under local anesthesia and the specimen should be sent for histopathological examination for differential diagnosis, better consult to some skin specialist for further advise, Have good day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was taking 1500 migs of Amoxicillin & 600 milligrams of ibuprofen for a week while fighting an tooth abscess. My bloodpressure spiked & my cardiologist prescribed an addition pill (diltiazem) to bring it back under control. I normally take Losartan 50 mgs daily. Could the ibuprofen & amoxicillin be the cause of the spike.", "output": "Hi. Thanks for the query. Well, Amoxicillin is not seen to raise blood pressure however NSAIDs can at times cause a spike in blood pressure.Also, one thing that you need to keep in mind is that blood pressure can be raised if there is any uncomfortable condition of the body that brings body under stress and dental pain can be a cause. So my suggestion is to continue taking Diltiazem till the blood pressure comes to normal and then continue with Losartan under supervision of your Cardiologist.Also, if you have toothache caused by tooth abscess, you should consult a Dentist and get evaluated, and it will be better to get the tooth treated with either Root Canal Treatment or extraction depending on condition of the tooth. But let your blood pressure gets in limits first. Hope this information helps. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, My daughter is having 102 - 103 temp every night at 8.00 PM for the last 4 days and having Anti biotics. + medicines for temperatures, but the case is still same every day and she feel sleepy with shivering. Now she started vomiting also, can you help me", "output": "Hello Presumed that fever is just for 4 days. Such type of fever may be due to common cold i.e. flu or viral. As she is taking antibiotics and tablets for fever, so this medicine together fever produces vomiting. When such patient visit I advise my patient to take ondansetron 4 mg mouth dissolving tablet (put a tablet over tongue, it will melt) . One hour after this Tylenol ( paracetamol) 10 mg / kg body weight in 3-4 divided doses will provide relief. If there is severe bout of vomiting then she may need some intravenous Ringer lactate solution. Flu or viral usually take 7-10 for recovery. While mild shivering is due to viral or flu.However, if fever is on alternate day and shivering is very severe , get in blood for Malaria examination." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, Doctor has presecribed me Montek 10 mg to me for curing mild ventilatory defect. And the course duration is 3 months. I want to know what are the side effects of this medicine and secondly will my mucous problem be solved completely after this period", "output": "Hello, This medicine is used for allergy purposes mainly. Doctors usually weigh the risk and benefit ratio and then prescribe the medicine. If he recommended this to you complete your due course and revisit him after 3 months. Common side effects are Stomach upset, diarrhea, earache and upper respiratory tract infections. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am 36 yrs. old. height5.5 feet, weight 70kgs.my heart beat is very fast, at times it also skips, i am left breathless, i am using oils containing poly unsaturated fats for cooking etc.. can the use of pure olive oil for direct consumption and regular use of a blended oil containing olive & rice bran in the ratio 30:70 help me overcome this health problem.", "output": "Very fast heart beat often termed as palpitations by us in medical terminology palpitations can be of two type normal(sinus tachycardia)and abnormal(arrhythmias)so firstly you have to rule out what is your type of palpitation adv get a holder attached it keeps recording of 24\u00a0hours and will tell if there are any abnormal beats as per as your query using three oils in alteration would help you with your lipid profile and will prevent any future blockage but as of now palpitations is a different entity and oils are not going to help in palpitations thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello I am Julie YYYY@YYYY I am Julie Anna Sparks was born June 4, 1981 in Prestonsburg Kentucky and well now I am currently living in West Liberty Kentucky and I have Asthma and a form of COPD but never smoked, but have been around a great deal of second hand smoke. But here is my problem I cough but when I cough I bring up worm like stuff really thick but not big hunks just small worm like junk. Some yellow, some white, but on some times it has a hint of blood. I don t travel I know it isn t Ebola, and I haven t been around others in that area I know that but what the heck is this goop?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. You are having thick mucus plugs. And this is sign of uncontrolled asthma and COPD (chronic obstructive Pulmonary disease). Treatment for This is 1. Inhaled bronchodilators and inhaled corticosteroid (ICS). 2. Oral bucolic, expectorant and antioxidants to clear this thick mucus plugs. 3. Enroll yourself in Pulmonary Rehabilitation center where chest physiotherapy and deep breathing exercises are done. These will also improve plugs and lung function. 4. Vaccinate yourself with adult Pulmonary vaccines like pneumococcal and Influenza vaccines to prevent recurrent respiratory tract infection. So consult pulmonologist, discuss all these and start appropriate treatment. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, My daughter is 1 year 2 months old. From last 2 days she is vomiting 1 time or two time and was having loose motion 3 times a day. Today in 6 hour she had loose motion 3 times but no vomiting.. She takes milk only.no solid food. She used to take 1500 ml milk daily. Now she is taking only 800ml milk. She has dehaydration symptoms(if you press hard on her feet and then leave then feet is not coming to it soriginal color fast). Can i use Jaiphal to treat this. I cannot stop her milk because she take only milk..", "output": "Hi... Thank you for consulting in Chat Doctor. It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My fiance is 27 years old, male, 61, 235 pounds and has had 33 kidney stones in the past 3 years in the left kidney. He has had 3 stistoscopes 2 years ago and 2 stints and he is passing a stone right now. He also has no insurance. He is having severe leg, thigh, knee and sometimes calf pains. This only happens when he passes a stone. Can these be related?", "output": "Hello and welcome to Chat Doctor. As a Urologist, i can understand your anxiety. Yes, his symptoms are likely related to the passage of the stone. Its called radiating pain, from loin to groin and can occur down the thighs.That's due to a nerve, which causes the pain to radiate downwards. He should take anti-spasmodic injection to relieve pain. Then take tablets. He should also be Chat Doctor. Avoid milk and dairy products. Along with next blood tests, check uric acid. Repeat ultrasound scan after a month, to confirm status of residual stones. If you've any doubts, send all reports to me, as a direct question." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 59 years old.My weight is 78 kgs and height is 1.81 meters.There is asthma in my family history.Of late I am facing symptoms of breathlessness only when i have some exertion like little brisk walking,while taking bath etc.If i take an anhaler(orange tip),i am comfortable for about 2 days but subsequently same symptoms crops-in again.Do I have to take inhaler on regular basis.I am not on any other medication.I am more on naturopathy treatment eating right type of fruits and vegtables.I regularly do breathing exercises in the morning,i am off the dairy products,sweets,fried stuff etc,i go for a walk every day for about 30-40 minutes.Recently when I had been to Australia for 2 months period,i never had to face such problem.I am more keen to have some natural remedy(not allopathic) to take care of my present symtoms R R Chari,Vadodara,india", "output": "Hi, Hi,It can be due to upper respiratory tract infection like pharyngitis or laryngitis or may be acute bronchitis, pleurisy you can go for routine blood and X-ray chest with sputum examination, it will be helpful to make clear diagnosis. You should take antibiotics (quinolones or accolades group) with analgesics and anti-inflammatory, antihistamines. You might require inhalation steroids, beta agonists, anticholinergics as MDI or rota haler as a regular treatment. To decrease the inflammation of bronchi and bronchioles, you might be given oral antihistamines with mast cell stabilizers(montelukast) and steroids (prednisolone) with nebulization and frequently steam inhalation. You need to see pulmonologist for further advise." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am on disablilty through social development in BC, I have had numerous operations on my knees due to sports and physical injuries, 2 years ago I slipped, hurting my right knee which has had acl damage with hamstring replacement, I first say Dr O Farrell, who recommended arthroscopic surgery for cartilage removal, when I didn t hear from him or the Kelowna General surgical booking department, I called back to find he had retired, I was then given Dr. Curtis Myden as a surgeon, of the Kelowna Orthopedic Office, who I finally got to see today after sitting in his office for 2 1/2 hours, was told that the grinding noise was arthritis, fair enough, and that I walk poorly because of pain, absolutely brilliant deduction that is, and if I had money to pay for treatment or therapy he would refer for that, but since I don t, he guesses I should have another x-ray of my knee, which one would think he possibly could of thought of during the interim between referral and seeing him, I have asked my physician to refer me to another ortho, not in that office, as I don t believe we have a two tier medical system yet, where the wealthy get better treatment than the poor, it is also difficult for me as I live 80 kilometers away from Kelowna, due I have a valid complaint, which from what I read on the college of physicians and surgeons for Dr Myden providing inadequate care and/or treatment of my knee. I had difficulty getting the Ministry to provide funding for the transportation, and if I had missed this appointment, Dr. Myden would have billed me 100 dollars for missing it, to have absolutely nothing done about my knee except to be told that I walk poorly because of pain, and that if I could afford it, he would recommend therapy for the muscle wasting in my knee, and to get another x-ray, as the previous one is two years old. Do we have a two tiered system where doctors can bill people for missing appointments due to weather and transportation costs, and to not try to seek alternative arrangements for care, of a person, regardless of income level, or even in spite of it here in BC that I know nothing about?", "output": "Hi,First thank you for providing the brief history of you. I am sorry to hear about all these trouble getting towards you. Let me focus on what I can guide you which can help you fight the trouble you are facing physically. You mentioned you have pain in the knee joint due to arthritis.Let's look into the deep of it. You had ACL and Hamstring issue. Now arthritis is an aging process for which no one can reverse it except your own body. Human body is a self healer and what medicine can provide is to support the systems which can help it to heal and allow physical status of the body. Since you had ACL and hamstring repair, Your need to focus on One simple thing now, that is strengthening the body as a whole unit. For which you may need some proper guidance, assistance and support. You need to start slowly first doing the ankle toe movements, which will help to get the strength in the muscles of the leg and also the vascular system of the below knee will improve.Don't get bore here. There is still more to focus here. Look for lying down on your back and do straight leg raise and hold for as long as you can as it will be isometrics and isometrics give abundant strength in the muscles. Next you need to do not only for the leg affected but also the leg which is not affected as well. Since body works as a unit and the unit has to be gathered with each way. Same leg lifting you can do by lying down on your side and lift it up sideways which will strengthen the side of the thigh muscles. Then proceed onto strengthen the back of the thigh and the inner of the thigh. All the exercises you can either learn from a physical therapist of either you can learn from research articles available on Google. As in the research articles they mention the complete detail of the same without anything missing. Strengthen your core muscles and also strengthen your spinal muscles as well. Do try to achieve plank exercises for 3 minutes for a minimum and go up to 10 minutes. Perform reverse walking and see to that you strength the last 1/3 of the qua Chat Doctor. Strengthening the lower body as a whole on both sides will help you a lot by fighting the arthritis issue. Try to perform knee ROM exercises as it is a must to have a complete ROM in each joint. Do single leg standing and sitting up exercises which will give you immense strength as well. This is just the beginning. Once you master in this will teach next. I have seen many cases with OA knee and my all cases are above 60. All does well and do on a regular basis running without any pain and aches. With the grace of god I wish you a good healthcare you need more information you can contact me. RegardsJay In" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I sneezed while lying on my front this morning, and it set my heart rate off to about 220-250bpm. This also happens whenever i do some thing like jump from height or make a sudden movement.The increased heart rate can last from any time between 10 minutes to 5 hours.I am 25 years old and have an inverted sternum, which i believe is a cause of the heart problem, as i feel it rubbing against my heart, however i am not a medical professional, so i can t say for sure.", "output": "Welcome and thank you for asking on Chat Doctor! I have gone through you question carefully. Palpitations (elevated heart rate) in young adults is usually due to low hemoglobin (anemia) and thyroid problems (excess). As your problems persists for hours . I would advise you to undergo an ECG and 2D Echocardiography test. If they are normal . An ECG during fast heart rates is needed. If that ECG shows normal type of high heart rates (sinus tachycardia) you can be assured there is nothing grave. Hope you will find this answer helpful! Wishing all the best, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had a pain in my back left side near shoulder blades. Thought I slept wrong because pain was in my neck on left side also.. Now after about 1 1/2 weeks pain has moved to muscles in my left arm and at times arm goes numb down to fingers.. Feel ok in chest area but concerned.", "output": "Hello, I read carefully your query and understand your concern. The symptoms seem to be related to a pinched nerve in the stomach. I suggest using anti-inflammatory medications such as Acetaminophen to relieve the pain. I also suggest maintaining the shoulder immobilized. If the symptoms continue, you should consult your neurologist. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards! Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doctor I ve been having a burning sensation in my penis and it feels like something is wiggling on the inside. I m not having a discharge but I m also getting a slight pain in my testicle and groin area. Can u help me please... I ve been tested and all the test came back negative but I know something is wrong.", "output": "Hello and thank your for your question! The burning sensation you describe can be very uncomfortable and cause discomfort with urination and your sexual activity. Usually the burning sensation is caused by an infection of your lower urinary tract. A Urinary Tract Infection happens when bacteria get into your urinary tract. So I would recommend you to do urine examination to check if there is presence of infection. If the result are positive, you should start a course treatment of Antibiotic. The type of antibiotics ang the period of time you should take them depends on the type of bacterium found in your urine. I would recommend using Sulfamethoxazole-trimethoprim or Ciprofloxacin. Best regards!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am 17 years girl.i didnt get periods naturally for 2 years.i have my t3,t4 normal but TSH high.my pelvic scan results are multiple tiny follicles in my ovaries and thickened endometrium upto 1.2cm.my gynocologist said that i am about to get my menses but i didnt get my menses even after 10 days of saying so.i am worried if i am having endometrium cancer. i have healthy eating habits and no family history of any disease.i am not overweight. please help me.", "output": "Hello, Thanks for writing to us. Looking at your USG report, you are having polycystic ovary which is a hormonal imbalance leading to irregular cycles. Your endometrium is thick, so your doctor thought that you might get your period soon. But, as you did not get your periods, you should consult gynecologist. You will need medicines for with Chat Doctor. Also, you will need medications for thyroid. You will need to take tablets for regularizing your cycles. Hope I have cleared your queries." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been suffering from severely dry skin on my face for about 6 weeks. The outside corners of my eyes are red and my eyes themselves are itchy. I also have very chapped lips and the area around my nose is red and itchy and raw. My nostrils have cracks, too. I have had this in the past but it has never lasted this long. Is it possible I have an infection? Also interesting is that I dont have any dry skin anywhere else...", "output": "Hi, It seems that probably you may be having atomic dermatitis. You have itchy sensation on face. And you have charities and fissures on nasal areas. Kindly consult the dermatologist. I would suggest.- tab methyl prednisolone 8 mg thrice a day for 5 days then to tapper 4 mg every 5 days.- antibiotic like azithromycin 250 mg thrice a day for one week- antihistamines like desloratidine once a day at night daily till itch is relieved-apply mild steroid with juridic acid cream on the cracked areas and lips- moisturizer cream like liq paraffin on face daily in morning after bath-avoid soap on face-avoid exposure to sun-avoid fish, chicken,eggs, nuts,bringer, curd,milk products, banana in diet-avoid contact with dust, fume,cosmetic, pollens, wool.etc-keep mind cool, no worries and tension-have patienceThis would help you. Thanks Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have swelling filled with liquid at the base of my right hand , just above the wrist , it was broken four months ago and repaired with a metal plate and screws , I seem to be losing movement too - tendon overuse or infection ? How can I tell the difference ?", "output": "Hello, I understand your concern. I am Chat Doctor, infectious disease specialist, answering your concern. I suspect infection of the hand. Tendon overuse never causes such a swelling. You should take the X-ray out of the hand. Possibility of bone infection can not be neglected. Such infections can be treated as early as possible. I suggest you to take the antibiotics. Ampicillin and clavulanic acid is good antibiotic and can be taken with due consultation with your doctor. Glad to answer your further concern contact me on bit.ly/ Chat Doctor. Thank you, ChatDoctor" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir , my brother had a very law sperm count from past 2 yeras (8 millon/3ml).I am an ayurvedic doctor and now I am giving him some medicines to increase his sperm count .last week he has done his semen analysis and the report is volume 2ml, reaction alkaline, viscocity moderate , motility 4-6/hpf, active 1-2/hpf, sluggish 2-3/hpf, dead 6-8/hpf , pus 2-3/hpf count 2 million/ml.what will be the normal values for him to become fertile", "output": "Hello Your brothers semen analysis findings may indicate semen infection with decreased sperm motility and low sperm count. Infection is indicated due to presence of few pus cells in semen. Normally semen shouldn't contain any pus cells. Besides clinical correlation, he may need investigations like routine hologram, random blood sugar, semen culture and sensitivity, ultrasound of scrotum. Hormone assay can also be done after evaluation. Motility is also low. Normally it should be at least 55 %. Sperm count is low. Normally it should be at least 20 millions/ml. He may need to take antibiotics based on culture and sensitivity report. Clinical examination and ultrasound of scrotum can detect any surgical reason for his problem. Proper treatment depend upon findings. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m a 59 year old female with a bothersome recurring pain on my right side. far to the right, in between my front and back, seemingly at the bottom of my rib cage. What could this be coming from? It s been going on for 2 to 3 weeks but is not chronic. seems to come and go", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Possibility of musculoskeletal pain is more likely in your case. But we should definitely rule out lung related diseases (pleural effusion, pneumonia) first. So get done chest x-ray. If chest x-ray is normal then no need to worry much. For musculoskeletal pain follow these steps for better symptomatic relief. 1. Avoid heavyweight lifting and strenuous exercise. 2. Apply warm water pad on affected areas. 3. Take painkiller and muscle relaxant Chat Doctor. 4. Avoid sudden jerky movements. Don't worry, he will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wishing you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am a 25 yrs old female. i am experiencing hair fall since quite some time. have taken biotin tablets for the past 3 months.. but not sure if its helping in hair growth or not. can u kindly suggest me what i should do to get healthy hair and fr rgrowth of hair?", "output": "Hi, You seem to have halogen effluvium. Kindly consult the dermatologist for the perfect diagnosis and proper treatment. There are many causes of TE. Exact cause is to find out to improve the hair growth. Anemia, thyroid dysfunction, nutritional deficiencies, stress,depression, other internal diseases, dan Chat Doctor. . etc. may be the major diseases leading to hair fall. I would suggest...- apply mild steroid lotion on the scalp-biotin 10 mg tablet daily-vitamins and high protein diet-avoid worries and tension - reduce stress level-yoga and meditation - exercise - oiling the scalp hairs with almond oil - treatment of diseasesTake long term treatment and have patience. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have little bumps on my tongue and they have been there for a little while now.. They dont hurt at all. They kind of look like TLP but people say TLP hurts. Since yesterday I started getting a fever and I would be really cold and than be really hot.. I would wake up sweaty and when I eat I start to feel sick.. I dont have herpes.. A lot of sites say that but I know I dont but I just wondered if this has to do with the bumps on my tongue.", "output": "Thanks for your query, I have gone through your query. The little bumps on the tongue can be because of the inflamed papillae called capsulitis. This can occur secondary to chronic irritation, nutritional deficiency or bacterial or viral infection. Nothing to be panic, consult an oral physician and get it evaluated. Once the diagnosis is confirmed, we can treat it accordingly. Meanwhile do saline gargling. I hope my answer will help you, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have an itch rash near the crease between my leg and pubic area And also have tiny red bumps on near belly button. Some are flat now but started out raised with a tiny whitehead. A few on lower stomach and hip too. The rash itches but the bumps on stomach and hip dont.", "output": "Hello and welcome to Chat Doctor I would keep a possibility of Fungal infection of the groin folds (Tina courts) along with bacterial folliculitis of the lower abdomen and buttocks. Groin folds are a common site for fungal infection specially in hot and humid weather in summer, which is conducive for fungus growth. If I was the treating doctor I would suggest you an OTC topical antifungal cream e.g. clotrimazole cream, to be applied twice daily in the groin folds. An OTC antihistamine e.g. cetirizine 10 mg once daily would provide symptomatic relief from itching. Moreover, the perineal and pubic region is rich in resident bacterial flora. Sweating and humidity together with friction and rubbing provide a portal of entry into the skin, through the hair follicles, thus giving rise to Folliculitis. For the folliculitis, I would suggest an empirical course of an oral antibiotic for a week. My choice of oral antibiotic would have been either:Amoxicillin 500\u00a0mg in combination with clavulanic acid 125 mg, thrice daily for a weekORCephalexin 500 mg thrice daily for a weekORCefa Chat Doctor. An OTC topical antibacterial e.g. 2% Mupirocin, is to be applied over folliculitis lesions, twice daily. Bathing twice daily, wearing loose fitting cotton clothes, weight control and using an antifungal dusting powder regularly to make the area unfavorable for fungal growth are few general measures that would help in preventing recurrence. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi I am swati my 3 years old child having constipition problem. She is very suffered during toilet. We give a cremaffin plus syrup last 1 years. But after stop giving this medicine she is suffered. She is eating Roti, Rice, 1-2 time milk. What can I do Please suggest cremaffin plus is good or not?", "output": "Hi... Thank you for consulting in Chat Doctor. I think your kid is having habitual constipation. I have certain questions and suggestions for you. Questions:1. Did your kid pass motion or meconium on day one of life?2. Since how long is the kid constipated?3. Does the kid have any bleeding along with hard stools?4. How much milk does the kid consume per day?5. Does the kid eat fruits and vegetables (fiber diet) appropriately? You can get back with answers at the following link - www.ChatDoctor .com/doctors/ Chat Doctor. Natural methods are the best to relieve constipation.2. Constipation is a risk factor for UTI3. Maximum milk consumption per day should not exceed 300-400ml4. Minimum 3-4 cups of fruits and vegetables to be consumed per day5. Toilet training - that is - sitting in Indian type of lavatory daily at the same time will help a lot. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my name is Sai. I have noticed on occasions that I am spitting red saliva. This has happened on three occasions and I am not sure if it is to do with bleeding gums or another cause. I have brushed my teeth regularly however dont seem to see any blood. Can you give me some advise on what it may be?", "output": "Hi! Welcome to Chat Doctor. I read your query. Do you have any known illness? Or some throat infection? Most probably it could be bleeding from gums, which can be due to gum disease as well as some systemic disease. Do you notice plaque or calculus on your teeth? Get oral prophylaxis done. Dental check can confirm if you have gum bleeding or not. Brush twice daily. Use mouthwash with tannin acid. Take healthy diet, multivitamins and minerals. If bleeding persists, see a physician and get blood test done for clotting factors, He, chest X-ray, etc. At times throat irritation may cause blood on spitting. Hope the answer helps you. Thank you!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 35 years old and my weight is 60. I am male. Today I felt tired and some times I felt dizziness. When I checked my blood pressure with an automatic blood pressure checker it read like 104/ 64. Heart beat rate was 84. If that machine was correct what does it signify? Please explain me and what should I do?", "output": "Hi Thereafter going through your query I understand your concern. I would like to tell you that your BP is on lower side and might be the reason for dizziness and fatigue. Many factors cause Low BP like heart problem, endocrine disorder, deny Chat Doctor. Cause of symptomatic Low BP should be evaluated to prevent complications. Kindly get you blood sugar, ECG and an Electrocardiography done and consult with a Cardiologist/Physician for further management. Hope this will Help kind Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im a 13 year old female. I have had pains although my body for 2 years. I would rate the pain 7/10. The pains are in my joints, but sometimes muscles. They mostly occurred in my feet and legs, but also my arms and back. The pains have slowly got worse. They occur everyday. Everything about them is random. They always change. Pains happen when walking, running, jumping etc but also sometimes when sitting down. Lately I feel like my left arm is very weak, (I m right handed) and hurts when I use they muscle. I also find that roughly where my large intestine is and under my ribs gets pain sometimes. I have glasses for things at school like reading or on my ipad or looking for desk to board because my eyes have trouble focusing, don t know if related. I sit out on most pe lessons because I just can t join in. Mostly I just try to deal with it. Sometimes I have to limp. Right now while typing this, under my wrist it hurts. I am not using it at all. The doctor has gave me supplements because I have some vitamin deficients. I also have orthotics because I have flat feet. I have been wearing them for 3 months and these is no improvement at all. I have been taking the supplements for 2 months and still no improvements. I have had blood tests, and they only show iron deficient and nothing at all for arthritis. I don t know how to discribe the sort pain but I would say aching. But the type of pain all ways changes. I was wondering if it could be something like nerve pain. Sometimes I also get tingling fingers and sometimes toes. My fingers get numb when easily. They go white then after about 10 mins they go purple then back to normal. I used to do netball and diving but have stopped because of pain. I have seen many doctors, specialists and no one knows anything. I have seen a peditrition, foot specialist, eye place for glasses, nutritionist and local doctors loads of times and nothing has helped. Please help and find an answer!!", "output": "HelloI have studied your case in detail. It seems you have iron deficiency anemia. This anemia is associated with aches and pains, pins and needles in hands, feet, fatigue,listlessness, weakness etc. cause is either loss in stools from bowels (in which case other deficiencies of calcium, vitamins co-exist) or in menses in girls or some chronic disease in body., or due to nutritional deficiency diet, since you have been to many doctors, I may suggest simple nutritional supplements with iron rich foods, green leafy vegetables, bands and pomegranate juices and oral supplements of iron pills after breakfast like ferrous fumarate spangles. Get stool examination done to identify any blood and iron loss, serum calcium and vitamin D levels, serum B12 deficiency (in pernicious anemia), consult a doctor who may get these tests done to find cause for iron and other vitamin deficiencies, rule out pernicious anemia, stomach acid qualitative and quantitative tests for chloral Chat Doctor. For aches and pains take Tylenol tabs best wishes" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor, Iam,22years I got married past 8 months.Iam not able to get pregnent as my periods are irreregular.I come in periods two months.My gynocolagist has given me the tablet Glycomet.Can i still get pregnant while iam on this medication?", "output": "Hello, Thank You for the query at Chat Doctor Metformin(Glycogen) help to lower blood sugar levels, thereby eliminating excess Insulin in the body. The reduction in Insulin levels have shown to improve fertility and help to get pregnant, especially in women with Polycystic Ovarian Syn Chat Doctor. Continue Metformin as prescribed by your doctor. It is an effective treatment that have shown to help to conceive. Hope I answered your questionPlease ad" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My ex husband is visiting my daughter. He lives in Costa Rica now. Has had a cyst on the back of his neck.They wanted to remove it but to close to his spine??? He has been treated with many antibiotics. She hasn t seen him for awhile. Says he looks terrible. Lost a lot of weight. not been feeling well for months.", "output": "Hello I have studied your case Your infection has subsided now. You can excise cyst consulting your doctor, you may need pre-operative investigation like ultrasonography. You can get weakness due to infection and nerve involvement around cyst. So improve your diet take vitamin supplement. If required later on you may need to do blood investigation for prognosis and recovery. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I have swollen glands on both sides of my groin that have been there for a couple of months and I just noticed that the glands in my neck feel somewhat swollen as well. I was wondering if you could give me some advice as to what this is, and if it is anything serious that should be examined by a doctor. Thank you.", "output": "Hi, dairy have gone through your question. I can understand your concern. You may have enlarged inguinal and cervical lymph nodes. It can be due to reactive hyperplasia, tuberculosis, lymphoma or metastatic carcinoma. You should go for needle aspiration cytology or biopsy off that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been treated for about 6 mo. for broncitus infection then acid reflux infection . I just had a allergy test done and it showed Aspergillus Fumigatus type b 0.4 size 5 positive . my symthoms are coughing ,I had heavy muecus. Now I cough throught the day. Hhat is the best treatment for this . I have a compromised immune system from chemo", "output": "Thanks for asking your query completely understand your problem for recurrent upper and lower resp tract infections you can have a 14-day course of antibiotics such as lifetime after asking your pulmonologist and regarding aspergilli or APA, actual treatment is a long term course of steroid tablets like prednisolone and leukotreine antagonists like montelukast. All these are standard treatments but as per your history you have some immunocompromised state. You should consult a pulmonologist and investigate about was type of immunocompromised state you have and how it can be corrected. don't panic APA is a treatable disease, thing is treatment is for long duration, and you have to comply to it. As I said consult a pulmonologist, and you have to take your treatment under supervision as you said you have immunocompromised state thanks/ regards feel free to ask more questions may god bless u with good health" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hey doctor actually i am 16yrs old will be 17 this october i was having lot of thick hair in school , then i started doing diff. kind of styles in 11th std and now from 3 months my front hair is getting thin , not that thin but they are getting thin . and i can see my scalp from side ways , Nor my father is bald , please help", "output": "Howell come to ChatDoctorYou have not mentioned your gender, if you are a male person then Male-Patron-Baldness, would be likely, if you are a female then this is nothing to worry, only thing you need to do is stop using all the cosmetic, that may damage the hairs, take care in diet, cut down oily food, have protein diet, reproductive hormone is concern, hope this information helps, for the hair falling in either gender \"Minoxidil\" 5% lotion can be used for scalp application, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I dont know , by long time i feel strange i mean : all the symptoms diagnosis about mental pathology , seems as i suffer , i mean ,depression( cycle from energetic highs and/or irritable mood, to sad and hopeless mood ), Difficulty Concentrating (my bady is , head , eyes are like frozen and lazy ),most of time when im walking i feel like ppl are watching me ( here my body start to frozen again ),personality disorder(example, with some ppl as i meet i have normal conversation, next day i have deversely conversation,i mean,i forget what is my confidence with thet person ),and problems like thet are doing my life soo difficult ,please what my diagnosis ?is only 1 pathology in my sick mind or im suffering more then 1 ?", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. If the symptoms you are mentioning here are correct, you need psychiatric assistance. But I sincerely think that you are exaggerating the symptoms. Disappointment in life due to negative happenings are normal and for such a disappointment, no treatment is required. Time and friends are the best medicines. Once you learn the disappointment, you learn to overcome the problem associated with it. Don't worry. You shall talk to a psychologist first and then let the psychologist decide the treatment methodology. If you need more of my services in this regard, please post a direct question to me with every detail. I am glad to serve the purpose. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my roommate seems to have Histrionic personality disorder, though i am not 100% sure its bothering me. he tends to copy what i say and what i do in almost every aspect of regular living, and because of this i distanced myself from him, which resulted for my roommate to cling onto my other roommatebut he still seems to do what i do, its almost as if he has no mind of his own", "output": "Hello and thanks for your query. From the description of your friends' behavior, it appears that he could be having a Dependent Personality Disorder. Persons with this personality disorder are excessively dependent and clingy on another person. They often revolve their activities around the person they are dependent on, and they become very anxious and uncomfortable in the absence of that person. Personality disorders are generally difficult to treat and unfortunately, persons with personality disorders often find it difficult to cope up with social demands. The only available treatment is psychotherapy or counselling, but this is often a long term process. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am sorry to bother you but I just do not no what to do. About 10 days ago I had bladder surgrey and they went up my penis ever since then my penis has been hurting bad. I did go back to thr DR and he gave me pills to take but they do not help at all Please help me YYYY@YYYY", "output": "Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. The bladder surgery was done through urethra and this can cause some local trauma. But then it is no need to worry. With time the pain will go off and until then you may just continue taking some mild painkillers. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. You just need to contact me on this below-mentioned link:bit.ly/ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Male 51 yr old... I have a sharp pain on the outer part of my left elbow. It is starting to be an all day thing with the pain. It feels better when my left arm is semi to completely bent. Also feels better when I am exercising my left arm or at work at my mechanic job. Now appears to be a small hard lump on outer part of the elbow.", "output": "Hello! Thank you for the query. The lump you have is nothing more than bursitis - an inflammation of the bursae. Due to overload or compression of this area fluid appears. If it's not infected (the pain is not strong, no fever), it should be treated with rest, ice, elevation of the limb and anti-inflammatory Chat Doctor. If you find an inflammation is possible you should consult a surgeon or orthopedist. Hope this will help. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I am asking this for my dad who was recently told that his bladder cancer has returned. As a result, his right kidney is failing and he is anemic. We are having difficulty trying to figure out the right foods to feed him...he is so weak. QUESTION : Is ENSURE OK to give him, or is this too much protein?", "output": "Hello and welcome to Chat Doctor. As a Urologist, let me assure that, kindly follow your doctors' advice. Only in people with kidney failure, is 40gm proteins diet/ day advised. Ensure gives additional protein supplement, but the nutritionist will advise you as per your doctors' advice. Bladder cancer recurrence with one side kidney failure, can be treated, by several approaches. Surgical or medical, will depend on his general condition. If you want an expert opinion, you can send a copy of the reports, to me." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had sex 2 times the same night, we always use a condom and withdrawal, also the first time i used spermicide, but not the second time (about 2hours later). The thing is the condom broke just before he came and get out, and the tip of the condom was inside me (i was able to get it out). Im wondering about pregnancy chances, ive just finished my period 1 day earlier and it started 1 week ago, my month is about 26-28 days. My dr is away, but she told me to stay away from the morning after pill because i took it like 4 months ago and im waiting my body to stabilize so i can get implanon without affecting my body.Thank you so much, im very worry because i dont wanna mess with my body an my dr is not around.", "output": "Hi and welcome to Chat Doctor. I thank you for posting your query here and I'm definitely going to help you out. I am really sorry for your state but here I'm to tell confidently that you will not be pregnant, do not worry. Furthermore, I being a surgeon, we encounter so many such cases day in and day out. Furthermore, I read your question completely and have understood it well enough. Furthermore, I will analyze all your points below. 1. You had unprotected sex 2 times and you used spermicides too. Well, that itself tells you. There's no chance of pregnancy with the use of spermicidal agents. And even though you didn't use for 2nd time, it's effective. 2. Condom breakage is the most common problem encountered. But reading, your menstrual cycles I can say with certainty that you are safe.! 3. One day earlier completing periods again is the most important history. Generally, ovulation occurs 14 days after completion of periods. Especially in your 26 to 28 day cycle. So 100% there's no chance of ovulation and hence pregnancy even if he had ejaculated completely into your vagina! 4. No need for any kind of pill. Just chill and be happy. 5. And convey my regards to your doctor too. Hope this helps, in case you need any further assistance, please let me know... Take care and be happy. God bless you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My name is cierra I received the nexplanon implanon nov27 2013 six weeks after I had my son. I did not have a period before I received nexplanon so I was told by my doctor to wait a week before having unprotected sex. My husband and I only waited 4days before having unprotected sex. For the past 2weeks I have been experiencing many symptoms so I would like to know if I m pregnant or if something is seriously wrong. I have back pain, severe fatigue, awful heat flashes, my body temperature seems to be warmer than usual, weight gain, increased appetite, dizziness food cravings, nausea the smell or taste of certain food makes me want to throw up, cramps but not period, cervix pain, vivid dreams every time I sleep gas, sore boobs, mood swings, very tired. Over all I just feel very sick and its getting worse. The only other time I felt like this is during my pregnancies", "output": "Hi, Welcome to Chat Doctor forum. It appears that you have the symptoms of an infection, it may be the urinary tract infection, or some other. Anyhow you can have the home pregnancy test to exclude the pregnancy.Sometimes it may show the result early. Take more of green leafy vegetables, pulses, sprouts, and protein rich foods to have blood and resistance against the infections. I advise you to consult a physician for diagnosis and treatment. Wishing for a quick and complete recovery. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 52 yr old daughter has been diagnoed iwth Moersch-Woltman Condition and is getting IV treatments for same. Do you know of anything newer? She lives in Vegas and decided to get another opinion and went to Cleveland Clinic out there but they have no one in that State to help. Are ther any newer treatments available. One year now and isn t improving.", "output": "Thank you for asking Chat Doctor. My name is Chat Doctor. Hello. This is a condition characterized by persistent spasms (SPASM) involving multiple muscles, primarily in the lower limbs and trunk. The illness tends to occur in the fourth to sixth decade of life, presenting with intermittent spasms that become continuous. The treatments are as follows: Diazepam Baclofen Phenytoin Clonidine Tizanidine Physical therapy Rehabilitation therapy. Kindly consult medical consultant so that he/she can make regime of above-mentioned treatment. Hope this may help you. Let me know if anything is not clear. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a small pea size bump on my lower spine and it hurts. I had a bad back spasm for 6 weeks and the doc shot me with a relaxer and now the bump on the spine and I believe it is on the 3 vertabri where I have a bulging disc? What it it? I am a Veteran and going to the VA again to have an MRI. Hope they can take care of it?", "output": "Hi and welcome to ChatDoctorFrom description it seems you might be suffering from degenerative disc disease & it occurs due to repetitive overload or stress to the disc & it increases the risk of disc herniation. For this condition you have to do stretching & strengthening exercises in which you have to stretch tight muscle & strengthen weakened ones which will alleviate stress on facet joint and disc. I suggest you to get an MRI scan of the area done and consult a neurophysician for proper diagnosis and treatment. Hope this will help you. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "12 months back I had a tearing feeling in my upper chest once the previous night I had masturbated with squizeeing my base of the penis sine then whenever I am in upright position I get a feeling as if my nerve is been pulled in the upper chest I also a tingling feeling in my left ear and left shoulder arch and as soon as I lie down the pressure gets realeased", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion you are having mostly muscular pain. But since you had left sided chest pain with left arm pain, we should rule out cardiac cause first. So get done ECG and 2d echo to rule out cardiac cause. If both are normal, then no need to worry much for cardiac cause. Your pain is mostly musculoskeletal in nature. So avoid strenuous exercise. Avoid heavyweight lifting. Avoid bad postures in sleep. Avoid movements causing pain. Start painkiller and muscle relaxant. Apply warm water pad on affected site.Don't worry, you will be alright." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "why do i seem to have pains in my chest region that can take my breath away. also when i eat salty food i get chest pains. i have had very painful feelings in the area where i know my heart to be in the central area of my chest slightly to the left, when this occurs it is hard to breath due to the pain cause when my chest cavity expands. i fear heart problems, i have experienced a cracking or popping sound form this area when i struggle through the pain to take a breath. this has maybe only occurred 10 or so times since i can remember.. any advice.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you are mostly having HERD (gastroesophageal reflux disease) related symptoms because your symptoms worsen after eating. But better to rule out heart diseases first because you are having left sided chest pain. So get done ECG and 2d echo. If both are normal then no need to worry about heart diseases. HERD is more likely in your case. It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause chest pain. So avoid stress and tension. Avoid hot and spicy food. Avoid large meals, instead take frequent small meals. Start proton pump inhibitors and prokinetic Chat Doctor. Quit smoking and alcohol if you have these habits. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir i AM a CA Satnam Singh here ........last monday i have done my varicocele surgery on my left side ,.....now there is some swelling in my left testis ........size of my testis is increased....what are other problems which i can faced in these intial days", "output": "HelloThanks for query You have undergone surgery for Varicocele and developed swelling of the testicle. It is common to get testicular swelling after surgery and is due to handling of testicle during surgery(surgical trauma) and tissue reaction. . Normally it gets resolved over a 2-3 weeks You need to take broad spectrum antibiotic like Definite along with anti-inflammatory Chat Doctor. Ensure to rink more water. Using Scrotal support will help to get relief from pain. Avoid sexual activities till it gets cured completely." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have had continuous mouth ulcers/canker sores for the last 5/6 years after having my gallbladder removals. Could there be a connection or is it just a coincidence. They can be quite large and often take at least 1/2 weeks but by then I get a new one. Fran", "output": "Hi Thanks for the query. You are suffering from RECURRENT AUTHORS ULCER which is causing you the eruption of canker sores in mouth. It can be caused due to a number of reasons like Stress, Nutritional Deficiency [Iron, Vitamin B12 and Folic acid], hormonal changes, acid reflux, tongue trauma due to some sharp teeth or tongue biting habit, excessive intake of sour and citrus foods, side effects of medication etc. You need to consult an Oral Physician or a general dentist in this regard to get evaluated and treated. For authors ulcer you can do warm saline garglesGargles with 1:1 solution of Ben Chat Doctor. Apply numbing gel over the sore for relief from pain especially during eating. Take a multivitamin tablet for a period of 15 days. Avoid spicy, sour and acidic foods. Hope this helps. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Doc, My semen analysis shows: Is it good, poor, or excellent? Am I goanna be a father?1- Quantity 4.00 ml 2 - 52- colour Grey-white Viscosity Normal3- Liquefaction time 30 min 7.24- Total Count 110.00 million/ml5- Motility at 1 hr: Motility at 2 hrs: -actively 40 % >50% -actively 40 % -sluggish 10 % -sluggish 10 % -non motile 50 % -non motile 50 %6- Abnormal forms 40 % 7- Leukocytes (WBC) 0 - 2 cells/hpf <5", "output": "Hello, The given semen analysis report is perfectly normal and nothing abnormal there to worry. The sperm count and motility (proportion of active and healthy sperms) are well within the normal range. According to this report your fertility will not be affected. If your partner fails to conceive, better to consult an infertility specialist and plan for newer techniques like IVF. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "A few days ago i had a pain in the right side of my stomach i could feel it when i walked, and when i coughed, and when i moved. It was kinda gone the next morning i could only feel it a little bit. And now i can feel it again kinda ..i cant realy feel it when i walk , or cough, just when i push , like if i were on the toilet , its not like it really hurts ..i was hoping it would just go away ..as im only 14 ..and its deffenitly not periods...its mostly gone i think", "output": "Hi. You have to inform your parents and consult a Doctor, preferably a General Surgeon. Your history of right sided pain in abdomen which got subsided and to recur again is suggestive of appendicitis. You have to get : Blood-complete blood picture, kidney functions tests, blood sugar fasting and post-lunch, Urine-routine, microscopy, culture and sensitivity (before start of antibiotic)Ultrasonography of abdomen. If appendicitis is present, get admitted and operated to avoid further attacks and its complications ..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I often feel cloudiness in my brain. makes it difficult to recollect, diminishes my IQ and learning becomes difficult. Once in a while I have this cloudiness cleared and I feel okey. Just last week I was fine and sharp. Now its gone back again. Could you offer any help.thank you.", "output": "Hello! Welcome on Chat Doctor ! Your symptoms could be related to lack of concentration and anxiety. Thyroid dysfunction and chronic anemia can also trigger this clinical situation. Coming to this point, I would recommend performing some blood lab tests (complete blood count, thyroid hormone levels, fasting glucose, blood electrolytes), in order to be sure that everything is OK. If the above tests result normal, I would recommend performing Yoga and a lot of physical activity. You should know that physical activity can improve our brain performance, without the need of Chat Doctor. Hope you will find this answer helpful! Best wishes, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My wife aged 33 ..had high BP during May 2012 and as per family doctor s advise she took Envas2.5mg (one time in the morning) and we went to Apollo last week and doctors suggested to take Stamlo2.5. Her both kidney size are normal...as per report the thickness is 0.47 & 0.48 for this reason we are not able proceed with renal biopsy . Her creatinine level 3.1", "output": "Hi, Thanks for posting your query. Is she undergone ultrasound imaging of kidneys? What are the reports? What was the size of kidney in ultrasound imaging? Is cortico-medullary differentiation maintained or not? Size Raised creatinine may be due to acute renal failure (ARF) or chronic kidney disease (CKD). By ultrasound imaging and urinalysis, CKD and ARF can be differentiated. You should consult with physician/ nephrologist and should follow diet plans. You should also take prescribed medicines as CKD is associated with multiple complications. Medicines in CKD are advised to live smooth life.CKD are generally associated with rise in hypertension (as in your wife case). Is there any rise in blood sugar? Diabetes and hypertension are the 2 most common disease worldwide for renal failure. Keep watch on serum creatinine level. Regarding medication for blood pressure, you can go stable 2.5 while Elvas is generally not given if creatinine is > 2.5 (as in your wife case). You should go for renal biopsy if the cause of renal failure is not clear. Take Care," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My friend, a female 58 yrs. old, has had thyroid removed. Now has occasional inability to walk, or remain conscious at times. Medical people treating her seem unable to decide what to do for her.She eventually seems to mostly recover, but it comes back at times. Id guess, as a layman, that it may be due to some type of hormone loss due to the missing thyroid. It was removed a few years ago because she then experienced bulging eye problems due to thyroid irregularities. What likely could be done?", "output": "Welcome to Chat Doctor I have gone through your query and understand your concern. It may be related to less thyroid hormone. You can adjust your thyroid hormone level by taking thyroxine. You can get your thyroid function test (T3, T4 and TSH). If found abnormalities then you can take its treatment after consulting your doctor. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my mmom is suffering with a ulcer kind stuff in her tongue abd some ulcers on inner cheek from march. doctors say that it is luekoplakia. they gave her some b complex tabs and betadine for gargle. today she went again to d doc and he sent her for a biopsy. the cancer specialist who saw her said that it is not a cancer and gave her : triamcnolone acetonde oral paste. so my question is is this enough to cure thi disease or some more attention is required?", "output": "Hi , is your mom a smoker, chews tobacco & consumes alcohol ? As these are the most common causes for leukoplakia & may be confused with oral candidiasis or lichen plans. The lesions of leukoplakia cannot be rubbed off which rules out the condition. Frankly speaking you first need confirmed diagnosis as leukoplakia is a malignant lesion, i.e. in which cancer is more likely to occur with chance of oral squamous cell carcinoma. Most of oral leukoplakias will not turn malignant, however some hold greater risk than others. No interventions have been proven to reduce the risk of cancer developing in an area of leukoplakia, but if stop smoking and limit alcohol consumption to reduce her risk. Sometimes the white patch will shrink and eventually disappear after stopping smoking, but this may take up to a year. Management usually involves regular check of the lesion to detect any possible malignant change early." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband has had a chronic rash on his lower shins for the past two years. It is itchy raised and flaky. It never quite heals despite antibiotic creams and steroid creams. He has a 30 year history of ankylosing spondylitis. We would like to know what it is. A dermatologist misdiagnosed him with follicultis", "output": "Hi, It may be lichen simplex chronic us most probably. Consult the expert dermatologist for the perfect diagnosis and proper treatment. I would recommend you to take intro dermal triamcinolone 10 mg injection by the dermatologist. And apply potent steroid cream twice a day. Take oral steroid in tapering dose for few weeks. Take antihistamines daily at night. Avoid soap bath. Avoid worries and tension. Hope this helps. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have red itchy wrists , when i dig them really hard they burn and its little red dots what could this be ?", "output": "Hello. As per the description of your symptoms, the red itchy wrists could be due to contact dermatitis due to allergic, fungal or bacterial related infection. You should firstly avoid itching and take over the counter antihistamines. Consult with your dermatologist for further advise who can prescribe you the appropriate ointments for local application after clinical examination. Hope this helps. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir,18 months baby has got admitted after high fever and vomitting. the child is kept on ventilator in ICU. Doctors are treating and told that next 72Hrs will decide the fate (48 hrs Passed). She has been admitted in Allahabad and Doctors are telling that there is risk in commuting to Delhi. So i have decided to wait for 72 hours and then better recovery at Allahabad itself.Is there any vaccination to immune childred from Brain Fever.", "output": "Welcome to the ChatDoctorI am sorry to hear about the condition of your child. Hopefully she will be fine. Yes, there are vaccines available for brain fever (meningoencephalitis) causes by certain bacteria and viruses such as Pneumococcal, H. Influenza, Meningococcus etc. They protect child Chat Doctor. This happens because the stereotype differ widely in different places. So, at present Indian academy of pediatrics recommend these vaccines only for at risk child" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I currently had intecourse about a week ago & there s a possibility that i could be pregnant. My cycle usually comes on around the 10th of each month. This morning there was a brown discharge & im sort of cramping. Does this mean im not pregnant and my cycle is coming on ?", "output": "Hello dear, I understand your concern. In my opinion the symptoms of pregnancy like nausea, vomitings, increased urination, sore breasts start 2 weeks after missed period. The first sign is missed period. Any brown discharge or spotting before the expected period date might be due to period. Anyway if the period is missed consider testing by a urine pregnancy test after a week of missed period for accurate results.However, it is too early to feel any pregnancy symptoms, and mostly it might be period. Best regards...." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I think I have sone kind vaginal infection, for the last few months I ve been starting to itch really bad on my inner thighs to my vaginal area I have no self control and itch it till my skin breaks and clear puss come thrwe, my color has changed down their to a darker skin color and now I m starting to notice a bad order, how can I get my skin back to a light color and stop all this itching or is it too late am I scarred, will the order go away?", "output": "Thanks for your question. I think you have a condition known as vulvuvaginitis which is an inflammation of the vulva and the vagina. This is usually infectious in origin and caused by germs like fungi and bacteria. There are many types of infectious agents which can be at the origin of such a condition. Your condition therefore requires a consultation with a gynecologist, so a proper physical examination is done, and laboratory tests prescribed and proper medications prescribed. I would also advise you go for consultation with your sex partners as most at times these are sexually transmissible infections and both partners have to be treated. I wish you best of luck and good health. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi there, i have a question to ask you please.I have my son he is 10 months old i want to stop breastfeeding him,so i am looking for some kind of beverage that is nutritious for him to take i dont know if horlicks malted beverage will be a good choice", "output": "Hi, welcome to Chat Doctor. Breast milk is superior to all available formula feeds in market. The most comparable to breast milk at this age is lactose 2, you should give lactose 2 in specified quantity. Cowlicks and other supplements like this should not be given before 2 year of age. In my opinion, you should breastfeed as long as possible and if its not possible then change to lactose 2. I hope this will help you. Take care. Regards: Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a large lump above my belly button. It does not cause me any pain but over the last three weeks I have been vomiting after eating, severe heartburn and a fluttering sensation in my abdomen which I alike to being pregnant ant the baby first starts moving. Should i seek medical advice? Email is YYYY@YYYY", "output": "Welcome to ChatDoctorYou must be having hernia above umbilicus. Recently it must have become obstructed. Obstructed hernia causes pain and vomiting and what you are describing as baby movements are actually hyperperistalsis that is hyper novel movements due to obstruction. You need to see a surgeon urgently and this requires urgent surgery. If you don't do operation urgently novel which is obstructed in the hernia may become gangrenous that is dead which requires removal of that part of novel. So try to see your surgeon the earliest possible. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My wife has just had 13 weekly treaments of Taxol, sometimes with Avastin. Straight afterwards she started having severe upper back pain, mainly on her left side, and is only able to lie down with a hot water bottle. She is unsure about pain killers, fearing that they may adversely affect her stomach. Do you have any suggestion?", "output": "Both these anti-cancer Chat Doctor. So it has to be there. Yes, I have suggestions. Only criteria your wife n you have to believe in holistic Ayurveda remedies.Painkillers are of no use except in very severe pain sometimes. Start giving her Turmeric powder in warm milk or water (1 tsp to 1 glass of liquid) twice a day. Its tasteless, safe, side effect less and healer, anti-inflammatory, bacteriostatic herb. Useful in cancer too.whatever little. If she doesn't like it then capsule Hard" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor..Im 29 year old girl..got married two and a half years back..Me and my husband are planning to have a baby from last 3 months, but till now i havnt conceived..Please advice me those important dates in which chances of getting pregnant are more..My last date of periods was 26th August (5 days periods) and my periods date is 26th of every month..pls calculate my cycle length (date 26 of every month)what precautions should i take related to my diet, travelling, etc", "output": "Hello, You have mostly 30 days regular cycle. So, your ovulation day will be around 16th day of cycle i.e. 12th of every month. Fertile days will be from D13 to D19 of each cycle i.e. 9th to 15th of every month. In this time, you have to undergo regular unprotected sex to maximize the chance of pregnancy. You can use ovulation prediction kit in the mid-cycle to track or predict ovulation time and prepare for that. Take balanced diet with vitamin-E & folic acid supplements. Eat fresh fruits and vegetables, Chat Doctor. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am a 31 y/o female in healthy condition and exercise regularly and eat extremely healthy - no sugar or processed foods. The other day i started to get a pain in my lower left abdomen near the crease of my leg right above my pubic bone. Each day it has gotten worse. I can t even do one sit up. When i cough or sneeze I feel a sharp pain, almost as if something is going to pop. I had a hernia when i was 4 years old, but I can t remember what that felt like. My stomach and abdomen above my pubic bone have been distended for a few days. I thought I was constipated because of a change in my diet, but laxatives and stool softeners have done what they re meant to do and this pain just keeps getting worse. I can t really carry a few bags of groceries now because the strain hurts too much.", "output": "Hi. Thanks for your query. I would like to say that this is an EMERGENCY. The reason being your history. It is very peculiar of the Pitchers Hernia. You have a history of hernia, it does not grow much in females. IN your case a small part of the circumference of the bowel gets obstructed to give this typical presentation you have described. Attend the ER, get investigated fast. You may need exploratory laparotomy to see the damage to the bowel, repair it, and repair of the hernia too." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hie i went for a semen analysis and the results were as follows,WBCs -few, RBCs-occassional,motile 40%, sperm , progressive motile 35% count 158.7 million, non-motile 60% sperm colour -cream, viscosity-incomplete,gran stain-semen ngative ,RODS positive COCCI so with these results will i be able to have a child because i a failing to have a second child that why i went for sperm analysis. Thanks DR", "output": "Hi, thanks for using Chat Doctor Semen analysis gives only a general idea of fertility. Men may have an essentially normal result and experience difficulty and some men may have abnormal results and have no problem conceiving. The fact you have a child improves your chances of future fertility. The sperm analysis: few WBC - this is good, it would normally indicate that there is no infection present, but the microbiology indicates that a bacterium is present which may need treatment. Motility: 60% non motile-at least 50% motility is considered optimal, but this is just slightly below the north sperm count is good at 158 million, it should be at least 20 million and your value is much higher. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi My daughter is 3 n hlf minths old and is weighing 5 kgs.she is a full term baby with birth weight of 3.12 kgs. Her weigt @ 45 day was 3.7 and on 2 n hlf month was 4.6 kg. She is generally active but is not putting on appropriate weight . Doc has suggested Rubired syrup and multivitamin n multimineral supplement. She excl.breastfed. Pls suggest wethrvi should go ahead with prescription for her weight gain. Thanks in advance.", "output": "Hi thanks for posting your query in Chat Doctor In my daily practice I many times see such weight pattern. Thing to note is babies weight gain is poor till 45 days of age. After that age she is gaining normal for her age, I mean it increased from 3.7 kg ti 4.6 kg in one month from one and half month to two and half month. And again she gained 400 grams in next 15 days. I would also like to know her length and head circumference. Regarding supplements if her doctor is if opinion she needs, can be given. Regarding initial poor weight gain had there been any feeding problem. At present gain in weight , there does not seem any reason to worry. Hope I answered your query revert if you have any other query thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have a history of left knee issues. Left knee had a lateral release done on 2nd surgery. Same knee slammed into lower dashboard in a car wreck and since it pops and then burns. MRI said i have significant arthritis. Is that all this is or is it more?", "output": "Hi MRI would have shown if there was fracture or ACL or meniscal tears. Presuming report to be authentic, fresh trauma may have caused renewed inflammation of tissues in preexisting osteoarthritic joint. What is important now as to what extent its affecting joint movement.given that anti-inflammatory meds to treat pain of fresh trauma may lessen pain and inflammation in a few days, if osteoarthritis has eroded joint to large extent interfering daily routine, waljing, some surgical treatment may be indicated, if tolerable movements remain, conservative management, physical therapy, glucosamine and anti-inflammatory meds like Alive twice a day should take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been seeing a Physical Medicine Rehab Dr for 13 years. He has been treating me with high doses of narcotics that I need to do daily functions. I received a general letter that he was changing his practice to brain injury patients only. I don t know what to do. I cannot stop these medicines without withdrawal. His office won t give me an appointment to even talk to him. What do I do", "output": "Hi ! Good morning and a Happy New Year 2014. I am Chat Doctor answering your query. I am not aware why you were prescribed high doses of narcotics. But in the present circumstances, I would advise you to consult a psychiatrist or consult your family physician for an advice which might vary depending on the medical rules in your region on the use of narcotics. Thank you for using Chat Doctor forum for your health query. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i slept with my girl with the use of condom, i ejaculate inside the condom and i was till sexing her before the condom split of my dick but can just tell if the semen has enter or not.But the semen is light inside the condom is there tenancy of her getting pregnancy .", "output": "Degree understand your concerns went through your details. Chances of pregnancy depends on many factors like the period cycle, sperm health, ovum health, hormonal actions and many other factors. In this case, if the sperm has entered the vaginal opening, even though one Chat Doctor. This sperm cells have to come in contact with the ovum. Ovum will be available for fertilization from the 8th day of the women's period and up to 20th day. Before and after these days, it cannot be fertilized. You may talk to your girlfriend and come to a conclusion. You may also ask your girlfriend to consult a gynecologist. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query. Further clarifications are welcome. Good luck. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi doctor. I have been trying to conceive for 2 years with no luck. I am 25 years old and I was told everything was fine by my Gyn doc. I was prescribed clomid and duphaston . I started taking it on my 3rd day and not sure when to start duphaston . My cycle is 25/26 days thank u", "output": "Hi Chat Doctor. You have a very good chance of conception as your age is 25 only and trying duration is less also you have periods regularly. I assume you are aware of fertile period in a menstrual cycle. Phaeton is prescribed in second half of menstrual cycle i.e. after ovulation. IF you have 26 days cycle mostly ovulation is happening around day-12 of period. You can even monitor ovulation by urine LH monitoring kits available in market." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello Doctor... my name is rajni singh..age 30 married... its almost 3 yrs of my married life...i m over weighted...my height is 5 ft 7 inches and my weight is 85 kgs.. i had used the contraceptive pills unwanted 72 for about 20 months after my marriage.. my periods are regular...once i had detected for thyroid but now it is absolutely normal... since the monthe of january 2011.. i hv not used any contraceptive pills... my husband is absolutely fine and have no abnormal life style... his age is 32 yrs and we have normal sexual life..we are trying for a long time like almost a year... i want to get pregnant as i know i m running of my age.. kindly mail me what to do to get pregnant .... thanks", "output": "Hello. Thanks for writing to us. For a successful conception, you need to have a regular sex on every alternate day during your fertile days-day 9 to day 16 of your cycle. Start taking folic acid supplements. In case you still do not conceive in next six months then consider getting yourself evaluated at an infertility specialist. I hope this information has been both informative and helpful for you. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi I had a blood test today first in my arm but blood was slow to come out and nurse worked to try and fill required bottles unfortunately not enough so she went into my arm on same side I have noticed just above the injection site I have a lump and hand is very painful", "output": "Hi, thanks for sharing your health concerns with Chat Doctor! In such cases of traumatic needle puncture or hematoma formation, generally I advise followings:1. Do not rub it2. Apply pressure for 30 mitutes3. Apply ice for comfort4. Use heparin gels for dissolution of the clot5. Take painkillers if the pain is not relieved6. If still not relieved within 2/3 days, antibiotics, aspiration and even physiotherapy required! Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was carrying very heavy bags over the course of 3 days a week ago and I thought my back pain was caused by that but tonight I reached back to where my pain was coming from on my right flank side on my back and there is a very large painful mass that makes me want to throw up when I press it. My back actually feels swollen and throbs.", "output": "Hello and Welcome to Chat Doctor, Thanks for writing to us. Pain and swilling over right flank could be muscular in origin or due to liver, ureter, intestine or renal in origin. As it is tender (painful to touch), there is chance of infection of these. So I suggest you to get it evaluated by a physician and definitive treatment according to that. Hope this helps you. Wishing you good health... Regards. Chat Doctor. Orthopedic Surgeon." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I am a 35 year old male, and aside from high blood pressure and high cholesterol (both treated by medication ), I am in very good health. Last week I went to my doctor for a routine physical, and he was alarmed at my total bilirubin level of 1.8. It had always been 0.6 or 0.4 in the past. He also was surprised at a 60 point jump in my cholesterol level, despite my being on medication for that, and having it be stable for many years. I am having another test done in two weeks, but now paranoia has set in as I find every on-line article about elevated bilirubin levels being potential signs of cancer (or gallstones). I could not find anywhere what the typical high total bilirubin levels are in cancer patients, so I do not know how my 1.8 level compares. I would like to know this if possible, and also, is a spike in the bilirubin level likely to happen for any other reason? It does not seem to fluctuate like sugar levels or blood pressure can, so I am worried that it is an indicator of something bad. Any information regarding that type of bilirubin level would be very greatly appreciated. And also, would there typically be other indicators present at the same time in a blood test that would indicate cancer as a possibility? Thank you very much. Sincerely, Marc YYYY@YYYY 2-23-13 UPDATE: Yesterday I had a liver function/bilirubin test. The results were that my total bilirubin came down to 1.2 (0.2 direct and 1.0 indirect). My cholesterol was not checked, but now my sugar went from 92 two weeks ago to 110 now! I am concerned that with a big jump in my sugar now and cholesterol two weeks ago, and in conjunction with a high bilirubin, this may mean that I have some liver or pancreas problem. I am extremely concerned. My doctor wants me to wait a month and then repeat the tests. Any thoughts would be extremely appreciated. Incidentally, all other tested levels were in the normal range, but I don t know if that means I can rule out a liver or pancreas problem. Thank you all so much.", "output": "Hello, caucus, Let me assure you that you don't have liver or pancreas cancer. Bilirubin is a combination of conjugated and conjugated, that indirect and indirect components. Usually the Direct fraction is more than the indirect. The total can fluctuate anywhere from 1.2 -1.4 mg/DL. In your case you have a slightly higher indirect fraction. This is very commonly seen as a fasting hyperbilirubinemia. There are rare genetic disorders such as Gilbert's syn Chat Doctor. This is a benign condition and the bilirubin levels go up more during infections, stress etc. Condition is diagnosed by liver biopsy. Very rarely this is associated with pigment gallstones. As for cholesterol levels, if you had a rich fatty meal the day before, even if the blood was " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son is 15. Yesterday he had a spell where he felt naseus, dizzie, got blurred vision to the extent that he could barely see, a loud whistling sound through his ears. He then collapsed on the floor, not sure if he was unconcious. About ten minutes later was feeling better but then got a blood nose which took some time to stop. Felt ok the rest of the day apart from feeling a bit tired and weak for quite a few hours after. What could this be?", "output": "Hi, thank you for choosing Chat Doctor. Your son might have an episode of syncope but that doesn't usually have bleeding from nose. Kindly get your sons blood pressure checked once and also get an ECG done to rule out any cardiac cause. Syncope can be usually due to stress or standing upright for long hours, but still it's better to get his general checkup done. Hope this has been helpful to you, kindly feel free to contact again for any queries. Kindly rate the answer if so. Take care. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi this is shrutikamy periods are so irregular i m 26 year old married descperately waiting for baby i had pcos done in mjan 2011 then dodc said egg formation is not happening properly also last month she gave me fertyl 50mg but no result yet. i want baby pls reply", "output": "Hi, Welcome to Chat Doctor . Along with ferry I suggest you to go for GUI. It is intrauterine ingestion of sperms. In this the sperms are washed and processed, and healthy sperms are placed in uterus. This will increase chances of pregnancy .once you start ovulating normally your cycles will regularize. Be stress-free. No treatment for infertility give 100% results. They increase chances of conception. Hope I have been helpful. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I ache all over and have a weakness in my legs when I walk. It feels like they are going to buckle on me sometimes when I walk. This is a new condition over the last couple of weeks. Advil helps, but the conditions comes back when I don t take it. I am on no other medicine", "output": "Hi, thank you for providing the brief history of you. As you feel that there is no motor control that it could be a nerve trapping in its course. As the nerve has the dual functions of motor control and sensory. So any entrapment of the nerve will lead to such Buckling of the knee while gait cycle. Also, performing exercises under physical therapy should provide you better control of legs. Working out behind the core and the lower limbs should provide maximum control. Also, in my clinical practice such patients are common and with physical therapy they respond well. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor My wife seems to be having viral fever for the past 3 days. The fever is gone, but she still has diziness and body aches. She is still feeling very weak. She has taken some anti-biotics prescribed by an MBBS physician. We have got the blood test as yet. Do you reckon a specialist needs to be consulted.", "output": "Hello Post viral these symptoms are very common, so this is not a cause of concern. As you mentioned that fever is gone and only dizziness and weakness present. If no fever, no need of any antibiotics as these antibiotics may cause dizziness and feeling of weakness. So at present plenty of fluid and healthy diet will be sufficient with 3-4 days rest. Gradually she will recover within 3-4 days. If fever present then consult a physician, otherwise need not worry. Simple rest, counselling and liquid diet is enough. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daugther is 3 yrs old and is suffering from throat infection may be tonsills and little ulcers. Having high fever and cold with nose blockage and difficultly in breathing and sleeping with a sound due to this. I am giving azithral 200 and piriton and maxtra, should i continue this or and this medicine combination is perfect for treatment?", "output": "Hey there, Thank you for your question and welcome to Chat Doctor. First off, why is your daughter having difficulty breathing? Is it due to the nasal congestion or because her tonsils are enlarged? The sound that she makes while sleeping could be due to the stuffy nose. She is having to compensate for air so she's mouth breathing. You are probably also hearing chest congestion if she has a cold. If you hear a high pitch whistle sound called wheezing, then I would recommend a visit back to the doctor to make sure her airway isn't being affected by her swollen tonsils. The medications that you listed are exactly what I would want to see given to her. Strep throat is treated with antibiotics and that is what the literal is for. Remember, with any antibiotics, it will take 2-3 days before her symptoms start to resolve. The fever, sore throat and ulcers will usually still be present during the first 24-36 hours. The two other medications you listed are to make her comfortable in terms of her nasal congestion and other cold symptoms. I would have to agree with the doctor who prescribed the medications and say that it is a good treatment plan. Hopefully your little one will start to feel better quickly. Have a good day!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I was diagnosed as being Severely Emotionally Disturbed when I was 12yrs old. I was a victim of incest when at age 6 (my grandmother). I was also molested by a cousin and a babysitter (both females). This all before age 10. I was also a homeless child from 6 to 16 and during this period I was raped multiple times. I could write an action packed book about my life. My question is, could all those traumatic experiences cause SED in a child and can this illness transition into adulthood without the the proper help? I do have hopes and dreams and 4 children. But I have not been able to be a productive member of society. I have been in and out of depression all my life. I attempted suicide twice when I was 13. I think about suicide often as an adult because my thoughts torment me. I", "output": "His admire your positive outlook. I can understand your emotional problem. Suicidal thought severe level of depression, and you have attempted also. You need extensive treatment. Please consult psychiatrist. Need to evaluation and some treatment is necessary like ECT and medicines. Close observation is must. Beside thisExercise. Mediation.PROPER SLEEP. Healthy diet. Proper life activity and stress-free work. All of this will helpful. Thank you. Hope for the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir/Madam,I am 38 years old, and am undergoing treatment fo conceive. Now I have chosen IUI, and taking tablets puregest (morning and evening) and folvite (only in the night)i feel dizziness for about half an hour every day. I dont know what could be the reason?Also I want to know is this a positive or a negative sign of pregnancy.", "output": "Hello and welcome to Chat Doctor, Feeling dizziness is not a feature of pregnancy. Dizziness can occur due to many reasons. It could be due to hypotension (fall in blood pressure), vasovagal syncope, or ear problem. Inner ear is associated with maintenance of posture. Any infection or inflammation of the inner ear causes imbalance. Hypotension refers to decreased blood flow to brain. Vasovagal attack is caused by loss of tone of blood vessels and hence leads to hypotension. If the dizziness is very frequent and troublesome, you need to consult your doctor for clinical examination and relevant investigations. The condition can be manage med after investigations. Thanks and take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, i have a shaved head and the last couple months i have had dry skin appear on both temples. It can be quite itchy, i tried E45 skin cream but it made the area really red and sore. I also tried simple skin cream but it does the same thing, is there anything else i can try?", "output": "Hello. Thanks for writing to us at Chat Doctor I will keep a possibility of scalp seborrhea dermatitis. It usually presents as Chat Doctor. The condition is a result of interplay between factors like overgrowth of Malaysia fur fur, a yeast and scalp inflammation. The cream that you have been using is just a moisturizing cream and not specific for seborrhea dermatitis. If I was the treating doctor I would have asked you to use an antifungal antigen" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a routine EKG this morning. I ve had a couple months n pr virus years prior to surgery and they were normal. Today was abnormal. Moderate high lateral re polarization disturbance, consider ischemia or LV overload. I ve never had high blood pressure. Today was 126/80 which is high for me. Heart rate 70. What do you think is going on?", "output": "Hi, After going through your medical details I understand your concern and I would like to tell you that blood pressure under 140/90 is considered as normal BP and your blood pressure is also pretty good. But your ECG is suggestive of ischemia then you need further evaluation. Kindly get an echocardiography done and consult a cardiologist personally for further evaluation and treatment. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi im 29 years old im a hairstylist and one of my clients just asked me today if i had add i kind of laughed it off and she was serious about it she is also a nurse. i can neva finish a task i always interupt people when they talk , my house is a mess my car is a mess i wont pay a bill when i no that its do and i have the money to pay it and i feal like its stopping me from making more money at my job. i feal very short temperd and i snap very eseay do you think i have add?", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. Nger always comes due to frustrations in life. Frustrations are normal with everyone. People learn to ignore frustrations when they get experienced. Evaluate yourself. Understand anger sources and adjust yourself. That is a very task. You must understand that YOU are YOU. You have your own personality. Changing personality is not advisable. Keeping yourself and your belongings neat and tidy is a matter of habit and attitude. Make your attitude positive. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My friend had a MRI and this was the results: Diffuse abnormal increased T2/FLAIR signal within the periventricular and deep white matter which is non-specific, but most likely due to chronic small vessel ischemic change/chronic lacunar infarctions. What does this mean?", "output": "Hello dear, MRI is magnetic resonance imaging. Brain MRI with diffuse T2/FLAIR hyperintense signals in periventricular and deep white matter, can only be interpreted with a clinical correlation. It means that if the patient doesn't have any symptoms(like limb weakness, speaking difficulty, walking difficulty, personality changes), then these hyperintensities hardly carry any significance, as they can be seen in around 27 percent of apparently healthy individuals, although mostly seen towards older age group. But if patient is having symptoms as mentioned above, then these may be indicative of a pathology like vasculitis, demyelination or multiple small infarcts, and it is in these cases that further evaluation is needed. So, if your friend is asymptomatic, just get him screened for hypertension and ask him to stop smoking(if he does so), as these may contribute to such changes in brain. If any symptoms or if any doubts, get to a neurologist. I hope it helped." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Okay so Im having some oral problems :( Every morning I awake to this absolutely disgusting taste in my mouth, my teeth, tongue and gums are like covered in a layer of this gooey white crap. I always get these slightly painful small white dots on my tongue and at the moment I have this painful ulcer like thing on the side of my tongue. I would really like to know what to do. (I have my tongue pierced if this helps at all) Thankyou..", "output": "You are probably having oral candidiasis. Oral candidiasis is an infection of yeast (Candida)on the mucous membranes of the mouth. Candidiasis usually appear as thick white or cream-colored deposits on mucosal membranes. Risk group includesNewborns, Diabetics,those taking oral corticosteroids, people with immune deficiency, smokers etc. Lightly brushing the lesions away reveals a reddened, tender area that may bleed slightly. A microscopic examination of tissue from a lesion can confirm the diagnosis. Antifungal medications, which are generally taken for 10 to 14 days, are often prescribed to treat thrush. These medicines are available in tablets, lozenges, or liquids. The treatment approach is designed for you based on your age and the cause of the infection. Because the presence of candida infection can be a symptom of other medical problems, i suggest that you seek care from a local medical doctor as well, so that any underlying health problems you may have can be treated" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sir my child is 3 and half years old. he often suffers from acute bronchitis. previously he had been given omnacortil very frequently. now the doctor has suggested me to nebulise him with Asthalin as and when required and to give him budecort inhaler regularly. How safe are Budecort inhaler and Asthalin. how do i differentiate between common cough and cold and Acute Bronchitis", "output": "Hi, As per the latest international guidelines Budesonide and as and when required Albuterol is the best treatment modality for the condition which you have mentioned which could be multi triggered wheezing. There will be excessive cough along with wheezing and intercostal retractions when it is wheezing. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My girlfriend took an i-pill after 18 hours of unprotected sex. I didnt ejaculate inside her but still she took the pill for preventive measures. Her periods were due to start 7-9 days after sex. She got her period but it lasted for only 2 days. As well as the bleeding was very light comparing to her normal periods.Can consuming an i-pill for the first time cause irregularity in periods? What can be the effects of it on periods? Can the bleeding in the periods after taking the pill be relatively light?", "output": "Hi thanks for your query yes consuming an i- pill any time can cause irregularity in cycle. Most of the time it causes delay in periods. Usually does not affect the amount of bleeding. First rule out pregnancy by urine pregnancy test if no pregnancy then tell her to keep menstrual chart and use a good contraceptive also .if again decreased flow then she needs hormonal evaluation .as decrease in flow could be due to others reasons as thyroid disorder, hyperprolactinemia wt loss, stress," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i hope you can help me with my problem. Im half way in my pregnancy but i am not really sure who the father is. I first had my period round the 11th or 12th of june. My ovulation should have been round the 26th. I had sex with friend A on the 25th and 26th, and he came in me. Two days later i had sex with friend B, we did it twice in a row, but both times he didnt come in me. and i took \"the morning after pill\" the day after. So after that i had my period on the 9th or 10th of july (dont remember exactly). After this i have only had sex with friend A, havent had sex with friend B since that one day on the 28th/29th of june.. On august 5th when i should have gotten my period ( i have a cycle of 27 days every month ) I did a clear blue indicator test and it said was conceived 1-2 weeks, which means i was 4 weeks pregnant at the time. Period stayed away, i only had a little bit of brown blood like 2 weeks later when i was about 7 weeks if i remember correctly. I had an ultra sound on sept 2nd and my gyn told me i was 7 weeks and 5 days. I am so worried the period i had on the 9th of july wasnt a real period at all ( if i remember correctly i had it for about 3 days which i almost always have when on my period. but i dont remember if it was as heavy as regular ), and i am contstantly telling myself the indicator from clear blue can be wrong as well... I have also smoked cigarettes ( i stopped when i was 8 weeks ) so now im also telling myself because of the smoke the baby was smaller then she should be and that she wasnt really 7 weeks but more like 11 weeks from the month before... But on the ultra sound she really was a little shrimp, couldnt really tell it was a \"baby\"... im just losing it and i really want to hear ur thoughts.... Thank you for your help in advance.", "output": "Hi, You are pregnant with friend A, and your last menstrual period was on 9/10 of July. This corresponds to your ultrasound dates and your urine pregnancy result as well. Do not be anxious about it. Though the baby forms only after ovulation, the pregnancy is always calculated from the last period day, which might be confusing you. Do not worry, and the early pregnancy ultrasounds are very accurate in diagnosing the exact dates of pregnancy. You were wise to stop smoking, but smoking will not cause the early fetus to shrink as you have described. Smoking usually causes the baby in the last trimester to be underweight by 500 GMS or so. It doesn't affect so early in pregnancy. I would advise you to stay away from smoking and take help from smoking cessation services if required. Do not worry. Hope this helps. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi...the son of my friend who is 4 yrs old shows bruises or hematoma on upper and lower extremities. his blood test shows predominantly normoctic normochromic red cells some microcytic hypochromic red cell mild anisopoikilocyte stosis. his having on and off fever...what is this blood test result means? thanks", "output": "Hi, Narcotic normochromic red cells means normal-sized and normal shaped red cells. Microcytic hypodermic red cells are small and pale cells commonly due to iron deficiency. Mild anisopoikilocytosis means little abnormality in the size and shape of red cells, a feature seen in iron deficiency and thalassemia (uncommon) Please check if your child is suffering from worm infestation of gut, which is a fairly common cause of the above features seen in blood film. Hope I am clear." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "We had a safe sex, but it spilled over from the condom near the vaginal mouth. we were sure that it didnot go inside, still for safety I took an ipill. i was also having a drug named deviry to control heavy bleeding. I had my periods exactly 10 days after having ipill around the schedule date but the bleeding was not heavy as before, may be due to the drug I was having to control it. but after 7 days the period has stopped normally I am having spots for the last one week. am I pregnant?", "output": "Hi, In the current scenario, it is unlikely that you have conceived. From your history of heavy bleeding and its treatment, it is likely that you have hormonal imbalance. Emergency pills contain high hormone doses which can make this scene worse. The bleeding you saw after the pill intake is the with Chat Doctor. The spotting you are currently experiencing suggest some breakthrough bleeding. You can exclude pregnancy through the estimation of the serum beta-ChatDoctor titles and if negative, go for further help from a specialist. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have an infection in the lungs, causing me to cough more (already have a persistent cough). I don t have a temp or a fever however the cough is causing me to have a tight chest. I m now in pain in what feels like my diaphram (it hurts to bend). is this bacteria or virus based?", "output": "Hi, thanks for using Chat Doctor Persistent coughing can cause chest pain. It would cause irritation of the areas in the lung as well as muscles and soft tissue in the chest. Most causes of infectious cough is viral. You can consider the use of an anti-inflammatory painkiller to help with your chest discomfort. This includes medication such as ibuprofen, Catalan, aspirin, naproxen. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son is 4 years old and is suffering from severe dry cough. Mostly he coughs while he is sleeping at night. During the day time he remains fine. Doctor has prescribed him Protussa and Defcort syrups. Please let me know if this is the right combination.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. It is an anti histamine and a soft steroid. Probably he is having allergy, or it could be acid reflux for which he will require to be examined in detail. If he is having other symptoms of allergy like running nose, sneezing etc. He will benefit from nebulizations.Don't worry, he will be alright. Hope I have solved your query. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi my mother was at dialysis this morning and then near the end of her session she started to feel very sick and nauses and fainting feeling she had a hard time breathing and then my dad called the nurse who said that the reason was because to much water was removed. I was wondering why that happend and dont they know how much water has to be removed before begining and the nurses were all concern. I was not there but i was gong to call the unit and ask my mother doesnt want me to because we have had previous bad nurses and caused a lot of problems with my mothers fistula which they ruptured and she can no longer use it. anyways was just interested in know why this occured about the water. Before i call the unit nurse to find out myself. Is this normal to happen or did the nurse not do her job proberly once again. Thanks AAAAA", "output": "Hello, Thanks for posting on Chat Doctor From what you have presented your mother might be suffering or suffered from what is usually termed dialysis hangover or dialysis washout which occurred as a result of side effects caused by removing too much fluid and/or removing fluid too rapidly and presents as low blood pressure, fatigue, chest pains, leg-cramps, nausea and headaches. The nurse might be right when she told you it was as a result of too much fluid removed. This is a common side effect that occurs as a result of dialysis treatment. You need to know that even though dialysis is a good way of filtrating waste products from your body, it can not 100% replace the natural functions performed by the kidney (and since it has failed...) and so comes with many side effects that you can take your time and research on or ask your mothers treating physician for more info regarding side effects of dialysis. Your mothers age might be another predisposing factor to dialysis side effects. I do not wish that you point any accusing fingers right away to any particular health care practitioner but try to find out more as you are doing right now about the problem. Hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 15 yr old son noticed a lump (about 1/2 to 3/4 inch in size) which suddenly appeared on his lower left ankle. The lump seems to disappear at times, and is occasionally painful; it reappears randomly throughout the day, especially when seated. Had ultrasound today; saw a black circle which the tech took measurements of. What would appear so quickly? Cyst? Blood clot?", "output": "Hi, Dear,Welcome with your query to Chat Doctor. Studied your query in full depth of its details. Reviewed it in context of your health concerns. Based On the facts, You should go to your doctor as You mostly seem to suffer from-Varicose Veins lump above the ankle left-for your age without DVT-or blood Clot. This is not Cyst and Blood Clot either. Color Doppler Scan would fix this diagnosis-after Second Opinion from Surgeon. Cause could be leg Vein Varsity with Valve incompetency or by Chronic EXertional Stress Syn Chat Doctor. This reply would help you to plan further treatment soon with your treating doctors. Best of Luck and early recovery. Welcome any further query in this regard, which would be replied in next session. Good Day!!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "A week ago I went to urgent care And my urine was positive for kidney and urinary tract infection, both blood and pus were in my urine. I now have been on antibiotics since but the side and back pain has not gone away. I January I had a horrible kidney infection and turned into sepsis. Since then every month I have been getting them, but only without fever, but all other symptoms. What is going on with me, is this just a regular kidney infection or could it be more, should I go to hospital? Please help", "output": "Hi you have not mentioned your age, if u have Diabetes? Getting recurrent urine infection is not a regular kidney infection. First need to look for any organic cause for urine infection by doing sonography, or CT scan.Also, further tests like urine culture, FT, blood sugar level are required. If you are elderly or diabetic you may not get fever during infection. Antibiotics has to be given based on urine culture report and for long duration. If there is not any organic pathology long term antibiotic prophylaxis needs to be considered. But everything above has to be done only in consultation with your doctor. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My boy friend has had trouble breathing, he keeps needing to stop and he just starts wheezing. He also feels like he needs to puke sometimes. This use to only happen when he played baseball and now it happens much more often. Especially while wearing clothes such as under armor. What do you think could be the problem?", "output": "Thanks for your question on Chat Doctor. In my opinion your boyfriend is having either asthma or bronchitis. As he is having progressively increasing dyspnea with wheezing, we need to rule out asthma and bronchitis. So better to consult pulmonologist and get done1 Chest x ray2 PFT (Pulmonary Function Test). So consult pulmonologist and diagnose first. He will need inhaled treatment with bronchodilators." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a tooth extraction on monday although the dentist could only remove half, now ive a nerve free and everytime i eat, drink, teeth touch or tongue touches my tooth i get and electric like shock through my mouth, my face is swollen and im in extreme agony, ive not eaten, drank or slept since sunday. no one will help me and i cant handle this pain anymore. what can i do?", "output": "Hi, Thanks for posting the query, I would suggest you to take an x-ray of the tooth that was extracted, the half part which is left in the socket has developed an infection, I would suggest you to visit to an Oral Surgeon and plan for the removal, if it is impacted in the bone then it can be safely removed by a minor surgery, take tab almost C BD, tab Diclofenac serratiopeptidase BD, and tab rant ac BD for 3-5 days, at home take lukewarm saline and antiseptic mouthwash rinses, maintain a god oral hygiene. Hope you find this as helpful, Take care!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had period oct 4 then going for surgery took test neg. had gallbladder surgery oct 23.had period again oct 24 took plenty preg test all neg after surgery got period nov 19 had sex nov 29 had weird feeling computer calculated period due on dec 12 I assumed around 17 or so just had weird feeling so I tested on dec 10 positive .about 12 hrs later took another it was neg then on 12 I took another it was positive so had blood on 12 couple hrs later and it was positive . How far along would I be. Email is YYYY@YYYY", "output": "Cellophane you for getting in touch with us. As I see, you did some pregnancy tests, and they came out to be positive. As you had an intercourse on the 29th of November, we would assume you are around 20 days pregnant, although the exact duration would be impossible to tell. We would recommend you get in touch with your Began Doctor as soon as possible and get an ultrasound test done to confirm the pregnancy. You should also discuss your plans with your Doctor and start with iron-folic acid prophylaxis if you intend to carry on with your pregnancy. Hope this helpsRegards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m concerned about my brother. He talks to himself all the time and when I point it out he acts as if he was unaware. sometimes he is aware but i ll ask him why he said something and he insists that he didn t say it. I ve read that it can be a sign of high intelligence as it helps the brains thought process but the fact that he is more than usually unaware that he is even talking let alone what he said is troubling me more and more. He s also very irritable and he gets very angry. It s got worse as he s got older. He s 20 now. Any advice? Thanks x", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. The self talking syn Chat Doctor. Preoccupation with a task always brings on such cosmetic difficulty. For others, it may seem strange, but the affected person is actually enjoying. Another mental health view point categorizes the behavior under schizophrenia. But I cannot see any relation here. So don't worry. If you need proper diagnosis, please consult a psychologist. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i woke up with rib pain when i take a deep breath it feels like they are being restricted i figured it was that i slept wrong and that it would go away but it has hurt all day, i have been experiencing what i think are muscle spasms in my rib cage and when i rub there muscles in certain places it causes it as well as it being random, they are sometimes often, sometimes i have to problem at all, i dont have broken ribs or any reason not to and i do not smoke cigarettes, it hurts to hiccup, to couch to take deep breaths.", "output": "Thanks for your question on Chat Doctor. By your history and description of pain, I think it is musculoskeletal pain only, mostly due to uncomfortable movement or posture. So try to follow these steps for better symptomatic relief in muscular pain. 1. Avoid heavy weight lifting and strenuous exercise. 2. Avoid bad postures in sleep. 3. Avoid movement s causing pain. 4. Take good painkiller and muscle relaxant. 5. Apply warm water pad on affected site. 6. Wear chest belt to avoid mobilization of affected area. If not improving in 5 days than get done chest x-ray to rule out internal damage." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had an upper resp infection 2 weeks ago that cleared up within a couple days, turned into persistent dry coughing, then turned into what was diagnosed as a sinus infection. Antibiotics have made everything but the coughing better. Cold air and drinking water makes it worse and the medications given to be to suppress the cough isnt working. It gets worse during the night, and the watery liquid I cough up is draining into my right lung and I can feel it going in there. I do have a history of post nasal drip, but nothing as bad as this. What on earth is making the cough not go away and making the watery stuff be produced?", "output": "Hellespont be so desperate & dejected. I will try to explain you whole thing so that you will understand in better way. Mite, dust, hay, fodder, mold, pollen, sudden fall & rise of temperature, humidity all are predisposing factors which are responsible for allergic asthmatic attack. In this (asthma) there is airways hyperresponsiveness that is secondary to inflammatory airways' disease that results in recurrent or chronic episodes of wheeze, shortness of breath, chest tightness & /or cough particularly at the night or in the early morning. Perhaps you understand that why are you having cough in the night due to cold winds. When such patient visit my clinic I prescribe montelukast + albuterol tablet once or twice in day depending upon the condition of patient and severity of disease (. Symptoms)Since this is a prescription medicine so consult your treating doctor. Hot coffee and steam inhalation also provide relief. Hope this will help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am experiencing pins and needles sensation and numbness on my right thigh (outer side). I have started going to a gym since a week. I am also taking injections of arachitol and vitcofol on the thighs. What could be the cause of this pain and can I continue going to the gym and taking my injections. I am 30 years old female and my height is 5 6 and weight is 82 kg.", "output": "Hi, Thanks for your query. Pins and needles sensation and numbness, tingling in the thigh can be referred from the spine, the hip joint or from the bone and muscle in the thigh itself. A physical examination would indicate to a physician the likely site of the pain which could be further investigated with X-rays of your spine, hip and femur. The nature of your pain suggests to me that this is more likely a hip joint or thigh muscle problem. If the pain is coming from your hip joint the most common diagnosis at your age would be osteoarthritis of the hip joint. A strain of the qua Chat Doctor. Anti-inflammatory medication, physiotherapy, massage may help your symptoms in the interim. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I ve been taking 10 milligram acetaminophen / hydrocodone for about a year for lower back pain. I have just begun to have all over joint pain/ muscle pain and am feeling sick and weak like I have the flu but no fever, I am also noticing weakness in my legs and pain from my shoulders down to my hands. Could this be a side effect of the medication.", "output": "Thanks for the question. It is possible that some individuals get these side effects, you may have a complete blood count and kidney and liver function tests for evaluating status for any effects of medicines there.Meanwhile, consult your doctor for change to tramadol for short course during acute or severe pain only. I may suggest, backache should be evaluated by an orthopedic doctor and for chronic pains, physical therapy and application of heat or short wave diathermy and followed by local application of muscle relaxant cream or gel, back muscle strengthening exercises, wearing daytime brace would be more helpful instead of medicines alone thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have mild to moderate pains on the right side of my chest, under the nipple. The pain is concentrated in an area about half the size of a fist. It seems the pulse as well. The pulse of pain will last a few seconds and then dissipate. This will happen a few times and then go away for 30 - 60 mins. Not sure what this is caused from. I have not injured myself recently and this has been going on for about a month.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Well, in my opinion, we should first rule out cardiac cause for your chest pain because you are having pulsating chest pain. So get done ECG, 2d echo and stress test. If all these are normal then no need to worry about heart diseases. Sometimes without injury, pulled muscle is there. This is due to awkward sleeping position or bending or jerky movements. So follow these steps for better symptomatic relief in such chest pain. 1. Avoid movements causing pain. 2. Avoid bad postures in sleep. 3. Avoid heavyweight lifting and strenuous exercise. 4. Take painkiller like ibuprofen. 5. Apply warm water pad on affected areas. Don't worry, you will be alright with all these. But first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I get a rash on my lower abdomin a few times a year and it itches like crazy, I have tried every over the counter med and even a prescription for excema (sp?) but nothing help until it just goes away on it s own. i also get it on my elbows at times. any advice?", "output": "Hi, After reading your query it appears to be due to Fungal infection of the area which is quite common due to heat and humidity. Fungal infection of the skin is quite common due to infection and hygiene as well as most commonly due to diabetes. If I were your dermatologist then would have prescribed clotrimazole cream or terminating cream over the affected areas under medical supervision. I suggest you to take antifungal tablet by mouth such as fluconazole 150 mg alternate days for 15 days. If itching is present then you can additionally take antihistamine Ben Chat Doctor. To prevent the further spread maintain good hygiene wash it two times properly. Stay away from hot and humid climate. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have had a condition which I think is balanitis. I got some treatment and it seemed to get better. I go swimming in the sea a lot which is very salty. My penis got red again and I used kenocomb cream which seem to help. I stopped using this cream 4 days ago but after snorkeling today it is red again and had a couple of small blister types things on the skin which weap a little.", "output": "Hello, Swelling and redness of the foreskin may indicate Atlantis. Other symptoms may include:The tightened foreskin, discharge, itchy genitals, pain in the genital area, painful skin on the penis. Swelling of your penis tip can put pressure on your urethra. It can cause painful urination. Also, check for your soap allergy or moisturizing cream allergy. Diabetes, fungal infections are the other causes of Atlantis. Topical steroids and antifungal agents may be useful. If symptoms not improved, please consult your doctor he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Doc,My Uric acid levels have gone up as a result my blood pressure. Uric acid is at 6.8 and BP 140/100. Otherwise I am fit and work out like crazy. I have been working out intensively for the past 1 month. I take Nexpro RD20. Olvance 20 and atorec 10 everyday. I am 38 yrs of age. The nexpro is because i had h-pilori which has now been taken care of. Kindly advise. I do not eat red meats and take alcohol 2 pegs twice a week.", "output": "Hi, thanks for using Chat Doctor Though your uric acid levels may be above the values that you are accustomed to, they are still within normal range and should not be associated with any problems at this level. There are some conditions that can cause an increase in uric acid such as liver or kidney disease, hypothyroidism, obesity, alcohol use, leukemia, lymphoma, side effects of medication. IF you wish to reduce the uric acid levels despite the fact that they are within range, even though you do not use a lot of alcohol, decreasing its use may help. In terms of the blood pressure, despite lifestyle changes some persons may still have elevated blood pressure especially if there is a family history. If it remains high, you should consider the use of medication to bring it within range because of the potential complications. I hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I woke up with a pain under by left breast,that hurts when i take a deep breath. I had a massage this weekend on Saturday, and she did lot of work on my back, particularly my upper left shoulder area. Is there any connection? Some say it may be related to exercise but I did not go to they gym tho weekend,so I worry that a it can be something more serious. I am a 60 year old woman and healthy weight, no medications.", "output": "To check the seriousness of your problem just stretch your hand out stretch for the same side keeping hand above shoulder level and if it does not pain then don't worry. But if you feel tenderness more over the beast region even after 2\u00a0days than I suggest visiting your gynecologist doctor once. And exercise or massage on back can not cause this kind of pain. But do check once with cardiologist too if there is a breathing difficulty or pain in chest deep. Hope you have got your answer. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My father in law had a CABG almost 6 weeks ago. His son took him for a routine followup at the cardiologists office because his bps were running low, in the 80s systolic. They did an EKG in the office and we were later told that they thought he was in a-flutter. The doctor came in and gave 3 doses of adenosine, my father in law was having trouble breathing after the 2nd dose and went into full cardiac arrest after the 3rd dose. He did not survive, we took him off life support 3 days later", "output": "DEAR OVERTHINKS FOR CONSULTING AT ChatDoctorI UNDERSTAND YOUR CONCERN. AS YOUR FATHER IN LAW HAD A CABG DONE IT WAS DONE PROBABLY BECAUSE HE HAD BLOCK IN THE CORONARY VESSEL SSO HE WAS SUFFERING FROM ISCHEMIC HEART DISEASE. FOR WHICH HE WAS TREATED WITH CABGSUCH PATIENTS ARE PRONE TO DEVELOP ARRHYTHMIA LIKE PSV (ATRIAL FLUTTER)THERE ARE MANY RISK FACTORS FOR A FLUTTER POST CARDIAC SURGERY THAT INCLUDEIncreasing age Previous history of Chronic obstructive pulmonary disease (COPD)Elevated preoperative hemoglobin A1c Low-intensity physical activity in the year prior to surgery Caucasian race Obesity ALL THESE CAN PRECIPITATE THE FLUTTER AND THE FLUTTER LED TO THE DEVELOPMENT OF CARDIAC ARREST AND HENCE THE DEMISE OF YOUR FATHER IN LAHORE I HAVE ANSWERED YOUR QUESTION. YOU CAN MESSAGE ME FOR ANY FURTHER CONCERNS" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I started to feel dizzy when i stood up or turned my head the wrong way, mainly driving. saw doctor and my white count was up and he put me on antibiotics and steroids. it has been 3 days and now the symptoms are worse including nausea, vomiting and constipation. is this serious?", "output": "Hi, dairy have gone through your question. I can understand your concern. Your WBC count is high. You are suffering from some infection. If symptoms get worse even after antibiotic therapy, that means your Chat Doctor. You should consult your doctor and change the antibiotics. You can take symptomatic treatment for vomiting and constipation. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have a lump 2 cm by 1/2 cm left outer thigh for years,painless, now a large lump left side of neck painless, ultrasound negative, and about 2 months ago a lump top of rigth hand size of fifty cent piece, raised one cm in height, non movable, painful to palpation , near wrist , not due to trauma . my friend has her third sarcoma and now my lumps worry me, i am sixty and disabled after multiple abd hernia repairs with mrsa . but no surgery since 2008/but have medical conditons and no abd support for huge abd hernia, so cannot return to work, have no abd fascia was eaten away by infection", "output": "Sir...the multiple swellings which you are describing can be multiple lipomas/ neurofibromas. They can sometimes increase in size and can become painful. I can see you are apprehensive because your friend has been diagnosed with recurrent sarcomas. The best way to get over this apprehension is to consult a doctor and get an FNAC (fine needle aspiration cytology) [a test in which the material from the lump is aspirated and analyzed under a microscope]. This test will make it clear whether your lesions are benign or malignant. Your abdominal hernias are unrelated to the present condition." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi!! I have a mild pain and discomfort in my left testicle ...It has been more than 2 weeks now...First the testicle was swallon but now it seems fine.....Ive had a short corse of antibiotic( ciprofloxacin )..4 days....It helped to reduce the swelling .....I am still having pain killers to reduce the pain.... Pain comes after ejaculation .....I ejaculate 2-3 times a week....And my age is 17.. Help is appreciated!!", "output": "HelloThanks for your query, based on the facts that you have posted it appears that you have infection of Epididymis and Testis (Epididymis Orchids) which has responded well to antibiotics, Please consult qualified Urologist for clinical examination and get your ultrasound scanning of the scrotum done to confirm the diagnosis. Orchitis takes long time to get cured hence you will need to take antibiotics and anti-inflammatory medication for long time (3 weeks). Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a tingling sensation from my right foot to the top of my thigh. I m only 19 years old and want to know if this is serious enough to go to the emergency. It has been feeling this way for over 12 hours. In the past 2 hours, it has become more intense. What could this be?", "output": "Hello, The symptoms that you are describing could be due to multiple reasons. One is due to trauma which you have not mentioned . Do you ride a 2-wheeler frequently? If yes, that could also be a reason. B12 deficiency is also one of the reasons. You can take over-the-counter pain relievers. If pain persists, please get yourself investigated. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been using Previ Dent 5000 for over a month for a loose bridge that will soon be fixed. I broke out with alarge very warm pink patch on my inner calf six days ago. I was painful and sore and I went to the doctors and wastreated for inflammation using Ibuprofen twice a day. Today it moved to my inner thigh in a larger blotch. I didntthink at the time it could be related to the Previ Dent but could it?I noticed while reading about the side effects that you should only use this for a period of 4 weeks. My dentist said itwas o.k. to continue using it until the bridge is fixed. What do you say?", "output": "Hello and welcome to Chat Doctor forum, I would like to inform you that President 5000 does not cause skin rashes, I do not feel that the red patch is from President, but I will recommend you to see a dermatologist first. It is okay to use president 5000 for a month and then wait for a week, after which you can use it again. I will suggest you to give a break for a week and start using it again. I hope this answer was useful to some extent, Thank you for writing to us, i wish you good health, take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi! How are you? I am a housewife and i am worried about my 11-month old son who has a cough and cold and suddenly refuse to take his formula. I gave him ambroxol mucosolvan for his cough 4days ago and just yesterday started nasatapp infant drops for his colds... I have a prescription of a pedia made a month before but i am not sure if i am giving it correctly as prescribed... Pls enlighten me with these 2 medicines because i though that one of them may have caused my son to loss appetite over his milk.... Pls help. Thank you...", "output": "Hi, Thank you for asking question on Chat Doctor. When the baby suffers from cold, usually refuge feeds. Normally appetite will be less at the end of one year. Babies triple their birth weight at the end of one year, and they only gain 2 to 2 1/2 kg at the end of two years. The medicines you are giving are not responsible for loss of appetite. Take more tine and feed with tender loving care. Hope this answer will serve your purposeless feel free to ask any more queries if requiredTake care Chat Doctor. V. Subrahmanyam MD;Disassociate professor of pediatrics" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Can the wrong size of catheter permanently cause urine leakage? I was in the ER last December because of kidney stones and ovarian cysts, and I needed an ultrasound, and I had a catheter put in to inflate my bladder. Now I have some leakage that was not there before.", "output": "Hi. I have read your question and will try to answer it. In my opinion it is not because of urinary catheter, as you mentioned you have a history of kidney stone and most of the time kidney stone is associated with urinary tract infect and vice versa. It is possible you have urinary tract infection I would advise to go for urinalysis if infection is found antibiotics may be needed. Once infection is controlled this urinary leakage will subside. BEST WISHES." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello,My daughter is 36. She is planning a wedding foe May 3, 2014. She is feeling a variety of emotions that usually bring her to tears. She lives in Harlem New York City. She hate the crouds, the subway the dangerous situations and so on. She rides a cab back and forth to work, which is costly. She is very up and down with her emotions and often sad or depressed. She is very unhappy with her emotional stste at this. She wants to have a baby as soon as married. She also want to keep her body healthy by not taking any medication that will hurt the baby. She feels her timefrme for having a healthy baby are limited. She was on mood stabilaters but stopped because or fear it may harm her chances of having a healty baby. She has also tried going to therpy which works for a short time, My question is. what can she do to feel better, make her life happier and feel better about life in general. This should be happier at this time, after all she is planning a wedding and should feel a lot happier at this. She does realize all the situations causing these feeling, but wht can she do to feel better and help others to feel better around her. She is very impatient with me, her mother and oftem impatient with others and their comment, Please, Please, help asap.", "output": "! I have read the question and can understand your concerns. You want some non-medicinal measures for treating your daughters depression and fears. Well, as she had shown some response to counselling sessions, one can look forward to them in a more planned and regular way. She can go with these therapy sessions with her previous councillor. The sessions should now continue for some time even after her marriage till she adjusts with her new role.- Apart from therapy, she should or someone should take care of her diet: give more fruits, salads, two servings of sprouts a day, and nuts-she should follow a good routine daily which should include regular waking and sleeping time, jogging/ exercise for 30-45 min.- should try to be with friends and avoid being alone, go out more often - if she can, she should learn relaxation techniques and practice them daily Hope the reply is usefulness free to ask more questions" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "for the past few days im having the following problems- I sneeze a lot and my nose gets blocked mostly. It is very uncomfortable in the night.- Mostly in the mornings my eyes start itching a lot and becomes red.- Also there is itching on my face as well and i can see some small swellings (pimple like) on my face.It all started 2 to 3 weeks back and the itching is mostly when Im at home. Is it the food that Im having that cause these allergies? What should be the course of action that I should take?", "output": "Hello, Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for you as follows:1. As you have complaints since 2-3 weeks only, it could be due to allergies or irritants. If you have such symptoms in past also, I would more think of allergies.2. Usually such symptoms are caused by air-borne allergens or irritants, rarely associated with foods. Common allergens are molds, house dust mites, pollen, cockroach, pet dander, etc. Common irritants could be any smoke, vaporized chemicals, strong fumes, etc.3. I usually prescribe my such patients regular levocetirizine + montelukast for symptom relief.4. Regular nasal saline washes also help.5. If irritants are present inside our home, please try to avoid them.6. To identify the allergies, I would suggest you skin prick testing for above-mentioned aero-allergens. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you the best of the health ahead. Thank you & Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter came home from playing baseball all day with a blister on the bottom of her foot. The blister was popped and 2 red lines are coming from it towards her leg. I cleaned it out put on polysporin and covered it. I also marked the lines with a pen to see if they are getting bigger.", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have blisters in foot. Well there can be many reasons for symptoms you mention in query like sun burn, fungal infection, bacterial infection, allergic reaction or frictional blister. I would suggest you to keep your foot clean and Chat Doctor. If condition doesn't get well then consult dermatologist for proper examination. Doctor may order certain test along with physical examination to check the tenderness and consistency. Doctor may prescribe oral antibacterial or antifungal depending upon the diagnosis. Doctor may also prescribe salicylic acid for keratinization. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi i have 2 bumps on my inner thigh that look like pimples, they are really tiny and i picked at one (bad i know) and it made it bleed. Could this be an std? My room mate had a staph infection and i also had boils on my face and body that looked like hers. Is there a chance it could be that?", "output": "Hello, Welcome to Chat Doctor, I have gone through your history and symptoms it suggests me that you may be a fur uncle or Boil. This is a bacterial infection of the skin and soft tissue. The best way to approach is to start on an empirical oral antibiotic for a week OR 10 days either with Amoxicillin 500\u00a0mg in combination with clavulanic acid 125 mg, thrice daily OR Cephalexin 500\u00a0ng thrice daily. This would take care of the infection. An antibacterial cream/ointment e.g. 2% mupirocin can be applied twice daily. Painkiller e.g. ibuprofen once or twice daily would help you deal with the pain. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a friend going through a custody battle and his wife smoked marijuana and took Vicodin while pregnant with his twins. The twins are now almost 2 years old. Would any of the pre-birth drug use show up in a hair follicle test? She also used while breast feeding the twins as well.", "output": "Hi, Since the twins are already 2 years old it is not possible for the marijuana to show up in any test done on the kids. Marijuana can get secreted in breast milk and cause developmental delays and sudden infant death in kids who are breastfeed by women taking marijuana. A lot depends on the source of marijuana itself as if it is contaminated, then the complications will increase. But it is very unlikely that anything will show on blood, urine or hair follicle test conducted. Hope this helps. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have astama since a very long time and use inhalers to keep it in control. Off late I have noticed that both my hands tremble almost continuosly. It becomes very difficult to hold a disposable paper glass without spilling some of its content on the floor. Recently it became so worse that i was not able to sign my name... please advice me on this.", "output": "Hello. Thank you for asking at Chat Doctor. I went through your history and would like to make following suggestions for you:1. As you are having tremors, first I would suggest you to get your medications reviewed by your treating doctor. This is because many medications used for asthma - albuterol, levosalbutamol, theophylline, formoterol, albuterol, etc. can cause tremors as side effects. With appropriate reviewing your medications and make appropriate changes, it may be possible to reduce tremors.2. I would also suggest you stress reduction measures if stress is a significant issue for you. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you the best of the health. Thank you & Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My echo stated moderate mitral regurgitation with lvef 55% and my other three valves are mild regurgitation. I am having shortness of breath walking and resting, dizziness, some pain in chest and left arm and getting tired. I was assigned 3 different heart specialist at the same hospital, but each doctor fail to be truthful to me. I had problem with blood clot in my lung they fail to explain why my system generated blood clot. Does leaking heart valves generated blood clot that traveling through your vein and get trap in your lung? Please help", "output": "Hi welcome to ChatDoctorI understand your query and concern. Your symptoms are suggestive of Right sided heart failure and pulmonary edema. I advise you to get an ECG,2D Echo of your heart, lipid profile, hsCRP. Troponin I and chest x-ray immediately to confirm the diagnosis. Monitor your blood pressure, heart rate immediately. Chat Doctor. Avoid stress and anxiety. Avoid smoking and alcohol. I also Exercise daily for 30 min. Coronary angiogram with or without stenting will be the procedure of choice. Exercise regularly for 30 min. Stress management is mandatory in your case. Consult your cardiologist for expert management and follow up. Hope I have answered your query at the moment. Post your further queries if any, Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my diastolic blood pressure is perfect running between 60 and 70. My top systolic runs from 140 to 160. my question, I walk 4 miles 3 times a week, and run wind sprints 3 or 4 50 yard ones when I do this. I have tried to lower my top number by diet, I weight 198 and I am 6 feet one half inches tall. I take vitamins and some mineral supplements. I have C -6 Radioparty nerve damage to my left side of my neck and runs down my left arm from an industrial fall accident. I do not smoke or use tobacco in any form, I do not drink alcohol or use drugs. I do not eat greasy, salty, or fried foods . I have a compression fracture of my lower 5th vertebrate in my lower back and have 2 discs dissolved. I have been at this weight + or -- 5 lbs for the last 7 years. What else can I do to lower my systolic pressure?", "output": "Hello welcome to Chat Doctor. I have read your question and understand your concerns. Your systolic blood pressure is in the category of grade 1 hypertension which indicates that even after every effort you have tried if blood pressure remains same on multiple times than your doctor should start a mild dosage of blood pressure medicines. My advice to you is - 1. Actually you should mention your age first because after the age of 60, we usually allow systolic blood pressure up to 150mmhg. 2. Ask your doctor about 24 hrs ambulatory blood pressure monitor, which will be given to you at home, and it will record your blood pressure for whole 24 hrs including sleep. It will give definite idea about how much is the fluctuations in blood pressure. 3. Go for lipid profile, thyroid profile, kidney profile and blood sugar levels. As all of them can cause rise in blood pressure. 4. Continue all other measures which will control blood pressure. Thank you. Have a nice day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hey I have 3 lumps on my neck 2 on the side just blow my ear and one on the part where my neck connects to my jaw ends and a red patch next to the one on the right the red patch appears that comes out of my neck sort of like a grouping of small spots what do you think it is", "output": "Hi, dairy have gone through your question. I can understand your concern. You have multiple lumps in neck. It may be enlarged cervical lymph node due to reactive hyperplasia, tuberculosis or lymphoma. You should go for fine needle aspiration cytology or biopsy of that lump. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "what s the best method to eradicate psychological effect of musterbation? thanks and good day...", "output": "Hello. If you want to know how you can minimize psychological effects of masturbation, you have to first clear any doubts in your mind about the widespread myth that masturbation is bad for physical health. Once you are able to reduce the anxiety about any bad physical effects, you will be able to focus on working on the anxiety related to any psychological concerns. Irrespective of age, false information about effects of masturbation can lead to unnecessary anxiety. First, you need to work on any guilt related to masturbation. There is no reason you should harbor the guilt. If you are not causing any trouble to anyone in the society, masturbation is a natural process. You also need to avoid attaching too much pleasure feelings to masturbation, as it may lead to a few problems in sexual performance in the future. The problems are not related to any physical weakness. They are due to the habitual pleasure seeking via masturbation. I hope this reply helps you a bit. Please write back if you need more information. Take care Abhijeet Deshmukh, MD" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i am brijesh yadav from India i have been suffering from asthma for the past two years now but my asthma is most acute during the month of October and start of November and it is usually during the evening that i get an asthma attack. i am a health freak and i run everyday sometimes i even run half marathons so is it affecting my asthma ? should i stop running long distances ??", "output": "Hi, Thanks for using Chat Doctor. Physical exercise is good for health. There is a variant of asthma known as exercise induced asthma, if you get asthma attack during exercise, In that case you need to take bronchodilator medication before starting exercise, and you can do exercise depending on your strength. Consult your physician for dosage adjust me.t of medications during exacerbation of asthma attack. Hope this helps you. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just noticed a good sized area of swelling from my mid-ear down to across my jaw halfway towards my chin. It feels fairly hard and when I turn my head I feel tightness. It also occurs when I open my mouth.My ear has a different feeling, like it is a little plugged. No sharp pain involved...just a dull feeling.", "output": "Dear Sir/Madam have gone through your query and read your symptoms. In my opinion, you need to inform us1 is the swelling of recent onset, or it has been there for long.2 do you have any difficulty in swallowing.3 is there excess or less than normal saliva in your mouth,4 is it tender on touching5 any other complains like fever associated. If you have yes to these questions than probably you need to see an ENT surgeon at the earliest, as it could be a growth. I hope that answers your query. If you want any more clarification, contact me back." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 27 years old. I am a female.. Last nite i had extreme chest pain on my left side where my breast is, It was sever sharp and stabbing. It also pulsated through my back. It came on lightly last nght and then hit me severerly fast. I ended up getting on my knees rocking back and forth doing all I could from screaming in pain. The pain was definitly a 10. It last for about 25 minutes in the highest pain, all together maybe lasted 45-50 minutes. The pain was worse when i would take a deep breath. My left hand started to hurt and get numb when i had the worst of the pain. I also had a headache. I am still in pain in my chest and back but just aching pain. I feel very weak and tired since all of this and lightheaded as if things seem slow to me. I am curious what could of caused this", "output": "Welcome to Chat Doctor as per history the pain is either due to cardiac cause or cervical spine pain as per your age and as it persisted for a period of about 1 hour it points towards cervical cause .it will be associated with cervical or head movement and pain will be aggravated by head bending forwards .it will be diagnosed by cervical spine X-ray app and pa view .here you will need analgesics as aceclofenic plus chlorzoxone second possibility is cardiac disease the diagnosis has the major feature that pain will be aggravated by physical or mental stress or cold exposure .it will be diagnosed by ECG and stress echocardiography .here medicines and stent placement are done but as per your age and headache and hand numbness, and it is the severity on first episode I think it is a cervical problem .please visit emergency soon" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I experienced frequent chest pain on the left that last less than 2 minutes. Besides, I m having back pain and blurred vision for the past two weeks. Two weeks ago, I was diagnosed with hypertension after I complaint to the doctor about my very bad headache. but currently I m not under medication for hypertension. Could the chest pain relate to high blood pressure.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Yes, possibility of hypertension related chest pain is more in your case. Your headache, back pain and blurred vision are also due to hypertension. You are also not taking any treatment fir hypertension, so possibility of heart disease is more. So consult cardiologist and get done 1. Blood pressure monitoring 2. ECG 3. 2d echo 4. Stress test (trade mill test). Strict control of blood pressure is needed. Avoid salt in diet. Do regular aerobic exercise like running, cycling, swimming etc. And please start antihypertensive Chat Doctor. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi! I am 31 yrs old. I m having sciatica nerve problem since a long time. In my right leg one nerve is pulling from the toe. Now only I found that it is sciatica problem. My mother is also having the same problem. Can it be a heridity problem. pls suggest me a doctor from chennai or Trichy.", "output": "Dear user, thank you for your question, no sciatica is not hereditary, usually it happens due to common similar reasons between people, it happens because of sciatic nerve impingement. Losing weight if over weight might help reduce the symptoms. Sadly I am not from Chennai or Tricky and I cant refer you to any doctor there. Hope this answered your questions please rate as 5 if you find it helpful. Best regards, " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my daughter is suffering by dust ,smale and unknown eliments from a long time according to doctor.and she getting breathing problem at those times.she is now 8+yrs old .reading in class three.doctor has given her inheller and a tab montare.in a deep suffering condition we have to give her asthalin and budecord by nebuliser mechine.grouth rate of her health is very poor .can not want to eat food.less energetic .so what i have to do now.pls give me your valuable suggetion to keep her normal .we both are very much orrid about that. atanu bandyopadhyay. jalpaiguri.0000mail - YYYY@YYYY", "output": "Hello Mr Stand Bandopadhyay, I went through your daughters history and would like to know more about her as follows:a. What are her nose symptoms - running nose, sneezing, nose congestion - and how frequent?b. What are her chest symptoms - wheezing, breathing difficulty - and how frequent?c. Does she get symptoms while physical activities like exercise, outdoor games, etc\u2019d. Does she have frequent headaches?e. Does she have eye symptoms - red eyes, itchy eyes, excessive watering?f. Does she have any digestive complaints - frequent acidity, vomiting, constipation, frequent stomach pain, etc.?g. Does/did she have any skin allergies like dermatitis or urticaria?h. Day symptoms or night symptoms?i. Seasonal variations? Above details would help me to know more about her health and therefore to make more specific suggestions for her. At present, from your provided details, I would like to make suggestions for her as follows:1. For identification of allergies, I would suggest her skin testing for common air-borne allergens like house dust mites, pollen, molds, insect proteins, animal dander (if you have pet), etc. This will help you identify the substances causing allergies to her as well as to know the measures to avoid them.2. Based on allergy testing, an Allergist-Immunologist may also prescribe her allergen specific immunotherapy which works on immune system to gradually improve her allergy symptoms over a long period.3. For symptom relief and prevention, I would agree with your current treatment. I usually suggest my such patients regular levocetirizine + montelukast.4. Allergies and asthma are a bit worrisome but not very much. With proper understanding of the disease, care and use of medicines child Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My nephew (16yo) is complaining of swelling to the shaft of his penis. His pcp recommended he massage the area, take a warm bath. After following those instructions he now complains of increased swelling with swelling that comes & goes in testicular area. His pain is 2-4 on a scale of 10 with 10 as worst pain ever. Should he wait for pcp appt tomorrow or go to ER?", "output": "Hi there, and thank you for your question. I appreciate your concern regarding the boys issue and I shall help where I can. I would suggest also using paracetamol and ibuprofen to help alleviate the pain and swelling in this case. If the pain is still severe then he should go to an ER immediately to be assessed further and have any medical emergency excluded.Otherwise, if the symptoms haven't worsened then I would think it's okay to wait to see his GP in the morning. They would then need to try and exclude an issue such as infection of the penis and/or testicles. I hope this helps and good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am very lethargic and weak in the morning until about 2pm in the day, im being treated for b12 deficiency and stomach ulcers , only begin to get energy in the evening. have had blood tests done and diabitics all normal, have this tingling sensation in my fingers mostly left but sometimes both sides have been in hospital as got very bad panic attacks have been under serious stress the last 6 months lost a baby at 20 weeks missed miscarriage had to deliver it in hospital my son had a serious hand injury my other son fell on stairs and fractured his hand in two places and my husband left me to top it off and send me divorce papers , struggling financially, my family are not supportive as i married an indian man at a registry office without their consent and got married alone without them knowing about it they are racist anyway cannot turn to them for support as their attitude is you made your bed now you can lie in it am stuck in a rut have no motivation to do anything because of these panic attacks im getting im with my 3 kids aged 11, 8 and 5 and have no adult company, it seems to be the same thing day in day out , am trying to be positive and am trying to snap out of this its as if somebody or some thing has put a spell on my body please help thanks aine", "output": "Hi...you have many reasons to be in a state where you are currently ,,,,but it's not the end, and you have to come out of it. What you can do is consultant psychiatrist get started on antidepressants as they may lift your mood. As you have mentioned you had panic attacks and got admitted for the same, you can consult the doctor there only.once your mood get better, start trying to come out of your problem one by one, not all together.Don't hesitate to ask for help from your near or dear ones....and don't feel bad if they refuse as you are already aware that they may not help, but in this way you may get someone who can help. Start to get busy once you get your energy back as it will further motivate you to come out of task your husband to take care of child Chat Doctor. Use legal methods if he does not listen to you. Make list of your problems and deal one by one based on your priority. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I AM FACING MENTAL PROBLEM SINCE 5 YRS. MY PROBLE IS UNSECURITY, FEARFUL THOUGHTS,PANIC ANXITY AND HIGH SEXUAL THOUGHT TO OVERCOME FROM THIS PROBLEM.TAKING MEDICINES .PL. SUGGEST HOW TO OVERCOME FROM THIS PROBLEMS WITHOUT MEDICINES? I AM DOING SUDARSHANKRIYA, LISTNING BRAHMAHA KUMARIES PROGREM DAILY FOR 30 MIN.ALSO READING BOOKS ON THIS PROBLEM, I AM CONFUSED WHETHER TO DO ART OF LIVING OR ONLY WALKING OR OM SHANTI OR HAPPY THOUGHT OR MANSHAKTI OR REKI OR HIPNOTHEROPATHY OR ANY OTHER PATHY.PL GIVE CONSULTATION.", "output": "Degree understand your concerns went through your description. I suggest you not to worry too much. Please understand that psychiatry / psychology is a deep health science. Prolonged treatment may be necessary. Proper assessment is required to have proper diagnosis and treatment. Please consult a psychologist for psychometric assessment and advise on further treatment methodology. Yoga, meditation and psychotherapy are proven to assist the recovery procedure. But they cannot cure you if used alone. You must also work with your psychiatrist so that he can help you. Getting anxious about your mental conditions aggregate symptoms and those meditation methods cannot help you in that case. If you need more of my help in this regard, please post a direct query on this portal. I am happy to help you. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My son has had high fever for about 10 days. He is 4 years old and weighs 20kg. He had a running nose a week before he got fever. In the initial few days fever was around 102-103 in the armpit. After about 3 days of fever we gave him an anitbiotic (azithral). The fever didnt get better. It would get better when we gave crocin or meftal. Now we are using another anitbiotic calle Keflor. In the last two days, when we give crocin or meftal, the fever stays down for about 9hrs and starts to come back. We are on day 3 of a 5-day keflor course. We are wondering if we should get a blood test done. He is not eating much.", "output": "Hi... Thank you for consulting in Chat Doctor. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics like Literal at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15\u00a0mg/kg/dose (maximum ceiling dose of 500\u00a0mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Meftal contains Metonymic acid which is a NSAID. It carries the risk of gastritis and renal problems in the long run. Please do not use Metal. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good day sir or ma am a male, 25 year of age ,5.5 ft tall,60 kg,i have no any medical history,i dont get sick and i dont go to hospital at all. But for the past one month i have being felling hotness in my head,every day,to me think is the brian that is hot and some time i hardly remember things after i have being thought in school, i am a sex frick person i am aducted to sex and i have sex twice every day.", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. Having Sex is definitely not a sin and is a good meditation technique. We unwind when having passionate sex. But there are so many other things in between. Work, family life, roles in life, adjustment, enjoyment etc. The symptoms you mention here could be due to over thinking (obsessive thinking) which normally comes when you are stressed or when you have a lot of time to think. Consult a psychological counselor and you shall know. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi my 18 month old bay has very red testical and is red at the of his penis i have used all nppy creams but is not helping it is bank holiday and will not be able to get a doctors appointment till about tuesday should i take him to hospital thanks you nicola", "output": "Hi, When did the problem start? Is the testicles painful to touch? Any itching there? If not of sudden onset, there is no fever/discharge from penis/pain over testicle, we need not worry, this may suggest candidiasis(fungal infection). After confirming the diagnosis, this can be treated with antifungal creams like clotrimazole. In this case, you can wait for the appointment. Meanwhile, keep the area clean and Chat Doctor. Frequent wetting exacerbates the condition. Take care. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just had a stent removed about two hours ago and I cannot reach my kidney dr. I had laser surgery five days ago kidney stone I have clear urine and full control of my bladder however I m in horrible pain worst me steal cramp or stone pain ever should I go to the ER?", "output": "HelloThanks for query. Based on the facts that you have posted It appears that you had undergone URS with fragmentation of Ureteric stone and DJ stent was placed in renal unit which is removed today. The severe pain that you have after removal of stent is mostly due to 1) Residual fragment of the stone 2) Inflammation of ureter (Urethritis) This is common and gets resolved within day or two. Take broad spectrum antibiotic like Definite along with anti-inflammatory Chat Doctor. Ensure to " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had mitral valve repair done 1.5 years ago. Initial symptoms were elevated heart rate with minimal exertion. Dx with severe mitral regurgitation. Surgery was successful. Recovery went well for several weeks, then the symptoms of elevated heart rate minimal activities has come back. Lately symptoms beside elevated HR include fatigue, chest tightness/flutter feeling, leg pain climbing stairs. Recent holter monitor showed highest HR 143 with minimal activity, echocardiogram normal, EF 50%. My resting heart rate is good 60-70, 40 when sleeping. Have been given betablockers which lowered my bp, dizziness. No further answers or treament. Also have rate induced LBBB.", "output": "these complains could be a presentation of Paroxysmal Atrial Fibrillation, Paroxysmal Atrial Tachycardia, or arrhythmias, which are often common with progressed mitral reg urge, and after surgery. Rhythm assessment is very important for us to discuss on such problem, which seems missing here. Your resting heart rate appears to be in good range, the reason for your palpitations on slight exertion could be arrhythmias (which engraves due to tacky induced LBBB). I recommend thorough holder review, or use of event recorder, to further guide your treatment." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "when i was doing dips my hand slipped and i hit my elbow on a sharp corner. my bone doesn t hurt, but when i rub or hit a certain spot on my elbow skin it burns like fire on the inside in the same spot. don t know what it is and it burns really bad just with a simple touch. what can i do.", "output": "Hello, With the history it sounds to be direct hurt to the bone and the skin is irritated for now due to sensory disturbance Caused due to injury. This does not sound to be a major injury and the symptoms will subside soon. Do icing and rest the part for a week or so. Post which you can start your exercise regime again. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Can maca root give a male a bigger butt? Im 58, 140 lbs, 25 y/o. Im also a ts who is on hormones? I heard maca can balance your hormone levels, but will that affect me badly (more testosterone and less curves)? Should I just stick to my regular hormone regimen and workout routine?", "output": "Hello, I would not recommend using the mentioned herbal product without doctor advise increasing your libido. Instead, you can take testosterone supplement if your testosterone level low. Try to maintain your weight within the normal range. Kindly let me know your serum testosterone level and USG pelvis report to guide you further. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i recently suffered a heart attack in november. i was fine on the medication from hospital. but my pharmacy medication has taken away my taste. i cannot taste a thing which is making me not want to eat at all now.what can i do about this? i feel like stopping taking my medication im that fed up.", "output": "Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have loss of sensation after treatment of heart don't worry, don't take SESA I have seen this in my some patients. There is decapitation of tongue after taking medication. You can take one capsule vitamin B complex once daily for it for 15 days by consulting with your Doctor. You do chlorhexidine mouthwash twice daily. Do warm saline gargle two - three times a day. Hope this will help you. Wishing you good health," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I m 42 years old I have mild disk degeneration c4 c5 as well narrowing on c4 c5 and a bit on c6. I ve had neck pain for two years now, but the pain is now in my arm and always on my right side only. It feels like numbness but emg test is negative for nerve damage. I can t sit for long periods of time. I need to rest my neck.", "output": "Hi, as you mentioned the disc injuries, this is a classical symptom that the nerve is getting trapped in the cervical spine and if possible an MRI can be done to come closer to diagnosis. Also the reason for the pain is early fatigue occurring in the muscles. Fatigue is occurred by the reduced metabolism and in a laden sentence as low endurance. To regain the active functional life you need to focus on performing static neck exercises, push ups and later on upper limb strengthening exercises. Also breathing exercises are a must to provide good oxygen to lungs and also to strengthen the accessory muscles of respiration which will intern strengthen the muscles which supports the age. Also when aging of the spine starts small symptoms come and the muscle Strengthening plays a key role to put a hold onto the aging.Also, at a later stage you should strengthen the core and spinal muscles to keep the spine stronger. Everyday exercise keeps the body to the optimum good health. I have seen many cases and at about few weeks of time the symptoms are totally eradicated, and the body is strong enough again. With the grace of God I wish you a speedy recovery regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a quick couple questions. My son who is 3 months has very strong smelling urine, and when he farts it can stink up the whole place. Could it be the formula (good start concentrate) or his diapers (huggies). He is colic if that might have anything to do with it. He also only poops every 3-4 days and lately since he has stopped exclusively breastfeeding his bowl movements have been very liquidy and fill up the whole diaper. Please help im a young first time mom.", "output": "Hi, Everything mentioned here can be taken as normal and physiological if he is active and playful, accepting feeds well and passing urine normally (6-8 times a day). It is quite common to have some change in color, consistency and frequency of stool on starting formula feeds. If there is no much abdominal distension or vomiting, we need not worry. Changing more towards breast milk can offer some help. More frequent feeds can reduce smell of urine, as a concentrated urine tends to smell hard. Take care. Hope I have answered your question. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my wife went under widal test.Her report readsSEROLOGYTest Name Result Units Normal RangeWIDAL TEST (SLIDE METHOD)S. TYPHI (O) 1 : 40S. TYPHI (H) 1 : 40S. PARATYPHI (AH) S. PARATYPHI (BH) now i am unable to know whether she is having typhoid or not?Please answer.Thanks,Ashish", "output": "Hello, Welcome to Chat Doctor, your wife was subjected for tidal test and the lab reports of your wife suggests that all the values are under normal limits. The tidal test is a serological test which is used to test for typhoid and this is not a confirmatory test. According to the lab reports she is not having typhoid fever, but there are many other tests which helps to know whether your wife is having typhoid or not. Tests like blood culture, stool culture and urine culture will helps to know whether your wife is having typhoid. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My mom had very severe anemia Hg 5.8, She was admitted to the hospital, they did a no.of tests on her and found her ESR results were high, but the immunoglobins test was negative. she had her physical examination of the lymph nodes in her chest and abdomen and they were normal, doctor had seen some swollen lymphs in the xray, could she be suffering from lymphoma. her iron is 2.", "output": "Welcome to Chat Doctor. Severe anemia itself a cause of high ESR. On the basis of swollen lymph node we can not diagnose lymphoma. Tuberculosis can also cause chronic anemia and high ESR with enlarged lymph nodes. You should not be worry. I suggest you that your mom really need a full work up to confirm diagnosis. You should also mention complete blood count report including peripheral blood film with duration of illness. Thanx for query." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Grandson chewers his shirt & also very rarely walks mostly runs in the house. Can never remember what he ate from 1 day ago . He is very academic excels in school .. he also sticks his tongue out a lot to the point that he gets a rash around his mouth .. very well manned & loving .. my son took custody of him when he was 4 as his mother was not responsible etc she is the daughter of my sons wife from 1 st marriage . He use to cry a lot & has scares on his tongue from biting from crying . My daughter in law says these issues are just quirks I don t think so . Hope to hear from you .Thank you , Victoria Rawlins", "output": "Hi Victoria RawlinsAfter going through your query I understand your concern about your Grandson. I would like to tell you that it can be cold sore/ herpes labials that generally infect child Chat Doctor. You can ease his discomfort by - Applying ice or warm washcloth - give him chilled smoothies to keep him Hydrated - don't give acidic food, it can irritate the cold foresee a Pediatrician if it doesn't go within 10 days. Hopefully this has answered your query. Kind Regards " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good Morning Sir I am Gilbert Sumaylo. Can I ask a Question? Its all about my SGPT, I have 101 SGPT and 40 SGOT. I don t drink beverages and liquor or any alcohol, I don t also smoke. But I am really addicted in Soft Drinks like cola, and I also love to eat fatty foods. Can you help me to understand why i got 101-SGPT? Thank you.", "output": "HelloIncreased SGPT may indicate liver injury. It may be due to many reasons like hepatitis, alcohol intake, altered lipid profile, medicines,autoimmune causes etc. You may need few more investigations like routine hologram, random blood sugar, lipid profile, urine RE/ME, ultrasound of abdomen. I suggest tablet ursodeoxycholic acid 300 mg twice daily for three months to my patients. It helps in regeneration of liver cells. You should avoid saturated fat and go for brisk walk regularly. Get well soon. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I went canoing on Monday and went swimming in the river, every since then I have had some developing bug bites appear. These bug bites are unlike anything I ve ever experienced, there are three gum ball size bites on my chest directly over my heart and one on my arm. The itching is of course very fierce but the pain is unbearable and wakes me up from sleep. A cold pack soothes it but that just temperary.... What should I do?!? Please help!", "output": "Hi, It seems that due to swimming in the river water there might be having some insect bites giving this problem. There might be having some bacterial infection as well. Take some antihistamine like cetirizine or Ben Chat Doctor. If infection is more go for one antibiotic medicine course. Apply triple action cream locally. There is rare possibility of having Herpes Zoster keeping in mind of site and unbearable pain. On clinical examination it will be more care. Ok and take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "have had some chest tightness and chest pain for about two weeks now along with pain, like an ache in my left arm. I am 17 years old. I went to A&E the other day, where they performed an ECG whicChatDoctore back normal, they also did my BP and took swabs of my nose and mouth. I had blood tests about a month and a half ago, whicChatDoctore back all clear.", "output": "Hello, As you had investigated with EKG, and it is normal, so cardiac causes ruled out here. A chest x-ray can be done to check for respiratory pathology if present. If chest x-ray also normal than history regarding excess stress can be taken. Excess anxiety also can lead such chest tightness. Consult a physician for examination. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi dear doctor.i m from bangladesh.my age 27.my problem is liver.before i drink aclool .n now i stop drink.but i feel pain in liver this is long time problem.i already test blood n doctor say is liver problem.n now i feel weeknes n pain .please help me doctor long time i sufer this problem. my name is jaman.", "output": "Hi dear thanks for contacting Chat Doctor. First you have to do your USG and liver enzymes study... Here I want to rule out alcohol induce fatty liver or hepatitis.... Now following measures has to be taken. Fruits eaten more. Soft Andean diet preferable with low fat. Use very much less oil in diet... Avoid alcohol. Take one tsp cumin seed with water daily early in morning... Avoid refine food. Within few days you will be better. Then regular follow up done. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "From the last five days when ever i started fast walking, after 20 minutes i feel that there is blockage just below the neck and above the chest. this problem started when one day i taked a heavy exercise like bench press. i have no pain anywhere. what is the problem. blockage problem only feels when i stands. when i sleep that time i didn t feel.", "output": "Hello and welcome to Ask a Doctor service. I have reviewed your query and here is my advice. You mentioned that you get this feeling whenever you walk fast. Are you having high BP, obese, smoking and what's your age? Do you have any family history of heart disease? These symptoms are suggestive of heart disease and you shouldn't neglect it. Get your BP checked and also lipid profile, sugar and ECG. You may need TMT test. You can have tabbed Arbitrate sublingual whenever you feel this blockage. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "the patients ct scan report of thorax says the following: minimally enhancing mixed enhancing attenuating mass lesion across posterio-lateral aspect of right upper lobe with right axillary lymphadenopathy. TNM STAGING T3 N1MO. Opinion required urgently.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. I have gone through the report you're have mentioned. This report clearly suggest that patient is having malignant looking lung mass in right upper lobe. Patient is also having mediastinal Lymphadenopathy. So possibility of lung cancer is more. Next step would be, Biopsy from the mass to identify the type of malignancy. On the basis of the type of malignancy, further step in treatment is decided. Chemotherapy should be given to reduce the tumor size and make it more respectable (operable). Unblock resection is treatment of choice. So better to consult oncologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wishing good health to your patient. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have been suffering from chronic hip pain for 2 years. 4 weeks ago I had an MRI of my left hip and the results were as follows: There is appreciated to be quite extensive tearing of the labrum extending from the anterior to posterior margin superolaterally, the tear anteriorly having quite a globular configuration. No paralabral cyst, no evidence of cam type deformity. I have since seen my Dr and he explained that this is unfortunately inoperable. My tears are from hyper-flexibility in the joint and cutting away the shredded labrum will leave only a fraction left which will cause more pain. I am thinking of getting a second opinion as his only suggestion was for PT to strengthen the pelvis muscles.", "output": "Dear friend surgery is the only alternative to the condition but if in the opinion of your surgeon is inoperable it must be, surgeons are very adventurous by nature and will attempt the impossible most of the time and succeed, and if even then is he/she feels conservative management is better than you must trust them very few say so, physiotherapy with proper pain management will give you fair amount of recovery in due course." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a 25 year old man and always had sexual problems, visited doctor but no problems found. The problem is: at the start of the sexual act, i have an erection and as soon as I start sex, after 2 min it falls down and I need around an hour to get him back to work.. After that, my sexual intercourse either continues for 40 min or my penis dies.. Rarely, but sometimes it all goes well, 10 min and done. Please advise what shall i do?Thank you", "output": "Hello Thanks for writing to ChatDoctorYour problem is most likely due to performance anxiety or excessive sexual thoughts. You are too young to have any organic cause. It is most likely due to psychological causes. You should try to keep yourself busy in your job. You should avoid provocative literature, videos etc. You should also try meditation and yoga. This will help you a lot. Try to be natural during intercourse.Don't think much about it. If problem still persists then you may need psychological help. Proper counselling can be done by psychologist. Hope I have answered your query. Take Care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good Afternoon, I have had bleeding for almost 3 years and the dr s do not have an answer for me. I had a colonoscopy and the GI said it looked great but I still have bleeding. I will be just standing or sitting talking to someone and all the sudden it feels as if I peed myself and it will be a large amount of blood with what appears to be blood clots. any suggestions. oh and my blood work is perfect and I went to a colon surgeon per my GI request and said he doesn t know.", "output": "Hi, Welcome to Chat Doctor forum. As you describe it appears to be due to the hypertension, amoebic colitis, or intolerance of foods like milk and milk products, wheat, barley etc. malignancy may not be there because it is not found. I advise you to consult a gastroenterologist for diagnosis and treatment. I usually prescribe to my patient with such symptoms, Lorain, ornidazole, styptochrome, ranitidine, and lactic acid bacilli. Take more of green leafy vegetables, pulses,sprouts, and protein rich foods to have blood, general health and resistance against infections. Wishing for a quick and complete recovery. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my daughter is 3 1/2 years old and she doesnt let anyone change her diaper but me she will cry and scream...she wont sleep in her bed anymore said she is afraid of the dark and she has night light on and slept there before..she bites her nails and sucks her finger( i think its her nerves that are bothering her) and she humps pillows all the time. I am very concerned should i be worried?", "output": "Hi.... I feel that your kid has experienced some phenomena or incident which has been violent in nature or terrorizing in nature. Please talk to her in loving terms and try to extract what is bothering her. It is not a nervous problem at this age. Somebody might have threatened her, or she might have seen something directly or in television which is bothering the child mind. If nothing is working I suggest you get in touch with a child psychologist. Regards - " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my name is Rachel i am 21 years old and im abit concerned for the past 8 months i have had lower back pain at first the pain wasnt bad now i cant stand the pain its getting harder to sleep can u advise me on what its best to do im sorry i dont really know what to say", "output": "Hello.madam thanks for the query would like to know if had lifted anything heavy in the recent past or. Any injury now severe low back pain could be due to any disc prolapse or any retrovert uterus i would like to consider these two. For u...spondylosis. Would be another cause but with 21yrs I would NT think of DAT in your case.I would suggest x-ray L-S spine or MRI lumbar spine and ultrasound to look for uterus...pls.see a neurologist first... Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Had an ekg with result of septal infarct, age undetermined and normal sinus rhythm. This was done because I have been having dizzy spells , often with constricted pupils and have had a chronic cough for two months. They took blood and did chest xray tlday as well. Have unexplained rash on trunk. Last biopsy at derm showed granulare aneuloma (sp). Have follow up derm next week as rashes have multiplied. Doc referred me to neurology with an mri, pulmonology a d cardiology. A little scary. What are they looking for? Possible lung disease? Had pneumonia this summer which turned out to be difficult to diagnose.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, they are looking for multiple organ involving disease like connective tissue disease (CTD). CTD s can involve lungs, heart, skin, brain etc. In lung involvement, CTD can cause fibrosis, bronchitis, pneumonia etc. So your chronic cough can be due to any of the above-mentioned lung pathology. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Chest x-ray and CT thorax to rule out fibrosis and pneumonia. 3. PUT (Pulmonary Function Test) for the diagnosis of bronchitis. So better to first diagnose yourself and then start appropriate treatment. You may need antibiotics, antihistamines, inhaled bronchodilators and inhaled corticosteroid (ICS). Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my name is Crystal. Im 33 yrs old. My problem has been going on for about a yr and a half. Started out with just loss of weight and appetite and frequent movements. But now has progresses. I have movements at least 9 times a day ( I have counted) and along w loss of weight and appetite I have started having severe abdominal pain, like someone tightening a knot in my stomach. This has just started but I see my symptoms getting worse and worse. I know something is wrong. What does it sound like to u?", "output": "Ms/Mr Crystal, you are right in assuming at least after 18 months of patient observation that something went wrong with your system. Now I need to tell you a thing-mind and body are like friends and as long as they balance each other things are healthy. But either one gets upset, others suffer. So is your case. So we need to do some tests like Endoscopy and BIOS to know whether it is body affection like ulcerative colitis or Crohn, s enteritis or specific infection, or it is Irritable Bowel Syn Chat Doctor. Please be assured in any situation this is manageable. Hence, do not delay now. Consult A Entomology Dept to fix problem. All the Best to you !!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello doc,i v been married for 1yr now ,no child.has done Hsg,hormone analysis.hsg showed perifimbiae adhesions,hormone profile showed no inbalance of FSH/LH. my husbands sperm showed reduced motility of approx 60% & hes been on medications for a month now & recently i m having scanty dark menses. want to know my chances of getting pregnant naturally,then what next we should do.thanks", "output": "Hi, I think if everything is fine, you can try naturally for 6 months more. Be in contact with your husband every 2 to 3 days after your periods stop. It will increase chances of your pregnancy. Your husband semen analysis is fine. If you don't get pregnant in 6 months, you can take some medicines like camphene for the growth of your follicles and track your follicles' growth by repeated ultrasound. When follicles reach a size more than 17 to 18 mm, take injection for rupturing the follicles. Be in contact with your husband for 2 to 3 days after your injection. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. You can try like that for 3 to 6 cycles." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have noise in one ear noise due to cold for last 6 months.I also have cheast infection and noise occurs in one ear more when drinking cold water ,bathing and at exercise times. I feel some cough in throat all the time . I have taken lots of cough syrups ,cold tablets and antibiotics with injection but not feel good and also have some pain in my waist and above waist", "output": "I can understand your concern,don't worry there is connecting tube called Eustachian tube which connect nose to ear .as you have infection in upper respiratory tract including nose throat it may spread to ear through Et tube .when there is blockage of tube with mucus you may have noise feeling in the effected ear so yawning will receive the blockage simple method of treatment moreover we require CBP report for blood cell counts and ESR UNNECESSARY TAKING ANTIBIOTIC will cause more harm to body advisable x-ray PNS to check once infection nose, sinuses if relevant blood report and x-ray shows need for antibiotic use according to sensitivity by culture don't worry it will resolve soon avoid cold things and take good diet and healthy lifestyle give good result" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I have been having left sided chest pain, left arm pain, left shoulder pain, mid back and neck pain. I have been diagnosed with cervical spondylosis. I also have scoliosis in my thoracic spine and fractures in my lumbar. Is it normal to have the chest and arm pain from the spondylosis? This has been going on for months and it s making my very anxious all of the time.", "output": "Hello, I would explain that it is necessary checking vitamin D plasma levels for possible deficiency, which could contribute in this clinical situation. Regarding the pain, I would recommend using a muscle relaxant (Flexeril). Physiotherapy is helpful too. If the pain persists, I would recommend discussing with your doctor on the possibility of adding Gabapentin to your therapy. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i have a hernia that growning on my left side under my inside rib cage area do to surgery i had a year ago its hard and un even sometimes cant stand the looks of it hurts very little at this point how long to i have to carrie this thing around its makes me feel fat and wierd can or if i can have it out make me feel better seams i can t do as much as i would like i left people 4 days a week not a lot but enough to think its slowly growning i had a tumer in the colon retail/ area got it out and nothing spread just in time had a big blockage but the nursing said i was fine i said it hurt and felt sore from getting up and down to pee i was very tired and healed slow and never really feel 100 % yet", "output": "Hi welcome to Chat Doctor forum. Thanks for calling Chat Doctor. Forum. Your problem is diagnosed as an incisional hernia, and is due to the surgery done some time back. Any hernia is not recovered by itself. It definitely requires surgery, more over it is growing, so it must be operated and repaired. As it is growing there is a possibility of strangulation of the contents. So I advised you to consult the operated surgeon or some other surgeon for surgery and repair. Wishing for a quick and complete repair. Best regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have extreme lower back pain on my right side just above the button area and am in need of something for the pain. I currently had been taking hydrocodone 10/325 and naproxen and this seems to help with the pain. Was wondering if you could suggest anything else and was needing a prescription refill for both. Can you help me with this? Thanks Mike Duff", "output": "Hallo dear friend, thanks for writing to ChatDoctori have studied your case do you had any injury to back what is your age ?there might be lumbar disc prolapse leading to articular pain you need some neurotrophic like methylcobalamine take rest, take some analgesic, hot or cold fomentation avoid lifting weights sit with taking support to your back continue spine extension exercises physiotherapy - SD, IF TWILL HELP you need MRI SPINE for further query contact Chat Doctor. Com" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good morning doctor, my name is Martin, I am suffering from hernia.Yesterday I have scaned it , from the result:- hepatobiliary system says that Echotexture is increased diffusely(mild) what it mean, and the impression was:-1) Mild fatty infiltration Liver, 2)Normal billiary system, pancreas&spleen, 3) Normal kub areas, 4)No free fluid. Thanking you Martin.", "output": "Hi Martin ! Most often the ultrasound result shows fatty liver, which is not to be worried about. However, one has to go for a liver function test, and abstain from alcoholic beverages, apart from avoiding fast fried food. You should go for regular exercises and a lot of roughage diet with enough liquids. Hernia is not related to fatty liver, and its treatment is surgical for which you will have to consult a surgeon. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am 43 year old, two months back cancer diagonised in my rectum, earlier i was under impression that it is piles, my alopathy treatment is running and i have taken two doses of cemo, 14 days each, @3000 mg per day, radiation is also completed, dr advised me one month rest than they will examine, but i have pain and feeling problem in sitting walking, i lost 20 kg in last two months. pl advise me what should i do, whether it is curable. Pawan Goyal , Bhopalm 0000", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. Rectal cancer is very notorious in spread. In my opinion you are having stage 4 disease, that's why surgery was not done. For stage 4 rectal cancer, only palliative treatment in the form of chemotherapy and radiotherapy is given. Radiotherapy causes tissue destruction, pain is inevitable. You have to take centrally acting painkiller to reduce suffering. And honestly speaking, this is incurable disease. Palliative chemotherapy and radiotherapy is only to reduce suffering. It will not cure. Better to accept the situation and fate." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My dentist thinks I may have an abscessed tooth because their is a cyst (pus filled) where I had a tooth extracted. It doesn t hurt, not sensitive to cold - x-ray is inconclusive, the tooth is not loose, I can eat withpout pain. My guess is - I got a piece of food caught where in that pocket 2 weeks ago. I swished with hydrogen peroxide and poked and pfrobed with my own dental instruments. In fact, if I hadn t poked - I don t think it would have gotten infected. The cyst has only been there about a week. My question is I have heart burn. I ve had it long before the cyst appeared. Could my heartburn be related to possible abscess and if I had an abscess for awhile - wouldn t I have known it?", "output": "Hello, Thanks for consulting ChatDoctorRead your query abscess in tooth can be due to periodontal problem that is infection in your gums or OT could be due to carious tooth, decayed tooth causing periapical abscess. As you are asking about heart burn this heart burn could not be due to abscess. If you have abscess in tooth then you should consult dental surgeon for examination of tooth and investigations of Iowa X-ray to rule out the diagnosis. In meantime do warm saline rinses 2 -3 times a day. Hope this will help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "why am I still bleeding tru my kidneys when I been on antibiotics for over a month now the doctors i been seeing for this condition can not find a cause. one dr. said that people just bleed from their kidneys for no apparent reason. Is this just something they are telling me cause they dont know what to say to me or to fix me.", "output": "Is your bleeding macroscopic that is seen with naked eye or only picked up in reports. Also is it painful or painless. Kindly inform whether it is associated with any protein loss. Usually painful blood loss in urine is due to stones whereas painless blood loss may be due to leak in kidneys which requires a kidney biopsy for diagnosis. All the details are required before we can come to any conclusion." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello,I had severe atopic eczema when i was small and by puberty (12 years) it went away. My skin is under control now with minor outbreaks when i am stress (doctors say its neurodematitis)... The problem i have throughout university and 4 years of work is that i am always tired.. My muscles hurt and are stiff, my head hurts, i feel dont have enough oxygen, Brain fogginess,my feel hurt in the mornings ect... Its a struggle to get to work and when i do i am tired and energyless the full day. I have done all types of test - Thyroid, Gastro & Digestion, Food allergy, Blood circulation test, Blood test etc. All is perfect.. The only abnormal thing is the extremely high levels of IGE in my blood tests.. Is there a corelation between my constant fatigue and the IGE Levels?", "output": "Hello, Thank you for your contact to Chat Doctor. I understand your health concern, if I am your doctor I suggest you that immunoglobulin E or IGE is the antibody that is associated with allergy or atomic condition in your case. So fatigue in your case is associated with allergy, IGE never causes fatigue. I advise you to do regular early morning exercise, yoga and meditation at least for half an hour. This much effort will relieve your fatigue and makes you more efficient. I will be happy to answer all your future concern. Thank you, ChatDoctorInfectious disease specialist. Wish you the best health at Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi My father is in his 60 s and suffering badly from pains in his legs, he is on a waiting list for steriod inections to help relieve the pain but until that date comes about his in lots of pain is there anything else he can do until the appt comes ? :(", "output": "Hello, I read carefully your query and understand your concern. The leg pains can be related to many medical conditions. Beside steroid shots, your father can use other alternative treatment. I suggest trying painkillers such as Ibuprofen 400 mg to relieve the pain. It can be taken three times a day. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards! Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My child who is 4 months old ageis suffering from cough n cold.Doctor advised me to give her opox CV 100.But after giving it she suffers from loose motion.I wanted to know is this medicine responsible for causing loose motion.Can I give her sporlac to control loose motion?", "output": "HelloOpox CV may be one of the cause of loose motion. Loose motion may be due to the infection also. Many a times cough and loose stool both occur simultaneously. Give her ORS to prevent deny Chat Doctor. You can use sporadic too as it will help in both antibiotic induced and infective diarrhea. If loose stool persists, there is poor oral acceptance or decreased urine output consult your physician immediately. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have had upper right abdominal pain for many years. Have had cts, ultrasounds, liver test and a colonoscopy. Over the years when the pain comes it seems to be getting worse and changing from tingling to strong pain to continuous numbness across the lower rib cage. What should I do next.", "output": "Hi. Thanks for your query. Noted the history. You have a pain in the right upper abdomen / lower rib cage. Changes from tingling to strong pain to continuous numbness. All the tests done till now. As per the character, findings and area, I would advise you to undergo MRI of the thoracic spine. There is a possibility to find a compression on the spinal cord. IF present, get this operated, and you will fine." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I had a molar extraction in my upper right side on Tuesday of last week. On Friday, I went back because I had a dry socket and was inserted a gauze with anesthesia. Today I had to go back and get the gauze removed- the assistant scraped the top part of the extraction site to make it bleed again (it was the most painful experience), it bled, and was rinsed and cleaned out, inspected by the dentist, and I was sent home. Now, in the evening, I have a grayish, white-ish film in the extraction site and a dark red dot or hole right next to it. Is this normal? Please advise.", "output": "Thanks for using Chat Doctor. Read your query. It can be the healing site after applying medication to the socket. Take the antibiotic as your dentist has prescribed for you. If You smoke avoid it as it will prevent healing.Don't carry on vigorous forceful gargling. Do warm saline gargling. If the pain is persistent or the swelling is increasing, consult back to your dentist. Hope this was helpful. Thanks and warm regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am on my first pack of oral pills after not taking for 7 months. Missed taking tablets twice, not consecutively, also took an emergency pill. Now having abdominal pain for two days now and frequent need to urinate. Is this just a side effects of the pills or a possibility of pregnancy? Thanks.", "output": "Hi. Thanks for your query, read your history and understood your problems. Abdominal pain and frequent need to urinate may be due to side effects of the hormone pills you have taken. The chances of pregnancy are less, and you can certainly get this confirmed by Ultrasonography and Urine pregnancy test and blood tests. If positive you may have to go for curettage. Consult a Gynecologist to get more relevant tests and counselling." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I was wondering if you could help me. For a long time now I have been feeling really low and helpless. Some days I am my old self, confident and bubbly but I can fall very quickly. Sometimes I cant sleep, I have headaches and I feel so incredibly lonely all the time even though I have family. I can only say to myself so many times that I am just down but this has been going on for a long time now and things that once were enjoyable are not anymore. Is this something I should go to my GP about? Is this depression of some sort?", "output": "Hello and, Feeling low and lonely are symptoms of low mood. Low mood is experienced after sad happening in life. Normally low mood persists for a couple of after the odd happening in life. However, if low mood occurs without any precipitating event in life or persists for long duration than expected, you need to consult a psychiatrist. Depression is a separate disease process which is labelled only after presence of certain symptoms for particular period of time. Consult your psychiatrist if the symptoms are persisting for longer duration. Thanks and take care Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ive been having severe headaches since I got pregnant in 2011 they keep getting worse, I have no dental insurance and Im pretty sure its my wisdom tooth on the top right that has came partially through and broke off,now I hVe pains that put my in bed just needing sumthing hot to put over my face, it runs from my temple to my ear to my nose down the front n back of my neck, I believe its my tooth bc I stuck my finger on it n tried wiggle it to see if it was loose and pain shot into my temple and neck. Ive had 10 docs tell me ten diff things...cluster headache,migraine,tension, sinuses.... Ive been threw the books...spinal tap, tc scans...all with nothing to show for it. Sometimes ibuprofene works depending on how bad it gets before I get to my medicine but it interrupts my daily life, I lost my job due to it! If my teeth r causing health problems that arent related to my teeth would my insurance pay for it?", "output": "Hello! Thank you for posting in Chat Doctor. Please get the wisdom tooth removed immediately. Postponement of treatment further will let the infection spread to other areas of your head and neck. This is radiating pain you are experiencing in the head and neck. It is common that toothache radiates to the neck, jaw,face, head and neck. Cluster headache, migraine and all pains must be considered only after ruling out any dental pain. Do not complicate a tooth pain for general health issues. Take amoxicillin500mg and metronidazole400mg. Also take retool 10\u00a0mg DT thrice daily. This will reduce the pain and infection, I strongly suggest you to see your dentist for the removal of the tooth. You did not mention which country you are from. Talk to your insurance company regarding the benefits they give you. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Sir, my seven and a half year old son is suffering from Cerebral Palsy in terms of Spastic Diplegia in both legs from birth. He was born as a premature kid at 7th Month. Constant physiotherapy is going on since at the age one. There has been some improvement, but the main factor remains i.e. he is still not been able to stand and walk. He has no other problem except this. In the mean time we had gone to Apollo Bangalore, RECOUP, Sparsh. They suggested physiotherapy. After few years we also went to Hyderabad N.I.M.S for opinion but they were still advising physiotherapy. Last week we again went to Apollo Bangalore and they informed us that he has to undergo a surgery. So, will you please suggest a good doctor for us to proceed with the surgery.", "output": "Hi, Welcome to Chat Doctor forum. As you describe your son has no improve meet in the move meet and strength of the lower limbs. The other higher functions like vision, speech, hearing, chest, and abdominal organs. The brain must have problem at the top of the brain on both sides, without any problem else where. To be on safe side, try to find any problem in lower motor neuron problem, by consulting an orthopedic surgeon. Give him fresh juice of palatable vegetables, daily. Wishing him a quick and complete recovery. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello its kind of new for me to consult online also there is a concept that if you are physically present in front of adoctor it gives him much more information of the disease and the status of the patient.I have been recen6ly diagnosed of BPH and also came to know that their are chances of cancer prostate.Iam utterly confused of this sudden malady at the age of 60.would you be kind enough to clarify me on this.Thanking you in advance. YYYY@YYYY", "output": "Hi, Thanks for writing in. The chances of prostate cancer with BPH is less likely. However, if you have a BPH then it is suggested to get blood PSA level test done. This is prostate specific antigen and is a marker for prostate cancer.PSA is normal up to 4 NG/ DL. More than 4 NG/ DL is an intermediate risk for prostate cancer and above 10 NG/ DL should be evaluated for possible prostate cancer. The PSA test might be done every year after 60 years of age. Having BPH is common in the elderly with 10 percent of males having it at 60 years and 80 percent at 80 years. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 82 year old father called me Sunday night at around 11 pm... He said he had fallen and couldnt get up, His words were slurred.. I got to his apartment and the paramedics were getting ready to take him to the hospital.. The ER doctor told me and also showed me his CT scan and said he had a mass on the left side middle part of brain.. They took him to a larger city and the doctors there have repeated the CT and did an MRI and they say there is no mass... What could it be and how did this mass disappear so quickly ?? Any help is greatly appreciated.", "output": "I am not able to understand how paramedics could've shown you a CT scan of his head after he had fallen. Was that a CT scan that had already been done which your father just happened to show the paramedics because they certainly couldn gotten one on site. I would say that the hospital and doctors there who repeated the studies and got even an MRI which is highly sensitive for mass lesions are correct when they say there is no mass. I would have to say that the paramedics' interpretation was wrong. That's why paramedics should refrain from doing things they are not trained to do." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Dr. Prasad. I am 41 year old . I have recently developed scalp psoriasis around my ears which looks very odd.I had been to a skin specialist who asked me to get my Fe levels checked and sd i must go for some nutritional medicines from Amway which also included fish oil omega 3 which can speed up the treatment. SInce i am a vegetarian i dont want to take fish oil.Is there any other way i can get this treated?", "output": "Hello. Thanks for writing to us at Chat Doctor Psoriasis patients do not have low Iron levels neither do Fish Oils neither Omega-3 Fatty acids have any definite role in treating psoriasis. I would suggest that you visit a dermatologist who would start you on specific therapy for psoriasis usually ask my patients of scalp psoriasis to use a coal tar+salicylic acid based shampoo, daily Or every alternate days. Psoriasis is a steroid responsive dermatitis; topical treatment is mainly based on steroid+salicylic acid lotions, twice daily. Topical steroids bring about a remarkable improvement in the condition as soon as 2 -3 weeks. Topical Vitamin D analogues e.g. calcitriol, calcopotriene are alternative topical remedies for psoriasis. They are available in a lotion form combined with or without topical steroids. Once significant improvement has been achieved with topical treatment, the improvement can be maintained with shampoos. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My tongue has white coating and black spot, gums bleed occasionally. bad breath, sensitive to spicey food. unable to use the brush and paste as it hurts. had ulcers when given antibiotic called Doxy. developed itchy clitoris and ulcers got worst. Now under treatment of candiasis. Even after 2 months of treatment do not feel better.", "output": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Such severe ulcer with candida infection points towards some kind of immunosuppression. I advise you should test for the HIV and other immunocompromised condition plus blood sugar examination. Prolonged antibiotic therapy with broad spectrum antibiotic therapy like Doxycycline can cause such an infection. You can take the treatment for the candida infection like fluconazole tablet 150 mg once a week for long period of three to four months. Please maintain optimum blood sugar. This will help the Chat Doctor. Maintain good hygiene locally as well as general. This equally help prevent the infection. Please adopt good handwashing practice. This is help full in the treatment equally " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am taking Erythromycin E.S. TA 400mg (E-M) for ear nose infection with the flu. The head is clearing up but infection seems to have gone to respiratry tract which is getting worse and is so raw that I am coughing blood in yellow flem. Can I take Flucloxacillin Sodium CA 500mg as well? of which I have a full course available. My doctor is also away sick", "output": "Hi thanks for contacting Chat Doctor.... You had viral flu of respiratory tract.... But here after that you developed bacterial infection secondary to viral.... It could be bronchitis like condition that can lead blood in sputum... You might have excess cough and over effort can lead irritation and blood in sputum...Don't self-medicate.... It is better to use levofloxacin like broad spectrum antibiotic.... More water taken.... Steam inhalation also useful for cough Chat Doctor. ... If needed and congestive symptom more than antihistamines " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Im 26 year old male. I recently cut my right index finger with my pocket knife. It bleed pretty good so I went to the ER to get a tetanus shot. They also gave me two stitches. My question is, Do I need to worry about getting tetanus since I got a vaccine 2 hours after being cut? Also I read online that tetanus has like a 5 day incubation period. Not too sure what that means. Does that mean that the vaccine would have plenty of time to kill the bacteria before it can do anything?", "output": "Hi, Thanks for posting in Chat Doctor. I understand your concern. You need not worry about the tetanus shot you have taken as it is necessary to be taken preferably within 24 hours to be effective. It is give for any open wound or cut injuries to prevent a person to infected with tetanus. You need not bother for another 6 months as the vaccine would be effective. Incubation period is not for the vaccine but for the bacteria to be infective. So, you have done the right thing and need not worry about it. Take care of the wound, and it should heal by 5 to 7 days time. Hope the information provided would be helpful. All the best." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "After a long work out doing back flips and heavy activity while doing this i had a couple energy drinks i came home and took a very hot bath and a muscle relaxer and tried to go to sleep about 10 minutes later i started to get an ache in my chest and a tingling numbing feeling in my left hand should i be worried?", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Possibility of musculoskeletal pain is more but better to rule out heart diseases first because left chest paid and left-hand discomfort are commonly seen with heart diseases. So get done ECG and 2d echo. If both these are normal then no need to worry about heart diseases. Musculoskeletal pain due to long work out is more likely in your case. So follow these steps for better symptomatic relief. 1. Avoid heavyweight lifting and strenuous exercise. 2. Avoid movements causing pain. 3. Avoid bad postures in sleep. 4. Take painkiller like ibuprofen. 5. Apply warm water pad on affected areas. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi, my mothers cholesterol level is high, Dr. has given Rosuvas to lower the cholesterol levels. is it important to take this medicine. i have recently done her liver profile. the reports are very bad. i got to know that Rosuvas effects the liver. need your opinion on the same. thanks...", "output": "Hi,1. Yes, it is important to take it to lower the high cholesterol levels.2. Its common side effects include abdominal discomfort, muscle pain or tenderness, muscle weakness and liver dysfunction (liver injury).3. She seems to have developed liver injury, so I advise her to stop taking it and an alternate effective but a safer cholesterol lower medication would be prescribed by her treating doctor. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my sister seems very sick. she has been vomiting and having a fever of 101 scince yesturday. she only seems to get sick during the night though. her tongue is dark red with a white spot to the side. she has red spots on her arms. What is this? Can it be yellow fever? shes always getting bit by bugs. Please help.", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query your sister has symptoms of fever and vomiting along with spots on tongue and arms which is due to compromised immunity of body and increased susceptibility of getting infected. Fever is happening just because of that. Need not worry. I would suggest you to visit general physician once and get it examined. You should take proper course of antibiotics to fight against infection. Chat Doctor. If not taking any antibiotic start Norfloxacin for 5 to 7 days. Get culture test of urine done again after few days and start treatment accordingly. Avoid intake of outside food. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, Im into boxing, and a couple of weeks back I had a bit of a skin reaction to a pair of gloves I used. It left blotchy rashes in small clusters on both of my hands. I expected it to go away in a couple of days like a sweat rash, but about two weeks or so later its still there. Right now its very dry and flaky, but if Im in any sort of warm condition or if I try and wash it the rash turns red again. Its not itchy other than towards the eveningtime. How can I get rid of it? Its so unsightly.", "output": "From the information that you have given it looks like you are having \"Contact Dermatitis\"I would suggest you stop using those gloves. Please use cold water to wash your hands as it decreases constant irritation of the skin over your hands. You will also need antihistamines tablet to decrease itching and also steroid cream for local application. Please consult your family physician or dermatologist for prescription of the medications." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor,My name is Kavitha and i am writing for my husband. He is 29, has come problems in the lungs. Some fluid is accumulated in the lungs and there is a mass of 7.2cm, all the test results says there is no lungs cancer cells, or tb. Can any one please help me out with this. Many Thanks for your help in advance. Kavitha", "output": "Hello dear Kavita, warm welcome to Chat Doctor.come have evaluated your query for your husband in details .* There must be definite diagnosis for the management.* The type of pathology is mandatory to guide further. I recommend lung biopsy from the mass for deciding further plan of action.* It would be of great help if you attach his reports of lab, x-ray , Ct scan herewith so that I can guide you still more accurately. Hope this will help you for sure . Wishing him fine recovery. Welcome for any further guidance. Regards ." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Yes Hello My name is Donald Bowling and I have been suffering from long term pain in my back. Ive been told that I have several bulging discs and have been told that I have been needing to see a back specialist for years. My last doctor had even tried to get me to go to the pain clinic for several years now. The dr took his finger and pushed in on my lower back and it collapsed me to the floor. At ti,es when the discs are bulging they swell out really badly causing extreme pain. degenerative bone disease also runs in my family and for over 6 years, ive been trying to get an mri performed to show everything that is truly wrong with my back. My old Dr said he was sure of the bulging discs because I came in to his office 1 day and they were bulging really badly. I really need help. Ive worked in masonry all my life and have been in many different car accidents and even had Dr Mccarthy want me to do surgery on my back but ive heard many things about him and was scared to allow him to do it.. Ive been on hydrocodone 10 milligrams for almost 6 years and they just don t help anymore and as being the provider for my family, its making it really impossible for me. Everytime ive brought it up to my old dr they suggested the pain clinic but I came to the conclusion that in my line of work I will always need something for pain because masonry is extremely hard on all parts of the body but I also think that there is a lot more wrong with my back than can be seen without an mri, so I asking for some help for me and my wife and kids cause they look up to me to provide for them but it gets harder and harder on a daily basis, thanks Donald Bowling this is just a rip off for u to get money", "output": "Hi I am Chat Doctor. . I hope you feel better soon, actually low back pain due to nerve compression or disc herniation is always a chronic neuropathic repetitive pain. It responds very well with physiotherapy sessions with a good chiropractor, spinal straightening exercises, daily hot massages, decreasing your weight and avoidance of heavy lifting, bad sitting and sleeping postures. You have to maintain a healthy lifestyle with a good physical profile to decrease the need or chance of medical or surgical interventions. You mentioned taking HY" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Ihave a wound where they took staples out in my leg", "output": "Hi thanks for asking this on Chat Doctor. Wound infections occur if you had not been prescribed antibiotics after the procedure or if you failed to take the tablets correctly given to you. The air surrounding is filled with lots of microbes so if you have not taken good care of your wound it can happen. Even in hospitals you can get such infection transmitted. The treatment for that is antibiotics and a wound culture should be done for finding the exact cause." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "On a scale of 1-10 the pain is a 7. I have extreme pain starting from my left neck going down to the joint of my sholder it also goes down along the back bone. The pain causing an ache in my left arm... When i try to lift my arm over my shoulder it hurts. the same pain is causing pain down to my lower left side of my back leading into my left hip.... Really really sore... Aleve doesnt aleeve it.... what is going on?", "output": "Hello ! How long has the pain been ? Is it accompanied by any other symptoms like weakness in arm / shoulder muscles or loss of sensation in the arm ? The history of how this pain started will play an important role in deciding about further investigation and diagnosis. Symptomatic treatment will include release of muscle spasm or trigger points in the muscles if any (which I would generally expect in such a case) and which is a cause of pain during movement, stretching of the affected muscles, taping to keep those muscles in the optimal function and exercises further on to improve muscle balance. Your physiotherapist will be able to evaluate it differentiate between a muscular pain or a nerve compression from a discography. The treatment in either cases, starts with symptomatic relief of affected structures, with some advanced physio therapeutic techniques in case of nerve or disc involvement. Please go to your physio for an evaluation who will refer you to appropriate specialty if needed. Hope that helps !" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am 19. I have a lump on the back off my head that comes and goes. I use to get it when I was younger, and it never bothered me unless i hit it while brushing my hair. Now, sometimes when it comes back it feels like it is progressing in pain. I also get a headache that follows but I get tension headaches so much I don t think it is connected. Should I go to a doctor to get it checked out??", "output": "Hi, dairy have gone through your question. I can understand your concern. Your lump in back of head that comes and goes is reactive lymph node hyperplasia. No need to worry about that. Just be relaxed. Your headache is not connected with that. For headache, you should check other cause like hypertension, refractory error etc. If you don't find any causes then MRI can be phone if required. Consult your doctor and plan accordingly. No need to worry about lump. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello. I was just diagnosed with a creatinine serum reading of 1.24 and 50% function per my blood tests. All other results on the blood test were normal. I have been treating high blood pressure for many years which has been in control. Next, I am doing the 24 hour urine test, more blood tests and an ultra sound. Are these numbers found on my first initial blood test be caused for alarm, such as mentally preparing myself for dialysis in the future? The doctor said he feels my function percentage is higher but needs more test results to be sure. I am a white female which I am understood that this makes a difference in the results. Please help. Thank you so much, Cindy", "output": "Hai, Creatinine level is an indicator for kidney function. Depends upon the blood test report we can assess the functional level of kidney periodically. As lifestyle and food intake will highly influence the kidney function. So periodic assessment will reveal the status of kidney. Result may vary if the proper diet control and lifestyle not followed (like high protein intake)if your functional percentage level goes down consistently then you are in need for dialysis.it will be decided by your treating Nephrologist. Thank you hope I answered your query" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi my son is 13 years old and has had fever since this afternoon of 103.7 I gave him two Motrins but the fever just went down to 102.3 4 hours later I gave him two Motrins more because the fever went back to 103.5 That was two hours ago and the fever has gone dawn only to 102.3 What should I do?", "output": "Greetings. Just relax and don't panic. Better take your son to any nearby doctor, who determine the reason behind the fever by examination and necessary blood tests etc., Sincere advise for betterment of your son(or in general anybody) is that do not give any medicine prior to doctor visit(self-medication), as it alter/ delay/ become over or low dosage/ all of which affect not only outcome of treatment but also dangerous effect to various organs inside the body if not taken without proper prescription by doctor. In this situation tablet MOTRIN shouldn't be taken(given) more viz., 2 or 3 or more, as you wish, since you don't know at 1. What dosage you are giving it to your son?2. How much/how long it should be given? Can it be given to your child Chat Doctor. , all are decided only by your doctor after personally seeing him.Meanwhile, at home give him cold(not ice-cold) compress all over body with help of 5-6 towels for 10-15 minutes. If towels become hot take out, dip it again in cold water and repeat within that 15 minutes. Wait for 2hrs and repeat for 15 minutes till you go to a doctor. Note: These are just guidance and not a definitive treatment as I haven't seen your son personally. Hope you understood the seriousness of self-medication, and it helped." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have been having headaches, cramps and sensitivity to smells lately. My left breast is heavier than the other and this morning when i squeezed it, clear discharge came out of part of the nipple and white discharge came out as well. I may need a preg test done by blood because 2 came back neg. Are these signs and early symptoms of pregnancy?", "output": "Hallow Dear, The first cardinal symptom of pregnancy is missed period. All other symptoms appear about 10 days after missing a period. You have not mentioned your menstruation. If you have missed your period, then secretions form the breast and heaviness of the breast do support the diagnosis of pregnancy. The urine pregnancy test gives most reliable results if performed on the overnight morning first urine sample done about 8-10 days after missing period. Otherwise, Beta Chat Doctor test gives reliable results even few days before missing a period. If you have not missed a period, these symptoms cannot be attributed to pregnancy. You never get cramps in the abdomen in normal pregnancy. Such pains are not good symptoms and indicate Threatened abortion. If you have missed your period and still the pregnancy tests are negative, you have to consider some other possibility for missing a period. You can induce period by taking Tab. Devilry for 5 days. If without pregnancy your breasts are having secretions through the nipples, please get blood examined for Prolactin. Its increased levels cause such secretions in non-pregnant woman. In that case further investigations may be indicated. You will have to take a Gynaecologists' opinion then. I hope this helps you. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "sometimes, everything in the room seems like its moving so fast I don t need my glasses, and I can see things that usually aren t possible to see I hear things I usually cannot hear when this happens my head starts to hurt horribly this has been happening since I was 8", "output": "Hi dear, There are many reasons for having unusual hearing and vision.it may occur in certain substance use like alcohol, cocaine, LSD, opioid etc. Also such features appear in organic brain pathology like brain injury, brain tumor etc.Also, certain psychiatric condition also like schizophrenia, psychosis etc. So for detail history and to differentiate above condition consult local psychiatrist. Thank you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, I am writing in regards to more information about pregnancy. I am worried about an incident that occurred last month. My girlfriend is on the birth control pill and has been for the past 3-4 years, never missed a pill. My issue is that I am allergic to different substances and creams of any type; therefore we do not take any other protection rather than the pills. My girlfriend ended up having a urinary tract infection and had to take Cipro pills for 7 days. We read that it takes 3-4 days until the antibiotic is completely out of the system; therefore we waited for a month and a half before we continued in our intimacy. It has been 3-4 weeks now that she has been sick in the morning, twice that she threw up. She may think that she is stressed with all upcoming exams, but we are concerned for I have read online that the pills do not take affect until a month to three months. Can you please provide more info as to what may happen and if she is pregnant, our alternatives?", "output": "Hi, I have read your query & understand your concern. - Provided your girlfriend did not have a break in taking contraceptive pills-she can not conceive. . - oral pills offer very good protection when taken regularly & there is no need of taking additional precaution for contraception Her vomiting, in that case might be due to psychological stress/ hyper acidity due to over stress of studies. Thus missing normal sleep & rest. Still to clear the doubt, she can go for Pregnancy test of urine (HPT)after 8 days delay in her periods. & in case it turns +ve she has to consult a gynecologist for MTP. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I am 30 years old. I have this weird habit. I like to crunch and eat raw rice. A lot perhaps a day. I developed this habit when i was 20, so i have been eating raw rice for the past 10 years. During my pregnancy i got to know i am a talasemic carrier, and i stop the habit wondering it could effect my baby. But after delivered my son, i continued the habit. Is this habit related to to my low hb count in my blood? I wish i can stop this habit. Can you please give some tips to stop this unhealthy habit. Is this habit harmful?", "output": "Hello Thanks for asking from ChatDoctorYou have habit of eating rice on compulsive basis. Eating non-edible or non-necessary substance is called as Pica. It is a psychiatric disorder seen commonly in child Chat Doctor. A lot of persons who have Pica show iron deficiency anemia. The habit will not have any serious effect on health but as this is very distressing and embarrassing, so you should consult a psychiatrist for treatment. Iron and Vitamin B12 supplements are one modality of treatment to treat nutritional deficiency if any. Fluoxetine is a SSRI " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i m 30 years old man and i have problem with sex the problem is in normal time my penis stand properly but when i want to do sex with girls it does not stand and some water comes in my penis and it is difficult to stand ...because of this my sex activity is become weak..so can u tell me a solution and treatment please.", "output": "Hi, thank you for using Chat Doctor. I can understand your concerns As you reported your penis stand properly in normal time means there is nothing wrong with your body. But lack of erection while having sex with girls support some psychological issues. Lack of desire, lack of arousal, poor confidence, worrying about performance etc. may be the reason behind your problem. Feeling of water coming out of penis while erection may be the fluid coming from prostate, and you do not need to worry about it. For good erection while sex first be confident as you have no issue with physical. Proper arousal in both the partner is needed, for this time should be spent in foreplay. Do not worry about performance and enjoy the intimacy. Talk with your partner about your problem this will reduce significant amount of anxiety, and you will be able to perform better. Hope this will help you. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor, My 2ND SGPT test result this month is 68. I am female, 51 pounds, 5 ft and 3 inches in hieght, 47.5 years old. I am worried about my SGPT test result. Need your advise what needs to be done. Are there medicines for these? What food should i avoid.I just have my fissurectomy/spincterectomy last September 2010, colonoscopy last Feb 2010, and TAHBSO and hemmoroidectomy last January 2010. I am currently taking remifemin 20 mg 2x a day and taking c-lium during breakfast as i am constipated. My procto advised me to avoid being constipated due to my bleeding of my spincter. until now, if i move when constipated, bleeding occurs on the first wipe on the tissue paper.I am not an alcohol drinker. I drink rarely before but only small amount.", "output": "Thank you for posting your query. You need NOT worry as its a1. MILD increase in the enzyme level and 2. IF your Epic viral serology is negative and Lipid profile is normal.it is may be due to use of a medication, or maybe a false positive result. Your advice:- LOW or fat free diet should be followed-Moreover, less activity should be carried out (no sports). - use lemon juice (lemonade) once in a day-recheck liver enzymes after 4 weeks. If level continues to rise, visit a hepatologist asap. Wish you good health. Further queries are welcomed. Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .wish you good health. Regards, Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Doctor , my name is manu , age for 30., i will check to ultrasound scan -abdomen and pelvis that scan result for impression: GRADE II FATTY LIVER. USG KUB AND PROSTATE WITHIN NORMAL LIMITS. SO Please give this result , which treatment for good , please give me this result diagnosis", "output": "Fatty liver is a condition where Triglycerides (a fat component) accumulates in the liver cells. It is a reversible condition. Fatty liver can arise out of excessive alcohol consumption, or it may be nonalcoholic (as in obese and diabetics). Certain Chat Doctor. Grade 2 fatty liver is mainly a finding on USG, where the liver as a whole looks whiter. It is reversible. The fat deposits in the liver cause inflammatory changes and if allowed to progress, may cause hepatocellular injury, and lead to chronic liver disease. The best way to deal with this problem, is to cut down on alcohol intake (if you take it), gradual weight reduction (if you are obese), reduce intake of fat and refined carboy" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a knot on the back of my head, it appeared about 3 days ago. It started out small and barely noticable. Now it is about 1/2 inch long and 1/4 inch wide. It is very painful and extremly painful when it is touched. Even some area around the knot is painful. I did not hit my head or can think or any other cause to where this knot came from. I had a nurse look at it to day, she had no idea what it could be but, ruled out pimple or infected hair folical. I am having headaches and slight trouble focusing, which in normal for me when I dont get enough sleep. But, it is torture to lay my head down to rest, and if I postion my self where I am not laying on it, it is still painful and very uncomfortable. I am more concerned with what this knot is and how to get rid of it than anything else. Please help.", "output": "Hi, DEar, thanks for your query to Chat Doctor. I studied your query in depth.1-In My opinion the painful knot on the back of your head appears to be a spider bite/insect bite/bedbug bite-with infection-cellulitis at the back of your head.2-Or it could be unnoticed early progressive folliculitis, which your nurse missed.3-I would suggest you to check with doctor, who would CBC, X-ray skull, for to rule out the unforeseen cause of the headache with the painful lump in your back of the head.4-Hope this would solve your query.5-Wellcome for any more questions on new or this subject also... Have A Good Day.!!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Yes my father was diagnosed with Hypertrophic Cardiomyopathy with mitral valve regurgitation. He has not had surgery for it, quit smoking 6 years ago, does not have high blood pressure, is not over weight, and recently has an increase in shortness of breath with light activity and occassional increase in tingling down his arm....what should we do? Our cardiologist cant get him into their office until February 22", "output": "Hello, In hypertrophic cardiomyopathy there is dynamic blockage to passage of blood from the heart to the body giving rise to symptoms you just described. It's a complex condition which needed detailed evaluation and discussion on treatment. However, as he has started having symptoms. The best medication to start is beta blocker metoprolol 50 mg and built to maximum dose (about 200 mg) keeping a tab on blood pressure and pulse rate. He should not be asthmatic to take it safely. A blood thinner like small dose aspirin 75 mg would also help till you see your doctor. An echocardiography for gradients, 24 holder if he has palpitation and other investigation based in his initial evaluation is justified. A Call for surgery can be discussed with your cardiologist based on the reports. Let me know if any clarification needed. Regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "yes I have in the past 4 or 5 days I have a had traveling Pain it started in my shoulder where i could not rest my arm on my door of my truck, then I had pain in my lower back, then i had pain in my finger joints ( I went to remove and install a battery in my truck when i went to lift the battery it was like i have never experenced I have done this 100s times ) then the pain will allmost all go away. today went to put a two way radio in my back pocket of pants used index finger open pocket to slide radio in pocket and the pain was incrediable and lasted over 5 hour This is just some of the pain issues, Im told it could be lyme s but i dont know", "output": "Hello, Causes of migratory pain in the shoulder are:- 1) Injury 2) Cervical spondylosis 3) Gallbladder stone 4) Underwent gallbladder surgeries 5) Referral pain to chest pain. You can take the tablet Broken. Apply Diclofenac gel or spray. Treatment mainly depends upon underlying conditions. Kindly follow with detailed history or consult with orthopedics. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 9 yr old daughter got stung by a bumble bee 3 1/2 hrs. ago, in the middle of her forehead just above her eyes. She is swelled and hs trown up repeatedly for the past 2 hours. We gave her 2 tsp. of benedryl liquid 10 minutes after her sting occured. I also gave her Motrin, but she has trwon it up twice. She keeps complaining of a terrible stomach ache and she dry heaves about every 20 minutes. What should we do?", "output": "Hi... Welcome to Chat Doctor . I have gone through your query and can understand your concerns... As per your complaint it seems like a severe allergic reaction with the bee sting and all the symptoms are due to it. You should consult an Emergency room and get her evaluated and if required they can give injectable anti-allergics for relief along with medications to reduce vomiting. You can also do cold compresses over the sting site, give her plenty of fluids and sufficient rest. Continue giving Ben Chat Doctor. . Hope this information helps. Thanks and regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I have taken Xyzal for several years to control my chronic cough. it s the only thing that seems to work. However, in the last 18 months, my kidney GFR has fallen to 58, and stayed there. I have no other risk factors for chronic kidney disease---no diabetes, my blood pressure has always been normal, my cholesterol is within the normal range and I have no heart conditions. Could this low GFR be caused by Xyzal?", "output": "Hello, Rizal do not cause kidney problem commonly, but it is mainly excreted through renal clearance so when kidney function is impaired it should not be taken or if necessary to take then in lower doses. So, most probably you have some asymptomatic kidney related problem before you started the treatment / may you are taking some other medication. Consult your treating physician in detail. Thank you for consulting Chat Doctor." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband is 44 year old and is lightheaded when he layed down for bed. He said is heart seems to be skipping beats and his breath feels different. He will not let me call 911 nor will he go to the ER. He did agree to see a doctor on Tuesday morning before work. How concerned should I be? He said the symptoms is gone now. Heart problems run high in both sides of his family.", "output": "Hereafter going through the medical details provided by you, I would like to tell you that as of now there is nothing emergency or serious thing to worry about. Probably he had experienced few ectopic. Cut down his coffee intake or any other Chat Doctor. Smoking should be completely stopped if he smokes.However, as there is a strong family history of heart disease then it's highly advisable for him to go for a basic cardiac check up which should include an ECG, ECHO and a TMT. Kind Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "For curiousity sake is it usually the case that a person with hydrocephalus have a seizure disorder as well due to imbalance of electromagnet current in the brain? I have had hydrocephalus since I was 3 months old. I am 55. I had my seizures start when I was 17. I take a lot of medication and also have a vagus nerve stimulator. I hope this is enough information for you. i can add to it if need be.", "output": "Hi, Thank you for posting your query. Generally, a person with HY Chat Doctor. So, we need to look for other causes for your seizures. MRI of the brain (epilepsy protocol) can help us find out the reason for your seizures. Sometimes, no cause can be identified, when it is referred to as idiopathic or cryogenic seizures. I hope it helps. Please get back if you require any additional information. Best wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had bronchitis right after Thanksgiving. I still have a cough. It may be absent for 2 or 3 days and comes back. I know it is not pertussis as I had a booster several years ago. No fever, I don t even feel bad but sometimes cough until I can t get my breath.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion you should get done PFT (Pulmonary Function Test) first. Because PFT is must for the diagnosis of bronchitis. It will also tell you about severity of the disease. And treatment of bronchitis is based on severity only. So get done PFT first. You may need inhaled bronchodilators and inhaled corticosteroid (ICS). So better to first diagnose yourself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Sir, I am currently having problems in the liver , the reports said its Fatty Mild liver and my ALT reached at 89, I feel lots of pain in my back, kindly advice what I have to do as my doctors medicine did not work that much and the pain is still there, please advice the remedy and things which i can eat and drink to make it to normal again. Thanks, look forward for your valuable inputs on it.", "output": "Hi, Thank you for writing in Chat Doctor. Fatty liver condition which needs to be treated promptly and specifically. I would suggest the following1. Restrict the intake of fatty foods.2. Regular exercise.3. Plenty of water consumption per day.4. High protein, low carboy Chat Doctor. 4. Medications to be taken. A combination of sorbitol and trampoline citrate for at least 6 months.b. orbiting containing compounds for a months. Silymarin containing medications for at least 6 weeks.d. vitamin B complex supplements. The above treatment needs to be continued for 6 months. Repeat liver function tests and USG abdomen after 6 months. I am sure this will give you relief." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello sir, I am 23years old and recently married( love marriage). What to tell, just suffering alot. Not lasting even for 1min. And my pennis is thin in the root. Respected sir, pls suggest me what shall I do to get rid of it. Pls... she never tell anything but i can feel her feelings... pls sir help me.. My mail add: YYYY@YYYY YYYY@YYYY Phone no: +0000", "output": "Howell come to ChatDoctorI really appreciate your concern, actually erection takes place in brain area, signal of this generated here and this is happening due to some stimuli like, touch, talking, visual, etc. even slight psychological disturbances could affect this process, and cause erection dysfunction, so come out of the stress, anxiety, apprehensiveness, everything would be fine soon, take care, have a nice day." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Dr. kindly let me know ifi gave the sperm for test after 12 hours the result is 30million/cu.m.m sperm count motility is actively motile 5 slightly motile 50% dead 45 % abnormal forms 30- 40 % what are the chances of pregnancy if i have sex in my fertile days?", "output": "Hallow Dear, I do appreciate your concern. Though only one sperm is required to fertilize the ovum, it has to travel up to the egg. Lower the percentage of good motile sperms, lesser are the chances of conception. Your good motile sperms are hardly 5%; hence the pregnancy cannot be guaranteed though not impossible. I feel you may choose one of the following options if natural conception fails:1. Intro Uterine Insemination : The sperms after incapacitation are directly instilled into the uterine cavity2. Intro Cellular Sperms Injection : The healthy single sperm is injected in to the ovum. 3. In Vitro Fertilization : The egg fertilized outside the body and then is instilled in to the uterine cavity. I feel one of the first two should be appropriate for you if natural fertilization fails. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dec 2011 fell during a structure fire in woods. suffered traumatic injury to left inner and top thigh from landing on chimney and concrete. Assumed I broke my nose bc that s the pain i felt at the time. I suffered a concussion as well. within a couple of hrs my L leg started to hurt. went to plug phone in back at the FD and experience severe sharp pain. checked L leg which presented with two large bruises. within two hr.s I was unable to walk on leg & had sever pain! All Xrays were neg at Urgent care. was sent to Hip Dr. then back Dr. As time went by noticed left big toe had some numbness. I was sent for a Spinal Epidural Injection. I was not comfortable with this but told it would rule out leg ligament injury VS back. 1st shot did nothing, Shortly after the second shot my life change for the worse! Rather sudden low sacroiliac pain from hip to hip. Neurological leg pain now runs from Lt Sciatic to back and side of leg. the worst pain runs from lateral side of leg between the lower thigh to back of calf! have also lost more sensation to big toe. I believe the injection caused damage unrelated to the injury from the fall. The leg is getting worse as time goes by. I have fallen several times do to standing up with the left leg 1st. i was subsequently suffered a very bad fall and head injury do to the weakness. Any idea what could be wrong?", "output": "Hello, I have studied your case. I will advise MRI spine to see for any nerve compression leading to hip and thigh pain. Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain; you can take them consulting your treating doctor. You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case. I will advise checking your it B12 and it D3 level. As MRI shows disc compressing on nerve root then surgical decompression is permanent solution. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi sir,my foreskin is not able to pull back.. i read some posts and stretched few times, it got expanded little bit. now i am able to insert one finger inside.. i dont want to go for circumcision, please help me in that.. do i need any cream to stretch. thanks,hh", "output": "Hello share your concerns could be due to Mitosis in which condition foreskin fails to retract would like further information to help you better libelous age and any history of unprotected sex? Is it since birth or recently developed? You can apply lidocaine ointment, and you should try to retract it very slowly please don't leave it retracted you once you attempt to manipulate it by rolling over the glans, in the end please leave it over and in front of the glans. If you don't succeed than you may require circumcision. Hope this answers your question Best wishes" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, about 4 weeks ago I was moving a large object at work whn o heard a pop like sound under my left rib cage. Its very painfull,but now it has turned into a golf ball size hard not..iam not big on running to DRS office,but now iam concerned. Any suggestions what it May be,or and I kno the answer to this but seek medical attention? Regards James", "output": "HI. With your classical history, this looks to be a hernia for sure. It might have been there for long but well-contained. Now this is the push from inside due to increased intra-abdominal pressure the weak support got lost and so it popped up. Well, with such a big hernia at a lesser-known place, I would request you to consult a Doctor / Surgeon and may be get operated. There is no medical treatment for such problems." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I am a 29 year old female who is has and infection in the root of a tooth and has been on amoxicillian for the last three days. No allergies . But over the last few hours the side of my face that my teeth that need to be taken out on has become slightly swollen, cannot shut eye by itself, almost like the muscles aren t working, there is no numbness or pain and the eye looks fine, vision is fine and the eye follows on it s own when following the tip of a finger left and right. Please help. Could this be a pinched nerve? or a stroke? One side of my face isn t as responsive and its the side that the bad teeth are on.", "output": "Hello...your present swelling is because of the infected tooth which you said is to be removed. Amoxicillin is not working on your condition, and you need a more advanced antibiotic and painkillers. This swelling will go gradually, and you need to take some precautions like, do not eat or give pressure on that side. Do not sleep on that side of face else it might increase your swelling. Consult your dental surgeon for change of your medications. It can be possible that if possible Root canal Treatment can also help you combat infection. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i m talking abt my mother she is 56 year old. she can t trust to anyone, she is angry and reacting on small-small things. talks much more on it.she is doing more work so as she may want to busy the whole day. due to this she said i m busy the whole day.the whole family disturbed especially my father. he is retired. please help me the problem is serious.", "output": "Hello, Thanks for choosing Chat Doctor for posting your query. The description that you have given is not sufficient to comment on the diagnosis, but it appears that she may be suffering from a serious mental illness like schizophrenia or schizoaffective disorder. But then we need further details as certain times even normal people can have these kinds of personality traits. You should take her to a psychiatrist, you can examine her in detail and prescribe her some medications. Hope I have answered your query. I will be more than happy to help you if you need any further clarifications. In case if you want to discuss with me directly you can use the link:http://www.ChatDoctor .com/Funnel?page=askDoctorDirectly&docId=64634Wish you a good health!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have knee pain in my right knee a little in the front lower section and then a lot in the back left bottom corner. I had stepped off a step in the dark and hurt it but not that bad. I golfed the next two days and then over the past 4 weeks its gotten better then worse then better and worse", "output": "Hi, Thank you for providing the brief history of you. Need of a musculoskeletal assessment with special tests for the knee is recommended. Also, as mentioned by you, the pain region, it appears you may have sprained the ligament in the knee joint, mostly there are few to get sprain are the Anterior cruciate ligament, meniscus and medical collateral ligament. To find out which ligament has got sprain an orthopedic special test can be performed and checked out. Also, an MRI will help understand the extent of ligament injury, as in MRI the ligament are visualized. Also, treatment will be planned accordingly. The treatment includes - rest, medication for pain and physical therapy for pain, strength and mobility. Based on my personal experience if the Spain the recovery is 99%. RegardsJay In Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi..doctor gud morning to u..my sisters is 21 n she is been complaining severe pain in the abdomen, when we went to check for the prob, my GP told to get checked for thyroid..I wonder who are the specialist doctor i can approach for her treatment in hyderabad and should be affordable toothnx shariq", "output": "Hi. As the main history is related to the severe pain in abdomen, you have to consult a gastroenterologist. There is no problem checking the thyroid function tests along with Blood-complete blood picture, kidney functions tests, blood sugar fasting and post-lunch, Urine-routine, microscopy, culture and sensitivity (before start of antibiotic)Ultrasonography of abdomen. Once you get a proper diagnosis, the treatment will be an easy task." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here..Hi im a 61 year old male with diabetes I cant seem to get warm,Im tired all the time, I have pains in my left lower abdomen and im also sweating from mid abdomen to mid thigh..", "output": "Hi. An elderly male of 61 years old, having diabetes gets a pain in the left power abdomen and sweating from mid-abdomen to mid-thigh. The probable cause can be colitis or enteritis, uncontrolled diabetes and possibly diabetic neuropathy. I would advise you to get your blood sugar checked as also other tests like CBC, urea, creatinine; stool and urine. Ultrasonography of the abdomen. Get a course of the antibiotics and metronidazole, continue anti-diabetic treatment to keep diabetes under control. Further treatment will depend upon the clinical check-up by a Doctor, reports of the investigations. Take only home-made fresh food, boiled cooled water." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "iam vijay age is 23 i manstrubate(from 6 years) daily now my penis not raising properly but it is not raising hard is .it raises when i see ***movies and falls witin less time is there any problem plzzz tell me should i consult any Dr. and i WANT TO STOP manstrubate plz tell me", "output": "Look habit is very difficult to change but if you strongly determine that you have to leave masturbation then the chances of your success increases. Masturbating daily is not good for health, this means you either have less intimate friends or not much supportive family members. Masturbation as such is not a problem but as I said excess of everything is bad. So do not stop masturbation suddenly but first increase the gap between two masturbation and gradually keep on increasing this gap and increase your interest towards studies and extracurricular activities so that your mind is diverted towards career and not masturbation. Contact a psychiatrist or clinical psychologist." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my son aged 31 years is diagnosed as mild mental retardation with seizures with psycotic component (habephrenic schizophrenia).he is on drugs/eptoin,respirodone,divalproex sodium.His seizures is under control.HE IS NOT ORIENTED IN SPACE& TIME. hE IS DEPRESSED SOMETIMES.he has old memory, but now he is not intersted in anything.his eeg&ct brain are normal. CAN HE BE MODIFIED BY VARMA THERAPY", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. It is Maria therapy. Maria therapy is an ancient system. Such therapy has very few scientific explanation or backing. Presently there are no experienced practitioners of that system. Therefore, please do not deviate from the current medical procedure. For the given problem, current treatment is apt and perfect. Work with your psychiatrist and co-operate with him. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just came back from dermatologist who explained that my hair loss is due to low ferratin which is 38.i started hair loss in october 2010 which stopped about 4 weeks after i started treatment of mionoxydyl and iron supplements and it stopped for 7 months but i lowered my dose of iron for two months and hair loss started again but been put on 2 iron tablets a day of 400mg.could this have caused my hair loss.dermatologist says it is teflum caused by my anemia.I am 41 years old,70kg height 1.68mtres. do suffer heavy periods.", "output": "Hi, Low Ferritin is a significant cause of hair loss especially since you mentioned heavy periods. Along with supplements, I suggest you also work on Iron rich foods like green leafy vegetables, beetroot, mint leaves, red lentils, apricots, dates to name a few. I also suggest visit your gynecologist to rule out the cause of heavy periods. Hope I have answered your query. Let me know if I can assist you further. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "about 6 months ago i was playing soccer and i got kicked really hard on my leg and because of that i had a really bad bruise all the way down to my ankle and there is a lump where i got kicked. My concern is that the bruise is gone but the lump is still there. Should i be concerned?", "output": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concern. As per your complaint it seems that due to sudden blow there has been traumatic injury to the soft tissue fibers leading to inflammation of soft tissues leading to accumulation of inflammatory fluid and swelling. Bruising and lump formation is due to ruptured blood vessels secondary to injury leading to blood spillage into soft tissues and there is also HEMATOMA formation. At times the Hematoma gets localized and encapsulated and become a firm mass that can take a long time to resolve. Nothing to worry as it will get resolved soon. You can do alternate warm and cool compresses over it. Apply Heparin gel over it as it helps in disruption of Hematoma. In case if there is no improvement in another one month after doing the following remedies consult a General Physician and get evaluated. Hope this information helps. Thanks and regards. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Last night I experienced paid on the top of my big toe. It wasn t ask often as a blood plus but was often about every 10 seconds. Woke my up about 4:25 AM. I do not have diebeties. (misspelled) Had a physical in January and blood sugar is good. Should I call my doctor? Off and on today I feel the same pain.", "output": "Hi, as you mentioned you have pain the great toe, there seems to be two chances as per my understanding of your pain. One, it can be high levels of uric acid two, due to nerve impingement in the lumbar spine. For checking the uric acid levels, urine test will be done and for lumbar spine nerve impingement, MRI will be good. As to rule out first preference is uric acid test, if this comes normal then the next in MRI if spine. Usually by precision of the exercise planned with medication helps to recover up to 99% of the cases. With the grace of God I wish you a speedy recovery" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor! I am Komal! I have been married since last 1 and half years. Me and my husband want to have a baby now. My in-laws are little orthodox and they want our first child to be a boy. Is there any way through which i can get the first child as a boy?", "output": "Hello dear, I understand your concern. In my opinion the sex of the baby is decided by the X and Y chromosomes. The mother gives two X chromosomes and father contributes one X and one Y chromosome. One of X chromosomes given NY mother and one among those given by father fuse to form embryo. If both X fuse it gives XX a female baby and if X and Y fuse it gives rise to XY a male baby. This is all myth and little is known about it. So we cannot decide the sex before the birth of the baby. So relax. Avoid stress. Best regards..." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband has periphrial artery disease and has had a by pass in both legs in the past two years. He has recently had angioplasty in both legs at the same time. The left leg had a fair bit of narrowing at the grap and retired a stint. The right had some narrowing but only needed the balloon angioplasty. He has been back at work for approx three weeks and is complaining of a great deal of pain in the left leg and having great difficulty putting on sock and boot. We are quite worried and are looking for further advice.", "output": "Hi welcome to Chat Doctor. I understand your query and concern. Peripheral artery disease treated by stents can be of great functional improvement. In case if symptoms recur, its advisable to go for stent revision. Lifestyle modification is largely required in your case. The definitive management consists of Lumbar sympathectomy to interrupt the pain pathway.It's always advisable to keep the blood pressure under 130/80 mm of Hg. Avoid overt treatment to prevent lightheadedness, for this I advise you to have a baseline 2 dimensional echocardiography, ECG,HS CRP and lipid profile to assess the basic cardiac reserve of your heart and degree of atherosclerosis. Restrict the intake of salt to less than 6g/day. Regular physical exercise in the form of brisk walk for 20 min a day for 5 days a week is pretty useful. Reduce the intake of fatty and fried food. Oatmeal for breakfast 30-50 gm taken in milk daily will clear the accumulated fat. One pomegranate a day will help to keep your heart at good pace without clot formation. Dizziness will go away, away once the headache and blood pressure will subside. Semiannual follow-ups are advisable on maintenance. Consult a Cardiologist for further expert management. Post your further queries if any. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "First looked like two big swollen mosquito bites. After a couple days the swollen area had little tiny red dots. Also around the cluster of tiny red dots a few bug bites started appearing around my butt cheek. The area is painful and itchy. Please help", "output": "HiT hank you for asking Chat Doctor. I have gone through your query. Your problem can be most likely due to bug bites. Check your bed for bed bugs or its excreta. Usually bed bug bites will come in clusters. Another possibility is scabies. In such case there will be pores in the rashes, and it will spread also. If you send a picture it will be more helpful to identify. Local calamine lotion application and over the counter antihistamine like Ben Chat Doctor. If no improvement then better approach a dermatologist to rule out the condition and to manage it. Hope this may help you. Let me know if anything is not clear. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I am a 23 yrs old female. Last week I felt unconscious due to low BP and I felt pain under my upper left abdomen and shortness of breathe. I got admitted to hospital and after few bottles of saline I became normal. All the tests including ecg, blood tests seems to be normal. One thing which is alarming in reports was high triglyceroids which went up to 470. I had gaestric problems earlier as well. Now aftet 4 days I got the chest pain, nausia and breathlessness again, which last for about 2 hrs.", "output": "Hi, dear. I have gone through your question. I can understand your concern. You may have some cardiac problems. You should consult physician. Low blood pressure may sometimes lead to hypotensive shock and fainting. Life-threatening events may occur. So investigate properly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, my 6 year old. Woke up complaining of a headache and sensitivity to sound. He also has a temp of 102 and well as very lethargic. He tends to be super active even during time of high fever. He is not responding to Tylenol or ibu is been about. 12 hours should I be concerned or continue to let him sleep it off?", "output": "Hi, Thank you for asking question on Chat Doctor. Tyelenol 15 mg/kg body weight 4-6 hourly or Ibuprofen 10 mg/kg body weight 6 hourly along with tepid sponging will reduce temperature effectively. But as he is lethargic better consult pediatrician to arrive at a diagnosis and prompt treatment. Hope this answer will serve your purposeless feel free to ask any more queries if requiredTake care Chat Doctor. V. Subrahmanyam MD;Disassociate professor of pediatrics" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Ive been having him a cough for the past three days and had a fever on the first day and then the cough became worse but no more fever. then I went to see a doctor and he prescribed me with antibiotics and this medicine that loosen the cough and listened to my chest front and back, then started today i heard gurgling sound for my chest right below my collarbone, now my chest is very painful from each cough, coughs are mostly dry", "output": "Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion you should consult pulmonologist and get done chest x-ray to rule out lower respiratory tract infection (LETI). Pneumonia appears more likely in your case. It causes pleurisy (inflammation of pleura). Chest pain on coughing is characteristic feature of pleurisy. You are also having fever, which also favors pneumonia. So better to consult pulmonologist and get done chest x-ray to rule out pneumonia." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Tinging and numbness in one hand for now. How this in other hand months before and had gotten a test saying mild carpal tunnel. Where splint at night. Cant grip for long. What would be next thing to check out test or what to make sure this is what I have?", "output": "Hello, I have studied your case. As per your history there is possibility of TFCC/ligament injury another possibility of cervical disc bulge. MRI will help to confirm diagnosis.EMG CV study may also help. Pain indicates inflammatory process or nerve compression. I will advise you to do MRI and Ultrasound of wrist. Till time, you can start analgesic and cr\u00eape bandage support. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I ve developed some nose issues over the last 2 years I guess. I went to get things checked out, and got medicine to help with some of the symptoms (the doctor said I was allergic to cedar pollen). My symptom is I always feel congested. Although I have been using the prescribed medicine, I do find it easier to breath but I still feel there is mucus and I can t seem to get rid of it. It is also bloody at times. When I try to blow my nose nothing comes out really, or if it does it s mostly blood. How can I get rid of this blood and mucus and clear up my nostrils.", "output": "Cellophane You for contacting Chat Doctor. Asthma requires long term management & care. Medicines given are prescription only so you need to visit your local doctor to get them. Meanwhile, following measures will help you to reduce the severity:> cetirizine one at night for 5 days.> Montelukast one daily for one month. Research has shown that it decreases the allergic symptoms considerably.- Take boiling water in a pot, put your head over the steam and cover whole with a sheet. Take deep breaths in it.(Avoid getting closer else it might cause burn). Do this twice a day.> Xylometazoline HCl nasal spray. One puff in each nostril thrice a day for 3 daysAVOID:dustpollensI would also suggest you to undergo allergy testing at allergy clinic. They will tell that you are allergic to what specific thing. The results will help an allergist to prescribe you immunotherapy to that specific allergen, and it will improve the problem. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi .,. i have a problem .,. frome last night . having skin rashes . but these are not appeared at the skin only red round patches are seen . also having pain and itching .,. also have fever 101. sore thoart . sneezing .,., and i also suffering from . my elder sister also have this problem befor a week ., and reports sayes that is viral infection .,. i use augmentin and penadol .,.,but she use tercica, and cifixime , amoxiclave and penadol .,. i need treatment", "output": "Hello thanks for the query posted would be pleased to answer your query. I would suggest that to get treatment you will need to book an appointment with the physician Dermatologist. Viral fever with rash, sore throat would be better off treated with Oral vitamin C 1000\u00a0mg per day, Oral Antibiotic like Azithromycin 500 m twice a day for 3 days and topical applications of Calamine lotion. Please do book an appointment with the Dermatologist to discuss the same. Thanks and Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am on 200mg(Epilim) for seizures.Let me add that my last seizure was 3 years ago.So this dosage is really for prevention of further seizures.However I have been diagnosed with anxiety and mild depression.I am 51 years old. Physician Prescribed 25mg Xanax in a.m and Zoloft 50 mg at night. any thoughts on possible side effects/interactions?", "output": "Hello thanks for asking from ChatDoctorZoloft is sertraline and Emilia is Sodium Valproate. You have been taking Emilia 200 mg for Seizures, you had last seizure 3 years back. First I would like to tell you that in most of the patients the Chat Doctor. If a patient remain seizure free for three years then gradual tapering of medicines doses is started. You are 51 years old and are on 200 mg per day, as per my opinion this dose in not sufficient to control seizure, and you should consider stopping the " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have an almost 1 year old girl, yesterday evening she put something into her mouth. She vomited 2-3 times and gagged as well. Nothing came out in the vomit and afterwards she was fine. This morning she woke up crying in pain. We think she could have swallowed a feather or a very small nail. Or it could be gas?", "output": "Unless you are sure what has she swallowed. It is difficult to give a definite opinion. An X-Ray would reveal if it is radiopaque material like Neil. If it is something that does not show up in X-Ray then it would be difficult to make out, then a fiber optic endoscopy may show if it is still lodged in stomach. If it has moved down the intestine usually it will pass of in stools which you can closely observe. The danger is only if it is sharp thing that pierces the intestine units passage. You watch for any symptoms and shock or any other problems and consult your doctor. Regards Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I recenlty saw my attending doctor about a gall bladder problem. I recently went out with friends on a trips to Cleveland and drank. Little too much, I also have Gerd. My stomach does not have pain it just feels like there s a rock sitting in it, what should I do", "output": "Hi.noted history of gallbladder problem? Is it due to stones? Usual pain or discomfort caused by a gallbladder pathology, is colicky in character, associated with belatedness, nausea, vomiting, fever or jaundice. If it is secondary to a gallstone disease, definitive treatment is cholecystectomy or surgical removal of the gallbladder. It could be done laparoscopically (gold standard) or through open technique. Low fat diet is also advised. Hope this helps. Good day!!~ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello Doctor, its nmm, mother of 1 yr 1 month baby. pls advice me. my son always sick with stomach infection, Inspite of giving him brandyplus medicine 5 ml once in month and home cook meal. He was sick for whole month and had pass stools 4 time a day. becase of which he had almost 1 kg weight loss. his weight was only 8 & half kg and now its 7 & half. He is anyways looks very very pale. Is there anything i could do in this case? Thanks", "output": "Hello. I have read your concern. I think your child has loose bowels may be due to some bacterial or viral infections. Would like to suggest some home remedies, and I hope this will help.1. Make a decoction of Sauna (Fennel Seeds) 10 gm with 2 glass full of water. Simmer it on fire and when left half... Filter it and give your child spoon by spoon through the day. This will help in improving intestinal flora. You should use this remedy for a year long. Make sure make the decoction fresh daily.2. Make one tea without adding milk and sugar. Now add half banana into it and mash it properly. Consume this mixture. This will instantly help in stopping the loose motions.3. Add 1-2 cups of freshly homemade curd into his diet. Curd is a natural probiotic. It helps in digestion.4. Abstain from milk for some time.5. Give him zinc rich diet. OR you can also purchase a good zinc solution from market. Still if you have any query please feel free to ask. We are at your service. Wish him a speedy recovery. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi: I have had high blood pressure for several years. I have kept in under control with medication. Last week I had my gall bladder removed it had been bothering me for several months. Since then my blood pressure has been very low. I have stopped taking two of my medications and cut the third in half taking half in the late morning, Could there be a connection here? Thanks", "output": "Hi and thanks for this query. There is no connection between high BP and gall bladder to the best of my knowledge as of date. High Blood pressure treatment consist in lifestyle modification and Chat Doctor. It could have been that the gall bladder disease was creating some anxiety and stress in you that contributed to the worsening of your blood pressure readings. Also, risk factors for high BP like smoking, alcohol, excess weigh may have simply been well controlled and the blood pressure has " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I have just had an MRI done and it reflects cystic gliosis on the right frontal lobe. The scan reveals a portion of the lobe that is missing or a hole in the lobe, the doc says iy should have occurred from a head injury from an accident or blow to the head, perhaps even have caused a bleed on the brain however, I had no accidents, no falls or any head bashings since I was born. I am 40yrs old. Is there anything else that could be the cause of it ? Thanks Megan", "output": "Hello dear Cystic gloss usual lyrics is loss of some brain parenchymal with secondary CSF filled space. This occurs secondary to head trauma, small infarct, some congenital malformations. At age 40 if its present without head injury you should get your blood pressure and blood sugar checked. Best would be to consult a neurologist with all your records. Nothing to worry, most of the time it is of no significance and do not progress Hope you recover early God bless you" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I recently received the depo-provera shot on October 9th. By the 12th I started feeling tired and now I can t even go to school with out feeling sick and very very tired. I used to workout (run and strength train) at least 4 times a week and now I can t even get through a 20 minute run which used to be a breeze. My resting heart rate was 72 and is now 87-95. I feel depressed and I m very put of breath and have flu like body aches. I sleep on a heating pad every night because of back pain that started last week. I m 18 years old, 5 6 , 126 lbs and I have low protein s (why I got the depo vs. the pill). I received the shot in my right buttocks . I called my nurse who administered the shot and she told me no one has ever felt like this, which I know is a lie because looking online and talking to friends who got the shot told me they felt the same way. Is this from the shot or could it be something else (mono, the nurse suggested) thank you!!", "output": "Hi CassctiexxThanks for writing in to Chat Doctor ! The change of mood, depression, lack of concentration can be expected with Depot Proverb, but the other things like feeling red and unwell and fast heart rate are unexpected sequela. I think yours nurse is right you may be having some viral syn Chat Doctor. Infection or infectious mononucleosis etc. If you have any further query please let me know I would try to answer it for you. Wish you a great health!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Pls I had sex yesterday and after my partner didnt knw he released in me but after I felt the sperm all over my virgina after I washed it and urinated immediately is there a possiblity that I can get pregnant cos ill menstrate this weekend and also wat.medicine.can I take to flash it", "output": "Hi, thanks for using Chat Doctor. With history of unprotected intercourse pregnancy can't be ruled out. You can wait till your due date, any delay in periods need to get your urine pregnancy test to rule out or confirm pregnancy. The I pill(emergency contraceptive pill) can be taken within 72 hours of intercourse, and it will give protection. But failure rate is seen in 1% of women using this pill. 1 or 2 I pill in a cycle are effective in providing contraception, Regular use of this pill is not recommended. Hope this helps you. Regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been extremely moody recently. iI have a history of deprssion and now its come back but only in certain moods, in a few cases i have been suicidal. Sometimes i go into hysterics for no reason where i cry or scream or because someone brought it on my ether upsetting me or getting me angry, while other times i get so angry i feel as if i could do anything and not regret it. Is this just normal teenage stuff (im a teenage girl by the way) or is it something else? just wondering.", "output": "Hi, Thanks for writing in to us. Expression of anger, guilt, sadness may be normal for a teenager, but this must be justified as a reaction to your surrounding events. Suicidal thoughts are not normal, and you need to consult a psychiatrist who will be able to help you out in the best way after talking to you. You may need few medications to keep your mind free from negative thoughts as felt necessary by your doctor. Hope this helps" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I hit my head, it did not hurt BUT it felt really really weird at first, all over my brain, then just in little spots here and there on my head, then after less than a minute the weird feeling went away but I was really short of breath and still kind of am short of breath. Should I go to the ER? Im also a little light headed. This happened maybe 30 minutes ago.", "output": "Hi and thank you so much for this query. I am so sorry to hear about this head trauma. From the information you have provided, there are no red flags that warrant an ER visit right now. However, if symptoms should worsen with sever headache, poor vision and excessive sleep, please go to the hospital as this may represent a possible brain bleed. Tylenol would help relief the pains and make you feel good. I hope you find this helpful and it ad Chat Doctor. Thank you so much for using our services and feel free to ask for more information and clarifications if need be. I wish you the best of health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My 18 year old son has had chronic fatigue since he was 13 years old. He also has Gilbert s Syndrome . My question is with his elevated levels of bilirubin in his blood count which I believe can also cause tiredness would lowering his bilirubin levels improve his health. He eats a diet full of vegetables, fruit, lean meat, wholegrains and has no lifestyle bad habits.", "output": "Hello! Thanks for putting your query in Chat Doctor. I am a Gastroenterologist (DM). If it is only Gilbert's syn Chat Doctor. It is a benign disease, and it will not harm in any way throughout life. Serum bilirubin will increase and decrease spontaneously, and it will never be more than 5. Tiredness may be due to some other cause or may be due to apprehension due to increased bilirubin hope I have answered your query and this will help you. Remain in touch and get-well soon." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I was suffering from Obsessive Compulsive Disorder (OCD) since 2006 and I was under medication for 3 years (anti depressent and sleeping dosage). During this period, I have gained weight from 50 Kgs to 75 Kgs. Currently I am 70 Kg. Over the past 2 years, I got severe knee pain as well as in the heel (both legs) Also, I am getting tired sooner and pain persist in my hands as well. Doctor advised me to take RA test and it was well within the limits. I have tried different medication but no use so far. Recently my doctor advised me to take Vitamin D and Vitamin B12 test and the results as below: Vitamin B12 - 246 pg/ml 25-OH Vitamin D - 21.49 ng/ml Doctor advised me to take DV 60 K (one dose per week for 8 weeks) and Renerve plus (1 tablet per day for 8 weeks). I am 33 and pure vegetarian. I got mild psoriasis in my legs and fingers.. (not even visible for others) OCD since I was 7 but got diagonised only when I was 25. No physical activity (walking, cycling) in the past few years especially after taking the medication for OCD.", "output": "HiT hank you for asking Chat Doctor. I have gone through your query. For OCD, you should get a proper counselling by psychologist. Medications are added if counselling alone not helping. A proper follow up should be taken also. Low vitamin D can give skin problems like psoriasis. Get sunlight exposure when intensity of sunlight is low, like in the evening time. You can also take D3 supplements with the advice of your doctor. Decreasing of physical activity is not a good thing. It can decrease your strength. Have a regular exercise. Jogging or brisk walking is good. Absence of physical activity can also weaken and cause qua Chat Doctor. Qua" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "How long does it take to get completely over pneumonia after you have been hospitalized for it, taken 9 days of antibiotics (3 different kinds - 2 of them intravenously and 1 in pill form for 4 days after leaving the hospital). I still feel run down, cough at night, wheezing....tired of this. Its been about 3 weeks since I took last dose of antibiotics. However, I had to go back on steriods (5 days worth - steriod burst??) after leaving the hospital - 1 week later. I am 52, weight 110 and unfortunately have Familiar Primary Pulminary Hypertension", "output": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you are mostly having post infectious bronchitis. It is common after pneumonia. And it is more likely when you are having underlying pulmonary disease like primary pulmonary hypertension (PPH). So get done PFT (pulmonary function test). PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment of bronchitis is based on severity only. You may need inhaled bronchodilator and inhaled corticosteroids. At the same time control of PPH is also needed. Available Chat Doctor. You should start any of these " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I personally do not brush my teeth and I m a little concerned about my current teeth status. My left upper and lower teeth started to hurt yesterday and I was disturbed from sleep because of the pain. So I decided to brush my teeth but it sometimes bleed and I don t know what to do to improve my current status", "output": "Hello, I can understand your concern. Not brushing teeth can cause decay in teeth along with deteriorating health of gums by plaque and calculus (tartar) accumulation. As your sleep was disturbed, it is a typical symptom of development of acute irreversible pulpits due to decay of a particular tooth that pains. It might be present in both upper and lower tooth or one tooth may cause referred pain in the other arch. When we sleep, blood supply in the head region increases causing shooting pain in the teeth that are affected by decay and pulpits. I advise you to visit a dentist for clinical evaluation of your oral cavity. You may need to go for root canal treatment of the decayed tooth or extraction depending on the extent of the decay. You should also go for ultrasonic scaling at the dentists which is mechanical cleaning of the plaque and calculus accumulated over the gum margins. It will give you relief in bleeding gums. In addition, you should start tooth brushing twice a day, use of mouthwash, floss and gum paint. I hope this information helps you. Thank you for choosing Chat Doctor. I wish you feel better soon. Best," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi,I have had my Paraguard IUD x 3 mos now and I am currently on day 2 of my menstrual cycle. All day today I have been experiencing a bear down feeling that I have not experienced prior to today. I decided to check my strings today and noticed that they are much longer than what its supposed to be. Should I be concerned and make an appointment for a check up?", "output": "Hi, Dear. Welcome to Chat Doctor. If you feel that the strings seems to be longer then there might be chances of misplaced IUD. You should be careful not to do unprotected sex during this time and try to consult your Gynecologist as soon as possible. Your doctor will detect if your IUD has misplaced, or it is in its place. Do not panic, keep calm and see your doctor. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I Have Pain in my right kidney had an operation 5 years ago but since then all been fine also had recent tests all ok, have drank plenty of water but dull acing pain on the side right round near the lower back? i also drink protein shakes and lift weights but unsure if it is a muscle strain?", "output": "Hi, Thanks for writing in. It is important to know the reason for getting the operation done on your right kidney 5 years back. If there was any stone for which you got operated then recurrent stones cannot be ruled out. It is suggested that you get a review ultrasound scan or CT scan done to know if there is any condition affecting your kidneys. A clinical examination becomes important because you have mentioned your participation in lifting weights and this might lead to back muscle spasm which might get painful. Please consult a doctor and then depending on the probable causes get investigated for your pain. You might like to stop doing lifting weights for some time till your pain has reduced. A back muscle spasm might take two weeks to recover. Please do not worry." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, may I answer your health queries right now ? Please type your query here...hi my boyfriend is 23 years old and since friday he has been sick, has a temperature, blocked nose, tiredness, bad chesty cough, has had the shivers and has a been sweating badly do you have any idea what it could be?", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query have fever, blocked nose, fatigue with chesty cough which is due to severe upper respiratory tract infection. You may have lung infection or bronchitis. Need not panic about it. I would suggest you to start with course of antibiotics and anti-inflammatory Chat Doctor. I would suggest you to consult ENT specialist and get it examined. Doctor may order blood test, throat swab test or virus culture test. You should get an x-ray of the chest and pulmonary function test done. Doctor may prescribe antibiotics (amoxicillin or penicillin) at least for 10 days along with decongestants and bucolic agents. Go for complete blood count and platelet count to rule out any thrombocytopenia and any hidden systemic pathology. Avoid taking cold beverages. Do warm saline gargles with pinch of salt water. Take expectorants. Steam inhalation is very effective for you. You should avoid hot, sharp and spicy foods. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My daughter, 23 yr old, degree final year student has a love affair with a boy of a different cast and poor economic situations which is unacceptable at all to our family. We advised a lot in many ways but failed. We understand that the boy is not straight forward, having no true love but aiming at some other goals. When we insisted my daughter that this relation will no longer survive she threatened us of her suicide (even tried one day to cut her veins with a razor blade) or her departure forever somewhere and to earn her bread by selling herself. Now I understand/suspect that she is having some mental abnormalities rather than her love affair. She hates us parents and the one and only brother vey much. Sometimes she is found normal and sometimes found very violent. In this situation please let me have your guidance in order to get proper medication and treatment.", "output": "Degree understand your concerns went through your details. I suggest you not to worry much. The mental pressure your daughter faced during the affair episode must have harmed her thought process. The resultant disappointment could have changed her thought process and overall perception. Suicidal tendency could also come out of depression which could be triggered by disappointment. Please consult a psychologist for counseling. If the symptoms persists even after three or four counseling sessions, psychiatric intervention could be required. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello, my gums are bleeding and it look black and i am also having a slight migraine. could it be because i have not been to the dentist in a while? i am think it cavities because it my lower gums and it look like it could be cavities or plaque. any suggestions and i do not have dental coverage?", "output": "Hello, Thanks for consulting Chat Doctor, Read your query bleeding and blackness in gums can be due to carious tooth, decayed tooth, or gum problem due to deposition of plaque and calculus in sublingual region of gums. For this I will suggest you to consult dentist for treatment 9f carious tooth, and cleaning of teeth that is oral prophylaxis. In mean time do warm saline rinses 2 -3 times a day, maintain proper oral hygiene, brush your teeth twice daily, use mouthwash chlorhexidine regularly. Hope this will help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My child Abhimanyu Kundu,1yr 1mn, suffering sardi-kasi for a long days. I am from malda, W.B. I am continuing his treatment in Malda. But here Doctors are telling me that because of my Asthama problem, there is no chance to cure my baby.......I want your suggesionb. I agree to come in Kolkata......", "output": "Hello, Thank you for asking at Chat Doctor. I went through your children history and would like to know more details about Abhimanyu such as - Since when he has problems? Does he have more of nose symptoms or more of chest symptoms or both? Does he have any skin allergies like atomic dermatitis? Does he have any food intolerance/allergy? From your given history, I would like to make following suggestions to your son:1. Were I treating him, I would suggest him regular montelukast and levocetirizine for at least 2-3 months, which will improve his symptoms.2. Should he develop breathing difficulty in between, I would suggest consulting a pediatrician who will examine his chest and may suggest nebulization.3. I would suggest him allergy testing which will help you identify the substances/foods causing trouble to him. Avoidance of the substances/foods causing allergies is the best strategy for allergy/asthma.4. Please avoid exposure to dusts, smokes and air pollution to him as much as possible. A diet rich in vitamins and minerals (adequate amounts of green leafy vegetables, fruits, sprouts, etc.) will help him in a long run. I would like to mention here that although asthma in parents make a child more prone to develop asthma, childhood asthma behaves differently as compared to adult asthma. With proper use of medications, nutrition and environment changes, it can be very well controlled. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish your son the best of the health and bright future ahead. Thank you & Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have been facing problem of nosal allergy.. I mean whenever I get exposed to dust, smoke, heat or cold I start sneezing.. I seeze even in scorching summers no matter what environment I am in. In office under aircondition.. Always feel sensation under the nose.. Any suggestion or help will be appreciated..Thanks and RegadsNazir Khan", "output": "HelloFresh symptoms, mentioned by you in your query are due to allergic bronchitis and call it as rhinitis or allergic rhinitis and this is a precursor of asthmatic allergic bronchitis. Dust, mite, fungus, mold, pollen, sudden fall and rise of temperature, smoking, pests are certain predisposing factors for such symptoms. These measure may help you:House dust mites-major allergens found in houses-Use allergen-impermeable covers for mattresses 7 pillows-Wash sheets & blankets in hot water (60 degree C)-Vacuum-clean beds each week-Clean furniture in to be Chat Doctor. Pollen-Avoid going out of doors on days when pollen counts are high (very difficult but important)-Use of airconditioning-Keep doors and windows closed at home & when inside carpets -Don't allow animals in the house-If this is not possible, exclude pets from be" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have done sex so many time,, during the sex when i am mentally involve in to that normal ezaculation happen through my penis ,, but whenever i masterbeat it never works,, its jst give me pain,my penis become numb,and also become thiker, what is my problem,, ??? plz suggest me", "output": "Degree understand your concerns went through your details. Whether it is masturbation or normal sexual act or abnormal sexual act, your mind, body and organs should have proper co-ordination and stress-free atmosphere to have proper sexual pleasure. In case if there is some stress or anxiety, naturally, normal procedure will be hindered. I think you are feeling anxious about masturbation and that is the reason you are unable to masturbate. I suggest you to consult a psychologist for counseling. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello dr.I am pregent. My due date in august 25 2016. My husband wants that i ll go my in laws in 7 month. That is safe to continue travel 7 hours by bus. I have also a thyroid problem and some time high bp also. Plz suggest me. But i don t want to go my in laws.", "output": "HI, Thanks for the query. Pregnancy in 7th month, having high blood pressure & travel by bus (with possibility of jerks due to bad roads & exertion of constant sitting for 7 hours are the difficulties in Bus travel you are going to face. Though the decision has to be your treating doctors. (as she would be best judge of your health) if you ask me I would say NO to bus journey. You can travel by train/ plane with proper reservation & your treating doctors advise.& advise of few preventive medicines on the way. In case rail or Air ways are not available. You should travel by private Taxi.(with a break journey in between) with back seat reserved for you as a sleeping arrangement along with doctors advise as suggested earlier. - In case nothing suggested is possible It's safe to stay where you are with proper care of your doctor... your in laws can travel & stay with you. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "..My brother suffering fever with 1 month and after that revealed that he has faced with gland T.B. in left chest in a month ago and operation had been done successfully. He now go thorough medicine course but day 3 ago his gland swell and suffering to take food. He too much nerves.", "output": "Hi welcome to Chat Doctor. Here your brother having tuberculosis infection of gland, so I assume that you might have confirmed it by biopsy or sputum examination by Zn stain or PCR like investigation or culture ... If you does not start AKT than chance of spread of TB and complication can be there ... So full course of AKT should be taken six months ...Meanwhile, constant monitoring of side effect needed esp .LFT profile ... Healthy diet taken with low fat and more fruits ... Take care Advise : consult physician for examination" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had an appendectomy two weeks ago. I have intermitent sharp pains on my lower right side that feel like a knife. It topples me over and lasts for about 30 minutes. Urinating seems to have helped previously as it takes pressure from my bladder off the area. I have nausea and Im vomitting up clear spit like mucus. I am salivating a lot. I have severe bloating and I am burping a lot. I have a stomache ache and a head ache. I have taken my temperature and its normal at 97.1. I went back to the hospital a couple days ago and they ran blood tests and did an ultrasound but found nothing and sent me home. I tried to go to work today but went home at lunch because I was disoriented and nauseas. I am again very bloated. I am afraid if I go back to the hospital they will just send me home again. What should I do?", "output": "Causes of severe pain in abdomen after appendectomy can be due to ::Abscess formationIntestinal obstruction symptoms are suggestive of a complication of appendectomy and ultrasonography is never sufficient in such cases. Please get the CT scan done, insist on admission till you get alright. If the CT scan findings are suggestive of a complication, you may also require Laparoscopic or open approach second-look procedure (re-operation). This is sometimes life-saving." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "am having pain and swelling of right lower gum for more than a week.dental doc adviced me to take cipro 500mg for 5 days twice daily, along with tht emflam, and chymaral forte also hve been prescribed .three days passed with those medications; am not feeling any betterment; pain and swelling persists, its painful whn i speak and smile even.could u explain the seriousness of this and the speedy treatment for me.", "output": "Hello and welcome to Chat Doctor forum, Pain and swollen gums may be due to-Gingivitis which has progressed into periodontal infection. Complete thorough scaling has to be done. Tissue grafting has to be done if there is associated bone loss. The pus has to be Chat Doctor. Take complete course of antibiotics too. Apply gum tone gel on the affected site. Gargle frequently using warm saline. Hope this helps." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HI, (from philippines) my son got accident last april 2012 and undergo surgery to put a titanium on his left jaw. Everything was ok...but 3days ago I got a call frm my son that his jaw is like a new again meaning swollen with pain...do u think it s because of to much heat/hot in qatar where he is working? Do you think, what medicine would you recommend?", "output": "Hello, I can understand your concern. Swelling after healing of a fracture most often indicates towards a muscular problem not as a complication of fracture as the patient was all symptom-free for some time. I would advise him to do intermittent hot compressions in the area. In addition, muscle relaxant medicines such as Dan-MR (Paracetamol 500 mg + Diclofenac Sodium 50 mg + Chlorzoxazone 250 mg) or Hifenac-MR twice a day for 5 days will help. If the swelling and pain do not improve after 5 days, then he might need to visit a maxillofacial surgeon for physical examination and x-ray of the previously fractured area to look for possible complications in healing. I hope this information helps you. Thank you for choosing Chat Doctor. Let me know if you have follow-up questions. Best," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, My husband presented at the hospital last weekend with a pain just below his sternum. They confirmed it wasnt heart trouble but he hasnt been able to consult with a GP this week because of work commitments. He had an appt today with his Dr, but unfortunately he was sick and couldnt see him. He has had a bit of pain all week but his stomach is awfully bloated and hard. The Dr at the hospital that the pain could be from an ulcer, or GERD. He is of normal colour he hasnt been unwell and his bowel habits have been much the same.", "output": "Hi. The symptoms and the findings you have noted are not matching to each other. In spite of bloated and hard stomach your husband is working. He has only a bit of pain. HERD can not cause this. Ulcer can cause this only if it is perforated and healed immediately (very, very rare). There is a rare chance of an epigastric hernia protruded with fat only to cause discomfort and hardness. I would advise consulting a GP ASAP and undergo all the relevant tests as advised. Bloated and hard abdomen can be due to subclinical form of intestinal infection not giving much of bowel symptoms." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 10 months old daughter is having loose motions with pus cells in stools since 20 days. doctor recommended us to give zifi & nutrolin -b . when she finished her course of medicine , she was recovering but when medicines were stopped as told by dr. she again got it. how to recover her from illness?", "output": "Hi... Thank you for consulting in Chat Doctor. It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics (LIKE WiFi) unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am a KCD patient since 2005. My present creatinine level is 5.5. I would like transplant . Greatfull if your let me know the cost of transplant at cms please.", "output": "Hi and welcome to Chat Doctor. The most common cause for a kidney transplant is end-stage kidney failure (due to diabetes, uncontrolled blood pressure and glomerulonephritis which is an inflammation in the filtering units of the kidney called glomeruli). The disease is first treated with lifestyle changes, medication etc., but if the condition progresses, a kidney transplant will be required. Kidney transplantation is expensive. The costs of an uncomplicated renal transplant event are approximately $100 000 for the first in 90 days of care. CMS is the primary payer for most kidney transplant patients and though kidney transplantation is cost-effective compared to long-term dialysisRegards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i noticed a horizontal line on my neck. thought it was dirt nark. started rubbing and applying whitening creams. now i came to know that due to bad posture i have that line. please help me remove it. its relly embarassing. rubbing has made it prominent that my family has noticed it.r these dirt lines? pleaz tell sum home made remedies", "output": "Hi, the horizontal line on your neck is not the disease. But, it may be due to fold consistently remaining due to wrong posture, you are right. Do not worry. Keep neck in good posture. Do not rub or scratch it, otherwise it will become prominent. Wash the neck with vitamin C, glycolic acid and comic acid containing face wash twice a day. Rub the cream containing vitamin C ans comic acid. Take vitamin C, vitamin E and glutathione for long time till you get improvement. However, consult dermatologist and make sure that there is no internal disease. Avoid sun rays, soap bath and beauty cream. Etc. I hope you will get improvement. .ok" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 30 years old trying to conceive 14 mos. I have regular periods every 28 to 30 days. I started metformin 500 mg bid 4 days ago. Today i am very nauseated, diarrhea this am , and i am having spotting. I just had lmp 8/20/10. I have never done this before . any ideas as to what may be going on", "output": "Hi there, The nausea and the diarrhea you are experiencing must be due to the metformin. Metformin is known to cause side effects especially in the initial few days of use. Metformin is usually given in women with PCs problems, if you are having the same then you will require ovulation induction by Camphene and/or injectable HMG to get pregnant. But first you need to be completely evaluated for any other problems of infertility, your hormone levels, tubal function need to be checked, so also your partners' semen analysis as well. Your overall health including any previous illness, diabetes, thyroid problems need to be ruled out. I would also advise you to take Folic acid if not already started. Hope this helps. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi,my name is Nafisah 29yrs i went for an ultrasound cos i missed my peroid the radios report shows that there is a single intact gestational sac no embryonic echoes is seen and a solitary intra mural fibroid nodule at the posterior aspect of the uterine body measuring 23.9*17.2mm in size. pls what does that means and what do ido?", "output": "Welcome to ChatDoctorRead your prob, the choice of treatment of fibroid is surgical removal of uterus but if you want to conceive then you should take medicine which can reduce the size of fibroid, not subside it. Its medical treatment is hormonal replacement therapy. It helps you in getting pregnant. Complication of fibroid in pregnancy is abortion n premature delivery, so consult with your doc n start treatment as per advise of your doc." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi. I have a dog (3months old) and a cat (4 months old). My dog bit me a few weeks ago and I have been taking shots. I was given my 3rd shot 4 days ago. My problem is, my cat bit me also today. It was really small, like a dot on my finger and it bled a bit. Do I need to take extra shots for this? Like I said I am currently taking post exposure shots and I was given my 3rd shot 4 days ago. I will receive my final shot on July 21. Also, my dog is still ok after 12 days since he bit me I don t know id it s relevant June 22 - My dog bit me and I got my first shot June 23 - ERIG shot on the chin June 25 - 2nd shot June 30 - 3rd shot July 4 - My cat bit me", "output": "Hello, Welcome to Chat Doctor, I have gone through your history and understated your concern. Both dog and cat are known reservoir of rabies virus and can transmit rabies to human beings. As your were bitten by your dog for which you have taken both active and passive immunization. As you have taken three shots of anti rabies vaccine and the dog is healthy even after 14 days after the bite. As you were bitten by your cat, according to WHO categorization of animal bite you will be categorized int Re-Exposures for which you need to take two shots of anti rabies vaccine on days 0 and 3. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi im super worried because i realized I m in my most fertile period of my cycle and i had sex, but only precum was involved. should i take the morning after pill or how high are my chances of getting pregnant, cuz i hear the morning after pill is bad for your body", "output": "Hi, You did unprotected sex during fertile phase, and it has high chance to become pregnant. Better to take morning after pill to prevent unwanted pregnancy. In some case it causes hormonal imbalance and side effects are tolerable. You can take it with in 72 hours of sex. But it has high effectiveness if taken as early as possible after sex. Avoid stress, take healthy diet, Chat Doctor. Use condom in future to prevent unwanted pregnancy. Hope this may help you. Contact further if follow up needed. Best regards," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi I have been diagnose with high red blood cell count. When I wanted to donate blood I have been told that my pulse is higher than 100 and can not donate blood. I been to the doctor how also said my pulse rate is high, he done test on my thirod which was negative and said everything look fine I am also suffering with low blood pressure and high colestrol. Must I worry?", "output": "May I know your age?smoking? Weight high cholesterol is certainly a risk factor for cardiac disease, so you should consume low fat and sugar diet along with regular exercise. Sometime someone's low blood pressure may be normal for that person unless he is suffering from severe heart disease which is not your case. High pulse rate may be low oxygen level in the blood. So get oxygen levels tested. Do you have any sleep related problems like snoring or interrupted sleep, anxiety problem etc" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi Doctor, my 10 year old son has had several ear infections throughout his early years. And has even had a drain about 5 years ago. He just confessed to me that he has a ringing in his ear - and I am so worried, because about a month ago I did take him to the ear doctor because my son complained of pain - the ear doctor removed some wax and said there was no infection. Now my son s ears have been ringing he says for months - he just told me about it last week. What is going on? - What kinds of tests should I ask for? and is there a cure for this?", "output": "Dear Parent, Ringing in the ears, also called as tinnitus can be due to various causes like listening to loud music on earphones or ear buds wax build-up, middle and inner ear infections, second-hand smoke exposure, ear injuries, certain medications like some antibiotics, chemotherapy, etc. In my opinion since your pediatrician has ruled out an ear infection, you should consult a ENT specialist who is a can will take a thorough medical history and do a physical exam, conduct order hearing tests to find out if there is associated deafness and do a blood work and imaging if required. Most of the child Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "ive had what i think was a bartholin cyst, it was the second time this had happened. the first time there was a swelling which was quite large, and burst naturally after a hot bath about 6 months ago. the second i had a swelling which was very large (small egg sized swelling) it burst and did bleed at the time and there was quite a lot of not pleasant looking discharge from it. Since then,the last month or so, the area where the cyst was has had a small amount of discharge, and bleeds quite a bit when light pressure applied. im 39 yrs old, no history of stds or risk of as have been been sexually inactive for 9 months. im too embarrassed to see my doctor", "output": "Hello, Welcome to Chat Doctor, A Catholics cyst is formed when a Catholics gland is blocked, and it is not an infection, but it can be caused by an infection, inflammation, or physical blockage of the Catholics ducts. Bartholins cysts are most likely to occur in women of child-bearing age. A Catholics cyst can grow from the size of a pea to the size of an egg, and it is not sexually transmitted. No treatment is necessary as it is asymptomatic more often. However, small asymptomatic cysts should be observed over time to see if they grow. Catheterization can be done which is a minor procedure and can be performed in an out patient ward. Marsupialization of cyst will help to open the cyst permanently. Thank you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my baby is 3 months old now, he has cradle cap since he is one month old, I have been using olive oil to massage his scalp and shampoo it with dentinox, however the cradle cap is still there. His scalp is dry and red now, causing him itchy and rub his scalp very often. Can I apply any moisturizer for an example cetaphill cream on his scalp to help him release itchiness?", "output": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint Cradle cap or Infantile Seborrhea Dermatitis leads to yellowish and white scales over the scalp. It is caused due to fungal infection, excessive oily scalp, high hormonal levels, excessive mist climate etc. Although the exact cause is not known. I would suggest you to consult a Pediatrician or a Trichologist and get evaluated, and he can advise you to massage the scalp with mineral oil and avoid using olive oil. You can be advised to use shampoos containing Ketoconazole, coal tar, selenium, zinc, salicylic acid etc. Keep the scalp Chat Doctor. . Cool compresses can help in relieving inflammation and itching. Wash the scalp with a mild shampoo every alternate day. Hope this information helps. Thanks and regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i have bumps on my nose that start off itching then yhey leave a mark on my nose it takes week or two to go away now three weeks later i have itch nose with bumps again now its coming back my age is 35 yrs old i need to know whats going on my e-mail adress is misstbutler@yahoo", "output": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have itching bumps on nose which seems to be due to irritation, skin allergic reaction and clogged pores of sebaceous glands of skin with dead bacteria leading to seborrhea dermatitis. I would suggest you to apply tea tree oil on this area and apply cream called Eurozone -M two times a day for a 5-day period and then stop after 2-3 days. You should go for skin peeling once in a week. You should keep that area moisturized. Apply aloe vera gel on it. You should Chat Doctor. Visit dermatologist once and get it examined. You can go for chemical peeling as well. Hope your concern has been resolved. Get Well Soon. Best Wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am suffering from burning stomach ache from last two days any help. I take spicy food. i always have a problem of pinple on my face especialy on nose, how to control it how to control pimple", "output": "Take machine gel thrice daily 15ml each time. Chat Doctor. Mucaine will help to reduce the burning pain and soothes the stomach wall reduce the spiciness in the food. I sincerely suggest you to see a cosmetologist as pimples get physical examination done it is not related to food. Take these measures along with consulting a cosmetologist never touch the pimples with the hand it is usual that many people keep on titillating them so don't do that wash your face with mild soap at least 4 times a day please consult the cosmetologist" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "on my left leg just above my ankle area, I have a couple of small flat red places that sometimes itch . They are bright red at first, then later become brown and start to fade. I first thought they might be some strange bug bites from working outside this summer. But now that I am not outside anymore, I still get one or two.", "output": "HI there. Thanks for your query at Chat Doctor. As I am wont to say, dermatology is a visual field. So it would be great if you could upload some good clear photographs of the rash onto this site using the upload data icon on the right side of your screen. In the interim, your guess of an insect bite reaction seems fairly accurate & intelligible. The reason it does occur indoors is probably due to the presence or infestation of dust mites/fleas etc. in our indoor surroundings including carpets/rugs/ blankets etc.! There are two approaches you could take. First, visit a skin specialist (dermatologist) nearest you & get an opinion/skin biopsy & then move onto the treatment or simply apply a potent corticosteroid cream that you may get over the counter if you have a friendly neighborhood pharmacist on hand & do remember to treat the famines & spray the surroundings etc.! But, do remember if you go with the cream, then no biopsy can be done for at least two weeks after stopping said cream. In any case if the cream & and a non-sedative antihistamine (fexofenadine 180) does not work, then best visit the dermatologist. Cheers & Good Luck! Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi , ever since Ive been little , I cant smile with showing my teeth . My bottom lip doesnt move at all . My dentist or orthodontist hasnt said nothing about it . I have braces , I thought it might help , but it dont . As hard as I try I cant smile with showing teeth .", "output": "Hello, thank you for consulting with Chat Doctor. This type of immobility is generally caused in bells palsy. But as you are mentioning that it is since childhood, then the possibility is less. To see the condition of the nerve of the lower lip a full mouth x-ray should be done which will show the problem. Better once you should visit an oral medicine specialist as he will help you. Hope it will help you." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Dear Doctor,Hello Patient is with h/o fever from 11 days,constant between99to101,initially given ciplox500-2days ,no response ceftum500-6days no response-tlc/dlc,typhi widal-u/c normal,switchto ceffixeme from one day-no running nose/red eyes.what you suggest? should start antiviral/ again tlc/dlc/ x-ray chest today done", "output": "Thanks for posting your query to Chat Doctor. Please send me complete blood count report and x-ray report as it will help in deciding further management plan. If patient is having cough for more than 2 was go for sputum gram stain and Zn stain examination. Also send blood for culture and sensitivity .go for rapid blood test for malaria. As yr patient has taken multiple antibiotic and injudicious us of antibiotic increases chance of Chat Doctor. Review me with all report. Wish you best health.regards" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I had a miscarriage at 5 weeks this june then had an ectopic pregnancy this september at 5 weeks too, I had a left laparoscopic salpingectony with a d&c. Is it possible that i can get pregnant naturally without ivf or medication to help me ovulate? Im only 29 yrs old.", "output": "Hi there, Welcome to Chat Doctor,I'm done think you have a problem in conceiving, you have conceived twice in a year, but unfortunately both pregnancies had complications. But the fact that you conceived naturally remains. Missed abortions are common in first pregnancies, and since you already had the ectopic pregnancy with tube removed, you have one tube which is remaining. This means you can definitely conceive yourself naturally without IVF or medications. Ovulation does not seem to be a concern for you, as you have got pregnant before. Women who have ovulation issues will not get pregnant at all. So please try to get pregnant and once urine test positive see gynecologist immediately. Hope this helps. Regards." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My symptoms are as follows; - hazey - headaches - shooting pain in the back of my head - ear ringing - pain in inner ears - vision changes - stuffy head/ears - painful neck - arm/face numbness - tingling coldness on head right before headache - ears ringing/vision change/disorientated - stomach pain - nauseous - muscle tightness in neck and shoulders - heart skips a beat These have been getting progressively worse over a year. This all started happening after I had my daughter in Jan 2013. I m seeing my neurologist tomorrow again. I ve had an MRI, came back normal. And an EEG that came back abnormal on the left side.. I m not sure what that even means. Please help me..", "output": "Hi, Reading your symptoms you can have migraine, ear infection meningitis, hyperacidity or in rare case a brain disease. For the time being you can take certain precautionary measures like any over the counter medications for headache such as Paracetamol. You can cover your head with a scarf to avoid ear pain and having a good healthy diet which would mainly include fruits and vegetables also Chat Doctor. Hope you find this helpful and helps you in diagnosing your condition. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hello sirmy name is umang sharma and i am 25 years old... sir i always feels like i am in stress for my career.. neither i am happy nor i have some peace in my mind so i am doing nothing well in my studies or other activities.... i feel like to go away somewhere else.. i dont know what is wrong with me.... i am cutting off from my family and friends..sir, please help me....i am unable to meet you so please give me your precious advice online...thanks...", "output": "HBO, if you were better previously and this change in behavior and performance is new then, it is suggestive of depressive disorder (however one can pinpoint it only after a detailed clinical interview). You can take Escitalopram 5-10\u00a0mg in morning & I hope within a week or ten days you will start feeling better. Your zeal in life will get back, and you will start feeling like previous self. Anger and irritation will go down. You may discuss this with your treating team and start the medicine. Good luck!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I amgetting fluttering in the chest. It feels like my heart is actually missing beats. It happens at odd times, like when I am relaxed, or when driving. I do not feel stressed so wonder what it is. I am 50, female, a little overweight but not too much. It happens two or three times a week and I feel as if Icant breath...I can but thats what it feels like.", "output": "Hello, Most probably these ventricular ectopic. You should get one ECG done, if normal then needs holder monitoring for 24 hrs which will most probably pick the abnormalities in heart rhythm. Later, you'll also need thyroid test, if having menstrual irregularities then hormonal profile as well. Most of the time these are benign and not worrisome. So we need to confirm the diagnosis and then go ahead accordingly. Hope this helps you and get back if you have any questions." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi , I am a 54 yr old female, smoked 5 cigs a day, 10 on weekends for 30 yrs. CXR showed interstitial scarring of lungs. I run 1 hr a day with out any problems. Should I be concerned? See a pulmonologist? It also said mild estasia at the thoracic aorta. They did not suggest I get any further testing. Thank you.", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Interstitial is the part of lung which connect airway and blood vessels. And its scarring is seen commonly in smokers. This can be the early sign of interstitial lung disease (OLD). So better to quit smoking as soon as possible. Consult pulmonologist and get done PFT (Pulmonary Function Test). This will tell you about severity of the disease and help you in deciding future treatment plan. So quit smoking, consult pulmonologist and discuss all these. Hope I have solved your query. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a polyp on the roof of my mouth by my uvula. It has been small and pink for years. This morning when I awake it is more swollen and has black and blue spots. I do not have money for a doctor. Should I go to ER. If this is cancer is time and emergency room use critical", "output": "Hello, This is a definite change and a professional exam is recommended. Do you constantly monitor the area? Was there any recent trauma, exposure to irritants or burn? Do you have any other medical conditions or medications that may contribute? Are you up to date on your dental exam? Viruses, Strep and assorted infections can cause a response in the throat. It is difficult to advise you without a clinical exam or detailed history. You may need a prescription medication to resolve the area, rest. Or a biopsy to evaluate the tissue. Aggressive cancers can exhibit abrupt changes associated with pain and nonhealing lesions. Seek immediate care if a severe condition develops. Thank you for your inquiry. I hope you will schedule an appointment to confirm a diagnosis and put yourself at ease. You can rinse with salt water and try some Anti-inflammatory medication while waiting for your appointment." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I just got my MRI back and it says I have a problem in my l4 and l5 vertebrae. it says I have a protrusion type postural laterally displacing the proximal left l4 nerve root and that I have a neuro compression vest herniation in a shallow bulge with focal neuro compression its acquired midline with lateral recess in pyramidal stenosis and it can be seen well on the sagittal image in there is also a shallow annular bulge on the s1. please let me know how f***** up my back is now.", "output": "Hello and thanks for using Chat Doctor. I have read your query and understand your concerns. MRI findings are consistent with herniated disc disease of the lumbar vertebral column. Since, there is just one level of herniated disc and only one nerve root compressed, the situation is not so severe. Treatment is possible too, and includes NSAID Chat Doctor. Hope you found the answer helpful. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i get this sharp pain in my chest . i always thought it was just stress . but now i have been getting them more often and last longer. i get like 30 little sharp pains that last no longer than 10 seconds it starts of as a bad pain and fades away. it feels like it is right on my right breast lately. i recently got on nuvaring i dont know if that could be it", "output": "Hi, welcome to Chat Doctor as you have persistent chest pains it would be good if you were investigated for it like being tested for heart problem or lung problem you need to get an ECG done and also a chest X-ray.nearing can also cause such pains as it is also hormone based and works the same way as a pill the side effects include-- headache-mood swings-breast tenderness-irregular period sit can also predispose to you to stroke, formation of blood clots in the leg and lungs, liver problems, shortness of breath.it could also be just a side effect of the nearing. Would suggest you visit your gynecologist for workup and appropriate treatment. Hope have answered your query get well soon take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HELLO DRI BEEN SUFFERING FROM MY JOINTS PAIN LAST 2 MONTH PASS EVEN ALL MY FINGER ALSO ,I HAD TAKEN MANY PAIN KILLER MEDICINE ,SOME DR ADVISED ME TO WALK DAILY ; MY WEIGHT IS 85 KG HEIGHT 5.1. EVEN I HAD USED MANY PAIN KILLER CREAM ALSO KINDLY ADVISED ME HOW I CURE MY PAIN THANKING YOUHUSSAIN ADAMJEE", "output": "Hello, Is the pain in joints accompanied by stiffness in the morning that lasts 1 to 3 hours. How many joints are included? Do you have fingers deformity? Have you done any test such rheumatism test, ESR, Rheumatoid factor, uric acid, protein C reactive, cyclic citrullinated peptide antibody? I suggest you to do these tests and visit a rheumatologist. Also losing weight is very important and doing activity like: walking, swimming. Hope I have answered your query. Let me know if I can assist you further." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "during the start of winter season my face becomes dry and corner of mouth(that point where the upper and lower lips come together) becomes so so dry, after that color of that area changes from white to black and persist upto summer.... please suggest something to permanently cure this dryness... right now i am using Lobate-GM .. please suggest....", "output": "Hi, kindly do not use Locate Gm as it's too strong to be used for face and besides the cream is not meant to treat your particular condition. For your excessive Chat Doctor. Use a good moisturizer like detail moisturizing lotion or detail restorer. At the corner of your mouth apply fluticasone cream twice daily till the cracks at the angle of your mouth disappear. Hope that treats your problem. Take care" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my baby is 6 1/2 month old now. She was born 40 days premature. She is on mother feed, farex 2, cerelac and solid foods. For last two days she has pooped green which is my worry now! what could be the cause of her pooping green. Recently i have switched from cerelac rice to cerelac wheat apple!", "output": "Welcome to the ChatDoctorI understand your concerns but don't worry. Occasional changes in poops of infants occurs commonly when we change to complementary feeds. You should be concerned about the color and consistency if:1. There is blood or mucous present which may occur when there is bacterial or parasitic infection of gut. It can also occur in some food allergies.2. Very loose wasteland frequent stools suggestive of diarrhea.3. Persistent green colored poops may be due to increased lactose or other sugars in the diet.4. If child has fever along with the changes in poops with poor appetite. At present, I would recommend a proper complementary diet such as mashed fruits, oatmeal, boiled and mashed pulses, cereal based formulas for complementary feeds. Make sure you take a good care of hygiene. For any further questions, you may contact me." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband has had severe pain in ankle, calf and even top of leg sometimes. He has been in agony for four weeks now. Doctor has sent him for xrays which were fine, blood tests which we are still awaiting results but no one is arranging a scan which all of four doctors he has seen mentioned but not arranged. He isn t sporty but does a manual job and is 62 years of age. We are due to go back to doctors Tuesday and are thinking of paying for a scan just to get to bottom of it", "output": "A 63-year-old male with pain ankle/calf/leg of 4 weeks duration... perhaps the pain originated from the ankle and the rest followed due to postural adjustments while walking or working (manual job). Is he a diabetic? Any history of strain on the ankle. Any history of joint pains? Indeed, the blood reports especially ESR / CRP/ CBC and Urine test will be helpful. I am afraid to suggest that a scan would not help in the diagnosis, it helps once a provisional diagnosis is made. In this case it appears to be an Arthralgia. Keep in mind a problem of venous thrombosis, also. Anti-inflammatory like Ibuprofen 400 MGM three times a day with Omeprazole 20 MGM once a day would be helpful. Specific treatment once the diagnosis is made" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hello doc,my teeth are not aligned in a perfect way..After my milk teeth are gone, my permanent teeth have erupted in such a way that a tooth is completely pushed back from the rest of the teeth on my lower jaw due to which brushing that particular tooth becomes a difficult task and also it doesnt look good..how can I get the dentist arrange them neatly? Is ther any solution for this?", "output": "Thanks for your query, I have gone through your query. The maligned teeth can be corrected by orthodontic treatment, that by putting braces. You can consult an orthodontist and take an opinion. You have to get radiographs done like OPG and Lateral cephalogram before treatment because we have to see the bone defect and status of the teeth and also to plan any surgery required or not along with orthodontic treatment.I hope my answer will help you. Take care." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "HELLO, my doctor just told me my ldl is over 200, he prescribed zocor. After reading up on statins I am very fearful, I have been doing natural things such as resversatrol,lecithin,milk thistle and garlic/nacin supplements for a few weeks, the test was done a week ago, but i was not taking the mention supplements regularly. I am now. I do feel when my chlorlestral goes up (funny symptoms) so I was not surprised that it was high, i didnt expect that high. Question; can I just continue the supplements or must I take the medicine he prescribed. I also had been eating pretty badly for a couple of months stressed/lonelines, but have done some diet changes and am excercising more.", "output": "Hi, Lipoprotein is a combination of proteins and lipids (fat). By this combination fat moves in the blood to reach the cell membrane to have its action. So Lipoprotein acts as a carrier of Fat and other enzymes also. There are different verities of Lipoproteins like LDL, HDL,VLDL and Triglycerides. Out which is High density Lipoprotein (HDL) is high in percentage it is good. If others are high it is not good. Color is a statin group of tab used to reduce the bad lipoproteins and enhances good lipoprotein. Supplementary therapy results not known, whereas Color is proved Chat Doctor. Better to continue color, associated with diet control and exercises. Zocor will not because for stress or ? Loss of appetite. Regarding loneliness - change of lifestyle will be helpful Best wishes" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, my 7 month old is really chesty, has a runny nose constantly, a bad cough and has a slight temperature. I took him to the dotors and they just said to sit him in the bathroom with me when i have the shower on and the steam will clear his chest but that doesnt seem to be working and he is very unsettled. He is usually non stop but as soon as he gets excited his chest gets worse. what can i do?", "output": "Hi Dear, welcome to Chat Doctor. Understanding your concern. As per your query your child have symptoms of cough and chest congestion which is due to upper respiratory tract infection due to poor immunity of body. Need not worry. I would suggest you to avoid spicy, hot and sharp food substances. You should avoid cold carbonated beverages. Apply mist humidifiers in room. Chew a vitamin C pellet daily. Do warm saline gargles. Gargle with an antimicrobial mouthwash. You should take antibiotics like Augmenting or Azithromycin for 5 days. You should take anti-inflammatory painkiller Ibuprofen for relief from pain and inflammation. Furthermore, you should avoid taking outside food. Avoid cold carbonated beverages. Visit ENT specialist once and get throat culture and sputum test done to find out exact cause and start treatment accordingly. Hope your concern has been resolved. Get Well Soon. Best wishes," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Good afternoon. I just got discharged from the hospital. I have bacteremia, proved by culturing. I am on home health care for antibiotic infusion weekly. I am interested in WBC. Apparently, at its peak, my white count was 18.6. What is considered normal, please? . Thank you. Neal Gilbert Centennial, CO", "output": "Hello, The normal number of WBC in the blood is 4,500-10,000 white blood cells/MCL. These cells play an important role in the immune system by identifying and destroying pathogens (like viruses, bacteria, or fungi). We have five major types of white blood cells: basophils, eosinophils, lymphocytes (T cells and B cells), monocytes, neutrophils. A high white blood cell count may indicate:-infection (like You have),-inflammatory disease (like rheumatoid arthritis or chronic obstructive pulmonary disease)- leukemia-smoking- stress-allergy, etc. Please note that Chat Doctor. These are: corticosteroids, heparin or beta a" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "hi i really didnt want to have to go to hospital im a 21 years old female i have PCOS but over the last couple of days i have been having really really bad lower abdominal pain on the write side that leds into my bad and into my leg i have already had my ependix out but was wondering if there is anything else that could cause this by period is late by a day but the pain is not period pain.", "output": "Hi! Good afternoon. I am Chat Doctor answering your query. From the history of pain with PCs, one could think of either a sudden hemorrageinto the cyst, or a twisting of the ovarian pedicle giving rise to such acute pain. This could be diagnosed by a physical examination supported with an ultrasound report at the time of the acute pain. Till then, you could go for some anti-inflammatory Chat Doctor. Further management would depend on the report of ultrasound. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Lower back spasms, pain, chills, fever, and fatigue. Fever at 104 now. Contraction like spasms ever 5-8 hours. Three weeks of pain. Doc keeps saying its just a back spasm but the muscle relax, pain med and anti immflam aren t fixing anything and barely keeping my husband functional. We have been to doc several times with little to no serious help.", "output": "Hi, thank you for posting! I have gone through your query and I understand your concerns. According to what you have said above, I think that you might suffer from an infectious disease. In most cases, viruses cause these types of infectious diseases. In order to determine the diagnosis, you should do the following:- Physical examination- Pulmonary X-Ray- Complete blood count-Liver test-Urine testate information that is to be taken from the above test, will orientate for the right diagnosis and treatment. You should consult your necrologist in order to discuss more about your condition. Take care," }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "i am 42 years old and right now i am having some very bad anxiety, i was driving my car and pulled over cause i thought i was having a heart attack and it was scarey. went to my doctor they put me on a .25 mg xanax. then went back and gave me a anti depressants called venlafafxin, i cant take that at all got sent home from work cause i had some bad side effects then they put me on lexapro and had a bad reaction. so now i am scare to take any thing, all but the .25 xanax they worked better but i had to eat more than what they gave me. so noe she set me up with dr. yogesh.. ium just scared to take any other kind of pills.", "output": "HiT hanks for using Chat Doctor I think, you have panic disorder and in that case, you need antidepressant like paroxetine with low dose benzodiazepine like Xanax. If you have any allergy reaction with learn, then you can try antidepressant from another group like tricyclic antidepressant, migraine or amitriptyline. Carry on Xanax at same dose, and you can also try some relaxation exercise like JPMR. In case, you need further help, you can ask. Thanks" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My husband age 57, has been complaining that his left side of chest is tight and almost fights back when he inhales, his lower left rib hurts to the touch, he was in a car accident in March and a rib was out. He has been to a chiropractor. He is yawning a lot to get air, and very fatigued.", "output": "Thanks for your question on Chat Doctor. In my opinion your husband is having musculoskeletal cause mostly due to past accident. But it is better to rule out Cardiac cause first. So get done ECG to rule out cardiac cause. If ECG is normal, then no need to worry much for cardiac Cause. Chest trauma can cause1. Rib fracture2. Pneumothorax3. Pulmonary contusion4. Muscular injury. And all can cause chest pain, soreness on touch and breathlessness. So get done chest x-ray to rule out all these. If chest x-ray is normal, then it is musculoskeletal Pain mostly. Avoid strenuous exercise, heavyweight lifting and movements causing pain. Take good painkiller and muscle relaxant. Apply warm water pad on affected site." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I am 33 yrs old my name is Ben. I have been solid plastering for 10 years now. However this morning I was working in hot conditions sweating heavily, i started majorly cramping up from my fingers to my toes. My whole body was seizing up on me. I have had cramping reoccuring regularly now for years, it got to the point where I could not continue working the pain factor was to much. I made an appointment at my local doctors he mentioned salt cubes in my water could this work to an extent. Doctor then referred me to pathology to check levels, will I get a diagnosis from the blood test. Does my condition sound like Kyphosis? Is there any cure for this condition. Thanks for your time Ben.", "output": "Hello, if the cause of your cramping is sodium depletion (hyponatremia) then it could work. Checking the blood levels of sodium, potassium and magnesium is essential to rule out such disorders. Kyphosis has nothing to do with that. Its disorder of the skeleton only. If your condition is related to the electrolyte disorders then you can take supplements and of course investigate the causes. Otherwise, cramping is a difficult condition to approach and in many cases no cause can be identified. You can contact me again, if you'd like further information. Kind Regards!" }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a relatively small purple spot on my right testicle. Around half a centimeter in diameter. It does not hurt or itch. Ive just noticed it.Im 19 years old and did not have any sexual intercourse, but I have been french kissed a month ago.Please tell me what it could be. And if it dangerous and how to treat it.", "output": "HelloThanks for query. The pink spots over scrotal sac are most likely to be Sebaceous Cysts.However, the diagnosis can be confirmed only on clinical examination by a qualified General Surgeon or Urologist The scrotal skin is rich in sebaceous glands and hence prone to get more sebaceous cyst due to accumulation of sebum beneath the skin. Normally they fade away without treatment however they need to be treated if increase in size or get infected. Please consult qualified General surgeon for assessment. If need he may suggest you to get it excised in Toto. Ensure to observe proper personal hygiene by clinical entire genital area with warm soap water twice daily. Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "I have a small lump on the side of my neck. It has been there for about a month. I noticed it got slightly bigger. Today I was touching it and squeezing it. Puss started to come out and the lump got a little smaller. It is a little sore now and I dont know if thats because I was trying to squeeze it so hard, or because I have irritated it. It never hurt before. Any clue?", "output": "Hi, Dear,thanks for the query to Chat Doctor. Dear, your question has the following facets which would be replied to satisfy your query. After meticulously studying your facts and your concerns following possibilities need to be considered in coming to its diagnosis -In my opinion this non-painful lump with pus like discharge in actual seems to be Sebaceous Cyst, which reduced after squeezing due to discharge from it. The squeezing trauma, post-traumatic induration and edema, which is the cause of the soreness of the non-painful lump, as rightly thought by you. There is risk of increasing pain, as the lump has opened up and may close which would cause pent-up discharge with post-traumatic blood, getting infected. So you need to consult your doctor and get it treated by antibiotics and anti-inflammatory Chat Doctor. It's very difficult to think of other probabilities as the facts are very scanty and hence I would advise you to consult an ER Surgeon, who would work out the clinical check-up and would fix its diagnosis and its rightful treatmentDont worry and go ahead as suggested to resolve the lump issue of yours Hope this would give you confidence to plan treatment with your doctor on your next visit, which you should plan definitely. Feel free to ask any further query in this regard to Chat Doctor and to ME. Write excellent review if you feel satisfied with this reply, which would help my rating for the benefit of the other patients. Wishing early and fast recovery for your lump." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi, I m a 40 yr old white female. About 3 or so yrs ago I found a small lump (about the size of a nickel) on my back, just above my tailbone. I showed it to my chiropracter and my PCP; both said it was a sebaceous cyst and nothing to worry about. Since that time, my weight has been up and down, from a high of 470 to a low of 316. Currently, my weight is about 420 (and hopefully will continue to reduce!). This cyst has gotten bigger. About a year ago, I consulted w/ a surgeon to see about getting it removed. He didn t think it was cancer, but said it should come off. The appointment was made, but before I could get it done, I lost my insurance. Now, it is a little bit bigger ( I refer to it as my tail ) and developed a raw spot and started to bleed. Hubby patches me up and I m ok. However, it has bled again at least 4 times. Each time, we get it to stop, use nuskin spray and gauze pads and tape. I can t keep doing this forever, but I m w/out insurance and we ve already got a ton of credit card debt we re dealing with. (BTW, we make too much for public assistance). Could it be cancer? A girl I met online said she had the same thing happen to her, but hers was something that happens in less than 5% of PREGNANT women. As far as I know, I am not pregnant. Help! I am very worried. Thank you for your help.", "output": "Hi.it is best that you go back to your doctor, preferably a general surgeon, for clinical evaluation, especially if you notice it to be increasing in size and is bleeding. It could be a simple cyst (gelatinous or sebaceous type), but other tumor lesions must also be ruled-out. Diagnostics, such as imaging and a possible biopsy, may be recommended. Management (medical and/or surgical) will be directed accordingly. Hope this helps. Good day!!~ Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "my 17 year old son hurt his back yesterday doing some workouts and weightlifting. Today his tailbone has a drilling sensation deep inside the bone and spine. The pain comes on gradually then feels like the back is giving out with no strength. Please advise what the problem may be.", "output": "Hellowelcome to ChatDoctorit seems your son has developed PIED i.e. PROLAPSE INTER VERTEBRAL DISC in the lumbosacral region i.e. lower back....first you should get an MRI OF LUMBOSACRAL REGION and then consult an orthopedic to evaluate n prescribe medicines.till then you can give following treatment for relief from pain(1) INJECTION THIOCHOLCHICOSIDE intramuscularly twice daily for 3 days(2) TABLET IBUPROFEN 3 times a day(3) TABLET CHLORZOXAZONE 3 times a day(4) HOT FOMENTATION in the painful region 3 times a day(5) wear a LUMBAR BELT regards Chat Doctor. " }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "Hi DoctorI am working as a store person. I am breathing lots of dust everyday. heavy lifting is there in my job. For the last six moths i have been suffering some type of chest irritation. It is not a pain. something is pushing from inside the left side. I dont have any weight loss. I am bit tensed doctor. Also suffering from severe gas trouble. This chest irritation really making me tensed. I stopped smoking 4 months back. I was not a chain smoker. just 4 or 5 cig per day. Please advice", "output": "Thanks for your question on Chat Doctor. I can understand your concern. Stress and tension can because gaseous distention (bloating). And this in turn causes chest irritation. But you were a smoker so better to rule out lung diseases first. So get done chest x-ray. If chest x-ray is normal then no need to worry much. Avoid stress and tension, be relaxed and calm. Take pantoprazole and levosulperide combination twice daily on empty stomach. Once your gaseous feeling is relieved, your chest irritation will also disappear. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "instruction": "If you are a doctor, please answer the medical questions based on the patient's description.", "input": "My sister was diagnosed with thyroid cancer this past Summer, she had surgery to remove her thyroid in Aug and we were told that it was caught in time and it had not spread nor was it in her bloodstream. Well she had her annual pap and now they are saying they found C2 level cancer cells...she is only 30 years old. They havent said were the cancer is, but how serious is C2 level and could this in any way be linked to the thyroid cancer?", "output": "Your sister probably has a condition called CIN2 which is a condition of the cervix (the last part of the uterus) which is left untreated can progress in half the cases to cancer of the cervix. You have 2 options. Either get a PAP smear repeated every 6 months to see if the CIN2 is progressing. Or, she can undergo a colposcopic examination done along with biopsy of any suspicious area. This will ensure that she does not have anything sinister. Also, this has nothing to do with her thyroid cancer." } ]